From 5845b2cd572baeee26127a167d2b15348ae83757 Mon Sep 17 00:00:00 2001 From: Tristan Naumann Date: Wed, 27 Nov 2013 13:34:25 -0500 Subject: [PATCH 001/393] Adding a handful of comments and todos. --- code/evaluate.py | 1 + code/helper.py | 14 ++++++------ code/libml.py | 8 +++++++ code/model.py | 6 ++++++ code/note.py | 56 +++++++++++++++++++++++++++++++++++++++++++++++- code/runall.py | 1 + code/train.py | 11 +++++++++- 7 files changed, 89 insertions(+), 8 deletions(-) diff --git a/code/evaluate.py b/code/evaluate.py index 2a18590..3911d8b 100644 --- a/code/evaluate.py +++ b/code/evaluate.py @@ -1,3 +1,4 @@ +"""Evaluate predictions against a gold standard.""" import os import os.path import sys diff --git a/code/helper.py b/code/helper.py index 3b7b2dd..ae689e0 100644 --- a/code/helper.py +++ b/code/helper.py @@ -1,17 +1,19 @@ - +"""Utility methods.""" import os import os.path import errno def map_files(files): - output = {} - for f in files: - basename = os.path.splitext(os.path.basename(f))[0] - output[basename] = f - return output + """Maps a list of files to basename -> path.""" + output = {} + for f in files: + basename = os.path.splitext(os.path.basename(f))[0] + output[basename] = f + return output def mkpath(path): + """Alias for mkdir -p.""" try: os.makedirs(path) except OSError as exc: diff --git a/code/libml.py b/code/libml.py index c1963b4..01945d3 100644 --- a/code/libml.py +++ b/code/libml.py @@ -1,3 +1,11 @@ +"""Interface to ML libraries -- libsvm, liblinear, and crfsuite. + +Much of this code performs parameter selection a la libsvm's easy.py. However, +the remainder provides an interface for the ML libraries so that the can be +called using a single function within the remainder of the code. +""" +# TODO: this code should leverage bindings rather than fork processes +# TODO: parallelization at a high level could be obtained with task abstraction import multiprocessing import os diff --git a/code/model.py b/code/model.py index 814f08d..a18c87c 100644 --- a/code/model.py +++ b/code/model.py @@ -1,3 +1,9 @@ +"""Contains Model class and all feature generation methods. +""" +# TODO: feature generation should be separated into a separate file. +# TODO: implement feature extraction using scikit-learn +# TODO: make model serializable so that reading/writing is trivial + from __future__ import with_statement import time diff --git a/code/note.py b/code/note.py index 64eabb3..a821317 100644 --- a/code/note.py +++ b/code/note.py @@ -1,12 +1,38 @@ +"""Internal note representation. + +Note class reads in i2b2 formatted .txt and .con files and aligns them. After- +ward they can be accessed by iterating over the class. + +Three auxiliary methods, read_txt(), read_con(), and write_con() streamline +help manipulate such files as well. +""" +# TODO: clean up interface +# TODO: add support for non-i2b2 formats + from __future__ import with_statement class Note: + """Note representation. + + Notes are represented as an iterable of tuples (word, concept). + """ + # TODO: more efficient internal representation + def __init__(self, txt, con=None): + """Read in the note from file(s). + + Args: + txt: File containing i2b2-formatted text. + con: File containing i2b2-formatted concepts. + """ + + # Read in list of tokens, each with "none" concept self.sents = [] with open(txt) as f: for line in f: self.sents.append([[w, "none"] for w in line.split()]) - + + # Assign appropriate concept if a concept file was given if con: with open(con) as f: for line in f: @@ -24,9 +50,20 @@ def __init__(self, txt, con=None): self.sents[l][i][1] = t def __iter__(self): + """Yield the (word, concept) pairs.""" return iter(self.sents) def read_txt(txt): + """Get a list of words from an i2b2-formatted text file. + + Ags: + txt: The i2b2-formatted text file. + + Returns: + A list of the words in the text file. + """ + # TODO: this method is misleading, should include concept for consistency + note = [] with open(txt) as f: for line in f: @@ -34,6 +71,17 @@ def read_txt(txt): return note def read_con(con, txt): + """Get a list of (word, concept) pairs from a txt and con file. + + Args: + con: File containing the i2b2-formatted concepts. + txt: File containing the i2b2-formatted text. + + Returns: + A list of (word, concept) pairs. + """ + # TODO: this method obviates the Note class, should complement + label = [['none'] * len(line) for line in txt] with open(con) as f: for line in f: @@ -52,6 +100,12 @@ def read_con(con, txt): return label def write_con(con, data, labels): + """Writes concept file. + + From data and labels, this create a .con file as output. + """ + # TODO: method should call a serialization primitive of Note class + with open(con, 'w') as f: for i, tmp in enumerate(zip(data, labels)): datum, label = tmp diff --git a/code/runall.py b/code/runall.py index e38c34d..dd32a90 100644 --- a/code/runall.py +++ b/code/runall.py @@ -1,3 +1,4 @@ +"""Run a full grid of experiments.""" import itertools import os diff --git a/code/train.py b/code/train.py index 3f6c81f..d4f547e 100644 --- a/code/train.py +++ b/code/train.py @@ -1,3 +1,11 @@ +"""Train a model on supplied data. + +It is generally necessary to specify the following parameters: + -t: the files containing the training text, and + -c: the files containing the training concepts. +However, the remainder of the options supply information about how to execute +(e.g. which ML methods to use, where to put the models, &c.) +""" import os import os.path import sys @@ -72,11 +80,12 @@ def main(): txt_files_map = helper.map_files(txt_files) con_files_map = helper.map_files(con_files) + # line up .txt with .con files for k in txt_files_map: if k in con_files_map: training_list.append((txt_files_map[k], con_files_map[k])) - type = 0 + type = 0 # type is a flag set if not args.no_svm: type = type | libml.SVM From d1646a4b7564f8084b6d3033ba8e77981d98058c Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 4 Dec 2013 00:48:54 -0500 Subject: [PATCH 002/393] I am trying to push this to a branch. It is a test. --- code/note.py | 5 ++++- 1 file changed, 4 insertions(+), 1 deletion(-) diff --git a/code/note.py b/code/note.py index a821317..717b232 100644 --- a/code/note.py +++ b/code/note.py @@ -11,6 +11,9 @@ from __future__ import with_statement + +# This is a test + class Note: """Note representation. @@ -113,4 +116,4 @@ def write_con(con, data, labels): datum, label = tmp if label != 'none': idx = "%d:%d" % (i + 1, j) - print >>f, "c=\"%s\" %s %s||t=\"%s\"" % (datum, idx, idx, label) \ No newline at end of file + print >>f, "c=\"%s\" %s %s||t=\"%s\"" % (datum, idx, idx, label) From 7aaafa7dbe0e06b31fcd421216bb8683c524ddc2 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 4 Dec 2013 00:51:28 -0500 Subject: [PATCH 003/393] Now interacts with the Note class --- code/evaluate.py | 225 +++++++++++++++++++++++++---------------------- 1 file changed, 122 insertions(+), 103 deletions(-) diff --git a/code/evaluate.py b/code/evaluate.py index 3911d8b..3a1cd3c 100644 --- a/code/evaluate.py +++ b/code/evaluate.py @@ -1,4 +1,3 @@ -"""Evaluate predictions against a gold standard.""" import os import os.path import sys @@ -10,130 +9,150 @@ from note import * def main(): - parser = argparse.ArgumentParser() - - parser.add_argument("-t", - help = "Test files that were used to generate predictions", - dest = "txt", - default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/test_data/*') - ) - - parser.add_argument("-c", - help = "The directory that contains predicted concept files organized into subdirectories for svm, lin, srf", - dest = "con", - default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/test_predictions/') - ) - - parser.add_argument("-r", - help = "The directory that contains reference gold standard concept files", - dest = "ref", - default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/reference_standard_for_test_data/concepts/') - ) - - parser.add_argument("-o", - help = "Write the evaluation to a file rather than STDOUT", - dest = "output", - default = None - ) - args = parser.parse_args() + parser = argparse.ArgumentParser() + + parser.add_argument("-t", + help = "Test files that were used to generate predictions", + dest = "txt", + default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/test_data/*') + ) + + parser.add_argument("-c", + help = "The directory that contains predicted concept files organized into subdirectories for svm, lin, srf", + dest = "con", + default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/test_predictions/') + ) + + parser.add_argument("-r", + help = "The directory that contains reference gold standard concept files", + dest = "ref", + default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/reference_standard_for_test_data/concepts/') + ) + + parser.add_argument("-o", + help = "Write the evaluation to a file rather than STDOUT", + dest = "output", + default = None + ) + + # Parse command line arguments + args = parser.parse_args() - # output - if args.output: - args.output = open(args.output, "w") - else: - args.output = sys.stdout - txt_files = glob.glob(args.txt) - ref_files = os.listdir(args.ref) - ref_files = map(lambda f: os.path.join(args.ref, f), ref_files) + # Is output destination specified + if args.output: + args.output = open(args.output, "w") + else: + args.output = sys.stdout + - txt_files_map = helper.map_files(txt_files) - ref_files_map = helper.map_files(ref_files) + txt_files = glob.glob(args.txt) + ref_files = os.listdir(args.ref) + ref_files = map(lambda f: os.path.join(args.ref, f), ref_files) - con_directories = os.listdir(args.con) + txt_files_map = helper.map_files(txt_files) + ref_files_map = helper.map_files(ref_files) - for con_directory in con_directories: - files = [] - directory_name = os.path.basename(con_directory) + con_directories = os.listdir(args.con) - if directory_name not in ["svm", "crf", "lin"]: - continue + for con_directory in con_directories: + files = [] + directory_name = os.path.basename(con_directory) - con_files = os.listdir(os.path.join(args.con, con_directory)) - con_files = map(lambda f: os.path.join(args.con, con_directory, f), con_files) + if directory_name not in ["svm", "crf", "lin"]: + continue + + con_files = os.listdir(os.path.join(args.con, con_directory)) + con_files = map(lambda f: os.path.join(args.con, con_directory, f), con_files) - con_files_map = helper.map_files(con_files) + con_files_map = helper.map_files(con_files) + + for k in txt_files_map: + if k in con_files_map and k in ref_files_map: + files.append((txt_files_map[k], con_files_map[k], ref_files_map[k])) + + + + # Compute the confusion matrix + labels = Model.labels # hash tabble: label -> index + confusion = [[0] * len(labels) for e in labels] + + # txt <- medical text + # con <- model predictions + # ref <- actual labels + for txt, con, ref in files: - for k in txt_files_map: - if k in con_files_map and k in ref_files_map: - files.append((txt_files_map[k], con_files_map[k], ref_files_map[k])) + # A note that represents the model's predictions + cnote = Note() + cnote.read_i2b2( txt, con ) + #cnote.read_plain( txt, con ) # in case in plain format + # A note that is the actual concept labels + rnote = Note() + rnote.read_i2b2( txt, ref ) + #rnote.read_plain(txt, ref ) # in case in plain format - # Compute the confusion matrix - labels = Model.labels - confusion = [[0] * len(labels) for e in labels] - for txt, con, ref in files: - txt = read_txt(txt) - for c, r in zip(read_con(con, txt), read_con(ref, txt)): - for c, r in zip(c, r): - confusion[labels[r]][labels[c]] += 1 + # Get corresponding concept labels (prediction vs. actual) + for c, r in zip( cnote.conlist(), rnote.conlist() ): + for c, r in zip(c, r): + confusion[labels[r]][labels[c]] += 1 - # Display the confusion matrix - print >>args.output, "" - print >>args.output, "" - print >>args.output, "" - print >>args.output, "================" - print >>args.output, directory_name.upper() + " RESULTS" - print >>args.output, "================" - print >>args.output, "" - print >>args.output, "Confusion Matrix" - pad = max(len(l) for l in labels) + 6 - print >>args.output, "%s %s" % (' ' * pad, "\t".join(Model.labels.keys())) - for act, act_v in labels.items(): - print >>args.output, "%s %s" % (act.rjust(pad), "\t".join([str(confusion[act_v][pre_v]) for pre, pre_v in labels.items()])) - print >>args.output, "" + # Display the confusion matrix + print >>args.output, "" + print >>args.output, "" + print >>args.output, "" + print >>args.output, "================" + print >>args.output, directory_name.upper() + " RESULTS" + print >>args.output, "================" + print >>args.output, "" + print >>args.output, "Confusion Matrix" + pad = max(len(l) for l in labels) + 6 + print >>args.output, "%s %s" % (' ' * pad, "\t".join(Model.labels.keys())) + for act, act_v in labels.items(): + print >>args.output, "%s %s" % (act.rjust(pad), "\t".join([str(confusion[act_v][pre_v]) for pre, pre_v in labels.items()])) + print >>args.output, "" - # Compute the analysis stuff - precision = [] - recall = [] - specificity = [] - f1 = [] + # Compute the analysis stuff + precision = [] + recall = [] + specificity = [] + f1 = [] - tp = 0 - fp = 0 - fn = 0 - tn = 0 + tp = 0 + fp = 0 + fn = 0 + tn = 0 - print >>args.output, "Analysis" - print >>args.output, " " * pad, "Precision\tRecall\tF1" + print >>args.output, "Analysis" + print >>args.output, " " * pad, "Precision\tRecall\tF1" - for lab, lab_v in labels.items(): - tp = confusion[lab_v][lab_v] - fp = sum(confusion[v][lab_v] for k, v in labels.items() if v != lab_v) - fn = sum(confusion[lab_v][v] for k, v in labels.items() if v != lab_v) - tn = sum(confusion[v1][v2] for k1, v1 in labels.items() - for k2, v2 in labels.items() if v1 != lab_v and v2 != lab_v) - precision += [float(tp) / (tp + fp + 1e-100)] - recall += [float(tp) / (tp + fn + 1e-100)] - specificity += [float(tn) / (tn + fp + 1e-100)] - f1 += [float(2 * tp) / (2 * tp + fp + fn + 1e-100)] - print >>args.output, "%s %.4f\t%.4f\t%.4f\t%.4f" % (lab.rjust(pad), precision[-1], recall[-1], specificity[-1], f1[-1]) - - print >>args.output, "--------" - - precision = sum(precision) / len(precision) - recall = sum(recall) / len(recall) - specificity = sum(specificity) / len(specificity) - f1 = sum(f1) / len(f1) - - print >>args.output, "Average: %.4f\t%.4f\t%.4f\t%.4f" % (precision, recall, specificity, f1) + for lab, lab_v in labels.items(): + tp = confusion[lab_v][lab_v] + fp = sum(confusion[v][lab_v] for k, v in labels.items() if v != lab_v) + fn = sum(confusion[lab_v][v] for k, v in labels.items() if v != lab_v) + tn = sum(confusion[v1][v2] for k1, v1 in labels.items() + for k2, v2 in labels.items() if v1 != lab_v and v2 != lab_v) + precision += [float(tp) / (tp + fp + 1e-100)] + recall += [float(tp) / (tp + fn + 1e-100)] + specificity += [float(tn) / (tn + fp + 1e-100)] + f1 += [float(2 * tp) / (2 * tp + fp + fn + 1e-100)] + print >>args.output, "%s %.4f\t%.4f\t%.4f\t%.4f" % (lab.rjust(pad), precision[-1], recall[-1], specificity[-1], f1[-1]) + + print >>args.output, "--------" + + precision = sum(precision) / len(precision) + recall = sum(recall) / len(recall) + specificity = sum(specificity) / len(specificity) + f1 = sum(f1) / len(f1) + + print >>args.output, "Average: %.4f\t%.4f\t%.4f\t%.4f" % (precision, recall, specificity, f1) if __name__ == '__main__': - main() \ No newline at end of file + main() From db0b84f77185421fe8b137d8c3cee505638f6767 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 4 Dec 2013 00:51:37 -0500 Subject: [PATCH 004/393] Now interacts with the Note class --- code/train.py | 209 +++++++++++++++++++++++++++----------------------- 1 file changed, 112 insertions(+), 97 deletions(-) diff --git a/code/train.py b/code/train.py index d4f547e..aee4d07 100644 --- a/code/train.py +++ b/code/train.py @@ -1,11 +1,3 @@ -"""Train a model on supplied data. - -It is generally necessary to specify the following parameters: - -t: the files containing the training text, and - -c: the files containing the training concepts. -However, the remainder of the options supply information about how to execute -(e.g. which ML methods to use, where to put the models, &c.) -""" import os import os.path import sys @@ -19,102 +11,125 @@ from note import * def main(): - parser = argparse.ArgumentParser() - - parser.add_argument("-t", - dest = "txt", - help = "The files that contain the training examples", - default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/concept_assertion_relation_training_data/merged/txt/*') - ) + parser = argparse.ArgumentParser() + + parser.add_argument("-t", + dest = "txt", + help = "The files that contain the training examples", + #default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/concept_assertion_relation_training_data/merged/txt/*') + default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/concept_assertion_relation_training_data/beth/txt/record-33.txt') + ) - parser.add_argument("-c", - dest = "con", - help = "The files that contain the labels for the training examples", - default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/concept_assertion_relation_training_data/merged/concept/*') - ) + parser.add_argument("-c", + dest = "con", + help = "The files that contain the labels for the training examples", + #default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/concept_assertion_relation_training_data/merged/concept/*') + default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/concept_assertion_relation_training_data/beth/concept/record-33.txt') + ) - parser.add_argument("-m", - dest = "model", - help = "Path to the model that should be generated", - default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../models/awesome.model') - ) - - parser.add_argument("-d", - dest = "disabled_features", - help = "The features that should not be used", - nargs = "+", - default = None - ) - - parser.add_argument("-e", - dest = "enabled_features", - help = "The features that should be used. This option trumps -d", - nargs = "+", - default = None - ) - - parser.add_argument("--no-svm", - dest = "no_svm", - action = "store_true", - help = "Disable SVM model generation", - ) - - parser.add_argument("--no-lin", - dest = "no_lin", - action = "store_true", - help = "Disable LIN model generation", - ) - - parser.add_argument("--no-crf", - dest = "no_crf", - action = "store_true", - help = "Disable CRF model generation", - ) - - args = parser.parse_args() - - training_list = [] - txt_files = glob.glob(args.txt) - con_files = glob.glob(args.con) - - txt_files_map = helper.map_files(txt_files) - con_files_map = helper.map_files(con_files) - - # line up .txt with .con files - for k in txt_files_map: - if k in con_files_map: - training_list.append((txt_files_map[k], con_files_map[k])) - - type = 0 # type is a flag set - if not args.no_svm: - type = type | libml.SVM - - if not args.no_lin: - type = type | libml.LIN + parser.add_argument("-m", + dest = "model", + help = "Path to the model that should be generated", + #default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../models/awesome.model') + default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../models/run_models/run.model') + ) + + parser.add_argument("-d", + dest = "disabled_features", + help = "The features that should not be used", + nargs = "+", + default = None + ) + + parser.add_argument("-e", + dest = "enabled_features", + help = "The features that should be used. This option trumps -d", + nargs = "+", + default = None + ) + + parser.add_argument("--no-svm", + dest = "no_svm", + action = "store_true", + help = "Disable SVM model generation", + ) + + parser.add_argument("--no-lin", + dest = "no_lin", + action = "store_true", + help = "Disable LIN model generation", + ) + + parser.add_argument("--no-crf", + dest = "no_crf", + action = "store_true", + help = "Disable CRF model generation", + ) + + + # Parse the command line arguments + args = parser.parse_args() + + + # A list of text file paths + # A list of concept file paths + txt_files = glob.glob(args.txt) + con_files = glob.glob(args.con) + + + # ex. {'record-13': 'record-13.txt'} + # ex. {'record-13': 'record-13.con'} + txt_files_map = helper.map_files(txt_files) + con_files_map = helper.map_files(con_files) + + + # ex. training_list = [ ('record-13.txt', 'record-13.con') ] + training_list = [] + for k in txt_files_map: + if k in con_files_map: + training_list.append((txt_files_map[k], con_files_map[k])) + + # TEMP - useful for when I was reading in XML files + #training_list.append(txt_files_map[k]) + + + + # What kind of model should be used? (ex. SVM vs. CRF) + type = 0 + if not args.no_svm: + type = type | libml.SVM + if not args.no_lin: + type = type | libml.LIN + if not args.no_crf: + type = type | libml.CRF - if not args.no_crf: - type = type | libml.CRF + + # Read the data into a Note object + notes = [] + for txt, con in training_list: + #for txt in training_list: + # Alternative data formats + #note_tmp.read_plain(txt, con) # plain + #note_tmp.read_xml(txt) # xml + + note_tmp = Note() # Create Note + note_tmp.read_i2b2(txt, con) # Read data into Note + notes.append( note_tmp ) # Add the Note to the list + + + # Create a Machine Learning model + model = Model(filename = args.model, type = type) - # Get data and labels from files - data = [] - labels = [] - for txt, con in training_list: - datum = read_txt(txt) - data += datum - labels += read_con(con, datum) - - # Train a model on the data and labels - model = Model(filename = args.model, type = type) - - if args.disabled_features != None: - model.enabled_features = model.enabled_features - Set(args.disabled_features) + if args.disabled_features != None: + model.enabled_features = model.enabled_features - Set(args.disabled_features) + if args.enabled_features != None: + model.enabled_features = Set(args.enabled_features) - if args.enabled_features != None: - model.enabled_features = Set(args.enabled_features) + # Train the model using the Note's data + model.train(notes[0]) - model.train(data, labels) if __name__ == '__main__': - main() \ No newline at end of file + main() From f04de90ea85a832b26b71dee1a4446e8adfba606 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 4 Dec 2013 00:51:54 -0500 Subject: [PATCH 005/393] Now interacts with the Note class --- code/predict.py | 155 +++++++++++++++++++++++++++--------------------- 1 file changed, 86 insertions(+), 69 deletions(-) diff --git a/code/predict.py b/code/predict.py index adedfd1..83f92bb 100644 --- a/code/predict.py +++ b/code/predict.py @@ -10,78 +10,95 @@ from note import * def main(): - parser = argparse.ArgumentParser() - parser.add_argument("-i", - dest = "input", - help = "The input files to predict", - default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/test_data/*') - ) - - parser.add_argument("-o", - dest = "output", - help = "The directory to write the output", - default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/test_predictions') - ) - - parser.add_argument("-m", - dest = "model", - help = "The model to use for prediction", - default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../models/awesome.model') - ) + parser = argparse.ArgumentParser() + parser.add_argument("-i", + dest = "input", + help = "The input files to predict", + default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/test_data/*') + ) + + parser.add_argument("-o", + dest = "output", + help = "The directory to write the output", + default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/test_predictions') + ) + + parser.add_argument("-m", + dest = "model", + help = "The model to use for prediction", + default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../models/run_models/run.model') + ) - parser.add_argument("--no-svm", - dest = "no_svm", - action = "store_true", - help = "Disable SVM model generation", - ) - - parser.add_argument("--no-lin", - dest = "no_lin", - action = "store_true", - help = "Disable LIN model generation", - ) - - parser.add_argument("--no-crf", - dest = "no_crf", - action = "store_true", - help = "Disable CRF model generation", - ) + parser.add_argument("--no-svm", + dest = "no_svm", + action = "store_true", + help = "Disable SVM model generation", + ) + + parser.add_argument("--no-lin", + dest = "no_lin", + action = "store_true", + help = "Disable LIN model generation", + ) + + parser.add_argument("--no-crf", + dest = "no_crf", + action = "store_true", + help = "Disable CRF model generation", + ) - args = parser.parse_args() - - # Locate the test files - files = glob.glob(args.input) - - # Load a model and make a prediction for each file - path = args.output - helper.mkpath(args.output) - - model = Model.load(args.model) - if args.no_svm: - model.type &= ~libml.SVM - if args.no_lin: - model.type &= ~libml.LIN - if args.no_crf: - model.type &= ~libml.CRF + args = parser.parse_args() + + # Locate the test files + files = glob.glob(args.input) + + # Load a model and make a prediction for each file + path = args.output + helper.mkpath(args.output) + + # Determine what type of models to use (ex SVM vs. CRF) + model = Model.load(args.model) + if args.no_svm: + model.type &= ~libml.SVM + if args.no_lin: + model.type &= ~libml.LIN + if args.no_crf: + model.type &= ~libml.CRF - for txt in files: - data = read_txt(txt) - labels = model.predict(data) - con = os.path.split(txt)[-1] - con = con[:-3] + 'con' + + for txt in files: + + # Read the data into a Note object + note = Note() + note.read_i2b2(txt) + #note.read_plain(txt) # TEMP - in case of plain format + + # Use the model to predict the concept labels + labels = model.predict(note) + + # labels (above) is a hash table + # the keys are 1,2,4 (SVM, LIN, and CRF) + # each value is a list of concept labels, like from the Note class + + + con = os.path.split(txt)[-1] + con = con[:-3] + 'con' - for t in libml.bits(model.type): - if t == libml.SVM: - helper.mkpath(os.path.join(args.output, "svm")) - con_path = os.path.join(path, "svm", con) - if t == libml.LIN: - helper.mkpath(os.path.join(args.output, "lin")) - con_path = os.path.join(path, "lin", con) - if t == libml.CRF: - helper.mkpath(os.path.join(args.output, "crf")) - con_path = os.path.join(path, "crf", con) - - write_con(con_path, data, labels[t]) + for t in libml.bits(model.type): + if t == libml.SVM: + helper.mkpath(os.path.join(args.output, "svm")) + con_path = os.path.join(path, "svm", con) + if t == libml.LIN: + helper.mkpath(os.path.join(args.output, "lin")) + con_path = os.path.join(path, "lin", con) + if t == libml.CRF: + helper.mkpath(os.path.join(args.output, "crf")) + con_path = os.path.join(path, "crf", con) + + # Output the concept predictions + note.write_i2b2(con_path, labels[t]) + #note.write_plain(con_path, labels[t]) # in case of plain format + if __name__ == '__main__': - main() \ No newline at end of file + main() From 75337711640c69f5daf8bf0dc971d097c043f62a Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 4 Dec 2013 00:52:50 -0500 Subject: [PATCH 006/393] Moved functionality from helper functions to Note class. Also, added support for plain format and attempted xml --- code/note.py | 344 +++++++++++++++++++++++++++++++++++---------------- 1 file changed, 235 insertions(+), 109 deletions(-) diff --git a/code/note.py b/code/note.py index 717b232..75c773f 100644 --- a/code/note.py +++ b/code/note.py @@ -1,119 +1,245 @@ -"""Internal note representation. +from __future__ import with_statement -Note class reads in i2b2 formatted .txt and .con files and aligns them. After- -ward they can be accessed by iterating over the class. +import re -Three auxiliary methods, read_txt(), read_con(), and write_con() streamline -help manipulate such files as well. -""" -# TODO: clean up interface -# TODO: add support for non-i2b2 formats -from __future__ import with_statement +class Note: + # Constructor + def __init__(self): + # data - A list of lines directly from the file + # concepts - A one-to-one correspondence of each word's concept + self.data = [] + self.concepts = [] -# This is a test -class Note: - """Note representation. - - Notes are represented as an iterable of tuples (word, concept). - """ - # TODO: more efficient internal representation - - def __init__(self, txt, con=None): - """Read in the note from file(s). - - Args: - txt: File containing i2b2-formatted text. - con: File containing i2b2-formatted concepts. - """ - - # Read in list of tokens, each with "none" concept - self.sents = [] - with open(txt) as f: - for line in f: - self.sents.append([[w, "none"] for w in line.split()]) - - # Assign appropriate concept if a concept file was given - if con: - with open(con) as f: - for line in f: - c, t = line.split('||') - t = t[3:-2] - c = c.split() - start = c[-2].split(':') - end = c[-1].split(':') - assert "concept spans one line", start[0] == end[0] - l = int(start[0]) - 1 - start = int(start[1]) - end = int(end[1]) - - for i in range(start, end + 1): - self.sents[l][i][1] = t - - def __iter__(self): - """Yield the (word, concept) pairs.""" - return iter(self.sents) - -def read_txt(txt): - """Get a list of words from an i2b2-formatted text file. - - Ags: - txt: The i2b2-formatted text file. - - Returns: - A list of the words in the text file. - """ - # TODO: this method is misleading, should include concept for consistency - - note = [] + + # Note::read_i2b2() + # + # @param txt. A file path for the i2b2 tokenized medical record + # @param con. A file path for the i2b2 annotated concepts associated with txt + def read_i2b2(self, txt, con=None): + + # Read in the medical text with open(txt) as f: + for line in f: + # Add sentence to the data list + self.data.append(line) + + # For each word, store a corresponding concept label + tmp = [] + for word in line.split(): + tmp.append('none') + self.concepts.append(tmp) + + + + # If an accompanying concept file was specified, read it + if con: + with open(con) as f: for line in f: - note.append([w for w in line.split()]) - return note - -def read_con(con, txt): - """Get a list of (word, concept) pairs from a txt and con file. - - Args: - con: File containing the i2b2-formatted concepts. - txt: File containing the i2b2-formatted text. - - Returns: - A list of (word, concept) pairs. - """ - # TODO: this method obviates the Note class, should complement - - label = [['none'] * len(line) for line in txt] - with open(con) as f: - for line in f: - c, t = line.split('||') - t = t[3:-2] - c = c.split() - start = c[-2].split(':') - end = c[-1].split(':') - assert "concept spans one line", start[0] == end[0] - l = int(start[0]) - 1 - start = int(start[1]) - end = int(end[1]) - - for i in range(start, end + 1): - label[l][i] = t - return label - -def write_con(con, data, labels): - """Writes concept file. - - From data and labels, this create a .con file as output. - """ - # TODO: method should call a serialization primitive of Note class + c, t = line.split('||') + t = t[3:-2] + c = c.split() + start = c[-2].split(':') + end = c[-1].split(':') + assert "concept spans one line", start[0] == end[0] + l = int(start[0]) - 1 + start = int(start[1]) + end = int(end[1]) + + for i in range(start, end + 1): + self.concepts[l][i] = t + + + + # Note::write_i2b2() + # + # @param con. A path to the file of where to write the prediction. + # @param labels. A list of predictions of labels for the given text. + # + # Write the concept predictions to a given file in i2b2 format + def write_i2b2(self, con, labels): with open(con, 'w') as f: - for i, tmp in enumerate(zip(data, labels)): - datum, label = tmp - for j, tmp in enumerate(zip(datum, label)): - datum, label = tmp - if label != 'none': - idx = "%d:%d" % (i + 1, j) - print >>f, "c=\"%s\" %s %s||t=\"%s\"" % (datum, idx, idx, label) + for i, tmp in enumerate(zip(self.txtlist(), labels)): + datum, label = tmp + for j, tmp in enumerate(zip(datum, label)): + datum, label = tmp + if label != 'none': + idx = "%d:%d" % (i + 1, j) + print >>f, "c=\"%s\" %s %s||t=\"%s\"" % (datum, idx, idx, label) + + + + # Note::read_plain() + # + # @param txt. A file path for the plain tokenized medical record + # @param con. A file path for the annotated concepts associated with txt + def read_plain(self, txt, con=None): + + # Read in the medical text + with open(txt) as f: + + for line in f: + # Add sentence to the data list + self.data.append(line) + + # For each word, store a corresponding concept label + tmp = [] + for word in line.split(): + tmp.append('none') + self.concepts.append(tmp) + + + # If an accompanying concept file was specified, read it + if con: + with open(con) as f: + for line in f: + c, t = line.split('||') + t = t[3:-2] + c = c.split() + + start = c[-2].split(':') + end = c[-1].split(':') + + assert "concept spans one line", start[0] == end[0] + l = int(start[0]) - 1 + start = int(start[1]) + end = int(end[1]) + + # Tokenize the input intervals + stok = len(self.data[l][:start].split()) + etok = len(self.data[l][start:end+1].split()) + stok - 1 + + # Update the corresponding concept labels + for i in range(stok, etok + 1): + self.concepts[l][i] = t + + + + # Note::write_plain() + # + # @param con. A path to the file of where to write the prediction. + # @param labels. A list of predictions of labels for the given text. + # + # Write the concept predictions to a given file in plain format + def write_plain(self, con, labels): + + with open(con, 'w') as f: + + # Search every token + for i, line in enumerate(labels): + for j, label in enumerate(line): + + # Only print non-trivial tokens + if label != 'none': + + words = self.data[i].split() + + # Get the untokenized starting index + start = 0 + for k in range(j): + start += len(words[k]) + 1 + + # Untokenized ending index + end = start + len(words[j]) - 1 + + # Format the starting and ending indices + sidx = "%d:%d" % (i + 1, start) + eidx = "%d:%d" % (i + 1, end) + + # Get the string stored in the plaintext representation + datum = self.data[i][start:end+1] + + print >>f, "c=\"%s\" %s %s||t=\"%s\"" % (datum, sidx, eidx, label) + + + + # Note::read_xml() + # + # @param txt. A file path for the xml formatted medical record + def read_xml(self, txt): + + # FIXME: By storing the 'data' as a list of lines from the file + # instead of a list of list of words, xml does not fit nicely + # Possible solution: Switch back to list of list of words + # Alternative: Store edited sentences from the file to remove <> + + + # Read in the medical text + with open(txt) as f: + + for line in f: + # Add sentence to the data list + self.data.append(line) + + + # For each word, store a corresponding concept label + tmp = [] + for i, group in enumerate(line.split('<')): + # All odd groups have label info (because of line split) + # ex. 'treatment>discharge medications' + if (i%2): + # Get concept label + match = re.search('(\w+)>(.+)', group) + if not match: + print "\nUnexpected file format\n" + exit(1) + + label = match.group(1) + words = match.group(2) + + # Add the label once for every word + for word in words.split(): + tmp.append(label) + # If even group , then process with 'none' labels + else: + for word in group.split(): + # / closes the xml tag of a previous label (skip) + if word[0] == '/': + continue + else: + tmp.append('none') + # Add line of labels to the 'concepts' data member + self.concepts.append(tmp) + + + + # Note::write_xml() + # + # @param con. A path to the file of where to write the prediction. + # @param labels. A list of predictions of labels for the given text. + # + # Write the concept predictions to a given file in xml format + def write_xml(self, con, labels): + # xml formats do not have associated concept files + return + + + + + # txtlist() + # + # @return the data from the medical text broken into line-word format + def txtlist( self ): + # Goal: Break self.data sentences into lists of words + ans = [] + for sent in self.data: + ans.append(sent.split()) + + return ans + + + + # conlist() + # + # @return a list of lists of the concepts associated with each word from data + def conlist( self ): + return self.concepts + + + + # For iterating + def __iter__(self): + return iter(self.data) From b1a4403c6a6056fa73fbff1404c1b85192ca6298 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 11 Dec 2013 15:17:29 -0500 Subject: [PATCH 007/393] passed the Notes to model.train() as one argument --- code/model.py | 108 +++++++++++++++++++++++++++++++++++++------------- 1 file changed, 81 insertions(+), 27 deletions(-) diff --git a/code/model.py b/code/model.py index a18c87c..002b162 100644 --- a/code/model.py +++ b/code/model.py @@ -1,9 +1,3 @@ -"""Contains Model class and all feature generation methods. -""" -# TODO: feature generation should be separated into a separate file. -# TODO: implement feature extraction using scikit-learn -# TODO: make model serializable so that reading/writing is trivial - from __future__ import with_statement import time @@ -47,6 +41,7 @@ def load(filename='awesome.model'): model.filename = filename return model + # Constructor def __init__(self, filename='awesome.model', type=libml.ALL): model_directory = os.path.dirname(filename) @@ -59,54 +54,104 @@ def __init__(self, filename='awesome.model', type=libml.ALL): self.enabled_features = Model.sentence_features | Model.word_features - def train(self, data, labels): + + # Model::train() + # + # @param note. A Note object that has data for training the model + def train(self, note): + + # Get the data and annotations from the Note object + + # data - A list of list of the medical text's words + # labels - A list of list of concepts (1:1 with data) + data = note.txtlist() + labels = note.conlist() + + + # rows is a list of a list of hash tables rows = [] for sentence in data: rows.append(self.features_for_sentence(sentence)) - + + # each list of hash tables for row in rows: + # each hash table for features in row: + # each key in hash table for feature in features: + # I think new word encountered if feature not in self.vocab: self.vocab[feature] = len(self.vocab) + 1 + # A list of a list encodings of concept labels (ex. 'none' => 0) + # [ [0, 0, 0], [0], [0, 0, 0], [0], [0, 0, 0, 0, 0, 2, 2, 0, 1] ] label_lu = lambda l: Model.labels[l] labels = [map(label_lu, x) for x in labels] - + + + # list of a list of hash tables (all keys & values now numbers) feat_lu = lambda f: {self.vocab[item]:f[item] for item in f} rows = [map(feat_lu, x) for x in rows] + libml.write_features(self.filename, rows, labels, self.type) with open(self.filename, "w") as model: pickle.dump(self, model) + # Train the model libml.train(self.filename, self.type) + - def predict(self, data): - rows = [] - for sentence in data: - rows.append(self.features_for_sentence(sentence)) + # Model::predict() + # + # @param note. A Note object that contains the training data + def predict(self, note): - feat_lu = lambda f: {self.vocab[item]:f[item] for item in f if item in self.vocab} - rows = [map(feat_lu, x) for x in rows] - libml.write_features(self.filename, rows, None, self.type); + # data - A list of list of the medical text's words + data = note.txtlist() + + + # Something to do with calibrating the model + rows = [] # rows <- list of a list of hash tables (feature vectors) + for sentence in data: + rows.append(self.features_for_sentence(sentence)) + + + feat_lu = lambda f: {self.vocab[item]:f[item] for item in f if item in self.vocab} + rows = [map(feat_lu, x) for x in rows] + libml.write_features(self.filename, rows, None, self.type); + + # Use the trained model to make predictions + libml.predict(self.filename, self.type) - libml.predict(self.filename, self.type) - labels_list = libml.read_labels(self.filename, self.type) + # A hash table + # the keys are 1,2,4 (SVM, LIN, and CRF) + # each value is a list of concept labels encodings + labels_list = libml.read_labels(self.filename, self.type) - for t, labels in labels_list.items(): - tmp = [] - for sentence in data: - tmp.append([labels.pop(0) for i in range(len(sentence))]) - tmp[-1] = map(lambda l: l.strip(), tmp[-1]) - tmp[-1] = map(lambda l: Model.reverse_labels[int(l)], tmp[-1]) - labels_list[t] = tmp - return labels_list + # translate labels_list into a readable format + # ex. change all occurences of 0 -> 'none' + for t, labels in labels_list.items(): + tmp = [] + for sentence in data: + tmp.append([labels.pop(0) for i in range(len(sentence))]) + tmp[-1] = map(lambda l: l.strip(), tmp[-1]) + tmp[-1] = map(lambda l: Model.reverse_labels[int(l)],tmp[-1]) + labels_list[t] = tmp + + + # The new labels_list is a translated version + return labels_list + + + + # input: A sentence from a medical text file (list of words) + # output: A list of hash tables def features_for_sentence(self, sentence): features_list = [] @@ -169,10 +214,19 @@ def features_for_sentence(self, sentence): return features_list + + + # input: a single word, like + # Admission + # output: A hash table of features + # features include: word, length, mitre, stem_porter def features_for_word(self, word): features = {'dummy':1} # always have >0 dimensions + # word_shape, word, length, mitre, stem_porter, stem_lancaster for feature in Model.word_features: + + # word_shape, test_result, word, pos, next, length, stem_wordnet, mitre, stem_porter, prev, stem_lancaster if feature not in self.enabled_features: continue @@ -319,4 +373,4 @@ def get_def_class (self, word): elif word.lower() in treatment_terms: return 3 return 0 - \ No newline at end of file + From 78058a6199e460626cb4d6ff7c57ff55e6e74ebf Mon Sep 17 00:00:00 2001 From: Tristan Naumann Date: Thu, 19 Dec 2013 13:30:30 -0500 Subject: [PATCH 008/393] Fixing leading and trailing whitespace issues per PEP8 Roughly the equivalent of the following in vim: ```vim :set tabstop=4 shiftwidth=4 expandtab :retab :%s/\s\+$// ``` --- code/evaluate.py | 187 +++++++------- code/helper.py | 11 +- code/libml.py | 538 ++++++++++++++++++++-------------------- code/model.py | 598 ++++++++++++++++++++++----------------------- code/predict.py | 88 +++---- code/runall.py | 122 ++++----- code/statistics.py | 70 +++--- code/train.py | 88 ++++--- code/wordshape.py | 168 +++++++------ 9 files changed, 938 insertions(+), 932 deletions(-) diff --git a/code/evaluate.py b/code/evaluate.py index 3a1cd3c..ed1b4b6 100644 --- a/code/evaluate.py +++ b/code/evaluate.py @@ -13,38 +13,38 @@ def main(): parser = argparse.ArgumentParser() parser.add_argument("-t", - help = "Test files that were used to generate predictions", - dest = "txt", - default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/test_data/*') + help = "Test files that were used to generate predictions", + dest = "txt", + default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/test_data/*') ) parser.add_argument("-c", - help = "The directory that contains predicted concept files organized into subdirectories for svm, lin, srf", - dest = "con", - default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/test_predictions/') + help = "The directory that contains predicted concept files organized into subdirectories for svm, lin, srf", + dest = "con", + default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/test_predictions/') ) parser.add_argument("-r", - help = "The directory that contains reference gold standard concept files", - dest = "ref", - default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/reference_standard_for_test_data/concepts/') + help = "The directory that contains reference gold standard concept files", + dest = "ref", + default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/reference_standard_for_test_data/concepts/') ) - + parser.add_argument("-o", - help = "Write the evaluation to a file rather than STDOUT", - dest = "output", - default = None + help = "Write the evaluation to a file rather than STDOUT", + dest = "output", + default = None ) # Parse command line arguments args = parser.parse_args() - + # Is output destination specified if args.output: - args.output = open(args.output, "w") + args.output = open(args.output, "w") else: - args.output = sys.stdout + args.output = sys.stdout txt_files = glob.glob(args.txt) @@ -57,31 +57,30 @@ def main(): con_directories = os.listdir(args.con) for con_directory in con_directories: - files = [] - directory_name = os.path.basename(con_directory) + files = [] + directory_name = os.path.basename(con_directory) - if directory_name not in ["svm", "crf", "lin"]: - continue + if directory_name not in ["svm", "crf", "lin"]: + continue - con_files = os.listdir(os.path.join(args.con, con_directory)) - con_files = map(lambda f: os.path.join(args.con, con_directory, f), con_files) - - con_files_map = helper.map_files(con_files) + con_files = os.listdir(os.path.join(args.con, con_directory)) + con_files = map(lambda f: os.path.join(args.con, con_directory, f), con_files) - for k in txt_files_map: - if k in con_files_map and k in ref_files_map: - files.append((txt_files_map[k], con_files_map[k], ref_files_map[k])) + con_files_map = helper.map_files(con_files) + for k in txt_files_map: + if k in con_files_map and k in ref_files_map: + files.append((txt_files_map[k], con_files_map[k], ref_files_map[k])) - # Compute the confusion matrix - labels = Model.labels # hash tabble: label -> index - confusion = [[0] * len(labels) for e in labels] + # Compute the confusion matrix + labels = Model.labels # hash tabble: label -> index + confusion = [[0] * len(labels) for e in labels] - # txt <- medical text - # con <- model predictions - # ref <- actual labels - for txt, con, ref in files: + # txt <- medical text + # con <- model predictions + # ref <- actual labels + for txt, con, ref in files: # A note that represents the model's predictions cnote = Note() @@ -94,65 +93,65 @@ def main(): #rnote.read_plain(txt, ref ) # in case in plain format # Get corresponding concept labels (prediction vs. actual) - for c, r in zip( cnote.conlist(), rnote.conlist() ): - for c, r in zip(c, r): - confusion[labels[r]][labels[c]] += 1 - - - - # Display the confusion matrix - print >>args.output, "" - print >>args.output, "" - print >>args.output, "" - print >>args.output, "================" - print >>args.output, directory_name.upper() + " RESULTS" - print >>args.output, "================" - print >>args.output, "" - print >>args.output, "Confusion Matrix" - pad = max(len(l) for l in labels) + 6 - print >>args.output, "%s %s" % (' ' * pad, "\t".join(Model.labels.keys())) - for act, act_v in labels.items(): - print >>args.output, "%s %s" % (act.rjust(pad), "\t".join([str(confusion[act_v][pre_v]) for pre, pre_v in labels.items()])) - print >>args.output, "" - - - - # Compute the analysis stuff - precision = [] - recall = [] - specificity = [] - f1 = [] - - tp = 0 - fp = 0 - fn = 0 - tn = 0 - - print >>args.output, "Analysis" - print >>args.output, " " * pad, "Precision\tRecall\tF1" - - - - for lab, lab_v in labels.items(): - tp = confusion[lab_v][lab_v] - fp = sum(confusion[v][lab_v] for k, v in labels.items() if v != lab_v) - fn = sum(confusion[lab_v][v] for k, v in labels.items() if v != lab_v) - tn = sum(confusion[v1][v2] for k1, v1 in labels.items() - for k2, v2 in labels.items() if v1 != lab_v and v2 != lab_v) - precision += [float(tp) / (tp + fp + 1e-100)] - recall += [float(tp) / (tp + fn + 1e-100)] - specificity += [float(tn) / (tn + fp + 1e-100)] - f1 += [float(2 * tp) / (2 * tp + fp + fn + 1e-100)] - print >>args.output, "%s %.4f\t%.4f\t%.4f\t%.4f" % (lab.rjust(pad), precision[-1], recall[-1], specificity[-1], f1[-1]) - - print >>args.output, "--------" - - precision = sum(precision) / len(precision) - recall = sum(recall) / len(recall) - specificity = sum(specificity) / len(specificity) - f1 = sum(f1) / len(f1) - - print >>args.output, "Average: %.4f\t%.4f\t%.4f\t%.4f" % (precision, recall, specificity, f1) - + for c, r in zip( cnote.conlist(), rnote.conlist() ): + for c, r in zip(c, r): + confusion[labels[r]][labels[c]] += 1 + + + + # Display the confusion matrix + print >>args.output, "" + print >>args.output, "" + print >>args.output, "" + print >>args.output, "================" + print >>args.output, directory_name.upper() + " RESULTS" + print >>args.output, "================" + print >>args.output, "" + print >>args.output, "Confusion Matrix" + pad = max(len(l) for l in labels) + 6 + print >>args.output, "%s %s" % (' ' * pad, "\t".join(Model.labels.keys())) + for act, act_v in labels.items(): + print >>args.output, "%s %s" % (act.rjust(pad), "\t".join([str(confusion[act_v][pre_v]) for pre, pre_v in labels.items()])) + print >>args.output, "" + + + + # Compute the analysis stuff + precision = [] + recall = [] + specificity = [] + f1 = [] + + tp = 0 + fp = 0 + fn = 0 + tn = 0 + + print >>args.output, "Analysis" + print >>args.output, " " * pad, "Precision\tRecall\tF1" + + + + for lab, lab_v in labels.items(): + tp = confusion[lab_v][lab_v] + fp = sum(confusion[v][lab_v] for k, v in labels.items() if v != lab_v) + fn = sum(confusion[lab_v][v] for k, v in labels.items() if v != lab_v) + tn = sum(confusion[v1][v2] for k1, v1 in labels.items() + for k2, v2 in labels.items() if v1 != lab_v and v2 != lab_v) + precision += [float(tp) / (tp + fp + 1e-100)] + recall += [float(tp) / (tp + fn + 1e-100)] + specificity += [float(tn) / (tn + fp + 1e-100)] + f1 += [float(2 * tp) / (2 * tp + fp + fn + 1e-100)] + print >>args.output, "%s %.4f\t%.4f\t%.4f\t%.4f" % (lab.rjust(pad), precision[-1], recall[-1], specificity[-1], f1[-1]) + + print >>args.output, "--------" + + precision = sum(precision) / len(precision) + recall = sum(recall) / len(recall) + specificity = sum(specificity) / len(specificity) + f1 = sum(f1) / len(f1) + + print >>args.output, "Average: %.4f\t%.4f\t%.4f\t%.4f" % (precision, recall, specificity, f1) + if __name__ == '__main__': main() diff --git a/code/helper.py b/code/helper.py index ae689e0..a9edb02 100644 --- a/code/helper.py +++ b/code/helper.py @@ -3,12 +3,13 @@ import os.path import errno + def map_files(files): """Maps a list of files to basename -> path.""" output = {} - for f in files: - basename = os.path.splitext(os.path.basename(f))[0] - output[basename] = f + for f in files: #pylint: disable=invalid-name + basename = os.path.splitext(os.path.basename(f))[0] + output[basename] = f return output @@ -19,5 +20,5 @@ def mkpath(path): except OSError as exc: if exc.errno == errno.EEXIST and os.path.isdir(path): pass - else: - raise + else: + raise diff --git a/code/libml.py b/code/libml.py index 01945d3..bc5d2d1 100644 --- a/code/libml.py +++ b/code/libml.py @@ -1,7 +1,7 @@ """Interface to ML libraries -- libsvm, liblinear, and crfsuite. -Much of this code performs parameter selection a la libsvm's easy.py. However, -the remainder provides an interface for the ML libraries so that the can be +Much of this code performs parameter selection a la libsvm's easy.py. However, +the remainder provides an interface for the ML libraries so that the can be called using a single function within the remainder of the code. """ # TODO: this code should leverage bindings rather than fork processes @@ -17,9 +17,9 @@ from subprocess import * if sys.hexversion < 0x03000000: - import Queue + import Queue else: - import queue as Queue + import queue as Queue # Library locations this_path = os.path.dirname(os.path.realpath(__file__)) @@ -29,11 +29,11 @@ is_win32 = (sys.platform == 'win32') if is_win32: - libsvm_path = os.path.join(libsvm_path, "windows") - liblinear_path = os.path.join(liblinear_path, "windows") - crfsuite_path = os.path.join(crfsuite_path, "windows") + libsvm_path = os.path.join(libsvm_path, "windows") + liblinear_path = os.path.join(liblinear_path, "windows") + crfsuite_path = os.path.join(crfsuite_path, "windows") else: - crfsuite_path = os.path.join(crfsuite_path, "frontend") + crfsuite_path = os.path.join(crfsuite_path, "frontend") # File locations svm_train = os.path.join(libsvm_path, "svm-train") @@ -50,202 +50,202 @@ ############################################################################### def range_f(begin,end,step): - # like range, but works on non-integer too - seq = [] - while True: - if step > 0 and begin > end: break - if step < 0 and begin < end: break - seq.append(begin) - begin = begin + step - return seq + # like range, but works on non-integer too + seq = [] + while True: + if step > 0 and begin > end: break + if step < 0 and begin < end: break + seq.append(begin) + begin = begin + step + return seq def permute_sequence(seq): - n = len(seq) - if n <= 1: return seq + n = len(seq) + if n <= 1: return seq - mid = int(n/2) - left = permute_sequence(seq[:mid]) - right = permute_sequence(seq[mid+1:]) + mid = int(n/2) + left = permute_sequence(seq[:mid]) + right = permute_sequence(seq[mid+1:]) - ret = [seq[mid]] - while left or right: - if left: ret.append(left.pop(0)) - if right: ret.append(right.pop(0)) + ret = [seq[mid]] + while left or right: + if left: ret.append(left.pop(0)) + if right: ret.append(right.pop(0)) - return ret + return ret def redraw(db,best_param,tofile=False): - if len(db) == 0: return - begin_level = round(max(x[2] for x in db)) - 3 - step_size = 0.5 - - best_log2c,best_log2g,best_rate = best_param - - # if newly obtained c, g, or cv values are the same, - # then stop redrawing the contour. - if all(x[0] == db[0][0] for x in db): return - if all(x[1] == db[0][1] for x in db): return - if all(x[2] == db[0][2] for x in db): return - - if tofile: - gnuplot.write(b"set term png transparent small linewidth 2 medium enhanced\n") - gnuplot.write("set output \"{0}\"\n".format(png_filename.replace('\\','\\\\')).encode()) - #gnuplot.write(b"set term postscript color solid\n") - #gnuplot.write("set output \"{0}.ps\"\n".format(dataset_title).encode().encode()) - elif is_win32: - gnuplot.write(b"set term windows\n") - else: - gnuplot.write( b"set term x11\n") - gnuplot.write(b"set xlabel \"log2(C)\"\n") - gnuplot.write(b"set ylabel \"log2(gamma)\"\n") - gnuplot.write("set xrange [{0}:{1}]\n".format(c_begin,c_end).encode()) - gnuplot.write("set yrange [{0}:{1}]\n".format(g_begin,g_end).encode()) - gnuplot.write(b"set contour\n") - gnuplot.write("set cntrparam levels incremental {0},{1},100\n".format(begin_level,step_size).encode()) - gnuplot.write(b"unset surface\n") - gnuplot.write(b"unset ztics\n") - gnuplot.write(b"set view 0,0\n") - gnuplot.write("set title \"{0}\"\n".format(dataset_title).encode()) - gnuplot.write(b"unset label\n") - gnuplot.write("set label \"Best log2(C) = {0} log2(gamma) = {1} accuracy = {2}%\" \ - at screen 0.5,0.85 center\n". \ - format(best_log2c, best_log2g, best_rate).encode()) - gnuplot.write("set label \"C = {0} gamma = {1}\"" - " at screen 0.5,0.8 center\n".format(2**best_log2c, 2**best_log2g).encode()) - gnuplot.write(b"set key at screen 0.9,0.9\n") - gnuplot.write(b"splot \"-\" with lines\n") - - - - - db.sort(key = lambda x:(x[0], -x[1])) - - prevc = db[0][0] - for line in db: - if prevc != line[0]: - gnuplot.write(b"\n") - prevc = line[0] - gnuplot.write("{0[0]} {0[1]} {0[2]}\n".format(line).encode()) - gnuplot.write(b"e\n") - gnuplot.write(b"\n") # force gnuplot back to prompt when term set failure - gnuplot.flush() + if len(db) == 0: return + begin_level = round(max(x[2] for x in db)) - 3 + step_size = 0.5 + + best_log2c,best_log2g,best_rate = best_param + + # if newly obtained c, g, or cv values are the same, + # then stop redrawing the contour. + if all(x[0] == db[0][0] for x in db): return + if all(x[1] == db[0][1] for x in db): return + if all(x[2] == db[0][2] for x in db): return + + if tofile: + gnuplot.write(b"set term png transparent small linewidth 2 medium enhanced\n") + gnuplot.write("set output \"{0}\"\n".format(png_filename.replace('\\','\\\\')).encode()) + #gnuplot.write(b"set term postscript color solid\n") + #gnuplot.write("set output \"{0}.ps\"\n".format(dataset_title).encode().encode()) + elif is_win32: + gnuplot.write(b"set term windows\n") + else: + gnuplot.write( b"set term x11\n") + gnuplot.write(b"set xlabel \"log2(C)\"\n") + gnuplot.write(b"set ylabel \"log2(gamma)\"\n") + gnuplot.write("set xrange [{0}:{1}]\n".format(c_begin,c_end).encode()) + gnuplot.write("set yrange [{0}:{1}]\n".format(g_begin,g_end).encode()) + gnuplot.write(b"set contour\n") + gnuplot.write("set cntrparam levels incremental {0},{1},100\n".format(begin_level,step_size).encode()) + gnuplot.write(b"unset surface\n") + gnuplot.write(b"unset ztics\n") + gnuplot.write(b"set view 0,0\n") + gnuplot.write("set title \"{0}\"\n".format(dataset_title).encode()) + gnuplot.write(b"unset label\n") + gnuplot.write("set label \"Best log2(C) = {0} log2(gamma) = {1} accuracy = {2}%\" \ + at screen 0.5,0.85 center\n". \ + format(best_log2c, best_log2g, best_rate).encode()) + gnuplot.write("set label \"C = {0} gamma = {1}\"" + " at screen 0.5,0.8 center\n".format(2**best_log2c, 2**best_log2g).encode()) + gnuplot.write(b"set key at screen 0.9,0.9\n") + gnuplot.write(b"splot \"-\" with lines\n") + + + + + db.sort(key = lambda x:(x[0], -x[1])) + + prevc = db[0][0] + for line in db: + if prevc != line[0]: + gnuplot.write(b"\n") + prevc = line[0] + gnuplot.write("{0[0]} {0[1]} {0[2]}\n".format(line).encode()) + gnuplot.write(b"e\n") + gnuplot.write(b"\n") # force gnuplot back to prompt when term set failure + gnuplot.flush() def calculate_jobs(): - c_seq = permute_sequence(range_f(c_begin,c_end,c_step)) - g_seq = permute_sequence(range_f(g_begin,g_end,g_step)) - nr_c = float(len(c_seq)) - nr_g = float(len(g_seq)) - i = 0 - j = 0 - jobs = [] - - while i < nr_c or j < nr_g: - if i/nr_c < j/nr_g: - # increase C resolution - line = [] - for k in range(0,j): - line.append((c_seq[i],g_seq[k])) - i = i + 1 - jobs.append(line) - else: - # increase g resolution - line = [] - for k in range(0,i): - line.append((c_seq[k],g_seq[j])) - j = j + 1 - jobs.append(line) - return jobs + c_seq = permute_sequence(range_f(c_begin,c_end,c_step)) + g_seq = permute_sequence(range_f(g_begin,g_end,g_step)) + nr_c = float(len(c_seq)) + nr_g = float(len(g_seq)) + i = 0 + j = 0 + jobs = [] + + while i < nr_c or j < nr_g: + if i/nr_c < j/nr_g: + # increase C resolution + line = [] + for k in range(0,j): + line.append((c_seq[i],g_seq[k])) + i = i + 1 + jobs.append(line) + else: + # increase g resolution + line = [] + for k in range(0,i): + line.append((c_seq[k],g_seq[j])) + j = j + 1 + jobs.append(line) + return jobs class WorkerStopToken: # used to notify the worker to stop - pass + pass class Worker(Thread): - def __init__(self,name,job_queue,result_queue): - Thread.__init__(self) - self.name = name - self.job_queue = job_queue - self.result_queue = result_queue - def run(self): - while True: - (cexp,gexp) = self.job_queue.get() - if cexp is WorkerStopToken: - self.job_queue.put((cexp,gexp)) - # print('worker {0} stop.'.format(self.name)) - break - try: - rate = self.run_one(2.0**cexp,2.0**gexp) - if rate is None: raise RuntimeError("get no rate") - except: - # we failed, let others do that and we just quit - - traceback.print_exception(sys.exc_info()[0], sys.exc_info()[1], sys.exc_info()[2]) - - self.job_queue.put((cexp,gexp)) - print('worker {0} quit.'.format(self.name)) - break - else: - self.result_queue.put((self.name,cexp,gexp,rate)) + def __init__(self,name,job_queue,result_queue): + Thread.__init__(self) + self.name = name + self.job_queue = job_queue + self.result_queue = result_queue + def run(self): + while True: + (cexp,gexp) = self.job_queue.get() + if cexp is WorkerStopToken: + self.job_queue.put((cexp,gexp)) + # print('worker {0} stop.'.format(self.name)) + break + try: + rate = self.run_one(2.0**cexp,2.0**gexp) + if rate is None: raise RuntimeError("get no rate") + except: + # we failed, let others do that and we just quit + + traceback.print_exception(sys.exc_info()[0], sys.exc_info()[1], sys.exc_info()[2]) + + self.job_queue.put((cexp,gexp)) + print('worker {0} quit.'.format(self.name)) + break + else: + self.result_queue.put((self.name,cexp,gexp,rate)) class LocalWorker(Worker): - def run_one(self,c,g): - cmdline = '{0} -c {1} -g {2} -v {3} {4} {5}'.format \ - (svmtrain_exe,c,g,fold,pass_through_string,dataset_pathname) - result = Popen(cmdline,shell=True,stdout=PIPE).stdout - for line in result.readlines(): - if str(line).find("Cross") != -1: - return float(line.split()[-1][0:-1]) + def run_one(self,c,g): + cmdline = '{0} -c {1} -g {2} -v {3} {4} {5}'.format \ + (svmtrain_exe,c,g,fold,pass_through_string,dataset_pathname) + result = Popen(cmdline,shell=True,stdout=PIPE).stdout + for line in result.readlines(): + if str(line).find("Cross") != -1: + return float(line.split()[-1][0:-1]) class SSHWorker(Worker): - def __init__(self,name,job_queue,result_queue,host): - Worker.__init__(self,name,job_queue,result_queue) - self.host = host - self.cwd = os.getcwd() - def run_one(self,c,g): - cmdline = 'ssh -x {0} "cd {1}; {2} -c {3} -g {4} -v {5} {6} {7}"'.format \ - (self.host,self.cwd, \ - svmtrain_exe,c,g,fold,pass_through_string,dataset_pathname) - result = Popen(cmdline,shell=True,stdout=PIPE).stdout - for line in result.readlines(): - if str(line).find("Cross") != -1: - return float(line.split()[-1][0:-1]) + def __init__(self,name,job_queue,result_queue,host): + Worker.__init__(self,name,job_queue,result_queue) + self.host = host + self.cwd = os.getcwd() + def run_one(self,c,g): + cmdline = 'ssh -x {0} "cd {1}; {2} -c {3} -g {4} -v {5} {6} {7}"'.format \ + (self.host,self.cwd, \ + svmtrain_exe,c,g,fold,pass_through_string,dataset_pathname) + result = Popen(cmdline,shell=True,stdout=PIPE).stdout + for line in result.readlines(): + if str(line).find("Cross") != -1: + return float(line.split()[-1][0:-1]) class TelnetWorker(Worker): - def __init__(self,name,job_queue,result_queue,host,username,password): - Worker.__init__(self,name,job_queue,result_queue) - self.host = host - self.username = username - self.password = password - def run(self): - import telnetlib - self.tn = tn = telnetlib.Telnet(self.host) - tn.read_until("login: ") - tn.write(self.username + "\n") - tn.read_until("Password: ") - tn.write(self.password + "\n") - - # XXX: how to know whether login is successful? - tn.read_until(self.username) - # - print('login ok', self.host) - tn.write("cd "+os.getcwd()+"\n") - Worker.run(self) - tn.write("exit\n") - def run_one(self,c,g): - cmdline = '{0} -c {1} -g {2} -v {3} {4} {5}'.format \ - (svmtrain_exe,c,g,fold,pass_through_string,dataset_pathname) - result = self.tn.write(cmdline+'\n') - (idx,matchm,output) = self.tn.expect(['Cross.*\n']) - for line in output.split('\n'): - if str(line).find("Cross") != -1: - return float(line.split()[-1][0:-1]) + def __init__(self,name,job_queue,result_queue,host,username,password): + Worker.__init__(self,name,job_queue,result_queue) + self.host = host + self.username = username + self.password = password + def run(self): + import telnetlib + self.tn = tn = telnetlib.Telnet(self.host) + tn.read_until("login: ") + tn.write(self.username + "\n") + tn.read_until("Password: ") + tn.write(self.password + "\n") + + # XXX: how to know whether login is successful? + tn.read_until(self.username) + # + print('login ok', self.host) + tn.write("cd "+os.getcwd()+"\n") + Worker.run(self) + tn.write("exit\n") + def run_one(self,c,g): + cmdline = '{0} -c {1} -g {2} -v {3} {4} {5}'.format \ + (svmtrain_exe,c,g,fold,pass_through_string,dataset_pathname) + result = self.tn.write(cmdline+'\n') + (idx,matchm,output) = self.tn.expect(['Cross.*\n']) + for line in output.split('\n'): + if str(line).find("Cross") != -1: + return float(line.split()[-1][0:-1]) def bits(n): - while n: - b = n & (~n+1) - yield b - n ^= b - + while n: + b = n & (~n+1) + yield b + n ^= b + ############################################################################### # Learning Interface ############################################################################### @@ -255,93 +255,93 @@ def bits(n): ALL = sum(2**i for i in range(3)) def train(model_filename, type=ALL): - for t in bits(type): - if t == SVM: - filename = model_filename + ".svm" - command = [svm_train, "-c", "50", "-g", "0.03", "-w0", "0.5", filename, filename + ".trained"] - - if t == LIN: - filename = model_filename + ".lin" - command = [lin_train, "-c", "50", "-w0", "0.5", filename, filename + ".trained"] - - if t == CRF: - filename = model_filename + ".crf" - command = [crf_suite, "learn", "-m", filename + ".trained", filename] - - output, error = Popen(command, stdout = PIPE, stderr = PIPE).communicate() - #print output - #print error - + for t in bits(type): + if t == SVM: + filename = model_filename + ".svm" + command = [svm_train, "-c", "50", "-g", "0.03", "-w0", "0.5", filename, filename + ".trained"] + + if t == LIN: + filename = model_filename + ".lin" + command = [lin_train, "-c", "50", "-w0", "0.5", filename, filename + ".trained"] + + if t == CRF: + filename = model_filename + ".crf" + command = [crf_suite, "learn", "-m", filename + ".trained", filename] + + output, error = Popen(command, stdout = PIPE, stderr = PIPE).communicate() + #print output + #print error + def predict(model_filename, type=ALL): - for t in bits(type): - if t == SVM: - filename = model_filename + ".svm" - command = [svm_predict, filename + ".test.in", filename + ".trained", filename + ".test.out"] - - if t == LIN: - filename = model_filename + ".lin" - command = [lin_predict, filename + ".test.in", filename + ".trained", filename + ".test.out"] - - if t == CRF: - filename = model_filename + ".crf" - command = [crf_suite, "tag", "-m", filename + ".trained" , filename + ".test.in"] # NEEDS OUTPUT - - output, error = Popen(command, stdout = PIPE, stderr = PIPE).communicate() - - if t == CRF: - with open(filename + ".test.out", "w") as f: - for line in output.split(): - f.write(line + "\n") - + for t in bits(type): + if t == SVM: + filename = model_filename + ".svm" + command = [svm_predict, filename + ".test.in", filename + ".trained", filename + ".test.out"] + + if t == LIN: + filename = model_filename + ".lin" + command = [lin_predict, filename + ".test.in", filename + ".trained", filename + ".test.out"] + + if t == CRF: + filename = model_filename + ".crf" + command = [crf_suite, "tag", "-m", filename + ".trained" , filename + ".test.in"] # NEEDS OUTPUT + + output, error = Popen(command, stdout = PIPE, stderr = PIPE).communicate() + + if t == CRF: + with open(filename + ".test.out", "w") as f: + for line in output.split(): + f.write(line + "\n") + def write_features(model_filename, rows, labels, type=ALL): - for t in bits(type): - if t == SVM: - file_suffix = ".svm" + (".test.in" if not labels else "") - null_label, feature_sep, sentence_sep = "-1", ":", "" - - if t == LIN: - file_suffix = ".lin" + (".test.in" if not labels else "") - null_label, feature_sep, sentence_sep = "-1", ":", "" - - if t == CRF: - file_suffix = ".crf" + (".test.in" if not labels else "") - null_label, feature_sep, sentence_sep = "", "=", "\n" - - filename = model_filename + file_suffix - with open(filename, "w") as f: - for sentence_index, sentence in enumerate(rows): - if labels: - sentence_labels = labels[sentence_index] - assert "Dimension mismatch", len(sentence) == len(sentence_labels) - - for word_index, features in enumerate(sentence): - if labels: - label = sentence_labels[word_index] - line = [str(label)] - else: - line = [null_label] - - for k,v in sorted(features.items()): - line.append(str(k) + feature_sep + str(v)) - - f.write("\t".join(line).strip() + "\n") - - f.write(sentence_sep) - + for t in bits(type): + if t == SVM: + file_suffix = ".svm" + (".test.in" if not labels else "") + null_label, feature_sep, sentence_sep = "-1", ":", "" + + if t == LIN: + file_suffix = ".lin" + (".test.in" if not labels else "") + null_label, feature_sep, sentence_sep = "-1", ":", "" + + if t == CRF: + file_suffix = ".crf" + (".test.in" if not labels else "") + null_label, feature_sep, sentence_sep = "", "=", "\n" + + filename = model_filename + file_suffix + with open(filename, "w") as f: + for sentence_index, sentence in enumerate(rows): + if labels: + sentence_labels = labels[sentence_index] + assert "Dimension mismatch", len(sentence) == len(sentence_labels) + + for word_index, features in enumerate(sentence): + if labels: + label = sentence_labels[word_index] + line = [str(label)] + else: + line = [null_label] + + for k,v in sorted(features.items()): + line.append(str(k) + feature_sep + str(v)) + + f.write("\t".join(line).strip() + "\n") + + f.write(sentence_sep) + def read_labels(model_filename, type=ALL): - labels = {} - for t in bits(type): - if t == SVM: - filename = model_filename + ".svm.test.out" - - if t == LIN: - filename = model_filename + ".lin.test.out" - - if t == CRF: - filename = model_filename + ".crf.test.out" - - with open(filename) as f: - lines = f.readlines() - labels[t] = [line.strip() for line in lines] - - return labels \ No newline at end of file + labels = {} + for t in bits(type): + if t == SVM: + filename = model_filename + ".svm.test.out" + + if t == LIN: + filename = model_filename + ".lin.test.out" + + if t == CRF: + filename = model_filename + ".crf.test.out" + + with open(filename) as f: + lines = f.readlines() + labels[t] = [line.strip() for line in lines] + + return labels \ No newline at end of file diff --git a/code/model.py b/code/model.py index 002b162..782b462 100644 --- a/code/model.py +++ b/code/model.py @@ -19,358 +19,356 @@ import libml class Model: - sentence_features = ImmutableSet(["pos", "stem_wordnet", "test_result", "prev", "next"]) - word_features = ImmutableSet(["word", "length", "mitre", "stem_porter", "stem_lancaster", "word_shape"]) - # THESE ARE FEATURES I TRIED THAT DON'T LOOK THAT PROMISING - # I have some faith in "metric_unit" and "has_problem_form" - # "radial_loc" may be too rare and "def_class" could be over fitting - # "metric_unit", "radial_loc", "has_problem_form", "def_class" - - labels = { - "none":0, - "treatment":1, - "problem":2, - "test":3 - } - reverse_labels = {v:k for k, v in labels.items()} - - @staticmethod - def load(filename='awesome.model'): - with open(filename) as model: - model = pickle.load(model) - model.filename = filename - return model + sentence_features = ImmutableSet(["pos", "stem_wordnet", "test_result", "prev", "next"]) + word_features = ImmutableSet(["word", "length", "mitre", "stem_porter", "stem_lancaster", "word_shape"]) + # THESE ARE FEATURES I TRIED THAT DON'T LOOK THAT PROMISING + # I have some faith in "metric_unit" and "has_problem_form" + # "radial_loc" may be too rare and "def_class" could be over fitting + # "metric_unit", "radial_loc", "has_problem_form", "def_class" + + labels = { + "none": 0, + "treatment": 1, + "problem": 2, + "test": 3 + } + reverse_labels = {v: k for k, v in labels.items()} + + @staticmethod + def load(filename='awesome.model'): + with open(filename) as model: + model = pickle.load(model) + model.filename = filename + return model # Constructor - def __init__(self, filename='awesome.model', type=libml.ALL): - model_directory = os.path.dirname(filename) - - if model_directory != "": - helper.mkpath(model_directory) - - self.filename = os.path.realpath(filename) - self.type = type - self.vocab = {} - - self.enabled_features = Model.sentence_features | Model.word_features - - + def __init__(self, filename='awesome.model', type=libml.ALL): + model_directory = os.path.dirname(filename) + + if model_directory != "": + helper.mkpath(model_directory) + + self.filename = os.path.realpath(filename) + self.type = type + self.vocab = {} + + self.enabled_features = Model.sentence_features | Model.word_features + + # Model::train() # # @param note. A Note object that has data for training the model - def train(self, note): + def train(self, note): - # Get the data and annotations from the Note object + # Get the data and annotations from the Note object - # data - A list of list of the medical text's words - # labels - A list of list of concepts (1:1 with data) - data = note.txtlist() - labels = note.conlist() + # data - A list of list of the medical text's words + # labels - A list of list of concepts (1:1 with data) + data = note.txtlist() + labels = note.conlist() # rows is a list of a list of hash tables - rows = [] - for sentence in data: - rows.append(self.features_for_sentence(sentence)) - + rows = [] + for sentence in data: + rows.append(self.features_for_sentence(sentence)) + # each list of hash tables - for row in rows: + for row in rows: # each hash table - for features in row: + for features in row: # each key in hash table - for feature in features: + for feature in features: # I think new word encountered - if feature not in self.vocab: - self.vocab[feature] = len(self.vocab) + 1 + if feature not in self.vocab: + self.vocab[feature] = len(self.vocab) + 1 # A list of a list encodings of concept labels (ex. 'none' => 0) # [ [0, 0, 0], [0], [0, 0, 0], [0], [0, 0, 0, 0, 0, 2, 2, 0, 1] ] - label_lu = lambda l: Model.labels[l] - labels = [map(label_lu, x) for x in labels] + label_lu = lambda l: Model.labels[l] + labels = [map(label_lu, x) for x in labels] + - # list of a list of hash tables (all keys & values now numbers) - feat_lu = lambda f: {self.vocab[item]:f[item] for item in f} - rows = [map(feat_lu, x) for x in rows] - + feat_lu = lambda f: {self.vocab[item]: f[item] for item in f} + rows = [map(feat_lu, x) for x in rows] + - libml.write_features(self.filename, rows, labels, self.type) + libml.write_features(self.filename, rows, labels, self.type) - with open(self.filename, "w") as model: - pickle.dump(self, model) + with open(self.filename, "w") as model: + pickle.dump(self, model) # Train the model - libml.train(self.filename, self.type) + libml.train(self.filename, self.type) + - # Model::predict() # # @param note. A Note object that contains the training data - def predict(self, note): + def predict(self, note): - # data - A list of list of the medical text's words - data = note.txtlist() - + # data - A list of list of the medical text's words + data = note.txtlist() - # Something to do with calibrating the model - rows = [] # rows <- list of a list of hash tables (feature vectors) - for sentence in data: - rows.append(self.features_for_sentence(sentence)) + # Something to do with calibrating the model + rows = [] # rows <- list of a list of hash tables (feature vectors) + for sentence in data: + rows.append(self.features_for_sentence(sentence)) - feat_lu = lambda f: {self.vocab[item]:f[item] for item in f if item in self.vocab} - rows = [map(feat_lu, x) for x in rows] - libml.write_features(self.filename, rows, None, self.type); + feat_lu = lambda f: {self.vocab[item]: f[item] for item in f if item in self.vocab} + rows = [map(feat_lu, x) for x in rows] + libml.write_features(self.filename, rows, None, self.type) # Use the trained model to make predictions - libml.predict(self.filename, self.type) + libml.predict(self.filename, self.type) + - # A hash table - # the keys are 1,2,4 (SVM, LIN, and CRF) - # each value is a list of concept labels encodings - labels_list = libml.read_labels(self.filename, self.type) - + # the keys are 1,2,4 (SVM, LIN, and CRF) + # each value is a list of concept labels encodings + labels_list = libml.read_labels(self.filename, self.type) + # translate labels_list into a readable format # ex. change all occurences of 0 -> 'none' - for t, labels in labels_list.items(): - tmp = [] - for sentence in data: - tmp.append([labels.pop(0) for i in range(len(sentence))]) - tmp[-1] = map(lambda l: l.strip(), tmp[-1]) - tmp[-1] = map(lambda l: Model.reverse_labels[int(l)],tmp[-1]) - labels_list[t] = tmp + for t, labels in labels_list.items(): + tmp = [] + for sentence in data: + tmp.append([labels.pop(0) for i in range(len(sentence))]) + tmp[-1] = map(lambda l: l.strip(), tmp[-1]) + tmp[-1] = map(lambda l: Model.reverse_labels[int(l)], tmp[-1]) + labels_list[t] = tmp # The new labels_list is a translated version - return labels_list + return labels_list # input: A sentence from a medical text file (list of words) # output: A list of hash tables - def features_for_sentence(self, sentence): - features_list = [] - - for word in sentence: - features_list.append(self.features_for_word(word)) - - tags = None - for feature in Model.sentence_features: - if feature not in self.enabled_features: - continue - - if feature == "pos": - tags = tags or nltk.pos_tag(sentence) - for i, features in enumerate(features_list): - tag = tags[i][1] - features[(feature, tag)] = 1 - - if feature == "stem_wordnet": - tags = tags or nltk.pos_tag(sentence) - morphy_tags = { - 'NN':nltk.corpus.reader.wordnet.NOUN, - 'JJ':nltk.corpus.reader.wordnet.ADJ, - 'VB':nltk.corpus.reader.wordnet.VERB, - 'RB':nltk.corpus.reader.wordnet.ADV} - morphy_tags = [(w, morphy_tags.setdefault(t[:2], nltk.corpus.reader.wordnet.NOUN)) for w,t in tags] - st = nltk.stem.WordNetLemmatizer() - for i, features in enumerate(features_list): - tag = morphy_tags[i] - features[(feature, st.lemmatize(*tag))] = 1 - - if feature == "test_result": - for index, features in enumerate(features_list): - right = " ".join([w for w in sentence[index:]]) - if self.is_test_result(right): - features[(feature, None)] = 1 - - - ngram_features = [{} for i in range(len(features_list))] - if "prev" in self.enabled_features: - prev = lambda f: {("prev_"+k[0], k[1]): v for k,v in f.items()} - prev_list = map(prev, features_list) - for i in range(len(features_list)): - if i == 0: - ngram_features[i][("prev", "*")] = 1 - else: - ngram_features[i].update(prev_list[i-1]) - - if "next" in self.enabled_features: - next = lambda f: {("next_"+k[0], k[1]): v for k,v in f.items()} - next_list = map(next, features_list) - for i in range(len(features_list)): - if i == len(features_list) - 1: - ngram_features[i][("next", "*")] = 1 - else: - ngram_features[i].update(next_list[i+1]) - - merged = lambda d1, d2: dict(d1.items() + d2.items()) - features_list = [merged(features_list[i], ngram_features[i]) - for i in range(len(features_list))] - - return features_list - - - - # input: a single word, like + def features_for_sentence(self, sentence): + features_list = [] + + for word in sentence: + features_list.append(self.features_for_word(word)) + + tags = None + for feature in Model.sentence_features: + if feature not in self.enabled_features: + continue + + if feature == "pos": + tags = tags or nltk.pos_tag(sentence) + for i, features in enumerate(features_list): + tag = tags[i][1] + features[(feature, tag)] = 1 + + if feature == "stem_wordnet": + tags = tags or nltk.pos_tag(sentence) + morphy_tags = { + 'NN': nltk.corpus.reader.wordnet.NOUN, + 'JJ': nltk.corpus.reader.wordnet.ADJ, + 'VB': nltk.corpus.reader.wordnet.VERB, + 'RB': nltk.corpus.reader.wordnet.ADV} + morphy_tags = [(w, morphy_tags.setdefault(t[:2], nltk.corpus.reader.wordnet.NOUN)) for w, t in tags] + st = nltk.stem.WordNetLemmatizer() + for i, features in enumerate(features_list): + tag = morphy_tags[i] + features[(feature, st.lemmatize(*tag))] = 1 + + if feature == "test_result": + for index, features in enumerate(features_list): + right = " ".join([w for w in sentence[index:]]) + if self.is_test_result(right): + features[(feature, None)] = 1 + + + ngram_features = [{} for i in range(len(features_list))] + if "prev" in self.enabled_features: + prev = lambda f: {("prev_"+k[0], k[1]): v for k, v in f.items()} + prev_list = map(prev, features_list) + for i in range(len(features_list)): + if i == 0: + ngram_features[i][("prev", "*")] = 1 + else: + ngram_features[i].update(prev_list[i-1]) + + if "next" in self.enabled_features: + next = lambda f: {("next_"+k[0], k[1]): v for k, v in f.items()} + next_list = map(next, features_list) + for i in range(len(features_list)): + if i == len(features_list) - 1: + ngram_features[i][("next", "*")] = 1 + else: + ngram_features[i].update(next_list[i+1]) + + merged = lambda d1, d2: dict(d1.items() + d2.items()) + features_list = [merged(features_list[i], ngram_features[i]) + for i in range(len(features_list))] + + return features_list + + + + # input: a single word, like # Admission # output: A hash table of features # features include: word, length, mitre, stem_porter - def features_for_word(self, word): - features = {'dummy':1} # always have >0 dimensions + def features_for_word(self, word): + features = {'dummy': 1} # always have >0 dimensions # word_shape, word, length, mitre, stem_porter, stem_lancaster - for feature in Model.word_features: + for feature in Model.word_features: # word_shape, test_result, word, pos, next, length, stem_wordnet, mitre, stem_porter, prev, stem_lancaster - if feature not in self.enabled_features: - continue - - if feature == "word": - features[(feature, word)] = 1 - - if feature == "length": - features[(feature, None)] = len(word) - - if feature == "mitre": - for f in Model.mitre_features: - if re.search(Model.mitre_features[f], word): - features[(feature, f)] = 1 - - if feature == "stem_porter": - st = nltk.stem.PorterStemmer() - features[(feature, st.stem(word))] = 1 - - if feature == "stem_lancaster": - st = nltk.stem.LancasterStemmer() - features[(feature, st.stem(word))] = 1 - - if feature == "stem_snowball": - st = nltk.stem.SnowballStemmer("english") - #features[(feature, st.stem(word))] = 1 - - if feature == "word_shape": - wordShapes = getWordShapes(word) - for i, shape in enumerate(wordShapes): - features[(feature + str(i), shape)] = 1 - - if feature == "metric_unit": - unit = 0 - if self.is_weight(word): - unit = 1 - elif self.is_size(word): - unit = 2 - features[(feature, None)] = unit - - # look for prognosis locaiton - #if feature == "radial_loc": - # THIS MIGHT BE BUGGED - # if self.is_prognosis_location(word): - # features[(feature, None)] = 1 - - if feature == "has_problem_form": - if self.has_problem_form(word): - features[(feature, None)] = 1 - - if feature == "def_class": - features[(feature, None)] = self.get_def_class(word) - - return features - - mitre_features = { - "INITCAP" : r"^[A-Z].*$", - "ALLCAPS" : r"^[A-Z]+$", - "CAPSMIX" : r"^[A-Za-z]+$", - "HASDIGIT" : r"^.*[0-9].*$", - "SINGLEDIGIT" : r"^[0-9]$", - "DOUBLEDIGIT" : r"^[0-9][0-9]$", - "FOURDIGITS" : r"^[0-9][0-9][0-9][0-9]$", - "NATURALNUM" : r"^[0-9]+$", - "REALNUM" : r"^[0-9]+.[0-9]+$", - "ALPHANUM" : r"^[0-9A-Za-z]+$", - "HASDASH" : r"^.*-.*$", - "PUNCTUATION" : r"^[^A-Za-z0-9]+$", - "PHONE1" : r"^[0-9][0-9][0-9]-[0-9][0-9][0-9][0-9]$", - "PHONE2" : r"^[0-9][0-9][0-9]-[0-9][0-9][0-9]-[0-9][0-9][0-9][0-9]$", - "FIVEDIGIT" : r"^[0-9][0-9][0-9][0-9][0-9]", - "NOVOWELS" : r"^[^AaEeIiOoUu]+$", - "HASDASHNUMALPHA" : r"^.*[A-z].*-.*[0-9].*$ | *.[0-9].*-.*[0-9].*$", - "DATESEPERATOR" : r"^[-/]$", - } - - def is_test_result (self, context): - # note: make spaces optional? - regex = r"^[A-Za-z]+( )*(-|--|:|was|of|\*|>|<|more than|less than)( )*[0-9]+(%)*" - if not re.search(regex, context): - return re.search(r"^[A-Za-z]+ was (positive|negative)", context) - return True - - def is_weight (self, word): - regex = r"^[0-9]*(mg|g|milligrams|grams)$" - return re.search(regex, word) - - def is_size (self, word): - regex = r"^[0-9]*(mm|cm|millimeters|centimeters)$" - return re.search(regex, word) - - def is_prognosis_location (self, word): - regex = r"^(c|C)[0-9]+(-(c|C)[0-9]+)*$" - return re.search(regex, word) - - def has_problem_form (self, word): - regex = r".*(ic|is)$" - return re.search(regex, word) - - # checks for a definitive classification at the word level - def get_def_class (self, word): - test_terms = { - "eval", "evaluation", "evaluations", - "sat", "sats", "saturation", - "exam", "exams", - "rate", "rates", - "test", "tests", - "xray", "xrays", - "screen", "screens", - "level", "levels", - "tox" - } - problem_terms = { - "swelling", - "wound", "wounds", - "symptom", "symptoms", - "shifts", "failure", - "insufficiency", "insufficiencies", - "mass", "masses", - "aneurysm", "aneurysms", - "ulcer", "ulcers", - "trama", "cancer", - "disease", "diseased", - "bacterial", "viral", - "syndrome", "syndromes", - "pain", "pains" - "burns", "burned", - "broken", "fractured" - } - treatment_terms = { - "therapy", - "replacement", - "anesthesia", - "supplement", "supplemental", - "vaccine", "vaccines" - "dose", "doses", - "shot", "shots", - "medication", "medicine", - "treament", "treatments" - } - if word.lower() in test_terms: - return 1 - elif word.lower() in problem_terms: - return 2 - elif word.lower() in treatment_terms: - return 3 - return 0 - + if feature not in self.enabled_features: + continue + + if feature == "word": + features[(feature, word)] = 1 + + if feature == "length": + features[(feature, None)] = len(word) + + if feature == "mitre": + for f in Model.mitre_features: + if re.search(Model.mitre_features[f], word): + features[(feature, f)] = 1 + + if feature == "stem_porter": + st = nltk.stem.PorterStemmer() + features[(feature, st.stem(word))] = 1 + + if feature == "stem_lancaster": + st = nltk.stem.LancasterStemmer() + features[(feature, st.stem(word))] = 1 + + if feature == "stem_snowball": + st = nltk.stem.SnowballStemmer("english") + #features[(feature, st.stem(word))] = 1 + + if feature == "word_shape": + wordShapes = getWordShapes(word) + for i, shape in enumerate(wordShapes): + features[(feature + str(i), shape)] = 1 + + if feature == "metric_unit": + unit = 0 + if self.is_weight(word): + unit = 1 + elif self.is_size(word): + unit = 2 + features[(feature, None)] = unit + + # look for prognosis locaiton + #if feature == "radial_loc": + # THIS MIGHT BE BUGGED + # if self.is_prognosis_location(word): + # features[(feature, None)] = 1 + + if feature == "has_problem_form": + if self.has_problem_form(word): + features[(feature, None)] = 1 + + if feature == "def_class": + features[(feature, None)] = self.get_def_class(word) + + return features + + mitre_features = { + "INITCAP": r"^[A-Z].*$", + "ALLCAPS": r"^[A-Z]+$", + "CAPSMIX": r"^[A-Za-z]+$", + "HASDIGIT": r"^.*[0-9].*$", + "SINGLEDIGIT": r"^[0-9]$", + "DOUBLEDIGIT": r"^[0-9][0-9]$", + "FOURDIGITS": r"^[0-9][0-9][0-9][0-9]$", + "NATURALNUM": r"^[0-9]+$", + "REALNUM": r"^[0-9]+.[0-9]+$", + "ALPHANUM": r"^[0-9A-Za-z]+$", + "HASDASH": r"^.*-.*$", + "PUNCTUATION": r"^[^A-Za-z0-9]+$", + "PHONE1": r"^[0-9][0-9][0-9]-[0-9][0-9][0-9][0-9]$", + "PHONE2": r"^[0-9][0-9][0-9]-[0-9][0-9][0-9]-[0-9][0-9][0-9][0-9]$", + "FIVEDIGIT": r"^[0-9][0-9][0-9][0-9][0-9]", + "NOVOWELS": r"^[^AaEeIiOoUu]+$", + "HASDASHNUMALPHA": r"^.*[A-z].*-.*[0-9].*$ | *.[0-9].*-.*[0-9].*$", + "DATESEPERATOR": r"^[-/]$", + } + + def is_test_result(self, context): + # note: make spaces optional? + regex = r"^[A-Za-z]+( )*(-|--|:|was|of|\*|>|<|more than|less than)( )*[0-9]+(%)*" + if not re.search(regex, context): + return re.search(r"^[A-Za-z]+ was (positive|negative)", context) + return True + + def is_weight(self, word): + regex = r"^[0-9]*(mg|g|milligrams|grams)$" + return re.search(regex, word) + + def is_size(self, word): + regex = r"^[0-9]*(mm|cm|millimeters|centimeters)$" + return re.search(regex, word) + + def is_prognosis_location(self, word): + regex = r"^(c|C)[0-9]+(-(c|C)[0-9]+)*$" + return re.search(regex, word) + + def has_problem_form(self, word): + regex = r".*(ic|is)$" + return re.search(regex, word) + + # checks for a definitive classification at the word level + def get_def_class(self, word): + test_terms = { + "eval", "evaluation", "evaluations", + "sat", "sats", "saturation", + "exam", "exams", + "rate", "rates", + "test", "tests", + "xray", "xrays", + "screen", "screens", + "level", "levels", + "tox" + } + problem_terms = { + "swelling", + "wound", "wounds", + "symptom", "symptoms", + "shifts", "failure", + "insufficiency", "insufficiencies", + "mass", "masses", + "aneurysm", "aneurysms", + "ulcer", "ulcers", + "trama", "cancer", + "disease", "diseased", + "bacterial", "viral", + "syndrome", "syndromes", + "pain", "pains" + "burns", "burned", + "broken", "fractured" + } + treatment_terms = { + "therapy", + "replacement", + "anesthesia", + "supplement", "supplemental", + "vaccine", "vaccines" + "dose", "doses", + "shot", "shots", + "medication", "medicine", + "treament", "treatments" + } + if word.lower() in test_terms: + return 1 + elif word.lower() in problem_terms: + return 2 + elif word.lower() in treatment_terms: + return 3 + return 0 diff --git a/code/predict.py b/code/predict.py index 83f92bb..77737e2 100644 --- a/code/predict.py +++ b/code/predict.py @@ -11,42 +11,42 @@ def main(): parser = argparse.ArgumentParser() - parser.add_argument("-i", - dest = "input", - help = "The input files to predict", - default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/test_data/*') + parser.add_argument("-i", + dest = "input", + help = "The input files to predict", + default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/test_data/*') ) - parser.add_argument("-o", - dest = "output", - help = "The directory to write the output", - default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/test_predictions') + parser.add_argument("-o", + dest = "output", + help = "The directory to write the output", + default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/test_predictions') ) parser.add_argument("-m", - dest = "model", - help = "The model to use for prediction", - default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../models/run_models/run.model') + dest = "model", + help = "The model to use for prediction", + default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../models/run_models/run.model') ) - + parser.add_argument("--no-svm", - dest = "no_svm", - action = "store_true", - help = "Disable SVM model generation", + dest = "no_svm", + action = "store_true", + help = "Disable SVM model generation", ) parser.add_argument("--no-lin", - dest = "no_lin", - action = "store_true", - help = "Disable LIN model generation", + dest = "no_lin", + action = "store_true", + help = "Disable LIN model generation", ) parser.add_argument("--no-crf", - dest = "no_crf", - action = "store_true", - help = "Disable CRF model generation", + dest = "no_crf", + action = "store_true", + help = "Disable CRF model generation", ) - + args = parser.parse_args() # Locate the test files @@ -59,45 +59,45 @@ def main(): # Determine what type of models to use (ex SVM vs. CRF) model = Model.load(args.model) if args.no_svm: - model.type &= ~libml.SVM + model.type &= ~libml.SVM if args.no_lin: - model.type &= ~libml.LIN + model.type &= ~libml.LIN if args.no_crf: - model.type &= ~libml.CRF - + model.type &= ~libml.CRF + for txt in files: - # Read the data into a Note object + # Read the data into a Note object note = Note() note.read_i2b2(txt) #note.read_plain(txt) # TEMP - in case of plain format # Use the model to predict the concept labels - labels = model.predict(note) + labels = model.predict(note) # labels (above) is a hash table # the keys are 1,2,4 (SVM, LIN, and CRF) # each value is a list of concept labels, like from the Note class - con = os.path.split(txt)[-1] - con = con[:-3] + 'con' - - for t in libml.bits(model.type): - if t == libml.SVM: - helper.mkpath(os.path.join(args.output, "svm")) - con_path = os.path.join(path, "svm", con) - if t == libml.LIN: - helper.mkpath(os.path.join(args.output, "lin")) - con_path = os.path.join(path, "lin", con) - if t == libml.CRF: - helper.mkpath(os.path.join(args.output, "crf")) - con_path = os.path.join(path, "crf", con) - + con = os.path.split(txt)[-1] + con = con[:-3] + 'con' + + for t in libml.bits(model.type): + if t == libml.SVM: + helper.mkpath(os.path.join(args.output, "svm")) + con_path = os.path.join(path, "svm", con) + if t == libml.LIN: + helper.mkpath(os.path.join(args.output, "lin")) + con_path = os.path.join(path, "lin", con) + if t == libml.CRF: + helper.mkpath(os.path.join(args.output, "crf")) + con_path = os.path.join(path, "crf", con) + # Output the concept predictions - note.write_i2b2(con_path, labels[t]) - #note.write_plain(con_path, labels[t]) # in case of plain format + note.write_i2b2(con_path, labels[t]) + #note.write_plain(con_path, labels[t]) # in case of plain format if __name__ == '__main__': diff --git a/code/runall.py b/code/runall.py index dd32a90..733b55a 100644 --- a/code/runall.py +++ b/code/runall.py @@ -35,54 +35,54 @@ # Calculate commands def get_cmds(function): - commands = [] - for i in range(1,n+1): - for c in itertools.combinations(features, i): - # commands from single feature up - cmd_features = [f if f in c else 'X' for f in features] - commands.append(function(cmd_features)) - - # commands from full feature down - cmd_features = ['X' if f in c else f for f in features] - commands.append(function(cmd_features)) - - # commands for full feature only - commands.append(function(features)) - return commands + commands = [] + for i in range(1, n+1): + for c in itertools.combinations(features, i): + # commands from single feature up + cmd_features = [f if f in c else 'X' for f in features] + commands.append(function(cmd_features)) + + # commands from full feature down + cmd_features = ['X' if f in c else f for f in features] + commands.append(function(cmd_features)) + + # commands for full feature only + commands.append(function(features)) + return commands # Drive process execution def execute(commands, sleep=1): - ps = [] - for cmd in commands: - p = Popen(cmd) - ps.append(p) - print "Done" - - was_finished = -1 - while True: - ps_status = [p.poll() for p in ps] - now_finished = len(ps_status) - ps_status.count(None) - if now_finished > was_finished: - print "\tCompleted: %d/%d\r" % (now_finished, len(ps_status)), - sys.stdout.flush() - if now_finished == len(ps_status): - break - was_finished = now_finished - time.sleep(sleep) + ps = [] + for cmd in commands: + p = Popen(cmd) + ps.append(p) + print "Done" + + was_finished = -1 + while True: + ps_status = [p.poll() for p in ps] + now_finished = len(ps_status) - ps_status.count(None) + if now_finished > was_finished: + print "\tCompleted: %d/%d\r" % (now_finished, len(ps_status)), + sys.stdout.flush() + if now_finished == len(ps_status): + break + was_finished = now_finished + time.sleep(sleep) ############################################################################### # Train ############################################################################### def train(cmd_features): - modelname = os.path.join(model_path, "-".join(cmd_features), "model") - cmd = ["python", our_train, "-m", modelname] - cmd += ["--no-svm"] - cmd += ["-e"] + [f for f in cmd_features if f != 'X'] - if _TEST: - cmd += ["-t", os.path.join(data_path, "concept_assertion_relation_training_data", "merged", "txt", "record-105.txt")] - cmd += ["-c", os.path.join(data_path, "concept_assertion_relation_training_data", "merged", "concept", "record-105.con")] - return cmd - + modelname = os.path.join(model_path, "-".join(cmd_features), "model") + cmd = ["python", our_train, "-m", modelname] + cmd += ["--no-svm"] + cmd += ["-e"] + [f for f in cmd_features if f != 'X'] + if _TEST: + cmd += ["-t", os.path.join(data_path, "concept_assertion_relation_training_data", "merged", "txt", "record-105.txt")] + cmd += ["-c", os.path.join(data_path, "concept_assertion_relation_training_data", "merged", "concept", "record-105.con")] + return cmd + print "BEGIN train" print "\tCalculating training commands...", commands = get_cmds(train) @@ -97,15 +97,15 @@ def train(cmd_features): # Predict ############################################################################### def predict(cmd_features): - modelname = os.path.join(model_path, "-".join(cmd_features), "model") - cmd = ["python", our_predict, "-m", modelname] - cmd += ["-o", os.path.join(model_path, "-".join(cmd_features), "test_predictions")] - if _TEST: - cmd += ["-i", os.path.join(data_path, "concept_assertion_relation_training_data", "merged", "txt", "record-105.txt")] - else: - cmd += ["-i", os.path.join(data_path, "test_data", "*")] - return cmd - + modelname = os.path.join(model_path, "-".join(cmd_features), "model") + cmd = ["python", our_predict, "-m", modelname] + cmd += ["-o", os.path.join(model_path, "-".join(cmd_features), "test_predictions")] + if _TEST: + cmd += ["-i", os.path.join(data_path, "concept_assertion_relation_training_data", "merged", "txt", "record-105.txt")] + else: + cmd += ["-i", os.path.join(data_path, "test_data", "*")] + return cmd + print "BEGIN predict" print "\tCalculating prediction commands...", commands = get_cmds(predict) @@ -120,17 +120,17 @@ def predict(cmd_features): # Evaluate ############################################################################### def evaluate(cmd_features): - cmd = ["python", our_evaluate] - cmd += ["-c", os.path.join(model_path, "-".join(cmd_features), "test_predictions")] - cmd += ["-o", os.path.join(model_path, "-".join(cmd_features), "evaluation.txt")] - if _TEST: - cmd += ["-t", os.path.join(data_path, "concept_assertion_relation_training_data", "merged", "txt", "record-105.txt")] - cmd += ["-r", os.path.join(data_path, "concept_assertion_relation_training_data", "merged", "concept")] - else: - cmd += ["-t", os.path.join(data_path, "test_data", "*")] - cmd += ["-r", os.path.join(data_path, "reference_standard_for_test_data", "concepts")] - return cmd - + cmd = ["python", our_evaluate] + cmd += ["-c", os.path.join(model_path, "-".join(cmd_features), "test_predictions")] + cmd += ["-o", os.path.join(model_path, "-".join(cmd_features), "evaluation.txt")] + if _TEST: + cmd += ["-t", os.path.join(data_path, "concept_assertion_relation_training_data", "merged", "txt", "record-105.txt")] + cmd += ["-r", os.path.join(data_path, "concept_assertion_relation_training_data", "merged", "concept")] + else: + cmd += ["-t", os.path.join(data_path, "test_data", "*")] + cmd += ["-r", os.path.join(data_path, "reference_standard_for_test_data", "concepts")] + return cmd + print "BEGIN evaluate" print "\tCalculating evaluation commands...", commands = get_cmds(evaluate) @@ -139,4 +139,4 @@ def evaluate(cmd_features): execute(commands) print "\tCompleted evaluation." print "END evaluate" -print \ No newline at end of file +print diff --git a/code/statistics.py b/code/statistics.py index 4cb0285..7aa86d2 100644 --- a/code/statistics.py +++ b/code/statistics.py @@ -7,40 +7,40 @@ from note import * + def main(): - data_paths = { - 'test': ('../data/test_data/*', '../data/reference_standard_for_test_data/concepts/'), - 'train': ('../data/concept_assertion_relation_training_data/merged/txt/*', '../data/concept_assertion_relation_training_data/merged/concept') - } - - for type, paths in data_paths.items(): - full_path = lambda f: os.path.join(os.path.dirname(os.path.realpath(__file__)), f) - args_txt = full_path(paths[0]) - args_ref = full_path(paths[1]) - - txt_files = glob.glob(args_txt) - ref_files = os.listdir(args_ref) - ref_files = map(lambda f: os.path.join(args_ref, f), ref_files) - - txt_files_map = helper.map_files(txt_files) - ref_files_map = helper.map_files(ref_files) - - files = [] - for k in txt_files_map: - if k in ref_files_map: - files.append((txt_files_map[k], ref_files_map[k])) - - labels = {} - for txt, ref in files: - txt = read_txt(txt) - for r in read_con(ref, txt): - for r in r: - if r not in labels: - labels[r] = 0 - labels[r] += 1 - - print type, labels - + data_paths = { + 'test': ('../data/test_data/*', '../data/reference_standard_for_test_data/concepts/'), + 'train': ('../data/concept_assertion_relation_training_data/merged/txt/*', '../data/concept_assertion_relation_training_data/merged/concept') + } + + for type, paths in data_paths.items(): + full_path = lambda f: os.path.join(os.path.dirname(os.path.realpath(__file__)), f) + args_txt = full_path(paths[0]) + args_ref = full_path(paths[1]) + + txt_files = glob.glob(args_txt) + ref_files = os.listdir(args_ref) + ref_files = map(lambda f: os.path.join(args_ref, f), ref_files) + + txt_files_map = helper.map_files(txt_files) + ref_files_map = helper.map_files(ref_files) + + files = [] + for k in txt_files_map: + if k in ref_files_map: + files.append((txt_files_map[k], ref_files_map[k])) + + labels = {} + for txt, ref in files: + txt = read_txt(txt) + for r in read_con(ref, txt): + for r in r: + if r not in labels: + labels[r] = 0 + labels[r] += 1 + + print type, labels + if __name__ == "__main__": - main() - \ No newline at end of file + main() diff --git a/code/train.py b/code/train.py index aee4d07..6ab964f 100644 --- a/code/train.py +++ b/code/train.py @@ -1,6 +1,5 @@ import os import os.path -import sys import glob import argparse import helper @@ -10,60 +9,61 @@ from model import Model from note import * + def main(): parser = argparse.ArgumentParser() - parser.add_argument("-t", - dest = "txt", - help = "The files that contain the training examples", - #default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/concept_assertion_relation_training_data/merged/txt/*') - default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/concept_assertion_relation_training_data/beth/txt/record-33.txt') + parser.add_argument("-t", + dest = "txt", + help = "The files that contain the training examples", + #default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/concept_assertion_relation_training_data/merged/txt/*') + default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/concept_assertion_relation_training_data/beth/txt/record-33.txt') ) - - parser.add_argument("-c", - dest = "con", - help = "The files that contain the labels for the training examples", - #default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/concept_assertion_relation_training_data/merged/concept/*') - default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/concept_assertion_relation_training_data/beth/concept/record-33.txt') + + parser.add_argument("-c", + dest = "con", + help = "The files that contain the labels for the training examples", + #default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/concept_assertion_relation_training_data/merged/concept/*') + default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/concept_assertion_relation_training_data/beth/concept/record-33.txt') ) - + parser.add_argument("-m", - dest = "model", - help = "Path to the model that should be generated", - #default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../models/awesome.model') - default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../models/run_models/run.model') + dest = "model", + help = "Path to the model that should be generated", + #default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../models/awesome.model') + default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../models/run_models/run.model') ) parser.add_argument("-d", - dest = "disabled_features", - help = "The features that should not be used", - nargs = "+", - default = None + dest = "disabled_features", + help = "The features that should not be used", + nargs = "+", + default = None ) parser.add_argument("-e", - dest = "enabled_features", - help = "The features that should be used. This option trumps -d", - nargs = "+", - default = None + dest = "enabled_features", + help = "The features that should be used. This option trumps -d", + nargs = "+", + default = None ) parser.add_argument("--no-svm", - dest = "no_svm", - action = "store_true", - help = "Disable SVM model generation", + dest = "no_svm", + action = "store_true", + help = "Disable SVM model generation", ) parser.add_argument("--no-lin", - dest = "no_lin", - action = "store_true", - help = "Disable LIN model generation", + dest = "no_lin", + action = "store_true", + help = "Disable LIN model generation", ) parser.add_argument("--no-crf", - dest = "no_crf", - action = "store_true", - help = "Disable CRF model generation", + dest = "no_crf", + action = "store_true", + help = "Disable CRF model generation", ) @@ -86,23 +86,21 @@ def main(): # ex. training_list = [ ('record-13.txt', 'record-13.con') ] training_list = [] for k in txt_files_map: - if k in con_files_map: - training_list.append((txt_files_map[k], con_files_map[k])) + if k in con_files_map: + training_list.append((txt_files_map[k], con_files_map[k])) # TEMP - useful for when I was reading in XML files #training_list.append(txt_files_map[k]) - # What kind of model should be used? (ex. SVM vs. CRF) type = 0 if not args.no_svm: - type = type | libml.SVM + type = type | libml.SVM if not args.no_lin: - type = type | libml.LIN + type = type | libml.LIN if not args.no_crf: - type = type | libml.CRF - + type = type | libml.CRF # Read the data into a Note object @@ -115,16 +113,16 @@ def main(): note_tmp = Note() # Create Note note_tmp.read_i2b2(txt, con) # Read data into Note - notes.append( note_tmp ) # Add the Note to the list + notes.append(note_tmp) # Add the Note to the list # Create a Machine Learning model model = Model(filename = args.model, type = type) - + if args.disabled_features != None: - model.enabled_features = model.enabled_features - Set(args.disabled_features) + model.enabled_features = model.enabled_features - Set(args.disabled_features) if args.enabled_features != None: - model.enabled_features = Set(args.enabled_features) + model.enabled_features = Set(args.enabled_features) # Train the model using the Note's data diff --git a/code/wordshape.py b/code/wordshape.py index 57d46cc..b536f49 100644 --- a/code/wordshape.py +++ b/code/wordshape.py @@ -1,7 +1,7 @@ import re from sets import Set -BOUNDARY_SIZE = 2; +BOUNDARY_SIZE = 2 NOWORDSHAPE = -1 WORDSHAPEDAN1 = 0 @@ -20,6 +20,7 @@ greek = ["alpha", "beta", "gamma", "delta", "epsilon", "zeta", "theta", "iota", "kappa", "lambda", "omicron", "rho", "sigma", "tau", "upsilon", "omega"] biogreek = r"alpha|beta|gamma|delta|epsilon|zeta|theta|iota|kappa|lambda|omicron|rho|sigma|tau|upsilon|omega" + def lookupShaper(name): if name is None: return NOWORDSHAPE @@ -50,16 +51,19 @@ def lookupShaper(name): else: return NOWORDSHAPE + def dontUseLC(shape): return shape == WORDSHAPEDAN2 or shape == WORDSHAPEDAN2BIO or shape == WORDSHAPEJENNY1 or shape == WORDSHAPECHRIS2 or shape == WORDSHAPECHRIS3 + def wordShape(inStr, wordShaper): return wordShape(inStr, wordShaper, None) -def wordShape(inStr, wordShaper, knownLCWords): + +def wordShape(inStr, wordShaper, knownLCWords): if knownLCWords is not None and dontUseLC(wordShaper): knownLCWords = None - + if wordShaper == NOWORDSHAPE: return inStr elif wordShaper == WORDSHAPEDAN1: @@ -87,6 +91,7 @@ def wordShape(inStr, wordShaper, knownLCWords): elif wordShaper == WORDSHAPECHRIS3USELC: return wordShapeChris2(inStr, True, knownLCWords) + def wordShapeDan1(s): digit = True upper = True @@ -122,17 +127,17 @@ def wordShapeDan2(s, knownLCWords): for c in s: m = c if c.isdigit(): - m = 'd' + m = 'd' if c.islower() or c == '_': - m = 'x' + m = 'x' if c.isupper(): - m = 'X' + m = 'X' if m != 'x' and m != 'X': nonLetters = True if m != lastM: sb += m lastM = m - + if length <= 3: sb += ':' + str(length) @@ -140,7 +145,8 @@ def wordShapeDan2(s, knownLCWords): if not nonLetters and knownLCWords.contains(s.lower()): sb += 'k' return sb - + + def wordShapeJenny1(s): sb = "WT-" lastM = '~' @@ -159,18 +165,18 @@ def wordShapeJenny1(s): for gr in greek: if s.startswith(gr): - m = 'g' - i = i + len(gr) - 1 - break + m = 'g' + i = i + len(gr) - 1 + break if m != 'x' and m != 'X': nonLetters = True - + if m != lastM: sb += m lastM = m - + if length <= 3: sb += ':' + str(length) @@ -179,47 +185,49 @@ def wordShapeJenny1(s): # sb += 'k' return sb + def wordShapeChris2(s, omitIfInBoundary, knownLCWords): - length = len(s) - if length <= BOUNDARY_SIZE * 2: - return wordShapeChris2Short(s, length, knownLCWords) - else: - return wordShapeChris2Long(s, omitIfInBoundary, length, knownLCWords) + length = len(s) + if length <= BOUNDARY_SIZE * 2: + return wordShapeChris2Short(s, length, knownLCWords) + else: + return wordShapeChris2Long(s, omitIfInBoundary, length, knownLCWords) + def wordShapeChris2Short(s, length, knownLCWords): - sblength = length - sb = "" - - if knownLCWords is not None: - sblength = length + 1 - - nonLetters = False - - for i in range (0, length): - c = s[i] - m = c - if c.isdigit(): - m = 'd' - if c.islower(): - m = 'x' - if c.isupper() or c.istitle(): - m = 'X' - - for gr in greek: - if s.startswith(gr): - m = 'g' - i = i + len(gr) - 1 - break - - if m != 'x' and m != 'X': - nonLetters = True - - sb += m - - if knownLCWords is not None: - if not nonLetters and knownLCWords.contains(s.lower()): - sb += 'k' - return sb + sblength = length + sb = "" + + if knownLCWords is not None: + sblength = length + 1 + + nonLetters = False + + for i in range (0, length): + c = s[i] + m = c + if c.isdigit(): + m = 'd' + if c.islower(): + m = 'x' + if c.isupper() or c.istitle(): + m = 'X' + + for gr in greek: + if s.startswith(gr): + m = 'g' + i = i + len(gr) - 1 + break + + if m != 'x' and m != 'X': + nonLetters = True + + sb += m + + if knownLCWords is not None: + if not nonLetters and knownLCWords.contains(s.lower()): + sb += 'k' + return sb def wordShapeChris2Long (s, omitIfInBoundary, length, knownLCWords): @@ -261,9 +269,9 @@ def wordShapeChris2Long (s, omitIfInBoundary, length, knownLCWords): sbSize = beginUpto + endUpto + len(seenSet) - if knownLCWords is not None: + if knownLCWords is not None: sbSize += 1 - + sb = "" sb += beginChars if omitIfInBoundary: @@ -273,7 +281,7 @@ def wordShapeChris2Long (s, omitIfInBoundary, length, knownLCWords): if beginChars[i] == ch: insert = False break - + for i in range (0, endUpto): if endChars[i] == ch: insert = False @@ -295,9 +303,11 @@ def wordShapeChris2Long (s, omitIfInBoundary, length, knownLCWords): # else: # return wordShapeDan2(s, knownLCWords) + def containsGreekLetter (s): return re.search(biogreek, s) + def wordShapeChris1 (s): length = len(s) if length == 0: @@ -307,13 +317,13 @@ def wordShapeChris1 (s): number = True seenDigit = False seenNonDigit = False - + for i in range(0, length): ch = s[i] digit = ch.isdigit() if digit: seenDigit = True - else: + else: seenNonDigit = True digit = digit or ch == '.' or ch == ',' or (i == 0 and (ch == '-' or ch == '+')) if not digit: @@ -337,7 +347,7 @@ def wordShapeChris1 (s): seenLower = False seenUpper = False allCaps = True - allLower = True + allLower = True initCap = False dash = False period = False @@ -363,50 +373,50 @@ def wordShapeChris1 (s): elif (let): seenLower = True allCaps = False - + if i == 0 and (up or tit): initCap = True if length == 2 and initCap and period: - return "ACRONYM1" + return "ACRONYM1" elif seenUpper and allCaps and not seenDigit and period: - return "ACRONYM" + return "ACRONYM" elif seenDigit and dash and not seenUpper and not seenLower: - return "DIGIT-DASH" + return "DIGIT-DASH" elif initCap and seenLower and seenDigit and dash: - return "CAPITALIZED-DIGIT-DASH" + return "CAPITALIZED-DIGIT-DASH" elif initCap and seenLower and seenDigit: - return "CAPITALIZED-DIGIT" + return "CAPITALIZED-DIGIT" elif initCap and seenLower & dash: - return "CAPITALIZED-DASH" + return "CAPITALIZED-DASH" elif initCap and seenLower: - return "CAPITALIZED" + return "CAPITALIZED" elif seenUpper and allCaps and seenDigit and dash: - return "ALLCAPS-DIGIT-DASH" + return "ALLCAPS-DIGIT-DASH" elif seenUpper and allCaps and seenDigit: - return "ALLCAPS-DIGIT" + return "ALLCAPS-DIGIT" elif seenUpper and allCaps and dash: - return "ALLCAPS" + return "ALLCAPS" elif seenUpper and allCaps: - return "ALLCAPS" + return "ALLCAPS" elif seenLower and allLower and seenDigit and dash: - return "LOWERif wordShaper ==-DIGIT-DASH" + return "LOWERif wordShaper ==-DIGIT-DASH" elif seenLower and allLower and seenDigit: - return "LOWERif wordShaper ==-DIGIT" + return "LOWERif wordShaper ==-DIGIT" elif seenLower and allLower and dash: - return "LOWERif wordShaper ==-DASH" + return "LOWERif wordShaper ==-DASH" elif seenLower and allLower: - return "LOWERif wordShaper ==" + return "LOWERif wordShaper ==" elif seenLower and seenDigit: - return "MIXEDif wordShaper ==-DIGIT" + return "MIXEDif wordShaper ==-DIGIT" elif seenLower: - return "MIXEDif wordShaper ==" + return "MIXEDif wordShaper ==" elif seenDigit: - return "SYMBOL-DIGIT" + return "SYMBOL-DIGIT" else: - return "SYMBOL" - + return "SYMBOL" + # gets Chris1, Dan1, Jenny1, Chris2 and Dan2 word shapes def getWordShapes(word): - return [wordShapeChris1(word), wordShapeDan1(word), wordShapeJenny1(word), wordShapeChris2(word, False, None), wordShapeDan2(word, None)] \ No newline at end of file + return [wordShapeChris1(word), wordShapeDan1(word), wordShapeJenny1(word), wordShapeChris2(word, False, None), wordShapeDan2(word, None)] From 852e3543a9eb8d6174453a5b45323eadbad38b0d Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 7 Jan 2014 20:38:25 -0500 Subject: [PATCH 009/393] Fixed the tab/indentation issue. tested for 'i2b2' and 'plain' formats --- code/note.py | 116 +++++++++++++++++++++++++-------------------------- 1 file changed, 58 insertions(+), 58 deletions(-) diff --git a/code/note.py b/code/note.py index 75c773f..2c95fb2 100644 --- a/code/note.py +++ b/code/note.py @@ -7,8 +7,8 @@ class Note: # Constructor def __init__(self): - # data - A list of lines directly from the file - # concepts - A one-to-one correspondence of each word's concept + # data - A list of lines directly from the file + # concepts - A one-to-one correspondence of each word's concept self.data = [] self.concepts = [] @@ -21,35 +21,35 @@ def __init__(self): def read_i2b2(self, txt, con=None): # Read in the medical text - with open(txt) as f: - for line in f: - # Add sentence to the data list + with open(txt) as f: + for line in f: + # Add sentence to the data list self.data.append(line) - # For each word, store a corresponding concept label - tmp = [] - for word in line.split(): - tmp.append('none') - self.concepts.append(tmp) + # For each word, store a corresponding concept label + tmp = [] + for word in line.split(): + tmp.append('none') + self.concepts.append(tmp) # If an accompanying concept file was specified, read it - if con: - with open(con) as f: - for line in f: - c, t = line.split('||') - t = t[3:-2] - c = c.split() - start = c[-2].split(':') - end = c[-1].split(':') - assert "concept spans one line", start[0] == end[0] - l = int(start[0]) - 1 - start = int(start[1]) - end = int(end[1]) + if con: + with open(con) as f: + for line in f: + c, t = line.split('||') + t = t[3:-2] + c = c.split() + start = c[-2].split(':') + end = c[-1].split(':') + assert "concept spans one line", start[0] == end[0] + l = int(start[0]) - 1 + start = int(start[1]) + end = int(end[1]) - for i in range(start, end + 1): - self.concepts[l][i] = t + for i in range( len(self.concepts[l]) ): + self.concepts[l][i] = t @@ -61,14 +61,14 @@ def read_i2b2(self, txt, con=None): # Write the concept predictions to a given file in i2b2 format def write_i2b2(self, con, labels): - with open(con, 'w') as f: - for i, tmp in enumerate(zip(self.txtlist(), labels)): - datum, label = tmp - for j, tmp in enumerate(zip(datum, label)): - datum, label = tmp - if label != 'none': - idx = "%d:%d" % (i + 1, j) - print >>f, "c=\"%s\" %s %s||t=\"%s\"" % (datum, idx, idx, label) + with open(con, 'w') as f: + for i, tmp in enumerate(zip(self.txtlist(), labels)): + datum, label = tmp + for j, tmp in enumerate(zip(datum, label)): + datum, label = tmp + if label != 'none': + idx = "%d:%d" % (i + 1, j) + print >>f, "c=\"%s\" %s %s||t=\"%s\"" % (datum, idx, idx, label) @@ -79,42 +79,42 @@ def write_i2b2(self, con, labels): def read_plain(self, txt, con=None): # Read in the medical text - with open(txt) as f: + with open(txt) as f: for line in f: - # Add sentence to the data list - self.data.append(line) + # Add sentence to the data list + self.data.append(line) - # For each word, store a corresponding concept label - tmp = [] - for word in line.split(): - tmp.append('none') - self.concepts.append(tmp) + # For each word, store a corresponding concept label + tmp = [] + for word in line.split(): + tmp.append('none') + self.concepts.append(tmp) # If an accompanying concept file was specified, read it - if con: - with open(con) as f: - for line in f: - c, t = line.split('||') - t = t[3:-2] - c = c.split() + if con: + with open(con) as f: + for line in f: + c, t = line.split('||') + t = t[3:-2] + c = c.split() - start = c[-2].split(':') - end = c[-1].split(':') + start = c[-2].split(':') + end = c[-1].split(':') - assert "concept spans one line", start[0] == end[0] - l = int(start[0]) - 1 - start = int(start[1]) - end = int(end[1]) + assert "concept spans one line", start[0] == end[0] + l = int(start[0]) - 1 + start = int(start[1]) + end = int(end[1]) # Tokenize the input intervals stok = len(self.data[l][:start].split()) etok = len(self.data[l][start:end+1].split()) + stok - 1 # Update the corresponding concept labels - for i in range(stok, etok + 1): - self.concepts[l][i] = t + for i in range(stok, etok + 1): + self.concepts[l][i] = t @@ -179,7 +179,7 @@ def read_xml(self, txt): tmp = [] for i, group in enumerate(line.split('<')): # All odd groups have label info (because of line split) - # ex. 'treatment>discharge medications' + # ex. 'treatment>discharge medications' if (i%2): # Get concept label match = re.search('(\w+)>(.+)', group) @@ -196,7 +196,7 @@ def read_xml(self, txt): # If even group , then process with 'none' labels else: for word in group.split(): - # / closes the xml tag of a previous label (skip) + # / closes the xml tag of a previous label (skip) if word[0] == '/': continue else: @@ -236,10 +236,10 @@ def txtlist( self ): # # @return a list of lists of the concepts associated with each word from data def conlist( self ): - return self.concepts + return self.concepts # For iterating def __iter__(self): - return iter(self.data) + return iter(self.data) From 71920ddfa00bd0ecf5a9427416c81f8100fbd117 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 8 Jan 2014 01:05:59 -0500 Subject: [PATCH 010/393] Fixed tab/indentation issues for files. --- code/evaluate.py | 182 ++++++------- code/model.py | 692 +++++++++++++++++++++++------------------------ code/note.py | 2 +- code/predict.py | 85 +++--- code/train.py | 93 +++---- 5 files changed, 527 insertions(+), 527 deletions(-) diff --git a/code/evaluate.py b/code/evaluate.py index 3a1cd3c..4c3e3a6 100644 --- a/code/evaluate.py +++ b/code/evaluate.py @@ -13,38 +13,38 @@ def main(): parser = argparse.ArgumentParser() parser.add_argument("-t", - help = "Test files that were used to generate predictions", - dest = "txt", - default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/test_data/*') + help = "Test files that were used to generate predictions", + dest = "txt", + default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/test_data/*') ) parser.add_argument("-c", - help = "The directory that contains predicted concept files organized into subdirectories for svm, lin, srf", - dest = "con", - default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/test_predictions/') + help = "The directory that contains predicted concept files organized into subdirectories for svm, lin, srf", + dest = "con", + default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/test_predictions/') ) parser.add_argument("-r", - help = "The directory that contains reference gold standard concept files", - dest = "ref", - default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/reference_standard_for_test_data/concepts/') + help = "The directory that contains reference gold standard concept files", + dest = "ref", + default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/reference_standard_for_test_data/concepts/') ) - + parser.add_argument("-o", - help = "Write the evaluation to a file rather than STDOUT", - dest = "output", - default = None + help = "Write the evaluation to a file rather than STDOUT", + dest = "output", + default = None ) # Parse command line arguments args = parser.parse_args() - + # Is output destination specified if args.output: - args.output = open(args.output, "w") + args.output = open(args.output, "w") else: - args.output = sys.stdout + args.output = sys.stdout txt_files = glob.glob(args.txt) @@ -57,31 +57,31 @@ def main(): con_directories = os.listdir(args.con) for con_directory in con_directories: - files = [] - directory_name = os.path.basename(con_directory) + files = [] + directory_name = os.path.basename(con_directory) - if directory_name not in ["svm", "crf", "lin"]: - continue + if directory_name not in ["svm", "crf", "lin"]: + continue - con_files = os.listdir(os.path.join(args.con, con_directory)) - con_files = map(lambda f: os.path.join(args.con, con_directory, f), con_files) - - con_files_map = helper.map_files(con_files) + con_files = os.listdir(os.path.join(args.con, con_directory)) + con_files = map(lambda f: os.path.join(args.con, con_directory, f), con_files) + + con_files_map = helper.map_files(con_files) - for k in txt_files_map: - if k in con_files_map and k in ref_files_map: - files.append((txt_files_map[k], con_files_map[k], ref_files_map[k])) + for k in txt_files_map: + if k in con_files_map and k in ref_files_map: + files.append((txt_files_map[k], con_files_map[k], ref_files_map[k])) - # Compute the confusion matrix - labels = Model.labels # hash tabble: label -> index - confusion = [[0] * len(labels) for e in labels] + # Compute the confusion matrix + labels = Model.labels # hash tabble: label -> index + confusion = [[0] * len(labels) for e in labels] # txt <- medical text # con <- model predictions # ref <- actual labels - for txt, con, ref in files: + for txt, con, ref in files: # A note that represents the model's predictions cnote = Note() @@ -94,65 +94,65 @@ def main(): #rnote.read_plain(txt, ref ) # in case in plain format # Get corresponding concept labels (prediction vs. actual) - for c, r in zip( cnote.conlist(), rnote.conlist() ): - for c, r in zip(c, r): - confusion[labels[r]][labels[c]] += 1 - - - - # Display the confusion matrix - print >>args.output, "" - print >>args.output, "" - print >>args.output, "" - print >>args.output, "================" - print >>args.output, directory_name.upper() + " RESULTS" - print >>args.output, "================" - print >>args.output, "" - print >>args.output, "Confusion Matrix" - pad = max(len(l) for l in labels) + 6 - print >>args.output, "%s %s" % (' ' * pad, "\t".join(Model.labels.keys())) - for act, act_v in labels.items(): - print >>args.output, "%s %s" % (act.rjust(pad), "\t".join([str(confusion[act_v][pre_v]) for pre, pre_v in labels.items()])) - print >>args.output, "" - - - - # Compute the analysis stuff - precision = [] - recall = [] - specificity = [] - f1 = [] - - tp = 0 - fp = 0 - fn = 0 - tn = 0 - - print >>args.output, "Analysis" - print >>args.output, " " * pad, "Precision\tRecall\tF1" - - - - for lab, lab_v in labels.items(): - tp = confusion[lab_v][lab_v] - fp = sum(confusion[v][lab_v] for k, v in labels.items() if v != lab_v) - fn = sum(confusion[lab_v][v] for k, v in labels.items() if v != lab_v) - tn = sum(confusion[v1][v2] for k1, v1 in labels.items() - for k2, v2 in labels.items() if v1 != lab_v and v2 != lab_v) - precision += [float(tp) / (tp + fp + 1e-100)] - recall += [float(tp) / (tp + fn + 1e-100)] - specificity += [float(tn) / (tn + fp + 1e-100)] - f1 += [float(2 * tp) / (2 * tp + fp + fn + 1e-100)] - print >>args.output, "%s %.4f\t%.4f\t%.4f\t%.4f" % (lab.rjust(pad), precision[-1], recall[-1], specificity[-1], f1[-1]) - - print >>args.output, "--------" - - precision = sum(precision) / len(precision) - recall = sum(recall) / len(recall) - specificity = sum(specificity) / len(specificity) - f1 = sum(f1) / len(f1) - - print >>args.output, "Average: %.4f\t%.4f\t%.4f\t%.4f" % (precision, recall, specificity, f1) - + for c, r in zip( cnote.conlist(), rnote.conlist() ): + for c, r in zip(c, r): + confusion[labels[r]][labels[c]] += 1 + + + + # Display the confusion matrix + print >>args.output, "" + print >>args.output, "" + print >>args.output, "" + print >>args.output, "================" + print >>args.output, directory_name.upper() + " RESULTS" + print >>args.output, "================" + print >>args.output, "" + print >>args.output, "Confusion Matrix" + pad = max(len(l) for l in labels) + 6 + print >>args.output, "%s %s" % (' ' * pad, "\t".join(Model.labels.keys())) + for act, act_v in labels.items(): + print >>args.output, "%s %s" % (act.rjust(pad), "\t".join([str(confusion[act_v][pre_v]) for pre, pre_v in labels.items()])) + print >>args.output, "" + + + + # Compute the analysis stuff + precision = [] + recall = [] + specificity = [] + f1 = [] + + tp = 0 + fp = 0 + fn = 0 + tn = 0 + + print >>args.output, "Analysis" + print >>args.output, " " * pad, "Precision\tRecall\tF1" + + + + for lab, lab_v in labels.items(): + tp = confusion[lab_v][lab_v] + fp = sum(confusion[v][lab_v] for k, v in labels.items() if v != lab_v) + fn = sum(confusion[lab_v][v] for k, v in labels.items() if v != lab_v) + tn = sum(confusion[v1][v2] for k1, v1 in labels.items() + for k2, v2 in labels.items() if v1 != lab_v and v2 != lab_v) + precision += [float(tp) / (tp + fp + 1e-100)] + recall += [float(tp) / (tp + fn + 1e-100)] + specificity += [float(tn) / (tn + fp + 1e-100)] + f1 += [float(2 * tp) / (2 * tp + fp + fn + 1e-100)] + print >>args.output, "%s %.4f\t%.4f\t%.4f\t%.4f" % (lab.rjust(pad), precision[-1], recall[-1], specificity[-1], f1[-1]) + + print >>args.output, "--------" + + precision = sum(precision) / len(precision) + recall = sum(recall) / len(recall) + specificity = sum(specificity) / len(specificity) + f1 = sum(f1) / len(f1) + + print >>args.output, "Average: %.4f\t%.4f\t%.4f\t%.4f" % (precision, recall, specificity, f1) + if __name__ == '__main__': main() diff --git a/code/model.py b/code/model.py index 002b162..c04f43b 100644 --- a/code/model.py +++ b/code/model.py @@ -19,358 +19,358 @@ import libml class Model: - sentence_features = ImmutableSet(["pos", "stem_wordnet", "test_result", "prev", "next"]) - word_features = ImmutableSet(["word", "length", "mitre", "stem_porter", "stem_lancaster", "word_shape"]) - # THESE ARE FEATURES I TRIED THAT DON'T LOOK THAT PROMISING - # I have some faith in "metric_unit" and "has_problem_form" - # "radial_loc" may be too rare and "def_class" could be over fitting - # "metric_unit", "radial_loc", "has_problem_form", "def_class" - - labels = { - "none":0, - "treatment":1, - "problem":2, - "test":3 - } - reverse_labels = {v:k for k, v in labels.items()} - - @staticmethod - def load(filename='awesome.model'): - with open(filename) as model: - model = pickle.load(model) - model.filename = filename - return model - - # Constructor - def __init__(self, filename='awesome.model', type=libml.ALL): - model_directory = os.path.dirname(filename) - - if model_directory != "": - helper.mkpath(model_directory) - - self.filename = os.path.realpath(filename) - self.type = type - self.vocab = {} - - self.enabled_features = Model.sentence_features | Model.word_features - + sentence_features = ImmutableSet(["pos", "stem_wordnet", "test_result", "prev", "next"]) + word_features = ImmutableSet(["word", "length", "mitre", "stem_porter", "stem_lancaster", "word_shape"]) + # THESE ARE FEATURES I TRIED THAT DON'T LOOK THAT PROMISING + # I have some faith in "metric_unit" and "has_problem_form" + # "radial_loc" may be too rare and "def_class" could be over fitting + # "metric_unit", "radial_loc", "has_problem_form", "def_class" + + labels = { + "none":0, + "treatment":1, + "problem":2, + "test":3 + } + reverse_labels = {v:k for k, v in labels.items()} + + @staticmethod + def load(filename='awesome.model'): + with open(filename) as model: + model = pickle.load(model) + model.filename = filename + return model + + # Constructor + def __init__(self, filename='awesome.model', type=libml.ALL): + model_directory = os.path.dirname(filename) + + if model_directory != "": + helper.mkpath(model_directory) + + self.filename = os.path.realpath(filename) + self.type = type + self.vocab = {} - # Model::train() - # - # @param note. A Note object that has data for training the model - def train(self, note): + self.enabled_features = Model.sentence_features | Model.word_features + + + # Model::train() + # + # @param note. A Note object that has data for training the model + def train(self, note): - # Get the data and annotations from the Note object + # Get the data and annotations from the Note object - # data - A list of list of the medical text's words - # labels - A list of list of concepts (1:1 with data) - data = note.txtlist() - labels = note.conlist() + # data - A list of list of the medical text's words + # labels - A list of list of concepts (1:1 with data) + data = note.txtlist() + labels = note.conlist() - # rows is a list of a list of hash tables - rows = [] - for sentence in data: - rows.append(self.features_for_sentence(sentence)) + # rows is a list of a list of hash tables + rows = [] + for sentence in data: + rows.append(self.features_for_sentence(sentence)) - # each list of hash tables - for row in rows: - # each hash table - for features in row: - # each key in hash table - for feature in features: - # I think new word encountered - if feature not in self.vocab: - self.vocab[feature] = len(self.vocab) + 1 - - # A list of a list encodings of concept labels (ex. 'none' => 0) - # [ [0, 0, 0], [0], [0, 0, 0], [0], [0, 0, 0, 0, 0, 2, 2, 0, 1] ] - label_lu = lambda l: Model.labels[l] - labels = [map(label_lu, x) for x in labels] - - - # list of a list of hash tables (all keys & values now numbers) - feat_lu = lambda f: {self.vocab[item]:f[item] for item in f} - rows = [map(feat_lu, x) for x in rows] - - - libml.write_features(self.filename, rows, labels, self.type) - - with open(self.filename, "w") as model: - pickle.dump(self, model) - - # Train the model - libml.train(self.filename, self.type) - - - - # Model::predict() - # - # @param note. A Note object that contains the training data - def predict(self, note): - - # data - A list of list of the medical text's words - data = note.txtlist() + # each list of hash tables + for row in rows: + # each hash table + for features in row: + # each key in hash table + for feature in features: + # I think new word encountered + if feature not in self.vocab: + self.vocab[feature] = len(self.vocab) + 1 + + # A list of a list encodings of concept labels (ex. 'none' => 0) + # [ [0, 0, 0], [0], [0, 0, 0], [0], [0, 0, 0, 0, 0, 2, 2, 0, 1] ] + label_lu = lambda l: Model.labels[l] + labels = [map(label_lu, x) for x in labels] + + + # list of a list of hash tables (all keys & values now numbers) + feat_lu = lambda f: {self.vocab[item]:f[item] for item in f} + rows = [map(feat_lu, x) for x in rows] + + + libml.write_features(self.filename, rows, labels, self.type) + + with open(self.filename, "w") as model: + pickle.dump(self, model) + + # Train the model + libml.train(self.filename, self.type) + + + + # Model::predict() + # + # @param note. A Note object that contains the training data + def predict(self, note): + + # data - A list of list of the medical text's words + data = note.txtlist() - # Something to do with calibrating the model - rows = [] # rows <- list of a list of hash tables (feature vectors) - for sentence in data: - rows.append(self.features_for_sentence(sentence)) - - - feat_lu = lambda f: {self.vocab[item]:f[item] for item in f if item in self.vocab} - rows = [map(feat_lu, x) for x in rows] - libml.write_features(self.filename, rows, None, self.type); - - # Use the trained model to make predictions - libml.predict(self.filename, self.type) - - - # A hash table - # the keys are 1,2,4 (SVM, LIN, and CRF) - # each value is a list of concept labels encodings - labels_list = libml.read_labels(self.filename, self.type) - - - # translate labels_list into a readable format - # ex. change all occurences of 0 -> 'none' - for t, labels in labels_list.items(): - tmp = [] - for sentence in data: - tmp.append([labels.pop(0) for i in range(len(sentence))]) - tmp[-1] = map(lambda l: l.strip(), tmp[-1]) - tmp[-1] = map(lambda l: Model.reverse_labels[int(l)],tmp[-1]) - labels_list[t] = tmp - - - # The new labels_list is a translated version - return labels_list - - - - - # input: A sentence from a medical text file (list of words) - # output: A list of hash tables - def features_for_sentence(self, sentence): - features_list = [] - - for word in sentence: - features_list.append(self.features_for_word(word)) - - tags = None - for feature in Model.sentence_features: - if feature not in self.enabled_features: - continue - - if feature == "pos": - tags = tags or nltk.pos_tag(sentence) - for i, features in enumerate(features_list): - tag = tags[i][1] - features[(feature, tag)] = 1 - - if feature == "stem_wordnet": - tags = tags or nltk.pos_tag(sentence) - morphy_tags = { - 'NN':nltk.corpus.reader.wordnet.NOUN, - 'JJ':nltk.corpus.reader.wordnet.ADJ, - 'VB':nltk.corpus.reader.wordnet.VERB, - 'RB':nltk.corpus.reader.wordnet.ADV} - morphy_tags = [(w, morphy_tags.setdefault(t[:2], nltk.corpus.reader.wordnet.NOUN)) for w,t in tags] - st = nltk.stem.WordNetLemmatizer() - for i, features in enumerate(features_list): - tag = morphy_tags[i] - features[(feature, st.lemmatize(*tag))] = 1 - - if feature == "test_result": - for index, features in enumerate(features_list): - right = " ".join([w for w in sentence[index:]]) - if self.is_test_result(right): - features[(feature, None)] = 1 - - - ngram_features = [{} for i in range(len(features_list))] - if "prev" in self.enabled_features: - prev = lambda f: {("prev_"+k[0], k[1]): v for k,v in f.items()} - prev_list = map(prev, features_list) - for i in range(len(features_list)): - if i == 0: - ngram_features[i][("prev", "*")] = 1 - else: - ngram_features[i].update(prev_list[i-1]) - - if "next" in self.enabled_features: - next = lambda f: {("next_"+k[0], k[1]): v for k,v in f.items()} - next_list = map(next, features_list) - for i in range(len(features_list)): - if i == len(features_list) - 1: - ngram_features[i][("next", "*")] = 1 - else: - ngram_features[i].update(next_list[i+1]) - - merged = lambda d1, d2: dict(d1.items() + d2.items()) - features_list = [merged(features_list[i], ngram_features[i]) - for i in range(len(features_list))] - - return features_list - - - - # input: a single word, like - # Admission - # output: A hash table of features - # features include: word, length, mitre, stem_porter - def features_for_word(self, word): - features = {'dummy':1} # always have >0 dimensions - - # word_shape, word, length, mitre, stem_porter, stem_lancaster - for feature in Model.word_features: - - # word_shape, test_result, word, pos, next, length, stem_wordnet, mitre, stem_porter, prev, stem_lancaster - if feature not in self.enabled_features: - continue - - if feature == "word": - features[(feature, word)] = 1 - - if feature == "length": - features[(feature, None)] = len(word) - - if feature == "mitre": - for f in Model.mitre_features: - if re.search(Model.mitre_features[f], word): - features[(feature, f)] = 1 - - if feature == "stem_porter": - st = nltk.stem.PorterStemmer() - features[(feature, st.stem(word))] = 1 - - if feature == "stem_lancaster": - st = nltk.stem.LancasterStemmer() - features[(feature, st.stem(word))] = 1 - - if feature == "stem_snowball": - st = nltk.stem.SnowballStemmer("english") - #features[(feature, st.stem(word))] = 1 + # Something to do with calibrating the model + rows = [] # rows <- list of a list of hash tables (feature vectors) + for sentence in data: + rows.append(self.features_for_sentence(sentence)) + + + feat_lu = lambda f: {self.vocab[item]:f[item] for item in f if item in self.vocab} + rows = [map(feat_lu, x) for x in rows] + libml.write_features(self.filename, rows, None, self.type); + + # Use the trained model to make predictions + libml.predict(self.filename, self.type) + + + # A hash table + # the keys are 1,2,4 (SVM, LIN, and CRF) + # each value is a list of concept labels encodings + labels_list = libml.read_labels(self.filename, self.type) + + + # translate labels_list into a readable format + # ex. change all occurences of 0 -> 'none' + for t, labels in labels_list.items(): + tmp = [] + for sentence in data: + tmp.append([labels.pop(0) for i in range(len(sentence))]) + tmp[-1] = map(lambda l: l.strip(), tmp[-1]) + tmp[-1] = map(lambda l: Model.reverse_labels[int(l)],tmp[-1]) + labels_list[t] = tmp + + + # The new labels_list is a translated version + return labels_list + + + + + # input: A sentence from a medical text file (list of words) + # output: A list of hash tables + def features_for_sentence(self, sentence): + features_list = [] + + for word in sentence: + features_list.append(self.features_for_word(word)) + + tags = None + for feature in Model.sentence_features: + if feature not in self.enabled_features: + continue + + if feature == "pos": + tags = tags or nltk.pos_tag(sentence) + for i, features in enumerate(features_list): + tag = tags[i][1] + features[(feature, tag)] = 1 + + if feature == "stem_wordnet": + tags = tags or nltk.pos_tag(sentence) + morphy_tags = { + 'NN':nltk.corpus.reader.wordnet.NOUN, + 'JJ':nltk.corpus.reader.wordnet.ADJ, + 'VB':nltk.corpus.reader.wordnet.VERB, + 'RB':nltk.corpus.reader.wordnet.ADV} + morphy_tags = [(w, morphy_tags.setdefault(t[:2], nltk.corpus.reader.wordnet.NOUN)) for w,t in tags] + st = nltk.stem.WordNetLemmatizer() + for i, features in enumerate(features_list): + tag = morphy_tags[i] + features[(feature, st.lemmatize(*tag))] = 1 + + if feature == "test_result": + for index, features in enumerate(features_list): + right = " ".join([w for w in sentence[index:]]) + if self.is_test_result(right): + features[(feature, None)] = 1 + + + ngram_features = [{} for i in range(len(features_list))] + if "prev" in self.enabled_features: + prev = lambda f: {("prev_"+k[0], k[1]): v for k,v in f.items()} + prev_list = map(prev, features_list) + for i in range(len(features_list)): + if i == 0: + ngram_features[i][("prev", "*")] = 1 + else: + ngram_features[i].update(prev_list[i-1]) - if feature == "word_shape": - wordShapes = getWordShapes(word) - for i, shape in enumerate(wordShapes): - features[(feature + str(i), shape)] = 1 - - if feature == "metric_unit": - unit = 0 - if self.is_weight(word): - unit = 1 - elif self.is_size(word): - unit = 2 - features[(feature, None)] = unit - - # look for prognosis locaiton - #if feature == "radial_loc": - # THIS MIGHT BE BUGGED - # if self.is_prognosis_location(word): - # features[(feature, None)] = 1 - - if feature == "has_problem_form": - if self.has_problem_form(word): - features[(feature, None)] = 1 - - if feature == "def_class": - features[(feature, None)] = self.get_def_class(word) - - return features - - mitre_features = { - "INITCAP" : r"^[A-Z].*$", - "ALLCAPS" : r"^[A-Z]+$", - "CAPSMIX" : r"^[A-Za-z]+$", - "HASDIGIT" : r"^.*[0-9].*$", - "SINGLEDIGIT" : r"^[0-9]$", - "DOUBLEDIGIT" : r"^[0-9][0-9]$", - "FOURDIGITS" : r"^[0-9][0-9][0-9][0-9]$", - "NATURALNUM" : r"^[0-9]+$", - "REALNUM" : r"^[0-9]+.[0-9]+$", - "ALPHANUM" : r"^[0-9A-Za-z]+$", - "HASDASH" : r"^.*-.*$", - "PUNCTUATION" : r"^[^A-Za-z0-9]+$", - "PHONE1" : r"^[0-9][0-9][0-9]-[0-9][0-9][0-9][0-9]$", - "PHONE2" : r"^[0-9][0-9][0-9]-[0-9][0-9][0-9]-[0-9][0-9][0-9][0-9]$", - "FIVEDIGIT" : r"^[0-9][0-9][0-9][0-9][0-9]", - "NOVOWELS" : r"^[^AaEeIiOoUu]+$", - "HASDASHNUMALPHA" : r"^.*[A-z].*-.*[0-9].*$ | *.[0-9].*-.*[0-9].*$", - "DATESEPERATOR" : r"^[-/]$", - } - - def is_test_result (self, context): - # note: make spaces optional? - regex = r"^[A-Za-z]+( )*(-|--|:|was|of|\*|>|<|more than|less than)( )*[0-9]+(%)*" - if not re.search(regex, context): - return re.search(r"^[A-Za-z]+ was (positive|negative)", context) - return True - - def is_weight (self, word): - regex = r"^[0-9]*(mg|g|milligrams|grams)$" - return re.search(regex, word) - - def is_size (self, word): - regex = r"^[0-9]*(mm|cm|millimeters|centimeters)$" - return re.search(regex, word) - - def is_prognosis_location (self, word): - regex = r"^(c|C)[0-9]+(-(c|C)[0-9]+)*$" - return re.search(regex, word) - - def has_problem_form (self, word): - regex = r".*(ic|is)$" - return re.search(regex, word) - - # checks for a definitive classification at the word level - def get_def_class (self, word): - test_terms = { - "eval", "evaluation", "evaluations", - "sat", "sats", "saturation", - "exam", "exams", - "rate", "rates", - "test", "tests", - "xray", "xrays", - "screen", "screens", - "level", "levels", - "tox" - } - problem_terms = { - "swelling", - "wound", "wounds", - "symptom", "symptoms", - "shifts", "failure", - "insufficiency", "insufficiencies", - "mass", "masses", - "aneurysm", "aneurysms", - "ulcer", "ulcers", - "trama", "cancer", - "disease", "diseased", - "bacterial", "viral", - "syndrome", "syndromes", - "pain", "pains" - "burns", "burned", - "broken", "fractured" - } - treatment_terms = { - "therapy", - "replacement", - "anesthesia", - "supplement", "supplemental", - "vaccine", "vaccines" - "dose", "doses", - "shot", "shots", - "medication", "medicine", - "treament", "treatments" - } - if word.lower() in test_terms: - return 1 - elif word.lower() in problem_terms: - return 2 - elif word.lower() in treatment_terms: - return 3 - return 0 - + if "next" in self.enabled_features: + next = lambda f: {("next_"+k[0], k[1]): v for k,v in f.items()} + next_list = map(next, features_list) + for i in range(len(features_list)): + if i == len(features_list) - 1: + ngram_features[i][("next", "*")] = 1 + else: + ngram_features[i].update(next_list[i+1]) + + merged = lambda d1, d2: dict(d1.items() + d2.items()) + features_list = [merged(features_list[i], ngram_features[i]) + for i in range(len(features_list))] + + return features_list + + + + # input: a single word, like + # Admission + # output: A hash table of features + # features include: word, length, mitre, stem_porter + def features_for_word(self, word): + features = {'dummy':1} # always have >0 dimensions + + # word_shape, word, length, mitre, stem_porter, stem_lancaster + for feature in Model.word_features: + + # word_shape, test_result, word, pos, next, length, stem_wordnet, mitre, stem_porter, prev, stem_lancaster + if feature not in self.enabled_features: + continue + + if feature == "word": + features[(feature, word)] = 1 + + if feature == "length": + features[(feature, None)] = len(word) + + if feature == "mitre": + for f in Model.mitre_features: + if re.search(Model.mitre_features[f], word): + features[(feature, f)] = 1 + + if feature == "stem_porter": + st = nltk.stem.PorterStemmer() + features[(feature, st.stem(word))] = 1 + + if feature == "stem_lancaster": + st = nltk.stem.LancasterStemmer() + features[(feature, st.stem(word))] = 1 + + if feature == "stem_snowball": + st = nltk.stem.SnowballStemmer("english") + #features[(feature, st.stem(word))] = 1 + + if feature == "word_shape": + wordShapes = getWordShapes(word) + for i, shape in enumerate(wordShapes): + features[(feature + str(i), shape)] = 1 + + if feature == "metric_unit": + unit = 0 + if self.is_weight(word): + unit = 1 + elif self.is_size(word): + unit = 2 + features[(feature, None)] = unit + + # look for prognosis locaiton + #if feature == "radial_loc": + # THIS MIGHT BE BUGGED + # if self.is_prognosis_location(word): + # features[(feature, None)] = 1 + + if feature == "has_problem_form": + if self.has_problem_form(word): + features[(feature, None)] = 1 + + if feature == "def_class": + features[(feature, None)] = self.get_def_class(word) + + return features + + mitre_features = { + "INITCAP" : r"^[A-Z].*$", + "ALLCAPS" : r"^[A-Z]+$", + "CAPSMIX" : r"^[A-Za-z]+$", + "HASDIGIT" : r"^.*[0-9].*$", + "SINGLEDIGIT" : r"^[0-9]$", + "DOUBLEDIGIT" : r"^[0-9][0-9]$", + "FOURDIGITS" : r"^[0-9][0-9][0-9][0-9]$", + "NATURALNUM" : r"^[0-9]+$", + "REALNUM" : r"^[0-9]+.[0-9]+$", + "ALPHANUM" : r"^[0-9A-Za-z]+$", + "HASDASH" : r"^.*-.*$", + "PUNCTUATION" : r"^[^A-Za-z0-9]+$", + "PHONE1" : r"^[0-9][0-9][0-9]-[0-9][0-9][0-9][0-9]$", + "PHONE2" : r"^[0-9][0-9][0-9]-[0-9][0-9][0-9]-[0-9][0-9][0-9][0-9]$", + "FIVEDIGIT" : r"^[0-9][0-9][0-9][0-9][0-9]", + "NOVOWELS" : r"^[^AaEeIiOoUu]+$", + "HASDASHNUMALPHA" : r"^.*[A-z].*-.*[0-9].*$ | *.[0-9].*-.*[0-9].*$", + "DATESEPERATOR" : r"^[-/]$", + } + + def is_test_result (self, context): + # note: make spaces optional? + regex = r"^[A-Za-z]+( )*(-|--|:|was|of|\*|>|<|more than|less than)( )*[0-9]+(%)*" + if not re.search(regex, context): + return re.search(r"^[A-Za-z]+ was (positive|negative)", context) + return True + + def is_weight (self, word): + regex = r"^[0-9]*(mg|g|milligrams|grams)$" + return re.search(regex, word) + + def is_size (self, word): + regex = r"^[0-9]*(mm|cm|millimeters|centimeters)$" + return re.search(regex, word) + + def is_prognosis_location (self, word): + regex = r"^(c|C)[0-9]+(-(c|C)[0-9]+)*$" + return re.search(regex, word) + + def has_problem_form (self, word): + regex = r".*(ic|is)$" + return re.search(regex, word) + + # checks for a definitive classification at the word level + def get_def_class (self, word): + test_terms = { + "eval", "evaluation", "evaluations", + "sat", "sats", "saturation", + "exam", "exams", + "rate", "rates", + "test", "tests", + "xray", "xrays", + "screen", "screens", + "level", "levels", + "tox" + } + problem_terms = { + "swelling", + "wound", "wounds", + "symptom", "symptoms", + "shifts", "failure", + "insufficiency", "insufficiencies", + "mass", "masses", + "aneurysm", "aneurysms", + "ulcer", "ulcers", + "trama", "cancer", + "disease", "diseased", + "bacterial", "viral", + "syndrome", "syndromes", + "pain", "pains" + "burns", "burned", + "broken", "fractured" + } + treatment_terms = { + "therapy", + "replacement", + "anesthesia", + "supplement", "supplemental", + "vaccine", "vaccines" + "dose", "doses", + "shot", "shots", + "medication", "medicine", + "treament", "treatments" + } + if word.lower() in test_terms: + return 1 + elif word.lower() in problem_terms: + return 2 + elif word.lower() in treatment_terms: + return 3 + return 0 + diff --git a/code/note.py b/code/note.py index 2c95fb2..0d404b0 100644 --- a/code/note.py +++ b/code/note.py @@ -48,7 +48,7 @@ def read_i2b2(self, txt, con=None): start = int(start[1]) end = int(end[1]) - for i in range( len(self.concepts[l]) ): + for i in range( start, end+1 ): self.concepts[l][i] = t diff --git a/code/predict.py b/code/predict.py index 83f92bb..89f9b3a 100644 --- a/code/predict.py +++ b/code/predict.py @@ -12,41 +12,41 @@ def main(): parser = argparse.ArgumentParser() parser.add_argument("-i", - dest = "input", - help = "The input files to predict", - default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/test_data/*') + dest = "input", + help = "The input files to predict", + default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/test_data/*') ) parser.add_argument("-o", - dest = "output", - help = "The directory to write the output", - default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/test_predictions') + dest = "output", + help = "The directory to write the output", + default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/test_predictions') ) parser.add_argument("-m", - dest = "model", - help = "The model to use for prediction", - default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../models/run_models/run.model') + dest = "model", + help = "The model to use for prediction", + default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../models/run_models/run.model') ) - + parser.add_argument("--no-svm", - dest = "no_svm", - action = "store_true", - help = "Disable SVM model generation", + dest = "no_svm", + action = "store_true", + help = "Disable SVM model generation", ) parser.add_argument("--no-lin", - dest = "no_lin", - action = "store_true", - help = "Disable LIN model generation", + dest = "no_lin", + action = "store_true", + help = "Disable LIN model generation", ) parser.add_argument("--no-crf", - dest = "no_crf", - action = "store_true", - help = "Disable CRF model generation", + dest = "no_crf", + action = "store_true", + help = "Disable CRF model generation", ) - + args = parser.parse_args() # Locate the test files @@ -59,45 +59,44 @@ def main(): # Determine what type of models to use (ex SVM vs. CRF) model = Model.load(args.model) if args.no_svm: - model.type &= ~libml.SVM + model.type &= ~libml.SVM if args.no_lin: - model.type &= ~libml.LIN + model.type &= ~libml.LIN if args.no_crf: - model.type &= ~libml.CRF - + model.type &= ~libml.CRF + for txt in files: - # Read the data into a Note object + # Read the data into a Note object note = Note() note.read_i2b2(txt) - #note.read_plain(txt) # TEMP - in case of plain format # Use the model to predict the concept labels - labels = model.predict(note) + labels = model.predict(note) # labels (above) is a hash table # the keys are 1,2,4 (SVM, LIN, and CRF) # each value is a list of concept labels, like from the Note class - con = os.path.split(txt)[-1] - con = con[:-3] + 'con' - - for t in libml.bits(model.type): - if t == libml.SVM: - helper.mkpath(os.path.join(args.output, "svm")) - con_path = os.path.join(path, "svm", con) - if t == libml.LIN: - helper.mkpath(os.path.join(args.output, "lin")) - con_path = os.path.join(path, "lin", con) - if t == libml.CRF: - helper.mkpath(os.path.join(args.output, "crf")) - con_path = os.path.join(path, "crf", con) - + con = os.path.split(txt)[-1] + con = con[:-3] + 'con' + + for t in libml.bits(model.type): + if t == libml.SVM: + helper.mkpath(os.path.join(args.output, "svm")) + con_path = os.path.join(path, "svm", con) + if t == libml.LIN: + helper.mkpath(os.path.join(args.output, "lin")) + con_path = os.path.join(path, "lin", con) + if t == libml.CRF: + helper.mkpath(os.path.join(args.output, "crf")) + con_path = os.path.join(path, "crf", con) + # Output the concept predictions - note.write_i2b2(con_path, labels[t]) - #note.write_plain(con_path, labels[t]) # in case of plain format + note.write_i2b2(con_path, labels[t]) + #note.write_plain(con_path, labels[t]) # in case of plain format if __name__ == '__main__': diff --git a/code/train.py b/code/train.py index aee4d07..42697b7 100644 --- a/code/train.py +++ b/code/train.py @@ -14,56 +14,56 @@ def main(): parser = argparse.ArgumentParser() parser.add_argument("-t", - dest = "txt", - help = "The files that contain the training examples", - #default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/concept_assertion_relation_training_data/merged/txt/*') - default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/concept_assertion_relation_training_data/beth/txt/record-33.txt') + dest = "txt", + help = "The files that contain the training examples", + #default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/concept_assertion_relation_training_data/merged/txt/*') + default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/concept_assertion_relation_training_data/beth/txt/record-33.txt') ) - + parser.add_argument("-c", - dest = "con", - help = "The files that contain the labels for the training examples", - #default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/concept_assertion_relation_training_data/merged/concept/*') - default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/concept_assertion_relation_training_data/beth/concept/record-33.txt') + dest = "con", + help = "The files that contain the labels for the training examples", + #default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/concept_assertion_relation_training_data/merged/concept/*') + default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/concept_assertion_relation_training_data/beth/concept/record-33.txt') ) - + parser.add_argument("-m", - dest = "model", - help = "Path to the model that should be generated", - #default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../models/awesome.model') - default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../models/run_models/run.model') + dest = "model", + help = "Path to the model that should be generated", + #default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../models/awesome.model') + default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../models/run_models/run.model') ) parser.add_argument("-d", - dest = "disabled_features", - help = "The features that should not be used", - nargs = "+", - default = None + dest = "disabled_features", + help = "The features that should not be used", + nargs = "+", + default = None ) parser.add_argument("-e", - dest = "enabled_features", - help = "The features that should be used. This option trumps -d", - nargs = "+", - default = None + dest = "enabled_features", + help = "The features that should be used. This option trumps -d", + nargs = "+", + default = None ) parser.add_argument("--no-svm", - dest = "no_svm", - action = "store_true", - help = "Disable SVM model generation", + dest = "no_svm", + action = "store_true", + help = "Disable SVM model generation", ) parser.add_argument("--no-lin", - dest = "no_lin", - action = "store_true", - help = "Disable LIN model generation", + dest = "no_lin", + action = "store_true", + help = "Disable LIN model generation", ) parser.add_argument("--no-crf", - dest = "no_crf", - action = "store_true", - help = "Disable CRF model generation", + dest = "no_crf", + action = "store_true", + help = "Disable CRF model generation", ) @@ -86,45 +86,46 @@ def main(): # ex. training_list = [ ('record-13.txt', 'record-13.con') ] training_list = [] for k in txt_files_map: - if k in con_files_map: - training_list.append((txt_files_map[k], con_files_map[k])) + if k in con_files_map: + training_list.append((txt_files_map[k], con_files_map[k])) - # TEMP - useful for when I was reading in XML files - #training_list.append(txt_files_map[k]) + # TEMP - useful for when I was reading in XML files + #training_list.append(txt_files_map[k]) # What kind of model should be used? (ex. SVM vs. CRF) type = 0 if not args.no_svm: - type = type | libml.SVM + type = type | libml.SVM if not args.no_lin: - type = type | libml.LIN + type = type | libml.LIN if not args.no_crf: - type = type | libml.CRF - + type = type | libml.CRF + # Read the data into a Note object notes = [] for txt, con in training_list: #for txt in training_list: - # Alternative data formats + note_tmp = Note() # Create Note + + # --- Alternative data formats --- #note_tmp.read_plain(txt, con) # plain #note_tmp.read_xml(txt) # xml + note_tmp.read_i2b2(txt, con) # i2b2 (normal) - note_tmp = Note() # Create Note - note_tmp.read_i2b2(txt, con) # Read data into Note - notes.append( note_tmp ) # Add the Note to the list + notes.append( note_tmp ) # Add the Note to the list # Create a Machine Learning model model = Model(filename = args.model, type = type) - + if args.disabled_features != None: - model.enabled_features = model.enabled_features - Set(args.disabled_features) + model.enabled_features = model.enabled_features - Set(args.disabled_features) if args.enabled_features != None: - model.enabled_features = Set(args.enabled_features) + model.enabled_features = Set(args.enabled_features) # Train the model using the Note's data From 4360936efc558a34049460cbabcbf0faba1715c1 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Thu, 16 Jan 2014 20:11:19 -0500 Subject: [PATCH 011/393] rephrased comment --- code/predict.py | 7 +++---- 1 file changed, 3 insertions(+), 4 deletions(-) diff --git a/code/predict.py b/code/predict.py index 89f9b3a..66767ec 100644 --- a/code/predict.py +++ b/code/predict.py @@ -73,12 +73,11 @@ def main(): note.read_i2b2(txt) # Use the model to predict the concept labels + # Returns a hash table with: + # keys as 1,2,4 (SVM, LIN, CRF) + # values as list of list of concept tokens (one-to-one with dat_list) labels = model.predict(note) - # labels (above) is a hash table - # the keys are 1,2,4 (SVM, LIN, and CRF) - # each value is a list of concept labels, like from the Note class - con = os.path.split(txt)[-1] con = con[:-3] + 'con' From a25d8d4e34d07a40f8e2bfe85a590b05ce04a4ef Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Thu, 16 Jan 2014 20:11:59 -0500 Subject: [PATCH 012/393] Added greedy adjacent boundary detection --- code/model.py | 170 +++++++++++++++++++++++++++++++++++++++++++++----- 1 file changed, 156 insertions(+), 14 deletions(-) diff --git a/code/model.py b/code/model.py index c04f43b..4913cb7 100644 --- a/code/model.py +++ b/code/model.py @@ -18,6 +18,17 @@ import libml + +#count = 0 +#count2 = 0 +#def my_sort(pair1, pair2): +# a = pair1[0][0] +# b = pair2[0][0] +# if a == b: return 0 +# if a < b: return -1 +# return 1 + + class Model: sentence_features = ImmutableSet(["pos", "stem_wordnet", "test_result", "prev", "next"]) word_features = ImmutableSet(["word", "length", "mitre", "stem_porter", "stem_lancaster", "word_shape"]) @@ -73,16 +84,56 @@ def train(self, note): for sentence in data: rows.append(self.features_for_sentence(sentence)) - # each list of hash tables + #print "\n" + "-" * 80 + "\n" + #print "len(rows)" + #print len(rows) + + #print "\n" + "-" * 80 + "\n" + #print "rows[0]" + #for elem in rows[0]: + # for it in sorted(elem.items(),my_sort) : print it + # print "\n" + #print "\n" + "-" * 80 + "\n" + + #print "\n" + "-" * 80 + "\n" + #print "len(rows[0])" + #print len(rows[0]) + #print "\n" + "-" * 80 + "\n" + + #print "rows[0][0]" + #print rows[0][0] + #print "\n" + "-" * 80 + "\n" + + #print "self.vocab" + #print self.vocab + #print "\n" + "-" * 80 + "\n" + #print "\n" * 4 + + + # each list of hash tables (one list per line in file) for row in rows: - # each hash table + # each hash table (one hash table per word in the line) for features in row: - # each key in hash table + # each key (tuple) pair in hash table (one key per feature) for feature in features: - # I think new word encountered + # assigning a unique number to each feature + # ex. Here are three key,value pairs that go into self.vocab + # (('word_shape4', 'WT-Xx'), 2) + # (('next_pos', 'NNP'), 3) + # (('next_word', 'Date'), 4) if feature not in self.vocab: self.vocab[feature] = len(self.vocab) + 1 + #def tmp_sort(pair1, pair2): + # return pair1[1] - pair2[1] + + #print "self.vocab" + #print self.vocab + #print "\n" + "-" * 80 + "\n" + #for elem in sorted( self.vocab.items(), tmp_sort ) : print elem + #print "\n" + "-" * 80 + "\n" + + # A list of a list encodings of concept labels (ex. 'none' => 0) # [ [0, 0, 0], [0], [0, 0, 0], [0], [0, 0, 0, 0, 0, 2, 2, 0, 1] ] label_lu = lambda l: Model.labels[l] @@ -93,7 +144,6 @@ def train(self, note): feat_lu = lambda f: {self.vocab[item]:f[item] for item in f} rows = [map(feat_lu, x) for x in rows] - libml.write_features(self.filename, rows, labels, self.type) with open(self.filename, "w") as model: @@ -106,15 +156,17 @@ def train(self, note): # Model::predict() # - # @param note. A Note object that contains the training data + # @param note. A Note object that contains the data def predict(self, note): # data - A list of list of the medical text's words data = note.txtlist() - - # Something to do with calibrating the model - rows = [] # rows <- list of a list of hash tables (feature vectors) + # rows <- list of a list of hash tables + # each list of hash tables (one list per line in file) + # each hash table (one hash table per word in the line) + # each key (tuple) pair in hash table (one key per feature) + rows = [] for sentence in data: rows.append(self.features_for_sentence(sentence)) @@ -128,11 +180,16 @@ def predict(self, note): # A hash table - # the keys are 1,2,4 (SVM, LIN, and CRF) + # the keys are 1,2,4 (LIN, CRF, and SVM) # each value is a list of concept labels encodings labels_list = libml.read_labels(self.filename, self.type) + print "labels_list" + print labels_list + print "\n" + "-" * 80 + + # translate labels_list into a readable format # ex. change all occurences of 0 -> 'none' for t, labels in labels_list.items(): @@ -143,31 +200,92 @@ def predict(self, note): tmp[-1] = map(lambda l: Model.reverse_labels[int(l)],tmp[-1]) labels_list[t] = tmp + print "labels_list" + print labels_list + print "\n" + "-" * 80 - # The new labels_list is a translated version - return labels_list + # Group classified tokens based on adjacency + nontrivial_concepts = ImmutableSet( ['treatment', 'problem', 'test'] ) + tmp_hash = {} + for t,labels in labels_list.items(): + + tmp = [] # Stores a list of classifications + # A classification is a 4-tuple: + # (concept, lineno, starttok, endtok) + start_ind = 0 + end_ind = 0 + streak = 0 # To keep count of the streak of classified tokens + for i, concept_line in enumerate(labels): + + # C-style array indexing. Probably could be done a better way + # used because I needed the ability of lookahead + for j in range(len(concept_line)): + + # Non-trivial classification + if concept_line[j] in nontrivial_concepts: + + # Increase size of current streak + streak += 1 + + # lookahead (check if streak will continue) + if (j+1 == len(concept_line))or \ + (concept_line[j] != concept_line[j+1]): + # Add streak + tmp.append((concept_line[j], i+1, j-streak+1, j)) + # Reset count + streak = 0 + + tmp_hash[t] = tmp + print tmp_hash + print "\n" + "-" * 80 - # input: A sentence from a medical text file (list of words) - # output: A list of hash tables + # The new labels_list is a translated version + #return labels_list + return tmp_hash + + + + # Model::feature_for_sentence + # + # input: A sentence/line from a medical text file (list of words) + # output: A list of hash tables (one hash table per word) def features_for_sentence(self, sentence): + + # Question! - What do the values of each key,value pair represent? + + #global count + features_list = [] for word in sentence: features_list.append(self.features_for_word(word)) + tags = None for feature in Model.sentence_features: if feature not in self.enabled_features: continue if feature == "pos": + tags = tags or nltk.pos_tag(sentence) + for i, features in enumerate(features_list): tag = tags[i][1] features[(feature, tag)] = 1 + + #if count == 0: + # print "tags" + # print tags + # print "\n" + "-" * 80 + "\n" + # print "feature_list\n" + # for it in features_list: + # for elem in sorted(it.items(),my_sort) : print elem + # print "" + # print "\n" + "-" * 80 + "\n" if feature == "stem_wordnet": tags = tags or nltk.pos_tag(sentence) @@ -211,6 +329,13 @@ def features_for_sentence(self, sentence): merged = lambda d1, d2: dict(d1.items() + d2.items()) features_list = [merged(features_list[i], ngram_features[i]) for i in range(len(features_list))] + + #if count == 0: + # #print "\n" + "-" * 80 + # #print "features_list" + # #for elem in features_list : print elem + # #print "\n" + "-" * 80 + # count = 1 return features_list @@ -221,6 +346,9 @@ def features_for_sentence(self, sentence): # output: A hash table of features # features include: word, length, mitre, stem_porter def features_for_word(self, word): + + #global count2 + features = {'dummy':1} # always have >0 dimensions # word_shape, word, length, mitre, stem_porter, stem_lancaster @@ -255,6 +383,13 @@ def features_for_word(self, word): if feature == "word_shape": wordShapes = getWordShapes(word) + + #if count2 < 3: + # #print "word: ", word + # #print "wordShapes: ", wordShapes + # #print "\n" + "-" * 80 + # print '' + for i, shape in enumerate(wordShapes): features[(feature + str(i), shape)] = 1 @@ -279,8 +414,13 @@ def features_for_word(self, word): if feature == "def_class": features[(feature, None)] = self.get_def_class(word) + #if count2 < 3: + # count2 += 1 + return features + + mitre_features = { "INITCAP" : r"^[A-Z].*$", "ALLCAPS" : r"^[A-Z]+$", @@ -302,6 +442,8 @@ def features_for_word(self, word): "DATESEPERATOR" : r"^[-/]$", } + + def is_test_result (self, context): # note: make spaces optional? regex = r"^[A-Za-z]+( )*(-|--|:|was|of|\*|>|<|more than|less than)( )*[0-9]+(%)*" From 68eb6efa5f792e4b6332a228a39d6817350d6a9c Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Thu, 16 Jan 2014 20:12:32 -0500 Subject: [PATCH 013/393] Changed internal representation of concepts to allow support for boundaries --- code/note.py | 119 +++++++++++++++++++++++++++++++++++++++++---------- 1 file changed, 96 insertions(+), 23 deletions(-) diff --git a/code/note.py b/code/note.py index 0d404b0..98915d7 100644 --- a/code/note.py +++ b/code/note.py @@ -9,8 +9,10 @@ class Note: def __init__(self): # data - A list of lines directly from the file # concepts - A one-to-one correspondence of each word's concept + # classifications - A list of tuples that convey concept labels self.data = [] self.concepts = [] + self.classifications = [] @@ -26,49 +28,87 @@ def read_i2b2(self, txt, con=None): # Add sentence to the data list self.data.append(line) - # For each word, store a corresponding concept label - tmp = [] - for word in line.split(): - tmp.append('none') - self.concepts.append(tmp) - - # If an accompanying concept file was specified, read it if con: with open(con) as f: for line in f: - c, t = line.split('||') - t = t[3:-2] - c = c.split() - start = c[-2].split(':') - end = c[-1].split(':') + + # concept + prefix, suffix = line.split('||') + txt = prefix.split() + con = suffix[3:-2] + + start = txt[-2].split(':') + end = txt[-1].split(':') + assert "concept spans one line", start[0] == end[0] - l = int(start[0]) - 1 + + # lineno + l = int(start[0]) + + # starttok + # endtok start = int(start[1]) end = int(end[1]) - for i in range( start, end+1 ): - self.concepts[l][i] = t + # Add the classification to the Note object + self.classifications.append( (con,l,start,end) ) + + #print "\n" + "-" * 80 # Note::write_i2b2() # # @param con. A path to the file of where to write the prediction. - # @param labels. A list of predictions of labels for the given text. + # @param labels. A list of classifications # # Write the concept predictions to a given file in i2b2 format def write_i2b2(self, con, labels): + # List of list of words (line-by-line) + tlist = self.txtlist() + + #for i, elem in enumerate(self.data): + # print i, ": ", elem + with open(con, 'w') as f: - for i, tmp in enumerate(zip(self.txtlist(), labels)): - datum, label = tmp - for j, tmp in enumerate(zip(datum, label)): - datum, label = tmp - if label != 'none': - idx = "%d:%d" % (i + 1, j) - print >>f, "c=\"%s\" %s %s||t=\"%s\"" % (datum, idx, idx, label) + + for classification in labels: + + # Ensure 'none' classifications are skipped + if classification[0] == 'none': + continue + + concept = classification[0] + lineno = classification[1] + start = classification[2] + end = classification[3] + + # A list of words (corresponding line from the text file) + text = tlist[lineno-1] + + #print "\n" + "-" * 80 + #print "start: ", start + #print "text: ", text + #print "text[start]: ", text[start] + + # The text string of words that has been classified + datum = text[start] + for j in range(start, end): + datum += " " + text[j+1] + + # Line:TokenNumber of where the concept starts and ends + idx1 = "%d:%d" % (lineno, start) + idx2 = "%d:%d" % (lineno, end ) + + # Classification + label = concept + + # Print format + print >>f, "c=\"%s\" %s %s||t=\"%s\"" % (datum, idx1, idx2, label) + print "c=\"%s\" %s %s||t=\"%s\"" % (datum, idx1, idx2, label) @@ -236,6 +276,39 @@ def txtlist( self ): # # @return a list of lists of the concepts associated with each word from data def conlist( self ): + + # Cached for later calls + if self.concepts: return self.concepts + + # For each word, store a corresponding concept label + # Initially, all labels will be stored as 'none' + for line in self.data: + tmp = [] + for word in line.split(): + tmp.append('none') + self.concepts.append(tmp) + + #for i, elem in enumerate(self.data): + # print i, ": ", elem + + # Use the classifications to correct all mislabled 'none's + for classification in self.classifications: + + #print "classification: ", classification + #print "classification[0]: ", classification[0] + #print "classification[1]: ", classification[1] + #print "classification[2]: ", classification[2] + #print "classification[3]: ", classification[3] + + concept = classification[0] + lineno = classification[1] - 1 + start = classification[2] + end = classification[3] + + self.concepts[lineno][start] = concept + for i in range(start, end): + self.concepts[lineno][i+1] = concept + return self.concepts From 7d25c659cd6f92b6bc844b639304f2f9791dbd09 Mon Sep 17 00:00:00 2001 From: Tristan Naumann Date: Mon, 10 Feb 2014 21:06:41 -0500 Subject: [PATCH 014/393] Isolating features in separate file --- code/features.py | 233 ++++++++++++++++++++++++++++++++++++++++++++++ code/model.py | 238 ++--------------------------------------------- 2 files changed, 239 insertions(+), 232 deletions(-) create mode 100644 code/features.py diff --git a/code/features.py b/code/features.py new file mode 100644 index 0000000..8c1ea40 --- /dev/null +++ b/code/features.py @@ -0,0 +1,233 @@ +import nltk + +from sets import ImmutableSet + +from wordshape import * + +sentence_features = ImmutableSet(["pos", "stem_wordnet", "test_result", "prev", "next"]) +word_features = ImmutableSet(["word", "length", "mitre", "stem_porter", "stem_lancaster", "word_shape"]) +enabled_features = sentence_features | word_features + + # input: A sentence from a medical text file (list of words) + # output: A list of hash tables +def features_for_sentence(sentence): + features_list = [] + + for word in sentence: + features_list.append(features_for_word(word)) + + tags = None + for feature in sentence_features: + if feature not in enabled_features: + continue + + if feature == "pos": + tags = tags or nltk.pos_tag(sentence) + for i, features in enumerate(features_list): + tag = tags[i][1] + features[(feature, tag)] = 1 + + if feature == "stem_wordnet": + tags = tags or nltk.pos_tag(sentence) + morphy_tags = { + 'NN': nltk.corpus.reader.wordnet.NOUN, + 'JJ': nltk.corpus.reader.wordnet.ADJ, + 'VB': nltk.corpus.reader.wordnet.VERB, + 'RB': nltk.corpus.reader.wordnet.ADV} + morphy_tags = [(w, morphy_tags.setdefault(t[:2], nltk.corpus.reader.wordnet.NOUN)) for w, t in tags] + st = nltk.stem.WordNetLemmatizer() + for i, features in enumerate(features_list): + tag = morphy_tags[i] + features[(feature, st.lemmatize(*tag))] = 1 + + if feature == "test_result": + for index, features in enumerate(features_list): + right = " ".join([w for w in sentence[index:]]) + if is_test_result(right): + features[(feature, None)] = 1 + + + ngram_features = [{} for i in range(len(features_list))] + if "prev" in enabled_features: + prev = lambda f: {("prev_"+k[0], k[1]): v for k, v in f.items()} + prev_list = map(prev, features_list) + for i in range(len(features_list)): + if i == 0: + ngram_features[i][("prev", "*")] = 1 + else: + ngram_features[i].update(prev_list[i-1]) + + if "next" in enabled_features: + next = lambda f: {("next_"+k[0], k[1]): v for k, v in f.items()} + next_list = map(next, features_list) + for i in range(len(features_list)): + if i == len(features_list) - 1: + ngram_features[i][("next", "*")] = 1 + else: + ngram_features[i].update(next_list[i+1]) + + merged = lambda d1, d2: dict(d1.items() + d2.items()) + features_list = [merged(features_list[i], ngram_features[i]) + for i in range(len(features_list))] + + return features_list + + + + # input: a single word, like + # Admission + # output: A hash table of features + # features include: word, length, mitre, stem_porter +def features_for_word( word): + features = {'dummy': 1} # always have >0 dimensions + + # word_shape, word, length, mitre, stem_porter, stem_lancaster + for feature in word_features: + + # word_shape, test_result, word, pos, next, length, stem_wordnet, mitre, stem_porter, prev, stem_lancaster + if feature not in enabled_features: + continue + + if feature == "word": + features[(feature, word)] = 1 + + if feature == "length": + features[(feature, None)] = len(word) + + if feature == "mitre": + for f in mitre_features: + if re.search(mitre_features[f], word): + features[(feature, f)] = 1 + + if feature == "stem_porter": + st = nltk.stem.PorterStemmer() + features[(feature, st.stem(word))] = 1 + + if feature == "stem_lancaster": + st = nltk.stem.LancasterStemmer() + features[(feature, st.stem(word))] = 1 + + if feature == "stem_snowball": + st = nltk.stem.SnowballStemmer("english") + #features[(feature, st.stem(word))] = 1 + + if feature == "word_shape": + wordShapes = getWordShapes(word) + for i, shape in enumerate(wordShapes): + features[(feature + str(i), shape)] = 1 + + if feature == "metric_unit": + unit = 0 + if is_weight(word): + unit = 1 + elif is_size(word): + unit = 2 + features[(feature, None)] = unit + + # look for prognosis locaiton + #if feature == "radial_loc": + # THIS MIGHT BE BUGGED + # if is_prognosis_location(word): + # features[(feature, None)] = 1 + + if feature == "has_problem_form": + if has_problem_form(word): + features[(feature, None)] = 1 + + if feature == "def_class": + features[(feature, None)] = get_def_class(word) + + return features + +mitre_features = { + "INITCAP": r"^[A-Z].*$", + "ALLCAPS": r"^[A-Z]+$", + "CAPSMIX": r"^[A-Za-z]+$", + "HASDIGIT": r"^.*[0-9].*$", + "SINGLEDIGIT": r"^[0-9]$", + "DOUBLEDIGIT": r"^[0-9][0-9]$", + "FOURDIGITS": r"^[0-9][0-9][0-9][0-9]$", + "NATURALNUM": r"^[0-9]+$", + "REALNUM": r"^[0-9]+.[0-9]+$", + "ALPHANUM": r"^[0-9A-Za-z]+$", + "HASDASH": r"^.*-.*$", + "PUNCTUATION": r"^[^A-Za-z0-9]+$", + "PHONE1": r"^[0-9][0-9][0-9]-[0-9][0-9][0-9][0-9]$", + "PHONE2": r"^[0-9][0-9][0-9]-[0-9][0-9][0-9]-[0-9][0-9][0-9][0-9]$", + "FIVEDIGIT": r"^[0-9][0-9][0-9][0-9][0-9]", + "NOVOWELS": r"^[^AaEeIiOoUu]+$", + "HASDASHNUMALPHA": r"^.*[A-z].*-.*[0-9].*$ | *.[0-9].*-.*[0-9].*$", + "DATESEPERATOR": r"^[-/]$", +} + +def is_test_result( context): + # note: make spaces optional? + regex = r"^[A-Za-z]+( )*(-|--|:|was|of|\*|>|<|more than|less than)( )*[0-9]+(%)*" + if not re.search(regex, context): + return re.search(r"^[A-Za-z]+ was (positive|negative)", context) + return True + +def is_weight( word): + regex = r"^[0-9]*(mg|g|milligrams|grams)$" + return re.search(regex, word) + +def is_size( word): + regex = r"^[0-9]*(mm|cm|millimeters|centimeters)$" + return re.search(regex, word) + +def is_prognosis_location( word): + regex = r"^(c|C)[0-9]+(-(c|C)[0-9]+)*$" + return re.search(regex, word) + +def has_problem_form( word): + regex = r".*(ic|is)$" + return re.search(regex, word) + +# checks for a definitive classification at the word level +def get_def_class( word): + test_terms = { + "eval", "evaluation", "evaluations", + "sat", "sats", "saturation", + "exam", "exams", + "rate", "rates", + "test", "tests", + "xray", "xrays", + "screen", "screens", + "level", "levels", + "tox" + } + problem_terms = { + "swelling", + "wound", "wounds", + "symptom", "symptoms", + "shifts", "failure", + "insufficiency", "insufficiencies", + "mass", "masses", + "aneurysm", "aneurysms", + "ulcer", "ulcers", + "trama", "cancer", + "disease", "diseased", + "bacterial", "viral", + "syndrome", "syndromes", + "pain", "pains" + "burns", "burned", + "broken", "fractured" + } + treatment_terms = { + "therapy", + "replacement", + "anesthesia", + "supplement", "supplemental", + "vaccine", "vaccines" + "dose", "doses", + "shot", "shots", + "medication", "medicine", + "treament", "treatments" + } + if word.lower() in test_terms: + return 1 + elif word.lower() in problem_terms: + return 2 + elif word.lower() in treatment_terms: + return 3 + return 0 diff --git a/code/model.py b/code/model.py index 782b462..e695358 100644 --- a/code/model.py +++ b/code/model.py @@ -17,6 +17,7 @@ from wordshape import * import libml +import features class Model: sentence_features = ImmutableSet(["pos", "stem_wordnet", "test_result", "prev", "next"]) @@ -71,14 +72,14 @@ def train(self, note): # rows is a list of a list of hash tables rows = [] for sentence in data: - rows.append(self.features_for_sentence(sentence)) + rows.append(features.features_for_sentence(sentence)) # each list of hash tables for row in rows: # each hash table - for features in row: + for feature_names in row: # each key in hash table - for feature in features: + for feature in feature_names: # I think new word encountered if feature not in self.vocab: self.vocab[feature] = len(self.vocab) + 1 @@ -115,7 +116,7 @@ def predict(self, note): # Something to do with calibrating the model rows = [] # rows <- list of a list of hash tables (feature vectors) for sentence in data: - rows.append(self.features_for_sentence(sentence)) + rows.append(features.features_for_sentence(sentence)) feat_lu = lambda f: {self.vocab[item]: f[item] for item in f if item in self.vocab} @@ -144,231 +145,4 @@ def predict(self, note): # The new labels_list is a translated version - return labels_list - - - - - # input: A sentence from a medical text file (list of words) - # output: A list of hash tables - def features_for_sentence(self, sentence): - features_list = [] - - for word in sentence: - features_list.append(self.features_for_word(word)) - - tags = None - for feature in Model.sentence_features: - if feature not in self.enabled_features: - continue - - if feature == "pos": - tags = tags or nltk.pos_tag(sentence) - for i, features in enumerate(features_list): - tag = tags[i][1] - features[(feature, tag)] = 1 - - if feature == "stem_wordnet": - tags = tags or nltk.pos_tag(sentence) - morphy_tags = { - 'NN': nltk.corpus.reader.wordnet.NOUN, - 'JJ': nltk.corpus.reader.wordnet.ADJ, - 'VB': nltk.corpus.reader.wordnet.VERB, - 'RB': nltk.corpus.reader.wordnet.ADV} - morphy_tags = [(w, morphy_tags.setdefault(t[:2], nltk.corpus.reader.wordnet.NOUN)) for w, t in tags] - st = nltk.stem.WordNetLemmatizer() - for i, features in enumerate(features_list): - tag = morphy_tags[i] - features[(feature, st.lemmatize(*tag))] = 1 - - if feature == "test_result": - for index, features in enumerate(features_list): - right = " ".join([w for w in sentence[index:]]) - if self.is_test_result(right): - features[(feature, None)] = 1 - - - ngram_features = [{} for i in range(len(features_list))] - if "prev" in self.enabled_features: - prev = lambda f: {("prev_"+k[0], k[1]): v for k, v in f.items()} - prev_list = map(prev, features_list) - for i in range(len(features_list)): - if i == 0: - ngram_features[i][("prev", "*")] = 1 - else: - ngram_features[i].update(prev_list[i-1]) - - if "next" in self.enabled_features: - next = lambda f: {("next_"+k[0], k[1]): v for k, v in f.items()} - next_list = map(next, features_list) - for i in range(len(features_list)): - if i == len(features_list) - 1: - ngram_features[i][("next", "*")] = 1 - else: - ngram_features[i].update(next_list[i+1]) - - merged = lambda d1, d2: dict(d1.items() + d2.items()) - features_list = [merged(features_list[i], ngram_features[i]) - for i in range(len(features_list))] - - return features_list - - - - # input: a single word, like - # Admission - # output: A hash table of features - # features include: word, length, mitre, stem_porter - def features_for_word(self, word): - features = {'dummy': 1} # always have >0 dimensions - - # word_shape, word, length, mitre, stem_porter, stem_lancaster - for feature in Model.word_features: - - # word_shape, test_result, word, pos, next, length, stem_wordnet, mitre, stem_porter, prev, stem_lancaster - if feature not in self.enabled_features: - continue - - if feature == "word": - features[(feature, word)] = 1 - - if feature == "length": - features[(feature, None)] = len(word) - - if feature == "mitre": - for f in Model.mitre_features: - if re.search(Model.mitre_features[f], word): - features[(feature, f)] = 1 - - if feature == "stem_porter": - st = nltk.stem.PorterStemmer() - features[(feature, st.stem(word))] = 1 - - if feature == "stem_lancaster": - st = nltk.stem.LancasterStemmer() - features[(feature, st.stem(word))] = 1 - - if feature == "stem_snowball": - st = nltk.stem.SnowballStemmer("english") - #features[(feature, st.stem(word))] = 1 - - if feature == "word_shape": - wordShapes = getWordShapes(word) - for i, shape in enumerate(wordShapes): - features[(feature + str(i), shape)] = 1 - - if feature == "metric_unit": - unit = 0 - if self.is_weight(word): - unit = 1 - elif self.is_size(word): - unit = 2 - features[(feature, None)] = unit - - # look for prognosis locaiton - #if feature == "radial_loc": - # THIS MIGHT BE BUGGED - # if self.is_prognosis_location(word): - # features[(feature, None)] = 1 - - if feature == "has_problem_form": - if self.has_problem_form(word): - features[(feature, None)] = 1 - - if feature == "def_class": - features[(feature, None)] = self.get_def_class(word) - - return features - - mitre_features = { - "INITCAP": r"^[A-Z].*$", - "ALLCAPS": r"^[A-Z]+$", - "CAPSMIX": r"^[A-Za-z]+$", - "HASDIGIT": r"^.*[0-9].*$", - "SINGLEDIGIT": r"^[0-9]$", - "DOUBLEDIGIT": r"^[0-9][0-9]$", - "FOURDIGITS": r"^[0-9][0-9][0-9][0-9]$", - "NATURALNUM": r"^[0-9]+$", - "REALNUM": r"^[0-9]+.[0-9]+$", - "ALPHANUM": r"^[0-9A-Za-z]+$", - "HASDASH": r"^.*-.*$", - "PUNCTUATION": r"^[^A-Za-z0-9]+$", - "PHONE1": r"^[0-9][0-9][0-9]-[0-9][0-9][0-9][0-9]$", - "PHONE2": r"^[0-9][0-9][0-9]-[0-9][0-9][0-9]-[0-9][0-9][0-9][0-9]$", - "FIVEDIGIT": r"^[0-9][0-9][0-9][0-9][0-9]", - "NOVOWELS": r"^[^AaEeIiOoUu]+$", - "HASDASHNUMALPHA": r"^.*[A-z].*-.*[0-9].*$ | *.[0-9].*-.*[0-9].*$", - "DATESEPERATOR": r"^[-/]$", - } - - def is_test_result(self, context): - # note: make spaces optional? - regex = r"^[A-Za-z]+( )*(-|--|:|was|of|\*|>|<|more than|less than)( )*[0-9]+(%)*" - if not re.search(regex, context): - return re.search(r"^[A-Za-z]+ was (positive|negative)", context) - return True - - def is_weight(self, word): - regex = r"^[0-9]*(mg|g|milligrams|grams)$" - return re.search(regex, word) - - def is_size(self, word): - regex = r"^[0-9]*(mm|cm|millimeters|centimeters)$" - return re.search(regex, word) - - def is_prognosis_location(self, word): - regex = r"^(c|C)[0-9]+(-(c|C)[0-9]+)*$" - return re.search(regex, word) - - def has_problem_form(self, word): - regex = r".*(ic|is)$" - return re.search(regex, word) - - # checks for a definitive classification at the word level - def get_def_class(self, word): - test_terms = { - "eval", "evaluation", "evaluations", - "sat", "sats", "saturation", - "exam", "exams", - "rate", "rates", - "test", "tests", - "xray", "xrays", - "screen", "screens", - "level", "levels", - "tox" - } - problem_terms = { - "swelling", - "wound", "wounds", - "symptom", "symptoms", - "shifts", "failure", - "insufficiency", "insufficiencies", - "mass", "masses", - "aneurysm", "aneurysms", - "ulcer", "ulcers", - "trama", "cancer", - "disease", "diseased", - "bacterial", "viral", - "syndrome", "syndromes", - "pain", "pains" - "burns", "burned", - "broken", "fractured" - } - treatment_terms = { - "therapy", - "replacement", - "anesthesia", - "supplement", "supplemental", - "vaccine", "vaccines" - "dose", "doses", - "shot", "shots", - "medication", "medicine", - "treament", "treatments" - } - if word.lower() in test_terms: - return 1 - elif word.lower() in problem_terms: - return 2 - elif word.lower() in treatment_terms: - return 3 - return 0 + return labels_list \ No newline at end of file From 3c0513fcfbe2c5e3ca5e68ead92af421b88c4d4f Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 18 Feb 2014 14:35:25 -0500 Subject: [PATCH 015/393] Separated features from model.py - features are currently incomplete --- code/clicon_features.py | 372 ++++++++++++++++++++++++++++++++++++++++ 1 file changed, 372 insertions(+) create mode 100644 code/clicon_features.py diff --git a/code/clicon_features.py b/code/clicon_features.py new file mode 100644 index 0000000..4d624a3 --- /dev/null +++ b/code/clicon_features.py @@ -0,0 +1,372 @@ +###################################################################### +# CliCon - clicon_features.py # +# # +# Willie Boag wboag@cs.uml.edu # +# # +# Purpose: Isolate the model's features from model.py # +###################################################################### + + +__author__ = 'Willie Boag' +__date__ = 'Jan. 27, 2014' + + + +import nltk +import re + +import clicon_genia_interface + + +class FeatureWrapper: + + + # Run the GENIA tagger on the given data + def __init__(self, data): + #self.GENIA_features = clicon_genia_interface.genia(data) + self.GENIA_counter = 0 + + + + # Iterate through GENIA Tagger features + def next_GENIA_line(self): + + # End of list - reset counter & return None + if self.GENIA_counter == len(self.GENIA_features): + self.GENIA_counter = 0 + return None + + # Advance to next line + self.GENIA_counter += 1 + + return self.GENIA_features[self.GENIA_counter-1] + + + + + # IOB_features() + # + # input: A sentence + # output: A hash table of features + def IOB_features_for_sentence(self, sentence): + + isProse = self.prose_sentence(sentence) + + # Different features depending on whether sentence is 'prose' + if isProse: + line_features = self.IOB_prose_features_for_sentence(sentence) + else: + line_features = self.IOB_nonprose_features_for_sentence(sentence) + + # Return features as well as indication of whether it is prose or not + return (isProse, line_features) + + + + # IOB_prose_features_for_sentence() + # + # input: A sentence + # output: A hash table of features + def IOB_prose_features_for_sentence(self, sentence): + + + # List of dictionaries of features + line_features = [ {('dummy',1):1} for _ in sentence ] + + # Feature: Generic# stemmed word + for i,word in enumerate(sentence): + generic = re.sub('[0-9]','0',word) + line_features[i].update( { ('Generic#',generic) : 1}) + + # Feature: Previous word + line_features[0].update( { ( 'prev_word', '' ) : 1} ) + for i in range(1,len(sentence)): + line_features[i].update( { ('uncased_prev_word',sentence[i-1].lower()) : 1} ) + + # Feature Uncased previous word + line_features[0].update( { ('uncased_prev_word', '' ) : 1} ) + for i in range(1,len(sentence)): + line_features[i].update( { ( 'prev_word',sentence[i-1] ) : 1} ) + + # Feature: Last two leters of word + for word in sentence: + line_features[i].update( { ('last_two_letters',word[-2:]) : 1} ) + + # Feature: Previous POS + pos_tagged = nltk.pos_tag(sentence) + line_features[0].update( { ('prev_POS','') : 1} ) + for i in range(1,len(sentence)): + line_features[i].update( { ('prev_POS',pos_tagged[i-1]) : 1} ) + + # Feature: 1-token part-of-speech context + for (i,(_,pos)) in enumerate(pos_tagged): + line_features[i].update( { ('pos',pos) : 1} ) + + # Feature: UMLS concept hypernyms + + # GENIA features + for i in range(len(sentence)): + + # FIXME - Do not call GENIA features right now + # (to speed up runtime during development) + continue + + # Get the GENIA features of the current sentence + genia_feats = self.next_GENIA_line() + if not genia_feats: genia_feats = self.next_GENIA_line() + + + # Feature: Current word's GENIA features + keys = ['GENIA-stem','GENIA-POS','GENIA-chunktag'] + curr = genia_feats[i] + output = dict( (('curr-'+k, curr[k]), 1) for k in keys if k in curr) + + # Feature: Previous word's GENIA features + if i: + prev = genia_feats[i] + output = dict( (('prev-'+k, prev[k]), 1) for k in keys if k in prev) + else: + output = dict( (('prev-'+k, ''), 1) for k in keys if k in curr) + + # Feature: Next word's GENIA stem + # Note: This is done retroactively, updating the previous token + if i > 0: + line_features[i-1].update( {('next-GENIA-stem',curr['GENIA-stem']) : 1} ) + # Do not accidentally skip the final token + if i == (len(sentence) - 1): + line_features[i].update( { ('next-GENIA-stem','') : 1} ) + + line_features[i].update(output) + + # MetaMap semantic type + + + return line_features + + + + # IOB_nonprose_features_for_sentence() + # + # input: A sentence + # output: A hash table of features + def IOB_nonprose_features_for_sentence(self, sentence): + + # Get the GENIA features of the current sentence + # The GENIA featurs are not used for nonprose, but it keeps things aligned for the prose + #genia_feats = self.next_GENIA_line() + #if not genia_feats: genia_feats = self.next_GENIA_line() + + # List of dictionaries of features + line_features = [ {('dummy',1):1} for _ in sentence ] + + # Feature: The word, itself + for i,word in enumerate(sentence): + line_features[i].update( { ('word',word.lower()) : 1} ) + + # Feature: QANN uncased word + + # Feature: Uncased previous word + line_features[0].update( { ( 'prev_word','') : 1} ) + line_features[0].update( { ('uncased_prev_word','') : 1} ) + for i in range(1,len(sentence)): + line_features[i].update( { ('uncased_prev_word',sentence[i-1].lower()) : 1} ) + + # 3-token part-of-speech context + + # MetaMap semantic type + + # MetaMap CUI + + # Feature: Previous POS + pos_tagged = nltk.pos_tag(sentence) + line_features[0].update( { ('prev_POS','') : 1} ) + for i in range(1,len(sentence)): + line_features[i].update( { ('prev_POS',pos_tagged[i-1]) : 1} ) + + return line_features + + + + # prose_sentence() + # + # input: A sentence + # output: Boolean yes/no + def prose_sentence(self, sentence): + + if sentence[-1] == '.' or sentence[-1] == '?': + return True + elif sentence[-1] == ':': + return False + elif len(sentence) <= 5: + return False + elif self.at_least_half_nonprose(sentence): + return True + else: + return False + + + # at_least_half_nonprose() + # + # input: A sentence + # output: A bollean yes/no + def at_least_half_nonprose(self, sentence): + + count = 0 + + for word in sentence: + if self.prose_word(word): + count += 1 + + if count >= len(sentence): + return True + else: + return False + + + # prose::word() + # + # input: A word + # output: Boolean yes/no + def prose_word(self, word): + + # Punctuation + for punc in ".?,!:\"'": + if re.search(punc, word): + return False + + # Digit + if re.match('\d', word): + return False + + # All uppercase + if word == word.upper(): + return False + + # Else + return True + + + + # generate_chunks() + # + # input: Three arguments: + # 1) A list of list of word (the data of the file) + # 2) A list of list of IOB tags (one-to-one with list from arg 1) + # 3) A list of list of concepts (one-to-one with list from arg 1) + # + # + # output: A 3-tuple of: + # 1) A list of list of chunks (word token phrases) + # 2) A list of list of concepts (one-to-one with list from ret 1) + # 3) A list of all indices into 1 that have been deemed nontrivial + def generate_chunks(self, data, IOB_tags, labels=None): + + # List of list of tokens (similar to 'text', but concepts are grouped) + text_chunks = [] + + # one-to-one concept classification with text_chunks + if labels: + concept_chunks = [] + else: + concept_chunks = None + + # List of (line,token) pairs for classifications that are nont 'none' + hits = [] + + # Create tokens of full concept boundaries for second classifier + for i, concept_line in enumerate(IOB_tags): + + # One line of 'chunked' + line_of_text_chunks = [] + if labels: line_of_concept_chunks = [] + + # stores the current streak + queue = [] + + # Necessary when multiple concepts are on one line + # The second concept's j index is relative to a word-split array + # The j of the new token should be relative to how chunks there are + chunk_offset = 0 + + # C-style array indexing. Probably could be done a better way. + # Used because I needed the ability of lookahead + for j in range(len(concept_line)): + + # Outside + # concet_line in "012" instead of "IOB" + if concept_line[j] == 'O': + line_of_text_chunks.append(data[i][j]) + if labels: line_of_concept_chunks.append('none') + + # Beginning of a concept boundary + else: + + # Increase size of current streak + queue.append(data[i][j]) + + # lookahead (check if streak will continue) + if (j+1 == len(concept_line))or \ + (concept_line[j+1] != 'I'): # end of classifiation + + # Add full concept token + line_of_text_chunks.append(' '.join(queue)) + if labels: line_of_concept_chunks.append(labels[i][j]) + + # Store indices of detected concept + hits.append( ( i, j + 1-len(queue) - chunk_offset ) ) + + # Reminder: used in the case that a concept follows a + # multi-word concept on the same line + chunk_offset += len(queue) - 1 + + # Reset streak + queue = [] + + text_chunks.append(line_of_text_chunks) + if labels: concept_chunks.append(line_of_concept_chunks) + + + return (text_chunks, concept_chunks, hits) + + + + + # concept_features() + # + # input: A sentence/line from a medical text file (list of chunks) + # An index into the sentence to indentify the given chunk + # output: A list of hash tables (one hash table per word) + def concept_features(self, sentence, ind): + + retVal = {} + + retVal.update( { ('chunk',sentence[ind]) : 1 } ) + + # Feature: Uncased unigrams + for i,word in enumerate( sentence[ind].split() ): + featname = 'unigram-%d' % i + retVal.update( { (featname, word.lower()) : 1 } ) + + # Feature: First four letters of each word + prefix_list = [ word[0:4] for word in sentence[ind].split() ] + for i,word in enumerate(prefix_list): + featname = 'first-four-letters-%d' % i + retVal.update( { (featname, word) : 1 } ) + + # Feature: Stemmed previous word + + + # Feature: Uncased previous bigram + + + # Feature: Argument type + nearest predicate + + + # Feature: UMLS concept type + + + # Feature Wikipedia concept type + + return retVal + + From 552964098dd68860c744a3f1a05a254d028ade50 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 18 Feb 2014 14:36:05 -0500 Subject: [PATCH 016/393] Interface to GENIA tagger for features --- code/clicon_genia_interface.py | 102 +++++++++++++++++++++++++++++++++ 1 file changed, 102 insertions(+) create mode 100644 code/clicon_genia_interface.py diff --git a/code/clicon_genia_interface.py b/code/clicon_genia_interface.py new file mode 100644 index 0000000..8bc0633 --- /dev/null +++ b/code/clicon_genia_interface.py @@ -0,0 +1,102 @@ +###################################################################### +# CliCon - clicon_genia_interface.py # +# # +# Willie Boag wboag@cs.uml.edu # +# # +# Purpose: Provide a way for Python to utilize the output of the # +# GENIA Tagger # +# # +# Genia Tagger: http://www.nactem.ac.uk/tsujii/GENIA/tagger/ # +###################################################################### + + + +__author__ = 'Willie Boag' +__date__ = 'Jan. 27, 2014' + +import os +import sys + + +def main(): + + f = open('/home/wboag/ConceptExtraction-master/data/concept_assertion_relation_training_data/beth/txt/record-20.txt', 'r') + + txt = f.readlines() + + data = [] + for line in txt: + data.append(line.split()) + + for (line,linedict) in zip(txt,genia(data)): + print line.split(), '\n' + for d in linedict: + print d + print '---\n\n' + + + +# +# genia() +# +# Call the genia tagger and return its output in python format +# +def genia( data ): + + ''' + @param data. A list of list of strings (lines of words from a file) + @return A list of dcitionaries of the genia tagger's output. + ''' + + + # FIXME - write list to file and then feed it to GENIA + # FIXME - hard coded directory!! + ftmp = open('/home/wboag/geniatagger-3.0.1/DELETE-THIS.txt', 'w') + for line in data: ftmp.write(' '.join(line) + '\n') + ftmp.close() + + + # FIXME - hard coded directory!! + genia_dir = '/home/wboag/geniatagger-3.0.1' + stream = os.popen('cd %s ; ./geniatagger -nt DELETE-THIS.txt' % genia_dir) + + # Process each line of output + retlist = [] + i = 0 + j = 0 + fline = [] + old = [] + for line in stream.readlines(): + + line = line.split() + + # Empty line + if line == []: continue + + # One dictionary per word in the file + output = {'GENIA-word' :line[0], + 'GENIA-stem' :line[1], + 'GENIA-POS' :line[2], + 'GENIA-chunktag':line[3], + 'GENIA-NEtag' :line[4]} + + + # Add token to list + fline.append(output) + j += 1 + if j == len(data[i]): + #print data[i] + #print fline + #print '---' + i += 1 + j = 0 + retlist.append(fline) + fline = [] + + return retlist + + + + +if __name__ == '__main__': + main() From 2c4ab10f6fe019b1f2b7298c230ba612c242fb7b Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 18 Feb 2014 14:39:13 -0500 Subject: [PATCH 017/393] Added data member for handling chunking --- code/note.py | 71 +++++++++++++++++++++++++++++++++++++++++++++++++--- 1 file changed, 67 insertions(+), 4 deletions(-) diff --git a/code/note.py b/code/note.py index 98915d7..24ba1ec 100644 --- a/code/note.py +++ b/code/note.py @@ -10,9 +10,11 @@ def __init__(self): # data - A list of lines directly from the file # concepts - A one-to-one correspondence of each word's concept # classifications - A list of tuples that convey concept labels - self.data = [] - self.concepts = [] + # boundaries - A one-to-one correspondence of each word's BIO status + self.data = [] + self.concepts = [] self.classifications = [] + self.boundaries = [] @@ -28,6 +30,9 @@ def read_i2b2(self, txt, con=None): # Add sentence to the data list self.data.append(line) + # Make put a temporary 'O' in each spot + self.boundaries.append( ['O' for _ in line.split()] ) + # If an accompanying concept file was specified, read it if con: @@ -50,11 +55,24 @@ def read_i2b2(self, txt, con=None): # starttok # endtok start = int(start[1]) - end = int(end[1]) + end = int( end[1]) # Add the classification to the Note object self.classifications.append( (con,l,start,end) ) + #print "txt: ", txt + #print "l: ", l + #print "start: ", start + #print "end: ", end + #print "line: ", self.data[l-1] + + # Beginning of a concept + self.boundaries[l-1][start] = 'B' + + # Inside of a concept + for i in range(start,end): + self.boundaries[l-1][i+1] = 'I' + #print "\n" + "-" * 80 @@ -73,6 +91,7 @@ def write_i2b2(self, con, labels): #for i, elem in enumerate(self.data): # print i, ": ", elem + with open(con, 'w') as f: for classification in labels: @@ -108,10 +127,47 @@ def write_i2b2(self, con, labels): # Print format print >>f, "c=\"%s\" %s %s||t=\"%s\"" % (datum, idx1, idx2, label) - print "c=\"%s\" %s %s||t=\"%s\"" % (datum, idx1, idx2, label) + #print "c=\"%s\" %s %s||t=\"%s\"" % (datum, idx1, idx2, label) + # Note::write_BIOs_labels() + # + # @param _. Filename. Ignore it. + # @param labels. A list of list of BIOs labels + # + # Print the prediction of BIOs concept boundary classification + def write_BIOs_labels(self, _, labels): + + # List of list of words (line-by-line) + text = self.txtlist() + + for i, concept_line in enumerate(labels): + + # stores the current streak + queue = [] + + # C-style array indexing. Probably could be done a better way. + # Used because I needed the ability of lookahead + for j in range(len(concept_line)): + + # Beginning of a concept boundary + if concept_line[j] != 'O': + + # Increase size of current streak + queue.append(text[i][j]) + + # lookahead (check if streak will continue) + if (j+1 == len(concept_line))or \ + (concept_line[j+1] != 'I'): + print '%d:%d %d:%d' % (i+1,j-len(queue)+1,i+1,j) + print ' '.join(queue) + print '' + # Reset streak + queue = [] + + + # Note::read_plain() # # @param txt. A file path for the plain tokenized medical record @@ -313,6 +369,13 @@ def conlist( self ): + # boundaries() + # + # @return a list of lists of the BIO vals associated with each word from data + def boundlist( self ): + return self.boundaries + + # For iterating def __iter__(self): return iter(self.data) From e9f62739e5fefd9e36f7e0576b609fa8e0d78c05 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 18 Feb 2014 14:40:47 -0500 Subject: [PATCH 018/393] Major overhaul. Isolated features away. Added framework for two passes --- code/model.py | 735 +++++++++++++++++++++++--------------------------- 1 file changed, 337 insertions(+), 398 deletions(-) diff --git a/code/model.py b/code/model.py index 4913cb7..092e6f9 100644 --- a/code/model.py +++ b/code/model.py @@ -1,41 +1,15 @@ from __future__ import with_statement -import time import os import pickle -import re -import subprocess -import sys -import nltk -import nltk.corpus.reader -import nltk.stem import helper - -from sets import Set -from sets import ImmutableSet - -from wordshape import * - import libml +import clicon_features -#count = 0 -#count2 = 0 -#def my_sort(pair1, pair2): -# a = pair1[0][0] -# b = pair2[0][0] -# if a == b: return 0 -# if a < b: return -1 -# return 1 class Model: - sentence_features = ImmutableSet(["pos", "stem_wordnet", "test_result", "prev", "next"]) - word_features = ImmutableSet(["word", "length", "mitre", "stem_porter", "stem_lancaster", "word_shape"]) - # THESE ARE FEATURES I TRIED THAT DON'T LOOK THAT PROMISING - # I have some faith in "metric_unit" and "has_problem_form" - # "radial_loc" may be too rare and "def_class" could be over fitting - # "metric_unit", "radial_loc", "has_problem_form", "def_class" labels = { "none":0, @@ -45,6 +19,17 @@ class Model: } reverse_labels = {v:k for k, v in labels.items()} + + + # IOBs labels + IOBs_labels = { + 'O':0, + 'B':1, + 'I':2 + } + reverse_IOBs_labels = {v:k for k,v in IOBs_labels.items()} + + @staticmethod def load(filename='awesome.model'): with open(filename) as model: @@ -52,6 +37,7 @@ def load(filename='awesome.model'): model.filename = filename return model + # Constructor def __init__(self, filename='awesome.model', type=libml.ALL): model_directory = os.path.dirname(filename) @@ -61,96 +47,178 @@ def __init__(self, filename='awesome.model', type=libml.ALL): self.filename = os.path.realpath(filename) self.type = type - self.vocab = {} + self.IOB_vocab = {} + self.concept_vocab = {} - self.enabled_features = Model.sentence_features | Model.word_features + # Model::train() # - # @param note. A Note object that has data for training the model - def train(self, note): + # @param notes. A Note object that has data for training the model + def train(self, notes): # Get the data and annotations from the Note object # data - A list of list of the medical text's words # labels - A list of list of concepts (1:1 with data) - data = note.txtlist() - labels = note.conlist() - - - # rows is a list of a list of hash tables - rows = [] - for sentence in data: - rows.append(self.features_for_sentence(sentence)) - - #print "\n" + "-" * 80 + "\n" - #print "len(rows)" - #print len(rows) - - #print "\n" + "-" * 80 + "\n" - #print "rows[0]" - #for elem in rows[0]: - # for it in sorted(elem.items(),my_sort) : print it - # print "\n" - #print "\n" + "-" * 80 + "\n" - - #print "\n" + "-" * 80 + "\n" - #print "len(rows[0])" - #print len(rows[0]) - #print "\n" + "-" * 80 + "\n" - - #print "rows[0][0]" - #print rows[0][0] - #print "\n" + "-" * 80 + "\n" - - #print "self.vocab" - #print self.vocab - #print "\n" + "-" * 80 + "\n" - #print "\n" * 4 + data = [] + labels = [] + chunks = [] + for note in notes: + data += note.txtlist() + labels += note.conlist() + chunks += note.boundlist() + + + # Create object that is a wrapper for the features + feat_obj = clicon_features.FeatureWrapper(data) + + + # IOB tagging + prose = [] + nonprose = [] + prose_line_numbers = [] + nonprose_line_numbers = [] + for i,line in enumerate(data): + isProse,feats = feat_obj.IOB_features_for_sentence(line) + if isProse: + prose.append( feats ) + prose_line_numbers.append(i) + else: + nonprose.append( feats ) + nonprose_line_numbers.append(i) # each list of hash tables (one list per line in file) - for row in rows: + #for row in rows: + for row in prose + nonprose: # each hash table (one hash table per word in the line) for features in row: # each key (tuple) pair in hash table (one key per feature) for feature in features: - # assigning a unique number to each feature - # ex. Here are three key,value pairs that go into self.vocab - # (('word_shape4', 'WT-Xx'), 2) - # (('next_pos', 'NNP'), 3) - # (('next_word', 'Date'), 4) - if feature not in self.vocab: - self.vocab[feature] = len(self.vocab) + 1 - - #def tmp_sort(pair1, pair2): - # return pair1[1] - pair2[1] - - #print "self.vocab" - #print self.vocab - #print "\n" + "-" * 80 + "\n" - #for elem in sorted( self.vocab.items(), tmp_sort ) : print elem - #print "\n" + "-" * 80 + "\n" + # assigning a unique number to each (feature,value) pair + if feature not in self.IOB_vocab: + self.IOB_vocab[feature] = len(self.IOB_vocab) + 1 - # A list of a list encodings of concept labels (ex. 'none' => 0) - # [ [0, 0, 0], [0], [0, 0, 0], [0], [0, 0, 0, 0, 0, 2, 2, 0, 1] ] - label_lu = lambda l: Model.labels[l] - labels = [map(label_lu, x) for x in labels] + # IOB labels + # A list of a list encodings of concept labels (ex. 'B' => 1) + # [ [0, 0, 0], [0], [0, 0, 0], [0], [0, 0, 0, 0, 0, 1, 2, 0, 1] ] + label_lu = lambda l: Model.IOBs_labels[l] + chunks = [map(label_lu, x) for x in chunks] - # list of a list of hash tables (all keys & values now numbers) - feat_lu = lambda f: {self.vocab[item]:f[item] for item in f} - rows = [map(feat_lu, x) for x in rows] + feat_lu = lambda f: {self.IOB_vocab[item]:f[item] for item in f} + prose = [map(feat_lu, x) for x in prose] + nonprose = [map(feat_lu, x) for x in nonprose] - libml.write_features(self.filename, rows, labels, self.type) + # Segregate chunks into 'Prose CHUNKS' and 'Nonprose CHUNKS' + prose_ind = 0 + nonprose_ind = 0 + pchunks = [] + nchunks = [] + p_end_flag = False + n_end_flag = False + for i,line in enumerate(chunks): + if (not p_end_flag) and (i == prose_line_numbers[prose_ind]): + pchunks.append(line) + prose_ind += 1 + if prose_ind == len(prose_line_numbers): p_end_flag = True + elif (not n_end_flag) and (i == nonprose_line_numbers[nonprose_ind]): + nchunks.append(line) + nonprose_ind += 1 + if nonprose_ind == len(nonprose_line_numbers): n_end_flag = True + else: + # Should never really get here + print 'Line #%d is neither prose nor nonprose!' % i + print line, '\n' + + + prose_model = self.filename + '1' + nonprose_model = self.filename + '2' + + libml.write_features( prose_model, prose, pchunks, self.type) + libml.write_features(nonprose_model, nonprose, nchunks, self.type) + + libml.train( prose_model, self.type) + libml.train(nonprose_model, self.type) + + + #################### + # Second Pass # + #################### + + + # IOB labels + # undo encodings of concept labels (ex. 1 => 'B') + label_lu = lambda l: Model.reverse_IOBs_labels[l] + chunks = [map(label_lu, x) for x in chunks] + + + # Merge 'B' words with its 'I's (and account for minor change in indices) + tmp = feat_obj.generate_chunks(data,chunks,labels) + + # text_chunks - a merged text (highly similiar to data, except merged) + # concept_chunks - one-to-one concept classification with text_chunks + # hits - one-to-one concept token indices with text_chunks + text_chunks, concept_chunks, hits = tmp + + + # rows is a list of a list of hash tables + # it is used for holding the features that will be used for training + rows = [] + text_matches = [] + concept_matches = [] + for hit in hits: + i,j = hit + rows.append(feat_obj.concept_features(text_chunks[i], j)) + + text_matches.append(text_chunks[i][j]) + concept_matches.append(concept_chunks[i][j]) + + + # each hash table (one hash table per word in the line) + for features in rows: + # each key (tuple) pair in hash table (one key per feature) + for feature in features: + # assigning a unique number to each (feature,value) pair + if feature not in self.concept_vocab: + self.concept_vocab[feature] = len(self.concept_vocab) + 1 + + + # Encode concept labels to numbers (ex. 'treatment' => 1) + # NOTE: There are no longer 'none' classifications + # ex. [1,2,1] + labels = [] + for con in concept_matches: + #print con + tmp = Model.labels[con] + labels.append(tmp) + + + # Purpose: Encode something like ('chunk', 'rehabilitation') as a unique + # number, as determined by the self.concept_vocab hash table + #feat_lu = lambda f: {self.concept_vocab[item]:f[item] for item in f} + #rows = [map(feat_lu, x) for x in rows] + tmp_rows = [] + for fdict in rows: + #print fdict + tmp = {self.concept_vocab[key]:fdict[key] for key in fdict} + tmp_rows.append(tmp) + rows = tmp_rows + + # Write second pass model to file + second_pass_model = self.filename + '3' + libml.write_features(second_pass_model, [rows], [labels], self.type) + libml.train(second_pass_model, self.type) + + + # Pickle dump with open(self.filename, "w") as model: pickle.dump(self, model) - # Train the model - libml.train(self.filename, self.type) @@ -162,357 +230,228 @@ def predict(self, note): # data - A list of list of the medical text's words data = note.txtlist() - # rows <- list of a list of hash tables - # each list of hash tables (one list per line in file) - # each hash table (one hash table per word in the line) - # each key (tuple) pair in hash table (one key per feature) - rows = [] - for sentence in data: - rows.append(self.features_for_sentence(sentence)) + # A wrapper for features + feat_obj = clicon_features.FeatureWrapper(data) + + # prose and nonprose - each store a list of sentence feature dicts + prose = [] + nonprose = [] + prose_line_numbers = [] + nonprose_line_numbers = [] + for i,line in enumerate(data): + # returns both the feature dict AND whether the sentence was prose + isProse,feats = feat_obj.IOB_features_for_sentence(line) + if isProse: + prose.append( feats ) + prose_line_numbers.append(i) + else: + nonprose.append( feats ) + nonprose_line_numbers.append(i) + + + # FIXME + # Not sure if this should be reset, but it makes sense to me to do it + # But why is it a data member if it shouldnt persist + self.IOB_vocab = {} + + # Create a mapping of each (feature,value) pair to a unique number + for row in prose + nonprose: + for features in row: + for feature in features: + if feature not in self.IOB_vocab: + self.IOB_vocab[feature] = len(self.IOB_vocab) + 1 - feat_lu = lambda f: {self.vocab[item]:f[item] for item in f if item in self.vocab} - rows = [map(feat_lu, x) for x in rows] - libml.write_features(self.filename, rows, None, self.type); + # For applying the (key,value) mapping + feat_lu = lambda f: {self.IOB_vocab[item]:f[item] for item in f if item in self.IOB_vocab} - # Use the trained model to make predictions - libml.predict(self.filename, self.type) + # Prose (predict, and read predictions) + prose = [map(feat_lu, x) for x in prose] + prose_model = self.filename + '1' + + libml.write_features(prose_model, prose, None, self.type); + libml.predict(prose_model, self.type) + + prose_labels_list = libml.read_labels(prose_model, self.type) - # A hash table - # the keys are 1,2,4 (LIN, CRF, and SVM) - # each value is a list of concept labels encodings - labels_list = libml.read_labels(self.filename, self.type) - - print "labels_list" - print labels_list - print "\n" + "-" * 80 + # Nonprose (predict, and read predictions) + nonprose = [map(feat_lu, x) for x in nonprose] + nonprose_model = self.filename + '2' + + libml.write_features(nonprose_model, nonprose, None, self.type); + libml.predict(nonprose_model, self.type) + + nonprose_labels_list = libml.read_labels(nonprose_model, self.type) + + + # Stitch prose and nonprose labels lists together + + labels = [] + prose_ind = 0 + nonprose_ind = 0 + p_end_flag = (len( prose_line_numbers) == 0) + n_end_flag = (len(nonprose_line_numbers) == 0) + labels_list = {} + + for key in [self.type]: + + # Pretty much renaming just for length/readability pruposes + plist = prose_labels_list[key] + nlist = nonprose_labels_list[key] + + for i in range( len(data) ): + if (not p_end_flag) and (i == prose_line_numbers[prose_ind]): + line = plist[0:len(data[i]) ] # Beginning + plist = plist[ len(data[i]):] # The rest + labels += line + prose_ind += 1 + if prose_ind == len(prose_line_numbers): p_end_flag = True + elif (not n_end_flag) and (i == nonprose_line_numbers[nonprose_ind]): + line = nlist[0:len(data[i]) ] # Beginning + nlist = nlist[ len(data[i]):] # The rest + labels += line + nonprose_ind += 1 + if nonprose_ind == len(nonprose_line_numbers): n_end_flag = True + else: + # Shouldn't really get here ever + print 'Line #%d is neither prose nor nonprose!' % i + + labels_list[key] = labels + + + # IOB labels # translate labels_list into a readable format - # ex. change all occurences of 0 -> 'none' + # ex. change all occurences of 1 -> 'B' for t, labels in labels_list.items(): tmp = [] for sentence in data: tmp.append([labels.pop(0) for i in range(len(sentence))]) - tmp[-1] = map(lambda l: l.strip(), tmp[-1]) - tmp[-1] = map(lambda l: Model.reverse_labels[int(l)],tmp[-1]) + tmp[-1]= map(lambda l: l.strip(), tmp[-1]) + tmp[-1]= map(lambda l: Model.reverse_IOBs_labels[int(l)],tmp[-1]) labels_list[t] = tmp - print "labels_list" - print labels_list - print "\n" + "-" * 80 + #print '-'*80 + #print "\nlabels_list" + #print labels_list + #print "\n" + "-" * 80 - # Group classified tokens based on adjacency - nontrivial_concepts = ImmutableSet( ['treatment', 'problem', 'test'] ) - tmp_hash = {} - for t,labels in labels_list.items(): + # Reminder: list of list of words (line-by-line) + text = data - tmp = [] # Stores a list of classifications - # A classification is a 4-tuple: - # (concept, lineno, starttok, endtok) - start_ind = 0 - end_ind = 0 - streak = 0 # To keep count of the streak of classified tokens - for i, concept_line in enumerate(labels): + # List of list of tokens (similar to 'text', but concepts are grouped) + chunked = {1:[], 2:[], 4:[]} - # C-style array indexing. Probably could be done a better way - # used because I needed the ability of lookahead - for j in range(len(concept_line)): - # Non-trivial classification - if concept_line[j] in nontrivial_concepts: - - # Increase size of current streak - streak += 1 - - # lookahead (check if streak will continue) - if (j+1 == len(concept_line))or \ - (concept_line[j] != concept_line[j+1]): - # Add streak - tmp.append((concept_line[j], i+1, j-streak+1, j)) - # Reset count - streak = 0 + # Create tokens of full concept boundaries for second classifier + for t,chunks in labels_list.items(): - tmp_hash[t] = tmp + # Merge 'B' words with its 'I's to form phrased chunks + tmp = feat_obj.generate_chunks(text,chunks) - print tmp_hash - print "\n" + "-" * 80 + # text_chunks - a merged text + # place_holder - ignore. It has a value of [] + # hits - one-to-one concept token indices with text_chunks + text_chunks, place_holder, hits = tmp - # The new labels_list is a translated version - #return labels_list - return tmp_hash + # Store chunked text + chunked[t] = text_chunks + ############################# + # Second Pass # + ############################# - # Model::feature_for_sentence - # - # input: A sentence/line from a medical text file (list of words) - # output: A list of hash tables (one hash table per word) - def features_for_sentence(self, sentence): - # Question! - What do the values of each key,value pair represent? + # Predict classification for chunks + # FIXME - possible error - only predicts on 4 + text_chunks = chunked[4] - #global count - features_list = [] - for word in sentence: - features_list.append(self.features_for_word(word)) + # rows - the format for representing feats for machine learning + # text_matches - the phrase chunks corresponding to classifications + rows = [] + text_matches = [] + for hit in hits: + i,j = hit + rows.append(feat_obj.concept_features(text_chunks[i], j)) + text_matches.append(text_chunks[i][j]) - tags = None - for feature in Model.sentence_features: - if feature not in self.enabled_features: - continue + # FIXME + # Not sure if this should be reset, but it makes sense to me to do it + # But why is it a data member if it shouldnt persist + self.concept_vocab = {} - if feature == "pos": - - tags = tags or nltk.pos_tag(sentence) - - for i, features in enumerate(features_list): - tag = tags[i][1] - features[(feature, tag)] = 1 - - #if count == 0: - # print "tags" - # print tags - # print "\n" + "-" * 80 + "\n" - # print "feature_list\n" - # for it in features_list: - # for elem in sorted(it.items(),my_sort) : print elem - # print "" - # print "\n" + "-" * 80 + "\n" - - if feature == "stem_wordnet": - tags = tags or nltk.pos_tag(sentence) - morphy_tags = { - 'NN':nltk.corpus.reader.wordnet.NOUN, - 'JJ':nltk.corpus.reader.wordnet.ADJ, - 'VB':nltk.corpus.reader.wordnet.VERB, - 'RB':nltk.corpus.reader.wordnet.ADV} - morphy_tags = [(w, morphy_tags.setdefault(t[:2], nltk.corpus.reader.wordnet.NOUN)) for w,t in tags] - st = nltk.stem.WordNetLemmatizer() - for i, features in enumerate(features_list): - tag = morphy_tags[i] - features[(feature, st.lemmatize(*tag))] = 1 - - if feature == "test_result": - for index, features in enumerate(features_list): - right = " ".join([w for w in sentence[index:]]) - if self.is_test_result(right): - features[(feature, None)] = 1 - - - ngram_features = [{} for i in range(len(features_list))] - if "prev" in self.enabled_features: - prev = lambda f: {("prev_"+k[0], k[1]): v for k,v in f.items()} - prev_list = map(prev, features_list) - for i in range(len(features_list)): - if i == 0: - ngram_features[i][("prev", "*")] = 1 - else: - ngram_features[i].update(prev_list[i-1]) - - if "next" in self.enabled_features: - next = lambda f: {("next_"+k[0], k[1]): v for k,v in f.items()} - next_list = map(next, features_list) - for i in range(len(features_list)): - if i == len(features_list) - 1: - ngram_features[i][("next", "*")] = 1 - else: - ngram_features[i].update(next_list[i+1]) - - merged = lambda d1, d2: dict(d1.items() + d2.items()) - features_list = [merged(features_list[i], ngram_features[i]) - for i in range(len(features_list))] - - #if count == 0: - # #print "\n" + "-" * 80 - # #print "features_list" - # #for elem in features_list : print elem - # #print "\n" + "-" * 80 - # count = 1 - - return features_list + for features in rows: + for feature in features: + if feature not in self.concept_vocab: + self.concept_vocab[feature] = len(self.concept_vocab) + 1 + # Purpose: Encode something like ('chunk', 'rehabilitation') as a unique + # number, as determined by the self.concept_vocab hash table + tmp_rows = [] + for fdict in rows: + #print fdict + tmp = {self.concept_vocab[key]:fdict[key] for key in fdict} + tmp_rows.append(tmp) + rows = tmp_rows - # input: a single word, like - # Admission - # output: A hash table of features - # features include: word, length, mitre, stem_porter - def features_for_word(self, word): + # Predict using model + second_pass_model = self.filename + '3' + libml.write_features(second_pass_model, [rows], None, self.type); + libml.predict(second_pass_model, self.type) + second_pass_labels_list = libml.read_labels(second_pass_model, self.type) - #global count2 - features = {'dummy':1} # always have >0 dimensions + # FIXME - I probably shouldn't have to do this + # I don't know why it doesn't use all ML libs + for t in [1,2,4]: + if t not in second_pass_labels_list: + second_pass_labels_list[t] = [] - # word_shape, word, length, mitre, stem_porter, stem_lancaster - for feature in Model.word_features: - # word_shape, test_result, word, pos, next, length, stem_wordnet, mitre, stem_porter, prev, stem_lancaster - if feature not in self.enabled_features: + # translate labels_list into a readable format + # ex. change all occurences of 0 -> 'none' + for t, labels in second_pass_labels_list.items(): + + if labels == []: + # FIXME - this means that there are ML libs not being used + #print '\nNot predicting on: ', t, '\n' continue - if feature == "word": - features[(feature, word)] = 1 - - if feature == "length": - features[(feature, None)] = len(word) - - if feature == "mitre": - for f in Model.mitre_features: - if re.search(Model.mitre_features[f], word): - features[(feature, f)] = 1 - - if feature == "stem_porter": - st = nltk.stem.PorterStemmer() - features[(feature, st.stem(word))] = 1 - - if feature == "stem_lancaster": - st = nltk.stem.LancasterStemmer() - features[(feature, st.stem(word))] = 1 - - if feature == "stem_snowball": - st = nltk.stem.SnowballStemmer("english") - #features[(feature, st.stem(word))] = 1 - - if feature == "word_shape": - wordShapes = getWordShapes(word) - - #if count2 < 3: - # #print "word: ", word - # #print "wordShapes: ", wordShapes - # #print "\n" + "-" * 80 - # print '' - - for i, shape in enumerate(wordShapes): - features[(feature + str(i), shape)] = 1 - - if feature == "metric_unit": - unit = 0 - if self.is_weight(word): - unit = 1 - elif self.is_size(word): - unit = 2 - features[(feature, None)] = unit - - # look for prognosis locaiton - #if feature == "radial_loc": - # THIS MIGHT BE BUGGED - # if self.is_prognosis_location(word): - # features[(feature, None)] = 1 - - if feature == "has_problem_form": - if self.has_problem_form(word): - features[(feature, None)] = 1 - - if feature == "def_class": - features[(feature, None)] = self.get_def_class(word) - - #if count2 < 3: - # count2 += 1 - - return features - - - - mitre_features = { - "INITCAP" : r"^[A-Z].*$", - "ALLCAPS" : r"^[A-Z]+$", - "CAPSMIX" : r"^[A-Za-z]+$", - "HASDIGIT" : r"^.*[0-9].*$", - "SINGLEDIGIT" : r"^[0-9]$", - "DOUBLEDIGIT" : r"^[0-9][0-9]$", - "FOURDIGITS" : r"^[0-9][0-9][0-9][0-9]$", - "NATURALNUM" : r"^[0-9]+$", - "REALNUM" : r"^[0-9]+.[0-9]+$", - "ALPHANUM" : r"^[0-9A-Za-z]+$", - "HASDASH" : r"^.*-.*$", - "PUNCTUATION" : r"^[^A-Za-z0-9]+$", - "PHONE1" : r"^[0-9][0-9][0-9]-[0-9][0-9][0-9][0-9]$", - "PHONE2" : r"^[0-9][0-9][0-9]-[0-9][0-9][0-9]-[0-9][0-9][0-9][0-9]$", - "FIVEDIGIT" : r"^[0-9][0-9][0-9][0-9][0-9]", - "NOVOWELS" : r"^[^AaEeIiOoUu]+$", - "HASDASHNUMALPHA" : r"^.*[A-z].*-.*[0-9].*$ | *.[0-9].*-.*[0-9].*$", - "DATESEPERATOR" : r"^[-/]$", - } - + tmp = [] + for sentence in [text_matches]: + tmp.append([labels.pop(0) for i in range(len(sentence))]) + tmp[-1] = map(lambda l: l.strip(), tmp[-1]) + tmp[-1] = map(lambda l: Model.reverse_labels[int(l)],tmp[-1]) + second_pass_labels_list[t] = tmp - def is_test_result (self, context): - # note: make spaces optional? - regex = r"^[A-Za-z]+( )*(-|--|:|was|of|\*|>|<|more than|less than)( )*[0-9]+(%)*" - if not re.search(regex, context): - return re.search(r"^[A-Za-z]+ was (positive|negative)", context) - return True + # Put predictions into format for Note class to read + retVal = {} + for t in [1,2,4]: - def is_weight (self, word): - regex = r"^[0-9]*(mg|g|milligrams|grams)$" - return re.search(regex, word) - - def is_size (self, word): - regex = r"^[0-9]*(mm|cm|millimeters|centimeters)$" - return re.search(regex, word) + # Skip non-predictions + if second_pass_labels_list[t] == []: continue + + classifications = [] + for hit,concept in zip(hits, second_pass_labels_list[t][0]): + i,j = hit + length = len(text_chunks[i][j].split()) + #print (concept, i, j, j+length-1 ) + classifications.append( (concept, i+1, j, j+length-1 ) ) + + retVal[t] = classifications + + + # Return values + return retVal - def is_prognosis_location (self, word): - regex = r"^(c|C)[0-9]+(-(c|C)[0-9]+)*$" - return re.search(regex, word) - - def has_problem_form (self, word): - regex = r".*(ic|is)$" - return re.search(regex, word) - - # checks for a definitive classification at the word level - def get_def_class (self, word): - test_terms = { - "eval", "evaluation", "evaluations", - "sat", "sats", "saturation", - "exam", "exams", - "rate", "rates", - "test", "tests", - "xray", "xrays", - "screen", "screens", - "level", "levels", - "tox" - } - problem_terms = { - "swelling", - "wound", "wounds", - "symptom", "symptoms", - "shifts", "failure", - "insufficiency", "insufficiencies", - "mass", "masses", - "aneurysm", "aneurysms", - "ulcer", "ulcers", - "trama", "cancer", - "disease", "diseased", - "bacterial", "viral", - "syndrome", "syndromes", - "pain", "pains" - "burns", "burned", - "broken", "fractured" - } - treatment_terms = { - "therapy", - "replacement", - "anesthesia", - "supplement", "supplemental", - "vaccine", "vaccines" - "dose", "doses", - "shot", "shots", - "medication", "medicine", - "treament", "treatments" - } - if word.lower() in test_terms: - return 1 - elif word.lower() in problem_terms: - return 2 - elif word.lower() in treatment_terms: - return 3 - return 0 - From d74051ae5349f35bd3576cad94445a668f128bf9 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 18 Feb 2014 16:08:25 -0500 Subject: [PATCH 019/393] Added case for an empty sentence. --- code/clicon_features.py | 8 +++++++- 1 file changed, 7 insertions(+), 1 deletion(-) diff --git a/code/clicon_features.py b/code/clicon_features.py index 4d624a3..691ca00 100644 --- a/code/clicon_features.py +++ b/code/clicon_features.py @@ -156,6 +156,9 @@ def IOB_nonprose_features_for_sentence(self, sentence): #genia_feats = self.next_GENIA_line() #if not genia_feats: genia_feats = self.next_GENIA_line() + # If sentence is empty + if not sentence: return {} + # List of dictionaries of features line_features = [ {('dummy',1):1} for _ in sentence ] @@ -166,7 +169,6 @@ def IOB_nonprose_features_for_sentence(self, sentence): # Feature: QANN uncased word # Feature: Uncased previous word - line_features[0].update( { ( 'prev_word','') : 1} ) line_features[0].update( { ('uncased_prev_word','') : 1} ) for i in range(1,len(sentence)): line_features[i].update( { ('uncased_prev_word',sentence[i-1].lower()) : 1} ) @@ -193,6 +195,10 @@ def IOB_nonprose_features_for_sentence(self, sentence): # output: Boolean yes/no def prose_sentence(self, sentence): + # Empty sentence is not prose + if not sentence: + return False + if sentence[-1] == '.' or sentence[-1] == '?': return True elif sentence[-1] == ':': From 57833d2419944cd920740fbf46bc164eb846acdd Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 18 Feb 2014 16:11:38 -0500 Subject: [PATCH 020/393] Changed some default arguments around --- code/predict.py | 10 ++++++++-- 1 file changed, 8 insertions(+), 2 deletions(-) diff --git a/code/predict.py b/code/predict.py index 66767ec..a684209 100644 --- a/code/predict.py +++ b/code/predict.py @@ -15,12 +15,14 @@ def main(): dest = "input", help = "The input files to predict", default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/test_data/*') + #default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '/home/wboag/ConceptExtraction-master/data/test_data/*') ) parser.add_argument("-o", dest = "output", help = "The directory to write the output", default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/test_predictions') + #default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '/home/wboag/ConceptExtraction-master/data/test_predictions') ) parser.add_argument("-m", @@ -72,9 +74,10 @@ def main(): note = Note() note.read_i2b2(txt) + # Use the model to predict the concept labels # Returns a hash table with: - # keys as 1,2,4 (SVM, LIN, CRF) + # keys as 1,2,4 # values as list of list of concept tokens (one-to-one with dat_list) labels = model.predict(note) @@ -92,11 +95,14 @@ def main(): if t == libml.CRF: helper.mkpath(os.path.join(args.output, "crf")) con_path = os.path.join(path, "crf", con) - + # Output the concept predictions note.write_i2b2(con_path, labels[t]) #note.write_plain(con_path, labels[t]) # in case of plain format + #note.write_BIOs_labels(con_path, labels[t]) + + if __name__ == '__main__': main() From 43919019f4351af8087033161ed69f00ec760222 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 18 Feb 2014 16:14:45 -0500 Subject: [PATCH 021/393] default argument configuration --- code/train.py | 11 ++++------- 1 file changed, 4 insertions(+), 7 deletions(-) diff --git a/code/train.py b/code/train.py index 42697b7..6d67dc6 100644 --- a/code/train.py +++ b/code/train.py @@ -16,22 +16,20 @@ def main(): parser.add_argument("-t", dest = "txt", help = "The files that contain the training examples", - #default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/concept_assertion_relation_training_data/merged/txt/*') - default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/concept_assertion_relation_training_data/beth/txt/record-33.txt') + default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/concept_assertion_relation_training_data/merged/txt/*') ) parser.add_argument("-c", dest = "con", help = "The files that contain the labels for the training examples", - #default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/concept_assertion_relation_training_data/merged/concept/*') - default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/concept_assertion_relation_training_data/beth/concept/record-33.txt') + default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/concept_assertion_relation_training_data/merged/concept/*') ) parser.add_argument("-m", dest = "model", help = "Path to the model that should be generated", #default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../models/awesome.model') - default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../models/run_models/run.model') + default = os.path.join(os.path.dirname(os.path.abspath(__file__)), '../models/run_models/run.model') ) parser.add_argument("-d", @@ -93,7 +91,6 @@ def main(): #training_list.append(txt_files_map[k]) - # What kind of model should be used? (ex. SVM vs. CRF) type = 0 if not args.no_svm: @@ -129,7 +126,7 @@ def main(): # Train the model using the Note's data - model.train(notes[0]) + model.train(notes) if __name__ == '__main__': From 4920886e6c8efbbe16f8f51d19547f2147f536ad Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 18 Feb 2014 16:38:11 -0500 Subject: [PATCH 022/393] trying to put on github --- code/model.py | 6 +++--- 1 file changed, 3 insertions(+), 3 deletions(-) diff --git a/code/model.py b/code/model.py index 10c7d3b..f13a1d4 100644 --- a/code/model.py +++ b/code/model.py @@ -52,9 +52,9 @@ def __init__(self, filename='awesome.model', type=libml.ALL): - # Model::train() - # - # @param note. A Note object that has data for training the model + # Model::train() + # + # @param note. A Note object that has data for training the model def train(self, note): # Get the data and annotations from the Note object From 1a1ce86dafd7df36bb79fe970c75ef08f1aa94d9 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Sat, 1 Mar 2014 14:14:26 -0500 Subject: [PATCH 023/393] Adding UMLS features --- code/SQLookup.py | 38 +++++++++++ code/create_sqliteDB.py | 74 ++++++++++++++++++++ code/umls.py | 146 ++++++++++++++++++++++++++++++++++++++++ code/umls_cache.py | 20 ++++++ 4 files changed, 278 insertions(+) create mode 100644 code/SQLookup.py create mode 100644 code/create_sqliteDB.py create mode 100644 code/umls.py create mode 100644 code/umls_cache.py diff --git a/code/SQLookup.py b/code/SQLookup.py new file mode 100644 index 0000000..fefa13e --- /dev/null +++ b/code/SQLookup.py @@ -0,0 +1,38 @@ +import copy +import sqlite3 +import create_sqliteDB +import os + +WINDOW_SIZE = 7 + +#connect to UMLS database +def SQLConnect(): + + #try to connect to the sqlite database. Make one otherwise + if( os.path.isfile( "../umls_tables/umls.db" ) ): + print "\ndb exists" + db = sqlite3.connect( "../umls_tables/umls.db" ) + else: + print "\ndb doesn't exist" + create_sqliteDB.create_db() + db = sqlite3.connect( "../umls_tables/umls.db" ) + db.text_factory = str + return db.cursor() + +#used in SQlookup, I made this global so SQLConnect is only called once. +c = SQLConnect() + +#searchs umls database for the semantic type of a string +def SQlookup( c , string ): + + #queries database and finds first semantic type match, returns a 1 when a match is found. + c.execute( "SELECT sty FROM MRCON a, MRSTY b WHERE a.cui = b.cui AND str = ? LIMIT 1;" , (string,) ) + + #returns a tuple with the match or None if there was no match. + return c.fetchone() + +#returns the semantic type of a word +def string_lookup( string ): + + return SQlookup( c , string ) + diff --git a/code/create_sqliteDB.py b/code/create_sqliteDB.py new file mode 100644 index 0000000..71d3ef9 --- /dev/null +++ b/code/create_sqliteDB.py @@ -0,0 +1,74 @@ +#database.py creates a .db file for performing umls searches. +import sqlite3 +import sys + +def create_db(): + + print "\ncreating umls.db" + #connect to the .db file we are creating. + conn = sqlite3.connect( "../umls_tables/umls.db" ) + + conn.text_factory = str + + #load data in files. + try: + MRSTY_TABLE = open( ( "../umls_tables/MRSTY"), "r" ) + except IOError: + print "\nNo file to use for creating MRSTY table\n" + conn.close() + sys.exit() + + try: + MRCON_TABLE = open( ("../umls_tables/MRCON") , "r" ) + except IOError: + print "\nNo file to use for creating MRCON table\n" + conn.close() + sys.exit() + + MRSTY_TABLE = MRSTY_TABLE.read() ; + MRSTY_TABLE = MRSTY_TABLE.split('\n') + + MRCON_TABLE = MRCON_TABLE.read() ; + MRCON_TABLE = MRCON_TABLE.split( '\n' ) + + #data that will be inserted into tables. + MRTSY_DATA = [] + MRCON_DATA = [] + + c = conn.cursor() + + #parse and store the data from the files. + for line in MRSTY_TABLE: + MRTSY_DATA.append( tuple(line.split('|')) ) + for line in MRCON_TABLE: + MRCON_DATA.append( tuple(line.split('|')) ) + + #create tables. + c.execute( "CREATE TABLE MRCON( CUI, LAT, TS, LUI, STT, SUI, STR, LRL, EMPTY ) ;" ) + c.execute( "CREATE TABLE MRSTY( CUI, TUI, STY, EMPTY ) ;" ) + + #insert data onto database + for line in MRCON_DATA: + try: + c.execute( "INSERT INTO MRCON( CUI, LAT, TS, LUI, STT, SUI, STR, LRL, EMPTY ) values ( ?, ?, ? ,?, ?,?,?,?,?);", line ) + except sqlite3.ProgrammingError: + continue + for line in MRTSY_DATA: + try: + c.execute( "INSERT INTO MRSTY( CUI, TUI, STY, EMPTY) values( ?, ?, ?, ?)" , line ) + except sqlite3.ProgrammingError: + continue + + #create indices for faster queries + c.execute( "CREATE INDEX mrsty_cui_map ON MRSTY(CUI)") + c.execute( "CREATE INDEX mrcon_str_map ON MRCON(STR)") + c.execute( "CREATE INDEX mrcon_cui_map ON MRCON(CUI)") + + #save changes to .db + conn.commit() + + print "\nsqlite database created" + + #close connection + conn.close() + diff --git a/code/umls.py b/code/umls.py new file mode 100644 index 0000000..0aa842c --- /dev/null +++ b/code/umls.py @@ -0,0 +1,146 @@ +import cPickle as pickle +import SQLookup + +def umls_semantic_type_word( umls_string_cache , sentence ): + + #If the umls semantic type is in the cache use that semantic type otherwise lookup the semantic type and add to the cache. + if umls_string_cache.has_key( sentence ): + mapping = umls_string_cache.get_map( sentence ) + else: + concept = SQLookup.string_lookup( sentence ) + if concept != None: + umls_string_cache.add_map( sentence , concept[0] ) + else: + umls_string_cache.add_map( sentence , None ) + mapping = umls_string_cache.get_map(sentence) + + return mapping + +def umls_semantic_context_of_words( umls_string_cache, sentence ): + + #Defines the largest string span for the sentence. + WINDOW_SIZE = 7 + + #Holds the span of the umls concept of the largest substring that each word in sentence is found in. + umls_context_list = [] + + #Holds the span of the concept for each substring. + #A tuple containing tne beginning and end index of a substring functions as the key and the key is assigned to a umls definition. + concept_span_dict = {} + + #Initialize the umls_context_list with empty lists. Each sublist functions as the mappings for each word. + for i in sentence: + umls_context_list.append( [] ) + + #Creates and finds the span of a umls concept for each possible substring of length 1 to currentWindowSize. + for currentWindowSize in range( 1 , WINDOW_SIZE ): + for ti in range( 0 , ( len(sentence) - currentWindowSize ) + 1 ): + rawstring = "" + for tj in range( ti , ti + currentWindowSize): + rawstring += ( sentence[tj] + " " ) + + #Each string is of length 1 to currentWindowSize. + rawstring = rawstring[0:-1] + + #If the string is not in cache, look the umls concept up and add to the cache. + if not( umls_string_cache.has_key( rawstring ) ): + #SQLookup returns a tuple if there is a result or None is there is not. + concept = SQLookup.string_lookup( rawstring ) + + if concept != None: + umls_string_cache.add_map( rawstring , concept[0] ) + else: + umls_string_cache.add_map( rawstring , None ) + + #Store the concept into concept_span_dict with its span as a key. + concept_span_dict[(ti,ti+currentWindowSize-1)] = umls_string_cache.get_map( rawstring ) + + #For each substring of the sentence if there is a definition obtained from + #SQLookup assign the concept to every word that is within in the substring. + #If the currrent span is a substring update otherwise if it is not a substring add the new found context. + if umls_string_cache.get_map(rawstring) != None: + + for i in range( ti , ti + currentWindowSize ): + + if len( umls_context_list[i] ) == 0: + umls_context_list[i].append( [ ti , ti + currentWindowSize - 1 ] ) + + else: + updated = 0 + for j in umls_context_list[i]: + if j[0] >= ti and j[1] <= ( ti + currentWindowSize - 1 ): + j[0] = ti + j[1] = ( ti + currentWindowSize - 1 ) + updated += 1 + if not(updated): + if umls_context_list[i].count( [ti,ti+currentWindowSize -1] ) == 0 : + umls_context_list[i].append( [ ti , ti +currentWindowSize - 1 ] ) + + #create a list of sublists each sublist represents the contexts for which the word appears in the sentence + mappings = [] + for i in umls_context_list: + spans = i + if len(spans) == 0: + mappings.append( None ) + else: + sub_mappings = [] + for j in spans: + sub_mappings.append( concept_span_dict[tuple(j)]) + mappings.append( list(set(sub_mappings)) ) + + return mappings + +def umls_semantic_type_sentence( cache , sentence ): + #Defines the largest string span for the sentence. + WINDOW_SIZE = 7 + + #holds the mappings for every substring of size 1 to WINDOW_SIZE + mappings = {} + + #Creates and finds the span of a umls concept for each possible substring of length 1 to currentWindowSize. + for currentWindowSize in range( 1 , WINDOW_SIZE ): + for ti in range( 0 , ( len(sentence) - currentWindowSize ) + 1 ): + + rawstring = "" + + for tj in range( ti , ti + currentWindowSize): + rawstring += ( sentence[tj] + " " ) + + #Each string is of length 1 to currentWindowSize. + rawstring = rawstring[0:-1] + + #If the umls semantic type is already in the cache then us the one stored otherwise lookup and add to cache + if cache.has_key( rawstring ): + mappings[rawstring] = cache.get_map( rawstring ) + + else: + + concept = string_lookup( rawstring ) + + if concept != None: + cache.add_map( rawstring , concept[0] ) + else: + cache.add_map( rawstring , None ) + + mappings[rawstring] = cache.get_map( rawstring ) + + size_s = 0 + + phrase = [] + + #get longest sub string with a mapping + for mapping in mappings.iteritems(): + + if( mapping[1] != None ): + if( len( mapping[0] ) > size_s ): + + phrase = [] + phrase.append( mapping[1] ) + size_s = len( mapping[0] ) + continue + if( len(mapping[0]) == size_s ): + phrase.append( mapping[1] ) + + return phrase + + diff --git a/code/umls_cache.py b/code/umls_cache.py new file mode 100644 index 0000000..62fe6f6 --- /dev/null +++ b/code/umls_cache.py @@ -0,0 +1,20 @@ +import cPickle as pickle + +class UmlsCache: + def __init__(self): + try: + self.cache = pickle.load( open( "umls_cache" , "rb" ) ) ; + except IOError: + self.cache = {} + + def has_key( self , string ): + return self.cache.has_key( string ) + + def add_map( self , string, mapping ): + self.cache[string] = mapping + + def get_map( self , string ): + return self.cache[string] + + def __del__(self): + pickle.dump( self.cache, open("umls_cache", "wb" ) ) From 0b10551dca878ef97053488a24808e0fd91f9c5b Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Sat, 1 Mar 2014 14:19:03 -0500 Subject: [PATCH 024/393] Incorporate all features for both 1st and second pass training --- code/clicon_features.py | 538 +++++++++++++++++++++++++++++++--------- 1 file changed, 427 insertions(+), 111 deletions(-) diff --git a/code/clicon_features.py b/code/clicon_features.py index 691ca00..0ba12ed 100644 --- a/code/clicon_features.py +++ b/code/clicon_features.py @@ -14,18 +14,41 @@ import nltk import re +from sets import ImmutableSet +from wordshape import getWordShapes import clicon_genia_interface +from umls_cache import UmlsCache +import umls + + + class FeatureWrapper: + # Feature Enabling + enabled_IOB_prose_sentence_features = ImmutableSet( ['prev_POS', 'pos', 'GENIA'] ) + enabled_IOB_prose_word_features = ImmutableSet( ['Generic#', 'last_two_letters', 'prev_word', 'uncased_prev_word' ] ) + + enabled_IOB_nonprose_sentence_features = ImmutableSet( ['prev_POS'] ) + enabled_IOB_nonprose_word_features = ImmutableSet( ['word', 'uncased_prev_word'] ) + + enabled_concept_features = ImmutableSet( ['chunk', 'unigram', 'first-four-letters', 'stem_wordnet', 'test_result', 'umls_semantic_type_word'] ) + enabled_concept_word_features = ImmutableSet(['word', 'length', 'mitre', 'stem_porter', 'stem_lancaster', 'word_shape']) + + # Run the GENIA tagger on the given data def __init__(self, data): - #self.GENIA_features = clicon_genia_interface.genia(data) - self.GENIA_counter = 0 + + # Only run GENIA tagger if feature is enabled + if 'GENIA' in self.enabled_IOB_prose_sentence_features: + self.GENIA_features = clicon_genia_interface.genia(data) + self.GENIA_counter = 0 + # cache for the mappings of all umls lookups made + self.umls_lookup_cache = UmlsCache() # Iterate through GENIA Tagger features @@ -54,94 +77,160 @@ def IOB_features_for_sentence(self, sentence): # Different features depending on whether sentence is 'prose' if isProse: - line_features = self.IOB_prose_features_for_sentence(sentence) + features_list = self.IOB_prose_features_for_sentence(sentence) else: - line_features = self.IOB_nonprose_features_for_sentence(sentence) + features_list = self.IOB_nonprose_features_for_sentence(sentence) # Return features as well as indication of whether it is prose or not - return (isProse, line_features) + return (isProse, features_list) # IOB_prose_features_for_sentence() # # input: A sentence - # output: A hash table of features + # output: A list of hash tables of features def IOB_prose_features_for_sentence(self, sentence): + features_list = [] - # List of dictionaries of features - line_features = [ {('dummy',1):1} for _ in sentence ] - - # Feature: Generic# stemmed word + # Get a feature set for each word in the sentence for i,word in enumerate(sentence): - generic = re.sub('[0-9]','0',word) - line_features[i].update( { ('Generic#',generic) : 1}) + features_list.append( self.IOB_prose_features_for_word(sentence,i) ) - # Feature: Previous word - line_features[0].update( { ( 'prev_word', '' ) : 1} ) - for i in range(1,len(sentence)): - line_features[i].update( { ('uncased_prev_word',sentence[i-1].lower()) : 1} ) - # Feature Uncased previous word - line_features[0].update( { ('uncased_prev_word', '' ) : 1} ) - for i in range(1,len(sentence)): - line_features[i].update( { ( 'prev_word',sentence[i-1] ) : 1} ) + # Allow for particular features to be enabled + for feature in self.enabled_IOB_prose_sentence_features: - # Feature: Last two leters of word - for word in sentence: - line_features[i].update( { ('last_two_letters',word[-2:]) : 1} ) + # Feature: Previous POS + if feature == 'prev_POS': + pos_tagged = nltk.pos_tag(sentence) + features_list[0].update( {('prev_POS','') : 1} ) + for i in range(1,len(sentence)): + features_list[i].update( {('prev_POS',pos_tagged[i-1]) : 1} ) - # Feature: Previous POS - pos_tagged = nltk.pos_tag(sentence) - line_features[0].update( { ('prev_POS','') : 1} ) - for i in range(1,len(sentence)): - line_features[i].update( { ('prev_POS',pos_tagged[i-1]) : 1} ) - # Feature: 1-token part-of-speech context - for (i,(_,pos)) in enumerate(pos_tagged): - line_features[i].update( { ('pos',pos) : 1} ) + # Feature: 1-token part-of-speech context + if feature == 'pos': + for (i,(_,pos)) in enumerate(pos_tagged): + features_list[i].update( { ('pos',pos) : 1} ) - # Feature: UMLS concept hypernyms + # Feature: UMLS semantic type for the sentence + if feature == 'umls_semantic_type_sentence': - # GENIA features - for i in range(len(sentence)): + # a list of the uml semantic of the largest substring(s). + sentence_mapping = umls.umls_semantic_type_sentence( self.umls_lookup_cache, sentence ) - # FIXME - Do not call GENIA features right now - # (to speed up runtime during development) - continue + # If there are no mappings. + if( len(sentence_mapping) == 0 ): + for i , features in enumerate( features_list): + features[(feature , None ) ] = 1 + # assign the umls definitions to the vector for each word in the sentence. + else: + for i , features in enumerate( features_list): + for concept in sentence_mapping: + features[(feature , concept ) ] = 1 - # Get the GENIA features of the current sentence - genia_feats = self.next_GENIA_line() - if not genia_feats: genia_feats = self.next_GENIA_line() + # Feature: UMLS semantic concext + if feature == 'umls_semantic_context': + + # a list of lists, each sub list contains the umls definition of the largest string the word is in + umls_semantic_context_mappings = umls.umls_semantic_context_of_words( self.umls_lookup_cache , sentence ) + + # assign the umls definitions in the sublists to the vector of the corresponding word + for i , features in enumerate( features_list ): + + #if there are no mappings + if umls_semantic_context_mappings[i] == None: + features[(feature,None)] = 1 + #if there is a mapping, there could be multiple contexts, iterate through the sublist + else: + for mapping in umls_semantic_context_mappings[i]: + features[(feature,mapping)] = 1 + + # GENIA features + if feature == 'GENIA': + # Get the GENIA features of the current sentence + genia_feats = self.next_GENIA_line() + if not genia_feats: genia_feats = self.next_GENIA_line() - # Feature: Current word's GENIA features - keys = ['GENIA-stem','GENIA-POS','GENIA-chunktag'] - curr = genia_feats[i] - output = dict( (('curr-'+k, curr[k]), 1) for k in keys if k in curr) + for i in range(len(sentence)): - # Feature: Previous word's GENIA features - if i: - prev = genia_feats[i] - output = dict( (('prev-'+k, prev[k]), 1) for k in keys if k in prev) - else: - output = dict( (('prev-'+k, ''), 1) for k in keys if k in curr) + # Feature: Current word's GENIA features + keys = ['GENIA-stem','GENIA-POS','GENIA-chunktag'] + curr = genia_feats[i] + output = dict( (('curr-'+k, curr[k]), 1) for k in keys if k in curr) - # Feature: Next word's GENIA stem - # Note: This is done retroactively, updating the previous token - if i > 0: - line_features[i-1].update( {('next-GENIA-stem',curr['GENIA-stem']) : 1} ) - # Do not accidentally skip the final token - if i == (len(sentence) - 1): - line_features[i].update( { ('next-GENIA-stem','') : 1} ) + # Feature: Previous word's GENIA features + if i == 0: + output = dict( (('prev-'+k, ''), 1) for k in keys if k in curr) + else: + prev = genia_feats[i] + output = dict( (('prev-'+k, prev[k]), 1) for k in keys if k in prev) - line_features[i].update(output) + # Feature: Next word's GENIA stem + # Note: This is done by updating the previous token's dict + if i != (len(sentence) - 1): + features_list[i-1].update( {('next-GENIA-stem',curr['GENIA-stem']) : 1} ) + else: + features_list[i].update( { ('next-GENIA-stem','') : 1} ) - # MetaMap semantic type + features_list[i].update(output) - return line_features + return features_list + + + + # IOB_prose_features_for_word() + # + # input: A single word + # output: A dictionary of features + def IOB_prose_features_for_word(self, sentence, i): + + # Abbreviation for most features, + # although some will require index for context + word = sentence[i] + + + # Feature: + features = {'dummy': 1} # always have >0 dimensions + + + # Allow for particular features to be enabled + for feature in self.enabled_IOB_prose_word_features: + + + # Feature: Generic# stemmed word + if feature == 'Generic#': + generic = re.sub('[0-9]','0',word) + features.update( { ('Generic#',generic) : 1 } ) + + + # Feature: Last two leters of word + if feature == 'last_two_letters': + features.update( { ('last_two_letters',word[-2:]) : 1 } ) + + + # Feature: Previous word + if feature == 'prev_word': + if i == 0: + features.update( {('prev_word', '' ) : 1} ) + else: + features.update( {('prev_word', sentence[i-1]) : 1} ) + + + # Feature Uncased previous word + if feature == 'uncased_prev_word': + if i == 0: + features.update( {('uncased_prev_word', '' ) : 1} ) + else: + features.update( {('uncased_prev_word',sentence[i-1].lower()) : 1} ) + + + return features + @@ -152,40 +241,68 @@ def IOB_prose_features_for_sentence(self, sentence): def IOB_nonprose_features_for_sentence(self, sentence): # Get the GENIA features of the current sentence - # The GENIA featurs are not used for nonprose, but it keeps things aligned for the prose - #genia_feats = self.next_GENIA_line() - #if not genia_feats: genia_feats = self.next_GENIA_line() + # (not used for nonprose, but it keeps things aligned for the prose) + if 'GENIA' in self.enabled_IOB_prose_sentence_features: + genia_feats = self.next_GENIA_line() + if not genia_feats: genia_feats = self.next_GENIA_line() # If sentence is empty if not sentence: return {} - # List of dictionaries of features - line_features = [ {('dummy',1):1} for _ in sentence ] + features_list = [] - # Feature: The word, itself + # Get a feature set for each word in the sentence for i,word in enumerate(sentence): - line_features[i].update( { ('word',word.lower()) : 1} ) + features_list.append( self.IOB_prose_features_for_word(sentence,i) ) + + + # Allow for particular features to be enabled + for feature in self.enabled_IOB_nonprose_sentence_features: - # Feature: QANN uncased word + # Feature: Previous POS + if feature == 'prev_POS': + pos_tagged = nltk.pos_tag(sentence) + features_list[0].update( {('prev_POS','') : 1} ) + for i in range(1,len(sentence)): + features_list[i].update( {('prev_POS',pos_tagged[i-1]) : 1} ) - # Feature: Uncased previous word - line_features[0].update( { ('uncased_prev_word','') : 1} ) - for i in range(1,len(sentence)): - line_features[i].update( { ('uncased_prev_word',sentence[i-1].lower()) : 1} ) - # 3-token part-of-speech context + return features_list - # MetaMap semantic type - # MetaMap CUI - # Feature: Previous POS - pos_tagged = nltk.pos_tag(sentence) - line_features[0].update( { ('prev_POS','') : 1} ) - for i in range(1,len(sentence)): - line_features[i].update( { ('prev_POS',pos_tagged[i-1]) : 1} ) + # IOB_nonprose_features_for_word() + # + # input: A single word + # output: A dictionary of features + def IOB_nonprose_features_for_word(self, sentence, i): + + # Abbreviation for most features, + # although some will require index for context + word = sentence[i] + + + # Feature: + features = {'dummy': 1} # always have >0 dimensions + + + # Allow for particular features to be enabled + for feature in self.enabled_IOB_nonprose_word_features: + + # Feature: The word, itself + if feature == 'word': + features.update( { ('word',word.lower()) : 1} ) + + # Feature: Uncased previous word + if feature == 'uncased_prev_word': + if i == 0: + features.update( {('uncased_prev_word','' ) : 1} ) + else: + features.update( {('uncased_prev_word',sentence[i-1].lower()) : 1} ) + + + return features - return line_features @@ -229,7 +346,7 @@ def at_least_half_nonprose(self, sentence): return False - # prose::word() + # prose_word() # # input: A word # output: Boolean yes/no @@ -344,35 +461,234 @@ def generate_chunks(self, data, IOB_tags, labels=None): # output: A list of hash tables (one hash table per word) def concept_features(self, sentence, ind): - retVal = {} - - retVal.update( { ('chunk',sentence[ind]) : 1 } ) - - # Feature: Uncased unigrams - for i,word in enumerate( sentence[ind].split() ): - featname = 'unigram-%d' % i - retVal.update( { (featname, word.lower()) : 1 } ) - - # Feature: First four letters of each word - prefix_list = [ word[0:4] for word in sentence[ind].split() ] - for i,word in enumerate(prefix_list): - featname = 'first-four-letters-%d' % i - retVal.update( { (featname, word) : 1 } ) - - # Feature: Stemmed previous word - - - # Feature: Uncased previous bigram - - - # Feature: Argument type + nearest predicate - - - # Feature: UMLS concept type - - - # Feature Wikipedia concept type + features = {} + + # Get features for each unigram + for i in range(len(sentence[ind])): + features.update( self.concept_features_for_word( sentence[ind], i ) ) + + + # Allow for particular features to be enabled + for feature in self.enabled_IOB_prose_sentence_features: + + # Feature: the chunk itself + if feature == 'chunk': + features.update( { ('chunk',sentence[ind]) : 1 } ) + + # Feature: Uncased unigrams + if feature == 'unigram': + for i,word in enumerate( sentence[ind].split() ): + featname = 'unigram-%d' % i + features.update( { (featname, word.lower()) : 1 } ) + + # Feature: First four letters of each word + if feature == 'first-four-letters': + prefix_list = [ word[:4] for word in sentence[ind].split() ] + for i,word in enumerate(prefix_list): + featname = 'first-four-letters-%d' % i + features.update( { (featname, word) : 1 } ) + + # Feature: UMLS Semantic Type (ignores context) + if feature == 'umls_semantic_type_word': + + # Get a semantic type for each unigram + for i,word in enmuerate(sentence[ind]): + mapping = umls.umls_semantic_type_word(self.umls_lookup_cache , word ) + #If there is no umls semantic type. + featname = 'umls_semantic_type_word"%d' % i + if( mapping == None ): + features[(feature,None)] = 1 + else: + features[(feature , mapping )] = 1 + + # Feature: Stemmed Word + if feature == "stem_wordnet": + tags = tags or nltk.pos_tag(sentence) + morphy_tags = { + 'NN':nltk.corpus.reader.wordnet.NOUN, + 'JJ':nltk.corpus.reader.wordnet.ADJ, + 'VB':nltk.corpus.reader.wordnet.VERB, + 'RB':nltk.corpus.reader.wordnet.ADV} + morphy_tags = [(w, morphy_tags.setdefault(t[:2], nltk.corpus.reader.wordnet.NOUN)) for w,t in tags] + st = nltk.stem.WordNetLemmatizer() + for i, features in enumerate(features_list): + tag = morphy_tags[i] + features[(feature, st.lemmatize(*tag))] = 1 + + # Feature: Test Result + if feature == "test_result": + for index, features in enumerate(features_list): + right = " ".join([w for w in sentence[index:]]) + if self.is_test_result(right): + features[(feature, None)] = 1 + + + return features + + + + # concept_features_for_word() + # + # input: A single word + # output: A dictionary of features + def concept_features_for_word(self, chunk, i): + + # Abbreviation for most features, + # although some will require index for context + word = chunk[i] + + + # Feature: + features = {'dummy': 1} # always have >0 dimensions + + + # word_shape, word, length, mitre, stem_porter, stem_lancaster + for feature in self.enabled_concept_word_features: + + if feature == "word": + features[(feature, word)] = 1 + + if feature == "length": + features[(feature, None)] = len(word) + + if feature == "mitre": + for f in self.mitre_features: + if re.search(self.mitre_features[f], word): + features[(feature, f)] = 1 + + if feature == "stem_porter": + st = nltk.stem.PorterStemmer() + features[(feature, st.stem(word))] = 1 + + if feature == "stem_lancaster": + st = nltk.stem.LancasterStemmer() + features[(feature, st.stem(word))] = 1 + + if feature == "stem_snowball": + st = nltk.stem.SnowballStemmer("english") + features[(feature, st.stem(word))] = 1 + + if feature == "word_shape": + wordShapes = getWordShapes(word) + for i, shape in enumerate(wordShapes): + features[(feature + str(i), shape)] = 1 + + if feature == "metric_unit": + unit = 0 + if self.is_weight(word): + unit = 1 + elif self.is_size(word): + unit = 2 + features[(feature, None)] = unit + + # look for prognosis locaiton + #if feature == "radial_loc": + # THIS MIGHT BE BUGGED + # if is_prognosis_location(word): + # features[(feature, None)] = 1 + + if feature == "has_problem_form": + if self.has_problem_form(word): + features[(feature, None)] = 1 + + if feature == "def_class": + features[(feature, None)] = self.get_def_class(word) + + return features + + + + mitre_features = { + "INITCAP": r"^[A-Z].*$", + "ALLCAPS": r"^[A-Z]+$", + "CAPSMIX": r"^[A-Za-z]+$", + "HASDIGIT": r"^.*[0-9].*$", + "SINGLEDIGIT": r"^[0-9]$", + "DOUBLEDIGIT": r"^[0-9][0-9]$", + "FOURDIGITS": r"^[0-9][0-9][0-9][0-9]$", + "NATURALNUM": r"^[0-9]+$", + "REALNUM": r"^[0-9]+.[0-9]+$", + "ALPHANUM": r"^[0-9A-Za-z]+$", + "HASDASH": r"^.*-.*$", + "PUNCTUATION": r"^[^A-Za-z0-9]+$", + "PHONE1": r"^[0-9][0-9][0-9]-[0-9][0-9][0-9][0-9]$", + "PHONE2": r"^[0-9][0-9][0-9]-[0-9][0-9][0-9]-[0-9][0-9][0-9][0-9]$", + "FIVEDIGIT": r"^[0-9][0-9][0-9][0-9][0-9]", + "NOVOWELS": r"^[^AaEeIiOoUu]+$", + "HASDASHNUMALPHA": r"^.*[A-z].*-.*[0-9].*$ | *.[0-9].*-.*[0-9].*$", + "DATESEPERATOR": r"^[-/]$", + } + + def is_test_result( context): + # note: make spaces optional? + regex = r"^[A-Za-z]+( )*(-|--|:|was|of|\*|>|<|more than|less than)( )*[0-9]+(%)*" + if not re.search(regex, context): + return re.search(r"^[A-Za-z]+ was (positive|negative)", context) + return True - return retVal + def is_weight( word): + regex = r"^[0-9]*(mg|g|milligrams|grams)$" + return re.search(regex, word) + + def is_size( word): + regex = r"^[0-9]*(mm|cm|millimeters|centimeters)$" + return re.search(regex, word) + + def is_prognosis_location( word): + regex = r"^(c|C)[0-9]+(-(c|C)[0-9]+)*$" + return re.search(regex, word) + + def has_problem_form( word): + regex = r".*(ic|is)$" + return re.search(regex, word) + + # checks for a definitive classification at the word level + def get_def_class( word): + test_terms = { + "eval", "evaluation", "evaluations", + "sat", "sats", "saturation", + "exam", "exams", + "rate", "rates", + "test", "tests", + "xray", "xrays", + "screen", "screens", + "level", "levels", + "tox" + } + problem_terms = { + "swelling", + "wound", "wounds", + "symptom", "symptoms", + "shifts", "failure", + "insufficiency", "insufficiencies", + "mass", "masses", + "aneurysm", "aneurysms", + "ulcer", "ulcers", + "trama", "cancer", + "disease", "diseased", + "bacterial", "viral", + "syndrome", "syndromes", + "pain", "pains" + "burns", "burned", + "broken", "fractured" + } + treatment_terms = { + "therapy", + "replacement", + "anesthesia", + "supplement", "supplemental", + "vaccine", "vaccines" + "dose", "doses", + "shot", "shots", + "medication", "medicine", + "treament", "treatments" + } + if word.lower() in test_terms: + return 1 + elif word.lower() in problem_terms: + return 2 + elif word.lower() in treatment_terms: + return 3 + return 0 From 9c54703e3bf8b4d6310388a758e2098a63e27e50 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Sat, 1 Mar 2014 16:23:28 -0500 Subject: [PATCH 025/393] Adding all files to github so Kevin can run it properly --- code/clicon_features.py | 2 +- code/model.py | 27 ++++++++++++++++++--------- code/predict.py | 7 +++++++ code/train.py | 1 - 4 files changed, 26 insertions(+), 11 deletions(-) diff --git a/code/clicon_features.py b/code/clicon_features.py index 0ba12ed..a7c5493 100644 --- a/code/clicon_features.py +++ b/code/clicon_features.py @@ -29,7 +29,7 @@ class FeatureWrapper: # Feature Enabling - enabled_IOB_prose_sentence_features = ImmutableSet( ['prev_POS', 'pos', 'GENIA'] ) + enabled_IOB_prose_sentence_features = ImmutableSet( ['prev_POS', 'pos', 'GENIA', 'umls_semantic_type_sentence', 'umls_semantic_context'] ) enabled_IOB_prose_word_features = ImmutableSet( ['Generic#', 'last_two_letters', 'prev_word', 'uncased_prev_word' ] ) enabled_IOB_nonprose_sentence_features = ImmutableSet( ['prev_POS'] ) diff --git a/code/model.py b/code/model.py index 092e6f9..aafb3d2 100644 --- a/code/model.py +++ b/code/model.py @@ -1,14 +1,13 @@ from __future__ import with_statement import os -import pickle +import cPickle as pickle import helper import libml import clicon_features - class Model: labels = { @@ -287,15 +286,22 @@ def predict(self, note): # Stitch prose and nonprose labels lists together - - labels = [] - prose_ind = 0 - nonprose_ind = 0 - p_end_flag = (len( prose_line_numbers) == 0) - n_end_flag = (len(nonprose_line_numbers) == 0) labels_list = {} - for key in [self.type]: + + # FIXME - incorrect + for key in libml.bits(self.type): + + # FIXME - workaround for key + #if not prose_labels_list[key]: + # labels_list[2] = {} + # continue + + labels = [] + prose_ind = 0 + nonprose_ind = 0 + p_end_flag = (len( prose_line_numbers) == 0) + n_end_flag = (len(nonprose_line_numbers) == 0) # Pretty much renaming just for length/readability pruposes plist = prose_labels_list[key] @@ -327,6 +333,7 @@ def predict(self, note): # translate labels_list into a readable format # ex. change all occurences of 1 -> 'B' for t, labels in labels_list.items(): + if not labels_list[t]: continue tmp = [] for sentence in data: tmp.append([labels.pop(0) for i in range(len(sentence))]) @@ -350,6 +357,8 @@ def predict(self, note): # Create tokens of full concept boundaries for second classifier for t,chunks in labels_list.items(): + # FIXME - workaround + if not labels_list[t]: continue # Merge 'B' words with its 'I's to form phrased chunks tmp = feat_obj.generate_chunks(text,chunks) diff --git a/code/predict.py b/code/predict.py index a4ddc3a..cc2567f 100644 --- a/code/predict.py +++ b/code/predict.py @@ -87,6 +87,12 @@ def main(): con = con[:-3] + 'con' for t in libml.bits(model.type): + + # FIXME - workaround. I'm not sure why it doesnt make some + if t not in labels: + note.write_i2b2(con_path,[]) + continue + if t == libml.SVM: helper.mkpath(os.path.join(args.output, "svm")) con_path = os.path.join(path, "svm", con) @@ -97,6 +103,7 @@ def main(): helper.mkpath(os.path.join(args.output, "crf")) con_path = os.path.join(path, "crf", con) + # Output the concept predictions note.write_i2b2(con_path, labels[t]) #note.write_plain(con_path, labels[t]) # in case of plain format diff --git a/code/train.py b/code/train.py index 4a73b4b..e0e7390 100644 --- a/code/train.py +++ b/code/train.py @@ -13,7 +13,6 @@ def main(): parser = argparse.ArgumentParser() -<<<<<<< HEAD parser.add_argument("-t", dest = "txt", help = "The files that contain the training examples", From b9281614b3d1c1bdefd8e0ad215fb33af639c81a Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Thu, 6 Mar 2014 00:36:41 -0500 Subject: [PATCH 026/393] enabling many features (performance still bad) --- code/model.py | 37 +++++++++++++++++++++++++++++++------ 1 file changed, 31 insertions(+), 6 deletions(-) diff --git a/code/model.py b/code/model.py index aafb3d2..b83518b 100644 --- a/code/model.py +++ b/code/model.py @@ -226,8 +226,9 @@ def train(self, notes): # @param note. A Note object that contains the data def predict(self, note): - # data - A list of list of the medical text's words - data = note.txtlist() + # data - A list of list of the medical text's words + data = note.txtlist() + # A wrapper for features feat_obj = clicon_features.FeatureWrapper(data) @@ -329,6 +330,7 @@ def predict(self, note): labels_list[key] = labels + # IOB labels # translate labels_list into a readable format # ex. change all occurences of 1 -> 'B' @@ -341,6 +343,8 @@ def predict(self, note): tmp[-1]= map(lambda l: Model.reverse_IOBs_labels[int(l)],tmp[-1]) labels_list[t] = tmp + + #print '-'*80 #print "\nlabels_list" #print labels_list @@ -351,7 +355,8 @@ def predict(self, note): text = data # List of list of tokens (similar to 'text', but concepts are grouped) - chunked = {1:[], 2:[], 4:[]} + chunked = {1:[], 2:[], 4:[]} + hits_list = {1:[], 2:[], 4:[]} # Create tokens of full concept boundaries for second classifier @@ -365,11 +370,18 @@ def predict(self, note): # text_chunks - a merged text # place_holder - ignore. It has a value of [] - # hits - one-to-one concept token indices with text_chunks + # hit_tmp - one-to-one concept token indices with text_chunks text_chunks, place_holder, hits = tmp + print '\n'*5 + '-'*80 + '\n'*5 + print hits + for foo,bar in enumerate(text_chunks): + print foo, ': ', bar + print hits + # Store chunked text - chunked[t] = text_chunks + chunked[t] = text_chunks + hits_list[t] = hits ############################# @@ -379,8 +391,10 @@ def predict(self, note): # Predict classification for chunks # FIXME - possible error - only predicts on 4 - text_chunks = chunked[4] + text_chunks = chunked[1] + hits = hits_list[1] + #print labels_list # rows - the format for representing feats for machine learning @@ -393,6 +407,9 @@ def predict(self, note): text_matches.append(text_chunks[i][j]) + #print text_matches + + # FIXME # Not sure if this should be reset, but it makes sense to me to do it # But why is it a data member if it shouldnt persist @@ -413,6 +430,9 @@ def predict(self, note): rows = tmp_rows + #print rows + + # Predict using model second_pass_model = self.filename + '3' libml.write_features(second_pass_model, [rows], None, self.type); @@ -427,6 +447,8 @@ def predict(self, note): second_pass_labels_list[t] = [] + #print second_pass_labels_list + # translate labels_list into a readable format # ex. change all occurences of 0 -> 'none' for t, labels in second_pass_labels_list.items(): @@ -444,6 +466,9 @@ def predict(self, note): second_pass_labels_list[t] = tmp + #print second_pass_labels_list + + # Put predictions into format for Note class to read retVal = {} for t in [1,2,4]: From 9dc0ccff0c23dfd8c3de4dd23ba7ad0a5216403c Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Thu, 6 Mar 2014 00:37:09 -0500 Subject: [PATCH 027/393] enabling many features (performance still bad) --- code/clicon_features.py | 107 +++++++++++++++++++++++++++++----------- 1 file changed, 77 insertions(+), 30 deletions(-) diff --git a/code/clicon_features.py b/code/clicon_features.py index a7c5493..00c6a60 100644 --- a/code/clicon_features.py +++ b/code/clicon_features.py @@ -29,19 +29,27 @@ class FeatureWrapper: # Feature Enabling - enabled_IOB_prose_sentence_features = ImmutableSet( ['prev_POS', 'pos', 'GENIA', 'umls_semantic_type_sentence', 'umls_semantic_context'] ) - enabled_IOB_prose_word_features = ImmutableSet( ['Generic#', 'last_two_letters', 'prev_word', 'uncased_prev_word' ] ) + enabled_IOB_prose_sentence_features = ImmutableSet( ['prev_POS', 'pos', 'stem_wordnet', 'GENIA', 'umls_semantic_type_sentence', 'umls_semantic_context'] ) + enabled_IOB_prose_word_features = ImmutableSet( ['Generic#', 'last_two_letters', 'prev_word', 'uncased_prev_word', 'word','length', 'mitre', 'stem_porter', 'stem_lancaster', 'word_shape' ] ) enabled_IOB_nonprose_sentence_features = ImmutableSet( ['prev_POS'] ) enabled_IOB_nonprose_word_features = ImmutableSet( ['word', 'uncased_prev_word'] ) - enabled_concept_features = ImmutableSet( ['chunk', 'unigram', 'first-four-letters', 'stem_wordnet', 'test_result', 'umls_semantic_type_word'] ) + enabled_concept_sentence_features = ImmutableSet( ['chunk', 'unigram', 'first-four-letters', 'umls_semantic_type_word'] ) + + #stem_wordnet + #test_result + #all features of previous token + #all features of next token + #metric_unit + #has_problem_form + #def_class enabled_concept_word_features = ImmutableSet(['word', 'length', 'mitre', 'stem_porter', 'stem_lancaster', 'word_shape']) - # Run the GENIA tagger on the given data + # Instantiate an FeatureWrapper object def __init__(self, data): - + # Only run GENIA tagger if feature is enabled if 'GENIA' in self.enabled_IOB_prose_sentence_features: self.GENIA_features = clicon_genia_interface.genia(data) @@ -51,6 +59,7 @@ def __init__(self, data): self.umls_lookup_cache = UmlsCache() + # Iterate through GENIA Tagger features def next_GENIA_line(self): @@ -94,38 +103,44 @@ def IOB_prose_features_for_sentence(self, sentence): features_list = [] + # Get a feature set for each word in the sentence for i,word in enumerate(sentence): features_list.append( self.IOB_prose_features_for_word(sentence,i) ) + # Only POS tag once + pos_tagged = [] + + # Allow for particular features to be enabled for feature in self.enabled_IOB_prose_sentence_features: # Feature: Previous POS if feature == 'prev_POS': - pos_tagged = nltk.pos_tag(sentence) + pos_tagged = pos_tagged or nltk.pos_tag(sentence) features_list[0].update( {('prev_POS','') : 1} ) for i in range(1,len(sentence)): features_list[i].update( {('prev_POS',pos_tagged[i-1]) : 1} ) - # Feature: 1-token part-of-speech context + # Feature: Part of Speech if feature == 'pos': + pos_tagged = pos_tagged or nltk.pos_tag(sentence) for (i,(_,pos)) in enumerate(pos_tagged): features_list[i].update( { ('pos',pos) : 1} ) # Feature: UMLS semantic type for the sentence if feature == 'umls_semantic_type_sentence': - # a list of the uml semantic of the largest substring(s). + # a list of the uml semantic of the largest substring(s). sentence_mapping = umls.umls_semantic_type_sentence( self.umls_lookup_cache, sentence ) - # If there are no mappings. + # If there are no mappings. if( len(sentence_mapping) == 0 ): for i , features in enumerate( features_list): - features[(feature , None ) ] = 1 - # assign the umls definitions to the vector for each word in the sentence. + features[(feature , None ) ] = 1 + # assign the umls definitions to the vector for each word in the sentence. else: for i , features in enumerate( features_list): for concept in sentence_mapping: @@ -134,16 +149,16 @@ def IOB_prose_features_for_sentence(self, sentence): # Feature: UMLS semantic concext if feature == 'umls_semantic_context': - # a list of lists, each sub list contains the umls definition of the largest string the word is in - umls_semantic_context_mappings = umls.umls_semantic_context_of_words( self.umls_lookup_cache , sentence ) - - # assign the umls definitions in the sublists to the vector of the corresponding word + # each sub list contains the umls definition of the largest string the word is in + umls_semantic_context_mappings = umls.umls_semantic_context_of_words( self.umls_lookup_cache , sentence ) + + # assign the umls definitions in the sublists to the vector of the corresponding word for i , features in enumerate( features_list ): #if there are no mappings if umls_semantic_context_mappings[i] == None: features[(feature,None)] = 1 - #if there is a mapping, there could be multiple contexts, iterate through the sublist + #if there is a mapping, there could be multiple contexts, iterate through the sublist else: for mapping in umls_semantic_context_mappings[i]: features[(feature,mapping)] = 1 @@ -218,15 +233,47 @@ def IOB_prose_features_for_word(self, sentence, i): if i == 0: features.update( {('prev_word', '' ) : 1} ) else: + #print len(sentence) + #print i features.update( {('prev_word', sentence[i-1]) : 1} ) - # Feature Uncased previous word - if feature == 'uncased_prev_word': - if i == 0: - features.update( {('uncased_prev_word', '' ) : 1} ) - else: - features.update( {('uncased_prev_word',sentence[i-1].lower()) : 1} ) + # FIXME - adding pass two features to pass 1 (good? bad?) + if feature == "word": + features[(feature, word)] = 1 + + if feature == "length": + features[(feature, None)] = len(word) + + if feature == "mitre": + for f in self.mitre_features: + if re.search(self.mitre_features[f], word): + features[(feature, f)] = 1 + + if feature == "stem_porter": + st = nltk.stem.PorterStemmer() + features[(feature, st.stem(word))] = 1 + + if feature == "stem_lancaster": + st = nltk.stem.LancasterStemmer() + features[(feature, st.stem(word))] = 1 + + if feature == "stem_snowball": + st = nltk.stem.SnowballStemmer("english") + features[(feature, st.stem(word))] = 1 + + if feature == "word_shape": + wordShapes = getWordShapes(word) + for j, shape in enumerate(wordShapes): + features[(feature + str(j), shape)] = 1 + + if feature == "metric_unit": + unit = 0 + if self.is_weight(word): + unit = 1 + elif self.is_size(word): + unit = 2 + features[(feature, None)] = unit return features @@ -253,7 +300,7 @@ def IOB_nonprose_features_for_sentence(self, sentence): # Get a feature set for each word in the sentence for i,word in enumerate(sentence): - features_list.append( self.IOB_prose_features_for_word(sentence,i) ) + features_list.append( self.IOB_nonprose_features_for_word(sentence,i) ) # Allow for particular features to be enabled @@ -266,7 +313,6 @@ def IOB_nonprose_features_for_sentence(self, sentence): for i in range(1,len(sentence)): features_list[i].update( {('prev_POS',pos_tagged[i-1]) : 1} ) - return features_list @@ -285,7 +331,7 @@ def IOB_nonprose_features_for_word(self, sentence, i): # Feature: features = {'dummy': 1} # always have >0 dimensions - + # Allow for particular features to be enabled for feature in self.enabled_IOB_nonprose_word_features: @@ -467,9 +513,10 @@ def concept_features(self, sentence, ind): for i in range(len(sentence[ind])): features.update( self.concept_features_for_word( sentence[ind], i ) ) + tags = None # Allow for particular features to be enabled - for feature in self.enabled_IOB_prose_sentence_features: + for feature in self.enabled_concept_sentence_features: # Feature: the chunk itself if feature == 'chunk': @@ -492,9 +539,9 @@ def concept_features(self, sentence, ind): if feature == 'umls_semantic_type_word': # Get a semantic type for each unigram - for i,word in enmuerate(sentence[ind]): - mapping = umls.umls_semantic_type_word(self.umls_lookup_cache , word ) - #If there is no umls semantic type. + for i,word in enumerate(sentence[ind]): + mapping = umls.umls_semantic_type_word(self.umls_lookup_cache , word ) + #If there is no umls semantic type. featname = 'umls_semantic_type_word"%d' % i if( mapping == None ): features[(feature,None)] = 1 @@ -523,6 +570,7 @@ def concept_features(self, sentence, ind): features[(feature, None)] = 1 + return features @@ -691,4 +739,3 @@ def get_def_class( word): return 3 return 0 - From 2230b6b7e3baf2e29fb9049f56585b53ab33fa18 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Thu, 6 Mar 2014 00:37:43 -0500 Subject: [PATCH 028/393] blank-line issue not fixed yet --- code/clicon_genia_interface.py | 2 ++ 1 file changed, 2 insertions(+) diff --git a/code/clicon_genia_interface.py b/code/clicon_genia_interface.py index 8bc0633..03ad3bf 100644 --- a/code/clicon_genia_interface.py +++ b/code/clicon_genia_interface.py @@ -48,6 +48,8 @@ def genia( data ): @return A list of dcitionaries of the genia tagger's output. ''' + # FIXME - crashes when the is an empty line in the file + # FIXME - write list to file and then feed it to GENIA # FIXME - hard coded directory!! From 39f05914c2bef7228d3d33afb48245b9d5abff9c Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 1 Apr 2014 18:47:31 -0400 Subject: [PATCH 029/393] added support for cui and hypernym lookups --- code/SQLookup.py | 38 +++++++++++++++++++++++++++++++++++--- 1 file changed, 35 insertions(+), 3 deletions(-) diff --git a/code/SQLookup.py b/code/SQLookup.py index fefa13e..0e8bec3 100644 --- a/code/SQLookup.py +++ b/code/SQLookup.py @@ -26,13 +26,45 @@ def SQLConnect(): def SQlookup( c , string ): #queries database and finds first semantic type match, returns a 1 when a match is found. - c.execute( "SELECT sty FROM MRCON a, MRSTY b WHERE a.cui = b.cui AND str = ? LIMIT 1;" , (string,) ) + c.execute( "SELECT sty FROM MRCON a, MRSTY b WHERE a.cui = b.cui AND str = ?; " , (string,) ) #returns a tuple with the match or None if there was no match. - return c.fetchone() + #return c.fetchone() + return c.fetchall() #returns the semantic type of a word def string_lookup( string ): - return SQlookup( c , string ) + #return SQlookup( c , string ) + r = SQlookup( c , string ) + + return r + + +# get all semantic types for a given concept +def cui_lookup( string ): + + # queries database and finds semantic type match + c.execute( "SELECT cui FROM MRCON WHERE str = ?;" , (string,) ) + + #returns a tuple with the match or None if there was no match. + return c.fetchall() + + +def hypernyms_lookup( string ): + + c.execute( "SELECT CUI FROM MRCON WHERE STR = ? LIMIT 1 ;" , (string,) ) + + cui = c.fetchone() + + if cui == None: + return None + else: + c.execute( "SELECT CUI2 FROM MRREL WHERE CUI1 = ? AND REL = 'PAR' LIMIT 5 ;" , (cui[0],) ) + result = c.fetchone() + if not result: + return None + else: + return result + From 96af5519547541e167519f3c8c4ef4161919782b Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 1 Apr 2014 18:49:02 -0400 Subject: [PATCH 030/393] added lot of features for each of the three models --- code/clicon_features.py | 805 ++++++++++++++++++++++++++++------------ 1 file changed, 564 insertions(+), 241 deletions(-) diff --git a/code/clicon_features.py b/code/clicon_features.py index 00c6a60..2ad33a9 100644 --- a/code/clicon_features.py +++ b/code/clicon_features.py @@ -24,34 +24,24 @@ - class FeatureWrapper: # Feature Enabling - enabled_IOB_prose_sentence_features = ImmutableSet( ['prev_POS', 'pos', 'stem_wordnet', 'GENIA', 'umls_semantic_type_sentence', 'umls_semantic_context'] ) - enabled_IOB_prose_word_features = ImmutableSet( ['Generic#', 'last_two_letters', 'prev_word', 'uncased_prev_word', 'word','length', 'mitre', 'stem_porter', 'stem_lancaster', 'word_shape' ] ) - - enabled_IOB_nonprose_sentence_features = ImmutableSet( ['prev_POS'] ) - enabled_IOB_nonprose_word_features = ImmutableSet( ['word', 'uncased_prev_word'] ) + enabled_IOB_prose_sentence_features = ImmutableSet( [ 'umls_semantic_type_sentence', 'pos', 'stem_wordnet', 'umls_semantic_context', 'GENIA', 'prev', 'next', 'prev_3_pos'] ) + enabled_IOB_prose_word_features = ImmutableSet( ['Generic#', 'last_two_letters', 'word', 'mitre', 'stem_porter', 'word_shape', 'metric_unit','umls_cui' 'umls_hypernyms' ] ) - enabled_concept_sentence_features = ImmutableSet( ['chunk', 'unigram', 'first-four-letters', 'umls_semantic_type_word'] ) + enabled_IOB_nonprose_sentence_features = ImmutableSet( ['prev_pos', 'pos', 'next_pos', 'test_result', 'umls_semantic_context', 'prev', 'next','prev_3_pos']) + enabled_IOB_nonprose_word_features = ImmutableSet( ['word', 'uncased_prev_word','umls_semantic_type_word', 'word_shape', 'metric_unit', 'mitre', 'directive', 'umls_cui', 'umls_hypernyms'] ) - #stem_wordnet - #test_result - #all features of previous token - #all features of next token - #metric_unit - #has_problem_form - #def_class - enabled_concept_word_features = ImmutableSet(['word', 'length', 'mitre', 'stem_porter', 'stem_lancaster', 'word_shape']) + enabled_concept_features = ImmutableSet( [ 'umls_semantic_type_sentence' , 'umls_semantic_type_word','pos','stem_wordnet', 'test_result', 'word', 'length', 'mitre', 'stem_porter', 'stem_lancaster', 'word_shape','prev','next', 'umls_semantic_context', 'prev_3_pos', 'umls_cui']) # Instantiate an FeatureWrapper object - def __init__(self, data): + def __init__(self, data=None): # Only run GENIA tagger if feature is enabled - if 'GENIA' in self.enabled_IOB_prose_sentence_features: + if (data) and ('GENIA' in self.enabled_IOB_prose_sentence_features): self.GENIA_features = clicon_genia_interface.genia(data) self.GENIA_counter = 0 @@ -82,6 +72,8 @@ def next_GENIA_line(self): # output: A hash table of features def IOB_features_for_sentence(self, sentence): + #return (True,self.IOB_prose_features_for_sentence(sentence)) + isProse = self.prose_sentence(sentence) # Different features depending on whether sentence is 'prose' @@ -102,7 +94,7 @@ def IOB_features_for_sentence(self, sentence): def IOB_prose_features_for_sentence(self, sentence): features_list = [] - + flag = 0 # Get a feature set for each word in the sentence for i,word in enumerate(sentence): @@ -112,18 +104,13 @@ def IOB_prose_features_for_sentence(self, sentence): # Only POS tag once pos_tagged = [] + # Used for 'prev' and 'next' features + ngram_features = [{} for i in range(len(features_list))] + # Allow for particular features to be enabled for feature in self.enabled_IOB_prose_sentence_features: - # Feature: Previous POS - if feature == 'prev_POS': - pos_tagged = pos_tagged or nltk.pos_tag(sentence) - features_list[0].update( {('prev_POS','') : 1} ) - for i in range(1,len(sentence)): - features_list[i].update( {('prev_POS',pos_tagged[i-1]) : 1} ) - - # Feature: Part of Speech if feature == 'pos': pos_tagged = pos_tagged or nltk.pos_tag(sentence) @@ -140,28 +127,53 @@ def IOB_prose_features_for_sentence(self, sentence): if( len(sentence_mapping) == 0 ): for i , features in enumerate( features_list): features[(feature , None ) ] = 1 - # assign the umls definitions to the vector for each word in the sentence. + # assign the umls definitions to the vector for each word else: for i , features in enumerate( features_list): - for concept in sentence_mapping: - features[(feature , concept ) ] = 1 + for concepts in sentence_mapping: + if concepts: + for concept in concepts: + features[(feature,concept[0])] = 1 + else: + features[(feature , None ) ] = 1 # Feature: UMLS semantic concext if feature == 'umls_semantic_context': - # each sub list contains the umls definition of the largest string the word is in + # umls definition of the largest string the word is in umls_semantic_context_mappings = umls.umls_semantic_context_of_words( self.umls_lookup_cache , sentence ) - # assign the umls definitions in the sublists to the vector of the corresponding word + #print umls_semantic_context_mappings + + # assign umls definitions to the each chunk for i , features in enumerate( features_list ): #if there are no mappings if umls_semantic_context_mappings[i] == None: features[(feature,None)] = 1 - #if there is a mapping, there could be multiple contexts, iterate through the sublist + # there could be multiple contexts else: for mapping in umls_semantic_context_mappings[i]: - features[(feature,mapping)] = 1 + for concept in mapping: + features[(feature,concept[0])] = 1 + + # Feature: Previous 3 POSs + if feature == 'prev_3_pos': + pos_tagged = pos_tagged or nltk.pos_tag(sentence) + for i in range(len(sentence)): + if i == 0: + prev_pos = ('*','*','*') + features_list[0].update({(feature,prev_pos) :1}) + elif i == 1: + prev_pos = ('*','*',pos_tagged[0][1]) + features_list[1].update({(feature,prev_pos) :1}) + elif i == 2: + prev_pos = ('*',pos_tagged[0][1],pos_tagged[1][1]) + features_list[2].update({(feature,prev_pos) :1}) + else: + prev_pos = (pos_tagged[i-3][1],pos_tagged[i-2][1],pos_tagged[i-1][1]) + features_list[i].update({(feature,pos_tagged[i-1]):1}) + # GENIA features if feature == 'GENIA': @@ -170,8 +182,12 @@ def IOB_prose_features_for_sentence(self, sentence): genia_feats = self.next_GENIA_line() if not genia_feats: genia_feats = self.next_GENIA_line() + #print genia_feats + for i in range(len(sentence)): + #print i + # Feature: Current word's GENIA features keys = ['GENIA-stem','GENIA-POS','GENIA-chunktag'] curr = genia_feats[i] @@ -192,7 +208,29 @@ def IOB_prose_features_for_sentence(self, sentence): features_list[i].update( { ('next-GENIA-stem','') : 1} ) features_list[i].update(output) + + ngram_features = [{} for i in range(len(features_list))] + if "prev" in self.enabled_IOB_prose_sentence_features: + prev = lambda f: {("prev_"+k[0], k[1]): v for k,v in f.items()} + prev_list = map(prev, features_list) + for i in range(len(features_list)): + if i == 0: + ngram_features[i][("prev", "*")] = 1 + else: + ngram_features[i].update(prev_list[i-1]) + + if "next" in self.enabled_IOB_prose_sentence_features: + next = lambda f: {("next_"+k[0], k[1]): v for k,v in f.items()} + next_list = map(next, features_list) + for i in range(len(features_list)): + if i == len(features_list) - 1: + ngram_features[i][("next", "*")] = 1 + else: + ngram_features[i].update(next_list[i+1]) + merged = lambda d1, d2: dict(d1.items() + d2.items()) + features_list = [merged(features_list[i], ngram_features[i]) + for i in range(len(features_list))] return features_list @@ -233,10 +271,34 @@ def IOB_prose_features_for_word(self, sentence, i): if i == 0: features.update( {('prev_word', '' ) : 1} ) else: - #print len(sentence) - #print i features.update( {('prev_word', sentence[i-1]) : 1} ) + # Feature: UMLS Semantic Types + if feature == 'umls_cui': + + # Get UMLS CUIs (could have multiple) + cuis = umls.get_cui(self.umls_lookup_cache , word) + + # Add each CUI + if cuis: + for cui in cuis: + features[(feature,cui)] = 1 + else: + features[(feature,None)] = 1 + + # Feature: UMLS Hypernyms + if feature == 'umls_hypernyms': + + # Get UMLS hypernyms + hyps = umls.umls_hypernyms(self.umls_lookup_cache,word) + + # Add all hypernyms + if hyps: + #for hyp in hyps: + features[(feature,hyps[0])] = 1 + else: + features[(feature,None)] = 1 + # FIXME - adding pass two features to pass 1 (good? bad?) if feature == "word": @@ -258,23 +320,11 @@ def IOB_prose_features_for_word(self, sentence, i): st = nltk.stem.LancasterStemmer() features[(feature, st.stem(word))] = 1 - if feature == "stem_snowball": - st = nltk.stem.SnowballStemmer("english") - features[(feature, st.stem(word))] = 1 - if feature == "word_shape": wordShapes = getWordShapes(word) for j, shape in enumerate(wordShapes): features[(feature + str(j), shape)] = 1 - if feature == "metric_unit": - unit = 0 - if self.is_weight(word): - unit = 1 - elif self.is_size(word): - unit = 2 - features[(feature, None)] = unit - return features @@ -294,7 +344,7 @@ def IOB_nonprose_features_for_sentence(self, sentence): if not genia_feats: genia_feats = self.next_GENIA_line() # If sentence is empty - if not sentence: return {} + #if not sentence: return {} features_list = [] @@ -302,16 +352,101 @@ def IOB_nonprose_features_for_sentence(self, sentence): for i,word in enumerate(sentence): features_list.append( self.IOB_nonprose_features_for_word(sentence,i) ) + # Only POS tag once + pos_tagged = [] # Allow for particular features to be enabled for feature in self.enabled_IOB_nonprose_sentence_features: # Feature: Previous POS - if feature == 'prev_POS': - pos_tagged = nltk.pos_tag(sentence) - features_list[0].update( {('prev_POS','') : 1} ) - for i in range(1,len(sentence)): - features_list[i].update( {('prev_POS',pos_tagged[i-1]) : 1} ) + if feature == 'prev_pos': + pos_tagged = pos_tagged or nltk.pos_tag(sentence) + for i in range(len(sentence)): + if i == 0: + features_list[0].update({('prev_POS','') :1}) + else: + features_list[i].update({('prev_POS',pos_tagged[i-1]):1}) + + # Feature: Part of Speech + if feature == 'pos': + pos_tagged = pos_tagged or nltk.pos_tag(sentence) + for (i,(_,pos)) in enumerate(pos_tagged): + features_list[i].update( { ('pos',pos) : 1} ) + + # Feature: Previous POS + if feature == 'next_pos': + pos_tagged = pos_tagged or nltk.pos_tag(sentence) + for i in range(len(sentence)): + if i == len(sentence)-1: + features_list[-1].update({('prev_POS','') :1}) + else: + features_list[i].update({('prev_POS',pos_tagged[i-1]):1}) + + # Feature: Test Result (for each chunk) + if feature == "test_result": + for index, features in enumerate(features_list): + right = " ".join([w for w in sentence[index:]]) + if self.is_test_result(right): + features[(feature, None)] = 1 + + # Feature: UMLS semantic context + if feature == 'umls_semantic_context': + # the umls definition of the largest string the word is in + umls_semantic_context_mappings = umls.umls_semantic_context_of_words( self.umls_lookup_cache , sentence ) + + # Semantic contxt of each word + for i in range(len(sentence)): + + #if there are no mappings + if umls_semantic_context_mappings[i] == None: + features_list[i][(feature,None)] = 1 + # there could be multiple contexts + else: + for mapping in umls_semantic_context_mappings[i]: + for concept in mapping: + features_list[i][(feature,concept[0])] = 1 + + # Feature: Previous 3 POSs + if feature == 'prev_3_pos': + pos_tagged = pos_tagged or nltk.pos_tag(sentence) + for i in range(len(sentence)): + if i == 0: + prev_pos = ('*','*','*') + features_list[0].update({(feature,prev_pos) :1}) + elif i == 1: + prev_pos = ('*','*',pos_tagged[0][1]) + features_list[1].update({(feature,prev_pos) :1}) + elif i == 2: + prev_pos = ('*',pos_tagged[0][1],pos_tagged[1][1]) + features_list[2].update({(feature,prev_pos) :1}) + else: + prev_pos = (pos_tagged[i-3][1],pos_tagged[i-2][1],pos_tagged[i-1][1]) + features_list[i].update({(feature,pos_tagged[i-1]):1}) + + + + ngram_features = [{} for i in range(len(features_list))] + if "prev" in self.enabled_IOB_nonprose_sentence_features: + prev = lambda f: {("prev_"+k[0], k[1]): v for k,v in f.items()} + prev_list = map(prev, features_list) + for i in range(len(features_list)): + if i == 0: + ngram_features[i][("prev", "*")] = 1 + else: + ngram_features[i].update(prev_list[i-1]) + + if "next" in self.enabled_IOB_nonprose_sentence_features: + next = lambda f: {("next_"+k[0], k[1]): v for k,v in f.items()} + next_list = map(next, features_list) + for i in range(len(features_list)): + if i == len(features_list) - 1: + ngram_features[i][("next", "*")] = 1 + else: + ngram_features[i].update(next_list[i+1]) + + merged = lambda d1, d2: dict(d1.items() + d2.items()) + features_list = [merged(features_list[i], ngram_features[i]) + for i in range(len(features_list))] return features_list @@ -346,6 +481,81 @@ def IOB_nonprose_features_for_word(self, sentence, i): else: features.update( {('uncased_prev_word',sentence[i-1].lower()) : 1} ) + # Feature: UMLS Semantic Type + if feature == 'umls_semantic_type_word': + # Get a semantic type for each unigram + mapping = umls.umls_semantic_type_word(self.umls_lookup_cache,word ) + + #If there is at least one umls semantic type. + if mapping: + for concept in mapping: + features[('umls_semantic_type_word' , concept )] = 1 + else: + features[('umls_semantic_type_word' , None )] = 1 + + # Feature: UMLS Semantic Types + if feature == 'umls_cui': + # Get UMLS CUIs (could have multiple) + cuis = umls.get_cui(self.umls_lookup_cache , word) + + # Add each CUI + if cuis: + for cui in cuis: + features[(feature,cui)] = 1 + else: + features[(feature,None)] = 1 + + # Feature: UMLS Hypernyms + if feature == 'umls_hypernyms': + + # Get UMLS hypernyms + hyps = umls.umls_hypernyms(self.umls_lookup_cache,word) + + # Add all hypernyms + if hyps: + #for hyp in hyps: + features[(feature,hyps[0])] = 1 + else: + features[(feature,None)] = 1 + + + # Feature: Metric Unit + if feature == "metric_unit": + tests = 3 + unit = 0 + if self.is_weight(word): + unit = 1 / tests + elif self.is_size(word): + unit = 2 / tests + elif self.is_volume(word): + unit = 3 / tests + features[(feature, None)] = unit + + # Feature: Date + if feature == 'date': + if self.is_date(word): + features[(feature,None)] = 1 + else: + features[(feature,None)] = 0 + + # Feature: Directive + if feature == 'directive': + if self.is_directive(word): + features[(feature,None)] = 1 + else: + features[(feature,None)] = 0 + + # Feature: Mitre + if feature == "mitre": + for f in self.mitre_features: + if re.search(self.mitre_features[f], word): + features[(feature, f)] = 1 + + # Feature: Word Shape + if feature == "word_shape": + wordShapes = getWordShapes(word) + for j, shape in enumerate(wordShapes): + features[('word_shape', shape)] = 1 return features @@ -416,233 +626,247 @@ def prose_word(self, word): - # generate_chunks() - # - # input: Three arguments: - # 1) A list of list of word (the data of the file) - # 2) A list of list of IOB tags (one-to-one with list from arg 1) - # 3) A list of list of concepts (one-to-one with list from arg 1) - # + # concept_features() # - # output: A 3-tuple of: - # 1) A list of list of chunks (word token phrases) - # 2) A list of list of concepts (one-to-one with list from ret 1) - # 3) A list of all indices into 1 that have been deemed nontrivial - def generate_chunks(self, data, IOB_tags, labels=None): - - # List of list of tokens (similar to 'text', but concepts are grouped) - text_chunks = [] - - # one-to-one concept classification with text_chunks - if labels: - concept_chunks = [] - else: - concept_chunks = None - - # List of (line,token) pairs for classifications that are nont 'none' - hits = [] - - # Create tokens of full concept boundaries for second classifier - for i, concept_line in enumerate(IOB_tags): - - # One line of 'chunked' - line_of_text_chunks = [] - if labels: line_of_concept_chunks = [] - - # stores the current streak - queue = [] - - # Necessary when multiple concepts are on one line - # The second concept's j index is relative to a word-split array - # The j of the new token should be relative to how chunks there are - chunk_offset = 0 - - # C-style array indexing. Probably could be done a better way. - # Used because I needed the ability of lookahead - for j in range(len(concept_line)): - - # Outside - # concet_line in "012" instead of "IOB" - if concept_line[j] == 'O': - line_of_text_chunks.append(data[i][j]) - if labels: line_of_concept_chunks.append('none') - - # Beginning of a concept boundary - else: - - # Increase size of current streak - queue.append(data[i][j]) - - # lookahead (check if streak will continue) - if (j+1 == len(concept_line))or \ - (concept_line[j+1] != 'I'): # end of classifiation - - # Add full concept token - line_of_text_chunks.append(' '.join(queue)) - if labels: line_of_concept_chunks.append(labels[i][j]) - - # Store indices of detected concept - hits.append( ( i, j + 1-len(queue) - chunk_offset ) ) - - # Reminder: used in the case that a concept follows a - # multi-word concept on the same line - chunk_offset += len(queue) - 1 - - # Reset streak - queue = [] - - text_chunks.append(line_of_text_chunks) - if labels: concept_chunks.append(line_of_concept_chunks) - + # input: A sentence/line from a medical text file (list of chunks) + # An index into the sentence to indentify the given chunk + # output: A hash table of features + def concept_features(self, sentence, ind): - return (text_chunks, concept_chunks, hits) + # Create a list of feature sets (one per chunk) + features = self.concept_features_for_chunk(sentence,ind) + + tags = [] + + # Feature: Previous 3 POSs + if 'prev_3_pos' in self.enabled_concept_features: + tags = tags = nltk.pos_tag(sentence) + if ind == 0: + prev_pos = ('*','*','*') + features[('prev_3_pos',prev_pos)] = 1 + elif ind == 1: + prev_pos = ('*','*',tags[0][1]) + features[('prev_3_pos',prev_pos)] = 1 + elif ind == 2: + prev_pos = ('*',tags[0][1],tags[1][1]) + features[('prev_3_pos',prev_pos)] = 1 + else: + prev_pos = (tags[ind-3][1],tags[ind-2][1],tags[ind-1][1]) + features[('prev_3_pos',prev_pos)] = 1 + + # Feature: UMLS semantic type for the sentence + if 'umls_semantic_type_sentence' in self.enabled_concept_features: + # a list of the uml semantic of the largest substring(s). + sentence_mapping = umls.umls_semantic_type_sentence( self.umls_lookup_cache, sentence ) + + #print sentence_mapping + + # if there are no mappings + if not sentence_mapping: + features[('umls_semantic_type_sentence', None ) ] = 1 + # assign the umls definitions to the vector for each word + else: + + for concept in sentence_mapping: + if concept: + for mapping in concept: + features[('umls_semantic_type_sentence' , mapping[0] ) ] = 1 + else: + features[('umls_semantic_type_sentence' , None ) ] = 1 +# print features + # Feature: Previous Chunks's Features + if "prev" in self.enabled_concept_features: + if ind == 0: + features[("prev", "*")] = 1 + else: + # Get features of previous chunks + prev_features = self.concept_features_for_chunk(sentence,ind-1) + prepend = lambda f: {("prev_"+k[0], k[1]): v for k, v in f.items()} + features.update( prepend(prev_features) ) + + + # Feature: Next Chunk's Features + if "next" in self.enabled_concept_features: + if ind == len(sentence) - 1: + features[("next", "*")] = 1 + else: + # Get features of previous chunks + next_features = self.concept_features_for_chunk(sentence,ind+1) + prepend = lambda f: {("next_"+k[0], k[1]): v for k, v in f.items()} + features.update( prepend(next_features) ) + return features - # concept_features() + # concept_features_for_chunk() # # input: A sentence/line from a medical text file (list of chunks) # An index into the sentence to indentify the given chunk - # output: A list of hash tables (one hash table per word) - def concept_features(self, sentence, ind): + # output: A hash table of features + def concept_features_for_chunk(self, sentence, ind): features = {} - # Get features for each unigram - for i in range(len(sentence[ind])): - features.update( self.concept_features_for_word( sentence[ind], i ) ) + # Feature: + features = {'dummy': 1} # always have >0 dimensions + + # Split the chunked sentence into a list of words for (POS tagger) + split_sentence = [] + split_ind = 0 + for chun in sentence: + for word in chun.split(): + split_sentence.append(word) + split_ind += len(chun.split()) tags = None + # Allow for particular features to be enabled - for feature in self.enabled_concept_sentence_features: + for feature in self.enabled_concept_features: - # Feature: the chunk itself - if feature == 'chunk': - features.update( { ('chunk',sentence[ind]) : 1 } ) + # Feature: Word (each word) + if feature == "word": + for i,word in enumerate(sentence[ind].split()): + featname = 'word-%d' % i + features.update( { (featname,word) : 1} ) - # Feature: Uncased unigrams - if feature == 'unigram': - for i,word in enumerate( sentence[ind].split() ): - featname = 'unigram-%d' % i - features.update( { (featname, word.lower()) : 1 } ) + # Feature: Length (of each word) + if feature == "length": + for i,word in enumerate(sentence[ind].split()): + featname = 'length-%d' % i + features.update( { (featname,None) : len(word)} ) - # Feature: First four letters of each word - if feature == 'first-four-letters': - prefix_list = [ word[:4] for word in sentence[ind].split() ] - for i,word in enumerate(prefix_list): - featname = 'first-four-letters-%d' % i - features.update( { (featname, word) : 1 } ) + # Feature: Mitre (of each word) + if feature == "mitre": + for i,word in enumerate(sentence[ind].split()): + for f in self.mitre_features: + if re.search(self.mitre_features[f], word): + featname = 'mitre' + features.update( { (featname,f) : 1} ) - # Feature: UMLS Semantic Type (ignores context) + # Feature: Porter Stem (of each word) + if feature == "stem_porter": + for i,word in enumerate(sentence[ind].split()): + featname = 'stem_porter-%d' % i + st = nltk.stem.PorterStemmer() + features[(featname, st.stem(word))] = 1 + + # Feature: Lancaster Stem (of each word) + if feature == "stem_lancaster": + for i,word in enumerate(sentence[ind].split()): + featname = 'stem_lancaster-%d' % i + st = nltk.stem.LancasterStemmer() + features[(featname, st.stem(word))] = 1 + + # Feature: Word Shape (of each word) + if feature == "word_shape": + for i,word in enumerate(sentence[ind].split()): + featname = 'word_shape-%d' % i + wordShapes = getWordShapes(word) + for j, shape in enumerate(wordShapes): + features[(featname + str(j), shape)] = 1 + + # Feature: UMLS Semantic Type (for each word) if feature == 'umls_semantic_type_word': # Get a semantic type for each unigram for i,word in enumerate(sentence[ind]): mapping = umls.umls_semantic_type_word(self.umls_lookup_cache , word ) - #If there is no umls semantic type. - featname = 'umls_semantic_type_word"%d' % i - if( mapping == None ): - features[(feature,None)] = 1 + # If is at least one semantic type + featname = 'umls_semantic_type_word-%d' % i + if mapping: + for concept in mapping: + features[(featname, concept )] = 1 else: - features[(feature , mapping )] = 1 + features[(featname , None )] = 1 - # Feature: Stemmed Word - if feature == "stem_wordnet": - tags = tags or nltk.pos_tag(sentence) - morphy_tags = { - 'NN':nltk.corpus.reader.wordnet.NOUN, - 'JJ':nltk.corpus.reader.wordnet.ADJ, - 'VB':nltk.corpus.reader.wordnet.VERB, - 'RB':nltk.corpus.reader.wordnet.ADV} - morphy_tags = [(w, morphy_tags.setdefault(t[:2], nltk.corpus.reader.wordnet.NOUN)) for w,t in tags] - st = nltk.stem.WordNetLemmatizer() - for i, features in enumerate(features_list): - tag = morphy_tags[i] - features[(feature, st.lemmatize(*tag))] = 1 - # Feature: Test Result - if feature == "test_result": - for index, features in enumerate(features_list): - right = " ".join([w for w in sentence[index:]]) - if self.is_test_result(right): - features[(feature, None)] = 1 + # Feature: UMLS Semantic Types + if feature == 'umls_cui': + # Get UMLS CUIs (could have multiple) + cuis = umls.get_cui(self.umls_lookup_cache , word) + # Add each CUI + if cuis: + for cui in cuis: + features[(feature,cui)] = 1 + else: + features[(feature,None)] = 1 + - return features - - - - # concept_features_for_word() - # - # input: A single word - # output: A dictionary of features - def concept_features_for_word(self, chunk, i): - - # Abbreviation for most features, - # although some will require index for context - word = chunk[i] - + # Feature: Part of Speech (of each word) + if feature == "pos": + tags = tags or nltk.pos_tag(split_sentence) + for j,pos_tag in enumerate(tags[ind:ind+len(sentence[ind].split())]): + featname = 'pos-%d' % j + features[(featname, pos_tag[1])] = 1 - # Feature: - features = {'dummy': 1} # always have >0 dimensions + # Feature: Wordnet Stem (for each chunk) + if feature == "stem_wordnet": + tags = tags or nltk.pos_tag(sentence) + morphy_tags = { + 'NN': nltk.corpus.reader.wordnet.NOUN, + 'JJ': nltk.corpus.reader.wordnet.ADJ, + 'VB': nltk.corpus.reader.wordnet.VERB, + 'RB': nltk.corpus.reader.wordnet.ADV} + morphy_tags = [(w, morphy_tags.setdefault(t[:2], nltk.corpus.reader.wordnet.NOUN)) for w, t in tags] + st = nltk.stem.WordNetLemmatizer() + tag = morphy_tags[ind] + features[(feature, st.lemmatize(*tag))] = 1 + # Feature: Test Result (for each chunk) + if feature == "test_result": + right = " ".join([w for w in sentence[ind:]]) + if self.is_test_result(right): + features[(feature, None)] = 1 - # word_shape, word, length, mitre, stem_porter, stem_lancaster - for feature in self.enabled_concept_word_features: + # Feature: UMLS semantic concext + if feature == 'umls_semantic_context': - if feature == "word": - features[(feature, word)] = 1 + # the umls definition of the largest string the word is in + umls_semantic_context_mappings = umls.umls_semantic_context_of_words( self.umls_lookup_cache , sentence ) - if feature == "length": - features[(feature, None)] = len(word) + #if there are no mappings + if umls_semantic_context_mappings[ind] == None: + features[(feature,None)] = 1 + # there could be multiple contexts, iterate through the sublist + else: + for mapping in umls_semantic_context_mappings[ind]: + for concept in mapping: + features[(feature,concept)] = 1 - if feature == "mitre": - for f in self.mitre_features: - if re.search(self.mitre_features[f], word): - features[(feature, f)] = 1 + return features - if feature == "stem_porter": - st = nltk.stem.PorterStemmer() - features[(feature, st.stem(word))] = 1 - if feature == "stem_lancaster": - st = nltk.stem.LancasterStemmer() - features[(feature, st.stem(word))] = 1 - if feature == "stem_snowball": - st = nltk.stem.SnowballStemmer("english") - features[(feature, st.stem(word))] = 1 - if feature == "word_shape": - wordShapes = getWordShapes(word) - for i, shape in enumerate(wordShapes): - features[(feature + str(i), shape)] = 1 + # Features that will be added back in + # + # Currently not used for reversion back to original one-pass + # + # Removed from concept_features() for visual clarity + def concept_features_currently_not_used_features(self): - if feature == "metric_unit": - unit = 0 - if self.is_weight(word): - unit = 1 - elif self.is_size(word): - unit = 2 - features[(feature, None)] = unit + # Feature: the chunk itself + if feature == 'chunk': + features.update( { ('chunk',sentence[ind]) : 1 } ) - # look for prognosis locaiton - #if feature == "radial_loc": - # THIS MIGHT BE BUGGED - # if is_prognosis_location(word): - # features[(feature, None)] = 1 + # Feature: Uncased unigrams + if feature == 'unigram': + for i,word in enumerate( sentence[ind].split() ): + featname = 'unigram-%d' % i + features.update( { (featname, word.lower()) : 1 } ) - if feature == "has_problem_form": - if self.has_problem_form(word): - features[(feature, None)] = 1 + # Feature: First four letters of each word + if feature == 'first-four-letters': + prefix_list = [ word[:4] for word in sentence[ind].split() ] + for i,word in enumerate(prefix_list): + featname = 'first-four-letters-%d' % i + features.update( { (featname, word) : 1 } ) - if feature == "def_class": - features[(feature, None)] = self.get_def_class(word) - return features @@ -667,31 +891,48 @@ def concept_features_for_word(self, chunk, i): "DATESEPERATOR": r"^[-/]$", } - def is_test_result( context): + def is_test_result(self, context): # note: make spaces optional? regex = r"^[A-Za-z]+( )*(-|--|:|was|of|\*|>|<|more than|less than)( )*[0-9]+(%)*" if not re.search(regex, context): return re.search(r"^[A-Za-z]+ was (positive|negative)", context) return True - def is_weight( word): - regex = r"^[0-9]*(mg|g|milligrams|grams)$" + # Try to get QANN features + def is_meaurement(self, word): + regex = r"^[0-9]*(unit(s)|cc|L|mL|dL)$" + return re.search(regex, word) + + def is_directive(self, word): + regex = r"^(q\..*|q..|PRM|bid|prm|p\..*)$" return re.search(regex, word) + + def is_date(self, word): + regex = r'^(\d\d\d\d-\d\d-\d|\d\d?-\d\d?-\d\d\d\d?|\d\d\d\d-\d\d?-\d\d?)$' + return re.search(regex,word) - def is_size( word): + def is_volume(self, word): + regex = r"^[0-9]*(ml|mL|dL)$" + return re.search(regex, word) + + def is_weight(self, word): + regex = r"^[0-9]*(mg|g|mcg|milligrams|grams)$" + return re.search(regex, word) + + def is_size(self, word): regex = r"^[0-9]*(mm|cm|millimeters|centimeters)$" return re.search(regex, word) - def is_prognosis_location( word): + def is_prognosis_location(self, word): regex = r"^(c|C)[0-9]+(-(c|C)[0-9]+)*$" return re.search(regex, word) - def has_problem_form( word): + def has_problem_form(self, word): regex = r".*(ic|is)$" return re.search(regex, word) # checks for a definitive classification at the word level - def get_def_class( word): + def get_def_class(self, word): test_terms = { "eval", "evaluation", "evaluations", "sat", "sats", "saturation", @@ -739,3 +980,85 @@ def get_def_class( word): return 3 return 0 + +# generate_chunks() +# +# input: Three arguments: +# 1) A list of list of word (the data of the file) +# 2) A list of list of IOB tags (one-to-one with list from arg 1) +# 3) A list of list of concepts (one-to-one with list from arg 1) +# +# +# output: A 3-tuple of: +# 1) A list of list of chunks (word token phrases) +# 2) A list of list of concepts (one-to-one with list from ret 1) +# 3) A list of all indices into 1 that have been deemed nontrivial +def generate_chunks(data, IOB_tags, labels=None): + + # List of list of tokens (similar to 'text', but concepts are grouped) + text_chunks = [] + + # one-to-one concept classification with text_chunks + if labels: + concept_chunks = [] + else: + concept_chunks = None + + # List of (line,token) pairs for classifications that are nont 'none' + hits = [] + + # Create tokens of full concept boundaries for second classifier + for i, concept_line in enumerate(IOB_tags): + + # One line of 'chunked' + line_of_text_chunks = [] + if labels: line_of_concept_chunks = [] + + # stores the current streak + queue = [] + + # Necessary when multiple concepts are on one line + # The second concept's j index is relative to a word-split array + # The j of the new token should be relative to how chunks there are + chunk_offset = 0 + + # C-style array indexing. Probably could be done a better way. + # Used because I needed the ability of lookahead + for j in range(len(concept_line)): + + # Outside + # concept_line in "012" instead of "IOB" + if concept_line[j] == 'O': + line_of_text_chunks.append(data[i][j]) + if labels: line_of_concept_chunks.append('none') + + # Beginning of a concept boundary + else: + + # Increase size of current streak + queue.append(data[i][j]) + + # lookahead (check if streak will continue) + if (j+1 == len(concept_line))or \ + (concept_line[j+1] != 'I'): # end of classifiation + + # Add full concept token + line_of_text_chunks.append(' '.join(queue)) + if labels: line_of_concept_chunks.append(labels[i][j]) + + # Store indices of detected concept + hits.append( ( i, j + 1-len(queue) - chunk_offset ) ) + + # Reminder: used in the case that a concept follows a + # multi-word concept on the same line + chunk_offset += len(queue) - 1 + + # Reset streak + queue = [] + + text_chunks.append(line_of_text_chunks) + if labels: concept_chunks.append(line_of_concept_chunks) + + + return (text_chunks, concept_chunks, hits) + From 097b4d3594da8040e3f98b53a298a53029395007 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 1 Apr 2014 18:49:25 -0400 Subject: [PATCH 031/393] added MRREL table for hypernyms --- code/create_sqliteDB.py | 37 +++++++++++++++++++++++++++++++++++-- 1 file changed, 35 insertions(+), 2 deletions(-) diff --git a/code/create_sqliteDB.py b/code/create_sqliteDB.py index 71d3ef9..33b8d5f 100644 --- a/code/create_sqliteDB.py +++ b/code/create_sqliteDB.py @@ -10,6 +10,7 @@ def create_db(): conn.text_factory = str + print "opening files" #load data in files. try: MRSTY_TABLE = open( ( "../umls_tables/MRSTY"), "r" ) @@ -25,27 +26,49 @@ def create_db(): conn.close() sys.exit() - MRSTY_TABLE = MRSTY_TABLE.read() ; + try: + MRREL_TABLE = open( ( "../umls_tables/MRREL") , "r" ) + except IOError: + print "\nNo file to use for creating MRREL table\n" + conn.close() + sys.exit() + + print "reading files" + + MRSTY_TABLE = MRSTY_TABLE.read() MRSTY_TABLE = MRSTY_TABLE.split('\n') - MRCON_TABLE = MRCON_TABLE.read() ; + MRCON_TABLE = MRCON_TABLE.read() MRCON_TABLE = MRCON_TABLE.split( '\n' ) + MRREL_TABLE = MRREL_TABLE.read() + MRREL_TABLE = MRREL_TABLE.split( '\n' ) + #data that will be inserted into tables. MRTSY_DATA = [] MRCON_DATA = [] + MRREL_DATA = [] c = conn.cursor() + print "parsing files" + #parse and store the data from the files. for line in MRSTY_TABLE: MRTSY_DATA.append( tuple(line.split('|')) ) for line in MRCON_TABLE: MRCON_DATA.append( tuple(line.split('|')) ) + for line in MRREL_TABLE: + MRREL_DATA.append( tuple(line.split('|')) ) + + print "creating tables" #create tables. c.execute( "CREATE TABLE MRCON( CUI, LAT, TS, LUI, STT, SUI, STR, LRL, EMPTY ) ;" ) c.execute( "CREATE TABLE MRSTY( CUI, TUI, STY, EMPTY ) ;" ) + c.execute( "CREATE TABLE MRREL( CUI1, REL, CUI2, RELA, SAB, SL, MG, EMPTY ) ;" ) + + print "inserting data" #insert data onto database for line in MRCON_DATA: @@ -58,11 +81,21 @@ def create_db(): c.execute( "INSERT INTO MRSTY( CUI, TUI, STY, EMPTY) values( ?, ?, ?, ?)" , line ) except sqlite3.ProgrammingError: continue + for line in MRREL_DATA: + try: + c.execute( "INSERT INTO MRREL( CUI1, REL, CUI2, RELA, SAB, SL, MG, EMPTY ) values( ?, ?, ?, ?,?, ? ,? ,? )" , line ) + except sqlite3.ProgrammingError: + continue + + print "creating indices" #create indices for faster queries c.execute( "CREATE INDEX mrsty_cui_map ON MRSTY(CUI)") c.execute( "CREATE INDEX mrcon_str_map ON MRCON(STR)") c.execute( "CREATE INDEX mrcon_cui_map ON MRCON(CUI)") + c.execute( "CREATE INDEX mrrel_cui2_map ON MRREL( CUI2 )" ) + c.execute( "CREATE INDEX mrrel_cui1_map on MRREL( CUI1 ) " ) + c.execute( "CREATE INDEX mrrel_rel_map on MRREL( REL )" ) #save changes to .db conn.commit() From e647d0ec60db45804961c213b8d3cfd7128adc4c Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 1 Apr 2014 18:51:47 -0400 Subject: [PATCH 032/393] parameter from grid search --- code/libml.py | 4 ++-- 1 file changed, 2 insertions(+), 2 deletions(-) diff --git a/code/libml.py b/code/libml.py index bc5d2d1..d2e8f09 100644 --- a/code/libml.py +++ b/code/libml.py @@ -174,7 +174,7 @@ def run(self): # print('worker {0} stop.'.format(self.name)) break try: - rate = self.run_one(2.0**cexp,2.0**gexp) + rate = self.run_one(1.0,1e-5) if rate is None: raise RuntimeError("get no rate") except: # we failed, let others do that and we just quit @@ -344,4 +344,4 @@ def read_labels(model_filename, type=ALL): lines = f.readlines() labels[t] = [line.strip() for line in lines] - return labels \ No newline at end of file + return labels From cd96e7a8b9f013aebfb3d6f925fb76453addb13c Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 1 Apr 2014 18:54:45 -0400 Subject: [PATCH 033/393] isolate first and second passes somewhat --- code/model.py | 431 ++++++++++++++++++++++---------------------------- 1 file changed, 185 insertions(+), 246 deletions(-) diff --git a/code/model.py b/code/model.py index b83518b..f688525 100644 --- a/code/model.py +++ b/code/model.py @@ -49,12 +49,12 @@ def __init__(self, filename='awesome.model', type=libml.ALL): self.IOB_vocab = {} self.concept_vocab = {} - - + + # Model::train() # - # @param notes. A Note object that has data for training the model + # @param notes. A list of Note objects that has data for training the model def train(self, notes): # Get the data and annotations from the Note object @@ -63,18 +63,40 @@ def train(self, notes): # labels - A list of list of concepts (1:1 with data) data = [] labels = [] - chunks = [] + bounds = [] for note in notes: data += note.txtlist() labels += note.conlist() - chunks += note.boundlist() + bounds += note.boundlist() # Create object that is a wrapper for the features feat_obj = clicon_features.FeatureWrapper(data) + # First pass + self.first_train(data, labels, bounds, feat_obj) + + # Second pass + self.second_train(data, labels, bounds, feat_obj) + + # Pickle dump + with open(self.filename, "w") as model: + pickle.dump(self, model) + + + + + # Model::train_first() + # + # @param notes. A list of Note objects that has data for training the model + def first_train(self, data, labels, chunks, feat_obj=None): + + # If not given + if not feat_obj: + # Create object that is a wrapper for the features + feat_obj = clicon_features.FeatureWrapper(data) - # IOB tagging + # IOB tagging prose = [] nonprose = [] prose_line_numbers = [] @@ -89,14 +111,10 @@ def train(self, notes): nonprose_line_numbers.append(i) - # each list of hash tables (one list per line in file) - #for row in rows: + # Encode each feature as a unique number for row in prose + nonprose: - # each hash table (one hash table per word in the line) for features in row: - # each key (tuple) pair in hash table (one key per feature) for feature in features: - # assigning a unique number to each (feature,value) pair if feature not in self.IOB_vocab: self.IOB_vocab[feature] = len(self.IOB_vocab) + 1 @@ -111,7 +129,6 @@ def train(self, notes): feat_lu = lambda f: {self.IOB_vocab[item]:f[item] for item in f} prose = [map(feat_lu, x) for x in prose] nonprose = [map(feat_lu, x) for x in nonprose] - # Segregate chunks into 'Prose CHUNKS' and 'Nonprose CHUNKS' prose_ind = 0 @@ -134,30 +151,40 @@ def train(self, notes): print 'Line #%d is neither prose nor nonprose!' % i print line, '\n' - prose_model = self.filename + '1' nonprose_model = self.filename + '2' - libml.write_features( prose_model, prose, pchunks, self.type) - libml.write_features(nonprose_model, nonprose, nchunks, self.type) + # Use CRF + libml.write_features( prose_model, prose, pchunks, libml.CRF) + libml.write_features(nonprose_model, nonprose, nchunks, libml.CRF) - libml.train( prose_model, self.type) - libml.train(nonprose_model, self.type) + libml.train( prose_model, libml.CRF) + libml.train(nonprose_model, libml.CRF) + #libml.write_features( prose_model, prose, pchunks, self.type) + #libml.write_features(nonprose_model, nonprose, nchunks, self.type) - #################### - # Second Pass # - #################### + #libml.train( prose_model, self.type) + #libml.train(nonprose_model, self.type) + # Pickle dump - Done during train(), not first_train() + #with open(self.filename, "w") as model: + # pickle.dump(self, model) - # IOB labels - # undo encodings of concept labels (ex. 1 => 'B') - label_lu = lambda l: Model.reverse_IOBs_labels[l] - chunks = [map(label_lu, x) for x in chunks] + # Model::second_train() + # + # + def second_train(self, data, labels, bounds, feat_obj=None): + + # If not given + if not feat_obj: + # Create object that is a wrapper for the features + feat_obj = clicon_features.FeatureWrapper() + # Merge 'B' words with its 'I's (and account for minor change in indices) - tmp = feat_obj.generate_chunks(data,chunks,labels) + tmp = clicon_features.generate_chunks(data,bounds,labels) # text_chunks - a merged text (highly similiar to data, except merged) # concept_chunks - one-to-one concept classification with text_chunks @@ -168,56 +195,52 @@ def train(self, notes): # rows is a list of a list of hash tables # it is used for holding the features that will be used for training rows = [] - text_matches = [] concept_matches = [] - for hit in hits: - i,j = hit - rows.append(feat_obj.concept_features(text_chunks[i], j)) - - text_matches.append(text_chunks[i][j]) - concept_matches.append(concept_chunks[i][j]) - - - # each hash table (one hash table per word in the line) - for features in rows: - # each key (tuple) pair in hash table (one key per feature) - for feature in features: - # assigning a unique number to each (feature,value) pair - if feature not in self.concept_vocab: - self.concept_vocab[feature] = len(self.concept_vocab) + 1 - - - # Encode concept labels to numbers (ex. 'treatment' => 1) - # NOTE: There are no longer 'none' classifications - # ex. [1,2,1] - labels = [] - for con in concept_matches: - #print con - tmp = Model.labels[con] - labels.append(tmp) + row_line = [] + con_line = [] + for ind in range(len((hits))): + i,j = hits[ind] + + # Get features + + row_line.append(feat_obj.concept_features(text_chunks[i], j)) + + # Corresponding labels (libml encodings of 'treatment','problem',etc) + con_tmp = concept_chunks[i][j] + con_tmp = Model.labels[con_tmp] + con_line.append( con_tmp ) + + if (ind == len(hits)-1) or (i != hits[ind+1][0]): + rows.append(row_line) + row_line = [] + concept_matches.append(con_line) + con_line = [] + + + # Encode each feature as a unique number + for row in rows: + for features in row: + for feature in features: + if feature not in self.concept_vocab: + self.concept_vocab[feature] = len(self.concept_vocab) + 1 # Purpose: Encode something like ('chunk', 'rehabilitation') as a unique # number, as determined by the self.concept_vocab hash table - #feat_lu = lambda f: {self.concept_vocab[item]:f[item] for item in f} - #rows = [map(feat_lu, x) for x in rows] - tmp_rows = [] - for fdict in rows: - #print fdict - tmp = {self.concept_vocab[key]:fdict[key] for key in fdict} - tmp_rows.append(tmp) - rows = tmp_rows + feat_lu = lambda f: {self.concept_vocab[item]: f[item] for item in f} + rows = [map(feat_lu, x) for x in rows] + # Write second pass model to file second_pass_model = self.filename + '3' - libml.write_features(second_pass_model, [rows], [labels], self.type) - libml.train(second_pass_model, self.type) + mtype = libml.LIN + libml.write_features(second_pass_model, rows, concept_matches, mtype) + #libml.write_features(second_pass_model, rows, concept_matches, self.type) - # Pickle dump - with open(self.filename, "w") as model: - pickle.dump(self, model) - + # Train the model + libml.train(second_pass_model, mtype) # Use LIN + #libml.train(second_pass_model, self.type) @@ -229,10 +252,34 @@ def predict(self, note): # data - A list of list of the medical text's words data = note.txtlist() - # A wrapper for features feat_obj = clicon_features.FeatureWrapper(data) + # First Pass + bounds = self.first_predict(data, feat_obj) + + # Merge 'B' words with its 'I's to form phrased chunks + text_chunks, _, hits = clicon_features.generate_chunks(data,bounds) + + # Second Pass + retVal = self.second_predict(text_chunks,hits,feat_obj) + + + return retVal + + + + # Model::first_predit() + # + # @param data. A list of list of words + # @return A list of list of IOB tags + def first_predict(self, data, feat_obj=None): + + # If not given + if not feat_obj: + # Create object that is a wrapper for the features + feat_obj = clicon_features.FeatureWrapper(data) + # prose and nonprose - each store a list of sentence feature dicts prose = [] nonprose = [] @@ -249,19 +296,6 @@ def predict(self, note): nonprose_line_numbers.append(i) - # FIXME - # Not sure if this should be reset, but it makes sense to me to do it - # But why is it a data member if it shouldnt persist - self.IOB_vocab = {} - - # Create a mapping of each (feature,value) pair to a unique number - for row in prose + nonprose: - for features in row: - for feature in features: - if feature not in self.IOB_vocab: - self.IOB_vocab[feature] = len(self.IOB_vocab) + 1 - - # For applying the (key,value) mapping feat_lu = lambda f: {self.IOB_vocab[item]:f[item] for item in f if item in self.IOB_vocab} @@ -270,219 +304,124 @@ def predict(self, note): prose = [map(feat_lu, x) for x in prose] prose_model = self.filename + '1' - libml.write_features(prose_model, prose, None, self.type); - libml.predict(prose_model, self.type) + libml.write_features(prose_model, prose, None, libml.CRF); + libml.predict(prose_model, libml.CRF) - prose_labels_list = libml.read_labels(prose_model, self.type) + prose_labels_list = libml.read_labels(prose_model, libml.CRF)[libml.CRF] # Nonprose (predict, and read predictions) nonprose = [map(feat_lu, x) for x in nonprose] nonprose_model = self.filename + '2' - libml.write_features(nonprose_model, nonprose, None, self.type); - libml.predict(nonprose_model, self.type) - - nonprose_labels_list = libml.read_labels(nonprose_model, self.type) + libml.write_features(nonprose_model, nonprose, None, libml.CRF); + libml.predict(nonprose_model, libml.CRF) + nonprose_labels_list = libml.read_labels(nonprose_model, libml.CRF)[libml.CRF] # Stitch prose and nonprose labels lists together - labels_list = {} - - - # FIXME - incorrect - for key in libml.bits(self.type): - - # FIXME - workaround for key - #if not prose_labels_list[key]: - # labels_list[2] = {} - # continue - - labels = [] - prose_ind = 0 - nonprose_ind = 0 - p_end_flag = (len( prose_line_numbers) == 0) - n_end_flag = (len(nonprose_line_numbers) == 0) + labels = [] + prose_ind = 0 + nonprose_ind = 0 + p_end_flag = (len( prose_line_numbers) == 0) + n_end_flag = (len(nonprose_line_numbers) == 0) - # Pretty much renaming just for length/readability pruposes - plist = prose_labels_list[key] - nlist = nonprose_labels_list[key] + # Pretty much renaming just for length/readability pruposes + plist = prose_labels_list + nlist = nonprose_labels_list - for i in range( len(data) ): - if (not p_end_flag) and (i == prose_line_numbers[prose_ind]): - line = plist[0:len(data[i]) ] # Beginning - plist = plist[ len(data[i]):] # The rest - labels += line - prose_ind += 1 - if prose_ind == len(prose_line_numbers): p_end_flag = True + for i in range( len(data) ): + if (not p_end_flag) and (i == prose_line_numbers[prose_ind]): + line = plist[0:len(data[i]) ] # Beginning + plist = plist[ len(data[i]):] # The rest + labels += line + prose_ind += 1 + if prose_ind == len(prose_line_numbers): p_end_flag = True - elif (not n_end_flag) and (i == nonprose_line_numbers[nonprose_ind]): - line = nlist[0:len(data[i]) ] # Beginning - nlist = nlist[ len(data[i]):] # The rest - labels += line - nonprose_ind += 1 - if nonprose_ind == len(nonprose_line_numbers): n_end_flag = True + elif (not n_end_flag) and (i == nonprose_line_numbers[nonprose_ind]): + line = nlist[0:len(data[i]) ] # Beginning + nlist = nlist[ len(data[i]):] # The rest + labels += line + nonprose_ind += 1 + if nonprose_ind == len(nonprose_line_numbers): n_end_flag = True - else: - # Shouldn't really get here ever - print 'Line #%d is neither prose nor nonprose!' % i - - labels_list[key] = labels + else: + # Shouldn't really get here ever + print 'Line #%d is neither prose nor nonprose!' % i # IOB labels # translate labels_list into a readable format # ex. change all occurences of 1 -> 'B' - for t, labels in labels_list.items(): - if not labels_list[t]: continue - tmp = [] - for sentence in data: - tmp.append([labels.pop(0) for i in range(len(sentence))]) - tmp[-1]= map(lambda l: l.strip(), tmp[-1]) - tmp[-1]= map(lambda l: Model.reverse_IOBs_labels[int(l)],tmp[-1]) - labels_list[t] = tmp - - - - #print '-'*80 - #print "\nlabels_list" - #print labels_list - #print "\n" + "-" * 80 - - - # Reminder: list of list of words (line-by-line) - text = data - - # List of list of tokens (similar to 'text', but concepts are grouped) - chunked = {1:[], 2:[], 4:[]} - hits_list = {1:[], 2:[], 4:[]} - - - # Create tokens of full concept boundaries for second classifier - for t,chunks in labels_list.items(): - - # FIXME - workaround - if not labels_list[t]: continue - - # Merge 'B' words with its 'I's to form phrased chunks - tmp = feat_obj.generate_chunks(text,chunks) - - # text_chunks - a merged text - # place_holder - ignore. It has a value of [] - # hit_tmp - one-to-one concept token indices with text_chunks - text_chunks, place_holder, hits = tmp + tmp = [] + for sentence in data: + tmp.append([labels.pop(0) for i in range(len(sentence))]) + tmp[-1]= map(lambda l: l.strip(), tmp[-1]) + tmp[-1]= map(lambda l: Model.reverse_IOBs_labels[int(l)],tmp[-1]) - print '\n'*5 + '-'*80 + '\n'*5 - print hits - for foo,bar in enumerate(text_chunks): - print foo, ': ', bar - print hits + # list of list of IOB labels + return tmp - # Store chunked text - chunked[t] = text_chunks - hits_list[t] = hits - ############################# - # Second Pass # - ############################# + def second_predict(self ,text_chunks, hits, feat_obj=None): - # Predict classification for chunks - # FIXME - possible error - only predicts on 4 - text_chunks = chunked[1] - hits = hits_list[1] + # If not given + if not feat_obj: + # Create object that is a wrapper for the features + feat_obj = clicon_features.FeatureWrapper() - #print labels_list - - - # rows - the format for representing feats for machine learning - # text_matches - the phrase chunks corresponding to classifications + # rows - the format for representing feats for libml + # concept_matches - labels (ex. 'treatment') encoded for libml rows = [] - text_matches = [] - for hit in hits: - i,j = hit - rows.append(feat_obj.concept_features(text_chunks[i], j)) - text_matches.append(text_chunks[i][j]) + row_line = [] + for ind in range(len((hits))): + i,j = hits[ind] + + # Get features + row_line.append(feat_obj.concept_features(text_chunks[i], j)) + if (ind == len(hits)-1) or (i != hits[ind+1][0]): + rows.append(row_line) + row_line = [] - #print text_matches - - - # FIXME - # Not sure if this should be reset, but it makes sense to me to do it - # But why is it a data member if it shouldnt persist - self.concept_vocab = {} - - for features in rows: - for feature in features: - if feature not in self.concept_vocab: - self.concept_vocab[feature] = len(self.concept_vocab) + 1 # Purpose: Encode something like ('chunk', 'rehabilitation') as a unique # number, as determined by the self.concept_vocab hash table - tmp_rows = [] - for fdict in rows: - #print fdict - tmp = {self.concept_vocab[key]:fdict[key] for key in fdict} - tmp_rows.append(tmp) - rows = tmp_rows - - - #print rows - + feat_lu = lambda f: {self.concept_vocab[item]: f[item] for item in f if item in self.concept_vocab} + rows = [map(feat_lu, x) for x in rows] # Predict using model second_pass_model = self.filename + '3' - libml.write_features(second_pass_model, [rows], None, self.type); + mtype = libml.LIN + libml.write_features(second_pass_model, rows, None, mtype); libml.predict(second_pass_model, self.type) - second_pass_labels_list = libml.read_labels(second_pass_model, self.type) - - - # FIXME - I probably shouldn't have to do this - # I don't know why it doesn't use all ML libs - for t in [1,2,4]: - if t not in second_pass_labels_list: - second_pass_labels_list[t] = [] - - - #print second_pass_labels_list - - # translate labels_list into a readable format - # ex. change all occurences of 0 -> 'none' - for t, labels in second_pass_labels_list.items(): - - if labels == []: - # FIXME - this means that there are ML libs not being used - #print '\nNot predicting on: ', t, '\n' - continue - - tmp = [] - for sentence in [text_matches]: - tmp.append([labels.pop(0) for i in range(len(sentence))]) - tmp[-1] = map(lambda l: l.strip(), tmp[-1]) - tmp[-1] = map(lambda l: Model.reverse_labels[int(l)],tmp[-1]) - second_pass_labels_list[t] = tmp - - - #print second_pass_labels_list + second_pass_labels_list = libml.read_labels(second_pass_model, mtype) # Put predictions into format for Note class to read retVal = {} for t in [1,2,4]: - + # Skip non-predictions - if second_pass_labels_list[t] == []: continue - + if t not in second_pass_labels_list: continue + classifications = [] - for hit,concept in zip(hits, second_pass_labels_list[t][0]): + for hit,concept in zip(hits, second_pass_labels_list[t]): + concept = Model.reverse_labels[int(concept)] i,j = hit - length = len(text_chunks[i][j].split()) - #print (concept, i, j, j+length-1 ) - classifications.append( (concept, i+1, j, j+length-1 ) ) + # Get start position (ex. 7th word of line) + start = 0 + for k in range(len(text_chunks[i])): + if k == j: break; + start += len( text_chunks[i][k].split() ) + + length = len(text_chunks[i][j].split()) + classifications.append( (concept, i, start, start+length-1 ) ) + retVal[t] = classifications From abd0f01288696a76db3f2f92f6449915aebb0cba Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 1 Apr 2014 18:55:24 -0400 Subject: [PATCH 034/393] Change in prediction output representation --- code/note.py | 34 +++++++++++++++++++++++----------- 1 file changed, 23 insertions(+), 11 deletions(-) diff --git a/code/note.py b/code/note.py index 24ba1ec..e85cae4 100644 --- a/code/note.py +++ b/code/note.py @@ -41,11 +41,11 @@ def read_i2b2(self, txt, con=None): # concept prefix, suffix = line.split('||') - txt = prefix.split() - con = suffix[3:-2] + text = prefix.split() + conc = suffix[3:-2] - start = txt[-2].split(':') - end = txt[-1].split(':') + start = text[-2].split(':') + end = text[-1].split(':') assert "concept spans one line", start[0] == end[0] @@ -58,7 +58,7 @@ def read_i2b2(self, txt, con=None): end = int( end[1]) # Add the classification to the Note object - self.classifications.append( (con,l,start,end) ) + self.classifications.append( (conc,l,start,end) ) #print "txt: ", txt #print "l: ", l @@ -67,7 +67,11 @@ def read_i2b2(self, txt, con=None): #print "line: ", self.data[l-1] # Beginning of a concept - self.boundaries[l-1][start] = 'B' + try: + self.boundaries[l-1][start] = 'B' + except: + print 'txt: ', txt + print 'con: ', con # Inside of a concept for i in range(start,end): @@ -101,7 +105,7 @@ def write_i2b2(self, con, labels): continue concept = classification[0] - lineno = classification[1] + lineno = classification[1] + 1 start = classification[2] end = classification[3] @@ -110,8 +114,10 @@ def write_i2b2(self, con, labels): #print "\n" + "-" * 80 #print "start: ", start + #print "end ", end #print "text: ", text #print "text[start]: ", text[start] + #print "concept: ", concept # The text string of words that has been classified datum = text[start] @@ -125,6 +131,10 @@ def write_i2b2(self, con, labels): # Classification label = concept + # Fixing issue involving i2b2 format (remove capitalization) + lowercased = [w.lower() for w in datum.split()] + datum = ' '.join(lowercased) + # Print format print >>f, "c=\"%s\" %s %s||t=\"%s\"" % (datum, idx1, idx2, label) #print "c=\"%s\" %s %s||t=\"%s\"" % (datum, idx1, idx2, label) @@ -137,7 +147,9 @@ def write_i2b2(self, con, labels): # @param labels. A list of list of BIOs labels # # Print the prediction of BIOs concept boundary classification - def write_BIOs_labels(self, _, labels): + def write_BIOs_labels(self, filename, labels): + + fid = open(filename,"w") # List of list of words (line-by-line) text = self.txtlist() @@ -160,9 +172,9 @@ def write_BIOs_labels(self, _, labels): # lookahead (check if streak will continue) if (j+1 == len(concept_line))or \ (concept_line[j+1] != 'I'): - print '%d:%d %d:%d' % (i+1,j-len(queue)+1,i+1,j) - print ' '.join(queue) - print '' + print >>fid, '%d:%d %d:%d' % (i+1,j-len(queue)+1,i+1,j) + print >>fid, ' '.join(queue) + print >>fid, '' # Reset streak queue = [] From da0a4dd5d8d3c4483324667f74fa35670e175cbd Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 1 Apr 2014 18:56:04 -0400 Subject: [PATCH 035/393] disable model selection --- code/predict.py | 20 +++++--------------- 1 file changed, 5 insertions(+), 15 deletions(-) diff --git a/code/predict.py b/code/predict.py index cc2567f..09ea4f1 100644 --- a/code/predict.py +++ b/code/predict.py @@ -15,14 +15,12 @@ def main(): dest = "input", help = "The input files to predict", default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/test_data/*') - #default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '/home/wboag/ConceptExtraction-master/data/test_data/*') ) parser.add_argument("-o", dest = "output", help = "The directory to write the output", default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/test_predictions') - #default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '/home/wboag/ConceptExtraction-master/data/test_predictions') ) parser.add_argument("-m", @@ -58,15 +56,8 @@ def main(): path = args.output helper.mkpath(args.output) - # Determine what type of models to use (ex SVM vs. CRF) + # Load model model = Model.load(args.model) - if args.no_svm: - model.type &= ~libml.SVM - if args.no_lin: - model.type &= ~libml.LIN - if args.no_crf: - model.type &= ~libml.CRF - for txt in files: @@ -80,7 +71,10 @@ def main(): # Returns a hash table with: # keys as 1,2,4 # values as list of list of concept tokens (one-to-one with dat_list) - labels = model.predict(note) + try: + labels = model.predict(note) + except IndexError: # FIXME - Not sure what causes this (something GENIA-related) + continue con = os.path.split(txt)[-1] @@ -90,7 +84,6 @@ def main(): # FIXME - workaround. I'm not sure why it doesnt make some if t not in labels: - note.write_i2b2(con_path,[]) continue if t == libml.SVM: @@ -99,9 +92,6 @@ def main(): if t == libml.LIN: helper.mkpath(os.path.join(args.output, "lin")) con_path = os.path.join(path, "lin", con) - if t == libml.CRF: - helper.mkpath(os.path.join(args.output, "crf")) - con_path = os.path.join(path, "crf", con) # Output the concept predictions From b39d1368d8126b2e5cc164dd731e5abc99d2ebc9 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 1 Apr 2014 18:56:39 -0400 Subject: [PATCH 036/393] add cui and hypernym features --- code/umls.py | 120 ++++++++++++++++++++++++++++++++++++++++++++------- 1 file changed, 104 insertions(+), 16 deletions(-) diff --git a/code/umls.py b/code/umls.py index 0aa842c..1217817 100644 --- a/code/umls.py +++ b/code/umls.py @@ -8,14 +8,22 @@ def umls_semantic_type_word( umls_string_cache , sentence ): mapping = umls_string_cache.get_map( sentence ) else: concept = SQLookup.string_lookup( sentence ) + #print sentence, ' - NOT FOUND' + #print '\t', concept if concept != None: - umls_string_cache.add_map( sentence , concept[0] ) + #umls_string_cache.add_map( sentence , concept[0] ) + umls_string_cache.add_map( sentence , concept ) else: umls_string_cache.add_map( sentence , None ) mapping = umls_string_cache.get_map(sentence) + #print 'umls_semantic_type_word - returning:' + #print mapping + #print '' + return mapping + def umls_semantic_context_of_words( umls_string_cache, sentence ): #Defines the largest string span for the sentence. @@ -45,12 +53,19 @@ def umls_semantic_context_of_words( umls_string_cache, sentence ): #If the string is not in cache, look the umls concept up and add to the cache. if not( umls_string_cache.has_key( rawstring ) ): #SQLookup returns a tuple if there is a result or None is there is not. - concept = SQLookup.string_lookup( rawstring ) + concept = SQLookup.string_lookup( rawstring ) - if concept != None: - umls_string_cache.add_map( rawstring , concept[0] ) +# print concept + + if not concept: + umls_string_cache.add_map( rawstring, None ) else: - umls_string_cache.add_map( rawstring , None ) + umls_string_cache.add_map( rawstring, concept ) ; + +# if concept != None: + # umls_string_cache.add_map( rawstring , concept[0] ) + # else: + # umls_string_cache.add_map( rawstring , None ) #Store the concept into concept_span_dict with its span as a key. concept_span_dict[(ti,ti+currentWindowSize-1)] = umls_string_cache.get_map( rawstring ) @@ -58,7 +73,7 @@ def umls_semantic_context_of_words( umls_string_cache, sentence ): #For each substring of the sentence if there is a definition obtained from #SQLookup assign the concept to every word that is within in the substring. #If the currrent span is a substring update otherwise if it is not a substring add the new found context. - if umls_string_cache.get_map(rawstring) != None: + if umls_string_cache.get_map(rawstring): for i in range( ti , ti + currentWindowSize ): @@ -76,7 +91,13 @@ def umls_semantic_context_of_words( umls_string_cache, sentence ): if umls_context_list[i].count( [ti,ti+currentWindowSize -1] ) == 0 : umls_context_list[i].append( [ ti , ti +currentWindowSize - 1 ] ) + + #print '\t\t', umls_context_list + #create a list of sublists each sublist represents the contexts for which the word appears in the sentence + + # print umls_context_list + mappings = [] for i in umls_context_list: spans = i @@ -86,12 +107,22 @@ def umls_semantic_context_of_words( umls_string_cache, sentence ): sub_mappings = [] for j in spans: sub_mappings.append( concept_span_dict[tuple(j)]) - mappings.append( list(set(sub_mappings)) ) - + #print '\t\t\t', sub_mappings + #print '' + #mappings.append( list(set(sub_mappings)) ) + mappings.append( sub_mappings ) +# print mappings +# print sentence + # print '\t\t\t', mappings + return mappings def umls_semantic_type_sentence( cache , sentence ): + + #print sentence + #Defines the largest string span for the sentence. + WINDOW_SIZE = 7 #holds the mappings for every substring of size 1 to WINDOW_SIZE @@ -117,21 +148,28 @@ def umls_semantic_type_sentence( cache , sentence ): concept = string_lookup( rawstring ) - if concept != None: - cache.add_map( rawstring , concept[0] ) + #cache.add_map( rawstring , concept ) + + if concept: + cache.add_map( rawstring , concept ) else: - cache.add_map( rawstring , None ) + cache.add_map( rawstring , [] ) mappings[rawstring] = cache.get_map( rawstring ) - +# print "rawstring: ", rawstring + # print "mappings: " ,mappings[rawstring] size_s = 0 phrase = [] - #get longest sub string with a mapping - for mapping in mappings.iteritems(): + + #print "mappings: " , mappings + #get longest sub string with a mapping - if( mapping[1] != None ): + for mapping in mappings.iteritems(): + #print mapping + if( mapping[1] ): + # print mapping if( len( mapping[0] ) > size_s ): phrase = [] @@ -140,7 +178,57 @@ def umls_semantic_type_sentence( cache , sentence ): continue if( len(mapping[0]) == size_s ): phrase.append( mapping[1] ) - + +# print "phrase: " , phrase +# print phrase return phrase + +# Get the semantic types for a given word +def get_cui( cache , word ): + + # If hypernyms already in cache + if cache.has_key( word + '--cuis' ): + + cuis = cache.get_map( word + '--cuis' ) + + else: + + # Get cui + cuis = SQLookup.cui_lookup(word) + + # Eliminate duplicates + cuis = list(set(cuis)) + cuis = [c[0] for c in cuis] + + # Store result in cache + cache.add_map( word + '--cuis', cuis ) + + return cuis + + + +# Get the hypernyms of a string +def umls_hypernyms( cache, string ): + + # If hypernyms already in cache + if cache.has_key( string + '--hypernyms' ): + + hyps = cache.get_map( string + '--hypernyms' ) + + else: + + # Get hypernyms + hyps = SQLookup.hypernyms_lookup(string) + + # Eliminate duplicates + #hyps = list(set(hyps)) + #hyps = [cui[0] for cui in hyps] + #hyps = hyps[0] + + # Store result in cache + cache.add_map( string + '--hypernyms' , hyps ) + + return hyps + 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clicon/web/templates/layout.html diff --git a/code/web/templates/result.html b/clicon/web/templates/result.html similarity index 100% rename from code/web/templates/result.html rename to clicon/web/templates/result.html diff --git a/code/wordshape.py b/clicon/wordshape.py similarity index 100% rename from code/wordshape.py rename to clicon/wordshape.py From 80ed6622b8b80b631b3b14a27c2437c2b275d709 Mon Sep 17 00:00:00 2001 From: Tristan Naumann Date: Tue, 15 Apr 2014 15:12:19 -0400 Subject: [PATCH 038/393] Removing web demo support. --- clicon/web.py | 4 - clicon/web/__init__.py | 1 - clicon/web/app.py | 75 - .../bootstrap/css/bootstrap-responsive.css | 1092 --- .../css/bootstrap-responsive.min.css | 9 - clicon/web/static/bootstrap/css/bootstrap.css | 6039 ----------------- .../static/bootstrap/css/bootstrap.min.css | 9 - .../img/glyphicons-halflings-white.png | Bin 8777 -> 0 bytes .../bootstrap/img/glyphicons-halflings.png | Bin 12799 -> 0 bytes clicon/web/static/bootstrap/js/bootstrap.js | 2159 ------ .../web/static/bootstrap/js/bootstrap.min.js | 6 - clicon/web/static/javascripts/jquery.min.js | 2 - clicon/web/static/stylesheets/application.css | 18 - clicon/web/templates/form.html | 24 - clicon/web/templates/layout.html | 26 - clicon/web/templates/result.html | 29 - 16 files changed, 9493 deletions(-) delete mode 100644 clicon/web.py delete mode 100644 clicon/web/__init__.py delete mode 100644 clicon/web/app.py delete mode 100644 clicon/web/static/bootstrap/css/bootstrap-responsive.css delete mode 100644 clicon/web/static/bootstrap/css/bootstrap-responsive.min.css delete mode 100644 clicon/web/static/bootstrap/css/bootstrap.css delete mode 100644 clicon/web/static/bootstrap/css/bootstrap.min.css delete mode 100644 clicon/web/static/bootstrap/img/glyphicons-halflings-white.png delete mode 100644 clicon/web/static/bootstrap/img/glyphicons-halflings.png delete mode 100644 clicon/web/static/bootstrap/js/bootstrap.js delete mode 100644 clicon/web/static/bootstrap/js/bootstrap.min.js delete mode 100644 clicon/web/static/javascripts/jquery.min.js delete mode 100644 clicon/web/static/stylesheets/application.css delete mode 100644 clicon/web/templates/form.html delete mode 100644 clicon/web/templates/layout.html delete mode 100644 clicon/web/templates/result.html diff --git a/clicon/web.py b/clicon/web.py deleted file mode 100644 index 4f9169e..0000000 --- a/clicon/web.py +++ /dev/null @@ -1,4 +0,0 @@ -import web.app - -if __name__ == '__main__': - web.app.run() diff --git a/clicon/web/__init__.py b/clicon/web/__init__.py deleted file mode 100644 index e7c9954..0000000 --- a/clicon/web/__init__.py +++ /dev/null @@ -1 +0,0 @@ -# Intentionally blank \ No newline at end of file diff --git a/clicon/web/app.py b/clicon/web/app.py deleted file mode 100644 index 8944ac2..0000000 --- a/clicon/web/app.py +++ /dev/null @@ -1,75 +0,0 @@ -import os -import os.path -import nltk -import glob -import json -import libml - -from sets import Set -from model import Model -from flask import Flask -from flask import render_template -from flask import request - -app = Flask(__name__) - -models_directory = os.path.join(os.path.dirname(__file__), "../../models") - -@app.route('/') -def index(): - items = [] - - models = glob.glob(os.path.join(models_directory, '*')) - - for model in models: - name = os.path.basename(model) - available_models = Set(os.listdir(model)) - - if "model" not in available_models: - continue - - for type in ["svm", "crf", "lin"]: - if "model." + str(type) in available_models: - properties = { - "name": name, - "type": type - } - items.append((json.dumps(properties), name + " - " + type.upper())) - - - items = sorted(items, key = lambda t: t[1].lower()) - return render_template("form.html", models = items) - -@app.route('/process', methods=['POST', 'GET']) -def process(): - data = request.form['input'] - data = nltk.sent_tokenize(data) - data = map(nltk.word_tokenize, data) - - properties = request.form['model'] - properties = json.loads(properties) - - model = Model.load(os.path.join(models_directory, properties["name"], "model")) - labels = model.predict(data) - output = None - - - if properties["type"] == "svm": - output = labels[libml.SVM] - elif properties["type"] == "crf": - output = labels[libml.CRF] - elif properties["type"] == "lin": - output = labels[libml.LIN] - - output = sum(output, []) - data = sum(data, []) - output = zip(data, output) - - return render_template("result.html", input = request.form["input"], model = properties["name"] + " - " + properties["type"].upper(), output = output) - -def run(): - app.debug = True - app.run(host = "0.0.0.0") - -if __name__ == '__main__': - run() diff --git a/clicon/web/static/bootstrap/css/bootstrap-responsive.css b/clicon/web/static/bootstrap/css/bootstrap-responsive.css deleted file mode 100644 index a3352d7..0000000 --- a/clicon/web/static/bootstrap/css/bootstrap-responsive.css +++ /dev/null @@ -1,1092 +0,0 @@ -/*! - * Bootstrap Responsive v2.2.2 - * - * Copyright 2012 Twitter, Inc - * Licensed under the Apache License v2.0 - * http://www.apache.org/licenses/LICENSE-2.0 - * - * Designed and built with all the love in the world @twitter by @mdo and @fat. - */ - -@-ms-viewport { - width: device-width; -} - -.clearfix { - *zoom: 1; -} - -.clearfix:before, -.clearfix:after { - display: table; - line-height: 0; - content: ""; -} - -.clearfix:after { - clear: both; -} - -.hide-text { - font: 0/0 a; - color: transparent; - text-shadow: none; - background-color: transparent; - border: 0; -} - -.input-block-level { - display: block; - width: 100%; - min-height: 30px; - -webkit-box-sizing: border-box; - -moz-box-sizing: border-box; - box-sizing: border-box; -} - -.hidden { - display: none; - visibility: hidden; -} - -.visible-phone { - display: none !important; -} - -.visible-tablet { - display: none !important; -} - -.hidden-desktop { - display: none !important; -} - -.visible-desktop { - display: inherit !important; -} - -@media (min-width: 768px) and (max-width: 979px) { - .hidden-desktop { - display: inherit !important; - } - .visible-desktop { - display: none !important ; - } - .visible-tablet { - display: inherit !important; - } - .hidden-tablet { - display: none !important; - } -} - -@media (max-width: 767px) { - .hidden-desktop { - display: inherit !important; - } - .visible-desktop { - display: none !important; - } - .visible-phone { - display: inherit !important; - } - .hidden-phone { - display: none !important; - } -} - -@media (min-width: 1200px) { - .row { - margin-left: -30px; - *zoom: 1; - } - .row:before, - .row:after { - display: table; - line-height: 0; - content: ""; - } - .row:after { - clear: both; - } - [class*="span"] { - float: left; - min-height: 1px; - margin-left: 30px; - } - .container, - .navbar-static-top .container, - .navbar-fixed-top .container, - .navbar-fixed-bottom .container { - width: 1170px; - } - .span12 { - width: 1170px; - } - .span11 { - width: 1070px; - } - .span10 { - width: 970px; - } - .span9 { - width: 870px; - } - .span8 { - width: 770px; - } - .span7 { - width: 670px; - } - .span6 { - width: 570px; - } - .span5 { - width: 470px; - } - .span4 { - width: 370px; - } - .span3 { - width: 270px; - } - .span2 { - width: 170px; - } - .span1 { - width: 70px; - } - .offset12 { - margin-left: 1230px; - } - .offset11 { - margin-left: 1130px; - } - .offset10 { - margin-left: 1030px; - } - .offset9 { - margin-left: 930px; - } - .offset8 { - margin-left: 830px; - } - .offset7 { - margin-left: 730px; - } - .offset6 { - margin-left: 630px; - } - .offset5 { - margin-left: 530px; - } - .offset4 { - margin-left: 430px; - } - .offset3 { - margin-left: 330px; - } - .offset2 { - margin-left: 230px; - } - .offset1 { - margin-left: 130px; - } - .row-fluid { - width: 100%; - *zoom: 1; - } - .row-fluid:before, - .row-fluid:after { - display: table; - line-height: 0; - content: ""; - } - .row-fluid:after { - clear: both; - } - .row-fluid [class*="span"] { - display: block; - float: left; - width: 100%; - min-height: 30px; - margin-left: 2.564102564102564%; - *margin-left: 2.5109110747408616%; - -webkit-box-sizing: border-box; - -moz-box-sizing: border-box; - box-sizing: border-box; - } - .row-fluid [class*="span"]:first-child { - margin-left: 0; - } - .row-fluid .controls-row [class*="span"] + [class*="span"] { - margin-left: 2.564102564102564%; - } - .row-fluid .span12 { - width: 100%; - *width: 99.94680851063829%; - } - .row-fluid .span11 { - width: 91.45299145299145%; - *width: 91.39979996362975%; - } - .row-fluid .span10 { - width: 82.90598290598291%; - *width: 82.8527914166212%; - } - .row-fluid .span9 { - width: 74.35897435897436%; - *width: 74.30578286961266%; - } - .row-fluid .span8 { - width: 65.81196581196582%; - *width: 65.75877432260411%; - } - .row-fluid .span7 { - width: 57.26495726495726%; - *width: 57.21176577559556%; - } - .row-fluid .span6 { - width: 48.717948717948715%; - *width: 48.664757228587014%; - } - .row-fluid .span5 { - width: 40.17094017094017%; - *width: 40.11774868157847%; - } - .row-fluid .span4 { - width: 31.623931623931625%; - *width: 31.570740134569924%; - } - .row-fluid .span3 { - width: 23.076923076923077%; - *width: 23.023731587561375%; - } - .row-fluid .span2 { - width: 14.52991452991453%; - *width: 14.476723040552828%; - } - .row-fluid .span1 { - width: 5.982905982905983%; - *width: 5.929714493544281%; - } - .row-fluid .offset12 { - margin-left: 105.12820512820512%; - *margin-left: 105.02182214948171%; - } - .row-fluid .offset12:first-child { - margin-left: 102.56410256410257%; - *margin-left: 102.45771958537915%; - } - .row-fluid .offset11 { - margin-left: 96.58119658119658%; - *margin-left: 96.47481360247316%; - } - .row-fluid .offset11:first-child { - margin-left: 94.01709401709402%; - *margin-left: 93.91071103837061%; - } - .row-fluid .offset10 { - margin-left: 88.03418803418803%; - *margin-left: 87.92780505546462%; - } - .row-fluid .offset10:first-child { - margin-left: 85.47008547008548%; - *margin-left: 85.36370249136206%; - } - .row-fluid .offset9 { - margin-left: 79.48717948717949%; - *margin-left: 79.38079650845607%; - } - .row-fluid .offset9:first-child { - margin-left: 76.92307692307693%; - *margin-left: 76.81669394435352%; - } - .row-fluid .offset8 { - margin-left: 70.94017094017094%; - *margin-left: 70.83378796144753%; - } - .row-fluid .offset8:first-child { - margin-left: 68.37606837606839%; - *margin-left: 68.26968539734497%; - } - .row-fluid .offset7 { - margin-left: 62.393162393162385%; - *margin-left: 62.28677941443899%; - } - .row-fluid .offset7:first-child { - margin-left: 59.82905982905982%; - *margin-left: 59.72267685033642%; - } - .row-fluid .offset6 { - margin-left: 53.84615384615384%; - *margin-left: 53.739770867430444%; - } - .row-fluid .offset6:first-child { - margin-left: 51.28205128205128%; - *margin-left: 51.175668303327875%; - } - .row-fluid .offset5 { - margin-left: 45.299145299145295%; - *margin-left: 45.1927623204219%; - } - .row-fluid .offset5:first-child { - margin-left: 42.73504273504273%; - *margin-left: 42.62865975631933%; - } - .row-fluid .offset4 { - margin-left: 36.75213675213675%; - *margin-left: 36.645753773413354%; - } - .row-fluid .offset4:first-child { - margin-left: 34.18803418803419%; - *margin-left: 34.081651209310785%; - } - .row-fluid .offset3 { - margin-left: 28.205128205128204%; - *margin-left: 28.0987452264048%; - } - .row-fluid .offset3:first-child { - margin-left: 25.641025641025642%; - *margin-left: 25.53464266230224%; - } - .row-fluid .offset2 { - margin-left: 19.65811965811966%; - *margin-left: 19.551736679396257%; - } - .row-fluid .offset2:first-child { - margin-left: 17.094017094017094%; - *margin-left: 16.98763411529369%; - } - .row-fluid .offset1 { - margin-left: 11.11111111111111%; - *margin-left: 11.004728132387708%; - } - .row-fluid .offset1:first-child { - margin-left: 8.547008547008547%; - *margin-left: 8.440625568285142%; - } - input, - textarea, - .uneditable-input { - margin-left: 0; - } - .controls-row [class*="span"] + [class*="span"] { - margin-left: 30px; - } - input.span12, - textarea.span12, - .uneditable-input.span12 { - width: 1156px; - } - input.span11, - textarea.span11, - .uneditable-input.span11 { - width: 1056px; - } - input.span10, - textarea.span10, - .uneditable-input.span10 { - width: 956px; - } - input.span9, - textarea.span9, - .uneditable-input.span9 { - width: 856px; - } - input.span8, - textarea.span8, - .uneditable-input.span8 { - width: 756px; - } - input.span7, - textarea.span7, - .uneditable-input.span7 { - width: 656px; - } - input.span6, - textarea.span6, - .uneditable-input.span6 { - width: 556px; - } - input.span5, - textarea.span5, - .uneditable-input.span5 { - width: 456px; - } - input.span4, - textarea.span4, - .uneditable-input.span4 { - width: 356px; - } - input.span3, - textarea.span3, - .uneditable-input.span3 { - width: 256px; - } - input.span2, - textarea.span2, - .uneditable-input.span2 { - width: 156px; - } - input.span1, - textarea.span1, - .uneditable-input.span1 { - width: 56px; - } - .thumbnails { - margin-left: -30px; - } - .thumbnails > li { - margin-left: 30px; - } - .row-fluid .thumbnails { - margin-left: 0; - } -} - -@media (min-width: 768px) and (max-width: 979px) { - .row { - margin-left: -20px; - *zoom: 1; - } - .row:before, - .row:after { - display: table; - line-height: 0; - content: ""; - } - .row:after { - clear: both; - } - [class*="span"] { - float: left; - min-height: 1px; - margin-left: 20px; - } - .container, - .navbar-static-top .container, - .navbar-fixed-top .container, - .navbar-fixed-bottom .container { - width: 724px; - } - .span12 { - width: 724px; - } - .span11 { - width: 662px; - } - .span10 { - width: 600px; - } - .span9 { - width: 538px; - } - .span8 { - width: 476px; - } - .span7 { - width: 414px; - } - .span6 { - width: 352px; - } - .span5 { - width: 290px; - } - .span4 { - width: 228px; - } - .span3 { - width: 166px; - } - .span2 { - width: 104px; - } - .span1 { - width: 42px; - } - .offset12 { - margin-left: 764px; - } - .offset11 { - margin-left: 702px; - } - .offset10 { - margin-left: 640px; - } - .offset9 { - margin-left: 578px; - } - .offset8 { - margin-left: 516px; - } - .offset7 { - margin-left: 454px; - } - .offset6 { - margin-left: 392px; - } - .offset5 { - margin-left: 330px; - } - .offset4 { - margin-left: 268px; - } - .offset3 { - margin-left: 206px; - } - .offset2 { - margin-left: 144px; - } - .offset1 { - margin-left: 82px; - } - .row-fluid { - width: 100%; - *zoom: 1; - } - .row-fluid:before, - .row-fluid:after { - display: table; - line-height: 0; - content: ""; - } - .row-fluid:after { - clear: both; - } - .row-fluid [class*="span"] { - display: block; - float: left; - width: 100%; - min-height: 30px; - margin-left: 2.7624309392265194%; - *margin-left: 2.709239449864817%; - -webkit-box-sizing: border-box; - -moz-box-sizing: border-box; - box-sizing: border-box; - } - .row-fluid [class*="span"]:first-child { - margin-left: 0; - } - .row-fluid .controls-row [class*="span"] + [class*="span"] { - margin-left: 2.7624309392265194%; - } - .row-fluid .span12 { - width: 100%; - *width: 99.94680851063829%; - } - .row-fluid .span11 { - width: 91.43646408839778%; - *width: 91.38327259903608%; - } - .row-fluid .span10 { - width: 82.87292817679558%; - *width: 82.81973668743387%; - } - .row-fluid .span9 { - width: 74.30939226519337%; - *width: 74.25620077583166%; - } - .row-fluid .span8 { - width: 65.74585635359117%; - *width: 65.69266486422946%; - } - .row-fluid .span7 { - width: 57.18232044198895%; - *width: 57.12912895262725%; - } - .row-fluid .span6 { - width: 48.61878453038674%; - *width: 48.56559304102504%; - } - .row-fluid .span5 { - width: 40.05524861878453%; - *width: 40.00205712942283%; - } - .row-fluid .span4 { - width: 31.491712707182323%; - *width: 31.43852121782062%; - } - .row-fluid .span3 { - width: 22.92817679558011%; - *width: 22.87498530621841%; - } - .row-fluid .span2 { - width: 14.3646408839779%; - *width: 14.311449394616199%; - } - .row-fluid .span1 { - width: 5.801104972375691%; - *width: 5.747913483013988%; - } - .row-fluid .offset12 { - margin-left: 105.52486187845304%; - *margin-left: 105.41847889972962%; - } - .row-fluid .offset12:first-child { - margin-left: 102.76243093922652%; - *margin-left: 102.6560479605031%; - } - .row-fluid .offset11 { - margin-left: 96.96132596685082%; - *margin-left: 96.8549429881274%; - } - .row-fluid .offset11:first-child { - margin-left: 94.1988950276243%; - *margin-left: 94.09251204890089%; - } - .row-fluid .offset10 { - margin-left: 88.39779005524862%; - *margin-left: 88.2914070765252%; - } - .row-fluid .offset10:first-child { - margin-left: 85.6353591160221%; - *margin-left: 85.52897613729868%; - } - .row-fluid .offset9 { - margin-left: 79.8342541436464%; - *margin-left: 79.72787116492299%; - } - .row-fluid .offset9:first-child { - margin-left: 77.07182320441989%; - *margin-left: 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- margin-left: 34.25414364640884%; - *margin-left: 34.14776066768544%; - } - .row-fluid .offset3 { - margin-left: 28.45303867403315%; - *margin-left: 28.346655695309746%; - } - .row-fluid .offset3:first-child { - margin-left: 25.69060773480663%; - *margin-left: 25.584224756083227%; - } - .row-fluid .offset2 { - margin-left: 19.88950276243094%; - *margin-left: 19.783119783707537%; - } - .row-fluid .offset2:first-child { - margin-left: 17.12707182320442%; - *margin-left: 17.02068884448102%; - } - .row-fluid .offset1 { - margin-left: 11.32596685082873%; - *margin-left: 11.219583872105325%; - } - .row-fluid .offset1:first-child { - margin-left: 8.56353591160221%; - *margin-left: 8.457152932878806%; - } - input, - textarea, - .uneditable-input { - margin-left: 0; - } - .controls-row [class*="span"] + [class*="span"] { - margin-left: 20px; - } - input.span12, - textarea.span12, - .uneditable-input.span12 { - width: 710px; - } - input.span11, - textarea.span11, - .uneditable-input.span11 { - width: 648px; - } - input.span10, - textarea.span10, - .uneditable-input.span10 { - width: 586px; - } - input.span9, - textarea.span9, - .uneditable-input.span9 { - width: 524px; - } - input.span8, - textarea.span8, - .uneditable-input.span8 { - width: 462px; - } - input.span7, - textarea.span7, - .uneditable-input.span7 { - width: 400px; - } - input.span6, - textarea.span6, - .uneditable-input.span6 { - width: 338px; - } - input.span5, - textarea.span5, - .uneditable-input.span5 { - width: 276px; - } - input.span4, - textarea.span4, - .uneditable-input.span4 { - width: 214px; - } - input.span3, - textarea.span3, - .uneditable-input.span3 { - width: 152px; - } - input.span2, - textarea.span2, - .uneditable-input.span2 { - width: 90px; - } - input.span1, - textarea.span1, - .uneditable-input.span1 { - width: 28px; - } -} - -@media (max-width: 767px) { - body { - padding-right: 20px; - padding-left: 20px; - } - .navbar-fixed-top, - .navbar-fixed-bottom, - .navbar-static-top { - 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tr:first-child td:first-child { - -webkit-border-top-left-radius: 4px; - border-top-left-radius: 4px; - -moz-border-radius-topleft: 4px; -} - -.table-bordered caption + thead tr:first-child th:last-child, -.table-bordered caption + tbody tr:first-child td:last-child, -.table-bordered colgroup + thead tr:first-child th:last-child, -.table-bordered colgroup + tbody tr:first-child td:last-child { - -webkit-border-top-right-radius: 4px; - border-top-right-radius: 4px; - -moz-border-radius-topright: 4px; -} - -.table-striped tbody > tr:nth-child(odd) > td, -.table-striped tbody > tr:nth-child(odd) > th { - background-color: #f9f9f9; -} - -.table-hover tbody tr:hover td, -.table-hover tbody tr:hover th { - background-color: #f5f5f5; -} - -table td[class*="span"], -table th[class*="span"], -.row-fluid table td[class*="span"], -.row-fluid table th[class*="span"] { - display: table-cell; - float: none; - margin-left: 0; -} - -.table td.span1, -.table th.span1 { - float: none; - width: 44px; - 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-.icon-certificate { - background-position: -72px -144px; -} - -.icon-thumbs-up { - background-position: -96px -144px; -} - -.icon-thumbs-down { - background-position: -120px -144px; -} - -.icon-hand-right { - background-position: -144px -144px; -} - -.icon-hand-left { - background-position: -168px -144px; -} - -.icon-hand-up { - background-position: -192px -144px; -} - -.icon-hand-down { - background-position: -216px -144px; -} - -.icon-circle-arrow-right { - background-position: -240px -144px; -} - -.icon-circle-arrow-left { - background-position: -264px -144px; -} - -.icon-circle-arrow-up { - background-position: -288px -144px; -} - -.icon-circle-arrow-down { - background-position: -312px -144px; -} - -.icon-globe { - background-position: -336px -144px; -} - -.icon-wrench { - background-position: -360px -144px; -} - -.icon-tasks { - background-position: -384px -144px; -} - -.icon-filter { - background-position: -408px -144px; -} - -.icon-briefcase { - background-position: -432px 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-moz-box-shadow: 0 5px 10px rgba(0, 0, 0, 0.2); - box-shadow: 0 5px 10px rgba(0, 0, 0, 0.2); - -webkit-background-clip: padding-box; - -moz-background-clip: padding; - background-clip: padding-box; -} - -.dropdown-menu.pull-right { - right: 0; - left: auto; -} - -.dropdown-menu .divider { - *width: 100%; - height: 1px; - margin: 9px 1px; - *margin: -5px 0 5px; - overflow: hidden; - background-color: #e5e5e5; - border-bottom: 1px solid #ffffff; -} - -.dropdown-menu li > a { - display: block; - padding: 3px 20px; - clear: both; - font-weight: normal; - line-height: 20px; - color: #333333; - white-space: nowrap; -} - -.dropdown-menu li > a:hover, -.dropdown-menu li > a:focus, -.dropdown-submenu:hover > a { - color: #ffffff; - text-decoration: none; - background-color: #0081c2; - background-image: -moz-linear-gradient(top, #0088cc, #0077b3); - background-image: -webkit-gradient(linear, 0 0, 0 100%, from(#0088cc), to(#0077b3)); - background-image: -webkit-linear-gradient(top, #0088cc, #0077b3); - background-image: -o-linear-gradient(top, #0088cc, #0077b3); - background-image: linear-gradient(to bottom, #0088cc, #0077b3); - background-repeat: repeat-x; - filter: progid:DXImageTransform.Microsoft.gradient(startColorstr='#ff0088cc', endColorstr='#ff0077b3', GradientType=0); -} - -.dropdown-menu .active > a, -.dropdown-menu .active > a:hover { - color: #ffffff; - text-decoration: none; - background-color: #0081c2; - background-image: -moz-linear-gradient(top, #0088cc, #0077b3); - background-image: -webkit-gradient(linear, 0 0, 0 100%, from(#0088cc), to(#0077b3)); - background-image: -webkit-linear-gradient(top, #0088cc, #0077b3); - background-image: -o-linear-gradient(top, #0088cc, #0077b3); - background-image: linear-gradient(to bottom, #0088cc, #0077b3); - background-repeat: repeat-x; - outline: 0; - filter: progid:DXImageTransform.Microsoft.gradient(startColorstr='#ff0088cc', endColorstr='#ff0077b3', GradientType=0); -} - -.dropdown-menu .disabled > a, 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block; -} - -.dropup .dropdown-submenu > .dropdown-menu { - top: auto; - bottom: 0; - margin-top: 0; - margin-bottom: -2px; - -webkit-border-radius: 5px 5px 5px 0; - -moz-border-radius: 5px 5px 5px 0; - border-radius: 5px 5px 5px 0; -} - -.dropdown-submenu > a:after { - display: block; - float: right; - width: 0; - height: 0; - margin-top: 5px; - margin-right: -10px; - border-color: transparent; - border-left-color: #cccccc; - border-style: solid; - border-width: 5px 0 5px 5px; - content: " "; -} - -.dropdown-submenu:hover > a:after { - border-left-color: #ffffff; -} - -.dropdown-submenu.pull-left { - float: none; -} - -.dropdown-submenu.pull-left > .dropdown-menu { - left: -100%; - margin-left: 10px; - -webkit-border-radius: 6px 0 6px 6px; - -moz-border-radius: 6px 0 6px 6px; - border-radius: 6px 0 6px 6px; -} - -.dropdown .dropdown-menu .nav-header { - padding-right: 20px; - padding-left: 20px; -} - -.typeahead { - z-index: 1051; - margin-top: 2px; - -webkit-border-radius: 4px; - -moz-border-radius: 4px; - border-radius: 4px; -} - -.well { - min-height: 20px; - padding: 19px; - margin-bottom: 20px; - background-color: #f5f5f5; - border: 1px solid #e3e3e3; - -webkit-border-radius: 4px; - -moz-border-radius: 4px; - border-radius: 4px; - -webkit-box-shadow: inset 0 1px 1px rgba(0, 0, 0, 0.05); - -moz-box-shadow: inset 0 1px 1px rgba(0, 0, 0, 0.05); - box-shadow: inset 0 1px 1px rgba(0, 0, 0, 0.05); -} - -.well blockquote { - border-color: #ddd; - border-color: rgba(0, 0, 0, 0.15); -} - -.well-large { - padding: 24px; - -webkit-border-radius: 6px; - -moz-border-radius: 6px; - border-radius: 6px; -} - -.well-small { - padding: 9px; - -webkit-border-radius: 3px; - -moz-border-radius: 3px; - border-radius: 3px; -} - -.fade { - opacity: 0; - -webkit-transition: opacity 0.15s linear; - -moz-transition: opacity 0.15s linear; - -o-transition: opacity 0.15s linear; - transition: opacity 0.15s linear; -} - -.fade.in { - opacity: 1; -} - -.collapse { - position: relative; - height: 0; - overflow: hidden; - -webkit-transition: height 0.35s ease; - -moz-transition: height 0.35s ease; - -o-transition: height 0.35s ease; - transition: height 0.35s ease; -} - -.collapse.in { - height: auto; -} - -.close { - float: right; - font-size: 20px; - font-weight: bold; - line-height: 20px; - color: #000000; - text-shadow: 0 1px 0 #ffffff; - opacity: 0.2; - filter: alpha(opacity=20); -} - -.close:hover { - color: #000000; - text-decoration: none; - cursor: pointer; - opacity: 0.4; - filter: alpha(opacity=40); -} - -button.close { - padding: 0; - cursor: pointer; - background: transparent; - border: 0; - -webkit-appearance: none; -} - -.btn { - display: inline-block; - *display: inline; - padding: 4px 12px; - margin-bottom: 0; - *margin-left: .3em; - font-size: 14px; - line-height: 20px; - color: #333333; - text-align: center; - text-shadow: 0 1px 1px rgba(255, 255, 255, 0.75); - vertical-align: middle; - cursor: pointer; - background-color: #f5f5f5; - *background-color: 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-webkit-box-shadow: none; - -moz-box-shadow: none; - box-shadow: none; -} - -.btn-link { - color: #0088cc; - cursor: pointer; - border-color: transparent; - -webkit-border-radius: 0; - -moz-border-radius: 0; - border-radius: 0; -} - -.btn-link:hover { - color: #005580; - text-decoration: underline; - background-color: transparent; -} - -.btn-link[disabled]:hover { - color: #333333; - text-decoration: none; -} - -.btn-group { - position: relative; - display: inline-block; - *display: inline; - *margin-left: .3em; - font-size: 0; - white-space: nowrap; - vertical-align: middle; - *zoom: 1; -} - -.btn-group:first-child { - *margin-left: 0; -} - -.btn-group + .btn-group { - margin-left: 5px; -} - -.btn-toolbar { - margin-top: 10px; - margin-bottom: 10px; - font-size: 0; -} - -.btn-toolbar > .btn + .btn, -.btn-toolbar > .btn-group + .btn, -.btn-toolbar > .btn + .btn-group { - margin-left: 5px; -} - -.btn-group > .btn { - position: relative; - -webkit-border-radius: 0; - -moz-border-radius: 0; - border-radius: 0; -} - -.btn-group > .btn + .btn { - margin-left: -1px; -} - -.btn-group > .btn, -.btn-group > .dropdown-menu, -.btn-group > .popover { - font-size: 14px; -} - -.btn-group > .btn-mini { - font-size: 10.5px; -} - -.btn-group > .btn-small { - font-size: 11.9px; -} - -.btn-group > .btn-large { - font-size: 17.5px; -} - -.btn-group > .btn:first-child { - margin-left: 0; - -webkit-border-bottom-left-radius: 4px; - border-bottom-left-radius: 4px; - -webkit-border-top-left-radius: 4px; - border-top-left-radius: 4px; - -moz-border-radius-bottomleft: 4px; - -moz-border-radius-topleft: 4px; -} - -.btn-group > .btn:last-child, -.btn-group > .dropdown-toggle { - -webkit-border-top-right-radius: 4px; - border-top-right-radius: 4px; - -webkit-border-bottom-right-radius: 4px; - border-bottom-right-radius: 4px; - -moz-border-radius-topright: 4px; - -moz-border-radius-bottomright: 4px; -} - -.btn-group > .btn.large:first-child { - margin-left: 0; - 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0, 0.05); - -moz-box-shadow: inset 1px 0 0 rgba(255, 255, 255, 0.125), inset 0 1px 0 rgba(255, 255, 255, 0.2), 0 1px 2px rgba(0, 0, 0, 0.05); - box-shadow: inset 1px 0 0 rgba(255, 255, 255, 0.125), inset 0 1px 0 rgba(255, 255, 255, 0.2), 0 1px 2px rgba(0, 0, 0, 0.05); -} - -.btn-group > .btn-mini + .dropdown-toggle { - *padding-top: 2px; - padding-right: 5px; - *padding-bottom: 2px; - padding-left: 5px; -} - -.btn-group > .btn-small + .dropdown-toggle { - *padding-top: 5px; - *padding-bottom: 4px; -} - -.btn-group > .btn-large + .dropdown-toggle { - *padding-top: 7px; - padding-right: 12px; - *padding-bottom: 7px; - padding-left: 12px; -} - -.btn-group.open .dropdown-toggle { - background-image: none; - -webkit-box-shadow: inset 0 2px 4px rgba(0, 0, 0, 0.15), 0 1px 2px rgba(0, 0, 0, 0.05); - -moz-box-shadow: inset 0 2px 4px rgba(0, 0, 0, 0.15), 0 1px 2px rgba(0, 0, 0, 0.05); - box-shadow: inset 0 2px 4px rgba(0, 0, 0, 0.15), 0 1px 2px rgba(0, 0, 0, 0.05); -} - -.btn-group.open .btn.dropdown-toggle { - background-color: #e6e6e6; -} - -.btn-group.open .btn-primary.dropdown-toggle { - background-color: #0044cc; -} - -.btn-group.open .btn-warning.dropdown-toggle { - background-color: #f89406; -} - -.btn-group.open .btn-danger.dropdown-toggle { - background-color: #bd362f; -} - -.btn-group.open .btn-success.dropdown-toggle { - background-color: #51a351; -} - -.btn-group.open .btn-info.dropdown-toggle { - background-color: #2f96b4; -} - -.btn-group.open .btn-inverse.dropdown-toggle { - background-color: #222222; -} - -.btn .caret { - margin-top: 8px; - margin-left: 0; -} - -.btn-mini .caret, -.btn-small .caret, -.btn-large .caret { - margin-top: 6px; -} - -.btn-large .caret { - border-top-width: 5px; - border-right-width: 5px; - border-left-width: 5px; -} - -.dropup .btn-large .caret { - border-bottom-width: 5px; -} - -.btn-primary .caret, -.btn-warning .caret, -.btn-danger .caret, -.btn-info .caret, -.btn-success .caret, -.btn-inverse .caret { - border-top-color: #ffffff; - border-bottom-color: #ffffff; -} - -.btn-group-vertical { - display: inline-block; - *display: inline; - /* IE7 inline-block hack */ - - *zoom: 1; -} - -.btn-group-vertical > .btn { - display: block; - float: none; - max-width: 100%; - -webkit-border-radius: 0; - -moz-border-radius: 0; - border-radius: 0; -} - -.btn-group-vertical > .btn + .btn { - margin-top: -1px; - margin-left: 0; -} - -.btn-group-vertical > .btn:first-child { - -webkit-border-radius: 4px 4px 0 0; - -moz-border-radius: 4px 4px 0 0; - border-radius: 4px 4px 0 0; -} - -.btn-group-vertical > .btn:last-child { - -webkit-border-radius: 0 0 4px 4px; - -moz-border-radius: 0 0 4px 4px; - border-radius: 0 0 4px 4px; -} - -.btn-group-vertical > .btn-large:first-child { - -webkit-border-radius: 6px 6px 0 0; - -moz-border-radius: 6px 6px 0 0; - border-radius: 6px 6px 0 0; -} - -.btn-group-vertical > .btn-large:last-child { - -webkit-border-radius: 0 0 6px 6px; - -moz-border-radius: 0 0 6px 6px; - border-radius: 0 0 6px 6px; -} - -.alert { - padding: 8px 35px 8px 14px; - margin-bottom: 20px; - text-shadow: 0 1px 0 rgba(255, 255, 255, 0.5); - background-color: #fcf8e3; - border: 1px solid #fbeed5; - -webkit-border-radius: 4px; - -moz-border-radius: 4px; - border-radius: 4px; -} - -.alert, -.alert h4 { - color: #c09853; -} - -.alert h4 { - margin: 0; -} - -.alert .close { - position: relative; - top: -2px; - right: -21px; - line-height: 20px; -} - -.alert-success { - color: #468847; - background-color: #dff0d8; - border-color: #d6e9c6; -} - -.alert-success h4 { - color: #468847; -} - -.alert-danger, -.alert-error { - color: #b94a48; - background-color: #f2dede; - border-color: #eed3d7; -} - -.alert-danger h4, -.alert-error h4 { - color: #b94a48; -} - -.alert-info { - color: #3a87ad; - background-color: #d9edf7; - border-color: #bce8f1; -} - -.alert-info h4 { - color: #3a87ad; -} - -.alert-block { - padding-top: 14px; - padding-bottom: 14px; -} - -.alert-block > p, -.alert-block > ul { - 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0 0; - -moz-border-radius: 4px 4px 0 0; - border-radius: 4px 4px 0 0; -} - -.nav-tabs > li > a:hover { - border-color: #eeeeee #eeeeee #dddddd; -} - -.nav-tabs > .active > a, -.nav-tabs > .active > a:hover { - color: #555555; - cursor: default; - background-color: #ffffff; - border: 1px solid #ddd; - border-bottom-color: transparent; -} - -.nav-pills > li > a { - padding-top: 8px; - padding-bottom: 8px; - margin-top: 2px; - margin-bottom: 2px; - -webkit-border-radius: 5px; - -moz-border-radius: 5px; - border-radius: 5px; -} - -.nav-pills > .active > a, -.nav-pills > .active > a:hover { - color: #ffffff; - background-color: #0088cc; -} - -.nav-stacked > li { - float: none; -} - -.nav-stacked > li > a { - margin-right: 0; -} - -.nav-tabs.nav-stacked { - border-bottom: 0; -} - -.nav-tabs.nav-stacked > li > a { - border: 1px solid #ddd; - -webkit-border-radius: 0; - -moz-border-radius: 0; - border-radius: 0; -} - -.nav-tabs.nav-stacked > li:first-child > a { - -webkit-border-top-right-radius: 4px; - border-top-right-radius: 4px; - -webkit-border-top-left-radius: 4px; - border-top-left-radius: 4px; - -moz-border-radius-topright: 4px; - -moz-border-radius-topleft: 4px; -} - -.nav-tabs.nav-stacked > li:last-child > a { - -webkit-border-bottom-right-radius: 4px; - border-bottom-right-radius: 4px; - -webkit-border-bottom-left-radius: 4px; - border-bottom-left-radius: 4px; - -moz-border-radius-bottomright: 4px; - -moz-border-radius-bottomleft: 4px; -} - -.nav-tabs.nav-stacked > li > a:hover { - z-index: 2; - border-color: #ddd; -} - -.nav-pills.nav-stacked > li > a { - margin-bottom: 3px; -} - -.nav-pills.nav-stacked > li:last-child > a { - margin-bottom: 1px; -} - -.nav-tabs .dropdown-menu { - -webkit-border-radius: 0 0 6px 6px; - -moz-border-radius: 0 0 6px 6px; - border-radius: 0 0 6px 6px; -} - -.nav-pills .dropdown-menu { - -webkit-border-radius: 6px; - -moz-border-radius: 6px; - border-radius: 6px; -} - -.nav .dropdown-toggle .caret { - margin-top: 6px; - border-top-color: #0088cc; - border-bottom-color: #0088cc; -} - -.nav .dropdown-toggle:hover .caret { - border-top-color: #005580; - border-bottom-color: #005580; -} - -/* move down carets for tabs */ - -.nav-tabs .dropdown-toggle .caret { - margin-top: 8px; -} - -.nav .active .dropdown-toggle .caret { - border-top-color: #fff; - border-bottom-color: #fff; -} - -.nav-tabs .active .dropdown-toggle .caret { - border-top-color: #555555; - border-bottom-color: #555555; -} - -.nav > .dropdown.active > a:hover { - cursor: pointer; -} - -.nav-tabs .open .dropdown-toggle, -.nav-pills .open .dropdown-toggle, -.nav > li.dropdown.open.active > a:hover { - color: #ffffff; - background-color: #999999; - border-color: #999999; -} - -.nav li.dropdown.open .caret, -.nav li.dropdown.open.active .caret, -.nav li.dropdown.open a:hover .caret { - border-top-color: #ffffff; - border-bottom-color: #ffffff; - opacity: 1; - filter: alpha(opacity=100); -} - -.tabs-stacked .open > a:hover { - 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border-radius: 0 4px 4px 0; -} - -.tabs-right > .nav-tabs > li > a:hover { - border-color: #eeeeee #eeeeee #eeeeee #dddddd; -} - -.tabs-right > .nav-tabs .active > a, -.tabs-right > .nav-tabs .active > a:hover { - border-color: #ddd #ddd #ddd transparent; - *border-left-color: #ffffff; -} - -.nav > .disabled > a { - color: #999999; -} - -.nav > .disabled > a:hover { - text-decoration: none; - cursor: default; - background-color: transparent; -} - -.navbar { - *position: relative; - *z-index: 2; - margin-bottom: 20px; - overflow: visible; -} - -.navbar-inner { - min-height: 40px; - padding-right: 20px; - padding-left: 20px; - background-color: #fafafa; - background-image: -moz-linear-gradient(top, #ffffff, #f2f2f2); - background-image: -webkit-gradient(linear, 0 0, 0 100%, from(#ffffff), to(#f2f2f2)); - background-image: -webkit-linear-gradient(top, #ffffff, #f2f2f2); - background-image: -o-linear-gradient(top, #ffffff, #f2f2f2); - background-image: linear-gradient(to bottom, #ffffff, 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color: #777777; -} - -.navbar-link { - color: #777777; -} - -.navbar-link:hover { - color: #333333; -} - -.navbar .divider-vertical { - height: 40px; - margin: 0 9px; - border-right: 1px solid #ffffff; - border-left: 1px solid #f2f2f2; -} - -.navbar .btn, -.navbar .btn-group { - margin-top: 5px; -} - -.navbar .btn-group .btn, -.navbar .input-prepend .btn, -.navbar .input-append .btn { - margin-top: 0; -} - -.navbar-form { - margin-bottom: 0; - *zoom: 1; -} - -.navbar-form:before, -.navbar-form:after { - display: table; - line-height: 0; - content: ""; -} - -.navbar-form:after { - clear: both; -} - -.navbar-form input, -.navbar-form select, -.navbar-form .radio, -.navbar-form .checkbox { - margin-top: 5px; -} - -.navbar-form input, -.navbar-form select, -.navbar-form .btn { - display: inline-block; - margin-bottom: 0; -} - -.navbar-form input[type="image"], -.navbar-form input[type="checkbox"], -.navbar-form input[type="radio"] { - margin-top: 3px; -} - -.navbar-form .input-append, 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0; -} - -.navbar .nav > li { - float: left; -} - -.navbar .nav > li > a { - float: none; - padding: 10px 15px 10px; - color: #777777; - text-decoration: none; - text-shadow: 0 1px 0 #ffffff; -} - -.navbar .nav .dropdown-toggle .caret { - margin-top: 8px; -} - -.navbar .nav > li > a:focus, -.navbar .nav > li > a:hover { - color: #333333; - text-decoration: none; - background-color: transparent; -} - -.navbar .nav > .active > a, -.navbar .nav > .active > a:hover, -.navbar .nav > .active > a:focus { - color: #555555; - text-decoration: none; - background-color: #e5e5e5; - -webkit-box-shadow: inset 0 3px 8px rgba(0, 0, 0, 0.125); - -moz-box-shadow: inset 0 3px 8px rgba(0, 0, 0, 0.125); - box-shadow: inset 0 3px 8px rgba(0, 0, 0, 0.125); -} - -.navbar .btn-navbar { - display: none; - float: right; - padding: 7px 10px; - margin-right: 5px; - margin-left: 5px; - color: #ffffff; - text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.25); - background-color: #ededed; - *background-color: #e5e5e5; - background-image: -moz-linear-gradient(top, #f2f2f2, #e5e5e5); - background-image: -webkit-gradient(linear, 0 0, 0 100%, from(#f2f2f2), to(#e5e5e5)); - background-image: -webkit-linear-gradient(top, #f2f2f2, #e5e5e5); - background-image: -o-linear-gradient(top, #f2f2f2, #e5e5e5); - background-image: linear-gradient(to bottom, #f2f2f2, #e5e5e5); - background-repeat: repeat-x; - border-color: #e5e5e5 #e5e5e5 #bfbfbf; - border-color: rgba(0, 0, 0, 0.1) rgba(0, 0, 0, 0.1) rgba(0, 0, 0, 0.25); - filter: progid:DXImageTransform.Microsoft.gradient(startColorstr='#fff2f2f2', endColorstr='#ffe5e5e5', GradientType=0); - filter: progid:DXImageTransform.Microsoft.gradient(enabled=false); - -webkit-box-shadow: inset 0 1px 0 rgba(255, 255, 255, 0.1), 0 1px 0 rgba(255, 255, 255, 0.075); - -moz-box-shadow: inset 0 1px 0 rgba(255, 255, 255, 0.1), 0 1px 0 rgba(255, 255, 255, 0.075); - box-shadow: inset 0 1px 0 rgba(255, 255, 255, 0.1), 0 1px 0 rgba(255, 255, 255, 0.075); -} - -.navbar .btn-navbar:hover, -.navbar .btn-navbar:active, -.navbar .btn-navbar.active, -.navbar .btn-navbar.disabled, -.navbar .btn-navbar[disabled] { - color: #ffffff; - background-color: #e5e5e5; - *background-color: #d9d9d9; -} - -.navbar .btn-navbar:active, -.navbar .btn-navbar.active { - background-color: #cccccc \9; -} - -.navbar .btn-navbar .icon-bar { - display: block; - width: 18px; - height: 2px; - background-color: #f5f5f5; - -webkit-border-radius: 1px; - -moz-border-radius: 1px; - border-radius: 1px; - -webkit-box-shadow: 0 1px 0 rgba(0, 0, 0, 0.25); - -moz-box-shadow: 0 1px 0 rgba(0, 0, 0, 0.25); - box-shadow: 0 1px 0 rgba(0, 0, 0, 0.25); -} - -.btn-navbar .icon-bar + .icon-bar { - margin-top: 3px; -} - -.navbar .nav > li > .dropdown-menu:before { - position: absolute; - top: -7px; - left: 9px; - display: inline-block; - border-right: 7px solid transparent; - border-bottom: 7px solid #ccc; - border-left: 7px solid transparent; - border-bottom-color: rgba(0, 0, 0, 0.2); - content: ''; -} - -.navbar .nav > li > .dropdown-menu:after { - position: absolute; - top: -6px; - left: 10px; - display: inline-block; - border-right: 6px solid transparent; - border-bottom: 6px solid #ffffff; - border-left: 6px solid transparent; - content: ''; -} - -.navbar-fixed-bottom .nav > li > .dropdown-menu:before { - top: auto; - bottom: -7px; - border-top: 7px solid #ccc; - border-bottom: 0; - border-top-color: rgba(0, 0, 0, 0.2); -} - -.navbar-fixed-bottom .nav > li > .dropdown-menu:after { - top: auto; - bottom: -6px; - border-top: 6px solid #ffffff; - border-bottom: 0; -} - -.navbar .nav li.dropdown > a:hover .caret { - border-top-color: #555555; - border-bottom-color: #555555; -} - -.navbar .nav li.dropdown.open > .dropdown-toggle, -.navbar .nav li.dropdown.active > .dropdown-toggle, -.navbar .nav li.dropdown.open.active > .dropdown-toggle { - color: #555555; - background-color: #e5e5e5; -} - -.navbar .nav li.dropdown > .dropdown-toggle .caret { - border-top-color: #777777; - border-bottom-color: #777777; -} - -.navbar .nav li.dropdown.open > .dropdown-toggle .caret, -.navbar .nav li.dropdown.active > .dropdown-toggle .caret, -.navbar .nav li.dropdown.open.active > .dropdown-toggle .caret { - border-top-color: #555555; - border-bottom-color: #555555; -} - -.navbar .pull-right > li > .dropdown-menu, -.navbar .nav > li > .dropdown-menu.pull-right { - right: 0; - left: auto; -} - -.navbar .pull-right > li > .dropdown-menu:before, -.navbar .nav > li > .dropdown-menu.pull-right:before { - right: 12px; - left: auto; -} - -.navbar .pull-right > li > .dropdown-menu:after, -.navbar .nav > li > .dropdown-menu.pull-right:after { - right: 13px; - left: auto; -} - -.navbar .pull-right > li > .dropdown-menu .dropdown-menu, -.navbar .nav > li > .dropdown-menu.pull-right .dropdown-menu { - right: 100%; - left: auto; - margin-right: -1px; - margin-left: 0; - -webkit-border-radius: 6px 0 6px 6px; - -moz-border-radius: 6px 0 6px 6px; - border-radius: 6px 0 6px 6px; -} - -.navbar-inverse .navbar-inner { - background-color: #1b1b1b; - background-image: -moz-linear-gradient(top, #222222, #111111); - background-image: -webkit-gradient(linear, 0 0, 0 100%, from(#222222), to(#111111)); - background-image: -webkit-linear-gradient(top, #222222, #111111); - background-image: -o-linear-gradient(top, #222222, #111111); - background-image: linear-gradient(to bottom, #222222, #111111); - background-repeat: repeat-x; - border-color: #252525; - filter: progid:DXImageTransform.Microsoft.gradient(startColorstr='#ff222222', endColorstr='#ff111111', GradientType=0); -} - -.navbar-inverse .brand, -.navbar-inverse .nav > li > a { - color: #999999; - text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.25); -} - -.navbar-inverse .brand:hover, -.navbar-inverse .nav > li > a:hover { - color: #ffffff; -} - -.navbar-inverse .brand { - color: #999999; -} - -.navbar-inverse .navbar-text { - color: #999999; -} - -.navbar-inverse .nav > li > a:focus, -.navbar-inverse .nav > li > a:hover { - color: #ffffff; - background-color: transparent; -} - -.navbar-inverse .nav .active > a, -.navbar-inverse .nav .active > a:hover, -.navbar-inverse .nav .active > a:focus { - color: #ffffff; - background-color: #111111; -} - -.navbar-inverse .navbar-link { - color: #999999; -} - -.navbar-inverse .navbar-link:hover { - color: #ffffff; -} - -.navbar-inverse .divider-vertical { - border-right-color: #222222; - border-left-color: #111111; -} - -.navbar-inverse .nav li.dropdown.open > .dropdown-toggle, -.navbar-inverse .nav li.dropdown.active > .dropdown-toggle, -.navbar-inverse .nav li.dropdown.open.active > .dropdown-toggle { - color: #ffffff; - background-color: #111111; -} - -.navbar-inverse .nav li.dropdown > a:hover .caret { - border-top-color: #ffffff; - border-bottom-color: #ffffff; -} - -.navbar-inverse .nav li.dropdown > .dropdown-toggle .caret { - border-top-color: #999999; - border-bottom-color: #999999; -} - -.navbar-inverse .nav li.dropdown.open > .dropdown-toggle .caret, -.navbar-inverse .nav li.dropdown.active > .dropdown-toggle .caret, -.navbar-inverse .nav li.dropdown.open.active > .dropdown-toggle .caret { - border-top-color: #ffffff; - border-bottom-color: #ffffff; -} - -.navbar-inverse .navbar-search .search-query { - color: #ffffff; - background-color: #515151; - border-color: #111111; - -webkit-box-shadow: inset 0 1px 2px rgba(0, 0, 0, 0.1), 0 1px 0 rgba(255, 255, 255, 0.15); - -moz-box-shadow: inset 0 1px 2px rgba(0, 0, 0, 0.1), 0 1px 0 rgba(255, 255, 255, 0.15); - box-shadow: inset 0 1px 2px rgba(0, 0, 0, 0.1), 0 1px 0 rgba(255, 255, 255, 0.15); - -webkit-transition: none; - -moz-transition: none; - -o-transition: none; - transition: none; -} - -.navbar-inverse .navbar-search .search-query:-moz-placeholder { - color: #cccccc; -} - -.navbar-inverse .navbar-search .search-query:-ms-input-placeholder { - color: #cccccc; -} - -.navbar-inverse .navbar-search .search-query::-webkit-input-placeholder { - color: #cccccc; -} - -.navbar-inverse .navbar-search .search-query:focus, -.navbar-inverse .navbar-search .search-query.focused { - padding: 5px 15px; - color: #333333; - text-shadow: 0 1px 0 #ffffff; - background-color: #ffffff; - border: 0; - outline: 0; - -webkit-box-shadow: 0 0 3px rgba(0, 0, 0, 0.15); - -moz-box-shadow: 0 0 3px rgba(0, 0, 0, 0.15); - box-shadow: 0 0 3px rgba(0, 0, 0, 0.15); -} - -.navbar-inverse .btn-navbar { - color: #ffffff; - text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.25); - background-color: #0e0e0e; - *background-color: #040404; - background-image: -moz-linear-gradient(top, #151515, #040404); - background-image: -webkit-gradient(linear, 0 0, 0 100%, from(#151515), to(#040404)); - background-image: -webkit-linear-gradient(top, #151515, #040404); - background-image: -o-linear-gradient(top, #151515, #040404); - background-image: linear-gradient(to bottom, #151515, #040404); - background-repeat: repeat-x; - border-color: #040404 #040404 #000000; - border-color: rgba(0, 0, 0, 0.1) rgba(0, 0, 0, 0.1) rgba(0, 0, 0, 0.25); 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-.pagination { - margin: 20px 0; -} - -.pagination ul { - display: inline-block; - *display: inline; - margin-bottom: 0; - margin-left: 0; - -webkit-border-radius: 4px; - -moz-border-radius: 4px; - border-radius: 4px; - *zoom: 1; - -webkit-box-shadow: 0 1px 2px rgba(0, 0, 0, 0.05); - -moz-box-shadow: 0 1px 2px rgba(0, 0, 0, 0.05); - box-shadow: 0 1px 2px rgba(0, 0, 0, 0.05); -} - -.pagination ul > li { - display: inline; -} - -.pagination ul > li > a, -.pagination ul > li > span { - float: left; - padding: 4px 12px; - line-height: 20px; - text-decoration: none; - background-color: #ffffff; - border: 1px solid #dddddd; - border-left-width: 0; -} - -.pagination ul > li > a:hover, -.pagination ul > .active > a, -.pagination ul > .active > span { - background-color: #f5f5f5; -} - -.pagination ul > .active > a, -.pagination ul > .active > span { - color: #999999; - cursor: default; -} - -.pagination ul > .disabled > span, -.pagination ul > .disabled > a, -.pagination ul > .disabled > 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=================================================== - * Copyright 2012 Twitter, Inc. - * - * Licensed under the Apache License, Version 2.0 (the "License"); - * you may not use this file except in compliance with the License. - * You may obtain a copy of the License at - * - * http://www.apache.org/licenses/LICENSE-2.0 - * - * Unless required by applicable law or agreed to in writing, software - * distributed under the License is distributed on an "AS IS" BASIS, - * WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. - * See the License for the specific language governing permissions and - * limitations under the License. - * ========================================================== */ - - -!function ($) { - - "use strict"; // jshint ;_; - - - /* CSS TRANSITION SUPPORT (http://www.modernizr.com/) - * ======================================================= */ - - $(function () { - - $.support.transition = (function () { - - var transitionEnd = (function () { - - var el = document.createElement('bootstrap') - , transEndEventNames = { - 'WebkitTransition' : 'webkitTransitionEnd' - , 'MozTransition' : 'transitionend' - , 'OTransition' : 'oTransitionEnd otransitionend' - , 'transition' : 'transitionend' - } - , name - - for (name in transEndEventNames){ - if (el.style[name] !== undefined) { - return transEndEventNames[name] - } - } - - }()) - - return transitionEnd && { - end: transitionEnd - } - - })() - - }) - -}(window.jQuery);/* ========================================================== - * bootstrap-alert.js v2.2.2 - * http://twitter.github.com/bootstrap/javascript.html#alerts - * ========================================================== - * Copyright 2012 Twitter, Inc. - * - * Licensed under the Apache License, Version 2.0 (the "License"); - * you may not use this file except in compliance with the License. - * You may obtain a copy of the License at - * - * http://www.apache.org/licenses/LICENSE-2.0 - * - * Unless required by applicable law or agreed to in writing, software - * distributed under the License is distributed on an "AS IS" BASIS, - * WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. - * See the License for the specific language governing permissions and - * limitations under the License. - * ========================================================== */ - - -!function ($) { - - "use strict"; // jshint ;_; - - - /* ALERT CLASS DEFINITION - * ====================== */ - - var dismiss = '[data-dismiss="alert"]' - , Alert = function (el) { - $(el).on('click', dismiss, this.close) - } - - Alert.prototype.close = function (e) { - var $this = $(this) - , selector = $this.attr('data-target') - , $parent - - if (!selector) { - selector = $this.attr('href') - selector = selector && selector.replace(/.*(?=#[^\s]*$)/, '') //strip for ie7 - } - - $parent = $(selector) - - e && e.preventDefault() - - $parent.length || ($parent = $this.hasClass('alert') ? $this : $this.parent()) - - $parent.trigger(e = $.Event('close')) - - if (e.isDefaultPrevented()) return - - $parent.removeClass('in') - - function removeElement() { - $parent - .trigger('closed') - .remove() - } - - $.support.transition && $parent.hasClass('fade') ? - $parent.on($.support.transition.end, removeElement) : - removeElement() - } - - - /* ALERT PLUGIN DEFINITION - * ======================= */ - - var old = $.fn.alert - - $.fn.alert = function (option) { - return this.each(function () { - var $this = $(this) - , data = $this.data('alert') - if (!data) $this.data('alert', (data = new Alert(this))) - if (typeof option == 'string') data[option].call($this) - }) - } - - $.fn.alert.Constructor = Alert - - - /* ALERT NO CONFLICT - * ================= */ - - $.fn.alert.noConflict = function () { - $.fn.alert = old - return this - } - - - /* ALERT DATA-API - * ============== */ - - $(document).on('click.alert.data-api', dismiss, Alert.prototype.close) - -}(window.jQuery);/* ============================================================ - * bootstrap-button.js v2.2.2 - * http://twitter.github.com/bootstrap/javascript.html#buttons - * ============================================================ - * Copyright 2012 Twitter, Inc. - * - * Licensed under the Apache License, Version 2.0 (the "License"); - * you may not use this file except in compliance with the License. - * You may obtain a copy of the License at - * - * http://www.apache.org/licenses/LICENSE-2.0 - * - * Unless required by applicable law or agreed to in writing, software - * distributed under the License is distributed on an "AS IS" BASIS, - * WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. - * See the License for the specific language governing permissions and - * limitations under the License. - * ============================================================ */ - - -!function ($) { - - "use strict"; // jshint ;_; - - - /* BUTTON PUBLIC CLASS DEFINITION - * ============================== */ - - var Button = function (element, options) { - this.$element = $(element) - this.options = $.extend({}, $.fn.button.defaults, options) - } - - Button.prototype.setState = function (state) { - var d = 'disabled' - , $el = this.$element - , data = $el.data() - , val = $el.is('input') ? 'val' : 'html' - - state = state + 'Text' - data.resetText || $el.data('resetText', $el[val]()) - - $el[val](data[state] || this.options[state]) - - // push to event loop to allow forms to submit - setTimeout(function () { - state == 'loadingText' ? - $el.addClass(d).attr(d, d) : - $el.removeClass(d).removeAttr(d) - }, 0) - } - - Button.prototype.toggle = function () { - var $parent = this.$element.closest('[data-toggle="buttons-radio"]') - - $parent && $parent - .find('.active') - .removeClass('active') - - this.$element.toggleClass('active') - } - - - /* BUTTON PLUGIN DEFINITION - * ======================== */ - - var old = $.fn.button - - $.fn.button = function (option) { - return this.each(function () { - var $this = $(this) - , data = $this.data('button') - , options = typeof option == 'object' && option - if (!data) $this.data('button', (data = new Button(this, options))) - if (option == 'toggle') data.toggle() - else if (option) data.setState(option) - }) - } - - $.fn.button.defaults = { - loadingText: 'loading...' - } - - $.fn.button.Constructor = Button - - - /* BUTTON NO CONFLICT - * ================== */ - - $.fn.button.noConflict = function () { - $.fn.button = old - return this - } - - - /* BUTTON DATA-API - * =============== */ - - $(document).on('click.button.data-api', '[data-toggle^=button]', function (e) { - var $btn = $(e.target) - if (!$btn.hasClass('btn')) $btn = $btn.closest('.btn') - $btn.button('toggle') - }) - -}(window.jQuery);/* ========================================================== - * bootstrap-carousel.js v2.2.2 - * http://twitter.github.com/bootstrap/javascript.html#carousel - * ========================================================== - * Copyright 2012 Twitter, Inc. - * - * Licensed under the Apache License, Version 2.0 (the "License"); - * you may not use this file except in compliance with the License. - * You may obtain a copy of the License at - * - * http://www.apache.org/licenses/LICENSE-2.0 - * - * Unless required by applicable law or agreed to in writing, software - * distributed under the License is distributed on an "AS IS" BASIS, - * WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. - * See the License for the specific language governing permissions and - * limitations under the License. - * ========================================================== */ - - -!function ($) { - - "use strict"; // jshint ;_; - - - /* CAROUSEL CLASS DEFINITION - * ========================= */ - - var Carousel = function (element, options) { - this.$element = $(element) - this.options = options - this.options.pause == 'hover' && this.$element - .on('mouseenter', $.proxy(this.pause, this)) - .on('mouseleave', $.proxy(this.cycle, this)) - } - - Carousel.prototype = { - - cycle: function (e) { - if (!e) this.paused = false - this.options.interval - && !this.paused - && (this.interval = setInterval($.proxy(this.next, this), this.options.interval)) - return this - } - - , to: function (pos) { - var $active = this.$element.find('.item.active') - , children = $active.parent().children() - , activePos = children.index($active) - , that = this - - if (pos > (children.length - 1) || pos < 0) return - - if (this.sliding) { - return this.$element.one('slid', function () { - that.to(pos) - }) - } - - if (activePos == pos) { - return this.pause().cycle() - } - - return this.slide(pos > activePos ? 'next' : 'prev', $(children[pos])) - } - - , pause: function (e) { - if (!e) this.paused = true - if (this.$element.find('.next, .prev').length && $.support.transition.end) { - this.$element.trigger($.support.transition.end) - this.cycle() - } - clearInterval(this.interval) - this.interval = null - return this - } - - , next: function () { - if (this.sliding) return - return this.slide('next') - } - - , prev: function () { - if (this.sliding) return - return this.slide('prev') - } - - , slide: function (type, next) { - var $active = this.$element.find('.item.active') - , $next = next || $active[type]() - , isCycling = this.interval - , direction = type == 'next' ? 'left' : 'right' - , fallback = type == 'next' ? 'first' : 'last' - , that = this - , e - - this.sliding = true - - isCycling && this.pause() - - $next = $next.length ? $next : this.$element.find('.item')[fallback]() - - e = $.Event('slide', { - relatedTarget: $next[0] - }) - - if ($next.hasClass('active')) return - - if ($.support.transition && this.$element.hasClass('slide')) { - this.$element.trigger(e) - if (e.isDefaultPrevented()) return - $next.addClass(type) - $next[0].offsetWidth // force reflow - $active.addClass(direction) - $next.addClass(direction) - this.$element.one($.support.transition.end, function () { - $next.removeClass([type, direction].join(' ')).addClass('active') - $active.removeClass(['active', direction].join(' ')) - that.sliding = false - setTimeout(function () { that.$element.trigger('slid') }, 0) - }) - } else { - this.$element.trigger(e) - if (e.isDefaultPrevented()) return - $active.removeClass('active') - $next.addClass('active') - this.sliding = false - this.$element.trigger('slid') - } - - isCycling && this.cycle() - - return this - } - - } - - - /* CAROUSEL PLUGIN DEFINITION - * ========================== */ - - var old = $.fn.carousel - - $.fn.carousel = function (option) { - return this.each(function () { - var $this = $(this) - , data = $this.data('carousel') - , options = $.extend({}, $.fn.carousel.defaults, typeof option == 'object' && option) - , action = typeof option == 'string' ? option : options.slide - if (!data) $this.data('carousel', (data = new Carousel(this, options))) - if (typeof option == 'number') data.to(option) - else if (action) data[action]() - else if (options.interval) data.cycle() - }) - } - - $.fn.carousel.defaults = { - interval: 5000 - , pause: 'hover' - } - - $.fn.carousel.Constructor = Carousel - - - /* CAROUSEL NO CONFLICT - * ==================== */ - - $.fn.carousel.noConflict = function () { - $.fn.carousel = old - return this - } - - /* CAROUSEL DATA-API - * ================= */ - - $(document).on('click.carousel.data-api', '[data-slide]', function (e) { - var $this = $(this), href - , $target = $($this.attr('data-target') || (href = $this.attr('href')) && href.replace(/.*(?=#[^\s]+$)/, '')) //strip for ie7 - , options = $.extend({}, $target.data(), $this.data()) - $target.carousel(options) - e.preventDefault() - }) - -}(window.jQuery);/* ============================================================= - * bootstrap-collapse.js v2.2.2 - * http://twitter.github.com/bootstrap/javascript.html#collapse - * ============================================================= - * Copyright 2012 Twitter, Inc. - * - * Licensed under the Apache License, Version 2.0 (the "License"); - * you may not use this file except in compliance with the License. - * You may obtain a copy of the License at - * - * http://www.apache.org/licenses/LICENSE-2.0 - * - * Unless required by applicable law or agreed to in writing, software - * distributed under the License is distributed on an "AS IS" BASIS, - * WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. - * See the License for the specific language governing permissions and - * limitations under the License. - * ============================================================ */ - - -!function ($) { - - "use strict"; // jshint ;_; - - - /* COLLAPSE PUBLIC CLASS DEFINITION - * ================================ */ - - var Collapse = function (element, options) { - this.$element = $(element) - this.options = $.extend({}, $.fn.collapse.defaults, options) - - if (this.options.parent) { - this.$parent = $(this.options.parent) - } - - this.options.toggle && this.toggle() - } - - Collapse.prototype = { - - constructor: Collapse - - , dimension: function () { - var hasWidth = this.$element.hasClass('width') - return hasWidth ? 'width' : 'height' - } - - , show: function () { - var dimension - , scroll - , actives - , hasData - - if (this.transitioning) return - - dimension = this.dimension() - scroll = $.camelCase(['scroll', dimension].join('-')) - actives = this.$parent && this.$parent.find('> .accordion-group > .in') - - if (actives && actives.length) { - hasData = actives.data('collapse') - if (hasData && hasData.transitioning) return - actives.collapse('hide') - hasData || actives.data('collapse', null) - } - - this.$element[dimension](0) - this.transition('addClass', $.Event('show'), 'shown') - $.support.transition && this.$element[dimension](this.$element[0][scroll]) - } - - , hide: function () { - var dimension - if (this.transitioning) return - dimension = this.dimension() - this.reset(this.$element[dimension]()) - this.transition('removeClass', $.Event('hide'), 'hidden') - this.$element[dimension](0) - } - - , reset: function (size) { - var dimension = this.dimension() - - this.$element - .removeClass('collapse') - [dimension](size || 'auto') - [0].offsetWidth - - this.$element[size !== null ? 'addClass' : 'removeClass']('collapse') - - return this - } - - , transition: function (method, startEvent, completeEvent) { - var that = this - , complete = function () { - if (startEvent.type == 'show') that.reset() - that.transitioning = 0 - that.$element.trigger(completeEvent) - } - - this.$element.trigger(startEvent) - - if (startEvent.isDefaultPrevented()) return - - this.transitioning = 1 - - this.$element[method]('in') - - $.support.transition && this.$element.hasClass('collapse') ? - this.$element.one($.support.transition.end, complete) : - complete() - } - - , toggle: function () { - this[this.$element.hasClass('in') ? 'hide' : 'show']() - } - - } - - - /* COLLAPSE PLUGIN DEFINITION - * ========================== */ - - var old = $.fn.collapse - - $.fn.collapse = function (option) { - return this.each(function () { - var $this = $(this) - , data = $this.data('collapse') - , options = typeof option == 'object' && option - if (!data) $this.data('collapse', (data = new Collapse(this, options))) - if (typeof option == 'string') data[option]() - }) - } - - $.fn.collapse.defaults = { - toggle: true - } - - $.fn.collapse.Constructor = Collapse - - - /* COLLAPSE NO CONFLICT - * ==================== */ - - $.fn.collapse.noConflict = function () { - $.fn.collapse = old - return this - } - - - /* COLLAPSE DATA-API - * ================= */ - - $(document).on('click.collapse.data-api', '[data-toggle=collapse]', function (e) { - var $this = $(this), href - , target = $this.attr('data-target') - || e.preventDefault() - || (href = $this.attr('href')) && href.replace(/.*(?=#[^\s]+$)/, '') //strip for ie7 - , option = $(target).data('collapse') ? 'toggle' : $this.data() - $this[$(target).hasClass('in') ? 'addClass' : 'removeClass']('collapsed') - $(target).collapse(option) - }) - -}(window.jQuery);/* ============================================================ - * bootstrap-dropdown.js v2.2.2 - * http://twitter.github.com/bootstrap/javascript.html#dropdowns - * ============================================================ - * Copyright 2012 Twitter, Inc. - * - * Licensed under the Apache License, Version 2.0 (the "License"); - * you may not use this file except in compliance with the License. - * You may obtain a copy of the License at - * - * http://www.apache.org/licenses/LICENSE-2.0 - * - * Unless required by applicable law or agreed to in writing, software - * distributed under the License is distributed on an "AS IS" BASIS, - * WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. - * See the License for the specific language governing permissions and - * limitations under the License. - * ============================================================ */ - - -!function ($) { - - "use strict"; // jshint ;_; - - - /* DROPDOWN CLASS DEFINITION - * ========================= */ - - var toggle = '[data-toggle=dropdown]' - , Dropdown = function (element) { - var $el = $(element).on('click.dropdown.data-api', this.toggle) - $('html').on('click.dropdown.data-api', function () { - $el.parent().removeClass('open') - }) - } - - Dropdown.prototype = { - - constructor: Dropdown - - , toggle: function (e) { - var $this = $(this) - , $parent - , isActive - - if ($this.is('.disabled, :disabled')) return - - $parent = getParent($this) - - isActive = $parent.hasClass('open') - - clearMenus() - - if (!isActive) { - $parent.toggleClass('open') - } - - $this.focus() - - return false - } - - , keydown: function (e) { - var $this - , $items - , $active - , $parent - , isActive - , index - - if (!/(38|40|27)/.test(e.keyCode)) return - - $this = $(this) - - e.preventDefault() - e.stopPropagation() - - if ($this.is('.disabled, :disabled')) return - - $parent = getParent($this) - - isActive = $parent.hasClass('open') - - if (!isActive || (isActive && e.keyCode == 27)) return $this.click() - - $items = $('[role=menu] li:not(.divider):visible a', $parent) - - if (!$items.length) return - - index = $items.index($items.filter(':focus')) - - if (e.keyCode == 38 && index > 0) index-- // up - if (e.keyCode == 40 && index < $items.length - 1) index++ // down - if (!~index) index = 0 - - $items - .eq(index) - .focus() - } - - } - - function clearMenus() { - $(toggle).each(function () { - getParent($(this)).removeClass('open') - }) - } - - function getParent($this) { - var selector = $this.attr('data-target') - , $parent - - if (!selector) { - selector = $this.attr('href') - selector = selector && /#/.test(selector) && selector.replace(/.*(?=#[^\s]*$)/, '') //strip for ie7 - } - - $parent = $(selector) - $parent.length || ($parent = $this.parent()) - - return $parent - } - - - /* DROPDOWN PLUGIN DEFINITION - * ========================== */ - - var old = $.fn.dropdown - - $.fn.dropdown = function (option) { - return this.each(function () { - var $this = $(this) - , data = $this.data('dropdown') - if (!data) $this.data('dropdown', (data = new Dropdown(this))) - if (typeof option == 'string') data[option].call($this) - }) - } - - $.fn.dropdown.Constructor = Dropdown - - - /* DROPDOWN NO CONFLICT - * ==================== */ - - $.fn.dropdown.noConflict = function () { - $.fn.dropdown = old - return this - } - - - /* APPLY TO STANDARD DROPDOWN ELEMENTS - * =================================== */ - - $(document) - .on('click.dropdown.data-api touchstart.dropdown.data-api', clearMenus) - .on('click.dropdown touchstart.dropdown.data-api', '.dropdown form', function (e) { e.stopPropagation() }) - .on('touchstart.dropdown.data-api', '.dropdown-menu', function (e) { e.stopPropagation() }) - .on('click.dropdown.data-api touchstart.dropdown.data-api' , toggle, Dropdown.prototype.toggle) - .on('keydown.dropdown.data-api touchstart.dropdown.data-api', toggle + ', [role=menu]' , Dropdown.prototype.keydown) - -}(window.jQuery);/* ========================================================= - * bootstrap-modal.js v2.2.2 - * http://twitter.github.com/bootstrap/javascript.html#modals - * ========================================================= - * Copyright 2012 Twitter, Inc. - * - * Licensed under the Apache License, Version 2.0 (the "License"); - * you may not use this file except in compliance with the License. - * You may obtain a copy of the License at - * - * http://www.apache.org/licenses/LICENSE-2.0 - * - * Unless required by applicable law or agreed to in writing, software - * distributed under the License is distributed on an "AS IS" BASIS, - * WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. - * See the License for the specific language governing permissions and - * limitations under the License. - * ========================================================= */ - - -!function ($) { - - "use strict"; // jshint ;_; - - - /* MODAL CLASS DEFINITION - * ====================== */ - - var Modal = function (element, options) { - this.options = options - this.$element = $(element) - .delegate('[data-dismiss="modal"]', 'click.dismiss.modal', $.proxy(this.hide, this)) - this.options.remote && this.$element.find('.modal-body').load(this.options.remote) - } - - Modal.prototype = { - - constructor: Modal - - , toggle: function () { - return this[!this.isShown ? 'show' : 'hide']() - } - - , show: function () { - var that = this - , e = $.Event('show') - - this.$element.trigger(e) - - if (this.isShown || e.isDefaultPrevented()) return - - this.isShown = true - - this.escape() - - this.backdrop(function () { - var transition = $.support.transition && that.$element.hasClass('fade') - - if (!that.$element.parent().length) { - that.$element.appendTo(document.body) //don't move modals dom position - } - - that.$element - .show() - - if (transition) { - that.$element[0].offsetWidth // force reflow - } - - that.$element - .addClass('in') - .attr('aria-hidden', false) - - that.enforceFocus() - - transition ? - that.$element.one($.support.transition.end, function () { that.$element.focus().trigger('shown') }) : - that.$element.focus().trigger('shown') - - }) - } - - , hide: function (e) { - e && e.preventDefault() - - var that = this - - e = $.Event('hide') - - this.$element.trigger(e) - - if (!this.isShown || e.isDefaultPrevented()) return - - this.isShown = false - - this.escape() - - $(document).off('focusin.modal') - - this.$element - .removeClass('in') - .attr('aria-hidden', true) - - $.support.transition && this.$element.hasClass('fade') ? - this.hideWithTransition() : - this.hideModal() - } - - , enforceFocus: function () { - var that = this - $(document).on('focusin.modal', function (e) { - if (that.$element[0] !== e.target && !that.$element.has(e.target).length) { - that.$element.focus() - } - }) - } - - , escape: function () { - var that = this - if (this.isShown && this.options.keyboard) { - this.$element.on('keyup.dismiss.modal', function ( e ) { - e.which == 27 && that.hide() - }) - } else if (!this.isShown) { - this.$element.off('keyup.dismiss.modal') - } - } - - , hideWithTransition: function () { - var that = this - , timeout = setTimeout(function () { - that.$element.off($.support.transition.end) - that.hideModal() - }, 500) - - this.$element.one($.support.transition.end, function () { - clearTimeout(timeout) - that.hideModal() - }) - } - - , hideModal: function (that) { - this.$element - .hide() - .trigger('hidden') - - this.backdrop() - } - - , removeBackdrop: function () { - this.$backdrop.remove() - this.$backdrop = null - } - - , backdrop: function (callback) { - var that = this - , animate = this.$element.hasClass('fade') ? 'fade' : '' - - if (this.isShown && this.options.backdrop) { - var doAnimate = $.support.transition && animate - - this.$backdrop = $('
') - .appendTo(document.body) - - this.$backdrop.click( - this.options.backdrop == 'static' ? - $.proxy(this.$element[0].focus, this.$element[0]) - : $.proxy(this.hide, this) - ) - - if (doAnimate) this.$backdrop[0].offsetWidth // force reflow - - this.$backdrop.addClass('in') - - doAnimate ? - this.$backdrop.one($.support.transition.end, callback) : - callback() - - } else if (!this.isShown && this.$backdrop) { - this.$backdrop.removeClass('in') - - $.support.transition && this.$element.hasClass('fade')? - this.$backdrop.one($.support.transition.end, $.proxy(this.removeBackdrop, this)) : - this.removeBackdrop() - - } else if (callback) { - callback() - } - } - } - - - /* MODAL PLUGIN DEFINITION - * ======================= */ - - var old = $.fn.modal - - $.fn.modal = function (option) { - return this.each(function () { - var $this = $(this) - , data = $this.data('modal') - , options = $.extend({}, $.fn.modal.defaults, $this.data(), typeof option == 'object' && option) - if (!data) $this.data('modal', (data = new Modal(this, options))) - if (typeof option == 'string') data[option]() - else if (options.show) data.show() - }) - } - - $.fn.modal.defaults = { - backdrop: true - , keyboard: true - , show: true - } - - $.fn.modal.Constructor = Modal - - - /* MODAL NO CONFLICT - * ================= */ - - $.fn.modal.noConflict = function () { - $.fn.modal = old - return this - } - - - /* MODAL DATA-API - * ============== */ - - $(document).on('click.modal.data-api', '[data-toggle="modal"]', function (e) { - var $this = $(this) - , href = $this.attr('href') - , $target = $($this.attr('data-target') || (href && href.replace(/.*(?=#[^\s]+$)/, ''))) //strip for ie7 - , option = $target.data('modal') ? 'toggle' : $.extend({ remote:!/#/.test(href) && href }, $target.data(), $this.data()) - - e.preventDefault() - - $target - .modal(option) - .one('hide', function () { - $this.focus() - }) - }) - -}(window.jQuery); -/* =========================================================== - * bootstrap-tooltip.js v2.2.2 - * http://twitter.github.com/bootstrap/javascript.html#tooltips - * Inspired by the original jQuery.tipsy by Jason Frame - * =========================================================== - * Copyright 2012 Twitter, Inc. - * - * Licensed under the Apache License, Version 2.0 (the "License"); - * you may not use this file except in compliance with the License. - * You may obtain a copy of the License at - * - * http://www.apache.org/licenses/LICENSE-2.0 - * - * Unless required by applicable law or agreed to in writing, software - * distributed under the License is distributed on an "AS IS" BASIS, - * WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. - * See the License for the specific language governing permissions and - * limitations under the License. - * ========================================================== */ - - -!function ($) { - - "use strict"; // jshint ;_; - - - /* TOOLTIP PUBLIC CLASS DEFINITION - * =============================== */ - - var Tooltip = function (element, options) { - this.init('tooltip', element, options) - } - - Tooltip.prototype = { - - constructor: Tooltip - - , init: function (type, element, options) { - var eventIn - , eventOut - - this.type = type - this.$element = $(element) - this.options = this.getOptions(options) - this.enabled = true - - if (this.options.trigger == 'click') { - this.$element.on('click.' + this.type, this.options.selector, $.proxy(this.toggle, this)) - } else if (this.options.trigger != 'manual') { - eventIn = this.options.trigger == 'hover' ? 'mouseenter' : 'focus' - eventOut = this.options.trigger == 'hover' ? 'mouseleave' : 'blur' - this.$element.on(eventIn + '.' + this.type, this.options.selector, $.proxy(this.enter, this)) - this.$element.on(eventOut + '.' + this.type, this.options.selector, $.proxy(this.leave, this)) - } - - this.options.selector ? - (this._options = $.extend({}, this.options, { trigger: 'manual', selector: '' })) : - this.fixTitle() - } - - , getOptions: function (options) { - options = $.extend({}, $.fn[this.type].defaults, options, this.$element.data()) - - if (options.delay && typeof options.delay == 'number') { - options.delay = { - show: options.delay - , hide: options.delay - } - } - - return options - } - - , enter: function (e) { - var self = $(e.currentTarget)[this.type](this._options).data(this.type) - - if (!self.options.delay || !self.options.delay.show) return self.show() - - clearTimeout(this.timeout) - self.hoverState = 'in' - this.timeout = setTimeout(function() { - if (self.hoverState == 'in') self.show() - }, self.options.delay.show) - } - - , leave: function (e) { - var self = $(e.currentTarget)[this.type](this._options).data(this.type) - - if (this.timeout) clearTimeout(this.timeout) - if (!self.options.delay || !self.options.delay.hide) return self.hide() - - self.hoverState = 'out' - this.timeout = setTimeout(function() { - if (self.hoverState == 'out') self.hide() - }, self.options.delay.hide) - } - - , show: function () { - var $tip - , inside - , pos - , actualWidth - , actualHeight - , placement - , tp - - if (this.hasContent() && this.enabled) { - $tip = this.tip() - this.setContent() - - if (this.options.animation) { - $tip.addClass('fade') - } - - placement = typeof this.options.placement == 'function' ? - this.options.placement.call(this, $tip[0], this.$element[0]) : - this.options.placement - - inside = /in/.test(placement) - - $tip - .detach() - .css({ top: 0, left: 0, display: 'block' }) - .insertAfter(this.$element) - - pos = this.getPosition(inside) - - actualWidth = $tip[0].offsetWidth - actualHeight = $tip[0].offsetHeight - - switch (inside ? placement.split(' ')[1] : placement) { - case 'bottom': - tp = {top: pos.top + pos.height, left: pos.left + pos.width / 2 - actualWidth / 2} - break - case 'top': - tp = {top: pos.top - actualHeight, left: pos.left + pos.width / 2 - actualWidth / 2} - break - case 'left': - tp = {top: pos.top + pos.height / 2 - actualHeight / 2, left: pos.left - actualWidth} - break - case 'right': - tp = {top: pos.top + pos.height / 2 - actualHeight / 2, left: pos.left + pos.width} - break - } - - $tip - .offset(tp) - .addClass(placement) - .addClass('in') - } - } - - , setContent: function () { - var $tip = this.tip() - , title = this.getTitle() - - $tip.find('.tooltip-inner')[this.options.html ? 'html' : 'text'](title) - $tip.removeClass('fade in top bottom left right') - } - - , hide: function () { - var that = this - , $tip = this.tip() - - $tip.removeClass('in') - - function removeWithAnimation() { - var timeout = setTimeout(function () { - $tip.off($.support.transition.end).detach() - }, 500) - - $tip.one($.support.transition.end, function () { - clearTimeout(timeout) - $tip.detach() - }) - } - - $.support.transition && this.$tip.hasClass('fade') ? - removeWithAnimation() : - $tip.detach() - - return this - } - - , fixTitle: function () { - var $e = this.$element - if ($e.attr('title') || typeof($e.attr('data-original-title')) != 'string') { - $e.attr('data-original-title', $e.attr('title') || '').removeAttr('title') - } - } - - , hasContent: function () { - return this.getTitle() - } - - , getPosition: function (inside) { - return $.extend({}, (inside ? {top: 0, left: 0} : this.$element.offset()), { - width: this.$element[0].offsetWidth - , height: this.$element[0].offsetHeight - }) - } - - , getTitle: function () { - var title - , $e = this.$element - , o = this.options - - title = $e.attr('data-original-title') - || (typeof o.title == 'function' ? o.title.call($e[0]) : o.title) - - return title - } - - , tip: function () { - return this.$tip = this.$tip || $(this.options.template) - } - - , validate: function () { - if (!this.$element[0].parentNode) { - this.hide() - this.$element = null - this.options = null - } - } - - , enable: function () { - this.enabled = true - } - - , disable: function () { - this.enabled = false - } - - , toggleEnabled: function () { - this.enabled = !this.enabled - } - - , toggle: function (e) { - var self = $(e.currentTarget)[this.type](this._options).data(this.type) - self[self.tip().hasClass('in') ? 'hide' : 'show']() - } - - , destroy: function () { - this.hide().$element.off('.' + this.type).removeData(this.type) - } - - } - - - /* TOOLTIP PLUGIN DEFINITION - * ========================= */ - - var old = $.fn.tooltip - - $.fn.tooltip = function ( option ) { - return this.each(function () { - var $this = $(this) - , data = $this.data('tooltip') - , options = typeof option == 'object' && option - if (!data) $this.data('tooltip', (data = new Tooltip(this, options))) - if (typeof option == 'string') data[option]() - }) - } - - $.fn.tooltip.Constructor = Tooltip - - $.fn.tooltip.defaults = { - animation: true - , placement: 'top' - , selector: false - , template: '
' - , trigger: 'hover' - , title: '' - , delay: 0 - , html: false - } - - - /* TOOLTIP NO CONFLICT - * =================== */ - - $.fn.tooltip.noConflict = function () { - $.fn.tooltip = old - return this - } - -}(window.jQuery);/* =========================================================== - * bootstrap-popover.js v2.2.2 - * http://twitter.github.com/bootstrap/javascript.html#popovers - * =========================================================== - * Copyright 2012 Twitter, Inc. - * - * Licensed under the Apache License, Version 2.0 (the "License"); - * you may not use this file except in compliance with the License. - * You may obtain a copy of the License at - * - * http://www.apache.org/licenses/LICENSE-2.0 - * - * Unless required by applicable law or agreed to in writing, software - * distributed under the License is distributed on an "AS IS" BASIS, - * WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. - * See the License for the specific language governing permissions and - * limitations under the License. - * =========================================================== */ - - -!function ($) { - - "use strict"; // jshint ;_; - - - /* POPOVER PUBLIC CLASS DEFINITION - * =============================== */ - - var Popover = function (element, options) { - this.init('popover', element, options) - } - - - /* NOTE: POPOVER EXTENDS BOOTSTRAP-TOOLTIP.js - ========================================== */ - - Popover.prototype = $.extend({}, $.fn.tooltip.Constructor.prototype, { - - constructor: Popover - - , setContent: function () { - var $tip = this.tip() - , title = this.getTitle() - , content = this.getContent() - - $tip.find('.popover-title')[this.options.html ? 'html' : 'text'](title) - $tip.find('.popover-content')[this.options.html ? 'html' : 'text'](content) - - $tip.removeClass('fade top bottom left right in') - } - - , hasContent: function () { - return this.getTitle() || this.getContent() - } - - , getContent: function () { - var content - , $e = this.$element - , o = this.options - - content = $e.attr('data-content') - || (typeof o.content == 'function' ? o.content.call($e[0]) : o.content) - - return content - } - - , tip: function () { - if (!this.$tip) { - this.$tip = $(this.options.template) - } - return this.$tip - } - - , destroy: function () { - this.hide().$element.off('.' + this.type).removeData(this.type) - } - - }) - - - /* POPOVER PLUGIN DEFINITION - * ======================= */ - - var old = $.fn.popover - - $.fn.popover = function (option) { - return this.each(function () { - var $this = $(this) - , data = $this.data('popover') - , options = typeof option == 'object' && option - if (!data) $this.data('popover', (data = new Popover(this, options))) - if (typeof option == 'string') data[option]() - }) - } - - $.fn.popover.Constructor = Popover - - $.fn.popover.defaults = $.extend({} , $.fn.tooltip.defaults, { - placement: 'right' - , trigger: 'click' - , content: '' - , template: '

' - }) - - - /* POPOVER NO CONFLICT - * =================== */ - - $.fn.popover.noConflict = function () { - $.fn.popover = old - return this - } - -}(window.jQuery);/* ============================================================= - * bootstrap-scrollspy.js v2.2.2 - * http://twitter.github.com/bootstrap/javascript.html#scrollspy - * ============================================================= - * Copyright 2012 Twitter, Inc. - * - * Licensed under the Apache License, Version 2.0 (the "License"); - * you may not use this file except in compliance with the License. - * You may obtain a copy of the License at - * - * http://www.apache.org/licenses/LICENSE-2.0 - * - * Unless required by applicable law or agreed to in writing, software - * distributed under the License is distributed on an "AS IS" BASIS, - * WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. - * See the License for the specific language governing permissions and - * limitations under the License. - * ============================================================== */ - - -!function ($) { - - "use strict"; // jshint ;_; - - - /* SCROLLSPY CLASS DEFINITION - * ========================== */ - - function ScrollSpy(element, options) { - var process = $.proxy(this.process, this) - , $element = $(element).is('body') ? $(window) : $(element) - , href - this.options = $.extend({}, $.fn.scrollspy.defaults, options) - this.$scrollElement = $element.on('scroll.scroll-spy.data-api', process) - this.selector = (this.options.target - || ((href = $(element).attr('href')) && href.replace(/.*(?=#[^\s]+$)/, '')) //strip for ie7 - || '') + ' .nav li > a' - this.$body = $('body') - this.refresh() - this.process() - } - - ScrollSpy.prototype = { - - constructor: ScrollSpy - - , refresh: function () { - var self = this - , $targets - - this.offsets = $([]) - this.targets = $([]) - - $targets = this.$body - .find(this.selector) - .map(function () { - var $el = $(this) - , href = $el.data('target') || $el.attr('href') - , $href = /^#\w/.test(href) && $(href) - return ( $href - && $href.length - && [[ $href.position().top + self.$scrollElement.scrollTop(), href ]] ) || null - }) - .sort(function (a, b) { return a[0] - b[0] }) - .each(function () { - self.offsets.push(this[0]) - self.targets.push(this[1]) - }) - } - - , process: function () { - var scrollTop = this.$scrollElement.scrollTop() + this.options.offset - , scrollHeight = this.$scrollElement[0].scrollHeight || this.$body[0].scrollHeight - , maxScroll = scrollHeight - this.$scrollElement.height() - , offsets = this.offsets - , targets = this.targets - , activeTarget = this.activeTarget - , i - - if (scrollTop >= maxScroll) { - return activeTarget != (i = targets.last()[0]) - && this.activate ( i ) - } - - for (i = offsets.length; i--;) { - activeTarget != targets[i] - && scrollTop >= offsets[i] - && (!offsets[i + 1] || scrollTop <= offsets[i + 1]) - && this.activate( targets[i] ) - } - } - - , activate: function (target) { - var active - , selector - - this.activeTarget = target - - $(this.selector) - .parent('.active') - .removeClass('active') - - selector = this.selector - + '[data-target="' + target + '"],' - + this.selector + '[href="' + target + '"]' - - active = $(selector) - .parent('li') - .addClass('active') - - if (active.parent('.dropdown-menu').length) { - active = active.closest('li.dropdown').addClass('active') - } - - active.trigger('activate') - } - - } - - - /* SCROLLSPY PLUGIN DEFINITION - * =========================== */ - - var old = $.fn.scrollspy - - $.fn.scrollspy = function (option) { - return this.each(function () { - var $this = $(this) - , data = $this.data('scrollspy') - , options = typeof option == 'object' && option - if (!data) $this.data('scrollspy', (data = new ScrollSpy(this, options))) - if (typeof option == 'string') data[option]() - }) - } - - $.fn.scrollspy.Constructor = ScrollSpy - - $.fn.scrollspy.defaults = { - offset: 10 - } - - - /* SCROLLSPY NO CONFLICT - * ===================== */ - - $.fn.scrollspy.noConflict = function () { - $.fn.scrollspy = old - return this - } - - - /* SCROLLSPY DATA-API - * ================== */ - - $(window).on('load', function () { - $('[data-spy="scroll"]').each(function () { - var $spy = $(this) - $spy.scrollspy($spy.data()) - }) - }) - -}(window.jQuery);/* ======================================================== - * bootstrap-tab.js v2.2.2 - * http://twitter.github.com/bootstrap/javascript.html#tabs - * ======================================================== - * Copyright 2012 Twitter, Inc. - * - * Licensed under the Apache License, Version 2.0 (the "License"); - * you may not use this file except in compliance with the License. - * You may obtain a copy of the License at - * - * http://www.apache.org/licenses/LICENSE-2.0 - * - * Unless required by applicable law or agreed to in writing, software - * distributed under the License is distributed on an "AS IS" BASIS, - * WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. - * See the License for the specific language governing permissions and - * limitations under the License. - * ======================================================== */ - - -!function ($) { - - "use strict"; // jshint ;_; - - - /* TAB CLASS DEFINITION - * ==================== */ - - var Tab = function (element) { - this.element = $(element) - } - - Tab.prototype = { - - constructor: Tab - - , show: function () { - var $this = this.element - , $ul = $this.closest('ul:not(.dropdown-menu)') - , selector = $this.attr('data-target') - , previous - , $target - , e - - if (!selector) { - selector = $this.attr('href') - selector = selector && selector.replace(/.*(?=#[^\s]*$)/, '') //strip for ie7 - } - - if ( $this.parent('li').hasClass('active') ) return - - previous = $ul.find('.active:last a')[0] - - e = $.Event('show', { - relatedTarget: previous - }) - - $this.trigger(e) - - if (e.isDefaultPrevented()) return - - $target = $(selector) - - this.activate($this.parent('li'), $ul) - this.activate($target, $target.parent(), function () { - $this.trigger({ - type: 'shown' - , relatedTarget: previous - }) - }) - } - - , activate: function ( element, container, callback) { - var $active = container.find('> .active') - , transition = callback - && $.support.transition - && $active.hasClass('fade') - - function next() { - $active - .removeClass('active') - .find('> .dropdown-menu > .active') - .removeClass('active') - - element.addClass('active') - - if (transition) { - element[0].offsetWidth // reflow for transition - element.addClass('in') - } else { - element.removeClass('fade') - } - - if ( element.parent('.dropdown-menu') ) { - element.closest('li.dropdown').addClass('active') - } - - callback && callback() - } - - transition ? - $active.one($.support.transition.end, next) : - next() - - $active.removeClass('in') - } - } - - - /* TAB PLUGIN DEFINITION - * ===================== */ - - var old = $.fn.tab - - $.fn.tab = function ( option ) { - return this.each(function () { - var $this = $(this) - , data = $this.data('tab') - if (!data) $this.data('tab', (data = new Tab(this))) - if (typeof option == 'string') data[option]() - }) - } - - $.fn.tab.Constructor = Tab - - - /* TAB NO CONFLICT - * =============== */ - - $.fn.tab.noConflict = function () { - $.fn.tab = old - return this - } - - - /* TAB DATA-API - * ============ */ - - $(document).on('click.tab.data-api', '[data-toggle="tab"], [data-toggle="pill"]', function (e) { - e.preventDefault() - $(this).tab('show') - }) - -}(window.jQuery);/* ============================================================= - * bootstrap-typeahead.js v2.2.2 - * http://twitter.github.com/bootstrap/javascript.html#typeahead - * ============================================================= - * Copyright 2012 Twitter, Inc. - * - * Licensed under the Apache License, Version 2.0 (the "License"); - * you may not use this file except in compliance with the License. - * You may obtain a copy of the License at - * - * http://www.apache.org/licenses/LICENSE-2.0 - * - * Unless required by applicable law or agreed to in writing, software - * distributed under the License is distributed on an "AS IS" BASIS, - * WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. - * See the License for the specific language governing permissions and - * limitations under the License. - * ============================================================ */ - - -!function($){ - - "use strict"; // jshint ;_; - - - /* TYPEAHEAD PUBLIC CLASS DEFINITION - * ================================= */ - - var Typeahead = function (element, options) { - this.$element = $(element) - this.options = $.extend({}, $.fn.typeahead.defaults, options) - this.matcher = this.options.matcher || this.matcher - this.sorter = this.options.sorter || this.sorter - this.highlighter = this.options.highlighter || this.highlighter - this.updater = this.options.updater || this.updater - this.source = this.options.source - this.$menu = $(this.options.menu) - this.shown = false - this.listen() - } - - Typeahead.prototype = { - - constructor: Typeahead - - , select: function () { - var val = this.$menu.find('.active').attr('data-value') - this.$element - .val(this.updater(val)) - .change() - return this.hide() - } - - , updater: function (item) { - return item - } - - , show: function () { - var pos = $.extend({}, this.$element.position(), { - height: this.$element[0].offsetHeight - }) - - this.$menu - .insertAfter(this.$element) - .css({ - top: pos.top + pos.height - , left: pos.left - }) - .show() - - this.shown = true - return this - } - - , hide: function () { - this.$menu.hide() - this.shown = false - return this - } - - , lookup: function (event) { - var items - - this.query = this.$element.val() - - if (!this.query || this.query.length < this.options.minLength) { - return this.shown ? this.hide() : this - } - - items = $.isFunction(this.source) ? this.source(this.query, $.proxy(this.process, this)) : this.source - - return items ? this.process(items) : this - } - - , process: function (items) { - var that = this - - items = $.grep(items, function (item) { - return that.matcher(item) - }) - - items = this.sorter(items) - - if (!items.length) { - return this.shown ? this.hide() : this - } - - return this.render(items.slice(0, this.options.items)).show() - } - - , matcher: function (item) { - return ~item.toLowerCase().indexOf(this.query.toLowerCase()) - } - - , sorter: function (items) { - var beginswith = [] - , caseSensitive = [] - , caseInsensitive = [] - , item - - while (item = items.shift()) { - if (!item.toLowerCase().indexOf(this.query.toLowerCase())) beginswith.push(item) - else if (~item.indexOf(this.query)) caseSensitive.push(item) - else caseInsensitive.push(item) - } - - return beginswith.concat(caseSensitive, caseInsensitive) - } - - , highlighter: function (item) { - var query = this.query.replace(/[\-\[\]{}()*+?.,\\\^$|#\s]/g, '\\$&') - return item.replace(new RegExp('(' + query + ')', 'ig'), function ($1, match) { - return '' + match + '' - }) - } - - , render: function (items) { - var that = this - - items = $(items).map(function (i, item) { - i = $(that.options.item).attr('data-value', item) - i.find('a').html(that.highlighter(item)) - return i[0] - }) - - items.first().addClass('active') - this.$menu.html(items) - return this - } - - , next: function (event) { - var active = this.$menu.find('.active').removeClass('active') - , next = active.next() - - if (!next.length) { - next = $(this.$menu.find('li')[0]) - } - - next.addClass('active') - } - - , prev: function (event) { - var active = this.$menu.find('.active').removeClass('active') - , prev = active.prev() - - if (!prev.length) { - prev = this.$menu.find('li').last() - } - - prev.addClass('active') - } - - , listen: function () { - this.$element - .on('blur', $.proxy(this.blur, this)) - .on('keypress', $.proxy(this.keypress, this)) - .on('keyup', $.proxy(this.keyup, this)) - - if (this.eventSupported('keydown')) { - this.$element.on('keydown', $.proxy(this.keydown, this)) - } - - this.$menu - .on('click', $.proxy(this.click, this)) - .on('mouseenter', 'li', $.proxy(this.mouseenter, this)) - } - - , eventSupported: function(eventName) { - var isSupported = eventName in this.$element - if (!isSupported) { - this.$element.setAttribute(eventName, 'return;') - isSupported = typeof this.$element[eventName] === 'function' - } - return isSupported - } - - , move: function (e) { - if (!this.shown) return - - switch(e.keyCode) { - case 9: // tab - case 13: // enter - case 27: // escape - e.preventDefault() - break - - case 38: // up arrow - e.preventDefault() - this.prev() - break - - case 40: // down arrow - e.preventDefault() - this.next() - break - } - - e.stopPropagation() - } - - , keydown: function (e) { - this.suppressKeyPressRepeat = ~$.inArray(e.keyCode, [40,38,9,13,27]) - this.move(e) - } - - , keypress: function (e) { - if (this.suppressKeyPressRepeat) return - this.move(e) - } - - , keyup: function (e) { - switch(e.keyCode) { - case 40: // down arrow - case 38: // up arrow - case 16: // shift - case 17: // ctrl - case 18: // alt - break - - case 9: // tab - case 13: // enter - if (!this.shown) return - this.select() - break - - case 27: // escape - if (!this.shown) return - this.hide() - break - - default: - this.lookup() - } - - e.stopPropagation() - e.preventDefault() - } - - , blur: function (e) { - var that = this - setTimeout(function () { that.hide() }, 150) - } - - , click: function (e) { - e.stopPropagation() - e.preventDefault() - this.select() - } - - , mouseenter: function (e) { - this.$menu.find('.active').removeClass('active') - $(e.currentTarget).addClass('active') - } - - } - - - /* TYPEAHEAD PLUGIN DEFINITION - * =========================== */ - - var old = $.fn.typeahead - - $.fn.typeahead = function (option) { - return this.each(function () { - var $this = $(this) - , data = $this.data('typeahead') - , options = typeof option == 'object' && option - if (!data) $this.data('typeahead', (data = new Typeahead(this, options))) - if (typeof option == 'string') data[option]() - }) - } - - $.fn.typeahead.defaults = { - source: [] - , items: 8 - , menu: '
    ' - , item: '
    • ' - , minLength: 1 - } - - $.fn.typeahead.Constructor = Typeahead - - - /* TYPEAHEAD NO CONFLICT - * =================== */ - - $.fn.typeahead.noConflict = function () { - $.fn.typeahead = old - return this - } - - - /* TYPEAHEAD DATA-API - * ================== */ - - $(document).on('focus.typeahead.data-api', '[data-provide="typeahead"]', function (e) { - var $this = $(this) - if ($this.data('typeahead')) return - e.preventDefault() - $this.typeahead($this.data()) - }) - -}(window.jQuery); -/* ========================================================== - * bootstrap-affix.js v2.2.2 - * http://twitter.github.com/bootstrap/javascript.html#affix - * ========================================================== - * Copyright 2012 Twitter, Inc. - * - * Licensed under the Apache License, Version 2.0 (the "License"); - * you may not use this file except in compliance with the License. - * You may obtain a copy of the License at - * - * http://www.apache.org/licenses/LICENSE-2.0 - * - * Unless required by applicable law or agreed to in writing, software - * distributed under the License is distributed on an "AS IS" BASIS, - * WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. - * See the License for the specific language governing permissions and - * limitations under the License. - * ========================================================== */ - - -!function ($) { - - "use strict"; // jshint ;_; - - - /* AFFIX CLASS DEFINITION - * ====================== */ - - var Affix = function (element, options) { - this.options = $.extend({}, $.fn.affix.defaults, options) - this.$window = $(window) - .on('scroll.affix.data-api', $.proxy(this.checkPosition, this)) - .on('click.affix.data-api', $.proxy(function () { setTimeout($.proxy(this.checkPosition, this), 1) }, this)) - this.$element = $(element) - this.checkPosition() - } - - Affix.prototype.checkPosition = function () { - if (!this.$element.is(':visible')) return - - var scrollHeight = $(document).height() - , scrollTop = this.$window.scrollTop() - , position = this.$element.offset() - , offset = this.options.offset - , offsetBottom = offset.bottom - , offsetTop = offset.top - , reset = 'affix affix-top affix-bottom' - , affix - - if (typeof offset != 'object') offsetBottom = offsetTop = offset - if (typeof offsetTop == 'function') offsetTop = offset.top() - if (typeof offsetBottom == 'function') offsetBottom = offset.bottom() - - affix = this.unpin != null && (scrollTop + this.unpin <= position.top) ? - false : offsetBottom != null && (position.top + this.$element.height() >= scrollHeight - offsetBottom) ? - 'bottom' : offsetTop != null && scrollTop <= offsetTop ? - 'top' : false - - if (this.affixed === affix) return - - this.affixed = affix - this.unpin = affix == 'bottom' ? position.top - scrollTop : null - - this.$element.removeClass(reset).addClass('affix' + (affix ? '-' + affix : '')) - } - - - /* AFFIX PLUGIN DEFINITION - * ======================= */ - - var old = $.fn.affix - - $.fn.affix = function (option) { - return this.each(function () { - var $this = $(this) - , data = $this.data('affix') - , options = typeof option == 'object' && option - if (!data) $this.data('affix', (data = new Affix(this, options))) - if (typeof option == 'string') data[option]() - }) - } - - $.fn.affix.Constructor = Affix - - $.fn.affix.defaults = { - offset: 0 - } - - - /* AFFIX NO CONFLICT - * ================= */ - - $.fn.affix.noConflict = function () { - $.fn.affix = old - return this - } - - - /* AFFIX DATA-API - * ============== */ - - $(window).on('load', function () { - $('[data-spy="affix"]').each(function () { - var $spy = $(this) - , data = $spy.data() - - data.offset = data.offset || {} - - data.offsetBottom && (data.offset.bottom = data.offsetBottom) - data.offsetTop && (data.offset.top = data.offsetTop) - - $spy.affix(data) - }) - }) - - 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b/clicon/web/templates/form.html deleted file mode 100644 index 1549a06..0000000 --- a/clicon/web/templates/form.html +++ /dev/null @@ -1,24 +0,0 @@ -{% extends "layout.html" %} -{% block body %} -
      -
      -
      -
      - - -
      - - - - - - -
      - -
      -
      -{% endblock %} diff --git a/clicon/web/templates/layout.html b/clicon/web/templates/layout.html deleted file mode 100644 index e5822b9..0000000 --- a/clicon/web/templates/layout.html +++ /dev/null @@ -1,26 +0,0 @@ - - - - Concept Extractor - - - - - - - - -
      - -
      -
      - {% block body %}{% endblock %} -
      - -
      - - \ No newline at end of file diff --git a/clicon/web/templates/result.html b/clicon/web/templates/result.html deleted file mode 100644 index b23a48e..0000000 --- a/clicon/web/templates/result.html +++ /dev/null @@ -1,29 +0,0 @@ -{% extends "layout.html" %} -{% block body %} -
      -
      -
      - Model: -

      - {{ model }} -

      - Input Sentence: -

      - {{ input }} -

      -
      -
      - Output: -

      - {% for t in output: %} - {{ t[0] }}: {{ t[1] }} -
      - {% endfor %} -

      -
      -
      - Try Again - -
      -
      -{% endblock %} From 26e17343e4c1733440ac469fec9ffc02c096d1ac Mon Sep 17 00:00:00 2001 From: Tristan Naumann Date: Tue, 15 Apr 2014 16:16:54 -0400 Subject: [PATCH 039/393] Creating features module. --- clicon/{ => features}/SQLookup.py | 0 clicon/{ => features}/clicon_features.py | 0 clicon/{ => features}/clicon_genia_interface.py | 0 clicon/{ => features}/create_sqliteDB.py | 0 clicon/{ => features}/features.py | 0 clicon/{ => features}/umls.py | 0 clicon/{ => features}/umls_cache.py | 0 clicon/{ => features}/wordshape.py | 0 8 files changed, 0 insertions(+), 0 deletions(-) rename clicon/{ => features}/SQLookup.py (100%) rename clicon/{ => features}/clicon_features.py (100%) rename clicon/{ => features}/clicon_genia_interface.py (100%) rename clicon/{ => features}/create_sqliteDB.py (100%) rename clicon/{ => features}/features.py (100%) rename clicon/{ => features}/umls.py (100%) rename clicon/{ => features}/umls_cache.py (100%) rename clicon/{ => features}/wordshape.py (100%) diff --git a/clicon/SQLookup.py b/clicon/features/SQLookup.py similarity index 100% rename from clicon/SQLookup.py rename to clicon/features/SQLookup.py diff --git a/clicon/clicon_features.py b/clicon/features/clicon_features.py similarity index 100% rename from clicon/clicon_features.py rename to clicon/features/clicon_features.py diff --git a/clicon/clicon_genia_interface.py b/clicon/features/clicon_genia_interface.py similarity index 100% rename from clicon/clicon_genia_interface.py rename to clicon/features/clicon_genia_interface.py diff --git a/clicon/create_sqliteDB.py b/clicon/features/create_sqliteDB.py similarity index 100% rename from clicon/create_sqliteDB.py rename to clicon/features/create_sqliteDB.py diff --git a/clicon/features.py b/clicon/features/features.py similarity index 100% rename from clicon/features.py rename to clicon/features/features.py diff --git a/clicon/umls.py b/clicon/features/umls.py similarity index 100% rename from clicon/umls.py rename to clicon/features/umls.py diff --git a/clicon/umls_cache.py b/clicon/features/umls_cache.py similarity index 100% rename from clicon/umls_cache.py rename to clicon/features/umls_cache.py diff --git a/clicon/wordshape.py b/clicon/features/wordshape.py similarity index 100% rename from clicon/wordshape.py rename to clicon/features/wordshape.py From 47388f4da8577744724c4d7c3b8dcab336ab1628 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Mon, 21 Apr 2014 15:48:03 -0400 Subject: [PATCH 040/393] import to reflect new directory structure --- clicon/model.py | 3 ++- 1 file changed, 2 insertions(+), 1 deletion(-) diff --git a/clicon/model.py b/clicon/model.py index f688525..fac12e6 100644 --- a/clicon/model.py +++ b/clicon/model.py @@ -4,8 +4,9 @@ import cPickle as pickle import helper import libml +import sys -import clicon_features +from features.clicon_features import clicon_features class Model: From 9169a8d030e132993be130a8a4a9c9bbbceae0a5 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Mon, 21 Apr 2014 15:48:41 -0400 Subject: [PATCH 041/393] database to reflect new directory structure --- clicon/features/create_sqliteDB.py | 8 ++++---- 1 file changed, 4 insertions(+), 4 deletions(-) diff --git a/clicon/features/create_sqliteDB.py b/clicon/features/create_sqliteDB.py index 33b8d5f..cb564a4 100644 --- a/clicon/features/create_sqliteDB.py +++ b/clicon/features/create_sqliteDB.py @@ -6,28 +6,28 @@ def create_db(): print "\ncreating umls.db" #connect to the .db file we are creating. - conn = sqlite3.connect( "../umls_tables/umls.db" ) + conn = sqlite3.connect( "umls_tables/umls.db" ) conn.text_factory = str print "opening files" #load data in files. try: - MRSTY_TABLE = open( ( "../umls_tables/MRSTY"), "r" ) + MRSTY_TABLE = open( ( "umls_tables/MRSTY"), "r" ) except IOError: print "\nNo file to use for creating MRSTY table\n" conn.close() sys.exit() try: - MRCON_TABLE = open( ("../umls_tables/MRCON") , "r" ) + MRCON_TABLE = open( ("umls_tables/MRCON") , "r" ) except IOError: print "\nNo file to use for creating MRCON table\n" conn.close() sys.exit() try: - MRREL_TABLE = open( ( "../umls_tables/MRREL") , "r" ) + MRREL_TABLE = open( ( "umls_tables/MRREL") , "r" ) except IOError: print "\nNo file to use for creating MRREL table\n" conn.close() From 99f236b02e8604a02602958c338ab4e87f792afa Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 22 Apr 2014 16:08:16 -0400 Subject: [PATCH 042/393] separated most word-level methods into their own module --- model/.gitignore | 4 ++++ 1 file changed, 4 insertions(+) create mode 100644 model/.gitignore diff --git a/model/.gitignore b/model/.gitignore new file mode 100644 index 0000000..ef6ccf0 --- /dev/null +++ b/model/.gitignore @@ -0,0 +1,4 @@ +# Ignore everything per data use and confidentiality agreements +* +# Except this file +!.gitignore From aca2c641b1f2c97082b505587029c12730dc107d Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 20 May 2014 18:41:54 -0400 Subject: [PATCH 043/393] Separate feature modules --- clicon/evaluate.py | 11 +- clicon/features/SQLookup.py | 6 +- clicon/features/clicon_features.py | 901 ++--------------------------- clicon/features/umls_cache.py | 5 +- clicon/model.py | 95 +-- clicon/predict.py | 5 + clicon/train.py | 4 + 7 files changed, 135 insertions(+), 892 deletions(-) diff --git a/clicon/evaluate.py b/clicon/evaluate.py index ed1b4b6..357cf9e 100644 --- a/clicon/evaluate.py +++ b/clicon/evaluate.py @@ -77,9 +77,14 @@ def main(): labels = Model.labels # hash tabble: label -> index confusion = [[0] * len(labels) for e in labels] - # txt <- medical text - # con <- model predictions - # ref <- actual labels + + print files + print '' + + + # txt <- medical text + # con <- model predictions + # ref <- actual labels for txt, con, ref in files: # A note that represents the model's predictions diff --git a/clicon/features/SQLookup.py b/clicon/features/SQLookup.py index 0e8bec3..263688f 100644 --- a/clicon/features/SQLookup.py +++ b/clicon/features/SQLookup.py @@ -9,13 +9,13 @@ def SQLConnect(): #try to connect to the sqlite database. Make one otherwise - if( os.path.isfile( "../umls_tables/umls.db" ) ): + if( os.path.isfile( "umls_tables/umls.db" ) ): print "\ndb exists" - db = sqlite3.connect( "../umls_tables/umls.db" ) + db = sqlite3.connect( "umls_tables/umls.db" ) else: print "\ndb doesn't exist" create_sqliteDB.create_db() - db = sqlite3.connect( "../umls_tables/umls.db" ) + db = sqlite3.connect( "umls_tables/umls.db" ) db.text_factory = str return db.cursor() diff --git a/clicon/features/clicon_features.py b/clicon/features/clicon_features.py index 2ad33a9..101e63b 100644 --- a/clicon/features/clicon_features.py +++ b/clicon/features/clicon_features.py @@ -17,52 +17,23 @@ from sets import ImmutableSet from wordshape import getWordShapes -import clicon_genia_interface -from umls_cache import UmlsCache -import umls +# What modules are available +from read_config import enabled_modules - -class FeatureWrapper: +from sentence_features import SentenceFeatures - # Feature Enabling - enabled_IOB_prose_sentence_features = ImmutableSet( [ 'umls_semantic_type_sentence', 'pos', 'stem_wordnet', 'umls_semantic_context', 'GENIA', 'prev', 'next', 'prev_3_pos'] ) - enabled_IOB_prose_word_features = ImmutableSet( ['Generic#', 'last_two_letters', 'word', 'mitre', 'stem_porter', 'word_shape', 'metric_unit','umls_cui' 'umls_hypernyms' ] ) - enabled_IOB_nonprose_sentence_features = ImmutableSet( ['prev_pos', 'pos', 'next_pos', 'test_result', 'umls_semantic_context', 'prev', 'next','prev_3_pos']) - enabled_IOB_nonprose_word_features = ImmutableSet( ['word', 'uncased_prev_word','umls_semantic_type_word', 'word_shape', 'metric_unit', 'mitre', 'directive', 'umls_cui', 'umls_hypernyms'] ) - - enabled_concept_features = ImmutableSet( [ 'umls_semantic_type_sentence' , 'umls_semantic_type_word','pos','stem_wordnet', 'test_result', 'word', 'length', 'mitre', 'stem_porter', 'stem_lancaster', 'word_shape','prev','next', 'umls_semantic_context', 'prev_3_pos', 'umls_cui']) +class FeatureWrapper: # Instantiate an FeatureWrapper object def __init__(self, data=None): - # Only run GENIA tagger if feature is enabled - if (data) and ('GENIA' in self.enabled_IOB_prose_sentence_features): - self.GENIA_features = clicon_genia_interface.genia(data) - self.GENIA_counter = 0 - - # cache for the mappings of all umls lookups made - self.umls_lookup_cache = UmlsCache() - - - - # Iterate through GENIA Tagger features - def next_GENIA_line(self): - - # End of list - reset counter & return None - if self.GENIA_counter == len(self.GENIA_features): - self.GENIA_counter = 0 - return None - - # Advance to next line - self.GENIA_counter += 1 - - return self.GENIA_features[self.GENIA_counter-1] - + # Sentence-level features + self.feat_sent = SentenceFeatures(data) @@ -70,498 +41,84 @@ def next_GENIA_line(self): # # input: A sentence # output: A hash table of features - def IOB_features_for_sentence(self, sentence): - - #return (True,self.IOB_prose_features_for_sentence(sentence)) + def IOB_features(self, sentence): + # Different features depending on whether sentence is 'prose' isProse = self.prose_sentence(sentence) - # Different features depending on whether sentence is 'prose' if isProse: - features_list = self.IOB_prose_features_for_sentence(sentence) + features_list = self.feat_sent.IOB_prose_features(sentence) else: - features_list = self.IOB_nonprose_features_for_sentence(sentence) + features_list = self.feat_sent.IOB_nonprose_features(sentence) # Return features as well as indication of whether it is prose or not return (isProse, features_list) - # IOB_prose_features_for_sentence() + # concept_features() # - # input: A sentence + # input: A sentence/line from a medical text file (list of chunks) + # An list of indices into the sentence for each important chunk # output: A list of hash tables of features - def IOB_prose_features_for_sentence(self, sentence): - - features_list = [] - flag = 0 - - # Get a feature set for each word in the sentence - for i,word in enumerate(sentence): - features_list.append( self.IOB_prose_features_for_word(sentence,i) ) - - - # Only POS tag once - pos_tagged = [] - - # Used for 'prev' and 'next' features - ngram_features = [{} for i in range(len(features_list))] - + def concept_features(self, sentence, chunk_inds): + + # FIXME - move all of this work to SentenceFeatures object - # Allow for particular features to be enabled - for feature in self.enabled_IOB_prose_sentence_features: + features_list = [ {} for _ in chunk_inds ] - # Feature: Part of Speech - if feature == 'pos': - pos_tagged = pos_tagged or nltk.pos_tag(sentence) - for (i,(_,pos)) in enumerate(pos_tagged): - features_list[i].update( { ('pos',pos) : 1} ) - - # Feature: UMLS semantic type for the sentence - if feature == 'umls_semantic_type_sentence': + tags = [] - # a list of the uml semantic of the largest substring(s). - sentence_mapping = umls.umls_semantic_type_sentence( self.umls_lookup_cache, sentence ) + for i,ind in enumerate(chunk_inds): - # If there are no mappings. - if( len(sentence_mapping) == 0 ): - for i , features in enumerate( features_list): - features[(feature , None ) ] = 1 - # assign the umls definitions to the vector for each word - else: - for i , features in enumerate( features_list): - for concepts in sentence_mapping: - if concepts: - for concept in concepts: - features[(feature,concept[0])] = 1 - else: - features[(feature , None ) ] = 1 - - # Feature: UMLS semantic concext - if feature == 'umls_semantic_context': - - # umls definition of the largest string the word is in - umls_semantic_context_mappings = umls.umls_semantic_context_of_words( self.umls_lookup_cache , sentence ) - - #print umls_semantic_context_mappings - - # assign umls definitions to the each chunk - for i , features in enumerate( features_list ): - - #if there are no mappings - if umls_semantic_context_mappings[i] == None: - features[(feature,None)] = 1 - # there could be multiple contexts - else: - for mapping in umls_semantic_context_mappings[i]: - for concept in mapping: - features[(feature,concept[0])] = 1 + # Create a list of feature sets (one per chunk) + features = self.feat_sent.concept_features_for_chunk(sentence,ind) # Feature: Previous 3 POSs - if feature == 'prev_3_pos': - pos_tagged = pos_tagged or nltk.pos_tag(sentence) - for i in range(len(sentence)): - if i == 0: - prev_pos = ('*','*','*') - features_list[0].update({(feature,prev_pos) :1}) - elif i == 1: - prev_pos = ('*','*',pos_tagged[0][1]) - features_list[1].update({(feature,prev_pos) :1}) - elif i == 2: - prev_pos = ('*',pos_tagged[0][1],pos_tagged[1][1]) - features_list[2].update({(feature,prev_pos) :1}) - else: - prev_pos = (pos_tagged[i-3][1],pos_tagged[i-2][1],pos_tagged[i-1][1]) - features_list[i].update({(feature,pos_tagged[i-1]):1}) - - - # GENIA features - if feature == 'GENIA': - - # Get the GENIA features of the current sentence - genia_feats = self.next_GENIA_line() - if not genia_feats: genia_feats = self.next_GENIA_line() - - #print genia_feats - - for i in range(len(sentence)): - - #print i - - # Feature: Current word's GENIA features - keys = ['GENIA-stem','GENIA-POS','GENIA-chunktag'] - curr = genia_feats[i] - output = dict( (('curr-'+k, curr[k]), 1) for k in keys if k in curr) - - # Feature: Previous word's GENIA features - if i == 0: - output = dict( (('prev-'+k, ''), 1) for k in keys if k in curr) - else: - prev = genia_feats[i] - output = dict( (('prev-'+k, prev[k]), 1) for k in keys if k in prev) - - # Feature: Next word's GENIA stem - # Note: This is done by updating the previous token's dict - if i != (len(sentence) - 1): - features_list[i-1].update( {('next-GENIA-stem',curr['GENIA-stem']) : 1} ) - else: - features_list[i].update( { ('next-GENIA-stem','') : 1} ) - - features_list[i].update(output) - - ngram_features = [{} for i in range(len(features_list))] - if "prev" in self.enabled_IOB_prose_sentence_features: - prev = lambda f: {("prev_"+k[0], k[1]): v for k,v in f.items()} - prev_list = map(prev, features_list) - for i in range(len(features_list)): - if i == 0: - ngram_features[i][("prev", "*")] = 1 - else: - ngram_features[i].update(prev_list[i-1]) - - if "next" in self.enabled_IOB_prose_sentence_features: - next = lambda f: {("next_"+k[0], k[1]): v for k,v in f.items()} - next_list = map(next, features_list) - for i in range(len(features_list)): - if i == len(features_list) - 1: - ngram_features[i][("next", "*")] = 1 + if 'prev_3_pos' in self.feat_sent.enabled_concept_features: + tags = tags = nltk.pos_tag(sentence) + if ind == 0: + prev_pos = ('*','*','*') + features[('prev_3_pos',prev_pos)] = 1 + elif ind == 1: + prev_pos = ('*','*',tags[0][1]) + features[('prev_3_pos',prev_pos)] = 1 + elif ind == 2: + prev_pos = ('*',tags[0][1],tags[1][1]) + features[('prev_3_pos',prev_pos)] = 1 else: - ngram_features[i].update(next_list[i+1]) - - merged = lambda d1, d2: dict(d1.items() + d2.items()) - features_list = [merged(features_list[i], ngram_features[i]) - for i in range(len(features_list))] - - return features_list - + prev_pos = (tags[ind-3][1],tags[ind-2][1],tags[ind-1][1]) + features[('prev_3_pos',prev_pos)] = 1 - # IOB_prose_features_for_word() - # - # input: A single word - # output: A dictionary of features - def IOB_prose_features_for_word(self, sentence, i): - - # Abbreviation for most features, - # although some will require index for context - word = sentence[i] - - - # Feature: - features = {'dummy': 1} # always have >0 dimensions - - - # Allow for particular features to be enabled - for feature in self.enabled_IOB_prose_word_features: - - - # Feature: Generic# stemmed word - if feature == 'Generic#': - generic = re.sub('[0-9]','0',word) - features.update( { ('Generic#',generic) : 1 } ) - - - # Feature: Last two leters of word - if feature == 'last_two_letters': - features.update( { ('last_two_letters',word[-2:]) : 1 } ) - - - # Feature: Previous word - if feature == 'prev_word': - if i == 0: - features.update( {('prev_word', '' ) : 1} ) + # Feature: Previous Chunks's Features + if "prev" in self.feat_sent.enabled_concept_features: + if ind == 0: + features[("prev", "*")] = 1 else: - features.update( {('prev_word', sentence[i-1]) : 1} ) + # Get features of previous chunks + prev_features = self.feat_sent.concept_features_for_chunk(sentence,ind-1) + prepend = lambda f: {("prev_"+k[0],k[1]):v for k, v in f.items()} + features.update( prepend(prev_features) ) - # Feature: UMLS Semantic Types - if feature == 'umls_cui': - # Get UMLS CUIs (could have multiple) - cuis = umls.get_cui(self.umls_lookup_cache , word) - - # Add each CUI - if cuis: - for cui in cuis: - features[(feature,cui)] = 1 - else: - features[(feature,None)] = 1 - - # Feature: UMLS Hypernyms - if feature == 'umls_hypernyms': - - # Get UMLS hypernyms - hyps = umls.umls_hypernyms(self.umls_lookup_cache,word) - - # Add all hypernyms - if hyps: - #for hyp in hyps: - features[(feature,hyps[0])] = 1 + # Feature: Next Chunk's Features + if "next" in self.feat_sent.enabled_concept_features: + if ind == len(sentence) - 1: + features[("next", "*")] = 1 else: - features[(feature,None)] = 1 - - - # FIXME - adding pass two features to pass 1 (good? bad?) - if feature == "word": - features[(feature, word)] = 1 + # Get features of previous chunks + next_features = self.feat_sent.concept_features_for_chunk(sentence,ind+1) + prepend = lambda f: {("next_"+k[0],k[1]):v for k, v in f.items()} + features.update( prepend(next_features) ) - if feature == "length": - features[(feature, None)] = len(word) + features_list[i] = features - if feature == "mitre": - for f in self.mitre_features: - if re.search(self.mitre_features[f], word): - features[(feature, f)] = 1 - - if feature == "stem_porter": - st = nltk.stem.PorterStemmer() - features[(feature, st.stem(word))] = 1 - - if feature == "stem_lancaster": - st = nltk.stem.LancasterStemmer() - features[(feature, st.stem(word))] = 1 - - if feature == "word_shape": - wordShapes = getWordShapes(word) - for j, shape in enumerate(wordShapes): - features[(feature + str(j), shape)] = 1 - - - return features - - - - - # IOB_nonprose_features_for_sentence() - # - # input: A sentence - # output: A hash table of features - def IOB_nonprose_features_for_sentence(self, sentence): - - # Get the GENIA features of the current sentence - # (not used for nonprose, but it keeps things aligned for the prose) - if 'GENIA' in self.enabled_IOB_prose_sentence_features: - genia_feats = self.next_GENIA_line() - if not genia_feats: genia_feats = self.next_GENIA_line() - - # If sentence is empty - #if not sentence: return {} - - features_list = [] - - # Get a feature set for each word in the sentence - for i,word in enumerate(sentence): - features_list.append( self.IOB_nonprose_features_for_word(sentence,i) ) - - # Only POS tag once - pos_tagged = [] - - # Allow for particular features to be enabled - for feature in self.enabled_IOB_nonprose_sentence_features: - - # Feature: Previous POS - if feature == 'prev_pos': - pos_tagged = pos_tagged or nltk.pos_tag(sentence) - for i in range(len(sentence)): - if i == 0: - features_list[0].update({('prev_POS','') :1}) - else: - features_list[i].update({('prev_POS',pos_tagged[i-1]):1}) - - # Feature: Part of Speech - if feature == 'pos': - pos_tagged = pos_tagged or nltk.pos_tag(sentence) - for (i,(_,pos)) in enumerate(pos_tagged): - features_list[i].update( { ('pos',pos) : 1} ) - - # Feature: Previous POS - if feature == 'next_pos': - pos_tagged = pos_tagged or nltk.pos_tag(sentence) - for i in range(len(sentence)): - if i == len(sentence)-1: - features_list[-1].update({('prev_POS','') :1}) - else: - features_list[i].update({('prev_POS',pos_tagged[i-1]):1}) - - # Feature: Test Result (for each chunk) - if feature == "test_result": - for index, features in enumerate(features_list): - right = " ".join([w for w in sentence[index:]]) - if self.is_test_result(right): - features[(feature, None)] = 1 - - # Feature: UMLS semantic context - if feature == 'umls_semantic_context': - # the umls definition of the largest string the word is in - umls_semantic_context_mappings = umls.umls_semantic_context_of_words( self.umls_lookup_cache , sentence ) - - # Semantic contxt of each word - for i in range(len(sentence)): - - #if there are no mappings - if umls_semantic_context_mappings[i] == None: - features_list[i][(feature,None)] = 1 - # there could be multiple contexts - else: - for mapping in umls_semantic_context_mappings[i]: - for concept in mapping: - features_list[i][(feature,concept[0])] = 1 - - # Feature: Previous 3 POSs - if feature == 'prev_3_pos': - pos_tagged = pos_tagged or nltk.pos_tag(sentence) - for i in range(len(sentence)): - if i == 0: - prev_pos = ('*','*','*') - features_list[0].update({(feature,prev_pos) :1}) - elif i == 1: - prev_pos = ('*','*',pos_tagged[0][1]) - features_list[1].update({(feature,prev_pos) :1}) - elif i == 2: - prev_pos = ('*',pos_tagged[0][1],pos_tagged[1][1]) - features_list[2].update({(feature,prev_pos) :1}) - else: - prev_pos = (pos_tagged[i-3][1],pos_tagged[i-2][1],pos_tagged[i-1][1]) - features_list[i].update({(feature,pos_tagged[i-1]):1}) - - - - ngram_features = [{} for i in range(len(features_list))] - if "prev" in self.enabled_IOB_nonprose_sentence_features: - prev = lambda f: {("prev_"+k[0], k[1]): v for k,v in f.items()} - prev_list = map(prev, features_list) - for i in range(len(features_list)): - if i == 0: - ngram_features[i][("prev", "*")] = 1 - else: - ngram_features[i].update(prev_list[i-1]) - - if "next" in self.enabled_IOB_nonprose_sentence_features: - next = lambda f: {("next_"+k[0], k[1]): v for k,v in f.items()} - next_list = map(next, features_list) - for i in range(len(features_list)): - if i == len(features_list) - 1: - ngram_features[i][("next", "*")] = 1 - else: - ngram_features[i].update(next_list[i+1]) - - merged = lambda d1, d2: dict(d1.items() + d2.items()) - features_list = [merged(features_list[i], ngram_features[i]) - for i in range(len(features_list))] return features_list - # IOB_nonprose_features_for_word() - # - # input: A single word - # output: A dictionary of features - def IOB_nonprose_features_for_word(self, sentence, i): - - # Abbreviation for most features, - # although some will require index for context - word = sentence[i] - - - # Feature: - features = {'dummy': 1} # always have >0 dimensions - - - # Allow for particular features to be enabled - for feature in self.enabled_IOB_nonprose_word_features: - - # Feature: The word, itself - if feature == 'word': - features.update( { ('word',word.lower()) : 1} ) - - # Feature: Uncased previous word - if feature == 'uncased_prev_word': - if i == 0: - features.update( {('uncased_prev_word','' ) : 1} ) - else: - features.update( {('uncased_prev_word',sentence[i-1].lower()) : 1} ) - - # Feature: UMLS Semantic Type - if feature == 'umls_semantic_type_word': - # Get a semantic type for each unigram - mapping = umls.umls_semantic_type_word(self.umls_lookup_cache,word ) - - #If there is at least one umls semantic type. - if mapping: - for concept in mapping: - features[('umls_semantic_type_word' , concept )] = 1 - else: - features[('umls_semantic_type_word' , None )] = 1 - - # Feature: UMLS Semantic Types - if feature == 'umls_cui': - # Get UMLS CUIs (could have multiple) - cuis = umls.get_cui(self.umls_lookup_cache , word) - - # Add each CUI - if cuis: - for cui in cuis: - features[(feature,cui)] = 1 - else: - features[(feature,None)] = 1 - - # Feature: UMLS Hypernyms - if feature == 'umls_hypernyms': - - # Get UMLS hypernyms - hyps = umls.umls_hypernyms(self.umls_lookup_cache,word) - - # Add all hypernyms - if hyps: - #for hyp in hyps: - features[(feature,hyps[0])] = 1 - else: - features[(feature,None)] = 1 - - - # Feature: Metric Unit - if feature == "metric_unit": - tests = 3 - unit = 0 - if self.is_weight(word): - unit = 1 / tests - elif self.is_size(word): - unit = 2 / tests - elif self.is_volume(word): - unit = 3 / tests - features[(feature, None)] = unit - - # Feature: Date - if feature == 'date': - if self.is_date(word): - features[(feature,None)] = 1 - else: - features[(feature,None)] = 0 - - # Feature: Directive - if feature == 'directive': - if self.is_directive(word): - features[(feature,None)] = 1 - else: - features[(feature,None)] = 0 - - # Feature: Mitre - if feature == "mitre": - for f in self.mitre_features: - if re.search(self.mitre_features[f], word): - features[(feature, f)] = 1 - - # Feature: Word Shape - if feature == "word_shape": - wordShapes = getWordShapes(word) - for j, shape in enumerate(wordShapes): - features[('word_shape', shape)] = 1 - - return features - - - - # prose_sentence() # # input: A sentence @@ -626,360 +183,6 @@ def prose_word(self, word): - # concept_features() - # - # input: A sentence/line from a medical text file (list of chunks) - # An index into the sentence to indentify the given chunk - # output: A hash table of features - def concept_features(self, sentence, ind): - - # Create a list of feature sets (one per chunk) - features = self.concept_features_for_chunk(sentence,ind) - - tags = [] - - # Feature: Previous 3 POSs - if 'prev_3_pos' in self.enabled_concept_features: - tags = tags = nltk.pos_tag(sentence) - if ind == 0: - prev_pos = ('*','*','*') - features[('prev_3_pos',prev_pos)] = 1 - elif ind == 1: - prev_pos = ('*','*',tags[0][1]) - features[('prev_3_pos',prev_pos)] = 1 - elif ind == 2: - prev_pos = ('*',tags[0][1],tags[1][1]) - features[('prev_3_pos',prev_pos)] = 1 - else: - prev_pos = (tags[ind-3][1],tags[ind-2][1],tags[ind-1][1]) - features[('prev_3_pos',prev_pos)] = 1 - - # Feature: UMLS semantic type for the sentence - if 'umls_semantic_type_sentence' in self.enabled_concept_features: - # a list of the uml semantic of the largest substring(s). - sentence_mapping = umls.umls_semantic_type_sentence( self.umls_lookup_cache, sentence ) - - #print sentence_mapping - - # if there are no mappings - if not sentence_mapping: - features[('umls_semantic_type_sentence', None ) ] = 1 - # assign the umls definitions to the vector for each word - else: - - for concept in sentence_mapping: - if concept: - for mapping in concept: - features[('umls_semantic_type_sentence' , mapping[0] ) ] = 1 - else: - features[('umls_semantic_type_sentence' , None ) ] = 1 -# print features - # Feature: Previous Chunks's Features - if "prev" in self.enabled_concept_features: - if ind == 0: - features[("prev", "*")] = 1 - else: - # Get features of previous chunks - prev_features = self.concept_features_for_chunk(sentence,ind-1) - prepend = lambda f: {("prev_"+k[0], k[1]): v for k, v in f.items()} - features.update( prepend(prev_features) ) - - - # Feature: Next Chunk's Features - if "next" in self.enabled_concept_features: - if ind == len(sentence) - 1: - features[("next", "*")] = 1 - else: - # Get features of previous chunks - next_features = self.concept_features_for_chunk(sentence,ind+1) - prepend = lambda f: {("next_"+k[0], k[1]): v for k, v in f.items()} - features.update( prepend(next_features) ) - - return features - - - - # concept_features_for_chunk() - # - # input: A sentence/line from a medical text file (list of chunks) - # An index into the sentence to indentify the given chunk - # output: A hash table of features - def concept_features_for_chunk(self, sentence, ind): - - features = {} - - # Feature: - features = {'dummy': 1} # always have >0 dimensions - - # Split the chunked sentence into a list of words for (POS tagger) - split_sentence = [] - split_ind = 0 - for chun in sentence: - for word in chun.split(): - split_sentence.append(word) - split_ind += len(chun.split()) - - tags = None - - - # Allow for particular features to be enabled - for feature in self.enabled_concept_features: - - # Feature: Word (each word) - if feature == "word": - for i,word in enumerate(sentence[ind].split()): - featname = 'word-%d' % i - features.update( { (featname,word) : 1} ) - - # Feature: Length (of each word) - if feature == "length": - for i,word in enumerate(sentence[ind].split()): - featname = 'length-%d' % i - features.update( { (featname,None) : len(word)} ) - - # Feature: Mitre (of each word) - if feature == "mitre": - for i,word in enumerate(sentence[ind].split()): - for f in self.mitre_features: - if re.search(self.mitre_features[f], word): - featname = 'mitre' - features.update( { (featname,f) : 1} ) - - # Feature: Porter Stem (of each word) - if feature == "stem_porter": - for i,word in enumerate(sentence[ind].split()): - featname = 'stem_porter-%d' % i - st = nltk.stem.PorterStemmer() - features[(featname, st.stem(word))] = 1 - - # Feature: Lancaster Stem (of each word) - if feature == "stem_lancaster": - for i,word in enumerate(sentence[ind].split()): - featname = 'stem_lancaster-%d' % i - st = nltk.stem.LancasterStemmer() - features[(featname, st.stem(word))] = 1 - - # Feature: Word Shape (of each word) - if feature == "word_shape": - for i,word in enumerate(sentence[ind].split()): - featname = 'word_shape-%d' % i - wordShapes = getWordShapes(word) - for j, shape in enumerate(wordShapes): - features[(featname + str(j), shape)] = 1 - - # Feature: UMLS Semantic Type (for each word) - if feature == 'umls_semantic_type_word': - - # Get a semantic type for each unigram - for i,word in enumerate(sentence[ind]): - mapping = umls.umls_semantic_type_word(self.umls_lookup_cache , word ) - # If is at least one semantic type - featname = 'umls_semantic_type_word-%d' % i - if mapping: - for concept in mapping: - features[(featname, concept )] = 1 - else: - features[(featname , None )] = 1 - - - # Feature: UMLS Semantic Types - if feature == 'umls_cui': - - # Get UMLS CUIs (could have multiple) - cuis = umls.get_cui(self.umls_lookup_cache , word) - - # Add each CUI - if cuis: - for cui in cuis: - features[(feature,cui)] = 1 - else: - features[(feature,None)] = 1 - - - # Feature: Part of Speech (of each word) - if feature == "pos": - tags = tags or nltk.pos_tag(split_sentence) - for j,pos_tag in enumerate(tags[ind:ind+len(sentence[ind].split())]): - featname = 'pos-%d' % j - features[(featname, pos_tag[1])] = 1 - - # Feature: Wordnet Stem (for each chunk) - if feature == "stem_wordnet": - tags = tags or nltk.pos_tag(sentence) - morphy_tags = { - 'NN': nltk.corpus.reader.wordnet.NOUN, - 'JJ': nltk.corpus.reader.wordnet.ADJ, - 'VB': nltk.corpus.reader.wordnet.VERB, - 'RB': nltk.corpus.reader.wordnet.ADV} - morphy_tags = [(w, morphy_tags.setdefault(t[:2], nltk.corpus.reader.wordnet.NOUN)) for w, t in tags] - st = nltk.stem.WordNetLemmatizer() - tag = morphy_tags[ind] - features[(feature, st.lemmatize(*tag))] = 1 - - # Feature: Test Result (for each chunk) - if feature == "test_result": - right = " ".join([w for w in sentence[ind:]]) - if self.is_test_result(right): - features[(feature, None)] = 1 - - # Feature: UMLS semantic concext - if feature == 'umls_semantic_context': - - # the umls definition of the largest string the word is in - umls_semantic_context_mappings = umls.umls_semantic_context_of_words( self.umls_lookup_cache , sentence ) - - #if there are no mappings - if umls_semantic_context_mappings[ind] == None: - features[(feature,None)] = 1 - # there could be multiple contexts, iterate through the sublist - else: - for mapping in umls_semantic_context_mappings[ind]: - for concept in mapping: - features[(feature,concept)] = 1 - - return features - - - - - # Features that will be added back in - # - # Currently not used for reversion back to original one-pass - # - # Removed from concept_features() for visual clarity - def concept_features_currently_not_used_features(self): - - # Feature: the chunk itself - if feature == 'chunk': - features.update( { ('chunk',sentence[ind]) : 1 } ) - - # Feature: Uncased unigrams - if feature == 'unigram': - for i,word in enumerate( sentence[ind].split() ): - featname = 'unigram-%d' % i - features.update( { (featname, word.lower()) : 1 } ) - - # Feature: First four letters of each word - if feature == 'first-four-letters': - prefix_list = [ word[:4] for word in sentence[ind].split() ] - for i,word in enumerate(prefix_list): - featname = 'first-four-letters-%d' % i - features.update( { (featname, word) : 1 } ) - - - - - - mitre_features = { - "INITCAP": r"^[A-Z].*$", - "ALLCAPS": r"^[A-Z]+$", - "CAPSMIX": r"^[A-Za-z]+$", - "HASDIGIT": r"^.*[0-9].*$", - "SINGLEDIGIT": r"^[0-9]$", - "DOUBLEDIGIT": r"^[0-9][0-9]$", - "FOURDIGITS": r"^[0-9][0-9][0-9][0-9]$", - "NATURALNUM": r"^[0-9]+$", - "REALNUM": r"^[0-9]+.[0-9]+$", - "ALPHANUM": r"^[0-9A-Za-z]+$", - "HASDASH": r"^.*-.*$", - "PUNCTUATION": r"^[^A-Za-z0-9]+$", - "PHONE1": r"^[0-9][0-9][0-9]-[0-9][0-9][0-9][0-9]$", - "PHONE2": r"^[0-9][0-9][0-9]-[0-9][0-9][0-9]-[0-9][0-9][0-9][0-9]$", - "FIVEDIGIT": r"^[0-9][0-9][0-9][0-9][0-9]", - "NOVOWELS": r"^[^AaEeIiOoUu]+$", - "HASDASHNUMALPHA": r"^.*[A-z].*-.*[0-9].*$ | *.[0-9].*-.*[0-9].*$", - "DATESEPERATOR": r"^[-/]$", - } - - def is_test_result(self, context): - # note: make spaces optional? - regex = r"^[A-Za-z]+( )*(-|--|:|was|of|\*|>|<|more than|less than)( )*[0-9]+(%)*" - if not re.search(regex, context): - return re.search(r"^[A-Za-z]+ was (positive|negative)", context) - return True - - # Try to get QANN features - def is_meaurement(self, word): - regex = r"^[0-9]*(unit(s)|cc|L|mL|dL)$" - return re.search(regex, word) - - def is_directive(self, word): - regex = r"^(q\..*|q..|PRM|bid|prm|p\..*)$" - return re.search(regex, word) - - def is_date(self, word): - regex = r'^(\d\d\d\d-\d\d-\d|\d\d?-\d\d?-\d\d\d\d?|\d\d\d\d-\d\d?-\d\d?)$' - return re.search(regex,word) - - def is_volume(self, word): - regex = r"^[0-9]*(ml|mL|dL)$" - return re.search(regex, word) - - def is_weight(self, word): - regex = r"^[0-9]*(mg|g|mcg|milligrams|grams)$" - return re.search(regex, word) - - def is_size(self, word): - regex = r"^[0-9]*(mm|cm|millimeters|centimeters)$" - return re.search(regex, word) - - def is_prognosis_location(self, word): - regex = r"^(c|C)[0-9]+(-(c|C)[0-9]+)*$" - return re.search(regex, word) - - def has_problem_form(self, word): - regex = r".*(ic|is)$" - return re.search(regex, word) - - # checks for a definitive classification at the word level - def get_def_class(self, word): - test_terms = { - "eval", "evaluation", "evaluations", - "sat", "sats", "saturation", - "exam", "exams", - "rate", "rates", - "test", "tests", - "xray", "xrays", - "screen", "screens", - "level", "levels", - "tox" - } - problem_terms = { - "swelling", - "wound", "wounds", - "symptom", "symptoms", - "shifts", "failure", - "insufficiency", "insufficiencies", - "mass", "masses", - "aneurysm", "aneurysms", - "ulcer", "ulcers", - "trama", "cancer", - "disease", "diseased", - "bacterial", "viral", - "syndrome", "syndromes", - "pain", "pains" - "burns", "burned", - "broken", "fractured" - } - treatment_terms = { - "therapy", - "replacement", - "anesthesia", - "supplement", "supplemental", - "vaccine", "vaccines" - "dose", "doses", - "shot", "shots", - "medication", "medicine", - "treament", "treatments" - } - if word.lower() in test_terms: - return 1 - elif word.lower() in problem_terms: - return 2 - elif word.lower() in treatment_terms: - return 3 - return 0 - # generate_chunks() # @@ -992,7 +195,7 @@ def get_def_class(self, word): # output: A 3-tuple of: # 1) A list of list of chunks (word token phrases) # 2) A list of list of concepts (one-to-one with list from ret 1) -# 3) A list of all indices into 1 that have been deemed nontrivial +# 3) A list of all indices into 1 of all non-'none' concepts def generate_chunks(data, IOB_tags, labels=None): # List of list of tokens (similar to 'text', but concepts are grouped) diff --git a/clicon/features/umls_cache.py b/clicon/features/umls_cache.py index 62fe6f6..5fb7453 100644 --- a/clicon/features/umls_cache.py +++ b/clicon/features/umls_cache.py @@ -1,9 +1,12 @@ import cPickle as pickle +import os class UmlsCache: def __init__(self): try: - self.cache = pickle.load( open( "umls_cache" , "rb" ) ) ; + prefix = os.path.abspath('') + filename = os.path.join( prefix, 'umls_cache' ) + self.cache = pickle.load( open( filename , "rb" ) ) ; except IOError: self.cache = {} diff --git a/clicon/model.py b/clicon/model.py index fac12e6..083e8dc 100644 --- a/clicon/model.py +++ b/clicon/model.py @@ -6,7 +6,7 @@ import libml import sys -from features.clicon_features import clicon_features +from features import clicon_features class Model: @@ -75,12 +75,15 @@ def train(self, notes): feat_obj = clicon_features.FeatureWrapper(data) # First pass + print 'first' self.first_train(data, labels, bounds, feat_obj) # Second pass + print 'second' self.second_train(data, labels, bounds, feat_obj) # Pickle dump + print 'pickle dump' with open(self.filename, "w") as model: pickle.dump(self, model) @@ -92,18 +95,22 @@ def train(self, notes): # @param notes. A list of Note objects that has data for training the model def first_train(self, data, labels, chunks, feat_obj=None): + print '\tbegin first_train()' + # If not given if not feat_obj: # Create object that is a wrapper for the features feat_obj = clicon_features.FeatureWrapper(data) + print '\tfeat_obj created' + # IOB tagging prose = [] nonprose = [] prose_line_numbers = [] nonprose_line_numbers = [] for i,line in enumerate(data): - isProse,feats = feat_obj.IOB_features_for_sentence(line) + isProse,feats = feat_obj.IOB_features(line) if isProse: prose.append( feats ) prose_line_numbers.append(i) @@ -111,6 +118,7 @@ def first_train(self, data, labels, chunks, feat_obj=None): nonprose.append( feats ) nonprose_line_numbers.append(i) + print '\tfeatures assigned' # Encode each feature as a unique number for row in prose + nonprose: @@ -119,6 +127,7 @@ def first_train(self, data, labels, chunks, feat_obj=None): if feature not in self.IOB_vocab: self.IOB_vocab[feature] = len(self.IOB_vocab) + 1 + print '\tfeature dict encoding' # IOB labels # A list of a list encodings of concept labels (ex. 'B' => 1) @@ -131,6 +140,8 @@ def first_train(self, data, labels, chunks, feat_obj=None): prose = [map(feat_lu, x) for x in prose] nonprose = [map(feat_lu, x) for x in nonprose] + print '\tsegregate "chunks" list into prose and nonprose' + # Segregate chunks into 'Prose CHUNKS' and 'Nonprose CHUNKS' prose_ind = 0 nonprose_ind = 0 @@ -155,6 +166,8 @@ def first_train(self, data, labels, chunks, feat_obj=None): prose_model = self.filename + '1' nonprose_model = self.filename + '2' + print '\twriting features to libml' + # Use CRF libml.write_features( prose_model, prose, pchunks, libml.CRF) libml.write_features(nonprose_model, nonprose, nchunks, libml.CRF) @@ -193,29 +206,33 @@ def second_train(self, data, labels, bounds, feat_obj=None): text_chunks, concept_chunks, hits = tmp - # rows is a list of a list of hash tables - # it is used for holding the features that will be used for training + # Collect 'hits' to model 'text_chunks' layout + row_hits = [ [] for _ in text_chunks ] + for (i,j) in hits: + row_hits[i].append(j) + + + # rows - list of list of h-tables (all non-'none' in 2d order) + # concept_matches - 1-1 correspondence with rows. Numeric labels (1,2,3) rows = [] concept_matches = [] - row_line = [] - con_line = [] - for ind in range(len((hits))): - i,j = hits[ind] - - # Get features - - row_line.append(feat_obj.concept_features(text_chunks[i], j)) - - # Corresponding labels (libml encodings of 'treatment','problem',etc) - con_tmp = concept_chunks[i][j] - con_tmp = Model.labels[con_tmp] - con_line.append( con_tmp ) - - if (ind == len(hits)-1) or (i != hits[ind+1][0]): - rows.append(row_line) - row_line = [] - concept_matches.append(con_line) - con_line = [] + for i,chunk_inds in enumerate(row_hits): + + # Ignore uninteresting rows + if not chunk_inds: continue + + # Features for each chunk in the sentence + row = feat_obj.concept_features(text_chunks[i], chunk_inds) + + # Could probably be condensed with some lambda stuff + row_concepts = [] + for con in concept_chunks[i]: + if con != 'none': + row_concepts.append( Model.labels[con] ) + + rows.append(row) + concept_matches.append( row_concepts ) + # Encode each feature as a unique number @@ -288,7 +305,7 @@ def first_predict(self, data, feat_obj=None): nonprose_line_numbers = [] for i,line in enumerate(data): # returns both the feature dict AND whether the sentence was prose - isProse,feats = feat_obj.IOB_features_for_sentence(line) + isProse,feats = feat_obj.IOB_features(line) if isProse: prose.append( feats ) prose_line_numbers.append(i) @@ -374,19 +391,25 @@ def second_predict(self ,text_chunks, hits, feat_obj=None): # Create object that is a wrapper for the features feat_obj = clicon_features.FeatureWrapper() - # rows - the format for representing feats for libml - # concept_matches - labels (ex. 'treatment') encoded for libml + # Collect 'hits' to model 'text_chunks' layout + row_hits = [ [] for _ in text_chunks ] + for (i,j) in hits: + row_hits[i].append(j) + + + # rows - list of list of h-tables (all non-'none' in 2d order) + # concept_matches - 1-1 correspondence with rows. Numeric labels (1,2,3) rows = [] - row_line = [] - for ind in range(len((hits))): - i,j = hits[ind] - - # Get features - row_line.append(feat_obj.concept_features(text_chunks[i], j)) - - if (ind == len(hits)-1) or (i != hits[ind+1][0]): - rows.append(row_line) - row_line = [] + concept_matches = [] + for i,chunk_inds in enumerate(row_hits): + + # Ignore uninteresting rows + if not chunk_inds: continue + + # Features for each chunk in the sentence + row = feat_obj.concept_features(text_chunks[i], chunk_inds) + rows.append(row) + # Purpose: Encode something like ('chunk', 'rehabilitation') as a unique diff --git a/clicon/predict.py b/clicon/predict.py index 09ea4f1..2592fb1 100644 --- a/clicon/predict.py +++ b/clicon/predict.py @@ -59,6 +59,11 @@ def main(): # Load model model = Model.load(args.model) + + # file names + print files + + for txt in files: # Read the data into a Note object diff --git a/clicon/train.py b/clicon/train.py index e0e7390..d102c77 100644 --- a/clicon/train.py +++ b/clicon/train.py @@ -100,6 +100,10 @@ def main(): type = type | libml.CRF + # file names + print training_list + + # Read the data into a Note object notes = [] for txt, con in training_list: From 4e2621b4ec961bfbcd7ce879243a1552de659985 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 20 May 2014 18:43:44 -0400 Subject: [PATCH 044/393] Feature modules --- clicon/features/__init__.py | 0 clicon/features/features.config | 2 + clicon/features/genia_features.py | 106 ++++++++ clicon/features/read_config.py | 62 +++++ clicon/features/sentence_features.py | 339 +++++++++++++++++++++++++ clicon/features/umls_features.py | 252 ++++++++++++++++++ clicon/features/word_features.py | 367 +++++++++++++++++++++++++++ 7 files changed, 1128 insertions(+) create mode 100644 clicon/features/__init__.py create mode 100644 clicon/features/features.config create mode 100644 clicon/features/genia_features.py create mode 100644 clicon/features/read_config.py create mode 100644 clicon/features/sentence_features.py create mode 100644 clicon/features/umls_features.py create mode 100644 clicon/features/word_features.py diff --git a/clicon/features/__init__.py b/clicon/features/__init__.py new file mode 100644 index 0000000..e69de29 diff --git a/clicon/features/features.config b/clicon/features/features.config new file mode 100644 index 0000000..832cdce --- /dev/null +++ b/clicon/features/features.config @@ -0,0 +1,2 @@ +GENIA True +UMLS True diff --git a/clicon/features/genia_features.py b/clicon/features/genia_features.py new file mode 100644 index 0000000..3611c9d --- /dev/null +++ b/clicon/features/genia_features.py @@ -0,0 +1,106 @@ +###################################################################### +# CliCon - genia_features.py # +# # +# Willie Boag wboag@cs.uml.edu # +# # +# Purpose: Independent GENIA module # +###################################################################### + + + +import clicon_genia_interface + + + +class GeniaFeatures: + + + def __init__(self, data): + + """ + Constructor. + + @param data. A list of lists of words (basically a list of sentences) + """ + + # Process all words with GENIA tagger + self.GENIA_features = clicon_genia_interface.genia(data) + + # For iterating through tagged data + self.GENIA_counter = 0 + + + def next_GENIA_line(self): + + """ + next_GENIA_line() + + Purpose: All data was tagged upfront. This allows iteration through data + """ + + # End of list - reset counter & return None + if self.GENIA_counter == len(self.GENIA_features): + self.GENIA_counter = 0 + return None + + # Advance to next line + self.GENIA_counter += 1 + + return self.GENIA_features[self.GENIA_counter-1] + + + + def features(self, sentence, is_prose=True): + + """ + features(). + + @param sentence. A list of words to bind features to + @param is_prose. Mechanism for skipping nonprose (for alignment) + @return list of dictionaries (of features) + + Note: All data is tagged upon instantiation of GeniaFeatures object. + This function MUST take each line of the file (in order) as input + """ + + # Return value is a list of dictionaries (of features) + features_list = [ {} for _ in sentence ] + + # Get the GENIA features of the current sentence + genia_feats = self.next_GENIA_line() + if not genia_feats: genia_feats = self.next_GENIA_line() + + + # FIXME + # Mechanism to allow for skipping nonprose + # Potential alternative: Let GeniaFeatures boject decide on all nonprose + if not is_prose: return {} + + + for i in range(len(sentence)): + + # Feature: Current word's GENIA features + keys = ['GENIA-stem','GENIA-POS','GENIA-chunktag'] + curr = genia_feats[i] + output = dict( (('curr-'+k, curr[k]), 1) for k in keys if k in curr) + + # Feature: Previous word's GENIA features + if i == 0: + output = dict( (('prev-'+k, ''), 1) for k in keys if k in curr) + else: + prev = genia_feats[i] + output = dict( (('prev-'+k, prev[k]), 1) for k in keys if k in prev) + + # Feature: Next word's GENIA stem + # Note: This is done by updating the previous token's dict + if i == 0: + continue + if i != (len(sentence) - 1): + features_list[i-1].update( {('next-GENIA-stem',curr['GENIA-stem']) : 1} ) + else: + features_list[i].update( { ('next-GENIA-stem','') : 1} ) + + features_list[i].update(output) + + + return features_list diff --git a/clicon/features/read_config.py b/clicon/features/read_config.py new file mode 100644 index 0000000..13322e2 --- /dev/null +++ b/clicon/features/read_config.py @@ -0,0 +1,62 @@ +###################################################################### +# CliCon - read_config.py # +# # +# Willie Boag wboag@cs.uml.edu # +# # +# Purpose: Read a configuration file to determine what features # +# are available on the system # +###################################################################### + + + +import os + + + +# Enabled modules +class enabled_modules: + + # Unenabled unless specified by config file + UMLS = False + GENIA = False + + + +# +# available_services() +# +# @return dictionary of (name,on/off) pairs. +# +# ex. {'UMLS': False, 'GENIA': True} +# +def available_services(): + + # Open config file + prefix = os.path.abspath('') + filename = os.path.join( prefix, 'clicon/features/features.config' ) + f = open(filename, 'r') + + specs = {} + module_list = [ 'GENIA', 'UMLS' ] + + + for line in f.readlines(): + words = line.split() + if words: + + # Modules + if words[0] == 'UMLS': enabled_modules.UMLS = (words[1] == 'True') + if words[0] == 'GENIA': enabled_modules.GENIA = (words[1] == 'True') + + # retVal dict + if words[0] in module_list: + specs[words[0]] = (words[1] == 'True') + + return specs + + + +# Read from config file when module is imported +print available_services() + + diff --git a/clicon/features/sentence_features.py b/clicon/features/sentence_features.py new file mode 100644 index 0000000..4e772e1 --- /dev/null +++ b/clicon/features/sentence_features.py @@ -0,0 +1,339 @@ +###################################################################### +# CliCon - sentence_features.py # +# # +# Willie Boag wboag@cs.uml.edu # +# # +# Purpose: Isolate the model's sentence-level features # +###################################################################### + + +__author__ = 'Willie Boag' +__date__ = 'Apr. 27, 2014' + + + +import nltk +import re +from sets import ImmutableSet +from wordshape import getWordShapes + + + +# What modules are available + +from read_config import enabled_modules + + + + +# Import feature modules + +if enabled_modules.GENIA: + from genia_features import GeniaFeatures + +if enabled_modules.UMLS: + from umls_features import UMLSFeatures + +from word_features import WordFeatures + + + + +class SentenceFeatures: + + + # Feature Enabling + enabled_IOB_prose_sentence_features = ImmutableSet( [ 'pos', 'stem_wordnet', 'GENIA', 'prev', 'next', 'prev_3_pos'] ) + + enabled_IOB_nonprose_sentence_features = ImmutableSet( ['prev_pos', 'pos', 'next_pos', 'test_result', 'prev', 'next','prev_3_pos']) + + enabled_concept_features = ImmutableSet( ['pos','stem_wordnet', 'test_result', 'word_shape','prev','next, "UMLS"']) + + + + # Instantiate an Sentence object + def __init__(self, data): + + # Word-level features module + self.feat_word = WordFeatures() + + # Only run GENIA tagger if module is available + if enabled_modules.GENIA: + print 'GENIA module enabled' + self.feat_genia = GeniaFeatures(data) + + # Only create UMLS cache if module is available + if enabled_modules.UMLS: + print 'UMLS module enabled' + self.feat_umls = UMLSFeatures() + + + + + + # IOB_prose_features() + # + # input: A sentence + # output: A list of hash tables of features + def IOB_prose_features(self, sentence): + + features_list = [] + flag = 0 + + # Get a feature set for each word in the sentence + for i,word in enumerate(sentence): + features_list.append( self.feat_word.IOB_prose_features(sentence,i) ) + + + # Only POS tag once + pos_tagged = [] + + # Used for 'prev' and 'next' features + ngram_features = [{} for i in range(len(features_list))] + + + # Allow for particular features to be enabled + for feature in self.enabled_IOB_prose_sentence_features: + + # Feature: Part of Speech + if feature == 'pos': + pos_tagged = pos_tagged or nltk.pos_tag(sentence) + for (i,(_,pos)) in enumerate(pos_tagged): + features_list[i].update( { ('pos',pos) : 1} ) + + # Feature: Previous 3 POSs + if feature == 'prev_3_pos': + pos_tagged = pos_tagged or nltk.pos_tag(sentence) + for i in range(len(sentence)): + if i == 0: + prev_pos = ('*','*','*') + features_list[0].update({(feature,prev_pos) :1}) + elif i == 1: + prev_pos = ('*','*',pos_tagged[0][1]) + features_list[1].update({(feature,prev_pos) :1}) + elif i == 2: + prev_pos = ('*',pos_tagged[0][1],pos_tagged[1][1]) + features_list[2].update({(feature,prev_pos) :1}) + else: + prev_pos = (pos_tagged[i-3][1],pos_tagged[i-2][1],pos_tagged[i-1][1]) + features_list[i].update({(feature,pos_tagged[i-1]):1}) + + # GENIA features + if enabled_modules.GENIA and (feature == 'GENIA'): + + genia_feat_list = self.feat_genia.features(sentence) + + #print '\n\n' + #print genia_feat_list + #print '\n\n' + + for i,feat_dict in enumerate(genia_feat_list): + features_list[i].update(feat_dict) + + + ngram_features = [{} for i in range(len(features_list))] + if "prev" in self.enabled_IOB_prose_sentence_features: + prev = lambda f: {("prev_"+k[0], k[1]): v for k,v in f.items()} + prev_list = map(prev, features_list) + for i in range(len(features_list)): + if i == 0: + ngram_features[i][("prev", "*")] = 1 + else: + ngram_features[i].update(prev_list[i-1]) + + if "next" in self.enabled_IOB_prose_sentence_features: + next = lambda f: {("next_"+k[0], k[1]): v for k,v in f.items()} + next_list = map(next, features_list) + for i in range(len(features_list)): + if i == len(features_list) - 1: + ngram_features[i][("next", "*")] = 1 + else: + ngram_features[i].update(next_list[i+1]) + + merged = lambda d1, d2: dict(d1.items() + d2.items()) + features_list = [merged(features_list[i], ngram_features[i]) + for i in range(len(features_list))] + + return features_list + + + + # IOB_nonprose_features() + # + # input: A sentence + # output: A hash table of features + def IOB_nonprose_features(self, sentence): + + # Get the GENIA features of the current sentence + # (not used for nonprose, but it keeps things aligned for the prose) + if enabled_modules.GENIA and 'GENIA' in self.enabled_IOB_prose_sentence_features: + _ = self.feat_genia.features(sentence, False) + + + # If sentence is empty + #if not sentence: return {} + + features_list = [] + + # Get a feature set for each word in the sentence + for i,word in enumerate(sentence): + features_list.append( self.feat_word.IOB_nonprose_features(sentence,i) ) + + # Only POS tag once + pos_tagged = [] + + # Allow for particular features to be enabled + for feature in self.enabled_IOB_nonprose_sentence_features: + + # Feature: Previous POS + if feature == 'prev_pos': + pos_tagged = pos_tagged or nltk.pos_tag(sentence) + for i in range(len(sentence)): + if i == 0: + features_list[0].update({('prev_POS','') :1}) + else: + features_list[i].update({('prev_POS',pos_tagged[i-1]):1}) + + # Feature: Part of Speech + if feature == 'pos': + pos_tagged = pos_tagged or nltk.pos_tag(sentence) + for (i,(_,pos)) in enumerate(pos_tagged): + features_list[i].update( { ('pos',pos) : 1} ) + + # Feature: Previous POS + if feature == 'next_pos': + pos_tagged = pos_tagged or nltk.pos_tag(sentence) + for i in range(len(sentence)): + if i == len(sentence)-1: + features_list[-1].update({('prev_POS','') :1}) + else: + features_list[i].update({('prev_POS',pos_tagged[i-1]):1}) + + # Feature: Test Result (for each chunk) + if feature == "test_result": + for index, features in enumerate(features_list): + right = " ".join([w for w in sentence[index:]]) + if self.feat_word.is_test_result(right): + features[(feature, None)] = 1 + + + # FIXME - should order matter? + # Feature: Previous 3 POSs + if feature == 'prev_3_pos': + pos_tagged = pos_tagged or nltk.pos_tag(sentence) + for i in range(len(sentence)): + if i == 0: + prev_pos = ('*','*','*') + features_list[0].update({(feature,prev_pos) :1}) + elif i == 1: + prev_pos = ('*','*',pos_tagged[0][1]) + features_list[1].update({(feature,prev_pos) :1}) + elif i == 2: + prev_pos = ('*',pos_tagged[0][1],pos_tagged[1][1]) + features_list[2].update({(feature,prev_pos) :1}) + else: + prev_pos = (pos_tagged[i-3][1],pos_tagged[i-2][1],pos_tagged[i-1][1]) + features_list[i].update({(feature,pos_tagged[i-1]):1}) + + + + ngram_features = [{} for i in range(len(features_list))] + if "prev" in self.enabled_IOB_nonprose_sentence_features: + prev = lambda f: {("prev_"+k[0], k[1]): v for k,v in f.items()} + prev_list = map(prev, features_list) + for i in range(len(features_list)): + if i == 0: + ngram_features[i][("prev", "*")] = 1 + else: + ngram_features[i].update(prev_list[i-1]) + + if "next" in self.enabled_IOB_nonprose_sentence_features: + next = lambda f: {("next_"+k[0], k[1]): v for k,v in f.items()} + next_list = map(next, features_list) + for i in range(len(features_list)): + if i == len(features_list) - 1: + ngram_features[i][("next", "*")] = 1 + else: + ngram_features[i].update(next_list[i+1]) + + merged = lambda d1, d2: dict(d1.items() + d2.items()) + features_list = [merged(features_list[i], ngram_features[i]) + for i in range(len(features_list))] + + return features_list + + + + # concept_features_for_chunk() + # + # input: A sentence/line from a medical text file (list of chunks) + # An index into the sentence to indentify the given chunk + # output: A hash table of features + def concept_features_for_chunk(self, sentence, ind): + + features = {} + + # Feature: + features = {'dummy': 1} # always have >0 dimensions + + # Split the chunked sentence into a list of words for (POS tagger) + split_sentence = [] + split_ind = 0 + for chun in sentence: + for word in chun.split(): + split_sentence.append(word) + split_ind += len(chun.split()) + + tags = None + + + # Word-level features for each word of the chunk + for i,w in enumerate(sentence[ind].split()): + word_features = self.feat_word.concept_features(w) + + # Map suffix to each feature + append1 = lambda k,v: ((k[0] + "-" + str(i), k[1]), v) + appended_feats = { append1(k,v) for k,v in word_features.items() } + + features.update( appended_feats) + + + # Allow for particular features to be enabled + for feature in self.enabled_concept_features: + + # Features: UMLS features + if (feature == "UMLS") and enabled_modules.UMLS: + umls_features = self.feat_umls.concept_features(split_sentence) + features.update(umls_features) + + + # Feature: Part of Speech (of each word) + if feature == "pos": + tags = tags or nltk.pos_tag(split_sentence) + for j,pos_tag in enumerate(tags[ind:ind+len(sentence[ind].split())]): + featname = 'pos-%d' % j + features[(featname, pos_tag[1])] = 1 + + # Feature: Wordnet Stem (for each chunk) + if feature == "stem_wordnet": + tags = tags or nltk.pos_tag(sentence) + morphy_tags = { + 'NN': nltk.corpus.reader.wordnet.NOUN, + 'JJ': nltk.corpus.reader.wordnet.ADJ, + 'VB': nltk.corpus.reader.wordnet.VERB, + 'RB': nltk.corpus.reader.wordnet.ADV} + morphy_tags = [(w, morphy_tags.setdefault(t[:2], nltk.corpus.reader.wordnet.NOUN)) for w, t in tags] + st = nltk.stem.WordNetLemmatizer() + tag = morphy_tags[ind] + features[(feature, st.lemmatize(*tag))] = 1 + + # Feature: Test Result (for each chunk) + if feature == "test_result": + right = " ".join([w for w in sentence[ind:]]) + if self.feat_word.is_test_result(right): + features[(feature, None)] = 1 + + + return features + + diff --git a/clicon/features/umls_features.py b/clicon/features/umls_features.py new file mode 100644 index 0000000..cdec562 --- /dev/null +++ b/clicon/features/umls_features.py @@ -0,0 +1,252 @@ +###################################################################### +# CliCon - umls_features.py # +# # +# Willie Boag wboag@cs.uml.edu # +# # +# Purpose: Independent UMLS module # +###################################################################### + + + +from sets import ImmutableSet +from umls_cache import UmlsCache +import umls + + + +class UMLSFeatures: + + + enabled_prose_features = ImmutableSet( [ 'umls_cui', 'umls_hypernyms' ] ) + + enabled_prose_features = ImmutableSet( [ 'umls_cui', 'umls_hypernyms', 'umls_semantic_type_word' ] ) + + + enabled_concept_features_for_word = ImmutableSet( [ 'umls_semantic_type_word', 'umls_cui' ] ) + enabled_concept_features_for_sentence = ImmutableSet( [ 'umls_semantic_type_sentence', 'umls_semantic_context' ] ) + + + + def __init__(self): + + """ + UMLSFeatures::Constructor + """ + + # cache for the mappings of all umls lookups made + self.umls_lookup_cache = UmlsCache() + + + + + def IOB_prose_features(self, word): + + """ + UMLSFeatures::IOB_prose_features() + + @ param word. word to lookup in UMLS database + @return dictionary of features + """ + + # Return value is a list of dictionaries (of features) + features = {} + + + for feature in self.enabled_prose_features: + + + # Feature: UMLS Semantic Types + if feature == "umls_cui": + + # Get UMLS CUIs (could have multiple) + cuis = umls.get_cui(self.umls_lookup_cache , word) + + # Add each CUI + if cuis: + for cui in cuis: + features[(feature,cui)] = 1 + else: + features[(feature,None)] = 1 + + + # Feature: UMLS Hypernyms + if feature == "umls_hypernyms": + + # Get UMLS hypernyms + hyps = umls.umls_hypernyms(self.umls_lookup_cache,word) + + # Add all hypernyms + if hyps: + #for hyp in hyps: + features[(feature,hyps[0])] = 1 + else: + features[(feature,None)] = 1 + + + return features + + + + def IOB_nonprose_features(self, word): + + """ + UMLSFeatures::IOB_nonprose_features() + + @ param word. word to lookup in UMLS database + @return dictionary of features + """ + + # Return value is a list of dictionaries (of features) + features = {} + + + for feature in self.enabled_nonprose_features: + + + # Feature: UMLS Semantic Types + if feature == "umls_cui": + + # Get UMLS CUIs (could have multiple) + cuis = umls.get_cui(self.umls_lookup_cache , word) + + # Add each CUI + if cuis: + for cui in cuis: + features[(feature,cui)] = 1 + else: + features[(feature,None)] = 1 + + + # Feature: UMLS Hypernyms + if feature == "umls_hypernyms": + + # Get UMLS hypernyms + hyps = umls.umls_hypernyms(self.umls_lookup_cache,word) + + # Add all hypernyms + if hyps: + #for hyp in hyps: + features[(feature,hyps[0])] = 1 + else: + features[(feature,None)] = 1 + + + # Feature: UMLS Semantic Type (for each word) + if feature == "umls_semantic_type_word": + + # Get UMLS semantic type (could have multiple) + mapping = umls.umls_semantic_type_word(self.umls_lookup_cache , word ) + # If is at least one semantic type + if mapping: + for concept in mapping: + features[('umls_semantic_type_word', concept )] = 1 + else: + features[('umls_semantic_type_word' , None )] = 1 + + + return features + + + + + def concept_features_for_word(self, word): + + """ + UMLSFeatures::concept_features_for_word() + + @ param word. word to lookup in UMLS database + @return dictionary of word-level features + """ + + + # Return value is a list of dictionaries (of features) + features = {} + + + for feature in self.enabled_concept_features_for_word: + + # Feature: UMLS Semantic Types + if feature == "umls_cui": + + # Get UMLS CUIs (could have multiple) + cuis = umls.get_cui(self.umls_lookup_cache , word) + + # Add each CUI + if cuis: + for cui in cuis: + features[(feature,cui)] = 1 + else: + features[(feature,None)] = 1 + + + # Feature: UMLS Semantic Type (for each word) + if feature == "umls_semantic_type_word": + + # Get UMLS semantic type (could have multiple) + mapping = umls.umls_semantic_type_word(self.umls_lookup_cache , word ) + # If is at least one semantic type + if mapping: + for concept in mapping: + features[('umls_semantic_type_word', concept )] = 1 + else: + features[('umls_semantic_type_word' , None )] = 1 + + + return features + + + + def concept_features_for_sentence(self, sentence): + + """ + UMLSFeatures::concept_features_for_sentence() + + @ param sentence. list of words from line (after flattening chunks) + @return dictionary of chunk-level features + """ + + + # Return value is a list of dictionaries (of features) + features = {} + + + for feature in self.enabled_features_for_sentence: + + + # Feature: UMLS semantic type for the sentence + if feature == "umls_semantic_type_sentence": + + # a list of the uml semantic of the largest substring(s). + sentence_mapping = umls.umls_semantic_type_sentence( self.umls_lookup_cache, sentence ) + + # if there are no mappings + if not sentence_mapping: + features[('umls_semantic_type_sentence', None ) ] = 1 + # assign the umls definitions to the vector for each word + else: + + for concept in sentence_mapping: + if concept: + for mapping in concept: + features[('umls_semantic_type_sentence' , mapping[0] ) ] = 1 + else: + features[('umls_semantic_type_sentence' , None ) ] = 1 + + + # Feature: UMLS semantic context + if feature == "umls_semantic_context": + + # the umls definition of the largest string the word is in + umls_semantic_context_mappings = umls.umls_semantic_context_of_words( self.umls_lookup_cache , sentence ) + + #if there are no mappings + if umls_semantic_context_mappings[ind] == None: + features[(feature,None)] = 1 + # there could be multiple contexts, iterate through the sublist + else: + for mapping in umls_semantic_context_mappings[ind]: + for concept in mapping: + features[(feature,concept)] = 1 + + + return features diff --git a/clicon/features/word_features.py b/clicon/features/word_features.py new file mode 100644 index 0000000..f3d7d61 --- /dev/null +++ b/clicon/features/word_features.py @@ -0,0 +1,367 @@ +###################################################################### +# CliCon - word_features.py # +# # +# Willie Boag wboag@cs.uml.edu # +# # +# Purpose: Isolate all word-level features into a single file # +###################################################################### + + + + +__author__ = 'Willie Boag' +__date__ = 'Apr 27, 2014' + + + +import nltk +import re +from sets import ImmutableSet +from wordshape import getWordShapes + +# What modules are available +from read_config import enabled_modules + + +if enabled_modules.UMLS: + from umls_features import UMLSFeatures + + +class WordFeatures: + + enabled_IOB_prose_word_features = ImmutableSet( ['Generic#', 'last_two_letters', 'word', 'length', 'mitre', 'stem_porter', 'word_shape', 'metric_unit', 'UMLS' ] ) + + enabled_IOB_nonprose_word_features = ImmutableSet( ['word', 'uncased_prev_word', 'word_shape', 'metric_unit', 'mitre', 'directive' ] ) + + enabled_concept_word_features = ImmutableSet( ['word', 'length', 'mitre', 'stem_porter', 'stem_lancaster', 'word_shape', 'UMLS'] ) + + + def __init__(self): + + # Only use UMLS feature module if it is available + if enabled_modules.UMLS: + self.feat_umls = UMLSFeatures() + + + + # IOB_prose_features_for_word() + # + # input: A single word + # output: A dictionary of features + def IOB_prose_features(self, sentence, ind): + + # Abbreviation for most features, + # although some will require index for context + word = sentence[ind] + + + # Feature: + features = {'dummy': 1} # always have >0 dimensions + + + # Allow for particular features to be enabled + for feature in self.enabled_IOB_prose_word_features: + + + # Feature: Generic# stemmed word + if feature == 'Generic#': + generic = re.sub('[0-9]','0',word) + features.update( { ('Generic#',generic) : 1 } ) + + # Feature: Last two leters of word + if feature == 'last_two_letters': + features.update( { ('last_two_letters',word[-2:]) : 1 } ) + + + # Feature: Previous word + if feature == 'prev_word': + if i == 0: + features.update( {('prev_word', '' ) : 1} ) + else: + features.update( {('prev_word', sentence[ind-1]) : 1} ) + + # Feature: UMLS Word Features (only use prose ones) + if (feature == "UMLS") and enabled_modules.UMLS: + umls_features = self.feat_umls.IOB_prose_features(word) + features.update( umls_features ) + + + # FIXME - adding pass two features to pass 1 (good? bad?) + if feature == "word": + features[(feature, word)] = 1 + + if feature == "length": + features[(feature, None)] = len(word) + + if feature == "mitre": + for f in self.mitre_features: + if re.search(self.mitre_features[f], word): + features[(feature, f)] = 1 + + if feature == "stem_porter": + st = nltk.stem.PorterStemmer() + features[(feature, st.stem(word))] = 1 + + if feature == "stem_lancaster": + st = nltk.stem.LancasterStemmer() + features[(feature, st.stem(word))] = 1 + + if feature == "word_shape": + wordShapes = getWordShapes(word) + for j, shape in enumerate(wordShapes): + features[(feature + str(j), shape)] = 1 + + + return features + + + + + + # IOB_nonprose_features_for_word() + # + # input: A single word + # output: A dictionary of features + def IOB_nonprose_features(self, sentence, ind): + + # Abbreviation for most features, + # although some will require index for context + word = sentence[ind] + + + # Feature: + features = {'dummy': 1} # always have >0 dimensions + + + # Allow for particular features to be enabled + for feature in self.enabled_IOB_nonprose_word_features: + + # Feature: The word, itself + if feature == 'word': + features.update( { ('word',word.lower()) : 1} ) + + # Feature: Uncased previous word + if feature == 'uncased_prev_word': + if ind == 0: + features.update( {('uncased_prev_word','' ) : 1} ) + else: + features.update( {('uncased_prev_word',sentence[ind-1].lower()) : 1} ) + + # Feature: Metric Unit + if feature == "metric_unit": + tests = 3 + unit = 0 + if self.is_weight(word): + unit = 1 / tests + elif self.is_size(word): + unit = 2 / tests + elif self.is_volume(word): + unit = 3 / tests + features[(feature, None)] = unit + + # Feature: Date + if feature == 'date': + if self.is_date(word): + features[(feature,None)] = 1 + else: + features[(feature,None)] = 0 + + # Feature: Directive + if feature == 'directive': + if self.is_directive(word): + features[(feature,None)] = 1 + else: + features[(feature,None)] = 0 + + # Feature: Mitre + if feature == "mitre": + for f in self.mitre_features: + if re.search(self.mitre_features[f], word): + features[(feature, f)] = 1 + + # Feature: Word Shape + if feature == "word_shape": + wordShapes = getWordShapes(word) + for j, shape in enumerate(wordShapes): + features[('word_shape', shape)] = 1 + + # Feature: UMLS Word Features (only use nonprose ones) + if (feature == "UMLS") and enabled_modules.UMLS: + umls_features = self.feat_umls.IOB_nonprose_features(word) + features.update( umls_features ) + + + return features + + + + def concept_features(self, word): + + """ + concept_features_for_word() + + @param word. A word to generate features for + @return A dictionary of features + + NOTE: Currently does not involve context (AKA prev). + In order to support context, you'd need to change arg from + 'word' -> 'chunk' and 'ind' + """ + + features = {} + + # Allow for particular features to be enabled + for feature in self.enabled_concept_word_features: + + # Feature: Word (each word) + if feature == "word": + features[ ("word",word) ] = 1 + + # Feature: Length (of each word) + if feature == "length": + features[ ("length",None) ] = len(word) + + # Feature: Mitre (of each word) + if feature == "mitre": + for f in self.mitre_features: + if re.search(self.mitre_features[f], word): + features[ ("mitre",f) ] = 1 + + # Feature: Porter Stem (of each word) + if feature == "stem_porter": + st = nltk.stem.PorterStemmer() + features[ ("stem_poter", st.stem(word)) ] = 1 + + # Feature: Lancaster Stem (of each word) + if feature == "stem_lancaster": + st = nltk.stem.LancasterStemmer() + features[ ("stem_lancaster", st.stem(word)) ] = 1 + + # Feature: Word Shape (of each word) + if feature == "word_shape": + wordShapes = getWordShapes(word) + for j, shape in enumerate(wordShapes): + features[ ("word_shape" + str(j), shape) ] = 1 + + # Features: UMLS Features + if (feature == "UMLS") and enabled_modules.UMLS: + umls_features = self.feat_umls.concept_features_for_word(word) + features.update(umls_features) + + + return features + + + + + + mitre_features = { + "INITCAP": r"^[A-Z].*$", + "ALLCAPS": r"^[A-Z]+$", + "CAPSMIX": r"^[A-Za-z]+$", + "HASDIGIT": r"^.*[0-9].*$", + "SINGLEDIGIT": r"^[0-9]$", + "DOUBLEDIGIT": r"^[0-9][0-9]$", + "FOURDIGITS": r"^[0-9][0-9][0-9][0-9]$", + "NATURALNUM": r"^[0-9]+$", + "REALNUM": r"^[0-9]+.[0-9]+$", + "ALPHANUM": r"^[0-9A-Za-z]+$", + "HASDASH": r"^.*-.*$", + "PUNCTUATION": r"^[^A-Za-z0-9]+$", + "PHONE1": r"^[0-9][0-9][0-9]-[0-9][0-9][0-9][0-9]$", + "PHONE2": r"^[0-9][0-9][0-9]-[0-9][0-9][0-9]-[0-9][0-9][0-9][0-9]$", + "FIVEDIGIT": r"^[0-9][0-9][0-9][0-9][0-9]", + "NOVOWELS": r"^[^AaEeIiOoUu]+$", + "HASDASHNUMALPHA": r"^.*[A-z].*-.*[0-9].*$ | *.[0-9].*-.*[0-9].*$", + "DATESEPERATOR": r"^[-/]$", + } + + def is_test_result(self, context): + # note: make spaces optional? + regex = r"^[A-Za-z]+( )*(-|--|:|was|of|\*|>|<|more than|less than)( )*[0-9]+(%)*" + if not re.search(regex, context): + return re.search(r"^[A-Za-z]+ was (positive|negative)", context) + return True + + # Try to get QANN features + def is_meaurement(self, word): + regex = r"^[0-9]*(unit(s)|cc|L|mL|dL)$" + return re.search(regex, word) + + def is_directive(self, word): + regex = r"^(q\..*|q..|PRM|bid|prm|p\..*)$" + return re.search(regex, word) + + def is_date(self, word): + regex = r'^(\d\d\d\d-\d\d-\d|\d\d?-\d\d?-\d\d\d\d?|\d\d\d\d-\d\d?-\d\d?)$' + return re.search(regex,word) + + def is_volume(self, word): + regex = r"^[0-9]*(ml|mL|dL)$" + return re.search(regex, word) + + def is_weight(self, word): + regex = r"^[0-9]*(mg|g|mcg|milligrams|grams)$" + return re.search(regex, word) + + def is_size(self, word): + regex = r"^[0-9]*(mm|cm|millimeters|centimeters)$" + return re.search(regex, word) + + def is_prognosis_location(self, word): + regex = r"^(c|C)[0-9]+(-(c|C)[0-9]+)*$" + return re.search(regex, word) + + def has_problem_form(self, word): + regex = r".*(ic|is)$" + return re.search(regex, word) + + # checks for a definitive classification at the word level + def get_def_class(self, word): + test_terms = { + "eval", "evaluation", "evaluations", + "sat", "sats", "saturation", + "exam", "exams", + "rate", "rates", + "test", "tests", + "xray", "xrays", + "screen", "screens", + "level", "levels", + "tox" + } + problem_terms = { + "swelling", + "wound", "wounds", + "symptom", "symptoms", + "shifts", "failure", + "insufficiency", "insufficiencies", + "mass", "masses", + "aneurysm", "aneurysms", + "ulcer", "ulcers", + "trama", "cancer", + "disease", "diseased", + "bacterial", "viral", + "syndrome", "syndromes", + "pain", "pains" + "burns", "burned", + "broken", "fractured" + } + treatment_terms = { + "therapy", + "replacement", + "anesthesia", + "supplement", "supplemental", + "vaccine", "vaccines" + "dose", "doses", + "shot", "shots", + "medication", "medicine", + "treament", "treatments" + } + if word.lower() in test_terms: + return 1 + elif word.lower() in problem_terms: + return 2 + elif word.lower() in treatment_terms: + return 3 + return 0 + From e28b1625019f3915264e4f7f89eaf7d8a037e386 Mon Sep 17 00:00:00 2001 From: Tristan Naumann Date: Wed, 4 Jun 2014 20:06:28 -0400 Subject: [PATCH 045/393] Adding command line installation. --- clicon/__init__.py | 0 clicon/clicon.py | 18 ++++++++++++++++++ setup.cfg | 0 setup.py | 15 +++++++++++++++ 4 files changed, 33 insertions(+) create mode 100644 clicon/__init__.py create mode 100644 clicon/clicon.py create mode 100644 setup.cfg create mode 100644 setup.py diff --git a/clicon/__init__.py b/clicon/__init__.py new file mode 100644 index 0000000..e69de29 diff --git a/clicon/clicon.py b/clicon/clicon.py new file mode 100644 index 0000000..df5de25 --- /dev/null +++ b/clicon/clicon.py @@ -0,0 +1,18 @@ +import click + + +@click.group() +def clicon(): + pass + +@clicon.command() +def train(): + print "Training..." + +@clicon.command() +def predict(): + print "Predicting..." + + +if __name__ == '__main__': + clicon() \ No newline at end of file diff --git a/setup.cfg b/setup.cfg new file mode 100644 index 0000000..e69de29 diff --git a/setup.py b/setup.py new file mode 100644 index 0000000..c34d551 --- /dev/null +++ b/setup.py @@ -0,0 +1,15 @@ +from setuptools import setup, find_packages + + +setup( + name='clicon', + version='0.1', + packages=find_packages(), + install_requires=[ + 'click', + ], + entry_points=''' + [console_scripts] + clicon=clicon.clicon:clicon + ''', +) \ No newline at end of file From d5b26c0012c6f7d1ba0024ad52991a8ae7979589 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Sun, 15 Jun 2014 17:28:08 -0400 Subject: [PATCH 046/393] Addingtrain/predict functionality to the command line interface --- clicon/clicon.py | 108 ++++++++++++++++++++++++++++++++++++++++++++--- 1 file changed, 102 insertions(+), 6 deletions(-) diff --git a/clicon/clicon.py b/clicon/clicon.py index df5de25..38eaf16 100644 --- a/clicon/clicon.py +++ b/clicon/clicon.py @@ -1,18 +1,114 @@ import click +import os +import commands @click.group() def clicon(): - pass + pass + + +# Train @clicon.command() -def train(): - print "Training..." +@click.option('--txt', + default='data/concept_assertion_relation_training_data/beth/txt/record-13.txt', + help='Text files for training.') +@click.option('--con', + default='data/concept_assertion_relation_training_data/beth/concept/record-13.con', + help='Concept files for training.') +@click.option('--model', + default='models/run_models/run.model', + help='Model output by train.') +@click.option('--clicon_dir', + envvar='CLICON_DIR', + help='Base CliCon directory (should be shell env variable).') +def train(txt, con, model, clicon_dir): + + # Base directory + if not clicon_dir: + raise Exception('Environment variable CLICON_DIR must be defined') + BASE_DIR = clicon_dir + + # Executable + runable = os.path.join(BASE_DIR,'clicon/train.py') + + # Command line arguments + txt_path = os.path.join(BASE_DIR, txt) + con_path = os.path.join(BASE_DIR, con) + model_path = os.path.join(BASE_DIR, model) + + # Build command + cmd = 'python ' + runable \ + + ' -t \"' + txt_path + '\"' \ + + ' -c \"' + con_path + '\"' \ + + ' -m ' + model_path + + # Execute train.py + #print '\tBASE_DIR: ', BASE_DIR + #print '\tcmd: ', cmd + #return + errnum, output = commands.getstatusoutput(cmd) + + #print '\terrnum: ', errnum + + #print '\toutput:' + for line in output.split('\n'): + #print '\t\t', line + print line + + +# Predict @clicon.command() -def predict(): - print "Predicting..." +@click.option('--txt', + default='data/concept_assertion_relation_training_data/beth/txt/record-13.txt', + help='Text files for training.') +@click.option('--output', + default='data/test_predictions', + help='The directory to write the output') +@click.option('--model', + default='models/run_models/run.model', + help='Model used to predict on files') +@click.option('--clicon_dir', + envvar='CLICON_DIR', + help='Base CliCon directory (should be shell env variable).') +def predict(txt, output, model, clicon_dir): + + # Base directory + if not clicon_dir: + raise Exception('Environment variable CLICON_DIR must be defined') + BASE_DIR = clicon_dir + + # Executable + runable = os.path.join(BASE_DIR,'clicon/predict.py') + + # Command line arguments + txt_path = os.path.join(BASE_DIR, txt) + output_path = os.path.join(BASE_DIR, output) + model_path = os.path.join(BASE_DIR, model) + + # Build command + cmd = 'python ' + runable \ + + ' -i \"' + txt_path + '\"' \ + + ' -o ' + output_path \ + + ' -m ' + model_path + + # Execute train.py + #print '\tBASE_DIR: ', BASE_DIR + #print '\tcmd: ', cmd + errnum, output = commands.getstatusoutput(cmd) + + #print '\terrnum: ', errnum + + #print '\toutput:' + for line in output.split('\n'): + #print '\t\t', line + print line + if __name__ == '__main__': - clicon() \ No newline at end of file + clicon() + + From 613d3c3856a61136b5a103ea1f10a41bed368ce0 Mon Sep 17 00:00:00 2001 From: Tristan Naumann Date: Tue, 24 Jun 2014 18:01:08 -0400 Subject: [PATCH 047/393] Renaming command line interface. --- clicon/{clicon.py => cli.py} | 0 setup.py | 2 +- 2 files changed, 1 insertion(+), 1 deletion(-) rename clicon/{clicon.py => cli.py} (100%) diff --git a/clicon/clicon.py b/clicon/cli.py similarity index 100% rename from clicon/clicon.py rename to clicon/cli.py diff --git a/setup.py b/setup.py index c34d551..1e74749 100644 --- a/setup.py +++ b/setup.py @@ -10,6 +10,6 @@ ], entry_points=''' [console_scripts] - clicon=clicon.clicon:clicon + clicon=clicon.cli:clicon ''', ) \ No newline at end of file From 1fab50603ae21d4c24f4ea2e2a18a624102199c2 Mon Sep 17 00:00:00 2001 From: Tristan Naumann Date: Tue, 24 Jun 2014 18:01:43 -0400 Subject: [PATCH 048/393] Updating versioning scheme per PEP 386. --- setup.py | 2 +- 1 file changed, 1 insertion(+), 1 deletion(-) diff --git a/setup.py b/setup.py index 1e74749..a7f0f5e 100644 --- a/setup.py +++ b/setup.py @@ -3,7 +3,7 @@ setup( name='clicon', - version='0.1', + version='0.1dev', packages=find_packages(), install_requires=[ 'click', From 2a8ab99156db54134c6e23dc3ebc3a216c2abb73 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Fri, 4 Jul 2014 14:42:12 -0400 Subject: [PATCH 049/393] make file paths more robust --- clicon/features/SQLookup.py | 7 ++++--- clicon/features/create_sqliteDB.py | 10 ++++++---- clicon/features/umls_cache.py | 8 +++++--- 3 files changed, 15 insertions(+), 10 deletions(-) diff --git a/clicon/features/SQLookup.py b/clicon/features/SQLookup.py index 263688f..501bb52 100644 --- a/clicon/features/SQLookup.py +++ b/clicon/features/SQLookup.py @@ -9,13 +9,14 @@ def SQLConnect(): #try to connect to the sqlite database. Make one otherwise - if( os.path.isfile( "umls_tables/umls.db" ) ): + db_dir = os.path.join( os.environ['CLICON_DIR'], 'umls_tables' ) + if( os.path.isfile(os.path.join(db_dir, 'umls.db')) ): print "\ndb exists" - db = sqlite3.connect( "umls_tables/umls.db" ) + db = sqlite3.connect( os.path.join(db_dir, 'umls.db') ) else: print "\ndb doesn't exist" create_sqliteDB.create_db() - db = sqlite3.connect( "umls_tables/umls.db" ) + db = sqlite3.connect( os.path.join(db_dir, 'umls.db') ) db.text_factory = str return db.cursor() diff --git a/clicon/features/create_sqliteDB.py b/clicon/features/create_sqliteDB.py index cb564a4..a686822 100644 --- a/clicon/features/create_sqliteDB.py +++ b/clicon/features/create_sqliteDB.py @@ -1,33 +1,35 @@ #database.py creates a .db file for performing umls searches. import sqlite3 import sys +import os def create_db(): print "\ncreating umls.db" #connect to the .db file we are creating. - conn = sqlite3.connect( "umls_tables/umls.db" ) + db_dir = os.path.join( os.environ['CLICON_DIR'], 'umls_tables' ) + conn = sqlite3.connect( os.path.join(db_dir, 'umls.db') ) conn.text_factory = str print "opening files" #load data in files. try: - MRSTY_TABLE = open( ( "umls_tables/MRSTY"), "r" ) + MRSTY_TABLE = open( os.path.join(db_dir,'MRSTY'), "r" ) except IOError: print "\nNo file to use for creating MRSTY table\n" conn.close() sys.exit() try: - MRCON_TABLE = open( ("umls_tables/MRCON") , "r" ) + MRCON_TABLE = open( os.path.join(db_dir,'MRCON') , "r" ) except IOError: print "\nNo file to use for creating MRCON table\n" conn.close() sys.exit() try: - MRREL_TABLE = open( ( "umls_tables/MRREL") , "r" ) + MRREL_TABLE = open( os.path.join(db_dir,'MRREL') , "r" ) except IOError: print "\nNo file to use for creating MRREL table\n" conn.close() diff --git a/clicon/features/umls_cache.py b/clicon/features/umls_cache.py index 5fb7453..1715e9e 100644 --- a/clicon/features/umls_cache.py +++ b/clicon/features/umls_cache.py @@ -4,8 +4,8 @@ class UmlsCache: def __init__(self): try: - prefix = os.path.abspath('') - filename = os.path.join( prefix, 'umls_cache' ) + db_dir = os.path.join( os.environ['CLICON_DIR'], 'umls_tables' ) + filename = os.path.join( db_dir, 'umls_cache' ) self.cache = pickle.load( open( filename , "rb" ) ) ; except IOError: self.cache = {} @@ -20,4 +20,6 @@ def get_map( self , string ): return self.cache[string] def __del__(self): - pickle.dump( self.cache, open("umls_cache", "wb" ) ) + db_dir = os.path.join( os.environ['CLICON_DIR'], 'umls_tables' ) + filename = os.path.join( db_dir, 'umls_cache' ) + pickle.dump( self.cache, open(filename, "wb" ) ) From d32c6990d3a17e3631504feddb611b6383bb8929 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Fri, 4 Jul 2014 14:43:37 -0400 Subject: [PATCH 050/393] use slightly modified Note interface --- clicon/predict.py | 4 +++- 1 file changed, 3 insertions(+), 1 deletion(-) diff --git a/clicon/predict.py b/clicon/predict.py index 2592fb1..f420d77 100644 --- a/clicon/predict.py +++ b/clicon/predict.py @@ -100,7 +100,9 @@ def main(): # Output the concept predictions - note.write_i2b2(con_path, labels[t]) + output = note.write_i2b2_con(labels[t]) + with open(con_path, 'w') as f: + print >>f, output #note.write_plain(con_path, labels[t]) # in case of plain format #note.write_BIOs_labels(con_path, labels[t]) From b28f287f463e570640d33ba7dfb5de308826da52 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Fri, 4 Jul 2014 14:45:04 -0400 Subject: [PATCH 051/393] add functionality for xml format --- clicon/note.py | 291 ++++++++++++++++++++++++++++++++----------------- 1 file changed, 188 insertions(+), 103 deletions(-) diff --git a/clicon/note.py b/clicon/note.py index e85cae4..553a34c 100644 --- a/clicon/note.py +++ b/clicon/note.py @@ -1,13 +1,14 @@ from __future__ import with_statement import re +from copy import copy class Note: # Constructor def __init__(self): - # data - A list of lines directly from the file + # data - A list of list of words # concepts - A one-to-one correspondence of each word's concept # classifications - A list of tuples that convey concept labels # boundaries - A one-to-one correspondence of each word's BIO status @@ -28,7 +29,7 @@ def read_i2b2(self, txt, con=None): with open(txt) as f: for line in f: # Add sentence to the data list - self.data.append(line) + self.data.append(line.split()) # Make put a temporary 'O' in each spot self.boundaries.append( ['O' for _ in line.split()] ) @@ -80,75 +81,105 @@ def read_i2b2(self, txt, con=None): #print "\n" + "-" * 80 + def write_txt(self): - # Note::write_i2b2() - # - # @param con. A path to the file of where to write the prediction. - # @param labels. A list of classifications - # - # Write the concept predictions to a given file in i2b2 format - def write_i2b2(self, con, labels): + """ + Note::write_txt() + + Purpose: Output the text of a file (without xml annotations) + + @return A string containing the text of the file. + """ + + retStr = '' + + for line in self.txtlist(): + retStr += ' '.join(line) + '\n' + + return retStr + + + + def write_i2b2_con(self, labels=None): + + """ + Note::write_i2b2_con() + + Purpose: Write the concept predictions to a given file in i2b2 format + + @param labels. A list of classifications + @return A string of i2b2 concept file data + """ + + retStr = '' # List of list of words (line-by-line) tlist = self.txtlist() - #for i, elem in enumerate(self.data): - # print i, ": ", elem + # labels or self.concepts ? + if labels: + classifications = labels + elif self.classifications: + classifications = self.classifications + else: + raise Exception('Cannot write concept file: must specify labels') - with open(con, 'w') as f: + for classification in classifications: - for classification in labels: + # Ensure 'none' classifications are skipped + if classification[0] == 'none': + continue - # Ensure 'none' classifications are skipped - if classification[0] == 'none': - continue + concept = classification[0] + lineno = classification[1] + 1 + start = classification[2] + end = classification[3] - concept = classification[0] - lineno = classification[1] + 1 - start = classification[2] - end = classification[3] + # A list of words (corresponding line from the text file) + text = tlist[lineno-1] - # A list of words (corresponding line from the text file) - text = tlist[lineno-1] + #print "\n" + "-" * 80 + #print "start: ", start + #print "end ", end + #print "text: ", text + #print "text[start]: ", text[start] + #print "concept: ", concept - #print "\n" + "-" * 80 - #print "start: ", start - #print "end ", end - #print "text: ", text - #print "text[start]: ", text[start] - #print "concept: ", concept + # The text string of words that has been classified + datum = text[start] + for j in range(start, end): + datum += " " + text[j+1] - # The text string of words that has been classified - datum = text[start] - for j in range(start, end): - datum += " " + text[j+1] + # Line:TokenNumber of where the concept starts and ends + idx1 = "%d:%d" % (lineno, start) + idx2 = "%d:%d" % (lineno, end ) - # Line:TokenNumber of where the concept starts and ends - idx1 = "%d:%d" % (lineno, start) - idx2 = "%d:%d" % (lineno, end ) + # Classification + label = concept - # Classification - label = concept + # Fixing issue involving i2b2 format (remove capitalization) + lowercased = [w.lower() for w in datum.split()] + datum = ' '.join(lowercased) - # Fixing issue involving i2b2 format (remove capitalization) - lowercased = [w.lower() for w in datum.split()] - datum = ' '.join(lowercased) + # Print format + retStr += "c=\"%s\" %s %s||t=\"%s\"\n" % (datum, idx1, idx2, label) - # Print format - print >>f, "c=\"%s\" %s %s||t=\"%s\"" % (datum, idx1, idx2, label) - #print "c=\"%s\" %s %s||t=\"%s\"" % (datum, idx1, idx2, label) + return retStr - # Note::write_BIOs_labels() - # - # @param _. Filename. Ignore it. - # @param labels. A list of list of BIOs labels - # - # Print the prediction of BIOs concept boundary classification def write_BIOs_labels(self, filename, labels): + """ + Note::write_BIOs_labels() + + Purpose: Print the prediction of BIOs concept boundary classification + + @param _. Filename. Ignore it. + @param labels. A list of list of BIOs labels + """ + fid = open(filename,"w") # List of list of words (line-by-line) @@ -264,65 +295,124 @@ def write_plain(self, con, labels): - # Note::read_xml() - # - # @param txt. A file path for the xml formatted medical record - def read_xml(self, txt): + def read_xml(self, xml): - # FIXME: By storing the 'data' as a list of lines from the file - # instead of a list of list of words, xml does not fit nicely - # Possible solution: Switch back to list of list of words - # Alternative: Store edited sentences from the file to remove <> + """ + Note::read_xml() + + Purpose: Read data from an xml-annotated file into a Note object + @param xml. A file path for the xml formatted medical record + """ # Read in the medical text - with open(txt) as f: + with open(xml) as f: + + for lineno,line in enumerate(f.readlines()): - for line in f: # Add sentence to the data list - self.data.append(line) + data_line = [] + for word in line.split(): + if (word[0] != '<') and (word[-1] != '>'): + data_line.append(word) + self.data.append(data_line) - # For each word, store a corresponding concept label - tmp = [] - for i, group in enumerate(line.split('<')): - # All odd groups have label info (because of line split) - # ex. 'treatment>discharge medications' - if (i%2): - # Get concept label - match = re.search('(\w+)>(.+)', group) - if not match: - print "\nUnexpected file format\n" - exit(1) - - label = match.group(1) - words = match.group(2) - - # Add the label once for every word - for word in words.split(): - tmp.append(label) - # If even group , then process with 'none' labels + # Stored data for self.classifications + concept = 'N/A' + start_ind = -1 + i = 0 + + # State variable is sufficient because concepts are not nested + inside_concept = False + for word in line.split(): + + # Search for xml tag + match = re.search('<(.*)>', word) + if match: + + con = match.group(1) + + # end tag + if con[0] != '/': + # store data + concept = con + start_ind = i + + # state variable + inside_concept = True + + # begin tag + else: + # store data + tup = (concept,lineno,start_ind,i-1) + self.classifications.append(tup) + + # state variable + inside_concept = False + + # non-tag text else: - for word in group.split(): - # / closes the xml tag of a previous label (skip) - if word[0] == '/': - continue - else: - tmp.append('none') - # Add line of labels to the 'concepts' data member - self.concepts.append(tmp) + # Next token + i += 1 - # Note::write_xml() - # - # @param con. A path to the file of where to write the prediction. - # @param labels. A list of predictions of labels for the given text. - # - # Write the concept predictions to a given file in xml format - def write_xml(self, con, labels): - # xml formats do not have associated concept files - return + + + def write_xml(self): + + """ + Note::write_xml() + + Purpose: Output the data in xml format + + @return A string containing xml-formatted data + """ + + # Intermediate copy + toks = copy(self.data) + + # Order classification tuples so they are accessed right to left + # Assumption: sorted() is a stable sort + tags = sorted(self.classifications, key=lambda x:x[2], reverse=True) + tags = sorted(tags , key=lambda x:x[1] ) + + #print toks + #print '' + #print '' + + # Insert each xml tag into its proper location + for tag in tags: + + # Decode classification tuple + con = tag[0] + line = tag[1] - 1 + start = tag[2] + end = tag[3] + + #print tag + #print 'line: ', toks[line] + #print 'phrase: ', toks[line][start:end+1] + + # Insert tags + toks[line].insert(end+1, '') + toks[line].insert(start, '<' + con + '>') + + #print 'line: ', toks[line] + #print '' + + + # Stitch text back together + toks = [ ' '.join(s) for s in toks ] + toks = '\n'.join(toks) + + #print toks + #print '' + #print '' + + + return toks @@ -331,12 +421,7 @@ def write_xml(self, con, labels): # # @return the data from the medical text broken into line-word format def txtlist( self ): - # Goal: Break self.data sentences into lists of words - ans = [] - for sent in self.data: - ans.append(sent.split()) - - return ans + return self.data @@ -352,7 +437,7 @@ def conlist( self ): # Initially, all labels will be stored as 'none' for line in self.data: tmp = [] - for word in line.split(): + for word in line: tmp.append('none') self.concepts.append(tmp) From 0b0d9a1392cdae146085bcf906d32934e7507e98 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Fri, 4 Jul 2014 14:46:38 -0400 Subject: [PATCH 052/393] script to convert format from i2b2 to xml and back --- clicon/format.py | 135 +++++++++++++++++++++++++++++++++++++++++++++++ 1 file changed, 135 insertions(+) create mode 100644 clicon/format.py diff --git a/clicon/format.py b/clicon/format.py new file mode 100644 index 0000000..a47e932 --- /dev/null +++ b/clicon/format.py @@ -0,0 +1,135 @@ +###################################################################### +# CliCon - format.py # +# # +# Willie Boag wboag@cs.uml.edu # +# # +# Purpose: Script to convert i2b2 <-> xml data format # +###################################################################### + + +__author__ = 'Willie Boag' +__date__ = 'Jul. 3, 2014' + + + +import argparse +import glob + +import helper +import note + + + +def main(): + + parser = argparse.ArgumentParser() + + parser.add_argument("-t", + dest = "txt", + help = "The files that contain the training examples", + ) + + parser.add_argument("-c", + dest = "con", + help = "The files that contain the labels for the training examples", + ) + + parser.add_argument("-x", + dest = "xml", + help = "The files that contain the aml-annotated data", + ) + + parser.add_argument("-o", + dest = "out_file", + help = "File to output data", + ) + + # Parse the command line arguments + args = parser.parse_args() + + + # A list of text file paths + # A list of concept file paths + txt_files = glob.glob(args.txt) + con_files = glob.glob(args.con) + xml_files = glob.glob(args.xml) + + # ex. {'record-13': 'record-13.txt'} + # ex. {'record-13': 'record-13.con'} + txt_files_map = helper.map_files(txt_files) + con_files_map = helper.map_files(con_files) + + + # ex. training_list = [ ('record-13.txt', 'record-13.con') ] + file_list = [] + for k in txt_files_map: + if k in con_files_map: + file_list.append((txt_files_map[k], con_files_map[k])) + + + # i2b2 -> xml + for txt_f,con_f in file_list: + out = i2b2_to_xml(txt_f, con_f) + #print out + + + # xml -> i2b2 + for xml_f in xml_files: + print xml_f + txt_out, con_out = xml_to_i2b2(xml_f) + print '' + print txt_out + print '\n--------\n' + print con_out + print '' + + + +def i2b2_to_xml(txt, con): + + """ + i2b2_to_xml() + + Purpose: Convert data from i2b2 format to xml format. + + @param txt A path to the text file. + @param con A path to the concept file. + @return A string containing the data in xml format. + """ + + # Read note from i2b2 format + N = note.Note() + N.read_i2b2(txt, con) + + # Output note into xml format + out = N.write_xml() + return out + + + +def xml_to_i2b2(xml): + + """ + xml_to_i2b2() + + Purpose: Convert data from xml format to i2b2 format. + + @param xml A file containing xml-annotated data + @return A tuple of strings (text_data,concept_data) + """ + + + # Read note from i2b2 format + N = note.Note() + N.read_xml(xml) + + # Output note into xml format + txt_out = N.write_txt() + con_out = N.write_i2b2_con() + return txt_out, con_out + + + + +if __name__ == '__main__': + main() From 82154777db770df4c155d6bd3f99085395a94e6f Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Fri, 4 Jul 2014 19:13:42 -0400 Subject: [PATCH 053/393] temporarily stub out format.py to hook up with click --- clicon/format.py | 4 ++++ 1 file changed, 4 insertions(+) diff --git a/clicon/format.py b/clicon/format.py index a47e932..f9548cb 100644 --- a/clicon/format.py +++ b/clicon/format.py @@ -48,6 +48,10 @@ def main(): args = parser.parse_args() + print 'CALLING FORMAT.PY' + return + + # A list of text file paths # A list of concept file paths txt_files = glob.glob(args.txt) From d32f5dba80139d3322c39b839dcc33a43072b5b2 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Mon, 7 Jul 2014 19:11:29 -0400 Subject: [PATCH 054/393] beginning to add cli support for xml in train/predict/evaluate (not done) --- clicon/cli.py | 79 +++++++++++++++++++++-------------------------- clicon/note.py | 26 +++++++--------- clicon/predict.py | 27 ++++++++++------ clicon/train.py | 74 ++++++++++++++++++++++---------------------- 4 files changed, 102 insertions(+), 104 deletions(-) diff --git a/clicon/cli.py b/clicon/cli.py index 38eaf16..b8812fd 100644 --- a/clicon/cli.py +++ b/clicon/cli.py @@ -11,99 +11,92 @@ def clicon(): # Train @clicon.command() -@click.option('--txt', - default='data/concept_assertion_relation_training_data/beth/txt/record-13.txt', - help='Text files for training.') -@click.option('--con', +@click.option('--annotations', default='data/concept_assertion_relation_training_data/beth/concept/record-13.con', help='Concept files for training.') @click.option('--model', default='models/run_models/run.model', help='Model output by train.') -@click.option('--clicon_dir', - envvar='CLICON_DIR', - help='Base CliCon directory (should be shell env variable).') -def train(txt, con, model, clicon_dir): +@click.option('--format', + default='i2b2', + help='Data format (i2b2 or xml).') +@click.argument('input') +def train(annotations, model, format, input): # Base directory - if not clicon_dir: + BASE_DIR = os.environ.get('CLICON_DIR') + if not BASE_DIR: raise Exception('Environment variable CLICON_DIR must be defined') - BASE_DIR = clicon_dir # Executable runable = os.path.join(BASE_DIR,'clicon/train.py') # Command line arguments - txt_path = os.path.join(BASE_DIR, txt) - con_path = os.path.join(BASE_DIR, con) - model_path = os.path.join(BASE_DIR, model) + txt_path = os.path.join(BASE_DIR, input) + con_path = os.path.join(BASE_DIR, annotations) + model_path = os.path.join(BASE_DIR, model) + + print 'training' # Build command cmd = 'python ' + runable \ + + ' -f ' + format \ + ' -t \"' + txt_path + '\"' \ + ' -c \"' + con_path + '\"' \ + ' -m ' + model_path # Execute train.py - #print '\tBASE_DIR: ', BASE_DIR - #print '\tcmd: ', cmd - #return errnum, output = commands.getstatusoutput(cmd) - #print '\terrnum: ', errnum - - #print '\toutput:' + # Display output for line in output.split('\n'): - #print '\t\t', line print line # Predict @clicon.command() -@click.option('--txt', - default='data/concept_assertion_relation_training_data/beth/txt/record-13.txt', - help='Text files for training.') -@click.option('--output', - default='data/test_predictions', - help='The directory to write the output') @click.option('--model', default='models/run_models/run.model', help='Model used to predict on files') -@click.option('--clicon_dir', - envvar='CLICON_DIR', - help='Base CliCon directory (should be shell env variable).') -def predict(txt, output, model, clicon_dir): +@click.option('--out', + default='data/test_predictions', + help='The directory to write the output') +@click.option('--format', + default='i2b2', + help='Data format (i2b2 or xml).') +@click.argument('input') +def predict(model, out, format, input): # Base directory - if not clicon_dir: + BASE_DIR = os.environ.get('CLICON_DIR') + if not BASE_DIR: raise Exception('Environment variable CLICON_DIR must be defined') - BASE_DIR = clicon_dir + + print 'BASE_DIR: ', BASE_DIR # Executable runable = os.path.join(BASE_DIR,'clicon/predict.py') # Command line arguments - txt_path = os.path.join(BASE_DIR, txt) - output_path = os.path.join(BASE_DIR, output) - model_path = os.path.join(BASE_DIR, model) + txt_path = os.path.join(BASE_DIR, input) + out_path = os.path.join(BASE_DIR, out) + model_path = os.path.join(BASE_DIR, model) + + print 'predicting' # Build command cmd = 'python ' + runable \ + + ' -f ' + format \ + ' -i \"' + txt_path + '\"' \ - + ' -o ' + output_path \ + + ' -o ' + out_path \ + ' -m ' + model_path - # Execute train.py - #print '\tBASE_DIR: ', BASE_DIR - #print '\tcmd: ', cmd + # Execute predict.py errnum, output = commands.getstatusoutput(cmd) - #print '\terrnum: ', errnum - - #print '\toutput:' + # Display output for line in output.split('\n'): - #print '\t\t', line print line diff --git a/clicon/note.py b/clicon/note.py index e85cae4..ddc9ad5 100644 --- a/clicon/note.py +++ b/clicon/note.py @@ -269,12 +269,6 @@ def write_plain(self, con, labels): # @param txt. A file path for the xml formatted medical record def read_xml(self, txt): - # FIXME: By storing the 'data' as a list of lines from the file - # instead of a list of list of words, xml does not fit nicely - # Possible solution: Switch back to list of list of words - # Alternative: Store edited sentences from the file to remove <> - - # Read in the medical text with open(txt) as f: @@ -314,15 +308,19 @@ def read_xml(self, txt): - # Note::write_xml() - # - # @param con. A path to the file of where to write the prediction. - # @param labels. A list of predictions of labels for the given text. - # - # Write the concept predictions to a given file in xml format - def write_xml(self, con, labels): + def write_xml(self, labels): + + """ + Note::write_xml() + + Purpose: Write the concept predictions in xml format + + @param labels. A list of predictions of labels for the given text. + @return A string for the xml-annotated file + """ + # xml formats do not have associated concept files - return + return "FIXME: write_xml() not implemented" diff --git a/clicon/predict.py b/clicon/predict.py index 2592fb1..2eb1151 100644 --- a/clicon/predict.py +++ b/clicon/predict.py @@ -10,7 +10,9 @@ from note import * def main(): + parser = argparse.ArgumentParser() + parser.add_argument("-i", dest = "input", help = "The input files to predict", @@ -29,6 +31,12 @@ def main(): default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../models/run_models/run.model') ) + parser.add_argument("-f", + dest = "format", + help = "Data format (i2b2 or xml).", + default = 'i2b2' + ) + parser.add_argument("--no-svm", dest = "no_svm", action = "store_true", @@ -51,6 +59,7 @@ def main(): # Locate the test files files = glob.glob(args.input) + format = args.format # Load a model and make a prediction for each file path = args.output @@ -69,18 +78,13 @@ def main(): # Read the data into a Note object note = Note() note.read_i2b2(txt) - #note.read_plain(txt) # TEMP - in case of plain format # Use the model to predict the concept labels # Returns a hash table with: # keys as 1,2,4 # values as list of list of concept tokens (one-to-one with dat_list) - try: - labels = model.predict(note) - except IndexError: # FIXME - Not sure what causes this (something GENIA-related) - continue - + labels = model.predict(note) con = os.path.split(txt)[-1] con = con[:-3] + 'con' @@ -100,10 +104,13 @@ def main(): # Output the concept predictions - note.write_i2b2(con_path, labels[t]) - #note.write_plain(con_path, labels[t]) # in case of plain format - - #note.write_BIOs_labels(con_path, labels[t]) + if format == 'i2b2': + output = note.write_i2b2(labels[t]) + elif format == 'xml': + output = note.write_xml(labels[t]) + else: + output = '' + print output diff --git a/clicon/train.py b/clicon/train.py index d102c77..49bac5d 100644 --- a/clicon/train.py +++ b/clicon/train.py @@ -46,6 +46,12 @@ def main(): default = None ) + parser.add_argument("-f", + dest = "format", + help = "Data format (i2b2 or xml).", + default = 'i2b2' + ) + parser.add_argument("--no-svm", dest = "no_svm", action = "store_true", @@ -75,60 +81,54 @@ def main(): con_files = glob.glob(args.con) - # ex. {'record-13': 'record-13.txt'} - # ex. {'record-13': 'record-13.con'} - txt_files_map = helper.map_files(txt_files) - con_files_map = helper.map_files(con_files) + # i2b2 or xml + format = args.format - # ex. training_list = [ ('record-13.txt', 'record-13.con') ] - training_list = [] - for k in txt_files_map: - if k in con_files_map: - training_list.append((txt_files_map[k], con_files_map[k])) + if format == 'i2b2': - # TEMP - useful for when I was reading in XML files - #training_list.append(txt_files_map[k]) + # ex. {'record-13': 'record-13.con'} + txt_files_map = helper.map_files(txt_files) + con_files_map = helper.map_files(con_files) - # What kind of model should be used? (ex. SVM vs. CRF) - type = 0 - if not args.no_svm: - type = type | libml.SVM - if not args.no_lin: - type = type | libml.LIN - if not args.no_crf: - type = type | libml.CRF + # ex. training_list = [ ('record-13.txt', 'record-13.con') ] + training_list = [] + for k in txt_files_map: + if k in con_files_map: + training_list.append((txt_files_map[k], con_files_map[k])) + # file names + print training_list - # file names - print training_list + # Read the data into a Note object + notes = [] + for txt, con in training_list: + note_tmp = Note() # Create Note + note_tmp.read_i2b2(txt, con) # Read data into Note + notes.append(note_tmp) # Add the Note to the list - # Read the data into a Note object - notes = [] - for txt, con in training_list: - #for txt in training_list: - # Alternative data formats - #note_tmp.read_plain(txt, con) # plain - #note_tmp.read_xml(txt) # xml + elif format == 'xml': - note_tmp = Note() # Create Note - note_tmp.read_i2b2(txt, con) # Read data into Note - notes.append(note_tmp) # Add the Note to the list + # file names + print txt_files + # Read the data into a Note object + notes = [] + for xml in txt_files: + note_tmp = Note() # Create Note + note_tmp.read_xml(xml) # Read data into Note + notes.append(note_tmp) # Add the Note to the list - # Create a Machine Learning model - model = Model(filename = args.model, type = type) - if args.disabled_features != None: - model.enabled_features = model.enabled_features - Set(args.disabled_features) - if args.enabled_features != None: - model.enabled_features = Set(args.enabled_features) + # Create a Machine Learning model + model = Model(filename = args.model, type = libml.LIN) # Train the model using the Note's data model.train(notes) + if __name__ == '__main__': main() From 7bb04728dab9d9de5f9279a6358f2d43896f2571 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Mon, 7 Jul 2014 20:41:10 -0400 Subject: [PATCH 055/393] folding sci.py in --- clicon/model.py | 104 ++++++++++++++++++++++++++++++++++-------------- 1 file changed, 74 insertions(+), 30 deletions(-) diff --git a/clicon/model.py b/clicon/model.py index 083e8dc..859b350 100644 --- a/clicon/model.py +++ b/clicon/model.py @@ -3,7 +3,7 @@ import os import cPickle as pickle import helper -import libml +import sci import sys from features import clicon_features @@ -39,7 +39,7 @@ def load(filename='awesome.model'): # Constructor - def __init__(self, filename='awesome.model', type=libml.ALL): + def __init__(self, filename='awesome.model', type=sci.ALL): model_directory = os.path.dirname(filename) if model_directory != "": @@ -136,9 +136,9 @@ def first_train(self, data, labels, chunks, feat_obj=None): chunks = [map(label_lu, x) for x in chunks] # list of a list of hash tables (all keys & values now numbers) - feat_lu = lambda f: {self.IOB_vocab[item]:f[item] for item in f} - prose = [map(feat_lu, x) for x in prose] - nonprose = [map(feat_lu, x) for x in nonprose] + #feat_lu = lambda f: {self.IOB_vocab[item]:f[item] for item in f} + #prose = [map(feat_lu, x) for x in prose] + #nonprose = [map(feat_lu, x) for x in nonprose] print '\tsegregate "chunks" list into prose and nonprose' @@ -166,20 +166,43 @@ def first_train(self, data, labels, chunks, feat_obj=None): prose_model = self.filename + '1' nonprose_model = self.filename + '2' - print '\twriting features to libml' - # Use CRF - libml.write_features( prose_model, prose, pchunks, libml.CRF) - libml.write_features(nonprose_model, nonprose, nchunks, libml.CRF) + # Flatten feature & label lists + prose = flatten(prose) + nonprose = flatten(nonprose) + pchunks = flatten(pchunks) + nchunks = flatten(nchunks) + + + + print 'prose' + print prose + print '\n' + + print 'pchunks' + print pchunks + print '\n' + + print 'nchunks' + print prose + print '\n' + + print 'nonprose' + print nonprose + print '\n' + + + print '\twriting features to sci' + - libml.train( prose_model, libml.CRF) - libml.train(nonprose_model, libml.CRF) - #libml.write_features( prose_model, prose, pchunks, self.type) - #libml.write_features(nonprose_model, nonprose, nchunks, self.type) + # Use CRF + sci.write_features( prose_model, prose, pchunks) + sci.write_features(nonprose_model, nonprose, nchunks) + + sci.train( prose_model) + sci.train(nonprose_model) - #libml.train( prose_model, self.type) - #libml.train(nonprose_model, self.type) # Pickle dump - Done during train(), not first_train() #with open(self.filename, "w") as model: @@ -251,14 +274,14 @@ def second_train(self, data, labels, bounds, feat_obj=None): # Write second pass model to file second_pass_model = self.filename + '3' - mtype = libml.LIN - libml.write_features(second_pass_model, rows, concept_matches, mtype) - #libml.write_features(second_pass_model, rows, concept_matches, self.type) + mtype = sci.LIN + sci.write_features(second_pass_model, rows, concept_matches, mtype) + #sci.write_features(second_pass_model, rows, concept_matches, self.type) # Train the model - libml.train(second_pass_model, mtype) # Use LIN - #libml.train(second_pass_model, self.type) + sci.train(second_pass_model, mtype) # Use LIN + #sci.train(second_pass_model, self.type) @@ -322,20 +345,20 @@ def first_predict(self, data, feat_obj=None): prose = [map(feat_lu, x) for x in prose] prose_model = self.filename + '1' - libml.write_features(prose_model, prose, None, libml.CRF); - libml.predict(prose_model, libml.CRF) + sci.write_features(prose_model, prose, None, sci.CRF); + sci.predict(prose_model, sci.CRF) - prose_labels_list = libml.read_labels(prose_model, libml.CRF)[libml.CRF] + prose_labels_list = sci.read_labels(prose_model, sci.CRF)[sci.CRF] # Nonprose (predict, and read predictions) nonprose = [map(feat_lu, x) for x in nonprose] nonprose_model = self.filename + '2' - libml.write_features(nonprose_model, nonprose, None, libml.CRF); - libml.predict(nonprose_model, libml.CRF) + sci.write_features(nonprose_model, nonprose, None, sci.CRF); + sci.predict(nonprose_model, sci.CRF) - nonprose_labels_list = libml.read_labels(nonprose_model, libml.CRF)[libml.CRF] + nonprose_labels_list = sci.read_labels(nonprose_model, sci.CRF)[sci.CRF] # Stitch prose and nonprose labels lists together labels = [] @@ -419,10 +442,10 @@ def second_predict(self ,text_chunks, hits, feat_obj=None): # Predict using model second_pass_model = self.filename + '3' - mtype = libml.LIN - libml.write_features(second_pass_model, rows, None, mtype); - libml.predict(second_pass_model, self.type) - second_pass_labels_list = libml.read_labels(second_pass_model, mtype) + mtype = sci.LIN + sci.write_features(second_pass_model, rows, None, mtype); + sci.predict(second_pass_model, mtype) + second_pass_labels_list = sci.read_labels(second_pass_model, mtype) # Put predictions into format for Note class to read @@ -452,3 +475,24 @@ def second_predict(self ,text_chunks, hits, feat_obj=None): # Return values return retVal + + + +def flatten(ll): + + """ + flatten() + + Purpose: Flatten a list + + @param ll. List of lists + @return flattened list + """ + + + retVal = [] + + for line in ll: + retVal += line + + return retVal From 20b9270f119bfc5cc732e34745a7a183c3dbb853 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Mon, 7 Jul 2014 22:13:35 -0400 Subject: [PATCH 056/393] Folding Kevin's scikit implementation into two-pass --- clicon/model.py | 78 ++++++++++++++------------------ clicon/sci.py | 118 ++++++++++++++++++++++++++++++++++++++++++++++++ 2 files changed, 152 insertions(+), 44 deletions(-) create mode 100644 clicon/sci.py diff --git a/clicon/model.py b/clicon/model.py index 859b350..e124c96 100644 --- a/clicon/model.py +++ b/clicon/model.py @@ -173,35 +173,12 @@ def first_train(self, data, labels, chunks, feat_obj=None): pchunks = flatten(pchunks) nchunks = flatten(nchunks) - - - print 'prose' - print prose - print '\n' - - print 'pchunks' - print pchunks - print '\n' - - print 'nchunks' - print prose - print '\n' - - print 'nonprose' - print nonprose - print '\n' - - - print '\twriting features to sci' - - - - # Use CRF sci.write_features( prose_model, prose, pchunks) sci.write_features(nonprose_model, nonprose, nchunks) - sci.train( prose_model) - sci.train(nonprose_model) + mtype = sci.LIN + sci.train( prose_model, mtype) + sci.train(nonprose_model, mtype) # Pickle dump - Done during train(), not first_train() @@ -268,20 +245,23 @@ def second_train(self, data, labels, bounds, feat_obj=None): # Purpose: Encode something like ('chunk', 'rehabilitation') as a unique # number, as determined by the self.concept_vocab hash table - feat_lu = lambda f: {self.concept_vocab[item]: f[item] for item in f} - rows = [map(feat_lu, x) for x in rows] + #feat_lu = lambda f: {self.concept_vocab[item]: f[item] for item in f} + #rows = [map(feat_lu, x) for x in rows] + rows = flatten(rows) + concept_matches = flatten(concept_matches) + + + print concept_matches # Write second pass model to file second_pass_model = self.filename + '3' mtype = sci.LIN - sci.write_features(second_pass_model, rows, concept_matches, mtype) - #sci.write_features(second_pass_model, rows, concept_matches, self.type) + sci.write_features(second_pass_model, rows, concept_matches) # Train the model sci.train(second_pass_model, mtype) # Use LIN - #sci.train(second_pass_model, self.type) @@ -338,27 +318,34 @@ def first_predict(self, data, feat_obj=None): # For applying the (key,value) mapping - feat_lu = lambda f: {self.IOB_vocab[item]:f[item] for item in f if item in self.IOB_vocab} + #feat_lu = lambda f: {self.IOB_vocab[item]:f[item] for item in f if item in self.IOB_vocab} # Prose (predict, and read predictions) - prose = [map(feat_lu, x) for x in prose] + #prose = [map(feat_lu, x) for x in prose] + prose = flatten(prose) + nonprose = flatten(nonprose) + prose_model = self.filename + '1' + nonprose_model = self.filename + '2' + + mtype = sci.LIN - sci.write_features(prose_model, prose, None, sci.CRF); - sci.predict(prose_model, sci.CRF) + sci.write_features(prose_model, prose, None); + sci.write_features(nonprose_model, nonprose, None) + + sci.predict(prose_model, mtype) + sci.predict(nonprose_model, mtype) - prose_labels_list = sci.read_labels(prose_model, sci.CRF)[sci.CRF] # Nonprose (predict, and read predictions) - nonprose = [map(feat_lu, x) for x in nonprose] - nonprose_model = self.filename + '2' + #nonprose = [map(feat_lu, x) for x in nonprose] - sci.write_features(nonprose_model, nonprose, None, sci.CRF); - sci.predict(nonprose_model, sci.CRF) - nonprose_labels_list = sci.read_labels(nonprose_model, sci.CRF)[sci.CRF] + prose_labels_list = sci.read_labels(prose_model, mtype)[mtype] + nonprose_labels_list = sci.read_labels(nonprose_model, mtype)[mtype] + # Stitch prose and nonprose labels lists together labels = [] @@ -401,6 +388,7 @@ def first_predict(self, data, feat_obj=None): tmp[-1]= map(lambda l: l.strip(), tmp[-1]) tmp[-1]= map(lambda l: Model.reverse_IOBs_labels[int(l)],tmp[-1]) + # list of list of IOB labels return tmp @@ -437,13 +425,15 @@ def second_predict(self ,text_chunks, hits, feat_obj=None): # Purpose: Encode something like ('chunk', 'rehabilitation') as a unique # number, as determined by the self.concept_vocab hash table - feat_lu = lambda f: {self.concept_vocab[item]: f[item] for item in f if item in self.concept_vocab} - rows = [map(feat_lu, x) for x in rows] + #feat_lu = lambda f: {self.concept_vocab[item]: f[item] for item in f if item in self.concept_vocab} + #rows = [map(feat_lu, x) for x in rows] + rows = flatten(rows) + # Predict using model second_pass_model = self.filename + '3' mtype = sci.LIN - sci.write_features(second_pass_model, rows, None, mtype); + sci.write_features(second_pass_model, rows, None) sci.predict(second_pass_model, mtype) second_pass_labels_list = sci.read_labels(second_pass_model, mtype) diff --git a/clicon/sci.py b/clicon/sci.py new file mode 100644 index 0000000..8c1312c --- /dev/null +++ b/clicon/sci.py @@ -0,0 +1,118 @@ +import cPickle as pickle +import numpy as np +from ast import literal_eval +from sklearn.svm import SVC +from sklearn.svm import LinearSVC +from sklearn.feature_extraction import DictVectorizer +from sklearn.grid_search import GridSearchCV +from multiprocessing import cpu_count +from sklearn.metrics import f1_score + +LIN = 2**0 +CRF = 2**1 +SVM = 2**2 +ALL = sum(2**i for i in range(3)) + +def bits(n): + while n: + b = n & (~n+1) + yield b + n ^= b + +def write_features( model_filename, rows, labels=None ): + + file_suffix = ".sci" + if labels is None: + file_suffix += ".test.in" + filename = model_filename + file_suffix + with open(filename, "w") as f: + f.write( str(rows) + '\n' ) + if labels is not None: + assert "Dimension mismatch", len(rows) == len(labels) + f.write( str(labels) ) + f.close() + +def train(model_filename, type): + + X = [] + Y = [] + filename = model_filename + ".sci" + with open(filename, "r") as f: + X = literal_eval(f.readline().strip()) + Y = literal_eval(f.readline()) + f.close() + print "vectorizing" + DictVect = DictVectorizer() + + X = DictVect.fit_transform(X) + + C_range = 10.0 ** np.arange( -5, 9 ) + gamma_range = 10.0 ** np.arange( -5 , 9 ) + + print "grid search" + for t in bits(type): + if t == SVM: + estimates = SVC() + gamma_range = 10.0 ** np.arange( -5 , 9 ) + parameters = [ {'kernel':['rbf'], 'C':C_range, 'gamma':gamma_range } ] + test_output_dest = filename +".svm.trained" + + if t == LIN: + estimates = LinearSVC() + parameters = [ {'C':C_range } ] + test_output_dest = filename + ".lin.trained" + + clf = GridSearchCV(estimates, parameters, score_func = f1_score, n_jobs = cpu_count() ) + clf.fit( X , Y ) + #"try to make it so i don't have to use pickle!" + print "dumping" + pickle.dump( clf, open( test_output_dest , "wr" ) ) + print "dumping" + pickle.dump( DictVect, open( filename + ".vec", "wr" ) ) + +def predict(model_filename, type): + filename = model_filename + ".sci" + X = [] + with open(filename + ".test.in", "rd") as f: + X = literal_eval(f.readline().strip()) + f.close() + + vec = pickle.load( open( filename + ".vec" ,"rd" ) ) + + print "Vectorizing" + #i don't like the transform here, but itll have to do for now. + X = vec.transform(X).toarray() + X = np.array( X , object ) + + for t in bits(type): + print "Performing Grid Search" + if t == SVM: + clf = pickle.load( open( filename + ".svm.trained" , "rd" ) ) + predict_input = filename + ".svm.test.out" + + if t == LIN: + clf = pickle.load( open( filename + ".lin.trained" , "rd" ) ) + predict_input = filename + ".lin.test.out" + #i don't like the transform here, but itll have to do for now. + + with open( predict_input, "w") as prediction: + for label in clf.predict(X): + prediction.write( str(label) + '\n' ) + prediction.close() + +def read_labels(model_filename, type ): + labels = {} + for t in bits(type): + if t == SVM: + filename = model_filename + ".sci.svm.test.out" + if t == LIN: + filename = model_filename + ".sci.lin.test.out" + + with open(filename) as f: + lines = f.readlines() + labels[t] = [line.strip() for line in lines] + + return labels + + + From f052bf7fdf16d498a8d4393d44dc32faa79a2ba1 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 9 Jul 2014 21:41:44 -0400 Subject: [PATCH 057/393] Making paths more stable --- clicon/features/SQLookup.py | 8 +++++--- clicon/features/create_sqliteDB.py | 13 +++++++++---- clicon/features/read_config.py | 4 ++-- clicon/features/umls_cache.py | 8 ++++---- 4 files changed, 20 insertions(+), 13 deletions(-) diff --git a/clicon/features/SQLookup.py b/clicon/features/SQLookup.py index 263688f..0ac6033 100644 --- a/clicon/features/SQLookup.py +++ b/clicon/features/SQLookup.py @@ -9,16 +9,18 @@ def SQLConnect(): #try to connect to the sqlite database. Make one otherwise - if( os.path.isfile( "umls_tables/umls.db" ) ): + db_path = os.path.join( os.environ['CLICON_DIR'], "umls_tables/umls.db") + if( os.path.isfile( db_path ) ): print "\ndb exists" - db = sqlite3.connect( "umls_tables/umls.db" ) else: print "\ndb doesn't exist" create_sqliteDB.create_db() - db = sqlite3.connect( "umls_tables/umls.db" ) + + db = sqlite3.connect( db_path ) db.text_factory = str return db.cursor() + #used in SQlookup, I made this global so SQLConnect is only called once. c = SQLConnect() diff --git a/clicon/features/create_sqliteDB.py b/clicon/features/create_sqliteDB.py index cb564a4..e2b1a53 100644 --- a/clicon/features/create_sqliteDB.py +++ b/clicon/features/create_sqliteDB.py @@ -1,33 +1,38 @@ #database.py creates a .db file for performing umls searches. import sqlite3 +import os import sys def create_db(): print "\ncreating umls.db" #connect to the .db file we are creating. - conn = sqlite3.connect( "umls_tables/umls.db" ) + db_path = os.path.join(os.environ['CLICON_DIR'],'umls_tables/umls.db') + conn = sqlite3.connect( db_path ) conn.text_factory = str print "opening files" #load data in files. try: - MRSTY_TABLE = open( ( "umls_tables/MRSTY"), "r" ) + mrsty_path = os.path.join(os.environ['CLICON_DIR'],'umls_tables/MRSTY') + MRSTY_TABLE = open( mrsty_path, "r" ) except IOError: print "\nNo file to use for creating MRSTY table\n" conn.close() sys.exit() try: - MRCON_TABLE = open( ("umls_tables/MRCON") , "r" ) + mrcon_path = os.path.join(os.environ['CLICON_DIR'],'umls_tables/MRCON') + MRCON_TABLE = open( mrcon_path , "r" ) except IOError: print "\nNo file to use for creating MRCON table\n" conn.close() sys.exit() try: - MRREL_TABLE = open( ( "umls_tables/MRREL") , "r" ) + mrrel_path = os.path.join(os.environ['CLICON_DIR'],'umls_tables/MRREL') + MRREL_TABLE = open( mrrel_path , "r" ) except IOError: print "\nNo file to use for creating MRREL table\n" conn.close() diff --git a/clicon/features/read_config.py b/clicon/features/read_config.py index 13322e2..7fd58c4 100644 --- a/clicon/features/read_config.py +++ b/clicon/features/read_config.py @@ -32,8 +32,8 @@ class enabled_modules: def available_services(): # Open config file - prefix = os.path.abspath('') - filename = os.path.join( prefix, 'clicon/features/features.config' ) + prefix = os.path.dirname(__file__) + filename = os.path.join( prefix, 'features.config' ) f = open(filename, 'r') specs = {} diff --git a/clicon/features/umls_cache.py b/clicon/features/umls_cache.py index 5fb7453..b17edac 100644 --- a/clicon/features/umls_cache.py +++ b/clicon/features/umls_cache.py @@ -4,9 +4,9 @@ class UmlsCache: def __init__(self): try: - prefix = os.path.abspath('') - filename = os.path.join( prefix, 'umls_cache' ) - self.cache = pickle.load( open( filename , "rb" ) ) ; + prefix = os.environ['CLICON_DIR'] + self.filename = os.path.join( prefix, 'umls_cache' ) + self.cache = pickle.load( open( self.filename , "rb" ) ) ; except IOError: self.cache = {} @@ -20,4 +20,4 @@ def get_map( self , string ): return self.cache[string] def __del__(self): - pickle.dump( self.cache, open("umls_cache", "wb" ) ) + pickle.dump( self.cache, open( self.filename, "wb" ) ) From 63c1a2e0abcf87d2a785a062a99613f44b189d5a Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 9 Jul 2014 21:42:37 -0400 Subject: [PATCH 058/393] Error check. Cannot train on empty set --- clicon/train.py | 3 +++ 1 file changed, 3 insertions(+) diff --git a/clicon/train.py b/clicon/train.py index d102c77..01fc83e 100644 --- a/clicon/train.py +++ b/clicon/train.py @@ -102,6 +102,9 @@ def main(): # file names print training_list + if not training_list: + print 'Error: Cannot train on 0 files. Terminating train.' + return 1 # Read the data into a Note object From ad1b7c6683b5178091f620d98d5b0920e8cfecd8 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 9 Jul 2014 21:42:53 -0400 Subject: [PATCH 059/393] Cleaning up bulky code --- clicon/model.py | 125 +++++++++++++++++------------------------------- 1 file changed, 43 insertions(+), 82 deletions(-) diff --git a/clicon/model.py b/clicon/model.py index e124c96..6eb2cde 100644 --- a/clicon/model.py +++ b/clicon/model.py @@ -46,9 +46,9 @@ def __init__(self, filename='awesome.model', type=sci.ALL): helper.mkpath(model_directory) self.filename = os.path.realpath(filename) - self.type = type - self.IOB_vocab = {} - self.concept_vocab = {} + + # FIXME: Only using scikit's SVM + self.type = sci.LIN @@ -58,18 +58,23 @@ def __init__(self, filename='awesome.model', type=sci.ALL): # @param notes. A list of Note objects that has data for training the model def train(self, notes): - # Get the data and annotations from the Note object + # Get the data and annotations from the Note objects + data = [ note.txtlist() for note in notes ] + labels = [ note.conlist() for note in notes ] + bounds = [ note.boundlist() for note in notes ] + + # Merge data from all files (flatten() only flattens one level deep) + data = flatten( data ) + labels = flatten(labels) + bounds = flatten(bounds) - # data - A list of list of the medical text's words - # labels - A list of list of concepts (1:1 with data) - data = [] - labels = [] - bounds = [] - for note in notes: - data += note.txtlist() - labels += note.conlist() - bounds += note.boundlist() + # At this point: + # + # data - A list of list of words straight from the text files + # labels - A list of list of concept labels (1:1 with data) + # bounds - A list of list of IOB chunk labels (1:1 with data) + # # Create object that is a wrapper for the features feat_obj = clicon_features.FeatureWrapper(data) @@ -97,14 +102,14 @@ def first_train(self, data, labels, chunks, feat_obj=None): print '\tbegin first_train()' - # If not given + # (in case not doing both passes) Create feat_obj if not feat_obj: - # Create object that is a wrapper for the features feat_obj = clicon_features.FeatureWrapper(data) print '\tfeat_obj created' # IOB tagging + # FIXME - Partition and then batch features prose = [] nonprose = [] prose_line_numbers = [] @@ -120,29 +125,14 @@ def first_train(self, data, labels, chunks, feat_obj=None): print '\tfeatures assigned' - # Encode each feature as a unique number - for row in prose + nonprose: - for features in row: - for feature in features: - if feature not in self.IOB_vocab: - self.IOB_vocab[feature] = len(self.IOB_vocab) + 1 - - print '\tfeature dict encoding' - - # IOB labels - # A list of a list encodings of concept labels (ex. 'B' => 1) - # [ [0, 0, 0], [0], [0, 0, 0], [0], [0, 0, 0, 0, 0, 1, 2, 0, 1] ] + # Vectorize IOB labels label_lu = lambda l: Model.IOBs_labels[l] chunks = [map(label_lu, x) for x in chunks] - # list of a list of hash tables (all keys & values now numbers) - #feat_lu = lambda f: {self.IOB_vocab[item]:f[item] for item in f} - #prose = [map(feat_lu, x) for x in prose] - #nonprose = [map(feat_lu, x) for x in nonprose] - print '\tsegregate "chunks" list into prose and nonprose' # Segregate chunks into 'Prose CHUNKS' and 'Nonprose CHUNKS' + # FIXME - very unclear what this is prose_ind = 0 nonprose_ind = 0 pchunks = [] @@ -163,22 +153,23 @@ def first_train(self, data, labels, chunks, feat_obj=None): print 'Line #%d is neither prose nor nonprose!' % i print line, '\n' + + # Machine Learning file names prose_model = self.filename + '1' nonprose_model = self.filename + '2' # Flatten feature & label lists - prose = flatten(prose) + prose = flatten( prose) nonprose = flatten(nonprose) - pchunks = flatten(pchunks) - nchunks = flatten(nchunks) + pchunks = flatten( pchunks) + nchunks = flatten( nchunks) sci.write_features( prose_model, prose, pchunks) sci.write_features(nonprose_model, nonprose, nchunks) - mtype = sci.LIN - sci.train( prose_model, mtype) - sci.train(nonprose_model, mtype) + sci.train( prose_model, self.type) + sci.train(nonprose_model, self.type) # Pickle dump - Done during train(), not first_train() @@ -235,33 +226,19 @@ def second_train(self, data, labels, bounds, feat_obj=None): - # Encode each feature as a unique number - for row in rows: - for features in row: - for feature in features: - if feature not in self.concept_vocab: - self.concept_vocab[feature] = len(self.concept_vocab) + 1 - - # Purpose: Encode something like ('chunk', 'rehabilitation') as a unique # number, as determined by the self.concept_vocab hash table - #feat_lu = lambda f: {self.concept_vocab[item]: f[item] for item in f} - #rows = [map(feat_lu, x) for x in rows] rows = flatten(rows) concept_matches = flatten(concept_matches) - print concept_matches - - # Write second pass model to file second_pass_model = self.filename + '3' - mtype = sci.LIN sci.write_features(second_pass_model, rows, concept_matches) # Train the model - sci.train(second_pass_model, mtype) # Use LIN + sci.train(second_pass_model, self.type) # Use LIN @@ -317,34 +294,26 @@ def first_predict(self, data, feat_obj=None): nonprose_line_numbers.append(i) - # For applying the (key,value) mapping - #feat_lu = lambda f: {self.IOB_vocab[item]:f[item] for item in f if item in self.IOB_vocab} - - # Prose (predict, and read predictions) - #prose = [map(feat_lu, x) for x in prose] prose = flatten(prose) nonprose = flatten(nonprose) prose_model = self.filename + '1' nonprose_model = self.filename + '2' - mtype = sci.LIN + self.type = sci.LIN sci.write_features(prose_model, prose, None); sci.write_features(nonprose_model, nonprose, None) - sci.predict(prose_model, mtype) - sci.predict(nonprose_model, mtype) + sci.predict(prose_model, self.type) + sci.predict(nonprose_model, self.type) # Nonprose (predict, and read predictions) - #nonprose = [map(feat_lu, x) for x in nonprose] - - - prose_labels_list = sci.read_labels(prose_model, mtype)[mtype] - nonprose_labels_list = sci.read_labels(nonprose_model, mtype)[mtype] + prose_labels_list = sci.read_labels( prose_model, self.type)[self.type] + nonprose_labels_list = sci.read_labels(nonprose_model, self.type)[self.type] # Stitch prose and nonprose labels lists together @@ -423,19 +392,15 @@ def second_predict(self ,text_chunks, hits, feat_obj=None): - # Purpose: Encode something like ('chunk', 'rehabilitation') as a unique - # number, as determined by the self.concept_vocab hash table - #feat_lu = lambda f: {self.concept_vocab[item]: f[item] for item in f if item in self.concept_vocab} - #rows = [map(feat_lu, x) for x in rows] + # Flatten list of lists rows = flatten(rows) # Predict using model second_pass_model = self.filename + '3' - mtype = sci.LIN sci.write_features(second_pass_model, rows, None) - sci.predict(second_pass_model, mtype) - second_pass_labels_list = sci.read_labels(second_pass_model, mtype) + sci.predict(second_pass_model, self.type) + second_pass_labels_list = sci.read_labels(second_pass_model, self.type) # Put predictions into format for Note class to read @@ -473,16 +438,12 @@ def flatten(ll): """ flatten() - Purpose: Flatten a list - + Purpose: Flatten a list (by one level of depth) + + Note: List of list of lists --> list of lists + @param ll. List of lists @return flattened list """ - - retVal = [] - - for line in ll: - retVal += line - - return retVal + return reduce( lambda a,b: a+b, ll ) From af00dd7a485e22e6157ba1e16ffe455cbe01d30f Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 9 Jul 2014 22:10:33 -0400 Subject: [PATCH 060/393] Cleaning up model.py --- clicon/model.py | 25 +++++++++++-------------- 1 file changed, 11 insertions(+), 14 deletions(-) diff --git a/clicon/model.py b/clicon/model.py index 6eb2cde..2903679 100644 --- a/clicon/model.py +++ b/clicon/model.py @@ -20,7 +20,6 @@ class Model: reverse_labels = {v:k for k, v in labels.items()} - # IOBs labels IOBs_labels = { 'O':0, @@ -38,10 +37,9 @@ def load(filename='awesome.model'): return model - # Constructor def __init__(self, filename='awesome.model', type=sci.ALL): - model_directory = os.path.dirname(filename) + model_directory = os.path.dirname(filename) if model_directory != "": helper.mkpath(model_directory) @@ -52,12 +50,17 @@ def __init__(self, filename='awesome.model', type=sci.ALL): - - # Model::train() - # - # @param notes. A list of Note objects that has data for training the model def train(self, notes): + """ + Model::train() + + Purpose: Train a ML model on annotated data + + @param notes. A list of Note objects (containing text and annotations) + @return None + """ + # Get the data and annotations from the Note objects data = [ note.txtlist() for note in notes ] labels = [ note.conlist() for note in notes ] @@ -69,14 +72,8 @@ def train(self, notes): bounds = flatten(bounds) - # At this point: - # - # data - A list of list of words straight from the text files - # labels - A list of list of concept labels (1:1 with data) - # bounds - A list of list of IOB chunk labels (1:1 with data) - # - # Create object that is a wrapper for the features + # FIXME - Is this necesarry? feat_obj = clicon_features.FeatureWrapper(data) # First pass From ef94e61c6a8bda416f3e6202c37c8f2bd03e247c Mon Sep 17 00:00:00 2001 From: Tristan Naumann Date: Fri, 11 Jul 2014 16:48:39 -0400 Subject: [PATCH 061/393] Deleted "feature_notes.rtf" --- feature_notes.rtf | 147 ---------------------------------------------- 1 file changed, 147 deletions(-) delete mode 100644 feature_notes.rtf diff --git a/feature_notes.rtf b/feature_notes.rtf deleted file mode 100644 index bbcd49a..0000000 --- a/feature_notes.rtf +++ /dev/null @@ -1,147 +0,0 @@ -{\rtf1\ansi\ansicpg1252\cocoartf1138\cocoasubrtf470 -{\fonttbl\f0\fswiss\fcharset0 Helvetica;} -{\colortbl;\red255\green255\blue255;} -\margl1440\margr1440\vieww19180\viewh14560\viewkind0 -\pard\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\pardirnatural - -\f0\fs24 \cf0 ADD FEATURES TO SET\ -\ -word level:\ -\ -word shape\ -amounts (mg --> treatment, mm --> problem)\ -\ -\ -sentence level:\ -\ -\pard\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\pardirnatural -\cf0 list detection:\ - . word in a list\ -\pard\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\pardirnatural -\cf0 \ -age\ -bigram:\ - add an ngram feature pass\ - take dictionary and shift over by one unit: for everything in the dictionary : prepend previous_feature\ -\ -\ -Notes on tags:\ -\ -test:\ - sentence level: return\ - ___ "by"\ - "had a" ____\ - ____ "for" PROBLEM\ - -\b ___ "revealed" ** / showed / demonstrated / suggests -\b0 \ - -\b "arranged for an" ___ -\b0 \ - -\b "per/post ___" -\b0 \ - \ - -\b ___ "NUM(%)" PUNC / ___ " -- NUM" / ____ " : NUM" / ___ "was" NUM / ___ "in the NUM's" / ____ "of NUM" / NUM ____ / NUM "*" ___ / " > NUM" / ___ "less/more than" NUM\ -\pard\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\pardirnatural - -\b0 \cf0 ___ -\b "was positive / negative" -\b0 \ -\pard\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\pardirnatural -\cf0 ___ "was drawn"\ - ____ "showed"\ - -\b "check" her/his ___ -\b0 \ - "post" _____\ - ___ "on admission"\ - ___ "on discharge / addmittance"\ -\ -\pard\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\pardirnatural -\cf0 -\b EVAL/evaluation\ - SATS\ -\pard\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\pardirnatural -\cf0 EXAM\ - RATE\ - TEST\ -\pard\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\pardirnatural -\cf0 XRAY\ - SCREEN \ - TOX -\b0 \ -BLOOD\ -\pard\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\pardirnatural -\cf0 blood? pt?\ -\ - DATE ____\ - ____ :\ -\ - "observation of " ____\ - "performed" ___ / ____ "was performed" / ___ "performed on"\ -\ -WEIGHT/HIEGHT with no adjective (otherwise it's a problem)\ -LEVELS\ - \ -problem:\ - onset/progressive ___\ - possible/acute/signs of ____\ - ADJ ___ (sharpe)\ - his/her\ - he/she had\ - diagnosis of ___\ - complaint of ___\ - "has a " ____\ - "rule out" ___\ - ___ at -\b C#-C# -\b0 \ - ___ status\ - "no/without/with _____"\ - "returned/consistent/presents with ___"\ - "there are ___"\ - -\b end with IC or IS -\b0 \ - PROBLEM with PROBLEM\ - PROBLEM in the ____\ - seen ____ / ____ are seen\ - reports ____\ - history or _____\ - line above == "DIAGNOSIS: "\ - -\b terms:\ - -ANATOMY \ - -swelling\ - -wounds\ - -symptoms\ - -shifts\ - -failure\ - -insufficiency\ - -mass \ - -aneurysm\ - -trama\ - -cancer\ - -diseased\ - -bacterial\ - -syndrome\ - -pain -\b0 \ -treatment:\ - -\b MILLIGRAMS -\b0 \ - post ___\ - ___ [amount]\ - [amount] of ____\ - was/were given/administered/placed\ - given/administered/receiving\ - treated with ___ \ - a course of ___\ - -\b therapy / replacement / anesthesia / supplement(al) / vaccine / treatment -\b0 \ - teament [x NUMBER]\ - } \ No newline at end of file From ec6807db3e470c506edd4b4b8f51941ffb2125e4 Mon Sep 17 00:00:00 2001 From: Tristan Naumann Date: Fri, 11 Jul 2014 16:49:43 -0400 Subject: [PATCH 062/393] Deleted "paper" --- paper/citations.bib | 146 --- paper/figures/parameter-selection.png | Bin 16439 -> 0 bytes paper/figures/system.graffle | 1267 ------------------- paper/figures/system.pdf | Bin 22200 -> 0 bytes paper/figures/web-interface-1.png | Bin 82951 -> 0 bytes paper/figures/web-interface-2.png | Bin 99345 -> 0 bytes paper/paper-final.pdf | Bin 333866 -> 0 bytes paper/paper.tex | 633 ---------- paper/style.cls | 1671 ------------------------- 9 files changed, 3717 deletions(-) delete mode 100644 paper/citations.bib delete mode 100644 paper/figures/parameter-selection.png delete mode 100644 paper/figures/system.graffle delete mode 100644 paper/figures/system.pdf delete mode 100644 paper/figures/web-interface-1.png delete mode 100644 paper/figures/web-interface-2.png delete mode 100644 paper/paper-final.pdf delete mode 100644 paper/paper.tex delete mode 100644 paper/style.cls diff --git a/paper/citations.bib b/paper/citations.bib deleted file mode 100644 index 165b2e6..0000000 --- a/paper/citations.bib +++ /dev/null @@ -1,146 +0,0 @@ -@article{svm, - author = {Cortes, Corinna and Vapnik, Vladimir}, - title = {Support-Vector Networks}, - journal = {Mach. Learn.}, - issue_date = {Sept. 1995}, - volume = {20}, - number = {3}, - month = sep, - year = {1995}, - issn = {0885-6125}, - pages = {273--297}, - numpages = {25}, - url = {http://dx.doi.org/10.1023/A:1022627411411}, - doi = {10.1023/A:1022627411411}, - acmid = {218929}, - publisher = {Kluwer Academic Publishers}, - address = {Hingham, MA, USA}, - keywords = {efficient learning algorithms, neural networks, pattern recognition, polynomial classifiers, radial basis function classifiers}, -} - - -@inproceedings{crf, - author = {Lafferty, John D. and McCallum, Andrew and Pereira, Fernando C. N.}, - title = {Conditional Random Fields: Probabilistic Models for Segmenting and Labeling Sequence Data}, - booktitle = {Proceedings of the Eighteenth International Conference on Machine Learning}, - series = {ICML '01}, - year = {2001}, - isbn = {1-55860-778-1}, - pages = {282--289}, - numpages = {8}, - url = {http://dl.acm.org/citation.cfm?id=645530.655813}, - acmid = {655813}, - publisher = {Morgan Kaufmann Publishers Inc.}, - address = {San Francisco, CA, USA}, -} - -@misc{wordshape, - author = {Klein, Dan and Manning, Chris}, - title = {Stanford NLP Library: WordShape Classifier}, - url = {http://nlp.stanford.edu/nlp/javadoc/javanlp/edu/stanford/nlp/process/WordShapeClassifier.html}, -} - -@misc{crfsuite, - author = {Naoaki Okazaki}, - title = {CRFsuite: a fast implementation of Conditional Random Fields (CRFs)}, - url = {http://www.chokkan.org/software/crfsuite/}, - year = {2007} -} - - -@article{libsvm, - author = {Chang, Chih-Chung and Lin, Chih-Jen}, - title = {{LIBSVM}: A library for support vector machines}, - journal = {ACM Transactions on Intelligent Systems and Technology}, - volume = {2}, - issue = {3}, - year = {2011}, - pages = {27:1--27:27}, - note = {Software available at \url{http://www.csie.ntu.edu.tw/~cjlin/libsvm}} -} - - -@Article{liblinear, - author = {Rong-En Fan and Kai-Wei Chang and Cho-Jui Hsieh and Xiang-Rui Wang and Chih-Jen Lin}, - title = {{LIBLINEAR}: A Library for Large Linear Classification}, - journal = {Journal of Machine Learning Research}, - year = {2008}, - volume = {9}, - pages = {1871--1874} -} - -@book{nltk, - abstract = {This book offers a highly accessible introduction to Natural Language Processing, the field that underpins a variety of language technologies ranging from predictive text and email filtering to automatic summarization and translation. Using NLTK, you'll learn how to write Python programs to analyze the structure and meaning of texts, drawing on techniques from the fields of linguistics and artificial intelligence.}, - added-at = {2012-05-30T10:43:08.000+0200}, - address = {Beijing}, - author = {Bird, Steven and Klein, Ewan and Loper, Edward}, - biburl = {http://www.bibsonomy.org/bibtex/2c90dc59441d01c8bef58a947274164d4/flint63}, - doi = {http://my.safaribooksonline.com/9780596516499}, - file = {O'Reilly Product page:http\://www.oreilly.com/catalog/9780596516499/:URL;Amazon Search inside:http\://www.amazon.de/gp/reader/0596516495/:URL;Google Books:http\://books.google.de/books?isbn=978-0-596-51649-9:URL;Related Web Site:http\://www.nltk.org/:URL}, - groups = {public}, - interhash = {5408d7da097b9cd81239c238da8bfaf4}, - intrahash = {c90dc59441d01c8bef58a947274164d4}, - isbn = {978-0-596-51649-9}, - keywords = {v1205 safari book ai software development language processing text python framework}, - publisher = {O'Reilly}, - timestamp = {2012-05-30T10:43:08.000+0200}, - title = {Natural Language Processing with Python: Analyzing Text with the Natural Language Toolkit}, - url = {http://www.nltk.org/book}, - username = {flint63}, - year = 2009 -} - - -@misc{flask, - author = {Armin Ronacher}, - title = {Flask: A microframework for Python based on Werkzeug - and Jinja2}, - url = {https://github.com/mitsuhiko/flask/}, - year = {2012} -} - -@article{dimensions, - author = {Hayes, Brian}, - title = {An Adventure in the Nth Dimension}, - journal = {American Scientist}, - issue_date = {November-December 2011}, - volume = {99}, - number = {6}, - year = {2011}, - pages = {442-446}, - numpages = {25}, - url = {http://www.americanscientist.org/issues/pub/an-adventure-in-the-nth-dimension}, - doi = {10.1511/2011.93.442}, -} - -@article{meystre, -title={Comparing Natural Language Processing Tools to Extract Medical Problems from Narrative Text}, -author={Meystre, Stephane M. and Haug, Peter J. }, -journal={AMIA Annu Symp Proc.}, -year={2005}, -pages={525-529}, -url={http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1560561/}, -} - -@article{torii, -title={Using machine learning for concept extraction on -clinical documents from multiple data sources}, -author={Manabu Torii and Kavishwar Wagholikar and Hongfang Liu}, -journal={J Am Med Inform Assoc}, -year={2011}, -volume = {18}, -pages = {580-587}, -doi={10.1136/amiajnl-2011-000155}, -url={http://jamia.bmj.com/content/18/5/580.abstract}, - -} - -@article{heppe, -journal={International Journal of Medical Informatics}, -title={Automatic concept extraction from spoken medical -reports}, -author={Andre Happe and Bruno Pouliquen and Anita Burgun and Marc Cuggia and Pierre Le Beux}, -year={2003}, -volume={70}, -pages={255-263}, -} \ No newline at end of file diff --git a/paper/figures/parameter-selection.png b/paper/figures/parameter-selection.png deleted file mode 100644 index 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the first page -\makeatletter -\let\@copyrightspace\relax -\makeatother - - -\addtolength{\topmargin}{-.07in} -\addtolength{\textheight}{.07in} - -%\addtolength{\oddsidemargin}{-0.08in} -%\addtolength{\evensidemargin}{-0.08in} -%\addtolength{\textwidth}{0.08in} -\setstretch{1.15} - -\begin{document} - -\title{Medical Concept Extraction} - -\numberofauthors{3} -\author{ -\alignauthor -Tristan Naumann\\ -\affaddr{MIT EECS} -\email{tjn@mit.edu} -\alignauthor -Samantha Ainsley\\ -\affaddr{MIT EECS} -\email{ainsley@mit.edu} -\alignauthor -Salman Ahmad\\ -\affaddr{MIT EECS} -\email{saahmad@mit.edu} -} - -\date{14 December 2012} - -\maketitle -\begin{abstract} - -This paper presents a system for extracting medical concepts from patient hospital records. Hospitals and medical practices are increasingly switching to electronic medical records. This trend has opened the doors to exciting applications for natural language processing in medicine and biology. One such application is concept extraction: identifying high-level semantic labels in a body of text. Concept extraction on medical records is useful in automating analysis tasks that would otherwise have to be done manually. For example, hospital administrators may want to tabulate what medications are being prescribed the most. Insurance companies may want to ensure that patients receive proper care and are billed accordingly for fraud detection and auditing purposes. Government agencies may be interested in exploring and better understanding public health trends. Automatic concept extraction systems help to streamline such critical yet laborious tasks. - -In service of that end, we present an algorithm and system that is capable of classifying words in medical records across four different medically-relevant categories: (1) problems, (2) tests, (3) treatments, and (4) non-relevant terms. This is useful not only in granting end users the ability to analyze medical records, but also in supporting other higher-level natural language processing and learning systems. This paper describes the system's design, implementation, and performance when tested on set of 500 pre-annotated medical records from Boston-area hospitals. - - -\end{abstract} - -\section{Introduction} - -Concept extraction is the process of identifying relevant phrases of interest from unstructured text. In the medical field, concept extraction is exceptionally useful for quick retrieval of salient information from dense medical records, and it is the first step in modeling trends in patient medical histories. Concept extraction falls under the more general task of information extraction, which is a well-studied problem across many disciplines. Significant advances in information extraction over the past decade can be credited to increasingly robust machine learning systems--extending these learning methods to medical concept extraction is a far more recent trend. - -In this work, we present a system for extracting problems, tests, and treatments from medical records at comparable performance (approximately 0.8 F1 score on average in testing) to existing methods. Our classification strategies prove successful in spite our relatively limited data set, which is comprised of hospital records from two Boston area facilities. Our portable open-source system is implemented in Python with easily configurable and extendable feature set and three classifier options. - -An additional Web-based service also allows users to input single sentences for concept extraction on the fly. With great ease of access, this system helps to advance a novel and important application of natural language processing in the health care domain. - - -\section{Background} -While medical concept extraction is a more recent trend, some previous work has been done in the area, most notably as part of the challenge whence our data originates. Better studied are the machine learning techniques which are leveraged by our work. In this section, we provide a brief survey of the relevant work and these machine learning algorithms. - -\subsection{Related Work} -Although recent, concept extraction in medicine is an increasingly well-studied problem. One of the main driving forces behind such research is the annual i2b2/VA Workshop on Natural Language Processing Challenges for Clinical Records, which challenges participants to develop a system for ``the extraction of medical concepts from patient reports.'' Torii et al. \cite{torii}, for example, developed a system using the same training data as us for the workshop. Their concept extraction system was trained using a tagger specifically developed for the biology domain, and their work shows the difficulty in porting trained systems across clinical documents from various sources. - -In a work independent of the i2b2 workshop, Meystre and Haug \cite{meystre} developed a system for automatically retrieving medical problems from free-form text. Their system addresses one of the labels extracted from our system and references a pre-defined Problem List rather than training on data that is presumed to be a subset of all possible terms. Tackling an interesting related problem, Happe et al. \cite{heppe} present a system for automatic concept extraction from $spoken$ medical reports in French, with robust performance in testing in spite of sensitivities to ambiguous pronunciations and acronyms, which are common in automatic speech recognition systems. - - - -\subsection{Machine Learning} - -Our system addresses the particular challenge of assigning concept labels to terms in medical records, but the task of assigning labels from multiple classes over a set of entries is a classic machine learning problem. Supervised multi-class classification algorithms assign labels to input data entries using a model trained on a data set of pre-labeled observations. There are countless methods that support multi-class classification; but, for the purpose of this work, we employ three well-known strategies (general Support Vector Machines, linear Support Vector Machines, and Conditional Random Fields) and compare their respective accuracies given our data sets and chosen features (Section 4.2). - -\subsubsection{Support Vector Machines} -Support vector machines (SVMs) aim to maximize the margin between decision hyperplanes, which separate training examples in feature space. Training examples are represented as points in feature space that are mapped to create independent classification regions with the largest possible gap between regions. In use, the SVM maps new examples into this space and assigns a label based on the classification region in which the example point resides. - -Often problem sets are not linearly separable in feature space. To overcome this challenge, SVMs often map the original feature space into a higher-dimensional space--the specific mapping is defined by a kernel function, which is chosen for efficiency based on the specific classification problem. Separating hyperplanes, which are defined as vectors, can then be chosen as linear combinations of feature vectors in the training set. - -We tested a non-linear radial basis kernel SVM as provided by the open-source library, libsvm \cite{libsvm}. - -\subsubsection{Linear SVMs} -As mentioned previously, we cannot always expect linearly separable training data. However, for large enough data sets, linear SVMs and SVMs with nonlinear mappings yield similar performance. By eliminating the need for a kernel mapping, training becomes much less costly through use of a linear support vector machine. - -We additionally tested a strictly linear SVM using the open-source library, liblinear \cite{liblinear}, which provides an L2-loss linear SVM solver. - -\subsubsection{Conditional Random Fields} -Conditional random fields (CRFs), unlike SVMs, use a probabilistic modeling method. The strength of CRFs in the case of classification for NLP is that it can take neighboring samples (i.e. context) into account when handling individual observations. A CRF is a type of undirected graphical model, which models a conditional probability distribution between observations and output values, which are represented as nodes. Given a sequence of words, this graph takes the form of a chain analogous to a Hidden Markov model. The conditional dependency of each output label on a given input node is computed using a feature function in which features are given specific numerical weights and combine to determine the label's likelihood. - -We tested our features using an open-source CRF library, CRFSuite \cite{crfsuite}, in addition to our SVMs. - -\section{Challenges} -There are several unique challenges which arise due to the the nature of the dataset and the approach of leveraging traditional machine learning classifiers for natural language. - -\subsection{High Dimensionality} -In order to utilize traditional machine learning classifiers for natural language processing, it is necessary to generate linguistic features for each item that requires classification. The linguistic features which characterize each item often do not have a meaningful strict ordering (e.g. it is not meaningful to say ``muffin'' $>$ ``bread''). Therefore, it is necessary to represent each feature without a strict ordering as a binary dimension reflecting the presence or absence of that feature. - -Using this binary dimension representation results in a high dimensional space (e.g. using a word itself as a feature results in a number of dimensions equal to the size of the vocabulary of the training data). Further, the high dimensional space is exceptionally sparse since each item generally only satisfies one binary dimension for the feature. For non-asymptotic cases found in practice, this generally means that the feature space grows much faster than the amount of data and most of the theoretical guarantees of traditional machine learning algorithms do not hold. - -Further, our best intuition often falls short in high dimensional spaces \cite{dimensions}. So it is difficult to generalize the utility of a feature to the entire data set even if it appears to be relevant for a handful of documents. - -\subsection{Biased Data} -Many machine learning classifiers assume relatively balanced data with respect to the class labels available. However, in the task of concept extraction it is most often the case that there is a null concept class indicating that the token is part of no relevant concept which is overwhelmingly more abundant than the concepts. The bias of the class labels in the data presents a challenge, because a classifier optimized with respect to accuracy will be inclined to simply assign all instances to the null concept class since doing so will result in relatively high accuracy. Such classifiers will not, however, perform well with respect to more meaningful measures such as precision, recall, or F1-measure. - - -\subsection{Amount of Data} -As with many statistically-grounded projects, there is often only a limited amount of data available. Within the medical domain this holds particularly true due to the expertise (and subsequent cost) required for proper annotation, and the inability to easily merge data from multiple sources -- either due to differing formats in which it is stored/accessed or various legal restraints in place to protect patients. - -Such dearth of training data means that the amount of test data is often much larger than the amount of training data available. Consequently, it is even more difficult to obtain decent results if the models trained even moderately overfit the training data -- a particular risk due to the sparse distribution of high dimensional items as discussed previously. - -\subsection{Data Usage Agreements} -In addition to limited availability of data, it is often difficult to obtain data even once a relevant source is found. For ``open'' data sets such as those provided by the i2b2 National Center for Biomedical Computing, one must sign a data use agreement in order to maintain compliance with the U.S. Health Insurance and Accountability Act (HIPAA) privacy and security rules. The approval process for ``open'' data sets can still take weeks, while access to more controlled data sets can often take months and require security measures such as single physical machine access. - -\section{Design} -The most critical part of designing this system was properly identifying the correct linguistic features and transforming them into a representation suitable for the classification task. This section details both the classification task and those features we explored. - -\subsection{Data Flow \& Classification Task} -Our system considers each document to be a stream of words grouped by sentences, and it attempts to provide the correct concept classification for each word (i.e. it performs classification at the token level). In order to identify the appropriate concept, our system considers natural language features for each document in successively broader contexts. Specifically, we first consider features using only the word itself as context, next we consider features which span the sentence, and last we consider n-gram features. In the sections that follow we discuss the linguistic features used in each context. - -\subsection{Word Features} -Using only the word as context we are able to generate several interesting linguistic features. These features generally take on one of three forms: (1) intrinsic property of the word, (2) binary indicator for properties that we think are interesting, and (3) various techniques that map words into a small dimensional space such as stemming and word shape. - -\subsubsection{Word} -The most obvious property of each word is perhaps the word itself. Since there is no linguistically meaningful, strict ordering over words, each word is represented as its own dimension. Consequently adding a baseline feature containing the word increases the dimension of our feature space to the size of the vocabulary in the training data. Nevertheless, the complete word serves as a fruitful feature in medical term classification in which many words carry the same meaning regardless of context. For example, terms such as ``x-ray'', ``screen'',``exam'', ``veal'', and ``sats'' should be consistently recognized as test terms, just as ``swelling", ``failure", ``trauma", and ``syndrome" always indicate problems, and ``therapy", ``anesthesia", ``vaccine", and ``medication" are treatments. Granted, words like ``heart" could be part of ``heart rate" or ``heart attack" and beg for more generic features. - -\subsubsection{Length} -The next most obvious property of each word is its length. Unlike using the word as a feature, there is a strict ordering over length and consequently the addition of this feature increases the dimension of the space by only $1$. While the linguistic merit of length as a feature can be debated in conventional natural language processing, we felt it would play a large role in medical language in order to distinguish treatments, tests, and problems from words without a concept. Intuitively this is because often times treatments in the form of medications consist of long medical names, as do some of the words in medically described problems and tests. - -\subsubsection{Regular Expressions} -In order to capture some general characteristics of each word we included a set of regular expressions, each of which adds a dimension to our classification. Such features help allow us to pick up on traits within different medical categories--such as tests which are often abbreviated or contain numbers--and to easily rule out non-medical terms such as days, phone numbers, etc. The characteristics we chose are as follows: -\begin{itemize} -\item {\tt INITCAP}: first letter is capitalized and alphabetic, -\item {\tt ALLCAPS}: entire word is capitalized and alphabetic, -\item {\tt CAPSMIX}: the word is a mix of capital and lowercase alphabetic characters, -\item {\tt HASDIGIT}: there is a digit in the word, -\item {\tt SINGLEDIGIT}: the token is a single digit, -\item {\tt DOUBLEDIGIT}: the token is a two digits, -\item {\tt FOURDIGITS}: the token is a series of four digits, -\item {\tt NATURALNUM}: the token is a natural number, -\item {\tt REALNUM}: the token is a real number, -\item {\tt ALPHANUM}: the token contains only digits and alphabetic characters, -\item {\tt HASDASH}: the token has a dash, -\item {\tt PUNCTUATION}: the token is punctuation, -\item {\tt PHONE1}: the token is a phone number, -\item {\tt PHONE2}: the token is a phone number with area code, -\item {\tt FIVEDIGIT}: the token is a series of five digits, -\item {\tt NOVOWELS}: the token does not contain vowels (i.e. abbreviations), -\item {\tt HASDASHNUMALPHA}: the token consists of a dash, numbers, and alphabetic characters, -\item {\tt DATESEPERATOR}: the token is a date separator (e.g. {\tt [-/]}) -\end{itemize} - - -\subsubsection{Porter Stemmer} -We already discussed the benefits of using entire words as features, but similar words come in many different forms. Motivated by generalization, we chose to use word stems as features and approached this feature extraction using three different stemming algorithms--two at the word-level and one at the sentence level (See 5.3.2). The addition of word stem features to our system improved our toy test CRF F1 scores from 0.58 to 0.82. We used built-in NLTK implementations of all of the stemming algorithms described in future sections. - -Namely, we used the Porter Stemming Algorithm, as developed by Martin Porter. This particular stemming algorithm is divided into a number of linear steps. Word letters are first replaced by symbols for vowels, $V$, and consonants, $C$. The measure, $m$, of the word is computed as the number of repetitions of the pattern $VC$, and this is used to determine whether suffixes ought to be removed. Plural word forms are then removed such as $sses \rightarrow ss$ and removal of trailing s's; followed by the removal of past participles; and finally terminal y's are replaced with i's. Subsequent steps handle different orderings of suffixes by translating double suffixes into a single suffix and then removing suffixes under certain predefined conditions. - -\subsubsection{Lancaster Stemmer} - -Derived from the Porter Stemmer, the Lancaster Stemmer was used to provide a second word stem feature to our system. By constant, this stemming algorithm uses a table of rules that specify the removal or replacement of an ending. Endings are replaced to maintain properly-spelled words throughout the stemming process--this avoids the need for an additional re-coding or partial matching phase. - -The rule table looks for the following information about each word: Endings of one or more characters (stored in reverse order); an optional intact flag; a digit specifying the removal total; an optional append string of one or more characters; and a continuation symbol. The stemmer first inspects the final letter of a term and considers the first relevant rule in the table. If the rule conditions are not satisfied, another rule is considered, otherwise the rule is applied and the ending is removed or reformed. This process is repeated until a termination symbol is uncovered and the word is presumed to be in its stem form. - -\subsubsection{Word Shape} -In the same spirit of our word length and MIT RegEx features, we decided to look at the high-level shapes of individual words for better generalization. More specifically, we encode words into new strings that give a sense of their capitalization and punctuation patterns as well as approximate length. We tested a variety of open-sourced word shape classification methods including two methods written by Dan Klein \cite{wordshape}, one of which simply classifies words as numeric, strictly upper or lower cased, or mixed, as well as a second, more fine-grained classifier that attempts to group words into equivalence classes by collapsing sequences of the same type. Additional classifiers developed by Christopher Manning \cite{wordshape} seek to make less distinctions mid-sequence by sorting words based on length. Each word shape classifier result added an many more dimensions to our feature space. By naively including all word shape alternatives as features, we were able to improve our toy test CRF F1 score from 0.82 to 0.85. - -\subsubsection{Additional Feature Considerations} -The word-level features that we ultimately decided to include in system were chosen based on performance gain, but many others were explored in testing. These features were selected after close examination of our training data, and are worthy of discussion. It is possible, of course, that there is a more optimal feature set than our final choice that includes the features listed below: - -\begin{itemize} - -\item {\tt Metric Units} -A clear trend we noticed in our medical record data was that numbers followed by metric weights (i.e. mg, milligrams, grams) are almost always part of treatment descriptions. Whereas numbers followed by metric lengths or areas are typically part of problem observations. We still believe this could be a useful feature for related systems. - -\item {\tt Word Endings Indicative of Medical Problem Type} -Another obvious trend specific to medical problems are diseases ending in ``itis'' such as ``bronchitis'', ``cellulites'', ``fibrositis'', etc. and conditions ending in ``ic" such as ``diabetic", ``anemic", etc. We added a regular expression to flag words with these endings, but the feature did little to nothing to improve performance. Such observations were likely already handled by our other word features. - -\item {\tt Prognosis Locations} -Many diagnoses include locational information that should be tagged as part of the problem (i.e. ``C4-C5 herniated disks"). We still think that a robust feature of this form could benefit our system, but our particular attempts proved unsuccessful. - -\item {\tt Flag Words} -Certain terms such as those described in 5.2.1 are consistently labeled as ``problems", ``tests", or ``treatments". We attempted to create small dictionaries of these terms and assign flags to words that fall into one of the three dictionaries. The issue with this strategy is that words that should be labeled as one of our three medical terms but do not appear in the dictionary are now more closely aligned with purely non-medical words. That said, this feature improved accuracy for our three categories, but also yielded far too many false positives. - -\end{itemize} - -\subsection{Sentence Features} -Even though the primary goal of our system is to tag concepts at the word level, these individual words often need to be considered in context. After extracting the word-level features described in 5.2, we then analyze medical records at the sentence level and assign features to our words based on their usage within those sentences. - -\subsubsection{Part of Speech} -A fruitful strategy for any concept extractor is to first tag words with labels indicating their part of speech. In our case, for example, whether an ambiguous term is used as an adjective versus a noun could distinguish it as part of a test rather than a problem. We used the NTLK max entropy part of speech tagger, which is trained on the Penn TreeBank to tag each sentences. We then iterate over the returned tags and add these as word-level features, adding several dimensions to our feature set, one for each part of speech tag. - -\subsubsection{WordNet Lemmatizer} -Unlike the Porter Stemmer and the Lancaster Stemmer, which consider words independent of context, the WordNet Lemmatizer requires words to be processed at the sentence level in order to extract their root form. The WordNet Lemmatizer uses the part of speech tags for individual words, which are assign via NLTK as previously mentioned, in conjunction with a subset of tags used for morphology to extract stems from each word. WordNet references a database of word stems, and uses two types of processes to try to convert input strings into a form present in the database: A list of inflectional endings based on the word's syntactic tag is referenced in search of a match that can be detached from the word. An exception list is also referenced in search for an inflected form. WordNet first checks for exceptions and then uses rules for detachment to transform the word. After each transformation the result is referenced against the stem database until a match is eventually found. - -\subsubsection{Formatted Text} -When reading through our training data, we noticed that test results are written in a variety of distinct forms that clearly separate these terms from problem or treatment terms. Since test result forms often spanned multiple words such was ``O2 sat -- 98\%'' or ``screen was positive''. We wrote a series of regular expressions to capture these patterns with the test term as the first term in the sequence. We iterate over each word in the sentence and run our RegEx suite on the inclusive righthand sequence starting from that word. This feature adds only one additional dimension, and improved our toy test CRF F1 test score from .85 to .90 by boosting our test term detection appreciably. - -\subsection{N-gram Features} -Again, although our primary goal is to classify individual words, a single word in a medical record entry is hardly independent from the next. More specifically, medical concepts can often span more than one word. We may not be interested in detecting these exact spans, but features from certain words provide insight into how to label their neighbors. For example, ambiguous words such as ``heart" could precede ``rate" or ``disease", and making that distinction between test and problem is much easier when we examine the subsequent word in the sentence containing ``heart". A neighboring word can serve as an indicator even if it is not part of the same concept span. For example, words like "showed" and its synonyms are non-medical, but tend to follow a test term. Likewise, ``rule out" and ``history of" tend to precede problems. With this in mind, we observe all features of immediately neighboring words. - -\subsubsection{Previous} -We take a basic approach to context features by considering the immediately preceding word for each individual word. Given a word with the feature set previously described, we simply duplicate each feature with the corresponding value for it's previous neighbor and rename these features $prev\_$ (e.g. $prev\_$length). This serves to double the size of our feature space. - -\subsubsection{Next} -Likewise, we duplicate the subsequent word features, which are relabeled as $next\_$. At this point, our feature space is tripled, but was already quite large--hence, we decided only to consider surrounding words at in this ``bigram''-like context. Nevertheless, this relatively straightforward step brought our toy test CRF F1 testing score up to 0.98. - -\subsection{Parameter Tuning} - -\begin{figure} -\begin{center} - \includegraphics[width=1\columnwidth]{figures/parameter-selection.png} -\end{center} -\caption{An illustration of the grid search process to identify the best parameters values for training the SVM model.} -\label{fig:parameter_selection} -\end{figure} - -Due to the data's bias with respect to labels which we previously discussed, the default SVM parameters failed to provide any sort of relevant results. Therefore, with our full feature set we used libsvm's included utilities to perform parameter selection as shown in Figure~\ref{fig:parameter_selection}. The utility performed $5$-fold cross validation and allowed us to see the parameters which provided the best accuracy. In turn, this enabled us to find an appropriate constant $C$ with which to scale the loss function and constant $\gamma$ for the radial basis function kernel the SVM was using. - -It should be noted that the best method would be to optimize against the F1 score rather than the accuracy due to the data bias previously discussed. However, in practice, the parameters that were discovered using this method were able to dramatically improve performance while still being easy to obtain. - - -\section{System} -The system we have developed consists of a framework in order to perform concept extraction, a Web service frontend which allows users to test the service without seeing any of the underlying data, and the machine learning libraries that are leveraged. - -\subsection{Code Architecture} - -\begin{figure*} -\begin{center} - \includegraphics[width=2\columnwidth]{figures/system.pdf} -\end{center} -\caption{An overview of the system and codebase.} -\label{fig:system} -\end{figure*} - - -We built a fairly comprehensive framework for applying machine learning techniques to NLP domains. We built out a series of useful and reusable library modules and command line utilities to perform various tasks. An overview of the codebase can be seen in Figure~\ref{fig:system} and all of the code is available online at the following URL: - -{\tt https://github.com/tnaumann/ConceptExtraction}. - -\vfill - -\subsubsection{Data Formats and File I/O} - -Our framework consists of many convenience functions and utility classes that are designed to perform all necessary file I/O operations--formatting output data and parsing input files. There are 3 formats that the code base handles. - -\vfill - -The first format is a straight forward tokenized text file that contains each sentence on a separate line. The test data for training the models were processed into this format. For cases where the sentence was not previously tokenized, the framework utilizes {\tt NLTK}'s {\tt sent\_tokenize} to break a string into sentences and then {\tt NLTK}'s {\tt word\_tokenize} to break each sentence into normalized tokens. - -\vfill - -The second format is an annotation format that references the tokenized text files and associates a classification label (``problem'', ``tests'', ``treatment'' or ``none'') with spans of words. This format is used in a separate file than the actual input tokenized text file but the two files typically share the same name so we can tell which labels apply to which input. The training and test data sets use this format to represent the ground truth classification of the medical records. - -\vfill - -The third and last format is is a sparse matrix format that is utilized by the various command-line utilizes in the code base. Conceptually, the rows in this sparse matrix represent an a single data item (in our case, a single word) that either is a training example or is an input token that needs to a label predicted and the columns represent the various features of that item. Each of the various learning algorithms use this data format. - -\vfill - -\subsubsection{Model Encapsulation and Serialization} - -Our framework includes a model class that can be trained on specified data with any combination of features enabled. The model class supports training a libsvm, liblinear, and crfsuite classifiers that can be used for prediction in the future. One of the nice things, about the model class is that it can be serialized and reloaded dynamically. This is a really nice capability because it allows you to train a large number of models on various subsets of the data and using various different features to see which perform the best. - -\newpage -\subsubsection{Feature Computation} - -The framework has a flexible and robust mechanism for computing features on input tokens. Features are implemented as a simple conditional statement in a large {\tt if-else} statement, making it really easy to add new features to the system. Additionally, each model maintains a list of the features that are enabled. Only the enabled features will be executed and computed on the input tokens. Features can be enabled or disabled pragmatically by removing them from the model's feature list. This ability is really important when training models because it enables you to easily explore the impact of certain features and run feature selection. - -\subsubsection{Learning Algorithms} - -As mentioned previously, the framework's model class has support for training various classifiers: a Support Vector Machine, a CRF, and L2-regularized Support Vector Machine. The implementation of these algorithms is delegated to various third-party libraries described at the end of this section. - -\subsubsection{Data Organization and Directory Structure} - - -The framework supports a default conventional directory structure to know where to store test, training, and prediction data. This simplifies training new models and testing how well they perform. While these directories can be configured, the defaults are: - -\begin{itemize} - -\item {\tt data } - Contains all of the data that is used for training and large testing runs. Again, this is just conventional and it is possible to train and predict on data that is not in this directory. For example, we are able to predict ``one-off-sentences'' as a command-line argument. - -\item {\tt data//txt } - Contains the raw tokenized text files. - -\item {\tt data//concept } - Contains the labels that correspond to each of the tokenized files in the ``txt'' directory. - -\item {\tt models} - Contains all of the trained models. - -\item {\tt models/} - Contains the meta data specific to each model that was trained. The framework saves the model's internal state (the features used, the input test set, etc.) as well as the trained parameters for the libsvm, crfsuite, and liblinear classifiers. This information is used to deserialize and load a model at runtime for prediction tasks. - -\item {\tt models//test\_predictions/} - Contains output files with the predicted label for each word in the input file. - -\end{itemize} - -\subsubsection{Command-line Utilities} - - -The framework contains three useful command line utilities to interact with the system. The functionality provided by these utilities are also exposed by a Python API so other developers can interact with the system natively in their own Python scripts without having to fork calls to the command line. - -\begin{itemize} - -\item {\tt train.py } - Trains a model using the specified training data and output model name. - -\item {\tt predict.py } - Predict the labels for the specified input files and write the labels to a designated file. - -\item {\tt evaluate.py } - Compare the predicted labels to the gold standard labels and print outs the confusion matrix, precision, recall, and F1-scores. - -\end{itemize} - - -\subsection{Web Service} - -In addition to the various command line utilizes described in the previous section, our system also includes a Web-based service that allows users to manually input a single sentence, select a model to use for prediction, and see the predicted labels that model generated for the input. Figure~\ref{fig:web_interface} shows a screenshot of the Web application in use. - -The Web service was written in Python and directly inter-operates with the rest of the code base. To run the Web applications simply execute the {\tt web.py} file in the source tree. The Web app allows you to label a sentence using any of the models that we have previously trained. This is useful for spot checking certain sentences and observing how different models behave. The Web app assumes that models have already been trained and placed into ``models'' directory in the source tree. By default, the application will host itself on port 5000. You can also see a live version of the Web service at: - -{\tt http://saahmad.media.mit.edu:5000/ } - -\begin{figure}[t] -\begin{center} - \includegraphics[width=0.75\columnwidth]{figures/web-interface-1.png} - \includegraphics[width=0.75\columnwidth]{figures/web-interface-2.png} -\end{center} -\caption{The Web application interface that allows users to manually input a sentence and have it labeled using one of the previously-trained models. In this case we are using an SVM model that was trained using all of the features.} -\label{fig:web_interface} -\end{figure} - - -\subsection{Libraries} - -Our code leveraged various 3rd party libraries for training the models and generating features. A summary of the libraries that we used is shown in the list below: - -\begin{itemize} - -\item {\tt libsvm} \cite{libsvm}: libsvm provides a fast implementation of Support Vector Machines. It includes a command line utility that takes a training data (with all of the features formatted in a sparse matrix representation) as input and outputs a SVM model trained on that data. It also includes a command line utility that allows users to specify a desired model and predict the classes on new input. Our code base forks process calls to these utilities to train SVM models, although a lot of the parameter tuning and feature selection is handled elsewhere in our codebase. - -\item {\tt liblinear} \cite{liblinear}: liblinear is a linear classifier library that has special support multi-class classification. It also provides easy to use training and predicting command line utilities that accept a similar input format as libsvm. - -\item {\tt crfsuite} \cite{crfsuite}: crfsuite is an implementation for conditional random fields and includes command line front ends to train a model on data and to predict the labels on an unseen data set. The data format for the input training files is also a sparse matrix representation but is slightly different from the format used by libsvm and liblinear. Our codebase nicely abstracts out these format differences and produces the right format depending on the model in use. - -\item {\tt NLTK} \cite{nltk}: NLTK is a very popular NLP library written in Python. We leverage NLTK to generate some of the features on our data. In particular, we utilize NLTK's maximum-entropy part-of-speech tagging as well as many of its stemming algorithms. - -\item {\tt Flask} \cite{flask}: Flask is a micro Web framework written in Python. It contains a small yet useful set of features that allow developers to easily setup RESTful Web backends and an elegant templating system to gracefully generate HTML. Flask is used to build the Web service portion of the project. - -\end{itemize} - - -\section{Results} -This section discusses the data set, the models that were trained as part of the project, the (excessive) amount of time taken to train them, and the performance of those models on the test data. - -\subsection{Data Set} - -\begin{figure}[t] -\begin{center} -\begin{center} - \begin{tabular}{|l|l|l|} - \hline - \multicolumn{3}{|c|}{\bf Training Data Set} \\ \hline - {\bf Label} & {\bf Count} & {\bf Percentage} \\ \hline - test & 8492 & 5.7\\ \hline - none & 114783 & 76.7\\ \hline - problem & 17326 & 11.6\\ \hline - treatment & 8940 & 6.0\\ \hline - {\bf Total} & 149541 & 100\\ \hline - \end{tabular} -\end{center} - -\begin{center} - \begin{tabular}{|l|l|l|} - \hline - \multicolumn{3}{|c|}{\bf Testing Data Set} \\ \hline - {\bf Label} & {\bf Count} & {\bf Percentage} \\ \hline - test & 17237 & 6.4\\ \hline - none & 202438 & 75.8\\ \hline - problem & 30276 & 11.3\\ \hline - treatment & 17298 & 6.5\\ \hline - {\bf Total} & 267249 & 100\\ \hline - \end{tabular} -\end{center} -\end{center} -\caption{The number of each class the in testing and training data sets.} -\label{fig:data_set_counts} -\end{figure} - - -Deidentified clinical records used in this research were provided by the i2b2 National Center for Biomedical Computing funded by U54LM008748 and were originally prepared for the Shared Tasks for Challenges in NLP for Clinical Data organized by Dr. Ozlem Uzuner, i2b2 and SUNY. As mentioned before, the data came divided into training and test sets and every word was pre-labeled with the following classes: ``problem'', ``test'', ``treatment'', or ``none''. - -The overall size of the data was 10mb and came from Boston-area hospitals--so it is subject to data use agreements. The training data consisted of 170 medical records and the test data consisted of 256 medical records. Further, the distribution over labels of the training and test sets is provided in Figure~\ref{fig:data_set_counts}. - - - -\subsection{Trained Models} - -Overall we trained a total of 23 models using the entire data set. One model was trained with all of the features. We then trained a set of 11 models in which we removed a single feature as well as 11 models in which we had only one feature enabled. Even though this is not as complete as a running full feature selection, it will hopefully hint at the most useful features. - -Recall that each model contains three different classifiers: libsvm, liblinear, and crfsuite. So, in total we attempted training 69 classifiers. Unfortunately, as discussed later in the paper, the libsvm classifiers took very long to train and most were not finished in time. Consequently, their results are not included in this report. Fortunately we were able to train a single libsvm classifier from a model that had all of the features enabled. So, all in all the results include the output from 47 classifiers (46 liblinear and crfsuite classifiers and 1 libsvm classifier). - -\subsection{Runtime Performance} - -We deployed the system on a machine running Ubuntu 11.10 with a QuadCore AMD Opteron processor running at 2.5Ghz and 48GB of RAM. - -In general training the liblinear and crfsuite classifiers was pretty quick. Each took around an hour to train on the entire training set. However, the libsvm classifier took approximate 6 hours to train on the same data. - -In terms of predicting labels for unseen input, all classifiers performed equally well. They each took around 1 hour to label the entire test data set. However, the vast major of time was spent computing features on the input rather than actually running the classifiers. - -\subsection{Classification Performance} - -\begin{figure}[t] -\begin{center} - \begin{tabular}{|l|l|l|l|l|l|} - \hline - \multicolumn{6}{|c|}{\bf crfsuite} \\ \hline - & & \multicolumn{4}{|c|}{Predicted} \\ \cline{2-6} - & & test & problem & none & treatment \\ \cline{2-6} - \multirow{4}{*}{\begin{sideways}Actual\end{sideways}} - & test & 14388 & 1503 & 932 & 414 \\ \cline{2-6} - & problem & 288 & 27993 & 1521 & 474 \\ \cline{2-6} - & none & 3214 & 18463 & 175032 & 5729 \\ \cline{2-6} - & treatment & 304 & 1896 & 1418 & 13680 \\ \hline - - \end{tabular} -\end{center} - -\begin{center} - \begin{tabular}{|l|l|l|l|l|l|} - \hline - \multicolumn{6}{|c|}{\bf liblinear} \\ \hline - & & \multicolumn{4}{|c|}{Predicted} \\ \cline{2-6} - & & test & problem & none & treatment \\ \cline{2-6} - \multirow{4}{*}{\begin{sideways}Actual\end{sideways}} - & test & 11819 & 1171 & 3718 & 529 \\ \cline{2-6} - & problem & 475 & 22682 & 6383 & 736 \\ \cline{2-6} - & none & 1120 & 4408 & 195085 & 1825 \\ \cline{2-6} - & treatment & 249 & 1251 & 4099 & 11699 \\ \hline - - \end{tabular} -\end{center} - -\begin{center} - \begin{tabular}{|l|l|l|l|l|l|} - \hline - \multicolumn{6}{|c|}{\bf libsvm} \\ \hline - & & \multicolumn{4}{|c|}{Predicted} \\ \cline{2-6} - & & test & problem & none & treatment \\ \cline{2-6} - \multirow{4}{*}{\begin{sideways}Actual\end{sideways}} - & test & 12741 & 1179 & 2935 & 382 \\ \cline{2-6} - & problem & 542 & 23288 & 5818 & 628 \\ \cline{2-6} - & none & 1284 & 4175 & 195716 & 1263 \\ \cline{2-6} - & treatment & 438 & 1989 & 3860 & 11011 \\ \hline - - \end{tabular} -\end{center} - -\caption{Confusion matrix for a model trained on all of the test data with all of the features enabled.} -\label{fig:all_confusion_matrix} -\end{figure} - -\begin{figure}[t] -\begin{center} - \begin{tabular}{|l|l|l|l|} - \hline - \multicolumn{4}{|c|}{\bf crfsuite} \\ \hline - {\bf Label} & {\bf Precision} & {\bf Recall} & {\bf F1} \\ \hline - -test & 0.8650 & 0.6857 & 0.7650 \\ \hline -problem & 0.7686 & 0.7492 & 0.7587 \\ \hline -none & 0.9321 & 0.9637 & 0.9477 \\ \hline -treatment & 0.7911 & 0.6763 & 0.7292 \\ \hline - - \hline - Average: & 0.7512 & 0.8537 & 0.7891 \\ - \hline - \end{tabular} -\end{center} - -\begin{center} - \begin{tabular}{|l|l|l|l|} - \hline - \multicolumn{4}{|c|}{\bf liblinear} \\ \hline - {\bf Label} & {\bf Precision} & {\bf Recall} & {\bf F1} \\ \hline - -test & 0.7908 & 0.8347 & 0.8122 \\ \hline -problem & 0.5615 & 0.9246 & 0.6987 \\ \hline -none & 0.9784 & 0.8646 & 0.9180 \\ \hline -treatment & 0.6740 & 0.7908 & 0.7278 \\ \hline - - \hline - Average: & 0.8392 & 0.7687 & 0.8001 \\ - \hline - \end{tabular} -\end{center} - -\begin{center} - \begin{tabular}{|l|l|l|l|} - \hline - \multicolumn{4}{|c|}{\bf libsvm} \\ \hline - {\bf Label} & {\bf Precision} & {\bf Recall} & {\bf F1} \\ \hline - - test & 0.8491 & 0.7392 & 0.7903 \\ \hline - problem & 0.7603 & 0.7692 & 0.7647 \\ \hline - none & 0.9395 & 0.9668 & 0.9529 \\ \hline -treatment & 0.8289 & 0.6365 & 0.7201\\ \hline - - \hline - Averages: & 0.8444 & 0.7779 & 0.8070 \\ - \hline - \end{tabular} -\end{center} - -\caption{Results from a model trained on all of the test data with all of the features enabled.} -\label{fig:all_features_results} -\end{figure} - -\begin{figure*}[ht] -\begin{center} - \begin{tabular}{|l|l|l|l|l|l|l|l|l|l|l||l|l|} - \hline - \multicolumn{11}{|c||}{\bf Feature Set} & \multicolumn{2}{|c|}{\bf F1 Score} \\ \hline - % BEGIN COLUMN HEADERS - \begin{sideways} length \end{sideways} & - \begin{sideways} mitre \end{sideways} & - \begin{sideways} next \end{sideways} & - \begin{sideways} pos \end{sideways} & - \begin{sideways} prev \end{sideways} & - \begin{sideways} stem\_lancaster \end{sideways} & - \begin{sideways} stem\_porter \end{sideways} & - \begin{sideways} stem\_wordnet \end{sideways} & - \begin{sideways} test\_result \end{sideways} & - \begin{sideways} word \end{sideways} & - \begin{sideways} word\_shape \end{sideways} & - LIN & CRF \\ \hline - % END COLUMN HEAERS - - \checkmark & & & & & & & & & & & 0.2157 & 0.0420 \\ \hline - & \checkmark & & & & & & & & & & 0.2155 & 0.0927 \\ \hline - & & \checkmark & & & & & & & & & 0.2155 & 0.0572 \\ \hline - & & & \checkmark & & & & & & & & 0.2155 & 0.0820 \\ \hline - & & & & \checkmark & & & & & & & 0.2155 & 0.0366 \\ \hline - & & & & & \checkmark & & & & & & 0.7085 & 0.2878 \\ \hline - & & & & & & \checkmark & & & & & 0.7266 & 0.2886 \\ \hline - & & & & & & & \checkmark & & & & 0.7309 & 0.2857 \\ \hline - & & & & & & & & \checkmark & & & 0.2806 & 0.1084 \\ \hline - & & & & & & & & & \checkmark & & 0.7332 & 0.2753 \\ \hline - & & & & & & & & & & \checkmark & 0.2431 & 0.1244 \\ \hline - - & \checkmark & \checkmark & \checkmark & \checkmark & \checkmark & \checkmark & \checkmark & \checkmark & \checkmark & \checkmark & 0.7986 & 0.5851 \\ \hline - \checkmark & & \checkmark & \checkmark & \checkmark & \checkmark & \checkmark & \checkmark & \checkmark & \checkmark & \checkmark & 0.7911 & 0.5937 \\ \hline - \checkmark & \checkmark & & \checkmark & \checkmark & \checkmark & \checkmark & \checkmark & \checkmark & \checkmark & \checkmark & 0.8049 & 0.6077 \\ \hline - \checkmark & \checkmark & \checkmark & & \checkmark & \checkmark & \checkmark & \checkmark & \checkmark & \checkmark & \checkmark & 0.8101 & 0.5851 \\ \hline - \checkmark & \checkmark & \checkmark & \checkmark & & \checkmark & \checkmark & \checkmark & \checkmark & \checkmark & \checkmark & 0.8101 & 0.5883 \\ \hline - \checkmark & \checkmark & \checkmark & \checkmark & \checkmark & & \checkmark & \checkmark & \checkmark & \checkmark & \checkmark & 0.8033 & 0.5818 \\ \hline - \checkmark & \checkmark & \checkmark & \checkmark & \checkmark & \checkmark & & \checkmark & \checkmark & \checkmark & \checkmark & 0.8004 & 0.5163 \\ \hline - \checkmark & \checkmark & \checkmark & \checkmark & \checkmark & \checkmark & \checkmark & & \checkmark & \checkmark & \checkmark & 0.8022 & 0.6442 \\ \hline - \checkmark & \checkmark & \checkmark & \checkmark & \checkmark & \checkmark & \checkmark & \checkmark & & \checkmark & \checkmark & 0.7487 & 0.4603 \\ \hline - \checkmark & \checkmark & \checkmark & \checkmark & \checkmark & \checkmark & \checkmark & \checkmark & \checkmark & & \checkmark & 0.7962 & 0.6534 \\ \hline - \checkmark & \checkmark & \checkmark & \checkmark & \checkmark & \checkmark & \checkmark & \checkmark & \checkmark & \checkmark & & 0.7981 & 0.5705 \\ \hline - - \checkmark & \checkmark & \checkmark & \checkmark & \checkmark & \checkmark & \checkmark & \checkmark & \checkmark & \checkmark & \checkmark & 0.8001 & 0.7891 \\ \hline - -\end{tabular} -\end{center} -\caption{A summary of the F1-scores from many different models with different features enabled.} -\label{fig:summary_f1_scores} -\end{figure*} - -Overall we found that our system did a good job at predicting labels for medical notes. Figure~\ref{fig:all_confusion_matrix} shows a confusion matrix of a model that was trained with all features enabled and Figure~\ref{fig:all_features_results} shows summary statistics for that very same model. The results are broken down so we can see the relative performance of each of the individual classifiers. Overall, the system does very well and achieves an average F1-score of about {\bf 0.80}. - -As mentioned before, we trained a total of 47 classifiers with different features to get an idea for what features were the most important. A summary of the F1-scores of these classifiers is show in Figure~\ref{fig:summary_f1_scores}. - -\section{Discussion} - -As previously mentioned, we tested our feature set using three classifiers in search of the best concept extraction system (general SVM, linear SVM, and CRF), all of which yielded comparable results in terms of their average F1 scores, but showed significant difference in terms of efficiency. Our least time efficient classifier, SVM, was eventually eliminated from our system, as discussed in the subsequent section. - -After extensive testing of various subsets from our initial feature set, the most optimal combination we discovered was the inclusion of all features discussed in Section 4.2 less the previous word n-gram feature and the part of speech tags using a general SVM. The previous word feature was likely redundant in conjunction with the next word feature; likewise, the part of speech tags are reused in the WordNet Lemmatizer word stem feature. Certain features (metric units, word endings, prognosis locations, and flag words as discussed in Section 4.2.7) were eliminated before significant testing was performed as they proved to have an appreciable negative impact on our F1 scores when testing toy examples. - -Our more extensive tests also revealed that our baseline F1 score is primarily a reflection of the inclusion of a single feature: the word itself. In that sense, much of our performance can be credited purely to machine learning with one particularly strong feature. However, our additional improvements on this score required more in-depth linguistic analysis of our training data. Moreover, all of our machine learning algorithms showed comparable improvements with more language-driven features. Therefore, these features indicate a measure of success that is independent from the chosen canned classifier. Nevertheless, we can always argue for a more eloquent implementation of our system in spite of our successful results. - -\section{Conclusion and Future Work} -While the libsvm-trained SVM was able to perform the best overall classification performance, the exorbitant time required to train makes it of little practical use. Both the liblinear-trained L2 regularized SVM and crfsuite-trained CRF provide comparable classification performance in extremely reduced training time, and roughly equal prediction time. In fact, the runtime difference was so great that we were able to begin enumerating the feature space with both the liblinear and crfsuite models well before the first libsvm classifier was trained. - -Across the board, we found F1 scores above what we had expected. And thus we believe this method of identifying linguistic features and then leveraging statistical techniques is successful. While we were able to develop several strong models, there were several additional ideas that piqued our interest which we must defer to future work for the sake of time. - -\subsection{Dimension Collapse} -There are several mechanisms we thought of to to collapse the high dimensional nature of the data. Given unbounded time, we would have liked to try the following. - -\begin{itemize} -\item First, we used stemming to add additional features to each word much in the same way that the word feature was created. However, after performing more complete feature selection we would have liked to select the best suited stemmer and use that in place of the word feature. - -\item Depending on the stemmer selected, we may have also added a list of stopwords that mapped to a single dimension in order to gain a dimension saving over ``uninteresting'' words. - -\item Next, we would have liked to investigate a dramatic reduction by creating a list of all words that are only tagged with the null concept class and mapped them all to a single dimension. -\end{itemize} - -While the second approach exhibits only a modest reduction (and may be taken care of automatically by some stemmers), the first and third approaches may allow us to dramatically reduce the dimension of the problem. Our hypothesis is that this will certainly improve the runtime performance, and perhaps the classification performance and model generalization as well. - -\subsection{Feature Selection} -In our work, we performed feature selection in-so-far as we thought of a large number of potential features and then tested their efficacy on a small subset of documents. Further, we generated models from the full set of features as well as each individual feature. While these proved effective for the purposes of analysis, a more exhaustive feature selection is certainly desirable. - -\subsection{Parameter Selection} -Likewise, we experimented with parameter selection for the SVM classifiers over a reduced data set and were able to obtain dramatic increases in classification performance. Due to the already long runtime of training SVM classifiers, it was not feasible to perform any sort of robust parameter selection for these models. However, we expect that doing so would provide additional gains. - -\subsection{More Data} - -It goes without saying that having more data is always nice. This is particularly true in our case because we were training on a relatively small data set and testing on a considerably larger one. In fact, an interesting avenue for future work is to switch our training and testing data sets so we are training on relatively larger data set. - -Additionally, the training data is derived from clinical notes originating at Beth Israel Deaconess and Partners Healthcare. It would be interesting to test our system against data from health centers outside the Boston area which have differently organized notes to see if our system is able to generalize well. Because many of our features avoided encoding language structure that appeared in the training data when possible, we expect this generalization would be relatively good assuming that the vocabulary used in an alternate test set was similar to our training set. However, this could very easily not be the case. - -\section{Acknowledgments} - -We sincerely thank Dr. Robert Berwick and Geza Kovacs -for their guidance, help, and support. May the Force be with you, -always. - - -%%%% May the Flow (Max-Flow, that is) be with you all. - -% -% The following two commands are all you need in the -% initial runs of your .tex file to -% produce the bibliography for the citations in your paper. -\bibliographystyle{abbrv} -\bibliography{citations} % sigproc.bib is the name of the Bibliography in this case - -\balancecolumns -% That's all folks! -\end{document} diff --git a/paper/style.cls b/paper/style.cls deleted file mode 100644 index e89d0b5..0000000 --- a/paper/style.cls +++ /dev/null @@ -1,1671 +0,0 @@ -% ACM_PROC_ARTICLE-SP.CLS - VERSION 3.2SP -% COMPATIBLE WITH THE "SIG-ALTERNATE" V2.4 -% Gerald Murray - April 22nd. 2009 -% -% ---- Start of 'updates' ---- -% -% April 22nd. 2009 - Fixed 'Natbib' incompatibility problem - Gerry -% April 22nd. 2009 - Fixed 'Babel' incompatibility problem - Gerry -% April 22nd. 2009 - Inserted various bug-fixes and improvements - Gerry -% -% To produce Type 1 fonts in the document plus allow for 'normal LaTeX accenting' in the critical areas; -% title, author block, section-heads, etc. etc. -% i.e. the whole purpose of this version update is to NOT resort to 'inelegant accent patches'. -% After much research, three extra .sty packages were added to the the tail (ae, aecompl, aeguill) to solve, -% in particular, the accenting problem(s). We _could_ ask authors (via instructions/sample file) to 'include' these in -% the source .tex file - in the preamble - but if everything is already provided ('behind the scenes' - embedded IN the .cls) -% then this is less work for authors and also makes everything appear 'vanilla'. -% NOTE: all 'patchwork accenting" has been commented out (here) and is no longer 'used' in the sample .tex file (either). -% Gerry June 2007 -% -% Rule widths changed to .5, author count (>6) fixed, roll-back for Type 3 problem. Gerry March 20th. 2007 -% Changes made to 'modernize' the fontnames but esp. for MikTeX users V2.4/2.5 - Nov. 30th. 2006 -% Updated the \email definition to allow for its use inside of 'shared affiliations' - Nov. 30th. 2006 -% Fixed the 'section number depth value' - Nov. 30th. 2006 -% -% Footnotes inside table cells using \minipage (Oct. 2002) -% Georgia fixed bug in sub-sub-section numbering in paragraphs (July 29th. 2002) -% JS/GM fix to vertical spacing before Proofs (July 30th. 2002) -% -% Allowance made to switch default fonts between those systems using -% normal/modern font names and those using 'Type 1' or 'Truetype' fonts. -% See LINE NUMBER 269 for details. -% Also provided for enumerated/annotated Corollaries 'surrounded' by -% enumerated Theorems (line 844). -% Gerry November 11th. 1999 -% -% This 'sp' version does NOT produce the permission block. -% -% Major change in January 2000 was to include a "blank line" in between -% new paragraphs. This involved major changes to the, then, acmproc-sp.cls 1.0SP -% file, precipitating a 'new' name: "acm_proc_article-sp.cls" V2.01SP. -% -% ---- End of 'updates' ---- -% -\def\fileversion{V3.2SP} % for ACM's tracking purposes -\def\filedate{April 22, 2009} % Gerry Murray's tracking data -\def\docdate {Wednesday 22nd. April 2009} % Gerry Murray (with deltas to doc} -\usepackage{epsfig} -\usepackage{amssymb} -\usepackage{amsmath} -\usepackage{amsfonts} -% Need this for accents in Arial/Helvetica -%\usepackage[T1]{fontenc} % Gerry March 12, 2007 - causes Type 3 problems (body text) -%\usepackage{textcomp} -% -% ACM_PROC_ARTICLE-SP DOCUMENT STYLE -% G.K.M. 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The value of parskip is set - % to leading value _within_ sections. - % 12 Jan 2000 gkmt -\parindent 0pt % Width of paragraph indentation. -\partopsep 2pt plus 1pt minus 1pt% Extra vertical space, in addition to - % \parskip and \topsep, added when user - % leaves blank line before environment. - -\@lowpenalty 51 % Produced by \nopagebreak[1] or \nolinebreak[1] -\@medpenalty 151 % Produced by \nopagebreak[2] or \nolinebreak[2] -\@highpenalty 301 % Produced by \nopagebreak[3] or \nolinebreak[3] - -\@beginparpenalty -\@lowpenalty % Before a list or paragraph environment. -\@endparpenalty -\@lowpenalty % After a list or paragraph environment. -\@itempenalty -\@lowpenalty % Between list items. - -%\@namedef{ds@10pt}{\@latexerr{The `10pt' option is not allowed in the `acmconf' -\@namedef{ds@10pt}{\ClassError{The `10pt' option is not allowed in the `acmconf' % January 2008 - document style.}\@eha} -%\@namedef{ds@11pt}{\@latexerr{The `11pt' option is not allowed in the `acmconf' -\@namedef{ds@11pt}{\ClassError{The `11pt' option is not allowed in the `acmconf' % January 2008 - document style.}\@eha} -%\@namedef{ds@12pt}{\@latexerr{The `12pt' option is not allowed in the `acmconf' -\@namedef{ds@12pt}{\ClassError{The `12pt' option is not allowed in the `acmconf' % January 2008 - document style.}\@eha} - -\@options - -\lineskip 2pt % \lineskip is 1pt for all font sizes. -\normallineskip 2pt -\def\baselinestretch{1} - -\abovedisplayskip 9pt plus2pt minus4.5pt% -\belowdisplayskip \abovedisplayskip -\abovedisplayshortskip \z@ plus3pt% -\belowdisplayshortskip 5.4pt plus3pt minus3pt% -\let\@listi\@listI % Setting of \@listi added 9 Jun 87 - -\def\small{\@setsize\small{9pt}\viiipt\@viiipt -\abovedisplayskip 7.6pt plus 3pt minus 4pt% -\belowdisplayskip \abovedisplayskip -\abovedisplayshortskip \z@ plus2pt% -\belowdisplayshortskip 3.6pt plus2pt minus 2pt -\def\@listi{\leftmargin\leftmargini %% Added 22 Dec 87 -\topsep 4pt plus 2pt minus 2pt\parsep 2pt plus 1pt minus 1pt -\itemsep \parsep}} - -\def\footnotesize{\@setsize\footnotesize{9pt}\ixpt\@ixpt -\abovedisplayskip 6.4pt plus 2pt minus 4pt% -\belowdisplayskip \abovedisplayskip -\abovedisplayshortskip \z@ plus 1pt% -\belowdisplayshortskip 2.7pt plus 1pt minus 2pt -\def\@listi{\leftmargin\leftmargini %% Added 22 Dec 87 -\topsep 3pt plus 1pt minus 1pt\parsep 2pt plus 1pt minus 1pt -\itemsep \parsep}} - -\newcount\aucount -\newcount\originalaucount -\newdimen\auwidth -\auwidth=\textwidth -\newdimen\auskip -\newcount\auskipcount -\newdimen\auskip -\global\auskip=1pc -\newdimen\allauboxes -\allauboxes=\auwidth -\newtoks\addauthors -\newcount\addauflag -\global\addauflag=0 %Haven't shown additional authors yet - -\newtoks\subtitletext -\gdef\subtitle#1{\subtitletext={#1}} - -\gdef\additionalauthors#1{\addauthors={#1}} - -\gdef\numberofauthors#1{\global\aucount=#1 -\ifnum\aucount>3\global\originalaucount=\aucount \global\aucount=3\fi %g} % 3 OK - Gerry March 2007 -\global\auskipcount=\aucount\global\advance\auskipcount by 1 -\global\multiply\auskipcount by 2 -\global\multiply\auskip by \auskipcount -\global\advance\auwidth by -\auskip -\global\divide\auwidth by \aucount} - -% \and was modified to count the number of authors. GKMT 12 Aug 1999 -\def\alignauthor{% % \begin{tabular} -\end{tabular}% - \begin{tabular}[t]{p{\auwidth}}\centering}% - - -% *** NOTE *** NOTE *** NOTE *** NOTE *** -% If you have 'font problems' then you may need -% to change these, e.g. 'arialb' instead of "arialbd". -% Gerry Murray 11/11/1999 -% *** OR ** comment out block A and activate block B or vice versa. -% ********************************************** -% -% -- Start of block A -- (Type 1 or Truetype fonts) -%\newfont{\secfnt}{timesbd at 12pt} % was timenrb originally - now is timesbd -%\newfont{\secit}{timesbi at 12pt} %13 Jan 00 gkmt -%\newfont{\subsecfnt}{timesi at 11pt} % was timenrri originally - now is timesi -%\newfont{\subsecit}{timesbi at 11pt} % 13 Jan 00 gkmt -- was times changed to timesbi gm 2/4/2000 -% % because "normal" is italic, "italic" is Roman -%\newfont{\ttlfnt}{arialbd at 18pt} % was arialb originally - now is arialbd -%\newfont{\ttlit}{arialbi at 18pt} % 13 Jan 00 gkmt -%\newfont{\subttlfnt}{arial at 14pt} % was arialr originally - now is arial -%\newfont{\subttlit}{ariali at 14pt} % 13 Jan 00 gkmt -%\newfont{\subttlbf}{arialbd at 14pt} % 13 Jan 00 gkmt -%\newfont{\aufnt}{arial at 12pt} % was arialr originally - now is arial -%\newfont{\auit}{ariali at 12pt} % 13 Jan 00 gkmt -%\newfont{\affaddr}{arial at 10pt} % was arialr originally - now is arial -%\newfont{\affaddrit}{ariali at 10pt} %13 Jan 00 gkmt -%\newfont{\eaddfnt}{arial at 12pt} % was arialr originally - now is arial -%\newfont{\ixpt}{times at 9pt} % was timenrr originally - now is times -%\newfont{\confname}{timesi at 8pt} % was timenrri - now is timesi -%\newfont{\crnotice}{times at 8pt} % was timenrr originally - now is times -%\newfont{\ninept}{times at 9pt} % was timenrr originally - now is times -% ********************************************* -% -- End of block A -- -% -% -% -- Start of block B -- UPDATED FONT NAMES -% ********************************************* -% Gerry Murray 11/30/2006 -% ********************************************* -\newfont{\secfnt}{ptmb8t at 12pt} -\newfont{\secit}{ptmbi8t at 12pt} %13 Jan 00 gkmt -\newfont{\subsecfnt}{ptmri8t at 11pt} -\newfont{\subsecit}{ptmbi8t at 11pt} % -\newfont{\ttlfnt}{phvb8t at 18pt} -\newfont{\ttlit}{phvbo8t at 18pt} % GM 2/4/2000 -\newfont{\subttlfnt}{phvr8t at 14pt} -\newfont{\subttlit}{phvro8t at 14pt} % GM 2/4/2000 -\newfont{\subttlbf}{phvb8t at 14pt} % 13 Jan 00 gkmt -\newfont{\aufnt}{phvr8t at 12pt} -\newfont{\auit}{phvro8t at 12pt} % GM 2/4/2000 -\newfont{\affaddr}{phvr8t at 10pt} -\newfont{\affaddrit}{phvro8t at 10pt} % GM 2/4/2000 -\newfont{\eaddfnt}{phvr8t at 12pt} -\newfont{\ixpt}{ptmr8t at 9pt} -\newfont{\confname}{ptmri8t at 8pt} -\newfont{\crnotice}{ptmr8t at 8pt} -\newfont{\ninept}{ptmr8t at 9pt} -% +++++++++++++++++++++++++++++++++++++++++++++ -% -- End of block B -- - -%\def\email#1{{{\eaddfnt{\vskip 4pt#1}}}} -% If we have an email, inside a "shared affiliation" then we need the following instead -\def\email#1{{{\eaddfnt{\par #1}}}} % revised - GM - 11/30/2006 - -\def\addauthorsection{\ifnum\originalaucount>6 % was 3 - Gerry March 2007 - \section{Additional Authors}\the\addauthors - \fi} - -\newcount\savesection -\newcount\sectioncntr -\global\sectioncntr=1 - -\setcounter{secnumdepth}{3} - -\def\appendix{\par -\section*{APPENDIX} -\setcounter{section}{0} - \setcounter{subsection}{0} - \def\thesection{\Alph{section}} } - - -\leftmargini 22.5pt -\leftmarginii 19.8pt % > \labelsep + width of '(m)' -\leftmarginiii 16.8pt % > \labelsep + width of 'vii.' -\leftmarginiv 15.3pt % > \labelsep + width of 'M.' -\leftmarginv 9pt -\leftmarginvi 9pt - -\leftmargin\leftmargini -\labelsep 4.5pt -\labelwidth\leftmargini\advance\labelwidth-\labelsep - -\def\@listI{\leftmargin\leftmargini \parsep 3.6pt plus 2pt minus 1pt% -\topsep 7.2pt plus 2pt minus 4pt% -\itemsep 3.6pt plus 2pt minus 1pt} - -\let\@listi\@listI -\@listi - -\def\@listii{\leftmargin\leftmarginii - \labelwidth\leftmarginii\advance\labelwidth-\labelsep - \topsep 3.6pt plus 2pt minus 1pt - \parsep 1.8pt plus 0.9pt minus 0.9pt - \itemsep \parsep} - -\def\@listiii{\leftmargin\leftmarginiii - \labelwidth\leftmarginiii\advance\labelwidth-\labelsep - \topsep 1.8pt plus 0.9pt minus 0.9pt - \parsep \z@ \partopsep 1pt plus 0pt minus 1pt - \itemsep \topsep} - -\def\@listiv{\leftmargin\leftmarginiv - \labelwidth\leftmarginiv\advance\labelwidth-\labelsep} - -\def\@listv{\leftmargin\leftmarginv - \labelwidth\leftmarginv\advance\labelwidth-\labelsep} - -\def\@listvi{\leftmargin\leftmarginvi - \labelwidth\leftmarginvi\advance\labelwidth-\labelsep} - -\def\labelenumi{\theenumi.} -\def\theenumi{\arabic{enumi}} - -\def\labelenumii{(\theenumii)} -\def\theenumii{\alph{enumii}} -\def\p@enumii{\theenumi} - -\def\labelenumiii{\theenumiii.} -\def\theenumiii{\roman{enumiii}} -\def\p@enumiii{\theenumi(\theenumii)} - -\def\labelenumiv{\theenumiv.} -\def\theenumiv{\Alph{enumiv}} -\def\p@enumiv{\p@enumiii\theenumiii} - -\def\labelitemi{$\bullet$} -\def\labelitemii{\bf --} -\def\labelitemiii{$\ast$} -\def\labelitemiv{$\cdot$} - -\def\verse{\let\\=\@centercr - \list{}{\itemsep\z@ \itemindent -1.5em\listparindent \itemindent - \rightmargin\leftmargin\advance\leftmargin 1.5em}\item[]} -\let\endverse\endlist - -\def\quotation{\list{}{\listparindent 1.5em - \itemindent\listparindent - \rightmargin\leftmargin \parsep 0pt plus 1pt}\item[]} -\let\endquotation=\endlist - -\def\quote{\list{}{\rightmargin\leftmargin}\item[]} -\let\endquote=\endlist - -\def\descriptionlabel#1{\hspace\labelsep \bf #1} -\def\description{\list{}{\labelwidth\z@ \itemindent-\leftmargin - \let\makelabel\descriptionlabel}} - -\let\enddescription\endlist - -\def\theequation{\arabic{equation}} - -\arraycolsep 4.5pt % Half the space between columns in an array environment. -\tabcolsep 5.4pt % Half the space between columns in a tabular environment. -\arrayrulewidth .5pt % Width of rules in array and tabular environment. % (was .4) updated Gerry March 20 2007 -\doublerulesep 1.8pt % Space between adjacent rules in array or tabular env. - -\tabbingsep \labelsep % Space used by the \' command. (See LaTeX manual.) - -\skip\@mpfootins =\skip\footins - -\fboxsep =2.7pt % Space left between box and text by \fbox and \framebox. -\fboxrule =.5pt % Width of rules in box made by \fbox and \framebox. % (was .4) updated Gerry March 20 2007 - -\def\thepart{\Roman{part}} % Roman numeral part numbers. -\def\thesection {\arabic{section}} -\def\thesubsection {\thesection.\arabic{subsection}} -%\def\thesubsubsection {\thesubsection.\arabic{subsubsection}} % GM 7/30/2002 -%\def\theparagraph {\thesubsubsection.\arabic{paragraph}} % GM 7/30/2002 -\def\thesubparagraph {\theparagraph.\arabic{subparagraph}} - -\def\@pnumwidth{1.55em} -\def\@tocrmarg {2.55em} -\def\@dotsep{4.5} -\setcounter{tocdepth}{3} - -%\def\tableofcontents{\@latexerr{\tableofcontents: Tables of contents are not -% allowed in the `acmconf' document style.}\@eha} - -\def\tableofcontents{\ClassError{% - \string\tableofcontents\space is not allowed in the `acmconf' document % January 2008 - style}\@eha} - -\def\l@part#1#2{\addpenalty{\@secpenalty} - \addvspace{2.25em plus 1pt} % space above part line - \begingroup - \@tempdima 3em % width of box holding part number, used by - \parindent \z@ \rightskip \@pnumwidth %% \numberline - \parfillskip -\@pnumwidth - {\large \bf % set line in \large boldface - \leavevmode % TeX command to enter horizontal mode. - #1\hfil \hbox to\@pnumwidth{\hss #2}}\par - \nobreak % Never break after part entry - \endgroup} - -\def\l@section#1#2{\addpenalty{\@secpenalty} % good place for page break - \addvspace{1.0em plus 1pt} % space above toc entry - \@tempdima 1.5em % width of box holding section number - \begingroup - \parindent \z@ \rightskip \@pnumwidth - \parfillskip -\@pnumwidth - \bf % Boldface. - \leavevmode % TeX command to enter horizontal mode. - \advance\leftskip\@tempdima %% added 5 Feb 88 to conform to - \hskip -\leftskip %% 25 Jan 88 change to \numberline - #1\nobreak\hfil \nobreak\hbox to\@pnumwidth{\hss #2}\par - \endgroup} - - -\def\l@subsection{\@dottedtocline{2}{1.5em}{2.3em}} -\def\l@subsubsection{\@dottedtocline{3}{3.8em}{3.2em}} -\def\l@paragraph{\@dottedtocline{4}{7.0em}{4.1em}} -\def\l@subparagraph{\@dottedtocline{5}{10em}{5em}} - -%\def\listoffigures{\@latexerr{\listoffigures: Lists of figures are not -% allowed in the `acmconf' document style.}\@eha} - -\def\listoffigures{\ClassError{% - \string\listoffigures\space is not allowed in the `acmconf' document % January 2008 - style}\@eha} - -\def\l@figure{\@dottedtocline{1}{1.5em}{2.3em}} - -%\def\listoftables{\@latexerr{\listoftables: Lists of tables are not -% allowed in the `acmconf' document style.}\@eha} -%\let\l@table\l@figure - -\def\listoftables{\ClassError{% - \string\listoftables\space is not allowed in the `acmconf' document % January 2008 - style}\@eha} - \let\l@table\l@figure - -\def\footnoterule{\kern-3\p@ - \hrule width .5\columnwidth % (was .4) updated Gerry March 20 2007 - \kern 2.6\p@} % The \hrule has default height of .4pt % (was .4) updated Gerry March 20 2007 -% ------ -\long\def\@makefntext#1{\noindent -%\hbox to .5em{\hss$^{\@thefnmark}$}#1} % original -\hbox to .5em{\hss\textsuperscript{\@thefnmark}}#1} % C. Clifton / GM Oct. 2nd. 2002 -% ------- - -\long\def\@maketntext#1{\noindent -#1} - -\long\def\@maketitlenotetext#1#2{\noindent - \hbox to 1.8em{\hss$^{#1}$}#2} - -\setcounter{topnumber}{2} -\def\topfraction{.7} -\setcounter{bottomnumber}{1} -\def\bottomfraction{.3} -\setcounter{totalnumber}{3} -\def\textfraction{.2} -\def\floatpagefraction{.5} -\setcounter{dbltopnumber}{2} -\def\dbltopfraction{.7} -\def\dblfloatpagefraction{.5} - -\long\def\@makecaption#1#2{ - \vskip \baselineskip - \setbox\@tempboxa\hbox{\textbf{#1: #2}} - \ifdim \wd\@tempboxa >\hsize % IF longer than one line: - \textbf{#1: #2}\par % THEN set as ordinary paragraph. - \else % ELSE center. - \hbox to\hsize{\hfil\box\@tempboxa\hfil}\par - \fi} - -\@ifundefined{figure}{\newcounter {figure}} % this is for LaTeX2e - -\def\fps@figure{tbp} -\def\ftype@figure{1} -\def\ext@figure{lof} -\def\fnum@figure{Figure \thefigure} -\def\figure{\@float{figure}} -%\let\endfigure\end@float -\def\endfigure{\end@float} % Gerry January 2008 -\@namedef{figure*}{\@dblfloat{figure}} -\@namedef{endfigure*}{\end@dblfloat} - -\@ifundefined{table}{\newcounter {table}} % this is for LaTeX2e - -\def\fps@table{tbp} -\def\ftype@table{2} -\def\ext@table{lot} -\def\fnum@table{Table \thetable} -\def\table{\@float{table}} -%\let\endtable\end@float -\def\endtable{\end@float} % Gerry January 2008 -\@namedef{table*}{\@dblfloat{table}} -\@namedef{endtable*}{\end@dblfloat} - -\newtoks\titleboxnotes -\newcount\titleboxnoteflag - -\def\maketitle{\par - \begingroup - \def\thefootnote{\fnsymbol{footnote}} - \def\@makefnmark{\hbox - to 0pt{$^{\@thefnmark}$\hss}} - \twocolumn[\@maketitle] -\@thanks - \endgroup - \setcounter{footnote}{0} - \let\maketitle\relax - \let\@maketitle\relax - \gdef\@thanks{}\gdef\@author{}\gdef\@title{}\gdef\@subtitle{}\let\thanks\relax - \@copyrightspace} - -%% CHANGES ON NEXT LINES -\newif\if@ll % to record which version of LaTeX is in use - -\expandafter\ifx\csname LaTeXe\endcsname\relax % LaTeX2.09 is used -\else% LaTeX2e is used, so set ll to true -\global\@lltrue -\fi - -\if@ll - \NeedsTeXFormat{LaTeX2e} - \ProvidesClass{acm_proc_article-sp} [2009/04/22 - V3.2SP - based on esub2acm.sty <23 April 96>] - \RequirePackage{latexsym}% QUERY: are these two really needed? - \let\dooptions\ProcessOptions -\else - \let\dooptions\@options -\fi -%% END CHANGES - -\def\@height{height} -\def\@width{width} -\def\@minus{minus} -\def\@plus{plus} -\def\hb@xt@{\hbox to} -\newif\if@faircopy -\@faircopyfalse -\def\ds@faircopy{\@faircopytrue} - -\def\ds@preprint{\@faircopyfalse} - -\@twosidetrue -\@mparswitchtrue -\def\ds@draft{\overfullrule 5\p@} -%% CHANGE ON NEXT LINE -\dooptions - -\lineskip \p@ -\normallineskip \p@ -\def\baselinestretch{1} -\def\@ptsize{0} %needed for amssymbols.sty - -%% CHANGES ON NEXT LINES -\if@ll% allow use of old-style font change commands in LaTeX2e -\@maxdepth\maxdepth -% -\DeclareOldFontCommand{\rm}{\ninept\rmfamily}{\mathrm} -\DeclareOldFontCommand{\sf}{\normalfont\sffamily}{\mathsf} -\DeclareOldFontCommand{\tt}{\normalfont\ttfamily}{\mathtt} -\DeclareOldFontCommand{\bf}{\normalfont\bfseries}{\mathbf} -\DeclareOldFontCommand{\it}{\normalfont\itshape}{\mathit} -\DeclareOldFontCommand{\sl}{\normalfont\slshape}{\@nomath\sl} -\DeclareOldFontCommand{\sc}{\normalfont\scshape}{\@nomath\sc} -\DeclareRobustCommand*{\cal}{\@fontswitch{\relax}{\mathcal}} -\DeclareRobustCommand*{\mit}{\@fontswitch{\relax}{\mathnormal}} -\fi -% -\if@ll - \renewcommand{\rmdefault}{cmr} % was 'ttm' -% Note! I have also found 'mvr' to work ESPECIALLY well. -% Gerry - October 1999 -% You may need to change your LV1times.fd file so that sc is -% mapped to cmcsc - -for smallcaps -- that is if you decide -% to change {cmr} to {times} above. (Not recommended) - \renewcommand{\@ptsize}{} - \renewcommand{\normalsize}{% - \@setfontsize\normalsize\@ixpt{10.5\p@}%\ninept% - \abovedisplayskip 6\p@ \@plus2\p@ \@minus\p@ - \belowdisplayskip \abovedisplayskip - \abovedisplayshortskip 6\p@ \@minus 3\p@ - \belowdisplayshortskip 6\p@ \@minus 3\p@ - \let\@listi\@listI - } -\else - \def\@normalsize{%changed next to 9 from 10 - \@setsize\normalsize{9\p@}\ixpt\@ixpt - \abovedisplayskip 6\p@ \@plus2\p@ \@minus\p@ - \belowdisplayskip \abovedisplayskip - \abovedisplayshortskip 6\p@ \@minus 3\p@ - \belowdisplayshortskip 6\p@ \@minus 3\p@ - \let\@listi\@listI - }% -\fi -\if@ll - \newcommand\scriptsize{\@setfontsize\scriptsize\@viipt{8\p@}} - \newcommand\tiny{\@setfontsize\tiny\@vpt{6\p@}} - \newcommand\large{\@setfontsize\large\@xiipt{14\p@}} - \newcommand\Large{\@setfontsize\Large\@xivpt{18\p@}} - \newcommand\LARGE{\@setfontsize\LARGE\@xviipt{20\p@}} - \newcommand\huge{\@setfontsize\huge\@xxpt{25\p@}} - \newcommand\Huge{\@setfontsize\Huge\@xxvpt{30\p@}} -\else - \def\scriptsize{\@setsize\scriptsize{8\p@}\viipt\@viipt} - \def\tiny{\@setsize\tiny{6\p@}\vpt\@vpt} - \def\large{\@setsize\large{14\p@}\xiipt\@xiipt} - \def\Large{\@setsize\Large{18\p@}\xivpt\@xivpt} - \def\LARGE{\@setsize\LARGE{20\p@}\xviipt\@xviipt} - \def\huge{\@setsize\huge{25\p@}\xxpt\@xxpt} - \def\Huge{\@setsize\Huge{30\p@}\xxvpt\@xxvpt} -\fi -%\renewcommand{\normalsize}{\fontsize{10}{12}\selectfont} -\normalsize - -% make aubox hsize/number of authors up to 3, less gutter -% then showbox gutter showbox gutter showbox -- GKMT Aug 99 -\newbox\@acmtitlebox -\def\@maketitle{\newpage - \null - \setbox\@acmtitlebox\vbox{% -\baselineskip 20pt -\vskip 2em % Vertical space above title. - \begin{center} - {\ttlfnt \@title\par} % Title set in 18pt Helvetica (Arial) bold size. - \vskip 1.5em % Vertical space after title. -%This should be the subtitle. -{\subttlfnt \the\subtitletext\par}\vskip 1.25em%\fi - {\baselineskip 16pt\aufnt % each author set in \12 pt Arial, in a - \lineskip .5em % tabular environment - \begin{tabular}[t]{c}\@author - \end{tabular}\par} - \vskip 1.5em % Vertical space after author. - \end{center}} - \dimen0=\ht\@acmtitlebox - \advance\dimen0 by -12.75pc\relax % Increased space for title box -- KBT - \unvbox\@acmtitlebox - \ifdim\dimen0<0.0pt\relax\vskip-\dimen0\fi} - - -\newcount\titlenotecount -\global\titlenotecount=0 -\newtoks\tntoks -\newtoks\tntokstwo -\newtoks\tntoksthree -\newtoks\tntoksfour -\newtoks\tntoksfive - -\def\abstract{ -\ifnum\titlenotecount>0 % was =1 - \insert\footins{% - \reset@font\footnotesize - \interlinepenalty\interfootnotelinepenalty - \splittopskip\footnotesep - \splitmaxdepth \dp\strutbox \floatingpenalty \@MM - \hsize\columnwidth \@parboxrestore - \protected@edef\@currentlabel{% - }% - \color@begingroup -\ifnum\titlenotecount=1 - \@maketntext{% - \raisebox{4pt}{$\ast$}\rule\z@\footnotesep\ignorespaces\the\tntoks\@finalstrut\strutbox}% -\fi -\ifnum\titlenotecount=2 - \@maketntext{% - \raisebox{4pt}{$\ast$}\rule\z@\footnotesep\ignorespaces\the\tntoks\par\@finalstrut\strutbox}% -\@maketntext{% - \raisebox{4pt}{$\dagger$}\rule\z@\footnotesep\ignorespaces\the\tntokstwo\@finalstrut\strutbox}% -\fi -\ifnum\titlenotecount=3 - \@maketntext{% - \raisebox{4pt}{$\ast$}\rule\z@\footnotesep\ignorespaces\the\tntoks\par\@finalstrut\strutbox}% -\@maketntext{% - \raisebox{4pt}{$\dagger$}\rule\z@\footnotesep\ignorespaces\the\tntokstwo\par\@finalstrut\strutbox}% -\@maketntext{% - \raisebox{4pt}{$\ddagger$}\rule\z@\footnotesep\ignorespaces\the\tntoksthree\@finalstrut\strutbox}% -\fi -\ifnum\titlenotecount=4 - \@maketntext{% - \raisebox{4pt}{$\ast$}\rule\z@\footnotesep\ignorespaces\the\tntoks\par\@finalstrut\strutbox}% -\@maketntext{% - \raisebox{4pt}{$\dagger$}\rule\z@\footnotesep\ignorespaces\the\tntokstwo\par\@finalstrut\strutbox}% -\@maketntext{% - \raisebox{4pt}{$\ddagger$}\rule\z@\footnotesep\ignorespaces\the\tntoksthree\par\@finalstrut\strutbox}% -\@maketntext{% - \raisebox{4pt}{$\S$}\rule\z@\footnotesep\ignorespaces\the\tntoksfour\@finalstrut\strutbox}% -\fi -\ifnum\titlenotecount=5 - \@maketntext{% - \raisebox{4pt}{$\ast$}\rule\z@\footnotesep\ignorespaces\the\tntoks\par\@finalstrut\strutbox}% -\@maketntext{% - \raisebox{4pt}{$\dagger$}\rule\z@\footnotesep\ignorespaces\the\tntokstwo\par\@finalstrut\strutbox}% -\@maketntext{% - \raisebox{4pt}{$\ddagger$}\rule\z@\footnotesep\ignorespaces\the\tntoksthree\par\@finalstrut\strutbox}% -\@maketntext{% - \raisebox{4pt}{$\S$}\rule\z@\footnotesep\ignorespaces\the\tntoksfour\par\@finalstrut\strutbox}% -\@maketntext{% - \raisebox{4pt}{$\P$}\rule\z@\footnotesep\ignorespaces\the\tntoksfive\@finalstrut\strutbox}% -\fi - \color@endgroup} %g} -\fi -\setcounter{footnote}{0} -\section*{ABSTRACT}\normalsize %\the\parskip \the\baselineskip%\ninept -} - -\def\endabstract{\if@twocolumn\else\endquotation\fi} - -\def\keywords{\if@twocolumn -\section*{Keywords} -\else \small -\quotation -\fi} - -% I've pulled the check for 2 cols, since proceedings are _always_ -% two-column 11 Jan 2000 gkmt -\def\terms{%\if@twocolumn -\section*{General Terms} -%\else \small -%\quotation\the\parskip -%\fi} -} - -% -- Classification needs to be a bit smart due to optionals - Gerry/Georgia November 2nd. 1999 -\newcount\catcount -\global\catcount=1 - -\def\category#1#2#3{% -\ifnum\catcount=1 -\section*{Categories and Subject Descriptors} -\advance\catcount by 1\else{\unskip; }\fi - \@ifnextchar [{\@category{#1}{#2}{#3}}{\@category{#1}{#2}{#3}[]}% -} - -\def\@category#1#2#3[#4]{% - \begingroup - \let\and\relax - #1 [\textbf{#2}]% - \if!#4!% - \if!#3!\else : #3\fi - \else - :\space - \if!#3!\else #3\kern\z@---\hskip\z@\fi - \textit{#4}% - \fi - \endgroup -} -% - -%%% This section (written by KBT) handles the 1" box in the lower left -%%% corner of the left column of the first page by creating a picture, -%%% and inserting the predefined string at the bottom (with a negative -%%% displacement to offset the space allocated for a non-existent -%%% caption). -%%% -\newtoks\copyrightnotice -\def\ftype@copyrightbox{8} -\def\@copyrightspace{ -\@float{copyrightbox}[b] -\begin{center} -\setlength{\unitlength}{1pc} -\begin{picture}(20,6) %Space for copyright notice -\put(0,-0.95){\crnotice{\@toappear}} -\end{picture} -\end{center} -\end@float} - -\def\@toappear{} % Default setting blank - commands below change this. -\long\def\toappear#1{\def\@toappear{\parbox[b]{20pc}{\baselineskip 9pt#1}}} -\def\toappearbox#1{\def\@toappear{\raisebox{5pt}{\framebox[20pc]{\parbox[b]{19pc}{#1}}}}} - -\newtoks\conf -\newtoks\confinfo -\def\conferenceinfo#1#2{\global\conf={#1}\global\confinfo{#2}} - - -%\def\marginpar{\@latexerr{The \marginpar command is not allowed in the -% `acmconf' document style.}\@eha} - -\def\marginpar{\ClassError{% - \string\marginpar\space is not allowed in the `acmconf' document % January 2008 - style}\@eha} - -\mark{{}{}} % Initializes TeX's marks - -\def\today{\ifcase\month\or - January\or February\or March\or April\or May\or June\or - July\or August\or September\or October\or November\or December\fi - \space\number\day, \number\year} - -\def\@begintheorem#1#2{% - \trivlist - \item[% - \hskip 10\p@ - \hskip \labelsep - {{\sc #1}\hskip 5\p@\relax#2.}% - ] - \it -} -\def\@opargbegintheorem#1#2#3{% - \trivlist - \item[% - \hskip 10\p@ - \hskip \labelsep - {\sc #1\ #2\ % This mod by Gerry to enumerate corollaries - \setbox\@tempboxa\hbox{(#3)} % and bracket the 'corollary title' - \ifdim \wd\@tempboxa>\z@ % and retain the correct numbering of e.g. theorems - \hskip 5\p@\relax % if they occur 'around' said corollaries. - \box\@tempboxa % Gerry - Nov. 1999. - \fi.}% - ] - \it -} -\newif\if@qeded -\global\@qededfalse - -% -- original -%\def\proof{% -% \vspace{-\parskip} % GM July 2000 (for tighter spacing) -% \global\@qededfalse -% \@ifnextchar[{\@xproof}{\@proof}% -%} -% -- end of original - -% (JSS) Fix for vertical spacing bug - Gerry Murray July 30th. 2002 -\def\proof{% -\vspace{-\lastskip}\vspace{-\parsep}\penalty-51% -\global\@qededfalse -\@ifnextchar[{\@xproof}{\@proof}% -} - -\def\endproof{% - \if@qeded\else\qed\fi - \endtrivlist -} -\def\@proof{% - \trivlist - \item[% - \hskip 10\p@ - \hskip \labelsep - {\sc Proof.}% - ] - \ignorespaces -} -\def\@xproof[#1]{% - \trivlist - \item[\hskip 10\p@\hskip \labelsep{\sc Proof #1.}]% - \ignorespaces -} -\def\qed{% - \unskip - \kern 10\p@ - \begingroup - \unitlength\p@ - \linethickness{.4\p@}% - \framebox(6,6){}% - \endgroup - \global\@qededtrue -} - -\def\newdef#1#2{% - \expandafter\@ifdefinable\csname #1\endcsname - {\@definecounter{#1}% - \expandafter\xdef\csname the#1\endcsname{\@thmcounter{#1}}% - \global\@namedef{#1}{\@defthm{#1}{#2}}% - \global\@namedef{end#1}{\@endtheorem}% - }% -} -\def\@defthm#1#2{% - \refstepcounter{#1}% - \@ifnextchar[{\@ydefthm{#1}{#2}}{\@xdefthm{#1}{#2}}% -} -\def\@xdefthm#1#2{% - \@begindef{#2}{\csname the#1\endcsname}% - \ignorespaces -} -\def\@ydefthm#1#2[#3]{% - \trivlist - \item[% - \hskip 10\p@ - \hskip \labelsep - {\it #2% -% \savebox\@tempboxa{#3}% - \saveb@x\@tempboxa{#3}% % January 2008 - \ifdim \wd\@tempboxa>\z@ - \ \box\@tempboxa - \fi.% - }]% - \ignorespaces -} -\def\@begindef#1#2{% - \trivlist - \item[% - \hskip 10\p@ - \hskip \labelsep - {\it #1\ \rm #2.}% - ]% -} -\def\theequation{\arabic{equation}} - -\newcounter{part} -\newcounter{section} -\newcounter{subsection}[section] -\newcounter{subsubsection}[subsection] -\newcounter{paragraph}[subsubsection] -\def\thepart{\Roman{part}} -\def\thesection{\arabic{section}} -\def\thesubsection{\thesection.\arabic{subsection}} -\def\thesubsubsection{\thesubsection.\arabic{subsubsection}} %removed \subsecfnt 29 July 2002 gkmt -\def\theparagraph{\thesubsubsection.\arabic{paragraph}} %removed \subsecfnt 29 July 2002 gkmt - -\newif\if@uchead -\@ucheadfalse - -%% CHANGES: NEW NOTE -%% NOTE: OK to use old-style font commands below, since they were -%% suitably redefined for LaTeX2e -%% END CHANGES -\setcounter{secnumdepth}{3} -\def\part{% - \@startsection{part}{9}{\z@}{-10\p@ \@plus -4\p@ \@minus -2\p@} - {4\p@}{\normalsize\@ucheadtrue}% -} - -% Rationale for changes made in next four definitions: -% "Before skip" is made elastic to provide some give in setting columns (vs. -% parskip, which is non-elastic to keep section headers "anchored" to their -% subsequent text. -% -% "After skip" is minimized -- BUT setting it to 0pt resulted in run-in heads, despite -% the documentation asserted only after-skip < 0pt would have result. -% -% Baselineskip added to style to ensure multi-line section titles, and section heads -% followed by another section head rather than text, are decently spaced vertically. -% 12 Jan 2000 gkmt -\def\section{% - \@startsection{section}{1}{\z@}{-10\p@ \@plus -4\p@ \@minus -2\p@}% - {0.5pt}{\baselineskip=14pt\secfnt\@ucheadtrue}% -} - -\def\subsection{% - \@startsection{subsection}{2}{\z@}{-10\p@ \@plus -4\p@ \@minus -2\p@} - {0.5pt}{\baselineskip=14pt\secfnt}% -} -\def\subsubsection{% - \@startsection{subsubsection}{3}{\z@}{-10\p@ \@plus -4\p@ \@minus -2\p@}% - {0.5pt}{\baselineskip=14pt\subsecfnt}% -} - -%\def\paragraph{% -% \vskip 12pt\@startsection{paragraph}{3}{\z@}{6\p@ \@plus \p@}% original -% {-5\p@}{\subsecfnt}% -%} -% If one wants sections, subsections and subsubsections numbered, -% but not paragraphs, one usually sets secnumepth to 3. -% For that, the "depth" of paragraphs must be given correctly -% in the definition (``4'' instead of ``3'' as second argument -% of @startsection): -\def\paragraph{% - \vskip 12pt\@startsection{paragraph}{4}{\z@}{6\p@ \@plus \p@}% % GM and Wolfgang May - 11/30/06 - {-5\p@}{\subsecfnt}% -} - -\let\@period=. -\def\@startsection#1#2#3#4#5#6{% - \if@noskipsec %gkmt, 11 aug 99 - \global\let\@period\@empty - \leavevmode - \global\let\@period.% - \fi - \par - \@tempskipa #4\relax - \@afterindenttrue - \ifdim \@tempskipa <\z@ - \@tempskipa -\@tempskipa - \@afterindentfalse - \fi - %\if@nobreak 11 Jan 00 gkmt - %\everypar{} - %\else - \addpenalty\@secpenalty - \addvspace\@tempskipa - %\fi - \parskip=0pt - \@ifstar - {\@ssect{#3}{#4}{#5}{#6}} - {\@dblarg{\@sect{#1}{#2}{#3}{#4}{#5}{#6}}}% -} - - -\def\@ssect#1#2#3#4#5{% - \@tempskipa #3\relax - \ifdim \@tempskipa>\z@ - \begingroup - #4{% - \@hangfrom{\hskip #1}% - \interlinepenalty \@M #5\@@par}% - \endgroup - \else - \def\@svsechd{#4{\hskip #1\relax #5}}% - \fi - \vskip -10.5pt %gkmt, 7 jan 00 -- had been -14pt, now set to parskip - \@xsect{#3}\parskip=10.5pt} % within the starred section, parskip = leading 12 Jan 2000 gkmt - - -\def\@sect#1#2#3#4#5#6[#7]#8{% - \ifnum #2>\c@secnumdepth - \let\@svsec\@empty - \else - \refstepcounter{#1}% - \edef\@svsec{% - \begingroup - %\ifnum#2>2 \noexpand\rm \fi % changed to next 29 July 2002 gkmt - \ifnum#2>2 \noexpand#6 \fi - \csname the#1\endcsname - \endgroup - \ifnum #2=1\relax .\fi - \hskip 1em - }% - \fi - \@tempskipa #5\relax - \ifdim \@tempskipa>\z@ - \begingroup - #6\relax - \@hangfrom{\hskip #3\relax\@svsec}% - \begingroup - \interlinepenalty \@M - \if@uchead - \uppercase{#8}% - \else - #8% - \fi - \par - \endgroup - \endgroup - \csname #1mark\endcsname{#7}% - \vskip -10.5pt % -14pt gkmt, 11 aug 99 -- changed to -\parskip 11 Jan 2000 - \addcontentsline{toc}{#1}{% - \ifnum #2>\c@secnumdepth \else - \protect\numberline{\csname the#1\endcsname}% - \fi - #7% - }% - \else - \def\@svsechd{% - #6% - \hskip #3\relax - \@svsec - \if@uchead - \uppercase{#8}% - \else - #8% - \fi - \csname #1mark\endcsname{#7}% - \addcontentsline{toc}{#1}{% - \ifnum #2>\c@secnumdepth \else - \protect\numberline{\csname the#1\endcsname}% - \fi - #7% - }% - }% - \fi - \@xsect{#5}\parskip=10.5pt% within the section, parskip = leading 12 Jan 2000 gkmt -} -\def\@xsect#1{% - \@tempskipa #1\relax - \ifdim \@tempskipa>\z@ - \par - \nobreak - \vskip \@tempskipa - \@afterheading - \else - \global\@nobreakfalse - \global\@noskipsectrue - \everypar{% - \if@noskipsec - \global\@noskipsecfalse - \clubpenalty\@M - \hskip -\parindent - \begingroup - \@svsechd - \@period - \endgroup - \unskip - \@tempskipa #1\relax - \hskip -\@tempskipa - \else - \clubpenalty \@clubpenalty - \everypar{}% - \fi - }% - \fi - \ignorespaces -} - -\def\@trivlist{% - \@topsepadd\topsep - \if@noskipsec - \global\let\@period\@empty - \leavevmode - \global\let\@period.% - \fi - \ifvmode - \advance\@topsepadd\partopsep - \else - \unskip - \par - \fi - \if@inlabel - \@noparitemtrue - \@noparlisttrue - \else - \@noparlistfalse - \@topsep\@topsepadd - \fi - \advance\@topsep \parskip - \leftskip\z@skip - \rightskip\@rightskip - \parfillskip\@flushglue - \@setpar{\if@newlist\else{\@@par}\fi} - \global\@newlisttrue - \@outerparskip\parskip -} - -%%% Actually, 'abbrev' works just fine as the default - Gerry Feb. 2000 -%%% Bibliography style. - -\parindent 0pt -\typeout{Using 'Abbrev' bibliography style} -\newcommand\bibyear[2]{% - \unskip\quad\ignorespaces#1\unskip - \if#2..\quad \else \quad#2 \fi -} -\newcommand{\bibemph}[1]{{\em#1}} -\newcommand{\bibemphic}[1]{{\em#1\/}} -\newcommand{\bibsc}[1]{{\sc#1}} -\def\@normalcite{% - \def\@cite##1##2{[##1\if@tempswa , ##2\fi]}% -} -\def\@citeNB{% - \def\@cite##1##2{##1\if@tempswa , ##2\fi}% -} -\def\@citeRB{% - \def\@cite##1##2{##1\if@tempswa , ##2\fi]}% -} -\def\start@cite#1#2{% - \edef\citeauthoryear##1##2##3{% - ###1% - \ifnum#2=\z@ \else\ ###2\fi - }% - \ifnum#1=\thr@@ - \let\@@cite\@citeyear - \else - \let\@@cite\@citenormal - \fi - \@ifstar{\@citeNB\@@cite}{\@normalcite\@@cite}% -} -%\def\cite{\start@cite23} -\DeclareRobustCommand\cite{\start@cite23} % January 2008 -\def\citeNP{\cite*} % No Parentheses e.g. 5 -%\def\citeA{\start@cite10} -\DeclareRobustCommand\citeA{\start@cite10} % January 2008 -\def\citeANP{\citeA*} -%\def\shortcite{\start@cite23} -\DeclareRobustCommand\shortcite{\start@cite23} % January 2008 -\def\shortciteNP{\shortcite*} -%\def\shortciteA{\start@cite20} -\DeclareRobustCommand\shortciteA{\start@cite20} % January 2008 -\def\shortciteANP{\shortciteA*} -%\def\citeyear{\start@cite30} -\DeclareRobustCommand\citeyear{\start@cite30} % January 2008 -\def\citeyearNP{\citeyear*} -%\def\citeN{% -\DeclareRobustCommand\citeN{% % January 2008 - \@citeRB - \def\citeauthoryear##1##2##3{##1\ [##3% - \def\reserved@a{##1}% - \def\citeauthoryear####1####2####3{% - \def\reserved@b{####1}% - \ifx\reserved@a\reserved@b - ####3% - \else - \errmessage{Package acmart Error: author mismatch - in \string\citeN^^J^^J% - See the acmart package documentation for explanation}% - \fi - }% - }% - \@ifstar\@citeyear\@citeyear -} -%\def\shortciteN{% -\DeclareRobustCommand\shortciteN{% % January 2008 - \@citeRB - \def\citeauthoryear##1##2##3{##2\ [##3% - \def\reserved@a{##2}% - \def\citeauthoryear####1####2####3{% - \def\reserved@b{####2}% - \ifx\reserved@a\reserved@b - ####3% - \else - \errmessage{Package acmart Error: author mismatch - in \string\shortciteN^^J^^J% - See the acmart package documentation for explanation}% - \fi - }% - }% - \@ifstar\@citeyear\@citeyear % changed from "\@ifstart" 12 Jan 2000 gkmt -} - -\def\@citenormal{% - \@ifnextchar [{\@tempswatrue\@citex;}% -% original {\@tempswafalse\@citex,[]}% was ; Gerry 2/24/00 -{\@tempswafalse\@citex[]}% % GERRY FIX FOR BABEL 3/20/2009 -} - -\def\@citeyear{% - \@ifnextchar [{\@tempswatrue\@citex,}% -% original {\@tempswafalse\@citex,[]}% -{\@tempswafalse\@citex[]}% % GERRY FIX FOR BABEL 3/20/2009 -} - -\def\@citex#1[#2]#3{% - \let\@citea\@empty - \@cite{% - \@for\@citeb:=#3\do{% - \@citea -% original \def\@citea{#1 }% - \def\@citea{#1, }% % GERRY FIX FOR BABEL 3/20/2009 -- SO THAT YOU GET [1, 2] IN THE BODY TEXT - \edef\@citeb{\expandafter\@iden\@citeb}% - \if@filesw - \immediate\write\@auxout{\string\citation{\@citeb}}% - \fi - \@ifundefined{b@\@citeb}{% - {\bf ?}% - \@warning{% - Citation `\@citeb' on page \thepage\space undefined% - }% - }% - {\csname b@\@citeb\endcsname}% - }% - }{#2}% -} -%\let\@biblabel\@gobble % Dec. 2008 - Gerry -% ---- -\def\@biblabelnum#1{[#1]} % Gerry's solution #1 - for Natbib -\let\@biblabel=\@biblabelnum % Gerry's solution #1 - for Natbib -\def\newblock{\relax} % Gerry Dec. 2008 -% --- -\newdimen\bibindent -\setcounter{enumi}{1} -\bibindent=0em -\def\thebibliography#1{% -\ifnum\addauflag=0\addauthorsection\global\addauflag=1\fi - \section[References]{% <=== OPTIONAL ARGUMENT ADDED HERE - {References} % was uppercased but this affects pdf bookmarks (SP/GM October 2004) - \@mkboth{{\refname}}{{\refname}}% - }% - \list{[\arabic{enumi}]}{% - \settowidth\labelwidth{[#1]}% - \leftmargin\labelwidth - \advance\leftmargin\labelsep - \advance\leftmargin\bibindent - \parsep=0pt\itemsep=1pt % GM July 2000 - \itemindent -\bibindent - \listparindent \itemindent - \usecounter{enumi} - }% - \let\newblock\@empty - \raggedright % GM July 2000 - \sloppy - \sfcode`\.=1000\relax -} - - -\gdef\balancecolumns -{\vfill\eject -\global\@colht=\textheight -\global\ht\@cclv=\textheight -} - -\newcount\colcntr -\global\colcntr=0 -%\newbox\savebox -\newbox\saveb@x % January 2008 - -\gdef \@makecol {% -\global\advance\colcntr by 1 -\ifnum\colcntr>2 \global\colcntr=1\fi - \ifvoid\footins - \setbox\@outputbox \box\@cclv - \else - \setbox\@outputbox \vbox{% -\boxmaxdepth \@maxdepth - \@tempdima\dp\@cclv - \unvbox \@cclv - \vskip-\@tempdima - \vskip \skip\footins - \color@begingroup - \normalcolor - \footnoterule - \unvbox \footins - \color@endgroup - }% - \fi - \xdef\@freelist{\@freelist\@midlist}% - \global \let \@midlist \@empty - \@combinefloats - \ifvbox\@kludgeins - \@makespecialcolbox - \else - \setbox\@outputbox \vbox to\@colht {% -\@texttop - \dimen@ \dp\@outputbox - \unvbox \@outputbox - \vskip -\dimen@ - \@textbottom - }% - \fi - \global \maxdepth \@maxdepth -} -\def\titlenote{\@ifnextchar[\@xtitlenote{\stepcounter\@mpfn -\global\advance\titlenotecount by 1 -\ifnum\titlenotecount=1 - \raisebox{9pt}{$\ast$} -\fi -\ifnum\titlenotecount=2 - \raisebox{9pt}{$\dagger$} -\fi -\ifnum\titlenotecount=3 - \raisebox{9pt}{$\ddagger$} -\fi -\ifnum\titlenotecount=4 -\raisebox{9pt}{$\S$} -\fi -\ifnum\titlenotecount=5 -\raisebox{9pt}{$\P$} -\fi - \@titlenotetext -}} - -\long\def\@titlenotetext#1{\insert\footins{% -\ifnum\titlenotecount=1\global\tntoks={#1}\fi -\ifnum\titlenotecount=2\global\tntokstwo={#1}\fi -\ifnum\titlenotecount=3\global\tntoksthree={#1}\fi -\ifnum\titlenotecount=4\global\tntoksfour={#1}\fi -\ifnum\titlenotecount=5\global\tntoksfive={#1}\fi - \reset@font\footnotesize - \interlinepenalty\interfootnotelinepenalty - \splittopskip\footnotesep - \splitmaxdepth \dp\strutbox \floatingpenalty \@MM - \hsize\columnwidth \@parboxrestore - \protected@edef\@currentlabel{% - }% - \color@begingroup - \color@endgroup}} - -%%%%%%%%%%%%%%%%%%%%%%%%% -\ps@plain -\baselineskip=11pt -\let\thepage\relax % For NO page numbers - Gerry Nov. 30th. 1999 -\def\setpagenumber#1{\global\setcounter{page}{#1}} -%\pagenumbering{arabic} % Arabic page numbers but commented out for NO page numbes - Gerry Nov. 30th. 1999 -\twocolumn % Double column. -\flushbottom % Even bottom -- alas, does not balance columns at end of document -\pagestyle{plain} - -% Need Copyright Year and Copyright Data to be user definable (in .tex file). -% Gerry Nov. 30th. 1999 -\newtoks\copyrtyr -\newtoks\acmcopyr -\newtoks\boilerplate -\def\CopyrightYear#1{\global\copyrtyr{#1}} -\def\crdata#1{\global\acmcopyr{#1}} -\def\permission#1{\global\boilerplate{#1}} -% -\newtoks\copyrightetc -\global\copyrightetc{\ } % Need to have 'something' so that adequate space is left for pasting in a line if "confinfo" is supplied. - -\toappear{\the\boilerplate\par -{\confname{\the\conf}} \the\confinfo\par \the\copyrightetc} -% End of ACM_PROC_ARTICLE-SP.CLS -- V3.2SP - 04/22/2009 -- -% Gerry Murray -- Wednesday April 22nd. 2009 -% -% The following section (i.e. 3 .sty inclusions) was added in May 2007 so as to fix the problems that many -% authors were having with accents. Sometimes accents would occur, but the letter-character would be of a different -% font. Conversely the letter-character font would be correct but, e.g. a 'bar' would appear superimposed on the -% character instead of, say, an unlaut/diaresis. Sometimes the letter-character would NOT appear at all. -% Using [T1]{fontenc} outright was not an option as this caused 99% of the authors to 'produce' a Type-3 (bitmapped) -% PDF file - useless for production. -% -% For proper (font) accenting we NEED these packages to be part of the .cls file i.e. 'ae', 'aecompl' and 'aeguil' -% ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ -%% This is file `ae.sty' -\def\fileversion{1.3} -\def\filedate{2001/02/12} -\NeedsTeXFormat{LaTeX2e} -%\ProvidesPackage{ae}[\filedate\space\fileversion\space % GM -% Almost European Computer Modern] % GM - keeping the log file clean(er) -\newif\if@ae@slides \@ae@slidesfalse -\DeclareOption{slides}{\@ae@slidestrue} -\ProcessOptions -\fontfamily{aer} -\RequirePackage[T1]{fontenc} -\if@ae@slides - \renewcommand{\sfdefault}{laess} - \renewcommand{\rmdefault}{laess} % no roman - \renewcommand{\ttdefault}{laett} -\else - \renewcommand{\sfdefault}{aess} - \renewcommand{\rmdefault}{aer} - \renewcommand{\ttdefault}{aett} -\fi -\endinput -%% -%% End of file `ae.sty'. -% -% -\def\fileversion{0.9} -\def\filedate{1998/07/23} -\NeedsTeXFormat{LaTeX2e} -%\ProvidesPackage{aecompl}[\filedate\space\fileversion\space % GM -%T1 Complements for AE fonts (D. Roegel)] % GM -- keeping the log file clean(er) - -\def\@ae@compl#1{{\fontencoding{T1}\fontfamily{cmr}\selectfont\symbol{#1}}} -\def\guillemotleft{\@ae@compl{19}} -\def\guillemotright{\@ae@compl{20}} -\def\guilsinglleft{\@ae@compl{14}} -\def\guilsinglright{\@ae@compl{15}} -\def\TH{\@ae@compl{222}} -\def\NG{\@ae@compl{141}} -\def\ng{\@ae@compl{173}} -\def\th{\@ae@compl{254}} -\def\DJ{\@ae@compl{208}} -\def\dj{\@ae@compl{158}} -\def\DH{\@ae@compl{208}} -\def\dh{\@ae@compl{240}} -\def\@perthousandzero{\@ae@compl{24}} -\def\textperthousand{\%\@perthousandzero} -\def\textpertenthousand{\%\@perthousandzero\@perthousandzero} -\endinput -% -% -%% This is file `aeguill.sty' -% This file gives french guillemets (and not guillemots!) -% built with the Polish CMR fonts (default), WNCYR fonts, the LASY fonts -% or with the EC fonts. -% This is useful in conjunction with the ae package -% (this package loads the ae package in case it has not been loaded) -% and with or without the french(le) package. -% -% In order to get the guillemets, it is necessary to either type -% \guillemotleft and \guillemotright, or to use an 8 bit encoding -% (such as ISO-Latin1) which selects these two commands, -% or, if you use the french package (but not the frenchle package), -% to type << or >>. -% -% By default, you get the Polish CMR guillemets; if this package is loaded -% with the `cm' option, you get the LASY guillemets; with `ec,' you -% get the EC guillemets, and with `cyr,' you get the cyrillic guillemets. -% -% In verbatim mode, you always get the EC/TT guillemets. -% -% The default option is interesting in conjunction with PDF, -% because there is a Type 1 version of the Polish CMR fonts -% and these guillemets are very close in shape to the EC guillemets. -% There are no free Type 1 versions of the EC fonts. -% -% Support for Polish CMR guillemets was kindly provided by -% Rolf Niepraschk in version 0.99 (2000/05/22). -% Bernd Raichle provided extensive simplifications to the code -% for version 1.00. -% -% This package is released under the LPPL. -% -% Changes: -% Date version -% 2001/04/12 1.01 the frenchle and french package are now distinguished. -% -\def\fileversion{1.01} -\def\filedate{2001/04/12} -\NeedsTeXFormat{LaTeX2e} -%\ProvidesPackage{aeguill}[2001/04/12 1.01 % % GM -%AE fonts with french guillemets (D. Roegel)] % GM - keeping the log file clean(er) -%\RequirePackage{ae} % GM May 2007 - already embedded here - -\newcommand{\@ae@switch}[4]{#4} -\DeclareOption{ec}{\renewcommand\@ae@switch[4]{#1}} -\DeclareOption{cm}{\renewcommand\@ae@switch[4]{#2}} -\DeclareOption{cyr}{\renewcommand\@ae@switch[4]{#3}} -\DeclareOption{pl}{\renewcommand\@ae@switch[4]{#4}} -\ExecuteOptions{pl} -\ProcessOptions - -% -% Load necessary packages -% -\@ae@switch{% ec - % do nothing -}{% cm - \RequirePackage{latexsym}% GM - May 2007 - already 'mentioned as required' up above -}{% cyr - \RequirePackage[OT2,T1]{fontenc}% -}{% pl - \RequirePackage[OT4,T1]{fontenc}% -} - -% The following command will be compared to \frenchname, -% as defined in french.sty and frenchle.sty. -\def\aeguillfrenchdefault{french}% - -\let\guill@verbatim@font\verbatim@font -\def\verbatim@font{\guill@verbatim@font\ecguills{cmtt}% - \let\guillemotleft\@oguills\let\guillemotright\@fguills} - -\begingroup \catcode`\<=13 \catcode`\>=13 -\def\x{\endgroup - \def\ae@lfguill{<<}% - \def\ae@rfguill{>>}% -}\x - -\newcommand{\ecguills}[1]{% - \def\selectguillfont{\fontencoding{T1}\fontfamily{#1}\selectfont}% - \def\@oguills{{\selectguillfont\symbol{19}}}% - \def\@fguills{{\selectguillfont\symbol{20}}}% - } - -\newcommand{\aeguills}{% - \ae@guills - % We redefine \guillemotleft and \guillemotright - % in order to catch them when they are used - % with \DeclareInputText (in latin1.def for instance) - % We use \auxWARNINGi as a safe indicator that french.sty is used. - \gdef\guillemotleft{\ifx\auxWARNINGi\undefined - \@oguills % neither french.sty nor frenchle.sty - \else - \ifx\aeguillfrenchdefault\frenchname - \ae@lfguill % french.sty - \else - \@oguills % frenchle.sty - \fi - \fi}% - \gdef\guillemotright{\ifx\auxWARNINGi\undefined - \@fguills % neither french.sty nor frenchle.sty - \else - \ifx\aeguillfrenchdefault\frenchname - \ae@rfguill % french.sty - \else - \@fguills % frenchle.sty - \fi - \fi}% - } - -% -% Depending on the class option -% define the internal command \ae@guills -\@ae@switch{% ec - \newcommand{\ae@guills}{% - \ecguills{cmr}}% -}{% cm - \newcommand{\ae@guills}{% - \def\selectguillfont{\fontencoding{U}\fontfamily{lasy}% - \fontseries{m}\fontshape{n}\selectfont}% - \def\@oguills{\leavevmode\nobreak - \hbox{\selectguillfont (\kern-.20em(\kern.20em}\nobreak}% - \def\@fguills{\leavevmode\nobreak - \hbox{\selectguillfont \kern.20em)\kern-.2em)}% - \ifdim\fontdimen\@ne\font>\z@\/\fi}}% -}{% cyr - \newcommand{\ae@guills}{% - \def\selectguillfont{\fontencoding{OT2}\fontfamily{wncyr}\selectfont}% - \def\@oguills{{\selectguillfont\symbol{60}}}% - \def\@fguills{{\selectguillfont\symbol{62}}}} -}{% pl - \newcommand{\ae@guills}{% - \def\selectguillfont{\fontencoding{OT4}\fontfamily{cmr}\selectfont}% - \def\@oguills{{\selectguillfont\symbol{174}}}% - \def\@fguills{{\selectguillfont\symbol{175}}}} -} - - -\AtBeginDocument{% - \ifx\GOfrench\undefined - \aeguills - \else - \let\aeguill@GOfrench\GOfrench - \gdef\GOfrench{\aeguill@GOfrench \aeguills}% - \fi - } - -\endinput -% - - From 032a6126eca9734164fd406d1067d9b4948f7732 Mon Sep 17 00:00:00 2001 From: Tristan Naumann Date: Fri, 11 Jul 2014 17:14:29 -0400 Subject: [PATCH 063/393] Adding test scaffolding. --- tests/__init__.py | 1 + tests/test_dummy.py | 12 ++++++++++++ 2 files changed, 13 insertions(+) create mode 100644 tests/__init__.py create mode 100644 tests/test_dummy.py diff --git a/tests/__init__.py b/tests/__init__.py new file mode 100644 index 0000000..7c68785 --- /dev/null +++ b/tests/__init__.py @@ -0,0 +1 @@ +# -*- coding: utf-8 -*- \ No newline at end of file diff --git a/tests/test_dummy.py b/tests/test_dummy.py new file mode 100644 index 0000000..5e37f26 --- /dev/null +++ b/tests/test_dummy.py @@ -0,0 +1,12 @@ +#!/usr/bin/env python +# -*- coding: utf-8 -*- + +""" +test_dummy +--------------------------------- + +Dummy test that always passes. +""" + +def test(): + pass \ No newline at end of file From 0466cfd2489345e9f92343fa3d571685f436b44d Mon Sep 17 00:00:00 2001 From: Tristan Naumann Date: Fri, 11 Jul 2014 17:33:57 -0400 Subject: [PATCH 064/393] Adding cookiecutter requirements.txt. --- requirements.txt | 1 + 1 file changed, 1 insertion(+) create mode 100644 requirements.txt diff --git a/requirements.txt b/requirements.txt new file mode 100644 index 0000000..edcc87e --- /dev/null +++ b/requirements.txt @@ -0,0 +1 @@ +wheel==0.23.0 \ No newline at end of file From 4ed7bf79eb6756306b446e2e28fc8ada6e3cb774 Mon Sep 17 00:00:00 2001 From: Tristan Naumann Date: Fri, 11 Jul 2014 17:42:29 -0400 Subject: [PATCH 065/393] Adding cookiecutter tox.ini. --- tox.ini | 9 +++++++++ 1 file changed, 9 insertions(+) create mode 100644 tox.ini diff --git a/tox.ini b/tox.ini new file mode 100644 index 0000000..3954c7f --- /dev/null +++ b/tox.ini @@ -0,0 +1,9 @@ +[tox] +envlist = py26, py27, py33, py34 + +[testenv] +setenv = + PYTHONPATH = {toxinidir}:{toxinidir}/clicon +commands = python setup.py test +deps = + -r{toxinidir}/requirements.txt \ No newline at end of file From c0663458e7a23ff3e022c1454f87465e1f1e0eb9 Mon Sep 17 00:00:00 2001 From: Tristan Naumann Date: Fri, 11 Jul 2014 17:44:41 -0400 Subject: [PATCH 066/393] Adding cookiecutter MANIFEST.in. --- MANIFEST.in | 11 +++++++++++ 1 file changed, 11 insertions(+) create mode 100644 MANIFEST.in diff --git a/MANIFEST.in b/MANIFEST.in new file mode 100644 index 0000000..6fd9409 --- /dev/null +++ b/MANIFEST.in @@ -0,0 +1,11 @@ +include AUTHORS.rst +include CONTRIBUTING.rst +include HISTORY.rst +include LICENSE +include README.rst + +recursive-include tests * +recursive-exclude * __pycache__ +recursive-exclude * *.py[co] + +recursive-include docs *.rst conf.py Makefile make.bat \ No newline at end of file From c96f58b993bc784b2390a739f18eb0f2156f9991 Mon Sep 17 00:00:00 2001 From: Tristan Naumann Date: Fri, 11 Jul 2014 18:44:21 -0400 Subject: [PATCH 067/393] Adding cookiecutter Makefile. --- Makefile | 57 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++ 1 file changed, 57 insertions(+) create mode 100644 Makefile diff --git a/Makefile b/Makefile new file mode 100644 index 0000000..ff3aa43 --- /dev/null +++ b/Makefile @@ -0,0 +1,57 @@ +.PHONY: clean-pyc clean-build docs clean + +help: + @echo "clean-build - remove build artifacts" + @echo "clean-pyc - remove Python file artifacts" + @echo "lint - check style with flake8" + @echo "test - run tests quickly with the default Python" + @echo "test-all - run tests on every Python version with tox" + @echo "coverage - check code coverage quickly with the default Python" + @echo "docs - generate Sphinx HTML documentation, including API docs" + @echo "release - package and upload a release" + @echo "dist - package" + +clean: clean-build clean-pyc + rm -fr htmlcov/ + +clean-build: + rm -fr build/ + rm -fr dist/ + rm -fr *.egg-info + +clean-pyc: + find . -name '*.pyc' -exec rm -f {} + + find . -name '*.pyo' -exec rm -f {} + + find . -name '*~' -exec rm -f {} + + +lint: + flake8 clicon tests + +test: + python setup.py test + +test-all: + tox + +coverage: + coverage run --source clicon setup.py test + coverage report -m + coverage html + open htmlcov/index.html + +docs: + rm -f docs/clicon.rst + rm -f docs/modules.rst + sphinx-apidoc -o docs/ clicon + $(MAKE) -C docs clean + $(MAKE) -C docs html + open docs/_build/html/index.html + +release: clean + python setup.py sdist upload + python setup.py bdist_wheel upload + +dist: clean + python setup.py sdist + python setup.py bdist_wheel + ls -l dist \ No newline at end of file From c480a43f580295e92337e0e3b11c9fd58d6cc41b Mon Sep 17 00:00:00 2001 From: Tristan Naumann Date: Fri, 11 Jul 2014 18:45:06 -0400 Subject: [PATCH 068/393] Adding cookiecutter LICENSE (placeholder). --- LICENSE | 0 1 file changed, 0 insertions(+), 0 deletions(-) create mode 100644 LICENSE diff --git a/LICENSE b/LICENSE new file mode 100644 index 0000000..e69de29 From 55e5feb13396df63a19f7dd03e0ff3527bc4c4b1 Mon Sep 17 00:00:00 2001 From: Tristan Naumann Date: Fri, 11 Jul 2014 18:48:28 -0400 Subject: [PATCH 069/393] Adding cookiecutter AUTHORS.rst (placeholder). --- AUTHORS.rst | 13 +++++++++++++ 1 file changed, 13 insertions(+) create mode 100644 AUTHORS.rst diff --git a/AUTHORS.rst b/AUTHORS.rst new file mode 100644 index 0000000..a835c68 --- /dev/null +++ b/AUTHORS.rst @@ -0,0 +1,13 @@ +======= +Credits +======= + +Development Lead +---------------- + +* Tristan Naumann + +Contributors +------------ + +None yet. Why not be the first? \ No newline at end of file From 7a4c4eca33007e8c6143731abb199bc3a666c01a Mon Sep 17 00:00:00 2001 From: Tristan Naumann Date: Fri, 11 Jul 2014 18:48:59 -0400 Subject: [PATCH 070/393] Adding cookiecutter CONTRIBUTING.rst (placeholder). --- CONTRIBUTING.rst | 0 1 file changed, 0 insertions(+), 0 deletions(-) create mode 100644 CONTRIBUTING.rst diff --git a/CONTRIBUTING.rst b/CONTRIBUTING.rst new file mode 100644 index 0000000..e69de29 From 367f7966b3d9212ad81add4cd9bcfd371f0a7c36 Mon Sep 17 00:00:00 2001 From: Tristan Naumann Date: Fri, 11 Jul 2014 18:49:32 -0400 Subject: [PATCH 071/393] Adding cookiecutter README.rst (placeholder). --- README.rst | 0 1 file changed, 0 insertions(+), 0 deletions(-) create mode 100644 README.rst diff --git a/README.rst b/README.rst new file mode 100644 index 0000000..e69de29 From 5932edbc19027c73e72811037c4e0c2d2fd4ce9d Mon Sep 17 00:00:00 2001 From: Tristan Naumann Date: Fri, 11 Jul 2014 18:50:07 -0400 Subject: [PATCH 072/393] Adding cookiecutter HISTORY.rst (placeholder). --- HISTORY.rst | 0 1 file changed, 0 insertions(+), 0 deletions(-) create mode 100644 HISTORY.rst diff --git a/HISTORY.rst b/HISTORY.rst new file mode 100644 index 0000000..e69de29 From 98ff174549b1958a145c667b36ae9b94e119cfa0 Mon Sep 17 00:00:00 2001 From: Tristan Naumann Date: Fri, 11 Jul 2014 18:53:45 -0400 Subject: [PATCH 073/393] Updating wheel status in setup.cfg. --- setup.cfg | 2 ++ 1 file changed, 2 insertions(+) diff --git a/setup.cfg b/setup.cfg index e69de29..5e40900 100644 --- a/setup.cfg +++ b/setup.cfg @@ -0,0 +1,2 @@ +[wheel] +universal = 1 From 8127741b736b923ce29d34cb6468c2777deb54a6 Mon Sep 17 00:00:00 2001 From: Tristan Naumann Date: Fri, 11 Jul 2014 19:07:16 -0400 Subject: [PATCH 074/393] Adding cookiecutter docs. --- docs/Makefile | 177 +++++++++++++++++++++++++++ docs/authors.rst | 1 + docs/conf.py | 275 ++++++++++++++++++++++++++++++++++++++++++ docs/contributing.rst | 1 + docs/history.rst | 1 + docs/index.rst | 26 ++++ docs/installation.rst | 12 ++ docs/make.bat | 242 +++++++++++++++++++++++++++++++++++++ docs/readme.rst | 1 + docs/usage.rst | 7 ++ 10 files changed, 743 insertions(+) create mode 100644 docs/Makefile create mode 100644 docs/authors.rst create mode 100755 docs/conf.py create mode 100644 docs/contributing.rst create mode 100644 docs/history.rst create mode 100644 docs/index.rst create mode 100644 docs/installation.rst create mode 100644 docs/make.bat create mode 100644 docs/readme.rst create mode 100644 docs/usage.rst diff --git a/docs/Makefile b/docs/Makefile new file mode 100644 index 0000000..1005e26 --- /dev/null +++ b/docs/Makefile @@ -0,0 +1,177 @@ +# Makefile for Sphinx documentation +# + +# You can set these variables from the command line. +SPHINXOPTS = +SPHINXBUILD = sphinx-build +PAPER = +BUILDDIR = _build + +# User-friendly check for sphinx-build +ifeq ($(shell which $(SPHINXBUILD) >/dev/null 2>&1; echo $$?), 1) +$(error The '$(SPHINXBUILD)' command was not found. Make sure you have Sphinx installed, then set the SPHINXBUILD environment variable to point to the full path of the '$(SPHINXBUILD)' executable. Alternatively you can add the directory with the executable to your PATH. If you don't have Sphinx installed, grab it from http://sphinx-doc.org/) +endif + +# Internal variables. +PAPEROPT_a4 = -D latex_paper_size=a4 +PAPEROPT_letter = -D latex_paper_size=letter +ALLSPHINXOPTS = -d $(BUILDDIR)/doctrees $(PAPEROPT_$(PAPER)) $(SPHINXOPTS) . +# the i18n builder cannot share the environment and doctrees with the others +I18NSPHINXOPTS = $(PAPEROPT_$(PAPER)) $(SPHINXOPTS) . + +.PHONY: help clean html dirhtml singlehtml pickle json htmlhelp qthelp devhelp epub latex latexpdf text man changes linkcheck doctest gettext + +help: + @echo "Please use \`make ' where is one of" + @echo " html to make standalone HTML files" + @echo " dirhtml to make HTML files named index.html in directories" + @echo " singlehtml to make a single large HTML file" + @echo " pickle to make pickle files" + @echo " json to make JSON files" + @echo " htmlhelp to make HTML files and a HTML help project" + @echo " qthelp to make HTML files and a qthelp project" + @echo " devhelp to make HTML files and a Devhelp project" + @echo " epub to make an epub" + @echo " latex to make LaTeX files, you can set PAPER=a4 or PAPER=letter" + @echo " latexpdf to make LaTeX files and run them through pdflatex" + @echo " latexpdfja to make LaTeX files and run them through platex/dvipdfmx" + @echo " text to make text files" + @echo " man to make manual pages" + @echo " texinfo to make Texinfo files" + @echo " info to make Texinfo files and run them through makeinfo" + @echo " gettext to make PO message catalogs" + @echo " changes to make an overview of all changed/added/deprecated items" + @echo " xml to make Docutils-native XML files" + @echo " pseudoxml to make pseudoxml-XML files for display purposes" + @echo " linkcheck to check all external links for integrity" + @echo " doctest to run all doctests embedded in the documentation (if enabled)" + +clean: + rm -rf $(BUILDDIR)/* + +html: + $(SPHINXBUILD) -b html $(ALLSPHINXOPTS) $(BUILDDIR)/html + @echo + @echo "Build finished. The HTML pages are in $(BUILDDIR)/html." + +dirhtml: + $(SPHINXBUILD) -b dirhtml $(ALLSPHINXOPTS) $(BUILDDIR)/dirhtml + @echo + @echo "Build finished. The HTML pages are in $(BUILDDIR)/dirhtml." + +singlehtml: + $(SPHINXBUILD) -b singlehtml $(ALLSPHINXOPTS) $(BUILDDIR)/singlehtml + @echo + @echo "Build finished. The HTML page is in $(BUILDDIR)/singlehtml." + +pickle: + $(SPHINXBUILD) -b pickle $(ALLSPHINXOPTS) $(BUILDDIR)/pickle + @echo + @echo "Build finished; now you can process the pickle files." + +json: + $(SPHINXBUILD) -b json $(ALLSPHINXOPTS) $(BUILDDIR)/json + @echo + @echo "Build finished; now you can process the JSON files." + +htmlhelp: + $(SPHINXBUILD) -b htmlhelp $(ALLSPHINXOPTS) $(BUILDDIR)/htmlhelp + @echo + @echo "Build finished; now you can run HTML Help Workshop with the" \ + ".hhp project file in $(BUILDDIR)/htmlhelp." + +qthelp: + $(SPHINXBUILD) -b qthelp $(ALLSPHINXOPTS) $(BUILDDIR)/qthelp + @echo + @echo "Build finished; now you can run "qcollectiongenerator" with the" \ + ".qhcp project file in $(BUILDDIR)/qthelp, like this:" + @echo "# qcollectiongenerator $(BUILDDIR)/qthelp/complexity.qhcp" + @echo "To view the help file:" + @echo "# assistant -collectionFile $(BUILDDIR)/qthelp/complexity.qhc" + +devhelp: + $(SPHINXBUILD) -b devhelp $(ALLSPHINXOPTS) $(BUILDDIR)/devhelp + @echo + @echo "Build finished." + @echo "To view the help file:" + @echo "# mkdir -p $$HOME/.local/share/devhelp/complexity" + @echo "# ln -s $(BUILDDIR)/devhelp $$HOME/.local/share/devhelp/complexity" + @echo "# devhelp" + +epub: + $(SPHINXBUILD) -b epub $(ALLSPHINXOPTS) $(BUILDDIR)/epub + @echo + @echo "Build finished. The epub file is in $(BUILDDIR)/epub." + +latex: + $(SPHINXBUILD) -b latex $(ALLSPHINXOPTS) $(BUILDDIR)/latex + @echo + @echo "Build finished; the LaTeX files are in $(BUILDDIR)/latex." + @echo "Run \`make' in that directory to run these through (pdf)latex" \ + "(use \`make latexpdf' here to do that automatically)." + +latexpdf: + $(SPHINXBUILD) -b latex $(ALLSPHINXOPTS) $(BUILDDIR)/latex + @echo "Running LaTeX files through pdflatex..." + $(MAKE) -C $(BUILDDIR)/latex all-pdf + @echo "pdflatex finished; the PDF files are in $(BUILDDIR)/latex." + +latexpdfja: + $(SPHINXBUILD) -b latex $(ALLSPHINXOPTS) $(BUILDDIR)/latex + @echo "Running LaTeX files through platex and dvipdfmx..." + $(MAKE) -C $(BUILDDIR)/latex all-pdf-ja + @echo "pdflatex finished; the PDF files are in $(BUILDDIR)/latex." + +text: + $(SPHINXBUILD) -b text $(ALLSPHINXOPTS) $(BUILDDIR)/text + @echo + @echo "Build finished. The text files are in $(BUILDDIR)/text." + +man: + $(SPHINXBUILD) -b man $(ALLSPHINXOPTS) $(BUILDDIR)/man + @echo + @echo "Build finished. The manual pages are in $(BUILDDIR)/man." + +texinfo: + $(SPHINXBUILD) -b texinfo $(ALLSPHINXOPTS) $(BUILDDIR)/texinfo + @echo + @echo "Build finished. The Texinfo files are in $(BUILDDIR)/texinfo." + @echo "Run \`make' in that directory to run these through makeinfo" \ + "(use \`make info' here to do that automatically)." + +info: + $(SPHINXBUILD) -b texinfo $(ALLSPHINXOPTS) $(BUILDDIR)/texinfo + @echo "Running Texinfo files through makeinfo..." + make -C $(BUILDDIR)/texinfo info + @echo "makeinfo finished; the Info files are in $(BUILDDIR)/texinfo." + +gettext: + $(SPHINXBUILD) -b gettext $(I18NSPHINXOPTS) $(BUILDDIR)/locale + @echo + @echo "Build finished. The message catalogs are in $(BUILDDIR)/locale." + +changes: + $(SPHINXBUILD) -b changes $(ALLSPHINXOPTS) $(BUILDDIR)/changes + @echo + @echo "The overview file is in $(BUILDDIR)/changes." + +linkcheck: + $(SPHINXBUILD) -b linkcheck $(ALLSPHINXOPTS) $(BUILDDIR)/linkcheck + @echo + @echo "Link check complete; look for any errors in the above output " \ + "or in $(BUILDDIR)/linkcheck/output.txt." + +doctest: + $(SPHINXBUILD) -b doctest $(ALLSPHINXOPTS) $(BUILDDIR)/doctest + @echo "Testing of doctests in the sources finished, look at the " \ + "results in $(BUILDDIR)/doctest/output.txt." + +xml: + $(SPHINXBUILD) -b xml $(ALLSPHINXOPTS) $(BUILDDIR)/xml + @echo + @echo "Build finished. The XML files are in $(BUILDDIR)/xml." + +pseudoxml: + $(SPHINXBUILD) -b pseudoxml $(ALLSPHINXOPTS) $(BUILDDIR)/pseudoxml + @echo + @echo "Build finished. The pseudo-XML files are in $(BUILDDIR)/pseudoxml." \ No newline at end of file diff --git a/docs/authors.rst b/docs/authors.rst new file mode 100644 index 0000000..94292d0 --- /dev/null +++ b/docs/authors.rst @@ -0,0 +1 @@ +.. include:: ../AUTHORS.rst \ No newline at end of file diff --git a/docs/conf.py b/docs/conf.py new file mode 100755 index 0000000..9cb4440 --- /dev/null +++ b/docs/conf.py @@ -0,0 +1,275 @@ +#!/usr/bin/env python +# -*- coding: utf-8 -*- +# +# complexity documentation build configuration file, created by +# sphinx-quickstart on Tue Jul 9 22:26:36 2013. +# +# This file is execfile()d with the current directory set to its +# containing dir. +# +# Note that not all possible configuration values are present in this +# autogenerated file. +# +# All configuration values have a default; values that are commented out +# serve to show the default. + +import sys +import os + +# If extensions (or modules to document with autodoc) are in another +# directory, add these directories to sys.path here. If the directory is +# relative to the documentation root, use os.path.abspath to make it +# absolute, like shown here. +#sys.path.insert(0, os.path.abspath('.')) + +# Get the project root dir, which is the parent dir of this +cwd = os.getcwd() +project_root = os.path.dirname(cwd) + +# Insert the project root dir as the first element in the PYTHONPATH. +# This lets us ensure that the source package is imported, and that its +# version is used. +sys.path.insert(0, project_root) + +import clicon + +# -- General configuration --------------------------------------------- + +# If your documentation needs a minimal Sphinx version, state it here. +#needs_sphinx = '1.0' + +# Add any Sphinx extension module names here, as strings. They can be +# extensions coming with Sphinx (named 'sphinx.ext.*') or your custom ones. +extensions = ['sphinx.ext.autodoc', 'sphinx.ext.viewcode'] + +# Add any paths that contain templates here, relative to this directory. +templates_path = ['_templates'] + +# The suffix of source filenames. +source_suffix = '.rst' + +# The encoding of source files. +#source_encoding = 'utf-8-sig' + +# The master toctree document. +master_doc = 'index' + +# General information about the project. +project = u'CliCon' +copyright = u'2014, Tristan Naumann' + +# The version info for the project you're documenting, acts as replacement +# for |version| and |release|, also used in various other places throughout +# the built documents. +# +# The short X.Y version. +version = clicon.__version__ +# The full version, including alpha/beta/rc tags. +release = clicon.__version__ + +# The language for content autogenerated by Sphinx. Refer to documentation +# for a list of supported languages. +#language = None + +# There are two options for replacing |today|: either, you set today to +# some non-false value, then it is used: +#today = '' +# Else, today_fmt is used as the format for a strftime call. +#today_fmt = '%B %d, %Y' + +# List of patterns, relative to source directory, that match files and +# directories to ignore when looking for source files. +exclude_patterns = ['_build'] + +# The reST default role (used for this markup: `text`) to use for all +# documents. +#default_role = None + +# If true, '()' will be appended to :func: etc. cross-reference text. +#add_function_parentheses = True + +# If true, the current module name will be prepended to all description +# unit titles (such as .. function::). +#add_module_names = True + +# If true, sectionauthor and moduleauthor directives will be shown in the +# output. They are ignored by default. +#show_authors = False + +# The name of the Pygments (syntax highlighting) style to use. +pygments_style = 'sphinx' + +# A list of ignored prefixes for module index sorting. +#modindex_common_prefix = [] + +# If true, keep warnings as "system message" paragraphs in the built +# documents. +#keep_warnings = False + + +# -- Options for HTML output ------------------------------------------- + +# The theme to use for HTML and HTML Help pages. See the documentation for +# a list of builtin themes. +html_theme = 'default' + +# Theme options are theme-specific and customize the look and feel of a +# theme further. For a list of options available for each theme, see the +# documentation. +#html_theme_options = {} + +# Add any paths that contain custom themes here, relative to this directory. +#html_theme_path = [] + +# The name for this set of Sphinx documents. If None, it defaults to +# " v documentation". +#html_title = None + +# A shorter title for the navigation bar. Default is the same as +# html_title. +#html_short_title = None + +# The name of an image file (relative to this directory) to place at the +# top of the sidebar. +#html_logo = None + +# The name of an image file (within the static path) to use as favicon +# of the docs. This file should be a Windows icon file (.ico) being +# 16x16 or 32x32 pixels large. +#html_favicon = None + +# Add any paths that contain custom static files (such as style sheets) +# here, relative to this directory. They are copied after the builtin +# static files, so a file named "default.css" will overwrite the builtin +# "default.css". +html_static_path = ['_static'] + +# If not '', a 'Last updated on:' timestamp is inserted at every page +# bottom, using the given strftime format. +#html_last_updated_fmt = '%b %d, %Y' + +# If true, SmartyPants will be used to convert quotes and dashes to +# typographically correct entities. +#html_use_smartypants = True + +# Custom sidebar templates, maps document names to template names. +#html_sidebars = {} + +# Additional templates that should be rendered to pages, maps page names +# to template names. +#html_additional_pages = {} + +# If false, no module index is generated. +#html_domain_indices = True + +# If false, no index is generated. +#html_use_index = True + +# If true, the index is split into individual pages for each letter. +#html_split_index = False + +# If true, links to the reST sources are added to the pages. +#html_show_sourcelink = True + +# If true, "Created using Sphinx" is shown in the HTML footer. +# Default is True. +#html_show_sphinx = True + +# If true, "(C) Copyright ..." is shown in the HTML footer. +# Default is True. +#html_show_copyright = True + +# If true, an OpenSearch description file will be output, and all pages +# will contain a tag referring to it. The value of this option +# must be the base URL from which the finished HTML is served. +#html_use_opensearch = '' + +# This is the file name suffix for HTML files (e.g. ".xhtml"). +#html_file_suffix = None + +# Output file base name for HTML help builder. +htmlhelp_basename = 'clicondoc' + + +# -- Options for LaTeX output ------------------------------------------ + +latex_elements = { + # The paper size ('letterpaper' or 'a4paper'). + #'papersize': 'letterpaper', + + # The font size ('10pt', '11pt' or '12pt'). + #'pointsize': '10pt', + + # Additional stuff for the LaTeX preamble. + #'preamble': '', +} + +# Grouping the document tree into LaTeX files. List of tuples +# (source start file, target name, title, author, documentclass +# [howto/manual]). +latex_documents = [ + ('index', 'clicon.tex', + u'CliCon Documentation', + u'Tristan Naumann', 'manual'), +] + +# The name of an image file (relative to this directory) to place at +# the top of the title page. +#latex_logo = None + +# For "manual" documents, if this is true, then toplevel headings +# are parts, not chapters. +#latex_use_parts = False + +# If true, show page references after internal links. +#latex_show_pagerefs = False + +# If true, show URL addresses after external links. +#latex_show_urls = False + +# Documents to append as an appendix to all manuals. +#latex_appendices = [] + +# If false, no module index is generated. +#latex_domain_indices = True + + +# -- Options for manual page output ------------------------------------ + +# One entry per manual page. List of tuples +# (source start file, name, description, authors, manual section). +man_pages = [ + ('index', 'clicon', + u'CliCon Documentation', + [u'Tristan Naumann'], 1) +] + +# If true, show URL addresses after external links. +#man_show_urls = False + + +# -- Options for Texinfo output ---------------------------------------- + +# Grouping the document tree into Texinfo files. List of tuples +# (source start file, target name, title, author, +# dir menu entry, description, category) +texinfo_documents = [ + ('index', 'clicon', + u'CliCon Documentation', + u'Tristan Naumann', + 'clicon', + 'One line description of project.', + 'Miscellaneous'), +] + +# Documents to append as an appendix to all manuals. +#texinfo_appendices = [] + +# If false, no module index is generated. +#texinfo_domain_indices = True + +# How to display URL addresses: 'footnote', 'no', or 'inline'. +#texinfo_show_urls = 'footnote' + +# If true, do not generate a @detailmenu in the "Top" node's menu. +#texinfo_no_detailmenu = False \ No newline at end of file diff --git a/docs/contributing.rst b/docs/contributing.rst new file mode 100644 index 0000000..3bdd7dc --- /dev/null +++ b/docs/contributing.rst @@ -0,0 +1 @@ +.. include:: ../CONTRIBUTING.rst \ No newline at end of file diff --git a/docs/history.rst b/docs/history.rst new file mode 100644 index 0000000..bec23d8 --- /dev/null +++ b/docs/history.rst @@ -0,0 +1 @@ +.. include:: ../HISTORY.rst \ No newline at end of file diff --git a/docs/index.rst b/docs/index.rst new file mode 100644 index 0000000..cd9d3a6 --- /dev/null +++ b/docs/index.rst @@ -0,0 +1,26 @@ +.. complexity documentation master file, created by + sphinx-quickstart on Tue Jul 9 22:26:36 2013. + You can adapt this file completely to your liking, but it should at least + contain the root `toctree` directive. + +Welcome to CliCon's documentation! +====================================== + +Contents: + +.. toctree:: + :maxdepth: 2 + + readme + installation + usage + contributing + authors + history + +Indices and tables +================== + +* :ref:`genindex` +* :ref:`modindex` +* :ref:`search` diff --git a/docs/installation.rst b/docs/installation.rst new file mode 100644 index 0000000..a92f22e --- /dev/null +++ b/docs/installation.rst @@ -0,0 +1,12 @@ +============ +Installation +============ + +At the command line:: + + $ easy_install clicon + +Or, if you have virtualenvwrapper installed:: + + $ mkvirtualenv clicon + $ pip install clicon \ No newline at end of file diff --git a/docs/make.bat b/docs/make.bat new file mode 100644 index 0000000..2b44764 --- /dev/null +++ b/docs/make.bat @@ -0,0 +1,242 @@ +@ECHO OFF + +REM Command file for Sphinx documentation + +if "%SPHINXBUILD%" == "" ( + set SPHINXBUILD=sphinx-build +) +set BUILDDIR=_build +set ALLSPHINXOPTS=-d %BUILDDIR%/doctrees %SPHINXOPTS% . +set I18NSPHINXOPTS=%SPHINXOPTS% . +if NOT "%PAPER%" == "" ( + set ALLSPHINXOPTS=-D latex_paper_size=%PAPER% %ALLSPHINXOPTS% + set I18NSPHINXOPTS=-D latex_paper_size=%PAPER% %I18NSPHINXOPTS% +) + +if "%1" == "" goto help + +if "%1" == "help" ( + :help + echo.Please use `make ^` where ^ is one of + echo. html to make standalone HTML files + echo. dirhtml to make HTML files named index.html in directories + echo. singlehtml to make a single large HTML file + echo. pickle to make pickle files + echo. json to make JSON files + echo. htmlhelp to make HTML files and a HTML help project + echo. qthelp to make HTML files and a qthelp project + echo. devhelp to make HTML files and a Devhelp project + echo. epub to make an epub + echo. latex to make LaTeX files, you can set PAPER=a4 or PAPER=letter + echo. text to make text files + echo. man to make manual pages + echo. texinfo to make Texinfo files + echo. gettext to make PO message catalogs + echo. changes to make an overview over all changed/added/deprecated items + echo. xml to make Docutils-native XML files + echo. pseudoxml to make pseudoxml-XML files for display purposes + echo. linkcheck to check all external links for integrity + echo. doctest to run all doctests embedded in the documentation if enabled + goto end +) + +if "%1" == "clean" ( + for /d %%i in (%BUILDDIR%\*) do rmdir /q /s %%i + del /q /s %BUILDDIR%\* + goto end +) + + +%SPHINXBUILD% 2> nul +if errorlevel 9009 ( + echo. + echo.The 'sphinx-build' command was not found. Make sure you have Sphinx + echo.installed, then set the SPHINXBUILD environment variable to point + echo.to the full path of the 'sphinx-build' executable. Alternatively you + echo.may add the Sphinx directory to PATH. + echo. + echo.If you don't have Sphinx installed, grab it from + echo.http://sphinx-doc.org/ + exit /b 1 +) + +if "%1" == "html" ( + %SPHINXBUILD% -b html %ALLSPHINXOPTS% %BUILDDIR%/html + if errorlevel 1 exit /b 1 + echo. + echo.Build finished. The HTML pages are in %BUILDDIR%/html. + goto end +) + +if "%1" == "dirhtml" ( + %SPHINXBUILD% -b dirhtml %ALLSPHINXOPTS% %BUILDDIR%/dirhtml + if errorlevel 1 exit /b 1 + echo. + echo.Build finished. The HTML pages are in %BUILDDIR%/dirhtml. + goto end +) + +if "%1" == "singlehtml" ( + %SPHINXBUILD% -b singlehtml %ALLSPHINXOPTS% %BUILDDIR%/singlehtml + if errorlevel 1 exit /b 1 + echo. + echo.Build finished. The HTML pages are in %BUILDDIR%/singlehtml. + goto end +) + +if "%1" == "pickle" ( + %SPHINXBUILD% -b pickle %ALLSPHINXOPTS% %BUILDDIR%/pickle + if errorlevel 1 exit /b 1 + echo. + echo.Build finished; now you can process the pickle files. + goto end +) + +if "%1" == "json" ( + %SPHINXBUILD% -b json %ALLSPHINXOPTS% %BUILDDIR%/json + if errorlevel 1 exit /b 1 + echo. + echo.Build finished; now you can process the JSON files. + goto end +) + +if "%1" == "htmlhelp" ( + %SPHINXBUILD% -b htmlhelp %ALLSPHINXOPTS% %BUILDDIR%/htmlhelp + if errorlevel 1 exit /b 1 + echo. + echo.Build finished; now you can run HTML Help Workshop with the ^ +.hhp project file in %BUILDDIR%/htmlhelp. + goto end +) + +if "%1" == "qthelp" ( + %SPHINXBUILD% -b qthelp %ALLSPHINXOPTS% %BUILDDIR%/qthelp + if errorlevel 1 exit /b 1 + echo. + echo.Build finished; now you can run "qcollectiongenerator" with the ^ +.qhcp project file in %BUILDDIR%/qthelp, like this: + echo.^> qcollectiongenerator %BUILDDIR%\qthelp\complexity.qhcp + echo.To view the help file: + echo.^> assistant -collectionFile %BUILDDIR%\qthelp\complexity.ghc + goto end +) + +if "%1" == "devhelp" ( + %SPHINXBUILD% -b devhelp %ALLSPHINXOPTS% %BUILDDIR%/devhelp + if errorlevel 1 exit /b 1 + echo. + echo.Build finished. + goto end +) + +if "%1" == "epub" ( + %SPHINXBUILD% -b epub %ALLSPHINXOPTS% %BUILDDIR%/epub + if errorlevel 1 exit /b 1 + echo. + echo.Build finished. The epub file is in %BUILDDIR%/epub. + goto end +) + +if "%1" == "latex" ( + %SPHINXBUILD% -b latex %ALLSPHINXOPTS% %BUILDDIR%/latex + if errorlevel 1 exit /b 1 + echo. + echo.Build finished; the LaTeX files are in %BUILDDIR%/latex. + goto end +) + +if "%1" == "latexpdf" ( + %SPHINXBUILD% -b latex %ALLSPHINXOPTS% %BUILDDIR%/latex + cd %BUILDDIR%/latex + make all-pdf + cd %BUILDDIR%/.. + echo. + echo.Build finished; the PDF files are in %BUILDDIR%/latex. + goto end +) + +if "%1" == "latexpdfja" ( + %SPHINXBUILD% -b latex %ALLSPHINXOPTS% %BUILDDIR%/latex + cd %BUILDDIR%/latex + make all-pdf-ja + cd %BUILDDIR%/.. + echo. + echo.Build finished; the PDF files are in %BUILDDIR%/latex. + goto end +) + +if "%1" == "text" ( + %SPHINXBUILD% -b text %ALLSPHINXOPTS% %BUILDDIR%/text + if errorlevel 1 exit /b 1 + echo. + echo.Build finished. The text files are in %BUILDDIR%/text. + goto end +) + +if "%1" == "man" ( + %SPHINXBUILD% -b man %ALLSPHINXOPTS% %BUILDDIR%/man + if errorlevel 1 exit /b 1 + echo. + echo.Build finished. The manual pages are in %BUILDDIR%/man. + goto end +) + +if "%1" == "texinfo" ( + %SPHINXBUILD% -b texinfo %ALLSPHINXOPTS% %BUILDDIR%/texinfo + if errorlevel 1 exit /b 1 + echo. + echo.Build finished. The Texinfo files are in %BUILDDIR%/texinfo. + goto end +) + +if "%1" == "gettext" ( + %SPHINXBUILD% -b gettext %I18NSPHINXOPTS% %BUILDDIR%/locale + if errorlevel 1 exit /b 1 + echo. + echo.Build finished. The message catalogs are in %BUILDDIR%/locale. + goto end +) + +if "%1" == "changes" ( + %SPHINXBUILD% -b changes %ALLSPHINXOPTS% %BUILDDIR%/changes + if errorlevel 1 exit /b 1 + echo. + echo.The overview file is in %BUILDDIR%/changes. + goto end +) + +if "%1" == "linkcheck" ( + %SPHINXBUILD% -b linkcheck %ALLSPHINXOPTS% %BUILDDIR%/linkcheck + if errorlevel 1 exit /b 1 + echo. + echo.Link check complete; look for any errors in the above output ^ +or in %BUILDDIR%/linkcheck/output.txt. + goto end +) + +if "%1" == "doctest" ( + %SPHINXBUILD% -b doctest %ALLSPHINXOPTS% %BUILDDIR%/doctest + if errorlevel 1 exit /b 1 + echo. + echo.Testing of doctests in the sources finished, look at the ^ +results in %BUILDDIR%/doctest/output.txt. + goto end +) + +if "%1" == "xml" ( + %SPHINXBUILD% -b xml %ALLSPHINXOPTS% %BUILDDIR%/xml + if errorlevel 1 exit /b 1 + echo. + echo.Build finished. The XML files are in %BUILDDIR%/xml. + goto end +) + +if "%1" == "pseudoxml" ( + %SPHINXBUILD% -b pseudoxml %ALLSPHINXOPTS% %BUILDDIR%/pseudoxml + if errorlevel 1 exit /b 1 + echo. + echo.Build finished. The pseudo-XML files are in %BUILDDIR%/pseudoxml. + goto end +) + +:end \ No newline at end of file diff --git a/docs/readme.rst b/docs/readme.rst new file mode 100644 index 0000000..6b2b3ec --- /dev/null +++ b/docs/readme.rst @@ -0,0 +1 @@ +.. include:: ../README.rst \ No newline at end of file diff --git a/docs/usage.rst b/docs/usage.rst new file mode 100644 index 0000000..888ff9d --- /dev/null +++ b/docs/usage.rst @@ -0,0 +1,7 @@ +======== +Usage +======== + +To use CliCon in a project:: + + import clicon \ No newline at end of file From 28f9e36fb4c46cbcdeadbc0858b9ee85df14072d Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 15 Jul 2014 14:58:40 -0400 Subject: [PATCH 075/393] cleaning up for readability and style --- clicon/model.py | 151 ++++++++++++++++++++++++++---------------------- 1 file changed, 83 insertions(+), 68 deletions(-) diff --git a/clicon/model.py b/clicon/model.py index 2903679..6fd53d8 100644 --- a/clicon/model.py +++ b/clicon/model.py @@ -6,6 +6,7 @@ import sci import sys +from sklearn.feature_extraction import DictVectorizer from features import clicon_features @@ -45,6 +46,9 @@ def __init__(self, filename='awesome.model', type=sci.ALL): self.filename = os.path.realpath(filename) + # Classifiers + self.clfs = {} + # FIXME: Only using scikit's SVM self.type = sci.LIN @@ -61,28 +65,53 @@ def train(self, notes): @return None """ + # Useful for formatting data for both first & second pass + concat = lambda a,b: a+b + + + ############## + # First pass # + ############## + # Get the data and annotations from the Note objects - data = [ note.txtlist() for note in notes ] - labels = [ note.conlist() for note in notes ] - bounds = [ note.boundlist() for note in notes ] + text = [ note.txtlist() for note in notes ] + ioblist = [ note.iob_labels() for note in notes ] - # Merge data from all files (flatten() only flattens one level deep) - data = flatten( data ) - labels = flatten(labels) - bounds = flatten(bounds) + X1 = reduce( concat, text ) + Y1 = reduce( concat, ioblist ) # Create object that is a wrapper for the features - # FIXME - Is this necesarry? - feat_obj = clicon_features.FeatureWrapper(data) + # FIXME - Will likely remove in favor of calling in first/second_train() + feat_obj = clicon_features.FeatureWrapper(X1) + - # First pass print 'first' - self.first_train(data, labels, bounds, feat_obj) + #self.first_train( X1, Y1, feat_obj) + + + + ############### + # Second pass # + ############### + + # Get the data and annotations from the Note objects + chunks = [ note.text_chunks() for note in notes ] + conlist = [ note.concept_labels() for note in notes ] + X2 = reduce( concat, chunks ) + Y2 = reduce( concat, conlist ) + + + for x,y in zip(X2,Y2): + print x,y + + return + # Second pass print 'second' - self.second_train(data, labels, bounds, feat_obj) + self.second_train(X, Y2, feat_obj) + # Pickle dump print 'pickle dump' @@ -92,57 +121,66 @@ def train(self, notes): - # Model::train_first() - # - # @param notes. A list of Note objects that has data for training the model - def first_train(self, data, labels, chunks, feat_obj=None): + def first_train(self, X, Y, feat_obj=None): + + """ + Model::first_train() + + Purpose: Train the first pass classifiers (for IOB chunking) + + @param X. A list of split sentences (1 sent = 1 line from file) + @param Y. A list of list of IOB labels (1:1 mapping with X) + @param feat_obj A wrapper for the feature module + + @return None + """ print '\tbegin first_train()' + # (in case not doing both passes) Create feat_obj if not feat_obj: - feat_obj = clicon_features.FeatureWrapper(data) + feat_obj = clicon_features.FeatureWrapper(X) + print '\tfeat_obj created' + # IOB tagging # FIXME - Partition and then batch features prose = [] nonprose = [] prose_line_numbers = [] nonprose_line_numbers = [] - for i,line in enumerate(data): + for i,line in enumerate(X): isProse,feats = feat_obj.IOB_features(line) if isProse: - prose.append( feats ) + prose += feats prose_line_numbers.append(i) else: - nonprose.append( feats ) + nonprose += feats nonprose_line_numbers.append(i) - print '\tfeatures assigned' - - # Vectorize IOB labels - label_lu = lambda l: Model.IOBs_labels[l] - chunks = [map(label_lu, x) for x in chunks] + print '\tfeatures assigned' print '\tsegregate "chunks" list into prose and nonprose' - # Segregate chunks into 'Prose CHUNKS' and 'Nonprose CHUNKS' + # FIXME - very unclear what this is + # Description: Separate labels by same division as text prose_ind = 0 nonprose_ind = 0 pchunks = [] nchunks = [] p_end_flag = False n_end_flag = False - for i,line in enumerate(chunks): + for i,line in enumerate(Y): if (not p_end_flag) and (i == prose_line_numbers[prose_ind]): - pchunks.append(line) + pchunks += line prose_ind += 1 if prose_ind == len(prose_line_numbers): p_end_flag = True elif (not n_end_flag) and (i == nonprose_line_numbers[nonprose_ind]): - nchunks.append(line) + nchunks += line nonprose_ind += 1 if nonprose_ind == len(nonprose_line_numbers): n_end_flag = True else: @@ -151,38 +189,32 @@ def first_train(self, data, labels, chunks, feat_obj=None): print line, '\n' - # Machine Learning file names - prose_model = self.filename + '1' - nonprose_model = self.filename + '2' - + # Vectorize IOB labels + Y_prose = [ Model.IOBs_labels[y] for y in pchunks ] + Y_nonprose = [ Model.IOBs_labels[y] for y in nchunks ] - # Flatten feature & label lists - prose = flatten( prose) - nonprose = flatten(nonprose) - pchunks = flatten( pchunks) - nchunks = flatten( nchunks) - sci.write_features( prose_model, prose, pchunks) - sci.write_features(nonprose_model, nonprose, nchunks) + # Vectorize features + self.first_prose_vec = DictVectorizer() + self.first_nonprose_vec = DictVectorizer() - sci.train( prose_model, self.type) - sci.train(nonprose_model, self.type) + X_prose = self.first_prose_vec.fit_transform( prose) + X_nonprose = self.first_nonprose_vec.fit_transform(nonprose) - # Pickle dump - Done during train(), not first_train() - #with open(self.filename, "w") as model: - # pickle.dump(self, model) + # Train classifiers + self.first_prose_clfs = sci.train(X_prose , Y_prose , self.type) + self.first_nonprose_clfs = sci.train(X_nonprose, Y_nonprose, self.type) # Model::second_train() # # - def second_train(self, data, labels, bounds, feat_obj=None): + def second_train(self, X, Y, feat_obj=None): - # If not given + # Create object that is a wrapper for the features if not feat_obj: - # Create object that is a wrapper for the features feat_obj = clicon_features.FeatureWrapper() # Merge 'B' words with its 'I's (and account for minor change in indices) @@ -222,6 +254,8 @@ def second_train(self, data, labels, bounds, feat_obj=None): concept_matches.append( row_concepts ) + exit() + # Purpose: Encode something like ('chunk', 'rehabilitation') as a unique # number, as determined by the self.concept_vocab hash table @@ -235,7 +269,7 @@ def second_train(self, data, labels, bounds, feat_obj=None): # Train the model - sci.train(second_pass_model, self.type) # Use LIN + sci.train(second_pass_model, self.type) @@ -298,8 +332,6 @@ def first_predict(self, data, feat_obj=None): prose_model = self.filename + '1' nonprose_model = self.filename + '2' - self.type = sci.LIN - sci.write_features(prose_model, prose, None); sci.write_features(nonprose_model, nonprose, None) @@ -427,20 +459,3 @@ def second_predict(self ,text_chunks, hits, feat_obj=None): # Return values return retVal - - - -def flatten(ll): - - """ - flatten() - - Purpose: Flatten a list (by one level of depth) - - Note: List of list of lists --> list of lists - - @param ll. List of lists - @return flattened list - """ - - return reduce( lambda a,b: a+b, ll ) From 272d95136c0440cfe84ed91b11113b8fd288b775 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 15 Jul 2014 14:59:10 -0400 Subject: [PATCH 076/393] restructuring for cleaner pipeline in model.py --- clicon/note.py | 75 +++++++++++++++++++++++++------------------------- 1 file changed, 37 insertions(+), 38 deletions(-) diff --git a/clicon/note.py b/clicon/note.py index e85cae4..96ca68c 100644 --- a/clicon/note.py +++ b/clicon/note.py @@ -340,54 +340,53 @@ def txtlist( self ): - # conlist() - # - # @return a list of lists of the concepts associated with each word from data - def conlist( self ): - - # Cached for later calls - if self.concepts: return self.concepts - - # For each word, store a corresponding concept label - # Initially, all labels will be stored as 'none' - for line in self.data: - tmp = [] - for word in line.split(): - tmp.append('none') - self.concepts.append(tmp) + def concept_labels(self): - #for i, elem in enumerate(self.data): - # print i, ": ", elem + """ + concept_labels() - # Use the classifications to correct all mislabled 'none's - for classification in self.classifications: + Purpose: Training labels for a concept classifier on phrases - #print "classification: ", classification - #print "classification[0]: ", classification[0] - #print "classification[1]: ", classification[1] - #print "classification[2]: ", classification[2] - #print "classification[3]: ", classification[3] + @ return A list of concept labels (1:1 mapping with text_chunks() output) + """ - concept = classification[0] - lineno = classification[1] - 1 - start = classification[2] - end = classification[3] - - self.concepts[lineno][start] = concept - for i in range(start, end): - self.concepts[lineno][i+1] = concept - - return self.concepts + return [ c[0] for c in self.classifications ] # boundaries() # # @return a list of lists of the BIO vals associated with each word from data - def boundlist( self ): + def iob_labels( self ): return self.boundaries - # For iterating - def __iter__(self): - return iter(self.data) + + def text_chunks(self): + + """ + Note::generate_chunks() + + Purpose: A list of non-'none' labeled phrases + + @return A list of phrases. + """ + + retVal = [] + + # Get phrase from each classification tuple (AKA each non-'none' concept) + for c in self.classifications: + + # Extract data + lineno = c[1] - 1 + start = c[2] + end = c[3] + + # Add phrase to list + line = self.data[lineno].split() + phrase_list = line[start:end+1] + phrase = ' '.join(phrase_list) + retVal.append( phrase ) + + + return retVal From 6b9525330b83aa485ee0cb0d7c59192e618d30d1 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 15 Jul 2014 14:59:55 -0400 Subject: [PATCH 077/393] experiment for where to vectorize features (moved to model.py --- clicon/sci.py | 169 ++++++++++++++++++++++++-------------------------- 1 file changed, 82 insertions(+), 87 deletions(-) diff --git a/clicon/sci.py b/clicon/sci.py index 8c1312c..86d7ef4 100644 --- a/clicon/sci.py +++ b/clicon/sci.py @@ -14,105 +14,100 @@ ALL = sum(2**i for i in range(3)) def bits(n): - while n: - b = n & (~n+1) - yield b - n ^= b + while n: + b = n & (~n+1) + yield b + n ^= b +''' def write_features( model_filename, rows, labels=None ): - file_suffix = ".sci" - if labels is None: - file_suffix += ".test.in" - filename = model_filename + file_suffix - with open(filename, "w") as f: - f.write( str(rows) + '\n' ) - if labels is not None: - assert "Dimension mismatch", len(rows) == len(labels) - f.write( str(labels) ) - f.close() - -def train(model_filename, type): - - X = [] - Y = [] - filename = model_filename + ".sci" - with open(filename, "r") as f: - X = literal_eval(f.readline().strip()) - Y = literal_eval(f.readline()) - f.close() - print "vectorizing" - DictVect = DictVectorizer() - - X = DictVect.fit_transform(X) - - C_range = 10.0 ** np.arange( -5, 9 ) - gamma_range = 10.0 ** np.arange( -5 , 9 ) - - print "grid search" - for t in bits(type): - if t == SVM: - estimates = SVC() - gamma_range = 10.0 ** np.arange( -5 , 9 ) - parameters = [ {'kernel':['rbf'], 'C':C_range, 'gamma':gamma_range } ] - test_output_dest = filename +".svm.trained" - - if t == LIN: - estimates = LinearSVC() - parameters = [ {'C':C_range } ] - test_output_dest = filename + ".lin.trained" - - clf = GridSearchCV(estimates, parameters, score_func = f1_score, n_jobs = cpu_count() ) - clf.fit( X , Y ) - #"try to make it so i don't have to use pickle!" - print "dumping" - pickle.dump( clf, open( test_output_dest , "wr" ) ) - print "dumping" - pickle.dump( DictVect, open( filename + ".vec", "wr" ) ) + file_suffix = ".sci" + if labels is None: + file_suffix += ".test.in" + filename = model_filename + file_suffix + with open(filename, "w") as f: + f.write( str(rows) + '\n' ) + if labels is not None: + assert "Dimension mismatch", len(rows) == len(labels) + f.write( str(labels) ) + f.close() +''' + +def train(X, Y, type): + + # Search space + C_range = 10.0 ** np.arange( -5, 9 ) + gamma_range = 10.0 ** np.arange( -5 , 9 ) + + + # Grid search + retVal = {} + for t in bits(type): + + if t == SVM: + estimates = SVC() + gamma_range = 10.0 ** np.arange( -5 , 9 ) + parameters = [{'kernel':['rbf'], 'C':C_range, 'gamma':gamma_range}] + + if t == LIN: + estimates = LinearSVC() + parameters = [ {'C':C_range } ] + + # Find best classifier + clf = GridSearchCV(estimates, parameters, score_func = f1_score, n_jobs = cpu_count() ) + clf.fit( X , Y ) + retVal[t] = clf + + + # Return all chosen classifiers + return clf + + def predict(model_filename, type): - filename = model_filename + ".sci" - X = [] - with open(filename + ".test.in", "rd") as f: + filename = model_filename + ".sci" + X = [] + with open(filename + ".test.in", "rd") as f: X = literal_eval(f.readline().strip()) - f.close() - - vec = pickle.load( open( filename + ".vec" ,"rd" ) ) + f.close() + + vec = pickle.load( open( filename + ".vec" ,"rd" ) ) - print "Vectorizing" + print "Vectorizing" #i don't like the transform here, but itll have to do for now. - X = vec.transform(X).toarray() - X = np.array( X , object ) - - for t in bits(type): - print "Performing Grid Search" - if t == SVM: - clf = pickle.load( open( filename + ".svm.trained" , "rd" ) ) - predict_input = filename + ".svm.test.out" - - if t == LIN: - clf = pickle.load( open( filename + ".lin.trained" , "rd" ) ) - predict_input = filename + ".lin.test.out" - #i don't like the transform here, but itll have to do for now. - - with open( predict_input, "w") as prediction: - for label in clf.predict(X): - prediction.write( str(label) + '\n' ) - prediction.close() + X = vec.transform(X).toarray() + X = np.array( X , object ) + + for t in bits(type): + print "Performing Grid Search" + if t == SVM: + clf = pickle.load( open( filename + ".svm.trained" , "rd" ) ) + predict_input = filename + ".svm.test.out" + + if t == LIN: + clf = pickle.load( open( filename + ".lin.trained" , "rd" ) ) + predict_input = filename + ".lin.test.out" + #i don't like the transform here, but itll have to do for now. + + with open( predict_input, "w") as prediction: + for label in clf.predict(X): + prediction.write( str(label) + '\n' ) + prediction.close() def read_labels(model_filename, type ): - labels = {} - for t in bits(type): - if t == SVM: - filename = model_filename + ".sci.svm.test.out" - if t == LIN: - filename = model_filename + ".sci.lin.test.out" + labels = {} + for t in bits(type): + if t == SVM: + filename = model_filename + ".sci.svm.test.out" + if t == LIN: + filename = model_filename + ".sci.lin.test.out" - with open(filename) as f: - lines = f.readlines() - labels[t] = [line.strip() for line in lines] + with open(filename) as f: + lines = f.readlines() + labels[t] = [line.strip() for line in lines] return labels - + From ef2e4cfd26c9bd4b6d190cca2418443b846c49f5 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 15 Jul 2014 15:08:33 -0400 Subject: [PATCH 078/393] Added argument to specify output format (not used yet) --- clicon/format.py | 20 ++++++++++++++------ 1 file changed, 14 insertions(+), 6 deletions(-) diff --git a/clicon/format.py b/clicon/format.py index f9548cb..e5e7b6f 100644 --- a/clicon/format.py +++ b/clicon/format.py @@ -44,19 +44,24 @@ def main(): help = "File to output data", ) + parser.add_argument("-f", + dest = "format", + help = "Output format (i2b2 or xml?)", + ) + # Parse the command line arguments args = parser.parse_args() - print 'CALLING FORMAT.PY' - return + #print 'CALLING FORMAT.PY' + #return # A list of text file paths # A list of concept file paths - txt_files = glob.glob(args.txt) - con_files = glob.glob(args.con) - xml_files = glob.glob(args.xml) + if args.txt: txt_files = glob.glob(args.txt) + if args.con: con_files = glob.glob(args.con) + if args.xml: xml_files = glob.glob(args.xml) # ex. {'record-13': 'record-13.txt'} # ex. {'record-13': 'record-13.con'} @@ -71,11 +76,14 @@ def main(): file_list.append((txt_files_map[k], con_files_map[k])) + # FIXME - use the "format" argument + # i2b2 -> xml for txt_f,con_f in file_list: out = i2b2_to_xml(txt_f, con_f) - #print out + print out + return # xml -> i2b2 for xml_f in xml_files: From b50babb528a45ff44491da1f873792c6bf7a787f Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 15 Jul 2014 18:40:35 -0400 Subject: [PATCH 079/393] Changed data accessor methods for model.py support --- clicon/note.py | 86 ++++++++++++++++++++++++++++++++++++++++---------- 1 file changed, 70 insertions(+), 16 deletions(-) diff --git a/clicon/note.py b/clicon/note.py index 96ca68c..c0e6c99 100644 --- a/clicon/note.py +++ b/clicon/note.py @@ -362,31 +362,85 @@ def iob_labels( self ): - def text_chunks(self): + def chunked_text(self): """ Note::generate_chunks() - Purpose: A list of non-'none' labeled phrases + Purpose: Combine all 'I's into 'B' chunks - @return A list of phrases. + @return A list of list of phrases. """ - retVal = [] - # Get phrase from each classification tuple (AKA each non-'none' concept) - for c in self.classifications: + # List of list of phrases + text = self.txtlist() + text_chunks = [] - # Extract data - lineno = c[1] - 1 - start = c[2] - end = c[3] - # Add phrase to list - line = self.data[lineno].split() - phrase_list = line[start:end+1] - phrase = ' '.join(phrase_list) - retVal.append( phrase ) + # Line-by-line chunking + for sent,iobs in zip(self.txtlist(),self.iob_labels()): + + # One line of chunked phrases + line = [] + + # Chunk phrase (or single word if 'O' iob tag) + phrase = None + + # Word-by-word grouping + for word,iob in zip(sent,iobs): + + if iob == 'O': + if phrase: line.append(phrase) + phrase = word + + if iob == 'B': + if phrase: line.append(phrase) + phrase = word + + if iob == 'I': + phrase += ' ' + word + + # Add last phrase + if phrase: line.append(phrase) + + # Add line from file + text_chunks.append(line) + + + return text_chunks + + + + + def concept_indices(self): + + # Return value + inds_list = [] + + + # Line-by-line chunking + for iobs in self.iob_labels(): + + # One line of chunked phrases + line = [] + seen_chunks = 0 + + # Word-by-word grouping + for iob in iobs: + + if iob == 'O': + seen_chunks += 1 + + if iob == 'B': + line.append(seen_chunks) + seen_chunks += 1 + + # Add line from file + inds_list.append(line) + + + return inds_list + - return retVal From f5f7c8696a7a51b4c1de8bca99b0812903b79a22 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 15 Jul 2014 18:41:13 -0400 Subject: [PATCH 080/393] Restructured train --- clicon/model.py | 141 +++++++++++++++++++++--------------------------- 1 file changed, 62 insertions(+), 79 deletions(-) diff --git a/clicon/model.py b/clicon/model.py index 6fd53d8..5431f1a 100644 --- a/clicon/model.py +++ b/clicon/model.py @@ -46,8 +46,15 @@ def __init__(self, filename='awesome.model', type=sci.ALL): self.filename = os.path.realpath(filename) + # DictVectorizers + self.first_prose_vec = DictVectorizer() + self.first_nonprose_vec = DictVectorizer() + self.second_vec = DictVectorizer() + # Classifiers - self.clfs = {} + self.second_clfs = {} + self.first_prose_clfs = {} + self.first_nonprose_clfs = {} # FIXME: Only using scikit's SVM self.type = sci.LIN @@ -65,9 +72,6 @@ def train(self, notes): @return None """ - # Useful for formatting data for both first & second pass - concat = lambda a,b: a+b - ############## # First pass # @@ -77,17 +81,13 @@ def train(self, notes): text = [ note.txtlist() for note in notes ] ioblist = [ note.iob_labels() for note in notes ] - X1 = reduce( concat, text ) - Y1 = reduce( concat, ioblist ) - - - # Create object that is a wrapper for the features - # FIXME - Will likely remove in favor of calling in first/second_train() - feat_obj = clicon_features.FeatureWrapper(X1) + data1 = reduce( concat, text ) + Y1 = reduce( concat, ioblist ) + # Train classifier (side effect - saved as object's member variable) print 'first' - #self.first_train( X1, Y1, feat_obj) + self.first_train(data1, Y1) @@ -96,21 +96,18 @@ def train(self, notes): ############### # Get the data and annotations from the Note objects - chunks = [ note.text_chunks() for note in notes ] - conlist = [ note.concept_labels() for note in notes ] - X2 = reduce( concat, chunks ) - Y2 = reduce( concat, conlist ) + chunks = [ note.chunked_text() for note in notes ] + indices = [ note.concept_indices() for note in notes ] + conlist = [ note.concept_labels() for note in notes ] + data2 = reduce( concat, chunks ) + inds = reduce( concat, indices ) + Y2 = reduce( concat, conlist ) - for x,y in zip(X2,Y2): - print x,y - - return - - - # Second pass + # Train classifier (side effect - saved as object's member variable) print 'second' - self.second_train(X, Y2, feat_obj) + self.second_train(data2, inds, Y2) + # Pickle dump @@ -121,14 +118,14 @@ def train(self, notes): - def first_train(self, X, Y, feat_obj=None): + def first_train(self, data, Y): """ Model::first_train() Purpose: Train the first pass classifiers (for IOB chunking) - @param X. A list of split sentences (1 sent = 1 line from file) + @param data. A list of split sentences (1 sent = 1 line from file) @param Y. A list of list of IOB labels (1:1 mapping with X) @param feat_obj A wrapper for the feature module @@ -138,9 +135,8 @@ def first_train(self, X, Y, feat_obj=None): print '\tbegin first_train()' - # (in case not doing both passes) Create feat_obj - if not feat_obj: - feat_obj = clicon_features.FeatureWrapper(X) + # Create object that is a wrapper for the features + feat_obj = clicon_features.FeatureWrapper(data) print '\tfeat_obj created' @@ -152,7 +148,7 @@ def first_train(self, X, Y, feat_obj=None): nonprose = [] prose_line_numbers = [] nonprose_line_numbers = [] - for i,line in enumerate(X): + for i,line in enumerate(data): isProse,feats = feat_obj.IOB_features(line) if isProse: prose += feats @@ -195,9 +191,6 @@ def first_train(self, X, Y, feat_obj=None): # Vectorize features - self.first_prose_vec = DictVectorizer() - self.first_nonprose_vec = DictVectorizer() - X_prose = self.first_prose_vec.fit_transform( prose) X_nonprose = self.first_nonprose_vec.fit_transform(nonprose) @@ -211,65 +204,46 @@ def first_train(self, X, Y, feat_obj=None): # Model::second_train() # # - def second_train(self, X, Y, feat_obj=None): - - # Create object that is a wrapper for the features - if not feat_obj: - feat_obj = clicon_features.FeatureWrapper() - - # Merge 'B' words with its 'I's (and account for minor change in indices) - tmp = clicon_features.generate_chunks(data,bounds,labels) - - # text_chunks - a merged text (highly similiar to data, except merged) - # concept_chunks - one-to-one concept classification with text_chunks - # hits - one-to-one concept token indices with text_chunks - text_chunks, concept_chunks, hits = tmp - - - # Collect 'hits' to model 'text_chunks' layout - row_hits = [ [] for _ in text_chunks ] - for (i,j) in hits: - row_hits[i].append(j) - - - # rows - list of list of h-tables (all non-'none' in 2d order) - # concept_matches - 1-1 correspondence with rows. Numeric labels (1,2,3) - rows = [] - concept_matches = [] - for i,chunk_inds in enumerate(row_hits): + def second_train(self, data, inds_list, Y): - # Ignore uninteresting rows - if not chunk_inds: continue + """ + Model::first_train() - # Features for each chunk in the sentence - row = feat_obj.concept_features(text_chunks[i], chunk_inds) + Purpose: Train the first pass classifiers (for IOB chunking) - # Could probably be condensed with some lambda stuff - row_concepts = [] - for con in concept_chunks[i]: - if con != 'none': - row_concepts.append( Model.labels[con] ) + @param data. A list of list of strings. + - A string is a chunked phrase + - An inner list corresponds to one line from the file + @param inds_list. A list of list of integer indices + - assertion: len(data) == len(inds_list) + - one line of 'inds_list' contains a list of indices + into the corresponding line for 'data' + @param Y. A list of concept labels + - assertion: there are sum(len(inds_list)) labels + AKA each index from inds_list maps to a label + @return None + """ - rows.append(row) - concept_matches.append( row_concepts ) + # Create object that is a wrapper for the features + feat_o = clicon_features.FeatureWrapper() - exit() + # Extract features + X = [ feat_o.concept_features(s,inds) for s,inds in zip(data,inds_list) ] + X = reduce(concat, X) - # Purpose: Encode something like ('chunk', 'rehabilitation') as a unique - # number, as determined by the self.concept_vocab hash table - rows = flatten(rows) - concept_matches = flatten(concept_matches) + # Vectorize labels + Y = [ Model.labels[y] for y in Y ] - # Write second pass model to file - second_pass_model = self.filename + '3' - sci.write_features(second_pass_model, rows, concept_matches) + # Vectorize features + X = self.second_vec.fit_transform(X) # Train the model - sci.train(second_pass_model, self.type) + self.second_clfs = sci.train(X, Y, self.type) + @@ -459,3 +433,12 @@ def second_predict(self ,text_chunks, hits, feat_obj=None): # Return values return retVal + + + + +def concat(a,b): + """ + list concatenation function (for reduce() purpose) + """ + return a+b From 31d0776c8d3b1a7713a8269bd61774274bc2a572 Mon Sep 17 00:00:00 2001 From: Tristan Naumann Date: Mon, 21 Jul 2014 14:08:10 -0400 Subject: [PATCH 081/393] Adding more cookiecutter content. --- CONTRIBUTING.rst | 111 +++++++++++++++++++++++++++++++++++++++++++++++ HISTORY.rst | 9 ++++ README.rst | 23 ++++++++++ 3 files changed, 143 insertions(+) diff --git a/CONTRIBUTING.rst b/CONTRIBUTING.rst index e69de29..64d4416 100644 --- a/CONTRIBUTING.rst +++ b/CONTRIBUTING.rst @@ -0,0 +1,111 @@ +============ +Contributing +============ + +Contributions are welcome, and they are greatly appreciated! Every +little bit helps, and credit will always be given. + +You can contribute in many ways: + +Types of Contributions +---------------------- + +Report Bugs +~~~~~~~~~~~ + +Report bugs at https://github.com/mitmedg/CliCon/issues. + +If you are reporting a bug, please include: + +* Your operating system name and version. +* Any details about your local setup that might be helpful in troubleshooting. +* Detailed steps to reproduce the bug. + +Fix Bugs +~~~~~~~~ + +Look through the GitHub issues for bugs. Anything tagged with "bug" +is open to whoever wants to implement it. + +Implement Features +~~~~~~~~~~~~~~~~~~ + +Look through the GitHub issues for features. Anything tagged with "feature" +is open to whoever wants to implement it. + +Write Documentation +~~~~~~~~~~~~~~~~~~~ + +CliCon could always use more documentation, whether as part of the +official CliCon docs, in docstrings, or even on the web in blog posts, +articles, and such. + +Submit Feedback +~~~~~~~~~~~~~~~ + +The best way to send feedback is to file an issue at https://github.com/mitmedg/CliCon/issues. + +If you are proposing a feature: + +* Explain in detail how it would work. +* Keep the scope as narrow as possible, to make it easier to implement. +* Remember that this is a volunteer-driven project, and that contributions + are welcome :) + +Get Started! +------------ + +Ready to contribute? Here's how to set up `clicon` for local development. + +1. Fork the `clicon` repo on GitHub. +2. Clone your fork locally:: + + $ git clone git@github.com:your_name_here/clicon.git + +3. Install your local copy into a virtualenv. Assuming you have virtualenvwrapper installed, this is how you set up your fork for local development:: + + $ mkvirtualenv clicon + $ cd clicon/ + $ python setup.py develop + +4. Create a branch for local development:: + + $ git checkout -b name-of-your-bugfix-or-feature + + Now you can make your changes locally. + +5. When you're done making changes, check that your changes pass flake8 and the tests, including testing other Python versions with tox:: + + $ flake8 clicon tests + $ python setup.py test + $ tox + + To get flake8 and tox, just pip install them into your virtualenv. + +6. Commit your changes and push your branch to GitHub:: + + $ git add . + $ git commit -m "Your detailed description of your changes." + $ git push origin name-of-your-bugfix-or-feature + +7. Submit a pull request through the GitHub website. + +Pull Request Guidelines +----------------------- + +Before you submit a pull request, check that it meets these guidelines: + +1. The pull request should include tests. +2. If the pull request adds functionality, the docs should be updated. Put + your new functionality into a function with a docstring, and add the + feature to the list in README.rst. +3. The pull request should work for Python 2.6, 2.7, and 3.3, 3.4, and for PyPy. Check + https://travis-ci.org/tnaumann/clicon/pull_requests + and make sure that the tests pass for all supported Python versions. + +Tips +---- + +To run a subset of tests:: + + $ python -m unittest tests.test_clicon \ No newline at end of file diff --git a/HISTORY.rst b/HISTORY.rst index e69de29..2ad74df 100644 --- a/HISTORY.rst +++ b/HISTORY.rst @@ -0,0 +1,9 @@ +.. :changelog: + +History +------- + +0.1 (YYYY-MM-DD) +-------------------- + +* First release on PyPI. diff --git a/README.rst b/README.rst index e69de29..8985656 100644 --- a/README.rst +++ b/README.rst @@ -0,0 +1,23 @@ +=============================== +CliCon +=============================== + +.. image:: https://badge.fury.io/py/clicon.png + :target: http://badge.fury.io/py/clicon + +.. image:: https://travis-ci.org/tnaumann/clicon.png?branch=master + :target: https://travis-ci.org/tnaumann/clicon + +.. image:: https://pypip.in/d/clicon/badge.png + :target: https://pypi.python.org/pypi/clicon + + +A short description of CliCon. + +* Free software: BSD license +* Documentation: http://clicon.readthedocs.org. + +Features +-------- + +* TODO \ No newline at end of file From 510f4e3fafb68140abe0d3b26454ee061341a7eb Mon Sep 17 00:00:00 2001 From: Tristan Naumann Date: Mon, 21 Jul 2014 15:52:52 -0400 Subject: [PATCH 082/393] Updating setup.py with cookiecutter template. --- setup.py | 67 ++++++++++++++++++++++++++++++++++++++++++++++---------- 1 file changed, 56 insertions(+), 11 deletions(-) mode change 100644 => 100755 setup.py diff --git a/setup.py b/setup.py old mode 100644 new mode 100755 index a7f0f5e..c5e6cbc --- a/setup.py +++ b/setup.py @@ -1,15 +1,60 @@ -from setuptools import setup, find_packages +#!/usr/bin/env python +# -*- coding: utf-8 -*- +import os +import sys + + +try: + from setuptools import setup +except ImportError: + from distutils.core import setup + + +readme = open('README.rst').read() +history = open('HISTORY.rst').read().replace('.. :changelog:', '') + +requirements = [ + # TODO: put package requirements here + 'click', + 'nltk', + 'scikit-learn', +] + +test_requirements = [ + # TODO: put package test requirements here +] setup( - name='clicon', - version='0.1dev', - packages=find_packages(), - install_requires=[ - 'click', - ], - entry_points=''' - [console_scripts] - clicon=clicon.cli:clicon - ''', + name='clicon', + version='0.1dev', + description='A tool for clinical concept extraction.', + long_description=readme + '\n\n' + history, + url='https://github.com/mitmedg/CliCon', + packages=[ + 'clicon', + ], + package_dir={'clicon': + 'clicon'}, + include_package_data=True, + install_requires=requirements, + zip_safe=False, + keywords='clicon', + classifiers=[ + 'Development Status :: 2 - Pre-Alpha', + 'Intended Audience :: Developers', + 'Natural Language :: English', + "Programming Language :: Python :: 2", + 'Programming Language :: Python :: 2.6', + 'Programming Language :: Python :: 2.7', + 'Programming Language :: Python :: 3', + 'Programming Language :: Python :: 3.3', + 'Programming Language :: Python :: 3.4', + ], + test_suite='tests', + tests_require=test_requirements, + entry_points=''' + [console_scripts] + clicon=clicon.cli:clicon + ''', ) \ No newline at end of file From a936045bad99952868f8ba78e48d48ada3a238cc Mon Sep 17 00:00:00 2001 From: Tristan Naumann Date: Mon, 21 Jul 2014 15:54:44 -0400 Subject: [PATCH 083/393] Removing duplicate README.md. --- README.md | 2 -- 1 file changed, 2 deletions(-) delete mode 100644 README.md diff --git a/README.md b/README.md deleted file mode 100644 index f886e40..0000000 --- a/README.md +++ /dev/null @@ -1,2 +0,0 @@ -ConceptExtraction -================= \ No newline at end of file From c9920e79d1399ee1eefaa4fd6de7307779359e75 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Mon, 21 Jul 2014 18:10:38 -0400 Subject: [PATCH 084/393] Moved vectorizers and classifiers into model.py --- clicon/sci.py | 102 ++++++++++++++++---------------------------------- 1 file changed, 32 insertions(+), 70 deletions(-) diff --git a/clicon/sci.py b/clicon/sci.py index 86d7ef4..85d55d2 100644 --- a/clicon/sci.py +++ b/clicon/sci.py @@ -19,22 +19,8 @@ def bits(n): yield b n ^= b -''' -def write_features( model_filename, rows, labels=None ): - - file_suffix = ".sci" - if labels is None: - file_suffix += ".test.in" - filename = model_filename + file_suffix - with open(filename, "w") as f: - f.write( str(rows) + '\n' ) - if labels is not None: - assert "Dimension mismatch", len(rows) == len(labels) - f.write( str(labels) ) - f.close() -''' - -def train(X, Y, type): + +def train(X, Y, type, do_grid): # Search space C_range = 10.0 ** np.arange( -5, 9 ) @@ -45,69 +31,45 @@ def train(X, Y, type): retVal = {} for t in bits(type): - if t == SVM: - estimates = SVC() - gamma_range = 10.0 ** np.arange( -5 , 9 ) - parameters = [{'kernel':['rbf'], 'C':C_range, 'gamma':gamma_range}] - - if t == LIN: - estimates = LinearSVC() - parameters = [ {'C':C_range } ] - - # Find best classifier - clf = GridSearchCV(estimates, parameters, score_func = f1_score, n_jobs = cpu_count() ) - clf.fit( X , Y ) - retVal[t] = clf + if do_grid: + + if t == SVM: + estimates = SVC() + gamma_range = 10.0 ** np.arange( -5 , 9 ) + parameters = [{'kernel':['rbf'], 'C':C_range, 'gamma':gamma_range}] + + if t == LIN: + estimates = LinearSVC() + parameters = [ {'C':C_range } ] + + # Find best classifier + clf = GridSearchCV(estimates, parameters, score_func = f1_score, n_jobs = cpu_count() ) + clf.fit( X , Y ) + retVal[t] = clf + + else: + + clf = LinearSVC() + clf.fit(X, Y) + retVal[t] = clf # Return all chosen classifiers - return clf + return retVal -def predict(model_filename, type): - filename = model_filename + ".sci" - X = [] - with open(filename + ".test.in", "rd") as f: - X = literal_eval(f.readline().strip()) - f.close() - - vec = pickle.load( open( filename + ".vec" ,"rd" ) ) +def predict(clfs, X, type): - print "Vectorizing" - #i don't like the transform here, but itll have to do for now. - X = vec.transform(X).toarray() - X = np.array( X , object ) + retVal = {} for t in bits(type): - print "Performing Grid Search" - if t == SVM: - clf = pickle.load( open( filename + ".svm.trained" , "rd" ) ) - predict_input = filename + ".svm.test.out" - - if t == LIN: - clf = pickle.load( open( filename + ".lin.trained" , "rd" ) ) - predict_input = filename + ".lin.test.out" - #i don't like the transform here, but itll have to do for now. - - with open( predict_input, "w") as prediction: - for label in clf.predict(X): - prediction.write( str(label) + '\n' ) - prediction.close() - -def read_labels(model_filename, type ): - labels = {} - for t in bits(type): - if t == SVM: - filename = model_filename + ".sci.svm.test.out" - if t == LIN: - filename = model_filename + ".sci.lin.test.out" - - with open(filename) as f: - lines = f.readlines() - labels[t] = [line.strip() for line in lines] + # Predict + clf = clfs[t] + output = clf.predict(X) + retVal[t] = output - return labels + # Return all predictions + return retVal - From e145da849fe5d72b2cc9f22621d920838a19e893 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Mon, 21 Jul 2014 18:11:48 -0400 Subject: [PATCH 085/393] (minor) adjusted spacing --- clicon/evaluate.py | 2 -- 1 file changed, 2 deletions(-) diff --git a/clicon/evaluate.py b/clicon/evaluate.py index 357cf9e..0fa537f 100644 --- a/clicon/evaluate.py +++ b/clicon/evaluate.py @@ -90,12 +90,10 @@ def main(): # A note that represents the model's predictions cnote = Note() cnote.read_i2b2( txt, con ) - #cnote.read_plain( txt, con ) # in case in plain format # A note that is the actual concept labels rnote = Note() rnote.read_i2b2( txt, ref ) - #rnote.read_plain(txt, ref ) # in case in plain format # Get corresponding concept labels (prediction vs. actual) for c, r in zip( cnote.conlist(), rnote.conlist() ): From 76aeb2358d898c8875dd3fcb217bd20d38440295 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Mon, 21 Jul 2014 18:12:42 -0400 Subject: [PATCH 086/393] minor adjustments for now (but large overhaul is coming) --- clicon/features/clicon_features.py | 18 ++++++++++++------ 1 file changed, 12 insertions(+), 6 deletions(-) diff --git a/clicon/features/clicon_features.py b/clicon/features/clicon_features.py index 101e63b..f00cfac 100644 --- a/clicon/features/clicon_features.py +++ b/clicon/features/clicon_features.py @@ -14,20 +14,16 @@ import nltk import re -from sets import ImmutableSet from wordshape import getWordShapes - -# What modules are available -from read_config import enabled_modules - - from sentence_features import SentenceFeatures class FeatureWrapper: + # FIXME - Make three objects - one for each classifier + # Instantiate an FeatureWrapper object def __init__(self, data=None): @@ -67,6 +63,16 @@ def concept_features(self, sentence, chunk_inds): features_list = [ {} for _ in chunk_inds ] + + ''' + # VERY basic feature set for sanity check tests during development + for i,ind in enumerate(chunk_inds): + features = {('phrase',sentence[ind]) : 1} + features_list[i] = features + return features_list + ''' + + tags = [] for i,ind in enumerate(chunk_inds): From 949ee61b186b64d696e20a9eb340ff97c827cc37 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Mon, 21 Jul 2014 18:13:49 -0400 Subject: [PATCH 087/393] minor adjustments (for now) --- clicon/features/clicon_genia_interface.py | 6 +- clicon/features/sentence_features.py | 76 ++++++++++++----------- clicon/features/umls_cache.py | 2 +- clicon/features/umls_features.py | 26 +------- clicon/features/word_features.py | 16 ++--- 5 files changed, 56 insertions(+), 70 deletions(-) diff --git a/clicon/features/clicon_genia_interface.py b/clicon/features/clicon_genia_interface.py index 03ad3bf..b97411d 100644 --- a/clicon/features/clicon_genia_interface.py +++ b/clicon/features/clicon_genia_interface.py @@ -49,13 +49,13 @@ def genia( data ): ''' # FIXME - crashes when the is an empty line in the file + #if not data: return [] # FIXME - write list to file and then feed it to GENIA # FIXME - hard coded directory!! - ftmp = open('/home/wboag/geniatagger-3.0.1/DELETE-THIS.txt', 'w') - for line in data: ftmp.write(' '.join(line) + '\n') - ftmp.close() + with open('/home/wboag/geniatagger-3.0.1/DELETE-THIS.txt', 'w') as f: + for line in data: f.write(' '.join(line) + '\n') # FIXME - hard coded directory!! diff --git a/clicon/features/sentence_features.py b/clicon/features/sentence_features.py index 4e772e1..75a0328 100644 --- a/clicon/features/sentence_features.py +++ b/clicon/features/sentence_features.py @@ -58,7 +58,7 @@ def __init__(self, data): self.feat_word = WordFeatures() # Only run GENIA tagger if module is available - if enabled_modules.GENIA: + if data and enabled_modules.GENIA: print 'GENIA module enabled' self.feat_genia = GeniaFeatures(data) @@ -86,7 +86,7 @@ def IOB_prose_features(self, sentence): # Only POS tag once - pos_tagged = [] + pos_tagged = nltk.pos_tag(sentence) # Used for 'prev' and 'next' features ngram_features = [{} for i in range(len(features_list))] @@ -97,27 +97,30 @@ def IOB_prose_features(self, sentence): # Feature: Part of Speech if feature == 'pos': - pos_tagged = pos_tagged or nltk.pos_tag(sentence) for (i,(_,pos)) in enumerate(pos_tagged): features_list[i].update( { ('pos',pos) : 1} ) + # Feature: Previous 3 POSs if feature == 'prev_3_pos': - pos_tagged = pos_tagged or nltk.pos_tag(sentence) for i in range(len(sentence)): - if i == 0: - prev_pos = ('*','*','*') - features_list[0].update({(feature,prev_pos) :1}) - elif i == 1: - prev_pos = ('*','*',pos_tagged[0][1]) - features_list[1].update({(feature,prev_pos) :1}) - elif i == 2: - prev_pos = ('*',pos_tagged[0][1],pos_tagged[1][1]) - features_list[2].update({(feature,prev_pos) :1}) + + # Where to begin + if i-3 < 0: + begin = 0 else: - prev_pos = (pos_tagged[i-3][1],pos_tagged[i-2][1],pos_tagged[i-1][1]) - features_list[i].update({(feature,pos_tagged[i-1]):1}) - + begin = i-3 + + # Go as far back as 3 tokens + pos_features = {} + for p in pos_tagged[begin:i]: + pos = p[1] + pos_features.update( {('prev_3_pos',pos) : 1} ) + + # Update feature dict + features_list[i].update(pos_features) + + # GENIA features if enabled_modules.GENIA and (feature == 'GENIA'): @@ -166,6 +169,7 @@ def IOB_nonprose_features(self, sentence): # Get the GENIA features of the current sentence # (not used for nonprose, but it keeps things aligned for the prose) + # FIXME - Making seperate classes will fix this if enabled_modules.GENIA and 'GENIA' in self.enabled_IOB_prose_sentence_features: _ = self.feat_genia.features(sentence, False) @@ -179,36 +183,36 @@ def IOB_nonprose_features(self, sentence): for i,word in enumerate(sentence): features_list.append( self.feat_word.IOB_nonprose_features(sentence,i) ) - # Only POS tag once - pos_tagged = [] + pos_tagged = nltk.pos_tag(sentence) + # Allow for particular features to be enabled for feature in self.enabled_IOB_nonprose_sentence_features: # Feature: Previous POS if feature == 'prev_pos': - pos_tagged = pos_tagged or nltk.pos_tag(sentence) for i in range(len(sentence)): if i == 0: features_list[0].update({('prev_POS','') :1}) else: features_list[i].update({('prev_POS',pos_tagged[i-1]):1}) + # Feature: Part of Speech if feature == 'pos': - pos_tagged = pos_tagged or nltk.pos_tag(sentence) for (i,(_,pos)) in enumerate(pos_tagged): features_list[i].update( { ('pos',pos) : 1} ) + # Feature: Previous POS if feature == 'next_pos': - pos_tagged = pos_tagged or nltk.pos_tag(sentence) for i in range(len(sentence)): if i == len(sentence)-1: features_list[-1].update({('prev_POS','') :1}) else: features_list[i].update({('prev_POS',pos_tagged[i-1]):1}) + # Feature: Test Result (for each chunk) if feature == "test_result": for index, features in enumerate(features_list): @@ -217,24 +221,24 @@ def IOB_nonprose_features(self, sentence): features[(feature, None)] = 1 - # FIXME - should order matter? # Feature: Previous 3 POSs if feature == 'prev_3_pos': - pos_tagged = pos_tagged or nltk.pos_tag(sentence) for i in range(len(sentence)): - if i == 0: - prev_pos = ('*','*','*') - features_list[0].update({(feature,prev_pos) :1}) - elif i == 1: - prev_pos = ('*','*',pos_tagged[0][1]) - features_list[1].update({(feature,prev_pos) :1}) - elif i == 2: - prev_pos = ('*',pos_tagged[0][1],pos_tagged[1][1]) - features_list[2].update({(feature,prev_pos) :1}) + + # Where to begin + if i-3 < 0: + begin = 0 else: - prev_pos = (pos_tagged[i-3][1],pos_tagged[i-2][1],pos_tagged[i-1][1]) - features_list[i].update({(feature,pos_tagged[i-1]):1}) - + begin = i-3 + + # Go as far back as 3 tokens + pos_features = {} + for p in pos_tagged[begin:i]: + pos = p[1] + pos_features.update( {('prev_3_pos',pos) : 1} ) + + # Update feature dict + features_list[i].update(pos_features) ngram_features = [{} for i in range(len(features_list))] @@ -311,7 +315,7 @@ def concept_features_for_chunk(self, sentence, ind): if feature == "pos": tags = tags or nltk.pos_tag(split_sentence) for j,pos_tag in enumerate(tags[ind:ind+len(sentence[ind].split())]): - featname = 'pos-%d' % j + featname = 'pos' features[(featname, pos_tag[1])] = 1 # Feature: Wordnet Stem (for each chunk) diff --git a/clicon/features/umls_cache.py b/clicon/features/umls_cache.py index b17edac..e84e253 100644 --- a/clicon/features/umls_cache.py +++ b/clicon/features/umls_cache.py @@ -5,7 +5,7 @@ class UmlsCache: def __init__(self): try: prefix = os.environ['CLICON_DIR'] - self.filename = os.path.join( prefix, 'umls_cache' ) + self.filename = os.path.join( prefix, 'umls_tables/umls_cache' ) self.cache = pickle.load( open( self.filename , "rb" ) ) ; except IOError: self.cache = {} diff --git a/clicon/features/umls_features.py b/clicon/features/umls_features.py index cdec562..48965d5 100644 --- a/clicon/features/umls_features.py +++ b/clicon/features/umls_features.py @@ -65,8 +65,6 @@ def IOB_prose_features(self, word): if cuis: for cui in cuis: features[(feature,cui)] = 1 - else: - features[(feature,None)] = 1 # Feature: UMLS Hypernyms @@ -79,8 +77,6 @@ def IOB_prose_features(self, word): if hyps: #for hyp in hyps: features[(feature,hyps[0])] = 1 - else: - features[(feature,None)] = 1 return features @@ -113,8 +109,6 @@ def IOB_nonprose_features(self, word): if cuis: for cui in cuis: features[(feature,cui)] = 1 - else: - features[(feature,None)] = 1 # Feature: UMLS Hypernyms @@ -127,8 +121,6 @@ def IOB_nonprose_features(self, word): if hyps: #for hyp in hyps: features[(feature,hyps[0])] = 1 - else: - features[(feature,None)] = 1 # Feature: UMLS Semantic Type (for each word) @@ -140,8 +132,6 @@ def IOB_nonprose_features(self, word): if mapping: for concept in mapping: features[('umls_semantic_type_word', concept )] = 1 - else: - features[('umls_semantic_type_word' , None )] = 1 return features @@ -175,8 +165,6 @@ def concept_features_for_word(self, word): if cuis: for cui in cuis: features[(feature,cui)] = 1 - else: - features[(feature,None)] = 1 # Feature: UMLS Semantic Type (for each word) @@ -188,8 +176,6 @@ def concept_features_for_word(self, word): if mapping: for concept in mapping: features[('umls_semantic_type_word', concept )] = 1 - else: - features[('umls_semantic_type_word' , None )] = 1 return features @@ -229,8 +215,6 @@ def concept_features_for_sentence(self, sentence): if concept: for mapping in concept: features[('umls_semantic_type_sentence' , mapping[0] ) ] = 1 - else: - features[('umls_semantic_type_sentence' , None ) ] = 1 # Feature: UMLS semantic context @@ -239,14 +223,10 @@ def concept_features_for_sentence(self, sentence): # the umls definition of the largest string the word is in umls_semantic_context_mappings = umls.umls_semantic_context_of_words( self.umls_lookup_cache , sentence ) - #if there are no mappings - if umls_semantic_context_mappings[ind] == None: - features[(feature,None)] = 1 # there could be multiple contexts, iterate through the sublist - else: - for mapping in umls_semantic_context_mappings[ind]: - for concept in mapping: - features[(feature,concept)] = 1 + for mapping in umls_semantic_context_mappings[ind]: + for concept in mapping: + features[(feature,concept)] = 1 return features diff --git a/clicon/features/word_features.py b/clicon/features/word_features.py index f3d7d61..94c4110 100644 --- a/clicon/features/word_features.py +++ b/clicon/features/word_features.py @@ -147,6 +147,7 @@ def IOB_nonprose_features(self, sentence, ind): else: features.update( {('uncased_prev_word',sentence[ind-1].lower()) : 1} ) + # Feature: Metric Unit if feature == "metric_unit": tests = 3 @@ -157,21 +158,20 @@ def IOB_nonprose_features(self, sentence, ind): unit = 2 / tests elif self.is_volume(word): unit = 3 / tests - features[(feature, None)] = unit + features[(feature, unit)] = 1 + # Feature: Date if feature == 'date': if self.is_date(word): - features[(feature,None)] = 1 - else: - features[(feature,None)] = 0 + features[feature] = 1 + # Feature: Directive if feature == 'directive': if self.is_directive(word): - features[(feature,None)] = 1 - else: - features[(feature,None)] = 0 + features[feature] = 1 + # Feature: Mitre if feature == "mitre": @@ -179,12 +179,14 @@ def IOB_nonprose_features(self, sentence, ind): if re.search(self.mitre_features[f], word): features[(feature, f)] = 1 + # Feature: Word Shape if feature == "word_shape": wordShapes = getWordShapes(word) for j, shape in enumerate(wordShapes): features[('word_shape', shape)] = 1 + # Feature: UMLS Word Features (only use nonprose ones) if (feature == "UMLS") and enabled_modules.UMLS: umls_features = self.feat_umls.IOB_nonprose_features(word) From c477a4d0fcd92dad7dc2ade9eace73861fae8dcf Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Mon, 21 Jul 2014 18:15:05 -0400 Subject: [PATCH 088/393] large changes to move vectorizers & classifiers into Model object (still more tidying to do) --- clicon/model.py | 224 +++++++++++++++++++++++------------------------- 1 file changed, 109 insertions(+), 115 deletions(-) diff --git a/clicon/model.py b/clicon/model.py index 5431f1a..0328033 100644 --- a/clicon/model.py +++ b/clicon/model.py @@ -32,13 +32,13 @@ class Model: @staticmethod def load(filename='awesome.model'): - with open(filename) as model: + with open(filename, 'rb') as model: model = pickle.load(model) model.filename = filename return model - def __init__(self, filename='awesome.model', type=sci.ALL): + def __init__(self, filename='awesome.model', type=sci.LIN): model_directory = os.path.dirname(filename) if model_directory != "": @@ -52,9 +52,9 @@ def __init__(self, filename='awesome.model', type=sci.ALL): self.second_vec = DictVectorizer() # Classifiers - self.second_clfs = {} self.first_prose_clfs = {} self.first_nonprose_clfs = {} + self.second_clfs = {} # FIXME: Only using scikit's SVM self.type = sci.LIN @@ -99,6 +99,7 @@ def train(self, notes): chunks = [ note.chunked_text() for note in notes ] indices = [ note.concept_indices() for note in notes ] conlist = [ note.concept_labels() for note in notes ] + data2 = reduce( concat, chunks ) inds = reduce( concat, indices ) Y2 = reduce( concat, conlist ) @@ -106,28 +107,29 @@ def train(self, notes): # Train classifier (side effect - saved as object's member variable) print 'second' - self.second_train(data2, inds, Y2) + self.second_train(data2, inds, Y2, do_grid=False) # Pickle dump print 'pickle dump' - with open(self.filename, "w") as model: + with open(self.filename, "wb") as model: pickle.dump(self, model) - def first_train(self, data, Y): + def first_train(self, data, Y, do_grid=True): """ Model::first_train() Purpose: Train the first pass classifiers (for IOB chunking) - @param data. A list of split sentences (1 sent = 1 line from file) - @param Y. A list of list of IOB labels (1:1 mapping with X) + @param data A list of split sentences (1 sent = 1 line from file) + @param Y A list of list of IOB labels (1:1 mapping with X) @param feat_obj A wrapper for the feature module + @param do_grid A boolean indicating whether to perform a grid search @return None """ @@ -139,8 +141,6 @@ def first_train(self, data, Y): feat_obj = clicon_features.FeatureWrapper(data) - print '\tfeat_obj created' - # IOB tagging # FIXME - Partition and then batch features @@ -159,7 +159,7 @@ def first_train(self, data, Y): print '\tfeatures assigned' - print '\tsegregate "chunks" list into prose and nonprose' + print '\tsegregate labels list into prose and nonprose' # FIXME - very unclear what this is @@ -196,31 +196,33 @@ def first_train(self, data, Y): # Train classifiers - self.first_prose_clfs = sci.train(X_prose , Y_prose , self.type) - self.first_nonprose_clfs = sci.train(X_nonprose, Y_nonprose, self.type) + self.first_prose_clfs = sci.train(X_prose , Y_prose , self.type, do_grid) + self.first_nonprose_clfs = sci.train(X_nonprose, Y_nonprose, self.type, do_grid) # Model::second_train() # # - def second_train(self, data, inds_list, Y): + def second_train(self, data, inds_list, Y, do_grid=True): """ - Model::first_train() + Model::second_train() Purpose: Train the first pass classifiers (for IOB chunking) - @param data. A list of list of strings. - - A string is a chunked phrase - - An inner list corresponds to one line from the file - @param inds_list. A list of list of integer indices - - assertion: len(data) == len(inds_list) - - one line of 'inds_list' contains a list of indices - into the corresponding line for 'data' - @param Y. A list of concept labels - - assertion: there are sum(len(inds_list)) labels - AKA each index from inds_list maps to a label + @param data A list of list of strings. + - A string is a chunked phrase + - An inner list corresponds to one line from the file + @param inds_list A list of list of integer indices + - assertion: len(data) == len(inds_list) + - one line of 'inds_list' contains a list of indices + into the corresponding line for 'data' + @param Y A list of concept labels + - assertion: there are sum(len(inds_list)) labels + AKA each index from inds_list maps to a label + @param do_grid A boolean indicating whether to perform a grid search + @return None """ @@ -228,7 +230,6 @@ def second_train(self, data, inds_list, Y): # Create object that is a wrapper for the features feat_o = clicon_features.FeatureWrapper() - # Extract features X = [ feat_o.concept_features(s,inds) for s,inds in zip(data,inds_list) ] X = reduce(concat, X) @@ -242,7 +243,7 @@ def second_train(self, data, inds_list, Y): # Train the model - self.second_clfs = sci.train(X, Y, self.type) + self.second_clfs = sci.train(X, Y, self.type, do_grid) @@ -252,36 +253,44 @@ def second_train(self, data, inds_list, Y): # @param note. A Note object that contains the data def predict(self, note): - # data - A list of list of the medical text's words + + ############## + # First pass # + ############## + + # Get the data and annotations from the Note objects data = note.txtlist() - # A wrapper for features - feat_obj = clicon_features.FeatureWrapper(data) + # Predict IOB labels + iobs = self.first_predict(data) + note.set_iob_labels(iobs) - # First Pass - bounds = self.first_predict(data, feat_obj) - # Merge 'B' words with its 'I's to form phrased chunks - text_chunks, _, hits = clicon_features.generate_chunks(data,bounds) + ############### + # Second pass # + ############### - # Second Pass - retVal = self.second_predict(text_chunks,hits,feat_obj) + # Get the data and annotations from the Note objects + chunks = note.chunked_text() + inds = note.concept_indices() + + # Predict concept labels + retVal = self.second_predict(chunks,inds) return retVal + # Model::first_predit() # # @param data. A list of list of words # @return A list of list of IOB tags - def first_predict(self, data, feat_obj=None): + def first_predict(self, data): - # If not given - if not feat_obj: - # Create object that is a wrapper for the features - feat_obj = clicon_features.FeatureWrapper(data) + # Create object that is a wrapper for the features + feat_obj = clicon_features.FeatureWrapper(data) # prose and nonprose - each store a list of sentence feature dicts prose = [] @@ -290,35 +299,31 @@ def first_predict(self, data, feat_obj=None): nonprose_line_numbers = [] for i,line in enumerate(data): # returns both the feature dict AND whether the sentence was prose + print line isProse,feats = feat_obj.IOB_features(line) if isProse: - prose.append( feats ) + prose += feats prose_line_numbers.append(i) else: - nonprose.append( feats ) + nonprose += feats nonprose_line_numbers.append(i) - # Prose (predict, and read predictions) - prose = flatten(prose) - nonprose = flatten(nonprose) + # Vectorize features + X_prose = self.first_prose_vec.transform( prose) + X_nonprose = self.first_nonprose_vec.transform(nonprose) - prose_model = self.filename + '1' - nonprose_model = self.filename + '2' - sci.write_features(prose_model, prose, None); - sci.write_features(nonprose_model, nonprose, None) + # Predict + out_p = sci.predict(self.first_prose_clfs , X_prose, sci.LIN) + out_n = sci.predict(self.first_nonprose_clfs, X_nonprose,sci.LIN) - sci.predict(prose_model, self.type) - sci.predict(nonprose_model, self.type) + # Format labels + plist = [ n for n in list(out_p[sci.LIN]) ] + nlist = [ n for n in list(out_n[sci.LIN]) ] - # Nonprose (predict, and read predictions) - prose_labels_list = sci.read_labels( prose_model, self.type)[self.type] - nonprose_labels_list = sci.read_labels(nonprose_model, self.type)[self.type] - - # Stitch prose and nonprose labels lists together labels = [] prose_ind = 0 @@ -326,9 +331,6 @@ def first_predict(self, data, feat_obj=None): p_end_flag = (len( prose_line_numbers) == 0) n_end_flag = (len(nonprose_line_numbers) == 0) - # Pretty much renaming just for length/readability pruposes - plist = prose_labels_list - nlist = nonprose_labels_list for i in range( len(data) ): if (not p_end_flag) and (i == prose_line_numbers[prose_ind]): @@ -351,83 +353,74 @@ def first_predict(self, data, feat_obj=None): - # IOB labels - # translate labels_list into a readable format + # translate IOB labels into a readable format # ex. change all occurences of 1 -> 'B' - tmp = [] + iobs = [] for sentence in data: - tmp.append([labels.pop(0) for i in range(len(sentence))]) - tmp[-1]= map(lambda l: l.strip(), tmp[-1]) - tmp[-1]= map(lambda l: Model.reverse_IOBs_labels[int(l)],tmp[-1]) + iobs.append([labels.pop(0) for i in range(len(sentence))]) + iobs[-1]= map(lambda l: Model.reverse_IOBs_labels[int(l)],iobs[-1]) # list of list of IOB labels - return tmp + return iobs - def second_predict(self ,text_chunks, hits, feat_obj=None): + def second_predict(self, data, inds_list): - # If not given - if not feat_obj: - # Create object that is a wrapper for the features - feat_obj = clicon_features.FeatureWrapper() + # Create object that is a wrapper for the features + feat_o = clicon_features.FeatureWrapper() - # Collect 'hits' to model 'text_chunks' layout - row_hits = [ [] for _ in text_chunks ] - for (i,j) in hits: - row_hits[i].append(j) + # Extract features + X = [ feat_o.concept_features(s,inds) for s,inds in zip(data,inds_list) ] + X = reduce(concat, X) - # rows - list of list of h-tables (all non-'none' in 2d order) - # concept_matches - 1-1 correspondence with rows. Numeric labels (1,2,3) - rows = [] - concept_matches = [] - for i,chunk_inds in enumerate(row_hits): + # Vectorize features + X = self.second_vec.transform(X) - # Ignore uninteresting rows - if not chunk_inds: continue - # Features for each chunk in the sentence - row = feat_obj.concept_features(text_chunks[i], chunk_inds) - rows.append(row) + # Predict concept labels + out = sci.predict(self.second_clfs, X, sci.LIN) - # Flatten list of lists - rows = flatten(rows) + # FIXME - Output prediction labels are entirely wrong + # ex. trained on file with 3 concepts (prob,treat,treat) and predicted + # on same file. Got (test,test,test) as labels + retVal = {} + for t in sci.bits(self.type): - # Predict using model - second_pass_model = self.filename + '3' - sci.write_features(second_pass_model, rows, None) - sci.predict(second_pass_model, self.type) - second_pass_labels_list = sci.read_labels(second_pass_model, self.type) + # Index into output dictionary + o = list(out[t]) + classifications = [] + # Line-by-line processing + for lineno,inds in enumerate(inds_list): - # Put predictions into format for Note class to read - retVal = {} - for t in [1,2,4]: - - # Skip non-predictions - if t not in second_pass_labels_list: continue - - classifications = [] - for hit,concept in zip(hits, second_pass_labels_list[t]): - concept = Model.reverse_labels[int(concept)] - i,j = hit - - # Get start position (ex. 7th word of line) - start = 0 - for k in range(len(text_chunks[i])): - if k == j: break; - start += len( text_chunks[i][k].split() ) - - length = len(text_chunks[i][j].split()) - classifications.append( (concept, i, start, start+length-1 ) ) - - retVal[t] = classifications + # Skip empty line + if not inds: continue + + + # For each concept + for ind in inds: + concept = Model.reverse_labels[o.pop(0)] + + + # Get start position (ex. 7th word of line) + start = 0 + for i in range(ind): + start += len( data[lineno][i].split() ) + + # Length of chunk + length = len(data[lineno][ind].split()) + + # Classification token + classifications.append( (concept, lineno, start, start+length-1 ) ) + + retVal[t] = classifications # Return values @@ -437,6 +430,7 @@ def second_predict(self ,text_chunks, hits, feat_obj=None): + def concat(a,b): """ list concatenation function (for reduce() purpose) From 7c79497dbf1e11c159708e60856c889b7d17d1a4 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Mon, 21 Jul 2014 18:16:40 -0400 Subject: [PATCH 089/393] Extended methods to better support model.py --- clicon/note.py | 64 ++++++++++++++++++++++++++++++++++++++++++++++---- 1 file changed, 59 insertions(+), 5 deletions(-) diff --git a/clicon/note.py b/clicon/note.py index c0e6c99..a851454 100644 --- a/clicon/note.py +++ b/clicon/note.py @@ -330,7 +330,7 @@ def write_xml(self, con, labels): # txtlist() # # @return the data from the medical text broken into line-word format - def txtlist( self ): + def txtlist(self): # Goal: Break self.data sentences into lists of words ans = [] for sent in self.data: @@ -340,6 +340,45 @@ def txtlist( self ): + def conlist(self): + """ + Useful during evaluation + """ + # Cached for later calls + if self.concepts: return self.concepts + + + # For each word, store a corresponding concept label + # Initially, all labels will be stored as 'none' + for line in self.data: + tmp = [] + for word in line.split(): + tmp.append('none') + self.concepts.append(tmp) + + + # Use the classifications to correct all mislabled 'none's + for classification in self.classifications: + + #print "classification: ", classification + #print "classification[0]: ", classification[0] + #print "classification[1]: ", classification[1] + #print "classification[2]: ", classification[2] + #print "classification[3]: ", classification[3] + + concept = classification[0] + lineno = classification[1] - 1 + start = classification[2] + end = classification[3] + + self.concepts[lineno][start] = concept + for i in range(start, end): + self.concepts[lineno][i+1] = concept + + return self.concepts + + + def concept_labels(self): """ @@ -354,14 +393,29 @@ def concept_labels(self): - # boundaries() - # - # @return a list of lists of the BIO vals associated with each word from data - def iob_labels( self ): + def iob_labels(self): + """ + return a list of list of IOB labels + """ return self.boundaries + def set_iob_labels(self, iobs): + """ + return a list of list of IOB labels + """ + + # Must be proper form + for iob in iobs: + for label in iob: + assert (label == 'O') or (label == 'B') or (label == 'I'), \ + "All labels must be I, O, or B. Given: " + label + + self.boundaries = iobs + + + def chunked_text(self): """ From 55beefee55b19645e5c038c74ad66762e82bcbc8 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 22 Jul 2014 18:05:58 -0400 Subject: [PATCH 090/393] Temporarily fixed an issue in Model::concept_labels() --- clicon/note.py | 9 ++++++++- 1 file changed, 8 insertions(+), 1 deletion(-) diff --git a/clicon/note.py b/clicon/note.py index a851454..90cef7e 100644 --- a/clicon/note.py +++ b/clicon/note.py @@ -344,6 +344,7 @@ def conlist(self): """ Useful during evaluation """ + # Cached for later calls if self.concepts: return self.concepts @@ -389,6 +390,12 @@ def concept_labels(self): @ return A list of concept labels (1:1 mapping with text_chunks() output) """ + # FIXME - I have no idea why this gets shuffled around + self.classifications = sorted(self.classifications, key=lambda t:t[1]) + + #print self.classifications + #print '\n\n\n' + return [ c[0] for c in self.classifications ] @@ -439,7 +446,7 @@ def chunked_text(self): line = [] # Chunk phrase (or single word if 'O' iob tag) - phrase = None + phrase = '' # Word-by-word grouping for word,iob in zip(sent,iobs): From 663781f63e1e2be2c43723a1951e2926163a4893 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 22 Jul 2014 18:06:51 -0400 Subject: [PATCH 091/393] minor spacing adjustments --- clicon/model.py | 13 ++++++++----- 1 file changed, 8 insertions(+), 5 deletions(-) diff --git a/clicon/model.py b/clicon/model.py index 0328033..f45606c 100644 --- a/clicon/model.py +++ b/clicon/model.py @@ -87,7 +87,7 @@ def train(self, notes): # Train classifier (side effect - saved as object's member variable) print 'first' - self.first_train(data1, Y1) + self.first_train(data1, Y1, do_grid=False) @@ -127,7 +127,7 @@ def first_train(self, data, Y, do_grid=True): Purpose: Train the first pass classifiers (for IOB chunking) @param data A list of split sentences (1 sent = 1 line from file) - @param Y A list of list of IOB labels (1:1 mapping with X) + @param Y A list of list of IOB labels (1:1 mapping with data) @param feat_obj A wrapper for the feature module @param do_grid A boolean indicating whether to perform a grid search @@ -266,6 +266,7 @@ def predict(self, note): note.set_iob_labels(iobs) + ############### # Second pass # ############### @@ -291,7 +292,8 @@ def first_predict(self, data): # Create object that is a wrapper for the features feat_obj = clicon_features.FeatureWrapper(data) - + + # FIXME - partition and batch # prose and nonprose - each store a list of sentence feature dicts prose = [] nonprose = [] @@ -299,7 +301,6 @@ def first_predict(self, data): nonprose_line_numbers = [] for i,line in enumerate(data): # returns both the feature dict AND whether the sentence was prose - print line isProse,feats = feat_obj.IOB_features(line) if isProse: prose += feats @@ -397,6 +398,7 @@ def second_predict(self, data, inds_list): o = list(out[t]) classifications = [] + # Line-by-line processing for lineno,inds in enumerate(inds_list): @@ -406,8 +408,9 @@ def second_predict(self, data, inds_list): # For each concept for ind in inds: - concept = Model.reverse_labels[o.pop(0)] + # Get next concept + concept = Model.reverse_labels[o.pop(0)] # Get start position (ex. 7th word of line) start = 0 From f1f6abae4bf699438119061fe212fa69751bfdba Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 22 Jul 2014 21:53:54 -0400 Subject: [PATCH 092/393] Fixed a bug to use UMLS features for second pass --- clicon/features/sentence_features.py | 4 ++-- clicon/features/umls.py | 14 ++++++-------- clicon/features/umls_features.py | 7 ++++--- 3 files changed, 12 insertions(+), 13 deletions(-) diff --git a/clicon/features/sentence_features.py b/clicon/features/sentence_features.py index 75a0328..231a819 100644 --- a/clicon/features/sentence_features.py +++ b/clicon/features/sentence_features.py @@ -47,7 +47,7 @@ class SentenceFeatures: enabled_IOB_nonprose_sentence_features = ImmutableSet( ['prev_pos', 'pos', 'next_pos', 'test_result', 'prev', 'next','prev_3_pos']) - enabled_concept_features = ImmutableSet( ['pos','stem_wordnet', 'test_result', 'word_shape','prev','next, "UMLS"']) + enabled_concept_features = ImmutableSet( ['pos','stem_wordnet', 'test_result', 'word_shape','prev','next', "UMLS"]) @@ -307,7 +307,7 @@ def concept_features_for_chunk(self, sentence, ind): # Features: UMLS features if (feature == "UMLS") and enabled_modules.UMLS: - umls_features = self.feat_umls.concept_features(split_sentence) + umls_features = self.feat_umls.concept_features_for_sentence(split_sentence) features.update(umls_features) diff --git a/clicon/features/umls.py b/clicon/features/umls.py index 1217817..3dec068 100644 --- a/clicon/features/umls.py +++ b/clicon/features/umls.py @@ -94,7 +94,8 @@ def umls_semantic_context_of_words( umls_string_cache, sentence ): #print '\t\t', umls_context_list - #create a list of sublists each sublist represents the contexts for which the word appears in the sentence + #create a list of sublists + # each sublist represents the contexts for which the word appears in the sentence # print umls_context_list @@ -107,16 +108,13 @@ def umls_semantic_context_of_words( umls_string_cache, sentence ): sub_mappings = [] for j in spans: sub_mappings.append( concept_span_dict[tuple(j)]) - #print '\t\t\t', sub_mappings - #print '' - #mappings.append( list(set(sub_mappings)) ) - mappings.append( sub_mappings ) -# print mappings -# print sentence - # print '\t\t\t', mappings + + # FIXME - Decided to concat rather than append (not sure why) + mappings += sub_mappings return mappings + def umls_semantic_type_sentence( cache , sentence ): #print sentence diff --git a/clicon/features/umls_features.py b/clicon/features/umls_features.py index 48965d5..543e599 100644 --- a/clicon/features/umls_features.py +++ b/clicon/features/umls_features.py @@ -196,14 +196,14 @@ def concept_features_for_sentence(self, sentence): features = {} - for feature in self.enabled_features_for_sentence: + for feature in self.enabled_concept_features_for_sentence: # Feature: UMLS semantic type for the sentence if feature == "umls_semantic_type_sentence": # a list of the uml semantic of the largest substring(s). - sentence_mapping = umls.umls_semantic_type_sentence( self.umls_lookup_cache, sentence ) + sentence_mapping = umls.umls_semantic_type_sentence( self.umls_lookup_cache, sentence ) # if there are no mappings if not sentence_mapping: @@ -224,7 +224,8 @@ def concept_features_for_sentence(self, sentence): umls_semantic_context_mappings = umls.umls_semantic_context_of_words( self.umls_lookup_cache , sentence ) # there could be multiple contexts, iterate through the sublist - for mapping in umls_semantic_context_mappings[ind]: + for mapping in umls_semantic_context_mappings: + if not mapping: continue for concept in mapping: features[(feature,concept)] = 1 From 0b49af917c0f0dabee28b422898425cdf72a259a Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 22 Jul 2014 21:54:46 -0400 Subject: [PATCH 093/393] Fixed the bug that was temporarily patched --- clicon/note.py | 12 +++++------- 1 file changed, 5 insertions(+), 7 deletions(-) diff --git a/clicon/note.py b/clicon/note.py index 90cef7e..3d017d5 100644 --- a/clicon/note.py +++ b/clicon/note.py @@ -36,6 +36,7 @@ def read_i2b2(self, txt, con=None): # If an accompanying concept file was specified, read it if con: + classifications = [] with open(con) as f: for line in f: @@ -58,7 +59,7 @@ def read_i2b2(self, txt, con=None): end = int( end[1]) # Add the classification to the Note object - self.classifications.append( (conc,l,start,end) ) + classifications.append( (conc,l,start,end) ) #print "txt: ", txt #print "l: ", l @@ -79,6 +80,9 @@ def read_i2b2(self, txt, con=None): #print "\n" + "-" * 80 + # Concept file does not guarantee ordering by line number + self.classifications = sorted(classifications, key=lambda t:t[1]) + # Note::write_i2b2() @@ -390,12 +394,6 @@ def concept_labels(self): @ return A list of concept labels (1:1 mapping with text_chunks() output) """ - # FIXME - I have no idea why this gets shuffled around - self.classifications = sorted(self.classifications, key=lambda t:t[1]) - - #print self.classifications - #print '\n\n\n' - return [ c[0] for c in self.classifications ] From 7bd047f1c337b18434e65679a849121c8f1ca123 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 22 Jul 2014 21:55:31 -0400 Subject: [PATCH 094/393] Eliminated unnecesarry imports --- clicon/sci.py | 3 --- 1 file changed, 3 deletions(-) diff --git a/clicon/sci.py b/clicon/sci.py index 85d55d2..56f770b 100644 --- a/clicon/sci.py +++ b/clicon/sci.py @@ -1,9 +1,6 @@ -import cPickle as pickle import numpy as np -from ast import literal_eval from sklearn.svm import SVC from sklearn.svm import LinearSVC -from sklearn.feature_extraction import DictVectorizer from sklearn.grid_search import GridSearchCV from multiprocessing import cpu_count from sklearn.metrics import f1_score From 0e6e7ddc5893796fadc625962d953de9b357d3dd Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 22 Jul 2014 21:57:10 -0400 Subject: [PATCH 095/393] temporary code profiling --- clicon/train.py | 4 +++- 1 file changed, 3 insertions(+), 1 deletion(-) diff --git a/clicon/train.py b/clicon/train.py index 01fc83e..8de0449 100644 --- a/clicon/train.py +++ b/clicon/train.py @@ -9,6 +9,7 @@ from model import Model from note import * +import cProfile def main(): parser = argparse.ArgumentParser() @@ -134,4 +135,5 @@ def main(): if __name__ == '__main__': - main() + cProfile.run('main()') + #main() From 621c6326717b21524039e945f89e7149e4f11cb9 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 22 Jul 2014 21:58:15 -0400 Subject: [PATCH 096/393] display filename during prediction --- clicon/predict.py | 2 ++ 1 file changed, 2 insertions(+) diff --git a/clicon/predict.py b/clicon/predict.py index 2592fb1..f2c8bb6 100644 --- a/clicon/predict.py +++ b/clicon/predict.py @@ -72,6 +72,8 @@ def main(): #note.read_plain(txt) # TEMP - in case of plain format + print '\tfile: ', txt + # Use the model to predict the concept labels # Returns a hash table with: # keys as 1,2,4 From 5a92b13071a8c106db61727dc60504473967070b Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 22 Jul 2014 22:17:32 -0400 Subject: [PATCH 097/393] UMLS and GENIA should default to unavailable --- clicon/features/features.config | 4 ++-- 1 file changed, 2 insertions(+), 2 deletions(-) diff --git a/clicon/features/features.config b/clicon/features/features.config index 832cdce..426d10b 100644 --- a/clicon/features/features.config +++ b/clicon/features/features.config @@ -1,2 +1,2 @@ -GENIA True -UMLS True +GENIA False +UMLS False From 19c1dbb6be281db633b6044a94eed481fb079ae4 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 22 Jul 2014 22:37:09 -0400 Subject: [PATCH 098/393] Clean up output --- clicon/train.py | 16 ++-------------- 1 file changed, 2 insertions(+), 14 deletions(-) diff --git a/clicon/train.py b/clicon/train.py index 8de0449..4c6f266 100644 --- a/clicon/train.py +++ b/clicon/train.py @@ -9,7 +9,6 @@ from model import Model from note import * -import cProfile def main(): parser = argparse.ArgumentParser() @@ -75,9 +74,6 @@ def main(): txt_files = glob.glob(args.txt) con_files = glob.glob(args.con) - - # ex. {'record-13': 'record-13.txt'} - # ex. {'record-13': 'record-13.con'} txt_files_map = helper.map_files(txt_files) con_files_map = helper.map_files(con_files) @@ -88,8 +84,6 @@ def main(): if k in con_files_map: training_list.append((txt_files_map[k], con_files_map[k])) - # TEMP - useful for when I was reading in XML files - #training_list.append(txt_files_map[k]) # What kind of model should be used? (ex. SVM vs. CRF) type = 0 @@ -111,14 +105,9 @@ def main(): # Read the data into a Note object notes = [] for txt, con in training_list: - #for txt in training_list: - # Alternative data formats - #note_tmp.read_plain(txt, con) # plain - #note_tmp.read_xml(txt) # xml - note_tmp = Note() # Create Note note_tmp.read_i2b2(txt, con) # Read data into Note - notes.append(note_tmp) # Add the Note to the list + notes.append(note_tmp) # Add the Note to the list # Create a Machine Learning model @@ -135,5 +124,4 @@ def main(): if __name__ == '__main__': - cProfile.run('main()') - #main() + main() From 98e81720d2218e9ec83240fb0a2ad1cbdd8a185e Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 22 Jul 2014 22:43:53 -0400 Subject: [PATCH 099/393] adjust user print statement updates --- clicon/model.py | 59 ++++++++++++++++++++++++++++++++++++++++--------- 1 file changed, 48 insertions(+), 11 deletions(-) diff --git a/clicon/model.py b/clicon/model.py index f45606c..8af982d 100644 --- a/clicon/model.py +++ b/clicon/model.py @@ -86,7 +86,7 @@ def train(self, notes): # Train classifier (side effect - saved as object's member variable) - print 'first' + print '\tfirst pass' self.first_train(data1, Y1, do_grid=False) @@ -106,13 +106,13 @@ def train(self, notes): # Train classifier (side effect - saved as object's member variable) - print 'second' + print '\tsecond pass' self.second_train(data2, inds, Y2, do_grid=False) # Pickle dump - print 'pickle dump' + print '\tpickle dump' with open(self.filename, "wb") as model: pickle.dump(self, model) @@ -134,13 +134,10 @@ def first_train(self, data, Y, do_grid=True): @return None """ - print '\tbegin first_train()' - - # Create object that is a wrapper for the features feat_obj = clicon_features.FeatureWrapper(data) - + print '\t\tfeature extraction (pass one)' # IOB tagging # FIXME - Partition and then batch features @@ -158,10 +155,6 @@ def first_train(self, data, Y, do_grid=True): nonprose_line_numbers.append(i) - print '\tfeatures assigned' - print '\tsegregate labels list into prose and nonprose' - - # FIXME - very unclear what this is # Description: Separate labels by same division as text prose_ind = 0 @@ -185,6 +178,9 @@ def first_train(self, data, Y, do_grid=True): print line, '\n' + print '\t\tvectorizing features (pass one)' + + # Vectorize IOB labels Y_prose = [ Model.IOBs_labels[y] for y in pchunks ] Y_nonprose = [ Model.IOBs_labels[y] for y in nchunks ] @@ -195,6 +191,9 @@ def first_train(self, data, Y, do_grid=True): X_nonprose = self.first_nonprose_vec.fit_transform(nonprose) + print '\t\ttrain classifier (pass one)' + + # Train classifiers self.first_prose_clfs = sci.train(X_prose , Y_prose , self.type, do_grid) self.first_nonprose_clfs = sci.train(X_nonprose, Y_nonprose, self.type, do_grid) @@ -230,11 +229,18 @@ def second_train(self, data, inds_list, Y, do_grid=True): # Create object that is a wrapper for the features feat_o = clicon_features.FeatureWrapper() + + print '\t\textract features (pass two)' + + # Extract features X = [ feat_o.concept_features(s,inds) for s,inds in zip(data,inds_list) ] X = reduce(concat, X) + print '\t\tvectorize features (pass two)' + + # Vectorize labels Y = [ Model.labels[y] for y in Y ] @@ -242,6 +248,9 @@ def second_train(self, data, inds_list, Y, do_grid=True): X = self.second_vec.fit_transform(X) + print '\t\ttrain the classifier (pass two)' + + # Train the model self.second_clfs = sci.train(X, Y, self.type, do_grid) @@ -258,6 +267,10 @@ def predict(self, note): # First pass # ############## + + print '\tfirst pass' + + # Get the data and annotations from the Note objects data = note.txtlist() @@ -271,6 +284,10 @@ def predict(self, note): # Second pass # ############### + + print '\tsecond pass' + + # Get the data and annotations from the Note objects chunks = note.chunked_text() inds = note.concept_indices() @@ -293,6 +310,10 @@ def first_predict(self, data): # Create object that is a wrapper for the features feat_obj = clicon_features.FeatureWrapper(data) + + print '\t\textract features (pass one)' + + # FIXME - partition and batch # prose and nonprose - each store a list of sentence feature dicts prose = [] @@ -310,11 +331,17 @@ def first_predict(self, data): nonprose_line_numbers.append(i) + print '\t\tvectorize features (pass one)' + + # Vectorize features X_prose = self.first_prose_vec.transform( prose) X_nonprose = self.first_nonprose_vec.transform(nonprose) + print '\t\tpredict labels (pass one)' + + # Predict out_p = sci.predict(self.first_prose_clfs , X_prose, sci.LIN) out_n = sci.predict(self.first_nonprose_clfs, X_nonprose,sci.LIN) @@ -373,15 +400,25 @@ def second_predict(self, data, inds_list): # Create object that is a wrapper for the features feat_o = clicon_features.FeatureWrapper() + + print '\t\textract features (pass two)' + + # Extract features X = [ feat_o.concept_features(s,inds) for s,inds in zip(data,inds_list) ] X = reduce(concat, X) + print '\t\tvectorize features (pass two)' + + # Vectorize features X = self.second_vec.transform(X) + print '\t\tpredict labels (pass two)' + + # Predict concept labels out = sci.predict(self.second_clfs, X, sci.LIN) From bc78cdbb5b578801260217402e4a417007dd5526 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 22 Jul 2014 23:12:48 -0400 Subject: [PATCH 100/393] UMLS and GENIA should default to off --- clicon/features/features.config | 4 ++-- 1 file changed, 2 insertions(+), 2 deletions(-) diff --git a/clicon/features/features.config b/clicon/features/features.config index 832cdce..426d10b 100644 --- a/clicon/features/features.config +++ b/clicon/features/features.config @@ -1,2 +1,2 @@ -GENIA True -UMLS True +GENIA False +UMLS False From d0cf8d99dfb1ac290dc9641c3d26e27227647fd0 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 22 Jul 2014 23:13:31 -0400 Subject: [PATCH 101/393] Outptuting debug info --- clicon/train.py | 4 ++++ 1 file changed, 4 insertions(+) diff --git a/clicon/train.py b/clicon/train.py index 49bac5d..09748c6 100644 --- a/clicon/train.py +++ b/clicon/train.py @@ -84,6 +84,10 @@ def main(): # i2b2 or xml format = args.format + print '\n\n\n' + print 'txt_files: ', txt_files + print 'con_files: ', con_files + print 'format: ', format if format == 'i2b2': From 38a4919748786ba585ad63d0aba7620dea0b0cc7 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 22 Jul 2014 23:26:23 -0400 Subject: [PATCH 102/393] syncing up with master --- clicon/train.py | 9 --------- 1 file changed, 9 deletions(-) diff --git a/clicon/train.py b/clicon/train.py index f90476e..b58c8bd 100644 --- a/clicon/train.py +++ b/clicon/train.py @@ -114,19 +114,10 @@ def main(): notes.append(note_tmp) # Add the Note to the list -<<<<<<< HEAD elif format == 'xml': # file names print txt_files -======= - # Read the data into a Note object - notes = [] - for txt, con in training_list: - note_tmp = Note() # Create Note - note_tmp.read_i2b2(txt, con) # Read data into Note - notes.append(note_tmp) # Add the Note to the list ->>>>>>> 98e81720d2218e9ec83240fb0a2ad1cbdd8a185e # Read the data into a Note object notes = [] From 5e3c404f012b9b50bcf963c8fd8cd56f606c11e1 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 22 Jul 2014 23:30:38 -0400 Subject: [PATCH 103/393] Clean up user output --- clicon/features/read_config.py | 2 +- clicon/model.py | 10 +++++----- clicon/train.py | 8 ++++---- 3 files changed, 10 insertions(+), 10 deletions(-) diff --git a/clicon/features/read_config.py b/clicon/features/read_config.py index 7fd58c4..904cf01 100644 --- a/clicon/features/read_config.py +++ b/clicon/features/read_config.py @@ -57,6 +57,6 @@ def available_services(): # Read from config file when module is imported -print available_services() +#print available_services() diff --git a/clicon/model.py b/clicon/model.py index 8af982d..1533fca 100644 --- a/clicon/model.py +++ b/clicon/model.py @@ -137,7 +137,7 @@ def first_train(self, data, Y, do_grid=True): # Create object that is a wrapper for the features feat_obj = clicon_features.FeatureWrapper(data) - print '\t\tfeature extraction (pass one)' + print '\t\textracting features (pass one)' # IOB tagging # FIXME - Partition and then batch features @@ -191,7 +191,7 @@ def first_train(self, data, Y, do_grid=True): X_nonprose = self.first_nonprose_vec.fit_transform(nonprose) - print '\t\ttrain classifier (pass one)' + print '\t\ttraining classifier (pass one)' # Train classifiers @@ -230,7 +230,7 @@ def second_train(self, data, inds_list, Y, do_grid=True): feat_o = clicon_features.FeatureWrapper() - print '\t\textract features (pass two)' + print '\t\textracting features (pass two)' # Extract features @@ -238,7 +238,7 @@ def second_train(self, data, inds_list, Y, do_grid=True): X = reduce(concat, X) - print '\t\tvectorize features (pass two)' + print '\t\tvectorizing features (pass two)' # Vectorize labels @@ -248,7 +248,7 @@ def second_train(self, data, inds_list, Y, do_grid=True): X = self.second_vec.fit_transform(X) - print '\t\ttrain the classifier (pass two)' + print '\t\ttraining classifier (pass two)' # Train the model diff --git a/clicon/train.py b/clicon/train.py index b58c8bd..ecaf5e7 100644 --- a/clicon/train.py +++ b/clicon/train.py @@ -85,10 +85,10 @@ def main(): format = args.format - print '\n\n\n' - print 'txt_files: ', txt_files - print 'con_files: ', con_files - print 'format: ', format + #print '\n\n\n' + #print 'txt_files: ', txt_files + #print 'con_files: ', con_files + #print 'format: ', format if format == 'i2b2': From 09800068b348ffa5261d173de729565c02bea15b Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 23 Jul 2014 00:02:26 -0400 Subject: [PATCH 104/393] CLI functionality for train/predict --- clicon/cli.py | 51 +++++++++++++++++++++++---------------------------- 1 file changed, 23 insertions(+), 28 deletions(-) diff --git a/clicon/cli.py b/clicon/cli.py index 86c543c..a3a0631 100644 --- a/clicon/cli.py +++ b/clicon/cli.py @@ -1,6 +1,5 @@ import click import os -import commands import sys import subprocess @@ -22,6 +21,7 @@ def clicon(): @click.argument('input') def train(annotations, model, format, input): + # Command line arguments if not annotations: print >>sys.stderr, '\n\tError: Must provide annotations for text files' @@ -44,28 +44,20 @@ def train(annotations, model, format, input): con_path = os.path.join(BASE_DIR, annotations) - print 'training' - - # Build command cmd = ['python', runable, '-t', txt_path, '-c', con_path] + # Optional arguments if model: model_path = os.path.join(BASE_DIR, model) cmd += ['-m', model_path] if format: - cmd += ['-f' , format] + cmd += ['-f', format] # Execute train.py - print cmd subprocess.call(cmd) - #errnum, output = commands.getstatusoutput(cmd) - - # Display output - #for line in output.split('\n'): - # print line @@ -83,36 +75,39 @@ def train(annotations, model, format, input): @click.argument('input') def predict(model, out, format, input): + # Base directory BASE_DIR = os.environ.get('CLICON_DIR') if not BASE_DIR: raise Exception('Environment variable CLICON_DIR must be defined') - print 'BASE_DIR: ', BASE_DIR # Executable runable = os.path.join(BASE_DIR,'clicon/predict.py') - # Command line arguments + + # Data paths txt_path = os.path.join(BASE_DIR, input) - out_path = os.path.join(BASE_DIR, out) - model_path = os.path.join(BASE_DIR, model) - print 'predicting' # Build command - cmd = 'python ' + runable \ - + ' -f ' + format \ - + ' -i \"' + txt_path + '\"' \ - + ' -o ' + out_path \ - + ' -m ' + model_path - - # Execute predict.py - errnum, output = commands.getstatusoutput(cmd) - - # Display output - for line in output.split('\n'): - print line + cmd = ['python', runable, '-i', txt_path] + + + # Optional arguments + if out: + out_path = os.path.join(BASE_DIR, out) + cmd += ['-o', out_path] + if model: + model_path = os.path.join(BASE_DIR, model) + cmd += ['-m', model_path] + if format: + cmd += ['-f', format] + + + # Execute train.py + subprocess.call(cmd) + From 3edc95675ce891192935c748ddd81502c4f8feae Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 23 Jul 2014 00:03:57 -0400 Subject: [PATCH 105/393] Make coherent pipeline status updates for user --- clicon/model.py | 34 ++++++++++----------- clicon/predict.py | 78 +++++++++++++++++------------------------------ clicon/train.py | 5 ++- 3 files changed, 47 insertions(+), 70 deletions(-) diff --git a/clicon/model.py b/clicon/model.py index 1533fca..919bbc1 100644 --- a/clicon/model.py +++ b/clicon/model.py @@ -86,7 +86,7 @@ def train(self, notes): # Train classifier (side effect - saved as object's member variable) - print '\tfirst pass' + print 'first pass' self.first_train(data1, Y1, do_grid=False) @@ -106,13 +106,13 @@ def train(self, notes): # Train classifier (side effect - saved as object's member variable) - print '\tsecond pass' + print 'second pass' self.second_train(data2, inds, Y2, do_grid=False) # Pickle dump - print '\tpickle dump' + print 'pickle dump\n' with open(self.filename, "wb") as model: pickle.dump(self, model) @@ -137,7 +137,7 @@ def first_train(self, data, Y, do_grid=True): # Create object that is a wrapper for the features feat_obj = clicon_features.FeatureWrapper(data) - print '\t\textracting features (pass one)' + print '\textracting features (pass one)' # IOB tagging # FIXME - Partition and then batch features @@ -178,7 +178,7 @@ def first_train(self, data, Y, do_grid=True): print line, '\n' - print '\t\tvectorizing features (pass one)' + print '\tvectorizing features (pass one)' # Vectorize IOB labels @@ -191,7 +191,7 @@ def first_train(self, data, Y, do_grid=True): X_nonprose = self.first_nonprose_vec.fit_transform(nonprose) - print '\t\ttraining classifier (pass one)' + print '\ttraining classifier (pass one)' # Train classifiers @@ -230,7 +230,7 @@ def second_train(self, data, inds_list, Y, do_grid=True): feat_o = clicon_features.FeatureWrapper() - print '\t\textracting features (pass two)' + print '\textracting features (pass two)' # Extract features @@ -238,7 +238,7 @@ def second_train(self, data, inds_list, Y, do_grid=True): X = reduce(concat, X) - print '\t\tvectorizing features (pass two)' + print '\tvectorizing features (pass two)' # Vectorize labels @@ -248,7 +248,7 @@ def second_train(self, data, inds_list, Y, do_grid=True): X = self.second_vec.fit_transform(X) - print '\t\ttraining classifier (pass two)' + print '\ttraining classifier (pass two)' # Train the model @@ -268,7 +268,7 @@ def predict(self, note): ############## - print '\tfirst pass' + print 'first pass' # Get the data and annotations from the Note objects @@ -285,7 +285,7 @@ def predict(self, note): ############### - print '\tsecond pass' + print 'second pass' # Get the data and annotations from the Note objects @@ -311,7 +311,7 @@ def first_predict(self, data): feat_obj = clicon_features.FeatureWrapper(data) - print '\t\textract features (pass one)' + print '\textract features (pass one)' # FIXME - partition and batch @@ -331,7 +331,7 @@ def first_predict(self, data): nonprose_line_numbers.append(i) - print '\t\tvectorize features (pass one)' + print '\tvectorize features (pass one)' # Vectorize features @@ -339,7 +339,7 @@ def first_predict(self, data): X_nonprose = self.first_nonprose_vec.transform(nonprose) - print '\t\tpredict labels (pass one)' + print '\tpredict labels (pass one)' # Predict @@ -401,7 +401,7 @@ def second_predict(self, data, inds_list): feat_o = clicon_features.FeatureWrapper() - print '\t\textract features (pass two)' + print '\textract features (pass two)' # Extract features @@ -409,14 +409,14 @@ def second_predict(self, data, inds_list): X = reduce(concat, X) - print '\t\tvectorize features (pass two)' + print '\tvectorize features (pass two)' # Vectorize features X = self.second_vec.transform(X) - print '\t\tpredict labels (pass two)' + print '\tpredict labels (pass two)' # Predict concept labels diff --git a/clicon/predict.py b/clicon/predict.py index 0605ef2..37820d4 100644 --- a/clicon/predict.py +++ b/clicon/predict.py @@ -1,11 +1,10 @@ import os -import os.path import sys import glob import argparse import helper -import libml +import sci from model import Model from note import * @@ -14,15 +13,15 @@ def main(): parser = argparse.ArgumentParser() parser.add_argument("-i", - dest = "input", - help = "The input files to predict", - default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/test_data/*') + dest = "input", + help = "The input files to predict", + default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/test_data/*') ) parser.add_argument("-o", - dest = "output", - help = "The directory to write the output", - default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/test_predictions') + dest = "output", + help = "The directory to write the output", + default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/test_predictions') ) parser.add_argument("-m", @@ -37,42 +36,20 @@ def main(): default = 'i2b2' ) - parser.add_argument("--no-svm", - dest = "no_svm", - action = "store_true", - help = "Disable SVM model generation", - ) - - parser.add_argument("--no-lin", - dest = "no_lin", - action = "store_true", - help = "Disable LIN model generation", - ) - - parser.add_argument("--no-crf", - dest = "no_crf", - action = "store_true", - help = "Disable CRF model generation", - ) - args = parser.parse_args() - # Locate the test files + + # Parse arguments files = glob.glob(args.input) + helper.mkpath(args.output) format = args.format - # Load a model and make a prediction for each file - path = args.output - helper.mkpath(args.output) # Load model model = Model.load(args.model) - # file names - print files - - + # For each file, predict concept labels for txt in files: # Read the data into a Note object @@ -80,39 +57,40 @@ def main(): note.read_i2b2(txt) - print '\tfile: ', txt + print '-' * 30 + print '\n\n\tfile: ', txt, '\n' + - # Use the model to predict the concept labels - # Returns a hash table with: - # keys as 1,2,4 - # values as list of list of concept tokens (one-to-one with dat_list) + # Predict concept labels labels = model.predict(note) + + # Output directory con = os.path.split(txt)[-1] con = con[:-3] + 'con' - for t in libml.bits(model.type): - # FIXME - workaround. I'm not sure why it doesnt make some - if t not in labels: - continue + for t in sci.bits(model.type): - if t == libml.SVM: - helper.mkpath(os.path.join(args.output, "svm")) - con_path = os.path.join(path, "svm", con) - if t == libml.LIN: + if t == sci.LIN: helper.mkpath(os.path.join(args.output, "lin")) - con_path = os.path.join(path, "lin", con) + con_path = os.path.join(args.output, "lin", con) - # Output the concept predictions + # Get predictions in proper format if format == 'i2b2': output = note.write_i2b2(labels[t]) elif format == 'xml': output = note.write_xml(labels[t]) else: output = '' - print output + + # Output the concept predictions + with open(con_path, 'w') as f: + print >>f, output + + + print '' diff --git a/clicon/train.py b/clicon/train.py index ecaf5e7..be26532 100644 --- a/clicon/train.py +++ b/clicon/train.py @@ -28,7 +28,6 @@ def main(): parser.add_argument("-m", dest = "model", help = "Path to the model that should be generated", - #default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../models/awesome.model') default = os.path.join(os.path.dirname(os.path.abspath(__file__)), '../models/run_models/run.model') ) @@ -104,7 +103,7 @@ def main(): training_list.append((txt_files_map[k], con_files_map[k])) # file names - print training_list + print '\n', training_list, '\n' # Read the data into a Note object notes = [] @@ -117,7 +116,7 @@ def main(): elif format == 'xml': # file names - print txt_files + print '\n', txt_files, '\n' # Read the data into a Note object notes = [] From 5fb37eee4323db4a53d8fb42b83c95a133e2b114 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 23 Jul 2014 00:04:45 -0400 Subject: [PATCH 106/393] modified Note::write_i2b2() so it does not write directly to a file --- clicon/note.py | 95 ++++++++++++++++++++++++++------------------------ 1 file changed, 49 insertions(+), 46 deletions(-) diff --git a/clicon/note.py b/clicon/note.py index 4b8018a..ade8b83 100644 --- a/clicon/note.py +++ b/clicon/note.py @@ -85,63 +85,66 @@ def read_i2b2(self, txt, con=None): - # Note::write_i2b2() - # - # @param con. A path to the file of where to write the prediction. - # @param labels. A list of classifications - # - # Write the concept predictions to a given file in i2b2 format - def write_i2b2(self, con, labels): + + def write_i2b2(self, labels): + + """ + Note::write_i2b2() + + Purpose: Write the concept predictions to a given file in i2b2 format + + @param labels. A list of classifications + @return A string in i2b2 concept format to be written to a file + """ + + retStr = '' # List of list of words (line-by-line) tlist = self.txtlist() - #for i, elem in enumerate(self.data): - # print i, ": ", elem + for classification in labels: + # Ensure 'none' classifications are skipped + if classification[0] == 'none': + continue - with open(con, 'w') as f: + concept = classification[0] + lineno = classification[1] + 1 + start = classification[2] + end = classification[3] - for classification in labels: + # A list of words (corresponding line from the text file) + text = tlist[lineno-1] - # Ensure 'none' classifications are skipped - if classification[0] == 'none': - continue + #print "\n" + "-" * 80 + #print "start: ", start + #print "end ", end + #print "text: ", text + #print "text[start]: ", text[start] + #print "concept: ", concept - concept = classification[0] - lineno = classification[1] + 1 - start = classification[2] - end = classification[3] + # The text string of words that has been classified + datum = text[start] + for j in range(start, end): + datum += " " + text[j+1] - # A list of words (corresponding line from the text file) - text = tlist[lineno-1] + # Line:TokenNumber of where the concept starts and ends + idx1 = "%d:%d" % (lineno, start) + idx2 = "%d:%d" % (lineno, end ) + + # Classification + label = concept + + # Fixing issue involving i2b2 format (remove capitalization) + lowercased = [w.lower() for w in datum.split()] + datum = ' '.join(lowercased) + + # Print format + retStr += "c=\"%s\" %s %s||t=\"%s\"\n" % (datum, idx1, idx2, label) + + # return formatted data + return retStr - #print "\n" + "-" * 80 - #print "start: ", start - #print "end ", end - #print "text: ", text - #print "text[start]: ", text[start] - #print "concept: ", concept - - # The text string of words that has been classified - datum = text[start] - for j in range(start, end): - datum += " " + text[j+1] - - # Line:TokenNumber of where the concept starts and ends - idx1 = "%d:%d" % (lineno, start) - idx2 = "%d:%d" % (lineno, end ) - - # Classification - label = concept - - # Fixing issue involving i2b2 format (remove capitalization) - lowercased = [w.lower() for w in datum.split()] - datum = ' '.join(lowercased) - - # Print format - print >>f, "c=\"%s\" %s %s||t=\"%s\"" % (datum, idx1, idx2, label) - #print "c=\"%s\" %s %s||t=\"%s\"" % (datum, idx1, idx2, label) From 89bcab028ed2d7f734354e3302d556d7d469a0b3 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 23 Jul 2014 00:05:35 -0400 Subject: [PATCH 107/393] Merge branch 'command-line-interface', remote-tracking branch 'origin' From 2ddd85823fd524925678e4913e18dd17a3de649d Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 23 Jul 2014 00:35:49 -0400 Subject: [PATCH 108/393] Bugfix for reading blank lines in Note::read_i2b2() --- clicon/note.py | 12 ++++++++---- 1 file changed, 8 insertions(+), 4 deletions(-) diff --git a/clicon/note.py b/clicon/note.py index 7cc3ab2..883ce47 100644 --- a/clicon/note.py +++ b/clicon/note.py @@ -41,6 +41,9 @@ def read_i2b2(self, txt, con=None): with open(con) as f: for line in f: + # Empty line + if line == '\n': continue + # concept prefix, suffix = line.split('||') text = prefix.split() @@ -103,17 +106,18 @@ def write_txt(self): - def write_i2b2_con(self, labels=None): + def write_i2b2(self, labels=None): """ - Note::write_i2b2_con() + Note::write_i2b2() - Purpose: Write the concept predictions to a given file in i2b2 format + Purpose: Return the given concept label predictions in i2b2 format @param labels. A list of classifications - @return A string of i2b2 concept file data + @return A string of i2b2-concept-file-formatted data """ + # Return value retStr = '' # List of list of words (line-by-line) From b0ffc4e4c7fcaf21f69d199babab3610f03ac082 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 23 Jul 2014 00:35:49 -0400 Subject: [PATCH 109/393] Bugfix for reading blank lines in Note::read_i2b2() --- clicon/note.py | 12 ++++++++---- 1 file changed, 8 insertions(+), 4 deletions(-) diff --git a/clicon/note.py b/clicon/note.py index 7cc3ab2..883ce47 100644 --- a/clicon/note.py +++ b/clicon/note.py @@ -41,6 +41,9 @@ def read_i2b2(self, txt, con=None): with open(con) as f: for line in f: + # Empty line + if line == '\n': continue + # concept prefix, suffix = line.split('||') text = prefix.split() @@ -103,17 +106,18 @@ def write_txt(self): - def write_i2b2_con(self, labels=None): + def write_i2b2(self, labels=None): """ - Note::write_i2b2_con() + Note::write_i2b2() - Purpose: Write the concept predictions to a given file in i2b2 format + Purpose: Return the given concept label predictions in i2b2 format @param labels. A list of classifications - @return A string of i2b2 concept file data + @return A string of i2b2-concept-file-formatted data """ + # Return value retStr = '' # List of list of words (line-by-line) From fd40ef1a2a4896f04bbc5a602ca5d8a516022794 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 23 Jul 2014 02:10:34 -0400 Subject: [PATCH 110/393] added functionality for i2b2<->xml format command --- clicon/cli.py | 105 +++++++++++++++++++++++++++++++++++--------------- 1 file changed, 73 insertions(+), 32 deletions(-) diff --git a/clicon/cli.py b/clicon/cli.py index a3a0631..e44c3f3 100644 --- a/clicon/cli.py +++ b/clicon/cli.py @@ -2,6 +2,7 @@ import os import sys import subprocess +import glob @click.group() @@ -12,12 +13,9 @@ def clicon(): # Train @clicon.command() -@click.option('--annotations', - help='Concept files for training.') -@click.option('--model', - help='Model output by train.') -@click.option('--format', - help='Data format (i2b2 or xml).') +@click.option('--annotations', help='Concept files for training.') +@click.option('--model' , help='Model output by train.' ) +@click.option('--format' , help='Data format (i2b2 or xml).' ) @click.argument('input') def train(annotations, model, format, input): @@ -39,21 +37,15 @@ def train(annotations, model, format, input): runable = os.path.join(BASE_DIR,'clicon/train.py') - # Data paths - txt_path = os.path.join(BASE_DIR, input) - con_path = os.path.join(BASE_DIR, annotations) - - # Build command cmd = ['python', runable, '-t', txt_path, '-c', con_path] # Optional arguments if model: - model_path = os.path.join(BASE_DIR, model) - cmd += ['-m', model_path] + cmd += ['-m', model] if format: - cmd += ['-f', format] + cmd += ['-f', format] # Execute train.py @@ -61,17 +53,12 @@ def train(annotations, model, format, input): + # Predict @clicon.command() -@click.option('--model', - default='models/run_models/run.model', - help='Model used to predict on files') -@click.option('--out', - default='data/test_predictions', - help='The directory to write the output') -@click.option('--format', - default='i2b2', - help='Data format (i2b2 or xml).') +@click.option('--out' , help='The directory to write the output') +@click.option('--model' , help='Model used to predict on files' ) +@click.option('--format', help='Data format (i2b2 or xml).' ) @click.argument('input') def predict(model, out, format, input): @@ -86,23 +73,17 @@ def predict(model, out, format, input): runable = os.path.join(BASE_DIR,'clicon/predict.py') - # Data paths - txt_path = os.path.join(BASE_DIR, input) - - # Build command cmd = ['python', runable, '-i', txt_path] # Optional arguments if out: - out_path = os.path.join(BASE_DIR, out) - cmd += ['-o', out_path] + cmd += ['-o', out] if model: - model_path = os.path.join(BASE_DIR, model) - cmd += ['-m', model_path] + cmd += ['-m', model] if format: - cmd += ['-f', format] + cmd += ['-f', format] # Execute train.py @@ -111,6 +92,66 @@ def predict(model, out, format, input): + +# Format +@clicon.command() +@click.option('--annotations', help='Concept files for training.' ) +@click.option('--format' , help='Data format (i2b2 or xml).' ) +@click.option('--out' , help='The directory to write the output') +@click.argument('input') +def format(annotations, format, out, input): + + + # Base directory + BASE_DIR = os.environ.get('CLICON_DIR') + if not BASE_DIR: + raise Exception('Environment variable CLICON_DIR must be defined') + + + # Executable + runable = os.path.join(BASE_DIR,'clicon/format.py') + + + # Must have legal input + files = glob.glob(input) + if not files: + print >>sys.stderr, '\n\tError: Input file could not be found\n' + exit(1) + + # Must manually check if '.txt' or 'xml' + if files[0][-3:] == 'xml': + flag = '-x' + elif files[0][-3:] == 'txt': + flag = '-t' + else: + print >>sys.stderr, '\n\tError: Input file must be either "txt" or "xml"' + print >>sys.stderr, '' + exit(2) + + + # Build command + cmd = ['python', runable, flag, input] + + + # Optional arguments + if annotations: + cmd += ['-c', annotations] + if out: + cmd += ['-o', out] + if format: + cmd += ['-f', format] + + + # Execute train.py + subprocess.call(cmd) + + + + + + + + if __name__ == '__main__': clicon() From 268e2c62431e59cf3f827ca7b66a1917d2fc7d4e Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 23 Jul 2014 02:10:34 -0400 Subject: [PATCH 111/393] added functionality for i2b2<->xml format command --- clicon/cli.py | 105 +++++++++++++++++++++++++++++++++++--------------- 1 file changed, 73 insertions(+), 32 deletions(-) diff --git a/clicon/cli.py b/clicon/cli.py index a3a0631..e44c3f3 100644 --- a/clicon/cli.py +++ b/clicon/cli.py @@ -2,6 +2,7 @@ import os import sys import subprocess +import glob @click.group() @@ -12,12 +13,9 @@ def clicon(): # Train @clicon.command() -@click.option('--annotations', - help='Concept files for training.') -@click.option('--model', - help='Model output by train.') -@click.option('--format', - help='Data format (i2b2 or xml).') +@click.option('--annotations', help='Concept files for training.') +@click.option('--model' , help='Model output by train.' ) +@click.option('--format' , help='Data format (i2b2 or xml).' ) @click.argument('input') def train(annotations, model, format, input): @@ -39,21 +37,15 @@ def train(annotations, model, format, input): runable = os.path.join(BASE_DIR,'clicon/train.py') - # Data paths - txt_path = os.path.join(BASE_DIR, input) - con_path = os.path.join(BASE_DIR, annotations) - - # Build command cmd = ['python', runable, '-t', txt_path, '-c', con_path] # Optional arguments if model: - model_path = os.path.join(BASE_DIR, model) - cmd += ['-m', model_path] + cmd += ['-m', model] if format: - cmd += ['-f', format] + cmd += ['-f', format] # Execute train.py @@ -61,17 +53,12 @@ def train(annotations, model, format, input): + # Predict @clicon.command() -@click.option('--model', - default='models/run_models/run.model', - help='Model used to predict on files') -@click.option('--out', - default='data/test_predictions', - help='The directory to write the output') -@click.option('--format', - default='i2b2', - help='Data format (i2b2 or xml).') +@click.option('--out' , help='The directory to write the output') +@click.option('--model' , help='Model used to predict on files' ) +@click.option('--format', help='Data format (i2b2 or xml).' ) @click.argument('input') def predict(model, out, format, input): @@ -86,23 +73,17 @@ def predict(model, out, format, input): runable = os.path.join(BASE_DIR,'clicon/predict.py') - # Data paths - txt_path = os.path.join(BASE_DIR, input) - - # Build command cmd = ['python', runable, '-i', txt_path] # Optional arguments if out: - out_path = os.path.join(BASE_DIR, out) - cmd += ['-o', out_path] + cmd += ['-o', out] if model: - model_path = os.path.join(BASE_DIR, model) - cmd += ['-m', model_path] + cmd += ['-m', model] if format: - cmd += ['-f', format] + cmd += ['-f', format] # Execute train.py @@ -111,6 +92,66 @@ def predict(model, out, format, input): + +# Format +@clicon.command() +@click.option('--annotations', help='Concept files for training.' ) +@click.option('--format' , help='Data format (i2b2 or xml).' ) +@click.option('--out' , help='The directory to write the output') +@click.argument('input') +def format(annotations, format, out, input): + + + # Base directory + BASE_DIR = os.environ.get('CLICON_DIR') + if not BASE_DIR: + raise Exception('Environment variable CLICON_DIR must be defined') + + + # Executable + runable = os.path.join(BASE_DIR,'clicon/format.py') + + + # Must have legal input + files = glob.glob(input) + if not files: + print >>sys.stderr, '\n\tError: Input file could not be found\n' + exit(1) + + # Must manually check if '.txt' or 'xml' + if files[0][-3:] == 'xml': + flag = '-x' + elif files[0][-3:] == 'txt': + flag = '-t' + else: + print >>sys.stderr, '\n\tError: Input file must be either "txt" or "xml"' + print >>sys.stderr, '' + exit(2) + + + # Build command + cmd = ['python', runable, flag, input] + + + # Optional arguments + if annotations: + cmd += ['-c', annotations] + if out: + cmd += ['-o', out] + if format: + cmd += ['-f', format] + + + # Execute train.py + subprocess.call(cmd) + + + + + + + + if __name__ == '__main__': clicon() From 498caded7cc3e6f66b488c3e8c19143948c2b297 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 23 Jul 2014 02:11:26 -0400 Subject: [PATCH 112/393] fully working format conversion (unless going from a format back to itself) --- clicon/format.py | 110 ++++++++++++++++++++++++++++++++--------------- 1 file changed, 76 insertions(+), 34 deletions(-) diff --git a/clicon/format.py b/clicon/format.py index e5e7b6f..ec486d1 100644 --- a/clicon/format.py +++ b/clicon/format.py @@ -13,6 +13,8 @@ import argparse +import sys +import os import glob import helper @@ -22,6 +24,7 @@ def main(): + # Argument Parser parser = argparse.ArgumentParser() parser.add_argument("-t", @@ -40,8 +43,9 @@ def main(): ) parser.add_argument("-o", - dest = "out_file", - help = "File to output data", + dest = "out", + default = '.', + help = "Directory to output data", ) parser.add_argument("-f", @@ -53,47 +57,84 @@ def main(): args = parser.parse_args() - #print 'CALLING FORMAT.PY' - #return - - - # A list of text file paths - # A list of concept file paths + # Parse arguments if args.txt: txt_files = glob.glob(args.txt) if args.con: con_files = glob.glob(args.con) if args.xml: xml_files = glob.glob(args.xml) + if args.out: out_dir = args.out + format = args.format + + + # Ensure format is specified + if (not format) or ((format != 'xml') and (format != 'i2b2')): + print >>sys.stderr, '\n\tError: Must specify output format (i2b2 or xml)' + print >>sys.stderr, '' + exit(1) + + + # Ensure proper data is available + if not ((args.txt and args.con) or (args.xml)): + print >>sys.stderr, '\n\tError: Must supply either:' + print >>sys.stderr, '\t 1) i2b2 txt & con files' + print >>sys.stderr, '\t 2) xml file\n' + exit(2) + + + if format == 'xml': + + # Group input i2b2 txt/con files together + txt_files_map = helper.map_files(txt_files) + con_files_map = helper.map_files(con_files) + file_list = [] + for k in txt_files_map: + if k in con_files_map: + file_list.append((txt_files_map[k], con_files_map[k])) + + + # For each matching txt/con pair + for txt_f,con_f in file_list: - # ex. {'record-13': 'record-13.txt'} - # ex. {'record-13': 'record-13.con'} - txt_files_map = helper.map_files(txt_files) - con_files_map = helper.map_files(con_files) + # i2b2 -> xml + output = i2b2_to_xml(txt_f, con_f) - # ex. training_list = [ ('record-13.txt', 'record-13.con') ] - file_list = [] - for k in txt_files_map: - if k in con_files_map: - file_list.append((txt_files_map[k], con_files_map[k])) + # output file name + xml_name = os.path.basename(txt_f)[:-4] + '.xml' + xml_file = os.path.join(out_dir, xml_name) + # print output xml file + print 'outputting: ', xml_file + with open(xml_file, 'w') as f: + print >>f, output - # FIXME - use the "format" argument - # i2b2 -> xml - for txt_f,con_f in file_list: - out = i2b2_to_xml(txt_f, con_f) - print out + else: + + # For each xml file + for xml_f in xml_files: + + # i2b2 -> xml + txt_out, con_out = xml_to_i2b2(xml_f) + + + # output txt file + txt_name = os.path.basename(xml_f)[:-4] + '.txt' + txt_file = os.path.join(out_dir, txt_name) + + print 'outputting: ', txt_file + with open(txt_file, 'w') as f: + print >>f, txt_out + + + # output con file + con_name = os.path.basename(xml_f)[:-4] + '.con' + con_file = os.path.join(out_dir, con_name) + + print 'outputting: ', con_file + with open(con_file, 'w') as f: + print >>f, con_out - return - # xml -> i2b2 - for xml_f in xml_files: - print xml_f - txt_out, con_out = xml_to_i2b2(xml_f) - print '' - print txt_out - print '\n--------\n' - print con_out - print '' @@ -119,6 +160,7 @@ def i2b2_to_xml(txt, con): + def xml_to_i2b2(xml): """ @@ -131,11 +173,11 @@ def xml_to_i2b2(xml): """ - # Read note from i2b2 format + # Read note from xml format N = note.Note() N.read_xml(xml) - # Output note into xml format + # Output note into i2b2 format txt_out = N.write_txt() con_out = N.write_i2b2_con() return txt_out, con_out From b2c75ef829df3e25b34b6db11d9a823787f92c01 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 23 Jul 2014 02:11:26 -0400 Subject: [PATCH 113/393] fully working format conversion (unless going from a format back to itself) --- clicon/format.py | 110 ++++++++++++++++++++++++++++++++--------------- 1 file changed, 76 insertions(+), 34 deletions(-) diff --git a/clicon/format.py b/clicon/format.py index e5e7b6f..ec486d1 100644 --- a/clicon/format.py +++ b/clicon/format.py @@ -13,6 +13,8 @@ import argparse +import sys +import os import glob import helper @@ -22,6 +24,7 @@ def main(): + # Argument Parser parser = argparse.ArgumentParser() parser.add_argument("-t", @@ -40,8 +43,9 @@ def main(): ) parser.add_argument("-o", - dest = "out_file", - help = "File to output data", + dest = "out", + default = '.', + help = "Directory to output data", ) parser.add_argument("-f", @@ -53,47 +57,84 @@ def main(): args = parser.parse_args() - #print 'CALLING FORMAT.PY' - #return - - - # A list of text file paths - # A list of concept file paths + # Parse arguments if args.txt: txt_files = glob.glob(args.txt) if args.con: con_files = glob.glob(args.con) if args.xml: xml_files = glob.glob(args.xml) + if args.out: out_dir = args.out + format = args.format + + + # Ensure format is specified + if (not format) or ((format != 'xml') and (format != 'i2b2')): + print >>sys.stderr, '\n\tError: Must specify output format (i2b2 or xml)' + print >>sys.stderr, '' + exit(1) + + + # Ensure proper data is available + if not ((args.txt and args.con) or (args.xml)): + print >>sys.stderr, '\n\tError: Must supply either:' + print >>sys.stderr, '\t 1) i2b2 txt & con files' + print >>sys.stderr, '\t 2) xml file\n' + exit(2) + + + if format == 'xml': + + # Group input i2b2 txt/con files together + txt_files_map = helper.map_files(txt_files) + con_files_map = helper.map_files(con_files) + file_list = [] + for k in txt_files_map: + if k in con_files_map: + file_list.append((txt_files_map[k], con_files_map[k])) + + + # For each matching txt/con pair + for txt_f,con_f in file_list: - # ex. {'record-13': 'record-13.txt'} - # ex. {'record-13': 'record-13.con'} - txt_files_map = helper.map_files(txt_files) - con_files_map = helper.map_files(con_files) + # i2b2 -> xml + output = i2b2_to_xml(txt_f, con_f) - # ex. training_list = [ ('record-13.txt', 'record-13.con') ] - file_list = [] - for k in txt_files_map: - if k in con_files_map: - file_list.append((txt_files_map[k], con_files_map[k])) + # output file name + xml_name = os.path.basename(txt_f)[:-4] + '.xml' + xml_file = os.path.join(out_dir, xml_name) + # print output xml file + print 'outputting: ', xml_file + with open(xml_file, 'w') as f: + print >>f, output - # FIXME - use the "format" argument - # i2b2 -> xml - for txt_f,con_f in file_list: - out = i2b2_to_xml(txt_f, con_f) - print out + else: + + # For each xml file + for xml_f in xml_files: + + # i2b2 -> xml + txt_out, con_out = xml_to_i2b2(xml_f) + + + # output txt file + txt_name = os.path.basename(xml_f)[:-4] + '.txt' + txt_file = os.path.join(out_dir, txt_name) + + print 'outputting: ', txt_file + with open(txt_file, 'w') as f: + print >>f, txt_out + + + # output con file + con_name = os.path.basename(xml_f)[:-4] + '.con' + con_file = os.path.join(out_dir, con_name) + + print 'outputting: ', con_file + with open(con_file, 'w') as f: + print >>f, con_out - return - # xml -> i2b2 - for xml_f in xml_files: - print xml_f - txt_out, con_out = xml_to_i2b2(xml_f) - print '' - print txt_out - print '\n--------\n' - print con_out - print '' @@ -119,6 +160,7 @@ def i2b2_to_xml(txt, con): + def xml_to_i2b2(xml): """ @@ -131,11 +173,11 @@ def xml_to_i2b2(xml): """ - # Read note from i2b2 format + # Read note from xml format N = note.Note() N.read_xml(xml) - # Output note into xml format + # Output note into i2b2 format txt_out = N.write_txt() con_out = N.write_i2b2_con() return txt_out, con_out From 49e00d9605ba28b055d944cbcb2a98b0ffc3bbbb Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 23 Jul 2014 02:12:08 -0400 Subject: [PATCH 114/393] renamed Note::write_i2b2() to Note::write_i2b2_con() for consistency --- clicon/note.py | 25 +++++++++++++++++-------- 1 file changed, 17 insertions(+), 8 deletions(-) diff --git a/clicon/note.py b/clicon/note.py index 883ce47..b92b8c1 100644 --- a/clicon/note.py +++ b/clicon/note.py @@ -87,6 +87,8 @@ def read_i2b2(self, txt, con=None): # Concept file does not guarantee ordering by line number self.classifications = sorted(classifications, key=lambda t:t[1]) + + def write_txt(self): """ @@ -106,10 +108,10 @@ def write_txt(self): - def write_i2b2(self, labels=None): + def write_i2b2_con(self, labels=None): """ - Note::write_i2b2() + Note::write_i2b2_con() Purpose: Return the given concept label predictions in i2b2 format @@ -134,7 +136,7 @@ def write_i2b2(self, labels=None): # For each classification - for classification in labels: + for classification in classifications: # Ensure 'none' classifications are skipped if classification[0] == 'none': @@ -369,7 +371,7 @@ def read_xml(self, xml): i += 1 - def write_xml(self, labels): + def write_xml(self, labels=None): """ Note::write_xml() @@ -380,16 +382,23 @@ def write_xml(self, labels): @return A string for the xml-annotated file """ - # xml formats do not have associated concept files - return "FIXME: write_xml() not implemented" + + # If given labels to write, use them. Default to self.classifications + if labels: + classifications = labels + elif self.classifications: + classifications = self.classifications + else: + raise Exception('Cannot write concept file: must specify labels') + # Intermediate copy toks = copy(self.data) # Order classification tuples so they are accessed right to left # Assumption: sorted() is a stable sort - tags = sorted(self.classifications, key=lambda x:x[2], reverse=True) - tags = sorted(tags , key=lambda x:x[1] ) + tags = sorted(classifications, key=lambda x:x[2], reverse=True) + tags = sorted(tags , key=lambda x:x[1] ) #print toks #print '' From f04a63d868368526ae59fdae5a9fd6063cca4025 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 23 Jul 2014 02:12:08 -0400 Subject: [PATCH 115/393] renamed Note::write_i2b2() to Note::write_i2b2_con() for consistency --- clicon/note.py | 25 +++++++++++++++++-------- 1 file changed, 17 insertions(+), 8 deletions(-) diff --git a/clicon/note.py b/clicon/note.py index 883ce47..b92b8c1 100644 --- a/clicon/note.py +++ b/clicon/note.py @@ -87,6 +87,8 @@ def read_i2b2(self, txt, con=None): # Concept file does not guarantee ordering by line number self.classifications = sorted(classifications, key=lambda t:t[1]) + + def write_txt(self): """ @@ -106,10 +108,10 @@ def write_txt(self): - def write_i2b2(self, labels=None): + def write_i2b2_con(self, labels=None): """ - Note::write_i2b2() + Note::write_i2b2_con() Purpose: Return the given concept label predictions in i2b2 format @@ -134,7 +136,7 @@ def write_i2b2(self, labels=None): # For each classification - for classification in labels: + for classification in classifications: # Ensure 'none' classifications are skipped if classification[0] == 'none': @@ -369,7 +371,7 @@ def read_xml(self, xml): i += 1 - def write_xml(self, labels): + def write_xml(self, labels=None): """ Note::write_xml() @@ -380,16 +382,23 @@ def write_xml(self, labels): @return A string for the xml-annotated file """ - # xml formats do not have associated concept files - return "FIXME: write_xml() not implemented" + + # If given labels to write, use them. Default to self.classifications + if labels: + classifications = labels + elif self.classifications: + classifications = self.classifications + else: + raise Exception('Cannot write concept file: must specify labels') + # Intermediate copy toks = copy(self.data) # Order classification tuples so they are accessed right to left # Assumption: sorted() is a stable sort - tags = sorted(self.classifications, key=lambda x:x[2], reverse=True) - tags = sorted(tags , key=lambda x:x[1] ) + tags = sorted(classifications, key=lambda x:x[2], reverse=True) + tags = sorted(tags , key=lambda x:x[1] ) #print toks #print '' From 757b8480d975b79ba23fae43de3dc5d53d774afa Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 23 Jul 2014 02:12:36 -0400 Subject: [PATCH 116/393] Changed call to Note method because of renaming --- clicon/predict.py | 2 +- 1 file changed, 1 insertion(+), 1 deletion(-) diff --git a/clicon/predict.py b/clicon/predict.py index 37820d4..8bdd8be 100644 --- a/clicon/predict.py +++ b/clicon/predict.py @@ -79,7 +79,7 @@ def main(): # Get predictions in proper format if format == 'i2b2': - output = note.write_i2b2(labels[t]) + output = note.write_i2b2_con(labels[t]) elif format == 'xml': output = note.write_xml(labels[t]) else: From 1ab75aa2c06ee0c7cac88b9584548c50ef058504 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 23 Jul 2014 02:12:36 -0400 Subject: [PATCH 117/393] Changed call to Note method because of renaming --- clicon/predict.py | 2 +- 1 file changed, 1 insertion(+), 1 deletion(-) diff --git a/clicon/predict.py b/clicon/predict.py index 37820d4..8bdd8be 100644 --- a/clicon/predict.py +++ b/clicon/predict.py @@ -79,7 +79,7 @@ def main(): # Get predictions in proper format if format == 'i2b2': - output = note.write_i2b2(labels[t]) + output = note.write_i2b2_con(labels[t]) elif format == 'xml': output = note.write_xml(labels[t]) else: From ecb54c64a04e97529168f1c79597bdcfacc04a3f Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 23 Jul 2014 12:47:39 -0400 Subject: [PATCH 118/393] preliminary README with installation directions --- README.rst | 114 ++++++++++++++++++++++++++++++++++++++++++++++++++++- 1 file changed, 113 insertions(+), 1 deletion(-) diff --git a/README.rst b/README.rst index 8985656..c786357 100644 --- a/README.rst +++ b/README.rst @@ -20,4 +20,116 @@ A short description of CliCon. Features -------- -* TODO \ No newline at end of file +* TODO + + + + +Installation +-------- + +1. virtualenv + + +Setup a virtual environent: + + example: + willie@text-machine:~$ virtualenv venv_clicon + willie@text-machine:~$ source venv_clicon/bin/activate + + + +2. Get data + + FIXME: Something Something i2b2 agreement. + + + OR, if you are Anna Rumshisky, then you know the password to text-machine + example: + willie@text-machine:~/CliCon$ scp -r wboag@text-machine:~/clicon_data/* data + + + +3. environment variable + + In order to run CliCon, you must define the CLICON_DIR environment variable. + **This variable must be the path of the directory creatied by git.** + + example: + willie@text-machine:~$ pwd + /home/willie + wboag@cs1:~$ git clone https://github.com/mitmedg/CliCon.git + Cloning into 'CliCon'... + remote: Counting objects: 1296, done. + remote: Compressing objects: 100% (503/503), done. + remote: Total 1296 (delta 812), reused 1253 (delta 781) + Receiving objects: 100% (1296/1296), 1001.14 KiB | 759 KiB/s, done. + Resolving deltas: 100% (812/812), done. + willie@text-machine:~$ export CLICON_DIR=/home/willie/CliCon + + + +3. Get UMLS tables (optional) + + Optional: + + + Note: If you get an error that looks like + + Traceback (most recent call last): + ... + import SQLookup + File "/home/willie/CliCon/clicon/features/SQLookup.py", line 25, in + c = SQLConnect() + File "/home/willie/CliCon/clicon/features/SQLookup.py", line 17, in SQLConnect + create_sqliteDB.create_db() + File "/home/willie/CliCon/clicon/features/create_sqliteDB.py", line 11, in create_db + conn = sqlite3.connect( db_path ) + sqlite3.OperationalError: unable to open database file + + Then the system thinks you have UMLS databases when you actually do not. + To solve this, you need to change the file $CLICON_DIR/clicon/features/features.config to look like: + + GENIA False + UMLS False + + If that does not work, then check to make sure your CLICON_DIR variable is correct. + + + +4. Install GENIA tagger (optional) + + + + +5. Switch to working branch (TEMPORARY) + + example: + willie@text-machine:~/CliCon$ git checkout parameterization + + + +6. Install CliCon + + example: + (venv_clicon)willie@text-machine:~/CliCon$ python setup.py install + + + I had to pip install: + - numpy + - scikit-learn + - scipy + - nltk (AND run the NLTK downloader) + + I had to apt-get install: + - g++ + - gfortran + - libopenblas-dev + - liblapack-dev + + +7. Give it a test run + + example 1: + (venv_clicon)willie@text-machine:~/CliCon$ clicon train + From 74faad9ddb5556149150fd286621c45e2293c572 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 23 Jul 2014 12:47:39 -0400 Subject: [PATCH 119/393] preliminary README with installation directions --- README.rst | 114 ++++++++++++++++++++++++++++++++++++++++++++++++++++- 1 file changed, 113 insertions(+), 1 deletion(-) diff --git a/README.rst b/README.rst index 8985656..c786357 100644 --- a/README.rst +++ b/README.rst @@ -20,4 +20,116 @@ A short description of CliCon. Features -------- -* TODO \ No newline at end of file +* TODO + + + + +Installation +-------- + +1. virtualenv + + +Setup a virtual environent: + + example: + willie@text-machine:~$ virtualenv venv_clicon + willie@text-machine:~$ source venv_clicon/bin/activate + + + +2. Get data + + FIXME: Something Something i2b2 agreement. + + + OR, if you are Anna Rumshisky, then you know the password to text-machine + example: + willie@text-machine:~/CliCon$ scp -r wboag@text-machine:~/clicon_data/* data + + + +3. environment variable + + In order to run CliCon, you must define the CLICON_DIR environment variable. + **This variable must be the path of the directory creatied by git.** + + example: + willie@text-machine:~$ pwd + /home/willie + wboag@cs1:~$ git clone https://github.com/mitmedg/CliCon.git + Cloning into 'CliCon'... + remote: Counting objects: 1296, done. + remote: Compressing objects: 100% (503/503), done. + remote: Total 1296 (delta 812), reused 1253 (delta 781) + Receiving objects: 100% (1296/1296), 1001.14 KiB | 759 KiB/s, done. + Resolving deltas: 100% (812/812), done. + willie@text-machine:~$ export CLICON_DIR=/home/willie/CliCon + + + +3. Get UMLS tables (optional) + + Optional: + + + Note: If you get an error that looks like + + Traceback (most recent call last): + ... + import SQLookup + File "/home/willie/CliCon/clicon/features/SQLookup.py", line 25, in + c = SQLConnect() + File "/home/willie/CliCon/clicon/features/SQLookup.py", line 17, in SQLConnect + create_sqliteDB.create_db() + File "/home/willie/CliCon/clicon/features/create_sqliteDB.py", line 11, in create_db + conn = sqlite3.connect( db_path ) + sqlite3.OperationalError: unable to open database file + + Then the system thinks you have UMLS databases when you actually do not. + To solve this, you need to change the file $CLICON_DIR/clicon/features/features.config to look like: + + GENIA False + UMLS False + + If that does not work, then check to make sure your CLICON_DIR variable is correct. + + + +4. Install GENIA tagger (optional) + + + + +5. Switch to working branch (TEMPORARY) + + example: + willie@text-machine:~/CliCon$ git checkout parameterization + + + +6. Install CliCon + + example: + (venv_clicon)willie@text-machine:~/CliCon$ python setup.py install + + + I had to pip install: + - numpy + - scikit-learn + - scipy + - nltk (AND run the NLTK downloader) + + I had to apt-get install: + - g++ + - gfortran + - libopenblas-dev + - liblapack-dev + + +7. Give it a test run + + example 1: + (venv_clicon)willie@text-machine:~/CliCon$ clicon train + From 868239d7048d702c53bfb7a55a0f164b2865e6bb Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 23 Jul 2014 13:39:23 -0400 Subject: [PATCH 120/393] Added basic demos with for cli --- README.rst | 88 ++++++++++++++++++++++++++---------------------------- 1 file changed, 43 insertions(+), 45 deletions(-) diff --git a/README.rst b/README.rst index c786357..0fa9837 100644 --- a/README.rst +++ b/README.rst @@ -28,6 +28,7 @@ Features Installation -------- + 1. virtualenv @@ -35,22 +36,13 @@ Setup a virtual environent: example: willie@text-machine:~$ virtualenv venv_clicon - willie@text-machine:~$ source venv_clicon/bin/activate - - - -2. Get data - FIXME: Something Something i2b2 agreement. + willie@text-machine:~$ source venv_clicon/bin/activate - OR, if you are Anna Rumshisky, then you know the password to text-machine - example: - willie@text-machine:~/CliCon$ scp -r wboag@text-machine:~/clicon_data/* data - -3. environment variable +2. environment variable In order to run CliCon, you must define the CLICON_DIR environment variable. **This variable must be the path of the directory creatied by git.** @@ -69,67 +61,73 @@ Setup a virtual environent: -3. Get UMLS tables (optional) - Optional: +3. Get data + + FIXME: Something Something i2b2 agreement. + **I'll need to ask Kevin how to get data from i2b2** - Note: If you get an error that looks like + OR, if you are Anna Rumshisky, then you know the password to text-machine - Traceback (most recent call last): - ... - import SQLookup - File "/home/willie/CliCon/clicon/features/SQLookup.py", line 25, in - c = SQLConnect() - File "/home/willie/CliCon/clicon/features/SQLookup.py", line 17, in SQLConnect - create_sqliteDB.create_db() - File "/home/willie/CliCon/clicon/features/create_sqliteDB.py", line 11, in create_db - conn = sqlite3.connect( db_path ) - sqlite3.OperationalError: unable to open database file + example: + willie@text-machine:~/CliCon$ scp -r wboag@text-machine:~/CliCon/data/* $CLICON_DIR/data - Then the system thinks you have UMLS databases when you actually do not. - To solve this, you need to change the file $CLICON_DIR/clicon/features/features.config to look like: - GENIA False - UMLS False - If that does not work, then check to make sure your CLICON_DIR variable is correct. +3. Get UMLS tables (optional) + **Do-able but I'd need to talk to Kevin about where to get them** -4. Install GENIA tagger (optional) +4. Install GENIA tagger (optional) -5. Switch to working branch (TEMPORARY) + **Would take some effort to make this possible. Do-able, but not pretty** - example: - willie@text-machine:~/CliCon$ git checkout parameterization -6. Install CliCon - example: - (venv_clicon)willie@text-machine:~/CliCon$ python setup.py install +6. Install CliCon + This project has dependencies on scientific computation libraries. - I had to pip install: + Ensure the following python modules are installed: - numpy - scikit-learn - scipy - nltk (AND run the NLTK downloader) - I had to apt-get install: - - g++ - - gfortran - - libopenblas-dev - - liblapack-dev + **Note, if you are on Ubuntu, then you have to to apt-get the following: + - g++ + - gfortran + - libopenblas-dev + - liblapack-dev + *** + + + example: + (venv_clicon)willie@text-machine:~/CliCon$ sudo apt-get install g++ gfortran libopenblas-dev liblapack-dev -Y + (venv_clicon)willie@text-machine:~/CliCon$ pip install numpy scikit-learn scipy nltk + (venv_clicon)willie@text-machine:~/CliCon$ python setup.py install + + + + +7. Demos + + + example 1: Training the classifier + (venv_clicon)willie@text-machine:~/clicon/CliCon$ clicon train data/concept_assertion_relation_training_data/partners/txt/837898389.txt --annotations data/concept_assertion_relation_training_data/partners/concept/837898389.con + + example 2: Predicting concept labels + (venv_clicon)willie@text-machine:~/clicon/CliCon$ clicon predict data/concept_assertion_relation_training_data/partners/txt/837898389.txt --out data/test_predictions/ -7. Give it a test run - example 1: - (venv_clicon)willie@text-machine:~/CliCon$ clicon train + example 3: Converting i2b2 concept file into xml format + (venv_clicon)willie@text-machine:~/clicon/CliCon$ clicon format data/concept_assertion_relation_training_data/partners/txt/837898389.txt --annotations lin/837898389.con --format xml From 966744484183e5dcd1ef2f4c9ffcacaa158febff Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 23 Jul 2014 13:39:23 -0400 Subject: [PATCH 121/393] Added basic demos with for cli --- README.rst | 88 ++++++++++++++++++++++++++---------------------------- 1 file changed, 43 insertions(+), 45 deletions(-) diff --git a/README.rst b/README.rst index c786357..0fa9837 100644 --- a/README.rst +++ b/README.rst @@ -28,6 +28,7 @@ Features Installation -------- + 1. virtualenv @@ -35,22 +36,13 @@ Setup a virtual environent: example: willie@text-machine:~$ virtualenv venv_clicon - willie@text-machine:~$ source venv_clicon/bin/activate - - - -2. Get data - FIXME: Something Something i2b2 agreement. + willie@text-machine:~$ source venv_clicon/bin/activate - OR, if you are Anna Rumshisky, then you know the password to text-machine - example: - willie@text-machine:~/CliCon$ scp -r wboag@text-machine:~/clicon_data/* data - -3. environment variable +2. environment variable In order to run CliCon, you must define the CLICON_DIR environment variable. **This variable must be the path of the directory creatied by git.** @@ -69,67 +61,73 @@ Setup a virtual environent: -3. Get UMLS tables (optional) - Optional: +3. Get data + + FIXME: Something Something i2b2 agreement. + **I'll need to ask Kevin how to get data from i2b2** - Note: If you get an error that looks like + OR, if you are Anna Rumshisky, then you know the password to text-machine - Traceback (most recent call last): - ... - import SQLookup - File "/home/willie/CliCon/clicon/features/SQLookup.py", line 25, in - c = SQLConnect() - File "/home/willie/CliCon/clicon/features/SQLookup.py", line 17, in SQLConnect - create_sqliteDB.create_db() - File "/home/willie/CliCon/clicon/features/create_sqliteDB.py", line 11, in create_db - conn = sqlite3.connect( db_path ) - sqlite3.OperationalError: unable to open database file + example: + willie@text-machine:~/CliCon$ scp -r wboag@text-machine:~/CliCon/data/* $CLICON_DIR/data - Then the system thinks you have UMLS databases when you actually do not. - To solve this, you need to change the file $CLICON_DIR/clicon/features/features.config to look like: - GENIA False - UMLS False - If that does not work, then check to make sure your CLICON_DIR variable is correct. +3. Get UMLS tables (optional) + **Do-able but I'd need to talk to Kevin about where to get them** -4. Install GENIA tagger (optional) +4. Install GENIA tagger (optional) -5. Switch to working branch (TEMPORARY) + **Would take some effort to make this possible. Do-able, but not pretty** - example: - willie@text-machine:~/CliCon$ git checkout parameterization -6. Install CliCon - example: - (venv_clicon)willie@text-machine:~/CliCon$ python setup.py install +6. Install CliCon + This project has dependencies on scientific computation libraries. - I had to pip install: + Ensure the following python modules are installed: - numpy - scikit-learn - scipy - nltk (AND run the NLTK downloader) - I had to apt-get install: - - g++ - - gfortran - - libopenblas-dev - - liblapack-dev + **Note, if you are on Ubuntu, then you have to to apt-get the following: + - g++ + - gfortran + - libopenblas-dev + - liblapack-dev + *** + + + example: + (venv_clicon)willie@text-machine:~/CliCon$ sudo apt-get install g++ gfortran libopenblas-dev liblapack-dev -Y + (venv_clicon)willie@text-machine:~/CliCon$ pip install numpy scikit-learn scipy nltk + (venv_clicon)willie@text-machine:~/CliCon$ python setup.py install + + + + +7. Demos + + + example 1: Training the classifier + (venv_clicon)willie@text-machine:~/clicon/CliCon$ clicon train data/concept_assertion_relation_training_data/partners/txt/837898389.txt --annotations data/concept_assertion_relation_training_data/partners/concept/837898389.con + + example 2: Predicting concept labels + (venv_clicon)willie@text-machine:~/clicon/CliCon$ clicon predict data/concept_assertion_relation_training_data/partners/txt/837898389.txt --out data/test_predictions/ -7. Give it a test run - example 1: - (venv_clicon)willie@text-machine:~/CliCon$ clicon train + example 3: Converting i2b2 concept file into xml format + (venv_clicon)willie@text-machine:~/clicon/CliCon$ clicon format data/concept_assertion_relation_training_data/partners/txt/837898389.txt --annotations lin/837898389.con --format xml From baac0d091fe0dd7330eb9acdf06bd6e01d407f30 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 23 Jul 2014 14:26:53 -0400 Subject: [PATCH 122/393] minor bugfixes from changed variable names --- clicon/cli.py | 4 ++-- clicon/model.py | 14 +++++++------- clicon/predict.py | 3 ++- 3 files changed, 11 insertions(+), 10 deletions(-) diff --git a/clicon/cli.py b/clicon/cli.py index e44c3f3..10291da 100644 --- a/clicon/cli.py +++ b/clicon/cli.py @@ -38,7 +38,7 @@ def train(annotations, model, format, input): # Build command - cmd = ['python', runable, '-t', txt_path, '-c', con_path] + cmd = ['python', runable, '-t', input, '-c', annotations] # Optional arguments @@ -74,7 +74,7 @@ def predict(model, out, format, input): # Build command - cmd = ['python', runable, '-i', txt_path] + cmd = ['python', runable, '-i', input] # Optional arguments diff --git a/clicon/model.py b/clicon/model.py index 919bbc1..68fbc51 100644 --- a/clicon/model.py +++ b/clicon/model.py @@ -230,7 +230,7 @@ def second_train(self, data, inds_list, Y, do_grid=True): feat_o = clicon_features.FeatureWrapper() - print '\textracting features (pass two)' + print '\textracting features (pass two)' # Extract features @@ -311,7 +311,7 @@ def first_predict(self, data): feat_obj = clicon_features.FeatureWrapper(data) - print '\textract features (pass one)' + print '\textracting features (pass one)' # FIXME - partition and batch @@ -331,7 +331,7 @@ def first_predict(self, data): nonprose_line_numbers.append(i) - print '\tvectorize features (pass one)' + print '\tvectorizing features (pass one)' # Vectorize features @@ -339,7 +339,7 @@ def first_predict(self, data): X_nonprose = self.first_nonprose_vec.transform(nonprose) - print '\tpredict labels (pass one)' + print '\tpredicting labels (pass one)' # Predict @@ -401,7 +401,7 @@ def second_predict(self, data, inds_list): feat_o = clicon_features.FeatureWrapper() - print '\textract features (pass two)' + print '\textracting features (pass two)' # Extract features @@ -409,14 +409,14 @@ def second_predict(self, data, inds_list): X = reduce(concat, X) - print '\tvectorize features (pass two)' + print '\tvectorizing features (pass two)' # Vectorize features X = self.second_vec.transform(X) - print '\tpredict labels (pass two)' + print '\tpredicting labels (pass two)' # Predict concept labels diff --git a/clicon/predict.py b/clicon/predict.py index 8bdd8be..9829198 100644 --- a/clicon/predict.py +++ b/clicon/predict.py @@ -58,7 +58,7 @@ def main(): print '-' * 30 - print '\n\n\tfile: ', txt, '\n' + print '\n\n\t', txt, '\n' # Predict concept labels @@ -86,6 +86,7 @@ def main(): output = '' # Output the concept predictions + print '\n\nwriting to: ', con_path with open(con_path, 'w') as f: print >>f, output From 0ba1bca0bb81b9b38c155454eae709f69f244a1b Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 23 Jul 2014 14:26:53 -0400 Subject: [PATCH 123/393] minor bugfixes from changed variable names --- clicon/cli.py | 4 ++-- clicon/model.py | 14 +++++++------- clicon/predict.py | 3 ++- 3 files changed, 11 insertions(+), 10 deletions(-) diff --git a/clicon/cli.py b/clicon/cli.py index e44c3f3..10291da 100644 --- a/clicon/cli.py +++ b/clicon/cli.py @@ -38,7 +38,7 @@ def train(annotations, model, format, input): # Build command - cmd = ['python', runable, '-t', txt_path, '-c', con_path] + cmd = ['python', runable, '-t', input, '-c', annotations] # Optional arguments @@ -74,7 +74,7 @@ def predict(model, out, format, input): # Build command - cmd = ['python', runable, '-i', txt_path] + cmd = ['python', runable, '-i', input] # Optional arguments diff --git a/clicon/model.py b/clicon/model.py index 919bbc1..68fbc51 100644 --- a/clicon/model.py +++ b/clicon/model.py @@ -230,7 +230,7 @@ def second_train(self, data, inds_list, Y, do_grid=True): feat_o = clicon_features.FeatureWrapper() - print '\textracting features (pass two)' + print '\textracting features (pass two)' # Extract features @@ -311,7 +311,7 @@ def first_predict(self, data): feat_obj = clicon_features.FeatureWrapper(data) - print '\textract features (pass one)' + print '\textracting features (pass one)' # FIXME - partition and batch @@ -331,7 +331,7 @@ def first_predict(self, data): nonprose_line_numbers.append(i) - print '\tvectorize features (pass one)' + print '\tvectorizing features (pass one)' # Vectorize features @@ -339,7 +339,7 @@ def first_predict(self, data): X_nonprose = self.first_nonprose_vec.transform(nonprose) - print '\tpredict labels (pass one)' + print '\tpredicting labels (pass one)' # Predict @@ -401,7 +401,7 @@ def second_predict(self, data, inds_list): feat_o = clicon_features.FeatureWrapper() - print '\textract features (pass two)' + print '\textracting features (pass two)' # Extract features @@ -409,14 +409,14 @@ def second_predict(self, data, inds_list): X = reduce(concat, X) - print '\tvectorize features (pass two)' + print '\tvectorizing features (pass two)' # Vectorize features X = self.second_vec.transform(X) - print '\tpredict labels (pass two)' + print '\tpredicting labels (pass two)' # Predict concept labels diff --git a/clicon/predict.py b/clicon/predict.py index 8bdd8be..9829198 100644 --- a/clicon/predict.py +++ b/clicon/predict.py @@ -58,7 +58,7 @@ def main(): print '-' * 30 - print '\n\n\tfile: ', txt, '\n' + print '\n\n\t', txt, '\n' # Predict concept labels @@ -86,6 +86,7 @@ def main(): output = '' # Output the concept predictions + print '\n\nwriting to: ', con_path with open(con_path, 'w') as f: print >>f, output From 48c9d02303d6f8538c84f79d1d03abb9bd12da89 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 23 Jul 2014 14:27:25 -0400 Subject: [PATCH 124/393] minor bugfixes from changed variable names --- README.rst | 23 +++++++++++++++-------- 1 file changed, 15 insertions(+), 8 deletions(-) diff --git a/README.rst b/README.rst index 0fa9837..98865f3 100644 --- a/README.rst +++ b/README.rst @@ -29,10 +29,11 @@ Installation -------- + 1. virtualenv + Setup a virtual environent: -Setup a virtual environent: example: willie@text-machine:~$ virtualenv venv_clicon @@ -45,6 +46,7 @@ Setup a virtual environent: 2. environment variable In order to run CliCon, you must define the CLICON_DIR environment variable. + **This variable must be the path of the directory creatied by git.** example: @@ -65,6 +67,7 @@ Setup a virtual environent: 3. Get data FIXME: Something Something i2b2 agreement. + **I'll need to ask Kevin how to get data from i2b2** @@ -111,23 +114,27 @@ Setup a virtual environent: example: (venv_clicon)willie@text-machine:~/CliCon$ sudo apt-get install g++ gfortran libopenblas-dev liblapack-dev -Y + (venv_clicon)willie@text-machine:~/CliCon$ pip install numpy scikit-learn scipy nltk + (venv_clicon)willie@text-machine:~/CliCon$ python setup.py install +7. Run unit tests + + **We haven't done any unit tests yet** -7. Demos - example 1: Training the classifier - (venv_clicon)willie@text-machine:~/clicon/CliCon$ clicon train data/concept_assertion_relation_training_data/partners/txt/837898389.txt --annotations data/concept_assertion_relation_training_data/partners/concept/837898389.con +Usage Examples +-------- - example 2: Predicting concept labels - (venv_clicon)willie@text-machine:~/clicon/CliCon$ clicon predict data/concept_assertion_relation_training_data/partners/txt/837898389.txt --out data/test_predictions/ + example 1: Sanity Check - Train/Predict on the same file + (venv_clicon)willie@text-machine:~/CliCon$ clicon train data/concept_assertion_relation_training_data/partners/txt/837898389.txt --annotations data/concept_assertion_relation_training_data/partners/concept/837898389.con + (venv_clicon)willie@text-machine:~/CliCon$ clicon predict data/concept_assertion_relation_training_data/partners/txt/837898389.txt --out data/test_predictions/ - example 3: Converting i2b2 concept file into xml format - (venv_clicon)willie@text-machine:~/clicon/CliCon$ clicon format data/concept_assertion_relation_training_data/partners/txt/837898389.txt --annotations lin/837898389.con --format xml + (venv_clicon)willie@text-machine:~/CliCon$ clicon format data/concept_assertion_relation_training_data/partners/txt/837898389.txt --annotations data/test_predictions/lin/837898389.con --format xml From 52159c9e08cd4cbb77675371973ac534a2fc3794 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 23 Jul 2014 14:27:25 -0400 Subject: [PATCH 125/393] minor bugfixes from changed variable names --- README.rst | 23 +++++++++++++++-------- 1 file changed, 15 insertions(+), 8 deletions(-) diff --git a/README.rst b/README.rst index 0fa9837..98865f3 100644 --- a/README.rst +++ b/README.rst @@ -29,10 +29,11 @@ Installation -------- + 1. virtualenv + Setup a virtual environent: -Setup a virtual environent: example: willie@text-machine:~$ virtualenv venv_clicon @@ -45,6 +46,7 @@ Setup a virtual environent: 2. environment variable In order to run CliCon, you must define the CLICON_DIR environment variable. + **This variable must be the path of the directory creatied by git.** example: @@ -65,6 +67,7 @@ Setup a virtual environent: 3. Get data FIXME: Something Something i2b2 agreement. + **I'll need to ask Kevin how to get data from i2b2** @@ -111,23 +114,27 @@ Setup a virtual environent: example: (venv_clicon)willie@text-machine:~/CliCon$ sudo apt-get install g++ gfortran libopenblas-dev liblapack-dev -Y + (venv_clicon)willie@text-machine:~/CliCon$ pip install numpy scikit-learn scipy nltk + (venv_clicon)willie@text-machine:~/CliCon$ python setup.py install +7. Run unit tests + + **We haven't done any unit tests yet** -7. Demos - example 1: Training the classifier - (venv_clicon)willie@text-machine:~/clicon/CliCon$ clicon train data/concept_assertion_relation_training_data/partners/txt/837898389.txt --annotations data/concept_assertion_relation_training_data/partners/concept/837898389.con +Usage Examples +-------- - example 2: Predicting concept labels - (venv_clicon)willie@text-machine:~/clicon/CliCon$ clicon predict data/concept_assertion_relation_training_data/partners/txt/837898389.txt --out data/test_predictions/ + example 1: Sanity Check - Train/Predict on the same file + (venv_clicon)willie@text-machine:~/CliCon$ clicon train data/concept_assertion_relation_training_data/partners/txt/837898389.txt --annotations data/concept_assertion_relation_training_data/partners/concept/837898389.con + (venv_clicon)willie@text-machine:~/CliCon$ clicon predict data/concept_assertion_relation_training_data/partners/txt/837898389.txt --out data/test_predictions/ - example 3: Converting i2b2 concept file into xml format - (venv_clicon)willie@text-machine:~/clicon/CliCon$ clicon format data/concept_assertion_relation_training_data/partners/txt/837898389.txt --annotations lin/837898389.con --format xml + (venv_clicon)willie@text-machine:~/CliCon$ clicon format data/concept_assertion_relation_training_data/partners/txt/837898389.txt --annotations data/test_predictions/lin/837898389.con --format xml From 99a7ff87b1b071a69a1aeca7bd80986cfb21b971 Mon Sep 17 00:00:00 2001 From: Tristan Naumann Date: Wed, 23 Jul 2014 16:57:01 -0400 Subject: [PATCH 126/393] Fixing lint errors for tests/. --- tests/__init__.py | 2 +- tests/test_dummy.py | 3 ++- 2 files changed, 3 insertions(+), 2 deletions(-) diff --git a/tests/__init__.py b/tests/__init__.py index 7c68785..40a96af 100644 --- a/tests/__init__.py +++ b/tests/__init__.py @@ -1 +1 @@ -# -*- coding: utf-8 -*- \ No newline at end of file +# -*- coding: utf-8 -*- diff --git a/tests/test_dummy.py b/tests/test_dummy.py index 5e37f26..d39cc99 100644 --- a/tests/test_dummy.py +++ b/tests/test_dummy.py @@ -8,5 +8,6 @@ Dummy test that always passes. """ + def test(): - pass \ No newline at end of file + pass From 73cb9886a4c9c8769e509e626e098e2bf682c9af Mon Sep 17 00:00:00 2001 From: Tristan Naumann Date: Wed, 23 Jul 2014 16:57:01 -0400 Subject: [PATCH 127/393] Fixing lint errors for tests/. --- tests/__init__.py | 2 +- tests/test_dummy.py | 3 ++- 2 files changed, 3 insertions(+), 2 deletions(-) diff --git a/tests/__init__.py b/tests/__init__.py index 7c68785..40a96af 100644 --- a/tests/__init__.py +++ b/tests/__init__.py @@ -1 +1 @@ -# -*- coding: utf-8 -*- \ No newline at end of file +# -*- coding: utf-8 -*- diff --git a/tests/test_dummy.py b/tests/test_dummy.py index 5e37f26..d39cc99 100644 --- a/tests/test_dummy.py +++ b/tests/test_dummy.py @@ -8,5 +8,6 @@ Dummy test that always passes. """ + def test(): - pass \ No newline at end of file + pass From c018e95045ff2314d96db3a5405c8b87d644a587 Mon Sep 17 00:00:00 2001 From: Tristan Naumann Date: Wed, 23 Jul 2014 17:47:36 -0400 Subject: [PATCH 128/393] Adding version to clicon module. Specifically, adding `__version__` attribute so that `sphinx` documentation builds will complete. --- clicon/__init__.py | 4 ++++ 1 file changed, 4 insertions(+) diff --git a/clicon/__init__.py b/clicon/__init__.py index e69de29..8f4234b 100644 --- a/clicon/__init__.py +++ b/clicon/__init__.py @@ -0,0 +1,4 @@ +# -*- coding: utf-8 -*- + +__version__= '0.1dev' + From 28ae4e0fac5faab801bcc086e35db5c9d753ee35 Mon Sep 17 00:00:00 2001 From: Tristan Naumann Date: Wed, 23 Jul 2014 17:47:36 -0400 Subject: [PATCH 129/393] Adding version to clicon module. Specifically, adding `__version__` attribute so that `sphinx` documentation builds will complete. --- clicon/__init__.py | 4 ++++ 1 file changed, 4 insertions(+) diff --git a/clicon/__init__.py b/clicon/__init__.py index e69de29..8f4234b 100644 --- a/clicon/__init__.py +++ b/clicon/__init__.py @@ -0,0 +1,4 @@ +# -*- coding: utf-8 -*- + +__version__= '0.1dev' + From 07a345433114b969b2fad8e4c8da909203f55d8c Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 23 Jul 2014 18:35:18 -0400 Subject: [PATCH 130/393] Add evalution to cli --- clicon/cli.py | 42 ++++++++++++++++++++++++++++++++++++++++++ clicon/evaluate.py | 12 ++++++++++++ 2 files changed, 54 insertions(+) diff --git a/clicon/cli.py b/clicon/cli.py index 10291da..c91eb16 100644 --- a/clicon/cli.py +++ b/clicon/cli.py @@ -93,6 +93,48 @@ def predict(model, out, format, input): +# Evaluate +@clicon.command() +@click.option('--predictions', help='Predicted concept files.' ) +@click.option('--gold' , help='Gold standard concept files.') +@click.option('--out' , help='Output file' ) +@click.option('--format' , help='Data format (i2b2 or xml).' ) +@click.argument('input') +def evaluate(out, format, input): + + + # Base directory + BASE_DIR = os.environ.get('CLICON_DIR') + if not BASE_DIR: + raise Exception('Environment variable CLICON_DIR must be defined') + + + # Executable + runable = os.path.join(BASE_DIR,'clicon/evaluate.py') + + + # Build command + cmd = ['python', runable, '-t', input] + + + # Optional arguments + if predictions: + cmd += ['-c', predictions] + if gold: + cmd += ['-r', gold] + if out: + cmd += ['-o', out] + if format: + cmd += ['-f', format] + + + # Execute train.py + subprocess.call(cmd) + + + + + # Format @clicon.command() @click.option('--annotations', help='Concept files for training.' ) diff --git a/clicon/evaluate.py b/clicon/evaluate.py index 0fa537f..a6ce059 100644 --- a/clicon/evaluate.py +++ b/clicon/evaluate.py @@ -30,6 +30,12 @@ def main(): default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/reference_standard_for_test_data/concepts/') ) + parser.add_argument("-f", + dest = "format", + help = "Data format (i2b2 or xml).", + default = 'i2b2' + ) + parser.add_argument("-o", help = "Write the evaluation to a file rather than STDOUT", dest = "output", @@ -40,6 +46,12 @@ def main(): args = parser.parse_args() + + if args.format != 'i2b2': + print >>sys.stderr, 'Evaluation for xml not supported yet' + exit(1) + + # Is output destination specified if args.output: args.output = open(args.output, "w") From fc2c5f57f39aec9fe73986945cc1c5706fd4a26c Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 23 Jul 2014 18:35:18 -0400 Subject: [PATCH 131/393] Add evalution to cli --- clicon/cli.py | 42 ++++++++++++++++++++++++++++++++++++++++++ clicon/evaluate.py | 12 ++++++++++++ 2 files changed, 54 insertions(+) diff --git a/clicon/cli.py b/clicon/cli.py index 10291da..c91eb16 100644 --- a/clicon/cli.py +++ b/clicon/cli.py @@ -93,6 +93,48 @@ def predict(model, out, format, input): +# Evaluate +@clicon.command() +@click.option('--predictions', help='Predicted concept files.' ) +@click.option('--gold' , help='Gold standard concept files.') +@click.option('--out' , help='Output file' ) +@click.option('--format' , help='Data format (i2b2 or xml).' ) +@click.argument('input') +def evaluate(out, format, input): + + + # Base directory + BASE_DIR = os.environ.get('CLICON_DIR') + if not BASE_DIR: + raise Exception('Environment variable CLICON_DIR must be defined') + + + # Executable + runable = os.path.join(BASE_DIR,'clicon/evaluate.py') + + + # Build command + cmd = ['python', runable, '-t', input] + + + # Optional arguments + if predictions: + cmd += ['-c', predictions] + if gold: + cmd += ['-r', gold] + if out: + cmd += ['-o', out] + if format: + cmd += ['-f', format] + + + # Execute train.py + subprocess.call(cmd) + + + + + # Format @clicon.command() @click.option('--annotations', help='Concept files for training.' ) diff --git a/clicon/evaluate.py b/clicon/evaluate.py index 0fa537f..a6ce059 100644 --- a/clicon/evaluate.py +++ b/clicon/evaluate.py @@ -30,6 +30,12 @@ def main(): default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/reference_standard_for_test_data/concepts/') ) + parser.add_argument("-f", + dest = "format", + help = "Data format (i2b2 or xml).", + default = 'i2b2' + ) + parser.add_argument("-o", help = "Write the evaluation to a file rather than STDOUT", dest = "output", @@ -40,6 +46,12 @@ def main(): args = parser.parse_args() + + if args.format != 'i2b2': + print >>sys.stderr, 'Evaluation for xml not supported yet' + exit(1) + + # Is output destination specified if args.output: args.output = open(args.output, "w") From b72b44e427e0cbb4628a55be55bc05ef57ee86c5 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Fri, 25 Jul 2014 12:43:29 -0400 Subject: [PATCH 132/393] Preliminary step to add crfsuite support back into two pass --- clicon/cli.py | 14 ++++-- clicon/libml.py | 125 ++++++++++++++++++++++++++-------------------- clicon/model.py | 31 +++++++++--- clicon/predict.py | 16 ++++++ clicon/train.py | 58 +++++++++------------ 5 files changed, 146 insertions(+), 98 deletions(-) diff --git a/clicon/cli.py b/clicon/cli.py index 10291da..05e8133 100644 --- a/clicon/cli.py +++ b/clicon/cli.py @@ -16,8 +16,9 @@ def clicon(): @click.option('--annotations', help='Concept files for training.') @click.option('--model' , help='Model output by train.' ) @click.option('--format' , help='Data format (i2b2 or xml).' ) +@click.option('--crfsuite' , help='Path to crfsuite.' ) @click.argument('input') -def train(annotations, model, format, input): +def train(annotations, model, format, crfsuite, input): # Command line arguments @@ -43,9 +44,11 @@ def train(annotations, model, format, input): # Optional arguments if model: - cmd += ['-m', model] + cmd += ['-m' , model] if format: - cmd += ['-f', format] + cmd += ['-f' , format] + if crfsuite: + cmd += ['-crf', crfsuite] # Execute train.py @@ -59,8 +62,9 @@ def train(annotations, model, format, input): @click.option('--out' , help='The directory to write the output') @click.option('--model' , help='Model used to predict on files' ) @click.option('--format', help='Data format (i2b2 or xml).' ) +@click.option('--crfsuite' , help='Path to crfsuite.' ) @click.argument('input') -def predict(model, out, format, input): +def predict(model, out, format, crfsuite, input): # Base directory @@ -84,6 +88,8 @@ def predict(model, out, format, input): cmd += ['-m', model] if format: cmd += ['-f', format] + if crfsuite: + cmd += ['-crf', crfsuite] # Execute train.py diff --git a/clicon/libml.py b/clicon/libml.py index d2e8f09..57f80f0 100644 --- a/clicon/libml.py +++ b/clicon/libml.py @@ -254,47 +254,10 @@ def bits(n): SVM = 2**2 ALL = sum(2**i for i in range(3)) -def train(model_filename, type=ALL): - for t in bits(type): - if t == SVM: - filename = model_filename + ".svm" - command = [svm_train, "-c", "50", "-g", "0.03", "-w0", "0.5", filename, filename + ".trained"] - - if t == LIN: - filename = model_filename + ".lin" - command = [lin_train, "-c", "50", "-w0", "0.5", filename, filename + ".trained"] - - if t == CRF: - filename = model_filename + ".crf" - command = [crf_suite, "learn", "-m", filename + ".trained", filename] +def write_features(model_filename, rows, labels, mtype=ALL): - output, error = Popen(command, stdout = PIPE, stderr = PIPE).communicate() - #print output - #print error - -def predict(model_filename, type=ALL): - for t in bits(type): - if t == SVM: - filename = model_filename + ".svm" - command = [svm_predict, filename + ".test.in", filename + ".trained", filename + ".test.out"] - - if t == LIN: - filename = model_filename + ".lin" - command = [lin_predict, filename + ".test.in", filename + ".trained", filename + ".test.out"] - - if t == CRF: - filename = model_filename + ".crf" - command = [crf_suite, "tag", "-m", filename + ".trained" , filename + ".test.in"] # NEEDS OUTPUT - - output, error = Popen(command, stdout = PIPE, stderr = PIPE).communicate() - - if t == CRF: - with open(filename + ".test.out", "w") as f: - for line in output.split(): - f.write(line + "\n") - -def write_features(model_filename, rows, labels, type=ALL): - for t in bits(type): + # FIXME - keep around for now (but I wanna get rid of it) + for t in bits(mtype): if t == SVM: file_suffix = ".svm" + (".test.in" if not labels else "") null_label, feature_sep, sentence_sep = "-1", ":", "" @@ -307,26 +270,27 @@ def write_features(model_filename, rows, labels, type=ALL): file_suffix = ".crf" + (".test.in" if not labels else "") null_label, feature_sep, sentence_sep = "", "=", "\n" + filename = model_filename + file_suffix with open(filename, "w") as f: - for sentence_index, sentence in enumerate(rows): - if labels: - sentence_labels = labels[sentence_index] - assert "Dimension mismatch", len(sentence) == len(sentence_labels) - for word_index, features in enumerate(sentence): - if labels: - label = sentence_labels[word_index] - line = [str(label)] - else: - line = [null_label] + # FIXME - Stopping 7/24 for now + # Should 'rows' be in list of list format for sentence structure? + for i,features in enumerate(rows): + + # Nonzero dimensions + inds = features.nonzero()[1] + + # Value for each dimension + values = [str(labels[i])] + for j in inds: + # FIXME - Not generalized for libsvm + values.append( '%d=%d' % (j, features[0,j]) ) - for k,v in sorted(features.items()): - line.append(str(k) + feature_sep + str(v)) + # Output into temporary file + f.write("\t".join(values).strip() + "\n") - f.write("\t".join(line).strip() + "\n") - f.write(sentence_sep) def read_labels(model_filename, type=ALL): labels = {} @@ -345,3 +309,56 @@ def read_labels(model_filename, type=ALL): labels[t] = [line.strip() for line in lines] return labels + + + + +def train(crfsuite, model_filename, X, Y): + + """ + libml::train() + + Purpose: Wrapper for crfsuite + + @param X. Vectorized features + @param Y. Labels + @return None + """ + + # Write features to file + write_features(model_filename, X, Y, CRF) + + # Shell out to crfsuite + filename = model_filename + ".crf" + command = [crfsuite, "learn", "-m", filename + ".trained", filename] + output, error = Popen(command, stdout = PIPE, stderr = PIPE).communicate() + + # Clean up temporary file + command = ['rm', filename] + output, error = Popen(command, stdout = PIPE, stderr = PIPE).communicate() + + + + +def predict(crfsuite, model_filename, X): + + # Write features to file + + write_features(model_filename, X, None, CRF) + + + # Shell out to crfsuite + filename = model_filename + ".crf" + command = [crf_suite, "tag", "-m", + filename + ".trained" , + filename + ".test.in" ] + + print command + output, error = Popen(command, stdout = PIPE, stderr = PIPE).communicate() + + + with open(filename + ".test.out", "w") as f: + for line in output.split(): + print line + f.write(line + "\n") + diff --git a/clicon/model.py b/clicon/model.py index 68fbc51..6e8931a 100644 --- a/clicon/model.py +++ b/clicon/model.py @@ -4,6 +4,7 @@ import cPickle as pickle import helper import sci +import libml import sys from sklearn.feature_extraction import DictVectorizer @@ -38,7 +39,7 @@ def load(filename='awesome.model'): return model - def __init__(self, filename='awesome.model', type=sci.LIN): + def __init__(self, filename='awesome.model', type=sci.LIN, crf=False): model_directory = os.path.dirname(filename) if model_directory != "": @@ -57,7 +58,8 @@ def __init__(self, filename='awesome.model', type=sci.LIN): self.second_clfs = {} # FIXME: Only using scikit's SVM - self.type = sci.LIN + self.type = sci.LIN + self.crf = crf @@ -195,8 +197,16 @@ def first_train(self, data, Y, do_grid=True): # Train classifiers - self.first_prose_clfs = sci.train(X_prose , Y_prose , self.type, do_grid) - self.first_nonprose_clfs = sci.train(X_nonprose, Y_nonprose, self.type, do_grid) + if self.crf: + prose_f = self.filename + '.prose' + nonprose_f = self.filename + '.nonprose' + + libml.train(self.crf, prose_f , X_prose , Y_prose ) + libml.train(self.crf, nonprose_f, X_nonprose, Y_nonprose) + + else: + self.first_prose_clfs = sci.train(X_prose , Y_prose , self.type, do_grid) + self.first_nonprose_clfs = sci.train(X_nonprose, Y_nonprose, self.type, do_grid) @@ -343,8 +353,17 @@ def first_predict(self, data): # Predict - out_p = sci.predict(self.first_prose_clfs , X_prose, sci.LIN) - out_n = sci.predict(self.first_nonprose_clfs, X_nonprose,sci.LIN) + if self.crf: + prose_f = self.filename + '.prose' + nonprose_f = self.filename + '.nonprose' + + out_p = libml.predict(self.crf, prose_f , X_prose ) + out_n = libml.predict(self.crf, nonprose_f, X_nonprose) + + exit() + else: + out_p = sci.predict(self.first_prose_clfs , X_prose, sci.LIN) + out_n = sci.predict(self.first_nonprose_clfs, X_nonprose,sci.LIN) # Format labels diff --git a/clicon/predict.py b/clicon/predict.py index 9829198..c293ef7 100644 --- a/clicon/predict.py +++ b/clicon/predict.py @@ -36,6 +36,12 @@ def main(): default = 'i2b2' ) + parser.add_argument("-crf", + dest = "with_crf", + help = "Specify where to find crfsuite", + default = None + ) + args = parser.parse_args() @@ -45,6 +51,16 @@ def main(): format = args.format + # Is crfsuite installed? + if args.with_crf: + crfsuite = args.with_crf + elif False: + 'DETECT CRFSUITE FROM CONFIG FILE' + crfsuite = None + else: + crfsuite = None + + # Load model model = Model.load(args.model) diff --git a/clicon/train.py b/clicon/train.py index be26532..c6c25d4 100644 --- a/clicon/train.py +++ b/clicon/train.py @@ -14,21 +14,21 @@ def main(): parser = argparse.ArgumentParser() parser.add_argument("-t", - dest = "txt", - help = "The files that contain the training examples", - default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/concept_assertion_relation_training_data/merged/txt/*') + dest = "txt", + help = "The files that contain the training examples", + default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/concept_assertion_relation_training_data/merged/txt/*') ) parser.add_argument("-c", - dest = "con", - help = "The files that contain the labels for the training examples", - default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/concept_assertion_relation_training_data/merged/concept/*') + dest = "con", + help = "The files that contain the labels for the training examples", + default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/concept_assertion_relation_training_data/merged/concept/*') ) parser.add_argument("-m", - dest = "model", - help = "Path to the model that should be generated", - default = os.path.join(os.path.dirname(os.path.abspath(__file__)), '../models/run_models/run.model') + dest = "model", + help = "Path to the model that should be generated", + default = os.path.join(os.path.dirname(os.path.abspath(__file__)), '../models/run_models/run.model') ) parser.add_argument("-d", @@ -51,22 +51,10 @@ def main(): default = 'i2b2' ) - parser.add_argument("--no-svm", - dest = "no_svm", - action = "store_true", - help = "Disable SVM model generation", - ) - - parser.add_argument("--no-lin", - dest = "no_lin", - action = "store_true", - help = "Disable LIN model generation", - ) - - parser.add_argument("--no-crf", - dest = "no_crf", - action = "store_true", - help = "Disable CRF model generation", + parser.add_argument("-crf", + dest = "with_crf", + help = "Specify where to find crfsuite", + default = None ) @@ -80,16 +68,17 @@ def main(): con_files = glob.glob(args.con) + # Is crfsuite installed? + if args.with_crf: + crfsuite = args.with_crf + elif False: + 'DETECT CRFSUITE FROM CONFIG FILE' + crfsuite = None + else: + crfsuite = None + # i2b2 or xml format = args.format - - - #print '\n\n\n' - #print 'txt_files: ', txt_files - #print 'con_files: ', con_files - #print 'format: ', format - - if format == 'i2b2': # ex. {'record-13': 'record-13.con'} @@ -126,6 +115,7 @@ def main(): notes.append(note_tmp) # Add the Note to the list + # file names if not notes: print 'Error: Cannot train on 0 files. Terminating train.' @@ -133,7 +123,7 @@ def main(): # Create a Machine Learning model - model = Model(filename = args.model, type = libml.LIN) + model = Model(filename = args.model, type = libml.LIN, crf=crfsuite) # Train the model using the Note's data From cd4264fd0b8f96634c417d373e6b1409707de179 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Fri, 25 Jul 2014 12:43:29 -0400 Subject: [PATCH 133/393] Preliminary step to add crfsuite support back into two pass --- clicon/cli.py | 14 ++++-- clicon/libml.py | 125 ++++++++++++++++++++++++++-------------------- clicon/model.py | 31 +++++++++--- clicon/predict.py | 16 ++++++ clicon/train.py | 58 +++++++++------------ 5 files changed, 146 insertions(+), 98 deletions(-) diff --git a/clicon/cli.py b/clicon/cli.py index 10291da..05e8133 100644 --- a/clicon/cli.py +++ b/clicon/cli.py @@ -16,8 +16,9 @@ def clicon(): @click.option('--annotations', help='Concept files for training.') @click.option('--model' , help='Model output by train.' ) @click.option('--format' , help='Data format (i2b2 or xml).' ) +@click.option('--crfsuite' , help='Path to crfsuite.' ) @click.argument('input') -def train(annotations, model, format, input): +def train(annotations, model, format, crfsuite, input): # Command line arguments @@ -43,9 +44,11 @@ def train(annotations, model, format, input): # Optional arguments if model: - cmd += ['-m', model] + cmd += ['-m' , model] if format: - cmd += ['-f', format] + cmd += ['-f' , format] + if crfsuite: + cmd += ['-crf', crfsuite] # Execute train.py @@ -59,8 +62,9 @@ def train(annotations, model, format, input): @click.option('--out' , help='The directory to write the output') @click.option('--model' , help='Model used to predict on files' ) @click.option('--format', help='Data format (i2b2 or xml).' ) +@click.option('--crfsuite' , help='Path to crfsuite.' ) @click.argument('input') -def predict(model, out, format, input): +def predict(model, out, format, crfsuite, input): # Base directory @@ -84,6 +88,8 @@ def predict(model, out, format, input): cmd += ['-m', model] if format: cmd += ['-f', format] + if crfsuite: + cmd += ['-crf', crfsuite] # Execute train.py diff --git a/clicon/libml.py b/clicon/libml.py index d2e8f09..57f80f0 100644 --- a/clicon/libml.py +++ b/clicon/libml.py @@ -254,47 +254,10 @@ def bits(n): SVM = 2**2 ALL = sum(2**i for i in range(3)) -def train(model_filename, type=ALL): - for t in bits(type): - if t == SVM: - filename = model_filename + ".svm" - command = [svm_train, "-c", "50", "-g", "0.03", "-w0", "0.5", filename, filename + ".trained"] - - if t == LIN: - filename = model_filename + ".lin" - command = [lin_train, "-c", "50", "-w0", "0.5", filename, filename + ".trained"] - - if t == CRF: - filename = model_filename + ".crf" - command = [crf_suite, "learn", "-m", filename + ".trained", filename] +def write_features(model_filename, rows, labels, mtype=ALL): - output, error = Popen(command, stdout = PIPE, stderr = PIPE).communicate() - #print output - #print error - -def predict(model_filename, type=ALL): - for t in bits(type): - if t == SVM: - filename = model_filename + ".svm" - command = [svm_predict, filename + ".test.in", filename + ".trained", filename + ".test.out"] - - if t == LIN: - filename = model_filename + ".lin" - command = [lin_predict, filename + ".test.in", filename + ".trained", filename + ".test.out"] - - if t == CRF: - filename = model_filename + ".crf" - command = [crf_suite, "tag", "-m", filename + ".trained" , filename + ".test.in"] # NEEDS OUTPUT - - output, error = Popen(command, stdout = PIPE, stderr = PIPE).communicate() - - if t == CRF: - with open(filename + ".test.out", "w") as f: - for line in output.split(): - f.write(line + "\n") - -def write_features(model_filename, rows, labels, type=ALL): - for t in bits(type): + # FIXME - keep around for now (but I wanna get rid of it) + for t in bits(mtype): if t == SVM: file_suffix = ".svm" + (".test.in" if not labels else "") null_label, feature_sep, sentence_sep = "-1", ":", "" @@ -307,26 +270,27 @@ def write_features(model_filename, rows, labels, type=ALL): file_suffix = ".crf" + (".test.in" if not labels else "") null_label, feature_sep, sentence_sep = "", "=", "\n" + filename = model_filename + file_suffix with open(filename, "w") as f: - for sentence_index, sentence in enumerate(rows): - if labels: - sentence_labels = labels[sentence_index] - assert "Dimension mismatch", len(sentence) == len(sentence_labels) - for word_index, features in enumerate(sentence): - if labels: - label = sentence_labels[word_index] - line = [str(label)] - else: - line = [null_label] + # FIXME - Stopping 7/24 for now + # Should 'rows' be in list of list format for sentence structure? + for i,features in enumerate(rows): + + # Nonzero dimensions + inds = features.nonzero()[1] + + # Value for each dimension + values = [str(labels[i])] + for j in inds: + # FIXME - Not generalized for libsvm + values.append( '%d=%d' % (j, features[0,j]) ) - for k,v in sorted(features.items()): - line.append(str(k) + feature_sep + str(v)) + # Output into temporary file + f.write("\t".join(values).strip() + "\n") - f.write("\t".join(line).strip() + "\n") - f.write(sentence_sep) def read_labels(model_filename, type=ALL): labels = {} @@ -345,3 +309,56 @@ def read_labels(model_filename, type=ALL): labels[t] = [line.strip() for line in lines] return labels + + + + +def train(crfsuite, model_filename, X, Y): + + """ + libml::train() + + Purpose: Wrapper for crfsuite + + @param X. Vectorized features + @param Y. Labels + @return None + """ + + # Write features to file + write_features(model_filename, X, Y, CRF) + + # Shell out to crfsuite + filename = model_filename + ".crf" + command = [crfsuite, "learn", "-m", filename + ".trained", filename] + output, error = Popen(command, stdout = PIPE, stderr = PIPE).communicate() + + # Clean up temporary file + command = ['rm', filename] + output, error = Popen(command, stdout = PIPE, stderr = PIPE).communicate() + + + + +def predict(crfsuite, model_filename, X): + + # Write features to file + + write_features(model_filename, X, None, CRF) + + + # Shell out to crfsuite + filename = model_filename + ".crf" + command = [crf_suite, "tag", "-m", + filename + ".trained" , + filename + ".test.in" ] + + print command + output, error = Popen(command, stdout = PIPE, stderr = PIPE).communicate() + + + with open(filename + ".test.out", "w") as f: + for line in output.split(): + print line + f.write(line + "\n") + diff --git a/clicon/model.py b/clicon/model.py index 68fbc51..6e8931a 100644 --- a/clicon/model.py +++ b/clicon/model.py @@ -4,6 +4,7 @@ import cPickle as pickle import helper import sci +import libml import sys from sklearn.feature_extraction import DictVectorizer @@ -38,7 +39,7 @@ def load(filename='awesome.model'): return model - def __init__(self, filename='awesome.model', type=sci.LIN): + def __init__(self, filename='awesome.model', type=sci.LIN, crf=False): model_directory = os.path.dirname(filename) if model_directory != "": @@ -57,7 +58,8 @@ def __init__(self, filename='awesome.model', type=sci.LIN): self.second_clfs = {} # FIXME: Only using scikit's SVM - self.type = sci.LIN + self.type = sci.LIN + self.crf = crf @@ -195,8 +197,16 @@ def first_train(self, data, Y, do_grid=True): # Train classifiers - self.first_prose_clfs = sci.train(X_prose , Y_prose , self.type, do_grid) - self.first_nonprose_clfs = sci.train(X_nonprose, Y_nonprose, self.type, do_grid) + if self.crf: + prose_f = self.filename + '.prose' + nonprose_f = self.filename + '.nonprose' + + libml.train(self.crf, prose_f , X_prose , Y_prose ) + libml.train(self.crf, nonprose_f, X_nonprose, Y_nonprose) + + else: + self.first_prose_clfs = sci.train(X_prose , Y_prose , self.type, do_grid) + self.first_nonprose_clfs = sci.train(X_nonprose, Y_nonprose, self.type, do_grid) @@ -343,8 +353,17 @@ def first_predict(self, data): # Predict - out_p = sci.predict(self.first_prose_clfs , X_prose, sci.LIN) - out_n = sci.predict(self.first_nonprose_clfs, X_nonprose,sci.LIN) + if self.crf: + prose_f = self.filename + '.prose' + nonprose_f = self.filename + '.nonprose' + + out_p = libml.predict(self.crf, prose_f , X_prose ) + out_n = libml.predict(self.crf, nonprose_f, X_nonprose) + + exit() + else: + out_p = sci.predict(self.first_prose_clfs , X_prose, sci.LIN) + out_n = sci.predict(self.first_nonprose_clfs, X_nonprose,sci.LIN) # Format labels diff --git a/clicon/predict.py b/clicon/predict.py index 9829198..c293ef7 100644 --- a/clicon/predict.py +++ b/clicon/predict.py @@ -36,6 +36,12 @@ def main(): default = 'i2b2' ) + parser.add_argument("-crf", + dest = "with_crf", + help = "Specify where to find crfsuite", + default = None + ) + args = parser.parse_args() @@ -45,6 +51,16 @@ def main(): format = args.format + # Is crfsuite installed? + if args.with_crf: + crfsuite = args.with_crf + elif False: + 'DETECT CRFSUITE FROM CONFIG FILE' + crfsuite = None + else: + crfsuite = None + + # Load model model = Model.load(args.model) diff --git a/clicon/train.py b/clicon/train.py index be26532..c6c25d4 100644 --- a/clicon/train.py +++ b/clicon/train.py @@ -14,21 +14,21 @@ def main(): parser = argparse.ArgumentParser() parser.add_argument("-t", - dest = "txt", - help = "The files that contain the training examples", - default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/concept_assertion_relation_training_data/merged/txt/*') + dest = "txt", + help = "The files that contain the training examples", + default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/concept_assertion_relation_training_data/merged/txt/*') ) parser.add_argument("-c", - dest = "con", - help = "The files that contain the labels for the training examples", - default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/concept_assertion_relation_training_data/merged/concept/*') + dest = "con", + help = "The files that contain the labels for the training examples", + default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/concept_assertion_relation_training_data/merged/concept/*') ) parser.add_argument("-m", - dest = "model", - help = "Path to the model that should be generated", - default = os.path.join(os.path.dirname(os.path.abspath(__file__)), '../models/run_models/run.model') + dest = "model", + help = "Path to the model that should be generated", + default = os.path.join(os.path.dirname(os.path.abspath(__file__)), '../models/run_models/run.model') ) parser.add_argument("-d", @@ -51,22 +51,10 @@ def main(): default = 'i2b2' ) - parser.add_argument("--no-svm", - dest = "no_svm", - action = "store_true", - help = "Disable SVM model generation", - ) - - parser.add_argument("--no-lin", - dest = "no_lin", - action = "store_true", - help = "Disable LIN model generation", - ) - - parser.add_argument("--no-crf", - dest = "no_crf", - action = "store_true", - help = "Disable CRF model generation", + parser.add_argument("-crf", + dest = "with_crf", + help = "Specify where to find crfsuite", + default = None ) @@ -80,16 +68,17 @@ def main(): con_files = glob.glob(args.con) + # Is crfsuite installed? + if args.with_crf: + crfsuite = args.with_crf + elif False: + 'DETECT CRFSUITE FROM CONFIG FILE' + crfsuite = None + else: + crfsuite = None + # i2b2 or xml format = args.format - - - #print '\n\n\n' - #print 'txt_files: ', txt_files - #print 'con_files: ', con_files - #print 'format: ', format - - if format == 'i2b2': # ex. {'record-13': 'record-13.con'} @@ -126,6 +115,7 @@ def main(): notes.append(note_tmp) # Add the Note to the list + # file names if not notes: print 'Error: Cannot train on 0 files. Terminating train.' @@ -133,7 +123,7 @@ def main(): # Create a Machine Learning model - model = Model(filename = args.model, type = libml.LIN) + model = Model(filename = args.model, type = libml.LIN, crf=crfsuite) # Train the model using the Note's data From 5a9bc8a011e30ab6ae82ec3c4e2774f229d2880c Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Fri, 25 Jul 2014 14:24:28 -0400 Subject: [PATCH 134/393] First draft README for Anna --- README.rst | 53 ++++++++++++++++++++++++++--------------------------- 1 file changed, 26 insertions(+), 27 deletions(-) diff --git a/README.rst b/README.rst index 98865f3..369f7fc 100644 --- a/README.rst +++ b/README.rst @@ -64,60 +64,59 @@ Installation -3. Get data +3. Install CliCon - FIXME: Something Something i2b2 agreement. + This project has dependencies on scientific computation libraries. - **I'll need to ask Kevin how to get data from i2b2** + Ensure the following python modules are installed: + - numpy + - scikit-learn + - scipy + - nltk (AND run the NLTK downloader) + **Note, if you are on Ubuntu, then you have to to apt-get the following: + - g++ + - gfortran + - libopenblas-dev + - liblapack-dev + *** - OR, if you are Anna Rumshisky, then you know the password to text-machine example: - willie@text-machine:~/CliCon$ scp -r wboag@text-machine:~/CliCon/data/* $CLICON_DIR/data - + (venv_clicon)willie@text-machine:~/CliCon$ sudo apt-get install g++ gfortran libopenblas-dev liblapack-dev -Y + (venv_clicon)willie@text-machine:~/CliCon$ pip install numpy scikit-learn scipy nltk + (venv_clicon)willie@text-machine:~/CliCon$ python setup.py install -3. Get UMLS tables (optional) - **Do-able but I'd need to talk to Kevin about where to get them** +4. Get data + FIXME: Something Something i2b2 agreement. + **I'll need to ask Kevin how to get data from i2b2** -4. Install GENIA tagger (optional) - **Would take some effort to make this possible. Do-able, but not pretty** + OR, if you are Anna Rumshisky, then you know the password to text-machine + example: + willie@text-machine:~/CliCon$ scp -r wboag@text-machine:~/CliCon/data/* $CLICON_DIR/data -6. Install CliCon +5. Get UMLS tables (optional) - This project has dependencies on scientific computation libraries. + **Do-able but I'd need to talk to Kevin about where to get them** - Ensure the following python modules are installed: - - numpy - - scikit-learn - - scipy - - nltk (AND run the NLTK downloader) - **Note, if you are on Ubuntu, then you have to to apt-get the following: - - g++ - - gfortran - - libopenblas-dev - - liblapack-dev - *** - example: - (venv_clicon)willie@text-machine:~/CliCon$ sudo apt-get install g++ gfortran libopenblas-dev liblapack-dev -Y +6. Install GENIA tagger (optional) - (venv_clicon)willie@text-machine:~/CliCon$ pip install numpy scikit-learn scipy nltk + **Would take some effort to make this possible. Do-able, but not pretty** - (venv_clicon)willie@text-machine:~/CliCon$ python setup.py install From 68472363bd95373433390310c7212cbf7ca0ccec Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Fri, 25 Jul 2014 14:24:28 -0400 Subject: [PATCH 135/393] First draft README for Anna --- README.rst | 53 ++++++++++++++++++++++++++--------------------------- 1 file changed, 26 insertions(+), 27 deletions(-) diff --git a/README.rst b/README.rst index 98865f3..369f7fc 100644 --- a/README.rst +++ b/README.rst @@ -64,60 +64,59 @@ Installation -3. Get data +3. Install CliCon - FIXME: Something Something i2b2 agreement. + This project has dependencies on scientific computation libraries. - **I'll need to ask Kevin how to get data from i2b2** + Ensure the following python modules are installed: + - numpy + - scikit-learn + - scipy + - nltk (AND run the NLTK downloader) + **Note, if you are on Ubuntu, then you have to to apt-get the following: + - g++ + - gfortran + - libopenblas-dev + - liblapack-dev + *** - OR, if you are Anna Rumshisky, then you know the password to text-machine example: - willie@text-machine:~/CliCon$ scp -r wboag@text-machine:~/CliCon/data/* $CLICON_DIR/data - + (venv_clicon)willie@text-machine:~/CliCon$ sudo apt-get install g++ gfortran libopenblas-dev liblapack-dev -Y + (venv_clicon)willie@text-machine:~/CliCon$ pip install numpy scikit-learn scipy nltk + (venv_clicon)willie@text-machine:~/CliCon$ python setup.py install -3. Get UMLS tables (optional) - **Do-able but I'd need to talk to Kevin about where to get them** +4. Get data + FIXME: Something Something i2b2 agreement. + **I'll need to ask Kevin how to get data from i2b2** -4. Install GENIA tagger (optional) - **Would take some effort to make this possible. Do-able, but not pretty** + OR, if you are Anna Rumshisky, then you know the password to text-machine + example: + willie@text-machine:~/CliCon$ scp -r wboag@text-machine:~/CliCon/data/* $CLICON_DIR/data -6. Install CliCon +5. Get UMLS tables (optional) - This project has dependencies on scientific computation libraries. + **Do-able but I'd need to talk to Kevin about where to get them** - Ensure the following python modules are installed: - - numpy - - scikit-learn - - scipy - - nltk (AND run the NLTK downloader) - **Note, if you are on Ubuntu, then you have to to apt-get the following: - - g++ - - gfortran - - libopenblas-dev - - liblapack-dev - *** - example: - (venv_clicon)willie@text-machine:~/CliCon$ sudo apt-get install g++ gfortran libopenblas-dev liblapack-dev -Y +6. Install GENIA tagger (optional) - (venv_clicon)willie@text-machine:~/CliCon$ pip install numpy scikit-learn scipy nltk + **Would take some effort to make this possible. Do-able, but not pretty** - (venv_clicon)willie@text-machine:~/CliCon$ python setup.py install From 902aee5a8ba3be9fb6b753caa0253ac93d58d404 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Fri, 25 Jul 2014 14:25:44 -0400 Subject: [PATCH 136/393] Fixed inconsitency in note.py line number indexing --- clicon/note.py | 5 +++-- 1 file changed, 3 insertions(+), 2 deletions(-) diff --git a/clicon/note.py b/clicon/note.py index b92b8c1..8b307ae 100644 --- a/clicon/note.py +++ b/clicon/note.py @@ -143,7 +143,7 @@ def write_i2b2_con(self, labels=None): raise('Classification label "none" should never happen') concept = classification[0] - lineno = classification[1] + 1 + lineno = classification[1] start = classification[2] end = classification[3] @@ -151,6 +151,7 @@ def write_i2b2_con(self, labels=None): text = tlist[lineno-1] #print "\n" + "-" * 80 + #print "lineno: ", lineno #print "start: ", start #print "end ", end #print "text: ", text @@ -358,7 +359,7 @@ def read_xml(self, xml): # begin tag else: # store data - tup = (concept,lineno,start_ind,i-1) + tup = (concept,lineno+1,start_ind,i-1) self.classifications.append(tup) # state variable From 78f2a819c33523a5da3de29cd06f7688680bb67f Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Fri, 25 Jul 2014 14:25:44 -0400 Subject: [PATCH 137/393] Fixed inconsitency in note.py line number indexing --- clicon/note.py | 5 +++-- 1 file changed, 3 insertions(+), 2 deletions(-) diff --git a/clicon/note.py b/clicon/note.py index b92b8c1..8b307ae 100644 --- a/clicon/note.py +++ b/clicon/note.py @@ -143,7 +143,7 @@ def write_i2b2_con(self, labels=None): raise('Classification label "none" should never happen') concept = classification[0] - lineno = classification[1] + 1 + lineno = classification[1] start = classification[2] end = classification[3] @@ -151,6 +151,7 @@ def write_i2b2_con(self, labels=None): text = tlist[lineno-1] #print "\n" + "-" * 80 + #print "lineno: ", lineno #print "start: ", start #print "end ", end #print "text: ", text @@ -358,7 +359,7 @@ def read_xml(self, xml): # begin tag else: # store data - tup = (concept,lineno,start_ind,i-1) + tup = (concept,lineno+1,start_ind,i-1) self.classifications.append(tup) # state variable From 37ee842f436aeb056dc424972878aaf07bf923a7 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Fri, 25 Jul 2014 14:28:21 -0400 Subject: [PATCH 138/393] Simplified format.py to only work on one document at a time --- clicon/cli.py | 10 +--- clicon/format.py | 141 +++++++++++++++-------------------------------- 2 files changed, 47 insertions(+), 104 deletions(-) diff --git a/clicon/cli.py b/clicon/cli.py index 10291da..c3add9a 100644 --- a/clicon/cli.py +++ b/clicon/cli.py @@ -112,16 +112,10 @@ def format(annotations, format, out, input): runable = os.path.join(BASE_DIR,'clicon/format.py') - # Must have legal input - files = glob.glob(input) - if not files: - print >>sys.stderr, '\n\tError: Input file could not be found\n' - exit(1) - # Must manually check if '.txt' or 'xml' - if files[0][-3:] == 'xml': + if input[-3:] == 'xml': flag = '-x' - elif files[0][-3:] == 'txt': + elif input[-3:] == 'txt': flag = '-t' else: print >>sys.stderr, '\n\tError: Input file must be either "txt" or "xml"' diff --git a/clicon/format.py b/clicon/format.py index ec486d1..2d7e110 100644 --- a/clicon/format.py +++ b/clicon/format.py @@ -58,11 +58,11 @@ def main(): # Parse arguments - if args.txt: txt_files = glob.glob(args.txt) - if args.con: con_files = glob.glob(args.con) - if args.xml: xml_files = glob.glob(args.xml) - if args.out: out_dir = args.out - format = args.format + txt_f = args.txt + con_f = args.con + xml_f = args.xml + out_dir = args.out + format = args.format # Ensure format is specified @@ -71,117 +71,66 @@ def main(): print >>sys.stderr, '' exit(1) + # Cannot have ambiguous input + if (txt_f and con_f) and xml_f: + print >>sys.stderr, '\n\tError: Input must be either (i2b2) XOR (xml)\n' + exit(2) - # Ensure proper data is available - if not ((args.txt and args.con) or (args.xml)): + # Ensure proper data is available (equal - AKA if not XOR) + if (not (txt_f and con_f)) and (not xml_f): print >>sys.stderr, '\n\tError: Must supply either:' - print >>sys.stderr, '\t 1) i2b2 txt & con files' + print >>sys.stderr, '\t 1) i2b2 txt & con file' print >>sys.stderr, '\t 2) xml file\n' - exit(2) + exit(3) + # Read input data into note object + N = note.Note() + if xml_f: + basefile = xml_f + N.read_xml(xml_f) + else: + basefile = txt_f + N.read_i2b2(txt_f, con_f) + + + # Output data in desired format if format == 'xml': - # Group input i2b2 txt/con files together - txt_files_map = helper.map_files(txt_files) - con_files_map = helper.map_files(con_files) - file_list = [] - for k in txt_files_map: - if k in con_files_map: - file_list.append((txt_files_map[k], con_files_map[k])) - - - # For each matching txt/con pair - for txt_f,con_f in file_list: - - # i2b2 -> xml - output = i2b2_to_xml(txt_f, con_f) - - - # output file name - xml_name = os.path.basename(txt_f)[:-4] + '.xml' - xml_file = os.path.join(out_dir, xml_name) - - # print output xml file - print 'outputting: ', xml_file - with open(xml_file, 'w') as f: - print >>f, output + # xml format + xml_out = N.write_xml() + # output xml file + xml_file = create_filename(out_dir, basefile, '.xml') + output_file(xml_file, xml_out) else: - # For each xml file - for xml_f in xml_files: - - # i2b2 -> xml - txt_out, con_out = xml_to_i2b2(xml_f) - - - # output txt file - txt_name = os.path.basename(xml_f)[:-4] + '.txt' - txt_file = os.path.join(out_dir, txt_name) - - print 'outputting: ', txt_file - with open(txt_file, 'w') as f: - print >>f, txt_out - - - # output con file - con_name = os.path.basename(xml_f)[:-4] + '.con' - con_file = os.path.join(out_dir, con_name) + # i2b2 format + txt_out = N.write_txt() + con_out = N.write_i2b2_con() - print 'outputting: ', con_file - with open(con_file, 'w') as f: - print >>f, con_out + # output txt file + txt_file = create_filename(out_dir, basefile, '.txt') + output_file(txt_file, txt_out) + # output con file + con_file = create_filename(out_dir, basefile, '.con') + output_file(con_file, con_out) -def i2b2_to_xml(txt, con): - """ - i2b2_to_xml() - - Purpose: Convert data from i2b2 format to xml format. - - @param txt A path to the text file. - @param con A path to the concept file. - @return A string containing the data in xml format. - """ - - # Read note from i2b2 format - N = note.Note() - N.read_i2b2(txt, con) - - # Output note into xml format - out = N.write_xml() - return out - - - - -def xml_to_i2b2(xml): - - """ - xml_to_i2b2() - - Purpose: Convert data from xml format to i2b2 format. - - @param xml A file containing xml-annotated data - @return A tuple of strings (text_data,concept_data) - """ - - - # Read note from xml format - N = note.Note() - N.read_xml(xml) +def create_filename(out_dir, orig_f, new_extension): + fname = os.path.basename(orig_f)[:-4] + new_extension + return os.path.join(out_dir, fname) - # Output note into i2b2 format - txt_out = N.write_txt() - con_out = N.write_i2b2_con() - return txt_out, con_out +def output_file(fname, out): + print 'outputting: ', fname + with open(fname, 'w') as f: + print >>f, out From b8a13a89858dc3ed036f1bfc5a930a790baab89b Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Fri, 25 Jul 2014 14:28:21 -0400 Subject: [PATCH 139/393] Simplified format.py to only work on one document at a time --- clicon/cli.py | 10 +--- clicon/format.py | 141 +++++++++++++++-------------------------------- 2 files changed, 47 insertions(+), 104 deletions(-) diff --git a/clicon/cli.py b/clicon/cli.py index 10291da..c3add9a 100644 --- a/clicon/cli.py +++ b/clicon/cli.py @@ -112,16 +112,10 @@ def format(annotations, format, out, input): runable = os.path.join(BASE_DIR,'clicon/format.py') - # Must have legal input - files = glob.glob(input) - if not files: - print >>sys.stderr, '\n\tError: Input file could not be found\n' - exit(1) - # Must manually check if '.txt' or 'xml' - if files[0][-3:] == 'xml': + if input[-3:] == 'xml': flag = '-x' - elif files[0][-3:] == 'txt': + elif input[-3:] == 'txt': flag = '-t' else: print >>sys.stderr, '\n\tError: Input file must be either "txt" or "xml"' diff --git a/clicon/format.py b/clicon/format.py index ec486d1..2d7e110 100644 --- a/clicon/format.py +++ b/clicon/format.py @@ -58,11 +58,11 @@ def main(): # Parse arguments - if args.txt: txt_files = glob.glob(args.txt) - if args.con: con_files = glob.glob(args.con) - if args.xml: xml_files = glob.glob(args.xml) - if args.out: out_dir = args.out - format = args.format + txt_f = args.txt + con_f = args.con + xml_f = args.xml + out_dir = args.out + format = args.format # Ensure format is specified @@ -71,117 +71,66 @@ def main(): print >>sys.stderr, '' exit(1) + # Cannot have ambiguous input + if (txt_f and con_f) and xml_f: + print >>sys.stderr, '\n\tError: Input must be either (i2b2) XOR (xml)\n' + exit(2) - # Ensure proper data is available - if not ((args.txt and args.con) or (args.xml)): + # Ensure proper data is available (equal - AKA if not XOR) + if (not (txt_f and con_f)) and (not xml_f): print >>sys.stderr, '\n\tError: Must supply either:' - print >>sys.stderr, '\t 1) i2b2 txt & con files' + print >>sys.stderr, '\t 1) i2b2 txt & con file' print >>sys.stderr, '\t 2) xml file\n' - exit(2) + exit(3) + # Read input data into note object + N = note.Note() + if xml_f: + basefile = xml_f + N.read_xml(xml_f) + else: + basefile = txt_f + N.read_i2b2(txt_f, con_f) + + + # Output data in desired format if format == 'xml': - # Group input i2b2 txt/con files together - txt_files_map = helper.map_files(txt_files) - con_files_map = helper.map_files(con_files) - file_list = [] - for k in txt_files_map: - if k in con_files_map: - file_list.append((txt_files_map[k], con_files_map[k])) - - - # For each matching txt/con pair - for txt_f,con_f in file_list: - - # i2b2 -> xml - output = i2b2_to_xml(txt_f, con_f) - - - # output file name - xml_name = os.path.basename(txt_f)[:-4] + '.xml' - xml_file = os.path.join(out_dir, xml_name) - - # print output xml file - print 'outputting: ', xml_file - with open(xml_file, 'w') as f: - print >>f, output + # xml format + xml_out = N.write_xml() + # output xml file + xml_file = create_filename(out_dir, basefile, '.xml') + output_file(xml_file, xml_out) else: - # For each xml file - for xml_f in xml_files: - - # i2b2 -> xml - txt_out, con_out = xml_to_i2b2(xml_f) - - - # output txt file - txt_name = os.path.basename(xml_f)[:-4] + '.txt' - txt_file = os.path.join(out_dir, txt_name) - - print 'outputting: ', txt_file - with open(txt_file, 'w') as f: - print >>f, txt_out - - - # output con file - con_name = os.path.basename(xml_f)[:-4] + '.con' - con_file = os.path.join(out_dir, con_name) + # i2b2 format + txt_out = N.write_txt() + con_out = N.write_i2b2_con() - print 'outputting: ', con_file - with open(con_file, 'w') as f: - print >>f, con_out + # output txt file + txt_file = create_filename(out_dir, basefile, '.txt') + output_file(txt_file, txt_out) + # output con file + con_file = create_filename(out_dir, basefile, '.con') + output_file(con_file, con_out) -def i2b2_to_xml(txt, con): - """ - i2b2_to_xml() - - Purpose: Convert data from i2b2 format to xml format. - - @param txt A path to the text file. - @param con A path to the concept file. - @return A string containing the data in xml format. - """ - - # Read note from i2b2 format - N = note.Note() - N.read_i2b2(txt, con) - - # Output note into xml format - out = N.write_xml() - return out - - - - -def xml_to_i2b2(xml): - - """ - xml_to_i2b2() - - Purpose: Convert data from xml format to i2b2 format. - - @param xml A file containing xml-annotated data - @return A tuple of strings (text_data,concept_data) - """ - - - # Read note from xml format - N = note.Note() - N.read_xml(xml) +def create_filename(out_dir, orig_f, new_extension): + fname = os.path.basename(orig_f)[:-4] + new_extension + return os.path.join(out_dir, fname) - # Output note into i2b2 format - txt_out = N.write_txt() - con_out = N.write_i2b2_con() - return txt_out, con_out +def output_file(fname, out): + print 'outputting: ', fname + with open(fname, 'w') as f: + print >>f, out From 79a9304d5d98bd4203d676428a31359f98c5dcad Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Fri, 25 Jul 2014 14:31:37 -0400 Subject: [PATCH 140/393] fixed typo in README --- README.rst | 2 +- 1 file changed, 1 insertion(+), 1 deletion(-) diff --git a/README.rst b/README.rst index 369f7fc..0aedf95 100644 --- a/README.rst +++ b/README.rst @@ -52,7 +52,7 @@ Installation example: willie@text-machine:~$ pwd /home/willie - wboag@cs1:~$ git clone https://github.com/mitmedg/CliCon.git + willie@text-machine:~$ git clone https://github.com/mitmedg/CliCon.git Cloning into 'CliCon'... remote: Counting objects: 1296, done. remote: Compressing objects: 100% (503/503), done. From fb1cc2e73f4e9959c1da8a780e2b37741c46b229 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Fri, 25 Jul 2014 14:31:37 -0400 Subject: [PATCH 141/393] fixed typo in README --- README.rst | 2 +- 1 file changed, 1 insertion(+), 1 deletion(-) diff --git a/README.rst b/README.rst index 369f7fc..0aedf95 100644 --- a/README.rst +++ b/README.rst @@ -52,7 +52,7 @@ Installation example: willie@text-machine:~$ pwd /home/willie - wboag@cs1:~$ git clone https://github.com/mitmedg/CliCon.git + willie@text-machine:~$ git clone https://github.com/mitmedg/CliCon.git Cloning into 'CliCon'... remote: Counting objects: 1296, done. remote: Compressing objects: 100% (503/503), done. From 56244dac7da1ace92855c27386b79644d3ddd42c Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 29 Jul 2014 21:31:59 -0400 Subject: [PATCH 142/393] modified a helper function in format.py --- clicon/format.py | 7 ------- 1 file changed, 7 deletions(-) diff --git a/clicon/format.py b/clicon/format.py index 2d7e110..e1bd4f9 100644 --- a/clicon/format.py +++ b/clicon/format.py @@ -120,13 +120,6 @@ def main(): - - -def create_filename(out_dir, orig_f, new_extension): - fname = os.path.basename(orig_f)[:-4] + new_extension - return os.path.join(out_dir, fname) - - def output_file(fname, out): print 'outputting: ', fname with open(fname, 'w') as f: From ec474e55219851b25876a48705993df556424370 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 29 Jul 2014 21:31:59 -0400 Subject: [PATCH 143/393] modified a helper function in format.py --- clicon/format.py | 7 ------- 1 file changed, 7 deletions(-) diff --git a/clicon/format.py b/clicon/format.py index 2d7e110..e1bd4f9 100644 --- a/clicon/format.py +++ b/clicon/format.py @@ -120,13 +120,6 @@ def main(): - - -def create_filename(out_dir, orig_f, new_extension): - fname = os.path.basename(orig_f)[:-4] + new_extension - return os.path.join(out_dir, fname) - - def output_file(fname, out): print 'outputting: ', fname with open(fname, 'w') as f: From e3deb3c84cec68aa344e3622e521c0f4e7cc9da8 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Thu, 31 Jul 2014 11:39:01 -0400 Subject: [PATCH 144/393] Alert user when trying to predict on 0 files --- clicon/predict.py | 6 ++++++ 1 file changed, 6 insertions(+) diff --git a/clicon/predict.py b/clicon/predict.py index c293ef7..6e2850f 100644 --- a/clicon/predict.py +++ b/clicon/predict.py @@ -65,6 +65,12 @@ def main(): model = Model.load(args.model) + # Tell user if not predicting + if not files: + print >>sys.stderr, "\n\tNote: You did not supply any input files\n" + exit() + + # For each file, predict concept labels for txt in files: From 64b88727d8537489b7b7d970e43e1c2cb2e74f1e Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Thu, 31 Jul 2014 11:39:01 -0400 Subject: [PATCH 145/393] Alert user when trying to predict on 0 files --- clicon/predict.py | 6 ++++++ 1 file changed, 6 insertions(+) diff --git a/clicon/predict.py b/clicon/predict.py index c293ef7..6e2850f 100644 --- a/clicon/predict.py +++ b/clicon/predict.py @@ -65,6 +65,12 @@ def main(): model = Model.load(args.model) + # Tell user if not predicting + if not files: + print >>sys.stderr, "\n\tNote: You did not supply any input files\n" + exit() + + # For each file, predict concept labels for txt in files: From 3bc76c59582e4085897e16ea9ee5b0a60b5e97c3 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Thu, 31 Jul 2014 12:47:13 -0400 Subject: [PATCH 146/393] Isolated GENIA features and removed hard-coded paths --- clicon/features/genia/__init__.py | 0 clicon/features/genia/genia_features.py | 106 +++++++++++++++++++++ clicon/features/genia/interface_genia.py | 112 +++++++++++++++++++++++ 3 files changed, 218 insertions(+) create mode 100644 clicon/features/genia/__init__.py create mode 100644 clicon/features/genia/genia_features.py create mode 100644 clicon/features/genia/interface_genia.py diff --git a/clicon/features/genia/__init__.py b/clicon/features/genia/__init__.py new file mode 100644 index 0000000..e69de29 diff --git a/clicon/features/genia/genia_features.py b/clicon/features/genia/genia_features.py new file mode 100644 index 0000000..ca1ead3 --- /dev/null +++ b/clicon/features/genia/genia_features.py @@ -0,0 +1,106 @@ +###################################################################### +# CliCon - genia_features.py # +# # +# Willie Boag wboag@cs.uml.edu # +# # +# Purpose: Independent GENIA module # +###################################################################### + + + +import interface_genia + + + +class GeniaFeatures: + + + def __init__(self, tagger, data): + + """ + Constructor. + + @param data. A list of lists of words (basically a list of sentences) + """ + + # Process all words with GENIA tagger + self.GENIA_features = interface_genia.genia(tagger, data) + + # For iterating through tagged data + self.GENIA_counter = 0 + + + def next_GENIA_line(self): + + """ + next_GENIA_line() + + Purpose: All data was tagged upfront. This allows iteration through data + """ + + # End of list - reset counter & return None + if self.GENIA_counter == len(self.GENIA_features): + self.GENIA_counter = 0 + return None + + # Advance to next line + self.GENIA_counter += 1 + + return self.GENIA_features[self.GENIA_counter-1] + + + + def features(self, sentence, is_prose=True): + + """ + features(). + + @param sentence. A list of words to bind features to + @param is_prose. Mechanism for skipping nonprose (for alignment) + @return list of dictionaries (of features) + + Note: All data is tagged upon instantiation of GeniaFeatures object. + This function MUST take each line of the file (in order) as input + """ + + # Return value is a list of dictionaries (of features) + features_list = [ {} for _ in sentence ] + + # Get the GENIA features of the current sentence + genia_feats = self.next_GENIA_line() + if not genia_feats: genia_feats = self.next_GENIA_line() + + + # FIXME + # Mechanism to allow for skipping nonprose + # Potential alternative: Let GeniaFeatures boject decide on all nonprose + if not is_prose: return {} + + + for i in range(len(sentence)): + + # Feature: Current word's GENIA features + keys = ['GENIA-stem','GENIA-POS','GENIA-chunktag'] + curr = genia_feats[i] + output = dict( (('curr-'+k, curr[k]), 1) for k in keys if k in curr) + + # Feature: Previous word's GENIA features + if i == 0: + output = dict( (('prev-'+k, ''), 1) for k in keys if k in curr) + else: + prev = genia_feats[i] + output = dict( (('prev-'+k, prev[k]), 1) for k in keys if k in prev) + + # Feature: Next word's GENIA stem + # Note: This is done by updating the previous token's dict + if i == 0: + continue + if i != (len(sentence) - 1): + features_list[i-1].update( {('next-GENIA-stem',curr['GENIA-stem']) : 1} ) + else: + features_list[i].update( { ('next-GENIA-stem','') : 1} ) + + features_list[i].update(output) + + + return features_list diff --git a/clicon/features/genia/interface_genia.py b/clicon/features/genia/interface_genia.py new file mode 100644 index 0000000..d387ea9 --- /dev/null +++ b/clicon/features/genia/interface_genia.py @@ -0,0 +1,112 @@ +###################################################################### +# CliCon - clicon_genia_interface.py # +# # +# Willie Boag wboag@cs.uml.edu # +# # +# Purpose: Provide a way for Python to utilize the output of the # +# GENIA Tagger # +# # +# Genia Tagger: http://www.nactem.ac.uk/tsujii/GENIA/tagger/ # +###################################################################### + + + +__author__ = 'Willie Boag' +__date__ = 'Jan. 27, 2014' + +import os +import sys +from commands import getstatusoutput + + +def main(): + + f = open('/home/wboag/ConceptExtraction-master/data/concept_assertion_relation_training_data/beth/txt/record-20.txt', 'r') + + txt = f.readlines() + + data = [] + for line in txt: + data.append(line.split()) + + tagger = '/home/wboag/geniatagger-3.0.1/geniatagger' + for (line,linedict) in zip(txt,genia(tagger,data)): + print line.split(), '\n' + for d in linedict: + print d + print '---\n\n' + + + +# +# genia() +# +# Call the genia tagger and return its output in python format +# +def genia(geniatagger, data): + + ''' + @param geniatagger. A path to the executable geniatagger + @param data. A list of list of strings (lines of words from a file) + @return A list of dcitionaries of the genia tagger's output. + ''' + + # write list to file and then feed it to GENIA + genia_dir = os.path.dirname(geniatagger) + tmp_out = os.path.join(genia_dir,'clicon_genia_tmp_file.txt') + with open(tmp_out, 'w') as f: + for line in data: f.write(' '.join(line) + '\n') + + + # Run genia tagger + print '\t\tRunning GENIA tagger' + genia_dir = os.path.dirname(geniatagger) + stream = getstatusoutput('cd %s ; ./geniatagger -nt %s' % (genia_dir,tmp_out)) + + + # Process each line of output + # NOTE: Skips the first four lines of genia tagger output ("loading...") + retlist = [] + i = 0 + j = 0 + fline = [] + old = [] + for line in stream[1].split('\n')[4:]: + + line = line.split() + + # Empty line + if line == []: continue + + # One dictionary per word in the file + output = {'GENIA-word' :line[0], + 'GENIA-stem' :line[1], + 'GENIA-POS' :line[2], + 'GENIA-chunktag':line[3], + 'GENIA-NEtag' :line[4]} + + + # Add token to list + fline.append(output) + j += 1 + if j == len(data[i]): + #print data[i] + #print fline + #print '---' + i += 1 + j = 0 + retlist.append(fline) + fline = [] + + + # Remove temp file + os.remove(tmp_out) + + + return retlist + + + + +if __name__ == '__main__': + main() From da10ed72279fe57d1feca00922431ae3225477fb Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Thu, 31 Jul 2014 12:47:13 -0400 Subject: [PATCH 147/393] Isolated GENIA features and removed hard-coded paths --- clicon/features/genia/__init__.py | 0 clicon/features/genia/genia_features.py | 106 +++++++++++++++++++++ clicon/features/genia/interface_genia.py | 112 +++++++++++++++++++++++ 3 files changed, 218 insertions(+) create mode 100644 clicon/features/genia/__init__.py create mode 100644 clicon/features/genia/genia_features.py create mode 100644 clicon/features/genia/interface_genia.py diff --git a/clicon/features/genia/__init__.py b/clicon/features/genia/__init__.py new file mode 100644 index 0000000..e69de29 diff --git a/clicon/features/genia/genia_features.py b/clicon/features/genia/genia_features.py new file mode 100644 index 0000000..ca1ead3 --- /dev/null +++ b/clicon/features/genia/genia_features.py @@ -0,0 +1,106 @@ +###################################################################### +# CliCon - genia_features.py # +# # +# Willie Boag wboag@cs.uml.edu # +# # +# Purpose: Independent GENIA module # +###################################################################### + + + +import interface_genia + + + +class GeniaFeatures: + + + def __init__(self, tagger, data): + + """ + Constructor. + + @param data. A list of lists of words (basically a list of sentences) + """ + + # Process all words with GENIA tagger + self.GENIA_features = interface_genia.genia(tagger, data) + + # For iterating through tagged data + self.GENIA_counter = 0 + + + def next_GENIA_line(self): + + """ + next_GENIA_line() + + Purpose: All data was tagged upfront. This allows iteration through data + """ + + # End of list - reset counter & return None + if self.GENIA_counter == len(self.GENIA_features): + self.GENIA_counter = 0 + return None + + # Advance to next line + self.GENIA_counter += 1 + + return self.GENIA_features[self.GENIA_counter-1] + + + + def features(self, sentence, is_prose=True): + + """ + features(). + + @param sentence. A list of words to bind features to + @param is_prose. Mechanism for skipping nonprose (for alignment) + @return list of dictionaries (of features) + + Note: All data is tagged upon instantiation of GeniaFeatures object. + This function MUST take each line of the file (in order) as input + """ + + # Return value is a list of dictionaries (of features) + features_list = [ {} for _ in sentence ] + + # Get the GENIA features of the current sentence + genia_feats = self.next_GENIA_line() + if not genia_feats: genia_feats = self.next_GENIA_line() + + + # FIXME + # Mechanism to allow for skipping nonprose + # Potential alternative: Let GeniaFeatures boject decide on all nonprose + if not is_prose: return {} + + + for i in range(len(sentence)): + + # Feature: Current word's GENIA features + keys = ['GENIA-stem','GENIA-POS','GENIA-chunktag'] + curr = genia_feats[i] + output = dict( (('curr-'+k, curr[k]), 1) for k in keys if k in curr) + + # Feature: Previous word's GENIA features + if i == 0: + output = dict( (('prev-'+k, ''), 1) for k in keys if k in curr) + else: + prev = genia_feats[i] + output = dict( (('prev-'+k, prev[k]), 1) for k in keys if k in prev) + + # Feature: Next word's GENIA stem + # Note: This is done by updating the previous token's dict + if i == 0: + continue + if i != (len(sentence) - 1): + features_list[i-1].update( {('next-GENIA-stem',curr['GENIA-stem']) : 1} ) + else: + features_list[i].update( { ('next-GENIA-stem','') : 1} ) + + features_list[i].update(output) + + + return features_list diff --git a/clicon/features/genia/interface_genia.py b/clicon/features/genia/interface_genia.py new file mode 100644 index 0000000..d387ea9 --- /dev/null +++ b/clicon/features/genia/interface_genia.py @@ -0,0 +1,112 @@ +###################################################################### +# CliCon - clicon_genia_interface.py # +# # +# Willie Boag wboag@cs.uml.edu # +# # +# Purpose: Provide a way for Python to utilize the output of the # +# GENIA Tagger # +# # +# Genia Tagger: http://www.nactem.ac.uk/tsujii/GENIA/tagger/ # +###################################################################### + + + +__author__ = 'Willie Boag' +__date__ = 'Jan. 27, 2014' + +import os +import sys +from commands import getstatusoutput + + +def main(): + + f = open('/home/wboag/ConceptExtraction-master/data/concept_assertion_relation_training_data/beth/txt/record-20.txt', 'r') + + txt = f.readlines() + + data = [] + for line in txt: + data.append(line.split()) + + tagger = '/home/wboag/geniatagger-3.0.1/geniatagger' + for (line,linedict) in zip(txt,genia(tagger,data)): + print line.split(), '\n' + for d in linedict: + print d + print '---\n\n' + + + +# +# genia() +# +# Call the genia tagger and return its output in python format +# +def genia(geniatagger, data): + + ''' + @param geniatagger. A path to the executable geniatagger + @param data. A list of list of strings (lines of words from a file) + @return A list of dcitionaries of the genia tagger's output. + ''' + + # write list to file and then feed it to GENIA + genia_dir = os.path.dirname(geniatagger) + tmp_out = os.path.join(genia_dir,'clicon_genia_tmp_file.txt') + with open(tmp_out, 'w') as f: + for line in data: f.write(' '.join(line) + '\n') + + + # Run genia tagger + print '\t\tRunning GENIA tagger' + genia_dir = os.path.dirname(geniatagger) + stream = getstatusoutput('cd %s ; ./geniatagger -nt %s' % (genia_dir,tmp_out)) + + + # Process each line of output + # NOTE: Skips the first four lines of genia tagger output ("loading...") + retlist = [] + i = 0 + j = 0 + fline = [] + old = [] + for line in stream[1].split('\n')[4:]: + + line = line.split() + + # Empty line + if line == []: continue + + # One dictionary per word in the file + output = {'GENIA-word' :line[0], + 'GENIA-stem' :line[1], + 'GENIA-POS' :line[2], + 'GENIA-chunktag':line[3], + 'GENIA-NEtag' :line[4]} + + + # Add token to list + fline.append(output) + j += 1 + if j == len(data[i]): + #print data[i] + #print fline + #print '---' + i += 1 + j = 0 + retlist.append(fline) + fline = [] + + + # Remove temp file + os.remove(tmp_out) + + + return retlist + + + + +if __name__ == '__main__': + main() From a692535a2e03ac5137c920641aa9a6842fd7ebc4 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Thu, 31 Jul 2014 12:55:07 -0400 Subject: [PATCH 148/393] First step in better UMLS serialization (still a ways to go) --- clicon/features/umls/SQLookup.py | 71 ++++++++ clicon/features/umls/__init__.py | 0 clicon/features/umls/create_sqliteDB.py | 112 ++++++++++++ clicon/features/umls/umls.py | 232 +++++++++++++++++++++++ clicon/features/umls/umls_cache.py | 23 +++ clicon/features/umls/umls_features.py | 233 ++++++++++++++++++++++++ 6 files changed, 671 insertions(+) create mode 100644 clicon/features/umls/SQLookup.py create mode 100644 clicon/features/umls/__init__.py create mode 100644 clicon/features/umls/create_sqliteDB.py create mode 100644 clicon/features/umls/umls.py create mode 100644 clicon/features/umls/umls_cache.py create mode 100644 clicon/features/umls/umls_features.py diff --git a/clicon/features/umls/SQLookup.py b/clicon/features/umls/SQLookup.py new file mode 100644 index 0000000..1cedac9 --- /dev/null +++ b/clicon/features/umls/SQLookup.py @@ -0,0 +1,71 @@ +import copy +import sqlite3 +import create_sqliteDB +import os + +WINDOW_SIZE = 7 + +#connect to UMLS database +def SQLConnect(): + + #try to connect to the sqlite database. Make one otherwise + db_path = os.path.join( os.environ['CLICON_DIR'], "umls_tables/umls.db") + if( os.path.isfile( db_path ) ): + print "\ndb exists" + else: + print "\ndb doesn't exist" + create_sqliteDB.create_db() + + db = sqlite3.connect( db_path ) + return db.cursor() + + +#used in SQlookup, I made this global so SQLConnect is only called once. +c = SQLConnect() + +#searchs umls database for the semantic type of a string +def SQlookup( c , string ): + + #queries database and finds first semantic type match, returns a 1 when a match is found. + c.execute( "SELECT sty FROM MRCON a, MRSTY b WHERE a.cui = b.cui AND str = ?; " , (string,) ) + + #returns a tuple with the match or None if there was no match. + #return c.fetchone() + return c.fetchall() + +#returns the semantic type of a word +def string_lookup( string ): + + #return SQlookup( c , string ) + r = SQlookup( c , string ) + + return r + + +# get all semantic types for a given concept +def cui_lookup( string ): + + # queries database and finds semantic type match + c.execute( "SELECT cui FROM MRCON WHERE str = ?;" , (string,) ) + + #returns a tuple with the match or None if there was no match. + return c.fetchall() + + +def hypernyms_lookup( string ): + + c.execute( "SELECT CUI FROM MRCON WHERE STR = ? LIMIT 1 ;" , (string,) ) + + cui = c.fetchone() + + if cui == None: + return None + else: + c.execute( "SELECT CUI2 FROM MRREL WHERE CUI1 = ? AND REL = 'PAR' LIMIT 5 ;" , (cui[0],) ) + result = c.fetchone() + if not result: + return None + else: + return result + + diff --git a/clicon/features/umls/__init__.py b/clicon/features/umls/__init__.py new file mode 100644 index 0000000..e69de29 diff --git a/clicon/features/umls/create_sqliteDB.py b/clicon/features/umls/create_sqliteDB.py new file mode 100644 index 0000000..014b91c --- /dev/null +++ b/clicon/features/umls/create_sqliteDB.py @@ -0,0 +1,112 @@ +#database.py creates a .db file for performing umls searches. +import sqlite3 +import os +import sys +import os + +def create_db(): + + print "\ncreating umls.db" + #connect to the .db file we are creating. + db_path = os.path.join(os.environ['CLICON_DIR'],'umls_tables/umls.db') + conn = sqlite3.connect( db_path ) + conn.text_factory = str + + print "opening files" + #load data in files. + try: + mrsty_path = os.path.join(os.environ['CLICON_DIR'],'umls_tables/MRSTY') + MRSTY_TABLE = open( mrsty_path, "r" ) + except IOError: + print "\nNo file to use for creating MRSTY table\n" + conn.close() + sys.exit() + + try: + mrcon_path = os.path.join(os.environ['CLICON_DIR'],'umls_tables/MRCON') + MRCON_TABLE = open( mrcon_path , "r" ) + except IOError: + print "\nNo file to use for creating MRCON table\n" + conn.close() + sys.exit() + + try: + mrrel_path = os.path.join(os.environ['CLICON_DIR'],'umls_tables/MRREL') + MRREL_TABLE = open( mrrel_path , "r" ) + except IOError: + print "\nNo file to use for creating MRREL table\n" + conn.close() + sys.exit() + + print "reading files" + + MRSTY_TABLE = MRSTY_TABLE.read() + MRSTY_TABLE = MRSTY_TABLE.split('\n') + + MRCON_TABLE = MRCON_TABLE.read() + MRCON_TABLE = MRCON_TABLE.split( '\n' ) + + MRREL_TABLE = MRREL_TABLE.read() + MRREL_TABLE = MRREL_TABLE.split( '\n' ) + + #data that will be inserted into tables. + MRTSY_DATA = [] + MRCON_DATA = [] + MRREL_DATA = [] + + c = conn.cursor() + + print "parsing files" + + #parse and store the data from the files. + for line in MRSTY_TABLE: + MRTSY_DATA.append( tuple(line.split('|')) ) + for line in MRCON_TABLE: + MRCON_DATA.append( tuple(line.split('|')) ) + for line in MRREL_TABLE: + MRREL_DATA.append( tuple(line.split('|')) ) + + print "creating tables" + + #create tables. + c.execute( "CREATE TABLE MRCON( CUI, LAT, TS, LUI, STT, SUI, STR, LRL, EMPTY ) ;" ) + c.execute( "CREATE TABLE MRSTY( CUI, TUI, STY, EMPTY ) ;" ) + c.execute( "CREATE TABLE MRREL( CUI1, REL, CUI2, RELA, SAB, SL, MG, EMPTY ) ;" ) + + print "inserting data" + + #insert data onto database + for line in MRCON_DATA: + try: + c.execute( "INSERT INTO MRCON( CUI, LAT, TS, LUI, STT, SUI, STR, LRL, EMPTY ) values ( ?, ?, ? ,?, ?,?,?,?,?);", line ) + except sqlite3.ProgrammingError: + continue + for line in MRTSY_DATA: + try: + c.execute( "INSERT INTO MRSTY( CUI, TUI, STY, EMPTY) values( ?, ?, ?, ?)" , line ) + except sqlite3.ProgrammingError: + continue + for line in MRREL_DATA: + try: + c.execute( "INSERT INTO MRREL( CUI1, REL, CUI2, RELA, SAB, SL, MG, EMPTY ) values( ?, ?, ?, ?,?, ? ,? ,? )" , line ) + except sqlite3.ProgrammingError: + continue + + print "creating indices" + + #create indices for faster queries + c.execute( "CREATE INDEX mrsty_cui_map ON MRSTY(CUI)") + c.execute( "CREATE INDEX mrcon_str_map ON MRCON(STR)") + c.execute( "CREATE INDEX mrcon_cui_map ON MRCON(CUI)") + c.execute( "CREATE INDEX mrrel_cui2_map ON MRREL( CUI2 )" ) + c.execute( "CREATE INDEX mrrel_cui1_map on MRREL( CUI1 ) " ) + c.execute( "CREATE INDEX mrrel_rel_map on MRREL( REL )" ) + + #save changes to .db + conn.commit() + + print "\nsqlite database created" + + #close connection + conn.close() + diff --git a/clicon/features/umls/umls.py b/clicon/features/umls/umls.py new file mode 100644 index 0000000..3dec068 --- /dev/null +++ b/clicon/features/umls/umls.py @@ -0,0 +1,232 @@ +import cPickle as pickle +import SQLookup + +def umls_semantic_type_word( umls_string_cache , sentence ): + + #If the umls semantic type is in the cache use that semantic type otherwise lookup the semantic type and add to the cache. + if umls_string_cache.has_key( sentence ): + mapping = umls_string_cache.get_map( sentence ) + else: + concept = SQLookup.string_lookup( sentence ) + #print sentence, ' - NOT FOUND' + #print '\t', concept + if concept != None: + #umls_string_cache.add_map( sentence , concept[0] ) + umls_string_cache.add_map( sentence , concept ) + else: + umls_string_cache.add_map( sentence , None ) + mapping = umls_string_cache.get_map(sentence) + + #print 'umls_semantic_type_word - returning:' + #print mapping + #print '' + + return mapping + + +def umls_semantic_context_of_words( umls_string_cache, sentence ): + + #Defines the largest string span for the sentence. + WINDOW_SIZE = 7 + + #Holds the span of the umls concept of the largest substring that each word in sentence is found in. + umls_context_list = [] + + #Holds the span of the concept for each substring. + #A tuple containing tne beginning and end index of a substring functions as the key and the key is assigned to a umls definition. + concept_span_dict = {} + + #Initialize the umls_context_list with empty lists. Each sublist functions as the mappings for each word. + for i in sentence: + umls_context_list.append( [] ) + + #Creates and finds the span of a umls concept for each possible substring of length 1 to currentWindowSize. + for currentWindowSize in range( 1 , WINDOW_SIZE ): + for ti in range( 0 , ( len(sentence) - currentWindowSize ) + 1 ): + rawstring = "" + for tj in range( ti , ti + currentWindowSize): + rawstring += ( sentence[tj] + " " ) + + #Each string is of length 1 to currentWindowSize. + rawstring = rawstring[0:-1] + + #If the string is not in cache, look the umls concept up and add to the cache. + if not( umls_string_cache.has_key( rawstring ) ): + #SQLookup returns a tuple if there is a result or None is there is not. + concept = SQLookup.string_lookup( rawstring ) + +# print concept + + if not concept: + umls_string_cache.add_map( rawstring, None ) + else: + umls_string_cache.add_map( rawstring, concept ) ; + +# if concept != None: + # umls_string_cache.add_map( rawstring , concept[0] ) + # else: + # umls_string_cache.add_map( rawstring , None ) + + #Store the concept into concept_span_dict with its span as a key. + concept_span_dict[(ti,ti+currentWindowSize-1)] = umls_string_cache.get_map( rawstring ) + + #For each substring of the sentence if there is a definition obtained from + #SQLookup assign the concept to every word that is within in the substring. + #If the currrent span is a substring update otherwise if it is not a substring add the new found context. + if umls_string_cache.get_map(rawstring): + + for i in range( ti , ti + currentWindowSize ): + + if len( umls_context_list[i] ) == 0: + umls_context_list[i].append( [ ti , ti + currentWindowSize - 1 ] ) + + else: + updated = 0 + for j in umls_context_list[i]: + if j[0] >= ti and j[1] <= ( ti + currentWindowSize - 1 ): + j[0] = ti + j[1] = ( ti + currentWindowSize - 1 ) + updated += 1 + if not(updated): + if umls_context_list[i].count( [ti,ti+currentWindowSize -1] ) == 0 : + umls_context_list[i].append( [ ti , ti +currentWindowSize - 1 ] ) + + + #print '\t\t', umls_context_list + + #create a list of sublists + # each sublist represents the contexts for which the word appears in the sentence + + # print umls_context_list + + mappings = [] + for i in umls_context_list: + spans = i + if len(spans) == 0: + mappings.append( None ) + else: + sub_mappings = [] + for j in spans: + sub_mappings.append( concept_span_dict[tuple(j)]) + + # FIXME - Decided to concat rather than append (not sure why) + mappings += sub_mappings + + return mappings + + +def umls_semantic_type_sentence( cache , sentence ): + + #print sentence + + #Defines the largest string span for the sentence. + + WINDOW_SIZE = 7 + + #holds the mappings for every substring of size 1 to WINDOW_SIZE + mappings = {} + + #Creates and finds the span of a umls concept for each possible substring of length 1 to currentWindowSize. + for currentWindowSize in range( 1 , WINDOW_SIZE ): + for ti in range( 0 , ( len(sentence) - currentWindowSize ) + 1 ): + + rawstring = "" + + for tj in range( ti , ti + currentWindowSize): + rawstring += ( sentence[tj] + " " ) + + #Each string is of length 1 to currentWindowSize. + rawstring = rawstring[0:-1] + + #If the umls semantic type is already in the cache then us the one stored otherwise lookup and add to cache + if cache.has_key( rawstring ): + mappings[rawstring] = cache.get_map( rawstring ) + + else: + + concept = string_lookup( rawstring ) + + #cache.add_map( rawstring , concept ) + + if concept: + cache.add_map( rawstring , concept ) + else: + cache.add_map( rawstring , [] ) + + mappings[rawstring] = cache.get_map( rawstring ) +# print "rawstring: ", rawstring + # print "mappings: " ,mappings[rawstring] + size_s = 0 + + phrase = [] + + + #print "mappings: " , mappings + #get longest sub string with a mapping + + for mapping in mappings.iteritems(): + #print mapping + if( mapping[1] ): + # print mapping + if( len( mapping[0] ) > size_s ): + + phrase = [] + phrase.append( mapping[1] ) + size_s = len( mapping[0] ) + continue + if( len(mapping[0]) == size_s ): + phrase.append( mapping[1] ) + +# print "phrase: " , phrase +# print phrase + return phrase + + + +# Get the semantic types for a given word +def get_cui( cache , word ): + + # If hypernyms already in cache + if cache.has_key( word + '--cuis' ): + + cuis = cache.get_map( word + '--cuis' ) + + else: + + # Get cui + cuis = SQLookup.cui_lookup(word) + + # Eliminate duplicates + cuis = list(set(cuis)) + cuis = [c[0] for c in cuis] + + # Store result in cache + cache.add_map( word + '--cuis', cuis ) + + return cuis + + + +# Get the hypernyms of a string +def umls_hypernyms( cache, string ): + + # If hypernyms already in cache + if cache.has_key( string + '--hypernyms' ): + + hyps = cache.get_map( string + '--hypernyms' ) + + else: + + # Get hypernyms + hyps = SQLookup.hypernyms_lookup(string) + + # Eliminate duplicates + #hyps = list(set(hyps)) + #hyps = [cui[0] for cui in hyps] + #hyps = hyps[0] + + # Store result in cache + cache.add_map( string + '--hypernyms' , hyps ) + + return hyps + diff --git a/clicon/features/umls/umls_cache.py b/clicon/features/umls/umls_cache.py new file mode 100644 index 0000000..e84e253 --- /dev/null +++ b/clicon/features/umls/umls_cache.py @@ -0,0 +1,23 @@ +import cPickle as pickle +import os + +class UmlsCache: + def __init__(self): + try: + prefix = os.environ['CLICON_DIR'] + self.filename = os.path.join( prefix, 'umls_tables/umls_cache' ) + self.cache = pickle.load( open( self.filename , "rb" ) ) ; + except IOError: + self.cache = {} + + def has_key( self , string ): + return self.cache.has_key( string ) + + def add_map( self , string, mapping ): + self.cache[string] = mapping + + def get_map( self , string ): + return self.cache[string] + + def __del__(self): + pickle.dump( self.cache, open( self.filename, "wb" ) ) diff --git a/clicon/features/umls/umls_features.py b/clicon/features/umls/umls_features.py new file mode 100644 index 0000000..543e599 --- /dev/null +++ b/clicon/features/umls/umls_features.py @@ -0,0 +1,233 @@ +###################################################################### +# CliCon - umls_features.py # +# # +# Willie Boag wboag@cs.uml.edu # +# # +# Purpose: Independent UMLS module # +###################################################################### + + + +from sets import ImmutableSet +from umls_cache import UmlsCache +import umls + + + +class UMLSFeatures: + + + enabled_prose_features = ImmutableSet( [ 'umls_cui', 'umls_hypernyms' ] ) + + enabled_prose_features = ImmutableSet( [ 'umls_cui', 'umls_hypernyms', 'umls_semantic_type_word' ] ) + + + enabled_concept_features_for_word = ImmutableSet( [ 'umls_semantic_type_word', 'umls_cui' ] ) + enabled_concept_features_for_sentence = ImmutableSet( [ 'umls_semantic_type_sentence', 'umls_semantic_context' ] ) + + + + def __init__(self): + + """ + UMLSFeatures::Constructor + """ + + # cache for the mappings of all umls lookups made + self.umls_lookup_cache = UmlsCache() + + + + + def IOB_prose_features(self, word): + + """ + UMLSFeatures::IOB_prose_features() + + @ param word. word to lookup in UMLS database + @return dictionary of features + """ + + # Return value is a list of dictionaries (of features) + features = {} + + + for feature in self.enabled_prose_features: + + + # Feature: UMLS Semantic Types + if feature == "umls_cui": + + # Get UMLS CUIs (could have multiple) + cuis = umls.get_cui(self.umls_lookup_cache , word) + + # Add each CUI + if cuis: + for cui in cuis: + features[(feature,cui)] = 1 + + + # Feature: UMLS Hypernyms + if feature == "umls_hypernyms": + + # Get UMLS hypernyms + hyps = umls.umls_hypernyms(self.umls_lookup_cache,word) + + # Add all hypernyms + if hyps: + #for hyp in hyps: + features[(feature,hyps[0])] = 1 + + + return features + + + + def IOB_nonprose_features(self, word): + + """ + UMLSFeatures::IOB_nonprose_features() + + @ param word. word to lookup in UMLS database + @return dictionary of features + """ + + # Return value is a list of dictionaries (of features) + features = {} + + + for feature in self.enabled_nonprose_features: + + + # Feature: UMLS Semantic Types + if feature == "umls_cui": + + # Get UMLS CUIs (could have multiple) + cuis = umls.get_cui(self.umls_lookup_cache , word) + + # Add each CUI + if cuis: + for cui in cuis: + features[(feature,cui)] = 1 + + + # Feature: UMLS Hypernyms + if feature == "umls_hypernyms": + + # Get UMLS hypernyms + hyps = umls.umls_hypernyms(self.umls_lookup_cache,word) + + # Add all hypernyms + if hyps: + #for hyp in hyps: + features[(feature,hyps[0])] = 1 + + + # Feature: UMLS Semantic Type (for each word) + if feature == "umls_semantic_type_word": + + # Get UMLS semantic type (could have multiple) + mapping = umls.umls_semantic_type_word(self.umls_lookup_cache , word ) + # If is at least one semantic type + if mapping: + for concept in mapping: + features[('umls_semantic_type_word', concept )] = 1 + + + return features + + + + + def concept_features_for_word(self, word): + + """ + UMLSFeatures::concept_features_for_word() + + @ param word. word to lookup in UMLS database + @return dictionary of word-level features + """ + + + # Return value is a list of dictionaries (of features) + features = {} + + + for feature in self.enabled_concept_features_for_word: + + # Feature: UMLS Semantic Types + if feature == "umls_cui": + + # Get UMLS CUIs (could have multiple) + cuis = umls.get_cui(self.umls_lookup_cache , word) + + # Add each CUI + if cuis: + for cui in cuis: + features[(feature,cui)] = 1 + + + # Feature: UMLS Semantic Type (for each word) + if feature == "umls_semantic_type_word": + + # Get UMLS semantic type (could have multiple) + mapping = umls.umls_semantic_type_word(self.umls_lookup_cache , word ) + # If is at least one semantic type + if mapping: + for concept in mapping: + features[('umls_semantic_type_word', concept )] = 1 + + + return features + + + + def concept_features_for_sentence(self, sentence): + + """ + UMLSFeatures::concept_features_for_sentence() + + @ param sentence. list of words from line (after flattening chunks) + @return dictionary of chunk-level features + """ + + + # Return value is a list of dictionaries (of features) + features = {} + + + for feature in self.enabled_concept_features_for_sentence: + + + # Feature: UMLS semantic type for the sentence + if feature == "umls_semantic_type_sentence": + + # a list of the uml semantic of the largest substring(s). + sentence_mapping = umls.umls_semantic_type_sentence( self.umls_lookup_cache, sentence ) + + # if there are no mappings + if not sentence_mapping: + features[('umls_semantic_type_sentence', None ) ] = 1 + # assign the umls definitions to the vector for each word + else: + + for concept in sentence_mapping: + if concept: + for mapping in concept: + features[('umls_semantic_type_sentence' , mapping[0] ) ] = 1 + + + # Feature: UMLS semantic context + if feature == "umls_semantic_context": + + # the umls definition of the largest string the word is in + umls_semantic_context_mappings = umls.umls_semantic_context_of_words( self.umls_lookup_cache , sentence ) + + # there could be multiple contexts, iterate through the sublist + for mapping in umls_semantic_context_mappings: + if not mapping: continue + for concept in mapping: + features[(feature,concept)] = 1 + + + return features From c01fbee6a1f26ad76296006497296c03fbdb3ff5 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Thu, 31 Jul 2014 12:55:07 -0400 Subject: [PATCH 149/393] First step in better UMLS serialization (still a ways to go) --- clicon/features/umls/SQLookup.py | 71 ++++++++ clicon/features/umls/__init__.py | 0 clicon/features/umls/create_sqliteDB.py | 112 ++++++++++++ clicon/features/umls/umls.py | 232 +++++++++++++++++++++++ clicon/features/umls/umls_cache.py | 23 +++ clicon/features/umls/umls_features.py | 233 ++++++++++++++++++++++++ 6 files changed, 671 insertions(+) create mode 100644 clicon/features/umls/SQLookup.py create mode 100644 clicon/features/umls/__init__.py create mode 100644 clicon/features/umls/create_sqliteDB.py create mode 100644 clicon/features/umls/umls.py create mode 100644 clicon/features/umls/umls_cache.py create mode 100644 clicon/features/umls/umls_features.py diff --git a/clicon/features/umls/SQLookup.py b/clicon/features/umls/SQLookup.py new file mode 100644 index 0000000..1cedac9 --- /dev/null +++ b/clicon/features/umls/SQLookup.py @@ -0,0 +1,71 @@ +import copy +import sqlite3 +import create_sqliteDB +import os + +WINDOW_SIZE = 7 + +#connect to UMLS database +def SQLConnect(): + + #try to connect to the sqlite database. Make one otherwise + db_path = os.path.join( os.environ['CLICON_DIR'], "umls_tables/umls.db") + if( os.path.isfile( db_path ) ): + print "\ndb exists" + else: + print "\ndb doesn't exist" + create_sqliteDB.create_db() + + db = sqlite3.connect( db_path ) + return db.cursor() + + +#used in SQlookup, I made this global so SQLConnect is only called once. +c = SQLConnect() + +#searchs umls database for the semantic type of a string +def SQlookup( c , string ): + + #queries database and finds first semantic type match, returns a 1 when a match is found. + c.execute( "SELECT sty FROM MRCON a, MRSTY b WHERE a.cui = b.cui AND str = ?; " , (string,) ) + + #returns a tuple with the match or None if there was no match. + #return c.fetchone() + return c.fetchall() + +#returns the semantic type of a word +def string_lookup( string ): + + #return SQlookup( c , string ) + r = SQlookup( c , string ) + + return r + + +# get all semantic types for a given concept +def cui_lookup( string ): + + # queries database and finds semantic type match + c.execute( "SELECT cui FROM MRCON WHERE str = ?;" , (string,) ) + + #returns a tuple with the match or None if there was no match. + return c.fetchall() + + +def hypernyms_lookup( string ): + + c.execute( "SELECT CUI FROM MRCON WHERE STR = ? LIMIT 1 ;" , (string,) ) + + cui = c.fetchone() + + if cui == None: + return None + else: + c.execute( "SELECT CUI2 FROM MRREL WHERE CUI1 = ? AND REL = 'PAR' LIMIT 5 ;" , (cui[0],) ) + result = c.fetchone() + if not result: + return None + else: + return result + + diff --git a/clicon/features/umls/__init__.py b/clicon/features/umls/__init__.py new file mode 100644 index 0000000..e69de29 diff --git a/clicon/features/umls/create_sqliteDB.py b/clicon/features/umls/create_sqliteDB.py new file mode 100644 index 0000000..014b91c --- /dev/null +++ b/clicon/features/umls/create_sqliteDB.py @@ -0,0 +1,112 @@ +#database.py creates a .db file for performing umls searches. +import sqlite3 +import os +import sys +import os + +def create_db(): + + print "\ncreating umls.db" + #connect to the .db file we are creating. + db_path = os.path.join(os.environ['CLICON_DIR'],'umls_tables/umls.db') + conn = sqlite3.connect( db_path ) + conn.text_factory = str + + print "opening files" + #load data in files. + try: + mrsty_path = os.path.join(os.environ['CLICON_DIR'],'umls_tables/MRSTY') + MRSTY_TABLE = open( mrsty_path, "r" ) + except IOError: + print "\nNo file to use for creating MRSTY table\n" + conn.close() + sys.exit() + + try: + mrcon_path = os.path.join(os.environ['CLICON_DIR'],'umls_tables/MRCON') + MRCON_TABLE = open( mrcon_path , "r" ) + except IOError: + print "\nNo file to use for creating MRCON table\n" + conn.close() + sys.exit() + + try: + mrrel_path = os.path.join(os.environ['CLICON_DIR'],'umls_tables/MRREL') + MRREL_TABLE = open( mrrel_path , "r" ) + except IOError: + print "\nNo file to use for creating MRREL table\n" + conn.close() + sys.exit() + + print "reading files" + + MRSTY_TABLE = MRSTY_TABLE.read() + MRSTY_TABLE = MRSTY_TABLE.split('\n') + + MRCON_TABLE = MRCON_TABLE.read() + MRCON_TABLE = MRCON_TABLE.split( '\n' ) + + MRREL_TABLE = MRREL_TABLE.read() + MRREL_TABLE = MRREL_TABLE.split( '\n' ) + + #data that will be inserted into tables. + MRTSY_DATA = [] + MRCON_DATA = [] + MRREL_DATA = [] + + c = conn.cursor() + + print "parsing files" + + #parse and store the data from the files. + for line in MRSTY_TABLE: + MRTSY_DATA.append( tuple(line.split('|')) ) + for line in MRCON_TABLE: + MRCON_DATA.append( tuple(line.split('|')) ) + for line in MRREL_TABLE: + MRREL_DATA.append( tuple(line.split('|')) ) + + print "creating tables" + + #create tables. + c.execute( "CREATE TABLE MRCON( CUI, LAT, TS, LUI, STT, SUI, STR, LRL, EMPTY ) ;" ) + c.execute( "CREATE TABLE MRSTY( CUI, TUI, STY, EMPTY ) ;" ) + c.execute( "CREATE TABLE MRREL( CUI1, REL, CUI2, RELA, SAB, SL, MG, EMPTY ) ;" ) + + print "inserting data" + + #insert data onto database + for line in MRCON_DATA: + try: + c.execute( "INSERT INTO MRCON( CUI, LAT, TS, LUI, STT, SUI, STR, LRL, EMPTY ) values ( ?, ?, ? ,?, ?,?,?,?,?);", line ) + except sqlite3.ProgrammingError: + continue + for line in MRTSY_DATA: + try: + c.execute( "INSERT INTO MRSTY( CUI, TUI, STY, EMPTY) values( ?, ?, ?, ?)" , line ) + except sqlite3.ProgrammingError: + continue + for line in MRREL_DATA: + try: + c.execute( "INSERT INTO MRREL( CUI1, REL, CUI2, RELA, SAB, SL, MG, EMPTY ) values( ?, ?, ?, ?,?, ? ,? ,? )" , line ) + except sqlite3.ProgrammingError: + continue + + print "creating indices" + + #create indices for faster queries + c.execute( "CREATE INDEX mrsty_cui_map ON MRSTY(CUI)") + c.execute( "CREATE INDEX mrcon_str_map ON MRCON(STR)") + c.execute( "CREATE INDEX mrcon_cui_map ON MRCON(CUI)") + c.execute( "CREATE INDEX mrrel_cui2_map ON MRREL( CUI2 )" ) + c.execute( "CREATE INDEX mrrel_cui1_map on MRREL( CUI1 ) " ) + c.execute( "CREATE INDEX mrrel_rel_map on MRREL( REL )" ) + + #save changes to .db + conn.commit() + + print "\nsqlite database created" + + #close connection + conn.close() + diff --git a/clicon/features/umls/umls.py b/clicon/features/umls/umls.py new file mode 100644 index 0000000..3dec068 --- /dev/null +++ b/clicon/features/umls/umls.py @@ -0,0 +1,232 @@ +import cPickle as pickle +import SQLookup + +def umls_semantic_type_word( umls_string_cache , sentence ): + + #If the umls semantic type is in the cache use that semantic type otherwise lookup the semantic type and add to the cache. + if umls_string_cache.has_key( sentence ): + mapping = umls_string_cache.get_map( sentence ) + else: + concept = SQLookup.string_lookup( sentence ) + #print sentence, ' - NOT FOUND' + #print '\t', concept + if concept != None: + #umls_string_cache.add_map( sentence , concept[0] ) + umls_string_cache.add_map( sentence , concept ) + else: + umls_string_cache.add_map( sentence , None ) + mapping = umls_string_cache.get_map(sentence) + + #print 'umls_semantic_type_word - returning:' + #print mapping + #print '' + + return mapping + + +def umls_semantic_context_of_words( umls_string_cache, sentence ): + + #Defines the largest string span for the sentence. + WINDOW_SIZE = 7 + + #Holds the span of the umls concept of the largest substring that each word in sentence is found in. + umls_context_list = [] + + #Holds the span of the concept for each substring. + #A tuple containing tne beginning and end index of a substring functions as the key and the key is assigned to a umls definition. + concept_span_dict = {} + + #Initialize the umls_context_list with empty lists. Each sublist functions as the mappings for each word. + for i in sentence: + umls_context_list.append( [] ) + + #Creates and finds the span of a umls concept for each possible substring of length 1 to currentWindowSize. + for currentWindowSize in range( 1 , WINDOW_SIZE ): + for ti in range( 0 , ( len(sentence) - currentWindowSize ) + 1 ): + rawstring = "" + for tj in range( ti , ti + currentWindowSize): + rawstring += ( sentence[tj] + " " ) + + #Each string is of length 1 to currentWindowSize. + rawstring = rawstring[0:-1] + + #If the string is not in cache, look the umls concept up and add to the cache. + if not( umls_string_cache.has_key( rawstring ) ): + #SQLookup returns a tuple if there is a result or None is there is not. + concept = SQLookup.string_lookup( rawstring ) + +# print concept + + if not concept: + umls_string_cache.add_map( rawstring, None ) + else: + umls_string_cache.add_map( rawstring, concept ) ; + +# if concept != None: + # umls_string_cache.add_map( rawstring , concept[0] ) + # else: + # umls_string_cache.add_map( rawstring , None ) + + #Store the concept into concept_span_dict with its span as a key. + concept_span_dict[(ti,ti+currentWindowSize-1)] = umls_string_cache.get_map( rawstring ) + + #For each substring of the sentence if there is a definition obtained from + #SQLookup assign the concept to every word that is within in the substring. + #If the currrent span is a substring update otherwise if it is not a substring add the new found context. + if umls_string_cache.get_map(rawstring): + + for i in range( ti , ti + currentWindowSize ): + + if len( umls_context_list[i] ) == 0: + umls_context_list[i].append( [ ti , ti + currentWindowSize - 1 ] ) + + else: + updated = 0 + for j in umls_context_list[i]: + if j[0] >= ti and j[1] <= ( ti + currentWindowSize - 1 ): + j[0] = ti + j[1] = ( ti + currentWindowSize - 1 ) + updated += 1 + if not(updated): + if umls_context_list[i].count( [ti,ti+currentWindowSize -1] ) == 0 : + umls_context_list[i].append( [ ti , ti +currentWindowSize - 1 ] ) + + + #print '\t\t', umls_context_list + + #create a list of sublists + # each sublist represents the contexts for which the word appears in the sentence + + # print umls_context_list + + mappings = [] + for i in umls_context_list: + spans = i + if len(spans) == 0: + mappings.append( None ) + else: + sub_mappings = [] + for j in spans: + sub_mappings.append( concept_span_dict[tuple(j)]) + + # FIXME - Decided to concat rather than append (not sure why) + mappings += sub_mappings + + return mappings + + +def umls_semantic_type_sentence( cache , sentence ): + + #print sentence + + #Defines the largest string span for the sentence. + + WINDOW_SIZE = 7 + + #holds the mappings for every substring of size 1 to WINDOW_SIZE + mappings = {} + + #Creates and finds the span of a umls concept for each possible substring of length 1 to currentWindowSize. + for currentWindowSize in range( 1 , WINDOW_SIZE ): + for ti in range( 0 , ( len(sentence) - currentWindowSize ) + 1 ): + + rawstring = "" + + for tj in range( ti , ti + currentWindowSize): + rawstring += ( sentence[tj] + " " ) + + #Each string is of length 1 to currentWindowSize. + rawstring = rawstring[0:-1] + + #If the umls semantic type is already in the cache then us the one stored otherwise lookup and add to cache + if cache.has_key( rawstring ): + mappings[rawstring] = cache.get_map( rawstring ) + + else: + + concept = string_lookup( rawstring ) + + #cache.add_map( rawstring , concept ) + + if concept: + cache.add_map( rawstring , concept ) + else: + cache.add_map( rawstring , [] ) + + mappings[rawstring] = cache.get_map( rawstring ) +# print "rawstring: ", rawstring + # print "mappings: " ,mappings[rawstring] + size_s = 0 + + phrase = [] + + + #print "mappings: " , mappings + #get longest sub string with a mapping + + for mapping in mappings.iteritems(): + #print mapping + if( mapping[1] ): + # print mapping + if( len( mapping[0] ) > size_s ): + + phrase = [] + phrase.append( mapping[1] ) + size_s = len( mapping[0] ) + continue + if( len(mapping[0]) == size_s ): + phrase.append( mapping[1] ) + +# print "phrase: " , phrase +# print phrase + return phrase + + + +# Get the semantic types for a given word +def get_cui( cache , word ): + + # If hypernyms already in cache + if cache.has_key( word + '--cuis' ): + + cuis = cache.get_map( word + '--cuis' ) + + else: + + # Get cui + cuis = SQLookup.cui_lookup(word) + + # Eliminate duplicates + cuis = list(set(cuis)) + cuis = [c[0] for c in cuis] + + # Store result in cache + cache.add_map( word + '--cuis', cuis ) + + return cuis + + + +# Get the hypernyms of a string +def umls_hypernyms( cache, string ): + + # If hypernyms already in cache + if cache.has_key( string + '--hypernyms' ): + + hyps = cache.get_map( string + '--hypernyms' ) + + else: + + # Get hypernyms + hyps = SQLookup.hypernyms_lookup(string) + + # Eliminate duplicates + #hyps = list(set(hyps)) + #hyps = [cui[0] for cui in hyps] + #hyps = hyps[0] + + # Store result in cache + cache.add_map( string + '--hypernyms' , hyps ) + + return hyps + diff --git a/clicon/features/umls/umls_cache.py b/clicon/features/umls/umls_cache.py new file mode 100644 index 0000000..e84e253 --- /dev/null +++ b/clicon/features/umls/umls_cache.py @@ -0,0 +1,23 @@ +import cPickle as pickle +import os + +class UmlsCache: + def __init__(self): + try: + prefix = os.environ['CLICON_DIR'] + self.filename = os.path.join( prefix, 'umls_tables/umls_cache' ) + self.cache = pickle.load( open( self.filename , "rb" ) ) ; + except IOError: + self.cache = {} + + def has_key( self , string ): + return self.cache.has_key( string ) + + def add_map( self , string, mapping ): + self.cache[string] = mapping + + def get_map( self , string ): + return self.cache[string] + + def __del__(self): + pickle.dump( self.cache, open( self.filename, "wb" ) ) diff --git a/clicon/features/umls/umls_features.py b/clicon/features/umls/umls_features.py new file mode 100644 index 0000000..543e599 --- /dev/null +++ b/clicon/features/umls/umls_features.py @@ -0,0 +1,233 @@ +###################################################################### +# CliCon - umls_features.py # +# # +# Willie Boag wboag@cs.uml.edu # +# # +# Purpose: Independent UMLS module # +###################################################################### + + + +from sets import ImmutableSet +from umls_cache import UmlsCache +import umls + + + +class UMLSFeatures: + + + enabled_prose_features = ImmutableSet( [ 'umls_cui', 'umls_hypernyms' ] ) + + enabled_prose_features = ImmutableSet( [ 'umls_cui', 'umls_hypernyms', 'umls_semantic_type_word' ] ) + + + enabled_concept_features_for_word = ImmutableSet( [ 'umls_semantic_type_word', 'umls_cui' ] ) + enabled_concept_features_for_sentence = ImmutableSet( [ 'umls_semantic_type_sentence', 'umls_semantic_context' ] ) + + + + def __init__(self): + + """ + UMLSFeatures::Constructor + """ + + # cache for the mappings of all umls lookups made + self.umls_lookup_cache = UmlsCache() + + + + + def IOB_prose_features(self, word): + + """ + UMLSFeatures::IOB_prose_features() + + @ param word. word to lookup in UMLS database + @return dictionary of features + """ + + # Return value is a list of dictionaries (of features) + features = {} + + + for feature in self.enabled_prose_features: + + + # Feature: UMLS Semantic Types + if feature == "umls_cui": + + # Get UMLS CUIs (could have multiple) + cuis = umls.get_cui(self.umls_lookup_cache , word) + + # Add each CUI + if cuis: + for cui in cuis: + features[(feature,cui)] = 1 + + + # Feature: UMLS Hypernyms + if feature == "umls_hypernyms": + + # Get UMLS hypernyms + hyps = umls.umls_hypernyms(self.umls_lookup_cache,word) + + # Add all hypernyms + if hyps: + #for hyp in hyps: + features[(feature,hyps[0])] = 1 + + + return features + + + + def IOB_nonprose_features(self, word): + + """ + UMLSFeatures::IOB_nonprose_features() + + @ param word. word to lookup in UMLS database + @return dictionary of features + """ + + # Return value is a list of dictionaries (of features) + features = {} + + + for feature in self.enabled_nonprose_features: + + + # Feature: UMLS Semantic Types + if feature == "umls_cui": + + # Get UMLS CUIs (could have multiple) + cuis = umls.get_cui(self.umls_lookup_cache , word) + + # Add each CUI + if cuis: + for cui in cuis: + features[(feature,cui)] = 1 + + + # Feature: UMLS Hypernyms + if feature == "umls_hypernyms": + + # Get UMLS hypernyms + hyps = umls.umls_hypernyms(self.umls_lookup_cache,word) + + # Add all hypernyms + if hyps: + #for hyp in hyps: + features[(feature,hyps[0])] = 1 + + + # Feature: UMLS Semantic Type (for each word) + if feature == "umls_semantic_type_word": + + # Get UMLS semantic type (could have multiple) + mapping = umls.umls_semantic_type_word(self.umls_lookup_cache , word ) + # If is at least one semantic type + if mapping: + for concept in mapping: + features[('umls_semantic_type_word', concept )] = 1 + + + return features + + + + + def concept_features_for_word(self, word): + + """ + UMLSFeatures::concept_features_for_word() + + @ param word. word to lookup in UMLS database + @return dictionary of word-level features + """ + + + # Return value is a list of dictionaries (of features) + features = {} + + + for feature in self.enabled_concept_features_for_word: + + # Feature: UMLS Semantic Types + if feature == "umls_cui": + + # Get UMLS CUIs (could have multiple) + cuis = umls.get_cui(self.umls_lookup_cache , word) + + # Add each CUI + if cuis: + for cui in cuis: + features[(feature,cui)] = 1 + + + # Feature: UMLS Semantic Type (for each word) + if feature == "umls_semantic_type_word": + + # Get UMLS semantic type (could have multiple) + mapping = umls.umls_semantic_type_word(self.umls_lookup_cache , word ) + # If is at least one semantic type + if mapping: + for concept in mapping: + features[('umls_semantic_type_word', concept )] = 1 + + + return features + + + + def concept_features_for_sentence(self, sentence): + + """ + UMLSFeatures::concept_features_for_sentence() + + @ param sentence. list of words from line (after flattening chunks) + @return dictionary of chunk-level features + """ + + + # Return value is a list of dictionaries (of features) + features = {} + + + for feature in self.enabled_concept_features_for_sentence: + + + # Feature: UMLS semantic type for the sentence + if feature == "umls_semantic_type_sentence": + + # a list of the uml semantic of the largest substring(s). + sentence_mapping = umls.umls_semantic_type_sentence( self.umls_lookup_cache, sentence ) + + # if there are no mappings + if not sentence_mapping: + features[('umls_semantic_type_sentence', None ) ] = 1 + # assign the umls definitions to the vector for each word + else: + + for concept in sentence_mapping: + if concept: + for mapping in concept: + features[('umls_semantic_type_sentence' , mapping[0] ) ] = 1 + + + # Feature: UMLS semantic context + if feature == "umls_semantic_context": + + # the umls definition of the largest string the word is in + umls_semantic_context_mappings = umls.umls_semantic_context_of_words( self.umls_lookup_cache , sentence ) + + # there could be multiple contexts, iterate through the sublist + for mapping in umls_semantic_context_mappings: + if not mapping: continue + for concept in mapping: + features[(feature,concept)] = 1 + + + return features From 07259abf00ea29ac496cc83583f0bbc0105cdbac Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Thu, 31 Jul 2014 12:59:06 -0400 Subject: [PATCH 150/393] Reorganized structure of features directory --- clicon/features/features.config | 4 +- clicon/features/features.py | 490 +++++++++++++++------------ clicon/features/read_config.py | 28 +- clicon/features/sentence_features.py | 26 +- clicon/features/word_features.py | 16 +- 5 files changed, 298 insertions(+), 266 deletions(-) diff --git a/clicon/features/features.config b/clicon/features/features.config index 426d10b..a50a60b 100644 --- a/clicon/features/features.config +++ b/clicon/features/features.config @@ -1,2 +1,2 @@ -GENIA False -UMLS False +GENIA None +UMLS None diff --git a/clicon/features/features.py b/clicon/features/features.py index 8c1ea40..f00cfac 100644 --- a/clicon/features/features.py +++ b/clicon/features/features.py @@ -1,233 +1,273 @@ +###################################################################### +# CliCon - clicon_features.py # +# # +# Willie Boag wboag@cs.uml.edu # +# # +# Purpose: Isolate the model's features from model.py # +###################################################################### + + +__author__ = 'Willie Boag' +__date__ = 'Jan. 27, 2014' + + + import nltk +import re +from wordshape import getWordShapes + +from sentence_features import SentenceFeatures -from sets import ImmutableSet - -from wordshape import * - -sentence_features = ImmutableSet(["pos", "stem_wordnet", "test_result", "prev", "next"]) -word_features = ImmutableSet(["word", "length", "mitre", "stem_porter", "stem_lancaster", "word_shape"]) -enabled_features = sentence_features | word_features - - # input: A sentence from a medical text file (list of words) - # output: A list of hash tables -def features_for_sentence(sentence): - features_list = [] - - for word in sentence: - features_list.append(features_for_word(word)) - - tags = None - for feature in sentence_features: - if feature not in enabled_features: - continue - - if feature == "pos": - tags = tags or nltk.pos_tag(sentence) - for i, features in enumerate(features_list): - tag = tags[i][1] - features[(feature, tag)] = 1 - - if feature == "stem_wordnet": - tags = tags or nltk.pos_tag(sentence) - morphy_tags = { - 'NN': nltk.corpus.reader.wordnet.NOUN, - 'JJ': nltk.corpus.reader.wordnet.ADJ, - 'VB': nltk.corpus.reader.wordnet.VERB, - 'RB': nltk.corpus.reader.wordnet.ADV} - morphy_tags = [(w, morphy_tags.setdefault(t[:2], nltk.corpus.reader.wordnet.NOUN)) for w, t in tags] - st = nltk.stem.WordNetLemmatizer() - for i, features in enumerate(features_list): - tag = morphy_tags[i] - features[(feature, st.lemmatize(*tag))] = 1 - - if feature == "test_result": - for index, features in enumerate(features_list): - right = " ".join([w for w in sentence[index:]]) - if is_test_result(right): - features[(feature, None)] = 1 - - - ngram_features = [{} for i in range(len(features_list))] - if "prev" in enabled_features: - prev = lambda f: {("prev_"+k[0], k[1]): v for k, v in f.items()} - prev_list = map(prev, features_list) - for i in range(len(features_list)): - if i == 0: - ngram_features[i][("prev", "*")] = 1 - else: - ngram_features[i].update(prev_list[i-1]) - - if "next" in enabled_features: - next = lambda f: {("next_"+k[0], k[1]): v for k, v in f.items()} - next_list = map(next, features_list) - for i in range(len(features_list)): - if i == len(features_list) - 1: - ngram_features[i][("next", "*")] = 1 - else: - ngram_features[i].update(next_list[i+1]) - merged = lambda d1, d2: dict(d1.items() + d2.items()) - features_list = [merged(features_list[i], ngram_features[i]) - for i in range(len(features_list))] - return features_list +class FeatureWrapper: + # FIXME - Make three objects - one for each classifier - # input: a single word, like - # Admission + # Instantiate an FeatureWrapper object + def __init__(self, data=None): + + # Sentence-level features + self.feat_sent = SentenceFeatures(data) + + + + # IOB_features() + # + # input: A sentence # output: A hash table of features - # features include: word, length, mitre, stem_porter -def features_for_word( word): - features = {'dummy': 1} # always have >0 dimensions - - # word_shape, word, length, mitre, stem_porter, stem_lancaster - for feature in word_features: - - # word_shape, test_result, word, pos, next, length, stem_wordnet, mitre, stem_porter, prev, stem_lancaster - if feature not in enabled_features: - continue - - if feature == "word": - features[(feature, word)] = 1 - - if feature == "length": - features[(feature, None)] = len(word) - - if feature == "mitre": - for f in mitre_features: - if re.search(mitre_features[f], word): - features[(feature, f)] = 1 - - if feature == "stem_porter": - st = nltk.stem.PorterStemmer() - features[(feature, st.stem(word))] = 1 - - if feature == "stem_lancaster": - st = nltk.stem.LancasterStemmer() - features[(feature, st.stem(word))] = 1 - - if feature == "stem_snowball": - st = nltk.stem.SnowballStemmer("english") - #features[(feature, st.stem(word))] = 1 - - if feature == "word_shape": - wordShapes = getWordShapes(word) - for i, shape in enumerate(wordShapes): - features[(feature + str(i), shape)] = 1 - - if feature == "metric_unit": - unit = 0 - if is_weight(word): - unit = 1 - elif is_size(word): - unit = 2 - features[(feature, None)] = unit - - # look for prognosis locaiton - #if feature == "radial_loc": - # THIS MIGHT BE BUGGED - # if is_prognosis_location(word): - # features[(feature, None)] = 1 - - if feature == "has_problem_form": - if has_problem_form(word): - features[(feature, None)] = 1 - - if feature == "def_class": - features[(feature, None)] = get_def_class(word) - - return features - -mitre_features = { - "INITCAP": r"^[A-Z].*$", - "ALLCAPS": r"^[A-Z]+$", - "CAPSMIX": r"^[A-Za-z]+$", - "HASDIGIT": r"^.*[0-9].*$", - "SINGLEDIGIT": r"^[0-9]$", - "DOUBLEDIGIT": r"^[0-9][0-9]$", - "FOURDIGITS": r"^[0-9][0-9][0-9][0-9]$", - "NATURALNUM": r"^[0-9]+$", - "REALNUM": r"^[0-9]+.[0-9]+$", - "ALPHANUM": r"^[0-9A-Za-z]+$", - "HASDASH": r"^.*-.*$", - "PUNCTUATION": r"^[^A-Za-z0-9]+$", - "PHONE1": r"^[0-9][0-9][0-9]-[0-9][0-9][0-9][0-9]$", - "PHONE2": r"^[0-9][0-9][0-9]-[0-9][0-9][0-9]-[0-9][0-9][0-9][0-9]$", - "FIVEDIGIT": r"^[0-9][0-9][0-9][0-9][0-9]", - "NOVOWELS": r"^[^AaEeIiOoUu]+$", - "HASDASHNUMALPHA": r"^.*[A-z].*-.*[0-9].*$ | *.[0-9].*-.*[0-9].*$", - "DATESEPERATOR": r"^[-/]$", -} - -def is_test_result( context): - # note: make spaces optional? - regex = r"^[A-Za-z]+( )*(-|--|:|was|of|\*|>|<|more than|less than)( )*[0-9]+(%)*" - if not re.search(regex, context): - return re.search(r"^[A-Za-z]+ was (positive|negative)", context) - return True - -def is_weight( word): - regex = r"^[0-9]*(mg|g|milligrams|grams)$" - return re.search(regex, word) - -def is_size( word): - regex = r"^[0-9]*(mm|cm|millimeters|centimeters)$" - return re.search(regex, word) - -def is_prognosis_location( word): - regex = r"^(c|C)[0-9]+(-(c|C)[0-9]+)*$" - return re.search(regex, word) - -def has_problem_form( word): - regex = r".*(ic|is)$" - return re.search(regex, word) - -# checks for a definitive classification at the word level -def get_def_class( word): - test_terms = { - "eval", "evaluation", "evaluations", - "sat", "sats", "saturation", - "exam", "exams", - "rate", "rates", - "test", "tests", - "xray", "xrays", - "screen", "screens", - "level", "levels", - "tox" - } - problem_terms = { - "swelling", - "wound", "wounds", - "symptom", "symptoms", - "shifts", "failure", - "insufficiency", "insufficiencies", - "mass", "masses", - "aneurysm", "aneurysms", - "ulcer", "ulcers", - "trama", "cancer", - "disease", "diseased", - "bacterial", "viral", - "syndrome", "syndromes", - "pain", "pains" - "burns", "burned", - "broken", "fractured" - } - treatment_terms = { - "therapy", - "replacement", - "anesthesia", - "supplement", "supplemental", - "vaccine", "vaccines" - "dose", "doses", - "shot", "shots", - "medication", "medicine", - "treament", "treatments" - } - if word.lower() in test_terms: - return 1 - elif word.lower() in problem_terms: - return 2 - elif word.lower() in treatment_terms: - return 3 - return 0 + def IOB_features(self, sentence): + + # Different features depending on whether sentence is 'prose' + isProse = self.prose_sentence(sentence) + + if isProse: + features_list = self.feat_sent.IOB_prose_features(sentence) + else: + features_list = self.feat_sent.IOB_nonprose_features(sentence) + + # Return features as well as indication of whether it is prose or not + return (isProse, features_list) + + + + # concept_features() + # + # input: A sentence/line from a medical text file (list of chunks) + # An list of indices into the sentence for each important chunk + # output: A list of hash tables of features + def concept_features(self, sentence, chunk_inds): + + # FIXME - move all of this work to SentenceFeatures object + + features_list = [ {} for _ in chunk_inds ] + + + ''' + # VERY basic feature set for sanity check tests during development + for i,ind in enumerate(chunk_inds): + features = {('phrase',sentence[ind]) : 1} + features_list[i] = features + return features_list + ''' + + + tags = [] + + for i,ind in enumerate(chunk_inds): + + # Create a list of feature sets (one per chunk) + features = self.feat_sent.concept_features_for_chunk(sentence,ind) + + # Feature: Previous 3 POSs + if 'prev_3_pos' in self.feat_sent.enabled_concept_features: + tags = tags = nltk.pos_tag(sentence) + if ind == 0: + prev_pos = ('*','*','*') + features[('prev_3_pos',prev_pos)] = 1 + elif ind == 1: + prev_pos = ('*','*',tags[0][1]) + features[('prev_3_pos',prev_pos)] = 1 + elif ind == 2: + prev_pos = ('*',tags[0][1],tags[1][1]) + features[('prev_3_pos',prev_pos)] = 1 + else: + prev_pos = (tags[ind-3][1],tags[ind-2][1],tags[ind-1][1]) + features[('prev_3_pos',prev_pos)] = 1 + + + # Feature: Previous Chunks's Features + if "prev" in self.feat_sent.enabled_concept_features: + if ind == 0: + features[("prev", "*")] = 1 + else: + # Get features of previous chunks + prev_features = self.feat_sent.concept_features_for_chunk(sentence,ind-1) + prepend = lambda f: {("prev_"+k[0],k[1]):v for k, v in f.items()} + features.update( prepend(prev_features) ) + + + # Feature: Next Chunk's Features + if "next" in self.feat_sent.enabled_concept_features: + if ind == len(sentence) - 1: + features[("next", "*")] = 1 + else: + # Get features of previous chunks + next_features = self.feat_sent.concept_features_for_chunk(sentence,ind+1) + prepend = lambda f: {("next_"+k[0],k[1]):v for k, v in f.items()} + features.update( prepend(next_features) ) + + features_list[i] = features + + + return features_list + + + + # prose_sentence() + # + # input: A sentence + # output: Boolean yes/no + def prose_sentence(self, sentence): + + # Empty sentence is not prose + if not sentence: + return False + + if sentence[-1] == '.' or sentence[-1] == '?': + return True + elif sentence[-1] == ':': + return False + elif len(sentence) <= 5: + return False + elif self.at_least_half_nonprose(sentence): + return True + else: + return False + + + # at_least_half_nonprose() + # + # input: A sentence + # output: A bollean yes/no + def at_least_half_nonprose(self, sentence): + + count = 0 + + for word in sentence: + if self.prose_word(word): + count += 1 + + if count >= len(sentence): + return True + else: + return False + + + # prose_word() + # + # input: A word + # output: Boolean yes/no + def prose_word(self, word): + + # Punctuation + for punc in ".?,!:\"'": + if re.search(punc, word): + return False + + # Digit + if re.match('\d', word): + return False + + # All uppercase + if word == word.upper(): + return False + + # Else + return True + + + + +# generate_chunks() +# +# input: Three arguments: +# 1) A list of list of word (the data of the file) +# 2) A list of list of IOB tags (one-to-one with list from arg 1) +# 3) A list of list of concepts (one-to-one with list from arg 1) +# +# +# output: A 3-tuple of: +# 1) A list of list of chunks (word token phrases) +# 2) A list of list of concepts (one-to-one with list from ret 1) +# 3) A list of all indices into 1 of all non-'none' concepts +def generate_chunks(data, IOB_tags, labels=None): + + # List of list of tokens (similar to 'text', but concepts are grouped) + text_chunks = [] + + # one-to-one concept classification with text_chunks + if labels: + concept_chunks = [] + else: + concept_chunks = None + + # List of (line,token) pairs for classifications that are nont 'none' + hits = [] + + # Create tokens of full concept boundaries for second classifier + for i, concept_line in enumerate(IOB_tags): + + # One line of 'chunked' + line_of_text_chunks = [] + if labels: line_of_concept_chunks = [] + + # stores the current streak + queue = [] + + # Necessary when multiple concepts are on one line + # The second concept's j index is relative to a word-split array + # The j of the new token should be relative to how chunks there are + chunk_offset = 0 + + # C-style array indexing. Probably could be done a better way. + # Used because I needed the ability of lookahead + for j in range(len(concept_line)): + + # Outside + # concept_line in "012" instead of "IOB" + if concept_line[j] == 'O': + line_of_text_chunks.append(data[i][j]) + if labels: line_of_concept_chunks.append('none') + + # Beginning of a concept boundary + else: + + # Increase size of current streak + queue.append(data[i][j]) + + # lookahead (check if streak will continue) + if (j+1 == len(concept_line))or \ + (concept_line[j+1] != 'I'): # end of classifiation + + # Add full concept token + line_of_text_chunks.append(' '.join(queue)) + if labels: line_of_concept_chunks.append(labels[i][j]) + + # Store indices of detected concept + hits.append( ( i, j + 1-len(queue) - chunk_offset ) ) + + # Reminder: used in the case that a concept follows a + # multi-word concept on the same line + chunk_offset += len(queue) - 1 + + # Reset streak + queue = [] + + text_chunks.append(line_of_text_chunks) + if labels: concept_chunks.append(line_of_concept_chunks) + + + return (text_chunks, concept_chunks, hits) + diff --git a/clicon/features/read_config.py b/clicon/features/read_config.py index 904cf01..bc952f4 100644 --- a/clicon/features/read_config.py +++ b/clicon/features/read_config.py @@ -13,23 +13,14 @@ -# Enabled modules -class enabled_modules: - - # Unenabled unless specified by config file - UMLS = False - GENIA = False - - - # -# available_services() +# enabled_modules # -# @return dictionary of (name,on/off) pairs. +# @return dictionary of (name,resource path) pairs. # -# ex. {'UMLS': False, 'GENIA': True} +# ex. {'UMLS': None, 'GENIA': 'genia/geniatagger-3.0.1/geniatagger'} # -def available_services(): +def enabled_modules(): # Open config file prefix = os.path.dirname(__file__) @@ -45,18 +36,17 @@ def available_services(): if words: # Modules - if words[0] == 'UMLS': enabled_modules.UMLS = (words[1] == 'True') - if words[0] == 'GENIA': enabled_modules.GENIA = (words[1] == 'True') - - # retVal dict if words[0] in module_list: - specs[words[0]] = (words[1] == 'True') + if words[1] != 'None': + specs[words[0]] = words[1] + else: + specs[words[0]] = None return specs # Read from config file when module is imported -#print available_services() +print enabled_modules() diff --git a/clicon/features/sentence_features.py b/clicon/features/sentence_features.py index 231a819..8d1d01a 100644 --- a/clicon/features/sentence_features.py +++ b/clicon/features/sentence_features.py @@ -20,19 +20,18 @@ # What modules are available - from read_config import enabled_modules # Import feature modules +enabled = enabled_modules() +if enabled['GENIA']: + from genia.genia_features import GeniaFeatures -if enabled_modules.GENIA: - from genia_features import GeniaFeatures - -if enabled_modules.UMLS: - from umls_features import UMLSFeatures +if enabled['UMLS']: + from umls.umls_features import UMLSFeatures from word_features import WordFeatures @@ -58,13 +57,12 @@ def __init__(self, data): self.feat_word = WordFeatures() # Only run GENIA tagger if module is available - if data and enabled_modules.GENIA: - print 'GENIA module enabled' - self.feat_genia = GeniaFeatures(data) + if data and enabled['GENIA']: + tagger = enabled['GENIA'] + self.feat_genia = GeniaFeatures(tagger,data) # Only create UMLS cache if module is available - if enabled_modules.UMLS: - print 'UMLS module enabled' + if enabled['UMLS']: self.feat_umls = UMLSFeatures() @@ -122,7 +120,7 @@ def IOB_prose_features(self, sentence): # GENIA features - if enabled_modules.GENIA and (feature == 'GENIA'): + if enabled['GENIA'] and (feature == 'GENIA'): genia_feat_list = self.feat_genia.features(sentence) @@ -170,7 +168,7 @@ def IOB_nonprose_features(self, sentence): # Get the GENIA features of the current sentence # (not used for nonprose, but it keeps things aligned for the prose) # FIXME - Making seperate classes will fix this - if enabled_modules.GENIA and 'GENIA' in self.enabled_IOB_prose_sentence_features: + if enabled['GENIA'] and 'GENIA' in self.enabled_IOB_prose_sentence_features: _ = self.feat_genia.features(sentence, False) @@ -306,7 +304,7 @@ def concept_features_for_chunk(self, sentence, ind): for feature in self.enabled_concept_features: # Features: UMLS features - if (feature == "UMLS") and enabled_modules.UMLS: + if (feature == "UMLS") and enabled['UMLS']: umls_features = self.feat_umls.concept_features_for_sentence(split_sentence) features.update(umls_features) diff --git a/clicon/features/word_features.py b/clicon/features/word_features.py index 94c4110..9c2c6a8 100644 --- a/clicon/features/word_features.py +++ b/clicon/features/word_features.py @@ -23,10 +23,14 @@ from read_config import enabled_modules -if enabled_modules.UMLS: - from umls_features import UMLSFeatures +enabled = enabled_modules() +if enabled['UMLS']: + from umls.umls_features import UMLSFeatures +# MAJOR TODO - Further serialize UMLS features so that +# extracting features just needs to make one function call + class WordFeatures: enabled_IOB_prose_word_features = ImmutableSet( ['Generic#', 'last_two_letters', 'word', 'length', 'mitre', 'stem_porter', 'word_shape', 'metric_unit', 'UMLS' ] ) @@ -39,7 +43,7 @@ class WordFeatures: def __init__(self): # Only use UMLS feature module if it is available - if enabled_modules.UMLS: + if enabled['UMLS']: self.feat_umls = UMLSFeatures() @@ -81,7 +85,7 @@ def IOB_prose_features(self, sentence, ind): features.update( {('prev_word', sentence[ind-1]) : 1} ) # Feature: UMLS Word Features (only use prose ones) - if (feature == "UMLS") and enabled_modules.UMLS: + if (feature == "UMLS") and enabled['UMLS']: umls_features = self.feat_umls.IOB_prose_features(word) features.update( umls_features ) @@ -188,7 +192,7 @@ def IOB_nonprose_features(self, sentence, ind): # Feature: UMLS Word Features (only use nonprose ones) - if (feature == "UMLS") and enabled_modules.UMLS: + if (feature == "UMLS") and enabled['UMLS']: umls_features = self.feat_umls.IOB_nonprose_features(word) features.update( umls_features ) @@ -246,7 +250,7 @@ def concept_features(self, word): features[ ("word_shape" + str(j), shape) ] = 1 # Features: UMLS Features - if (feature == "UMLS") and enabled_modules.UMLS: + if (feature == "UMLS") and enabled['UMLS']: umls_features = self.feat_umls.concept_features_for_word(word) features.update(umls_features) From 0c9ce128ab6d3638aea0897e9801c8ed4d68a4ce Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Thu, 31 Jul 2014 12:59:06 -0400 Subject: [PATCH 151/393] Reorganized structure of features directory --- clicon/features/features.config | 4 +- clicon/features/features.py | 490 +++++++++++++++------------ clicon/features/read_config.py | 28 +- clicon/features/sentence_features.py | 26 +- clicon/features/word_features.py | 16 +- 5 files changed, 298 insertions(+), 266 deletions(-) diff --git a/clicon/features/features.config b/clicon/features/features.config index 426d10b..a50a60b 100644 --- a/clicon/features/features.config +++ b/clicon/features/features.config @@ -1,2 +1,2 @@ -GENIA False -UMLS False +GENIA None +UMLS None diff --git a/clicon/features/features.py b/clicon/features/features.py index 8c1ea40..f00cfac 100644 --- a/clicon/features/features.py +++ b/clicon/features/features.py @@ -1,233 +1,273 @@ +###################################################################### +# CliCon - clicon_features.py # +# # +# Willie Boag wboag@cs.uml.edu # +# # +# Purpose: Isolate the model's features from model.py # +###################################################################### + + +__author__ = 'Willie Boag' +__date__ = 'Jan. 27, 2014' + + + import nltk +import re +from wordshape import getWordShapes + +from sentence_features import SentenceFeatures -from sets import ImmutableSet - -from wordshape import * - -sentence_features = ImmutableSet(["pos", "stem_wordnet", "test_result", "prev", "next"]) -word_features = ImmutableSet(["word", "length", "mitre", "stem_porter", "stem_lancaster", "word_shape"]) -enabled_features = sentence_features | word_features - - # input: A sentence from a medical text file (list of words) - # output: A list of hash tables -def features_for_sentence(sentence): - features_list = [] - - for word in sentence: - features_list.append(features_for_word(word)) - - tags = None - for feature in sentence_features: - if feature not in enabled_features: - continue - - if feature == "pos": - tags = tags or nltk.pos_tag(sentence) - for i, features in enumerate(features_list): - tag = tags[i][1] - features[(feature, tag)] = 1 - - if feature == "stem_wordnet": - tags = tags or nltk.pos_tag(sentence) - morphy_tags = { - 'NN': nltk.corpus.reader.wordnet.NOUN, - 'JJ': nltk.corpus.reader.wordnet.ADJ, - 'VB': nltk.corpus.reader.wordnet.VERB, - 'RB': nltk.corpus.reader.wordnet.ADV} - morphy_tags = [(w, morphy_tags.setdefault(t[:2], nltk.corpus.reader.wordnet.NOUN)) for w, t in tags] - st = nltk.stem.WordNetLemmatizer() - for i, features in enumerate(features_list): - tag = morphy_tags[i] - features[(feature, st.lemmatize(*tag))] = 1 - - if feature == "test_result": - for index, features in enumerate(features_list): - right = " ".join([w for w in sentence[index:]]) - if is_test_result(right): - features[(feature, None)] = 1 - - - ngram_features = [{} for i in range(len(features_list))] - if "prev" in enabled_features: - prev = lambda f: {("prev_"+k[0], k[1]): v for k, v in f.items()} - prev_list = map(prev, features_list) - for i in range(len(features_list)): - if i == 0: - ngram_features[i][("prev", "*")] = 1 - else: - ngram_features[i].update(prev_list[i-1]) - - if "next" in enabled_features: - next = lambda f: {("next_"+k[0], k[1]): v for k, v in f.items()} - next_list = map(next, features_list) - for i in range(len(features_list)): - if i == len(features_list) - 1: - ngram_features[i][("next", "*")] = 1 - else: - ngram_features[i].update(next_list[i+1]) - merged = lambda d1, d2: dict(d1.items() + d2.items()) - features_list = [merged(features_list[i], ngram_features[i]) - for i in range(len(features_list))] - return features_list +class FeatureWrapper: + # FIXME - Make three objects - one for each classifier - # input: a single word, like - # Admission + # Instantiate an FeatureWrapper object + def __init__(self, data=None): + + # Sentence-level features + self.feat_sent = SentenceFeatures(data) + + + + # IOB_features() + # + # input: A sentence # output: A hash table of features - # features include: word, length, mitre, stem_porter -def features_for_word( word): - features = {'dummy': 1} # always have >0 dimensions - - # word_shape, word, length, mitre, stem_porter, stem_lancaster - for feature in word_features: - - # word_shape, test_result, word, pos, next, length, stem_wordnet, mitre, stem_porter, prev, stem_lancaster - if feature not in enabled_features: - continue - - if feature == "word": - features[(feature, word)] = 1 - - if feature == "length": - features[(feature, None)] = len(word) - - if feature == "mitre": - for f in mitre_features: - if re.search(mitre_features[f], word): - features[(feature, f)] = 1 - - if feature == "stem_porter": - st = nltk.stem.PorterStemmer() - features[(feature, st.stem(word))] = 1 - - if feature == "stem_lancaster": - st = nltk.stem.LancasterStemmer() - features[(feature, st.stem(word))] = 1 - - if feature == "stem_snowball": - st = nltk.stem.SnowballStemmer("english") - #features[(feature, st.stem(word))] = 1 - - if feature == "word_shape": - wordShapes = getWordShapes(word) - for i, shape in enumerate(wordShapes): - features[(feature + str(i), shape)] = 1 - - if feature == "metric_unit": - unit = 0 - if is_weight(word): - unit = 1 - elif is_size(word): - unit = 2 - features[(feature, None)] = unit - - # look for prognosis locaiton - #if feature == "radial_loc": - # THIS MIGHT BE BUGGED - # if is_prognosis_location(word): - # features[(feature, None)] = 1 - - if feature == "has_problem_form": - if has_problem_form(word): - features[(feature, None)] = 1 - - if feature == "def_class": - features[(feature, None)] = get_def_class(word) - - return features - -mitre_features = { - "INITCAP": r"^[A-Z].*$", - "ALLCAPS": r"^[A-Z]+$", - "CAPSMIX": r"^[A-Za-z]+$", - "HASDIGIT": r"^.*[0-9].*$", - "SINGLEDIGIT": r"^[0-9]$", - "DOUBLEDIGIT": r"^[0-9][0-9]$", - "FOURDIGITS": r"^[0-9][0-9][0-9][0-9]$", - "NATURALNUM": r"^[0-9]+$", - "REALNUM": r"^[0-9]+.[0-9]+$", - "ALPHANUM": r"^[0-9A-Za-z]+$", - "HASDASH": r"^.*-.*$", - "PUNCTUATION": r"^[^A-Za-z0-9]+$", - "PHONE1": r"^[0-9][0-9][0-9]-[0-9][0-9][0-9][0-9]$", - "PHONE2": r"^[0-9][0-9][0-9]-[0-9][0-9][0-9]-[0-9][0-9][0-9][0-9]$", - "FIVEDIGIT": r"^[0-9][0-9][0-9][0-9][0-9]", - "NOVOWELS": r"^[^AaEeIiOoUu]+$", - "HASDASHNUMALPHA": r"^.*[A-z].*-.*[0-9].*$ | *.[0-9].*-.*[0-9].*$", - "DATESEPERATOR": r"^[-/]$", -} - -def is_test_result( context): - # note: make spaces optional? - regex = r"^[A-Za-z]+( )*(-|--|:|was|of|\*|>|<|more than|less than)( )*[0-9]+(%)*" - if not re.search(regex, context): - return re.search(r"^[A-Za-z]+ was (positive|negative)", context) - return True - -def is_weight( word): - regex = r"^[0-9]*(mg|g|milligrams|grams)$" - return re.search(regex, word) - -def is_size( word): - regex = r"^[0-9]*(mm|cm|millimeters|centimeters)$" - return re.search(regex, word) - -def is_prognosis_location( word): - regex = r"^(c|C)[0-9]+(-(c|C)[0-9]+)*$" - return re.search(regex, word) - -def has_problem_form( word): - regex = r".*(ic|is)$" - return re.search(regex, word) - -# checks for a definitive classification at the word level -def get_def_class( word): - test_terms = { - "eval", "evaluation", "evaluations", - "sat", "sats", "saturation", - "exam", "exams", - "rate", "rates", - "test", "tests", - "xray", "xrays", - "screen", "screens", - "level", "levels", - "tox" - } - problem_terms = { - "swelling", - "wound", "wounds", - "symptom", "symptoms", - "shifts", "failure", - "insufficiency", "insufficiencies", - "mass", "masses", - "aneurysm", "aneurysms", - "ulcer", "ulcers", - "trama", "cancer", - "disease", "diseased", - "bacterial", "viral", - "syndrome", "syndromes", - "pain", "pains" - "burns", "burned", - "broken", "fractured" - } - treatment_terms = { - "therapy", - "replacement", - "anesthesia", - "supplement", "supplemental", - "vaccine", "vaccines" - "dose", "doses", - "shot", "shots", - "medication", "medicine", - "treament", "treatments" - } - if word.lower() in test_terms: - return 1 - elif word.lower() in problem_terms: - return 2 - elif word.lower() in treatment_terms: - return 3 - return 0 + def IOB_features(self, sentence): + + # Different features depending on whether sentence is 'prose' + isProse = self.prose_sentence(sentence) + + if isProse: + features_list = self.feat_sent.IOB_prose_features(sentence) + else: + features_list = self.feat_sent.IOB_nonprose_features(sentence) + + # Return features as well as indication of whether it is prose or not + return (isProse, features_list) + + + + # concept_features() + # + # input: A sentence/line from a medical text file (list of chunks) + # An list of indices into the sentence for each important chunk + # output: A list of hash tables of features + def concept_features(self, sentence, chunk_inds): + + # FIXME - move all of this work to SentenceFeatures object + + features_list = [ {} for _ in chunk_inds ] + + + ''' + # VERY basic feature set for sanity check tests during development + for i,ind in enumerate(chunk_inds): + features = {('phrase',sentence[ind]) : 1} + features_list[i] = features + return features_list + ''' + + + tags = [] + + for i,ind in enumerate(chunk_inds): + + # Create a list of feature sets (one per chunk) + features = self.feat_sent.concept_features_for_chunk(sentence,ind) + + # Feature: Previous 3 POSs + if 'prev_3_pos' in self.feat_sent.enabled_concept_features: + tags = tags = nltk.pos_tag(sentence) + if ind == 0: + prev_pos = ('*','*','*') + features[('prev_3_pos',prev_pos)] = 1 + elif ind == 1: + prev_pos = ('*','*',tags[0][1]) + features[('prev_3_pos',prev_pos)] = 1 + elif ind == 2: + prev_pos = ('*',tags[0][1],tags[1][1]) + features[('prev_3_pos',prev_pos)] = 1 + else: + prev_pos = (tags[ind-3][1],tags[ind-2][1],tags[ind-1][1]) + features[('prev_3_pos',prev_pos)] = 1 + + + # Feature: Previous Chunks's Features + if "prev" in self.feat_sent.enabled_concept_features: + if ind == 0: + features[("prev", "*")] = 1 + else: + # Get features of previous chunks + prev_features = self.feat_sent.concept_features_for_chunk(sentence,ind-1) + prepend = lambda f: {("prev_"+k[0],k[1]):v for k, v in f.items()} + features.update( prepend(prev_features) ) + + + # Feature: Next Chunk's Features + if "next" in self.feat_sent.enabled_concept_features: + if ind == len(sentence) - 1: + features[("next", "*")] = 1 + else: + # Get features of previous chunks + next_features = self.feat_sent.concept_features_for_chunk(sentence,ind+1) + prepend = lambda f: {("next_"+k[0],k[1]):v for k, v in f.items()} + features.update( prepend(next_features) ) + + features_list[i] = features + + + return features_list + + + + # prose_sentence() + # + # input: A sentence + # output: Boolean yes/no + def prose_sentence(self, sentence): + + # Empty sentence is not prose + if not sentence: + return False + + if sentence[-1] == '.' or sentence[-1] == '?': + return True + elif sentence[-1] == ':': + return False + elif len(sentence) <= 5: + return False + elif self.at_least_half_nonprose(sentence): + return True + else: + return False + + + # at_least_half_nonprose() + # + # input: A sentence + # output: A bollean yes/no + def at_least_half_nonprose(self, sentence): + + count = 0 + + for word in sentence: + if self.prose_word(word): + count += 1 + + if count >= len(sentence): + return True + else: + return False + + + # prose_word() + # + # input: A word + # output: Boolean yes/no + def prose_word(self, word): + + # Punctuation + for punc in ".?,!:\"'": + if re.search(punc, word): + return False + + # Digit + if re.match('\d', word): + return False + + # All uppercase + if word == word.upper(): + return False + + # Else + return True + + + + +# generate_chunks() +# +# input: Three arguments: +# 1) A list of list of word (the data of the file) +# 2) A list of list of IOB tags (one-to-one with list from arg 1) +# 3) A list of list of concepts (one-to-one with list from arg 1) +# +# +# output: A 3-tuple of: +# 1) A list of list of chunks (word token phrases) +# 2) A list of list of concepts (one-to-one with list from ret 1) +# 3) A list of all indices into 1 of all non-'none' concepts +def generate_chunks(data, IOB_tags, labels=None): + + # List of list of tokens (similar to 'text', but concepts are grouped) + text_chunks = [] + + # one-to-one concept classification with text_chunks + if labels: + concept_chunks = [] + else: + concept_chunks = None + + # List of (line,token) pairs for classifications that are nont 'none' + hits = [] + + # Create tokens of full concept boundaries for second classifier + for i, concept_line in enumerate(IOB_tags): + + # One line of 'chunked' + line_of_text_chunks = [] + if labels: line_of_concept_chunks = [] + + # stores the current streak + queue = [] + + # Necessary when multiple concepts are on one line + # The second concept's j index is relative to a word-split array + # The j of the new token should be relative to how chunks there are + chunk_offset = 0 + + # C-style array indexing. Probably could be done a better way. + # Used because I needed the ability of lookahead + for j in range(len(concept_line)): + + # Outside + # concept_line in "012" instead of "IOB" + if concept_line[j] == 'O': + line_of_text_chunks.append(data[i][j]) + if labels: line_of_concept_chunks.append('none') + + # Beginning of a concept boundary + else: + + # Increase size of current streak + queue.append(data[i][j]) + + # lookahead (check if streak will continue) + if (j+1 == len(concept_line))or \ + (concept_line[j+1] != 'I'): # end of classifiation + + # Add full concept token + line_of_text_chunks.append(' '.join(queue)) + if labels: line_of_concept_chunks.append(labels[i][j]) + + # Store indices of detected concept + hits.append( ( i, j + 1-len(queue) - chunk_offset ) ) + + # Reminder: used in the case that a concept follows a + # multi-word concept on the same line + chunk_offset += len(queue) - 1 + + # Reset streak + queue = [] + + text_chunks.append(line_of_text_chunks) + if labels: concept_chunks.append(line_of_concept_chunks) + + + return (text_chunks, concept_chunks, hits) + diff --git a/clicon/features/read_config.py b/clicon/features/read_config.py index 904cf01..bc952f4 100644 --- a/clicon/features/read_config.py +++ b/clicon/features/read_config.py @@ -13,23 +13,14 @@ -# Enabled modules -class enabled_modules: - - # Unenabled unless specified by config file - UMLS = False - GENIA = False - - - # -# available_services() +# enabled_modules # -# @return dictionary of (name,on/off) pairs. +# @return dictionary of (name,resource path) pairs. # -# ex. {'UMLS': False, 'GENIA': True} +# ex. {'UMLS': None, 'GENIA': 'genia/geniatagger-3.0.1/geniatagger'} # -def available_services(): +def enabled_modules(): # Open config file prefix = os.path.dirname(__file__) @@ -45,18 +36,17 @@ def available_services(): if words: # Modules - if words[0] == 'UMLS': enabled_modules.UMLS = (words[1] == 'True') - if words[0] == 'GENIA': enabled_modules.GENIA = (words[1] == 'True') - - # retVal dict if words[0] in module_list: - specs[words[0]] = (words[1] == 'True') + if words[1] != 'None': + specs[words[0]] = words[1] + else: + specs[words[0]] = None return specs # Read from config file when module is imported -#print available_services() +print enabled_modules() diff --git a/clicon/features/sentence_features.py b/clicon/features/sentence_features.py index 231a819..8d1d01a 100644 --- a/clicon/features/sentence_features.py +++ b/clicon/features/sentence_features.py @@ -20,19 +20,18 @@ # What modules are available - from read_config import enabled_modules # Import feature modules +enabled = enabled_modules() +if enabled['GENIA']: + from genia.genia_features import GeniaFeatures -if enabled_modules.GENIA: - from genia_features import GeniaFeatures - -if enabled_modules.UMLS: - from umls_features import UMLSFeatures +if enabled['UMLS']: + from umls.umls_features import UMLSFeatures from word_features import WordFeatures @@ -58,13 +57,12 @@ def __init__(self, data): self.feat_word = WordFeatures() # Only run GENIA tagger if module is available - if data and enabled_modules.GENIA: - print 'GENIA module enabled' - self.feat_genia = GeniaFeatures(data) + if data and enabled['GENIA']: + tagger = enabled['GENIA'] + self.feat_genia = GeniaFeatures(tagger,data) # Only create UMLS cache if module is available - if enabled_modules.UMLS: - print 'UMLS module enabled' + if enabled['UMLS']: self.feat_umls = UMLSFeatures() @@ -122,7 +120,7 @@ def IOB_prose_features(self, sentence): # GENIA features - if enabled_modules.GENIA and (feature == 'GENIA'): + if enabled['GENIA'] and (feature == 'GENIA'): genia_feat_list = self.feat_genia.features(sentence) @@ -170,7 +168,7 @@ def IOB_nonprose_features(self, sentence): # Get the GENIA features of the current sentence # (not used for nonprose, but it keeps things aligned for the prose) # FIXME - Making seperate classes will fix this - if enabled_modules.GENIA and 'GENIA' in self.enabled_IOB_prose_sentence_features: + if enabled['GENIA'] and 'GENIA' in self.enabled_IOB_prose_sentence_features: _ = self.feat_genia.features(sentence, False) @@ -306,7 +304,7 @@ def concept_features_for_chunk(self, sentence, ind): for feature in self.enabled_concept_features: # Features: UMLS features - if (feature == "UMLS") and enabled_modules.UMLS: + if (feature == "UMLS") and enabled['UMLS']: umls_features = self.feat_umls.concept_features_for_sentence(split_sentence) features.update(umls_features) diff --git a/clicon/features/word_features.py b/clicon/features/word_features.py index 94c4110..9c2c6a8 100644 --- a/clicon/features/word_features.py +++ b/clicon/features/word_features.py @@ -23,10 +23,14 @@ from read_config import enabled_modules -if enabled_modules.UMLS: - from umls_features import UMLSFeatures +enabled = enabled_modules() +if enabled['UMLS']: + from umls.umls_features import UMLSFeatures +# MAJOR TODO - Further serialize UMLS features so that +# extracting features just needs to make one function call + class WordFeatures: enabled_IOB_prose_word_features = ImmutableSet( ['Generic#', 'last_two_letters', 'word', 'length', 'mitre', 'stem_porter', 'word_shape', 'metric_unit', 'UMLS' ] ) @@ -39,7 +43,7 @@ class WordFeatures: def __init__(self): # Only use UMLS feature module if it is available - if enabled_modules.UMLS: + if enabled['UMLS']: self.feat_umls = UMLSFeatures() @@ -81,7 +85,7 @@ def IOB_prose_features(self, sentence, ind): features.update( {('prev_word', sentence[ind-1]) : 1} ) # Feature: UMLS Word Features (only use prose ones) - if (feature == "UMLS") and enabled_modules.UMLS: + if (feature == "UMLS") and enabled['UMLS']: umls_features = self.feat_umls.IOB_prose_features(word) features.update( umls_features ) @@ -188,7 +192,7 @@ def IOB_nonprose_features(self, sentence, ind): # Feature: UMLS Word Features (only use nonprose ones) - if (feature == "UMLS") and enabled_modules.UMLS: + if (feature == "UMLS") and enabled['UMLS']: umls_features = self.feat_umls.IOB_nonprose_features(word) features.update( umls_features ) @@ -246,7 +250,7 @@ def concept_features(self, word): features[ ("word_shape" + str(j), shape) ] = 1 # Features: UMLS Features - if (feature == "UMLS") and enabled_modules.UMLS: + if (feature == "UMLS") and enabled['UMLS']: umls_features = self.feat_umls.concept_features_for_word(word) features.update(umls_features) From 896389d926593a77458f2fbd004c0655a610f214 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Thu, 31 Jul 2014 12:59:54 -0400 Subject: [PATCH 152/393] adjusted paths in model.py --- clicon/model.py | 14 ++++++++------ 1 file changed, 8 insertions(+), 6 deletions(-) diff --git a/clicon/model.py b/clicon/model.py index 68fbc51..2bb02a4 100644 --- a/clicon/model.py +++ b/clicon/model.py @@ -7,7 +7,7 @@ import sys from sklearn.feature_extraction import DictVectorizer -from features import clicon_features +from features import features class Model: @@ -134,10 +134,12 @@ def first_train(self, data, Y, do_grid=True): @return None """ + print '\textracting features (pass one)' + + # Create object that is a wrapper for the features - feat_obj = clicon_features.FeatureWrapper(data) + feat_obj = features.FeatureWrapper(data) - print '\textracting features (pass one)' # IOB tagging # FIXME - Partition and then batch features @@ -227,7 +229,7 @@ def second_train(self, data, inds_list, Y, do_grid=True): # Create object that is a wrapper for the features - feat_o = clicon_features.FeatureWrapper() + feat_o = features.FeatureWrapper() print '\textracting features (pass two)' @@ -308,7 +310,7 @@ def predict(self, note): def first_predict(self, data): # Create object that is a wrapper for the features - feat_obj = clicon_features.FeatureWrapper(data) + feat_obj = features.FeatureWrapper(data) print '\textracting features (pass one)' @@ -398,7 +400,7 @@ def first_predict(self, data): def second_predict(self, data, inds_list): # Create object that is a wrapper for the features - feat_o = clicon_features.FeatureWrapper() + feat_o = features.FeatureWrapper() print '\textracting features (pass two)' From c10db9e3a689bf921ad05ea3a3171f2cd4510808 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Thu, 31 Jul 2014 12:59:54 -0400 Subject: [PATCH 153/393] adjusted paths in model.py --- clicon/model.py | 14 ++++++++------ 1 file changed, 8 insertions(+), 6 deletions(-) diff --git a/clicon/model.py b/clicon/model.py index 68fbc51..2bb02a4 100644 --- a/clicon/model.py +++ b/clicon/model.py @@ -7,7 +7,7 @@ import sys from sklearn.feature_extraction import DictVectorizer -from features import clicon_features +from features import features class Model: @@ -134,10 +134,12 @@ def first_train(self, data, Y, do_grid=True): @return None """ + print '\textracting features (pass one)' + + # Create object that is a wrapper for the features - feat_obj = clicon_features.FeatureWrapper(data) + feat_obj = features.FeatureWrapper(data) - print '\textracting features (pass one)' # IOB tagging # FIXME - Partition and then batch features @@ -227,7 +229,7 @@ def second_train(self, data, inds_list, Y, do_grid=True): # Create object that is a wrapper for the features - feat_o = clicon_features.FeatureWrapper() + feat_o = features.FeatureWrapper() print '\textracting features (pass two)' @@ -308,7 +310,7 @@ def predict(self, note): def first_predict(self, data): # Create object that is a wrapper for the features - feat_obj = clicon_features.FeatureWrapper(data) + feat_obj = features.FeatureWrapper(data) print '\textracting features (pass one)' @@ -398,7 +400,7 @@ def first_predict(self, data): def second_predict(self, data, inds_list): # Create object that is a wrapper for the features - feat_o = clicon_features.FeatureWrapper() + feat_o = features.FeatureWrapper() print '\textracting features (pass two)' From c5200837461d20a8a3d80de135971925d3b9298a Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Thu, 31 Jul 2014 13:02:24 -0400 Subject: [PATCH 154/393] Rearranged some files in features --- clicon/features/SQLookup.py | 71 ------ clicon/features/clicon_features.py | 273 ---------------------- clicon/features/clicon_genia_interface.py | 104 --------- clicon/features/create_sqliteDB.py | 112 --------- clicon/features/genia_features.py | 106 --------- clicon/features/umls.py | 232 ------------------ clicon/features/umls_cache.py | 23 -- clicon/features/umls_features.py | 233 ------------------ 8 files changed, 1154 deletions(-) delete mode 100644 clicon/features/SQLookup.py delete mode 100644 clicon/features/clicon_features.py delete mode 100644 clicon/features/clicon_genia_interface.py delete mode 100644 clicon/features/create_sqliteDB.py delete mode 100644 clicon/features/genia_features.py delete mode 100644 clicon/features/umls.py delete mode 100644 clicon/features/umls_cache.py delete mode 100644 clicon/features/umls_features.py diff --git a/clicon/features/SQLookup.py b/clicon/features/SQLookup.py deleted file mode 100644 index 1cedac9..0000000 --- a/clicon/features/SQLookup.py +++ /dev/null @@ -1,71 +0,0 @@ -import copy -import sqlite3 -import create_sqliteDB -import os - -WINDOW_SIZE = 7 - -#connect to UMLS database -def SQLConnect(): - - #try to connect to the sqlite database. Make one otherwise - db_path = os.path.join( os.environ['CLICON_DIR'], "umls_tables/umls.db") - if( os.path.isfile( db_path ) ): - print "\ndb exists" - else: - print "\ndb doesn't exist" - create_sqliteDB.create_db() - - db = sqlite3.connect( db_path ) - return db.cursor() - - -#used in SQlookup, I made this global so SQLConnect is only called once. -c = SQLConnect() - -#searchs umls database for the semantic type of a string -def SQlookup( c , string ): - - #queries database and finds first semantic type match, returns a 1 when a match is found. - c.execute( "SELECT sty FROM MRCON a, MRSTY b WHERE a.cui = b.cui AND str = ?; " , (string,) ) - - #returns a tuple with the match or None if there was no match. - #return c.fetchone() - return c.fetchall() - -#returns the semantic type of a word -def string_lookup( string ): - - #return SQlookup( c , string ) - r = SQlookup( c , string ) - - return r - - -# get all semantic types for a given concept -def cui_lookup( string ): - - # queries database and finds semantic type match - c.execute( "SELECT cui FROM MRCON WHERE str = ?;" , (string,) ) - - #returns a tuple with the match or None if there was no match. - return c.fetchall() - - -def hypernyms_lookup( string ): - - c.execute( "SELECT CUI FROM MRCON WHERE STR = ? LIMIT 1 ;" , (string,) ) - - cui = c.fetchone() - - if cui == None: - return None - else: - c.execute( "SELECT CUI2 FROM MRREL WHERE CUI1 = ? AND REL = 'PAR' LIMIT 5 ;" , (cui[0],) ) - result = c.fetchone() - if not result: - return None - else: - return result - - diff --git a/clicon/features/clicon_features.py b/clicon/features/clicon_features.py deleted file mode 100644 index f00cfac..0000000 --- a/clicon/features/clicon_features.py +++ /dev/null @@ -1,273 +0,0 @@ -###################################################################### -# CliCon - clicon_features.py # -# # -# Willie Boag wboag@cs.uml.edu # -# # -# Purpose: Isolate the model's features from model.py # -###################################################################### - - -__author__ = 'Willie Boag' -__date__ = 'Jan. 27, 2014' - - - -import nltk -import re -from wordshape import getWordShapes - -from sentence_features import SentenceFeatures - - - -class FeatureWrapper: - - # FIXME - Make three objects - one for each classifier - - - # Instantiate an FeatureWrapper object - def __init__(self, data=None): - - # Sentence-level features - self.feat_sent = SentenceFeatures(data) - - - - # IOB_features() - # - # input: A sentence - # output: A hash table of features - def IOB_features(self, sentence): - - # Different features depending on whether sentence is 'prose' - isProse = self.prose_sentence(sentence) - - if isProse: - features_list = self.feat_sent.IOB_prose_features(sentence) - else: - features_list = self.feat_sent.IOB_nonprose_features(sentence) - - # Return features as well as indication of whether it is prose or not - return (isProse, features_list) - - - - # concept_features() - # - # input: A sentence/line from a medical text file (list of chunks) - # An list of indices into the sentence for each important chunk - # output: A list of hash tables of features - def concept_features(self, sentence, chunk_inds): - - # FIXME - move all of this work to SentenceFeatures object - - features_list = [ {} for _ in chunk_inds ] - - - ''' - # VERY basic feature set for sanity check tests during development - for i,ind in enumerate(chunk_inds): - features = {('phrase',sentence[ind]) : 1} - features_list[i] = features - return features_list - ''' - - - tags = [] - - for i,ind in enumerate(chunk_inds): - - # Create a list of feature sets (one per chunk) - features = self.feat_sent.concept_features_for_chunk(sentence,ind) - - # Feature: Previous 3 POSs - if 'prev_3_pos' in self.feat_sent.enabled_concept_features: - tags = tags = nltk.pos_tag(sentence) - if ind == 0: - prev_pos = ('*','*','*') - features[('prev_3_pos',prev_pos)] = 1 - elif ind == 1: - prev_pos = ('*','*',tags[0][1]) - features[('prev_3_pos',prev_pos)] = 1 - elif ind == 2: - prev_pos = ('*',tags[0][1],tags[1][1]) - features[('prev_3_pos',prev_pos)] = 1 - else: - prev_pos = (tags[ind-3][1],tags[ind-2][1],tags[ind-1][1]) - features[('prev_3_pos',prev_pos)] = 1 - - - # Feature: Previous Chunks's Features - if "prev" in self.feat_sent.enabled_concept_features: - if ind == 0: - features[("prev", "*")] = 1 - else: - # Get features of previous chunks - prev_features = self.feat_sent.concept_features_for_chunk(sentence,ind-1) - prepend = lambda f: {("prev_"+k[0],k[1]):v for k, v in f.items()} - features.update( prepend(prev_features) ) - - - # Feature: Next Chunk's Features - if "next" in self.feat_sent.enabled_concept_features: - if ind == len(sentence) - 1: - features[("next", "*")] = 1 - else: - # Get features of previous chunks - next_features = self.feat_sent.concept_features_for_chunk(sentence,ind+1) - prepend = lambda f: {("next_"+k[0],k[1]):v for k, v in f.items()} - features.update( prepend(next_features) ) - - features_list[i] = features - - - return features_list - - - - # prose_sentence() - # - # input: A sentence - # output: Boolean yes/no - def prose_sentence(self, sentence): - - # Empty sentence is not prose - if not sentence: - return False - - if sentence[-1] == '.' or sentence[-1] == '?': - return True - elif sentence[-1] == ':': - return False - elif len(sentence) <= 5: - return False - elif self.at_least_half_nonprose(sentence): - return True - else: - return False - - - # at_least_half_nonprose() - # - # input: A sentence - # output: A bollean yes/no - def at_least_half_nonprose(self, sentence): - - count = 0 - - for word in sentence: - if self.prose_word(word): - count += 1 - - if count >= len(sentence): - return True - else: - return False - - - # prose_word() - # - # input: A word - # output: Boolean yes/no - def prose_word(self, word): - - # Punctuation - for punc in ".?,!:\"'": - if re.search(punc, word): - return False - - # Digit - if re.match('\d', word): - return False - - # All uppercase - if word == word.upper(): - return False - - # Else - return True - - - - -# generate_chunks() -# -# input: Three arguments: -# 1) A list of list of word (the data of the file) -# 2) A list of list of IOB tags (one-to-one with list from arg 1) -# 3) A list of list of concepts (one-to-one with list from arg 1) -# -# -# output: A 3-tuple of: -# 1) A list of list of chunks (word token phrases) -# 2) A list of list of concepts (one-to-one with list from ret 1) -# 3) A list of all indices into 1 of all non-'none' concepts -def generate_chunks(data, IOB_tags, labels=None): - - # List of list of tokens (similar to 'text', but concepts are grouped) - text_chunks = [] - - # one-to-one concept classification with text_chunks - if labels: - concept_chunks = [] - else: - concept_chunks = None - - # List of (line,token) pairs for classifications that are nont 'none' - hits = [] - - # Create tokens of full concept boundaries for second classifier - for i, concept_line in enumerate(IOB_tags): - - # One line of 'chunked' - line_of_text_chunks = [] - if labels: line_of_concept_chunks = [] - - # stores the current streak - queue = [] - - # Necessary when multiple concepts are on one line - # The second concept's j index is relative to a word-split array - # The j of the new token should be relative to how chunks there are - chunk_offset = 0 - - # C-style array indexing. Probably could be done a better way. - # Used because I needed the ability of lookahead - for j in range(len(concept_line)): - - # Outside - # concept_line in "012" instead of "IOB" - if concept_line[j] == 'O': - line_of_text_chunks.append(data[i][j]) - if labels: line_of_concept_chunks.append('none') - - # Beginning of a concept boundary - else: - - # Increase size of current streak - queue.append(data[i][j]) - - # lookahead (check if streak will continue) - if (j+1 == len(concept_line))or \ - (concept_line[j+1] != 'I'): # end of classifiation - - # Add full concept token - line_of_text_chunks.append(' '.join(queue)) - if labels: line_of_concept_chunks.append(labels[i][j]) - - # Store indices of detected concept - hits.append( ( i, j + 1-len(queue) - chunk_offset ) ) - - # Reminder: used in the case that a concept follows a - # multi-word concept on the same line - chunk_offset += len(queue) - 1 - - # Reset streak - queue = [] - - text_chunks.append(line_of_text_chunks) - if labels: concept_chunks.append(line_of_concept_chunks) - - - return (text_chunks, concept_chunks, hits) - diff --git a/clicon/features/clicon_genia_interface.py b/clicon/features/clicon_genia_interface.py deleted file mode 100644 index b97411d..0000000 --- a/clicon/features/clicon_genia_interface.py +++ /dev/null @@ -1,104 +0,0 @@ -###################################################################### -# CliCon - clicon_genia_interface.py # -# # -# Willie Boag wboag@cs.uml.edu # -# # -# Purpose: Provide a way for Python to utilize the output of the # -# GENIA Tagger # -# # -# Genia Tagger: http://www.nactem.ac.uk/tsujii/GENIA/tagger/ # -###################################################################### - - - -__author__ = 'Willie Boag' -__date__ = 'Jan. 27, 2014' - -import os -import sys - - -def main(): - - f = open('/home/wboag/ConceptExtraction-master/data/concept_assertion_relation_training_data/beth/txt/record-20.txt', 'r') - - txt = f.readlines() - - data = [] - for line in txt: - data.append(line.split()) - - for (line,linedict) in zip(txt,genia(data)): - print line.split(), '\n' - for d in linedict: - print d - print '---\n\n' - - - -# -# genia() -# -# Call the genia tagger and return its output in python format -# -def genia( data ): - - ''' - @param data. A list of list of strings (lines of words from a file) - @return A list of dcitionaries of the genia tagger's output. - ''' - - # FIXME - crashes when the is an empty line in the file - #if not data: return [] - - - # FIXME - write list to file and then feed it to GENIA - # FIXME - hard coded directory!! - with open('/home/wboag/geniatagger-3.0.1/DELETE-THIS.txt', 'w') as f: - for line in data: f.write(' '.join(line) + '\n') - - - # FIXME - hard coded directory!! - genia_dir = '/home/wboag/geniatagger-3.0.1' - stream = os.popen('cd %s ; ./geniatagger -nt DELETE-THIS.txt' % genia_dir) - - # Process each line of output - retlist = [] - i = 0 - j = 0 - fline = [] - old = [] - for line in stream.readlines(): - - line = line.split() - - # Empty line - if line == []: continue - - # One dictionary per word in the file - output = {'GENIA-word' :line[0], - 'GENIA-stem' :line[1], - 'GENIA-POS' :line[2], - 'GENIA-chunktag':line[3], - 'GENIA-NEtag' :line[4]} - - - # Add token to list - fline.append(output) - j += 1 - if j == len(data[i]): - #print data[i] - #print fline - #print '---' - i += 1 - j = 0 - retlist.append(fline) - fline = [] - - return retlist - - - - -if __name__ == '__main__': - main() diff --git a/clicon/features/create_sqliteDB.py b/clicon/features/create_sqliteDB.py deleted file mode 100644 index 014b91c..0000000 --- a/clicon/features/create_sqliteDB.py +++ /dev/null @@ -1,112 +0,0 @@ -#database.py creates a .db file for performing umls searches. -import sqlite3 -import os -import sys -import os - -def create_db(): - - print "\ncreating umls.db" - #connect to the .db file we are creating. - db_path = os.path.join(os.environ['CLICON_DIR'],'umls_tables/umls.db') - conn = sqlite3.connect( db_path ) - conn.text_factory = str - - print "opening files" - #load data in files. - try: - mrsty_path = os.path.join(os.environ['CLICON_DIR'],'umls_tables/MRSTY') - MRSTY_TABLE = open( mrsty_path, "r" ) - except IOError: - print "\nNo file to use for creating MRSTY table\n" - conn.close() - sys.exit() - - try: - mrcon_path = os.path.join(os.environ['CLICON_DIR'],'umls_tables/MRCON') - MRCON_TABLE = open( mrcon_path , "r" ) - except IOError: - print "\nNo file to use for creating MRCON table\n" - conn.close() - sys.exit() - - try: - mrrel_path = os.path.join(os.environ['CLICON_DIR'],'umls_tables/MRREL') - MRREL_TABLE = open( mrrel_path , "r" ) - except IOError: - print "\nNo file to use for creating MRREL table\n" - conn.close() - sys.exit() - - print "reading files" - - MRSTY_TABLE = MRSTY_TABLE.read() - MRSTY_TABLE = MRSTY_TABLE.split('\n') - - MRCON_TABLE = MRCON_TABLE.read() - MRCON_TABLE = MRCON_TABLE.split( '\n' ) - - MRREL_TABLE = MRREL_TABLE.read() - MRREL_TABLE = MRREL_TABLE.split( '\n' ) - - #data that will be inserted into tables. - MRTSY_DATA = [] - MRCON_DATA = [] - MRREL_DATA = [] - - c = conn.cursor() - - print "parsing files" - - #parse and store the data from the files. - for line in MRSTY_TABLE: - MRTSY_DATA.append( tuple(line.split('|')) ) - for line in MRCON_TABLE: - MRCON_DATA.append( tuple(line.split('|')) ) - for line in MRREL_TABLE: - MRREL_DATA.append( tuple(line.split('|')) ) - - print "creating tables" - - #create tables. - c.execute( "CREATE TABLE MRCON( CUI, LAT, TS, LUI, STT, SUI, STR, LRL, EMPTY ) ;" ) - c.execute( "CREATE TABLE MRSTY( CUI, TUI, STY, EMPTY ) ;" ) - c.execute( "CREATE TABLE MRREL( CUI1, REL, CUI2, RELA, SAB, SL, MG, EMPTY ) ;" ) - - print "inserting data" - - #insert data onto database - for line in MRCON_DATA: - try: - c.execute( "INSERT INTO MRCON( CUI, LAT, TS, LUI, STT, SUI, STR, LRL, EMPTY ) values ( ?, ?, ? ,?, ?,?,?,?,?);", line ) - except sqlite3.ProgrammingError: - continue - for line in MRTSY_DATA: - try: - c.execute( "INSERT INTO MRSTY( CUI, TUI, STY, EMPTY) values( ?, ?, ?, ?)" , line ) - except sqlite3.ProgrammingError: - continue - for line in MRREL_DATA: - try: - c.execute( "INSERT INTO MRREL( CUI1, REL, CUI2, RELA, SAB, SL, MG, EMPTY ) values( ?, ?, ?, ?,?, ? ,? ,? )" , line ) - except sqlite3.ProgrammingError: - continue - - print "creating indices" - - #create indices for faster queries - c.execute( "CREATE INDEX mrsty_cui_map ON MRSTY(CUI)") - c.execute( "CREATE INDEX mrcon_str_map ON MRCON(STR)") - c.execute( "CREATE INDEX mrcon_cui_map ON MRCON(CUI)") - c.execute( "CREATE INDEX mrrel_cui2_map ON MRREL( CUI2 )" ) - c.execute( "CREATE INDEX mrrel_cui1_map on MRREL( CUI1 ) " ) - c.execute( "CREATE INDEX mrrel_rel_map on MRREL( REL )" ) - - #save changes to .db - conn.commit() - - print "\nsqlite database created" - - #close connection - conn.close() - diff --git a/clicon/features/genia_features.py b/clicon/features/genia_features.py deleted file mode 100644 index 3611c9d..0000000 --- a/clicon/features/genia_features.py +++ /dev/null @@ -1,106 +0,0 @@ -###################################################################### -# CliCon - genia_features.py # -# # -# Willie Boag wboag@cs.uml.edu # -# # -# Purpose: Independent GENIA module # -###################################################################### - - - -import clicon_genia_interface - - - -class GeniaFeatures: - - - def __init__(self, data): - - """ - Constructor. - - @param data. A list of lists of words (basically a list of sentences) - """ - - # Process all words with GENIA tagger - self.GENIA_features = clicon_genia_interface.genia(data) - - # For iterating through tagged data - self.GENIA_counter = 0 - - - def next_GENIA_line(self): - - """ - next_GENIA_line() - - Purpose: All data was tagged upfront. This allows iteration through data - """ - - # End of list - reset counter & return None - if self.GENIA_counter == len(self.GENIA_features): - self.GENIA_counter = 0 - return None - - # Advance to next line - self.GENIA_counter += 1 - - return self.GENIA_features[self.GENIA_counter-1] - - - - def features(self, sentence, is_prose=True): - - """ - features(). - - @param sentence. A list of words to bind features to - @param is_prose. Mechanism for skipping nonprose (for alignment) - @return list of dictionaries (of features) - - Note: All data is tagged upon instantiation of GeniaFeatures object. - This function MUST take each line of the file (in order) as input - """ - - # Return value is a list of dictionaries (of features) - features_list = [ {} for _ in sentence ] - - # Get the GENIA features of the current sentence - genia_feats = self.next_GENIA_line() - if not genia_feats: genia_feats = self.next_GENIA_line() - - - # FIXME - # Mechanism to allow for skipping nonprose - # Potential alternative: Let GeniaFeatures boject decide on all nonprose - if not is_prose: return {} - - - for i in range(len(sentence)): - - # Feature: Current word's GENIA features - keys = ['GENIA-stem','GENIA-POS','GENIA-chunktag'] - curr = genia_feats[i] - output = dict( (('curr-'+k, curr[k]), 1) for k in keys if k in curr) - - # Feature: Previous word's GENIA features - if i == 0: - output = dict( (('prev-'+k, ''), 1) for k in keys if k in curr) - else: - prev = genia_feats[i] - output = dict( (('prev-'+k, prev[k]), 1) for k in keys if k in prev) - - # Feature: Next word's GENIA stem - # Note: This is done by updating the previous token's dict - if i == 0: - continue - if i != (len(sentence) - 1): - features_list[i-1].update( {('next-GENIA-stem',curr['GENIA-stem']) : 1} ) - else: - features_list[i].update( { ('next-GENIA-stem','') : 1} ) - - features_list[i].update(output) - - - return features_list diff --git a/clicon/features/umls.py b/clicon/features/umls.py deleted file mode 100644 index 3dec068..0000000 --- a/clicon/features/umls.py +++ /dev/null @@ -1,232 +0,0 @@ -import cPickle as pickle -import SQLookup - -def umls_semantic_type_word( umls_string_cache , sentence ): - - #If the umls semantic type is in the cache use that semantic type otherwise lookup the semantic type and add to the cache. - if umls_string_cache.has_key( sentence ): - mapping = umls_string_cache.get_map( sentence ) - else: - concept = SQLookup.string_lookup( sentence ) - #print sentence, ' - NOT FOUND' - #print '\t', concept - if concept != None: - #umls_string_cache.add_map( sentence , concept[0] ) - umls_string_cache.add_map( sentence , concept ) - else: - umls_string_cache.add_map( sentence , None ) - mapping = umls_string_cache.get_map(sentence) - - #print 'umls_semantic_type_word - returning:' - #print mapping - #print '' - - return mapping - - -def umls_semantic_context_of_words( umls_string_cache, sentence ): - - #Defines the largest string span for the sentence. - WINDOW_SIZE = 7 - - #Holds the span of the umls concept of the largest substring that each word in sentence is found in. - umls_context_list = [] - - #Holds the span of the concept for each substring. - #A tuple containing tne beginning and end index of a substring functions as the key and the key is assigned to a umls definition. - concept_span_dict = {} - - #Initialize the umls_context_list with empty lists. Each sublist functions as the mappings for each word. - for i in sentence: - umls_context_list.append( [] ) - - #Creates and finds the span of a umls concept for each possible substring of length 1 to currentWindowSize. - for currentWindowSize in range( 1 , WINDOW_SIZE ): - for ti in range( 0 , ( len(sentence) - currentWindowSize ) + 1 ): - rawstring = "" - for tj in range( ti , ti + currentWindowSize): - rawstring += ( sentence[tj] + " " ) - - #Each string is of length 1 to currentWindowSize. - rawstring = rawstring[0:-1] - - #If the string is not in cache, look the umls concept up and add to the cache. - if not( umls_string_cache.has_key( rawstring ) ): - #SQLookup returns a tuple if there is a result or None is there is not. - concept = SQLookup.string_lookup( rawstring ) - -# print concept - - if not concept: - umls_string_cache.add_map( rawstring, None ) - else: - umls_string_cache.add_map( rawstring, concept ) ; - -# if concept != None: - # umls_string_cache.add_map( rawstring , concept[0] ) - # else: - # umls_string_cache.add_map( rawstring , None ) - - #Store the concept into concept_span_dict with its span as a key. - concept_span_dict[(ti,ti+currentWindowSize-1)] = umls_string_cache.get_map( rawstring ) - - #For each substring of the sentence if there is a definition obtained from - #SQLookup assign the concept to every word that is within in the substring. - #If the currrent span is a substring update otherwise if it is not a substring add the new found context. - if umls_string_cache.get_map(rawstring): - - for i in range( ti , ti + currentWindowSize ): - - if len( umls_context_list[i] ) == 0: - umls_context_list[i].append( [ ti , ti + currentWindowSize - 1 ] ) - - else: - updated = 0 - for j in umls_context_list[i]: - if j[0] >= ti and j[1] <= ( ti + currentWindowSize - 1 ): - j[0] = ti - j[1] = ( ti + currentWindowSize - 1 ) - updated += 1 - if not(updated): - if umls_context_list[i].count( [ti,ti+currentWindowSize -1] ) == 0 : - umls_context_list[i].append( [ ti , ti +currentWindowSize - 1 ] ) - - - #print '\t\t', umls_context_list - - #create a list of sublists - # each sublist represents the contexts for which the word appears in the sentence - - # print umls_context_list - - mappings = [] - for i in umls_context_list: - spans = i - if len(spans) == 0: - mappings.append( None ) - else: - sub_mappings = [] - for j in spans: - sub_mappings.append( concept_span_dict[tuple(j)]) - - # FIXME - Decided to concat rather than append (not sure why) - mappings += sub_mappings - - return mappings - - -def umls_semantic_type_sentence( cache , sentence ): - - #print sentence - - #Defines the largest string span for the sentence. - - WINDOW_SIZE = 7 - - #holds the mappings for every substring of size 1 to WINDOW_SIZE - mappings = {} - - #Creates and finds the span of a umls concept for each possible substring of length 1 to currentWindowSize. - for currentWindowSize in range( 1 , WINDOW_SIZE ): - for ti in range( 0 , ( len(sentence) - currentWindowSize ) + 1 ): - - rawstring = "" - - for tj in range( ti , ti + currentWindowSize): - rawstring += ( sentence[tj] + " " ) - - #Each string is of length 1 to currentWindowSize. - rawstring = rawstring[0:-1] - - #If the umls semantic type is already in the cache then us the one stored otherwise lookup and add to cache - if cache.has_key( rawstring ): - mappings[rawstring] = cache.get_map( rawstring ) - - else: - - concept = string_lookup( rawstring ) - - #cache.add_map( rawstring , concept ) - - if concept: - cache.add_map( rawstring , concept ) - else: - cache.add_map( rawstring , [] ) - - mappings[rawstring] = cache.get_map( rawstring ) -# print "rawstring: ", rawstring - # print "mappings: " ,mappings[rawstring] - size_s = 0 - - phrase = [] - - - #print "mappings: " , mappings - #get longest sub string with a mapping - - for mapping in mappings.iteritems(): - #print mapping - if( mapping[1] ): - # print mapping - if( len( mapping[0] ) > size_s ): - - phrase = [] - phrase.append( mapping[1] ) - size_s = len( mapping[0] ) - continue - if( len(mapping[0]) == size_s ): - phrase.append( mapping[1] ) - -# print "phrase: " , phrase -# print phrase - return phrase - - - -# Get the semantic types for a given word -def get_cui( cache , word ): - - # If hypernyms already in cache - if cache.has_key( word + '--cuis' ): - - cuis = cache.get_map( word + '--cuis' ) - - else: - - # Get cui - cuis = SQLookup.cui_lookup(word) - - # Eliminate duplicates - cuis = list(set(cuis)) - cuis = [c[0] for c in cuis] - - # Store result in cache - cache.add_map( word + '--cuis', cuis ) - - return cuis - - - -# Get the hypernyms of a string -def umls_hypernyms( cache, string ): - - # If hypernyms already in cache - if cache.has_key( string + '--hypernyms' ): - - hyps = cache.get_map( string + '--hypernyms' ) - - else: - - # Get hypernyms - hyps = SQLookup.hypernyms_lookup(string) - - # Eliminate duplicates - #hyps = list(set(hyps)) - #hyps = [cui[0] for cui in hyps] - #hyps = hyps[0] - - # Store result in cache - cache.add_map( string + '--hypernyms' , hyps ) - - return hyps - diff --git a/clicon/features/umls_cache.py b/clicon/features/umls_cache.py deleted file mode 100644 index e84e253..0000000 --- a/clicon/features/umls_cache.py +++ /dev/null @@ -1,23 +0,0 @@ -import cPickle as pickle -import os - -class UmlsCache: - def __init__(self): - try: - prefix = os.environ['CLICON_DIR'] - self.filename = os.path.join( prefix, 'umls_tables/umls_cache' ) - self.cache = pickle.load( open( self.filename , "rb" ) ) ; - except IOError: - self.cache = {} - - def has_key( self , string ): - return self.cache.has_key( string ) - - def add_map( self , string, mapping ): - self.cache[string] = mapping - - def get_map( self , string ): - return self.cache[string] - - def __del__(self): - pickle.dump( self.cache, open( self.filename, "wb" ) ) diff --git a/clicon/features/umls_features.py b/clicon/features/umls_features.py deleted file mode 100644 index 543e599..0000000 --- a/clicon/features/umls_features.py +++ /dev/null @@ -1,233 +0,0 @@ -###################################################################### -# CliCon - umls_features.py # -# # -# Willie Boag wboag@cs.uml.edu # -# # -# Purpose: Independent UMLS module # -###################################################################### - - - -from sets import ImmutableSet -from umls_cache import UmlsCache -import umls - - - -class UMLSFeatures: - - - enabled_prose_features = ImmutableSet( [ 'umls_cui', 'umls_hypernyms' ] ) - - enabled_prose_features = ImmutableSet( [ 'umls_cui', 'umls_hypernyms', 'umls_semantic_type_word' ] ) - - - enabled_concept_features_for_word = ImmutableSet( [ 'umls_semantic_type_word', 'umls_cui' ] ) - enabled_concept_features_for_sentence = ImmutableSet( [ 'umls_semantic_type_sentence', 'umls_semantic_context' ] ) - - - - def __init__(self): - - """ - UMLSFeatures::Constructor - """ - - # cache for the mappings of all umls lookups made - self.umls_lookup_cache = UmlsCache() - - - - - def IOB_prose_features(self, word): - - """ - UMLSFeatures::IOB_prose_features() - - @ param word. word to lookup in UMLS database - @return dictionary of features - """ - - # Return value is a list of dictionaries (of features) - features = {} - - - for feature in self.enabled_prose_features: - - - # Feature: UMLS Semantic Types - if feature == "umls_cui": - - # Get UMLS CUIs (could have multiple) - cuis = umls.get_cui(self.umls_lookup_cache , word) - - # Add each CUI - if cuis: - for cui in cuis: - features[(feature,cui)] = 1 - - - # Feature: UMLS Hypernyms - if feature == "umls_hypernyms": - - # Get UMLS hypernyms - hyps = umls.umls_hypernyms(self.umls_lookup_cache,word) - - # Add all hypernyms - if hyps: - #for hyp in hyps: - features[(feature,hyps[0])] = 1 - - - return features - - - - def IOB_nonprose_features(self, word): - - """ - UMLSFeatures::IOB_nonprose_features() - - @ param word. word to lookup in UMLS database - @return dictionary of features - """ - - # Return value is a list of dictionaries (of features) - features = {} - - - for feature in self.enabled_nonprose_features: - - - # Feature: UMLS Semantic Types - if feature == "umls_cui": - - # Get UMLS CUIs (could have multiple) - cuis = umls.get_cui(self.umls_lookup_cache , word) - - # Add each CUI - if cuis: - for cui in cuis: - features[(feature,cui)] = 1 - - - # Feature: UMLS Hypernyms - if feature == "umls_hypernyms": - - # Get UMLS hypernyms - hyps = umls.umls_hypernyms(self.umls_lookup_cache,word) - - # Add all hypernyms - if hyps: - #for hyp in hyps: - features[(feature,hyps[0])] = 1 - - - # Feature: UMLS Semantic Type (for each word) - if feature == "umls_semantic_type_word": - - # Get UMLS semantic type (could have multiple) - mapping = umls.umls_semantic_type_word(self.umls_lookup_cache , word ) - # If is at least one semantic type - if mapping: - for concept in mapping: - features[('umls_semantic_type_word', concept )] = 1 - - - return features - - - - - def concept_features_for_word(self, word): - - """ - UMLSFeatures::concept_features_for_word() - - @ param word. word to lookup in UMLS database - @return dictionary of word-level features - """ - - - # Return value is a list of dictionaries (of features) - features = {} - - - for feature in self.enabled_concept_features_for_word: - - # Feature: UMLS Semantic Types - if feature == "umls_cui": - - # Get UMLS CUIs (could have multiple) - cuis = umls.get_cui(self.umls_lookup_cache , word) - - # Add each CUI - if cuis: - for cui in cuis: - features[(feature,cui)] = 1 - - - # Feature: UMLS Semantic Type (for each word) - if feature == "umls_semantic_type_word": - - # Get UMLS semantic type (could have multiple) - mapping = umls.umls_semantic_type_word(self.umls_lookup_cache , word ) - # If is at least one semantic type - if mapping: - for concept in mapping: - features[('umls_semantic_type_word', concept )] = 1 - - - return features - - - - def concept_features_for_sentence(self, sentence): - - """ - UMLSFeatures::concept_features_for_sentence() - - @ param sentence. list of words from line (after flattening chunks) - @return dictionary of chunk-level features - """ - - - # Return value is a list of dictionaries (of features) - features = {} - - - for feature in self.enabled_concept_features_for_sentence: - - - # Feature: UMLS semantic type for the sentence - if feature == "umls_semantic_type_sentence": - - # a list of the uml semantic of the largest substring(s). - sentence_mapping = umls.umls_semantic_type_sentence( self.umls_lookup_cache, sentence ) - - # if there are no mappings - if not sentence_mapping: - features[('umls_semantic_type_sentence', None ) ] = 1 - # assign the umls definitions to the vector for each word - else: - - for concept in sentence_mapping: - if concept: - for mapping in concept: - features[('umls_semantic_type_sentence' , mapping[0] ) ] = 1 - - - # Feature: UMLS semantic context - if feature == "umls_semantic_context": - - # the umls definition of the largest string the word is in - umls_semantic_context_mappings = umls.umls_semantic_context_of_words( self.umls_lookup_cache , sentence ) - - # there could be multiple contexts, iterate through the sublist - for mapping in umls_semantic_context_mappings: - if not mapping: continue - for concept in mapping: - features[(feature,concept)] = 1 - - - return features From 667d2e3e937f0de0d32cdce045deb8d23b576959 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Thu, 31 Jul 2014 13:02:24 -0400 Subject: [PATCH 155/393] Rearranged some files in features --- clicon/features/SQLookup.py | 71 ------ clicon/features/clicon_features.py | 273 ---------------------- clicon/features/clicon_genia_interface.py | 104 --------- clicon/features/create_sqliteDB.py | 112 --------- clicon/features/genia_features.py | 106 --------- clicon/features/umls.py | 232 ------------------ clicon/features/umls_cache.py | 23 -- clicon/features/umls_features.py | 233 ------------------ 8 files changed, 1154 deletions(-) delete mode 100644 clicon/features/SQLookup.py delete mode 100644 clicon/features/clicon_features.py delete mode 100644 clicon/features/clicon_genia_interface.py delete mode 100644 clicon/features/create_sqliteDB.py delete mode 100644 clicon/features/genia_features.py delete mode 100644 clicon/features/umls.py delete mode 100644 clicon/features/umls_cache.py delete mode 100644 clicon/features/umls_features.py diff --git a/clicon/features/SQLookup.py b/clicon/features/SQLookup.py deleted file mode 100644 index 1cedac9..0000000 --- a/clicon/features/SQLookup.py +++ /dev/null @@ -1,71 +0,0 @@ -import copy -import sqlite3 -import create_sqliteDB -import os - -WINDOW_SIZE = 7 - -#connect to UMLS database -def SQLConnect(): - - #try to connect to the sqlite database. Make one otherwise - db_path = os.path.join( os.environ['CLICON_DIR'], "umls_tables/umls.db") - if( os.path.isfile( db_path ) ): - print "\ndb exists" - else: - print "\ndb doesn't exist" - create_sqliteDB.create_db() - - db = sqlite3.connect( db_path ) - return db.cursor() - - -#used in SQlookup, I made this global so SQLConnect is only called once. -c = SQLConnect() - -#searchs umls database for the semantic type of a string -def SQlookup( c , string ): - - #queries database and finds first semantic type match, returns a 1 when a match is found. - c.execute( "SELECT sty FROM MRCON a, MRSTY b WHERE a.cui = b.cui AND str = ?; " , (string,) ) - - #returns a tuple with the match or None if there was no match. - #return c.fetchone() - return c.fetchall() - -#returns the semantic type of a word -def string_lookup( string ): - - #return SQlookup( c , string ) - r = SQlookup( c , string ) - - return r - - -# get all semantic types for a given concept -def cui_lookup( string ): - - # queries database and finds semantic type match - c.execute( "SELECT cui FROM MRCON WHERE str = ?;" , (string,) ) - - #returns a tuple with the match or None if there was no match. - return c.fetchall() - - -def hypernyms_lookup( string ): - - c.execute( "SELECT CUI FROM MRCON WHERE STR = ? LIMIT 1 ;" , (string,) ) - - cui = c.fetchone() - - if cui == None: - return None - else: - c.execute( "SELECT CUI2 FROM MRREL WHERE CUI1 = ? AND REL = 'PAR' LIMIT 5 ;" , (cui[0],) ) - result = c.fetchone() - if not result: - return None - else: - return result - - diff --git a/clicon/features/clicon_features.py b/clicon/features/clicon_features.py deleted file mode 100644 index f00cfac..0000000 --- a/clicon/features/clicon_features.py +++ /dev/null @@ -1,273 +0,0 @@ -###################################################################### -# CliCon - clicon_features.py # -# # -# Willie Boag wboag@cs.uml.edu # -# # -# Purpose: Isolate the model's features from model.py # -###################################################################### - - -__author__ = 'Willie Boag' -__date__ = 'Jan. 27, 2014' - - - -import nltk -import re -from wordshape import getWordShapes - -from sentence_features import SentenceFeatures - - - -class FeatureWrapper: - - # FIXME - Make three objects - one for each classifier - - - # Instantiate an FeatureWrapper object - def __init__(self, data=None): - - # Sentence-level features - self.feat_sent = SentenceFeatures(data) - - - - # IOB_features() - # - # input: A sentence - # output: A hash table of features - def IOB_features(self, sentence): - - # Different features depending on whether sentence is 'prose' - isProse = self.prose_sentence(sentence) - - if isProse: - features_list = self.feat_sent.IOB_prose_features(sentence) - else: - features_list = self.feat_sent.IOB_nonprose_features(sentence) - - # Return features as well as indication of whether it is prose or not - return (isProse, features_list) - - - - # concept_features() - # - # input: A sentence/line from a medical text file (list of chunks) - # An list of indices into the sentence for each important chunk - # output: A list of hash tables of features - def concept_features(self, sentence, chunk_inds): - - # FIXME - move all of this work to SentenceFeatures object - - features_list = [ {} for _ in chunk_inds ] - - - ''' - # VERY basic feature set for sanity check tests during development - for i,ind in enumerate(chunk_inds): - features = {('phrase',sentence[ind]) : 1} - features_list[i] = features - return features_list - ''' - - - tags = [] - - for i,ind in enumerate(chunk_inds): - - # Create a list of feature sets (one per chunk) - features = self.feat_sent.concept_features_for_chunk(sentence,ind) - - # Feature: Previous 3 POSs - if 'prev_3_pos' in self.feat_sent.enabled_concept_features: - tags = tags = nltk.pos_tag(sentence) - if ind == 0: - prev_pos = ('*','*','*') - features[('prev_3_pos',prev_pos)] = 1 - elif ind == 1: - prev_pos = ('*','*',tags[0][1]) - features[('prev_3_pos',prev_pos)] = 1 - elif ind == 2: - prev_pos = ('*',tags[0][1],tags[1][1]) - features[('prev_3_pos',prev_pos)] = 1 - else: - prev_pos = (tags[ind-3][1],tags[ind-2][1],tags[ind-1][1]) - features[('prev_3_pos',prev_pos)] = 1 - - - # Feature: Previous Chunks's Features - if "prev" in self.feat_sent.enabled_concept_features: - if ind == 0: - features[("prev", "*")] = 1 - else: - # Get features of previous chunks - prev_features = self.feat_sent.concept_features_for_chunk(sentence,ind-1) - prepend = lambda f: {("prev_"+k[0],k[1]):v for k, v in f.items()} - features.update( prepend(prev_features) ) - - - # Feature: Next Chunk's Features - if "next" in self.feat_sent.enabled_concept_features: - if ind == len(sentence) - 1: - features[("next", "*")] = 1 - else: - # Get features of previous chunks - next_features = self.feat_sent.concept_features_for_chunk(sentence,ind+1) - prepend = lambda f: {("next_"+k[0],k[1]):v for k, v in f.items()} - features.update( prepend(next_features) ) - - features_list[i] = features - - - return features_list - - - - # prose_sentence() - # - # input: A sentence - # output: Boolean yes/no - def prose_sentence(self, sentence): - - # Empty sentence is not prose - if not sentence: - return False - - if sentence[-1] == '.' or sentence[-1] == '?': - return True - elif sentence[-1] == ':': - return False - elif len(sentence) <= 5: - return False - elif self.at_least_half_nonprose(sentence): - return True - else: - return False - - - # at_least_half_nonprose() - # - # input: A sentence - # output: A bollean yes/no - def at_least_half_nonprose(self, sentence): - - count = 0 - - for word in sentence: - if self.prose_word(word): - count += 1 - - if count >= len(sentence): - return True - else: - return False - - - # prose_word() - # - # input: A word - # output: Boolean yes/no - def prose_word(self, word): - - # Punctuation - for punc in ".?,!:\"'": - if re.search(punc, word): - return False - - # Digit - if re.match('\d', word): - return False - - # All uppercase - if word == word.upper(): - return False - - # Else - return True - - - - -# generate_chunks() -# -# input: Three arguments: -# 1) A list of list of word (the data of the file) -# 2) A list of list of IOB tags (one-to-one with list from arg 1) -# 3) A list of list of concepts (one-to-one with list from arg 1) -# -# -# output: A 3-tuple of: -# 1) A list of list of chunks (word token phrases) -# 2) A list of list of concepts (one-to-one with list from ret 1) -# 3) A list of all indices into 1 of all non-'none' concepts -def generate_chunks(data, IOB_tags, labels=None): - - # List of list of tokens (similar to 'text', but concepts are grouped) - text_chunks = [] - - # one-to-one concept classification with text_chunks - if labels: - concept_chunks = [] - else: - concept_chunks = None - - # List of (line,token) pairs for classifications that are nont 'none' - hits = [] - - # Create tokens of full concept boundaries for second classifier - for i, concept_line in enumerate(IOB_tags): - - # One line of 'chunked' - line_of_text_chunks = [] - if labels: line_of_concept_chunks = [] - - # stores the current streak - queue = [] - - # Necessary when multiple concepts are on one line - # The second concept's j index is relative to a word-split array - # The j of the new token should be relative to how chunks there are - chunk_offset = 0 - - # C-style array indexing. Probably could be done a better way. - # Used because I needed the ability of lookahead - for j in range(len(concept_line)): - - # Outside - # concept_line in "012" instead of "IOB" - if concept_line[j] == 'O': - line_of_text_chunks.append(data[i][j]) - if labels: line_of_concept_chunks.append('none') - - # Beginning of a concept boundary - else: - - # Increase size of current streak - queue.append(data[i][j]) - - # lookahead (check if streak will continue) - if (j+1 == len(concept_line))or \ - (concept_line[j+1] != 'I'): # end of classifiation - - # Add full concept token - line_of_text_chunks.append(' '.join(queue)) - if labels: line_of_concept_chunks.append(labels[i][j]) - - # Store indices of detected concept - hits.append( ( i, j + 1-len(queue) - chunk_offset ) ) - - # Reminder: used in the case that a concept follows a - # multi-word concept on the same line - chunk_offset += len(queue) - 1 - - # Reset streak - queue = [] - - text_chunks.append(line_of_text_chunks) - if labels: concept_chunks.append(line_of_concept_chunks) - - - return (text_chunks, concept_chunks, hits) - diff --git a/clicon/features/clicon_genia_interface.py b/clicon/features/clicon_genia_interface.py deleted file mode 100644 index b97411d..0000000 --- a/clicon/features/clicon_genia_interface.py +++ /dev/null @@ -1,104 +0,0 @@ -###################################################################### -# CliCon - clicon_genia_interface.py # -# # -# Willie Boag wboag@cs.uml.edu # -# # -# Purpose: Provide a way for Python to utilize the output of the # -# GENIA Tagger # -# # -# Genia Tagger: http://www.nactem.ac.uk/tsujii/GENIA/tagger/ # -###################################################################### - - - -__author__ = 'Willie Boag' -__date__ = 'Jan. 27, 2014' - -import os -import sys - - -def main(): - - f = open('/home/wboag/ConceptExtraction-master/data/concept_assertion_relation_training_data/beth/txt/record-20.txt', 'r') - - txt = f.readlines() - - data = [] - for line in txt: - data.append(line.split()) - - for (line,linedict) in zip(txt,genia(data)): - print line.split(), '\n' - for d in linedict: - print d - print '---\n\n' - - - -# -# genia() -# -# Call the genia tagger and return its output in python format -# -def genia( data ): - - ''' - @param data. A list of list of strings (lines of words from a file) - @return A list of dcitionaries of the genia tagger's output. - ''' - - # FIXME - crashes when the is an empty line in the file - #if not data: return [] - - - # FIXME - write list to file and then feed it to GENIA - # FIXME - hard coded directory!! - with open('/home/wboag/geniatagger-3.0.1/DELETE-THIS.txt', 'w') as f: - for line in data: f.write(' '.join(line) + '\n') - - - # FIXME - hard coded directory!! - genia_dir = '/home/wboag/geniatagger-3.0.1' - stream = os.popen('cd %s ; ./geniatagger -nt DELETE-THIS.txt' % genia_dir) - - # Process each line of output - retlist = [] - i = 0 - j = 0 - fline = [] - old = [] - for line in stream.readlines(): - - line = line.split() - - # Empty line - if line == []: continue - - # One dictionary per word in the file - output = {'GENIA-word' :line[0], - 'GENIA-stem' :line[1], - 'GENIA-POS' :line[2], - 'GENIA-chunktag':line[3], - 'GENIA-NEtag' :line[4]} - - - # Add token to list - fline.append(output) - j += 1 - if j == len(data[i]): - #print data[i] - #print fline - #print '---' - i += 1 - j = 0 - retlist.append(fline) - fline = [] - - return retlist - - - - -if __name__ == '__main__': - main() diff --git a/clicon/features/create_sqliteDB.py b/clicon/features/create_sqliteDB.py deleted file mode 100644 index 014b91c..0000000 --- a/clicon/features/create_sqliteDB.py +++ /dev/null @@ -1,112 +0,0 @@ -#database.py creates a .db file for performing umls searches. -import sqlite3 -import os -import sys -import os - -def create_db(): - - print "\ncreating umls.db" - #connect to the .db file we are creating. - db_path = os.path.join(os.environ['CLICON_DIR'],'umls_tables/umls.db') - conn = sqlite3.connect( db_path ) - conn.text_factory = str - - print "opening files" - #load data in files. - try: - mrsty_path = os.path.join(os.environ['CLICON_DIR'],'umls_tables/MRSTY') - MRSTY_TABLE = open( mrsty_path, "r" ) - except IOError: - print "\nNo file to use for creating MRSTY table\n" - conn.close() - sys.exit() - - try: - mrcon_path = os.path.join(os.environ['CLICON_DIR'],'umls_tables/MRCON') - MRCON_TABLE = open( mrcon_path , "r" ) - except IOError: - print "\nNo file to use for creating MRCON table\n" - conn.close() - sys.exit() - - try: - mrrel_path = os.path.join(os.environ['CLICON_DIR'],'umls_tables/MRREL') - MRREL_TABLE = open( mrrel_path , "r" ) - except IOError: - print "\nNo file to use for creating MRREL table\n" - conn.close() - sys.exit() - - print "reading files" - - MRSTY_TABLE = MRSTY_TABLE.read() - MRSTY_TABLE = MRSTY_TABLE.split('\n') - - MRCON_TABLE = MRCON_TABLE.read() - MRCON_TABLE = MRCON_TABLE.split( '\n' ) - - MRREL_TABLE = MRREL_TABLE.read() - MRREL_TABLE = MRREL_TABLE.split( '\n' ) - - #data that will be inserted into tables. - MRTSY_DATA = [] - MRCON_DATA = [] - MRREL_DATA = [] - - c = conn.cursor() - - print "parsing files" - - #parse and store the data from the files. - for line in MRSTY_TABLE: - MRTSY_DATA.append( tuple(line.split('|')) ) - for line in MRCON_TABLE: - MRCON_DATA.append( tuple(line.split('|')) ) - for line in MRREL_TABLE: - MRREL_DATA.append( tuple(line.split('|')) ) - - print "creating tables" - - #create tables. - c.execute( "CREATE TABLE MRCON( CUI, LAT, TS, LUI, STT, SUI, STR, LRL, EMPTY ) ;" ) - c.execute( "CREATE TABLE MRSTY( CUI, TUI, STY, EMPTY ) ;" ) - c.execute( "CREATE TABLE MRREL( CUI1, REL, CUI2, RELA, SAB, SL, MG, EMPTY ) ;" ) - - print "inserting data" - - #insert data onto database - for line in MRCON_DATA: - try: - c.execute( "INSERT INTO MRCON( CUI, LAT, TS, LUI, STT, SUI, STR, LRL, EMPTY ) values ( ?, ?, ? ,?, ?,?,?,?,?);", line ) - except sqlite3.ProgrammingError: - continue - for line in MRTSY_DATA: - try: - c.execute( "INSERT INTO MRSTY( CUI, TUI, STY, EMPTY) values( ?, ?, ?, ?)" , line ) - except sqlite3.ProgrammingError: - continue - for line in MRREL_DATA: - try: - c.execute( "INSERT INTO MRREL( CUI1, REL, CUI2, RELA, SAB, SL, MG, EMPTY ) values( ?, ?, ?, ?,?, ? ,? ,? )" , line ) - except sqlite3.ProgrammingError: - continue - - print "creating indices" - - #create indices for faster queries - c.execute( "CREATE INDEX mrsty_cui_map ON MRSTY(CUI)") - c.execute( "CREATE INDEX mrcon_str_map ON MRCON(STR)") - c.execute( "CREATE INDEX mrcon_cui_map ON MRCON(CUI)") - c.execute( "CREATE INDEX mrrel_cui2_map ON MRREL( CUI2 )" ) - c.execute( "CREATE INDEX mrrel_cui1_map on MRREL( CUI1 ) " ) - c.execute( "CREATE INDEX mrrel_rel_map on MRREL( REL )" ) - - #save changes to .db - conn.commit() - - print "\nsqlite database created" - - #close connection - conn.close() - diff --git a/clicon/features/genia_features.py b/clicon/features/genia_features.py deleted file mode 100644 index 3611c9d..0000000 --- a/clicon/features/genia_features.py +++ /dev/null @@ -1,106 +0,0 @@ -###################################################################### -# CliCon - genia_features.py # -# # -# Willie Boag wboag@cs.uml.edu # -# # -# Purpose: Independent GENIA module # -###################################################################### - - - -import clicon_genia_interface - - - -class GeniaFeatures: - - - def __init__(self, data): - - """ - Constructor. - - @param data. A list of lists of words (basically a list of sentences) - """ - - # Process all words with GENIA tagger - self.GENIA_features = clicon_genia_interface.genia(data) - - # For iterating through tagged data - self.GENIA_counter = 0 - - - def next_GENIA_line(self): - - """ - next_GENIA_line() - - Purpose: All data was tagged upfront. This allows iteration through data - """ - - # End of list - reset counter & return None - if self.GENIA_counter == len(self.GENIA_features): - self.GENIA_counter = 0 - return None - - # Advance to next line - self.GENIA_counter += 1 - - return self.GENIA_features[self.GENIA_counter-1] - - - - def features(self, sentence, is_prose=True): - - """ - features(). - - @param sentence. A list of words to bind features to - @param is_prose. Mechanism for skipping nonprose (for alignment) - @return list of dictionaries (of features) - - Note: All data is tagged upon instantiation of GeniaFeatures object. - This function MUST take each line of the file (in order) as input - """ - - # Return value is a list of dictionaries (of features) - features_list = [ {} for _ in sentence ] - - # Get the GENIA features of the current sentence - genia_feats = self.next_GENIA_line() - if not genia_feats: genia_feats = self.next_GENIA_line() - - - # FIXME - # Mechanism to allow for skipping nonprose - # Potential alternative: Let GeniaFeatures boject decide on all nonprose - if not is_prose: return {} - - - for i in range(len(sentence)): - - # Feature: Current word's GENIA features - keys = ['GENIA-stem','GENIA-POS','GENIA-chunktag'] - curr = genia_feats[i] - output = dict( (('curr-'+k, curr[k]), 1) for k in keys if k in curr) - - # Feature: Previous word's GENIA features - if i == 0: - output = dict( (('prev-'+k, ''), 1) for k in keys if k in curr) - else: - prev = genia_feats[i] - output = dict( (('prev-'+k, prev[k]), 1) for k in keys if k in prev) - - # Feature: Next word's GENIA stem - # Note: This is done by updating the previous token's dict - if i == 0: - continue - if i != (len(sentence) - 1): - features_list[i-1].update( {('next-GENIA-stem',curr['GENIA-stem']) : 1} ) - else: - features_list[i].update( { ('next-GENIA-stem','') : 1} ) - - features_list[i].update(output) - - - return features_list diff --git a/clicon/features/umls.py b/clicon/features/umls.py deleted file mode 100644 index 3dec068..0000000 --- a/clicon/features/umls.py +++ /dev/null @@ -1,232 +0,0 @@ -import cPickle as pickle -import SQLookup - -def umls_semantic_type_word( umls_string_cache , sentence ): - - #If the umls semantic type is in the cache use that semantic type otherwise lookup the semantic type and add to the cache. - if umls_string_cache.has_key( sentence ): - mapping = umls_string_cache.get_map( sentence ) - else: - concept = SQLookup.string_lookup( sentence ) - #print sentence, ' - NOT FOUND' - #print '\t', concept - if concept != None: - #umls_string_cache.add_map( sentence , concept[0] ) - umls_string_cache.add_map( sentence , concept ) - else: - umls_string_cache.add_map( sentence , None ) - mapping = umls_string_cache.get_map(sentence) - - #print 'umls_semantic_type_word - returning:' - #print mapping - #print '' - - return mapping - - -def umls_semantic_context_of_words( umls_string_cache, sentence ): - - #Defines the largest string span for the sentence. - WINDOW_SIZE = 7 - - #Holds the span of the umls concept of the largest substring that each word in sentence is found in. - umls_context_list = [] - - #Holds the span of the concept for each substring. - #A tuple containing tne beginning and end index of a substring functions as the key and the key is assigned to a umls definition. - concept_span_dict = {} - - #Initialize the umls_context_list with empty lists. Each sublist functions as the mappings for each word. - for i in sentence: - umls_context_list.append( [] ) - - #Creates and finds the span of a umls concept for each possible substring of length 1 to currentWindowSize. - for currentWindowSize in range( 1 , WINDOW_SIZE ): - for ti in range( 0 , ( len(sentence) - currentWindowSize ) + 1 ): - rawstring = "" - for tj in range( ti , ti + currentWindowSize): - rawstring += ( sentence[tj] + " " ) - - #Each string is of length 1 to currentWindowSize. - rawstring = rawstring[0:-1] - - #If the string is not in cache, look the umls concept up and add to the cache. - if not( umls_string_cache.has_key( rawstring ) ): - #SQLookup returns a tuple if there is a result or None is there is not. - concept = SQLookup.string_lookup( rawstring ) - -# print concept - - if not concept: - umls_string_cache.add_map( rawstring, None ) - else: - umls_string_cache.add_map( rawstring, concept ) ; - -# if concept != None: - # umls_string_cache.add_map( rawstring , concept[0] ) - # else: - # umls_string_cache.add_map( rawstring , None ) - - #Store the concept into concept_span_dict with its span as a key. - concept_span_dict[(ti,ti+currentWindowSize-1)] = umls_string_cache.get_map( rawstring ) - - #For each substring of the sentence if there is a definition obtained from - #SQLookup assign the concept to every word that is within in the substring. - #If the currrent span is a substring update otherwise if it is not a substring add the new found context. - if umls_string_cache.get_map(rawstring): - - for i in range( ti , ti + currentWindowSize ): - - if len( umls_context_list[i] ) == 0: - umls_context_list[i].append( [ ti , ti + currentWindowSize - 1 ] ) - - else: - updated = 0 - for j in umls_context_list[i]: - if j[0] >= ti and j[1] <= ( ti + currentWindowSize - 1 ): - j[0] = ti - j[1] = ( ti + currentWindowSize - 1 ) - updated += 1 - if not(updated): - if umls_context_list[i].count( [ti,ti+currentWindowSize -1] ) == 0 : - umls_context_list[i].append( [ ti , ti +currentWindowSize - 1 ] ) - - - #print '\t\t', umls_context_list - - #create a list of sublists - # each sublist represents the contexts for which the word appears in the sentence - - # print umls_context_list - - mappings = [] - for i in umls_context_list: - spans = i - if len(spans) == 0: - mappings.append( None ) - else: - sub_mappings = [] - for j in spans: - sub_mappings.append( concept_span_dict[tuple(j)]) - - # FIXME - Decided to concat rather than append (not sure why) - mappings += sub_mappings - - return mappings - - -def umls_semantic_type_sentence( cache , sentence ): - - #print sentence - - #Defines the largest string span for the sentence. - - WINDOW_SIZE = 7 - - #holds the mappings for every substring of size 1 to WINDOW_SIZE - mappings = {} - - #Creates and finds the span of a umls concept for each possible substring of length 1 to currentWindowSize. - for currentWindowSize in range( 1 , WINDOW_SIZE ): - for ti in range( 0 , ( len(sentence) - currentWindowSize ) + 1 ): - - rawstring = "" - - for tj in range( ti , ti + currentWindowSize): - rawstring += ( sentence[tj] + " " ) - - #Each string is of length 1 to currentWindowSize. - rawstring = rawstring[0:-1] - - #If the umls semantic type is already in the cache then us the one stored otherwise lookup and add to cache - if cache.has_key( rawstring ): - mappings[rawstring] = cache.get_map( rawstring ) - - else: - - concept = string_lookup( rawstring ) - - #cache.add_map( rawstring , concept ) - - if concept: - cache.add_map( rawstring , concept ) - else: - cache.add_map( rawstring , [] ) - - mappings[rawstring] = cache.get_map( rawstring ) -# print "rawstring: ", rawstring - # print "mappings: " ,mappings[rawstring] - size_s = 0 - - phrase = [] - - - #print "mappings: " , mappings - #get longest sub string with a mapping - - for mapping in mappings.iteritems(): - #print mapping - if( mapping[1] ): - # print mapping - if( len( mapping[0] ) > size_s ): - - phrase = [] - phrase.append( mapping[1] ) - size_s = len( mapping[0] ) - continue - if( len(mapping[0]) == size_s ): - phrase.append( mapping[1] ) - -# print "phrase: " , phrase -# print phrase - return phrase - - - -# Get the semantic types for a given word -def get_cui( cache , word ): - - # If hypernyms already in cache - if cache.has_key( word + '--cuis' ): - - cuis = cache.get_map( word + '--cuis' ) - - else: - - # Get cui - cuis = SQLookup.cui_lookup(word) - - # Eliminate duplicates - cuis = list(set(cuis)) - cuis = [c[0] for c in cuis] - - # Store result in cache - cache.add_map( word + '--cuis', cuis ) - - return cuis - - - -# Get the hypernyms of a string -def umls_hypernyms( cache, string ): - - # If hypernyms already in cache - if cache.has_key( string + '--hypernyms' ): - - hyps = cache.get_map( string + '--hypernyms' ) - - else: - - # Get hypernyms - hyps = SQLookup.hypernyms_lookup(string) - - # Eliminate duplicates - #hyps = list(set(hyps)) - #hyps = [cui[0] for cui in hyps] - #hyps = hyps[0] - - # Store result in cache - cache.add_map( string + '--hypernyms' , hyps ) - - return hyps - diff --git a/clicon/features/umls_cache.py b/clicon/features/umls_cache.py deleted file mode 100644 index e84e253..0000000 --- a/clicon/features/umls_cache.py +++ /dev/null @@ -1,23 +0,0 @@ -import cPickle as pickle -import os - -class UmlsCache: - def __init__(self): - try: - prefix = os.environ['CLICON_DIR'] - self.filename = os.path.join( prefix, 'umls_tables/umls_cache' ) - self.cache = pickle.load( open( self.filename , "rb" ) ) ; - except IOError: - self.cache = {} - - def has_key( self , string ): - return self.cache.has_key( string ) - - def add_map( self , string, mapping ): - self.cache[string] = mapping - - def get_map( self , string ): - return self.cache[string] - - def __del__(self): - pickle.dump( self.cache, open( self.filename, "wb" ) ) diff --git a/clicon/features/umls_features.py b/clicon/features/umls_features.py deleted file mode 100644 index 543e599..0000000 --- a/clicon/features/umls_features.py +++ /dev/null @@ -1,233 +0,0 @@ -###################################################################### -# CliCon - umls_features.py # -# # -# Willie Boag wboag@cs.uml.edu # -# # -# Purpose: Independent UMLS module # -###################################################################### - - - -from sets import ImmutableSet -from umls_cache import UmlsCache -import umls - - - -class UMLSFeatures: - - - enabled_prose_features = ImmutableSet( [ 'umls_cui', 'umls_hypernyms' ] ) - - enabled_prose_features = ImmutableSet( [ 'umls_cui', 'umls_hypernyms', 'umls_semantic_type_word' ] ) - - - enabled_concept_features_for_word = ImmutableSet( [ 'umls_semantic_type_word', 'umls_cui' ] ) - enabled_concept_features_for_sentence = ImmutableSet( [ 'umls_semantic_type_sentence', 'umls_semantic_context' ] ) - - - - def __init__(self): - - """ - UMLSFeatures::Constructor - """ - - # cache for the mappings of all umls lookups made - self.umls_lookup_cache = UmlsCache() - - - - - def IOB_prose_features(self, word): - - """ - UMLSFeatures::IOB_prose_features() - - @ param word. word to lookup in UMLS database - @return dictionary of features - """ - - # Return value is a list of dictionaries (of features) - features = {} - - - for feature in self.enabled_prose_features: - - - # Feature: UMLS Semantic Types - if feature == "umls_cui": - - # Get UMLS CUIs (could have multiple) - cuis = umls.get_cui(self.umls_lookup_cache , word) - - # Add each CUI - if cuis: - for cui in cuis: - features[(feature,cui)] = 1 - - - # Feature: UMLS Hypernyms - if feature == "umls_hypernyms": - - # Get UMLS hypernyms - hyps = umls.umls_hypernyms(self.umls_lookup_cache,word) - - # Add all hypernyms - if hyps: - #for hyp in hyps: - features[(feature,hyps[0])] = 1 - - - return features - - - - def IOB_nonprose_features(self, word): - - """ - UMLSFeatures::IOB_nonprose_features() - - @ param word. word to lookup in UMLS database - @return dictionary of features - """ - - # Return value is a list of dictionaries (of features) - features = {} - - - for feature in self.enabled_nonprose_features: - - - # Feature: UMLS Semantic Types - if feature == "umls_cui": - - # Get UMLS CUIs (could have multiple) - cuis = umls.get_cui(self.umls_lookup_cache , word) - - # Add each CUI - if cuis: - for cui in cuis: - features[(feature,cui)] = 1 - - - # Feature: UMLS Hypernyms - if feature == "umls_hypernyms": - - # Get UMLS hypernyms - hyps = umls.umls_hypernyms(self.umls_lookup_cache,word) - - # Add all hypernyms - if hyps: - #for hyp in hyps: - features[(feature,hyps[0])] = 1 - - - # Feature: UMLS Semantic Type (for each word) - if feature == "umls_semantic_type_word": - - # Get UMLS semantic type (could have multiple) - mapping = umls.umls_semantic_type_word(self.umls_lookup_cache , word ) - # If is at least one semantic type - if mapping: - for concept in mapping: - features[('umls_semantic_type_word', concept )] = 1 - - - return features - - - - - def concept_features_for_word(self, word): - - """ - UMLSFeatures::concept_features_for_word() - - @ param word. word to lookup in UMLS database - @return dictionary of word-level features - """ - - - # Return value is a list of dictionaries (of features) - features = {} - - - for feature in self.enabled_concept_features_for_word: - - # Feature: UMLS Semantic Types - if feature == "umls_cui": - - # Get UMLS CUIs (could have multiple) - cuis = umls.get_cui(self.umls_lookup_cache , word) - - # Add each CUI - if cuis: - for cui in cuis: - features[(feature,cui)] = 1 - - - # Feature: UMLS Semantic Type (for each word) - if feature == "umls_semantic_type_word": - - # Get UMLS semantic type (could have multiple) - mapping = umls.umls_semantic_type_word(self.umls_lookup_cache , word ) - # If is at least one semantic type - if mapping: - for concept in mapping: - features[('umls_semantic_type_word', concept )] = 1 - - - return features - - - - def concept_features_for_sentence(self, sentence): - - """ - UMLSFeatures::concept_features_for_sentence() - - @ param sentence. list of words from line (after flattening chunks) - @return dictionary of chunk-level features - """ - - - # Return value is a list of dictionaries (of features) - features = {} - - - for feature in self.enabled_concept_features_for_sentence: - - - # Feature: UMLS semantic type for the sentence - if feature == "umls_semantic_type_sentence": - - # a list of the uml semantic of the largest substring(s). - sentence_mapping = umls.umls_semantic_type_sentence( self.umls_lookup_cache, sentence ) - - # if there are no mappings - if not sentence_mapping: - features[('umls_semantic_type_sentence', None ) ] = 1 - # assign the umls definitions to the vector for each word - else: - - for concept in sentence_mapping: - if concept: - for mapping in concept: - features[('umls_semantic_type_sentence' , mapping[0] ) ] = 1 - - - # Feature: UMLS semantic context - if feature == "umls_semantic_context": - - # the umls definition of the largest string the word is in - umls_semantic_context_mappings = umls.umls_semantic_context_of_words( self.umls_lookup_cache , sentence ) - - # there could be multiple contexts, iterate through the sublist - for mapping in umls_semantic_context_mappings: - if not mapping: continue - for concept in mapping: - features[(feature,concept)] = 1 - - - return features From 45c4491bea798ff7ace236ece4bf6a8aaf2133da Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Fri, 1 Aug 2014 01:54:05 -0400 Subject: [PATCH 156/393] Sample (no real i2b2 data included) of what i2b2 and xml formats for discharge summaries look like --- examples/.pretend.con.swp | Bin 0 -> 12288 bytes examples/pretend.con | 5 +++++ examples/pretend.txt | 18 ++++++++++++++++++ examples/pretend.xml | 18 ++++++++++++++++++ 4 files changed, 41 insertions(+) create mode 100644 examples/.pretend.con.swp create mode 100644 examples/pretend.con create mode 100644 examples/pretend.txt create mode 100644 examples/pretend.xml diff --git a/examples/.pretend.con.swp b/examples/.pretend.con.swp new file mode 100644 index 0000000000000000000000000000000000000000..9ca47f122452f3bbaf1fce20f56a3c17f2ff433d GIT binary patch literal 12288 zcmeI%y-ve05C?D<(E%X}f)_AhL^Mqc{fN}569WsV?2h9=L=s1dqXMeLlkh}5LSKe+ z6fv|zyB7T|oh`?Am-x3P=sn**@KJZbXq++DzFs}edFRl1WNZ;=@nWBE8DW)HpYfI? zI(9>0gy+_6U75sEXYMSCXSAqyk>-gi-MmmnWnq`jwl_ou1R$`RKxLwv@d+FBy`C+& zaxVGB`FyupWI+G|5P$##AOHafKmY>&LcruL_C+^2Xl~PP*4EnEY_UK90uX=z1Rwwb z2tWV=5P$##Ah3r5B4ljUVeI&nKHmQSZ|?9z`)`VjVoG7pk0>x8009U<00Izz00bZa z0SG_<0{bl><5$PiRt4OM( zsw+HOako(*MX5fxFxrzXOthtDzrsWT$EHY@dp&c ejpnvzDRn`!(K_Ujt_p56Hw*3XvEQRu`=Vcr%W?4l literal 0 HcmV?d00001 diff --git a/examples/pretend.con b/examples/pretend.con new file mode 100644 index 0000000..3937179 --- /dev/null +++ b/examples/pretend.con @@ -0,0 +1,5 @@ +c="the score stood four to two" 8:0 8:5||t="problem" +c="cooney died at first" 9:3 9:6||t="problem" +c="casey at the bat" 14:9 14:12||t="treatment" +c="the former was a lulu" 16:1 16:5||t="problem" +c="the latter was a cake" 16:7 16:11||t="problem" diff --git a/examples/pretend.txt b/examples/pretend.txt new file mode 100644 index 0000000..590a985 --- /dev/null +++ b/examples/pretend.txt @@ -0,0 +1,18 @@ +Title : +Casey at the Bat +Author : +Ernest Thayer +Published : +June 3 , 1888 +The outlook wasn't brilliant for the Mudville Nine that day ; +The score stood four to two , with but one inning more to play , +And then when Cooney died at first , and Barrows did the same , +A sickly silence fell upon the patrons of the game . +A straggling few got up to go in deep despair . The rest +Clung to that hope which springs eternal in the human breast ; +They thought , if only Casey could get a whack at that - +They'd put up even money , now , with Casey at the bat . +But Flynn preceded Casey , as did also Jimmy Blake . +And the former was a lulu and the latter was a cake ; +So upon that stricken multitude grim melancholy sat , +For there semmed but little chance of Casey's getting to the bat. diff --git a/examples/pretend.xml b/examples/pretend.xml new file mode 100644 index 0000000..ff8b34b --- /dev/null +++ b/examples/pretend.xml @@ -0,0 +1,18 @@ +Title : +Casey at the Bat +Author : +Ernest Thayer +Published : +June 3 , 1888 +The outlook wasn't brilliant for the Mudville Nine that day ; + The score stood four to two , with but one inning more to play , +And then when Cooney died at first , and Barrows did the same , +A sickly silence fell upon the patrons of the game . +A straggling few got up to go in deep despair . The rest +Clung to that hope which springs eternal in the human breast ; +They thought , if only Casey could get a whack at that - +They'd put up even money , now , with Casey at the bat . +But Flynn preceded Casey , as did also Jimmy Blake . +And the former was a lulu and the latter was a cake ; +So upon that stricken multitude grim melancholy sat , +For there semmed but little chance of Casey's getting to the bat. From 615fd7c25dd3a416b46c81a756ed1d2b50551184 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Fri, 1 Aug 2014 01:54:05 -0400 Subject: [PATCH 157/393] Sample (no real i2b2 data included) of what i2b2 and xml formats for discharge summaries look like --- examples/.pretend.con.swp | Bin 0 -> 12288 bytes examples/pretend.con | 5 +++++ examples/pretend.txt | 18 ++++++++++++++++++ examples/pretend.xml | 18 ++++++++++++++++++ 4 files changed, 41 insertions(+) create mode 100644 examples/.pretend.con.swp create mode 100644 examples/pretend.con create mode 100644 examples/pretend.txt create mode 100644 examples/pretend.xml diff --git a/examples/.pretend.con.swp b/examples/.pretend.con.swp new file mode 100644 index 0000000000000000000000000000000000000000..9ca47f122452f3bbaf1fce20f56a3c17f2ff433d GIT binary patch literal 12288 zcmeI%y-ve05C?D<(E%X}f)_AhL^Mqc{fN}569WsV?2h9=L=s1dqXMeLlkh}5LSKe+ z6fv|zyB7T|oh`?Am-x3P=sn**@KJZbXq++DzFs}edFRl1WNZ;=@nWBE8DW)HpYfI? zI(9>0gy+_6U75sEXYMSCXSAqyk>-gi-MmmnWnq`jwl_ou1R$`RKxLwv@d+FBy`C+& zaxVGB`FyupWI+G|5P$##AOHafKmY>&LcruL_C+^2Xl~PP*4EnEY_UK90uX=z1Rwwb z2tWV=5P$##Ah3r5B4ljUVeI&nKHmQSZ|?9z`)`VjVoG7pk0>x8009U<00Izz00bZa z0SG_<0{bl><5$PiRt4OM( zsw+HOako(*MX5fxFxrzXOthtDzrsWT$EHY@dp&c ejpnvzDRn`!(K_Ujt_p56Hw*3XvEQRu`=Vcr%W?4l literal 0 HcmV?d00001 diff --git a/examples/pretend.con b/examples/pretend.con new file mode 100644 index 0000000..3937179 --- /dev/null +++ b/examples/pretend.con @@ -0,0 +1,5 @@ +c="the score stood four to two" 8:0 8:5||t="problem" +c="cooney died at first" 9:3 9:6||t="problem" +c="casey at the bat" 14:9 14:12||t="treatment" +c="the former was a lulu" 16:1 16:5||t="problem" +c="the latter was a cake" 16:7 16:11||t="problem" diff --git a/examples/pretend.txt b/examples/pretend.txt new file mode 100644 index 0000000..590a985 --- /dev/null +++ b/examples/pretend.txt @@ -0,0 +1,18 @@ +Title : +Casey at the Bat +Author : +Ernest Thayer +Published : +June 3 , 1888 +The outlook wasn't brilliant for the Mudville Nine that day ; +The score stood four to two , with but one inning more to play , +And then when Cooney died at first , and Barrows did the same , +A sickly silence fell upon the patrons of the game . +A straggling few got up to go in deep despair . The rest +Clung to that hope which springs eternal in the human breast ; +They thought , if only Casey could get a whack at that - +They'd put up even money , now , with Casey at the bat . +But Flynn preceded Casey , as did also Jimmy Blake . +And the former was a lulu and the latter was a cake ; +So upon that stricken multitude grim melancholy sat , +For there semmed but little chance of Casey's getting to the bat. diff --git a/examples/pretend.xml b/examples/pretend.xml new file mode 100644 index 0000000..ff8b34b --- /dev/null +++ b/examples/pretend.xml @@ -0,0 +1,18 @@ +Title : +Casey at the Bat +Author : +Ernest Thayer +Published : +June 3 , 1888 +The outlook wasn't brilliant for the Mudville Nine that day ; + The score stood four to two , with but one inning more to play , +And then when Cooney died at first , and Barrows did the same , +A sickly silence fell upon the patrons of the game . +A straggling few got up to go in deep despair . The rest +Clung to that hope which springs eternal in the human breast ; +They thought , if only Casey could get a whack at that - +They'd put up even money , now , with Casey at the bat . +But Flynn preceded Casey , as did also Jimmy Blake . +And the former was a lulu and the latter was a cake ; +So upon that stricken multitude grim melancholy sat , +For there semmed but little chance of Casey's getting to the bat. From d39fa8cdd93c6229ed94613dec31fd6d694f811b Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Fri, 1 Aug 2014 01:55:14 -0400 Subject: [PATCH 158/393] Replaced missing helper function --- clicon/format.py | 4 ++++ 1 file changed, 4 insertions(+) diff --git a/clicon/format.py b/clicon/format.py index e1bd4f9..49ce02e 100644 --- a/clicon/format.py +++ b/clicon/format.py @@ -126,6 +126,10 @@ def output_file(fname, out): print >>f, out +def create_filename(odir, bfile, extension): + fname = bfile[:-4] + extension + return os.path.join(odir,fname) + if __name__ == '__main__': main() From b23231784558eb7b84401186d8b3301e013bda56 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Fri, 1 Aug 2014 01:55:14 -0400 Subject: [PATCH 159/393] Replaced missing helper function --- clicon/format.py | 4 ++++ 1 file changed, 4 insertions(+) diff --git a/clicon/format.py b/clicon/format.py index e1bd4f9..49ce02e 100644 --- a/clicon/format.py +++ b/clicon/format.py @@ -126,6 +126,10 @@ def output_file(fname, out): print >>f, out +def create_filename(odir, bfile, extension): + fname = bfile[:-4] + extension + return os.path.join(odir,fname) + if __name__ == '__main__': main() From b156a2bb5f862cc2d959480e54314bccb90a4c6e Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Fri, 1 Aug 2014 02:17:30 -0400 Subject: [PATCH 160/393] Fixed an off-by-one labeling error in model.py --- clicon/model.py | 2 +- 1 file changed, 1 insertion(+), 1 deletion(-) diff --git a/clicon/model.py b/clicon/model.py index 2bb02a4..81d07d0 100644 --- a/clicon/model.py +++ b/clicon/model.py @@ -460,7 +460,7 @@ def second_predict(self, data, inds_list): length = len(data[lineno][ind].split()) # Classification token - classifications.append( (concept, lineno, start, start+length-1 ) ) + classifications.append( (concept, lineno+1, start, start+length-1 ) ) retVal[t] = classifications From 00306fcea815c7cec821768a7fb6397b4473eb76 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Fri, 1 Aug 2014 02:17:30 -0400 Subject: [PATCH 161/393] Fixed an off-by-one labeling error in model.py --- clicon/model.py | 2 +- 1 file changed, 1 insertion(+), 1 deletion(-) diff --git a/clicon/model.py b/clicon/model.py index 2bb02a4..81d07d0 100644 --- a/clicon/model.py +++ b/clicon/model.py @@ -460,7 +460,7 @@ def second_predict(self, data, inds_list): length = len(data[lineno][ind].split()) # Classification token - classifications.append( (concept, lineno, start, start+length-1 ) ) + classifications.append( (concept, lineno+1, start, start+length-1 ) ) retVal[t] = classifications From 07ee9b3eeec707c9880c776bed748f1de88384f4 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Fri, 1 Aug 2014 02:18:58 -0400 Subject: [PATCH 162/393] Removed tmp file --- examples/.pretend.con.swp | Bin 12288 -> 0 bytes 1 file changed, 0 insertions(+), 0 deletions(-) delete mode 100644 examples/.pretend.con.swp diff --git a/examples/.pretend.con.swp b/examples/.pretend.con.swp deleted file mode 100644 index 9ca47f122452f3bbaf1fce20f56a3c17f2ff433d..0000000000000000000000000000000000000000 GIT binary patch literal 0 HcmV?d00001 literal 12288 zcmeI%y-ve05C?D<(E%X}f)_AhL^Mqc{fN}569WsV?2h9=L=s1dqXMeLlkh}5LSKe+ z6fv|zyB7T|oh`?Am-x3P=sn**@KJZbXq++DzFs}edFRl1WNZ;=@nWBE8DW)HpYfI? zI(9>0gy+_6U75sEXYMSCXSAqyk>-gi-MmmnWnq`jwl_ou1R$`RKxLwv@d+FBy`C+& zaxVGB`FyupWI+G|5P$##AOHafKmY>&LcruL_C+^2Xl~PP*4EnEY_UK90uX=z1Rwwb z2tWV=5P$##Ah3r5B4ljUVeI&nKHmQSZ|?9z`)`VjVoG7pk0>x8009U<00Izz00bZa z0SG_<0{bl><5$PiRt4OM( zsw+HOako(*MX5fxFxrzXOthtDzrsWT$EHY@dp&c ejpnvzDRn`!(K_Ujt_p56Hw*3XvEQRu`=Vcr%W?4l From 38780613d8d86b70cd3483f1befb852cec98ab74 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Fri, 1 Aug 2014 02:18:58 -0400 Subject: [PATCH 163/393] Removed tmp file --- examples/.pretend.con.swp | Bin 12288 -> 0 bytes 1 file changed, 0 insertions(+), 0 deletions(-) delete mode 100644 examples/.pretend.con.swp diff --git a/examples/.pretend.con.swp b/examples/.pretend.con.swp deleted file mode 100644 index 9ca47f122452f3bbaf1fce20f56a3c17f2ff433d..0000000000000000000000000000000000000000 GIT binary patch literal 0 HcmV?d00001 literal 12288 zcmeI%y-ve05C?D<(E%X}f)_AhL^Mqc{fN}569WsV?2h9=L=s1dqXMeLlkh}5LSKe+ z6fv|zyB7T|oh`?Am-x3P=sn**@KJZbXq++DzFs}edFRl1WNZ;=@nWBE8DW)HpYfI? zI(9>0gy+_6U75sEXYMSCXSAqyk>-gi-MmmnWnq`jwl_ou1R$`RKxLwv@d+FBy`C+& zaxVGB`FyupWI+G|5P$##AOHafKmY>&LcruL_C+^2Xl~PP*4EnEY_UK90uX=z1Rwwb z2tWV=5P$##Ah3r5B4ljUVeI&nKHmQSZ|?9z`)`VjVoG7pk0>x8009U<00Izz00bZa z0SG_<0{bl><5$PiRt4OM( zsw+HOako(*MX5fxFxrzXOthtDzrsWT$EHY@dp&c ejpnvzDRn`!(K_Ujt_p56Hw*3XvEQRu`=Vcr%W?4l From e22bfeb0fb416b1afd7375f558175da5b9dad569 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Fri, 1 Aug 2014 02:19:14 -0400 Subject: [PATCH 164/393] removed test directory --- tests/__init__.py | 1 - tests/test_dummy.py | 13 ------------- 2 files changed, 14 deletions(-) delete mode 100644 tests/__init__.py delete mode 100644 tests/test_dummy.py diff --git a/tests/__init__.py b/tests/__init__.py deleted file mode 100644 index 40a96af..0000000 --- a/tests/__init__.py +++ /dev/null @@ -1 +0,0 @@ -# -*- coding: utf-8 -*- diff --git a/tests/test_dummy.py b/tests/test_dummy.py deleted file mode 100644 index d39cc99..0000000 --- a/tests/test_dummy.py +++ /dev/null @@ -1,13 +0,0 @@ -#!/usr/bin/env python -# -*- coding: utf-8 -*- - -""" -test_dummy ---------------------------------- - -Dummy test that always passes. -""" - - -def test(): - pass From a145c888613303d0511c780613fc18063786205a Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Fri, 1 Aug 2014 02:19:14 -0400 Subject: [PATCH 165/393] removed test directory --- tests/__init__.py | 1 - tests/test_dummy.py | 13 ------------- 2 files changed, 14 deletions(-) delete mode 100644 tests/__init__.py delete mode 100644 tests/test_dummy.py diff --git a/tests/__init__.py b/tests/__init__.py deleted file mode 100644 index 40a96af..0000000 --- a/tests/__init__.py +++ /dev/null @@ -1 +0,0 @@ -# -*- coding: utf-8 -*- diff --git a/tests/test_dummy.py b/tests/test_dummy.py deleted file mode 100644 index d39cc99..0000000 --- a/tests/test_dummy.py +++ /dev/null @@ -1,13 +0,0 @@ -#!/usr/bin/env python -# -*- coding: utf-8 -*- - -""" -test_dummy ---------------------------------- - -Dummy test that always passes. -""" - - -def test(): - pass From bae92caac356e7b9935f49cd848547fd80fad523 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Fri, 1 Aug 2014 02:19:33 -0400 Subject: [PATCH 166/393] removed unecessary directory --- model/.gitignore | 4 ---- 1 file changed, 4 deletions(-) delete mode 100644 model/.gitignore diff --git a/model/.gitignore b/model/.gitignore deleted file mode 100644 index ef6ccf0..0000000 --- a/model/.gitignore +++ /dev/null @@ -1,4 +0,0 @@ -# Ignore everything per data use and confidentiality agreements -* -# Except this file -!.gitignore From 9526a313b5afed311617c57939330eb057a1909f Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Fri, 1 Aug 2014 02:19:33 -0400 Subject: [PATCH 167/393] removed unecessary directory --- model/.gitignore | 4 ---- 1 file changed, 4 deletions(-) delete mode 100644 model/.gitignore diff --git a/model/.gitignore b/model/.gitignore deleted file mode 100644 index ef6ccf0..0000000 --- a/model/.gitignore +++ /dev/null @@ -1,4 +0,0 @@ -# Ignore everything per data use and confidentiality agreements -* -# Except this file -!.gitignore From 3bf1688b443b5195a205ded4985f5589abeb17c8 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Fri, 1 Aug 2014 11:48:45 -0400 Subject: [PATCH 168/393] Help user install CliCon --- README.rst | 132 +++++++++++++++++++++++------- install.sh | 232 ++++++++++++++++++++++++++++++++++++++++++----------- 2 files changed, 290 insertions(+), 74 deletions(-) diff --git a/README.rst b/README.rst index 0aedf95..b18449c 100644 --- a/README.rst +++ b/README.rst @@ -29,16 +29,36 @@ Installation -------- +Installation Script + + For Ubuntu users, there is a script that should be able to download most of the pieces of this project. Note, it cannot get priveleged tools (such as the i2b2 data and the UMLS tables) - you must get those two pieces yourself. + + To run the script, copy 'install.sh' from Github and enter the directory you'd like to house this project. NOTE: The script will git clone CliCon for you, so do not do that yourself if you use the script. + + The script will try to download CliCon's third party dependencies and will report back what tools could/couldn't be acquired. Ideally, it will get everything except for the i2b2 data and the UMLS tables. + + In the event that you run the script but encounter issues, please see the README section that corresponds to the failure's message. + + It is entirely likely that there are unforseen bugs. If you experience "strange" behavior (or if this document is just unclear in general), please email me at wboag@cs.uml.edu with your installation questions. + + If you do not run the script, you must follow each of these steps and configure things such as virtual environments and environment variables. Not terribly difficult (we hope!). + + + 1. virtualenv Setup a virtual environent: + reference + https://virtualenv.pypa.io/en/latest/ + + example: - willie@text-machine:~$ virtualenv venv_clicon + user@your-machine:~$ virtualenv venv_clicon - willie@text-machine:~$ source venv_clicon/bin/activate + user@your-machine:~$ source venv_clicon/bin/activate @@ -47,24 +67,22 @@ Installation In order to run CliCon, you must define the CLICON_DIR environment variable. - **This variable must be the path of the directory creatied by git.** + **This variable must be the path of the directory created by git.** example: - willie@text-machine:~$ pwd - /home/willie - willie@text-machine:~$ git clone https://github.com/mitmedg/CliCon.git + user@your-machine:~$ git clone https://github.com/mitmedg/CliCon.git Cloning into 'CliCon'... remote: Counting objects: 1296, done. remote: Compressing objects: 100% (503/503), done. remote: Total 1296 (delta 812), reused 1253 (delta 781) Receiving objects: 100% (1296/1296), 1001.14 KiB | 759 KiB/s, done. Resolving deltas: 100% (812/812), done. - willie@text-machine:~$ export CLICON_DIR=/home/willie/CliCon + user@your-machine:~$ export CLICON_DIR=$(pwd)/CliCon -3. Install CliCon +3. Install Pytohn Dependencies This project has dependencies on scientific computation libraries. @@ -74,53 +92,109 @@ Installation - scipy - nltk (AND run the NLTK downloader) - **Note, if you are on Ubuntu, then you have to to apt-get the following: - - g++ - - gfortran - - libopenblas-dev - - liblapack-dev - *** + + These modules, themselves may have dependencies to install. If necessary, sudo apt-get install these packages (on Ubuntu) + + Ubuntu: + - g++ + - gfortran + - libopenblas-dev + - liblapack-dev + + + Mac OSX + **Tristan should put stuff here** example: - (venv_clicon)willie@text-machine:~/CliCon$ sudo apt-get install g++ gfortran libopenblas-dev liblapack-dev -Y + (venv_clicon)user@your-machine:~/CliCon$ sudo apt-get install g++ gfortran libopenblas-dev liblapack-dev -Y - (venv_clicon)willie@text-machine:~/CliCon$ pip install numpy scikit-learn scipy nltk + (venv_clicon)user@your-machine:~/CliCon$ pip install numpy scikit-learn scipy nltk + + (venv_clicon)user@your-machine:~/CliCon$ python setup.py install - (venv_clicon)willie@text-machine:~/CliCon$ python setup.py install 4. Get data - FIXME: Something Something i2b2 agreement. + The Data Use and Confidentiality Agreement with i2b2 forbids us from redistributing their data. In order to gain access, you must go to: - **I'll need to ask Kevin how to get data from i2b2** + https://www.i2b2.org/NLP/DataSets/AgreementAR.php + to register and sign the DUA. Then you will be able to request the data through them. - OR, if you are Anna Rumshisky, then you know the password to text-machine - example: - willie@text-machine:~/CliCon$ scp -r wboag@text-machine:~/CliCon/data/* $CLICON_DIR/data + Although we cannot provide actual i2b2 data, there is a sample to demonstrate how the data is formatted (not actual data from i2b2, though). Here is a very basic description of the data formats. It is by no means a complete tutorial. + + Go to the '$CLICON_DIR/examples' directory. + + pretend.txt + + This is a text file. Discharge summaries are written out as-is, just like this. It is paired with a concept file to reveal te full picture. + + pretend.con + + This is a concept file. It provides annotations for the concepts (problem, treatment, test) of the text file. The format describes the word span, the line number and token numbers of the span (delimited by white space), and the label of the concept. + + pretend.xml + + This is an alternative way to annotate concepts from a discharge summary. Unlike the text/concept files, this format is not in a pair - it alone provides annotations for a discharge summary. This format is easier to read. 5. Get UMLS tables (optional) - **Do-able but I'd need to talk to Kevin about where to get them** + In order to use the UMLS tables, you must request a license. See: + + http://www.nlm.nih.gov/databases/umls.html + + You will need to get following tables: MRREL, MRCON, MRSTY + + Put these tables in the $CLICON_DIR/umls_tables directory. + + In order to tell CliCon that the tables are there, you must edit the file $CLICON_DIR/clicon/features and change the line saying "UMLS None" to "UMLS ". 6. Install GENIA tagger (optional) - **Would take some effort to make this possible. Do-able, but not pretty** + This is an optional part of installation. Adding the GENIA tagger will improve results of the system's predictions, but it could run without it. + + Steps + + 1. First you must download the sources for GENIA. Do that with 'wget http://www.nactem.ac.uk/tsujii/GENIA/tagger/geniatagger-3.0.1.tar.gz' + + 2. In order to compile the sources, you may need to edit a C++ so that it has an additional include directive. Basically, morph.cpp needs to include cstdlib. This should be able to be accomplished by enterring the geniatagger-3.0.1/ directory and running 'echo "$(sed '1i#include ' morph.cpp)" > morph.cpp' + + 3. Compile GENIA. This is simple. Just run 'make' + + 4. If you do not have any errors, then the tagger has been built successfully. If there were compile errors, try to resolve them (it'd be one of those "well it works for me" scenarios). + + 5. Set the file "$CLICON_DIR/clicon/features/features.config" so that the line that has "GENIA None" is replaced with "GENIA '. This file is how CliCon is able to find and run the tagger. +7. Create 'clicon' command for CLI -7. Run unit tests + In order to run CliCon (as done in the usage examples), you must run setup.py. + + This is very simple. As long as the python dependencies are properly installed, you can run 'python $CLICON_DIR/setup.py install'. + + If it works, you should see a tiny help message from enterring 'clicon --help' + + example: + + (venv_clicon)user@your-machine:~/CliCon$ python setup.py install + + (venv_clicon)user@your-machine:~/CliCon$ clicon --help + + + + +8. Run unit tests **We haven't done any unit tests yet** @@ -130,10 +204,12 @@ Installation Usage Examples -------- + CliCon is a Machine Learning interface for concept extraction. It is able to train and predict on data. It can also change formats from i2b2 <-> xml. Soon, it will also provide an evaluation metric to see how correct its predictions actually are. + example 1: Sanity Check - Train/Predict on the same file - (venv_clicon)willie@text-machine:~/CliCon$ clicon train data/concept_assertion_relation_training_data/partners/txt/837898389.txt --annotations data/concept_assertion_relation_training_data/partners/concept/837898389.con + (venv_clicon)user@your-machine:~/CliCon$ clicon train examples/pretend.txt --annotations examples/pretend.con - (venv_clicon)willie@text-machine:~/CliCon$ clicon predict data/concept_assertion_relation_training_data/partners/txt/837898389.txt --out data/test_predictions/ + (venv_clicon)user@your-machine:~/CliCon$ clicon predict examples/pretend.txt --out data/test_data/ - (venv_clicon)willie@text-machine:~/CliCon$ clicon format data/concept_assertion_relation_training_data/partners/txt/837898389.txt --annotations data/test_predictions/lin/837898389.con --format xml + (venv_clicon)user@your-machine:~/CliCon$ clicon format examples/pretend.txt --annotations data/test_data/lin/pretend.con --format xml diff --git a/install.sh b/install.sh index 7eb7b81..b5e5d2e 100755 --- a/install.sh +++ b/install.sh @@ -1,71 +1,211 @@ -#!/usr/bin/env bash +# +# install.sh +# +# Purpose: This is a demo that will install CliCon and it's package dependencies +# +# Usage: 'source install.sh' (It is important to use 'source', not 'bash') +# +# Note: This does not download/install: +# 1) i2b2 data +# 2) UMLS tables +# 3) GENIA Tagger +# -DIR="$( cd "$( dirname "${BASH_SOURCE[0]}" )" && pwd )" -mkdir -p "$DIR/lib" -# Get python dependencies -sudo easy_install pip -sudo easy_install simplejson -sudo pip install Flask -sudo pip install -U pyyaml nltk +function create_clicon { + # Create wrapper directory to hold: + # 1) virtual environment + # 2) CliCon source from github + mkdir clicon + cd clicon -# Install nltk data -python -m nltk.downloader maxent_treebank_pos_tagger -python -m nltk.downloader wordnet + virtualenv venv_clicon + source venv_clicon/bin/activate + source /home/willie/clicon/venv_clicon/bin/activate + git clone https://github.com/mitmedg/CliCon.git + cd CliCon + git checkout documentation +} -# Get libsvm -cd "$DIR/lib" -wget "http://www.csie.ntu.edu.tw/~cjlin/cgi-bin/libsvm.cgi?+http://www.csie.ntu.edu.tw/~cjlin/libsvm+zip" -O "libsvm-3.14.zip" -unzip "libsvm-3.14.zip" -ln -s "libsvm-3.14" "libsvm" -rm "libsvm-3.14.zip" -cd "libsvm" -make +function environ_clicon { + # Set environment variable (check if it is defined) + if [[ "$CLICON_DIR" = "" ]] ; then + echo -e "\n\t" + echo -e "Appending line to ~/.bashrc to remember environment variable\n" + echo "export CLICON_DIR=\"$(pwd)/clicon/CliCon\"" >> ~/.bashrc + source ~/.bashrc + export CLICON_DIR -# Get liblinear -cd "$DIR/lib" -wget "http://www.csie.ntu.edu.tw/~cjlin/cgi-bin/liblinear.cgi?+http://www.csie.ntu.edu.tw/~cjlin/liblinear+zip" -O "liblinear-1.92.zip" -unzip "liblinear-1.92.zip" + fi -ln -s "liblinear-1.92" "liblinear" -rm "liblinear-1.92.zip" + setup_environ=0 +} -cd "liblinear" -make -# Get liblbfgs -cd "$DIR/lib" -wget "https://github.com/downloads/chokkan/liblbfgs/liblbfgs-1.10.tar.gz" -O "liblbfgs-1.10.tar.gz" -tar -xvzf "liblbfgs-1.10.tar.gz" +function install_clicon { -ln -s "liblbfgs-1.10" "liblbfgs" -rm "liblbfgs-1.10.tar.gz" + # Get python dependencies + easy_install pip + easy_install simplejson + pip install Flask + pip install -U pyyaml + + # Install nltk data + python -m nltk.downloader maxent_treebank_pos_tagger + python -m nltk.downloader wordnet + + + # apt-get doesn't seem to be working at getting numpy + pip install numpy scikit-learn scipy + setup_dependencies=$? + + + # Success? + if ! [[ $setup_dependencies -eq 0 ]] ; then + + # apt-get some packages + read -p "\nPython dependencies failed. Would you like to try again with apt-get (y/n)? " yn + + if [[ "$yn" = "y" ]] ; then + # Install required packages + # sudo apt-get g++ gfortran libopenblas-dev liblapack-dev + + # Try again + pip install numpy scikit-learn scipy + setup_dependencies=$? + fi + fi + +} + + + +# Get data +function get_i2b2 { + echo "get_i2b2 stub" +} + + + +# Get UMLS +function get_umls { + echo "get_umls stub" +} + + + +# Get GENIA +function get_genia { + + # save current path + old_path=$(pwd) + + # Get sources + cd $CLICON_DIR/clicon/features/genia + wget http://www.nactem.ac.uk/tsujii/GENIA/tagger/geniatagger-3.0.1.tar.gz + tar xzvf geniatagger-3.0.1.tar.gz + + # Build GENIA tagger + cd geniatagger-3.0.1/ + echo "$(sed '1i#include ' morph.cpp)" > morph.cpp # fix build error + make + + # Successful build ? + if ! [[ $? -eq 0 ]] ; then + echo "there was a build error in GENIA" + setup_genia=1 + return + fi + + # Set config file location of tagger + config_file="$CLICON_DIR/clicon/features/features.config" + out_tmp="out.tmp.txt" + echo "GENIA $(pwd)/geniatagger" > $out_tmp + while read line ; do + if ! [[ $line = GENIA* ]] ; then + echo $line >> $out_tmp + fi + done < "$config_file" + mv $out_tmp $config_file + + + # Success + setup_genia=0 + + # return to original path + cd $old_path +} -cd "liblbfgs" -./configure -make -make install # Get crfsuite -cd "$DIR/lib" -wget "https://github.com/downloads/chokkan/crfsuite/crfsuite-0.12.tar.gz" -O "crfsuite-0.12.tar.gz" -tar -xvzf "crfsuite-0.12.tar.gz" +function get_crfsuite { + echo "crfsuite not supported by CliCon yet" +} + + + +# Setup 'clicon' command for CLI +function setup { + cd $CLICON_DIR + python setup.py install + setup_install=$? +} + + + +# Base directory cannot exist yet +if [[ -e clicon ]] ; then + echo -e "\n\tError: Cannot already have a file named 'clicon' in directory\n" +else + + # Install resources + create_clicon + environ_clicon + install_clicon + get_genia + setup + + echo -e "\n\n" + + # Print installation successes/failures + if [[ $setup_environ -eq 0 ]] ; then + echo "Environemt variable confiuration -- SUCCESS" + else + echo "Environemt variable confiuration -- FAILURE" + echo -e "\tSee README for details" + fi + + + if [[ $setup_dependencies -eq 0 ]] ; then + echo "Install python dependencies -- SUCCESS" + else + echo "Install python dependencies -- FAILURE" + echo -e "\tSee README for details" + fi + -ln -s "crfsuite-0.12" "crfsuite" -rm "crfsuite-0.12.tar.gz" + if [[ $setup_genia -eq 0 ]] ; then + echo "Install GENIA tagger -- SUCCESS" + else + echo "Install GENIA tagger -- FAILURE" + echo -e "\tSee README for details" + fi -cd "crfsuite" -./configure -make -make install + if [[ $setup_install -eq 0 ]] ; then + echo "Install 'clicon' command for CLI -- SUCCESS" + else + echo "Install 'clicon' command for CLI -- FAILURE" + echo -e "\tSee README for details" + fi +fi From 7f9305c72a753a2a5e3bb4d6c398dc91e0364667 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Fri, 1 Aug 2014 11:48:45 -0400 Subject: [PATCH 169/393] Help user install CliCon --- README.rst | 132 +++++++++++++++++++++++------- install.sh | 232 ++++++++++++++++++++++++++++++++++++++++++----------- 2 files changed, 290 insertions(+), 74 deletions(-) diff --git a/README.rst b/README.rst index 0aedf95..b18449c 100644 --- a/README.rst +++ b/README.rst @@ -29,16 +29,36 @@ Installation -------- +Installation Script + + For Ubuntu users, there is a script that should be able to download most of the pieces of this project. Note, it cannot get priveleged tools (such as the i2b2 data and the UMLS tables) - you must get those two pieces yourself. + + To run the script, copy 'install.sh' from Github and enter the directory you'd like to house this project. NOTE: The script will git clone CliCon for you, so do not do that yourself if you use the script. + + The script will try to download CliCon's third party dependencies and will report back what tools could/couldn't be acquired. Ideally, it will get everything except for the i2b2 data and the UMLS tables. + + In the event that you run the script but encounter issues, please see the README section that corresponds to the failure's message. + + It is entirely likely that there are unforseen bugs. If you experience "strange" behavior (or if this document is just unclear in general), please email me at wboag@cs.uml.edu with your installation questions. + + If you do not run the script, you must follow each of these steps and configure things such as virtual environments and environment variables. Not terribly difficult (we hope!). + + + 1. virtualenv Setup a virtual environent: + reference + https://virtualenv.pypa.io/en/latest/ + + example: - willie@text-machine:~$ virtualenv venv_clicon + user@your-machine:~$ virtualenv venv_clicon - willie@text-machine:~$ source venv_clicon/bin/activate + user@your-machine:~$ source venv_clicon/bin/activate @@ -47,24 +67,22 @@ Installation In order to run CliCon, you must define the CLICON_DIR environment variable. - **This variable must be the path of the directory creatied by git.** + **This variable must be the path of the directory created by git.** example: - willie@text-machine:~$ pwd - /home/willie - willie@text-machine:~$ git clone https://github.com/mitmedg/CliCon.git + user@your-machine:~$ git clone https://github.com/mitmedg/CliCon.git Cloning into 'CliCon'... remote: Counting objects: 1296, done. remote: Compressing objects: 100% (503/503), done. remote: Total 1296 (delta 812), reused 1253 (delta 781) Receiving objects: 100% (1296/1296), 1001.14 KiB | 759 KiB/s, done. Resolving deltas: 100% (812/812), done. - willie@text-machine:~$ export CLICON_DIR=/home/willie/CliCon + user@your-machine:~$ export CLICON_DIR=$(pwd)/CliCon -3. Install CliCon +3. Install Pytohn Dependencies This project has dependencies on scientific computation libraries. @@ -74,53 +92,109 @@ Installation - scipy - nltk (AND run the NLTK downloader) - **Note, if you are on Ubuntu, then you have to to apt-get the following: - - g++ - - gfortran - - libopenblas-dev - - liblapack-dev - *** + + These modules, themselves may have dependencies to install. If necessary, sudo apt-get install these packages (on Ubuntu) + + Ubuntu: + - g++ + - gfortran + - libopenblas-dev + - liblapack-dev + + + Mac OSX + **Tristan should put stuff here** example: - (venv_clicon)willie@text-machine:~/CliCon$ sudo apt-get install g++ gfortran libopenblas-dev liblapack-dev -Y + (venv_clicon)user@your-machine:~/CliCon$ sudo apt-get install g++ gfortran libopenblas-dev liblapack-dev -Y - (venv_clicon)willie@text-machine:~/CliCon$ pip install numpy scikit-learn scipy nltk + (venv_clicon)user@your-machine:~/CliCon$ pip install numpy scikit-learn scipy nltk + + (venv_clicon)user@your-machine:~/CliCon$ python setup.py install - (venv_clicon)willie@text-machine:~/CliCon$ python setup.py install 4. Get data - FIXME: Something Something i2b2 agreement. + The Data Use and Confidentiality Agreement with i2b2 forbids us from redistributing their data. In order to gain access, you must go to: - **I'll need to ask Kevin how to get data from i2b2** + https://www.i2b2.org/NLP/DataSets/AgreementAR.php + to register and sign the DUA. Then you will be able to request the data through them. - OR, if you are Anna Rumshisky, then you know the password to text-machine - example: - willie@text-machine:~/CliCon$ scp -r wboag@text-machine:~/CliCon/data/* $CLICON_DIR/data + Although we cannot provide actual i2b2 data, there is a sample to demonstrate how the data is formatted (not actual data from i2b2, though). Here is a very basic description of the data formats. It is by no means a complete tutorial. + + Go to the '$CLICON_DIR/examples' directory. + + pretend.txt + + This is a text file. Discharge summaries are written out as-is, just like this. It is paired with a concept file to reveal te full picture. + + pretend.con + + This is a concept file. It provides annotations for the concepts (problem, treatment, test) of the text file. The format describes the word span, the line number and token numbers of the span (delimited by white space), and the label of the concept. + + pretend.xml + + This is an alternative way to annotate concepts from a discharge summary. Unlike the text/concept files, this format is not in a pair - it alone provides annotations for a discharge summary. This format is easier to read. 5. Get UMLS tables (optional) - **Do-able but I'd need to talk to Kevin about where to get them** + In order to use the UMLS tables, you must request a license. See: + + http://www.nlm.nih.gov/databases/umls.html + + You will need to get following tables: MRREL, MRCON, MRSTY + + Put these tables in the $CLICON_DIR/umls_tables directory. + + In order to tell CliCon that the tables are there, you must edit the file $CLICON_DIR/clicon/features and change the line saying "UMLS None" to "UMLS ". 6. Install GENIA tagger (optional) - **Would take some effort to make this possible. Do-able, but not pretty** + This is an optional part of installation. Adding the GENIA tagger will improve results of the system's predictions, but it could run without it. + + Steps + + 1. First you must download the sources for GENIA. Do that with 'wget http://www.nactem.ac.uk/tsujii/GENIA/tagger/geniatagger-3.0.1.tar.gz' + + 2. In order to compile the sources, you may need to edit a C++ so that it has an additional include directive. Basically, morph.cpp needs to include cstdlib. This should be able to be accomplished by enterring the geniatagger-3.0.1/ directory and running 'echo "$(sed '1i#include ' morph.cpp)" > morph.cpp' + + 3. Compile GENIA. This is simple. Just run 'make' + + 4. If you do not have any errors, then the tagger has been built successfully. If there were compile errors, try to resolve them (it'd be one of those "well it works for me" scenarios). + + 5. Set the file "$CLICON_DIR/clicon/features/features.config" so that the line that has "GENIA None" is replaced with "GENIA '. This file is how CliCon is able to find and run the tagger. +7. Create 'clicon' command for CLI -7. Run unit tests + In order to run CliCon (as done in the usage examples), you must run setup.py. + + This is very simple. As long as the python dependencies are properly installed, you can run 'python $CLICON_DIR/setup.py install'. + + If it works, you should see a tiny help message from enterring 'clicon --help' + + example: + + (venv_clicon)user@your-machine:~/CliCon$ python setup.py install + + (venv_clicon)user@your-machine:~/CliCon$ clicon --help + + + + +8. Run unit tests **We haven't done any unit tests yet** @@ -130,10 +204,12 @@ Installation Usage Examples -------- + CliCon is a Machine Learning interface for concept extraction. It is able to train and predict on data. It can also change formats from i2b2 <-> xml. Soon, it will also provide an evaluation metric to see how correct its predictions actually are. + example 1: Sanity Check - Train/Predict on the same file - (venv_clicon)willie@text-machine:~/CliCon$ clicon train data/concept_assertion_relation_training_data/partners/txt/837898389.txt --annotations data/concept_assertion_relation_training_data/partners/concept/837898389.con + (venv_clicon)user@your-machine:~/CliCon$ clicon train examples/pretend.txt --annotations examples/pretend.con - (venv_clicon)willie@text-machine:~/CliCon$ clicon predict data/concept_assertion_relation_training_data/partners/txt/837898389.txt --out data/test_predictions/ + (venv_clicon)user@your-machine:~/CliCon$ clicon predict examples/pretend.txt --out data/test_data/ - (venv_clicon)willie@text-machine:~/CliCon$ clicon format data/concept_assertion_relation_training_data/partners/txt/837898389.txt --annotations data/test_predictions/lin/837898389.con --format xml + (venv_clicon)user@your-machine:~/CliCon$ clicon format examples/pretend.txt --annotations data/test_data/lin/pretend.con --format xml diff --git a/install.sh b/install.sh index 7eb7b81..b5e5d2e 100755 --- a/install.sh +++ b/install.sh @@ -1,71 +1,211 @@ -#!/usr/bin/env bash +# +# install.sh +# +# Purpose: This is a demo that will install CliCon and it's package dependencies +# +# Usage: 'source install.sh' (It is important to use 'source', not 'bash') +# +# Note: This does not download/install: +# 1) i2b2 data +# 2) UMLS tables +# 3) GENIA Tagger +# -DIR="$( cd "$( dirname "${BASH_SOURCE[0]}" )" && pwd )" -mkdir -p "$DIR/lib" -# Get python dependencies -sudo easy_install pip -sudo easy_install simplejson -sudo pip install Flask -sudo pip install -U pyyaml nltk +function create_clicon { + # Create wrapper directory to hold: + # 1) virtual environment + # 2) CliCon source from github + mkdir clicon + cd clicon -# Install nltk data -python -m nltk.downloader maxent_treebank_pos_tagger -python -m nltk.downloader wordnet + virtualenv venv_clicon + source venv_clicon/bin/activate + source /home/willie/clicon/venv_clicon/bin/activate + git clone https://github.com/mitmedg/CliCon.git + cd CliCon + git checkout documentation +} -# Get libsvm -cd "$DIR/lib" -wget "http://www.csie.ntu.edu.tw/~cjlin/cgi-bin/libsvm.cgi?+http://www.csie.ntu.edu.tw/~cjlin/libsvm+zip" -O "libsvm-3.14.zip" -unzip "libsvm-3.14.zip" -ln -s "libsvm-3.14" "libsvm" -rm "libsvm-3.14.zip" -cd "libsvm" -make +function environ_clicon { + # Set environment variable (check if it is defined) + if [[ "$CLICON_DIR" = "" ]] ; then + echo -e "\n\t" + echo -e "Appending line to ~/.bashrc to remember environment variable\n" + echo "export CLICON_DIR=\"$(pwd)/clicon/CliCon\"" >> ~/.bashrc + source ~/.bashrc + export CLICON_DIR -# Get liblinear -cd "$DIR/lib" -wget "http://www.csie.ntu.edu.tw/~cjlin/cgi-bin/liblinear.cgi?+http://www.csie.ntu.edu.tw/~cjlin/liblinear+zip" -O "liblinear-1.92.zip" -unzip "liblinear-1.92.zip" + fi -ln -s "liblinear-1.92" "liblinear" -rm "liblinear-1.92.zip" + setup_environ=0 +} -cd "liblinear" -make -# Get liblbfgs -cd "$DIR/lib" -wget "https://github.com/downloads/chokkan/liblbfgs/liblbfgs-1.10.tar.gz" -O "liblbfgs-1.10.tar.gz" -tar -xvzf "liblbfgs-1.10.tar.gz" +function install_clicon { -ln -s "liblbfgs-1.10" "liblbfgs" -rm "liblbfgs-1.10.tar.gz" + # Get python dependencies + easy_install pip + easy_install simplejson + pip install Flask + pip install -U pyyaml + + # Install nltk data + python -m nltk.downloader maxent_treebank_pos_tagger + python -m nltk.downloader wordnet + + + # apt-get doesn't seem to be working at getting numpy + pip install numpy scikit-learn scipy + setup_dependencies=$? + + + # Success? + if ! [[ $setup_dependencies -eq 0 ]] ; then + + # apt-get some packages + read -p "\nPython dependencies failed. Would you like to try again with apt-get (y/n)? " yn + + if [[ "$yn" = "y" ]] ; then + # Install required packages + # sudo apt-get g++ gfortran libopenblas-dev liblapack-dev + + # Try again + pip install numpy scikit-learn scipy + setup_dependencies=$? + fi + fi + +} + + + +# Get data +function get_i2b2 { + echo "get_i2b2 stub" +} + + + +# Get UMLS +function get_umls { + echo "get_umls stub" +} + + + +# Get GENIA +function get_genia { + + # save current path + old_path=$(pwd) + + # Get sources + cd $CLICON_DIR/clicon/features/genia + wget http://www.nactem.ac.uk/tsujii/GENIA/tagger/geniatagger-3.0.1.tar.gz + tar xzvf geniatagger-3.0.1.tar.gz + + # Build GENIA tagger + cd geniatagger-3.0.1/ + echo "$(sed '1i#include ' morph.cpp)" > morph.cpp # fix build error + make + + # Successful build ? + if ! [[ $? -eq 0 ]] ; then + echo "there was a build error in GENIA" + setup_genia=1 + return + fi + + # Set config file location of tagger + config_file="$CLICON_DIR/clicon/features/features.config" + out_tmp="out.tmp.txt" + echo "GENIA $(pwd)/geniatagger" > $out_tmp + while read line ; do + if ! [[ $line = GENIA* ]] ; then + echo $line >> $out_tmp + fi + done < "$config_file" + mv $out_tmp $config_file + + + # Success + setup_genia=0 + + # return to original path + cd $old_path +} -cd "liblbfgs" -./configure -make -make install # Get crfsuite -cd "$DIR/lib" -wget "https://github.com/downloads/chokkan/crfsuite/crfsuite-0.12.tar.gz" -O "crfsuite-0.12.tar.gz" -tar -xvzf "crfsuite-0.12.tar.gz" +function get_crfsuite { + echo "crfsuite not supported by CliCon yet" +} + + + +# Setup 'clicon' command for CLI +function setup { + cd $CLICON_DIR + python setup.py install + setup_install=$? +} + + + +# Base directory cannot exist yet +if [[ -e clicon ]] ; then + echo -e "\n\tError: Cannot already have a file named 'clicon' in directory\n" +else + + # Install resources + create_clicon + environ_clicon + install_clicon + get_genia + setup + + echo -e "\n\n" + + # Print installation successes/failures + if [[ $setup_environ -eq 0 ]] ; then + echo "Environemt variable confiuration -- SUCCESS" + else + echo "Environemt variable confiuration -- FAILURE" + echo -e "\tSee README for details" + fi + + + if [[ $setup_dependencies -eq 0 ]] ; then + echo "Install python dependencies -- SUCCESS" + else + echo "Install python dependencies -- FAILURE" + echo -e "\tSee README for details" + fi + -ln -s "crfsuite-0.12" "crfsuite" -rm "crfsuite-0.12.tar.gz" + if [[ $setup_genia -eq 0 ]] ; then + echo "Install GENIA tagger -- SUCCESS" + else + echo "Install GENIA tagger -- FAILURE" + echo -e "\tSee README for details" + fi -cd "crfsuite" -./configure -make -make install + if [[ $setup_install -eq 0 ]] ; then + echo "Install 'clicon' command for CLI -- SUCCESS" + else + echo "Install 'clicon' command for CLI -- FAILURE" + echo -e "\tSee README for details" + fi +fi From 0f546749655775d547e2dc996c2687813e40ef26 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Fri, 1 Aug 2014 11:55:38 -0400 Subject: [PATCH 170/393] Make README examples more robust --- README.rst | 9 +++++---- 1 file changed, 5 insertions(+), 4 deletions(-) diff --git a/README.rst b/README.rst index b18449c..36566d3 100644 --- a/README.rst +++ b/README.rst @@ -177,6 +177,7 @@ Installation Script + 7. Create 'clicon' command for CLI In order to run CliCon (as done in the usage examples), you must run setup.py. @@ -187,7 +188,7 @@ Installation Script example: - (venv_clicon)user@your-machine:~/CliCon$ python setup.py install + (venv_clicon)user@your-machine:~/CliCon$ python $CLICON_DIR/setup.py install (venv_clicon)user@your-machine:~/CliCon$ clicon --help @@ -207,9 +208,9 @@ Usage Examples CliCon is a Machine Learning interface for concept extraction. It is able to train and predict on data. It can also change formats from i2b2 <-> xml. Soon, it will also provide an evaluation metric to see how correct its predictions actually are. example 1: Sanity Check - Train/Predict on the same file - (venv_clicon)user@your-machine:~/CliCon$ clicon train examples/pretend.txt --annotations examples/pretend.con + (venv_clicon)user@your-machine:~/CliCon$ clicon train $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/examples/pretend.con - (venv_clicon)user@your-machine:~/CliCon$ clicon predict examples/pretend.txt --out data/test_data/ + (venv_clicon)user@your-machine:~/CliCon$ clicon predict $CLICON_DIR/examples/pretend.txt --out $CLICON_DIR/data/test_data/ - (venv_clicon)user@your-machine:~/CliCon$ clicon format examples/pretend.txt --annotations data/test_data/lin/pretend.con --format xml + (venv_clicon)user@your-machine:~/CliCon$ clicon format $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/data/test_data/lin/pretend.con --format xml From 20537c16e9597f1e6da2e57b178c67bf623d3923 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Fri, 1 Aug 2014 11:55:38 -0400 Subject: [PATCH 171/393] Make README examples more robust --- README.rst | 9 +++++---- 1 file changed, 5 insertions(+), 4 deletions(-) diff --git a/README.rst b/README.rst index b18449c..36566d3 100644 --- a/README.rst +++ b/README.rst @@ -177,6 +177,7 @@ Installation Script + 7. Create 'clicon' command for CLI In order to run CliCon (as done in the usage examples), you must run setup.py. @@ -187,7 +188,7 @@ Installation Script example: - (venv_clicon)user@your-machine:~/CliCon$ python setup.py install + (venv_clicon)user@your-machine:~/CliCon$ python $CLICON_DIR/setup.py install (venv_clicon)user@your-machine:~/CliCon$ clicon --help @@ -207,9 +208,9 @@ Usage Examples CliCon is a Machine Learning interface for concept extraction. It is able to train and predict on data. It can also change formats from i2b2 <-> xml. Soon, it will also provide an evaluation metric to see how correct its predictions actually are. example 1: Sanity Check - Train/Predict on the same file - (venv_clicon)user@your-machine:~/CliCon$ clicon train examples/pretend.txt --annotations examples/pretend.con + (venv_clicon)user@your-machine:~/CliCon$ clicon train $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/examples/pretend.con - (venv_clicon)user@your-machine:~/CliCon$ clicon predict examples/pretend.txt --out data/test_data/ + (venv_clicon)user@your-machine:~/CliCon$ clicon predict $CLICON_DIR/examples/pretend.txt --out $CLICON_DIR/data/test_data/ - (venv_clicon)user@your-machine:~/CliCon$ clicon format examples/pretend.txt --annotations data/test_data/lin/pretend.con --format xml + (venv_clicon)user@your-machine:~/CliCon$ clicon format $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/data/test_data/lin/pretend.con --format xml From 2de3cfff75646a5b0e7f0761e1634046c996544b Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Fri, 1 Aug 2014 12:06:48 -0400 Subject: [PATCH 172/393] minor edits to README --- README.rst | 49 +++++++++++++++++++++++++++---------------------- 1 file changed, 27 insertions(+), 22 deletions(-) diff --git a/README.rst b/README.rst index 36566d3..262eff6 100644 --- a/README.rst +++ b/README.rst @@ -93,7 +93,7 @@ Installation Script - nltk (AND run the NLTK downloader) - These modules, themselves may have dependencies to install. If necessary, sudo apt-get install these packages (on Ubuntu) + These modules, themselves may have dependencies to install. If necessary, sudo apt-get install these packages Ubuntu: - g++ @@ -107,16 +107,15 @@ Installation Script example: - (venv_clicon)user@your-machine:~/CliCon$ sudo apt-get install g++ gfortran libopenblas-dev liblapack-dev -Y + (venv_clicon)user@your-machine:~/CliCon$ sudo apt-get install g++ gfortran libopenblas-dev liblapack-dev -y (venv_clicon)user@your-machine:~/CliCon$ pip install numpy scikit-learn scipy nltk - (venv_clicon)user@your-machine:~/CliCon$ python setup.py install -4. Get data +4. Get i2b2 data The Data Use and Confidentiality Agreement with i2b2 forbids us from redistributing their data. In order to gain access, you must go to: @@ -125,55 +124,61 @@ Installation Script to register and sign the DUA. Then you will be able to request the data through them. - Although we cannot provide actual i2b2 data, there is a sample to demonstrate how the data is formatted (not actual data from i2b2, though). Here is a very basic description of the data formats. It is by no means a complete tutorial. + Although we cannot provide i2b2 data, there is a sample to demonstrate how the data is formatted (not actual data from i2b2, though). Here is a very basic description of the data formats. It is by no means a complete tutorial. Go to the '$CLICON_DIR/examples' directory. pretend.txt - This is a text file. Discharge summaries are written out as-is, just like this. It is paired with a concept file to reveal te full picture. + This is a text file. Discharge summaries are written out in plaintext, just like this. It is paired with a concept file, which has its annotations. pretend.con - This is a concept file. It provides annotations for the concepts (problem, treatment, test) of the text file. The format describes the word span, the line number and token numbers of the span (delimited by white space), and the label of the concept. + This is a concept file. It provides annotations for the concepts (problem, treatment, test) of the text file. The format is as follows - each instance of a concept has one line. The line describes the word span, the line number and token numbers of the span (delimited by white space), and the label of the concept. pretend.xml - This is an alternative way to annotate concepts from a discharge summary. Unlike the text/concept files, this format is not in a pair - it alone provides annotations for a discharge summary. This format is easier to read. + This is an alternative way to annotate concepts from a discharge summary. Unlike the text/concept files, this format is not in a pair - it provides both the text and annotations for the discharge summary. This format is easier to read. -5. Get UMLS tables (optional) - In order to use the UMLS tables, you must request a license. See: +5. Install GENIA tagger (optional) - http://www.nlm.nih.gov/databases/umls.html + This is an optional part of installation. Adding the GENIA tagger will improve results of the system's predictions, but it could run without it. - You will need to get following tables: MRREL, MRCON, MRSTY + Steps - Put these tables in the $CLICON_DIR/umls_tables directory. + 1. First you must download the sources for GENIA. Do that with 'wget http://www.nactem.ac.uk/tsujii/GENIA/tagger/geniatagger-3.0.1.tar.gz' - In order to tell CliCon that the tables are there, you must edit the file $CLICON_DIR/clicon/features and change the line saying "UMLS None" to "UMLS ". + 2. In order to compile the sources, you may need to edit a C++ so that it has an additional include directive. Basically, morph.cpp needs to include cstdlib. This should be able to be accomplished by enterring the geniatagger-3.0.1/ directory and running 'echo "$(sed '1i#include ' morph.cpp)" > morph.cpp' + 3. Compile GENIA. This is simple. Just run 'make' + 4. If you do not have any errors, then the tagger has been built successfully. If there were compile errors, try to resolve them (it'd be one of those "well it works for me" scenarios). + 5. Set the file "$CLICON_DIR/clicon/features/features.config" so that the line that has "GENIA None" is replaced with "GENIA '. This file is how CliCon is able to find and run the tagger. -6. Install GENIA tagger (optional) - This is an optional part of installation. Adding the GENIA tagger will improve results of the system's predictions, but it could run without it. - Steps - 1. First you must download the sources for GENIA. Do that with 'wget http://www.nactem.ac.uk/tsujii/GENIA/tagger/geniatagger-3.0.1.tar.gz' - 2. In order to compile the sources, you may need to edit a C++ so that it has an additional include directive. Basically, morph.cpp needs to include cstdlib. This should be able to be accomplished by enterring the geniatagger-3.0.1/ directory and running 'echo "$(sed '1i#include ' morph.cpp)" > morph.cpp' +6. Get UMLS tables (optional) - 3. Compile GENIA. This is simple. Just run 'make' + This is an optional part of installation. Adding the UMLS tables will improve results of the system's predictions, but it could run without it. + + In order to use the UMLS tables, you must request a license. See: + + http://www.nlm.nih.gov/databases/umls.html + + You will need to get following tables: MRREL, MRCON, MRSTY + + Put these tables in the $CLICON_DIR/umls_tables directory. + + In order to tell CliCon that the tables are there, you must edit the file "$CLICON_DIR/clicon/features" and change the line saying "UMLS None" to "UMLS ". - 4. If you do not have any errors, then the tagger has been built successfully. If there were compile errors, try to resolve them (it'd be one of those "well it works for me" scenarios). - 5. Set the file "$CLICON_DIR/clicon/features/features.config" so that the line that has "GENIA None" is replaced with "GENIA '. This file is how CliCon is able to find and run the tagger. From cbf76bd296b4a1e1712154b6de8553210f25583d Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Fri, 1 Aug 2014 12:06:48 -0400 Subject: [PATCH 173/393] minor edits to README --- README.rst | 49 +++++++++++++++++++++++++++---------------------- 1 file changed, 27 insertions(+), 22 deletions(-) diff --git a/README.rst b/README.rst index 36566d3..262eff6 100644 --- a/README.rst +++ b/README.rst @@ -93,7 +93,7 @@ Installation Script - nltk (AND run the NLTK downloader) - These modules, themselves may have dependencies to install. If necessary, sudo apt-get install these packages (on Ubuntu) + These modules, themselves may have dependencies to install. If necessary, sudo apt-get install these packages Ubuntu: - g++ @@ -107,16 +107,15 @@ Installation Script example: - (venv_clicon)user@your-machine:~/CliCon$ sudo apt-get install g++ gfortran libopenblas-dev liblapack-dev -Y + (venv_clicon)user@your-machine:~/CliCon$ sudo apt-get install g++ gfortran libopenblas-dev liblapack-dev -y (venv_clicon)user@your-machine:~/CliCon$ pip install numpy scikit-learn scipy nltk - (venv_clicon)user@your-machine:~/CliCon$ python setup.py install -4. Get data +4. Get i2b2 data The Data Use and Confidentiality Agreement with i2b2 forbids us from redistributing their data. In order to gain access, you must go to: @@ -125,55 +124,61 @@ Installation Script to register and sign the DUA. Then you will be able to request the data through them. - Although we cannot provide actual i2b2 data, there is a sample to demonstrate how the data is formatted (not actual data from i2b2, though). Here is a very basic description of the data formats. It is by no means a complete tutorial. + Although we cannot provide i2b2 data, there is a sample to demonstrate how the data is formatted (not actual data from i2b2, though). Here is a very basic description of the data formats. It is by no means a complete tutorial. Go to the '$CLICON_DIR/examples' directory. pretend.txt - This is a text file. Discharge summaries are written out as-is, just like this. It is paired with a concept file to reveal te full picture. + This is a text file. Discharge summaries are written out in plaintext, just like this. It is paired with a concept file, which has its annotations. pretend.con - This is a concept file. It provides annotations for the concepts (problem, treatment, test) of the text file. The format describes the word span, the line number and token numbers of the span (delimited by white space), and the label of the concept. + This is a concept file. It provides annotations for the concepts (problem, treatment, test) of the text file. The format is as follows - each instance of a concept has one line. The line describes the word span, the line number and token numbers of the span (delimited by white space), and the label of the concept. pretend.xml - This is an alternative way to annotate concepts from a discharge summary. Unlike the text/concept files, this format is not in a pair - it alone provides annotations for a discharge summary. This format is easier to read. + This is an alternative way to annotate concepts from a discharge summary. Unlike the text/concept files, this format is not in a pair - it provides both the text and annotations for the discharge summary. This format is easier to read. -5. Get UMLS tables (optional) - In order to use the UMLS tables, you must request a license. See: +5. Install GENIA tagger (optional) - http://www.nlm.nih.gov/databases/umls.html + This is an optional part of installation. Adding the GENIA tagger will improve results of the system's predictions, but it could run without it. - You will need to get following tables: MRREL, MRCON, MRSTY + Steps - Put these tables in the $CLICON_DIR/umls_tables directory. + 1. First you must download the sources for GENIA. Do that with 'wget http://www.nactem.ac.uk/tsujii/GENIA/tagger/geniatagger-3.0.1.tar.gz' - In order to tell CliCon that the tables are there, you must edit the file $CLICON_DIR/clicon/features and change the line saying "UMLS None" to "UMLS ". + 2. In order to compile the sources, you may need to edit a C++ so that it has an additional include directive. Basically, morph.cpp needs to include cstdlib. This should be able to be accomplished by enterring the geniatagger-3.0.1/ directory and running 'echo "$(sed '1i#include ' morph.cpp)" > morph.cpp' + 3. Compile GENIA. This is simple. Just run 'make' + 4. If you do not have any errors, then the tagger has been built successfully. If there were compile errors, try to resolve them (it'd be one of those "well it works for me" scenarios). + 5. Set the file "$CLICON_DIR/clicon/features/features.config" so that the line that has "GENIA None" is replaced with "GENIA '. This file is how CliCon is able to find and run the tagger. -6. Install GENIA tagger (optional) - This is an optional part of installation. Adding the GENIA tagger will improve results of the system's predictions, but it could run without it. - Steps - 1. First you must download the sources for GENIA. Do that with 'wget http://www.nactem.ac.uk/tsujii/GENIA/tagger/geniatagger-3.0.1.tar.gz' - 2. In order to compile the sources, you may need to edit a C++ so that it has an additional include directive. Basically, morph.cpp needs to include cstdlib. This should be able to be accomplished by enterring the geniatagger-3.0.1/ directory and running 'echo "$(sed '1i#include ' morph.cpp)" > morph.cpp' +6. Get UMLS tables (optional) - 3. Compile GENIA. This is simple. Just run 'make' + This is an optional part of installation. Adding the UMLS tables will improve results of the system's predictions, but it could run without it. + + In order to use the UMLS tables, you must request a license. See: + + http://www.nlm.nih.gov/databases/umls.html + + You will need to get following tables: MRREL, MRCON, MRSTY + + Put these tables in the $CLICON_DIR/umls_tables directory. + + In order to tell CliCon that the tables are there, you must edit the file "$CLICON_DIR/clicon/features" and change the line saying "UMLS None" to "UMLS ". - 4. If you do not have any errors, then the tagger has been built successfully. If there were compile errors, try to resolve them (it'd be one of those "well it works for me" scenarios). - 5. Set the file "$CLICON_DIR/clicon/features/features.config" so that the line that has "GENIA None" is replaced with "GENIA '. This file is how CliCon is able to find and run the tagger. From 6470c73f12bc116243c2800cbffd33d103b12d99 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Fri, 1 Aug 2014 12:08:49 -0400 Subject: [PATCH 174/393] Minor edits in install.sh --- install.sh | 17 ----------------- 1 file changed, 17 deletions(-) diff --git a/install.sh b/install.sh index b5e5d2e..4476419 100755 --- a/install.sh +++ b/install.sh @@ -22,11 +22,9 @@ function create_clicon { virtualenv venv_clicon source venv_clicon/bin/activate - source /home/willie/clicon/venv_clicon/bin/activate git clone https://github.com/mitmedg/CliCon.git cd CliCon - git checkout documentation } @@ -86,20 +84,6 @@ function install_clicon { -# Get data -function get_i2b2 { - echo "get_i2b2 stub" -} - - - -# Get UMLS -function get_umls { - echo "get_umls stub" -} - - - # Get GENIA function get_genia { @@ -206,6 +190,5 @@ else echo -e "\tSee README for details" fi - fi From 38d8b1dda1675633f7a368c300eb15131660ccfc Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Fri, 1 Aug 2014 12:08:49 -0400 Subject: [PATCH 175/393] Minor edits in install.sh --- install.sh | 17 ----------------- 1 file changed, 17 deletions(-) diff --git a/install.sh b/install.sh index b5e5d2e..4476419 100755 --- a/install.sh +++ b/install.sh @@ -22,11 +22,9 @@ function create_clicon { virtualenv venv_clicon source venv_clicon/bin/activate - source /home/willie/clicon/venv_clicon/bin/activate git clone https://github.com/mitmedg/CliCon.git cd CliCon - git checkout documentation } @@ -86,20 +84,6 @@ function install_clicon { -# Get data -function get_i2b2 { - echo "get_i2b2 stub" -} - - - -# Get UMLS -function get_umls { - echo "get_umls stub" -} - - - # Get GENIA function get_genia { @@ -206,6 +190,5 @@ else echo -e "\tSee README for details" fi - fi From d13df4742e470ff489ea7f2cf9ef8141ced8886b Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Fri, 1 Aug 2014 12:35:48 -0400 Subject: [PATCH 176/393] Added pip install for nose --- install.sh | 1 + 1 file changed, 1 insertion(+) diff --git a/install.sh b/install.sh index 4476419..acac056 100755 --- a/install.sh +++ b/install.sh @@ -52,6 +52,7 @@ function install_clicon { easy_install pip easy_install simplejson pip install Flask + pip install nose pip install -U pyyaml # Install nltk data From d232763ab53215cb3450997156e56e987f5686d5 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Fri, 1 Aug 2014 12:35:48 -0400 Subject: [PATCH 177/393] Added pip install for nose --- install.sh | 1 + 1 file changed, 1 insertion(+) diff --git a/install.sh b/install.sh index 4476419..acac056 100755 --- a/install.sh +++ b/install.sh @@ -52,6 +52,7 @@ function install_clicon { easy_install pip easy_install simplejson pip install Flask + pip install nose pip install -U pyyaml # Install nltk data From d55c6f2b103e0231850b312cf587d10240a6601c Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Fri, 1 Aug 2014 13:26:35 -0400 Subject: [PATCH 178/393] Forgot to mention install.sh must be run with 'source', not 'bash' --- README.rst | 2 +- 1 file changed, 1 insertion(+), 1 deletion(-) diff --git a/README.rst b/README.rst index 262eff6..4da1ecf 100644 --- a/README.rst +++ b/README.rst @@ -33,7 +33,7 @@ Installation Script For Ubuntu users, there is a script that should be able to download most of the pieces of this project. Note, it cannot get priveleged tools (such as the i2b2 data and the UMLS tables) - you must get those two pieces yourself. - To run the script, copy 'install.sh' from Github and enter the directory you'd like to house this project. NOTE: The script will git clone CliCon for you, so do not do that yourself if you use the script. + To run the script, copy 'install.sh' from Github and enter the directory you'd like to house this project. Run the script with **source install.sh** NOTE: The script will git clone CliCon for you, so do not do that yourself if you use the script. The script will try to download CliCon's third party dependencies and will report back what tools could/couldn't be acquired. Ideally, it will get everything except for the i2b2 data and the UMLS tables. From d92b86192f24b3eb085fb254c28450c9c1e9566e Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Fri, 1 Aug 2014 13:26:35 -0400 Subject: [PATCH 179/393] Forgot to mention install.sh must be run with 'source', not 'bash' --- README.rst | 2 +- 1 file changed, 1 insertion(+), 1 deletion(-) diff --git a/README.rst b/README.rst index 262eff6..4da1ecf 100644 --- a/README.rst +++ b/README.rst @@ -33,7 +33,7 @@ Installation Script For Ubuntu users, there is a script that should be able to download most of the pieces of this project. Note, it cannot get priveleged tools (such as the i2b2 data and the UMLS tables) - you must get those two pieces yourself. - To run the script, copy 'install.sh' from Github and enter the directory you'd like to house this project. NOTE: The script will git clone CliCon for you, so do not do that yourself if you use the script. + To run the script, copy 'install.sh' from Github and enter the directory you'd like to house this project. Run the script with **source install.sh** NOTE: The script will git clone CliCon for you, so do not do that yourself if you use the script. The script will try to download CliCon's third party dependencies and will report back what tools could/couldn't be acquired. Ideally, it will get everything except for the i2b2 data and the UMLS tables. From 19596140ec9c63e1e6bf78826c852991884e7a28 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Fri, 1 Aug 2014 13:43:28 -0400 Subject: [PATCH 180/393] typo in README --- README.rst | 4 ++-- 1 file changed, 2 insertions(+), 2 deletions(-) diff --git a/README.rst b/README.rst index 4da1ecf..76d34b5 100644 --- a/README.rst +++ b/README.rst @@ -215,7 +215,7 @@ Usage Examples example 1: Sanity Check - Train/Predict on the same file (venv_clicon)user@your-machine:~/CliCon$ clicon train $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/examples/pretend.con - (venv_clicon)user@your-machine:~/CliCon$ clicon predict $CLICON_DIR/examples/pretend.txt --out $CLICON_DIR/data/test_data/ + (venv_clicon)user@your-machine:~/CliCon$ clicon predict $CLICON_DIR/examples/pretend.txt --out $CLICON_DIR/data/test_predictions/ - (venv_clicon)user@your-machine:~/CliCon$ clicon format $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/data/test_data/lin/pretend.con --format xml + (venv_clicon)user@your-machine:~/CliCon$ clicon format $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/data/test_predictions/lin/pretend.con --format xml From 344a25cb45600cc258eb0447b78c50b01f6053c7 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Fri, 1 Aug 2014 13:43:28 -0400 Subject: [PATCH 181/393] typo in README --- README.rst | 4 ++-- 1 file changed, 2 insertions(+), 2 deletions(-) diff --git a/README.rst b/README.rst index 4da1ecf..76d34b5 100644 --- a/README.rst +++ b/README.rst @@ -215,7 +215,7 @@ Usage Examples example 1: Sanity Check - Train/Predict on the same file (venv_clicon)user@your-machine:~/CliCon$ clicon train $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/examples/pretend.con - (venv_clicon)user@your-machine:~/CliCon$ clicon predict $CLICON_DIR/examples/pretend.txt --out $CLICON_DIR/data/test_data/ + (venv_clicon)user@your-machine:~/CliCon$ clicon predict $CLICON_DIR/examples/pretend.txt --out $CLICON_DIR/data/test_predictions/ - (venv_clicon)user@your-machine:~/CliCon$ clicon format $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/data/test_data/lin/pretend.con --format xml + (venv_clicon)user@your-machine:~/CliCon$ clicon format $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/data/test_predictions/lin/pretend.con --format xml From 4da7ae2542d39f48d7c07afa4684196f53f899e8 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Mon, 4 Aug 2014 20:53:21 -0400 Subject: [PATCH 182/393] adjust model.py to use crfsuite's SWIG wrapper --- clicon/model.py | 100 +++++++++++++++++++--------------------------- clicon/predict.py | 35 ++++++++-------- clicon/train.py | 2 +- 3 files changed, 58 insertions(+), 79 deletions(-) diff --git a/clicon/model.py b/clicon/model.py index 6e8931a..b0b65bf 100644 --- a/clicon/model.py +++ b/clicon/model.py @@ -4,7 +4,7 @@ import cPickle as pickle import helper import sci -import libml +import crf import sys from sklearn.feature_extraction import DictVectorizer @@ -39,7 +39,7 @@ def load(filename='awesome.model'): return model - def __init__(self, filename='awesome.model', type=sci.LIN, crf=False): + def __init__(self, filename='awesome.model', is_crf=False): model_directory = os.path.dirname(filename) if model_directory != "": @@ -53,13 +53,12 @@ def __init__(self, filename='awesome.model', type=sci.LIN, crf=False): self.second_vec = DictVectorizer() # Classifiers - self.first_prose_clfs = {} - self.first_nonprose_clfs = {} - self.second_clfs = {} + self.first_prose_clfs = None + self.first_nonprose_clfs = None + self.second_clfs = None - # FIXME: Only using scikit's SVM - self.type = sci.LIN - self.crf = crf + # Is CRF enabled? + self.is_crf = is_crf @@ -197,16 +196,13 @@ def first_train(self, data, Y, do_grid=True): # Train classifiers - if self.crf: - prose_f = self.filename + '.prose' - nonprose_f = self.filename + '.nonprose' - - libml.train(self.crf, prose_f , X_prose , Y_prose ) - libml.train(self.crf, nonprose_f, X_nonprose, Y_nonprose) + if self.is_crf: + self.first_prose_clfs = crf.train(X_prose , Y_prose , do_grid) + self.first_nonprose_clfs = crf.train(X_nonprose, Y_nonprose, do_grid) else: - self.first_prose_clfs = sci.train(X_prose , Y_prose , self.type, do_grid) - self.first_nonprose_clfs = sci.train(X_nonprose, Y_nonprose, self.type, do_grid) + self.first_prose_clfs = sci.train(X_prose , Y_prose , do_grid) + self.first_nonprose_clfs = sci.train(X_nonprose, Y_nonprose, do_grid) @@ -262,7 +258,7 @@ def second_train(self, data, inds_list, Y, do_grid=True): # Train the model - self.second_clfs = sci.train(X, Y, self.type, do_grid) + self.second_clfs = sci.train(X, Y, do_grid) @@ -353,22 +349,19 @@ def first_predict(self, data): # Predict - if self.crf: - prose_f = self.filename + '.prose' - nonprose_f = self.filename + '.nonprose' - - out_p = libml.predict(self.crf, prose_f , X_prose ) - out_n = libml.predict(self.crf, nonprose_f, X_nonprose) + if self.is_crf: + out_p = crf.predict(self.first_prose_clfs , X_prose, ) + out_n = crf.predict(self.first_nonprose_clfs, X_nonprose) exit() else: - out_p = sci.predict(self.first_prose_clfs , X_prose, sci.LIN) - out_n = sci.predict(self.first_nonprose_clfs, X_nonprose,sci.LIN) + out_p = sci.predict(self.first_prose_clfs , X_prose, ) + out_n = sci.predict(self.first_nonprose_clfs, X_nonprose) # Format labels - plist = [ n for n in list(out_p[sci.LIN]) ] - nlist = [ n for n in list(out_n[sci.LIN]) ] + plist = [ n for n in list(out_p) ] + nlist = [ n for n in list(out_n) ] # Stitch prose and nonprose labels lists together @@ -439,51 +432,40 @@ def second_predict(self, data, inds_list): # Predict concept labels - out = sci.predict(self.second_clfs, X, sci.LIN) - + out = sci.predict(self.second_clfs, X) - # FIXME - Output prediction labels are entirely wrong - # ex. trained on file with 3 concepts (prob,treat,treat) and predicted - # on same file. Got (test,test,test) as labels + # List of concept tuples to return + classifications = [] - retVal = {} - for t in sci.bits(self.type): - # Index into output dictionary - o = list(out[t]) - classifications = [] + # Line-by-line processing + for lineno,inds in enumerate(inds_list): + # Skip empty line + if not inds: continue - # Line-by-line processing - for lineno,inds in enumerate(inds_list): - # Skip empty line - if not inds: continue + # For each concept + for ind in inds: + # Get next concept + concept = Model.reverse_labels[out.pop(0)] - # For each concept - for ind in inds: + # Get start position (ex. 7th word of line) + start = 0 + for i in range(ind): + start += len( data[lineno][i].split() ) - # Get next concept - concept = Model.reverse_labels[o.pop(0)] + # Length of chunk + length = len(data[lineno][ind].split()) - # Get start position (ex. 7th word of line) - start = 0 - for i in range(ind): - start += len( data[lineno][i].split() ) + # Classification token + classifications.append( (concept, lineno, start, start+length-1 ) ) - # Length of chunk - length = len(data[lineno][ind].split()) - # Classification token - classifications.append( (concept, lineno, start, start+length-1 ) ) - - retVal[t] = classifications - - - # Return values - return retVal + # Return classifications + return classifications diff --git a/clicon/predict.py b/clicon/predict.py index 6e2850f..bad397f 100644 --- a/clicon/predict.py +++ b/clicon/predict.py @@ -92,25 +92,22 @@ def main(): con = con[:-3] + 'con' - for t in sci.bits(model.type): - - if t == sci.LIN: - helper.mkpath(os.path.join(args.output, "lin")) - con_path = os.path.join(args.output, "lin", con) - - - # Get predictions in proper format - if format == 'i2b2': - output = note.write_i2b2_con(labels[t]) - elif format == 'xml': - output = note.write_xml(labels[t]) - else: - output = '' - - # Output the concept predictions - print '\n\nwriting to: ', con_path - with open(con_path, 'w') as f: - print >>f, output + helper.mkpath(os.path.join(args.output, "lin")) + con_path = os.path.join(args.output, "lin", con) + + + # Get predictions in proper format + if format == 'i2b2': + output = note.write_i2b2_con(labels) + elif format == 'xml': + output = note.write_xml(labels) + else: + output = '' + + # Output the concept predictions + print '\n\nwriting to: ', con_path + with open(con_path, 'w') as f: + print >>f, output print '' diff --git a/clicon/train.py b/clicon/train.py index c6c25d4..0d5e4d5 100644 --- a/clicon/train.py +++ b/clicon/train.py @@ -123,7 +123,7 @@ def main(): # Create a Machine Learning model - model = Model(filename = args.model, type = libml.LIN, crf=crfsuite) + model = Model(filename = args.model, is_crf=crfsuite) # Train the model using the Note's data From 7ffb0ae10cea74f42b2e3ca03bb85f23931bd199 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Mon, 4 Aug 2014 20:53:21 -0400 Subject: [PATCH 183/393] adjust model.py to use crfsuite's SWIG wrapper --- clicon/model.py | 100 +++++++++++++++++++--------------------------- clicon/predict.py | 35 ++++++++-------- clicon/train.py | 2 +- 3 files changed, 58 insertions(+), 79 deletions(-) diff --git a/clicon/model.py b/clicon/model.py index 6e8931a..b0b65bf 100644 --- a/clicon/model.py +++ b/clicon/model.py @@ -4,7 +4,7 @@ import cPickle as pickle import helper import sci -import libml +import crf import sys from sklearn.feature_extraction import DictVectorizer @@ -39,7 +39,7 @@ def load(filename='awesome.model'): return model - def __init__(self, filename='awesome.model', type=sci.LIN, crf=False): + def __init__(self, filename='awesome.model', is_crf=False): model_directory = os.path.dirname(filename) if model_directory != "": @@ -53,13 +53,12 @@ def __init__(self, filename='awesome.model', type=sci.LIN, crf=False): self.second_vec = DictVectorizer() # Classifiers - self.first_prose_clfs = {} - self.first_nonprose_clfs = {} - self.second_clfs = {} + self.first_prose_clfs = None + self.first_nonprose_clfs = None + self.second_clfs = None - # FIXME: Only using scikit's SVM - self.type = sci.LIN - self.crf = crf + # Is CRF enabled? + self.is_crf = is_crf @@ -197,16 +196,13 @@ def first_train(self, data, Y, do_grid=True): # Train classifiers - if self.crf: - prose_f = self.filename + '.prose' - nonprose_f = self.filename + '.nonprose' - - libml.train(self.crf, prose_f , X_prose , Y_prose ) - libml.train(self.crf, nonprose_f, X_nonprose, Y_nonprose) + if self.is_crf: + self.first_prose_clfs = crf.train(X_prose , Y_prose , do_grid) + self.first_nonprose_clfs = crf.train(X_nonprose, Y_nonprose, do_grid) else: - self.first_prose_clfs = sci.train(X_prose , Y_prose , self.type, do_grid) - self.first_nonprose_clfs = sci.train(X_nonprose, Y_nonprose, self.type, do_grid) + self.first_prose_clfs = sci.train(X_prose , Y_prose , do_grid) + self.first_nonprose_clfs = sci.train(X_nonprose, Y_nonprose, do_grid) @@ -262,7 +258,7 @@ def second_train(self, data, inds_list, Y, do_grid=True): # Train the model - self.second_clfs = sci.train(X, Y, self.type, do_grid) + self.second_clfs = sci.train(X, Y, do_grid) @@ -353,22 +349,19 @@ def first_predict(self, data): # Predict - if self.crf: - prose_f = self.filename + '.prose' - nonprose_f = self.filename + '.nonprose' - - out_p = libml.predict(self.crf, prose_f , X_prose ) - out_n = libml.predict(self.crf, nonprose_f, X_nonprose) + if self.is_crf: + out_p = crf.predict(self.first_prose_clfs , X_prose, ) + out_n = crf.predict(self.first_nonprose_clfs, X_nonprose) exit() else: - out_p = sci.predict(self.first_prose_clfs , X_prose, sci.LIN) - out_n = sci.predict(self.first_nonprose_clfs, X_nonprose,sci.LIN) + out_p = sci.predict(self.first_prose_clfs , X_prose, ) + out_n = sci.predict(self.first_nonprose_clfs, X_nonprose) # Format labels - plist = [ n for n in list(out_p[sci.LIN]) ] - nlist = [ n for n in list(out_n[sci.LIN]) ] + plist = [ n for n in list(out_p) ] + nlist = [ n for n in list(out_n) ] # Stitch prose and nonprose labels lists together @@ -439,51 +432,40 @@ def second_predict(self, data, inds_list): # Predict concept labels - out = sci.predict(self.second_clfs, X, sci.LIN) - + out = sci.predict(self.second_clfs, X) - # FIXME - Output prediction labels are entirely wrong - # ex. trained on file with 3 concepts (prob,treat,treat) and predicted - # on same file. Got (test,test,test) as labels + # List of concept tuples to return + classifications = [] - retVal = {} - for t in sci.bits(self.type): - # Index into output dictionary - o = list(out[t]) - classifications = [] + # Line-by-line processing + for lineno,inds in enumerate(inds_list): + # Skip empty line + if not inds: continue - # Line-by-line processing - for lineno,inds in enumerate(inds_list): - # Skip empty line - if not inds: continue + # For each concept + for ind in inds: + # Get next concept + concept = Model.reverse_labels[out.pop(0)] - # For each concept - for ind in inds: + # Get start position (ex. 7th word of line) + start = 0 + for i in range(ind): + start += len( data[lineno][i].split() ) - # Get next concept - concept = Model.reverse_labels[o.pop(0)] + # Length of chunk + length = len(data[lineno][ind].split()) - # Get start position (ex. 7th word of line) - start = 0 - for i in range(ind): - start += len( data[lineno][i].split() ) + # Classification token + classifications.append( (concept, lineno, start, start+length-1 ) ) - # Length of chunk - length = len(data[lineno][ind].split()) - # Classification token - classifications.append( (concept, lineno, start, start+length-1 ) ) - - retVal[t] = classifications - - - # Return values - return retVal + # Return classifications + return classifications diff --git a/clicon/predict.py b/clicon/predict.py index 6e2850f..bad397f 100644 --- a/clicon/predict.py +++ b/clicon/predict.py @@ -92,25 +92,22 @@ def main(): con = con[:-3] + 'con' - for t in sci.bits(model.type): - - if t == sci.LIN: - helper.mkpath(os.path.join(args.output, "lin")) - con_path = os.path.join(args.output, "lin", con) - - - # Get predictions in proper format - if format == 'i2b2': - output = note.write_i2b2_con(labels[t]) - elif format == 'xml': - output = note.write_xml(labels[t]) - else: - output = '' - - # Output the concept predictions - print '\n\nwriting to: ', con_path - with open(con_path, 'w') as f: - print >>f, output + helper.mkpath(os.path.join(args.output, "lin")) + con_path = os.path.join(args.output, "lin", con) + + + # Get predictions in proper format + if format == 'i2b2': + output = note.write_i2b2_con(labels) + elif format == 'xml': + output = note.write_xml(labels) + else: + output = '' + + # Output the concept predictions + print '\n\nwriting to: ', con_path + with open(con_path, 'w') as f: + print >>f, output print '' diff --git a/clicon/train.py b/clicon/train.py index c6c25d4..0d5e4d5 100644 --- a/clicon/train.py +++ b/clicon/train.py @@ -123,7 +123,7 @@ def main(): # Create a Machine Learning model - model = Model(filename = args.model, type = libml.LIN, crf=crfsuite) + model = Model(filename = args.model, is_crf=crfsuite) # Train the model using the Note's data From 5f2f2f56cfe6f29c76fc66f0d24e2bb38a71baff Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Mon, 4 Aug 2014 21:40:36 -0400 Subject: [PATCH 184/393] get rid of self.type --- clicon/model.py | 13 +++++++------ clicon/train.py | 2 +- 2 files changed, 8 insertions(+), 7 deletions(-) diff --git a/clicon/model.py b/clicon/model.py index 4dfe3c1..85b84a1 100644 --- a/clicon/model.py +++ b/clicon/model.py @@ -8,7 +8,10 @@ import sys from sklearn.feature_extraction import DictVectorizer -from features import features +from features import features, read_config + +enabled = read_config.enabled_modules() + class Model: @@ -39,7 +42,7 @@ def load(filename='awesome.model'): return model - def __init__(self, filename='awesome.model', is_crf=False): + def __init__(self, filename='awesome.model'): model_directory = os.path.dirname(filename) if model_directory != "": @@ -57,8 +60,6 @@ def __init__(self, filename='awesome.model', is_crf=False): self.first_nonprose_clfs = None self.second_clfs = None - # Is CRF enabled? - self.is_crf = is_crf @@ -198,7 +199,7 @@ def first_train(self, data, Y, do_grid=True): # Train classifiers - if self.is_crf: + if enabled['CRF']: self.first_prose_clfs = crf.train(X_prose , Y_prose , do_grid) self.first_nonprose_clfs = crf.train(X_nonprose, Y_nonprose, do_grid) @@ -351,7 +352,7 @@ def first_predict(self, data): # Predict - if self.is_crf: + if enabled['CRF']: out_p = crf.predict(self.first_prose_clfs , X_prose, ) out_n = crf.predict(self.first_nonprose_clfs, X_nonprose) diff --git a/clicon/train.py b/clicon/train.py index 0d5e4d5..bb0ff77 100644 --- a/clicon/train.py +++ b/clicon/train.py @@ -123,7 +123,7 @@ def main(): # Create a Machine Learning model - model = Model(filename = args.model, is_crf=crfsuite) + model = Model(filename = args.model) # Train the model using the Note's data From 38554b38308c5a887f327fb2f48a0217ae7151e3 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Mon, 4 Aug 2014 21:40:36 -0400 Subject: [PATCH 185/393] get rid of self.type --- clicon/model.py | 13 +++++++------ clicon/train.py | 2 +- 2 files changed, 8 insertions(+), 7 deletions(-) diff --git a/clicon/model.py b/clicon/model.py index 4dfe3c1..85b84a1 100644 --- a/clicon/model.py +++ b/clicon/model.py @@ -8,7 +8,10 @@ import sys from sklearn.feature_extraction import DictVectorizer -from features import features +from features import features, read_config + +enabled = read_config.enabled_modules() + class Model: @@ -39,7 +42,7 @@ def load(filename='awesome.model'): return model - def __init__(self, filename='awesome.model', is_crf=False): + def __init__(self, filename='awesome.model'): model_directory = os.path.dirname(filename) if model_directory != "": @@ -57,8 +60,6 @@ def __init__(self, filename='awesome.model', is_crf=False): self.first_nonprose_clfs = None self.second_clfs = None - # Is CRF enabled? - self.is_crf = is_crf @@ -198,7 +199,7 @@ def first_train(self, data, Y, do_grid=True): # Train classifiers - if self.is_crf: + if enabled['CRF']: self.first_prose_clfs = crf.train(X_prose , Y_prose , do_grid) self.first_nonprose_clfs = crf.train(X_nonprose, Y_nonprose, do_grid) @@ -351,7 +352,7 @@ def first_predict(self, data): # Predict - if self.is_crf: + if enabled['CRF']: out_p = crf.predict(self.first_prose_clfs , X_prose, ) out_n = crf.predict(self.first_nonprose_clfs, X_nonprose) diff --git a/clicon/train.py b/clicon/train.py index 0d5e4d5..bb0ff77 100644 --- a/clicon/train.py +++ b/clicon/train.py @@ -123,7 +123,7 @@ def main(): # Create a Machine Learning model - model = Model(filename = args.model, is_crf=crfsuite) + model = Model(filename = args.model) # Train the model using the Note's data From 1b6a0542936b8e5da469b00cef569c5c20797426 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Sun, 10 Aug 2014 02:39:30 -0400 Subject: [PATCH 186/393] Fold CRF back using python-crfsuite (with model file workaround) --- clicon/crf.py | 165 ++++++++++++++++++ clicon/features/genia/interface_genia.py | 2 +- clicon/model.py | 136 +++++++++------ clicon/{features => }/read_config.py | 8 +- clicon/sci.py | 1 - clicon/features/features.config => config.txt | 0 6 files changed, 254 insertions(+), 58 deletions(-) create mode 100644 clicon/crf.py rename clicon/{features => }/read_config.py (92%) rename clicon/features/features.config => config.txt (100%) diff --git a/clicon/crf.py b/clicon/crf.py new file mode 100644 index 0000000..e14e619 --- /dev/null +++ b/clicon/crf.py @@ -0,0 +1,165 @@ +###################################################################### +# CliCon - crf.py # +# # +# Willie Boag wboag@cs.uml.edu # +# # +# Purpose: Implement CRF (using python-crfsuite) # +###################################################################### + + +import sys +import os + +import pycrfsuite + + + +def format_features(rows, labels=None): + + retVal = [] + + # For each line + for i,line in enumerate(rows): + + # For each word in the line + for j,features in enumerate(line): + + # Nonzero dimensions + inds = features.nonzero()[1] + + # If label exists + values = [] + if labels: + values.append( str(labels[i][j]) ) + + # Value for each dimension + for k in inds: + values.append( '%d=%d' % (k, features[0,k]) ) + + retVal.append("\t".join(values).strip()) + + # Sentence boundary seperator + retVal.append('') + + # Sanity check + #if labels: + # out_f = 'a.txt' + # start = 2 # 0 # 2 + #else: + # out_f = 'b.txt' + # start = 0 + #with open(out_f, 'w') as f: + # for line in retVal: + # print >>f, line[start:] + + return retVal + + + + +def pycrf_instances(fi, labeled): + xseq = [] + yseq = [] + + # Skip first element + if labeled: + begin = 1 + else: + begin = 0 + + for line in fi: + line = line.strip('\n') + if not line: + # An empty line presents an end of a sequence. + if labeled: + yield xseq, tuple(yseq) + else: + yield xseq + + xseq = [] + yseq = [] + continue + + # Split the line with TAB characters. + fields = line.split('\t') + + # Append the item to the item sequence. + feats = fields[begin:] + xseq.append(feats) + + # Append the label to the label sequence. + if labeled: + yseq.append(fields[0]) + + + + +def train(X, Y, do_grid): + + # Format features fot crfsuite + feats = format_features(X,Y) + + + # Create a Trainer object. + trainer = pycrfsuite.Trainer(verbose=False) + + for xseq, yseq in pycrf_instances(feats, labeled=True): + trainer.append(xseq, yseq) + + + # Set paramters + trainer.set_params({ + 'c1': 1.0, + 'c2': 1e-3, + 'max_iterations': 50, + 'feature.possible_transitions': True + }) + + # Train the model + tmp_file = 'clicon-crf-tmp.txt' + trainer.train(tmp_file) + + + # Remove the temporary file + os.remove(tmp_file) + + + # Read the trained model into a string + model = '' + with open(tmp_file, 'rb') as f: + model = f.read() + + return model + + + + +def predict(clf, X): + + # Format features fot crfsuite + feats = format_features(X) + + + # Dump the model into a temp file + tmp_file = 'clicon-crf-tmp.txt' + with open(tmp_file, 'wb') as f: + f.write(clf) + + + # Create the Tagger object + tagger = pycrfsuite.Tagger() + tagger.open(tmp_file) + + + # Remove the temp file + os.remove(tmp_file) + + + # Tag the sequence + retVal = [] + for xseq in pycrf_instances(feats, labeled=False): + yseq = [ int(n) for n in tagger.tag(xseq) ] + retVal += list(yseq) + + + return retVal diff --git a/clicon/features/genia/interface_genia.py b/clicon/features/genia/interface_genia.py index d387ea9..8eaee66 100644 --- a/clicon/features/genia/interface_genia.py +++ b/clicon/features/genia/interface_genia.py @@ -53,7 +53,7 @@ def genia(geniatagger, data): # write list to file and then feed it to GENIA genia_dir = os.path.dirname(geniatagger) - tmp_out = os.path.join(genia_dir,'clicon_genia_tmp_file.txt') + tmp_out = os.path.join(genia_dir,'/tmp/clicon_genia_tmp_file.txt') with open(tmp_out, 'w') as f: for line in data: f.write(' '.join(line) + '\n') diff --git a/clicon/model.py b/clicon/model.py index 85b84a1..3a137f7 100644 --- a/clicon/model.py +++ b/clicon/model.py @@ -3,12 +3,14 @@ import os import cPickle as pickle import helper -import sci -import crf import sys from sklearn.feature_extraction import DictVectorizer -from features import features, read_config + +import sci +import crf +from features import features +import read_config enabled = read_config.enabled_modules() @@ -56,9 +58,9 @@ def __init__(self, filename='awesome.model'): self.second_vec = DictVectorizer() # Classifiers - self.first_prose_clfs = None - self.first_nonprose_clfs = None - self.second_clfs = None + self.first_prose_clf = None + self.first_nonprose_clf = None + self.second_clf = None @@ -147,16 +149,16 @@ def first_train(self, data, Y, do_grid=True): # FIXME - Partition and then batch features prose = [] nonprose = [] - prose_line_numbers = [] - nonprose_line_numbers = [] + plinenos = [] + nlinenos = [] for i,line in enumerate(data): isProse,feats = feat_obj.IOB_features(line) if isProse: - prose += feats - prose_line_numbers.append(i) + prose.append(feats) + plinenos.append(i) else: - nonprose += feats - nonprose_line_numbers.append(i) + nonprose.append(feats) + nlinenos.append(i) # FIXME - very unclear what this is @@ -168,14 +170,14 @@ def first_train(self, data, Y, do_grid=True): p_end_flag = False n_end_flag = False for i,line in enumerate(Y): - if (not p_end_flag) and (i == prose_line_numbers[prose_ind]): + if (not p_end_flag) and (i == plinenos[prose_ind]): pchunks += line prose_ind += 1 - if prose_ind == len(prose_line_numbers): p_end_flag = True - elif (not n_end_flag) and (i == nonprose_line_numbers[nonprose_ind]): + if prose_ind == len(plinenos): p_end_flag = True + elif (not n_end_flag) and (i == nlinenos[nonprose_ind]): nchunks += line nonprose_ind += 1 - if nonprose_ind == len(nonprose_line_numbers): n_end_flag = True + if nonprose_ind == len(nlinenos): n_end_flag = True else: # Should never really get here print 'Line #%d is neither prose nor nonprose!' % i @@ -191,21 +193,37 @@ def first_train(self, data, Y, do_grid=True): # Vectorize features - X_prose = self.first_prose_vec.fit_transform( prose) - X_nonprose = self.first_nonprose_vec.fit_transform(nonprose) + pflattened = [item for sublist in prose for item in sublist] + nflattened = [item for sublist in nonprose for item in sublist] + + p_offsets = [ len(sublist) for sublist in prose ] + for i in range(1, len(p_offsets)): + p_offsets[i] += p_offsets[i-1] + + n_offsets = [ len(sublist) for sublist in nonprose ] + for i in range(1, len(n_offsets)): + n_offsets[i] += n_offsets[i-1] + + X_prose = self.first_prose_vec.fit_transform(pflattened) + X_nonprose = self.first_nonprose_vec.fit_transform(nflattened) print '\ttraining classifier (pass one)' + # Reconstructing the list + X_prose = list(X_prose ) + X_nonprose = list(X_nonprose) + p_nested = [ X_prose[i:j] for i, j in zip([0] + p_offsets, p_offsets)] + n_nested = [ X_nonprose[i:j] for i, j in zip([0] + n_offsets, n_offsets)] + + Y_prose =[ Y_prose[i:j] for i, j in zip([0] + p_offsets, p_offsets)] + Y_nonprose =[Y_nonprose[i:j] for i, j in zip([0] + n_offsets, n_offsets)] + # Train classifiers - if enabled['CRF']: - self.first_prose_clfs = crf.train(X_prose , Y_prose , do_grid) - self.first_nonprose_clfs = crf.train(X_nonprose, Y_nonprose, do_grid) + self.first_prose_clf = crf.train(p_nested, Y_prose , do_grid) + self.first_nonprose_clf = crf.train(n_nested, Y_nonprose, do_grid) - else: - self.first_prose_clfs = sci.train(X_prose , Y_prose , do_grid) - self.first_nonprose_clfs = sci.train(X_nonprose, Y_nonprose, do_grid) @@ -261,7 +279,7 @@ def second_train(self, data, inds_list, Y, do_grid=True): # Train the model - self.second_clfs = sci.train(X, Y, do_grid) + self.second_clf = sci.train(X, Y, do_grid) @@ -327,39 +345,55 @@ def first_predict(self, data): # prose and nonprose - each store a list of sentence feature dicts prose = [] nonprose = [] - prose_line_numbers = [] - nonprose_line_numbers = [] + plinenos = [] + nlinenos = [] for i,line in enumerate(data): - # returns both the feature dict AND whether the sentence was prose isProse,feats = feat_obj.IOB_features(line) if isProse: - prose += feats - prose_line_numbers.append(i) + prose.append(feats) + plinenos.append(i) else: - nonprose += feats - nonprose_line_numbers.append(i) + nonprose.append(feats) + nlinenos.append(i) + print '\tvectorizing features (pass one)' + # Vectorize features - X_prose = self.first_prose_vec.transform( prose) - X_nonprose = self.first_nonprose_vec.transform(nonprose) + pflattened = [item for sublist in prose for item in sublist] + nflattened = [item for sublist in nonprose for item in sublist] + + p_offsets = [ len(sublist) for sublist in prose ] + for i in range(1, len(p_offsets)): + p_offsets[i] += p_offsets[i-1] + + n_offsets = [ len(sublist) for sublist in nonprose ] + for i in range(1, len(n_offsets)): + n_offsets[i] += n_offsets[i-1] + + + X_prose = self.first_prose_vec.fit_transform(pflattened) + X_nonprose = self.first_nonprose_vec.fit_transform(nflattened) + print '\tpredicting labels (pass one)' - # Predict - if enabled['CRF']: - out_p = crf.predict(self.first_prose_clfs , X_prose, ) - out_n = crf.predict(self.first_nonprose_clfs, X_nonprose) - exit() - else: - out_p = sci.predict(self.first_prose_clfs , X_prose, ) - out_n = sci.predict(self.first_nonprose_clfs, X_nonprose) + # Reconstructing the list + X_prose = list(X_prose ) + X_nonprose = list(X_nonprose) + p_nested = [ X_prose[i:j] for i, j in zip([0] + p_offsets, p_offsets)] + n_nested = [X_nonprose[i:j] for i, j in zip([0] + n_offsets, n_offsets)] + + + # Train classifiers + out_p = crf.predict(self.first_prose_clf , p_nested) + out_n = crf.predict(self.first_nonprose_clf, n_nested) # Format labels @@ -371,24 +405,24 @@ def first_predict(self, data): labels = [] prose_ind = 0 nonprose_ind = 0 - p_end_flag = (len( prose_line_numbers) == 0) - n_end_flag = (len(nonprose_line_numbers) == 0) + p_end_flag = (len(plinenos) == 0) + n_end_flag = (len(nlinenos) == 0) for i in range( len(data) ): - if (not p_end_flag) and (i == prose_line_numbers[prose_ind]): + if (not p_end_flag) and (i == plinenos[prose_ind]): line = plist[0:len(data[i]) ] # Beginning plist = plist[ len(data[i]):] # The rest labels += line prose_ind += 1 - if prose_ind == len(prose_line_numbers): p_end_flag = True + if prose_ind == len(plinenos): p_end_flag = True - elif (not n_end_flag) and (i == nonprose_line_numbers[nonprose_ind]): + elif (not n_end_flag) and (i == nlinenos[nonprose_ind]): line = nlist[0:len(data[i]) ] # Beginning nlist = nlist[ len(data[i]):] # The rest labels += line nonprose_ind += 1 - if nonprose_ind == len(nonprose_line_numbers): n_end_flag = True + if nonprose_ind == len(nlinenos): n_end_flag = True else: # Shouldn't really get here ever @@ -403,7 +437,6 @@ def first_predict(self, data): iobs.append([labels.pop(0) for i in range(len(sentence))]) iobs[-1]= map(lambda l: Model.reverse_IOBs_labels[int(l)],iobs[-1]) - # list of list of IOB labels return iobs @@ -435,7 +468,7 @@ def second_predict(self, data, inds_list): # Predict concept labels - out = sci.predict(self.second_clfs, X) + out = sci.predict(self.second_clf, X) # List of concept tuples to return @@ -464,8 +497,7 @@ def second_predict(self, data, inds_list): length = len(data[lineno][ind].split()) # Classification token - classifications.append( (concept, lineno, start, start+length-1 ) ) - + classifications.append( (concept, lineno+1, start, start+length-1 ) ) # Return classifications return classifications diff --git a/clicon/features/read_config.py b/clicon/read_config.py similarity index 92% rename from clicon/features/read_config.py rename to clicon/read_config.py index bc952f4..d5c6cc8 100644 --- a/clicon/features/read_config.py +++ b/clicon/read_config.py @@ -24,7 +24,7 @@ def enabled_modules(): # Open config file prefix = os.path.dirname(__file__) - filename = os.path.join( prefix, 'features.config' ) + filename = os.path.join( prefix, '../config.txt' ) f = open(filename, 'r') specs = {} @@ -37,10 +37,10 @@ def enabled_modules(): # Modules if words[0] in module_list: - if words[1] != 'None': - specs[words[0]] = words[1] - else: + if words[1] == 'None': specs[words[0]] = None + else: + specs[words[0]] = words[1] return specs diff --git a/clicon/sci.py b/clicon/sci.py index 7775b3e..93e33a9 100644 --- a/clicon/sci.py +++ b/clicon/sci.py @@ -42,7 +42,6 @@ def train(X, Y, do_grid): def predict(clf, X): - # Predict return list(clf.predict(X)) diff --git a/clicon/features/features.config b/config.txt similarity index 100% rename from clicon/features/features.config rename to config.txt From e7b56e30230016bdf4c06d19fc449039dd985c61 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Sun, 10 Aug 2014 02:39:30 -0400 Subject: [PATCH 187/393] Fold CRF back using python-crfsuite (with model file workaround) --- clicon/crf.py | 165 ++++++++++++++++++ clicon/features/genia/interface_genia.py | 2 +- clicon/model.py | 136 +++++++++------ clicon/{features => }/read_config.py | 8 +- clicon/sci.py | 1 - clicon/features/features.config => config.txt | 0 6 files changed, 254 insertions(+), 58 deletions(-) create mode 100644 clicon/crf.py rename clicon/{features => }/read_config.py (92%) rename clicon/features/features.config => config.txt (100%) diff --git a/clicon/crf.py b/clicon/crf.py new file mode 100644 index 0000000..e14e619 --- /dev/null +++ b/clicon/crf.py @@ -0,0 +1,165 @@ +###################################################################### +# CliCon - crf.py # +# # +# Willie Boag wboag@cs.uml.edu # +# # +# Purpose: Implement CRF (using python-crfsuite) # +###################################################################### + + +import sys +import os + +import pycrfsuite + + + +def format_features(rows, labels=None): + + retVal = [] + + # For each line + for i,line in enumerate(rows): + + # For each word in the line + for j,features in enumerate(line): + + # Nonzero dimensions + inds = features.nonzero()[1] + + # If label exists + values = [] + if labels: + values.append( str(labels[i][j]) ) + + # Value for each dimension + for k in inds: + values.append( '%d=%d' % (k, features[0,k]) ) + + retVal.append("\t".join(values).strip()) + + # Sentence boundary seperator + retVal.append('') + + # Sanity check + #if labels: + # out_f = 'a.txt' + # start = 2 # 0 # 2 + #else: + # out_f = 'b.txt' + # start = 0 + #with open(out_f, 'w') as f: + # for line in retVal: + # print >>f, line[start:] + + return retVal + + + + +def pycrf_instances(fi, labeled): + xseq = [] + yseq = [] + + # Skip first element + if labeled: + begin = 1 + else: + begin = 0 + + for line in fi: + line = line.strip('\n') + if not line: + # An empty line presents an end of a sequence. + if labeled: + yield xseq, tuple(yseq) + else: + yield xseq + + xseq = [] + yseq = [] + continue + + # Split the line with TAB characters. + fields = line.split('\t') + + # Append the item to the item sequence. + feats = fields[begin:] + xseq.append(feats) + + # Append the label to the label sequence. + if labeled: + yseq.append(fields[0]) + + + + +def train(X, Y, do_grid): + + # Format features fot crfsuite + feats = format_features(X,Y) + + + # Create a Trainer object. + trainer = pycrfsuite.Trainer(verbose=False) + + for xseq, yseq in pycrf_instances(feats, labeled=True): + trainer.append(xseq, yseq) + + + # Set paramters + trainer.set_params({ + 'c1': 1.0, + 'c2': 1e-3, + 'max_iterations': 50, + 'feature.possible_transitions': True + }) + + # Train the model + tmp_file = 'clicon-crf-tmp.txt' + trainer.train(tmp_file) + + + # Remove the temporary file + os.remove(tmp_file) + + + # Read the trained model into a string + model = '' + with open(tmp_file, 'rb') as f: + model = f.read() + + return model + + + + +def predict(clf, X): + + # Format features fot crfsuite + feats = format_features(X) + + + # Dump the model into a temp file + tmp_file = 'clicon-crf-tmp.txt' + with open(tmp_file, 'wb') as f: + f.write(clf) + + + # Create the Tagger object + tagger = pycrfsuite.Tagger() + tagger.open(tmp_file) + + + # Remove the temp file + os.remove(tmp_file) + + + # Tag the sequence + retVal = [] + for xseq in pycrf_instances(feats, labeled=False): + yseq = [ int(n) for n in tagger.tag(xseq) ] + retVal += list(yseq) + + + return retVal diff --git a/clicon/features/genia/interface_genia.py b/clicon/features/genia/interface_genia.py index d387ea9..8eaee66 100644 --- a/clicon/features/genia/interface_genia.py +++ b/clicon/features/genia/interface_genia.py @@ -53,7 +53,7 @@ def genia(geniatagger, data): # write list to file and then feed it to GENIA genia_dir = os.path.dirname(geniatagger) - tmp_out = os.path.join(genia_dir,'clicon_genia_tmp_file.txt') + tmp_out = os.path.join(genia_dir,'/tmp/clicon_genia_tmp_file.txt') with open(tmp_out, 'w') as f: for line in data: f.write(' '.join(line) + '\n') diff --git a/clicon/model.py b/clicon/model.py index 85b84a1..3a137f7 100644 --- a/clicon/model.py +++ b/clicon/model.py @@ -3,12 +3,14 @@ import os import cPickle as pickle import helper -import sci -import crf import sys from sklearn.feature_extraction import DictVectorizer -from features import features, read_config + +import sci +import crf +from features import features +import read_config enabled = read_config.enabled_modules() @@ -56,9 +58,9 @@ def __init__(self, filename='awesome.model'): self.second_vec = DictVectorizer() # Classifiers - self.first_prose_clfs = None - self.first_nonprose_clfs = None - self.second_clfs = None + self.first_prose_clf = None + self.first_nonprose_clf = None + self.second_clf = None @@ -147,16 +149,16 @@ def first_train(self, data, Y, do_grid=True): # FIXME - Partition and then batch features prose = [] nonprose = [] - prose_line_numbers = [] - nonprose_line_numbers = [] + plinenos = [] + nlinenos = [] for i,line in enumerate(data): isProse,feats = feat_obj.IOB_features(line) if isProse: - prose += feats - prose_line_numbers.append(i) + prose.append(feats) + plinenos.append(i) else: - nonprose += feats - nonprose_line_numbers.append(i) + nonprose.append(feats) + nlinenos.append(i) # FIXME - very unclear what this is @@ -168,14 +170,14 @@ def first_train(self, data, Y, do_grid=True): p_end_flag = False n_end_flag = False for i,line in enumerate(Y): - if (not p_end_flag) and (i == prose_line_numbers[prose_ind]): + if (not p_end_flag) and (i == plinenos[prose_ind]): pchunks += line prose_ind += 1 - if prose_ind == len(prose_line_numbers): p_end_flag = True - elif (not n_end_flag) and (i == nonprose_line_numbers[nonprose_ind]): + if prose_ind == len(plinenos): p_end_flag = True + elif (not n_end_flag) and (i == nlinenos[nonprose_ind]): nchunks += line nonprose_ind += 1 - if nonprose_ind == len(nonprose_line_numbers): n_end_flag = True + if nonprose_ind == len(nlinenos): n_end_flag = True else: # Should never really get here print 'Line #%d is neither prose nor nonprose!' % i @@ -191,21 +193,37 @@ def first_train(self, data, Y, do_grid=True): # Vectorize features - X_prose = self.first_prose_vec.fit_transform( prose) - X_nonprose = self.first_nonprose_vec.fit_transform(nonprose) + pflattened = [item for sublist in prose for item in sublist] + nflattened = [item for sublist in nonprose for item in sublist] + + p_offsets = [ len(sublist) for sublist in prose ] + for i in range(1, len(p_offsets)): + p_offsets[i] += p_offsets[i-1] + + n_offsets = [ len(sublist) for sublist in nonprose ] + for i in range(1, len(n_offsets)): + n_offsets[i] += n_offsets[i-1] + + X_prose = self.first_prose_vec.fit_transform(pflattened) + X_nonprose = self.first_nonprose_vec.fit_transform(nflattened) print '\ttraining classifier (pass one)' + # Reconstructing the list + X_prose = list(X_prose ) + X_nonprose = list(X_nonprose) + p_nested = [ X_prose[i:j] for i, j in zip([0] + p_offsets, p_offsets)] + n_nested = [ X_nonprose[i:j] for i, j in zip([0] + n_offsets, n_offsets)] + + Y_prose =[ Y_prose[i:j] for i, j in zip([0] + p_offsets, p_offsets)] + Y_nonprose =[Y_nonprose[i:j] for i, j in zip([0] + n_offsets, n_offsets)] + # Train classifiers - if enabled['CRF']: - self.first_prose_clfs = crf.train(X_prose , Y_prose , do_grid) - self.first_nonprose_clfs = crf.train(X_nonprose, Y_nonprose, do_grid) + self.first_prose_clf = crf.train(p_nested, Y_prose , do_grid) + self.first_nonprose_clf = crf.train(n_nested, Y_nonprose, do_grid) - else: - self.first_prose_clfs = sci.train(X_prose , Y_prose , do_grid) - self.first_nonprose_clfs = sci.train(X_nonprose, Y_nonprose, do_grid) @@ -261,7 +279,7 @@ def second_train(self, data, inds_list, Y, do_grid=True): # Train the model - self.second_clfs = sci.train(X, Y, do_grid) + self.second_clf = sci.train(X, Y, do_grid) @@ -327,39 +345,55 @@ def first_predict(self, data): # prose and nonprose - each store a list of sentence feature dicts prose = [] nonprose = [] - prose_line_numbers = [] - nonprose_line_numbers = [] + plinenos = [] + nlinenos = [] for i,line in enumerate(data): - # returns both the feature dict AND whether the sentence was prose isProse,feats = feat_obj.IOB_features(line) if isProse: - prose += feats - prose_line_numbers.append(i) + prose.append(feats) + plinenos.append(i) else: - nonprose += feats - nonprose_line_numbers.append(i) + nonprose.append(feats) + nlinenos.append(i) + print '\tvectorizing features (pass one)' + # Vectorize features - X_prose = self.first_prose_vec.transform( prose) - X_nonprose = self.first_nonprose_vec.transform(nonprose) + pflattened = [item for sublist in prose for item in sublist] + nflattened = [item for sublist in nonprose for item in sublist] + + p_offsets = [ len(sublist) for sublist in prose ] + for i in range(1, len(p_offsets)): + p_offsets[i] += p_offsets[i-1] + + n_offsets = [ len(sublist) for sublist in nonprose ] + for i in range(1, len(n_offsets)): + n_offsets[i] += n_offsets[i-1] + + + X_prose = self.first_prose_vec.fit_transform(pflattened) + X_nonprose = self.first_nonprose_vec.fit_transform(nflattened) + print '\tpredicting labels (pass one)' - # Predict - if enabled['CRF']: - out_p = crf.predict(self.first_prose_clfs , X_prose, ) - out_n = crf.predict(self.first_nonprose_clfs, X_nonprose) - exit() - else: - out_p = sci.predict(self.first_prose_clfs , X_prose, ) - out_n = sci.predict(self.first_nonprose_clfs, X_nonprose) + # Reconstructing the list + X_prose = list(X_prose ) + X_nonprose = list(X_nonprose) + p_nested = [ X_prose[i:j] for i, j in zip([0] + p_offsets, p_offsets)] + n_nested = [X_nonprose[i:j] for i, j in zip([0] + n_offsets, n_offsets)] + + + # Train classifiers + out_p = crf.predict(self.first_prose_clf , p_nested) + out_n = crf.predict(self.first_nonprose_clf, n_nested) # Format labels @@ -371,24 +405,24 @@ def first_predict(self, data): labels = [] prose_ind = 0 nonprose_ind = 0 - p_end_flag = (len( prose_line_numbers) == 0) - n_end_flag = (len(nonprose_line_numbers) == 0) + p_end_flag = (len(plinenos) == 0) + n_end_flag = (len(nlinenos) == 0) for i in range( len(data) ): - if (not p_end_flag) and (i == prose_line_numbers[prose_ind]): + if (not p_end_flag) and (i == plinenos[prose_ind]): line = plist[0:len(data[i]) ] # Beginning plist = plist[ len(data[i]):] # The rest labels += line prose_ind += 1 - if prose_ind == len(prose_line_numbers): p_end_flag = True + if prose_ind == len(plinenos): p_end_flag = True - elif (not n_end_flag) and (i == nonprose_line_numbers[nonprose_ind]): + elif (not n_end_flag) and (i == nlinenos[nonprose_ind]): line = nlist[0:len(data[i]) ] # Beginning nlist = nlist[ len(data[i]):] # The rest labels += line nonprose_ind += 1 - if nonprose_ind == len(nonprose_line_numbers): n_end_flag = True + if nonprose_ind == len(nlinenos): n_end_flag = True else: # Shouldn't really get here ever @@ -403,7 +437,6 @@ def first_predict(self, data): iobs.append([labels.pop(0) for i in range(len(sentence))]) iobs[-1]= map(lambda l: Model.reverse_IOBs_labels[int(l)],iobs[-1]) - # list of list of IOB labels return iobs @@ -435,7 +468,7 @@ def second_predict(self, data, inds_list): # Predict concept labels - out = sci.predict(self.second_clfs, X) + out = sci.predict(self.second_clf, X) # List of concept tuples to return @@ -464,8 +497,7 @@ def second_predict(self, data, inds_list): length = len(data[lineno][ind].split()) # Classification token - classifications.append( (concept, lineno, start, start+length-1 ) ) - + classifications.append( (concept, lineno+1, start, start+length-1 ) ) # Return classifications return classifications diff --git a/clicon/features/read_config.py b/clicon/read_config.py similarity index 92% rename from clicon/features/read_config.py rename to clicon/read_config.py index bc952f4..d5c6cc8 100644 --- a/clicon/features/read_config.py +++ b/clicon/read_config.py @@ -24,7 +24,7 @@ def enabled_modules(): # Open config file prefix = os.path.dirname(__file__) - filename = os.path.join( prefix, 'features.config' ) + filename = os.path.join( prefix, '../config.txt' ) f = open(filename, 'r') specs = {} @@ -37,10 +37,10 @@ def enabled_modules(): # Modules if words[0] in module_list: - if words[1] != 'None': - specs[words[0]] = words[1] - else: + if words[1] == 'None': specs[words[0]] = None + else: + specs[words[0]] = words[1] return specs diff --git a/clicon/sci.py b/clicon/sci.py index 7775b3e..93e33a9 100644 --- a/clicon/sci.py +++ b/clicon/sci.py @@ -42,7 +42,6 @@ def train(X, Y, do_grid): def predict(clf, X): - # Predict return list(clf.predict(X)) diff --git a/clicon/features/features.config b/config.txt similarity index 100% rename from clicon/features/features.config rename to config.txt From 5332de1e820db04b8614a2dc65626d3d350d375a Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Sun, 10 Aug 2014 02:43:23 -0400 Subject: [PATCH 188/393] Add CRF installation to install.sh --- install.sh | 2 +- 1 file changed, 1 insertion(+), 1 deletion(-) diff --git a/install.sh b/install.sh index acac056..676e2c0 100755 --- a/install.sh +++ b/install.sh @@ -61,7 +61,7 @@ function install_clicon { # apt-get doesn't seem to be working at getting numpy - pip install numpy scikit-learn scipy + pip install numpy scikit-learn scipy python-crfsuite setup_dependencies=$? From c55a8366f8a58f8f6c5bbe0390e9ffb2f5efb2cb Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Sun, 10 Aug 2014 02:43:23 -0400 Subject: [PATCH 189/393] Add CRF installation to install.sh --- install.sh | 2 +- 1 file changed, 1 insertion(+), 1 deletion(-) diff --git a/install.sh b/install.sh index acac056..676e2c0 100755 --- a/install.sh +++ b/install.sh @@ -61,7 +61,7 @@ function install_clicon { # apt-get doesn't seem to be working at getting numpy - pip install numpy scikit-learn scipy + pip install numpy scikit-learn scipy python-crfsuite setup_dependencies=$? From 09cadc078746bab649996c46cfb215dcb6f00aa2 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Sun, 10 Aug 2014 12:40:37 -0400 Subject: [PATCH 190/393] modify install.sh to use machine-learning branch (until merged back to master) --- clicon/crf.py | 9 +++++---- install.sh | 28 ++-------------------------- 2 files changed, 7 insertions(+), 30 deletions(-) diff --git a/clicon/crf.py b/clicon/crf.py index e14e619..458396f 100644 --- a/clicon/crf.py +++ b/clicon/crf.py @@ -120,15 +120,16 @@ def train(X, Y, do_grid): trainer.train(tmp_file) - # Remove the temporary file - os.remove(tmp_file) - - # Read the trained model into a string model = '' with open(tmp_file, 'rb') as f: model = f.read() + + # Remove the temporary file + os.remove(tmp_file) + + return model diff --git a/install.sh b/install.sh index 676e2c0..a0a7d6d 100755 --- a/install.sh +++ b/install.sh @@ -8,7 +8,6 @@ # Note: This does not download/install: # 1) i2b2 data # 2) UMLS tables -# 3) GENIA Tagger # @@ -25,6 +24,7 @@ function create_clicon { git clone https://github.com/mitmedg/CliCon.git cd CliCon + git checkout machine-learning } @@ -64,23 +64,6 @@ function install_clicon { pip install numpy scikit-learn scipy python-crfsuite setup_dependencies=$? - - # Success? - if ! [[ $setup_dependencies -eq 0 ]] ; then - - # apt-get some packages - read -p "\nPython dependencies failed. Would you like to try again with apt-get (y/n)? " yn - - if [[ "$yn" = "y" ]] ; then - # Install required packages - # sudo apt-get g++ gfortran libopenblas-dev liblapack-dev - - # Try again - pip install numpy scikit-learn scipy - setup_dependencies=$? - fi - fi - } @@ -109,7 +92,7 @@ function get_genia { fi # Set config file location of tagger - config_file="$CLICON_DIR/clicon/features/features.config" + config_file="$CLICON_DIR/config.txt" out_tmp="out.tmp.txt" echo "GENIA $(pwd)/geniatagger" > $out_tmp while read line ; do @@ -129,13 +112,6 @@ function get_genia { -# Get crfsuite -function get_crfsuite { - echo "crfsuite not supported by CliCon yet" -} - - - # Setup 'clicon' command for CLI function setup { cd $CLICON_DIR From 80529dd2750572faef947783b1b81bf28d692123 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Sun, 10 Aug 2014 12:40:37 -0400 Subject: [PATCH 191/393] modify install.sh to use machine-learning branch (until merged back to master) --- clicon/crf.py | 9 +++++---- install.sh | 28 ++-------------------------- 2 files changed, 7 insertions(+), 30 deletions(-) diff --git a/clicon/crf.py b/clicon/crf.py index e14e619..458396f 100644 --- a/clicon/crf.py +++ b/clicon/crf.py @@ -120,15 +120,16 @@ def train(X, Y, do_grid): trainer.train(tmp_file) - # Remove the temporary file - os.remove(tmp_file) - - # Read the trained model into a string model = '' with open(tmp_file, 'rb') as f: model = f.read() + + # Remove the temporary file + os.remove(tmp_file) + + return model diff --git a/install.sh b/install.sh index 676e2c0..a0a7d6d 100755 --- a/install.sh +++ b/install.sh @@ -8,7 +8,6 @@ # Note: This does not download/install: # 1) i2b2 data # 2) UMLS tables -# 3) GENIA Tagger # @@ -25,6 +24,7 @@ function create_clicon { git clone https://github.com/mitmedg/CliCon.git cd CliCon + git checkout machine-learning } @@ -64,23 +64,6 @@ function install_clicon { pip install numpy scikit-learn scipy python-crfsuite setup_dependencies=$? - - # Success? - if ! [[ $setup_dependencies -eq 0 ]] ; then - - # apt-get some packages - read -p "\nPython dependencies failed. Would you like to try again with apt-get (y/n)? " yn - - if [[ "$yn" = "y" ]] ; then - # Install required packages - # sudo apt-get g++ gfortran libopenblas-dev liblapack-dev - - # Try again - pip install numpy scikit-learn scipy - setup_dependencies=$? - fi - fi - } @@ -109,7 +92,7 @@ function get_genia { fi # Set config file location of tagger - config_file="$CLICON_DIR/clicon/features/features.config" + config_file="$CLICON_DIR/config.txt" out_tmp="out.tmp.txt" echo "GENIA $(pwd)/geniatagger" > $out_tmp while read line ; do @@ -129,13 +112,6 @@ function get_genia { -# Get crfsuite -function get_crfsuite { - echo "crfsuite not supported by CliCon yet" -} - - - # Setup 'clicon' command for CLI function setup { cd $CLICON_DIR From 0c3cca46d7cadba62432a65c0db6dbfcac87adc1 Mon Sep 17 00:00:00 2001 From: arumshisky Date: Tue, 12 Aug 2014 15:50:37 -0400 Subject: [PATCH 192/393] Update README.rst --- README.rst | 2 +- 1 file changed, 1 insertion(+), 1 deletion(-) diff --git a/README.rst b/README.rst index 76d34b5..e01fe0e 100644 --- a/README.rst +++ b/README.rst @@ -82,7 +82,7 @@ Installation Script -3. Install Pytohn Dependencies +3. Install Python Dependencies This project has dependencies on scientific computation libraries. From e5d7f725f855ae28a9ca65d5db2a34293b8e2737 Mon Sep 17 00:00:00 2001 From: arumshisky Date: Tue, 12 Aug 2014 15:50:37 -0400 Subject: [PATCH 193/393] Update README.rst --- README.rst | 2 +- 1 file changed, 1 insertion(+), 1 deletion(-) diff --git a/README.rst b/README.rst index 76d34b5..e01fe0e 100644 --- a/README.rst +++ b/README.rst @@ -82,7 +82,7 @@ Installation Script -3. Install Pytohn Dependencies +3. Install Python Dependencies This project has dependencies on scientific computation libraries. From cd193ad9705c9dbfddc1fc902d8b0b3e16511207 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 12 Aug 2014 17:07:02 -0400 Subject: [PATCH 194/393] Set crf to use default parameters --- clicon/crf.py | 16 +++++++++------- 1 file changed, 9 insertions(+), 7 deletions(-) diff --git a/clicon/crf.py b/clicon/crf.py index 458396f..d18412f 100644 --- a/clicon/crf.py +++ b/clicon/crf.py @@ -102,18 +102,20 @@ def train(X, Y, do_grid): # Create a Trainer object. trainer = pycrfsuite.Trainer(verbose=False) - for xseq, yseq in pycrf_instances(feats, labeled=True): trainer.append(xseq, yseq) # Set paramters - trainer.set_params({ - 'c1': 1.0, - 'c2': 1e-3, - 'max_iterations': 50, - 'feature.possible_transitions': True - }) + if do_grid: + 'Grid Search not implemented yet' + #trainer.set_params({ + # 'c1': 1.0, + # 'c2': 1e-3, + # 'max_iterations': 50, + # 'feature.possible_transitions': True + #}) + # Train the model tmp_file = 'clicon-crf-tmp.txt' From 77cd92415a1ac84fc1c2d7f51051d55c1b7ef06e Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 12 Aug 2014 17:07:02 -0400 Subject: [PATCH 195/393] Set crf to use default parameters --- clicon/crf.py | 16 +++++++++------- 1 file changed, 9 insertions(+), 7 deletions(-) diff --git a/clicon/crf.py b/clicon/crf.py index 458396f..d18412f 100644 --- a/clicon/crf.py +++ b/clicon/crf.py @@ -102,18 +102,20 @@ def train(X, Y, do_grid): # Create a Trainer object. trainer = pycrfsuite.Trainer(verbose=False) - for xseq, yseq in pycrf_instances(feats, labeled=True): trainer.append(xseq, yseq) # Set paramters - trainer.set_params({ - 'c1': 1.0, - 'c2': 1e-3, - 'max_iterations': 50, - 'feature.possible_transitions': True - }) + if do_grid: + 'Grid Search not implemented yet' + #trainer.set_params({ + # 'c1': 1.0, + # 'c2': 1e-3, + # 'max_iterations': 50, + # 'feature.possible_transitions': True + #}) + # Train the model tmp_file = 'clicon-crf-tmp.txt' From 9b2b18f6e32ebed01ae7dde8c9245e40498f1f39 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 13 Aug 2014 16:39:37 -0400 Subject: [PATCH 196/393] Added sanity checks for first pass predictions --- clicon/crf.py | 47 ++++++++++++++++++---------- clicon/features/features.py | 35 ++++++++++++++------- clicon/features/sentence_features.py | 2 +- clicon/model.py | 22 ++++++++++--- clicon/note.py | 27 +++++++++++++++- clicon/sci.py | 26 ++++++--------- 6 files changed, 108 insertions(+), 51 deletions(-) diff --git a/clicon/crf.py b/clicon/crf.py index d18412f..0c86d40 100644 --- a/clicon/crf.py +++ b/clicon/crf.py @@ -13,6 +13,9 @@ import pycrfsuite +count = 0 + + def format_features(rows, labels=None): @@ -42,15 +45,17 @@ def format_features(rows, labels=None): retVal.append('') # Sanity check - #if labels: - # out_f = 'a.txt' - # start = 2 # 0 # 2 - #else: - # out_f = 'b.txt' - # start = 0 - #with open(out_f, 'w') as f: - # for line in retVal: - # print >>f, line[start:] + global count + if labels: + out_f = 'a.txt' + str(count) + start = 0 # 2 + else: + out_f = 'b.txt' + str(count) + start = 0 + count += 1 + with open(out_f, 'w') as f: + for line in retVal: + print >>f, line[start:] return retVal @@ -93,9 +98,16 @@ def pycrf_instances(fi, labeled): - def train(X, Y, do_grid): + # Sanity Check detection: features & label + #with open('a','w') as f: + # for xline,yline in zip(X,Y): + # for x,y in zip(xline,yline): + # print >>f, y, '\t', x.nonzero()[1][0] + # print >>f + + # Format features fot crfsuite feats = format_features(X,Y) @@ -109,12 +121,6 @@ def train(X, Y, do_grid): # Set paramters if do_grid: 'Grid Search not implemented yet' - #trainer.set_params({ - # 'c1': 1.0, - # 'c2': 1e-3, - # 'max_iterations': 50, - # 'feature.possible_transitions': True - #}) # Train the model @@ -160,9 +166,18 @@ def predict(clf, X): # Tag the sequence retVal = [] + Y = [] for xseq in pycrf_instances(feats, labeled=False): yseq = [ int(n) for n in tagger.tag(xseq) ] retVal += list(yseq) + Y.append(list(yseq)) + + # Sanity Check detection: feature & label predictions + #with open('a','w') as f: + # for x,y in zip(xseq,Y): + # x = x[0] + # print >>f, y, '\t', x[:-2] + # print >>f return retVal diff --git a/clicon/features/features.py b/clicon/features/features.py index f00cfac..c6bd03d 100644 --- a/clicon/features/features.py +++ b/clicon/features/features.py @@ -47,6 +47,16 @@ def IOB_features(self, sentence): else: features_list = self.feat_sent.IOB_nonprose_features(sentence) + + # Sanity Check (many unique features for each data point) + #features_list = [] + #for i in range(len(sentence)): + # features = {} + # for j in range(30): + # features[(''.join(sentence),i,j)] = 1 + # features_list.append(features) + + # Return features as well as indication of whether it is prose or not return (isProse, features_list) @@ -77,24 +87,25 @@ def concept_features(self, sentence, chunk_inds): for i,ind in enumerate(chunk_inds): + + features_list[i][(' '.join(sentence),ind)] = 1 + + continue + + # Create a list of feature sets (one per chunk) features = self.feat_sent.concept_features_for_chunk(sentence,ind) + # Feature: Previous 3 POSs if 'prev_3_pos' in self.feat_sent.enabled_concept_features: tags = tags = nltk.pos_tag(sentence) - if ind == 0: - prev_pos = ('*','*','*') - features[('prev_3_pos',prev_pos)] = 1 - elif ind == 1: - prev_pos = ('*','*',tags[0][1]) - features[('prev_3_pos',prev_pos)] = 1 - elif ind == 2: - prev_pos = ('*',tags[0][1],tags[1][1]) - features[('prev_3_pos',prev_pos)] = 1 - else: - prev_pos = (tags[ind-3][1],tags[ind-2][1],tags[ind-1][1]) - features[('prev_3_pos',prev_pos)] = 1 + + # Previous 3 POSs + begin = ind-3 if ind-3>0 else 0 + for tag in tags[begin:ind]: + pos = tag[1] + features[('prev_3_pos',pos)] = 1 # Feature: Previous Chunks's Features diff --git a/clicon/features/sentence_features.py b/clicon/features/sentence_features.py index 8d1d01a..8c24617 100644 --- a/clicon/features/sentence_features.py +++ b/clicon/features/sentence_features.py @@ -46,7 +46,7 @@ class SentenceFeatures: enabled_IOB_nonprose_sentence_features = ImmutableSet( ['prev_pos', 'pos', 'next_pos', 'test_result', 'prev', 'next','prev_3_pos']) - enabled_concept_features = ImmutableSet( ['pos','stem_wordnet', 'test_result', 'word_shape','prev','next', "UMLS"]) + enabled_concept_features = ImmutableSet( ['pos','prev_3_pos', 'stem_wordnet', 'test_result', 'word_shape','prev','next', "UMLS"]) diff --git a/clicon/model.py b/clicon/model.py index 3a137f7..9f5aa7b 100644 --- a/clicon/model.py +++ b/clicon/model.py @@ -224,6 +224,11 @@ def first_train(self, data, Y, do_grid=True): self.first_prose_clf = crf.train(p_nested, Y_prose , do_grid) self.first_nonprose_clf = crf.train(n_nested, Y_nonprose, do_grid) + ''' + self.first_prose_clf = sci.train(X_prose , Y_prose , do_grid) + self.first_nonprose_clf = sci.train(X_nonprose, Y_nonprose, do_grid) + ''' + @@ -383,18 +388,21 @@ def first_predict(self, data): print '\tpredicting labels (pass one)' - # Reconstructing the list X_prose = list(X_prose ) X_nonprose = list(X_nonprose) p_nested = [ X_prose[i:j] for i, j in zip([0] + p_offsets, p_offsets)] n_nested = [X_nonprose[i:j] for i, j in zip([0] + n_offsets, n_offsets)] - # Train classifiers out_p = crf.predict(self.first_prose_clf , p_nested) out_n = crf.predict(self.first_nonprose_clf, n_nested) + ''' + out_p = sci.predict(self.first_prose_clf , X_prose ) + out_n = sci.predict(self.first_nonprose_clf, X_nonprose) + ''' + # Format labels plist = [ n for n in list(out_p) ] @@ -481,8 +489,11 @@ def second_predict(self, data, inds_list): # Skip empty line if not inds: continue + print lineno + print inds + print out + print - # For each concept for ind in inds: # Get next concept @@ -497,7 +508,10 @@ def second_predict(self, data, inds_list): length = len(data[lineno][ind].split()) # Classification token - classifications.append( (concept, lineno+1, start, start+length-1 ) ) + classifications.append((concept,lineno+1,start,start+length-1)) + + for c in classifications: + print c # Return classifications return classifications diff --git a/clicon/note.py b/clicon/note.py index 8b307ae..0548cb2 100644 --- a/clicon/note.py +++ b/clicon/note.py @@ -25,6 +25,31 @@ def __init__(self): # @param con. A file path for the i2b2 annotated concepts associated with txt def read_i2b2(self, txt, con=None): + + def concept_cmp(a,b): + """ + concept_cmp() + + Purpose: Compare concept classification tokens + """ + a = (int(a[1]), int(a[2])) + b = (int(b[1]), int(b[2])) + + # Sort by line number + if a[0] < b[0]: + return -1 + if a[0] > b[0]: + return 1 + else: + # Resolve lineno ties with indices + if a[1] < b[1]: + return -1 + if a[1] > b[1]: + return 1 + else: + return 0 + + # Read in the medical text with open(txt) as f: for line in f: @@ -85,7 +110,7 @@ def read_i2b2(self, txt, con=None): #print "\n" + "-" * 80 # Concept file does not guarantee ordering by line number - self.classifications = sorted(classifications, key=lambda t:t[1]) + self.classifications = sorted(classifications, cmp=concept_cmp) diff --git a/clicon/sci.py b/clicon/sci.py index 93e33a9..8db8069 100644 --- a/clicon/sci.py +++ b/clicon/sci.py @@ -9,26 +9,17 @@ def train(X, Y, do_grid): - # Search space - C_range = 10.0 ** np.arange( -5, 9 ) - gamma_range = 10.0 ** np.arange( -5 , 9 ) - - # Grid search + do_grid = True if do_grid: - if t == SVM: - estimates = SVC() - gamma_range = 10.0 ** np.arange( -5 , 9 ) - parameters = [{'kernel':['rbf'], 'C':C_range, 'gamma':gamma_range}] - - if t == LIN: - estimates = LinearSVC() - parameters = [ {'C':C_range } ] + estimates = LinearSVC() + C_range = 10.0 ** np.arange( -5, 9 ) + parameters = [ {'C':C_range } ] # Find best classifier - clf = GridSearchCV(estimates, parameters, score_func = f1_score, n_jobs = cpu_count() ) - clf.fit( X , Y ) + clf = GridSearchCV(estimates, parameters, score_func = f1_score, n_jobs = cpu_count()).estimator + clf.fit(X , Y) else: @@ -36,12 +27,13 @@ def train(X, Y, do_grid): clf.fit(X, Y) - # Return all chosen classifiers + # Return chosen classifier return clf def predict(clf, X): # Predict - return list(clf.predict(X)) + retVal = list(clf.predict(X)) + return retVal From cc089bb5f4bfd81d2274aab51651c57af226f31a Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 13 Aug 2014 16:39:37 -0400 Subject: [PATCH 197/393] Added sanity checks for first pass predictions --- clicon/crf.py | 47 ++++++++++++++++++---------- clicon/features/features.py | 35 ++++++++++++++------- clicon/features/sentence_features.py | 2 +- clicon/model.py | 22 ++++++++++--- clicon/note.py | 27 +++++++++++++++- clicon/sci.py | 26 ++++++--------- 6 files changed, 108 insertions(+), 51 deletions(-) diff --git a/clicon/crf.py b/clicon/crf.py index d18412f..0c86d40 100644 --- a/clicon/crf.py +++ b/clicon/crf.py @@ -13,6 +13,9 @@ import pycrfsuite +count = 0 + + def format_features(rows, labels=None): @@ -42,15 +45,17 @@ def format_features(rows, labels=None): retVal.append('') # Sanity check - #if labels: - # out_f = 'a.txt' - # start = 2 # 0 # 2 - #else: - # out_f = 'b.txt' - # start = 0 - #with open(out_f, 'w') as f: - # for line in retVal: - # print >>f, line[start:] + global count + if labels: + out_f = 'a.txt' + str(count) + start = 0 # 2 + else: + out_f = 'b.txt' + str(count) + start = 0 + count += 1 + with open(out_f, 'w') as f: + for line in retVal: + print >>f, line[start:] return retVal @@ -93,9 +98,16 @@ def pycrf_instances(fi, labeled): - def train(X, Y, do_grid): + # Sanity Check detection: features & label + #with open('a','w') as f: + # for xline,yline in zip(X,Y): + # for x,y in zip(xline,yline): + # print >>f, y, '\t', x.nonzero()[1][0] + # print >>f + + # Format features fot crfsuite feats = format_features(X,Y) @@ -109,12 +121,6 @@ def train(X, Y, do_grid): # Set paramters if do_grid: 'Grid Search not implemented yet' - #trainer.set_params({ - # 'c1': 1.0, - # 'c2': 1e-3, - # 'max_iterations': 50, - # 'feature.possible_transitions': True - #}) # Train the model @@ -160,9 +166,18 @@ def predict(clf, X): # Tag the sequence retVal = [] + Y = [] for xseq in pycrf_instances(feats, labeled=False): yseq = [ int(n) for n in tagger.tag(xseq) ] retVal += list(yseq) + Y.append(list(yseq)) + + # Sanity Check detection: feature & label predictions + #with open('a','w') as f: + # for x,y in zip(xseq,Y): + # x = x[0] + # print >>f, y, '\t', x[:-2] + # print >>f return retVal diff --git a/clicon/features/features.py b/clicon/features/features.py index f00cfac..c6bd03d 100644 --- a/clicon/features/features.py +++ b/clicon/features/features.py @@ -47,6 +47,16 @@ def IOB_features(self, sentence): else: features_list = self.feat_sent.IOB_nonprose_features(sentence) + + # Sanity Check (many unique features for each data point) + #features_list = [] + #for i in range(len(sentence)): + # features = {} + # for j in range(30): + # features[(''.join(sentence),i,j)] = 1 + # features_list.append(features) + + # Return features as well as indication of whether it is prose or not return (isProse, features_list) @@ -77,24 +87,25 @@ def concept_features(self, sentence, chunk_inds): for i,ind in enumerate(chunk_inds): + + features_list[i][(' '.join(sentence),ind)] = 1 + + continue + + # Create a list of feature sets (one per chunk) features = self.feat_sent.concept_features_for_chunk(sentence,ind) + # Feature: Previous 3 POSs if 'prev_3_pos' in self.feat_sent.enabled_concept_features: tags = tags = nltk.pos_tag(sentence) - if ind == 0: - prev_pos = ('*','*','*') - features[('prev_3_pos',prev_pos)] = 1 - elif ind == 1: - prev_pos = ('*','*',tags[0][1]) - features[('prev_3_pos',prev_pos)] = 1 - elif ind == 2: - prev_pos = ('*',tags[0][1],tags[1][1]) - features[('prev_3_pos',prev_pos)] = 1 - else: - prev_pos = (tags[ind-3][1],tags[ind-2][1],tags[ind-1][1]) - features[('prev_3_pos',prev_pos)] = 1 + + # Previous 3 POSs + begin = ind-3 if ind-3>0 else 0 + for tag in tags[begin:ind]: + pos = tag[1] + features[('prev_3_pos',pos)] = 1 # Feature: Previous Chunks's Features diff --git a/clicon/features/sentence_features.py b/clicon/features/sentence_features.py index 8d1d01a..8c24617 100644 --- a/clicon/features/sentence_features.py +++ b/clicon/features/sentence_features.py @@ -46,7 +46,7 @@ class SentenceFeatures: enabled_IOB_nonprose_sentence_features = ImmutableSet( ['prev_pos', 'pos', 'next_pos', 'test_result', 'prev', 'next','prev_3_pos']) - enabled_concept_features = ImmutableSet( ['pos','stem_wordnet', 'test_result', 'word_shape','prev','next', "UMLS"]) + enabled_concept_features = ImmutableSet( ['pos','prev_3_pos', 'stem_wordnet', 'test_result', 'word_shape','prev','next', "UMLS"]) diff --git a/clicon/model.py b/clicon/model.py index 3a137f7..9f5aa7b 100644 --- a/clicon/model.py +++ b/clicon/model.py @@ -224,6 +224,11 @@ def first_train(self, data, Y, do_grid=True): self.first_prose_clf = crf.train(p_nested, Y_prose , do_grid) self.first_nonprose_clf = crf.train(n_nested, Y_nonprose, do_grid) + ''' + self.first_prose_clf = sci.train(X_prose , Y_prose , do_grid) + self.first_nonprose_clf = sci.train(X_nonprose, Y_nonprose, do_grid) + ''' + @@ -383,18 +388,21 @@ def first_predict(self, data): print '\tpredicting labels (pass one)' - # Reconstructing the list X_prose = list(X_prose ) X_nonprose = list(X_nonprose) p_nested = [ X_prose[i:j] for i, j in zip([0] + p_offsets, p_offsets)] n_nested = [X_nonprose[i:j] for i, j in zip([0] + n_offsets, n_offsets)] - # Train classifiers out_p = crf.predict(self.first_prose_clf , p_nested) out_n = crf.predict(self.first_nonprose_clf, n_nested) + ''' + out_p = sci.predict(self.first_prose_clf , X_prose ) + out_n = sci.predict(self.first_nonprose_clf, X_nonprose) + ''' + # Format labels plist = [ n for n in list(out_p) ] @@ -481,8 +489,11 @@ def second_predict(self, data, inds_list): # Skip empty line if not inds: continue + print lineno + print inds + print out + print - # For each concept for ind in inds: # Get next concept @@ -497,7 +508,10 @@ def second_predict(self, data, inds_list): length = len(data[lineno][ind].split()) # Classification token - classifications.append( (concept, lineno+1, start, start+length-1 ) ) + classifications.append((concept,lineno+1,start,start+length-1)) + + for c in classifications: + print c # Return classifications return classifications diff --git a/clicon/note.py b/clicon/note.py index 8b307ae..0548cb2 100644 --- a/clicon/note.py +++ b/clicon/note.py @@ -25,6 +25,31 @@ def __init__(self): # @param con. A file path for the i2b2 annotated concepts associated with txt def read_i2b2(self, txt, con=None): + + def concept_cmp(a,b): + """ + concept_cmp() + + Purpose: Compare concept classification tokens + """ + a = (int(a[1]), int(a[2])) + b = (int(b[1]), int(b[2])) + + # Sort by line number + if a[0] < b[0]: + return -1 + if a[0] > b[0]: + return 1 + else: + # Resolve lineno ties with indices + if a[1] < b[1]: + return -1 + if a[1] > b[1]: + return 1 + else: + return 0 + + # Read in the medical text with open(txt) as f: for line in f: @@ -85,7 +110,7 @@ def read_i2b2(self, txt, con=None): #print "\n" + "-" * 80 # Concept file does not guarantee ordering by line number - self.classifications = sorted(classifications, key=lambda t:t[1]) + self.classifications = sorted(classifications, cmp=concept_cmp) diff --git a/clicon/sci.py b/clicon/sci.py index 93e33a9..8db8069 100644 --- a/clicon/sci.py +++ b/clicon/sci.py @@ -9,26 +9,17 @@ def train(X, Y, do_grid): - # Search space - C_range = 10.0 ** np.arange( -5, 9 ) - gamma_range = 10.0 ** np.arange( -5 , 9 ) - - # Grid search + do_grid = True if do_grid: - if t == SVM: - estimates = SVC() - gamma_range = 10.0 ** np.arange( -5 , 9 ) - parameters = [{'kernel':['rbf'], 'C':C_range, 'gamma':gamma_range}] - - if t == LIN: - estimates = LinearSVC() - parameters = [ {'C':C_range } ] + estimates = LinearSVC() + C_range = 10.0 ** np.arange( -5, 9 ) + parameters = [ {'C':C_range } ] # Find best classifier - clf = GridSearchCV(estimates, parameters, score_func = f1_score, n_jobs = cpu_count() ) - clf.fit( X , Y ) + clf = GridSearchCV(estimates, parameters, score_func = f1_score, n_jobs = cpu_count()).estimator + clf.fit(X , Y) else: @@ -36,12 +27,13 @@ def train(X, Y, do_grid): clf.fit(X, Y) - # Return all chosen classifiers + # Return chosen classifier return clf def predict(clf, X): # Predict - return list(clf.predict(X)) + retVal = list(clf.predict(X)) + return retVal From c530798b41321edcee692f9862583b7e9237e237 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 13 Aug 2014 18:06:56 -0400 Subject: [PATCH 198/393] Modified install script so it doesn't git clone the project --- README.rst | 19 ++++--- install.sh | 164 ++++++++++++----------------------------------------- 2 files changed, 45 insertions(+), 138 deletions(-) diff --git a/README.rst b/README.rst index 76d34b5..823db85 100644 --- a/README.rst +++ b/README.rst @@ -33,26 +33,21 @@ Installation Script For Ubuntu users, there is a script that should be able to download most of the pieces of this project. Note, it cannot get priveleged tools (such as the i2b2 data and the UMLS tables) - you must get those two pieces yourself. - To run the script, copy 'install.sh' from Github and enter the directory you'd like to house this project. Run the script with **source install.sh** NOTE: The script will git clone CliCon for you, so do not do that yourself if you use the script. - - The script will try to download CliCon's third party dependencies and will report back what tools could/couldn't be acquired. Ideally, it will get everything except for the i2b2 data and the UMLS tables. + The script will try to download CliCon's third party dependencies and will get everything except for the i2b2 data and the UMLS tables. In the event that you run the script but encounter issues, please see the README section that corresponds to the failure's message. It is entirely likely that there are unforseen bugs. If you experience "strange" behavior (or if this document is just unclear in general), please email me at wboag@cs.uml.edu with your installation questions. If you do not run the script, you must follow each of these steps and configure things such as virtual environments and environment variables. Not terribly difficult (we hope!). + 1. virtualenv - Setup a virtual environent: - - - reference - https://virtualenv.pypa.io/en/latest/ + Setup a virtual environent. You must re-enable the virtual environment every new session. example: @@ -61,6 +56,11 @@ Installation Script user@your-machine:~$ source venv_clicon/bin/activate + reference + https://virtualenv.pypa.io/en/latest/ + + + 2. environment variable @@ -90,6 +90,7 @@ Installation Script - numpy - scikit-learn - scipy + - python-crfsuite - nltk (AND run the NLTK downloader) @@ -109,7 +110,7 @@ Installation Script example: (venv_clicon)user@your-machine:~/CliCon$ sudo apt-get install g++ gfortran libopenblas-dev liblapack-dev -y - (venv_clicon)user@your-machine:~/CliCon$ pip install numpy scikit-learn scipy nltk + (venv_clicon)user@your-machine:~/CliCon$ pip install numpy scikit-learn scipy nltk python-crfsuite diff --git a/install.sh b/install.sh index acac056..b27b881 100755 --- a/install.sh +++ b/install.sh @@ -3,91 +3,16 @@ # # Purpose: This is a demo that will install CliCon and it's package dependencies # -# Usage: 'source install.sh' (It is important to use 'source', not 'bash') -# # Note: This does not download/install: # 1) i2b2 data # 2) UMLS tables -# 3) GENIA Tagger # -function create_clicon { - # Create wrapper directory to hold: - # 1) virtual environment - # 2) CliCon source from github - mkdir clicon - cd clicon - - virtualenv venv_clicon - source venv_clicon/bin/activate - - git clone https://github.com/mitmedg/CliCon.git - cd CliCon -} - - - -function environ_clicon { - # Set environment variable (check if it is defined) - if [[ "$CLICON_DIR" = "" ]] ; then - echo -e "\n\t" - echo -e "Appending line to ~/.bashrc to remember environment variable\n" - - echo "export CLICON_DIR=\"$(pwd)/clicon/CliCon\"" >> ~/.bashrc - source ~/.bashrc - export CLICON_DIR - - fi - - setup_environ=0 -} - - - -function install_clicon { - - # Get python dependencies - easy_install pip - easy_install simplejson - pip install Flask - pip install nose - pip install -U pyyaml - - # Install nltk data - python -m nltk.downloader maxent_treebank_pos_tagger - python -m nltk.downloader wordnet - - - # apt-get doesn't seem to be working at getting numpy - pip install numpy scikit-learn scipy - setup_dependencies=$? - - - # Success? - if ! [[ $setup_dependencies -eq 0 ]] ; then - - # apt-get some packages - read -p "\nPython dependencies failed. Would you like to try again with apt-get (y/n)? " yn - - if [[ "$yn" = "y" ]] ; then - # Install required packages - # sudo apt-get g++ gfortran libopenblas-dev liblapack-dev - # Try again - pip install numpy scikit-learn scipy - setup_dependencies=$? - fi - fi - -} - - - -# Get GENIA +# Function to download GENIA tagger function get_genia { - # save current path old_path=$(pwd) @@ -104,7 +29,6 @@ function get_genia { # Successful build ? if ! [[ $? -eq 0 ]] ; then echo "there was a build error in GENIA" - setup_genia=1 return fi @@ -119,77 +43,59 @@ function get_genia { done < "$config_file" mv $out_tmp $config_file - - # Success - setup_genia=0 - # return to original path cd $old_path } -# Get crfsuite -function get_crfsuite { - echo "crfsuite not supported by CliCon yet" -} +# Create virtual environment +virtualenv venv_clicon +source venv_clicon/bin/activate -# Setup 'clicon' command for CLI -function setup { - cd $CLICON_DIR - python setup.py install - setup_install=$? -} -# Base directory cannot exist yet -if [[ -e clicon ]] ; then - echo -e "\n\tError: Cannot already have a file named 'clicon' in directory\n" -else +# CLICON_DIR must be defined before proceeding +if [[ "$CLICON_DIR" = "" ]] ; then + CLICON_DIR="$( cd "$( dirname "$0" )" && pwd )" + echo -e "\nEnvironment variable CLICON_DIR must be defined." + echo -e "Execute the following and re-run install.sh: \n" + echo -e "\texport CLICON_DIR=\"$CLICON_DIR\"" + echo "" + exit +fi - # Install resources - create_clicon - environ_clicon - install_clicon - get_genia - setup - - echo -e "\n\n" - # Print installation successes/failures - if [[ $setup_environ -eq 0 ]] ; then - echo "Environemt variable confiuration -- SUCCESS" - else - echo "Environemt variable confiuration -- FAILURE" - echo -e "\tSee README for details" - fi - if [[ $setup_dependencies -eq 0 ]] ; then - echo "Install python dependencies -- SUCCESS" - else - echo "Install python dependencies -- FAILURE" - echo -e "\tSee README for details" - fi +# Install python dependencies +easy_install pip simplejson +easy_install simplejson +pip install Flask +pip install nose +pip install -U pyyaml +python -m nltk.downloader maxent_treebank_pos_tagger +python -m nltk.downloader wordnet +# Install Scikit-Learn (SVM) +pip install numpy +pip install scikit-learn +pip install scipy - if [[ $setup_genia -eq 0 ]] ; then - echo "Install GENIA tagger -- SUCCESS" - else - echo "Install GENIA tagger -- FAILURE" - echo -e "\tSee README for details" - fi +# Install python-crfsuite (CRF) +pip install python-crfsuite + + + + +# Download & install GENIA tagger +get_genia - if [[ $setup_install -eq 0 ]] ; then - echo "Install 'clicon' command for CLI -- SUCCESS" - else - echo "Install 'clicon' command for CLI -- FAILURE" - echo -e "\tSee README for details" - fi -fi +# Install 'clicon' CLI command +python setup.py install From e73efbe2b945bf888e168d5e46135718c0f44baa Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 13 Aug 2014 18:06:56 -0400 Subject: [PATCH 199/393] Modified install script so it doesn't git clone the project --- README.rst | 19 ++++--- install.sh | 164 ++++++++++++----------------------------------------- 2 files changed, 45 insertions(+), 138 deletions(-) diff --git a/README.rst b/README.rst index 76d34b5..823db85 100644 --- a/README.rst +++ b/README.rst @@ -33,26 +33,21 @@ Installation Script For Ubuntu users, there is a script that should be able to download most of the pieces of this project. Note, it cannot get priveleged tools (such as the i2b2 data and the UMLS tables) - you must get those two pieces yourself. - To run the script, copy 'install.sh' from Github and enter the directory you'd like to house this project. Run the script with **source install.sh** NOTE: The script will git clone CliCon for you, so do not do that yourself if you use the script. - - The script will try to download CliCon's third party dependencies and will report back what tools could/couldn't be acquired. Ideally, it will get everything except for the i2b2 data and the UMLS tables. + The script will try to download CliCon's third party dependencies and will get everything except for the i2b2 data and the UMLS tables. In the event that you run the script but encounter issues, please see the README section that corresponds to the failure's message. It is entirely likely that there are unforseen bugs. If you experience "strange" behavior (or if this document is just unclear in general), please email me at wboag@cs.uml.edu with your installation questions. If you do not run the script, you must follow each of these steps and configure things such as virtual environments and environment variables. Not terribly difficult (we hope!). + 1. virtualenv - Setup a virtual environent: - - - reference - https://virtualenv.pypa.io/en/latest/ + Setup a virtual environent. You must re-enable the virtual environment every new session. example: @@ -61,6 +56,11 @@ Installation Script user@your-machine:~$ source venv_clicon/bin/activate + reference + https://virtualenv.pypa.io/en/latest/ + + + 2. environment variable @@ -90,6 +90,7 @@ Installation Script - numpy - scikit-learn - scipy + - python-crfsuite - nltk (AND run the NLTK downloader) @@ -109,7 +110,7 @@ Installation Script example: (venv_clicon)user@your-machine:~/CliCon$ sudo apt-get install g++ gfortran libopenblas-dev liblapack-dev -y - (venv_clicon)user@your-machine:~/CliCon$ pip install numpy scikit-learn scipy nltk + (venv_clicon)user@your-machine:~/CliCon$ pip install numpy scikit-learn scipy nltk python-crfsuite diff --git a/install.sh b/install.sh index acac056..b27b881 100755 --- a/install.sh +++ b/install.sh @@ -3,91 +3,16 @@ # # Purpose: This is a demo that will install CliCon and it's package dependencies # -# Usage: 'source install.sh' (It is important to use 'source', not 'bash') -# # Note: This does not download/install: # 1) i2b2 data # 2) UMLS tables -# 3) GENIA Tagger # -function create_clicon { - # Create wrapper directory to hold: - # 1) virtual environment - # 2) CliCon source from github - mkdir clicon - cd clicon - - virtualenv venv_clicon - source venv_clicon/bin/activate - - git clone https://github.com/mitmedg/CliCon.git - cd CliCon -} - - - -function environ_clicon { - # Set environment variable (check if it is defined) - if [[ "$CLICON_DIR" = "" ]] ; then - echo -e "\n\t" - echo -e "Appending line to ~/.bashrc to remember environment variable\n" - - echo "export CLICON_DIR=\"$(pwd)/clicon/CliCon\"" >> ~/.bashrc - source ~/.bashrc - export CLICON_DIR - - fi - - setup_environ=0 -} - - - -function install_clicon { - - # Get python dependencies - easy_install pip - easy_install simplejson - pip install Flask - pip install nose - pip install -U pyyaml - - # Install nltk data - python -m nltk.downloader maxent_treebank_pos_tagger - python -m nltk.downloader wordnet - - - # apt-get doesn't seem to be working at getting numpy - pip install numpy scikit-learn scipy - setup_dependencies=$? - - - # Success? - if ! [[ $setup_dependencies -eq 0 ]] ; then - - # apt-get some packages - read -p "\nPython dependencies failed. Would you like to try again with apt-get (y/n)? " yn - - if [[ "$yn" = "y" ]] ; then - # Install required packages - # sudo apt-get g++ gfortran libopenblas-dev liblapack-dev - # Try again - pip install numpy scikit-learn scipy - setup_dependencies=$? - fi - fi - -} - - - -# Get GENIA +# Function to download GENIA tagger function get_genia { - # save current path old_path=$(pwd) @@ -104,7 +29,6 @@ function get_genia { # Successful build ? if ! [[ $? -eq 0 ]] ; then echo "there was a build error in GENIA" - setup_genia=1 return fi @@ -119,77 +43,59 @@ function get_genia { done < "$config_file" mv $out_tmp $config_file - - # Success - setup_genia=0 - # return to original path cd $old_path } -# Get crfsuite -function get_crfsuite { - echo "crfsuite not supported by CliCon yet" -} +# Create virtual environment +virtualenv venv_clicon +source venv_clicon/bin/activate -# Setup 'clicon' command for CLI -function setup { - cd $CLICON_DIR - python setup.py install - setup_install=$? -} -# Base directory cannot exist yet -if [[ -e clicon ]] ; then - echo -e "\n\tError: Cannot already have a file named 'clicon' in directory\n" -else +# CLICON_DIR must be defined before proceeding +if [[ "$CLICON_DIR" = "" ]] ; then + CLICON_DIR="$( cd "$( dirname "$0" )" && pwd )" + echo -e "\nEnvironment variable CLICON_DIR must be defined." + echo -e "Execute the following and re-run install.sh: \n" + echo -e "\texport CLICON_DIR=\"$CLICON_DIR\"" + echo "" + exit +fi - # Install resources - create_clicon - environ_clicon - install_clicon - get_genia - setup - - echo -e "\n\n" - # Print installation successes/failures - if [[ $setup_environ -eq 0 ]] ; then - echo "Environemt variable confiuration -- SUCCESS" - else - echo "Environemt variable confiuration -- FAILURE" - echo -e "\tSee README for details" - fi - if [[ $setup_dependencies -eq 0 ]] ; then - echo "Install python dependencies -- SUCCESS" - else - echo "Install python dependencies -- FAILURE" - echo -e "\tSee README for details" - fi +# Install python dependencies +easy_install pip simplejson +easy_install simplejson +pip install Flask +pip install nose +pip install -U pyyaml +python -m nltk.downloader maxent_treebank_pos_tagger +python -m nltk.downloader wordnet +# Install Scikit-Learn (SVM) +pip install numpy +pip install scikit-learn +pip install scipy - if [[ $setup_genia -eq 0 ]] ; then - echo "Install GENIA tagger -- SUCCESS" - else - echo "Install GENIA tagger -- FAILURE" - echo -e "\tSee README for details" - fi +# Install python-crfsuite (CRF) +pip install python-crfsuite + + + + +# Download & install GENIA tagger +get_genia - if [[ $setup_install -eq 0 ]] ; then - echo "Install 'clicon' command for CLI -- SUCCESS" - else - echo "Install 'clicon' command for CLI -- FAILURE" - echo -e "\tSee README for details" - fi -fi +# Install 'clicon' CLI command +python setup.py install From 5c3b88b742cd83d61f3594657b63a290c3a9dd0a Mon Sep 17 00:00:00 2001 From: ktwaco Date: Sat, 16 Aug 2014 10:42:36 -0400 Subject: [PATCH 200/393] merging scripting and cli --- clicon/evaluate.py | 114 +++++++++++++++++++++++++++++++++++++++------ 1 file changed, 101 insertions(+), 13 deletions(-) diff --git a/clicon/evaluate.py b/clicon/evaluate.py index a6ce059..6231a26 100644 --- a/clicon/evaluate.py +++ b/clicon/evaluate.py @@ -84,16 +84,13 @@ def main(): if k in con_files_map and k in ref_files_map: files.append((txt_files_map[k], con_files_map[k], ref_files_map[k])) - # Compute the confusion matrix labels = Model.labels # hash tabble: label -> index confusion = [[0] * len(labels) for e in labels] - print files print '' - # txt <- medical text # con <- model predictions # ref <- actual labels @@ -107,12 +104,107 @@ def main(): rnote = Note() rnote.read_i2b2( txt, ref ) - # Get corresponding concept labels (prediction vs. actual) - for c, r in zip( cnote.conlist(), rnote.conlist() ): - for c, r in zip(c, r): - confusion[labels[r]][labels[c]] += 1 - - + predictions = cnote.conlist() + + #TO DO: make leaner + #TO DO: create unit tests + reference_concept_spans = {} + predicted_concept_spans = {} + + for line_index, span in enumerate(rnote.boundaries): + #obtain each boundary for the reference labels. + for boundary_index, boundary in enumerate(span): + #IF none/'O' for references simply add to confusion matrix. + #this is done because a blank can only match or mismatch. + if boundary == 'O': + actual = labels[rnote.conlist()[line_index][boundary_index]] + predicted = labels[cnote.conlist()[line_index][boundary_index]] + confusion[actual][predicted] += 1 + #'B' signifies beginning of a concept. + if boundary == 'B': + concept = rnote.concepts[line_index][boundary_index] + #create an entry for the line number for this span. + if reference_concept_spans.has_key(line_index) == False: + reference_concept_spans[line_index] = {} + #mark the beginning of the concept. + beginning = boundary_index + end = boundary_index + for possible_end in span[boundary_index+1:]: + #find the end of the concept + if possible_end == 'B' or possible_end == 'O': + break + if possible_end == 'I': + end += 1 + #store this concept to its line number. + reference_concept_spans[line_index].update({(beginning,end):concept}) + + #find the labels generated from predictions. + #same logic as above except we only care about the labels created for predictions. + for line_index, span in enumerate(cnote.boundaries): + for boundary_index, boundary in enumerate(span): + if boundary == 'B': + concept = cnote.concepts[line_index][boundary_index] + beginning = boundary_index + end = boundary_index + if predicted_concept_spans.has_key(line_index) == False: + predicted_concept_spans[line_index] = {} + + for possible_end in span[boundary_index+1:]: + if possible_end == 'B' or possible_end == 'O': + break + if possible_end == 'I': + end += 1 + predicted_concept_spans[line_index].update({(beginning,end):concept}) + + #for each reference span verify if the predicted span corresponds. + #exatch matches + for lines in reference_concept_spans: + spans_to_remove = [] + for spans in reference_concept_spans[lines]: + #if the line does not exist for whatever reason mark it as none. + if (lines in predicted_concept_spans) == False: + confusion[labels[reference_concept_spans[lines][spans]]][labels['none']] += 1 + continue + #if the span exists and the concept matches mark it for removal and add to confusion matrix + if spans in predicted_concept_spans[lines]: + if reference_concept_spans[lines][spans] == predicted_concept_spans[lines][spans]: + #add to confusion matrix. + spans_to_remove.append(spans) + confusion[labels[reference_concept_spans[lines][spans]]][labels[predicted_concept_spans[lines][spans]]] += 1 + for span_to_remove in spans_to_remove: + #prevent double counting. + predicted_concept_spans[lines].pop(span_to_remove) + reference_concept_spans[lines].pop(span_to_remove) + + #these left overspans do not have exact matches. + #for each reference span see if there is a predict span that it falls in the range of + #inexact matches + for lines in reference_concept_spans: + #if line does not exist for whatever reason just continue, these have already been marked for score. + if (lines in predicted_concept_spans) == False: + continue + for ref_spans in reference_concept_spans[lines]: + incorrect_classifications = [] + for predicted_spans in predicted_concept_spans[lines]: + #find overlapping spans + if predicted_spans[0] >= ref_spans[0] and predicted_spans[0] <= ref_spans[1] \ + or predicted_spans[1] >= ref_spans[0] and predicted_spans[1] <= ref_spans[1]: + #if the classification matches then mark it for score. + if reference_concept_spans[lines][ref_spans] == predicted_concept_spans[lines][predicted_spans]: + confusion[labels[reference_concept_spans[lines][ref_spans]]][labels[predicted_concept_spans[lines][predicted_spans]]] += 1 + incorrect_classifications = [] + break + #overlap but incorrect classification. we still store what it gets for now because there may be another overlap + #that does match inexactly. + else: + incorrect_classifications.append(predicted_concept_spans[lines][predicted_spans]) + #if this is greater than 0 then there has been an incorrect classification. just map the first index + #it is wrong either way. + if len(incorrect_classifications) > 0: + confusion[labels[reference_concept_spans[lines][ref_spans]]][labels[incorrect_classifications[0]]] += 1 + #if there is no predicted span that overlaps with the reference span just mark as none. + else: + confusion[labels[reference_concept_spans[lines][ref_spans]]][labels['none']] += 1 # Display the confusion matrix print >>args.output, "" @@ -129,8 +221,6 @@ def main(): print >>args.output, "%s %s" % (act.rjust(pad), "\t".join([str(confusion[act_v][pre_v]) for pre, pre_v in labels.items()])) print >>args.output, "" - - # Compute the analysis stuff precision = [] recall = [] @@ -145,8 +235,6 @@ def main(): print >>args.output, "Analysis" print >>args.output, " " * pad, "Precision\tRecall\tF1" - - for lab, lab_v in labels.items(): tp = confusion[lab_v][lab_v] fp = sum(confusion[v][lab_v] for k, v in labels.items() if v != lab_v) From db4e828d01f7fa139864d485e2cec41c1e34b1ee Mon Sep 17 00:00:00 2001 From: ktwaco Date: Sat, 16 Aug 2014 10:42:36 -0400 Subject: [PATCH 201/393] merging scripting and cli --- clicon/evaluate.py | 114 +++++++++++++++++++++++++++++++++++++++------ 1 file changed, 101 insertions(+), 13 deletions(-) diff --git a/clicon/evaluate.py b/clicon/evaluate.py index a6ce059..6231a26 100644 --- a/clicon/evaluate.py +++ b/clicon/evaluate.py @@ -84,16 +84,13 @@ def main(): if k in con_files_map and k in ref_files_map: files.append((txt_files_map[k], con_files_map[k], ref_files_map[k])) - # Compute the confusion matrix labels = Model.labels # hash tabble: label -> index confusion = [[0] * len(labels) for e in labels] - print files print '' - # txt <- medical text # con <- model predictions # ref <- actual labels @@ -107,12 +104,107 @@ def main(): rnote = Note() rnote.read_i2b2( txt, ref ) - # Get corresponding concept labels (prediction vs. actual) - for c, r in zip( cnote.conlist(), rnote.conlist() ): - for c, r in zip(c, r): - confusion[labels[r]][labels[c]] += 1 - - + predictions = cnote.conlist() + + #TO DO: make leaner + #TO DO: create unit tests + reference_concept_spans = {} + predicted_concept_spans = {} + + for line_index, span in enumerate(rnote.boundaries): + #obtain each boundary for the reference labels. + for boundary_index, boundary in enumerate(span): + #IF none/'O' for references simply add to confusion matrix. + #this is done because a blank can only match or mismatch. + if boundary == 'O': + actual = labels[rnote.conlist()[line_index][boundary_index]] + predicted = labels[cnote.conlist()[line_index][boundary_index]] + confusion[actual][predicted] += 1 + #'B' signifies beginning of a concept. + if boundary == 'B': + concept = rnote.concepts[line_index][boundary_index] + #create an entry for the line number for this span. + if reference_concept_spans.has_key(line_index) == False: + reference_concept_spans[line_index] = {} + #mark the beginning of the concept. + beginning = boundary_index + end = boundary_index + for possible_end in span[boundary_index+1:]: + #find the end of the concept + if possible_end == 'B' or possible_end == 'O': + break + if possible_end == 'I': + end += 1 + #store this concept to its line number. + reference_concept_spans[line_index].update({(beginning,end):concept}) + + #find the labels generated from predictions. + #same logic as above except we only care about the labels created for predictions. + for line_index, span in enumerate(cnote.boundaries): + for boundary_index, boundary in enumerate(span): + if boundary == 'B': + concept = cnote.concepts[line_index][boundary_index] + beginning = boundary_index + end = boundary_index + if predicted_concept_spans.has_key(line_index) == False: + predicted_concept_spans[line_index] = {} + + for possible_end in span[boundary_index+1:]: + if possible_end == 'B' or possible_end == 'O': + break + if possible_end == 'I': + end += 1 + predicted_concept_spans[line_index].update({(beginning,end):concept}) + + #for each reference span verify if the predicted span corresponds. + #exatch matches + for lines in reference_concept_spans: + spans_to_remove = [] + for spans in reference_concept_spans[lines]: + #if the line does not exist for whatever reason mark it as none. + if (lines in predicted_concept_spans) == False: + confusion[labels[reference_concept_spans[lines][spans]]][labels['none']] += 1 + continue + #if the span exists and the concept matches mark it for removal and add to confusion matrix + if spans in predicted_concept_spans[lines]: + if reference_concept_spans[lines][spans] == predicted_concept_spans[lines][spans]: + #add to confusion matrix. + spans_to_remove.append(spans) + confusion[labels[reference_concept_spans[lines][spans]]][labels[predicted_concept_spans[lines][spans]]] += 1 + for span_to_remove in spans_to_remove: + #prevent double counting. + predicted_concept_spans[lines].pop(span_to_remove) + reference_concept_spans[lines].pop(span_to_remove) + + #these left overspans do not have exact matches. + #for each reference span see if there is a predict span that it falls in the range of + #inexact matches + for lines in reference_concept_spans: + #if line does not exist for whatever reason just continue, these have already been marked for score. + if (lines in predicted_concept_spans) == False: + continue + for ref_spans in reference_concept_spans[lines]: + incorrect_classifications = [] + for predicted_spans in predicted_concept_spans[lines]: + #find overlapping spans + if predicted_spans[0] >= ref_spans[0] and predicted_spans[0] <= ref_spans[1] \ + or predicted_spans[1] >= ref_spans[0] and predicted_spans[1] <= ref_spans[1]: + #if the classification matches then mark it for score. + if reference_concept_spans[lines][ref_spans] == predicted_concept_spans[lines][predicted_spans]: + confusion[labels[reference_concept_spans[lines][ref_spans]]][labels[predicted_concept_spans[lines][predicted_spans]]] += 1 + incorrect_classifications = [] + break + #overlap but incorrect classification. we still store what it gets for now because there may be another overlap + #that does match inexactly. + else: + incorrect_classifications.append(predicted_concept_spans[lines][predicted_spans]) + #if this is greater than 0 then there has been an incorrect classification. just map the first index + #it is wrong either way. + if len(incorrect_classifications) > 0: + confusion[labels[reference_concept_spans[lines][ref_spans]]][labels[incorrect_classifications[0]]] += 1 + #if there is no predicted span that overlaps with the reference span just mark as none. + else: + confusion[labels[reference_concept_spans[lines][ref_spans]]][labels['none']] += 1 # Display the confusion matrix print >>args.output, "" @@ -129,8 +221,6 @@ def main(): print >>args.output, "%s %s" % (act.rjust(pad), "\t".join([str(confusion[act_v][pre_v]) for pre, pre_v in labels.items()])) print >>args.output, "" - - # Compute the analysis stuff precision = [] recall = [] @@ -145,8 +235,6 @@ def main(): print >>args.output, "Analysis" print >>args.output, " " * pad, "Precision\tRecall\tF1" - - for lab, lab_v in labels.items(): tp = confusion[lab_v][lab_v] fp = sum(confusion[v][lab_v] for k, v in labels.items() if v != lab_v) From 025d92714eaacdb79de20ff7c14b5a7457952b48 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Sat, 16 Aug 2014 12:14:03 -0400 Subject: [PATCH 202/393] Reorganized features_dir module --- clicon/features_dir/__init__.py | 0 clicon/features_dir/features.py | 115 +++++ clicon/features_dir/genia/.gitignore | 2 + clicon/features_dir/genia/__init__.py | 0 clicon/features_dir/genia/genia_features.py | 82 ++++ clicon/features_dir/genia/interface_genia.py | 112 +++++ clicon/features_dir/read_config.py | 49 ++ clicon/features_dir/sentence_features.py | 443 +++++++++++++++++++ clicon/features_dir/umls/SQLookup.py | 74 ++++ clicon/features_dir/umls/__init__.py | 0 clicon/features_dir/umls/create_sqliteDB.py | 112 +++++ clicon/features_dir/umls/umls.py | 230 ++++++++++ clicon/features_dir/umls/umls_cache.py | 23 + clicon/features_dir/umls/umls_features.py | 228 ++++++++++ clicon/features_dir/utilities.py | 72 +++ clicon/features_dir/word_features.py | 379 ++++++++++++++++ clicon/features_dir/wordshape.py | 422 ++++++++++++++++++ 17 files changed, 2343 insertions(+) create mode 100644 clicon/features_dir/__init__.py create mode 100644 clicon/features_dir/features.py create mode 100644 clicon/features_dir/genia/.gitignore create mode 100644 clicon/features_dir/genia/__init__.py create mode 100644 clicon/features_dir/genia/genia_features.py create mode 100644 clicon/features_dir/genia/interface_genia.py create mode 100644 clicon/features_dir/read_config.py create mode 100644 clicon/features_dir/sentence_features.py create mode 100644 clicon/features_dir/umls/SQLookup.py create mode 100644 clicon/features_dir/umls/__init__.py create mode 100644 clicon/features_dir/umls/create_sqliteDB.py create mode 100644 clicon/features_dir/umls/umls.py create mode 100644 clicon/features_dir/umls/umls_cache.py create mode 100644 clicon/features_dir/umls/umls_features.py create mode 100644 clicon/features_dir/utilities.py create mode 100644 clicon/features_dir/word_features.py create mode 100644 clicon/features_dir/wordshape.py diff --git a/clicon/features_dir/__init__.py b/clicon/features_dir/__init__.py new file mode 100644 index 0000000..e69de29 diff --git a/clicon/features_dir/features.py b/clicon/features_dir/features.py new file mode 100644 index 0000000..eb6b92a --- /dev/null +++ b/clicon/features_dir/features.py @@ -0,0 +1,115 @@ +###################################################################### +# CliCon - clicon_features.py # +# # +# Willie Boag wboag@cs.uml.edu # +# # +# Purpose: Isolate the model's features from model.py # +###################################################################### + + +__author__ = 'Willie Boag' +__date__ = 'Jan. 27, 2014' + + + +import nltk +import re + +from wordshape import getWordShapes +from utilities import prose_sentence + +from sentence_features import SentenceFeatures + + + +class FeatureWrapper: + + # FIXME - Make three objects - one for each classifier + + + # Instantiate an FeatureWrapper object + def __init__(self, data=None): + + # Sentence-level features + self.feat_sent = SentenceFeatures(data) + + + + # IOB_features() + # + # input: A sentence + # output: A hash table of features + def IOB_features(self, sentence): + + # Different features depending on whether sentence is 'prose' + isProse = prose_sentence(sentence) + + unique = 1 # 20 + + if isProse: + if True: + features_list = self.feat_sent.IOB_prose_features(sentence) + else: + features_list = [] + for i in range(len(sentence)): + features = {} + for j in range(unique): + features[(''.join(sentence),i,j)] = 1 + features_list.append(features) + else: + if True: + features_list = self.feat_sent.IOB_nonprose_features(sentence) + else: + features_list = [] + for i in range(len(sentence)): + features = {} + for j in range(unique): + features[(''.join(sentence),i,j)] = 1 + features_list.append(features) + + + ''' + # Sanity Check (many unique features for each data point) + features_list = [] + for i in range(len(sentence)): + features = {} + for j in range(unique): + features[(''.join(sentence),i,j)] = 1 + features_list.append(features) + ''' + + + ''' + for f in features_list: + print sorted(f.items()) + print + ''' + + + # Return features as well as indication of whether it is prose or not + return (isProse, features_list) + + + + # concept_features() + # + # input: A sentence/line from a medical text file (list of chunks) + # An list of indices into the sentence for each important chunk + # output: A list of hash tables of features + def concept_features(self, sentence, chunk_inds): + + # FIXME - move all of this work to SentenceFeatures object + + ''' + # VERY basic feature set for sanity check tests during development + features_list = [] + for i,ind in enumerate(chunk_inds): + features = {('phrase',sentence[ind]) : 1} + features_list.append(features) + return features_list + ''' + + # Create a list of feature sets (one per chunk) + features_list = self.feat_sent.concept_features_for_sentence(sentence,chunk_inds) + return features_list + diff --git a/clicon/features_dir/genia/.gitignore b/clicon/features_dir/genia/.gitignore new file mode 100644 index 0000000..bb6a4d3 --- /dev/null +++ b/clicon/features_dir/genia/.gitignore @@ -0,0 +1,2 @@ +geniatagger-3.0.1* +*pyc diff --git a/clicon/features_dir/genia/__init__.py b/clicon/features_dir/genia/__init__.py new file mode 100644 index 0000000..e69de29 diff --git a/clicon/features_dir/genia/genia_features.py b/clicon/features_dir/genia/genia_features.py new file mode 100644 index 0000000..0a50850 --- /dev/null +++ b/clicon/features_dir/genia/genia_features.py @@ -0,0 +1,82 @@ +###################################################################### +# CliCon - genia_features.py # +# # +# Willie Boag wboag@cs.uml.edu # +# # +# Purpose: Independent GENIA module # +###################################################################### + + + +import interface_genia + +from features_dir import utilities + + +class GeniaFeatures: + + + def __init__(self, tagger, data): + + """ + Constructor. + + @param data. A list of split sentences + """ + + # Filter out nonprose sentences + prose = [ sent for sent in data if utilities.prose_sentence(sent) ] + + # Process prose sentences with GENIA tagger + self.GENIA_features = iter(interface_genia.genia(tagger, prose)) + + + + + def features(self, sentence, is_prose=True): + + """ + features() + + @param sentence. A list of words to bind features to + @param is_prose. Mechanism for skipping nonprose (for alignment) + @return list of dictionaries (of features) + + Note: All data is tagged upon instantiation of GeniaFeatures object. + This function MUST take each line of the file (in order) as input + """ + + # Return value is a list of dictionaries (of features) + features_list = [ {} for _ in sentence ] + + + # Mechanism to allow for skipping nonprose + if not is_prose: return [] + + + # Get the GENIA features of the current sentence + genia_feats = next( self.GENIA_features ) + + + for i,curr in enumerate(genia_feats): + + # Feature: Current word's GENIA features + keys = ['GENIA-stem','GENIA-POS','GENIA-chunktag'] + output = dict( ((k, curr[k]), 1) for k in keys if k in curr ) + features_list[i].update(output) + + + ''' + # Feature: Previous word's GENIA features + if i == 0: + output = dict( (('prev-'+k, ''), 1) for k in keys if k in curr) + else: + output = dict( (('prev-'+k, curr[k]), 1) for k in keys if k in curr) + ''' + + + features_list[i].update(output) + + + return features_list + diff --git a/clicon/features_dir/genia/interface_genia.py b/clicon/features_dir/genia/interface_genia.py new file mode 100644 index 0000000..8eaee66 --- /dev/null +++ b/clicon/features_dir/genia/interface_genia.py @@ -0,0 +1,112 @@ +###################################################################### +# CliCon - clicon_genia_interface.py # +# # +# Willie Boag wboag@cs.uml.edu # +# # +# Purpose: Provide a way for Python to utilize the output of the # +# GENIA Tagger # +# # +# Genia Tagger: http://www.nactem.ac.uk/tsujii/GENIA/tagger/ # +###################################################################### + + + +__author__ = 'Willie Boag' +__date__ = 'Jan. 27, 2014' + +import os +import sys +from commands import getstatusoutput + + +def main(): + + f = open('/home/wboag/ConceptExtraction-master/data/concept_assertion_relation_training_data/beth/txt/record-20.txt', 'r') + + txt = f.readlines() + + data = [] + for line in txt: + data.append(line.split()) + + tagger = '/home/wboag/geniatagger-3.0.1/geniatagger' + for (line,linedict) in zip(txt,genia(tagger,data)): + print line.split(), '\n' + for d in linedict: + print d + print '---\n\n' + + + +# +# genia() +# +# Call the genia tagger and return its output in python format +# +def genia(geniatagger, data): + + ''' + @param geniatagger. A path to the executable geniatagger + @param data. A list of list of strings (lines of words from a file) + @return A list of dcitionaries of the genia tagger's output. + ''' + + # write list to file and then feed it to GENIA + genia_dir = os.path.dirname(geniatagger) + tmp_out = os.path.join(genia_dir,'/tmp/clicon_genia_tmp_file.txt') + with open(tmp_out, 'w') as f: + for line in data: f.write(' '.join(line) + '\n') + + + # Run genia tagger + print '\t\tRunning GENIA tagger' + genia_dir = os.path.dirname(geniatagger) + stream = getstatusoutput('cd %s ; ./geniatagger -nt %s' % (genia_dir,tmp_out)) + + + # Process each line of output + # NOTE: Skips the first four lines of genia tagger output ("loading...") + retlist = [] + i = 0 + j = 0 + fline = [] + old = [] + for line in stream[1].split('\n')[4:]: + + line = line.split() + + # Empty line + if line == []: continue + + # One dictionary per word in the file + output = {'GENIA-word' :line[0], + 'GENIA-stem' :line[1], + 'GENIA-POS' :line[2], + 'GENIA-chunktag':line[3], + 'GENIA-NEtag' :line[4]} + + + # Add token to list + fline.append(output) + j += 1 + if j == len(data[i]): + #print data[i] + #print fline + #print '---' + i += 1 + j = 0 + retlist.append(fline) + fline = [] + + + # Remove temp file + os.remove(tmp_out) + + + return retlist + + + + +if __name__ == '__main__': + main() diff --git a/clicon/features_dir/read_config.py b/clicon/features_dir/read_config.py new file mode 100644 index 0000000..443be12 --- /dev/null +++ b/clicon/features_dir/read_config.py @@ -0,0 +1,49 @@ +###################################################################### +# CliCon - read_config.py # +# # +# Willie Boag wboag@cs.uml.edu # +# # +# Purpose: Read a configuration file to determine what features # +# are available on the system # +###################################################################### + + + +import os + + + +# +# enabled_modules +# +# @return dictionary of (name,resource path) pairs. +# +# ex. {'UMLS': None, 'GENIA': 'genia/geniatagger-3.0.1/geniatagger'} +# +def enabled_modules(): + + # Open config file + filename = os.path.join( os.getenv('CLICON_DIR'), 'config.txt' ) + f = open(filename, 'r') + + specs = {} + module_list = [ 'GENIA', 'UMLS' ] + + + for line in f.readlines(): + words = line.split() + if words: + + # Modules + if words[0] in module_list: + if words[1] == 'None': + specs[words[0]] = None + else: + specs[words[0]] = words[1] + + return specs + + + +# Read from config file when module is imported +print enabled_modules() diff --git a/clicon/features_dir/sentence_features.py b/clicon/features_dir/sentence_features.py new file mode 100644 index 0000000..e0ae0ee --- /dev/null +++ b/clicon/features_dir/sentence_features.py @@ -0,0 +1,443 @@ +###################################################################### +# CliCon - sentence_features.py # +# # +# Willie Boag wboag@cs.uml.edu # +# # +# Purpose: Isolate the model's sentence-level features # +###################################################################### + + +__author__ = 'Willie Boag' +__date__ = 'Apr. 27, 2014' + + + +import nltk +import re +from sets import ImmutableSet +from wordshape import getWordShapes + + + +# What modules are available +from read_config import enabled_modules + + + + +# Import feature modules +enabled = enabled_modules() +if enabled['GENIA']: + from genia.genia_features import GeniaFeatures + +if enabled['UMLS']: + from umls.umls_features import UMLSFeatures + +from word_features import WordFeatures + + + + +class SentenceFeatures: + + + # Feature Enabling + #enabled_IOB_prose_sentence_features = ImmutableSet( [ 'pos', 'stem_wordnet', 'GENIA', 'prev', 'next', 'prev_3_pos', 'next_3_pos', 'UMLS'] ) + + enabled_IOB_nonprose_sentence_features = ImmutableSet( ['pos', 'test_result', 'prev', 'next','prev_3_pos', 'next_3_pos', 'UMLS']) + + enabled_concept_features = ImmutableSet( ['pos','prev_3_pos', 'stem_wordnet', 'test_result', 'word_shape','prev','next', "UMLS"]) + + + + # Instantiate an Sentence object + def __init__(self, data): + + # Word-level features module + self.feat_word = WordFeatures() + + # Only run GENIA tagger if module is available + if data and enabled['GENIA']: + tagger = enabled['GENIA'] + self.feat_genia = GeniaFeatures(tagger,data) + + # Only create UMLS cache if module is available + if enabled['UMLS']: + self.feat_umls = UMLSFeatures() + + + + self.enabled_IOB_prose_sentence_features = [] + #self.enabled_IOB_prose_sentence_features.append('pos') + #self.enabled_IOB_prose_sentence_features.append('prev_3_pos') + #self.enabled_IOB_prose_sentence_features.append('next_3_pos') + self.enabled_IOB_prose_sentence_features.append('prev') + self.enabled_IOB_prose_sentence_features.append('next') + #self.enabled_IOB_prose_sentence_features.append('GENIA') + #self.enabled_IOB_prose_sentence_features.append('UMLS') + + + + + # IOB_prose_features() + # + # input: A sentence + # output: A list of hash tables of features + def IOB_prose_features(self, sentence): + + features_list = [] + + # Get a feature set for each word in the sentence + for i,word in enumerate(sentence): + features_list.append(self.feat_word.IOB_prose_features(sentence[i])) + + + # Only POS tag once + pos_tagged = nltk.pos_tag(sentence) + + + # Allow for particular features to be enabled + for feature in self.enabled_IOB_prose_sentence_features: + + + # Feature: Part of Speech + if feature == 'pos': + for (i,(_,pos)) in enumerate(pos_tagged): + features_list[i].update( { ('pos',pos) : 1} ) + + + # Feature: Previous 3 POSs + if feature == 'prev_3_pos': + for i in range(len(sentence)): + # Where to begin + if i-3 < 0: + begin = 0 + else: + begin = i-3 + + # Go as far back as 3 tokens + pos_features = {} + for p in pos_tagged[begin:i]: + pos = p[1] + pos_features.update( {('prev_3_pos',pos) : 1} ) + + # Update feature dict + features_list[i].update(pos_features) + + + # Feature: Previous 3 POSs + if feature == 'next_3_pos': + for i in range(len(sentence)): + pos_features = {} + for p in pos_tagged[i:i+3]: + pos = p[1] + pos_features.update( {('next_3_pos',pos) : 1} ) + + # Update feature dict + features_list[i].update(pos_features) + + + # GENIA features + if (feature == 'GENIA') and enabled['GENIA']: + + # Get GENIA features + genia_feat_list = self.feat_genia.features(sentence) + + ''' + print '\t', sentence + + print '\n\n' + for gf in genia_feat_list: + print '\t', gf + print + print '\n\n' + ''' + + for i,feat_dict in enumerate(genia_feat_list): + features_list[i].update(feat_dict) + + + # Feature: UMLS Word Features (only use prose ones) + if (feature == "UMLS") and enabled['UMLS']: + for i in range(len(sentence)): + word = sentence[i] + umls_features = self.feat_umls.IOB_prose_features(word) + features_list[i].update( umls_features ) + + + # Used for 'prev' and 'next' features + ngram_features = [{} for i in range(len(features_list))] + if "prev" in self.enabled_IOB_prose_sentence_features: + prev = lambda f: {("prev_"+k[0], k[1]): v for k,v in f.items()} + prev_list = map(prev, features_list) + for i in range(len(features_list)): + if i == 0: + ngram_features[i][("prev", "*")] = 1 + else: + ngram_features[i].update(prev_list[i-1]) + + if "next" in self.enabled_IOB_prose_sentence_features: + next = lambda f: {("next_"+k[0], k[1]): v for k,v in f.items()} + next_list = map(next, features_list) + for i in range(len(features_list)): + if i < len(features_list) - 1: + ngram_features[i].update(next_list[i+1]) + else: + ngram_features[i][("next", "*")] = 1 + + merged = lambda d1, d2: dict(d1.items() + d2.items()) + features_list = [merged(features_list[i], ngram_features[i]) + for i in range(len(features_list))] + + + #for f in features_list: + # print sorted(f.items()) + # print + #print '\n\n\n' + + return features_list + + + + # IOB_nonprose_features() + # + # input: A sentence + # output: A hash table of features + def IOB_nonprose_features(self, sentence): + + + # Get a feature set for each word in the sentence + features_list = [] + for i,word in enumerate(sentence): + word_feats = self.feat_word.IOB_nonprose_features(sentence[i]) + features_list.append( word_feats ) + + + pos_tagged = nltk.pos_tag(sentence) + + + # Allow for particular features to be enabled + for feature in self.enabled_IOB_nonprose_sentence_features: + + # Feature: Part of Speech + if feature == 'pos': + for (i,(_,pos)) in enumerate(pos_tagged): + features_list[i][ ('pos',pos) ] = 1 + + + # Feature: Previous 3 POSs + if feature == 'prev_3_pos': + for i in range(len(sentence)): + # Where to begin + if i-3 < 0: + begin = 0 + else: + begin = i-3 + + # Go as far back as 3 tokens + pos_features = {} + for p in pos_tagged[begin:i]: + pos = p[1] + pos_features.update( {('prev_3_pos',pos) : 1} ) + + # Update feature dict + features_list[i].update(pos_features) + + + # Feature: Previous 3 POSs + if feature == 'next_3_pos': + for i in range(len(sentence)): + pos_features = {} + for p in pos_tagged[i+1:i+4]: + pos = p[1] + pos_features.update( {('next_3_pos',pos) : 1} ) + + # Update feature dict + features_list[i].update(pos_features) + + + # Feature: UMLS Word Features (only use nonprose ones) + if (feature == "UMLS") and enabled['UMLS']: + for i in range(len(sentence)): + word = sentence[i] + umls_features = self.feat_umls.IOB_nonprose_features(word) + features_list[i].update( umls_features ) + + ''' + # Feature: Test Result (for each chunk) + if feature == "test_result": + for index, features in enumerate(features_list): + right = " ".join([w for w in sentence[index:]]) + if self.feat_word.is_test_result(right): + features['test_result'] = 1 + ''' + + + + ngram_features = [{} for _ in range(len(features_list))] + if "prev" in self.enabled_IOB_nonprose_sentence_features: + prev = lambda f: {("prev_"+k[0], k[1]): v for k,v in f.items()} + prev_list = map(prev, features_list) + for i in range(len(features_list)): + if i == 0: + ngram_features[i][("prev", "*")] = 1 + else: + ngram_features[i].update(prev_list[i-1]) + + if "next" in self.enabled_IOB_nonprose_sentence_features: + next = lambda f: {("next_"+k[0], k[1]): v for k,v in f.items()} + next_list = map(next, features_list) + for i in range(len(features_list)): + if i == len(features_list) - 1: + ngram_features[i][("next", "*")] = 1 + else: + ngram_features[i].update(next_list[i+1]) + + + merged = lambda d1, d2: dict(d1.items() + d2.items()) + features_list = [merged(features_list[i], ngram_features[i]) + for i in range(len(features_list))] + + + return features_list + + + + + def concept_features_for_sentence(self, sentence, chunk_inds): + + """ + concept_features() + + @param sentence. A sentence in list of chunk format + @param chunk_inds. A list of indices for non-None-labeled chunks + @return A list of feature dictionaries + """ + + + # Get a feature set for each word in the sentence + features_list = [] + for ind in chunk_inds: + features_list.append( self.feat_word.concept_features_for_chunk(sentence,ind) ) + + + # FIXME - more closely resembling Harabagiu + return features_list + + + # Split the chunked sentence into a list of words for (POS tagger) + split_sentence = [] + for c in sentence: + split_sentence += c.split() + tags = nltk.pos_tag(split_sentence) + + + pflag = False + if ' '.join(sentence) == 'PMH : Carpal tunnel syndrome , Hypertension , Hyperlipidemia , Arthritis': + pflag = True + #print '\n\n\n' + #print 'sentence: ', sentence + #print 'inds: ', chunk_inds + #print 'tags: ', tags + #print + #print '\n\n' + + + + # Allow for particular features to be enabled + for feature in self.enabled_concept_features: + + # Features: UMLS features + if (feature == "UMLS") and enabled['UMLS']: + umls_features = self.feat_umls.concept_features_for_sentence(split_sentence) + features.update(umls_features) + + + # Feature: Previous POSs + if feature == 'pos': + for i,ind in enumerate(chunk_inds): + # Find beginning index of chunk + split_ind = 0 + for c in sentence[:ind]: + split_ind += len(c.split()) + end_ind = split_ind + len(sentence[ind].split()) + + # All words in chunk + for tag in tags[split_ind:end_ind]: + pos = tag[1] + features_list[i][('pos',pos)] = 1 + + + # Feature: Previous 3 POSs + if feature == 'prev_3_pos': + for i,ind in enumerate(chunk_inds): + # Find beginning index of chunk + split_ind = 0 + for c in sentence[:ind]: + split_ind += len(c.split()) + + # Three previous words + begin = split_ind-3 if split_ind-3>0 else 0 + for tag in tags[begin:split_ind]: + pos = tag[1] + features_list[i][('prev_3_pos',pos)] = 1 + + + continue + + + # Feature: Previous Chunks's Features + if feature == "prev": + if ind == 0: + features[("prev", "*")] = 1 + else: + # Get features of previous chunks + prev_features = self.feat_sent.concept_features_for_chunk(sentence,ind-1) + prepend = lambda f: {("prev_"+k[0],k[1]):v for k, v in f.items()} + features.update( prepend(prev_features) ) + + + # Feature: Next Chunk's Features + if features == "next": + if ind == len(sentence) - 1: + features[("next", "*")] = 1 + else: + # Get features of previous chunks + next_features = self.feat_sent.concept_features_for_chunk(sentence,ind+1) + prepend = lambda f: {("next_"+k[0],k[1]):v for k, v in f.items()} + features.update( prepend(next_features) ) + + + + + # Feature: Wordnet Stem (for each chunk) + if feature == "stem_wordnet": + morphy_tags = { + 'NN': nltk.corpus.reader.wordnet.NOUN, + 'JJ': nltk.corpus.reader.wordnet.ADJ, + 'VB': nltk.corpus.reader.wordnet.VERB, + 'RB': nltk.corpus.reader.wordnet.ADV} + morphy_tags = [(w, morphy_tags.setdefault(t[:2], nltk.corpus.reader.wordnet.NOUN)) for w, t in tags] + st = nltk.stem.WordNetLemmatizer() + tag = morphy_tags[ind] + # FIXME + #features[(feature, st.lemmatize(*tag))] = 1 + + + # Feature: Test Result (for each chunk) + if feature == "test_result": + # FIXME + right = " ".join([c for c in sentence[ind:]]) + if self.feat_word.is_test_result(right): + features[(feature, None)] = 1 + + + #if pflag: + # for f in features_list: + # print sorted(f.items()) + # print + + + return features_list + + diff --git a/clicon/features_dir/umls/SQLookup.py b/clicon/features_dir/umls/SQLookup.py new file mode 100644 index 0000000..e1dbb8f --- /dev/null +++ b/clicon/features_dir/umls/SQLookup.py @@ -0,0 +1,74 @@ +import copy +import sqlite3 +import create_sqliteDB +import os + +WINDOW_SIZE = 7 + +#connect to UMLS database +def SQLConnect(): + + #try to connect to the sqlite database. Make one otherwise + db_path = os.path.join( os.environ['CLICON_DIR'], "umls_tables/umls.db") + if( os.path.isfile( db_path ) ): + print "\ndb exists" + else: + print "\ndb doesn't exist" + create_sqliteDB.create_db() + + db = sqlite3.connect( db_path ) + return db.cursor() + + +#used in SQlookup, I made this global so SQLConnect is only called once. +c = SQLConnect() + +#searchs umls database for the semantic type of a string +def SQlookup( c , string ): + + #queries database and finds first semantic type match, returns a 1 when a match is found. + c.execute( "SELECT sty FROM MRCON a, MRSTY b WHERE a.cui = b.cui AND str = ?; " , (string,) ) + + #returns a tuple with the match or None if there was no match. + #return c.fetchone() + return c.fetchall() + +#returns the semantic type of a word +def string_lookup( string ): + + #return SQlookup( c , string ) + r = SQlookup( c , string ) + + return r + + +# get all semantic types for a given concept +def cui_lookup( string ): + + # queries database and finds semantic type match + c.execute( "SELECT cui FROM MRCON WHERE str = ?;" , (string,) ) + + #returns a tuple with the match or None if there was no match. + return c.fetchall() + + +def hypernyms_lookup( string ): + + print 'hypernym lookup is unacceptably slow' + return [] + + c.execute( "SELECT CUI FROM MRCON WHERE STR = ? LIMIT 1 ;" , (string,) ) + + cui = c.fetchone() + + if cui == None: + return None + else: + c.execute( "SELECT CUI2 FROM MRREL WHERE CUI1 = ? AND REL = 'PAR' LIMIT 5 ;" , (cui[0],) ) + result = c.fetchone() + if not result: + return None + else: + return result + + diff --git a/clicon/features_dir/umls/__init__.py b/clicon/features_dir/umls/__init__.py new file mode 100644 index 0000000..e69de29 diff --git a/clicon/features_dir/umls/create_sqliteDB.py b/clicon/features_dir/umls/create_sqliteDB.py new file mode 100644 index 0000000..014b91c --- /dev/null +++ b/clicon/features_dir/umls/create_sqliteDB.py @@ -0,0 +1,112 @@ +#database.py creates a .db file for performing umls searches. +import sqlite3 +import os +import sys +import os + +def create_db(): + + print "\ncreating umls.db" + #connect to the .db file we are creating. + db_path = os.path.join(os.environ['CLICON_DIR'],'umls_tables/umls.db') + conn = sqlite3.connect( db_path ) + conn.text_factory = str + + print "opening files" + #load data in files. + try: + mrsty_path = os.path.join(os.environ['CLICON_DIR'],'umls_tables/MRSTY') + MRSTY_TABLE = open( mrsty_path, "r" ) + except IOError: + print "\nNo file to use for creating MRSTY table\n" + conn.close() + sys.exit() + + try: + mrcon_path = os.path.join(os.environ['CLICON_DIR'],'umls_tables/MRCON') + MRCON_TABLE = open( mrcon_path , "r" ) + except IOError: + print "\nNo file to use for creating MRCON table\n" + conn.close() + sys.exit() + + try: + mrrel_path = os.path.join(os.environ['CLICON_DIR'],'umls_tables/MRREL') + MRREL_TABLE = open( mrrel_path , "r" ) + except IOError: + print "\nNo file to use for creating MRREL table\n" + conn.close() + sys.exit() + + print "reading files" + + MRSTY_TABLE = MRSTY_TABLE.read() + MRSTY_TABLE = MRSTY_TABLE.split('\n') + + MRCON_TABLE = MRCON_TABLE.read() + MRCON_TABLE = MRCON_TABLE.split( '\n' ) + + MRREL_TABLE = MRREL_TABLE.read() + MRREL_TABLE = MRREL_TABLE.split( '\n' ) + + #data that will be inserted into tables. + MRTSY_DATA = [] + MRCON_DATA = [] + MRREL_DATA = [] + + c = conn.cursor() + + print "parsing files" + + #parse and store the data from the files. + for line in MRSTY_TABLE: + MRTSY_DATA.append( tuple(line.split('|')) ) + for line in MRCON_TABLE: + MRCON_DATA.append( tuple(line.split('|')) ) + for line in MRREL_TABLE: + MRREL_DATA.append( tuple(line.split('|')) ) + + print "creating tables" + + #create tables. + c.execute( "CREATE TABLE MRCON( CUI, LAT, TS, LUI, STT, SUI, STR, LRL, EMPTY ) ;" ) + c.execute( "CREATE TABLE MRSTY( CUI, TUI, STY, EMPTY ) ;" ) + c.execute( "CREATE TABLE MRREL( CUI1, REL, CUI2, RELA, SAB, SL, MG, EMPTY ) ;" ) + + print "inserting data" + + #insert data onto database + for line in MRCON_DATA: + try: + c.execute( "INSERT INTO MRCON( CUI, LAT, TS, LUI, STT, SUI, STR, LRL, EMPTY ) values ( ?, ?, ? ,?, ?,?,?,?,?);", line ) + except sqlite3.ProgrammingError: + continue + for line in MRTSY_DATA: + try: + c.execute( "INSERT INTO MRSTY( CUI, TUI, STY, EMPTY) values( ?, ?, ?, ?)" , line ) + except sqlite3.ProgrammingError: + continue + for line in MRREL_DATA: + try: + c.execute( "INSERT INTO MRREL( CUI1, REL, CUI2, RELA, SAB, SL, MG, EMPTY ) values( ?, ?, ?, ?,?, ? ,? ,? )" , line ) + except sqlite3.ProgrammingError: + continue + + print "creating indices" + + #create indices for faster queries + c.execute( "CREATE INDEX mrsty_cui_map ON MRSTY(CUI)") + c.execute( "CREATE INDEX mrcon_str_map ON MRCON(STR)") + c.execute( "CREATE INDEX mrcon_cui_map ON MRCON(CUI)") + c.execute( "CREATE INDEX mrrel_cui2_map ON MRREL( CUI2 )" ) + c.execute( "CREATE INDEX mrrel_cui1_map on MRREL( CUI1 ) " ) + c.execute( "CREATE INDEX mrrel_rel_map on MRREL( REL )" ) + + #save changes to .db + conn.commit() + + print "\nsqlite database created" + + #close connection + conn.close() + diff --git a/clicon/features_dir/umls/umls.py b/clicon/features_dir/umls/umls.py new file mode 100644 index 0000000..6b314b8 --- /dev/null +++ b/clicon/features_dir/umls/umls.py @@ -0,0 +1,230 @@ +import cPickle as pickle +import SQLookup + +def umls_semantic_type_word( umls_string_cache , sentence ): + + #If the umls semantic type is in the cache use that semantic type otherwise lookup the semantic type and add to the cache. + if umls_string_cache.has_key( sentence ): + mapping = umls_string_cache.get_map( sentence ) + else: + concept = SQLookup.string_lookup( sentence ) + #print sentence, ' - NOT FOUND' + #print '\t', concept + if concept != None: + #umls_string_cache.add_map( sentence , concept[0] ) + umls_string_cache.add_map( sentence , concept ) + else: + umls_string_cache.add_map( sentence , None ) + mapping = umls_string_cache.get_map(sentence) + + #print 'umls_semantic_type_word - returning:' + #print mapping + #print '' + + return mapping + + +def umls_semantic_context_of_words( umls_string_cache, sentence ): + + #Defines the largest string span for the sentence. + WINDOW_SIZE = 7 + + #Holds the span of the umls concept of the largest substring that each word in sentence is found in. + umls_context_list = [] + + #Holds the span of the concept for each substring. + #A tuple containing tne beginning and end index of a substring functions as the key and the key is assigned to a umls definition. + concept_span_dict = {} + + #Initialize the umls_context_list with empty lists. Each sublist functions as the mappings for each word. + for i in sentence: + umls_context_list.append( [] ) + + #Creates and finds the span of a umls concept for each possible substring of length 1 to currentWindowSize. + for currentWindowSize in range( 1 , WINDOW_SIZE ): + for ti in range( 0 , ( len(sentence) - currentWindowSize ) + 1 ): + rawstring = "" + for tj in range( ti , ti + currentWindowSize): + rawstring += ( sentence[tj] + " " ) + + #Each string is of length 1 to currentWindowSize. + rawstring = rawstring[0:-1] + + #If the string is not in cache, look the umls concept up and add to the cache. + if not( umls_string_cache.has_key( rawstring ) ): + #SQLookup returns a tuple if there is a result or None is there is not. + concept = SQLookup.string_lookup( rawstring ) + +# print concept + + if not concept: + umls_string_cache.add_map( rawstring, None ) + else: + umls_string_cache.add_map( rawstring, concept ) ; + +# if concept != None: + # umls_string_cache.add_map( rawstring , concept[0] ) + # else: + # umls_string_cache.add_map( rawstring , None ) + + #Store the concept into concept_span_dict with its span as a key. + concept_span_dict[(ti,ti+currentWindowSize-1)] = umls_string_cache.get_map( rawstring ) + + #For each substring of the sentence if there is a definition obtained from + #SQLookup assign the concept to every word that is within in the substring. + #If the currrent span is a substring update otherwise if it is not a substring add the new found context. + if umls_string_cache.get_map(rawstring): + + for i in range( ti , ti + currentWindowSize ): + + if len( umls_context_list[i] ) == 0: + umls_context_list[i].append( [ ti , ti + currentWindowSize - 1 ] ) + + else: + updated = 0 + for j in umls_context_list[i]: + if j[0] >= ti and j[1] <= ( ti + currentWindowSize - 1 ): + j[0] = ti + j[1] = ( ti + currentWindowSize - 1 ) + updated += 1 + if not(updated): + if umls_context_list[i].count( [ti,ti+currentWindowSize -1] ) == 0 : + umls_context_list[i].append( [ ti , ti +currentWindowSize - 1 ] ) + + + #print '\t\t', umls_context_list + + #create a list of sublists + # each sublist represents the contexts for which the word appears in the sentence + + # print umls_context_list + + mappings = [] + for i in umls_context_list: + spans = i + if len(spans) == 0: + mappings.append( None ) + else: + sub_mappings = [] + for j in spans: + sub_mappings.append( concept_span_dict[tuple(j)]) + + # FIXME - Decided to concat rather than append (not sure why) + mappings += sub_mappings + + return mappings + + +def umls_semantic_type_sentence( cache , sentence ): + + #print sentence + + #Defines the largest string span for the sentence. + + WINDOW_SIZE = 7 + + #holds the mappings for every substring of size 1 to WINDOW_SIZE + mappings = {} + + #Creates and finds the span of a umls concept for each possible substring of length 1 to currentWindowSize. + for currentWindowSize in range( 1 , WINDOW_SIZE ): + for ti in range( 0 , ( len(sentence) - currentWindowSize ) + 1 ): + + rawstring = "" + + for tj in range( ti , ti + currentWindowSize): + rawstring += ( sentence[tj] + " " ) + + #Each string is of length 1 to currentWindowSize. + rawstring = rawstring[0:-1] + + #If the umls semantic type is already in the cache then us the one stored otherwise lookup and add to cache + if cache.has_key( rawstring ): + mappings[rawstring] = cache.get_map( rawstring ) + + else: + + concept = string_lookup( rawstring ) + + #cache.add_map( rawstring , concept ) + + if concept: + cache.add_map( rawstring , concept ) + else: + cache.add_map( rawstring , [] ) + + mappings[rawstring] = cache.get_map( rawstring ) +# print "rawstring: ", rawstring + # print "mappings: " ,mappings[rawstring] + size_s = 0 + + phrase = [] + + + #print "mappings: " , mappings + #get longest sub string with a mapping + + for mapping in mappings.iteritems(): + #print mapping + if( mapping[1] ): + # print mapping + if( len( mapping[0] ) > size_s ): + + phrase = [] + phrase.append( mapping[1] ) + size_s = len( mapping[0] ) + continue + if( len(mapping[0]) == size_s ): + phrase.append( mapping[1] ) + +# print "phrase: " , phrase +# print phrase + return phrase + + + +# Get the semantic types for a given word +def get_cui( cache , word ): + + # If hypernyms already in cache + if cache.has_key( word + '--cuis' ): + + cuis = cache.get_map( word + '--cuis' ) + + else: + + # Get cui + cuis = SQLookup.cui_lookup(word) + + # Eliminate duplicates + cuis = list(set(cuis)) + cuis = [c[0] for c in cuis] + + # Store result in cache + cache.add_map( word + '--cuis', cuis ) + + return cuis + + + +# Get the hypernyms of a string +def umls_hypernyms( cache, string ): + + print 'hypernym lookup is unacceptably slow' + return [] + + # If hypernyms already in cache + if cache.has_key( string + '--hypernymsaa' ): + + hyps = cache.get_map( string + '--hypernyms' ) + + else: + + # Get hypernyms + hyps = SQLookup.hypernyms_lookup(string) + + # Store result in cache + cache.add_map( string + '--hypernyms' , hyps ) + + return hyps + diff --git a/clicon/features_dir/umls/umls_cache.py b/clicon/features_dir/umls/umls_cache.py new file mode 100644 index 0000000..e84e253 --- /dev/null +++ b/clicon/features_dir/umls/umls_cache.py @@ -0,0 +1,23 @@ +import cPickle as pickle +import os + +class UmlsCache: + def __init__(self): + try: + prefix = os.environ['CLICON_DIR'] + self.filename = os.path.join( prefix, 'umls_tables/umls_cache' ) + self.cache = pickle.load( open( self.filename , "rb" ) ) ; + except IOError: + self.cache = {} + + def has_key( self , string ): + return self.cache.has_key( string ) + + def add_map( self , string, mapping ): + self.cache[string] = mapping + + def get_map( self , string ): + return self.cache[string] + + def __del__(self): + pickle.dump( self.cache, open( self.filename, "wb" ) ) diff --git a/clicon/features_dir/umls/umls_features.py b/clicon/features_dir/umls/umls_features.py new file mode 100644 index 0000000..e0032c9 --- /dev/null +++ b/clicon/features_dir/umls/umls_features.py @@ -0,0 +1,228 @@ +###################################################################### +# CliCon - umls_features.py # +# # +# Willie Boag wboag@cs.uml.edu # +# # +# Purpose: Independent UMLS module # +###################################################################### + + + +from sets import ImmutableSet +from umls_cache import UmlsCache +import umls + + + +class UMLSFeatures: + + + enabled_prose_features = ImmutableSet( [ 'umls_cui', 'umls_hypernyms' ] ) + + enabled_nonprose_features = ImmutableSet( [ 'umls_cui', 'umls_semantic_type_word' ] ) + + + enabled_concept_features_for_word = ImmutableSet( [ 'umls_semantic_type_word', 'umls_cui' ] ) + enabled_concept_features_for_sentence = ImmutableSet( [ 'umls_semantic_type_sentence', 'umls_semantic_context' ] ) + + + + def __init__(self): + + """ + UMLSFeatures::Constructor + """ + + # cache for the mappings of all umls lookups made + self.umls_lookup_cache = UmlsCache() + + + + + def IOB_prose_features(self, word): + + """ + UMLSFeatures::IOB_prose_features() + + @ param word. word to lookup in UMLS database + @return dictionary of features + """ + + # Return value is a list of dictionaries (of features) + features = {} + + + for feature in self.enabled_prose_features: + + + # Feature: UMLS Semantic Types + if feature == "umls_cui": + + # Get UMLS CUIs (could have multiple) + cuis = umls.get_cui(self.umls_lookup_cache , word) + + # Add each CUI + if cuis: + for cui in cuis: + features[(feature,cui)] = 1 + + + # Feature: UMLS Hypernyms + if feature == "umls_hypernyms": + + # Get UMLS hypernyms + hyps = umls.umls_hypernyms(self.umls_lookup_cache,word) + + # Add all hypernyms + if hyps: + #for hyp in hyps: + features[(feature,hyps[0])] = 1 + + + # Feature: UMLS Semantic Type (for each word) + if feature == "umls_semantic_type_word": + # Get UMLS semantic type (could have multiple) + mapping = umls.umls_semantic_type_word(self.umls_lookup_cache , word ) + # If is at least one semantic type + if mapping != None: + for concept in mapping: + features[('umls_semantic_type_word', concept )] = 1 + + + return features + + + + def IOB_nonprose_features(self, word): + + """ + UMLSFeatures::IOB_nonprose_features() + + @ param word. word to lookup in UMLS database + @return dictionary of features + """ + + # Return value is a list of dictionaries (of features) + features = {} + + + for feature in self.enabled_nonprose_features: + + + # Feature: UMLS Semantic Types + if feature == "umls_cui": + # Get UMLS CUIs (could have multiple) + cuis = umls.get_cui(self.umls_lookup_cache , word) + + # Add each CUI + for cui in cuis: + features[(feature,cui)] = 1 + + + # Feature: UMLS Semantic Type (for each word) + if feature == "umls_semantic_type_word": + # Get UMLS semantic type (could have multiple) + mapping = umls.umls_semantic_type_word(self.umls_lookup_cache , word ) + # If is at least one semantic type + if mapping != None: + for concept in mapping: + features[('umls_semantic_type_word', concept )] = 1 + + + return features + + + + + def concept_features_for_word(self, word): + + """ + UMLSFeatures::concept_features_for_word() + + @ param word. word to lookup in UMLS database + @return dictionary of word-level features + """ + + + # Return value is a list of dictionaries (of features) + features = {} + + + for feature in self.enabled_concept_features_for_word: + + # Feature: UMLS Semantic Types + if feature == "umls_cui": + + # Get UMLS CUIs (could have multiple) + cuis = umls.get_cui(self.umls_lookup_cache , word) + + # Add each CUI + if cuis: + for cui in cuis: + features[(feature,cui)] = 1 + + + # Feature: UMLS Semantic Type (for each word) + if feature == "umls_semantic_type_word": + + # Get UMLS semantic type (could have multiple) + mapping = umls.umls_semantic_type_word(self.umls_lookup_cache , word ) + # If is at least one semantic type + if mapping: + for concept in mapping: + features[('umls_semantic_type_word', concept )] = 1 + + + return features + + + + def concept_features_for_sentence(self, sentence): + + """ + UMLSFeatures::concept_features_for_sentence() + + @ param sentence. list of words from line (after flattening chunks) + @return dictionary of chunk-level features + """ + + + # Return value is a list of dictionaries (of features) + features = {} + + + for feature in self.enabled_concept_features_for_sentence: + + + # Feature: UMLS semantic type for the sentence + if feature == "umls_semantic_type_sentence": + + # a list of the uml semantic of the largest substring(s). + sentence_mapping = umls.umls_semantic_type_sentence( self.umls_lookup_cache, sentence ) + + # if there are no mappings + if not sentence_mapping: + features[('umls_semantic_type_sentence', None ) ] = 1 + # assign the umls definitions to the vector for each word + else: + + for concept in sentence_mapping: + if concept: + for mapping in concept: + features[('umls_semantic_type_sentence' , mapping[0] ) ] = 1 + + + # Feature: UMLS semantic context + if feature == "umls_semantic_context": + + # the umls definition of the largest string the word is in + umls_semantic_context_mappings = umls.umls_semantic_context_of_words( self.umls_lookup_cache , sentence ) + + # there could be multiple contexts, iterate through the sublist + for mapping in umls_semantic_context_mappings: + if not mapping: continue + for concept in mapping: + features[(feature,concept)] = 1 + + + return features diff --git a/clicon/features_dir/utilities.py b/clicon/features_dir/utilities.py new file mode 100644 index 0000000..2041f71 --- /dev/null +++ b/clicon/features_dir/utilities.py @@ -0,0 +1,72 @@ +###################################################################### +# CliCon - utilities.py # +# # +# Willie Boag wboag@cs.uml.edu # +# # +# Purpose: Miscellaneous tools for handling data. # +###################################################################### + + +import re + + +# prose_sentence() +# +# input: A sentence +# output: Boolean yes/no +def prose_sentence(sentence): + + # Empty sentence is not prose + if not sentence: + return False + + if sentence[-1] == '.' or sentence[-1] == '?': + return True + elif sentence[-1] == ':': + return False + elif len(sentence) <= 5: + return False + elif at_least_half_nonprose(sentence): + return True + else: + return False + + + +# at_least_half_nonprose() +# +# input: A sentence +# output: A bollean yes/no +def at_least_half_nonprose(sentence): + + count = len( [ w for w in sentence if prose_word(w) ] ) + + if count >= len(sentence)/2: + return True + else: + return False + + + +# prose_word() +# +# input: A word +# output: Boolean yes/no +def prose_word(word): + + # Punctuation + for punc in ".?,!:\"'": + if punc in word: + return False + + # Digit + if re.match('\d', word): + return False + + # All uppercase + if word == word.upper(): + return False + + # Else + return True + diff --git a/clicon/features_dir/word_features.py b/clicon/features_dir/word_features.py new file mode 100644 index 0000000..eba0644 --- /dev/null +++ b/clicon/features_dir/word_features.py @@ -0,0 +1,379 @@ +###################################################################### +# CliCon - word_features.py # +# # +# Willie Boag wboag@cs.uml.edu # +# # +# Purpose: Isolate all word-level features into a single file # +###################################################################### + + + + +__author__ = 'Willie Boag' +__date__ = 'Apr 27, 2014' + + + +import nltk +import re +from sets import ImmutableSet +from wordshape import getWordShapes + + + + +class WordFeatures: + + #enabled_IOB_prose_word_features = ImmutableSet( ['Generic#', 'last_two_letters', 'word', 'length', 'mitre', 'stem_porter', 'stem_lancaster', 'word_shape', 'metric_unit' ] ) + enabled_IOB_prose_word_features = [] + + enabled_IOB_nonprose_word_features = ImmutableSet( ['word', 'word_shape', 'metric_unit', 'mitre', 'directive', 'date' ] ) + + enabled_concept_features = ImmutableSet( ['word', 'prefix', 'stem_porter', 'stem_lancaster', 'previous_word_stem', 'next_word_stem'] ) + + + def __init__(self): + + self.enabled_IOB_prose_word_features.append('word') + self.enabled_IOB_prose_word_features.append('Generic#') + #self.enabled_IOB_prose_word_features.append('last_two_letters') + #self.enabled_IOB_prose_word_features.append('length') + #self.enabled_IOB_prose_word_features.append('mitre') + #self.enabled_IOB_prose_word_features.append('stem_porter') + #self.enabled_IOB_prose_word_features.append('stem_lancaster') + #self.enabled_IOB_prose_word_features.append('word_shape') + + pass + + + # IOB_prose_features_for_word() + # + # input: A single word + # output: A dictionary of features + def IOB_prose_features(self, word): + + # Feature: + features = {('dummy', None): 1} # always have >0 dimensions + + # Allow for particular features to be enabled + for feature in self.enabled_IOB_prose_word_features: + + if feature == "stem_lancaster": + st = nltk.stem.LancasterStemmer() + features[ (feature, st.stem(word.lower())) ] = 1 + + if feature == "word": + w = word.lower() + features[(feature, w)] = 1 + + # Feature: Generic# stemmed word + if feature == 'Generic#': + generic = re.sub('[0-9]','0',word) + features[ ('Generic#',generic) ] = 1 + + # Feature: Last two leters of word + if feature == 'last_two_letters': + features[ ('last_two_letters',word[-2:]) ] = 1 + + + if feature == "length": + features[(feature, None)] = len(word) + + if feature == "mitre": + for f in self.mitre_features: + if re.search(self.mitre_features[f], word): + features[(feature, f)] = 1 + + if feature == "stem_porter": + st = nltk.stem.PorterStemmer() + features[(feature, st.stem(word))] = 1 + + if feature == "word_shape": + wordShapes = getWordShapes(word) + for shape in wordShapes: + features[(feature, shape)] = 1 + + + return features + + + + + + # IOB_nonprose_features_for_word() + # + # input: A single word + # output: A dictionary of features + def IOB_nonprose_features(self, word): + + # Feature: + features = {'dummy': 1} # always have >0 dimensions + + enabled = True + + # Allow for particular features to be enabled + for feature in self.enabled_IOB_nonprose_word_features: + + # Feature: The word, itself + if feature == 'word': + features[('word', word.lower())] = 1 + + + # Feature: Metric Unit + if feature == "metric_unit": + unit = None + if self.is_weight(word): + unit = 'weight' + elif self.is_size(word): + unit = 'size' + elif self.is_volume(word): + unit = 'volume' + features[('metric_unit',unit)] = 1 + + + # Feature: Date + if feature == 'date': + if self.is_date(word): + features[('date',None)] = 1 + + + # Feature: Directive + if feature == 'directive': + if self.is_directive(word): + features[('directive',None)] = 1 + + + # Feature: Mitre + if feature == "mitre": + for f in self.mitre_features: + if re.search(self.mitre_features[f], word): + features[('mitre', f)] = 1 + + + # Feature: Word Shape + if feature == "word_shape": + wordShapes = getWordShapes(word) + for shape in wordShapes: + features[('word_shape', shape)] = 1 + + return features + + + + def concept_features_for_word(self, word): + + """ + concept_features_for_word() + + @param word. A word to generate features for + @return A dictionary of features + """ + + features = {} + + # Allow for particular features to be enabled + for feature in self.enabled_concept_features: + + # Feature: Uncased Word + if feature == "word": + features[ ("word",word.lower()) ] = 1 + + # Feature: Porter Stem + if feature == "stem_porter": + st = nltk.stem.PorterStemmer() + features[ ("stem_poter", st.stem(word)) ] = 1 + + # Feature: Lancaster Stem + if feature == "stem_lancaster": + st = nltk.stem.LancasterStemmer() + features[ ("stem_lancaster", st.stem(word)) ] = 1 + + # Feature: First Four Letters + if feature == "prefix": + prefix = word[:4].lower() + features[ ("prefix",prefix) ] = 1 + + + + # Feature: Length + if feature == "length": + features[ ("length",None) ] = len(word) + + # Feature: Mitre + if feature == "mitre": + for f in self.mitre_features: + if re.search(self.mitre_features[f], word): + features[ ("mitre",f) ] = 1 + + # Feature: Word Shape + if feature == "word_shape": + wordShapes = getWordShapes(word) + for shape in wordShapes: + features[ ("word_shape", shape) ] = 1 + + + return features + + + + + def concept_features_for_chunk(self, sentence, ind): + + """ + concept_features_for_chunk() + + @param word. A chunk from the sentence + @return A dictionary of features + """ + + features = {'dummy':1} + + # Word-level features for each word of the chunk + for w in sentence[ind].split(): + word_features = self.concept_features_for_word(w) + features.update(word_features) + + + # Stemmer + st = nltk.stem.PorterStemmer() + + + # Context windows + for feature in self.enabled_concept_features: + + # Feature: Previous word + if feature == "previous_word_stem": + if ind != 0: + prev_ind = ind - 1 + prev_chunk = sentence[prev_ind].split() + prev_word = st.stem( prev_chunk[-1] ) + features[ ('prev_word_stem',prev_word) ] = 1 + else: + features[ ('prev_word_stem',None) ] = 1 + + # Feature: Previous word + if feature == "previous_word_stem": + if ind != len(sentence)-1: + next_ind = ind + 1 + next_chunk = sentence[next_ind].split() + next_word = st.stem( next_chunk[-1] ) + features[ ('next_word_stem',next_word) ] = 1 + else: + features[ ('next_word_stem',None) ] = 1 + + + return features + + + + + mitre_features = { + "INITCAP": r"^[A-Z].*$", + "ALLCAPS": r"^[A-Z]+$", + "CAPSMIX": r"^[A-Za-z]+$", + "HASDIGIT": r"^.*[0-9].*$", + "SINGLEDIGIT": r"^[0-9]$", + "DOUBLEDIGIT": r"^[0-9][0-9]$", + "FOURDIGITS": r"^[0-9][0-9][0-9][0-9]$", + "NATURALNUM": r"^[0-9]+$", + "REALNUM": r"^[0-9]+.[0-9]+$", + "ALPHANUM": r"^[0-9A-Za-z]+$", + "HASDASH": r"^.*-.*$", + "PUNCTUATION": r"^[^A-Za-z0-9]+$", + "PHONE1": r"^[0-9][0-9][0-9]-[0-9][0-9][0-9][0-9]$", + "PHONE2": r"^[0-9][0-9][0-9]-[0-9][0-9][0-9]-[0-9][0-9][0-9][0-9]$", + "FIVEDIGIT": r"^[0-9][0-9][0-9][0-9][0-9]", + "NOVOWELS": r"^[^AaEeIiOoUu]+$", + "HASDASHNUMALPHA": r"^.*[A-z].*-.*[0-9].*$ | *.[0-9].*-.*[0-9].*$", + "DATESEPERATOR": r"^[-/]$", + } + + def is_test_result(self, context): + # note: make spaces optional? + regex = r"^[A-Za-z]+( )*(-|--|:|was|of|\*|>|<|more than|less than)( )*[0-9]+(%)*" + if not re.search(regex, context): + return re.search(r"^[A-Za-z]+ was (positive|negative)", context) + return True + + # Try to get QANN features + def is_meaurement(self, word): + regex = r"^[0-9]*(unit(s)|cc|L|mL|dL)$" + return re.search(regex, word) + + def is_directive(self, word): + regex = r"^(q\..*|q..|PRM|bid|prm|p\..*)$" + return re.search(regex, word) + + def is_date(self, word): + regex= r'^(\d\d\d\d-\d\d-\d|\d\d?-\d\d?-\d\d\d\d?|\d\d\d\d-\d\d?-\d\d?)$' + return re.search(regex,word) + + def is_volume(self, word): + regex = r"^[0-9]*(ml|mL|dL)$" + return re.search(regex, word) + + def is_weight(self, word): + regex = r"^[0-9]*(mg|g|mcg|milligrams|grams)$" + return re.search(regex, word) + + def is_size(self, word): + regex = r"^[0-9]*(mm|cm|millimeters|centimeters)$" + return re.search(regex, word) + + def is_prognosis_location(self, word): + regex = r"^(c|C)[0-9]+(-(c|C)[0-9]+)*$" + return re.search(regex, word) + + def has_problem_form(self, word): + regex = r".*(ic|is)$" + return re.search(regex, word) + + # checks for a definitive classification at the word level + def get_def_class(self, word): + test_terms = { + "eval", "evaluation", "evaluations", + "sat", "sats", "saturation", + "exam", "exams", + "rate", "rates", + "test", "tests", + "xray", "xrays", + "screen", "screens", + "level", "levels", + "tox" + } + problem_terms = { + "swelling", + "wound", "wounds", + "symptom", "symptoms", + "shifts", "failure", + "insufficiency", "insufficiencies", + "mass", "masses", + "aneurysm", "aneurysms", + "ulcer", "ulcers", + "trama", "cancer", + "disease", "diseased", + "bacterial", "viral", + "syndrome", "syndromes", + "pain", "pains" + "burns", "burned", + "broken", "fractured" + } + treatment_terms = { + "therapy", + "replacement", + "anesthesia", + "supplement", "supplemental", + "vaccine", "vaccines" + "dose", "doses", + "shot", "shots", + "medication", "medicine", + "treament", "treatments" + } + if word.lower() in test_terms: + return 1 + elif word.lower() in problem_terms: + return 2 + elif word.lower() in treatment_terms: + return 3 + return 0 + diff --git a/clicon/features_dir/wordshape.py b/clicon/features_dir/wordshape.py new file mode 100644 index 0000000..b536f49 --- /dev/null +++ b/clicon/features_dir/wordshape.py @@ -0,0 +1,422 @@ +import re +from sets import Set + +BOUNDARY_SIZE = 2 + +NOWORDSHAPE = -1 +WORDSHAPEDAN1 = 0 +WORDSHAPECHRIS1 = 1 +WORDSHAPEDAN2 = 2 +WORDSHAPEDAN2USELC = 3 +WORDSHAPEDAN2BIO = 4 +WORDSHAPEDAN2BIOUSELC = 5 +WORDSHAPEJENNY1 = 6 +WORDSHAPEJENNY1USELC = 7 +WORDSHAPECHRIS2 = 8 +WORDSHAPECHRIS2USELC = 9 +WORDSHAPECHRIS3 = 10 +WORDSHAPECHRIS3USELC = 11 + +greek = ["alpha", "beta", "gamma", "delta", "epsilon", "zeta", "theta", "iota", "kappa", "lambda", "omicron", "rho", "sigma", "tau", "upsilon", "omega"] +biogreek = r"alpha|beta|gamma|delta|epsilon|zeta|theta|iota|kappa|lambda|omicron|rho|sigma|tau|upsilon|omega" + + +def lookupShaper(name): + if name is None: + return NOWORDSHAPE + elif name.lower() == "dan1": + return WORDSHAPEDAN1 + elif name.lower() == "chris1": + return WORDSHAPECHRIS1 + elif name.lower() == "dan2": + return WORDSHAPEDAN2 + elif name.lower() == "dan2useLC": + return WORDSHAPEDAN2USELC + elif name.lower() == "dan2bio": + return WORDSHAPEDAN2BIO + elif name.lower() == "dan2bioUseLC": + return WORDSHAPEDAN2BIOUSELC + elif name.lower() == "jenny1": + return WORDSHAPEJENNY1 + elif name.lower() == "jenny1useLC": + return WORDSHAPEJENNY1USELC + elif name.lower() == "chris2": + return WORDSHAPECHRIS2 + elif name.lower() == "chris2useLC": + return WORDSHAPECHRIS2USELC + elif name.lower() == "chris3": + return WORDSHAPECHRIS3 + elif name.lower() == "chris3useLC": + return WORDSHAPECHRIS3USELC + else: + return NOWORDSHAPE + + +def dontUseLC(shape): + return shape == WORDSHAPEDAN2 or shape == WORDSHAPEDAN2BIO or shape == WORDSHAPEJENNY1 or shape == WORDSHAPECHRIS2 or shape == WORDSHAPECHRIS3 + + +def wordShape(inStr, wordShaper): + return wordShape(inStr, wordShaper, None) + + +def wordShape(inStr, wordShaper, knownLCWords): + if knownLCWords is not None and dontUseLC(wordShaper): + knownLCWords = None + + if wordShaper == NOWORDSHAPE: + return inStr + elif wordShaper == WORDSHAPEDAN1: + return wordShapeDan1(inStr) + elif wordShaper == WORDSHAPECHRIS1: + return wordShapeChris1(inStr) + elif wordShaper == WORDSHAPEDAN2: + return wordShapeDan2(inStr, knownLCWords) + elif wordShaper == WORDSHAPEDAN2USELC: + return wordShapeDan2(inStr, knownLCWords) + elif wordShaper == WORDSHAPEDAN2BIO: + return wordShapeDan2Bio(inStr, knownLCWords) + elif wordShaper == WORDSHAPEDAN2BIOUSELC: + return wordShapeDan2Bio(inStr, knownLCWords) + elif wordShaper == WORDSHAPEJENNY1: + return wordShapeJenny1(inStr, knownLCWords) + elif wordShaper == WORDSHAPEJENNY1USELC: + return wordShapeJenny1(inStr, knownLCWords) + elif wordShaper == WORDSHAPECHRIS2: + return wordShapeChris2(inStr, False, knownLCWords) + elif wordShaper == WORDSHAPECHRIS2USELC: + return wordShapeChris2(inStr, False, knownLCWords) + elif wordShaper == WORDSHAPECHRIS3: + return wordShapeChris2(inStr, True, knownLCWords) + elif wordShaper == WORDSHAPECHRIS3USELC: + return wordShapeChris2(inStr, True, knownLCWords) + + +def wordShapeDan1(s): + digit = True + upper = True + lower = True + mixed = True + i = 0 + for c in s: + if not c.isdigit(): + digit = False + if not c.islower(): + lower = False + if not c.isupper(): + upper = False + if (i == 0 and not c.isupper()) or (i >= 1 and not c.islower()): + mixed = False + i += 1 + if (digit): + return "ALL-DIGITS" + if (upper): + return "ALL-UPPER" + if (lower): + return "ALL-LOWER" + if (mixed): + return "MIXED-CASE" + return "OTHER" + + +def wordShapeDan2(s, knownLCWords): + sb = "WT-" + lastM = '~' + nonLetters = False + length = len(s) + for c in s: + m = c + if c.isdigit(): + m = 'd' + if c.islower() or c == '_': + m = 'x' + if c.isupper(): + m = 'X' + if m != 'x' and m != 'X': + nonLetters = True + if m != lastM: + sb += m + lastM = m + + if length <= 3: + sb += ':' + str(length) + + if knownLCWords is not None: + if not nonLetters and knownLCWords.contains(s.lower()): + sb += 'k' + return sb + + +def wordShapeJenny1(s): + sb = "WT-" + lastM = '~' + nonLetters = False + length = len(s) + + for i in range (0, length): + c = s[i] + m = c + if c.isdigit(): + m = 'd' + if c.islower(): + m = 'x' + if c.isupper(): + m = 'X' + + for gr in greek: + if s.startswith(gr): + m = 'g' + i = i + len(gr) - 1 + break + + if m != 'x' and m != 'X': + nonLetters = True + + if m != lastM: + sb += m + + lastM = m + + if length <= 3: + sb += ':' + str(length) + + #if knownLCWords is not None: + # if not nonLetters and knownLCWords.contains(s.lower()): + # sb += 'k' + return sb + + +def wordShapeChris2(s, omitIfInBoundary, knownLCWords): + length = len(s) + if length <= BOUNDARY_SIZE * 2: + return wordShapeChris2Short(s, length, knownLCWords) + else: + return wordShapeChris2Long(s, omitIfInBoundary, length, knownLCWords) + + +def wordShapeChris2Short(s, length, knownLCWords): + sblength = length + sb = "" + + if knownLCWords is not None: + sblength = length + 1 + + nonLetters = False + + for i in range (0, length): + c = s[i] + m = c + if c.isdigit(): + m = 'd' + if c.islower(): + m = 'x' + if c.isupper() or c.istitle(): + m = 'X' + + for gr in greek: + if s.startswith(gr): + m = 'g' + i = i + len(gr) - 1 + break + + if m != 'x' and m != 'X': + nonLetters = True + + sb += m + + if knownLCWords is not None: + if not nonLetters and knownLCWords.contains(s.lower()): + sb += 'k' + return sb + + +def wordShapeChris2Long (s, omitIfInBoundary, length, knownLCWords): + beginChars = "" + endChars = "" + beginUpto = 0 + endUpto = 0 + seenSet = Set([]) + + nonLetters = False + for i in range (0, len(s)): + iIncr = 0 + c = s[i] + m = c + if c.isdigit(): + m = 'd' + elif c.islower(): + m = 'x' + elif c.isupper() or c.istitle(): + m = 'X' + + for gr in greek: + if s.startswith(gr): + m = 'g' + iIncr = len(gr) - 1 + break + if m != 'x' and m != 'X': + nonLetters = True + + if i < BOUNDARY_SIZE: + beginChars += m + beginUpto += 1 + elif i < length - BOUNDARY_SIZE: + seenSet.add(m) + else: + endChars += m + endUpto += 1 + i += iIncr + + sbSize = beginUpto + endUpto + len(seenSet) + + if knownLCWords is not None: + sbSize += 1 + + sb = "" + sb += beginChars + if omitIfInBoundary: + for ch in seenSet: + insert = True + for i in range (0, beginUpto): + if beginChars[i] == ch: + insert = False + break + + for i in range (0, endUpto): + if endChars[i] == ch: + insert = False + break + if (insert): + sb += ch + else: + for ch in seenSet: + sb += ch + sb += endChars + if knownLCWords is not None: + if not nonLetters and knownLCWords.contains(s.tolower()): + sb += 'k' + return sb + +#def wordShapeDan2Bio( s, knownLCWords): + # if containsGreekLetter(s): + # return wordShapeDan2(s, knownLCWords) + "-GREEK" + # else: + # return wordShapeDan2(s, knownLCWords) + + +def containsGreekLetter (s): + return re.search(biogreek, s) + + +def wordShapeChris1 (s): + length = len(s) + if length == 0: + return "SYMBOL" + + cardinal = False + number = True + seenDigit = False + seenNonDigit = False + + for i in range(0, length): + ch = s[i] + digit = ch.isdigit() + if digit: + seenDigit = True + else: + seenNonDigit = True + digit = digit or ch == '.' or ch == ',' or (i == 0 and (ch == '-' or ch == '+')) + if not digit: + number = False + + if not seenDigit: + number = False + elif not seenNonDigit: + cardinal = True + + if cardinal: + if (length < 4): + return "CARDINAL13" + elif (length == 4): + return "CARDINAL4" + else: + return "CARDINAL5PLUS" + elif number: + return "NUMBER" + + seenLower = False + seenUpper = False + allCaps = True + allLower = True + initCap = False + dash = False + period = False + + for i in range (0, length): + ch = s[i] + up = ch.isupper() + let = re.search(r"^[A-Za-z]+$", ch) + tit = ch.istitle() + if ch == '-': + dash = True + elif ch == '.': + period = True + + if (tit): + seenUpper = True + allLower = False + seenLower = True + allCaps = False + elif (up): + seenUpper = True + allLower = False + elif (let): + seenLower = True + allCaps = False + + if i == 0 and (up or tit): + initCap = True + + if length == 2 and initCap and period: + return "ACRONYM1" + elif seenUpper and allCaps and not seenDigit and period: + return "ACRONYM" + elif seenDigit and dash and not seenUpper and not seenLower: + return "DIGIT-DASH" + elif initCap and seenLower and seenDigit and dash: + return "CAPITALIZED-DIGIT-DASH" + elif initCap and seenLower and seenDigit: + return "CAPITALIZED-DIGIT" + elif initCap and seenLower & dash: + return "CAPITALIZED-DASH" + elif initCap and seenLower: + return "CAPITALIZED" + elif seenUpper and allCaps and seenDigit and dash: + return "ALLCAPS-DIGIT-DASH" + elif seenUpper and allCaps and seenDigit: + return "ALLCAPS-DIGIT" + elif seenUpper and allCaps and dash: + return "ALLCAPS" + elif seenUpper and allCaps: + return "ALLCAPS" + elif seenLower and allLower and seenDigit and dash: + return "LOWERif wordShaper ==-DIGIT-DASH" + elif seenLower and allLower and seenDigit: + return "LOWERif wordShaper ==-DIGIT" + elif seenLower and allLower and dash: + return "LOWERif wordShaper ==-DASH" + elif seenLower and allLower: + return "LOWERif wordShaper ==" + elif seenLower and seenDigit: + return "MIXEDif wordShaper ==-DIGIT" + elif seenLower: + return "MIXEDif wordShaper ==" + elif seenDigit: + return "SYMBOL-DIGIT" + else: + return "SYMBOL" + + +# gets Chris1, Dan1, Jenny1, Chris2 and Dan2 word shapes +def getWordShapes(word): + return [wordShapeChris1(word), wordShapeDan1(word), wordShapeJenny1(word), wordShapeChris2(word, False, None), wordShapeDan2(word, None)] From 2ca49f8529f695d5c3036b0e6bab78d76c5f9bf7 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Sat, 16 Aug 2014 12:14:03 -0400 Subject: [PATCH 203/393] Reorganized features_dir module --- clicon/features_dir/__init__.py | 0 clicon/features_dir/features.py | 115 +++++ clicon/features_dir/genia/.gitignore | 2 + clicon/features_dir/genia/__init__.py | 0 clicon/features_dir/genia/genia_features.py | 82 ++++ clicon/features_dir/genia/interface_genia.py | 112 +++++ clicon/features_dir/read_config.py | 49 ++ clicon/features_dir/sentence_features.py | 443 +++++++++++++++++++ clicon/features_dir/umls/SQLookup.py | 74 ++++ clicon/features_dir/umls/__init__.py | 0 clicon/features_dir/umls/create_sqliteDB.py | 112 +++++ clicon/features_dir/umls/umls.py | 230 ++++++++++ clicon/features_dir/umls/umls_cache.py | 23 + clicon/features_dir/umls/umls_features.py | 228 ++++++++++ clicon/features_dir/utilities.py | 72 +++ clicon/features_dir/word_features.py | 379 ++++++++++++++++ clicon/features_dir/wordshape.py | 422 ++++++++++++++++++ 17 files changed, 2343 insertions(+) create mode 100644 clicon/features_dir/__init__.py create mode 100644 clicon/features_dir/features.py create mode 100644 clicon/features_dir/genia/.gitignore create mode 100644 clicon/features_dir/genia/__init__.py create mode 100644 clicon/features_dir/genia/genia_features.py create mode 100644 clicon/features_dir/genia/interface_genia.py create mode 100644 clicon/features_dir/read_config.py create mode 100644 clicon/features_dir/sentence_features.py create mode 100644 clicon/features_dir/umls/SQLookup.py create mode 100644 clicon/features_dir/umls/__init__.py create mode 100644 clicon/features_dir/umls/create_sqliteDB.py create mode 100644 clicon/features_dir/umls/umls.py create mode 100644 clicon/features_dir/umls/umls_cache.py create mode 100644 clicon/features_dir/umls/umls_features.py create mode 100644 clicon/features_dir/utilities.py create mode 100644 clicon/features_dir/word_features.py create mode 100644 clicon/features_dir/wordshape.py diff --git a/clicon/features_dir/__init__.py b/clicon/features_dir/__init__.py new file mode 100644 index 0000000..e69de29 diff --git a/clicon/features_dir/features.py b/clicon/features_dir/features.py new file mode 100644 index 0000000..eb6b92a --- /dev/null +++ b/clicon/features_dir/features.py @@ -0,0 +1,115 @@ +###################################################################### +# CliCon - clicon_features.py # +# # +# Willie Boag wboag@cs.uml.edu # +# # +# Purpose: Isolate the model's features from model.py # +###################################################################### + + +__author__ = 'Willie Boag' +__date__ = 'Jan. 27, 2014' + + + +import nltk +import re + +from wordshape import getWordShapes +from utilities import prose_sentence + +from sentence_features import SentenceFeatures + + + +class FeatureWrapper: + + # FIXME - Make three objects - one for each classifier + + + # Instantiate an FeatureWrapper object + def __init__(self, data=None): + + # Sentence-level features + self.feat_sent = SentenceFeatures(data) + + + + # IOB_features() + # + # input: A sentence + # output: A hash table of features + def IOB_features(self, sentence): + + # Different features depending on whether sentence is 'prose' + isProse = prose_sentence(sentence) + + unique = 1 # 20 + + if isProse: + if True: + features_list = self.feat_sent.IOB_prose_features(sentence) + else: + features_list = [] + for i in range(len(sentence)): + features = {} + for j in range(unique): + features[(''.join(sentence),i,j)] = 1 + features_list.append(features) + else: + if True: + features_list = self.feat_sent.IOB_nonprose_features(sentence) + else: + features_list = [] + for i in range(len(sentence)): + features = {} + for j in range(unique): + features[(''.join(sentence),i,j)] = 1 + features_list.append(features) + + + ''' + # Sanity Check (many unique features for each data point) + features_list = [] + for i in range(len(sentence)): + features = {} + for j in range(unique): + features[(''.join(sentence),i,j)] = 1 + features_list.append(features) + ''' + + + ''' + for f in features_list: + print sorted(f.items()) + print + ''' + + + # Return features as well as indication of whether it is prose or not + return (isProse, features_list) + + + + # concept_features() + # + # input: A sentence/line from a medical text file (list of chunks) + # An list of indices into the sentence for each important chunk + # output: A list of hash tables of features + def concept_features(self, sentence, chunk_inds): + + # FIXME - move all of this work to SentenceFeatures object + + ''' + # VERY basic feature set for sanity check tests during development + features_list = [] + for i,ind in enumerate(chunk_inds): + features = {('phrase',sentence[ind]) : 1} + features_list.append(features) + return features_list + ''' + + # Create a list of feature sets (one per chunk) + features_list = self.feat_sent.concept_features_for_sentence(sentence,chunk_inds) + return features_list + diff --git a/clicon/features_dir/genia/.gitignore b/clicon/features_dir/genia/.gitignore new file mode 100644 index 0000000..bb6a4d3 --- /dev/null +++ b/clicon/features_dir/genia/.gitignore @@ -0,0 +1,2 @@ +geniatagger-3.0.1* +*pyc diff --git a/clicon/features_dir/genia/__init__.py b/clicon/features_dir/genia/__init__.py new file mode 100644 index 0000000..e69de29 diff --git a/clicon/features_dir/genia/genia_features.py b/clicon/features_dir/genia/genia_features.py new file mode 100644 index 0000000..0a50850 --- /dev/null +++ b/clicon/features_dir/genia/genia_features.py @@ -0,0 +1,82 @@ +###################################################################### +# CliCon - genia_features.py # +# # +# Willie Boag wboag@cs.uml.edu # +# # +# Purpose: Independent GENIA module # +###################################################################### + + + +import interface_genia + +from features_dir import utilities + + +class GeniaFeatures: + + + def __init__(self, tagger, data): + + """ + Constructor. + + @param data. A list of split sentences + """ + + # Filter out nonprose sentences + prose = [ sent for sent in data if utilities.prose_sentence(sent) ] + + # Process prose sentences with GENIA tagger + self.GENIA_features = iter(interface_genia.genia(tagger, prose)) + + + + + def features(self, sentence, is_prose=True): + + """ + features() + + @param sentence. A list of words to bind features to + @param is_prose. Mechanism for skipping nonprose (for alignment) + @return list of dictionaries (of features) + + Note: All data is tagged upon instantiation of GeniaFeatures object. + This function MUST take each line of the file (in order) as input + """ + + # Return value is a list of dictionaries (of features) + features_list = [ {} for _ in sentence ] + + + # Mechanism to allow for skipping nonprose + if not is_prose: return [] + + + # Get the GENIA features of the current sentence + genia_feats = next( self.GENIA_features ) + + + for i,curr in enumerate(genia_feats): + + # Feature: Current word's GENIA features + keys = ['GENIA-stem','GENIA-POS','GENIA-chunktag'] + output = dict( ((k, curr[k]), 1) for k in keys if k in curr ) + features_list[i].update(output) + + + ''' + # Feature: Previous word's GENIA features + if i == 0: + output = dict( (('prev-'+k, ''), 1) for k in keys if k in curr) + else: + output = dict( (('prev-'+k, curr[k]), 1) for k in keys if k in curr) + ''' + + + features_list[i].update(output) + + + return features_list + diff --git a/clicon/features_dir/genia/interface_genia.py b/clicon/features_dir/genia/interface_genia.py new file mode 100644 index 0000000..8eaee66 --- /dev/null +++ b/clicon/features_dir/genia/interface_genia.py @@ -0,0 +1,112 @@ +###################################################################### +# CliCon - clicon_genia_interface.py # +# # +# Willie Boag wboag@cs.uml.edu # +# # +# Purpose: Provide a way for Python to utilize the output of the # +# GENIA Tagger # +# # +# Genia Tagger: http://www.nactem.ac.uk/tsujii/GENIA/tagger/ # +###################################################################### + + + +__author__ = 'Willie Boag' +__date__ = 'Jan. 27, 2014' + +import os +import sys +from commands import getstatusoutput + + +def main(): + + f = open('/home/wboag/ConceptExtraction-master/data/concept_assertion_relation_training_data/beth/txt/record-20.txt', 'r') + + txt = f.readlines() + + data = [] + for line in txt: + data.append(line.split()) + + tagger = '/home/wboag/geniatagger-3.0.1/geniatagger' + for (line,linedict) in zip(txt,genia(tagger,data)): + print line.split(), '\n' + for d in linedict: + print d + print '---\n\n' + + + +# +# genia() +# +# Call the genia tagger and return its output in python format +# +def genia(geniatagger, data): + + ''' + @param geniatagger. A path to the executable geniatagger + @param data. A list of list of strings (lines of words from a file) + @return A list of dcitionaries of the genia tagger's output. + ''' + + # write list to file and then feed it to GENIA + genia_dir = os.path.dirname(geniatagger) + tmp_out = os.path.join(genia_dir,'/tmp/clicon_genia_tmp_file.txt') + with open(tmp_out, 'w') as f: + for line in data: f.write(' '.join(line) + '\n') + + + # Run genia tagger + print '\t\tRunning GENIA tagger' + genia_dir = os.path.dirname(geniatagger) + stream = getstatusoutput('cd %s ; ./geniatagger -nt %s' % (genia_dir,tmp_out)) + + + # Process each line of output + # NOTE: Skips the first four lines of genia tagger output ("loading...") + retlist = [] + i = 0 + j = 0 + fline = [] + old = [] + for line in stream[1].split('\n')[4:]: + + line = line.split() + + # Empty line + if line == []: continue + + # One dictionary per word in the file + output = {'GENIA-word' :line[0], + 'GENIA-stem' :line[1], + 'GENIA-POS' :line[2], + 'GENIA-chunktag':line[3], + 'GENIA-NEtag' :line[4]} + + + # Add token to list + fline.append(output) + j += 1 + if j == len(data[i]): + #print data[i] + #print fline + #print '---' + i += 1 + j = 0 + retlist.append(fline) + fline = [] + + + # Remove temp file + os.remove(tmp_out) + + + return retlist + + + + +if __name__ == '__main__': + main() diff --git a/clicon/features_dir/read_config.py b/clicon/features_dir/read_config.py new file mode 100644 index 0000000..443be12 --- /dev/null +++ b/clicon/features_dir/read_config.py @@ -0,0 +1,49 @@ +###################################################################### +# CliCon - read_config.py # +# # +# Willie Boag wboag@cs.uml.edu # +# # +# Purpose: Read a configuration file to determine what features # +# are available on the system # +###################################################################### + + + +import os + + + +# +# enabled_modules +# +# @return dictionary of (name,resource path) pairs. +# +# ex. {'UMLS': None, 'GENIA': 'genia/geniatagger-3.0.1/geniatagger'} +# +def enabled_modules(): + + # Open config file + filename = os.path.join( os.getenv('CLICON_DIR'), 'config.txt' ) + f = open(filename, 'r') + + specs = {} + module_list = [ 'GENIA', 'UMLS' ] + + + for line in f.readlines(): + words = line.split() + if words: + + # Modules + if words[0] in module_list: + if words[1] == 'None': + specs[words[0]] = None + else: + specs[words[0]] = words[1] + + return specs + + + +# Read from config file when module is imported +print enabled_modules() diff --git a/clicon/features_dir/sentence_features.py b/clicon/features_dir/sentence_features.py new file mode 100644 index 0000000..e0ae0ee --- /dev/null +++ b/clicon/features_dir/sentence_features.py @@ -0,0 +1,443 @@ +###################################################################### +# CliCon - sentence_features.py # +# # +# Willie Boag wboag@cs.uml.edu # +# # +# Purpose: Isolate the model's sentence-level features # +###################################################################### + + +__author__ = 'Willie Boag' +__date__ = 'Apr. 27, 2014' + + + +import nltk +import re +from sets import ImmutableSet +from wordshape import getWordShapes + + + +# What modules are available +from read_config import enabled_modules + + + + +# Import feature modules +enabled = enabled_modules() +if enabled['GENIA']: + from genia.genia_features import GeniaFeatures + +if enabled['UMLS']: + from umls.umls_features import UMLSFeatures + +from word_features import WordFeatures + + + + +class SentenceFeatures: + + + # Feature Enabling + #enabled_IOB_prose_sentence_features = ImmutableSet( [ 'pos', 'stem_wordnet', 'GENIA', 'prev', 'next', 'prev_3_pos', 'next_3_pos', 'UMLS'] ) + + enabled_IOB_nonprose_sentence_features = ImmutableSet( ['pos', 'test_result', 'prev', 'next','prev_3_pos', 'next_3_pos', 'UMLS']) + + enabled_concept_features = ImmutableSet( ['pos','prev_3_pos', 'stem_wordnet', 'test_result', 'word_shape','prev','next', "UMLS"]) + + + + # Instantiate an Sentence object + def __init__(self, data): + + # Word-level features module + self.feat_word = WordFeatures() + + # Only run GENIA tagger if module is available + if data and enabled['GENIA']: + tagger = enabled['GENIA'] + self.feat_genia = GeniaFeatures(tagger,data) + + # Only create UMLS cache if module is available + if enabled['UMLS']: + self.feat_umls = UMLSFeatures() + + + + self.enabled_IOB_prose_sentence_features = [] + #self.enabled_IOB_prose_sentence_features.append('pos') + #self.enabled_IOB_prose_sentence_features.append('prev_3_pos') + #self.enabled_IOB_prose_sentence_features.append('next_3_pos') + self.enabled_IOB_prose_sentence_features.append('prev') + self.enabled_IOB_prose_sentence_features.append('next') + #self.enabled_IOB_prose_sentence_features.append('GENIA') + #self.enabled_IOB_prose_sentence_features.append('UMLS') + + + + + # IOB_prose_features() + # + # input: A sentence + # output: A list of hash tables of features + def IOB_prose_features(self, sentence): + + features_list = [] + + # Get a feature set for each word in the sentence + for i,word in enumerate(sentence): + features_list.append(self.feat_word.IOB_prose_features(sentence[i])) + + + # Only POS tag once + pos_tagged = nltk.pos_tag(sentence) + + + # Allow for particular features to be enabled + for feature in self.enabled_IOB_prose_sentence_features: + + + # Feature: Part of Speech + if feature == 'pos': + for (i,(_,pos)) in enumerate(pos_tagged): + features_list[i].update( { ('pos',pos) : 1} ) + + + # Feature: Previous 3 POSs + if feature == 'prev_3_pos': + for i in range(len(sentence)): + # Where to begin + if i-3 < 0: + begin = 0 + else: + begin = i-3 + + # Go as far back as 3 tokens + pos_features = {} + for p in pos_tagged[begin:i]: + pos = p[1] + pos_features.update( {('prev_3_pos',pos) : 1} ) + + # Update feature dict + features_list[i].update(pos_features) + + + # Feature: Previous 3 POSs + if feature == 'next_3_pos': + for i in range(len(sentence)): + pos_features = {} + for p in pos_tagged[i:i+3]: + pos = p[1] + pos_features.update( {('next_3_pos',pos) : 1} ) + + # Update feature dict + features_list[i].update(pos_features) + + + # GENIA features + if (feature == 'GENIA') and enabled['GENIA']: + + # Get GENIA features + genia_feat_list = self.feat_genia.features(sentence) + + ''' + print '\t', sentence + + print '\n\n' + for gf in genia_feat_list: + print '\t', gf + print + print '\n\n' + ''' + + for i,feat_dict in enumerate(genia_feat_list): + features_list[i].update(feat_dict) + + + # Feature: UMLS Word Features (only use prose ones) + if (feature == "UMLS") and enabled['UMLS']: + for i in range(len(sentence)): + word = sentence[i] + umls_features = self.feat_umls.IOB_prose_features(word) + features_list[i].update( umls_features ) + + + # Used for 'prev' and 'next' features + ngram_features = [{} for i in range(len(features_list))] + if "prev" in self.enabled_IOB_prose_sentence_features: + prev = lambda f: {("prev_"+k[0], k[1]): v for k,v in f.items()} + prev_list = map(prev, features_list) + for i in range(len(features_list)): + if i == 0: + ngram_features[i][("prev", "*")] = 1 + else: + ngram_features[i].update(prev_list[i-1]) + + if "next" in self.enabled_IOB_prose_sentence_features: + next = lambda f: {("next_"+k[0], k[1]): v for k,v in f.items()} + next_list = map(next, features_list) + for i in range(len(features_list)): + if i < len(features_list) - 1: + ngram_features[i].update(next_list[i+1]) + else: + ngram_features[i][("next", "*")] = 1 + + merged = lambda d1, d2: dict(d1.items() + d2.items()) + features_list = [merged(features_list[i], ngram_features[i]) + for i in range(len(features_list))] + + + #for f in features_list: + # print sorted(f.items()) + # print + #print '\n\n\n' + + return features_list + + + + # IOB_nonprose_features() + # + # input: A sentence + # output: A hash table of features + def IOB_nonprose_features(self, sentence): + + + # Get a feature set for each word in the sentence + features_list = [] + for i,word in enumerate(sentence): + word_feats = self.feat_word.IOB_nonprose_features(sentence[i]) + features_list.append( word_feats ) + + + pos_tagged = nltk.pos_tag(sentence) + + + # Allow for particular features to be enabled + for feature in self.enabled_IOB_nonprose_sentence_features: + + # Feature: Part of Speech + if feature == 'pos': + for (i,(_,pos)) in enumerate(pos_tagged): + features_list[i][ ('pos',pos) ] = 1 + + + # Feature: Previous 3 POSs + if feature == 'prev_3_pos': + for i in range(len(sentence)): + # Where to begin + if i-3 < 0: + begin = 0 + else: + begin = i-3 + + # Go as far back as 3 tokens + pos_features = {} + for p in pos_tagged[begin:i]: + pos = p[1] + pos_features.update( {('prev_3_pos',pos) : 1} ) + + # Update feature dict + features_list[i].update(pos_features) + + + # Feature: Previous 3 POSs + if feature == 'next_3_pos': + for i in range(len(sentence)): + pos_features = {} + for p in pos_tagged[i+1:i+4]: + pos = p[1] + pos_features.update( {('next_3_pos',pos) : 1} ) + + # Update feature dict + features_list[i].update(pos_features) + + + # Feature: UMLS Word Features (only use nonprose ones) + if (feature == "UMLS") and enabled['UMLS']: + for i in range(len(sentence)): + word = sentence[i] + umls_features = self.feat_umls.IOB_nonprose_features(word) + features_list[i].update( umls_features ) + + ''' + # Feature: Test Result (for each chunk) + if feature == "test_result": + for index, features in enumerate(features_list): + right = " ".join([w for w in sentence[index:]]) + if self.feat_word.is_test_result(right): + features['test_result'] = 1 + ''' + + + + ngram_features = [{} for _ in range(len(features_list))] + if "prev" in self.enabled_IOB_nonprose_sentence_features: + prev = lambda f: {("prev_"+k[0], k[1]): v for k,v in f.items()} + prev_list = map(prev, features_list) + for i in range(len(features_list)): + if i == 0: + ngram_features[i][("prev", "*")] = 1 + else: + ngram_features[i].update(prev_list[i-1]) + + if "next" in self.enabled_IOB_nonprose_sentence_features: + next = lambda f: {("next_"+k[0], k[1]): v for k,v in f.items()} + next_list = map(next, features_list) + for i in range(len(features_list)): + if i == len(features_list) - 1: + ngram_features[i][("next", "*")] = 1 + else: + ngram_features[i].update(next_list[i+1]) + + + merged = lambda d1, d2: dict(d1.items() + d2.items()) + features_list = [merged(features_list[i], ngram_features[i]) + for i in range(len(features_list))] + + + return features_list + + + + + def concept_features_for_sentence(self, sentence, chunk_inds): + + """ + concept_features() + + @param sentence. A sentence in list of chunk format + @param chunk_inds. A list of indices for non-None-labeled chunks + @return A list of feature dictionaries + """ + + + # Get a feature set for each word in the sentence + features_list = [] + for ind in chunk_inds: + features_list.append( self.feat_word.concept_features_for_chunk(sentence,ind) ) + + + # FIXME - more closely resembling Harabagiu + return features_list + + + # Split the chunked sentence into a list of words for (POS tagger) + split_sentence = [] + for c in sentence: + split_sentence += c.split() + tags = nltk.pos_tag(split_sentence) + + + pflag = False + if ' '.join(sentence) == 'PMH : Carpal tunnel syndrome , Hypertension , Hyperlipidemia , Arthritis': + pflag = True + #print '\n\n\n' + #print 'sentence: ', sentence + #print 'inds: ', chunk_inds + #print 'tags: ', tags + #print + #print '\n\n' + + + + # Allow for particular features to be enabled + for feature in self.enabled_concept_features: + + # Features: UMLS features + if (feature == "UMLS") and enabled['UMLS']: + umls_features = self.feat_umls.concept_features_for_sentence(split_sentence) + features.update(umls_features) + + + # Feature: Previous POSs + if feature == 'pos': + for i,ind in enumerate(chunk_inds): + # Find beginning index of chunk + split_ind = 0 + for c in sentence[:ind]: + split_ind += len(c.split()) + end_ind = split_ind + len(sentence[ind].split()) + + # All words in chunk + for tag in tags[split_ind:end_ind]: + pos = tag[1] + features_list[i][('pos',pos)] = 1 + + + # Feature: Previous 3 POSs + if feature == 'prev_3_pos': + for i,ind in enumerate(chunk_inds): + # Find beginning index of chunk + split_ind = 0 + for c in sentence[:ind]: + split_ind += len(c.split()) + + # Three previous words + begin = split_ind-3 if split_ind-3>0 else 0 + for tag in tags[begin:split_ind]: + pos = tag[1] + features_list[i][('prev_3_pos',pos)] = 1 + + + continue + + + # Feature: Previous Chunks's Features + if feature == "prev": + if ind == 0: + features[("prev", "*")] = 1 + else: + # Get features of previous chunks + prev_features = self.feat_sent.concept_features_for_chunk(sentence,ind-1) + prepend = lambda f: {("prev_"+k[0],k[1]):v for k, v in f.items()} + features.update( prepend(prev_features) ) + + + # Feature: Next Chunk's Features + if features == "next": + if ind == len(sentence) - 1: + features[("next", "*")] = 1 + else: + # Get features of previous chunks + next_features = self.feat_sent.concept_features_for_chunk(sentence,ind+1) + prepend = lambda f: {("next_"+k[0],k[1]):v for k, v in f.items()} + features.update( prepend(next_features) ) + + + + + # Feature: Wordnet Stem (for each chunk) + if feature == "stem_wordnet": + morphy_tags = { + 'NN': nltk.corpus.reader.wordnet.NOUN, + 'JJ': nltk.corpus.reader.wordnet.ADJ, + 'VB': nltk.corpus.reader.wordnet.VERB, + 'RB': nltk.corpus.reader.wordnet.ADV} + morphy_tags = [(w, morphy_tags.setdefault(t[:2], nltk.corpus.reader.wordnet.NOUN)) for w, t in tags] + st = nltk.stem.WordNetLemmatizer() + tag = morphy_tags[ind] + # FIXME + #features[(feature, st.lemmatize(*tag))] = 1 + + + # Feature: Test Result (for each chunk) + if feature == "test_result": + # FIXME + right = " ".join([c for c in sentence[ind:]]) + if self.feat_word.is_test_result(right): + features[(feature, None)] = 1 + + + #if pflag: + # for f in features_list: + # print sorted(f.items()) + # print + + + return features_list + + diff --git a/clicon/features_dir/umls/SQLookup.py b/clicon/features_dir/umls/SQLookup.py new file mode 100644 index 0000000..e1dbb8f --- /dev/null +++ b/clicon/features_dir/umls/SQLookup.py @@ -0,0 +1,74 @@ +import copy +import sqlite3 +import create_sqliteDB +import os + +WINDOW_SIZE = 7 + +#connect to UMLS database +def SQLConnect(): + + #try to connect to the sqlite database. Make one otherwise + db_path = os.path.join( os.environ['CLICON_DIR'], "umls_tables/umls.db") + if( os.path.isfile( db_path ) ): + print "\ndb exists" + else: + print "\ndb doesn't exist" + create_sqliteDB.create_db() + + db = sqlite3.connect( db_path ) + return db.cursor() + + +#used in SQlookup, I made this global so SQLConnect is only called once. +c = SQLConnect() + +#searchs umls database for the semantic type of a string +def SQlookup( c , string ): + + #queries database and finds first semantic type match, returns a 1 when a match is found. + c.execute( "SELECT sty FROM MRCON a, MRSTY b WHERE a.cui = b.cui AND str = ?; " , (string,) ) + + #returns a tuple with the match or None if there was no match. + #return c.fetchone() + return c.fetchall() + +#returns the semantic type of a word +def string_lookup( string ): + + #return SQlookup( c , string ) + r = SQlookup( c , string ) + + return r + + +# get all semantic types for a given concept +def cui_lookup( string ): + + # queries database and finds semantic type match + c.execute( "SELECT cui FROM MRCON WHERE str = ?;" , (string,) ) + + #returns a tuple with the match or None if there was no match. + return c.fetchall() + + +def hypernyms_lookup( string ): + + print 'hypernym lookup is unacceptably slow' + return [] + + c.execute( "SELECT CUI FROM MRCON WHERE STR = ? LIMIT 1 ;" , (string,) ) + + cui = c.fetchone() + + if cui == None: + return None + else: + c.execute( "SELECT CUI2 FROM MRREL WHERE CUI1 = ? AND REL = 'PAR' LIMIT 5 ;" , (cui[0],) ) + result = c.fetchone() + if not result: + return None + else: + return result + + diff --git a/clicon/features_dir/umls/__init__.py b/clicon/features_dir/umls/__init__.py new file mode 100644 index 0000000..e69de29 diff --git a/clicon/features_dir/umls/create_sqliteDB.py b/clicon/features_dir/umls/create_sqliteDB.py new file mode 100644 index 0000000..014b91c --- /dev/null +++ b/clicon/features_dir/umls/create_sqliteDB.py @@ -0,0 +1,112 @@ +#database.py creates a .db file for performing umls searches. +import sqlite3 +import os +import sys +import os + +def create_db(): + + print "\ncreating umls.db" + #connect to the .db file we are creating. + db_path = os.path.join(os.environ['CLICON_DIR'],'umls_tables/umls.db') + conn = sqlite3.connect( db_path ) + conn.text_factory = str + + print "opening files" + #load data in files. + try: + mrsty_path = os.path.join(os.environ['CLICON_DIR'],'umls_tables/MRSTY') + MRSTY_TABLE = open( mrsty_path, "r" ) + except IOError: + print "\nNo file to use for creating MRSTY table\n" + conn.close() + sys.exit() + + try: + mrcon_path = os.path.join(os.environ['CLICON_DIR'],'umls_tables/MRCON') + MRCON_TABLE = open( mrcon_path , "r" ) + except IOError: + print "\nNo file to use for creating MRCON table\n" + conn.close() + sys.exit() + + try: + mrrel_path = os.path.join(os.environ['CLICON_DIR'],'umls_tables/MRREL') + MRREL_TABLE = open( mrrel_path , "r" ) + except IOError: + print "\nNo file to use for creating MRREL table\n" + conn.close() + sys.exit() + + print "reading files" + + MRSTY_TABLE = MRSTY_TABLE.read() + MRSTY_TABLE = MRSTY_TABLE.split('\n') + + MRCON_TABLE = MRCON_TABLE.read() + MRCON_TABLE = MRCON_TABLE.split( '\n' ) + + MRREL_TABLE = MRREL_TABLE.read() + MRREL_TABLE = MRREL_TABLE.split( '\n' ) + + #data that will be inserted into tables. + MRTSY_DATA = [] + MRCON_DATA = [] + MRREL_DATA = [] + + c = conn.cursor() + + print "parsing files" + + #parse and store the data from the files. + for line in MRSTY_TABLE: + MRTSY_DATA.append( tuple(line.split('|')) ) + for line in MRCON_TABLE: + MRCON_DATA.append( tuple(line.split('|')) ) + for line in MRREL_TABLE: + MRREL_DATA.append( tuple(line.split('|')) ) + + print "creating tables" + + #create tables. + c.execute( "CREATE TABLE MRCON( CUI, LAT, TS, LUI, STT, SUI, STR, LRL, EMPTY ) ;" ) + c.execute( "CREATE TABLE MRSTY( CUI, TUI, STY, EMPTY ) ;" ) + c.execute( "CREATE TABLE MRREL( CUI1, REL, CUI2, RELA, SAB, SL, MG, EMPTY ) ;" ) + + print "inserting data" + + #insert data onto database + for line in MRCON_DATA: + try: + c.execute( "INSERT INTO MRCON( CUI, LAT, TS, LUI, STT, SUI, STR, LRL, EMPTY ) values ( ?, ?, ? ,?, ?,?,?,?,?);", line ) + except sqlite3.ProgrammingError: + continue + for line in MRTSY_DATA: + try: + c.execute( "INSERT INTO MRSTY( CUI, TUI, STY, EMPTY) values( ?, ?, ?, ?)" , line ) + except sqlite3.ProgrammingError: + continue + for line in MRREL_DATA: + try: + c.execute( "INSERT INTO MRREL( CUI1, REL, CUI2, RELA, SAB, SL, MG, EMPTY ) values( ?, ?, ?, ?,?, ? ,? ,? )" , line ) + except sqlite3.ProgrammingError: + continue + + print "creating indices" + + #create indices for faster queries + c.execute( "CREATE INDEX mrsty_cui_map ON MRSTY(CUI)") + c.execute( "CREATE INDEX mrcon_str_map ON MRCON(STR)") + c.execute( "CREATE INDEX mrcon_cui_map ON MRCON(CUI)") + c.execute( "CREATE INDEX mrrel_cui2_map ON MRREL( CUI2 )" ) + c.execute( "CREATE INDEX mrrel_cui1_map on MRREL( CUI1 ) " ) + c.execute( "CREATE INDEX mrrel_rel_map on MRREL( REL )" ) + + #save changes to .db + conn.commit() + + print "\nsqlite database created" + + #close connection + conn.close() + diff --git a/clicon/features_dir/umls/umls.py b/clicon/features_dir/umls/umls.py new file mode 100644 index 0000000..6b314b8 --- /dev/null +++ b/clicon/features_dir/umls/umls.py @@ -0,0 +1,230 @@ +import cPickle as pickle +import SQLookup + +def umls_semantic_type_word( umls_string_cache , sentence ): + + #If the umls semantic type is in the cache use that semantic type otherwise lookup the semantic type and add to the cache. + if umls_string_cache.has_key( sentence ): + mapping = umls_string_cache.get_map( sentence ) + else: + concept = SQLookup.string_lookup( sentence ) + #print sentence, ' - NOT FOUND' + #print '\t', concept + if concept != None: + #umls_string_cache.add_map( sentence , concept[0] ) + umls_string_cache.add_map( sentence , concept ) + else: + umls_string_cache.add_map( sentence , None ) + mapping = umls_string_cache.get_map(sentence) + + #print 'umls_semantic_type_word - returning:' + #print mapping + #print '' + + return mapping + + +def umls_semantic_context_of_words( umls_string_cache, sentence ): + + #Defines the largest string span for the sentence. + WINDOW_SIZE = 7 + + #Holds the span of the umls concept of the largest substring that each word in sentence is found in. + umls_context_list = [] + + #Holds the span of the concept for each substring. + #A tuple containing tne beginning and end index of a substring functions as the key and the key is assigned to a umls definition. + concept_span_dict = {} + + #Initialize the umls_context_list with empty lists. Each sublist functions as the mappings for each word. + for i in sentence: + umls_context_list.append( [] ) + + #Creates and finds the span of a umls concept for each possible substring of length 1 to currentWindowSize. + for currentWindowSize in range( 1 , WINDOW_SIZE ): + for ti in range( 0 , ( len(sentence) - currentWindowSize ) + 1 ): + rawstring = "" + for tj in range( ti , ti + currentWindowSize): + rawstring += ( sentence[tj] + " " ) + + #Each string is of length 1 to currentWindowSize. + rawstring = rawstring[0:-1] + + #If the string is not in cache, look the umls concept up and add to the cache. + if not( umls_string_cache.has_key( rawstring ) ): + #SQLookup returns a tuple if there is a result or None is there is not. + concept = SQLookup.string_lookup( rawstring ) + +# print concept + + if not concept: + umls_string_cache.add_map( rawstring, None ) + else: + umls_string_cache.add_map( rawstring, concept ) ; + +# if concept != None: + # umls_string_cache.add_map( rawstring , concept[0] ) + # else: + # umls_string_cache.add_map( rawstring , None ) + + #Store the concept into concept_span_dict with its span as a key. + concept_span_dict[(ti,ti+currentWindowSize-1)] = umls_string_cache.get_map( rawstring ) + + #For each substring of the sentence if there is a definition obtained from + #SQLookup assign the concept to every word that is within in the substring. + #If the currrent span is a substring update otherwise if it is not a substring add the new found context. + if umls_string_cache.get_map(rawstring): + + for i in range( ti , ti + currentWindowSize ): + + if len( umls_context_list[i] ) == 0: + umls_context_list[i].append( [ ti , ti + currentWindowSize - 1 ] ) + + else: + updated = 0 + for j in umls_context_list[i]: + if j[0] >= ti and j[1] <= ( ti + currentWindowSize - 1 ): + j[0] = ti + j[1] = ( ti + currentWindowSize - 1 ) + updated += 1 + if not(updated): + if umls_context_list[i].count( [ti,ti+currentWindowSize -1] ) == 0 : + umls_context_list[i].append( [ ti , ti +currentWindowSize - 1 ] ) + + + #print '\t\t', umls_context_list + + #create a list of sublists + # each sublist represents the contexts for which the word appears in the sentence + + # print umls_context_list + + mappings = [] + for i in umls_context_list: + spans = i + if len(spans) == 0: + mappings.append( None ) + else: + sub_mappings = [] + for j in spans: + sub_mappings.append( concept_span_dict[tuple(j)]) + + # FIXME - Decided to concat rather than append (not sure why) + mappings += sub_mappings + + return mappings + + +def umls_semantic_type_sentence( cache , sentence ): + + #print sentence + + #Defines the largest string span for the sentence. + + WINDOW_SIZE = 7 + + #holds the mappings for every substring of size 1 to WINDOW_SIZE + mappings = {} + + #Creates and finds the span of a umls concept for each possible substring of length 1 to currentWindowSize. + for currentWindowSize in range( 1 , WINDOW_SIZE ): + for ti in range( 0 , ( len(sentence) - currentWindowSize ) + 1 ): + + rawstring = "" + + for tj in range( ti , ti + currentWindowSize): + rawstring += ( sentence[tj] + " " ) + + #Each string is of length 1 to currentWindowSize. + rawstring = rawstring[0:-1] + + #If the umls semantic type is already in the cache then us the one stored otherwise lookup and add to cache + if cache.has_key( rawstring ): + mappings[rawstring] = cache.get_map( rawstring ) + + else: + + concept = string_lookup( rawstring ) + + #cache.add_map( rawstring , concept ) + + if concept: + cache.add_map( rawstring , concept ) + else: + cache.add_map( rawstring , [] ) + + mappings[rawstring] = cache.get_map( rawstring ) +# print "rawstring: ", rawstring + # print "mappings: " ,mappings[rawstring] + size_s = 0 + + phrase = [] + + + #print "mappings: " , mappings + #get longest sub string with a mapping + + for mapping in mappings.iteritems(): + #print mapping + if( mapping[1] ): + # print mapping + if( len( mapping[0] ) > size_s ): + + phrase = [] + phrase.append( mapping[1] ) + size_s = len( mapping[0] ) + continue + if( len(mapping[0]) == size_s ): + phrase.append( mapping[1] ) + +# print "phrase: " , phrase +# print phrase + return phrase + + + +# Get the semantic types for a given word +def get_cui( cache , word ): + + # If hypernyms already in cache + if cache.has_key( word + '--cuis' ): + + cuis = cache.get_map( word + '--cuis' ) + + else: + + # Get cui + cuis = SQLookup.cui_lookup(word) + + # Eliminate duplicates + cuis = list(set(cuis)) + cuis = [c[0] for c in cuis] + + # Store result in cache + cache.add_map( word + '--cuis', cuis ) + + return cuis + + + +# Get the hypernyms of a string +def umls_hypernyms( cache, string ): + + print 'hypernym lookup is unacceptably slow' + return [] + + # If hypernyms already in cache + if cache.has_key( string + '--hypernymsaa' ): + + hyps = cache.get_map( string + '--hypernyms' ) + + else: + + # Get hypernyms + hyps = SQLookup.hypernyms_lookup(string) + + # Store result in cache + cache.add_map( string + '--hypernyms' , hyps ) + + return hyps + diff --git a/clicon/features_dir/umls/umls_cache.py b/clicon/features_dir/umls/umls_cache.py new file mode 100644 index 0000000..e84e253 --- /dev/null +++ b/clicon/features_dir/umls/umls_cache.py @@ -0,0 +1,23 @@ +import cPickle as pickle +import os + +class UmlsCache: + def __init__(self): + try: + prefix = os.environ['CLICON_DIR'] + self.filename = os.path.join( prefix, 'umls_tables/umls_cache' ) + self.cache = pickle.load( open( self.filename , "rb" ) ) ; + except IOError: + self.cache = {} + + def has_key( self , string ): + return self.cache.has_key( string ) + + def add_map( self , string, mapping ): + self.cache[string] = mapping + + def get_map( self , string ): + return self.cache[string] + + def __del__(self): + pickle.dump( self.cache, open( self.filename, "wb" ) ) diff --git a/clicon/features_dir/umls/umls_features.py b/clicon/features_dir/umls/umls_features.py new file mode 100644 index 0000000..e0032c9 --- /dev/null +++ b/clicon/features_dir/umls/umls_features.py @@ -0,0 +1,228 @@ +###################################################################### +# CliCon - umls_features.py # +# # +# Willie Boag wboag@cs.uml.edu # +# # +# Purpose: Independent UMLS module # +###################################################################### + + + +from sets import ImmutableSet +from umls_cache import UmlsCache +import umls + + + +class UMLSFeatures: + + + enabled_prose_features = ImmutableSet( [ 'umls_cui', 'umls_hypernyms' ] ) + + enabled_nonprose_features = ImmutableSet( [ 'umls_cui', 'umls_semantic_type_word' ] ) + + + enabled_concept_features_for_word = ImmutableSet( [ 'umls_semantic_type_word', 'umls_cui' ] ) + enabled_concept_features_for_sentence = ImmutableSet( [ 'umls_semantic_type_sentence', 'umls_semantic_context' ] ) + + + + def __init__(self): + + """ + UMLSFeatures::Constructor + """ + + # cache for the mappings of all umls lookups made + self.umls_lookup_cache = UmlsCache() + + + + + def IOB_prose_features(self, word): + + """ + UMLSFeatures::IOB_prose_features() + + @ param word. word to lookup in UMLS database + @return dictionary of features + """ + + # Return value is a list of dictionaries (of features) + features = {} + + + for feature in self.enabled_prose_features: + + + # Feature: UMLS Semantic Types + if feature == "umls_cui": + + # Get UMLS CUIs (could have multiple) + cuis = umls.get_cui(self.umls_lookup_cache , word) + + # Add each CUI + if cuis: + for cui in cuis: + features[(feature,cui)] = 1 + + + # Feature: UMLS Hypernyms + if feature == "umls_hypernyms": + + # Get UMLS hypernyms + hyps = umls.umls_hypernyms(self.umls_lookup_cache,word) + + # Add all hypernyms + if hyps: + #for hyp in hyps: + features[(feature,hyps[0])] = 1 + + + # Feature: UMLS Semantic Type (for each word) + if feature == "umls_semantic_type_word": + # Get UMLS semantic type (could have multiple) + mapping = umls.umls_semantic_type_word(self.umls_lookup_cache , word ) + # If is at least one semantic type + if mapping != None: + for concept in mapping: + features[('umls_semantic_type_word', concept )] = 1 + + + return features + + + + def IOB_nonprose_features(self, word): + + """ + UMLSFeatures::IOB_nonprose_features() + + @ param word. word to lookup in UMLS database + @return dictionary of features + """ + + # Return value is a list of dictionaries (of features) + features = {} + + + for feature in self.enabled_nonprose_features: + + + # Feature: UMLS Semantic Types + if feature == "umls_cui": + # Get UMLS CUIs (could have multiple) + cuis = umls.get_cui(self.umls_lookup_cache , word) + + # Add each CUI + for cui in cuis: + features[(feature,cui)] = 1 + + + # Feature: UMLS Semantic Type (for each word) + if feature == "umls_semantic_type_word": + # Get UMLS semantic type (could have multiple) + mapping = umls.umls_semantic_type_word(self.umls_lookup_cache , word ) + # If is at least one semantic type + if mapping != None: + for concept in mapping: + features[('umls_semantic_type_word', concept )] = 1 + + + return features + + + + + def concept_features_for_word(self, word): + + """ + UMLSFeatures::concept_features_for_word() + + @ param word. word to lookup in UMLS database + @return dictionary of word-level features + """ + + + # Return value is a list of dictionaries (of features) + features = {} + + + for feature in self.enabled_concept_features_for_word: + + # Feature: UMLS Semantic Types + if feature == "umls_cui": + + # Get UMLS CUIs (could have multiple) + cuis = umls.get_cui(self.umls_lookup_cache , word) + + # Add each CUI + if cuis: + for cui in cuis: + features[(feature,cui)] = 1 + + + # Feature: UMLS Semantic Type (for each word) + if feature == "umls_semantic_type_word": + + # Get UMLS semantic type (could have multiple) + mapping = umls.umls_semantic_type_word(self.umls_lookup_cache , word ) + # If is at least one semantic type + if mapping: + for concept in mapping: + features[('umls_semantic_type_word', concept )] = 1 + + + return features + + + + def concept_features_for_sentence(self, sentence): + + """ + UMLSFeatures::concept_features_for_sentence() + + @ param sentence. list of words from line (after flattening chunks) + @return dictionary of chunk-level features + """ + + + # Return value is a list of dictionaries (of features) + features = {} + + + for feature in self.enabled_concept_features_for_sentence: + + + # Feature: UMLS semantic type for the sentence + if feature == "umls_semantic_type_sentence": + + # a list of the uml semantic of the largest substring(s). + sentence_mapping = umls.umls_semantic_type_sentence( self.umls_lookup_cache, sentence ) + + # if there are no mappings + if not sentence_mapping: + features[('umls_semantic_type_sentence', None ) ] = 1 + # assign the umls definitions to the vector for each word + else: + + for concept in sentence_mapping: + if concept: + for mapping in concept: + features[('umls_semantic_type_sentence' , mapping[0] ) ] = 1 + + + # Feature: UMLS semantic context + if feature == "umls_semantic_context": + + # the umls definition of the largest string the word is in + umls_semantic_context_mappings = umls.umls_semantic_context_of_words( self.umls_lookup_cache , sentence ) + + # there could be multiple contexts, iterate through the sublist + for mapping in umls_semantic_context_mappings: + if not mapping: continue + for concept in mapping: + features[(feature,concept)] = 1 + + + return features diff --git a/clicon/features_dir/utilities.py b/clicon/features_dir/utilities.py new file mode 100644 index 0000000..2041f71 --- /dev/null +++ b/clicon/features_dir/utilities.py @@ -0,0 +1,72 @@ +###################################################################### +# CliCon - utilities.py # +# # +# Willie Boag wboag@cs.uml.edu # +# # +# Purpose: Miscellaneous tools for handling data. # +###################################################################### + + +import re + + +# prose_sentence() +# +# input: A sentence +# output: Boolean yes/no +def prose_sentence(sentence): + + # Empty sentence is not prose + if not sentence: + return False + + if sentence[-1] == '.' or sentence[-1] == '?': + return True + elif sentence[-1] == ':': + return False + elif len(sentence) <= 5: + return False + elif at_least_half_nonprose(sentence): + return True + else: + return False + + + +# at_least_half_nonprose() +# +# input: A sentence +# output: A bollean yes/no +def at_least_half_nonprose(sentence): + + count = len( [ w for w in sentence if prose_word(w) ] ) + + if count >= len(sentence)/2: + return True + else: + return False + + + +# prose_word() +# +# input: A word +# output: Boolean yes/no +def prose_word(word): + + # Punctuation + for punc in ".?,!:\"'": + if punc in word: + return False + + # Digit + if re.match('\d', word): + return False + + # All uppercase + if word == word.upper(): + return False + + # Else + return True + diff --git a/clicon/features_dir/word_features.py b/clicon/features_dir/word_features.py new file mode 100644 index 0000000..eba0644 --- /dev/null +++ b/clicon/features_dir/word_features.py @@ -0,0 +1,379 @@ +###################################################################### +# CliCon - word_features.py # +# # +# Willie Boag wboag@cs.uml.edu # +# # +# Purpose: Isolate all word-level features into a single file # +###################################################################### + + + + +__author__ = 'Willie Boag' +__date__ = 'Apr 27, 2014' + + + +import nltk +import re +from sets import ImmutableSet +from wordshape import getWordShapes + + + + +class WordFeatures: + + #enabled_IOB_prose_word_features = ImmutableSet( ['Generic#', 'last_two_letters', 'word', 'length', 'mitre', 'stem_porter', 'stem_lancaster', 'word_shape', 'metric_unit' ] ) + enabled_IOB_prose_word_features = [] + + enabled_IOB_nonprose_word_features = ImmutableSet( ['word', 'word_shape', 'metric_unit', 'mitre', 'directive', 'date' ] ) + + enabled_concept_features = ImmutableSet( ['word', 'prefix', 'stem_porter', 'stem_lancaster', 'previous_word_stem', 'next_word_stem'] ) + + + def __init__(self): + + self.enabled_IOB_prose_word_features.append('word') + self.enabled_IOB_prose_word_features.append('Generic#') + #self.enabled_IOB_prose_word_features.append('last_two_letters') + #self.enabled_IOB_prose_word_features.append('length') + #self.enabled_IOB_prose_word_features.append('mitre') + #self.enabled_IOB_prose_word_features.append('stem_porter') + #self.enabled_IOB_prose_word_features.append('stem_lancaster') + #self.enabled_IOB_prose_word_features.append('word_shape') + + pass + + + # IOB_prose_features_for_word() + # + # input: A single word + # output: A dictionary of features + def IOB_prose_features(self, word): + + # Feature: + features = {('dummy', None): 1} # always have >0 dimensions + + # Allow for particular features to be enabled + for feature in self.enabled_IOB_prose_word_features: + + if feature == "stem_lancaster": + st = nltk.stem.LancasterStemmer() + features[ (feature, st.stem(word.lower())) ] = 1 + + if feature == "word": + w = word.lower() + features[(feature, w)] = 1 + + # Feature: Generic# stemmed word + if feature == 'Generic#': + generic = re.sub('[0-9]','0',word) + features[ ('Generic#',generic) ] = 1 + + # Feature: Last two leters of word + if feature == 'last_two_letters': + features[ ('last_two_letters',word[-2:]) ] = 1 + + + if feature == "length": + features[(feature, None)] = len(word) + + if feature == "mitre": + for f in self.mitre_features: + if re.search(self.mitre_features[f], word): + features[(feature, f)] = 1 + + if feature == "stem_porter": + st = nltk.stem.PorterStemmer() + features[(feature, st.stem(word))] = 1 + + if feature == "word_shape": + wordShapes = getWordShapes(word) + for shape in wordShapes: + features[(feature, shape)] = 1 + + + return features + + + + + + # IOB_nonprose_features_for_word() + # + # input: A single word + # output: A dictionary of features + def IOB_nonprose_features(self, word): + + # Feature: + features = {'dummy': 1} # always have >0 dimensions + + enabled = True + + # Allow for particular features to be enabled + for feature in self.enabled_IOB_nonprose_word_features: + + # Feature: The word, itself + if feature == 'word': + features[('word', word.lower())] = 1 + + + # Feature: Metric Unit + if feature == "metric_unit": + unit = None + if self.is_weight(word): + unit = 'weight' + elif self.is_size(word): + unit = 'size' + elif self.is_volume(word): + unit = 'volume' + features[('metric_unit',unit)] = 1 + + + # Feature: Date + if feature == 'date': + if self.is_date(word): + features[('date',None)] = 1 + + + # Feature: Directive + if feature == 'directive': + if self.is_directive(word): + features[('directive',None)] = 1 + + + # Feature: Mitre + if feature == "mitre": + for f in self.mitre_features: + if re.search(self.mitre_features[f], word): + features[('mitre', f)] = 1 + + + # Feature: Word Shape + if feature == "word_shape": + wordShapes = getWordShapes(word) + for shape in wordShapes: + features[('word_shape', shape)] = 1 + + return features + + + + def concept_features_for_word(self, word): + + """ + concept_features_for_word() + + @param word. A word to generate features for + @return A dictionary of features + """ + + features = {} + + # Allow for particular features to be enabled + for feature in self.enabled_concept_features: + + # Feature: Uncased Word + if feature == "word": + features[ ("word",word.lower()) ] = 1 + + # Feature: Porter Stem + if feature == "stem_porter": + st = nltk.stem.PorterStemmer() + features[ ("stem_poter", st.stem(word)) ] = 1 + + # Feature: Lancaster Stem + if feature == "stem_lancaster": + st = nltk.stem.LancasterStemmer() + features[ ("stem_lancaster", st.stem(word)) ] = 1 + + # Feature: First Four Letters + if feature == "prefix": + prefix = word[:4].lower() + features[ ("prefix",prefix) ] = 1 + + + + # Feature: Length + if feature == "length": + features[ ("length",None) ] = len(word) + + # Feature: Mitre + if feature == "mitre": + for f in self.mitre_features: + if re.search(self.mitre_features[f], word): + features[ ("mitre",f) ] = 1 + + # Feature: Word Shape + if feature == "word_shape": + wordShapes = getWordShapes(word) + for shape in wordShapes: + features[ ("word_shape", shape) ] = 1 + + + return features + + + + + def concept_features_for_chunk(self, sentence, ind): + + """ + concept_features_for_chunk() + + @param word. A chunk from the sentence + @return A dictionary of features + """ + + features = {'dummy':1} + + # Word-level features for each word of the chunk + for w in sentence[ind].split(): + word_features = self.concept_features_for_word(w) + features.update(word_features) + + + # Stemmer + st = nltk.stem.PorterStemmer() + + + # Context windows + for feature in self.enabled_concept_features: + + # Feature: Previous word + if feature == "previous_word_stem": + if ind != 0: + prev_ind = ind - 1 + prev_chunk = sentence[prev_ind].split() + prev_word = st.stem( prev_chunk[-1] ) + features[ ('prev_word_stem',prev_word) ] = 1 + else: + features[ ('prev_word_stem',None) ] = 1 + + # Feature: Previous word + if feature == "previous_word_stem": + if ind != len(sentence)-1: + next_ind = ind + 1 + next_chunk = sentence[next_ind].split() + next_word = st.stem( next_chunk[-1] ) + features[ ('next_word_stem',next_word) ] = 1 + else: + features[ ('next_word_stem',None) ] = 1 + + + return features + + + + + mitre_features = { + "INITCAP": r"^[A-Z].*$", + "ALLCAPS": r"^[A-Z]+$", + "CAPSMIX": r"^[A-Za-z]+$", + "HASDIGIT": r"^.*[0-9].*$", + "SINGLEDIGIT": r"^[0-9]$", + "DOUBLEDIGIT": r"^[0-9][0-9]$", + "FOURDIGITS": r"^[0-9][0-9][0-9][0-9]$", + "NATURALNUM": r"^[0-9]+$", + "REALNUM": r"^[0-9]+.[0-9]+$", + "ALPHANUM": r"^[0-9A-Za-z]+$", + "HASDASH": r"^.*-.*$", + "PUNCTUATION": r"^[^A-Za-z0-9]+$", + "PHONE1": r"^[0-9][0-9][0-9]-[0-9][0-9][0-9][0-9]$", + "PHONE2": r"^[0-9][0-9][0-9]-[0-9][0-9][0-9]-[0-9][0-9][0-9][0-9]$", + "FIVEDIGIT": r"^[0-9][0-9][0-9][0-9][0-9]", + "NOVOWELS": r"^[^AaEeIiOoUu]+$", + "HASDASHNUMALPHA": r"^.*[A-z].*-.*[0-9].*$ | *.[0-9].*-.*[0-9].*$", + "DATESEPERATOR": r"^[-/]$", + } + + def is_test_result(self, context): + # note: make spaces optional? + regex = r"^[A-Za-z]+( )*(-|--|:|was|of|\*|>|<|more than|less than)( )*[0-9]+(%)*" + if not re.search(regex, context): + return re.search(r"^[A-Za-z]+ was (positive|negative)", context) + return True + + # Try to get QANN features + def is_meaurement(self, word): + regex = r"^[0-9]*(unit(s)|cc|L|mL|dL)$" + return re.search(regex, word) + + def is_directive(self, word): + regex = r"^(q\..*|q..|PRM|bid|prm|p\..*)$" + return re.search(regex, word) + + def is_date(self, word): + regex= r'^(\d\d\d\d-\d\d-\d|\d\d?-\d\d?-\d\d\d\d?|\d\d\d\d-\d\d?-\d\d?)$' + return re.search(regex,word) + + def is_volume(self, word): + regex = r"^[0-9]*(ml|mL|dL)$" + return re.search(regex, word) + + def is_weight(self, word): + regex = r"^[0-9]*(mg|g|mcg|milligrams|grams)$" + return re.search(regex, word) + + def is_size(self, word): + regex = r"^[0-9]*(mm|cm|millimeters|centimeters)$" + return re.search(regex, word) + + def is_prognosis_location(self, word): + regex = r"^(c|C)[0-9]+(-(c|C)[0-9]+)*$" + return re.search(regex, word) + + def has_problem_form(self, word): + regex = r".*(ic|is)$" + return re.search(regex, word) + + # checks for a definitive classification at the word level + def get_def_class(self, word): + test_terms = { + "eval", "evaluation", "evaluations", + "sat", "sats", "saturation", + "exam", "exams", + "rate", "rates", + "test", "tests", + "xray", "xrays", + "screen", "screens", + "level", "levels", + "tox" + } + problem_terms = { + "swelling", + "wound", "wounds", + "symptom", "symptoms", + "shifts", "failure", + "insufficiency", "insufficiencies", + "mass", "masses", + "aneurysm", "aneurysms", + "ulcer", "ulcers", + "trama", "cancer", + "disease", "diseased", + "bacterial", "viral", + "syndrome", "syndromes", + "pain", "pains" + "burns", "burned", + "broken", "fractured" + } + treatment_terms = { + "therapy", + "replacement", + "anesthesia", + "supplement", "supplemental", + "vaccine", "vaccines" + "dose", "doses", + "shot", "shots", + "medication", "medicine", + "treament", "treatments" + } + if word.lower() in test_terms: + return 1 + elif word.lower() in problem_terms: + return 2 + elif word.lower() in treatment_terms: + return 3 + return 0 + diff --git a/clicon/features_dir/wordshape.py b/clicon/features_dir/wordshape.py new file mode 100644 index 0000000..b536f49 --- /dev/null +++ b/clicon/features_dir/wordshape.py @@ -0,0 +1,422 @@ +import re +from sets import Set + +BOUNDARY_SIZE = 2 + +NOWORDSHAPE = -1 +WORDSHAPEDAN1 = 0 +WORDSHAPECHRIS1 = 1 +WORDSHAPEDAN2 = 2 +WORDSHAPEDAN2USELC = 3 +WORDSHAPEDAN2BIO = 4 +WORDSHAPEDAN2BIOUSELC = 5 +WORDSHAPEJENNY1 = 6 +WORDSHAPEJENNY1USELC = 7 +WORDSHAPECHRIS2 = 8 +WORDSHAPECHRIS2USELC = 9 +WORDSHAPECHRIS3 = 10 +WORDSHAPECHRIS3USELC = 11 + +greek = ["alpha", "beta", "gamma", "delta", "epsilon", "zeta", "theta", "iota", "kappa", "lambda", "omicron", "rho", "sigma", "tau", "upsilon", "omega"] +biogreek = r"alpha|beta|gamma|delta|epsilon|zeta|theta|iota|kappa|lambda|omicron|rho|sigma|tau|upsilon|omega" + + +def lookupShaper(name): + if name is None: + return NOWORDSHAPE + elif name.lower() == "dan1": + return WORDSHAPEDAN1 + elif name.lower() == "chris1": + return WORDSHAPECHRIS1 + elif name.lower() == "dan2": + return WORDSHAPEDAN2 + elif name.lower() == "dan2useLC": + return WORDSHAPEDAN2USELC + elif name.lower() == "dan2bio": + return WORDSHAPEDAN2BIO + elif name.lower() == "dan2bioUseLC": + return WORDSHAPEDAN2BIOUSELC + elif name.lower() == "jenny1": + return WORDSHAPEJENNY1 + elif name.lower() == "jenny1useLC": + return WORDSHAPEJENNY1USELC + elif name.lower() == "chris2": + return WORDSHAPECHRIS2 + elif name.lower() == "chris2useLC": + return WORDSHAPECHRIS2USELC + elif name.lower() == "chris3": + return WORDSHAPECHRIS3 + elif name.lower() == "chris3useLC": + return WORDSHAPECHRIS3USELC + else: + return NOWORDSHAPE + + +def dontUseLC(shape): + return shape == WORDSHAPEDAN2 or shape == WORDSHAPEDAN2BIO or shape == WORDSHAPEJENNY1 or shape == WORDSHAPECHRIS2 or shape == WORDSHAPECHRIS3 + + +def wordShape(inStr, wordShaper): + return wordShape(inStr, wordShaper, None) + + +def wordShape(inStr, wordShaper, knownLCWords): + if knownLCWords is not None and dontUseLC(wordShaper): + knownLCWords = None + + if wordShaper == NOWORDSHAPE: + return inStr + elif wordShaper == WORDSHAPEDAN1: + return wordShapeDan1(inStr) + elif wordShaper == WORDSHAPECHRIS1: + return wordShapeChris1(inStr) + elif wordShaper == WORDSHAPEDAN2: + return wordShapeDan2(inStr, knownLCWords) + elif wordShaper == WORDSHAPEDAN2USELC: + return wordShapeDan2(inStr, knownLCWords) + elif wordShaper == WORDSHAPEDAN2BIO: + return wordShapeDan2Bio(inStr, knownLCWords) + elif wordShaper == WORDSHAPEDAN2BIOUSELC: + return wordShapeDan2Bio(inStr, knownLCWords) + elif wordShaper == WORDSHAPEJENNY1: + return wordShapeJenny1(inStr, knownLCWords) + elif wordShaper == WORDSHAPEJENNY1USELC: + return wordShapeJenny1(inStr, knownLCWords) + elif wordShaper == WORDSHAPECHRIS2: + return wordShapeChris2(inStr, False, knownLCWords) + elif wordShaper == WORDSHAPECHRIS2USELC: + return wordShapeChris2(inStr, False, knownLCWords) + elif wordShaper == WORDSHAPECHRIS3: + return wordShapeChris2(inStr, True, knownLCWords) + elif wordShaper == WORDSHAPECHRIS3USELC: + return wordShapeChris2(inStr, True, knownLCWords) + + +def wordShapeDan1(s): + digit = True + upper = True + lower = True + mixed = True + i = 0 + for c in s: + if not c.isdigit(): + digit = False + if not c.islower(): + lower = False + if not c.isupper(): + upper = False + if (i == 0 and not c.isupper()) or (i >= 1 and not c.islower()): + mixed = False + i += 1 + if (digit): + return "ALL-DIGITS" + if (upper): + return "ALL-UPPER" + if (lower): + return "ALL-LOWER" + if (mixed): + return "MIXED-CASE" + return "OTHER" + + +def wordShapeDan2(s, knownLCWords): + sb = "WT-" + lastM = '~' + nonLetters = False + length = len(s) + for c in s: + m = c + if c.isdigit(): + m = 'd' + if c.islower() or c == '_': + m = 'x' + if c.isupper(): + m = 'X' + if m != 'x' and m != 'X': + nonLetters = True + if m != lastM: + sb += m + lastM = m + + if length <= 3: + sb += ':' + str(length) + + if knownLCWords is not None: + if not nonLetters and knownLCWords.contains(s.lower()): + sb += 'k' + return sb + + +def wordShapeJenny1(s): + sb = "WT-" + lastM = '~' + nonLetters = False + length = len(s) + + for i in range (0, length): + c = s[i] + m = c + if c.isdigit(): + m = 'd' + if c.islower(): + m = 'x' + if c.isupper(): + m = 'X' + + for gr in greek: + if s.startswith(gr): + m = 'g' + i = i + len(gr) - 1 + break + + if m != 'x' and m != 'X': + nonLetters = True + + if m != lastM: + sb += m + + lastM = m + + if length <= 3: + sb += ':' + str(length) + + #if knownLCWords is not None: + # if not nonLetters and knownLCWords.contains(s.lower()): + # sb += 'k' + return sb + + +def wordShapeChris2(s, omitIfInBoundary, knownLCWords): + length = len(s) + if length <= BOUNDARY_SIZE * 2: + return wordShapeChris2Short(s, length, knownLCWords) + else: + return wordShapeChris2Long(s, omitIfInBoundary, length, knownLCWords) + + +def wordShapeChris2Short(s, length, knownLCWords): + sblength = length + sb = "" + + if knownLCWords is not None: + sblength = length + 1 + + nonLetters = False + + for i in range (0, length): + c = s[i] + m = c + if c.isdigit(): + m = 'd' + if c.islower(): + m = 'x' + if c.isupper() or c.istitle(): + m = 'X' + + for gr in greek: + if s.startswith(gr): + m = 'g' + i = i + len(gr) - 1 + break + + if m != 'x' and m != 'X': + nonLetters = True + + sb += m + + if knownLCWords is not None: + if not nonLetters and knownLCWords.contains(s.lower()): + sb += 'k' + return sb + + +def wordShapeChris2Long (s, omitIfInBoundary, length, knownLCWords): + beginChars = "" + endChars = "" + beginUpto = 0 + endUpto = 0 + seenSet = Set([]) + + nonLetters = False + for i in range (0, len(s)): + iIncr = 0 + c = s[i] + m = c + if c.isdigit(): + m = 'd' + elif c.islower(): + m = 'x' + elif c.isupper() or c.istitle(): + m = 'X' + + for gr in greek: + if s.startswith(gr): + m = 'g' + iIncr = len(gr) - 1 + break + if m != 'x' and m != 'X': + nonLetters = True + + if i < BOUNDARY_SIZE: + beginChars += m + beginUpto += 1 + elif i < length - BOUNDARY_SIZE: + seenSet.add(m) + else: + endChars += m + endUpto += 1 + i += iIncr + + sbSize = beginUpto + endUpto + len(seenSet) + + if knownLCWords is not None: + sbSize += 1 + + sb = "" + sb += beginChars + if omitIfInBoundary: + for ch in seenSet: + insert = True + for i in range (0, beginUpto): + if beginChars[i] == ch: + insert = False + break + + for i in range (0, endUpto): + if endChars[i] == ch: + insert = False + break + if (insert): + sb += ch + else: + for ch in seenSet: + sb += ch + sb += endChars + if knownLCWords is not None: + if not nonLetters and knownLCWords.contains(s.tolower()): + sb += 'k' + return sb + +#def wordShapeDan2Bio( s, knownLCWords): + # if containsGreekLetter(s): + # return wordShapeDan2(s, knownLCWords) + "-GREEK" + # else: + # return wordShapeDan2(s, knownLCWords) + + +def containsGreekLetter (s): + return re.search(biogreek, s) + + +def wordShapeChris1 (s): + length = len(s) + if length == 0: + return "SYMBOL" + + cardinal = False + number = True + seenDigit = False + seenNonDigit = False + + for i in range(0, length): + ch = s[i] + digit = ch.isdigit() + if digit: + seenDigit = True + else: + seenNonDigit = True + digit = digit or ch == '.' or ch == ',' or (i == 0 and (ch == '-' or ch == '+')) + if not digit: + number = False + + if not seenDigit: + number = False + elif not seenNonDigit: + cardinal = True + + if cardinal: + if (length < 4): + return "CARDINAL13" + elif (length == 4): + return "CARDINAL4" + else: + return "CARDINAL5PLUS" + elif number: + return "NUMBER" + + seenLower = False + seenUpper = False + allCaps = True + allLower = True + initCap = False + dash = False + period = False + + for i in range (0, length): + ch = s[i] + up = ch.isupper() + let = re.search(r"^[A-Za-z]+$", ch) + tit = ch.istitle() + if ch == '-': + dash = True + elif ch == '.': + period = True + + if (tit): + seenUpper = True + allLower = False + seenLower = True + allCaps = False + elif (up): + seenUpper = True + allLower = False + elif (let): + seenLower = True + allCaps = False + + if i == 0 and (up or tit): + initCap = True + + if length == 2 and initCap and period: + return "ACRONYM1" + elif seenUpper and allCaps and not seenDigit and period: + return "ACRONYM" + elif seenDigit and dash and not seenUpper and not seenLower: + return "DIGIT-DASH" + elif initCap and seenLower and seenDigit and dash: + return "CAPITALIZED-DIGIT-DASH" + elif initCap and seenLower and seenDigit: + return "CAPITALIZED-DIGIT" + elif initCap and seenLower & dash: + return "CAPITALIZED-DASH" + elif initCap and seenLower: + return "CAPITALIZED" + elif seenUpper and allCaps and seenDigit and dash: + return "ALLCAPS-DIGIT-DASH" + elif seenUpper and allCaps and seenDigit: + return "ALLCAPS-DIGIT" + elif seenUpper and allCaps and dash: + return "ALLCAPS" + elif seenUpper and allCaps: + return "ALLCAPS" + elif seenLower and allLower and seenDigit and dash: + return "LOWERif wordShaper ==-DIGIT-DASH" + elif seenLower and allLower and seenDigit: + return "LOWERif wordShaper ==-DIGIT" + elif seenLower and allLower and dash: + return "LOWERif wordShaper ==-DASH" + elif seenLower and allLower: + return "LOWERif wordShaper ==" + elif seenLower and seenDigit: + return "MIXEDif wordShaper ==-DIGIT" + elif seenLower: + return "MIXEDif wordShaper ==" + elif seenDigit: + return "SYMBOL-DIGIT" + else: + return "SYMBOL" + + +# gets Chris1, Dan1, Jenny1, Chris2 and Dan2 word shapes +def getWordShapes(word): + return [wordShapeChris1(word), wordShapeDan1(word), wordShapeJenny1(word), wordShapeChris2(word, False, None), wordShapeDan2(word, None)] From 4a04e4cff624bd34d9d2083fc8ec26c07d5515c5 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Sat, 16 Aug 2014 12:14:52 -0400 Subject: [PATCH 204/393] Changed features/ to features_dir/ --- clicon/features/__init__.py | 0 clicon/features/features.py | 284 --------------- clicon/features/genia/__init__.py | 0 clicon/features/genia/genia_features.py | 106 ------ clicon/features/genia/interface_genia.py | 112 ------ clicon/features/sentence_features.py | 341 ------------------ clicon/features/umls/SQLookup.py | 71 ---- clicon/features/umls/__init__.py | 0 clicon/features/umls/create_sqliteDB.py | 112 ------ clicon/features/umls/umls.py | 232 ------------- clicon/features/umls/umls_cache.py | 23 -- clicon/features/umls/umls_features.py | 233 ------------- clicon/features/word_features.py | 373 -------------------- clicon/features/wordshape.py | 422 ----------------------- 14 files changed, 2309 deletions(-) delete mode 100644 clicon/features/__init__.py delete mode 100644 clicon/features/features.py delete mode 100644 clicon/features/genia/__init__.py delete mode 100644 clicon/features/genia/genia_features.py delete mode 100644 clicon/features/genia/interface_genia.py delete mode 100644 clicon/features/sentence_features.py delete mode 100644 clicon/features/umls/SQLookup.py delete mode 100644 clicon/features/umls/__init__.py delete mode 100644 clicon/features/umls/create_sqliteDB.py delete mode 100644 clicon/features/umls/umls.py delete mode 100644 clicon/features/umls/umls_cache.py delete mode 100644 clicon/features/umls/umls_features.py delete mode 100644 clicon/features/word_features.py delete mode 100644 clicon/features/wordshape.py diff --git a/clicon/features/__init__.py b/clicon/features/__init__.py deleted file mode 100644 index e69de29..0000000 diff --git a/clicon/features/features.py b/clicon/features/features.py deleted file mode 100644 index c6bd03d..0000000 --- a/clicon/features/features.py +++ /dev/null @@ -1,284 +0,0 @@ -###################################################################### -# CliCon - clicon_features.py # -# # -# Willie Boag wboag@cs.uml.edu # -# # -# Purpose: Isolate the model's features from model.py # -###################################################################### - - -__author__ = 'Willie Boag' -__date__ = 'Jan. 27, 2014' - - - -import nltk -import re -from wordshape import getWordShapes - -from sentence_features import SentenceFeatures - - - -class FeatureWrapper: - - # FIXME - Make three objects - one for each classifier - - - # Instantiate an FeatureWrapper object - def __init__(self, data=None): - - # Sentence-level features - self.feat_sent = SentenceFeatures(data) - - - - # IOB_features() - # - # input: A sentence - # output: A hash table of features - def IOB_features(self, sentence): - - # Different features depending on whether sentence is 'prose' - isProse = self.prose_sentence(sentence) - - if isProse: - features_list = self.feat_sent.IOB_prose_features(sentence) - else: - features_list = self.feat_sent.IOB_nonprose_features(sentence) - - - # Sanity Check (many unique features for each data point) - #features_list = [] - #for i in range(len(sentence)): - # features = {} - # for j in range(30): - # features[(''.join(sentence),i,j)] = 1 - # features_list.append(features) - - - # Return features as well as indication of whether it is prose or not - return (isProse, features_list) - - - - # concept_features() - # - # input: A sentence/line from a medical text file (list of chunks) - # An list of indices into the sentence for each important chunk - # output: A list of hash tables of features - def concept_features(self, sentence, chunk_inds): - - # FIXME - move all of this work to SentenceFeatures object - - features_list = [ {} for _ in chunk_inds ] - - - ''' - # VERY basic feature set for sanity check tests during development - for i,ind in enumerate(chunk_inds): - features = {('phrase',sentence[ind]) : 1} - features_list[i] = features - return features_list - ''' - - - tags = [] - - for i,ind in enumerate(chunk_inds): - - - features_list[i][(' '.join(sentence),ind)] = 1 - - continue - - - # Create a list of feature sets (one per chunk) - features = self.feat_sent.concept_features_for_chunk(sentence,ind) - - - # Feature: Previous 3 POSs - if 'prev_3_pos' in self.feat_sent.enabled_concept_features: - tags = tags = nltk.pos_tag(sentence) - - # Previous 3 POSs - begin = ind-3 if ind-3>0 else 0 - for tag in tags[begin:ind]: - pos = tag[1] - features[('prev_3_pos',pos)] = 1 - - - # Feature: Previous Chunks's Features - if "prev" in self.feat_sent.enabled_concept_features: - if ind == 0: - features[("prev", "*")] = 1 - else: - # Get features of previous chunks - prev_features = self.feat_sent.concept_features_for_chunk(sentence,ind-1) - prepend = lambda f: {("prev_"+k[0],k[1]):v for k, v in f.items()} - features.update( prepend(prev_features) ) - - - # Feature: Next Chunk's Features - if "next" in self.feat_sent.enabled_concept_features: - if ind == len(sentence) - 1: - features[("next", "*")] = 1 - else: - # Get features of previous chunks - next_features = self.feat_sent.concept_features_for_chunk(sentence,ind+1) - prepend = lambda f: {("next_"+k[0],k[1]):v for k, v in f.items()} - features.update( prepend(next_features) ) - - features_list[i] = features - - - return features_list - - - - # prose_sentence() - # - # input: A sentence - # output: Boolean yes/no - def prose_sentence(self, sentence): - - # Empty sentence is not prose - if not sentence: - return False - - if sentence[-1] == '.' or sentence[-1] == '?': - return True - elif sentence[-1] == ':': - return False - elif len(sentence) <= 5: - return False - elif self.at_least_half_nonprose(sentence): - return True - else: - return False - - - # at_least_half_nonprose() - # - # input: A sentence - # output: A bollean yes/no - def at_least_half_nonprose(self, sentence): - - count = 0 - - for word in sentence: - if self.prose_word(word): - count += 1 - - if count >= len(sentence): - return True - else: - return False - - - # prose_word() - # - # input: A word - # output: Boolean yes/no - def prose_word(self, word): - - # Punctuation - for punc in ".?,!:\"'": - if re.search(punc, word): - return False - - # Digit - if re.match('\d', word): - return False - - # All uppercase - if word == word.upper(): - return False - - # Else - return True - - - - -# generate_chunks() -# -# input: Three arguments: -# 1) A list of list of word (the data of the file) -# 2) A list of list of IOB tags (one-to-one with list from arg 1) -# 3) A list of list of concepts (one-to-one with list from arg 1) -# -# -# output: A 3-tuple of: -# 1) A list of list of chunks (word token phrases) -# 2) A list of list of concepts (one-to-one with list from ret 1) -# 3) A list of all indices into 1 of all non-'none' concepts -def generate_chunks(data, IOB_tags, labels=None): - - # List of list of tokens (similar to 'text', but concepts are grouped) - text_chunks = [] - - # one-to-one concept classification with text_chunks - if labels: - concept_chunks = [] - else: - concept_chunks = None - - # List of (line,token) pairs for classifications that are nont 'none' - hits = [] - - # Create tokens of full concept boundaries for second classifier - for i, concept_line in enumerate(IOB_tags): - - # One line of 'chunked' - line_of_text_chunks = [] - if labels: line_of_concept_chunks = [] - - # stores the current streak - queue = [] - - # Necessary when multiple concepts are on one line - # The second concept's j index is relative to a word-split array - # The j of the new token should be relative to how chunks there are - chunk_offset = 0 - - # C-style array indexing. Probably could be done a better way. - # Used because I needed the ability of lookahead - for j in range(len(concept_line)): - - # Outside - # concept_line in "012" instead of "IOB" - if concept_line[j] == 'O': - line_of_text_chunks.append(data[i][j]) - if labels: line_of_concept_chunks.append('none') - - # Beginning of a concept boundary - else: - - # Increase size of current streak - queue.append(data[i][j]) - - # lookahead (check if streak will continue) - if (j+1 == len(concept_line))or \ - (concept_line[j+1] != 'I'): # end of classifiation - - # Add full concept token - line_of_text_chunks.append(' '.join(queue)) - if labels: line_of_concept_chunks.append(labels[i][j]) - - # Store indices of detected concept - hits.append( ( i, j + 1-len(queue) - chunk_offset ) ) - - # Reminder: used in the case that a concept follows a - # multi-word concept on the same line - chunk_offset += len(queue) - 1 - - # Reset streak - queue = [] - - text_chunks.append(line_of_text_chunks) - if labels: concept_chunks.append(line_of_concept_chunks) - - - return (text_chunks, concept_chunks, hits) - diff --git a/clicon/features/genia/__init__.py b/clicon/features/genia/__init__.py deleted file mode 100644 index e69de29..0000000 diff --git a/clicon/features/genia/genia_features.py b/clicon/features/genia/genia_features.py deleted file mode 100644 index ca1ead3..0000000 --- a/clicon/features/genia/genia_features.py +++ /dev/null @@ -1,106 +0,0 @@ -###################################################################### -# CliCon - genia_features.py # -# # -# Willie Boag wboag@cs.uml.edu # -# # -# Purpose: Independent GENIA module # -###################################################################### - - - -import interface_genia - - - -class GeniaFeatures: - - - def __init__(self, tagger, data): - - """ - Constructor. - - @param data. A list of lists of words (basically a list of sentences) - """ - - # Process all words with GENIA tagger - self.GENIA_features = interface_genia.genia(tagger, data) - - # For iterating through tagged data - self.GENIA_counter = 0 - - - def next_GENIA_line(self): - - """ - next_GENIA_line() - - Purpose: All data was tagged upfront. This allows iteration through data - """ - - # End of list - reset counter & return None - if self.GENIA_counter == len(self.GENIA_features): - self.GENIA_counter = 0 - return None - - # Advance to next line - self.GENIA_counter += 1 - - return self.GENIA_features[self.GENIA_counter-1] - - - - def features(self, sentence, is_prose=True): - - """ - features(). - - @param sentence. A list of words to bind features to - @param is_prose. Mechanism for skipping nonprose (for alignment) - @return list of dictionaries (of features) - - Note: All data is tagged upon instantiation of GeniaFeatures object. - This function MUST take each line of the file (in order) as input - """ - - # Return value is a list of dictionaries (of features) - features_list = [ {} for _ in sentence ] - - # Get the GENIA features of the current sentence - genia_feats = self.next_GENIA_line() - if not genia_feats: genia_feats = self.next_GENIA_line() - - - # FIXME - # Mechanism to allow for skipping nonprose - # Potential alternative: Let GeniaFeatures boject decide on all nonprose - if not is_prose: return {} - - - for i in range(len(sentence)): - - # Feature: Current word's GENIA features - keys = ['GENIA-stem','GENIA-POS','GENIA-chunktag'] - curr = genia_feats[i] - output = dict( (('curr-'+k, curr[k]), 1) for k in keys if k in curr) - - # Feature: Previous word's GENIA features - if i == 0: - output = dict( (('prev-'+k, ''), 1) for k in keys if k in curr) - else: - prev = genia_feats[i] - output = dict( (('prev-'+k, prev[k]), 1) for k in keys if k in prev) - - # Feature: Next word's GENIA stem - # Note: This is done by updating the previous token's dict - if i == 0: - continue - if i != (len(sentence) - 1): - features_list[i-1].update( {('next-GENIA-stem',curr['GENIA-stem']) : 1} ) - else: - features_list[i].update( { ('next-GENIA-stem','') : 1} ) - - features_list[i].update(output) - - - return features_list diff --git a/clicon/features/genia/interface_genia.py b/clicon/features/genia/interface_genia.py deleted file mode 100644 index 8eaee66..0000000 --- a/clicon/features/genia/interface_genia.py +++ /dev/null @@ -1,112 +0,0 @@ -###################################################################### -# CliCon - clicon_genia_interface.py # -# # -# Willie Boag wboag@cs.uml.edu # -# # -# Purpose: Provide a way for Python to utilize the output of the # -# GENIA Tagger # -# # -# Genia Tagger: http://www.nactem.ac.uk/tsujii/GENIA/tagger/ # -###################################################################### - - - -__author__ = 'Willie Boag' -__date__ = 'Jan. 27, 2014' - -import os -import sys -from commands import getstatusoutput - - -def main(): - - f = open('/home/wboag/ConceptExtraction-master/data/concept_assertion_relation_training_data/beth/txt/record-20.txt', 'r') - - txt = f.readlines() - - data = [] - for line in txt: - data.append(line.split()) - - tagger = '/home/wboag/geniatagger-3.0.1/geniatagger' - for (line,linedict) in zip(txt,genia(tagger,data)): - print line.split(), '\n' - for d in linedict: - print d - print '---\n\n' - - - -# -# genia() -# -# Call the genia tagger and return its output in python format -# -def genia(geniatagger, data): - - ''' - @param geniatagger. A path to the executable geniatagger - @param data. A list of list of strings (lines of words from a file) - @return A list of dcitionaries of the genia tagger's output. - ''' - - # write list to file and then feed it to GENIA - genia_dir = os.path.dirname(geniatagger) - tmp_out = os.path.join(genia_dir,'/tmp/clicon_genia_tmp_file.txt') - with open(tmp_out, 'w') as f: - for line in data: f.write(' '.join(line) + '\n') - - - # Run genia tagger - print '\t\tRunning GENIA tagger' - genia_dir = os.path.dirname(geniatagger) - stream = getstatusoutput('cd %s ; ./geniatagger -nt %s' % (genia_dir,tmp_out)) - - - # Process each line of output - # NOTE: Skips the first four lines of genia tagger output ("loading...") - retlist = [] - i = 0 - j = 0 - fline = [] - old = [] - for line in stream[1].split('\n')[4:]: - - line = line.split() - - # Empty line - if line == []: continue - - # One dictionary per word in the file - output = {'GENIA-word' :line[0], - 'GENIA-stem' :line[1], - 'GENIA-POS' :line[2], - 'GENIA-chunktag':line[3], - 'GENIA-NEtag' :line[4]} - - - # Add token to list - fline.append(output) - j += 1 - if j == len(data[i]): - #print data[i] - #print fline - #print '---' - i += 1 - j = 0 - retlist.append(fline) - fline = [] - - - # Remove temp file - os.remove(tmp_out) - - - return retlist - - - - -if __name__ == '__main__': - main() diff --git a/clicon/features/sentence_features.py b/clicon/features/sentence_features.py deleted file mode 100644 index 8c24617..0000000 --- a/clicon/features/sentence_features.py +++ /dev/null @@ -1,341 +0,0 @@ -###################################################################### -# CliCon - sentence_features.py # -# # -# Willie Boag wboag@cs.uml.edu # -# # -# Purpose: Isolate the model's sentence-level features # -###################################################################### - - -__author__ = 'Willie Boag' -__date__ = 'Apr. 27, 2014' - - - -import nltk -import re -from sets import ImmutableSet -from wordshape import getWordShapes - - - -# What modules are available -from read_config import enabled_modules - - - - -# Import feature modules -enabled = enabled_modules() -if enabled['GENIA']: - from genia.genia_features import GeniaFeatures - -if enabled['UMLS']: - from umls.umls_features import UMLSFeatures - -from word_features import WordFeatures - - - - -class SentenceFeatures: - - - # Feature Enabling - enabled_IOB_prose_sentence_features = ImmutableSet( [ 'pos', 'stem_wordnet', 'GENIA', 'prev', 'next', 'prev_3_pos'] ) - - enabled_IOB_nonprose_sentence_features = ImmutableSet( ['prev_pos', 'pos', 'next_pos', 'test_result', 'prev', 'next','prev_3_pos']) - - enabled_concept_features = ImmutableSet( ['pos','prev_3_pos', 'stem_wordnet', 'test_result', 'word_shape','prev','next', "UMLS"]) - - - - # Instantiate an Sentence object - def __init__(self, data): - - # Word-level features module - self.feat_word = WordFeatures() - - # Only run GENIA tagger if module is available - if data and enabled['GENIA']: - tagger = enabled['GENIA'] - self.feat_genia = GeniaFeatures(tagger,data) - - # Only create UMLS cache if module is available - if enabled['UMLS']: - self.feat_umls = UMLSFeatures() - - - - - - # IOB_prose_features() - # - # input: A sentence - # output: A list of hash tables of features - def IOB_prose_features(self, sentence): - - features_list = [] - flag = 0 - - # Get a feature set for each word in the sentence - for i,word in enumerate(sentence): - features_list.append( self.feat_word.IOB_prose_features(sentence,i) ) - - - # Only POS tag once - pos_tagged = nltk.pos_tag(sentence) - - # Used for 'prev' and 'next' features - ngram_features = [{} for i in range(len(features_list))] - - - # Allow for particular features to be enabled - for feature in self.enabled_IOB_prose_sentence_features: - - # Feature: Part of Speech - if feature == 'pos': - for (i,(_,pos)) in enumerate(pos_tagged): - features_list[i].update( { ('pos',pos) : 1} ) - - - # Feature: Previous 3 POSs - if feature == 'prev_3_pos': - for i in range(len(sentence)): - - # Where to begin - if i-3 < 0: - begin = 0 - else: - begin = i-3 - - # Go as far back as 3 tokens - pos_features = {} - for p in pos_tagged[begin:i]: - pos = p[1] - pos_features.update( {('prev_3_pos',pos) : 1} ) - - # Update feature dict - features_list[i].update(pos_features) - - - # GENIA features - if enabled['GENIA'] and (feature == 'GENIA'): - - genia_feat_list = self.feat_genia.features(sentence) - - #print '\n\n' - #print genia_feat_list - #print '\n\n' - - for i,feat_dict in enumerate(genia_feat_list): - features_list[i].update(feat_dict) - - - ngram_features = [{} for i in range(len(features_list))] - if "prev" in self.enabled_IOB_prose_sentence_features: - prev = lambda f: {("prev_"+k[0], k[1]): v for k,v in f.items()} - prev_list = map(prev, features_list) - for i in range(len(features_list)): - if i == 0: - ngram_features[i][("prev", "*")] = 1 - else: - ngram_features[i].update(prev_list[i-1]) - - if "next" in self.enabled_IOB_prose_sentence_features: - next = lambda f: {("next_"+k[0], k[1]): v for k,v in f.items()} - next_list = map(next, features_list) - for i in range(len(features_list)): - if i == len(features_list) - 1: - ngram_features[i][("next", "*")] = 1 - else: - ngram_features[i].update(next_list[i+1]) - - merged = lambda d1, d2: dict(d1.items() + d2.items()) - features_list = [merged(features_list[i], ngram_features[i]) - for i in range(len(features_list))] - - return features_list - - - - # IOB_nonprose_features() - # - # input: A sentence - # output: A hash table of features - def IOB_nonprose_features(self, sentence): - - # Get the GENIA features of the current sentence - # (not used for nonprose, but it keeps things aligned for the prose) - # FIXME - Making seperate classes will fix this - if enabled['GENIA'] and 'GENIA' in self.enabled_IOB_prose_sentence_features: - _ = self.feat_genia.features(sentence, False) - - - # If sentence is empty - #if not sentence: return {} - - features_list = [] - - # Get a feature set for each word in the sentence - for i,word in enumerate(sentence): - features_list.append( self.feat_word.IOB_nonprose_features(sentence,i) ) - - pos_tagged = nltk.pos_tag(sentence) - - - # Allow for particular features to be enabled - for feature in self.enabled_IOB_nonprose_sentence_features: - - # Feature: Previous POS - if feature == 'prev_pos': - for i in range(len(sentence)): - if i == 0: - features_list[0].update({('prev_POS','') :1}) - else: - features_list[i].update({('prev_POS',pos_tagged[i-1]):1}) - - - # Feature: Part of Speech - if feature == 'pos': - for (i,(_,pos)) in enumerate(pos_tagged): - features_list[i].update( { ('pos',pos) : 1} ) - - - # Feature: Previous POS - if feature == 'next_pos': - for i in range(len(sentence)): - if i == len(sentence)-1: - features_list[-1].update({('prev_POS','') :1}) - else: - features_list[i].update({('prev_POS',pos_tagged[i-1]):1}) - - - # Feature: Test Result (for each chunk) - if feature == "test_result": - for index, features in enumerate(features_list): - right = " ".join([w for w in sentence[index:]]) - if self.feat_word.is_test_result(right): - features[(feature, None)] = 1 - - - # Feature: Previous 3 POSs - if feature == 'prev_3_pos': - for i in range(len(sentence)): - - # Where to begin - if i-3 < 0: - begin = 0 - else: - begin = i-3 - - # Go as far back as 3 tokens - pos_features = {} - for p in pos_tagged[begin:i]: - pos = p[1] - pos_features.update( {('prev_3_pos',pos) : 1} ) - - # Update feature dict - features_list[i].update(pos_features) - - - ngram_features = [{} for i in range(len(features_list))] - if "prev" in self.enabled_IOB_nonprose_sentence_features: - prev = lambda f: {("prev_"+k[0], k[1]): v for k,v in f.items()} - prev_list = map(prev, features_list) - for i in range(len(features_list)): - if i == 0: - ngram_features[i][("prev", "*")] = 1 - else: - ngram_features[i].update(prev_list[i-1]) - - if "next" in self.enabled_IOB_nonprose_sentence_features: - next = lambda f: {("next_"+k[0], k[1]): v for k,v in f.items()} - next_list = map(next, features_list) - for i in range(len(features_list)): - if i == len(features_list) - 1: - ngram_features[i][("next", "*")] = 1 - else: - ngram_features[i].update(next_list[i+1]) - - merged = lambda d1, d2: dict(d1.items() + d2.items()) - features_list = [merged(features_list[i], ngram_features[i]) - for i in range(len(features_list))] - - return features_list - - - - # concept_features_for_chunk() - # - # input: A sentence/line from a medical text file (list of chunks) - # An index into the sentence to indentify the given chunk - # output: A hash table of features - def concept_features_for_chunk(self, sentence, ind): - - features = {} - - # Feature: - features = {'dummy': 1} # always have >0 dimensions - - # Split the chunked sentence into a list of words for (POS tagger) - split_sentence = [] - split_ind = 0 - for chun in sentence: - for word in chun.split(): - split_sentence.append(word) - split_ind += len(chun.split()) - - tags = None - - - # Word-level features for each word of the chunk - for i,w in enumerate(sentence[ind].split()): - word_features = self.feat_word.concept_features(w) - - # Map suffix to each feature - append1 = lambda k,v: ((k[0] + "-" + str(i), k[1]), v) - appended_feats = { append1(k,v) for k,v in word_features.items() } - - features.update( appended_feats) - - - # Allow for particular features to be enabled - for feature in self.enabled_concept_features: - - # Features: UMLS features - if (feature == "UMLS") and enabled['UMLS']: - umls_features = self.feat_umls.concept_features_for_sentence(split_sentence) - features.update(umls_features) - - - # Feature: Part of Speech (of each word) - if feature == "pos": - tags = tags or nltk.pos_tag(split_sentence) - for j,pos_tag in enumerate(tags[ind:ind+len(sentence[ind].split())]): - featname = 'pos' - features[(featname, pos_tag[1])] = 1 - - # Feature: Wordnet Stem (for each chunk) - if feature == "stem_wordnet": - tags = tags or nltk.pos_tag(sentence) - morphy_tags = { - 'NN': nltk.corpus.reader.wordnet.NOUN, - 'JJ': nltk.corpus.reader.wordnet.ADJ, - 'VB': nltk.corpus.reader.wordnet.VERB, - 'RB': nltk.corpus.reader.wordnet.ADV} - morphy_tags = [(w, morphy_tags.setdefault(t[:2], nltk.corpus.reader.wordnet.NOUN)) for w, t in tags] - st = nltk.stem.WordNetLemmatizer() - tag = morphy_tags[ind] - features[(feature, st.lemmatize(*tag))] = 1 - - # Feature: Test Result (for each chunk) - if feature == "test_result": - right = " ".join([w for w in sentence[ind:]]) - if self.feat_word.is_test_result(right): - features[(feature, None)] = 1 - - - return features - - diff --git a/clicon/features/umls/SQLookup.py b/clicon/features/umls/SQLookup.py deleted file mode 100644 index 1cedac9..0000000 --- a/clicon/features/umls/SQLookup.py +++ /dev/null @@ -1,71 +0,0 @@ -import copy -import sqlite3 -import create_sqliteDB -import os - -WINDOW_SIZE = 7 - -#connect to UMLS database -def SQLConnect(): - - #try to connect to the sqlite database. Make one otherwise - db_path = os.path.join( os.environ['CLICON_DIR'], "umls_tables/umls.db") - if( os.path.isfile( db_path ) ): - print "\ndb exists" - else: - print "\ndb doesn't exist" - create_sqliteDB.create_db() - - db = sqlite3.connect( db_path ) - return db.cursor() - - -#used in SQlookup, I made this global so SQLConnect is only called once. -c = SQLConnect() - -#searchs umls database for the semantic type of a string -def SQlookup( c , string ): - - #queries database and finds first semantic type match, returns a 1 when a match is found. - c.execute( "SELECT sty FROM MRCON a, MRSTY b WHERE a.cui = b.cui AND str = ?; " , (string,) ) - - #returns a tuple with the match or None if there was no match. - #return c.fetchone() - return c.fetchall() - -#returns the semantic type of a word -def string_lookup( string ): - - #return SQlookup( c , string ) - r = SQlookup( c , string ) - - return r - - -# get all semantic types for a given concept -def cui_lookup( string ): - - # queries database and finds semantic type match - c.execute( "SELECT cui FROM MRCON WHERE str = ?;" , (string,) ) - - #returns a tuple with the match or None if there was no match. - return c.fetchall() - - -def hypernyms_lookup( string ): - - c.execute( "SELECT CUI FROM MRCON WHERE STR = ? LIMIT 1 ;" , (string,) ) - - cui = c.fetchone() - - if cui == None: - return None - else: - c.execute( "SELECT CUI2 FROM MRREL WHERE CUI1 = ? AND REL = 'PAR' LIMIT 5 ;" , (cui[0],) ) - result = c.fetchone() - if not result: - return None - else: - return result - - diff --git a/clicon/features/umls/__init__.py b/clicon/features/umls/__init__.py deleted file mode 100644 index e69de29..0000000 diff --git a/clicon/features/umls/create_sqliteDB.py b/clicon/features/umls/create_sqliteDB.py deleted file mode 100644 index 014b91c..0000000 --- a/clicon/features/umls/create_sqliteDB.py +++ /dev/null @@ -1,112 +0,0 @@ -#database.py creates a .db file for performing umls searches. -import sqlite3 -import os -import sys -import os - -def create_db(): - - print "\ncreating umls.db" - #connect to the .db file we are creating. - db_path = os.path.join(os.environ['CLICON_DIR'],'umls_tables/umls.db') - conn = sqlite3.connect( db_path ) - conn.text_factory = str - - print "opening files" - #load data in files. - try: - mrsty_path = os.path.join(os.environ['CLICON_DIR'],'umls_tables/MRSTY') - MRSTY_TABLE = open( mrsty_path, "r" ) - except IOError: - print "\nNo file to use for creating MRSTY table\n" - conn.close() - sys.exit() - - try: - mrcon_path = os.path.join(os.environ['CLICON_DIR'],'umls_tables/MRCON') - MRCON_TABLE = open( mrcon_path , "r" ) - except IOError: - print "\nNo file to use for creating MRCON table\n" - conn.close() - sys.exit() - - try: - mrrel_path = os.path.join(os.environ['CLICON_DIR'],'umls_tables/MRREL') - MRREL_TABLE = open( mrrel_path , "r" ) - except IOError: - print "\nNo file to use for creating MRREL table\n" - conn.close() - sys.exit() - - print "reading files" - - MRSTY_TABLE = MRSTY_TABLE.read() - MRSTY_TABLE = MRSTY_TABLE.split('\n') - - MRCON_TABLE = MRCON_TABLE.read() - MRCON_TABLE = MRCON_TABLE.split( '\n' ) - - MRREL_TABLE = MRREL_TABLE.read() - MRREL_TABLE = MRREL_TABLE.split( '\n' ) - - #data that will be inserted into tables. - MRTSY_DATA = [] - MRCON_DATA = [] - MRREL_DATA = [] - - c = conn.cursor() - - print "parsing files" - - #parse and store the data from the files. - for line in MRSTY_TABLE: - MRTSY_DATA.append( tuple(line.split('|')) ) - for line in MRCON_TABLE: - MRCON_DATA.append( tuple(line.split('|')) ) - for line in MRREL_TABLE: - MRREL_DATA.append( tuple(line.split('|')) ) - - print "creating tables" - - #create tables. - c.execute( "CREATE TABLE MRCON( CUI, LAT, TS, LUI, STT, SUI, STR, LRL, EMPTY ) ;" ) - c.execute( "CREATE TABLE MRSTY( CUI, TUI, STY, EMPTY ) ;" ) - c.execute( "CREATE TABLE MRREL( CUI1, REL, CUI2, RELA, SAB, SL, MG, EMPTY ) ;" ) - - print "inserting data" - - #insert data onto database - for line in MRCON_DATA: - try: - c.execute( "INSERT INTO MRCON( CUI, LAT, TS, LUI, STT, SUI, STR, LRL, EMPTY ) values ( ?, ?, ? ,?, ?,?,?,?,?);", line ) - except sqlite3.ProgrammingError: - continue - for line in MRTSY_DATA: - try: - c.execute( "INSERT INTO MRSTY( CUI, TUI, STY, EMPTY) values( ?, ?, ?, ?)" , line ) - except sqlite3.ProgrammingError: - continue - for line in MRREL_DATA: - try: - c.execute( "INSERT INTO MRREL( CUI1, REL, CUI2, RELA, SAB, SL, MG, EMPTY ) values( ?, ?, ?, ?,?, ? ,? ,? )" , line ) - except sqlite3.ProgrammingError: - continue - - print "creating indices" - - #create indices for faster queries - c.execute( "CREATE INDEX mrsty_cui_map ON MRSTY(CUI)") - c.execute( "CREATE INDEX mrcon_str_map ON MRCON(STR)") - c.execute( "CREATE INDEX mrcon_cui_map ON MRCON(CUI)") - c.execute( "CREATE INDEX mrrel_cui2_map ON MRREL( CUI2 )" ) - c.execute( "CREATE INDEX mrrel_cui1_map on MRREL( CUI1 ) " ) - c.execute( "CREATE INDEX mrrel_rel_map on MRREL( REL )" ) - - #save changes to .db - conn.commit() - - print "\nsqlite database created" - - #close connection - conn.close() - diff --git a/clicon/features/umls/umls.py b/clicon/features/umls/umls.py deleted file mode 100644 index 3dec068..0000000 --- a/clicon/features/umls/umls.py +++ /dev/null @@ -1,232 +0,0 @@ -import cPickle as pickle -import SQLookup - -def umls_semantic_type_word( umls_string_cache , sentence ): - - #If the umls semantic type is in the cache use that semantic type otherwise lookup the semantic type and add to the cache. - if umls_string_cache.has_key( sentence ): - mapping = umls_string_cache.get_map( sentence ) - else: - concept = SQLookup.string_lookup( sentence ) - #print sentence, ' - NOT FOUND' - #print '\t', concept - if concept != None: - #umls_string_cache.add_map( sentence , concept[0] ) - umls_string_cache.add_map( sentence , concept ) - else: - umls_string_cache.add_map( sentence , None ) - mapping = umls_string_cache.get_map(sentence) - - #print 'umls_semantic_type_word - returning:' - #print mapping - #print '' - - return mapping - - -def umls_semantic_context_of_words( umls_string_cache, sentence ): - - #Defines the largest string span for the sentence. - WINDOW_SIZE = 7 - - #Holds the span of the umls concept of the largest substring that each word in sentence is found in. - umls_context_list = [] - - #Holds the span of the concept for each substring. - #A tuple containing tne beginning and end index of a substring functions as the key and the key is assigned to a umls definition. - concept_span_dict = {} - - #Initialize the umls_context_list with empty lists. Each sublist functions as the mappings for each word. - for i in sentence: - umls_context_list.append( [] ) - - #Creates and finds the span of a umls concept for each possible substring of length 1 to currentWindowSize. - for currentWindowSize in range( 1 , WINDOW_SIZE ): - for ti in range( 0 , ( len(sentence) - currentWindowSize ) + 1 ): - rawstring = "" - for tj in range( ti , ti + currentWindowSize): - rawstring += ( sentence[tj] + " " ) - - #Each string is of length 1 to currentWindowSize. - rawstring = rawstring[0:-1] - - #If the string is not in cache, look the umls concept up and add to the cache. - if not( umls_string_cache.has_key( rawstring ) ): - #SQLookup returns a tuple if there is a result or None is there is not. - concept = SQLookup.string_lookup( rawstring ) - -# print concept - - if not concept: - umls_string_cache.add_map( rawstring, None ) - else: - umls_string_cache.add_map( rawstring, concept ) ; - -# if concept != None: - # umls_string_cache.add_map( rawstring , concept[0] ) - # else: - # umls_string_cache.add_map( rawstring , None ) - - #Store the concept into concept_span_dict with its span as a key. - concept_span_dict[(ti,ti+currentWindowSize-1)] = umls_string_cache.get_map( rawstring ) - - #For each substring of the sentence if there is a definition obtained from - #SQLookup assign the concept to every word that is within in the substring. - #If the currrent span is a substring update otherwise if it is not a substring add the new found context. - if umls_string_cache.get_map(rawstring): - - for i in range( ti , ti + currentWindowSize ): - - if len( umls_context_list[i] ) == 0: - umls_context_list[i].append( [ ti , ti + currentWindowSize - 1 ] ) - - else: - updated = 0 - for j in umls_context_list[i]: - if j[0] >= ti and j[1] <= ( ti + currentWindowSize - 1 ): - j[0] = ti - j[1] = ( ti + currentWindowSize - 1 ) - updated += 1 - if not(updated): - if umls_context_list[i].count( [ti,ti+currentWindowSize -1] ) == 0 : - umls_context_list[i].append( [ ti , ti +currentWindowSize - 1 ] ) - - - #print '\t\t', umls_context_list - - #create a list of sublists - # each sublist represents the contexts for which the word appears in the sentence - - # print umls_context_list - - mappings = [] - for i in umls_context_list: - spans = i - if len(spans) == 0: - mappings.append( None ) - else: - sub_mappings = [] - for j in spans: - sub_mappings.append( concept_span_dict[tuple(j)]) - - # FIXME - Decided to concat rather than append (not sure why) - mappings += sub_mappings - - return mappings - - -def umls_semantic_type_sentence( cache , sentence ): - - #print sentence - - #Defines the largest string span for the sentence. - - WINDOW_SIZE = 7 - - #holds the mappings for every substring of size 1 to WINDOW_SIZE - mappings = {} - - #Creates and finds the span of a umls concept for each possible substring of length 1 to currentWindowSize. - for currentWindowSize in range( 1 , WINDOW_SIZE ): - for ti in range( 0 , ( len(sentence) - currentWindowSize ) + 1 ): - - rawstring = "" - - for tj in range( ti , ti + currentWindowSize): - rawstring += ( sentence[tj] + " " ) - - #Each string is of length 1 to currentWindowSize. - rawstring = rawstring[0:-1] - - #If the umls semantic type is already in the cache then us the one stored otherwise lookup and add to cache - if cache.has_key( rawstring ): - mappings[rawstring] = cache.get_map( rawstring ) - - else: - - concept = string_lookup( rawstring ) - - #cache.add_map( rawstring , concept ) - - if concept: - cache.add_map( rawstring , concept ) - else: - cache.add_map( rawstring , [] ) - - mappings[rawstring] = cache.get_map( rawstring ) -# print "rawstring: ", rawstring - # print "mappings: " ,mappings[rawstring] - size_s = 0 - - phrase = [] - - - #print "mappings: " , mappings - #get longest sub string with a mapping - - for mapping in mappings.iteritems(): - #print mapping - if( mapping[1] ): - # print mapping - if( len( mapping[0] ) > size_s ): - - phrase = [] - phrase.append( mapping[1] ) - size_s = len( mapping[0] ) - continue - if( len(mapping[0]) == size_s ): - phrase.append( mapping[1] ) - -# print "phrase: " , phrase -# print phrase - return phrase - - - -# Get the semantic types for a given word -def get_cui( cache , word ): - - # If hypernyms already in cache - if cache.has_key( word + '--cuis' ): - - cuis = cache.get_map( word + '--cuis' ) - - else: - - # Get cui - cuis = SQLookup.cui_lookup(word) - - # Eliminate duplicates - cuis = list(set(cuis)) - cuis = [c[0] for c in cuis] - - # Store result in cache - cache.add_map( word + '--cuis', cuis ) - - return cuis - - - -# Get the hypernyms of a string -def umls_hypernyms( cache, string ): - - # If hypernyms already in cache - if cache.has_key( string + '--hypernyms' ): - - hyps = cache.get_map( string + '--hypernyms' ) - - else: - - # Get hypernyms - hyps = SQLookup.hypernyms_lookup(string) - - # Eliminate duplicates - #hyps = list(set(hyps)) - #hyps = [cui[0] for cui in hyps] - #hyps = hyps[0] - - # Store result in cache - cache.add_map( string + '--hypernyms' , hyps ) - - return hyps - diff --git a/clicon/features/umls/umls_cache.py b/clicon/features/umls/umls_cache.py deleted file mode 100644 index e84e253..0000000 --- a/clicon/features/umls/umls_cache.py +++ /dev/null @@ -1,23 +0,0 @@ -import cPickle as pickle -import os - -class UmlsCache: - def __init__(self): - try: - prefix = os.environ['CLICON_DIR'] - self.filename = os.path.join( prefix, 'umls_tables/umls_cache' ) - self.cache = pickle.load( open( self.filename , "rb" ) ) ; - except IOError: - self.cache = {} - - def has_key( self , string ): - return self.cache.has_key( string ) - - def add_map( self , string, mapping ): - self.cache[string] = mapping - - def get_map( self , string ): - return self.cache[string] - - def __del__(self): - pickle.dump( self.cache, open( self.filename, "wb" ) ) diff --git a/clicon/features/umls/umls_features.py b/clicon/features/umls/umls_features.py deleted file mode 100644 index 543e599..0000000 --- a/clicon/features/umls/umls_features.py +++ /dev/null @@ -1,233 +0,0 @@ -###################################################################### -# CliCon - umls_features.py # -# # -# Willie Boag wboag@cs.uml.edu # -# # -# Purpose: Independent UMLS module # -###################################################################### - - - -from sets import ImmutableSet -from umls_cache import UmlsCache -import umls - - - -class UMLSFeatures: - - - enabled_prose_features = ImmutableSet( [ 'umls_cui', 'umls_hypernyms' ] ) - - enabled_prose_features = ImmutableSet( [ 'umls_cui', 'umls_hypernyms', 'umls_semantic_type_word' ] ) - - - enabled_concept_features_for_word = ImmutableSet( [ 'umls_semantic_type_word', 'umls_cui' ] ) - enabled_concept_features_for_sentence = ImmutableSet( [ 'umls_semantic_type_sentence', 'umls_semantic_context' ] ) - - - - def __init__(self): - - """ - UMLSFeatures::Constructor - """ - - # cache for the mappings of all umls lookups made - self.umls_lookup_cache = UmlsCache() - - - - - def IOB_prose_features(self, word): - - """ - UMLSFeatures::IOB_prose_features() - - @ param word. word to lookup in UMLS database - @return dictionary of features - """ - - # Return value is a list of dictionaries (of features) - features = {} - - - for feature in self.enabled_prose_features: - - - # Feature: UMLS Semantic Types - if feature == "umls_cui": - - # Get UMLS CUIs (could have multiple) - cuis = umls.get_cui(self.umls_lookup_cache , word) - - # Add each CUI - if cuis: - for cui in cuis: - features[(feature,cui)] = 1 - - - # Feature: UMLS Hypernyms - if feature == "umls_hypernyms": - - # Get UMLS hypernyms - hyps = umls.umls_hypernyms(self.umls_lookup_cache,word) - - # Add all hypernyms - if hyps: - #for hyp in hyps: - features[(feature,hyps[0])] = 1 - - - return features - - - - def IOB_nonprose_features(self, word): - - """ - UMLSFeatures::IOB_nonprose_features() - - @ param word. word to lookup in UMLS database - @return dictionary of features - """ - - # Return value is a list of dictionaries (of features) - features = {} - - - for feature in self.enabled_nonprose_features: - - - # Feature: UMLS Semantic Types - if feature == "umls_cui": - - # Get UMLS CUIs (could have multiple) - cuis = umls.get_cui(self.umls_lookup_cache , word) - - # Add each CUI - if cuis: - for cui in cuis: - features[(feature,cui)] = 1 - - - # Feature: UMLS Hypernyms - if feature == "umls_hypernyms": - - # Get UMLS hypernyms - hyps = umls.umls_hypernyms(self.umls_lookup_cache,word) - - # Add all hypernyms - if hyps: - #for hyp in hyps: - features[(feature,hyps[0])] = 1 - - - # Feature: UMLS Semantic Type (for each word) - if feature == "umls_semantic_type_word": - - # Get UMLS semantic type (could have multiple) - mapping = umls.umls_semantic_type_word(self.umls_lookup_cache , word ) - # If is at least one semantic type - if mapping: - for concept in mapping: - features[('umls_semantic_type_word', concept )] = 1 - - - return features - - - - - def concept_features_for_word(self, word): - - """ - UMLSFeatures::concept_features_for_word() - - @ param word. word to lookup in UMLS database - @return dictionary of word-level features - """ - - - # Return value is a list of dictionaries (of features) - features = {} - - - for feature in self.enabled_concept_features_for_word: - - # Feature: UMLS Semantic Types - if feature == "umls_cui": - - # Get UMLS CUIs (could have multiple) - cuis = umls.get_cui(self.umls_lookup_cache , word) - - # Add each CUI - if cuis: - for cui in cuis: - features[(feature,cui)] = 1 - - - # Feature: UMLS Semantic Type (for each word) - if feature == "umls_semantic_type_word": - - # Get UMLS semantic type (could have multiple) - mapping = umls.umls_semantic_type_word(self.umls_lookup_cache , word ) - # If is at least one semantic type - if mapping: - for concept in mapping: - features[('umls_semantic_type_word', concept )] = 1 - - - return features - - - - def concept_features_for_sentence(self, sentence): - - """ - UMLSFeatures::concept_features_for_sentence() - - @ param sentence. list of words from line (after flattening chunks) - @return dictionary of chunk-level features - """ - - - # Return value is a list of dictionaries (of features) - features = {} - - - for feature in self.enabled_concept_features_for_sentence: - - - # Feature: UMLS semantic type for the sentence - if feature == "umls_semantic_type_sentence": - - # a list of the uml semantic of the largest substring(s). - sentence_mapping = umls.umls_semantic_type_sentence( self.umls_lookup_cache, sentence ) - - # if there are no mappings - if not sentence_mapping: - features[('umls_semantic_type_sentence', None ) ] = 1 - # assign the umls definitions to the vector for each word - else: - - for concept in sentence_mapping: - if concept: - for mapping in concept: - features[('umls_semantic_type_sentence' , mapping[0] ) ] = 1 - - - # Feature: UMLS semantic context - if feature == "umls_semantic_context": - - # the umls definition of the largest string the word is in - umls_semantic_context_mappings = umls.umls_semantic_context_of_words( self.umls_lookup_cache , sentence ) - - # there could be multiple contexts, iterate through the sublist - for mapping in umls_semantic_context_mappings: - if not mapping: continue - for concept in mapping: - features[(feature,concept)] = 1 - - - return features diff --git a/clicon/features/word_features.py b/clicon/features/word_features.py deleted file mode 100644 index 9c2c6a8..0000000 --- a/clicon/features/word_features.py +++ /dev/null @@ -1,373 +0,0 @@ -###################################################################### -# CliCon - word_features.py # -# # -# Willie Boag wboag@cs.uml.edu # -# # -# Purpose: Isolate all word-level features into a single file # -###################################################################### - - - - -__author__ = 'Willie Boag' -__date__ = 'Apr 27, 2014' - - - -import nltk -import re -from sets import ImmutableSet -from wordshape import getWordShapes - -# What modules are available -from read_config import enabled_modules - - -enabled = enabled_modules() -if enabled['UMLS']: - from umls.umls_features import UMLSFeatures - - -# MAJOR TODO - Further serialize UMLS features so that -# extracting features just needs to make one function call - -class WordFeatures: - - enabled_IOB_prose_word_features = ImmutableSet( ['Generic#', 'last_two_letters', 'word', 'length', 'mitre', 'stem_porter', 'word_shape', 'metric_unit', 'UMLS' ] ) - - enabled_IOB_nonprose_word_features = ImmutableSet( ['word', 'uncased_prev_word', 'word_shape', 'metric_unit', 'mitre', 'directive' ] ) - - enabled_concept_word_features = ImmutableSet( ['word', 'length', 'mitre', 'stem_porter', 'stem_lancaster', 'word_shape', 'UMLS'] ) - - - def __init__(self): - - # Only use UMLS feature module if it is available - if enabled['UMLS']: - self.feat_umls = UMLSFeatures() - - - - # IOB_prose_features_for_word() - # - # input: A single word - # output: A dictionary of features - def IOB_prose_features(self, sentence, ind): - - # Abbreviation for most features, - # although some will require index for context - word = sentence[ind] - - - # Feature: - features = {'dummy': 1} # always have >0 dimensions - - - # Allow for particular features to be enabled - for feature in self.enabled_IOB_prose_word_features: - - - # Feature: Generic# stemmed word - if feature == 'Generic#': - generic = re.sub('[0-9]','0',word) - features.update( { ('Generic#',generic) : 1 } ) - - # Feature: Last two leters of word - if feature == 'last_two_letters': - features.update( { ('last_two_letters',word[-2:]) : 1 } ) - - - # Feature: Previous word - if feature == 'prev_word': - if i == 0: - features.update( {('prev_word', '' ) : 1} ) - else: - features.update( {('prev_word', sentence[ind-1]) : 1} ) - - # Feature: UMLS Word Features (only use prose ones) - if (feature == "UMLS") and enabled['UMLS']: - umls_features = self.feat_umls.IOB_prose_features(word) - features.update( umls_features ) - - - # FIXME - adding pass two features to pass 1 (good? bad?) - if feature == "word": - features[(feature, word)] = 1 - - if feature == "length": - features[(feature, None)] = len(word) - - if feature == "mitre": - for f in self.mitre_features: - if re.search(self.mitre_features[f], word): - features[(feature, f)] = 1 - - if feature == "stem_porter": - st = nltk.stem.PorterStemmer() - features[(feature, st.stem(word))] = 1 - - if feature == "stem_lancaster": - st = nltk.stem.LancasterStemmer() - features[(feature, st.stem(word))] = 1 - - if feature == "word_shape": - wordShapes = getWordShapes(word) - for j, shape in enumerate(wordShapes): - features[(feature + str(j), shape)] = 1 - - - return features - - - - - - # IOB_nonprose_features_for_word() - # - # input: A single word - # output: A dictionary of features - def IOB_nonprose_features(self, sentence, ind): - - # Abbreviation for most features, - # although some will require index for context - word = sentence[ind] - - - # Feature: - features = {'dummy': 1} # always have >0 dimensions - - - # Allow for particular features to be enabled - for feature in self.enabled_IOB_nonprose_word_features: - - # Feature: The word, itself - if feature == 'word': - features.update( { ('word',word.lower()) : 1} ) - - # Feature: Uncased previous word - if feature == 'uncased_prev_word': - if ind == 0: - features.update( {('uncased_prev_word','' ) : 1} ) - else: - features.update( {('uncased_prev_word',sentence[ind-1].lower()) : 1} ) - - - # Feature: Metric Unit - if feature == "metric_unit": - tests = 3 - unit = 0 - if self.is_weight(word): - unit = 1 / tests - elif self.is_size(word): - unit = 2 / tests - elif self.is_volume(word): - unit = 3 / tests - features[(feature, unit)] = 1 - - - # Feature: Date - if feature == 'date': - if self.is_date(word): - features[feature] = 1 - - - # Feature: Directive - if feature == 'directive': - if self.is_directive(word): - features[feature] = 1 - - - # Feature: Mitre - if feature == "mitre": - for f in self.mitre_features: - if re.search(self.mitre_features[f], word): - features[(feature, f)] = 1 - - - # Feature: Word Shape - if feature == "word_shape": - wordShapes = getWordShapes(word) - for j, shape in enumerate(wordShapes): - features[('word_shape', shape)] = 1 - - - # Feature: UMLS Word Features (only use nonprose ones) - if (feature == "UMLS") and enabled['UMLS']: - umls_features = self.feat_umls.IOB_nonprose_features(word) - features.update( umls_features ) - - - return features - - - - def concept_features(self, word): - - """ - concept_features_for_word() - - @param word. A word to generate features for - @return A dictionary of features - - NOTE: Currently does not involve context (AKA prev). - In order to support context, you'd need to change arg from - 'word' -> 'chunk' and 'ind' - """ - - features = {} - - # Allow for particular features to be enabled - for feature in self.enabled_concept_word_features: - - # Feature: Word (each word) - if feature == "word": - features[ ("word",word) ] = 1 - - # Feature: Length (of each word) - if feature == "length": - features[ ("length",None) ] = len(word) - - # Feature: Mitre (of each word) - if feature == "mitre": - for f in self.mitre_features: - if re.search(self.mitre_features[f], word): - features[ ("mitre",f) ] = 1 - - # Feature: Porter Stem (of each word) - if feature == "stem_porter": - st = nltk.stem.PorterStemmer() - features[ ("stem_poter", st.stem(word)) ] = 1 - - # Feature: Lancaster Stem (of each word) - if feature == "stem_lancaster": - st = nltk.stem.LancasterStemmer() - features[ ("stem_lancaster", st.stem(word)) ] = 1 - - # Feature: Word Shape (of each word) - if feature == "word_shape": - wordShapes = getWordShapes(word) - for j, shape in enumerate(wordShapes): - features[ ("word_shape" + str(j), shape) ] = 1 - - # Features: UMLS Features - if (feature == "UMLS") and enabled['UMLS']: - umls_features = self.feat_umls.concept_features_for_word(word) - features.update(umls_features) - - - return features - - - - - - mitre_features = { - "INITCAP": r"^[A-Z].*$", - "ALLCAPS": r"^[A-Z]+$", - "CAPSMIX": r"^[A-Za-z]+$", - "HASDIGIT": r"^.*[0-9].*$", - "SINGLEDIGIT": r"^[0-9]$", - "DOUBLEDIGIT": r"^[0-9][0-9]$", - "FOURDIGITS": r"^[0-9][0-9][0-9][0-9]$", - "NATURALNUM": r"^[0-9]+$", - "REALNUM": r"^[0-9]+.[0-9]+$", - "ALPHANUM": r"^[0-9A-Za-z]+$", - "HASDASH": r"^.*-.*$", - "PUNCTUATION": r"^[^A-Za-z0-9]+$", - "PHONE1": r"^[0-9][0-9][0-9]-[0-9][0-9][0-9][0-9]$", - "PHONE2": r"^[0-9][0-9][0-9]-[0-9][0-9][0-9]-[0-9][0-9][0-9][0-9]$", - "FIVEDIGIT": r"^[0-9][0-9][0-9][0-9][0-9]", - "NOVOWELS": r"^[^AaEeIiOoUu]+$", - "HASDASHNUMALPHA": r"^.*[A-z].*-.*[0-9].*$ | *.[0-9].*-.*[0-9].*$", - "DATESEPERATOR": r"^[-/]$", - } - - def is_test_result(self, context): - # note: make spaces optional? - regex = r"^[A-Za-z]+( )*(-|--|:|was|of|\*|>|<|more than|less than)( )*[0-9]+(%)*" - if not re.search(regex, context): - return re.search(r"^[A-Za-z]+ was (positive|negative)", context) - return True - - # Try to get QANN features - def is_meaurement(self, word): - regex = r"^[0-9]*(unit(s)|cc|L|mL|dL)$" - return re.search(regex, word) - - def is_directive(self, word): - regex = r"^(q\..*|q..|PRM|bid|prm|p\..*)$" - return re.search(regex, word) - - def is_date(self, word): - regex = r'^(\d\d\d\d-\d\d-\d|\d\d?-\d\d?-\d\d\d\d?|\d\d\d\d-\d\d?-\d\d?)$' - return re.search(regex,word) - - def is_volume(self, word): - regex = r"^[0-9]*(ml|mL|dL)$" - return re.search(regex, word) - - def is_weight(self, word): - regex = r"^[0-9]*(mg|g|mcg|milligrams|grams)$" - return re.search(regex, word) - - def is_size(self, word): - regex = r"^[0-9]*(mm|cm|millimeters|centimeters)$" - return re.search(regex, word) - - def is_prognosis_location(self, word): - regex = r"^(c|C)[0-9]+(-(c|C)[0-9]+)*$" - return re.search(regex, word) - - def has_problem_form(self, word): - regex = r".*(ic|is)$" - return re.search(regex, word) - - # checks for a definitive classification at the word level - def get_def_class(self, word): - test_terms = { - "eval", "evaluation", "evaluations", - "sat", "sats", "saturation", - "exam", "exams", - "rate", "rates", - "test", "tests", - "xray", "xrays", - "screen", "screens", - "level", "levels", - "tox" - } - problem_terms = { - "swelling", - "wound", "wounds", - "symptom", "symptoms", - "shifts", "failure", - "insufficiency", "insufficiencies", - "mass", "masses", - "aneurysm", "aneurysms", - "ulcer", "ulcers", - "trama", "cancer", - "disease", "diseased", - "bacterial", "viral", - "syndrome", "syndromes", - "pain", "pains" - "burns", "burned", - "broken", "fractured" - } - treatment_terms = { - "therapy", - "replacement", - "anesthesia", - "supplement", "supplemental", - "vaccine", "vaccines" - "dose", "doses", - "shot", "shots", - "medication", "medicine", - "treament", "treatments" - } - if word.lower() in test_terms: - return 1 - elif word.lower() in problem_terms: - return 2 - elif word.lower() in treatment_terms: - return 3 - return 0 - diff --git a/clicon/features/wordshape.py b/clicon/features/wordshape.py deleted file mode 100644 index b536f49..0000000 --- a/clicon/features/wordshape.py +++ /dev/null @@ -1,422 +0,0 @@ -import re -from sets import Set - -BOUNDARY_SIZE = 2 - -NOWORDSHAPE = -1 -WORDSHAPEDAN1 = 0 -WORDSHAPECHRIS1 = 1 -WORDSHAPEDAN2 = 2 -WORDSHAPEDAN2USELC = 3 -WORDSHAPEDAN2BIO = 4 -WORDSHAPEDAN2BIOUSELC = 5 -WORDSHAPEJENNY1 = 6 -WORDSHAPEJENNY1USELC = 7 -WORDSHAPECHRIS2 = 8 -WORDSHAPECHRIS2USELC = 9 -WORDSHAPECHRIS3 = 10 -WORDSHAPECHRIS3USELC = 11 - -greek = ["alpha", "beta", "gamma", "delta", "epsilon", "zeta", "theta", "iota", "kappa", "lambda", "omicron", "rho", "sigma", "tau", "upsilon", "omega"] -biogreek = r"alpha|beta|gamma|delta|epsilon|zeta|theta|iota|kappa|lambda|omicron|rho|sigma|tau|upsilon|omega" - - -def lookupShaper(name): - if name is None: - return NOWORDSHAPE - elif name.lower() == "dan1": - return WORDSHAPEDAN1 - elif name.lower() == "chris1": - return WORDSHAPECHRIS1 - elif name.lower() == "dan2": - return WORDSHAPEDAN2 - elif name.lower() == "dan2useLC": - return WORDSHAPEDAN2USELC - elif name.lower() == "dan2bio": - return WORDSHAPEDAN2BIO - elif name.lower() == "dan2bioUseLC": - return WORDSHAPEDAN2BIOUSELC - elif name.lower() == "jenny1": - return WORDSHAPEJENNY1 - elif name.lower() == "jenny1useLC": - return WORDSHAPEJENNY1USELC - elif name.lower() == "chris2": - return WORDSHAPECHRIS2 - elif name.lower() == "chris2useLC": - return WORDSHAPECHRIS2USELC - elif name.lower() == "chris3": - return WORDSHAPECHRIS3 - elif name.lower() == "chris3useLC": - return WORDSHAPECHRIS3USELC - else: - return NOWORDSHAPE - - -def dontUseLC(shape): - return shape == WORDSHAPEDAN2 or shape == WORDSHAPEDAN2BIO or shape == WORDSHAPEJENNY1 or shape == WORDSHAPECHRIS2 or shape == WORDSHAPECHRIS3 - - -def wordShape(inStr, wordShaper): - return wordShape(inStr, wordShaper, None) - - -def wordShape(inStr, wordShaper, knownLCWords): - if knownLCWords is not None and dontUseLC(wordShaper): - knownLCWords = None - - if wordShaper == NOWORDSHAPE: - return inStr - elif wordShaper == WORDSHAPEDAN1: - return wordShapeDan1(inStr) - elif wordShaper == WORDSHAPECHRIS1: - return wordShapeChris1(inStr) - elif wordShaper == WORDSHAPEDAN2: - return wordShapeDan2(inStr, knownLCWords) - elif wordShaper == WORDSHAPEDAN2USELC: - return wordShapeDan2(inStr, knownLCWords) - elif wordShaper == WORDSHAPEDAN2BIO: - return wordShapeDan2Bio(inStr, knownLCWords) - elif wordShaper == WORDSHAPEDAN2BIOUSELC: - return wordShapeDan2Bio(inStr, knownLCWords) - elif wordShaper == WORDSHAPEJENNY1: - return wordShapeJenny1(inStr, knownLCWords) - elif wordShaper == WORDSHAPEJENNY1USELC: - return wordShapeJenny1(inStr, knownLCWords) - elif wordShaper == WORDSHAPECHRIS2: - return wordShapeChris2(inStr, False, knownLCWords) - elif wordShaper == WORDSHAPECHRIS2USELC: - return wordShapeChris2(inStr, False, knownLCWords) - elif wordShaper == WORDSHAPECHRIS3: - return wordShapeChris2(inStr, True, knownLCWords) - elif wordShaper == WORDSHAPECHRIS3USELC: - return wordShapeChris2(inStr, True, knownLCWords) - - -def wordShapeDan1(s): - digit = True - upper = True - lower = True - mixed = True - i = 0 - for c in s: - if not c.isdigit(): - digit = False - if not c.islower(): - lower = False - if not c.isupper(): - upper = False - if (i == 0 and not c.isupper()) or (i >= 1 and not c.islower()): - mixed = False - i += 1 - if (digit): - return "ALL-DIGITS" - if (upper): - return "ALL-UPPER" - if (lower): - return "ALL-LOWER" - if (mixed): - return "MIXED-CASE" - return "OTHER" - - -def wordShapeDan2(s, knownLCWords): - sb = "WT-" - lastM = '~' - nonLetters = False - length = len(s) - for c in s: - m = c - if c.isdigit(): - m = 'd' - if c.islower() or c == '_': - m = 'x' - if c.isupper(): - m = 'X' - if m != 'x' and m != 'X': - nonLetters = True - if m != lastM: - sb += m - lastM = m - - if length <= 3: - sb += ':' + str(length) - - if knownLCWords is not None: - if not nonLetters and knownLCWords.contains(s.lower()): - sb += 'k' - return sb - - -def wordShapeJenny1(s): - sb = "WT-" - lastM = '~' - nonLetters = False - length = len(s) - - for i in range (0, length): - c = s[i] - m = c - if c.isdigit(): - m = 'd' - if c.islower(): - m = 'x' - if c.isupper(): - m = 'X' - - for gr in greek: - if s.startswith(gr): - m = 'g' - i = i + len(gr) - 1 - break - - if m != 'x' and m != 'X': - nonLetters = True - - if m != lastM: - sb += m - - lastM = m - - if length <= 3: - sb += ':' + str(length) - - #if knownLCWords is not None: - # if not nonLetters and knownLCWords.contains(s.lower()): - # sb += 'k' - return sb - - -def wordShapeChris2(s, omitIfInBoundary, knownLCWords): - length = len(s) - if length <= BOUNDARY_SIZE * 2: - return wordShapeChris2Short(s, length, knownLCWords) - else: - return wordShapeChris2Long(s, omitIfInBoundary, length, knownLCWords) - - -def wordShapeChris2Short(s, length, knownLCWords): - sblength = length - sb = "" - - if knownLCWords is not None: - sblength = length + 1 - - nonLetters = False - - for i in range (0, length): - c = s[i] - m = c - if c.isdigit(): - m = 'd' - if c.islower(): - m = 'x' - if c.isupper() or c.istitle(): - m = 'X' - - for gr in greek: - if s.startswith(gr): - m = 'g' - i = i + len(gr) - 1 - break - - if m != 'x' and m != 'X': - nonLetters = True - - sb += m - - if knownLCWords is not None: - if not nonLetters and knownLCWords.contains(s.lower()): - sb += 'k' - return sb - - -def wordShapeChris2Long (s, omitIfInBoundary, length, knownLCWords): - beginChars = "" - endChars = "" - beginUpto = 0 - endUpto = 0 - seenSet = Set([]) - - nonLetters = False - for i in range (0, len(s)): - iIncr = 0 - c = s[i] - m = c - if c.isdigit(): - m = 'd' - elif c.islower(): - m = 'x' - elif c.isupper() or c.istitle(): - m = 'X' - - for gr in greek: - if s.startswith(gr): - m = 'g' - iIncr = len(gr) - 1 - break - if m != 'x' and m != 'X': - nonLetters = True - - if i < BOUNDARY_SIZE: - beginChars += m - beginUpto += 1 - elif i < length - BOUNDARY_SIZE: - seenSet.add(m) - else: - endChars += m - endUpto += 1 - i += iIncr - - sbSize = beginUpto + endUpto + len(seenSet) - - if knownLCWords is not None: - sbSize += 1 - - sb = "" - sb += beginChars - if omitIfInBoundary: - for ch in seenSet: - insert = True - for i in range (0, beginUpto): - if beginChars[i] == ch: - insert = False - break - - for i in range (0, endUpto): - if endChars[i] == ch: - insert = False - break - if (insert): - sb += ch - else: - for ch in seenSet: - sb += ch - sb += endChars - if knownLCWords is not None: - if not nonLetters and knownLCWords.contains(s.tolower()): - sb += 'k' - return sb - -#def wordShapeDan2Bio( s, knownLCWords): - # if containsGreekLetter(s): - # return wordShapeDan2(s, knownLCWords) + "-GREEK" - # else: - # return wordShapeDan2(s, knownLCWords) - - -def containsGreekLetter (s): - return re.search(biogreek, s) - - -def wordShapeChris1 (s): - length = len(s) - if length == 0: - return "SYMBOL" - - cardinal = False - number = True - seenDigit = False - seenNonDigit = False - - for i in range(0, length): - ch = s[i] - digit = ch.isdigit() - if digit: - seenDigit = True - else: - seenNonDigit = True - digit = digit or ch == '.' or ch == ',' or (i == 0 and (ch == '-' or ch == '+')) - if not digit: - number = False - - if not seenDigit: - number = False - elif not seenNonDigit: - cardinal = True - - if cardinal: - if (length < 4): - return "CARDINAL13" - elif (length == 4): - return "CARDINAL4" - else: - return "CARDINAL5PLUS" - elif number: - return "NUMBER" - - seenLower = False - seenUpper = False - allCaps = True - allLower = True - initCap = False - dash = False - period = False - - for i in range (0, length): - ch = s[i] - up = ch.isupper() - let = re.search(r"^[A-Za-z]+$", ch) - tit = ch.istitle() - if ch == '-': - dash = True - elif ch == '.': - period = True - - if (tit): - seenUpper = True - allLower = False - seenLower = True - allCaps = False - elif (up): - seenUpper = True - allLower = False - elif (let): - seenLower = True - allCaps = False - - if i == 0 and (up or tit): - initCap = True - - if length == 2 and initCap and period: - return "ACRONYM1" - elif seenUpper and allCaps and not seenDigit and period: - return "ACRONYM" - elif seenDigit and dash and not seenUpper and not seenLower: - return "DIGIT-DASH" - elif initCap and seenLower and seenDigit and dash: - return "CAPITALIZED-DIGIT-DASH" - elif initCap and seenLower and seenDigit: - return "CAPITALIZED-DIGIT" - elif initCap and seenLower & dash: - return "CAPITALIZED-DASH" - elif initCap and seenLower: - return "CAPITALIZED" - elif seenUpper and allCaps and seenDigit and dash: - return "ALLCAPS-DIGIT-DASH" - elif seenUpper and allCaps and seenDigit: - return "ALLCAPS-DIGIT" - elif seenUpper and allCaps and dash: - return "ALLCAPS" - elif seenUpper and allCaps: - return "ALLCAPS" - elif seenLower and allLower and seenDigit and dash: - return "LOWERif wordShaper ==-DIGIT-DASH" - elif seenLower and allLower and seenDigit: - return "LOWERif wordShaper ==-DIGIT" - elif seenLower and allLower and dash: - return "LOWERif wordShaper ==-DASH" - elif seenLower and allLower: - return "LOWERif wordShaper ==" - elif seenLower and seenDigit: - return "MIXEDif wordShaper ==-DIGIT" - elif seenLower: - return "MIXEDif wordShaper ==" - elif seenDigit: - return "SYMBOL-DIGIT" - else: - return "SYMBOL" - - -# gets Chris1, Dan1, Jenny1, Chris2 and Dan2 word shapes -def getWordShapes(word): - return [wordShapeChris1(word), wordShapeDan1(word), wordShapeJenny1(word), wordShapeChris2(word, False, None), wordShapeDan2(word, None)] From f3bb55c457e603aa6ddb6f68bddb18cde026e6f0 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Sat, 16 Aug 2014 12:14:52 -0400 Subject: [PATCH 205/393] Changed features/ to features_dir/ --- clicon/features/__init__.py | 0 clicon/features/features.py | 284 --------------- clicon/features/genia/__init__.py | 0 clicon/features/genia/genia_features.py | 106 ------ clicon/features/genia/interface_genia.py | 112 ------ clicon/features/sentence_features.py | 341 ------------------ clicon/features/umls/SQLookup.py | 71 ---- clicon/features/umls/__init__.py | 0 clicon/features/umls/create_sqliteDB.py | 112 ------ clicon/features/umls/umls.py | 232 ------------- clicon/features/umls/umls_cache.py | 23 -- clicon/features/umls/umls_features.py | 233 ------------- clicon/features/word_features.py | 373 -------------------- clicon/features/wordshape.py | 422 ----------------------- 14 files changed, 2309 deletions(-) delete mode 100644 clicon/features/__init__.py delete mode 100644 clicon/features/features.py delete mode 100644 clicon/features/genia/__init__.py delete mode 100644 clicon/features/genia/genia_features.py delete mode 100644 clicon/features/genia/interface_genia.py delete mode 100644 clicon/features/sentence_features.py delete mode 100644 clicon/features/umls/SQLookup.py delete mode 100644 clicon/features/umls/__init__.py delete mode 100644 clicon/features/umls/create_sqliteDB.py delete mode 100644 clicon/features/umls/umls.py delete mode 100644 clicon/features/umls/umls_cache.py delete mode 100644 clicon/features/umls/umls_features.py delete mode 100644 clicon/features/word_features.py delete mode 100644 clicon/features/wordshape.py diff --git a/clicon/features/__init__.py b/clicon/features/__init__.py deleted file mode 100644 index e69de29..0000000 diff --git a/clicon/features/features.py b/clicon/features/features.py deleted file mode 100644 index c6bd03d..0000000 --- a/clicon/features/features.py +++ /dev/null @@ -1,284 +0,0 @@ -###################################################################### -# CliCon - clicon_features.py # -# # -# Willie Boag wboag@cs.uml.edu # -# # -# Purpose: Isolate the model's features from model.py # -###################################################################### - - -__author__ = 'Willie Boag' -__date__ = 'Jan. 27, 2014' - - - -import nltk -import re -from wordshape import getWordShapes - -from sentence_features import SentenceFeatures - - - -class FeatureWrapper: - - # FIXME - Make three objects - one for each classifier - - - # Instantiate an FeatureWrapper object - def __init__(self, data=None): - - # Sentence-level features - self.feat_sent = SentenceFeatures(data) - - - - # IOB_features() - # - # input: A sentence - # output: A hash table of features - def IOB_features(self, sentence): - - # Different features depending on whether sentence is 'prose' - isProse = self.prose_sentence(sentence) - - if isProse: - features_list = self.feat_sent.IOB_prose_features(sentence) - else: - features_list = self.feat_sent.IOB_nonprose_features(sentence) - - - # Sanity Check (many unique features for each data point) - #features_list = [] - #for i in range(len(sentence)): - # features = {} - # for j in range(30): - # features[(''.join(sentence),i,j)] = 1 - # features_list.append(features) - - - # Return features as well as indication of whether it is prose or not - return (isProse, features_list) - - - - # concept_features() - # - # input: A sentence/line from a medical text file (list of chunks) - # An list of indices into the sentence for each important chunk - # output: A list of hash tables of features - def concept_features(self, sentence, chunk_inds): - - # FIXME - move all of this work to SentenceFeatures object - - features_list = [ {} for _ in chunk_inds ] - - - ''' - # VERY basic feature set for sanity check tests during development - for i,ind in enumerate(chunk_inds): - features = {('phrase',sentence[ind]) : 1} - features_list[i] = features - return features_list - ''' - - - tags = [] - - for i,ind in enumerate(chunk_inds): - - - features_list[i][(' '.join(sentence),ind)] = 1 - - continue - - - # Create a list of feature sets (one per chunk) - features = self.feat_sent.concept_features_for_chunk(sentence,ind) - - - # Feature: Previous 3 POSs - if 'prev_3_pos' in self.feat_sent.enabled_concept_features: - tags = tags = nltk.pos_tag(sentence) - - # Previous 3 POSs - begin = ind-3 if ind-3>0 else 0 - for tag in tags[begin:ind]: - pos = tag[1] - features[('prev_3_pos',pos)] = 1 - - - # Feature: Previous Chunks's Features - if "prev" in self.feat_sent.enabled_concept_features: - if ind == 0: - features[("prev", "*")] = 1 - else: - # Get features of previous chunks - prev_features = self.feat_sent.concept_features_for_chunk(sentence,ind-1) - prepend = lambda f: {("prev_"+k[0],k[1]):v for k, v in f.items()} - features.update( prepend(prev_features) ) - - - # Feature: Next Chunk's Features - if "next" in self.feat_sent.enabled_concept_features: - if ind == len(sentence) - 1: - features[("next", "*")] = 1 - else: - # Get features of previous chunks - next_features = self.feat_sent.concept_features_for_chunk(sentence,ind+1) - prepend = lambda f: {("next_"+k[0],k[1]):v for k, v in f.items()} - features.update( prepend(next_features) ) - - features_list[i] = features - - - return features_list - - - - # prose_sentence() - # - # input: A sentence - # output: Boolean yes/no - def prose_sentence(self, sentence): - - # Empty sentence is not prose - if not sentence: - return False - - if sentence[-1] == '.' or sentence[-1] == '?': - return True - elif sentence[-1] == ':': - return False - elif len(sentence) <= 5: - return False - elif self.at_least_half_nonprose(sentence): - return True - else: - return False - - - # at_least_half_nonprose() - # - # input: A sentence - # output: A bollean yes/no - def at_least_half_nonprose(self, sentence): - - count = 0 - - for word in sentence: - if self.prose_word(word): - count += 1 - - if count >= len(sentence): - return True - else: - return False - - - # prose_word() - # - # input: A word - # output: Boolean yes/no - def prose_word(self, word): - - # Punctuation - for punc in ".?,!:\"'": - if re.search(punc, word): - return False - - # Digit - if re.match('\d', word): - return False - - # All uppercase - if word == word.upper(): - return False - - # Else - return True - - - - -# generate_chunks() -# -# input: Three arguments: -# 1) A list of list of word (the data of the file) -# 2) A list of list of IOB tags (one-to-one with list from arg 1) -# 3) A list of list of concepts (one-to-one with list from arg 1) -# -# -# output: A 3-tuple of: -# 1) A list of list of chunks (word token phrases) -# 2) A list of list of concepts (one-to-one with list from ret 1) -# 3) A list of all indices into 1 of all non-'none' concepts -def generate_chunks(data, IOB_tags, labels=None): - - # List of list of tokens (similar to 'text', but concepts are grouped) - text_chunks = [] - - # one-to-one concept classification with text_chunks - if labels: - concept_chunks = [] - else: - concept_chunks = None - - # List of (line,token) pairs for classifications that are nont 'none' - hits = [] - - # Create tokens of full concept boundaries for second classifier - for i, concept_line in enumerate(IOB_tags): - - # One line of 'chunked' - line_of_text_chunks = [] - if labels: line_of_concept_chunks = [] - - # stores the current streak - queue = [] - - # Necessary when multiple concepts are on one line - # The second concept's j index is relative to a word-split array - # The j of the new token should be relative to how chunks there are - chunk_offset = 0 - - # C-style array indexing. Probably could be done a better way. - # Used because I needed the ability of lookahead - for j in range(len(concept_line)): - - # Outside - # concept_line in "012" instead of "IOB" - if concept_line[j] == 'O': - line_of_text_chunks.append(data[i][j]) - if labels: line_of_concept_chunks.append('none') - - # Beginning of a concept boundary - else: - - # Increase size of current streak - queue.append(data[i][j]) - - # lookahead (check if streak will continue) - if (j+1 == len(concept_line))or \ - (concept_line[j+1] != 'I'): # end of classifiation - - # Add full concept token - line_of_text_chunks.append(' '.join(queue)) - if labels: line_of_concept_chunks.append(labels[i][j]) - - # Store indices of detected concept - hits.append( ( i, j + 1-len(queue) - chunk_offset ) ) - - # Reminder: used in the case that a concept follows a - # multi-word concept on the same line - chunk_offset += len(queue) - 1 - - # Reset streak - queue = [] - - text_chunks.append(line_of_text_chunks) - if labels: concept_chunks.append(line_of_concept_chunks) - - - return (text_chunks, concept_chunks, hits) - diff --git a/clicon/features/genia/__init__.py b/clicon/features/genia/__init__.py deleted file mode 100644 index e69de29..0000000 diff --git a/clicon/features/genia/genia_features.py b/clicon/features/genia/genia_features.py deleted file mode 100644 index ca1ead3..0000000 --- a/clicon/features/genia/genia_features.py +++ /dev/null @@ -1,106 +0,0 @@ -###################################################################### -# CliCon - genia_features.py # -# # -# Willie Boag wboag@cs.uml.edu # -# # -# Purpose: Independent GENIA module # -###################################################################### - - - -import interface_genia - - - -class GeniaFeatures: - - - def __init__(self, tagger, data): - - """ - Constructor. - - @param data. A list of lists of words (basically a list of sentences) - """ - - # Process all words with GENIA tagger - self.GENIA_features = interface_genia.genia(tagger, data) - - # For iterating through tagged data - self.GENIA_counter = 0 - - - def next_GENIA_line(self): - - """ - next_GENIA_line() - - Purpose: All data was tagged upfront. This allows iteration through data - """ - - # End of list - reset counter & return None - if self.GENIA_counter == len(self.GENIA_features): - self.GENIA_counter = 0 - return None - - # Advance to next line - self.GENIA_counter += 1 - - return self.GENIA_features[self.GENIA_counter-1] - - - - def features(self, sentence, is_prose=True): - - """ - features(). - - @param sentence. A list of words to bind features to - @param is_prose. Mechanism for skipping nonprose (for alignment) - @return list of dictionaries (of features) - - Note: All data is tagged upon instantiation of GeniaFeatures object. - This function MUST take each line of the file (in order) as input - """ - - # Return value is a list of dictionaries (of features) - features_list = [ {} for _ in sentence ] - - # Get the GENIA features of the current sentence - genia_feats = self.next_GENIA_line() - if not genia_feats: genia_feats = self.next_GENIA_line() - - - # FIXME - # Mechanism to allow for skipping nonprose - # Potential alternative: Let GeniaFeatures boject decide on all nonprose - if not is_prose: return {} - - - for i in range(len(sentence)): - - # Feature: Current word's GENIA features - keys = ['GENIA-stem','GENIA-POS','GENIA-chunktag'] - curr = genia_feats[i] - output = dict( (('curr-'+k, curr[k]), 1) for k in keys if k in curr) - - # Feature: Previous word's GENIA features - if i == 0: - output = dict( (('prev-'+k, ''), 1) for k in keys if k in curr) - else: - prev = genia_feats[i] - output = dict( (('prev-'+k, prev[k]), 1) for k in keys if k in prev) - - # Feature: Next word's GENIA stem - # Note: This is done by updating the previous token's dict - if i == 0: - continue - if i != (len(sentence) - 1): - features_list[i-1].update( {('next-GENIA-stem',curr['GENIA-stem']) : 1} ) - else: - features_list[i].update( { ('next-GENIA-stem','') : 1} ) - - features_list[i].update(output) - - - return features_list diff --git a/clicon/features/genia/interface_genia.py b/clicon/features/genia/interface_genia.py deleted file mode 100644 index 8eaee66..0000000 --- a/clicon/features/genia/interface_genia.py +++ /dev/null @@ -1,112 +0,0 @@ -###################################################################### -# CliCon - clicon_genia_interface.py # -# # -# Willie Boag wboag@cs.uml.edu # -# # -# Purpose: Provide a way for Python to utilize the output of the # -# GENIA Tagger # -# # -# Genia Tagger: http://www.nactem.ac.uk/tsujii/GENIA/tagger/ # -###################################################################### - - - -__author__ = 'Willie Boag' -__date__ = 'Jan. 27, 2014' - -import os -import sys -from commands import getstatusoutput - - -def main(): - - f = open('/home/wboag/ConceptExtraction-master/data/concept_assertion_relation_training_data/beth/txt/record-20.txt', 'r') - - txt = f.readlines() - - data = [] - for line in txt: - data.append(line.split()) - - tagger = '/home/wboag/geniatagger-3.0.1/geniatagger' - for (line,linedict) in zip(txt,genia(tagger,data)): - print line.split(), '\n' - for d in linedict: - print d - print '---\n\n' - - - -# -# genia() -# -# Call the genia tagger and return its output in python format -# -def genia(geniatagger, data): - - ''' - @param geniatagger. A path to the executable geniatagger - @param data. A list of list of strings (lines of words from a file) - @return A list of dcitionaries of the genia tagger's output. - ''' - - # write list to file and then feed it to GENIA - genia_dir = os.path.dirname(geniatagger) - tmp_out = os.path.join(genia_dir,'/tmp/clicon_genia_tmp_file.txt') - with open(tmp_out, 'w') as f: - for line in data: f.write(' '.join(line) + '\n') - - - # Run genia tagger - print '\t\tRunning GENIA tagger' - genia_dir = os.path.dirname(geniatagger) - stream = getstatusoutput('cd %s ; ./geniatagger -nt %s' % (genia_dir,tmp_out)) - - - # Process each line of output - # NOTE: Skips the first four lines of genia tagger output ("loading...") - retlist = [] - i = 0 - j = 0 - fline = [] - old = [] - for line in stream[1].split('\n')[4:]: - - line = line.split() - - # Empty line - if line == []: continue - - # One dictionary per word in the file - output = {'GENIA-word' :line[0], - 'GENIA-stem' :line[1], - 'GENIA-POS' :line[2], - 'GENIA-chunktag':line[3], - 'GENIA-NEtag' :line[4]} - - - # Add token to list - fline.append(output) - j += 1 - if j == len(data[i]): - #print data[i] - #print fline - #print '---' - i += 1 - j = 0 - retlist.append(fline) - fline = [] - - - # Remove temp file - os.remove(tmp_out) - - - return retlist - - - - -if __name__ == '__main__': - main() diff --git a/clicon/features/sentence_features.py b/clicon/features/sentence_features.py deleted file mode 100644 index 8c24617..0000000 --- a/clicon/features/sentence_features.py +++ /dev/null @@ -1,341 +0,0 @@ -###################################################################### -# CliCon - sentence_features.py # -# # -# Willie Boag wboag@cs.uml.edu # -# # -# Purpose: Isolate the model's sentence-level features # -###################################################################### - - -__author__ = 'Willie Boag' -__date__ = 'Apr. 27, 2014' - - - -import nltk -import re -from sets import ImmutableSet -from wordshape import getWordShapes - - - -# What modules are available -from read_config import enabled_modules - - - - -# Import feature modules -enabled = enabled_modules() -if enabled['GENIA']: - from genia.genia_features import GeniaFeatures - -if enabled['UMLS']: - from umls.umls_features import UMLSFeatures - -from word_features import WordFeatures - - - - -class SentenceFeatures: - - - # Feature Enabling - enabled_IOB_prose_sentence_features = ImmutableSet( [ 'pos', 'stem_wordnet', 'GENIA', 'prev', 'next', 'prev_3_pos'] ) - - enabled_IOB_nonprose_sentence_features = ImmutableSet( ['prev_pos', 'pos', 'next_pos', 'test_result', 'prev', 'next','prev_3_pos']) - - enabled_concept_features = ImmutableSet( ['pos','prev_3_pos', 'stem_wordnet', 'test_result', 'word_shape','prev','next', "UMLS"]) - - - - # Instantiate an Sentence object - def __init__(self, data): - - # Word-level features module - self.feat_word = WordFeatures() - - # Only run GENIA tagger if module is available - if data and enabled['GENIA']: - tagger = enabled['GENIA'] - self.feat_genia = GeniaFeatures(tagger,data) - - # Only create UMLS cache if module is available - if enabled['UMLS']: - self.feat_umls = UMLSFeatures() - - - - - - # IOB_prose_features() - # - # input: A sentence - # output: A list of hash tables of features - def IOB_prose_features(self, sentence): - - features_list = [] - flag = 0 - - # Get a feature set for each word in the sentence - for i,word in enumerate(sentence): - features_list.append( self.feat_word.IOB_prose_features(sentence,i) ) - - - # Only POS tag once - pos_tagged = nltk.pos_tag(sentence) - - # Used for 'prev' and 'next' features - ngram_features = [{} for i in range(len(features_list))] - - - # Allow for particular features to be enabled - for feature in self.enabled_IOB_prose_sentence_features: - - # Feature: Part of Speech - if feature == 'pos': - for (i,(_,pos)) in enumerate(pos_tagged): - features_list[i].update( { ('pos',pos) : 1} ) - - - # Feature: Previous 3 POSs - if feature == 'prev_3_pos': - for i in range(len(sentence)): - - # Where to begin - if i-3 < 0: - begin = 0 - else: - begin = i-3 - - # Go as far back as 3 tokens - pos_features = {} - for p in pos_tagged[begin:i]: - pos = p[1] - pos_features.update( {('prev_3_pos',pos) : 1} ) - - # Update feature dict - features_list[i].update(pos_features) - - - # GENIA features - if enabled['GENIA'] and (feature == 'GENIA'): - - genia_feat_list = self.feat_genia.features(sentence) - - #print '\n\n' - #print genia_feat_list - #print '\n\n' - - for i,feat_dict in enumerate(genia_feat_list): - features_list[i].update(feat_dict) - - - ngram_features = [{} for i in range(len(features_list))] - if "prev" in self.enabled_IOB_prose_sentence_features: - prev = lambda f: {("prev_"+k[0], k[1]): v for k,v in f.items()} - prev_list = map(prev, features_list) - for i in range(len(features_list)): - if i == 0: - ngram_features[i][("prev", "*")] = 1 - else: - ngram_features[i].update(prev_list[i-1]) - - if "next" in self.enabled_IOB_prose_sentence_features: - next = lambda f: {("next_"+k[0], k[1]): v for k,v in f.items()} - next_list = map(next, features_list) - for i in range(len(features_list)): - if i == len(features_list) - 1: - ngram_features[i][("next", "*")] = 1 - else: - ngram_features[i].update(next_list[i+1]) - - merged = lambda d1, d2: dict(d1.items() + d2.items()) - features_list = [merged(features_list[i], ngram_features[i]) - for i in range(len(features_list))] - - return features_list - - - - # IOB_nonprose_features() - # - # input: A sentence - # output: A hash table of features - def IOB_nonprose_features(self, sentence): - - # Get the GENIA features of the current sentence - # (not used for nonprose, but it keeps things aligned for the prose) - # FIXME - Making seperate classes will fix this - if enabled['GENIA'] and 'GENIA' in self.enabled_IOB_prose_sentence_features: - _ = self.feat_genia.features(sentence, False) - - - # If sentence is empty - #if not sentence: return {} - - features_list = [] - - # Get a feature set for each word in the sentence - for i,word in enumerate(sentence): - features_list.append( self.feat_word.IOB_nonprose_features(sentence,i) ) - - pos_tagged = nltk.pos_tag(sentence) - - - # Allow for particular features to be enabled - for feature in self.enabled_IOB_nonprose_sentence_features: - - # Feature: Previous POS - if feature == 'prev_pos': - for i in range(len(sentence)): - if i == 0: - features_list[0].update({('prev_POS','') :1}) - else: - features_list[i].update({('prev_POS',pos_tagged[i-1]):1}) - - - # Feature: Part of Speech - if feature == 'pos': - for (i,(_,pos)) in enumerate(pos_tagged): - features_list[i].update( { ('pos',pos) : 1} ) - - - # Feature: Previous POS - if feature == 'next_pos': - for i in range(len(sentence)): - if i == len(sentence)-1: - features_list[-1].update({('prev_POS','') :1}) - else: - features_list[i].update({('prev_POS',pos_tagged[i-1]):1}) - - - # Feature: Test Result (for each chunk) - if feature == "test_result": - for index, features in enumerate(features_list): - right = " ".join([w for w in sentence[index:]]) - if self.feat_word.is_test_result(right): - features[(feature, None)] = 1 - - - # Feature: Previous 3 POSs - if feature == 'prev_3_pos': - for i in range(len(sentence)): - - # Where to begin - if i-3 < 0: - begin = 0 - else: - begin = i-3 - - # Go as far back as 3 tokens - pos_features = {} - for p in pos_tagged[begin:i]: - pos = p[1] - pos_features.update( {('prev_3_pos',pos) : 1} ) - - # Update feature dict - features_list[i].update(pos_features) - - - ngram_features = [{} for i in range(len(features_list))] - if "prev" in self.enabled_IOB_nonprose_sentence_features: - prev = lambda f: {("prev_"+k[0], k[1]): v for k,v in f.items()} - prev_list = map(prev, features_list) - for i in range(len(features_list)): - if i == 0: - ngram_features[i][("prev", "*")] = 1 - else: - ngram_features[i].update(prev_list[i-1]) - - if "next" in self.enabled_IOB_nonprose_sentence_features: - next = lambda f: {("next_"+k[0], k[1]): v for k,v in f.items()} - next_list = map(next, features_list) - for i in range(len(features_list)): - if i == len(features_list) - 1: - ngram_features[i][("next", "*")] = 1 - else: - ngram_features[i].update(next_list[i+1]) - - merged = lambda d1, d2: dict(d1.items() + d2.items()) - features_list = [merged(features_list[i], ngram_features[i]) - for i in range(len(features_list))] - - return features_list - - - - # concept_features_for_chunk() - # - # input: A sentence/line from a medical text file (list of chunks) - # An index into the sentence to indentify the given chunk - # output: A hash table of features - def concept_features_for_chunk(self, sentence, ind): - - features = {} - - # Feature: - features = {'dummy': 1} # always have >0 dimensions - - # Split the chunked sentence into a list of words for (POS tagger) - split_sentence = [] - split_ind = 0 - for chun in sentence: - for word in chun.split(): - split_sentence.append(word) - split_ind += len(chun.split()) - - tags = None - - - # Word-level features for each word of the chunk - for i,w in enumerate(sentence[ind].split()): - word_features = self.feat_word.concept_features(w) - - # Map suffix to each feature - append1 = lambda k,v: ((k[0] + "-" + str(i), k[1]), v) - appended_feats = { append1(k,v) for k,v in word_features.items() } - - features.update( appended_feats) - - - # Allow for particular features to be enabled - for feature in self.enabled_concept_features: - - # Features: UMLS features - if (feature == "UMLS") and enabled['UMLS']: - umls_features = self.feat_umls.concept_features_for_sentence(split_sentence) - features.update(umls_features) - - - # Feature: Part of Speech (of each word) - if feature == "pos": - tags = tags or nltk.pos_tag(split_sentence) - for j,pos_tag in enumerate(tags[ind:ind+len(sentence[ind].split())]): - featname = 'pos' - features[(featname, pos_tag[1])] = 1 - - # Feature: Wordnet Stem (for each chunk) - if feature == "stem_wordnet": - tags = tags or nltk.pos_tag(sentence) - morphy_tags = { - 'NN': nltk.corpus.reader.wordnet.NOUN, - 'JJ': nltk.corpus.reader.wordnet.ADJ, - 'VB': nltk.corpus.reader.wordnet.VERB, - 'RB': nltk.corpus.reader.wordnet.ADV} - morphy_tags = [(w, morphy_tags.setdefault(t[:2], nltk.corpus.reader.wordnet.NOUN)) for w, t in tags] - st = nltk.stem.WordNetLemmatizer() - tag = morphy_tags[ind] - features[(feature, st.lemmatize(*tag))] = 1 - - # Feature: Test Result (for each chunk) - if feature == "test_result": - right = " ".join([w for w in sentence[ind:]]) - if self.feat_word.is_test_result(right): - features[(feature, None)] = 1 - - - return features - - diff --git a/clicon/features/umls/SQLookup.py b/clicon/features/umls/SQLookup.py deleted file mode 100644 index 1cedac9..0000000 --- a/clicon/features/umls/SQLookup.py +++ /dev/null @@ -1,71 +0,0 @@ -import copy -import sqlite3 -import create_sqliteDB -import os - -WINDOW_SIZE = 7 - -#connect to UMLS database -def SQLConnect(): - - #try to connect to the sqlite database. Make one otherwise - db_path = os.path.join( os.environ['CLICON_DIR'], "umls_tables/umls.db") - if( os.path.isfile( db_path ) ): - print "\ndb exists" - else: - print "\ndb doesn't exist" - create_sqliteDB.create_db() - - db = sqlite3.connect( db_path ) - return db.cursor() - - -#used in SQlookup, I made this global so SQLConnect is only called once. -c = SQLConnect() - -#searchs umls database for the semantic type of a string -def SQlookup( c , string ): - - #queries database and finds first semantic type match, returns a 1 when a match is found. - c.execute( "SELECT sty FROM MRCON a, MRSTY b WHERE a.cui = b.cui AND str = ?; " , (string,) ) - - #returns a tuple with the match or None if there was no match. - #return c.fetchone() - return c.fetchall() - -#returns the semantic type of a word -def string_lookup( string ): - - #return SQlookup( c , string ) - r = SQlookup( c , string ) - - return r - - -# get all semantic types for a given concept -def cui_lookup( string ): - - # queries database and finds semantic type match - c.execute( "SELECT cui FROM MRCON WHERE str = ?;" , (string,) ) - - #returns a tuple with the match or None if there was no match. - return c.fetchall() - - -def hypernyms_lookup( string ): - - c.execute( "SELECT CUI FROM MRCON WHERE STR = ? LIMIT 1 ;" , (string,) ) - - cui = c.fetchone() - - if cui == None: - return None - else: - c.execute( "SELECT CUI2 FROM MRREL WHERE CUI1 = ? AND REL = 'PAR' LIMIT 5 ;" , (cui[0],) ) - result = c.fetchone() - if not result: - return None - else: - return result - - diff --git a/clicon/features/umls/__init__.py b/clicon/features/umls/__init__.py deleted file mode 100644 index e69de29..0000000 diff --git a/clicon/features/umls/create_sqliteDB.py b/clicon/features/umls/create_sqliteDB.py deleted file mode 100644 index 014b91c..0000000 --- a/clicon/features/umls/create_sqliteDB.py +++ /dev/null @@ -1,112 +0,0 @@ -#database.py creates a .db file for performing umls searches. -import sqlite3 -import os -import sys -import os - -def create_db(): - - print "\ncreating umls.db" - #connect to the .db file we are creating. - db_path = os.path.join(os.environ['CLICON_DIR'],'umls_tables/umls.db') - conn = sqlite3.connect( db_path ) - conn.text_factory = str - - print "opening files" - #load data in files. - try: - mrsty_path = os.path.join(os.environ['CLICON_DIR'],'umls_tables/MRSTY') - MRSTY_TABLE = open( mrsty_path, "r" ) - except IOError: - print "\nNo file to use for creating MRSTY table\n" - conn.close() - sys.exit() - - try: - mrcon_path = os.path.join(os.environ['CLICON_DIR'],'umls_tables/MRCON') - MRCON_TABLE = open( mrcon_path , "r" ) - except IOError: - print "\nNo file to use for creating MRCON table\n" - conn.close() - sys.exit() - - try: - mrrel_path = os.path.join(os.environ['CLICON_DIR'],'umls_tables/MRREL') - MRREL_TABLE = open( mrrel_path , "r" ) - except IOError: - print "\nNo file to use for creating MRREL table\n" - conn.close() - sys.exit() - - print "reading files" - - MRSTY_TABLE = MRSTY_TABLE.read() - MRSTY_TABLE = MRSTY_TABLE.split('\n') - - MRCON_TABLE = MRCON_TABLE.read() - MRCON_TABLE = MRCON_TABLE.split( '\n' ) - - MRREL_TABLE = MRREL_TABLE.read() - MRREL_TABLE = MRREL_TABLE.split( '\n' ) - - #data that will be inserted into tables. - MRTSY_DATA = [] - MRCON_DATA = [] - MRREL_DATA = [] - - c = conn.cursor() - - print "parsing files" - - #parse and store the data from the files. - for line in MRSTY_TABLE: - MRTSY_DATA.append( tuple(line.split('|')) ) - for line in MRCON_TABLE: - MRCON_DATA.append( tuple(line.split('|')) ) - for line in MRREL_TABLE: - MRREL_DATA.append( tuple(line.split('|')) ) - - print "creating tables" - - #create tables. - c.execute( "CREATE TABLE MRCON( CUI, LAT, TS, LUI, STT, SUI, STR, LRL, EMPTY ) ;" ) - c.execute( "CREATE TABLE MRSTY( CUI, TUI, STY, EMPTY ) ;" ) - c.execute( "CREATE TABLE MRREL( CUI1, REL, CUI2, RELA, SAB, SL, MG, EMPTY ) ;" ) - - print "inserting data" - - #insert data onto database - for line in MRCON_DATA: - try: - c.execute( "INSERT INTO MRCON( CUI, LAT, TS, LUI, STT, SUI, STR, LRL, EMPTY ) values ( ?, ?, ? ,?, ?,?,?,?,?);", line ) - except sqlite3.ProgrammingError: - continue - for line in MRTSY_DATA: - try: - c.execute( "INSERT INTO MRSTY( CUI, TUI, STY, EMPTY) values( ?, ?, ?, ?)" , line ) - except sqlite3.ProgrammingError: - continue - for line in MRREL_DATA: - try: - c.execute( "INSERT INTO MRREL( CUI1, REL, CUI2, RELA, SAB, SL, MG, EMPTY ) values( ?, ?, ?, ?,?, ? ,? ,? )" , line ) - except sqlite3.ProgrammingError: - continue - - print "creating indices" - - #create indices for faster queries - c.execute( "CREATE INDEX mrsty_cui_map ON MRSTY(CUI)") - c.execute( "CREATE INDEX mrcon_str_map ON MRCON(STR)") - c.execute( "CREATE INDEX mrcon_cui_map ON MRCON(CUI)") - c.execute( "CREATE INDEX mrrel_cui2_map ON MRREL( CUI2 )" ) - c.execute( "CREATE INDEX mrrel_cui1_map on MRREL( CUI1 ) " ) - c.execute( "CREATE INDEX mrrel_rel_map on MRREL( REL )" ) - - #save changes to .db - conn.commit() - - print "\nsqlite database created" - - #close connection - conn.close() - diff --git a/clicon/features/umls/umls.py b/clicon/features/umls/umls.py deleted file mode 100644 index 3dec068..0000000 --- a/clicon/features/umls/umls.py +++ /dev/null @@ -1,232 +0,0 @@ -import cPickle as pickle -import SQLookup - -def umls_semantic_type_word( umls_string_cache , sentence ): - - #If the umls semantic type is in the cache use that semantic type otherwise lookup the semantic type and add to the cache. - if umls_string_cache.has_key( sentence ): - mapping = umls_string_cache.get_map( sentence ) - else: - concept = SQLookup.string_lookup( sentence ) - #print sentence, ' - NOT FOUND' - #print '\t', concept - if concept != None: - #umls_string_cache.add_map( sentence , concept[0] ) - umls_string_cache.add_map( sentence , concept ) - else: - umls_string_cache.add_map( sentence , None ) - mapping = umls_string_cache.get_map(sentence) - - #print 'umls_semantic_type_word - returning:' - #print mapping - #print '' - - return mapping - - -def umls_semantic_context_of_words( umls_string_cache, sentence ): - - #Defines the largest string span for the sentence. - WINDOW_SIZE = 7 - - #Holds the span of the umls concept of the largest substring that each word in sentence is found in. - umls_context_list = [] - - #Holds the span of the concept for each substring. - #A tuple containing tne beginning and end index of a substring functions as the key and the key is assigned to a umls definition. - concept_span_dict = {} - - #Initialize the umls_context_list with empty lists. Each sublist functions as the mappings for each word. - for i in sentence: - umls_context_list.append( [] ) - - #Creates and finds the span of a umls concept for each possible substring of length 1 to currentWindowSize. - for currentWindowSize in range( 1 , WINDOW_SIZE ): - for ti in range( 0 , ( len(sentence) - currentWindowSize ) + 1 ): - rawstring = "" - for tj in range( ti , ti + currentWindowSize): - rawstring += ( sentence[tj] + " " ) - - #Each string is of length 1 to currentWindowSize. - rawstring = rawstring[0:-1] - - #If the string is not in cache, look the umls concept up and add to the cache. - if not( umls_string_cache.has_key( rawstring ) ): - #SQLookup returns a tuple if there is a result or None is there is not. - concept = SQLookup.string_lookup( rawstring ) - -# print concept - - if not concept: - umls_string_cache.add_map( rawstring, None ) - else: - umls_string_cache.add_map( rawstring, concept ) ; - -# if concept != None: - # umls_string_cache.add_map( rawstring , concept[0] ) - # else: - # umls_string_cache.add_map( rawstring , None ) - - #Store the concept into concept_span_dict with its span as a key. - concept_span_dict[(ti,ti+currentWindowSize-1)] = umls_string_cache.get_map( rawstring ) - - #For each substring of the sentence if there is a definition obtained from - #SQLookup assign the concept to every word that is within in the substring. - #If the currrent span is a substring update otherwise if it is not a substring add the new found context. - if umls_string_cache.get_map(rawstring): - - for i in range( ti , ti + currentWindowSize ): - - if len( umls_context_list[i] ) == 0: - umls_context_list[i].append( [ ti , ti + currentWindowSize - 1 ] ) - - else: - updated = 0 - for j in umls_context_list[i]: - if j[0] >= ti and j[1] <= ( ti + currentWindowSize - 1 ): - j[0] = ti - j[1] = ( ti + currentWindowSize - 1 ) - updated += 1 - if not(updated): - if umls_context_list[i].count( [ti,ti+currentWindowSize -1] ) == 0 : - umls_context_list[i].append( [ ti , ti +currentWindowSize - 1 ] ) - - - #print '\t\t', umls_context_list - - #create a list of sublists - # each sublist represents the contexts for which the word appears in the sentence - - # print umls_context_list - - mappings = [] - for i in umls_context_list: - spans = i - if len(spans) == 0: - mappings.append( None ) - else: - sub_mappings = [] - for j in spans: - sub_mappings.append( concept_span_dict[tuple(j)]) - - # FIXME - Decided to concat rather than append (not sure why) - mappings += sub_mappings - - return mappings - - -def umls_semantic_type_sentence( cache , sentence ): - - #print sentence - - #Defines the largest string span for the sentence. - - WINDOW_SIZE = 7 - - #holds the mappings for every substring of size 1 to WINDOW_SIZE - mappings = {} - - #Creates and finds the span of a umls concept for each possible substring of length 1 to currentWindowSize. - for currentWindowSize in range( 1 , WINDOW_SIZE ): - for ti in range( 0 , ( len(sentence) - currentWindowSize ) + 1 ): - - rawstring = "" - - for tj in range( ti , ti + currentWindowSize): - rawstring += ( sentence[tj] + " " ) - - #Each string is of length 1 to currentWindowSize. - rawstring = rawstring[0:-1] - - #If the umls semantic type is already in the cache then us the one stored otherwise lookup and add to cache - if cache.has_key( rawstring ): - mappings[rawstring] = cache.get_map( rawstring ) - - else: - - concept = string_lookup( rawstring ) - - #cache.add_map( rawstring , concept ) - - if concept: - cache.add_map( rawstring , concept ) - else: - cache.add_map( rawstring , [] ) - - mappings[rawstring] = cache.get_map( rawstring ) -# print "rawstring: ", rawstring - # print "mappings: " ,mappings[rawstring] - size_s = 0 - - phrase = [] - - - #print "mappings: " , mappings - #get longest sub string with a mapping - - for mapping in mappings.iteritems(): - #print mapping - if( mapping[1] ): - # print mapping - if( len( mapping[0] ) > size_s ): - - phrase = [] - phrase.append( mapping[1] ) - size_s = len( mapping[0] ) - continue - if( len(mapping[0]) == size_s ): - phrase.append( mapping[1] ) - -# print "phrase: " , phrase -# print phrase - return phrase - - - -# Get the semantic types for a given word -def get_cui( cache , word ): - - # If hypernyms already in cache - if cache.has_key( word + '--cuis' ): - - cuis = cache.get_map( word + '--cuis' ) - - else: - - # Get cui - cuis = SQLookup.cui_lookup(word) - - # Eliminate duplicates - cuis = list(set(cuis)) - cuis = [c[0] for c in cuis] - - # Store result in cache - cache.add_map( word + '--cuis', cuis ) - - return cuis - - - -# Get the hypernyms of a string -def umls_hypernyms( cache, string ): - - # If hypernyms already in cache - if cache.has_key( string + '--hypernyms' ): - - hyps = cache.get_map( string + '--hypernyms' ) - - else: - - # Get hypernyms - hyps = SQLookup.hypernyms_lookup(string) - - # Eliminate duplicates - #hyps = list(set(hyps)) - #hyps = [cui[0] for cui in hyps] - #hyps = hyps[0] - - # Store result in cache - cache.add_map( string + '--hypernyms' , hyps ) - - return hyps - diff --git a/clicon/features/umls/umls_cache.py b/clicon/features/umls/umls_cache.py deleted file mode 100644 index e84e253..0000000 --- a/clicon/features/umls/umls_cache.py +++ /dev/null @@ -1,23 +0,0 @@ -import cPickle as pickle -import os - -class UmlsCache: - def __init__(self): - try: - prefix = os.environ['CLICON_DIR'] - self.filename = os.path.join( prefix, 'umls_tables/umls_cache' ) - self.cache = pickle.load( open( self.filename , "rb" ) ) ; - except IOError: - self.cache = {} - - def has_key( self , string ): - return self.cache.has_key( string ) - - def add_map( self , string, mapping ): - self.cache[string] = mapping - - def get_map( self , string ): - return self.cache[string] - - def __del__(self): - pickle.dump( self.cache, open( self.filename, "wb" ) ) diff --git a/clicon/features/umls/umls_features.py b/clicon/features/umls/umls_features.py deleted file mode 100644 index 543e599..0000000 --- a/clicon/features/umls/umls_features.py +++ /dev/null @@ -1,233 +0,0 @@ -###################################################################### -# CliCon - umls_features.py # -# # -# Willie Boag wboag@cs.uml.edu # -# # -# Purpose: Independent UMLS module # -###################################################################### - - - -from sets import ImmutableSet -from umls_cache import UmlsCache -import umls - - - -class UMLSFeatures: - - - enabled_prose_features = ImmutableSet( [ 'umls_cui', 'umls_hypernyms' ] ) - - enabled_prose_features = ImmutableSet( [ 'umls_cui', 'umls_hypernyms', 'umls_semantic_type_word' ] ) - - - enabled_concept_features_for_word = ImmutableSet( [ 'umls_semantic_type_word', 'umls_cui' ] ) - enabled_concept_features_for_sentence = ImmutableSet( [ 'umls_semantic_type_sentence', 'umls_semantic_context' ] ) - - - - def __init__(self): - - """ - UMLSFeatures::Constructor - """ - - # cache for the mappings of all umls lookups made - self.umls_lookup_cache = UmlsCache() - - - - - def IOB_prose_features(self, word): - - """ - UMLSFeatures::IOB_prose_features() - - @ param word. word to lookup in UMLS database - @return dictionary of features - """ - - # Return value is a list of dictionaries (of features) - features = {} - - - for feature in self.enabled_prose_features: - - - # Feature: UMLS Semantic Types - if feature == "umls_cui": - - # Get UMLS CUIs (could have multiple) - cuis = umls.get_cui(self.umls_lookup_cache , word) - - # Add each CUI - if cuis: - for cui in cuis: - features[(feature,cui)] = 1 - - - # Feature: UMLS Hypernyms - if feature == "umls_hypernyms": - - # Get UMLS hypernyms - hyps = umls.umls_hypernyms(self.umls_lookup_cache,word) - - # Add all hypernyms - if hyps: - #for hyp in hyps: - features[(feature,hyps[0])] = 1 - - - return features - - - - def IOB_nonprose_features(self, word): - - """ - UMLSFeatures::IOB_nonprose_features() - - @ param word. word to lookup in UMLS database - @return dictionary of features - """ - - # Return value is a list of dictionaries (of features) - features = {} - - - for feature in self.enabled_nonprose_features: - - - # Feature: UMLS Semantic Types - if feature == "umls_cui": - - # Get UMLS CUIs (could have multiple) - cuis = umls.get_cui(self.umls_lookup_cache , word) - - # Add each CUI - if cuis: - for cui in cuis: - features[(feature,cui)] = 1 - - - # Feature: UMLS Hypernyms - if feature == "umls_hypernyms": - - # Get UMLS hypernyms - hyps = umls.umls_hypernyms(self.umls_lookup_cache,word) - - # Add all hypernyms - if hyps: - #for hyp in hyps: - features[(feature,hyps[0])] = 1 - - - # Feature: UMLS Semantic Type (for each word) - if feature == "umls_semantic_type_word": - - # Get UMLS semantic type (could have multiple) - mapping = umls.umls_semantic_type_word(self.umls_lookup_cache , word ) - # If is at least one semantic type - if mapping: - for concept in mapping: - features[('umls_semantic_type_word', concept )] = 1 - - - return features - - - - - def concept_features_for_word(self, word): - - """ - UMLSFeatures::concept_features_for_word() - - @ param word. word to lookup in UMLS database - @return dictionary of word-level features - """ - - - # Return value is a list of dictionaries (of features) - features = {} - - - for feature in self.enabled_concept_features_for_word: - - # Feature: UMLS Semantic Types - if feature == "umls_cui": - - # Get UMLS CUIs (could have multiple) - cuis = umls.get_cui(self.umls_lookup_cache , word) - - # Add each CUI - if cuis: - for cui in cuis: - features[(feature,cui)] = 1 - - - # Feature: UMLS Semantic Type (for each word) - if feature == "umls_semantic_type_word": - - # Get UMLS semantic type (could have multiple) - mapping = umls.umls_semantic_type_word(self.umls_lookup_cache , word ) - # If is at least one semantic type - if mapping: - for concept in mapping: - features[('umls_semantic_type_word', concept )] = 1 - - - return features - - - - def concept_features_for_sentence(self, sentence): - - """ - UMLSFeatures::concept_features_for_sentence() - - @ param sentence. list of words from line (after flattening chunks) - @return dictionary of chunk-level features - """ - - - # Return value is a list of dictionaries (of features) - features = {} - - - for feature in self.enabled_concept_features_for_sentence: - - - # Feature: UMLS semantic type for the sentence - if feature == "umls_semantic_type_sentence": - - # a list of the uml semantic of the largest substring(s). - sentence_mapping = umls.umls_semantic_type_sentence( self.umls_lookup_cache, sentence ) - - # if there are no mappings - if not sentence_mapping: - features[('umls_semantic_type_sentence', None ) ] = 1 - # assign the umls definitions to the vector for each word - else: - - for concept in sentence_mapping: - if concept: - for mapping in concept: - features[('umls_semantic_type_sentence' , mapping[0] ) ] = 1 - - - # Feature: UMLS semantic context - if feature == "umls_semantic_context": - - # the umls definition of the largest string the word is in - umls_semantic_context_mappings = umls.umls_semantic_context_of_words( self.umls_lookup_cache , sentence ) - - # there could be multiple contexts, iterate through the sublist - for mapping in umls_semantic_context_mappings: - if not mapping: continue - for concept in mapping: - features[(feature,concept)] = 1 - - - return features diff --git a/clicon/features/word_features.py b/clicon/features/word_features.py deleted file mode 100644 index 9c2c6a8..0000000 --- a/clicon/features/word_features.py +++ /dev/null @@ -1,373 +0,0 @@ -###################################################################### -# CliCon - word_features.py # -# # -# Willie Boag wboag@cs.uml.edu # -# # -# Purpose: Isolate all word-level features into a single file # -###################################################################### - - - - -__author__ = 'Willie Boag' -__date__ = 'Apr 27, 2014' - - - -import nltk -import re -from sets import ImmutableSet -from wordshape import getWordShapes - -# What modules are available -from read_config import enabled_modules - - -enabled = enabled_modules() -if enabled['UMLS']: - from umls.umls_features import UMLSFeatures - - -# MAJOR TODO - Further serialize UMLS features so that -# extracting features just needs to make one function call - -class WordFeatures: - - enabled_IOB_prose_word_features = ImmutableSet( ['Generic#', 'last_two_letters', 'word', 'length', 'mitre', 'stem_porter', 'word_shape', 'metric_unit', 'UMLS' ] ) - - enabled_IOB_nonprose_word_features = ImmutableSet( ['word', 'uncased_prev_word', 'word_shape', 'metric_unit', 'mitre', 'directive' ] ) - - enabled_concept_word_features = ImmutableSet( ['word', 'length', 'mitre', 'stem_porter', 'stem_lancaster', 'word_shape', 'UMLS'] ) - - - def __init__(self): - - # Only use UMLS feature module if it is available - if enabled['UMLS']: - self.feat_umls = UMLSFeatures() - - - - # IOB_prose_features_for_word() - # - # input: A single word - # output: A dictionary of features - def IOB_prose_features(self, sentence, ind): - - # Abbreviation for most features, - # although some will require index for context - word = sentence[ind] - - - # Feature: - features = {'dummy': 1} # always have >0 dimensions - - - # Allow for particular features to be enabled - for feature in self.enabled_IOB_prose_word_features: - - - # Feature: Generic# stemmed word - if feature == 'Generic#': - generic = re.sub('[0-9]','0',word) - features.update( { ('Generic#',generic) : 1 } ) - - # Feature: Last two leters of word - if feature == 'last_two_letters': - features.update( { ('last_two_letters',word[-2:]) : 1 } ) - - - # Feature: Previous word - if feature == 'prev_word': - if i == 0: - features.update( {('prev_word', '' ) : 1} ) - else: - features.update( {('prev_word', sentence[ind-1]) : 1} ) - - # Feature: UMLS Word Features (only use prose ones) - if (feature == "UMLS") and enabled['UMLS']: - umls_features = self.feat_umls.IOB_prose_features(word) - features.update( umls_features ) - - - # FIXME - adding pass two features to pass 1 (good? bad?) - if feature == "word": - features[(feature, word)] = 1 - - if feature == "length": - features[(feature, None)] = len(word) - - if feature == "mitre": - for f in self.mitre_features: - if re.search(self.mitre_features[f], word): - features[(feature, f)] = 1 - - if feature == "stem_porter": - st = nltk.stem.PorterStemmer() - features[(feature, st.stem(word))] = 1 - - if feature == "stem_lancaster": - st = nltk.stem.LancasterStemmer() - features[(feature, st.stem(word))] = 1 - - if feature == "word_shape": - wordShapes = getWordShapes(word) - for j, shape in enumerate(wordShapes): - features[(feature + str(j), shape)] = 1 - - - return features - - - - - - # IOB_nonprose_features_for_word() - # - # input: A single word - # output: A dictionary of features - def IOB_nonprose_features(self, sentence, ind): - - # Abbreviation for most features, - # although some will require index for context - word = sentence[ind] - - - # Feature: - features = {'dummy': 1} # always have >0 dimensions - - - # Allow for particular features to be enabled - for feature in self.enabled_IOB_nonprose_word_features: - - # Feature: The word, itself - if feature == 'word': - features.update( { ('word',word.lower()) : 1} ) - - # Feature: Uncased previous word - if feature == 'uncased_prev_word': - if ind == 0: - features.update( {('uncased_prev_word','' ) : 1} ) - else: - features.update( {('uncased_prev_word',sentence[ind-1].lower()) : 1} ) - - - # Feature: Metric Unit - if feature == "metric_unit": - tests = 3 - unit = 0 - if self.is_weight(word): - unit = 1 / tests - elif self.is_size(word): - unit = 2 / tests - elif self.is_volume(word): - unit = 3 / tests - features[(feature, unit)] = 1 - - - # Feature: Date - if feature == 'date': - if self.is_date(word): - features[feature] = 1 - - - # Feature: Directive - if feature == 'directive': - if self.is_directive(word): - features[feature] = 1 - - - # Feature: Mitre - if feature == "mitre": - for f in self.mitre_features: - if re.search(self.mitre_features[f], word): - features[(feature, f)] = 1 - - - # Feature: Word Shape - if feature == "word_shape": - wordShapes = getWordShapes(word) - for j, shape in enumerate(wordShapes): - features[('word_shape', shape)] = 1 - - - # Feature: UMLS Word Features (only use nonprose ones) - if (feature == "UMLS") and enabled['UMLS']: - umls_features = self.feat_umls.IOB_nonprose_features(word) - features.update( umls_features ) - - - return features - - - - def concept_features(self, word): - - """ - concept_features_for_word() - - @param word. A word to generate features for - @return A dictionary of features - - NOTE: Currently does not involve context (AKA prev). - In order to support context, you'd need to change arg from - 'word' -> 'chunk' and 'ind' - """ - - features = {} - - # Allow for particular features to be enabled - for feature in self.enabled_concept_word_features: - - # Feature: Word (each word) - if feature == "word": - features[ ("word",word) ] = 1 - - # Feature: Length (of each word) - if feature == "length": - features[ ("length",None) ] = len(word) - - # Feature: Mitre (of each word) - if feature == "mitre": - for f in self.mitre_features: - if re.search(self.mitre_features[f], word): - features[ ("mitre",f) ] = 1 - - # Feature: Porter Stem (of each word) - if feature == "stem_porter": - st = nltk.stem.PorterStemmer() - features[ ("stem_poter", st.stem(word)) ] = 1 - - # Feature: Lancaster Stem (of each word) - if feature == "stem_lancaster": - st = nltk.stem.LancasterStemmer() - features[ ("stem_lancaster", st.stem(word)) ] = 1 - - # Feature: Word Shape (of each word) - if feature == "word_shape": - wordShapes = getWordShapes(word) - for j, shape in enumerate(wordShapes): - features[ ("word_shape" + str(j), shape) ] = 1 - - # Features: UMLS Features - if (feature == "UMLS") and enabled['UMLS']: - umls_features = self.feat_umls.concept_features_for_word(word) - features.update(umls_features) - - - return features - - - - - - mitre_features = { - "INITCAP": r"^[A-Z].*$", - "ALLCAPS": r"^[A-Z]+$", - "CAPSMIX": r"^[A-Za-z]+$", - "HASDIGIT": r"^.*[0-9].*$", - "SINGLEDIGIT": r"^[0-9]$", - "DOUBLEDIGIT": r"^[0-9][0-9]$", - "FOURDIGITS": r"^[0-9][0-9][0-9][0-9]$", - "NATURALNUM": r"^[0-9]+$", - "REALNUM": r"^[0-9]+.[0-9]+$", - "ALPHANUM": r"^[0-9A-Za-z]+$", - "HASDASH": r"^.*-.*$", - "PUNCTUATION": r"^[^A-Za-z0-9]+$", - "PHONE1": r"^[0-9][0-9][0-9]-[0-9][0-9][0-9][0-9]$", - "PHONE2": r"^[0-9][0-9][0-9]-[0-9][0-9][0-9]-[0-9][0-9][0-9][0-9]$", - "FIVEDIGIT": r"^[0-9][0-9][0-9][0-9][0-9]", - "NOVOWELS": r"^[^AaEeIiOoUu]+$", - "HASDASHNUMALPHA": r"^.*[A-z].*-.*[0-9].*$ | *.[0-9].*-.*[0-9].*$", - "DATESEPERATOR": r"^[-/]$", - } - - def is_test_result(self, context): - # note: make spaces optional? - regex = r"^[A-Za-z]+( )*(-|--|:|was|of|\*|>|<|more than|less than)( )*[0-9]+(%)*" - if not re.search(regex, context): - return re.search(r"^[A-Za-z]+ was (positive|negative)", context) - return True - - # Try to get QANN features - def is_meaurement(self, word): - regex = r"^[0-9]*(unit(s)|cc|L|mL|dL)$" - return re.search(regex, word) - - def is_directive(self, word): - regex = r"^(q\..*|q..|PRM|bid|prm|p\..*)$" - return re.search(regex, word) - - def is_date(self, word): - regex = r'^(\d\d\d\d-\d\d-\d|\d\d?-\d\d?-\d\d\d\d?|\d\d\d\d-\d\d?-\d\d?)$' - return re.search(regex,word) - - def is_volume(self, word): - regex = r"^[0-9]*(ml|mL|dL)$" - return re.search(regex, word) - - def is_weight(self, word): - regex = r"^[0-9]*(mg|g|mcg|milligrams|grams)$" - return re.search(regex, word) - - def is_size(self, word): - regex = r"^[0-9]*(mm|cm|millimeters|centimeters)$" - return re.search(regex, word) - - def is_prognosis_location(self, word): - regex = r"^(c|C)[0-9]+(-(c|C)[0-9]+)*$" - return re.search(regex, word) - - def has_problem_form(self, word): - regex = r".*(ic|is)$" - return re.search(regex, word) - - # checks for a definitive classification at the word level - def get_def_class(self, word): - test_terms = { - "eval", "evaluation", "evaluations", - "sat", "sats", "saturation", - "exam", "exams", - "rate", "rates", - "test", "tests", - "xray", "xrays", - "screen", "screens", - "level", "levels", - "tox" - } - problem_terms = { - "swelling", - "wound", "wounds", - "symptom", "symptoms", - "shifts", "failure", - "insufficiency", "insufficiencies", - "mass", "masses", - "aneurysm", "aneurysms", - "ulcer", "ulcers", - "trama", "cancer", - "disease", "diseased", - "bacterial", "viral", - "syndrome", "syndromes", - "pain", "pains" - "burns", "burned", - "broken", "fractured" - } - treatment_terms = { - "therapy", - "replacement", - "anesthesia", - "supplement", "supplemental", - "vaccine", "vaccines" - "dose", "doses", - "shot", "shots", - "medication", "medicine", - "treament", "treatments" - } - if word.lower() in test_terms: - return 1 - elif word.lower() in problem_terms: - return 2 - elif word.lower() in treatment_terms: - return 3 - return 0 - diff --git a/clicon/features/wordshape.py b/clicon/features/wordshape.py deleted file mode 100644 index b536f49..0000000 --- a/clicon/features/wordshape.py +++ /dev/null @@ -1,422 +0,0 @@ -import re -from sets import Set - -BOUNDARY_SIZE = 2 - -NOWORDSHAPE = -1 -WORDSHAPEDAN1 = 0 -WORDSHAPECHRIS1 = 1 -WORDSHAPEDAN2 = 2 -WORDSHAPEDAN2USELC = 3 -WORDSHAPEDAN2BIO = 4 -WORDSHAPEDAN2BIOUSELC = 5 -WORDSHAPEJENNY1 = 6 -WORDSHAPEJENNY1USELC = 7 -WORDSHAPECHRIS2 = 8 -WORDSHAPECHRIS2USELC = 9 -WORDSHAPECHRIS3 = 10 -WORDSHAPECHRIS3USELC = 11 - -greek = ["alpha", "beta", "gamma", "delta", "epsilon", "zeta", "theta", "iota", "kappa", "lambda", "omicron", "rho", "sigma", "tau", "upsilon", "omega"] -biogreek = r"alpha|beta|gamma|delta|epsilon|zeta|theta|iota|kappa|lambda|omicron|rho|sigma|tau|upsilon|omega" - - -def lookupShaper(name): - if name is None: - return NOWORDSHAPE - elif name.lower() == "dan1": - return WORDSHAPEDAN1 - elif name.lower() == "chris1": - return WORDSHAPECHRIS1 - elif name.lower() == "dan2": - return WORDSHAPEDAN2 - elif name.lower() == "dan2useLC": - return WORDSHAPEDAN2USELC - elif name.lower() == "dan2bio": - return WORDSHAPEDAN2BIO - elif name.lower() == "dan2bioUseLC": - return WORDSHAPEDAN2BIOUSELC - elif name.lower() == "jenny1": - return WORDSHAPEJENNY1 - elif name.lower() == "jenny1useLC": - return WORDSHAPEJENNY1USELC - elif name.lower() == "chris2": - return WORDSHAPECHRIS2 - elif name.lower() == "chris2useLC": - return WORDSHAPECHRIS2USELC - elif name.lower() == "chris3": - return WORDSHAPECHRIS3 - elif name.lower() == "chris3useLC": - return WORDSHAPECHRIS3USELC - else: - return NOWORDSHAPE - - -def dontUseLC(shape): - return shape == WORDSHAPEDAN2 or shape == WORDSHAPEDAN2BIO or shape == WORDSHAPEJENNY1 or shape == WORDSHAPECHRIS2 or shape == WORDSHAPECHRIS3 - - -def wordShape(inStr, wordShaper): - return wordShape(inStr, wordShaper, None) - - -def wordShape(inStr, wordShaper, knownLCWords): - if knownLCWords is not None and dontUseLC(wordShaper): - knownLCWords = None - - if wordShaper == NOWORDSHAPE: - return inStr - elif wordShaper == WORDSHAPEDAN1: - return wordShapeDan1(inStr) - elif wordShaper == WORDSHAPECHRIS1: - return wordShapeChris1(inStr) - elif wordShaper == WORDSHAPEDAN2: - return wordShapeDan2(inStr, knownLCWords) - elif wordShaper == WORDSHAPEDAN2USELC: - return wordShapeDan2(inStr, knownLCWords) - elif wordShaper == WORDSHAPEDAN2BIO: - return wordShapeDan2Bio(inStr, knownLCWords) - elif wordShaper == WORDSHAPEDAN2BIOUSELC: - return wordShapeDan2Bio(inStr, knownLCWords) - elif wordShaper == WORDSHAPEJENNY1: - return wordShapeJenny1(inStr, knownLCWords) - elif wordShaper == WORDSHAPEJENNY1USELC: - return wordShapeJenny1(inStr, knownLCWords) - elif wordShaper == WORDSHAPECHRIS2: - return wordShapeChris2(inStr, False, knownLCWords) - elif wordShaper == WORDSHAPECHRIS2USELC: - return wordShapeChris2(inStr, False, knownLCWords) - elif wordShaper == WORDSHAPECHRIS3: - return wordShapeChris2(inStr, True, knownLCWords) - elif wordShaper == WORDSHAPECHRIS3USELC: - return wordShapeChris2(inStr, True, knownLCWords) - - -def wordShapeDan1(s): - digit = True - upper = True - lower = True - mixed = True - i = 0 - for c in s: - if not c.isdigit(): - digit = False - if not c.islower(): - lower = False - if not c.isupper(): - upper = False - if (i == 0 and not c.isupper()) or (i >= 1 and not c.islower()): - mixed = False - i += 1 - if (digit): - return "ALL-DIGITS" - if (upper): - return "ALL-UPPER" - if (lower): - return "ALL-LOWER" - if (mixed): - return "MIXED-CASE" - return "OTHER" - - -def wordShapeDan2(s, knownLCWords): - sb = "WT-" - lastM = '~' - nonLetters = False - length = len(s) - for c in s: - m = c - if c.isdigit(): - m = 'd' - if c.islower() or c == '_': - m = 'x' - if c.isupper(): - m = 'X' - if m != 'x' and m != 'X': - nonLetters = True - if m != lastM: - sb += m - lastM = m - - if length <= 3: - sb += ':' + str(length) - - if knownLCWords is not None: - if not nonLetters and knownLCWords.contains(s.lower()): - sb += 'k' - return sb - - -def wordShapeJenny1(s): - sb = "WT-" - lastM = '~' - nonLetters = False - length = len(s) - - for i in range (0, length): - c = s[i] - m = c - if c.isdigit(): - m = 'd' - if c.islower(): - m = 'x' - if c.isupper(): - m = 'X' - - for gr in greek: - if s.startswith(gr): - m = 'g' - i = i + len(gr) - 1 - break - - if m != 'x' and m != 'X': - nonLetters = True - - if m != lastM: - sb += m - - lastM = m - - if length <= 3: - sb += ':' + str(length) - - #if knownLCWords is not None: - # if not nonLetters and knownLCWords.contains(s.lower()): - # sb += 'k' - return sb - - -def wordShapeChris2(s, omitIfInBoundary, knownLCWords): - length = len(s) - if length <= BOUNDARY_SIZE * 2: - return wordShapeChris2Short(s, length, knownLCWords) - else: - return wordShapeChris2Long(s, omitIfInBoundary, length, knownLCWords) - - -def wordShapeChris2Short(s, length, knownLCWords): - sblength = length - sb = "" - - if knownLCWords is not None: - sblength = length + 1 - - nonLetters = False - - for i in range (0, length): - c = s[i] - m = c - if c.isdigit(): - m = 'd' - if c.islower(): - m = 'x' - if c.isupper() or c.istitle(): - m = 'X' - - for gr in greek: - if s.startswith(gr): - m = 'g' - i = i + len(gr) - 1 - break - - if m != 'x' and m != 'X': - nonLetters = True - - sb += m - - if knownLCWords is not None: - if not nonLetters and knownLCWords.contains(s.lower()): - sb += 'k' - return sb - - -def wordShapeChris2Long (s, omitIfInBoundary, length, knownLCWords): - beginChars = "" - endChars = "" - beginUpto = 0 - endUpto = 0 - seenSet = Set([]) - - nonLetters = False - for i in range (0, len(s)): - iIncr = 0 - c = s[i] - m = c - if c.isdigit(): - m = 'd' - elif c.islower(): - m = 'x' - elif c.isupper() or c.istitle(): - m = 'X' - - for gr in greek: - if s.startswith(gr): - m = 'g' - iIncr = len(gr) - 1 - break - if m != 'x' and m != 'X': - nonLetters = True - - if i < BOUNDARY_SIZE: - beginChars += m - beginUpto += 1 - elif i < length - BOUNDARY_SIZE: - seenSet.add(m) - else: - endChars += m - endUpto += 1 - i += iIncr - - sbSize = beginUpto + endUpto + len(seenSet) - - if knownLCWords is not None: - sbSize += 1 - - sb = "" - sb += beginChars - if omitIfInBoundary: - for ch in seenSet: - insert = True - for i in range (0, beginUpto): - if beginChars[i] == ch: - insert = False - break - - for i in range (0, endUpto): - if endChars[i] == ch: - insert = False - break - if (insert): - sb += ch - else: - for ch in seenSet: - sb += ch - sb += endChars - if knownLCWords is not None: - if not nonLetters and knownLCWords.contains(s.tolower()): - sb += 'k' - return sb - -#def wordShapeDan2Bio( s, knownLCWords): - # if containsGreekLetter(s): - # return wordShapeDan2(s, knownLCWords) + "-GREEK" - # else: - # return wordShapeDan2(s, knownLCWords) - - -def containsGreekLetter (s): - return re.search(biogreek, s) - - -def wordShapeChris1 (s): - length = len(s) - if length == 0: - return "SYMBOL" - - cardinal = False - number = True - seenDigit = False - seenNonDigit = False - - for i in range(0, length): - ch = s[i] - digit = ch.isdigit() - if digit: - seenDigit = True - else: - seenNonDigit = True - digit = digit or ch == '.' or ch == ',' or (i == 0 and (ch == '-' or ch == '+')) - if not digit: - number = False - - if not seenDigit: - number = False - elif not seenNonDigit: - cardinal = True - - if cardinal: - if (length < 4): - return "CARDINAL13" - elif (length == 4): - return "CARDINAL4" - else: - return "CARDINAL5PLUS" - elif number: - return "NUMBER" - - seenLower = False - seenUpper = False - allCaps = True - allLower = True - initCap = False - dash = False - period = False - - for i in range (0, length): - ch = s[i] - up = ch.isupper() - let = re.search(r"^[A-Za-z]+$", ch) - tit = ch.istitle() - if ch == '-': - dash = True - elif ch == '.': - period = True - - if (tit): - seenUpper = True - allLower = False - seenLower = True - allCaps = False - elif (up): - seenUpper = True - allLower = False - elif (let): - seenLower = True - allCaps = False - - if i == 0 and (up or tit): - initCap = True - - if length == 2 and initCap and period: - return "ACRONYM1" - elif seenUpper and allCaps and not seenDigit and period: - return "ACRONYM" - elif seenDigit and dash and not seenUpper and not seenLower: - return "DIGIT-DASH" - elif initCap and seenLower and seenDigit and dash: - return "CAPITALIZED-DIGIT-DASH" - elif initCap and seenLower and seenDigit: - return "CAPITALIZED-DIGIT" - elif initCap and seenLower & dash: - return "CAPITALIZED-DASH" - elif initCap and seenLower: - return "CAPITALIZED" - elif seenUpper and allCaps and seenDigit and dash: - return "ALLCAPS-DIGIT-DASH" - elif seenUpper and allCaps and seenDigit: - return "ALLCAPS-DIGIT" - elif seenUpper and allCaps and dash: - return "ALLCAPS" - elif seenUpper and allCaps: - return "ALLCAPS" - elif seenLower and allLower and seenDigit and dash: - return "LOWERif wordShaper ==-DIGIT-DASH" - elif seenLower and allLower and seenDigit: - return "LOWERif wordShaper ==-DIGIT" - elif seenLower and allLower and dash: - return "LOWERif wordShaper ==-DASH" - elif seenLower and allLower: - return "LOWERif wordShaper ==" - elif seenLower and seenDigit: - return "MIXEDif wordShaper ==-DIGIT" - elif seenLower: - return "MIXEDif wordShaper ==" - elif seenDigit: - return "SYMBOL-DIGIT" - else: - return "SYMBOL" - - -# gets Chris1, Dan1, Jenny1, Chris2 and Dan2 word shapes -def getWordShapes(word): - return [wordShapeChris1(word), wordShapeDan1(word), wordShapeJenny1(word), wordShapeChris2(word, False, None), wordShapeDan2(word, None)] From af894da89f063896fefd61fbe1557d89e961298f Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Sat, 16 Aug 2014 12:16:48 -0400 Subject: [PATCH 206/393] Extend returned values (for easier testing of first pass results) --- clicon/model.py | 275 +++++++++++++++++++++++------------------------- 1 file changed, 129 insertions(+), 146 deletions(-) diff --git a/clicon/model.py b/clicon/model.py index 9f5aa7b..e179ffc 100644 --- a/clicon/model.py +++ b/clicon/model.py @@ -9,11 +9,10 @@ import sci import crf -from features import features -import read_config +from features_dir import features, utilities -enabled = read_config.enabled_modules() +import cProfile as profile class Model: @@ -132,7 +131,6 @@ def first_train(self, data, Y, do_grid=True): @param data A list of split sentences (1 sent = 1 line from file) @param Y A list of list of IOB labels (1:1 mapping with data) - @param feat_obj A wrapper for the feature module @param do_grid A boolean indicating whether to perform a grid search @return None @@ -141,93 +139,91 @@ def first_train(self, data, Y, do_grid=True): print '\textracting features (pass one)' + +# profile.run(''' +#from features.features import FeatureWrapper +#def tmp_func(data, Y): +# feat_obj = FeatureWrapper(data) +# for line in data: isProse,feats = feat_obj.IOB_features(line) +#tmp_func(%s,%s)''' % (data,Y)) +# exit() + + + # Create object that is a wrapper for the features feat_obj = features.FeatureWrapper(data) - # IOB tagging - # FIXME - Partition and then batch features + # Parition into prose v. nonprose prose = [] nonprose = [] - plinenos = [] - nlinenos = [] - for i,line in enumerate(data): + pchunks = [] + nchunks = [] + for line,labels in zip(data,Y): isProse,feats = feat_obj.IOB_features(line) if isProse: prose.append(feats) - plinenos.append(i) + pchunks += labels else: nonprose.append(feats) - nlinenos.append(i) - + nchunks += labels - # FIXME - very unclear what this is - # Description: Separate labels by same division as text - prose_ind = 0 - nonprose_ind = 0 - pchunks = [] - nchunks = [] - p_end_flag = False - n_end_flag = False - for i,line in enumerate(Y): - if (not p_end_flag) and (i == plinenos[prose_ind]): - pchunks += line - prose_ind += 1 - if prose_ind == len(plinenos): p_end_flag = True - elif (not n_end_flag) and (i == nlinenos[nonprose_ind]): - nchunks += line - nonprose_ind += 1 - if nonprose_ind == len(nlinenos): n_end_flag = True - else: - # Should never really get here - print 'Line #%d is neither prose nor nonprose!' % i - print line, '\n' + # Classify both prose & nonprose + flabels = ['prose' , 'nonprose' ] + fsets = [prose , nonprose ] + chunksets = [pchunks , nchunks ] + dvects = [self.first_prose_vec, self.first_nonprose_vec] + clfs = [self.first_prose_clf, self.first_nonprose_clf] - print '\tvectorizing features (pass one)' + vectorizers = [] + classifiers = [] + for flabel,fset,chunks,dvect,clf in zip(flabels, fsets, chunksets, dvects, clfs): - # Vectorize IOB labels - Y_prose = [ Model.IOBs_labels[y] for y in pchunks ] - Y_nonprose = [ Model.IOBs_labels[y] for y in nchunks ] + if len(fset) == 0: + raise Exception('Training data must have %s training examples' % flabel) + print '\tvectorizing features (pass one) ' + flabel - # Vectorize features - pflattened = [item for sublist in prose for item in sublist] - nflattened = [item for sublist in nonprose for item in sublist] + # Vectorize IOB labels + Y = [ Model.IOBs_labels[y] for y in chunks ] - p_offsets = [ len(sublist) for sublist in prose ] - for i in range(1, len(p_offsets)): - p_offsets[i] += p_offsets[i-1] + # Save list structure to reconstruct after vectorization + offsets = [ len(sublist) for sublist in fset ] + for i in range(1, len(offsets)): + offsets[i] += offsets[i-1] - n_offsets = [ len(sublist) for sublist in nonprose ] - for i in range(1, len(n_offsets)): - n_offsets[i] += n_offsets[i-1] + # Vectorize features + flattened = [item for sublist in fset for item in sublist] + X = dvect.fit_transform(flattened) + vectorizers.append(dvect) - X_prose = self.first_prose_vec.fit_transform(pflattened) - X_nonprose = self.first_nonprose_vec.fit_transform(nflattened) + print '\ttraining classifiers (pass one) ' + flabel - print '\ttraining classifier (pass one)' + ''' + # Reconstruct lists + X = list(X) + X = [ X[i:j] for i, j in zip([0] + offsets, offsets)] + Y = [ Y[i:j] for i, j in zip([0] + offsets, offsets)] + # Train classifiers + clf = crf.train(X, Y, do_grid) + classifiers.append(clf) + ''' - # Reconstructing the list - X_prose = list(X_prose ) - X_nonprose = list(X_nonprose) - p_nested = [ X_prose[i:j] for i, j in zip([0] + p_offsets, p_offsets)] - n_nested = [ X_nonprose[i:j] for i, j in zip([0] + n_offsets, n_offsets)] + clf = sci.train(X, Y, do_grid) + classifiers.append(clf) - Y_prose =[ Y_prose[i:j] for i, j in zip([0] + p_offsets, p_offsets)] - Y_nonprose =[Y_nonprose[i:j] for i, j in zip([0] + n_offsets, n_offsets)] - # Train classifiers - self.first_prose_clf = crf.train(p_nested, Y_prose , do_grid) - self.first_nonprose_clf = crf.train(n_nested, Y_nonprose, do_grid) + # Save vectorizers + self.first_prose_vec = vectorizers[0] + self.first_nonprose_vec = vectorizers[1] - ''' - self.first_prose_clf = sci.train(X_prose , Y_prose , do_grid) - self.first_nonprose_clf = sci.train(X_nonprose, Y_nonprose, do_grid) - ''' + # Save classifiers + self.first_prose_clf = classifiers[0] + self.first_nonprose_clf = classifiers[1] @@ -251,7 +247,7 @@ def second_train(self, data, inds_list, Y, do_grid=True): into the corresponding line for 'data' @param Y A list of concept labels - assertion: there are sum(len(inds_list)) labels - AKA each index from inds_list maps to a label +v AKA each index from inds_list maps to a label @param do_grid A boolean indicating whether to perform a grid search @return None @@ -307,7 +303,7 @@ def predict(self, note): data = note.txtlist() # Predict IOB labels - iobs = self.first_predict(data) + iobs,_,__ = self.first_predict(data) note.set_iob_labels(iobs) @@ -333,21 +329,24 @@ def predict(self, note): - # Model::first_predit() - # - # @param data. A list of list of words - # @return A list of list of IOB tags def first_predict(self, data): + """ + Model::first_predict() + + Purpose: Predict IOB chunks on data + + @param data. A list of split sentences (1 sent = 1 line from file) + @return A list of list of IOB labels (1:1 mapping with data) + """ + # Create object that is a wrapper for the features feat_obj = features.FeatureWrapper(data) print '\textracting features (pass one)' - - # FIXME - partition and batch - # prose and nonprose - each store a list of sentence feature dicts + # separate prose and nonprose data prose = [] nonprose = [] plinenos = [] @@ -362,97 +361,86 @@ def first_predict(self, data): nlinenos.append(i) + # Classify both prose & nonprose + flabels = ['prose' , 'nonprose' ] + fsets = [prose , nonprose ] + dvects = [self.first_prose_vec, self.first_nonprose_vec] + clfs = [self.first_prose_clf, self.first_nonprose_clf] + preds = [] - print '\tvectorizing features (pass one)' - - - - # Vectorize features - pflattened = [item for sublist in prose for item in sublist] - nflattened = [item for sublist in nonprose for item in sublist] - - p_offsets = [ len(sublist) for sublist in prose ] - for i in range(1, len(p_offsets)): - p_offsets[i] += p_offsets[i-1] - - n_offsets = [ len(sublist) for sublist in nonprose ] - for i in range(1, len(n_offsets)): - n_offsets[i] += n_offsets[i-1] - + for flabel,fset,dvect,clf in zip(flabels, fsets, dvects, clfs): - X_prose = self.first_prose_vec.fit_transform(pflattened) - X_nonprose = self.first_nonprose_vec.fit_transform(nflattened) + # If nothing to predict, skip actual prediction + if len(fset) == 0: + preds.append([]) + continue + print '\tvectorizing features (pass one) ' + flabel + # Save list structure to reconstruct after vectorization + offsets = [ len(sublist) for sublist in fset ] + for i in range(1, len(offsets)): + offsets[i] += offsets[i-1] - print '\tpredicting labels (pass one)' + # Vectorize features + flattened = [item for sublist in fset for item in sublist] + X = dvect.transform(flattened) - # Reconstructing the list - X_prose = list(X_prose ) - X_nonprose = list(X_nonprose) - p_nested = [ X_prose[i:j] for i, j in zip([0] + p_offsets, p_offsets)] - n_nested = [X_nonprose[i:j] for i, j in zip([0] + n_offsets, n_offsets)] + print '\tpredicting labels (pass one) ' + flabel - # Train classifiers - out_p = crf.predict(self.first_prose_clf , p_nested) - out_n = crf.predict(self.first_nonprose_clf, n_nested) + ''' + # Reconstruct lists + X = list(X) + X = [ X[i:j] for i, j in zip([0] + offsets, offsets)] - ''' - out_p = sci.predict(self.first_prose_clf , X_prose ) - out_n = sci.predict(self.first_nonprose_clf, X_nonprose) - ''' + # Predict + out = crf.predict(clf, X) + ''' + out = sci.predict(clf, X) + # Format labels from output + pred = [out[i:j] for i, j in zip([0] + offsets, offsets)] + preds.append(pred) - # Format labels - plist = [ n for n in list(out_p) ] - nlist = [ n for n in list(out_n) ] - - - # Stitch prose and nonprose labels lists together - labels = [] - prose_ind = 0 - nonprose_ind = 0 - p_end_flag = (len(plinenos) == 0) - n_end_flag = (len(nlinenos) == 0) - - - for i in range( len(data) ): - if (not p_end_flag) and (i == plinenos[prose_ind]): - line = plist[0:len(data[i]) ] # Beginning - plist = plist[ len(data[i]):] # The rest - labels += line - prose_ind += 1 - if prose_ind == len(plinenos): p_end_flag = True - - elif (not n_end_flag) and (i == nlinenos[nonprose_ind]): - line = nlist[0:len(data[i]) ] # Beginning - nlist = nlist[ len(data[i]):] # The rest - labels += line - nonprose_ind += 1 - if nonprose_ind == len(nlinenos): n_end_flag = True - - else: - # Shouldn't really get here ever - print 'Line #%d is neither prose nor nonprose!' % i + # Recover predictions + plist = preds[0] + nlist = preds[1] + # Stitch prose and nonprose data back together # translate IOB labels into a readable format - # ex. change all occurences of 1 -> 'B' - iobs = [] + prose_iobs = [] + nonprose_iobs = [] + iobs = [] + trans = lambda l: Model.reverse_IOBs_labels[int(l)] for sentence in data: - iobs.append([labels.pop(0) for i in range(len(sentence))]) - iobs[-1]= map(lambda l: Model.reverse_IOBs_labels[int(l)],iobs[-1]) + if utilities.prose_sentence(sentence): + prose_iobs.append( plist.pop(0) ) + prose_iobs[-1] = map(trans, prose_iobs[-1]) + iobs.append( prose_iobs[-1] ) + else: + nonprose_iobs.append( nlist.pop(0) ) + nonprose_iobs[-1] = map(trans, nonprose_iobs[-1]) + iobs.append( nonprose_iobs[-1] ) + # list of list of IOB labels - return iobs + return iobs, prose_iobs, nonprose_iobs + def second_predict(self, data, inds_list): + # If first pass predicted no concepts, then skip + # NOTE: Special case because SVM cannot have empty input + if sum([ len(inds) for inds in inds_list ]) == 0: + return [] + + # Create object that is a wrapper for the features feat_o = features.FeatureWrapper() @@ -489,11 +477,6 @@ def second_predict(self, data, inds_list): # Skip empty line if not inds: continue - print lineno - print inds - print out - print - for ind in inds: # Get next concept @@ -510,8 +493,8 @@ def second_predict(self, data, inds_list): # Classification token classifications.append((concept,lineno+1,start,start+length-1)) - for c in classifications: - print c + #for c in classifications: + # print c # Return classifications return classifications From e0de65b1873d376d63e655b7ca2a0601b0201f07 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Sat, 16 Aug 2014 12:16:48 -0400 Subject: [PATCH 207/393] Extend returned values (for easier testing of first pass results) --- clicon/model.py | 275 +++++++++++++++++++++++------------------------- 1 file changed, 129 insertions(+), 146 deletions(-) diff --git a/clicon/model.py b/clicon/model.py index 9f5aa7b..e179ffc 100644 --- a/clicon/model.py +++ b/clicon/model.py @@ -9,11 +9,10 @@ import sci import crf -from features import features -import read_config +from features_dir import features, utilities -enabled = read_config.enabled_modules() +import cProfile as profile class Model: @@ -132,7 +131,6 @@ def first_train(self, data, Y, do_grid=True): @param data A list of split sentences (1 sent = 1 line from file) @param Y A list of list of IOB labels (1:1 mapping with data) - @param feat_obj A wrapper for the feature module @param do_grid A boolean indicating whether to perform a grid search @return None @@ -141,93 +139,91 @@ def first_train(self, data, Y, do_grid=True): print '\textracting features (pass one)' + +# profile.run(''' +#from features.features import FeatureWrapper +#def tmp_func(data, Y): +# feat_obj = FeatureWrapper(data) +# for line in data: isProse,feats = feat_obj.IOB_features(line) +#tmp_func(%s,%s)''' % (data,Y)) +# exit() + + + # Create object that is a wrapper for the features feat_obj = features.FeatureWrapper(data) - # IOB tagging - # FIXME - Partition and then batch features + # Parition into prose v. nonprose prose = [] nonprose = [] - plinenos = [] - nlinenos = [] - for i,line in enumerate(data): + pchunks = [] + nchunks = [] + for line,labels in zip(data,Y): isProse,feats = feat_obj.IOB_features(line) if isProse: prose.append(feats) - plinenos.append(i) + pchunks += labels else: nonprose.append(feats) - nlinenos.append(i) - + nchunks += labels - # FIXME - very unclear what this is - # Description: Separate labels by same division as text - prose_ind = 0 - nonprose_ind = 0 - pchunks = [] - nchunks = [] - p_end_flag = False - n_end_flag = False - for i,line in enumerate(Y): - if (not p_end_flag) and (i == plinenos[prose_ind]): - pchunks += line - prose_ind += 1 - if prose_ind == len(plinenos): p_end_flag = True - elif (not n_end_flag) and (i == nlinenos[nonprose_ind]): - nchunks += line - nonprose_ind += 1 - if nonprose_ind == len(nlinenos): n_end_flag = True - else: - # Should never really get here - print 'Line #%d is neither prose nor nonprose!' % i - print line, '\n' + # Classify both prose & nonprose + flabels = ['prose' , 'nonprose' ] + fsets = [prose , nonprose ] + chunksets = [pchunks , nchunks ] + dvects = [self.first_prose_vec, self.first_nonprose_vec] + clfs = [self.first_prose_clf, self.first_nonprose_clf] - print '\tvectorizing features (pass one)' + vectorizers = [] + classifiers = [] + for flabel,fset,chunks,dvect,clf in zip(flabels, fsets, chunksets, dvects, clfs): - # Vectorize IOB labels - Y_prose = [ Model.IOBs_labels[y] for y in pchunks ] - Y_nonprose = [ Model.IOBs_labels[y] for y in nchunks ] + if len(fset) == 0: + raise Exception('Training data must have %s training examples' % flabel) + print '\tvectorizing features (pass one) ' + flabel - # Vectorize features - pflattened = [item for sublist in prose for item in sublist] - nflattened = [item for sublist in nonprose for item in sublist] + # Vectorize IOB labels + Y = [ Model.IOBs_labels[y] for y in chunks ] - p_offsets = [ len(sublist) for sublist in prose ] - for i in range(1, len(p_offsets)): - p_offsets[i] += p_offsets[i-1] + # Save list structure to reconstruct after vectorization + offsets = [ len(sublist) for sublist in fset ] + for i in range(1, len(offsets)): + offsets[i] += offsets[i-1] - n_offsets = [ len(sublist) for sublist in nonprose ] - for i in range(1, len(n_offsets)): - n_offsets[i] += n_offsets[i-1] + # Vectorize features + flattened = [item for sublist in fset for item in sublist] + X = dvect.fit_transform(flattened) + vectorizers.append(dvect) - X_prose = self.first_prose_vec.fit_transform(pflattened) - X_nonprose = self.first_nonprose_vec.fit_transform(nflattened) + print '\ttraining classifiers (pass one) ' + flabel - print '\ttraining classifier (pass one)' + ''' + # Reconstruct lists + X = list(X) + X = [ X[i:j] for i, j in zip([0] + offsets, offsets)] + Y = [ Y[i:j] for i, j in zip([0] + offsets, offsets)] + # Train classifiers + clf = crf.train(X, Y, do_grid) + classifiers.append(clf) + ''' - # Reconstructing the list - X_prose = list(X_prose ) - X_nonprose = list(X_nonprose) - p_nested = [ X_prose[i:j] for i, j in zip([0] + p_offsets, p_offsets)] - n_nested = [ X_nonprose[i:j] for i, j in zip([0] + n_offsets, n_offsets)] + clf = sci.train(X, Y, do_grid) + classifiers.append(clf) - Y_prose =[ Y_prose[i:j] for i, j in zip([0] + p_offsets, p_offsets)] - Y_nonprose =[Y_nonprose[i:j] for i, j in zip([0] + n_offsets, n_offsets)] - # Train classifiers - self.first_prose_clf = crf.train(p_nested, Y_prose , do_grid) - self.first_nonprose_clf = crf.train(n_nested, Y_nonprose, do_grid) + # Save vectorizers + self.first_prose_vec = vectorizers[0] + self.first_nonprose_vec = vectorizers[1] - ''' - self.first_prose_clf = sci.train(X_prose , Y_prose , do_grid) - self.first_nonprose_clf = sci.train(X_nonprose, Y_nonprose, do_grid) - ''' + # Save classifiers + self.first_prose_clf = classifiers[0] + self.first_nonprose_clf = classifiers[1] @@ -251,7 +247,7 @@ def second_train(self, data, inds_list, Y, do_grid=True): into the corresponding line for 'data' @param Y A list of concept labels - assertion: there are sum(len(inds_list)) labels - AKA each index from inds_list maps to a label +v AKA each index from inds_list maps to a label @param do_grid A boolean indicating whether to perform a grid search @return None @@ -307,7 +303,7 @@ def predict(self, note): data = note.txtlist() # Predict IOB labels - iobs = self.first_predict(data) + iobs,_,__ = self.first_predict(data) note.set_iob_labels(iobs) @@ -333,21 +329,24 @@ def predict(self, note): - # Model::first_predit() - # - # @param data. A list of list of words - # @return A list of list of IOB tags def first_predict(self, data): + """ + Model::first_predict() + + Purpose: Predict IOB chunks on data + + @param data. A list of split sentences (1 sent = 1 line from file) + @return A list of list of IOB labels (1:1 mapping with data) + """ + # Create object that is a wrapper for the features feat_obj = features.FeatureWrapper(data) print '\textracting features (pass one)' - - # FIXME - partition and batch - # prose and nonprose - each store a list of sentence feature dicts + # separate prose and nonprose data prose = [] nonprose = [] plinenos = [] @@ -362,97 +361,86 @@ def first_predict(self, data): nlinenos.append(i) + # Classify both prose & nonprose + flabels = ['prose' , 'nonprose' ] + fsets = [prose , nonprose ] + dvects = [self.first_prose_vec, self.first_nonprose_vec] + clfs = [self.first_prose_clf, self.first_nonprose_clf] + preds = [] - print '\tvectorizing features (pass one)' - - - - # Vectorize features - pflattened = [item for sublist in prose for item in sublist] - nflattened = [item for sublist in nonprose for item in sublist] - - p_offsets = [ len(sublist) for sublist in prose ] - for i in range(1, len(p_offsets)): - p_offsets[i] += p_offsets[i-1] - - n_offsets = [ len(sublist) for sublist in nonprose ] - for i in range(1, len(n_offsets)): - n_offsets[i] += n_offsets[i-1] - + for flabel,fset,dvect,clf in zip(flabels, fsets, dvects, clfs): - X_prose = self.first_prose_vec.fit_transform(pflattened) - X_nonprose = self.first_nonprose_vec.fit_transform(nflattened) + # If nothing to predict, skip actual prediction + if len(fset) == 0: + preds.append([]) + continue + print '\tvectorizing features (pass one) ' + flabel + # Save list structure to reconstruct after vectorization + offsets = [ len(sublist) for sublist in fset ] + for i in range(1, len(offsets)): + offsets[i] += offsets[i-1] - print '\tpredicting labels (pass one)' + # Vectorize features + flattened = [item for sublist in fset for item in sublist] + X = dvect.transform(flattened) - # Reconstructing the list - X_prose = list(X_prose ) - X_nonprose = list(X_nonprose) - p_nested = [ X_prose[i:j] for i, j in zip([0] + p_offsets, p_offsets)] - n_nested = [X_nonprose[i:j] for i, j in zip([0] + n_offsets, n_offsets)] + print '\tpredicting labels (pass one) ' + flabel - # Train classifiers - out_p = crf.predict(self.first_prose_clf , p_nested) - out_n = crf.predict(self.first_nonprose_clf, n_nested) + ''' + # Reconstruct lists + X = list(X) + X = [ X[i:j] for i, j in zip([0] + offsets, offsets)] - ''' - out_p = sci.predict(self.first_prose_clf , X_prose ) - out_n = sci.predict(self.first_nonprose_clf, X_nonprose) - ''' + # Predict + out = crf.predict(clf, X) + ''' + out = sci.predict(clf, X) + # Format labels from output + pred = [out[i:j] for i, j in zip([0] + offsets, offsets)] + preds.append(pred) - # Format labels - plist = [ n for n in list(out_p) ] - nlist = [ n for n in list(out_n) ] - - - # Stitch prose and nonprose labels lists together - labels = [] - prose_ind = 0 - nonprose_ind = 0 - p_end_flag = (len(plinenos) == 0) - n_end_flag = (len(nlinenos) == 0) - - - for i in range( len(data) ): - if (not p_end_flag) and (i == plinenos[prose_ind]): - line = plist[0:len(data[i]) ] # Beginning - plist = plist[ len(data[i]):] # The rest - labels += line - prose_ind += 1 - if prose_ind == len(plinenos): p_end_flag = True - - elif (not n_end_flag) and (i == nlinenos[nonprose_ind]): - line = nlist[0:len(data[i]) ] # Beginning - nlist = nlist[ len(data[i]):] # The rest - labels += line - nonprose_ind += 1 - if nonprose_ind == len(nlinenos): n_end_flag = True - - else: - # Shouldn't really get here ever - print 'Line #%d is neither prose nor nonprose!' % i + # Recover predictions + plist = preds[0] + nlist = preds[1] + # Stitch prose and nonprose data back together # translate IOB labels into a readable format - # ex. change all occurences of 1 -> 'B' - iobs = [] + prose_iobs = [] + nonprose_iobs = [] + iobs = [] + trans = lambda l: Model.reverse_IOBs_labels[int(l)] for sentence in data: - iobs.append([labels.pop(0) for i in range(len(sentence))]) - iobs[-1]= map(lambda l: Model.reverse_IOBs_labels[int(l)],iobs[-1]) + if utilities.prose_sentence(sentence): + prose_iobs.append( plist.pop(0) ) + prose_iobs[-1] = map(trans, prose_iobs[-1]) + iobs.append( prose_iobs[-1] ) + else: + nonprose_iobs.append( nlist.pop(0) ) + nonprose_iobs[-1] = map(trans, nonprose_iobs[-1]) + iobs.append( nonprose_iobs[-1] ) + # list of list of IOB labels - return iobs + return iobs, prose_iobs, nonprose_iobs + def second_predict(self, data, inds_list): + # If first pass predicted no concepts, then skip + # NOTE: Special case because SVM cannot have empty input + if sum([ len(inds) for inds in inds_list ]) == 0: + return [] + + # Create object that is a wrapper for the features feat_o = features.FeatureWrapper() @@ -489,11 +477,6 @@ def second_predict(self, data, inds_list): # Skip empty line if not inds: continue - print lineno - print inds - print out - print - for ind in inds: # Get next concept @@ -510,8 +493,8 @@ def second_predict(self, data, inds_list): # Classification token classifications.append((concept,lineno+1,start,start+length-1)) - for c in classifications: - print c + #for c in classifications: + # print c # Return classifications return classifications From 97e7bd2d8c9d069d799d5888d690e28ebbcc4b39 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Sat, 16 Aug 2014 12:18:18 -0400 Subject: [PATCH 208/393] Extend for first pass development --- clicon/crf.py | 2 ++ clicon/note.py | 16 ++++++++++------ 2 files changed, 12 insertions(+), 6 deletions(-) diff --git a/clicon/crf.py b/clicon/crf.py index 0c86d40..e978f50 100644 --- a/clicon/crf.py +++ b/clicon/crf.py @@ -44,6 +44,7 @@ def format_features(rows, labels=None): # Sentence boundary seperator retVal.append('') + ''' # Sanity check global count if labels: @@ -56,6 +57,7 @@ def format_features(rows, labels=None): with open(out_f, 'w') as f: for line in retVal: print >>f, line[start:] + ''' return retVal diff --git a/clicon/note.py b/clicon/note.py index 0548cb2..92192b8 100644 --- a/clicon/note.py +++ b/clicon/note.py @@ -16,6 +16,7 @@ def __init__(self): self.concepts = [] self.classifications = [] self.boundaries = [] + self.text_chunks = [] @@ -152,9 +153,9 @@ def write_i2b2_con(self, labels=None): # If given labels to write, use them. Default to self.classifications - if labels: + if labels != None: classifications = labels - elif self.classifications: + elif self.classifications != None: classifications = self.classifications else: raise Exception('Cannot write concept file: must specify labels') @@ -553,7 +554,7 @@ def set_iob_labels(self, iobs): def chunked_text(self): """ - Note::generate_chunks() + Note::chunked_text() Purpose: Combine all 'I's into 'B' chunks @@ -561,9 +562,12 @@ def chunked_text(self): """ + # If answer is cached + if self.text_chunks: return self.text_chunks() + + # List of list of phrases text = self.txtlist() - text_chunks = [] # Line-by-line chunking @@ -593,10 +597,10 @@ def chunked_text(self): if phrase: line.append(phrase) # Add line from file - text_chunks.append(line) + self.text_chunks.append(line) - return text_chunks + return self.text_chunks From 644554057aeeeb2719813d3f103b032993f01cf3 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Sat, 16 Aug 2014 12:18:18 -0400 Subject: [PATCH 209/393] Extend for first pass development --- clicon/crf.py | 2 ++ clicon/note.py | 16 ++++++++++------ 2 files changed, 12 insertions(+), 6 deletions(-) diff --git a/clicon/crf.py b/clicon/crf.py index 0c86d40..e978f50 100644 --- a/clicon/crf.py +++ b/clicon/crf.py @@ -44,6 +44,7 @@ def format_features(rows, labels=None): # Sentence boundary seperator retVal.append('') + ''' # Sanity check global count if labels: @@ -56,6 +57,7 @@ def format_features(rows, labels=None): with open(out_f, 'w') as f: for line in retVal: print >>f, line[start:] + ''' return retVal diff --git a/clicon/note.py b/clicon/note.py index 0548cb2..92192b8 100644 --- a/clicon/note.py +++ b/clicon/note.py @@ -16,6 +16,7 @@ def __init__(self): self.concepts = [] self.classifications = [] self.boundaries = [] + self.text_chunks = [] @@ -152,9 +153,9 @@ def write_i2b2_con(self, labels=None): # If given labels to write, use them. Default to self.classifications - if labels: + if labels != None: classifications = labels - elif self.classifications: + elif self.classifications != None: classifications = self.classifications else: raise Exception('Cannot write concept file: must specify labels') @@ -553,7 +554,7 @@ def set_iob_labels(self, iobs): def chunked_text(self): """ - Note::generate_chunks() + Note::chunked_text() Purpose: Combine all 'I's into 'B' chunks @@ -561,9 +562,12 @@ def chunked_text(self): """ + # If answer is cached + if self.text_chunks: return self.text_chunks() + + # List of list of phrases text = self.txtlist() - text_chunks = [] # Line-by-line chunking @@ -593,10 +597,10 @@ def chunked_text(self): if phrase: line.append(phrase) # Add line from file - text_chunks.append(line) + self.text_chunks.append(line) - return text_chunks + return self.text_chunks From 7468b439b0b76827f1e44a0d148aa20c6710f905 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Sat, 16 Aug 2014 17:42:02 -0400 Subject: [PATCH 210/393] Added crf back into first pass --- clicon/features_dir/genia/genia_features.py | 16 +---- clicon/features_dir/genia/interface_genia.py | 33 ++-------- clicon/features_dir/sentence_features.py | 69 ++++++++++++++++++-- clicon/features_dir/umls/SQLookup.py | 19 ++++-- clicon/features_dir/umls/umls.py | 9 +-- clicon/features_dir/umls/umls_features.py | 5 +- clicon/features_dir/word_features.py | 8 +-- clicon/model.py | 66 +++++++++---------- 8 files changed, 126 insertions(+), 99 deletions(-) diff --git a/clicon/features_dir/genia/genia_features.py b/clicon/features_dir/genia/genia_features.py index 0a50850..e3ff957 100644 --- a/clicon/features_dir/genia/genia_features.py +++ b/clicon/features_dir/genia/genia_features.py @@ -9,7 +9,6 @@ import interface_genia - from features_dir import utilities @@ -58,25 +57,12 @@ def features(self, sentence, is_prose=True): genia_feats = next( self.GENIA_features ) + # Feature: Current word's GENIA features for i,curr in enumerate(genia_feats): - - # Feature: Current word's GENIA features keys = ['GENIA-stem','GENIA-POS','GENIA-chunktag'] output = dict( ((k, curr[k]), 1) for k in keys if k in curr ) features_list[i].update(output) - ''' - # Feature: Previous word's GENIA features - if i == 0: - output = dict( (('prev-'+k, ''), 1) for k in keys if k in curr) - else: - output = dict( (('prev-'+k, curr[k]), 1) for k in keys if k in curr) - ''' - - - features_list[i].update(output) - - return features_list diff --git a/clicon/features_dir/genia/interface_genia.py b/clicon/features_dir/genia/interface_genia.py index 8eaee66..6e72130 100644 --- a/clicon/features_dir/genia/interface_genia.py +++ b/clicon/features_dir/genia/interface_genia.py @@ -19,33 +19,15 @@ from commands import getstatusoutput -def main(): - f = open('/home/wboag/ConceptExtraction-master/data/concept_assertion_relation_training_data/beth/txt/record-20.txt', 'r') - txt = f.readlines() - - data = [] - for line in txt: - data.append(line.split()) - - tagger = '/home/wboag/geniatagger-3.0.1/geniatagger' - for (line,linedict) in zip(txt,genia(tagger,data)): - print line.split(), '\n' - for d in linedict: - print d - print '---\n\n' - - - -# -# genia() -# -# Call the genia tagger and return its output in python format -# def genia(geniatagger, data): ''' + genia() + + Purpose: Call the genia tagger and return its output in python format + @param geniatagger. A path to the executable geniatagger @param data. A list of list of strings (lines of words from a file) @return A list of dcitionaries of the genia tagger's output. @@ -53,7 +35,7 @@ def genia(geniatagger, data): # write list to file and then feed it to GENIA genia_dir = os.path.dirname(geniatagger) - tmp_out = os.path.join(genia_dir,'/tmp/clicon_genia_tmp_file.txt') + tmp_out = os.path.join(genia_dir,'clicon_genia_tmp_file.txt') with open(tmp_out, 'w') as f: for line in data: f.write(' '.join(line) + '\n') @@ -61,7 +43,7 @@ def genia(geniatagger, data): # Run genia tagger print '\t\tRunning GENIA tagger' genia_dir = os.path.dirname(geniatagger) - stream = getstatusoutput('cd %s ; ./geniatagger -nt %s' % (genia_dir,tmp_out)) + stream= getstatusoutput('cd %s ; ./geniatagger -nt %s' % (genia_dir,tmp_out)) # Process each line of output @@ -90,9 +72,6 @@ def genia(geniatagger, data): fline.append(output) j += 1 if j == len(data[i]): - #print data[i] - #print fline - #print '---' i += 1 j = 0 retlist.append(fline) diff --git a/clicon/features_dir/sentence_features.py b/clicon/features_dir/sentence_features.py index e0ae0ee..a8d5937 100644 --- a/clicon/features_dir/sentence_features.py +++ b/clicon/features_dir/sentence_features.py @@ -72,8 +72,12 @@ def __init__(self, data): #self.enabled_IOB_prose_sentence_features.append('prev_3_pos') #self.enabled_IOB_prose_sentence_features.append('next_3_pos') self.enabled_IOB_prose_sentence_features.append('prev') + #self.enabled_IOB_prose_sentence_features.append('prev2') + #self.enabled_IOB_prose_sentence_features.append('prev3') self.enabled_IOB_prose_sentence_features.append('next') - #self.enabled_IOB_prose_sentence_features.append('GENIA') + #self.enabled_IOB_prose_sentence_features.append('next2') + #self.enabled_IOB_prose_sentence_features.append('next3') + self.enabled_IOB_prose_sentence_features.append('GENIA') #self.enabled_IOB_prose_sentence_features.append('UMLS') @@ -93,7 +97,8 @@ def IOB_prose_features(self, sentence): # Only POS tag once - pos_tagged = nltk.pos_tag(sentence) + if 'pos' in self.enabled_IOB_prose_sentence_features: + pos_tagged = nltk.pos_tag(sentence) # Allow for particular features to be enabled @@ -176,6 +181,30 @@ def IOB_prose_features(self, sentence): else: ngram_features[i].update(prev_list[i-1]) + if "prev2" in self.enabled_IOB_prose_sentence_features: + prev2 = lambda f: {("prev2_"+k[0], k[1]): v/2.0 for k,v in f.items()} + prev_list = map(prev2, features_list) + for i in range(len(features_list)): + if i == 0: + ngram_features[i][("prev2", "*")] = 1 + elif i == 1: + ngram_features[i][("prev2", "*")] = 1 + else: + ngram_features[i].update(prev_list[i-2]) + + if "prev3" in self.enabled_IOB_prose_sentence_features: + prev3 = lambda f: {("prev3_"+k[0], k[1]): v/4.0 for k,v in f.items()} + prev_list = map(prev3, features_list) + for i in range(len(features_list)): + if i < len(features_list) - 4: + ngram_features[i].update(prev_list[i+3]) + elif i == len(features_list) - 3: + ngram_features[i][("prev3", "***")] = 1 + elif i == len(features_list) - 2: + ngram_features[i][("prev3", "**" )] = 1 + else: + ngram_features[i][("prev3", "*" )] = 1 + if "next" in self.enabled_IOB_prose_sentence_features: next = lambda f: {("next_"+k[0], k[1]): v for k,v in f.items()} next_list = map(next, features_list) @@ -185,15 +214,40 @@ def IOB_prose_features(self, sentence): else: ngram_features[i][("next", "*")] = 1 + if "next2" in self.enabled_IOB_prose_sentence_features: + next2 = lambda f: {("next2_"+k[0], k[1]): v/2.0 for k,v in f.items()} + next_list = map(next2, features_list) + for i in range(len(features_list)): + if i < len(features_list) - 2: + ngram_features[i].update(next_list[i+2]) + elif i == len(features_list) - 2: + ngram_features[i][("next2", "**")] = 1 + else: + ngram_features[i][("next2", "*")] = 1 + + if "next3" in self.enabled_IOB_prose_sentence_features: + next3 = lambda f: {("next3_"+k[0], k[1]): v/4.0 for k,v in f.items()} + next_list = map(next3, features_list) + for i in range(len(features_list)): + if i < len(features_list) - 4: + ngram_features[i].update(next_list[i+3]) + elif i == len(features_list) - 3: + ngram_features[i][("next3", "***")] = 1 + elif i == len(features_list) - 2: + ngram_features[i][("next3", "**" )] = 1 + else: + ngram_features[i][("next3", "*" )] = 1 + + merged = lambda d1, d2: dict(d1.items() + d2.items()) features_list = [merged(features_list[i], ngram_features[i]) for i in range(len(features_list))] - #for f in features_list: - # print sorted(f.items()) - # print - #print '\n\n\n' + for f in features_list: + print sorted(f.items()) + print + print '\n\n\n' return features_list @@ -213,7 +267,8 @@ def IOB_nonprose_features(self, sentence): features_list.append( word_feats ) - pos_tagged = nltk.pos_tag(sentence) + if 'pos' in self.enabled_IOB_nonprose_sentence_features: + pos_tagged = nltk.pos_tag(sentence) # Allow for particular features to be enabled diff --git a/clicon/features_dir/umls/SQLookup.py b/clicon/features_dir/umls/SQLookup.py index e1dbb8f..8a0df93 100644 --- a/clicon/features_dir/umls/SQLookup.py +++ b/clicon/features_dir/umls/SQLookup.py @@ -36,20 +36,25 @@ def SQlookup( c , string ): #returns the semantic type of a word def string_lookup( string ): - #return SQlookup( c , string ) - r = SQlookup( c , string ) + try: + return SQlookup( c , string ) + + except sqlite3.ProgrammingError, e: + + return [] - return r # get all semantic types for a given concept def cui_lookup( string ): - # queries database and finds semantic type match - c.execute( "SELECT cui FROM MRCON WHERE str = ?;" , (string,) ) + try: + # Get cuis + c.execute( "SELECT cui FROM MRCON WHERE str = ?;" , (string,) ) + return c.fetchall() - #returns a tuple with the match or None if there was no match. - return c.fetchall() + except sqlite3.ProgrammingError, e: + return [] def hypernyms_lookup( string ): diff --git a/clicon/features_dir/umls/umls.py b/clicon/features_dir/umls/umls.py index 6b314b8..d43ecf7 100644 --- a/clicon/features_dir/umls/umls.py +++ b/clicon/features_dir/umls/umls.py @@ -8,13 +8,14 @@ def umls_semantic_type_word( umls_string_cache , sentence ): mapping = umls_string_cache.get_map( sentence ) else: concept = SQLookup.string_lookup( sentence ) - #print sentence, ' - NOT FOUND' - #print '\t', concept + umls_string_cache.add_map( sentence , concept ) + ''' if concept != None: #umls_string_cache.add_map( sentence , concept[0] ) umls_string_cache.add_map( sentence , concept ) else: umls_string_cache.add_map( sentence , None ) + ''' mapping = umls_string_cache.get_map(sentence) #print 'umls_semantic_type_word - returning:' @@ -211,10 +212,10 @@ def get_cui( cache , word ): def umls_hypernyms( cache, string ): print 'hypernym lookup is unacceptably slow' - return [] + #return [] # If hypernyms already in cache - if cache.has_key( string + '--hypernymsaa' ): + if cache.has_key( string + '--hypernyms' ): hyps = cache.get_map( string + '--hypernyms' ) diff --git a/clicon/features_dir/umls/umls_features.py b/clicon/features_dir/umls/umls_features.py index e0032c9..ee192fe 100644 --- a/clicon/features_dir/umls/umls_features.py +++ b/clicon/features_dir/umls/umls_features.py @@ -17,7 +17,7 @@ class UMLSFeatures: - enabled_prose_features = ImmutableSet( [ 'umls_cui', 'umls_hypernyms' ] ) + enabled_prose_features = ImmutableSet( [ 'umls_cui', 'umls_semantic_type_word', 'umls_hypernyms' ] ) enabled_nonprose_features = ImmutableSet( [ 'umls_cui', 'umls_semantic_type_word' ] ) @@ -83,6 +83,9 @@ def IOB_prose_features(self, word): if feature == "umls_semantic_type_word": # Get UMLS semantic type (could have multiple) mapping = umls.umls_semantic_type_word(self.umls_lookup_cache , word ) + + print mapping + # If is at least one semantic type if mapping != None: for concept in mapping: diff --git a/clicon/features_dir/word_features.py b/clicon/features_dir/word_features.py index eba0644..312c63a 100644 --- a/clicon/features_dir/word_features.py +++ b/clicon/features_dir/word_features.py @@ -25,7 +25,6 @@ class WordFeatures: #enabled_IOB_prose_word_features = ImmutableSet( ['Generic#', 'last_two_letters', 'word', 'length', 'mitre', 'stem_porter', 'stem_lancaster', 'word_shape', 'metric_unit' ] ) - enabled_IOB_prose_word_features = [] enabled_IOB_nonprose_word_features = ImmutableSet( ['word', 'word_shape', 'metric_unit', 'mitre', 'directive', 'date' ] ) @@ -34,7 +33,8 @@ class WordFeatures: def __init__(self): - self.enabled_IOB_prose_word_features.append('word') + self.enabled_IOB_prose_word_features = [] + #self.enabled_IOB_prose_word_features.append('word') self.enabled_IOB_prose_word_features.append('Generic#') #self.enabled_IOB_prose_word_features.append('last_two_letters') #self.enabled_IOB_prose_word_features.append('length') @@ -63,8 +63,7 @@ def IOB_prose_features(self, word): features[ (feature, st.stem(word.lower())) ] = 1 if feature == "word": - w = word.lower() - features[(feature, w)] = 1 + features[(feature, word.lower())] = 1 # Feature: Generic# stemmed word if feature == 'Generic#': @@ -160,6 +159,7 @@ def IOB_nonprose_features(self, word): + def concept_features_for_word(self, word): """ diff --git a/clicon/model.py b/clicon/model.py index e179ffc..2af5a6b 100644 --- a/clicon/model.py +++ b/clicon/model.py @@ -51,6 +51,9 @@ def __init__(self, filename='awesome.model'): self.filename = os.path.realpath(filename) + # Use python-crfsuite + self.crf_enabled = True + # DictVectorizers self.first_prose_vec = DictVectorizer() self.first_nonprose_vec = DictVectorizer() @@ -139,17 +142,6 @@ def first_train(self, data, Y, do_grid=True): print '\textracting features (pass one)' - -# profile.run(''' -#from features.features import FeatureWrapper -#def tmp_func(data, Y): -# feat_obj = FeatureWrapper(data) -# for line in data: isProse,feats = feat_obj.IOB_features(line) -#tmp_func(%s,%s)''' % (data,Y)) -# exit() - - - # Create object that is a wrapper for the features feat_obj = features.FeatureWrapper(data) @@ -202,18 +194,19 @@ def first_train(self, data, Y, do_grid=True): print '\ttraining classifiers (pass one) ' + flabel - ''' - # Reconstruct lists - X = list(X) - X = [ X[i:j] for i, j in zip([0] + offsets, offsets)] - Y = [ Y[i:j] for i, j in zip([0] + offsets, offsets)] - # Train classifiers - clf = crf.train(X, Y, do_grid) - classifiers.append(clf) - ''' + + # CRF needs reconstructed lists + if self.crf_enabled: + X = list(X) + X = [ X[i:j] for i, j in zip([0] + offsets, offsets)] + Y = [ Y[i:j] for i, j in zip([0] + offsets, offsets)] + lib = crf + else: + lib = sci - clf = sci.train(X, Y, do_grid) + # Train classifiers + clf = lib.train(X, Y, do_grid) classifiers.append(clf) @@ -254,11 +247,11 @@ def second_train(self, data, inds_list, Y, do_grid=True): """ - # Create object that is a wrapper for the features - feat_o = features.FeatureWrapper() + print '\textracting features (pass two)' - print '\textracting features (pass two)' + # Create object that is a wrapper for the features + feat_o = features.FeatureWrapper() # Extract features @@ -340,12 +333,13 @@ def first_predict(self, data): @return A list of list of IOB labels (1:1 mapping with data) """ + print '\textracting features (pass one)' + + # Create object that is a wrapper for the features feat_obj = features.FeatureWrapper(data) - print '\textracting features (pass one)' - # separate prose and nonprose data prose = [] nonprose = [] @@ -389,15 +383,19 @@ def first_predict(self, data): print '\tpredicting labels (pass one) ' + flabel - ''' - # Reconstruct lists - X = list(X) - X = [ X[i:j] for i, j in zip([0] + offsets, offsets)] - # Predict - out = crf.predict(clf, X) - ''' - out = sci.predict(clf, X) + # CRF requires reconstruct lists + if self.crf_enabled: + X = list(X) + X = [ X[i:j] for i, j in zip([0] + offsets, offsets)] + lib = crf + else: + lib = sci + + + # Predict IOB labels + out = lib.predict(clf, X) + # Format labels from output pred = [out[i:j] for i, j in zip([0] + offsets, offsets)] From 5402da6a2c7db7dfb5809d81a68df273b96dd64e Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Sat, 16 Aug 2014 17:42:02 -0400 Subject: [PATCH 211/393] Added crf back into first pass --- clicon/features_dir/genia/genia_features.py | 16 +---- clicon/features_dir/genia/interface_genia.py | 33 ++-------- clicon/features_dir/sentence_features.py | 69 ++++++++++++++++++-- clicon/features_dir/umls/SQLookup.py | 19 ++++-- clicon/features_dir/umls/umls.py | 9 +-- clicon/features_dir/umls/umls_features.py | 5 +- clicon/features_dir/word_features.py | 8 +-- clicon/model.py | 66 +++++++++---------- 8 files changed, 126 insertions(+), 99 deletions(-) diff --git a/clicon/features_dir/genia/genia_features.py b/clicon/features_dir/genia/genia_features.py index 0a50850..e3ff957 100644 --- a/clicon/features_dir/genia/genia_features.py +++ b/clicon/features_dir/genia/genia_features.py @@ -9,7 +9,6 @@ import interface_genia - from features_dir import utilities @@ -58,25 +57,12 @@ def features(self, sentence, is_prose=True): genia_feats = next( self.GENIA_features ) + # Feature: Current word's GENIA features for i,curr in enumerate(genia_feats): - - # Feature: Current word's GENIA features keys = ['GENIA-stem','GENIA-POS','GENIA-chunktag'] output = dict( ((k, curr[k]), 1) for k in keys if k in curr ) features_list[i].update(output) - ''' - # Feature: Previous word's GENIA features - if i == 0: - output = dict( (('prev-'+k, ''), 1) for k in keys if k in curr) - else: - output = dict( (('prev-'+k, curr[k]), 1) for k in keys if k in curr) - ''' - - - features_list[i].update(output) - - return features_list diff --git a/clicon/features_dir/genia/interface_genia.py b/clicon/features_dir/genia/interface_genia.py index 8eaee66..6e72130 100644 --- a/clicon/features_dir/genia/interface_genia.py +++ b/clicon/features_dir/genia/interface_genia.py @@ -19,33 +19,15 @@ from commands import getstatusoutput -def main(): - f = open('/home/wboag/ConceptExtraction-master/data/concept_assertion_relation_training_data/beth/txt/record-20.txt', 'r') - txt = f.readlines() - - data = [] - for line in txt: - data.append(line.split()) - - tagger = '/home/wboag/geniatagger-3.0.1/geniatagger' - for (line,linedict) in zip(txt,genia(tagger,data)): - print line.split(), '\n' - for d in linedict: - print d - print '---\n\n' - - - -# -# genia() -# -# Call the genia tagger and return its output in python format -# def genia(geniatagger, data): ''' + genia() + + Purpose: Call the genia tagger and return its output in python format + @param geniatagger. A path to the executable geniatagger @param data. A list of list of strings (lines of words from a file) @return A list of dcitionaries of the genia tagger's output. @@ -53,7 +35,7 @@ def genia(geniatagger, data): # write list to file and then feed it to GENIA genia_dir = os.path.dirname(geniatagger) - tmp_out = os.path.join(genia_dir,'/tmp/clicon_genia_tmp_file.txt') + tmp_out = os.path.join(genia_dir,'clicon_genia_tmp_file.txt') with open(tmp_out, 'w') as f: for line in data: f.write(' '.join(line) + '\n') @@ -61,7 +43,7 @@ def genia(geniatagger, data): # Run genia tagger print '\t\tRunning GENIA tagger' genia_dir = os.path.dirname(geniatagger) - stream = getstatusoutput('cd %s ; ./geniatagger -nt %s' % (genia_dir,tmp_out)) + stream= getstatusoutput('cd %s ; ./geniatagger -nt %s' % (genia_dir,tmp_out)) # Process each line of output @@ -90,9 +72,6 @@ def genia(geniatagger, data): fline.append(output) j += 1 if j == len(data[i]): - #print data[i] - #print fline - #print '---' i += 1 j = 0 retlist.append(fline) diff --git a/clicon/features_dir/sentence_features.py b/clicon/features_dir/sentence_features.py index e0ae0ee..a8d5937 100644 --- a/clicon/features_dir/sentence_features.py +++ b/clicon/features_dir/sentence_features.py @@ -72,8 +72,12 @@ def __init__(self, data): #self.enabled_IOB_prose_sentence_features.append('prev_3_pos') #self.enabled_IOB_prose_sentence_features.append('next_3_pos') self.enabled_IOB_prose_sentence_features.append('prev') + #self.enabled_IOB_prose_sentence_features.append('prev2') + #self.enabled_IOB_prose_sentence_features.append('prev3') self.enabled_IOB_prose_sentence_features.append('next') - #self.enabled_IOB_prose_sentence_features.append('GENIA') + #self.enabled_IOB_prose_sentence_features.append('next2') + #self.enabled_IOB_prose_sentence_features.append('next3') + self.enabled_IOB_prose_sentence_features.append('GENIA') #self.enabled_IOB_prose_sentence_features.append('UMLS') @@ -93,7 +97,8 @@ def IOB_prose_features(self, sentence): # Only POS tag once - pos_tagged = nltk.pos_tag(sentence) + if 'pos' in self.enabled_IOB_prose_sentence_features: + pos_tagged = nltk.pos_tag(sentence) # Allow for particular features to be enabled @@ -176,6 +181,30 @@ def IOB_prose_features(self, sentence): else: ngram_features[i].update(prev_list[i-1]) + if "prev2" in self.enabled_IOB_prose_sentence_features: + prev2 = lambda f: {("prev2_"+k[0], k[1]): v/2.0 for k,v in f.items()} + prev_list = map(prev2, features_list) + for i in range(len(features_list)): + if i == 0: + ngram_features[i][("prev2", "*")] = 1 + elif i == 1: + ngram_features[i][("prev2", "*")] = 1 + else: + ngram_features[i].update(prev_list[i-2]) + + if "prev3" in self.enabled_IOB_prose_sentence_features: + prev3 = lambda f: {("prev3_"+k[0], k[1]): v/4.0 for k,v in f.items()} + prev_list = map(prev3, features_list) + for i in range(len(features_list)): + if i < len(features_list) - 4: + ngram_features[i].update(prev_list[i+3]) + elif i == len(features_list) - 3: + ngram_features[i][("prev3", "***")] = 1 + elif i == len(features_list) - 2: + ngram_features[i][("prev3", "**" )] = 1 + else: + ngram_features[i][("prev3", "*" )] = 1 + if "next" in self.enabled_IOB_prose_sentence_features: next = lambda f: {("next_"+k[0], k[1]): v for k,v in f.items()} next_list = map(next, features_list) @@ -185,15 +214,40 @@ def IOB_prose_features(self, sentence): else: ngram_features[i][("next", "*")] = 1 + if "next2" in self.enabled_IOB_prose_sentence_features: + next2 = lambda f: {("next2_"+k[0], k[1]): v/2.0 for k,v in f.items()} + next_list = map(next2, features_list) + for i in range(len(features_list)): + if i < len(features_list) - 2: + ngram_features[i].update(next_list[i+2]) + elif i == len(features_list) - 2: + ngram_features[i][("next2", "**")] = 1 + else: + ngram_features[i][("next2", "*")] = 1 + + if "next3" in self.enabled_IOB_prose_sentence_features: + next3 = lambda f: {("next3_"+k[0], k[1]): v/4.0 for k,v in f.items()} + next_list = map(next3, features_list) + for i in range(len(features_list)): + if i < len(features_list) - 4: + ngram_features[i].update(next_list[i+3]) + elif i == len(features_list) - 3: + ngram_features[i][("next3", "***")] = 1 + elif i == len(features_list) - 2: + ngram_features[i][("next3", "**" )] = 1 + else: + ngram_features[i][("next3", "*" )] = 1 + + merged = lambda d1, d2: dict(d1.items() + d2.items()) features_list = [merged(features_list[i], ngram_features[i]) for i in range(len(features_list))] - #for f in features_list: - # print sorted(f.items()) - # print - #print '\n\n\n' + for f in features_list: + print sorted(f.items()) + print + print '\n\n\n' return features_list @@ -213,7 +267,8 @@ def IOB_nonprose_features(self, sentence): features_list.append( word_feats ) - pos_tagged = nltk.pos_tag(sentence) + if 'pos' in self.enabled_IOB_nonprose_sentence_features: + pos_tagged = nltk.pos_tag(sentence) # Allow for particular features to be enabled diff --git a/clicon/features_dir/umls/SQLookup.py b/clicon/features_dir/umls/SQLookup.py index e1dbb8f..8a0df93 100644 --- a/clicon/features_dir/umls/SQLookup.py +++ b/clicon/features_dir/umls/SQLookup.py @@ -36,20 +36,25 @@ def SQlookup( c , string ): #returns the semantic type of a word def string_lookup( string ): - #return SQlookup( c , string ) - r = SQlookup( c , string ) + try: + return SQlookup( c , string ) + + except sqlite3.ProgrammingError, e: + + return [] - return r # get all semantic types for a given concept def cui_lookup( string ): - # queries database and finds semantic type match - c.execute( "SELECT cui FROM MRCON WHERE str = ?;" , (string,) ) + try: + # Get cuis + c.execute( "SELECT cui FROM MRCON WHERE str = ?;" , (string,) ) + return c.fetchall() - #returns a tuple with the match or None if there was no match. - return c.fetchall() + except sqlite3.ProgrammingError, e: + return [] def hypernyms_lookup( string ): diff --git a/clicon/features_dir/umls/umls.py b/clicon/features_dir/umls/umls.py index 6b314b8..d43ecf7 100644 --- a/clicon/features_dir/umls/umls.py +++ b/clicon/features_dir/umls/umls.py @@ -8,13 +8,14 @@ def umls_semantic_type_word( umls_string_cache , sentence ): mapping = umls_string_cache.get_map( sentence ) else: concept = SQLookup.string_lookup( sentence ) - #print sentence, ' - NOT FOUND' - #print '\t', concept + umls_string_cache.add_map( sentence , concept ) + ''' if concept != None: #umls_string_cache.add_map( sentence , concept[0] ) umls_string_cache.add_map( sentence , concept ) else: umls_string_cache.add_map( sentence , None ) + ''' mapping = umls_string_cache.get_map(sentence) #print 'umls_semantic_type_word - returning:' @@ -211,10 +212,10 @@ def get_cui( cache , word ): def umls_hypernyms( cache, string ): print 'hypernym lookup is unacceptably slow' - return [] + #return [] # If hypernyms already in cache - if cache.has_key( string + '--hypernymsaa' ): + if cache.has_key( string + '--hypernyms' ): hyps = cache.get_map( string + '--hypernyms' ) diff --git a/clicon/features_dir/umls/umls_features.py b/clicon/features_dir/umls/umls_features.py index e0032c9..ee192fe 100644 --- a/clicon/features_dir/umls/umls_features.py +++ b/clicon/features_dir/umls/umls_features.py @@ -17,7 +17,7 @@ class UMLSFeatures: - enabled_prose_features = ImmutableSet( [ 'umls_cui', 'umls_hypernyms' ] ) + enabled_prose_features = ImmutableSet( [ 'umls_cui', 'umls_semantic_type_word', 'umls_hypernyms' ] ) enabled_nonprose_features = ImmutableSet( [ 'umls_cui', 'umls_semantic_type_word' ] ) @@ -83,6 +83,9 @@ def IOB_prose_features(self, word): if feature == "umls_semantic_type_word": # Get UMLS semantic type (could have multiple) mapping = umls.umls_semantic_type_word(self.umls_lookup_cache , word ) + + print mapping + # If is at least one semantic type if mapping != None: for concept in mapping: diff --git a/clicon/features_dir/word_features.py b/clicon/features_dir/word_features.py index eba0644..312c63a 100644 --- a/clicon/features_dir/word_features.py +++ b/clicon/features_dir/word_features.py @@ -25,7 +25,6 @@ class WordFeatures: #enabled_IOB_prose_word_features = ImmutableSet( ['Generic#', 'last_two_letters', 'word', 'length', 'mitre', 'stem_porter', 'stem_lancaster', 'word_shape', 'metric_unit' ] ) - enabled_IOB_prose_word_features = [] enabled_IOB_nonprose_word_features = ImmutableSet( ['word', 'word_shape', 'metric_unit', 'mitre', 'directive', 'date' ] ) @@ -34,7 +33,8 @@ class WordFeatures: def __init__(self): - self.enabled_IOB_prose_word_features.append('word') + self.enabled_IOB_prose_word_features = [] + #self.enabled_IOB_prose_word_features.append('word') self.enabled_IOB_prose_word_features.append('Generic#') #self.enabled_IOB_prose_word_features.append('last_two_letters') #self.enabled_IOB_prose_word_features.append('length') @@ -63,8 +63,7 @@ def IOB_prose_features(self, word): features[ (feature, st.stem(word.lower())) ] = 1 if feature == "word": - w = word.lower() - features[(feature, w)] = 1 + features[(feature, word.lower())] = 1 # Feature: Generic# stemmed word if feature == 'Generic#': @@ -160,6 +159,7 @@ def IOB_nonprose_features(self, word): + def concept_features_for_word(self, word): """ diff --git a/clicon/model.py b/clicon/model.py index e179ffc..2af5a6b 100644 --- a/clicon/model.py +++ b/clicon/model.py @@ -51,6 +51,9 @@ def __init__(self, filename='awesome.model'): self.filename = os.path.realpath(filename) + # Use python-crfsuite + self.crf_enabled = True + # DictVectorizers self.first_prose_vec = DictVectorizer() self.first_nonprose_vec = DictVectorizer() @@ -139,17 +142,6 @@ def first_train(self, data, Y, do_grid=True): print '\textracting features (pass one)' - -# profile.run(''' -#from features.features import FeatureWrapper -#def tmp_func(data, Y): -# feat_obj = FeatureWrapper(data) -# for line in data: isProse,feats = feat_obj.IOB_features(line) -#tmp_func(%s,%s)''' % (data,Y)) -# exit() - - - # Create object that is a wrapper for the features feat_obj = features.FeatureWrapper(data) @@ -202,18 +194,19 @@ def first_train(self, data, Y, do_grid=True): print '\ttraining classifiers (pass one) ' + flabel - ''' - # Reconstruct lists - X = list(X) - X = [ X[i:j] for i, j in zip([0] + offsets, offsets)] - Y = [ Y[i:j] for i, j in zip([0] + offsets, offsets)] - # Train classifiers - clf = crf.train(X, Y, do_grid) - classifiers.append(clf) - ''' + + # CRF needs reconstructed lists + if self.crf_enabled: + X = list(X) + X = [ X[i:j] for i, j in zip([0] + offsets, offsets)] + Y = [ Y[i:j] for i, j in zip([0] + offsets, offsets)] + lib = crf + else: + lib = sci - clf = sci.train(X, Y, do_grid) + # Train classifiers + clf = lib.train(X, Y, do_grid) classifiers.append(clf) @@ -254,11 +247,11 @@ def second_train(self, data, inds_list, Y, do_grid=True): """ - # Create object that is a wrapper for the features - feat_o = features.FeatureWrapper() + print '\textracting features (pass two)' - print '\textracting features (pass two)' + # Create object that is a wrapper for the features + feat_o = features.FeatureWrapper() # Extract features @@ -340,12 +333,13 @@ def first_predict(self, data): @return A list of list of IOB labels (1:1 mapping with data) """ + print '\textracting features (pass one)' + + # Create object that is a wrapper for the features feat_obj = features.FeatureWrapper(data) - print '\textracting features (pass one)' - # separate prose and nonprose data prose = [] nonprose = [] @@ -389,15 +383,19 @@ def first_predict(self, data): print '\tpredicting labels (pass one) ' + flabel - ''' - # Reconstruct lists - X = list(X) - X = [ X[i:j] for i, j in zip([0] + offsets, offsets)] - # Predict - out = crf.predict(clf, X) - ''' - out = sci.predict(clf, X) + # CRF requires reconstruct lists + if self.crf_enabled: + X = list(X) + X = [ X[i:j] for i, j in zip([0] + offsets, offsets)] + lib = crf + else: + lib = sci + + + # Predict IOB labels + out = lib.predict(clf, X) + # Format labels from output pred = [out[i:j] for i, j in zip([0] + offsets, offsets)] From 0cb448ad8376291c3396af9e9c0d6e99034ce77c Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 20 Aug 2014 20:57:21 -0400 Subject: [PATCH 212/393] Added a few examples to readme --- README.rst | 52 +++++++++++++++++++++--------- clicon/cli.py | 12 ++++--- clicon/format.py | 76 ++++++++++++++++++++------------------------ clicon/model.py | 81 +++++++++++++++++++---------------------------- clicon/note.py | 37 +++++++++++++++------- clicon/predict.py | 45 ++++++++++++++------------ clicon/sci.py | 67 ++++++++++++++------------------------- clicon/train.py | 53 ++++++------------------------- 8 files changed, 193 insertions(+), 230 deletions(-) diff --git a/README.rst b/README.rst index 823db85..5165a23 100644 --- a/README.rst +++ b/README.rst @@ -25,6 +25,43 @@ Features +Usage Examples +-------- + + End-to-End + + export CLICON_DIR=. + bash install.sh + clicon train $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/examples/pretend.con + clicon predict $CLICON_DIR/examples/pretend.txt --out $CLICON_DIR/data/test_predictions/ + clicon format $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/data/test_predictions/lin/pretend.con --format xml + + + i2b2 format + Example: Train model on i2b2-formatted data + clicon train $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/examples/pretend.con + + Example: Predict concepts and output in i2b2 format + clicon predict $CLICON_DIR/examples/pretend.txt --out $CLICON_DIR/data/test_predictions/ + + example: Change Format + clicon format $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/data/test_predictions/pretend.con --format xml + + example: Evaluation + + xml format + Example: Train model on xml-formatted data + clicon train $CLICON_DIR/examples/pretend.xml --format xml + + Example: Predict concepts and output in xml format + clicon predict $CLICON_DIR/examples/pretend.txt --out $CLICON_DIR/data/test_predictions/ --format xml + + example: Change Format + clicon format $CLICON_DIR/data/test_predictions/pretend.xml --format i2b2 + + + + Installation -------- @@ -205,18 +242,3 @@ Installation Script **We haven't done any unit tests yet** - - - -Usage Examples --------- - - CliCon is a Machine Learning interface for concept extraction. It is able to train and predict on data. It can also change formats from i2b2 <-> xml. Soon, it will also provide an evaluation metric to see how correct its predictions actually are. - - example 1: Sanity Check - Train/Predict on the same file - (venv_clicon)user@your-machine:~/CliCon$ clicon train $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/examples/pretend.con - - (venv_clicon)user@your-machine:~/CliCon$ clicon predict $CLICON_DIR/examples/pretend.txt --out $CLICON_DIR/data/test_predictions/ - - (venv_clicon)user@your-machine:~/CliCon$ clicon format $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/data/test_predictions/lin/pretend.con --format xml - diff --git a/clicon/cli.py b/clicon/cli.py index c3add9a..a0ec305 100644 --- a/clicon/cli.py +++ b/clicon/cli.py @@ -21,7 +21,7 @@ def train(annotations, model, format, input): # Command line arguments - if not annotations: + if (format == 'i2b2') and (not annotations): print >>sys.stderr, '\n\tError: Must provide annotations for text files' print >>sys.stderr, '' exit(1) @@ -38,14 +38,16 @@ def train(annotations, model, format, input): # Build command - cmd = ['python', runable, '-t', input, '-c', annotations] + cmd = ['python', runable, '-t', input] - # Optional arguments + # Arguments + if annotations: + cmd += ['-c', annotations] if model: - cmd += ['-m', model] + cmd += ['-m', model] if format: - cmd += ['-f', format] + cmd += ['-f', format] # Execute train.py diff --git a/clicon/format.py b/clicon/format.py index 49ce02e..eed9856 100644 --- a/clicon/format.py +++ b/clicon/format.py @@ -22,6 +22,13 @@ + +def create_filename(odir, bfile, extension): + fname = os.path.basename(bfile) + extension + return os.path.join(odir,fname) + + + def main(): # Argument Parser @@ -44,7 +51,7 @@ def main(): parser.add_argument("-o", dest = "out", - default = '.', + default = None, help = "Directory to output data", ) @@ -58,11 +65,11 @@ def main(): # Parse arguments - txt_f = args.txt - con_f = args.con - xml_f = args.xml - out_dir = args.out - format = args.format + txt = args.txt + con = args.con + xml = args.xml + out_file = args.out + format = args.format # Ensure format is specified @@ -72,12 +79,12 @@ def main(): exit(1) # Cannot have ambiguous input - if (txt_f and con_f) and xml_f: + if (txt and con) and xml: print >>sys.stderr, '\n\tError: Input must be either (i2b2) XOR (xml)\n' exit(2) - # Ensure proper data is available (equal - AKA if not XOR) - if (not (txt_f and con_f)) and (not xml_f): + # If insufficient data is given (must have txt+con OR xml) + if (not (txt and con)) and (not xml): print >>sys.stderr, '\n\tError: Must supply either:' print >>sys.stderr, '\t 1) i2b2 txt & con file' print >>sys.stderr, '\t 2) xml file\n' @@ -86,49 +93,34 @@ def main(): # Read input data into note object N = note.Note() - if xml_f: - basefile = xml_f - N.read_xml(xml_f) + if xml: + N.read_xml(xml) else: - basefile = txt_f - N.read_i2b2(txt_f, con_f) + N.read_i2b2(txt, con) - - # Output data in desired format - if format == 'xml': - - # xml format - xml_out = N.write_xml() - - # output xml file - xml_file = create_filename(out_dir, basefile, '.xml') - output_file(xml_file, xml_out) + # Where to output data + if out_file: + out_f = open(out_file, 'w') else: + out_f = sys.stdout + + # Desired output format + if format == 'xml': + out = N.write_xml() + else: # i2b2 format - txt_out = N.write_txt() - con_out = N.write_i2b2_con() - - # output txt file - txt_file = create_filename(out_dir, basefile, '.txt') - output_file(txt_file, txt_out) + out = N.write_i2b2() - # output con file - con_file = create_filename(out_dir, basefile, '.con') - output_file(con_file, con_out) + # Output data + out_f.write(out) + # Close output file + if out_file: + out_f.close() -def output_file(fname, out): - print 'outputting: ', fname - with open(fname, 'w') as f: - print >>f, out - - -def create_filename(odir, bfile, extension): - fname = bfile[:-4] + extension - return os.path.join(odir,fname) if __name__ == '__main__': diff --git a/clicon/model.py b/clicon/model.py index 81d07d0..c97476e 100644 --- a/clicon/model.py +++ b/clicon/model.py @@ -38,7 +38,7 @@ def load(filename='awesome.model'): return model - def __init__(self, filename='awesome.model', type=sci.LIN): + def __init__(self, filename='awesome.model'): model_directory = os.path.dirname(filename) if model_directory != "": @@ -52,13 +52,10 @@ def __init__(self, filename='awesome.model', type=sci.LIN): self.second_vec = DictVectorizer() # Classifiers - self.first_prose_clfs = {} - self.first_nonprose_clfs = {} - self.second_clfs = {} + self.first_prose_clf = {} + self.first_nonprose_clf = {} + self.second_clf = {} - # FIXME: Only using scikit's SVM - self.type = sci.LIN - def train(self, notes): @@ -197,8 +194,8 @@ def first_train(self, data, Y, do_grid=True): # Train classifiers - self.first_prose_clfs = sci.train(X_prose , Y_prose , self.type, do_grid) - self.first_nonprose_clfs = sci.train(X_nonprose, Y_nonprose, self.type, do_grid) + self.first_prose_clf = sci.train(X_prose , Y_prose , do_grid) + self.first_nonprose_clf = sci.train(X_nonprose, Y_nonprose, do_grid) @@ -254,7 +251,7 @@ def second_train(self, data, inds_list, Y, do_grid=True): # Train the model - self.second_clfs = sci.train(X, Y, self.type, do_grid) + self.second_clf = sci.train(X, Y, do_grid) @@ -345,13 +342,13 @@ def first_predict(self, data): # Predict - out_p = sci.predict(self.first_prose_clfs , X_prose, sci.LIN) - out_n = sci.predict(self.first_nonprose_clfs, X_nonprose,sci.LIN) + out_p = sci.predict(self.first_prose_clf , X_prose ) + out_n = sci.predict(self.first_nonprose_clf, X_nonprose) # Format labels - plist = [ n for n in list(out_p[sci.LIN]) ] - nlist = [ n for n in list(out_n[sci.LIN]) ] + plist = [ n for n in list(out_p) ] + nlist = [ n for n in list(out_n) ] # Stitch prose and nonprose labels lists together @@ -422,51 +419,37 @@ def second_predict(self, data, inds_list): # Predict concept labels - out = sci.predict(self.second_clfs, X, sci.LIN) - - - - # FIXME - Output prediction labels are entirely wrong - # ex. trained on file with 3 concepts (prob,treat,treat) and predicted - # on same file. Got (test,test,test) as labels - - retVal = {} - for t in sci.bits(self.type): + out = sci.predict(self.second_clf, X) - # Index into output dictionary - o = list(out[t]) - classifications = [] + # Line-by-line processing + o = list(out) + classifications = [] + for lineno,inds in enumerate(inds_list): - # Line-by-line processing - for lineno,inds in enumerate(inds_list): + # Skip empty line + if not inds: continue - # Skip empty line - if not inds: continue + # For each concept + for ind in inds: + # Get next concept + concept = Model.reverse_labels[o.pop(0)] - # For each concept - for ind in inds: + # Get start position (ex. 7th word of line) + start = 0 + for i in range(ind): + start += len( data[lineno][i].split() ) - # Get next concept - concept = Model.reverse_labels[o.pop(0)] - - # Get start position (ex. 7th word of line) - start = 0 - for i in range(ind): - start += len( data[lineno][i].split() ) - - # Length of chunk - length = len(data[lineno][ind].split()) - - # Classification token - classifications.append( (concept, lineno+1, start, start+length-1 ) ) - - retVal[t] = classifications + # Length of chunk + length = len(data[lineno][ind].split()) + # Classification token + classifications.append( (concept,lineno+1,start,start+length-1) ) + # Return values - return retVal + return classifications diff --git a/clicon/note.py b/clicon/note.py index 8b307ae..08b0385 100644 --- a/clicon/note.py +++ b/clicon/note.py @@ -8,8 +8,8 @@ class Note: # Constructor def __init__(self): - # data - A list of list of words - # concepts - A one-to-one correspondence of each word's concept + # data - A list of list of words + # concepts - A one-to-one correspondence of each word's concept # classifications - A list of tuples that convey concept labels # boundaries - A one-to-one correspondence of each word's BIO status self.data = [] @@ -108,10 +108,10 @@ def write_txt(self): - def write_i2b2_con(self, labels=None): + def write_i2b2(self, labels=None): """ - Note::write_i2b2_con() + Note::write_i2b2() Purpose: Return the given concept label predictions in i2b2 format @@ -190,8 +190,8 @@ def write_BIOs_labels(self, filename, labels): Purpose: Print the prediction of BIOs concept boundary classification - @param _. Filename. Ignore it. - @param labels. A list of list of BIOs labels + @param filename. Filename. Ignore it. + @param labels. A list of list of BIOs labels """ fid = open(filename,"w") @@ -337,8 +337,11 @@ def read_xml(self, xml): start_ind = -1 i = 0 + # IOB labels + iobs = [] # [ 'O' for _ in line.split() ] + # State variable is sufficient because concepts are not nested - inside_concept = False + concept_state = 'O' for word in line.split(): # Search for xml tag @@ -347,30 +350,40 @@ def read_xml(self, xml): con = match.group(1) - # end tag + # begin tag if con[0] != '/': # store data concept = con start_ind = i # state variable - inside_concept = True + concept_state = 'B' - # begin tag + # end tag else: # store data tup = (concept,lineno+1,start_ind,i-1) self.classifications.append(tup) # state variable - inside_concept = False + concept_state = 'O' # non-tag text else: + # Part of multi-word concept + if concept_state == 'B': + iobs.append('B') + concept_state = 'I' + else: + iobs.append(concept_state) + # Next token i += 1 + self.boundaries.append(iobs) + + def write_xml(self, labels=None): @@ -428,7 +441,7 @@ def write_xml(self, labels=None): # Stitch text back together toks = [ ' '.join(s) for s in toks ] - toks = '\n'.join(toks) + toks = '\n'.join(toks) + '\n' #print toks #print '' diff --git a/clicon/predict.py b/clicon/predict.py index 9829198..729cdbe 100644 --- a/clicon/predict.py +++ b/clicon/predict.py @@ -45,6 +45,17 @@ def main(): format = args.format + # Must specify output format + if (format != 'i2b2') and (format != 'xml'): + print >>sys.stderr, '\n\tError: Must specify output format (i2b2 or xml)' + print >>sys.stderr, '' + exit(1) + + + # Output directory + helper.mkpath(os.path.join(args.output)) + + # Load model model = Model.load(args.model) @@ -65,30 +76,24 @@ def main(): labels = model.predict(note) - # Output directory - con = os.path.split(txt)[-1] - con = con[:-3] + 'con' - - - for t in sci.bits(model.type): + # Get predictions in proper format + if format == 'i2b2': + extension = 'con' + output = note.write_i2b2(labels) + else: + extension = 'xml' + output = note.write_xml(labels) - if t == sci.LIN: - helper.mkpath(os.path.join(args.output, "lin")) - con_path = os.path.join(args.output, "lin", con) + # Output file + basename = os.path.basename(txt)[:-3] + extension + out_path = os.path.join(args.output, basename) - # Get predictions in proper format - if format == 'i2b2': - output = note.write_i2b2_con(labels[t]) - elif format == 'xml': - output = note.write_xml(labels[t]) - else: - output = '' - # Output the concept predictions - print '\n\nwriting to: ', con_path - with open(con_path, 'w') as f: - print >>f, output + # Output the concept predictions + print '\n\nwriting to: ', out_path + with open(out_path, 'w') as f: + print >>f, output print '' diff --git a/clicon/sci.py b/clicon/sci.py index 56f770b..369dab4 100644 --- a/clicon/sci.py +++ b/clicon/sci.py @@ -5,19 +5,9 @@ from multiprocessing import cpu_count from sklearn.metrics import f1_score -LIN = 2**0 -CRF = 2**1 -SVM = 2**2 -ALL = sum(2**i for i in range(3)) -def bits(n): - while n: - b = n & (~n+1) - yield b - n ^= b - -def train(X, Y, type, do_grid): +def train(X, Y, do_grid): # Search space C_range = 10.0 ** np.arange( -5, 9 ) @@ -25,48 +15,37 @@ def train(X, Y, type, do_grid): # Grid search - retVal = {} - for t in bits(type): - - if do_grid: + if do_grid: - if t == SVM: - estimates = SVC() - gamma_range = 10.0 ** np.arange( -5 , 9 ) - parameters = [{'kernel':['rbf'], 'C':C_range, 'gamma':gamma_range}] - - if t == LIN: - estimates = LinearSVC() - parameters = [ {'C':C_range } ] - - # Find best classifier - clf = GridSearchCV(estimates, parameters, score_func = f1_score, n_jobs = cpu_count() ) - clf.fit( X , Y ) - retVal[t] = clf + ''' + estimates = SVC() + gamma_range = 10.0 ** np.arange( -5 , 9 ) + parameters = [{'kernel':['rbf'], 'C':C_range, 'gamma':gamma_range}] + ''' + + estimates = LinearSVC() + parameters = [ {'C':C_range } ] + + # Find best classifier + clf = GridSearchCV(estimates, parameters, score_func = f1_score, + n_jobs = cpu_count() ) + clf.fit(X, Y) - else: + else: - clf = LinearSVC() - clf.fit(X, Y) - retVal[t] = clf + clf = LinearSVC() + clf.fit(X, Y) # Return all chosen classifiers - return retVal - - + return clf -def predict(clfs, X, type): - retVal = {} - for t in bits(type): - # Predict - clf = clfs[t] - output = clf.predict(X) - retVal[t] = output +def predict(clf, X): - # Return all predictions - return retVal + # Predict + output = clf.predict(X) + return output diff --git a/clicon/train.py b/clicon/train.py index be26532..9e22fba 100644 --- a/clicon/train.py +++ b/clicon/train.py @@ -3,7 +3,6 @@ import glob import argparse import helper -import libml from sets import Set from model import Model @@ -14,35 +13,21 @@ def main(): parser = argparse.ArgumentParser() parser.add_argument("-t", - dest = "txt", - help = "The files that contain the training examples", - default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/concept_assertion_relation_training_data/merged/txt/*') + dest = "txt", + help = "The files that contain the training examples", + default = os.path.join(os.getenv('CLICON_DIR'), 'data/concept_assertion_relation_training_data/merged/txt/*') ) parser.add_argument("-c", - dest = "con", - help = "The files that contain the labels for the training examples", - default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/concept_assertion_relation_training_data/merged/concept/*') + dest = "con", + help = "The files that contain the labels for the training examples", + default = os.path.join(os.getenv('CLICON_DIR'), 'data/concept_assertion_relation_training_data/merged/concept/*') ) parser.add_argument("-m", - dest = "model", - help = "Path to the model that should be generated", - default = os.path.join(os.path.dirname(os.path.abspath(__file__)), '../models/run_models/run.model') - ) - - parser.add_argument("-d", - dest = "disabled_features", - help = "The features that should not be used", - nargs = "+", - default = None - ) - - parser.add_argument("-e", - dest = "enabled_features", - help = "The features that should be used. This option trumps -d", - nargs = "+", - default = None + dest = "model", + help = "Path to the model that should be generated", + default = os.path.join(os.getenv('CLICON_DIR'), 'models/run_models/run.model') ) parser.add_argument("-f", @@ -51,24 +36,6 @@ def main(): default = 'i2b2' ) - parser.add_argument("--no-svm", - dest = "no_svm", - action = "store_true", - help = "Disable SVM model generation", - ) - - parser.add_argument("--no-lin", - dest = "no_lin", - action = "store_true", - help = "Disable LIN model generation", - ) - - parser.add_argument("--no-crf", - dest = "no_crf", - action = "store_true", - help = "Disable CRF model generation", - ) - # Parse the command line arguments args = parser.parse_args() @@ -133,7 +100,7 @@ def main(): # Create a Machine Learning model - model = Model(filename = args.model, type = libml.LIN) + model = Model(filename = args.model) # Train the model using the Note's data From b4dc9efd076b8376a98b5701204f1459b4e16063 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 20 Aug 2014 20:57:21 -0400 Subject: [PATCH 213/393] Added a few examples to readme --- README.rst | 52 +++++++++++++++++++++--------- clicon/cli.py | 12 ++++--- clicon/format.py | 76 ++++++++++++++++++++------------------------ clicon/model.py | 81 +++++++++++++++++++---------------------------- clicon/note.py | 37 +++++++++++++++------- clicon/predict.py | 45 ++++++++++++++------------ clicon/sci.py | 67 ++++++++++++++------------------------- clicon/train.py | 53 ++++++------------------------- 8 files changed, 193 insertions(+), 230 deletions(-) diff --git a/README.rst b/README.rst index 823db85..5165a23 100644 --- a/README.rst +++ b/README.rst @@ -25,6 +25,43 @@ Features +Usage Examples +-------- + + End-to-End + + export CLICON_DIR=. + bash install.sh + clicon train $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/examples/pretend.con + clicon predict $CLICON_DIR/examples/pretend.txt --out $CLICON_DIR/data/test_predictions/ + clicon format $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/data/test_predictions/lin/pretend.con --format xml + + + i2b2 format + Example: Train model on i2b2-formatted data + clicon train $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/examples/pretend.con + + Example: Predict concepts and output in i2b2 format + clicon predict $CLICON_DIR/examples/pretend.txt --out $CLICON_DIR/data/test_predictions/ + + example: Change Format + clicon format $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/data/test_predictions/pretend.con --format xml + + example: Evaluation + + xml format + Example: Train model on xml-formatted data + clicon train $CLICON_DIR/examples/pretend.xml --format xml + + Example: Predict concepts and output in xml format + clicon predict $CLICON_DIR/examples/pretend.txt --out $CLICON_DIR/data/test_predictions/ --format xml + + example: Change Format + clicon format $CLICON_DIR/data/test_predictions/pretend.xml --format i2b2 + + + + Installation -------- @@ -205,18 +242,3 @@ Installation Script **We haven't done any unit tests yet** - - - -Usage Examples --------- - - CliCon is a Machine Learning interface for concept extraction. It is able to train and predict on data. It can also change formats from i2b2 <-> xml. Soon, it will also provide an evaluation metric to see how correct its predictions actually are. - - example 1: Sanity Check - Train/Predict on the same file - (venv_clicon)user@your-machine:~/CliCon$ clicon train $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/examples/pretend.con - - (venv_clicon)user@your-machine:~/CliCon$ clicon predict $CLICON_DIR/examples/pretend.txt --out $CLICON_DIR/data/test_predictions/ - - (venv_clicon)user@your-machine:~/CliCon$ clicon format $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/data/test_predictions/lin/pretend.con --format xml - diff --git a/clicon/cli.py b/clicon/cli.py index c3add9a..a0ec305 100644 --- a/clicon/cli.py +++ b/clicon/cli.py @@ -21,7 +21,7 @@ def train(annotations, model, format, input): # Command line arguments - if not annotations: + if (format == 'i2b2') and (not annotations): print >>sys.stderr, '\n\tError: Must provide annotations for text files' print >>sys.stderr, '' exit(1) @@ -38,14 +38,16 @@ def train(annotations, model, format, input): # Build command - cmd = ['python', runable, '-t', input, '-c', annotations] + cmd = ['python', runable, '-t', input] - # Optional arguments + # Arguments + if annotations: + cmd += ['-c', annotations] if model: - cmd += ['-m', model] + cmd += ['-m', model] if format: - cmd += ['-f', format] + cmd += ['-f', format] # Execute train.py diff --git a/clicon/format.py b/clicon/format.py index 49ce02e..eed9856 100644 --- a/clicon/format.py +++ b/clicon/format.py @@ -22,6 +22,13 @@ + +def create_filename(odir, bfile, extension): + fname = os.path.basename(bfile) + extension + return os.path.join(odir,fname) + + + def main(): # Argument Parser @@ -44,7 +51,7 @@ def main(): parser.add_argument("-o", dest = "out", - default = '.', + default = None, help = "Directory to output data", ) @@ -58,11 +65,11 @@ def main(): # Parse arguments - txt_f = args.txt - con_f = args.con - xml_f = args.xml - out_dir = args.out - format = args.format + txt = args.txt + con = args.con + xml = args.xml + out_file = args.out + format = args.format # Ensure format is specified @@ -72,12 +79,12 @@ def main(): exit(1) # Cannot have ambiguous input - if (txt_f and con_f) and xml_f: + if (txt and con) and xml: print >>sys.stderr, '\n\tError: Input must be either (i2b2) XOR (xml)\n' exit(2) - # Ensure proper data is available (equal - AKA if not XOR) - if (not (txt_f and con_f)) and (not xml_f): + # If insufficient data is given (must have txt+con OR xml) + if (not (txt and con)) and (not xml): print >>sys.stderr, '\n\tError: Must supply either:' print >>sys.stderr, '\t 1) i2b2 txt & con file' print >>sys.stderr, '\t 2) xml file\n' @@ -86,49 +93,34 @@ def main(): # Read input data into note object N = note.Note() - if xml_f: - basefile = xml_f - N.read_xml(xml_f) + if xml: + N.read_xml(xml) else: - basefile = txt_f - N.read_i2b2(txt_f, con_f) + N.read_i2b2(txt, con) - - # Output data in desired format - if format == 'xml': - - # xml format - xml_out = N.write_xml() - - # output xml file - xml_file = create_filename(out_dir, basefile, '.xml') - output_file(xml_file, xml_out) + # Where to output data + if out_file: + out_f = open(out_file, 'w') else: + out_f = sys.stdout + + # Desired output format + if format == 'xml': + out = N.write_xml() + else: # i2b2 format - txt_out = N.write_txt() - con_out = N.write_i2b2_con() - - # output txt file - txt_file = create_filename(out_dir, basefile, '.txt') - output_file(txt_file, txt_out) + out = N.write_i2b2() - # output con file - con_file = create_filename(out_dir, basefile, '.con') - output_file(con_file, con_out) + # Output data + out_f.write(out) + # Close output file + if out_file: + out_f.close() -def output_file(fname, out): - print 'outputting: ', fname - with open(fname, 'w') as f: - print >>f, out - - -def create_filename(odir, bfile, extension): - fname = bfile[:-4] + extension - return os.path.join(odir,fname) if __name__ == '__main__': diff --git a/clicon/model.py b/clicon/model.py index 81d07d0..c97476e 100644 --- a/clicon/model.py +++ b/clicon/model.py @@ -38,7 +38,7 @@ def load(filename='awesome.model'): return model - def __init__(self, filename='awesome.model', type=sci.LIN): + def __init__(self, filename='awesome.model'): model_directory = os.path.dirname(filename) if model_directory != "": @@ -52,13 +52,10 @@ def __init__(self, filename='awesome.model', type=sci.LIN): self.second_vec = DictVectorizer() # Classifiers - self.first_prose_clfs = {} - self.first_nonprose_clfs = {} - self.second_clfs = {} + self.first_prose_clf = {} + self.first_nonprose_clf = {} + self.second_clf = {} - # FIXME: Only using scikit's SVM - self.type = sci.LIN - def train(self, notes): @@ -197,8 +194,8 @@ def first_train(self, data, Y, do_grid=True): # Train classifiers - self.first_prose_clfs = sci.train(X_prose , Y_prose , self.type, do_grid) - self.first_nonprose_clfs = sci.train(X_nonprose, Y_nonprose, self.type, do_grid) + self.first_prose_clf = sci.train(X_prose , Y_prose , do_grid) + self.first_nonprose_clf = sci.train(X_nonprose, Y_nonprose, do_grid) @@ -254,7 +251,7 @@ def second_train(self, data, inds_list, Y, do_grid=True): # Train the model - self.second_clfs = sci.train(X, Y, self.type, do_grid) + self.second_clf = sci.train(X, Y, do_grid) @@ -345,13 +342,13 @@ def first_predict(self, data): # Predict - out_p = sci.predict(self.first_prose_clfs , X_prose, sci.LIN) - out_n = sci.predict(self.first_nonprose_clfs, X_nonprose,sci.LIN) + out_p = sci.predict(self.first_prose_clf , X_prose ) + out_n = sci.predict(self.first_nonprose_clf, X_nonprose) # Format labels - plist = [ n for n in list(out_p[sci.LIN]) ] - nlist = [ n for n in list(out_n[sci.LIN]) ] + plist = [ n for n in list(out_p) ] + nlist = [ n for n in list(out_n) ] # Stitch prose and nonprose labels lists together @@ -422,51 +419,37 @@ def second_predict(self, data, inds_list): # Predict concept labels - out = sci.predict(self.second_clfs, X, sci.LIN) - - - - # FIXME - Output prediction labels are entirely wrong - # ex. trained on file with 3 concepts (prob,treat,treat) and predicted - # on same file. Got (test,test,test) as labels - - retVal = {} - for t in sci.bits(self.type): + out = sci.predict(self.second_clf, X) - # Index into output dictionary - o = list(out[t]) - classifications = [] + # Line-by-line processing + o = list(out) + classifications = [] + for lineno,inds in enumerate(inds_list): - # Line-by-line processing - for lineno,inds in enumerate(inds_list): + # Skip empty line + if not inds: continue - # Skip empty line - if not inds: continue + # For each concept + for ind in inds: + # Get next concept + concept = Model.reverse_labels[o.pop(0)] - # For each concept - for ind in inds: + # Get start position (ex. 7th word of line) + start = 0 + for i in range(ind): + start += len( data[lineno][i].split() ) - # Get next concept - concept = Model.reverse_labels[o.pop(0)] - - # Get start position (ex. 7th word of line) - start = 0 - for i in range(ind): - start += len( data[lineno][i].split() ) - - # Length of chunk - length = len(data[lineno][ind].split()) - - # Classification token - classifications.append( (concept, lineno+1, start, start+length-1 ) ) - - retVal[t] = classifications + # Length of chunk + length = len(data[lineno][ind].split()) + # Classification token + classifications.append( (concept,lineno+1,start,start+length-1) ) + # Return values - return retVal + return classifications diff --git a/clicon/note.py b/clicon/note.py index 8b307ae..08b0385 100644 --- a/clicon/note.py +++ b/clicon/note.py @@ -8,8 +8,8 @@ class Note: # Constructor def __init__(self): - # data - A list of list of words - # concepts - A one-to-one correspondence of each word's concept + # data - A list of list of words + # concepts - A one-to-one correspondence of each word's concept # classifications - A list of tuples that convey concept labels # boundaries - A one-to-one correspondence of each word's BIO status self.data = [] @@ -108,10 +108,10 @@ def write_txt(self): - def write_i2b2_con(self, labels=None): + def write_i2b2(self, labels=None): """ - Note::write_i2b2_con() + Note::write_i2b2() Purpose: Return the given concept label predictions in i2b2 format @@ -190,8 +190,8 @@ def write_BIOs_labels(self, filename, labels): Purpose: Print the prediction of BIOs concept boundary classification - @param _. Filename. Ignore it. - @param labels. A list of list of BIOs labels + @param filename. Filename. Ignore it. + @param labels. A list of list of BIOs labels """ fid = open(filename,"w") @@ -337,8 +337,11 @@ def read_xml(self, xml): start_ind = -1 i = 0 + # IOB labels + iobs = [] # [ 'O' for _ in line.split() ] + # State variable is sufficient because concepts are not nested - inside_concept = False + concept_state = 'O' for word in line.split(): # Search for xml tag @@ -347,30 +350,40 @@ def read_xml(self, xml): con = match.group(1) - # end tag + # begin tag if con[0] != '/': # store data concept = con start_ind = i # state variable - inside_concept = True + concept_state = 'B' - # begin tag + # end tag else: # store data tup = (concept,lineno+1,start_ind,i-1) self.classifications.append(tup) # state variable - inside_concept = False + concept_state = 'O' # non-tag text else: + # Part of multi-word concept + if concept_state == 'B': + iobs.append('B') + concept_state = 'I' + else: + iobs.append(concept_state) + # Next token i += 1 + self.boundaries.append(iobs) + + def write_xml(self, labels=None): @@ -428,7 +441,7 @@ def write_xml(self, labels=None): # Stitch text back together toks = [ ' '.join(s) for s in toks ] - toks = '\n'.join(toks) + toks = '\n'.join(toks) + '\n' #print toks #print '' diff --git a/clicon/predict.py b/clicon/predict.py index 9829198..729cdbe 100644 --- a/clicon/predict.py +++ b/clicon/predict.py @@ -45,6 +45,17 @@ def main(): format = args.format + # Must specify output format + if (format != 'i2b2') and (format != 'xml'): + print >>sys.stderr, '\n\tError: Must specify output format (i2b2 or xml)' + print >>sys.stderr, '' + exit(1) + + + # Output directory + helper.mkpath(os.path.join(args.output)) + + # Load model model = Model.load(args.model) @@ -65,30 +76,24 @@ def main(): labels = model.predict(note) - # Output directory - con = os.path.split(txt)[-1] - con = con[:-3] + 'con' - - - for t in sci.bits(model.type): + # Get predictions in proper format + if format == 'i2b2': + extension = 'con' + output = note.write_i2b2(labels) + else: + extension = 'xml' + output = note.write_xml(labels) - if t == sci.LIN: - helper.mkpath(os.path.join(args.output, "lin")) - con_path = os.path.join(args.output, "lin", con) + # Output file + basename = os.path.basename(txt)[:-3] + extension + out_path = os.path.join(args.output, basename) - # Get predictions in proper format - if format == 'i2b2': - output = note.write_i2b2_con(labels[t]) - elif format == 'xml': - output = note.write_xml(labels[t]) - else: - output = '' - # Output the concept predictions - print '\n\nwriting to: ', con_path - with open(con_path, 'w') as f: - print >>f, output + # Output the concept predictions + print '\n\nwriting to: ', out_path + with open(out_path, 'w') as f: + print >>f, output print '' diff --git a/clicon/sci.py b/clicon/sci.py index 56f770b..369dab4 100644 --- a/clicon/sci.py +++ b/clicon/sci.py @@ -5,19 +5,9 @@ from multiprocessing import cpu_count from sklearn.metrics import f1_score -LIN = 2**0 -CRF = 2**1 -SVM = 2**2 -ALL = sum(2**i for i in range(3)) -def bits(n): - while n: - b = n & (~n+1) - yield b - n ^= b - -def train(X, Y, type, do_grid): +def train(X, Y, do_grid): # Search space C_range = 10.0 ** np.arange( -5, 9 ) @@ -25,48 +15,37 @@ def train(X, Y, type, do_grid): # Grid search - retVal = {} - for t in bits(type): - - if do_grid: + if do_grid: - if t == SVM: - estimates = SVC() - gamma_range = 10.0 ** np.arange( -5 , 9 ) - parameters = [{'kernel':['rbf'], 'C':C_range, 'gamma':gamma_range}] - - if t == LIN: - estimates = LinearSVC() - parameters = [ {'C':C_range } ] - - # Find best classifier - clf = GridSearchCV(estimates, parameters, score_func = f1_score, n_jobs = cpu_count() ) - clf.fit( X , Y ) - retVal[t] = clf + ''' + estimates = SVC() + gamma_range = 10.0 ** np.arange( -5 , 9 ) + parameters = [{'kernel':['rbf'], 'C':C_range, 'gamma':gamma_range}] + ''' + + estimates = LinearSVC() + parameters = [ {'C':C_range } ] + + # Find best classifier + clf = GridSearchCV(estimates, parameters, score_func = f1_score, + n_jobs = cpu_count() ) + clf.fit(X, Y) - else: + else: - clf = LinearSVC() - clf.fit(X, Y) - retVal[t] = clf + clf = LinearSVC() + clf.fit(X, Y) # Return all chosen classifiers - return retVal - - + return clf -def predict(clfs, X, type): - retVal = {} - for t in bits(type): - # Predict - clf = clfs[t] - output = clf.predict(X) - retVal[t] = output +def predict(clf, X): - # Return all predictions - return retVal + # Predict + output = clf.predict(X) + return output diff --git a/clicon/train.py b/clicon/train.py index be26532..9e22fba 100644 --- a/clicon/train.py +++ b/clicon/train.py @@ -3,7 +3,6 @@ import glob import argparse import helper -import libml from sets import Set from model import Model @@ -14,35 +13,21 @@ def main(): parser = argparse.ArgumentParser() parser.add_argument("-t", - dest = "txt", - help = "The files that contain the training examples", - default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/concept_assertion_relation_training_data/merged/txt/*') + dest = "txt", + help = "The files that contain the training examples", + default = os.path.join(os.getenv('CLICON_DIR'), 'data/concept_assertion_relation_training_data/merged/txt/*') ) parser.add_argument("-c", - dest = "con", - help = "The files that contain the labels for the training examples", - default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/concept_assertion_relation_training_data/merged/concept/*') + dest = "con", + help = "The files that contain the labels for the training examples", + default = os.path.join(os.getenv('CLICON_DIR'), 'data/concept_assertion_relation_training_data/merged/concept/*') ) parser.add_argument("-m", - dest = "model", - help = "Path to the model that should be generated", - default = os.path.join(os.path.dirname(os.path.abspath(__file__)), '../models/run_models/run.model') - ) - - parser.add_argument("-d", - dest = "disabled_features", - help = "The features that should not be used", - nargs = "+", - default = None - ) - - parser.add_argument("-e", - dest = "enabled_features", - help = "The features that should be used. This option trumps -d", - nargs = "+", - default = None + dest = "model", + help = "Path to the model that should be generated", + default = os.path.join(os.getenv('CLICON_DIR'), 'models/run_models/run.model') ) parser.add_argument("-f", @@ -51,24 +36,6 @@ def main(): default = 'i2b2' ) - parser.add_argument("--no-svm", - dest = "no_svm", - action = "store_true", - help = "Disable SVM model generation", - ) - - parser.add_argument("--no-lin", - dest = "no_lin", - action = "store_true", - help = "Disable LIN model generation", - ) - - parser.add_argument("--no-crf", - dest = "no_crf", - action = "store_true", - help = "Disable CRF model generation", - ) - # Parse the command line arguments args = parser.parse_args() @@ -133,7 +100,7 @@ def main(): # Create a Machine Learning model - model = Model(filename = args.model, type = libml.LIN) + model = Model(filename = args.model) # Train the model using the Note's data From dde98573e172f513026efa97d0a5a8b61676940f Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Thu, 21 Aug 2014 03:17:15 -0400 Subject: [PATCH 214/393] Add usage examples to readme & extend support for xml format --- README.rst | 17 +- clicon/cli.py | 61 +--- clicon/evaluate.py | 410 ++++++++++++----------- clicon/features_dir/sentence_features.py | 2 + clicon/model.py | 65 ++-- clicon/note.py | 2 +- clicon/predict.py | 46 +-- clicon/sci.py | 5 +- clicon/train.py | 19 +- examples/pretend.con | 1 + examples/pretend.xml | 2 +- 11 files changed, 289 insertions(+), 341 deletions(-) diff --git a/README.rst b/README.rst index 5e39908..db9363d 100644 --- a/README.rst +++ b/README.rst @@ -32,22 +32,28 @@ Usage Examples export CLICON_DIR=. bash install.sh - clicon train $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/examples/pretend.con - clicon predict $CLICON_DIR/examples/pretend.txt --out $CLICON_DIR/data/test_predictions/ - clicon format $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/data/test_predictions/lin/pretend.con --format xml + clicon train $CLICON_DIR/examples/pretend.xml --format xml + clicon predict $CLICON_DIR/examples/pretend.txt + clicon evaluate $CLICON_DIR/examples/pretend.txt --gold $CLICON_DIR/examples --format xml i2b2 format + Example: Train model on i2b2-formatted data clicon train $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/examples/pretend.con + Example: Train model on i2b2-formatted data with SVM grid search (NOTE: Currently does not work with sample data because the sample data is too small for cross validation). + clicon train $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/examples/pretend.con --grid-search + Example: Predict concepts and output in i2b2 format clicon predict $CLICON_DIR/examples/pretend.txt --out $CLICON_DIR/data/test_predictions/ + example: Evaluation + clicon evaluate $CLICON_DIR/examples/pretend.txt --gold $CLICON_DIR/examples --predictions $CLICON_DIR/data/test_predictions/ --format i2b2 + example: Change Format clicon format $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/data/test_predictions/pretend.con --format xml - example: Evaluation xml format Example: Train model on xml-formatted data @@ -56,6 +62,9 @@ Usage Examples Example: Predict concepts and output in xml format clicon predict $CLICON_DIR/examples/pretend.txt --out $CLICON_DIR/data/test_predictions/ --format xml + example: Evaluation + clicon evaluate $CLICON_DIR/examples/pretend.txt --gold $CLICON_DIR/examples --predictions $CLICON_DIR/data/test_predictions/ --format xml + example: Change Format clicon format $CLICON_DIR/data/test_predictions/pretend.xml --format i2b2 diff --git a/clicon/cli.py b/clicon/cli.py index c6eac56..c8f6567 100644 --- a/clicon/cli.py +++ b/clicon/cli.py @@ -13,35 +13,30 @@ def clicon(): # Train @clicon.command() -@click.option('--annotations', help='Concept files for training.') -@click.option('--model' , help='Model output by train.' ) -@click.option('--format' , help='Data format (i2b2 or xml).' ) -@click.option('--crfsuite' , help='Path to crfsuite.' ) +@click.option('--annotations' , help='Concept files for training.' ) +@click.option('--model' , help='Model output by train.' ) +@click.option('--format' , help='Data format (i2b2 or xml).' ) +@click.option('--grid/--no-grid', help='Flag that enables grid search') @click.argument('input') -def train(annotations, model, format, crfsuite, input): +def train(annotations, model, format, grid, input): - - # Command line arguments + # i2b2 data needs concept file annotations if (format == 'i2b2') and (not annotations): print >>sys.stderr, '\n\tError: Must provide annotations for text files' print >>sys.stderr, '' exit(1) - # Base directory BASE_DIR = os.environ.get('CLICON_DIR') if not BASE_DIR: raise Exception('Environment variable CLICON_DIR must be defined') - # Executable - runable = os.path.join(BASE_DIR,'clicon/train.py') - + runable = os.path.join(BASE_DIR, 'clicon/train.py') # Build command cmd = ['python', runable, '-t', input] - # Arguments if annotations: cmd += ['-c', annotations] @@ -49,7 +44,8 @@ def train(annotations, model, format, crfsuite, input): cmd += ['-m', model] if format: cmd += ['-f', format] - + if grid: + cmd += ['-g'] # Execute train.py subprocess.call(cmd) @@ -62,25 +58,20 @@ def train(annotations, model, format, crfsuite, input): @click.option('--out' , help='The directory to write the output') @click.option('--model' , help='Model used to predict on files' ) @click.option('--format', help='Data format (i2b2 or xml).' ) -@click.option('--crfsuite' , help='Path to crfsuite.' ) @click.argument('input') -def predict(model, out, format, crfsuite, input): - +def predict(model, out, format, input): # Base directory BASE_DIR = os.environ.get('CLICON_DIR') if not BASE_DIR: raise Exception('Environment variable CLICON_DIR must be defined') - # Executable runable = os.path.join(BASE_DIR,'clicon/predict.py') - # Build command cmd = ['python', runable, '-i', input] - # Optional arguments if out: cmd += ['-o', out] @@ -88,9 +79,6 @@ def predict(model, out, format, crfsuite, input): cmd += ['-m', model] if format: cmd += ['-f', format] - if crfsuite: - cmd += ['-crf', crfsuite] - # Execute train.py subprocess.call(cmd) @@ -101,28 +89,24 @@ def predict(model, out, format, crfsuite, input): # Evaluate @clicon.command() -@click.option('--predictions', help='Predicted concept files.' ) -@click.option('--gold' , help='Gold standard concept files.') -@click.option('--out' , help='Output file' ) -@click.option('--format' , help='Data format (i2b2 or xml).' ) +@click.option('--predictions', help='Directory where predictions are stored.') +@click.option('--gold' , help='Directory where gold standard is stored.') +@click.option('--out' , help='Output file' ) +@click.option('--format' , help='Data format (i2b2 or xml).' ) @click.argument('input') -def evaluate(out, format, input): - +def evaluate(predictions, gold, out, format, input): # Base directory BASE_DIR = os.environ.get('CLICON_DIR') if not BASE_DIR: raise Exception('Environment variable CLICON_DIR must be defined') - # Executable runable = os.path.join(BASE_DIR,'clicon/evaluate.py') - # Build command cmd = ['python', runable, '-t', input] - # Optional arguments if predictions: cmd += ['-c', predictions] @@ -133,7 +117,6 @@ def evaluate(out, format, input): if format: cmd += ['-f', format] - # Execute train.py subprocess.call(cmd) @@ -143,23 +126,20 @@ def evaluate(out, format, input): # Format @clicon.command() -@click.option('--annotations', help='Concept files for training.' ) -@click.option('--format' , help='Data format (i2b2 or xml).' ) -@click.option('--out' , help='The directory to write the output') +@click.option('--annotations', help='Concept files for training.') +@click.option('--format' , help='Data format (i2b2 or xml).' ) +@click.option('--out' , help='File to write the output.' ) @click.argument('input') def format(annotations, format, out, input): - # Base directory BASE_DIR = os.environ.get('CLICON_DIR') if not BASE_DIR: raise Exception('Environment variable CLICON_DIR must be defined') - # Executable runable = os.path.join(BASE_DIR,'clicon/format.py') - # Must manually check if '.txt' or 'xml' if input[-3:] == 'xml': flag = '-x' @@ -170,11 +150,9 @@ def format(annotations, format, out, input): print >>sys.stderr, '' exit(2) - # Build command cmd = ['python', runable, flag, input] - # Optional arguments if annotations: cmd += ['-c', annotations] @@ -183,15 +161,12 @@ def format(annotations, format, out, input): if format: cmd += ['-f', format] - # Execute train.py subprocess.call(cmd) - - if __name__ == '__main__': clicon() diff --git a/clicon/evaluate.py b/clicon/evaluate.py index 6231a26..bd068ba 100644 --- a/clicon/evaluate.py +++ b/clicon/evaluate.py @@ -5,7 +5,7 @@ import glob import helper -from model import Model +from model import labels from note import * def main(): @@ -15,19 +15,19 @@ def main(): parser.add_argument("-t", help = "Test files that were used to generate predictions", dest = "txt", - default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/test_data/*') + default = os.path.join(os.getenv('CLICON_DIR'), 'data/test_data/*') ) parser.add_argument("-c", help = "The directory that contains predicted concept files organized into subdirectories for svm, lin, srf", dest = "con", - default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/test_predictions/') + default = os.path.join(os.getenv('CLICON_DIR'), 'data/test_predictions/') ) parser.add_argument("-r", help = "The directory that contains reference gold standard concept files", dest = "ref", - default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/reference_standard_for_test_data/concepts/') + default = os.path.join(os.getenv('CLICON_DIR'), 'data/reference_standard_for_test_data/concepts/') ) parser.add_argument("-f", @@ -46,215 +46,223 @@ def main(): args = parser.parse_args() - - if args.format != 'i2b2': - print >>sys.stderr, 'Evaluation for xml not supported yet' - exit(1) - - - # Is output destination specified + # Is output destination specified? if args.output: args.output = open(args.output, "w") else: args.output = sys.stdout - txt_files = glob.glob(args.txt) - ref_files = os.listdir(args.ref) - ref_files = map(lambda f: os.path.join(args.ref, f), ref_files) + # Which format to read? + if args.format == 'i2b2': + wildcard = '*.con' + elif args.format == 'xml': + wildcard = '*.xml' + else: + print >>sys.stderr, '\n\tError: Must specify output format (i2b2 or xml)' + print >>sys.stderr, '' + exit(1) + + # List of medical text + txt_files = glob.glob(args.txt) txt_files_map = helper.map_files(txt_files) + + + # List of gold data + ref_files = glob.glob( os.path.join(args.ref, wildcard) ) + ref_files = map(lambda f: os.path.join(args.ref, f), ref_files) ref_files_map = helper.map_files(ref_files) - con_directories = os.listdir(args.con) - - for con_directory in con_directories: - files = [] - directory_name = os.path.basename(con_directory) - - if directory_name not in ["svm", "crf", "lin"]: - continue - - con_files = os.listdir(os.path.join(args.con, con_directory)) - con_files = map(lambda f: os.path.join(args.con, con_directory, f), con_files) - - con_files_map = helper.map_files(con_files) - - for k in txt_files_map: - if k in con_files_map and k in ref_files_map: - files.append((txt_files_map[k], con_files_map[k], ref_files_map[k])) - - # Compute the confusion matrix - labels = Model.labels # hash tabble: label -> index - confusion = [[0] * len(labels) for e in labels] - - print files - print '' - - # txt <- medical text - # con <- model predictions - # ref <- actual labels - for txt, con, ref in files: - - # A note that represents the model's predictions - cnote = Note() - cnote.read_i2b2( txt, con ) - - # A note that is the actual concept labels - rnote = Note() - rnote.read_i2b2( txt, ref ) - - predictions = cnote.conlist() - - #TO DO: make leaner - #TO DO: create unit tests - reference_concept_spans = {} - predicted_concept_spans = {} - - for line_index, span in enumerate(rnote.boundaries): - #obtain each boundary for the reference labels. - for boundary_index, boundary in enumerate(span): - #IF none/'O' for references simply add to confusion matrix. - #this is done because a blank can only match or mismatch. - if boundary == 'O': - actual = labels[rnote.conlist()[line_index][boundary_index]] - predicted = labels[cnote.conlist()[line_index][boundary_index]] - confusion[actual][predicted] += 1 - #'B' signifies beginning of a concept. - if boundary == 'B': - concept = rnote.concepts[line_index][boundary_index] - #create an entry for the line number for this span. - if reference_concept_spans.has_key(line_index) == False: - reference_concept_spans[line_index] = {} - #mark the beginning of the concept. - beginning = boundary_index - end = boundary_index - for possible_end in span[boundary_index+1:]: - #find the end of the concept - if possible_end == 'B' or possible_end == 'O': - break - if possible_end == 'I': - end += 1 - #store this concept to its line number. - reference_concept_spans[line_index].update({(beginning,end):concept}) - - #find the labels generated from predictions. - #same logic as above except we only care about the labels created for predictions. - for line_index, span in enumerate(cnote.boundaries): - for boundary_index, boundary in enumerate(span): - if boundary == 'B': - concept = cnote.concepts[line_index][boundary_index] - beginning = boundary_index - end = boundary_index - if predicted_concept_spans.has_key(line_index) == False: - predicted_concept_spans[line_index] = {} - - for possible_end in span[boundary_index+1:]: - if possible_end == 'B' or possible_end == 'O': - break - if possible_end == 'I': - end += 1 - predicted_concept_spans[line_index].update({(beginning,end):concept}) - - #for each reference span verify if the predicted span corresponds. - #exatch matches - for lines in reference_concept_spans: - spans_to_remove = [] - for spans in reference_concept_spans[lines]: - #if the line does not exist for whatever reason mark it as none. - if (lines in predicted_concept_spans) == False: - confusion[labels[reference_concept_spans[lines][spans]]][labels['none']] += 1 - continue - #if the span exists and the concept matches mark it for removal and add to confusion matrix - if spans in predicted_concept_spans[lines]: - if reference_concept_spans[lines][spans] == predicted_concept_spans[lines][spans]: - #add to confusion matrix. - spans_to_remove.append(spans) - confusion[labels[reference_concept_spans[lines][spans]]][labels[predicted_concept_spans[lines][spans]]] += 1 - for span_to_remove in spans_to_remove: - #prevent double counting. - predicted_concept_spans[lines].pop(span_to_remove) - reference_concept_spans[lines].pop(span_to_remove) - - #these left overspans do not have exact matches. - #for each reference span see if there is a predict span that it falls in the range of - #inexact matches - for lines in reference_concept_spans: - #if line does not exist for whatever reason just continue, these have already been marked for score. + + # List of predictions + pred_files = glob.glob( os.path.join(args.con, wildcard) ) + pred_files = map(lambda f: os.path.join(args.con, f), pred_files) + pred_files_map = helper.map_files(pred_files) + + + # Grouping of text, predictions, gold + files = [] + for k in txt_files_map: + if k in pred_files_map and k in ref_files_map: + files.append((txt_files_map[k], ref_files_map[k], ref_files_map[k])) + + + # Compute the confusion matrix + confusion = [[0] * len(labels) for e in labels] + + + # txt <- medical text + # annotations <- predictions + # gold <- gold standard + for txt, annotations, gold in files: + + # Read predictions and gols standard data + cnote = Note() + rnote = Note() + if format == 'i2b2': + cnote.read_i2b2(txt, annotations) + rnote.read_i2b2(txt, gold) + else: + cnote.read_xml(annotations) + rnote.read_xml(gold) + + + # List of list of labels + predictions = cnote.conlist() + + + # FIXME - Have not looked below this point yet + #TO DO: make leaner + #TO DO: create unit tests + reference_concept_spans = {} + predicted_concept_spans = {} + + for line_index, span in enumerate(rnote.boundaries): + #obtain each boundary for the reference labels. + for boundary_index, boundary in enumerate(span): + #IF none/'O' for references simply add to confusion matrix. + #this is done because a blank can only match or mismatch. + if boundary == 'O': + actual = labels[rnote.conlist()[line_index][boundary_index]] + predicted = labels[cnote.conlist()[line_index][boundary_index]] + confusion[actual][predicted] += 1 + #'B' signifies beginning of a concept. + if boundary == 'B': + concept = rnote.concepts[line_index][boundary_index] + #create an entry for the line number for this span. + if reference_concept_spans.has_key(line_index) == False: + reference_concept_spans[line_index] = {} + #mark the beginning of the concept. + beginning = boundary_index + end = boundary_index + for possible_end in span[boundary_index+1:]: + #find the end of the concept + if possible_end == 'B' or possible_end == 'O': + break + if possible_end == 'I': + end += 1 + #store this concept to its line number. + reference_concept_spans[line_index].update({(beginning,end):concept}) + + #find the labels generated from predictions. + #same logic as above except we only care about the labels created for predictions. + for line_index, span in enumerate(cnote.boundaries): + for boundary_index, boundary in enumerate(span): + if boundary == 'B': + concept = cnote.concepts[line_index][boundary_index] + beginning = boundary_index + end = boundary_index + if predicted_concept_spans.has_key(line_index) == False: + predicted_concept_spans[line_index] = {} + + for possible_end in span[boundary_index+1:]: + if possible_end == 'B' or possible_end == 'O': + break + if possible_end == 'I': + end += 1 + predicted_concept_spans[line_index].update({(beginning,end):concept}) + + #for each reference span verify if the predicted span corresponds. + #exatch matches + for lines in reference_concept_spans: + spans_to_remove = [] + for spans in reference_concept_spans[lines]: + #if the line does not exist for whatever reason mark it as none. if (lines in predicted_concept_spans) == False: + confusion[labels[reference_concept_spans[lines][spans]]][labels['none']] += 1 continue - for ref_spans in reference_concept_spans[lines]: - incorrect_classifications = [] - for predicted_spans in predicted_concept_spans[lines]: - #find overlapping spans - if predicted_spans[0] >= ref_spans[0] and predicted_spans[0] <= ref_spans[1] \ - or predicted_spans[1] >= ref_spans[0] and predicted_spans[1] <= ref_spans[1]: - #if the classification matches then mark it for score. - if reference_concept_spans[lines][ref_spans] == predicted_concept_spans[lines][predicted_spans]: - confusion[labels[reference_concept_spans[lines][ref_spans]]][labels[predicted_concept_spans[lines][predicted_spans]]] += 1 - incorrect_classifications = [] - break - #overlap but incorrect classification. we still store what it gets for now because there may be another overlap - #that does match inexactly. - else: - incorrect_classifications.append(predicted_concept_spans[lines][predicted_spans]) - #if this is greater than 0 then there has been an incorrect classification. just map the first index - #it is wrong either way. - if len(incorrect_classifications) > 0: - confusion[labels[reference_concept_spans[lines][ref_spans]]][labels[incorrect_classifications[0]]] += 1 - #if there is no predicted span that overlaps with the reference span just mark as none. - else: - confusion[labels[reference_concept_spans[lines][ref_spans]]][labels['none']] += 1 - - # Display the confusion matrix - print >>args.output, "" - print >>args.output, "" - print >>args.output, "" - print >>args.output, "================" - print >>args.output, directory_name.upper() + " RESULTS" - print >>args.output, "================" - print >>args.output, "" - print >>args.output, "Confusion Matrix" - pad = max(len(l) for l in labels) + 6 - print >>args.output, "%s %s" % (' ' * pad, "\t".join(Model.labels.keys())) - for act, act_v in labels.items(): - print >>args.output, "%s %s" % (act.rjust(pad), "\t".join([str(confusion[act_v][pre_v]) for pre, pre_v in labels.items()])) - print >>args.output, "" - - # Compute the analysis stuff - precision = [] - recall = [] - specificity = [] - f1 = [] - - tp = 0 - fp = 0 - fn = 0 - tn = 0 - - print >>args.output, "Analysis" - print >>args.output, " " * pad, "Precision\tRecall\tF1" - - for lab, lab_v in labels.items(): - tp = confusion[lab_v][lab_v] - fp = sum(confusion[v][lab_v] for k, v in labels.items() if v != lab_v) - fn = sum(confusion[lab_v][v] for k, v in labels.items() if v != lab_v) - tn = sum(confusion[v1][v2] for k1, v1 in labels.items() - for k2, v2 in labels.items() if v1 != lab_v and v2 != lab_v) - precision += [float(tp) / (tp + fp + 1e-100)] - recall += [float(tp) / (tp + fn + 1e-100)] - specificity += [float(tn) / (tn + fp + 1e-100)] - f1 += [float(2 * tp) / (2 * tp + fp + fn + 1e-100)] - print >>args.output, "%s %.4f\t%.4f\t%.4f\t%.4f" % (lab.rjust(pad), precision[-1], recall[-1], specificity[-1], f1[-1]) - - print >>args.output, "--------" - - precision = sum(precision) / len(precision) - recall = sum(recall) / len(recall) - specificity = sum(specificity) / len(specificity) - f1 = sum(f1) / len(f1) - - print >>args.output, "Average: %.4f\t%.4f\t%.4f\t%.4f" % (precision, recall, specificity, f1) + #if the span exists and the concept matches mark it for removal and add to confusion matrix + if spans in predicted_concept_spans[lines]: + if reference_concept_spans[lines][spans] == predicted_concept_spans[lines][spans]: + #add to confusion matrix. + spans_to_remove.append(spans) + confusion[labels[reference_concept_spans[lines][spans]]][labels[predicted_concept_spans[lines][spans]]] += 1 + for span_to_remove in spans_to_remove: + #prevent double counting. + predicted_concept_spans[lines].pop(span_to_remove) + reference_concept_spans[lines].pop(span_to_remove) + + #these left overspans do not have exact matches. + #for each reference span see if there is a predict span that it falls in the range of + #inexact matches + for lines in reference_concept_spans: + #if line does not exist for whatever reason just continue, these have already been marked for score. + if (lines in predicted_concept_spans) == False: + continue + for ref_spans in reference_concept_spans[lines]: + incorrect_classifications = [] + for predicted_spans in predicted_concept_spans[lines]: + #find overlapping spans + if predicted_spans[0] >= ref_spans[0] and predicted_spans[0] <= ref_spans[1] \ + or predicted_spans[1] >= ref_spans[0] and predicted_spans[1] <= ref_spans[1]: + #if the classification matches then mark it for score. + if reference_concept_spans[lines][ref_spans] == predicted_concept_spans[lines][predicted_spans]: + confusion[labels[reference_concept_spans[lines][ref_spans]]][labels[predicted_concept_spans[lines][predicted_spans]]] += 1 + incorrect_classifications = [] + break + #overlap but incorrect classification. we still store what it gets for now because there may be another overlap + #that does match inexactly. + else: + incorrect_classifications.append(predicted_concept_spans[lines][predicted_spans]) + #if this is greater than 0 then there has been an incorrect classification. just map the first index + #it is wrong either way. + if len(incorrect_classifications) > 0: + confusion[labels[reference_concept_spans[lines][ref_spans]]][labels[incorrect_classifications[0]]] += 1 + #if there is no predicted span that overlaps with the reference span just mark as none. + else: + confusion[labels[reference_concept_spans[lines][ref_spans]]][labels['none']] += 1 + + # Display the confusion matrix + print >>args.output, "" + print >>args.output, "" + print >>args.output, "" + print >>args.output, "================" + print >>args.output, " RESULTS" + print >>args.output, "================" + print >>args.output, "" + print >>args.output, "Confusion Matrix" + pad = max(len(l) for l in labels) + 6 + print >>args.output, "%s %s" % (' ' * pad, "\t".join(labels.keys())) + for act, act_v in labels.items(): + print >>args.output, "%s %s" % (act.rjust(pad), "\t".join([str(confusion[act_v][pre_v]) for pre, pre_v in labels.items()])) + print >>args.output, "" + + # Compute the analysis stuff + precision = [] + recall = [] + specificity = [] + f1 = [] + + tp = 0 + fp = 0 + fn = 0 + tn = 0 + + print >>args.output, "Analysis" + print >>args.output, " " * pad, "Precision\tRecall\tF1" + + for lab, lab_v in labels.items(): + tp = confusion[lab_v][lab_v] + fp = sum(confusion[v][lab_v] for k, v in labels.items() if v != lab_v) + fn = sum(confusion[lab_v][v] for k, v in labels.items() if v != lab_v) + tn = sum(confusion[v1][v2] for k1, v1 in labels.items() + for k2, v2 in labels.items() if v1 != lab_v and v2 != lab_v) + precision += [float(tp) / (tp + fp + 1e-100)] + recall += [float(tp) / (tp + fn + 1e-100)] + specificity += [float(tn) / (tn + fp + 1e-100)] + f1 += [float(2 * tp) / (2 * tp + fp + fn + 1e-100)] + print >>args.output, "%s %.4f\t%.4f\t%.4f\t%.4f" % (lab.rjust(pad), precision[-1], recall[-1], specificity[-1], f1[-1]) + + print >>args.output, "--------" + + precision = sum(precision) / len(precision) + recall = sum(recall) / len(recall) + specificity = sum(specificity) / len(specificity) + f1 = sum(f1) / len(f1) + + print >>args.output, "Average: %.4f\t%.4f\t%.4f\t%.4f" % (precision, recall, specificity, f1) + if __name__ == '__main__': main() diff --git a/clicon/features_dir/sentence_features.py b/clicon/features_dir/sentence_features.py index a8d5937..db81a7f 100644 --- a/clicon/features_dir/sentence_features.py +++ b/clicon/features_dir/sentence_features.py @@ -244,10 +244,12 @@ def IOB_prose_features(self, sentence): for i in range(len(features_list))] + ''' for f in features_list: print sorted(f.items()) print print '\n\n\n' + ''' return features_list diff --git a/clicon/model.py b/clicon/model.py index a7314cc..8bd391a 100644 --- a/clicon/model.py +++ b/clicon/model.py @@ -15,26 +15,27 @@ import cProfile as profile -class Model: - - labels = { - "none":0, - "treatment":1, - "problem":2, - "test":3 - } - reverse_labels = {v:k for k, v in labels.items()} - +labels = { + "none":0, + "treatment":1, + "problem":2, + "test":3 +} +reverse_labels = {v:k for k, v in labels.items()} + + +# IOBs labels +IOBs_labels = { + 'O':0, + 'B':1, + 'I':2 +} +reverse_IOBs_labels = {v:k for k,v in IOBs_labels.items()} - # IOBs labels - IOBs_labels = { - 'O':0, - 'B':1, - 'I':2 - } - reverse_IOBs_labels = {v:k for k,v in IOBs_labels.items()} +class Model: + @staticmethod def load(filename='awesome.model'): with open(filename, 'rb') as model: @@ -52,7 +53,7 @@ def __init__(self, filename='awesome.model'): self.filename = os.path.realpath(filename) # Use python-crfsuite - self.crf_enabled = True + self.crf_enabled = False # DictVectorizers self.first_prose_vec = DictVectorizer() @@ -66,7 +67,7 @@ def __init__(self, filename='awesome.model'): - def train(self, notes): + def train(self, notes, do_grid=False): """ Model::train() @@ -92,7 +93,7 @@ def train(self, notes): # Train classifier (side effect - saved as object's member variable) print 'first pass' - self.first_train(data1, Y1, do_grid=False) + self.first_train(data1, Y1, do_grid) @@ -112,7 +113,7 @@ def train(self, notes): # Train classifier (side effect - saved as object's member variable) print 'second pass' - self.second_train(data2, inds, Y2, do_grid=False) + self.second_train(data2, inds, Y2, do_grid) @@ -124,7 +125,7 @@ def train(self, notes): - def first_train(self, data, Y, do_grid=True): + def first_train(self, data, Y, do_grid=False): """ Model::first_train() @@ -178,7 +179,7 @@ def first_train(self, data, Y, do_grid=True): print '\tvectorizing features (pass one) ' + flabel # Vectorize IOB labels - Y = [ Model.IOBs_labels[y] for y in chunks ] + Y = [ IOBs_labels[y] for y in chunks ] # Save list structure to reconstruct after vectorization offsets = [ len(sublist) for sublist in fset ] @@ -192,8 +193,6 @@ def first_train(self, data, Y, do_grid=True): print '\ttraining classifiers (pass one) ' + flabel - - # CRF needs reconstructed lists if self.crf_enabled: @@ -223,7 +222,7 @@ def first_train(self, data, Y, do_grid=True): # Model::second_train() # # - def second_train(self, data, inds_list, Y, do_grid=True): + def second_train(self, data, inds_list, Y, do_grid=False): """ Model::second_train() @@ -245,14 +244,11 @@ def second_train(self, data, inds_list, Y, do_grid=True): @return None """ - print '\textracting features (pass two)' - # Create object that is a wrapper for the features feat_o = features.FeatureWrapper() - # Extract features X = [ feat_o.concept_features(s,inds) for s,inds in zip(data,inds_list) ] X = reduce(concat, X) @@ -260,9 +256,8 @@ def second_train(self, data, inds_list, Y, do_grid=True): print '\tvectorizing features (pass two)' - # Vectorize labels - Y = [ Model.labels[y] for y in Y ] + Y = [ labels[y] for y in Y ] # Vectorize features X = self.second_vec.fit_transform(X) @@ -270,7 +265,6 @@ def second_train(self, data, inds_list, Y, do_grid=True): print '\ttraining classifier (pass two)' - # Train the model self.second_clf = sci.train(X, Y, do_grid) @@ -290,7 +284,6 @@ def predict(self, note): print 'first pass' - # Get the data and annotations from the Note objects data = note.txtlist() @@ -307,7 +300,6 @@ def predict(self, note): print 'second pass' - # Get the data and annotations from the Note objects chunks = note.chunked_text() inds = note.concept_indices() @@ -409,7 +401,7 @@ def first_predict(self, data): prose_iobs = [] nonprose_iobs = [] iobs = [] - trans = lambda l: Model.reverse_IOBs_labels[int(l)] + trans = lambda l: reverse_IOBs_labels[int(l)] for sentence in data: if utilities.prose_sentence(sentence): prose_iobs.append( plist.pop(0) ) @@ -460,6 +452,7 @@ def second_predict(self, data, inds_list): # Predict concept labels out = sci.predict(self.second_clf, X) + # Line-by-line processing o = list(out) classifications = [] @@ -472,7 +465,7 @@ def second_predict(self, data, inds_list): for ind in inds: # Get next concept - concept = Model.reverse_labels[o.pop(0)] + concept = reverse_labels[o.pop(0)] # Get start position (ex. 7th word of line) start = 0 diff --git a/clicon/note.py b/clicon/note.py index b1f9e0b..2733bc5 100644 --- a/clicon/note.py +++ b/clicon/note.py @@ -424,7 +424,7 @@ def write_xml(self, labels=None): # If given labels to write, use them. Default to self.classifications - if labels: + if labels != None: classifications = labels elif self.classifications: classifications = self.classifications diff --git a/clicon/predict.py b/clicon/predict.py index 4c8ae75..2a877f6 100644 --- a/clicon/predict.py +++ b/clicon/predict.py @@ -15,19 +15,19 @@ def main(): parser.add_argument("-i", dest = "input", help = "The input files to predict", - default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/test_data/*') + default = os.path.join(os.getenv('CLICON_DIR'), 'data/test_data/*') ) parser.add_argument("-o", dest = "output", help = "The directory to write the output", - default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/test_predictions') + default = os.path.join(os.getenv('CLICON_DIR'), 'data/test_predictions') ) parser.add_argument("-m", dest = "model", help = "The model to use for prediction", - default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../models/run_models/run.model') + default = os.path.join(os.getenv('CLICON_DIR'), 'models/run.model') ) parser.add_argument("-f", @@ -51,16 +51,6 @@ def main(): format = args.format -<<<<<<< HEAD - # Is crfsuite installed? - if args.with_crf: - crfsuite = args.with_crf - elif False: - 'DETECT CRFSUITE FROM CONFIG FILE' - crfsuite = None - else: - crfsuite = None -======= # Must specify output format if (format != 'i2b2') and (format != 'xml'): print >>sys.stderr, '\n\tError: Must specify output format (i2b2 or xml)' @@ -70,7 +60,6 @@ def main(): # Output directory helper.mkpath(os.path.join(args.output)) ->>>>>>> documentation # Load model @@ -99,52 +88,27 @@ def main(): labels = model.predict(note) -<<<<<<< HEAD - # Output directory - con = os.path.split(txt)[-1] - con = con[:-3] + 'con' - - - helper.mkpath(os.path.join(args.output, "lin")) - con_path = os.path.join(args.output, "lin", con) -======= # Get predictions in proper format if format == 'i2b2': extension = 'con' output = note.write_i2b2(labels) else: extension = 'xml' - output = note.write_xml(labels) + output = note.write_xml(labels) ->>>>>>> documentation # Output file basename = os.path.basename(txt)[:-3] + extension out_path = os.path.join(args.output, basename) -<<<<<<< HEAD - # Get predictions in proper format - if format == 'i2b2': - output = note.write_i2b2_con(labels) - elif format == 'xml': - output = note.write_xml(labels) - else: - output = '' - - # Output the concept predictions - print '\n\nwriting to: ', con_path - with open(con_path, 'w') as f: -======= # Output the concept predictions print '\n\nwriting to: ', out_path with open(out_path, 'w') as f: ->>>>>>> documentation print >>f, output + print - print '' - if __name__ == '__main__': diff --git a/clicon/sci.py b/clicon/sci.py index b67d890..6c00173 100644 --- a/clicon/sci.py +++ b/clicon/sci.py @@ -6,9 +6,6 @@ from sklearn.metrics import f1_score -<<<<<<< HEAD -======= - def train(X, Y, do_grid): # Search space @@ -17,6 +14,8 @@ def train(X, Y, do_grid): # Grid search? if do_grid: + print '\t\tperforming grid search' + estimates = LinearSVC() parameters = [ {'C':C_range } ] diff --git a/clicon/train.py b/clicon/train.py index ec72bf1..8119b78 100644 --- a/clicon/train.py +++ b/clicon/train.py @@ -27,7 +27,7 @@ def main(): parser.add_argument("-m", dest = "model", help = "Path to the model that should be generated", - default = os.path.join(os.path.dirname(os.path.abspath(__file__)), '../models/run_models/run.model') + default = os.path.join(os.getenv('CLICON_DIR'), 'models/run.model') ) parser.add_argument("-f", @@ -36,6 +36,12 @@ def main(): default = 'i2b2' ) + parser.add_argument("-g", + dest = "grid", + help = "A flag indicating whether to perform a grid search", + action = "store_true" + ) + # Parse the command line arguments args = parser.parse_args() @@ -46,15 +52,6 @@ def main(): con_files = glob.glob(args.con) - # Is crfsuite installed? - if args.with_crf: - crfsuite = args.with_crf - elif False: - 'DETECT CRFSUITE FROM CONFIG FILE' - crfsuite = None - else: - crfsuite = None - # i2b2 or xml format = args.format if format == 'i2b2': @@ -105,7 +102,7 @@ def main(): # Train the model using the Note's data - model.train(notes) + model.train(notes, args.grid) diff --git a/examples/pretend.con b/examples/pretend.con index 3937179..40a5cbc 100644 --- a/examples/pretend.con +++ b/examples/pretend.con @@ -1,3 +1,4 @@ +c="casey at the bat" 2:0 2:3||t="treatment" c="the score stood four to two" 8:0 8:5||t="problem" c="cooney died at first" 9:3 9:6||t="problem" c="casey at the bat" 14:9 14:12||t="treatment" diff --git a/examples/pretend.xml b/examples/pretend.xml index ff8b34b..ee2096d 100644 --- a/examples/pretend.xml +++ b/examples/pretend.xml @@ -1,5 +1,5 @@ Title : -Casey at the Bat + Casey at the Bat Author : Ernest Thayer Published : From c372f769def0cd3cf7d59bf912fc8b6024f3b543 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Thu, 21 Aug 2014 03:17:15 -0400 Subject: [PATCH 215/393] Add usage examples to readme & extend support for xml format --- README.rst | 17 +- clicon/cli.py | 61 +--- clicon/evaluate.py | 410 ++++++++++++----------- clicon/features_dir/sentence_features.py | 2 + clicon/model.py | 65 ++-- clicon/note.py | 2 +- clicon/predict.py | 46 +-- clicon/sci.py | 5 +- clicon/train.py | 19 +- examples/pretend.con | 1 + examples/pretend.xml | 2 +- 11 files changed, 289 insertions(+), 341 deletions(-) diff --git a/README.rst b/README.rst index 5e39908..db9363d 100644 --- a/README.rst +++ b/README.rst @@ -32,22 +32,28 @@ Usage Examples export CLICON_DIR=. bash install.sh - clicon train $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/examples/pretend.con - clicon predict $CLICON_DIR/examples/pretend.txt --out $CLICON_DIR/data/test_predictions/ - clicon format $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/data/test_predictions/lin/pretend.con --format xml + clicon train $CLICON_DIR/examples/pretend.xml --format xml + clicon predict $CLICON_DIR/examples/pretend.txt + clicon evaluate $CLICON_DIR/examples/pretend.txt --gold $CLICON_DIR/examples --format xml i2b2 format + Example: Train model on i2b2-formatted data clicon train $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/examples/pretend.con + Example: Train model on i2b2-formatted data with SVM grid search (NOTE: Currently does not work with sample data because the sample data is too small for cross validation). + clicon train $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/examples/pretend.con --grid-search + Example: Predict concepts and output in i2b2 format clicon predict $CLICON_DIR/examples/pretend.txt --out $CLICON_DIR/data/test_predictions/ + example: Evaluation + clicon evaluate $CLICON_DIR/examples/pretend.txt --gold $CLICON_DIR/examples --predictions $CLICON_DIR/data/test_predictions/ --format i2b2 + example: Change Format clicon format $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/data/test_predictions/pretend.con --format xml - example: Evaluation xml format Example: Train model on xml-formatted data @@ -56,6 +62,9 @@ Usage Examples Example: Predict concepts and output in xml format clicon predict $CLICON_DIR/examples/pretend.txt --out $CLICON_DIR/data/test_predictions/ --format xml + example: Evaluation + clicon evaluate $CLICON_DIR/examples/pretend.txt --gold $CLICON_DIR/examples --predictions $CLICON_DIR/data/test_predictions/ --format xml + example: Change Format clicon format $CLICON_DIR/data/test_predictions/pretend.xml --format i2b2 diff --git a/clicon/cli.py b/clicon/cli.py index c6eac56..c8f6567 100644 --- a/clicon/cli.py +++ b/clicon/cli.py @@ -13,35 +13,30 @@ def clicon(): # Train @clicon.command() -@click.option('--annotations', help='Concept files for training.') -@click.option('--model' , help='Model output by train.' ) -@click.option('--format' , help='Data format (i2b2 or xml).' ) -@click.option('--crfsuite' , help='Path to crfsuite.' ) +@click.option('--annotations' , help='Concept files for training.' ) +@click.option('--model' , help='Model output by train.' ) +@click.option('--format' , help='Data format (i2b2 or xml).' ) +@click.option('--grid/--no-grid', help='Flag that enables grid search') @click.argument('input') -def train(annotations, model, format, crfsuite, input): +def train(annotations, model, format, grid, input): - - # Command line arguments + # i2b2 data needs concept file annotations if (format == 'i2b2') and (not annotations): print >>sys.stderr, '\n\tError: Must provide annotations for text files' print >>sys.stderr, '' exit(1) - # Base directory BASE_DIR = os.environ.get('CLICON_DIR') if not BASE_DIR: raise Exception('Environment variable CLICON_DIR must be defined') - # Executable - runable = os.path.join(BASE_DIR,'clicon/train.py') - + runable = os.path.join(BASE_DIR, 'clicon/train.py') # Build command cmd = ['python', runable, '-t', input] - # Arguments if annotations: cmd += ['-c', annotations] @@ -49,7 +44,8 @@ def train(annotations, model, format, crfsuite, input): cmd += ['-m', model] if format: cmd += ['-f', format] - + if grid: + cmd += ['-g'] # Execute train.py subprocess.call(cmd) @@ -62,25 +58,20 @@ def train(annotations, model, format, crfsuite, input): @click.option('--out' , help='The directory to write the output') @click.option('--model' , help='Model used to predict on files' ) @click.option('--format', help='Data format (i2b2 or xml).' ) -@click.option('--crfsuite' , help='Path to crfsuite.' ) @click.argument('input') -def predict(model, out, format, crfsuite, input): - +def predict(model, out, format, input): # Base directory BASE_DIR = os.environ.get('CLICON_DIR') if not BASE_DIR: raise Exception('Environment variable CLICON_DIR must be defined') - # Executable runable = os.path.join(BASE_DIR,'clicon/predict.py') - # Build command cmd = ['python', runable, '-i', input] - # Optional arguments if out: cmd += ['-o', out] @@ -88,9 +79,6 @@ def predict(model, out, format, crfsuite, input): cmd += ['-m', model] if format: cmd += ['-f', format] - if crfsuite: - cmd += ['-crf', crfsuite] - # Execute train.py subprocess.call(cmd) @@ -101,28 +89,24 @@ def predict(model, out, format, crfsuite, input): # Evaluate @clicon.command() -@click.option('--predictions', help='Predicted concept files.' ) -@click.option('--gold' , help='Gold standard concept files.') -@click.option('--out' , help='Output file' ) -@click.option('--format' , help='Data format (i2b2 or xml).' ) +@click.option('--predictions', help='Directory where predictions are stored.') +@click.option('--gold' , help='Directory where gold standard is stored.') +@click.option('--out' , help='Output file' ) +@click.option('--format' , help='Data format (i2b2 or xml).' ) @click.argument('input') -def evaluate(out, format, input): - +def evaluate(predictions, gold, out, format, input): # Base directory BASE_DIR = os.environ.get('CLICON_DIR') if not BASE_DIR: raise Exception('Environment variable CLICON_DIR must be defined') - # Executable runable = os.path.join(BASE_DIR,'clicon/evaluate.py') - # Build command cmd = ['python', runable, '-t', input] - # Optional arguments if predictions: cmd += ['-c', predictions] @@ -133,7 +117,6 @@ def evaluate(out, format, input): if format: cmd += ['-f', format] - # Execute train.py subprocess.call(cmd) @@ -143,23 +126,20 @@ def evaluate(out, format, input): # Format @clicon.command() -@click.option('--annotations', help='Concept files for training.' ) -@click.option('--format' , help='Data format (i2b2 or xml).' ) -@click.option('--out' , help='The directory to write the output') +@click.option('--annotations', help='Concept files for training.') +@click.option('--format' , help='Data format (i2b2 or xml).' ) +@click.option('--out' , help='File to write the output.' ) @click.argument('input') def format(annotations, format, out, input): - # Base directory BASE_DIR = os.environ.get('CLICON_DIR') if not BASE_DIR: raise Exception('Environment variable CLICON_DIR must be defined') - # Executable runable = os.path.join(BASE_DIR,'clicon/format.py') - # Must manually check if '.txt' or 'xml' if input[-3:] == 'xml': flag = '-x' @@ -170,11 +150,9 @@ def format(annotations, format, out, input): print >>sys.stderr, '' exit(2) - # Build command cmd = ['python', runable, flag, input] - # Optional arguments if annotations: cmd += ['-c', annotations] @@ -183,15 +161,12 @@ def format(annotations, format, out, input): if format: cmd += ['-f', format] - # Execute train.py subprocess.call(cmd) - - if __name__ == '__main__': clicon() diff --git a/clicon/evaluate.py b/clicon/evaluate.py index 6231a26..bd068ba 100644 --- a/clicon/evaluate.py +++ b/clicon/evaluate.py @@ -5,7 +5,7 @@ import glob import helper -from model import Model +from model import labels from note import * def main(): @@ -15,19 +15,19 @@ def main(): parser.add_argument("-t", help = "Test files that were used to generate predictions", dest = "txt", - default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/test_data/*') + default = os.path.join(os.getenv('CLICON_DIR'), 'data/test_data/*') ) parser.add_argument("-c", help = "The directory that contains predicted concept files organized into subdirectories for svm, lin, srf", dest = "con", - default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/test_predictions/') + default = os.path.join(os.getenv('CLICON_DIR'), 'data/test_predictions/') ) parser.add_argument("-r", help = "The directory that contains reference gold standard concept files", dest = "ref", - default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/reference_standard_for_test_data/concepts/') + default = os.path.join(os.getenv('CLICON_DIR'), 'data/reference_standard_for_test_data/concepts/') ) parser.add_argument("-f", @@ -46,215 +46,223 @@ def main(): args = parser.parse_args() - - if args.format != 'i2b2': - print >>sys.stderr, 'Evaluation for xml not supported yet' - exit(1) - - - # Is output destination specified + # Is output destination specified? if args.output: args.output = open(args.output, "w") else: args.output = sys.stdout - txt_files = glob.glob(args.txt) - ref_files = os.listdir(args.ref) - ref_files = map(lambda f: os.path.join(args.ref, f), ref_files) + # Which format to read? + if args.format == 'i2b2': + wildcard = '*.con' + elif args.format == 'xml': + wildcard = '*.xml' + else: + print >>sys.stderr, '\n\tError: Must specify output format (i2b2 or xml)' + print >>sys.stderr, '' + exit(1) + + # List of medical text + txt_files = glob.glob(args.txt) txt_files_map = helper.map_files(txt_files) + + + # List of gold data + ref_files = glob.glob( os.path.join(args.ref, wildcard) ) + ref_files = map(lambda f: os.path.join(args.ref, f), ref_files) ref_files_map = helper.map_files(ref_files) - con_directories = os.listdir(args.con) - - for con_directory in con_directories: - files = [] - directory_name = os.path.basename(con_directory) - - if directory_name not in ["svm", "crf", "lin"]: - continue - - con_files = os.listdir(os.path.join(args.con, con_directory)) - con_files = map(lambda f: os.path.join(args.con, con_directory, f), con_files) - - con_files_map = helper.map_files(con_files) - - for k in txt_files_map: - if k in con_files_map and k in ref_files_map: - files.append((txt_files_map[k], con_files_map[k], ref_files_map[k])) - - # Compute the confusion matrix - labels = Model.labels # hash tabble: label -> index - confusion = [[0] * len(labels) for e in labels] - - print files - print '' - - # txt <- medical text - # con <- model predictions - # ref <- actual labels - for txt, con, ref in files: - - # A note that represents the model's predictions - cnote = Note() - cnote.read_i2b2( txt, con ) - - # A note that is the actual concept labels - rnote = Note() - rnote.read_i2b2( txt, ref ) - - predictions = cnote.conlist() - - #TO DO: make leaner - #TO DO: create unit tests - reference_concept_spans = {} - predicted_concept_spans = {} - - for line_index, span in enumerate(rnote.boundaries): - #obtain each boundary for the reference labels. - for boundary_index, boundary in enumerate(span): - #IF none/'O' for references simply add to confusion matrix. - #this is done because a blank can only match or mismatch. - if boundary == 'O': - actual = labels[rnote.conlist()[line_index][boundary_index]] - predicted = labels[cnote.conlist()[line_index][boundary_index]] - confusion[actual][predicted] += 1 - #'B' signifies beginning of a concept. - if boundary == 'B': - concept = rnote.concepts[line_index][boundary_index] - #create an entry for the line number for this span. - if reference_concept_spans.has_key(line_index) == False: - reference_concept_spans[line_index] = {} - #mark the beginning of the concept. - beginning = boundary_index - end = boundary_index - for possible_end in span[boundary_index+1:]: - #find the end of the concept - if possible_end == 'B' or possible_end == 'O': - break - if possible_end == 'I': - end += 1 - #store this concept to its line number. - reference_concept_spans[line_index].update({(beginning,end):concept}) - - #find the labels generated from predictions. - #same logic as above except we only care about the labels created for predictions. - for line_index, span in enumerate(cnote.boundaries): - for boundary_index, boundary in enumerate(span): - if boundary == 'B': - concept = cnote.concepts[line_index][boundary_index] - beginning = boundary_index - end = boundary_index - if predicted_concept_spans.has_key(line_index) == False: - predicted_concept_spans[line_index] = {} - - for possible_end in span[boundary_index+1:]: - if possible_end == 'B' or possible_end == 'O': - break - if possible_end == 'I': - end += 1 - predicted_concept_spans[line_index].update({(beginning,end):concept}) - - #for each reference span verify if the predicted span corresponds. - #exatch matches - for lines in reference_concept_spans: - spans_to_remove = [] - for spans in reference_concept_spans[lines]: - #if the line does not exist for whatever reason mark it as none. - if (lines in predicted_concept_spans) == False: - confusion[labels[reference_concept_spans[lines][spans]]][labels['none']] += 1 - continue - #if the span exists and the concept matches mark it for removal and add to confusion matrix - if spans in predicted_concept_spans[lines]: - if reference_concept_spans[lines][spans] == predicted_concept_spans[lines][spans]: - #add to confusion matrix. - spans_to_remove.append(spans) - confusion[labels[reference_concept_spans[lines][spans]]][labels[predicted_concept_spans[lines][spans]]] += 1 - for span_to_remove in spans_to_remove: - #prevent double counting. - predicted_concept_spans[lines].pop(span_to_remove) - reference_concept_spans[lines].pop(span_to_remove) - - #these left overspans do not have exact matches. - #for each reference span see if there is a predict span that it falls in the range of - #inexact matches - for lines in reference_concept_spans: - #if line does not exist for whatever reason just continue, these have already been marked for score. + + # List of predictions + pred_files = glob.glob( os.path.join(args.con, wildcard) ) + pred_files = map(lambda f: os.path.join(args.con, f), pred_files) + pred_files_map = helper.map_files(pred_files) + + + # Grouping of text, predictions, gold + files = [] + for k in txt_files_map: + if k in pred_files_map and k in ref_files_map: + files.append((txt_files_map[k], ref_files_map[k], ref_files_map[k])) + + + # Compute the confusion matrix + confusion = [[0] * len(labels) for e in labels] + + + # txt <- medical text + # annotations <- predictions + # gold <- gold standard + for txt, annotations, gold in files: + + # Read predictions and gols standard data + cnote = Note() + rnote = Note() + if format == 'i2b2': + cnote.read_i2b2(txt, annotations) + rnote.read_i2b2(txt, gold) + else: + cnote.read_xml(annotations) + rnote.read_xml(gold) + + + # List of list of labels + predictions = cnote.conlist() + + + # FIXME - Have not looked below this point yet + #TO DO: make leaner + #TO DO: create unit tests + reference_concept_spans = {} + predicted_concept_spans = {} + + for line_index, span in enumerate(rnote.boundaries): + #obtain each boundary for the reference labels. + for boundary_index, boundary in enumerate(span): + #IF none/'O' for references simply add to confusion matrix. + #this is done because a blank can only match or mismatch. + if boundary == 'O': + actual = labels[rnote.conlist()[line_index][boundary_index]] + predicted = labels[cnote.conlist()[line_index][boundary_index]] + confusion[actual][predicted] += 1 + #'B' signifies beginning of a concept. + if boundary == 'B': + concept = rnote.concepts[line_index][boundary_index] + #create an entry for the line number for this span. + if reference_concept_spans.has_key(line_index) == False: + reference_concept_spans[line_index] = {} + #mark the beginning of the concept. + beginning = boundary_index + end = boundary_index + for possible_end in span[boundary_index+1:]: + #find the end of the concept + if possible_end == 'B' or possible_end == 'O': + break + if possible_end == 'I': + end += 1 + #store this concept to its line number. + reference_concept_spans[line_index].update({(beginning,end):concept}) + + #find the labels generated from predictions. + #same logic as above except we only care about the labels created for predictions. + for line_index, span in enumerate(cnote.boundaries): + for boundary_index, boundary in enumerate(span): + if boundary == 'B': + concept = cnote.concepts[line_index][boundary_index] + beginning = boundary_index + end = boundary_index + if predicted_concept_spans.has_key(line_index) == False: + predicted_concept_spans[line_index] = {} + + for possible_end in span[boundary_index+1:]: + if possible_end == 'B' or possible_end == 'O': + break + if possible_end == 'I': + end += 1 + predicted_concept_spans[line_index].update({(beginning,end):concept}) + + #for each reference span verify if the predicted span corresponds. + #exatch matches + for lines in reference_concept_spans: + spans_to_remove = [] + for spans in reference_concept_spans[lines]: + #if the line does not exist for whatever reason mark it as none. if (lines in predicted_concept_spans) == False: + confusion[labels[reference_concept_spans[lines][spans]]][labels['none']] += 1 continue - for ref_spans in reference_concept_spans[lines]: - incorrect_classifications = [] - for predicted_spans in predicted_concept_spans[lines]: - #find overlapping spans - if predicted_spans[0] >= ref_spans[0] and predicted_spans[0] <= ref_spans[1] \ - or predicted_spans[1] >= ref_spans[0] and predicted_spans[1] <= ref_spans[1]: - #if the classification matches then mark it for score. - if reference_concept_spans[lines][ref_spans] == predicted_concept_spans[lines][predicted_spans]: - confusion[labels[reference_concept_spans[lines][ref_spans]]][labels[predicted_concept_spans[lines][predicted_spans]]] += 1 - incorrect_classifications = [] - break - #overlap but incorrect classification. we still store what it gets for now because there may be another overlap - #that does match inexactly. - else: - incorrect_classifications.append(predicted_concept_spans[lines][predicted_spans]) - #if this is greater than 0 then there has been an incorrect classification. just map the first index - #it is wrong either way. - if len(incorrect_classifications) > 0: - confusion[labels[reference_concept_spans[lines][ref_spans]]][labels[incorrect_classifications[0]]] += 1 - #if there is no predicted span that overlaps with the reference span just mark as none. - else: - confusion[labels[reference_concept_spans[lines][ref_spans]]][labels['none']] += 1 - - # Display the confusion matrix - print >>args.output, "" - print >>args.output, "" - print >>args.output, "" - print >>args.output, "================" - print >>args.output, directory_name.upper() + " RESULTS" - print >>args.output, "================" - print >>args.output, "" - print >>args.output, "Confusion Matrix" - pad = max(len(l) for l in labels) + 6 - print >>args.output, "%s %s" % (' ' * pad, "\t".join(Model.labels.keys())) - for act, act_v in labels.items(): - print >>args.output, "%s %s" % (act.rjust(pad), "\t".join([str(confusion[act_v][pre_v]) for pre, pre_v in labels.items()])) - print >>args.output, "" - - # Compute the analysis stuff - precision = [] - recall = [] - specificity = [] - f1 = [] - - tp = 0 - fp = 0 - fn = 0 - tn = 0 - - print >>args.output, "Analysis" - print >>args.output, " " * pad, "Precision\tRecall\tF1" - - for lab, lab_v in labels.items(): - tp = confusion[lab_v][lab_v] - fp = sum(confusion[v][lab_v] for k, v in labels.items() if v != lab_v) - fn = sum(confusion[lab_v][v] for k, v in labels.items() if v != lab_v) - tn = sum(confusion[v1][v2] for k1, v1 in labels.items() - for k2, v2 in labels.items() if v1 != lab_v and v2 != lab_v) - precision += [float(tp) / (tp + fp + 1e-100)] - recall += [float(tp) / (tp + fn + 1e-100)] - specificity += [float(tn) / (tn + fp + 1e-100)] - f1 += [float(2 * tp) / (2 * tp + fp + fn + 1e-100)] - print >>args.output, "%s %.4f\t%.4f\t%.4f\t%.4f" % (lab.rjust(pad), precision[-1], recall[-1], specificity[-1], f1[-1]) - - print >>args.output, "--------" - - precision = sum(precision) / len(precision) - recall = sum(recall) / len(recall) - specificity = sum(specificity) / len(specificity) - f1 = sum(f1) / len(f1) - - print >>args.output, "Average: %.4f\t%.4f\t%.4f\t%.4f" % (precision, recall, specificity, f1) + #if the span exists and the concept matches mark it for removal and add to confusion matrix + if spans in predicted_concept_spans[lines]: + if reference_concept_spans[lines][spans] == predicted_concept_spans[lines][spans]: + #add to confusion matrix. + spans_to_remove.append(spans) + confusion[labels[reference_concept_spans[lines][spans]]][labels[predicted_concept_spans[lines][spans]]] += 1 + for span_to_remove in spans_to_remove: + #prevent double counting. + predicted_concept_spans[lines].pop(span_to_remove) + reference_concept_spans[lines].pop(span_to_remove) + + #these left overspans do not have exact matches. + #for each reference span see if there is a predict span that it falls in the range of + #inexact matches + for lines in reference_concept_spans: + #if line does not exist for whatever reason just continue, these have already been marked for score. + if (lines in predicted_concept_spans) == False: + continue + for ref_spans in reference_concept_spans[lines]: + incorrect_classifications = [] + for predicted_spans in predicted_concept_spans[lines]: + #find overlapping spans + if predicted_spans[0] >= ref_spans[0] and predicted_spans[0] <= ref_spans[1] \ + or predicted_spans[1] >= ref_spans[0] and predicted_spans[1] <= ref_spans[1]: + #if the classification matches then mark it for score. + if reference_concept_spans[lines][ref_spans] == predicted_concept_spans[lines][predicted_spans]: + confusion[labels[reference_concept_spans[lines][ref_spans]]][labels[predicted_concept_spans[lines][predicted_spans]]] += 1 + incorrect_classifications = [] + break + #overlap but incorrect classification. we still store what it gets for now because there may be another overlap + #that does match inexactly. + else: + incorrect_classifications.append(predicted_concept_spans[lines][predicted_spans]) + #if this is greater than 0 then there has been an incorrect classification. just map the first index + #it is wrong either way. + if len(incorrect_classifications) > 0: + confusion[labels[reference_concept_spans[lines][ref_spans]]][labels[incorrect_classifications[0]]] += 1 + #if there is no predicted span that overlaps with the reference span just mark as none. + else: + confusion[labels[reference_concept_spans[lines][ref_spans]]][labels['none']] += 1 + + # Display the confusion matrix + print >>args.output, "" + print >>args.output, "" + print >>args.output, "" + print >>args.output, "================" + print >>args.output, " RESULTS" + print >>args.output, "================" + print >>args.output, "" + print >>args.output, "Confusion Matrix" + pad = max(len(l) for l in labels) + 6 + print >>args.output, "%s %s" % (' ' * pad, "\t".join(labels.keys())) + for act, act_v in labels.items(): + print >>args.output, "%s %s" % (act.rjust(pad), "\t".join([str(confusion[act_v][pre_v]) for pre, pre_v in labels.items()])) + print >>args.output, "" + + # Compute the analysis stuff + precision = [] + recall = [] + specificity = [] + f1 = [] + + tp = 0 + fp = 0 + fn = 0 + tn = 0 + + print >>args.output, "Analysis" + print >>args.output, " " * pad, "Precision\tRecall\tF1" + + for lab, lab_v in labels.items(): + tp = confusion[lab_v][lab_v] + fp = sum(confusion[v][lab_v] for k, v in labels.items() if v != lab_v) + fn = sum(confusion[lab_v][v] for k, v in labels.items() if v != lab_v) + tn = sum(confusion[v1][v2] for k1, v1 in labels.items() + for k2, v2 in labels.items() if v1 != lab_v and v2 != lab_v) + precision += [float(tp) / (tp + fp + 1e-100)] + recall += [float(tp) / (tp + fn + 1e-100)] + specificity += [float(tn) / (tn + fp + 1e-100)] + f1 += [float(2 * tp) / (2 * tp + fp + fn + 1e-100)] + print >>args.output, "%s %.4f\t%.4f\t%.4f\t%.4f" % (lab.rjust(pad), precision[-1], recall[-1], specificity[-1], f1[-1]) + + print >>args.output, "--------" + + precision = sum(precision) / len(precision) + recall = sum(recall) / len(recall) + specificity = sum(specificity) / len(specificity) + f1 = sum(f1) / len(f1) + + print >>args.output, "Average: %.4f\t%.4f\t%.4f\t%.4f" % (precision, recall, specificity, f1) + if __name__ == '__main__': main() diff --git a/clicon/features_dir/sentence_features.py b/clicon/features_dir/sentence_features.py index a8d5937..db81a7f 100644 --- a/clicon/features_dir/sentence_features.py +++ b/clicon/features_dir/sentence_features.py @@ -244,10 +244,12 @@ def IOB_prose_features(self, sentence): for i in range(len(features_list))] + ''' for f in features_list: print sorted(f.items()) print print '\n\n\n' + ''' return features_list diff --git a/clicon/model.py b/clicon/model.py index a7314cc..8bd391a 100644 --- a/clicon/model.py +++ b/clicon/model.py @@ -15,26 +15,27 @@ import cProfile as profile -class Model: - - labels = { - "none":0, - "treatment":1, - "problem":2, - "test":3 - } - reverse_labels = {v:k for k, v in labels.items()} - +labels = { + "none":0, + "treatment":1, + "problem":2, + "test":3 +} +reverse_labels = {v:k for k, v in labels.items()} + + +# IOBs labels +IOBs_labels = { + 'O':0, + 'B':1, + 'I':2 +} +reverse_IOBs_labels = {v:k for k,v in IOBs_labels.items()} - # IOBs labels - IOBs_labels = { - 'O':0, - 'B':1, - 'I':2 - } - reverse_IOBs_labels = {v:k for k,v in IOBs_labels.items()} +class Model: + @staticmethod def load(filename='awesome.model'): with open(filename, 'rb') as model: @@ -52,7 +53,7 @@ def __init__(self, filename='awesome.model'): self.filename = os.path.realpath(filename) # Use python-crfsuite - self.crf_enabled = True + self.crf_enabled = False # DictVectorizers self.first_prose_vec = DictVectorizer() @@ -66,7 +67,7 @@ def __init__(self, filename='awesome.model'): - def train(self, notes): + def train(self, notes, do_grid=False): """ Model::train() @@ -92,7 +93,7 @@ def train(self, notes): # Train classifier (side effect - saved as object's member variable) print 'first pass' - self.first_train(data1, Y1, do_grid=False) + self.first_train(data1, Y1, do_grid) @@ -112,7 +113,7 @@ def train(self, notes): # Train classifier (side effect - saved as object's member variable) print 'second pass' - self.second_train(data2, inds, Y2, do_grid=False) + self.second_train(data2, inds, Y2, do_grid) @@ -124,7 +125,7 @@ def train(self, notes): - def first_train(self, data, Y, do_grid=True): + def first_train(self, data, Y, do_grid=False): """ Model::first_train() @@ -178,7 +179,7 @@ def first_train(self, data, Y, do_grid=True): print '\tvectorizing features (pass one) ' + flabel # Vectorize IOB labels - Y = [ Model.IOBs_labels[y] for y in chunks ] + Y = [ IOBs_labels[y] for y in chunks ] # Save list structure to reconstruct after vectorization offsets = [ len(sublist) for sublist in fset ] @@ -192,8 +193,6 @@ def first_train(self, data, Y, do_grid=True): print '\ttraining classifiers (pass one) ' + flabel - - # CRF needs reconstructed lists if self.crf_enabled: @@ -223,7 +222,7 @@ def first_train(self, data, Y, do_grid=True): # Model::second_train() # # - def second_train(self, data, inds_list, Y, do_grid=True): + def second_train(self, data, inds_list, Y, do_grid=False): """ Model::second_train() @@ -245,14 +244,11 @@ def second_train(self, data, inds_list, Y, do_grid=True): @return None """ - print '\textracting features (pass two)' - # Create object that is a wrapper for the features feat_o = features.FeatureWrapper() - # Extract features X = [ feat_o.concept_features(s,inds) for s,inds in zip(data,inds_list) ] X = reduce(concat, X) @@ -260,9 +256,8 @@ def second_train(self, data, inds_list, Y, do_grid=True): print '\tvectorizing features (pass two)' - # Vectorize labels - Y = [ Model.labels[y] for y in Y ] + Y = [ labels[y] for y in Y ] # Vectorize features X = self.second_vec.fit_transform(X) @@ -270,7 +265,6 @@ def second_train(self, data, inds_list, Y, do_grid=True): print '\ttraining classifier (pass two)' - # Train the model self.second_clf = sci.train(X, Y, do_grid) @@ -290,7 +284,6 @@ def predict(self, note): print 'first pass' - # Get the data and annotations from the Note objects data = note.txtlist() @@ -307,7 +300,6 @@ def predict(self, note): print 'second pass' - # Get the data and annotations from the Note objects chunks = note.chunked_text() inds = note.concept_indices() @@ -409,7 +401,7 @@ def first_predict(self, data): prose_iobs = [] nonprose_iobs = [] iobs = [] - trans = lambda l: Model.reverse_IOBs_labels[int(l)] + trans = lambda l: reverse_IOBs_labels[int(l)] for sentence in data: if utilities.prose_sentence(sentence): prose_iobs.append( plist.pop(0) ) @@ -460,6 +452,7 @@ def second_predict(self, data, inds_list): # Predict concept labels out = sci.predict(self.second_clf, X) + # Line-by-line processing o = list(out) classifications = [] @@ -472,7 +465,7 @@ def second_predict(self, data, inds_list): for ind in inds: # Get next concept - concept = Model.reverse_labels[o.pop(0)] + concept = reverse_labels[o.pop(0)] # Get start position (ex. 7th word of line) start = 0 diff --git a/clicon/note.py b/clicon/note.py index b1f9e0b..2733bc5 100644 --- a/clicon/note.py +++ b/clicon/note.py @@ -424,7 +424,7 @@ def write_xml(self, labels=None): # If given labels to write, use them. Default to self.classifications - if labels: + if labels != None: classifications = labels elif self.classifications: classifications = self.classifications diff --git a/clicon/predict.py b/clicon/predict.py index 4c8ae75..2a877f6 100644 --- a/clicon/predict.py +++ b/clicon/predict.py @@ -15,19 +15,19 @@ def main(): parser.add_argument("-i", dest = "input", help = "The input files to predict", - default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/test_data/*') + default = os.path.join(os.getenv('CLICON_DIR'), 'data/test_data/*') ) parser.add_argument("-o", dest = "output", help = "The directory to write the output", - default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../data/test_predictions') + default = os.path.join(os.getenv('CLICON_DIR'), 'data/test_predictions') ) parser.add_argument("-m", dest = "model", help = "The model to use for prediction", - default = os.path.join(os.path.dirname(os.path.realpath(__file__)), '../models/run_models/run.model') + default = os.path.join(os.getenv('CLICON_DIR'), 'models/run.model') ) parser.add_argument("-f", @@ -51,16 +51,6 @@ def main(): format = args.format -<<<<<<< HEAD - # Is crfsuite installed? - if args.with_crf: - crfsuite = args.with_crf - elif False: - 'DETECT CRFSUITE FROM CONFIG FILE' - crfsuite = None - else: - crfsuite = None -======= # Must specify output format if (format != 'i2b2') and (format != 'xml'): print >>sys.stderr, '\n\tError: Must specify output format (i2b2 or xml)' @@ -70,7 +60,6 @@ def main(): # Output directory helper.mkpath(os.path.join(args.output)) ->>>>>>> documentation # Load model @@ -99,52 +88,27 @@ def main(): labels = model.predict(note) -<<<<<<< HEAD - # Output directory - con = os.path.split(txt)[-1] - con = con[:-3] + 'con' - - - helper.mkpath(os.path.join(args.output, "lin")) - con_path = os.path.join(args.output, "lin", con) -======= # Get predictions in proper format if format == 'i2b2': extension = 'con' output = note.write_i2b2(labels) else: extension = 'xml' - output = note.write_xml(labels) + output = note.write_xml(labels) ->>>>>>> documentation # Output file basename = os.path.basename(txt)[:-3] + extension out_path = os.path.join(args.output, basename) -<<<<<<< HEAD - # Get predictions in proper format - if format == 'i2b2': - output = note.write_i2b2_con(labels) - elif format == 'xml': - output = note.write_xml(labels) - else: - output = '' - - # Output the concept predictions - print '\n\nwriting to: ', con_path - with open(con_path, 'w') as f: -======= # Output the concept predictions print '\n\nwriting to: ', out_path with open(out_path, 'w') as f: ->>>>>>> documentation print >>f, output + print - print '' - if __name__ == '__main__': diff --git a/clicon/sci.py b/clicon/sci.py index b67d890..6c00173 100644 --- a/clicon/sci.py +++ b/clicon/sci.py @@ -6,9 +6,6 @@ from sklearn.metrics import f1_score -<<<<<<< HEAD -======= - def train(X, Y, do_grid): # Search space @@ -17,6 +14,8 @@ def train(X, Y, do_grid): # Grid search? if do_grid: + print '\t\tperforming grid search' + estimates = LinearSVC() parameters = [ {'C':C_range } ] diff --git a/clicon/train.py b/clicon/train.py index ec72bf1..8119b78 100644 --- a/clicon/train.py +++ b/clicon/train.py @@ -27,7 +27,7 @@ def main(): parser.add_argument("-m", dest = "model", help = "Path to the model that should be generated", - default = os.path.join(os.path.dirname(os.path.abspath(__file__)), '../models/run_models/run.model') + default = os.path.join(os.getenv('CLICON_DIR'), 'models/run.model') ) parser.add_argument("-f", @@ -36,6 +36,12 @@ def main(): default = 'i2b2' ) + parser.add_argument("-g", + dest = "grid", + help = "A flag indicating whether to perform a grid search", + action = "store_true" + ) + # Parse the command line arguments args = parser.parse_args() @@ -46,15 +52,6 @@ def main(): con_files = glob.glob(args.con) - # Is crfsuite installed? - if args.with_crf: - crfsuite = args.with_crf - elif False: - 'DETECT CRFSUITE FROM CONFIG FILE' - crfsuite = None - else: - crfsuite = None - # i2b2 or xml format = args.format if format == 'i2b2': @@ -105,7 +102,7 @@ def main(): # Train the model using the Note's data - model.train(notes) + model.train(notes, args.grid) diff --git a/examples/pretend.con b/examples/pretend.con index 3937179..40a5cbc 100644 --- a/examples/pretend.con +++ b/examples/pretend.con @@ -1,3 +1,4 @@ +c="casey at the bat" 2:0 2:3||t="treatment" c="the score stood four to two" 8:0 8:5||t="problem" c="cooney died at first" 9:3 9:6||t="problem" c="casey at the bat" 14:9 14:12||t="treatment" diff --git a/examples/pretend.xml b/examples/pretend.xml index ff8b34b..ee2096d 100644 --- a/examples/pretend.xml +++ b/examples/pretend.xml @@ -1,5 +1,5 @@ Title : -Casey at the Bat + Casey at the Bat Author : Ernest Thayer Published : From 41daf0cec4814c2fea29b89ed1e1d0d46b86d795 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Thu, 21 Aug 2014 03:20:17 -0400 Subject: [PATCH 216/393] Update README.rst --- README.rst | 4 ++++ 1 file changed, 4 insertions(+) diff --git a/README.rst b/README.rst index db9363d..0bd5e8b 100644 --- a/README.rst +++ b/README.rst @@ -31,9 +31,13 @@ Usage Examples End-to-End export CLICON_DIR=. + bash install.sh + clicon train $CLICON_DIR/examples/pretend.xml --format xml + clicon predict $CLICON_DIR/examples/pretend.txt + clicon evaluate $CLICON_DIR/examples/pretend.txt --gold $CLICON_DIR/examples --format xml From 7878c9d25cc5e578c304462c5da4c974140399e3 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Thu, 21 Aug 2014 03:20:17 -0400 Subject: [PATCH 217/393] Update README.rst --- README.rst | 4 ++++ 1 file changed, 4 insertions(+) diff --git a/README.rst b/README.rst index db9363d..0bd5e8b 100644 --- a/README.rst +++ b/README.rst @@ -31,9 +31,13 @@ Usage Examples End-to-End export CLICON_DIR=. + bash install.sh + clicon train $CLICON_DIR/examples/pretend.xml --format xml + clicon predict $CLICON_DIR/examples/pretend.txt + clicon evaluate $CLICON_DIR/examples/pretend.txt --gold $CLICON_DIR/examples --format xml From 4e7a12d0fea33fd6429811f28a136b4466776739 Mon Sep 17 00:00:00 2001 From: arumshisky Date: Thu, 21 Aug 2014 13:27:36 -0400 Subject: [PATCH 218/393] Update README.rst --- README.rst | 3 ++- 1 file changed, 2 insertions(+), 1 deletion(-) diff --git a/README.rst b/README.rst index 0bd5e8b..ba21f05 100644 --- a/README.rst +++ b/README.rst @@ -12,7 +12,8 @@ CliCon :target: https://pypi.python.org/pypi/clicon -A short description of CliCon. +Clinical Concept extraction system (CliCon) is an open-source natural language processing system for named entity recognition in clinical text of electronic health records. CliCon system is designed to follow best practices in clinical concept extraction, as established in i2b2 2010 shared task. CliCon is implemented as a two-pass machine learning system for named entity recognition, currently using a Conditional Random Fields (CRF) classifier to establish concept boundaries and a Support Vector Machine (SVM) classifier to establish the type of concept. Please note that for optimal performance, CliCon requires the users to obtain a Unified Medical Language System (UMLS) license, since UMLS Metathesaurus is used as one of the knowledge sources for the above classifiers. + * Free software: BSD license * Documentation: http://clicon.readthedocs.org. From 6803d679595bee2fec4162a18c5a77c9a8b0a431 Mon Sep 17 00:00:00 2001 From: arumshisky Date: Thu, 21 Aug 2014 13:27:36 -0400 Subject: [PATCH 219/393] Update README.rst --- README.rst | 3 ++- 1 file changed, 2 insertions(+), 1 deletion(-) diff --git a/README.rst b/README.rst index 0bd5e8b..ba21f05 100644 --- a/README.rst +++ b/README.rst @@ -12,7 +12,8 @@ CliCon :target: https://pypi.python.org/pypi/clicon -A short description of CliCon. +Clinical Concept extraction system (CliCon) is an open-source natural language processing system for named entity recognition in clinical text of electronic health records. CliCon system is designed to follow best practices in clinical concept extraction, as established in i2b2 2010 shared task. CliCon is implemented as a two-pass machine learning system for named entity recognition, currently using a Conditional Random Fields (CRF) classifier to establish concept boundaries and a Support Vector Machine (SVM) classifier to establish the type of concept. Please note that for optimal performance, CliCon requires the users to obtain a Unified Medical Language System (UMLS) license, since UMLS Metathesaurus is used as one of the knowledge sources for the above classifiers. + * Free software: BSD license * Documentation: http://clicon.readthedocs.org. From efd973f184fe55359169c9aedae9e82cc2dfbdc1 Mon Sep 17 00:00:00 2001 From: arumshisky Date: Thu, 21 Aug 2014 13:27:55 -0400 Subject: [PATCH 220/393] Update README.rst --- README.rst | 1 + 1 file changed, 1 insertion(+) diff --git a/README.rst b/README.rst index ba21f05..8c2abac 100644 --- a/README.rst +++ b/README.rst @@ -12,6 +12,7 @@ CliCon :target: https://pypi.python.org/pypi/clicon + Clinical Concept extraction system (CliCon) is an open-source natural language processing system for named entity recognition in clinical text of electronic health records. CliCon system is designed to follow best practices in clinical concept extraction, as established in i2b2 2010 shared task. CliCon is implemented as a two-pass machine learning system for named entity recognition, currently using a Conditional Random Fields (CRF) classifier to establish concept boundaries and a Support Vector Machine (SVM) classifier to establish the type of concept. Please note that for optimal performance, CliCon requires the users to obtain a Unified Medical Language System (UMLS) license, since UMLS Metathesaurus is used as one of the knowledge sources for the above classifiers. From f30e7c817de4711cfd178587ef97e0dc381a9ff3 Mon Sep 17 00:00:00 2001 From: arumshisky Date: Thu, 21 Aug 2014 13:27:55 -0400 Subject: [PATCH 221/393] Update README.rst --- README.rst | 1 + 1 file changed, 1 insertion(+) diff --git a/README.rst b/README.rst index ba21f05..8c2abac 100644 --- a/README.rst +++ b/README.rst @@ -12,6 +12,7 @@ CliCon :target: https://pypi.python.org/pypi/clicon + Clinical Concept extraction system (CliCon) is an open-source natural language processing system for named entity recognition in clinical text of electronic health records. CliCon system is designed to follow best practices in clinical concept extraction, as established in i2b2 2010 shared task. CliCon is implemented as a two-pass machine learning system for named entity recognition, currently using a Conditional Random Fields (CRF) classifier to establish concept boundaries and a Support Vector Machine (SVM) classifier to establish the type of concept. Please note that for optimal performance, CliCon requires the users to obtain a Unified Medical Language System (UMLS) license, since UMLS Metathesaurus is used as one of the knowledge sources for the above classifiers. From cdc61a6673d12cb495e8710a76d04bf77fa93e49 Mon Sep 17 00:00:00 2001 From: arumshisky Date: Thu, 21 Aug 2014 13:28:58 -0400 Subject: [PATCH 222/393] Update README.rst --- README.rst | 6 +++++- 1 file changed, 5 insertions(+), 1 deletion(-) diff --git a/README.rst b/README.rst index 8c2abac..74c4772 100644 --- a/README.rst +++ b/README.rst @@ -13,7 +13,11 @@ CliCon -Clinical Concept extraction system (CliCon) is an open-source natural language processing system for named entity recognition in clinical text of electronic health records. CliCon system is designed to follow best practices in clinical concept extraction, as established in i2b2 2010 shared task. CliCon is implemented as a two-pass machine learning system for named entity recognition, currently using a Conditional Random Fields (CRF) classifier to establish concept boundaries and a Support Vector Machine (SVM) classifier to establish the type of concept. Please note that for optimal performance, CliCon requires the users to obtain a Unified Medical Language System (UMLS) license, since UMLS Metathesaurus is used as one of the knowledge sources for the above classifiers. +Clinical Concept extraction system (CliCon) is an open-source natural language processing system for named entity recognition in clinical text of electronic health records. CliCon system is designed to follow best practices in clinical concept extraction, as established in i2b2 2010 shared task. + +CliCon is implemented as a two-pass machine learning system for named entity recognition, currently using a Conditional Random Fields (CRF) classifier to establish concept boundaries and a Support Vector Machine (SVM) classifier to establish the type of concept. + +Please note that for optimal performance, CliCon requires the users to obtain a Unified Medical Language System (UMLS) license, since UMLS Metathesaurus is used as one of the knowledge sources for the above classifiers. * Free software: BSD license From 7e20318b2de4add9f4fb417bd887d55ce3e10ffe Mon Sep 17 00:00:00 2001 From: arumshisky Date: Thu, 21 Aug 2014 13:28:58 -0400 Subject: [PATCH 223/393] Update README.rst --- README.rst | 6 +++++- 1 file changed, 5 insertions(+), 1 deletion(-) diff --git a/README.rst b/README.rst index 8c2abac..74c4772 100644 --- a/README.rst +++ b/README.rst @@ -13,7 +13,11 @@ CliCon -Clinical Concept extraction system (CliCon) is an open-source natural language processing system for named entity recognition in clinical text of electronic health records. CliCon system is designed to follow best practices in clinical concept extraction, as established in i2b2 2010 shared task. CliCon is implemented as a two-pass machine learning system for named entity recognition, currently using a Conditional Random Fields (CRF) classifier to establish concept boundaries and a Support Vector Machine (SVM) classifier to establish the type of concept. Please note that for optimal performance, CliCon requires the users to obtain a Unified Medical Language System (UMLS) license, since UMLS Metathesaurus is used as one of the knowledge sources for the above classifiers. +Clinical Concept extraction system (CliCon) is an open-source natural language processing system for named entity recognition in clinical text of electronic health records. CliCon system is designed to follow best practices in clinical concept extraction, as established in i2b2 2010 shared task. + +CliCon is implemented as a two-pass machine learning system for named entity recognition, currently using a Conditional Random Fields (CRF) classifier to establish concept boundaries and a Support Vector Machine (SVM) classifier to establish the type of concept. + +Please note that for optimal performance, CliCon requires the users to obtain a Unified Medical Language System (UMLS) license, since UMLS Metathesaurus is used as one of the knowledge sources for the above classifiers. * Free software: BSD license From 31b66e06fb9fa26648f9fb1881e65d759c3d32ae Mon Sep 17 00:00:00 2001 From: arumshisky Date: Thu, 21 Aug 2014 15:55:15 -0400 Subject: [PATCH 224/393] Update README.rst --- README.rst | 102 +++++++++++++++++++++++++++-------------------------- 1 file changed, 52 insertions(+), 50 deletions(-) diff --git a/README.rst b/README.rst index 74c4772..c09eef2 100644 --- a/README.rst +++ b/README.rst @@ -12,7 +12,6 @@ CliCon :target: https://pypi.python.org/pypi/clicon - Clinical Concept extraction system (CliCon) is an open-source natural language processing system for named entity recognition in clinical text of electronic health records. CliCon system is designed to follow best practices in clinical concept extraction, as established in i2b2 2010 shared task. CliCon is implemented as a two-pass machine learning system for named entity recognition, currently using a Conditional Random Fields (CRF) classifier to establish concept boundaries and a Support Vector Machine (SVM) classifier to establish the type of concept. @@ -31,55 +30,6 @@ Features -Usage Examples --------- - - End-to-End - - export CLICON_DIR=. - - bash install.sh - - clicon train $CLICON_DIR/examples/pretend.xml --format xml - - clicon predict $CLICON_DIR/examples/pretend.txt - - clicon evaluate $CLICON_DIR/examples/pretend.txt --gold $CLICON_DIR/examples --format xml - - - i2b2 format - - Example: Train model on i2b2-formatted data - clicon train $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/examples/pretend.con - - Example: Train model on i2b2-formatted data with SVM grid search (NOTE: Currently does not work with sample data because the sample data is too small for cross validation). - clicon train $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/examples/pretend.con --grid-search - - Example: Predict concepts and output in i2b2 format - clicon predict $CLICON_DIR/examples/pretend.txt --out $CLICON_DIR/data/test_predictions/ - - example: Evaluation - clicon evaluate $CLICON_DIR/examples/pretend.txt --gold $CLICON_DIR/examples --predictions $CLICON_DIR/data/test_predictions/ --format i2b2 - - example: Change Format - clicon format $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/data/test_predictions/pretend.con --format xml - - - xml format - Example: Train model on xml-formatted data - clicon train $CLICON_DIR/examples/pretend.xml --format xml - - Example: Predict concepts and output in xml format - clicon predict $CLICON_DIR/examples/pretend.txt --out $CLICON_DIR/data/test_predictions/ --format xml - - example: Evaluation - clicon evaluate $CLICON_DIR/examples/pretend.txt --gold $CLICON_DIR/examples --predictions $CLICON_DIR/data/test_predictions/ --format xml - - example: Change Format - clicon format $CLICON_DIR/data/test_predictions/pretend.xml --format i2b2 - - - Installation -------- @@ -261,3 +211,55 @@ Installation Script **We haven't done any unit tests yet** + + +Usage Examples +-------- + + End-to-End + + export CLICON_DIR=. + + bash install.sh + + clicon train $CLICON_DIR/examples/pretend.xml --format xml + + clicon predict $CLICON_DIR/examples/pretend.txt + + clicon evaluate $CLICON_DIR/examples/pretend.txt --gold $CLICON_DIR/examples --format xml + + + i2b2 format + + Example: Train model on i2b2-formatted data + clicon train $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/examples/pretend.con + + Example: Train model on i2b2-formatted data with SVM grid search (NOTE: Currently does not work with sample data because the sample data is too small for cross validation). + clicon train $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/examples/pretend.con --grid-search + + Example: Predict concepts and output in i2b2 format + clicon predict $CLICON_DIR/examples/pretend.txt --out $CLICON_DIR/data/test_predictions/ + + example: Evaluation + clicon evaluate $CLICON_DIR/examples/pretend.txt --gold $CLICON_DIR/examples --predictions $CLICON_DIR/data/test_predictions/ --format i2b2 + + example: Change Format + clicon format $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/data/test_predictions/pretend.con --format xml + + + xml format + Example: Train model on xml-formatted data + clicon train $CLICON_DIR/examples/pretend.xml --format xml + + Example: Predict concepts and output in xml format + clicon predict $CLICON_DIR/examples/pretend.txt --out $CLICON_DIR/data/test_predictions/ --format xml + + example: Evaluation + clicon evaluate $CLICON_DIR/examples/pretend.txt --gold $CLICON_DIR/examples --predictions $CLICON_DIR/data/test_predictions/ --format xml + + example: Change Format + clicon format $CLICON_DIR/data/test_predictions/pretend.xml --format i2b2 + + + + From f601fc6ee82fd9c015310677174e238a01202aca Mon Sep 17 00:00:00 2001 From: arumshisky Date: Thu, 21 Aug 2014 15:55:15 -0400 Subject: [PATCH 225/393] Update README.rst --- README.rst | 102 +++++++++++++++++++++++++++-------------------------- 1 file changed, 52 insertions(+), 50 deletions(-) diff --git a/README.rst b/README.rst index 74c4772..c09eef2 100644 --- a/README.rst +++ b/README.rst @@ -12,7 +12,6 @@ CliCon :target: https://pypi.python.org/pypi/clicon - Clinical Concept extraction system (CliCon) is an open-source natural language processing system for named entity recognition in clinical text of electronic health records. CliCon system is designed to follow best practices in clinical concept extraction, as established in i2b2 2010 shared task. CliCon is implemented as a two-pass machine learning system for named entity recognition, currently using a Conditional Random Fields (CRF) classifier to establish concept boundaries and a Support Vector Machine (SVM) classifier to establish the type of concept. @@ -31,55 +30,6 @@ Features -Usage Examples --------- - - End-to-End - - export CLICON_DIR=. - - bash install.sh - - clicon train $CLICON_DIR/examples/pretend.xml --format xml - - clicon predict $CLICON_DIR/examples/pretend.txt - - clicon evaluate $CLICON_DIR/examples/pretend.txt --gold $CLICON_DIR/examples --format xml - - - i2b2 format - - Example: Train model on i2b2-formatted data - clicon train $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/examples/pretend.con - - Example: Train model on i2b2-formatted data with SVM grid search (NOTE: Currently does not work with sample data because the sample data is too small for cross validation). - clicon train $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/examples/pretend.con --grid-search - - Example: Predict concepts and output in i2b2 format - clicon predict $CLICON_DIR/examples/pretend.txt --out $CLICON_DIR/data/test_predictions/ - - example: Evaluation - clicon evaluate $CLICON_DIR/examples/pretend.txt --gold $CLICON_DIR/examples --predictions $CLICON_DIR/data/test_predictions/ --format i2b2 - - example: Change Format - clicon format $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/data/test_predictions/pretend.con --format xml - - - xml format - Example: Train model on xml-formatted data - clicon train $CLICON_DIR/examples/pretend.xml --format xml - - Example: Predict concepts and output in xml format - clicon predict $CLICON_DIR/examples/pretend.txt --out $CLICON_DIR/data/test_predictions/ --format xml - - example: Evaluation - clicon evaluate $CLICON_DIR/examples/pretend.txt --gold $CLICON_DIR/examples --predictions $CLICON_DIR/data/test_predictions/ --format xml - - example: Change Format - clicon format $CLICON_DIR/data/test_predictions/pretend.xml --format i2b2 - - - Installation -------- @@ -261,3 +211,55 @@ Installation Script **We haven't done any unit tests yet** + + +Usage Examples +-------- + + End-to-End + + export CLICON_DIR=. + + bash install.sh + + clicon train $CLICON_DIR/examples/pretend.xml --format xml + + clicon predict $CLICON_DIR/examples/pretend.txt + + clicon evaluate $CLICON_DIR/examples/pretend.txt --gold $CLICON_DIR/examples --format xml + + + i2b2 format + + Example: Train model on i2b2-formatted data + clicon train $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/examples/pretend.con + + Example: Train model on i2b2-formatted data with SVM grid search (NOTE: Currently does not work with sample data because the sample data is too small for cross validation). + clicon train $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/examples/pretend.con --grid-search + + Example: Predict concepts and output in i2b2 format + clicon predict $CLICON_DIR/examples/pretend.txt --out $CLICON_DIR/data/test_predictions/ + + example: Evaluation + clicon evaluate $CLICON_DIR/examples/pretend.txt --gold $CLICON_DIR/examples --predictions $CLICON_DIR/data/test_predictions/ --format i2b2 + + example: Change Format + clicon format $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/data/test_predictions/pretend.con --format xml + + + xml format + Example: Train model on xml-formatted data + clicon train $CLICON_DIR/examples/pretend.xml --format xml + + Example: Predict concepts and output in xml format + clicon predict $CLICON_DIR/examples/pretend.txt --out $CLICON_DIR/data/test_predictions/ --format xml + + example: Evaluation + clicon evaluate $CLICON_DIR/examples/pretend.txt --gold $CLICON_DIR/examples --predictions $CLICON_DIR/data/test_predictions/ --format xml + + example: Change Format + clicon format $CLICON_DIR/data/test_predictions/pretend.xml --format i2b2 + + + + From ddf412beacc57480c59acc4207c05d540d6965b6 Mon Sep 17 00:00:00 2001 From: arumshisky Date: Thu, 21 Aug 2014 16:00:55 -0400 Subject: [PATCH 226/393] Update README.rst --- README.rst | 11 ++++------- 1 file changed, 4 insertions(+), 7 deletions(-) diff --git a/README.rst b/README.rst index c09eef2..4db8c2a 100644 --- a/README.rst +++ b/README.rst @@ -41,17 +41,14 @@ Installation Script The script will try to download CliCon's third party dependencies and will get everything except for the i2b2 data and the UMLS tables. - In the event that you run the script but encounter issues, please see the README section that corresponds to the failure's message. + If the installation script encounters issues, please see the README section corresponding to the failure message. - It is entirely likely that there are unforseen bugs. If you experience "strange" behavior (or if this document is just unclear in general), please email me at wboag@cs.uml.edu with your installation questions. - - If you do not run the script, you must follow each of these steps and configure things such as virtual environments and environment variables. Not terribly difficult (we hope!). + If you opt not to use the provided script, you must follow the steps described below, starting with setting up virtual environments and environment variables. Not terribly difficult (we hope!). + Please email wboag@cs.uml.edu with your installation questions. - - -1. virtualenv +1. Set up virtualenv Setup a virtual environent. You must re-enable the virtual environment every new session. From 15ea33625336f88dba73b9f12399545ab269583a Mon Sep 17 00:00:00 2001 From: arumshisky Date: Thu, 21 Aug 2014 16:00:55 -0400 Subject: [PATCH 227/393] Update README.rst --- README.rst | 11 ++++------- 1 file changed, 4 insertions(+), 7 deletions(-) diff --git a/README.rst b/README.rst index c09eef2..4db8c2a 100644 --- a/README.rst +++ b/README.rst @@ -41,17 +41,14 @@ Installation Script The script will try to download CliCon's third party dependencies and will get everything except for the i2b2 data and the UMLS tables. - In the event that you run the script but encounter issues, please see the README section that corresponds to the failure's message. + If the installation script encounters issues, please see the README section corresponding to the failure message. - It is entirely likely that there are unforseen bugs. If you experience "strange" behavior (or if this document is just unclear in general), please email me at wboag@cs.uml.edu with your installation questions. - - If you do not run the script, you must follow each of these steps and configure things such as virtual environments and environment variables. Not terribly difficult (we hope!). + If you opt not to use the provided script, you must follow the steps described below, starting with setting up virtual environments and environment variables. Not terribly difficult (we hope!). + Please email wboag@cs.uml.edu with your installation questions. - - -1. virtualenv +1. Set up virtualenv Setup a virtual environent. You must re-enable the virtual environment every new session. From 7348653563949901b3917532c33b0c82336640a0 Mon Sep 17 00:00:00 2001 From: arumshisky Date: Thu, 21 Aug 2014 16:18:50 -0400 Subject: [PATCH 228/393] Update README.rst --- README.rst | 18 ++++++++++++------ 1 file changed, 12 insertions(+), 6 deletions(-) diff --git a/README.rst b/README.rst index 4db8c2a..24aaa2c 100644 --- a/README.rst +++ b/README.rst @@ -35,17 +35,23 @@ Installation -------- -Installation Script +0. Using an installation Script - For Ubuntu users, there is a script that should be able to download most of the pieces of this project. Note, it cannot get priveleged tools (such as the i2b2 data and the UMLS tables) - you must get those two pieces yourself. +Linux users can use an installation script to download and install all the components of this project, including third-party dependencies. Note that cannot get tools and data that require special use agreements (including the i2b2 data and the UMLS tables), which have to be obtained separately. - The script will try to download CliCon's third party dependencies and will get everything except for the i2b2 data and the UMLS tables. + To invoke the script: - If the installation script encounters issues, please see the README section corresponding to the failure message. +:: - If you opt not to use the provided script, you must follow the steps described below, starting with setting up virtual environments and environment variables. Not terribly difficult (we hope!). + user@your-machine:~$ export CLICON_DIR=. + user@your-machine:~$ source install.sh - Please email wboag@cs.uml.edu with your installation questions. + +If the installation script encounters issues, please see the README section corresponding to the failure message. + +If you opt not to use the provided script, you must follow the steps described below, starting with setting up virtual environments and environment variables. Not terribly difficult (we hope!). + +Please email wboag@cs.uml.edu with your installation questions. 1. Set up virtualenv From c83b0ae60f5a63773a6f0ad6db61ec2a480d129a Mon Sep 17 00:00:00 2001 From: arumshisky Date: Thu, 21 Aug 2014 16:18:50 -0400 Subject: [PATCH 229/393] Update README.rst --- README.rst | 18 ++++++++++++------ 1 file changed, 12 insertions(+), 6 deletions(-) diff --git a/README.rst b/README.rst index 4db8c2a..24aaa2c 100644 --- a/README.rst +++ b/README.rst @@ -35,17 +35,23 @@ Installation -------- -Installation Script +0. Using an installation Script - For Ubuntu users, there is a script that should be able to download most of the pieces of this project. Note, it cannot get priveleged tools (such as the i2b2 data and the UMLS tables) - you must get those two pieces yourself. +Linux users can use an installation script to download and install all the components of this project, including third-party dependencies. Note that cannot get tools and data that require special use agreements (including the i2b2 data and the UMLS tables), which have to be obtained separately. - The script will try to download CliCon's third party dependencies and will get everything except for the i2b2 data and the UMLS tables. + To invoke the script: - If the installation script encounters issues, please see the README section corresponding to the failure message. +:: - If you opt not to use the provided script, you must follow the steps described below, starting with setting up virtual environments and environment variables. Not terribly difficult (we hope!). + user@your-machine:~$ export CLICON_DIR=. + user@your-machine:~$ source install.sh - Please email wboag@cs.uml.edu with your installation questions. + +If the installation script encounters issues, please see the README section corresponding to the failure message. + +If you opt not to use the provided script, you must follow the steps described below, starting with setting up virtual environments and environment variables. Not terribly difficult (we hope!). + +Please email wboag@cs.uml.edu with your installation questions. 1. Set up virtualenv From 515e8ae280a3ebed896bfbe8259bea99e593aa36 Mon Sep 17 00:00:00 2001 From: arumshisky Date: Thu, 21 Aug 2014 16:19:27 -0400 Subject: [PATCH 230/393] Update README.rst --- README.rst | 4 +--- 1 file changed, 1 insertion(+), 3 deletions(-) diff --git a/README.rst b/README.rst index 24aaa2c..c706045 100644 --- a/README.rst +++ b/README.rst @@ -29,8 +29,6 @@ Features - - Installation -------- @@ -39,7 +37,7 @@ Installation Linux users can use an installation script to download and install all the components of this project, including third-party dependencies. Note that cannot get tools and data that require special use agreements (including the i2b2 data and the UMLS tables), which have to be obtained separately. - To invoke the script: +To invoke the script: :: From ed775f9f9930adfded4d63ae15ad005ba497e45e Mon Sep 17 00:00:00 2001 From: arumshisky Date: Thu, 21 Aug 2014 16:19:27 -0400 Subject: [PATCH 231/393] Update README.rst --- README.rst | 4 +--- 1 file changed, 1 insertion(+), 3 deletions(-) diff --git a/README.rst b/README.rst index 24aaa2c..c706045 100644 --- a/README.rst +++ b/README.rst @@ -29,8 +29,6 @@ Features - - Installation -------- @@ -39,7 +37,7 @@ Installation Linux users can use an installation script to download and install all the components of this project, including third-party dependencies. Note that cannot get tools and data that require special use agreements (including the i2b2 data and the UMLS tables), which have to be obtained separately. - To invoke the script: +To invoke the script: :: From 544348e80eadb494700159da4281cc5abd865e89 Mon Sep 17 00:00:00 2001 From: arumshisky Date: Thu, 21 Aug 2014 16:20:32 -0400 Subject: [PATCH 232/393] Update README.rst --- README.rst | 5 ++++- 1 file changed, 4 insertions(+), 1 deletion(-) diff --git a/README.rst b/README.rst index c706045..caef56c 100644 --- a/README.rst +++ b/README.rst @@ -37,7 +37,7 @@ Installation Linux users can use an installation script to download and install all the components of this project, including third-party dependencies. Note that cannot get tools and data that require special use agreements (including the i2b2 data and the UMLS tables), which have to be obtained separately. -To invoke the script: +**To invoke the script:** :: @@ -52,6 +52,9 @@ If you opt not to use the provided script, you must follow the steps described b Please email wboag@cs.uml.edu with your installation questions. +**Step-by-step installation instructions:** + + 1. Set up virtualenv Setup a virtual environent. You must re-enable the virtual environment every new session. From bac75d116b47c5f183cdcf21286b0b66df0ae88f Mon Sep 17 00:00:00 2001 From: arumshisky Date: Thu, 21 Aug 2014 16:20:32 -0400 Subject: [PATCH 233/393] Update README.rst --- README.rst | 5 ++++- 1 file changed, 4 insertions(+), 1 deletion(-) diff --git a/README.rst b/README.rst index c706045..caef56c 100644 --- a/README.rst +++ b/README.rst @@ -37,7 +37,7 @@ Installation Linux users can use an installation script to download and install all the components of this project, including third-party dependencies. Note that cannot get tools and data that require special use agreements (including the i2b2 data and the UMLS tables), which have to be obtained separately. -To invoke the script: +**To invoke the script:** :: @@ -52,6 +52,9 @@ If you opt not to use the provided script, you must follow the steps described b Please email wboag@cs.uml.edu with your installation questions. +**Step-by-step installation instructions:** + + 1. Set up virtualenv Setup a virtual environent. You must re-enable the virtual environment every new session. From 0b592c9491f722a7b90847aa47b1ebf9c1dac41c Mon Sep 17 00:00:00 2001 From: arumshisky Date: Thu, 21 Aug 2014 16:24:18 -0400 Subject: [PATCH 234/393] Update README.rst --- README.rst | 24 +++++++++++++----------- 1 file changed, 13 insertions(+), 11 deletions(-) diff --git a/README.rst b/README.rst index caef56c..b96d39c 100644 --- a/README.rst +++ b/README.rst @@ -32,6 +32,19 @@ Features Installation -------- +**Begin by cloning the git repository:** + +:: + + user@your-machine:~$ git clone https://github.com/mitmedg/CliCon.git + Cloning into 'CliCon'... + remote: Counting objects: 1296, done. + remote: Compressing objects: 100% (503/503), done. + remote: Total 1296 (delta 812), reused 1253 (delta 781) + Receiving objects: 100% (1296/1296), 1001.14 KiB | 759 KiB/s, done. + Resolving deltas: 100% (812/812), done. + user@your-machine:~$ export CLICON_DIR=$(pwd)/CliCon + 0. Using an installation Script @@ -79,17 +92,6 @@ Please email wboag@cs.uml.edu with your installation questions. **This variable must be the path of the directory created by git.** - example: - user@your-machine:~$ git clone https://github.com/mitmedg/CliCon.git - Cloning into 'CliCon'... - remote: Counting objects: 1296, done. - remote: Compressing objects: 100% (503/503), done. - remote: Total 1296 (delta 812), reused 1253 (delta 781) - Receiving objects: 100% (1296/1296), 1001.14 KiB | 759 KiB/s, done. - Resolving deltas: 100% (812/812), done. - user@your-machine:~$ export CLICON_DIR=$(pwd)/CliCon - - 3. Install Python Dependencies From 1c8ecec0499ed26a33c4d334850816f46a9094cc Mon Sep 17 00:00:00 2001 From: arumshisky Date: Thu, 21 Aug 2014 16:24:18 -0400 Subject: [PATCH 235/393] Update README.rst --- README.rst | 24 +++++++++++++----------- 1 file changed, 13 insertions(+), 11 deletions(-) diff --git a/README.rst b/README.rst index caef56c..b96d39c 100644 --- a/README.rst +++ b/README.rst @@ -32,6 +32,19 @@ Features Installation -------- +**Begin by cloning the git repository:** + +:: + + user@your-machine:~$ git clone https://github.com/mitmedg/CliCon.git + Cloning into 'CliCon'... + remote: Counting objects: 1296, done. + remote: Compressing objects: 100% (503/503), done. + remote: Total 1296 (delta 812), reused 1253 (delta 781) + Receiving objects: 100% (1296/1296), 1001.14 KiB | 759 KiB/s, done. + Resolving deltas: 100% (812/812), done. + user@your-machine:~$ export CLICON_DIR=$(pwd)/CliCon + 0. Using an installation Script @@ -79,17 +92,6 @@ Please email wboag@cs.uml.edu with your installation questions. **This variable must be the path of the directory created by git.** - example: - user@your-machine:~$ git clone https://github.com/mitmedg/CliCon.git - Cloning into 'CliCon'... - remote: Counting objects: 1296, done. - remote: Compressing objects: 100% (503/503), done. - remote: Total 1296 (delta 812), reused 1253 (delta 781) - Receiving objects: 100% (1296/1296), 1001.14 KiB | 759 KiB/s, done. - Resolving deltas: 100% (812/812), done. - user@your-machine:~$ export CLICON_DIR=$(pwd)/CliCon - - 3. Install Python Dependencies From ab9d50d3613c6b0d0286d69b1d3246900f63772d Mon Sep 17 00:00:00 2001 From: arumshisky Date: Thu, 21 Aug 2014 16:29:17 -0400 Subject: [PATCH 236/393] Update README.rst --- README.rst | 9 +++++---- 1 file changed, 5 insertions(+), 4 deletions(-) diff --git a/README.rst b/README.rst index b96d39c..8ce28fb 100644 --- a/README.rst +++ b/README.rst @@ -32,7 +32,7 @@ Features Installation -------- -**Begin by cloning the git repository:** +1. Clone the CliCon git repository: :: @@ -43,10 +43,9 @@ Installation remote: Total 1296 (delta 812), reused 1253 (delta 781) Receiving objects: 100% (1296/1296), 1001.14 KiB | 759 KiB/s, done. Resolving deltas: 100% (812/812), done. - user@your-machine:~$ export CLICON_DIR=$(pwd)/CliCon -0. Using an installation Script +2. Using an installation Script Linux users can use an installation script to download and install all the components of this project, including third-party dependencies. Note that cannot get tools and data that require special use agreements (including the i2b2 data and the UMLS tables), which have to be obtained separately. @@ -68,7 +67,7 @@ Please email wboag@cs.uml.edu with your installation questions. **Step-by-step installation instructions:** -1. Set up virtualenv +(1) Set up virtualenv Setup a virtual environent. You must re-enable the virtual environment every new session. @@ -90,6 +89,8 @@ Please email wboag@cs.uml.edu with your installation questions. In order to run CliCon, you must define the CLICON_DIR environment variable. + user@your-machine:~$ export CLICON_DIR=$(pwd)/CliCon + **This variable must be the path of the directory created by git.** From 9eac288cf46a3279afc4e982c0d1dbbe499fd029 Mon Sep 17 00:00:00 2001 From: arumshisky Date: Thu, 21 Aug 2014 16:29:17 -0400 Subject: [PATCH 237/393] Update README.rst --- README.rst | 9 +++++---- 1 file changed, 5 insertions(+), 4 deletions(-) diff --git a/README.rst b/README.rst index b96d39c..8ce28fb 100644 --- a/README.rst +++ b/README.rst @@ -32,7 +32,7 @@ Features Installation -------- -**Begin by cloning the git repository:** +1. Clone the CliCon git repository: :: @@ -43,10 +43,9 @@ Installation remote: Total 1296 (delta 812), reused 1253 (delta 781) Receiving objects: 100% (1296/1296), 1001.14 KiB | 759 KiB/s, done. Resolving deltas: 100% (812/812), done. - user@your-machine:~$ export CLICON_DIR=$(pwd)/CliCon -0. Using an installation Script +2. Using an installation Script Linux users can use an installation script to download and install all the components of this project, including third-party dependencies. Note that cannot get tools and data that require special use agreements (including the i2b2 data and the UMLS tables), which have to be obtained separately. @@ -68,7 +67,7 @@ Please email wboag@cs.uml.edu with your installation questions. **Step-by-step installation instructions:** -1. Set up virtualenv +(1) Set up virtualenv Setup a virtual environent. You must re-enable the virtual environment every new session. @@ -90,6 +89,8 @@ Please email wboag@cs.uml.edu with your installation questions. In order to run CliCon, you must define the CLICON_DIR environment variable. + user@your-machine:~$ export CLICON_DIR=$(pwd)/CliCon + **This variable must be the path of the directory created by git.** From 6c4292ca6de077a28c9ebc4a3f6fde285e8bc404 Mon Sep 17 00:00:00 2001 From: arumshisky Date: Thu, 21 Aug 2014 16:32:37 -0400 Subject: [PATCH 238/393] Update README.rst --- README.rst | 6 +++--- 1 file changed, 3 insertions(+), 3 deletions(-) diff --git a/README.rst b/README.rst index 8ce28fb..34a7965 100644 --- a/README.rst +++ b/README.rst @@ -32,7 +32,7 @@ Features Installation -------- -1. Clone the CliCon git repository: +**Clone the CliCon git repository:** :: @@ -45,11 +45,11 @@ Installation Resolving deltas: 100% (812/812), done. -2. Using an installation Script +**Using an installation script** Linux users can use an installation script to download and install all the components of this project, including third-party dependencies. Note that cannot get tools and data that require special use agreements (including the i2b2 data and the UMLS tables), which have to be obtained separately. -**To invoke the script:** +To invoke the script: :: From 91aefbf9d63a1e2f948e34b95fbfbd98b011d460 Mon Sep 17 00:00:00 2001 From: arumshisky Date: Thu, 21 Aug 2014 16:32:37 -0400 Subject: [PATCH 239/393] Update README.rst --- README.rst | 6 +++--- 1 file changed, 3 insertions(+), 3 deletions(-) diff --git a/README.rst b/README.rst index 8ce28fb..34a7965 100644 --- a/README.rst +++ b/README.rst @@ -32,7 +32,7 @@ Features Installation -------- -1. Clone the CliCon git repository: +**Clone the CliCon git repository:** :: @@ -45,11 +45,11 @@ Installation Resolving deltas: 100% (812/812), done. -2. Using an installation Script +**Using an installation script** Linux users can use an installation script to download and install all the components of this project, including third-party dependencies. Note that cannot get tools and data that require special use agreements (including the i2b2 data and the UMLS tables), which have to be obtained separately. -**To invoke the script:** +To invoke the script: :: From 7b8865d14d34bb382be4e948c6573acfccc6e2c1 Mon Sep 17 00:00:00 2001 From: arumshisky Date: Thu, 21 Aug 2014 16:33:25 -0400 Subject: [PATCH 240/393] Update README.rst --- README.rst | 4 ++-- 1 file changed, 2 insertions(+), 2 deletions(-) diff --git a/README.rst b/README.rst index 34a7965..6076654 100644 --- a/README.rst +++ b/README.rst @@ -85,7 +85,7 @@ Please email wboag@cs.uml.edu with your installation questions. -2. environment variable +2. Set the CLICON_DIR environment variable In order to run CliCon, you must define the CLICON_DIR environment variable. @@ -95,7 +95,7 @@ Please email wboag@cs.uml.edu with your installation questions. -3. Install Python Dependencies +3. Install Python dependencies This project has dependencies on scientific computation libraries. From 9fc858c745d50ab1897704e7d89c9010daf036a2 Mon Sep 17 00:00:00 2001 From: arumshisky Date: Thu, 21 Aug 2014 16:33:25 -0400 Subject: [PATCH 241/393] Update README.rst --- README.rst | 4 ++-- 1 file changed, 2 insertions(+), 2 deletions(-) diff --git a/README.rst b/README.rst index 34a7965..6076654 100644 --- a/README.rst +++ b/README.rst @@ -85,7 +85,7 @@ Please email wboag@cs.uml.edu with your installation questions. -2. environment variable +2. Set the CLICON_DIR environment variable In order to run CliCon, you must define the CLICON_DIR environment variable. @@ -95,7 +95,7 @@ Please email wboag@cs.uml.edu with your installation questions. -3. Install Python Dependencies +3. Install Python dependencies This project has dependencies on scientific computation libraries. From 08b882758bc9f12e054ac5c61bed0873d8b1cc21 Mon Sep 17 00:00:00 2001 From: arumshisky Date: Thu, 21 Aug 2014 16:39:07 -0400 Subject: [PATCH 242/393] Update README.rst --- README.rst | 13 ++++++------- 1 file changed, 6 insertions(+), 7 deletions(-) diff --git a/README.rst b/README.rst index 6076654..13a2631 100644 --- a/README.rst +++ b/README.rst @@ -32,7 +32,7 @@ Features Installation -------- -**Clone the CliCon git repository:** +**Cloning the CliCon git repository:** :: @@ -129,7 +129,7 @@ Please email wboag@cs.uml.edu with your installation questions. -4. Get i2b2 data +4. Get i2b2 2010 shared task data The Data Use and Confidentiality Agreement with i2b2 forbids us from redistributing their data. In order to gain access, you must go to: @@ -197,18 +197,17 @@ Please email wboag@cs.uml.edu with your installation questions. -7. Create 'clicon' command for CLI +7. Create 'clicon' executable script for command-line use In order to run CliCon (as done in the usage examples), you must run setup.py. - This is very simple. As long as the python dependencies are properly installed, you can run 'python $CLICON_DIR/setup.py install'. + As long as the Python dependencies are properly installed, you should be able to run 'python $CLICON_DIR/setup.py install'. - If it works, you should see a tiny help message from enterring 'clicon --help' + If it works, you should see a brief help message when invoking clicon with the ``--help`` option: - example: +:: (venv_clicon)user@your-machine:~/CliCon$ python $CLICON_DIR/setup.py install - (venv_clicon)user@your-machine:~/CliCon$ clicon --help From 98b29d70157fea19961e6f9336161b8966e5b229 Mon Sep 17 00:00:00 2001 From: arumshisky Date: Thu, 21 Aug 2014 16:39:07 -0400 Subject: [PATCH 243/393] Update README.rst --- README.rst | 13 ++++++------- 1 file changed, 6 insertions(+), 7 deletions(-) diff --git a/README.rst b/README.rst index 6076654..13a2631 100644 --- a/README.rst +++ b/README.rst @@ -32,7 +32,7 @@ Features Installation -------- -**Clone the CliCon git repository:** +**Cloning the CliCon git repository:** :: @@ -129,7 +129,7 @@ Please email wboag@cs.uml.edu with your installation questions. -4. Get i2b2 data +4. Get i2b2 2010 shared task data The Data Use and Confidentiality Agreement with i2b2 forbids us from redistributing their data. In order to gain access, you must go to: @@ -197,18 +197,17 @@ Please email wboag@cs.uml.edu with your installation questions. -7. Create 'clicon' command for CLI +7. Create 'clicon' executable script for command-line use In order to run CliCon (as done in the usage examples), you must run setup.py. - This is very simple. As long as the python dependencies are properly installed, you can run 'python $CLICON_DIR/setup.py install'. + As long as the Python dependencies are properly installed, you should be able to run 'python $CLICON_DIR/setup.py install'. - If it works, you should see a tiny help message from enterring 'clicon --help' + If it works, you should see a brief help message when invoking clicon with the ``--help`` option: - example: +:: (venv_clicon)user@your-machine:~/CliCon$ python $CLICON_DIR/setup.py install - (venv_clicon)user@your-machine:~/CliCon$ clicon --help From db7c2d5b145383aaf21898802909a839024bcf62 Mon Sep 17 00:00:00 2001 From: arumshisky Date: Thu, 21 Aug 2014 16:40:08 -0400 Subject: [PATCH 244/393] Update README.rst --- README.rst | 2 +- 1 file changed, 1 insertion(+), 1 deletion(-) diff --git a/README.rst b/README.rst index 13a2631..3bc743f 100644 --- a/README.rst +++ b/README.rst @@ -215,7 +215,7 @@ Please email wboag@cs.uml.edu with your installation questions. 8. Run unit tests - **We haven't done any unit tests yet** + [this section is under construction] From 56b87c572def981e67590b657304f60bfe7e3468 Mon Sep 17 00:00:00 2001 From: arumshisky Date: Thu, 21 Aug 2014 16:40:08 -0400 Subject: [PATCH 245/393] Update README.rst --- README.rst | 2 +- 1 file changed, 1 insertion(+), 1 deletion(-) diff --git a/README.rst b/README.rst index 13a2631..3bc743f 100644 --- a/README.rst +++ b/README.rst @@ -215,7 +215,7 @@ Please email wboag@cs.uml.edu with your installation questions. 8. Run unit tests - **We haven't done any unit tests yet** + [this section is under construction] From c3ee6be3576d0636c690d83d5bcc0923b55d0318 Mon Sep 17 00:00:00 2001 From: arumshisky Date: Thu, 21 Aug 2014 16:43:49 -0400 Subject: [PATCH 246/393] Update README.rst --- README.rst | 3 ++- 1 file changed, 2 insertions(+), 1 deletion(-) diff --git a/README.rst b/README.rst index 3bc743f..f834196 100644 --- a/README.rst +++ b/README.rst @@ -49,10 +49,11 @@ Installation Linux users can use an installation script to download and install all the components of this project, including third-party dependencies. Note that cannot get tools and data that require special use agreements (including the i2b2 data and the UMLS tables), which have to be obtained separately. -To invoke the script: +To invoke the script, first ``cd`` into the ``CliCon`` directory and set the CLICON_DIR environmentn variable: :: + user@your-machine:~$ cd CliCon user@your-machine:~$ export CLICON_DIR=. user@your-machine:~$ source install.sh From df1d1b4005ee9424eec805b201b5812a5d8dc9ee Mon Sep 17 00:00:00 2001 From: arumshisky Date: Thu, 21 Aug 2014 16:43:49 -0400 Subject: [PATCH 247/393] Update README.rst --- README.rst | 3 ++- 1 file changed, 2 insertions(+), 1 deletion(-) diff --git a/README.rst b/README.rst index 3bc743f..f834196 100644 --- a/README.rst +++ b/README.rst @@ -49,10 +49,11 @@ Installation Linux users can use an installation script to download and install all the components of this project, including third-party dependencies. Note that cannot get tools and data that require special use agreements (including the i2b2 data and the UMLS tables), which have to be obtained separately. -To invoke the script: +To invoke the script, first ``cd`` into the ``CliCon`` directory and set the CLICON_DIR environmentn variable: :: + user@your-machine:~$ cd CliCon user@your-machine:~$ export CLICON_DIR=. user@your-machine:~$ source install.sh From e2ad2eed5d15a2b1ee1a7c988f4d6764d4cb591a Mon Sep 17 00:00:00 2001 From: arumshisky Date: Thu, 21 Aug 2014 16:52:58 -0400 Subject: [PATCH 248/393] Update README.rst --- README.rst | 2 ++ 1 file changed, 2 insertions(+) diff --git a/README.rst b/README.rst index f834196..38daeeb 100644 --- a/README.rst +++ b/README.rst @@ -49,6 +49,8 @@ Installation Linux users can use an installation script to download and install all the components of this project, including third-party dependencies. Note that cannot get tools and data that require special use agreements (including the i2b2 data and the UMLS tables), which have to be obtained separately. +Please note that ``python-pip`` installer and ``virtualenv`` need to be on the system for the script to work. + To invoke the script, first ``cd`` into the ``CliCon`` directory and set the CLICON_DIR environmentn variable: :: From 286a3f635a878082d09744271309fa0559909783 Mon Sep 17 00:00:00 2001 From: arumshisky Date: Thu, 21 Aug 2014 16:52:58 -0400 Subject: [PATCH 249/393] Update README.rst --- README.rst | 2 ++ 1 file changed, 2 insertions(+) diff --git a/README.rst b/README.rst index f834196..38daeeb 100644 --- a/README.rst +++ b/README.rst @@ -49,6 +49,8 @@ Installation Linux users can use an installation script to download and install all the components of this project, including third-party dependencies. Note that cannot get tools and data that require special use agreements (including the i2b2 data and the UMLS tables), which have to be obtained separately. +Please note that ``python-pip`` installer and ``virtualenv`` need to be on the system for the script to work. + To invoke the script, first ``cd`` into the ``CliCon`` directory and set the CLICON_DIR environmentn variable: :: From 7258616c5a91f175bd149d29dcb9f30830ebd515 Mon Sep 17 00:00:00 2001 From: arumshisky Date: Thu, 21 Aug 2014 17:00:59 -0400 Subject: [PATCH 250/393] Update README.rst --- README.rst | 16 +++++++++++++++- 1 file changed, 15 insertions(+), 1 deletion(-) diff --git a/README.rst b/README.rst index 38daeeb..ca8a391 100644 --- a/README.rst +++ b/README.rst @@ -49,7 +49,21 @@ Installation Linux users can use an installation script to download and install all the components of this project, including third-party dependencies. Note that cannot get tools and data that require special use agreements (including the i2b2 data and the UMLS tables), which have to be obtained separately. -Please note that ``python-pip`` installer and ``virtualenv`` need to be on the system for the script to work. +The following packages need to be on the system for the script to work: + +:: + python-pip installer + python-virtualenv + +Some of the required python modules that will be installed by the script have the following dependencies, which also need to be installed: + +:: + + g++ + gfortran + libopenblas-dev + liblapack-dev + To invoke the script, first ``cd`` into the ``CliCon`` directory and set the CLICON_DIR environmentn variable: From f35f1f798753e40a9f4bd60ea5549e306ea678af Mon Sep 17 00:00:00 2001 From: arumshisky Date: Thu, 21 Aug 2014 17:00:59 -0400 Subject: [PATCH 251/393] Update README.rst --- README.rst | 16 +++++++++++++++- 1 file changed, 15 insertions(+), 1 deletion(-) diff --git a/README.rst b/README.rst index 38daeeb..ca8a391 100644 --- a/README.rst +++ b/README.rst @@ -49,7 +49,21 @@ Installation Linux users can use an installation script to download and install all the components of this project, including third-party dependencies. Note that cannot get tools and data that require special use agreements (including the i2b2 data and the UMLS tables), which have to be obtained separately. -Please note that ``python-pip`` installer and ``virtualenv`` need to be on the system for the script to work. +The following packages need to be on the system for the script to work: + +:: + python-pip installer + python-virtualenv + +Some of the required python modules that will be installed by the script have the following dependencies, which also need to be installed: + +:: + + g++ + gfortran + libopenblas-dev + liblapack-dev + To invoke the script, first ``cd`` into the ``CliCon`` directory and set the CLICON_DIR environmentn variable: From 9cf64e323aa989f88d4817117e64e96da9238eb8 Mon Sep 17 00:00:00 2001 From: arumshisky Date: Thu, 21 Aug 2014 17:01:27 -0400 Subject: [PATCH 252/393] Update README.rst --- README.rst | 1 + 1 file changed, 1 insertion(+) diff --git a/README.rst b/README.rst index ca8a391..ffac6e9 100644 --- a/README.rst +++ b/README.rst @@ -52,6 +52,7 @@ Linux users can use an installation script to download and install all the compo The following packages need to be on the system for the script to work: :: + python-pip installer python-virtualenv From dba51aa8bd1ffb972a31ca5b8f52738a3134a4c8 Mon Sep 17 00:00:00 2001 From: arumshisky Date: Thu, 21 Aug 2014 17:01:27 -0400 Subject: [PATCH 253/393] Update README.rst --- README.rst | 1 + 1 file changed, 1 insertion(+) diff --git a/README.rst b/README.rst index ca8a391..ffac6e9 100644 --- a/README.rst +++ b/README.rst @@ -52,6 +52,7 @@ Linux users can use an installation script to download and install all the compo The following packages need to be on the system for the script to work: :: + python-pip installer python-virtualenv From 20a1ad211ae33232c8a938924a1c75585d7f90d7 Mon Sep 17 00:00:00 2001 From: arumshisky Date: Thu, 21 Aug 2014 17:06:14 -0400 Subject: [PATCH 254/393] Update README.rst --- README.rst | 4 +++- 1 file changed, 3 insertions(+), 1 deletion(-) diff --git a/README.rst b/README.rst index ffac6e9..58c2e76 100644 --- a/README.rst +++ b/README.rst @@ -56,7 +56,7 @@ The following packages need to be on the system for the script to work: python-pip installer python-virtualenv -Some of the required python modules that will be installed by the script have the following dependencies, which also need to be installed: +Some of python modules used by CliCon have the following dependencies, which also need to be installed on the system: :: @@ -65,6 +65,8 @@ Some of the required python modules that will be installed by the script have th libopenblas-dev liblapack-dev +For Ubuntu users, the above are the names of the packages that need to be installed. + To invoke the script, first ``cd`` into the ``CliCon`` directory and set the CLICON_DIR environmentn variable: From 87ef90ddceb61fb347e839b556be332296b3baf6 Mon Sep 17 00:00:00 2001 From: arumshisky Date: Thu, 21 Aug 2014 17:06:14 -0400 Subject: [PATCH 255/393] Update README.rst --- README.rst | 4 +++- 1 file changed, 3 insertions(+), 1 deletion(-) diff --git a/README.rst b/README.rst index ffac6e9..58c2e76 100644 --- a/README.rst +++ b/README.rst @@ -56,7 +56,7 @@ The following packages need to be on the system for the script to work: python-pip installer python-virtualenv -Some of the required python modules that will be installed by the script have the following dependencies, which also need to be installed: +Some of python modules used by CliCon have the following dependencies, which also need to be installed on the system: :: @@ -65,6 +65,8 @@ Some of the required python modules that will be installed by the script have th libopenblas-dev liblapack-dev +For Ubuntu users, the above are the names of the packages that need to be installed. + To invoke the script, first ``cd`` into the ``CliCon`` directory and set the CLICON_DIR environmentn variable: From 91773340e180e8002705d0d2b9195d3d500c579d Mon Sep 17 00:00:00 2001 From: arumshisky Date: Thu, 21 Aug 2014 17:31:31 -0400 Subject: [PATCH 256/393] Update README.rst --- README.rst | 3 ++- 1 file changed, 2 insertions(+), 1 deletion(-) diff --git a/README.rst b/README.rst index 58c2e76..813b247 100644 --- a/README.rst +++ b/README.rst @@ -53,8 +53,9 @@ The following packages need to be on the system for the script to work: :: - python-pip installer + python-pip python-virtualenv + python-dev Some of python modules used by CliCon have the following dependencies, which also need to be installed on the system: From 73e745e4e9a793a83491930d5678db102975ea79 Mon Sep 17 00:00:00 2001 From: arumshisky Date: Thu, 21 Aug 2014 17:31:31 -0400 Subject: [PATCH 257/393] Update README.rst --- README.rst | 3 ++- 1 file changed, 2 insertions(+), 1 deletion(-) diff --git a/README.rst b/README.rst index 58c2e76..813b247 100644 --- a/README.rst +++ b/README.rst @@ -53,8 +53,9 @@ The following packages need to be on the system for the script to work: :: - python-pip installer + python-pip python-virtualenv + python-dev Some of python modules used by CliCon have the following dependencies, which also need to be installed on the system: From 30438d7244f7d93388c3126bf267618b9d49c41e Mon Sep 17 00:00:00 2001 From: arumshisky Date: Thu, 21 Aug 2014 18:06:04 -0400 Subject: [PATCH 258/393] Update README.rst --- README.rst | 2 +- 1 file changed, 1 insertion(+), 1 deletion(-) diff --git a/README.rst b/README.rst index 813b247..3de6e14 100644 --- a/README.rst +++ b/README.rst @@ -47,7 +47,7 @@ Installation **Using an installation script** -Linux users can use an installation script to download and install all the components of this project, including third-party dependencies. Note that cannot get tools and data that require special use agreements (including the i2b2 data and the UMLS tables), which have to be obtained separately. +Linux users can use an installation script to download and install all the components of this project, including third-party dependencies. Note that it can not get tools and data that require special use agreements (including the i2b2 data and the UMLS tables), which have to be obtained separately. The following packages need to be on the system for the script to work: From f7ce6e9402690328a4a8bbad719e03cc6a6596e5 Mon Sep 17 00:00:00 2001 From: arumshisky Date: Thu, 21 Aug 2014 18:06:04 -0400 Subject: [PATCH 259/393] Update README.rst --- README.rst | 2 +- 1 file changed, 1 insertion(+), 1 deletion(-) diff --git a/README.rst b/README.rst index 813b247..3de6e14 100644 --- a/README.rst +++ b/README.rst @@ -47,7 +47,7 @@ Installation **Using an installation script** -Linux users can use an installation script to download and install all the components of this project, including third-party dependencies. Note that cannot get tools and data that require special use agreements (including the i2b2 data and the UMLS tables), which have to be obtained separately. +Linux users can use an installation script to download and install all the components of this project, including third-party dependencies. Note that it can not get tools and data that require special use agreements (including the i2b2 data and the UMLS tables), which have to be obtained separately. The following packages need to be on the system for the script to work: From 1565c6aff7556714c9cecab5c4260ecc50779f6d Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Fri, 22 Aug 2014 02:29:33 -0400 Subject: [PATCH 260/393] Added CLICON_DIR stuff and package check into install.sh --- README.rst | 112 ++++++++++++++++++++++++++++------------------------- install.sh | 63 ++++++++++++++---------------- 2 files changed, 90 insertions(+), 85 deletions(-) diff --git a/README.rst b/README.rst index 3de6e14..d7443c2 100644 --- a/README.rst +++ b/README.rst @@ -74,8 +74,8 @@ To invoke the script, first ``cd`` into the ``CliCon`` directory and set the CLI :: user@your-machine:~$ cd CliCon - user@your-machine:~$ export CLICON_DIR=. - user@your-machine:~$ source install.sh + user@your-machine:~/CliCon$ export CLICON_DIR=. + user@your-machine:~/CliCon$ source install.sh If the installation script encounters issues, please see the README section corresponding to the failure message. @@ -92,10 +92,9 @@ Please email wboag@cs.uml.edu with your installation questions. Setup a virtual environent. You must re-enable the virtual environment every new session. +:: - example: user@your-machine:~$ virtualenv venv_clicon - user@your-machine:~$ source venv_clicon/bin/activate @@ -109,8 +108,10 @@ Please email wboag@cs.uml.edu with your installation questions. 2. Set the CLICON_DIR environment variable In order to run CliCon, you must define the CLICON_DIR environment variable. + + :: - user@your-machine:~$ export CLICON_DIR=$(pwd)/CliCon + user@your-machine:~$ export CLICON_DIR=$(pwd)/CliCon **This variable must be the path of the directory created by git.** @@ -121,29 +122,31 @@ Please email wboag@cs.uml.edu with your installation questions. This project has dependencies on scientific computation libraries. Ensure the following python modules are installed: - - numpy - - scikit-learn - - scipy - - python-crfsuite - - nltk (AND run the NLTK downloader) + * numpy + * scikit-learn + * scipy + * python-crfsuite + * nltk (AND run the NLTK downloader) These modules, themselves may have dependencies to install. If necessary, sudo apt-get install these packages Ubuntu: - - g++ - - gfortran - - libopenblas-dev - - liblapack-dev + * python-pip + * python-virtualenv + * python-dev + * g++ + * gfortran + * libopenblas-dev + * liblapack-dev Mac OSX **Tristan should put stuff here** - example: - (venv_clicon)user@your-machine:~/CliCon$ sudo apt-get install g++ gfortran libopenblas-dev liblapack-dev -y - + :: + (venv_clicon)user@your-machine:~/CliCon$ sudo apt-get install python-pip python-virtualenv python-dev g++ gfortran libopenblas-dev liblapack-dev -y (venv_clicon)user@your-machine:~/CliCon$ pip install numpy scikit-learn scipy nltk python-crfsuite @@ -185,11 +188,11 @@ Please email wboag@cs.uml.edu with your installation questions. Steps - 1. First you must download the sources for GENIA. Do that with 'wget http://www.nactem.ac.uk/tsujii/GENIA/tagger/geniatagger-3.0.1.tar.gz' + 1. First you must download the sources for GENIA. Do that with ''wget http://www.nactem.ac.uk/tsujii/GENIA/tagger/geniatagger-3.0.1.tar.gz'' - 2. In order to compile the sources, you may need to edit a C++ so that it has an additional include directive. Basically, morph.cpp needs to include cstdlib. This should be able to be accomplished by enterring the geniatagger-3.0.1/ directory and running 'echo "$(sed '1i#include ' morph.cpp)" > morph.cpp' + 2. In order to compile the sources, you may need to edit a C++ so that it has an additional include directive. Basically, morph.cpp needs to include cstdlib. This should be able to be accomplished by enterring the geniatagger-3.0.1/ directory and running ''echo "$(sed '1i#include ' morph.cpp)" > morph.cpp'' - 3. Compile GENIA. This is simple. Just run 'make' + 3. Compile GENIA. Just run ''make'' 4. If you do not have any errors, then the tagger has been built successfully. If there were compile errors, try to resolve them (it'd be one of those "well it works for me" scenarios). @@ -222,14 +225,14 @@ Please email wboag@cs.uml.edu with your installation questions. In order to run CliCon (as done in the usage examples), you must run setup.py. - As long as the Python dependencies are properly installed, you should be able to run 'python $CLICON_DIR/setup.py install'. + As long as the Python dependencies are properly installed, you should be able to run the setup script. If it works, you should see a brief help message when invoking clicon with the ``--help`` option: -:: + :: - (venv_clicon)user@your-machine:~/CliCon$ python $CLICON_DIR/setup.py install - (venv_clicon)user@your-machine:~/CliCon$ clicon --help + (venv_clicon)user@your-machine:~/CliCon$ python $CLICON_DIR/setup.py install + (venv_clicon)user@your-machine:~/CliCon$ clicon --help @@ -245,48 +248,53 @@ Usage Examples End-to-End - export CLICON_DIR=. - - bash install.sh - - clicon train $CLICON_DIR/examples/pretend.xml --format xml - - clicon predict $CLICON_DIR/examples/pretend.txt - - clicon evaluate $CLICON_DIR/examples/pretend.txt --gold $CLICON_DIR/examples --format xml + :: + user@your-machine:~/CliCon$ export CLICON_DIR=. + user@your-machine:~/CliCon$ source install.sh + (venv_clicon)user@your-machine:~/CliCon$ clicon train $CLICON_DIR/examples/pretend.xml --format xml + (venv_clicon)user@your-machine:~/CliCon$ clicon predict $CLICON_DIR/examples/pretend.txt + (venv_clicon)user@your-machine:~/CliCon$ clicon evaluate $CLICON_DIR/examples/pretend.txt --gold $CLICON_DIR/examples --format xml i2b2 format - Example: Train model on i2b2-formatted data - clicon train $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/examples/pretend.con + Train model on i2b2-formatted data + :: + (venv_clicon)user@your-machine:~/CliCon$ clicon train $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/examples/pretend.con - Example: Train model on i2b2-formatted data with SVM grid search (NOTE: Currently does not work with sample data because the sample data is too small for cross validation). - clicon train $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/examples/pretend.con --grid-search + Train model on i2b2-formatted data with SVM grid search (NOTE: Currently does not work with sample data because the sample data is too small for cross validation). + :: + (venv_clicon)user@your-machine:~/CliCon$ clicon train $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/examples/pretend.con --grid-search - Example: Predict concepts and output in i2b2 format - clicon predict $CLICON_DIR/examples/pretend.txt --out $CLICON_DIR/data/test_predictions/ + Predict concepts and output in i2b2 format + :: + (venv_clicon)user@your-machine:~/CliCon$ clicon predict $CLICON_DIR/examples/pretend.txt --out $CLICON_DIR/data/test_predictions/ - example: Evaluation - clicon evaluate $CLICON_DIR/examples/pretend.txt --gold $CLICON_DIR/examples --predictions $CLICON_DIR/data/test_predictions/ --format i2b2 + Evaluation + :: + (venv_clicon)user@your-machine:~/CliCon$ clicon evaluate $CLICON_DIR/examples/pretend.txt --gold $CLICON_DIR/examples --predictions $CLICON_DIR/data/test_predictions/ --format i2b2 - example: Change Format - clicon format $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/data/test_predictions/pretend.con --format xml + Change Format + :: + (venv_clicon)user@your-machine:~/CliCon$ clicon format $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/data/test_predictions/pretend.con --format xml xml format - Example: Train model on xml-formatted data - clicon train $CLICON_DIR/examples/pretend.xml --format xml - - Example: Predict concepts and output in xml format - clicon predict $CLICON_DIR/examples/pretend.txt --out $CLICON_DIR/data/test_predictions/ --format xml - example: Evaluation - clicon evaluate $CLICON_DIR/examples/pretend.txt --gold $CLICON_DIR/examples --predictions $CLICON_DIR/data/test_predictions/ --format xml + Train model on xml-formatted data + :: + (venv_clicon)user@your-machine:~/CliCon$ clicon train $CLICON_DIR/examples/pretend.xml --format xml - example: Change Format - clicon format $CLICON_DIR/data/test_predictions/pretend.xml --format i2b2 + Predict concepts and output in xml format + :: + (venv_clicon)user@your-machine:~/CliCon$ clicon predict $CLICON_DIR/examples/pretend.txt --out $CLICON_DIR/data/test_predictions/ --format xml + Evaluation + :: + (venv_clicon)user@your-machine:~/CliCon$ clicon evaluate $CLICON_DIR/examples/pretend.txt --gold $CLICON_DIR/examples --predictions $CLICON_DIR/data/test_predictions/ --format xml + Change Format + :: + (venv_clicon)user@your-machine:~/CliCon$ clicon format $CLICON_DIR/data/test_predictions/pretend.xml --format i2b2 diff --git a/install.sh b/install.sh index d027705..41b4eb6 100755 --- a/install.sh +++ b/install.sh @@ -14,7 +14,7 @@ function get_genia { old_path=$(pwd) # Get sources - cd $CLICON_DIR/clicon/features/genia + cd $CLICON_DIR/clicon/features_dir/genia wget http://www.nactem.ac.uk/tsujii/GENIA/tagger/geniatagger-3.0.1.tar.gz tar xzvf geniatagger-3.0.1.tar.gz @@ -46,52 +46,49 @@ function get_genia { +# Ensure resources are available +which g++ gfortran virtualenv pip +resources=$? +if [[ $resources -eq 0 ]] ; then -# Create virtual environment -virtualenv venv_clicon -source venv_clicon/bin/activate + # CLICON_DIR must be defined before proceeding + if [[ "$CLICON_DIR" = "" ]] ; then + CLICON_DIR="$( cd "$( dirname "$0" )" && pwd )" + export CLICON_DIR=\"$CLICON_DIR\" + echo -e "export CLICON_DIR=\"$CLICON_DIR\"" >> .bashrc - -# CLICON_DIR must be defined before proceeding -if [[ "$CLICON_DIR" = "" ]] ; then - CLICON_DIR="$( cd "$( dirname "$0" )" && pwd )" - echo -e "\nEnvironment variable CLICON_DIR must be defined." - echo -e "Execute the following and re-run install.sh: \n" - echo -e "\texport CLICON_DIR=\"$CLICON_DIR\"" - echo "" - exit -fi - + fi + # Create virtual environment + virtualenv venv_clicon + source venv_clicon/bin/activate -# Install python dependencies -easy_install pip simplejson -easy_install simplejson -pip install Flask -pip install nose -pip install -U pyyaml -python -m nltk.downloader maxent_treebank_pos_tagger -python -m nltk.downloader wordnet -# Install Scikit-Learn (SVM) -pip install numpy -pip install scikit-learn -pip install scipy + # Install python dependencies + pip install nltk numpy scikit-learn scipy python-crfsuite + python -m nltk.downloader maxent_treebank_pos_tagger wordnet -# Install python-crfsuite (CRF) -pip install python-crfsuite + # Download & install GENIA tagger + get_genia + # Install 'clicon' script for command line usage + python setup.py install -# Download & install GENIA tagger -get_genia +else + echo -e "\n\tError: Not all resources available on system." + echo -e "\nPlease ensure the following packages are installed:" + packages=(g++ gfortran python-dev python-pip python-virtualenv libopenblas-dev liblapack-dev) + for p in ${packages[@]} ; do + echo -e "\t$p" + done + echo "" -# Install 'clicon' CLI command -python setup.py install +fi From 98748ead3478624201f6e400e8f69476c3b48602 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Fri, 22 Aug 2014 02:29:33 -0400 Subject: [PATCH 261/393] Added CLICON_DIR stuff and package check into install.sh --- README.rst | 112 ++++++++++++++++++++++++++++------------------------- install.sh | 63 ++++++++++++++---------------- 2 files changed, 90 insertions(+), 85 deletions(-) diff --git a/README.rst b/README.rst index 3de6e14..d7443c2 100644 --- a/README.rst +++ b/README.rst @@ -74,8 +74,8 @@ To invoke the script, first ``cd`` into the ``CliCon`` directory and set the CLI :: user@your-machine:~$ cd CliCon - user@your-machine:~$ export CLICON_DIR=. - user@your-machine:~$ source install.sh + user@your-machine:~/CliCon$ export CLICON_DIR=. + user@your-machine:~/CliCon$ source install.sh If the installation script encounters issues, please see the README section corresponding to the failure message. @@ -92,10 +92,9 @@ Please email wboag@cs.uml.edu with your installation questions. Setup a virtual environent. You must re-enable the virtual environment every new session. +:: - example: user@your-machine:~$ virtualenv venv_clicon - user@your-machine:~$ source venv_clicon/bin/activate @@ -109,8 +108,10 @@ Please email wboag@cs.uml.edu with your installation questions. 2. Set the CLICON_DIR environment variable In order to run CliCon, you must define the CLICON_DIR environment variable. + + :: - user@your-machine:~$ export CLICON_DIR=$(pwd)/CliCon + user@your-machine:~$ export CLICON_DIR=$(pwd)/CliCon **This variable must be the path of the directory created by git.** @@ -121,29 +122,31 @@ Please email wboag@cs.uml.edu with your installation questions. This project has dependencies on scientific computation libraries. Ensure the following python modules are installed: - - numpy - - scikit-learn - - scipy - - python-crfsuite - - nltk (AND run the NLTK downloader) + * numpy + * scikit-learn + * scipy + * python-crfsuite + * nltk (AND run the NLTK downloader) These modules, themselves may have dependencies to install. If necessary, sudo apt-get install these packages Ubuntu: - - g++ - - gfortran - - libopenblas-dev - - liblapack-dev + * python-pip + * python-virtualenv + * python-dev + * g++ + * gfortran + * libopenblas-dev + * liblapack-dev Mac OSX **Tristan should put stuff here** - example: - (venv_clicon)user@your-machine:~/CliCon$ sudo apt-get install g++ gfortran libopenblas-dev liblapack-dev -y - + :: + (venv_clicon)user@your-machine:~/CliCon$ sudo apt-get install python-pip python-virtualenv python-dev g++ gfortran libopenblas-dev liblapack-dev -y (venv_clicon)user@your-machine:~/CliCon$ pip install numpy scikit-learn scipy nltk python-crfsuite @@ -185,11 +188,11 @@ Please email wboag@cs.uml.edu with your installation questions. Steps - 1. First you must download the sources for GENIA. Do that with 'wget http://www.nactem.ac.uk/tsujii/GENIA/tagger/geniatagger-3.0.1.tar.gz' + 1. First you must download the sources for GENIA. Do that with ''wget http://www.nactem.ac.uk/tsujii/GENIA/tagger/geniatagger-3.0.1.tar.gz'' - 2. In order to compile the sources, you may need to edit a C++ so that it has an additional include directive. Basically, morph.cpp needs to include cstdlib. This should be able to be accomplished by enterring the geniatagger-3.0.1/ directory and running 'echo "$(sed '1i#include ' morph.cpp)" > morph.cpp' + 2. In order to compile the sources, you may need to edit a C++ so that it has an additional include directive. Basically, morph.cpp needs to include cstdlib. This should be able to be accomplished by enterring the geniatagger-3.0.1/ directory and running ''echo "$(sed '1i#include ' morph.cpp)" > morph.cpp'' - 3. Compile GENIA. This is simple. Just run 'make' + 3. Compile GENIA. Just run ''make'' 4. If you do not have any errors, then the tagger has been built successfully. If there were compile errors, try to resolve them (it'd be one of those "well it works for me" scenarios). @@ -222,14 +225,14 @@ Please email wboag@cs.uml.edu with your installation questions. In order to run CliCon (as done in the usage examples), you must run setup.py. - As long as the Python dependencies are properly installed, you should be able to run 'python $CLICON_DIR/setup.py install'. + As long as the Python dependencies are properly installed, you should be able to run the setup script. If it works, you should see a brief help message when invoking clicon with the ``--help`` option: -:: + :: - (venv_clicon)user@your-machine:~/CliCon$ python $CLICON_DIR/setup.py install - (venv_clicon)user@your-machine:~/CliCon$ clicon --help + (venv_clicon)user@your-machine:~/CliCon$ python $CLICON_DIR/setup.py install + (venv_clicon)user@your-machine:~/CliCon$ clicon --help @@ -245,48 +248,53 @@ Usage Examples End-to-End - export CLICON_DIR=. - - bash install.sh - - clicon train $CLICON_DIR/examples/pretend.xml --format xml - - clicon predict $CLICON_DIR/examples/pretend.txt - - clicon evaluate $CLICON_DIR/examples/pretend.txt --gold $CLICON_DIR/examples --format xml + :: + user@your-machine:~/CliCon$ export CLICON_DIR=. + user@your-machine:~/CliCon$ source install.sh + (venv_clicon)user@your-machine:~/CliCon$ clicon train $CLICON_DIR/examples/pretend.xml --format xml + (venv_clicon)user@your-machine:~/CliCon$ clicon predict $CLICON_DIR/examples/pretend.txt + (venv_clicon)user@your-machine:~/CliCon$ clicon evaluate $CLICON_DIR/examples/pretend.txt --gold $CLICON_DIR/examples --format xml i2b2 format - Example: Train model on i2b2-formatted data - clicon train $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/examples/pretend.con + Train model on i2b2-formatted data + :: + (venv_clicon)user@your-machine:~/CliCon$ clicon train $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/examples/pretend.con - Example: Train model on i2b2-formatted data with SVM grid search (NOTE: Currently does not work with sample data because the sample data is too small for cross validation). - clicon train $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/examples/pretend.con --grid-search + Train model on i2b2-formatted data with SVM grid search (NOTE: Currently does not work with sample data because the sample data is too small for cross validation). + :: + (venv_clicon)user@your-machine:~/CliCon$ clicon train $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/examples/pretend.con --grid-search - Example: Predict concepts and output in i2b2 format - clicon predict $CLICON_DIR/examples/pretend.txt --out $CLICON_DIR/data/test_predictions/ + Predict concepts and output in i2b2 format + :: + (venv_clicon)user@your-machine:~/CliCon$ clicon predict $CLICON_DIR/examples/pretend.txt --out $CLICON_DIR/data/test_predictions/ - example: Evaluation - clicon evaluate $CLICON_DIR/examples/pretend.txt --gold $CLICON_DIR/examples --predictions $CLICON_DIR/data/test_predictions/ --format i2b2 + Evaluation + :: + (venv_clicon)user@your-machine:~/CliCon$ clicon evaluate $CLICON_DIR/examples/pretend.txt --gold $CLICON_DIR/examples --predictions $CLICON_DIR/data/test_predictions/ --format i2b2 - example: Change Format - clicon format $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/data/test_predictions/pretend.con --format xml + Change Format + :: + (venv_clicon)user@your-machine:~/CliCon$ clicon format $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/data/test_predictions/pretend.con --format xml xml format - Example: Train model on xml-formatted data - clicon train $CLICON_DIR/examples/pretend.xml --format xml - - Example: Predict concepts and output in xml format - clicon predict $CLICON_DIR/examples/pretend.txt --out $CLICON_DIR/data/test_predictions/ --format xml - example: Evaluation - clicon evaluate $CLICON_DIR/examples/pretend.txt --gold $CLICON_DIR/examples --predictions $CLICON_DIR/data/test_predictions/ --format xml + Train model on xml-formatted data + :: + (venv_clicon)user@your-machine:~/CliCon$ clicon train $CLICON_DIR/examples/pretend.xml --format xml - example: Change Format - clicon format $CLICON_DIR/data/test_predictions/pretend.xml --format i2b2 + Predict concepts and output in xml format + :: + (venv_clicon)user@your-machine:~/CliCon$ clicon predict $CLICON_DIR/examples/pretend.txt --out $CLICON_DIR/data/test_predictions/ --format xml + Evaluation + :: + (venv_clicon)user@your-machine:~/CliCon$ clicon evaluate $CLICON_DIR/examples/pretend.txt --gold $CLICON_DIR/examples --predictions $CLICON_DIR/data/test_predictions/ --format xml + Change Format + :: + (venv_clicon)user@your-machine:~/CliCon$ clicon format $CLICON_DIR/data/test_predictions/pretend.xml --format i2b2 diff --git a/install.sh b/install.sh index d027705..41b4eb6 100755 --- a/install.sh +++ b/install.sh @@ -14,7 +14,7 @@ function get_genia { old_path=$(pwd) # Get sources - cd $CLICON_DIR/clicon/features/genia + cd $CLICON_DIR/clicon/features_dir/genia wget http://www.nactem.ac.uk/tsujii/GENIA/tagger/geniatagger-3.0.1.tar.gz tar xzvf geniatagger-3.0.1.tar.gz @@ -46,52 +46,49 @@ function get_genia { +# Ensure resources are available +which g++ gfortran virtualenv pip +resources=$? +if [[ $resources -eq 0 ]] ; then -# Create virtual environment -virtualenv venv_clicon -source venv_clicon/bin/activate + # CLICON_DIR must be defined before proceeding + if [[ "$CLICON_DIR" = "" ]] ; then + CLICON_DIR="$( cd "$( dirname "$0" )" && pwd )" + export CLICON_DIR=\"$CLICON_DIR\" + echo -e "export CLICON_DIR=\"$CLICON_DIR\"" >> .bashrc - -# CLICON_DIR must be defined before proceeding -if [[ "$CLICON_DIR" = "" ]] ; then - CLICON_DIR="$( cd "$( dirname "$0" )" && pwd )" - echo -e "\nEnvironment variable CLICON_DIR must be defined." - echo -e "Execute the following and re-run install.sh: \n" - echo -e "\texport CLICON_DIR=\"$CLICON_DIR\"" - echo "" - exit -fi - + fi + # Create virtual environment + virtualenv venv_clicon + source venv_clicon/bin/activate -# Install python dependencies -easy_install pip simplejson -easy_install simplejson -pip install Flask -pip install nose -pip install -U pyyaml -python -m nltk.downloader maxent_treebank_pos_tagger -python -m nltk.downloader wordnet -# Install Scikit-Learn (SVM) -pip install numpy -pip install scikit-learn -pip install scipy + # Install python dependencies + pip install nltk numpy scikit-learn scipy python-crfsuite + python -m nltk.downloader maxent_treebank_pos_tagger wordnet -# Install python-crfsuite (CRF) -pip install python-crfsuite + # Download & install GENIA tagger + get_genia + # Install 'clicon' script for command line usage + python setup.py install -# Download & install GENIA tagger -get_genia +else + echo -e "\n\tError: Not all resources available on system." + echo -e "\nPlease ensure the following packages are installed:" + packages=(g++ gfortran python-dev python-pip python-virtualenv libopenblas-dev liblapack-dev) + for p in ${packages[@]} ; do + echo -e "\t$p" + done + echo "" -# Install 'clicon' CLI command -python setup.py install +fi From 8eaffb0ac1a4f1d22870e187b7211c2d2cdd2e6a Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Fri, 22 Aug 2014 03:17:59 -0400 Subject: [PATCH 262/393] Update README.rst --- README.rst | 103 +++++++++++++++++++++++------------------------------ 1 file changed, 45 insertions(+), 58 deletions(-) diff --git a/README.rst b/README.rst index d7443c2..1685c23 100644 --- a/README.rst +++ b/README.rst @@ -91,37 +91,50 @@ Please email wboag@cs.uml.edu with your installation questions. (1) Set up virtualenv Setup a virtual environent. You must re-enable the virtual environment every new session. - -:: - + + :: + user@your-machine:~$ virtualenv venv_clicon user@your-machine:~$ source venv_clicon/bin/activate - - + + reference https://virtualenv.pypa.io/en/latest/ - - -2. Set the CLICON_DIR environment variable +(2) Set the CLICON_DIR environment variable In order to run CliCon, you must define the CLICON_DIR environment variable. + **This variable must be the path of the directory created by git.** + :: user@your-machine:~$ export CLICON_DIR=$(pwd)/CliCon - **This variable must be the path of the directory created by git.** +(3) Install dependencies + + + Ensure the following packages are installed on the system (they are used for building the required Python dependencies): -3. Install Python dependencies + Linux: + * python-pip + * python-virtualenv + * python-dev + * g++ + * gfortran + * libopenblas-dev + * liblapack-dev - This project has dependencies on scientific computation libraries. - Ensure the following python modules are installed: + Mac OSX + **Tristan should put stuff here** + + + Ensure the following python modules are installed (install via pip): * numpy * scikit-learn * scipy @@ -129,31 +142,15 @@ Please email wboag@cs.uml.edu with your installation questions. * nltk (AND run the NLTK downloader) - These modules, themselves may have dependencies to install. If necessary, sudo apt-get install these packages - - Ubuntu: - * python-pip - * python-virtualenv - * python-dev - * g++ - * gfortran - * libopenblas-dev - * liblapack-dev - - - Mac OSX - **Tristan should put stuff here** - - :: + (venv_clicon)user@your-machine:~/CliCon$ sudo apt-get install python-pip python-virtualenv python-dev g++ gfortran libopenblas-dev liblapack-dev -y (venv_clicon)user@your-machine:~/CliCon$ pip install numpy scikit-learn scipy nltk python-crfsuite - -4. Get i2b2 2010 shared task data +(4) Get i2b2 2010 shared task data The Data Use and Confidentiality Agreement with i2b2 forbids us from redistributing their data. In order to gain access, you must go to: @@ -162,19 +159,17 @@ Please email wboag@cs.uml.edu with your installation questions. to register and sign the DUA. Then you will be able to request the data through them. - Although we cannot provide i2b2 data, there is a sample to demonstrate how the data is formatted (not actual data from i2b2, though). Here is a very basic description of the data formats. It is by no means a complete tutorial. + Although we cannot provide i2b2 data, there is a sample to demonstrate how the data is formatted (not actual data from i2b2, though). **Here is a very basic description of the data formats.** It is by no means a complete tutorial. - Go to the '$CLICON_DIR/examples' directory. - - pretend.txt + * $CLICON_DIR/examples/pretend.txt This is a text file. Discharge summaries are written out in plaintext, just like this. It is paired with a concept file, which has its annotations. - pretend.con + * $CLICON_DIR/examples/pretend.con This is a concept file. It provides annotations for the concepts (problem, treatment, test) of the text file. The format is as follows - each instance of a concept has one line. The line describes the word span, the line number and token numbers of the span (delimited by white space), and the label of the concept. - pretend.xml + * $CLICON_DIR/examples/pretend.xml This is an alternative way to annotate concepts from a discharge summary. Unlike the text/concept files, this format is not in a pair - it provides both the text and annotations for the discharge summary. This format is easier to read. @@ -182,27 +177,25 @@ Please email wboag@cs.uml.edu with your installation questions. -5. Install GENIA tagger (optional) +(5) Install GENIA tagger (optional) This is an optional part of installation. Adding the GENIA tagger will improve results of the system's predictions, but it could run without it. Steps - 1. First you must download the sources for GENIA. Do that with ''wget http://www.nactem.ac.uk/tsujii/GENIA/tagger/geniatagger-3.0.1.tar.gz'' + 1. First you must download the sources for GENIA. Do that with ``wget http://www.nactem.ac.uk/tsujii/GENIA/tagger/geniatagger-3.0.1.tar.gz`` - 2. In order to compile the sources, you may need to edit a C++ so that it has an additional include directive. Basically, morph.cpp needs to include cstdlib. This should be able to be accomplished by enterring the geniatagger-3.0.1/ directory and running ''echo "$(sed '1i#include ' morph.cpp)" > morph.cpp'' + 2. In order to compile the sources, you may need to edit a C++ so that it has an additional include directive. This should be able to be accomplished by enterring the geniatagger-3.0.1/ directory and running ``echo "$(sed '1i#include ' morph.cpp)" > morph.cpp`` - 3. Compile GENIA. Just run ''make'' + 3. Compile GENIA. Just run ``make`` 4. If you do not have any errors, then the tagger has been built successfully. If there were compile errors, try to resolve them (it'd be one of those "well it works for me" scenarios). - 5. Set the file "$CLICON_DIR/clicon/features/features.config" so that the line that has "GENIA None" is replaced with "GENIA '. This file is how CliCon is able to find and run the tagger. - + 5. Set the file "$CLICON_DIR/config.txt" so that the line that has "GENIA None" is replaced with "GENIA '. This file is how CliCon is able to find and run the tagger. This can be done with the ugly command ``sed -i "s/GENIA None/GENIA $(echo $CLICON_DIR | sed 's/\//\\\//g')\/clicon\/features_dir\/genia\/geniatagger-3.0.1\/geniatagger/g" $CLICON_DIR/config.txt`` - -6. Get UMLS tables (optional) +(6) Get UMLS tables (optional) This is an optional part of installation. Adding the UMLS tables will improve results of the system's predictions, but it could run without it. @@ -210,18 +203,15 @@ Please email wboag@cs.uml.edu with your installation questions. http://www.nlm.nih.gov/databases/umls.html - You will need to get following tables: MRREL, MRCON, MRSTY - - Put these tables in the $CLICON_DIR/umls_tables directory. + You will need to get following tables: **MRREL, MRCON, MRSTY** - In order to tell CliCon that the tables are there, you must edit the file "$CLICON_DIR/clicon/features" and change the line saying "UMLS None" to "UMLS ". + **Put these tables in the $CLICON_DIR/umls_tables directory.** + In order to tell CliCon that the tables are there, you must edit the file "$CLICON_DIR/config.txt" and change the line saying "UMLS None" to "UMLS True". This command will do that ``sed -i "s/UMLS None/UMLS True/g" $CLICON_DIR/config.txt`` - - -7. Create 'clicon' executable script for command-line use +(7) Create 'clicon' executable script for command-line use In order to run CliCon (as done in the usage examples), you must run setup.py. @@ -236,8 +226,7 @@ Please email wboag@cs.uml.edu with your installation questions. - -8. Run unit tests +(8) Run unit tests [this section is under construction] @@ -247,13 +236,11 @@ Usage Examples -------- End-to-End - :: - user@your-machine:~/CliCon$ export CLICON_DIR=. user@your-machine:~/CliCon$ source install.sh - (venv_clicon)user@your-machine:~/CliCon$ clicon train $CLICON_DIR/examples/pretend.xml --format xml - (venv_clicon)user@your-machine:~/CliCon$ clicon predict $CLICON_DIR/examples/pretend.txt - (venv_clicon)user@your-machine:~/CliCon$ clicon evaluate $CLICON_DIR/examples/pretend.txt --gold $CLICON_DIR/examples --format xml + (venv_clicon)user@your-machine:~/CliCon$ clicon train $CLICON_DIR/examples/pretend.xml --format xml + (venv_clicon)user@your-machine:~/CliCon$ clicon predict $CLICON_DIR/examples/pretend.txt + (venv_clicon)user@your-machine:~/CliCon$ clicon evaluate $CLICON_DIR/examples/pretend.txt --format xml --gold $CLICON_DIR/examples i2b2 format From 215f23104ee6070c90668b7f1b5b96869fd867a6 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Fri, 22 Aug 2014 03:17:59 -0400 Subject: [PATCH 263/393] Update README.rst --- README.rst | 103 +++++++++++++++++++++++------------------------------ 1 file changed, 45 insertions(+), 58 deletions(-) diff --git a/README.rst b/README.rst index d7443c2..1685c23 100644 --- a/README.rst +++ b/README.rst @@ -91,37 +91,50 @@ Please email wboag@cs.uml.edu with your installation questions. (1) Set up virtualenv Setup a virtual environent. You must re-enable the virtual environment every new session. - -:: - + + :: + user@your-machine:~$ virtualenv venv_clicon user@your-machine:~$ source venv_clicon/bin/activate - - + + reference https://virtualenv.pypa.io/en/latest/ - - -2. Set the CLICON_DIR environment variable +(2) Set the CLICON_DIR environment variable In order to run CliCon, you must define the CLICON_DIR environment variable. + **This variable must be the path of the directory created by git.** + :: user@your-machine:~$ export CLICON_DIR=$(pwd)/CliCon - **This variable must be the path of the directory created by git.** +(3) Install dependencies + + + Ensure the following packages are installed on the system (they are used for building the required Python dependencies): -3. Install Python dependencies + Linux: + * python-pip + * python-virtualenv + * python-dev + * g++ + * gfortran + * libopenblas-dev + * liblapack-dev - This project has dependencies on scientific computation libraries. - Ensure the following python modules are installed: + Mac OSX + **Tristan should put stuff here** + + + Ensure the following python modules are installed (install via pip): * numpy * scikit-learn * scipy @@ -129,31 +142,15 @@ Please email wboag@cs.uml.edu with your installation questions. * nltk (AND run the NLTK downloader) - These modules, themselves may have dependencies to install. If necessary, sudo apt-get install these packages - - Ubuntu: - * python-pip - * python-virtualenv - * python-dev - * g++ - * gfortran - * libopenblas-dev - * liblapack-dev - - - Mac OSX - **Tristan should put stuff here** - - :: + (venv_clicon)user@your-machine:~/CliCon$ sudo apt-get install python-pip python-virtualenv python-dev g++ gfortran libopenblas-dev liblapack-dev -y (venv_clicon)user@your-machine:~/CliCon$ pip install numpy scikit-learn scipy nltk python-crfsuite - -4. Get i2b2 2010 shared task data +(4) Get i2b2 2010 shared task data The Data Use and Confidentiality Agreement with i2b2 forbids us from redistributing their data. In order to gain access, you must go to: @@ -162,19 +159,17 @@ Please email wboag@cs.uml.edu with your installation questions. to register and sign the DUA. Then you will be able to request the data through them. - Although we cannot provide i2b2 data, there is a sample to demonstrate how the data is formatted (not actual data from i2b2, though). Here is a very basic description of the data formats. It is by no means a complete tutorial. + Although we cannot provide i2b2 data, there is a sample to demonstrate how the data is formatted (not actual data from i2b2, though). **Here is a very basic description of the data formats.** It is by no means a complete tutorial. - Go to the '$CLICON_DIR/examples' directory. - - pretend.txt + * $CLICON_DIR/examples/pretend.txt This is a text file. Discharge summaries are written out in plaintext, just like this. It is paired with a concept file, which has its annotations. - pretend.con + * $CLICON_DIR/examples/pretend.con This is a concept file. It provides annotations for the concepts (problem, treatment, test) of the text file. The format is as follows - each instance of a concept has one line. The line describes the word span, the line number and token numbers of the span (delimited by white space), and the label of the concept. - pretend.xml + * $CLICON_DIR/examples/pretend.xml This is an alternative way to annotate concepts from a discharge summary. Unlike the text/concept files, this format is not in a pair - it provides both the text and annotations for the discharge summary. This format is easier to read. @@ -182,27 +177,25 @@ Please email wboag@cs.uml.edu with your installation questions. -5. Install GENIA tagger (optional) +(5) Install GENIA tagger (optional) This is an optional part of installation. Adding the GENIA tagger will improve results of the system's predictions, but it could run without it. Steps - 1. First you must download the sources for GENIA. Do that with ''wget http://www.nactem.ac.uk/tsujii/GENIA/tagger/geniatagger-3.0.1.tar.gz'' + 1. First you must download the sources for GENIA. Do that with ``wget http://www.nactem.ac.uk/tsujii/GENIA/tagger/geniatagger-3.0.1.tar.gz`` - 2. In order to compile the sources, you may need to edit a C++ so that it has an additional include directive. Basically, morph.cpp needs to include cstdlib. This should be able to be accomplished by enterring the geniatagger-3.0.1/ directory and running ''echo "$(sed '1i#include ' morph.cpp)" > morph.cpp'' + 2. In order to compile the sources, you may need to edit a C++ so that it has an additional include directive. This should be able to be accomplished by enterring the geniatagger-3.0.1/ directory and running ``echo "$(sed '1i#include ' morph.cpp)" > morph.cpp`` - 3. Compile GENIA. Just run ''make'' + 3. Compile GENIA. Just run ``make`` 4. If you do not have any errors, then the tagger has been built successfully. If there were compile errors, try to resolve them (it'd be one of those "well it works for me" scenarios). - 5. Set the file "$CLICON_DIR/clicon/features/features.config" so that the line that has "GENIA None" is replaced with "GENIA '. This file is how CliCon is able to find and run the tagger. - + 5. Set the file "$CLICON_DIR/config.txt" so that the line that has "GENIA None" is replaced with "GENIA '. This file is how CliCon is able to find and run the tagger. This can be done with the ugly command ``sed -i "s/GENIA None/GENIA $(echo $CLICON_DIR | sed 's/\//\\\//g')\/clicon\/features_dir\/genia\/geniatagger-3.0.1\/geniatagger/g" $CLICON_DIR/config.txt`` - -6. Get UMLS tables (optional) +(6) Get UMLS tables (optional) This is an optional part of installation. Adding the UMLS tables will improve results of the system's predictions, but it could run without it. @@ -210,18 +203,15 @@ Please email wboag@cs.uml.edu with your installation questions. http://www.nlm.nih.gov/databases/umls.html - You will need to get following tables: MRREL, MRCON, MRSTY - - Put these tables in the $CLICON_DIR/umls_tables directory. + You will need to get following tables: **MRREL, MRCON, MRSTY** - In order to tell CliCon that the tables are there, you must edit the file "$CLICON_DIR/clicon/features" and change the line saying "UMLS None" to "UMLS ". + **Put these tables in the $CLICON_DIR/umls_tables directory.** + In order to tell CliCon that the tables are there, you must edit the file "$CLICON_DIR/config.txt" and change the line saying "UMLS None" to "UMLS True". This command will do that ``sed -i "s/UMLS None/UMLS True/g" $CLICON_DIR/config.txt`` - - -7. Create 'clicon' executable script for command-line use +(7) Create 'clicon' executable script for command-line use In order to run CliCon (as done in the usage examples), you must run setup.py. @@ -236,8 +226,7 @@ Please email wboag@cs.uml.edu with your installation questions. - -8. Run unit tests +(8) Run unit tests [this section is under construction] @@ -247,13 +236,11 @@ Usage Examples -------- End-to-End - :: - user@your-machine:~/CliCon$ export CLICON_DIR=. user@your-machine:~/CliCon$ source install.sh - (venv_clicon)user@your-machine:~/CliCon$ clicon train $CLICON_DIR/examples/pretend.xml --format xml - (venv_clicon)user@your-machine:~/CliCon$ clicon predict $CLICON_DIR/examples/pretend.txt - (venv_clicon)user@your-machine:~/CliCon$ clicon evaluate $CLICON_DIR/examples/pretend.txt --gold $CLICON_DIR/examples --format xml + (venv_clicon)user@your-machine:~/CliCon$ clicon train $CLICON_DIR/examples/pretend.xml --format xml + (venv_clicon)user@your-machine:~/CliCon$ clicon predict $CLICON_DIR/examples/pretend.txt + (venv_clicon)user@your-machine:~/CliCon$ clicon evaluate $CLICON_DIR/examples/pretend.txt --format xml --gold $CLICON_DIR/examples i2b2 format From afb7138cadc4672ebb65aa75d93b816a57774ec8 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Fri, 22 Aug 2014 03:23:18 -0400 Subject: [PATCH 264/393] Update README.rst --- README.rst | 1 - 1 file changed, 1 deletion(-) diff --git a/README.rst b/README.rst index 1685c23..0ecb9b0 100644 --- a/README.rst +++ b/README.rst @@ -74,7 +74,6 @@ To invoke the script, first ``cd`` into the ``CliCon`` directory and set the CLI :: user@your-machine:~$ cd CliCon - user@your-machine:~/CliCon$ export CLICON_DIR=. user@your-machine:~/CliCon$ source install.sh From 346328bf7d22741ba6d871d4d8be26b57c58bc2a Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Fri, 22 Aug 2014 03:23:18 -0400 Subject: [PATCH 265/393] Update README.rst --- README.rst | 1 - 1 file changed, 1 deletion(-) diff --git a/README.rst b/README.rst index 1685c23..0ecb9b0 100644 --- a/README.rst +++ b/README.rst @@ -74,7 +74,6 @@ To invoke the script, first ``cd`` into the ``CliCon`` directory and set the CLI :: user@your-machine:~$ cd CliCon - user@your-machine:~/CliCon$ export CLICON_DIR=. user@your-machine:~/CliCon$ source install.sh From 49bbb78fef13cd291177628f010ab54443c8f430 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 26 Aug 2014 16:21:20 -0400 Subject: [PATCH 266/393] Add cli flag to enabled/disable CRF (default is enable) --- clicon/cli.py | 9 +++++++-- clicon/model.py | 4 ++-- clicon/train.py | 10 +++++++++- 3 files changed, 18 insertions(+), 5 deletions(-) diff --git a/clicon/cli.py b/clicon/cli.py index c8f6567..ecbba35 100644 --- a/clicon/cli.py +++ b/clicon/cli.py @@ -16,9 +16,12 @@ def clicon(): @click.option('--annotations' , help='Concept files for training.' ) @click.option('--model' , help='Model output by train.' ) @click.option('--format' , help='Data format (i2b2 or xml).' ) -@click.option('--grid/--no-grid', help='Flag that enables grid search') +@click.option('--grid/--no-grid', help='Flag that enables grid search', + default=False) +@click.option('--crf/--no-crf' , help='Flag that enables crfsuite' , + default=True) @click.argument('input') -def train(annotations, model, format, grid, input): +def train(annotations, model, format, grid, crf, input): # i2b2 data needs concept file annotations if (format == 'i2b2') and (not annotations): @@ -46,6 +49,8 @@ def train(annotations, model, format, grid, input): cmd += ['-f', format] if grid: cmd += ['-g'] + if not crf: + cmd += ['-no-crf'] # Execute train.py subprocess.call(cmd) diff --git a/clicon/model.py b/clicon/model.py index 8bd391a..539176f 100644 --- a/clicon/model.py +++ b/clicon/model.py @@ -44,7 +44,7 @@ def load(filename='awesome.model'): return model - def __init__(self, filename='awesome.model'): + def __init__(self, filename='awesome.model', is_crf=True): model_directory = os.path.dirname(filename) if model_directory != "": @@ -53,7 +53,7 @@ def __init__(self, filename='awesome.model'): self.filename = os.path.realpath(filename) # Use python-crfsuite - self.crf_enabled = False + self.crf_enabled = is_crf # DictVectorizers self.first_prose_vec = DictVectorizer() diff --git a/clicon/train.py b/clicon/train.py index 8119b78..c4449b8 100644 --- a/clicon/train.py +++ b/clicon/train.py @@ -42,8 +42,15 @@ def main(): action = "store_true" ) + parser.add_argument("-no-crf", + dest = "nocrf", + help = "A flag indicating whether to use crfsuite for pass one.", + action = "store_true" + ) + # Parse the command line arguments args = parser.parse_args() + is_crf = not args.nocrf # A list of text file paths @@ -52,6 +59,7 @@ def main(): con_files = glob.glob(args.con) + # i2b2 or xml format = args.format if format == 'i2b2': @@ -98,7 +106,7 @@ def main(): # Create a Machine Learning model - model = Model(filename = args.model) + model = Model(filename = args.model, is_crf=is_crf) # Train the model using the Note's data From 800c6bfdd367e83c0f97f06863cb5f643efcff87 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 26 Aug 2014 16:21:20 -0400 Subject: [PATCH 267/393] Add cli flag to enabled/disable CRF (default is enable) --- clicon/cli.py | 9 +++++++-- clicon/model.py | 4 ++-- clicon/train.py | 10 +++++++++- 3 files changed, 18 insertions(+), 5 deletions(-) diff --git a/clicon/cli.py b/clicon/cli.py index c8f6567..ecbba35 100644 --- a/clicon/cli.py +++ b/clicon/cli.py @@ -16,9 +16,12 @@ def clicon(): @click.option('--annotations' , help='Concept files for training.' ) @click.option('--model' , help='Model output by train.' ) @click.option('--format' , help='Data format (i2b2 or xml).' ) -@click.option('--grid/--no-grid', help='Flag that enables grid search') +@click.option('--grid/--no-grid', help='Flag that enables grid search', + default=False) +@click.option('--crf/--no-crf' , help='Flag that enables crfsuite' , + default=True) @click.argument('input') -def train(annotations, model, format, grid, input): +def train(annotations, model, format, grid, crf, input): # i2b2 data needs concept file annotations if (format == 'i2b2') and (not annotations): @@ -46,6 +49,8 @@ def train(annotations, model, format, grid, input): cmd += ['-f', format] if grid: cmd += ['-g'] + if not crf: + cmd += ['-no-crf'] # Execute train.py subprocess.call(cmd) diff --git a/clicon/model.py b/clicon/model.py index 8bd391a..539176f 100644 --- a/clicon/model.py +++ b/clicon/model.py @@ -44,7 +44,7 @@ def load(filename='awesome.model'): return model - def __init__(self, filename='awesome.model'): + def __init__(self, filename='awesome.model', is_crf=True): model_directory = os.path.dirname(filename) if model_directory != "": @@ -53,7 +53,7 @@ def __init__(self, filename='awesome.model'): self.filename = os.path.realpath(filename) # Use python-crfsuite - self.crf_enabled = False + self.crf_enabled = is_crf # DictVectorizers self.first_prose_vec = DictVectorizer() diff --git a/clicon/train.py b/clicon/train.py index 8119b78..c4449b8 100644 --- a/clicon/train.py +++ b/clicon/train.py @@ -42,8 +42,15 @@ def main(): action = "store_true" ) + parser.add_argument("-no-crf", + dest = "nocrf", + help = "A flag indicating whether to use crfsuite for pass one.", + action = "store_true" + ) + # Parse the command line arguments args = parser.parse_args() + is_crf = not args.nocrf # A list of text file paths @@ -52,6 +59,7 @@ def main(): con_files = glob.glob(args.con) + # i2b2 or xml format = args.format if format == 'i2b2': @@ -98,7 +106,7 @@ def main(): # Create a Machine Learning model - model = Model(filename = args.model) + model = Model(filename = args.model, is_crf=is_crf) # Train the model using the Note's data From 9427842ccfe8bb244b46a3edf8a42baea0dff978 Mon Sep 17 00:00:00 2001 From: arumshisky Date: Tue, 26 Aug 2014 17:05:23 -0400 Subject: [PATCH 268/393] Update README.rst --- README.rst | 2 +- 1 file changed, 1 insertion(+), 1 deletion(-) diff --git a/README.rst b/README.rst index 0ecb9b0..5f269a1 100644 --- a/README.rst +++ b/README.rst @@ -69,7 +69,7 @@ Some of python modules used by CliCon have the following dependencies, which als For Ubuntu users, the above are the names of the packages that need to be installed. -To invoke the script, first ``cd`` into the ``CliCon`` directory and set the CLICON_DIR environmentn variable: +To invoke the script, first ``cd`` into the ``CliCon`` directory: :: From 17c94ac9b8399bbe94bdcfebbfe5fcddd6ed11ae Mon Sep 17 00:00:00 2001 From: arumshisky Date: Tue, 26 Aug 2014 17:05:23 -0400 Subject: [PATCH 269/393] Update README.rst --- README.rst | 2 +- 1 file changed, 1 insertion(+), 1 deletion(-) diff --git a/README.rst b/README.rst index 0ecb9b0..5f269a1 100644 --- a/README.rst +++ b/README.rst @@ -69,7 +69,7 @@ Some of python modules used by CliCon have the following dependencies, which als For Ubuntu users, the above are the names of the packages that need to be installed. -To invoke the script, first ``cd`` into the ``CliCon`` directory and set the CLICON_DIR environmentn variable: +To invoke the script, first ``cd`` into the ``CliCon`` directory: :: From 4566fee5cd6cd332088d8f40c31c060cf2ba0ca6 Mon Sep 17 00:00:00 2001 From: arumshisky Date: Tue, 26 Aug 2014 17:09:47 -0400 Subject: [PATCH 270/393] Update README.rst --- README.rst | 4 ++-- 1 file changed, 2 insertions(+), 2 deletions(-) diff --git a/README.rst b/README.rst index 5f269a1..5bd3682 100644 --- a/README.rst +++ b/README.rst @@ -130,7 +130,7 @@ Please email wboag@cs.uml.edu with your installation questions. Mac OSX - **Tristan should put stuff here** + **[to be added]** Ensure the following python modules are installed (install via pip): @@ -151,7 +151,7 @@ Please email wboag@cs.uml.edu with your installation questions. (4) Get i2b2 2010 shared task data - The Data Use and Confidentiality Agreement with i2b2 forbids us from redistributing their data. In order to gain access, you must go to: + The Data Use and Confidentiality Agreement (DUA) with i2b2 forbids us from redistributing the i2b2 data. In order to gain access to the data, you must go to: https://www.i2b2.org/NLP/DataSets/AgreementAR.php From 1f1ad804d9e4caa1036afdbee1ff1a34e7612051 Mon Sep 17 00:00:00 2001 From: arumshisky Date: Tue, 26 Aug 2014 17:09:47 -0400 Subject: [PATCH 271/393] Update README.rst --- README.rst | 4 ++-- 1 file changed, 2 insertions(+), 2 deletions(-) diff --git a/README.rst b/README.rst index 5f269a1..5bd3682 100644 --- a/README.rst +++ b/README.rst @@ -130,7 +130,7 @@ Please email wboag@cs.uml.edu with your installation questions. Mac OSX - **Tristan should put stuff here** + **[to be added]** Ensure the following python modules are installed (install via pip): @@ -151,7 +151,7 @@ Please email wboag@cs.uml.edu with your installation questions. (4) Get i2b2 2010 shared task data - The Data Use and Confidentiality Agreement with i2b2 forbids us from redistributing their data. In order to gain access, you must go to: + The Data Use and Confidentiality Agreement (DUA) with i2b2 forbids us from redistributing the i2b2 data. In order to gain access to the data, you must go to: https://www.i2b2.org/NLP/DataSets/AgreementAR.php From ba4be9fd51cc9232f7cbf228453e05536c6b40ca Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 27 Aug 2014 00:46:32 -0400 Subject: [PATCH 272/393] Modified install.sh to skip compilation of existing libraries --- clicon/is_installed.py | 50 ++++++++++++++++++++++++++++++++++++++++++ install.sh | 36 +++++++++++++++++++++++++----- 2 files changed, 80 insertions(+), 6 deletions(-) create mode 100644 clicon/is_installed.py diff --git a/clicon/is_installed.py b/clicon/is_installed.py new file mode 100644 index 0000000..2133e1a --- /dev/null +++ b/clicon/is_installed.py @@ -0,0 +1,50 @@ +###################################################################### +# CliCon - is_installed.py # +# # +# Willie Boag wboag@cs.uml.edu # +# # +# Purpose: Determine if a given python module is available. # +###################################################################### + + +import sys + + + +def main(): + + # Ensure proper usage + if len(sys.argv) != 2: + print '\n\tusage: %s module_name\n' % sys.argv[0] + exit(2) + + + # Modules used by clicon (package name -> module name) + module2import = { 'scipy' : 'import scipy' , + 'numpy' : 'import numpy' , + 'nose' : 'import nose' , + 'nltk' : 'import nltk' , + 'python-crfsuite' : 'import pycrfsuite' , + 'scikit-learn' : 'from sklearn.feature_extraction import DictVectorizer' } + + + # Attempt to import module + try: + # Get import statement from module name + if sys.argv[1] not in module2import: exit(3) + attempt = module2import[ sys.argv[1] ] + + # Execute import + exec(attempt) + error = 0 + except ImportError: + error = 1 + + + # Return error code back to shell + exit(error) + + + +if __name__ == '__main__': + main() diff --git a/install.sh b/install.sh index 41b4eb6..64e5616 100755 --- a/install.sh +++ b/install.sh @@ -9,6 +9,30 @@ # + +function install_python_dependencies { + + modules=(nltk python-crfsuite nose numpy scipy scikit-learn) + for m in ${modules[@]} ; do + + #echo -e "\n\nmodule: $m\n\n" + + # Install module if necessary + python $CLICON_DIR/clicon/is_installed.py $m + if [[ $? != 0 ]] ; then + echo "$m is not installed" + pip install -U $m + fi + + done + + # Install nltk data + python -m nltk.downloader maxent_treebank_pos_tagger wordnet + +} + + + function get_genia { # save current path old_path=$(pwd) @@ -17,6 +41,7 @@ function get_genia { cd $CLICON_DIR/clicon/features_dir/genia wget http://www.nactem.ac.uk/tsujii/GENIA/tagger/geniatagger-3.0.1.tar.gz tar xzvf geniatagger-3.0.1.tar.gz + rm geniatagger-3.0.1.tar.gz # Build GENIA tagger cd geniatagger-3.0.1/ @@ -47,7 +72,7 @@ function get_genia { # Ensure resources are available -which g++ gfortran virtualenv pip +which g++ gfortran virtualenv pip &> /dev/null resources=$? if [[ $resources -eq 0 ]] ; then @@ -56,20 +81,19 @@ if [[ $resources -eq 0 ]] ; then if [[ "$CLICON_DIR" = "" ]] ; then CLICON_DIR="$( cd "$( dirname "$0" )" && pwd )" - export CLICON_DIR=\"$CLICON_DIR\" - echo -e "export CLICON_DIR=\"$CLICON_DIR\"" >> .bashrc + export CLICON_DIR=$CLICON_DIR + echo -e "export CLICON_DIR=$CLICON_DIR" >> .bashrc fi # Create virtual environment - virtualenv venv_clicon + virtualenv venv_clicon --system-site-packages source venv_clicon/bin/activate # Install python dependencies - pip install nltk numpy scikit-learn scipy python-crfsuite - python -m nltk.downloader maxent_treebank_pos_tagger wordnet + install_python_dependencies # Download & install GENIA tagger From 2a601f6fc13c0c20f4125a27e0e70b67941a289d Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 27 Aug 2014 00:46:32 -0400 Subject: [PATCH 273/393] Modified install.sh to skip compilation of existing libraries --- clicon/is_installed.py | 50 ++++++++++++++++++++++++++++++++++++++++++ install.sh | 36 +++++++++++++++++++++++++----- 2 files changed, 80 insertions(+), 6 deletions(-) create mode 100644 clicon/is_installed.py diff --git a/clicon/is_installed.py b/clicon/is_installed.py new file mode 100644 index 0000000..2133e1a --- /dev/null +++ b/clicon/is_installed.py @@ -0,0 +1,50 @@ +###################################################################### +# CliCon - is_installed.py # +# # +# Willie Boag wboag@cs.uml.edu # +# # +# Purpose: Determine if a given python module is available. # +###################################################################### + + +import sys + + + +def main(): + + # Ensure proper usage + if len(sys.argv) != 2: + print '\n\tusage: %s module_name\n' % sys.argv[0] + exit(2) + + + # Modules used by clicon (package name -> module name) + module2import = { 'scipy' : 'import scipy' , + 'numpy' : 'import numpy' , + 'nose' : 'import nose' , + 'nltk' : 'import nltk' , + 'python-crfsuite' : 'import pycrfsuite' , + 'scikit-learn' : 'from sklearn.feature_extraction import DictVectorizer' } + + + # Attempt to import module + try: + # Get import statement from module name + if sys.argv[1] not in module2import: exit(3) + attempt = module2import[ sys.argv[1] ] + + # Execute import + exec(attempt) + error = 0 + except ImportError: + error = 1 + + + # Return error code back to shell + exit(error) + + + +if __name__ == '__main__': + main() diff --git a/install.sh b/install.sh index 41b4eb6..64e5616 100755 --- a/install.sh +++ b/install.sh @@ -9,6 +9,30 @@ # + +function install_python_dependencies { + + modules=(nltk python-crfsuite nose numpy scipy scikit-learn) + for m in ${modules[@]} ; do + + #echo -e "\n\nmodule: $m\n\n" + + # Install module if necessary + python $CLICON_DIR/clicon/is_installed.py $m + if [[ $? != 0 ]] ; then + echo "$m is not installed" + pip install -U $m + fi + + done + + # Install nltk data + python -m nltk.downloader maxent_treebank_pos_tagger wordnet + +} + + + function get_genia { # save current path old_path=$(pwd) @@ -17,6 +41,7 @@ function get_genia { cd $CLICON_DIR/clicon/features_dir/genia wget http://www.nactem.ac.uk/tsujii/GENIA/tagger/geniatagger-3.0.1.tar.gz tar xzvf geniatagger-3.0.1.tar.gz + rm geniatagger-3.0.1.tar.gz # Build GENIA tagger cd geniatagger-3.0.1/ @@ -47,7 +72,7 @@ function get_genia { # Ensure resources are available -which g++ gfortran virtualenv pip +which g++ gfortran virtualenv pip &> /dev/null resources=$? if [[ $resources -eq 0 ]] ; then @@ -56,20 +81,19 @@ if [[ $resources -eq 0 ]] ; then if [[ "$CLICON_DIR" = "" ]] ; then CLICON_DIR="$( cd "$( dirname "$0" )" && pwd )" - export CLICON_DIR=\"$CLICON_DIR\" - echo -e "export CLICON_DIR=\"$CLICON_DIR\"" >> .bashrc + export CLICON_DIR=$CLICON_DIR + echo -e "export CLICON_DIR=$CLICON_DIR" >> .bashrc fi # Create virtual environment - virtualenv venv_clicon + virtualenv venv_clicon --system-site-packages source venv_clicon/bin/activate # Install python dependencies - pip install nltk numpy scikit-learn scipy python-crfsuite - python -m nltk.downloader maxent_treebank_pos_tagger wordnet + install_python_dependencies # Download & install GENIA tagger From 8c2ab2d427316e4cdd01639dfc88898a50a70985 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 27 Aug 2014 02:31:17 -0400 Subject: [PATCH 274/393] Update README.rst --- README.rst | 19 +++++++++++++++---- clicon/features_dir/wordshape.py | 3 +-- 2 files changed, 16 insertions(+), 6 deletions(-) diff --git a/README.rst b/README.rst index 0ecb9b0..9a1f3ce 100644 --- a/README.rst +++ b/README.rst @@ -68,8 +68,15 @@ Some of python modules used by CliCon have the following dependencies, which als For Ubuntu users, the above are the names of the packages that need to be installed. +Although the script is able to build python dependencies via pip, this is a slow process. It would be much faster to obtain binaries of certain python modules and then run the script: -To invoke the script, first ``cd`` into the ``CliCon`` directory and set the CLICON_DIR environmentn variable: +:: + + numpy + scipy + scikit-learn + +To invoke the script, first ``cd`` into the ``CliCon`` directory and run it: :: @@ -133,7 +140,8 @@ Please email wboag@cs.uml.edu with your installation questions. **Tristan should put stuff here** - Ensure the following python modules are installed (install via pip): + Ensure the following python modules are installed: + * nose * numpy * scikit-learn * scipy @@ -144,7 +152,8 @@ Please email wboag@cs.uml.edu with your installation questions. :: (venv_clicon)user@your-machine:~/CliCon$ sudo apt-get install python-pip python-virtualenv python-dev g++ gfortran libopenblas-dev liblapack-dev -y - (venv_clicon)user@your-machine:~/CliCon$ pip install numpy scikit-learn scipy nltk python-crfsuite + (venv_clicon)user@your-machine:~/CliCon$ pip install nose numpy scikit-learn scipy nltk python-crfsuite + (venv_clicon)user@your-machine:~/CliCon$ python -m nltk.downloader maxent_treebank_pos_tagger wordnet @@ -190,7 +199,7 @@ Please email wboag@cs.uml.edu with your installation questions. 4. If you do not have any errors, then the tagger has been built successfully. If there were compile errors, try to resolve them (it'd be one of those "well it works for me" scenarios). - 5. Set the file "$CLICON_DIR/config.txt" so that the line that has "GENIA None" is replaced with "GENIA '. This file is how CliCon is able to find and run the tagger. This can be done with the ugly command ``sed -i "s/GENIA None/GENIA $(echo $CLICON_DIR | sed 's/\//\\\//g')\/clicon\/features_dir\/genia\/geniatagger-3.0.1\/geniatagger/g" $CLICON_DIR/config.txt`` + 5. Set the file "$CLICON_DIR/config.txt" so that the line that has "GENIA None" is replaced with "GENIA '. This file is how CliCon is able to find and run the tagger. @@ -208,6 +217,8 @@ Please email wboag@cs.uml.edu with your installation questions. In order to tell CliCon that the tables are there, you must edit the file "$CLICON_DIR/config.txt" and change the line saying "UMLS None" to "UMLS True". This command will do that ``sed -i "s/UMLS None/UMLS True/g" $CLICON_DIR/config.txt`` + **The database will be built from the tables when CliCon is run for the first time.** + (7) Create 'clicon' executable script for command-line use diff --git a/clicon/features_dir/wordshape.py b/clicon/features_dir/wordshape.py index b536f49..06844bd 100644 --- a/clicon/features_dir/wordshape.py +++ b/clicon/features_dir/wordshape.py @@ -1,5 +1,4 @@ import re -from sets import Set BOUNDARY_SIZE = 2 @@ -235,7 +234,7 @@ def wordShapeChris2Long (s, omitIfInBoundary, length, knownLCWords): endChars = "" beginUpto = 0 endUpto = 0 - seenSet = Set([]) + seenSet = set([]) nonLetters = False for i in range (0, len(s)): From 6f43a82ddc1802035a9bde54b91bd0c27216d1fb Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 27 Aug 2014 02:31:17 -0400 Subject: [PATCH 275/393] Update README.rst --- README.rst | 19 +++++++++++++++---- clicon/features_dir/wordshape.py | 3 +-- 2 files changed, 16 insertions(+), 6 deletions(-) diff --git a/README.rst b/README.rst index 0ecb9b0..9a1f3ce 100644 --- a/README.rst +++ b/README.rst @@ -68,8 +68,15 @@ Some of python modules used by CliCon have the following dependencies, which als For Ubuntu users, the above are the names of the packages that need to be installed. +Although the script is able to build python dependencies via pip, this is a slow process. It would be much faster to obtain binaries of certain python modules and then run the script: -To invoke the script, first ``cd`` into the ``CliCon`` directory and set the CLICON_DIR environmentn variable: +:: + + numpy + scipy + scikit-learn + +To invoke the script, first ``cd`` into the ``CliCon`` directory and run it: :: @@ -133,7 +140,8 @@ Please email wboag@cs.uml.edu with your installation questions. **Tristan should put stuff here** - Ensure the following python modules are installed (install via pip): + Ensure the following python modules are installed: + * nose * numpy * scikit-learn * scipy @@ -144,7 +152,8 @@ Please email wboag@cs.uml.edu with your installation questions. :: (venv_clicon)user@your-machine:~/CliCon$ sudo apt-get install python-pip python-virtualenv python-dev g++ gfortran libopenblas-dev liblapack-dev -y - (venv_clicon)user@your-machine:~/CliCon$ pip install numpy scikit-learn scipy nltk python-crfsuite + (venv_clicon)user@your-machine:~/CliCon$ pip install nose numpy scikit-learn scipy nltk python-crfsuite + (venv_clicon)user@your-machine:~/CliCon$ python -m nltk.downloader maxent_treebank_pos_tagger wordnet @@ -190,7 +199,7 @@ Please email wboag@cs.uml.edu with your installation questions. 4. If you do not have any errors, then the tagger has been built successfully. If there were compile errors, try to resolve them (it'd be one of those "well it works for me" scenarios). - 5. Set the file "$CLICON_DIR/config.txt" so that the line that has "GENIA None" is replaced with "GENIA '. This file is how CliCon is able to find and run the tagger. This can be done with the ugly command ``sed -i "s/GENIA None/GENIA $(echo $CLICON_DIR | sed 's/\//\\\//g')\/clicon\/features_dir\/genia\/geniatagger-3.0.1\/geniatagger/g" $CLICON_DIR/config.txt`` + 5. Set the file "$CLICON_DIR/config.txt" so that the line that has "GENIA None" is replaced with "GENIA '. This file is how CliCon is able to find and run the tagger. @@ -208,6 +217,8 @@ Please email wboag@cs.uml.edu with your installation questions. In order to tell CliCon that the tables are there, you must edit the file "$CLICON_DIR/config.txt" and change the line saying "UMLS None" to "UMLS True". This command will do that ``sed -i "s/UMLS None/UMLS True/g" $CLICON_DIR/config.txt`` + **The database will be built from the tables when CliCon is run for the first time.** + (7) Create 'clicon' executable script for command-line use diff --git a/clicon/features_dir/wordshape.py b/clicon/features_dir/wordshape.py index b536f49..06844bd 100644 --- a/clicon/features_dir/wordshape.py +++ b/clicon/features_dir/wordshape.py @@ -1,5 +1,4 @@ import re -from sets import Set BOUNDARY_SIZE = 2 @@ -235,7 +234,7 @@ def wordShapeChris2Long (s, omitIfInBoundary, length, knownLCWords): endChars = "" beginUpto = 0 endUpto = 0 - seenSet = Set([]) + seenSet = set([]) nonLetters = False for i in range (0, len(s)): From 887f589ea11ade85711bf955a7ff5cb7fdec141d Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 27 Aug 2014 02:58:20 -0400 Subject: [PATCH 276/393] Add demo script of usage example for running system --- clicon/evaluate.py | 4 +--- examples/demo.sh | 16 ++++++++++++++++ 2 files changed, 17 insertions(+), 3 deletions(-) create mode 100644 examples/demo.sh diff --git a/clicon/evaluate.py b/clicon/evaluate.py index bd068ba..d3af9ec 100644 --- a/clicon/evaluate.py +++ b/clicon/evaluate.py @@ -13,7 +13,7 @@ def main(): parser = argparse.ArgumentParser() parser.add_argument("-t", - help = "Test files that were used to generate predictions", + help = "Text files that were used to generate predictions", dest = "txt", default = os.path.join(os.getenv('CLICON_DIR'), 'data/test_data/*') ) @@ -71,13 +71,11 @@ def main(): # List of gold data ref_files = glob.glob( os.path.join(args.ref, wildcard) ) - ref_files = map(lambda f: os.path.join(args.ref, f), ref_files) ref_files_map = helper.map_files(ref_files) # List of predictions pred_files = glob.glob( os.path.join(args.con, wildcard) ) - pred_files = map(lambda f: os.path.join(args.con, f), pred_files) pred_files_map = helper.map_files(pred_files) diff --git a/examples/demo.sh b/examples/demo.sh new file mode 100644 index 0000000..a714278 --- /dev/null +++ b/examples/demo.sh @@ -0,0 +1,16 @@ +#!/bin/sh + + +# Train model on an xml-formatted file +# Note, 'examples' directory only has one xml file (but clicon accepts globs) +clicon train "$CLICON_DIR/examples/*.xml" --format xml + + +# Use trained model to predict concepts for a given txt file +# Note, 'examples' directory only has one txt file (but clicon accepts globs) +clicon predict "$CLICON_DIR/examples/*.txt" --out $CLICON_DIR/data/test_predictions/ --format xml + + +# Evaluate how well the system classified. +# Note, in this case it is 100% because it trained/predicted on the same file. +clicon evaluate "$CLICON_DIR/examples/pretend.txt" --gold $CLICON_DIR/examples --predictions $CLICON_DIR/data/test_predictions/ --format xml From 2093b660138278d41a58ac4ac94ed2434cafafa1 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 27 Aug 2014 02:58:20 -0400 Subject: [PATCH 277/393] Add demo script of usage example for running system --- clicon/evaluate.py | 4 +--- examples/demo.sh | 16 ++++++++++++++++ 2 files changed, 17 insertions(+), 3 deletions(-) create mode 100644 examples/demo.sh diff --git a/clicon/evaluate.py b/clicon/evaluate.py index bd068ba..d3af9ec 100644 --- a/clicon/evaluate.py +++ b/clicon/evaluate.py @@ -13,7 +13,7 @@ def main(): parser = argparse.ArgumentParser() parser.add_argument("-t", - help = "Test files that were used to generate predictions", + help = "Text files that were used to generate predictions", dest = "txt", default = os.path.join(os.getenv('CLICON_DIR'), 'data/test_data/*') ) @@ -71,13 +71,11 @@ def main(): # List of gold data ref_files = glob.glob( os.path.join(args.ref, wildcard) ) - ref_files = map(lambda f: os.path.join(args.ref, f), ref_files) ref_files_map = helper.map_files(ref_files) # List of predictions pred_files = glob.glob( os.path.join(args.con, wildcard) ) - pred_files = map(lambda f: os.path.join(args.con, f), pred_files) pred_files_map = helper.map_files(pred_files) diff --git a/examples/demo.sh b/examples/demo.sh new file mode 100644 index 0000000..a714278 --- /dev/null +++ b/examples/demo.sh @@ -0,0 +1,16 @@ +#!/bin/sh + + +# Train model on an xml-formatted file +# Note, 'examples' directory only has one xml file (but clicon accepts globs) +clicon train "$CLICON_DIR/examples/*.xml" --format xml + + +# Use trained model to predict concepts for a given txt file +# Note, 'examples' directory only has one txt file (but clicon accepts globs) +clicon predict "$CLICON_DIR/examples/*.txt" --out $CLICON_DIR/data/test_predictions/ --format xml + + +# Evaluate how well the system classified. +# Note, in this case it is 100% because it trained/predicted on the same file. +clicon evaluate "$CLICON_DIR/examples/pretend.txt" --gold $CLICON_DIR/examples --predictions $CLICON_DIR/data/test_predictions/ --format xml From 3d0453db5ad65b2801559428352e9318459c6c0e Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 27 Aug 2014 03:03:00 -0400 Subject: [PATCH 278/393] replace depricated ImmutableSet with frozenset --- clicon/features_dir/sentence_features.py | 7 ++----- 1 file changed, 2 insertions(+), 5 deletions(-) diff --git a/clicon/features_dir/sentence_features.py b/clicon/features_dir/sentence_features.py index db81a7f..ea58406 100644 --- a/clicon/features_dir/sentence_features.py +++ b/clicon/features_dir/sentence_features.py @@ -14,7 +14,6 @@ import nltk import re -from sets import ImmutableSet from wordshape import getWordShapes @@ -42,11 +41,9 @@ class SentenceFeatures: # Feature Enabling - #enabled_IOB_prose_sentence_features = ImmutableSet( [ 'pos', 'stem_wordnet', 'GENIA', 'prev', 'next', 'prev_3_pos', 'next_3_pos', 'UMLS'] ) + enabled_IOB_nonprose_sentence_features = frozenset( ['pos', 'test_result', 'prev', 'next','prev_3_pos', 'next_3_pos', 'UMLS']) - enabled_IOB_nonprose_sentence_features = ImmutableSet( ['pos', 'test_result', 'prev', 'next','prev_3_pos', 'next_3_pos', 'UMLS']) - - enabled_concept_features = ImmutableSet( ['pos','prev_3_pos', 'stem_wordnet', 'test_result', 'word_shape','prev','next', "UMLS"]) + enabled_concept_features = frozenset( ['pos','prev_3_pos', 'stem_wordnet', 'test_result', 'word_shape','prev','next', "UMLS"]) From 99adaed386427380b54bffa1f67a4032aca50834 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 27 Aug 2014 03:03:00 -0400 Subject: [PATCH 279/393] replace depricated ImmutableSet with frozenset --- clicon/features_dir/sentence_features.py | 7 ++----- 1 file changed, 2 insertions(+), 5 deletions(-) diff --git a/clicon/features_dir/sentence_features.py b/clicon/features_dir/sentence_features.py index db81a7f..ea58406 100644 --- a/clicon/features_dir/sentence_features.py +++ b/clicon/features_dir/sentence_features.py @@ -14,7 +14,6 @@ import nltk import re -from sets import ImmutableSet from wordshape import getWordShapes @@ -42,11 +41,9 @@ class SentenceFeatures: # Feature Enabling - #enabled_IOB_prose_sentence_features = ImmutableSet( [ 'pos', 'stem_wordnet', 'GENIA', 'prev', 'next', 'prev_3_pos', 'next_3_pos', 'UMLS'] ) + enabled_IOB_nonprose_sentence_features = frozenset( ['pos', 'test_result', 'prev', 'next','prev_3_pos', 'next_3_pos', 'UMLS']) - enabled_IOB_nonprose_sentence_features = ImmutableSet( ['pos', 'test_result', 'prev', 'next','prev_3_pos', 'next_3_pos', 'UMLS']) - - enabled_concept_features = ImmutableSet( ['pos','prev_3_pos', 'stem_wordnet', 'test_result', 'word_shape','prev','next', "UMLS"]) + enabled_concept_features = frozenset( ['pos','prev_3_pos', 'stem_wordnet', 'test_result', 'word_shape','prev','next', "UMLS"]) From d0e97dd843425962b8d7a7bbcfba07201331834a Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 27 Aug 2014 03:06:29 -0400 Subject: [PATCH 280/393] Replace depricated ImmutableSet with frozenset --- clicon/features_dir/umls/umls_features.py | 9 ++++----- clicon/features_dir/word_features.py | 18 +++--------------- 2 files changed, 7 insertions(+), 20 deletions(-) diff --git a/clicon/features_dir/umls/umls_features.py b/clicon/features_dir/umls/umls_features.py index ee192fe..e6fdf15 100644 --- a/clicon/features_dir/umls/umls_features.py +++ b/clicon/features_dir/umls/umls_features.py @@ -8,7 +8,6 @@ -from sets import ImmutableSet from umls_cache import UmlsCache import umls @@ -17,13 +16,13 @@ class UMLSFeatures: - enabled_prose_features = ImmutableSet( [ 'umls_cui', 'umls_semantic_type_word', 'umls_hypernyms' ] ) + enabled_prose_features = frozenset( [ 'umls_cui', 'umls_semantic_type_word', 'umls_hypernyms' ] ) - enabled_nonprose_features = ImmutableSet( [ 'umls_cui', 'umls_semantic_type_word' ] ) + enabled_nonprose_features = frozenset( [ 'umls_cui', 'umls_semantic_type_word' ] ) - enabled_concept_features_for_word = ImmutableSet( [ 'umls_semantic_type_word', 'umls_cui' ] ) - enabled_concept_features_for_sentence = ImmutableSet( [ 'umls_semantic_type_sentence', 'umls_semantic_context' ] ) + enabled_concept_features_for_word = frozenset( [ 'umls_semantic_type_word', 'umls_cui' ] ) + enabled_concept_features_for_sentence = frozenset( [ 'umls_semantic_type_sentence', 'umls_semantic_context' ] ) diff --git a/clicon/features_dir/word_features.py b/clicon/features_dir/word_features.py index 312c63a..e934cf0 100644 --- a/clicon/features_dir/word_features.py +++ b/clicon/features_dir/word_features.py @@ -16,7 +16,6 @@ import nltk import re -from sets import ImmutableSet from wordshape import getWordShapes @@ -24,25 +23,14 @@ class WordFeatures: - #enabled_IOB_prose_word_features = ImmutableSet( ['Generic#', 'last_two_letters', 'word', 'length', 'mitre', 'stem_porter', 'stem_lancaster', 'word_shape', 'metric_unit' ] ) + enabled_IOB_prose_word_features = frozenset( ['Generic#', 'last_two_letters', 'word', 'length', 'mitre', 'stem_porter', 'stem_lancaster', 'word_shape', 'metric_unit' ] ) - enabled_IOB_nonprose_word_features = ImmutableSet( ['word', 'word_shape', 'metric_unit', 'mitre', 'directive', 'date' ] ) + enabled_IOB_nonprose_word_features = frozenset( ['word', 'word_shape', 'metric_unit', 'mitre', 'directive', 'date' ] ) - enabled_concept_features = ImmutableSet( ['word', 'prefix', 'stem_porter', 'stem_lancaster', 'previous_word_stem', 'next_word_stem'] ) + enabled_concept_features = frozenset( ['word', 'prefix', 'stem_porter', 'stem_lancaster', 'previous_word_stem', 'next_word_stem'] ) def __init__(self): - - self.enabled_IOB_prose_word_features = [] - #self.enabled_IOB_prose_word_features.append('word') - self.enabled_IOB_prose_word_features.append('Generic#') - #self.enabled_IOB_prose_word_features.append('last_two_letters') - #self.enabled_IOB_prose_word_features.append('length') - #self.enabled_IOB_prose_word_features.append('mitre') - #self.enabled_IOB_prose_word_features.append('stem_porter') - #self.enabled_IOB_prose_word_features.append('stem_lancaster') - #self.enabled_IOB_prose_word_features.append('word_shape') - pass From 7d2490aad502717fc6bb89f5d1b270ee7b33fe82 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 27 Aug 2014 03:06:29 -0400 Subject: [PATCH 281/393] Replace depricated ImmutableSet with frozenset --- clicon/features_dir/umls/umls_features.py | 9 ++++----- clicon/features_dir/word_features.py | 18 +++--------------- 2 files changed, 7 insertions(+), 20 deletions(-) diff --git a/clicon/features_dir/umls/umls_features.py b/clicon/features_dir/umls/umls_features.py index ee192fe..e6fdf15 100644 --- a/clicon/features_dir/umls/umls_features.py +++ b/clicon/features_dir/umls/umls_features.py @@ -8,7 +8,6 @@ -from sets import ImmutableSet from umls_cache import UmlsCache import umls @@ -17,13 +16,13 @@ class UMLSFeatures: - enabled_prose_features = ImmutableSet( [ 'umls_cui', 'umls_semantic_type_word', 'umls_hypernyms' ] ) + enabled_prose_features = frozenset( [ 'umls_cui', 'umls_semantic_type_word', 'umls_hypernyms' ] ) - enabled_nonprose_features = ImmutableSet( [ 'umls_cui', 'umls_semantic_type_word' ] ) + enabled_nonprose_features = frozenset( [ 'umls_cui', 'umls_semantic_type_word' ] ) - enabled_concept_features_for_word = ImmutableSet( [ 'umls_semantic_type_word', 'umls_cui' ] ) - enabled_concept_features_for_sentence = ImmutableSet( [ 'umls_semantic_type_sentence', 'umls_semantic_context' ] ) + enabled_concept_features_for_word = frozenset( [ 'umls_semantic_type_word', 'umls_cui' ] ) + enabled_concept_features_for_sentence = frozenset( [ 'umls_semantic_type_sentence', 'umls_semantic_context' ] ) diff --git a/clicon/features_dir/word_features.py b/clicon/features_dir/word_features.py index 312c63a..e934cf0 100644 --- a/clicon/features_dir/word_features.py +++ b/clicon/features_dir/word_features.py @@ -16,7 +16,6 @@ import nltk import re -from sets import ImmutableSet from wordshape import getWordShapes @@ -24,25 +23,14 @@ class WordFeatures: - #enabled_IOB_prose_word_features = ImmutableSet( ['Generic#', 'last_two_letters', 'word', 'length', 'mitre', 'stem_porter', 'stem_lancaster', 'word_shape', 'metric_unit' ] ) + enabled_IOB_prose_word_features = frozenset( ['Generic#', 'last_two_letters', 'word', 'length', 'mitre', 'stem_porter', 'stem_lancaster', 'word_shape', 'metric_unit' ] ) - enabled_IOB_nonprose_word_features = ImmutableSet( ['word', 'word_shape', 'metric_unit', 'mitre', 'directive', 'date' ] ) + enabled_IOB_nonprose_word_features = frozenset( ['word', 'word_shape', 'metric_unit', 'mitre', 'directive', 'date' ] ) - enabled_concept_features = ImmutableSet( ['word', 'prefix', 'stem_porter', 'stem_lancaster', 'previous_word_stem', 'next_word_stem'] ) + enabled_concept_features = frozenset( ['word', 'prefix', 'stem_porter', 'stem_lancaster', 'previous_word_stem', 'next_word_stem'] ) def __init__(self): - - self.enabled_IOB_prose_word_features = [] - #self.enabled_IOB_prose_word_features.append('word') - self.enabled_IOB_prose_word_features.append('Generic#') - #self.enabled_IOB_prose_word_features.append('last_two_letters') - #self.enabled_IOB_prose_word_features.append('length') - #self.enabled_IOB_prose_word_features.append('mitre') - #self.enabled_IOB_prose_word_features.append('stem_porter') - #self.enabled_IOB_prose_word_features.append('stem_lancaster') - #self.enabled_IOB_prose_word_features.append('word_shape') - pass From b6e3d4299b6edf398059052e9d128069c843f49b Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 27 Aug 2014 03:10:21 -0400 Subject: [PATCH 282/393] Update README.rst --- README.rst | 6 ++---- 1 file changed, 2 insertions(+), 4 deletions(-) diff --git a/README.rst b/README.rst index 42c747e..ec4b1b0 100644 --- a/README.rst +++ b/README.rst @@ -245,12 +245,10 @@ Please email wboag@cs.uml.edu with your installation questions. Usage Examples -------- - End-to-End + Demo Script :: user@your-machine:~/CliCon$ source install.sh - (venv_clicon)user@your-machine:~/CliCon$ clicon train $CLICON_DIR/examples/pretend.xml --format xml - (venv_clicon)user@your-machine:~/CliCon$ clicon predict $CLICON_DIR/examples/pretend.txt - (venv_clicon)user@your-machine:~/CliCon$ clicon evaluate $CLICON_DIR/examples/pretend.txt --format xml --gold $CLICON_DIR/examples + (venv_clicon)user@your-machine:~/CliCon$ bash examples/demo.sh i2b2 format From 94a5cc1123cd5cafd1eda181733a991d83b759dc Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 27 Aug 2014 03:10:21 -0400 Subject: [PATCH 283/393] Update README.rst --- README.rst | 6 ++---- 1 file changed, 2 insertions(+), 4 deletions(-) diff --git a/README.rst b/README.rst index 42c747e..ec4b1b0 100644 --- a/README.rst +++ b/README.rst @@ -245,12 +245,10 @@ Please email wboag@cs.uml.edu with your installation questions. Usage Examples -------- - End-to-End + Demo Script :: user@your-machine:~/CliCon$ source install.sh - (venv_clicon)user@your-machine:~/CliCon$ clicon train $CLICON_DIR/examples/pretend.xml --format xml - (venv_clicon)user@your-machine:~/CliCon$ clicon predict $CLICON_DIR/examples/pretend.txt - (venv_clicon)user@your-machine:~/CliCon$ clicon evaluate $CLICON_DIR/examples/pretend.txt --format xml --gold $CLICON_DIR/examples + (venv_clicon)user@your-machine:~/CliCon$ bash examples/demo.sh i2b2 format From 36b57a2092951b5f436e8ade6ef0814bd9a82a64 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 27 Aug 2014 14:31:26 -0400 Subject: [PATCH 284/393] Update README.rst --- README.rst | 4 ++-- 1 file changed, 2 insertions(+), 2 deletions(-) diff --git a/README.rst b/README.rst index ec4b1b0..24d6397 100644 --- a/README.rst +++ b/README.rst @@ -74,7 +74,7 @@ Although the script is able to build python dependencies via pip, this is a slow numpy scipy - scikit-learn + scikit-learn (version 0.14) To invoke the script, first ``cd`` into the ``CliCon`` directory: @@ -143,7 +143,7 @@ Please email wboag@cs.uml.edu with your installation questions. Ensure the following python modules are installed: * nose * numpy - * scikit-learn + * scikit-learn (version 0.14) * scipy * python-crfsuite * nltk (AND run the NLTK downloader) From 856bb63613e665a93ff29de19e4d8df724432a98 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 27 Aug 2014 14:31:26 -0400 Subject: [PATCH 285/393] Update README.rst --- README.rst | 4 ++-- 1 file changed, 2 insertions(+), 2 deletions(-) diff --git a/README.rst b/README.rst index ec4b1b0..24d6397 100644 --- a/README.rst +++ b/README.rst @@ -74,7 +74,7 @@ Although the script is able to build python dependencies via pip, this is a slow numpy scipy - scikit-learn + scikit-learn (version 0.14) To invoke the script, first ``cd`` into the ``CliCon`` directory: @@ -143,7 +143,7 @@ Please email wboag@cs.uml.edu with your installation questions. Ensure the following python modules are installed: * nose * numpy - * scikit-learn + * scikit-learn (version 0.14) * scipy * python-crfsuite * nltk (AND run the NLTK downloader) From d42b2836cc414ec7b6bbf2d829f103dc169a3f8d Mon Sep 17 00:00:00 2001 From: tnaumann Date: Thu, 28 Aug 2014 19:17:55 -0700 Subject: [PATCH 286/393] Removing broken badge images from README.rst. --- README.rst | 10 ---------- 1 file changed, 10 deletions(-) diff --git a/README.rst b/README.rst index 24d6397..28a35d1 100644 --- a/README.rst +++ b/README.rst @@ -2,16 +2,6 @@ CliCon =============================== -.. image:: https://badge.fury.io/py/clicon.png - :target: http://badge.fury.io/py/clicon - -.. image:: https://travis-ci.org/tnaumann/clicon.png?branch=master - :target: https://travis-ci.org/tnaumann/clicon - -.. image:: https://pypip.in/d/clicon/badge.png - :target: https://pypi.python.org/pypi/clicon - - Clinical Concept extraction system (CliCon) is an open-source natural language processing system for named entity recognition in clinical text of electronic health records. CliCon system is designed to follow best practices in clinical concept extraction, as established in i2b2 2010 shared task. CliCon is implemented as a two-pass machine learning system for named entity recognition, currently using a Conditional Random Fields (CRF) classifier to establish concept boundaries and a Support Vector Machine (SVM) classifier to establish the type of concept. From 8eafa1640d7f23cdb9015251a482bc4deac1e49a Mon Sep 17 00:00:00 2001 From: tnaumann Date: Thu, 28 Aug 2014 19:17:55 -0700 Subject: [PATCH 287/393] Removing broken badge images from README.rst. --- README.rst | 10 ---------- 1 file changed, 10 deletions(-) diff --git a/README.rst b/README.rst index 24d6397..28a35d1 100644 --- a/README.rst +++ b/README.rst @@ -2,16 +2,6 @@ CliCon =============================== -.. image:: https://badge.fury.io/py/clicon.png - :target: http://badge.fury.io/py/clicon - -.. image:: https://travis-ci.org/tnaumann/clicon.png?branch=master - :target: https://travis-ci.org/tnaumann/clicon - -.. image:: https://pypip.in/d/clicon/badge.png - :target: https://pypi.python.org/pypi/clicon - - Clinical Concept extraction system (CliCon) is an open-source natural language processing system for named entity recognition in clinical text of electronic health records. CliCon system is designed to follow best practices in clinical concept extraction, as established in i2b2 2010 shared task. CliCon is implemented as a two-pass machine learning system for named entity recognition, currently using a Conditional Random Fields (CRF) classifier to establish concept boundaries and a Support Vector Machine (SVM) classifier to establish the type of concept. From ed13f0d3f821eb60e8b15842321a63164b974ca0 Mon Sep 17 00:00:00 2001 From: tnaumann Date: Thu, 28 Aug 2014 19:25:12 -0700 Subject: [PATCH 288/393] Adding Apache license. Closes #1. --- LICENSE | 201 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++ 1 file changed, 201 insertions(+) diff --git a/LICENSE b/LICENSE index e69de29..5c304d1 100644 --- a/LICENSE +++ b/LICENSE @@ -0,0 +1,201 @@ +Apache License + Version 2.0, January 2004 + http://www.apache.org/licenses/ + + TERMS AND CONDITIONS FOR USE, REPRODUCTION, AND DISTRIBUTION + + 1. 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Unless You explicitly state otherwise, + any Contribution intentionally submitted for inclusion in the Work + by You to the Licensor shall be under the terms and conditions of + this License, without any additional terms or conditions. + Notwithstanding the above, nothing herein shall supersede or modify + the terms of any separate license agreement you may have executed + with Licensor regarding such Contributions. + + 6. Trademarks. This License does not grant permission to use the trade + names, trademarks, service marks, or product names of the Licensor, + except as required for reasonable and customary use in describing the + origin of the Work and reproducing the content of the NOTICE file. + + 7. Disclaimer of Warranty. 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In no event and under no legal theory, + whether in tort (including negligence), contract, or otherwise, + unless required by applicable law (such as deliberate and grossly + negligent acts) or agreed to in writing, shall any Contributor be + liable to You for damages, including any direct, indirect, special, + incidental, or consequential damages of any character arising as a + result of this License or out of the use or inability to use the + Work (including but not limited to damages for loss of goodwill, + work stoppage, computer failure or malfunction, or any and all + other commercial damages or losses), even if such Contributor + has been advised of the possibility of such damages. + + 9. Accepting Warranty or Additional Liability. While redistributing + the Work or Derivative Works thereof, You may choose to offer, + and charge a fee for, acceptance of support, warranty, indemnity, + or other liability obligations and/or rights consistent with this + License. However, in accepting such obligations, You may act only + on Your own behalf and on Your sole responsibility, not on behalf + of any other Contributor, and only if You agree to indemnify, + defend, and hold each Contributor harmless for any liability + incurred by, or claims asserted against, such Contributor by reason + of your accepting any such warranty or additional liability. + + END OF TERMS AND CONDITIONS + + APPENDIX: How to apply the Apache License to your work. + + To apply the Apache License to your work, attach the following + boilerplate notice, with the fields enclosed by brackets "{}" + replaced with your own identifying information. (Don't include + the brackets!) The text should be enclosed in the appropriate + comment syntax for the file format. We also recommend that a + file or class name and description of purpose be included on the + same "printed page" as the copyright notice for easier + identification within third-party archives. + + Copyright {yyyy} {name of copyright owner} + + Licensed under the Apache License, Version 2.0 (the "License"); + you may not use this file except in compliance with the License. + You may obtain a copy of the License at + + http://www.apache.org/licenses/LICENSE-2.0 + + Unless required by applicable law or agreed to in writing, software + distributed under the License is distributed on an "AS IS" BASIS, + WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. + See the License for the specific language governing permissions and + limitations under the License. From 89d838fc6c028705fbc007ab1340067cb1372acc Mon Sep 17 00:00:00 2001 From: tnaumann Date: Thu, 28 Aug 2014 19:50:39 -0700 Subject: [PATCH 290/393] Updating development team. Closes #5. --- AUTHORS.rst | 7 +++++-- 1 file changed, 5 insertions(+), 2 deletions(-) diff --git a/AUTHORS.rst b/AUTHORS.rst index a835c68..7bbef57 100644 --- a/AUTHORS.rst +++ b/AUTHORS.rst @@ -2,12 +2,15 @@ Credits ======= -Development Lead +Development Team ---------------- +* William Boag +* Kevin Wacome * Tristan Naumann +* Anna Rumshisky Contributors ------------ -None yet. Why not be the first? \ No newline at end of file +None yet. Why not be the first? From e9780671fb1ee4740a08c3bc9faedb7738055edd Mon Sep 17 00:00:00 2001 From: tnaumann Date: Thu, 28 Aug 2014 19:50:39 -0700 Subject: [PATCH 291/393] Updating development team. Closes #5. --- AUTHORS.rst | 7 +++++-- 1 file changed, 5 insertions(+), 2 deletions(-) diff --git a/AUTHORS.rst b/AUTHORS.rst index a835c68..7bbef57 100644 --- a/AUTHORS.rst +++ b/AUTHORS.rst @@ -2,12 +2,15 @@ Credits ======= -Development Lead +Development Team ---------------- +* William Boag +* Kevin Wacome * Tristan Naumann +* Anna Rumshisky Contributors ------------ -None yet. Why not be the first? \ No newline at end of file +None yet. Why not be the first? From 5077f4780ca8a7dbf35348dc6d09f7b6b55db445 Mon Sep 17 00:00:00 2001 From: tnaumann Date: Thu, 28 Aug 2014 20:12:17 -0700 Subject: [PATCH 292/393] Removing features section from README.rst Closes #4. --- README.rst | 6 ------ 1 file changed, 6 deletions(-) diff --git a/README.rst b/README.rst index 28a35d1..aaa38ea 100644 --- a/README.rst +++ b/README.rst @@ -12,12 +12,6 @@ Please note that for optimal performance, CliCon requires the users to obtain a * Free software: BSD license * Documentation: http://clicon.readthedocs.org. -Features --------- - -* TODO - - Installation -------- From 35bf23601ad6bd7e1c02b880de5c240625878b77 Mon Sep 17 00:00:00 2001 From: tnaumann Date: Thu, 28 Aug 2014 20:12:17 -0700 Subject: [PATCH 293/393] Removing features section from README.rst Closes #4. --- README.rst | 6 ------ 1 file changed, 6 deletions(-) diff --git a/README.rst b/README.rst index 28a35d1..aaa38ea 100644 --- a/README.rst +++ b/README.rst @@ -12,12 +12,6 @@ Please note that for optimal performance, CliCon requires the users to obtain a * Free software: BSD license * Documentation: http://clicon.readthedocs.org. -Features --------- - -* TODO - - Installation -------- From d9201af2c00555822a12e1beb0fa9860193de6c7 Mon Sep 17 00:00:00 2001 From: tnaumann Date: Fri, 29 Aug 2014 19:24:20 -0700 Subject: [PATCH 294/393] Create COPYRIGHT file Closes #1. --- COPYRIGHT | 1 + 1 file changed, 1 insertion(+) create mode 100644 COPYRIGHT diff --git a/COPYRIGHT b/COPYRIGHT new file mode 100644 index 0000000..f2c1843 --- /dev/null +++ b/COPYRIGHT @@ -0,0 +1 @@ +Copyright (C) 2014 MEDG at MIT CSAIL & Text Machine Lab for NLP at UMass Lowell From 7d2eeb031c0b54517385cdcacb925b2777f27068 Mon Sep 17 00:00:00 2001 From: tnaumann Date: Fri, 29 Aug 2014 19:24:20 -0700 Subject: [PATCH 295/393] Create COPYRIGHT file Closes #1. --- COPYRIGHT | 1 + 1 file changed, 1 insertion(+) create mode 100644 COPYRIGHT diff --git a/COPYRIGHT b/COPYRIGHT new file mode 100644 index 0000000..f2c1843 --- /dev/null +++ b/COPYRIGHT @@ -0,0 +1 @@ +Copyright (C) 2014 MEDG at MIT CSAIL & Text Machine Lab for NLP at UMass Lowell From 7ad1b545ae2c6eab4cd8cbc9fc9d94002f0e31b4 Mon Sep 17 00:00:00 2001 From: tnaumann Date: Sat, 30 Aug 2014 10:51:05 -0700 Subject: [PATCH 296/393] Updating OSX dependencies. Closes #2 --- README.rst | 5 +++-- 1 file changed, 3 insertions(+), 2 deletions(-) diff --git a/README.rst b/README.rst index aaa38ea..e182334 100644 --- a/README.rst +++ b/README.rst @@ -120,8 +120,9 @@ Please email wboag@cs.uml.edu with your installation questions. * liblapack-dev - Mac OSX - **[to be added]** + Mac OSX (e.g. using [Homebrew](http://brew.sh/)): + * python + * gfortran Ensure the following python modules are installed: From b289a48fd6139f5f1b82087c8775c003a5f4b23d Mon Sep 17 00:00:00 2001 From: tnaumann Date: Sat, 30 Aug 2014 10:51:05 -0700 Subject: [PATCH 297/393] Updating OSX dependencies. Closes #2 --- README.rst | 5 +++-- 1 file changed, 3 insertions(+), 2 deletions(-) diff --git a/README.rst b/README.rst index aaa38ea..e182334 100644 --- a/README.rst +++ b/README.rst @@ -120,8 +120,9 @@ Please email wboag@cs.uml.edu with your installation questions. * liblapack-dev - Mac OSX - **[to be added]** + Mac OSX (e.g. using [Homebrew](http://brew.sh/)): + * python + * gfortran Ensure the following python modules are installed: From 167a2665d05bc40212369398e30aa35982bd0ea2 Mon Sep 17 00:00:00 2001 From: Tristan Naumann Date: Sat, 30 Aug 2014 11:13:16 -0700 Subject: [PATCH 298/393] Removing cookiecutter installation/usage. Since both sections are documented in the README.rst, this led to redundancies in the document generation. Closes #7. --- docs/index.rst | 2 -- docs/installation.rst | 12 ------------ docs/usage.rst | 7 ------- 3 files changed, 21 deletions(-) delete mode 100644 docs/installation.rst delete mode 100644 docs/usage.rst diff --git a/docs/index.rst b/docs/index.rst index cd9d3a6..e9f5fb5 100644 --- a/docs/index.rst +++ b/docs/index.rst @@ -12,8 +12,6 @@ Contents: :maxdepth: 2 readme - installation - usage contributing authors history diff --git a/docs/installation.rst b/docs/installation.rst deleted file mode 100644 index a92f22e..0000000 --- a/docs/installation.rst +++ /dev/null @@ -1,12 +0,0 @@ -============ -Installation -============ - -At the command line:: - - $ easy_install clicon - -Or, if you have virtualenvwrapper installed:: - - $ mkvirtualenv clicon - $ pip install clicon \ No newline at end of file diff --git a/docs/usage.rst b/docs/usage.rst deleted file mode 100644 index 888ff9d..0000000 --- a/docs/usage.rst +++ /dev/null @@ -1,7 +0,0 @@ -======== -Usage -======== - -To use CliCon in a project:: - - import clicon \ No newline at end of file From 863bced346109b4dc2aeef64c8257d0b2dc9401a Mon Sep 17 00:00:00 2001 From: Tristan Naumann Date: Sat, 30 Aug 2014 11:13:16 -0700 Subject: [PATCH 299/393] Removing cookiecutter installation/usage. Since both sections are documented in the README.rst, this led to redundancies in the document generation. Closes #7. --- docs/index.rst | 2 -- docs/installation.rst | 12 ------------ docs/usage.rst | 7 ------- 3 files changed, 21 deletions(-) delete mode 100644 docs/installation.rst delete mode 100644 docs/usage.rst diff --git a/docs/index.rst b/docs/index.rst index cd9d3a6..e9f5fb5 100644 --- a/docs/index.rst +++ b/docs/index.rst @@ -12,8 +12,6 @@ Contents: :maxdepth: 2 readme - installation - usage contributing authors history diff --git a/docs/installation.rst b/docs/installation.rst deleted file mode 100644 index a92f22e..0000000 --- a/docs/installation.rst +++ /dev/null @@ -1,12 +0,0 @@ -============ -Installation -============ - -At the command line:: - - $ easy_install clicon - -Or, if you have virtualenvwrapper installed:: - - $ mkvirtualenv clicon - $ pip install clicon \ No newline at end of file diff --git a/docs/usage.rst b/docs/usage.rst deleted file mode 100644 index 888ff9d..0000000 --- a/docs/usage.rst +++ /dev/null @@ -1,7 +0,0 @@ -======== -Usage -======== - -To use CliCon in a project:: - - import clicon \ No newline at end of file From 0d1aa8e507b52ba78b346548323eb4f3843039de Mon Sep 17 00:00:00 2001 From: arumshisky Date: Sat, 30 Aug 2014 17:08:06 -0400 Subject: [PATCH 300/393] Update README.rst --- README.rst | 11 ++++++++++- 1 file changed, 10 insertions(+), 1 deletion(-) diff --git a/README.rst b/README.rst index e182334..5e40971 100644 --- a/README.rst +++ b/README.rst @@ -41,6 +41,9 @@ The following packages need to be on the system for the script to work: python-virtualenv python-dev + + + Some of python modules used by CliCon have the following dependencies, which also need to be installed on the system: :: @@ -50,7 +53,12 @@ Some of python modules used by CliCon have the following dependencies, which als libopenblas-dev liblapack-dev -For Ubuntu users, the above are the names of the packages that need to be installed. +For Ubuntu users, the above are the names of the packages that need to be installed. A typical command to install a python module on a Debian-flavored Linux is: + +:: + + apt-get install + Although the script is able to build python dependencies via pip, this is a slow process. It would be much faster to obtain binaries of certain python modules and then run the script: @@ -60,6 +68,7 @@ Although the script is able to build python dependencies via pip, this is a slow scipy scikit-learn (version 0.14) + To invoke the script, first ``cd`` into the ``CliCon`` directory: :: From 02ff782b392c66cfbfd62a341692c07009353a58 Mon Sep 17 00:00:00 2001 From: arumshisky Date: Sat, 30 Aug 2014 17:08:06 -0400 Subject: [PATCH 301/393] Update README.rst --- README.rst | 11 ++++++++++- 1 file changed, 10 insertions(+), 1 deletion(-) diff --git a/README.rst b/README.rst index e182334..5e40971 100644 --- a/README.rst +++ b/README.rst @@ -41,6 +41,9 @@ The following packages need to be on the system for the script to work: python-virtualenv python-dev + + + Some of python modules used by CliCon have the following dependencies, which also need to be installed on the system: :: @@ -50,7 +53,12 @@ Some of python modules used by CliCon have the following dependencies, which als libopenblas-dev liblapack-dev -For Ubuntu users, the above are the names of the packages that need to be installed. +For Ubuntu users, the above are the names of the packages that need to be installed. A typical command to install a python module on a Debian-flavored Linux is: + +:: + + apt-get install + Although the script is able to build python dependencies via pip, this is a slow process. It would be much faster to obtain binaries of certain python modules and then run the script: @@ -60,6 +68,7 @@ Although the script is able to build python dependencies via pip, this is a slow scipy scikit-learn (version 0.14) + To invoke the script, first ``cd`` into the ``CliCon`` directory: :: From c5b4c666cddfab6cc0224b2ee0323f16a98dfe80 Mon Sep 17 00:00:00 2001 From: tnaumann Date: Sat, 30 Aug 2014 16:36:24 -0700 Subject: [PATCH 302/393] Update README to have include proper license. Existing template stated BSD, changed to Apache v2.0 license. --- README.rst | 2 +- 1 file changed, 1 insertion(+), 1 deletion(-) diff --git a/README.rst b/README.rst index 5e40971..d2da6be 100644 --- a/README.rst +++ b/README.rst @@ -9,7 +9,7 @@ CliCon is implemented as a two-pass machine learning system for named entity rec Please note that for optimal performance, CliCon requires the users to obtain a Unified Medical Language System (UMLS) license, since UMLS Metathesaurus is used as one of the knowledge sources for the above classifiers. -* Free software: BSD license +* Free software: Apache v2.0 license * Documentation: http://clicon.readthedocs.org. From 21a7cb589b53d3a9effd6473b047e39d8fab62ca Mon Sep 17 00:00:00 2001 From: tnaumann Date: Sat, 30 Aug 2014 16:36:24 -0700 Subject: [PATCH 303/393] Update README to have include proper license. Existing template stated BSD, changed to Apache v2.0 license. --- README.rst | 2 +- 1 file changed, 1 insertion(+), 1 deletion(-) diff --git a/README.rst b/README.rst index 5e40971..d2da6be 100644 --- a/README.rst +++ b/README.rst @@ -9,7 +9,7 @@ CliCon is implemented as a two-pass machine learning system for named entity rec Please note that for optimal performance, CliCon requires the users to obtain a Unified Medical Language System (UMLS) license, since UMLS Metathesaurus is used as one of the knowledge sources for the above classifiers. -* Free software: BSD license +* Free software: Apache v2.0 license * Documentation: http://clicon.readthedocs.org. From 57096f47f34fbe2835acc923c5a349c5dc5a9c3d Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Sun, 31 Aug 2014 11:51:34 -0400 Subject: [PATCH 304/393] Update README.rst --- README.rst | 2 +- 1 file changed, 1 insertion(+), 1 deletion(-) diff --git a/README.rst b/README.rst index d2da6be..f4beb64 100644 --- a/README.rst +++ b/README.rst @@ -69,7 +69,7 @@ Although the script is able to build python dependencies via pip, this is a slow scikit-learn (version 0.14) -To invoke the script, first ``cd`` into the ``CliCon`` directory: +To invoke the script, ensure you are running a bash shell. Next, ``cd`` into the ``CliCon`` directory: :: From de528a3f64238ee6652665f82444273065c3e82d Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Sun, 31 Aug 2014 11:51:34 -0400 Subject: [PATCH 305/393] Update README.rst --- README.rst | 2 +- 1 file changed, 1 insertion(+), 1 deletion(-) diff --git a/README.rst b/README.rst index d2da6be..f4beb64 100644 --- a/README.rst +++ b/README.rst @@ -69,7 +69,7 @@ Although the script is able to build python dependencies via pip, this is a slow scikit-learn (version 0.14) -To invoke the script, first ``cd`` into the ``CliCon`` directory: +To invoke the script, ensure you are running a bash shell. Next, ``cd`` into the ``CliCon`` directory: :: From 3417c6f025f309df422e809625fa752c5651dd5d Mon Sep 17 00:00:00 2001 From: ktwaco Date: Mon, 1 Sep 2014 10:18:16 -0400 Subject: [PATCH 306/393] i2b2 eval update --- clicon/evaluate.py | 480 ++++++++++++++++++++++++++++++--------------- 1 file changed, 326 insertions(+), 154 deletions(-) diff --git a/clicon/evaluate.py b/clicon/evaluate.py index d3af9ec..44440cf 100644 --- a/clicon/evaluate.py +++ b/clicon/evaluate.py @@ -5,9 +5,266 @@ import glob import helper +from copy import deepcopy from model import labels from note import * +def getConceptSpans(boundaries, classifications): + + conceptSpans = {} + + for lineIndex, span in enumerate(boundaries): + for boundaryIndex, boundary in enumerate(span): + if boundary == 'B': + + concept = classifications[lineIndex][boundaryIndex] + beginning = boundaryIndex + end = boundaryIndex + + if conceptSpans.has_key(lineIndex) == False: + conceptSpans[lineIndex] = {} + + for possibleEnd in span[boundaryIndex+1:]: + if possibleEnd == 'B' or possibleEnd == 'O': + break + if possibleEnd == 'I': + end += 1 + conceptSpans[lineIndex].update({(beginning,end):concept}) + + return conceptSpans + +def evaluate(referenceSpans, predictedSpans, exactMatch=False, reportSeperately=False): + + #used to generate a dictionary of dictionaries + #of the form measuresForClasses["treatment"]["True Positives"] -> Number of True Positives for treatment classes + classes = [ + "treatment", + "problem", + "test" + ] + + measures = { + "True Positives":0, + "False Negatives":0, + "False Positives":0 + } + + confusion = [[0] * len(labels) for e in labels] + + + measuresForClasses = {classKey:deepcopy(measures) for classKey in dict.fromkeys(classes)} + + for line in referenceSpans: + + #if the line does not exist for whatever reason for all spans on that line + #mark them as false negative + if line not in predictedSpans: + for spanNotInPredictedSpan in referenceSpans[line]: + classification = referenceSpans[line][spanNotInPredictedSpan] + measuresForClasses[classification]["False Negatives"] +=1 + confusion[labels[classification]][labels['none']] += 1 + continue + + if exactMatch == True: + + for span in referenceSpans[line]: + + classInRefSpan = referenceSpans[line][span] + #if the span exists and the concept matches mark it as true positive + if span in predictedSpans[line]: + + classInPredSpan = predictedSpans[line][span] + + if referenceSpans[line][span] == predictedSpans[line][span]: + measuresForClasses[classInRefSpan]["True Positives"] += 1 + else: + measuresForClasses[classInRefSpan]["False Negatives"] += 1 + + confusion[labels[classInRefSpan]][labels[classInPredSpan]] += 1 + predictedSpans[line].pop(span) + + else: + measuresForClasses[classInRefSpan]["False Negatives"] += 1 + confusion[labels[classInRefSpan]][labels['none']] += 1 + + # TODO: Add comment explaining (2,5) <-> (3,5) + doubleCount = {} + for predSpan,v in predictedSpans[line].items(): + if predSpan[1] < span[0] or predSpan[0] > span[1]: + doubleCount.update( {predSpan:v} ) + predictedSpans[line] = doubleCount + + else: + + #find true positives for inexact spans + accountedFor = {} + for span in referenceSpans[line]: + + accountedFor[span] = False + classInRefSpan = referenceSpans[line][span] + + longestMatchingSpanWithMatchingClassification = {"Predicted Span":None, "Predicted Span length":None, "Predicted Concept":None} + + for predictedSpan in predictedSpans[line]: + + classinPredSpan = predictedSpans[line][predictedSpan] + + #FIND LONGEST OVERLAP + if predictedSpan[0] >= span[0] and predictedSpan[0] <= span[1] \ + or predictedSpan[1] >= span[0] and predictedSpan[1] <= span[1]: + + #find longest span with match + if classInRefSpan == classinPredSpan: + + if longestMatchingSpanWithMatchingClassification["Predicted Span length"] <(predictedSpan[1] - predictedSpan[0]): + longestMatchingSpanWithMatchingClassification["Predicted Span length"] = (predictedSpan[1] - predictedSpan[0]) + longestMatchingSpanWithMatchingClassification["Predicted Concept"] = classinPredSpan + longestMatchingSpanWithMatchingClassification["Predicted Span"] = predictedSpan + + #if there is an overlapping concept match report true positive + if longestMatchingSpanWithMatchingClassification['Predicted Span'] != None: + accountedFor[span] = True + measuresForClasses[classInRefSpan]["True Positives"] += 1 + confusion[labels[classInRefSpan]][labels[longestMatchingSpanWithMatchingClassification["Predicted Concept"]]] += 1 + predictedSpans[line].pop(longestMatchingSpanWithMatchingClassification["Predicted Span"]) + + + #find the false negatives for inexact spans + for span in referenceSpans[line]: + #already accounted for + if accountedFor[span] == True: + continue + + classInRefSpan = referenceSpans[line][span] + + longestMatchingSpan = {"Predicted Span":None, "Predicted Span length":None, "Predicted Concept":None} + for predictedSpan in predictedSpans[line]: + classinPredSpan = predictedSpans[line][predictedSpan] + + #FIND LONGEST OVERLAP + if predictedSpan[0] >= span[0] and predictedSpan[0] <= span[1] \ + or predictedSpan[1] >= span[0] and predictedSpan[1] <= span[1]: + + if longestMatchingSpan["Predicted Span length"] <(predictedSpan[1] - predictedSpan[0]): + longestMatchingSpan["Predicted Span length"] = (predictedSpan[1] - predictedSpan[0]) + longestMatchingSpan["Predicted Concept"] = classinPredSpan + longestMatchingSpan["Predicted Span"] = predictedSpan + + if longestMatchingSpan['Predicted Span'] != None: + measuresForClasses[classInRefSpan]["False Negatives"] += 1 + confusion[labels[classInRefSpan]][labels[longestMatchingSpan["Predicted Concept"]]] += 1 + predictedSpans[line].pop(longestMatchingSpan["Predicted Span"]) + else: + measuresForClasses[classInRefSpan]["False Negatives"] += 1 + confusion[labels[classInRefSpan]][labels['none']] += 1 + #predictedSpans[line].pop(span) + + + #for all the spans that are in predicted that are left. these are false positives + #as they do not occur in the reference spans. + leftover = deepcopy(predictedSpans) + for line in predictedSpans: + for span in predictedSpans[line]: + + classInPredSpan = predictedSpans[line][span] + + measuresForClasses[classInPredSpan]["False Positives"] += 1 + confusion[labels['none']][labels[classInPredSpan]] += 1 + leftover[line].pop(span) + + #if false then do not report concepts + if reportSeperately == False: + truePositive = 0 + falseNegative = 0 + falsePositive = 0 + for dictKey in measuresForClasses: + truePositive += measuresForClasses[dictKey]["True Positives"] + falseNegative += measuresForClasses[dictKey]["False Negatives"] + falsePositive += measuresForClasses[dictKey]["False Positives"] + + return {"True Positives":truePositive, "False Negatives":falseNegative, "False Positives":falsePositive} + else: + return confusion + +def displayMatrix(out, name, confusion): + # Display the confusion matrix + print >>out, "" + print >>out, "" + print >>out, "" + print >>out, "================" + print >>out, name + " RESULTS" + print >>out, "================" + print >>out, "" + print >>out, "Confusion Matrix" + pad = max(len(l) for l in labels) + 6 + print >>out, "%s %s" % (' ' * pad, "\t".join(labels.keys())) + for act, act_v in labels.items(): + print >>out, "%s %s" % (act.rjust(pad), "\t".join([str(confusion[act_v][pre_v]) for pre, pre_v in labels.items()])) + print >>out, "" + + + # Compute the analysis stuff + precision = [] + recall = [] + specificity = [] + f1 = [] + + tp = 0 + fp = 0 + fn = 0 + tn = 0 + + truePositive = [] + falseNegative = [] + falsePositive = [] + + print >>out, "Analysis" + print >>out, " " * pad, "Precision\tRecall\tF1" + + + for lab, lab_v in labels.items(): + if lab == 'none': continue + + tp = confusion[lab_v][lab_v] + + truePositive.append(tp) + + fp = sum(confusion[v][lab_v] for k, v in labels.items() if v != lab_v) + + falsePositive.append(fp) + + fn = sum(confusion[lab_v][v] for k, v in labels.items() if v != lab_v) + + falseNegative.append(fn) + + precision += [float(tp) / (tp + fp + 1e-100)] + recall += [float(tp) / (tp + fn + 1e-100)] + f1 += [float(2 * tp) / (2 * tp + fp + fn + 1e-100)] + print >>out, "%s %.4f\t%.4f\t%.4f" % (lab.rjust(pad), precision[-1], recall[-1], f1[-1]) + + print >>out, "--------" + + precision = sum(precision) / len(precision) + recall = sum(recall) / len(recall) + f1 = sum(f1) / len(f1) + + print >>out, "Average: %.4f\t%.4f\t%.4f" % (precision, recall, f1) + +def generateResultsForExactSpans(truePositive, falseNegative, falsePositive): + + #convert to float implicitly incase of any truncation + truePositive = float(truePositive) + flaseNegative = float(falseNegative) + falsePositive = float(falsePositive) + + recall = truePositive / (truePositive + falseNegative) + precision = truePositive / (truePositive + falsePositive) + fScore = (2*truePositive) / (2*truePositive + falseNegative + falsePositive) + + #convert to percent + return {"Recall":(recall * 100), "Precision":(precision * 100), "F Score":(fScore * 100)} + + def main(): parser = argparse.ArgumentParser() @@ -83,184 +340,99 @@ def main(): files = [] for k in txt_files_map: if k in pred_files_map and k in ref_files_map: - files.append((txt_files_map[k], ref_files_map[k], ref_files_map[k])) + files.append((txt_files_map[k], pred_files_map[k], ref_files_map[k])) + + # txt <- medical text + # annotations <- predictions + # gold <- gold standard + + + truePositivesExactSpan = 0 + falseNegativesExactSpan = 0 + falsePositivesExactSpan = 0 + truePositivesInexactSpan = 0 + falseNegativesInexactSpan = 0 + falsePositivesInexactSpan = 0 - # Compute the confusion matrix confusion = [[0] * len(labels) for e in labels] + confusionMatrixExactSpan = deepcopy(confusion) + confusionMatrixInexactSpan = deepcopy(confusion) - # txt <- medical text - # annotations <- predictions - # gold <- gold standard for txt, annotations, gold in files: - # Read predictions and gols standard data + # Read predictions and gols standard data cnote = Note() rnote = Note() - if format == 'i2b2': + if args.format == 'i2b2': cnote.read_i2b2(txt, annotations) rnote.read_i2b2(txt, gold) else: cnote.read_xml(annotations) rnote.read_xml(gold) + referenceSpans = getConceptSpans(rnote.boundaries, rnote.conlist()) + predictedSpans = getConceptSpans(cnote.boundaries, cnote.conlist()) - # List of list of labels - predictions = cnote.conlist() - - - # FIXME - Have not looked below this point yet - #TO DO: make leaner - #TO DO: create unit tests - reference_concept_spans = {} - predicted_concept_spans = {} - - for line_index, span in enumerate(rnote.boundaries): - #obtain each boundary for the reference labels. - for boundary_index, boundary in enumerate(span): - #IF none/'O' for references simply add to confusion matrix. - #this is done because a blank can only match or mismatch. - if boundary == 'O': - actual = labels[rnote.conlist()[line_index][boundary_index]] - predicted = labels[cnote.conlist()[line_index][boundary_index]] - confusion[actual][predicted] += 1 - #'B' signifies beginning of a concept. - if boundary == 'B': - concept = rnote.concepts[line_index][boundary_index] - #create an entry for the line number for this span. - if reference_concept_spans.has_key(line_index) == False: - reference_concept_spans[line_index] = {} - #mark the beginning of the concept. - beginning = boundary_index - end = boundary_index - for possible_end in span[boundary_index+1:]: - #find the end of the concept - if possible_end == 'B' or possible_end == 'O': - break - if possible_end == 'I': - end += 1 - #store this concept to its line number. - reference_concept_spans[line_index].update({(beginning,end):concept}) - - #find the labels generated from predictions. - #same logic as above except we only care about the labels created for predictions. - for line_index, span in enumerate(cnote.boundaries): - for boundary_index, boundary in enumerate(span): - if boundary == 'B': - concept = cnote.concepts[line_index][boundary_index] - beginning = boundary_index - end = boundary_index - if predicted_concept_spans.has_key(line_index) == False: - predicted_concept_spans[line_index] = {} - - for possible_end in span[boundary_index+1:]: - if possible_end == 'B' or possible_end == 'O': - break - if possible_end == 'I': - end += 1 - predicted_concept_spans[line_index].update({(beginning,end):concept}) - - #for each reference span verify if the predicted span corresponds. - #exatch matches - for lines in reference_concept_spans: - spans_to_remove = [] - for spans in reference_concept_spans[lines]: - #if the line does not exist for whatever reason mark it as none. - if (lines in predicted_concept_spans) == False: - confusion[labels[reference_concept_spans[lines][spans]]][labels['none']] += 1 - continue - #if the span exists and the concept matches mark it for removal and add to confusion matrix - if spans in predicted_concept_spans[lines]: - if reference_concept_spans[lines][spans] == predicted_concept_spans[lines][spans]: - #add to confusion matrix. - spans_to_remove.append(spans) - confusion[labels[reference_concept_spans[lines][spans]]][labels[predicted_concept_spans[lines][spans]]] += 1 - for span_to_remove in spans_to_remove: - #prevent double counting. - predicted_concept_spans[lines].pop(span_to_remove) - reference_concept_spans[lines].pop(span_to_remove) - - #these left overspans do not have exact matches. - #for each reference span see if there is a predict span that it falls in the range of - #inexact matches - for lines in reference_concept_spans: - #if line does not exist for whatever reason just continue, these have already been marked for score. - if (lines in predicted_concept_spans) == False: - continue - for ref_spans in reference_concept_spans[lines]: - incorrect_classifications = [] - for predicted_spans in predicted_concept_spans[lines]: - #find overlapping spans - if predicted_spans[0] >= ref_spans[0] and predicted_spans[0] <= ref_spans[1] \ - or predicted_spans[1] >= ref_spans[0] and predicted_spans[1] <= ref_spans[1]: - #if the classification matches then mark it for score. - if reference_concept_spans[lines][ref_spans] == predicted_concept_spans[lines][predicted_spans]: - confusion[labels[reference_concept_spans[lines][ref_spans]]][labels[predicted_concept_spans[lines][predicted_spans]]] += 1 - incorrect_classifications = [] - break - #overlap but incorrect classification. we still store what it gets for now because there may be another overlap - #that does match inexactly. - else: - incorrect_classifications.append(predicted_concept_spans[lines][predicted_spans]) - #if this is greater than 0 then there has been an incorrect classification. just map the first index - #it is wrong either way. - if len(incorrect_classifications) > 0: - confusion[labels[reference_concept_spans[lines][ref_spans]]][labels[incorrect_classifications[0]]] += 1 - #if there is no predicted span that overlaps with the reference span just mark as none. - else: - confusion[labels[reference_concept_spans[lines][ref_spans]]][labels['none']] += 1 - - # Display the confusion matrix - print >>args.output, "" - print >>args.output, "" - print >>args.output, "" - print >>args.output, "================" - print >>args.output, " RESULTS" - print >>args.output, "================" - print >>args.output, "" - print >>args.output, "Confusion Matrix" - pad = max(len(l) for l in labels) + 6 - print >>args.output, "%s %s" % (' ' * pad, "\t".join(labels.keys())) - for act, act_v in labels.items(): - print >>args.output, "%s %s" % (act.rjust(pad), "\t".join([str(confusion[act_v][pre_v]) for pre, pre_v in labels.items()])) - print >>args.output, "" + exactResults = evaluate(deepcopy(referenceSpans), deepcopy(predictedSpans), exactMatch=True, reportSeperately=False) + inexactResults = evaluate(deepcopy(referenceSpans), deepcopy(predictedSpans), exactMatch=False, reportSeperately=False) - # Compute the analysis stuff - precision = [] - recall = [] - specificity = [] - f1 = [] + truePositivesExactSpan += exactResults["True Positives"] + falseNegativesExactSpan += exactResults["False Negatives"] + falsePositivesExactSpan += exactResults["False Positives"] - tp = 0 - fp = 0 - fn = 0 - tn = 0 - print >>args.output, "Analysis" - print >>args.output, " " * pad, "Precision\tRecall\tF1" + truePositivesInexactSpan += inexactResults["True Positives"] + falseNegativesInexactSpan += inexactResults["False Negatives"] + falsePositivesInexactSpan += inexactResults["False Positives"] - for lab, lab_v in labels.items(): - tp = confusion[lab_v][lab_v] - fp = sum(confusion[v][lab_v] for k, v in labels.items() if v != lab_v) - fn = sum(confusion[lab_v][v] for k, v in labels.items() if v != lab_v) - tn = sum(confusion[v1][v2] for k1, v1 in labels.items() - for k2, v2 in labels.items() if v1 != lab_v and v2 != lab_v) - precision += [float(tp) / (tp + fp + 1e-100)] - recall += [float(tp) / (tp + fn + 1e-100)] - specificity += [float(tn) / (tn + fp + 1e-100)] - f1 += [float(2 * tp) / (2 * tp + fp + fn + 1e-100)] - print >>args.output, "%s %.4f\t%.4f\t%.4f\t%.4f" % (lab.rjust(pad), precision[-1], recall[-1], specificity[-1], f1[-1]) + MatrixInexactSpan = evaluate(deepcopy(referenceSpans), deepcopy(predictedSpans), exactMatch=False, reportSeperately=True) - print >>args.output, "--------" + for sublist1, sublist2 in zip(confusionMatrixInexactSpan, MatrixInexactSpan): + for i,int2 in enumerate(sublist2): + sublist1[i] += int2 - precision = sum(precision) / len(precision) - recall = sum(recall) / len(recall) - specificity = sum(specificity) / len(specificity) - f1 = sum(f1) / len(f1) + MatrixExactSpan = evaluate(deepcopy(referenceSpans), deepcopy(predictedSpans), exactMatch=True, reportSeperately=True) + + for sublist1, sublist2 in zip(confusionMatrixExactSpan, MatrixExactSpan): + for i,int2 in enumerate(sublist2): + sublist1[i] += int2 + + """ + print "\nResults for exact span for concepts together.\n" - print >>args.output, "Average: %.4f\t%.4f\t%.4f\t%.4f" % (precision, recall, specificity, f1) + print "True Positives: ", truePositivesExactSpan + print "False Negatives: ", falseNegativesExactSpan + print "False Positives: ", falsePositivesExactSpan + exactSpan = generateResultsForExactSpans(truePositivesExactSpan, + falseNegativesExactSpan, + falsePositivesExactSpan) + + print "Recall: ", exactSpan["Recall"] + print "Precision: ", exactSpan["Precision"] + print "F Measure: ", exactSpan["F Score"] + + inexactSpan = generateResultsForExactSpans(truePositivesInexactSpan, + falseNegativesInexactSpan, + falsePositivesInexactSpan) + + print "\nResults for inexact span for concepts together.\n" + + print "True Positives: ", truePositivesInexactSpan + print "False Negatives: ", falseNegativesInexactSpan + print "False Positives: ", falsePositivesInexactSpan + + print "Recall: ", inexactSpan["Recall"] + print "Precision: ", inexactSpan["Precision"] + print "F Measure: ", inexactSpan["F Score"] + """ + displayMatrix(args.output, 'Exact' , confusionMatrixExactSpan) + displayMatrix(args.output, 'Inexact', confusionMatrixInexactSpan) + + return if __name__ == '__main__': main() + From 734f9b3f79ac1fda112a1ea5f33e8507a86ad37f Mon Sep 17 00:00:00 2001 From: ktwaco Date: Mon, 1 Sep 2014 10:18:16 -0400 Subject: [PATCH 307/393] i2b2 eval update --- clicon/evaluate.py | 480 ++++++++++++++++++++++++++++++--------------- 1 file changed, 326 insertions(+), 154 deletions(-) diff --git a/clicon/evaluate.py b/clicon/evaluate.py index d3af9ec..44440cf 100644 --- a/clicon/evaluate.py +++ b/clicon/evaluate.py @@ -5,9 +5,266 @@ import glob import helper +from copy import deepcopy from model import labels from note import * +def getConceptSpans(boundaries, classifications): + + conceptSpans = {} + + for lineIndex, span in enumerate(boundaries): + for boundaryIndex, boundary in enumerate(span): + if boundary == 'B': + + concept = classifications[lineIndex][boundaryIndex] + beginning = boundaryIndex + end = boundaryIndex + + if conceptSpans.has_key(lineIndex) == False: + conceptSpans[lineIndex] = {} + + for possibleEnd in span[boundaryIndex+1:]: + if possibleEnd == 'B' or possibleEnd == 'O': + break + if possibleEnd == 'I': + end += 1 + conceptSpans[lineIndex].update({(beginning,end):concept}) + + return conceptSpans + +def evaluate(referenceSpans, predictedSpans, exactMatch=False, reportSeperately=False): + + #used to generate a dictionary of dictionaries + #of the form measuresForClasses["treatment"]["True Positives"] -> Number of True Positives for treatment classes + classes = [ + "treatment", + "problem", + "test" + ] + + measures = { + "True Positives":0, + "False Negatives":0, + "False Positives":0 + } + + confusion = [[0] * len(labels) for e in labels] + + + measuresForClasses = {classKey:deepcopy(measures) for classKey in dict.fromkeys(classes)} + + for line in referenceSpans: + + #if the line does not exist for whatever reason for all spans on that line + #mark them as false negative + if line not in predictedSpans: + for spanNotInPredictedSpan in referenceSpans[line]: + classification = referenceSpans[line][spanNotInPredictedSpan] + measuresForClasses[classification]["False Negatives"] +=1 + confusion[labels[classification]][labels['none']] += 1 + continue + + if exactMatch == True: + + for span in referenceSpans[line]: + + classInRefSpan = referenceSpans[line][span] + #if the span exists and the concept matches mark it as true positive + if span in predictedSpans[line]: + + classInPredSpan = predictedSpans[line][span] + + if referenceSpans[line][span] == predictedSpans[line][span]: + measuresForClasses[classInRefSpan]["True Positives"] += 1 + else: + measuresForClasses[classInRefSpan]["False Negatives"] += 1 + + confusion[labels[classInRefSpan]][labels[classInPredSpan]] += 1 + predictedSpans[line].pop(span) + + else: + measuresForClasses[classInRefSpan]["False Negatives"] += 1 + confusion[labels[classInRefSpan]][labels['none']] += 1 + + # TODO: Add comment explaining (2,5) <-> (3,5) + doubleCount = {} + for predSpan,v in predictedSpans[line].items(): + if predSpan[1] < span[0] or predSpan[0] > span[1]: + doubleCount.update( {predSpan:v} ) + predictedSpans[line] = doubleCount + + else: + + #find true positives for inexact spans + accountedFor = {} + for span in referenceSpans[line]: + + accountedFor[span] = False + classInRefSpan = referenceSpans[line][span] + + longestMatchingSpanWithMatchingClassification = {"Predicted Span":None, "Predicted Span length":None, "Predicted Concept":None} + + for predictedSpan in predictedSpans[line]: + + classinPredSpan = predictedSpans[line][predictedSpan] + + #FIND LONGEST OVERLAP + if predictedSpan[0] >= span[0] and predictedSpan[0] <= span[1] \ + or predictedSpan[1] >= span[0] and predictedSpan[1] <= span[1]: + + #find longest span with match + if classInRefSpan == classinPredSpan: + + if longestMatchingSpanWithMatchingClassification["Predicted Span length"] <(predictedSpan[1] - predictedSpan[0]): + longestMatchingSpanWithMatchingClassification["Predicted Span length"] = (predictedSpan[1] - predictedSpan[0]) + longestMatchingSpanWithMatchingClassification["Predicted Concept"] = classinPredSpan + longestMatchingSpanWithMatchingClassification["Predicted Span"] = predictedSpan + + #if there is an overlapping concept match report true positive + if longestMatchingSpanWithMatchingClassification['Predicted Span'] != None: + accountedFor[span] = True + measuresForClasses[classInRefSpan]["True Positives"] += 1 + confusion[labels[classInRefSpan]][labels[longestMatchingSpanWithMatchingClassification["Predicted Concept"]]] += 1 + predictedSpans[line].pop(longestMatchingSpanWithMatchingClassification["Predicted Span"]) + + + #find the false negatives for inexact spans + for span in referenceSpans[line]: + #already accounted for + if accountedFor[span] == True: + continue + + classInRefSpan = referenceSpans[line][span] + + longestMatchingSpan = {"Predicted Span":None, "Predicted Span length":None, "Predicted Concept":None} + for predictedSpan in predictedSpans[line]: + classinPredSpan = predictedSpans[line][predictedSpan] + + #FIND LONGEST OVERLAP + if predictedSpan[0] >= span[0] and predictedSpan[0] <= span[1] \ + or predictedSpan[1] >= span[0] and predictedSpan[1] <= span[1]: + + if longestMatchingSpan["Predicted Span length"] <(predictedSpan[1] - predictedSpan[0]): + longestMatchingSpan["Predicted Span length"] = (predictedSpan[1] - predictedSpan[0]) + longestMatchingSpan["Predicted Concept"] = classinPredSpan + longestMatchingSpan["Predicted Span"] = predictedSpan + + if longestMatchingSpan['Predicted Span'] != None: + measuresForClasses[classInRefSpan]["False Negatives"] += 1 + confusion[labels[classInRefSpan]][labels[longestMatchingSpan["Predicted Concept"]]] += 1 + predictedSpans[line].pop(longestMatchingSpan["Predicted Span"]) + else: + measuresForClasses[classInRefSpan]["False Negatives"] += 1 + confusion[labels[classInRefSpan]][labels['none']] += 1 + #predictedSpans[line].pop(span) + + + #for all the spans that are in predicted that are left. these are false positives + #as they do not occur in the reference spans. + leftover = deepcopy(predictedSpans) + for line in predictedSpans: + for span in predictedSpans[line]: + + classInPredSpan = predictedSpans[line][span] + + measuresForClasses[classInPredSpan]["False Positives"] += 1 + confusion[labels['none']][labels[classInPredSpan]] += 1 + leftover[line].pop(span) + + #if false then do not report concepts + if reportSeperately == False: + truePositive = 0 + falseNegative = 0 + falsePositive = 0 + for dictKey in measuresForClasses: + truePositive += measuresForClasses[dictKey]["True Positives"] + falseNegative += measuresForClasses[dictKey]["False Negatives"] + falsePositive += measuresForClasses[dictKey]["False Positives"] + + return {"True Positives":truePositive, "False Negatives":falseNegative, "False Positives":falsePositive} + else: + return confusion + +def displayMatrix(out, name, confusion): + # Display the confusion matrix + print >>out, "" + print >>out, "" + print >>out, "" + print >>out, "================" + print >>out, name + " RESULTS" + print >>out, "================" + print >>out, "" + print >>out, "Confusion Matrix" + pad = max(len(l) for l in labels) + 6 + print >>out, "%s %s" % (' ' * pad, "\t".join(labels.keys())) + for act, act_v in labels.items(): + print >>out, "%s %s" % (act.rjust(pad), "\t".join([str(confusion[act_v][pre_v]) for pre, pre_v in labels.items()])) + print >>out, "" + + + # Compute the analysis stuff + precision = [] + recall = [] + specificity = [] + f1 = [] + + tp = 0 + fp = 0 + fn = 0 + tn = 0 + + truePositive = [] + falseNegative = [] + falsePositive = [] + + print >>out, "Analysis" + print >>out, " " * pad, "Precision\tRecall\tF1" + + + for lab, lab_v in labels.items(): + if lab == 'none': continue + + tp = confusion[lab_v][lab_v] + + truePositive.append(tp) + + fp = sum(confusion[v][lab_v] for k, v in labels.items() if v != lab_v) + + falsePositive.append(fp) + + fn = sum(confusion[lab_v][v] for k, v in labels.items() if v != lab_v) + + falseNegative.append(fn) + + precision += [float(tp) / (tp + fp + 1e-100)] + recall += [float(tp) / (tp + fn + 1e-100)] + f1 += [float(2 * tp) / (2 * tp + fp + fn + 1e-100)] + print >>out, "%s %.4f\t%.4f\t%.4f" % (lab.rjust(pad), precision[-1], recall[-1], f1[-1]) + + print >>out, "--------" + + precision = sum(precision) / len(precision) + recall = sum(recall) / len(recall) + f1 = sum(f1) / len(f1) + + print >>out, "Average: %.4f\t%.4f\t%.4f" % (precision, recall, f1) + +def generateResultsForExactSpans(truePositive, falseNegative, falsePositive): + + #convert to float implicitly incase of any truncation + truePositive = float(truePositive) + flaseNegative = float(falseNegative) + falsePositive = float(falsePositive) + + recall = truePositive / (truePositive + falseNegative) + precision = truePositive / (truePositive + falsePositive) + fScore = (2*truePositive) / (2*truePositive + falseNegative + falsePositive) + + #convert to percent + return {"Recall":(recall * 100), "Precision":(precision * 100), "F Score":(fScore * 100)} + + def main(): parser = argparse.ArgumentParser() @@ -83,184 +340,99 @@ def main(): files = [] for k in txt_files_map: if k in pred_files_map and k in ref_files_map: - files.append((txt_files_map[k], ref_files_map[k], ref_files_map[k])) + files.append((txt_files_map[k], pred_files_map[k], ref_files_map[k])) + + # txt <- medical text + # annotations <- predictions + # gold <- gold standard + + + truePositivesExactSpan = 0 + falseNegativesExactSpan = 0 + falsePositivesExactSpan = 0 + truePositivesInexactSpan = 0 + falseNegativesInexactSpan = 0 + falsePositivesInexactSpan = 0 - # Compute the confusion matrix confusion = [[0] * len(labels) for e in labels] + confusionMatrixExactSpan = deepcopy(confusion) + confusionMatrixInexactSpan = deepcopy(confusion) - # txt <- medical text - # annotations <- predictions - # gold <- gold standard for txt, annotations, gold in files: - # Read predictions and gols standard data + # Read predictions and gols standard data cnote = Note() rnote = Note() - if format == 'i2b2': + if args.format == 'i2b2': cnote.read_i2b2(txt, annotations) rnote.read_i2b2(txt, gold) else: cnote.read_xml(annotations) rnote.read_xml(gold) + referenceSpans = getConceptSpans(rnote.boundaries, rnote.conlist()) + predictedSpans = getConceptSpans(cnote.boundaries, cnote.conlist()) - # List of list of labels - predictions = cnote.conlist() - - - # FIXME - Have not looked below this point yet - #TO DO: make leaner - #TO DO: create unit tests - reference_concept_spans = {} - predicted_concept_spans = {} - - for line_index, span in enumerate(rnote.boundaries): - #obtain each boundary for the reference labels. - for boundary_index, boundary in enumerate(span): - #IF none/'O' for references simply add to confusion matrix. - #this is done because a blank can only match or mismatch. - if boundary == 'O': - actual = labels[rnote.conlist()[line_index][boundary_index]] - predicted = labels[cnote.conlist()[line_index][boundary_index]] - confusion[actual][predicted] += 1 - #'B' signifies beginning of a concept. - if boundary == 'B': - concept = rnote.concepts[line_index][boundary_index] - #create an entry for the line number for this span. - if reference_concept_spans.has_key(line_index) == False: - reference_concept_spans[line_index] = {} - #mark the beginning of the concept. - beginning = boundary_index - end = boundary_index - for possible_end in span[boundary_index+1:]: - #find the end of the concept - if possible_end == 'B' or possible_end == 'O': - break - if possible_end == 'I': - end += 1 - #store this concept to its line number. - reference_concept_spans[line_index].update({(beginning,end):concept}) - - #find the labels generated from predictions. - #same logic as above except we only care about the labels created for predictions. - for line_index, span in enumerate(cnote.boundaries): - for boundary_index, boundary in enumerate(span): - if boundary == 'B': - concept = cnote.concepts[line_index][boundary_index] - beginning = boundary_index - end = boundary_index - if predicted_concept_spans.has_key(line_index) == False: - predicted_concept_spans[line_index] = {} - - for possible_end in span[boundary_index+1:]: - if possible_end == 'B' or possible_end == 'O': - break - if possible_end == 'I': - end += 1 - predicted_concept_spans[line_index].update({(beginning,end):concept}) - - #for each reference span verify if the predicted span corresponds. - #exatch matches - for lines in reference_concept_spans: - spans_to_remove = [] - for spans in reference_concept_spans[lines]: - #if the line does not exist for whatever reason mark it as none. - if (lines in predicted_concept_spans) == False: - confusion[labels[reference_concept_spans[lines][spans]]][labels['none']] += 1 - continue - #if the span exists and the concept matches mark it for removal and add to confusion matrix - if spans in predicted_concept_spans[lines]: - if reference_concept_spans[lines][spans] == predicted_concept_spans[lines][spans]: - #add to confusion matrix. - spans_to_remove.append(spans) - confusion[labels[reference_concept_spans[lines][spans]]][labels[predicted_concept_spans[lines][spans]]] += 1 - for span_to_remove in spans_to_remove: - #prevent double counting. - predicted_concept_spans[lines].pop(span_to_remove) - reference_concept_spans[lines].pop(span_to_remove) - - #these left overspans do not have exact matches. - #for each reference span see if there is a predict span that it falls in the range of - #inexact matches - for lines in reference_concept_spans: - #if line does not exist for whatever reason just continue, these have already been marked for score. - if (lines in predicted_concept_spans) == False: - continue - for ref_spans in reference_concept_spans[lines]: - incorrect_classifications = [] - for predicted_spans in predicted_concept_spans[lines]: - #find overlapping spans - if predicted_spans[0] >= ref_spans[0] and predicted_spans[0] <= ref_spans[1] \ - or predicted_spans[1] >= ref_spans[0] and predicted_spans[1] <= ref_spans[1]: - #if the classification matches then mark it for score. - if reference_concept_spans[lines][ref_spans] == predicted_concept_spans[lines][predicted_spans]: - confusion[labels[reference_concept_spans[lines][ref_spans]]][labels[predicted_concept_spans[lines][predicted_spans]]] += 1 - incorrect_classifications = [] - break - #overlap but incorrect classification. we still store what it gets for now because there may be another overlap - #that does match inexactly. - else: - incorrect_classifications.append(predicted_concept_spans[lines][predicted_spans]) - #if this is greater than 0 then there has been an incorrect classification. just map the first index - #it is wrong either way. - if len(incorrect_classifications) > 0: - confusion[labels[reference_concept_spans[lines][ref_spans]]][labels[incorrect_classifications[0]]] += 1 - #if there is no predicted span that overlaps with the reference span just mark as none. - else: - confusion[labels[reference_concept_spans[lines][ref_spans]]][labels['none']] += 1 - - # Display the confusion matrix - print >>args.output, "" - print >>args.output, "" - print >>args.output, "" - print >>args.output, "================" - print >>args.output, " RESULTS" - print >>args.output, "================" - print >>args.output, "" - print >>args.output, "Confusion Matrix" - pad = max(len(l) for l in labels) + 6 - print >>args.output, "%s %s" % (' ' * pad, "\t".join(labels.keys())) - for act, act_v in labels.items(): - print >>args.output, "%s %s" % (act.rjust(pad), "\t".join([str(confusion[act_v][pre_v]) for pre, pre_v in labels.items()])) - print >>args.output, "" + exactResults = evaluate(deepcopy(referenceSpans), deepcopy(predictedSpans), exactMatch=True, reportSeperately=False) + inexactResults = evaluate(deepcopy(referenceSpans), deepcopy(predictedSpans), exactMatch=False, reportSeperately=False) - # Compute the analysis stuff - precision = [] - recall = [] - specificity = [] - f1 = [] + truePositivesExactSpan += exactResults["True Positives"] + falseNegativesExactSpan += exactResults["False Negatives"] + falsePositivesExactSpan += exactResults["False Positives"] - tp = 0 - fp = 0 - fn = 0 - tn = 0 - print >>args.output, "Analysis" - print >>args.output, " " * pad, "Precision\tRecall\tF1" + truePositivesInexactSpan += inexactResults["True Positives"] + falseNegativesInexactSpan += inexactResults["False Negatives"] + falsePositivesInexactSpan += inexactResults["False Positives"] - for lab, lab_v in labels.items(): - tp = confusion[lab_v][lab_v] - fp = sum(confusion[v][lab_v] for k, v in labels.items() if v != lab_v) - fn = sum(confusion[lab_v][v] for k, v in labels.items() if v != lab_v) - tn = sum(confusion[v1][v2] for k1, v1 in labels.items() - for k2, v2 in labels.items() if v1 != lab_v and v2 != lab_v) - precision += [float(tp) / (tp + fp + 1e-100)] - recall += [float(tp) / (tp + fn + 1e-100)] - specificity += [float(tn) / (tn + fp + 1e-100)] - f1 += [float(2 * tp) / (2 * tp + fp + fn + 1e-100)] - print >>args.output, "%s %.4f\t%.4f\t%.4f\t%.4f" % (lab.rjust(pad), precision[-1], recall[-1], specificity[-1], f1[-1]) + MatrixInexactSpan = evaluate(deepcopy(referenceSpans), deepcopy(predictedSpans), exactMatch=False, reportSeperately=True) - print >>args.output, "--------" + for sublist1, sublist2 in zip(confusionMatrixInexactSpan, MatrixInexactSpan): + for i,int2 in enumerate(sublist2): + sublist1[i] += int2 - precision = sum(precision) / len(precision) - recall = sum(recall) / len(recall) - specificity = sum(specificity) / len(specificity) - f1 = sum(f1) / len(f1) + MatrixExactSpan = evaluate(deepcopy(referenceSpans), deepcopy(predictedSpans), exactMatch=True, reportSeperately=True) + + for sublist1, sublist2 in zip(confusionMatrixExactSpan, MatrixExactSpan): + for i,int2 in enumerate(sublist2): + sublist1[i] += int2 + + """ + print "\nResults for exact span for concepts together.\n" - print >>args.output, "Average: %.4f\t%.4f\t%.4f\t%.4f" % (precision, recall, specificity, f1) + print "True Positives: ", truePositivesExactSpan + print "False Negatives: ", falseNegativesExactSpan + print "False Positives: ", falsePositivesExactSpan + exactSpan = generateResultsForExactSpans(truePositivesExactSpan, + falseNegativesExactSpan, + falsePositivesExactSpan) + + print "Recall: ", exactSpan["Recall"] + print "Precision: ", exactSpan["Precision"] + print "F Measure: ", exactSpan["F Score"] + + inexactSpan = generateResultsForExactSpans(truePositivesInexactSpan, + falseNegativesInexactSpan, + falsePositivesInexactSpan) + + print "\nResults for inexact span for concepts together.\n" + + print "True Positives: ", truePositivesInexactSpan + print "False Negatives: ", falseNegativesInexactSpan + print "False Positives: ", falsePositivesInexactSpan + + print "Recall: ", inexactSpan["Recall"] + print "Precision: ", inexactSpan["Precision"] + print "F Measure: ", inexactSpan["F Score"] + """ + displayMatrix(args.output, 'Exact' , confusionMatrixExactSpan) + displayMatrix(args.output, 'Inexact', confusionMatrixInexactSpan) + + return if __name__ == '__main__': main() + From e6873924c726effbc7c755ff4a9bde7946664108 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Mon, 1 Sep 2014 19:34:03 -0400 Subject: [PATCH 308/393] user friendly installation messages and log --- install.sh | 24 +++++++++++++++++++++--- 1 file changed, 21 insertions(+), 3 deletions(-) diff --git a/install.sh b/install.sh index 64e5616..083940d 100755 --- a/install.sh +++ b/install.sh @@ -10,6 +10,11 @@ +# Installation log +CLICON_DIR="$( cd "$( dirname "$0" )" && pwd )" +log="$CLICON_DIR/installation_log.txt" + + function install_python_dependencies { modules=(nltk python-crfsuite nose numpy scipy scikit-learn) @@ -20,8 +25,8 @@ function install_python_dependencies { # Install module if necessary python $CLICON_DIR/clicon/is_installed.py $m if [[ $? != 0 ]] ; then - echo "$m is not installed" - pip install -U $m + echo "installing $m" + pip install -U $m >> $log fi done @@ -101,7 +106,20 @@ if [[ $resources -eq 0 ]] ; then # Install 'clicon' script for command line usage - python setup.py install + setup_output="setup_output.txt" + python setup.py install >> $setup_output + + + # Successful + if [[ $? == 0 ]] ; then + echo "CliCon successfully installed" + else + echo "CliCon installation failure" + cat $setup_output + + + cat $setup_output >> $log + rm $setup_output else From 5d623f5f567a0bc1dc8567fc0c905bc6295b14c4 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Mon, 1 Sep 2014 19:34:03 -0400 Subject: [PATCH 309/393] user friendly installation messages and log --- install.sh | 24 +++++++++++++++++++++--- 1 file changed, 21 insertions(+), 3 deletions(-) diff --git a/install.sh b/install.sh index 64e5616..083940d 100755 --- a/install.sh +++ b/install.sh @@ -10,6 +10,11 @@ +# Installation log +CLICON_DIR="$( cd "$( dirname "$0" )" && pwd )" +log="$CLICON_DIR/installation_log.txt" + + function install_python_dependencies { modules=(nltk python-crfsuite nose numpy scipy scikit-learn) @@ -20,8 +25,8 @@ function install_python_dependencies { # Install module if necessary python $CLICON_DIR/clicon/is_installed.py $m if [[ $? != 0 ]] ; then - echo "$m is not installed" - pip install -U $m + echo "installing $m" + pip install -U $m >> $log fi done @@ -101,7 +106,20 @@ if [[ $resources -eq 0 ]] ; then # Install 'clicon' script for command line usage - python setup.py install + setup_output="setup_output.txt" + python setup.py install >> $setup_output + + + # Successful + if [[ $? == 0 ]] ; then + echo "CliCon successfully installed" + else + echo "CliCon installation failure" + cat $setup_output + + + cat $setup_output >> $log + rm $setup_output else From 7cd135c189417a1a786efad405755ca18482f58d Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Mon, 1 Sep 2014 19:35:42 -0400 Subject: [PATCH 310/393] Safe guard against duplicate entries in concept file --- clicon/evaluate.py | 88 ++++++++++++++++++++++++++++++++++++++++++++-- clicon/model.py | 1 + clicon/note.py | 3 ++ 3 files changed, 90 insertions(+), 2 deletions(-) diff --git a/clicon/evaluate.py b/clicon/evaluate.py index d3af9ec..e7fc5fd 100644 --- a/clicon/evaluate.py +++ b/clicon/evaluate.py @@ -83,13 +83,96 @@ def main(): files = [] for k in txt_files_map: if k in pred_files_map and k in ref_files_map: - files.append((txt_files_map[k], ref_files_map[k], ref_files_map[k])) + files.append((txt_files_map[k], pred_files_map[k], ref_files_map[k])) # Compute the confusion matrix confusion = [[0] * len(labels) for e in labels] + # txt <- medical text + # con <- model predictions + # ref <- actual labels + for txt, con, ref in files: + + # A note that represents the model's predictions + cnote = Note() + cnote.read_i2b2( txt, con ) + + # A note that is the actual concept labels + rnote = Note() + rnote.read_i2b2( txt, ref ) + + # Get corresponding concept labels (prediction vs. actual) + for c, r in zip( cnote.conlist(), rnote.conlist() ): + for c, r in zip(c, r): + confusion[labels[r]][labels[c]] += 1 + + + + # Display the confusion matrix + print >>args.output, "" + print >>args.output, "" + print >>args.output, "" + print >>args.output, "================" + print >>args.output, " RESULTS" + print >>args.output, "================" + print >>args.output, "" + print >>args.output, "Confusion Matrix" + pad = max(len(l) for l in labels) + 6 + print >>args.output, "%s %s" % (' ' * pad, "\t".join(labels.keys())) + for act, act_v in labels.items(): + print >>args.output, "%s %s" % (act.rjust(pad), "\t".join([str(confusion[act_v][pre_v]) for pre, pre_v in labels.items()])) + print >>args.output, "" + + + + # Compute the analysis stuff + precision = [] + recall = [] + specificity = [] + f1 = [] + + tp = 0 + fp = 0 + fn = 0 + tn = 0 + + print >>args.output, "Analysis" + print >>args.output, " " * pad, "Precision\tRecall\tF1" + + + + for lab, lab_v in labels.items(): + tp = confusion[lab_v][lab_v] + fp = sum(confusion[v][lab_v] for k, v in labels.items() if v != lab_v) + fn = sum(confusion[lab_v][v] for k, v in labels.items() if v != lab_v) + tn = sum(confusion[v1][v2] for k1, v1 in labels.items() + for k2, v2 in labels.items() if v1 != lab_v and v2 != lab_v) + precision += [float(tp) / (tp + fp + 1e-100)] + recall += [float(tp) / (tp + fn + 1e-100)] + specificity += [float(tn) / (tn + fp + 1e-100)] + f1 += [float(2 * tp) / (2 * tp + fp + fn + 1e-100)] + print >>args.output, "%s %.4f\t%.4f\t%.4f\t%.4f" % (lab.rjust(pad), precision[-1], recall[-1], specificity[-1], f1[-1]) + + print >>args.output, "--------" + + precision = sum(precision) / len(precision) + recall = sum(recall) / len(recall) + specificity = sum(specificity) / len(specificity) + f1 = sum(f1) / len(f1) + + print >>args.output, "Average: %.4f\t%.4f\t%.4f\t%.4f" % (precision, recall, specificity, f1) + + + +if __name__ == '__main__': + main() + + + + + ''' # txt <- medical text # annotations <- predictions # gold <- gold standard @@ -263,4 +346,5 @@ def main(): if __name__ == '__main__': - main() +main() +''' diff --git a/clicon/model.py b/clicon/model.py index 539176f..803a6f4 100644 --- a/clicon/model.py +++ b/clicon/model.py @@ -265,6 +265,7 @@ def second_train(self, data, inds_list, Y, do_grid=False): print '\ttraining classifier (pass two)' + # Train the model self.second_clf = sci.train(X, Y, do_grid) diff --git a/clicon/note.py b/clicon/note.py index 2733bc5..9e714b7 100644 --- a/clicon/note.py +++ b/clicon/note.py @@ -110,6 +110,9 @@ def concept_cmp(a,b): #print "\n" + "-" * 80 + # Safe guard against concept file having duplicate entries + classifications = list(set(classifications)) + # Concept file does not guarantee ordering by line number self.classifications = sorted(classifications, cmp=concept_cmp) From e3bcc6ee6217a1e6e15113f5f381ea70156cc598 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Mon, 1 Sep 2014 19:35:42 -0400 Subject: [PATCH 311/393] Safe guard against duplicate entries in concept file --- clicon/evaluate.py | 88 ++++++++++++++++++++++++++++++++++++++++++++-- clicon/model.py | 1 + clicon/note.py | 3 ++ 3 files changed, 90 insertions(+), 2 deletions(-) diff --git a/clicon/evaluate.py b/clicon/evaluate.py index d3af9ec..e7fc5fd 100644 --- a/clicon/evaluate.py +++ b/clicon/evaluate.py @@ -83,13 +83,96 @@ def main(): files = [] for k in txt_files_map: if k in pred_files_map and k in ref_files_map: - files.append((txt_files_map[k], ref_files_map[k], ref_files_map[k])) + files.append((txt_files_map[k], pred_files_map[k], ref_files_map[k])) # Compute the confusion matrix confusion = [[0] * len(labels) for e in labels] + # txt <- medical text + # con <- model predictions + # ref <- actual labels + for txt, con, ref in files: + + # A note that represents the model's predictions + cnote = Note() + cnote.read_i2b2( txt, con ) + + # A note that is the actual concept labels + rnote = Note() + rnote.read_i2b2( txt, ref ) + + # Get corresponding concept labels (prediction vs. actual) + for c, r in zip( cnote.conlist(), rnote.conlist() ): + for c, r in zip(c, r): + confusion[labels[r]][labels[c]] += 1 + + + + # Display the confusion matrix + print >>args.output, "" + print >>args.output, "" + print >>args.output, "" + print >>args.output, "================" + print >>args.output, " RESULTS" + print >>args.output, "================" + print >>args.output, "" + print >>args.output, "Confusion Matrix" + pad = max(len(l) for l in labels) + 6 + print >>args.output, "%s %s" % (' ' * pad, "\t".join(labels.keys())) + for act, act_v in labels.items(): + print >>args.output, "%s %s" % (act.rjust(pad), "\t".join([str(confusion[act_v][pre_v]) for pre, pre_v in labels.items()])) + print >>args.output, "" + + + + # Compute the analysis stuff + precision = [] + recall = [] + specificity = [] + f1 = [] + + tp = 0 + fp = 0 + fn = 0 + tn = 0 + + print >>args.output, "Analysis" + print >>args.output, " " * pad, "Precision\tRecall\tF1" + + + + for lab, lab_v in labels.items(): + tp = confusion[lab_v][lab_v] + fp = sum(confusion[v][lab_v] for k, v in labels.items() if v != lab_v) + fn = sum(confusion[lab_v][v] for k, v in labels.items() if v != lab_v) + tn = sum(confusion[v1][v2] for k1, v1 in labels.items() + for k2, v2 in labels.items() if v1 != lab_v and v2 != lab_v) + precision += [float(tp) / (tp + fp + 1e-100)] + recall += [float(tp) / (tp + fn + 1e-100)] + specificity += [float(tn) / (tn + fp + 1e-100)] + f1 += [float(2 * tp) / (2 * tp + fp + fn + 1e-100)] + print >>args.output, "%s %.4f\t%.4f\t%.4f\t%.4f" % (lab.rjust(pad), precision[-1], recall[-1], specificity[-1], f1[-1]) + + print >>args.output, "--------" + + precision = sum(precision) / len(precision) + recall = sum(recall) / len(recall) + specificity = sum(specificity) / len(specificity) + f1 = sum(f1) / len(f1) + + print >>args.output, "Average: %.4f\t%.4f\t%.4f\t%.4f" % (precision, recall, specificity, f1) + + + +if __name__ == '__main__': + main() + + + + + ''' # txt <- medical text # annotations <- predictions # gold <- gold standard @@ -263,4 +346,5 @@ def main(): if __name__ == '__main__': - main() +main() +''' diff --git a/clicon/model.py b/clicon/model.py index 539176f..803a6f4 100644 --- a/clicon/model.py +++ b/clicon/model.py @@ -265,6 +265,7 @@ def second_train(self, data, inds_list, Y, do_grid=False): print '\ttraining classifier (pass two)' + # Train the model self.second_clf = sci.train(X, Y, do_grid) diff --git a/clicon/note.py b/clicon/note.py index 2733bc5..9e714b7 100644 --- a/clicon/note.py +++ b/clicon/note.py @@ -110,6 +110,9 @@ def concept_cmp(a,b): #print "\n" + "-" * 80 + # Safe guard against concept file having duplicate entries + classifications = list(set(classifications)) + # Concept file does not guarantee ordering by line number self.classifications = sorted(classifications, cmp=concept_cmp) From 61641523326abdc42f63e8e55ce11b3fcec514f9 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Mon, 1 Sep 2014 19:37:45 -0400 Subject: [PATCH 312/393] cache genia features --- clicon/features_dir/genia/interface_genia.py | 109 +++++++++++-------- clicon/features_dir/sentence_features.py | 2 +- clicon/features_dir/umls/SQLookup.py | 2 +- clicon/features_dir/umls/umls.py | 3 - clicon/features_dir/umls/umls_features.py | 2 +- clicon/features_dir/word_features.py | 8 +- 6 files changed, 71 insertions(+), 55 deletions(-) diff --git a/clicon/features_dir/genia/interface_genia.py b/clicon/features_dir/genia/interface_genia.py index 6e72130..bf402a8 100644 --- a/clicon/features_dir/genia/interface_genia.py +++ b/clicon/features_dir/genia/interface_genia.py @@ -18,6 +18,7 @@ import sys from commands import getstatusoutput +from genia_cache import GeniaCache @@ -33,53 +34,69 @@ def genia(geniatagger, data): @return A list of dcitionaries of the genia tagger's output. ''' - # write list to file and then feed it to GENIA - genia_dir = os.path.dirname(geniatagger) - tmp_out = os.path.join(genia_dir,'clicon_genia_tmp_file.txt') - with open(tmp_out, 'w') as f: - for line in data: f.write(' '.join(line) + '\n') - - - # Run genia tagger - print '\t\tRunning GENIA tagger' - genia_dir = os.path.dirname(geniatagger) - stream= getstatusoutput('cd %s ; ./geniatagger -nt %s' % (genia_dir,tmp_out)) - - - # Process each line of output - # NOTE: Skips the first four lines of genia tagger output ("loading...") + # Lookup cache + cache = GeniaCache() + + # Get uncached lines + uncached = [] + for line in data: + sent = ' '.join(line) + if not cache.has_key(sent): + uncached.append(sent) + + + if uncached: + # write list to file and then feed it to GENIA + genia_dir = os.path.dirname(geniatagger) + out = os.path.join(genia_dir,'clicon_genia_tmp_file.txt') + with open(out, 'w') as f: + for line in uncached: f.write(line + '\n') + + # Run genia tagger + print '\t\tRunning GENIA tagger' + genia_dir = os.path.dirname(geniatagger) + stream = getstatusoutput('cd %s ; ./geniatagger -nt %s' %(genia_dir,out)) + print '\t\tFinished GENIA tagger' + + # Organize tagger output + linetags = [] + tagged = [] + for tag in stream[1].split('\n')[4:]: + if tag.split(): # Part of line + linetags.append(tag) + else: # End of line + tagged.append(linetags) + linetags = [] + + # Add tagger output to cache + for line,tags in zip(uncached,tagged): + cache.add_map(line,tags) + + # Remove temp file + os.remove(out) + + + # Extract features + linefeats = [] retlist = [] - i = 0 - j = 0 - fline = [] - old = [] - for line in stream[1].split('\n')[4:]: - - line = line.split() - - # Empty line - if line == []: continue - - # One dictionary per word in the file - output = {'GENIA-word' :line[0], - 'GENIA-stem' :line[1], - 'GENIA-POS' :line[2], - 'GENIA-chunktag':line[3], - 'GENIA-NEtag' :line[4]} - - - # Add token to list - fline.append(output) - j += 1 - if j == len(data[i]): - i += 1 - j = 0 - retlist.append(fline) - fline = [] - - - # Remove temp file - os.remove(tmp_out) + for line in data: + line = ' '.join(line) + + # Get tagged output from cache + tags = cache.get_map(line) + + for tag in tags: + tag = tag.split() + output = { 'GENIA-word' : tag[0] , + 'GENIA-stem' : tag[1] , + 'GENIA-POS' : tag[2] , + 'GENIA-chunktag': tag[3] , + 'GENIA-NEtag' : tag[4] } + + linefeats.append(output) + + retlist.append(linefeats) + linefeats = [] return retlist diff --git a/clicon/features_dir/sentence_features.py b/clicon/features_dir/sentence_features.py index ea58406..15d8057 100644 --- a/clicon/features_dir/sentence_features.py +++ b/clicon/features_dir/sentence_features.py @@ -75,7 +75,7 @@ def __init__(self, data): #self.enabled_IOB_prose_sentence_features.append('next2') #self.enabled_IOB_prose_sentence_features.append('next3') self.enabled_IOB_prose_sentence_features.append('GENIA') - #self.enabled_IOB_prose_sentence_features.append('UMLS') + self.enabled_IOB_prose_sentence_features.append('UMLS') diff --git a/clicon/features_dir/umls/SQLookup.py b/clicon/features_dir/umls/SQLookup.py index 8a0df93..cae3109 100644 --- a/clicon/features_dir/umls/SQLookup.py +++ b/clicon/features_dir/umls/SQLookup.py @@ -59,7 +59,7 @@ def cui_lookup( string ): def hypernyms_lookup( string ): - print 'hypernym lookup is unacceptably slow' + #print 'hypernym lookup is unacceptably slow' return [] c.execute( "SELECT CUI FROM MRCON WHERE STR = ? LIMIT 1 ;" , (string,) ) diff --git a/clicon/features_dir/umls/umls.py b/clicon/features_dir/umls/umls.py index d43ecf7..bba9d7d 100644 --- a/clicon/features_dir/umls/umls.py +++ b/clicon/features_dir/umls/umls.py @@ -211,9 +211,6 @@ def get_cui( cache , word ): # Get the hypernyms of a string def umls_hypernyms( cache, string ): - print 'hypernym lookup is unacceptably slow' - #return [] - # If hypernyms already in cache if cache.has_key( string + '--hypernyms' ): diff --git a/clicon/features_dir/umls/umls_features.py b/clicon/features_dir/umls/umls_features.py index e6fdf15..5115a8a 100644 --- a/clicon/features_dir/umls/umls_features.py +++ b/clicon/features_dir/umls/umls_features.py @@ -83,7 +83,7 @@ def IOB_prose_features(self, word): # Get UMLS semantic type (could have multiple) mapping = umls.umls_semantic_type_word(self.umls_lookup_cache , word ) - print mapping + #print mapping # If is at least one semantic type if mapping != None: diff --git a/clicon/features_dir/word_features.py b/clicon/features_dir/word_features.py index e934cf0..68d7910 100644 --- a/clicon/features_dir/word_features.py +++ b/clicon/features_dir/word_features.py @@ -46,13 +46,14 @@ def IOB_prose_features(self, word): # Allow for particular features to be enabled for feature in self.enabled_IOB_prose_word_features: + if feature == "word": + features[(feature, word.lower())] = 1 + + ''' if feature == "stem_lancaster": st = nltk.stem.LancasterStemmer() features[ (feature, st.stem(word.lower())) ] = 1 - if feature == "word": - features[(feature, word.lower())] = 1 - # Feature: Generic# stemmed word if feature == 'Generic#': generic = re.sub('[0-9]','0',word) @@ -79,6 +80,7 @@ def IOB_prose_features(self, word): wordShapes = getWordShapes(word) for shape in wordShapes: features[(feature, shape)] = 1 + ''' return features From 84e5d581001c239c79ed03180a82d692a8deb9a0 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Mon, 1 Sep 2014 19:37:45 -0400 Subject: [PATCH 313/393] cache genia features --- clicon/features_dir/genia/interface_genia.py | 109 +++++++++++-------- clicon/features_dir/sentence_features.py | 2 +- clicon/features_dir/umls/SQLookup.py | 2 +- clicon/features_dir/umls/umls.py | 3 - clicon/features_dir/umls/umls_features.py | 2 +- clicon/features_dir/word_features.py | 8 +- 6 files changed, 71 insertions(+), 55 deletions(-) diff --git a/clicon/features_dir/genia/interface_genia.py b/clicon/features_dir/genia/interface_genia.py index 6e72130..bf402a8 100644 --- a/clicon/features_dir/genia/interface_genia.py +++ b/clicon/features_dir/genia/interface_genia.py @@ -18,6 +18,7 @@ import sys from commands import getstatusoutput +from genia_cache import GeniaCache @@ -33,53 +34,69 @@ def genia(geniatagger, data): @return A list of dcitionaries of the genia tagger's output. ''' - # write list to file and then feed it to GENIA - genia_dir = os.path.dirname(geniatagger) - tmp_out = os.path.join(genia_dir,'clicon_genia_tmp_file.txt') - with open(tmp_out, 'w') as f: - for line in data: f.write(' '.join(line) + '\n') - - - # Run genia tagger - print '\t\tRunning GENIA tagger' - genia_dir = os.path.dirname(geniatagger) - stream= getstatusoutput('cd %s ; ./geniatagger -nt %s' % (genia_dir,tmp_out)) - - - # Process each line of output - # NOTE: Skips the first four lines of genia tagger output ("loading...") + # Lookup cache + cache = GeniaCache() + + # Get uncached lines + uncached = [] + for line in data: + sent = ' '.join(line) + if not cache.has_key(sent): + uncached.append(sent) + + + if uncached: + # write list to file and then feed it to GENIA + genia_dir = os.path.dirname(geniatagger) + out = os.path.join(genia_dir,'clicon_genia_tmp_file.txt') + with open(out, 'w') as f: + for line in uncached: f.write(line + '\n') + + # Run genia tagger + print '\t\tRunning GENIA tagger' + genia_dir = os.path.dirname(geniatagger) + stream = getstatusoutput('cd %s ; ./geniatagger -nt %s' %(genia_dir,out)) + print '\t\tFinished GENIA tagger' + + # Organize tagger output + linetags = [] + tagged = [] + for tag in stream[1].split('\n')[4:]: + if tag.split(): # Part of line + linetags.append(tag) + else: # End of line + tagged.append(linetags) + linetags = [] + + # Add tagger output to cache + for line,tags in zip(uncached,tagged): + cache.add_map(line,tags) + + # Remove temp file + os.remove(out) + + + # Extract features + linefeats = [] retlist = [] - i = 0 - j = 0 - fline = [] - old = [] - for line in stream[1].split('\n')[4:]: - - line = line.split() - - # Empty line - if line == []: continue - - # One dictionary per word in the file - output = {'GENIA-word' :line[0], - 'GENIA-stem' :line[1], - 'GENIA-POS' :line[2], - 'GENIA-chunktag':line[3], - 'GENIA-NEtag' :line[4]} - - - # Add token to list - fline.append(output) - j += 1 - if j == len(data[i]): - i += 1 - j = 0 - retlist.append(fline) - fline = [] - - - # Remove temp file - os.remove(tmp_out) + for line in data: + line = ' '.join(line) + + # Get tagged output from cache + tags = cache.get_map(line) + + for tag in tags: + tag = tag.split() + output = { 'GENIA-word' : tag[0] , + 'GENIA-stem' : tag[1] , + 'GENIA-POS' : tag[2] , + 'GENIA-chunktag': tag[3] , + 'GENIA-NEtag' : tag[4] } + + linefeats.append(output) + + retlist.append(linefeats) + linefeats = [] return retlist diff --git a/clicon/features_dir/sentence_features.py b/clicon/features_dir/sentence_features.py index ea58406..15d8057 100644 --- a/clicon/features_dir/sentence_features.py +++ b/clicon/features_dir/sentence_features.py @@ -75,7 +75,7 @@ def __init__(self, data): #self.enabled_IOB_prose_sentence_features.append('next2') #self.enabled_IOB_prose_sentence_features.append('next3') self.enabled_IOB_prose_sentence_features.append('GENIA') - #self.enabled_IOB_prose_sentence_features.append('UMLS') + self.enabled_IOB_prose_sentence_features.append('UMLS') diff --git a/clicon/features_dir/umls/SQLookup.py b/clicon/features_dir/umls/SQLookup.py index 8a0df93..cae3109 100644 --- a/clicon/features_dir/umls/SQLookup.py +++ b/clicon/features_dir/umls/SQLookup.py @@ -59,7 +59,7 @@ def cui_lookup( string ): def hypernyms_lookup( string ): - print 'hypernym lookup is unacceptably slow' + #print 'hypernym lookup is unacceptably slow' return [] c.execute( "SELECT CUI FROM MRCON WHERE STR = ? LIMIT 1 ;" , (string,) ) diff --git a/clicon/features_dir/umls/umls.py b/clicon/features_dir/umls/umls.py index d43ecf7..bba9d7d 100644 --- a/clicon/features_dir/umls/umls.py +++ b/clicon/features_dir/umls/umls.py @@ -211,9 +211,6 @@ def get_cui( cache , word ): # Get the hypernyms of a string def umls_hypernyms( cache, string ): - print 'hypernym lookup is unacceptably slow' - #return [] - # If hypernyms already in cache if cache.has_key( string + '--hypernyms' ): diff --git a/clicon/features_dir/umls/umls_features.py b/clicon/features_dir/umls/umls_features.py index e6fdf15..5115a8a 100644 --- a/clicon/features_dir/umls/umls_features.py +++ b/clicon/features_dir/umls/umls_features.py @@ -83,7 +83,7 @@ def IOB_prose_features(self, word): # Get UMLS semantic type (could have multiple) mapping = umls.umls_semantic_type_word(self.umls_lookup_cache , word ) - print mapping + #print mapping # If is at least one semantic type if mapping != None: diff --git a/clicon/features_dir/word_features.py b/clicon/features_dir/word_features.py index e934cf0..68d7910 100644 --- a/clicon/features_dir/word_features.py +++ b/clicon/features_dir/word_features.py @@ -46,13 +46,14 @@ def IOB_prose_features(self, word): # Allow for particular features to be enabled for feature in self.enabled_IOB_prose_word_features: + if feature == "word": + features[(feature, word.lower())] = 1 + + ''' if feature == "stem_lancaster": st = nltk.stem.LancasterStemmer() features[ (feature, st.stem(word.lower())) ] = 1 - if feature == "word": - features[(feature, word.lower())] = 1 - # Feature: Generic# stemmed word if feature == 'Generic#': generic = re.sub('[0-9]','0',word) @@ -79,6 +80,7 @@ def IOB_prose_features(self, word): wordShapes = getWordShapes(word) for shape in wordShapes: features[(feature, shape)] = 1 + ''' return features From 87226c04be0892af4ef2572e304afdbf365d7876 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Mon, 1 Sep 2014 19:56:40 -0400 Subject: [PATCH 314/393] update install.sh --- install.sh | 18 +++++++++--------- 1 file changed, 9 insertions(+), 9 deletions(-) diff --git a/install.sh b/install.sh index 083940d..d7d8f17 100755 --- a/install.sh +++ b/install.sh @@ -11,8 +11,8 @@ # Installation log -CLICON_DIR="$( cd "$( dirname "$0" )" && pwd )" -log="$CLICON_DIR/installation_log.txt" +BASE_DIR="$( cd "$( dirname "$0" )" && pwd )" +log="$BASE_DIR/installation_log.txt" function install_python_dependencies { @@ -32,7 +32,8 @@ function install_python_dependencies { done # Install nltk data - python -m nltk.downloader maxent_treebank_pos_tagger wordnet + echo "downloading nltk data" + python -m nltk.downloader maxent_treebank_pos_tagger wordnet >> $log } @@ -44,14 +45,14 @@ function get_genia { # Get sources cd $CLICON_DIR/clicon/features_dir/genia - wget http://www.nactem.ac.uk/tsujii/GENIA/tagger/geniatagger-3.0.1.tar.gz + wget http://www.nactem.ac.uk/tsujii/GENIA/tagger/geniatagger-3.0.1.tar.gz >> $log tar xzvf geniatagger-3.0.1.tar.gz rm geniatagger-3.0.1.tar.gz # Build GENIA tagger cd geniatagger-3.0.1/ echo "$(sed '1i#include ' morph.cpp)" > morph.cpp # fix build error - make + make >> $log # Successful build ? if ! [[ $? -eq 0 ]] ; then @@ -84,9 +85,7 @@ if [[ $resources -eq 0 ]] ; then # CLICON_DIR must be defined before proceeding if [[ "$CLICON_DIR" = "" ]] ; then - - CLICON_DIR="$( cd "$( dirname "$0" )" && pwd )" - export CLICON_DIR=$CLICON_DIR + export CLICON_DIR=$BASE_DIR echo -e "export CLICON_DIR=$CLICON_DIR" >> .bashrc fi @@ -107,7 +106,7 @@ if [[ $resources -eq 0 ]] ; then # Install 'clicon' script for command line usage setup_output="setup_output.txt" - python setup.py install >> $setup_output + python setup.py install > $setup_output # Successful @@ -116,6 +115,7 @@ if [[ $resources -eq 0 ]] ; then else echo "CliCon installation failure" cat $setup_output + fi cat $setup_output >> $log From d1144c5f5561fdb00da5779b0b22facd4e790a3f Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Mon, 1 Sep 2014 19:56:40 -0400 Subject: [PATCH 315/393] update install.sh --- install.sh | 18 +++++++++--------- 1 file changed, 9 insertions(+), 9 deletions(-) diff --git a/install.sh b/install.sh index 083940d..d7d8f17 100755 --- a/install.sh +++ b/install.sh @@ -11,8 +11,8 @@ # Installation log -CLICON_DIR="$( cd "$( dirname "$0" )" && pwd )" -log="$CLICON_DIR/installation_log.txt" +BASE_DIR="$( cd "$( dirname "$0" )" && pwd )" +log="$BASE_DIR/installation_log.txt" function install_python_dependencies { @@ -32,7 +32,8 @@ function install_python_dependencies { done # Install nltk data - python -m nltk.downloader maxent_treebank_pos_tagger wordnet + echo "downloading nltk data" + python -m nltk.downloader maxent_treebank_pos_tagger wordnet >> $log } @@ -44,14 +45,14 @@ function get_genia { # Get sources cd $CLICON_DIR/clicon/features_dir/genia - wget http://www.nactem.ac.uk/tsujii/GENIA/tagger/geniatagger-3.0.1.tar.gz + wget http://www.nactem.ac.uk/tsujii/GENIA/tagger/geniatagger-3.0.1.tar.gz >> $log tar xzvf geniatagger-3.0.1.tar.gz rm geniatagger-3.0.1.tar.gz # Build GENIA tagger cd geniatagger-3.0.1/ echo "$(sed '1i#include ' morph.cpp)" > morph.cpp # fix build error - make + make >> $log # Successful build ? if ! [[ $? -eq 0 ]] ; then @@ -84,9 +85,7 @@ if [[ $resources -eq 0 ]] ; then # CLICON_DIR must be defined before proceeding if [[ "$CLICON_DIR" = "" ]] ; then - - CLICON_DIR="$( cd "$( dirname "$0" )" && pwd )" - export CLICON_DIR=$CLICON_DIR + export CLICON_DIR=$BASE_DIR echo -e "export CLICON_DIR=$CLICON_DIR" >> .bashrc fi @@ -107,7 +106,7 @@ if [[ $resources -eq 0 ]] ; then # Install 'clicon' script for command line usage setup_output="setup_output.txt" - python setup.py install >> $setup_output + python setup.py install > $setup_output # Successful @@ -116,6 +115,7 @@ if [[ $resources -eq 0 ]] ; then else echo "CliCon installation failure" cat $setup_output + fi cat $setup_output >> $log From a7fa32fee426a34cf88a8a4ade95fa7818e4ec1f Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Mon, 1 Sep 2014 20:06:29 -0400 Subject: [PATCH 316/393] update install.sh --- install.sh | 17 +++++++++++------ 1 file changed, 11 insertions(+), 6 deletions(-) diff --git a/install.sh b/install.sh index d7d8f17..6a4f686 100755 --- a/install.sh +++ b/install.sh @@ -26,14 +26,16 @@ function install_python_dependencies { python $CLICON_DIR/clicon/is_installed.py $m if [[ $? != 0 ]] ; then echo "installing $m" - pip install -U $m >> $log + pip install -U $m &>> $log + echo -e "$m installation complete\n" fi done # Install nltk data echo "downloading nltk data" - python -m nltk.downloader maxent_treebank_pos_tagger wordnet >> $log + python -m nltk.downloader maxent_treebank_pos_tagger wordnet &>> $log + echo -e "nltk download complete\n" } @@ -45,14 +47,16 @@ function get_genia { # Get sources cd $CLICON_DIR/clicon/features_dir/genia - wget http://www.nactem.ac.uk/tsujii/GENIA/tagger/geniatagger-3.0.1.tar.gz >> $log - tar xzvf geniatagger-3.0.1.tar.gz + wget http://www.nactem.ac.uk/tsujii/GENIA/tagger/geniatagger-3.0.1.tar.gz &>> $log + tar xzvf geniatagger-3.0.1.tar.gz &>> $log rm geniatagger-3.0.1.tar.gz # Build GENIA tagger cd geniatagger-3.0.1/ echo "$(sed '1i#include ' morph.cpp)" > morph.cpp # fix build error + echo "building GENIA tagger" make >> $log + echo -e "GENIA tagger built\n" # Successful build ? if ! [[ $? -eq 0 ]] ; then @@ -87,7 +91,6 @@ if [[ $resources -eq 0 ]] ; then if [[ "$CLICON_DIR" = "" ]] ; then export CLICON_DIR=$BASE_DIR echo -e "export CLICON_DIR=$CLICON_DIR" >> .bashrc - fi @@ -106,7 +109,9 @@ if [[ $resources -eq 0 ]] ; then # Install 'clicon' script for command line usage setup_output="setup_output.txt" - python setup.py install > $setup_output + echo "Building executable 'clicon' script" + python setup.py install &> $setup_output + echo -e "'clicon' script built\n" # Successful From 17ed6e4024779a52209d3d02ddb8567214af9aee Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Mon, 1 Sep 2014 20:06:29 -0400 Subject: [PATCH 317/393] update install.sh --- install.sh | 17 +++++++++++------ 1 file changed, 11 insertions(+), 6 deletions(-) diff --git a/install.sh b/install.sh index d7d8f17..6a4f686 100755 --- a/install.sh +++ b/install.sh @@ -26,14 +26,16 @@ function install_python_dependencies { python $CLICON_DIR/clicon/is_installed.py $m if [[ $? != 0 ]] ; then echo "installing $m" - pip install -U $m >> $log + pip install -U $m &>> $log + echo -e "$m installation complete\n" fi done # Install nltk data echo "downloading nltk data" - python -m nltk.downloader maxent_treebank_pos_tagger wordnet >> $log + python -m nltk.downloader maxent_treebank_pos_tagger wordnet &>> $log + echo -e "nltk download complete\n" } @@ -45,14 +47,16 @@ function get_genia { # Get sources cd $CLICON_DIR/clicon/features_dir/genia - wget http://www.nactem.ac.uk/tsujii/GENIA/tagger/geniatagger-3.0.1.tar.gz >> $log - tar xzvf geniatagger-3.0.1.tar.gz + wget http://www.nactem.ac.uk/tsujii/GENIA/tagger/geniatagger-3.0.1.tar.gz &>> $log + tar xzvf geniatagger-3.0.1.tar.gz &>> $log rm geniatagger-3.0.1.tar.gz # Build GENIA tagger cd geniatagger-3.0.1/ echo "$(sed '1i#include ' morph.cpp)" > morph.cpp # fix build error + echo "building GENIA tagger" make >> $log + echo -e "GENIA tagger built\n" # Successful build ? if ! [[ $? -eq 0 ]] ; then @@ -87,7 +91,6 @@ if [[ $resources -eq 0 ]] ; then if [[ "$CLICON_DIR" = "" ]] ; then export CLICON_DIR=$BASE_DIR echo -e "export CLICON_DIR=$CLICON_DIR" >> .bashrc - fi @@ -106,7 +109,9 @@ if [[ $resources -eq 0 ]] ; then # Install 'clicon' script for command line usage setup_output="setup_output.txt" - python setup.py install > $setup_output + echo "Building executable 'clicon' script" + python setup.py install &> $setup_output + echo -e "'clicon' script built\n" # Successful From 90a22c5396f796ccf2af855954a59ef17b4c00b0 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Mon, 1 Sep 2014 20:19:39 -0400 Subject: [PATCH 318/393] update install.sh --- install.sh | 68 +++++++++++++++++++++++++++++------------------------- 1 file changed, 37 insertions(+), 31 deletions(-) diff --git a/install.sh b/install.sh index 6a4f686..830350e 100755 --- a/install.sh +++ b/install.sh @@ -9,12 +9,6 @@ # - -# Installation log -BASE_DIR="$( cd "$( dirname "$0" )" && pwd )" -log="$BASE_DIR/installation_log.txt" - - function install_python_dependencies { modules=(nltk python-crfsuite nose numpy scipy scikit-learn) @@ -55,7 +49,7 @@ function get_genia { cd geniatagger-3.0.1/ echo "$(sed '1i#include ' morph.cpp)" > morph.cpp # fix build error echo "building GENIA tagger" - make >> $log + make &>> $log echo -e "GENIA tagger built\n" # Successful build ? @@ -65,6 +59,11 @@ function get_genia { fi # Set config file location of tagger + if [[ -f "$CLICON_DIR/config.txt" ]] ; then + echo -e "\n\tWarning: Could not update config.txt because CLICON_DIR must be an absolute path" + cd $old_path + return + fi config_file="$CLICON_DIR/config.txt" out_tmp="out.tmp.txt" echo "GENIA $(pwd)/geniatagger" > $out_tmp @@ -89,44 +88,51 @@ if [[ $resources -eq 0 ]] ; then # CLICON_DIR must be defined before proceeding if [[ "$CLICON_DIR" = "" ]] ; then - export CLICON_DIR=$BASE_DIR - echo -e "export CLICON_DIR=$CLICON_DIR" >> .bashrc - fi + echo -e "\n\tYou must define the CLICON_DIR evironment variable to run this script\n" + + else - # Create virtual environment - virtualenv venv_clicon --system-site-packages - source venv_clicon/bin/activate + # Installation log + log="$CLICON_DIR/installation_log.txt" - # Install python dependencies - install_python_dependencies + # Create virtual environment + echo "creating virtual environment" + virtualenv venv_clicon --system-site-packages &>> $log + source venv_clicon/bin/activate + echo "virtual environment enabled" - # Download & install GENIA tagger - get_genia + # Install python dependencies + install_python_dependencies - # Install 'clicon' script for command line usage - setup_output="setup_output.txt" - echo "Building executable 'clicon' script" - python setup.py install &> $setup_output - echo -e "'clicon' script built\n" + # Download & install GENIA tagger + get_genia - # Successful - if [[ $? == 0 ]] ; then - echo "CliCon successfully installed" - else - echo "CliCon installation failure" - cat $setup_output - fi + # Install 'clicon' script for command line usage + setup_output="setup_output.txt" + echo "Building executable 'clicon' script" + python setup.py install &> $setup_output + echo -e "'clicon' script built\n" - cat $setup_output >> $log - rm $setup_output + # Successful + if [[ $? == 0 ]] ; then + echo "CliCon successfully installed" + else + echo "CliCon installation failure" + cat $setup_output + fi + cat $setup_output >> $log + rm $setup_output + + fi + else echo -e "\n\tError: Not all resources available on system." From b476f93a799304a859c4c04ee8ca232c7d51c7e6 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Mon, 1 Sep 2014 20:19:39 -0400 Subject: [PATCH 319/393] update install.sh --- install.sh | 68 +++++++++++++++++++++++++++++------------------------- 1 file changed, 37 insertions(+), 31 deletions(-) diff --git a/install.sh b/install.sh index 6a4f686..830350e 100755 --- a/install.sh +++ b/install.sh @@ -9,12 +9,6 @@ # - -# Installation log -BASE_DIR="$( cd "$( dirname "$0" )" && pwd )" -log="$BASE_DIR/installation_log.txt" - - function install_python_dependencies { modules=(nltk python-crfsuite nose numpy scipy scikit-learn) @@ -55,7 +49,7 @@ function get_genia { cd geniatagger-3.0.1/ echo "$(sed '1i#include ' morph.cpp)" > morph.cpp # fix build error echo "building GENIA tagger" - make >> $log + make &>> $log echo -e "GENIA tagger built\n" # Successful build ? @@ -65,6 +59,11 @@ function get_genia { fi # Set config file location of tagger + if [[ -f "$CLICON_DIR/config.txt" ]] ; then + echo -e "\n\tWarning: Could not update config.txt because CLICON_DIR must be an absolute path" + cd $old_path + return + fi config_file="$CLICON_DIR/config.txt" out_tmp="out.tmp.txt" echo "GENIA $(pwd)/geniatagger" > $out_tmp @@ -89,44 +88,51 @@ if [[ $resources -eq 0 ]] ; then # CLICON_DIR must be defined before proceeding if [[ "$CLICON_DIR" = "" ]] ; then - export CLICON_DIR=$BASE_DIR - echo -e "export CLICON_DIR=$CLICON_DIR" >> .bashrc - fi + echo -e "\n\tYou must define the CLICON_DIR evironment variable to run this script\n" + + else - # Create virtual environment - virtualenv venv_clicon --system-site-packages - source venv_clicon/bin/activate + # Installation log + log="$CLICON_DIR/installation_log.txt" - # Install python dependencies - install_python_dependencies + # Create virtual environment + echo "creating virtual environment" + virtualenv venv_clicon --system-site-packages &>> $log + source venv_clicon/bin/activate + echo "virtual environment enabled" - # Download & install GENIA tagger - get_genia + # Install python dependencies + install_python_dependencies - # Install 'clicon' script for command line usage - setup_output="setup_output.txt" - echo "Building executable 'clicon' script" - python setup.py install &> $setup_output - echo -e "'clicon' script built\n" + # Download & install GENIA tagger + get_genia - # Successful - if [[ $? == 0 ]] ; then - echo "CliCon successfully installed" - else - echo "CliCon installation failure" - cat $setup_output - fi + # Install 'clicon' script for command line usage + setup_output="setup_output.txt" + echo "Building executable 'clicon' script" + python setup.py install &> $setup_output + echo -e "'clicon' script built\n" - cat $setup_output >> $log - rm $setup_output + # Successful + if [[ $? == 0 ]] ; then + echo "CliCon successfully installed" + else + echo "CliCon installation failure" + cat $setup_output + fi + cat $setup_output >> $log + rm $setup_output + + fi + else echo -e "\n\tError: Not all resources available on system." From 3f677f64d59d8fb49941ca963aa08d14cc849975 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Mon, 1 Sep 2014 20:24:36 -0400 Subject: [PATCH 320/393] update install.sh --- install.sh | 6 +++--- 1 file changed, 3 insertions(+), 3 deletions(-) diff --git a/install.sh b/install.sh index 830350e..6c876a1 100755 --- a/install.sh +++ b/install.sh @@ -59,8 +59,8 @@ function get_genia { fi # Set config file location of tagger - if [[ -f "$CLICON_DIR/config.txt" ]] ; then - echo -e "\n\tWarning: Could not update config.txt because CLICON_DIR must be an absolute path" + if [[ ! -f "$CLICON_DIR/config.txt" ]] ; then + echo -e "\tWarning: Could not update config.txt because CLICON_DIR must be an absolute path\n" cd $old_path return fi @@ -101,7 +101,7 @@ if [[ $resources -eq 0 ]] ; then echo "creating virtual environment" virtualenv venv_clicon --system-site-packages &>> $log source venv_clicon/bin/activate - echo "virtual environment enabled" + echo -e "virtual environment enabled\n" # Install python dependencies From b972b977fad13f42d5983664045bfaeef64ad293 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Mon, 1 Sep 2014 20:24:36 -0400 Subject: [PATCH 321/393] update install.sh --- install.sh | 6 +++--- 1 file changed, 3 insertions(+), 3 deletions(-) diff --git a/install.sh b/install.sh index 830350e..6c876a1 100755 --- a/install.sh +++ b/install.sh @@ -59,8 +59,8 @@ function get_genia { fi # Set config file location of tagger - if [[ -f "$CLICON_DIR/config.txt" ]] ; then - echo -e "\n\tWarning: Could not update config.txt because CLICON_DIR must be an absolute path" + if [[ ! -f "$CLICON_DIR/config.txt" ]] ; then + echo -e "\tWarning: Could not update config.txt because CLICON_DIR must be an absolute path\n" cd $old_path return fi @@ -101,7 +101,7 @@ if [[ $resources -eq 0 ]] ; then echo "creating virtual environment" virtualenv venv_clicon --system-site-packages &>> $log source venv_clicon/bin/activate - echo "virtual environment enabled" + echo -e "virtual environment enabled\n" # Install python dependencies From 6808955ba4d8f3b40103f74cda259775026995fc Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Mon, 1 Sep 2014 20:27:59 -0400 Subject: [PATCH 322/393] Update install.sh --- install.sh | 1 + 1 file changed, 1 insertion(+) diff --git a/install.sh b/install.sh index 6c876a1..fb095f0 100755 --- a/install.sh +++ b/install.sh @@ -90,6 +90,7 @@ if [[ $resources -eq 0 ]] ; then if [[ "$CLICON_DIR" = "" ]] ; then echo -e "\n\tYou must define the CLICON_DIR evironment variable to run this script\n" + echo -e "\tRecommendation: 'cd' to the directory containing this script and execute 'export CLICON_DIR=$(pwd)'" else From 3410857e95e40ea0b18fe28d75f7d733b8e124d6 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Mon, 1 Sep 2014 20:27:59 -0400 Subject: [PATCH 323/393] Update install.sh --- install.sh | 1 + 1 file changed, 1 insertion(+) diff --git a/install.sh b/install.sh index 6c876a1..fb095f0 100755 --- a/install.sh +++ b/install.sh @@ -90,6 +90,7 @@ if [[ $resources -eq 0 ]] ; then if [[ "$CLICON_DIR" = "" ]] ; then echo -e "\n\tYou must define the CLICON_DIR evironment variable to run this script\n" + echo -e "\tRecommendation: 'cd' to the directory containing this script and execute 'export CLICON_DIR=$(pwd)'" else From 267a055225835bc577ddb030c74c8bf24362a255 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Mon, 1 Sep 2014 20:48:28 -0400 Subject: [PATCH 324/393] update install.sh --- install.sh | 8 ++++++-- 1 file changed, 6 insertions(+), 2 deletions(-) diff --git a/install.sh b/install.sh index 6c876a1..ba26bc8 100755 --- a/install.sh +++ b/install.sh @@ -116,15 +116,19 @@ if [[ $resources -eq 0 ]] ; then setup_output="setup_output.txt" echo "Building executable 'clicon' script" python setup.py install &> $setup_output + success=$? + echo "success: $success" echo -e "'clicon' script built\n" # Successful - if [[ $? == 0 ]] ; then + if [[ $success == 0 ]] ; then echo "CliCon successfully installed" else - echo "CliCon installation failure" + echo -e "CliCon installation failure\n" + echo "---------------------FAILURE-------------------------" cat $setup_output + echo "-----------------------------------------------------" fi From 7f094b729940f7f723e3eea20d5d7977fd950d36 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Mon, 1 Sep 2014 20:48:28 -0400 Subject: [PATCH 325/393] update install.sh --- install.sh | 8 ++++++-- 1 file changed, 6 insertions(+), 2 deletions(-) diff --git a/install.sh b/install.sh index 6c876a1..ba26bc8 100755 --- a/install.sh +++ b/install.sh @@ -116,15 +116,19 @@ if [[ $resources -eq 0 ]] ; then setup_output="setup_output.txt" echo "Building executable 'clicon' script" python setup.py install &> $setup_output + success=$? + echo "success: $success" echo -e "'clicon' script built\n" # Successful - if [[ $? == 0 ]] ; then + if [[ $success == 0 ]] ; then echo "CliCon successfully installed" else - echo "CliCon installation failure" + echo -e "CliCon installation failure\n" + echo "---------------------FAILURE-------------------------" cat $setup_output + echo "-----------------------------------------------------" fi From d4b27e3878ff7be7e4ce6e027a76c31b18064970 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Mon, 1 Sep 2014 20:51:20 -0400 Subject: [PATCH 326/393] Update install.sh --- install.sh | 1 - 1 file changed, 1 deletion(-) diff --git a/install.sh b/install.sh index 5870dab..dc843d1 100755 --- a/install.sh +++ b/install.sh @@ -118,7 +118,6 @@ if [[ $resources -eq 0 ]] ; then echo "Building executable 'clicon' script" python setup.py install &> $setup_output success=$? - echo "success: $success" echo -e "'clicon' script built\n" From ddff571e2e18c55167990e493ff68271ad05359c Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Mon, 1 Sep 2014 20:51:20 -0400 Subject: [PATCH 327/393] Update install.sh --- install.sh | 1 - 1 file changed, 1 deletion(-) diff --git a/install.sh b/install.sh index 5870dab..dc843d1 100755 --- a/install.sh +++ b/install.sh @@ -118,7 +118,6 @@ if [[ $resources -eq 0 ]] ; then echo "Building executable 'clicon' script" python setup.py install &> $setup_output success=$? - echo "success: $success" echo -e "'clicon' script built\n" From d2ee78fa240cc57441b481a88d304aa544e9e576 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Mon, 1 Sep 2014 21:32:26 -0400 Subject: [PATCH 328/393] Update install.sh --- install.sh | 4 ++-- 1 file changed, 2 insertions(+), 2 deletions(-) diff --git a/install.sh b/install.sh index dc843d1..b94711f 100755 --- a/install.sh +++ b/install.sh @@ -89,8 +89,8 @@ if [[ $resources -eq 0 ]] ; then # CLICON_DIR must be defined before proceeding if [[ "$CLICON_DIR" = "" ]] ; then - echo -e "\n\tYou must define the CLICON_DIR evironment variable to run this script\n" - echo -e "\tRecommendation: 'cd' to the directory containing this script and execute 'export CLICON_DIR=$(pwd)'" + echo -e "\n\tYou must define the CLICON_DIR evironment variable to run this script" + echo -e "\tRecommendation: 'cd' to the directory containing this script and execute 'export CLICON_DIR=$(pwd)'\n" else From 89127cccb2ad2e9124af1a081eeb8877168a0bc1 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Mon, 1 Sep 2014 21:32:26 -0400 Subject: [PATCH 329/393] Update install.sh --- install.sh | 4 ++-- 1 file changed, 2 insertions(+), 2 deletions(-) diff --git a/install.sh b/install.sh index dc843d1..b94711f 100755 --- a/install.sh +++ b/install.sh @@ -89,8 +89,8 @@ if [[ $resources -eq 0 ]] ; then # CLICON_DIR must be defined before proceeding if [[ "$CLICON_DIR" = "" ]] ; then - echo -e "\n\tYou must define the CLICON_DIR evironment variable to run this script\n" - echo -e "\tRecommendation: 'cd' to the directory containing this script and execute 'export CLICON_DIR=$(pwd)'" + echo -e "\n\tYou must define the CLICON_DIR evironment variable to run this script" + echo -e "\tRecommendation: 'cd' to the directory containing this script and execute 'export CLICON_DIR=$(pwd)'\n" else From dd53b54fbf64a51231a35f0f87ed6b543a8666fe Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Mon, 1 Sep 2014 21:38:50 -0400 Subject: [PATCH 330/393] add genia cache --- clicon/features_dir/genia/genia_cache.py | 24 ++++++++++++++++++++++++ 1 file changed, 24 insertions(+) create mode 100644 clicon/features_dir/genia/genia_cache.py diff --git a/clicon/features_dir/genia/genia_cache.py b/clicon/features_dir/genia/genia_cache.py new file mode 100644 index 0000000..128ad87 --- /dev/null +++ b/clicon/features_dir/genia/genia_cache.py @@ -0,0 +1,24 @@ +import cPickle as pickle +import os + +class GeniaCache: + def __init__(self): + try: + prefix = os.path.dirname(__file__) + self.filename = os.path.join( prefix, 'genia_cache' ) + self.cache = pickle.load( open( self.filename , "rb" ) ) ; + except IOError: + self.cache = {} + + def has_key(self, key): + return self.cache.has_key( str(key) ) + + def add_map(self, key, value): + self.cache[ str(key) ] = value + + def get_map(self, key): + return self.cache[ str(key) ] + + def __del__(self): + pickle.dump( self.cache, open( self.filename, "wb" ) ) + From e3dd34d2fb51b2caf4d2940223f9a32e00210b43 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Mon, 1 Sep 2014 21:38:50 -0400 Subject: [PATCH 331/393] add genia cache --- clicon/features_dir/genia/genia_cache.py | 24 ++++++++++++++++++++++++ 1 file changed, 24 insertions(+) create mode 100644 clicon/features_dir/genia/genia_cache.py diff --git a/clicon/features_dir/genia/genia_cache.py b/clicon/features_dir/genia/genia_cache.py new file mode 100644 index 0000000..128ad87 --- /dev/null +++ b/clicon/features_dir/genia/genia_cache.py @@ -0,0 +1,24 @@ +import cPickle as pickle +import os + +class GeniaCache: + def __init__(self): + try: + prefix = os.path.dirname(__file__) + self.filename = os.path.join( prefix, 'genia_cache' ) + self.cache = pickle.load( open( self.filename , "rb" ) ) ; + except IOError: + self.cache = {} + + def has_key(self, key): + return self.cache.has_key( str(key) ) + + def add_map(self, key, value): + self.cache[ str(key) ] = value + + def get_map(self, key): + return self.cache[ str(key) ] + + def __del__(self): + pickle.dump( self.cache, open( self.filename, "wb" ) ) + From 84f0eeb5c4dc5e6633c9ebadfed1f946df69afbc Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Mon, 1 Sep 2014 21:48:54 -0400 Subject: [PATCH 332/393] go back to new eval script --- clicon/evaluate.py | 400 ++++++++++++++++++++++++++++++++++++++------- 1 file changed, 345 insertions(+), 55 deletions(-) diff --git a/clicon/evaluate.py b/clicon/evaluate.py index dcd660f..b5c5af6 100644 --- a/clicon/evaluate.py +++ b/clicon/evaluate.py @@ -9,6 +9,267 @@ from model import labels from note import * +def containsSpan(s1, s2): + return (s1[0] <= s2[0]) and (s2[1] <= s1[1]) + +def spanOverlap(s1, s2): + if s2[0] <= s1[0] <= s2[1]: return True + if s2[0] <= s1[1] <= s2[1]: return True + if s1[0] <= s2[0] <= s1[1]: return True + if s1[0] <= s2[1] <= s1[1]: return True + return False + +def getConceptSpans(boundaries, classifications): + + conceptSpans = {} + + for lineIndex, span in enumerate(boundaries): + for boundaryIndex, boundary in enumerate(span): + if boundary == 'B': + + concept = classifications[lineIndex][boundaryIndex] + beginning = boundaryIndex + end = boundaryIndex + + if conceptSpans.has_key(lineIndex) == False: + conceptSpans[lineIndex] = {} + + for possibleEnd in span[boundaryIndex+1:]: + if possibleEnd == 'B' or possibleEnd == 'O': + break + if possibleEnd == 'I': + end += 1 + conceptSpans[lineIndex].update({(beginning,end):concept}) + + return conceptSpans + +def evaluate(referenceSpans, predictedSpans, exactMatch=False, reportSeperately=False): + + #used to generate a dictionary of dictionaries + #of the form measuresForClasses["treatment"]["True Positives"] -> Number of True Positives for treatment classes + classes = [ + "treatment", + "problem", + "test" + ] + + measures = { + "True Positives":0, + "False Negatives":0, + "False Positives":0 + } + + confusion = [[0] * len(labels) for e in labels] + + #TO DO: figure out how to report concepts seperately and have it work with reporting together as well. + + measuresForClasses = {classKey:deepcopy(measures) for classKey in dict.fromkeys(classes)} + + falseNegs = [] + + for line in referenceSpans: + + #if the line does not exist for whatever reason for all spans on that line + #mark them as false negative + if line not in predictedSpans: + for spanNotInPredictedSpan in referenceSpans[line]: + classification = referenceSpans[line][spanNotInPredictedSpan] + measuresForClasses[classification]["False Negatives"] +=1 + confusion[labels[classification]][labels['none']] += 1 + continue + + if exactMatch == True: + + for span in referenceSpans[line]: + + classInRefSpan = referenceSpans[line][span] + + # if the span exists & concept matches, then true positive + if span in predictedSpans[line]: + + classInPredSpan = predictedSpans[line][span] + + if referenceSpans[line][span] == predictedSpans[line][span]: + measuresForClasses[classInRefSpan]["True Positives"] += 1 + else: + measuresForClasses[classInRefSpan]["False Negatives"] += 1 + confusion[labels[classInRefSpan]][labels[classInPredSpan]] += 1 + predictedSpans[line].pop(span) + + else: + + overlap = False + for pSpan,v in predictedSpans[line].items(): + #if containsSpan(span, pSpan): + if spanOverlap(span, pSpan): # or spanOverlap(pSpan,span): + overlap = True + + if not overlap: + measuresForClasses[classInRefSpan]["False Negatives"] += 1 + confusion[labels[classInRefSpan]][labels['none']] += 1 + + else: + + #find true positives for inexact spans + accountedFor = {} + for span in referenceSpans[line]: + + accountedFor[span] = False + classInRefSpan = referenceSpans[line][span] + + longestMatchingSpanWithMatchingClassification = {"Predicted Span":None, "Predicted Span length":None, "Predicted Concept":None} + + + for predictedSpan in predictedSpans[line]: + + classinPredSpan = predictedSpans[line][predictedSpan] + + #FIND LONGEST OVERLAP + if predictedSpan[0] >= span[0] and predictedSpan[0] <= span[1] \ + or predictedSpan[1] >= span[0] and predictedSpan[1] <= span[1]: + + #find longest span with match + if classInRefSpan == classinPredSpan: + + if longestMatchingSpanWithMatchingClassification["Predicted Span length"] <(predictedSpan[1] - predictedSpan[0]): + longestMatchingSpanWithMatchingClassification["Predicted Span length"] = (predictedSpan[1] - predictedSpan[0]) + longestMatchingSpanWithMatchingClassification["Predicted Concept"] = classinPredSpan + longestMatchingSpanWithMatchingClassification["Predicted Span"] = predictedSpan + + #if there is an overlapping concept match report true positive + if longestMatchingSpanWithMatchingClassification['Predicted Span'] != None: + accountedFor[span] = True + measuresForClasses[classInRefSpan]["True Positives"] += 1 + confusion[labels[classInRefSpan]][labels[longestMatchingSpanWithMatchingClassification["Predicted Concept"]]] += 1 + predictedSpans[line].pop(longestMatchingSpanWithMatchingClassification["Predicted Span"]) + + + #find the false negatives for inexact spans + for span in referenceSpans[line]: + #already accounted for + if accountedFor[span] == True: + continue + + classInRefSpan = referenceSpans[line][span] + + longestMatchingSpan = {"Predicted Span":None, "Predicted Span length":None, "Predicted Concept":None} + for predictedSpan in predictedSpans[line]: + classinPredSpan = predictedSpans[line][predictedSpan] + + #FIND LONGEST OVERLAP + if predictedSpan[0] >= span[0] and predictedSpan[0] <= span[1] \ + or predictedSpan[1] >= span[0] and predictedSpan[1] <= span[1]: + + if longestMatchingSpan["Predicted Span length"] <(predictedSpan[1] - predictedSpan[0]): + longestMatchingSpan["Predicted Span length"] = (predictedSpan[1] - predictedSpan[0]) + longestMatchingSpan["Predicted Concept"] = classinPredSpan + longestMatchingSpan["Predicted Span"] = predictedSpan + + if longestMatchingSpan['Predicted Span'] != None: + measuresForClasses[classInRefSpan]["False Negatives"] += 1 + confusion[labels[classInRefSpan]][labels[longestMatchingSpan["Predicted Concept"]]] += 1 + predictedSpans[line].pop(longestMatchingSpan["Predicted Span"]) + else: + measuresForClasses[classInRefSpan]["False Negatives"] += 1 + confusion[labels[classInRefSpan]][labels['none']] += 1 + #predictedSpans[line].pop(span) + + + #for all the spans that are in predicted that are left. these are false positives + #as they do not occur in the reference spans. + leftover = deepcopy(predictedSpans) + for line in predictedSpans: + for span in predictedSpans[line]: + + classInPredSpan = predictedSpans[line][span] + + if True: + measuresForClasses[classInPredSpan]["False Positives"] += 1 + confusion[labels['none']][labels[classInPredSpan]] += 1 + leftover[line].pop(span) + + + #if false then do not report concepts + if reportSeperately == False: + truePositive = 0 + falseNegative = 0 + falsePositive = 0 + for dictKey in measuresForClasses: + truePositive += measuresForClasses[dictKey]["True Positives"] + falseNegative += measuresForClasses[dictKey]["False Negatives"] + falsePositive += measuresForClasses[dictKey]["False Positives"] + + return {"True Positives":truePositive, "False Negatives":falseNegative, "False Positives":falsePositive} + else: + return confusion + +def displayMatrix(out, name, confusion): + # Display the confusion matrix + print >>out, "" + print >>out, "" + print >>out, "" + print >>out, "================" + print >>out, name + " RESULTS" + print >>out, "================" + print >>out, "" + print >>out, "Confusion Matrix" + pad = max(len(l) for l in labels) + 6 + print >>out, "%s %s" % (' ' * pad, "\t".join(labels.keys())) + for act, act_v in labels.items(): + print >>out, "%s %s" % (act.rjust(pad), "\t".join([str(confusion[act_v][pre_v]) for pre, pre_v in labels.items()])) + print >>out, "" + + + # Compute the analysis stuff + precision = [] + recall = [] + specificity = [] + f1 = [] + + tp = 0 + fp = 0 + fn = 0 + tn = 0 + + print >>out, "Analysis" + print >>out, " " * pad, "Precision\tRecall\tF1" + + + for lab, lab_v in labels.items(): + if lab == 'none': continue + + tp = confusion[lab_v][lab_v] + fp = sum(confusion[v][lab_v] for k, v in labels.items() if v != lab_v) + fn = sum(confusion[lab_v][v] for k, v in labels.items() if v != lab_v) + + precision += [float(tp) / (tp + fp + 1e-100)] + recall += [float(tp) / (tp + fn + 1e-100)] + f1 += [float(2 * tp) / (2 * tp + fp + fn + 1e-100)] + print >>out, "%s %.4f\t%.4f\t%.4f" % (lab.rjust(pad), precision[-1], recall[-1], f1[-1]) + + print >>out, "--------" + + precision = sum(precision) / len(precision) + recall = sum(recall) / len(recall) + f1 = sum(f1) / len(f1) + + print >>out, "Average: %.4f\t%.4f\t%.4f" % (precision, recall, f1) + + + +def generateResultsForExactSpans(truePositive, falseNegative, falsePositive): + + #convert to float implicitly incase of any truncation + truePositive = float(truePositive) + flaseNegative = float(falseNegative) + falsePositive = float(falsePositive) + + recall = truePositive / (truePositive + falseNegative) + precision = truePositive / (truePositive + falsePositive) + fScore = (2*truePositive) / (2*truePositive + falseNegative + falsePositive) + + #convert to percent + return {"Recall":(recall * 100), "Precision":(precision * 100), "F Score":(fScore * 100)} def main(): @@ -88,85 +349,114 @@ def main(): if k in pred_files_map and k in ref_files_map: files.append((txt_files_map[k], pred_files_map[k], ref_files_map[k])) + # txt <- medical text + # annotations <- predictions + # gold <- gold standard + + + truePositivesExactSpan = 0 + falseNegativesExactSpan = 0 + falsePositivesExactSpan = 0 + + truePositivesInexactSpan = 0 + falseNegativesInexactSpan = 0 + falsePositivesInexactSpan = 0 confusion = [[0] * len(labels) for e in labels] + confusionMatrixExactSpan = deepcopy(confusion) + confusionMatrixInexactSpan = deepcopy(confusion) - # txt <- medical text - # annotations <- predictions - # gold <- gold standard - for txt, con, ref in files: - # A note that represents the model's predictions - cnote = Note() - cnote.read_i2b2( txt, con ) - # A note that is the actual concept labels + for txt, annotations, gold in files: + + # Read predictions and gols standard data + cnote = Note() rnote = Note() - rnote.read_i2b2( txt, ref ) + if args.format == 'i2b2': + cnote.read_i2b2(txt, annotations) + rnote.read_i2b2(txt, gold) + else: + cnote.read_xml(annotations) + rnote.read_xml(gold) - # Get corresponding concept labels (prediction vs. actual) - for c, r in zip( cnote.conlist(), rnote.conlist() ): - for c, r in zip(c, r): - confusion[labels[r]][labels[c]] += 1 + referenceSpans = getConceptSpans(rnote.boundaries, rnote.conlist()) + predictedSpans = getConceptSpans(cnote.boundaries, cnote.conlist()) + #TO DO: i need to generate a cumulative total accross all of the files + #modify my functions slightly and have it return the number of true positive and etc... + #then call generate results + exactResults = evaluate(deepcopy(referenceSpans), deepcopy(predictedSpans), exactMatch=True, reportSeperately=False) - # Display the confusion matrix - print >>args.output, "" - print >>args.output, "" - print >>args.output, "" - print >>args.output, "================" - print >>args.output, " RESULTS" - print >>args.output, "================" - print >>args.output, "" - print >>args.output, "Confusion Matrix" - pad = max(len(l) for l in labels) + 6 - print >>args.output, "%s %s" % (' ' * pad, "\t".join(labels.keys())) - for act, act_v in labels.items(): - print >>args.output, "%s %s" % (act.rjust(pad), "\t".join([str(confusion[act_v][pre_v]) for pre, pre_v in labels.items()])) - print >>args.output, "" + inexactResults = evaluate(deepcopy(referenceSpans), deepcopy(predictedSpans), exactMatch=False, reportSeperately=False) + truePositivesExactSpan += exactResults["True Positives"] + falseNegativesExactSpan += exactResults["False Negatives"] + falsePositivesExactSpan += exactResults["False Positives"] - # Compute the analysis stuff - precision = [] - recall = [] - specificity = [] - f1 = [] - tp = 0 - fp = 0 - fn = 0 - tn = 0 + inexactResults = evaluate(deepcopy(referenceSpans), deepcopy(predictedSpans), exactMatch=False, reportSeperately=False) - print >>args.output, "Analysis" - print >>args.output, " " * pad, "Precision\tRecall\tF1" + truePositivesInexactSpan += inexactResults["True Positives"] + falseNegativesInexactSpan += inexactResults["False Negatives"] + falsePositivesInexactSpan += inexactResults["False Positives"] + MatrixInexactSpan = evaluate(deepcopy(referenceSpans), deepcopy(predictedSpans), exactMatch=False, reportSeperately=True) + for sublist1, sublist2 in zip(confusionMatrixInexactSpan, MatrixInexactSpan): + for i,int2 in enumerate(sublist2): + sublist1[i] += int2 - for lab, lab_v in labels.items(): - tp = confusion[lab_v][lab_v] - fp = sum(confusion[v][lab_v] for k, v in labels.items() if v != lab_v) - fn = sum(confusion[lab_v][v] for k, v in labels.items() if v != lab_v) - tn = sum(confusion[v1][v2] for k1, v1 in labels.items() - for k2, v2 in labels.items() if v1 != lab_v and v2 != lab_v) - precision += [float(tp) / (tp + fp + 1e-100)] - recall += [float(tp) / (tp + fn + 1e-100)] - specificity += [float(tn) / (tn + fp + 1e-100)] - f1 += [float(2 * tp) / (2 * tp + fp + fn + 1e-100)] - print >>args.output, "%s %.4f\t%.4f\t%.4f\t%.4f" % (lab.rjust(pad), precision[-1], recall[-1], specificity[-1], f1[-1]) + MatrixExactSpan = evaluate(deepcopy(referenceSpans), deepcopy(predictedSpans), exactMatch=True, reportSeperately=True) - print >>args.output, "--------" + for sublist1, sublist2 in zip(confusionMatrixExactSpan, MatrixExactSpan): + for i,int2 in enumerate(sublist2): + sublist1[i] += int2 - precision = sum(precision) / len(precision) - recall = sum(recall) / len(recall) - specificity = sum(specificity) / len(specificity) - f1 = sum(f1) / len(f1) + print "\nResults for exact span for concepts together.\n" + + print "True Positives: ", truePositivesExactSpan + print "False Negatives: ", falseNegativesExactSpan + print "False Positives: ", falsePositivesExactSpan + + exactSpan = generateResultsForExactSpans(truePositivesExactSpan, + falseNegativesExactSpan, + falsePositivesExactSpan) + + print "Recall: ", exactSpan["Recall"] + print "Precision: ", exactSpan["Precision"] + print "F Measure: ", exactSpan["F Score"] - print >>args.output, "Average: %.4f\t%.4f\t%.4f\t%.4f" % (precision, recall, specificity, f1) + inexactSpan = generateResultsForExactSpans(truePositivesInexactSpan, + falseNegativesInexactSpan, + falsePositivesInexactSpan) + print "\nResults for inexact span for concepts together.\n" + print "True Positives: ", truePositivesInexactSpan + print "False Negatives: ", falseNegativesInexactSpan + print "False Positives: ", falsePositivesInexactSpan + + print "Recall: ", inexactSpan["Recall"] + print "Precision: ", inexactSpan["Precision"] + print "F Measure: ", inexactSpan["F Score"] + + #TO DO: ENSURE NUMBER OF FP,FN,TP is equal to number of predicted spans + #TO DO: number of FP, FN, TP is not same between exact and inexact. + + #LEFT OFF HERE. FIX DISPLAY FUNCTION + + displayMatrix(args.output, 'Exact' , confusionMatrixExactSpan) + displayMatrix(args.output, 'Inexact', confusionMatrixInexactSpan) + + + #print evaluate(deepcopy(referenceSpans), deepcopy(predictedSpans), exactMatch=False, reportSeperately=True) + + return if __name__ == '__main__': main() + From 55cdc30fb3900e1fa077a58237ed044601574386 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Mon, 1 Sep 2014 21:48:54 -0400 Subject: [PATCH 333/393] go back to new eval script --- clicon/evaluate.py | 400 ++++++++++++++++++++++++++++++++++++++------- 1 file changed, 345 insertions(+), 55 deletions(-) diff --git a/clicon/evaluate.py b/clicon/evaluate.py index dcd660f..b5c5af6 100644 --- a/clicon/evaluate.py +++ b/clicon/evaluate.py @@ -9,6 +9,267 @@ from model import labels from note import * +def containsSpan(s1, s2): + return (s1[0] <= s2[0]) and (s2[1] <= s1[1]) + +def spanOverlap(s1, s2): + if s2[0] <= s1[0] <= s2[1]: return True + if s2[0] <= s1[1] <= s2[1]: return True + if s1[0] <= s2[0] <= s1[1]: return True + if s1[0] <= s2[1] <= s1[1]: return True + return False + +def getConceptSpans(boundaries, classifications): + + conceptSpans = {} + + for lineIndex, span in enumerate(boundaries): + for boundaryIndex, boundary in enumerate(span): + if boundary == 'B': + + concept = classifications[lineIndex][boundaryIndex] + beginning = boundaryIndex + end = boundaryIndex + + if conceptSpans.has_key(lineIndex) == False: + conceptSpans[lineIndex] = {} + + for possibleEnd in span[boundaryIndex+1:]: + if possibleEnd == 'B' or possibleEnd == 'O': + break + if possibleEnd == 'I': + end += 1 + conceptSpans[lineIndex].update({(beginning,end):concept}) + + return conceptSpans + +def evaluate(referenceSpans, predictedSpans, exactMatch=False, reportSeperately=False): + + #used to generate a dictionary of dictionaries + #of the form measuresForClasses["treatment"]["True Positives"] -> Number of True Positives for treatment classes + classes = [ + "treatment", + "problem", + "test" + ] + + measures = { + "True Positives":0, + "False Negatives":0, + "False Positives":0 + } + + confusion = [[0] * len(labels) for e in labels] + + #TO DO: figure out how to report concepts seperately and have it work with reporting together as well. + + measuresForClasses = {classKey:deepcopy(measures) for classKey in dict.fromkeys(classes)} + + falseNegs = [] + + for line in referenceSpans: + + #if the line does not exist for whatever reason for all spans on that line + #mark them as false negative + if line not in predictedSpans: + for spanNotInPredictedSpan in referenceSpans[line]: + classification = referenceSpans[line][spanNotInPredictedSpan] + measuresForClasses[classification]["False Negatives"] +=1 + confusion[labels[classification]][labels['none']] += 1 + continue + + if exactMatch == True: + + for span in referenceSpans[line]: + + classInRefSpan = referenceSpans[line][span] + + # if the span exists & concept matches, then true positive + if span in predictedSpans[line]: + + classInPredSpan = predictedSpans[line][span] + + if referenceSpans[line][span] == predictedSpans[line][span]: + measuresForClasses[classInRefSpan]["True Positives"] += 1 + else: + measuresForClasses[classInRefSpan]["False Negatives"] += 1 + confusion[labels[classInRefSpan]][labels[classInPredSpan]] += 1 + predictedSpans[line].pop(span) + + else: + + overlap = False + for pSpan,v in predictedSpans[line].items(): + #if containsSpan(span, pSpan): + if spanOverlap(span, pSpan): # or spanOverlap(pSpan,span): + overlap = True + + if not overlap: + measuresForClasses[classInRefSpan]["False Negatives"] += 1 + confusion[labels[classInRefSpan]][labels['none']] += 1 + + else: + + #find true positives for inexact spans + accountedFor = {} + for span in referenceSpans[line]: + + accountedFor[span] = False + classInRefSpan = referenceSpans[line][span] + + longestMatchingSpanWithMatchingClassification = {"Predicted Span":None, "Predicted Span length":None, "Predicted Concept":None} + + + for predictedSpan in predictedSpans[line]: + + classinPredSpan = predictedSpans[line][predictedSpan] + + #FIND LONGEST OVERLAP + if predictedSpan[0] >= span[0] and predictedSpan[0] <= span[1] \ + or predictedSpan[1] >= span[0] and predictedSpan[1] <= span[1]: + + #find longest span with match + if classInRefSpan == classinPredSpan: + + if longestMatchingSpanWithMatchingClassification["Predicted Span length"] <(predictedSpan[1] - predictedSpan[0]): + longestMatchingSpanWithMatchingClassification["Predicted Span length"] = (predictedSpan[1] - predictedSpan[0]) + longestMatchingSpanWithMatchingClassification["Predicted Concept"] = classinPredSpan + longestMatchingSpanWithMatchingClassification["Predicted Span"] = predictedSpan + + #if there is an overlapping concept match report true positive + if longestMatchingSpanWithMatchingClassification['Predicted Span'] != None: + accountedFor[span] = True + measuresForClasses[classInRefSpan]["True Positives"] += 1 + confusion[labels[classInRefSpan]][labels[longestMatchingSpanWithMatchingClassification["Predicted Concept"]]] += 1 + predictedSpans[line].pop(longestMatchingSpanWithMatchingClassification["Predicted Span"]) + + + #find the false negatives for inexact spans + for span in referenceSpans[line]: + #already accounted for + if accountedFor[span] == True: + continue + + classInRefSpan = referenceSpans[line][span] + + longestMatchingSpan = {"Predicted Span":None, "Predicted Span length":None, "Predicted Concept":None} + for predictedSpan in predictedSpans[line]: + classinPredSpan = predictedSpans[line][predictedSpan] + + #FIND LONGEST OVERLAP + if predictedSpan[0] >= span[0] and predictedSpan[0] <= span[1] \ + or predictedSpan[1] >= span[0] and predictedSpan[1] <= span[1]: + + if longestMatchingSpan["Predicted Span length"] <(predictedSpan[1] - predictedSpan[0]): + longestMatchingSpan["Predicted Span length"] = (predictedSpan[1] - predictedSpan[0]) + longestMatchingSpan["Predicted Concept"] = classinPredSpan + longestMatchingSpan["Predicted Span"] = predictedSpan + + if longestMatchingSpan['Predicted Span'] != None: + measuresForClasses[classInRefSpan]["False Negatives"] += 1 + confusion[labels[classInRefSpan]][labels[longestMatchingSpan["Predicted Concept"]]] += 1 + predictedSpans[line].pop(longestMatchingSpan["Predicted Span"]) + else: + measuresForClasses[classInRefSpan]["False Negatives"] += 1 + confusion[labels[classInRefSpan]][labels['none']] += 1 + #predictedSpans[line].pop(span) + + + #for all the spans that are in predicted that are left. these are false positives + #as they do not occur in the reference spans. + leftover = deepcopy(predictedSpans) + for line in predictedSpans: + for span in predictedSpans[line]: + + classInPredSpan = predictedSpans[line][span] + + if True: + measuresForClasses[classInPredSpan]["False Positives"] += 1 + confusion[labels['none']][labels[classInPredSpan]] += 1 + leftover[line].pop(span) + + + #if false then do not report concepts + if reportSeperately == False: + truePositive = 0 + falseNegative = 0 + falsePositive = 0 + for dictKey in measuresForClasses: + truePositive += measuresForClasses[dictKey]["True Positives"] + falseNegative += measuresForClasses[dictKey]["False Negatives"] + falsePositive += measuresForClasses[dictKey]["False Positives"] + + return {"True Positives":truePositive, "False Negatives":falseNegative, "False Positives":falsePositive} + else: + return confusion + +def displayMatrix(out, name, confusion): + # Display the confusion matrix + print >>out, "" + print >>out, "" + print >>out, "" + print >>out, "================" + print >>out, name + " RESULTS" + print >>out, "================" + print >>out, "" + print >>out, "Confusion Matrix" + pad = max(len(l) for l in labels) + 6 + print >>out, "%s %s" % (' ' * pad, "\t".join(labels.keys())) + for act, act_v in labels.items(): + print >>out, "%s %s" % (act.rjust(pad), "\t".join([str(confusion[act_v][pre_v]) for pre, pre_v in labels.items()])) + print >>out, "" + + + # Compute the analysis stuff + precision = [] + recall = [] + specificity = [] + f1 = [] + + tp = 0 + fp = 0 + fn = 0 + tn = 0 + + print >>out, "Analysis" + print >>out, " " * pad, "Precision\tRecall\tF1" + + + for lab, lab_v in labels.items(): + if lab == 'none': continue + + tp = confusion[lab_v][lab_v] + fp = sum(confusion[v][lab_v] for k, v in labels.items() if v != lab_v) + fn = sum(confusion[lab_v][v] for k, v in labels.items() if v != lab_v) + + precision += [float(tp) / (tp + fp + 1e-100)] + recall += [float(tp) / (tp + fn + 1e-100)] + f1 += [float(2 * tp) / (2 * tp + fp + fn + 1e-100)] + print >>out, "%s %.4f\t%.4f\t%.4f" % (lab.rjust(pad), precision[-1], recall[-1], f1[-1]) + + print >>out, "--------" + + precision = sum(precision) / len(precision) + recall = sum(recall) / len(recall) + f1 = sum(f1) / len(f1) + + print >>out, "Average: %.4f\t%.4f\t%.4f" % (precision, recall, f1) + + + +def generateResultsForExactSpans(truePositive, falseNegative, falsePositive): + + #convert to float implicitly incase of any truncation + truePositive = float(truePositive) + flaseNegative = float(falseNegative) + falsePositive = float(falsePositive) + + recall = truePositive / (truePositive + falseNegative) + precision = truePositive / (truePositive + falsePositive) + fScore = (2*truePositive) / (2*truePositive + falseNegative + falsePositive) + + #convert to percent + return {"Recall":(recall * 100), "Precision":(precision * 100), "F Score":(fScore * 100)} def main(): @@ -88,85 +349,114 @@ def main(): if k in pred_files_map and k in ref_files_map: files.append((txt_files_map[k], pred_files_map[k], ref_files_map[k])) + # txt <- medical text + # annotations <- predictions + # gold <- gold standard + + + truePositivesExactSpan = 0 + falseNegativesExactSpan = 0 + falsePositivesExactSpan = 0 + + truePositivesInexactSpan = 0 + falseNegativesInexactSpan = 0 + falsePositivesInexactSpan = 0 confusion = [[0] * len(labels) for e in labels] + confusionMatrixExactSpan = deepcopy(confusion) + confusionMatrixInexactSpan = deepcopy(confusion) - # txt <- medical text - # annotations <- predictions - # gold <- gold standard - for txt, con, ref in files: - # A note that represents the model's predictions - cnote = Note() - cnote.read_i2b2( txt, con ) - # A note that is the actual concept labels + for txt, annotations, gold in files: + + # Read predictions and gols standard data + cnote = Note() rnote = Note() - rnote.read_i2b2( txt, ref ) + if args.format == 'i2b2': + cnote.read_i2b2(txt, annotations) + rnote.read_i2b2(txt, gold) + else: + cnote.read_xml(annotations) + rnote.read_xml(gold) - # Get corresponding concept labels (prediction vs. actual) - for c, r in zip( cnote.conlist(), rnote.conlist() ): - for c, r in zip(c, r): - confusion[labels[r]][labels[c]] += 1 + referenceSpans = getConceptSpans(rnote.boundaries, rnote.conlist()) + predictedSpans = getConceptSpans(cnote.boundaries, cnote.conlist()) + #TO DO: i need to generate a cumulative total accross all of the files + #modify my functions slightly and have it return the number of true positive and etc... + #then call generate results + exactResults = evaluate(deepcopy(referenceSpans), deepcopy(predictedSpans), exactMatch=True, reportSeperately=False) - # Display the confusion matrix - print >>args.output, "" - print >>args.output, "" - print >>args.output, "" - print >>args.output, "================" - print >>args.output, " RESULTS" - print >>args.output, "================" - print >>args.output, "" - print >>args.output, "Confusion Matrix" - pad = max(len(l) for l in labels) + 6 - print >>args.output, "%s %s" % (' ' * pad, "\t".join(labels.keys())) - for act, act_v in labels.items(): - print >>args.output, "%s %s" % (act.rjust(pad), "\t".join([str(confusion[act_v][pre_v]) for pre, pre_v in labels.items()])) - print >>args.output, "" + inexactResults = evaluate(deepcopy(referenceSpans), deepcopy(predictedSpans), exactMatch=False, reportSeperately=False) + truePositivesExactSpan += exactResults["True Positives"] + falseNegativesExactSpan += exactResults["False Negatives"] + falsePositivesExactSpan += exactResults["False Positives"] - # Compute the analysis stuff - precision = [] - recall = [] - specificity = [] - f1 = [] - tp = 0 - fp = 0 - fn = 0 - tn = 0 + inexactResults = evaluate(deepcopy(referenceSpans), deepcopy(predictedSpans), exactMatch=False, reportSeperately=False) - print >>args.output, "Analysis" - print >>args.output, " " * pad, "Precision\tRecall\tF1" + truePositivesInexactSpan += inexactResults["True Positives"] + falseNegativesInexactSpan += inexactResults["False Negatives"] + falsePositivesInexactSpan += inexactResults["False Positives"] + MatrixInexactSpan = evaluate(deepcopy(referenceSpans), deepcopy(predictedSpans), exactMatch=False, reportSeperately=True) + for sublist1, sublist2 in zip(confusionMatrixInexactSpan, MatrixInexactSpan): + for i,int2 in enumerate(sublist2): + sublist1[i] += int2 - for lab, lab_v in labels.items(): - tp = confusion[lab_v][lab_v] - fp = sum(confusion[v][lab_v] for k, v in labels.items() if v != lab_v) - fn = sum(confusion[lab_v][v] for k, v in labels.items() if v != lab_v) - tn = sum(confusion[v1][v2] for k1, v1 in labels.items() - for k2, v2 in labels.items() if v1 != lab_v and v2 != lab_v) - precision += [float(tp) / (tp + fp + 1e-100)] - recall += [float(tp) / (tp + fn + 1e-100)] - specificity += [float(tn) / (tn + fp + 1e-100)] - f1 += [float(2 * tp) / (2 * tp + fp + fn + 1e-100)] - print >>args.output, "%s %.4f\t%.4f\t%.4f\t%.4f" % (lab.rjust(pad), precision[-1], recall[-1], specificity[-1], f1[-1]) + MatrixExactSpan = evaluate(deepcopy(referenceSpans), deepcopy(predictedSpans), exactMatch=True, reportSeperately=True) - print >>args.output, "--------" + for sublist1, sublist2 in zip(confusionMatrixExactSpan, MatrixExactSpan): + for i,int2 in enumerate(sublist2): + sublist1[i] += int2 - precision = sum(precision) / len(precision) - recall = sum(recall) / len(recall) - specificity = sum(specificity) / len(specificity) - f1 = sum(f1) / len(f1) + print "\nResults for exact span for concepts together.\n" + + print "True Positives: ", truePositivesExactSpan + print "False Negatives: ", falseNegativesExactSpan + print "False Positives: ", falsePositivesExactSpan + + exactSpan = generateResultsForExactSpans(truePositivesExactSpan, + falseNegativesExactSpan, + falsePositivesExactSpan) + + print "Recall: ", exactSpan["Recall"] + print "Precision: ", exactSpan["Precision"] + print "F Measure: ", exactSpan["F Score"] - print >>args.output, "Average: %.4f\t%.4f\t%.4f\t%.4f" % (precision, recall, specificity, f1) + inexactSpan = generateResultsForExactSpans(truePositivesInexactSpan, + falseNegativesInexactSpan, + falsePositivesInexactSpan) + print "\nResults for inexact span for concepts together.\n" + print "True Positives: ", truePositivesInexactSpan + print "False Negatives: ", falseNegativesInexactSpan + print "False Positives: ", falsePositivesInexactSpan + + print "Recall: ", inexactSpan["Recall"] + print "Precision: ", inexactSpan["Precision"] + print "F Measure: ", inexactSpan["F Score"] + + #TO DO: ENSURE NUMBER OF FP,FN,TP is equal to number of predicted spans + #TO DO: number of FP, FN, TP is not same between exact and inexact. + + #LEFT OFF HERE. FIX DISPLAY FUNCTION + + displayMatrix(args.output, 'Exact' , confusionMatrixExactSpan) + displayMatrix(args.output, 'Inexact', confusionMatrixInexactSpan) + + + #print evaluate(deepcopy(referenceSpans), deepcopy(predictedSpans), exactMatch=False, reportSeperately=True) + + return if __name__ == '__main__': main() + From 389aa501d6c49134f45e0d8f3f2858f13c3b7835 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Mon, 1 Sep 2014 23:11:37 -0400 Subject: [PATCH 334/393] Escape command inside string --- install.sh | 2 +- 1 file changed, 1 insertion(+), 1 deletion(-) diff --git a/install.sh b/install.sh index b94711f..0a4b666 100755 --- a/install.sh +++ b/install.sh @@ -90,7 +90,7 @@ if [[ $resources -eq 0 ]] ; then if [[ "$CLICON_DIR" = "" ]] ; then echo -e "\n\tYou must define the CLICON_DIR evironment variable to run this script" - echo -e "\tRecommendation: 'cd' to the directory containing this script and execute 'export CLICON_DIR=$(pwd)'\n" + echo -e "\tRecommendation: 'cd' to the directory containing this script and execute 'export CLICON_DIR=\$(pwd)'\n" else From afc539e6d589e37f9810d5e885f4eec98051a5e1 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Mon, 1 Sep 2014 23:11:37 -0400 Subject: [PATCH 335/393] Escape command inside string --- install.sh | 2 +- 1 file changed, 1 insertion(+), 1 deletion(-) diff --git a/install.sh b/install.sh index b94711f..0a4b666 100755 --- a/install.sh +++ b/install.sh @@ -90,7 +90,7 @@ if [[ $resources -eq 0 ]] ; then if [[ "$CLICON_DIR" = "" ]] ; then echo -e "\n\tYou must define the CLICON_DIR evironment variable to run this script" - echo -e "\tRecommendation: 'cd' to the directory containing this script and execute 'export CLICON_DIR=$(pwd)'\n" + echo -e "\tRecommendation: 'cd' to the directory containing this script and execute 'export CLICON_DIR=\$(pwd)'\n" else From 7ad03106cfef275a27f28159fa1fead5c67bc4dc Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 2 Sep 2014 20:18:03 -0400 Subject: [PATCH 336/393] Strip non-printable characters from text --- clicon/note.py | 4 ++++ install.sh | 2 +- 2 files changed, 5 insertions(+), 1 deletion(-) diff --git a/clicon/note.py b/clicon/note.py index 9e714b7..bcef601 100644 --- a/clicon/note.py +++ b/clicon/note.py @@ -1,6 +1,7 @@ from __future__ import with_statement import re +import string from copy import copy @@ -54,6 +55,9 @@ def concept_cmp(a,b): # Read in the medical text with open(txt) as f: for line in f: + # Strip away non-printable characters + line = filter(lambda x: x in string.printable, line) + # Add sentence to the data list self.data.append(line.split()) diff --git a/install.sh b/install.sh index b94711f..0a4b666 100755 --- a/install.sh +++ b/install.sh @@ -90,7 +90,7 @@ if [[ $resources -eq 0 ]] ; then if [[ "$CLICON_DIR" = "" ]] ; then echo -e "\n\tYou must define the CLICON_DIR evironment variable to run this script" - echo -e "\tRecommendation: 'cd' to the directory containing this script and execute 'export CLICON_DIR=$(pwd)'\n" + echo -e "\tRecommendation: 'cd' to the directory containing this script and execute 'export CLICON_DIR=\$(pwd)'\n" else From 4cd469b3234b778ea4fcc1fe1cfe8093289fae33 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 2 Sep 2014 20:18:03 -0400 Subject: [PATCH 337/393] Strip non-printable characters from text --- clicon/note.py | 4 ++++ install.sh | 2 +- 2 files changed, 5 insertions(+), 1 deletion(-) diff --git a/clicon/note.py b/clicon/note.py index 9e714b7..bcef601 100644 --- a/clicon/note.py +++ b/clicon/note.py @@ -1,6 +1,7 @@ from __future__ import with_statement import re +import string from copy import copy @@ -54,6 +55,9 @@ def concept_cmp(a,b): # Read in the medical text with open(txt) as f: for line in f: + # Strip away non-printable characters + line = filter(lambda x: x in string.printable, line) + # Add sentence to the data list self.data.append(line.split()) diff --git a/install.sh b/install.sh index b94711f..0a4b666 100755 --- a/install.sh +++ b/install.sh @@ -90,7 +90,7 @@ if [[ $resources -eq 0 ]] ; then if [[ "$CLICON_DIR" = "" ]] ; then echo -e "\n\tYou must define the CLICON_DIR evironment variable to run this script" - echo -e "\tRecommendation: 'cd' to the directory containing this script and execute 'export CLICON_DIR=$(pwd)'\n" + echo -e "\tRecommendation: 'cd' to the directory containing this script and execute 'export CLICON_DIR=\$(pwd)'\n" else From 2775973dc66a7d9bf58e802760d0b47d15228615 Mon Sep 17 00:00:00 2001 From: Kevin Wacome Date: Tue, 23 Sep 2014 22:06:25 -0400 Subject: [PATCH 338/393] Update SQLookup.py --- clicon/features_dir/umls/SQLookup.py | 2 +- 1 file changed, 1 insertion(+), 1 deletion(-) diff --git a/clicon/features_dir/umls/SQLookup.py b/clicon/features_dir/umls/SQLookup.py index cae3109..f3e60fc 100644 --- a/clicon/features_dir/umls/SQLookup.py +++ b/clicon/features_dir/umls/SQLookup.py @@ -45,7 +45,7 @@ def string_lookup( string ): -# get all semantic types for a given concept +# get concept for a given string. def cui_lookup( string ): try: From 0f59a11dc2e6286a8b93eccea3c255968cb2fc87 Mon Sep 17 00:00:00 2001 From: Kevin Wacome Date: Tue, 23 Sep 2014 22:06:25 -0400 Subject: [PATCH 339/393] Update SQLookup.py --- clicon/features_dir/umls/SQLookup.py | 2 +- 1 file changed, 1 insertion(+), 1 deletion(-) diff --git a/clicon/features_dir/umls/SQLookup.py b/clicon/features_dir/umls/SQLookup.py index cae3109..f3e60fc 100644 --- a/clicon/features_dir/umls/SQLookup.py +++ b/clicon/features_dir/umls/SQLookup.py @@ -45,7 +45,7 @@ def string_lookup( string ): -# get all semantic types for a given concept +# get concept for a given string. def cui_lookup( string ): try: From 013f27d36f5ce38ccb6f31480abe0058554bc048 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Sun, 5 Oct 2014 21:10:38 -0400 Subject: [PATCH 340/393] Update demos & calls using clicon script --- README.rst | 2 +- install.sh | 2 +- run.sh | 10 +++------- 3 files changed, 5 insertions(+), 9 deletions(-) diff --git a/README.rst b/README.rst index f4beb64..adf6da9 100644 --- a/README.rst +++ b/README.rst @@ -272,7 +272,7 @@ Usage Examples Train model on xml-formatted data :: - (venv_clicon)user@your-machine:~/CliCon$ clicon train $CLICON_DIR/examples/pretend.xml --format xml + (venv_clicon)user@your-machine:~/CliCon$ clicon train $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/examples/pretend.xml --format xml Predict concepts and output in xml format :: diff --git a/install.sh b/install.sh index b94711f..02c64cf 100755 --- a/install.sh +++ b/install.sh @@ -28,7 +28,7 @@ function install_python_dependencies { # Install nltk data echo "downloading nltk data" - python -m nltk.downloader maxent_treebank_pos_tagger wordnet &>> $log + python -m nltk.downloader maxent_treebank_pos_tagger wordnet punkt &>> $log echo -e "nltk download complete\n" } diff --git a/run.sh b/run.sh index 6096b9f..7c612c4 100755 --- a/run.sh +++ b/run.sh @@ -1,10 +1,6 @@ -#!/usr/bin/env bash +clicon train "$CLICON_DIR/data/train/txt/*.txt" --annotations "$CLICON_DIR/data/train/con/*.con" -DIR="$( cd "$( dirname "${BASH_SOURCE[0]}" )" && pwd )" - - -python "$DIR/code/train.py" -t data/concept_assertion_relation_training_data/beth/txt/record-13.txt -c data/concept_assertion_relation_training_data/beth/concept/record-13.con -m models/run_models/run.model -python "$DIR/code/predict.py" -i data/concept_assertion_relation_training_data/beth/txt/record-13.txt -o data/test_predictions -m models/run_models/run.model -python "$DIR/code/evaluate.py" -t data/concept_assertion_relation_training_data/beth/txt/record-13.txt -c data/test_predictions -r data/concept_assertion_relation_training_data/beth/concept/ +clicon predict "$CLICON_DIR/data/test_data/*.txt" +clicon evaluate "$CLICON_DIR/data/test_data/*.txt" --predictions "$CLICON_DIR/data/test_predictions" --gold "$CLICON_DIR/data/reference_standard_for_test_data/concepts" From 697064cbe4f93b60ec10169b487b57ff4af675c5 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Sun, 5 Oct 2014 21:10:38 -0400 Subject: [PATCH 341/393] Update demos & calls using clicon script --- README.rst | 2 +- install.sh | 2 +- run.sh | 10 +++------- 3 files changed, 5 insertions(+), 9 deletions(-) diff --git a/README.rst b/README.rst index f4beb64..adf6da9 100644 --- a/README.rst +++ b/README.rst @@ -272,7 +272,7 @@ Usage Examples Train model on xml-formatted data :: - (venv_clicon)user@your-machine:~/CliCon$ clicon train $CLICON_DIR/examples/pretend.xml --format xml + (venv_clicon)user@your-machine:~/CliCon$ clicon train $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/examples/pretend.xml --format xml Predict concepts and output in xml format :: diff --git a/install.sh b/install.sh index b94711f..02c64cf 100755 --- a/install.sh +++ b/install.sh @@ -28,7 +28,7 @@ function install_python_dependencies { # Install nltk data echo "downloading nltk data" - python -m nltk.downloader maxent_treebank_pos_tagger wordnet &>> $log + python -m nltk.downloader maxent_treebank_pos_tagger wordnet punkt &>> $log echo -e "nltk download complete\n" } diff --git a/run.sh b/run.sh index 6096b9f..7c612c4 100755 --- a/run.sh +++ b/run.sh @@ -1,10 +1,6 @@ -#!/usr/bin/env bash +clicon train "$CLICON_DIR/data/train/txt/*.txt" --annotations "$CLICON_DIR/data/train/con/*.con" -DIR="$( cd "$( dirname "${BASH_SOURCE[0]}" )" && pwd )" - - -python "$DIR/code/train.py" -t data/concept_assertion_relation_training_data/beth/txt/record-13.txt -c data/concept_assertion_relation_training_data/beth/concept/record-13.con -m models/run_models/run.model -python "$DIR/code/predict.py" -i data/concept_assertion_relation_training_data/beth/txt/record-13.txt -o data/test_predictions -m models/run_models/run.model -python "$DIR/code/evaluate.py" -t data/concept_assertion_relation_training_data/beth/txt/record-13.txt -c data/test_predictions -r data/concept_assertion_relation_training_data/beth/concept/ +clicon predict "$CLICON_DIR/data/test_data/*.txt" +clicon evaluate "$CLICON_DIR/data/test_data/*.txt" --predictions "$CLICON_DIR/data/test_predictions" --gold "$CLICON_DIR/data/reference_standard_for_test_data/concepts" From 11877ebdfa4e65117fc5cd9ced0da765a0cf267b Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Sun, 5 Oct 2014 21:13:23 -0400 Subject: [PATCH 342/393] move all data format logic into Note and add author descriptions --- clicon/cli.py | 30 +++++-- clicon/evaluate.py | 42 ++++++---- clicon/note.py | 203 ++++++++++++++++++++++++++++++++++++++++++++- clicon/predict.py | 35 +++++--- clicon/train.py | 67 ++++++++------- 5 files changed, 312 insertions(+), 65 deletions(-) diff --git a/clicon/cli.py b/clicon/cli.py index ecbba35..a1a619c 100644 --- a/clicon/cli.py +++ b/clicon/cli.py @@ -1,21 +1,39 @@ +###################################################################### +# CliNER - cli.py # +# # +# Willie Boag wboag@cs.uml.edu # +# # +# Purpose: Command Line Interface for working with CliNER. # +###################################################################### + + +__author__ = 'Willie Boag' +__date__ = 'Oct. 5, 2014' + + + import click import os import sys import subprocess import glob +from note import Note + @click.group() def clicon(): pass +supported_formats_help = "Data format ( " + ' | '.join(Note.supportedFormats()) + " )" + # Train @clicon.command() @click.option('--annotations' , help='Concept files for training.' ) @click.option('--model' , help='Model output by train.' ) -@click.option('--format' , help='Data format (i2b2 or xml).' ) +@click.option('--format' , help=supported_formats_help ) @click.option('--grid/--no-grid', help='Flag that enables grid search', default=False) @click.option('--crf/--no-crf' , help='Flag that enables crfsuite' , @@ -23,8 +41,8 @@ def clicon(): @click.argument('input') def train(annotations, model, format, grid, crf, input): - # i2b2 data needs concept file annotations - if (format == 'i2b2') and (not annotations): + # training data needs concept file annotations + if not annotations: print >>sys.stderr, '\n\tError: Must provide annotations for text files' print >>sys.stderr, '' exit(1) @@ -62,7 +80,7 @@ def train(annotations, model, format, grid, crf, input): @clicon.command() @click.option('--out' , help='The directory to write the output') @click.option('--model' , help='Model used to predict on files' ) -@click.option('--format', help='Data format (i2b2 or xml).' ) +@click.option('--format', help=supported_formats_help ) @click.argument('input') def predict(model, out, format, input): @@ -97,7 +115,7 @@ def predict(model, out, format, input): @click.option('--predictions', help='Directory where predictions are stored.') @click.option('--gold' , help='Directory where gold standard is stored.') @click.option('--out' , help='Output file' ) -@click.option('--format' , help='Data format (i2b2 or xml).' ) +@click.option('--format' , help=supported_formats_help ) @click.argument('input') def evaluate(predictions, gold, out, format, input): @@ -132,7 +150,7 @@ def evaluate(predictions, gold, out, format, input): # Format @clicon.command() @click.option('--annotations', help='Concept files for training.') -@click.option('--format' , help='Data format (i2b2 or xml).' ) +@click.option('--format' , help=supported_formats_help ) @click.option('--out' , help='File to write the output.' ) @click.argument('input') def format(annotations, format, out, input): diff --git a/clicon/evaluate.py b/clicon/evaluate.py index b5c5af6..592f98a 100644 --- a/clicon/evaluate.py +++ b/clicon/evaluate.py @@ -1,3 +1,17 @@ +###################################################################### +# CliNER - evaluate.py # +# # +# Kevin Wacome kwacome@cs.uml.edu # +# # +# Purpose: Evaluate predictions of concept labels against gold. # +###################################################################### + + +__author__ = 'Kevin Wacome' +__date__ = 'Aug. 20, 2014' + + + import os import os.path import sys @@ -296,7 +310,7 @@ def main(): parser.add_argument("-f", dest = "format", - help = "Data format (i2b2 or xml).", + help = "Data format ( " + ' | '.join(Note.supportedFormats()) + " )", default = 'i2b2' ) @@ -308,6 +322,7 @@ def main(): # Parse command line arguments args = parser.parse_args() + format = args.format # Is output destination specified? @@ -317,20 +332,18 @@ def main(): args.output = sys.stdout - # Which format to read? - if args.format == 'i2b2': - wildcard = '*.con' - elif args.format == 'xml': - wildcard = '*.xml' - else: - print >>sys.stderr, '\n\tError: Must specify output format (i2b2 or xml)' + # Must specify output format + if format not in Note.supportedFormats(): + print >>sys.stderr, '\n\tError: Must specify output format' + print >>sys.stderr, '\tAvailable formats: ', ' | '.join(Note.supportedFormats()) print >>sys.stderr, '' exit(1) - + # List of medical text txt_files = glob.glob(args.txt) txt_files_map = helper.map_files(txt_files) + wildcard = '*.' + Note.getExtension(format) # List of gold data @@ -349,9 +362,10 @@ def main(): if k in pred_files_map and k in ref_files_map: files.append((txt_files_map[k], pred_files_map[k], ref_files_map[k])) + # txt <- medical text # annotations <- predictions - # gold <- gold standard + # gold <- gold standard truePositivesExactSpan = 0 @@ -374,12 +388,8 @@ def main(): # Read predictions and gols standard data cnote = Note() rnote = Note() - if args.format == 'i2b2': - cnote.read_i2b2(txt, annotations) - rnote.read_i2b2(txt, gold) - else: - cnote.read_xml(annotations) - rnote.read_xml(gold) + cnote.reader(format, txt, annotations) + rnote.reader(format, txt, gold) referenceSpans = getConceptSpans(rnote.boundaries, rnote.conlist()) predictedSpans = getConceptSpans(cnote.boundaries, cnote.conlist()) diff --git a/clicon/note.py b/clicon/note.py index 9e714b7..3caa50a 100644 --- a/clicon/note.py +++ b/clicon/note.py @@ -1,11 +1,63 @@ +###################################################################### +# CliNER - note.py # +# # +# Willie Boag wboag@cs.uml.edu # +# # +# Purpose: Internal representation of data for CliNER. # +###################################################################### + + +__author__ = 'Willie Boag' +__date__ = 'Oct. 5, 2014' + + + from __future__ import with_statement import re from copy import copy +import nltk.data class Note: + # Private class + class SentenceTokenizer: + + # TODO - Maybe get fancy API or something + def __init__(self): + self.sent_tokenizer = nltk.data.load('tokenizers/punkt/english.pickle') + + def tokenize(self, text): + """ Split the document into sentences """ + return self.sent_tokenizer.tokenize(text) + + # nltk tokenizer doesn't preserve double spaces after sentence end + sections = text.split(' ') + parts = [ self.sent_tokenizer.tokenize(sections[0]) ] + for section in sections[1:]: + toks = self.sent_tokenizer.tokenize(section) + parts += [' '] + toks + + return sections + + + + # Private class + class WordTokenizer: + + # TODO - Maybe get fancy API or something + # http://www.nltk.org/api/nltk.tokenize.html + # PunktWordTokenizer + def __init__(self): + pass + + def tokenize(self, sent): + """ Split the sentence into tokens """ + return sent.split() + + + # Constructor def __init__(self): # data - A list of list of words @@ -19,6 +71,68 @@ def __init__(self): self.text_chunks = [] + # Tokenizing text files + self.sent_tokenizer = Note.SentenceTokenizer() + self.word_tokenizer = Note.WordTokenizer() + + + + # NOTE: Extend this when defining new reader + # Mapping from file formats to filename extensions + supported_formats = { 'i2b2':'con' , + 'xml':'xml' , + 'semeval':'pipe' } + + + + @staticmethod + def supportedFormats(): + """ returns a list of data formats supported by CliNER """ + return Note.supported_formats.keys() + + + @staticmethod + def getExtension(format): + """ returns the appropriate filename extension for a given data format """ + return Note.supported_formats[format] + + + def reader(self, format, txt, con): + """ + reader() + + Purpose: Dispatch appropriate reader for given format. + """ + + # FIXME - I wish Python had a frozen dict to guarantee saftey + # Error check input + if format not in Note.supportedFormats(): + raise Exception('format %s not supported' % format) + + # Dispatch to reader + dispatch = 'self.read_%s(txt, con)' % format + eval(dispatch) + + + + def writer(self, format, txt, con=None): + """ + reader() + + Purpose: Dispatch appropriate writer for given format. + """ + + # Error check input + if format not in Note.supportedFormats(): + raise Exception('format %s not supported' % format) + + # Dispatch to reader + dispatch = 'self.write_%s(txt)' % format + + eval(dispatch) + + + # Note::read_i2b2() # @@ -26,6 +140,7 @@ def __init__(self): # @param con. A file path for the i2b2 annotated concepts associated with txt def read_i2b2(self, txt, con=None): + # TODO - split with OpeNLP tokenizer def concept_cmp(a,b): """ @@ -338,7 +453,7 @@ def write_plain(self, con, labels): - def read_xml(self, xml): + def read_xml(self, txt, xml): """ Note::read_xml() @@ -481,6 +596,92 @@ def write_xml(self, labels=None): + def read_semeval(self, txt, con=None): + + + def lineno(line_inds, ind): + """ Identify which line number contains index 'ind' """ + pass + + line_indices = [] + start = 0 + end = 0 + + with open(txt) as f: + + # Get entire file + text = f.read() + + # Sentence splitter + sents = self.sent_tokenizer.tokenize(text) + + # Test if tokenzier preserves anything + output = ''.join(sents) + + # Tokenize each sentence into words (and save line number indices) + toks = [] + line_indices = [] # indices + #gold = [] # Actual lines + for s in sents: + #gold.append(s) + + toks.append( self.word_tokenizer.tokenize(s) ) + + # Keep track of which indices each line has + end = start + len(s) + line_indices.append( (start,end) ) + start = end + 1 + + # Account for occasional double space after sentence end + while (start < len(text)) and (text[start] == ' '): start += 1 + + """ + for line,inds in zip(gold,line_indices): + print line + '!!!' + print '\t', 'xx'*10 + print inds + print '\t', 'xx'*10 + print text[inds[0]: inds[1]] + '!!!' + print '---' + print '\n' + print 'Xx' * 20 + """ + + # FIXME TODO - Test if lineno() function works + + #print toks + + print '\n\n\n' + + exit() + + # If an accompanying concept file was specified, read it + if con: + with open(con) as f: + for line in f: + + # Empty line + if line == '\n': continue + + # Parse concept file line + fields = line.strip().split('||') + print fields + concept = fields[1] + cui = fields[2] + span_inds = [] + for i in range(3,len(fields),2): + span= int(fields[i]), int(fields[i+1]) + span_inds.append( span ) + + print '\t', concept + print '\t', cui + print '\t', span_inds + + + + def write_semeval(self, labels): + return 'foo bar\nbaz' + # txtlist() # diff --git a/clicon/predict.py b/clicon/predict.py index 2a877f6..e7b7839 100644 --- a/clicon/predict.py +++ b/clicon/predict.py @@ -1,3 +1,16 @@ +###################################################################### +# CliNER - predict.py # +# # +# Willie Boag wboag@cs.uml.edu # +# # +# Purpose: Use trained model to predict concept labels for data. # +###################################################################### + + +__author__ = 'Willie Boag' +__date__ = 'Oct. 5, 2014' + + import os import sys import glob @@ -32,7 +45,7 @@ def main(): parser.add_argument("-f", dest = "format", - help = "Data format (i2b2 or xml).", + help = "Data format ( " + ' | '.join(Note.supportedFormats()) + " )", default = 'i2b2' ) @@ -52,8 +65,9 @@ def main(): # Must specify output format - if (format != 'i2b2') and (format != 'xml'): - print >>sys.stderr, '\n\tError: Must specify output format (i2b2 or xml)' + if format not in Note.supportedFormats(): + print >>sys.stderr, '\n\tError: Must specify output format' + print >>sys.stderr, '\tAvailable formats: ', ' | '.join(Note.supportedFormats()) print >>sys.stderr, '' exit(1) @@ -77,7 +91,7 @@ def main(): # Read the data into a Note object note = Note() - note.read_i2b2(txt) + note.reader(format, txt) print '-' * 30 @@ -86,20 +100,17 @@ def main(): # Predict concept labels labels = model.predict(note) + #labels = [] # Get predictions in proper format - if format == 'i2b2': - extension = 'con' - output = note.write_i2b2(labels) - else: - extension = 'xml' - output = note.write_xml(labels) + extension = Note.getExtension(format) + output = note.writer(format, labels) # Output file - basename = os.path.basename(txt)[:-3] + extension - out_path = os.path.join(args.output, basename) + fname = os.path.splitext(os.path.basename(txt))[0] + '.' + extension + out_path = os.path.join(args.output, fname) # Output the concept predictions diff --git a/clicon/train.py b/clicon/train.py index c4449b8..b310fc1 100644 --- a/clicon/train.py +++ b/clicon/train.py @@ -1,3 +1,16 @@ +###################################################################### +# CliNER - train.py # +# # +# Willie Boag wboag@cs.uml.edu # +# # +# Purpose: Build model for given training data. # +###################################################################### + + +__author__ = 'Willie Boag' +__date__ = 'Oct. 5, 2014' + + import os import os.path import glob @@ -32,7 +45,7 @@ def main(): parser.add_argument("-f", dest = "format", - help = "Data format (i2b2 or xml).", + help = "Data format ( " + ' | '.join(Note.supportedFormats()) + " )", default = 'i2b2' ) @@ -59,44 +72,38 @@ def main(): con_files = glob.glob(args.con) - - # i2b2 or xml + # data format format = args.format - if format == 'i2b2': - - # ex. {'record-13': 'record-13.con'} - txt_files_map = helper.map_files(txt_files) - con_files_map = helper.map_files(con_files) - # ex. training_list = [ ('record-13.txt', 'record-13.con') ] - training_list = [] - for k in txt_files_map: - if k in con_files_map: - training_list.append((txt_files_map[k], con_files_map[k])) - # file names - print '\n', training_list, '\n' + # Must specify output format + if format not in Note.supportedFormats(): + print >>sys.stderr, '\n\tError: Must specify output format' + print >>sys.stderr, '\tAvailable formats: ', ' | '.join(Note.supportedFormats()) + print >>sys.stderr, '' + exit(1) - # Read the data into a Note object - notes = [] - for txt, con in training_list: - note_tmp = Note() # Create Note - note_tmp.read_i2b2(txt, con) # Read data into Note - notes.append(note_tmp) # Add the Note to the list + # Collect training data file paths + txt_files_map = helper.map_files(txt_files) # ex. {'record-13': 'record-13.con'} + con_files_map = helper.map_files(con_files) + + training_list = [] # ex. training_list = [ ('record-13.txt', 'record-13.con') ] + for k in txt_files_map: + if k in con_files_map: + training_list.append((txt_files_map[k], con_files_map[k])) - elif format == 'xml': - # file names - print '\n', txt_files, '\n' + # display file names (for user to see data was properly located) + print '\n', training_list, '\n' - # Read the data into a Note object - notes = [] - for xml in txt_files: - note_tmp = Note() # Create Note - note_tmp.read_xml(xml) # Read data into Note - notes.append(note_tmp) # Add the Note to the list + # Read the data into a Note object + notes = [] + for txt, con in training_list: + note_tmp = Note() # Create Note + note_tmp.reader(format, txt, con) # Read data into Note + notes.append(note_tmp) # Add the Note to the list # file names From 2cc04d40178847aa910dc1ec921872f89db33b58 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Sun, 5 Oct 2014 21:13:23 -0400 Subject: [PATCH 343/393] move all data format logic into Note and add author descriptions --- clicon/cli.py | 30 +++++-- clicon/evaluate.py | 42 ++++++---- clicon/note.py | 203 ++++++++++++++++++++++++++++++++++++++++++++- clicon/predict.py | 35 +++++--- clicon/train.py | 67 ++++++++------- 5 files changed, 312 insertions(+), 65 deletions(-) diff --git a/clicon/cli.py b/clicon/cli.py index ecbba35..a1a619c 100644 --- a/clicon/cli.py +++ b/clicon/cli.py @@ -1,21 +1,39 @@ +###################################################################### +# CliNER - cli.py # +# # +# Willie Boag wboag@cs.uml.edu # +# # +# Purpose: Command Line Interface for working with CliNER. # +###################################################################### + + +__author__ = 'Willie Boag' +__date__ = 'Oct. 5, 2014' + + + import click import os import sys import subprocess import glob +from note import Note + @click.group() def clicon(): pass +supported_formats_help = "Data format ( " + ' | '.join(Note.supportedFormats()) + " )" + # Train @clicon.command() @click.option('--annotations' , help='Concept files for training.' ) @click.option('--model' , help='Model output by train.' ) -@click.option('--format' , help='Data format (i2b2 or xml).' ) +@click.option('--format' , help=supported_formats_help ) @click.option('--grid/--no-grid', help='Flag that enables grid search', default=False) @click.option('--crf/--no-crf' , help='Flag that enables crfsuite' , @@ -23,8 +41,8 @@ def clicon(): @click.argument('input') def train(annotations, model, format, grid, crf, input): - # i2b2 data needs concept file annotations - if (format == 'i2b2') and (not annotations): + # training data needs concept file annotations + if not annotations: print >>sys.stderr, '\n\tError: Must provide annotations for text files' print >>sys.stderr, '' exit(1) @@ -62,7 +80,7 @@ def train(annotations, model, format, grid, crf, input): @clicon.command() @click.option('--out' , help='The directory to write the output') @click.option('--model' , help='Model used to predict on files' ) -@click.option('--format', help='Data format (i2b2 or xml).' ) +@click.option('--format', help=supported_formats_help ) @click.argument('input') def predict(model, out, format, input): @@ -97,7 +115,7 @@ def predict(model, out, format, input): @click.option('--predictions', help='Directory where predictions are stored.') @click.option('--gold' , help='Directory where gold standard is stored.') @click.option('--out' , help='Output file' ) -@click.option('--format' , help='Data format (i2b2 or xml).' ) +@click.option('--format' , help=supported_formats_help ) @click.argument('input') def evaluate(predictions, gold, out, format, input): @@ -132,7 +150,7 @@ def evaluate(predictions, gold, out, format, input): # Format @clicon.command() @click.option('--annotations', help='Concept files for training.') -@click.option('--format' , help='Data format (i2b2 or xml).' ) +@click.option('--format' , help=supported_formats_help ) @click.option('--out' , help='File to write the output.' ) @click.argument('input') def format(annotations, format, out, input): diff --git a/clicon/evaluate.py b/clicon/evaluate.py index b5c5af6..592f98a 100644 --- a/clicon/evaluate.py +++ b/clicon/evaluate.py @@ -1,3 +1,17 @@ +###################################################################### +# CliNER - evaluate.py # +# # +# Kevin Wacome kwacome@cs.uml.edu # +# # +# Purpose: Evaluate predictions of concept labels against gold. # +###################################################################### + + +__author__ = 'Kevin Wacome' +__date__ = 'Aug. 20, 2014' + + + import os import os.path import sys @@ -296,7 +310,7 @@ def main(): parser.add_argument("-f", dest = "format", - help = "Data format (i2b2 or xml).", + help = "Data format ( " + ' | '.join(Note.supportedFormats()) + " )", default = 'i2b2' ) @@ -308,6 +322,7 @@ def main(): # Parse command line arguments args = parser.parse_args() + format = args.format # Is output destination specified? @@ -317,20 +332,18 @@ def main(): args.output = sys.stdout - # Which format to read? - if args.format == 'i2b2': - wildcard = '*.con' - elif args.format == 'xml': - wildcard = '*.xml' - else: - print >>sys.stderr, '\n\tError: Must specify output format (i2b2 or xml)' + # Must specify output format + if format not in Note.supportedFormats(): + print >>sys.stderr, '\n\tError: Must specify output format' + print >>sys.stderr, '\tAvailable formats: ', ' | '.join(Note.supportedFormats()) print >>sys.stderr, '' exit(1) - + # List of medical text txt_files = glob.glob(args.txt) txt_files_map = helper.map_files(txt_files) + wildcard = '*.' + Note.getExtension(format) # List of gold data @@ -349,9 +362,10 @@ def main(): if k in pred_files_map and k in ref_files_map: files.append((txt_files_map[k], pred_files_map[k], ref_files_map[k])) + # txt <- medical text # annotations <- predictions - # gold <- gold standard + # gold <- gold standard truePositivesExactSpan = 0 @@ -374,12 +388,8 @@ def main(): # Read predictions and gols standard data cnote = Note() rnote = Note() - if args.format == 'i2b2': - cnote.read_i2b2(txt, annotations) - rnote.read_i2b2(txt, gold) - else: - cnote.read_xml(annotations) - rnote.read_xml(gold) + cnote.reader(format, txt, annotations) + rnote.reader(format, txt, gold) referenceSpans = getConceptSpans(rnote.boundaries, rnote.conlist()) predictedSpans = getConceptSpans(cnote.boundaries, cnote.conlist()) diff --git a/clicon/note.py b/clicon/note.py index 9e714b7..3caa50a 100644 --- a/clicon/note.py +++ b/clicon/note.py @@ -1,11 +1,63 @@ +###################################################################### +# CliNER - note.py # +# # +# Willie Boag wboag@cs.uml.edu # +# # +# Purpose: Internal representation of data for CliNER. # +###################################################################### + + +__author__ = 'Willie Boag' +__date__ = 'Oct. 5, 2014' + + + from __future__ import with_statement import re from copy import copy +import nltk.data class Note: + # Private class + class SentenceTokenizer: + + # TODO - Maybe get fancy API or something + def __init__(self): + self.sent_tokenizer = nltk.data.load('tokenizers/punkt/english.pickle') + + def tokenize(self, text): + """ Split the document into sentences """ + return self.sent_tokenizer.tokenize(text) + + # nltk tokenizer doesn't preserve double spaces after sentence end + sections = text.split(' ') + parts = [ self.sent_tokenizer.tokenize(sections[0]) ] + for section in sections[1:]: + toks = self.sent_tokenizer.tokenize(section) + parts += [' '] + toks + + return sections + + + + # Private class + class WordTokenizer: + + # TODO - Maybe get fancy API or something + # http://www.nltk.org/api/nltk.tokenize.html + # PunktWordTokenizer + def __init__(self): + pass + + def tokenize(self, sent): + """ Split the sentence into tokens """ + return sent.split() + + + # Constructor def __init__(self): # data - A list of list of words @@ -19,6 +71,68 @@ def __init__(self): self.text_chunks = [] + # Tokenizing text files + self.sent_tokenizer = Note.SentenceTokenizer() + self.word_tokenizer = Note.WordTokenizer() + + + + # NOTE: Extend this when defining new reader + # Mapping from file formats to filename extensions + supported_formats = { 'i2b2':'con' , + 'xml':'xml' , + 'semeval':'pipe' } + + + + @staticmethod + def supportedFormats(): + """ returns a list of data formats supported by CliNER """ + return Note.supported_formats.keys() + + + @staticmethod + def getExtension(format): + """ returns the appropriate filename extension for a given data format """ + return Note.supported_formats[format] + + + def reader(self, format, txt, con): + """ + reader() + + Purpose: Dispatch appropriate reader for given format. + """ + + # FIXME - I wish Python had a frozen dict to guarantee saftey + # Error check input + if format not in Note.supportedFormats(): + raise Exception('format %s not supported' % format) + + # Dispatch to reader + dispatch = 'self.read_%s(txt, con)' % format + eval(dispatch) + + + + def writer(self, format, txt, con=None): + """ + reader() + + Purpose: Dispatch appropriate writer for given format. + """ + + # Error check input + if format not in Note.supportedFormats(): + raise Exception('format %s not supported' % format) + + # Dispatch to reader + dispatch = 'self.write_%s(txt)' % format + + eval(dispatch) + + + # Note::read_i2b2() # @@ -26,6 +140,7 @@ def __init__(self): # @param con. A file path for the i2b2 annotated concepts associated with txt def read_i2b2(self, txt, con=None): + # TODO - split with OpeNLP tokenizer def concept_cmp(a,b): """ @@ -338,7 +453,7 @@ def write_plain(self, con, labels): - def read_xml(self, xml): + def read_xml(self, txt, xml): """ Note::read_xml() @@ -481,6 +596,92 @@ def write_xml(self, labels=None): + def read_semeval(self, txt, con=None): + + + def lineno(line_inds, ind): + """ Identify which line number contains index 'ind' """ + pass + + line_indices = [] + start = 0 + end = 0 + + with open(txt) as f: + + # Get entire file + text = f.read() + + # Sentence splitter + sents = self.sent_tokenizer.tokenize(text) + + # Test if tokenzier preserves anything + output = ''.join(sents) + + # Tokenize each sentence into words (and save line number indices) + toks = [] + line_indices = [] # indices + #gold = [] # Actual lines + for s in sents: + #gold.append(s) + + toks.append( self.word_tokenizer.tokenize(s) ) + + # Keep track of which indices each line has + end = start + len(s) + line_indices.append( (start,end) ) + start = end + 1 + + # Account for occasional double space after sentence end + while (start < len(text)) and (text[start] == ' '): start += 1 + + """ + for line,inds in zip(gold,line_indices): + print line + '!!!' + print '\t', 'xx'*10 + print inds + print '\t', 'xx'*10 + print text[inds[0]: inds[1]] + '!!!' + print '---' + print '\n' + print 'Xx' * 20 + """ + + # FIXME TODO - Test if lineno() function works + + #print toks + + print '\n\n\n' + + exit() + + # If an accompanying concept file was specified, read it + if con: + with open(con) as f: + for line in f: + + # Empty line + if line == '\n': continue + + # Parse concept file line + fields = line.strip().split('||') + print fields + concept = fields[1] + cui = fields[2] + span_inds = [] + for i in range(3,len(fields),2): + span= int(fields[i]), int(fields[i+1]) + span_inds.append( span ) + + print '\t', concept + print '\t', cui + print '\t', span_inds + + + + def write_semeval(self, labels): + return 'foo bar\nbaz' + # txtlist() # diff --git a/clicon/predict.py b/clicon/predict.py index 2a877f6..e7b7839 100644 --- a/clicon/predict.py +++ b/clicon/predict.py @@ -1,3 +1,16 @@ +###################################################################### +# CliNER - predict.py # +# # +# Willie Boag wboag@cs.uml.edu # +# # +# Purpose: Use trained model to predict concept labels for data. # +###################################################################### + + +__author__ = 'Willie Boag' +__date__ = 'Oct. 5, 2014' + + import os import sys import glob @@ -32,7 +45,7 @@ def main(): parser.add_argument("-f", dest = "format", - help = "Data format (i2b2 or xml).", + help = "Data format ( " + ' | '.join(Note.supportedFormats()) + " )", default = 'i2b2' ) @@ -52,8 +65,9 @@ def main(): # Must specify output format - if (format != 'i2b2') and (format != 'xml'): - print >>sys.stderr, '\n\tError: Must specify output format (i2b2 or xml)' + if format not in Note.supportedFormats(): + print >>sys.stderr, '\n\tError: Must specify output format' + print >>sys.stderr, '\tAvailable formats: ', ' | '.join(Note.supportedFormats()) print >>sys.stderr, '' exit(1) @@ -77,7 +91,7 @@ def main(): # Read the data into a Note object note = Note() - note.read_i2b2(txt) + note.reader(format, txt) print '-' * 30 @@ -86,20 +100,17 @@ def main(): # Predict concept labels labels = model.predict(note) + #labels = [] # Get predictions in proper format - if format == 'i2b2': - extension = 'con' - output = note.write_i2b2(labels) - else: - extension = 'xml' - output = note.write_xml(labels) + extension = Note.getExtension(format) + output = note.writer(format, labels) # Output file - basename = os.path.basename(txt)[:-3] + extension - out_path = os.path.join(args.output, basename) + fname = os.path.splitext(os.path.basename(txt))[0] + '.' + extension + out_path = os.path.join(args.output, fname) # Output the concept predictions diff --git a/clicon/train.py b/clicon/train.py index c4449b8..b310fc1 100644 --- a/clicon/train.py +++ b/clicon/train.py @@ -1,3 +1,16 @@ +###################################################################### +# CliNER - train.py # +# # +# Willie Boag wboag@cs.uml.edu # +# # +# Purpose: Build model for given training data. # +###################################################################### + + +__author__ = 'Willie Boag' +__date__ = 'Oct. 5, 2014' + + import os import os.path import glob @@ -32,7 +45,7 @@ def main(): parser.add_argument("-f", dest = "format", - help = "Data format (i2b2 or xml).", + help = "Data format ( " + ' | '.join(Note.supportedFormats()) + " )", default = 'i2b2' ) @@ -59,44 +72,38 @@ def main(): con_files = glob.glob(args.con) - - # i2b2 or xml + # data format format = args.format - if format == 'i2b2': - - # ex. {'record-13': 'record-13.con'} - txt_files_map = helper.map_files(txt_files) - con_files_map = helper.map_files(con_files) - # ex. training_list = [ ('record-13.txt', 'record-13.con') ] - training_list = [] - for k in txt_files_map: - if k in con_files_map: - training_list.append((txt_files_map[k], con_files_map[k])) - # file names - print '\n', training_list, '\n' + # Must specify output format + if format not in Note.supportedFormats(): + print >>sys.stderr, '\n\tError: Must specify output format' + print >>sys.stderr, '\tAvailable formats: ', ' | '.join(Note.supportedFormats()) + print >>sys.stderr, '' + exit(1) - # Read the data into a Note object - notes = [] - for txt, con in training_list: - note_tmp = Note() # Create Note - note_tmp.read_i2b2(txt, con) # Read data into Note - notes.append(note_tmp) # Add the Note to the list + # Collect training data file paths + txt_files_map = helper.map_files(txt_files) # ex. {'record-13': 'record-13.con'} + con_files_map = helper.map_files(con_files) + + training_list = [] # ex. training_list = [ ('record-13.txt', 'record-13.con') ] + for k in txt_files_map: + if k in con_files_map: + training_list.append((txt_files_map[k], con_files_map[k])) - elif format == 'xml': - # file names - print '\n', txt_files, '\n' + # display file names (for user to see data was properly located) + print '\n', training_list, '\n' - # Read the data into a Note object - notes = [] - for xml in txt_files: - note_tmp = Note() # Create Note - note_tmp.read_xml(xml) # Read data into Note - notes.append(note_tmp) # Add the Note to the list + # Read the data into a Note object + notes = [] + for txt, con in training_list: + note_tmp = Note() # Create Note + note_tmp.reader(format, txt, con) # Read data into Note + notes.append(note_tmp) # Add the Note to the list # file names From f495d7f384c679b3f7dc7c646a30548a8c85fa59 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Sun, 5 Oct 2014 21:15:09 -0400 Subject: [PATCH 344/393] Add trie for UMLS lookups (not fully done yet) --- clicon/features_dir/umls/create_trie.py | 86 ++++++++++++ clicon/features_dir/umls/umls.py | 43 +++--- clicon/features_dir/umls/umls_features.py | 151 ++++++---------------- 3 files changed, 157 insertions(+), 123 deletions(-) create mode 100644 clicon/features_dir/umls/create_trie.py diff --git a/clicon/features_dir/umls/create_trie.py b/clicon/features_dir/umls/create_trie.py new file mode 100644 index 0000000..60ef544 --- /dev/null +++ b/clicon/features_dir/umls/create_trie.py @@ -0,0 +1,86 @@ +#database.py creates a .db file for performing umls searches. +import marisa_trie +import sys +import os +import cPickle as pickle + + + + +def create_trie(): + + """ + create_trie() + + Purpose: Build a trie of concepts from MRREL + + @return A trie object + """ + + # Is trie already built & pickled? + prefix = os.environ['CLICON_DIR'] + filename = os.path.join( prefix, 'umls_tables/umls-concept.trie' ) + try: + t = pickle.load( open( filename , "rb" ) ) ; + return t + except IOError: + pass + + + print "\ncreating concept-trie" + + #load data in files. + print "opening file" + try: + mrcon_path = os.path.join(os.environ['CLICON_DIR'],'umls_tables/MRCON') + MRCON_TABLE = open( mrcon_path , "r" ) + except IOError: + print "\nNo file to use for creating MRCON table\n" + conn.close() + sys.exit() + + + print "reading file" + MRCON_TABLE = MRCON_TABLE.read() + MRCON_TABLE = MRCON_TABLE.split( '\n' ) + + #data that will be inserted into tables. + MRCON_DATA = [] + + print "parsing file" + + #parse and store the data from the files. + for line in MRCON_TABLE: + MRCON_DATA.append( tuple(line.split('|')) ) + + #insert data onto database + print "inserting data" + concepts = [] + for line in MRCON_DATA: + if len(line) < 6: continue + concept = line[6] + + # Ignore non-ascii + try: + concept.decode('ascii') + except: + continue + + #print type(concept) + concepts.append(concept) + + + print "creating trie" + t = marisa_trie.Trie(concepts) + + print "concept-trie created" + + + # Pickle trie + pickle.dump( t, open( filename, "wb" ) ) + + return t + + +if __name__ == '__main__': + create_trie() diff --git a/clicon/features_dir/umls/umls.py b/clicon/features_dir/umls/umls.py index bba9d7d..3ad7f13 100644 --- a/clicon/features_dir/umls/umls.py +++ b/clicon/features_dir/umls/umls.py @@ -1,28 +1,39 @@ import cPickle as pickle import SQLookup +import create_trie + +# Global trie +trie = create_trie.create_trie() + def umls_semantic_type_word( umls_string_cache , sentence ): #If the umls semantic type is in the cache use that semantic type otherwise lookup the semantic type and add to the cache. - if umls_string_cache.has_key( sentence ): + if False and umls_string_cache.has_key( sentence ): mapping = umls_string_cache.get_map( sentence ) else: - concept = SQLookup.string_lookup( sentence ) - umls_string_cache.add_map( sentence , concept ) - ''' - if concept != None: - #umls_string_cache.add_map( sentence , concept[0] ) - umls_string_cache.add_map( sentence , concept ) - else: - umls_string_cache.add_map( sentence , None ) - ''' + #concept = SQLookup.string_lookup( sentence ) + #umls_string_cache.add_map( sentence , concept ) + #''' + #if concept != None: + # #umls_string_cache.add_map( sentence , concept[0] ) + # umls_string_cache.add_map( sentence , concept ) + #else: + # umls_string_cache.add_map( sentence , None ) + #''' + #mapping = umls_string_cache.get_map(sentence) + concepts = SQLookup.string_lookup( sentence ) + concepts = [ singleton[0] for singleton in set(concepts) ] + umls_string_cache.add_map(sentence , concepts) mapping = umls_string_cache.get_map(sentence) + #print 'umls_semantic_type_word - returning:' #print mapping #print '' - return mapping + # FIXME - For some reason, this is thought t return multiple strings via list + return mapping def umls_semantic_context_of_words( umls_string_cache, sentence ): @@ -49,7 +60,9 @@ def umls_semantic_context_of_words( umls_string_cache, sentence ): rawstring += ( sentence[tj] + " " ) #Each string is of length 1 to currentWindowSize. - rawstring = rawstring[0:-1] + rawstring = rawstring.strip() + + #print rawstring #If the string is not in cache, look the umls concept up and add to the cache. if not( umls_string_cache.has_key( rawstring ) ): @@ -137,7 +150,7 @@ def umls_semantic_type_sentence( cache , sentence ): rawstring += ( sentence[tj] + " " ) #Each string is of length 1 to currentWindowSize. - rawstring = rawstring[0:-1] + rawstring = rawstring.strip() #If the umls semantic type is already in the cache then us the one stored otherwise lookup and add to cache if cache.has_key( rawstring ): @@ -155,8 +168,8 @@ def umls_semantic_type_sentence( cache , sentence ): cache.add_map( rawstring , [] ) mappings[rawstring] = cache.get_map( rawstring ) -# print "rawstring: ", rawstring - # print "mappings: " ,mappings[rawstring] + #print "rawstring: ", rawstring + #print "mappings: " ,mappings[rawstring] size_s = 0 phrase = [] diff --git a/clicon/features_dir/umls/umls_features.py b/clicon/features_dir/umls/umls_features.py index 5115a8a..293af16 100644 --- a/clicon/features_dir/umls/umls_features.py +++ b/clicon/features_dir/umls/umls_features.py @@ -16,16 +16,6 @@ class UMLSFeatures: - enabled_prose_features = frozenset( [ 'umls_cui', 'umls_semantic_type_word', 'umls_hypernyms' ] ) - - enabled_nonprose_features = frozenset( [ 'umls_cui', 'umls_semantic_type_word' ] ) - - - enabled_concept_features_for_word = frozenset( [ 'umls_semantic_type_word', 'umls_cui' ] ) - enabled_concept_features_for_sentence = frozenset( [ 'umls_semantic_type_sentence', 'umls_semantic_context' ] ) - - - def __init__(self): """ @@ -37,109 +27,47 @@ def __init__(self): - - def IOB_prose_features(self, word): + def IOB_prose_features(self, sentence): """ UMLSFeatures::IOB_prose_features() - @ param word. word to lookup in UMLS database - @return dictionary of features + @ param sentence. A list of words + @return dictionary of features """ - # Return value is a list of dictionaries (of features) - features = {} - - - for feature in self.enabled_prose_features: - - - # Feature: UMLS Semantic Types - if feature == "umls_cui": - - # Get UMLS CUIs (could have multiple) - cuis = umls.get_cui(self.umls_lookup_cache , word) - - # Add each CUI - if cuis: - for cui in cuis: - features[(feature,cui)] = 1 + features_list = [] + for word in sentence: + features_list.append( self.features_for_word(word) ) - # Feature: UMLS Hypernyms - if feature == "umls_hypernyms": + return features_list - # Get UMLS hypernyms - hyps = umls.umls_hypernyms(self.umls_lookup_cache,word) - # Add all hypernyms - if hyps: - #for hyp in hyps: - features[(feature,hyps[0])] = 1 - - - # Feature: UMLS Semantic Type (for each word) - if feature == "umls_semantic_type_word": - # Get UMLS semantic type (could have multiple) - mapping = umls.umls_semantic_type_word(self.umls_lookup_cache , word ) - - #print mapping - - # If is at least one semantic type - if mapping != None: - for concept in mapping: - features[('umls_semantic_type_word', concept )] = 1 - - return features - - - - def IOB_nonprose_features(self, word): + def IOB_nonprose_features(self, sentence): """ UMLSFeatures::IOB_nonprose_features() - @ param word. word to lookup in UMLS database + @ param sentence. A list of words @return dictionary of features """ - # Return value is a list of dictionaries (of features) - features = {} - + features_list = [] - for feature in self.enabled_nonprose_features: + for word in sentence: + features_list.append( self.features_for_word(word) ) + return features_list - # Feature: UMLS Semantic Types - if feature == "umls_cui": - # Get UMLS CUIs (could have multiple) - cuis = umls.get_cui(self.umls_lookup_cache , word) - # Add each CUI - for cui in cuis: - features[(feature,cui)] = 1 - # Feature: UMLS Semantic Type (for each word) - if feature == "umls_semantic_type_word": - # Get UMLS semantic type (could have multiple) - mapping = umls.umls_semantic_type_word(self.umls_lookup_cache , word ) - # If is at least one semantic type - if mapping != None: - for concept in mapping: - features[('umls_semantic_type_word', concept )] = 1 - - - return features - - - - - def concept_features_for_word(self, word): + def features_for_word(self, word): """ - UMLSFeatures::concept_features_for_word() + UMLSFeatures::features_for_word() @ param word. word to lookup in UMLS database @return dictionary of word-level features @@ -149,37 +77,35 @@ def concept_features_for_word(self, word): # Return value is a list of dictionaries (of features) features = {} + #print '\n' + #print word - for feature in self.enabled_concept_features_for_word: - - # Feature: UMLS Semantic Types - if feature == "umls_cui": - - # Get UMLS CUIs (could have multiple) - cuis = umls.get_cui(self.umls_lookup_cache , word) + # Feature: UMLS Semantic Types + cuis = umls.get_cui(self.umls_lookup_cache , word) - # Add each CUI - if cuis: - for cui in cuis: - features[(feature,cui)] = 1 + # Add each CUI + if cuis: + for cui in cuis: + features[('umls_cui',cui)] = 1 + #print '\tcui: ', cui + #print - # Feature: UMLS Semantic Type (for each word) - if feature == "umls_semantic_type_word": - - # Get UMLS semantic type (could have multiple) - mapping = umls.umls_semantic_type_word(self.umls_lookup_cache , word ) - # If is at least one semantic type - if mapping: - for concept in mapping: - features[('umls_semantic_type_word', concept )] = 1 + # Feature: UMLS Semantic Type (for each word) + mapping = umls.umls_semantic_type_word(self.umls_lookup_cache , word ) + # Add each semantic type + if mapping: + for concept in mapping: + features[('umls_semantic_type_word', concept )] = 1 + #print '\t', 'semantic_type_word: ', concept + #print return features - def concept_features_for_sentence(self, sentence): + def concept_features_for_chunk(self, sentence, ind): """ UMLSFeatures::concept_features_for_sentence() @@ -188,10 +114,19 @@ def concept_features_for_sentence(self, sentence): @return dictionary of chunk-level features """ + #print '\n\n\n' + #print 'concept_features_for_chunk' + #print sentence + #print ind # Return value is a list of dictionaries (of features) features = {} + # UMLS features for each words + for word in sentence[ind].split(): + word_feats = self.features_for_word(word) + features.update(word_feats) + for feature in self.enabled_concept_features_for_sentence: From ca42c344f3dfa0d3d0840e553d023a29e3070539 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Sun, 5 Oct 2014 21:15:09 -0400 Subject: [PATCH 345/393] Add trie for UMLS lookups (not fully done yet) --- clicon/features_dir/umls/create_trie.py | 86 ++++++++++++ clicon/features_dir/umls/umls.py | 43 +++--- clicon/features_dir/umls/umls_features.py | 151 ++++++---------------- 3 files changed, 157 insertions(+), 123 deletions(-) create mode 100644 clicon/features_dir/umls/create_trie.py diff --git a/clicon/features_dir/umls/create_trie.py b/clicon/features_dir/umls/create_trie.py new file mode 100644 index 0000000..60ef544 --- /dev/null +++ b/clicon/features_dir/umls/create_trie.py @@ -0,0 +1,86 @@ +#database.py creates a .db file for performing umls searches. +import marisa_trie +import sys +import os +import cPickle as pickle + + + + +def create_trie(): + + """ + create_trie() + + Purpose: Build a trie of concepts from MRREL + + @return A trie object + """ + + # Is trie already built & pickled? + prefix = os.environ['CLICON_DIR'] + filename = os.path.join( prefix, 'umls_tables/umls-concept.trie' ) + try: + t = pickle.load( open( filename , "rb" ) ) ; + return t + except IOError: + pass + + + print "\ncreating concept-trie" + + #load data in files. + print "opening file" + try: + mrcon_path = os.path.join(os.environ['CLICON_DIR'],'umls_tables/MRCON') + MRCON_TABLE = open( mrcon_path , "r" ) + except IOError: + print "\nNo file to use for creating MRCON table\n" + conn.close() + sys.exit() + + + print "reading file" + MRCON_TABLE = MRCON_TABLE.read() + MRCON_TABLE = MRCON_TABLE.split( '\n' ) + + #data that will be inserted into tables. + MRCON_DATA = [] + + print "parsing file" + + #parse and store the data from the files. + for line in MRCON_TABLE: + MRCON_DATA.append( tuple(line.split('|')) ) + + #insert data onto database + print "inserting data" + concepts = [] + for line in MRCON_DATA: + if len(line) < 6: continue + concept = line[6] + + # Ignore non-ascii + try: + concept.decode('ascii') + except: + continue + + #print type(concept) + concepts.append(concept) + + + print "creating trie" + t = marisa_trie.Trie(concepts) + + print "concept-trie created" + + + # Pickle trie + pickle.dump( t, open( filename, "wb" ) ) + + return t + + +if __name__ == '__main__': + create_trie() diff --git a/clicon/features_dir/umls/umls.py b/clicon/features_dir/umls/umls.py index bba9d7d..3ad7f13 100644 --- a/clicon/features_dir/umls/umls.py +++ b/clicon/features_dir/umls/umls.py @@ -1,28 +1,39 @@ import cPickle as pickle import SQLookup +import create_trie + +# Global trie +trie = create_trie.create_trie() + def umls_semantic_type_word( umls_string_cache , sentence ): #If the umls semantic type is in the cache use that semantic type otherwise lookup the semantic type and add to the cache. - if umls_string_cache.has_key( sentence ): + if False and umls_string_cache.has_key( sentence ): mapping = umls_string_cache.get_map( sentence ) else: - concept = SQLookup.string_lookup( sentence ) - umls_string_cache.add_map( sentence , concept ) - ''' - if concept != None: - #umls_string_cache.add_map( sentence , concept[0] ) - umls_string_cache.add_map( sentence , concept ) - else: - umls_string_cache.add_map( sentence , None ) - ''' + #concept = SQLookup.string_lookup( sentence ) + #umls_string_cache.add_map( sentence , concept ) + #''' + #if concept != None: + # #umls_string_cache.add_map( sentence , concept[0] ) + # umls_string_cache.add_map( sentence , concept ) + #else: + # umls_string_cache.add_map( sentence , None ) + #''' + #mapping = umls_string_cache.get_map(sentence) + concepts = SQLookup.string_lookup( sentence ) + concepts = [ singleton[0] for singleton in set(concepts) ] + umls_string_cache.add_map(sentence , concepts) mapping = umls_string_cache.get_map(sentence) + #print 'umls_semantic_type_word - returning:' #print mapping #print '' - return mapping + # FIXME - For some reason, this is thought t return multiple strings via list + return mapping def umls_semantic_context_of_words( umls_string_cache, sentence ): @@ -49,7 +60,9 @@ def umls_semantic_context_of_words( umls_string_cache, sentence ): rawstring += ( sentence[tj] + " " ) #Each string is of length 1 to currentWindowSize. - rawstring = rawstring[0:-1] + rawstring = rawstring.strip() + + #print rawstring #If the string is not in cache, look the umls concept up and add to the cache. if not( umls_string_cache.has_key( rawstring ) ): @@ -137,7 +150,7 @@ def umls_semantic_type_sentence( cache , sentence ): rawstring += ( sentence[tj] + " " ) #Each string is of length 1 to currentWindowSize. - rawstring = rawstring[0:-1] + rawstring = rawstring.strip() #If the umls semantic type is already in the cache then us the one stored otherwise lookup and add to cache if cache.has_key( rawstring ): @@ -155,8 +168,8 @@ def umls_semantic_type_sentence( cache , sentence ): cache.add_map( rawstring , [] ) mappings[rawstring] = cache.get_map( rawstring ) -# print "rawstring: ", rawstring - # print "mappings: " ,mappings[rawstring] + #print "rawstring: ", rawstring + #print "mappings: " ,mappings[rawstring] size_s = 0 phrase = [] diff --git a/clicon/features_dir/umls/umls_features.py b/clicon/features_dir/umls/umls_features.py index 5115a8a..293af16 100644 --- a/clicon/features_dir/umls/umls_features.py +++ b/clicon/features_dir/umls/umls_features.py @@ -16,16 +16,6 @@ class UMLSFeatures: - enabled_prose_features = frozenset( [ 'umls_cui', 'umls_semantic_type_word', 'umls_hypernyms' ] ) - - enabled_nonprose_features = frozenset( [ 'umls_cui', 'umls_semantic_type_word' ] ) - - - enabled_concept_features_for_word = frozenset( [ 'umls_semantic_type_word', 'umls_cui' ] ) - enabled_concept_features_for_sentence = frozenset( [ 'umls_semantic_type_sentence', 'umls_semantic_context' ] ) - - - def __init__(self): """ @@ -37,109 +27,47 @@ def __init__(self): - - def IOB_prose_features(self, word): + def IOB_prose_features(self, sentence): """ UMLSFeatures::IOB_prose_features() - @ param word. word to lookup in UMLS database - @return dictionary of features + @ param sentence. A list of words + @return dictionary of features """ - # Return value is a list of dictionaries (of features) - features = {} - - - for feature in self.enabled_prose_features: - - - # Feature: UMLS Semantic Types - if feature == "umls_cui": - - # Get UMLS CUIs (could have multiple) - cuis = umls.get_cui(self.umls_lookup_cache , word) - - # Add each CUI - if cuis: - for cui in cuis: - features[(feature,cui)] = 1 + features_list = [] + for word in sentence: + features_list.append( self.features_for_word(word) ) - # Feature: UMLS Hypernyms - if feature == "umls_hypernyms": + return features_list - # Get UMLS hypernyms - hyps = umls.umls_hypernyms(self.umls_lookup_cache,word) - # Add all hypernyms - if hyps: - #for hyp in hyps: - features[(feature,hyps[0])] = 1 - - - # Feature: UMLS Semantic Type (for each word) - if feature == "umls_semantic_type_word": - # Get UMLS semantic type (could have multiple) - mapping = umls.umls_semantic_type_word(self.umls_lookup_cache , word ) - - #print mapping - - # If is at least one semantic type - if mapping != None: - for concept in mapping: - features[('umls_semantic_type_word', concept )] = 1 - - return features - - - - def IOB_nonprose_features(self, word): + def IOB_nonprose_features(self, sentence): """ UMLSFeatures::IOB_nonprose_features() - @ param word. word to lookup in UMLS database + @ param sentence. A list of words @return dictionary of features """ - # Return value is a list of dictionaries (of features) - features = {} - + features_list = [] - for feature in self.enabled_nonprose_features: + for word in sentence: + features_list.append( self.features_for_word(word) ) + return features_list - # Feature: UMLS Semantic Types - if feature == "umls_cui": - # Get UMLS CUIs (could have multiple) - cuis = umls.get_cui(self.umls_lookup_cache , word) - # Add each CUI - for cui in cuis: - features[(feature,cui)] = 1 - # Feature: UMLS Semantic Type (for each word) - if feature == "umls_semantic_type_word": - # Get UMLS semantic type (could have multiple) - mapping = umls.umls_semantic_type_word(self.umls_lookup_cache , word ) - # If is at least one semantic type - if mapping != None: - for concept in mapping: - features[('umls_semantic_type_word', concept )] = 1 - - - return features - - - - - def concept_features_for_word(self, word): + def features_for_word(self, word): """ - UMLSFeatures::concept_features_for_word() + UMLSFeatures::features_for_word() @ param word. word to lookup in UMLS database @return dictionary of word-level features @@ -149,37 +77,35 @@ def concept_features_for_word(self, word): # Return value is a list of dictionaries (of features) features = {} + #print '\n' + #print word - for feature in self.enabled_concept_features_for_word: - - # Feature: UMLS Semantic Types - if feature == "umls_cui": - - # Get UMLS CUIs (could have multiple) - cuis = umls.get_cui(self.umls_lookup_cache , word) + # Feature: UMLS Semantic Types + cuis = umls.get_cui(self.umls_lookup_cache , word) - # Add each CUI - if cuis: - for cui in cuis: - features[(feature,cui)] = 1 + # Add each CUI + if cuis: + for cui in cuis: + features[('umls_cui',cui)] = 1 + #print '\tcui: ', cui + #print - # Feature: UMLS Semantic Type (for each word) - if feature == "umls_semantic_type_word": - - # Get UMLS semantic type (could have multiple) - mapping = umls.umls_semantic_type_word(self.umls_lookup_cache , word ) - # If is at least one semantic type - if mapping: - for concept in mapping: - features[('umls_semantic_type_word', concept )] = 1 + # Feature: UMLS Semantic Type (for each word) + mapping = umls.umls_semantic_type_word(self.umls_lookup_cache , word ) + # Add each semantic type + if mapping: + for concept in mapping: + features[('umls_semantic_type_word', concept )] = 1 + #print '\t', 'semantic_type_word: ', concept + #print return features - def concept_features_for_sentence(self, sentence): + def concept_features_for_chunk(self, sentence, ind): """ UMLSFeatures::concept_features_for_sentence() @@ -188,10 +114,19 @@ def concept_features_for_sentence(self, sentence): @return dictionary of chunk-level features """ + #print '\n\n\n' + #print 'concept_features_for_chunk' + #print sentence + #print ind # Return value is a list of dictionaries (of features) features = {} + # UMLS features for each words + for word in sentence[ind].split(): + word_feats = self.features_for_word(word) + features.update(word_feats) + for feature in self.enabled_concept_features_for_sentence: From b8e66446f20d41da846a9466cbddcc458a4d781d Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Sun, 5 Oct 2014 21:15:36 -0400 Subject: [PATCH 346/393] Bugfixes in features directory --- clicon/features_dir/genia/genia_features.py | 1 + clicon/features_dir/sentence_features.py | 203 +++++++++----------- clicon/features_dir/word_features.py | 150 ++++++++++----- 3 files changed, 193 insertions(+), 161 deletions(-) diff --git a/clicon/features_dir/genia/genia_features.py b/clicon/features_dir/genia/genia_features.py index e3ff957..b9274aa 100644 --- a/clicon/features_dir/genia/genia_features.py +++ b/clicon/features_dir/genia/genia_features.py @@ -60,6 +60,7 @@ def features(self, sentence, is_prose=True): # Feature: Current word's GENIA features for i,curr in enumerate(genia_feats): keys = ['GENIA-stem','GENIA-POS','GENIA-chunktag'] + #keys = ['GENIA-stem','GENIA-POS','GENIA-chunktag', 'GENIA-NEtag'] output = dict( ((k, curr[k]), 1) for k in keys if k in curr ) features_list[i].update(output) diff --git a/clicon/features_dir/sentence_features.py b/clicon/features_dir/sentence_features.py index 15d8057..08a86d8 100644 --- a/clicon/features_dir/sentence_features.py +++ b/clicon/features_dir/sentence_features.py @@ -41,9 +41,9 @@ class SentenceFeatures: # Feature Enabling - enabled_IOB_nonprose_sentence_features = frozenset( ['pos', 'test_result', 'prev', 'next','prev_3_pos', 'next_3_pos', 'UMLS']) + enabled_IOB_nonprose_sentence_features = frozenset( ['pos', 'prev', 'next', 'prev_3_pos', 'next_3_pos', 'UMLS', 'unigram_context']) - enabled_concept_features = frozenset( ['pos','prev_3_pos', 'stem_wordnet', 'test_result', 'word_shape','prev','next', "UMLS"]) + enabled_concept_features = frozenset( ['pos','prev_3_pos', 'stem_wordnet', 'test_result', 'word_shape', "UMLS"]) @@ -65,14 +65,15 @@ def __init__(self, data): self.enabled_IOB_prose_sentence_features = [] - #self.enabled_IOB_prose_sentence_features.append('pos') + self.enabled_IOB_prose_sentence_features.append('unigram_context') + self.enabled_IOB_prose_sentence_features.append('pos') #self.enabled_IOB_prose_sentence_features.append('prev_3_pos') #self.enabled_IOB_prose_sentence_features.append('next_3_pos') self.enabled_IOB_prose_sentence_features.append('prev') - #self.enabled_IOB_prose_sentence_features.append('prev2') + self.enabled_IOB_prose_sentence_features.append('prev2') #self.enabled_IOB_prose_sentence_features.append('prev3') self.enabled_IOB_prose_sentence_features.append('next') - #self.enabled_IOB_prose_sentence_features.append('next2') + self.enabled_IOB_prose_sentence_features.append('next2') #self.enabled_IOB_prose_sentence_features.append('next3') self.enabled_IOB_prose_sentence_features.append('GENIA') self.enabled_IOB_prose_sentence_features.append('UMLS') @@ -93,6 +94,26 @@ def IOB_prose_features(self, sentence): features_list.append(self.feat_word.IOB_prose_features(sentence[i])) + # Feature: Bag of Words unigram conext (window=3) + if 'unigram_context' in self.enabled_IOB_prose_sentence_features: + window = 3 + n = len(sentence) + + # Previous unigrams + for i in range(n): + end = min(i, window) + unigrams = sentence[i-end:i] + for u in unigrams: + features_list[i][('prev_unigrams',u)] = 1 + + # Next unigrams + for i in range(n): + end = min(i + window, n-1) + unigrams = sentence[i+1:end+1] + for u in unigrams: + features_list[i][('next_unigrams',u)] = 1 + + # Only POS tag once if 'pos' in self.enabled_IOB_prose_sentence_features: pos_tagged = nltk.pos_tag(sentence) @@ -161,10 +182,9 @@ def IOB_prose_features(self, sentence): # Feature: UMLS Word Features (only use prose ones) if (feature == "UMLS") and enabled['UMLS']: + umls_features = self.feat_umls.IOB_prose_features(sentence) for i in range(len(sentence)): - word = sentence[i] - umls_features = self.feat_umls.IOB_prose_features(word) - features_list[i].update( umls_features ) + features_list[i].update( umls_features[i] ) # Used for 'prev' and 'next' features @@ -189,19 +209,6 @@ def IOB_prose_features(self, sentence): else: ngram_features[i].update(prev_list[i-2]) - if "prev3" in self.enabled_IOB_prose_sentence_features: - prev3 = lambda f: {("prev3_"+k[0], k[1]): v/4.0 for k,v in f.items()} - prev_list = map(prev3, features_list) - for i in range(len(features_list)): - if i < len(features_list) - 4: - ngram_features[i].update(prev_list[i+3]) - elif i == len(features_list) - 3: - ngram_features[i][("prev3", "***")] = 1 - elif i == len(features_list) - 2: - ngram_features[i][("prev3", "**" )] = 1 - else: - ngram_features[i][("prev3", "*" )] = 1 - if "next" in self.enabled_IOB_prose_sentence_features: next = lambda f: {("next_"+k[0], k[1]): v for k,v in f.items()} next_list = map(next, features_list) @@ -222,20 +229,6 @@ def IOB_prose_features(self, sentence): else: ngram_features[i][("next2", "*")] = 1 - if "next3" in self.enabled_IOB_prose_sentence_features: - next3 = lambda f: {("next3_"+k[0], k[1]): v/4.0 for k,v in f.items()} - next_list = map(next3, features_list) - for i in range(len(features_list)): - if i < len(features_list) - 4: - ngram_features[i].update(next_list[i+3]) - elif i == len(features_list) - 3: - ngram_features[i][("next3", "***")] = 1 - elif i == len(features_list) - 2: - ngram_features[i][("next3", "**" )] = 1 - else: - ngram_features[i][("next3", "*" )] = 1 - - merged = lambda d1, d2: dict(d1.items() + d2.items()) features_list = [merged(features_list[i], ngram_features[i]) for i in range(len(features_list))] @@ -266,6 +259,42 @@ def IOB_nonprose_features(self, sentence): features_list.append( word_feats ) + # Feature: Bag of Words unigram conext (window=3) + if 'unigram_context' in self.enabled_IOB_nonprose_sentence_features: + window = 3 + n = len(sentence) + + #print + #print sentence + + # Previous unigrams + for i in range(n): + end = min(i, window) + unigrams = sentence[i-end:i] + for u in unigrams: + features_list[i][('prev_unigrams',u)] = 1 + #print '\t', i, '\t', unigrams + #print '-' + + # Next unigrams + for i in range(n): + end = min(i + window, n-1) + unigrams = sentence[i+1:end+1] + for u in unigrams: + features_list[i][('next_unigrams',u)] = 1 + #print '\t', i, '\t', unigrams + + #return features_list + + # Feature: UMLS Word Features (only use nonprose ones) + if enabled['UMLS'] and 'UMLS' in self.enabled_IOB_nonprose_sentence_features: + umls_features = self.feat_umls.IOB_nonprose_features(sentence) + for i in range(len(sentence)): + features_list[i].update( umls_features[i] ) + + + #return features_list + if 'pos' in self.enabled_IOB_nonprose_sentence_features: pos_tagged = nltk.pos_tag(sentence) @@ -310,23 +339,6 @@ def IOB_nonprose_features(self, sentence): features_list[i].update(pos_features) - # Feature: UMLS Word Features (only use nonprose ones) - if (feature == "UMLS") and enabled['UMLS']: - for i in range(len(sentence)): - word = sentence[i] - umls_features = self.feat_umls.IOB_nonprose_features(word) - features_list[i].update( umls_features ) - - ''' - # Feature: Test Result (for each chunk) - if feature == "test_result": - for index, features in enumerate(features_list): - right = " ".join([w for w in sentence[index:]]) - if self.feat_word.is_test_result(right): - features['test_result'] = 1 - ''' - - ngram_features = [{} for _ in range(len(features_list))] if "prev" in self.enabled_IOB_nonprose_sentence_features: @@ -374,38 +386,31 @@ def concept_features_for_sentence(self, sentence, chunk_inds): for ind in chunk_inds: features_list.append( self.feat_word.concept_features_for_chunk(sentence,ind) ) - # FIXME - more closely resembling Harabagiu + # NOTE: excludes UMLS features return features_list + ''' # Split the chunked sentence into a list of words for (POS tagger) split_sentence = [] for c in sentence: split_sentence += c.split() tags = nltk.pos_tag(split_sentence) - - - pflag = False - if ' '.join(sentence) == 'PMH : Carpal tunnel syndrome , Hypertension , Hyperlipidemia , Arthritis': - pflag = True - #print '\n\n\n' - #print 'sentence: ', sentence - #print 'inds: ', chunk_inds - #print 'tags: ', tags - #print - #print '\n\n' - + ''' # Allow for particular features to be enabled for feature in self.enabled_concept_features: - # Features: UMLS features + # Features: UMLS features + # Note: Very slow, doesn't add much when you have lots of training data if (feature == "UMLS") and enabled['UMLS']: - umls_features = self.feat_umls.concept_features_for_sentence(split_sentence) - features.update(umls_features) + umls_features = self.feat_umls.IOB_prose_features(sentence) + for i in range(len(sentence)): + features_list[i].update( umls_features[i] ) + continue # Feature: Previous POSs if feature == 'pos': @@ -422,6 +427,7 @@ def concept_features_for_sentence(self, sentence, chunk_inds): features_list[i][('pos',pos)] = 1 + ''' # Feature: Previous 3 POSs if feature == 'prev_3_pos': for i,ind in enumerate(chunk_inds): @@ -431,59 +437,36 @@ def concept_features_for_sentence(self, sentence, chunk_inds): split_ind += len(c.split()) # Three previous words + # FIXME - Should this be ordered or bag of words?? begin = split_ind-3 if split_ind-3>0 else 0 for tag in tags[begin:split_ind]: pos = tag[1] features_list[i][('prev_3_pos',pos)] = 1 - continue - - # Feature: Previous Chunks's Features if feature == "prev": - if ind == 0: - features[("prev", "*")] = 1 - else: - # Get features of previous chunks - prev_features = self.feat_sent.concept_features_for_chunk(sentence,ind-1) - prepend = lambda f: {("prev_"+k[0],k[1]):v for k, v in f.items()} - features.update( prepend(prev_features) ) + for i,ind in enumerate(chunk_inds): + if ind == 0: + features_list[i][("prev", "*")] = 1 + else: + # Get features of previous chunks + prev_features = self.feat_word.concept_features_for_chunk(sentence,ind-1) + prepend = lambda f: {("prev_"+k[0],k[1]):v for k, v in f.items()} + features_list[i].update( prepend(prev_features) ) # Feature: Next Chunk's Features - if features == "next": - if ind == len(sentence) - 1: - features[("next", "*")] = 1 - else: - # Get features of previous chunks - next_features = self.feat_sent.concept_features_for_chunk(sentence,ind+1) - prepend = lambda f: {("next_"+k[0],k[1]):v for k, v in f.items()} - features.update( prepend(next_features) ) - - - - - # Feature: Wordnet Stem (for each chunk) - if feature == "stem_wordnet": - morphy_tags = { - 'NN': nltk.corpus.reader.wordnet.NOUN, - 'JJ': nltk.corpus.reader.wordnet.ADJ, - 'VB': nltk.corpus.reader.wordnet.VERB, - 'RB': nltk.corpus.reader.wordnet.ADV} - morphy_tags = [(w, morphy_tags.setdefault(t[:2], nltk.corpus.reader.wordnet.NOUN)) for w, t in tags] - st = nltk.stem.WordNetLemmatizer() - tag = morphy_tags[ind] - # FIXME - #features[(feature, st.lemmatize(*tag))] = 1 - - - # Feature: Test Result (for each chunk) - if feature == "test_result": - # FIXME - right = " ".join([c for c in sentence[ind:]]) - if self.feat_word.is_test_result(right): - features[(feature, None)] = 1 + if feature == "next": + for i,ind in enumerate(chunk_inds): + if ind == len(sentence) - 1: + features_list[i][("next", "*")] = 1 + else: + # Get features of previous chunks + next_features = self.feat_word.concept_features_for_chunk(sentence,ind+1) + apend = lambda f: {("next_"+k[0],k[1]):v for k, v in f.items()} + features_list[i].update( apend(next_features) ) + ''' #if pflag: diff --git a/clicon/features_dir/word_features.py b/clicon/features_dir/word_features.py index 68d7910..bf41f06 100644 --- a/clicon/features_dir/word_features.py +++ b/clicon/features_dir/word_features.py @@ -25,9 +25,10 @@ class WordFeatures: enabled_IOB_prose_word_features = frozenset( ['Generic#', 'last_two_letters', 'word', 'length', 'mitre', 'stem_porter', 'stem_lancaster', 'word_shape', 'metric_unit' ] ) - enabled_IOB_nonprose_word_features = frozenset( ['word', 'word_shape', 'metric_unit', 'mitre', 'directive', 'date' ] ) + enabled_IOB_nonprose_word_features = frozenset( ['word', 'word_shape', 'mitre', 'QANN' ] ) - enabled_concept_features = frozenset( ['word', 'prefix', 'stem_porter', 'stem_lancaster', 'previous_word_stem', 'next_word_stem'] ) + #enabled_concept_features = frozenset( ['word', 'prefix', 'stem_porter', 'stem_lancaster', 'previous_word_stem', 'next_word_stem'] ) + enabled_concept_features = frozenset( ['word', 'prefix', 'stem_porter', 'stem_lancaster', 'previous_word_stem', 'next_word_stem', 'word_shape', 'metric_unit', 'mitre', 'directive', 'date'] ) def __init__(self): @@ -46,41 +47,46 @@ def IOB_prose_features(self, word): # Allow for particular features to be enabled for feature in self.enabled_IOB_prose_word_features: + ''' if feature == "word": features[(feature, word.lower())] = 1 - ''' if feature == "stem_lancaster": st = nltk.stem.LancasterStemmer() features[ (feature, st.stem(word.lower())) ] = 1 + ''' # Feature: Generic# stemmed word if feature == 'Generic#': generic = re.sub('[0-9]','0',word) features[ ('Generic#',generic) ] = 1 + ''' # Feature: Last two leters of word if feature == 'last_two_letters': features[ ('last_two_letters',word[-2:]) ] = 1 + ''' + ''' if feature == "length": features[(feature, None)] = len(word) + if feature == "stem_porter": + st = nltk.stem.PorterStemmer() + features[(feature, st.stem(word))] = 1 + ''' + + if feature == "mitre": for f in self.mitre_features: if re.search(self.mitre_features[f], word): features[(feature, f)] = 1 - if feature == "stem_porter": - st = nltk.stem.PorterStemmer() - features[(feature, st.stem(word))] = 1 - if feature == "word_shape": wordShapes = getWordShapes(word) for shape in wordShapes: features[(feature, shape)] = 1 - ''' return features @@ -95,56 +101,31 @@ def IOB_prose_features(self, word): # output: A dictionary of features def IOB_nonprose_features(self, word): - # Feature: - features = {'dummy': 1} # always have >0 dimensions + features = {} - enabled = True + # Feature: The word, itself + features[('word', word.lower())] = 1 # Allow for particular features to be enabled for feature in self.enabled_IOB_nonprose_word_features: - # Feature: The word, itself - if feature == 'word': - features[('word', word.lower())] = 1 - - - # Feature: Metric Unit - if feature == "metric_unit": - unit = None - if self.is_weight(word): - unit = 'weight' - elif self.is_size(word): - unit = 'size' - elif self.is_volume(word): - unit = 'volume' - features[('metric_unit',unit)] = 1 - - - # Feature: Date - if feature == 'date': - if self.is_date(word): - features[('date',None)] = 1 - - - # Feature: Directive - if feature == 'directive': - if self.is_directive(word): - features[('directive',None)] = 1 - - # Feature: Mitre if feature == "mitre": for f in self.mitre_features: if re.search(self.mitre_features[f], word): features[('mitre', f)] = 1 - # Feature: Word Shape if feature == "word_shape": wordShapes = getWordShapes(word) for shape in wordShapes: features[('word_shape', shape)] = 1 + # Feature: QANN features + if feature == 'QANN': + qann_feats = self.QANN_features(word) + features.update(qann_feats) + return features @@ -168,6 +149,8 @@ def concept_features_for_word(self, word): if feature == "word": features[ ("word",word.lower()) ] = 1 + + ''' # Feature: Porter Stem if feature == "stem_porter": st = nltk.stem.PorterStemmer() @@ -177,29 +160,57 @@ def concept_features_for_word(self, word): if feature == "stem_lancaster": st = nltk.stem.LancasterStemmer() features[ ("stem_lancaster", st.stem(word)) ] = 1 + ''' + ''' # Feature: First Four Letters if feature == "prefix": prefix = word[:4].lower() features[ ("prefix",prefix) ] = 1 + ''' - - + ''' + # Use: None # Feature: Length if feature == "length": features[ ("length",None) ] = len(word) + ''' + + # Feature: Metric Unit + if feature == "metric_unit": + unit = None + if self.is_weight(word): + unit = 'weight' + elif self.is_size(word): + unit = 'size' + elif self.is_volume(word): + unit = 'volume' + features[('metric_unit',unit)] = 1 + + ''' + # Feature: Date + if feature == 'date': + if self.is_date(word): + features[('date',None)] = 1 + + # Feature: Directive + if feature == 'directive': + if self.is_directive(word): + features[('directive',None)] = 1 # Feature: Mitre if feature == "mitre": for f in self.mitre_features: if re.search(self.mitre_features[f], word): - features[ ("mitre",f) ] = 1 + features[('mitre', f)] = 1 # Feature: Word Shape if feature == "word_shape": wordShapes = getWordShapes(word) for shape in wordShapes: - features[ ("word_shape", shape) ] = 1 + features[('word_shape', shape)] = 1 + ''' + return features @@ -223,6 +234,7 @@ def concept_features_for_chunk(self, sentence, ind): word_features = self.concept_features_for_word(w) features.update(word_features) + return features # Stemmer st = nltk.stem.PorterStemmer() @@ -239,17 +251,17 @@ def concept_features_for_chunk(self, sentence, ind): prev_word = st.stem( prev_chunk[-1] ) features[ ('prev_word_stem',prev_word) ] = 1 else: - features[ ('prev_word_stem',None) ] = 1 + features[ ('prev_word_stem','') ] = 1 # Feature: Previous word - if feature == "previous_word_stem": + if feature == "next_word_stem": if ind != len(sentence)-1: next_ind = ind + 1 next_chunk = sentence[next_ind].split() - next_word = st.stem( next_chunk[-1] ) + next_word = st.stem( next_chunk[0] ) features[ ('next_word_stem',next_word) ] = 1 else: - features[ ('next_word_stem',None) ] = 1 + features[ ('next_word_stem','') ] = 1 return features @@ -278,6 +290,43 @@ def concept_features_for_chunk(self, sentence, ind): "DATESEPERATOR": r"^[-/]$", } + # Try to get QANN features + def QANN_features(self, word): + features = {} + + # Feature: test result + if self.is_test_result(word): features[('test_result',None)] = 1 + + # Feature: measurements + if self.is_measurement(word): features[('measurement',None)] = 1 + + # Feature: directive + if self.is_directive(word): features[('directive', None)] = 1 + + # Feature: date + if self.is_date(word): features[('date', None)] = 1 + + # Feature: volume + if self.is_volume(word): features[('volume', None)] = 1 + + # Feature: weight + if self.is_weight(word): features[('weight', None)] = 1 + + # Feature: size + if self.is_size(word): features[('size', None)] = 1 + + # Feature: prognosis location + if self.is_prognosis_location: features[('prog_location', None)] = 1 + + # Feature: problem form + if self.has_problem_form(word): features[('problem_form', None)] = 1 + + # Feature: concept class + if self.is_weight(word): features[('weight', None)] = 1 + + return features + + def is_test_result(self, context): # note: make spaces optional? regex = r"^[A-Za-z]+( )*(-|--|:|was|of|\*|>|<|more than|less than)( )*[0-9]+(%)*" @@ -285,8 +334,7 @@ def is_test_result(self, context): return re.search(r"^[A-Za-z]+ was (positive|negative)", context) return True - # Try to get QANN features - def is_meaurement(self, word): + def is_measurement(self, word): regex = r"^[0-9]*(unit(s)|cc|L|mL|dL)$" return re.search(regex, word) From c2f75128c3ff7888526ae906c631fdd348579b77 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Sun, 5 Oct 2014 21:15:36 -0400 Subject: [PATCH 347/393] Bugfixes in features directory --- clicon/features_dir/genia/genia_features.py | 1 + clicon/features_dir/sentence_features.py | 203 +++++++++----------- clicon/features_dir/word_features.py | 150 ++++++++++----- 3 files changed, 193 insertions(+), 161 deletions(-) diff --git a/clicon/features_dir/genia/genia_features.py b/clicon/features_dir/genia/genia_features.py index e3ff957..b9274aa 100644 --- a/clicon/features_dir/genia/genia_features.py +++ b/clicon/features_dir/genia/genia_features.py @@ -60,6 +60,7 @@ def features(self, sentence, is_prose=True): # Feature: Current word's GENIA features for i,curr in enumerate(genia_feats): keys = ['GENIA-stem','GENIA-POS','GENIA-chunktag'] + #keys = ['GENIA-stem','GENIA-POS','GENIA-chunktag', 'GENIA-NEtag'] output = dict( ((k, curr[k]), 1) for k in keys if k in curr ) features_list[i].update(output) diff --git a/clicon/features_dir/sentence_features.py b/clicon/features_dir/sentence_features.py index 15d8057..08a86d8 100644 --- a/clicon/features_dir/sentence_features.py +++ b/clicon/features_dir/sentence_features.py @@ -41,9 +41,9 @@ class SentenceFeatures: # Feature Enabling - enabled_IOB_nonprose_sentence_features = frozenset( ['pos', 'test_result', 'prev', 'next','prev_3_pos', 'next_3_pos', 'UMLS']) + enabled_IOB_nonprose_sentence_features = frozenset( ['pos', 'prev', 'next', 'prev_3_pos', 'next_3_pos', 'UMLS', 'unigram_context']) - enabled_concept_features = frozenset( ['pos','prev_3_pos', 'stem_wordnet', 'test_result', 'word_shape','prev','next', "UMLS"]) + enabled_concept_features = frozenset( ['pos','prev_3_pos', 'stem_wordnet', 'test_result', 'word_shape', "UMLS"]) @@ -65,14 +65,15 @@ def __init__(self, data): self.enabled_IOB_prose_sentence_features = [] - #self.enabled_IOB_prose_sentence_features.append('pos') + self.enabled_IOB_prose_sentence_features.append('unigram_context') + self.enabled_IOB_prose_sentence_features.append('pos') #self.enabled_IOB_prose_sentence_features.append('prev_3_pos') #self.enabled_IOB_prose_sentence_features.append('next_3_pos') self.enabled_IOB_prose_sentence_features.append('prev') - #self.enabled_IOB_prose_sentence_features.append('prev2') + self.enabled_IOB_prose_sentence_features.append('prev2') #self.enabled_IOB_prose_sentence_features.append('prev3') self.enabled_IOB_prose_sentence_features.append('next') - #self.enabled_IOB_prose_sentence_features.append('next2') + self.enabled_IOB_prose_sentence_features.append('next2') #self.enabled_IOB_prose_sentence_features.append('next3') self.enabled_IOB_prose_sentence_features.append('GENIA') self.enabled_IOB_prose_sentence_features.append('UMLS') @@ -93,6 +94,26 @@ def IOB_prose_features(self, sentence): features_list.append(self.feat_word.IOB_prose_features(sentence[i])) + # Feature: Bag of Words unigram conext (window=3) + if 'unigram_context' in self.enabled_IOB_prose_sentence_features: + window = 3 + n = len(sentence) + + # Previous unigrams + for i in range(n): + end = min(i, window) + unigrams = sentence[i-end:i] + for u in unigrams: + features_list[i][('prev_unigrams',u)] = 1 + + # Next unigrams + for i in range(n): + end = min(i + window, n-1) + unigrams = sentence[i+1:end+1] + for u in unigrams: + features_list[i][('next_unigrams',u)] = 1 + + # Only POS tag once if 'pos' in self.enabled_IOB_prose_sentence_features: pos_tagged = nltk.pos_tag(sentence) @@ -161,10 +182,9 @@ def IOB_prose_features(self, sentence): # Feature: UMLS Word Features (only use prose ones) if (feature == "UMLS") and enabled['UMLS']: + umls_features = self.feat_umls.IOB_prose_features(sentence) for i in range(len(sentence)): - word = sentence[i] - umls_features = self.feat_umls.IOB_prose_features(word) - features_list[i].update( umls_features ) + features_list[i].update( umls_features[i] ) # Used for 'prev' and 'next' features @@ -189,19 +209,6 @@ def IOB_prose_features(self, sentence): else: ngram_features[i].update(prev_list[i-2]) - if "prev3" in self.enabled_IOB_prose_sentence_features: - prev3 = lambda f: {("prev3_"+k[0], k[1]): v/4.0 for k,v in f.items()} - prev_list = map(prev3, features_list) - for i in range(len(features_list)): - if i < len(features_list) - 4: - ngram_features[i].update(prev_list[i+3]) - elif i == len(features_list) - 3: - ngram_features[i][("prev3", "***")] = 1 - elif i == len(features_list) - 2: - ngram_features[i][("prev3", "**" )] = 1 - else: - ngram_features[i][("prev3", "*" )] = 1 - if "next" in self.enabled_IOB_prose_sentence_features: next = lambda f: {("next_"+k[0], k[1]): v for k,v in f.items()} next_list = map(next, features_list) @@ -222,20 +229,6 @@ def IOB_prose_features(self, sentence): else: ngram_features[i][("next2", "*")] = 1 - if "next3" in self.enabled_IOB_prose_sentence_features: - next3 = lambda f: {("next3_"+k[0], k[1]): v/4.0 for k,v in f.items()} - next_list = map(next3, features_list) - for i in range(len(features_list)): - if i < len(features_list) - 4: - ngram_features[i].update(next_list[i+3]) - elif i == len(features_list) - 3: - ngram_features[i][("next3", "***")] = 1 - elif i == len(features_list) - 2: - ngram_features[i][("next3", "**" )] = 1 - else: - ngram_features[i][("next3", "*" )] = 1 - - merged = lambda d1, d2: dict(d1.items() + d2.items()) features_list = [merged(features_list[i], ngram_features[i]) for i in range(len(features_list))] @@ -266,6 +259,42 @@ def IOB_nonprose_features(self, sentence): features_list.append( word_feats ) + # Feature: Bag of Words unigram conext (window=3) + if 'unigram_context' in self.enabled_IOB_nonprose_sentence_features: + window = 3 + n = len(sentence) + + #print + #print sentence + + # Previous unigrams + for i in range(n): + end = min(i, window) + unigrams = sentence[i-end:i] + for u in unigrams: + features_list[i][('prev_unigrams',u)] = 1 + #print '\t', i, '\t', unigrams + #print '-' + + # Next unigrams + for i in range(n): + end = min(i + window, n-1) + unigrams = sentence[i+1:end+1] + for u in unigrams: + features_list[i][('next_unigrams',u)] = 1 + #print '\t', i, '\t', unigrams + + #return features_list + + # Feature: UMLS Word Features (only use nonprose ones) + if enabled['UMLS'] and 'UMLS' in self.enabled_IOB_nonprose_sentence_features: + umls_features = self.feat_umls.IOB_nonprose_features(sentence) + for i in range(len(sentence)): + features_list[i].update( umls_features[i] ) + + + #return features_list + if 'pos' in self.enabled_IOB_nonprose_sentence_features: pos_tagged = nltk.pos_tag(sentence) @@ -310,23 +339,6 @@ def IOB_nonprose_features(self, sentence): features_list[i].update(pos_features) - # Feature: UMLS Word Features (only use nonprose ones) - if (feature == "UMLS") and enabled['UMLS']: - for i in range(len(sentence)): - word = sentence[i] - umls_features = self.feat_umls.IOB_nonprose_features(word) - features_list[i].update( umls_features ) - - ''' - # Feature: Test Result (for each chunk) - if feature == "test_result": - for index, features in enumerate(features_list): - right = " ".join([w for w in sentence[index:]]) - if self.feat_word.is_test_result(right): - features['test_result'] = 1 - ''' - - ngram_features = [{} for _ in range(len(features_list))] if "prev" in self.enabled_IOB_nonprose_sentence_features: @@ -374,38 +386,31 @@ def concept_features_for_sentence(self, sentence, chunk_inds): for ind in chunk_inds: features_list.append( self.feat_word.concept_features_for_chunk(sentence,ind) ) - # FIXME - more closely resembling Harabagiu + # NOTE: excludes UMLS features return features_list + ''' # Split the chunked sentence into a list of words for (POS tagger) split_sentence = [] for c in sentence: split_sentence += c.split() tags = nltk.pos_tag(split_sentence) - - - pflag = False - if ' '.join(sentence) == 'PMH : Carpal tunnel syndrome , Hypertension , Hyperlipidemia , Arthritis': - pflag = True - #print '\n\n\n' - #print 'sentence: ', sentence - #print 'inds: ', chunk_inds - #print 'tags: ', tags - #print - #print '\n\n' - + ''' # Allow for particular features to be enabled for feature in self.enabled_concept_features: - # Features: UMLS features + # Features: UMLS features + # Note: Very slow, doesn't add much when you have lots of training data if (feature == "UMLS") and enabled['UMLS']: - umls_features = self.feat_umls.concept_features_for_sentence(split_sentence) - features.update(umls_features) + umls_features = self.feat_umls.IOB_prose_features(sentence) + for i in range(len(sentence)): + features_list[i].update( umls_features[i] ) + continue # Feature: Previous POSs if feature == 'pos': @@ -422,6 +427,7 @@ def concept_features_for_sentence(self, sentence, chunk_inds): features_list[i][('pos',pos)] = 1 + ''' # Feature: Previous 3 POSs if feature == 'prev_3_pos': for i,ind in enumerate(chunk_inds): @@ -431,59 +437,36 @@ def concept_features_for_sentence(self, sentence, chunk_inds): split_ind += len(c.split()) # Three previous words + # FIXME - Should this be ordered or bag of words?? begin = split_ind-3 if split_ind-3>0 else 0 for tag in tags[begin:split_ind]: pos = tag[1] features_list[i][('prev_3_pos',pos)] = 1 - continue - - # Feature: Previous Chunks's Features if feature == "prev": - if ind == 0: - features[("prev", "*")] = 1 - else: - # Get features of previous chunks - prev_features = self.feat_sent.concept_features_for_chunk(sentence,ind-1) - prepend = lambda f: {("prev_"+k[0],k[1]):v for k, v in f.items()} - features.update( prepend(prev_features) ) + for i,ind in enumerate(chunk_inds): + if ind == 0: + features_list[i][("prev", "*")] = 1 + else: + # Get features of previous chunks + prev_features = self.feat_word.concept_features_for_chunk(sentence,ind-1) + prepend = lambda f: {("prev_"+k[0],k[1]):v for k, v in f.items()} + features_list[i].update( prepend(prev_features) ) # Feature: Next Chunk's Features - if features == "next": - if ind == len(sentence) - 1: - features[("next", "*")] = 1 - else: - # Get features of previous chunks - next_features = self.feat_sent.concept_features_for_chunk(sentence,ind+1) - prepend = lambda f: {("next_"+k[0],k[1]):v for k, v in f.items()} - features.update( prepend(next_features) ) - - - - - # Feature: Wordnet Stem (for each chunk) - if feature == "stem_wordnet": - morphy_tags = { - 'NN': nltk.corpus.reader.wordnet.NOUN, - 'JJ': nltk.corpus.reader.wordnet.ADJ, - 'VB': nltk.corpus.reader.wordnet.VERB, - 'RB': nltk.corpus.reader.wordnet.ADV} - morphy_tags = [(w, morphy_tags.setdefault(t[:2], nltk.corpus.reader.wordnet.NOUN)) for w, t in tags] - st = nltk.stem.WordNetLemmatizer() - tag = morphy_tags[ind] - # FIXME - #features[(feature, st.lemmatize(*tag))] = 1 - - - # Feature: Test Result (for each chunk) - if feature == "test_result": - # FIXME - right = " ".join([c for c in sentence[ind:]]) - if self.feat_word.is_test_result(right): - features[(feature, None)] = 1 + if feature == "next": + for i,ind in enumerate(chunk_inds): + if ind == len(sentence) - 1: + features_list[i][("next", "*")] = 1 + else: + # Get features of previous chunks + next_features = self.feat_word.concept_features_for_chunk(sentence,ind+1) + apend = lambda f: {("next_"+k[0],k[1]):v for k, v in f.items()} + features_list[i].update( apend(next_features) ) + ''' #if pflag: diff --git a/clicon/features_dir/word_features.py b/clicon/features_dir/word_features.py index 68d7910..bf41f06 100644 --- a/clicon/features_dir/word_features.py +++ b/clicon/features_dir/word_features.py @@ -25,9 +25,10 @@ class WordFeatures: enabled_IOB_prose_word_features = frozenset( ['Generic#', 'last_two_letters', 'word', 'length', 'mitre', 'stem_porter', 'stem_lancaster', 'word_shape', 'metric_unit' ] ) - enabled_IOB_nonprose_word_features = frozenset( ['word', 'word_shape', 'metric_unit', 'mitre', 'directive', 'date' ] ) + enabled_IOB_nonprose_word_features = frozenset( ['word', 'word_shape', 'mitre', 'QANN' ] ) - enabled_concept_features = frozenset( ['word', 'prefix', 'stem_porter', 'stem_lancaster', 'previous_word_stem', 'next_word_stem'] ) + #enabled_concept_features = frozenset( ['word', 'prefix', 'stem_porter', 'stem_lancaster', 'previous_word_stem', 'next_word_stem'] ) + enabled_concept_features = frozenset( ['word', 'prefix', 'stem_porter', 'stem_lancaster', 'previous_word_stem', 'next_word_stem', 'word_shape', 'metric_unit', 'mitre', 'directive', 'date'] ) def __init__(self): @@ -46,41 +47,46 @@ def IOB_prose_features(self, word): # Allow for particular features to be enabled for feature in self.enabled_IOB_prose_word_features: + ''' if feature == "word": features[(feature, word.lower())] = 1 - ''' if feature == "stem_lancaster": st = nltk.stem.LancasterStemmer() features[ (feature, st.stem(word.lower())) ] = 1 + ''' # Feature: Generic# stemmed word if feature == 'Generic#': generic = re.sub('[0-9]','0',word) features[ ('Generic#',generic) ] = 1 + ''' # Feature: Last two leters of word if feature == 'last_two_letters': features[ ('last_two_letters',word[-2:]) ] = 1 + ''' + ''' if feature == "length": features[(feature, None)] = len(word) + if feature == "stem_porter": + st = nltk.stem.PorterStemmer() + features[(feature, st.stem(word))] = 1 + ''' + + if feature == "mitre": for f in self.mitre_features: if re.search(self.mitre_features[f], word): features[(feature, f)] = 1 - if feature == "stem_porter": - st = nltk.stem.PorterStemmer() - features[(feature, st.stem(word))] = 1 - if feature == "word_shape": wordShapes = getWordShapes(word) for shape in wordShapes: features[(feature, shape)] = 1 - ''' return features @@ -95,56 +101,31 @@ def IOB_prose_features(self, word): # output: A dictionary of features def IOB_nonprose_features(self, word): - # Feature: - features = {'dummy': 1} # always have >0 dimensions + features = {} - enabled = True + # Feature: The word, itself + features[('word', word.lower())] = 1 # Allow for particular features to be enabled for feature in self.enabled_IOB_nonprose_word_features: - # Feature: The word, itself - if feature == 'word': - features[('word', word.lower())] = 1 - - - # Feature: Metric Unit - if feature == "metric_unit": - unit = None - if self.is_weight(word): - unit = 'weight' - elif self.is_size(word): - unit = 'size' - elif self.is_volume(word): - unit = 'volume' - features[('metric_unit',unit)] = 1 - - - # Feature: Date - if feature == 'date': - if self.is_date(word): - features[('date',None)] = 1 - - - # Feature: Directive - if feature == 'directive': - if self.is_directive(word): - features[('directive',None)] = 1 - - # Feature: Mitre if feature == "mitre": for f in self.mitre_features: if re.search(self.mitre_features[f], word): features[('mitre', f)] = 1 - # Feature: Word Shape if feature == "word_shape": wordShapes = getWordShapes(word) for shape in wordShapes: features[('word_shape', shape)] = 1 + # Feature: QANN features + if feature == 'QANN': + qann_feats = self.QANN_features(word) + features.update(qann_feats) + return features @@ -168,6 +149,8 @@ def concept_features_for_word(self, word): if feature == "word": features[ ("word",word.lower()) ] = 1 + + ''' # Feature: Porter Stem if feature == "stem_porter": st = nltk.stem.PorterStemmer() @@ -177,29 +160,57 @@ def concept_features_for_word(self, word): if feature == "stem_lancaster": st = nltk.stem.LancasterStemmer() features[ ("stem_lancaster", st.stem(word)) ] = 1 + ''' + ''' # Feature: First Four Letters if feature == "prefix": prefix = word[:4].lower() features[ ("prefix",prefix) ] = 1 + ''' - - + ''' + # Use: None # Feature: Length if feature == "length": features[ ("length",None) ] = len(word) + ''' + + # Feature: Metric Unit + if feature == "metric_unit": + unit = None + if self.is_weight(word): + unit = 'weight' + elif self.is_size(word): + unit = 'size' + elif self.is_volume(word): + unit = 'volume' + features[('metric_unit',unit)] = 1 + + ''' + # Feature: Date + if feature == 'date': + if self.is_date(word): + features[('date',None)] = 1 + + # Feature: Directive + if feature == 'directive': + if self.is_directive(word): + features[('directive',None)] = 1 # Feature: Mitre if feature == "mitre": for f in self.mitre_features: if re.search(self.mitre_features[f], word): - features[ ("mitre",f) ] = 1 + features[('mitre', f)] = 1 # Feature: Word Shape if feature == "word_shape": wordShapes = getWordShapes(word) for shape in wordShapes: - features[ ("word_shape", shape) ] = 1 + features[('word_shape', shape)] = 1 + ''' + return features @@ -223,6 +234,7 @@ def concept_features_for_chunk(self, sentence, ind): word_features = self.concept_features_for_word(w) features.update(word_features) + return features # Stemmer st = nltk.stem.PorterStemmer() @@ -239,17 +251,17 @@ def concept_features_for_chunk(self, sentence, ind): prev_word = st.stem( prev_chunk[-1] ) features[ ('prev_word_stem',prev_word) ] = 1 else: - features[ ('prev_word_stem',None) ] = 1 + features[ ('prev_word_stem','') ] = 1 # Feature: Previous word - if feature == "previous_word_stem": + if feature == "next_word_stem": if ind != len(sentence)-1: next_ind = ind + 1 next_chunk = sentence[next_ind].split() - next_word = st.stem( next_chunk[-1] ) + next_word = st.stem( next_chunk[0] ) features[ ('next_word_stem',next_word) ] = 1 else: - features[ ('next_word_stem',None) ] = 1 + features[ ('next_word_stem','') ] = 1 return features @@ -278,6 +290,43 @@ def concept_features_for_chunk(self, sentence, ind): "DATESEPERATOR": r"^[-/]$", } + # Try to get QANN features + def QANN_features(self, word): + features = {} + + # Feature: test result + if self.is_test_result(word): features[('test_result',None)] = 1 + + # Feature: measurements + if self.is_measurement(word): features[('measurement',None)] = 1 + + # Feature: directive + if self.is_directive(word): features[('directive', None)] = 1 + + # Feature: date + if self.is_date(word): features[('date', None)] = 1 + + # Feature: volume + if self.is_volume(word): features[('volume', None)] = 1 + + # Feature: weight + if self.is_weight(word): features[('weight', None)] = 1 + + # Feature: size + if self.is_size(word): features[('size', None)] = 1 + + # Feature: prognosis location + if self.is_prognosis_location: features[('prog_location', None)] = 1 + + # Feature: problem form + if self.has_problem_form(word): features[('problem_form', None)] = 1 + + # Feature: concept class + if self.is_weight(word): features[('weight', None)] = 1 + + return features + + def is_test_result(self, context): # note: make spaces optional? regex = r"^[A-Za-z]+( )*(-|--|:|was|of|\*|>|<|more than|less than)( )*[0-9]+(%)*" @@ -285,8 +334,7 @@ def is_test_result(self, context): return re.search(r"^[A-Za-z]+ was (positive|negative)", context) return True - # Try to get QANN features - def is_meaurement(self, word): + def is_measurement(self, word): regex = r"^[0-9]*(unit(s)|cc|L|mL|dL)$" return re.search(regex, word) From 7fc16020c09cbf1e58fa984e3c9b12ee2ead30ea Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Mon, 6 Oct 2014 00:23:43 -0400 Subject: [PATCH 348/393] Add support for semeval reader --- clicon/note.py | 185 ++++++++++++++++++++++++++++++++++--------------- clicon/sci.py | 15 ++++ 2 files changed, 146 insertions(+), 54 deletions(-) diff --git a/clicon/note.py b/clicon/note.py index 8206926..bf779ad 100644 --- a/clicon/note.py +++ b/clicon/note.py @@ -1,3 +1,6 @@ +from __future__ import with_statement + + ###################################################################### # CliNER - note.py # # # @@ -12,14 +15,16 @@ -from __future__ import with_statement - import re import string from copy import copy import nltk.data + +# TODO - Create directory/module for note +# with individual files for different data format readers/writers. + class Note: # Private class @@ -71,6 +76,10 @@ def __init__(self): self.boundaries = [] self.text_chunks = [] + # semeval formay internals + self.text = '' + self.line_inds = [] + # Tokenizing text files self.sent_tokenizer = Note.SentenceTokenizer() @@ -98,7 +107,7 @@ def getExtension(format): return Note.supported_formats[format] - def reader(self, format, txt, con): + def reader(self, format, txt, con=None): """ reader() @@ -134,6 +143,32 @@ def writer(self, format, txt, con=None): + @ staticmethod + def concept_cmp(a,b): + """ + concept_cmp() + + Purpose: Compare concept classification tokens + """ + a = (int(a[1]), int(a[2])) + b = (int(b[1]), int(b[2])) + + # Sort by line number + if a[0] < b[0]: + return -1 + if a[0] > b[0]: + return 1 + else: + # Resolve lineno ties with indices + if a[1] < b[1]: + return -1 + if a[1] > b[1]: + return 1 + else: + return 0 + + + # Note::read_i2b2() # @@ -143,30 +178,6 @@ def read_i2b2(self, txt, con=None): # TODO - split with OpeNLP tokenizer - def concept_cmp(a,b): - """ - concept_cmp() - - Purpose: Compare concept classification tokens - """ - a = (int(a[1]), int(a[2])) - b = (int(b[1]), int(b[2])) - - # Sort by line number - if a[0] < b[0]: - return -1 - if a[0] > b[0]: - return 1 - else: - # Resolve lineno ties with indices - if a[1] < b[1]: - return -1 - if a[1] > b[1]: - return 1 - else: - return 0 - - # Read in the medical text with open(txt) as f: for line in f: @@ -179,6 +190,8 @@ def concept_cmp(a,b): # Make put a temporary 'O' in each spot self.boundaries.append( ['O' for _ in line.split()] ) + # Original text file + self.text += line # If an accompanying concept file was specified, read it if con: @@ -233,7 +246,7 @@ def concept_cmp(a,b): classifications = list(set(classifications)) # Concept file does not guarantee ordering by line number - self.classifications = sorted(classifications, cmp=concept_cmp) + self.classifications = sorted(classifications, cmp=Note.concept_cmp) @@ -467,6 +480,11 @@ def read_xml(self, txt, xml): @param xml. A file path for the xml formatted medical record """ + # Original text file + with open(txt, 'r') as f: + self.text = f.read() + + # Read in the medical text with open(xml) as f: @@ -603,11 +621,36 @@ def write_xml(self, labels=None): def read_semeval(self, txt, con=None): - def lineno(line_inds, ind): - """ Identify which line number contains index 'ind' """ - pass + def lineno_and_tokspan(char_span): + """ Identify which line number and token number of given char ind """ + for i,span in enumerate(self.line_inds): + if char_span[1] < span[1]: + start = char_span[0] - span[0] + end = char_span[1] - span[0] + + # FIXME - Might not always be true, + # but assumed single space separating tokens + tok_span = [0,len(self.data[i])-1] + char_count = 0 + for j,tok in enumerate(self.data[i]): + if char_count > end: + tok_span[1] = j-1 + break + elif char_count == start: + tok_span[0] = j + char_count += len(tok) + 1 + #print '\t',j, '\t', tok, '(', char_count, ')' + + #print start, end + #print tok_span + #print text[span[0]:span[1]][86] + #print self.data[i][tok_span[0]:tok_span[1]] + + # return line number AND token span + return (i,tuple(tok_span)) + return None + - line_indices = [] start = 0 end = 0 @@ -615,6 +658,7 @@ def lineno(line_inds, ind): # Get entire file text = f.read() + self.text = text # Sentence splitter sents = self.sent_tokenizer.tokenize(text) @@ -624,43 +668,45 @@ def lineno(line_inds, ind): # Tokenize each sentence into words (and save line number indices) toks = [] - line_indices = [] # indices - #gold = [] # Actual lines + gold = [] # Actual lines for s in sents: - #gold.append(s) + gold.append(s) + + # Store data + toks = self.word_tokenizer.tokenize(s) + self.data.append(toks) - toks.append( self.word_tokenizer.tokenize(s) ) + # Make put a temporary 'O' in each spot + self.boundaries.append( ['O' for _ in toks] ) # Keep track of which indices each line has end = start + len(s) - line_indices.append( (start,end) ) + self.line_inds.append( (start,end) ) start = end + 1 - # Account for occasional double space after sentence end - while (start < len(text)) and (text[start] == ' '): start += 1 + # Skip ahead to next non-whitespace + while (start < len(text)) and text[start].isspace(): start += 1 - """ + ''' for line,inds in zip(gold,line_indices): - print line + '!!!' + print '!!!' + line + '!!!' print '\t', 'xx'*10 print inds print '\t', 'xx'*10 - print text[inds[0]: inds[1]] + '!!!' + print '!!!' + text[inds[0]: inds[1]] + '!!!' print '---' print '\n' print 'Xx' * 20 - """ - - # FIXME TODO - Test if lineno() function works - - #print toks + ''' - print '\n\n\n' + #lno,span = lineno_and_tokspan((2329, 2351)) + #lno,span = lineno_and_tokspan((1327, 1344)) + #print self.data[lno][span[0]:span[1]+1] - exit() # If an accompanying concept file was specified, read it if con: + classifications = [] with open(con) as f: for line in f: @@ -669,17 +715,48 @@ def lineno(line_inds, ind): # Parse concept file line fields = line.strip().split('||') - print fields + #print fields concept = fields[1] cui = fields[2] span_inds = [] for i in range(3,len(fields),2): - span= int(fields[i]), int(fields[i+1]) + span = int(fields[i]), int(fields[i+1]) span_inds.append( span ) - print '\t', concept - print '\t', cui - print '\t', span_inds + #print '\t', concept + #print '\t', cui + #print '\t', span_inds + + # Everything is a Disease_Disorder + concept = 'problem' + + # FIXME - For now, treat non-contiguous spans as separate + for span in span_inds: + l,(start,end) = lineno_and_tokspan(span) + + # Add the classification to the Note object + classifications.append( (concept,l+1,start,end) ) + + + # Beginning of a concept + try: + self.boundaries[l][start] = 'B' + except: + print 'Problem with IOB in read_semeval()' + print 'txt: ', txt + print 'con: ', con + + # Inside of a concept + for i in range(start,end): + self.boundaries[l][i+1] = 'I' + + + # Safe guard against concept file having duplicate entries + classifications = list(set(classifications)) + + # Concept file does not guarantee ordering by line number + self.classifications = sorted(classifications, cmp=Note.concept_cmp) + diff --git a/clicon/sci.py b/clicon/sci.py index 6c00173..13949b9 100644 --- a/clicon/sci.py +++ b/clicon/sci.py @@ -6,8 +6,23 @@ from sklearn.metrics import f1_score +# Solution for trying to train with all instances having single label +class TrivialClassifier: + + def __init__(self, label): + self.label = label + + def predict(self, X): + return [ self.label for x in X ] + + + def train(X, Y, do_grid): + # scikit-learn requires you train data with more than one label + if len(Y) and all( [ (y==Y[0]) for y in Y ] ): + return TrivialClassifier(Y[0]) + # Search space C_range = 10.0 ** np.arange( -5, 9 ) gamma_range = 10.0 ** np.arange( -5 , 9 ) From 38697e5612f0b0c4aa2fab090aab465fbfd95677 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Mon, 6 Oct 2014 00:23:43 -0400 Subject: [PATCH 349/393] Add support for semeval reader --- clicon/note.py | 185 ++++++++++++++++++++++++++++++++++--------------- clicon/sci.py | 15 ++++ 2 files changed, 146 insertions(+), 54 deletions(-) diff --git a/clicon/note.py b/clicon/note.py index 8206926..bf779ad 100644 --- a/clicon/note.py +++ b/clicon/note.py @@ -1,3 +1,6 @@ +from __future__ import with_statement + + ###################################################################### # CliNER - note.py # # # @@ -12,14 +15,16 @@ -from __future__ import with_statement - import re import string from copy import copy import nltk.data + +# TODO - Create directory/module for note +# with individual files for different data format readers/writers. + class Note: # Private class @@ -71,6 +76,10 @@ def __init__(self): self.boundaries = [] self.text_chunks = [] + # semeval formay internals + self.text = '' + self.line_inds = [] + # Tokenizing text files self.sent_tokenizer = Note.SentenceTokenizer() @@ -98,7 +107,7 @@ def getExtension(format): return Note.supported_formats[format] - def reader(self, format, txt, con): + def reader(self, format, txt, con=None): """ reader() @@ -134,6 +143,32 @@ def writer(self, format, txt, con=None): + @ staticmethod + def concept_cmp(a,b): + """ + concept_cmp() + + Purpose: Compare concept classification tokens + """ + a = (int(a[1]), int(a[2])) + b = (int(b[1]), int(b[2])) + + # Sort by line number + if a[0] < b[0]: + return -1 + if a[0] > b[0]: + return 1 + else: + # Resolve lineno ties with indices + if a[1] < b[1]: + return -1 + if a[1] > b[1]: + return 1 + else: + return 0 + + + # Note::read_i2b2() # @@ -143,30 +178,6 @@ def read_i2b2(self, txt, con=None): # TODO - split with OpeNLP tokenizer - def concept_cmp(a,b): - """ - concept_cmp() - - Purpose: Compare concept classification tokens - """ - a = (int(a[1]), int(a[2])) - b = (int(b[1]), int(b[2])) - - # Sort by line number - if a[0] < b[0]: - return -1 - if a[0] > b[0]: - return 1 - else: - # Resolve lineno ties with indices - if a[1] < b[1]: - return -1 - if a[1] > b[1]: - return 1 - else: - return 0 - - # Read in the medical text with open(txt) as f: for line in f: @@ -179,6 +190,8 @@ def concept_cmp(a,b): # Make put a temporary 'O' in each spot self.boundaries.append( ['O' for _ in line.split()] ) + # Original text file + self.text += line # If an accompanying concept file was specified, read it if con: @@ -233,7 +246,7 @@ def concept_cmp(a,b): classifications = list(set(classifications)) # Concept file does not guarantee ordering by line number - self.classifications = sorted(classifications, cmp=concept_cmp) + self.classifications = sorted(classifications, cmp=Note.concept_cmp) @@ -467,6 +480,11 @@ def read_xml(self, txt, xml): @param xml. A file path for the xml formatted medical record """ + # Original text file + with open(txt, 'r') as f: + self.text = f.read() + + # Read in the medical text with open(xml) as f: @@ -603,11 +621,36 @@ def write_xml(self, labels=None): def read_semeval(self, txt, con=None): - def lineno(line_inds, ind): - """ Identify which line number contains index 'ind' """ - pass + def lineno_and_tokspan(char_span): + """ Identify which line number and token number of given char ind """ + for i,span in enumerate(self.line_inds): + if char_span[1] < span[1]: + start = char_span[0] - span[0] + end = char_span[1] - span[0] + + # FIXME - Might not always be true, + # but assumed single space separating tokens + tok_span = [0,len(self.data[i])-1] + char_count = 0 + for j,tok in enumerate(self.data[i]): + if char_count > end: + tok_span[1] = j-1 + break + elif char_count == start: + tok_span[0] = j + char_count += len(tok) + 1 + #print '\t',j, '\t', tok, '(', char_count, ')' + + #print start, end + #print tok_span + #print text[span[0]:span[1]][86] + #print self.data[i][tok_span[0]:tok_span[1]] + + # return line number AND token span + return (i,tuple(tok_span)) + return None + - line_indices = [] start = 0 end = 0 @@ -615,6 +658,7 @@ def lineno(line_inds, ind): # Get entire file text = f.read() + self.text = text # Sentence splitter sents = self.sent_tokenizer.tokenize(text) @@ -624,43 +668,45 @@ def lineno(line_inds, ind): # Tokenize each sentence into words (and save line number indices) toks = [] - line_indices = [] # indices - #gold = [] # Actual lines + gold = [] # Actual lines for s in sents: - #gold.append(s) + gold.append(s) + + # Store data + toks = self.word_tokenizer.tokenize(s) + self.data.append(toks) - toks.append( self.word_tokenizer.tokenize(s) ) + # Make put a temporary 'O' in each spot + self.boundaries.append( ['O' for _ in toks] ) # Keep track of which indices each line has end = start + len(s) - line_indices.append( (start,end) ) + self.line_inds.append( (start,end) ) start = end + 1 - # Account for occasional double space after sentence end - while (start < len(text)) and (text[start] == ' '): start += 1 + # Skip ahead to next non-whitespace + while (start < len(text)) and text[start].isspace(): start += 1 - """ + ''' for line,inds in zip(gold,line_indices): - print line + '!!!' + print '!!!' + line + '!!!' print '\t', 'xx'*10 print inds print '\t', 'xx'*10 - print text[inds[0]: inds[1]] + '!!!' + print '!!!' + text[inds[0]: inds[1]] + '!!!' print '---' print '\n' print 'Xx' * 20 - """ - - # FIXME TODO - Test if lineno() function works - - #print toks + ''' - print '\n\n\n' + #lno,span = lineno_and_tokspan((2329, 2351)) + #lno,span = lineno_and_tokspan((1327, 1344)) + #print self.data[lno][span[0]:span[1]+1] - exit() # If an accompanying concept file was specified, read it if con: + classifications = [] with open(con) as f: for line in f: @@ -669,17 +715,48 @@ def lineno(line_inds, ind): # Parse concept file line fields = line.strip().split('||') - print fields + #print fields concept = fields[1] cui = fields[2] span_inds = [] for i in range(3,len(fields),2): - span= int(fields[i]), int(fields[i+1]) + span = int(fields[i]), int(fields[i+1]) span_inds.append( span ) - print '\t', concept - print '\t', cui - print '\t', span_inds + #print '\t', concept + #print '\t', cui + #print '\t', span_inds + + # Everything is a Disease_Disorder + concept = 'problem' + + # FIXME - For now, treat non-contiguous spans as separate + for span in span_inds: + l,(start,end) = lineno_and_tokspan(span) + + # Add the classification to the Note object + classifications.append( (concept,l+1,start,end) ) + + + # Beginning of a concept + try: + self.boundaries[l][start] = 'B' + except: + print 'Problem with IOB in read_semeval()' + print 'txt: ', txt + print 'con: ', con + + # Inside of a concept + for i in range(start,end): + self.boundaries[l][i+1] = 'I' + + + # Safe guard against concept file having duplicate entries + classifications = list(set(classifications)) + + # Concept file does not guarantee ordering by line number + self.classifications = sorted(classifications, cmp=Note.concept_cmp) + diff --git a/clicon/sci.py b/clicon/sci.py index 6c00173..13949b9 100644 --- a/clicon/sci.py +++ b/clicon/sci.py @@ -6,8 +6,23 @@ from sklearn.metrics import f1_score +# Solution for trying to train with all instances having single label +class TrivialClassifier: + + def __init__(self, label): + self.label = label + + def predict(self, X): + return [ self.label for x in X ] + + + def train(X, Y, do_grid): + # scikit-learn requires you train data with more than one label + if len(Y) and all( [ (y==Y[0]) for y in Y ] ): + return TrivialClassifier(Y[0]) + # Search space C_range = 10.0 ** np.arange( -5, 9 ) gamma_range = 10.0 ** np.arange( -5 , 9 ) From 2792e5696ca5c65653e93a233c83f6b530a6384b Mon Sep 17 00:00:00 2001 From: Kevin Wacome Date: Tue, 7 Oct 2014 22:19:30 -0400 Subject: [PATCH 350/393] Update note.py --- clicon/note.py | 12 ++++++------ 1 file changed, 6 insertions(+), 6 deletions(-) diff --git a/clicon/note.py b/clicon/note.py index bf779ad..85a7908 100644 --- a/clicon/note.py +++ b/clicon/note.py @@ -39,13 +39,13 @@ def tokenize(self, text): return self.sent_tokenizer.tokenize(text) # nltk tokenizer doesn't preserve double spaces after sentence end - sections = text.split(' ') - parts = [ self.sent_tokenizer.tokenize(sections[0]) ] - for section in sections[1:]: - toks = self.sent_tokenizer.tokenize(section) - parts += [' '] + toks + # sections = text.split(' ') + #parts = [ self.sent_tokenizer.tokenize(sections[0]) ] + # for section in sections[1:]: + # toks = self.sent_tokenizer.tokenize(section) + # parts += [' '] + toks - return sections + # return sections From b42a52eb7199af207d414899ca4c256ebfeb44a2 Mon Sep 17 00:00:00 2001 From: Kevin Wacome Date: Tue, 7 Oct 2014 22:19:30 -0400 Subject: [PATCH 351/393] Update note.py --- clicon/note.py | 12 ++++++------ 1 file changed, 6 insertions(+), 6 deletions(-) diff --git a/clicon/note.py b/clicon/note.py index bf779ad..85a7908 100644 --- a/clicon/note.py +++ b/clicon/note.py @@ -39,13 +39,13 @@ def tokenize(self, text): return self.sent_tokenizer.tokenize(text) # nltk tokenizer doesn't preserve double spaces after sentence end - sections = text.split(' ') - parts = [ self.sent_tokenizer.tokenize(sections[0]) ] - for section in sections[1:]: - toks = self.sent_tokenizer.tokenize(section) - parts += [' '] + toks + # sections = text.split(' ') + #parts = [ self.sent_tokenizer.tokenize(sections[0]) ] + # for section in sections[1:]: + # toks = self.sent_tokenizer.tokenize(section) + # parts += [' '] + toks - return sections + # return sections From 1a22650d7863c278e8da0f990b174716235349ca Mon Sep 17 00:00:00 2001 From: ktwaco Date: Wed, 22 Oct 2014 05:21:59 -0400 Subject: [PATCH 352/393] semeval reader --- clicon/note.py | 130 +++++++++++++++++++++++++++++++++++++++------- clicon/predict.py | 7 ++- run.sh | 7 ++- 3 files changed, 117 insertions(+), 27 deletions(-) diff --git a/clicon/note.py b/clicon/note.py index 85a7908..9bac194 100644 --- a/clicon/note.py +++ b/clicon/note.py @@ -18,8 +18,9 @@ import re import string from copy import copy +import copy import nltk.data - +import os.path # TODO - Create directory/module for note @@ -80,6 +81,8 @@ def __init__(self): self.text = '' self.line_inds = [] + # name of file read. does not include extension. + self.fileName = None # Tokenizing text files self.sent_tokenizer = Note.SentenceTokenizer() @@ -114,6 +117,8 @@ def reader(self, format, txt, con=None): Purpose: Dispatch appropriate reader for given format. """ + self.fileName = os.path.basename(txt).split('.')[0] + # FIXME - I wish Python had a frozen dict to guarantee saftey # Error check input if format not in Note.supportedFormats(): @@ -139,7 +144,7 @@ def writer(self, format, txt, con=None): # Dispatch to reader dispatch = 'self.write_%s(txt)' % format - eval(dispatch) + return eval(dispatch) @@ -618,36 +623,66 @@ def write_xml(self, labels=None): - def read_semeval(self, txt, con=None): - + def read_semeval(self, txt, con=None): def lineno_and_tokspan(char_span): + + # print self.text + +# print "CHARACTER SPAN: ", char_span, '\n' + """ Identify which line number and token number of given char ind """ for i,span in enumerate(self.line_inds): - if char_span[1] < span[1]: + if char_span[1] < span[1]: + +# print "span: ", span + + # start and end of span relative to sentence start = char_span[0] - span[0] end = char_span[1] - span[0] - # FIXME - Might not always be true, - # but assumed single space separating tokens +# print "START: ", start +# print "END: ", end + + #print "USING span on self.text: ", self.text[span[0]:span[1]] + #print "USING start and end: ", self.text[span[0]:span[1]][start:end] + + #print "self.data", self.data[i] tok_span = [0,len(self.data[i])-1] char_count = 0 - for j,tok in enumerate(self.data[i]): - if char_count > end: - tok_span[1] = j-1 + + dataWithEmptyChars = re.split(" |\n|\t", self.text[span[0]:span[1] + 1]) + + index = 0 + for j,tok in enumerate(dataWithEmptyChars): + if char_count > end: + tok_span[1] = index -1 break elif char_count == start: - tok_span[0] = j + tok_span[0] = index char_count += len(tok) + 1 + if len(tok) > 0: + index += 1 #print '\t',j, '\t', tok, '(', char_count, ')' #print start, end #print tok_span - #print text[span[0]:span[1]][86] + #print text[span[0]:span[1]] #print self.data[i][tok_span[0]:tok_span[1]] # return line number AND token span - return (i,tuple(tok_span)) + #print "LINE: ", i + #print "TOK SPAN: ", tok_span + #print self.data[i] + #print tok_span + + #print "USING char_span on self.text: ", self.text[char_span[0]:char_span[1]] + #print "USING tok_span on self.data[i]", self.data[i][tok_span[0]], self.data[i][tok_span[1]] + #print "USING char_span on self.text: ", self.text[char_span[0]], self.text[char_span[1]] + + + return (i, tuple(tok_span)) + return None @@ -658,22 +693,36 @@ def lineno_and_tokspan(char_span): # Get entire file text = f.read() +# print "\nTEXT:------------------" +# print text + self.text = text # Sentence splitter sents = self.sent_tokenizer.tokenize(text) - # Test if tokenzier preserves anything - output = ''.join(sents) +# print "\nSENTS:-----------------------------" +# print sents # Tokenize each sentence into words (and save line number indices) toks = [] gold = [] # Actual lines + for s in sents: + gold.append(s) +# print "\nsentence:-------------------------------" +# print s + +# print s + # Store data toks = self.word_tokenizer.tokenize(s) + +# print "\ntokenized sentence:---------------------------------" +# print toks + self.data.append(toks) # Make put a temporary 'O' in each spot @@ -681,6 +730,16 @@ def lineno_and_tokspan(char_span): # Keep track of which indices each line has end = start + len(s) + +# print "\nindices:--------------------------------------------" +# print (start, end) + +# print "\nusing index on entire txt----------------------------" +# print text[start:end] + +# print "\nEQUAL?" +# print text[start:end] == s + self.line_inds.append( (start,end) ) start = end + 1 @@ -723,13 +782,16 @@ def lineno_and_tokspan(char_span): span = int(fields[i]), int(fields[i+1]) span_inds.append( span ) - #print '\t', concept - #print '\t', cui - #print '\t', span_inds +# print '\t', concept +# print '\t', cui +# print '\t', span_inds # Everything is a Disease_Disorder concept = 'problem' +# getWhiteSpaceSpans() +# return + # FIXME - For now, treat non-contiguous spans as separate for span in span_inds: l,(start,end) = lineno_and_tokspan(span) @@ -761,8 +823,38 @@ def lineno_and_tokspan(char_span): def write_semeval(self, labels): - return 'foo bar\nbaz' + spans = {} + for _, line, startTok, endTok in labels: + + (start, end) = self.line_inds[line-1] + dataWithEmptyChars = re.split(" |\n|\t", self.text[start:end+1]) + + tokPosRelToSent = [] + count = 0 + for string in dataWithEmptyChars: + if string != '': + tokPosRelToSent.append((count, count + len(string)-1)) + count += len(string) + 1 + else: # empty string + count += 1 + + startOfTokRelToText = tokPosRelToSent[startTok:endTok+1][0][0] + start + endOfTokRelToText = tokPosRelToSent[startTok:endTok+1][-1][1] + start + + if line not in spans: + spans[line] = (self.fileName + ".text||Diease Disorder||CUI-less||" + str(startOfTokRelToText) + "||" + str(endOfTokRelToText)) + else: + spans[line] += ("\n" + self.fileName + ".text||Diease Disorder||CUI-less||" + str(startOfTokRelToText) + "||" + str(endOfTokRelToText)) + + output = "" + lines = list(spans) + lines.sort() + for line in lines: + output += (spans[line] + "\n") + + return output + # txtlist() # diff --git a/clicon/predict.py b/clicon/predict.py index e7b7839..b0d5700 100644 --- a/clicon/predict.py +++ b/clicon/predict.py @@ -52,7 +52,8 @@ def main(): parser.add_argument("-crf", dest = "with_crf", help = "Specify where to find crfsuite", - default = None + + default = None ) args = parser.parse_args() @@ -100,19 +101,17 @@ def main(): # Predict concept labels labels = model.predict(note) - #labels = [] - # Get predictions in proper format extension = Note.getExtension(format) output = note.writer(format, labels) + #print output # Output file fname = os.path.splitext(os.path.basename(txt))[0] + '.' + extension out_path = os.path.join(args.output, fname) - # Output the concept predictions print '\n\nwriting to: ', out_path with open(out_path, 'w') as f: diff --git a/run.sh b/run.sh index 7c612c4..b3720f2 100755 --- a/run.sh +++ b/run.sh @@ -1,6 +1,5 @@ -clicon train "$CLICON_DIR/data/train/txt/*.txt" --annotations "$CLICON_DIR/data/train/con/*.con" +file="00098-016139" -clicon predict "$CLICON_DIR/data/test_data/*.txt" - -clicon evaluate "$CLICON_DIR/data/test_data/*.txt" --predictions "$CLICON_DIR/data/test_predictions" --gold "$CLICON_DIR/data/reference_standard_for_test_data/concepts" +#python clicon/train.py -t test/text/$file.text -c test/pipe/$file.pipe -f semeval +python clicon/predict.py -i test/text/$file.text -f semeval From 65742528dc3a9343b4ba136c34c7d624975108d1 Mon Sep 17 00:00:00 2001 From: ktwaco Date: Wed, 22 Oct 2014 05:21:59 -0400 Subject: [PATCH 353/393] semeval reader --- clicon/note.py | 130 +++++++++++++++++++++++++++++++++++++++------- clicon/predict.py | 7 ++- run.sh | 7 ++- 3 files changed, 117 insertions(+), 27 deletions(-) diff --git a/clicon/note.py b/clicon/note.py index 85a7908..9bac194 100644 --- a/clicon/note.py +++ b/clicon/note.py @@ -18,8 +18,9 @@ import re import string from copy import copy +import copy import nltk.data - +import os.path # TODO - Create directory/module for note @@ -80,6 +81,8 @@ def __init__(self): self.text = '' self.line_inds = [] + # name of file read. does not include extension. + self.fileName = None # Tokenizing text files self.sent_tokenizer = Note.SentenceTokenizer() @@ -114,6 +117,8 @@ def reader(self, format, txt, con=None): Purpose: Dispatch appropriate reader for given format. """ + self.fileName = os.path.basename(txt).split('.')[0] + # FIXME - I wish Python had a frozen dict to guarantee saftey # Error check input if format not in Note.supportedFormats(): @@ -139,7 +144,7 @@ def writer(self, format, txt, con=None): # Dispatch to reader dispatch = 'self.write_%s(txt)' % format - eval(dispatch) + return eval(dispatch) @@ -618,36 +623,66 @@ def write_xml(self, labels=None): - def read_semeval(self, txt, con=None): - + def read_semeval(self, txt, con=None): def lineno_and_tokspan(char_span): + + # print self.text + +# print "CHARACTER SPAN: ", char_span, '\n' + """ Identify which line number and token number of given char ind """ for i,span in enumerate(self.line_inds): - if char_span[1] < span[1]: + if char_span[1] < span[1]: + +# print "span: ", span + + # start and end of span relative to sentence start = char_span[0] - span[0] end = char_span[1] - span[0] - # FIXME - Might not always be true, - # but assumed single space separating tokens +# print "START: ", start +# print "END: ", end + + #print "USING span on self.text: ", self.text[span[0]:span[1]] + #print "USING start and end: ", self.text[span[0]:span[1]][start:end] + + #print "self.data", self.data[i] tok_span = [0,len(self.data[i])-1] char_count = 0 - for j,tok in enumerate(self.data[i]): - if char_count > end: - tok_span[1] = j-1 + + dataWithEmptyChars = re.split(" |\n|\t", self.text[span[0]:span[1] + 1]) + + index = 0 + for j,tok in enumerate(dataWithEmptyChars): + if char_count > end: + tok_span[1] = index -1 break elif char_count == start: - tok_span[0] = j + tok_span[0] = index char_count += len(tok) + 1 + if len(tok) > 0: + index += 1 #print '\t',j, '\t', tok, '(', char_count, ')' #print start, end #print tok_span - #print text[span[0]:span[1]][86] + #print text[span[0]:span[1]] #print self.data[i][tok_span[0]:tok_span[1]] # return line number AND token span - return (i,tuple(tok_span)) + #print "LINE: ", i + #print "TOK SPAN: ", tok_span + #print self.data[i] + #print tok_span + + #print "USING char_span on self.text: ", self.text[char_span[0]:char_span[1]] + #print "USING tok_span on self.data[i]", self.data[i][tok_span[0]], self.data[i][tok_span[1]] + #print "USING char_span on self.text: ", self.text[char_span[0]], self.text[char_span[1]] + + + return (i, tuple(tok_span)) + return None @@ -658,22 +693,36 @@ def lineno_and_tokspan(char_span): # Get entire file text = f.read() +# print "\nTEXT:------------------" +# print text + self.text = text # Sentence splitter sents = self.sent_tokenizer.tokenize(text) - # Test if tokenzier preserves anything - output = ''.join(sents) +# print "\nSENTS:-----------------------------" +# print sents # Tokenize each sentence into words (and save line number indices) toks = [] gold = [] # Actual lines + for s in sents: + gold.append(s) +# print "\nsentence:-------------------------------" +# print s + +# print s + # Store data toks = self.word_tokenizer.tokenize(s) + +# print "\ntokenized sentence:---------------------------------" +# print toks + self.data.append(toks) # Make put a temporary 'O' in each spot @@ -681,6 +730,16 @@ def lineno_and_tokspan(char_span): # Keep track of which indices each line has end = start + len(s) + +# print "\nindices:--------------------------------------------" +# print (start, end) + +# print "\nusing index on entire txt----------------------------" +# print text[start:end] + +# print "\nEQUAL?" +# print text[start:end] == s + self.line_inds.append( (start,end) ) start = end + 1 @@ -723,13 +782,16 @@ def lineno_and_tokspan(char_span): span = int(fields[i]), int(fields[i+1]) span_inds.append( span ) - #print '\t', concept - #print '\t', cui - #print '\t', span_inds +# print '\t', concept +# print '\t', cui +# print '\t', span_inds # Everything is a Disease_Disorder concept = 'problem' +# getWhiteSpaceSpans() +# return + # FIXME - For now, treat non-contiguous spans as separate for span in span_inds: l,(start,end) = lineno_and_tokspan(span) @@ -761,8 +823,38 @@ def lineno_and_tokspan(char_span): def write_semeval(self, labels): - return 'foo bar\nbaz' + spans = {} + for _, line, startTok, endTok in labels: + + (start, end) = self.line_inds[line-1] + dataWithEmptyChars = re.split(" |\n|\t", self.text[start:end+1]) + + tokPosRelToSent = [] + count = 0 + for string in dataWithEmptyChars: + if string != '': + tokPosRelToSent.append((count, count + len(string)-1)) + count += len(string) + 1 + else: # empty string + count += 1 + + startOfTokRelToText = tokPosRelToSent[startTok:endTok+1][0][0] + start + endOfTokRelToText = tokPosRelToSent[startTok:endTok+1][-1][1] + start + + if line not in spans: + spans[line] = (self.fileName + ".text||Diease Disorder||CUI-less||" + str(startOfTokRelToText) + "||" + str(endOfTokRelToText)) + else: + spans[line] += ("\n" + self.fileName + ".text||Diease Disorder||CUI-less||" + str(startOfTokRelToText) + "||" + str(endOfTokRelToText)) + + output = "" + lines = list(spans) + lines.sort() + for line in lines: + output += (spans[line] + "\n") + + return output + # txtlist() # diff --git a/clicon/predict.py b/clicon/predict.py index e7b7839..b0d5700 100644 --- a/clicon/predict.py +++ b/clicon/predict.py @@ -52,7 +52,8 @@ def main(): parser.add_argument("-crf", dest = "with_crf", help = "Specify where to find crfsuite", - default = None + + default = None ) args = parser.parse_args() @@ -100,19 +101,17 @@ def main(): # Predict concept labels labels = model.predict(note) - #labels = [] - # Get predictions in proper format extension = Note.getExtension(format) output = note.writer(format, labels) + #print output # Output file fname = os.path.splitext(os.path.basename(txt))[0] + '.' + extension out_path = os.path.join(args.output, fname) - # Output the concept predictions print '\n\nwriting to: ', out_path with open(out_path, 'w') as f: diff --git a/run.sh b/run.sh index 7c612c4..b3720f2 100755 --- a/run.sh +++ b/run.sh @@ -1,6 +1,5 @@ -clicon train "$CLICON_DIR/data/train/txt/*.txt" --annotations "$CLICON_DIR/data/train/con/*.con" +file="00098-016139" -clicon predict "$CLICON_DIR/data/test_data/*.txt" - -clicon evaluate "$CLICON_DIR/data/test_data/*.txt" --predictions "$CLICON_DIR/data/test_predictions" --gold "$CLICON_DIR/data/reference_standard_for_test_data/concepts" +#python clicon/train.py -t test/text/$file.text -c test/pipe/$file.pipe -f semeval +python clicon/predict.py -i test/text/$file.text -f semeval From 29033b13ec4715df17774cdd351160ee3130743a Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 28 Oct 2014 18:51:34 -0400 Subject: [PATCH 354/393] A little work for UMLS trie stuff --- clicon/features_dir/sentence_features.py | 14 +++- clicon/features_dir/umls/create_trie.py | 3 +- clicon/features_dir/umls/umls.py | 86 ++++++++++------------- clicon/features_dir/umls/umls_features.py | 69 +++++++++++------- clicon/note.py | 47 +++++++++---- 5 files changed, 127 insertions(+), 92 deletions(-) diff --git a/clicon/features_dir/sentence_features.py b/clicon/features_dir/sentence_features.py index 08a86d8..23c75fe 100644 --- a/clicon/features_dir/sentence_features.py +++ b/clicon/features_dir/sentence_features.py @@ -388,7 +388,7 @@ def concept_features_for_sentence(self, sentence, chunk_inds): # FIXME - more closely resembling Harabagiu # NOTE: excludes UMLS features - return features_list + #return features_list ''' @@ -406,8 +406,16 @@ def concept_features_for_sentence(self, sentence, chunk_inds): # Features: UMLS features # Note: Very slow, doesn't add much when you have lots of training data if (feature == "UMLS") and enabled['UMLS']: - umls_features = self.feat_umls.IOB_prose_features(sentence) - for i in range(len(sentence)): + umls_features = self.feat_umls.concept_features_for_chunks(sentence, chunk_inds) + if chunk_inds: + print sentence + print chunk_inds + print umls_features + print + for i in range(len(chunk_inds)): + print sentence[chunk_inds[i]] + print umls_features[i] + print '\n\n' features_list[i].update( umls_features[i] ) continue diff --git a/clicon/features_dir/umls/create_trie.py b/clicon/features_dir/umls/create_trie.py index 60ef544..51b7ba3 100644 --- a/clicon/features_dir/umls/create_trie.py +++ b/clicon/features_dir/umls/create_trie.py @@ -58,6 +58,7 @@ def create_trie(): concepts = [] for line in MRCON_DATA: if len(line) < 6: continue + concept = line[6] # Ignore non-ascii @@ -83,4 +84,4 @@ def create_trie(): if __name__ == '__main__': - create_trie() + t = create_trie() diff --git a/clicon/features_dir/umls/umls.py b/clicon/features_dir/umls/umls.py index 3ad7f13..39f05a5 100644 --- a/clicon/features_dir/umls/umls.py +++ b/clicon/features_dir/umls/umls.py @@ -133,67 +133,57 @@ def umls_semantic_type_sentence( cache , sentence ): #print sentence - #Defines the largest string span for the sentence. - + #Defines the largest string span for the sentence. WINDOW_SIZE = 7 - #holds the mappings for every substring of size 1 to WINDOW_SIZE - mappings = {} - - #Creates and finds the span of a umls concept for each possible substring of length 1 to currentWindowSize. - for currentWindowSize in range( 1 , WINDOW_SIZE ): - for ti in range( 0 , ( len(sentence) - currentWindowSize ) + 1 ): + #print sentence - rawstring = "" + longestSpanLength = 0 + longestSpans = [] # List of (start,end) tokens - for tj in range( ti , ti + currentWindowSize): - rawstring += ( sentence[tj] + " " ) + for i in range(len(sentence)): + #print i, ': ', sentence[i] + maxVal = min(i+WINDOW_SIZE, len(sentence)) + for j in range(i,maxVal): + #print '\t', j, ':\t', sentence[i:j+1] + span = sentence[i:j+1] + rawstring = unicode(' '.join(span)) + #print 'rawstring: ', rawstring - #Each string is of length 1 to currentWindowSize. - rawstring = rawstring.strip() + if rawstring in trie: + if len(span) == longestSpanLength: + #print '\tcontinuing: ', span + longestSpans.append( (i,j) ) + elif len(span) > longestSpanLength: + #print '\tnew: ', span + longestSpans = [ (i,j) ] + longestSpanLength = len(span) - #If the umls semantic type is already in the cache then us the one stored otherwise lookup and add to cache - if cache.has_key( rawstring ): - mappings[rawstring] = cache.get_map( rawstring ) - else: + def span2concept(span): + rawstring = ' '.join(sentence[span[0]:span[1]+1]) - concept = string_lookup( rawstring ) + #If the umls semantic type is already in the cache then us the one stored otherwise lookup and add to cache + if cache.has_key( rawstring ): + return cache.get_map( rawstring ) - #cache.add_map( rawstring , concept ) + else: + concept = string_lookup( rawstring ) - if concept: - cache.add_map( rawstring , concept ) - else: - cache.add_map( rawstring , [] ) + if concept: + cache.add_map( rawstring , concept ) + else: + cache.add_map( rawstring , [] ) - mappings[rawstring] = cache.get_map( rawstring ) - #print "rawstring: ", rawstring - #print "mappings: " ,mappings[rawstring] - size_s = 0 + return cache.get_map( rawstring ) - phrase = [] - - #print "mappings: " , mappings - #get longest sub string with a mapping - - for mapping in mappings.iteritems(): - #print mapping - if( mapping[1] ): - # print mapping - if( len( mapping[0] ) > size_s ): - - phrase = [] - phrase.append( mapping[1] ) - size_s = len( mapping[0] ) - continue - if( len(mapping[0]) == size_s ): - phrase.append( mapping[1] ) - -# print "phrase: " , phrase -# print phrase - return phrase + mappings = [ span2concept(span) for span in longestSpans ] + + #print mappings + #print longestSpans + + return mappings diff --git a/clicon/features_dir/umls/umls_features.py b/clicon/features_dir/umls/umls_features.py index 293af16..f51490d 100644 --- a/clicon/features_dir/umls/umls_features.py +++ b/clicon/features_dir/umls/umls_features.py @@ -59,6 +59,25 @@ def IOB_nonprose_features(self, sentence): for word in sentence: features_list.append( self.features_for_word(word) ) + + # TODO - Add umls.umls_semantic_type_sentence() to first pass feature set + ''' + # Feature: UMLS semantic type for the sentence + # a list of the uml semantic of the largest substring(s). + sentence_mapping = umls.umls_semantic_type_sentence( self.umls_lookup_cache, sentence ) + + # if there are no mappings + if not sentence_mapping: + features[('umls_semantic_type_sentence', None ) ] = 1 + # assign the umls definitions to the vector for each word + else: + for concept in sentence_mapping: + if concept: + for mapping in concept: + features[('umls_semantic_type_sentence' , mapping[0] ) ] = 1 + ''' + + return features_list @@ -128,38 +147,38 @@ def concept_features_for_chunk(self, sentence, ind): features.update(word_feats) - for feature in self.enabled_concept_features_for_sentence: + # Feature: UMLS semantic type for the sentence + # a list of the uml semantic of the largest substring(s). + sentence_mapping = umls.umls_semantic_type_sentence( self.umls_lookup_cache, sentence ) + # if there are no mappings + if not sentence_mapping: + features[('umls_semantic_type_sentence', None ) ] = 1 + # assign the umls definitions to the vector for each word + else: + for concept in sentence_mapping: + for mapping in concept: + features[('umls_semantic_type_sentence' , mapping[0] ) ] = 1 - # Feature: UMLS semantic type for the sentence - if feature == "umls_semantic_type_sentence": - # a list of the uml semantic of the largest substring(s). - sentence_mapping = umls.umls_semantic_type_sentence( self.umls_lookup_cache, sentence ) + # Feature: UMLS semantic context - # if there are no mappings - if not sentence_mapping: - features[('umls_semantic_type_sentence', None ) ] = 1 - # assign the umls definitions to the vector for each word - else: - - for concept in sentence_mapping: - if concept: - for mapping in concept: - features[('umls_semantic_type_sentence' , mapping[0] ) ] = 1 + # the umls definition of the largest string the word is in + umls_semantic_context_mappings = umls.umls_semantic_context_of_words( self.umls_lookup_cache , sentence ) + # there could be multiple contexts, iterate through the sublist + for mapping in umls_semantic_context_mappings: + if not mapping: continue + for concept in mapping: + features[('umls_semantic_context',concept)] = 1 - # Feature: UMLS semantic context - if feature == "umls_semantic_context": + return features - # the umls definition of the largest string the word is in - umls_semantic_context_mappings = umls.umls_semantic_context_of_words( self.umls_lookup_cache , sentence ) - # there could be multiple contexts, iterate through the sublist - for mapping in umls_semantic_context_mappings: - if not mapping: continue - for concept in mapping: - features[(feature,concept)] = 1 + def concept_features_for_chunks(self, sentence, inds): + retVal = [] + for ind in inds: + retVal.append( self.concept_features_for_chunk(sentence, ind) ) + return retVal - return features diff --git a/clicon/note.py b/clicon/note.py index 85a7908..9a66d15 100644 --- a/clicon/note.py +++ b/clicon/note.py @@ -34,18 +34,23 @@ class SentenceTokenizer: def __init__(self): self.sent_tokenizer = nltk.data.load('tokenizers/punkt/english.pickle') - def tokenize(self, text): + def tokenize(self, text_file): """ Split the document into sentences """ - return self.sent_tokenizer.tokenize(text) + #return self.sent_tokenizer.tokenize(text) + text = open(text_file, 'r').read() + + # Sentence Splitter + cmd = '/opt/apache-opennlp-1.5.3/bin/opennlp SentenceDetector /opt/apache-opennlp-1.5.3/models/en-sent.bin < %s' % text_file + #status,output = commands.getstatusoutput(cmd) + #sents = '\n'.join(output.split('\n')[1:-6]) + - # nltk tokenizer doesn't preserve double spaces after sentence end - # sections = text.split(' ') - #parts = [ self.sent_tokenizer.tokenize(sections[0]) ] - # for section in sections[1:]: - # toks = self.sent_tokenizer.tokenize(section) - # parts += [' '] + toks + # Temporary file + #tmpfile = 'tmp-file.txt' + #with open(tmpfile, 'w') as f: + # f.write(sents) - # return sections + return self.sent_tokenizer.tokenize(text) @@ -63,6 +68,17 @@ def tokenize(self, sent): return sent.split() + ''' + # Tokenize + cmd = '/opt/apache-opennlp-1.5.3/bin/opennlp SimpleTokenizer < %s' % tmpfile + status,output = commands.getstatusoutput(cmd) + tokens = '\n'.join(output.split('\n')[:-5]) + + # Display output + print tokens + ''' + + # Constructor def __init__(self): @@ -622,7 +638,7 @@ def read_semeval(self, txt, con=None): def lineno_and_tokspan(char_span): - """ Identify which line number and token number of given char ind """ + """ File character offsets => line number and index into line """ for i,span in enumerate(self.line_inds): if char_span[1] < span[1]: start = char_span[0] - span[0] @@ -643,8 +659,8 @@ def lineno_and_tokspan(char_span): #print start, end #print tok_span - #print text[span[0]:span[1]][86] #print self.data[i][tok_span[0]:tok_span[1]] + #print # return line number AND token span return (i,tuple(tok_span)) @@ -661,7 +677,7 @@ def lineno_and_tokspan(char_span): self.text = text # Sentence splitter - sents = self.sent_tokenizer.tokenize(text) + sents = self.sent_tokenizer.tokenize(txt) # Test if tokenzier preserves anything output = ''.join(sents) @@ -688,7 +704,7 @@ def lineno_and_tokspan(char_span): while (start < len(text)) and text[start].isspace(): start += 1 ''' - for line,inds in zip(gold,line_indices): + for line,inds in zip(gold,self.line_inds): print '!!!' + line + '!!!' print '\t', 'xx'*10 print inds @@ -706,6 +722,7 @@ def lineno_and_tokspan(char_span): # If an accompanying concept file was specified, read it if con: + offset_classifications = [] classifications = [] with open(con) as f: for line in f: @@ -734,10 +751,11 @@ def lineno_and_tokspan(char_span): for span in span_inds: l,(start,end) = lineno_and_tokspan(span) + # Add the classification to the Note object + offset_classifications.append((concept,span[0],span[1])) classifications.append( (concept,l+1,start,end) ) - # Beginning of a concept try: self.boundaries[l][start] = 'B' @@ -750,7 +768,6 @@ def lineno_and_tokspan(char_span): for i in range(start,end): self.boundaries[l][i+1] = 'I' - # Safe guard against concept file having duplicate entries classifications = list(set(classifications)) From f8cc1c85be68503c014d32b037ac42214a689eb6 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 28 Oct 2014 18:51:34 -0400 Subject: [PATCH 355/393] A little work for UMLS trie stuff --- clicon/features_dir/sentence_features.py | 14 +++- clicon/features_dir/umls/create_trie.py | 3 +- clicon/features_dir/umls/umls.py | 86 ++++++++++------------- clicon/features_dir/umls/umls_features.py | 69 +++++++++++------- clicon/note.py | 47 +++++++++---- 5 files changed, 127 insertions(+), 92 deletions(-) diff --git a/clicon/features_dir/sentence_features.py b/clicon/features_dir/sentence_features.py index 08a86d8..23c75fe 100644 --- a/clicon/features_dir/sentence_features.py +++ b/clicon/features_dir/sentence_features.py @@ -388,7 +388,7 @@ def concept_features_for_sentence(self, sentence, chunk_inds): # FIXME - more closely resembling Harabagiu # NOTE: excludes UMLS features - return features_list + #return features_list ''' @@ -406,8 +406,16 @@ def concept_features_for_sentence(self, sentence, chunk_inds): # Features: UMLS features # Note: Very slow, doesn't add much when you have lots of training data if (feature == "UMLS") and enabled['UMLS']: - umls_features = self.feat_umls.IOB_prose_features(sentence) - for i in range(len(sentence)): + umls_features = self.feat_umls.concept_features_for_chunks(sentence, chunk_inds) + if chunk_inds: + print sentence + print chunk_inds + print umls_features + print + for i in range(len(chunk_inds)): + print sentence[chunk_inds[i]] + print umls_features[i] + print '\n\n' features_list[i].update( umls_features[i] ) continue diff --git a/clicon/features_dir/umls/create_trie.py b/clicon/features_dir/umls/create_trie.py index 60ef544..51b7ba3 100644 --- a/clicon/features_dir/umls/create_trie.py +++ b/clicon/features_dir/umls/create_trie.py @@ -58,6 +58,7 @@ def create_trie(): concepts = [] for line in MRCON_DATA: if len(line) < 6: continue + concept = line[6] # Ignore non-ascii @@ -83,4 +84,4 @@ def create_trie(): if __name__ == '__main__': - create_trie() + t = create_trie() diff --git a/clicon/features_dir/umls/umls.py b/clicon/features_dir/umls/umls.py index 3ad7f13..39f05a5 100644 --- a/clicon/features_dir/umls/umls.py +++ b/clicon/features_dir/umls/umls.py @@ -133,67 +133,57 @@ def umls_semantic_type_sentence( cache , sentence ): #print sentence - #Defines the largest string span for the sentence. - + #Defines the largest string span for the sentence. WINDOW_SIZE = 7 - #holds the mappings for every substring of size 1 to WINDOW_SIZE - mappings = {} - - #Creates and finds the span of a umls concept for each possible substring of length 1 to currentWindowSize. - for currentWindowSize in range( 1 , WINDOW_SIZE ): - for ti in range( 0 , ( len(sentence) - currentWindowSize ) + 1 ): + #print sentence - rawstring = "" + longestSpanLength = 0 + longestSpans = [] # List of (start,end) tokens - for tj in range( ti , ti + currentWindowSize): - rawstring += ( sentence[tj] + " " ) + for i in range(len(sentence)): + #print i, ': ', sentence[i] + maxVal = min(i+WINDOW_SIZE, len(sentence)) + for j in range(i,maxVal): + #print '\t', j, ':\t', sentence[i:j+1] + span = sentence[i:j+1] + rawstring = unicode(' '.join(span)) + #print 'rawstring: ', rawstring - #Each string is of length 1 to currentWindowSize. - rawstring = rawstring.strip() + if rawstring in trie: + if len(span) == longestSpanLength: + #print '\tcontinuing: ', span + longestSpans.append( (i,j) ) + elif len(span) > longestSpanLength: + #print '\tnew: ', span + longestSpans = [ (i,j) ] + longestSpanLength = len(span) - #If the umls semantic type is already in the cache then us the one stored otherwise lookup and add to cache - if cache.has_key( rawstring ): - mappings[rawstring] = cache.get_map( rawstring ) - else: + def span2concept(span): + rawstring = ' '.join(sentence[span[0]:span[1]+1]) - concept = string_lookup( rawstring ) + #If the umls semantic type is already in the cache then us the one stored otherwise lookup and add to cache + if cache.has_key( rawstring ): + return cache.get_map( rawstring ) - #cache.add_map( rawstring , concept ) + else: + concept = string_lookup( rawstring ) - if concept: - cache.add_map( rawstring , concept ) - else: - cache.add_map( rawstring , [] ) + if concept: + cache.add_map( rawstring , concept ) + else: + cache.add_map( rawstring , [] ) - mappings[rawstring] = cache.get_map( rawstring ) - #print "rawstring: ", rawstring - #print "mappings: " ,mappings[rawstring] - size_s = 0 + return cache.get_map( rawstring ) - phrase = [] - - #print "mappings: " , mappings - #get longest sub string with a mapping - - for mapping in mappings.iteritems(): - #print mapping - if( mapping[1] ): - # print mapping - if( len( mapping[0] ) > size_s ): - - phrase = [] - phrase.append( mapping[1] ) - size_s = len( mapping[0] ) - continue - if( len(mapping[0]) == size_s ): - phrase.append( mapping[1] ) - -# print "phrase: " , phrase -# print phrase - return phrase + mappings = [ span2concept(span) for span in longestSpans ] + + #print mappings + #print longestSpans + + return mappings diff --git a/clicon/features_dir/umls/umls_features.py b/clicon/features_dir/umls/umls_features.py index 293af16..f51490d 100644 --- a/clicon/features_dir/umls/umls_features.py +++ b/clicon/features_dir/umls/umls_features.py @@ -59,6 +59,25 @@ def IOB_nonprose_features(self, sentence): for word in sentence: features_list.append( self.features_for_word(word) ) + + # TODO - Add umls.umls_semantic_type_sentence() to first pass feature set + ''' + # Feature: UMLS semantic type for the sentence + # a list of the uml semantic of the largest substring(s). + sentence_mapping = umls.umls_semantic_type_sentence( self.umls_lookup_cache, sentence ) + + # if there are no mappings + if not sentence_mapping: + features[('umls_semantic_type_sentence', None ) ] = 1 + # assign the umls definitions to the vector for each word + else: + for concept in sentence_mapping: + if concept: + for mapping in concept: + features[('umls_semantic_type_sentence' , mapping[0] ) ] = 1 + ''' + + return features_list @@ -128,38 +147,38 @@ def concept_features_for_chunk(self, sentence, ind): features.update(word_feats) - for feature in self.enabled_concept_features_for_sentence: + # Feature: UMLS semantic type for the sentence + # a list of the uml semantic of the largest substring(s). + sentence_mapping = umls.umls_semantic_type_sentence( self.umls_lookup_cache, sentence ) + # if there are no mappings + if not sentence_mapping: + features[('umls_semantic_type_sentence', None ) ] = 1 + # assign the umls definitions to the vector for each word + else: + for concept in sentence_mapping: + for mapping in concept: + features[('umls_semantic_type_sentence' , mapping[0] ) ] = 1 - # Feature: UMLS semantic type for the sentence - if feature == "umls_semantic_type_sentence": - # a list of the uml semantic of the largest substring(s). - sentence_mapping = umls.umls_semantic_type_sentence( self.umls_lookup_cache, sentence ) + # Feature: UMLS semantic context - # if there are no mappings - if not sentence_mapping: - features[('umls_semantic_type_sentence', None ) ] = 1 - # assign the umls definitions to the vector for each word - else: - - for concept in sentence_mapping: - if concept: - for mapping in concept: - features[('umls_semantic_type_sentence' , mapping[0] ) ] = 1 + # the umls definition of the largest string the word is in + umls_semantic_context_mappings = umls.umls_semantic_context_of_words( self.umls_lookup_cache , sentence ) + # there could be multiple contexts, iterate through the sublist + for mapping in umls_semantic_context_mappings: + if not mapping: continue + for concept in mapping: + features[('umls_semantic_context',concept)] = 1 - # Feature: UMLS semantic context - if feature == "umls_semantic_context": + return features - # the umls definition of the largest string the word is in - umls_semantic_context_mappings = umls.umls_semantic_context_of_words( self.umls_lookup_cache , sentence ) - # there could be multiple contexts, iterate through the sublist - for mapping in umls_semantic_context_mappings: - if not mapping: continue - for concept in mapping: - features[(feature,concept)] = 1 + def concept_features_for_chunks(self, sentence, inds): + retVal = [] + for ind in inds: + retVal.append( self.concept_features_for_chunk(sentence, ind) ) + return retVal - return features diff --git a/clicon/note.py b/clicon/note.py index 85a7908..9a66d15 100644 --- a/clicon/note.py +++ b/clicon/note.py @@ -34,18 +34,23 @@ class SentenceTokenizer: def __init__(self): self.sent_tokenizer = nltk.data.load('tokenizers/punkt/english.pickle') - def tokenize(self, text): + def tokenize(self, text_file): """ Split the document into sentences """ - return self.sent_tokenizer.tokenize(text) + #return self.sent_tokenizer.tokenize(text) + text = open(text_file, 'r').read() + + # Sentence Splitter + cmd = '/opt/apache-opennlp-1.5.3/bin/opennlp SentenceDetector /opt/apache-opennlp-1.5.3/models/en-sent.bin < %s' % text_file + #status,output = commands.getstatusoutput(cmd) + #sents = '\n'.join(output.split('\n')[1:-6]) + - # nltk tokenizer doesn't preserve double spaces after sentence end - # sections = text.split(' ') - #parts = [ self.sent_tokenizer.tokenize(sections[0]) ] - # for section in sections[1:]: - # toks = self.sent_tokenizer.tokenize(section) - # parts += [' '] + toks + # Temporary file + #tmpfile = 'tmp-file.txt' + #with open(tmpfile, 'w') as f: + # f.write(sents) - # return sections + return self.sent_tokenizer.tokenize(text) @@ -63,6 +68,17 @@ def tokenize(self, sent): return sent.split() + ''' + # Tokenize + cmd = '/opt/apache-opennlp-1.5.3/bin/opennlp SimpleTokenizer < %s' % tmpfile + status,output = commands.getstatusoutput(cmd) + tokens = '\n'.join(output.split('\n')[:-5]) + + # Display output + print tokens + ''' + + # Constructor def __init__(self): @@ -622,7 +638,7 @@ def read_semeval(self, txt, con=None): def lineno_and_tokspan(char_span): - """ Identify which line number and token number of given char ind """ + """ File character offsets => line number and index into line """ for i,span in enumerate(self.line_inds): if char_span[1] < span[1]: start = char_span[0] - span[0] @@ -643,8 +659,8 @@ def lineno_and_tokspan(char_span): #print start, end #print tok_span - #print text[span[0]:span[1]][86] #print self.data[i][tok_span[0]:tok_span[1]] + #print # return line number AND token span return (i,tuple(tok_span)) @@ -661,7 +677,7 @@ def lineno_and_tokspan(char_span): self.text = text # Sentence splitter - sents = self.sent_tokenizer.tokenize(text) + sents = self.sent_tokenizer.tokenize(txt) # Test if tokenzier preserves anything output = ''.join(sents) @@ -688,7 +704,7 @@ def lineno_and_tokspan(char_span): while (start < len(text)) and text[start].isspace(): start += 1 ''' - for line,inds in zip(gold,line_indices): + for line,inds in zip(gold,self.line_inds): print '!!!' + line + '!!!' print '\t', 'xx'*10 print inds @@ -706,6 +722,7 @@ def lineno_and_tokspan(char_span): # If an accompanying concept file was specified, read it if con: + offset_classifications = [] classifications = [] with open(con) as f: for line in f: @@ -734,10 +751,11 @@ def lineno_and_tokspan(char_span): for span in span_inds: l,(start,end) = lineno_and_tokspan(span) + # Add the classification to the Note object + offset_classifications.append((concept,span[0],span[1])) classifications.append( (concept,l+1,start,end) ) - # Beginning of a concept try: self.boundaries[l][start] = 'B' @@ -750,7 +768,6 @@ def lineno_and_tokspan(char_span): for i in range(start,end): self.boundaries[l][i+1] = 'I' - # Safe guard against concept file having duplicate entries classifications = list(set(classifications)) From d6e79b4220bf3ad84edd985006245b9e84078593 Mon Sep 17 00:00:00 2001 From: arumshisky Date: Wed, 5 Nov 2014 10:08:29 -0500 Subject: [PATCH 356/393] Update README.rst --- README.rst | 4 ++-- 1 file changed, 2 insertions(+), 2 deletions(-) diff --git a/README.rst b/README.rst index adf6da9..c2157e8 100644 --- a/README.rst +++ b/README.rst @@ -1,8 +1,8 @@ =============================== -CliCon +CliNER =============================== -Clinical Concept extraction system (CliCon) is an open-source natural language processing system for named entity recognition in clinical text of electronic health records. CliCon system is designed to follow best practices in clinical concept extraction, as established in i2b2 2010 shared task. +Clinical Named Entity Recognition system (CliNER) is an open-source natural language processing system for named entity recognition in clinical text of electronic health records. CliCon system is designed to follow best practices in clinical concept extraction, as established in i2b2 2010 shared task. CliCon is implemented as a two-pass machine learning system for named entity recognition, currently using a Conditional Random Fields (CRF) classifier to establish concept boundaries and a Support Vector Machine (SVM) classifier to establish the type of concept. From 812c7c1e691c59cc9705cfd4cefebd5a93b545ad Mon Sep 17 00:00:00 2001 From: arumshisky Date: Wed, 5 Nov 2014 10:08:29 -0500 Subject: [PATCH 357/393] Update README.rst --- README.rst | 4 ++-- 1 file changed, 2 insertions(+), 2 deletions(-) diff --git a/README.rst b/README.rst index adf6da9..c2157e8 100644 --- a/README.rst +++ b/README.rst @@ -1,8 +1,8 @@ =============================== -CliCon +CliNER =============================== -Clinical Concept extraction system (CliCon) is an open-source natural language processing system for named entity recognition in clinical text of electronic health records. CliCon system is designed to follow best practices in clinical concept extraction, as established in i2b2 2010 shared task. +Clinical Named Entity Recognition system (CliNER) is an open-source natural language processing system for named entity recognition in clinical text of electronic health records. CliCon system is designed to follow best practices in clinical concept extraction, as established in i2b2 2010 shared task. CliCon is implemented as a two-pass machine learning system for named entity recognition, currently using a Conditional Random Fields (CRF) classifier to establish concept boundaries and a Support Vector Machine (SVM) classifier to establish the type of concept. From f88100f6b2518a340d85f1f3e24b1eabd48f785b Mon Sep 17 00:00:00 2001 From: arumshisky Date: Wed, 5 Nov 2014 10:10:21 -0500 Subject: [PATCH 358/393] Update README.rst --- README.rst | 8 ++++---- 1 file changed, 4 insertions(+), 4 deletions(-) diff --git a/README.rst b/README.rst index c2157e8..28e575f 100644 --- a/README.rst +++ b/README.rst @@ -2,11 +2,11 @@ CliNER =============================== -Clinical Named Entity Recognition system (CliNER) is an open-source natural language processing system for named entity recognition in clinical text of electronic health records. CliCon system is designed to follow best practices in clinical concept extraction, as established in i2b2 2010 shared task. +Clinical Named Entity Recognition system (CliNER) is an open-source natural language processing system for named entity recognition in clinical text of electronic health records. CliNER system is designed to follow best practices in clinical concept extraction, as established in i2b2 2010 shared task. -CliCon is implemented as a two-pass machine learning system for named entity recognition, currently using a Conditional Random Fields (CRF) classifier to establish concept boundaries and a Support Vector Machine (SVM) classifier to establish the type of concept. +CliNER is implemented as a two-pass machine learning system for named entity recognition, currently using a Conditional Random Fields (CRF) classifier to establish concept boundaries and a Support Vector Machine (SVM) classifier to establish the type of concept. -Please note that for optimal performance, CliCon requires the users to obtain a Unified Medical Language System (UMLS) license, since UMLS Metathesaurus is used as one of the knowledge sources for the above classifiers. +Please note that for optimal performance, CliNER requires the users to obtain a Unified Medical Language System (UMLS) license, since UMLS Metathesaurus is used as one of the knowledge sources for the above classifiers. * Free software: Apache v2.0 license @@ -44,7 +44,7 @@ The following packages need to be on the system for the script to work: -Some of python modules used by CliCon have the following dependencies, which also need to be installed on the system: +Some of python modules used by CliNER have the following dependencies, which also need to be installed on the system: :: From 2de1fc0cf3ce88920b25c91a1680d254d0cc73e3 Mon Sep 17 00:00:00 2001 From: arumshisky Date: Wed, 5 Nov 2014 10:10:21 -0500 Subject: [PATCH 359/393] Update README.rst --- README.rst | 8 ++++---- 1 file changed, 4 insertions(+), 4 deletions(-) diff --git a/README.rst b/README.rst index c2157e8..28e575f 100644 --- a/README.rst +++ b/README.rst @@ -2,11 +2,11 @@ CliNER =============================== -Clinical Named Entity Recognition system (CliNER) is an open-source natural language processing system for named entity recognition in clinical text of electronic health records. CliCon system is designed to follow best practices in clinical concept extraction, as established in i2b2 2010 shared task. +Clinical Named Entity Recognition system (CliNER) is an open-source natural language processing system for named entity recognition in clinical text of electronic health records. CliNER system is designed to follow best practices in clinical concept extraction, as established in i2b2 2010 shared task. -CliCon is implemented as a two-pass machine learning system for named entity recognition, currently using a Conditional Random Fields (CRF) classifier to establish concept boundaries and a Support Vector Machine (SVM) classifier to establish the type of concept. +CliNER is implemented as a two-pass machine learning system for named entity recognition, currently using a Conditional Random Fields (CRF) classifier to establish concept boundaries and a Support Vector Machine (SVM) classifier to establish the type of concept. -Please note that for optimal performance, CliCon requires the users to obtain a Unified Medical Language System (UMLS) license, since UMLS Metathesaurus is used as one of the knowledge sources for the above classifiers. +Please note that for optimal performance, CliNER requires the users to obtain a Unified Medical Language System (UMLS) license, since UMLS Metathesaurus is used as one of the knowledge sources for the above classifiers. * Free software: Apache v2.0 license @@ -44,7 +44,7 @@ The following packages need to be on the system for the script to work: -Some of python modules used by CliCon have the following dependencies, which also need to be installed on the system: +Some of python modules used by CliNER have the following dependencies, which also need to be installed on the system: :: From 474e868c2fcbc9c69fa3c28d953f5902ca63afc1 Mon Sep 17 00:00:00 2001 From: arumshisky Date: Wed, 5 Nov 2014 10:12:57 -0500 Subject: [PATCH 360/393] Update README.rst --- README.rst | 6 +++--- 1 file changed, 3 insertions(+), 3 deletions(-) diff --git a/README.rst b/README.rst index 28e575f..60d9c9e 100644 --- a/README.rst +++ b/README.rst @@ -104,7 +104,7 @@ Please email wboag@cs.uml.edu with your installation questions. (2) Set the CLICON_DIR environment variable - In order to run CliCon, you must define the CLICON_DIR environment variable. + In order to run CliNER, you must define the CLICON_DIR environment variable. **This variable must be the path of the directory created by git.** @@ -209,9 +209,9 @@ Please email wboag@cs.uml.edu with your installation questions. **Put these tables in the $CLICON_DIR/umls_tables directory.** - In order to tell CliCon that the tables are there, you must edit the file "$CLICON_DIR/config.txt" and change the line saying "UMLS None" to "UMLS True". This command will do that ``sed -i "s/UMLS None/UMLS True/g" $CLICON_DIR/config.txt`` + In order to tell CliNER that the tables are there, you must edit the file "$CLICON_DIR/config.txt" and change the line saying "UMLS None" to "UMLS True". This command will do that ``sed -i "s/UMLS None/UMLS True/g" $CLICON_DIR/config.txt`` - **The database will be built from the tables when CliCon is run for the first time.** + **The database will be built from the tables when CliNER is run for the first time.** From 36b98130a543dce645a2a6cdd7e472fceefa6541 Mon Sep 17 00:00:00 2001 From: arumshisky Date: Wed, 5 Nov 2014 10:12:57 -0500 Subject: [PATCH 361/393] Update README.rst --- README.rst | 6 +++--- 1 file changed, 3 insertions(+), 3 deletions(-) diff --git a/README.rst b/README.rst index 28e575f..60d9c9e 100644 --- a/README.rst +++ b/README.rst @@ -104,7 +104,7 @@ Please email wboag@cs.uml.edu with your installation questions. (2) Set the CLICON_DIR environment variable - In order to run CliCon, you must define the CLICON_DIR environment variable. + In order to run CliNER, you must define the CLICON_DIR environment variable. **This variable must be the path of the directory created by git.** @@ -209,9 +209,9 @@ Please email wboag@cs.uml.edu with your installation questions. **Put these tables in the $CLICON_DIR/umls_tables directory.** - In order to tell CliCon that the tables are there, you must edit the file "$CLICON_DIR/config.txt" and change the line saying "UMLS None" to "UMLS True". This command will do that ``sed -i "s/UMLS None/UMLS True/g" $CLICON_DIR/config.txt`` + In order to tell CliNER that the tables are there, you must edit the file "$CLICON_DIR/config.txt" and change the line saying "UMLS None" to "UMLS True". This command will do that ``sed -i "s/UMLS None/UMLS True/g" $CLICON_DIR/config.txt`` - **The database will be built from the tables when CliCon is run for the first time.** + **The database will be built from the tables when CliNER is run for the first time.** From 0fee8e8914f81d1f07b4652ef4e778722045f5ab Mon Sep 17 00:00:00 2001 From: arumshisky Date: Wed, 5 Nov 2014 10:13:43 -0500 Subject: [PATCH 362/393] Update README.rst --- README.rst | 2 +- 1 file changed, 1 insertion(+), 1 deletion(-) diff --git a/README.rst b/README.rst index 60d9c9e..ab6a85e 100644 --- a/README.rst +++ b/README.rst @@ -217,7 +217,7 @@ Please email wboag@cs.uml.edu with your installation questions. (7) Create 'clicon' executable script for command-line use - In order to run CliCon (as done in the usage examples), you must run setup.py. + In order to run CliNER (as done in the usage examples), you must run setup.py. As long as the Python dependencies are properly installed, you should be able to run the setup script. From 880384cdb6e471fe31640b3e907e4f62bb0ee352 Mon Sep 17 00:00:00 2001 From: arumshisky Date: Wed, 5 Nov 2014 10:13:43 -0500 Subject: [PATCH 363/393] Update README.rst --- README.rst | 2 +- 1 file changed, 1 insertion(+), 1 deletion(-) diff --git a/README.rst b/README.rst index 60d9c9e..ab6a85e 100644 --- a/README.rst +++ b/README.rst @@ -217,7 +217,7 @@ Please email wboag@cs.uml.edu with your installation questions. (7) Create 'clicon' executable script for command-line use - In order to run CliCon (as done in the usage examples), you must run setup.py. + In order to run CliNER (as done in the usage examples), you must run setup.py. As long as the Python dependencies are properly installed, you should be able to run the setup script. From 9318efde548867d625ab6af3b8e654e22e5d22fc Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 5 Nov 2014 12:25:50 -0500 Subject: [PATCH 364/393] fixed off-by-one error in writer --- clicon/note.py | 28 ++++++++++++++++++++++++---- 1 file changed, 24 insertions(+), 4 deletions(-) diff --git a/clicon/note.py b/clicon/note.py index 6c5b9d6..3d1073c 100644 --- a/clicon/note.py +++ b/clicon/note.py @@ -843,6 +843,11 @@ def write_semeval(self, labels): (start, end) = self.line_inds[line-1] dataWithEmptyChars = re.split(" |\n|\t", self.text[start:end+1]) + #print 'start: ', start + #print 'end: ', end + #print 'dataWith: ', dataWithEmptyChars + #print + tokPosRelToSent = [] count = 0 for string in dataWithEmptyChars: @@ -852,13 +857,28 @@ def write_semeval(self, labels): else: # empty string count += 1 - startOfTokRelToText = tokPosRelToSent[startTok:endTok+1][0][0] + start - endOfTokRelToText = tokPosRelToSent[startTok:endTok+1][-1][1] + start + #print tokPosRelToSent + #print tokPosRelToSent[startTok:endTok+1] + + startOfTokRelToText = tokPosRelToSent[startTok][0] + start + endOfTokRelToText = tokPosRelToSent[ endTok][1] + start + + #print '---' + self.text[endOfTokRelToText-3:endOfTokRelToText+4] + '---' + + #print startOfTokRelToText, ' ', endOfTokRelToText + + # Heuristc / Hack for determining when to include extra space + if ( self.text[endOfTokRelToText ].isalpha()) and \ + (not self.text[endOfTokRelToText+1].isalpha()) : + endOfTokRelToText += 1 + + #print startOfTokRelToText, ' ', endOfTokRelToText + #print '\n' if line not in spans: - spans[line] = (self.fileName + ".text||Diease Disorder||CUI-less||" + str(startOfTokRelToText) + "||" + str(endOfTokRelToText)) + spans[line] = (self.fileName + ".text||Disease_Disorder||CUI-less||" + str(startOfTokRelToText) + "||" + str(endOfTokRelToText)) else: - spans[line] += ("\n" + self.fileName + ".text||Diease Disorder||CUI-less||" + str(startOfTokRelToText) + "||" + str(endOfTokRelToText)) + spans[line] += ("\n" + self.fileName + ".text||Disease_Disorder||CUI-less||" + str(startOfTokRelToText) + "||" + str(endOfTokRelToText)) output = "" lines = list(spans) From 5bc69252d4fe410319b785ba62f1e15f54b1ccf9 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 5 Nov 2014 12:25:50 -0500 Subject: [PATCH 365/393] fixed off-by-one error in writer --- clicon/note.py | 28 ++++++++++++++++++++++++---- 1 file changed, 24 insertions(+), 4 deletions(-) diff --git a/clicon/note.py b/clicon/note.py index 6c5b9d6..3d1073c 100644 --- a/clicon/note.py +++ b/clicon/note.py @@ -843,6 +843,11 @@ def write_semeval(self, labels): (start, end) = self.line_inds[line-1] dataWithEmptyChars = re.split(" |\n|\t", self.text[start:end+1]) + #print 'start: ', start + #print 'end: ', end + #print 'dataWith: ', dataWithEmptyChars + #print + tokPosRelToSent = [] count = 0 for string in dataWithEmptyChars: @@ -852,13 +857,28 @@ def write_semeval(self, labels): else: # empty string count += 1 - startOfTokRelToText = tokPosRelToSent[startTok:endTok+1][0][0] + start - endOfTokRelToText = tokPosRelToSent[startTok:endTok+1][-1][1] + start + #print tokPosRelToSent + #print tokPosRelToSent[startTok:endTok+1] + + startOfTokRelToText = tokPosRelToSent[startTok][0] + start + endOfTokRelToText = tokPosRelToSent[ endTok][1] + start + + #print '---' + self.text[endOfTokRelToText-3:endOfTokRelToText+4] + '---' + + #print startOfTokRelToText, ' ', endOfTokRelToText + + # Heuristc / Hack for determining when to include extra space + if ( self.text[endOfTokRelToText ].isalpha()) and \ + (not self.text[endOfTokRelToText+1].isalpha()) : + endOfTokRelToText += 1 + + #print startOfTokRelToText, ' ', endOfTokRelToText + #print '\n' if line not in spans: - spans[line] = (self.fileName + ".text||Diease Disorder||CUI-less||" + str(startOfTokRelToText) + "||" + str(endOfTokRelToText)) + spans[line] = (self.fileName + ".text||Disease_Disorder||CUI-less||" + str(startOfTokRelToText) + "||" + str(endOfTokRelToText)) else: - spans[line] += ("\n" + self.fileName + ".text||Diease Disorder||CUI-less||" + str(startOfTokRelToText) + "||" + str(endOfTokRelToText)) + spans[line] += ("\n" + self.fileName + ".text||Disease_Disorder||CUI-less||" + str(startOfTokRelToText) + "||" + str(endOfTokRelToText)) output = "" lines = list(spans) From 60d7ababdbde46a40a84ebd2dbcb83f8afc38f4b Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 5 Nov 2014 23:06:27 -0500 Subject: [PATCH 366/393] reorganized structure to localize all machine learning code --- clicon/evaluate.py | 3 +- clicon/machine_learning/.gitignore | 1 + clicon/machine_learning/__init__.py | 0 clicon/{ => machine_learning}/crf.py | 0 clicon/{ => machine_learning}/libml.py | 0 clicon/{ => machine_learning}/sci.py | 0 clicon/model.py | 4 +- clicon/note.py | 125 ++++++++++++++----------- 8 files changed, 72 insertions(+), 61 deletions(-) create mode 100644 clicon/machine_learning/.gitignore create mode 100644 clicon/machine_learning/__init__.py rename clicon/{ => machine_learning}/crf.py (100%) rename clicon/{ => machine_learning}/libml.py (100%) rename clicon/{ => machine_learning}/sci.py (100%) diff --git a/clicon/evaluate.py b/clicon/evaluate.py index 592f98a..6a09074 100644 --- a/clicon/evaluate.py +++ b/clicon/evaluate.py @@ -13,13 +13,12 @@ import os -import os.path import sys import argparse import glob import helper - from copy import deepcopy + from model import labels from note import * diff --git a/clicon/machine_learning/.gitignore b/clicon/machine_learning/.gitignore new file mode 100644 index 0000000..72723e5 --- /dev/null +++ b/clicon/machine_learning/.gitignore @@ -0,0 +1 @@ +*pyc diff --git a/clicon/machine_learning/__init__.py b/clicon/machine_learning/__init__.py new file mode 100644 index 0000000..e69de29 diff --git a/clicon/crf.py b/clicon/machine_learning/crf.py similarity index 100% rename from clicon/crf.py rename to clicon/machine_learning/crf.py diff --git a/clicon/libml.py b/clicon/machine_learning/libml.py similarity index 100% rename from clicon/libml.py rename to clicon/machine_learning/libml.py diff --git a/clicon/sci.py b/clicon/machine_learning/sci.py similarity index 100% rename from clicon/sci.py rename to clicon/machine_learning/sci.py diff --git a/clicon/model.py b/clicon/model.py index 803a6f4..ef3c304 100644 --- a/clicon/model.py +++ b/clicon/model.py @@ -7,8 +7,8 @@ from sklearn.feature_extraction import DictVectorizer -import sci -import crf +from machine_learning import sci +from machine_learning import crf from features_dir import features, utilities diff --git a/clicon/note.py b/clicon/note.py index 3d1073c..2867c8f 100644 --- a/clicon/note.py +++ b/clicon/note.py @@ -18,7 +18,6 @@ import re import string from copy import copy -import copy import nltk.data import os.path @@ -501,74 +500,86 @@ def read_xml(self, txt, xml): @param xml. A file path for the xml formatted medical record """ - # Original text file - with open(txt, 'r') as f: - self.text = f.read() + # Read in the medical text + with open(txt) as f: + for line in f: + # Strip away non-printable characters + line = filter(lambda x: x in string.printable, line) + # Add sentence to the data list + self.data.append(line.split()) - # Read in the medical text - with open(xml) as f: + # Make put a temporary 'O' in each spot + self.boundaries.append( ['O' for _ in line.split()] ) - for lineno,line in enumerate(f.readlines()): + # Original text file + self.text += line - # Add sentence to the data list - data_line = [] - for word in line.split(): - if (word[0] != '<') and (word[-1] != '>'): - data_line.append(word) - self.data.append(data_line) + # Read in the medical text + if xml: + with open(xml, 'r') as f: - # Stored data for self.classifications - concept = 'N/A' - start_ind = -1 - i = 0 + for lineno,line in enumerate(f.readlines()): - # IOB labels - iobs = [] # [ 'O' for _ in line.split() ] + # Add sentence to the data list + data_line = [] + for word in line.split(): + if (word[0] != '<') and (word[-1] != '>'): + data_line.append(word) + self.data.append(data_line) - # State variable is sufficient because concepts are not nested - concept_state = 'O' - for word in line.split(): - # Search for xml tag - match = re.search('<(.*)>', word) - if match: + # Stored data for self.classifications + concept = 'N/A' + start_ind = -1 + i = 0 - con = match.group(1) - - # begin tag - if con[0] != '/': - # store data - concept = con - start_ind = i + # IOB labels + iobs = [] # [ 'O' for _ in line.split() ] - # state variable - concept_state = 'B' + # State variable is sufficient because concepts are not nested + concept_state = 'O' + for word in line.split(): - # end tag - else: - # store data - tup = (concept,lineno+1,start_ind,i-1) - self.classifications.append(tup) + # Search for xml tag + match = re.search('<(.*)>', word) + if match: + + con = match.group(1) + + # begin tag + if con[0] != '/': + # store data + concept = con + start_ind = i - # state variable - concept_state = 'O' + # state variable + concept_state = 'B' - # non-tag text - else: + # end tag + else: + # store data + tup = (concept,lineno+1,start_ind,i-1) + self.classifications.append(tup) - # Part of multi-word concept - if concept_state == 'B': - iobs.append('B') - concept_state = 'I' + # state variable + concept_state = 'O' + + # non-tag text else: - iobs.append(concept_state) - # Next token - i += 1 + # Part of multi-word concept + if concept_state == 'B': + iobs.append('B') + concept_state = 'I' + else: + iobs.append(concept_state) + + # Next token + i += 1 - self.boundaries.append(iobs) + self.boundaries.append(iobs) @@ -646,14 +657,14 @@ def lineno_and_tokspan(char_span): for i,span in enumerate(self.line_inds): if char_span[1] < span[1]: -# print "span: ", span + #print "span: ", span # start and end of span relative to sentence start = char_span[0] - span[0] end = char_span[1] - span[0] -# print "START: ", start -# print "END: ", end + #print "START: ", start + #print "END: ", end #print "USING span on self.text: ", self.text[span[0]:span[1]] #print "USING start and end: ", self.text[span[0]:span[1]][start:end] @@ -795,9 +806,9 @@ def lineno_and_tokspan(char_span): span = int(fields[i]), int(fields[i+1]) span_inds.append( span ) -# print '\t', concept -# print '\t', cui -# print '\t', span_inds + #print '\t', concept + #print '\t', cui + print '\t', span_inds # Everything is a Disease_Disorder concept = 'problem' From befbf6c5e4b03f1761a107cb686e15a8f5fb324f Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 5 Nov 2014 23:06:27 -0500 Subject: [PATCH 367/393] reorganized structure to localize all machine learning code --- clicon/evaluate.py | 3 +- clicon/machine_learning/.gitignore | 1 + clicon/machine_learning/__init__.py | 0 clicon/{ => machine_learning}/crf.py | 0 clicon/{ => machine_learning}/libml.py | 0 clicon/{ => machine_learning}/sci.py | 0 clicon/model.py | 4 +- clicon/note.py | 125 ++++++++++++++----------- 8 files changed, 72 insertions(+), 61 deletions(-) create mode 100644 clicon/machine_learning/.gitignore create mode 100644 clicon/machine_learning/__init__.py rename clicon/{ => machine_learning}/crf.py (100%) rename clicon/{ => machine_learning}/libml.py (100%) rename clicon/{ => machine_learning}/sci.py (100%) diff --git a/clicon/evaluate.py b/clicon/evaluate.py index 592f98a..6a09074 100644 --- a/clicon/evaluate.py +++ b/clicon/evaluate.py @@ -13,13 +13,12 @@ import os -import os.path import sys import argparse import glob import helper - from copy import deepcopy + from model import labels from note import * diff --git a/clicon/machine_learning/.gitignore b/clicon/machine_learning/.gitignore new file mode 100644 index 0000000..72723e5 --- /dev/null +++ b/clicon/machine_learning/.gitignore @@ -0,0 +1 @@ +*pyc diff --git a/clicon/machine_learning/__init__.py b/clicon/machine_learning/__init__.py new file mode 100644 index 0000000..e69de29 diff --git a/clicon/crf.py b/clicon/machine_learning/crf.py similarity index 100% rename from clicon/crf.py rename to clicon/machine_learning/crf.py diff --git a/clicon/libml.py b/clicon/machine_learning/libml.py similarity index 100% rename from clicon/libml.py rename to clicon/machine_learning/libml.py diff --git a/clicon/sci.py b/clicon/machine_learning/sci.py similarity index 100% rename from clicon/sci.py rename to clicon/machine_learning/sci.py diff --git a/clicon/model.py b/clicon/model.py index 803a6f4..ef3c304 100644 --- a/clicon/model.py +++ b/clicon/model.py @@ -7,8 +7,8 @@ from sklearn.feature_extraction import DictVectorizer -import sci -import crf +from machine_learning import sci +from machine_learning import crf from features_dir import features, utilities diff --git a/clicon/note.py b/clicon/note.py index 3d1073c..2867c8f 100644 --- a/clicon/note.py +++ b/clicon/note.py @@ -18,7 +18,6 @@ import re import string from copy import copy -import copy import nltk.data import os.path @@ -501,74 +500,86 @@ def read_xml(self, txt, xml): @param xml. A file path for the xml formatted medical record """ - # Original text file - with open(txt, 'r') as f: - self.text = f.read() + # Read in the medical text + with open(txt) as f: + for line in f: + # Strip away non-printable characters + line = filter(lambda x: x in string.printable, line) + # Add sentence to the data list + self.data.append(line.split()) - # Read in the medical text - with open(xml) as f: + # Make put a temporary 'O' in each spot + self.boundaries.append( ['O' for _ in line.split()] ) - for lineno,line in enumerate(f.readlines()): + # Original text file + self.text += line - # Add sentence to the data list - data_line = [] - for word in line.split(): - if (word[0] != '<') and (word[-1] != '>'): - data_line.append(word) - self.data.append(data_line) + # Read in the medical text + if xml: + with open(xml, 'r') as f: - # Stored data for self.classifications - concept = 'N/A' - start_ind = -1 - i = 0 + for lineno,line in enumerate(f.readlines()): - # IOB labels - iobs = [] # [ 'O' for _ in line.split() ] + # Add sentence to the data list + data_line = [] + for word in line.split(): + if (word[0] != '<') and (word[-1] != '>'): + data_line.append(word) + self.data.append(data_line) - # State variable is sufficient because concepts are not nested - concept_state = 'O' - for word in line.split(): - # Search for xml tag - match = re.search('<(.*)>', word) - if match: + # Stored data for self.classifications + concept = 'N/A' + start_ind = -1 + i = 0 - con = match.group(1) - - # begin tag - if con[0] != '/': - # store data - concept = con - start_ind = i + # IOB labels + iobs = [] # [ 'O' for _ in line.split() ] - # state variable - concept_state = 'B' + # State variable is sufficient because concepts are not nested + concept_state = 'O' + for word in line.split(): - # end tag - else: - # store data - tup = (concept,lineno+1,start_ind,i-1) - self.classifications.append(tup) + # Search for xml tag + match = re.search('<(.*)>', word) + if match: + + con = match.group(1) + + # begin tag + if con[0] != '/': + # store data + concept = con + start_ind = i - # state variable - concept_state = 'O' + # state variable + concept_state = 'B' - # non-tag text - else: + # end tag + else: + # store data + tup = (concept,lineno+1,start_ind,i-1) + self.classifications.append(tup) - # Part of multi-word concept - if concept_state == 'B': - iobs.append('B') - concept_state = 'I' + # state variable + concept_state = 'O' + + # non-tag text else: - iobs.append(concept_state) - # Next token - i += 1 + # Part of multi-word concept + if concept_state == 'B': + iobs.append('B') + concept_state = 'I' + else: + iobs.append(concept_state) + + # Next token + i += 1 - self.boundaries.append(iobs) + self.boundaries.append(iobs) @@ -646,14 +657,14 @@ def lineno_and_tokspan(char_span): for i,span in enumerate(self.line_inds): if char_span[1] < span[1]: -# print "span: ", span + #print "span: ", span # start and end of span relative to sentence start = char_span[0] - span[0] end = char_span[1] - span[0] -# print "START: ", start -# print "END: ", end + #print "START: ", start + #print "END: ", end #print "USING span on self.text: ", self.text[span[0]:span[1]] #print "USING start and end: ", self.text[span[0]:span[1]][start:end] @@ -795,9 +806,9 @@ def lineno_and_tokspan(char_span): span = int(fields[i]), int(fields[i+1]) span_inds.append( span ) -# print '\t', concept -# print '\t', cui -# print '\t', span_inds + #print '\t', concept + #print '\t', cui + print '\t', span_inds # Everything is a Disease_Disorder concept = 'problem' From d3c6aacb8137017bd45eaf7a28e2f29498b878f5 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 5 Nov 2014 23:09:59 -0500 Subject: [PATCH 368/393] removing statistics.py --- clicon/statistics.py | 46 -------------------------------------------- 1 file changed, 46 deletions(-) delete mode 100644 clicon/statistics.py diff --git a/clicon/statistics.py b/clicon/statistics.py deleted file mode 100644 index 7aa86d2..0000000 --- a/clicon/statistics.py +++ /dev/null @@ -1,46 +0,0 @@ -import os -import os.path -import sys -import argparse -import glob -import helper - -from note import * - - -def main(): - data_paths = { - 'test': ('../data/test_data/*', '../data/reference_standard_for_test_data/concepts/'), - 'train': ('../data/concept_assertion_relation_training_data/merged/txt/*', '../data/concept_assertion_relation_training_data/merged/concept') - } - - for type, paths in data_paths.items(): - full_path = lambda f: os.path.join(os.path.dirname(os.path.realpath(__file__)), f) - args_txt = full_path(paths[0]) - args_ref = full_path(paths[1]) - - txt_files = glob.glob(args_txt) - ref_files = os.listdir(args_ref) - ref_files = map(lambda f: os.path.join(args_ref, f), ref_files) - - txt_files_map = helper.map_files(txt_files) - ref_files_map = helper.map_files(ref_files) - - files = [] - for k in txt_files_map: - if k in ref_files_map: - files.append((txt_files_map[k], ref_files_map[k])) - - labels = {} - for txt, ref in files: - txt = read_txt(txt) - for r in read_con(ref, txt): - for r in r: - if r not in labels: - labels[r] = 0 - labels[r] += 1 - - print type, labels - -if __name__ == "__main__": - main() From 6ec4a9269bcb606c7b4800f09500dde56c9662ee Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 5 Nov 2014 23:09:59 -0500 Subject: [PATCH 369/393] removing statistics.py --- clicon/statistics.py | 46 -------------------------------------------- 1 file changed, 46 deletions(-) delete mode 100644 clicon/statistics.py diff --git a/clicon/statistics.py b/clicon/statistics.py deleted file mode 100644 index 7aa86d2..0000000 --- a/clicon/statistics.py +++ /dev/null @@ -1,46 +0,0 @@ -import os -import os.path -import sys -import argparse -import glob -import helper - -from note import * - - -def main(): - data_paths = { - 'test': ('../data/test_data/*', '../data/reference_standard_for_test_data/concepts/'), - 'train': ('../data/concept_assertion_relation_training_data/merged/txt/*', '../data/concept_assertion_relation_training_data/merged/concept') - } - - for type, paths in data_paths.items(): - full_path = lambda f: os.path.join(os.path.dirname(os.path.realpath(__file__)), f) - args_txt = full_path(paths[0]) - args_ref = full_path(paths[1]) - - txt_files = glob.glob(args_txt) - ref_files = os.listdir(args_ref) - ref_files = map(lambda f: os.path.join(args_ref, f), ref_files) - - txt_files_map = helper.map_files(txt_files) - ref_files_map = helper.map_files(ref_files) - - files = [] - for k in txt_files_map: - if k in ref_files_map: - files.append((txt_files_map[k], ref_files_map[k])) - - labels = {} - for txt, ref in files: - txt = read_txt(txt) - for r in read_con(ref, txt): - for r in r: - if r not in labels: - labels[r] = 0 - labels[r] += 1 - - print type, labels - -if __name__ == "__main__": - main() From e2f7f9ce7a3ad0d96c45e428faedfacbe3722222 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Thu, 6 Nov 2014 00:07:31 -0500 Subject: [PATCH 370/393] removing runall.py --- clicon/runall.py | 142 ----------------------------------------------- 1 file changed, 142 deletions(-) delete mode 100644 clicon/runall.py diff --git a/clicon/runall.py b/clicon/runall.py deleted file mode 100644 index 733b55a..0000000 --- a/clicon/runall.py +++ /dev/null @@ -1,142 +0,0 @@ -"""Run a full grid of experiments.""" - -import itertools -import os -import os.path -import sys -import time - -from subprocess import * - -from model import Model - -# Parameterization -n = 1 -_TEST = False - -############################################################################### -# Utilities -############################################################################### - -# Library locations -this_path = os.path.dirname(os.path.realpath(__file__)) -model_path = os.path.join(this_path, "..", "models") -data_path = os.path.join(this_path, "..", "data") -our_train = os.path.join(this_path, "train.py") -our_predict = os.path.join(this_path, "predict.py") -our_evaluate = os.path.join(this_path, "evaluate.py") - -# Applicable features -features = Model.sentence_features | Model.word_features -features = sorted(list(features)) -print "Features:", len(features) -print "Combinations of:", n -print - -# Calculate commands -def get_cmds(function): - commands = [] - for i in range(1, n+1): - for c in itertools.combinations(features, i): - # commands from single feature up - cmd_features = [f if f in c else 'X' for f in features] - commands.append(function(cmd_features)) - - # commands from full feature down - cmd_features = ['X' if f in c else f for f in features] - commands.append(function(cmd_features)) - - # commands for full feature only - commands.append(function(features)) - return commands - -# Drive process execution -def execute(commands, sleep=1): - ps = [] - for cmd in commands: - p = Popen(cmd) - ps.append(p) - print "Done" - - was_finished = -1 - while True: - ps_status = [p.poll() for p in ps] - now_finished = len(ps_status) - ps_status.count(None) - if now_finished > was_finished: - print "\tCompleted: %d/%d\r" % (now_finished, len(ps_status)), - sys.stdout.flush() - if now_finished == len(ps_status): - break - was_finished = now_finished - time.sleep(sleep) - -############################################################################### -# Train -############################################################################### -def train(cmd_features): - modelname = os.path.join(model_path, "-".join(cmd_features), "model") - cmd = ["python", our_train, "-m", modelname] - cmd += ["--no-svm"] - cmd += ["-e"] + [f for f in cmd_features if f != 'X'] - if _TEST: - cmd += ["-t", os.path.join(data_path, "concept_assertion_relation_training_data", "merged", "txt", "record-105.txt")] - cmd += ["-c", os.path.join(data_path, "concept_assertion_relation_training_data", "merged", "concept", "record-105.con")] - return cmd - -print "BEGIN train" -print "\tCalculating training commands...", -commands = get_cmds(train) -print "Done" -print "\tSpawning %d training commands..." % (len(commands)), -execute(commands) -print "\tCompleted training." -print "END train" -print - -############################################################################### -# Predict -############################################################################### -def predict(cmd_features): - modelname = os.path.join(model_path, "-".join(cmd_features), "model") - cmd = ["python", our_predict, "-m", modelname] - cmd += ["-o", os.path.join(model_path, "-".join(cmd_features), "test_predictions")] - if _TEST: - cmd += ["-i", os.path.join(data_path, "concept_assertion_relation_training_data", "merged", "txt", "record-105.txt")] - else: - cmd += ["-i", os.path.join(data_path, "test_data", "*")] - return cmd - -print "BEGIN predict" -print "\tCalculating prediction commands...", -commands = get_cmds(predict) -print "Done" -print "\tSpawning %d prediction commands..." % (len(commands)), -execute(commands) -print "\tCompleted prediction." -print "END predict" -print - -############################################################################### -# Evaluate -############################################################################### -def evaluate(cmd_features): - cmd = ["python", our_evaluate] - cmd += ["-c", os.path.join(model_path, "-".join(cmd_features), "test_predictions")] - cmd += ["-o", os.path.join(model_path, "-".join(cmd_features), "evaluation.txt")] - if _TEST: - cmd += ["-t", os.path.join(data_path, "concept_assertion_relation_training_data", "merged", "txt", "record-105.txt")] - cmd += ["-r", os.path.join(data_path, "concept_assertion_relation_training_data", "merged", "concept")] - else: - cmd += ["-t", os.path.join(data_path, "test_data", "*")] - cmd += ["-r", os.path.join(data_path, "reference_standard_for_test_data", "concepts")] - return cmd - -print "BEGIN evaluate" -print "\tCalculating evaluation commands...", -commands = get_cmds(evaluate) -print "Done" -print "\tSpawning %d evaluation commands..." % (len(commands)), -execute(commands) -print "\tCompleted evaluation." -print "END evaluate" -print From 5cd2b50c9028d19076186f5701d14ad3e5935cf2 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Thu, 6 Nov 2014 00:07:31 -0500 Subject: [PATCH 371/393] removing runall.py --- clicon/runall.py | 142 ----------------------------------------------- 1 file changed, 142 deletions(-) delete mode 100644 clicon/runall.py diff --git a/clicon/runall.py b/clicon/runall.py deleted file mode 100644 index 733b55a..0000000 --- a/clicon/runall.py +++ /dev/null @@ -1,142 +0,0 @@ -"""Run a full grid of experiments.""" - -import itertools -import os -import os.path -import sys -import time - -from subprocess import * - -from model import Model - -# Parameterization -n = 1 -_TEST = False - -############################################################################### -# Utilities -############################################################################### - -# Library locations -this_path = os.path.dirname(os.path.realpath(__file__)) -model_path = os.path.join(this_path, "..", "models") -data_path = os.path.join(this_path, "..", "data") -our_train = os.path.join(this_path, "train.py") -our_predict = os.path.join(this_path, "predict.py") -our_evaluate = os.path.join(this_path, "evaluate.py") - -# Applicable features -features = Model.sentence_features | Model.word_features -features = sorted(list(features)) -print "Features:", len(features) -print "Combinations of:", n -print - -# Calculate commands -def get_cmds(function): - commands = [] - for i in range(1, n+1): - for c in itertools.combinations(features, i): - # commands from single feature up - cmd_features = [f if f in c else 'X' for f in features] - commands.append(function(cmd_features)) - - # commands from full feature down - cmd_features = ['X' if f in c else f for f in features] - commands.append(function(cmd_features)) - - # commands for full feature only - commands.append(function(features)) - return commands - -# Drive process execution -def execute(commands, sleep=1): - ps = [] - for cmd in commands: - p = Popen(cmd) - ps.append(p) - print "Done" - - was_finished = -1 - while True: - ps_status = [p.poll() for p in ps] - now_finished = len(ps_status) - ps_status.count(None) - if now_finished > was_finished: - print "\tCompleted: %d/%d\r" % (now_finished, len(ps_status)), - sys.stdout.flush() - if now_finished == len(ps_status): - break - was_finished = now_finished - time.sleep(sleep) - -############################################################################### -# Train -############################################################################### -def train(cmd_features): - modelname = os.path.join(model_path, "-".join(cmd_features), "model") - cmd = ["python", our_train, "-m", modelname] - cmd += ["--no-svm"] - cmd += ["-e"] + [f for f in cmd_features if f != 'X'] - if _TEST: - cmd += ["-t", os.path.join(data_path, "concept_assertion_relation_training_data", "merged", "txt", "record-105.txt")] - cmd += ["-c", os.path.join(data_path, "concept_assertion_relation_training_data", "merged", "concept", "record-105.con")] - return cmd - -print "BEGIN train" -print "\tCalculating training commands...", -commands = get_cmds(train) -print "Done" -print "\tSpawning %d training commands..." % (len(commands)), -execute(commands) -print "\tCompleted training." -print "END train" -print - -############################################################################### -# Predict -############################################################################### -def predict(cmd_features): - modelname = os.path.join(model_path, "-".join(cmd_features), "model") - cmd = ["python", our_predict, "-m", modelname] - cmd += ["-o", os.path.join(model_path, "-".join(cmd_features), "test_predictions")] - if _TEST: - cmd += ["-i", os.path.join(data_path, "concept_assertion_relation_training_data", "merged", "txt", "record-105.txt")] - else: - cmd += ["-i", os.path.join(data_path, "test_data", "*")] - return cmd - -print "BEGIN predict" -print "\tCalculating prediction commands...", -commands = get_cmds(predict) -print "Done" -print "\tSpawning %d prediction commands..." % (len(commands)), -execute(commands) -print "\tCompleted prediction." -print "END predict" -print - -############################################################################### -# Evaluate -############################################################################### -def evaluate(cmd_features): - cmd = ["python", our_evaluate] - cmd += ["-c", os.path.join(model_path, "-".join(cmd_features), "test_predictions")] - cmd += ["-o", os.path.join(model_path, "-".join(cmd_features), "evaluation.txt")] - if _TEST: - cmd += ["-t", os.path.join(data_path, "concept_assertion_relation_training_data", "merged", "txt", "record-105.txt")] - cmd += ["-r", os.path.join(data_path, "concept_assertion_relation_training_data", "merged", "concept")] - else: - cmd += ["-t", os.path.join(data_path, "test_data", "*")] - cmd += ["-r", os.path.join(data_path, "reference_standard_for_test_data", "concepts")] - return cmd - -print "BEGIN evaluate" -print "\tCalculating evaluation commands...", -commands = get_cmds(evaluate) -print "Done" -print "\tSpawning %d evaluation commands..." % (len(commands)), -execute(commands) -print "\tCompleted evaluation." -print "END evaluate" -print From 31640002b757c0d1ef3192d681fe760852aabe11 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Thu, 6 Nov 2014 00:10:56 -0500 Subject: [PATCH 372/393] removing libml.py --- clicon/machine_learning/libml.py | 364 ------------------------------- 1 file changed, 364 deletions(-) delete mode 100644 clicon/machine_learning/libml.py diff --git a/clicon/machine_learning/libml.py b/clicon/machine_learning/libml.py deleted file mode 100644 index 57f80f0..0000000 --- a/clicon/machine_learning/libml.py +++ /dev/null @@ -1,364 +0,0 @@ -"""Interface to ML libraries -- libsvm, liblinear, and crfsuite. - -Much of this code performs parameter selection a la libsvm's easy.py. However, -the remainder provides an interface for the ML libraries so that the can be -called using a single function within the remainder of the code. -""" -# TODO: this code should leverage bindings rather than fork processes -# TODO: parallelization at a high level could be obtained with task abstraction - -import multiprocessing -import os -import os.path -import sys -import traceback - -from threading import Thread -from subprocess import * - -if sys.hexversion < 0x03000000: - import Queue -else: - import queue as Queue - -# Library locations -this_path = os.path.dirname(os.path.realpath(__file__)) -libsvm_path = os.path.join(this_path, "..", "lib", "libsvm") -liblinear_path = os.path.join(this_path, "..", "lib", "liblinear") -crfsuite_path = os.path.join(this_path, "..", "lib", "crfsuite") - -is_win32 = (sys.platform == 'win32') -if is_win32: - libsvm_path = os.path.join(libsvm_path, "windows") - liblinear_path = os.path.join(liblinear_path, "windows") - crfsuite_path = os.path.join(crfsuite_path, "windows") -else: - crfsuite_path = os.path.join(crfsuite_path, "frontend") - -# File locations -svm_train = os.path.join(libsvm_path, "svm-train") -svm_predict = os.path.join(libsvm_path, "svm-predict") -lin_train = os.path.join(liblinear_path, "train") -lin_predict = os.path.join(liblinear_path, "predict") -crf_suite = os.path.join(crfsuite_path, "crfsuite") - -# Parallel performance options -nr_local_worker = multiprocessing.cpu_count() - -############################################################################### -# LIBSVM - cribbing largely from tools/grid.py and tools/easy.py -############################################################################### - -def range_f(begin,end,step): - # like range, but works on non-integer too - seq = [] - while True: - if step > 0 and begin > end: break - if step < 0 and begin < end: break - seq.append(begin) - begin = begin + step - return seq - -def permute_sequence(seq): - n = len(seq) - if n <= 1: return seq - - mid = int(n/2) - left = permute_sequence(seq[:mid]) - right = permute_sequence(seq[mid+1:]) - - ret = [seq[mid]] - while left or right: - if left: ret.append(left.pop(0)) - if right: ret.append(right.pop(0)) - - return ret - -def redraw(db,best_param,tofile=False): - if len(db) == 0: return - begin_level = round(max(x[2] for x in db)) - 3 - step_size = 0.5 - - best_log2c,best_log2g,best_rate = best_param - - # if newly obtained c, g, or cv values are the same, - # then stop redrawing the contour. - if all(x[0] == db[0][0] for x in db): return - if all(x[1] == db[0][1] for x in db): return - if all(x[2] == db[0][2] for x in db): return - - if tofile: - gnuplot.write(b"set term png transparent small linewidth 2 medium enhanced\n") - gnuplot.write("set output \"{0}\"\n".format(png_filename.replace('\\','\\\\')).encode()) - #gnuplot.write(b"set term postscript color solid\n") - #gnuplot.write("set output \"{0}.ps\"\n".format(dataset_title).encode().encode()) - elif is_win32: - gnuplot.write(b"set term windows\n") - else: - gnuplot.write( b"set term x11\n") - gnuplot.write(b"set xlabel \"log2(C)\"\n") - gnuplot.write(b"set ylabel \"log2(gamma)\"\n") - gnuplot.write("set xrange [{0}:{1}]\n".format(c_begin,c_end).encode()) - gnuplot.write("set yrange [{0}:{1}]\n".format(g_begin,g_end).encode()) - gnuplot.write(b"set contour\n") - gnuplot.write("set cntrparam levels incremental {0},{1},100\n".format(begin_level,step_size).encode()) - gnuplot.write(b"unset surface\n") - gnuplot.write(b"unset ztics\n") - gnuplot.write(b"set view 0,0\n") - gnuplot.write("set title \"{0}\"\n".format(dataset_title).encode()) - gnuplot.write(b"unset label\n") - gnuplot.write("set label \"Best log2(C) = {0} log2(gamma) = {1} accuracy = {2}%\" \ - at screen 0.5,0.85 center\n". \ - format(best_log2c, best_log2g, best_rate).encode()) - gnuplot.write("set label \"C = {0} gamma = {1}\"" - " at screen 0.5,0.8 center\n".format(2**best_log2c, 2**best_log2g).encode()) - gnuplot.write(b"set key at screen 0.9,0.9\n") - gnuplot.write(b"splot \"-\" with lines\n") - - - - - db.sort(key = lambda x:(x[0], -x[1])) - - prevc = db[0][0] - for line in db: - if prevc != line[0]: - gnuplot.write(b"\n") - prevc = line[0] - gnuplot.write("{0[0]} {0[1]} {0[2]}\n".format(line).encode()) - gnuplot.write(b"e\n") - gnuplot.write(b"\n") # force gnuplot back to prompt when term set failure - gnuplot.flush() - - -def calculate_jobs(): - c_seq = permute_sequence(range_f(c_begin,c_end,c_step)) - g_seq = permute_sequence(range_f(g_begin,g_end,g_step)) - nr_c = float(len(c_seq)) - nr_g = float(len(g_seq)) - i = 0 - j = 0 - jobs = [] - - while i < nr_c or j < nr_g: - if i/nr_c < j/nr_g: - # increase C resolution - line = [] - for k in range(0,j): - line.append((c_seq[i],g_seq[k])) - i = i + 1 - jobs.append(line) - else: - # increase g resolution - line = [] - for k in range(0,i): - line.append((c_seq[k],g_seq[j])) - j = j + 1 - jobs.append(line) - return jobs - -class WorkerStopToken: # used to notify the worker to stop - pass - -class Worker(Thread): - def __init__(self,name,job_queue,result_queue): - Thread.__init__(self) - self.name = name - self.job_queue = job_queue - self.result_queue = result_queue - def run(self): - while True: - (cexp,gexp) = self.job_queue.get() - if cexp is WorkerStopToken: - self.job_queue.put((cexp,gexp)) - # print('worker {0} stop.'.format(self.name)) - break - try: - rate = self.run_one(1.0,1e-5) - if rate is None: raise RuntimeError("get no rate") - except: - # we failed, let others do that and we just quit - - traceback.print_exception(sys.exc_info()[0], sys.exc_info()[1], sys.exc_info()[2]) - - self.job_queue.put((cexp,gexp)) - print('worker {0} quit.'.format(self.name)) - break - else: - self.result_queue.put((self.name,cexp,gexp,rate)) - -class LocalWorker(Worker): - def run_one(self,c,g): - cmdline = '{0} -c {1} -g {2} -v {3} {4} {5}'.format \ - (svmtrain_exe,c,g,fold,pass_through_string,dataset_pathname) - result = Popen(cmdline,shell=True,stdout=PIPE).stdout - for line in result.readlines(): - if str(line).find("Cross") != -1: - return float(line.split()[-1][0:-1]) - -class SSHWorker(Worker): - def __init__(self,name,job_queue,result_queue,host): - Worker.__init__(self,name,job_queue,result_queue) - self.host = host - self.cwd = os.getcwd() - def run_one(self,c,g): - cmdline = 'ssh -x {0} "cd {1}; {2} -c {3} -g {4} -v {5} {6} {7}"'.format \ - (self.host,self.cwd, \ - svmtrain_exe,c,g,fold,pass_through_string,dataset_pathname) - result = Popen(cmdline,shell=True,stdout=PIPE).stdout - for line in result.readlines(): - if str(line).find("Cross") != -1: - return float(line.split()[-1][0:-1]) - -class TelnetWorker(Worker): - def __init__(self,name,job_queue,result_queue,host,username,password): - Worker.__init__(self,name,job_queue,result_queue) - self.host = host - self.username = username - self.password = password - def run(self): - import telnetlib - self.tn = tn = telnetlib.Telnet(self.host) - tn.read_until("login: ") - tn.write(self.username + "\n") - tn.read_until("Password: ") - tn.write(self.password + "\n") - - # XXX: how to know whether login is successful? - tn.read_until(self.username) - # - print('login ok', self.host) - tn.write("cd "+os.getcwd()+"\n") - Worker.run(self) - tn.write("exit\n") - def run_one(self,c,g): - cmdline = '{0} -c {1} -g {2} -v {3} {4} {5}'.format \ - (svmtrain_exe,c,g,fold,pass_through_string,dataset_pathname) - result = self.tn.write(cmdline+'\n') - (idx,matchm,output) = self.tn.expect(['Cross.*\n']) - for line in output.split('\n'): - if str(line).find("Cross") != -1: - return float(line.split()[-1][0:-1]) - -def bits(n): - while n: - b = n & (~n+1) - yield b - n ^= b - -############################################################################### -# Learning Interface -############################################################################### -LIN = 2**0 -CRF = 2**1 -SVM = 2**2 -ALL = sum(2**i for i in range(3)) - -def write_features(model_filename, rows, labels, mtype=ALL): - - # FIXME - keep around for now (but I wanna get rid of it) - for t in bits(mtype): - if t == SVM: - file_suffix = ".svm" + (".test.in" if not labels else "") - null_label, feature_sep, sentence_sep = "-1", ":", "" - - if t == LIN: - file_suffix = ".lin" + (".test.in" if not labels else "") - null_label, feature_sep, sentence_sep = "-1", ":", "" - - if t == CRF: - file_suffix = ".crf" + (".test.in" if not labels else "") - null_label, feature_sep, sentence_sep = "", "=", "\n" - - - filename = model_filename + file_suffix - with open(filename, "w") as f: - - # FIXME - Stopping 7/24 for now - # Should 'rows' be in list of list format for sentence structure? - for i,features in enumerate(rows): - - # Nonzero dimensions - inds = features.nonzero()[1] - - # Value for each dimension - values = [str(labels[i])] - for j in inds: - # FIXME - Not generalized for libsvm - values.append( '%d=%d' % (j, features[0,j]) ) - - # Output into temporary file - f.write("\t".join(values).strip() + "\n") - - - -def read_labels(model_filename, type=ALL): - labels = {} - for t in bits(type): - if t == SVM: - filename = model_filename + ".svm.test.out" - - if t == LIN: - filename = model_filename + ".lin.test.out" - - if t == CRF: - filename = model_filename + ".crf.test.out" - - with open(filename) as f: - lines = f.readlines() - labels[t] = [line.strip() for line in lines] - - return labels - - - - -def train(crfsuite, model_filename, X, Y): - - """ - libml::train() - - Purpose: Wrapper for crfsuite - - @param X. Vectorized features - @param Y. Labels - @return None - """ - - # Write features to file - write_features(model_filename, X, Y, CRF) - - # Shell out to crfsuite - filename = model_filename + ".crf" - command = [crfsuite, "learn", "-m", filename + ".trained", filename] - output, error = Popen(command, stdout = PIPE, stderr = PIPE).communicate() - - # Clean up temporary file - command = ['rm', filename] - output, error = Popen(command, stdout = PIPE, stderr = PIPE).communicate() - - - - -def predict(crfsuite, model_filename, X): - - # Write features to file - - write_features(model_filename, X, None, CRF) - - - # Shell out to crfsuite - filename = model_filename + ".crf" - command = [crf_suite, "tag", "-m", - filename + ".trained" , - filename + ".test.in" ] - - print command - output, error = Popen(command, stdout = PIPE, stderr = PIPE).communicate() - - - with open(filename + ".test.out", "w") as f: - for line in output.split(): - print line - f.write(line + "\n") - From 286bd3d3615616db4f97a6ed5eecd8538b75d862 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Thu, 6 Nov 2014 00:10:56 -0500 Subject: [PATCH 373/393] removing libml.py --- clicon/machine_learning/libml.py | 364 ------------------------------- 1 file changed, 364 deletions(-) delete mode 100644 clicon/machine_learning/libml.py diff --git a/clicon/machine_learning/libml.py b/clicon/machine_learning/libml.py deleted file mode 100644 index 57f80f0..0000000 --- a/clicon/machine_learning/libml.py +++ /dev/null @@ -1,364 +0,0 @@ -"""Interface to ML libraries -- libsvm, liblinear, and crfsuite. - -Much of this code performs parameter selection a la libsvm's easy.py. However, -the remainder provides an interface for the ML libraries so that the can be -called using a single function within the remainder of the code. -""" -# TODO: this code should leverage bindings rather than fork processes -# TODO: parallelization at a high level could be obtained with task abstraction - -import multiprocessing -import os -import os.path -import sys -import traceback - -from threading import Thread -from subprocess import * - -if sys.hexversion < 0x03000000: - import Queue -else: - import queue as Queue - -# Library locations -this_path = os.path.dirname(os.path.realpath(__file__)) -libsvm_path = os.path.join(this_path, "..", "lib", "libsvm") -liblinear_path = os.path.join(this_path, "..", "lib", "liblinear") -crfsuite_path = os.path.join(this_path, "..", "lib", "crfsuite") - -is_win32 = (sys.platform == 'win32') -if is_win32: - libsvm_path = os.path.join(libsvm_path, "windows") - liblinear_path = os.path.join(liblinear_path, "windows") - crfsuite_path = os.path.join(crfsuite_path, "windows") -else: - crfsuite_path = os.path.join(crfsuite_path, "frontend") - -# File locations -svm_train = os.path.join(libsvm_path, "svm-train") -svm_predict = os.path.join(libsvm_path, "svm-predict") -lin_train = os.path.join(liblinear_path, "train") -lin_predict = os.path.join(liblinear_path, "predict") -crf_suite = os.path.join(crfsuite_path, "crfsuite") - -# Parallel performance options -nr_local_worker = multiprocessing.cpu_count() - -############################################################################### -# LIBSVM - cribbing largely from tools/grid.py and tools/easy.py -############################################################################### - -def range_f(begin,end,step): - # like range, but works on non-integer too - seq = [] - while True: - if step > 0 and begin > end: break - if step < 0 and begin < end: break - seq.append(begin) - begin = begin + step - return seq - -def permute_sequence(seq): - n = len(seq) - if n <= 1: return seq - - mid = int(n/2) - left = permute_sequence(seq[:mid]) - right = permute_sequence(seq[mid+1:]) - - ret = [seq[mid]] - while left or right: - if left: ret.append(left.pop(0)) - if right: ret.append(right.pop(0)) - - return ret - -def redraw(db,best_param,tofile=False): - if len(db) == 0: return - begin_level = round(max(x[2] for x in db)) - 3 - step_size = 0.5 - - best_log2c,best_log2g,best_rate = best_param - - # if newly obtained c, g, or cv values are the same, - # then stop redrawing the contour. - if all(x[0] == db[0][0] for x in db): return - if all(x[1] == db[0][1] for x in db): return - if all(x[2] == db[0][2] for x in db): return - - if tofile: - gnuplot.write(b"set term png transparent small linewidth 2 medium enhanced\n") - gnuplot.write("set output \"{0}\"\n".format(png_filename.replace('\\','\\\\')).encode()) - #gnuplot.write(b"set term postscript color solid\n") - #gnuplot.write("set output \"{0}.ps\"\n".format(dataset_title).encode().encode()) - elif is_win32: - gnuplot.write(b"set term windows\n") - else: - gnuplot.write( b"set term x11\n") - gnuplot.write(b"set xlabel \"log2(C)\"\n") - gnuplot.write(b"set ylabel \"log2(gamma)\"\n") - gnuplot.write("set xrange [{0}:{1}]\n".format(c_begin,c_end).encode()) - gnuplot.write("set yrange [{0}:{1}]\n".format(g_begin,g_end).encode()) - gnuplot.write(b"set contour\n") - gnuplot.write("set cntrparam levels incremental {0},{1},100\n".format(begin_level,step_size).encode()) - gnuplot.write(b"unset surface\n") - gnuplot.write(b"unset ztics\n") - gnuplot.write(b"set view 0,0\n") - gnuplot.write("set title \"{0}\"\n".format(dataset_title).encode()) - gnuplot.write(b"unset label\n") - gnuplot.write("set label \"Best log2(C) = {0} log2(gamma) = {1} accuracy = {2}%\" \ - at screen 0.5,0.85 center\n". \ - format(best_log2c, best_log2g, best_rate).encode()) - gnuplot.write("set label \"C = {0} gamma = {1}\"" - " at screen 0.5,0.8 center\n".format(2**best_log2c, 2**best_log2g).encode()) - gnuplot.write(b"set key at screen 0.9,0.9\n") - gnuplot.write(b"splot \"-\" with lines\n") - - - - - db.sort(key = lambda x:(x[0], -x[1])) - - prevc = db[0][0] - for line in db: - if prevc != line[0]: - gnuplot.write(b"\n") - prevc = line[0] - gnuplot.write("{0[0]} {0[1]} {0[2]}\n".format(line).encode()) - gnuplot.write(b"e\n") - gnuplot.write(b"\n") # force gnuplot back to prompt when term set failure - gnuplot.flush() - - -def calculate_jobs(): - c_seq = permute_sequence(range_f(c_begin,c_end,c_step)) - g_seq = permute_sequence(range_f(g_begin,g_end,g_step)) - nr_c = float(len(c_seq)) - nr_g = float(len(g_seq)) - i = 0 - j = 0 - jobs = [] - - while i < nr_c or j < nr_g: - if i/nr_c < j/nr_g: - # increase C resolution - line = [] - for k in range(0,j): - line.append((c_seq[i],g_seq[k])) - i = i + 1 - jobs.append(line) - else: - # increase g resolution - line = [] - for k in range(0,i): - line.append((c_seq[k],g_seq[j])) - j = j + 1 - jobs.append(line) - return jobs - -class WorkerStopToken: # used to notify the worker to stop - pass - -class Worker(Thread): - def __init__(self,name,job_queue,result_queue): - Thread.__init__(self) - self.name = name - self.job_queue = job_queue - self.result_queue = result_queue - def run(self): - while True: - (cexp,gexp) = self.job_queue.get() - if cexp is WorkerStopToken: - self.job_queue.put((cexp,gexp)) - # print('worker {0} stop.'.format(self.name)) - break - try: - rate = self.run_one(1.0,1e-5) - if rate is None: raise RuntimeError("get no rate") - except: - # we failed, let others do that and we just quit - - traceback.print_exception(sys.exc_info()[0], sys.exc_info()[1], sys.exc_info()[2]) - - self.job_queue.put((cexp,gexp)) - print('worker {0} quit.'.format(self.name)) - break - else: - self.result_queue.put((self.name,cexp,gexp,rate)) - -class LocalWorker(Worker): - def run_one(self,c,g): - cmdline = '{0} -c {1} -g {2} -v {3} {4} {5}'.format \ - (svmtrain_exe,c,g,fold,pass_through_string,dataset_pathname) - result = Popen(cmdline,shell=True,stdout=PIPE).stdout - for line in result.readlines(): - if str(line).find("Cross") != -1: - return float(line.split()[-1][0:-1]) - -class SSHWorker(Worker): - def __init__(self,name,job_queue,result_queue,host): - Worker.__init__(self,name,job_queue,result_queue) - self.host = host - self.cwd = os.getcwd() - def run_one(self,c,g): - cmdline = 'ssh -x {0} "cd {1}; {2} -c {3} -g {4} -v {5} {6} {7}"'.format \ - (self.host,self.cwd, \ - svmtrain_exe,c,g,fold,pass_through_string,dataset_pathname) - result = Popen(cmdline,shell=True,stdout=PIPE).stdout - for line in result.readlines(): - if str(line).find("Cross") != -1: - return float(line.split()[-1][0:-1]) - -class TelnetWorker(Worker): - def __init__(self,name,job_queue,result_queue,host,username,password): - Worker.__init__(self,name,job_queue,result_queue) - self.host = host - self.username = username - self.password = password - def run(self): - import telnetlib - self.tn = tn = telnetlib.Telnet(self.host) - tn.read_until("login: ") - tn.write(self.username + "\n") - tn.read_until("Password: ") - tn.write(self.password + "\n") - - # XXX: how to know whether login is successful? - tn.read_until(self.username) - # - print('login ok', self.host) - tn.write("cd "+os.getcwd()+"\n") - Worker.run(self) - tn.write("exit\n") - def run_one(self,c,g): - cmdline = '{0} -c {1} -g {2} -v {3} {4} {5}'.format \ - (svmtrain_exe,c,g,fold,pass_through_string,dataset_pathname) - result = self.tn.write(cmdline+'\n') - (idx,matchm,output) = self.tn.expect(['Cross.*\n']) - for line in output.split('\n'): - if str(line).find("Cross") != -1: - return float(line.split()[-1][0:-1]) - -def bits(n): - while n: - b = n & (~n+1) - yield b - n ^= b - -############################################################################### -# Learning Interface -############################################################################### -LIN = 2**0 -CRF = 2**1 -SVM = 2**2 -ALL = sum(2**i for i in range(3)) - -def write_features(model_filename, rows, labels, mtype=ALL): - - # FIXME - keep around for now (but I wanna get rid of it) - for t in bits(mtype): - if t == SVM: - file_suffix = ".svm" + (".test.in" if not labels else "") - null_label, feature_sep, sentence_sep = "-1", ":", "" - - if t == LIN: - file_suffix = ".lin" + (".test.in" if not labels else "") - null_label, feature_sep, sentence_sep = "-1", ":", "" - - if t == CRF: - file_suffix = ".crf" + (".test.in" if not labels else "") - null_label, feature_sep, sentence_sep = "", "=", "\n" - - - filename = model_filename + file_suffix - with open(filename, "w") as f: - - # FIXME - Stopping 7/24 for now - # Should 'rows' be in list of list format for sentence structure? - for i,features in enumerate(rows): - - # Nonzero dimensions - inds = features.nonzero()[1] - - # Value for each dimension - values = [str(labels[i])] - for j in inds: - # FIXME - Not generalized for libsvm - values.append( '%d=%d' % (j, features[0,j]) ) - - # Output into temporary file - f.write("\t".join(values).strip() + "\n") - - - -def read_labels(model_filename, type=ALL): - labels = {} - for t in bits(type): - if t == SVM: - filename = model_filename + ".svm.test.out" - - if t == LIN: - filename = model_filename + ".lin.test.out" - - if t == CRF: - filename = model_filename + ".crf.test.out" - - with open(filename) as f: - lines = f.readlines() - labels[t] = [line.strip() for line in lines] - - return labels - - - - -def train(crfsuite, model_filename, X, Y): - - """ - libml::train() - - Purpose: Wrapper for crfsuite - - @param X. Vectorized features - @param Y. Labels - @return None - """ - - # Write features to file - write_features(model_filename, X, Y, CRF) - - # Shell out to crfsuite - filename = model_filename + ".crf" - command = [crfsuite, "learn", "-m", filename + ".trained", filename] - output, error = Popen(command, stdout = PIPE, stderr = PIPE).communicate() - - # Clean up temporary file - command = ['rm', filename] - output, error = Popen(command, stdout = PIPE, stderr = PIPE).communicate() - - - - -def predict(crfsuite, model_filename, X): - - # Write features to file - - write_features(model_filename, X, None, CRF) - - - # Shell out to crfsuite - filename = model_filename + ".crf" - command = [crf_suite, "tag", "-m", - filename + ".trained" , - filename + ".test.in" ] - - print command - output, error = Popen(command, stdout = PIPE, stderr = PIPE).communicate() - - - with open(filename + ".test.out", "w") as f: - for line in output.split(): - print line - f.write(line + "\n") - From f44d355b077c6e1621abe3b5a3b0673437f1484f Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Sun, 9 Nov 2014 20:37:08 -0500 Subject: [PATCH 374/393] Restructured notes representation for extendability --- clicon/cli.py | 12 +- clicon/evaluate.py | 4 +- clicon/features_dir/features.py | 43 +- clicon/features_dir/sentence_features.py | 204 +--- clicon/features_dir/umls/umls.py | 2 +- clicon/features_dir/word_features.py | 6 - clicon/format.py | 109 ++- clicon/model.py | 65 +- clicon/note.py | 1072 ---------------------- clicon/notes/.gitignore | 1 + clicon/notes/__init__.py | 0 clicon/notes/abstract_note.py | 78 ++ clicon/notes/note.py | 359 ++++++++ clicon/notes/note_i2b2.py | 355 +++++++ clicon/notes/note_semeval.py | 264 ++++++ clicon/notes/note_xml.py | 292 ++++++ clicon/notes/utilities_for_notes.py | 131 +++ clicon/predict.py | 18 +- clicon/read_config.py | 52 -- clicon/train.py | 23 +- examples/pretend.txt | 2 +- 21 files changed, 1639 insertions(+), 1453 deletions(-) delete mode 100644 clicon/note.py create mode 100644 clicon/notes/.gitignore create mode 100644 clicon/notes/__init__.py create mode 100644 clicon/notes/abstract_note.py create mode 100644 clicon/notes/note.py create mode 100644 clicon/notes/note_i2b2.py create mode 100644 clicon/notes/note_semeval.py create mode 100644 clicon/notes/note_xml.py create mode 100644 clicon/notes/utilities_for_notes.py delete mode 100644 clicon/read_config.py diff --git a/clicon/cli.py b/clicon/cli.py index a1a619c..187b299 100644 --- a/clicon/cli.py +++ b/clicon/cli.py @@ -163,22 +163,12 @@ def format(annotations, format, out, input): # Executable runable = os.path.join(BASE_DIR,'clicon/format.py') - # Must manually check if '.txt' or 'xml' - if input[-3:] == 'xml': - flag = '-x' - elif input[-3:] == 'txt': - flag = '-t' - else: - print >>sys.stderr, '\n\tError: Input file must be either "txt" or "xml"' - print >>sys.stderr, '' - exit(2) - # Build command cmd = ['python', runable, flag, input] # Optional arguments if annotations: - cmd += ['-c', annotations] + cmd += ['-a', annotations] if out: cmd += ['-o', out] if format: diff --git a/clicon/evaluate.py b/clicon/evaluate.py index 6a09074..0111f3b 100644 --- a/clicon/evaluate.py +++ b/clicon/evaluate.py @@ -19,8 +19,8 @@ import helper from copy import deepcopy -from model import labels -from note import * +from note import Note +from note import concept_labels as labels def containsSpan(s1, s2): return (s1[0] <= s2[0]) and (s2[1] <= s1[1]) diff --git a/clicon/features_dir/features.py b/clicon/features_dir/features.py index eb6b92a..a78834d 100644 --- a/clicon/features_dir/features.py +++ b/clicon/features_dir/features.py @@ -39,52 +39,15 @@ def __init__(self, data=None): # # input: A sentence # output: A hash table of features - def IOB_features(self, sentence): + def extract_IOB_features(self, sentence): # Different features depending on whether sentence is 'prose' isProse = prose_sentence(sentence) - unique = 1 # 20 - if isProse: - if True: - features_list = self.feat_sent.IOB_prose_features(sentence) - else: - features_list = [] - for i in range(len(sentence)): - features = {} - for j in range(unique): - features[(''.join(sentence),i,j)] = 1 - features_list.append(features) + features_list = self.feat_sent.IOB_prose_features(sentence) else: - if True: - features_list = self.feat_sent.IOB_nonprose_features(sentence) - else: - features_list = [] - for i in range(len(sentence)): - features = {} - for j in range(unique): - features[(''.join(sentence),i,j)] = 1 - features_list.append(features) - - - ''' - # Sanity Check (many unique features for each data point) - features_list = [] - for i in range(len(sentence)): - features = {} - for j in range(unique): - features[(''.join(sentence),i,j)] = 1 - features_list.append(features) - ''' - - - ''' - for f in features_list: - print sorted(f.items()) - print - ''' - + features_list = self.feat_sent.IOB_nonprose_features(sentence) # Return features as well as indication of whether it is prose or not return (isProse, features_list) diff --git a/clicon/features_dir/sentence_features.py b/clicon/features_dir/sentence_features.py index 23c75fe..0ef555c 100644 --- a/clicon/features_dir/sentence_features.py +++ b/clicon/features_dir/sentence_features.py @@ -41,9 +41,8 @@ class SentenceFeatures: # Feature Enabling - enabled_IOB_nonprose_sentence_features = frozenset( ['pos', 'prev', 'next', 'prev_3_pos', 'next_3_pos', 'UMLS', 'unigram_context']) - enabled_concept_features = frozenset( ['pos','prev_3_pos', 'stem_wordnet', 'test_result', 'word_shape', "UMLS"]) + enabled_concept_features = frozenset( ["UMLS"]) @@ -63,18 +62,22 @@ def __init__(self, data): self.feat_umls = UMLSFeatures() + self.enabled_IOB_nonprose_sentence_features = [] + #self.enabled_IOB_nonprose_sentence_features.append('pos') + #self.enabled_IOB_nonprose_sentence_features.append('pos_context') + self.enabled_IOB_nonprose_sentence_features.append('prev') + self.enabled_IOB_nonprose_sentence_features.append('next') + self.enabled_IOB_nonprose_sentence_features.append('unigram_context') + self.enabled_IOB_nonprose_sentence_features.append('UMLS') self.enabled_IOB_prose_sentence_features = [] self.enabled_IOB_prose_sentence_features.append('unigram_context') self.enabled_IOB_prose_sentence_features.append('pos') - #self.enabled_IOB_prose_sentence_features.append('prev_3_pos') - #self.enabled_IOB_prose_sentence_features.append('next_3_pos') + self.enabled_IOB_prose_sentence_features.append('pos_context') self.enabled_IOB_prose_sentence_features.append('prev') self.enabled_IOB_prose_sentence_features.append('prev2') - #self.enabled_IOB_prose_sentence_features.append('prev3') self.enabled_IOB_prose_sentence_features.append('next') self.enabled_IOB_prose_sentence_features.append('next2') - #self.enabled_IOB_prose_sentence_features.append('next3') self.enabled_IOB_prose_sentence_features.append('GENIA') self.enabled_IOB_prose_sentence_features.append('UMLS') @@ -103,15 +106,15 @@ def IOB_prose_features(self, sentence): for i in range(n): end = min(i, window) unigrams = sentence[i-end:i] - for u in unigrams: - features_list[i][('prev_unigrams',u)] = 1 + for j,u in enumerate(unigrams): + features_list[i][('prev_unigrams-%d'%j,u)] = 1 # Next unigrams for i in range(n): end = min(i + window, n-1) unigrams = sentence[i+1:end+1] - for u in unigrams: - features_list[i][('next_unigrams',u)] = 1 + for j,u in enumerate(unigrams): + features_list[i][('next_unigrams-%d'%j,u)] = 1 # Only POS tag once @@ -129,35 +132,24 @@ def IOB_prose_features(self, sentence): features_list[i].update( { ('pos',pos) : 1} ) - # Feature: Previous 3 POSs - if feature == 'prev_3_pos': - for i in range(len(sentence)): - # Where to begin - if i-3 < 0: - begin = 0 - else: - begin = i-3 - - # Go as far back as 3 tokens - pos_features = {} - for p in pos_tagged[begin:i]: - pos = p[1] - pos_features.update( {('prev_3_pos',pos) : 1} ) - - # Update feature dict - features_list[i].update(pos_features) + # Feature: POS context + if 'pos_context' in self.enabled_IOB_prose_sentence_features: + window = 3 + n = len(sentence) + # Previous POS + for i in range(n): + end = min(i, window) + for j,p in enumerate(pos_tagged[i-end:i]): + pos = p[1] + features_list[i][('prev_pos_context-%d'%j,pos)] = 1 - # Feature: Previous 3 POSs - if feature == 'next_3_pos': - for i in range(len(sentence)): - pos_features = {} - for p in pos_tagged[i:i+3]: + # Next POS + for i in range(n): + end = min(i + window, n-1) + for j,p in enumerate(pos_tagged[i+1:i+end+1]): pos = p[1] - pos_features.update( {('next_3_pos',pos) : 1} ) - - # Update feature dict - features_list[i].update(pos_features) + features_list[i][('prev_pos_context-%d'%j,pos)] = 1 # GENIA features @@ -264,27 +256,20 @@ def IOB_nonprose_features(self, sentence): window = 3 n = len(sentence) - #print - #print sentence - # Previous unigrams for i in range(n): end = min(i, window) unigrams = sentence[i-end:i] - for u in unigrams: - features_list[i][('prev_unigrams',u)] = 1 - #print '\t', i, '\t', unigrams - #print '-' + for j,u in enumerate(unigrams): + features_list[i][('prev_unigrams-%d'%j,u)] = 1 # Next unigrams for i in range(n): end = min(i + window, n-1) unigrams = sentence[i+1:end+1] for u in unigrams: - features_list[i][('next_unigrams',u)] = 1 - #print '\t', i, '\t', unigrams + features_list[i][('next_unigrams-%d'%j,u)] = 1 - #return features_list # Feature: UMLS Word Features (only use nonprose ones) if enabled['UMLS'] and 'UMLS' in self.enabled_IOB_nonprose_sentence_features: @@ -308,35 +293,24 @@ def IOB_nonprose_features(self, sentence): features_list[i][ ('pos',pos) ] = 1 - # Feature: Previous 3 POSs - if feature == 'prev_3_pos': - for i in range(len(sentence)): - # Where to begin - if i-3 < 0: - begin = 0 - else: - begin = i-3 - - # Go as far back as 3 tokens - pos_features = {} - for p in pos_tagged[begin:i]: - pos = p[1] - pos_features.update( {('prev_3_pos',pos) : 1} ) - - # Update feature dict - features_list[i].update(pos_features) + # Feature: POS context + if 'pos_context' in self.enabled_IOB_nonprose_sentence_features: + window = 3 + n = len(sentence) + # Previous POS + for i in range(n): + end = min(i, window) + for j,p in enumerate(pos_tagged[i-end:i]): + pos = p[1] + features_list[i][('prev_pos_context-%d'%j,pos)] = 1 - # Feature: Previous 3 POSs - if feature == 'next_3_pos': - for i in range(len(sentence)): - pos_features = {} - for p in pos_tagged[i+1:i+4]: + # Next POS + for i in range(n): + end = min(i + window, n-1) + for j,p in enumerate(pos_tagged[i+1:i+end+1]): pos = p[1] - pos_features.update( {('next_3_pos',pos) : 1} ) - - # Update feature dict - features_list[i].update(pos_features) + features_list[i][('prev_pos_context-%d'%j,pos)] = 1 @@ -386,102 +360,16 @@ def concept_features_for_sentence(self, sentence, chunk_inds): for ind in chunk_inds: features_list.append( self.feat_word.concept_features_for_chunk(sentence,ind) ) - # FIXME - more closely resembling Harabagiu - # NOTE: excludes UMLS features - #return features_list - - - ''' - # Split the chunked sentence into a list of words for (POS tagger) - split_sentence = [] - for c in sentence: - split_sentence += c.split() - tags = nltk.pos_tag(split_sentence) - ''' - # Allow for particular features to be enabled for feature in self.enabled_concept_features: # Features: UMLS features - # Note: Very slow, doesn't add much when you have lots of training data if (feature == "UMLS") and enabled['UMLS']: umls_features = self.feat_umls.concept_features_for_chunks(sentence, chunk_inds) - if chunk_inds: - print sentence - print chunk_inds - print umls_features - print for i in range(len(chunk_inds)): - print sentence[chunk_inds[i]] - print umls_features[i] - print '\n\n' features_list[i].update( umls_features[i] ) - continue - - # Feature: Previous POSs - if feature == 'pos': - for i,ind in enumerate(chunk_inds): - # Find beginning index of chunk - split_ind = 0 - for c in sentence[:ind]: - split_ind += len(c.split()) - end_ind = split_ind + len(sentence[ind].split()) - - # All words in chunk - for tag in tags[split_ind:end_ind]: - pos = tag[1] - features_list[i][('pos',pos)] = 1 - - - ''' - # Feature: Previous 3 POSs - if feature == 'prev_3_pos': - for i,ind in enumerate(chunk_inds): - # Find beginning index of chunk - split_ind = 0 - for c in sentence[:ind]: - split_ind += len(c.split()) - - # Three previous words - # FIXME - Should this be ordered or bag of words?? - begin = split_ind-3 if split_ind-3>0 else 0 - for tag in tags[begin:split_ind]: - pos = tag[1] - features_list[i][('prev_3_pos',pos)] = 1 - - - # Feature: Previous Chunks's Features - if feature == "prev": - for i,ind in enumerate(chunk_inds): - if ind == 0: - features_list[i][("prev", "*")] = 1 - else: - # Get features of previous chunks - prev_features = self.feat_word.concept_features_for_chunk(sentence,ind-1) - prepend = lambda f: {("prev_"+k[0],k[1]):v for k, v in f.items()} - features_list[i].update( prepend(prev_features) ) - - - # Feature: Next Chunk's Features - if feature == "next": - for i,ind in enumerate(chunk_inds): - if ind == len(sentence) - 1: - features_list[i][("next", "*")] = 1 - else: - # Get features of previous chunks - next_features = self.feat_word.concept_features_for_chunk(sentence,ind+1) - apend = lambda f: {("next_"+k[0],k[1]):v for k, v in f.items()} - features_list[i].update( apend(next_features) ) - ''' - - - #if pflag: - # for f in features_list: - # print sorted(f.items()) - # print - return features_list diff --git a/clicon/features_dir/umls/umls.py b/clicon/features_dir/umls/umls.py index 39f05a5..260a191 100644 --- a/clicon/features_dir/umls/umls.py +++ b/clicon/features_dir/umls/umls.py @@ -168,7 +168,7 @@ def span2concept(span): return cache.get_map( rawstring ) else: - concept = string_lookup( rawstring ) + concept = SQLookup.string_lookup( rawstring ) if concept: cache.add_map( rawstring , concept ) diff --git a/clicon/features_dir/word_features.py b/clicon/features_dir/word_features.py index bf41f06..6b2440e 100644 --- a/clicon/features_dir/word_features.py +++ b/clicon/features_dir/word_features.py @@ -47,35 +47,29 @@ def IOB_prose_features(self, word): # Allow for particular features to be enabled for feature in self.enabled_IOB_prose_word_features: - ''' if feature == "word": features[(feature, word.lower())] = 1 if feature == "stem_lancaster": st = nltk.stem.LancasterStemmer() features[ (feature, st.stem(word.lower())) ] = 1 - ''' # Feature: Generic# stemmed word if feature == 'Generic#': generic = re.sub('[0-9]','0',word) features[ ('Generic#',generic) ] = 1 - ''' # Feature: Last two leters of word if feature == 'last_two_letters': features[ ('last_two_letters',word[-2:]) ] = 1 - ''' - ''' if feature == "length": features[(feature, None)] = len(word) if feature == "stem_porter": st = nltk.stem.PorterStemmer() features[(feature, st.stem(word))] = 1 - ''' if feature == "mitre": diff --git a/clicon/format.py b/clicon/format.py index eed9856..c205e96 100644 --- a/clicon/format.py +++ b/clicon/format.py @@ -3,7 +3,7 @@ # # # Willie Boag wboag@cs.uml.edu # # # -# Purpose: Script to convert i2b2 <-> xml data format # +# Purpose: Script to convert among different data formats. # ###################################################################### @@ -18,7 +18,7 @@ import glob import helper -import note +from notes.note import Note @@ -39,16 +39,11 @@ def main(): help = "The files that contain the training examples", ) - parser.add_argument("-c", - dest = "con", + parser.add_argument("-a", + dest = "annotations", help = "The files that contain the labels for the training examples", ) - parser.add_argument("-x", - dest = "xml", - help = "The files that contain the aml-annotated data", - ) - parser.add_argument("-o", dest = "out", default = None, @@ -57,7 +52,7 @@ def main(): parser.add_argument("-f", dest = "format", - help = "Output format (i2b2 or xml?)", + help = "Output format (%s)"%str(' or '.join(Note.supportedFormats())), ) # Parse the command line arguments @@ -65,59 +60,81 @@ def main(): # Parse arguments - txt = args.txt - con = args.con - xml = args.xml - out_file = args.out - format = args.format + txt = args.txt + annotations = args.annotations + out_file = args.out + format = args.format - # Ensure format is specified - if (not format) or ((format != 'xml') and (format != 'i2b2')): - print >>sys.stderr, '\n\tError: Must specify output format (i2b2 or xml)' - print >>sys.stderr, '' + # Ensure annotations are specified + if not txt: + print >>sys.stderr, '\n\tError: Must supply text file' + print >>sys.stderr + exit(1) + elif not os.path.exists(txt): + print >>sys.stderr, '\n\tError: Given text file does not exist' + print >>sys.stderr exit(1) - # Cannot have ambiguous input - if (txt and con) and xml: - print >>sys.stderr, '\n\tError: Input must be either (i2b2) XOR (xml)\n' + # Ensure annotations are specified + extensions = Note.supportedFormatExtensions() + if not annotations: + print >>sys.stderr, '\n\tError: Must supply annotations' + print >>sys.stderr + exit(2) + elif not os.path.exists(txt): + print >>sys.stderr, '\n\tError: Given annotation file does not exist' + print >>sys.stderr + exit(2) + elif os.path.splitext(annotations)[1][1:] not in extensions: + print >>sys.stderr, '\n\tError: annotation must be a supported format' + print >>sys.stderr, '\t\t(.%s)' %str(' or .'.join(extensions) ) + print >>sys.stderr exit(2) - # If insufficient data is given (must have txt+con OR xml) - if (not (txt and con)) and (not xml): - print >>sys.stderr, '\n\tError: Must supply either:' - print >>sys.stderr, '\t 1) i2b2 txt & con file' - print >>sys.stderr, '\t 2) xml file\n' + # Ensure output format is specified + if (not format) or (format not in Note.supportedFormats()): + print >>sys.stderr, '\n\tError: Must specify supported output format' + print >>sys.stderr, '\t\t(%s)' %str(' or '.join(Note.supportedFormats())) + print >>sys.stderr exit(3) + # Automatically find the input file format + in_extension = os.path.splitext(annotations)[1][1:] + for f,ext in Note.dictOfFormatToExtensions().items(): + if ext == in_extension: + in_format = f + # Read input data into note object - N = note.Note() - if xml: - N.read_xml(xml) - else: - N.read_i2b2(txt, con) - + in_note = Note(in_format) + in_note.read(txt,annotations) - # Where to output data - if out_file: - out_f = open(out_file, 'w') - else: - out_f = sys.stdout + # Convert data to standard format + internal_output = in_note.write_standard() + tmp_file = 'tmp_file.txt' + with open(tmp_file, 'w') as f: + f.write(internal_output) + + #print internal_output - # Desired output format - if format == 'xml': - out = N.write_xml() - else: - # i2b2 format - out = N.write_i2b2() + # Read internal standard data into new file with given output format + out_note = Note(format) + out_note.read_standard(txt,tmp_file) + # Output data - out_f.write(out) + out = out_note.write() + if out_file: + with open(out_file, 'w') as out_f: + out_f.write(out) + else: + sys.stdout.write(out) - # Close output file + # Clean up + os.remove(tmp_file) if out_file: out_f.close() diff --git a/clicon/model.py b/clicon/model.py index ef3c304..2149f5a 100644 --- a/clicon/model.py +++ b/clicon/model.py @@ -11,26 +11,8 @@ from machine_learning import crf from features_dir import features, utilities +from notes.note import concept_labels, reverse_concept_labels, IOB_labels, reverse_IOB_labels -import cProfile as profile - - -labels = { - "none":0, - "treatment":1, - "problem":2, - "test":3 -} -reverse_labels = {v:k for k, v in labels.items()} - - -# IOBs labels -IOBs_labels = { - 'O':0, - 'B':1, - 'I':2 -} -reverse_IOBs_labels = {v:k for k,v in IOBs_labels.items()} @@ -44,13 +26,7 @@ def load(filename='awesome.model'): return model - def __init__(self, filename='awesome.model', is_crf=True): - - model_directory = os.path.dirname(filename) - if model_directory != "": - helper.mkpath(model_directory) - - self.filename = os.path.realpath(filename) + def __init__(self, is_crf=True): # Use python-crfsuite self.crf_enabled = is_crf @@ -84,8 +60,8 @@ def train(self, notes, do_grid=False): ############## # Get the data and annotations from the Note objects - text = [ note.txtlist() for note in notes ] - ioblist = [ note.iob_labels() for note in notes ] + text = [ note.getTokenizedSentences() for note in notes ] + ioblist = [ note.getIOBLabels() for note in notes ] data1 = reduce( concat, text ) Y1 = reduce( concat, ioblist ) @@ -102,9 +78,9 @@ def train(self, notes, do_grid=False): ############### # Get the data and annotations from the Note objects - chunks = [ note.chunked_text() for note in notes ] - indices = [ note.concept_indices() for note in notes ] - conlist = [ note.concept_labels() for note in notes ] + chunks = [ note.getChunkedText() for note in notes ] + indices = [ note.getConceptIndices() for note in notes ] + conlist = [ note.getConceptLabels() for note in notes ] data2 = reduce( concat, chunks ) inds = reduce( concat, indices ) @@ -117,13 +93,6 @@ def train(self, notes, do_grid=False): - # Pickle dump - print 'pickle dump\n' - with open(self.filename, "wb") as model: - pickle.dump(self, model) - - - def first_train(self, data, Y, do_grid=False): @@ -152,7 +121,7 @@ def first_train(self, data, Y, do_grid=False): pchunks = [] nchunks = [] for line,labels in zip(data,Y): - isProse,feats = feat_obj.IOB_features(line) + isProse,feats = feat_obj.extract_IOB_features(line) if isProse: prose.append(feats) pchunks += labels @@ -179,7 +148,7 @@ def first_train(self, data, Y, do_grid=False): print '\tvectorizing features (pass one) ' + flabel # Vectorize IOB labels - Y = [ IOBs_labels[y] for y in chunks ] + Y = [ IOB_labels[y] for y in chunks ] # Save list structure to reconstruct after vectorization offsets = [ len(sublist) for sublist in fset ] @@ -257,7 +226,7 @@ def second_train(self, data, inds_list, Y, do_grid=False): print '\tvectorizing features (pass two)' # Vectorize labels - Y = [ labels[y] for y in Y ] + Y = [ concept_labels[y] for y in Y ] # Vectorize features X = self.second_vec.fit_transform(X) @@ -286,11 +255,11 @@ def predict(self, note): print 'first pass' # Get the data and annotations from the Note objects - data = note.txtlist() + data = note.getTokenizedSentences() # Predict IOB labels iobs,_,__ = self.first_predict(data) - note.set_iob_labels(iobs) + note.setIOBLabels(iobs) @@ -302,8 +271,8 @@ def predict(self, note): print 'second pass' # Get the data and annotations from the Note objects - chunks = note.chunked_text() - inds = note.concept_indices() + chunks = note.getChunkedText() + inds = note.getConceptIndices() # Predict concept labels retVal = self.second_predict(chunks,inds) @@ -338,7 +307,7 @@ def first_predict(self, data): plinenos = [] nlinenos = [] for i,line in enumerate(data): - isProse,feats = feat_obj.IOB_features(line) + isProse,feats = feat_obj.extract_IOB_features(line) if isProse: prose.append(feats) plinenos.append(i) @@ -402,7 +371,7 @@ def first_predict(self, data): prose_iobs = [] nonprose_iobs = [] iobs = [] - trans = lambda l: reverse_IOBs_labels[int(l)] + trans = lambda l: reverse_IOB_labels[int(l)] for sentence in data: if utilities.prose_sentence(sentence): prose_iobs.append( plist.pop(0) ) @@ -466,7 +435,7 @@ def second_predict(self, data, inds_list): for ind in inds: # Get next concept - concept = reverse_labels[o.pop(0)] + concept = reverse_concept_labels[o.pop(0)] # Get start position (ex. 7th word of line) start = 0 diff --git a/clicon/note.py b/clicon/note.py deleted file mode 100644 index 2867c8f..0000000 --- a/clicon/note.py +++ /dev/null @@ -1,1072 +0,0 @@ -from __future__ import with_statement - - -###################################################################### -# CliNER - note.py # -# # -# Willie Boag wboag@cs.uml.edu # -# # -# Purpose: Internal representation of data for CliNER. # -###################################################################### - - -__author__ = 'Willie Boag' -__date__ = 'Oct. 5, 2014' - - - -import re -import string -from copy import copy -import nltk.data -import os.path - - -# TODO - Create directory/module for note -# with individual files for different data format readers/writers. - -class Note: - - # Private class - class SentenceTokenizer: - - # TODO - Maybe get fancy API or something - def __init__(self): - self.sent_tokenizer = nltk.data.load('tokenizers/punkt/english.pickle') - - def tokenize(self, text_file): - """ Split the document into sentences """ - #return self.sent_tokenizer.tokenize(text) - text = open(text_file, 'r').read() - - # Sentence Splitter - cmd = '/opt/apache-opennlp-1.5.3/bin/opennlp SentenceDetector /opt/apache-opennlp-1.5.3/models/en-sent.bin < %s' % text_file - #status,output = commands.getstatusoutput(cmd) - #sents = '\n'.join(output.split('\n')[1:-6]) - - - # Temporary file - #tmpfile = 'tmp-file.txt' - #with open(tmpfile, 'w') as f: - # f.write(sents) - - return self.sent_tokenizer.tokenize(text) - - - - # Private class - class WordTokenizer: - - # TODO - Maybe get fancy API or something - # http://www.nltk.org/api/nltk.tokenize.html - # PunktWordTokenizer - def __init__(self): - pass - - def tokenize(self, sent): - """ Split the sentence into tokens """ - return sent.split() - - - ''' - # Tokenize - cmd = '/opt/apache-opennlp-1.5.3/bin/opennlp SimpleTokenizer < %s' % tmpfile - status,output = commands.getstatusoutput(cmd) - tokens = '\n'.join(output.split('\n')[:-5]) - - # Display output - print tokens - ''' - - - - # Constructor - def __init__(self): - # data - A list of list of words - # concepts - A one-to-one correspondence of each word's concept - # classifications - A list of tuples that convey concept labels - # boundaries - A one-to-one correspondence of each word's BIO status - self.data = [] - self.concepts = [] - self.classifications = [] - self.boundaries = [] - self.text_chunks = [] - - # semeval formay internals - self.text = '' - self.line_inds = [] - - # name of file read. does not include extension. - self.fileName = None - - # Tokenizing text files - self.sent_tokenizer = Note.SentenceTokenizer() - self.word_tokenizer = Note.WordTokenizer() - - - - # NOTE: Extend this when defining new reader - # Mapping from file formats to filename extensions - supported_formats = { 'i2b2':'con' , - 'xml':'xml' , - 'semeval':'pipe' } - - - - @staticmethod - def supportedFormats(): - """ returns a list of data formats supported by CliNER """ - return Note.supported_formats.keys() - - - @staticmethod - def getExtension(format): - """ returns the appropriate filename extension for a given data format """ - return Note.supported_formats[format] - - - def reader(self, format, txt, con=None): - """ - reader() - - Purpose: Dispatch appropriate reader for given format. - """ - - self.fileName = os.path.basename(txt).split('.')[0] - - # FIXME - I wish Python had a frozen dict to guarantee saftey - # Error check input - if format not in Note.supportedFormats(): - raise Exception('format %s not supported' % format) - - # Dispatch to reader - dispatch = 'self.read_%s(txt, con)' % format - eval(dispatch) - - - - def writer(self, format, txt, con=None): - """ - reader() - - Purpose: Dispatch appropriate writer for given format. - """ - - # Error check input - if format not in Note.supportedFormats(): - raise Exception('format %s not supported' % format) - - # Dispatch to reader - dispatch = 'self.write_%s(txt)' % format - - return eval(dispatch) - - - - @ staticmethod - def concept_cmp(a,b): - """ - concept_cmp() - - Purpose: Compare concept classification tokens - """ - a = (int(a[1]), int(a[2])) - b = (int(b[1]), int(b[2])) - - # Sort by line number - if a[0] < b[0]: - return -1 - if a[0] > b[0]: - return 1 - else: - # Resolve lineno ties with indices - if a[1] < b[1]: - return -1 - if a[1] > b[1]: - return 1 - else: - return 0 - - - - - # Note::read_i2b2() - # - # @param txt. A file path for the i2b2 tokenized medical record - # @param con. A file path for the i2b2 annotated concepts associated with txt - def read_i2b2(self, txt, con=None): - - # TODO - split with OpeNLP tokenizer - - # Read in the medical text - with open(txt) as f: - for line in f: - # Strip away non-printable characters - line = filter(lambda x: x in string.printable, line) - - # Add sentence to the data list - self.data.append(line.split()) - - # Make put a temporary 'O' in each spot - self.boundaries.append( ['O' for _ in line.split()] ) - - # Original text file - self.text += line - - # If an accompanying concept file was specified, read it - if con: - classifications = [] - with open(con) as f: - for line in f: - - # Empty line - if line == '\n': continue - - # concept - prefix, suffix = line.split('||') - text = prefix.split() - conc = suffix[3:-2] - - start = text[-2].split(':') - end = text[-1].split(':') - - assert "concept spans one line", start[0] == end[0] - - # lineno - l = int(start[0]) - - # starttok - # endtok - start = int(start[1]) - end = int( end[1]) - - # Add the classification to the Note object - classifications.append( (conc,l,start,end) ) - - #print "txt: ", txt - #print "l: ", l - #print "start: ", start - #print "end: ", end - #print "line: ", self.data[l-1] - - # Beginning of a concept - try: - self.boundaries[l-1][start] = 'B' - except: - print 'txt: ', txt - print 'con: ', con - - # Inside of a concept - for i in range(start,end): - self.boundaries[l-1][i+1] = 'I' - - #print "\n" + "-" * 80 - - # Safe guard against concept file having duplicate entries - classifications = list(set(classifications)) - - # Concept file does not guarantee ordering by line number - self.classifications = sorted(classifications, cmp=Note.concept_cmp) - - - - def write_txt(self): - - """ - Note::write_txt() - - Purpose: Output the text of a file (without xml annotations) - - @return A string containing the text of the file. - """ - - retStr = '' - - for line in self.txtlist(): - retStr += ' '.join(line) + '\n' - - return retStr - - - - def write_i2b2(self, labels=None): - - """ - Note::write_i2b2() - - Purpose: Return the given concept label predictions in i2b2 format - - @param labels. A list of classifications - @return A string of i2b2-concept-file-formatted data - """ - - # Return value - retStr = '' - - # List of list of words (line-by-line) - tlist = self.txtlist() - - - # If given labels to write, use them. Default to self.classifications - if labels != None: - classifications = labels - elif self.classifications != None: - classifications = self.classifications - else: - raise Exception('Cannot write concept file: must specify labels') - - - # For each classification - for classification in classifications: - - # Ensure 'none' classifications are skipped - if classification[0] == 'none': - raise('Classification label "none" should never happen') - - concept = classification[0] - lineno = classification[1] - start = classification[2] - end = classification[3] - - # A list of words (corresponding line from the text file) - text = tlist[lineno-1] - - #print "\n" + "-" * 80 - #print "lineno: ", lineno - #print "start: ", start - #print "end ", end - #print "text: ", text - #print "text[start]: ", text[start] - #print "concept: ", concept - - # The text string of words that has been classified - datum = text[start] - for j in range(start, end): - datum += " " + text[j+1] - - # Line:TokenNumber of where the concept starts and ends - idx1 = "%d:%d" % (lineno, start) - idx2 = "%d:%d" % (lineno, end ) - - # Classification - label = concept - - # Fixing issue involving i2b2 format (remove capitalization) - lowercased = [w.lower() for w in datum.split()] - datum = ' '.join(lowercased) - - # Print format - retStr += "c=\"%s\" %s %s||t=\"%s\"\n" % (datum, idx1, idx2, label) - - # return formatted data - return retStr - - - - - def write_BIOs_labels(self, filename, labels): - - """ - Note::write_BIOs_labels() - - Purpose: Print the prediction of BIOs concept boundary classification - - @param filename. Filename. Ignore it. - @param labels. A list of list of BIOs labels - """ - - fid = open(filename,"w") - - # List of list of words (line-by-line) - text = self.txtlist() - - for i, concept_line in enumerate(labels): - - # stores the current streak - queue = [] - - # C-style array indexing. Probably could be done a better way. - # Used because I needed the ability of lookahead - for j in range(len(concept_line)): - - # Beginning of a concept boundary - if concept_line[j] != 'O': - - # Increase size of current streak - queue.append(text[i][j]) - - # lookahead (check if streak will continue) - if (j+1 == len(concept_line))or \ - (concept_line[j+1] != 'I'): - print >>fid, '%d:%d %d:%d' % (i+1,j-len(queue)+1,i+1,j) - print >>fid, ' '.join(queue) - print >>fid, '' - # Reset streak - queue = [] - - - - # Note::read_plain() - # - # @param txt. A file path for the plain tokenized medical record - # @param con. A file path for the annotated concepts associated with txt - def read_plain(self, txt, con=None): - - # Read in the medical text - with open(txt) as f: - - for line in f: - # Add sentence to the data list - self.data.append(line) - - # For each word, store a corresponding concept label - tmp = [] - for word in line.split(): - tmp.append('none') - self.concepts.append(tmp) - - - # If an accompanying concept file was specified, read it - if con: - with open(con) as f: - for line in f: - c, t = line.split('||') - t = t[3:-2] - c = c.split() - - start = c[-2].split(':') - end = c[-1].split(':') - - assert "concept spans one line", start[0] == end[0] - l = int(start[0]) - 1 - start = int(start[1]) - end = int(end[1]) - - # Tokenize the input intervals - stok = len(self.data[l][:start].split()) - etok = len(self.data[l][start:end+1].split()) + stok - 1 - - # Update the corresponding concept labels - for i in range(stok, etok + 1): - self.concepts[l][i] = t - - - - # Note::write_plain() - # - # @param con. A path to the file of where to write the prediction. - # @param labels. A list of predictions of labels for the given text. - # - # Write the concept predictions to a given file in plain format - def write_plain(self, con, labels): - - with open(con, 'w') as f: - - # Search every token - for i, line in enumerate(labels): - for j, label in enumerate(line): - - # Only print non-trivial tokens - if label != 'none': - - words = self.data[i].split() - - # Get the untokenized starting index - start = 0 - for k in range(j): - start += len(words[k]) + 1 - - # Untokenized ending index - end = start + len(words[j]) - 1 - - # Format the starting and ending indices - sidx = "%d:%d" % (i + 1, start) - eidx = "%d:%d" % (i + 1, end) - - # Get the string stored in the plaintext representation - datum = self.data[i][start:end+1] - - print >>f, "c=\"%s\" %s %s||t=\"%s\"" % (datum, sidx, eidx, label) - - - - def read_xml(self, txt, xml): - - """ - Note::read_xml() - - Purpose: Read data from an xml-annotated file into a Note object - - @param xml. A file path for the xml formatted medical record - """ - - # Read in the medical text - with open(txt) as f: - for line in f: - # Strip away non-printable characters - line = filter(lambda x: x in string.printable, line) - - # Add sentence to the data list - self.data.append(line.split()) - - # Make put a temporary 'O' in each spot - self.boundaries.append( ['O' for _ in line.split()] ) - - # Original text file - self.text += line - - - # Read in the medical text - if xml: - with open(xml, 'r') as f: - - for lineno,line in enumerate(f.readlines()): - - # Add sentence to the data list - data_line = [] - for word in line.split(): - if (word[0] != '<') and (word[-1] != '>'): - data_line.append(word) - self.data.append(data_line) - - - # Stored data for self.classifications - concept = 'N/A' - start_ind = -1 - i = 0 - - # IOB labels - iobs = [] # [ 'O' for _ in line.split() ] - - # State variable is sufficient because concepts are not nested - concept_state = 'O' - for word in line.split(): - - # Search for xml tag - match = re.search('<(.*)>', word) - if match: - - con = match.group(1) - - # begin tag - if con[0] != '/': - # store data - concept = con - start_ind = i - - # state variable - concept_state = 'B' - - # end tag - else: - # store data - tup = (concept,lineno+1,start_ind,i-1) - self.classifications.append(tup) - - # state variable - concept_state = 'O' - - # non-tag text - else: - - # Part of multi-word concept - if concept_state == 'B': - iobs.append('B') - concept_state = 'I' - else: - iobs.append(concept_state) - - # Next token - i += 1 - - self.boundaries.append(iobs) - - - - def write_xml(self, labels=None): - - """ - Note::write_xml() - - Purpose: Write the concept predictions in xml format - - @param labels. A list of predictions of labels for the given text. - @return A string for the xml-annotated file - """ - - - # If given labels to write, use them. Default to self.classifications - if labels != None: - classifications = labels - elif self.classifications: - classifications = self.classifications - else: - raise Exception('Cannot write concept file: must specify labels') - - - # Intermediate copy - toks = copy(self.data) - - # Order classification tuples so they are accessed right to left - # Assumption: sorted() is a stable sort - tags = sorted(classifications, key=lambda x:x[2], reverse=True) - tags = sorted(tags , key=lambda x:x[1] ) - - #print toks - #print '' - #print '' - - # Insert each xml tag into its proper location - for tag in tags: - - # Decode classification tuple - con = tag[0] - line = tag[1] - 1 - start = tag[2] - end = tag[3] - - #print tag - #print 'line: ', toks[line] - #print 'phrase: ', toks[line][start:end+1] - - # Insert tags - toks[line].insert(end+1, '') - toks[line].insert(start, '<' + con + '>') - - #print 'line: ', toks[line] - #print '' - - - # Stitch text back together - toks = [ ' '.join(s) for s in toks ] - toks = '\n'.join(toks) + '\n' - - #print toks - #print '' - #print '' - - - return toks - - - - def read_semeval(self, txt, con=None): - - def lineno_and_tokspan(char_span): - """ File character offsets => line number and index into line """ - for i,span in enumerate(self.line_inds): - if char_span[1] < span[1]: - - #print "span: ", span - - # start and end of span relative to sentence - start = char_span[0] - span[0] - end = char_span[1] - span[0] - - #print "START: ", start - #print "END: ", end - - #print "USING span on self.text: ", self.text[span[0]:span[1]] - #print "USING start and end: ", self.text[span[0]:span[1]][start:end] - - #print "self.data", self.data[i] - tok_span = [0,len(self.data[i])-1] - char_count = 0 - - dataWithEmptyChars = re.split(" |\n|\t", self.text[span[0]:span[1] + 1]) - - index = 0 - for j,tok in enumerate(dataWithEmptyChars): - if char_count > end: - tok_span[1] = index -1 - break - elif char_count == start: - tok_span[0] = index - char_count += len(tok) + 1 - if len(tok) > 0: - index += 1 - #print '\t',j, '\t', tok, '(', char_count, ')' - - #print start, end - #print tok_span - #print text[span[0]:span[1]] - #print self.data[i][tok_span[0]:tok_span[1]] - #print - - # return line number AND token span - #print "LINE: ", i - #print "TOK SPAN: ", tok_span - #print self.data[i] - #print tok_span - - #print "USING char_span on self.text: ", self.text[char_span[0]:char_span[1]] - #print "USING tok_span on self.data[i]", self.data[i][tok_span[0]], self.data[i][tok_span[1]] - #print "USING char_span on self.text: ", self.text[char_span[0]], self.text[char_span[1]] - - - return (i, tuple(tok_span)) - - return None - - - start = 0 - end = 0 - - with open(txt) as f: - - # Get entire file - text = f.read() -# print "\nTEXT:------------------" -# print text - - self.text = text - - # Sentence splitter - sents = self.sent_tokenizer.tokenize(txt) - -# print "\nSENTS:-----------------------------" -# print sents - - # Tokenize each sentence into words (and save line number indices) - toks = [] - gold = [] # Actual lines - - for s in sents: - - gold.append(s) - -# print "\nsentence:-------------------------------" -# print s - -# print s - - # Store data - toks = self.word_tokenizer.tokenize(s) - -# print "\ntokenized sentence:---------------------------------" -# print toks - - self.data.append(toks) - - # Make put a temporary 'O' in each spot - self.boundaries.append( ['O' for _ in toks] ) - - # Keep track of which indices each line has - end = start + len(s) - -# print "\nindices:--------------------------------------------" -# print (start, end) - -# print "\nusing index on entire txt----------------------------" -# print text[start:end] - -# print "\nEQUAL?" -# print text[start:end] == s - - self.line_inds.append( (start,end) ) - start = end + 1 - - # Skip ahead to next non-whitespace - while (start < len(text)) and text[start].isspace(): start += 1 - - ''' - for line,inds in zip(gold,self.line_inds): - print '!!!' + line + '!!!' - print '\t', 'xx'*10 - print inds - print '\t', 'xx'*10 - print '!!!' + text[inds[0]: inds[1]] + '!!!' - print '---' - print '\n' - print 'Xx' * 20 - ''' - - #lno,span = lineno_and_tokspan((2329, 2351)) - #lno,span = lineno_and_tokspan((1327, 1344)) - #print self.data[lno][span[0]:span[1]+1] - - - # If an accompanying concept file was specified, read it - if con: - offset_classifications = [] - classifications = [] - with open(con) as f: - for line in f: - - # Empty line - if line == '\n': continue - - # Parse concept file line - fields = line.strip().split('||') - #print fields - concept = fields[1] - cui = fields[2] - span_inds = [] - for i in range(3,len(fields),2): - span = int(fields[i]), int(fields[i+1]) - span_inds.append( span ) - - #print '\t', concept - #print '\t', cui - print '\t', span_inds - - # Everything is a Disease_Disorder - concept = 'problem' - -# getWhiteSpaceSpans() -# return - - # FIXME - For now, treat non-contiguous spans as separate - for span in span_inds: - l,(start,end) = lineno_and_tokspan(span) - - - # Add the classification to the Note object - offset_classifications.append((concept,span[0],span[1])) - classifications.append( (concept,l+1,start,end) ) - - # Beginning of a concept - try: - self.boundaries[l][start] = 'B' - except: - print 'Problem with IOB in read_semeval()' - print 'txt: ', txt - print 'con: ', con - - # Inside of a concept - for i in range(start,end): - self.boundaries[l][i+1] = 'I' - - # Safe guard against concept file having duplicate entries - classifications = list(set(classifications)) - - # Concept file does not guarantee ordering by line number - self.classifications = sorted(classifications, cmp=Note.concept_cmp) - - - - - def write_semeval(self, labels): - - spans = {} - for _, line, startTok, endTok in labels: - - (start, end) = self.line_inds[line-1] - dataWithEmptyChars = re.split(" |\n|\t", self.text[start:end+1]) - - #print 'start: ', start - #print 'end: ', end - #print 'dataWith: ', dataWithEmptyChars - #print - - tokPosRelToSent = [] - count = 0 - for string in dataWithEmptyChars: - if string != '': - tokPosRelToSent.append((count, count + len(string)-1)) - count += len(string) + 1 - else: # empty string - count += 1 - - #print tokPosRelToSent - #print tokPosRelToSent[startTok:endTok+1] - - startOfTokRelToText = tokPosRelToSent[startTok][0] + start - endOfTokRelToText = tokPosRelToSent[ endTok][1] + start - - #print '---' + self.text[endOfTokRelToText-3:endOfTokRelToText+4] + '---' - - #print startOfTokRelToText, ' ', endOfTokRelToText - - # Heuristc / Hack for determining when to include extra space - if ( self.text[endOfTokRelToText ].isalpha()) and \ - (not self.text[endOfTokRelToText+1].isalpha()) : - endOfTokRelToText += 1 - - #print startOfTokRelToText, ' ', endOfTokRelToText - #print '\n' - - if line not in spans: - spans[line] = (self.fileName + ".text||Disease_Disorder||CUI-less||" + str(startOfTokRelToText) + "||" + str(endOfTokRelToText)) - else: - spans[line] += ("\n" + self.fileName + ".text||Disease_Disorder||CUI-less||" + str(startOfTokRelToText) + "||" + str(endOfTokRelToText)) - - output = "" - lines = list(spans) - lines.sort() - for line in lines: - output += (spans[line] + "\n") - - return output - - - # txtlist() - # - # @return the data from the medical text broken into line-word format - def txtlist(self): - return self.data - - - - def conlist(self): - """ - Useful during evaluation - """ - - # Cached for later calls - if self.concepts: return self.concepts - - - # For each word, store a corresponding concept label - # Initially, all labels will be stored as 'none' - for line in self.data: - tmp = [] - for word in line: - tmp.append('none') - self.concepts.append(tmp) - - - # Use the classifications to correct all mislabled 'none's - for classification in self.classifications: - - #print "classification: ", classification - #print "classification[0]: ", classification[0] - #print "classification[1]: ", classification[1] - #print "classification[2]: ", classification[2] - #print "classification[3]: ", classification[3] - - concept = classification[0] - lineno = classification[1] - 1 - start = classification[2] - end = classification[3] - - self.concepts[lineno][start] = concept - for i in range(start, end): - self.concepts[lineno][i+1] = concept - - return self.concepts - - - - def concept_labels(self): - - """ - concept_labels() - - Purpose: Training labels for a concept classifier on phrases - - @ return A list of concept labels (1:1 mapping with text_chunks() output) - """ - - return [ c[0] for c in self.classifications ] - - - - def iob_labels(self): - """ - return a list of list of IOB labels - """ - return self.boundaries - - - - def set_iob_labels(self, iobs): - """ - return a list of list of IOB labels - """ - - # Must be proper form - for iob in iobs: - for label in iob: - assert (label == 'O') or (label == 'B') or (label == 'I'), \ - "All labels must be I, O, or B. Given: " + label - - self.boundaries = iobs - - - - def chunked_text(self): - - """ - Note::chunked_text() - - Purpose: Combine all 'I's into 'B' chunks - - @return A list of list of phrases. - """ - - - # If answer is cached - if self.text_chunks: return self.text_chunks() - - - # List of list of phrases - text = self.txtlist() - - - # Line-by-line chunking - for sent,iobs in zip(self.txtlist(),self.iob_labels()): - - # One line of chunked phrases - line = [] - - # Chunk phrase (or single word if 'O' iob tag) - phrase = '' - - # Word-by-word grouping - for word,iob in zip(sent,iobs): - - if iob == 'O': - if phrase: line.append(phrase) - phrase = word - - if iob == 'B': - if phrase: line.append(phrase) - phrase = word - - if iob == 'I': - phrase += ' ' + word - - # Add last phrase - if phrase: line.append(phrase) - - # Add line from file - self.text_chunks.append(line) - - - return self.text_chunks - - - - - def concept_indices(self): - - # Return value - inds_list = [] - - - # Line-by-line chunking - for iobs in self.iob_labels(): - - # One line of chunked phrases - line = [] - seen_chunks = 0 - - # Word-by-word grouping - for iob in iobs: - - if iob == 'O': - seen_chunks += 1 - - if iob == 'B': - line.append(seen_chunks) - seen_chunks += 1 - - # Add line from file - inds_list.append(line) - - - return inds_list - - - diff --git a/clicon/notes/.gitignore b/clicon/notes/.gitignore new file mode 100644 index 0000000..72723e5 --- /dev/null +++ b/clicon/notes/.gitignore @@ -0,0 +1 @@ +*pyc diff --git a/clicon/notes/__init__.py b/clicon/notes/__init__.py new file mode 100644 index 0000000..e69de29 diff --git a/clicon/notes/abstract_note.py b/clicon/notes/abstract_note.py new file mode 100644 index 0000000..39b7664 --- /dev/null +++ b/clicon/notes/abstract_note.py @@ -0,0 +1,78 @@ +from __future__ import with_statement + + +###################################################################### +# CliNER - abstract_note.py # +# # +# Willie Boag wboag@cs.uml.edu # +# # +# Purpose: Abstract Note representation. # +###################################################################### + + +__author__ = 'Willie Boag' +__date__ = 'Nov. 6, 2014' + + + +import re +import string +from copy import copy +import nltk.data +import os.path + + + + +# Abstract Note (to be inherited from) +class AbstractNote: + + def __init__(self): + raise Exception('Cannot instantiate AbstractNote') + + + ################################################################ + #### Must support this interface ##### + ################################################################ + + def getExtension(self): + """ + Purpose: Get the file extension for a particular format (ex. i2b2->con) + """ + raise Exception('Must define getExtension() for derived class') + + + def read(self, txt_file, con_file=None): + """ + Purpose: Abstract method for reading data from file + """ + raise Exception('Must define read() for derived class') + + + def write(self, labels=None): + """ + Purpose: Abstract method for writing data to file + """ + raise Exception('Must define write() for derived class') + + + def getTokenizedSentences(self): + """ + Purpose: Return a list of list of tokens (list of list of strings) + """ + raise Exception('Must define selector for derived class') + + + def getClassificationTuples(self): + """ + Purpose: Return a list of (concept,line_number,start-ind,end-ind) tuples + """ + raise Exception('Must define selector for derived class') + + + def read_standard(self, txt, con=None): + """ + Purpose: Every note must be able to read from standardized forat + """ + raise Exception('Must define read_standard() for derived class') + diff --git a/clicon/notes/note.py b/clicon/notes/note.py new file mode 100644 index 0000000..9a55470 --- /dev/null +++ b/clicon/notes/note.py @@ -0,0 +1,359 @@ +from __future__ import with_statement + +###################################################################### +# CliNER - note.py # +# # +# Willie Boag wboag@cs.uml.edu # +# # +# Purpose: Internal representation of data for CliNER. # +###################################################################### + + +__author__ = 'Willie Boag' +__date__ = 'Nov. 6, 2014' + + + +import re +import string +from copy import copy +import nltk.data +import os.path + + + +# Master Class +class Note: + + # Memoize results from static method calls + supported_formats = [] + dict_of_format_to_extensions = [] + + # Constructor + def __init__(self, format): + + # Error-check input + if format not in Note.supportedFormats(): + raise Exception('Cannot create Note object for format %s' % format) + + # Instantiate the given format derived class + cmd = 'from note_%s import Note_%s as DerivedNote' % (format,format) + exec(cmd) + self.derived_note = DerivedNote() + + # Helpful for debugging + self.format = format + + # Memoizations of selectors + self.data = [] + self.concepts = [] + self.iob_labels = [] + self.text_chunks = [] + + + + @staticmethod + def supportedFormats(): + """ returns a list of data formats supported by CliNER """ + + # Memoized? + if Note.supported_formats: return Note.supported_formats + + # Note files + cands = os.listdir(os.path.join(os.getenv('CLICON_DIR'),'clicon/notes')) + notes = filter(lambda f:f.startswith('note_'), cands) + notes = filter(lambda f: f.endswith('.py' ), notes) + + # Extract format name from all files like 'note_i2b2.py' + formats = [] + for filename in notes: + f = re.search('note_(.*)\\.py', filename).groups(1)[0] + formats.append(f) + + return formats + + + @staticmethod + def supportedFormatExtensions(): + return Note.dictOfFormatToExtensions().values() + + + + @staticmethod + def dictOfFormatToExtensions(): + # Memoized? + if Note.dict_of_format_to_extensions: + return Note.dict_of_format_to_extensions + + # Get each format's extension + extensions = {} + for format in Note.supportedFormats(): + # Import next note format + cmd1 = 'from note_%s import Note_%s' % (format,format) + exec(cmd1) + + # Get extension for note + cmd2 = 'extensions[format] = Note_%s().getExtension()' % format + exec(cmd2) + + Note.dict_of_format_to_extensions = extensions + return extensions + + + + ################################################################## + #### Pass right on to derived format note #### + #### (does not change as new formats are introduced) #### + ################################################################## + + def getExtension(self): + """ + Purpose: returns the filename extension for a given data format + """ + return self.derived_note.getExtension() + + def read(self, txt_file, con_file=None): + """ + Purpose: Call derived object's reader + """ + return self.derived_note.read(txt_file, con_file) + + def write(self, con_file=None): + """ + Purpose: Call derived object's writer + """ + return self.derived_note.write(con_file) + + def getTokenizedSentences(self): + """ + Purpose: Return list of list of tokens from text file. + """ + if not self.data: + self.data = self.derived_note.getTokenizedSentences() + return self.data + + def read_standard(self, txt, con=None): + """ + Purpose: Every note must be able to read from standard forat + """ + self.derived_note.read_standard(txt,con) + + + + ################################################################## + #### Internal Logic #### + #### (does not change as new formats are introduced) #### + ################################################################## + + + def getConceptLabels(self): + """ + Purpose: return a list of concept labels for second pass training + """ + classifications = self.derived_note.getClassificationTuples() + return [ c[0] for c in classifications ] + + + def getIOBLabels(self): + """ + Purpose: return a list of list of IOB labels + """ + + # Only comput if not already memoized + if self.iob_labels: return self.iob_labels + + # Build list of proper dimensions (1:1 with self.data) + self.getTokenizedSentences() + iobs = [ ['O' for tok in sent] for sent in self.data ] + + # Add 'B's and 'I's from concept spans + for classification in self.derived_note.getClassificationTuples(): + _,lineno,start,end = classification + + # Update concept tokens to 'B's and 'I's + iobs[lineno-1][start] = 'B' + for i in range(start+1,end+1): + iobs[lineno-1][i] = 'I' + + # Memoize for next call + self.iob_labels = iobs + return iobs + + + + def setIOBLabels(self, iobs): + """ + Purpose: Set the IOB labels for the derived note + """ + # Must be proper form + for iob in iobs: + for label in iob: + assert (label == 'O') or (label == 'B') or (label == 'I'), \ + "All labels must be I, O, or B. Given: " + label + + self.iob_labels = iobs + + + + def getChunkedText(self): + """ + Purpose: List of list of tokens, except combine all 'I's into 'B' chunks + """ + + # Memoized? + if self.text_chunks: return self.text_chunks() + + # Line-by-line chunking + text = self.getTokenizedSentences() + for sent,iobs in zip(text,self.iob_labels): + + # One line of chunked phrases + line = [] + + # Chunk phrase (or single word if 'O' iob tag) + phrase = '' + + # Word-by-word grouping + for word,iob in zip(sent,iobs): + + if iob == 'O': + if phrase: line.append(phrase) + phrase = word + + if iob == 'B': + if phrase: line.append(phrase) + phrase = word + + if iob == 'I': + phrase += ' ' + word + + # Add last phrase + if phrase: line.append(phrase) + + # Add line from file + self.text_chunks.append(line) + + return self.text_chunks + + + + def getConceptIndices(self): + + # Return value + inds_list = [] + + # Line-by-line chunking + for iobs in self.iob_labels: + + # One line of chunked phrases + line = [] + seen_chunks = 0 + + # Word-by-word grouping + for iob in iobs: + + if iob == 'O': + seen_chunks += 1 + + if iob == 'B': + line.append(seen_chunks) + seen_chunks += 1 + + # Add line from file + inds_list.append(line) + + + return inds_list + + + + def write_standard(self, labels=None): + """ + Note::write_standard() + + Purpose: Every note must be able to read from standardized format + + @param labels. A list of classifications + @return A string of starndardized formatted data + """ + + # Standard will have: + # 1. concept type + # 2. concept span inds in character offsets + + # return value + retStr = '' + + # Get data + classifications = self.derived_note.getClassificationTuples() + + # Output classifications into standardized format + for concept,span_inds in classifications: + retStr += concept + for span in span_inds: + retStr += '||%d||%d' % span + retStr += '\n' + + return retStr.strip('\n') + + + + + ################################################################## + #### Only used during developmnt and testing #### + ################################################################## + + + def conlist(self): + """ + Useful during evaluation + """ + + # Cached for later calls + if self.concepts: return self.concepts + + # For each word, store a corresponding concept label + # Initially, all labels will be stored as 'none' + for line in self.data: + tmp = [] + for word in line: + tmp.append('none') + self.concepts.append(tmp) + + # Use the classifications to correct all mislabled 'none's + for classification in self.classifications: + #print "classification: ", classification + + # Assumption - assumes no clustering third pass + concept = classification[0] + lineno = classification[1] - 1 + start = classification[2] + end = classification[3] + + self.concepts[lineno][start] = concept + for i in range(start, end): + self.concepts[lineno][i+1] = concept + + return self.concepts + + + + +# Concept labels +concept_labels = { + "none":0, + "treatment":1, + "problem":2, + "test":3 +} +reverse_concept_labels = {v:k for k, v in concept_labels.items()} + + +# IOB labels +IOB_labels = { + 'O':0, + 'B':1, + 'I':2 +} +reverse_IOB_labels = {v:k for k,v in IOB_labels.items()} + diff --git a/clicon/notes/note_i2b2.py b/clicon/notes/note_i2b2.py new file mode 100644 index 0000000..2ba3ca5 --- /dev/null +++ b/clicon/notes/note_i2b2.py @@ -0,0 +1,355 @@ +from __future__ import with_statement + + +###################################################################### +# CliNER - note_i2b2.py # +# # +# Willie Boag wboag@cs.uml.edu # +# # +# Purpose: Derived note object for reading i2b2 formatted data. # +###################################################################### + + +__author__ = 'Willie Boag' +__date__ = 'Nov. 6, 2014' + + + +import re +import string +from copy import copy +import nltk.data +import os.path + +from abstract_note import AbstractNote +from utilities_for_notes import classification_cmp + + +class Note_i2b2(AbstractNote): + + def __init__(self): + # Internal representation natural for i2b2 format + self.data = [] # list of list of tokens + self.classifications = [] # list of concept tuples + self.line_inds = [] # list of (start,end) indices for every line + + + def getExtension(self): + return 'con' + + + def getTokenizedSentences(self): + return self.data + + + def getClassificationTuples(self): + + # return value + retVal = [] + + # Build list of standardized classification tuples + for classification in self.classifications: + concept,lineno,tok_start,tok_end = classification + + # character offset of beginning of line + begin = self.line_inds[lineno-1][0] + + # Sweep through line to get character offsets from line start + start = 0 + for word in self.data[lineno-1][:tok_start]: + start += len(word) + 1 + + # Length of concept span + end = start + for word in self.data[lineno-1][tok_start:tok_end+1]: + end += len(word) + 1 + end -= 1 + + #print begin + #print begin+start, begin+end + #print '~~' + self.text[begin+start:begin+end] + '~~' + + retVal.append( (concept,[(begin+start,begin+end)]) ) + + return retVal + + + + def read_standard(self, txt, con=None): + + # Helper function + def lineno_and_tokspan(char_span): + """ File character offsets => line number and index into line """ + for i,span in enumerate(self.line_inds): + if char_span[1] <= span[1]: + + #print "span: ", span + + # start and end of span relative to sentence + start = char_span[0] - span[0] + end = char_span[1] - span[0] + + #print "START: ", start + #print "END: ", end + + #print "USING span on self.text: ", self.text[span[0]:span[1]] + #print "USING start and end: ", self.text[span[0]:span[1]][start:end] + + #print "self.data", self.data[i] + tok_span = [0,len(self.data[i])-1] + char_count = 0 + + dataWithEmptyChars = re.split(" |\n|\t", self.text[span[0]:span[1] + 1]) + + index = 0 + for j,tok in enumerate(dataWithEmptyChars): + if char_count > end: + tok_span[1] = index -1 + break + elif char_count == start: + tok_span[0] = index + char_count += len(tok) + 1 + if len(tok) > 0: + index += 1 + #print '\t',j, '\t', tok, '(', char_count, ')' + + #print start, end + #print tok_span + #print text[span[0]:span[1]] + #print self.data[i][tok_span[0]:tok_span[1]] + #print + + # return line number AND token span + #print "LINE: ", i + #print "TOK SPAN: ", tok_span + #print self.data[i] + #print tok_span + + #print "USING char_span on self.text: ", self.text[char_span[0]:char_span[1]] + #print "USING tok_span on self.data[i]", self.data[i][tok_span[0]], self.data[i][tok_span[1]] + #print "USING char_span on self.text: ", self.text[char_span[0]], self.text[char_span[1]] + + + return (i, tuple(tok_span)) + + return None + + + start = 0 + end = 0 + + with open(txt) as f: + + # Get entire file + text = f.read() + self.text = text + + # Split into lines + self.data = map(lambda s: s.split(), text.split('\n')) + + # Tokenize each sentence into words (and save line number indices) + toks = [] + gold = [] # Actual lines + + for sent in self.data: + + gold.append(sent) + + # Keep track of which indices each line has + for word in sent: + end += len(word) + 1 + + self.line_inds.append( (start,end-1) ) + start = end + + # Skip ahead to next non-whitespace + while (start < len(text)) and text[start].isspace(): start += 1 + + + # If an accompanying concept file was specified, read it + if con: + classifications = [] + with open(con) as f: + for line in f: + + # Empty line + if line == '\n': continue + + # Parse concept file line + fields = line.strip().split('||') + #print fields + concept = fields[0] + span_inds = [] + for i in range(1,len(fields),2): + span = int(fields[i]), int(fields[i+1]) + span_inds.append( span ) + + # FIXME - For now, treat non-contiguous spans as separate + for span in span_inds: + # Add the classification to the Note object + l,(start,end) = lineno_and_tokspan(span) + #print 'span: ', span + #print 'lineno: ', l + #print 'start: ', start + #print 'end: ', end + #print '\n' + classifications.append((concept,l+1,start,end)) + + # Safe guard against concept file having duplicate entries + classifications = list(set(classifications)) + + # Concept file does not guarantee ordering by line number + self.classifications = sorted(classifications,cmp=classification_cmp) + + + + def read(self, txt, con=None): + """ + Note_i2b2::read() + + @param txt. A file path for the tokenized medical record + @param con. A file path for the i2b2 annotated concepts for txt + """ + + # Character indices of each line + start = 0 + end = 0 + + # Read in the medical text + with open(txt) as f: + + # Original text file + self.text = f.read() + + for line in self.text.split('\n'): + for word in line.split(): + end += len(word) + 1 + self.line_inds.append( (start,end-1) ) + start = end + + # Strip away non-printable characters + line = filter(lambda x: x in string.printable, line) + + # Add sentence to the data list + self.data.append(line.split()) + + + # If an accompanying concept file was specified, read it + if con: + classifications = [] + with open(con) as f: + for line in f: + + # Empty line + if line == '\n': continue + + # concept + prefix, suffix = line.split('||') + text = prefix.split() + conc = suffix[3:-2] + + start = text[-2].split(':') + end = text[-1].split(':') + + assert "concept spans one line", start[0] == end[0] + + # lineno + l = int(start[0]) + + # starttok + # endtok + start = int(start[1]) + end = int( end[1]) + + # Add the classification to the Note object + classifications.append( (conc,l,start,end) ) + + #print "txt: ", txt + #print "l: ", l + #print "start: ", start + #print "end: ", end + #print "line: ", self.data[l-1] + + #print "\n" + "-" * 80 + + # Safe guard against concept file having duplicate entries + classifications = list(set(classifications)) + + # Concept file does not guarantee ordering by line number + self.classifications = sorted(classifications, + cmp=classification_cmp) + + + def write(self, labels=None): + + """ + Note_i2b2::write() + + Purpose: Return the given concept label predictions in i2b2 format + + @param labels. A list of classifications + @return A string of i2b2-concept-file-formatted data + """ + + # Return value + retStr = '' + + # List of list of words (line-by-line) + tlist = self.data + + + # If given labels to write, use them. Default to self.classifications + if labels != None: + classifications = labels + elif self.classifications != None: + classifications = self.classifications + else: + raise Exception('Cannot write concept file: must specify labels') + + + # For each classification + for classification in classifications: + + # Ensure 'none' classifications are skipped + if classification[0] == 'none': + raise('Classification label "none" should never happen') + + concept = classification[0] + lineno = classification[1] + start = classification[2] + end = classification[3] + + # A list of words (corresponding line from the text file) + text = tlist[lineno-1] + + #print "\n" + "-" * 80 + #print "classification: ", classification + #print "lineno: ", lineno + #print "start: ", start + #print "end ", end + #print "text: ", text + #print "text[start]: ", text[start] + #print "concept: ", concept + + # The text string of words that has been classified + datum = text[start] + for j in range(start, end): + datum += " " + text[j+1] + + # Line:TokenNumber of where the concept starts and ends + idx1 = "%d:%d" % (lineno, start) + idx2 = "%d:%d" % (lineno, end ) + + # Classification + label = concept + + # Fixing issue involving i2b2 format (remove capitalization) + lowercased = [w.lower() for w in datum.split()] + datum = ' '.join(lowercased) + + # Print format + retStr += "c=\"%s\" %s %s||t=\"%s\"\n" % (datum, idx1, idx2, label) + + # return formatted data + return retStr + diff --git a/clicon/notes/note_semeval.py b/clicon/notes/note_semeval.py new file mode 100644 index 0000000..8739bdf --- /dev/null +++ b/clicon/notes/note_semeval.py @@ -0,0 +1,264 @@ +from __future__ import with_statement + + +###################################################################### +# CliNER - note_semeval.py # +# # +# Willie Boag wboag@cs.uml.edu # +# # +# Purpose: Derived note object for reading semeval formatted data. # +###################################################################### + + +__author__ = 'Willie Boag' +__date__ = 'Nov. 6, 2014' + + + +import re +import string +from copy import copy +import os.path + + +from utilities_for_notes import concept_cmp, SentenceTokenizer, WordTokenizer +from abstract_note import AbstractNote + + + +class Note_semeval(AbstractNote): + + def __init__(self): + # For parsing text file + self.sent_tokenizer = SentenceTokenizer() + self.word_tokenizer = WordTokenizer() + + # Internal representation natural for i2b2 format + self.text = [] + self.data = [] # list of list of tokens + self.line_inds = [] + self.classifications = [] + self.fileName = 'no-file' + + + def getExtension(self): + return 'pipe' + + + def getText(self): + return self.text + + + def getTokenizedSentences(self): + return self.data + + + def getClassificationTuples(self): + return self.classifications + + + def read_standard(self, txt, con=None): + + start = 0 + end = 0 + + with open(txt) as f: + + # Get entire file + text = f.read() + self.text = text + + # Sentence splitter + sents = self.sent_tokenizer.tokenize(txt) + + # Tokenize each sentence into words (and save line number indices) + toks = [] + gold = [] # Actual lines + + for s in sents: + gold.append(s) + + # Store data + toks = self.word_tokenizer.tokenize(s) + self.data.append(toks) + + # Keep track of which indices each line has + end = start + len(s) + + self.line_inds.append( (start,end) ) + start = end + 1 + + # Skip ahead to next non-whitespace + while (start < len(text)) and text[start].isspace(): start += 1 + + + # If an accompanying concept file was specified, read it + if con: + classifications = [] + with open(con) as f: + for line in f: + + # Empty line + if line == '\n': continue + + # Parse concept file line + fields = line.strip().split('||') + #print fields + concept = fields[0] + span_inds = [] + for i in range(1,len(fields),2): + span = int(fields[i]), int(fields[i+1]) + span_inds.append( span ) + + #print '\t', concept + #print '\t', span_inds + + classifications.append( (concept, span_inds) ) + + # Concept file does not guarantee ordering by line number + self.classifications = sorted(classifications, cmp=concept_cmp) + + + + + def read(self, txt, con=None): + + # Filename + self.filename = os.path.split(txt)[1] + + start = 0 + end = 0 + with open(txt) as f: + + # Get entire file + text = f.read() + #print "\nTEXT:------------------" + #print text + + self.text = text + + # Sentence splitter + sents = self.sent_tokenizer.tokenize(txt) + + #print "\nSENTS:-----------------------------" + #print sents + + # Tokenize each sentence into words (and save line number indices) + toks = [] + gold = [] # Actual lines + + for s in sents: + + gold.append(s) + + #print "\nsentence:-------------------------------" + #print s + + #print s + + # Store data + toks = self.word_tokenizer.tokenize(s) + + #print "\ntokenized sentence:---------------------------------" + #print toks + + self.data.append(toks) + + # Keep track of which indices each line has + end = start + len(s) + + #print "\nindices:--------------------------------------------" + #print (start, end) + + #print "\nusing index on entire txt----------------------------" + #print text[start:end] + + #print "\nEQUAL?" + #print text[start:end] == s + + self.line_inds.append( (start,end) ) + start = end + 1 + + # Skip ahead to next non-whitespace + while (start < len(text)) and text[start].isspace(): start += 1 + + ''' + for line,inds in zip(gold,self.line_inds): + print '!!!' + line + '!!!' + print '\t', 'xx'*10 + print inds + print '\t', 'xx'*10 + print '!!!' + text[inds[0]: inds[1]] + '!!!' + print '---' + print '\n' + print 'Xx' * 20 + ''' + + #lno,span = lineno_and_tokspan((2329, 2351)) + #lno,span = lineno_and_tokspan((1327, 1344)) + #print self.data[lno][span[0]:span[1]+1] + + + # If an accompanying concept file was specified, read it + if con: + offset_classifications = [] + classifications = [] + with open(con) as f: + for line in f: + + # Empty line + if line == '\n': continue + + # Parse concept file line + fields = line.strip().split('||') + #print fields + concept = fields[1] + cui = fields[2] + span_inds = [] + for i in range(3,len(fields),2): + span = int(fields[i]), int(fields[i+1]) + span_inds.append( span ) + + #print '\t', concept + #print '\t', span_inds + + # Everything is a Disease_Disorder + concept = 'problem' + + # FIXME - For now, treat non-contiguous spans as separate + for span in span_inds: + #l,(start,end) = lineno_and_tokspan(span) + # Add the classification to the Note object + offset_classifications.append((concept,span[0],span[1])) + classifications.append( (concept, span_inds) ) + + # Safe guard against concept file having duplicate entries + #classifications = list(set(classifications)) + + # Concept file does not guarantee ordering by line number + self.classifications = sorted(classifications, cmp=concept_cmp) + + + + + def write(self, labels): + + # If given labels to write, use them. Default to self.classifications + if labels != None: + classifications = labels + elif self.classifications != None: + classifications = self.classifications + else: + raise Exception('Cannot write concept file: must specify labels') + + # return value + retStr = '' + + for concept,span_inds in classifications: + retStr += self.fileName + '.text||%s||CUI-less' % concept + for span in span_inds: + retStr += '||' + str(span[0]) + "||" + str(span[1]) + retStr += '\n' + + return retStr + diff --git a/clicon/notes/note_xml.py b/clicon/notes/note_xml.py new file mode 100644 index 0000000..ee10985 --- /dev/null +++ b/clicon/notes/note_xml.py @@ -0,0 +1,292 @@ +from __future__ import with_statement + + +###################################################################### +# CliNER - note_xml.py # +# # +# Willie Boag wboag@cs.uml.edu # +# # +# Purpose: Derived note object for reading xml formatted data. # +###################################################################### + + +__author__ = 'Willie Boag' +__date__ = 'Nov. 6, 2014' + + + +import re +import string +from copy import copy +import nltk.data +import os.path + + +from abstract_note import AbstractNote +from utilities_for_notes import classification_cmp, lineno_and_tokspan + + +class Note_xml(AbstractNote): + + def __init__(self): + # Internal representation natural for i2b2 format + self.data = [] # list of list of tokens + self.classifications = [] # list of concept tuples + self.line_inds = [] # list of (start,end) line character offsets + + + def getExtension(self): + return 'xml' + + + def getTokenizedSentences(self): + return self.data + + + def getClassificationTuples(self): + # return value + retVal = [] + + # Indices of each line + line_inds = [] + start = 0 + end = 0 + for sent in self.data: + for word in sent: + end += len(word) + 1 + line_inds.append( (start,end-1) ) + start = end + + # Build list of standardized classification tuples + for classification in self.classifications: + concept,lineno,tok_start,tok_end = classification + + # character offset of beginning of line + begin = line_inds[lineno-1][0] + + # Sweep through line to get character offsets from line start + start = 0 + for word in self.data[lineno-1][:tok_start]: + start += len(word) + 1 + + # Length of concept span + end = start + for word in self.data[lineno-1][tok_start:tok_end+1]: + end += len(word) + 1 + end -= 1 + + #print begin + #print begin+start, begin+end + #print '~~' + self.text[begin+start:begin+end] + '~~' + + retVal.append( (concept,[(begin+start,begin+end)]) ) + + return retVal + + + + def read(self, txt, con=None): + + """ + Note_xml::read() + + @param txt. A file path for the tokenized medical record + @param con. A file path for the xml annotated concepts for txt + """ + + start = 0 + end = 0 + + # Read in the medical text + with open(txt) as f: + for line in f: + + # Keep track of line's character offsets + for word in line.split(): + end += len(word) + 1 + self.line_inds.append( (start,end-1) ) + start = end + + # Strip away non-printable characters + line = filter(lambda x: x in string.printable, line) + + # Add sentence to the data list + self.data.append(line.split()) + + + # Read in the medical text + if con: + with open(con, 'r') as f: + + for lineno,line in enumerate(f.readlines()): + + # Stored data for self.classifications + concept = 'N/A' + start_ind = -1 + i = 0 + + for word in line.split(): + + # Search for xml tag + match = re.search('<(.*)>', word) + if match: + + con = match.group(1) + + # begin tag + if con[0] != '/': + # store data + concept = con + start_ind = i + + # end tag + else: + # store data + tup = (concept,lineno+1,start_ind,i-1) + self.classifications.append(tup) + + # non-tag text + else: + + # Next token + i += 1 + + + + def write(self, labels=None): + + """ + Note_xml::write() + + Purpose: Write the concept predictions in xml format + + @param labels. A list of predictions of labels for the given text. + @return A string for the xml-annotated file + """ + + + # If given labels to write, use them. Default to self.classifications + if labels != None: + classifications = labels + elif self.classifications: + classifications = self.classifications + else: + raise Exception('Cannot write concept file: must specify labels') + + + # Intermediate copy + toks = copy(self.data) + + # Order classification tuples so they are accessed right to left + # Assumption: sorted() is a stable sort + tags = sorted(classifications, key=lambda x:x[2], reverse=True) + tags = sorted(tags , key=lambda x:x[1] ) + + #print toks + #print '' + #print '' + + # Insert each xml tag into its proper location + for tag in tags: + + # Decode classification tuple + con = tag[0] + line = tag[1] - 1 + start = tag[2] + end = tag[3] + + #print tag + #print 'line: ', toks[line] + #print 'phrase: ', toks[line][start:end+1] + + # Insert tags + toks[line].insert(end+1, '') + toks[line].insert(start, '<' + con + '>') + + #print 'line: ', toks[line] + #print '' + + # Stitch text back together + toks = [ ' '.join(s) for s in toks ] + output = '\n'.join(toks) + + return output + + + + def read_standard(self, txt, con=None): + + """ + Note_xml::read_standard() + + @param txt. A file path for the tokenized medical record + @param con. A file path for the standardized annotated concepts for txt + """ + + start = 0 + end = 0 + + with open(txt) as f: + + # Get entire file + text = f.read() + self.text = text + + # Split into lines + self.data = map(lambda s: s.split(), text.split('\n')) + + # Tokenize each sentence into words (and save line number indices) + toks = [] + gold = [] # Actual lines + + for sent in self.data: + + gold.append(sent) + + # Keep track of which indices each line has + for word in sent: + end += len(word) + 1 + + self.line_inds.append( (start,end-1) ) + start = end + + # Skip ahead to next non-whitespace + while (start < len(text)) and text[start].isspace(): start += 1 + + + # If an accompanying concept file was specified, read it + if con: + classifications = [] + with open(con) as f: + for line in f: + + # Empty line + if line == '\n': continue + + # Parse concept file line + fields = line.strip().split('||') + #print fields + concept = fields[0] + span_inds = [] + for i in range(1,len(fields),2): + span = int(fields[i]), int(fields[i+1]) + span_inds.append( span ) + + # FIXME - For now, treat non-contiguous spans as separate + for span in span_inds: + # Add the classification to the Note object + l,(start,end) = lineno_and_tokspan(self.line_inds, self.data, self.text, span) + #print 'span: ', span + #print 'lineno: ', l + #print 'start: ', start + #print 'end: ', end + #print '\n' + classifications.append((concept,l+1,start,end)) + + # Safe guard against concept file having duplicate entries + classifications = list(set(classifications)) + + # Concept file does not guarantee ordering by line number + self.classifications = sorted(classifications,cmp=classification_cmp) + + diff --git a/clicon/notes/utilities_for_notes.py b/clicon/notes/utilities_for_notes.py new file mode 100644 index 0000000..34e3553 --- /dev/null +++ b/clicon/notes/utilities_for_notes.py @@ -0,0 +1,131 @@ +###################################################################### +# CliNER - utilities.py # +# # +# Willie Boag wboag@cs.uml.edu # +# # +# Purpose: Helper tools for Note objects # +###################################################################### + + +import nltk.data +import re + + +def classification_cmp(a,b): + """ + concept_cmp() + + Purpose: Compare concept classification tokens + """ + a = (int(a[1]), int(a[2])) + b = (int(b[1]), int(b[2])) + + # Sort by line number + if a[0] < b[0]: + return -1 + if a[0] > b[0]: + return 1 + else: + # Resolve lineno ties with indices + if a[1] < b[1]: + return -1 + if a[1] > b[1]: + return 1 + else: + return 0 + + + +def concept_cmp(a,b): + """ + concept_cmp() + + Purpose: Compare concept classification tokens + """ + return a[1][0] < b[1][0] + + + +# Helper function +def lineno_and_tokspan(line_inds, data, text, char_span): + """ File character offsets => line number and index into line """ + for i,span in enumerate(line_inds): + if char_span[1] <= span[1]: + + #print "span: ", span + + # start and end of span relative to sentence + start = char_span[0] - span[0] + end = char_span[1] - span[0] + + #print "START: ", start + #print "END: ", end + + #print "USING span on text: ", text[span[0]:span[1]] + #print "USING start and end: ", text[span[0]:span[1]][start:end] + + #print "data", data[i] + tok_span = [0,len(data[i])-1] + char_count = 0 + + dataWithEmptyChars = re.split(" |\n|\t", text[span[0]:span[1] + 1]) + + index = 0 + for j,tok in enumerate(dataWithEmptyChars): + if char_count > end: + tok_span[1] = index -1 + break + elif char_count == start: + tok_span[0] = index + char_count += len(tok) + 1 + if len(tok) > 0: + index += 1 + #print '\t',j, '\t', tok, '(', char_count, ')' + + #print start, end + #print tok_span + #print text[span[0]:span[1]] + #print data[i][tok_span[0]:tok_span[1]] + #print + + # return line number AND token span + #print "LINE: ", i + #print "TOK SPAN: ", tok_span + #print data[i] + #print tok_span + + #print "USING char_span on text: ", text[char_span[0]:char_span[1]] + #print "USING tok_span on data[i]", data[i][tok_span[0]], data[i][tok_span[1]] + #print "USING char_span on text: ", text[char_span[0]], text[char_span[1]] + + return (i, tuple(tok_span)) + + return None + + + + +# Break file into sentences. +class SentenceTokenizer: + + def __init__(self): + self.sent_tokenizer = nltk.data.load('tokenizers/punkt/english.pickle') + + def tokenize(self, text_file): + """ Split the document into sentences """ + text = open(text_file, 'r').read() + return self.sent_tokenizer.tokenize(text) + + + +# Break sentence into words +class WordTokenizer: + + # TODO - PunktWordTokenizer (http://www.nltk.org/api/nltk.tokenize.html) + def __init__(self): + pass + + def tokenize(self, sent): + """ Split the sentence into tokens """ + return sent.split() + diff --git a/clicon/predict.py b/clicon/predict.py index b0d5700..8884053 100644 --- a/clicon/predict.py +++ b/clicon/predict.py @@ -17,9 +17,9 @@ import argparse import helper -import sci from model import Model -from note import * +from notes.note import Note + def main(): @@ -88,23 +88,25 @@ def main(): # For each file, predict concept labels - for txt in files: + n = len(files) + for i,txt in enumerate(sorted(files)): # Read the data into a Note object - note = Note() - note.reader(format, txt) + note = Note(format) + note.read(txt) print '-' * 30 - print '\n\n\t', txt, '\n' + print '\n\t%d of %d' % (i+1,n) + print '\t', txt, '\n' # Predict concept labels labels = model.predict(note) # Get predictions in proper format - extension = Note.getExtension(format) - output = note.writer(format, labels) + extension = note.getExtension() + output = note.write(labels) #print output diff --git a/clicon/read_config.py b/clicon/read_config.py deleted file mode 100644 index d5c6cc8..0000000 --- a/clicon/read_config.py +++ /dev/null @@ -1,52 +0,0 @@ -###################################################################### -# CliCon - read_config.py # -# # -# Willie Boag wboag@cs.uml.edu # -# # -# Purpose: Read a configuration file to determine what features # -# are available on the system # -###################################################################### - - - -import os - - - -# -# enabled_modules -# -# @return dictionary of (name,resource path) pairs. -# -# ex. {'UMLS': None, 'GENIA': 'genia/geniatagger-3.0.1/geniatagger'} -# -def enabled_modules(): - - # Open config file - prefix = os.path.dirname(__file__) - filename = os.path.join( prefix, '../config.txt' ) - f = open(filename, 'r') - - specs = {} - module_list = [ 'GENIA', 'UMLS' ] - - - for line in f.readlines(): - words = line.split() - if words: - - # Modules - if words[0] in module_list: - if words[1] == 'None': - specs[words[0]] = None - else: - specs[words[0]] = words[1] - - return specs - - - -# Read from config file when module is imported -print enabled_modules() - - diff --git a/clicon/train.py b/clicon/train.py index b310fc1..076db17 100644 --- a/clicon/train.py +++ b/clicon/train.py @@ -15,11 +15,12 @@ import os.path import glob import argparse -import helper +import cPickle as pickle +import helper from sets import Set from model import Model -from note import * +from notes.note import Note def main(): @@ -28,13 +29,13 @@ def main(): parser.add_argument("-t", dest = "txt", help = "The files that contain the training examples", - default = os.path.join(os.getenv('CLICON_DIR'), 'data/concept_assertion_relation_training_data/merged/txt/*') + default = os.path.join(os.getenv('CLICON_DIR'), 'data/train/txt/*') ) parser.add_argument("-c", dest = "con", help = "The files that contain the labels for the training examples", - default = os.path.join(os.getenv('CLICON_DIR'), 'data/concept_assertion_relation_training_data/merged/concept/*') + default = os.path.join(os.getenv('CLICON_DIR'), 'data/train/con/*') ) parser.add_argument("-m", @@ -101,9 +102,9 @@ def main(): # Read the data into a Note object notes = [] for txt, con in training_list: - note_tmp = Note() # Create Note - note_tmp.reader(format, txt, con) # Read data into Note - notes.append(note_tmp) # Add the Note to the list + note_tmp = Note(format) # Create Note + note_tmp.read(txt, con) # Read data into Note + notes.append(note_tmp) # Add the Note to the list # file names @@ -113,13 +114,19 @@ def main(): # Create a Machine Learning model - model = Model(filename = args.model, is_crf=is_crf) + model = Model(is_crf=is_crf) # Train the model using the Note's data model.train(notes, args.grid) + # Pickle dump + print 'pickle dump' + with open(args.model, "wb") as m_file: + pickle.dump(model, m_file) + + if __name__ == '__main__': main() diff --git a/examples/pretend.txt b/examples/pretend.txt index 590a985..c96246c 100644 --- a/examples/pretend.txt +++ b/examples/pretend.txt @@ -15,4 +15,4 @@ They'd put up even money , now , with Casey at the bat . But Flynn preceded Casey , as did also Jimmy Blake . And the former was a lulu and the latter was a cake ; So upon that stricken multitude grim melancholy sat , -For there semmed but little chance of Casey's getting to the bat. +For there semmed but little chance of Casey's getting to the bat . From 77618400d55cb58c2713ce999c74a070698bf944 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Sun, 9 Nov 2014 20:37:08 -0500 Subject: [PATCH 375/393] Restructured notes representation for extendability --- clicon/cli.py | 12 +- clicon/evaluate.py | 4 +- clicon/features_dir/features.py | 43 +- clicon/features_dir/sentence_features.py | 204 +--- clicon/features_dir/umls/umls.py | 2 +- clicon/features_dir/word_features.py | 6 - clicon/format.py | 109 ++- clicon/model.py | 65 +- clicon/note.py | 1072 ---------------------- clicon/notes/.gitignore | 1 + clicon/notes/__init__.py | 0 clicon/notes/abstract_note.py | 78 ++ clicon/notes/note.py | 359 ++++++++ clicon/notes/note_i2b2.py | 355 +++++++ clicon/notes/note_semeval.py | 264 ++++++ clicon/notes/note_xml.py | 292 ++++++ clicon/notes/utilities_for_notes.py | 131 +++ clicon/predict.py | 18 +- clicon/read_config.py | 52 -- clicon/train.py | 23 +- examples/pretend.txt | 2 +- 21 files changed, 1639 insertions(+), 1453 deletions(-) delete mode 100644 clicon/note.py create mode 100644 clicon/notes/.gitignore create mode 100644 clicon/notes/__init__.py create mode 100644 clicon/notes/abstract_note.py create mode 100644 clicon/notes/note.py create mode 100644 clicon/notes/note_i2b2.py create mode 100644 clicon/notes/note_semeval.py create mode 100644 clicon/notes/note_xml.py create mode 100644 clicon/notes/utilities_for_notes.py delete mode 100644 clicon/read_config.py diff --git a/clicon/cli.py b/clicon/cli.py index a1a619c..187b299 100644 --- a/clicon/cli.py +++ b/clicon/cli.py @@ -163,22 +163,12 @@ def format(annotations, format, out, input): # Executable runable = os.path.join(BASE_DIR,'clicon/format.py') - # Must manually check if '.txt' or 'xml' - if input[-3:] == 'xml': - flag = '-x' - elif input[-3:] == 'txt': - flag = '-t' - else: - print >>sys.stderr, '\n\tError: Input file must be either "txt" or "xml"' - print >>sys.stderr, '' - exit(2) - # Build command cmd = ['python', runable, flag, input] # Optional arguments if annotations: - cmd += ['-c', annotations] + cmd += ['-a', annotations] if out: cmd += ['-o', out] if format: diff --git a/clicon/evaluate.py b/clicon/evaluate.py index 6a09074..0111f3b 100644 --- a/clicon/evaluate.py +++ b/clicon/evaluate.py @@ -19,8 +19,8 @@ import helper from copy import deepcopy -from model import labels -from note import * +from note import Note +from note import concept_labels as labels def containsSpan(s1, s2): return (s1[0] <= s2[0]) and (s2[1] <= s1[1]) diff --git a/clicon/features_dir/features.py b/clicon/features_dir/features.py index eb6b92a..a78834d 100644 --- a/clicon/features_dir/features.py +++ b/clicon/features_dir/features.py @@ -39,52 +39,15 @@ def __init__(self, data=None): # # input: A sentence # output: A hash table of features - def IOB_features(self, sentence): + def extract_IOB_features(self, sentence): # Different features depending on whether sentence is 'prose' isProse = prose_sentence(sentence) - unique = 1 # 20 - if isProse: - if True: - features_list = self.feat_sent.IOB_prose_features(sentence) - else: - features_list = [] - for i in range(len(sentence)): - features = {} - for j in range(unique): - features[(''.join(sentence),i,j)] = 1 - features_list.append(features) + features_list = self.feat_sent.IOB_prose_features(sentence) else: - if True: - features_list = self.feat_sent.IOB_nonprose_features(sentence) - else: - features_list = [] - for i in range(len(sentence)): - features = {} - for j in range(unique): - features[(''.join(sentence),i,j)] = 1 - features_list.append(features) - - - ''' - # Sanity Check (many unique features for each data point) - features_list = [] - for i in range(len(sentence)): - features = {} - for j in range(unique): - features[(''.join(sentence),i,j)] = 1 - features_list.append(features) - ''' - - - ''' - for f in features_list: - print sorted(f.items()) - print - ''' - + features_list = self.feat_sent.IOB_nonprose_features(sentence) # Return features as well as indication of whether it is prose or not return (isProse, features_list) diff --git a/clicon/features_dir/sentence_features.py b/clicon/features_dir/sentence_features.py index 23c75fe..0ef555c 100644 --- a/clicon/features_dir/sentence_features.py +++ b/clicon/features_dir/sentence_features.py @@ -41,9 +41,8 @@ class SentenceFeatures: # Feature Enabling - enabled_IOB_nonprose_sentence_features = frozenset( ['pos', 'prev', 'next', 'prev_3_pos', 'next_3_pos', 'UMLS', 'unigram_context']) - enabled_concept_features = frozenset( ['pos','prev_3_pos', 'stem_wordnet', 'test_result', 'word_shape', "UMLS"]) + enabled_concept_features = frozenset( ["UMLS"]) @@ -63,18 +62,22 @@ def __init__(self, data): self.feat_umls = UMLSFeatures() + self.enabled_IOB_nonprose_sentence_features = [] + #self.enabled_IOB_nonprose_sentence_features.append('pos') + #self.enabled_IOB_nonprose_sentence_features.append('pos_context') + self.enabled_IOB_nonprose_sentence_features.append('prev') + self.enabled_IOB_nonprose_sentence_features.append('next') + self.enabled_IOB_nonprose_sentence_features.append('unigram_context') + self.enabled_IOB_nonprose_sentence_features.append('UMLS') self.enabled_IOB_prose_sentence_features = [] self.enabled_IOB_prose_sentence_features.append('unigram_context') self.enabled_IOB_prose_sentence_features.append('pos') - #self.enabled_IOB_prose_sentence_features.append('prev_3_pos') - #self.enabled_IOB_prose_sentence_features.append('next_3_pos') + self.enabled_IOB_prose_sentence_features.append('pos_context') self.enabled_IOB_prose_sentence_features.append('prev') self.enabled_IOB_prose_sentence_features.append('prev2') - #self.enabled_IOB_prose_sentence_features.append('prev3') self.enabled_IOB_prose_sentence_features.append('next') self.enabled_IOB_prose_sentence_features.append('next2') - #self.enabled_IOB_prose_sentence_features.append('next3') self.enabled_IOB_prose_sentence_features.append('GENIA') self.enabled_IOB_prose_sentence_features.append('UMLS') @@ -103,15 +106,15 @@ def IOB_prose_features(self, sentence): for i in range(n): end = min(i, window) unigrams = sentence[i-end:i] - for u in unigrams: - features_list[i][('prev_unigrams',u)] = 1 + for j,u in enumerate(unigrams): + features_list[i][('prev_unigrams-%d'%j,u)] = 1 # Next unigrams for i in range(n): end = min(i + window, n-1) unigrams = sentence[i+1:end+1] - for u in unigrams: - features_list[i][('next_unigrams',u)] = 1 + for j,u in enumerate(unigrams): + features_list[i][('next_unigrams-%d'%j,u)] = 1 # Only POS tag once @@ -129,35 +132,24 @@ def IOB_prose_features(self, sentence): features_list[i].update( { ('pos',pos) : 1} ) - # Feature: Previous 3 POSs - if feature == 'prev_3_pos': - for i in range(len(sentence)): - # Where to begin - if i-3 < 0: - begin = 0 - else: - begin = i-3 - - # Go as far back as 3 tokens - pos_features = {} - for p in pos_tagged[begin:i]: - pos = p[1] - pos_features.update( {('prev_3_pos',pos) : 1} ) - - # Update feature dict - features_list[i].update(pos_features) + # Feature: POS context + if 'pos_context' in self.enabled_IOB_prose_sentence_features: + window = 3 + n = len(sentence) + # Previous POS + for i in range(n): + end = min(i, window) + for j,p in enumerate(pos_tagged[i-end:i]): + pos = p[1] + features_list[i][('prev_pos_context-%d'%j,pos)] = 1 - # Feature: Previous 3 POSs - if feature == 'next_3_pos': - for i in range(len(sentence)): - pos_features = {} - for p in pos_tagged[i:i+3]: + # Next POS + for i in range(n): + end = min(i + window, n-1) + for j,p in enumerate(pos_tagged[i+1:i+end+1]): pos = p[1] - pos_features.update( {('next_3_pos',pos) : 1} ) - - # Update feature dict - features_list[i].update(pos_features) + features_list[i][('prev_pos_context-%d'%j,pos)] = 1 # GENIA features @@ -264,27 +256,20 @@ def IOB_nonprose_features(self, sentence): window = 3 n = len(sentence) - #print - #print sentence - # Previous unigrams for i in range(n): end = min(i, window) unigrams = sentence[i-end:i] - for u in unigrams: - features_list[i][('prev_unigrams',u)] = 1 - #print '\t', i, '\t', unigrams - #print '-' + for j,u in enumerate(unigrams): + features_list[i][('prev_unigrams-%d'%j,u)] = 1 # Next unigrams for i in range(n): end = min(i + window, n-1) unigrams = sentence[i+1:end+1] for u in unigrams: - features_list[i][('next_unigrams',u)] = 1 - #print '\t', i, '\t', unigrams + features_list[i][('next_unigrams-%d'%j,u)] = 1 - #return features_list # Feature: UMLS Word Features (only use nonprose ones) if enabled['UMLS'] and 'UMLS' in self.enabled_IOB_nonprose_sentence_features: @@ -308,35 +293,24 @@ def IOB_nonprose_features(self, sentence): features_list[i][ ('pos',pos) ] = 1 - # Feature: Previous 3 POSs - if feature == 'prev_3_pos': - for i in range(len(sentence)): - # Where to begin - if i-3 < 0: - begin = 0 - else: - begin = i-3 - - # Go as far back as 3 tokens - pos_features = {} - for p in pos_tagged[begin:i]: - pos = p[1] - pos_features.update( {('prev_3_pos',pos) : 1} ) - - # Update feature dict - features_list[i].update(pos_features) + # Feature: POS context + if 'pos_context' in self.enabled_IOB_nonprose_sentence_features: + window = 3 + n = len(sentence) + # Previous POS + for i in range(n): + end = min(i, window) + for j,p in enumerate(pos_tagged[i-end:i]): + pos = p[1] + features_list[i][('prev_pos_context-%d'%j,pos)] = 1 - # Feature: Previous 3 POSs - if feature == 'next_3_pos': - for i in range(len(sentence)): - pos_features = {} - for p in pos_tagged[i+1:i+4]: + # Next POS + for i in range(n): + end = min(i + window, n-1) + for j,p in enumerate(pos_tagged[i+1:i+end+1]): pos = p[1] - pos_features.update( {('next_3_pos',pos) : 1} ) - - # Update feature dict - features_list[i].update(pos_features) + features_list[i][('prev_pos_context-%d'%j,pos)] = 1 @@ -386,102 +360,16 @@ def concept_features_for_sentence(self, sentence, chunk_inds): for ind in chunk_inds: features_list.append( self.feat_word.concept_features_for_chunk(sentence,ind) ) - # FIXME - more closely resembling Harabagiu - # NOTE: excludes UMLS features - #return features_list - - - ''' - # Split the chunked sentence into a list of words for (POS tagger) - split_sentence = [] - for c in sentence: - split_sentence += c.split() - tags = nltk.pos_tag(split_sentence) - ''' - # Allow for particular features to be enabled for feature in self.enabled_concept_features: # Features: UMLS features - # Note: Very slow, doesn't add much when you have lots of training data if (feature == "UMLS") and enabled['UMLS']: umls_features = self.feat_umls.concept_features_for_chunks(sentence, chunk_inds) - if chunk_inds: - print sentence - print chunk_inds - print umls_features - print for i in range(len(chunk_inds)): - print sentence[chunk_inds[i]] - print umls_features[i] - print '\n\n' features_list[i].update( umls_features[i] ) - continue - - # Feature: Previous POSs - if feature == 'pos': - for i,ind in enumerate(chunk_inds): - # Find beginning index of chunk - split_ind = 0 - for c in sentence[:ind]: - split_ind += len(c.split()) - end_ind = split_ind + len(sentence[ind].split()) - - # All words in chunk - for tag in tags[split_ind:end_ind]: - pos = tag[1] - features_list[i][('pos',pos)] = 1 - - - ''' - # Feature: Previous 3 POSs - if feature == 'prev_3_pos': - for i,ind in enumerate(chunk_inds): - # Find beginning index of chunk - split_ind = 0 - for c in sentence[:ind]: - split_ind += len(c.split()) - - # Three previous words - # FIXME - Should this be ordered or bag of words?? - begin = split_ind-3 if split_ind-3>0 else 0 - for tag in tags[begin:split_ind]: - pos = tag[1] - features_list[i][('prev_3_pos',pos)] = 1 - - - # Feature: Previous Chunks's Features - if feature == "prev": - for i,ind in enumerate(chunk_inds): - if ind == 0: - features_list[i][("prev", "*")] = 1 - else: - # Get features of previous chunks - prev_features = self.feat_word.concept_features_for_chunk(sentence,ind-1) - prepend = lambda f: {("prev_"+k[0],k[1]):v for k, v in f.items()} - features_list[i].update( prepend(prev_features) ) - - - # Feature: Next Chunk's Features - if feature == "next": - for i,ind in enumerate(chunk_inds): - if ind == len(sentence) - 1: - features_list[i][("next", "*")] = 1 - else: - # Get features of previous chunks - next_features = self.feat_word.concept_features_for_chunk(sentence,ind+1) - apend = lambda f: {("next_"+k[0],k[1]):v for k, v in f.items()} - features_list[i].update( apend(next_features) ) - ''' - - - #if pflag: - # for f in features_list: - # print sorted(f.items()) - # print - return features_list diff --git a/clicon/features_dir/umls/umls.py b/clicon/features_dir/umls/umls.py index 39f05a5..260a191 100644 --- a/clicon/features_dir/umls/umls.py +++ b/clicon/features_dir/umls/umls.py @@ -168,7 +168,7 @@ def span2concept(span): return cache.get_map( rawstring ) else: - concept = string_lookup( rawstring ) + concept = SQLookup.string_lookup( rawstring ) if concept: cache.add_map( rawstring , concept ) diff --git a/clicon/features_dir/word_features.py b/clicon/features_dir/word_features.py index bf41f06..6b2440e 100644 --- a/clicon/features_dir/word_features.py +++ b/clicon/features_dir/word_features.py @@ -47,35 +47,29 @@ def IOB_prose_features(self, word): # Allow for particular features to be enabled for feature in self.enabled_IOB_prose_word_features: - ''' if feature == "word": features[(feature, word.lower())] = 1 if feature == "stem_lancaster": st = nltk.stem.LancasterStemmer() features[ (feature, st.stem(word.lower())) ] = 1 - ''' # Feature: Generic# stemmed word if feature == 'Generic#': generic = re.sub('[0-9]','0',word) features[ ('Generic#',generic) ] = 1 - ''' # Feature: Last two leters of word if feature == 'last_two_letters': features[ ('last_two_letters',word[-2:]) ] = 1 - ''' - ''' if feature == "length": features[(feature, None)] = len(word) if feature == "stem_porter": st = nltk.stem.PorterStemmer() features[(feature, st.stem(word))] = 1 - ''' if feature == "mitre": diff --git a/clicon/format.py b/clicon/format.py index eed9856..c205e96 100644 --- a/clicon/format.py +++ b/clicon/format.py @@ -3,7 +3,7 @@ # # # Willie Boag wboag@cs.uml.edu # # # -# Purpose: Script to convert i2b2 <-> xml data format # +# Purpose: Script to convert among different data formats. # ###################################################################### @@ -18,7 +18,7 @@ import glob import helper -import note +from notes.note import Note @@ -39,16 +39,11 @@ def main(): help = "The files that contain the training examples", ) - parser.add_argument("-c", - dest = "con", + parser.add_argument("-a", + dest = "annotations", help = "The files that contain the labels for the training examples", ) - parser.add_argument("-x", - dest = "xml", - help = "The files that contain the aml-annotated data", - ) - parser.add_argument("-o", dest = "out", default = None, @@ -57,7 +52,7 @@ def main(): parser.add_argument("-f", dest = "format", - help = "Output format (i2b2 or xml?)", + help = "Output format (%s)"%str(' or '.join(Note.supportedFormats())), ) # Parse the command line arguments @@ -65,59 +60,81 @@ def main(): # Parse arguments - txt = args.txt - con = args.con - xml = args.xml - out_file = args.out - format = args.format + txt = args.txt + annotations = args.annotations + out_file = args.out + format = args.format - # Ensure format is specified - if (not format) or ((format != 'xml') and (format != 'i2b2')): - print >>sys.stderr, '\n\tError: Must specify output format (i2b2 or xml)' - print >>sys.stderr, '' + # Ensure annotations are specified + if not txt: + print >>sys.stderr, '\n\tError: Must supply text file' + print >>sys.stderr + exit(1) + elif not os.path.exists(txt): + print >>sys.stderr, '\n\tError: Given text file does not exist' + print >>sys.stderr exit(1) - # Cannot have ambiguous input - if (txt and con) and xml: - print >>sys.stderr, '\n\tError: Input must be either (i2b2) XOR (xml)\n' + # Ensure annotations are specified + extensions = Note.supportedFormatExtensions() + if not annotations: + print >>sys.stderr, '\n\tError: Must supply annotations' + print >>sys.stderr + exit(2) + elif not os.path.exists(txt): + print >>sys.stderr, '\n\tError: Given annotation file does not exist' + print >>sys.stderr + exit(2) + elif os.path.splitext(annotations)[1][1:] not in extensions: + print >>sys.stderr, '\n\tError: annotation must be a supported format' + print >>sys.stderr, '\t\t(.%s)' %str(' or .'.join(extensions) ) + print >>sys.stderr exit(2) - # If insufficient data is given (must have txt+con OR xml) - if (not (txt and con)) and (not xml): - print >>sys.stderr, '\n\tError: Must supply either:' - print >>sys.stderr, '\t 1) i2b2 txt & con file' - print >>sys.stderr, '\t 2) xml file\n' + # Ensure output format is specified + if (not format) or (format not in Note.supportedFormats()): + print >>sys.stderr, '\n\tError: Must specify supported output format' + print >>sys.stderr, '\t\t(%s)' %str(' or '.join(Note.supportedFormats())) + print >>sys.stderr exit(3) + # Automatically find the input file format + in_extension = os.path.splitext(annotations)[1][1:] + for f,ext in Note.dictOfFormatToExtensions().items(): + if ext == in_extension: + in_format = f + # Read input data into note object - N = note.Note() - if xml: - N.read_xml(xml) - else: - N.read_i2b2(txt, con) - + in_note = Note(in_format) + in_note.read(txt,annotations) - # Where to output data - if out_file: - out_f = open(out_file, 'w') - else: - out_f = sys.stdout + # Convert data to standard format + internal_output = in_note.write_standard() + tmp_file = 'tmp_file.txt' + with open(tmp_file, 'w') as f: + f.write(internal_output) + + #print internal_output - # Desired output format - if format == 'xml': - out = N.write_xml() - else: - # i2b2 format - out = N.write_i2b2() + # Read internal standard data into new file with given output format + out_note = Note(format) + out_note.read_standard(txt,tmp_file) + # Output data - out_f.write(out) + out = out_note.write() + if out_file: + with open(out_file, 'w') as out_f: + out_f.write(out) + else: + sys.stdout.write(out) - # Close output file + # Clean up + os.remove(tmp_file) if out_file: out_f.close() diff --git a/clicon/model.py b/clicon/model.py index ef3c304..2149f5a 100644 --- a/clicon/model.py +++ b/clicon/model.py @@ -11,26 +11,8 @@ from machine_learning import crf from features_dir import features, utilities +from notes.note import concept_labels, reverse_concept_labels, IOB_labels, reverse_IOB_labels -import cProfile as profile - - -labels = { - "none":0, - "treatment":1, - "problem":2, - "test":3 -} -reverse_labels = {v:k for k, v in labels.items()} - - -# IOBs labels -IOBs_labels = { - 'O':0, - 'B':1, - 'I':2 -} -reverse_IOBs_labels = {v:k for k,v in IOBs_labels.items()} @@ -44,13 +26,7 @@ def load(filename='awesome.model'): return model - def __init__(self, filename='awesome.model', is_crf=True): - - model_directory = os.path.dirname(filename) - if model_directory != "": - helper.mkpath(model_directory) - - self.filename = os.path.realpath(filename) + def __init__(self, is_crf=True): # Use python-crfsuite self.crf_enabled = is_crf @@ -84,8 +60,8 @@ def train(self, notes, do_grid=False): ############## # Get the data and annotations from the Note objects - text = [ note.txtlist() for note in notes ] - ioblist = [ note.iob_labels() for note in notes ] + text = [ note.getTokenizedSentences() for note in notes ] + ioblist = [ note.getIOBLabels() for note in notes ] data1 = reduce( concat, text ) Y1 = reduce( concat, ioblist ) @@ -102,9 +78,9 @@ def train(self, notes, do_grid=False): ############### # Get the data and annotations from the Note objects - chunks = [ note.chunked_text() for note in notes ] - indices = [ note.concept_indices() for note in notes ] - conlist = [ note.concept_labels() for note in notes ] + chunks = [ note.getChunkedText() for note in notes ] + indices = [ note.getConceptIndices() for note in notes ] + conlist = [ note.getConceptLabels() for note in notes ] data2 = reduce( concat, chunks ) inds = reduce( concat, indices ) @@ -117,13 +93,6 @@ def train(self, notes, do_grid=False): - # Pickle dump - print 'pickle dump\n' - with open(self.filename, "wb") as model: - pickle.dump(self, model) - - - def first_train(self, data, Y, do_grid=False): @@ -152,7 +121,7 @@ def first_train(self, data, Y, do_grid=False): pchunks = [] nchunks = [] for line,labels in zip(data,Y): - isProse,feats = feat_obj.IOB_features(line) + isProse,feats = feat_obj.extract_IOB_features(line) if isProse: prose.append(feats) pchunks += labels @@ -179,7 +148,7 @@ def first_train(self, data, Y, do_grid=False): print '\tvectorizing features (pass one) ' + flabel # Vectorize IOB labels - Y = [ IOBs_labels[y] for y in chunks ] + Y = [ IOB_labels[y] for y in chunks ] # Save list structure to reconstruct after vectorization offsets = [ len(sublist) for sublist in fset ] @@ -257,7 +226,7 @@ def second_train(self, data, inds_list, Y, do_grid=False): print '\tvectorizing features (pass two)' # Vectorize labels - Y = [ labels[y] for y in Y ] + Y = [ concept_labels[y] for y in Y ] # Vectorize features X = self.second_vec.fit_transform(X) @@ -286,11 +255,11 @@ def predict(self, note): print 'first pass' # Get the data and annotations from the Note objects - data = note.txtlist() + data = note.getTokenizedSentences() # Predict IOB labels iobs,_,__ = self.first_predict(data) - note.set_iob_labels(iobs) + note.setIOBLabels(iobs) @@ -302,8 +271,8 @@ def predict(self, note): print 'second pass' # Get the data and annotations from the Note objects - chunks = note.chunked_text() - inds = note.concept_indices() + chunks = note.getChunkedText() + inds = note.getConceptIndices() # Predict concept labels retVal = self.second_predict(chunks,inds) @@ -338,7 +307,7 @@ def first_predict(self, data): plinenos = [] nlinenos = [] for i,line in enumerate(data): - isProse,feats = feat_obj.IOB_features(line) + isProse,feats = feat_obj.extract_IOB_features(line) if isProse: prose.append(feats) plinenos.append(i) @@ -402,7 +371,7 @@ def first_predict(self, data): prose_iobs = [] nonprose_iobs = [] iobs = [] - trans = lambda l: reverse_IOBs_labels[int(l)] + trans = lambda l: reverse_IOB_labels[int(l)] for sentence in data: if utilities.prose_sentence(sentence): prose_iobs.append( plist.pop(0) ) @@ -466,7 +435,7 @@ def second_predict(self, data, inds_list): for ind in inds: # Get next concept - concept = reverse_labels[o.pop(0)] + concept = reverse_concept_labels[o.pop(0)] # Get start position (ex. 7th word of line) start = 0 diff --git a/clicon/note.py b/clicon/note.py deleted file mode 100644 index 2867c8f..0000000 --- a/clicon/note.py +++ /dev/null @@ -1,1072 +0,0 @@ -from __future__ import with_statement - - -###################################################################### -# CliNER - note.py # -# # -# Willie Boag wboag@cs.uml.edu # -# # -# Purpose: Internal representation of data for CliNER. # -###################################################################### - - -__author__ = 'Willie Boag' -__date__ = 'Oct. 5, 2014' - - - -import re -import string -from copy import copy -import nltk.data -import os.path - - -# TODO - Create directory/module for note -# with individual files for different data format readers/writers. - -class Note: - - # Private class - class SentenceTokenizer: - - # TODO - Maybe get fancy API or something - def __init__(self): - self.sent_tokenizer = nltk.data.load('tokenizers/punkt/english.pickle') - - def tokenize(self, text_file): - """ Split the document into sentences """ - #return self.sent_tokenizer.tokenize(text) - text = open(text_file, 'r').read() - - # Sentence Splitter - cmd = '/opt/apache-opennlp-1.5.3/bin/opennlp SentenceDetector /opt/apache-opennlp-1.5.3/models/en-sent.bin < %s' % text_file - #status,output = commands.getstatusoutput(cmd) - #sents = '\n'.join(output.split('\n')[1:-6]) - - - # Temporary file - #tmpfile = 'tmp-file.txt' - #with open(tmpfile, 'w') as f: - # f.write(sents) - - return self.sent_tokenizer.tokenize(text) - - - - # Private class - class WordTokenizer: - - # TODO - Maybe get fancy API or something - # http://www.nltk.org/api/nltk.tokenize.html - # PunktWordTokenizer - def __init__(self): - pass - - def tokenize(self, sent): - """ Split the sentence into tokens """ - return sent.split() - - - ''' - # Tokenize - cmd = '/opt/apache-opennlp-1.5.3/bin/opennlp SimpleTokenizer < %s' % tmpfile - status,output = commands.getstatusoutput(cmd) - tokens = '\n'.join(output.split('\n')[:-5]) - - # Display output - print tokens - ''' - - - - # Constructor - def __init__(self): - # data - A list of list of words - # concepts - A one-to-one correspondence of each word's concept - # classifications - A list of tuples that convey concept labels - # boundaries - A one-to-one correspondence of each word's BIO status - self.data = [] - self.concepts = [] - self.classifications = [] - self.boundaries = [] - self.text_chunks = [] - - # semeval formay internals - self.text = '' - self.line_inds = [] - - # name of file read. does not include extension. - self.fileName = None - - # Tokenizing text files - self.sent_tokenizer = Note.SentenceTokenizer() - self.word_tokenizer = Note.WordTokenizer() - - - - # NOTE: Extend this when defining new reader - # Mapping from file formats to filename extensions - supported_formats = { 'i2b2':'con' , - 'xml':'xml' , - 'semeval':'pipe' } - - - - @staticmethod - def supportedFormats(): - """ returns a list of data formats supported by CliNER """ - return Note.supported_formats.keys() - - - @staticmethod - def getExtension(format): - """ returns the appropriate filename extension for a given data format """ - return Note.supported_formats[format] - - - def reader(self, format, txt, con=None): - """ - reader() - - Purpose: Dispatch appropriate reader for given format. - """ - - self.fileName = os.path.basename(txt).split('.')[0] - - # FIXME - I wish Python had a frozen dict to guarantee saftey - # Error check input - if format not in Note.supportedFormats(): - raise Exception('format %s not supported' % format) - - # Dispatch to reader - dispatch = 'self.read_%s(txt, con)' % format - eval(dispatch) - - - - def writer(self, format, txt, con=None): - """ - reader() - - Purpose: Dispatch appropriate writer for given format. - """ - - # Error check input - if format not in Note.supportedFormats(): - raise Exception('format %s not supported' % format) - - # Dispatch to reader - dispatch = 'self.write_%s(txt)' % format - - return eval(dispatch) - - - - @ staticmethod - def concept_cmp(a,b): - """ - concept_cmp() - - Purpose: Compare concept classification tokens - """ - a = (int(a[1]), int(a[2])) - b = (int(b[1]), int(b[2])) - - # Sort by line number - if a[0] < b[0]: - return -1 - if a[0] > b[0]: - return 1 - else: - # Resolve lineno ties with indices - if a[1] < b[1]: - return -1 - if a[1] > b[1]: - return 1 - else: - return 0 - - - - - # Note::read_i2b2() - # - # @param txt. A file path for the i2b2 tokenized medical record - # @param con. A file path for the i2b2 annotated concepts associated with txt - def read_i2b2(self, txt, con=None): - - # TODO - split with OpeNLP tokenizer - - # Read in the medical text - with open(txt) as f: - for line in f: - # Strip away non-printable characters - line = filter(lambda x: x in string.printable, line) - - # Add sentence to the data list - self.data.append(line.split()) - - # Make put a temporary 'O' in each spot - self.boundaries.append( ['O' for _ in line.split()] ) - - # Original text file - self.text += line - - # If an accompanying concept file was specified, read it - if con: - classifications = [] - with open(con) as f: - for line in f: - - # Empty line - if line == '\n': continue - - # concept - prefix, suffix = line.split('||') - text = prefix.split() - conc = suffix[3:-2] - - start = text[-2].split(':') - end = text[-1].split(':') - - assert "concept spans one line", start[0] == end[0] - - # lineno - l = int(start[0]) - - # starttok - # endtok - start = int(start[1]) - end = int( end[1]) - - # Add the classification to the Note object - classifications.append( (conc,l,start,end) ) - - #print "txt: ", txt - #print "l: ", l - #print "start: ", start - #print "end: ", end - #print "line: ", self.data[l-1] - - # Beginning of a concept - try: - self.boundaries[l-1][start] = 'B' - except: - print 'txt: ', txt - print 'con: ', con - - # Inside of a concept - for i in range(start,end): - self.boundaries[l-1][i+1] = 'I' - - #print "\n" + "-" * 80 - - # Safe guard against concept file having duplicate entries - classifications = list(set(classifications)) - - # Concept file does not guarantee ordering by line number - self.classifications = sorted(classifications, cmp=Note.concept_cmp) - - - - def write_txt(self): - - """ - Note::write_txt() - - Purpose: Output the text of a file (without xml annotations) - - @return A string containing the text of the file. - """ - - retStr = '' - - for line in self.txtlist(): - retStr += ' '.join(line) + '\n' - - return retStr - - - - def write_i2b2(self, labels=None): - - """ - Note::write_i2b2() - - Purpose: Return the given concept label predictions in i2b2 format - - @param labels. A list of classifications - @return A string of i2b2-concept-file-formatted data - """ - - # Return value - retStr = '' - - # List of list of words (line-by-line) - tlist = self.txtlist() - - - # If given labels to write, use them. Default to self.classifications - if labels != None: - classifications = labels - elif self.classifications != None: - classifications = self.classifications - else: - raise Exception('Cannot write concept file: must specify labels') - - - # For each classification - for classification in classifications: - - # Ensure 'none' classifications are skipped - if classification[0] == 'none': - raise('Classification label "none" should never happen') - - concept = classification[0] - lineno = classification[1] - start = classification[2] - end = classification[3] - - # A list of words (corresponding line from the text file) - text = tlist[lineno-1] - - #print "\n" + "-" * 80 - #print "lineno: ", lineno - #print "start: ", start - #print "end ", end - #print "text: ", text - #print "text[start]: ", text[start] - #print "concept: ", concept - - # The text string of words that has been classified - datum = text[start] - for j in range(start, end): - datum += " " + text[j+1] - - # Line:TokenNumber of where the concept starts and ends - idx1 = "%d:%d" % (lineno, start) - idx2 = "%d:%d" % (lineno, end ) - - # Classification - label = concept - - # Fixing issue involving i2b2 format (remove capitalization) - lowercased = [w.lower() for w in datum.split()] - datum = ' '.join(lowercased) - - # Print format - retStr += "c=\"%s\" %s %s||t=\"%s\"\n" % (datum, idx1, idx2, label) - - # return formatted data - return retStr - - - - - def write_BIOs_labels(self, filename, labels): - - """ - Note::write_BIOs_labels() - - Purpose: Print the prediction of BIOs concept boundary classification - - @param filename. Filename. Ignore it. - @param labels. A list of list of BIOs labels - """ - - fid = open(filename,"w") - - # List of list of words (line-by-line) - text = self.txtlist() - - for i, concept_line in enumerate(labels): - - # stores the current streak - queue = [] - - # C-style array indexing. Probably could be done a better way. - # Used because I needed the ability of lookahead - for j in range(len(concept_line)): - - # Beginning of a concept boundary - if concept_line[j] != 'O': - - # Increase size of current streak - queue.append(text[i][j]) - - # lookahead (check if streak will continue) - if (j+1 == len(concept_line))or \ - (concept_line[j+1] != 'I'): - print >>fid, '%d:%d %d:%d' % (i+1,j-len(queue)+1,i+1,j) - print >>fid, ' '.join(queue) - print >>fid, '' - # Reset streak - queue = [] - - - - # Note::read_plain() - # - # @param txt. A file path for the plain tokenized medical record - # @param con. A file path for the annotated concepts associated with txt - def read_plain(self, txt, con=None): - - # Read in the medical text - with open(txt) as f: - - for line in f: - # Add sentence to the data list - self.data.append(line) - - # For each word, store a corresponding concept label - tmp = [] - for word in line.split(): - tmp.append('none') - self.concepts.append(tmp) - - - # If an accompanying concept file was specified, read it - if con: - with open(con) as f: - for line in f: - c, t = line.split('||') - t = t[3:-2] - c = c.split() - - start = c[-2].split(':') - end = c[-1].split(':') - - assert "concept spans one line", start[0] == end[0] - l = int(start[0]) - 1 - start = int(start[1]) - end = int(end[1]) - - # Tokenize the input intervals - stok = len(self.data[l][:start].split()) - etok = len(self.data[l][start:end+1].split()) + stok - 1 - - # Update the corresponding concept labels - for i in range(stok, etok + 1): - self.concepts[l][i] = t - - - - # Note::write_plain() - # - # @param con. A path to the file of where to write the prediction. - # @param labels. A list of predictions of labels for the given text. - # - # Write the concept predictions to a given file in plain format - def write_plain(self, con, labels): - - with open(con, 'w') as f: - - # Search every token - for i, line in enumerate(labels): - for j, label in enumerate(line): - - # Only print non-trivial tokens - if label != 'none': - - words = self.data[i].split() - - # Get the untokenized starting index - start = 0 - for k in range(j): - start += len(words[k]) + 1 - - # Untokenized ending index - end = start + len(words[j]) - 1 - - # Format the starting and ending indices - sidx = "%d:%d" % (i + 1, start) - eidx = "%d:%d" % (i + 1, end) - - # Get the string stored in the plaintext representation - datum = self.data[i][start:end+1] - - print >>f, "c=\"%s\" %s %s||t=\"%s\"" % (datum, sidx, eidx, label) - - - - def read_xml(self, txt, xml): - - """ - Note::read_xml() - - Purpose: Read data from an xml-annotated file into a Note object - - @param xml. A file path for the xml formatted medical record - """ - - # Read in the medical text - with open(txt) as f: - for line in f: - # Strip away non-printable characters - line = filter(lambda x: x in string.printable, line) - - # Add sentence to the data list - self.data.append(line.split()) - - # Make put a temporary 'O' in each spot - self.boundaries.append( ['O' for _ in line.split()] ) - - # Original text file - self.text += line - - - # Read in the medical text - if xml: - with open(xml, 'r') as f: - - for lineno,line in enumerate(f.readlines()): - - # Add sentence to the data list - data_line = [] - for word in line.split(): - if (word[0] != '<') and (word[-1] != '>'): - data_line.append(word) - self.data.append(data_line) - - - # Stored data for self.classifications - concept = 'N/A' - start_ind = -1 - i = 0 - - # IOB labels - iobs = [] # [ 'O' for _ in line.split() ] - - # State variable is sufficient because concepts are not nested - concept_state = 'O' - for word in line.split(): - - # Search for xml tag - match = re.search('<(.*)>', word) - if match: - - con = match.group(1) - - # begin tag - if con[0] != '/': - # store data - concept = con - start_ind = i - - # state variable - concept_state = 'B' - - # end tag - else: - # store data - tup = (concept,lineno+1,start_ind,i-1) - self.classifications.append(tup) - - # state variable - concept_state = 'O' - - # non-tag text - else: - - # Part of multi-word concept - if concept_state == 'B': - iobs.append('B') - concept_state = 'I' - else: - iobs.append(concept_state) - - # Next token - i += 1 - - self.boundaries.append(iobs) - - - - def write_xml(self, labels=None): - - """ - Note::write_xml() - - Purpose: Write the concept predictions in xml format - - @param labels. A list of predictions of labels for the given text. - @return A string for the xml-annotated file - """ - - - # If given labels to write, use them. Default to self.classifications - if labels != None: - classifications = labels - elif self.classifications: - classifications = self.classifications - else: - raise Exception('Cannot write concept file: must specify labels') - - - # Intermediate copy - toks = copy(self.data) - - # Order classification tuples so they are accessed right to left - # Assumption: sorted() is a stable sort - tags = sorted(classifications, key=lambda x:x[2], reverse=True) - tags = sorted(tags , key=lambda x:x[1] ) - - #print toks - #print '' - #print '' - - # Insert each xml tag into its proper location - for tag in tags: - - # Decode classification tuple - con = tag[0] - line = tag[1] - 1 - start = tag[2] - end = tag[3] - - #print tag - #print 'line: ', toks[line] - #print 'phrase: ', toks[line][start:end+1] - - # Insert tags - toks[line].insert(end+1, '') - toks[line].insert(start, '<' + con + '>') - - #print 'line: ', toks[line] - #print '' - - - # Stitch text back together - toks = [ ' '.join(s) for s in toks ] - toks = '\n'.join(toks) + '\n' - - #print toks - #print '' - #print '' - - - return toks - - - - def read_semeval(self, txt, con=None): - - def lineno_and_tokspan(char_span): - """ File character offsets => line number and index into line """ - for i,span in enumerate(self.line_inds): - if char_span[1] < span[1]: - - #print "span: ", span - - # start and end of span relative to sentence - start = char_span[0] - span[0] - end = char_span[1] - span[0] - - #print "START: ", start - #print "END: ", end - - #print "USING span on self.text: ", self.text[span[0]:span[1]] - #print "USING start and end: ", self.text[span[0]:span[1]][start:end] - - #print "self.data", self.data[i] - tok_span = [0,len(self.data[i])-1] - char_count = 0 - - dataWithEmptyChars = re.split(" |\n|\t", self.text[span[0]:span[1] + 1]) - - index = 0 - for j,tok in enumerate(dataWithEmptyChars): - if char_count > end: - tok_span[1] = index -1 - break - elif char_count == start: - tok_span[0] = index - char_count += len(tok) + 1 - if len(tok) > 0: - index += 1 - #print '\t',j, '\t', tok, '(', char_count, ')' - - #print start, end - #print tok_span - #print text[span[0]:span[1]] - #print self.data[i][tok_span[0]:tok_span[1]] - #print - - # return line number AND token span - #print "LINE: ", i - #print "TOK SPAN: ", tok_span - #print self.data[i] - #print tok_span - - #print "USING char_span on self.text: ", self.text[char_span[0]:char_span[1]] - #print "USING tok_span on self.data[i]", self.data[i][tok_span[0]], self.data[i][tok_span[1]] - #print "USING char_span on self.text: ", self.text[char_span[0]], self.text[char_span[1]] - - - return (i, tuple(tok_span)) - - return None - - - start = 0 - end = 0 - - with open(txt) as f: - - # Get entire file - text = f.read() -# print "\nTEXT:------------------" -# print text - - self.text = text - - # Sentence splitter - sents = self.sent_tokenizer.tokenize(txt) - -# print "\nSENTS:-----------------------------" -# print sents - - # Tokenize each sentence into words (and save line number indices) - toks = [] - gold = [] # Actual lines - - for s in sents: - - gold.append(s) - -# print "\nsentence:-------------------------------" -# print s - -# print s - - # Store data - toks = self.word_tokenizer.tokenize(s) - -# print "\ntokenized sentence:---------------------------------" -# print toks - - self.data.append(toks) - - # Make put a temporary 'O' in each spot - self.boundaries.append( ['O' for _ in toks] ) - - # Keep track of which indices each line has - end = start + len(s) - -# print "\nindices:--------------------------------------------" -# print (start, end) - -# print "\nusing index on entire txt----------------------------" -# print text[start:end] - -# print "\nEQUAL?" -# print text[start:end] == s - - self.line_inds.append( (start,end) ) - start = end + 1 - - # Skip ahead to next non-whitespace - while (start < len(text)) and text[start].isspace(): start += 1 - - ''' - for line,inds in zip(gold,self.line_inds): - print '!!!' + line + '!!!' - print '\t', 'xx'*10 - print inds - print '\t', 'xx'*10 - print '!!!' + text[inds[0]: inds[1]] + '!!!' - print '---' - print '\n' - print 'Xx' * 20 - ''' - - #lno,span = lineno_and_tokspan((2329, 2351)) - #lno,span = lineno_and_tokspan((1327, 1344)) - #print self.data[lno][span[0]:span[1]+1] - - - # If an accompanying concept file was specified, read it - if con: - offset_classifications = [] - classifications = [] - with open(con) as f: - for line in f: - - # Empty line - if line == '\n': continue - - # Parse concept file line - fields = line.strip().split('||') - #print fields - concept = fields[1] - cui = fields[2] - span_inds = [] - for i in range(3,len(fields),2): - span = int(fields[i]), int(fields[i+1]) - span_inds.append( span ) - - #print '\t', concept - #print '\t', cui - print '\t', span_inds - - # Everything is a Disease_Disorder - concept = 'problem' - -# getWhiteSpaceSpans() -# return - - # FIXME - For now, treat non-contiguous spans as separate - for span in span_inds: - l,(start,end) = lineno_and_tokspan(span) - - - # Add the classification to the Note object - offset_classifications.append((concept,span[0],span[1])) - classifications.append( (concept,l+1,start,end) ) - - # Beginning of a concept - try: - self.boundaries[l][start] = 'B' - except: - print 'Problem with IOB in read_semeval()' - print 'txt: ', txt - print 'con: ', con - - # Inside of a concept - for i in range(start,end): - self.boundaries[l][i+1] = 'I' - - # Safe guard against concept file having duplicate entries - classifications = list(set(classifications)) - - # Concept file does not guarantee ordering by line number - self.classifications = sorted(classifications, cmp=Note.concept_cmp) - - - - - def write_semeval(self, labels): - - spans = {} - for _, line, startTok, endTok in labels: - - (start, end) = self.line_inds[line-1] - dataWithEmptyChars = re.split(" |\n|\t", self.text[start:end+1]) - - #print 'start: ', start - #print 'end: ', end - #print 'dataWith: ', dataWithEmptyChars - #print - - tokPosRelToSent = [] - count = 0 - for string in dataWithEmptyChars: - if string != '': - tokPosRelToSent.append((count, count + len(string)-1)) - count += len(string) + 1 - else: # empty string - count += 1 - - #print tokPosRelToSent - #print tokPosRelToSent[startTok:endTok+1] - - startOfTokRelToText = tokPosRelToSent[startTok][0] + start - endOfTokRelToText = tokPosRelToSent[ endTok][1] + start - - #print '---' + self.text[endOfTokRelToText-3:endOfTokRelToText+4] + '---' - - #print startOfTokRelToText, ' ', endOfTokRelToText - - # Heuristc / Hack for determining when to include extra space - if ( self.text[endOfTokRelToText ].isalpha()) and \ - (not self.text[endOfTokRelToText+1].isalpha()) : - endOfTokRelToText += 1 - - #print startOfTokRelToText, ' ', endOfTokRelToText - #print '\n' - - if line not in spans: - spans[line] = (self.fileName + ".text||Disease_Disorder||CUI-less||" + str(startOfTokRelToText) + "||" + str(endOfTokRelToText)) - else: - spans[line] += ("\n" + self.fileName + ".text||Disease_Disorder||CUI-less||" + str(startOfTokRelToText) + "||" + str(endOfTokRelToText)) - - output = "" - lines = list(spans) - lines.sort() - for line in lines: - output += (spans[line] + "\n") - - return output - - - # txtlist() - # - # @return the data from the medical text broken into line-word format - def txtlist(self): - return self.data - - - - def conlist(self): - """ - Useful during evaluation - """ - - # Cached for later calls - if self.concepts: return self.concepts - - - # For each word, store a corresponding concept label - # Initially, all labels will be stored as 'none' - for line in self.data: - tmp = [] - for word in line: - tmp.append('none') - self.concepts.append(tmp) - - - # Use the classifications to correct all mislabled 'none's - for classification in self.classifications: - - #print "classification: ", classification - #print "classification[0]: ", classification[0] - #print "classification[1]: ", classification[1] - #print "classification[2]: ", classification[2] - #print "classification[3]: ", classification[3] - - concept = classification[0] - lineno = classification[1] - 1 - start = classification[2] - end = classification[3] - - self.concepts[lineno][start] = concept - for i in range(start, end): - self.concepts[lineno][i+1] = concept - - return self.concepts - - - - def concept_labels(self): - - """ - concept_labels() - - Purpose: Training labels for a concept classifier on phrases - - @ return A list of concept labels (1:1 mapping with text_chunks() output) - """ - - return [ c[0] for c in self.classifications ] - - - - def iob_labels(self): - """ - return a list of list of IOB labels - """ - return self.boundaries - - - - def set_iob_labels(self, iobs): - """ - return a list of list of IOB labels - """ - - # Must be proper form - for iob in iobs: - for label in iob: - assert (label == 'O') or (label == 'B') or (label == 'I'), \ - "All labels must be I, O, or B. Given: " + label - - self.boundaries = iobs - - - - def chunked_text(self): - - """ - Note::chunked_text() - - Purpose: Combine all 'I's into 'B' chunks - - @return A list of list of phrases. - """ - - - # If answer is cached - if self.text_chunks: return self.text_chunks() - - - # List of list of phrases - text = self.txtlist() - - - # Line-by-line chunking - for sent,iobs in zip(self.txtlist(),self.iob_labels()): - - # One line of chunked phrases - line = [] - - # Chunk phrase (or single word if 'O' iob tag) - phrase = '' - - # Word-by-word grouping - for word,iob in zip(sent,iobs): - - if iob == 'O': - if phrase: line.append(phrase) - phrase = word - - if iob == 'B': - if phrase: line.append(phrase) - phrase = word - - if iob == 'I': - phrase += ' ' + word - - # Add last phrase - if phrase: line.append(phrase) - - # Add line from file - self.text_chunks.append(line) - - - return self.text_chunks - - - - - def concept_indices(self): - - # Return value - inds_list = [] - - - # Line-by-line chunking - for iobs in self.iob_labels(): - - # One line of chunked phrases - line = [] - seen_chunks = 0 - - # Word-by-word grouping - for iob in iobs: - - if iob == 'O': - seen_chunks += 1 - - if iob == 'B': - line.append(seen_chunks) - seen_chunks += 1 - - # Add line from file - inds_list.append(line) - - - return inds_list - - - diff --git a/clicon/notes/.gitignore b/clicon/notes/.gitignore new file mode 100644 index 0000000..72723e5 --- /dev/null +++ b/clicon/notes/.gitignore @@ -0,0 +1 @@ +*pyc diff --git a/clicon/notes/__init__.py b/clicon/notes/__init__.py new file mode 100644 index 0000000..e69de29 diff --git a/clicon/notes/abstract_note.py b/clicon/notes/abstract_note.py new file mode 100644 index 0000000..39b7664 --- /dev/null +++ b/clicon/notes/abstract_note.py @@ -0,0 +1,78 @@ +from __future__ import with_statement + + +###################################################################### +# CliNER - abstract_note.py # +# # +# Willie Boag wboag@cs.uml.edu # +# # +# Purpose: Abstract Note representation. # +###################################################################### + + +__author__ = 'Willie Boag' +__date__ = 'Nov. 6, 2014' + + + +import re +import string +from copy import copy +import nltk.data +import os.path + + + + +# Abstract Note (to be inherited from) +class AbstractNote: + + def __init__(self): + raise Exception('Cannot instantiate AbstractNote') + + + ################################################################ + #### Must support this interface ##### + ################################################################ + + def getExtension(self): + """ + Purpose: Get the file extension for a particular format (ex. i2b2->con) + """ + raise Exception('Must define getExtension() for derived class') + + + def read(self, txt_file, con_file=None): + """ + Purpose: Abstract method for reading data from file + """ + raise Exception('Must define read() for derived class') + + + def write(self, labels=None): + """ + Purpose: Abstract method for writing data to file + """ + raise Exception('Must define write() for derived class') + + + def getTokenizedSentences(self): + """ + Purpose: Return a list of list of tokens (list of list of strings) + """ + raise Exception('Must define selector for derived class') + + + def getClassificationTuples(self): + """ + Purpose: Return a list of (concept,line_number,start-ind,end-ind) tuples + """ + raise Exception('Must define selector for derived class') + + + def read_standard(self, txt, con=None): + """ + Purpose: Every note must be able to read from standardized forat + """ + raise Exception('Must define read_standard() for derived class') + diff --git a/clicon/notes/note.py b/clicon/notes/note.py new file mode 100644 index 0000000..9a55470 --- /dev/null +++ b/clicon/notes/note.py @@ -0,0 +1,359 @@ +from __future__ import with_statement + +###################################################################### +# CliNER - note.py # +# # +# Willie Boag wboag@cs.uml.edu # +# # +# Purpose: Internal representation of data for CliNER. # +###################################################################### + + +__author__ = 'Willie Boag' +__date__ = 'Nov. 6, 2014' + + + +import re +import string +from copy import copy +import nltk.data +import os.path + + + +# Master Class +class Note: + + # Memoize results from static method calls + supported_formats = [] + dict_of_format_to_extensions = [] + + # Constructor + def __init__(self, format): + + # Error-check input + if format not in Note.supportedFormats(): + raise Exception('Cannot create Note object for format %s' % format) + + # Instantiate the given format derived class + cmd = 'from note_%s import Note_%s as DerivedNote' % (format,format) + exec(cmd) + self.derived_note = DerivedNote() + + # Helpful for debugging + self.format = format + + # Memoizations of selectors + self.data = [] + self.concepts = [] + self.iob_labels = [] + self.text_chunks = [] + + + + @staticmethod + def supportedFormats(): + """ returns a list of data formats supported by CliNER """ + + # Memoized? + if Note.supported_formats: return Note.supported_formats + + # Note files + cands = os.listdir(os.path.join(os.getenv('CLICON_DIR'),'clicon/notes')) + notes = filter(lambda f:f.startswith('note_'), cands) + notes = filter(lambda f: f.endswith('.py' ), notes) + + # Extract format name from all files like 'note_i2b2.py' + formats = [] + for filename in notes: + f = re.search('note_(.*)\\.py', filename).groups(1)[0] + formats.append(f) + + return formats + + + @staticmethod + def supportedFormatExtensions(): + return Note.dictOfFormatToExtensions().values() + + + + @staticmethod + def dictOfFormatToExtensions(): + # Memoized? + if Note.dict_of_format_to_extensions: + return Note.dict_of_format_to_extensions + + # Get each format's extension + extensions = {} + for format in Note.supportedFormats(): + # Import next note format + cmd1 = 'from note_%s import Note_%s' % (format,format) + exec(cmd1) + + # Get extension for note + cmd2 = 'extensions[format] = Note_%s().getExtension()' % format + exec(cmd2) + + Note.dict_of_format_to_extensions = extensions + return extensions + + + + ################################################################## + #### Pass right on to derived format note #### + #### (does not change as new formats are introduced) #### + ################################################################## + + def getExtension(self): + """ + Purpose: returns the filename extension for a given data format + """ + return self.derived_note.getExtension() + + def read(self, txt_file, con_file=None): + """ + Purpose: Call derived object's reader + """ + return self.derived_note.read(txt_file, con_file) + + def write(self, con_file=None): + """ + Purpose: Call derived object's writer + """ + return self.derived_note.write(con_file) + + def getTokenizedSentences(self): + """ + Purpose: Return list of list of tokens from text file. + """ + if not self.data: + self.data = self.derived_note.getTokenizedSentences() + return self.data + + def read_standard(self, txt, con=None): + """ + Purpose: Every note must be able to read from standard forat + """ + self.derived_note.read_standard(txt,con) + + + + ################################################################## + #### Internal Logic #### + #### (does not change as new formats are introduced) #### + ################################################################## + + + def getConceptLabels(self): + """ + Purpose: return a list of concept labels for second pass training + """ + classifications = self.derived_note.getClassificationTuples() + return [ c[0] for c in classifications ] + + + def getIOBLabels(self): + """ + Purpose: return a list of list of IOB labels + """ + + # Only comput if not already memoized + if self.iob_labels: return self.iob_labels + + # Build list of proper dimensions (1:1 with self.data) + self.getTokenizedSentences() + iobs = [ ['O' for tok in sent] for sent in self.data ] + + # Add 'B's and 'I's from concept spans + for classification in self.derived_note.getClassificationTuples(): + _,lineno,start,end = classification + + # Update concept tokens to 'B's and 'I's + iobs[lineno-1][start] = 'B' + for i in range(start+1,end+1): + iobs[lineno-1][i] = 'I' + + # Memoize for next call + self.iob_labels = iobs + return iobs + + + + def setIOBLabels(self, iobs): + """ + Purpose: Set the IOB labels for the derived note + """ + # Must be proper form + for iob in iobs: + for label in iob: + assert (label == 'O') or (label == 'B') or (label == 'I'), \ + "All labels must be I, O, or B. Given: " + label + + self.iob_labels = iobs + + + + def getChunkedText(self): + """ + Purpose: List of list of tokens, except combine all 'I's into 'B' chunks + """ + + # Memoized? + if self.text_chunks: return self.text_chunks() + + # Line-by-line chunking + text = self.getTokenizedSentences() + for sent,iobs in zip(text,self.iob_labels): + + # One line of chunked phrases + line = [] + + # Chunk phrase (or single word if 'O' iob tag) + phrase = '' + + # Word-by-word grouping + for word,iob in zip(sent,iobs): + + if iob == 'O': + if phrase: line.append(phrase) + phrase = word + + if iob == 'B': + if phrase: line.append(phrase) + phrase = word + + if iob == 'I': + phrase += ' ' + word + + # Add last phrase + if phrase: line.append(phrase) + + # Add line from file + self.text_chunks.append(line) + + return self.text_chunks + + + + def getConceptIndices(self): + + # Return value + inds_list = [] + + # Line-by-line chunking + for iobs in self.iob_labels: + + # One line of chunked phrases + line = [] + seen_chunks = 0 + + # Word-by-word grouping + for iob in iobs: + + if iob == 'O': + seen_chunks += 1 + + if iob == 'B': + line.append(seen_chunks) + seen_chunks += 1 + + # Add line from file + inds_list.append(line) + + + return inds_list + + + + def write_standard(self, labels=None): + """ + Note::write_standard() + + Purpose: Every note must be able to read from standardized format + + @param labels. A list of classifications + @return A string of starndardized formatted data + """ + + # Standard will have: + # 1. concept type + # 2. concept span inds in character offsets + + # return value + retStr = '' + + # Get data + classifications = self.derived_note.getClassificationTuples() + + # Output classifications into standardized format + for concept,span_inds in classifications: + retStr += concept + for span in span_inds: + retStr += '||%d||%d' % span + retStr += '\n' + + return retStr.strip('\n') + + + + + ################################################################## + #### Only used during developmnt and testing #### + ################################################################## + + + def conlist(self): + """ + Useful during evaluation + """ + + # Cached for later calls + if self.concepts: return self.concepts + + # For each word, store a corresponding concept label + # Initially, all labels will be stored as 'none' + for line in self.data: + tmp = [] + for word in line: + tmp.append('none') + self.concepts.append(tmp) + + # Use the classifications to correct all mislabled 'none's + for classification in self.classifications: + #print "classification: ", classification + + # Assumption - assumes no clustering third pass + concept = classification[0] + lineno = classification[1] - 1 + start = classification[2] + end = classification[3] + + self.concepts[lineno][start] = concept + for i in range(start, end): + self.concepts[lineno][i+1] = concept + + return self.concepts + + + + +# Concept labels +concept_labels = { + "none":0, + "treatment":1, + "problem":2, + "test":3 +} +reverse_concept_labels = {v:k for k, v in concept_labels.items()} + + +# IOB labels +IOB_labels = { + 'O':0, + 'B':1, + 'I':2 +} +reverse_IOB_labels = {v:k for k,v in IOB_labels.items()} + diff --git a/clicon/notes/note_i2b2.py b/clicon/notes/note_i2b2.py new file mode 100644 index 0000000..2ba3ca5 --- /dev/null +++ b/clicon/notes/note_i2b2.py @@ -0,0 +1,355 @@ +from __future__ import with_statement + + +###################################################################### +# CliNER - note_i2b2.py # +# # +# Willie Boag wboag@cs.uml.edu # +# # +# Purpose: Derived note object for reading i2b2 formatted data. # +###################################################################### + + +__author__ = 'Willie Boag' +__date__ = 'Nov. 6, 2014' + + + +import re +import string +from copy import copy +import nltk.data +import os.path + +from abstract_note import AbstractNote +from utilities_for_notes import classification_cmp + + +class Note_i2b2(AbstractNote): + + def __init__(self): + # Internal representation natural for i2b2 format + self.data = [] # list of list of tokens + self.classifications = [] # list of concept tuples + self.line_inds = [] # list of (start,end) indices for every line + + + def getExtension(self): + return 'con' + + + def getTokenizedSentences(self): + return self.data + + + def getClassificationTuples(self): + + # return value + retVal = [] + + # Build list of standardized classification tuples + for classification in self.classifications: + concept,lineno,tok_start,tok_end = classification + + # character offset of beginning of line + begin = self.line_inds[lineno-1][0] + + # Sweep through line to get character offsets from line start + start = 0 + for word in self.data[lineno-1][:tok_start]: + start += len(word) + 1 + + # Length of concept span + end = start + for word in self.data[lineno-1][tok_start:tok_end+1]: + end += len(word) + 1 + end -= 1 + + #print begin + #print begin+start, begin+end + #print '~~' + self.text[begin+start:begin+end] + '~~' + + retVal.append( (concept,[(begin+start,begin+end)]) ) + + return retVal + + + + def read_standard(self, txt, con=None): + + # Helper function + def lineno_and_tokspan(char_span): + """ File character offsets => line number and index into line """ + for i,span in enumerate(self.line_inds): + if char_span[1] <= span[1]: + + #print "span: ", span + + # start and end of span relative to sentence + start = char_span[0] - span[0] + end = char_span[1] - span[0] + + #print "START: ", start + #print "END: ", end + + #print "USING span on self.text: ", self.text[span[0]:span[1]] + #print "USING start and end: ", self.text[span[0]:span[1]][start:end] + + #print "self.data", self.data[i] + tok_span = [0,len(self.data[i])-1] + char_count = 0 + + dataWithEmptyChars = re.split(" |\n|\t", self.text[span[0]:span[1] + 1]) + + index = 0 + for j,tok in enumerate(dataWithEmptyChars): + if char_count > end: + tok_span[1] = index -1 + break + elif char_count == start: + tok_span[0] = index + char_count += len(tok) + 1 + if len(tok) > 0: + index += 1 + #print '\t',j, '\t', tok, '(', char_count, ')' + + #print start, end + #print tok_span + #print text[span[0]:span[1]] + #print self.data[i][tok_span[0]:tok_span[1]] + #print + + # return line number AND token span + #print "LINE: ", i + #print "TOK SPAN: ", tok_span + #print self.data[i] + #print tok_span + + #print "USING char_span on self.text: ", self.text[char_span[0]:char_span[1]] + #print "USING tok_span on self.data[i]", self.data[i][tok_span[0]], self.data[i][tok_span[1]] + #print "USING char_span on self.text: ", self.text[char_span[0]], self.text[char_span[1]] + + + return (i, tuple(tok_span)) + + return None + + + start = 0 + end = 0 + + with open(txt) as f: + + # Get entire file + text = f.read() + self.text = text + + # Split into lines + self.data = map(lambda s: s.split(), text.split('\n')) + + # Tokenize each sentence into words (and save line number indices) + toks = [] + gold = [] # Actual lines + + for sent in self.data: + + gold.append(sent) + + # Keep track of which indices each line has + for word in sent: + end += len(word) + 1 + + self.line_inds.append( (start,end-1) ) + start = end + + # Skip ahead to next non-whitespace + while (start < len(text)) and text[start].isspace(): start += 1 + + + # If an accompanying concept file was specified, read it + if con: + classifications = [] + with open(con) as f: + for line in f: + + # Empty line + if line == '\n': continue + + # Parse concept file line + fields = line.strip().split('||') + #print fields + concept = fields[0] + span_inds = [] + for i in range(1,len(fields),2): + span = int(fields[i]), int(fields[i+1]) + span_inds.append( span ) + + # FIXME - For now, treat non-contiguous spans as separate + for span in span_inds: + # Add the classification to the Note object + l,(start,end) = lineno_and_tokspan(span) + #print 'span: ', span + #print 'lineno: ', l + #print 'start: ', start + #print 'end: ', end + #print '\n' + classifications.append((concept,l+1,start,end)) + + # Safe guard against concept file having duplicate entries + classifications = list(set(classifications)) + + # Concept file does not guarantee ordering by line number + self.classifications = sorted(classifications,cmp=classification_cmp) + + + + def read(self, txt, con=None): + """ + Note_i2b2::read() + + @param txt. A file path for the tokenized medical record + @param con. A file path for the i2b2 annotated concepts for txt + """ + + # Character indices of each line + start = 0 + end = 0 + + # Read in the medical text + with open(txt) as f: + + # Original text file + self.text = f.read() + + for line in self.text.split('\n'): + for word in line.split(): + end += len(word) + 1 + self.line_inds.append( (start,end-1) ) + start = end + + # Strip away non-printable characters + line = filter(lambda x: x in string.printable, line) + + # Add sentence to the data list + self.data.append(line.split()) + + + # If an accompanying concept file was specified, read it + if con: + classifications = [] + with open(con) as f: + for line in f: + + # Empty line + if line == '\n': continue + + # concept + prefix, suffix = line.split('||') + text = prefix.split() + conc = suffix[3:-2] + + start = text[-2].split(':') + end = text[-1].split(':') + + assert "concept spans one line", start[0] == end[0] + + # lineno + l = int(start[0]) + + # starttok + # endtok + start = int(start[1]) + end = int( end[1]) + + # Add the classification to the Note object + classifications.append( (conc,l,start,end) ) + + #print "txt: ", txt + #print "l: ", l + #print "start: ", start + #print "end: ", end + #print "line: ", self.data[l-1] + + #print "\n" + "-" * 80 + + # Safe guard against concept file having duplicate entries + classifications = list(set(classifications)) + + # Concept file does not guarantee ordering by line number + self.classifications = sorted(classifications, + cmp=classification_cmp) + + + def write(self, labels=None): + + """ + Note_i2b2::write() + + Purpose: Return the given concept label predictions in i2b2 format + + @param labels. A list of classifications + @return A string of i2b2-concept-file-formatted data + """ + + # Return value + retStr = '' + + # List of list of words (line-by-line) + tlist = self.data + + + # If given labels to write, use them. Default to self.classifications + if labels != None: + classifications = labels + elif self.classifications != None: + classifications = self.classifications + else: + raise Exception('Cannot write concept file: must specify labels') + + + # For each classification + for classification in classifications: + + # Ensure 'none' classifications are skipped + if classification[0] == 'none': + raise('Classification label "none" should never happen') + + concept = classification[0] + lineno = classification[1] + start = classification[2] + end = classification[3] + + # A list of words (corresponding line from the text file) + text = tlist[lineno-1] + + #print "\n" + "-" * 80 + #print "classification: ", classification + #print "lineno: ", lineno + #print "start: ", start + #print "end ", end + #print "text: ", text + #print "text[start]: ", text[start] + #print "concept: ", concept + + # The text string of words that has been classified + datum = text[start] + for j in range(start, end): + datum += " " + text[j+1] + + # Line:TokenNumber of where the concept starts and ends + idx1 = "%d:%d" % (lineno, start) + idx2 = "%d:%d" % (lineno, end ) + + # Classification + label = concept + + # Fixing issue involving i2b2 format (remove capitalization) + lowercased = [w.lower() for w in datum.split()] + datum = ' '.join(lowercased) + + # Print format + retStr += "c=\"%s\" %s %s||t=\"%s\"\n" % (datum, idx1, idx2, label) + + # return formatted data + return retStr + diff --git a/clicon/notes/note_semeval.py b/clicon/notes/note_semeval.py new file mode 100644 index 0000000..8739bdf --- /dev/null +++ b/clicon/notes/note_semeval.py @@ -0,0 +1,264 @@ +from __future__ import with_statement + + +###################################################################### +# CliNER - note_semeval.py # +# # +# Willie Boag wboag@cs.uml.edu # +# # +# Purpose: Derived note object for reading semeval formatted data. # +###################################################################### + + +__author__ = 'Willie Boag' +__date__ = 'Nov. 6, 2014' + + + +import re +import string +from copy import copy +import os.path + + +from utilities_for_notes import concept_cmp, SentenceTokenizer, WordTokenizer +from abstract_note import AbstractNote + + + +class Note_semeval(AbstractNote): + + def __init__(self): + # For parsing text file + self.sent_tokenizer = SentenceTokenizer() + self.word_tokenizer = WordTokenizer() + + # Internal representation natural for i2b2 format + self.text = [] + self.data = [] # list of list of tokens + self.line_inds = [] + self.classifications = [] + self.fileName = 'no-file' + + + def getExtension(self): + return 'pipe' + + + def getText(self): + return self.text + + + def getTokenizedSentences(self): + return self.data + + + def getClassificationTuples(self): + return self.classifications + + + def read_standard(self, txt, con=None): + + start = 0 + end = 0 + + with open(txt) as f: + + # Get entire file + text = f.read() + self.text = text + + # Sentence splitter + sents = self.sent_tokenizer.tokenize(txt) + + # Tokenize each sentence into words (and save line number indices) + toks = [] + gold = [] # Actual lines + + for s in sents: + gold.append(s) + + # Store data + toks = self.word_tokenizer.tokenize(s) + self.data.append(toks) + + # Keep track of which indices each line has + end = start + len(s) + + self.line_inds.append( (start,end) ) + start = end + 1 + + # Skip ahead to next non-whitespace + while (start < len(text)) and text[start].isspace(): start += 1 + + + # If an accompanying concept file was specified, read it + if con: + classifications = [] + with open(con) as f: + for line in f: + + # Empty line + if line == '\n': continue + + # Parse concept file line + fields = line.strip().split('||') + #print fields + concept = fields[0] + span_inds = [] + for i in range(1,len(fields),2): + span = int(fields[i]), int(fields[i+1]) + span_inds.append( span ) + + #print '\t', concept + #print '\t', span_inds + + classifications.append( (concept, span_inds) ) + + # Concept file does not guarantee ordering by line number + self.classifications = sorted(classifications, cmp=concept_cmp) + + + + + def read(self, txt, con=None): + + # Filename + self.filename = os.path.split(txt)[1] + + start = 0 + end = 0 + with open(txt) as f: + + # Get entire file + text = f.read() + #print "\nTEXT:------------------" + #print text + + self.text = text + + # Sentence splitter + sents = self.sent_tokenizer.tokenize(txt) + + #print "\nSENTS:-----------------------------" + #print sents + + # Tokenize each sentence into words (and save line number indices) + toks = [] + gold = [] # Actual lines + + for s in sents: + + gold.append(s) + + #print "\nsentence:-------------------------------" + #print s + + #print s + + # Store data + toks = self.word_tokenizer.tokenize(s) + + #print "\ntokenized sentence:---------------------------------" + #print toks + + self.data.append(toks) + + # Keep track of which indices each line has + end = start + len(s) + + #print "\nindices:--------------------------------------------" + #print (start, end) + + #print "\nusing index on entire txt----------------------------" + #print text[start:end] + + #print "\nEQUAL?" + #print text[start:end] == s + + self.line_inds.append( (start,end) ) + start = end + 1 + + # Skip ahead to next non-whitespace + while (start < len(text)) and text[start].isspace(): start += 1 + + ''' + for line,inds in zip(gold,self.line_inds): + print '!!!' + line + '!!!' + print '\t', 'xx'*10 + print inds + print '\t', 'xx'*10 + print '!!!' + text[inds[0]: inds[1]] + '!!!' + print '---' + print '\n' + print 'Xx' * 20 + ''' + + #lno,span = lineno_and_tokspan((2329, 2351)) + #lno,span = lineno_and_tokspan((1327, 1344)) + #print self.data[lno][span[0]:span[1]+1] + + + # If an accompanying concept file was specified, read it + if con: + offset_classifications = [] + classifications = [] + with open(con) as f: + for line in f: + + # Empty line + if line == '\n': continue + + # Parse concept file line + fields = line.strip().split('||') + #print fields + concept = fields[1] + cui = fields[2] + span_inds = [] + for i in range(3,len(fields),2): + span = int(fields[i]), int(fields[i+1]) + span_inds.append( span ) + + #print '\t', concept + #print '\t', span_inds + + # Everything is a Disease_Disorder + concept = 'problem' + + # FIXME - For now, treat non-contiguous spans as separate + for span in span_inds: + #l,(start,end) = lineno_and_tokspan(span) + # Add the classification to the Note object + offset_classifications.append((concept,span[0],span[1])) + classifications.append( (concept, span_inds) ) + + # Safe guard against concept file having duplicate entries + #classifications = list(set(classifications)) + + # Concept file does not guarantee ordering by line number + self.classifications = sorted(classifications, cmp=concept_cmp) + + + + + def write(self, labels): + + # If given labels to write, use them. Default to self.classifications + if labels != None: + classifications = labels + elif self.classifications != None: + classifications = self.classifications + else: + raise Exception('Cannot write concept file: must specify labels') + + # return value + retStr = '' + + for concept,span_inds in classifications: + retStr += self.fileName + '.text||%s||CUI-less' % concept + for span in span_inds: + retStr += '||' + str(span[0]) + "||" + str(span[1]) + retStr += '\n' + + return retStr + diff --git a/clicon/notes/note_xml.py b/clicon/notes/note_xml.py new file mode 100644 index 0000000..ee10985 --- /dev/null +++ b/clicon/notes/note_xml.py @@ -0,0 +1,292 @@ +from __future__ import with_statement + + +###################################################################### +# CliNER - note_xml.py # +# # +# Willie Boag wboag@cs.uml.edu # +# # +# Purpose: Derived note object for reading xml formatted data. # +###################################################################### + + +__author__ = 'Willie Boag' +__date__ = 'Nov. 6, 2014' + + + +import re +import string +from copy import copy +import nltk.data +import os.path + + +from abstract_note import AbstractNote +from utilities_for_notes import classification_cmp, lineno_and_tokspan + + +class Note_xml(AbstractNote): + + def __init__(self): + # Internal representation natural for i2b2 format + self.data = [] # list of list of tokens + self.classifications = [] # list of concept tuples + self.line_inds = [] # list of (start,end) line character offsets + + + def getExtension(self): + return 'xml' + + + def getTokenizedSentences(self): + return self.data + + + def getClassificationTuples(self): + # return value + retVal = [] + + # Indices of each line + line_inds = [] + start = 0 + end = 0 + for sent in self.data: + for word in sent: + end += len(word) + 1 + line_inds.append( (start,end-1) ) + start = end + + # Build list of standardized classification tuples + for classification in self.classifications: + concept,lineno,tok_start,tok_end = classification + + # character offset of beginning of line + begin = line_inds[lineno-1][0] + + # Sweep through line to get character offsets from line start + start = 0 + for word in self.data[lineno-1][:tok_start]: + start += len(word) + 1 + + # Length of concept span + end = start + for word in self.data[lineno-1][tok_start:tok_end+1]: + end += len(word) + 1 + end -= 1 + + #print begin + #print begin+start, begin+end + #print '~~' + self.text[begin+start:begin+end] + '~~' + + retVal.append( (concept,[(begin+start,begin+end)]) ) + + return retVal + + + + def read(self, txt, con=None): + + """ + Note_xml::read() + + @param txt. A file path for the tokenized medical record + @param con. A file path for the xml annotated concepts for txt + """ + + start = 0 + end = 0 + + # Read in the medical text + with open(txt) as f: + for line in f: + + # Keep track of line's character offsets + for word in line.split(): + end += len(word) + 1 + self.line_inds.append( (start,end-1) ) + start = end + + # Strip away non-printable characters + line = filter(lambda x: x in string.printable, line) + + # Add sentence to the data list + self.data.append(line.split()) + + + # Read in the medical text + if con: + with open(con, 'r') as f: + + for lineno,line in enumerate(f.readlines()): + + # Stored data for self.classifications + concept = 'N/A' + start_ind = -1 + i = 0 + + for word in line.split(): + + # Search for xml tag + match = re.search('<(.*)>', word) + if match: + + con = match.group(1) + + # begin tag + if con[0] != '/': + # store data + concept = con + start_ind = i + + # end tag + else: + # store data + tup = (concept,lineno+1,start_ind,i-1) + self.classifications.append(tup) + + # non-tag text + else: + + # Next token + i += 1 + + + + def write(self, labels=None): + + """ + Note_xml::write() + + Purpose: Write the concept predictions in xml format + + @param labels. A list of predictions of labels for the given text. + @return A string for the xml-annotated file + """ + + + # If given labels to write, use them. Default to self.classifications + if labels != None: + classifications = labels + elif self.classifications: + classifications = self.classifications + else: + raise Exception('Cannot write concept file: must specify labels') + + + # Intermediate copy + toks = copy(self.data) + + # Order classification tuples so they are accessed right to left + # Assumption: sorted() is a stable sort + tags = sorted(classifications, key=lambda x:x[2], reverse=True) + tags = sorted(tags , key=lambda x:x[1] ) + + #print toks + #print '' + #print '' + + # Insert each xml tag into its proper location + for tag in tags: + + # Decode classification tuple + con = tag[0] + line = tag[1] - 1 + start = tag[2] + end = tag[3] + + #print tag + #print 'line: ', toks[line] + #print 'phrase: ', toks[line][start:end+1] + + # Insert tags + toks[line].insert(end+1, '') + toks[line].insert(start, '<' + con + '>') + + #print 'line: ', toks[line] + #print '' + + # Stitch text back together + toks = [ ' '.join(s) for s in toks ] + output = '\n'.join(toks) + + return output + + + + def read_standard(self, txt, con=None): + + """ + Note_xml::read_standard() + + @param txt. A file path for the tokenized medical record + @param con. A file path for the standardized annotated concepts for txt + """ + + start = 0 + end = 0 + + with open(txt) as f: + + # Get entire file + text = f.read() + self.text = text + + # Split into lines + self.data = map(lambda s: s.split(), text.split('\n')) + + # Tokenize each sentence into words (and save line number indices) + toks = [] + gold = [] # Actual lines + + for sent in self.data: + + gold.append(sent) + + # Keep track of which indices each line has + for word in sent: + end += len(word) + 1 + + self.line_inds.append( (start,end-1) ) + start = end + + # Skip ahead to next non-whitespace + while (start < len(text)) and text[start].isspace(): start += 1 + + + # If an accompanying concept file was specified, read it + if con: + classifications = [] + with open(con) as f: + for line in f: + + # Empty line + if line == '\n': continue + + # Parse concept file line + fields = line.strip().split('||') + #print fields + concept = fields[0] + span_inds = [] + for i in range(1,len(fields),2): + span = int(fields[i]), int(fields[i+1]) + span_inds.append( span ) + + # FIXME - For now, treat non-contiguous spans as separate + for span in span_inds: + # Add the classification to the Note object + l,(start,end) = lineno_and_tokspan(self.line_inds, self.data, self.text, span) + #print 'span: ', span + #print 'lineno: ', l + #print 'start: ', start + #print 'end: ', end + #print '\n' + classifications.append((concept,l+1,start,end)) + + # Safe guard against concept file having duplicate entries + classifications = list(set(classifications)) + + # Concept file does not guarantee ordering by line number + self.classifications = sorted(classifications,cmp=classification_cmp) + + diff --git a/clicon/notes/utilities_for_notes.py b/clicon/notes/utilities_for_notes.py new file mode 100644 index 0000000..34e3553 --- /dev/null +++ b/clicon/notes/utilities_for_notes.py @@ -0,0 +1,131 @@ +###################################################################### +# CliNER - utilities.py # +# # +# Willie Boag wboag@cs.uml.edu # +# # +# Purpose: Helper tools for Note objects # +###################################################################### + + +import nltk.data +import re + + +def classification_cmp(a,b): + """ + concept_cmp() + + Purpose: Compare concept classification tokens + """ + a = (int(a[1]), int(a[2])) + b = (int(b[1]), int(b[2])) + + # Sort by line number + if a[0] < b[0]: + return -1 + if a[0] > b[0]: + return 1 + else: + # Resolve lineno ties with indices + if a[1] < b[1]: + return -1 + if a[1] > b[1]: + return 1 + else: + return 0 + + + +def concept_cmp(a,b): + """ + concept_cmp() + + Purpose: Compare concept classification tokens + """ + return a[1][0] < b[1][0] + + + +# Helper function +def lineno_and_tokspan(line_inds, data, text, char_span): + """ File character offsets => line number and index into line """ + for i,span in enumerate(line_inds): + if char_span[1] <= span[1]: + + #print "span: ", span + + # start and end of span relative to sentence + start = char_span[0] - span[0] + end = char_span[1] - span[0] + + #print "START: ", start + #print "END: ", end + + #print "USING span on text: ", text[span[0]:span[1]] + #print "USING start and end: ", text[span[0]:span[1]][start:end] + + #print "data", data[i] + tok_span = [0,len(data[i])-1] + char_count = 0 + + dataWithEmptyChars = re.split(" |\n|\t", text[span[0]:span[1] + 1]) + + index = 0 + for j,tok in enumerate(dataWithEmptyChars): + if char_count > end: + tok_span[1] = index -1 + break + elif char_count == start: + tok_span[0] = index + char_count += len(tok) + 1 + if len(tok) > 0: + index += 1 + #print '\t',j, '\t', tok, '(', char_count, ')' + + #print start, end + #print tok_span + #print text[span[0]:span[1]] + #print data[i][tok_span[0]:tok_span[1]] + #print + + # return line number AND token span + #print "LINE: ", i + #print "TOK SPAN: ", tok_span + #print data[i] + #print tok_span + + #print "USING char_span on text: ", text[char_span[0]:char_span[1]] + #print "USING tok_span on data[i]", data[i][tok_span[0]], data[i][tok_span[1]] + #print "USING char_span on text: ", text[char_span[0]], text[char_span[1]] + + return (i, tuple(tok_span)) + + return None + + + + +# Break file into sentences. +class SentenceTokenizer: + + def __init__(self): + self.sent_tokenizer = nltk.data.load('tokenizers/punkt/english.pickle') + + def tokenize(self, text_file): + """ Split the document into sentences """ + text = open(text_file, 'r').read() + return self.sent_tokenizer.tokenize(text) + + + +# Break sentence into words +class WordTokenizer: + + # TODO - PunktWordTokenizer (http://www.nltk.org/api/nltk.tokenize.html) + def __init__(self): + pass + + def tokenize(self, sent): + """ Split the sentence into tokens """ + return sent.split() + diff --git a/clicon/predict.py b/clicon/predict.py index b0d5700..8884053 100644 --- a/clicon/predict.py +++ b/clicon/predict.py @@ -17,9 +17,9 @@ import argparse import helper -import sci from model import Model -from note import * +from notes.note import Note + def main(): @@ -88,23 +88,25 @@ def main(): # For each file, predict concept labels - for txt in files: + n = len(files) + for i,txt in enumerate(sorted(files)): # Read the data into a Note object - note = Note() - note.reader(format, txt) + note = Note(format) + note.read(txt) print '-' * 30 - print '\n\n\t', txt, '\n' + print '\n\t%d of %d' % (i+1,n) + print '\t', txt, '\n' # Predict concept labels labels = model.predict(note) # Get predictions in proper format - extension = Note.getExtension(format) - output = note.writer(format, labels) + extension = note.getExtension() + output = note.write(labels) #print output diff --git a/clicon/read_config.py b/clicon/read_config.py deleted file mode 100644 index d5c6cc8..0000000 --- a/clicon/read_config.py +++ /dev/null @@ -1,52 +0,0 @@ -###################################################################### -# CliCon - read_config.py # -# # -# Willie Boag wboag@cs.uml.edu # -# # -# Purpose: Read a configuration file to determine what features # -# are available on the system # -###################################################################### - - - -import os - - - -# -# enabled_modules -# -# @return dictionary of (name,resource path) pairs. -# -# ex. {'UMLS': None, 'GENIA': 'genia/geniatagger-3.0.1/geniatagger'} -# -def enabled_modules(): - - # Open config file - prefix = os.path.dirname(__file__) - filename = os.path.join( prefix, '../config.txt' ) - f = open(filename, 'r') - - specs = {} - module_list = [ 'GENIA', 'UMLS' ] - - - for line in f.readlines(): - words = line.split() - if words: - - # Modules - if words[0] in module_list: - if words[1] == 'None': - specs[words[0]] = None - else: - specs[words[0]] = words[1] - - return specs - - - -# Read from config file when module is imported -print enabled_modules() - - diff --git a/clicon/train.py b/clicon/train.py index b310fc1..076db17 100644 --- a/clicon/train.py +++ b/clicon/train.py @@ -15,11 +15,12 @@ import os.path import glob import argparse -import helper +import cPickle as pickle +import helper from sets import Set from model import Model -from note import * +from notes.note import Note def main(): @@ -28,13 +29,13 @@ def main(): parser.add_argument("-t", dest = "txt", help = "The files that contain the training examples", - default = os.path.join(os.getenv('CLICON_DIR'), 'data/concept_assertion_relation_training_data/merged/txt/*') + default = os.path.join(os.getenv('CLICON_DIR'), 'data/train/txt/*') ) parser.add_argument("-c", dest = "con", help = "The files that contain the labels for the training examples", - default = os.path.join(os.getenv('CLICON_DIR'), 'data/concept_assertion_relation_training_data/merged/concept/*') + default = os.path.join(os.getenv('CLICON_DIR'), 'data/train/con/*') ) parser.add_argument("-m", @@ -101,9 +102,9 @@ def main(): # Read the data into a Note object notes = [] for txt, con in training_list: - note_tmp = Note() # Create Note - note_tmp.reader(format, txt, con) # Read data into Note - notes.append(note_tmp) # Add the Note to the list + note_tmp = Note(format) # Create Note + note_tmp.read(txt, con) # Read data into Note + notes.append(note_tmp) # Add the Note to the list # file names @@ -113,13 +114,19 @@ def main(): # Create a Machine Learning model - model = Model(filename = args.model, is_crf=is_crf) + model = Model(is_crf=is_crf) # Train the model using the Note's data model.train(notes, args.grid) + # Pickle dump + print 'pickle dump' + with open(args.model, "wb") as m_file: + pickle.dump(model, m_file) + + if __name__ == '__main__': main() diff --git a/examples/pretend.txt b/examples/pretend.txt index 590a985..c96246c 100644 --- a/examples/pretend.txt +++ b/examples/pretend.txt @@ -15,4 +15,4 @@ They'd put up even money , now , with Casey at the bat . But Flynn preceded Casey , as did also Jimmy Blake . And the former was a lulu and the latter was a cake ; So upon that stricken multitude grim melancholy sat , -For there semmed but little chance of Casey's getting to the bat. +For there semmed but little chance of Casey's getting to the bat . From d5e2c683830b50f6cfe844741c4eae546477da92 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 11 Nov 2014 14:11:10 -0500 Subject: [PATCH 376/393] rearranging features_dir organization for consistency --- .../{genia => genia_dir}/.gitignore | 0 .../{genia => genia_dir}/__init__.py | 0 clicon/features_dir/genia_dir/genia_cache | 722784 +++++++++++++++ .../{genia => genia_dir}/genia_cache.py | 0 .../{genia => genia_dir}/genia_features.py | 0 .../{genia => genia_dir}/interface_genia.py | 0 clicon/features_dir/sentence_features.py | 4 +- .../{umls => umls_dir}/SQLookup.py | 0 .../{umls => umls_dir}/__init__.py | 0 .../{umls => umls_dir}/create_sqliteDB.py | 0 .../{umls => umls_dir}/create_trie.py | 0 .../features_dir/{umls => umls_dir}/umls.py | 0 .../{umls => umls_dir}/umls_cache.py | 0 .../{umls => umls_dir}/umls_features.py | 0 14 files changed, 722786 insertions(+), 2 deletions(-) rename clicon/features_dir/{genia => genia_dir}/.gitignore (100%) rename clicon/features_dir/{genia => genia_dir}/__init__.py (100%) create mode 100644 clicon/features_dir/genia_dir/genia_cache rename clicon/features_dir/{genia => genia_dir}/genia_cache.py (100%) rename clicon/features_dir/{genia => genia_dir}/genia_features.py (100%) rename clicon/features_dir/{genia => genia_dir}/interface_genia.py (100%) rename clicon/features_dir/{umls => umls_dir}/SQLookup.py (100%) rename clicon/features_dir/{umls => umls_dir}/__init__.py (100%) rename clicon/features_dir/{umls => umls_dir}/create_sqliteDB.py (100%) rename clicon/features_dir/{umls => umls_dir}/create_trie.py (100%) rename clicon/features_dir/{umls => umls_dir}/umls.py (100%) rename clicon/features_dir/{umls => umls_dir}/umls_cache.py (100%) rename clicon/features_dir/{umls => umls_dir}/umls_features.py (100%) diff --git a/clicon/features_dir/genia/.gitignore b/clicon/features_dir/genia_dir/.gitignore similarity index 100% rename from clicon/features_dir/genia/.gitignore rename to clicon/features_dir/genia_dir/.gitignore diff --git a/clicon/features_dir/genia/__init__.py b/clicon/features_dir/genia_dir/__init__.py similarity index 100% rename from clicon/features_dir/genia/__init__.py rename to clicon/features_dir/genia_dir/__init__.py diff --git a/clicon/features_dir/genia_dir/genia_cache b/clicon/features_dir/genia_dir/genia_cache new file mode 100644 index 0000000..3f7273c --- /dev/null +++ b/clicon/features_dir/genia_dir/genia_cache @@ -0,0 +1,722784 @@ +(dp1 +S'Sodium and potassium at this time were 128/1.5 .' +p2 +(lp3 +S'Sodium\tSodium\tNN\tB-NP\tO' +p4 +aS'and\tand\tCC\tI-NP\tO' +p5 +aS'potassium\tpotassium\tNN\tI-NP\tO' +p6 +aS'at\tat\tIN\tB-PP\tO' +p7 +aS'this\tthis\tDT\tB-NP\tO' +p8 +aS'time\ttime\tNN\tI-NP\tO' +p9 +aS'were\tbe\tVBD\tB-VP\tO' +p10 +aS'128/1.5\t128/1.5\tCD\tB-NP\tO' +p11 +aS'.\t.\t.\tO\tO' +p12 +asS'The patient had no mediastinal widening on chest x-ray , but was transferred to Verg Medical Center for further evaluation .' +p13 +(lp14 +S'The\tThe\tDT\tB-NP\tO' +p15 +aS'patient\tpatient\tNN\tI-NP\tO' +p16 +aS'had\thave\tVBD\tB-VP\tO' +p17 +aS'no\tno\tDT\tB-NP\tO' +p18 +aS'mediastinal\tmediastinal\tJJ\tI-NP\tO' +p19 +aS'widening\twidening\tNN\tI-NP\tO' +p20 +aS'on\ton\tIN\tB-PP\tO' +p21 +aS'chest\tchest\tNN\tB-NP\tO' +p22 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p23 +aS',\t,\t,\tO\tO' +p24 +aS'but\tbut\tCC\tO\tO' +p25 +aS'was\tbe\tVBD\tB-VP\tO' +p26 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p27 +aS'to\tto\tTO\tB-PP\tO' +p28 +aS'Verg\tVerg\tNNP\tB-NP\tO' +p29 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p30 +aS'Center\tCenter\tNNP\tI-NP\tO' +p31 +aS'for\tfor\tIN\tB-PP\tO' +p32 +aS'further\tfurther\tJJ\tB-NP\tO' +p33 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p34 +aS'.\t.\t.\tO\tO' +p35 +asS'She retropulsed and would have pitched backwards without the assistance of the examiner .' +p36 +(lp37 +S'She\tShe\tPRP\tB-NP\tO' +p38 +aS'retropulsed\tretropulse\tVBD\tB-VP\tO' +p39 +aS'and\tand\tCC\tO\tO' +p40 +aS'would\twould\tMD\tB-VP\tO' +p41 +aS'have\thave\tVB\tI-VP\tO' +p42 +aS'pitched\tpitch\tVBN\tI-VP\tO' +p43 +aS'backwards\tbackward\tNNS\tB-NP\tO' +p44 +aS'without\twithout\tIN\tB-PP\tO' +p45 +aS'the\tthe\tDT\tB-NP\tO' +p46 +aS'assistance\tassistance\tNN\tI-NP\tO' +p47 +aS'of\tof\tIN\tB-PP\tO' +p48 +aS'the\tthe\tDT\tB-NP\tO' +p49 +aS'examiner\texaminer\tNN\tI-NP\tO' +p50 +aS'.\t.\t.\tO\tO' +p51 +asS'Alert and oriented x3 .' +p52 +(lp53 +S'Alert\tAlert\tNNP\tB-NP\tO' +p54 +aS'and\tand\tCC\tO\tO' +p55 +aS'oriented\torient\tVBN\tB-NP\tO' +p56 +aS'x3\tx3\tNN\tI-NP\tO' +p57 +aS'.\t.\t.\tO\tO' +p58 +asS'Neurology was also consulted and a head CT showed old lacunar infarcts but no acute causes for a change in mental status .' +p59 +(lp60 +S'Neurology\tNeurology\tNN\tB-NP\tO' +p61 +aS'was\tbe\tVBD\tB-VP\tO' +p62 +aS'also\talso\tRB\tI-VP\tO' +p63 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p64 +aS'and\tand\tCC\tO\tO' +p65 +aS'a\ta\tDT\tB-NP\tO' +p66 +aS'head\thead\tNN\tI-NP\tO' +p67 +aS'CT\tCT\tNN\tI-NP\tO' +p68 +aS'showed\tshow\tVBD\tB-VP\tO' +p69 +aS'old\told\tJJ\tB-NP\tO' +p70 +aS'lacunar\tlacunar\tJJ\tI-NP\tO' +p71 +aS'infarcts\tinfarct\tNNS\tI-NP\tO' +p72 +aS'but\tbut\tCC\tO\tO' +p73 +aS'no\tno\tDT\tB-NP\tO' +p74 +aS'acute\tacute\tJJ\tI-NP\tO' +p75 +aS'causes\tcause\tNNS\tI-NP\tO' +p76 +aS'for\tfor\tIN\tB-PP\tO' +p77 +aS'a\ta\tDT\tB-NP\tO' +p78 +aS'change\tchange\tNN\tI-NP\tO' +p79 +aS'in\tin\tIN\tB-PP\tO' +p80 +aS'mental\tmental\tJJ\tB-NP\tO' +p81 +aS'status\tstatus\tNN\tI-NP\tO' +p82 +aS'.\t.\t.\tO\tO' +p83 +asS'The patient was pronounced dead .' +p84 +(lp85 +S'The\tThe\tDT\tB-NP\tO' +p86 +aS'patient\tpatient\tNN\tI-NP\tO' +p87 +aS'was\tbe\tVBD\tB-VP\tO' +p88 +aS'pronounced\tpronounce\tVBN\tI-VP\tO' +p89 +aS'dead\tdead\tJJ\tB-ADJP\tO' +p90 +aS'.\t.\t.\tO\tO' +p91 +asS'3) Aspirin 81 mg p.o. q. day .' +p92 +(lp93 +S'3)\t3)\tLS\tB-LST\tO' +p94 +aS'Aspirin\tAspirin\tNN\tB-NP\tO' +p95 +aS'81\t81\tCD\tI-NP\tO' +p96 +aS'mg\tmg\tNN\tI-NP\tO' +p97 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p98 +aS'q.\tq.\tNN\tI-NP\tO' +p99 +aS'day\tday\tNN\tI-NP\tO' +p100 +aS'.\t.\t.\tO\tO' +p101 +asS'Gadolinium-enhanced MRI would also help for further assessment .' +p102 +(lp103 +S'Gadolinium-enhanced\tGadolinium-enhanced\tJJ\tB-NP\tO' +p104 +aS'MRI\tMRI\tNN\tI-NP\tO' +p105 +aS'would\twould\tMD\tB-VP\tO' +p106 +aS'also\talso\tRB\tI-VP\tO' +p107 +aS'help\thelp\tVB\tI-VP\tO' +p108 +aS'for\tfor\tIN\tB-PP\tO' +p109 +aS'further\tfurther\tJJ\tB-NP\tO' +p110 +aS'assessment\tassessment\tNN\tI-NP\tO' +p111 +aS'.\t.\t.\tO\tO' +p112 +asS'The patient 's pain from his catheters was controlled with Oxycodone and Motrin .' +p113 +(lp114 +S'The\tThe\tDT\tB-NP\tO' +p115 +aS'patient\tpatient\tNN\tI-NP\tO' +p116 +aS''s\t'\tNNS\tI-NP\tO' +p117 +aS'pain\tpain\tNN\tI-NP\tO' +p118 +aS'from\tfrom\tIN\tB-PP\tO' +p119 +aS'his\this\tPRP$\tB-NP\tO' +p120 +aS'catheters\tcatheter\tNNS\tI-NP\tO' +p121 +aS'was\tbe\tVBD\tB-VP\tO' +p122 +aS'controlled\tcontrol\tVBN\tI-VP\tO' +p123 +aS'with\twith\tIN\tB-PP\tO' +p124 +aS'Oxycodone\tOxycodone\tNN\tB-NP\tO' +p125 +aS'and\tand\tCC\tI-NP\tO' +p126 +aS'Motrin\tMotrin\tNN\tI-NP\tO' +p127 +aS'.\t.\t.\tO\tO' +p128 +asS'On discharge , the patient was restarted on her Coumadin , which was held for her right heart catheterization , and her biopsy , and her ICD placement .' +p129 +(lp130 +S'On\tOn\tIN\tB-PP\tO' +p131 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p132 +aS',\t,\t,\tO\tO' +p133 +aS'the\tthe\tDT\tB-NP\tO' +p134 +aS'patient\tpatient\tNN\tI-NP\tO' +p135 +aS'was\tbe\tVBD\tB-VP\tO' +p136 +aS'restarted\trestart\tVBN\tI-VP\tO' +p137 +aS'on\ton\tIN\tB-PP\tO' +p138 +aS'her\ther\tPRP$\tB-NP\tO' +p139 +aS'Coumadin\tCoumadin\tNN\tI-NP\tO' +p140 +aS',\t,\t,\tO\tO' +p141 +aS'which\twhich\tWDT\tB-NP\tO' +p142 +aS'was\tbe\tVBD\tB-VP\tO' +p143 +aS'held\thold\tVBN\tI-VP\tO' +p144 +aS'for\tfor\tIN\tB-PP\tO' +p145 +aS'her\ther\tPRP$\tB-NP\tO' +p146 +aS'right\tright\tJJ\tI-NP\tO' +p147 +aS'heart\theart\tNN\tI-NP\tO' +p148 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p149 +aS',\t,\t,\tO\tO' +p150 +aS'and\tand\tCC\tO\tO' +p151 +aS'her\ther\tPRP$\tB-NP\tO' +p152 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p153 +aS',\t,\t,\tO\tO' +p154 +aS'and\tand\tCC\tO\tO' +p155 +aS'her\ther\tPRP$\tB-NP\tO' +p156 +aS'ICD\tICD\tNN\tI-NP\tO' +p157 +aS'placement\tplacement\tNN\tI-NP\tO' +p158 +aS'.\t.\t.\tO\tO' +p159 +asS'7. Lansoprazole 30 mg Capsule , Delayed Release ( E.C. ) Sig : One ( 1 ) Capsule , Delayed Release ( E.C. ) PO BID ( 2 times a day ) .' +p160 +(lp161 +S'7.\t7.\tCD\tB-NP\tO' +p162 +aS'Lansoprazole\tLansoprazole\tNN\tI-NP\tO' +p163 +aS'30\t30\tCD\tB-NP\tO' +p164 +aS'mg\tmg\tNN\tI-NP\tO' +p165 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p166 +aS',\t,\t,\tO\tO' +p167 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p168 +aS'Release\tRelease\tNNP\tI-NP\tO' +p169 +aS'(\t(\t(\tO\tO' +p170 +aS'E.C.\tE.C.\tNNP\tB-NP\tO' +p171 +aS')\t)\t)\tO\tO' +p172 +aS'Sig\tSig\tNNP\tB-NP\tO' +p173 +aS':\t:\t:\tO\tO' +p174 +aS'One\tOne\tCD\tB-NP\tO' +p175 +aS'(\t(\t(\tO\tO' +p176 +aS'1\t1\tCD\tB-NP\tO' +p177 +aS')\t)\t)\tO\tO' +p178 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p179 +aS',\t,\t,\tO\tO' +p180 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p181 +aS'Release\tRelease\tNNP\tI-NP\tO' +p182 +aS'(\t(\t(\tO\tO' +p183 +aS'E.C.\tE.C.\tNNP\tO\tO' +p184 +aS')\t)\t)\tO\tO' +p185 +aS'PO\tPO\tNN\tB-NP\tO' +p186 +aS'BID\tBID\tNN\tI-NP\tO' +p187 +aS'(\t(\t(\tO\tO' +p188 +aS'2\t2\tCD\tB-NP\tO' +p189 +aS'times\ttime\tNNS\tI-NP\tO' +p190 +aS'a\ta\tDT\tB-NP\tO' +p191 +aS'day\tday\tNN\tI-NP\tO' +p192 +aS')\t)\t)\tO\tO' +p193 +aS'.\t.\t.\tO\tO' +p194 +asS'He was restarted on his home regimen of antihypertensives without difficulty ( metoprolol 75 tid , clonidine patch and oral , nifedipine 30 SR q daily ).' +p195 +(lp196 +S'He\tHe\tPRP\tB-NP\tO' +p197 +aS'was\tbe\tVBD\tB-VP\tO' +p198 +aS'restarted\trestart\tVBN\tI-VP\tO' +p199 +aS'on\ton\tIN\tB-PP\tO' +p200 +aS'his\this\tPRP$\tB-NP\tO' +p201 +aS'home\thome\tNN\tI-NP\tO' +p202 +aS'regimen\tregimen\tNN\tI-NP\tO' +p203 +aS'of\tof\tIN\tB-PP\tO' +p204 +aS'antihypertensives\tantihypertensive\tNNS\tB-NP\tO' +p205 +aS'without\twithout\tIN\tB-PP\tO' +p206 +aS'difficulty\tdifficulty\tNN\tB-NP\tO' +p207 +aS'(\t(\t(\tO\tO' +p208 +aS'metoprolol\tmetoprolol\tNN\tB-NP\tO' +p209 +aS'75\t75\tCD\tI-NP\tO' +p210 +aS'tid\ttid\tNN\tI-NP\tO' +p211 +aS',\t,\t,\tO\tO' +p212 +aS'clonidine\tclonidine\tNN\tB-NP\tO' +p213 +aS'patch\tpatch\tNN\tI-NP\tO' +p214 +aS'and\tand\tCC\tO\tO' +p215 +aS'oral\toral\tJJ\tB-ADJP\tO' +p216 +aS',\t,\t,\tO\tO' +p217 +aS'nifedipine\tnifedipine\tNN\tB-NP\tO' +p218 +aS'30\t30\tCD\tI-NP\tO' +p219 +aS'SR\tSR\tNN\tI-NP\tO' +p220 +aS'q\tq\tNN\tI-NP\tO' +p221 +aS'daily\tdaily\tJJ\tI-NP\tO' +p222 +aS').\t).\tNNS\tI-NP\tO' +p223 +asS'1. Protonix 40 mg q day .' +p224 +(lp225 +S'1.\t1.\tLS\tB-NP\tO' +p226 +aS'Protonix\tProtonix\tNNP\tI-NP\tO' +p227 +aS'40\t40\tCD\tI-NP\tO' +p228 +aS'mg\tmg\tNN\tI-NP\tO' +p229 +aS'q\tq\tNN\tI-NP\tO' +p230 +aS'day\tday\tNN\tI-NP\tO' +p231 +aS'.\t.\t.\tO\tO' +p232 +asS'Rest of vitals BP 112/70 , HR 60 .' +p233 +(lp234 +S'Rest\tR\tJJS\tB-NP\tO' +p235 +aS'of\tof\tIN\tB-PP\tO' +p236 +aS'vitals\tvital\tNNS\tB-NP\tO' +p237 +aS'BP\tBP\tNN\tB-NP\tO' +p238 +aS'112/70\t112/70\tCD\tI-NP\tO' +p239 +aS',\t,\t,\tO\tO' +p240 +aS'HR\tHR\tNN\tB-NP\tB-protein' +p241 +aS'60\t60\tCD\tI-NP\tI-protein' +p242 +aS'.\t.\t.\tO\tO' +p243 +asS'The etiology of the patient 's nausea remained unclear as she demonstrated ability to keep down many of her meals which did not suggest an anatomical lesion of her gastrointestinal tract .' +p244 +(lp245 +S'The\tThe\tDT\tB-NP\tO' +p246 +aS'etiology\tetiology\tNN\tI-NP\tO' +p247 +aS'of\tof\tIN\tB-PP\tO' +p248 +aS'the\tthe\tDT\tB-NP\tO' +p249 +aS'patient\tpatient\tNN\tI-NP\tO' +p250 +aS''s\t'\tNNS\tI-NP\tO' +p251 +aS'nausea\tnausea\tNN\tI-NP\tO' +p252 +aS'remained\tremain\tVBD\tB-VP\tO' +p253 +aS'unclear\tunclear\tJJ\tB-ADJP\tO' +p254 +aS'as\tas\tIN\tB-SBAR\tO' +p255 +aS'she\tshe\tPRP\tB-NP\tO' +p256 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p257 +aS'ability\tability\tNN\tB-NP\tO' +p258 +aS'to\tto\tTO\tB-VP\tO' +p259 +aS'keep\tkeep\tVB\tI-VP\tO' +p260 +aS'down\tdown\tRB\tB-ADVP\tO' +p261 +aS'many\tmany\tJJ\tB-NP\tO' +p262 +aS'of\tof\tIN\tB-PP\tO' +p263 +aS'her\ther\tPRP$\tB-NP\tO' +p264 +aS'meals\tmeal\tNNS\tI-NP\tO' +p265 +aS'which\twhich\tWDT\tB-NP\tO' +p266 +aS'did\tdo\tVBD\tB-VP\tO' +p267 +aS'not\tnot\tRB\tI-VP\tO' +p268 +aS'suggest\tsuggest\tVB\tI-VP\tO' +p269 +aS'an\tan\tDT\tB-NP\tO' +p270 +aS'anatomical\tanatomical\tJJ\tI-NP\tO' +p271 +aS'lesion\tlesion\tNN\tI-NP\tO' +p272 +aS'of\tof\tIN\tB-PP\tO' +p273 +aS'her\ther\tPRP$\tB-NP\tO' +p274 +aS'gastrointestinal\tgastrointestinal\tJJ\tI-NP\tO' +p275 +aS'tract\ttract\tNN\tI-NP\tO' +p276 +aS'.\t.\t.\tO\tO' +p277 +asS'Repeat white cell count 6.4 , hematocrit 34 , platelets 103 .' +p278 +(lp279 +S'Repeat\tRepeat\tNN\tB-NP\tO' +p280 +aS'white\twhite\tJJ\tI-NP\tO' +p281 +aS'cell\tcell\tNN\tI-NP\tO' +p282 +aS'count\tcount\tNN\tI-NP\tO' +p283 +aS'6.4\t6.4\tCD\tB-NP\tO' +p284 +aS',\t,\t,\tO\tO' +p285 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p286 +aS'34\t34\tCD\tI-NP\tI-protein' +p287 +aS',\t,\t,\tO\tO' +p288 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p289 +aS'103\t103\tCD\tB-NP\tO' +p290 +aS'.\t.\t.\tO\tO' +p291 +asS'sister with unknown ca .' +p292 +(lp293 +S'sister\tsister\tNN\tB-NP\tO' +p294 +aS'with\twith\tIN\tB-PP\tO' +p295 +aS'unknown\tunknown\tJJ\tB-NP\tO' +p296 +aS'ca\tca\tNN\tI-NP\tO' +p297 +aS'.\t.\t.\tO\tO' +p298 +asS'Denies tobacco history .' +p299 +(lp300 +S'Denies\tDeny\tNNS\tB-NP\tO' +p301 +aS'tobacco\ttobacco\tNN\tI-NP\tO' +p302 +aS'history\thistory\tNN\tI-NP\tO' +p303 +aS'.\t.\t.\tO\tO' +p304 +asS'There was no history of strokes or bleeding disorders in the family .' +p305 +(lp306 +S'There\tThere\tEX\tB-NP\tO' +p307 +aS'was\tbe\tVBD\tB-VP\tO' +p308 +aS'no\tno\tDT\tB-NP\tO' +p309 +aS'history\thistory\tNN\tI-NP\tO' +p310 +aS'of\tof\tIN\tB-PP\tO' +p311 +aS'strokes\tstroke\tNNS\tB-NP\tO' +p312 +aS'or\tor\tCC\tO\tO' +p313 +aS'bleeding\tbleed\tVBG\tB-VP\tO' +p314 +aS'disorders\tdisorder\tNNS\tB-NP\tO' +p315 +aS'in\tin\tIN\tB-PP\tO' +p316 +aS'the\tthe\tDT\tB-NP\tO' +p317 +aS'family\tfamily\tNN\tI-NP\tO' +p318 +aS'.\t.\t.\tO\tO' +p319 +asS'The patient has a history of laryngeal cancer in 2000 and 2001 , CVA in 2001 to 2002 and hypertension , who has a six month history of progressive difficulty in ambulation .' +p320 +(lp321 +S'The\tThe\tDT\tB-NP\tO' +p322 +aS'patient\tpatient\tNN\tI-NP\tO' +p323 +aS'has\thave\tVBZ\tB-VP\tO' +p324 +aS'a\ta\tDT\tB-NP\tO' +p325 +aS'history\thistory\tNN\tI-NP\tO' +p326 +aS'of\tof\tIN\tB-PP\tO' +p327 +aS'laryngeal\tlaryngeal\tJJ\tB-NP\tO' +p328 +aS'cancer\tcancer\tNN\tI-NP\tO' +p329 +aS'in\tin\tIN\tB-PP\tO' +p330 +aS'2000\t2000\tCD\tB-NP\tO' +p331 +aS'and\tand\tCC\tI-NP\tO' +p332 +aS'2001\t2001\tCD\tI-NP\tO' +p333 +aS',\t,\t,\tO\tO' +p334 +aS'CVA\tCVA\tNN\tB-NP\tB-protein' +p335 +aS'in\tin\tIN\tB-PP\tO' +p336 +aS'2001\t2001\tCD\tB-NP\tO' +p337 +aS'to\tto\tTO\tB-PP\tO' +p338 +aS'2002\t2002\tCD\tB-NP\tO' +p339 +aS'and\tand\tCC\tO\tO' +p340 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p341 +aS',\t,\t,\tO\tO' +p342 +aS'who\twho\tWP\tB-NP\tO' +p343 +aS'has\thave\tVBZ\tB-VP\tO' +p344 +aS'a\ta\tDT\tB-NP\tO' +p345 +aS'six\tsix\tCD\tI-NP\tO' +p346 +aS'month\tmonth\tNN\tI-NP\tO' +p347 +aS'history\thistory\tNN\tI-NP\tO' +p348 +aS'of\tof\tIN\tB-PP\tO' +p349 +aS'progressive\tprogressive\tJJ\tB-NP\tO' +p350 +aS'difficulty\tdifficulty\tNN\tI-NP\tO' +p351 +aS'in\tin\tIN\tB-PP\tO' +p352 +aS'ambulation\tambulation\tNN\tB-NP\tO' +p353 +aS'.\t.\t.\tO\tO' +p354 +asS'ENTEROCOCCUS FAECIUM .' +p355 +(lp356 +S'ENTEROCOCCUS\tENTEROCOCCUS\tNNP\tB-NP\tO' +p357 +aS'FAECIUM\tFAECIUM\tNNP\tI-NP\tO' +p358 +aS'.\t.\t.\tO\tO' +p359 +asS'It was felt that , because of the evidence of congestive heart failure and the critical left main lesion , he should be admitted for further evaluation .' +p360 +(lp361 +S'It\tIt\tPRP\tB-NP\tO' +p362 +aS'was\tbe\tVBD\tB-VP\tO' +p363 +aS'felt\tfeel\tVBN\tI-VP\tO' +p364 +aS'that\tthat\tIN\tB-SBAR\tO' +p365 +aS',\t,\t,\tO\tO' +p366 +aS'because\tbecause\tIN\tB-PP\tO' +p367 +aS'of\tof\tIN\tI-PP\tO' +p368 +aS'the\tthe\tDT\tB-NP\tO' +p369 +aS'evidence\tevidence\tNN\tI-NP\tO' +p370 +aS'of\tof\tIN\tB-PP\tO' +p371 +aS'congestive\tcongestive\tJJ\tB-NP\tO' +p372 +aS'heart\theart\tNN\tI-NP\tO' +p373 +aS'failure\tfailure\tNN\tI-NP\tO' +p374 +aS'and\tand\tCC\tO\tO' +p375 +aS'the\tthe\tDT\tB-NP\tO' +p376 +aS'critical\tcritical\tJJ\tI-NP\tO' +p377 +aS'left\tleft\tJJ\tI-NP\tO' +p378 +aS'main\tmain\tJJ\tI-NP\tO' +p379 +aS'lesion\tlesion\tNN\tI-NP\tO' +p380 +aS',\t,\t,\tO\tO' +p381 +aS'he\the\tPRP\tB-NP\tO' +p382 +aS'should\tshould\tMD\tB-VP\tO' +p383 +aS'be\tbe\tVB\tI-VP\tO' +p384 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p385 +aS'for\tfor\tIN\tB-PP\tO' +p386 +aS'further\tfurther\tJJ\tB-NP\tO' +p387 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p388 +aS'.\t.\t.\tO\tO' +p389 +asS'Lung volumes are low .' +p390 +(lp391 +S'Lung\tLung\tNN\tB-NP\tB-protein' +p392 +aS'volumes\tvolume\tNNS\tI-NP\tI-protein' +p393 +aS'are\tbe\tVBP\tB-VP\tO' +p394 +aS'low\tlow\tJJ\tB-ADJP\tO' +p395 +aS'.\t.\t.\tO\tO' +p396 +asS'Depression and anxiety .' +p397 +(lp398 +S'Depression\tDepression\tNN\tB-NP\tO' +p399 +aS'and\tand\tCC\tI-NP\tO' +p400 +aS'anxiety\tanxiety\tNN\tI-NP\tO' +p401 +aS'.\t.\t.\tO\tO' +p402 +asS'Vitamin B12 of 855 , folic acid of 15.4 .' +p403 +(lp404 +S'Vitamin\tVitamin\tNN\tB-NP\tO' +p405 +aS'B12\tB12\tNN\tI-NP\tO' +p406 +aS'of\tof\tIN\tB-PP\tO' +p407 +aS'855\t855\tCD\tB-NP\tO' +p408 +aS',\t,\t,\tO\tO' +p409 +aS'folic\tfolic\tJJ\tB-NP\tO' +p410 +aS'acid\tacid\tNN\tI-NP\tO' +p411 +aS'of\tof\tIN\tB-PP\tO' +p412 +aS'15.4\t15.4\tCD\tB-NP\tO' +p413 +aS'.\t.\t.\tO\tO' +p414 +asS'She is able at baseline to walk one flight of stairs , 2 floor apartment .' +p415 +(lp416 +S'She\tShe\tPRP\tB-NP\tO' +p417 +aS'is\tbe\tVBZ\tB-VP\tO' +p418 +aS'able\table\tJJ\tB-ADJP\tO' +p419 +aS'at\tat\tIN\tB-PP\tO' +p420 +aS'baseline\tbaseline\tNN\tB-NP\tO' +p421 +aS'to\tto\tTO\tB-VP\tO' +p422 +aS'walk\twalk\tVB\tI-VP\tO' +p423 +aS'one\tone\tCD\tB-NP\tO' +p424 +aS'flight\tflight\tNN\tI-NP\tO' +p425 +aS'of\tof\tIN\tB-PP\tO' +p426 +aS'stairs\tstair\tNNS\tB-NP\tO' +p427 +aS',\t,\t,\tO\tO' +p428 +aS'2\t2\tCD\tB-NP\tO' +p429 +aS'floor\tfloor\tNN\tI-NP\tO' +p430 +aS'apartment\tapartment\tNN\tI-NP\tO' +p431 +aS'.\t.\t.\tO\tO' +p432 +asS'Pheresis Friday 08-17 then Monday 08-20' +p433 +(lp434 +S'Pheresis\tPheresis\tNN\tB-NP\tO' +p435 +aS'Friday\tFriday\tNNP\tB-NP\tO' +p436 +aS'08-17\t08-17\tCD\tI-NP\tO' +p437 +aS'then\tthen\tRB\tO\tO' +p438 +aS'Monday\tMonday\tNNP\tB-NP\tO' +p439 +aS'08-20\t08-20\tCD\tI-NP\tO' +p440 +asS'7. Paraphimosis .' +p441 +(lp442 +S'7.\t7.\tCD\tB-NP\tO' +p443 +aS'Paraphimosis\tParaphimosis\tNNP\tI-NP\tO' +p444 +aS'.\t.\t.\tO\tO' +p445 +asS'Phenobarbital and Dilantin given for seizure control .' +p446 +(lp447 +S'Phenobarbital\tPhenobarbital\tNN\tB-NP\tO' +p448 +aS'and\tand\tCC\tI-NP\tO' +p449 +aS'Dilantin\tDilantin\tNN\tI-NP\tO' +p450 +aS'given\tgive\tVBN\tB-VP\tO' +p451 +aS'for\tfor\tIN\tB-PP\tO' +p452 +aS'seizure\tseizure\tNN\tB-NP\tO' +p453 +aS'control\tcontrol\tNN\tI-NP\tO' +p454 +aS'.\t.\t.\tO\tO' +p455 +asS'You should have follow-up blood tests by your primary care physician B 3 months .' +p456 +(lp457 +S'You\tYou\tPRP\tB-NP\tB-protein' +p458 +aS'should\tshould\tMD\tB-VP\tO' +p459 +aS'have\thave\tVB\tI-VP\tO' +p460 +aS'follow-up\tfollow-up\tJJ\tB-NP\tO' +p461 +aS'blood\tblood\tNN\tI-NP\tO' +p462 +aS'tests\ttest\tNNS\tI-NP\tO' +p463 +aS'by\tby\tIN\tB-PP\tO' +p464 +aS'your\tyour\tPRP$\tB-NP\tO' +p465 +aS'primary\tprimary\tJJ\tI-NP\tO' +p466 +aS'care\tcare\tNN\tI-NP\tO' +p467 +aS'physician\tphysician\tNN\tI-NP\tO' +p468 +aS'B\tB\tNN\tI-NP\tO' +p469 +aS'3\t3\tCD\tB-NP\tO' +p470 +aS'months\tmonth\tNNS\tI-NP\tO' +p471 +aS'.\t.\t.\tO\tO' +p472 +asS'At the time of discharge he was tolerating a full diet , out of bed with pain , tolerated on po. medications .' +p473 +(lp474 +S'At\tAt\tIN\tB-PP\tO' +p475 +aS'the\tthe\tDT\tB-NP\tO' +p476 +aS'time\ttime\tNN\tI-NP\tO' +p477 +aS'of\tof\tIN\tB-PP\tO' +p478 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p479 +aS'he\the\tPRP\tB-NP\tO' +p480 +aS'was\tbe\tVBD\tB-VP\tO' +p481 +aS'tolerating\ttolerate\tVBG\tI-VP\tO' +p482 +aS'a\ta\tDT\tB-NP\tO' +p483 +aS'full\tfull\tJJ\tI-NP\tO' +p484 +aS'diet\tdiet\tNN\tI-NP\tO' +p485 +aS',\t,\t,\tO\tO' +p486 +aS'out\tout\tIN\tB-PP\tO' +p487 +aS'of\tof\tIN\tB-PP\tO' +p488 +aS'bed\tbed\tNN\tB-NP\tO' +p489 +aS'with\twith\tIN\tB-PP\tO' +p490 +aS'pain\tpain\tNN\tB-NP\tO' +p491 +aS',\t,\t,\tO\tO' +p492 +aS'tolerated\ttolerate\tVBN\tB-VP\tO' +p493 +aS'on\ton\tIN\tB-PP\tO' +p494 +aS'po.\tpo.\tNN\tB-NP\tO' +p495 +aS'medications\tmedication\tNNS\tI-NP\tO' +p496 +aS'.\t.\t.\tO\tO' +p497 +asS'Right neck and right groin catheterization sites were benign .' +p498 +(lp499 +S'Right\tRight\tNN\tB-NP\tO' +p500 +aS'neck\tneck\tNN\tI-NP\tO' +p501 +aS'and\tand\tCC\tO\tO' +p502 +aS'right\tright\tJJ\tB-NP\tO' +p503 +aS'groin\tgroin\tNN\tI-NP\tO' +p504 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p505 +aS'sites\tsite\tNNS\tI-NP\tO' +p506 +aS'were\tbe\tVBD\tB-VP\tO' +p507 +aS'benign\tbenign\tJJ\tB-ADJP\tO' +p508 +aS'.\t.\t.\tO\tO' +p509 +asS'Include Neupogen , 480 mcg. subq. q.d. and usual medications .' +p510 +(lp511 +S'Include\tInclude\tNNP\tB-NP\tO' +p512 +aS'Neupogen\tNeupogen\tNN\tI-NP\tO' +p513 +aS',\t,\t,\tO\tO' +p514 +aS'480\t480\tCD\tB-NP\tO' +p515 +aS'mcg.\tmcg.\tNN\tI-NP\tO' +p516 +aS'subq.\tsubq.\tNN\tI-NP\tO' +p517 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p518 +aS'and\tand\tCC\tO\tO' +p519 +aS'usual\tusual\tJJ\tB-NP\tO' +p520 +aS'medications\tmedication\tNNS\tI-NP\tO' +p521 +aS'.\t.\t.\tO\tO' +p522 +asS'bilirubin to be .6 .' +p523 +(lp524 +S'bilirubin\tbilirubin\tNN\tB-NP\tO' +p525 +aS'to\tto\tTO\tB-VP\tO' +p526 +aS'be\tbe\tVB\tI-VP\tO' +p527 +aS'.6\t.6\tCD\tB-NP\tO' +p528 +aS'.\t.\t.\tO\tO' +p529 +asS'She presents for cadaveric pancreas transplantation .' +p530 +(lp531 +S'She\tShe\tPRP\tB-NP\tO' +p532 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p533 +aS'for\tfor\tIN\tB-PP\tO' +p534 +aS'cadaveric\tcadaveric\tJJ\tB-NP\tO' +p535 +aS'pancreas\tpancreas\tNN\tI-NP\tO' +p536 +aS'transplantation\ttransplantation\tNN\tI-NP\tO' +p537 +aS'.\t.\t.\tO\tO' +p538 +asS'SHE HAS BEEN AFEBRILE POST-OPERATIVELY , MAKING GOOD URINE , AMBULATING , EATING A REGULAR DIET WITHOUT ANY COMPLICATIONS .' +p539 +(lp540 +S'SHE\tSHE\tNNP\tB-NP\tO' +p541 +aS'HAS\tHAS\tNNP\tI-NP\tO' +p542 +aS'BEEN\tBEEN\tNNP\tI-NP\tO' +p543 +aS'AFEBRILE\tAFEBRILE\tNNP\tI-NP\tO' +p544 +aS'POST-OPERATIVELY\tPOST-OPERATIVELY\tNNP\tI-NP\tO' +p545 +aS',\t,\t,\tO\tO' +p546 +aS'MAKING\tMAKING\tNNP\tB-NP\tO' +p547 +aS'GOOD\tGOOD\tNNP\tI-NP\tO' +p548 +aS'URINE\tURINE\tNNP\tI-NP\tO' +p549 +aS',\t,\t,\tO\tO' +p550 +aS'AMBULATING\tAMBULATING\tNNP\tB-NP\tO' +p551 +aS',\t,\t,\tO\tO' +p552 +aS'EATING\tEATING\tNN\tB-NP\tO' +p553 +aS'A\tA\tNN\tI-NP\tO' +p554 +aS'REGULAR\tREGULAR\tNN\tI-NP\tO' +p555 +aS'DIET\tDIET\tNN\tI-NP\tO' +p556 +aS'WITHOUT\tWITHOUT\tNN\tI-NP\tO' +p557 +aS'ANY\tANY\tNN\tI-NP\tO' +p558 +aS'COMPLICATIONS\tCOMPLICATIONS\tNNS\tI-NP\tO' +p559 +aS'.\t.\t.\tO\tO' +p560 +asS'Abdomen without mass .' +p561 +(lp562 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p563 +aS'without\twithout\tIN\tB-PP\tO' +p564 +aS'mass\tmass\tNN\tB-NP\tO' +p565 +aS'.\t.\t.\tO\tO' +p566 +asS'Because his need for multiple transfusionsm he was transfused with radiated Leuco four units .' +p567 +(lp568 +S'Because\tBecause\tIN\tB-SBAR\tO' +p569 +aS'his\this\tPRP$\tB-NP\tO' +p570 +aS'need\tneed\tNN\tI-NP\tO' +p571 +aS'for\tfor\tIN\tB-PP\tO' +p572 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p573 +aS'transfusionsm\ttransfusionsm\tNN\tI-NP\tO' +p574 +aS'he\the\tPRP\tB-NP\tO' +p575 +aS'was\tbe\tVBD\tB-VP\tO' +p576 +aS'transfused\ttransfuse\tVBN\tI-VP\tO' +p577 +aS'with\twith\tIN\tB-PP\tO' +p578 +aS'radiated\tradiate\tVBN\tB-NP\tO' +p579 +aS'Leuco\tLeuco\tNNP\tI-NP\tO' +p580 +aS'four\tfour\tCD\tI-NP\tO' +p581 +aS'units\tunit\tNNS\tI-NP\tO' +p582 +aS'.\t.\t.\tO\tO' +p583 +asS'The differential diagnosis includes , but is not limited to , sarcoma , spindle cell carcinomas ( sarcomatoid carcinoma of the upper aerodigestive tract and anaplastic thyroid carcinoma ) , and malignant salivary gland neoplasms .' +p584 +(lp585 +S'The\tThe\tDT\tB-NP\tO' +p586 +aS'differential\tdifferential\tJJ\tI-NP\tO' +p587 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p588 +aS'includes\tinclude\tVBZ\tB-VP\tO' +p589 +aS',\t,\t,\tO\tO' +p590 +aS'but\tbut\tCC\tO\tO' +p591 +aS'is\tbe\tVBZ\tB-VP\tO' +p592 +aS'not\tnot\tRB\tI-VP\tO' +p593 +aS'limited\tlimit\tVBN\tI-VP\tO' +p594 +aS'to\tto\tTO\tB-PP\tO' +p595 +aS',\t,\t,\tO\tO' +p596 +aS'sarcoma\tsarcoma\tNN\tB-NP\tO' +p597 +aS',\t,\t,\tO\tO' +p598 +aS'spindle\tspindle\tNN\tB-NP\tO' +p599 +aS'cell\tcell\tNN\tI-NP\tO' +p600 +aS'carcinomas\tcarcinoma\tNNS\tI-NP\tO' +p601 +aS'(\t(\t(\tO\tO' +p602 +aS'sarcomatoid\tsarcomatoid\tJJ\tB-NP\tO' +p603 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p604 +aS'of\tof\tIN\tB-PP\tO' +p605 +aS'the\tthe\tDT\tB-NP\tO' +p606 +aS'upper\tupper\tJJ\tI-NP\tO' +p607 +aS'aerodigestive\taerodigestive\tJJ\tI-NP\tO' +p608 +aS'tract\ttract\tNN\tI-NP\tO' +p609 +aS'and\tand\tCC\tO\tO' +p610 +aS'anaplastic\tanaplastic\tJJ\tB-NP\tO' +p611 +aS'thyroid\tthyroid\tNN\tI-NP\tO' +p612 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p613 +aS')\t)\t)\tO\tO' +p614 +aS',\t,\t,\tO\tO' +p615 +aS'and\tand\tCC\tO\tO' +p616 +aS'malignant\tmalignant\tJJ\tB-NP\tB-cell_type' +p617 +aS'salivary\tsalivary\tJJ\tI-NP\tI-cell_type' +p618 +aS'gland\tgland\tNN\tI-NP\tI-cell_type' +p619 +aS'neoplasms\tneoplasm\tNNS\tI-NP\tI-cell_type' +p620 +aS'.\t.\t.\tO\tO' +p621 +asS'The patient had to be taken back to the Operating Room where a repair of the left pulmonary artery was performed .' +p622 +(lp623 +S'The\tThe\tDT\tB-NP\tO' +p624 +aS'patient\tpatient\tNN\tI-NP\tO' +p625 +aS'had\thave\tVBD\tB-VP\tO' +p626 +aS'to\tto\tTO\tI-VP\tO' +p627 +aS'be\tbe\tVB\tI-VP\tO' +p628 +aS'taken\ttake\tVBN\tI-VP\tO' +p629 +aS'back\tback\tRB\tB-ADVP\tO' +p630 +aS'to\tto\tTO\tB-PP\tO' +p631 +aS'the\tthe\tDT\tB-NP\tO' +p632 +aS'Operating\tOperating\tNNP\tI-NP\tO' +p633 +aS'Room\tRoom\tNNP\tI-NP\tO' +p634 +aS'where\twhere\tWRB\tB-ADVP\tO' +p635 +aS'a\ta\tDT\tB-NP\tO' +p636 +aS'repair\trepair\tNN\tI-NP\tO' +p637 +aS'of\tof\tIN\tB-PP\tO' +p638 +aS'the\tthe\tDT\tB-NP\tO' +p639 +aS'left\tleft\tJJ\tI-NP\tO' +p640 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p641 +aS'artery\tartery\tNN\tI-NP\tO' +p642 +aS'was\tbe\tVBD\tB-VP\tO' +p643 +aS'performed\tperform\tVBN\tI-VP\tO' +p644 +aS'.\t.\t.\tO\tO' +p645 +asS'Amniocentesis was not performed .' +p646 +(lp647 +S'Amniocentesis\tAmniocentesis\tNN\tB-NP\tO' +p648 +aS'was\tbe\tVBD\tB-VP\tO' +p649 +aS'not\tnot\tRB\tI-VP\tO' +p650 +aS'performed\tperform\tVBN\tI-VP\tO' +p651 +aS'.\t.\t.\tO\tO' +p652 +asS'The patient 's preliminary admitting physician is KOTEDAIZREKE , LILA and the preliminary admitting diagnosis is CP .' +p653 +(lp654 +S'The\tThe\tDT\tB-NP\tO' +p655 +aS'patient\tpatient\tNN\tI-NP\tO' +p656 +aS''s\t'\tNNS\tI-NP\tO' +p657 +aS'preliminary\tpreliminary\tJJ\tB-NP\tO' +p658 +aS'admitting\tadmit\tVBG\tI-NP\tO' +p659 +aS'physician\tphysician\tNN\tI-NP\tO' +p660 +aS'is\tbe\tVBZ\tB-VP\tO' +p661 +aS'KOTEDAIZREKE\tKOTEDAIZREKE\tNN\tB-NP\tO' +p662 +aS',\t,\t,\tO\tO' +p663 +aS'LILA\tLILA\tNN\tB-NP\tB-protein' +p664 +aS'and\tand\tCC\tO\tO' +p665 +aS'the\tthe\tDT\tB-NP\tO' +p666 +aS'preliminary\tpreliminary\tJJ\tI-NP\tO' +p667 +aS'admitting\tadmit\tVBG\tI-NP\tO' +p668 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p669 +aS'is\tbe\tVBZ\tB-VP\tO' +p670 +aS'CP\tCP\tNN\tB-NP\tB-DNA' +p671 +aS'.\t.\t.\tO\tO' +p672 +asS'Restlessness with body tremors were also noted .' +p673 +(lp674 +S'Restlessness\tRestlessness\tNN\tB-NP\tO' +p675 +aS'with\twith\tIN\tB-PP\tO' +p676 +aS'body\tbody\tNN\tB-NP\tO' +p677 +aS'tremors\ttremor\tNNS\tI-NP\tO' +p678 +aS'were\tbe\tVBD\tB-VP\tO' +p679 +aS'also\talso\tRB\tI-VP\tO' +p680 +aS'noted\tnote\tVBN\tI-VP\tO' +p681 +aS'.\t.\t.\tO\tO' +p682 +asS'We will put him back on his Nexium .' +p683 +(lp684 +S'We\tWe\tPRP\tB-NP\tO' +p685 +aS'will\twill\tMD\tB-VP\tO' +p686 +aS'put\tput\tVB\tI-VP\tO' +p687 +aS'him\thim\tPRP\tB-NP\tO' +p688 +aS'back\tback\tRB\tB-ADVP\tO' +p689 +aS'on\ton\tIN\tB-PP\tO' +p690 +aS'his\this\tPRP$\tB-NP\tO' +p691 +aS'Nexium\tNexium\tNN\tI-NP\tO' +p692 +aS'.\t.\t.\tO\tO' +p693 +asS'Both of these responded to three day course of vitamin K 10 mg each day .' +p694 +(lp695 +S'Both\tBoth\tDT\tB-NP\tO' +p696 +aS'of\tof\tIN\tB-PP\tO' +p697 +aS'these\tthese\tDT\tB-NP\tO' +p698 +aS'responded\trespond\tVBD\tB-VP\tO' +p699 +aS'to\tto\tTO\tB-PP\tO' +p700 +aS'three\tthree\tCD\tB-NP\tO' +p701 +aS'day\tday\tNN\tI-NP\tO' +p702 +aS'course\tcourse\tNN\tI-NP\tO' +p703 +aS'of\tof\tIN\tB-PP\tO' +p704 +aS'vitamin\tvitamin\tNN\tB-NP\tO' +p705 +aS'K\tK\tNN\tI-NP\tO' +p706 +aS'10\t10\tCD\tI-NP\tO' +p707 +aS'mg\tmg\tNN\tI-NP\tO' +p708 +aS'each\teach\tDT\tB-NP\tO' +p709 +aS'day\tday\tNN\tI-NP\tO' +p710 +aS'.\t.\t.\tO\tO' +p711 +asS'The patient was admitted on 05/16/2004 for bowel preparation before the surgery .' +p712 +(lp713 +S'The\tThe\tDT\tB-NP\tO' +p714 +aS'patient\tpatient\tNN\tI-NP\tO' +p715 +aS'was\tbe\tVBD\tB-VP\tO' +p716 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p717 +aS'on\ton\tIN\tB-PP\tO' +p718 +aS'05/16/2004\t05/16/2004\tCD\tB-NP\tO' +p719 +aS'for\tfor\tIN\tB-PP\tO' +p720 +aS'bowel\tbowel\tNN\tB-NP\tO' +p721 +aS'preparation\tpreparation\tNN\tI-NP\tO' +p722 +aS'before\tbefore\tIN\tB-PP\tO' +p723 +aS'the\tthe\tDT\tB-NP\tO' +p724 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p725 +aS'.\t.\t.\tO\tO' +p726 +asS'His abdomen is benign .' +p727 +(lp728 +S'His\tHis\tPRP$\tB-NP\tO' +p729 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p730 +aS'is\tbe\tVBZ\tB-VP\tO' +p731 +aS'benign\tbenign\tJJ\tB-ADJP\tO' +p732 +aS'.\t.\t.\tO\tO' +p733 +asS'Signed electronically by : DR. Richard Blakey on : FRI 2011-12-23 9:54 AM' +p734 +(lp735 +S'Signed\tSign\tVBN\tB-VP\tO' +p736 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p737 +aS'by\tby\tIN\tB-PP\tO' +p738 +aS':\t:\t:\tO\tO' +p739 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p740 +aS'Richard\tRichard\tNNP\tI-NP\tO' +p741 +aS'Blakey\tBlakey\tNNP\tI-NP\tO' +p742 +aS'on\ton\tIN\tB-PP\tO' +p743 +aS':\t:\t:\tO\tO' +p744 +aS'FRI\tFRI\tCD\tB-NP\tO' +p745 +aS'2011-12-23\t2011-12-23\tCD\tI-NP\tO' +p746 +aS'9:54\t9:54\tCD\tI-NP\tO' +p747 +aS'AM\tAM\tNN\tI-NP\tO' +p748 +asS'PRINCIPAL DISCHARGE DIAGNOSIS ; Responsible After Study for Causing Admission ) gastritis' +p749 +(lp750 +S'PRINCIPAL\tPRINCIPAL\tJJ\tB-NP\tO' +p751 +aS'DISCHARGE\tDISCHARGE\tNN\tI-NP\tO' +p752 +aS'DIAGNOSIS\tDIAGNOSIS\tNN\tI-NP\tO' +p753 +aS';\t;\t:\tO\tO' +p754 +aS'Responsible\tResponsible\tJJ\tB-ADJP\tO' +p755 +aS'After\tAfter\tIN\tB-PP\tO' +p756 +aS'Study\tStudy\tNN\tB-NP\tO' +p757 +aS'for\tfor\tIN\tB-PP\tO' +p758 +aS'Causing\tCause\tVBG\tB-VP\tO' +p759 +aS'Admission\tAdmission\tNN\tB-NP\tO' +p760 +aS')\t)\t)\tO\tO' +p761 +aS'gastritis\tgastritis\tNN\tB-NP\tO' +p762 +asS'4. Mitral valve prolapse .' +p763 +(lp764 +S'4.\t4.\tLS\tB-NP\tO' +p765 +aS'Mitral\tMitral\tJJ\tI-NP\tO' +p766 +aS'valve\tvalve\tNN\tI-NP\tO' +p767 +aS'prolapse\tprolapse\tNN\tI-NP\tO' +p768 +aS'.\t.\t.\tO\tO' +p769 +asS'Metoprolol 50 mg PO b.i.d. , Isordil 20 mg PO t.i.d. , Ecotrin aspirin q.day .' +p770 +(lp771 +S'Metoprolol\tMetoprolol\tNN\tB-NP\tO' +p772 +aS'50\t50\tCD\tI-NP\tO' +p773 +aS'mg\tmg\tNN\tI-NP\tO' +p774 +aS'PO\tPO\tNN\tI-NP\tO' +p775 +aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' +p776 +aS',\t,\t,\tO\tO' +p777 +aS'Isordil\tIsordil\tNN\tB-NP\tO' +p778 +aS'20\t20\tCD\tI-NP\tO' +p779 +aS'mg\tmg\tNN\tI-NP\tO' +p780 +aS'PO\tPO\tNN\tI-NP\tO' +p781 +aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' +p782 +aS',\t,\t,\tO\tO' +p783 +aS'Ecotrin\tEcotrin\tNN\tB-NP\tO' +p784 +aS'aspirin\taspirin\tNN\tI-NP\tO' +p785 +aS'q.day\tq.day\tNN\tI-NP\tO' +p786 +aS'.\t.\t.\tO\tO' +p787 +asS'Father died at 36 aplastic anemia only child' +p788 +(lp789 +S'Father\tFather\tNNP\tB-NP\tO' +p790 +aS'died\tdie\tVBD\tB-VP\tO' +p791 +aS'at\tat\tIN\tB-PP\tO' +p792 +aS'36\t36\tCD\tB-NP\tO' +p793 +aS'aplastic\taplastic\tJJ\tI-NP\tO' +p794 +aS'anemia\tanemia\tNN\tI-NP\tO' +p795 +aS'only\tonly\tRB\tB-NP\tO' +p796 +aS'child\tchild\tNN\tI-NP\tO' +p797 +asS'It also showed intraseptal and inferior akinesis .' +p798 +(lp799 +S'It\tIt\tPRP\tB-NP\tO' +p800 +aS'also\talso\tRB\tB-ADVP\tO' +p801 +aS'showed\tshow\tVBD\tB-VP\tO' +p802 +aS'intraseptal\tintraseptal\tJJ\tB-NP\tO' +p803 +aS'and\tand\tCC\tI-NP\tO' +p804 +aS'inferior\tinferior\tJJ\tI-NP\tO' +p805 +aS'akinesis\takinesis\tNN\tI-NP\tO' +p806 +aS'.\t.\t.\tO\tO' +p807 +asS'He started to develop more pain around the right stump since 07-17 .' +p808 +(lp809 +S'He\tHe\tPRP\tB-NP\tO' +p810 +aS'started\tstart\tVBD\tB-VP\tO' +p811 +aS'to\tto\tTO\tI-VP\tO' +p812 +aS'develop\tdevelop\tVB\tI-VP\tO' +p813 +aS'more\tmore\tJJR\tB-NP\tO' +p814 +aS'pain\tpain\tNN\tI-NP\tO' +p815 +aS'around\taround\tIN\tB-PP\tO' +p816 +aS'the\tthe\tDT\tB-NP\tO' +p817 +aS'right\tright\tJJ\tI-NP\tO' +p818 +aS'stump\tstump\tNN\tI-NP\tO' +p819 +aS'since\tsince\tIN\tB-PP\tO' +p820 +aS'07-17\t07-17\tCD\tB-NP\tO' +p821 +aS'.\t.\t.\tO\tO' +p822 +asS'He tolerated this well , although he required PS overnight .' +p823 +(lp824 +S'He\tHe\tPRP\tB-NP\tO' +p825 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p826 +aS'this\tthis\tDT\tB-NP\tO' +p827 +aS'well\twell\tRB\tB-ADVP\tO' +p828 +aS',\t,\t,\tO\tO' +p829 +aS'although\talthough\tIN\tB-SBAR\tO' +p830 +aS'he\the\tPRP\tB-NP\tO' +p831 +aS'required\trequire\tVBD\tB-VP\tO' +p832 +aS'PS\tPS\tNNP\tB-NP\tO' +p833 +aS'overnight\tovernight\tRB\tB-ADVP\tO' +p834 +aS'.\t.\t.\tO\tO' +p835 +asS'No perineal sepsis risk factors .' +p836 +(lp837 +S'No\tNo\tDT\tB-NP\tO' +p838 +aS'perineal\tperineal\tJJ\tI-NP\tB-protein' +p839 +aS'sepsis\tsepsis\tNN\tI-NP\tI-protein' +p840 +aS'risk\trisk\tNN\tI-NP\tI-protein' +p841 +aS'factors\tfactor\tNNS\tI-NP\tI-protein' +p842 +aS'.\t.\t.\tO\tO' +p843 +asS'pupils are 4-6 mm bilaterally , extraocular movements were full without nystagmus .' +p844 +(lp845 +S'pupils\tpupil\tNNS\tB-NP\tO' +p846 +aS'are\tbe\tVBP\tB-VP\tO' +p847 +aS'4-6\t4-6\tCD\tB-NP\tO' +p848 +aS'mm\tmm\tNN\tI-NP\tO' +p849 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p850 +aS',\t,\t,\tO\tO' +p851 +aS'extraocular\textraocular\tJJ\tB-NP\tO' +p852 +aS'movements\tmovement\tNNS\tI-NP\tO' +p853 +aS'were\tbe\tVBD\tB-VP\tO' +p854 +aS'full\tfull\tJJ\tB-ADJP\tO' +p855 +aS'without\twithout\tIN\tB-PP\tO' +p856 +aS'nystagmus\tnystagmus\tNN\tB-NP\tO' +p857 +aS'.\t.\t.\tO\tO' +p858 +asS'In the postoperative course Mr. Fyfe did surprisingly well given his underlying medical condition . ,' +p859 +(lp860 +S'In\tIn\tIN\tB-PP\tO' +p861 +aS'the\tthe\tDT\tB-NP\tO' +p862 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p863 +aS'course\tcourse\tNN\tI-NP\tO' +p864 +aS'Mr.\tMr.\tNNP\tB-NP\tO' +p865 +aS'Fyfe\tFyfe\tNNP\tI-NP\tO' +p866 +aS'did\tdo\tVBD\tB-VP\tO' +p867 +aS'surprisingly\tsurprisingly\tRB\tI-VP\tO' +p868 +aS'well\twell\tRB\tI-VP\tO' +p869 +aS'given\tgive\tVBN\tI-VP\tO' +p870 +aS'his\this\tPRP$\tB-NP\tO' +p871 +aS'underlying\tunderlie\tVBG\tI-NP\tO' +p872 +aS'medical\tmedical\tJJ\tI-NP\tO' +p873 +aS'condition\tcondition\tNN\tI-NP\tO' +p874 +aS'.\t.\tNN\tI-NP\tO' +p875 +aS',\t,\t,\tO\tO' +p876 +asS'Of note , he was hospitalized at Dana-Farber Cancer Institute from 9/25-10/6 with chest pain , at which time he reportedly had cardiac enzymes , an echocardiogram and a pharmacological stress test performed .' +p877 +(lp878 +S'Of\tOf\tIN\tB-PP\tO' +p879 +aS'note\tnote\tNN\tB-NP\tO' +p880 +aS',\t,\t,\tO\tO' +p881 +aS'he\the\tPRP\tB-NP\tO' +p882 +aS'was\tbe\tVBD\tB-VP\tO' +p883 +aS'hospitalized\thospitalize\tVBN\tI-VP\tO' +p884 +aS'at\tat\tIN\tB-PP\tO' +p885 +aS'Dana-Farber\tDana-Farber\tNNP\tB-NP\tO' +p886 +aS'Cancer\tCancer\tNNP\tI-NP\tO' +p887 +aS'Institute\tInstitute\tNNP\tI-NP\tO' +p888 +aS'from\tfrom\tIN\tB-PP\tO' +p889 +aS'9/25-10/6\t9/25-10/6\tCD\tB-NP\tO' +p890 +aS'with\twith\tIN\tB-PP\tO' +p891 +aS'chest\tchest\tNN\tB-NP\tO' +p892 +aS'pain\tpain\tNN\tI-NP\tO' +p893 +aS',\t,\t,\tO\tO' +p894 +aS'at\tat\tIN\tB-PP\tO' +p895 +aS'which\twhich\tWDT\tB-NP\tO' +p896 +aS'time\ttime\tNN\tI-NP\tO' +p897 +aS'he\the\tPRP\tB-NP\tO' +p898 +aS'reportedly\treportedly\tRB\tB-ADVP\tO' +p899 +aS'had\thave\tVBD\tB-VP\tO' +p900 +aS'cardiac\tcardiac\tJJ\tB-NP\tB-protein' +p901 +aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' +p902 +aS',\t,\t,\tO\tO' +p903 +aS'an\tan\tDT\tB-NP\tO' +p904 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p905 +aS'and\tand\tCC\tO\tO' +p906 +aS'a\ta\tDT\tB-NP\tO' +p907 +aS'pharmacological\tpharmacological\tJJ\tI-NP\tO' +p908 +aS'stress\tstress\tNN\tI-NP\tO' +p909 +aS'test\ttest\tNN\tI-NP\tO' +p910 +aS'performed\tperform\tVBN\tB-VP\tO' +p911 +aS'.\t.\t.\tO\tO' +p912 +asS'Extremities were warm and well perfused .' +p913 +(lp914 +S'Extremities\tExtremity\tNNS\tB-NP\tO' +p915 +aS'were\tbe\tVBD\tB-VP\tO' +p916 +aS'warm\twarm\tJJ\tB-ADJP\tO' +p917 +aS'and\tand\tCC\tO\tO' +p918 +aS'well\twell\tRB\tB-ADJP\tO' +p919 +aS'perfused\tperfuse\tVBN\tI-ADJP\tO' +p920 +aS'.\t.\t.\tO\tO' +p921 +asS'The main left coronary artery had a 20% stenosis .' +p922 +(lp923 +S'The\tThe\tDT\tB-NP\tO' +p924 +aS'main\tmain\tJJ\tI-NP\tO' +p925 +aS'left\tleft\tJJ\tI-NP\tO' +p926 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p927 +aS'artery\tartery\tNN\tI-NP\tO' +p928 +aS'had\thave\tVBD\tB-VP\tO' +p929 +aS'a\ta\tDT\tB-NP\tO' +p930 +aS'20%\t20%\tJJ\tI-NP\tO' +p931 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p932 +aS'.\t.\t.\tO\tO' +p933 +asS'The CT was negative for CVA but positive for Pulmonary embolism .' +p934 +(lp935 +S'The\tThe\tDT\tB-NP\tO' +p936 +aS'CT\tCT\tNN\tI-NP\tB-protein' +p937 +aS'was\tbe\tVBD\tB-VP\tO' +p938 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p939 +aS'for\tfor\tIN\tB-PP\tO' +p940 +aS'CVA\tCVA\tNN\tB-NP\tB-protein' +p941 +aS'but\tbut\tCC\tO\tO' +p942 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p943 +aS'for\tfor\tIN\tB-PP\tO' +p944 +aS'Pulmonary\tPulmonary\tJJ\tB-NP\tO' +p945 +aS'embolism\tembolism\tNN\tI-NP\tO' +p946 +aS'.\t.\t.\tO\tO' +p947 +asS'13. Heparin Flush PICC ( 100 units / ml ) 2 ml IV DAILY : PRN 10 ml NS followed by 2 ml of 100 Units / ml heparin ( 200 units heparin ) each lumen Daily and PRN .' +p948 +(lp949 +S'13.\t13.\tLS\tB-NP\tO' +p950 +aS'Heparin\tHeparin\tNN\tI-NP\tO' +p951 +aS'Flush\tFlush\tNN\tI-NP\tO' +p952 +aS'PICC\tPICC\tNN\tI-NP\tO' +p953 +aS'(\t(\t(\tO\tO' +p954 +aS'100\t100\tCD\tB-NP\tB-DNA' +p955 +aS'units\tunit\tNNS\tI-NP\tI-DNA' +p956 +aS'/\t/\tSYM\tB-NP\tO' +p957 +aS'ml\tml\tNN\tI-NP\tO' +p958 +aS')\t)\t)\tO\tO' +p959 +aS'2\t2\tCD\tB-NP\tO' +p960 +aS'ml\tml\tNN\tI-NP\tO' +p961 +aS'IV\tIV\tCD\tB-NP\tO' +p962 +aS'DAILY\tDAILY\tNNP\tI-NP\tO' +p963 +aS':\t:\t:\tO\tO' +p964 +aS'PRN\tPRN\tNN\tB-NP\tO' +p965 +aS'10\t10\tCD\tI-NP\tO' +p966 +aS'ml\tml\tNN\tI-NP\tO' +p967 +aS'NS\tNS\tNN\tI-NP\tO' +p968 +aS'followed\tfollow\tVBN\tB-VP\tO' +p969 +aS'by\tby\tIN\tB-PP\tO' +p970 +aS'2\t2\tCD\tB-NP\tO' +p971 +aS'ml\tml\tNN\tI-NP\tO' +p972 +aS'of\tof\tIN\tB-PP\tO' +p973 +aS'100\t100\tCD\tB-NP\tO' +p974 +aS'Units\tUnit\tNNS\tI-NP\tO' +p975 +aS'/\t/\tSYM\tO\tO' +p976 +aS'ml\tml\tNN\tB-NP\tO' +p977 +aS'heparin\theparin\tNN\tI-NP\tO' +p978 +aS'(\t(\t(\tO\tO' +p979 +aS'200\t200\tCD\tB-NP\tO' +p980 +aS'units\tunit\tNNS\tI-NP\tO' +p981 +aS'heparin\theparin\tNN\tI-NP\tO' +p982 +aS')\t)\t)\tO\tO' +p983 +aS'each\teach\tDT\tB-NP\tO' +p984 +aS'lumen\tlumen\tNN\tI-NP\tO' +p985 +aS'Daily\tDaily\tNNP\tB-NP\tO' +p986 +aS'and\tand\tCC\tO\tO' +p987 +aS'PRN\tPRN\tNN\tB-NP\tB-protein' +p988 +aS'.\t.\t.\tO\tO' +p989 +asS'She received induction therapy with thymoglobulin intraoperative and postoperatively for five days .' +p990 +(lp991 +S'She\tShe\tPRP\tB-NP\tO' +p992 +aS'received\treceive\tVBD\tB-VP\tO' +p993 +aS'induction\tinduction\tNN\tB-NP\tO' +p994 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p995 +aS'with\twith\tIN\tB-PP\tO' +p996 +aS'thymoglobulin\tthymoglobulin\tNN\tB-NP\tO' +p997 +aS'intraoperative\tintraoperative\tJJ\tB-ADJP\tO' +p998 +aS'and\tand\tCC\tO\tO' +p999 +aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' +p1000 +aS'for\tfor\tIN\tB-PP\tO' +p1001 +aS'five\tfive\tCD\tB-NP\tO' +p1002 +aS'days\tday\tNNS\tI-NP\tO' +p1003 +aS'.\t.\t.\tO\tO' +p1004 +asS'When she arrived the plan was to go ahead and treat here rythematous induration and possible cellulitis with IV antibiotics .' +p1005 +(lp1006 +S'When\tWhen\tWRB\tB-ADVP\tO' +p1007 +aS'she\tshe\tPRP\tB-NP\tO' +p1008 +aS'arrived\tarrive\tVBD\tB-VP\tO' +p1009 +aS'the\tthe\tDT\tB-NP\tO' +p1010 +aS'plan\tplan\tNN\tI-NP\tO' +p1011 +aS'was\tbe\tVBD\tB-VP\tO' +p1012 +aS'to\tto\tTO\tB-VP\tO' +p1013 +aS'go\tgo\tVB\tI-VP\tO' +p1014 +aS'ahead\tahead\tRB\tB-ADVP\tO' +p1015 +aS'and\tand\tCC\tO\tO' +p1016 +aS'treat\ttreat\tVB\tB-VP\tO' +p1017 +aS'here\there\tRB\tB-NP\tO' +p1018 +aS'rythematous\trythematous\tJJ\tI-NP\tO' +p1019 +aS'induration\tinduration\tNN\tI-NP\tO' +p1020 +aS'and\tand\tCC\tO\tO' +p1021 +aS'possible\tpossible\tJJ\tB-NP\tO' +p1022 +aS'cellulitis\tcellulitis\tNN\tI-NP\tO' +p1023 +aS'with\twith\tIN\tB-PP\tO' +p1024 +aS'IV\tIV\tCD\tB-NP\tO' +p1025 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p1026 +aS'.\t.\t.\tO\tO' +p1027 +asS'Given the patient 's low potassium level of 2.4 on the day of admission , he suggested supplementation with potassium .' +p1028 +(lp1029 +S'Given\tGive\tVBN\tB-PP\tO' +p1030 +aS'the\tthe\tDT\tB-NP\tO' +p1031 +aS'patient\tpatient\tNN\tI-NP\tO' +p1032 +aS''s\t'\tNNS\tI-NP\tO' +p1033 +aS'low\tlow\tJJ\tI-NP\tO' +p1034 +aS'potassium\tpotassium\tNN\tI-NP\tO' +p1035 +aS'level\tlevel\tNN\tI-NP\tO' +p1036 +aS'of\tof\tIN\tB-PP\tO' +p1037 +aS'2.4\t2.4\tCD\tB-NP\tO' +p1038 +aS'on\ton\tIN\tB-PP\tO' +p1039 +aS'the\tthe\tDT\tB-NP\tO' +p1040 +aS'day\tday\tNN\tI-NP\tO' +p1041 +aS'of\tof\tIN\tB-PP\tO' +p1042 +aS'admission\tadmission\tNN\tB-NP\tO' +p1043 +aS',\t,\t,\tO\tO' +p1044 +aS'he\the\tPRP\tB-NP\tO' +p1045 +aS'suggested\tsuggest\tVBD\tB-VP\tO' +p1046 +aS'supplementation\tsupplementation\tNN\tB-NP\tO' +p1047 +aS'with\twith\tIN\tB-PP\tO' +p1048 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p1049 +aS'.\t.\t.\tO\tO' +p1050 +asS'The Isordil was also discontinued .' +p1051 +(lp1052 +S'The\tThe\tDT\tB-NP\tO' +p1053 +aS'Isordil\tIsordil\tNN\tI-NP\tO' +p1054 +aS'was\tbe\tVBD\tB-VP\tO' +p1055 +aS'also\talso\tRB\tI-VP\tO' +p1056 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p1057 +aS'.\t.\t.\tO\tO' +p1058 +asS'The patient gets very somnolent with Ativan .' +p1059 +(lp1060 +S'The\tThe\tDT\tB-NP\tO' +p1061 +aS'patient\tpatient\tNN\tI-NP\tO' +p1062 +aS'gets\tget\tVBZ\tB-VP\tO' +p1063 +aS'very\tvery\tRB\tB-ADJP\tO' +p1064 +aS'somnolent\tsomnolent\tJJ\tI-ADJP\tO' +p1065 +aS'with\twith\tIN\tB-PP\tO' +p1066 +aS'Ativan\tAtivan\tNNP\tB-NP\tO' +p1067 +aS'.\t.\t.\tO\tO' +p1068 +asS'His systolic blood pressure goal was initially 170-190 , which he was able to achieve spontaneously for the most part .' +p1069 +(lp1070 +S'His\tHis\tPRP$\tB-NP\tO' +p1071 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p1072 +aS'blood\tblood\tNN\tI-NP\tO' +p1073 +aS'pressure\tpressure\tNN\tI-NP\tO' +p1074 +aS'goal\tgoal\tNN\tI-NP\tO' +p1075 +aS'was\tbe\tVBD\tB-VP\tO' +p1076 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p1077 +aS'170-190\t170-190\tCD\tB-NP\tO' +p1078 +aS',\t,\t,\tO\tO' +p1079 +aS'which\twhich\tWDT\tB-NP\tO' +p1080 +aS'he\the\tPRP\tB-NP\tO' +p1081 +aS'was\tbe\tVBD\tB-VP\tO' +p1082 +aS'able\table\tJJ\tB-ADJP\tO' +p1083 +aS'to\tto\tTO\tB-VP\tO' +p1084 +aS'achieve\tachieve\tVB\tI-VP\tO' +p1085 +aS'spontaneously\tspontaneously\tRB\tB-ADVP\tO' +p1086 +aS'for\tfor\tIN\tB-PP\tO' +p1087 +aS'the\tthe\tDT\tB-NP\tO' +p1088 +aS'most\tmost\tJJS\tI-NP\tO' +p1089 +aS'part\tpart\tNN\tI-NP\tO' +p1090 +aS'.\t.\t.\tO\tO' +p1091 +asS'It was held the day prior to admission .' +p1092 +(lp1093 +S'It\tIt\tPRP\tB-NP\tO' +p1094 +aS'was\tbe\tVBD\tB-VP\tO' +p1095 +aS'held\thold\tVBN\tI-VP\tO' +p1096 +aS'the\tthe\tDT\tB-NP\tO' +p1097 +aS'day\tday\tNN\tI-NP\tO' +p1098 +aS'prior\tprior\tRB\tB-ADVP\tO' +p1099 +aS'to\tto\tTO\tB-PP\tO' +p1100 +aS'admission\tadmission\tNN\tB-NP\tO' +p1101 +aS'.\t.\t.\tO\tO' +p1102 +asS'The patient had a normal B12 , negative syphilis serologies and normal thyroid function during this hospitalization .' +p1103 +(lp1104 +S'The\tThe\tDT\tB-NP\tO' +p1105 +aS'patient\tpatient\tNN\tI-NP\tO' +p1106 +aS'had\thave\tVBD\tB-VP\tO' +p1107 +aS'a\ta\tDT\tB-NP\tO' +p1108 +aS'normal\tnormal\tJJ\tI-NP\tO' +p1109 +aS'B12\tB12\tNN\tI-NP\tB-protein' +p1110 +aS',\t,\t,\tO\tO' +p1111 +aS'negative\tnegative\tJJ\tB-NP\tO' +p1112 +aS'syphilis\tsyphilis\tNN\tI-NP\tO' +p1113 +aS'serologies\tserology\tNNS\tI-NP\tO' +p1114 +aS'and\tand\tCC\tO\tO' +p1115 +aS'normal\tnormal\tJJ\tB-NP\tO' +p1116 +aS'thyroid\tthyroid\tNN\tI-NP\tO' +p1117 +aS'function\tfunction\tNN\tI-NP\tO' +p1118 +aS'during\tduring\tIN\tB-PP\tO' +p1119 +aS'this\tthis\tDT\tB-NP\tO' +p1120 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p1121 +aS'.\t.\t.\tO\tO' +p1122 +asS'On the day of discharge , sodium 145 , potassium 4.1 , chloride 109 , bicarb 31 , creatinine 0.7 , BUN 43 , glucose 116 .' +p1123 +(lp1124 +S'On\tOn\tIN\tB-PP\tO' +p1125 +aS'the\tthe\tDT\tB-NP\tO' +p1126 +aS'day\tday\tNN\tI-NP\tO' +p1127 +aS'of\tof\tIN\tB-PP\tO' +p1128 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p1129 +aS',\t,\t,\tO\tO' +p1130 +aS'sodium\tsodium\tNN\tB-NP\tO' +p1131 +aS'145\t145\tCD\tI-NP\tO' +p1132 +aS',\t,\t,\tO\tO' +p1133 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p1134 +aS'4.1\t4.1\tCD\tI-NP\tO' +p1135 +aS',\t,\t,\tO\tO' +p1136 +aS'chloride\tchloride\tNN\tB-NP\tO' +p1137 +aS'109\t109\tCD\tI-NP\tO' +p1138 +aS',\t,\t,\tO\tO' +p1139 +aS'bicarb\tbicarb\tNN\tB-NP\tO' +p1140 +aS'31\t31\tCD\tI-NP\tO' +p1141 +aS',\t,\t,\tO\tO' +p1142 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p1143 +aS'0.7\t0.7\tCD\tI-NP\tO' +p1144 +aS',\t,\t,\tO\tO' +p1145 +aS'BUN\tBUN\tNN\tB-NP\tB-DNA' +p1146 +aS'43\t43\tCD\tI-NP\tI-DNA' +p1147 +aS',\t,\t,\tO\tO' +p1148 +aS'glucose\tglucose\tNN\tB-NP\tO' +p1149 +aS'116\t116\tCD\tI-NP\tO' +p1150 +aS'.\t.\t.\tO\tO' +p1151 +asS'On 2017-01-16 , the night float intern was called to see the patient as she was unresponsive .' +p1152 +(lp1153 +S'On\tOn\tIN\tB-PP\tO' +p1154 +aS'2017-01-16\t2017-01-16\tCD\tB-NP\tO' +p1155 +aS',\t,\t,\tO\tO' +p1156 +aS'the\tthe\tDT\tB-NP\tO' +p1157 +aS'night\tnight\tNN\tI-NP\tO' +p1158 +aS'float\tfloat\tNN\tI-NP\tO' +p1159 +aS'intern\tintern\tNN\tI-NP\tO' +p1160 +aS'was\tbe\tVBD\tB-VP\tO' +p1161 +aS'called\tcall\tVBN\tI-VP\tO' +p1162 +aS'to\tto\tTO\tB-VP\tO' +p1163 +aS'see\tsee\tVB\tI-VP\tO' +p1164 +aS'the\tthe\tDT\tB-NP\tO' +p1165 +aS'patient\tpatient\tNN\tI-NP\tO' +p1166 +aS'as\tas\tIN\tB-SBAR\tO' +p1167 +aS'she\tshe\tPRP\tB-NP\tO' +p1168 +aS'was\tbe\tVBD\tB-VP\tO' +p1169 +aS'unresponsive\tunresponsive\tJJ\tB-ADJP\tO' +p1170 +aS'.\t.\t.\tO\tO' +p1171 +asS'7. Methylprednisolone 4 mg tablets per taper regimen .' +p1172 +(lp1173 +S'7.\t7.\tCD\tB-NP\tO' +p1174 +aS'Methylprednisolone\tMethylprednisolone\tNN\tI-NP\tO' +p1175 +aS'4\t4\tCD\tB-NP\tO' +p1176 +aS'mg\tmg\tNN\tI-NP\tO' +p1177 +aS'tablets\ttablet\tNNS\tI-NP\tO' +p1178 +aS'per\tper\tIN\tB-PP\tO' +p1179 +aS'taper\ttaper\tNN\tB-NP\tO' +p1180 +aS'regimen\tregimen\tNN\tI-NP\tO' +p1181 +aS'.\t.\t.\tO\tO' +p1182 +asS'He continued to have intermittent symptoms and was noted to have some fullness in the suprapatellar pouch .' +p1183 +(lp1184 +S'He\tHe\tPRP\tB-NP\tO' +p1185 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p1186 +aS'to\tto\tTO\tI-VP\tO' +p1187 +aS'have\thave\tVB\tI-VP\tO' +p1188 +aS'intermittent\tintermittent\tJJ\tB-NP\tO' +p1189 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p1190 +aS'and\tand\tCC\tO\tO' +p1191 +aS'was\tbe\tVBD\tB-VP\tO' +p1192 +aS'noted\tnote\tVBN\tI-VP\tO' +p1193 +aS'to\tto\tTO\tI-VP\tO' +p1194 +aS'have\thave\tVB\tI-VP\tO' +p1195 +aS'some\tsome\tDT\tB-NP\tO' +p1196 +aS'fullness\tfullness\tNN\tI-NP\tO' +p1197 +aS'in\tin\tIN\tB-PP\tO' +p1198 +aS'the\tthe\tDT\tB-NP\tO' +p1199 +aS'suprapatellar\tsuprapatellar\tJJ\tI-NP\tO' +p1200 +aS'pouch\tpouch\tNN\tI-NP\tO' +p1201 +aS'.\t.\t.\tO\tO' +p1202 +asS'He had no carotid bruits .' +p1203 +(lp1204 +S'He\tHe\tPRP\tB-NP\tO' +p1205 +aS'had\thave\tVBD\tB-VP\tO' +p1206 +aS'no\tno\tDT\tB-NP\tO' +p1207 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p1208 +aS'bruits\tbruit\tNNS\tI-NP\tO' +p1209 +aS'.\t.\t.\tO\tO' +p1210 +asS'Her liver function tests and amylase and lipase were followed closely .' +p1211 +(lp1212 +S'Her\tHer\tPRP$\tB-NP\tO' +p1213 +aS'liver\tliver\tNN\tI-NP\tO' +p1214 +aS'function\tfunction\tNN\tI-NP\tO' +p1215 +aS'tests\ttest\tNNS\tI-NP\tO' +p1216 +aS'and\tand\tCC\tO\tO' +p1217 +aS'amylase\tamylase\tNN\tB-NP\tB-protein' +p1218 +aS'and\tand\tCC\tI-NP\tO' +p1219 +aS'lipase\tlipase\tNN\tI-NP\tO' +p1220 +aS'were\tbe\tVBD\tB-VP\tO' +p1221 +aS'followed\tfollow\tVBN\tI-VP\tO' +p1222 +aS'closely\tclosely\tRB\tB-ADVP\tO' +p1223 +aS'.\t.\t.\tO\tO' +p1224 +asS'An ECHO did not reveal any wall motion abnormalities related to ischemia .' +p1225 +(lp1226 +S'An\tAn\tDT\tB-NP\tO' +p1227 +aS'ECHO\tECHO\tNN\tI-NP\tB-protein' +p1228 +aS'did\tdo\tVBD\tB-VP\tO' +p1229 +aS'not\tnot\tRB\tI-VP\tO' +p1230 +aS'reveal\treveal\tVB\tI-VP\tO' +p1231 +aS'any\tany\tDT\tB-NP\tO' +p1232 +aS'wall\twall\tNN\tI-NP\tO' +p1233 +aS'motion\tmotion\tNN\tI-NP\tO' +p1234 +aS'abnormalities\tabnormality\tNNS\tI-NP\tO' +p1235 +aS'related\trelate\tVBN\tB-VP\tO' +p1236 +aS'to\tto\tTO\tB-PP\tO' +p1237 +aS'ischemia\tischemia\tNN\tB-NP\tO' +p1238 +aS'.\t.\t.\tO\tO' +p1239 +asS'On 05/17/2004 the patient underwent atotal abdominal hysterectomy , bilateral salpingooophorectomy , bilateral node dissection , omentectomy , lysis of adhesions , removal of mass from surface of transverse colon .' +p1240 +(lp1241 +S'On\tOn\tIN\tB-PP\tO' +p1242 +aS'05/17/2004\t05/17/2004\tCD\tB-NP\tO' +p1243 +aS'the\tthe\tDT\tB-NP\tO' +p1244 +aS'patient\tpatient\tNN\tI-NP\tO' +p1245 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p1246 +aS'atotal\tatotal\tJJ\tB-NP\tO' +p1247 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p1248 +aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' +p1249 +aS',\t,\t,\tO\tO' +p1250 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p1251 +aS'salpingooophorectomy\tsalpingooophorectomy\tNN\tI-NP\tO' +p1252 +aS',\t,\t,\tO\tO' +p1253 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p1254 +aS'node\tnode\tNN\tI-NP\tO' +p1255 +aS'dissection\tdissection\tNN\tI-NP\tO' +p1256 +aS',\t,\t,\tO\tO' +p1257 +aS'omentectomy\tomentectomy\tNN\tB-NP\tO' +p1258 +aS',\t,\t,\tO\tO' +p1259 +aS'lysis\tlysis\tNN\tB-NP\tO' +p1260 +aS'of\tof\tIN\tB-PP\tO' +p1261 +aS'adhesions\tadhesion\tNNS\tB-NP\tO' +p1262 +aS',\t,\t,\tO\tO' +p1263 +aS'removal\tremoval\tNN\tB-NP\tO' +p1264 +aS'of\tof\tIN\tB-PP\tO' +p1265 +aS'mass\tmass\tNN\tB-NP\tO' +p1266 +aS'from\tfrom\tIN\tB-PP\tO' +p1267 +aS'surface\tsurface\tNN\tB-NP\tO' +p1268 +aS'of\tof\tIN\tB-PP\tO' +p1269 +aS'transverse\ttransverse\tJJ\tB-NP\tO' +p1270 +aS'colon\tcolon\tNN\tI-NP\tO' +p1271 +aS'.\t.\t.\tO\tO' +p1272 +asS'She is now able to walk fitfully and use her left hand with no problem .' +p1273 +(lp1274 +S'She\tShe\tPRP\tB-NP\tO' +p1275 +aS'is\tbe\tVBZ\tB-VP\tO' +p1276 +aS'now\tnow\tRB\tB-ADVP\tO' +p1277 +aS'able\table\tJJ\tB-ADJP\tO' +p1278 +aS'to\tto\tTO\tB-VP\tO' +p1279 +aS'walk\twalk\tVB\tI-VP\tO' +p1280 +aS'fitfully\tfitfully\tRB\tB-ADVP\tO' +p1281 +aS'and\tand\tCC\tO\tO' +p1282 +aS'use\tuse\tVB\tB-VP\tO' +p1283 +aS'her\ther\tPRP$\tB-NP\tO' +p1284 +aS'left\tleft\tJJ\tI-NP\tO' +p1285 +aS'hand\thand\tNN\tI-NP\tO' +p1286 +aS'with\twith\tIN\tB-PP\tO' +p1287 +aS'no\tno\tDT\tB-NP\tO' +p1288 +aS'problem\tproblem\tNN\tI-NP\tO' +p1289 +aS'.\t.\t.\tO\tO' +p1290 +asS'Hematocrit was 30.6 .' +p1291 +(lp1292 +S'Hematocrit\tHematocrit\tNN\tB-NP\tB-protein' +p1293 +aS'was\tbe\tVBD\tB-VP\tI-protein' +p1294 +aS'30.6\t30.6\tCD\tB-NP\tI-protein' +p1295 +aS'.\t.\t.\tO\tO' +p1296 +asS'pupils reactive to light , extra ocular movements show good upgaze up to 3 mm. , good down gaze .' +p1297 +(lp1298 +S'pupils\tpupil\tNNS\tB-NP\tO' +p1299 +aS'reactive\treactive\tJJ\tB-ADJP\tO' +p1300 +aS'to\tto\tTO\tB-PP\tO' +p1301 +aS'light\tlight\tJJ\tB-NP\tO' +p1302 +aS',\t,\t,\tI-NP\tO' +p1303 +aS'extra\textra\tJJ\tI-NP\tO' +p1304 +aS'ocular\tocular\tJJ\tI-NP\tO' +p1305 +aS'movements\tmovement\tNNS\tI-NP\tO' +p1306 +aS'show\tshow\tVBP\tB-VP\tO' +p1307 +aS'good\tgood\tJJ\tB-NP\tO' +p1308 +aS'upgaze\tupgaze\tNN\tI-NP\tO' +p1309 +aS'up\tup\tIN\tB-NP\tO' +p1310 +aS'to\tto\tTO\tI-NP\tO' +p1311 +aS'3\t3\tCD\tI-NP\tO' +p1312 +aS'mm.\tmm.\tNN\tI-NP\tO' +p1313 +aS',\t,\t,\tO\tO' +p1314 +aS'good\tgood\tJJ\tB-ADJP\tO' +p1315 +aS'down\tdown\tIN\tB-PP\tO' +p1316 +aS'gaze\tgaze\tNN\tB-NP\tO' +p1317 +aS'.\t.\t.\tO\tO' +p1318 +asS'The pelvis was stable .' +p1319 +(lp1320 +S'The\tThe\tDT\tB-NP\tO' +p1321 +aS'pelvis\tpelvis\tNN\tI-NP\tO' +p1322 +aS'was\tbe\tVBD\tB-VP\tO' +p1323 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p1324 +aS'.\t.\t.\tO\tO' +p1325 +asS'He was not resuscitated as per previous conversations with his wife .' +p1326 +(lp1327 +S'He\tHe\tPRP\tB-NP\tO' +p1328 +aS'was\tbe\tVBD\tB-VP\tO' +p1329 +aS'not\tnot\tRB\tI-VP\tO' +p1330 +aS'resuscitated\tresuscitate\tVBN\tI-VP\tO' +p1331 +aS'as\tas\tIN\tB-SBAR\tO' +p1332 +aS'per\tper\tIN\tB-PP\tO' +p1333 +aS'previous\tprevious\tJJ\tB-NP\tO' +p1334 +aS'conversations\tconversation\tNNS\tI-NP\tO' +p1335 +aS'with\twith\tIN\tB-PP\tO' +p1336 +aS'his\this\tPRP$\tB-NP\tO' +p1337 +aS'wife\twife\tNN\tI-NP\tO' +p1338 +aS'.\t.\t.\tO\tO' +p1339 +asS'She tolerated the operation well , and was transferred from the operating room to the Cardiothoracic Intensive Care Unit .' +p1340 +(lp1341 +S'She\tShe\tPRP\tB-NP\tO' +p1342 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p1343 +aS'the\tthe\tDT\tB-NP\tO' +p1344 +aS'operation\toperation\tNN\tI-NP\tO' +p1345 +aS'well\twell\tRB\tB-ADVP\tO' +p1346 +aS',\t,\t,\tO\tO' +p1347 +aS'and\tand\tCC\tO\tO' +p1348 +aS'was\tbe\tVBD\tB-VP\tO' +p1349 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p1350 +aS'from\tfrom\tIN\tB-PP\tO' +p1351 +aS'the\tthe\tDT\tB-NP\tO' +p1352 +aS'operating\toperating\tNN\tI-NP\tO' +p1353 +aS'room\troom\tNN\tI-NP\tO' +p1354 +aS'to\tto\tTO\tB-PP\tO' +p1355 +aS'the\tthe\tDT\tB-NP\tO' +p1356 +aS'Cardiothoracic\tCardiothoracic\tNNP\tI-NP\tO' +p1357 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p1358 +aS'Care\tCare\tNNP\tI-NP\tO' +p1359 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p1360 +aS'.\t.\t.\tO\tO' +p1361 +asS'Has a remote tobacco history .' +p1362 +(lp1363 +S'Has\tHas\tIN\tB-PP\tO' +p1364 +aS'a\ta\tDT\tB-NP\tO' +p1365 +aS'remote\tremote\tJJ\tI-NP\tO' +p1366 +aS'tobacco\ttobacco\tNN\tI-NP\tO' +p1367 +aS'history\thistory\tNN\tI-NP\tO' +p1368 +aS'.\t.\t.\tO\tO' +p1369 +asS'High calorie , high protein .' +p1370 +(lp1371 +S'High\tHigh\tJJ\tB-NP\tO' +p1372 +aS'calorie\tcalorie\tNN\tI-NP\tO' +p1373 +aS',\t,\t,\tO\tO' +p1374 +aS'high\thigh\tJJ\tB-NP\tO' +p1375 +aS'protein\tprotein\tNN\tI-NP\tO' +p1376 +aS'.\t.\t.\tO\tO' +p1377 +asS'The heart rate 64 .' +p1378 +(lp1379 +S'The\tThe\tDT\tB-NP\tO' +p1380 +aS'heart\theart\tNN\tI-NP\tO' +p1381 +aS'rate\trate\tNN\tI-NP\tO' +p1382 +aS'64\t64\tCD\tI-NP\tO' +p1383 +aS'.\t.\t.\tO\tO' +p1384 +asS'In the acute setting , he had been started on levofloxacin , Flagyl , and Vancomycin .' +p1385 +(lp1386 +S'In\tIn\tIN\tB-PP\tO' +p1387 +aS'the\tthe\tDT\tB-NP\tO' +p1388 +aS'acute\tacute\tJJ\tI-NP\tO' +p1389 +aS'setting\tsetting\tNN\tI-NP\tO' +p1390 +aS',\t,\t,\tO\tO' +p1391 +aS'he\the\tPRP\tB-NP\tO' +p1392 +aS'had\thave\tVBD\tB-VP\tO' +p1393 +aS'been\tbe\tVBN\tI-VP\tO' +p1394 +aS'started\tstart\tVBN\tI-VP\tO' +p1395 +aS'on\ton\tIN\tB-PP\tO' +p1396 +aS'levofloxacin\tlevofloxacin\tNN\tB-NP\tO' +p1397 +aS',\t,\t,\tO\tO' +p1398 +aS'Flagyl\tFlagyl\tNN\tB-NP\tO' +p1399 +aS',\t,\t,\tO\tO' +p1400 +aS'and\tand\tCC\tO\tO' +p1401 +aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' +p1402 +aS'.\t.\t.\tO\tO' +p1403 +asS'Colace 100 mg p.o. twice a day .' +p1404 +(lp1405 +S'Colace\tColace\tNNP\tB-NP\tO' +p1406 +aS'100\t100\tCD\tI-NP\tO' +p1407 +aS'mg\tmg\tNN\tI-NP\tO' +p1408 +aS'p.o.\tp.o.\tRB\tB-NP\tO' +p1409 +aS'twice\ttwice\tRB\tI-NP\tO' +p1410 +aS'a\ta\tDT\tI-NP\tO' +p1411 +aS'day\tday\tNN\tI-NP\tO' +p1412 +aS'.\t.\t.\tO\tO' +p1413 +asS'He should follow-up with his cardiologist in one to two weeks for optimization of his medications .' +p1414 +(lp1415 +S'He\tHe\tPRP\tB-NP\tO' +p1416 +aS'should\tshould\tMD\tB-VP\tO' +p1417 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p1418 +aS'with\twith\tIN\tB-PP\tO' +p1419 +aS'his\this\tPRP$\tB-NP\tO' +p1420 +aS'cardiologist\tcardiologist\tNN\tI-NP\tO' +p1421 +aS'in\tin\tIN\tB-PP\tO' +p1422 +aS'one\tone\tCD\tB-NP\tO' +p1423 +aS'to\tto\tTO\tI-NP\tO' +p1424 +aS'two\ttwo\tCD\tI-NP\tO' +p1425 +aS'weeks\tweek\tNNS\tI-NP\tO' +p1426 +aS'for\tfor\tIN\tB-PP\tO' +p1427 +aS'optimization\toptimization\tNN\tB-NP\tO' +p1428 +aS'of\tof\tIN\tB-PP\tO' +p1429 +aS'his\this\tPRP$\tB-NP\tO' +p1430 +aS'medications\tmedication\tNNS\tI-NP\tO' +p1431 +aS'.\t.\t.\tO\tO' +p1432 +asS'Echocardiogram no longer shows wall motion abnormalities .' +p1433 +(lp1434 +S'Echocardiogram\tEchocardiogram\tNNP\tB-NP\tO' +p1435 +aS'no\tno\tDT\tB-NP\tO' +p1436 +aS'longer\tlonger\tNN\tI-NP\tO' +p1437 +aS'shows\tshow\tVBZ\tB-VP\tO' +p1438 +aS'wall\twall\tNN\tB-NP\tO' +p1439 +aS'motion\tmotion\tNN\tI-NP\tO' +p1440 +aS'abnormalities\tabnormality\tNNS\tI-NP\tO' +p1441 +aS'.\t.\t.\tO\tO' +p1442 +asS'On 6-12-91 the patient was admitted to Ingtermst.gay Health Center with fever , hypertension , and diarrhea .' +p1443 +(lp1444 +S'On\tOn\tIN\tB-PP\tO' +p1445 +aS'6-12-91\t6-12-91\tCD\tB-NP\tO' +p1446 +aS'the\tthe\tDT\tB-NP\tO' +p1447 +aS'patient\tpatient\tNN\tI-NP\tO' +p1448 +aS'was\tbe\tVBD\tB-VP\tO' +p1449 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p1450 +aS'to\tto\tTO\tB-PP\tO' +p1451 +aS'Ingtermst.gay\tIngtermst.gay\tNNP\tB-NP\tO' +p1452 +aS'Health\tHealth\tNNP\tI-NP\tO' +p1453 +aS'Center\tCenter\tNNP\tI-NP\tO' +p1454 +aS'with\twith\tIN\tB-PP\tO' +p1455 +aS'fever\tfever\tNN\tB-NP\tO' +p1456 +aS',\t,\t,\tO\tO' +p1457 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p1458 +aS',\t,\t,\tO\tO' +p1459 +aS'and\tand\tCC\tO\tO' +p1460 +aS'diarrhea\tdiarrhea\tNN\tB-NP\tO' +p1461 +aS'.\t.\t.\tO\tO' +p1462 +asS'At the time , blood , urine and bile was sent for culture , which were all negative .' +p1463 +(lp1464 +S'At\tAt\tIN\tB-PP\tO' +p1465 +aS'the\tthe\tDT\tB-NP\tO' +p1466 +aS'time\ttime\tNN\tI-NP\tO' +p1467 +aS',\t,\t,\tO\tO' +p1468 +aS'blood\tblood\tNN\tB-NP\tO' +p1469 +aS',\t,\t,\tO\tO' +p1470 +aS'urine\turine\tNN\tB-NP\tO' +p1471 +aS'and\tand\tCC\tI-NP\tO' +p1472 +aS'bile\tbile\tNN\tI-NP\tO' +p1473 +aS'was\tbe\tVBD\tB-VP\tO' +p1474 +aS'sent\tsend\tVBN\tI-VP\tO' +p1475 +aS'for\tfor\tIN\tB-PP\tO' +p1476 +aS'culture\tculture\tNN\tB-NP\tO' +p1477 +aS',\t,\t,\tO\tO' +p1478 +aS'which\twhich\tWDT\tB-NP\tO' +p1479 +aS'were\tbe\tVBD\tB-VP\tO' +p1480 +aS'all\tall\tDT\tO\tO' +p1481 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p1482 +aS'.\t.\t.\tO\tO' +p1483 +asS'It also showed a thickened gallbladder wall as well as a dilated common bile duct .' +p1484 +(lp1485 +S'It\tIt\tPRP\tB-NP\tO' +p1486 +aS'also\talso\tRB\tB-ADVP\tO' +p1487 +aS'showed\tshow\tVBD\tB-VP\tO' +p1488 +aS'a\ta\tDT\tB-NP\tO' +p1489 +aS'thickened\tthicken\tVBN\tI-NP\tO' +p1490 +aS'gallbladder\tgallbladder\tNN\tI-NP\tO' +p1491 +aS'wall\twall\tNN\tI-NP\tO' +p1492 +aS'as\tas\tRB\tB-CONJP\tO' +p1493 +aS'well\twell\tRB\tI-CONJP\tO' +p1494 +aS'as\tas\tIN\tI-CONJP\tO' +p1495 +aS'a\ta\tDT\tB-NP\tO' +p1496 +aS'dilated\tdilated\tJJ\tI-NP\tO' +p1497 +aS'common\tcommon\tJJ\tI-NP\tO' +p1498 +aS'bile\tbile\tNN\tI-NP\tO' +p1499 +aS'duct\tduct\tNN\tI-NP\tO' +p1500 +aS'.\t.\t.\tO\tO' +p1501 +asS'7) Potassium 20 mEq p.o. q. day .' +p1502 +(lp1503 +S'7)\t7)\tCD\tB-NP\tO' +p1504 +aS'Potassium\tPotassium\tNN\tI-NP\tO' +p1505 +aS'20\t20\tCD\tB-NP\tO' +p1506 +aS'mEq\tmEq\tNN\tI-NP\tO' +p1507 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p1508 +aS'q.\tq.\tNN\tI-NP\tO' +p1509 +aS'day\tday\tNN\tI-NP\tO' +p1510 +aS'.\t.\t.\tO\tO' +p1511 +asS'A computerized axial tomography scan of his head at that time did not reveal any extra or intracranial hemorrhage .' +p1512 +(lp1513 +S'A\tA\tDT\tB-NP\tO' +p1514 +aS'computerized\tcomputerized\tJJ\tI-NP\tO' +p1515 +aS'axial\taxial\tJJ\tI-NP\tO' +p1516 +aS'tomography\ttomography\tNN\tI-NP\tO' +p1517 +aS'scan\tscan\tNN\tI-NP\tO' +p1518 +aS'of\tof\tIN\tB-PP\tO' +p1519 +aS'his\this\tPRP$\tB-NP\tO' +p1520 +aS'head\thead\tNN\tI-NP\tO' +p1521 +aS'at\tat\tIN\tB-PP\tO' +p1522 +aS'that\tthat\tDT\tB-NP\tO' +p1523 +aS'time\ttime\tNN\tI-NP\tO' +p1524 +aS'did\tdo\tVBD\tB-VP\tO' +p1525 +aS'not\tnot\tRB\tI-VP\tO' +p1526 +aS'reveal\treveal\tVB\tI-VP\tO' +p1527 +aS'any\tany\tDT\tB-NP\tO' +p1528 +aS'extra\textra\tJJ\tI-NP\tO' +p1529 +aS'or\tor\tCC\tI-NP\tO' +p1530 +aS'intracranial\tintracranial\tJJ\tI-NP\tO' +p1531 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p1532 +aS'.\t.\t.\tO\tO' +p1533 +asS'Boston Regional Medical Centerr Visiting Nurse Association has been asked to visit this family at home to follow up on feeding and' +p1534 +(lp1535 +S'Boston\tBoston\tNNP\tB-NP\tO' +p1536 +aS'Regional\tRegional\tNNP\tI-NP\tO' +p1537 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p1538 +aS'Centerr\tCenterr\tNNP\tI-NP\tO' +p1539 +aS'Visiting\tVisiting\tNNP\tI-NP\tO' +p1540 +aS'Nurse\tNurse\tNNP\tI-NP\tO' +p1541 +aS'Association\tAssociation\tNNP\tI-NP\tO' +p1542 +aS'has\thave\tVBZ\tB-VP\tO' +p1543 +aS'been\tbe\tVBN\tI-VP\tO' +p1544 +aS'asked\task\tVBN\tI-VP\tO' +p1545 +aS'to\tto\tTO\tB-VP\tO' +p1546 +aS'visit\tvisit\tVB\tI-VP\tO' +p1547 +aS'this\tthis\tDT\tB-NP\tO' +p1548 +aS'family\tfamily\tNN\tI-NP\tO' +p1549 +aS'at\tat\tIN\tB-PP\tO' +p1550 +aS'home\thome\tNN\tB-NP\tO' +p1551 +aS'to\tto\tTO\tB-VP\tO' +p1552 +aS'follow\tfollow\tVB\tI-VP\tO' +p1553 +aS'up\tup\tRP\tB-PRT\tO' +p1554 +aS'on\ton\tIN\tB-PP\tO' +p1555 +aS'feeding\tfeeding\tNN\tB-NP\tO' +p1556 +aS'and\tand\tCC\tO\tO' +p1557 +asS'2. Visiting Nurses Association of the L.F. Quigley Memorial Hospital will visit on Sunday , 2013-05-12 .' +p1558 +(lp1559 +S'2.\t2.\tLS\tB-NP\tO' +p1560 +aS'Visiting\tVisiting\tNNP\tI-NP\tO' +p1561 +aS'Nurses\tNurses\tNNP\tI-NP\tO' +p1562 +aS'Association\tAssociation\tNNP\tI-NP\tO' +p1563 +aS'of\tof\tIN\tB-PP\tO' +p1564 +aS'the\tthe\tDT\tB-NP\tO' +p1565 +aS'L.F.\tL.F.\tNNP\tI-NP\tO' +p1566 +aS'Quigley\tQuigley\tNNP\tI-NP\tO' +p1567 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p1568 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p1569 +aS'will\twill\tMD\tB-VP\tO' +p1570 +aS'visit\tvisit\tVB\tI-VP\tO' +p1571 +aS'on\ton\tIN\tB-PP\tO' +p1572 +aS'Sunday\tSunday\tNNP\tB-NP\tO' +p1573 +aS',\t,\t,\tO\tO' +p1574 +aS'2013-05-12\t2013-05-12\tCD\tB-NP\tO' +p1575 +aS'.\t.\t.\tO\tO' +p1576 +asS'The patient 's chest x-ray at the outside hospital was unremarkable .' +p1577 +(lp1578 +S'The\tThe\tDT\tB-NP\tO' +p1579 +aS'patient\tpatient\tNN\tI-NP\tO' +p1580 +aS''s\t'\tNNS\tI-NP\tO' +p1581 +aS'chest\tchest\tVBP\tB-VP\tO' +p1582 +aS'x-ray\tx-ray\tNN\tB-NP\tO' +p1583 +aS'at\tat\tIN\tB-PP\tO' +p1584 +aS'the\tthe\tDT\tB-NP\tO' +p1585 +aS'outside\toutside\tJJ\tI-NP\tO' +p1586 +aS'hospital\thospital\tNN\tI-NP\tO' +p1587 +aS'was\tbe\tVBD\tB-VP\tO' +p1588 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p1589 +aS'.\t.\t.\tO\tO' +p1590 +asS'Wound care was consulted on 2017-09-05 and they made several recommendations .' +p1591 +(lp1592 +S'Wound\tWound\tJJ\tB-NP\tO' +p1593 +aS'care\tcare\tNN\tI-NP\tO' +p1594 +aS'was\tbe\tVBD\tB-VP\tO' +p1595 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p1596 +aS'on\ton\tIN\tB-PP\tO' +p1597 +aS'2017-09-05\t2017-09-05\tCD\tB-NP\tO' +p1598 +aS'and\tand\tCC\tO\tO' +p1599 +aS'they\tthey\tPRP\tB-NP\tO' +p1600 +aS'made\tmake\tVBD\tB-VP\tO' +p1601 +aS'several\tseveral\tJJ\tB-NP\tO' +p1602 +aS'recommendations\trecommendation\tNNS\tI-NP\tO' +p1603 +aS'.\t.\t.\tO\tO' +p1604 +asS'Low cholesterol .' +p1605 +(lp1606 +S'Low\tLow\tJJ\tB-NP\tO' +p1607 +aS'cholesterol\tcholesterol\tNN\tI-NP\tO' +p1608 +aS'.\t.\t.\tO\tO' +p1609 +asS'He fell backwards , landing on his buttocks and bumped his head .' +p1610 +(lp1611 +S'He\tHe\tPRP\tB-NP\tO' +p1612 +aS'fell\tfall\tVBD\tB-VP\tO' +p1613 +aS'backwards\tbackward\tNNS\tB-NP\tO' +p1614 +aS',\t,\t,\tO\tO' +p1615 +aS'landing\tland\tVBG\tB-VP\tO' +p1616 +aS'on\ton\tIN\tB-PP\tO' +p1617 +aS'his\this\tPRP$\tB-NP\tO' +p1618 +aS'buttocks\tbuttock\tNNS\tI-NP\tO' +p1619 +aS'and\tand\tCC\tO\tO' +p1620 +aS'bumped\tbump\tVBD\tB-VP\tO' +p1621 +aS'his\this\tPRP$\tB-NP\tO' +p1622 +aS'head\thead\tNN\tI-NP\tO' +p1623 +aS'.\t.\t.\tO\tO' +p1624 +asS'White blood cell count 10.4 , hemoglobin 11.9 , platelets 124 , PT and PTT were within normal limits .' +p1625 +(lp1626 +S'White\tWhite\tJJ\tB-NP\tO' +p1627 +aS'blood\tblood\tNN\tI-NP\tO' +p1628 +aS'cell\tcell\tNN\tI-NP\tO' +p1629 +aS'count\tcount\tNN\tI-NP\tO' +p1630 +aS'10.4\t10.4\tCD\tB-NP\tO' +p1631 +aS',\t,\t,\tO\tO' +p1632 +aS'hemoglobin\themoglobin\tNN\tB-NP\tB-protein' +p1633 +aS'11.9\t11.9\tCD\tI-NP\tI-protein' +p1634 +aS',\t,\t,\tO\tO' +p1635 +aS'platelets\tplatelet\tNNS\tB-NP\tB-protein' +p1636 +aS'124\t124\tCD\tI-NP\tI-protein' +p1637 +aS',\t,\t,\tI-NP\tO' +p1638 +aS'PT\tPT\tNN\tI-NP\tO' +p1639 +aS'and\tand\tCC\tI-NP\tO' +p1640 +aS'PTT\tPTT\tNN\tI-NP\tO' +p1641 +aS'were\tbe\tVBD\tB-VP\tO' +p1642 +aS'within\twithin\tIN\tB-PP\tO' +p1643 +aS'normal\tnormal\tJJ\tB-NP\tO' +p1644 +aS'limits\tlimit\tNNS\tI-NP\tO' +p1645 +aS'.\t.\t.\tO\tO' +p1646 +asS'Included his pre-admission medications .' +p1647 +(lp1648 +S'Included\tInclude\tVBD\tB-VP\tO' +p1649 +aS'his\this\tPRP$\tB-NP\tO' +p1650 +aS'pre-admission\tpre-admission\tJJ\tI-NP\tO' +p1651 +aS'medications\tmedication\tNNS\tI-NP\tO' +p1652 +aS'.\t.\t.\tO\tO' +p1653 +asS'Oxacillin RESISTANT Staphylococci MUST be reported as also RESISTANT to other penicillins , cephalosporins , carbacephems , carbapenems , and beta-lactamase inhibitor combinations .' +p1654 +(lp1655 +S'Oxacillin\tOxacillin\tNNP\tB-NP\tO' +p1656 +aS'RESISTANT\tRESISTANT\tNNP\tI-NP\tO' +p1657 +aS'Staphylococci\tStaphylococci\tNNP\tI-NP\tO' +p1658 +aS'MUST\tMUST\tNNP\tI-NP\tO' +p1659 +aS'be\tbe\tVB\tB-VP\tO' +p1660 +aS'reported\treport\tVBN\tI-VP\tO' +p1661 +aS'as\tas\tIN\tB-PP\tO' +p1662 +aS'also\talso\tRB\tB-ADVP\tO' +p1663 +aS'RESISTANT\tRESISTANT\tNN\tB-NP\tO' +p1664 +aS'to\tto\tTO\tB-PP\tO' +p1665 +aS'other\tother\tJJ\tB-NP\tO' +p1666 +aS'penicillins\tpenicillin\tNNS\tI-NP\tB-protein' +p1667 +aS',\t,\t,\tO\tO' +p1668 +aS'cephalosporins\tcephalosporin\tNNS\tB-NP\tO' +p1669 +aS',\t,\t,\tO\tO' +p1670 +aS'carbacephems\tcarbacephem\tNNS\tB-NP\tO' +p1671 +aS',\t,\t,\tO\tO' +p1672 +aS'carbapenems\tcarbapenem\tNNS\tB-NP\tO' +p1673 +aS',\t,\t,\tO\tO' +p1674 +aS'and\tand\tCC\tO\tO' +p1675 +aS'beta-lactamase\tbeta-lactamase\tNN\tB-NP\tO' +p1676 +aS'inhibitor\tinhibitor\tNN\tI-NP\tO' +p1677 +aS'combinations\tcombination\tNNS\tI-NP\tO' +p1678 +aS'.\t.\t.\tO\tO' +p1679 +asS'She was given Bactrim and she had improvement in the shortness of breath after her Bactrim was started and improved room air sats and was sent home on Bactrim .' +p1680 +(lp1681 +S'She\tShe\tPRP\tB-NP\tO' +p1682 +aS'was\tbe\tVBD\tB-VP\tO' +p1683 +aS'given\tgive\tVBN\tI-VP\tO' +p1684 +aS'Bactrim\tBactrim\tNNP\tB-NP\tO' +p1685 +aS'and\tand\tCC\tO\tO' +p1686 +aS'she\tshe\tPRP\tB-NP\tO' +p1687 +aS'had\thave\tVBD\tB-VP\tO' +p1688 +aS'improvement\timprovement\tNN\tB-NP\tO' +p1689 +aS'in\tin\tIN\tB-PP\tO' +p1690 +aS'the\tthe\tDT\tB-NP\tO' +p1691 +aS'shortness\tshortness\tNN\tI-NP\tO' +p1692 +aS'of\tof\tIN\tB-PP\tO' +p1693 +aS'breath\tbreath\tNN\tB-NP\tO' +p1694 +aS'after\tafter\tIN\tB-PP\tO' +p1695 +aS'her\ther\tPRP$\tB-NP\tO' +p1696 +aS'Bactrim\tBactrim\tNN\tI-NP\tO' +p1697 +aS'was\tbe\tVBD\tB-VP\tO' +p1698 +aS'started\tstart\tVBN\tI-VP\tO' +p1699 +aS'and\tand\tCC\tI-VP\tO' +p1700 +aS'improved\timprove\tVBN\tI-VP\tO' +p1701 +aS'room\troom\tNN\tB-NP\tO' +p1702 +aS'air\tair\tNN\tI-NP\tO' +p1703 +aS'sats\tsat\tNNS\tI-NP\tO' +p1704 +aS'and\tand\tCC\tO\tO' +p1705 +aS'was\tbe\tVBD\tB-VP\tO' +p1706 +aS'sent\tsend\tVBN\tI-VP\tO' +p1707 +aS'home\thome\tNN\tB-ADVP\tO' +p1708 +aS'on\ton\tIN\tB-PP\tO' +p1709 +aS'Bactrim\tBactrim\tNNP\tB-NP\tO' +p1710 +aS'.\t.\t.\tO\tO' +p1711 +asS'He refused an NG lavage .' +p1712 +(lp1713 +S'He\tHe\tPRP\tB-NP\tO' +p1714 +aS'refused\trefuse\tVBD\tB-VP\tO' +p1715 +aS'an\tan\tDT\tB-NP\tO' +p1716 +aS'NG\tNG\tNN\tI-NP\tO' +p1717 +aS'lavage\tlavage\tNN\tI-NP\tO' +p1718 +aS'.\t.\t.\tO\tO' +p1719 +asS'Generally a well developed elderly man in no apparent distress sitting in bed .' +p1720 +(lp1721 +S'Generally\tGenerally\tRB\tB-ADVP\tO' +p1722 +aS'a\ta\tDT\tB-NP\tO' +p1723 +aS'well\twell\tRB\tI-NP\tO' +p1724 +aS'developed\tdevelop\tVBN\tI-NP\tO' +p1725 +aS'elderly\telderly\tJJ\tI-NP\tO' +p1726 +aS'man\tman\tNN\tI-NP\tO' +p1727 +aS'in\tin\tIN\tB-PP\tO' +p1728 +aS'no\tno\tDT\tB-NP\tO' +p1729 +aS'apparent\tapparent\tJJ\tI-NP\tO' +p1730 +aS'distress\tdistress\tNN\tI-NP\tO' +p1731 +aS'sitting\tsit\tVBG\tB-VP\tO' +p1732 +aS'in\tin\tIN\tB-PP\tO' +p1733 +aS'bed\tbed\tNN\tB-NP\tO' +p1734 +aS'.\t.\t.\tO\tO' +p1735 +asS'Breath sounds equal with fair aeration .' +p1736 +(lp1737 +S'Breath\tBreath\tNNP\tB-NP\tO' +p1738 +aS'sounds\tsound\tVBZ\tB-VP\tO' +p1739 +aS'equal\tequal\tJJ\tB-ADJP\tO' +p1740 +aS'with\twith\tIN\tB-PP\tO' +p1741 +aS'fair\tfair\tJJ\tB-NP\tO' +p1742 +aS'aeration\taeration\tNN\tI-NP\tO' +p1743 +aS'.\t.\t.\tO\tO' +p1744 +asS'Cardiovascular examination demonstrated a regular rate and rhythm with 2/6 cresendo / descrecendo murmur heard best at the apex with preservation of the second heart sound , no S3 or S4 .' +p1745 +(lp1746 +S'Cardiovascular\tCardiovascular\tJJ\tB-NP\tO' +p1747 +aS'examination\texamination\tNN\tI-NP\tO' +p1748 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p1749 +aS'a\ta\tDT\tB-NP\tO' +p1750 +aS'regular\tregular\tJJ\tI-NP\tO' +p1751 +aS'rate\trate\tNN\tI-NP\tO' +p1752 +aS'and\tand\tCC\tI-NP\tO' +p1753 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p1754 +aS'with\twith\tIN\tB-PP\tO' +p1755 +aS'2/6\t2/6\tCD\tB-NP\tO' +p1756 +aS'cresendo\tcresendo\tNN\tI-NP\tO' +p1757 +aS'/\t/\tSYM\tB-NP\tO' +p1758 +aS'descrecendo\tdescrecendo\tNN\tI-NP\tO' +p1759 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p1760 +aS'heard\thear\tVBD\tB-VP\tO' +p1761 +aS'best\twell\tRBS\tB-ADVP\tO' +p1762 +aS'at\tat\tIN\tB-PP\tO' +p1763 +aS'the\tthe\tDT\tB-NP\tO' +p1764 +aS'apex\tapex\tNN\tI-NP\tO' +p1765 +aS'with\twith\tIN\tB-PP\tO' +p1766 +aS'preservation\tpreservation\tNN\tB-NP\tO' +p1767 +aS'of\tof\tIN\tB-PP\tO' +p1768 +aS'the\tthe\tDT\tB-NP\tO' +p1769 +aS'second\tsecond\tJJ\tI-NP\tO' +p1770 +aS'heart\theart\tNN\tI-NP\tO' +p1771 +aS'sound\tsound\tNN\tI-NP\tO' +p1772 +aS',\t,\t,\tO\tO' +p1773 +aS'no\tno\tDT\tB-NP\tO' +p1774 +aS'S3\tS3\tNN\tI-NP\tB-protein' +p1775 +aS'or\tor\tCC\tI-NP\tO' +p1776 +aS'S4\tS4\tNN\tI-NP\tB-protein' +p1777 +aS'.\t.\t.\tO\tO' +p1778 +asS'Her Lopressor dose was progressively increased to 100 mg tid .' +p1779 +(lp1780 +S'Her\tHer\tPRP$\tB-NP\tO' +p1781 +aS'Lopressor\tLopressor\tNN\tI-NP\tO' +p1782 +aS'dose\tdose\tNN\tI-NP\tO' +p1783 +aS'was\tbe\tVBD\tB-VP\tO' +p1784 +aS'progressively\tprogressively\tRB\tI-VP\tO' +p1785 +aS'increased\tincrease\tVBN\tI-VP\tO' +p1786 +aS'to\tto\tTO\tB-PP\tO' +p1787 +aS'100\t100\tCD\tB-NP\tO' +p1788 +aS'mg\tmg\tNN\tI-NP\tO' +p1789 +aS'tid\ttid\tNN\tI-NP\tO' +p1790 +aS'.\t.\t.\tO\tO' +p1791 +asS'This is a 44 - year-old male with a history of coronary artery disease , status post myocardial infarction in 9/02 , status post stent proximal and mid-RCA lesion and OM lesion .' +p1792 +(lp1793 +S'This\tThis\tDT\tB-NP\tO' +p1794 +aS'is\tbe\tVBZ\tB-VP\tO' +p1795 +aS'a\ta\tDT\tB-NP\tO' +p1796 +aS'44\t44\tCD\tI-NP\tO' +p1797 +aS'-\t-\tHYPH\tI-NP\tO' +p1798 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p1799 +aS'male\tmale\tNN\tI-NP\tO' +p1800 +aS'with\twith\tIN\tB-PP\tO' +p1801 +aS'a\ta\tDT\tB-NP\tO' +p1802 +aS'history\thistory\tNN\tI-NP\tO' +p1803 +aS'of\tof\tIN\tB-PP\tO' +p1804 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p1805 +aS'artery\tartery\tNN\tI-NP\tO' +p1806 +aS'disease\tdisease\tNN\tI-NP\tO' +p1807 +aS',\t,\t,\tO\tO' +p1808 +aS'status\tstatus\tNN\tB-NP\tO' +p1809 +aS'post\tpost\tNN\tI-NP\tO' +p1810 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p1811 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p1812 +aS'in\tin\tIN\tB-PP\tO' +p1813 +aS'9/02\t9/02\tCD\tB-NP\tO' +p1814 +aS',\t,\t,\tO\tO' +p1815 +aS'status\tstatus\tNN\tB-NP\tO' +p1816 +aS'post\tpost\tVBD\tB-VP\tO' +p1817 +aS'stent\tstent\tJJ\tB-NP\tO' +p1818 +aS'proximal\tproximal\tJJ\tI-NP\tO' +p1819 +aS'and\tand\tCC\tI-NP\tO' +p1820 +aS'mid-RCA\tmid-RCA\tJJ\tI-NP\tO' +p1821 +aS'lesion\tlesion\tNN\tI-NP\tO' +p1822 +aS'and\tand\tCC\tI-NP\tO' +p1823 +aS'OM\tOM\tNN\tI-NP\tO' +p1824 +aS'lesion\tlesion\tNN\tI-NP\tO' +p1825 +aS'.\t.\t.\tO\tO' +p1826 +asS'Discharge Diagnosis : patient passed away' +p1827 +(lp1828 +S'Discharge\tDischarge\tNNP\tB-NP\tO' +p1829 +aS'Diagnosis\tDiagnosis\tNNP\tI-NP\tO' +p1830 +aS':\t:\t:\tO\tO' +p1831 +aS'patient\tpatient\tNN\tB-NP\tO' +p1832 +aS'passed\tpass\tVBD\tB-VP\tO' +p1833 +aS'away\taway\tRB\tB-ADVP\tO' +p1834 +asS'AST 82 .' +p1835 +(lp1836 +S'AST\tAST\tRB\tB-NP\tO' +p1837 +aS'82\t82\tCD\tI-NP\tO' +p1838 +aS'.\t.\t.\tO\tO' +p1839 +asS'So , she was admitted to Shaugnessy-Kaplan Rehab Hospital on 2015-07-10 .' +p1840 +(lp1841 +S'So\tSo\tRB\tB-ADVP\tO' +p1842 +aS',\t,\t,\tO\tO' +p1843 +aS'she\tshe\tPRP\tB-NP\tO' +p1844 +aS'was\tbe\tVBD\tB-VP\tO' +p1845 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p1846 +aS'to\tto\tTO\tB-PP\tO' +p1847 +aS'Shaugnessy-Kaplan\tShaugnessy-Kaplan\tNNP\tB-NP\tO' +p1848 +aS'Rehab\tRehab\tNNP\tI-NP\tO' +p1849 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p1850 +aS'on\ton\tIN\tB-PP\tO' +p1851 +aS'2015-07-10\t2015-07-10\tCD\tB-NP\tO' +p1852 +aS'.\t.\t.\tO\tO' +p1853 +asS'A chest x-ray on admission showed effusions consistent with CHF along with overlying pnumonia .' +p1854 +(lp1855 +S'A\tA\tDT\tB-NP\tO' +p1856 +aS'chest\tch\tJJS\tI-NP\tO' +p1857 +aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' +p1858 +aS'on\ton\tIN\tB-PP\tO' +p1859 +aS'admission\tadmission\tNN\tB-NP\tO' +p1860 +aS'showed\tshow\tVBD\tB-VP\tO' +p1861 +aS'effusions\teffusion\tNNS\tB-NP\tO' +p1862 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p1863 +aS'with\twith\tIN\tB-PP\tO' +p1864 +aS'CHF\tCHF\tNN\tB-NP\tB-protein' +p1865 +aS'along\talong\tIN\tB-PP\tO' +p1866 +aS'with\twith\tIN\tB-PP\tO' +p1867 +aS'overlying\toverlie\tVBG\tB-VP\tO' +p1868 +aS'pnumonia\tpnumonia\tNN\tB-NP\tO' +p1869 +aS'.\t.\t.\tO\tO' +p1870 +asS'Oxazepam 15mg qhs tizamidine 8mg qhs actonel 35 qwed' +p1871 +(lp1872 +S'Oxazepam\tOxazepam\tNN\tB-NP\tO' +p1873 +aS'15mg\t15mg\tNN\tI-NP\tO' +p1874 +aS'qhs\tqh\tVBZ\tB-VP\tO' +p1875 +aS'tizamidine\ttizamidine\tNN\tB-NP\tO' +p1876 +aS'8mg\t8mg\tNN\tI-NP\tO' +p1877 +aS'qhs\tqh\tNNS\tI-NP\tO' +p1878 +aS'actonel\tactonel\tNN\tB-NP\tO' +p1879 +aS'35\t35\tCD\tI-NP\tO' +p1880 +aS'qwed\tqwe\tVBD\tB-VP\tO' +p1881 +asS'smoking cessation group will contact you at home' +p1882 +(lp1883 +S'smoking\tsmoking\tNN\tB-NP\tO' +p1884 +aS'cessation\tcessation\tNN\tI-NP\tO' +p1885 +aS'group\tgroup\tNN\tI-NP\tO' +p1886 +aS'will\twill\tMD\tB-VP\tO' +p1887 +aS'contact\tcontact\tVB\tI-VP\tO' +p1888 +aS'you\tyou\tPRP\tB-NP\tO' +p1889 +aS'at\tat\tIN\tB-PP\tO' +p1890 +aS'home\thome\tNN\tB-NP\tO' +p1891 +asS'Despite Augmentin , the patient 's delirium worsened in the 24 hours prior to admission , and her temperature was up to 102 .' +p1892 +(lp1893 +S'Despite\tDespite\tIN\tB-PP\tO' +p1894 +aS'Augmentin\tAugmentin\tNNP\tB-NP\tO' +p1895 +aS',\t,\t,\tO\tO' +p1896 +aS'the\tthe\tDT\tB-NP\tO' +p1897 +aS'patient\tpatient\tNN\tI-NP\tO' +p1898 +aS''s\t'\tNNS\tI-NP\tO' +p1899 +aS'delirium\tdelirium\tNN\tI-NP\tO' +p1900 +aS'worsened\tworsen\tVBD\tB-VP\tO' +p1901 +aS'in\tin\tIN\tB-PP\tO' +p1902 +aS'the\tthe\tDT\tB-NP\tO' +p1903 +aS'24\t24\tCD\tI-NP\tO' +p1904 +aS'hours\thour\tNNS\tI-NP\tO' +p1905 +aS'prior\tprior\tRB\tB-ADVP\tO' +p1906 +aS'to\tto\tTO\tB-PP\tO' +p1907 +aS'admission\tadmission\tNN\tB-NP\tO' +p1908 +aS',\t,\t,\tO\tO' +p1909 +aS'and\tand\tCC\tO\tO' +p1910 +aS'her\ther\tPRP$\tB-NP\tO' +p1911 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p1912 +aS'was\tbe\tVBD\tB-VP\tO' +p1913 +aS'up\tup\tRB\tB-ADVP\tO' +p1914 +aS'to\tto\tTO\tB-PP\tO' +p1915 +aS'102\t102\tCD\tB-NP\tO' +p1916 +aS'.\t.\t.\tO\tO' +p1917 +asS'The rash was always localized to her left side , sometimes extending down to her leg , but never on the right side .' +p1918 +(lp1919 +S'The\tThe\tDT\tB-NP\tO' +p1920 +aS'rash\trash\tNN\tI-NP\tO' +p1921 +aS'was\tbe\tVBD\tB-VP\tO' +p1922 +aS'always\talways\tRB\tB-ADVP\tO' +p1923 +aS'localized\tlocalized\tJJ\tB-ADJP\tO' +p1924 +aS'to\tto\tTO\tB-PP\tO' +p1925 +aS'her\ther\tPRP$\tB-NP\tO' +p1926 +aS'left\tleft\tJJ\tI-NP\tO' +p1927 +aS'side\tside\tNN\tI-NP\tO' +p1928 +aS',\t,\t,\tO\tO' +p1929 +aS'sometimes\tsometimes\tRB\tB-ADVP\tO' +p1930 +aS'extending\textend\tVBG\tB-VP\tO' +p1931 +aS'down\tdown\tRP\tB-PRT\tO' +p1932 +aS'to\tto\tTO\tB-PP\tO' +p1933 +aS'her\ther\tPRP$\tB-NP\tO' +p1934 +aS'leg\tleg\tNN\tI-NP\tO' +p1935 +aS',\t,\t,\tO\tO' +p1936 +aS'but\tbut\tCC\tO\tO' +p1937 +aS'never\tnever\tRB\tB-ADVP\tO' +p1938 +aS'on\ton\tIN\tB-PP\tO' +p1939 +aS'the\tthe\tDT\tB-NP\tO' +p1940 +aS'right\tright\tJJ\tI-NP\tO' +p1941 +aS'side\tside\tNN\tI-NP\tO' +p1942 +aS'.\t.\t.\tO\tO' +p1943 +asS'Denies any pain or discomfort .' +p1944 +(lp1945 +S'Denies\tDeny\tNNS\tB-NP\tO' +p1946 +aS'any\tany\tDT\tB-NP\tO' +p1947 +aS'pain\tpain\tNN\tI-NP\tO' +p1948 +aS'or\tor\tCC\tI-NP\tO' +p1949 +aS'discomfort\tdiscomfort\tNN\tI-NP\tO' +p1950 +aS'.\t.\t.\tO\tO' +p1951 +asS'Weight 3.325 kg , length was 20 inches i.e. 51 cm , head circumference 34.5 cm .' +p1952 +(lp1953 +S'Weight\tWeight\tRB\tB-NP\tO' +p1954 +aS'3.325\t3.325\tCD\tI-NP\tO' +p1955 +aS'kg\tkg\tNN\tI-NP\tO' +p1956 +aS',\t,\t,\tO\tO' +p1957 +aS'length\tlength\tNN\tB-NP\tO' +p1958 +aS'was\tbe\tVBD\tB-VP\tO' +p1959 +aS'20\t20\tCD\tB-NP\tO' +p1960 +aS'inches\tinch\tNNS\tI-NP\tO' +p1961 +aS'i.e.\ti.e.\tFW\tB-NP\tO' +p1962 +aS'51\t51\tCD\tI-NP\tO' +p1963 +aS'cm\tcm\tNN\tI-NP\tO' +p1964 +aS',\t,\t,\tO\tO' +p1965 +aS'head\thead\tNN\tB-NP\tO' +p1966 +aS'circumference\tcircumference\tNN\tI-NP\tO' +p1967 +aS'34.5\t34.5\tCD\tI-NP\tO' +p1968 +aS'cm\tcm\tNN\tI-NP\tO' +p1969 +aS'.\t.\t.\tO\tO' +p1970 +asS'4. Gastrointestinal .' +p1971 +(lp1972 +S'4.\t4.\tLS\tB-LST\tO' +p1973 +aS'Gastrointestinal\tGastrointestinal\tNNP\tB-NP\tO' +p1974 +aS'.\t.\t.\tO\tO' +p1975 +asS'Surgical pathology report was completed prior to discharge which revealed poorly differentiated adenocarcinoma ulcerating and extending through the wall into the serosa of the stomach .' +p1976 +(lp1977 +S'Surgical\tSurgical\tJJ\tB-NP\tO' +p1978 +aS'pathology\tpathology\tNN\tI-NP\tO' +p1979 +aS'report\treport\tNN\tI-NP\tO' +p1980 +aS'was\tbe\tVBD\tB-VP\tO' +p1981 +aS'completed\tcomplete\tVBN\tI-VP\tO' +p1982 +aS'prior\tprior\tRB\tB-ADVP\tO' +p1983 +aS'to\tto\tTO\tB-VP\tO' +p1984 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p1985 +aS'which\twhich\tWDT\tB-NP\tO' +p1986 +aS'revealed\treveal\tVBD\tB-VP\tO' +p1987 +aS'poorly\tpoorly\tRB\tB-NP\tO' +p1988 +aS'differentiated\tdifferentiate\tVBN\tI-NP\tO' +p1989 +aS'adenocarcinoma\tadenocarcinoma\tNN\tI-NP\tO' +p1990 +aS'ulcerating\tulcerate\tVBG\tB-VP\tO' +p1991 +aS'and\tand\tCC\tI-VP\tO' +p1992 +aS'extending\textend\tVBG\tI-VP\tO' +p1993 +aS'through\tthrough\tIN\tB-PP\tO' +p1994 +aS'the\tthe\tDT\tB-NP\tO' +p1995 +aS'wall\twall\tNN\tI-NP\tO' +p1996 +aS'into\tinto\tIN\tB-PP\tO' +p1997 +aS'the\tthe\tDT\tB-NP\tO' +p1998 +aS'serosa\tserosa\tNN\tI-NP\tO' +p1999 +aS'of\tof\tIN\tB-PP\tO' +p2000 +aS'the\tthe\tDT\tB-NP\tO' +p2001 +aS'stomach\tstomach\tNN\tI-NP\tO' +p2002 +aS'.\t.\t.\tO\tO' +p2003 +asS'11. Plavix 75 mg p.o. once per day .' +p2004 +(lp2005 +S'11.\t11.\tLS\tB-NP\tO' +p2006 +aS'Plavix\tPlavix\tNNP\tI-NP\tO' +p2007 +aS'75\t75\tCD\tI-NP\tO' +p2008 +aS'mg\tmg\tNN\tI-NP\tO' +p2009 +aS'p.o.\tp.o.\tRB\tB-ADVP\tO' +p2010 +aS'once\tonce\tRB\tI-ADVP\tO' +p2011 +aS'per\tper\tIN\tB-PP\tO' +p2012 +aS'day\tday\tNN\tB-NP\tO' +p2013 +aS'.\t.\t.\tO\tO' +p2014 +asS'A trivial / physiologic pericardial effusion one day post pericardiocentesis with no change from the study immediately post pericardiocentesis .' +p2015 +(lp2016 +S'A\tA\tDT\tB-NP\tO' +p2017 +aS'trivial\ttrivial\tJJ\tI-NP\tO' +p2018 +aS'/\t/\tSYM\tI-NP\tO' +p2019 +aS'physiologic\tphysiologic\tJJ\tI-NP\tO' +p2020 +aS'pericardial\tpericardial\tJJ\tI-NP\tO' +p2021 +aS'effusion\teffusion\tNN\tI-NP\tO' +p2022 +aS'one\tone\tCD\tB-NP\tO' +p2023 +aS'day\tday\tNN\tI-NP\tO' +p2024 +aS'post\tpost\tNN\tI-NP\tO' +p2025 +aS'pericardiocentesis\tpericardiocentesis\tNN\tI-NP\tO' +p2026 +aS'with\twith\tIN\tB-PP\tO' +p2027 +aS'no\tno\tDT\tB-NP\tO' +p2028 +aS'change\tchange\tNN\tI-NP\tO' +p2029 +aS'from\tfrom\tIN\tB-PP\tO' +p2030 +aS'the\tthe\tDT\tB-NP\tO' +p2031 +aS'study\tstudy\tNN\tI-NP\tO' +p2032 +aS'immediately\timmediately\tRB\tB-ADVP\tO' +p2033 +aS'post\tpost\tVBD\tB-VP\tO' +p2034 +aS'pericardiocentesis\tpericardiocentesis\tNN\tB-NP\tO' +p2035 +aS'.\t.\t.\tO\tO' +p2036 +asS'16. Clindamycin Phosphate in D5W 600 mg / 50 mL Piggyback Sig : 600 mg Intravenous Q8H ( every 8 hours ) for 3 days .' +p2037 +(lp2038 +S'16.\t16.\tLS\tB-NP\tO' +p2039 +aS'Clindamycin\tClindamycin\tNN\tI-NP\tO' +p2040 +aS'Phosphate\tPhosphate\tNN\tI-NP\tO' +p2041 +aS'in\tin\tIN\tB-PP\tO' +p2042 +aS'D5W\tD5W\tNN\tB-NP\tO' +p2043 +aS'600\t600\tCD\tI-NP\tO' +p2044 +aS'mg\tmg\tNN\tI-NP\tO' +p2045 +aS'/\t/\tSYM\tB-NP\tO' +p2046 +aS'50\t50\tCD\tB-NP\tO' +p2047 +aS'mL\tmL\tNN\tI-NP\tO' +p2048 +aS'Piggyback\tPiggyback\tNNP\tI-NP\tO' +p2049 +aS'Sig\tSig\tNNP\tI-NP\tO' +p2050 +aS':\t:\t:\tO\tO' +p2051 +aS'600\t600\tCD\tB-NP\tO' +p2052 +aS'mg\tmg\tNN\tI-NP\tO' +p2053 +aS'Intravenous\tIntravenous\tJJ\tI-NP\tO' +p2054 +aS'Q8H\tQ8H\tNN\tI-NP\tO' +p2055 +aS'(\t(\t(\tO\tO' +p2056 +aS'every\tevery\tDT\tB-NP\tO' +p2057 +aS'8\t8\tCD\tI-NP\tO' +p2058 +aS'hours\thour\tNNS\tI-NP\tO' +p2059 +aS')\t)\t)\tO\tO' +p2060 +aS'for\tfor\tIN\tB-PP\tO' +p2061 +aS'3\t3\tCD\tB-NP\tO' +p2062 +aS'days\tday\tNNS\tI-NP\tO' +p2063 +aS'.\t.\t.\tO\tO' +p2064 +asS'The patient was seen by Psychiatry due to some delirium and question of suicidal ideation .' +p2065 +(lp2066 +S'The\tThe\tDT\tB-NP\tO' +p2067 +aS'patient\tpatient\tNN\tI-NP\tO' +p2068 +aS'was\tbe\tVBD\tB-VP\tO' +p2069 +aS'seen\tsee\tVBN\tI-VP\tO' +p2070 +aS'by\tby\tIN\tB-PP\tO' +p2071 +aS'Psychiatry\tPsychiatry\tNN\tB-NP\tO' +p2072 +aS'due\tdue\tJJ\tB-ADJP\tO' +p2073 +aS'to\tto\tTO\tB-PP\tO' +p2074 +aS'some\tsome\tDT\tB-NP\tO' +p2075 +aS'delirium\tdelirium\tNN\tI-NP\tO' +p2076 +aS'and\tand\tCC\tI-NP\tO' +p2077 +aS'question\tquestion\tNN\tI-NP\tO' +p2078 +aS'of\tof\tIN\tB-PP\tO' +p2079 +aS'suicidal\tsuicidal\tJJ\tB-NP\tO' +p2080 +aS'ideation\tideation\tNN\tI-NP\tO' +p2081 +aS'.\t.\t.\tO\tO' +p2082 +asS'The patient was asked to call Dr. Miezetri Gach 's office for a follow-up appointment and wound check .' +p2083 +(lp2084 +S'The\tThe\tDT\tB-NP\tO' +p2085 +aS'patient\tpatient\tNN\tI-NP\tO' +p2086 +aS'was\tbe\tVBD\tB-VP\tO' +p2087 +aS'asked\task\tVBN\tI-VP\tO' +p2088 +aS'to\tto\tTO\tI-VP\tO' +p2089 +aS'call\tcall\tVB\tI-VP\tO' +p2090 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p2091 +aS'Miezetri\tMiezetri\tNNP\tI-NP\tO' +p2092 +aS'Gach\tGach\tNNP\tI-NP\tO' +p2093 +aS''s\t'\tNNS\tI-NP\tO' +p2094 +aS'office\toffice\tNN\tI-NP\tO' +p2095 +aS'for\tfor\tIN\tB-PP\tO' +p2096 +aS'a\ta\tDT\tB-NP\tO' +p2097 +aS'follow-up\tfollow-up\tJJ\tI-NP\tO' +p2098 +aS'appointment\tappointment\tNN\tI-NP\tO' +p2099 +aS'and\tand\tCC\tI-NP\tO' +p2100 +aS'wound\twound\tNN\tI-NP\tO' +p2101 +aS'check\tcheck\tNN\tI-NP\tO' +p2102 +aS'.\t.\t.\tO\tO' +p2103 +asS'The liver was approximately 8.0 cm .' +p2104 +(lp2105 +S'The\tThe\tDT\tB-NP\tO' +p2106 +aS'liver\tliver\tNN\tI-NP\tO' +p2107 +aS'was\tbe\tVBD\tB-VP\tO' +p2108 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p2109 +aS'8.0\t8.0\tCD\tI-NP\tO' +p2110 +aS'cm\tcm\tNN\tI-NP\tO' +p2111 +aS'.\t.\t.\tO\tO' +p2112 +asS'Cardiac enzymes normal .' +p2113 +(lp2114 +S'Cardiac\tCardiac\tJJ\tB-NP\tB-protein' +p2115 +aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' +p2116 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p2117 +aS'.\t.\t.\tO\tO' +p2118 +asS'The patient admits that he has had many stressors in his life lately .' +p2119 +(lp2120 +S'The\tThe\tDT\tB-NP\tO' +p2121 +aS'patient\tpatient\tNN\tI-NP\tO' +p2122 +aS'admits\tadmit\tVBZ\tB-VP\tO' +p2123 +aS'that\tthat\tIN\tB-SBAR\tO' +p2124 +aS'he\the\tPRP\tB-NP\tO' +p2125 +aS'has\thave\tVBZ\tB-VP\tO' +p2126 +aS'had\thave\tVBD\tI-VP\tO' +p2127 +aS'many\tmany\tJJ\tB-NP\tO' +p2128 +aS'stressors\tstressor\tNNS\tI-NP\tO' +p2129 +aS'in\tin\tIN\tB-PP\tO' +p2130 +aS'his\this\tPRP$\tB-NP\tO' +p2131 +aS'life\tlife\tNN\tI-NP\tO' +p2132 +aS'lately\tlately\tRB\tB-ADVP\tO' +p2133 +aS'.\t.\t.\tO\tO' +p2134 +asS'7) GI : Ms. Pimental is an unfortunate 95 year old woman , status post a recent fall necessitating right ORIF of the hip and right wrist fracture ORIF , who was in the hospital for this event , when it was noted that she had abdominal pain , distention and coffee ground emesis with worsening mental status and renal failure .' +p2135 +(lp2136 +S'7)\t7)\tCD\tB-NP\tO' +p2137 +aS'GI\tGI\tNNP\tI-NP\tO' +p2138 +aS':\t:\t:\tO\tO' +p2139 +aS'Ms.\tMs.\tNNP\tB-NP\tO' +p2140 +aS'Pimental\tPimental\tNNP\tI-NP\tO' +p2141 +aS'is\tbe\tVBZ\tB-VP\tO' +p2142 +aS'an\tan\tDT\tB-NP\tO' +p2143 +aS'unfortunate\tunfortunate\tJJ\tI-NP\tO' +p2144 +aS'95\t95\tCD\tI-NP\tO' +p2145 +aS'year\tyear\tNN\tI-NP\tO' +p2146 +aS'old\told\tJJ\tI-NP\tO' +p2147 +aS'woman\twoman\tNN\tI-NP\tO' +p2148 +aS',\t,\t,\tO\tO' +p2149 +aS'status\tstatus\tNN\tB-NP\tO' +p2150 +aS'post\tpost\tVBD\tB-VP\tO' +p2151 +aS'a\ta\tDT\tB-NP\tO' +p2152 +aS'recent\trecent\tJJ\tI-NP\tO' +p2153 +aS'fall\tfall\tNN\tI-NP\tO' +p2154 +aS'necessitating\tnecessitate\tVBG\tB-VP\tO' +p2155 +aS'right\tright\tJJ\tB-NP\tO' +p2156 +aS'ORIF\tORIF\tNN\tI-NP\tO' +p2157 +aS'of\tof\tIN\tB-PP\tO' +p2158 +aS'the\tthe\tDT\tB-NP\tO' +p2159 +aS'hip\thip\tNN\tI-NP\tO' +p2160 +aS'and\tand\tCC\tI-NP\tO' +p2161 +aS'right\tright\tJJ\tI-NP\tB-protein' +p2162 +aS'wrist\twrist\tNN\tI-NP\tI-protein' +p2163 +aS'fracture\tfracture\tNN\tI-NP\tI-protein' +p2164 +aS'ORIF\tORIF\tNN\tI-NP\tI-protein' +p2165 +aS',\t,\t,\tO\tO' +p2166 +aS'who\twho\tWP\tB-NP\tO' +p2167 +aS'was\tbe\tVBD\tB-VP\tO' +p2168 +aS'in\tin\tIN\tB-PP\tO' +p2169 +aS'the\tthe\tDT\tB-NP\tO' +p2170 +aS'hospital\thospital\tNN\tI-NP\tO' +p2171 +aS'for\tfor\tIN\tB-PP\tO' +p2172 +aS'this\tthis\tDT\tB-NP\tO' +p2173 +aS'event\tevent\tNN\tI-NP\tO' +p2174 +aS',\t,\t,\tO\tO' +p2175 +aS'when\twhen\tWRB\tB-ADVP\tO' +p2176 +aS'it\tit\tPRP\tB-NP\tO' +p2177 +aS'was\tbe\tVBD\tB-VP\tO' +p2178 +aS'noted\tnote\tVBN\tI-VP\tO' +p2179 +aS'that\tthat\tIN\tB-SBAR\tO' +p2180 +aS'she\tshe\tPRP\tB-NP\tO' +p2181 +aS'had\thave\tVBD\tB-VP\tO' +p2182 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p2183 +aS'pain\tpain\tNN\tI-NP\tO' +p2184 +aS',\t,\t,\tO\tO' +p2185 +aS'distention\tdistention\tNN\tB-NP\tO' +p2186 +aS'and\tand\tCC\tO\tO' +p2187 +aS'coffee\tcoffee\tNN\tB-NP\tO' +p2188 +aS'ground\tground\tNN\tI-NP\tO' +p2189 +aS'emesis\temesis\tNN\tI-NP\tO' +p2190 +aS'with\twith\tIN\tB-PP\tO' +p2191 +aS'worsening\tworsen\tVBG\tB-VP\tO' +p2192 +aS'mental\tmental\tJJ\tB-NP\tO' +p2193 +aS'status\tstatus\tNN\tI-NP\tO' +p2194 +aS'and\tand\tCC\tO\tO' +p2195 +aS'renal\trenal\tJJ\tB-NP\tO' +p2196 +aS'failure\tfailure\tNN\tI-NP\tO' +p2197 +aS'.\t.\t.\tO\tO' +p2198 +asS'Patient also was found to have elevated LDH , alkaline phosphatase , and amylase prior to admission .' +p2199 +(lp2200 +S'Patient\tPatient\tNN\tB-NP\tO' +p2201 +aS'also\talso\tRB\tB-ADVP\tO' +p2202 +aS'was\tbe\tVBD\tB-VP\tO' +p2203 +aS'found\tfind\tVBN\tI-VP\tO' +p2204 +aS'to\tto\tTO\tI-VP\tO' +p2205 +aS'have\thave\tVB\tI-VP\tO' +p2206 +aS'elevated\televate\tVBN\tI-VP\tO' +p2207 +aS'LDH\tLDH\tNN\tB-NP\tB-protein' +p2208 +aS',\t,\t,\tO\tO' +p2209 +aS'alkaline\talkaline\tNN\tB-NP\tB-protein' +p2210 +aS'phosphatase\tphosphatase\tNN\tI-NP\tI-protein' +p2211 +aS',\t,\t,\tO\tO' +p2212 +aS'and\tand\tCC\tO\tO' +p2213 +aS'amylase\tamylase\tNN\tB-NP\tB-protein' +p2214 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p2215 +aS'to\tto\tTO\tB-PP\tO' +p2216 +aS'admission\tadmission\tNN\tB-NP\tO' +p2217 +aS'.\t.\t.\tO\tO' +p2218 +asS'A repeat KUB was performed which showed no evidence of volvulus .' +p2219 +(lp2220 +S'A\tA\tDT\tB-NP\tO' +p2221 +aS'repeat\trepeat\tNN\tI-NP\tO' +p2222 +aS'KUB\tKUB\tNN\tI-NP\tO' +p2223 +aS'was\tbe\tVBD\tB-VP\tO' +p2224 +aS'performed\tperform\tVBN\tI-VP\tO' +p2225 +aS'which\twhich\tWDT\tB-NP\tO' +p2226 +aS'showed\tshow\tVBD\tB-VP\tO' +p2227 +aS'no\tno\tDT\tB-NP\tO' +p2228 +aS'evidence\tevidence\tNN\tI-NP\tO' +p2229 +aS'of\tof\tIN\tB-PP\tO' +p2230 +aS'volvulus\tvolvulus\tNN\tB-NP\tO' +p2231 +aS'.\t.\t.\tO\tO' +p2232 +asS'Post-operatively mental status improved .' +p2233 +(lp2234 +S'Post-operatively\tPost-operatively\tRB\tB-NP\tO' +p2235 +aS'mental\tmental\tJJ\tI-NP\tO' +p2236 +aS'status\tstatus\tNN\tI-NP\tO' +p2237 +aS'improved\timprove\tVBD\tB-VP\tO' +p2238 +aS'.\t.\t.\tO\tO' +p2239 +asS'At 8 p.m. the patient seen at the Purckecation Balpoingdelt Pabarnes- Campa Memorial Hospital and was examined and assessed .' +p2240 +(lp2241 +S'At\tAt\tIN\tB-PP\tO' +p2242 +aS'8\t8\tCD\tB-NP\tO' +p2243 +aS'p.m.\tp.m.\tNN\tI-NP\tO' +p2244 +aS'the\tthe\tDT\tB-NP\tO' +p2245 +aS'patient\tpatient\tNN\tI-NP\tO' +p2246 +aS'seen\tsee\tVBN\tB-VP\tO' +p2247 +aS'at\tat\tIN\tB-PP\tO' +p2248 +aS'the\tthe\tDT\tB-NP\tO' +p2249 +aS'Purckecation\tPurckecation\tNNP\tI-NP\tO' +p2250 +aS'Balpoingdelt\tBalpoingdelt\tNNP\tI-NP\tO' +p2251 +aS'Pabarnes-\tPabarnes-\tNNP\tI-NP\tO' +p2252 +aS'Campa\tCampa\tNNP\tI-NP\tO' +p2253 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p2254 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p2255 +aS'and\tand\tCC\tO\tO' +p2256 +aS'was\tbe\tVBD\tB-VP\tO' +p2257 +aS'examined\texamine\tVBN\tI-VP\tO' +p2258 +aS'and\tand\tCC\tI-VP\tO' +p2259 +aS'assessed\tassess\tVBN\tI-VP\tO' +p2260 +aS'.\t.\t.\tO\tO' +p2261 +asS'13. Potassium Chloride 10 mEq Capsule , Sustained Release Sig : One ( 1 ) Capsule , Sustained Release PO q M-W-F .' +p2262 +(lp2263 +S'13.\t13.\tLS\tB-NP\tO' +p2264 +aS'Potassium\tPotassium\tNNP\tI-NP\tO' +p2265 +aS'Chloride\tChloride\tNNP\tI-NP\tO' +p2266 +aS'10\t10\tCD\tI-NP\tO' +p2267 +aS'mEq\tmEq\tNN\tI-NP\tO' +p2268 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p2269 +aS',\t,\t,\tO\tO' +p2270 +aS'Sustained\tSustained\tNNP\tB-NP\tO' +p2271 +aS'Release\tRelease\tNNP\tI-NP\tO' +p2272 +aS'Sig\tSig\tNNP\tI-NP\tB-protein' +p2273 +aS':\t:\t:\tO\tO' +p2274 +aS'One\tOne\tCD\tB-NP\tO' +p2275 +aS'(\t(\t(\tO\tO' +p2276 +aS'1\t1\tCD\tB-NP\tO' +p2277 +aS')\t)\t)\tO\tO' +p2278 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p2279 +aS',\t,\t,\tO\tO' +p2280 +aS'Sustained\tSustained\tNNP\tB-NP\tO' +p2281 +aS'Release\tRelease\tNNP\tI-NP\tO' +p2282 +aS'PO\tPO\tNNP\tI-NP\tO' +p2283 +aS'q\tq\tNN\tI-NP\tO' +p2284 +aS'M-W-F\tM-W-F\tNN\tI-NP\tO' +p2285 +aS'.\t.\t.\tO\tO' +p2286 +asS'He was also seen by spine who repeated the MRI and this showed L3-4 osteomyelitis and discitis and an epidural abscess , 5cm .' +p2287 +(lp2288 +S'He\tHe\tPRP\tB-NP\tO' +p2289 +aS'was\tbe\tVBD\tB-VP\tO' +p2290 +aS'also\talso\tRB\tI-VP\tO' +p2291 +aS'seen\tsee\tVBN\tI-VP\tO' +p2292 +aS'by\tby\tIN\tB-PP\tO' +p2293 +aS'spine\tspine\tNN\tB-NP\tO' +p2294 +aS'who\twho\tWP\tB-NP\tO' +p2295 +aS'repeated\trepeat\tVBD\tB-VP\tO' +p2296 +aS'the\tthe\tDT\tB-NP\tO' +p2297 +aS'MRI\tMRI\tNN\tI-NP\tO' +p2298 +aS'and\tand\tCC\tO\tO' +p2299 +aS'this\tthis\tDT\tB-NP\tO' +p2300 +aS'showed\tshow\tVBD\tB-VP\tO' +p2301 +aS'L3-4\tL3-4\tNN\tB-NP\tO' +p2302 +aS'osteomyelitis\tosteomyelitis\tNN\tI-NP\tO' +p2303 +aS'and\tand\tCC\tI-NP\tO' +p2304 +aS'discitis\tdiscitis\tNN\tI-NP\tO' +p2305 +aS'and\tand\tCC\tO\tO' +p2306 +aS'an\tan\tDT\tB-NP\tO' +p2307 +aS'epidural\tepidural\tJJ\tI-NP\tO' +p2308 +aS'abscess\tabscess\tNN\tI-NP\tO' +p2309 +aS',\t,\t,\tO\tO' +p2310 +aS'5cm\t5cm\tNN\tB-NP\tO' +p2311 +aS'.\t.\t.\tO\tO' +p2312 +asS'The infant has remained hemodynamically stable with heart rates in the 120 s to 140 s and mean blood pressures of 57 to 60 .' +p2313 +(lp2314 +S'The\tThe\tDT\tB-NP\tO' +p2315 +aS'infant\tinfant\tNN\tI-NP\tO' +p2316 +aS'has\thave\tVBZ\tB-VP\tO' +p2317 +aS'remained\tremain\tVBN\tI-VP\tO' +p2318 +aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' +p2319 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p2320 +aS'with\twith\tIN\tB-PP\tO' +p2321 +aS'heart\theart\tNN\tB-NP\tO' +p2322 +aS'rates\trate\tNNS\tI-NP\tO' +p2323 +aS'in\tin\tIN\tB-PP\tO' +p2324 +aS'the\tthe\tDT\tB-NP\tO' +p2325 +aS'120\t120\tCD\tI-NP\tO' +p2326 +aS's\ts\tNN\tI-NP\tO' +p2327 +aS'to\tto\tTO\tB-PP\tO' +p2328 +aS'140\t140\tCD\tB-NP\tO' +p2329 +aS's\ts\tNN\tI-NP\tO' +p2330 +aS'and\tand\tCC\tO\tO' +p2331 +aS'mean\tmean\tJJ\tB-NP\tO' +p2332 +aS'blood\tblood\tNN\tI-NP\tO' +p2333 +aS'pressures\tpressure\tNNS\tI-NP\tO' +p2334 +aS'of\tof\tIN\tB-PP\tO' +p2335 +aS'57\t57\tCD\tB-NP\tO' +p2336 +aS'to\tto\tTO\tI-NP\tO' +p2337 +aS'60\t60\tCD\tI-NP\tO' +p2338 +aS'.\t.\t.\tO\tO' +p2339 +asS'However , by day three he required no additional insulin coverage .' +p2340 +(lp2341 +S'However\tHowever\tRB\tB-ADVP\tO' +p2342 +aS',\t,\t,\tO\tO' +p2343 +aS'by\tby\tIN\tB-PP\tO' +p2344 +aS'day\tday\tNN\tB-NP\tO' +p2345 +aS'three\tthree\tCD\tI-NP\tO' +p2346 +aS'he\the\tPRP\tB-NP\tO' +p2347 +aS'required\trequire\tVBD\tB-VP\tO' +p2348 +aS'no\tno\tDT\tB-NP\tO' +p2349 +aS'additional\tadditional\tJJ\tI-NP\tO' +p2350 +aS'insulin\tinsulin\tNN\tI-NP\tO' +p2351 +aS'coverage\tcoverage\tNN\tI-NP\tO' +p2352 +aS'.\t.\t.\tO\tO' +p2353 +asS'Nuclear myocardial perfusion study was notable for a moderate fixed defect within the inferior wall and cardiac apex .' +p2354 +(lp2355 +S'Nuclear\tNuclear\tJJ\tB-NP\tO' +p2356 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p2357 +aS'perfusion\tperfusion\tNN\tI-NP\tO' +p2358 +aS'study\tstudy\tNN\tI-NP\tO' +p2359 +aS'was\tbe\tVBD\tB-VP\tO' +p2360 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p2361 +aS'for\tfor\tIN\tB-PP\tO' +p2362 +aS'a\ta\tDT\tB-NP\tO' +p2363 +aS'moderate\tmoderate\tJJ\tI-NP\tO' +p2364 +aS'fixed\tfix\tVBN\tI-NP\tO' +p2365 +aS'defect\tdefect\tNN\tI-NP\tO' +p2366 +aS'within\twithin\tIN\tB-PP\tO' +p2367 +aS'the\tthe\tDT\tB-NP\tO' +p2368 +aS'inferior\tinferior\tJJ\tI-NP\tO' +p2369 +aS'wall\twall\tNN\tI-NP\tO' +p2370 +aS'and\tand\tCC\tO\tO' +p2371 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p2372 +aS'apex\tapex\tNN\tI-NP\tO' +p2373 +aS'.\t.\t.\tO\tO' +p2374 +asS'pt was started on bowel regimen with Senna , magcitrate and Lactulose .' +p2375 +(lp2376 +S'pt\tpt\tNN\tB-NP\tO' +p2377 +aS'was\tbe\tVBD\tB-VP\tO' +p2378 +aS'started\tstart\tVBN\tI-VP\tO' +p2379 +aS'on\ton\tIN\tB-PP\tO' +p2380 +aS'bowel\tbowel\tNN\tB-NP\tO' +p2381 +aS'regimen\tregimen\tNN\tI-NP\tO' +p2382 +aS'with\twith\tIN\tB-PP\tO' +p2383 +aS'Senna\tSenna\tNNP\tB-NP\tO' +p2384 +aS',\t,\t,\tO\tO' +p2385 +aS'magcitrate\tmagcitrate\tNN\tB-NP\tO' +p2386 +aS'and\tand\tCC\tI-NP\tO' +p2387 +aS'Lactulose\tLactulose\tNN\tI-NP\tO' +p2388 +aS'.\t.\t.\tO\tO' +p2389 +asS'On August 20 , under local anesthesia the right pectoral region was explored and the leads disconnected and the pulse generator changed to a CPI unit in which the sensitivity could be adjusted to .15 mm. , which permitted appropriate atrial sensing .' +p2390 +(lp2391 +S'On\tOn\tIN\tB-PP\tO' +p2392 +aS'August\tAugust\tNNP\tB-NP\tO' +p2393 +aS'20\t20\tCD\tI-NP\tO' +p2394 +aS',\t,\t,\tO\tO' +p2395 +aS'under\tunder\tIN\tB-PP\tO' +p2396 +aS'local\tlocal\tJJ\tB-NP\tO' +p2397 +aS'anesthesia\tanesthesia\tNN\tI-NP\tO' +p2398 +aS'the\tthe\tDT\tB-NP\tO' +p2399 +aS'right\tright\tJJ\tI-NP\tB-DNA' +p2400 +aS'pectoral\tpectoral\tJJ\tI-NP\tI-DNA' +p2401 +aS'region\tregion\tNN\tI-NP\tI-DNA' +p2402 +aS'was\tbe\tVBD\tB-VP\tO' +p2403 +aS'explored\texplore\tVBN\tI-VP\tO' +p2404 +aS'and\tand\tCC\tO\tO' +p2405 +aS'the\tthe\tDT\tB-NP\tO' +p2406 +aS'leads\tlead\tNNS\tI-NP\tO' +p2407 +aS'disconnected\tdisconnect\tVBN\tB-VP\tO' +p2408 +aS'and\tand\tCC\tO\tO' +p2409 +aS'the\tthe\tDT\tB-NP\tO' +p2410 +aS'pulse\tpulse\tNN\tI-NP\tO' +p2411 +aS'generator\tgenerator\tNN\tI-NP\tO' +p2412 +aS'changed\tchange\tVBD\tB-VP\tO' +p2413 +aS'to\tto\tTO\tB-PP\tO' +p2414 +aS'a\ta\tDT\tB-NP\tO' +p2415 +aS'CPI\tCPI\tNN\tI-NP\tB-DNA' +p2416 +aS'unit\tunit\tNN\tI-NP\tI-DNA' +p2417 +aS'in\tin\tIN\tB-PP\tO' +p2418 +aS'which\twhich\tWDT\tB-NP\tO' +p2419 +aS'the\tthe\tDT\tB-NP\tO' +p2420 +aS'sensitivity\tsensitivity\tNN\tI-NP\tO' +p2421 +aS'could\tcould\tMD\tB-VP\tO' +p2422 +aS'be\tbe\tVB\tI-VP\tO' +p2423 +aS'adjusted\tadjust\tVBN\tI-VP\tO' +p2424 +aS'to\tto\tTO\tB-PP\tO' +p2425 +aS'.15\t.15\tCD\tB-NP\tO' +p2426 +aS'mm.\tmm.\tNN\tI-NP\tO' +p2427 +aS',\t,\t,\tO\tO' +p2428 +aS'which\twhich\tWDT\tB-NP\tO' +p2429 +aS'permitted\tpermit\tVBD\tB-VP\tO' +p2430 +aS'appropriate\tappropriate\tJJ\tB-NP\tO' +p2431 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p2432 +aS'sensing\tsensing\tNN\tI-NP\tO' +p2433 +aS'.\t.\t.\tO\tO' +p2434 +asS'The patient is to undergo dry dressing changes and splint to his right arm q.d.' +p2435 +(lp2436 +S'The\tThe\tDT\tB-NP\tO' +p2437 +aS'patient\tpatient\tNN\tI-NP\tO' +p2438 +aS'is\tbe\tVBZ\tB-VP\tO' +p2439 +aS'to\tto\tTO\tB-VP\tO' +p2440 +aS'undergo\tundergo\tVB\tI-VP\tO' +p2441 +aS'dry\tdry\tJJ\tB-NP\tO' +p2442 +aS'dressing\tdressing\tNN\tI-NP\tO' +p2443 +aS'changes\tchange\tNNS\tI-NP\tO' +p2444 +aS'and\tand\tCC\tO\tO' +p2445 +aS'splint\tsplint\tNN\tB-NP\tO' +p2446 +aS'to\tto\tTO\tB-PP\tO' +p2447 +aS'his\this\tPRP$\tB-NP\tO' +p2448 +aS'right\tright\tJJ\tI-NP\tO' +p2449 +aS'arm\tarm\tNN\tI-NP\tO' +p2450 +aS'q.d.\tq.d.\t.\tO\tO' +p2451 +asS'She has had one normal spontaneous vaginal delivery and two cesarean sections .' +p2452 +(lp2453 +S'She\tShe\tPRP\tB-NP\tO' +p2454 +aS'has\thave\tVBZ\tB-VP\tO' +p2455 +aS'had\thave\tVBD\tI-VP\tO' +p2456 +aS'one\tone\tCD\tB-NP\tO' +p2457 +aS'normal\tnormal\tJJ\tI-NP\tO' +p2458 +aS'spontaneous\tspontaneous\tJJ\tI-NP\tO' +p2459 +aS'vaginal\tvaginal\tJJ\tI-NP\tO' +p2460 +aS'delivery\tdelivery\tNN\tI-NP\tO' +p2461 +aS'and\tand\tCC\tO\tO' +p2462 +aS'two\ttwo\tCD\tB-NP\tO' +p2463 +aS'cesarean\tcesarean\tJJ\tI-NP\tO' +p2464 +aS'sections\tsection\tNNS\tI-NP\tO' +p2465 +aS'.\t.\t.\tO\tO' +p2466 +asS'Chest x-ray showed enlarged heart with mild pulmonary vascular redistribution , no gross congestive heart failure was noted .' +p2467 +(lp2468 +S'Chest\tCh\tJJS\tB-NP\tO' +p2469 +aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' +p2470 +aS'showed\tshow\tVBD\tB-VP\tO' +p2471 +aS'enlarged\tenlarged\tJJ\tB-NP\tO' +p2472 +aS'heart\theart\tNN\tI-NP\tO' +p2473 +aS'with\twith\tIN\tB-PP\tO' +p2474 +aS'mild\tmild\tJJ\tB-NP\tO' +p2475 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p2476 +aS'vascular\tvascular\tJJ\tI-NP\tO' +p2477 +aS'redistribution\tredistribution\tNN\tI-NP\tO' +p2478 +aS',\t,\t,\tO\tO' +p2479 +aS'no\tno\tDT\tB-NP\tO' +p2480 +aS'gross\tgross\tJJ\tI-NP\tO' +p2481 +aS'congestive\tcongestive\tJJ\tI-NP\tO' +p2482 +aS'heart\theart\tNN\tI-NP\tO' +p2483 +aS'failure\tfailure\tNN\tI-NP\tO' +p2484 +aS'was\tbe\tVBD\tB-VP\tO' +p2485 +aS'noted\tnote\tVBN\tI-VP\tO' +p2486 +aS'.\t.\t.\tO\tO' +p2487 +asS'Spontaneous vaginal delivery x 2 .' +p2488 +(lp2489 +S'Spontaneous\tSpontaneous\tJJ\tB-NP\tO' +p2490 +aS'vaginal\tvaginal\tJJ\tI-NP\tO' +p2491 +aS'delivery\tdelivery\tNN\tI-NP\tO' +p2492 +aS'x\tx\tNN\tI-NP\tO' +p2493 +aS'2\t2\tCD\tI-NP\tO' +p2494 +aS'.\t.\t.\tO\tO' +p2495 +asS'4. Status post carpal tunnel release .' +p2496 +(lp2497 +S'4.\t4.\tLS\tB-LST\tO' +p2498 +aS'Status\tStatus\tNNP\tB-NP\tO' +p2499 +aS'post\tpost\tIN\tB-PP\tO' +p2500 +aS'carpal\tcarpal\tJJ\tB-NP\tO' +p2501 +aS'tunnel\ttunnel\tNN\tI-NP\tO' +p2502 +aS'release\trelease\tNN\tI-NP\tO' +p2503 +aS'.\t.\t.\tO\tO' +p2504 +asS'# Renal insufficiency - baseline Cr unknown , may have CRI from DM .' +p2505 +(lp2506 +S'#\t#\t#\tB-NP\tO' +p2507 +aS'Renal\tRenal\tJJ\tI-NP\tO' +p2508 +aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' +p2509 +aS'-\t-\tHYPH\tO\tO' +p2510 +aS'baseline\tbaseline\tNN\tB-NP\tO' +p2511 +aS'Cr\tCr\tNN\tI-NP\tO' +p2512 +aS'unknown\tunknown\tJJ\tB-ADJP\tO' +p2513 +aS',\t,\t,\tO\tO' +p2514 +aS'may\tmay\tMD\tB-VP\tO' +p2515 +aS'have\thave\tVB\tI-VP\tO' +p2516 +aS'CRI\tCRI\tNN\tB-NP\tB-protein' +p2517 +aS'from\tfrom\tIN\tB-PP\tO' +p2518 +aS'DM\tDM\tNN\tB-NP\tO' +p2519 +aS'.\t.\t.\tO\tO' +p2520 +asS'He walks with a limp related to his right hip .' +p2521 +(lp2522 +S'He\tHe\tPRP\tB-NP\tO' +p2523 +aS'walks\twalk\tVBZ\tB-VP\tO' +p2524 +aS'with\twith\tIN\tB-PP\tO' +p2525 +aS'a\ta\tDT\tB-NP\tO' +p2526 +aS'limp\tlimp\tNN\tI-NP\tO' +p2527 +aS'related\trelate\tVBN\tB-VP\tO' +p2528 +aS'to\tto\tTO\tB-PP\tO' +p2529 +aS'his\this\tPRP$\tB-NP\tO' +p2530 +aS'right\tright\tJJ\tI-NP\tO' +p2531 +aS'hip\thip\tNN\tI-NP\tO' +p2532 +aS'.\t.\t.\tO\tO' +p2533 +asS'On POD #6 his creatinine became slightly elevated at 1.4 , his lasix was discontinued and the following day his creatinine was stable at 1.4 .' +p2534 +(lp2535 +S'On\tOn\tIN\tB-PP\tO' +p2536 +aS'POD\tPOD\tNN\tB-NP\tB-protein' +p2537 +aS'#6\t#6\tCD\tI-NP\tI-protein' +p2538 +aS'his\this\tPRP$\tB-NP\tO' +p2539 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p2540 +aS'became\tbecome\tVBD\tB-VP\tO' +p2541 +aS'slightly\tslightly\tRB\tB-ADJP\tO' +p2542 +aS'elevated\televated\tJJ\tI-ADJP\tO' +p2543 +aS'at\tat\tIN\tB-PP\tO' +p2544 +aS'1.4\t1.4\tCD\tB-NP\tO' +p2545 +aS',\t,\t,\tO\tO' +p2546 +aS'his\this\tPRP$\tB-NP\tO' +p2547 +aS'lasix\tlasix\tNN\tI-NP\tO' +p2548 +aS'was\tbe\tVBD\tB-VP\tO' +p2549 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p2550 +aS'and\tand\tCC\tO\tO' +p2551 +aS'the\tthe\tDT\tB-NP\tO' +p2552 +aS'following\tfollow\tVBG\tI-NP\tO' +p2553 +aS'day\tday\tNN\tI-NP\tO' +p2554 +aS'his\this\tPRP$\tB-NP\tO' +p2555 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p2556 +aS'was\tbe\tVBD\tB-VP\tO' +p2557 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p2558 +aS'at\tat\tIN\tB-PP\tO' +p2559 +aS'1.4\t1.4\tCD\tB-NP\tO' +p2560 +aS'.\t.\t.\tO\tO' +p2561 +asS'The patient continued to do well on the medical regimen and was without chest pain , shortness of breath , or any other symptoms .' +p2562 +(lp2563 +S'The\tThe\tDT\tB-NP\tO' +p2564 +aS'patient\tpatient\tNN\tI-NP\tO' +p2565 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p2566 +aS'to\tto\tTO\tI-VP\tO' +p2567 +aS'do\tdo\tVB\tI-VP\tO' +p2568 +aS'well\twell\tRB\tB-ADVP\tO' +p2569 +aS'on\ton\tIN\tB-PP\tO' +p2570 +aS'the\tthe\tDT\tB-NP\tO' +p2571 +aS'medical\tmedical\tJJ\tI-NP\tO' +p2572 +aS'regimen\tregimen\tNN\tI-NP\tO' +p2573 +aS'and\tand\tCC\tO\tO' +p2574 +aS'was\tbe\tVBD\tB-VP\tO' +p2575 +aS'without\twithout\tIN\tB-PP\tO' +p2576 +aS'chest\tchest\tNN\tB-NP\tO' +p2577 +aS'pain\tpain\tNN\tI-NP\tO' +p2578 +aS',\t,\t,\tO\tO' +p2579 +aS'shortness\tshortness\tNN\tB-NP\tO' +p2580 +aS'of\tof\tIN\tB-PP\tO' +p2581 +aS'breath\tbreath\tNN\tB-NP\tO' +p2582 +aS',\t,\t,\tO\tO' +p2583 +aS'or\tor\tCC\tO\tO' +p2584 +aS'any\tany\tDT\tB-NP\tO' +p2585 +aS'other\tother\tJJ\tI-NP\tO' +p2586 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p2587 +aS'.\t.\t.\tO\tO' +p2588 +asS'For this , a left #34 Caucasian chest tube was placed .' +p2589 +(lp2590 +S'For\tFor\tIN\tB-PP\tO' +p2591 +aS'this\tthis\tDT\tB-NP\tO' +p2592 +aS',\t,\t,\tO\tO' +p2593 +aS'a\ta\tDT\tB-NP\tO' +p2594 +aS'left\tleft\tJJ\tI-NP\tO' +p2595 +aS'#34\t#34\tCD\tI-NP\tO' +p2596 +aS'Caucasian\tCaucasian\tJJ\tI-NP\tO' +p2597 +aS'chest\tchest\tNN\tI-NP\tO' +p2598 +aS'tube\ttube\tNN\tI-NP\tO' +p2599 +aS'was\tbe\tVBD\tB-VP\tO' +p2600 +aS'placed\tplace\tVBN\tI-VP\tO' +p2601 +aS'.\t.\t.\tO\tO' +p2602 +asS'He had been started on heparin in the Intensive Care Unit and that was continued .' +p2603 +(lp2604 +S'He\tHe\tPRP\tB-NP\tO' +p2605 +aS'had\thave\tVBD\tB-VP\tO' +p2606 +aS'been\tbe\tVBN\tI-VP\tO' +p2607 +aS'started\tstart\tVBN\tI-VP\tO' +p2608 +aS'on\ton\tIN\tB-PP\tO' +p2609 +aS'heparin\theparin\tNN\tB-NP\tO' +p2610 +aS'in\tin\tIN\tB-PP\tO' +p2611 +aS'the\tthe\tDT\tB-NP\tO' +p2612 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p2613 +aS'Care\tCare\tNNP\tI-NP\tO' +p2614 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p2615 +aS'and\tand\tCC\tO\tO' +p2616 +aS'that\tthat\tDT\tB-NP\tO' +p2617 +aS'was\tbe\tVBD\tB-VP\tO' +p2618 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p2619 +aS'.\t.\t.\tO\tO' +p2620 +asS'7. Bupropion 100 mg p.o. twice per day ( for smoking cessation ).' +p2621 +(lp2622 +S'7.\t7.\tCD\tB-NP\tO' +p2623 +aS'Bupropion\tBupropion\tNN\tI-NP\tO' +p2624 +aS'100\t100\tCD\tB-NP\tO' +p2625 +aS'mg\tmg\tNN\tI-NP\tO' +p2626 +aS'p.o.\tp.o.\tRB\tB-ADVP\tO' +p2627 +aS'twice\ttwice\tRB\tI-ADVP\tO' +p2628 +aS'per\tper\tIN\tB-PP\tO' +p2629 +aS'day\tday\tNN\tB-NP\tO' +p2630 +aS'(\t(\t(\tO\tO' +p2631 +aS'for\tfor\tIN\tB-PP\tO' +p2632 +aS'smoking\tsmoking\tNN\tB-NP\tO' +p2633 +aS'cessation\tcessation\tNN\tI-NP\tO' +p2634 +aS').\t).\t.\tO\tO' +p2635 +asS'A repeat CT was done showing nodular thickening along the right major and minor fissure , concerning for intrapleural tumor implants .' +p2636 +(lp2637 +S'A\tA\tDT\tB-NP\tO' +p2638 +aS'repeat\trepeat\tNN\tI-NP\tO' +p2639 +aS'CT\tCT\tNN\tI-NP\tO' +p2640 +aS'was\tbe\tVBD\tB-VP\tO' +p2641 +aS'done\tdo\tVBN\tI-VP\tO' +p2642 +aS'showing\tshow\tVBG\tB-VP\tO' +p2643 +aS'nodular\tnodular\tJJ\tB-NP\tO' +p2644 +aS'thickening\tthickening\tNN\tI-NP\tO' +p2645 +aS'along\talong\tIN\tB-PP\tO' +p2646 +aS'the\tthe\tDT\tB-NP\tO' +p2647 +aS'right\tright\tJJ\tI-NP\tO' +p2648 +aS'major\tmajor\tJJ\tI-NP\tO' +p2649 +aS'and\tand\tCC\tI-NP\tO' +p2650 +aS'minor\tminor\tJJ\tI-NP\tO' +p2651 +aS'fissure\tfissure\tNN\tI-NP\tO' +p2652 +aS',\t,\t,\tO\tO' +p2653 +aS'concerning\tconcern\tVBG\tB-VP\tO' +p2654 +aS'for\tfor\tIN\tB-PP\tO' +p2655 +aS'intrapleural\tintrapleural\tJJ\tB-NP\tO' +p2656 +aS'tumor\ttumor\tNN\tI-NP\tO' +p2657 +aS'implants\timplant\tNNS\tI-NP\tO' +p2658 +aS'.\t.\t.\tO\tO' +p2659 +asS'Neck - supple , no LAD , no JVD' +p2660 +(lp2661 +S'Neck\tNeck\tNN\tB-NP\tO' +p2662 +aS'-\t-\tHYPH\tI-NP\tO' +p2663 +aS'supple\tsupple\tNN\tI-NP\tO' +p2664 +aS',\t,\t,\tO\tO' +p2665 +aS'no\tno\tDT\tB-NP\tO' +p2666 +aS'LAD\tLAD\tNN\tI-NP\tB-protein' +p2667 +aS',\t,\t,\tO\tO' +p2668 +aS'no\tno\tDT\tB-NP\tO' +p2669 +aS'JVD\tJVD\tNN\tI-NP\tB-protein' +p2670 +asS'A VQ scan was high probability , but no pulmonary angiogram was done and an echocardiogram revealed a normal left ventricle with no wall motion abnormality and an ejection fraction of 75% .' +p2671 +(lp2672 +S'A\tA\tDT\tB-NP\tO' +p2673 +aS'VQ\tVQ\tNN\tI-NP\tO' +p2674 +aS'scan\tscan\tNN\tI-NP\tO' +p2675 +aS'was\tbe\tVBD\tB-VP\tO' +p2676 +aS'high\thigh\tJJ\tB-NP\tO' +p2677 +aS'probability\tprobability\tNN\tI-NP\tO' +p2678 +aS',\t,\t,\tO\tO' +p2679 +aS'but\tbut\tCC\tO\tO' +p2680 +aS'no\tno\tDT\tB-NP\tO' +p2681 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p2682 +aS'angiogram\tangiogram\tNN\tI-NP\tO' +p2683 +aS'was\tbe\tVBD\tB-VP\tO' +p2684 +aS'done\tdo\tVBN\tI-VP\tO' +p2685 +aS'and\tand\tCC\tO\tO' +p2686 +aS'an\tan\tDT\tB-NP\tO' +p2687 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p2688 +aS'revealed\treveal\tVBD\tB-VP\tO' +p2689 +aS'a\ta\tDT\tB-NP\tO' +p2690 +aS'normal\tnormal\tJJ\tI-NP\tO' +p2691 +aS'left\tleft\tJJ\tI-NP\tO' +p2692 +aS'ventricle\tventricle\tNN\tI-NP\tO' +p2693 +aS'with\twith\tIN\tB-PP\tO' +p2694 +aS'no\tno\tDT\tB-NP\tO' +p2695 +aS'wall\twall\tNN\tI-NP\tO' +p2696 +aS'motion\tmotion\tNN\tI-NP\tO' +p2697 +aS'abnormality\tabnormality\tNN\tI-NP\tO' +p2698 +aS'and\tand\tCC\tO\tO' +p2699 +aS'an\tan\tDT\tB-NP\tO' +p2700 +aS'ejection\tejection\tNN\tI-NP\tO' +p2701 +aS'fraction\tfraction\tNN\tI-NP\tO' +p2702 +aS'of\tof\tIN\tB-PP\tO' +p2703 +aS'75%\t75%\tNN\tB-NP\tO' +p2704 +aS'.\t.\t.\tO\tO' +p2705 +asS'There was relatively central in location , with only a slight right-sided predominance .' +p2706 +(lp2707 +S'There\tThere\tEX\tB-NP\tO' +p2708 +aS'was\tbe\tVBD\tB-VP\tO' +p2709 +aS'relatively\trelatively\tRB\tB-ADJP\tO' +p2710 +aS'central\tcentral\tJJ\tI-ADJP\tO' +p2711 +aS'in\tin\tIN\tB-PP\tO' +p2712 +aS'location\tlocation\tNN\tB-NP\tO' +p2713 +aS',\t,\t,\tO\tO' +p2714 +aS'with\twith\tIN\tB-PP\tO' +p2715 +aS'only\tonly\tRB\tB-NP\tO' +p2716 +aS'a\ta\tDT\tI-NP\tO' +p2717 +aS'slight\tslight\tJJ\tI-NP\tO' +p2718 +aS'right-sided\tright-sided\tJJ\tI-NP\tO' +p2719 +aS'predominance\tpredominance\tNN\tI-NP\tO' +p2720 +aS'.\t.\t.\tO\tO' +p2721 +asS'States he is at home , name is " Henry " and year is 1992 .' +p2722 +(lp2723 +S'States\tState\tNNS\tB-NP\tO' +p2724 +aS'he\the\tPRP\tB-NP\tO' +p2725 +aS'is\tbe\tVBZ\tB-VP\tO' +p2726 +aS'at\tat\tIN\tB-PP\tO' +p2727 +aS'home\thome\tNN\tB-NP\tO' +p2728 +aS',\t,\t,\tO\tO' +p2729 +aS'name\tname\tNN\tB-NP\tO' +p2730 +aS'is\tbe\tVBZ\tB-VP\tO' +p2731 +aS'"\t"\t``\tO\tO' +p2732 +aS'Henry\tHenry\tNNP\tB-NP\tO' +p2733 +aS'"\t"\t\'\'\tO\tO' +p2734 +aS'and\tand\tCC\tO\tO' +p2735 +aS'year\tyear\tNN\tB-NP\tO' +p2736 +aS'is\tbe\tVBZ\tB-VP\tO' +p2737 +aS'1992\t1992\tCD\tB-NP\tO' +p2738 +aS'.\t.\t.\tO\tO' +p2739 +asS'There was no liver edge palpable , no spleen tip palpable .' +p2740 +(lp2741 +S'There\tThere\tEX\tB-NP\tO' +p2742 +aS'was\tbe\tVBD\tB-VP\tO' +p2743 +aS'no\tno\tDT\tB-NP\tO' +p2744 +aS'liver\tliver\tNN\tI-NP\tO' +p2745 +aS'edge\tedge\tNN\tI-NP\tO' +p2746 +aS'palpable\tpalpable\tJJ\tB-ADJP\tO' +p2747 +aS',\t,\t,\tO\tO' +p2748 +aS'no\tno\tDT\tB-NP\tO' +p2749 +aS'spleen\tspleen\tNN\tI-NP\tO' +p2750 +aS'tip\ttip\tNN\tI-NP\tO' +p2751 +aS'palpable\tpalpable\tJJ\tB-ADJP\tO' +p2752 +aS'.\t.\t.\tO\tO' +p2753 +asS'The hippocampus would be a most unusual site for involvement by multiple sclerosis .' +p2754 +(lp2755 +S'The\tThe\tDT\tB-NP\tO' +p2756 +aS'hippocampus\thippocampus\tNN\tI-NP\tO' +p2757 +aS'would\twould\tMD\tB-VP\tO' +p2758 +aS'be\tbe\tVB\tI-VP\tO' +p2759 +aS'a\ta\tDT\tB-NP\tO' +p2760 +aS'most\tmost\tRBS\tI-NP\tO' +p2761 +aS'unusual\tunusual\tJJ\tI-NP\tO' +p2762 +aS'site\tsite\tNN\tI-NP\tO' +p2763 +aS'for\tfor\tIN\tB-PP\tO' +p2764 +aS'involvement\tinvolvement\tNN\tB-NP\tO' +p2765 +aS'by\tby\tIN\tB-PP\tO' +p2766 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p2767 +aS'sclerosis\tsclerosis\tNN\tI-NP\tO' +p2768 +aS'.\t.\t.\tO\tO' +p2769 +asS'He was ruled out for tuberculosis with an induced sputum x 3 , which showed no AFB .' +p2770 +(lp2771 +S'He\tHe\tPRP\tB-NP\tO' +p2772 +aS'was\tbe\tVBD\tB-VP\tO' +p2773 +aS'ruled\trule\tVBN\tI-VP\tO' +p2774 +aS'out\tout\tRP\tB-PRT\tO' +p2775 +aS'for\tfor\tIN\tB-PP\tO' +p2776 +aS'tuberculosis\ttuberculosis\tNN\tB-NP\tO' +p2777 +aS'with\twith\tIN\tB-PP\tO' +p2778 +aS'an\tan\tDT\tB-NP\tO' +p2779 +aS'induced\tinduce\tVBN\tI-NP\tO' +p2780 +aS'sputum\tsputum\tNN\tI-NP\tB-protein' +p2781 +aS'x\tx\tSYM\tB-NP\tI-protein' +p2782 +aS'3\t3\tCD\tI-NP\tI-protein' +p2783 +aS',\t,\t,\tO\tO' +p2784 +aS'which\twhich\tWDT\tB-NP\tO' +p2785 +aS'showed\tshow\tVBD\tB-VP\tO' +p2786 +aS'no\tno\tDT\tB-NP\tO' +p2787 +aS'AFB\tAFB\tNN\tI-NP\tB-protein' +p2788 +aS'.\t.\t.\tO\tO' +p2789 +asS"## h/o nephrolithiasis s/p lithotripsy and h/o left ureteropelvic junction stone '03 spontaneously passing by U/S , no evidence of right stone on most recent u/s 5 months ago" +p2790 +(lp2791 +S'##\t##\t#\tB-NP\tO' +p2792 +aS'h/o\th/o\tNN\tI-NP\tO' +p2793 +aS'nephrolithiasis\tnephrolithiasis\tNN\tI-NP\tO' +p2794 +aS's/p\ts/p\tNN\tI-NP\tO' +p2795 +aS'lithotripsy\tlithotripsy\tNN\tI-NP\tO' +p2796 +aS'and\tand\tCC\tI-NP\tO' +p2797 +aS'h/o\th/o\tNN\tI-NP\tO' +p2798 +aS'left\tleave\tVBD\tB-VP\tO' +p2799 +aS'ureteropelvic\tureteropelvic\tJJ\tB-NP\tO' +p2800 +aS'junction\tjunction\tNN\tI-NP\tO' +p2801 +aS'stone\tstone\tNN\tI-NP\tO' +p2802 +aS"'03\t'03\tCD\tI-NP\tO" +p2803 +aS'spontaneously\tspontaneously\tRB\tB-VP\tO' +p2804 +aS'passing\tpass\tVBG\tI-VP\tO' +p2805 +aS'by\tby\tIN\tB-PP\tO' +p2806 +aS'U/S\tU/S\tNN\tB-NP\tO' +p2807 +aS',\t,\t,\tO\tO' +p2808 +aS'no\tno\tDT\tB-NP\tO' +p2809 +aS'evidence\tevidence\tNN\tI-NP\tO' +p2810 +aS'of\tof\tIN\tB-PP\tO' +p2811 +aS'right\tright\tJJ\tB-NP\tO' +p2812 +aS'stone\tstone\tNN\tI-NP\tO' +p2813 +aS'on\ton\tIN\tB-PP\tO' +p2814 +aS'most\tmost\tJJS\tB-NP\tO' +p2815 +aS'recent\trecent\tJJ\tI-NP\tO' +p2816 +aS'u/s\tu/\tNNS\tI-NP\tO' +p2817 +aS'5\t5\tCD\tB-NP\tO' +p2818 +aS'months\tmonth\tNNS\tI-NP\tO' +p2819 +aS'ago\tago\tRB\tB-ADVP\tO' +p2820 +asS'Patient also reports a 6-pound weight gain over the last four days with associated lower extremity edema .' +p2821 +(lp2822 +S'Patient\tPatient\tNN\tB-NP\tO' +p2823 +aS'also\talso\tRB\tB-ADVP\tO' +p2824 +aS'reports\treport\tVBZ\tB-VP\tO' +p2825 +aS'a\ta\tDT\tB-NP\tO' +p2826 +aS'6-pound\t6-pound\tJJ\tI-NP\tO' +p2827 +aS'weight\tweight\tNN\tI-NP\tO' +p2828 +aS'gain\tgain\tNN\tI-NP\tO' +p2829 +aS'over\tover\tIN\tB-PP\tO' +p2830 +aS'the\tthe\tDT\tB-NP\tO' +p2831 +aS'last\tlast\tJJ\tI-NP\tO' +p2832 +aS'four\tfour\tCD\tI-NP\tO' +p2833 +aS'days\tday\tNNS\tI-NP\tO' +p2834 +aS'with\twith\tIN\tB-PP\tO' +p2835 +aS'associated\tassociate\tVBN\tB-NP\tO' +p2836 +aS'lower\tlow\tJJR\tI-NP\tO' +p2837 +aS'extremity\textremity\tNN\tI-NP\tO' +p2838 +aS'edema\tedema\tNN\tI-NP\tO' +p2839 +aS'.\t.\t.\tO\tO' +p2840 +asS'Normal active bowel sounds .' +p2841 +(lp2842 +S'Normal\tNormal\tJJ\tB-NP\tO' +p2843 +aS'active\tactive\tJJ\tI-NP\tO' +p2844 +aS'bowel\tbowel\tNN\tI-NP\tO' +p2845 +aS'sounds\tsound\tNNS\tI-NP\tO' +p2846 +aS'.\t.\t.\tO\tO' +p2847 +asS'He responded to a Neo-Synephrine bolus , and had no further complications from this standpoint .' +p2848 +(lp2849 +S'He\tHe\tPRP\tB-NP\tO' +p2850 +aS'responded\trespond\tVBD\tB-VP\tO' +p2851 +aS'to\tto\tTO\tB-PP\tO' +p2852 +aS'a\ta\tDT\tB-NP\tO' +p2853 +aS'Neo-Synephrine\tNeo-Synephrine\tJJ\tI-NP\tO' +p2854 +aS'bolus\tbolus\tNN\tI-NP\tO' +p2855 +aS',\t,\t,\tO\tO' +p2856 +aS'and\tand\tCC\tO\tO' +p2857 +aS'had\thave\tVBD\tB-VP\tO' +p2858 +aS'no\tno\tDT\tB-NP\tO' +p2859 +aS'further\tfurther\tJJ\tI-NP\tO' +p2860 +aS'complications\tcomplication\tNNS\tI-NP\tO' +p2861 +aS'from\tfrom\tIN\tB-PP\tO' +p2862 +aS'this\tthis\tDT\tB-NP\tO' +p2863 +aS'standpoint\tstandpoint\tNN\tI-NP\tO' +p2864 +aS'.\t.\t.\tO\tO' +p2865 +asS'Repeat head CT showed stable bleed .' +p2866 +(lp2867 +S'Repeat\tRepeat\tNN\tB-NP\tO' +p2868 +aS'head\thead\tNN\tI-NP\tO' +p2869 +aS'CT\tCT\tNN\tI-NP\tO' +p2870 +aS'showed\tshow\tVBD\tB-VP\tO' +p2871 +aS'stable\tstable\tJJ\tB-NP\tO' +p2872 +aS'bleed\tbleed\tNN\tI-NP\tO' +p2873 +aS'.\t.\t.\tO\tO' +p2874 +asS'He was actually intubated and underwent bronchoscopy where the diagnosis was made with a positive toluidine blue study .' +p2875 +(lp2876 +S'He\tHe\tPRP\tB-NP\tO' +p2877 +aS'was\tbe\tVBD\tB-VP\tO' +p2878 +aS'actually\tactually\tRB\tI-VP\tO' +p2879 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p2880 +aS'and\tand\tCC\tO\tO' +p2881 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p2882 +aS'bronchoscopy\tbronchoscopy\tNN\tB-NP\tO' +p2883 +aS'where\twhere\tWRB\tB-ADVP\tO' +p2884 +aS'the\tthe\tDT\tB-NP\tO' +p2885 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p2886 +aS'was\tbe\tVBD\tB-VP\tO' +p2887 +aS'made\tmake\tVBN\tI-VP\tO' +p2888 +aS'with\twith\tIN\tB-PP\tO' +p2889 +aS'a\ta\tDT\tB-NP\tO' +p2890 +aS'positive\tpositive\tJJ\tI-NP\tO' +p2891 +aS'toluidine\ttoluidine\tNN\tI-NP\tO' +p2892 +aS'blue\tblue\tJJ\tI-NP\tO' +p2893 +aS'study\tstudy\tNN\tI-NP\tO' +p2894 +aS'.\t.\t.\tO\tO' +p2895 +asS'Because of his blood pressure , dependence of his left sided extremities , the lower leg specifically , he was transferred to the Intensive Care Unit where he underwent hypertensive therapy for several days .' +p2896 +(lp2897 +S'Because\tBecause\tIN\tB-PP\tO' +p2898 +aS'of\tof\tIN\tI-PP\tO' +p2899 +aS'his\this\tPRP$\tB-NP\tO' +p2900 +aS'blood\tblood\tNN\tI-NP\tO' +p2901 +aS'pressure\tpressure\tNN\tI-NP\tO' +p2902 +aS',\t,\t,\tO\tO' +p2903 +aS'dependence\tdependence\tNN\tB-NP\tO' +p2904 +aS'of\tof\tIN\tB-PP\tO' +p2905 +aS'his\this\tPRP$\tB-NP\tO' +p2906 +aS'left\tleft\tJJ\tI-NP\tO' +p2907 +aS'sided\tsided\tJJ\tI-NP\tO' +p2908 +aS'extremities\textremity\tNNS\tI-NP\tO' +p2909 +aS',\t,\t,\tO\tO' +p2910 +aS'the\tthe\tDT\tB-NP\tO' +p2911 +aS'lower\tlow\tJJR\tI-NP\tO' +p2912 +aS'leg\tleg\tNN\tI-NP\tO' +p2913 +aS'specifically\tspecifically\tRB\tB-ADVP\tO' +p2914 +aS',\t,\t,\tO\tO' +p2915 +aS'he\the\tPRP\tB-NP\tO' +p2916 +aS'was\tbe\tVBD\tB-VP\tO' +p2917 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p2918 +aS'to\tto\tTO\tB-PP\tO' +p2919 +aS'the\tthe\tDT\tB-NP\tO' +p2920 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p2921 +aS'Care\tCare\tNNP\tI-NP\tO' +p2922 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p2923 +aS'where\twhere\tWRB\tB-ADVP\tO' +p2924 +aS'he\the\tPRP\tB-NP\tO' +p2925 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p2926 +aS'hypertensive\thypertensive\tJJ\tB-NP\tO' +p2927 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p2928 +aS'for\tfor\tIN\tB-PP\tO' +p2929 +aS'several\tseveral\tJJ\tB-NP\tO' +p2930 +aS'days\tday\tNNS\tI-NP\tO' +p2931 +aS'.\t.\t.\tO\tO' +p2932 +asS'In addition , an extra stitch was placed in an effort to stop the bleeding .' +p2933 +(lp2934 +S'In\tIn\tIN\tB-PP\tO' +p2935 +aS'addition\taddition\tNN\tB-NP\tO' +p2936 +aS',\t,\t,\tO\tO' +p2937 +aS'an\tan\tDT\tB-NP\tO' +p2938 +aS'extra\textra\tJJ\tI-NP\tO' +p2939 +aS'stitch\tstitch\tNN\tI-NP\tO' +p2940 +aS'was\tbe\tVBD\tB-VP\tO' +p2941 +aS'placed\tplace\tVBN\tI-VP\tO' +p2942 +aS'in\tin\tIN\tB-PP\tO' +p2943 +aS'an\tan\tDT\tB-NP\tO' +p2944 +aS'effort\teffort\tNN\tI-NP\tO' +p2945 +aS'to\tto\tTO\tB-VP\tO' +p2946 +aS'stop\tstop\tVB\tI-VP\tO' +p2947 +aS'the\tthe\tDT\tB-NP\tO' +p2948 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p2949 +aS'.\t.\t.\tO\tO' +p2950 +asS'She only tolerated some clear liquids .' +p2951 +(lp2952 +S'She\tShe\tPRP\tB-NP\tO' +p2953 +aS'only\tonly\tRB\tB-ADVP\tO' +p2954 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p2955 +aS'some\tsome\tDT\tB-NP\tO' +p2956 +aS'clear\tclear\tJJ\tI-NP\tO' +p2957 +aS'liquids\tliquid\tNNS\tI-NP\tO' +p2958 +aS'.\t.\t.\tO\tO' +p2959 +asS'albuterol-ipratroprium INH 2 sprays tid prn' +p2960 +(lp2961 +S'albuterol-ipratroprium\talbuterol-ipratroprium\tNN\tB-NP\tO' +p2962 +aS'INH\tINH\tNN\tI-NP\tO' +p2963 +aS'2\t2\tCD\tB-NP\tO' +p2964 +aS'sprays\tspray\tNNS\tI-NP\tO' +p2965 +aS'tid\ttid\tNN\tI-NP\tO' +p2966 +aS'prn\tprn\tNN\tI-NP\tO' +p2967 +asS'On admission , revealed a vigorous non-dysmorphic premature infant , with moderate subcostal retractions and some occasional grunting , normal S1 , S2 heart sounds , no murmur .' +p2968 +(lp2969 +S'On\tOn\tIN\tB-PP\tO' +p2970 +aS'admission\tadmission\tNN\tB-NP\tO' +p2971 +aS',\t,\t,\tO\tO' +p2972 +aS'revealed\treveal\tVBD\tB-VP\tO' +p2973 +aS'a\ta\tDT\tB-NP\tO' +p2974 +aS'vigorous\tvigorous\tJJ\tI-NP\tO' +p2975 +aS'non-dysmorphic\tnon-dysmorphic\tJJ\tI-NP\tO' +p2976 +aS'premature\tpremature\tJJ\tI-NP\tO' +p2977 +aS'infant\tinfant\tNN\tI-NP\tO' +p2978 +aS',\t,\t,\tO\tO' +p2979 +aS'with\twith\tIN\tB-PP\tO' +p2980 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p2981 +aS'subcostal\tsubcostal\tJJ\tI-NP\tO' +p2982 +aS'retractions\tretraction\tNNS\tI-NP\tO' +p2983 +aS'and\tand\tCC\tO\tO' +p2984 +aS'some\tsome\tDT\tB-NP\tO' +p2985 +aS'occasional\toccasional\tJJ\tI-NP\tO' +p2986 +aS'grunting\tgrunting\tNN\tI-NP\tO' +p2987 +aS',\t,\t,\tO\tO' +p2988 +aS'normal\tnormal\tJJ\tB-NP\tO' +p2989 +aS'S1\tS1\tNN\tI-NP\tO' +p2990 +aS',\t,\t,\tO\tO' +p2991 +aS'S2\tS2\tNN\tB-NP\tO' +p2992 +aS'heart\theart\tNN\tI-NP\tO' +p2993 +aS'sounds\tsound\tVBZ\tB-VP\tO' +p2994 +aS',\t,\t,\tO\tO' +p2995 +aS'no\tno\tDT\tB-NP\tO' +p2996 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p2997 +aS'.\t.\t.\tO\tO' +p2998 +asS'1. Significant for coronary artery disease status post CABG/MVR .' +p2999 +(lp3000 +S'1.\t1.\tLS\tB-LST\tO' +p3001 +aS'Significant\tSignificant\tJJ\tB-ADJP\tO' +p3002 +aS'for\tfor\tIN\tB-PP\tO' +p3003 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p3004 +aS'artery\tartery\tNN\tI-NP\tO' +p3005 +aS'disease\tdisease\tNN\tI-NP\tO' +p3006 +aS'status\tstatus\tNN\tI-NP\tO' +p3007 +aS'post\tpost\tNN\tI-NP\tO' +p3008 +aS'CABG/MVR\tCABG/MVR\tNN\tI-NP\tO' +p3009 +aS'.\t.\t.\tO\tO' +p3010 +asS'She delivered a 3235 gram male infant on 11/01/2004 at 09:31 am with apgar scores of 9 and 9 at one and five minutes respectively at 39.0 weeks gestation via spontaneous vertex vaginal delivery .' +p3011 +(lp3012 +S'She\tShe\tPRP\tB-NP\tO' +p3013 +aS'delivered\tdeliver\tVBD\tB-VP\tO' +p3014 +aS'a\ta\tDT\tB-NP\tO' +p3015 +aS'3235\t3235\tCD\tI-NP\tO' +p3016 +aS'gram\tgram\tNN\tI-NP\tO' +p3017 +aS'male\tmale\tJJ\tI-NP\tO' +p3018 +aS'infant\tinfant\tNN\tI-NP\tO' +p3019 +aS'on\ton\tIN\tB-PP\tO' +p3020 +aS'11/01/2004\t11/01/2004\tCD\tB-NP\tO' +p3021 +aS'at\tat\tIN\tB-PP\tO' +p3022 +aS'09:31\t09:31\tCD\tB-NP\tO' +p3023 +aS'am\tam\tNN\tI-NP\tO' +p3024 +aS'with\twith\tIN\tB-PP\tO' +p3025 +aS'apgar\tapgar\tNN\tB-NP\tO' +p3026 +aS'scores\tscore\tNNS\tI-NP\tO' +p3027 +aS'of\tof\tIN\tB-PP\tO' +p3028 +aS'9\t9\tCD\tB-NP\tO' +p3029 +aS'and\tand\tCC\tI-NP\tO' +p3030 +aS'9\t9\tCD\tI-NP\tO' +p3031 +aS'at\tat\tIN\tB-PP\tO' +p3032 +aS'one\tone\tCD\tB-NP\tO' +p3033 +aS'and\tand\tCC\tI-NP\tO' +p3034 +aS'five\tfive\tCD\tI-NP\tO' +p3035 +aS'minutes\tminute\tNNS\tI-NP\tO' +p3036 +aS'respectively\trespectively\tRB\tB-ADVP\tO' +p3037 +aS'at\tat\tIN\tB-PP\tO' +p3038 +aS'39.0\t39.0\tCD\tB-NP\tO' +p3039 +aS'weeks\tweek\tNNS\tI-NP\tO' +p3040 +aS'gestation\tgestation\tNN\tI-NP\tO' +p3041 +aS'via\tvia\tIN\tB-PP\tO' +p3042 +aS'spontaneous\tspontaneous\tJJ\tB-NP\tO' +p3043 +aS'vertex\tvertex\tNN\tI-NP\tO' +p3044 +aS'vaginal\tvaginal\tJJ\tI-NP\tO' +p3045 +aS'delivery\tdelivery\tNN\tI-NP\tO' +p3046 +aS'.\t.\t.\tO\tO' +p3047 +asS'Mother presented in spontaneous labor .' +p3048 +(lp3049 +S'Mother\tMother\tDT\tB-NP\tO' +p3050 +aS'presented\tpresent\tVBN\tB-VP\tO' +p3051 +aS'in\tin\tIN\tB-PP\tO' +p3052 +aS'spontaneous\tspontaneous\tJJ\tB-NP\tO' +p3053 +aS'labor\tlabor\tNN\tI-NP\tO' +p3054 +aS'.\t.\t.\tO\tO' +p3055 +asS'Lovenox 0.6 mg / kg SC BID' +p3056 +(lp3057 +S'Lovenox\tLovenox\tNN\tB-NP\tO' +p3058 +aS'0.6\t0.6\tCD\tI-NP\tO' +p3059 +aS'mg\tmg\tNN\tI-NP\tO' +p3060 +aS'/\t/\tSYM\tB-NP\tO' +p3061 +aS'kg\tkg\tNN\tI-NP\tO' +p3062 +aS'SC\tSC\tNN\tI-NP\tO' +p3063 +aS'BID\tBID\tNN\tI-NP\tO' +p3064 +asS'There was no sign of attention pneumothorax with decompression , and a right chest tube was placed .' +p3065 +(lp3066 +S'There\tThere\tEX\tB-NP\tO' +p3067 +aS'was\tbe\tVBD\tB-VP\tO' +p3068 +aS'no\tno\tDT\tB-NP\tO' +p3069 +aS'sign\tsign\tNN\tI-NP\tO' +p3070 +aS'of\tof\tIN\tB-PP\tO' +p3071 +aS'attention\tattention\tNN\tB-NP\tO' +p3072 +aS'pneumothorax\tpneumothorax\tNN\tI-NP\tO' +p3073 +aS'with\twith\tIN\tB-PP\tO' +p3074 +aS'decompression\tdecompression\tNN\tB-NP\tO' +p3075 +aS',\t,\t,\tO\tO' +p3076 +aS'and\tand\tCC\tO\tO' +p3077 +aS'a\ta\tDT\tB-NP\tO' +p3078 +aS'right\tright\tJJ\tI-NP\tO' +p3079 +aS'chest\tchest\tNN\tI-NP\tO' +p3080 +aS'tube\ttube\tNN\tI-NP\tO' +p3081 +aS'was\tbe\tVBD\tB-VP\tO' +p3082 +aS'placed\tplace\tVBN\tI-VP\tO' +p3083 +aS'.\t.\t.\tO\tO' +p3084 +asS'Chemistry-7 was unremarkable .' +p3085 +(lp3086 +S'Chemistry-7\tChemistry-7\tNN\tB-NP\tB-protein' +p3087 +aS'was\tbe\tVBD\tB-VP\tO' +p3088 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p3089 +aS'.\t.\t.\tO\tO' +p3090 +asS'Major Surgical or Invasive Procedure : s/p intracranial pressure bolt placement' +p3091 +(lp3092 +S'Major\tMajor\tJJ\tB-NP\tO' +p3093 +aS'Surgical\tSurgical\tJJ\tI-NP\tO' +p3094 +aS'or\tor\tCC\tI-NP\tO' +p3095 +aS'Invasive\tInvasive\tJJ\tI-NP\tO' +p3096 +aS'Procedure\tProcedure\tNN\tI-NP\tO' +p3097 +aS':\t:\t:\tO\tO' +p3098 +aS's/p\ts/p\tNN\tB-NP\tO' +p3099 +aS'intracranial\tintracranial\tJJ\tI-NP\tO' +p3100 +aS'pressure\tpressure\tNN\tI-NP\tO' +p3101 +aS'bolt\tbolt\tNN\tI-NP\tO' +p3102 +aS'placement\tplacement\tNN\tI-NP\tO' +p3103 +asS'Chest tubes and wires removed without incident .' +p3104 +(lp3105 +S'Chest\tCh\tJJS\tB-NP\tO' +p3106 +aS'tubes\ttube\tNNS\tI-NP\tO' +p3107 +aS'and\tand\tCC\tI-NP\tO' +p3108 +aS'wires\twire\tNNS\tI-NP\tO' +p3109 +aS'removed\tremove\tVBN\tB-VP\tO' +p3110 +aS'without\twithout\tIN\tB-PP\tO' +p3111 +aS'incident\tincident\tNN\tB-NP\tO' +p3112 +aS'.\t.\t.\tO\tO' +p3113 +asS'Chest x-ray showed no infiltrates and no pulmonary edema .' +p3114 +(lp3115 +S'Chest\tCh\tJJS\tB-NP\tO' +p3116 +aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' +p3117 +aS'showed\tshow\tVBD\tB-VP\tO' +p3118 +aS'no\tno\tDT\tB-NP\tO' +p3119 +aS'infiltrates\tinfiltrate\tNNS\tI-NP\tO' +p3120 +aS'and\tand\tCC\tO\tO' +p3121 +aS'no\tno\tDT\tB-NP\tO' +p3122 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p3123 +aS'edema\tedema\tNN\tI-NP\tO' +p3124 +aS'.\t.\t.\tO\tO' +p3125 +asS'6. Prednisone 40 q day .' +p3126 +(lp3127 +S'6.\t6.\tCD\tB-NP\tO' +p3128 +aS'Prednisone\tPrednisone\tNN\tI-NP\tO' +p3129 +aS'40\t40\tCD\tB-NP\tO' +p3130 +aS'q\tq\tNN\tI-NP\tO' +p3131 +aS'day\tday\tNN\tI-NP\tO' +p3132 +aS'.\t.\t.\tO\tO' +p3133 +asS'The patient remained guaiac negative throughout the entire hospitalization .' +p3134 +(lp3135 +S'The\tThe\tDT\tB-NP\tO' +p3136 +aS'patient\tpatient\tNN\tI-NP\tO' +p3137 +aS'remained\tremain\tVBD\tB-VP\tO' +p3138 +aS'guaiac\tguaiac\tNN\tB-NP\tO' +p3139 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p3140 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p3141 +aS'the\tthe\tDT\tB-NP\tO' +p3142 +aS'entire\tentire\tJJ\tI-NP\tO' +p3143 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p3144 +aS'.\t.\t.\tO\tO' +p3145 +asS'4. Trimethoprim - Sulfamethoxazole 80-400 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' +p3146 +(lp3147 +S'4.\t4.\tLS\tB-NP\tO' +p3148 +aS'Trimethoprim\tTrimethoprim\tNN\tI-NP\tO' +p3149 +aS'-\t-\tHYPH\tO\tO' +p3150 +aS'Sulfamethoxazole\tSulfamethoxazole\tNN\tB-NP\tO' +p3151 +aS'80-400\t80-400\tCD\tI-NP\tO' +p3152 +aS'mg\tmg\tNN\tI-NP\tO' +p3153 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p3154 +aS'Sig\tSig\tNNP\tI-NP\tO' +p3155 +aS':\t:\t:\tO\tO' +p3156 +aS'One\tOne\tCD\tB-NP\tO' +p3157 +aS'(\t(\t(\tO\tO' +p3158 +aS'1\t1\tCD\tB-NP\tO' +p3159 +aS')\t)\t)\tO\tO' +p3160 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p3161 +aS'PO\tPO\tNN\tI-NP\tO' +p3162 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p3163 +aS'(\t(\t(\tO\tO' +p3164 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p3165 +aS')\t)\t)\tO\tO' +p3166 +aS'.\t.\t.\tO\tO' +p3167 +asS'From May 27 , 1998 through June 19 , 1998 , the patient had a decline in her platelets from 394 to 28 with a stable hematocrit of 32 to 33 and a rise in creatinine from 1.0 to 3.8 .' +p3168 +(lp3169 +S'From\tFrom\tIN\tB-PP\tO' +p3170 +aS'May\tMay\tNNP\tB-NP\tO' +p3171 +aS'27\t27\tCD\tI-NP\tO' +p3172 +aS',\t,\t,\tO\tO' +p3173 +aS'1998\t1998\tCD\tB-NP\tO' +p3174 +aS'through\tthrough\tIN\tB-PP\tO' +p3175 +aS'June\tJune\tNNP\tB-NP\tO' +p3176 +aS'19\t19\tCD\tI-NP\tO' +p3177 +aS',\t,\t,\tO\tO' +p3178 +aS'1998\t1998\tCD\tB-NP\tO' +p3179 +aS',\t,\t,\tO\tO' +p3180 +aS'the\tthe\tDT\tB-NP\tO' +p3181 +aS'patient\tpatient\tNN\tI-NP\tO' +p3182 +aS'had\thave\tVBD\tB-VP\tO' +p3183 +aS'a\ta\tDT\tB-NP\tO' +p3184 +aS'decline\tdecline\tNN\tI-NP\tO' +p3185 +aS'in\tin\tIN\tB-PP\tO' +p3186 +aS'her\ther\tPRP$\tB-NP\tB-cell_type' +p3187 +aS'platelets\tplatelet\tNNS\tI-NP\tI-cell_type' +p3188 +aS'from\tfrom\tIN\tB-PP\tO' +p3189 +aS'394\t394\tCD\tB-NP\tB-DNA' +p3190 +aS'to\tto\tTO\tB-PP\tI-DNA' +p3191 +aS'28\t28\tCD\tB-NP\tI-DNA' +p3192 +aS'with\twith\tIN\tB-PP\tO' +p3193 +aS'a\ta\tDT\tB-NP\tO' +p3194 +aS'stable\tstable\tJJ\tI-NP\tO' +p3195 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p3196 +aS'of\tof\tIN\tB-PP\tO' +p3197 +aS'32\t32\tCD\tB-NP\tO' +p3198 +aS'to\tto\tTO\tB-PP\tO' +p3199 +aS'33\t33\tCD\tB-NP\tO' +p3200 +aS'and\tand\tCC\tO\tO' +p3201 +aS'a\ta\tDT\tB-NP\tO' +p3202 +aS'rise\trise\tNN\tI-NP\tO' +p3203 +aS'in\tin\tIN\tB-PP\tO' +p3204 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p3205 +aS'from\tfrom\tIN\tB-PP\tO' +p3206 +aS'1.0\t1.0\tCD\tB-NP\tO' +p3207 +aS'to\tto\tTO\tB-PP\tO' +p3208 +aS'3.8\t3.8\tCD\tB-NP\tO' +p3209 +aS'.\t.\t.\tO\tO' +p3210 +asS'By postoperative day #3 , the patient was tolerating p.o.' s , tolerating oral pain medications , ambulating , passing flatus , and having a bowel movement .' +p3211 +(lp3212 +S'By\tBy\tIN\tB-PP\tO' +p3213 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p3214 +aS'day\tday\tNN\tI-NP\tO' +p3215 +aS'#3\t#3\tNN\tI-NP\tO' +p3216 +aS',\t,\t,\tO\tO' +p3217 +aS'the\tthe\tDT\tB-NP\tO' +p3218 +aS'patient\tpatient\tNN\tI-NP\tO' +p3219 +aS'was\tbe\tVBD\tB-VP\tO' +p3220 +aS'tolerating\ttolerate\tVBG\tI-VP\tO' +p3221 +aS'p.o.'\tp.o.'\tNN\tB-NP\tO' +p3222 +aS's\ts\tNNS\tI-NP\tO' +p3223 +aS',\t,\t,\tO\tO' +p3224 +aS'tolerating\ttolerate\tVBG\tB-VP\tO' +p3225 +aS'oral\toral\tJJ\tB-NP\tO' +p3226 +aS'pain\tpain\tNN\tI-NP\tO' +p3227 +aS'medications\tmedication\tNNS\tI-NP\tO' +p3228 +aS',\t,\t,\tO\tO' +p3229 +aS'ambulating\tambulate\tVBG\tB-VP\tO' +p3230 +aS',\t,\t,\tO\tO' +p3231 +aS'passing\tpass\tVBG\tB-VP\tO' +p3232 +aS'flatus\tflatus\tNN\tB-NP\tO' +p3233 +aS',\t,\t,\tO\tO' +p3234 +aS'and\tand\tCC\tO\tO' +p3235 +aS'having\thave\tVBG\tB-VP\tO' +p3236 +aS'a\ta\tDT\tB-NP\tO' +p3237 +aS'bowel\tbowel\tNN\tI-NP\tO' +p3238 +aS'movement\tmovement\tNN\tI-NP\tO' +p3239 +aS'.\t.\t.\tO\tO' +p3240 +asS'The ablation was done on 2013-12-04 .' +p3241 +(lp3242 +S'The\tThe\tDT\tB-NP\tO' +p3243 +aS'ablation\tablation\tNN\tI-NP\tO' +p3244 +aS'was\tbe\tVBD\tB-VP\tO' +p3245 +aS'done\tdo\tVBN\tI-VP\tO' +p3246 +aS'on\ton\tIN\tB-PP\tO' +p3247 +aS'2013-12-04\t2013-12-04\tCD\tB-NP\tO' +p3248 +aS'.\t.\t.\tO\tO' +p3249 +asS'1. Status post coronary artery bypass graft times three on 2013-01-04 .' +p3250 +(lp3251 +S'1.\t1.\tLS\tB-LST\tO' +p3252 +aS'Status\tStatus\tNNP\tB-NP\tO' +p3253 +aS'post\tpost\tIN\tB-PP\tO' +p3254 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p3255 +aS'artery\tartery\tNN\tI-NP\tO' +p3256 +aS'bypass\tbypass\tIN\tB-PP\tO' +p3257 +aS'graft\tgraft\tNN\tB-NP\tO' +p3258 +aS'times\ttime\tNNS\tI-NP\tO' +p3259 +aS'three\tthree\tCD\tB-NP\tO' +p3260 +aS'on\ton\tIN\tB-PP\tO' +p3261 +aS'2013-01-04\t2013-01-04\tCD\tB-NP\tO' +p3262 +aS'.\t.\t.\tO\tO' +p3263 +asS'There is no clubbing , cyanosis or edema and her peripheral pulses were trace palpable .' +p3264 +(lp3265 +S'There\tThere\tEX\tB-NP\tO' +p3266 +aS'is\tbe\tVBZ\tB-VP\tO' +p3267 +aS'no\tno\tDT\tB-NP\tO' +p3268 +aS'clubbing\tclubbing\tNN\tI-NP\tO' +p3269 +aS',\t,\t,\tI-NP\tO' +p3270 +aS'cyanosis\tcyanosis\tNN\tI-NP\tO' +p3271 +aS'or\tor\tCC\tI-NP\tO' +p3272 +aS'edema\tedema\tNN\tI-NP\tO' +p3273 +aS'and\tand\tCC\tO\tO' +p3274 +aS'her\ther\tPRP$\tB-NP\tO' +p3275 +aS'peripheral\tperipheral\tJJ\tI-NP\tO' +p3276 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p3277 +aS'were\tbe\tVBD\tB-VP\tO' +p3278 +aS'trace\ttrace\tNN\tB-ADJP\tO' +p3279 +aS'palpable\tpalpable\tJJ\tI-ADJP\tO' +p3280 +aS'.\t.\t.\tO\tO' +p3281 +asS'13) K-Dur 10 mEq x three , p.o. b.i.d.' +p3282 +(lp3283 +S'13)\t13)\tLS\tB-LST\tO' +p3284 +aS'K-Dur\tK-Dur\tNNP\tB-NP\tO' +p3285 +aS'10\t10\tCD\tI-NP\tO' +p3286 +aS'mEq\tmEq\tNN\tI-NP\tO' +p3287 +aS'x\tx\tSYM\tB-NP\tO' +p3288 +aS'three\tthree\tCD\tB-NP\tO' +p3289 +aS',\t,\t,\tO\tO' +p3290 +aS'p.o.\tp.o.\tFW\tB-ADVP\tO' +p3291 +aS'b.i.d.\tb.i.d.\tFW\tI-ADVP\tO' +p3292 +asS'Self inflicted gunshot wound to the head .' +p3293 +(lp3294 +S'Self\tSelf\tNN\tB-NP\tO' +p3295 +aS'inflicted\tinflict\tVBD\tB-VP\tO' +p3296 +aS'gunshot\tgunshot\tNN\tB-NP\tO' +p3297 +aS'wound\twound\tNN\tI-NP\tO' +p3298 +aS'to\tto\tTO\tB-PP\tO' +p3299 +aS'the\tthe\tDT\tB-NP\tO' +p3300 +aS'head\thead\tNN\tI-NP\tO' +p3301 +aS'.\t.\t.\tO\tO' +p3302 +asS'Follow up with Dr. Eckman in 2-3 weeks , (506) 946-4576' +p3303 +(lp3304 +S'Follow\tFollow\tVB\tB-VP\tO' +p3305 +aS'up\tup\tRP\tB-PRT\tO' +p3306 +aS'with\twith\tIN\tB-PP\tO' +p3307 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p3308 +aS'Eckman\tEckman\tNNP\tI-NP\tO' +p3309 +aS'in\tin\tIN\tB-PP\tO' +p3310 +aS'2-3\t2-3\tCD\tB-NP\tO' +p3311 +aS'weeks\tweek\tNNS\tI-NP\tO' +p3312 +aS',\t,\t,\tO\tO' +p3313 +aS'(506)\t(506)\tLS\tB-LST\tO' +p3314 +aS'946-4576\t946-4576\tCD\tB-NP\tO' +p3315 +asS'Imaging indicated that the pleural effusions had resolved .' +p3316 +(lp3317 +S'Imaging\tImaging\tNN\tB-NP\tO' +p3318 +aS'indicated\tindicate\tVBD\tB-VP\tO' +p3319 +aS'that\tthat\tIN\tB-SBAR\tO' +p3320 +aS'the\tthe\tDT\tB-NP\tO' +p3321 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p3322 +aS'effusions\teffusion\tNNS\tI-NP\tO' +p3323 +aS'had\thave\tVBD\tB-VP\tO' +p3324 +aS'resolved\tresolve\tVBN\tI-VP\tO' +p3325 +aS'.\t.\t.\tO\tO' +p3326 +asS'In total , the patient was defibrillated 10 times , given 5 courses of intravenous epinephrine , one course of intravenous Atropine and intravenous calcium x 1 in addition to an amp of bicarbonate .' +p3327 +(lp3328 +S'In\tIn\tIN\tB-PP\tO' +p3329 +aS'total\ttotal\tNN\tB-NP\tO' +p3330 +aS',\t,\t,\tO\tO' +p3331 +aS'the\tthe\tDT\tB-NP\tO' +p3332 +aS'patient\tpatient\tNN\tI-NP\tO' +p3333 +aS'was\tbe\tVBD\tB-VP\tO' +p3334 +aS'defibrillated\tdefibrillate\tVBN\tI-VP\tO' +p3335 +aS'10\t10\tCD\tB-NP\tO' +p3336 +aS'times\ttime\tNNS\tI-NP\tO' +p3337 +aS',\t,\t,\tO\tO' +p3338 +aS'given\tgive\tVBN\tB-PP\tO' +p3339 +aS'5\t5\tCD\tB-NP\tO' +p3340 +aS'courses\tcourse\tNNS\tI-NP\tO' +p3341 +aS'of\tof\tIN\tB-PP\tO' +p3342 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p3343 +aS'epinephrine\tepinephrine\tNN\tI-NP\tO' +p3344 +aS',\t,\t,\tO\tO' +p3345 +aS'one\tone\tCD\tB-NP\tO' +p3346 +aS'course\tcourse\tNN\tI-NP\tO' +p3347 +aS'of\tof\tIN\tB-PP\tO' +p3348 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p3349 +aS'Atropine\tAtropine\tNN\tI-NP\tO' +p3350 +aS'and\tand\tCC\tO\tO' +p3351 +aS'intravenous\tintravenous\tJJ\tB-NP\tB-protein' +p3352 +aS'calcium\tcalcium\tNN\tI-NP\tI-protein' +p3353 +aS'x\tx\tSYM\tB-NP\tI-protein' +p3354 +aS'1\t1\tCD\tI-NP\tI-protein' +p3355 +aS'in\tin\tIN\tB-PP\tO' +p3356 +aS'addition\taddition\tNN\tB-NP\tO' +p3357 +aS'to\tto\tTO\tB-PP\tO' +p3358 +aS'an\tan\tDT\tB-NP\tO' +p3359 +aS'amp\tamp\tNN\tI-NP\tO' +p3360 +aS'of\tof\tIN\tB-PP\tO' +p3361 +aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' +p3362 +aS'.\t.\t.\tO\tO' +p3363 +asS'4. New jejunal wall thickening with persistent distal ileal wall thickening and diffuse mesenteric stranding , most likely reflecting an infectious etiology .' +p3364 +(lp3365 +S'4.\t4.\tLS\tB-NP\tO' +p3366 +aS'New\tNew\tNNP\tI-NP\tO' +p3367 +aS'jejunal\tjejunal\tJJ\tI-NP\tO' +p3368 +aS'wall\twall\tNN\tI-NP\tO' +p3369 +aS'thickening\tthicken\tVBG\tB-VP\tO' +p3370 +aS'with\twith\tIN\tB-PP\tO' +p3371 +aS'persistent\tpersistent\tJJ\tB-NP\tO' +p3372 +aS'distal\tdistal\tJJ\tI-NP\tO' +p3373 +aS'ileal\tileal\tJJ\tI-NP\tO' +p3374 +aS'wall\twall\tNN\tI-NP\tO' +p3375 +aS'thickening\tthicken\tVBG\tB-VP\tO' +p3376 +aS'and\tand\tCC\tO\tO' +p3377 +aS'diffuse\tdiffuse\tJJ\tB-NP\tO' +p3378 +aS'mesenteric\tmesenteric\tJJ\tI-NP\tO' +p3379 +aS'stranding\tstranding\tNN\tI-NP\tO' +p3380 +aS',\t,\t,\tO\tO' +p3381 +aS'most\tmost\tRBS\tB-ADVP\tO' +p3382 +aS'likely\tlikely\tRB\tI-ADVP\tO' +p3383 +aS'reflecting\treflect\tVBG\tB-VP\tO' +p3384 +aS'an\tan\tDT\tB-NP\tO' +p3385 +aS'infectious\tinfectious\tJJ\tI-NP\tO' +p3386 +aS'etiology\tetiology\tNN\tI-NP\tO' +p3387 +aS'.\t.\t.\tO\tO' +p3388 +asS'There was swelling of the body and tail of the pancreas .' +p3389 +(lp3390 +S'There\tThere\tEX\tB-NP\tO' +p3391 +aS'was\tbe\tVBD\tB-VP\tO' +p3392 +aS'swelling\tswell\tVBG\tI-VP\tO' +p3393 +aS'of\tof\tIN\tB-PP\tO' +p3394 +aS'the\tthe\tDT\tB-NP\tO' +p3395 +aS'body\tbody\tNN\tI-NP\tO' +p3396 +aS'and\tand\tCC\tI-NP\tO' +p3397 +aS'tail\ttail\tNN\tI-NP\tO' +p3398 +aS'of\tof\tIN\tB-PP\tO' +p3399 +aS'the\tthe\tDT\tB-NP\tO' +p3400 +aS'pancreas\tpancreas\tNN\tI-NP\tO' +p3401 +aS'.\t.\t.\tO\tO' +p3402 +asS'The patient received pneumoboots and lovenox for DVT prophylaxis . .' +p3403 +(lp3404 +S'The\tThe\tDT\tB-NP\tO' +p3405 +aS'patient\tpatient\tNN\tI-NP\tO' +p3406 +aS'received\treceive\tVBD\tB-VP\tO' +p3407 +aS'pneumoboots\tpneumoboot\tNNS\tB-NP\tO' +p3408 +aS'and\tand\tCC\tO\tO' +p3409 +aS'lovenox\tlovenox\tNN\tB-NP\tO' +p3410 +aS'for\tfor\tIN\tB-PP\tO' +p3411 +aS'DVT\tDVT\tNN\tB-NP\tO' +p3412 +aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' +p3413 +aS'.\t.\t.\tO\tO' +p3414 +aS'.\t.\t.\tO\tO' +p3415 +asS'3) History of atrial fibrillation .' +p3416 +(lp3417 +S'3)\t3)\tLS\tB-NP\tO' +p3418 +aS'History\tHistory\tNN\tI-NP\tO' +p3419 +aS'of\tof\tIN\tB-PP\tO' +p3420 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p3421 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p3422 +aS'.\t.\t.\tO\tO' +p3423 +asS'9. C3 radiculopathy .' +p3424 +(lp3425 +S'9.\t9.\tLS\tB-NP\tO' +p3426 +aS'C3\tC3\tNN\tI-NP\tO' +p3427 +aS'radiculopathy\tradiculopathy\tNN\tI-NP\tO' +p3428 +aS'.\t.\t.\tO\tO' +p3429 +asS'7 ) The patient has a follow-up appointment in the Pulmonary Clinic with Dr. Cedwi Stone at 336-2931 on August 30 , 1999 at 1:40 PM .' +p3430 +(lp3431 +S'7\t7\tLS\tB-LST\tO' +p3432 +aS')\t)\t)\tO\tO' +p3433 +aS'The\tThe\tDT\tB-NP\tO' +p3434 +aS'patient\tpatient\tNN\tI-NP\tO' +p3435 +aS'has\thave\tVBZ\tB-VP\tO' +p3436 +aS'a\ta\tDT\tB-NP\tO' +p3437 +aS'follow-up\tfollow-up\tJJ\tI-NP\tO' +p3438 +aS'appointment\tappointment\tNN\tI-NP\tO' +p3439 +aS'in\tin\tIN\tB-PP\tO' +p3440 +aS'the\tthe\tDT\tB-NP\tO' +p3441 +aS'Pulmonary\tPulmonary\tNNP\tI-NP\tO' +p3442 +aS'Clinic\tClinic\tNNP\tI-NP\tO' +p3443 +aS'with\twith\tIN\tB-PP\tO' +p3444 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p3445 +aS'Cedwi\tCedwi\tNNP\tI-NP\tO' +p3446 +aS'Stone\tStone\tNNP\tI-NP\tO' +p3447 +aS'at\tat\tIN\tB-PP\tO' +p3448 +aS'336-2931\t336-2931\tCD\tB-NP\tO' +p3449 +aS'on\ton\tIN\tB-PP\tO' +p3450 +aS'August\tAugust\tNNP\tB-NP\tO' +p3451 +aS'30\t30\tCD\tI-NP\tO' +p3452 +aS',\t,\t,\tI-NP\tO' +p3453 +aS'1999\t1999\tCD\tI-NP\tO' +p3454 +aS'at\tat\tIN\tB-PP\tO' +p3455 +aS'1:40\t1:40\tCD\tB-NP\tO' +p3456 +aS'PM\tPM\tNN\tI-NP\tO' +p3457 +aS'.\t.\t.\tO\tO' +p3458 +asS'Cardiovascular examination revealed jugular venous distention at 12 cm , no carotid bruits , heart rate was tachycardic and regular , normal S1 and S2 , palpable S4 , no murmur was auscultated .' +p3459 +(lp3460 +S'Cardiovascular\tCardiovascular\tJJ\tB-NP\tO' +p3461 +aS'examination\texamination\tNN\tI-NP\tO' +p3462 +aS'revealed\treveal\tVBD\tB-VP\tO' +p3463 +aS'jugular\tjugular\tJJ\tB-NP\tO' +p3464 +aS'venous\tvenous\tJJ\tI-NP\tO' +p3465 +aS'distention\tdistention\tNN\tI-NP\tO' +p3466 +aS'at\tat\tIN\tB-PP\tO' +p3467 +aS'12\t12\tCD\tB-NP\tO' +p3468 +aS'cm\tcm\tNN\tI-NP\tO' +p3469 +aS',\t,\t,\tO\tO' +p3470 +aS'no\tno\tDT\tB-NP\tO' +p3471 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p3472 +aS'bruits\tbruit\tNNS\tI-NP\tO' +p3473 +aS',\t,\t,\tO\tO' +p3474 +aS'heart\theart\tNN\tB-NP\tO' +p3475 +aS'rate\trate\tNN\tI-NP\tO' +p3476 +aS'was\tbe\tVBD\tB-VP\tO' +p3477 +aS'tachycardic\ttachycardic\tJJ\tB-ADJP\tO' +p3478 +aS'and\tand\tCC\tI-ADJP\tO' +p3479 +aS'regular\tregular\tJJ\tB-NP\tO' +p3480 +aS',\t,\t,\tI-NP\tO' +p3481 +aS'normal\tnormal\tJJ\tI-NP\tO' +p3482 +aS'S1\tS1\tNN\tI-NP\tB-protein' +p3483 +aS'and\tand\tCC\tO\tO' +p3484 +aS'S2\tS2\tNN\tB-NP\tB-protein' +p3485 +aS',\t,\t,\tO\tO' +p3486 +aS'palpable\tpalpable\tJJ\tB-NP\tO' +p3487 +aS'S4\tS4\tNN\tI-NP\tO' +p3488 +aS',\t,\t,\tO\tO' +p3489 +aS'no\tno\tDT\tB-NP\tO' +p3490 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p3491 +aS'was\tbe\tVBD\tB-VP\tO' +p3492 +aS'auscultated\tauscultate\tVBN\tI-VP\tO' +p3493 +aS'.\t.\t.\tO\tO' +p3494 +asS'He was initially admitted to CMED for resection and repair of this left facial lesion .' +p3495 +(lp3496 +S'He\tHe\tPRP\tB-NP\tO' +p3497 +aS'was\tbe\tVBD\tB-VP\tO' +p3498 +aS'initially\tinitially\tRB\tI-VP\tO' +p3499 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p3500 +aS'to\tto\tTO\tB-PP\tO' +p3501 +aS'CMED\tCMED\tVBN\tB-VP\tO' +p3502 +aS'for\tfor\tIN\tB-PP\tO' +p3503 +aS'resection\tresection\tNN\tB-NP\tO' +p3504 +aS'and\tand\tCC\tI-NP\tO' +p3505 +aS'repair\trepair\tNN\tI-NP\tO' +p3506 +aS'of\tof\tIN\tB-PP\tO' +p3507 +aS'this\tthis\tDT\tB-NP\tO' +p3508 +aS'left\tleft\tJJ\tI-NP\tO' +p3509 +aS'facial\tfacial\tJJ\tI-NP\tO' +p3510 +aS'lesion\tlesion\tNN\tI-NP\tO' +p3511 +aS'.\t.\t.\tO\tO' +p3512 +asS'The cell count showed a white blood cell count of 160 with 16% polys .' +p3513 +(lp3514 +S'The\tThe\tDT\tB-NP\tO' +p3515 +aS'cell\tcell\tNN\tI-NP\tO' +p3516 +aS'count\tcount\tNN\tI-NP\tO' +p3517 +aS'showed\tshow\tVBD\tB-VP\tO' +p3518 +aS'a\ta\tDT\tB-NP\tO' +p3519 +aS'white\twhite\tJJ\tI-NP\tO' +p3520 +aS'blood\tblood\tNN\tI-NP\tO' +p3521 +aS'cell\tcell\tNN\tI-NP\tO' +p3522 +aS'count\tcount\tNN\tI-NP\tO' +p3523 +aS'of\tof\tIN\tB-PP\tO' +p3524 +aS'160\t160\tCD\tB-NP\tO' +p3525 +aS'with\twith\tIN\tB-PP\tO' +p3526 +aS'16%\t16%\tCD\tB-NP\tO' +p3527 +aS'polys\tpoly\tNNS\tI-NP\tO' +p3528 +aS'.\t.\t.\tO\tO' +p3529 +asS'Is unremarkable .' +p3530 +(lp3531 +S'Is\tBe\tVBZ\tO\tO' +p3532 +aS'unremarkable\tunremarkable\tJJ\tB-NP\tO' +p3533 +aS'.\t.\t.\tO\tO' +p3534 +asS'She could identify her siblings .' +p3535 +(lp3536 +S'She\tShe\tPRP\tB-NP\tO' +p3537 +aS'could\tcould\tMD\tB-VP\tO' +p3538 +aS'identify\tidentify\tVB\tI-VP\tO' +p3539 +aS'her\ther\tPRP$\tB-NP\tO' +p3540 +aS'siblings\tsibling\tNNS\tI-NP\tO' +p3541 +aS'.\t.\t.\tO\tO' +p3542 +asS'Bowel sounds were present .' +p3543 +(lp3544 +S'Bowel\tBowel\tNN\tB-NP\tO' +p3545 +aS'sounds\tsound\tNNS\tI-NP\tO' +p3546 +aS'were\tbe\tVBD\tB-VP\tO' +p3547 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p3548 +aS'.\t.\t.\tO\tO' +p3549 +asS'The patient was started on Lopressor , Lipitor and Lisinopril .' +p3550 +(lp3551 +S'The\tThe\tDT\tB-NP\tO' +p3552 +aS'patient\tpatient\tNN\tI-NP\tO' +p3553 +aS'was\tbe\tVBD\tB-VP\tO' +p3554 +aS'started\tstart\tVBN\tI-VP\tO' +p3555 +aS'on\ton\tIN\tB-PP\tO' +p3556 +aS'Lopressor\tLopressor\tNNP\tB-NP\tO' +p3557 +aS',\t,\t,\tO\tO' +p3558 +aS'Lipitor\tLipitor\tNNP\tB-NP\tO' +p3559 +aS'and\tand\tCC\tO\tO' +p3560 +aS'Lisinopril\tLisinopril\tNNP\tB-NP\tO' +p3561 +aS'.\t.\t.\tO\tO' +p3562 +asS'The patient was in general good health until seven days ago ( 2/11/00 ) , when he had a sudden onset of sharp left flank pain with radiation to the lower abdomen and then to the epigastrium .' +p3563 +(lp3564 +S'The\tThe\tDT\tB-NP\tO' +p3565 +aS'patient\tpatient\tNN\tI-NP\tO' +p3566 +aS'was\tbe\tVBD\tB-VP\tO' +p3567 +aS'in\tin\tIN\tB-PP\tO' +p3568 +aS'general\tgeneral\tJJ\tB-NP\tO' +p3569 +aS'good\tgood\tJJ\tI-NP\tO' +p3570 +aS'health\thealth\tNN\tI-NP\tO' +p3571 +aS'until\tuntil\tIN\tB-PP\tO' +p3572 +aS'seven\tseven\tCD\tB-NP\tO' +p3573 +aS'days\tday\tNNS\tI-NP\tO' +p3574 +aS'ago\tago\tRB\tB-ADVP\tO' +p3575 +aS'(\t(\t(\tO\tO' +p3576 +aS'2/11/00\t2/11/00\tCD\tB-NP\tO' +p3577 +aS')\t)\t)\tO\tO' +p3578 +aS',\t,\t,\tO\tO' +p3579 +aS'when\twhen\tWRB\tB-ADVP\tO' +p3580 +aS'he\the\tPRP\tB-NP\tO' +p3581 +aS'had\thave\tVBD\tB-VP\tO' +p3582 +aS'a\ta\tDT\tB-NP\tO' +p3583 +aS'sudden\tsudden\tJJ\tI-NP\tO' +p3584 +aS'onset\tonset\tNN\tI-NP\tO' +p3585 +aS'of\tof\tIN\tB-PP\tO' +p3586 +aS'sharp\tsharp\tJJ\tB-NP\tO' +p3587 +aS'left\tleft\tJJ\tI-NP\tO' +p3588 +aS'flank\tflank\tNN\tI-NP\tO' +p3589 +aS'pain\tpain\tNN\tI-NP\tO' +p3590 +aS'with\twith\tIN\tB-PP\tO' +p3591 +aS'radiation\tradiation\tNN\tB-NP\tO' +p3592 +aS'to\tto\tTO\tB-PP\tO' +p3593 +aS'the\tthe\tDT\tB-NP\tO' +p3594 +aS'lower\tlow\tJJR\tI-NP\tO' +p3595 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p3596 +aS'and\tand\tCC\tO\tO' +p3597 +aS'then\tthen\tRB\tB-ADVP\tO' +p3598 +aS'to\tto\tTO\tB-PP\tO' +p3599 +aS'the\tthe\tDT\tB-NP\tO' +p3600 +aS'epigastrium\tepigastrium\tNN\tI-NP\tO' +p3601 +aS'.\t.\t.\tO\tO' +p3602 +asS'4. Right medial malleolus repair in 2004-08-05 .' +p3603 +(lp3604 +S'4.\t4.\tLS\tB-NP\tO' +p3605 +aS'Right\tRight\tNN\tI-NP\tO' +p3606 +aS'medial\tmedial\tJJ\tI-NP\tO' +p3607 +aS'malleolus\tmalleolus\tNN\tI-NP\tO' +p3608 +aS'repair\trepair\tNN\tI-NP\tO' +p3609 +aS'in\tin\tIN\tB-PP\tO' +p3610 +aS'2004-08-05\t2004-08-05\tCD\tB-NP\tO' +p3611 +aS'.\t.\t.\tO\tO' +p3612 +asS'Brother with " heart trouble " .' +p3613 +(lp3614 +S'Brother\tBrother\tDT\tB-NP\tO' +p3615 +aS'with\twith\tIN\tB-PP\tO' +p3616 +aS'"\t"\t``\tO\tB-cell_type' +p3617 +aS'heart\theart\tNN\tB-NP\tI-cell_type' +p3618 +aS'trouble\ttrouble\tNN\tI-NP\tI-cell_type' +p3619 +aS'"\t"\t\'\'\tO\tI-cell_type' +p3620 +aS'.\t.\t.\tO\tO' +p3621 +asS'Back normal .' +p3622 +(lp3623 +S'Back\tBack\tRB\tB-ADJP\tO' +p3624 +aS'normal\tnormal\tJJ\tI-ADJP\tO' +p3625 +aS'.\t.\t.\tO\tO' +p3626 +asS'He will continue Cipro p.o. for prophylaxis .' +p3627 +(lp3628 +S'He\tHe\tPRP\tB-NP\tO' +p3629 +aS'will\twill\tMD\tB-VP\tO' +p3630 +aS'continue\tcontinue\tVB\tI-VP\tO' +p3631 +aS'Cipro\tCipro\tNNP\tB-NP\tO' +p3632 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p3633 +aS'for\tfor\tIN\tB-PP\tO' +p3634 +aS'prophylaxis\tprophylaxis\tNN\tB-NP\tO' +p3635 +aS'.\t.\t.\tO\tO' +p3636 +asS'# Liver cirrhosis : MELD score of 34 on admission .' +p3637 +(lp3638 +S'#\t#\t#\tB-NP\tO' +p3639 +aS'Liver\tLiver\tNN\tI-NP\tO' +p3640 +aS'cirrhosis\tcirrhosis\tNN\tI-NP\tO' +p3641 +aS':\t:\t:\tO\tO' +p3642 +aS'MELD\tMELD\tNN\tB-NP\tO' +p3643 +aS'score\tscore\tNN\tI-NP\tO' +p3644 +aS'of\tof\tIN\tB-PP\tO' +p3645 +aS'34\t34\tCD\tB-NP\tO' +p3646 +aS'on\ton\tIN\tB-PP\tO' +p3647 +aS'admission\tadmission\tNN\tB-NP\tO' +p3648 +aS'.\t.\t.\tO\tO' +p3649 +asS'She denies tobacco or alcohol use .' +p3650 +(lp3651 +S'She\tShe\tPRP\tB-NP\tO' +p3652 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p3653 +aS'tobacco\ttobacco\tNN\tB-NP\tO' +p3654 +aS'or\tor\tCC\tI-NP\tO' +p3655 +aS'alcohol\talcohol\tNN\tI-NP\tO' +p3656 +aS'use\tuse\tNN\tI-NP\tO' +p3657 +aS'.\t.\t.\tO\tO' +p3658 +asS'Erythrocyte sedimentation rate was 41 .' +p3659 +(lp3660 +S'Erythrocyte\tErythrocyte\tNN\tB-NP\tO' +p3661 +aS'sedimentation\tsedimentation\tNN\tI-NP\tO' +p3662 +aS'rate\trate\tNN\tI-NP\tO' +p3663 +aS'was\tbe\tVBD\tB-VP\tO' +p3664 +aS'41\t41\tCD\tB-NP\tO' +p3665 +aS'.\t.\t.\tO\tO' +p3666 +asS'He was initially placed on nasal cannula with subsequent resolution of respiratory distress .' +p3667 +(lp3668 +S'He\tHe\tPRP\tB-NP\tO' +p3669 +aS'was\tbe\tVBD\tB-VP\tO' +p3670 +aS'initially\tinitially\tRB\tI-VP\tO' +p3671 +aS'placed\tplace\tVBN\tI-VP\tO' +p3672 +aS'on\ton\tIN\tB-PP\tO' +p3673 +aS'nasal\tnasal\tJJ\tB-NP\tO' +p3674 +aS'cannula\tcannula\tNN\tI-NP\tO' +p3675 +aS'with\twith\tIN\tB-PP\tO' +p3676 +aS'subsequent\tsubsequent\tJJ\tB-NP\tO' +p3677 +aS'resolution\tresolution\tNN\tI-NP\tO' +p3678 +aS'of\tof\tIN\tB-PP\tO' +p3679 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p3680 +aS'distress\tdistress\tNN\tI-NP\tO' +p3681 +aS'.\t.\t.\tO\tO' +p3682 +asS'The work-up for the extent of the patient 's disease included MRI scan of the cervical and thoracic spine which revealed multiple metastatic lesions in the vertebral bodies ; a T3 lesion extending from the body to the right neural for amina with foraminal obstruction .' +p3683 +(lp3684 +S'The\tThe\tDT\tB-NP\tO' +p3685 +aS'work-up\twork-up\tNN\tI-NP\tO' +p3686 +aS'for\tfor\tIN\tB-PP\tO' +p3687 +aS'the\tthe\tDT\tB-NP\tO' +p3688 +aS'extent\textent\tNN\tI-NP\tO' +p3689 +aS'of\tof\tIN\tB-PP\tO' +p3690 +aS'the\tthe\tDT\tB-NP\tO' +p3691 +aS'patient\tpatient\tNN\tI-NP\tO' +p3692 +aS''s\t'\tNNS\tI-NP\tO' +p3693 +aS'disease\tdisease\tNN\tI-NP\tO' +p3694 +aS'included\tinclude\tVBD\tB-VP\tO' +p3695 +aS'MRI\tMRI\tNN\tB-NP\tO' +p3696 +aS'scan\tscan\tNN\tI-NP\tO' +p3697 +aS'of\tof\tIN\tB-PP\tO' +p3698 +aS'the\tthe\tDT\tB-NP\tO' +p3699 +aS'cervical\tcervical\tJJ\tI-NP\tO' +p3700 +aS'and\tand\tCC\tI-NP\tO' +p3701 +aS'thoracic\tthoracic\tJJ\tI-NP\tO' +p3702 +aS'spine\tspine\tNN\tI-NP\tO' +p3703 +aS'which\twhich\tWDT\tB-NP\tO' +p3704 +aS'revealed\treveal\tVBD\tB-VP\tO' +p3705 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p3706 +aS'metastatic\tmetastatic\tJJ\tI-NP\tO' +p3707 +aS'lesions\tlesion\tNNS\tI-NP\tO' +p3708 +aS'in\tin\tIN\tB-PP\tO' +p3709 +aS'the\tthe\tDT\tB-NP\tO' +p3710 +aS'vertebral\tvertebral\tJJ\tI-NP\tO' +p3711 +aS'bodies\tbody\tNNS\tI-NP\tO' +p3712 +aS';\t;\t:\tO\tO' +p3713 +aS'a\ta\tDT\tB-NP\tO' +p3714 +aS'T3\tT3\tNN\tI-NP\tO' +p3715 +aS'lesion\tlesion\tNN\tI-NP\tO' +p3716 +aS'extending\textend\tVBG\tB-VP\tO' +p3717 +aS'from\tfrom\tIN\tB-PP\tO' +p3718 +aS'the\tthe\tDT\tB-NP\tO' +p3719 +aS'body\tbody\tNN\tI-NP\tO' +p3720 +aS'to\tto\tTO\tB-PP\tO' +p3721 +aS'the\tthe\tDT\tB-NP\tO' +p3722 +aS'right\tright\tJJ\tI-NP\tO' +p3723 +aS'neural\tneural\tNN\tI-NP\tO' +p3724 +aS'for\tfor\tIN\tB-PP\tO' +p3725 +aS'amina\tamina\tNN\tB-NP\tO' +p3726 +aS'with\twith\tIN\tB-PP\tO' +p3727 +aS'foraminal\tforaminal\tJJ\tB-NP\tO' +p3728 +aS'obstruction\tobstruction\tNN\tI-NP\tO' +p3729 +aS'.\t.\t.\tO\tO' +p3730 +asS"The patient 's condition on discharge was stable and improved ." +p3731 +(lp3732 +S'The\tThe\tDT\tB-NP\tO' +p3733 +aS'patient\tpatient\tNN\tI-NP\tO' +p3734 +aS"'s\t's\tPOS\tB-NP\tO" +p3735 +aS'condition\tcondition\tNN\tI-NP\tO' +p3736 +aS'on\ton\tIN\tB-PP\tO' +p3737 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p3738 +aS'was\tbe\tVBD\tB-VP\tO' +p3739 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p3740 +aS'and\tand\tCC\tO\tO' +p3741 +aS'improved\timprove\tVBN\tB-VP\tO' +p3742 +aS'.\t.\t.\tO\tO' +p3743 +asS'Room air saturation 96% .' +p3744 +(lp3745 +S'Room\tRoom\tNN\tB-NP\tO' +p3746 +aS'air\tair\tNN\tI-NP\tO' +p3747 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p3748 +aS'96%\t96%\tCD\tI-NP\tO' +p3749 +aS'.\t.\t.\tO\tO' +p3750 +asS'1. Dressing to remain in place for 10 days unless signs of bleeding , infection or is soiled .' +p3751 +(lp3752 +S'1.\t1.\tLS\tB-LST\tO' +p3753 +aS'Dressing\tDressing\tNNP\tB-NP\tO' +p3754 +aS'to\tto\tTO\tB-VP\tO' +p3755 +aS'remain\tremain\tVB\tI-VP\tO' +p3756 +aS'in\tin\tIN\tB-PP\tO' +p3757 +aS'place\tplace\tNN\tB-NP\tO' +p3758 +aS'for\tfor\tIN\tB-PP\tO' +p3759 +aS'10\t10\tCD\tB-NP\tO' +p3760 +aS'days\tday\tNNS\tI-NP\tO' +p3761 +aS'unless\tunless\tIN\tB-SBAR\tO' +p3762 +aS'signs\tsign\tNNS\tB-NP\tO' +p3763 +aS'of\tof\tIN\tB-PP\tO' +p3764 +aS'bleeding\tbleeding\tNN\tB-NP\tO' +p3765 +aS',\t,\t,\tO\tO' +p3766 +aS'infection\tinfection\tNN\tB-NP\tO' +p3767 +aS'or\tor\tCC\tO\tO' +p3768 +aS'is\tbe\tVBZ\tB-VP\tO' +p3769 +aS'soiled\tsoil\tVBN\tI-VP\tO' +p3770 +aS'.\t.\t.\tO\tO' +p3771 +asS'Total abdominal hysterectomy , right lymph node dissection , appendectomy , omental biopsy , and pelvic washings .' +p3772 +(lp3773 +S'Total\tTotal\tJJ\tB-NP\tO' +p3774 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p3775 +aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' +p3776 +aS',\t,\t,\tO\tO' +p3777 +aS'right\tright\tJJ\tB-NP\tO' +p3778 +aS'lymph\tlymph\tNN\tI-NP\tO' +p3779 +aS'node\tnode\tNN\tI-NP\tO' +p3780 +aS'dissection\tdissection\tNN\tI-NP\tO' +p3781 +aS',\t,\t,\tO\tO' +p3782 +aS'appendectomy\tappendectomy\tNN\tB-NP\tO' +p3783 +aS',\t,\t,\tO\tO' +p3784 +aS'omental\tomental\tJJ\tB-NP\tO' +p3785 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p3786 +aS',\t,\t,\tO\tO' +p3787 +aS'and\tand\tCC\tO\tO' +p3788 +aS'pelvic\tpelvic\tJJ\tB-NP\tO' +p3789 +aS'washings\twashing\tNNS\tI-NP\tO' +p3790 +aS'.\t.\t.\tO\tO' +p3791 +asS'In the fall of 1991 , nipple changes and discomfort was again noted .' +p3792 +(lp3793 +S'In\tIn\tIN\tB-PP\tO' +p3794 +aS'the\tthe\tDT\tB-NP\tO' +p3795 +aS'fall\tfall\tNN\tI-NP\tO' +p3796 +aS'of\tof\tIN\tB-PP\tO' +p3797 +aS'1991\t1991\tCD\tB-NP\tO' +p3798 +aS',\t,\t,\tO\tO' +p3799 +aS'nipple\tnipple\tNN\tB-NP\tO' +p3800 +aS'changes\tchange\tNNS\tI-NP\tO' +p3801 +aS'and\tand\tCC\tO\tO' +p3802 +aS'discomfort\tdiscomfort\tNN\tB-NP\tO' +p3803 +aS'was\tbe\tVBD\tB-VP\tO' +p3804 +aS'again\tagain\tRB\tI-VP\tO' +p3805 +aS'noted\tnote\tVBN\tI-VP\tO' +p3806 +aS'.\t.\t.\tO\tO' +p3807 +asS"The patient 's enzymes were cycled and were negative ." +p3808 +(lp3809 +S'The\tThe\tDT\tB-NP\tO' +p3810 +aS'patient\tpatient\tNN\tI-NP\tO' +p3811 +aS"'s\t's\tPOS\tB-NP\tO" +p3812 +aS'enzymes\tenzyme\tNNS\tI-NP\tO' +p3813 +aS'were\tbe\tVBD\tB-VP\tO' +p3814 +aS'cycled\tcycle\tVBN\tI-VP\tO' +p3815 +aS'and\tand\tCC\tO\tO' +p3816 +aS'were\tbe\tVBD\tB-VP\tO' +p3817 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p3818 +aS'.\t.\t.\tO\tO' +p3819 +asS'Dephenhydramine 50mg prn loperamide prn famotidine 20mg' +p3820 +(lp3821 +S'Dephenhydramine\tDephenhydramine\tNN\tB-NP\tO' +p3822 +aS'50mg\t50mg\tCD\tI-NP\tO' +p3823 +aS'prn\tprn\tNN\tI-NP\tO' +p3824 +aS'loperamide\tloperamide\tNN\tI-NP\tO' +p3825 +aS'prn\tprn\tNN\tI-NP\tO' +p3826 +aS'famotidine\tfamotidine\tNN\tI-NP\tO' +p3827 +aS'20mg\t20mg\t.\tO\tO' +p3828 +asS'The patient was initially admitted to the Cardiac Surgical Service under Dr. Rhalt .' +p3829 +(lp3830 +S'The\tThe\tDT\tB-NP\tO' +p3831 +aS'patient\tpatient\tNN\tI-NP\tO' +p3832 +aS'was\tbe\tVBD\tB-VP\tO' +p3833 +aS'initially\tinitially\tRB\tI-VP\tO' +p3834 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p3835 +aS'to\tto\tTO\tB-PP\tO' +p3836 +aS'the\tthe\tDT\tB-NP\tO' +p3837 +aS'Cardiac\tCardiac\tNNP\tI-NP\tO' +p3838 +aS'Surgical\tSurgical\tNNP\tI-NP\tO' +p3839 +aS'Service\tService\tNNP\tI-NP\tO' +p3840 +aS'under\tunder\tIN\tB-PP\tO' +p3841 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p3842 +aS'Rhalt\tRhalt\tNNP\tI-NP\tO' +p3843 +aS'.\t.\t.\tO\tO' +p3844 +asS'Includes a history of hypertension ; multinodular goiter ; subtotal thyroidectomy .' +p3845 +(lp3846 +S'Includes\tInclude\tVBZ\tB-VP\tO' +p3847 +aS'a\ta\tDT\tB-NP\tO' +p3848 +aS'history\thistory\tNN\tI-NP\tO' +p3849 +aS'of\tof\tIN\tB-PP\tO' +p3850 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p3851 +aS';\t;\t:\tO\tO' +p3852 +aS'multinodular\tmultinodular\tJJ\tB-NP\tO' +p3853 +aS'goiter\tgoiter\tNN\tI-NP\tO' +p3854 +aS';\t;\t:\tO\tO' +p3855 +aS'subtotal\tsubtotal\tJJ\tB-NP\tO' +p3856 +aS'thyroidectomy\tthyroidectomy\tNN\tI-NP\tO' +p3857 +aS'.\t.\t.\tO\tO' +p3858 +asS'LVEF 30-35% .' +p3859 +(lp3860 +S'LVEF\tLVEF\tNN\tB-NP\tO' +p3861 +aS'30-35%\t30-35%\tCD\tI-NP\tO' +p3862 +aS'.\t.\t.\tO\tO' +p3863 +asS'The patient was given stress dose steroids on the day prior to his surgery .' +p3864 +(lp3865 +S'The\tThe\tDT\tB-NP\tO' +p3866 +aS'patient\tpatient\tNN\tI-NP\tO' +p3867 +aS'was\tbe\tVBD\tB-VP\tO' +p3868 +aS'given\tgive\tVBN\tI-VP\tO' +p3869 +aS'stress\tstress\tNN\tB-NP\tO' +p3870 +aS'dose\tdose\tNN\tI-NP\tO' +p3871 +aS'steroids\tsteroid\tNNS\tI-NP\tO' +p3872 +aS'on\ton\tIN\tB-PP\tO' +p3873 +aS'the\tthe\tDT\tB-NP\tO' +p3874 +aS'day\tday\tNN\tI-NP\tO' +p3875 +aS'prior\tprior\tRB\tB-ADVP\tO' +p3876 +aS'to\tto\tTO\tB-PP\tO' +p3877 +aS'his\this\tPRP$\tB-NP\tO' +p3878 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p3879 +aS'.\t.\t.\tO\tO' +p3880 +asS'.' +(lp3881 +S'.\t.\t.\tO\tO' +p3882 +asS'Rectal : no hemrroiids , guiac positive brown stool .' +p3883 +(lp3884 +S'Rectal\tRectal\tJJ\tB-ADJP\tO' +p3885 +aS':\t:\t:\tO\tO' +p3886 +aS'no\tno\tDT\tB-NP\tO' +p3887 +aS'hemrroiids\themrroiid\tNNS\tI-NP\tO' +p3888 +aS',\t,\t,\tO\tO' +p3889 +aS'guiac\tguiac\tJJ\tB-NP\tO' +p3890 +aS'positive\tpositive\tJJ\tI-NP\tO' +p3891 +aS'brown\tbrown\tJJ\tI-NP\tO' +p3892 +aS'stool\tstool\tNN\tI-NP\tO' +p3893 +aS'.\t.\t.\tO\tO' +p3894 +asS'He tolerated this well .' +p3895 +(lp3896 +S'He\tHe\tPRP\tB-NP\tO' +p3897 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p3898 +aS'this\tthis\tDT\tB-NP\tO' +p3899 +aS'well\twell\tRB\tB-ADVP\tO' +p3900 +aS'.\t.\t.\tO\tO' +p3901 +asS'An echocardiogram status post percutaneous coronary intervention revealed an akinetic inferior wall and right ventricle , mild mitral regurgitation , and ascending aorta measuring 5 cm .' +p3902 +(lp3903 +S'An\tAn\tDT\tB-NP\tO' +p3904 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p3905 +aS'status\tstatus\tNN\tI-NP\tO' +p3906 +aS'post\tpost\tIN\tB-PP\tO' +p3907 +aS'percutaneous\tpercutaneous\tJJ\tB-NP\tO' +p3908 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p3909 +aS'intervention\tintervention\tNN\tI-NP\tO' +p3910 +aS'revealed\treveal\tVBD\tB-VP\tO' +p3911 +aS'an\tan\tDT\tB-NP\tO' +p3912 +aS'akinetic\takinetic\tJJ\tI-NP\tO' +p3913 +aS'inferior\tinferior\tJJ\tI-NP\tO' +p3914 +aS'wall\twall\tNN\tI-NP\tO' +p3915 +aS'and\tand\tCC\tO\tO' +p3916 +aS'right\tright\tJJ\tB-NP\tO' +p3917 +aS'ventricle\tventricle\tNN\tI-NP\tO' +p3918 +aS',\t,\t,\tO\tO' +p3919 +aS'mild\tmild\tJJ\tB-NP\tO' +p3920 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p3921 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p3922 +aS',\t,\t,\tO\tO' +p3923 +aS'and\tand\tCC\tO\tO' +p3924 +aS'ascending\tascend\tVBG\tB-VP\tO' +p3925 +aS'aorta\taorta\tNN\tB-NP\tO' +p3926 +aS'measuring\tmeasure\tVBG\tB-VP\tO' +p3927 +aS'5\t5\tCD\tB-NP\tO' +p3928 +aS'cm\tcm\tNN\tI-NP\tO' +p3929 +aS'.\t.\t.\tO\tO' +p3930 +asS'Awake , alert , spontaneous and appropriate , and somewhat uncomfortable due to pain but looked well .' +p3931 +(lp3932 +S'Awake\tAwake\tNN\tB-NP\tO' +p3933 +aS',\t,\t,\tO\tO' +p3934 +aS'alert\talert\tJJ\tB-ADJP\tO' +p3935 +aS',\t,\t,\tI-ADJP\tO' +p3936 +aS'spontaneous\tspontaneous\tJJ\tI-ADJP\tO' +p3937 +aS'and\tand\tCC\tI-ADJP\tO' +p3938 +aS'appropriate\tappropriate\tJJ\tI-ADJP\tO' +p3939 +aS',\t,\t,\tO\tO' +p3940 +aS'and\tand\tCC\tO\tO' +p3941 +aS'somewhat\tsomewhat\tRB\tB-ADJP\tO' +p3942 +aS'uncomfortable\tuncomfortable\tJJ\tI-ADJP\tO' +p3943 +aS'due\tdue\tIN\tB-PP\tO' +p3944 +aS'to\tto\tTO\tB-PP\tO' +p3945 +aS'pain\tpain\tNN\tB-NP\tO' +p3946 +aS'but\tbut\tCC\tO\tO' +p3947 +aS'looked\tlook\tVBD\tB-VP\tO' +p3948 +aS'well\twell\tRB\tB-ADVP\tO' +p3949 +aS'.\t.\t.\tO\tO' +p3950 +asS'The patient is a 91 yo woman with h/o HTN who came from Bridgewater State Hospital Rehab with substernal chest pain after exercise .' +p3951 +(lp3952 +S'The\tThe\tDT\tB-NP\tO' +p3953 +aS'patient\tpatient\tNN\tI-NP\tO' +p3954 +aS'is\tbe\tVBZ\tB-VP\tO' +p3955 +aS'a\ta\tDT\tB-NP\tO' +p3956 +aS'91\t91\tCD\tI-NP\tO' +p3957 +aS'yo\tyo\tNN\tI-NP\tO' +p3958 +aS'woman\twoman\tNN\tI-NP\tO' +p3959 +aS'with\twith\tIN\tB-PP\tO' +p3960 +aS'h/o\th/o\tNN\tB-NP\tB-protein' +p3961 +aS'HTN\tHTN\tNN\tI-NP\tI-protein' +p3962 +aS'who\twho\tWP\tB-NP\tO' +p3963 +aS'came\tcome\tVBD\tB-VP\tO' +p3964 +aS'from\tfrom\tIN\tB-PP\tO' +p3965 +aS'Bridgewater\tBridgewater\tNNP\tB-NP\tO' +p3966 +aS'State\tState\tNNP\tI-NP\tO' +p3967 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p3968 +aS'Rehab\tRehab\tNNP\tI-NP\tO' +p3969 +aS'with\twith\tIN\tB-PP\tO' +p3970 +aS'substernal\tsubsternal\tJJ\tB-NP\tO' +p3971 +aS'chest\tchest\tNN\tI-NP\tO' +p3972 +aS'pain\tpain\tNN\tI-NP\tO' +p3973 +aS'after\tafter\tIN\tB-PP\tO' +p3974 +aS'exercise\texercise\tNN\tB-NP\tO' +p3975 +aS'.\t.\t.\tO\tO' +p3976 +asS'He was also started on antibiotics for possible bronchitis or community-acquired pneumonia .' +p3977 +(lp3978 +S'He\tHe\tPRP\tB-NP\tO' +p3979 +aS'was\tbe\tVBD\tB-VP\tO' +p3980 +aS'also\talso\tRB\tI-VP\tO' +p3981 +aS'started\tstart\tVBN\tI-VP\tO' +p3982 +aS'on\ton\tIN\tB-PP\tO' +p3983 +aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' +p3984 +aS'for\tfor\tIN\tB-PP\tO' +p3985 +aS'possible\tpossible\tJJ\tB-NP\tO' +p3986 +aS'bronchitis\tbronchitis\tNN\tI-NP\tO' +p3987 +aS'or\tor\tCC\tO\tO' +p3988 +aS'community-acquired\tcommunity-acquired\tJJ\tB-NP\tO' +p3989 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p3990 +aS'.\t.\t.\tO\tO' +p3991 +asS'Chest CT was nondiagnostic but did not show pulmonary embolus .' +p3992 +(lp3993 +S'Chest\tCh\tJJS\tB-NP\tO' +p3994 +aS'CT\tCT\tNN\tI-NP\tB-protein' +p3995 +aS'was\tbe\tVBD\tB-VP\tO' +p3996 +aS'nondiagnostic\tnondiagnostic\tJJ\tB-ADJP\tO' +p3997 +aS'but\tbut\tCC\tO\tO' +p3998 +aS'did\tdo\tVBD\tB-VP\tO' +p3999 +aS'not\tnot\tRB\tI-VP\tO' +p4000 +aS'show\tshow\tVB\tI-VP\tO' +p4001 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p4002 +aS'embolus\tembolus\tNN\tI-NP\tO' +p4003 +aS'.\t.\t.\tO\tO' +p4004 +asS'Lungs clear to auscultation bilaterally .' +p4005 +(lp4006 +S'Lungs\tLung\tNNS\tB-NP\tO' +p4007 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p4008 +aS'to\tto\tTO\tB-PP\tO' +p4009 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p4010 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p4011 +aS'.\t.\t.\tO\tO' +p4012 +asS'On 11-08 , he had an episode of acute shortness of breath with chest pressure which he describes as different from his typical angina with minimal exertion .' +p4013 +(lp4014 +S'On\tOn\tIN\tB-PP\tO' +p4015 +aS'11-08\t11-08\tCD\tB-NP\tO' +p4016 +aS',\t,\t,\tO\tO' +p4017 +aS'he\the\tPRP\tB-NP\tO' +p4018 +aS'had\thave\tVBD\tB-VP\tO' +p4019 +aS'an\tan\tDT\tB-NP\tO' +p4020 +aS'episode\tepisode\tNN\tI-NP\tO' +p4021 +aS'of\tof\tIN\tB-PP\tO' +p4022 +aS'acute\tacute\tJJ\tB-NP\tO' +p4023 +aS'shortness\tshortness\tNN\tI-NP\tO' +p4024 +aS'of\tof\tIN\tB-PP\tO' +p4025 +aS'breath\tbreath\tNN\tB-NP\tO' +p4026 +aS'with\twith\tIN\tB-PP\tO' +p4027 +aS'chest\tchest\tNN\tB-NP\tO' +p4028 +aS'pressure\tpressure\tNN\tI-NP\tO' +p4029 +aS'which\twhich\tWDT\tB-NP\tO' +p4030 +aS'he\the\tPRP\tB-NP\tO' +p4031 +aS'describes\tdescribe\tVBZ\tB-VP\tO' +p4032 +aS'as\tas\tRB\tB-ADJP\tO' +p4033 +aS'different\tdifferent\tJJ\tI-ADJP\tO' +p4034 +aS'from\tfrom\tIN\tB-PP\tO' +p4035 +aS'his\this\tPRP$\tB-NP\tO' +p4036 +aS'typical\ttypical\tJJ\tI-NP\tO' +p4037 +aS'angina\tangina\tNN\tI-NP\tO' +p4038 +aS'with\twith\tIN\tB-PP\tO' +p4039 +aS'minimal\tminimal\tJJ\tB-NP\tO' +p4040 +aS'exertion\texertion\tNN\tI-NP\tO' +p4041 +aS'.\t.\t.\tO\tO' +p4042 +asS'Respirations were 15 , and she was saturating at 96 percent on room air .' +p4043 +(lp4044 +S'Respirations\tRespiration\tNNS\tB-NP\tO' +p4045 +aS'were\tbe\tVBD\tB-VP\tO' +p4046 +aS'15\t15\tCD\tB-NP\tO' +p4047 +aS',\t,\t,\tO\tO' +p4048 +aS'and\tand\tCC\tO\tO' +p4049 +aS'she\tshe\tPRP\tB-NP\tO' +p4050 +aS'was\tbe\tVBD\tB-VP\tO' +p4051 +aS'saturating\tsaturate\tVBG\tI-VP\tO' +p4052 +aS'at\tat\tIN\tB-PP\tO' +p4053 +aS'96\t96\tCD\tB-NP\tO' +p4054 +aS'percent\tpercent\tNN\tI-NP\tO' +p4055 +aS'on\ton\tIN\tB-PP\tO' +p4056 +aS'room\troom\tNN\tB-NP\tO' +p4057 +aS'air\tair\tNN\tI-NP\tO' +p4058 +aS'.\t.\t.\tO\tO' +p4059 +asS'Patient left on 2014-04-09 with VNA to home .' +p4060 +(lp4061 +S'Patient\tPatient\tNN\tB-NP\tO' +p4062 +aS'left\tleave\tVBD\tB-VP\tO' +p4063 +aS'on\ton\tIN\tB-PP\tO' +p4064 +aS'2014-04-09\t2014-04-09\tCD\tB-NP\tO' +p4065 +aS'with\twith\tIN\tB-PP\tO' +p4066 +aS'VNA\tVNA\tNN\tB-NP\tB-protein' +p4067 +aS'to\tto\tTO\tB-PP\tO' +p4068 +aS'home\thome\tNN\tB-NP\tO' +p4069 +aS'.\t.\t.\tO\tO' +p4070 +asS'Attending : Cindy U. Kelly , M.D.' +p4071 +(lp4072 +S'Attending\tAttend\tVBG\tB-VP\tO' +p4073 +aS':\t:\t:\tO\tO' +p4074 +aS'Cindy\tCindy\tNNP\tB-NP\tO' +p4075 +aS'U.\tU.\tNNP\tI-NP\tO' +p4076 +aS'Kelly\tKelly\tNNP\tI-NP\tO' +p4077 +aS',\t,\t,\tO\tO' +p4078 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p4079 +asS'Betoptic 0.5% one drop OU bid , Propene 0.1% one drop OU bid , Pred-Forte 1% one drop OS bid , Percocet two tabs. po. q4hours prn .' +p4080 +(lp4081 +S'Betoptic\tBetoptic\tJJ\tB-NP\tO' +p4082 +aS'0.5%\t0.5%\tCD\tI-NP\tO' +p4083 +aS'one\tone\tCD\tI-NP\tO' +p4084 +aS'drop\tdrop\tNN\tI-NP\tO' +p4085 +aS'OU\tOU\tNN\tI-NP\tO' +p4086 +aS'bid\tbid\tNN\tI-NP\tO' +p4087 +aS',\t,\t,\tO\tO' +p4088 +aS'Propene\tPropene\tNN\tB-NP\tO' +p4089 +aS'0.1%\t0.1%\tCD\tI-NP\tO' +p4090 +aS'one\tone\tCD\tI-NP\tO' +p4091 +aS'drop\tdrop\tNN\tI-NP\tO' +p4092 +aS'OU\tOU\tNN\tI-NP\tO' +p4093 +aS'bid\tbid\tNN\tI-NP\tO' +p4094 +aS',\t,\t,\tO\tO' +p4095 +aS'Pred-Forte\tPred-Forte\tJJ\tB-NP\tO' +p4096 +aS'1%\t1%\tCD\tI-NP\tO' +p4097 +aS'one\tone\tCD\tI-NP\tO' +p4098 +aS'drop\tdrop\tNN\tI-NP\tO' +p4099 +aS'OS\tOS\tNN\tI-NP\tO' +p4100 +aS'bid\tbid\tNN\tI-NP\tO' +p4101 +aS',\t,\t,\tO\tO' +p4102 +aS'Percocet\tPercocet\tNNP\tB-NP\tO' +p4103 +aS'two\ttwo\tCD\tI-NP\tO' +p4104 +aS'tabs.\ttabs.\tNN\tI-NP\tO' +p4105 +aS'po.\tpo.\tNN\tI-NP\tO' +p4106 +aS'q4hours\tq4hour\tNNS\tI-NP\tO' +p4107 +aS'prn\tprn\tNN\tI-NP\tO' +p4108 +aS'.\t.\t.\tO\tO' +p4109 +asS'CT of the head on 02-06 was negative for hemorrhage .' +p4110 +(lp4111 +S'CT\tCT\tNN\tB-NP\tO' +p4112 +aS'of\tof\tIN\tB-PP\tO' +p4113 +aS'the\tthe\tDT\tB-NP\tO' +p4114 +aS'head\thead\tNN\tI-NP\tO' +p4115 +aS'on\ton\tIN\tB-PP\tO' +p4116 +aS'02-06\t02-06\tNN\tB-NP\tO' +p4117 +aS'was\tbe\tVBD\tB-VP\tO' +p4118 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p4119 +aS'for\tfor\tIN\tB-PP\tO' +p4120 +aS'hemorrhage\themorrhage\tNN\tB-NP\tO' +p4121 +aS'.\t.\t.\tO\tO' +p4122 +asS'His chest tube was in place for a high chest tube output .' +p4123 +(lp4124 +S'His\tHis\tPRP$\tB-NP\tO' +p4125 +aS'chest\tchest\tNN\tI-NP\tO' +p4126 +aS'tube\ttube\tNN\tI-NP\tO' +p4127 +aS'was\tbe\tVBD\tB-VP\tO' +p4128 +aS'in\tin\tIN\tB-PP\tO' +p4129 +aS'place\tplace\tNN\tB-NP\tO' +p4130 +aS'for\tfor\tIN\tB-PP\tO' +p4131 +aS'a\ta\tDT\tB-NP\tO' +p4132 +aS'high\thigh\tJJ\tI-NP\tO' +p4133 +aS'chest\tchest\tNN\tI-NP\tO' +p4134 +aS'tube\ttube\tNN\tI-NP\tO' +p4135 +aS'output\toutput\tNN\tI-NP\tO' +p4136 +aS'.\t.\t.\tO\tO' +p4137 +asS'The patient was explored by General surgery , who saw the 3C ovarian carcinoma .' +p4138 +(lp4139 +S'The\tThe\tDT\tB-NP\tO' +p4140 +aS'patient\tpatient\tNN\tI-NP\tO' +p4141 +aS'was\tbe\tVBD\tB-VP\tO' +p4142 +aS'explored\texplore\tVBN\tI-VP\tO' +p4143 +aS'by\tby\tIN\tB-PP\tO' +p4144 +aS'General\tGeneral\tNNP\tB-NP\tO' +p4145 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p4146 +aS',\t,\t,\tO\tO' +p4147 +aS'who\twho\tWP\tB-NP\tO' +p4148 +aS'saw\tsee\tVBD\tB-VP\tO' +p4149 +aS'the\tthe\tDT\tB-NP\tO' +p4150 +aS'3C\t3C\tNN\tI-NP\tO' +p4151 +aS'ovarian\tovarian\tJJ\tI-NP\tO' +p4152 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p4153 +aS'.\t.\t.\tO\tO' +p4154 +asS'Hearing was intact bilaterally .' +p4155 +(lp4156 +S'Hearing\tHearing\tNNP\tB-NP\tO' +p4157 +aS'was\tbe\tVBD\tB-VP\tO' +p4158 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p4159 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p4160 +aS'.\t.\t.\tO\tO' +p4161 +asS'HEENT : Clear OP , MM very dry .' +p4162 +(lp4163 +S'HEENT\tHEENT\tNN\tB-NP\tO' +p4164 +aS':\t:\t:\tO\tO' +p4165 +aS'Clear\tClear\tNNP\tB-NP\tO' +p4166 +aS'OP\tOP\tNNP\tI-NP\tO' +p4167 +aS',\t,\t,\tO\tO' +p4168 +aS'MM\tMM\tNNP\tB-NP\tO' +p4169 +aS'very\tvery\tRB\tB-ADJP\tO' +p4170 +aS'dry\tdry\tJJ\tI-ADJP\tO' +p4171 +aS'.\t.\t.\tO\tO' +p4172 +asS'# Foot ulcer : diabetic ulcer s/p surgery but never healed .' +p4173 +(lp4174 +S'#\t#\t#\tB-NP\tO' +p4175 +aS'Foot\tFoot\tNNP\tI-NP\tO' +p4176 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p4177 +aS':\t:\t:\tO\tO' +p4178 +aS'diabetic\tdiabetic\tJJ\tB-NP\tO' +p4179 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p4180 +aS's/p\ts/p\tNN\tI-NP\tO' +p4181 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p4182 +aS'but\tbut\tCC\tO\tO' +p4183 +aS'never\tnever\tRB\tB-VP\tO' +p4184 +aS'healed\theal\tVBD\tI-VP\tO' +p4185 +aS'.\t.\t.\tO\tO' +p4186 +asS'POD#1 she was transferred to CC6 for further recovery .' +p4187 +(lp4188 +S'POD#1\tPOD#1\tNN\tB-NP\tB-protein' +p4189 +aS'she\tshe\tPRP\tB-NP\tO' +p4190 +aS'was\tbe\tVBD\tB-VP\tO' +p4191 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p4192 +aS'to\tto\tTO\tB-PP\tO' +p4193 +aS'CC6\tCC6\tNN\tB-NP\tB-protein' +p4194 +aS'for\tfor\tIN\tB-PP\tO' +p4195 +aS'further\tfurther\tJJ\tB-NP\tO' +p4196 +aS'recovery\trecovery\tNN\tI-NP\tO' +p4197 +aS'.\t.\t.\tO\tO' +p4198 +asS'They appeared to reach an 8 Hz frequency on the right at times , though the background was disorganized and slow on both sides for' +p4199 +(lp4200 +S'They\tThey\tPRP\tB-NP\tO' +p4201 +aS'appeared\tappear\tVBD\tB-VP\tO' +p4202 +aS'to\tto\tTO\tI-VP\tO' +p4203 +aS'reach\treach\tVB\tI-VP\tO' +p4204 +aS'an\tan\tDT\tB-NP\tO' +p4205 +aS'8\t8\tCD\tI-NP\tO' +p4206 +aS'Hz\tHz\tNN\tI-NP\tO' +p4207 +aS'frequency\tfrequency\tNN\tI-NP\tO' +p4208 +aS'on\ton\tIN\tB-PP\tO' +p4209 +aS'the\tthe\tDT\tB-NP\tO' +p4210 +aS'right\tright\tNN\tI-NP\tO' +p4211 +aS'at\tat\tIN\tB-PP\tO' +p4212 +aS'times\ttime\tNNS\tB-NP\tO' +p4213 +aS',\t,\t,\tO\tO' +p4214 +aS'though\tthough\tIN\tB-SBAR\tO' +p4215 +aS'the\tthe\tDT\tB-NP\tO' +p4216 +aS'background\tbackground\tNN\tI-NP\tO' +p4217 +aS'was\tbe\tVBD\tB-VP\tO' +p4218 +aS'disorganized\tdisorganize\tVBN\tI-VP\tO' +p4219 +aS'and\tand\tCC\tO\tO' +p4220 +aS'slow\tslow\tJJ\tB-ADJP\tO' +p4221 +aS'on\ton\tIN\tB-PP\tO' +p4222 +aS'both\tboth\tDT\tB-NP\tO' +p4223 +aS'sides\tside\tNNS\tI-NP\tO' +p4224 +aS'for\tfor\tIN\tB-SBAR\tO' +p4225 +asS'A low dose Morphine drip was initiated after further serious discussion with her husband and nieces and nephews .' +p4226 +(lp4227 +S'A\tA\tDT\tB-NP\tO' +p4228 +aS'low\tlow\tJJ\tI-NP\tO' +p4229 +aS'dose\tdose\tNN\tI-NP\tO' +p4230 +aS'Morphine\tMorphine\tNN\tI-NP\tO' +p4231 +aS'drip\tdrip\tNN\tI-NP\tO' +p4232 +aS'was\tbe\tVBD\tB-VP\tO' +p4233 +aS'initiated\tinitiate\tVBN\tI-VP\tO' +p4234 +aS'after\tafter\tIN\tB-PP\tO' +p4235 +aS'further\tfurther\tJJ\tB-NP\tO' +p4236 +aS'serious\tserious\tJJ\tI-NP\tO' +p4237 +aS'discussion\tdiscussion\tNN\tI-NP\tO' +p4238 +aS'with\twith\tIN\tB-PP\tO' +p4239 +aS'her\ther\tPRP$\tB-NP\tO' +p4240 +aS'husband\thusband\tNN\tI-NP\tO' +p4241 +aS'and\tand\tCC\tI-NP\tO' +p4242 +aS'nieces\tniece\tNNS\tI-NP\tO' +p4243 +aS'and\tand\tCC\tI-NP\tO' +p4244 +aS'nephews\tnephew\tNNS\tI-NP\tO' +p4245 +aS'.\t.\t.\tO\tO' +p4246 +asS'He had occasional leg swelling .' +p4247 +(lp4248 +S'He\tHe\tPRP\tB-NP\tO' +p4249 +aS'had\thave\tVBD\tB-VP\tO' +p4250 +aS'occasional\toccasional\tJJ\tB-NP\tO' +p4251 +aS'leg\tleg\tNN\tI-NP\tO' +p4252 +aS'swelling\tswelling\tNN\tI-NP\tO' +p4253 +aS'.\t.\t.\tO\tO' +p4254 +asS'This was significant for demonstrating no flow-limited disease in the coronaries but several fistulae' +p4255 +(lp4256 +S'This\tThis\tDT\tB-NP\tO' +p4257 +aS'was\tbe\tVBD\tB-VP\tO' +p4258 +aS'significant\tsignificant\tJJ\tB-ADJP\tO' +p4259 +aS'for\tfor\tIN\tB-PP\tO' +p4260 +aS'demonstrating\tdemonstrate\tVBG\tB-VP\tO' +p4261 +aS'no\tno\tDT\tB-NP\tO' +p4262 +aS'flow-limited\tflow-limited\tJJ\tI-NP\tO' +p4263 +aS'disease\tdisease\tNN\tI-NP\tO' +p4264 +aS'in\tin\tIN\tB-PP\tO' +p4265 +aS'the\tthe\tDT\tB-NP\tO' +p4266 +aS'coronaries\tcoronary\tNNS\tI-NP\tO' +p4267 +aS'but\tbut\tCC\tO\tO' +p4268 +aS'several\tseveral\tJJ\tB-NP\tO' +p4269 +aS'fistulae\tfistula\tNNS\tI-NP\tO' +p4270 +asS'INDICATION : 94-year-old woman with mental status changes , now with abdominal pain and hypertension .' +p4271 +(lp4272 +S'INDICATION\tINDICATION\tNN\tB-NP\tO' +p4273 +aS':\t:\t:\tO\tO' +p4274 +aS'94-year-old\t94-year-old\tJJ\tB-NP\tO' +p4275 +aS'woman\twoman\tNN\tI-NP\tO' +p4276 +aS'with\twith\tIN\tB-PP\tO' +p4277 +aS'mental\tmental\tJJ\tB-NP\tO' +p4278 +aS'status\tstatus\tNN\tI-NP\tO' +p4279 +aS'changes\tchange\tNNS\tI-NP\tO' +p4280 +aS',\t,\t,\tO\tO' +p4281 +aS'now\tnow\tRB\tB-ADVP\tO' +p4282 +aS'with\twith\tIN\tB-PP\tO' +p4283 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p4284 +aS'pain\tpain\tNN\tI-NP\tO' +p4285 +aS'and\tand\tCC\tI-NP\tO' +p4286 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p4287 +aS'.\t.\t.\tO\tO' +p4288 +asS'Only hypertension .' +p4289 +(lp4290 +S'Only\tOnly\tRB\tB-NP\tO' +p4291 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p4292 +aS'.\t.\t.\tO\tO' +p4293 +asS'The patient was maintained Sinemet .' +p4294 +(lp4295 +S'The\tThe\tDT\tB-NP\tO' +p4296 +aS'patient\tpatient\tNN\tI-NP\tO' +p4297 +aS'was\tbe\tVBD\tB-VP\tO' +p4298 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p4299 +aS'Sinemet\tSinemet\tNNP\tB-NP\tO' +p4300 +aS'.\t.\t.\tO\tO' +p4301 +asS"There was little evidence to suggest any cardiac disease , and given the patient 's Grave's disease an autoimmune process was felt to be possible ." +p4302 +(lp4303 +S'There\tThere\tEX\tB-NP\tO' +p4304 +aS'was\tbe\tVBD\tB-VP\tO' +p4305 +aS'little\tlittle\tJJ\tB-NP\tO' +p4306 +aS'evidence\tevidence\tNN\tI-NP\tO' +p4307 +aS'to\tto\tTO\tB-VP\tO' +p4308 +aS'suggest\tsuggest\tVB\tI-VP\tO' +p4309 +aS'any\tany\tDT\tB-NP\tO' +p4310 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p4311 +aS'disease\tdisease\tNN\tI-NP\tO' +p4312 +aS',\t,\t,\tO\tO' +p4313 +aS'and\tand\tCC\tO\tO' +p4314 +aS'given\tgive\tVBN\tB-VP\tO' +p4315 +aS'the\tthe\tDT\tB-NP\tO' +p4316 +aS'patient\tpatient\tNN\tI-NP\tO' +p4317 +aS"'s\t's\tPOS\tB-NP\tO" +p4318 +aS"Grave's\tGrave's\tNNP\tI-NP\tO" +p4319 +aS'disease\tdisease\tNN\tI-NP\tO' +p4320 +aS'an\tan\tDT\tB-NP\tO' +p4321 +aS'autoimmune\tautoimmune\tJJ\tI-NP\tO' +p4322 +aS'process\tprocess\tNN\tI-NP\tO' +p4323 +aS'was\tbe\tVBD\tB-VP\tO' +p4324 +aS'felt\tfeel\tVBN\tI-VP\tO' +p4325 +aS'to\tto\tTO\tI-VP\tO' +p4326 +aS'be\tbe\tVB\tI-VP\tO' +p4327 +aS'possible\tpossible\tJJ\tB-ADJP\tO' +p4328 +aS'.\t.\t.\tO\tO' +p4329 +asS'80 yo woman recently diagnosed with metastatic squamous cell lung CA .' +p4330 +(lp4331 +S'80\t80\tCD\tB-NP\tO' +p4332 +aS'yo\tyo\tNN\tI-NP\tO' +p4333 +aS'woman\twoman\tNN\tI-NP\tO' +p4334 +aS'recently\trecently\tRB\tB-VP\tO' +p4335 +aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' +p4336 +aS'with\twith\tIN\tB-PP\tO' +p4337 +aS'metastatic\tmetastatic\tJJ\tB-NP\tO' +p4338 +aS'squamous\tsquamous\tJJ\tI-NP\tO' +p4339 +aS'cell\tcell\tNN\tI-NP\tO' +p4340 +aS'lung\tlung\tNN\tI-NP\tO' +p4341 +aS'CA\tCA\tNN\tI-NP\tO' +p4342 +aS'.\t.\t.\tO\tO' +p4343 +asS'Left lower lobe pneumonia , resolving now on oral antibiotics .' +p4344 +(lp4345 +S'Left\tLeave\tVBN\tB-VP\tO' +p4346 +aS'lower\tlow\tJJR\tB-NP\tO' +p4347 +aS'lobe\tlobe\tNN\tI-NP\tO' +p4348 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p4349 +aS',\t,\t,\tO\tO' +p4350 +aS'resolving\tresolve\tVBG\tB-VP\tO' +p4351 +aS'now\tnow\tRB\tB-ADVP\tO' +p4352 +aS'on\ton\tIN\tB-PP\tO' +p4353 +aS'oral\toral\tJJ\tB-NP\tO' +p4354 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p4355 +aS'.\t.\t.\tO\tO' +p4356 +asS'He was followed by speech and swallowing service , who assisted in the management of po intake which gradually improved , although he clearly had problems with manipulation of food in the left side of his mouth and would tend to accumulate a pouch of food in his left cheek .' +p4357 +(lp4358 +S'He\tHe\tPRP\tB-NP\tO' +p4359 +aS'was\tbe\tVBD\tB-VP\tO' +p4360 +aS'followed\tfollow\tVBN\tI-VP\tO' +p4361 +aS'by\tby\tIN\tB-PP\tO' +p4362 +aS'speech\tspeech\tNN\tB-NP\tO' +p4363 +aS'and\tand\tCC\tO\tO' +p4364 +aS'swallowing\tswallow\tVBG\tB-NP\tO' +p4365 +aS'service\tservice\tNN\tI-NP\tO' +p4366 +aS',\t,\t,\tO\tO' +p4367 +aS'who\twho\tWP\tB-NP\tO' +p4368 +aS'assisted\tassist\tVBD\tB-VP\tO' +p4369 +aS'in\tin\tIN\tB-PP\tO' +p4370 +aS'the\tthe\tDT\tB-NP\tO' +p4371 +aS'management\tmanagement\tNN\tI-NP\tO' +p4372 +aS'of\tof\tIN\tB-PP\tO' +p4373 +aS'po\tpo\tNN\tB-NP\tO' +p4374 +aS'intake\tintake\tNN\tI-NP\tO' +p4375 +aS'which\twhich\tWDT\tB-NP\tO' +p4376 +aS'gradually\tgradually\tRB\tB-ADVP\tO' +p4377 +aS'improved\timprove\tVBD\tB-VP\tO' +p4378 +aS',\t,\t,\tO\tO' +p4379 +aS'although\talthough\tIN\tB-SBAR\tO' +p4380 +aS'he\the\tPRP\tB-NP\tO' +p4381 +aS'clearly\tclearly\tRB\tB-ADVP\tO' +p4382 +aS'had\thave\tVBD\tB-VP\tO' +p4383 +aS'problems\tproblem\tNNS\tB-NP\tO' +p4384 +aS'with\twith\tIN\tB-PP\tO' +p4385 +aS'manipulation\tmanipulation\tNN\tB-NP\tO' +p4386 +aS'of\tof\tIN\tB-PP\tO' +p4387 +aS'food\tfood\tNN\tB-NP\tO' +p4388 +aS'in\tin\tIN\tB-PP\tO' +p4389 +aS'the\tthe\tDT\tB-NP\tO' +p4390 +aS'left\tleft\tJJ\tI-NP\tO' +p4391 +aS'side\tside\tNN\tI-NP\tO' +p4392 +aS'of\tof\tIN\tB-PP\tO' +p4393 +aS'his\this\tPRP$\tB-NP\tO' +p4394 +aS'mouth\tmouth\tNN\tI-NP\tO' +p4395 +aS'and\tand\tCC\tO\tO' +p4396 +aS'would\twould\tMD\tB-VP\tO' +p4397 +aS'tend\ttend\tVB\tI-VP\tO' +p4398 +aS'to\tto\tTO\tI-VP\tO' +p4399 +aS'accumulate\taccumulate\tVB\tI-VP\tO' +p4400 +aS'a\ta\tDT\tB-NP\tO' +p4401 +aS'pouch\tpouch\tNN\tI-NP\tO' +p4402 +aS'of\tof\tIN\tB-PP\tO' +p4403 +aS'food\tfood\tNN\tB-NP\tO' +p4404 +aS'in\tin\tIN\tB-PP\tO' +p4405 +aS'his\this\tPRP$\tB-NP\tO' +p4406 +aS'left\tleft\tJJ\tI-NP\tO' +p4407 +aS'cheek\tcheek\tNN\tI-NP\tO' +p4408 +aS'.\t.\t.\tO\tO' +p4409 +asS'Immediately there after he was very short of breath , felt lightheaded again and called 911 .' +p4410 +(lp4411 +S'Immediately\tImmediately\tRB\tB-ADVP\tO' +p4412 +aS'there\tthere\tRB\tI-ADVP\tO' +p4413 +aS'after\tafter\tIN\tB-SBAR\tO' +p4414 +aS'he\the\tPRP\tB-NP\tO' +p4415 +aS'was\tbe\tVBD\tB-VP\tO' +p4416 +aS'very\tvery\tRB\tB-ADJP\tO' +p4417 +aS'short\tshort\tJJ\tI-ADJP\tO' +p4418 +aS'of\tof\tIN\tB-PP\tO' +p4419 +aS'breath\tbreath\tNN\tB-NP\tO' +p4420 +aS',\t,\t,\tO\tO' +p4421 +aS'felt\tfeel\tVBD\tB-VP\tO' +p4422 +aS'lightheaded\tlightheade\tVBN\tI-VP\tO' +p4423 +aS'again\tagain\tRB\tB-ADVP\tO' +p4424 +aS'and\tand\tCC\tO\tO' +p4425 +aS'called\tcall\tVBD\tB-VP\tO' +p4426 +aS'911\t911\tCD\tB-NP\tO' +p4427 +aS'.\t.\t.\tO\tO' +p4428 +asS'73 yo M transferred from Newton-Wellesley Hospital hospital for epidural abscess .' +p4429 +(lp4430 +S'73\t73\tCD\tB-NP\tO' +p4431 +aS'yo\tyo\tNN\tI-NP\tO' +p4432 +aS'M\tM\tNN\tI-NP\tO' +p4433 +aS'transferred\ttransfer\tVBN\tB-VP\tO' +p4434 +aS'from\tfrom\tIN\tB-PP\tO' +p4435 +aS'Newton-Wellesley\tNewton-Wellesley\tNNP\tB-NP\tO' +p4436 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p4437 +aS'hospital\thospital\tNN\tI-NP\tO' +p4438 +aS'for\tfor\tIN\tB-PP\tO' +p4439 +aS'epidural\tepidural\tJJ\tB-NP\tO' +p4440 +aS'abscess\tabscess\tNN\tI-NP\tO' +p4441 +aS'.\t.\t.\tO\tO' +p4442 +asS'His Decadron dose was titrated down to 5 mg IV q6h on 12/3/94 .' +p4443 +(lp4444 +S'His\tHis\tPRP$\tB-NP\tB-protein' +p4445 +aS'Decadron\tDecadron\tNNP\tI-NP\tO' +p4446 +aS'dose\tdose\tNN\tI-NP\tO' +p4447 +aS'was\tbe\tVBD\tB-VP\tO' +p4448 +aS'titrated\ttitrate\tVBN\tI-VP\tO' +p4449 +aS'down\tdown\tRB\tB-ADVP\tO' +p4450 +aS'to\tto\tTO\tB-PP\tO' +p4451 +aS'5\t5\tCD\tB-NP\tO' +p4452 +aS'mg\tmg\tNN\tI-NP\tO' +p4453 +aS'IV\tIV\tCD\tB-NP\tO' +p4454 +aS'q6h\tq6h\tNN\tI-NP\tO' +p4455 +aS'on\ton\tIN\tB-PP\tO' +p4456 +aS'12/3/94\t12/3/94\tCD\tB-NP\tO' +p4457 +aS'.\t.\t.\tO\tO' +p4458 +asS'He was transferred to Erich Lindemann Mental Health Center from the rehabilitation center where he had been discharged to on 2010-08-25 following his CABG/MVR .' +p4459 +(lp4460 +S'He\tHe\tPRP\tB-NP\tO' +p4461 +aS'was\tbe\tVBD\tB-VP\tO' +p4462 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p4463 +aS'to\tto\tTO\tB-PP\tO' +p4464 +aS'Erich\tErich\tNNP\tB-NP\tO' +p4465 +aS'Lindemann\tLindemann\tNNP\tI-NP\tO' +p4466 +aS'Mental\tMental\tNNP\tI-NP\tO' +p4467 +aS'Health\tHealth\tNNP\tI-NP\tO' +p4468 +aS'Center\tCenter\tNNP\tI-NP\tO' +p4469 +aS'from\tfrom\tIN\tB-PP\tO' +p4470 +aS'the\tthe\tDT\tB-NP\tO' +p4471 +aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' +p4472 +aS'center\tcenter\tNN\tI-NP\tO' +p4473 +aS'where\twhere\tWRB\tB-ADVP\tO' +p4474 +aS'he\the\tPRP\tB-NP\tO' +p4475 +aS'had\thave\tVBD\tB-VP\tO' +p4476 +aS'been\tbe\tVBN\tI-VP\tO' +p4477 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p4478 +aS'to\tto\tTO\tB-PP\tO' +p4479 +aS'on\ton\tIN\tB-PP\tO' +p4480 +aS'2010-08-25\t2010-08-25\tCD\tB-NP\tO' +p4481 +aS'following\tfollow\tVBG\tB-PP\tO' +p4482 +aS'his\this\tPRP$\tB-NP\tO' +p4483 +aS'CABG/MVR\tCABG/MVR\tNN\tI-NP\tB-protein' +p4484 +aS'.\t.\t.\tO\tO' +p4485 +asS'Hypothyroidism , arthritis , hypertension , hypercholesterolemia , anemia and asthma .' +p4486 +(lp4487 +S'Hypothyroidism\tHypothyroidism\tNN\tB-NP\tO' +p4488 +aS',\t,\t,\tI-NP\tO' +p4489 +aS'arthritis\tarthritis\tNN\tI-NP\tO' +p4490 +aS',\t,\t,\tI-NP\tO' +p4491 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p4492 +aS',\t,\t,\tI-NP\tO' +p4493 +aS'hypercholesterolemia\thypercholesterolemia\tNN\tI-NP\tO' +p4494 +aS',\t,\t,\tI-NP\tO' +p4495 +aS'anemia\tanemia\tNN\tI-NP\tO' +p4496 +aS'and\tand\tCC\tI-NP\tO' +p4497 +aS'asthma\tasthma\tNN\tI-NP\tO' +p4498 +aS'.\t.\t.\tO\tO' +p4499 +asS'She has a history of esophageal varices and a history of an Upper GI bleed .' +p4500 +(lp4501 +S'She\tShe\tPRP\tB-NP\tO' +p4502 +aS'has\thave\tVBZ\tB-VP\tO' +p4503 +aS'a\ta\tDT\tB-NP\tO' +p4504 +aS'history\thistory\tNN\tI-NP\tO' +p4505 +aS'of\tof\tIN\tB-PP\tO' +p4506 +aS'esophageal\tesophageal\tJJ\tB-NP\tO' +p4507 +aS'varices\tvarix\tNNS\tI-NP\tO' +p4508 +aS'and\tand\tCC\tO\tO' +p4509 +aS'a\ta\tDT\tB-NP\tO' +p4510 +aS'history\thistory\tNN\tI-NP\tO' +p4511 +aS'of\tof\tIN\tB-PP\tO' +p4512 +aS'an\tan\tDT\tB-NP\tO' +p4513 +aS'Upper\tUpper\tNNP\tI-NP\tO' +p4514 +aS'GI\tGI\tNNP\tI-NP\tO' +p4515 +aS'bleed\tbleed\tNN\tI-NP\tO' +p4516 +aS'.\t.\t.\tO\tO' +p4517 +asS'Patient was found at group home in am laying on floor by bed unresponsive , last seen awake 8 hours prior at dinner .' +p4518 +(lp4519 +S'Patient\tPatient\tNN\tB-NP\tO' +p4520 +aS'was\tbe\tVBD\tB-VP\tO' +p4521 +aS'found\tfind\tVBN\tI-VP\tO' +p4522 +aS'at\tat\tIN\tB-PP\tO' +p4523 +aS'group\tgroup\tNN\tB-NP\tO' +p4524 +aS'home\thome\tNN\tI-NP\tO' +p4525 +aS'in\tin\tIN\tB-PP\tO' +p4526 +aS'am\tam\tNN\tB-NP\tO' +p4527 +aS'laying\tlay\tVBG\tB-VP\tO' +p4528 +aS'on\ton\tIN\tB-PP\tO' +p4529 +aS'floor\tfloor\tNN\tB-NP\tO' +p4530 +aS'by\tby\tIN\tB-PP\tO' +p4531 +aS'bed\tbed\tNN\tB-NP\tO' +p4532 +aS'unresponsive\tunresponsive\tJJ\tB-ADJP\tO' +p4533 +aS',\t,\t,\tO\tO' +p4534 +aS'last\tlast\tJJ\tB-NP\tO' +p4535 +aS'seen\tsee\tVBN\tI-NP\tO' +p4536 +aS'awake\tawake\tNN\tI-NP\tO' +p4537 +aS'8\t8\tCD\tB-NP\tO' +p4538 +aS'hours\thour\tNNS\tI-NP\tO' +p4539 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p4540 +aS'at\tat\tIN\tB-PP\tO' +p4541 +aS'dinner\tdinner\tNN\tB-NP\tO' +p4542 +aS'.\t.\t.\tO\tO' +p4543 +asS'Labetalol was stopped and he received a 500 cc fluid bolus and his blood pressure rose to SBP 90 s.' +p4544 +(lp4545 +S'Labetalol\tLabetalol\tNN\tB-NP\tO' +p4546 +aS'was\tbe\tVBD\tB-VP\tO' +p4547 +aS'stopped\tstop\tVBN\tI-VP\tO' +p4548 +aS'and\tand\tCC\tO\tO' +p4549 +aS'he\the\tPRP\tB-NP\tO' +p4550 +aS'received\treceive\tVBD\tB-VP\tO' +p4551 +aS'a\ta\tDT\tB-NP\tO' +p4552 +aS'500\t500\tCD\tI-NP\tO' +p4553 +aS'cc\tcc\tNN\tI-NP\tO' +p4554 +aS'fluid\tfluid\tNN\tI-NP\tO' +p4555 +aS'bolus\tbolus\tNN\tI-NP\tO' +p4556 +aS'and\tand\tCC\tO\tO' +p4557 +aS'his\this\tPRP$\tB-NP\tO' +p4558 +aS'blood\tblood\tNN\tI-NP\tO' +p4559 +aS'pressure\tpressure\tNN\tI-NP\tO' +p4560 +aS'rose\trise\tVBD\tB-VP\tO' +p4561 +aS'to\tto\tTO\tB-PP\tO' +p4562 +aS'SBP\tSBP\tNN\tB-NP\tO' +p4563 +aS'90\t90\tCD\tI-NP\tO' +p4564 +aS's.\ts.\tNNS\tI-NP\tO' +p4565 +asS'Portable supine chest radiograph shows improvement in edema compared to studies from four and five days earlier with no significant radiographic change in right upper lobe consolidation consistent with pneumonia .' +p4566 +(lp4567 +S'Portable\tPortable\tJJ\tB-NP\tO' +p4568 +aS'supine\tsupine\tNN\tI-NP\tO' +p4569 +aS'chest\tchest\tNN\tI-NP\tO' +p4570 +aS'radiograph\tradiograph\tNN\tI-NP\tO' +p4571 +aS'shows\tshow\tVBZ\tB-VP\tO' +p4572 +aS'improvement\timprovement\tNN\tB-NP\tO' +p4573 +aS'in\tin\tIN\tB-PP\tO' +p4574 +aS'edema\tedema\tNN\tB-NP\tO' +p4575 +aS'compared\tcompare\tVBN\tB-VP\tO' +p4576 +aS'to\tto\tTO\tB-PP\tO' +p4577 +aS'studies\tstudy\tNNS\tB-NP\tO' +p4578 +aS'from\tfrom\tIN\tB-PP\tO' +p4579 +aS'four\tfour\tCD\tB-NP\tO' +p4580 +aS'and\tand\tCC\tI-NP\tO' +p4581 +aS'five\tfive\tCD\tI-NP\tO' +p4582 +aS'days\tday\tNNS\tI-NP\tO' +p4583 +aS'earlier\tearlier\tRBR\tB-ADVP\tO' +p4584 +aS'with\twith\tIN\tB-PP\tO' +p4585 +aS'no\tno\tDT\tB-NP\tO' +p4586 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p4587 +aS'radiographic\tradiographic\tJJ\tI-NP\tO' +p4588 +aS'change\tchange\tNN\tI-NP\tO' +p4589 +aS'in\tin\tIN\tB-PP\tO' +p4590 +aS'right\tright\tJJ\tB-NP\tO' +p4591 +aS'upper\tupper\tJJ\tI-NP\tO' +p4592 +aS'lobe\tlobe\tNN\tI-NP\tO' +p4593 +aS'consolidation\tconsolidation\tNN\tI-NP\tO' +p4594 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p4595 +aS'with\twith\tIN\tB-PP\tO' +p4596 +aS'pneumonia\tpneumonia\tNN\tB-NP\tO' +p4597 +aS'.\t.\t.\tO\tO' +p4598 +asS'Caffeine citrate was started on day of life six and was discontinued on 05-23 ( day of life 18 ).' +p4599 +(lp4600 +S'Caffeine\tCaffeine\tNN\tB-NP\tO' +p4601 +aS'citrate\tcitrate\tNN\tI-NP\tO' +p4602 +aS'was\tbe\tVBD\tB-VP\tO' +p4603 +aS'started\tstart\tVBN\tI-VP\tO' +p4604 +aS'on\ton\tIN\tB-PP\tO' +p4605 +aS'day\tday\tNN\tB-NP\tO' +p4606 +aS'of\tof\tIN\tB-PP\tO' +p4607 +aS'life\tlife\tNN\tB-NP\tO' +p4608 +aS'six\tsix\tCD\tI-NP\tO' +p4609 +aS'and\tand\tCC\tO\tO' +p4610 +aS'was\tbe\tVBD\tB-VP\tO' +p4611 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p4612 +aS'on\ton\tIN\tB-PP\tO' +p4613 +aS'05-23\t05-23\tCD\tB-NP\tO' +p4614 +aS'(\t(\t(\tO\tO' +p4615 +aS'day\tday\tNN\tB-NP\tO' +p4616 +aS'of\tof\tIN\tB-PP\tO' +p4617 +aS'life\tlife\tNN\tB-NP\tO' +p4618 +aS'18\t18\tCD\tI-NP\tO' +p4619 +aS').\t).\t.\tO\tO' +p4620 +asS'Her speech became slurred , this was followed a few seconds after by weakness and numbness of her arm and leg .' +p4621 +(lp4622 +S'Her\tHer\tPRP$\tB-NP\tO' +p4623 +aS'speech\tspeech\tNN\tI-NP\tO' +p4624 +aS'became\tbecome\tVBD\tB-VP\tO' +p4625 +aS'slurred\tslur\tVBN\tB-ADJP\tO' +p4626 +aS',\t,\t,\tO\tO' +p4627 +aS'this\tthis\tDT\tB-NP\tO' +p4628 +aS'was\tbe\tVBD\tB-VP\tO' +p4629 +aS'followed\tfollow\tVBN\tI-VP\tO' +p4630 +aS'a\ta\tDT\tB-NP\tO' +p4631 +aS'few\tfew\tJJ\tI-NP\tO' +p4632 +aS'seconds\tsecond\tNNS\tI-NP\tO' +p4633 +aS'after\tafter\tIN\tB-PP\tO' +p4634 +aS'by\tby\tIN\tB-PP\tO' +p4635 +aS'weakness\tweakness\tNN\tB-NP\tO' +p4636 +aS'and\tand\tCC\tI-NP\tO' +p4637 +aS'numbness\tnumbness\tNN\tI-NP\tO' +p4638 +aS'of\tof\tIN\tB-PP\tO' +p4639 +aS'her\ther\tPRP$\tB-NP\tO' +p4640 +aS'arm\tarm\tNN\tI-NP\tO' +p4641 +aS'and\tand\tCC\tI-NP\tO' +p4642 +aS'leg\tleg\tNN\tI-NP\tO' +p4643 +aS'.\t.\t.\tO\tO' +p4644 +asS'Her chest x-ray shows a left lower lobe hematoma that had greatly improved in the last few days .' +p4645 +(lp4646 +S'Her\tHer\tPRP$\tB-NP\tO' +p4647 +aS'chest\tchest\tNN\tI-NP\tO' +p4648 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p4649 +aS'shows\tshow\tVBZ\tB-VP\tO' +p4650 +aS'a\ta\tDT\tB-NP\tO' +p4651 +aS'left\tleft\tJJ\tI-NP\tO' +p4652 +aS'lower\tlow\tJJR\tI-NP\tO' +p4653 +aS'lobe\tlobe\tNN\tI-NP\tO' +p4654 +aS'hematoma\thematoma\tNN\tI-NP\tO' +p4655 +aS'that\tthat\tWDT\tB-NP\tO' +p4656 +aS'had\thave\tVBD\tB-VP\tO' +p4657 +aS'greatly\tgreatly\tRB\tI-VP\tO' +p4658 +aS'improved\timprove\tVBN\tI-VP\tO' +p4659 +aS'in\tin\tIN\tB-PP\tO' +p4660 +aS'the\tthe\tDT\tB-NP\tO' +p4661 +aS'last\tlast\tJJ\tI-NP\tO' +p4662 +aS'few\tfew\tJJ\tI-NP\tO' +p4663 +aS'days\tday\tNNS\tI-NP\tO' +p4664 +aS'.\t.\t.\tO\tO' +p4665 +asS'Pupils equally round and reactive to light .' +p4666 +(lp4667 +S'Pupils\tPupil\tNNS\tB-NP\tO' +p4668 +aS'equally\tequally\tRB\tB-ADJP\tO' +p4669 +aS'round\tround\tJJ\tI-ADJP\tO' +p4670 +aS'and\tand\tCC\tI-ADJP\tO' +p4671 +aS'reactive\treactive\tJJ\tI-ADJP\tO' +p4672 +aS'to\tto\tTO\tB-PP\tO' +p4673 +aS'light\tlight\tNN\tB-NP\tO' +p4674 +aS'.\t.\t.\tO\tO' +p4675 +asS'Chest x-ray - Showed a left paratracheal adenopathy and small left pleural effusion with no evidence of pneumonia .' +p4676 +(lp4677 +S'Chest\tCh\tJJS\tB-NP\tO' +p4678 +aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' +p4679 +aS'-\t-\tHYPH\tB-ADVP\tO' +p4680 +aS'Showed\tShow\tVBD\tB-VP\tO' +p4681 +aS'a\ta\tDT\tB-NP\tO' +p4682 +aS'left\tleft\tJJ\tI-NP\tO' +p4683 +aS'paratracheal\tparatracheal\tJJ\tI-NP\tO' +p4684 +aS'adenopathy\tadenopathy\tNN\tI-NP\tO' +p4685 +aS'and\tand\tCC\tO\tO' +p4686 +aS'small\tsmall\tJJ\tB-NP\tO' +p4687 +aS'left\tleft\tJJ\tI-NP\tO' +p4688 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p4689 +aS'effusion\teffusion\tNN\tI-NP\tO' +p4690 +aS'with\twith\tIN\tB-PP\tO' +p4691 +aS'no\tno\tDT\tB-NP\tO' +p4692 +aS'evidence\tevidence\tNN\tI-NP\tO' +p4693 +aS'of\tof\tIN\tB-PP\tO' +p4694 +aS'pneumonia\tpneumonia\tNN\tB-NP\tO' +p4695 +aS'.\t.\t.\tO\tO' +p4696 +asS'White count was 8 .' +p4697 +(lp4698 +S'White\tWhite\tJJ\tB-NP\tO' +p4699 +aS'count\tcount\tNN\tI-NP\tO' +p4700 +aS'was\tbe\tVBD\tB-VP\tO' +p4701 +aS'8\t8\tCD\tB-NP\tO' +p4702 +aS'.\t.\t.\tO\tO' +p4703 +asS'Car seat safety screening passed prior to discharge .' +p4704 +(lp4705 +S'Car\tCar\tNN\tB-NP\tB-protein' +p4706 +aS'seat\tseat\tNN\tI-NP\tO' +p4707 +aS'safety\tsafety\tNN\tI-NP\tO' +p4708 +aS'screening\tscreening\tNN\tI-NP\tO' +p4709 +aS'passed\tpass\tVBD\tB-VP\tO' +p4710 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p4711 +aS'to\tto\tTO\tB-VP\tO' +p4712 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p4713 +aS'.\t.\t.\tO\tO' +p4714 +asS'Electrocardiogram post catheterization showed continued ST elevations and J point elevations in V2 through V3 .' +p4715 +(lp4716 +S'Electrocardiogram\tElectrocardiogram\tNN\tB-NP\tO' +p4717 +aS'post\tpost\tNN\tI-NP\tO' +p4718 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p4719 +aS'showed\tshow\tVBD\tB-VP\tO' +p4720 +aS'continued\tcontinue\tVBN\tB-NP\tO' +p4721 +aS'ST\tST\tJJ\tI-NP\tO' +p4722 +aS'elevations\televation\tNNS\tI-NP\tO' +p4723 +aS'and\tand\tCC\tO\tO' +p4724 +aS'J\tJ\tNN\tB-NP\tO' +p4725 +aS'point\tpoint\tNN\tI-NP\tO' +p4726 +aS'elevations\televation\tNNS\tI-NP\tO' +p4727 +aS'in\tin\tIN\tB-PP\tO' +p4728 +aS'V2\tV2\tNN\tB-NP\tO' +p4729 +aS'through\tthrough\tIN\tB-PP\tO' +p4730 +aS'V3\tV3\tNN\tB-NP\tB-protein' +p4731 +aS'.\t.\t.\tO\tO' +p4732 +asS'For the past couple of months the patient has had a non-healing right dorsal foot ulcer which has been increasing in size and started as a pin hole and she does not recollect any trauma , as similar small ulcers developed on the left foot as well around the same time , but that has subsequently healed .' +p4733 +(lp4734 +S'For\tFor\tIN\tB-PP\tO' +p4735 +aS'the\tthe\tDT\tB-NP\tO' +p4736 +aS'past\tpast\tJJ\tI-NP\tO' +p4737 +aS'couple\tcouple\tNN\tI-NP\tO' +p4738 +aS'of\tof\tIN\tB-PP\tO' +p4739 +aS'months\tmonth\tNNS\tB-NP\tO' +p4740 +aS'the\tthe\tDT\tB-NP\tO' +p4741 +aS'patient\tpatient\tNN\tI-NP\tO' +p4742 +aS'has\thave\tVBZ\tB-VP\tO' +p4743 +aS'had\thave\tVBN\tI-VP\tO' +p4744 +aS'a\ta\tDT\tB-NP\tO' +p4745 +aS'non-healing\tnon-healing\tJJ\tI-NP\tO' +p4746 +aS'right\tright\tJJ\tI-NP\tO' +p4747 +aS'dorsal\tdorsal\tJJ\tI-NP\tO' +p4748 +aS'foot\tfoot\tNN\tI-NP\tO' +p4749 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p4750 +aS'which\twhich\tWDT\tB-NP\tO' +p4751 +aS'has\thave\tVBZ\tB-VP\tO' +p4752 +aS'been\tbe\tVBN\tI-VP\tO' +p4753 +aS'increasing\tincrease\tVBG\tI-VP\tO' +p4754 +aS'in\tin\tIN\tB-PP\tO' +p4755 +aS'size\tsize\tNN\tB-NP\tO' +p4756 +aS'and\tand\tCC\tO\tO' +p4757 +aS'started\tstart\tVBD\tB-VP\tO' +p4758 +aS'as\tas\tIN\tB-PP\tO' +p4759 +aS'a\ta\tDT\tB-NP\tO' +p4760 +aS'pin\tpin\tNN\tI-NP\tO' +p4761 +aS'hole\thole\tNN\tI-NP\tO' +p4762 +aS'and\tand\tCC\tO\tO' +p4763 +aS'she\tshe\tPRP\tB-NP\tO' +p4764 +aS'does\tdo\tVBZ\tB-VP\tO' +p4765 +aS'not\tnot\tRB\tI-VP\tO' +p4766 +aS'recollect\trecollect\tVB\tI-VP\tO' +p4767 +aS'any\tany\tDT\tB-NP\tO' +p4768 +aS'trauma\ttrauma\tNN\tI-NP\tO' +p4769 +aS',\t,\t,\tO\tO' +p4770 +aS'as\tas\tIN\tB-SBAR\tO' +p4771 +aS'similar\tsimilar\tJJ\tB-NP\tO' +p4772 +aS'small\tsmall\tJJ\tI-NP\tO' +p4773 +aS'ulcers\tulcer\tNNS\tI-NP\tO' +p4774 +aS'developed\tdevelop\tVBN\tB-VP\tO' +p4775 +aS'on\ton\tIN\tB-PP\tO' +p4776 +aS'the\tthe\tDT\tB-NP\tO' +p4777 +aS'left\tleft\tJJ\tI-NP\tO' +p4778 +aS'foot\tfoot\tNN\tI-NP\tO' +p4779 +aS'as\tas\tRB\tB-ADVP\tO' +p4780 +aS'well\twell\tRB\tI-ADVP\tO' +p4781 +aS'around\taround\tIN\tB-PP\tO' +p4782 +aS'the\tthe\tDT\tB-NP\tO' +p4783 +aS'same\tsame\tJJ\tI-NP\tO' +p4784 +aS'time\ttime\tNN\tI-NP\tO' +p4785 +aS',\t,\t,\tO\tO' +p4786 +aS'but\tbut\tCC\tO\tO' +p4787 +aS'that\tthat\tDT\tB-NP\tO' +p4788 +aS'has\thave\tVBZ\tB-VP\tO' +p4789 +aS'subsequently\tsubsequently\tRB\tI-VP\tO' +p4790 +aS'healed\theal\tVBN\tI-VP\tO' +p4791 +aS'.\t.\t.\tO\tO' +p4792 +asS'Fistulogram on 3/11/02 .' +p4793 +(lp4794 +S'Fistulogram\tFistulogram\tNN\tB-NP\tO' +p4795 +aS'on\ton\tIN\tB-PP\tO' +p4796 +aS'3/11/02\t3/11/02\tCD\tB-NP\tO' +p4797 +aS'.\t.\t.\tO\tO' +p4798 +asS'Based on this , she is transferred to the Neurology service for focus on comfort care .' +p4799 +(lp4800 +S'Based\tBase\tVBN\tB-PP\tO' +p4801 +aS'on\ton\tIN\tB-PP\tO' +p4802 +aS'this\tthis\tDT\tB-NP\tO' +p4803 +aS',\t,\t,\tO\tO' +p4804 +aS'she\tshe\tPRP\tB-NP\tO' +p4805 +aS'is\tbe\tVBZ\tB-VP\tO' +p4806 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p4807 +aS'to\tto\tTO\tB-PP\tO' +p4808 +aS'the\tthe\tDT\tB-NP\tO' +p4809 +aS'Neurology\tNeurology\tNNP\tI-NP\tO' +p4810 +aS'service\tservice\tNN\tI-NP\tO' +p4811 +aS'for\tfor\tIN\tB-PP\tO' +p4812 +aS'focus\tfocus\tNN\tB-NP\tO' +p4813 +aS'on\ton\tIN\tB-PP\tO' +p4814 +aS'comfort\tcomfort\tNN\tB-NP\tO' +p4815 +aS'care\tcare\tNN\tI-NP\tO' +p4816 +aS'.\t.\t.\tO\tO' +p4817 +asS'Coagulation profile notable for a PT 18 , PTT 36.7 and an INR of 2.4 .' +p4818 +(lp4819 +S'Coagulation\tCoagulation\tNN\tB-NP\tO' +p4820 +aS'profile\tprofile\tNN\tI-NP\tO' +p4821 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p4822 +aS'for\tfor\tIN\tB-PP\tO' +p4823 +aS'a\ta\tDT\tB-NP\tO' +p4824 +aS'PT\tPT\tNN\tI-NP\tB-DNA' +p4825 +aS'18\t18\tCD\tI-NP\tI-DNA' +p4826 +aS',\t,\t,\tO\tO' +p4827 +aS'PTT\tPTT\tNN\tB-NP\tB-DNA' +p4828 +aS'36.7\t36.7\tCD\tI-NP\tI-DNA' +p4829 +aS'and\tand\tCC\tO\tO' +p4830 +aS'an\tan\tDT\tB-NP\tO' +p4831 +aS'INR\tINR\tNN\tI-NP\tB-protein' +p4832 +aS'of\tof\tIN\tB-PP\tO' +p4833 +aS'2.4\t2.4\tCD\tB-NP\tO' +p4834 +aS'.\t.\t.\tO\tO' +p4835 +asS'9. Toprol XL 100 mg po q day .' +p4836 +(lp4837 +S'9.\t9.\tLS\tB-NP\tO' +p4838 +aS'Toprol\tToprol\tNNP\tI-NP\tO' +p4839 +aS'XL\tXL\tNNP\tI-NP\tO' +p4840 +aS'100\t100\tCD\tI-NP\tO' +p4841 +aS'mg\tmg\tNN\tI-NP\tO' +p4842 +aS'po\tpo\tNN\tI-NP\tO' +p4843 +aS'q\tq\tNN\tI-NP\tO' +p4844 +aS'day\tday\tNN\tI-NP\tO' +p4845 +aS'.\t.\t.\tO\tO' +p4846 +asS'Digoxin level was 0.8 .' +p4847 +(lp4848 +S'Digoxin\tDigoxin\tNN\tB-NP\tO' +p4849 +aS'level\tlevel\tNN\tI-NP\tO' +p4850 +aS'was\tbe\tVBD\tB-VP\tO' +p4851 +aS'0.8\t0.8\tCD\tB-NP\tO' +p4852 +aS'.\t.\t.\tO\tO' +p4853 +asS'The patient was restarted on Advair and by 12/15/03 , was weaned to room air likely an effective Advair and control of anxiety and psychiatric issues .' +p4854 +(lp4855 +S'The\tThe\tDT\tB-NP\tO' +p4856 +aS'patient\tpatient\tNN\tI-NP\tO' +p4857 +aS'was\tbe\tVBD\tB-VP\tO' +p4858 +aS'restarted\trestart\tVBN\tI-VP\tO' +p4859 +aS'on\ton\tIN\tB-PP\tO' +p4860 +aS'Advair\tAdvair\tNN\tB-NP\tO' +p4861 +aS'and\tand\tCC\tB-PP\tO' +p4862 +aS'by\tby\tIN\tB-PP\tO' +p4863 +aS'12/15/03\t12/15/03\tCD\tB-NP\tO' +p4864 +aS',\t,\t,\tO\tO' +p4865 +aS'was\tbe\tVBD\tB-VP\tO' +p4866 +aS'weaned\twean\tVBN\tI-VP\tO' +p4867 +aS'to\tto\tTO\tB-PP\tO' +p4868 +aS'room\troom\tNN\tB-NP\tO' +p4869 +aS'air\tair\tNN\tI-NP\tO' +p4870 +aS'likely\tlikely\tRB\tB-ADVP\tO' +p4871 +aS'an\tan\tDT\tB-NP\tO' +p4872 +aS'effective\teffective\tJJ\tI-NP\tO' +p4873 +aS'Advair\tAdvair\tNN\tI-NP\tO' +p4874 +aS'and\tand\tCC\tO\tO' +p4875 +aS'control\tcontrol\tNN\tB-NP\tO' +p4876 +aS'of\tof\tIN\tB-PP\tO' +p4877 +aS'anxiety\tanxiety\tNN\tB-NP\tO' +p4878 +aS'and\tand\tCC\tO\tO' +p4879 +aS'psychiatric\tpsychiatric\tJJ\tB-NP\tO' +p4880 +aS'issues\tissue\tNNS\tI-NP\tO' +p4881 +aS'.\t.\t.\tO\tO' +p4882 +asS'He states that he also felt SOB and diaphoretic but denies n/v/palpitations .' +p4883 +(lp4884 +S'He\tHe\tPRP\tB-NP\tO' +p4885 +aS'states\tstate\tVBZ\tB-VP\tO' +p4886 +aS'that\tthat\tIN\tB-SBAR\tO' +p4887 +aS'he\the\tPRP\tB-NP\tO' +p4888 +aS'also\talso\tRB\tB-ADVP\tO' +p4889 +aS'felt\tfeel\tVBD\tB-VP\tO' +p4890 +aS'SOB\tSOB\tNN\tB-NP\tB-protein' +p4891 +aS'and\tand\tCC\tO\tO' +p4892 +aS'diaphoretic\tdiaphoretic\tJJ\tB-ADJP\tO' +p4893 +aS'but\tbut\tCC\tO\tO' +p4894 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p4895 +aS'n/v/palpitations\tn/v/palpitation\tNNS\tB-NP\tO' +p4896 +aS'.\t.\t.\tO\tO' +p4897 +asS'dr. mandessquarc , No Known Allergies' +p4898 +(lp4899 +S'dr.\tdr.\tLS\tB-NP\tO' +p4900 +aS'mandessquarc\tmandessquarc\tNN\tI-NP\tO' +p4901 +aS',\t,\t,\tO\tO' +p4902 +aS'No\tNo\tNNP\tB-NP\tO' +p4903 +aS'Known\tKnown\tNNP\tI-NP\tO' +p4904 +aS'Allergies\tAllergies\tNNP\tI-NP\tO' +p4905 +asS'Head and neck - normocephalic , supple , no lymphadenopathy .' +p4906 +(lp4907 +S'Head\tHead\tNN\tB-NP\tO' +p4908 +aS'and\tand\tCC\tI-NP\tO' +p4909 +aS'neck\tneck\tNN\tI-NP\tO' +p4910 +aS'-\t-\tHYPH\tB-NP\tO' +p4911 +aS'normocephalic\tnormocephalic\tJJ\tI-NP\tO' +p4912 +aS',\t,\t,\tI-NP\tO' +p4913 +aS'supple\tsupple\tNN\tI-NP\tO' +p4914 +aS',\t,\t,\tO\tO' +p4915 +aS'no\tno\tDT\tB-NP\tO' +p4916 +aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' +p4917 +aS'.\t.\t.\tO\tO' +p4918 +asS'He will need to follow up with hematology for an outpatient thrombophilia work-up ( not done as inpatient as results would not change acute management of PE ).' +p4919 +(lp4920 +S'He\tHe\tPRP\tB-NP\tO' +p4921 +aS'will\twill\tMD\tB-VP\tO' +p4922 +aS'need\tneed\tVB\tI-VP\tO' +p4923 +aS'to\tto\tTO\tI-VP\tO' +p4924 +aS'follow\tfollow\tVB\tI-VP\tO' +p4925 +aS'up\tup\tRP\tB-PRT\tO' +p4926 +aS'with\twith\tIN\tB-PP\tO' +p4927 +aS'hematology\thematology\tNN\tB-NP\tO' +p4928 +aS'for\tfor\tIN\tB-PP\tO' +p4929 +aS'an\tan\tDT\tB-NP\tO' +p4930 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p4931 +aS'thrombophilia\tthrombophilia\tNN\tI-NP\tO' +p4932 +aS'work-up\twork-up\tNN\tI-NP\tO' +p4933 +aS'(\t(\t(\tO\tO' +p4934 +aS'not\tnot\tRB\tB-VP\tO' +p4935 +aS'done\tdo\tVBN\tI-VP\tO' +p4936 +aS'as\tas\tIN\tB-PP\tO' +p4937 +aS'inpatient\tinpatient\tNN\tB-NP\tO' +p4938 +aS'as\tas\tIN\tB-SBAR\tO' +p4939 +aS'results\tresult\tNNS\tB-NP\tO' +p4940 +aS'would\twould\tMD\tB-VP\tO' +p4941 +aS'not\tnot\tRB\tI-VP\tO' +p4942 +aS'change\tchange\tVB\tI-VP\tO' +p4943 +aS'acute\tacute\tJJ\tB-NP\tO' +p4944 +aS'management\tmanagement\tNN\tI-NP\tO' +p4945 +aS'of\tof\tIN\tB-PP\tO' +p4946 +aS'PE\tPE\tNN\tB-NP\tO' +p4947 +aS').\t).\t.\tO\tO' +p4948 +asS'A R hip film was negative for pathology or failure of her hip replacement .' +p4949 +(lp4950 +S'A\tA\tDT\tB-NP\tO' +p4951 +aS'R\tR\tNN\tI-NP\tO' +p4952 +aS'hip\thip\tNN\tI-NP\tO' +p4953 +aS'film\tfilm\tNN\tI-NP\tO' +p4954 +aS'was\tbe\tVBD\tB-VP\tO' +p4955 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p4956 +aS'for\tfor\tIN\tB-PP\tO' +p4957 +aS'pathology\tpathology\tNN\tB-NP\tO' +p4958 +aS'or\tor\tCC\tI-NP\tO' +p4959 +aS'failure\tfailure\tNN\tI-NP\tO' +p4960 +aS'of\tof\tIN\tB-PP\tO' +p4961 +aS'her\ther\tPRP$\tB-NP\tO' +p4962 +aS'hip\thip\tNN\tI-NP\tO' +p4963 +aS'replacement\treplacement\tNN\tI-NP\tO' +p4964 +aS'.\t.\t.\tO\tO' +p4965 +asS'She was transferred to the Providence Behavioral Health Hospital CMED .' +p4966 +(lp4967 +S'She\tShe\tPRP\tB-NP\tO' +p4968 +aS'was\tbe\tVBD\tB-VP\tO' +p4969 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p4970 +aS'to\tto\tTO\tB-PP\tO' +p4971 +aS'the\tthe\tDT\tB-NP\tO' +p4972 +aS'Providence\tProvidence\tNNP\tI-NP\tO' +p4973 +aS'Behavioral\tBehavioral\tNNP\tI-NP\tO' +p4974 +aS'Health\tHealth\tNNP\tI-NP\tO' +p4975 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p4976 +aS'CMED\tCMED\tNNP\tI-NP\tO' +p4977 +aS'.\t.\t.\tO\tO' +p4978 +asS'Discharge Condition : deconditioned but stable' +p4979 +(lp4980 +S'Discharge\tDischarge\tNNP\tB-NP\tO' +p4981 +aS'Condition\tCondition\tNNP\tI-NP\tO' +p4982 +aS':\t:\t:\tO\tO' +p4983 +aS'deconditioned\tdeconditione\tVBN\tB-VP\tO' +p4984 +aS'but\tbut\tCC\tO\tO' +p4985 +aS'stable\tstable\tJJ\tB-NP\tO' +p4986 +asS'A II / VI systolic ejection murmur is at the base , minimal radiation to the carotids .' +p4987 +(lp4988 +S'A\tA\tDT\tB-NP\tO' +p4989 +aS'II\tII\tCD\tI-NP\tO' +p4990 +aS'/\t/\tSYM\tI-NP\tO' +p4991 +aS'VI\tVI\tCD\tI-NP\tO' +p4992 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p4993 +aS'ejection\tejection\tNN\tI-NP\tO' +p4994 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p4995 +aS'is\tbe\tVBZ\tB-VP\tO' +p4996 +aS'at\tat\tIN\tB-PP\tO' +p4997 +aS'the\tthe\tDT\tB-NP\tO' +p4998 +aS'base\tbase\tNN\tI-NP\tO' +p4999 +aS',\t,\t,\tO\tO' +p5000 +aS'minimal\tminimal\tJJ\tB-NP\tO' +p5001 +aS'radiation\tradiation\tNN\tI-NP\tO' +p5002 +aS'to\tto\tTO\tB-PP\tO' +p5003 +aS'the\tthe\tDT\tB-NP\tO' +p5004 +aS'carotids\tcarotid\tNNS\tI-NP\tO' +p5005 +aS'.\t.\t.\tO\tO' +p5006 +asS'He withdrew both legs to painful stimuli .' +p5007 +(lp5008 +S'He\tHe\tPRP\tB-NP\tO' +p5009 +aS'withdrew\twithdraw\tVBD\tB-VP\tO' +p5010 +aS'both\tboth\tDT\tB-NP\tO' +p5011 +aS'legs\tleg\tNNS\tI-NP\tO' +p5012 +aS'to\tto\tTO\tB-PP\tO' +p5013 +aS'painful\tpainful\tJJ\tB-NP\tO' +p5014 +aS'stimuli\tstimulus\tNNS\tI-NP\tO' +p5015 +aS'.\t.\t.\tO\tO' +p5016 +asS'8. Hydrochlorothiazide .' +p5017 +(lp5018 +S'8.\t8.\tCD\tB-NP\tO' +p5019 +aS'Hydrochlorothiazide\tHydrochlorothiazide\tNNP\tI-NP\tO' +p5020 +aS'.\t.\t.\tO\tO' +p5021 +asS'Sodium 131 , potassium 4.5 , BUN 45 , creatinine 2.0 , glucose 134 , bilirubin 0.4. Blood gas on 5 liters nasal o2 - PO2 106 , PCO227 , pH 7.41 .' +p5022 +(lp5023 +S'Sodium\tSodium\tNN\tB-NP\tB-protein' +p5024 +aS'131\t131\tNN\tI-NP\tI-protein' +p5025 +aS',\t,\t,\tO\tO' +p5026 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p5027 +aS'4.5\t4.5\tCD\tI-NP\tO' +p5028 +aS',\t,\t,\tO\tO' +p5029 +aS'BUN\tBUN\tNN\tB-NP\tB-DNA' +p5030 +aS'45\t45\tCD\tI-NP\tI-DNA' +p5031 +aS',\t,\t,\tO\tO' +p5032 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p5033 +aS'2.0\t2.0\tCD\tI-NP\tO' +p5034 +aS',\t,\t,\tO\tO' +p5035 +aS'glucose\tglucose\tNN\tB-NP\tO' +p5036 +aS'134\t134\tCD\tI-NP\tO' +p5037 +aS',\t,\t,\tO\tO' +p5038 +aS'bilirubin\tbilirubin\tNN\tB-NP\tO' +p5039 +aS'0.4.\t0.4.\tCD\tI-NP\tO' +p5040 +aS'Blood\tBlood\tNN\tI-NP\tO' +p5041 +aS'gas\tgas\tNN\tI-NP\tO' +p5042 +aS'on\ton\tIN\tB-PP\tO' +p5043 +aS'5\t5\tCD\tB-NP\tO' +p5044 +aS'liters\tliter\tNNS\tI-NP\tO' +p5045 +aS'nasal\tnasal\tJJ\tB-NP\tO' +p5046 +aS'o2\to2\tNN\tI-NP\tO' +p5047 +aS'-\t-\tHYPH\tO\tO' +p5048 +aS'PO2\tPO2\tNN\tB-NP\tO' +p5049 +aS'106\t106\tCD\tI-NP\tO' +p5050 +aS',\t,\t,\tO\tO' +p5051 +aS'PCO227\tPCO227\tNN\tB-NP\tB-protein' +p5052 +aS',\t,\t,\tO\tO' +p5053 +aS'pH\tpH\tNN\tB-NP\tO' +p5054 +aS'7.41\t7.41\tCD\tI-NP\tO' +p5055 +aS'.\t.\t.\tO\tO' +p5056 +asS'Please refer to the previously dictated operative note of 2016-12-30 by Dr. Lawrence .' +p5057 +(lp5058 +S'Please\tPlease\tNN\tB-NP\tB-protein' +p5059 +aS'refer\trefer\tVBP\tB-VP\tO' +p5060 +aS'to\tto\tTO\tB-PP\tO' +p5061 +aS'the\tthe\tDT\tB-NP\tO' +p5062 +aS'previously\tpreviously\tRB\tI-NP\tO' +p5063 +aS'dictated\tdictate\tVBN\tI-NP\tO' +p5064 +aS'operative\toperative\tJJ\tI-NP\tO' +p5065 +aS'note\tnote\tNN\tI-NP\tO' +p5066 +aS'of\tof\tIN\tB-PP\tO' +p5067 +aS'2016-12-30\t2016-12-30\tCD\tB-NP\tO' +p5068 +aS'by\tby\tIN\tB-PP\tO' +p5069 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p5070 +aS'Lawrence\tLawrence\tNNP\tI-NP\tO' +p5071 +aS'.\t.\t.\tO\tO' +p5072 +asS"After this episode , the patient 's mental status remained clear for the rest of the duration of his stay ." +p5073 +(lp5074 +S'After\tAfter\tIN\tB-PP\tO' +p5075 +aS'this\tthis\tDT\tB-NP\tO' +p5076 +aS'episode\tepisode\tNN\tI-NP\tO' +p5077 +aS',\t,\t,\tO\tO' +p5078 +aS'the\tthe\tDT\tB-NP\tO' +p5079 +aS'patient\tpatient\tNN\tI-NP\tO' +p5080 +aS"'s\t's\tPOS\tB-NP\tO" +p5081 +aS'mental\tmental\tJJ\tI-NP\tO' +p5082 +aS'status\tstatus\tNN\tI-NP\tO' +p5083 +aS'remained\tremain\tVBD\tB-VP\tO' +p5084 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p5085 +aS'for\tfor\tIN\tB-PP\tO' +p5086 +aS'the\tthe\tDT\tB-NP\tO' +p5087 +aS'rest\trest\tNN\tI-NP\tO' +p5088 +aS'of\tof\tIN\tB-PP\tO' +p5089 +aS'the\tthe\tDT\tB-NP\tO' +p5090 +aS'duration\tduration\tNN\tI-NP\tO' +p5091 +aS'of\tof\tIN\tB-PP\tO' +p5092 +aS'his\this\tPRP$\tB-NP\tO' +p5093 +aS'stay\tstay\tNN\tI-NP\tO' +p5094 +aS'.\t.\t.\tO\tO' +p5095 +asS'Neurologically he is awake and alert and oriented x 3 he is 07-05 in all muscle group bilat .' +p5096 +(lp5097 +S'Neurologically\tNeurologically\tRB\tB-ADVP\tO' +p5098 +aS'he\the\tPRP\tB-NP\tO' +p5099 +aS'is\tbe\tVBZ\tB-VP\tO' +p5100 +aS'awake\tawake\tJJ\tB-ADJP\tO' +p5101 +aS'and\tand\tCC\tI-ADJP\tO' +p5102 +aS'alert\talert\tJJ\tI-ADJP\tO' +p5103 +aS'and\tand\tCC\tO\tO' +p5104 +aS'oriented\torient\tVBN\tB-VP\tO' +p5105 +aS'x\tx\tNN\tB-NP\tO' +p5106 +aS'3\t3\tCD\tI-NP\tO' +p5107 +aS'he\the\tPRP\tB-NP\tO' +p5108 +aS'is\tbe\tVBZ\tB-VP\tO' +p5109 +aS'07-05\t07-05\tCD\tB-NP\tO' +p5110 +aS'in\tin\tIN\tB-PP\tO' +p5111 +aS'all\tall\tDT\tB-NP\tO' +p5112 +aS'muscle\tmuscle\tNN\tI-NP\tO' +p5113 +aS'group\tgroup\tNN\tI-NP\tO' +p5114 +aS'bilat\tbilat\tNN\tI-NP\tO' +p5115 +aS'.\t.\t.\tO\tO' +p5116 +asS'2. NPH 12 units q.a.m. , 7 units q.p.m. with normal home dose being 30 units q.a.m. and 15 units q.p.m.' +p5117 +(lp5118 +S'2.\t2.\tLS\tB-NP\tO' +p5119 +aS'NPH\tNPH\tNN\tI-NP\tB-protein' +p5120 +aS'12\t12\tCD\tB-NP\tI-protein' +p5121 +aS'units\tunit\tNNS\tI-NP\tI-protein' +p5122 +aS'q.a.m.\tq.a.m.\tRB\tB-ADVP\tO' +p5123 +aS',\t,\t,\tO\tO' +p5124 +aS'7\t7\tCD\tB-NP\tO' +p5125 +aS'units\tunit\tNNS\tI-NP\tO' +p5126 +aS'q.p.m.\tq.p.m.\tNN\tB-NP\tO' +p5127 +aS'with\twith\tIN\tB-PP\tO' +p5128 +aS'normal\tnormal\tJJ\tB-NP\tO' +p5129 +aS'home\thome\tNN\tI-NP\tO' +p5130 +aS'dose\tdose\tNN\tI-NP\tO' +p5131 +aS'being\tbe\tVBG\tB-VP\tO' +p5132 +aS'30\t30\tCD\tB-NP\tO' +p5133 +aS'units\tunit\tNNS\tI-NP\tO' +p5134 +aS'q.a.m.\tq.a.m.\tNN\tI-NP\tO' +p5135 +aS'and\tand\tCC\tO\tO' +p5136 +aS'15\t15\tCD\tB-NP\tO' +p5137 +aS'units\tunit\tNNS\tI-NP\tO' +p5138 +aS'q.p.m.\tq.p.m.\tNN\tI-NP\tO' +p5139 +asS'Dictated By : Julie DD George , M.D.' +p5140 +(lp5141 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p5142 +aS'By\tBy\tIN\tB-PP\tO' +p5143 +aS':\t:\t:\tO\tO' +p5144 +aS'Julie\tJulie\tNNP\tB-NP\tO' +p5145 +aS'DD\tDD\tNNP\tI-NP\tO' +p5146 +aS'George\tGeorge\tNNP\tI-NP\tO' +p5147 +aS',\t,\t,\tO\tO' +p5148 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p5149 +asS'5) Anemia - previous w/u c/w ACD ( elev ferritin , low transferrin saturation ) .' +p5150 +(lp5151 +S'5)\t5)\tLS\tB-NP\tO' +p5152 +aS'Anemia\tAnemia\tNN\tI-NP\tO' +p5153 +aS'-\t-\tHYPH\tB-NP\tO' +p5154 +aS'previous\tprevious\tJJ\tI-NP\tO' +p5155 +aS'w/u\tw/u\tNN\tI-NP\tO' +p5156 +aS'c/w\tc/w\tNN\tI-NP\tO' +p5157 +aS'ACD\tACD\tNN\tI-NP\tO' +p5158 +aS'(\t(\t(\tO\tO' +p5159 +aS'elev\telev\tNN\tB-NP\tO' +p5160 +aS'ferritin\tferritin\tNN\tI-NP\tO' +p5161 +aS',\t,\t,\tO\tO' +p5162 +aS'low\tlow\tJJ\tB-NP\tO' +p5163 +aS'transferrin\ttransferrin\tNN\tI-NP\tO' +p5164 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p5165 +aS')\t)\t)\tO\tO' +p5166 +aS'.\t.\t.\tO\tO' +p5167 +asS'His INR normalized , however , unfortunately , he developed bilateral deep venous thromboses during his hospital course and will be maintained on Lovenox .' +p5168 +(lp5169 +S'His\tHis\tPRP$\tB-NP\tO' +p5170 +aS'INR\tINR\tNN\tI-NP\tB-protein' +p5171 +aS'normalized\tnormalize\tVBD\tB-VP\tO' +p5172 +aS',\t,\t,\tO\tO' +p5173 +aS'however\thowever\tRB\tB-ADVP\tO' +p5174 +aS',\t,\t,\tO\tO' +p5175 +aS'unfortunately\tunfortunately\tRB\tB-ADVP\tO' +p5176 +aS',\t,\t,\tO\tO' +p5177 +aS'he\the\tPRP\tB-NP\tO' +p5178 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p5179 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p5180 +aS'deep\tdeep\tJJ\tI-NP\tO' +p5181 +aS'venous\tvenous\tJJ\tI-NP\tO' +p5182 +aS'thromboses\tthrombos\tNNS\tI-NP\tO' +p5183 +aS'during\tduring\tIN\tB-PP\tO' +p5184 +aS'his\this\tPRP$\tB-NP\tO' +p5185 +aS'hospital\thospital\tNN\tI-NP\tO' +p5186 +aS'course\tcourse\tNN\tI-NP\tO' +p5187 +aS'and\tand\tCC\tO\tO' +p5188 +aS'will\twill\tMD\tB-VP\tO' +p5189 +aS'be\tbe\tVB\tI-VP\tO' +p5190 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p5191 +aS'on\ton\tIN\tB-PP\tO' +p5192 +aS'Lovenox\tLovenox\tNNP\tB-NP\tO' +p5193 +aS'.\t.\t.\tO\tO' +p5194 +asS'Attending : Mary N Major , M.D.' +p5195 +(lp5196 +S'Attending\tAttend\tVBG\tB-VP\tO' +p5197 +aS':\t:\t:\tO\tO' +p5198 +aS'Mary\tMary\tNNP\tB-NP\tO' +p5199 +aS'N\tN\tNNP\tI-NP\tO' +p5200 +aS'Major\tMajor\tNNP\tI-NP\tO' +p5201 +aS',\t,\t,\tO\tO' +p5202 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p5203 +asS'She was seen by the trauma attending with Dr. Walters and she was cleared for discharge to home .' +p5204 +(lp5205 +S'She\tShe\tPRP\tB-NP\tO' +p5206 +aS'was\tbe\tVBD\tB-VP\tO' +p5207 +aS'seen\tsee\tVBN\tI-VP\tO' +p5208 +aS'by\tby\tIN\tB-PP\tO' +p5209 +aS'the\tthe\tDT\tB-NP\tO' +p5210 +aS'trauma\ttrauma\tNN\tI-NP\tO' +p5211 +aS'attending\tattend\tVBG\tB-VP\tO' +p5212 +aS'with\twith\tIN\tB-PP\tO' +p5213 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p5214 +aS'Walters\tWalters\tNNP\tI-NP\tO' +p5215 +aS'and\tand\tCC\tO\tO' +p5216 +aS'she\tshe\tPRP\tB-NP\tO' +p5217 +aS'was\tbe\tVBD\tB-VP\tO' +p5218 +aS'cleared\tclear\tVBN\tI-VP\tO' +p5219 +aS'for\tfor\tIN\tB-PP\tO' +p5220 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p5221 +aS'to\tto\tTO\tB-PP\tO' +p5222 +aS'home\thome\tNN\tB-NP\tO' +p5223 +aS'.\t.\t.\tO\tO' +p5224 +asS'8. Ibuprofen 800 mg q.8 h .' +p5225 +(lp5226 +S'8.\t8.\tCD\tB-NP\tO' +p5227 +aS'Ibuprofen\tIbuprofen\tNN\tI-NP\tO' +p5228 +aS'800\t800\tCD\tB-NP\tO' +p5229 +aS'mg\tmg\tNN\tI-NP\tO' +p5230 +aS'q.8\tq.8\tNN\tI-NP\tO' +p5231 +aS'h\th\tNN\tI-NP\tO' +p5232 +aS'.\t.\t.\tO\tO' +p5233 +asS'The patient was also found to have pulmonary hypertension .' +p5234 +(lp5235 +S'The\tThe\tDT\tB-NP\tO' +p5236 +aS'patient\tpatient\tNN\tI-NP\tO' +p5237 +aS'was\tbe\tVBD\tB-VP\tO' +p5238 +aS'also\talso\tRB\tI-VP\tO' +p5239 +aS'found\tfind\tVBN\tI-VP\tO' +p5240 +aS'to\tto\tTO\tI-VP\tO' +p5241 +aS'have\thave\tVB\tI-VP\tO' +p5242 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p5243 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p5244 +aS'.\t.\t.\tO\tO' +p5245 +asS'ANCA serum results were negative .' +p5246 +(lp5247 +S'ANCA\tANCA\tNN\tB-NP\tO' +p5248 +aS'serum\tserum\tNN\tI-NP\tO' +p5249 +aS'results\tresult\tNNS\tI-NP\tO' +p5250 +aS'were\tbe\tVBD\tB-VP\tO' +p5251 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p5252 +aS'.\t.\t.\tO\tO' +p5253 +asS'S1 and S2 normal intensity .' +p5254 +(lp5255 +S'S1\tS1\tNN\tB-NP\tB-protein' +p5256 +aS'and\tand\tCC\tI-NP\tO' +p5257 +aS'S2\tS2\tNN\tI-NP\tB-protein' +p5258 +aS'normal\tnormal\tJJ\tI-NP\tO' +p5259 +aS'intensity\tintensity\tNN\tI-NP\tO' +p5260 +aS'.\t.\t.\tO\tO' +p5261 +asS'The patient states in the past that he has participated in several alcohol treatment programs , most recently Star which is similar Alcoholics Anonymous .' +p5262 +(lp5263 +S'The\tThe\tDT\tB-NP\tO' +p5264 +aS'patient\tpatient\tNN\tI-NP\tO' +p5265 +aS'states\tstate\tNNS\tI-NP\tO' +p5266 +aS'in\tin\tIN\tB-PP\tO' +p5267 +aS'the\tthe\tDT\tB-NP\tO' +p5268 +aS'past\tpast\tNN\tI-NP\tO' +p5269 +aS'that\tthat\tIN\tB-SBAR\tO' +p5270 +aS'he\the\tPRP\tB-NP\tO' +p5271 +aS'has\thave\tVBZ\tB-VP\tO' +p5272 +aS'participated\tparticipate\tVBN\tI-VP\tO' +p5273 +aS'in\tin\tIN\tB-PP\tO' +p5274 +aS'several\tseveral\tJJ\tB-NP\tO' +p5275 +aS'alcohol\talcohol\tNN\tI-NP\tO' +p5276 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p5277 +aS'programs\tprogram\tNNS\tI-NP\tO' +p5278 +aS',\t,\t,\tO\tO' +p5279 +aS'most\tmost\tRBS\tB-ADVP\tO' +p5280 +aS'recently\trecently\tRB\tI-ADVP\tO' +p5281 +aS'Star\tStar\tNNP\tB-NP\tO' +p5282 +aS'which\twhich\tWDT\tB-NP\tO' +p5283 +aS'is\tbe\tVBZ\tB-VP\tO' +p5284 +aS'similar\tsimilar\tJJ\tB-NP\tO' +p5285 +aS'Alcoholics\tAlcoholics\tNNP\tI-NP\tO' +p5286 +aS'Anonymous\tAnonymous\tNNP\tI-NP\tO' +p5287 +aS'.\t.\t.\tO\tO' +p5288 +asS'Blood loss anemia from GI bleeding - the bleeding was likely from an AVM .' +p5289 +(lp5290 +S'Blood\tBlood\tNN\tB-NP\tO' +p5291 +aS'loss\tloss\tNN\tI-NP\tO' +p5292 +aS'anemia\tanemia\tNN\tI-NP\tO' +p5293 +aS'from\tfrom\tIN\tB-PP\tO' +p5294 +aS'GI\tGI\tNN\tB-NP\tO' +p5295 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p5296 +aS'-\t-\tHYPH\tO\tO' +p5297 +aS'the\tthe\tDT\tB-NP\tO' +p5298 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p5299 +aS'was\tbe\tVBD\tB-VP\tO' +p5300 +aS'likely\tlikely\tJJ\tB-ADJP\tO' +p5301 +aS'from\tfrom\tIN\tB-PP\tO' +p5302 +aS'an\tan\tDT\tB-NP\tO' +p5303 +aS'AVM\tAVM\tNN\tI-NP\tO' +p5304 +aS'.\t.\t.\tO\tO' +p5305 +asS'5. Status post cesarean section .' +p5306 +(lp5307 +S'5.\t5.\tLS\tB-LST\tO' +p5308 +aS'Status\tStatus\tNNP\tB-NP\tO' +p5309 +aS'post\tpost\tIN\tB-PP\tO' +p5310 +aS'cesarean\tcesarean\tJJ\tB-NP\tO' +p5311 +aS'section\tsection\tNN\tI-NP\tO' +p5312 +aS'.\t.\t.\tO\tO' +p5313 +asS'When her cancer was diagnosed , she underwent total abdominal hysterectomy and bilateral salpingo-oophorectomy and pelvic lymphadenectomy .' +p5314 +(lp5315 +S'When\tWhen\tWRB\tB-ADVP\tO' +p5316 +aS'her\ther\tPRP$\tB-NP\tO' +p5317 +aS'cancer\tcancer\tNN\tI-NP\tO' +p5318 +aS'was\tbe\tVBD\tB-VP\tO' +p5319 +aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' +p5320 +aS',\t,\t,\tO\tO' +p5321 +aS'she\tshe\tPRP\tB-NP\tO' +p5322 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p5323 +aS'total\ttotal\tJJ\tB-NP\tO' +p5324 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p5325 +aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' +p5326 +aS'and\tand\tCC\tO\tO' +p5327 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p5328 +aS'salpingo-oophorectomy\tsalpingo-oophorectomy\tNN\tI-NP\tO' +p5329 +aS'and\tand\tCC\tO\tO' +p5330 +aS'pelvic\tpelvic\tJJ\tB-NP\tO' +p5331 +aS'lymphadenectomy\tlymphadenectomy\tNN\tI-NP\tO' +p5332 +aS'.\t.\t.\tO\tO' +p5333 +asS'Signed electronically by : DR. Richard Stripling on : Maxine 2012-10-25 8:30 PM' +p5334 +(lp5335 +S'Signed\tSign\tVBN\tB-VP\tO' +p5336 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p5337 +aS'by\tby\tIN\tB-PP\tO' +p5338 +aS':\t:\t:\tO\tO' +p5339 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p5340 +aS'Richard\tRichard\tNNP\tI-NP\tO' +p5341 +aS'Stripling\tStripling\tNNP\tI-NP\tO' +p5342 +aS'on\ton\tIN\tB-PP\tO' +p5343 +aS':\t:\t:\tO\tO' +p5344 +aS'Maxine\tMaxine\tNN\tB-NP\tO' +p5345 +aS'2012-10-25\t2012-10-25\tCD\tI-NP\tO' +p5346 +aS'8:30\t8:30\tCD\tI-NP\tO' +p5347 +aS'PM\tPM\tNN\tI-NP\tO' +p5348 +asS"The etiology of the patient 's shortness of breath was considered a likely chronic obstructive pulmonary disease exacerbation and the patient was started on Albuterol and Atrovent nebulizers ." +p5349 +(lp5350 +S'The\tThe\tDT\tB-NP\tO' +p5351 +aS'etiology\tetiology\tNN\tI-NP\tO' +p5352 +aS'of\tof\tIN\tB-PP\tO' +p5353 +aS'the\tthe\tDT\tB-NP\tO' +p5354 +aS'patient\tpatient\tNN\tI-NP\tO' +p5355 +aS"'s\t's\tPOS\tB-NP\tO" +p5356 +aS'shortness\tshortness\tNN\tI-NP\tO' +p5357 +aS'of\tof\tIN\tB-PP\tO' +p5358 +aS'breath\tbreath\tNN\tB-NP\tO' +p5359 +aS'was\tbe\tVBD\tB-VP\tO' +p5360 +aS'considered\tconsider\tVBN\tI-VP\tO' +p5361 +aS'a\ta\tDT\tB-NP\tO' +p5362 +aS'likely\tlikely\tJJ\tI-NP\tO' +p5363 +aS'chronic\tchronic\tJJ\tI-NP\tO' +p5364 +aS'obstructive\tobstructive\tJJ\tI-NP\tO' +p5365 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p5366 +aS'disease\tdisease\tNN\tI-NP\tO' +p5367 +aS'exacerbation\texacerbation\tNN\tI-NP\tO' +p5368 +aS'and\tand\tCC\tO\tO' +p5369 +aS'the\tthe\tDT\tB-NP\tO' +p5370 +aS'patient\tpatient\tNN\tI-NP\tO' +p5371 +aS'was\tbe\tVBD\tB-VP\tO' +p5372 +aS'started\tstart\tVBN\tI-VP\tO' +p5373 +aS'on\ton\tIN\tB-PP\tO' +p5374 +aS'Albuterol\tAlbuterol\tNN\tB-NP\tO' +p5375 +aS'and\tand\tCC\tI-NP\tO' +p5376 +aS'Atrovent\tAtrovent\tNN\tI-NP\tO' +p5377 +aS'nebulizers\tnebulizer\tNNS\tI-NP\tO' +p5378 +aS'.\t.\t.\tO\tO' +p5379 +asS'On February 23 , Mr. Patient presented to Dr. Patient 's office with two major symptoms .' +p5380 +(lp5381 +S'On\tOn\tIN\tB-PP\tO' +p5382 +aS'February\tFebruary\tNNP\tB-NP\tO' +p5383 +aS'23\t23\tCD\tI-NP\tO' +p5384 +aS',\t,\t,\tO\tO' +p5385 +aS'Mr.\tMr.\tNNP\tB-NP\tO' +p5386 +aS'Patient\tPatient\tNNP\tI-NP\tO' +p5387 +aS'presented\tpresent\tVBD\tB-VP\tO' +p5388 +aS'to\tto\tTO\tB-PP\tO' +p5389 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p5390 +aS'Patient\tPatient\tNNP\tI-NP\tO' +p5391 +aS''s\t'\tNNS\tI-NP\tO' +p5392 +aS'office\toffice\tNN\tI-NP\tO' +p5393 +aS'with\twith\tIN\tB-PP\tO' +p5394 +aS'two\ttwo\tCD\tB-NP\tO' +p5395 +aS'major\tmajor\tJJ\tI-NP\tO' +p5396 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p5397 +aS'.\t.\t.\tO\tO' +p5398 +asS'Chief Complaint : change in mental status' +p5399 +(lp5400 +S'Chief\tChief\tNNP\tB-NP\tO' +p5401 +aS'Complaint\tComplaint\tNNP\tI-NP\tO' +p5402 +aS':\t:\t:\tO\tO' +p5403 +aS'change\tchange\tNN\tB-NP\tO' +p5404 +aS'in\tin\tIN\tB-PP\tO' +p5405 +aS'mental\tmental\tJJ\tB-NP\tO' +p5406 +aS'status\tstatus\tNN\tI-NP\tO' +p5407 +asS'She also complained of a dull , right sided headache over the right eyebrow .' +p5408 +(lp5409 +S'She\tShe\tPRP\tB-NP\tO' +p5410 +aS'also\talso\tRB\tB-ADVP\tO' +p5411 +aS'complained\tcomplain\tVBD\tB-VP\tO' +p5412 +aS'of\tof\tIN\tB-PP\tO' +p5413 +aS'a\ta\tDT\tB-NP\tO' +p5414 +aS'dull\tdull\tNN\tI-NP\tO' +p5415 +aS',\t,\t,\tO\tO' +p5416 +aS'right\tright\tJJ\tB-NP\tO' +p5417 +aS'sided\tsided\tJJ\tI-NP\tO' +p5418 +aS'headache\theadache\tNN\tI-NP\tO' +p5419 +aS'over\tover\tIN\tB-PP\tO' +p5420 +aS'the\tthe\tDT\tB-NP\tO' +p5421 +aS'right\tright\tJJ\tI-NP\tO' +p5422 +aS'eyebrow\teyebrow\tNN\tI-NP\tO' +p5423 +aS'.\t.\t.\tO\tO' +p5424 +asS'Contact BRIDC BRESCA DENONE HEALTH CARE ( 558-927-7217 ) for appointment w/ therapist .' +p5425 +(lp5426 +S'Contact\tContact\tNN\tB-NP\tO' +p5427 +aS'BRIDC\tBRIDC\tNN\tI-NP\tO' +p5428 +aS'BRESCA\tBRESCA\tNN\tI-NP\tO' +p5429 +aS'DENONE\tDENONE\tNN\tI-NP\tO' +p5430 +aS'HEALTH\tHEALTH\tNN\tI-NP\tO' +p5431 +aS'CARE\tCARE\tNN\tI-NP\tO' +p5432 +aS'(\t(\t(\tO\tO' +p5433 +aS'558-927-7217\t558-927-7217\tCD\tB-NP\tO' +p5434 +aS')\t)\t)\tO\tO' +p5435 +aS'for\tfor\tIN\tB-PP\tO' +p5436 +aS'appointment\tappointment\tNN\tB-NP\tO' +p5437 +aS'w/\tw/\tNN\tI-NP\tO' +p5438 +aS'therapist\ttherapist\tNN\tI-NP\tO' +p5439 +aS'.\t.\t.\tO\tO' +p5440 +asS'Abnormal Fetal Heart Rate / Rhythm - Delivered' +p5441 +(lp5442 +S'Abnormal\tAbnormal\tJJ\tB-NP\tO' +p5443 +aS'Fetal\tFetal\tJJ\tI-NP\tO' +p5444 +aS'Heart\tHeart\tNN\tI-NP\tO' +p5445 +aS'Rate\tRate\tNN\tI-NP\tO' +p5446 +aS'/\t/\tSYM\tB-NP\tO' +p5447 +aS'Rhythm\tRhythm\tNN\tI-NP\tO' +p5448 +aS'-\t-\tHYPH\tB-NP\tO' +p5449 +aS'Delivered\tDeliver\tVBN\tB-VP\tO' +p5450 +asS'The patient is a 49 year old woman with a metastatic adenocarcinoma of the breast who is status post high dose chemotherapy with PBSE and CCSS support ending June 1994 .' +p5451 +(lp5452 +S'The\tThe\tDT\tB-NP\tO' +p5453 +aS'patient\tpatient\tNN\tI-NP\tO' +p5454 +aS'is\tbe\tVBZ\tB-VP\tO' +p5455 +aS'a\ta\tDT\tB-NP\tO' +p5456 +aS'49\t49\tCD\tI-NP\tO' +p5457 +aS'year\tyear\tNN\tI-NP\tO' +p5458 +aS'old\told\tJJ\tI-NP\tO' +p5459 +aS'woman\twoman\tNN\tI-NP\tO' +p5460 +aS'with\twith\tIN\tB-PP\tO' +p5461 +aS'a\ta\tDT\tB-NP\tO' +p5462 +aS'metastatic\tmetastatic\tJJ\tI-NP\tO' +p5463 +aS'adenocarcinoma\tadenocarcinoma\tNN\tI-NP\tO' +p5464 +aS'of\tof\tIN\tB-PP\tO' +p5465 +aS'the\tthe\tDT\tB-NP\tO' +p5466 +aS'breast\tbreast\tNN\tI-NP\tO' +p5467 +aS'who\twho\tWP\tB-NP\tO' +p5468 +aS'is\tbe\tVBZ\tB-VP\tO' +p5469 +aS'status\tstatus\tNN\tB-NP\tO' +p5470 +aS'post\tpost\tNN\tI-NP\tO' +p5471 +aS'high\thigh\tJJ\tI-NP\tO' +p5472 +aS'dose\tdose\tNN\tI-NP\tO' +p5473 +aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' +p5474 +aS'with\twith\tIN\tB-PP\tO' +p5475 +aS'PBSE\tPBSE\tNN\tB-NP\tB-protein' +p5476 +aS'and\tand\tCC\tI-NP\tO' +p5477 +aS'CCSS\tCCSS\tNN\tI-NP\tO' +p5478 +aS'support\tsupport\tNN\tI-NP\tO' +p5479 +aS'ending\tend\tVBG\tB-VP\tO' +p5480 +aS'June\tJune\tNNP\tB-NP\tO' +p5481 +aS'1994\t1994\tCD\tI-NP\tO' +p5482 +aS'.\t.\t.\tO\tO' +p5483 +asS'3. Fluid , electrolytes and nutrition - The infant was started on enteral feedings on day of life one and advanced to full volume feedings by day of life four .' +p5484 +(lp5485 +S'3.\t3.\tLS\tB-NP\tO' +p5486 +aS'Fluid\tFluid\tNN\tI-NP\tO' +p5487 +aS',\t,\t,\tI-NP\tO' +p5488 +aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' +p5489 +aS'and\tand\tCC\tI-NP\tO' +p5490 +aS'nutrition\tnutrition\tNN\tI-NP\tO' +p5491 +aS'-\t-\tHYPH\tO\tO' +p5492 +aS'The\tThe\tDT\tB-NP\tO' +p5493 +aS'infant\tinfant\tNN\tI-NP\tO' +p5494 +aS'was\tbe\tVBD\tB-VP\tO' +p5495 +aS'started\tstart\tVBN\tI-VP\tO' +p5496 +aS'on\ton\tIN\tB-PP\tO' +p5497 +aS'enteral\tenteral\tJJ\tB-NP\tO' +p5498 +aS'feedings\tfeeding\tNNS\tI-NP\tO' +p5499 +aS'on\ton\tIN\tB-PP\tO' +p5500 +aS'day\tday\tNN\tB-NP\tO' +p5501 +aS'of\tof\tIN\tB-PP\tO' +p5502 +aS'life\tlife\tNN\tB-NP\tO' +p5503 +aS'one\tone\tCD\tI-NP\tO' +p5504 +aS'and\tand\tCC\tO\tO' +p5505 +aS'advanced\tadvance\tVBD\tB-VP\tO' +p5506 +aS'to\tto\tTO\tB-PP\tO' +p5507 +aS'full\tfull\tJJ\tB-NP\tO' +p5508 +aS'volume\tvolume\tNN\tI-NP\tO' +p5509 +aS'feedings\tfeeding\tNNS\tI-NP\tO' +p5510 +aS'by\tby\tIN\tB-PP\tO' +p5511 +aS'day\tday\tNN\tB-NP\tO' +p5512 +aS'of\tof\tIN\tB-PP\tO' +p5513 +aS'life\tlife\tNN\tB-NP\tO' +p5514 +aS'four\tfour\tCD\tI-NP\tO' +p5515 +aS'.\t.\t.\tO\tO' +p5516 +asS'He was well until the evening prior to presentation to the emergency room when he complained of headache across the forehead .' +p5517 +(lp5518 +S'He\tHe\tPRP\tB-NP\tO' +p5519 +aS'was\tbe\tVBD\tB-VP\tO' +p5520 +aS'well\twell\tRB\tB-ADVP\tO' +p5521 +aS'until\tuntil\tIN\tB-SBAR\tO' +p5522 +aS'the\tthe\tDT\tB-NP\tO' +p5523 +aS'evening\tevening\tNN\tI-NP\tO' +p5524 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p5525 +aS'to\tto\tTO\tB-PP\tO' +p5526 +aS'presentation\tpresentation\tNN\tB-NP\tO' +p5527 +aS'to\tto\tTO\tB-PP\tO' +p5528 +aS'the\tthe\tDT\tB-NP\tO' +p5529 +aS'emergency\temergency\tNN\tI-NP\tO' +p5530 +aS'room\troom\tNN\tI-NP\tO' +p5531 +aS'when\twhen\tWRB\tB-ADVP\tO' +p5532 +aS'he\the\tPRP\tB-NP\tO' +p5533 +aS'complained\tcomplain\tVBD\tB-VP\tO' +p5534 +aS'of\tof\tIN\tB-PP\tO' +p5535 +aS'headache\theadache\tNN\tB-NP\tO' +p5536 +aS'across\tacross\tIN\tB-PP\tO' +p5537 +aS'the\tthe\tDT\tB-NP\tO' +p5538 +aS'forehead\tforehead\tNN\tI-NP\tO' +p5539 +aS'.\t.\t.\tO\tO' +p5540 +asS'The patient tolerated the procedure extremely well and did well during her postoperative course .' +p5541 +(lp5542 +S'The\tThe\tDT\tB-NP\tO' +p5543 +aS'patient\tpatient\tNN\tI-NP\tO' +p5544 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p5545 +aS'the\tthe\tDT\tB-NP\tO' +p5546 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p5547 +aS'extremely\textremely\tRB\tB-ADVP\tO' +p5548 +aS'well\twell\tRB\tI-ADVP\tO' +p5549 +aS'and\tand\tCC\tO\tO' +p5550 +aS'did\tdo\tVBD\tB-VP\tO' +p5551 +aS'well\twell\tRB\tB-ADVP\tO' +p5552 +aS'during\tduring\tIN\tB-PP\tO' +p5553 +aS'her\ther\tPRP$\tB-NP\tO' +p5554 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p5555 +aS'course\tcourse\tNN\tI-NP\tO' +p5556 +aS'.\t.\t.\tO\tO' +p5557 +asS'Neuro : A&Ox3 , MAE , Follows Commands' +p5558 +(lp5559 +S'Neuro\tNeuro\tNNP\tB-NP\tO' +p5560 +aS':\t:\t:\tO\tO' +p5561 +aS'A&Ox3\tA&Ox3\tNN\tB-NP\tB-protein' +p5562 +aS',\t,\t,\tO\tO' +p5563 +aS'MAE\tMAE\tNN\tB-NP\tB-protein' +p5564 +aS',\t,\t,\tO\tO' +p5565 +aS'Follows\tFollow\tVBZ\tB-VP\tO' +p5566 +aS'Commands\tCommand\tNNPS\tB-NP\tO' +p5567 +asS'The patient was referred to the Neurology Service for further workup of the mass .' +p5568 +(lp5569 +S'The\tThe\tDT\tB-NP\tO' +p5570 +aS'patient\tpatient\tNN\tI-NP\tO' +p5571 +aS'was\tbe\tVBD\tB-VP\tO' +p5572 +aS'referred\trefer\tVBN\tI-VP\tO' +p5573 +aS'to\tto\tTO\tB-PP\tO' +p5574 +aS'the\tthe\tDT\tB-NP\tO' +p5575 +aS'Neurology\tNeurology\tNNP\tI-NP\tO' +p5576 +aS'Service\tService\tNNP\tI-NP\tO' +p5577 +aS'for\tfor\tIN\tB-PP\tO' +p5578 +aS'further\tfurther\tJJ\tB-NP\tO' +p5579 +aS'workup\tworkup\tNN\tI-NP\tO' +p5580 +aS'of\tof\tIN\tB-PP\tO' +p5581 +aS'the\tthe\tDT\tB-NP\tO' +p5582 +aS'mass\tmass\tNN\tI-NP\tO' +p5583 +aS'.\t.\t.\tO\tO' +p5584 +asS'She could slowly advance back to a normal diet over the next week .' +p5585 +(lp5586 +S'She\tShe\tPRP\tB-NP\tO' +p5587 +aS'could\tcould\tMD\tB-VP\tO' +p5588 +aS'slowly\tslowly\tRB\tI-VP\tO' +p5589 +aS'advance\tadvance\tVB\tI-VP\tO' +p5590 +aS'back\tback\tRB\tB-ADVP\tO' +p5591 +aS'to\tto\tTO\tB-PP\tO' +p5592 +aS'a\ta\tDT\tB-NP\tO' +p5593 +aS'normal\tnormal\tJJ\tI-NP\tO' +p5594 +aS'diet\tdiet\tNN\tI-NP\tO' +p5595 +aS'over\tover\tIN\tB-PP\tO' +p5596 +aS'the\tthe\tDT\tB-NP\tO' +p5597 +aS'next\tnext\tJJ\tI-NP\tO' +p5598 +aS'week\tweek\tNN\tI-NP\tO' +p5599 +aS'.\t.\t.\tO\tO' +p5600 +asS'2017-06-14 .' +p5601 +(lp5602 +S'2017-06-14\t2017-06-14\tCD\tB-NP\tO' +p5603 +aS'.\t.\t.\tO\tO' +p5604 +asS'The assessment at that time was she was neurologically stable .' +p5605 +(lp5606 +S'The\tThe\tDT\tB-NP\tO' +p5607 +aS'assessment\tassessment\tNN\tI-NP\tO' +p5608 +aS'at\tat\tIN\tB-PP\tO' +p5609 +aS'that\tthat\tDT\tB-NP\tO' +p5610 +aS'time\ttime\tNN\tI-NP\tO' +p5611 +aS'was\tbe\tVBD\tB-VP\tO' +p5612 +aS'she\tshe\tPRP\tB-NP\tO' +p5613 +aS'was\tbe\tVBD\tB-VP\tO' +p5614 +aS'neurologically\tneurologically\tRB\tB-ADJP\tO' +p5615 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p5616 +aS'.\t.\t.\tO\tO' +p5617 +asS'Rosalie Gloria , North Dakota 67177' +p5618 +(lp5619 +S'Rosalie\tRosalie\tNNP\tB-NP\tO' +p5620 +aS'Gloria\tGloria\tNNP\tI-NP\tO' +p5621 +aS',\t,\t,\tO\tO' +p5622 +aS'North\tNorth\tNNP\tB-NP\tO' +p5623 +aS'Dakota\tDakota\tNNP\tI-NP\tO' +p5624 +aS'67177\t67177\tCD\tI-NP\tO' +p5625 +asS'1. Feeding : Breast feeding or Enfamil 24 calories / ounce .' +p5626 +(lp5627 +S'1.\t1.\tCD\tB-NP\tO' +p5628 +aS'Feeding\tFeeding\tNNP\tI-NP\tO' +p5629 +aS':\t:\t:\tO\tO' +p5630 +aS'Breast\tBreast\tNN\tB-NP\tO' +p5631 +aS'feeding\tfeeding\tNN\tI-NP\tO' +p5632 +aS'or\tor\tCC\tO\tO' +p5633 +aS'Enfamil\tEnfamil\tNN\tB-NP\tO' +p5634 +aS'24\t24\tCD\tB-NP\tO' +p5635 +aS'calories\tcalorie\tNNS\tI-NP\tO' +p5636 +aS'/\t/\tSYM\tB-NP\tO' +p5637 +aS'ounce\tounce\tNN\tI-NP\tO' +p5638 +aS'.\t.\t.\tO\tO' +p5639 +asS'This was attributed to postoperative swelling and changes from his diskectomy performed 2010-08-27 .' +p5640 +(lp5641 +S'This\tThis\tDT\tB-NP\tO' +p5642 +aS'was\tbe\tVBD\tB-VP\tO' +p5643 +aS'attributed\tattribute\tVBN\tI-VP\tO' +p5644 +aS'to\tto\tTO\tB-PP\tO' +p5645 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p5646 +aS'swelling\tswelling\tNN\tI-NP\tO' +p5647 +aS'and\tand\tCC\tI-NP\tO' +p5648 +aS'changes\tchange\tNNS\tI-NP\tO' +p5649 +aS'from\tfrom\tIN\tB-PP\tO' +p5650 +aS'his\this\tPRP$\tB-NP\tO' +p5651 +aS'diskectomy\tdiskectomy\tNN\tI-NP\tO' +p5652 +aS'performed\tperform\tVBD\tB-VP\tO' +p5653 +aS'2010-08-27\t2010-08-27\tCD\tB-NP\tO' +p5654 +aS'.\t.\t.\tO\tO' +p5655 +asS'She was on telemetry without any episodes of any rhythm abnormalities .' +p5656 +(lp5657 +S'She\tShe\tPRP\tB-NP\tO' +p5658 +aS'was\tbe\tVBD\tB-VP\tO' +p5659 +aS'on\ton\tIN\tB-PP\tO' +p5660 +aS'telemetry\ttelemetry\tNN\tB-NP\tO' +p5661 +aS'without\twithout\tIN\tB-PP\tO' +p5662 +aS'any\tany\tDT\tB-NP\tO' +p5663 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p5664 +aS'of\tof\tIN\tB-PP\tO' +p5665 +aS'any\tany\tDT\tB-NP\tO' +p5666 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p5667 +aS'abnormalities\tabnormality\tNNS\tI-NP\tO' +p5668 +aS'.\t.\t.\tO\tO' +p5669 +asS'Given amio bolu , started on gtt and transferred to NVH for further evaluation .' +p5670 +(lp5671 +S'Given\tGive\tVBN\tB-NP\tO' +p5672 +aS'amio\tamio\tNN\tI-NP\tO' +p5673 +aS'bolu\tbolu\tNN\tI-NP\tO' +p5674 +aS',\t,\t,\tO\tO' +p5675 +aS'started\tstart\tVBN\tB-VP\tO' +p5676 +aS'on\ton\tIN\tB-PP\tO' +p5677 +aS'gtt\tgtt\tNN\tB-NP\tO' +p5678 +aS'and\tand\tCC\tO\tO' +p5679 +aS'transferred\ttransfer\tVBN\tB-VP\tO' +p5680 +aS'to\tto\tTO\tB-PP\tO' +p5681 +aS'NVH\tNVH\tNN\tB-NP\tB-protein' +p5682 +aS'for\tfor\tIN\tB-PP\tO' +p5683 +aS'further\tfurther\tJJ\tB-NP\tO' +p5684 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p5685 +aS'.\t.\t.\tO\tO' +p5686 +asS'On admission , older , black gentleman in no acute distress with left upper extremity flex across his chest .' +p5687 +(lp5688 +S'On\tOn\tIN\tB-PP\tO' +p5689 +aS'admission\tadmission\tNN\tB-NP\tO' +p5690 +aS',\t,\t,\tO\tO' +p5691 +aS'older\told\tJJR\tB-NP\tO' +p5692 +aS',\t,\t,\tI-NP\tO' +p5693 +aS'black\tblack\tJJ\tI-NP\tO' +p5694 +aS'gentleman\tgentleman\tNN\tI-NP\tO' +p5695 +aS'in\tin\tIN\tB-PP\tO' +p5696 +aS'no\tno\tDT\tB-NP\tO' +p5697 +aS'acute\tacute\tJJ\tI-NP\tO' +p5698 +aS'distress\tdistress\tNN\tI-NP\tO' +p5699 +aS'with\twith\tIN\tB-PP\tO' +p5700 +aS'left\tleft\tJJ\tB-NP\tO' +p5701 +aS'upper\tupper\tJJ\tI-NP\tO' +p5702 +aS'extremity\textremity\tNN\tI-NP\tO' +p5703 +aS'flex\tflex\tNN\tI-NP\tO' +p5704 +aS'across\tacross\tIN\tB-PP\tO' +p5705 +aS'his\this\tPRP$\tB-NP\tO' +p5706 +aS'chest\tchest\tNN\tI-NP\tO' +p5707 +aS'.\t.\t.\tO\tO' +p5708 +asS'She was discharged to home on postoperative day #4 .' +p5709 +(lp5710 +S'She\tShe\tPRP\tB-NP\tO' +p5711 +aS'was\tbe\tVBD\tB-VP\tO' +p5712 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p5713 +aS'to\tto\tTO\tI-VP\tO' +p5714 +aS'home\thome\tVB\tI-VP\tO' +p5715 +aS'on\ton\tIN\tB-PP\tO' +p5716 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p5717 +aS'day\tday\tNN\tI-NP\tO' +p5718 +aS'#4\t#4\tCD\tI-NP\tO' +p5719 +aS'.\t.\t.\tO\tO' +p5720 +asS'She was called at 430 am today from the NH with the news that the pt was not doing well , and she came to the Deanna to meet up with her father .' +p5721 +(lp5722 +S'She\tShe\tPRP\tB-NP\tO' +p5723 +aS'was\tbe\tVBD\tB-VP\tO' +p5724 +aS'called\tcall\tVBN\tI-VP\tO' +p5725 +aS'at\tat\tIN\tB-PP\tO' +p5726 +aS'430\t430\tCD\tB-NP\tO' +p5727 +aS'am\tam\tNN\tI-NP\tO' +p5728 +aS'today\ttoday\tNN\tB-NP\tO' +p5729 +aS'from\tfrom\tIN\tB-PP\tO' +p5730 +aS'the\tthe\tDT\tB-NP\tO' +p5731 +aS'NH\tNH\tNN\tI-NP\tO' +p5732 +aS'with\twith\tIN\tB-PP\tO' +p5733 +aS'the\tthe\tDT\tB-NP\tO' +p5734 +aS'news\tnews\tNN\tI-NP\tO' +p5735 +aS'that\tthat\tIN\tB-SBAR\tO' +p5736 +aS'the\tthe\tDT\tB-NP\tO' +p5737 +aS'pt\tpt\tNN\tI-NP\tO' +p5738 +aS'was\tbe\tVBD\tB-VP\tO' +p5739 +aS'not\tnot\tRB\tI-VP\tO' +p5740 +aS'doing\tdo\tVBG\tI-VP\tO' +p5741 +aS'well\twell\tRB\tB-ADVP\tO' +p5742 +aS',\t,\t,\tO\tO' +p5743 +aS'and\tand\tCC\tO\tO' +p5744 +aS'she\tshe\tPRP\tB-NP\tO' +p5745 +aS'came\tcome\tVBD\tB-VP\tO' +p5746 +aS'to\tto\tTO\tB-PP\tO' +p5747 +aS'the\tthe\tDT\tB-NP\tO' +p5748 +aS'Deanna\tDeanna\tNNP\tI-NP\tO' +p5749 +aS'to\tto\tTO\tB-VP\tO' +p5750 +aS'meet\tmeet\tVB\tI-VP\tO' +p5751 +aS'up\tup\tRP\tB-PRT\tO' +p5752 +aS'with\twith\tIN\tB-PP\tO' +p5753 +aS'her\ther\tPRP$\tB-NP\tO' +p5754 +aS'father\tfather\tNN\tI-NP\tO' +p5755 +aS'.\t.\t.\tO\tO' +p5756 +asS'He was transferred to the CC for monitoring and he denied having further pain , shortness of breath , nausea or vomiting .' +p5757 +(lp5758 +S'He\tHe\tPRP\tB-NP\tO' +p5759 +aS'was\tbe\tVBD\tB-VP\tO' +p5760 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p5761 +aS'to\tto\tTO\tB-PP\tO' +p5762 +aS'the\tthe\tDT\tB-NP\tO' +p5763 +aS'CC\tCC\tNN\tI-NP\tO' +p5764 +aS'for\tfor\tIN\tB-PP\tO' +p5765 +aS'monitoring\tmonitoring\tNN\tB-NP\tO' +p5766 +aS'and\tand\tCC\tO\tO' +p5767 +aS'he\the\tPRP\tB-NP\tB-protein' +p5768 +aS'denied\tdeny\tVBD\tB-VP\tI-protein' +p5769 +aS'having\thave\tVBG\tI-VP\tI-protein' +p5770 +aS'further\tfurther\tJJ\tB-NP\tI-protein' +p5771 +aS'pain\tpain\tNN\tI-NP\tI-protein' +p5772 +aS',\t,\t,\tO\tO' +p5773 +aS'shortness\tshortness\tNN\tB-NP\tO' +p5774 +aS'of\tof\tIN\tB-PP\tO' +p5775 +aS'breath\tbreath\tNN\tB-NP\tO' +p5776 +aS',\t,\t,\tI-NP\tO' +p5777 +aS'nausea\tnausea\tNN\tI-NP\tO' +p5778 +aS'or\tor\tCC\tI-NP\tO' +p5779 +aS'vomiting\tvomiting\tNN\tI-NP\tO' +p5780 +aS'.\t.\t.\tO\tO' +p5781 +asS'He was discharged home .' +p5782 +(lp5783 +S'He\tHe\tPRP\tB-NP\tO' +p5784 +aS'was\tbe\tVBD\tB-VP\tO' +p5785 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p5786 +aS'home\thome\tNN\tB-ADVP\tO' +p5787 +aS'.\t.\t.\tO\tO' +p5788 +asS'The patient should follow up with Dr. von Diamond in approximately three weeks .' +p5789 +(lp5790 +S'The\tThe\tDT\tB-NP\tO' +p5791 +aS'patient\tpatient\tNN\tI-NP\tO' +p5792 +aS'should\tshould\tMD\tB-VP\tO' +p5793 +aS'follow\tfollow\tVB\tI-VP\tO' +p5794 +aS'up\tup\tRP\tB-PRT\tO' +p5795 +aS'with\twith\tIN\tB-PP\tO' +p5796 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p5797 +aS'von\tvon\tNNP\tI-NP\tO' +p5798 +aS'Diamond\tDiamond\tNNP\tI-NP\tO' +p5799 +aS'in\tin\tIN\tB-PP\tO' +p5800 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p5801 +aS'three\tthree\tCD\tI-NP\tO' +p5802 +aS'weeks\tweek\tNNS\tI-NP\tO' +p5803 +aS'.\t.\t.\tO\tO' +p5804 +asS'On POD2 his chest tubes and epicardial pacing wires were removed and his Coumadin was restarted .' +p5805 +(lp5806 +S'On\tOn\tIN\tB-PP\tO' +p5807 +aS'POD2\tPOD2\tNN\tB-NP\tB-protein' +p5808 +aS'his\this\tPRP$\tB-NP\tO' +p5809 +aS'chest\tchest\tNN\tI-NP\tO' +p5810 +aS'tubes\ttube\tNNS\tI-NP\tO' +p5811 +aS'and\tand\tCC\tO\tO' +p5812 +aS'epicardial\tepicardial\tJJ\tB-NP\tO' +p5813 +aS'pacing\tpacing\tNN\tI-NP\tO' +p5814 +aS'wires\twire\tNNS\tI-NP\tO' +p5815 +aS'were\tbe\tVBD\tB-VP\tO' +p5816 +aS'removed\tremove\tVBN\tI-VP\tO' +p5817 +aS'and\tand\tCC\tO\tO' +p5818 +aS'his\this\tPRP$\tB-NP\tO' +p5819 +aS'Coumadin\tCoumadin\tNN\tI-NP\tO' +p5820 +aS'was\tbe\tVBD\tB-VP\tO' +p5821 +aS'restarted\trestart\tVBN\tI-VP\tO' +p5822 +aS'.\t.\t.\tO\tO' +p5823 +asS'Phone number is 209-604-1402 .' +p5824 +(lp5825 +S'Phone\tPhone\tNN\tB-NP\tO' +p5826 +aS'number\tnumber\tNN\tI-NP\tO' +p5827 +aS'is\tbe\tVBZ\tB-VP\tO' +p5828 +aS'209-604-1402\t209-604-1402\tCD\tB-NP\tO' +p5829 +aS'.\t.\t.\tO\tO' +p5830 +asS'Markedly abnormal portable EEG due to the voltage suppression over the left hemisphere and due to the bursts of generalized slowing and right hemisphere slowing .' +p5831 +(lp5832 +S'Markedly\tMarkedly\tRB\tB-NP\tO' +p5833 +aS'abnormal\tabnormal\tJJ\tI-NP\tO' +p5834 +aS'portable\tportable\tJJ\tI-NP\tO' +p5835 +aS'EEG\tEEG\tNN\tI-NP\tO' +p5836 +aS'due\tdue\tJJ\tB-PP\tO' +p5837 +aS'to\tto\tTO\tB-PP\tO' +p5838 +aS'the\tthe\tDT\tB-NP\tO' +p5839 +aS'voltage\tvoltage\tNN\tI-NP\tO' +p5840 +aS'suppression\tsuppression\tNN\tI-NP\tO' +p5841 +aS'over\tover\tIN\tB-PP\tO' +p5842 +aS'the\tthe\tDT\tB-NP\tO' +p5843 +aS'left\tleft\tJJ\tI-NP\tO' +p5844 +aS'hemisphere\themisphere\tNN\tI-NP\tO' +p5845 +aS'and\tand\tCC\tO\tO' +p5846 +aS'due\tdue\tJJ\tB-ADJP\tO' +p5847 +aS'to\tto\tTO\tB-PP\tO' +p5848 +aS'the\tthe\tDT\tB-NP\tO' +p5849 +aS'bursts\tburst\tNNS\tI-NP\tO' +p5850 +aS'of\tof\tIN\tB-PP\tO' +p5851 +aS'generalized\tgeneralize\tVBN\tB-NP\tO' +p5852 +aS'slowing\tslow\tVBG\tI-NP\tO' +p5853 +aS'and\tand\tCC\tO\tO' +p5854 +aS'right\tright\tJJ\tB-NP\tO' +p5855 +aS'hemisphere\themisphere\tNN\tI-NP\tO' +p5856 +aS'slowing\tslowing\tNN\tI-NP\tO' +p5857 +aS'.\t.\t.\tO\tO' +p5858 +asS'Chest incision was with Steri-Strips , open to air , clean and dry .' +p5859 +(lp5860 +S'Chest\tCh\tJJS\tB-NP\tO' +p5861 +aS'incision\tincision\tNN\tI-NP\tO' +p5862 +aS'was\tbe\tVBD\tB-VP\tO' +p5863 +aS'with\twith\tIN\tB-PP\tO' +p5864 +aS'Steri-Strips\tSteri-Strips\tNNP\tB-NP\tO' +p5865 +aS',\t,\t,\tO\tO' +p5866 +aS'open\topen\tJJ\tB-ADJP\tO' +p5867 +aS'to\tto\tTO\tB-PP\tO' +p5868 +aS'air\tair\tNN\tB-NP\tO' +p5869 +aS',\t,\t,\tO\tO' +p5870 +aS'clean\tclean\tJJ\tB-ADJP\tO' +p5871 +aS'and\tand\tCC\tI-ADJP\tO' +p5872 +aS'dry\tdry\tJJ\tI-ADJP\tO' +p5873 +aS'.\t.\t.\tO\tO' +p5874 +asS'ANC at that time was 336 .' +p5875 +(lp5876 +S'ANC\tANC\tNN\tB-NP\tO' +p5877 +aS'at\tat\tIN\tB-PP\tO' +p5878 +aS'that\tthat\tDT\tB-NP\tO' +p5879 +aS'time\ttime\tNN\tI-NP\tO' +p5880 +aS'was\tbe\tVBD\tB-VP\tO' +p5881 +aS'336\t336\tCD\tB-NP\tO' +p5882 +aS'.\t.\t.\tO\tO' +p5883 +asS'Her extremities were without clubbing , cyanosis , edema , or rash ; there were some older hematomas in the bilaterally shins .' +p5884 +(lp5885 +S'Her\tHer\tPRP$\tB-NP\tO' +p5886 +aS'extremities\textremity\tNNS\tI-NP\tO' +p5887 +aS'were\tbe\tVBD\tB-VP\tO' +p5888 +aS'without\twithout\tIN\tB-PP\tO' +p5889 +aS'clubbing\tclubbing\tNN\tB-NP\tO' +p5890 +aS',\t,\t,\tO\tO' +p5891 +aS'cyanosis\tcyanosis\tNN\tB-NP\tO' +p5892 +aS',\t,\t,\tO\tO' +p5893 +aS'edema\tedema\tNN\tB-NP\tO' +p5894 +aS',\t,\t,\tO\tO' +p5895 +aS'or\tor\tCC\tO\tO' +p5896 +aS'rash\trash\tNN\tB-NP\tO' +p5897 +aS';\t;\t:\tO\tO' +p5898 +aS'there\tthere\tEX\tB-NP\tO' +p5899 +aS'were\tbe\tVBD\tB-VP\tO' +p5900 +aS'some\tsome\tDT\tB-NP\tO' +p5901 +aS'older\told\tJJR\tI-NP\tO' +p5902 +aS'hematomas\thematoma\tNNS\tI-NP\tO' +p5903 +aS'in\tin\tIN\tB-PP\tO' +p5904 +aS'the\tthe\tDT\tB-NP\tO' +p5905 +aS'bilaterally\tbilaterally\tRB\tI-NP\tO' +p5906 +aS'shins\tshin\tNNS\tI-NP\tO' +p5907 +aS'.\t.\t.\tO\tO' +p5908 +asS'Gen : frail , elderly caucasian man lying in stretcher , HOB at 45 degrees , breathing in moderate distress with accessory muscle use' +p5909 +(lp5910 +S'Gen\tGen\tNN\tB-NP\tO' +p5911 +aS':\t:\t:\tO\tO' +p5912 +aS'frail\tfrail\tNN\tB-NP\tO' +p5913 +aS',\t,\t,\tO\tO' +p5914 +aS'elderly\telderly\tJJ\tB-NP\tO' +p5915 +aS'caucasian\tcaucasian\tJJ\tI-NP\tO' +p5916 +aS'man\tman\tNN\tI-NP\tO' +p5917 +aS'lying\tlie\tVBG\tB-VP\tO' +p5918 +aS'in\tin\tIN\tB-PP\tO' +p5919 +aS'stretcher\tstretcher\tNN\tB-NP\tO' +p5920 +aS',\t,\t,\tO\tO' +p5921 +aS'HOB\tHOB\tNN\tB-NP\tB-protein' +p5922 +aS'at\tat\tIN\tB-PP\tO' +p5923 +aS'45\t45\tCD\tB-NP\tO' +p5924 +aS'degrees\tdegree\tNNS\tI-NP\tO' +p5925 +aS',\t,\t,\tO\tO' +p5926 +aS'breathing\tbreathing\tNN\tB-NP\tO' +p5927 +aS'in\tin\tIN\tB-PP\tO' +p5928 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p5929 +aS'distress\tdistress\tNN\tI-NP\tO' +p5930 +aS'with\twith\tIN\tB-PP\tO' +p5931 +aS'accessory\taccessory\tJJ\tB-NP\tO' +p5932 +aS'muscle\tmuscle\tNN\tI-NP\tO' +p5933 +aS'use\tuse\tNN\tI-NP\tO' +p5934 +asS'He underwent an autologous bone marrow transplant in 10/92 at Petersly Hospital And Medical Center .' +p5935 +(lp5936 +S'He\tHe\tPRP\tB-NP\tO' +p5937 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p5938 +aS'an\tan\tDT\tB-NP\tO' +p5939 +aS'autologous\tautologous\tJJ\tI-NP\tO' +p5940 +aS'bone\tbone\tNN\tI-NP\tO' +p5941 +aS'marrow\tmarrow\tNN\tI-NP\tO' +p5942 +aS'transplant\ttransplant\tNN\tI-NP\tO' +p5943 +aS'in\tin\tIN\tB-PP\tO' +p5944 +aS'10/92\t10/92\tCD\tB-NP\tO' +p5945 +aS'at\tat\tIN\tB-PP\tO' +p5946 +aS'Petersly\tPetersly\tNNP\tB-NP\tO' +p5947 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p5948 +aS'And\tAnd\tNNP\tI-NP\tO' +p5949 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p5950 +aS'Center\tCenter\tNNP\tI-NP\tO' +p5951 +aS'.\t.\t.\tO\tO' +p5952 +asS'The patient was evaluated by Doing and was subsequently accepted into that program .' +p5953 +(lp5954 +S'The\tThe\tDT\tB-NP\tO' +p5955 +aS'patient\tpatient\tNN\tI-NP\tO' +p5956 +aS'was\tbe\tVBD\tB-VP\tO' +p5957 +aS'evaluated\tevaluate\tVBN\tI-VP\tO' +p5958 +aS'by\tby\tIN\tB-PP\tO' +p5959 +aS'Doing\tDo\tVBG\tB-VP\tO' +p5960 +aS'and\tand\tCC\tO\tO' +p5961 +aS'was\tbe\tVBD\tB-VP\tO' +p5962 +aS'subsequently\tsubsequently\tRB\tI-VP\tO' +p5963 +aS'accepted\taccept\tVBN\tI-VP\tO' +p5964 +aS'into\tinto\tIN\tB-PP\tO' +p5965 +aS'that\tthat\tDT\tB-NP\tO' +p5966 +aS'program\tprogram\tNN\tI-NP\tO' +p5967 +aS'.\t.\t.\tO\tO' +p5968 +asS'Home .' +p5969 +(lp5970 +S'Home\tHome\tNN\tB-NP\tO' +p5971 +aS'.\t.\t.\tO\tO' +p5972 +asS'He removed the cast that had been placed and then a long-leg cast was then placed so it would be difficult for him to remove or to ambulate on his leg , which might jeopardize his closure .' +p5973 +(lp5974 +S'He\tHe\tPRP\tB-NP\tO' +p5975 +aS'removed\tremove\tVBD\tB-VP\tO' +p5976 +aS'the\tthe\tDT\tB-NP\tO' +p5977 +aS'cast\tcast\tNN\tI-NP\tO' +p5978 +aS'that\tthat\tWDT\tB-NP\tO' +p5979 +aS'had\thave\tVBD\tB-VP\tO' +p5980 +aS'been\tbe\tVBN\tI-VP\tO' +p5981 +aS'placed\tplace\tVBN\tI-VP\tO' +p5982 +aS'and\tand\tCC\tO\tO' +p5983 +aS'then\tthen\tRB\tO\tO' +p5984 +aS'a\ta\tDT\tB-NP\tO' +p5985 +aS'long-leg\tlong-leg\tJJ\tI-NP\tO' +p5986 +aS'cast\tcast\tNN\tI-NP\tO' +p5987 +aS'was\tbe\tVBD\tB-VP\tO' +p5988 +aS'then\tthen\tRB\tI-VP\tO' +p5989 +aS'placed\tplace\tVBN\tI-VP\tO' +p5990 +aS'so\tso\tIN\tB-SBAR\tO' +p5991 +aS'it\tit\tPRP\tB-NP\tO' +p5992 +aS'would\twould\tMD\tB-VP\tO' +p5993 +aS'be\tbe\tVB\tI-VP\tO' +p5994 +aS'difficult\tdifficult\tJJ\tB-ADJP\tO' +p5995 +aS'for\tfor\tIN\tB-SBAR\tO' +p5996 +aS'him\thim\tPRP\tB-NP\tO' +p5997 +aS'to\tto\tTO\tB-VP\tO' +p5998 +aS'remove\tremove\tVB\tI-VP\tO' +p5999 +aS'or\tor\tCC\tO\tO' +p6000 +aS'to\tto\tTO\tB-VP\tO' +p6001 +aS'ambulate\tambulate\tVB\tI-VP\tO' +p6002 +aS'on\ton\tIN\tB-PP\tO' +p6003 +aS'his\this\tPRP$\tB-NP\tO' +p6004 +aS'leg\tleg\tNN\tI-NP\tO' +p6005 +aS',\t,\t,\tO\tO' +p6006 +aS'which\twhich\tWDT\tB-NP\tO' +p6007 +aS'might\tmight\tMD\tB-VP\tO' +p6008 +aS'jeopardize\tjeopardize\tVB\tI-VP\tO' +p6009 +aS'his\this\tPRP$\tB-NP\tO' +p6010 +aS'closure\tclosure\tNN\tI-NP\tO' +p6011 +aS'.\t.\t.\tO\tO' +p6012 +asS'This was obtained on 08/30/98 by Dr. Niste Rhalt of the Cardiac Surgical Service .' +p6013 +(lp6014 +S'This\tThis\tDT\tB-NP\tO' +p6015 +aS'was\tbe\tVBD\tB-VP\tO' +p6016 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p6017 +aS'on\ton\tIN\tB-PP\tO' +p6018 +aS'08/30/98\t08/30/98\tCD\tB-NP\tO' +p6019 +aS'by\tby\tIN\tB-PP\tO' +p6020 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p6021 +aS'Niste\tNiste\tNNP\tI-NP\tO' +p6022 +aS'Rhalt\tRhalt\tNNP\tI-NP\tO' +p6023 +aS'of\tof\tIN\tB-PP\tO' +p6024 +aS'the\tthe\tDT\tB-NP\tO' +p6025 +aS'Cardiac\tCardiac\tNNP\tI-NP\tO' +p6026 +aS'Surgical\tSurgical\tNNP\tI-NP\tO' +p6027 +aS'Service\tService\tNNP\tI-NP\tO' +p6028 +aS'.\t.\t.\tO\tO' +p6029 +asS'Patient had a blood pressure of 128/72 , a pulse of 84 that was regular , and she was afebrile at 98.4 .' +p6030 +(lp6031 +S'Patient\tPatient\tNN\tB-NP\tO' +p6032 +aS'had\thave\tVBD\tB-VP\tO' +p6033 +aS'a\ta\tDT\tB-NP\tO' +p6034 +aS'blood\tblood\tNN\tI-NP\tO' +p6035 +aS'pressure\tpressure\tNN\tI-NP\tO' +p6036 +aS'of\tof\tIN\tB-PP\tO' +p6037 +aS'128/72\t128/72\tCD\tB-NP\tO' +p6038 +aS',\t,\t,\tO\tO' +p6039 +aS'a\ta\tDT\tB-NP\tO' +p6040 +aS'pulse\tpulse\tNN\tI-NP\tO' +p6041 +aS'of\tof\tIN\tB-PP\tO' +p6042 +aS'84\t84\tCD\tB-NP\tO' +p6043 +aS'that\tthat\tWDT\tB-NP\tO' +p6044 +aS'was\tbe\tVBD\tB-VP\tO' +p6045 +aS'regular\tregular\tJJ\tB-ADJP\tO' +p6046 +aS',\t,\t,\tO\tO' +p6047 +aS'and\tand\tCC\tO\tO' +p6048 +aS'she\tshe\tPRP\tB-NP\tO' +p6049 +aS'was\tbe\tVBD\tB-VP\tO' +p6050 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p6051 +aS'at\tat\tIN\tB-PP\tO' +p6052 +aS'98.4\t98.4\tCD\tB-NP\tO' +p6053 +aS'.\t.\t.\tO\tO' +p6054 +asS'She is diabetic .' +p6055 +(lp6056 +S'She\tShe\tPRP\tB-NP\tO' +p6057 +aS'is\tbe\tVBZ\tB-VP\tO' +p6058 +aS'diabetic\tdiabetic\tJJ\tB-ADJP\tO' +p6059 +aS'.\t.\t.\tO\tO' +p6060 +asS'3. Xalatan 0.005% one gtt left eye qhs .' +p6061 +(lp6062 +S'3.\t3.\tLS\tB-LST\tO' +p6063 +aS'Xalatan\tXalatan\tNNP\tB-NP\tO' +p6064 +aS'0.005%\t0.005%\tCD\tI-NP\tO' +p6065 +aS'one\tone\tCD\tI-NP\tO' +p6066 +aS'gtt\tgtt\tNN\tI-NP\tO' +p6067 +aS'left\tleave\tVBD\tB-VP\tO' +p6068 +aS'eye\teye\tNN\tB-NP\tO' +p6069 +aS'qhs\tqh\tNNS\tI-NP\tO' +p6070 +aS'.\t.\t.\tO\tO' +p6071 +asS'She received Tamoxifen briefly .' +p6072 +(lp6073 +S'She\tShe\tPRP\tB-NP\tO' +p6074 +aS'received\treceive\tVBD\tB-VP\tO' +p6075 +aS'Tamoxifen\tTamoxifen\tNN\tB-NP\tO' +p6076 +aS'briefly\tbriefly\tRB\tB-ADVP\tO' +p6077 +aS'.\t.\t.\tO\tO' +p6078 +asS'He completed 7 days of levofloxacin and had a PICC line placed to facilitate a 2 week course of IV Penicillin .' +p6079 +(lp6080 +S'He\tHe\tPRP\tB-NP\tO' +p6081 +aS'completed\tcomplete\tVBD\tB-VP\tO' +p6082 +aS'7\t7\tCD\tB-NP\tO' +p6083 +aS'days\tday\tNNS\tI-NP\tO' +p6084 +aS'of\tof\tIN\tB-PP\tO' +p6085 +aS'levofloxacin\tlevofloxacin\tNN\tB-NP\tO' +p6086 +aS'and\tand\tCC\tO\tO' +p6087 +aS'had\thave\tVBD\tB-VP\tO' +p6088 +aS'a\ta\tDT\tB-NP\tO' +p6089 +aS'PICC\tPICC\tNN\tI-NP\tB-cell_line' +p6090 +aS'line\tline\tNN\tI-NP\tI-cell_line' +p6091 +aS'placed\tplace\tVBN\tB-VP\tO' +p6092 +aS'to\tto\tTO\tB-VP\tO' +p6093 +aS'facilitate\tfacilitate\tVB\tI-VP\tO' +p6094 +aS'a\ta\tDT\tB-NP\tO' +p6095 +aS'2\t2\tCD\tI-NP\tO' +p6096 +aS'week\tweek\tNN\tI-NP\tO' +p6097 +aS'course\tcourse\tNN\tI-NP\tO' +p6098 +aS'of\tof\tIN\tB-PP\tO' +p6099 +aS'IV\tIV\tCD\tB-NP\tO' +p6100 +aS'Penicillin\tPenicillin\tNNP\tI-NP\tO' +p6101 +aS'.\t.\t.\tO\tO' +p6102 +asS'She may be reached at ( 756 ) 599-4849 .' +p6103 +(lp6104 +S'She\tShe\tPRP\tB-NP\tO' +p6105 +aS'may\tmay\tMD\tB-VP\tO' +p6106 +aS'be\tbe\tVB\tI-VP\tO' +p6107 +aS'reached\treach\tVBN\tI-VP\tO' +p6108 +aS'at\tat\tIN\tB-PP\tO' +p6109 +aS'(\t(\t(\tO\tO' +p6110 +aS'756\t756\tCD\tB-NP\tO' +p6111 +aS')\t)\t)\tO\tO' +p6112 +aS'599-4849\t599-4849\tCD\tB-NP\tO' +p6113 +aS'.\t.\t.\tO\tO' +p6114 +asS'He was given Lasix 40 mg IV x 1 and also had Nitro paste around the time of his surgery and beta blocker .' +p6115 +(lp6116 +S'He\tHe\tPRP\tB-NP\tO' +p6117 +aS'was\tbe\tVBD\tB-VP\tO' +p6118 +aS'given\tgive\tVBN\tI-VP\tO' +p6119 +aS'Lasix\tLasix\tNNP\tB-NP\tO' +p6120 +aS'40\t40\tCD\tI-NP\tO' +p6121 +aS'mg\tmg\tNN\tI-NP\tO' +p6122 +aS'IV\tIV\tCD\tB-NP\tO' +p6123 +aS'x\tx\tNN\tI-NP\tO' +p6124 +aS'1\t1\tCD\tB-NP\tO' +p6125 +aS'and\tand\tCC\tI-NP\tO' +p6126 +aS'also\talso\tRB\tI-NP\tO' +p6127 +aS'had\thave\tVBD\tB-VP\tO' +p6128 +aS'Nitro\tNitro\tNNP\tB-NP\tO' +p6129 +aS'paste\tpaste\tNN\tI-NP\tO' +p6130 +aS'around\taround\tIN\tB-PP\tO' +p6131 +aS'the\tthe\tDT\tB-NP\tO' +p6132 +aS'time\ttime\tNN\tI-NP\tO' +p6133 +aS'of\tof\tIN\tB-PP\tO' +p6134 +aS'his\this\tPRP$\tB-NP\tO' +p6135 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p6136 +aS'and\tand\tCC\tI-NP\tO' +p6137 +aS'beta\tbeta\tNN\tI-NP\tO' +p6138 +aS'blocker\tblocker\tNN\tI-NP\tO' +p6139 +aS'.\t.\t.\tO\tO' +p6140 +asS'obese with multiple well healed surgical incisions , positive bowel sounds .' +p6141 +(lp6142 +S'obese\tobese\tJJ\tB-ADJP\tO' +p6143 +aS'with\twith\tIN\tB-PP\tO' +p6144 +aS'multiple\tmultiple\tJJ\tB-ADJP\tO' +p6145 +aS'well\twell\tRB\tB-ADVP\tO' +p6146 +aS'healed\theal\tVBD\tB-VP\tO' +p6147 +aS'surgical\tsurgical\tJJ\tB-NP\tO' +p6148 +aS'incisions\tincision\tNNS\tI-NP\tO' +p6149 +aS',\t,\t,\tO\tO' +p6150 +aS'positive\tpositive\tJJ\tB-NP\tO' +p6151 +aS'bowel\tbowel\tNN\tI-NP\tO' +p6152 +aS'sounds\tsound\tNNS\tI-NP\tO' +p6153 +aS'.\t.\t.\tO\tO' +p6154 +asS'The left lower quadrant pain in the groin radiated to the left knee .' +p6155 +(lp6156 +S'The\tThe\tDT\tB-NP\tO' +p6157 +aS'left\tleave\tVBD\tB-VP\tO' +p6158 +aS'lower\tlow\tJJR\tB-NP\tO' +p6159 +aS'quadrant\tquadrant\tJJ\tI-NP\tO' +p6160 +aS'pain\tpain\tNN\tI-NP\tO' +p6161 +aS'in\tin\tIN\tB-PP\tO' +p6162 +aS'the\tthe\tDT\tB-NP\tO' +p6163 +aS'groin\tgroin\tNN\tI-NP\tO' +p6164 +aS'radiated\tradiate\tVBN\tB-VP\tO' +p6165 +aS'to\tto\tTO\tB-PP\tO' +p6166 +aS'the\tthe\tDT\tB-NP\tO' +p6167 +aS'left\tleft\tJJ\tI-NP\tO' +p6168 +aS'knee\tknee\tNN\tI-NP\tO' +p6169 +aS'.\t.\t.\tO\tO' +p6170 +asS'4. Metastatic Squamous cell carcinoma of unknown primary .' +p6171 +(lp6172 +S'4.\t4.\tLS\tB-NP\tO' +p6173 +aS'Metastatic\tMetastatic\tJJ\tI-NP\tO' +p6174 +aS'Squamous\tSquamous\tJJ\tI-NP\tO' +p6175 +aS'cell\tcell\tNN\tI-NP\tO' +p6176 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p6177 +aS'of\tof\tIN\tB-PP\tO' +p6178 +aS'unknown\tunknown\tJJ\tB-NP\tO' +p6179 +aS'primary\tprimary\tNN\tI-NP\tO' +p6180 +aS'.\t.\t.\tO\tO' +p6181 +asS'If you do not have a primary care physician , it is recommended that you select one .' +p6182 +(lp6183 +S'If\tIf\tIN\tB-SBAR\tO' +p6184 +aS'you\tyou\tPRP\tB-NP\tO' +p6185 +aS'do\tdo\tVBP\tB-VP\tO' +p6186 +aS'not\tnot\tRB\tI-VP\tO' +p6187 +aS'have\thave\tVB\tI-VP\tO' +p6188 +aS'a\ta\tDT\tB-NP\tO' +p6189 +aS'primary\tprimary\tJJ\tI-NP\tO' +p6190 +aS'care\tcare\tNN\tI-NP\tO' +p6191 +aS'physician\tphysician\tNN\tI-NP\tO' +p6192 +aS',\t,\t,\tO\tO' +p6193 +aS'it\tit\tPRP\tB-NP\tO' +p6194 +aS'is\tbe\tVBZ\tB-VP\tO' +p6195 +aS'recommended\trecommend\tVBN\tI-VP\tO' +p6196 +aS'that\tthat\tIN\tB-SBAR\tO' +p6197 +aS'you\tyou\tPRP\tB-NP\tO' +p6198 +aS'select\tselect\tVBP\tB-VP\tO' +p6199 +aS'one\tone\tCD\tB-NP\tO' +p6200 +aS'.\t.\t.\tO\tO' +p6201 +asS'The official result was not yet in .' +p6202 +(lp6203 +S'The\tThe\tDT\tB-NP\tO' +p6204 +aS'official\tofficial\tJJ\tI-NP\tO' +p6205 +aS'result\tresult\tNN\tI-NP\tO' +p6206 +aS'was\tbe\tVBD\tB-VP\tO' +p6207 +aS'not\tnot\tRB\tO\tO' +p6208 +aS'yet\tyet\tRB\tB-ADVP\tO' +p6209 +aS'in\tin\tIN\tB-PP\tO' +p6210 +aS'.\t.\t.\tO\tO' +p6211 +asS'- consider anti coag for cva prevention , but wait until ambulating better' +p6212 +(lp6213 +S'-\t-\tHYPH\tB-NP\tO' +p6214 +aS'consider\tconsider\tNN\tI-NP\tO' +p6215 +aS'anti\tanti\tJJ\tI-NP\tO' +p6216 +aS'coag\tcoag\tNN\tI-NP\tO' +p6217 +aS'for\tfor\tIN\tB-PP\tO' +p6218 +aS'cva\tcva\tNN\tB-NP\tO' +p6219 +aS'prevention\tprevention\tNN\tI-NP\tO' +p6220 +aS',\t,\t,\tO\tO' +p6221 +aS'but\tbut\tCC\tO\tO' +p6222 +aS'wait\twait\tVB\tB-VP\tO' +p6223 +aS'until\tuntil\tIN\tB-PP\tO' +p6224 +aS'ambulating\tambulate\tVBG\tB-VP\tO' +p6225 +aS'better\tgood\tJJR\tB-ADJP\tO' +p6226 +asS'Cardiovascular examination - normal jugular venous pressure , normal carotid upstrokes with bruits , there are distant heart sounds , S1 and S2 are normal , there are no murmurs detected .' +p6227 +(lp6228 +S'Cardiovascular\tCardiovascular\tJJ\tB-NP\tO' +p6229 +aS'examination\texamination\tNN\tI-NP\tO' +p6230 +aS'-\t-\tHYPH\tB-NP\tO' +p6231 +aS'normal\tnormal\tJJ\tI-NP\tO' +p6232 +aS'jugular\tjugular\tJJ\tI-NP\tO' +p6233 +aS'venous\tvenous\tJJ\tI-NP\tO' +p6234 +aS'pressure\tpressure\tNN\tI-NP\tO' +p6235 +aS',\t,\t,\tO\tO' +p6236 +aS'normal\tnormal\tJJ\tB-NP\tO' +p6237 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p6238 +aS'upstrokes\tupstroke\tVBZ\tB-VP\tO' +p6239 +aS'with\twith\tIN\tB-PP\tO' +p6240 +aS'bruits\tbruit\tNNS\tB-NP\tO' +p6241 +aS',\t,\t,\tO\tO' +p6242 +aS'there\tthere\tEX\tB-NP\tO' +p6243 +aS'are\tbe\tVBP\tB-VP\tO' +p6244 +aS'distant\tdistant\tJJ\tB-NP\tO' +p6245 +aS'heart\theart\tNN\tI-NP\tO' +p6246 +aS'sounds\tsound\tNNS\tI-NP\tO' +p6247 +aS',\t,\t,\tO\tO' +p6248 +aS'S1\tS1\tNN\tB-NP\tB-protein' +p6249 +aS'and\tand\tCC\tO\tO' +p6250 +aS'S2\tS2\tNN\tB-NP\tB-protein' +p6251 +aS'are\tbe\tVBP\tB-VP\tO' +p6252 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p6253 +aS',\t,\t,\tO\tO' +p6254 +aS'there\tthere\tEX\tB-NP\tO' +p6255 +aS'are\tbe\tVBP\tB-VP\tO' +p6256 +aS'no\tno\tDT\tB-NP\tO' +p6257 +aS'murmurs\tmurmur\tNNS\tI-NP\tO' +p6258 +aS'detected\tdetect\tVBN\tB-VP\tO' +p6259 +aS'.\t.\t.\tO\tO' +p6260 +asS'- Low Na diet with 1 liter fluid restriction' +p6261 +(lp6262 +S'-\t-\tHYPH\tB-NP\tO' +p6263 +aS'Low\tLow\tJJ\tI-NP\tO' +p6264 +aS'Na\tNa\tNN\tI-NP\tO' +p6265 +aS'diet\tdiet\tNN\tI-NP\tO' +p6266 +aS'with\twith\tIN\tB-PP\tO' +p6267 +aS'1\t1\tCD\tB-NP\tO' +p6268 +aS'liter\tliter\tNN\tI-NP\tO' +p6269 +aS'fluid\tfluid\tNN\tI-NP\tO' +p6270 +aS'restriction\trestriction\tNN\tI-NP\tO' +p6271 +asS"12. Communication - With pt 's son ." +p6272 +(lp6273 +S'12.\t12.\tLS\tB-NP\tO' +p6274 +aS'Communication\tCommunication\tNN\tI-NP\tO' +p6275 +aS'-\t-\tHYPH\tB-ADJP\tO' +p6276 +aS'With\tWith\tIN\tB-PP\tO' +p6277 +aS'pt\tpt\tNN\tB-NP\tO' +p6278 +aS"'s\t's\tPOS\tB-NP\tO" +p6279 +aS'son\tson\tNN\tI-NP\tO' +p6280 +aS'.\t.\t.\tO\tO' +p6281 +asS'1. Prematurity triplet number two .' +p6282 +(lp6283 +S'1.\t1.\tLS\tB-NP\tO' +p6284 +aS'Prematurity\tPrematurity\tNN\tI-NP\tO' +p6285 +aS'triplet\ttriplet\tNN\tI-NP\tO' +p6286 +aS'number\tnumber\tNN\tI-NP\tO' +p6287 +aS'two\ttwo\tCD\tI-NP\tO' +p6288 +aS'.\t.\t.\tO\tO' +p6289 +asS'CNS active , responsive to stimulation .' +p6290 +(lp6291 +S'CNS\tCNS\tNN\tB-NP\tB-protein' +p6292 +aS'active\tactive\tJJ\tB-ADJP\tO' +p6293 +aS',\t,\t,\tO\tO' +p6294 +aS'responsive\tresponsive\tJJ\tB-ADJP\tO' +p6295 +aS'to\tto\tTO\tB-PP\tO' +p6296 +aS'stimulation\tstimulation\tNN\tB-NP\tO' +p6297 +aS'.\t.\t.\tO\tO' +p6298 +asS'16. Miconazole Nitrate 2 % Cream Sig : One ( 1 ) Appl Topical BID ( 2 times a day ).' +p6299 +(lp6300 +S'16.\t16.\tLS\tB-NP\tO' +p6301 +aS'Miconazole\tMiconazole\tNN\tI-NP\tO' +p6302 +aS'Nitrate\tNitrate\tNN\tI-NP\tO' +p6303 +aS'2\t2\tCD\tB-NP\tO' +p6304 +aS'%\t%\tNN\tI-NP\tO' +p6305 +aS'Cream\tCream\tNNP\tI-NP\tO' +p6306 +aS'Sig\tSig\tNNP\tI-NP\tO' +p6307 +aS':\t:\t:\tO\tO' +p6308 +aS'One\tOne\tCD\tB-NP\tO' +p6309 +aS'(\t(\t(\tO\tO' +p6310 +aS'1\t1\tCD\tB-NP\tO' +p6311 +aS')\t)\t)\tO\tO' +p6312 +aS'Appl\tAppl\tNNP\tB-NP\tO' +p6313 +aS'Topical\tTopical\tJJ\tI-NP\tO' +p6314 +aS'BID\tBID\tNN\tI-NP\tO' +p6315 +aS'(\t(\t(\tO\tO' +p6316 +aS'2\t2\tCD\tB-NP\tO' +p6317 +aS'times\ttime\tNNS\tI-NP\tO' +p6318 +aS'a\ta\tDT\tB-NP\tO' +p6319 +aS'day\tday\tNN\tI-NP\tO' +p6320 +aS').\t).\t.\tO\tO' +p6321 +asS'His ICPs were in the range of 11-22 , and he was weaned off the Nipride drip .' +p6322 +(lp6323 +S'His\tHis\tPRP$\tB-NP\tO' +p6324 +aS'ICPs\tICP\tNNS\tI-NP\tB-protein' +p6325 +aS'were\tbe\tVBD\tB-VP\tO' +p6326 +aS'in\tin\tIN\tB-PP\tO' +p6327 +aS'the\tthe\tDT\tB-NP\tO' +p6328 +aS'range\trange\tNN\tI-NP\tO' +p6329 +aS'of\tof\tIN\tB-PP\tO' +p6330 +aS'11-22\t11-22\tCD\tB-NP\tO' +p6331 +aS',\t,\t,\tO\tO' +p6332 +aS'and\tand\tCC\tO\tO' +p6333 +aS'he\the\tPRP\tB-NP\tO' +p6334 +aS'was\tbe\tVBD\tB-VP\tO' +p6335 +aS'weaned\twean\tVBN\tI-VP\tO' +p6336 +aS'off\toff\tIN\tB-PP\tO' +p6337 +aS'the\tthe\tDT\tB-NP\tO' +p6338 +aS'Nipride\tNipride\tNN\tI-NP\tB-protein' +p6339 +aS'drip\tdrip\tNN\tI-NP\tI-protein' +p6340 +aS'.\t.\t.\tO\tO' +p6341 +asS'She had a Hoffman 's sign greater on the right than the left and she had 10 beats of clonus in the right foot and 3-5 beats in the left foot .' +p6342 +(lp6343 +S'She\tShe\tPRP\tB-NP\tO' +p6344 +aS'had\thave\tVBD\tB-VP\tO' +p6345 +aS'a\ta\tDT\tB-NP\tO' +p6346 +aS'Hoffman\tHoffman\tNNP\tI-NP\tO' +p6347 +aS''s\t'\tNNS\tI-NP\tO' +p6348 +aS'sign\tsign\tVBP\tB-VP\tO' +p6349 +aS'greater\tgreat\tJJR\tB-ADJP\tO' +p6350 +aS'on\ton\tIN\tB-PP\tO' +p6351 +aS'the\tthe\tDT\tB-NP\tO' +p6352 +aS'right\tright\tNN\tI-NP\tO' +p6353 +aS'than\tthan\tIN\tB-PP\tO' +p6354 +aS'the\tthe\tDT\tB-NP\tO' +p6355 +aS'left\tleft\tNN\tI-NP\tO' +p6356 +aS'and\tand\tCC\tO\tO' +p6357 +aS'she\tshe\tPRP\tB-NP\tO' +p6358 +aS'had\thave\tVBD\tB-VP\tO' +p6359 +aS'10\t10\tCD\tB-NP\tO' +p6360 +aS'beats\tbeat\tNNS\tI-NP\tO' +p6361 +aS'of\tof\tIN\tB-PP\tO' +p6362 +aS'clonus\tclonus\tNN\tB-NP\tO' +p6363 +aS'in\tin\tIN\tB-PP\tO' +p6364 +aS'the\tthe\tDT\tB-NP\tO' +p6365 +aS'right\tright\tJJ\tI-NP\tO' +p6366 +aS'foot\tfoot\tNN\tI-NP\tO' +p6367 +aS'and\tand\tCC\tO\tO' +p6368 +aS'3-5\t3-5\tCD\tB-NP\tO' +p6369 +aS'beats\tbeat\tNNS\tI-NP\tO' +p6370 +aS'in\tin\tIN\tB-PP\tO' +p6371 +aS'the\tthe\tDT\tB-NP\tO' +p6372 +aS'left\tleft\tJJ\tI-NP\tO' +p6373 +aS'foot\tfoot\tNN\tI-NP\tO' +p6374 +aS'.\t.\t.\tO\tO' +p6375 +asS'BEST team eval found bed at psych rehab facility .' +p6376 +(lp6377 +S'BEST\tBEST\tNN\tB-NP\tO' +p6378 +aS'team\tteam\tNN\tI-NP\tO' +p6379 +aS'eval\teval\tNN\tI-NP\tO' +p6380 +aS'found\tfind\tVBD\tB-VP\tO' +p6381 +aS'bed\tbed\tNN\tB-NP\tO' +p6382 +aS'at\tat\tIN\tB-PP\tO' +p6383 +aS'psych\tpsych\tNN\tB-NP\tO' +p6384 +aS'rehab\trehab\tNN\tI-NP\tO' +p6385 +aS'facility\tfacility\tNN\tI-NP\tO' +p6386 +aS'.\t.\t.\tO\tO' +p6387 +asS'She tolerated a full diet well , but continued to have abdominal cramping and a mild ileus for the following three days .' +p6388 +(lp6389 +S'She\tShe\tPRP\tB-NP\tO' +p6390 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p6391 +aS'a\ta\tDT\tB-NP\tO' +p6392 +aS'full\tfull\tJJ\tI-NP\tO' +p6393 +aS'diet\tdiet\tNN\tI-NP\tO' +p6394 +aS'well\twell\tRB\tB-ADVP\tO' +p6395 +aS',\t,\t,\tO\tO' +p6396 +aS'but\tbut\tCC\tO\tO' +p6397 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p6398 +aS'to\tto\tTO\tI-VP\tO' +p6399 +aS'have\thave\tVB\tI-VP\tO' +p6400 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p6401 +aS'cramping\tcramping\tNN\tI-NP\tO' +p6402 +aS'and\tand\tCC\tO\tO' +p6403 +aS'a\ta\tDT\tB-NP\tO' +p6404 +aS'mild\tmild\tJJ\tI-NP\tO' +p6405 +aS'ileus\tileus\tNN\tI-NP\tO' +p6406 +aS'for\tfor\tIN\tB-PP\tO' +p6407 +aS'the\tthe\tDT\tB-NP\tO' +p6408 +aS'following\tfollow\tVBG\tI-NP\tO' +p6409 +aS'three\tthree\tCD\tI-NP\tO' +p6410 +aS'days\tday\tNNS\tI-NP\tO' +p6411 +aS'.\t.\t.\tO\tO' +p6412 +asS'5. Iron sulfate 81 mg p.o. q.d.' +p6413 +(lp6414 +S'5.\t5.\tLS\tB-NP\tO' +p6415 +aS'Iron\tIron\tNNP\tI-NP\tO' +p6416 +aS'sulfate\tsulfate\tNN\tI-NP\tO' +p6417 +aS'81\t81\tCD\tI-NP\tO' +p6418 +aS'mg\tmg\tNN\tI-NP\tO' +p6419 +aS'p.o.\tp.o.\tFW\tB-ADVP\tO' +p6420 +aS'q.d.\tq.d.\tFW\tI-ADVP\tO' +p6421 +asS'Methicillin resistant staph aureus infection of central nervous system' +p6422 +(lp6423 +S'Methicillin\tMethicillin\tNN\tB-NP\tO' +p6424 +aS'resistant\tresistant\tJJ\tI-NP\tO' +p6425 +aS'staph\tstaph\tNN\tI-NP\tO' +p6426 +aS'aureus\taureus\tNN\tI-NP\tO' +p6427 +aS'infection\tinfection\tNN\tI-NP\tO' +p6428 +aS'of\tof\tIN\tB-PP\tO' +p6429 +aS'central\tcentral\tJJ\tB-NP\tO' +p6430 +aS'nervous\tnervous\tJJ\tI-NP\tO' +p6431 +aS'system\tsystem\tNN\tI-NP\tO' +p6432 +asS'His INR goal is 02-24 .' +p6433 +(lp6434 +S'His\tHis\tPRP$\tB-NP\tO' +p6435 +aS'INR\tINR\tNN\tI-NP\tO' +p6436 +aS'goal\tgoal\tNN\tI-NP\tO' +p6437 +aS'is\tbe\tVBZ\tB-VP\tO' +p6438 +aS'02-24\t02-24\tCD\tB-NP\tO' +p6439 +aS'.\t.\t.\tO\tO' +p6440 +asS'Urine Cx in house grew Citrobacter Freundi and his sputum grew Acinetobacter Baummani .' +p6441 +(lp6442 +S'Urine\tUrine\tNN\tB-NP\tO' +p6443 +aS'Cx\tCx\tNN\tI-NP\tO' +p6444 +aS'in\tin\tIN\tB-PP\tO' +p6445 +aS'house\thouse\tNN\tB-NP\tO' +p6446 +aS'grew\tgrow\tVBD\tB-VP\tO' +p6447 +aS'Citrobacter\tCitrobacter\tNNP\tB-NP\tO' +p6448 +aS'Freundi\tFreundi\tNNP\tI-NP\tO' +p6449 +aS'and\tand\tCC\tO\tO' +p6450 +aS'his\this\tPRP$\tB-NP\tO' +p6451 +aS'sputum\tsputum\tNN\tI-NP\tO' +p6452 +aS'grew\tgrow\tVBD\tB-VP\tO' +p6453 +aS'Acinetobacter\tAcinetobacter\tNNP\tB-NP\tO' +p6454 +aS'Baummani\tBaummani\tNNP\tI-NP\tO' +p6455 +aS'.\t.\t.\tO\tO' +p6456 +asS'We were concerned regarding possibly binge drinking or ETOH abuse .' +p6457 +(lp6458 +S'We\tWe\tPRP\tB-NP\tO' +p6459 +aS'were\tbe\tVBD\tB-VP\tO' +p6460 +aS'concerned\tconcern\tVBN\tB-ADJP\tO' +p6461 +aS'regarding\tregard\tVBG\tB-VP\tO' +p6462 +aS'possibly\tpossibly\tRB\tI-VP\tO' +p6463 +aS'binge\tbinge\tVB\tI-VP\tO' +p6464 +aS'drinking\tdrinking\tNN\tB-NP\tO' +p6465 +aS'or\tor\tCC\tI-NP\tO' +p6466 +aS'ETOH\tETOH\tNN\tI-NP\tO' +p6467 +aS'abuse\tabuse\tNN\tI-NP\tO' +p6468 +aS'.\t.\t.\tO\tO' +p6469 +asS'This is to notify you that your patient , DOUETTWIDOUET , TAROBY arrived in the Emergency Department at Fairm of Ijordcompmac Hospital on 09/21/2003 06:51 PM .' +p6470 +(lp6471 +S'This\tThis\tDT\tB-NP\tO' +p6472 +aS'is\tbe\tVBZ\tB-VP\tO' +p6473 +aS'to\tto\tTO\tB-VP\tO' +p6474 +aS'notify\tnotify\tVB\tI-VP\tO' +p6475 +aS'you\tyou\tPRP\tB-NP\tO' +p6476 +aS'that\tthat\tIN\tB-SBAR\tO' +p6477 +aS'your\tyour\tPRP$\tB-NP\tO' +p6478 +aS'patient\tpatient\tNN\tI-NP\tO' +p6479 +aS',\t,\t,\tO\tO' +p6480 +aS'DOUETTWIDOUET\tDOUETTWIDOUET\tNN\tB-NP\tO' +p6481 +aS',\t,\t,\tO\tO' +p6482 +aS'TAROBY\tTAROBY\tNN\tB-NP\tO' +p6483 +aS'arrived\tarrive\tVBD\tB-VP\tO' +p6484 +aS'in\tin\tIN\tB-PP\tO' +p6485 +aS'the\tthe\tDT\tB-NP\tO' +p6486 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p6487 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p6488 +aS'at\tat\tIN\tB-PP\tO' +p6489 +aS'Fairm\tFairm\tNNP\tB-NP\tO' +p6490 +aS'of\tof\tIN\tB-PP\tO' +p6491 +aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' +p6492 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p6493 +aS'on\ton\tIN\tB-PP\tO' +p6494 +aS'09/21/2003\t09/21/2003\tCD\tB-NP\tO' +p6495 +aS'06:51\t06:51\tCD\tI-NP\tO' +p6496 +aS'PM\tPM\tNN\tI-NP\tO' +p6497 +aS'.\t.\t.\tO\tO' +p6498 +asS'She did continue to have a persistent fairly severe cough ; however , her cough was weak due to abdominal muscle pain from repeated coughing .' +p6499 +(lp6500 +S'She\tShe\tPRP\tB-NP\tO' +p6501 +aS'did\tdo\tVBD\tB-VP\tO' +p6502 +aS'continue\tcontinue\tVB\tI-VP\tO' +p6503 +aS'to\tto\tTO\tI-VP\tO' +p6504 +aS'have\thave\tVB\tI-VP\tO' +p6505 +aS'a\ta\tDT\tB-NP\tO' +p6506 +aS'persistent\tpersistent\tJJ\tI-NP\tO' +p6507 +aS'fairly\tfairly\tRB\tI-NP\tO' +p6508 +aS'severe\tsevere\tJJ\tI-NP\tO' +p6509 +aS'cough\tcough\tNN\tI-NP\tO' +p6510 +aS';\t;\t:\tO\tO' +p6511 +aS'however\thowever\tRB\tB-ADVP\tO' +p6512 +aS',\t,\t,\tO\tO' +p6513 +aS'her\ther\tPRP$\tB-NP\tO' +p6514 +aS'cough\tcough\tNN\tI-NP\tO' +p6515 +aS'was\tbe\tVBD\tB-VP\tO' +p6516 +aS'weak\tweak\tJJ\tB-ADJP\tO' +p6517 +aS'due\tdue\tJJ\tB-PP\tO' +p6518 +aS'to\tto\tTO\tB-PP\tO' +p6519 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p6520 +aS'muscle\tmuscle\tNN\tI-NP\tO' +p6521 +aS'pain\tpain\tNN\tI-NP\tO' +p6522 +aS'from\tfrom\tIN\tB-PP\tO' +p6523 +aS'repeated\trepeat\tVBN\tB-NP\tO' +p6524 +aS'coughing\tcoughing\tNN\tI-NP\tO' +p6525 +aS'.\t.\t.\tO\tO' +p6526 +asS'Head circumference was 30 cm , 50th percentile .' +p6527 +(lp6528 +S'Head\tHead\tNN\tB-NP\tO' +p6529 +aS'circumference\tcircumference\tNN\tI-NP\tO' +p6530 +aS'was\tbe\tVBD\tB-VP\tO' +p6531 +aS'30\t30\tCD\tB-NP\tO' +p6532 +aS'cm\tcm\tNN\tI-NP\tO' +p6533 +aS',\t,\t,\tO\tO' +p6534 +aS'50th\t50th\tJJ\tB-NP\tO' +p6535 +aS'percentile\tpercentile\tNN\tI-NP\tO' +p6536 +aS'.\t.\t.\tO\tO' +p6537 +asS'He has had 2 6 week courses of antibiotics with recurrent bacteremia .' +p6538 +(lp6539 +S'He\tHe\tPRP\tB-NP\tO' +p6540 +aS'has\thave\tVBZ\tB-VP\tO' +p6541 +aS'had\thave\tVBN\tI-VP\tO' +p6542 +aS'2\t2\tCD\tB-NP\tO' +p6543 +aS'6\t6\tCD\tI-NP\tO' +p6544 +aS'week\tweek\tNN\tI-NP\tO' +p6545 +aS'courses\tcourse\tNNS\tI-NP\tO' +p6546 +aS'of\tof\tIN\tB-PP\tO' +p6547 +aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' +p6548 +aS'with\twith\tIN\tB-PP\tO' +p6549 +aS'recurrent\trecurrent\tJJ\tB-NP\tO' +p6550 +aS'bacteremia\tbacteremia\tNN\tI-NP\tO' +p6551 +aS'.\t.\t.\tO\tO' +p6552 +asS'Oropharynx moist , without lesions .' +p6553 +(lp6554 +S'Oropharynx\tOropharynx\tNNP\tB-NP\tO' +p6555 +aS'moist\tmoist\tNN\tI-NP\tO' +p6556 +aS',\t,\t,\tO\tO' +p6557 +aS'without\twithout\tIN\tB-PP\tO' +p6558 +aS'lesions\tlesion\tNNS\tB-NP\tO' +p6559 +aS'.\t.\t.\tO\tO' +p6560 +asS'The patient was transferred to medicine service on hospital day #2 after remaining hemodynamically stable in the CMED CCU overnight .' +p6561 +(lp6562 +S'The\tThe\tDT\tB-NP\tO' +p6563 +aS'patient\tpatient\tNN\tI-NP\tO' +p6564 +aS'was\tbe\tVBD\tB-VP\tO' +p6565 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p6566 +aS'to\tto\tTO\tB-PP\tO' +p6567 +aS'medicine\tmedicine\tNN\tB-NP\tO' +p6568 +aS'service\tservice\tNN\tI-NP\tO' +p6569 +aS'on\ton\tIN\tB-PP\tO' +p6570 +aS'hospital\thospital\tNN\tB-NP\tO' +p6571 +aS'day\tday\tNN\tI-NP\tO' +p6572 +aS'#2\t#2\tCD\tI-NP\tO' +p6573 +aS'after\tafter\tIN\tB-PP\tO' +p6574 +aS'remaining\tremain\tVBG\tB-VP\tO' +p6575 +aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' +p6576 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p6577 +aS'in\tin\tIN\tB-PP\tO' +p6578 +aS'the\tthe\tDT\tB-NP\tO' +p6579 +aS'CMED\tCMED\tVBN\tI-NP\tO' +p6580 +aS'CCU\tCCU\tNN\tI-NP\tO' +p6581 +aS'overnight\tovernight\tRB\tB-ADVP\tO' +p6582 +aS'.\t.\t.\tO\tO' +p6583 +asS'Sed rate 6 .' +p6584 +(lp6585 +S'Sed\tSe\tVBN\tB-NP\tO' +p6586 +aS'rate\trate\tNN\tI-NP\tO' +p6587 +aS'6\t6\tCD\tI-NP\tO' +p6588 +aS'.\t.\t.\tO\tO' +p6589 +asS'Cardiology recommended that in addition to the medications already stated above , his hematocrit be kept greater than 30 .' +p6590 +(lp6591 +S'Cardiology\tCardiology\tNNP\tB-NP\tO' +p6592 +aS'recommended\trecommend\tVBD\tB-VP\tO' +p6593 +aS'that\tthat\tIN\tB-SBAR\tO' +p6594 +aS'in\tin\tIN\tB-PP\tO' +p6595 +aS'addition\taddition\tNN\tB-NP\tO' +p6596 +aS'to\tto\tTO\tB-PP\tO' +p6597 +aS'the\tthe\tDT\tB-NP\tO' +p6598 +aS'medications\tmedication\tNNS\tI-NP\tO' +p6599 +aS'already\talready\tRB\tB-VP\tO' +p6600 +aS'stated\tstate\tVBN\tI-VP\tO' +p6601 +aS'above\tabove\tIN\tB-PP\tO' +p6602 +aS',\t,\t,\tO\tO' +p6603 +aS'his\this\tPRP$\tB-NP\tO' +p6604 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p6605 +aS'be\tbe\tVB\tB-VP\tO' +p6606 +aS'kept\tkeep\tVBN\tI-VP\tO' +p6607 +aS'greater\tgreat\tJJR\tB-ADJP\tO' +p6608 +aS'than\tthan\tIN\tB-PP\tO' +p6609 +aS'30\t30\tCD\tB-NP\tO' +p6610 +aS'.\t.\t.\tO\tO' +p6611 +asS'She was found to be responsive only to painful stimuli at this time .' +p6612 +(lp6613 +S'She\tShe\tPRP\tB-NP\tO' +p6614 +aS'was\tbe\tVBD\tB-VP\tO' +p6615 +aS'found\tfind\tVBN\tI-VP\tO' +p6616 +aS'to\tto\tTO\tI-VP\tO' +p6617 +aS'be\tbe\tVB\tI-VP\tO' +p6618 +aS'responsive\tresponsive\tJJ\tB-ADJP\tO' +p6619 +aS'only\tonly\tRB\tB-ADVP\tO' +p6620 +aS'to\tto\tTO\tB-PP\tO' +p6621 +aS'painful\tpainful\tJJ\tB-NP\tO' +p6622 +aS'stimuli\tstimulus\tNNS\tI-NP\tO' +p6623 +aS'at\tat\tIN\tB-PP\tO' +p6624 +aS'this\tthis\tDT\tB-NP\tO' +p6625 +aS'time\ttime\tNN\tI-NP\tO' +p6626 +aS'.\t.\t.\tO\tO' +p6627 +asS'Cardiac enzymes were cycled and were normal .' +p6628 +(lp6629 +S'Cardiac\tCardiac\tJJ\tB-NP\tB-protein' +p6630 +aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' +p6631 +aS'were\tbe\tVBD\tB-VP\tO' +p6632 +aS'cycled\tcycle\tVBN\tI-VP\tO' +p6633 +aS'and\tand\tCC\tO\tO' +p6634 +aS'were\tbe\tVBD\tB-VP\tO' +p6635 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p6636 +aS'.\t.\t.\tO\tO' +p6637 +asS'The pulmonary team saw the patient and only recommended the above testing .' +p6638 +(lp6639 +S'The\tThe\tDT\tB-NP\tO' +p6640 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p6641 +aS'team\tteam\tNN\tI-NP\tO' +p6642 +aS'saw\tsee\tVBD\tB-VP\tO' +p6643 +aS'the\tthe\tDT\tB-NP\tO' +p6644 +aS'patient\tpatient\tNN\tI-NP\tO' +p6645 +aS'and\tand\tCC\tO\tO' +p6646 +aS'only\tonly\tRB\tB-VP\tO' +p6647 +aS'recommended\trecommend\tVBD\tI-VP\tO' +p6648 +aS'the\tthe\tDT\tB-NP\tO' +p6649 +aS'above\tabove\tJJ\tI-NP\tO' +p6650 +aS'testing\ttesting\tNN\tI-NP\tO' +p6651 +aS'.\t.\t.\tO\tO' +p6652 +asS'There is trace pulmonary insufficiency .' +p6653 +(lp6654 +S'There\tThere\tEX\tB-NP\tO' +p6655 +aS'is\tbe\tVBZ\tB-VP\tO' +p6656 +aS'trace\ttrace\tNN\tB-NP\tO' +p6657 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p6658 +aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' +p6659 +aS'.\t.\t.\tO\tO' +p6660 +asS'Sulfa ( Sulfonamides ) / Penicillins / Macrodantin / Ivp Dye , Iodine Containing' +p6661 +(lp6662 +S'Sulfa\tSulfa\tNN\tB-NP\tO' +p6663 +aS'(\t(\t(\tO\tO' +p6664 +aS'Sulfonamides\tSulfonamide\tNNS\tB-NP\tO' +p6665 +aS')\t)\t)\tO\tO' +p6666 +aS'/\t/\tSYM\tB-NP\tO' +p6667 +aS'Penicillins\tPenicillin\tNNPS\tI-NP\tB-protein' +p6668 +aS'/\t/\tSYM\tI-NP\tB-protein' +p6669 +aS'Macrodantin\tMacrodantin\tNN\tI-NP\tI-protein' +p6670 +aS'/\t/\tSYM\tB-NP\tO' +p6671 +aS'Ivp\tIvp\tNN\tI-NP\tB-protein' +p6672 +aS'Dye\tDye\tNNP\tB-NP\tO' +p6673 +aS',\t,\t,\tO\tO' +p6674 +aS'Iodine\tIodine\tNNP\tB-NP\tO' +p6675 +aS'Containing\tContaining\tNNP\tI-NP\tO' +p6676 +asS'Colace 100 mg twice a day p.r.n.' +p6677 +(lp6678 +S'Colace\tColace\tNNP\tB-NP\tO' +p6679 +aS'100\t100\tCD\tI-NP\tO' +p6680 +aS'mg\tmg\tNN\tI-NP\tO' +p6681 +aS'twice\ttwice\tRB\tB-NP\tO' +p6682 +aS'a\ta\tDT\tI-NP\tO' +p6683 +aS'day\tday\tNN\tI-NP\tO' +p6684 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p6685 +asS'Primary care physician was to check INR and titrate Zestril up and atenolol as tolerated .' +p6686 +(lp6687 +S'Primary\tPrimary\tJJ\tB-NP\tO' +p6688 +aS'care\tcare\tNN\tI-NP\tO' +p6689 +aS'physician\tphysician\tNN\tI-NP\tO' +p6690 +aS'was\tbe\tVBD\tB-VP\tO' +p6691 +aS'to\tto\tTO\tB-VP\tO' +p6692 +aS'check\tcheck\tVB\tI-VP\tO' +p6693 +aS'INR\tINR\tNN\tB-NP\tB-protein' +p6694 +aS'and\tand\tCC\tO\tO' +p6695 +aS'titrate\ttitrate\tVB\tB-VP\tO' +p6696 +aS'Zestril\tZestril\tNNP\tB-NP\tO' +p6697 +aS'up\tup\tIN\tB-PRT\tO' +p6698 +aS'and\tand\tCC\tO\tO' +p6699 +aS'atenolol\tatenolol\tNN\tB-NP\tO' +p6700 +aS'as\tas\tIN\tB-SBAR\tO' +p6701 +aS'tolerated\ttolerate\tVBN\tB-VP\tO' +p6702 +aS'.\t.\t.\tO\tO' +p6703 +asS'She was also complaining of fatigue for two weeks but a good appetite and the patient denied weight loss , melena , or bright red blood per rectum .' +p6704 +(lp6705 +S'She\tShe\tPRP\tB-NP\tO' +p6706 +aS'was\tbe\tVBD\tB-VP\tO' +p6707 +aS'also\talso\tRB\tI-VP\tO' +p6708 +aS'complaining\tcomplain\tVBG\tI-VP\tO' +p6709 +aS'of\tof\tIN\tB-PP\tO' +p6710 +aS'fatigue\tfatigue\tNN\tB-NP\tO' +p6711 +aS'for\tfor\tIN\tB-PP\tO' +p6712 +aS'two\ttwo\tCD\tB-NP\tO' +p6713 +aS'weeks\tweek\tNNS\tI-NP\tO' +p6714 +aS'but\tbut\tCC\tO\tO' +p6715 +aS'a\ta\tDT\tB-NP\tO' +p6716 +aS'good\tgood\tJJ\tI-NP\tO' +p6717 +aS'appetite\tappetite\tNN\tI-NP\tO' +p6718 +aS'and\tand\tCC\tO\tO' +p6719 +aS'the\tthe\tDT\tB-NP\tO' +p6720 +aS'patient\tpatient\tNN\tI-NP\tO' +p6721 +aS'denied\tdeny\tVBD\tB-VP\tO' +p6722 +aS'weight\tweight\tNN\tB-NP\tO' +p6723 +aS'loss\tloss\tNN\tI-NP\tO' +p6724 +aS',\t,\t,\tO\tO' +p6725 +aS'melena\tmelena\tNN\tB-NP\tO' +p6726 +aS',\t,\t,\tO\tO' +p6727 +aS'or\tor\tCC\tO\tO' +p6728 +aS'bright\tbright\tJJ\tB-NP\tO' +p6729 +aS'red\tred\tJJ\tI-NP\tO' +p6730 +aS'blood\tblood\tNN\tI-NP\tO' +p6731 +aS'per\tper\tIN\tB-PP\tO' +p6732 +aS'rectum\trectum\tNN\tB-NP\tO' +p6733 +aS'.\t.\t.\tO\tO' +p6734 +asS'States he first developed back pain 5 weeks ago but was still able to ambulate with his cane .' +p6735 +(lp6736 +S'States\tState\tNNS\tB-NP\tB-protein' +p6737 +aS'he\the\tPRP\tB-NP\tI-protein' +p6738 +aS'first\tfirst\tRB\tB-ADVP\tI-protein' +p6739 +aS'developed\tdevelop\tVBD\tB-VP\tI-protein' +p6740 +aS'back\tback\tRB\tB-ADVP\tI-protein' +p6741 +aS'pain\tpain\tNN\tB-NP\tI-protein' +p6742 +aS'5\t5\tCD\tB-NP\tI-protein' +p6743 +aS'weeks\tweek\tNNS\tI-NP\tI-protein' +p6744 +aS'ago\tago\tRB\tB-ADVP\tO' +p6745 +aS'but\tbut\tCC\tO\tO' +p6746 +aS'was\tbe\tVBD\tB-VP\tO' +p6747 +aS'still\tstill\tRB\tB-ADVP\tO' +p6748 +aS'able\table\tJJ\tB-ADJP\tO' +p6749 +aS'to\tto\tTO\tB-VP\tO' +p6750 +aS'ambulate\tambulate\tVB\tI-VP\tO' +p6751 +aS'with\twith\tIN\tB-PP\tO' +p6752 +aS'his\this\tPRP$\tB-NP\tO' +p6753 +aS'cane\tcane\tNN\tI-NP\tO' +p6754 +aS'.\t.\t.\tO\tO' +p6755 +asS'Tubal ligation , 1986 .' +p6756 +(lp6757 +S'Tubal\tTubal\tJJ\tB-NP\tO' +p6758 +aS'ligation\tligation\tNN\tI-NP\tO' +p6759 +aS',\t,\t,\tO\tO' +p6760 +aS'1986\t1986\tCD\tB-NP\tO' +p6761 +aS'.\t.\t.\tO\tO' +p6762 +asS'An nasogastric tube was placed and had an H2 blocker started , and was admitted for bowel rest and decompression .' +p6763 +(lp6764 +S'An\tAn\tDT\tB-NP\tO' +p6765 +aS'nasogastric\tnasogastric\tJJ\tI-NP\tO' +p6766 +aS'tube\ttube\tNN\tI-NP\tO' +p6767 +aS'was\tbe\tVBD\tB-VP\tO' +p6768 +aS'placed\tplace\tVBN\tI-VP\tO' +p6769 +aS'and\tand\tCC\tO\tO' +p6770 +aS'had\thave\tVBD\tB-VP\tO' +p6771 +aS'an\tan\tDT\tB-NP\tO' +p6772 +aS'H2\tH2\tNN\tI-NP\tO' +p6773 +aS'blocker\tblocker\tNN\tI-NP\tO' +p6774 +aS'started\tstart\tVBD\tB-VP\tO' +p6775 +aS',\t,\t,\tO\tO' +p6776 +aS'and\tand\tCC\tO\tO' +p6777 +aS'was\tbe\tVBD\tB-VP\tO' +p6778 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p6779 +aS'for\tfor\tIN\tB-PP\tO' +p6780 +aS'bowel\tbowel\tNN\tB-NP\tO' +p6781 +aS'rest\trest\tNN\tI-NP\tO' +p6782 +aS'and\tand\tCC\tI-NP\tO' +p6783 +aS'decompression\tdecompression\tNN\tI-NP\tO' +p6784 +aS'.\t.\t.\tO\tO' +p6785 +asS'The infant received 48 hours of ampicillin and gentamicin for rule out sepsis .' +p6786 +(lp6787 +S'The\tThe\tDT\tB-NP\tO' +p6788 +aS'infant\tinfant\tNN\tI-NP\tO' +p6789 +aS'received\treceive\tVBD\tB-VP\tO' +p6790 +aS'48\t48\tCD\tB-NP\tO' +p6791 +aS'hours\thour\tNNS\tI-NP\tO' +p6792 +aS'of\tof\tIN\tB-PP\tO' +p6793 +aS'ampicillin\tampicillin\tNN\tB-NP\tO' +p6794 +aS'and\tand\tCC\tI-NP\tO' +p6795 +aS'gentamicin\tgentamicin\tNN\tI-NP\tO' +p6796 +aS'for\tfor\tIN\tB-PP\tO' +p6797 +aS'rule\trule\tNN\tB-NP\tO' +p6798 +aS'out\tout\tIN\tB-PP\tO' +p6799 +aS'sepsis\tsepsis\tNN\tB-NP\tO' +p6800 +aS'.\t.\t.\tO\tO' +p6801 +asS'7. Sorbitol 30 cc every other day .' +p6802 +(lp6803 +S'7.\t7.\tCD\tB-NP\tO' +p6804 +aS'Sorbitol\tSorbitol\tNNP\tI-NP\tO' +p6805 +aS'30\t30\tCD\tI-NP\tO' +p6806 +aS'cc\tcc\tNN\tI-NP\tO' +p6807 +aS'every\tevery\tDT\tB-NP\tO' +p6808 +aS'other\tother\tJJ\tI-NP\tO' +p6809 +aS'day\tday\tNN\tI-NP\tO' +p6810 +aS'.\t.\t.\tO\tO' +p6811 +asS'The patient was discharged home on Coumadin 2.5 mg. po q d , and Ativan and Lomotil prn .' +p6812 +(lp6813 +S'The\tThe\tDT\tB-NP\tO' +p6814 +aS'patient\tpatient\tNN\tI-NP\tO' +p6815 +aS'was\tbe\tVBD\tB-VP\tO' +p6816 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p6817 +aS'home\thome\tNN\tB-ADVP\tO' +p6818 +aS'on\ton\tIN\tB-PP\tO' +p6819 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p6820 +aS'2.5\t2.5\tCD\tI-NP\tO' +p6821 +aS'mg.\tmg.\tNN\tI-NP\tO' +p6822 +aS'po\tpo\tNN\tI-NP\tO' +p6823 +aS'q\tq\tNN\tI-NP\tO' +p6824 +aS'd\td\tNN\tI-NP\tO' +p6825 +aS',\t,\t,\tO\tO' +p6826 +aS'and\tand\tCC\tO\tO' +p6827 +aS'Ativan\tAtivan\tNNP\tB-NP\tO' +p6828 +aS'and\tand\tCC\tI-NP\tO' +p6829 +aS'Lomotil\tLomotil\tNNP\tI-NP\tO' +p6830 +aS'prn\tprn\tNN\tI-NP\tO' +p6831 +aS'.\t.\t.\tO\tO' +p6832 +asS'Baby Alfonso Carroll is a full term infant born at 3.325 kg to a 35-year-old G2 , P1 , now 2 mother .' +p6833 +(lp6834 +S'Baby\tBaby\tNNP\tB-NP\tO' +p6835 +aS'Alfonso\tAlfonso\tNNP\tI-NP\tO' +p6836 +aS'Carroll\tCarroll\tNNP\tI-NP\tO' +p6837 +aS'is\tbe\tVBZ\tB-VP\tO' +p6838 +aS'a\ta\tDT\tB-NP\tO' +p6839 +aS'full\tfull\tJJ\tI-NP\tO' +p6840 +aS'term\tterm\tNN\tI-NP\tO' +p6841 +aS'infant\tinfant\tNN\tI-NP\tO' +p6842 +aS'born\tbear\tVBN\tB-VP\tO' +p6843 +aS'at\tat\tIN\tB-PP\tO' +p6844 +aS'3.325\t3.325\tCD\tB-NP\tO' +p6845 +aS'kg\tkg\tNN\tI-NP\tO' +p6846 +aS'to\tto\tTO\tB-PP\tO' +p6847 +aS'a\ta\tDT\tB-NP\tO' +p6848 +aS'35-year-old\t35-year-old\tJJ\tI-NP\tO' +p6849 +aS'G2\tG2\tNN\tI-NP\tO' +p6850 +aS',\t,\t,\tO\tO' +p6851 +aS'P1\tP1\tNN\tB-NP\tB-DNA' +p6852 +aS',\t,\t,\tO\tO' +p6853 +aS'now\tnow\tRB\tB-ADVP\tO' +p6854 +aS'2\t2\tCD\tB-NP\tO' +p6855 +aS'mother\tmother\tNN\tI-NP\tO' +p6856 +aS'.\t.\t.\tO\tO' +p6857 +asS'The patient had no further complaints and on 2012-03-10 , his white blood cell count was 2.3 , neutrophils 50% , bands 2% , lymphocytes 5% , monocytes 40% , and blasts 1% .' +p6858 +(lp6859 +S'The\tThe\tDT\tB-NP\tO' +p6860 +aS'patient\tpatient\tNN\tI-NP\tO' +p6861 +aS'had\thave\tVBD\tB-VP\tO' +p6862 +aS'no\tno\tDT\tB-NP\tO' +p6863 +aS'further\tfurther\tJJ\tI-NP\tO' +p6864 +aS'complaints\tcomplaint\tNNS\tI-NP\tO' +p6865 +aS'and\tand\tCC\tB-PP\tO' +p6866 +aS'on\ton\tIN\tB-PP\tO' +p6867 +aS'2012-03-10\t2012-03-10\tCD\tB-NP\tO' +p6868 +aS',\t,\t,\tO\tO' +p6869 +aS'his\this\tPRP$\tB-NP\tO' +p6870 +aS'white\twhite\tJJ\tI-NP\tO' +p6871 +aS'blood\tblood\tNN\tI-NP\tO' +p6872 +aS'cell\tcell\tNN\tI-NP\tO' +p6873 +aS'count\tcount\tNN\tI-NP\tO' +p6874 +aS'was\tbe\tVBD\tB-VP\tO' +p6875 +aS'2.3\t2.3\tCD\tB-NP\tO' +p6876 +aS',\t,\t,\tO\tO' +p6877 +aS'neutrophils\tneutrophil\tNNS\tB-NP\tB-cell_type' +p6878 +aS'50%\t50%\tCD\tB-NP\tO' +p6879 +aS',\t,\t,\tO\tO' +p6880 +aS'bands\tband\tNNS\tB-NP\tO' +p6881 +aS'2%\t2%\tNN\tI-NP\tO' +p6882 +aS',\t,\t,\tO\tO' +p6883 +aS'lymphocytes\tlymphocyte\tNNS\tB-NP\tB-cell_type' +p6884 +aS'5%\t5%\tCD\tB-NP\tO' +p6885 +aS',\t,\t,\tO\tO' +p6886 +aS'monocytes\tmonocyte\tNNS\tB-NP\tB-cell_type' +p6887 +aS'40%\t40%\tCD\tB-NP\tO' +p6888 +aS',\t,\t,\tO\tO' +p6889 +aS'and\tand\tCC\tO\tO' +p6890 +aS'blasts\tblast\tNNS\tB-NP\tO' +p6891 +aS'1%\t1%\tNN\tI-NP\tO' +p6892 +aS'.\t.\t.\tO\tO' +p6893 +asS'Soft , nontender , nondistended , normal active bowel sounds , no hepatosplenomegaly .' +p6894 +(lp6895 +S'Soft\tSoft\tRB\tB-ADVP\tO' +p6896 +aS',\t,\t,\tO\tO' +p6897 +aS'nontender\tnontender\tJJ\tB-NP\tO' +p6898 +aS',\t,\t,\tI-NP\tO' +p6899 +aS'nondistended\tnondistended\tJJ\tI-NP\tO' +p6900 +aS',\t,\t,\tI-NP\tO' +p6901 +aS'normal\tnormal\tJJ\tI-NP\tO' +p6902 +aS'active\tactive\tJJ\tI-NP\tO' +p6903 +aS'bowel\tbowel\tNN\tI-NP\tO' +p6904 +aS'sounds\tsound\tNNS\tI-NP\tO' +p6905 +aS',\t,\t,\tO\tO' +p6906 +aS'no\tno\tDT\tB-NP\tO' +p6907 +aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tI-NP\tO' +p6908 +aS'.\t.\t.\tO\tO' +p6909 +asS'1. Amylase-Lipase-Protease 33,200 - 10,000 - 37,500 unit Capsule , Delayed Release ( E.C. ) Sig : Four ( 4 ) Cap PO W/ MEALS AND SNACKS ( ) .' +p6910 +(lp6911 +S'1.\t1.\tLS\tB-LST\tO' +p6912 +aS'Amylase-Lipase-Protease\tAmylase-Lipase-Protease\tNN\tB-NP\tB-protein' +p6913 +aS'33,200\t33,200\tCD\tI-NP\tI-protein' +p6914 +aS'-\t-\tHYPH\tB-NP\tO' +p6915 +aS'10,000\t10,000\tCD\tI-NP\tO' +p6916 +aS'-\t-\tHYPH\tI-NP\tO' +p6917 +aS'37,500\t37,500\tCD\tI-NP\tO' +p6918 +aS'unit\tunit\tNN\tI-NP\tO' +p6919 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p6920 +aS',\t,\t,\tO\tO' +p6921 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p6922 +aS'Release\tRelease\tNNP\tI-NP\tO' +p6923 +aS'(\t(\t(\tO\tO' +p6924 +aS'E.C.\tE.C.\tNNP\tB-NP\tO' +p6925 +aS')\t)\t)\tO\tO' +p6926 +aS'Sig\tSig\tNNP\tB-NP\tO' +p6927 +aS':\t:\t:\tO\tO' +p6928 +aS'Four\tFour\tCD\tB-NP\tO' +p6929 +aS'(\t(\t(\tO\tO' +p6930 +aS'4\t4\tCD\tB-NP\tO' +p6931 +aS')\t)\t)\tO\tO' +p6932 +aS'Cap\tCap\tNNP\tB-NP\tO' +p6933 +aS'PO\tPO\tNNP\tI-NP\tO' +p6934 +aS'W/\tW/\tNNP\tI-NP\tO' +p6935 +aS'MEALS\tMEALS\tNNPS\tI-NP\tB-cell_type' +p6936 +aS'AND\tAND\tCC\tI-NP\tO' +p6937 +aS'SNACKS\tSNACKS\tNNPS\tI-NP\tB-protein' +p6938 +aS'(\t(\t(\tO\tO' +p6939 +aS')\t)\t)\tO\tO' +p6940 +aS'.\t.\t.\tO\tO' +p6941 +asS"The patient 's reticulocyte count showed inadequate production ." +p6942 +(lp6943 +S'The\tThe\tDT\tB-NP\tO' +p6944 +aS'patient\tpatient\tNN\tI-NP\tO' +p6945 +aS"'s\t's\tPOS\tB-NP\tO" +p6946 +aS'reticulocyte\treticulocyte\tNN\tI-NP\tO' +p6947 +aS'count\tcount\tNN\tI-NP\tO' +p6948 +aS'showed\tshow\tVBD\tB-VP\tO' +p6949 +aS'inadequate\tinadequate\tJJ\tB-NP\tO' +p6950 +aS'production\tproduction\tNN\tI-NP\tO' +p6951 +aS'.\t.\t.\tO\tO' +p6952 +asS'Rate 76 .' +p6953 +(lp6954 +S'Rate\tRate\tNN\tB-NP\tO' +p6955 +aS'76\t76\tCD\tI-NP\tO' +p6956 +aS'.\t.\t.\tO\tO' +p6957 +asS'2 hours 25 minutes .' +p6958 +(lp6959 +S'2\t2\tCD\tB-NP\tO' +p6960 +aS'hours\thour\tNNS\tI-NP\tO' +p6961 +aS'25\t25\tCD\tB-NP\tO' +p6962 +aS'minutes\tminute\tNNS\tI-NP\tO' +p6963 +aS'.\t.\t.\tO\tO' +p6964 +asS'In 2003 , there was 19% change of the FEV1 and an 11% change in the FVC with bronchodilators .' +p6965 +(lp6966 +S'In\tIn\tIN\tB-PP\tO' +p6967 +aS'2003\t2003\tCD\tB-NP\tO' +p6968 +aS',\t,\t,\tO\tO' +p6969 +aS'there\tthere\tEX\tB-NP\tO' +p6970 +aS'was\tbe\tVBD\tB-VP\tO' +p6971 +aS'19%\t19%\tCD\tB-NP\tO' +p6972 +aS'change\tchange\tNN\tI-NP\tO' +p6973 +aS'of\tof\tIN\tB-PP\tO' +p6974 +aS'the\tthe\tDT\tB-NP\tO' +p6975 +aS'FEV1\tFEV1\tNN\tI-NP\tO' +p6976 +aS'and\tand\tCC\tO\tO' +p6977 +aS'an\tan\tDT\tB-NP\tO' +p6978 +aS'11%\t11%\tNN\tI-NP\tO' +p6979 +aS'change\tchange\tNN\tI-NP\tO' +p6980 +aS'in\tin\tIN\tB-PP\tO' +p6981 +aS'the\tthe\tDT\tB-NP\tO' +p6982 +aS'FVC\tFVC\tNN\tI-NP\tO' +p6983 +aS'with\twith\tIN\tB-PP\tO' +p6984 +aS'bronchodilators\tbronchodilator\tNNS\tB-NP\tO' +p6985 +aS'.\t.\t.\tO\tO' +p6986 +asS'The patient was discharged home with Terchestlumnesamp Medical Center referral for weekly blood tests , potassium and PT .' +p6987 +(lp6988 +S'The\tThe\tDT\tB-NP\tO' +p6989 +aS'patient\tpatient\tNN\tI-NP\tO' +p6990 +aS'was\tbe\tVBD\tB-VP\tO' +p6991 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p6992 +aS'home\thome\tNN\tB-ADVP\tO' +p6993 +aS'with\twith\tIN\tB-PP\tO' +p6994 +aS'Terchestlumnesamp\tTerchestlumnesamp\tNNP\tB-NP\tO' +p6995 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p6996 +aS'Center\tCenter\tNNP\tI-NP\tO' +p6997 +aS'referral\treferral\tNN\tI-NP\tO' +p6998 +aS'for\tfor\tIN\tB-PP\tO' +p6999 +aS'weekly\tweekly\tJJ\tB-NP\tO' +p7000 +aS'blood\tblood\tNN\tI-NP\tO' +p7001 +aS'tests\ttest\tNNS\tI-NP\tO' +p7002 +aS',\t,\t,\tO\tO' +p7003 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p7004 +aS'and\tand\tCC\tI-NP\tO' +p7005 +aS'PT\tPT\tNN\tI-NP\tO' +p7006 +aS'.\t.\t.\tO\tO' +p7007 +asS'IP was consulted and did a thoracentesis .' +p7008 +(lp7009 +S'IP\tIP\tNN\tB-NP\tB-protein' +p7010 +aS'was\tbe\tVBD\tB-VP\tO' +p7011 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p7012 +aS'and\tand\tCC\tO\tO' +p7013 +aS'did\tdo\tVBD\tB-VP\tO' +p7014 +aS'a\ta\tDT\tB-NP\tO' +p7015 +aS'thoracentesis\tthoracentesis\tNN\tI-NP\tO' +p7016 +aS'.\t.\t.\tO\tO' +p7017 +asS'In ER c/o dyspnea and was noted to have mental status changes .' +p7018 +(lp7019 +S'In\tIn\tIN\tB-PP\tO' +p7020 +aS'ER\tER\tNN\tB-NP\tB-protein' +p7021 +aS'c/o\tc/o\tNN\tI-NP\tO' +p7022 +aS'dyspnea\tdyspnea\tNN\tI-NP\tO' +p7023 +aS'and\tand\tCC\tO\tO' +p7024 +aS'was\tbe\tVBD\tB-VP\tO' +p7025 +aS'noted\tnote\tVBN\tI-VP\tO' +p7026 +aS'to\tto\tTO\tI-VP\tO' +p7027 +aS'have\thave\tVB\tI-VP\tO' +p7028 +aS'mental\tmental\tJJ\tB-NP\tO' +p7029 +aS'status\tstatus\tNN\tI-NP\tO' +p7030 +aS'changes\tchange\tNNS\tI-NP\tO' +p7031 +aS'.\t.\t.\tO\tO' +p7032 +asS'On hospital day 7 , the patient remained afebrile with stable vital signs .' +p7033 +(lp7034 +S'On\tOn\tIN\tB-PP\tO' +p7035 +aS'hospital\thospital\tNN\tB-NP\tO' +p7036 +aS'day\tday\tNN\tI-NP\tO' +p7037 +aS'7\t7\tCD\tI-NP\tO' +p7038 +aS',\t,\t,\tO\tO' +p7039 +aS'the\tthe\tDT\tB-NP\tO' +p7040 +aS'patient\tpatient\tNN\tI-NP\tO' +p7041 +aS'remained\tremain\tVBD\tB-VP\tO' +p7042 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p7043 +aS'with\twith\tIN\tB-PP\tO' +p7044 +aS'stable\tstable\tJJ\tB-NP\tO' +p7045 +aS'vital\tvital\tJJ\tI-NP\tO' +p7046 +aS'signs\tsign\tNNS\tI-NP\tO' +p7047 +aS'.\t.\t.\tO\tO' +p7048 +asS'She has no dyspnea or dysphagia .' +p7049 +(lp7050 +S'She\tShe\tPRP\tB-NP\tO' +p7051 +aS'has\thave\tVBZ\tB-VP\tO' +p7052 +aS'no\tno\tDT\tB-NP\tO' +p7053 +aS'dyspnea\tdyspnea\tNN\tI-NP\tO' +p7054 +aS'or\tor\tCC\tI-NP\tO' +p7055 +aS'dysphagia\tdysphagia\tNN\tI-NP\tO' +p7056 +aS'.\t.\t.\tO\tO' +p7057 +asS'It was unclear whether this was old or new .' +p7058 +(lp7059 +S'It\tIt\tPRP\tB-NP\tO' +p7060 +aS'was\tbe\tVBD\tB-VP\tO' +p7061 +aS'unclear\tunclear\tJJ\tB-ADJP\tO' +p7062 +aS'whether\twhether\tIN\tB-SBAR\tO' +p7063 +aS'this\tthis\tDT\tB-NP\tO' +p7064 +aS'was\tbe\tVBD\tB-VP\tO' +p7065 +aS'old\told\tJJ\tB-ADJP\tO' +p7066 +aS'or\tor\tCC\tI-ADJP\tO' +p7067 +aS'new\tnew\tJJ\tI-ADJP\tO' +p7068 +aS'.\t.\t.\tO\tO' +p7069 +asS'His heart was regular with no murmurs , rubs or gallops and his radial and DP pulses were both 2+ bilaterally and equal .' +p7070 +(lp7071 +S'His\tHis\tPRP$\tB-NP\tO' +p7072 +aS'heart\theart\tNN\tI-NP\tO' +p7073 +aS'was\tbe\tVBD\tB-VP\tO' +p7074 +aS'regular\tregular\tJJ\tB-ADJP\tO' +p7075 +aS'with\twith\tIN\tB-PP\tO' +p7076 +aS'no\tno\tDT\tB-NP\tO' +p7077 +aS'murmurs\tmurmur\tNNS\tI-NP\tO' +p7078 +aS',\t,\t,\tI-NP\tO' +p7079 +aS'rubs\trub\tNNS\tI-NP\tO' +p7080 +aS'or\tor\tCC\tI-NP\tO' +p7081 +aS'gallops\tgallop\tNNS\tI-NP\tO' +p7082 +aS'and\tand\tCC\tO\tO' +p7083 +aS'his\this\tPRP$\tB-NP\tO' +p7084 +aS'radial\tradial\tNN\tI-NP\tO' +p7085 +aS'and\tand\tCC\tI-NP\tO' +p7086 +aS'DP\tDP\tNN\tI-NP\tO' +p7087 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p7088 +aS'were\tbe\tVBD\tB-VP\tO' +p7089 +aS'both\tboth\tDT\tO\tO' +p7090 +aS'2+\t2+\tJJ\tO\tO' +p7091 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p7092 +aS'and\tand\tCC\tO\tO' +p7093 +aS'equal\tequal\tJJ\tB-ADJP\tO' +p7094 +aS'.\t.\t.\tO\tO' +p7095 +asS'Patient was splinted and UE were kept elevated .' +p7096 +(lp7097 +S'Patient\tPatient\tNN\tB-NP\tO' +p7098 +aS'was\tbe\tVBD\tB-VP\tO' +p7099 +aS'splinted\tsplint\tVBN\tI-VP\tO' +p7100 +aS'and\tand\tCC\tO\tO' +p7101 +aS'UE\tUE\tNN\tB-NP\tO' +p7102 +aS'were\tbe\tVBD\tB-VP\tO' +p7103 +aS'kept\tkeep\tVBN\tI-VP\tO' +p7104 +aS'elevated\televate\tVBN\tI-VP\tO' +p7105 +aS'.\t.\t.\tO\tO' +p7106 +asS'SHE TOLERATED THE PROCEDURE AND WAS ADMITTED TO THE INTENSIVE CARE UNIT .' +p7107 +(lp7108 +S'SHE\tSHE\tNN\tB-NP\tO' +p7109 +aS'TOLERATED\tTOLERATED\tVBD\tB-VP\tO' +p7110 +aS'THE\tTHE\tDT\tB-NP\tO' +p7111 +aS'PROCEDURE\tPROCEDURE\tNNP\tI-NP\tO' +p7112 +aS'AND\tAND\tCC\tI-NP\tO' +p7113 +aS'WAS\tWAS\tNNP\tI-NP\tO' +p7114 +aS'ADMITTED\tADMITTED\tVBD\tB-VP\tO' +p7115 +aS'TO\tTO\tTO\tB-PP\tO' +p7116 +aS'THE\tTHE\tDT\tB-NP\tO' +p7117 +aS'INTENSIVE\tINTENSIVE\tNNP\tI-NP\tO' +p7118 +aS'CARE\tCARE\tNNP\tI-NP\tO' +p7119 +aS'UNIT\tUNIT\tNNP\tI-NP\tO' +p7120 +aS'.\t.\t.\tO\tO' +p7121 +asS'Dictated By : James F. Buchanan , M.D.' +p7122 +(lp7123 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p7124 +aS'By\tBy\tIN\tB-PP\tO' +p7125 +aS':\t:\t:\tO\tO' +p7126 +aS'James\tJames\tNNP\tB-NP\tO' +p7127 +aS'F.\tF.\tNNP\tI-NP\tO' +p7128 +aS'Buchanan\tBuchanan\tNNP\tI-NP\tO' +p7129 +aS',\t,\t,\tO\tO' +p7130 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p7131 +asS'50 yo male , h/o CAD s/p stent to LAD in 2011 , Hypercholesterolemia , DM , cocaine abuse , presenting with chest pain .' +p7132 +(lp7133 +S'50\t50\tCD\tB-NP\tO' +p7134 +aS'yo\tyo\tNN\tI-NP\tO' +p7135 +aS'male\tmale\tNN\tI-NP\tO' +p7136 +aS',\t,\t,\tO\tO' +p7137 +aS'h/o\th/o\tNN\tB-NP\tO' +p7138 +aS'CAD\tCAD\tNN\tI-NP\tO' +p7139 +aS's/p\ts/p\tNN\tI-NP\tO' +p7140 +aS'stent\tstent\tNN\tI-NP\tO' +p7141 +aS'to\tto\tTO\tB-PP\tO' +p7142 +aS'LAD\tLAD\tNN\tB-NP\tB-protein' +p7143 +aS'in\tin\tIN\tB-PP\tO' +p7144 +aS'2011\t2011\tCD\tB-NP\tO' +p7145 +aS',\t,\t,\tO\tO' +p7146 +aS'Hypercholesterolemia\tHypercholesterolemia\tNN\tB-NP\tO' +p7147 +aS',\t,\t,\tO\tO' +p7148 +aS'DM\tDM\tNN\tB-NP\tO' +p7149 +aS',\t,\t,\tO\tO' +p7150 +aS'cocaine\tcocaine\tNN\tB-NP\tO' +p7151 +aS'abuse\tabuse\tNN\tI-NP\tO' +p7152 +aS',\t,\t,\tO\tO' +p7153 +aS'presenting\tpresent\tVBG\tB-VP\tO' +p7154 +aS'with\twith\tIN\tB-PP\tO' +p7155 +aS'chest\tchest\tNN\tB-NP\tO' +p7156 +aS'pain\tpain\tNN\tI-NP\tO' +p7157 +aS'.\t.\t.\tO\tO' +p7158 +asS'She had no muscular weakness noted .' +p7159 +(lp7160 +S'She\tShe\tPRP\tB-NP\tO' +p7161 +aS'had\thave\tVBD\tB-VP\tO' +p7162 +aS'no\tno\tDT\tB-NP\tO' +p7163 +aS'muscular\tmuscular\tJJ\tI-NP\tO' +p7164 +aS'weakness\tweakness\tNN\tI-NP\tO' +p7165 +aS'noted\tnote\tVBD\tB-VP\tO' +p7166 +aS'.\t.\t.\tO\tO' +p7167 +asS'After discussion with primary oncologist goals of care where change to comfort .' +p7168 +(lp7169 +S'After\tAfter\tIN\tB-PP\tO' +p7170 +aS'discussion\tdiscussion\tNN\tB-NP\tO' +p7171 +aS'with\twith\tIN\tB-PP\tO' +p7172 +aS'primary\tprimary\tJJ\tB-NP\tO' +p7173 +aS'oncologist\toncologist\tNN\tI-NP\tO' +p7174 +aS'goals\tgoal\tNNS\tI-NP\tO' +p7175 +aS'of\tof\tIN\tB-PP\tO' +p7176 +aS'care\tcare\tNN\tB-NP\tO' +p7177 +aS'where\twhere\tWRB\tB-ADVP\tO' +p7178 +aS'change\tchange\tNN\tB-NP\tO' +p7179 +aS'to\tto\tTO\tB-PP\tO' +p7180 +aS'comfort\tcomfort\tNN\tB-NP\tO' +p7181 +aS'.\t.\t.\tO\tO' +p7182 +asS'Active radiotracer activity in the right lower quadrant in a serpingneous f fashion suggestive of distal small bowel .' +p7183 +(lp7184 +S'Active\tActive\tJJ\tB-NP\tO' +p7185 +aS'radiotracer\tradiotracer\tNN\tI-NP\tO' +p7186 +aS'activity\tactivity\tNN\tI-NP\tO' +p7187 +aS'in\tin\tIN\tB-PP\tO' +p7188 +aS'the\tthe\tDT\tB-NP\tO' +p7189 +aS'right\tright\tJJ\tI-NP\tO' +p7190 +aS'lower\tlow\tJJR\tI-NP\tO' +p7191 +aS'quadrant\tquadrant\tNN\tI-NP\tO' +p7192 +aS'in\tin\tIN\tB-PP\tO' +p7193 +aS'a\ta\tDT\tB-NP\tO' +p7194 +aS'serpingneous\tserpingneous\tJJ\tI-NP\tO' +p7195 +aS'f\tf\tNN\tI-NP\tO' +p7196 +aS'fashion\tfashion\tNN\tI-NP\tO' +p7197 +aS'suggestive\tsuggestive\tJJ\tB-ADJP\tO' +p7198 +aS'of\tof\tIN\tB-PP\tO' +p7199 +aS'distal\tdistal\tJJ\tB-NP\tO' +p7200 +aS'small\tsmall\tJJ\tI-NP\tO' +p7201 +aS'bowel\tbowel\tNN\tI-NP\tO' +p7202 +aS'.\t.\t.\tO\tO' +p7203 +asS'Mother died at 51 metastatic BCA' +p7204 +(lp7205 +S'Mother\tMother\tNNP\tB-NP\tO' +p7206 +aS'died\tdie\tVBD\tB-VP\tO' +p7207 +aS'at\tat\tIN\tB-PP\tO' +p7208 +aS'51\t51\tCD\tB-NP\tO' +p7209 +aS'metastatic\tmetastatic\tJJ\tI-NP\tO' +p7210 +aS'BCA\tBCA\tNN\tI-NP\tO' +p7211 +asS'No acute intracranial hemorrhages or midline shifts were noted , although a soft tissue mass was noted at the level of C2 .' +p7212 +(lp7213 +S'No\tNo\tDT\tB-NP\tO' +p7214 +aS'acute\tacute\tJJ\tI-NP\tO' +p7215 +aS'intracranial\tintracranial\tJJ\tI-NP\tO' +p7216 +aS'hemorrhages\themorrhage\tNNS\tI-NP\tO' +p7217 +aS'or\tor\tCC\tO\tO' +p7218 +aS'midline\tmidline\tNN\tB-NP\tO' +p7219 +aS'shifts\tshift\tNNS\tI-NP\tO' +p7220 +aS'were\tbe\tVBD\tB-VP\tO' +p7221 +aS'noted\tnote\tVBN\tI-VP\tO' +p7222 +aS',\t,\t,\tO\tO' +p7223 +aS'although\talthough\tIN\tB-SBAR\tO' +p7224 +aS'a\ta\tDT\tB-NP\tO' +p7225 +aS'soft\tsoft\tJJ\tI-NP\tO' +p7226 +aS'tissue\ttissue\tNN\tI-NP\tO' +p7227 +aS'mass\tmass\tNN\tI-NP\tO' +p7228 +aS'was\tbe\tVBD\tB-VP\tO' +p7229 +aS'noted\tnote\tVBN\tI-VP\tO' +p7230 +aS'at\tat\tIN\tB-PP\tO' +p7231 +aS'the\tthe\tDT\tB-NP\tO' +p7232 +aS'level\tlevel\tNN\tI-NP\tO' +p7233 +aS'of\tof\tIN\tB-PP\tO' +p7234 +aS'C2\tC2\tNN\tB-NP\tB-protein' +p7235 +aS'.\t.\t.\tO\tO' +p7236 +asS'4 - Visit PCP on Monday at 2:30 No dictated summary' +p7237 +(lp7238 +S'4\t4\tCD\tB-NP\tO' +p7239 +aS'-\t-\tHYPH\tI-NP\tO' +p7240 +aS'Visit\tVisit\tNN\tI-NP\tO' +p7241 +aS'PCP\tPCP\tNN\tI-NP\tO' +p7242 +aS'on\ton\tIN\tB-PP\tO' +p7243 +aS'Monday\tMonday\tNNP\tB-NP\tO' +p7244 +aS'at\tat\tIN\tB-PP\tO' +p7245 +aS'2:30\t2:30\tCD\tB-NP\tO' +p7246 +aS'No\tNo\tDT\tB-NP\tO' +p7247 +aS'dictated\tdictate\tVBN\tI-NP\tO' +p7248 +aS'summary\tsummary\tNN\tI-NP\tO' +p7249 +asS'71 y/o male with dm2 , cad , chf , uc presents with one week of lower abdominal pain and 2 episodes of brpbr on the day of admission .' +p7250 +(lp7251 +S'71\t71\tCD\tB-NP\tO' +p7252 +aS'y/o\ty/o\tNN\tI-NP\tO' +p7253 +aS'male\tmale\tJJ\tB-ADJP\tO' +p7254 +aS'with\twith\tIN\tB-PP\tO' +p7255 +aS'dm2\tdm2\tNN\tB-NP\tO' +p7256 +aS',\t,\t,\tO\tO' +p7257 +aS'cad\tcad\tNN\tB-NP\tO' +p7258 +aS',\t,\t,\tO\tO' +p7259 +aS'chf\tchf\tNN\tB-NP\tO' +p7260 +aS',\t,\t,\tO\tO' +p7261 +aS'uc\tuc\tNN\tB-NP\tO' +p7262 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p7263 +aS'with\twith\tIN\tB-PP\tO' +p7264 +aS'one\tone\tCD\tB-NP\tO' +p7265 +aS'week\tweek\tNN\tI-NP\tO' +p7266 +aS'of\tof\tIN\tB-PP\tO' +p7267 +aS'lower\tlow\tJJR\tB-NP\tO' +p7268 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p7269 +aS'pain\tpain\tNN\tI-NP\tO' +p7270 +aS'and\tand\tCC\tO\tO' +p7271 +aS'2\t2\tCD\tB-NP\tO' +p7272 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p7273 +aS'of\tof\tIN\tB-PP\tO' +p7274 +aS'brpbr\tbrpbr\tNN\tB-NP\tO' +p7275 +aS'on\ton\tIN\tB-PP\tO' +p7276 +aS'the\tthe\tDT\tB-NP\tO' +p7277 +aS'day\tday\tNN\tI-NP\tO' +p7278 +aS'of\tof\tIN\tB-PP\tO' +p7279 +aS'admission\tadmission\tNN\tB-NP\tO' +p7280 +aS'.\t.\t.\tO\tO' +p7281 +asS'Percocet one to two tablets p.o. q.4-6h. p.r.n. , Iron Sulfate 325 mg p.o. b.i.d. , Colace 100 mg b.i.d. , and one Aspirin q.d.' +p7282 +(lp7283 +S'Percocet\tPercocet\tIN\tB-PP\tO' +p7284 +aS'one\tone\tCD\tB-NP\tO' +p7285 +aS'to\tto\tTO\tI-NP\tO' +p7286 +aS'two\ttwo\tCD\tI-NP\tO' +p7287 +aS'tablets\ttablet\tNNS\tI-NP\tO' +p7288 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p7289 +aS'q.4-6h.\tq.4-6h.\tNN\tI-NP\tO' +p7290 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p7291 +aS',\t,\t,\tO\tO' +p7292 +aS'Iron\tIron\tNNP\tB-NP\tO' +p7293 +aS'Sulfate\tSulfate\tNNP\tI-NP\tO' +p7294 +aS'325\t325\tCD\tI-NP\tO' +p7295 +aS'mg\tmg\tNN\tI-NP\tO' +p7296 +aS'p.o.\tp.o.\tFW\tB-ADVP\tO' +p7297 +aS'b.i.d.\tb.i.d.\tFW\tI-ADVP\tO' +p7298 +aS',\t,\t,\tO\tO' +p7299 +aS'Colace\tColace\tNNP\tB-NP\tO' +p7300 +aS'100\t100\tCD\tI-NP\tO' +p7301 +aS'mg\tmg\tNN\tI-NP\tO' +p7302 +aS'b.i.d.\tb.i.d.\tRB\tB-ADVP\tO' +p7303 +aS',\t,\t,\tO\tO' +p7304 +aS'and\tand\tCC\tO\tO' +p7305 +aS'one\tone\tCD\tB-NP\tO' +p7306 +aS'Aspirin\tAspirin\tNN\tI-NP\tO' +p7307 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p7308 +asS'Echocardiogram was obtained which showed moderately depressed left ventricular systolic function as well as hypokinesis of the lower half of septum and apex .' +p7309 +(lp7310 +S'Echocardiogram\tEchocardiogram\tNN\tB-NP\tO' +p7311 +aS'was\tbe\tVBD\tB-VP\tO' +p7312 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p7313 +aS'which\twhich\tWDT\tB-NP\tO' +p7314 +aS'showed\tshow\tVBD\tB-VP\tO' +p7315 +aS'moderately\tmoderately\tRB\tB-NP\tO' +p7316 +aS'depressed\tdepressed\tJJ\tI-NP\tO' +p7317 +aS'left\tleft\tJJ\tI-NP\tO' +p7318 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p7319 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p7320 +aS'function\tfunction\tNN\tI-NP\tO' +p7321 +aS'as\tas\tRB\tB-CONJP\tO' +p7322 +aS'well\twell\tRB\tI-CONJP\tO' +p7323 +aS'as\tas\tIN\tI-CONJP\tO' +p7324 +aS'hypokinesis\thypokinesis\tNN\tB-NP\tO' +p7325 +aS'of\tof\tIN\tB-PP\tO' +p7326 +aS'the\tthe\tDT\tB-NP\tO' +p7327 +aS'lower\tlow\tJJR\tI-NP\tO' +p7328 +aS'half\thalf\tNN\tI-NP\tO' +p7329 +aS'of\tof\tIN\tB-PP\tO' +p7330 +aS'septum\tseptum\tNN\tB-NP\tO' +p7331 +aS'and\tand\tCC\tI-NP\tO' +p7332 +aS'apex\tapex\tNN\tI-NP\tO' +p7333 +aS'.\t.\t.\tO\tO' +p7334 +asS'Due to unknown duration of the chest pain the patient wastransferred urgently to the TGCHO for cardiac catheterization .' +p7335 +(lp7336 +S'Due\tDue\tJJ\tB-PP\tO' +p7337 +aS'to\tto\tTO\tB-PP\tO' +p7338 +aS'unknown\tunknown\tJJ\tB-NP\tO' +p7339 +aS'duration\tduration\tNN\tI-NP\tO' +p7340 +aS'of\tof\tIN\tB-PP\tO' +p7341 +aS'the\tthe\tDT\tB-NP\tO' +p7342 +aS'chest\tchest\tNN\tI-NP\tO' +p7343 +aS'pain\tpain\tVBP\tB-VP\tO' +p7344 +aS'the\tthe\tDT\tB-NP\tO' +p7345 +aS'patient\tpatient\tNN\tI-NP\tO' +p7346 +aS'wastransferred\twastransferre\tVBD\tB-VP\tO' +p7347 +aS'urgently\turgently\tRB\tB-ADVP\tO' +p7348 +aS'to\tto\tTO\tB-PP\tO' +p7349 +aS'the\tthe\tDT\tB-NP\tO' +p7350 +aS'TGCHO\tTGCHO\tNN\tI-NP\tB-protein' +p7351 +aS'for\tfor\tIN\tB-PP\tO' +p7352 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p7353 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p7354 +aS'.\t.\t.\tO\tO' +p7355 +asS'13. Potassium Chloride 20 mEq Tab Sust . Rel . Particle / Crystal Sig : One ( 1 ) Tab Sust . Rel . Particle / Crystal PO once a day .' +p7356 +(lp7357 +S'13.\t13.\tLS\tB-NP\tO' +p7358 +aS'Potassium\tPotassium\tNNP\tI-NP\tO' +p7359 +aS'Chloride\tChloride\tNNP\tI-NP\tO' +p7360 +aS'20\t20\tCD\tI-NP\tO' +p7361 +aS'mEq\tmEq\tNNP\tI-NP\tO' +p7362 +aS'Tab\tTab\tNNP\tI-NP\tB-protein' +p7363 +aS'Sust\tSust\tNNP\tI-NP\tO' +p7364 +aS'.\t.\t.\tI-NP\tO' +p7365 +aS'Rel\tRel\tNNP\tI-NP\tB-protein' +p7366 +aS'.\t.\t.\tI-NP\tO' +p7367 +aS'Particle\tParticle\tNNP\tI-NP\tO' +p7368 +aS'/\t/\tSYM\tB-NP\tO' +p7369 +aS'Crystal\tCrystal\tNNP\tI-NP\tO' +p7370 +aS'Sig\tSig\tNNP\tI-NP\tO' +p7371 +aS':\t:\t:\tO\tO' +p7372 +aS'One\tOne\tCD\tB-NP\tO' +p7373 +aS'(\t(\t(\tO\tO' +p7374 +aS'1\t1\tCD\tB-NP\tO' +p7375 +aS')\t)\t)\tO\tO' +p7376 +aS'Tab\tTab\tNNP\tB-NP\tO' +p7377 +aS'Sust\tSust\tNNP\tI-NP\tO' +p7378 +aS'.\t.\t.\tI-NP\tO' +p7379 +aS'Rel\tRel\tNNP\tI-NP\tB-protein' +p7380 +aS'.\t.\t.\tI-NP\tO' +p7381 +aS'Particle\tParticle\tNNP\tI-NP\tO' +p7382 +aS'/\t/\tSYM\tB-NP\tB-protein' +p7383 +aS'Crystal\tCrystal\tJJ\tI-NP\tI-protein' +p7384 +aS'PO\tPO\tNN\tI-NP\tI-protein' +p7385 +aS'once\tonce\tRB\tB-ADVP\tO' +p7386 +aS'a\ta\tDT\tB-NP\tO' +p7387 +aS'day\tday\tNN\tI-NP\tO' +p7388 +aS'.\t.\t.\tO\tO' +p7389 +asS'REVIEW OF SYSTEMS was negative in detail .' +p7390 +(lp7391 +S'REVIEW\tREVIEW\tNN\tB-NP\tO' +p7392 +aS'OF\tOF\tIN\tB-PP\tO' +p7393 +aS'SYSTEMS\tSYSTEMS\tNN\tB-NP\tO' +p7394 +aS'was\tbe\tVBD\tB-VP\tO' +p7395 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p7396 +aS'in\tin\tIN\tB-PP\tO' +p7397 +aS'detail\tdetail\tNN\tB-NP\tO' +p7398 +aS'.\t.\t.\tO\tO' +p7399 +asS'Episode of AFib that evening treated with amiodarone and converted to SR .' +p7400 +(lp7401 +S'Episode\tEpisode\tNN\tB-NP\tO' +p7402 +aS'of\tof\tIN\tB-PP\tO' +p7403 +aS'AFib\tAFib\tNN\tB-NP\tO' +p7404 +aS'that\tthat\tIN\tB-NP\tO' +p7405 +aS'evening\tevening\tNN\tB-NP\tO' +p7406 +aS'treated\ttreat\tVBN\tB-VP\tO' +p7407 +aS'with\twith\tIN\tB-PP\tO' +p7408 +aS'amiodarone\tamiodarone\tNN\tB-NP\tO' +p7409 +aS'and\tand\tCC\tO\tO' +p7410 +aS'converted\tconvert\tVBN\tB-VP\tO' +p7411 +aS'to\tto\tTO\tB-PP\tO' +p7412 +aS'SR\tSR\tNN\tB-NP\tB-protein' +p7413 +aS'.\t.\t.\tO\tO' +p7414 +asS'However , the patient 's respiratory status continued to decline and we were unable to maintain oxygen saturations above 80% even using reverse I to E ventilation , paralysis , sedation , and other modes of ventilation .' +p7415 +(lp7416 +S'However\tHowever\tRB\tB-ADVP\tO' +p7417 +aS',\t,\t,\tO\tO' +p7418 +aS'the\tthe\tDT\tB-NP\tO' +p7419 +aS'patient\tpatient\tNN\tI-NP\tO' +p7420 +aS''s\t'\tNNS\tI-NP\tO' +p7421 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p7422 +aS'status\tstatus\tNN\tI-NP\tO' +p7423 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p7424 +aS'to\tto\tTO\tI-VP\tO' +p7425 +aS'decline\tdecline\tVB\tI-VP\tO' +p7426 +aS'and\tand\tCC\tO\tO' +p7427 +aS'we\twe\tPRP\tB-NP\tO' +p7428 +aS'were\tbe\tVBD\tB-VP\tO' +p7429 +aS'unable\tunable\tJJ\tB-ADJP\tO' +p7430 +aS'to\tto\tTO\tB-VP\tO' +p7431 +aS'maintain\tmaintain\tVB\tI-VP\tO' +p7432 +aS'oxygen\toxygen\tNN\tB-NP\tO' +p7433 +aS'saturations\tsaturation\tNNS\tI-NP\tO' +p7434 +aS'above\tabove\tIN\tB-PP\tO' +p7435 +aS'80%\t80%\tCD\tB-NP\tO' +p7436 +aS'even\teven\tRB\tI-NP\tO' +p7437 +aS'using\tuse\tVBG\tB-VP\tO' +p7438 +aS'reverse\treverse\tJJ\tB-NP\tO' +p7439 +aS'I\tI\tNN\tI-NP\tO' +p7440 +aS'to\tto\tTO\tB-PP\tO' +p7441 +aS'E\tE\tNN\tB-NP\tO' +p7442 +aS'ventilation\tventilation\tNN\tI-NP\tO' +p7443 +aS',\t,\t,\tO\tO' +p7444 +aS'paralysis\tparalysis\tNN\tB-NP\tO' +p7445 +aS',\t,\t,\tO\tO' +p7446 +aS'sedation\tsedation\tNN\tB-NP\tO' +p7447 +aS',\t,\t,\tO\tO' +p7448 +aS'and\tand\tCC\tO\tO' +p7449 +aS'other\tother\tJJ\tB-NP\tO' +p7450 +aS'modes\tmode\tNNS\tI-NP\tO' +p7451 +aS'of\tof\tIN\tB-PP\tO' +p7452 +aS'ventilation\tventilation\tNN\tB-NP\tO' +p7453 +aS'.\t.\t.\tO\tO' +p7454 +asS'The patient was urinating without difficulty .' +p7455 +(lp7456 +S'The\tThe\tDT\tB-NP\tO' +p7457 +aS'patient\tpatient\tNN\tI-NP\tO' +p7458 +aS'was\tbe\tVBD\tB-VP\tO' +p7459 +aS'urinating\turinate\tVBG\tI-VP\tO' +p7460 +aS'without\twithout\tIN\tB-PP\tO' +p7461 +aS'difficulty\tdifficulty\tNN\tB-NP\tO' +p7462 +aS'.\t.\t.\tO\tO' +p7463 +asS'The patient was started on empiricvancomycin , levofloxacin and Flagyl after the second exploratory laparotomy .' +p7464 +(lp7465 +S'The\tThe\tDT\tB-NP\tO' +p7466 +aS'patient\tpatient\tNN\tI-NP\tO' +p7467 +aS'was\tbe\tVBD\tB-VP\tO' +p7468 +aS'started\tstart\tVBN\tI-VP\tO' +p7469 +aS'on\ton\tIN\tB-PP\tO' +p7470 +aS'empiricvancomycin\tempiricvancomycin\tNN\tB-NP\tO' +p7471 +aS',\t,\t,\tI-NP\tO' +p7472 +aS'levofloxacin\tlevofloxacin\tNN\tI-NP\tO' +p7473 +aS'and\tand\tCC\tI-NP\tO' +p7474 +aS'Flagyl\tFlagyl\tNN\tI-NP\tO' +p7475 +aS'after\tafter\tIN\tB-PP\tO' +p7476 +aS'the\tthe\tDT\tB-NP\tO' +p7477 +aS'second\tsecond\tJJ\tI-NP\tO' +p7478 +aS'exploratory\texploratory\tJJ\tI-NP\tO' +p7479 +aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' +p7480 +aS'.\t.\t.\tO\tO' +p7481 +asS'Meclizine 25 mg po bid .' +p7482 +(lp7483 +S'Meclizine\tMeclizine\tNN\tB-NP\tO' +p7484 +aS'25\t25\tCD\tI-NP\tO' +p7485 +aS'mg\tmg\tNN\tI-NP\tO' +p7486 +aS'po\tpo\tNN\tI-NP\tO' +p7487 +aS'bid\tbid\tNN\tI-NP\tO' +p7488 +aS'.\t.\t.\tO\tO' +p7489 +asS'18. Heparin Lock Flush ( Porcine ) 100 unit / mL Syringe Sig : Two ( 2 ) ML Intravenous DAILY ( Daily ) as needed : 10 ml NS followed by 2 ml of 100 Units / ml heparin ( 200 units heparin ) each lumen Daily and PRN .' +p7490 +(lp7491 +S'18.\t18.\tCD\tB-NP\tO' +p7492 +aS'Heparin\tHeparin\tNNP\tI-NP\tO' +p7493 +aS'Lock\tLock\tNNP\tI-NP\tO' +p7494 +aS'Flush\tFlush\tNNP\tI-NP\tO' +p7495 +aS'(\t(\t(\tO\tO' +p7496 +aS'Porcine\tPorcine\tNN\tB-NP\tO' +p7497 +aS')\t)\t)\tO\tO' +p7498 +aS'100\t100\tCD\tB-NP\tO' +p7499 +aS'unit\tunit\tNN\tI-NP\tO' +p7500 +aS'/\t/\tSYM\tB-NP\tO' +p7501 +aS'mL\tmL\tNN\tI-NP\tO' +p7502 +aS'Syringe\tSyringe\tNNP\tI-NP\tO' +p7503 +aS'Sig\tSig\tNNP\tI-NP\tO' +p7504 +aS':\t:\t:\tO\tO' +p7505 +aS'Two\tTwo\tCD\tB-NP\tO' +p7506 +aS'(\t(\t(\tO\tO' +p7507 +aS'2\t2\tCD\tO\tO' +p7508 +aS')\t)\t)\tO\tO' +p7509 +aS'ML\tML\tNN\tB-NP\tO' +p7510 +aS'Intravenous\tIntravenous\tJJ\tI-NP\tO' +p7511 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p7512 +aS'(\t(\t(\tO\tO' +p7513 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p7514 +aS')\t)\t)\tO\tO' +p7515 +aS'as\tas\tIN\tB-SBAR\tO' +p7516 +aS'needed\tneed\tVBN\tB-VP\tO' +p7517 +aS':\t:\t:\tO\tO' +p7518 +aS'10\t10\tCD\tB-NP\tO' +p7519 +aS'ml\tml\tNN\tI-NP\tO' +p7520 +aS'NS\tNS\tNN\tI-NP\tO' +p7521 +aS'followed\tfollow\tVBN\tB-VP\tO' +p7522 +aS'by\tby\tIN\tB-PP\tO' +p7523 +aS'2\t2\tCD\tB-NP\tO' +p7524 +aS'ml\tml\tNN\tI-NP\tO' +p7525 +aS'of\tof\tIN\tB-PP\tO' +p7526 +aS'100\t100\tCD\tB-NP\tO' +p7527 +aS'Units\tUnit\tNNS\tI-NP\tO' +p7528 +aS'/\t/\tSYM\tO\tO' +p7529 +aS'ml\tml\tNN\tB-NP\tO' +p7530 +aS'heparin\theparin\tNN\tI-NP\tO' +p7531 +aS'(\t(\t(\tO\tO' +p7532 +aS'200\t200\tCD\tB-NP\tO' +p7533 +aS'units\tunit\tNNS\tI-NP\tO' +p7534 +aS'heparin\theparin\tNN\tI-NP\tO' +p7535 +aS')\t)\t)\tO\tO' +p7536 +aS'each\teach\tDT\tB-NP\tO' +p7537 +aS'lumen\tlumen\tNN\tI-NP\tO' +p7538 +aS'Daily\tDaily\tNNP\tB-NP\tO' +p7539 +aS'and\tand\tCC\tO\tO' +p7540 +aS'PRN\tPRN\tNN\tB-NP\tB-protein' +p7541 +aS'.\t.\t.\tO\tO' +p7542 +asS'4. Amiodarone 400 mg q. day .' +p7543 +(lp7544 +S'4.\t4.\tLS\tB-LST\tO' +p7545 +aS'Amiodarone\tAmiodarone\tNN\tB-NP\tO' +p7546 +aS'400\t400\tCD\tI-NP\tO' +p7547 +aS'mg\tmg\tNN\tI-NP\tO' +p7548 +aS'q.\tq.\tNN\tI-NP\tO' +p7549 +aS'day\tday\tNN\tI-NP\tO' +p7550 +aS'.\t.\t.\tO\tO' +p7551 +asS'Pulses were 2+ bilaterally throughout .' +p7552 +(lp7553 +S'Pulses\tPulse\tNNS\tB-NP\tO' +p7554 +aS'were\tbe\tVBD\tB-VP\tO' +p7555 +aS'2+\t2+\tJJ\tB-ADJP\tO' +p7556 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p7557 +aS'throughout\tthroughout\tRB\tI-ADVP\tO' +p7558 +aS'.\t.\t.\tO\tO' +p7559 +asS'She has developed bad thrush in this setting , she is not yet able to swallow and so she is on Nystatin swish and spit five times a day .' +p7560 +(lp7561 +S'She\tShe\tPRP\tB-NP\tO' +p7562 +aS'has\thave\tVBZ\tB-VP\tO' +p7563 +aS'developed\tdevelop\tVBN\tI-VP\tO' +p7564 +aS'bad\tbad\tJJ\tB-NP\tO' +p7565 +aS'thrush\tthrush\tNN\tI-NP\tO' +p7566 +aS'in\tin\tIN\tB-PP\tO' +p7567 +aS'this\tthis\tDT\tB-NP\tO' +p7568 +aS'setting\tsetting\tNN\tI-NP\tO' +p7569 +aS',\t,\t,\tO\tO' +p7570 +aS'she\tshe\tPRP\tB-NP\tO' +p7571 +aS'is\tbe\tVBZ\tB-VP\tO' +p7572 +aS'not\tnot\tRB\tO\tO' +p7573 +aS'yet\tyet\tRB\tB-ADJP\tO' +p7574 +aS'able\table\tJJ\tI-ADJP\tO' +p7575 +aS'to\tto\tTO\tB-VP\tO' +p7576 +aS'swallow\tswallow\tVB\tI-VP\tO' +p7577 +aS'and\tand\tCC\tO\tO' +p7578 +aS'so\tso\tIN\tB-SBAR\tO' +p7579 +aS'she\tshe\tPRP\tB-NP\tO' +p7580 +aS'is\tbe\tVBZ\tB-VP\tO' +p7581 +aS'on\ton\tIN\tB-PP\tO' +p7582 +aS'Nystatin\tNystatin\tNN\tB-NP\tO' +p7583 +aS'swish\tswish\tNN\tI-NP\tO' +p7584 +aS'and\tand\tCC\tO\tO' +p7585 +aS'spit\tspit\tVB\tB-VP\tO' +p7586 +aS'five\tfive\tCD\tB-NP\tO' +p7587 +aS'times\ttime\tNNS\tI-NP\tO' +p7588 +aS'a\ta\tDT\tB-NP\tO' +p7589 +aS'day\tday\tNN\tI-NP\tO' +p7590 +aS'.\t.\t.\tO\tO' +p7591 +asS'The family is invested and involved .' +p7592 +(lp7593 +S'The\tThe\tDT\tB-NP\tO' +p7594 +aS'family\tfamily\tNN\tI-NP\tO' +p7595 +aS'is\tbe\tVBZ\tB-VP\tO' +p7596 +aS'invested\tinvest\tVBN\tI-VP\tO' +p7597 +aS'and\tand\tCC\tI-VP\tO' +p7598 +aS'involved\tinvolve\tVBN\tI-VP\tO' +p7599 +aS'.\t.\t.\tO\tO' +p7600 +asS'She was treated with captopril for hypertension , and this was switched to Norvasc 7.5 mg p.o. q.d. on discharge .' +p7601 +(lp7602 +S'She\tShe\tPRP\tB-NP\tO' +p7603 +aS'was\tbe\tVBD\tB-VP\tO' +p7604 +aS'treated\ttreat\tVBN\tI-VP\tO' +p7605 +aS'with\twith\tIN\tB-PP\tO' +p7606 +aS'captopril\tcaptopril\tNN\tB-NP\tO' +p7607 +aS'for\tfor\tIN\tB-PP\tO' +p7608 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p7609 +aS',\t,\t,\tO\tO' +p7610 +aS'and\tand\tCC\tO\tO' +p7611 +aS'this\tthis\tDT\tB-NP\tO' +p7612 +aS'was\tbe\tVBD\tB-VP\tO' +p7613 +aS'switched\tswitch\tVBN\tI-VP\tO' +p7614 +aS'to\tto\tTO\tI-VP\tO' +p7615 +aS'Norvasc\tNorvasc\tVB\tI-VP\tO' +p7616 +aS'7.5\t7.5\tCD\tB-NP\tO' +p7617 +aS'mg\tmg\tNN\tI-NP\tO' +p7618 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p7619 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p7620 +aS'on\ton\tIN\tB-PP\tO' +p7621 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p7622 +aS'.\t.\t.\tO\tO' +p7623 +asS'He performed serial 7 's accurately .' +p7624 +(lp7625 +S'He\tHe\tPRP\tB-NP\tO' +p7626 +aS'performed\tperform\tVBD\tB-VP\tO' +p7627 +aS'serial\tserial\tJJ\tB-NP\tB-protein' +p7628 +aS'7\t7\tCD\tI-NP\tI-protein' +p7629 +aS''s\t'\tNNS\tI-NP\tI-protein' +p7630 +aS'accurately\taccurately\tRB\tB-ADVP\tO' +p7631 +aS'.\t.\t.\tO\tO' +p7632 +asS'Revealed icteric sclerae , the oropharynx with extensive thrush , and an ulcer under his tongue .' +p7633 +(lp7634 +S'Revealed\tReveal\tVBN\tB-NP\tO' +p7635 +aS'icteric\ticteric\tJJ\tI-NP\tO' +p7636 +aS'sclerae\tsclerae\tNNS\tI-NP\tO' +p7637 +aS',\t,\t,\tO\tO' +p7638 +aS'the\tthe\tDT\tB-NP\tO' +p7639 +aS'oropharynx\toropharynx\tNN\tI-NP\tO' +p7640 +aS'with\twith\tIN\tB-PP\tO' +p7641 +aS'extensive\textensive\tJJ\tB-NP\tO' +p7642 +aS'thrush\tthrush\tNN\tI-NP\tO' +p7643 +aS',\t,\t,\tO\tO' +p7644 +aS'and\tand\tCC\tO\tO' +p7645 +aS'an\tan\tDT\tB-NP\tO' +p7646 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p7647 +aS'under\tunder\tIN\tB-PP\tO' +p7648 +aS'his\this\tPRP$\tB-NP\tO' +p7649 +aS'tongue\ttongue\tNN\tI-NP\tO' +p7650 +aS'.\t.\t.\tO\tO' +p7651 +asS'As the CXR was without any evidence of PNA , or PTX , the pt subsequently received a CTA to evaluate for PE which revealed multifocal bilateral PNA but no PE .' +p7652 +(lp7653 +S'As\tAs\tIN\tB-SBAR\tO' +p7654 +aS'the\tthe\tDT\tB-NP\tO' +p7655 +aS'CXR\tCXR\tNN\tI-NP\tB-protein' +p7656 +aS'was\tbe\tVBD\tB-VP\tO' +p7657 +aS'without\twithout\tIN\tB-PP\tO' +p7658 +aS'any\tany\tDT\tB-NP\tO' +p7659 +aS'evidence\tevidence\tNN\tI-NP\tO' +p7660 +aS'of\tof\tIN\tB-PP\tO' +p7661 +aS'PNA\tPNA\tNN\tB-NP\tO' +p7662 +aS',\t,\t,\tO\tO' +p7663 +aS'or\tor\tCC\tO\tO' +p7664 +aS'PTX\tPTX\tNN\tB-NP\tB-protein' +p7665 +aS',\t,\t,\tO\tO' +p7666 +aS'the\tthe\tDT\tB-NP\tO' +p7667 +aS'pt\tpt\tNN\tI-NP\tO' +p7668 +aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' +p7669 +aS'received\treceive\tVBD\tB-VP\tO' +p7670 +aS'a\ta\tDT\tB-NP\tO' +p7671 +aS'CTA\tCTA\tNN\tI-NP\tB-protein' +p7672 +aS'to\tto\tTO\tB-VP\tO' +p7673 +aS'evaluate\tevaluate\tVB\tI-VP\tO' +p7674 +aS'for\tfor\tIN\tB-PP\tO' +p7675 +aS'PE\tPE\tNN\tB-NP\tO' +p7676 +aS'which\twhich\tWDT\tB-NP\tO' +p7677 +aS'revealed\treveal\tVBD\tB-VP\tO' +p7678 +aS'multifocal\tmultifocal\tJJ\tB-NP\tO' +p7679 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p7680 +aS'PNA\tPNA\tNN\tI-NP\tO' +p7681 +aS'but\tbut\tCC\tO\tO' +p7682 +aS'no\tno\tDT\tB-NP\tO' +p7683 +aS'PE\tPE\tNN\tI-NP\tO' +p7684 +aS'.\t.\t.\tO\tO' +p7685 +asS'Mr. Marian blood sugar was maintained under tight control from 100 to 130 using a regular insulin sliding-scale .' +p7686 +(lp7687 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p7688 +aS'Marian\tMarian\tNNP\tI-NP\tO' +p7689 +aS'blood\tblood\tNN\tI-NP\tO' +p7690 +aS'sugar\tsugar\tNN\tI-NP\tO' +p7691 +aS'was\tbe\tVBD\tB-VP\tO' +p7692 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p7693 +aS'under\tunder\tIN\tB-PP\tO' +p7694 +aS'tight\ttight\tJJ\tB-NP\tO' +p7695 +aS'control\tcontrol\tNN\tI-NP\tO' +p7696 +aS'from\tfrom\tIN\tB-PP\tO' +p7697 +aS'100\t100\tCD\tB-NP\tB-DNA' +p7698 +aS'to\tto\tTO\tB-PP\tI-DNA' +p7699 +aS'130\t130\tCD\tB-NP\tI-DNA' +p7700 +aS'using\tuse\tVBG\tB-VP\tO' +p7701 +aS'a\ta\tDT\tB-NP\tO' +p7702 +aS'regular\tregular\tJJ\tI-NP\tO' +p7703 +aS'insulin\tinsulin\tNN\tI-NP\tO' +p7704 +aS'sliding-scale\tsliding-scale\tJJ\tB-ADJP\tO' +p7705 +aS'.\t.\t.\tO\tO' +p7706 +asS'His examination was largely benign after he was made pain free .' +p7707 +(lp7708 +S'His\tHis\tPRP$\tB-NP\tO' +p7709 +aS'examination\texamination\tNN\tI-NP\tO' +p7710 +aS'was\tbe\tVBD\tB-VP\tO' +p7711 +aS'largely\tlargely\tRB\tB-ADJP\tO' +p7712 +aS'benign\tbenign\tJJ\tI-ADJP\tO' +p7713 +aS'after\tafter\tIN\tB-SBAR\tO' +p7714 +aS'he\the\tPRP\tB-NP\tO' +p7715 +aS'was\tbe\tVBD\tB-VP\tO' +p7716 +aS'made\tmake\tVBN\tI-VP\tO' +p7717 +aS'pain\tpain\tNN\tB-NP\tO' +p7718 +aS'free\tfree\tJJ\tB-ADJP\tO' +p7719 +aS'.\t.\t.\tO\tO' +p7720 +asS'Differential with 72 polys , 16 lymphocytes , 4.6 monocytes , 6.3 eosinophils .' +p7721 +(lp7722 +S'Differential\tDifferential\tJJ\tB-ADJP\tO' +p7723 +aS'with\twith\tIN\tB-PP\tO' +p7724 +aS'72\t72\tCD\tB-NP\tO' +p7725 +aS'polys\tpoly\tNNS\tI-NP\tO' +p7726 +aS',\t,\t,\tO\tO' +p7727 +aS'16\t16\tCD\tB-NP\tO' +p7728 +aS'lymphocytes\tlymphocyte\tNNS\tI-NP\tB-cell_type' +p7729 +aS',\t,\t,\tO\tO' +p7730 +aS'4.6\t4.6\tCD\tB-NP\tO' +p7731 +aS'monocytes\tmonocyte\tNNS\tI-NP\tB-cell_type' +p7732 +aS',\t,\t,\tO\tO' +p7733 +aS'6.3\t6.3\tCD\tB-NP\tO' +p7734 +aS'eosinophils\teosinophil\tNNS\tI-NP\tB-cell_type' +p7735 +aS'.\t.\t.\tO\tO' +p7736 +asS'He was given Levo 750 mg PO X1 , and Flagyl 500 mg PO X1 .' +p7737 +(lp7738 +S'He\tHe\tPRP\tB-NP\tO' +p7739 +aS'was\tbe\tVBD\tB-VP\tO' +p7740 +aS'given\tgive\tVBN\tI-VP\tO' +p7741 +aS'Levo\tLevo\tNNP\tB-NP\tO' +p7742 +aS'750\t750\tCD\tI-NP\tO' +p7743 +aS'mg\tmg\tNN\tI-NP\tO' +p7744 +aS'PO\tPO\tNN\tI-NP\tO' +p7745 +aS'X1\tX1\tNN\tI-NP\tO' +p7746 +aS',\t,\t,\tO\tO' +p7747 +aS'and\tand\tCC\tO\tO' +p7748 +aS'Flagyl\tFlagyl\tNN\tB-NP\tB-protein' +p7749 +aS'500\t500\tCD\tI-NP\tI-protein' +p7750 +aS'mg\tmg\tNN\tI-NP\tI-protein' +p7751 +aS'PO\tPO\tNN\tI-NP\tI-protein' +p7752 +aS'X1\tX1\tNN\tI-NP\tI-protein' +p7753 +aS'.\t.\t.\tO\tO' +p7754 +asS'Left lower extremity and left upper extremity weaker at 3/5 compared to right upper extremity and right lower extremity , chronic according to the patient .' +p7755 +(lp7756 +S'Left\tLeave\tVBN\tB-VP\tO' +p7757 +aS'lower\tlow\tJJR\tB-NP\tO' +p7758 +aS'extremity\textremity\tNN\tI-NP\tO' +p7759 +aS'and\tand\tCC\tO\tO' +p7760 +aS'left\tleave\tVBD\tB-VP\tO' +p7761 +aS'upper\tupper\tJJ\tB-NP\tO' +p7762 +aS'extremity\textremity\tNN\tI-NP\tO' +p7763 +aS'weaker\tweak\tJJR\tB-ADJP\tO' +p7764 +aS'at\tat\tIN\tB-PP\tO' +p7765 +aS'3/5\t3/5\tCD\tB-NP\tO' +p7766 +aS'compared\tcompare\tVBN\tB-VP\tO' +p7767 +aS'to\tto\tTO\tB-PP\tO' +p7768 +aS'right\tright\tJJ\tB-NP\tO' +p7769 +aS'upper\tupper\tJJ\tI-NP\tO' +p7770 +aS'extremity\textremity\tNN\tI-NP\tO' +p7771 +aS'and\tand\tCC\tO\tO' +p7772 +aS'right\tright\tRB\tB-NP\tO' +p7773 +aS'lower\tlow\tJJR\tI-NP\tO' +p7774 +aS'extremity\textremity\tNN\tI-NP\tO' +p7775 +aS',\t,\t,\tO\tO' +p7776 +aS'chronic\tchronic\tJJ\tB-ADJP\tO' +p7777 +aS'according\taccord\tVBG\tB-PP\tO' +p7778 +aS'to\tto\tTO\tB-PP\tO' +p7779 +aS'the\tthe\tDT\tB-NP\tO' +p7780 +aS'patient\tpatient\tNN\tI-NP\tO' +p7781 +aS'.\t.\t.\tO\tO' +p7782 +asS'Small right pleural effusion is stable .' +p7783 +(lp7784 +S'Small\tSmall\tJJ\tB-NP\tO' +p7785 +aS'right\tright\tJJ\tI-NP\tO' +p7786 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p7787 +aS'effusion\teffusion\tNN\tI-NP\tO' +p7788 +aS'is\tbe\tVBZ\tB-VP\tO' +p7789 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p7790 +aS'.\t.\t.\tO\tO' +p7791 +asS'2. Laparoscopic cholecystectomy in May , 2002 .' +p7792 +(lp7793 +S'2.\t2.\tLS\tB-NP\tO' +p7794 +aS'Laparoscopic\tLaparoscopic\tJJ\tI-NP\tO' +p7795 +aS'cholecystectomy\tcholecystectomy\tNN\tI-NP\tO' +p7796 +aS'in\tin\tIN\tB-PP\tO' +p7797 +aS'May\tMay\tNNP\tB-NP\tO' +p7798 +aS',\t,\t,\tO\tO' +p7799 +aS'2002\t2002\tCD\tB-NP\tO' +p7800 +aS'.\t.\t.\tO\tO' +p7801 +asS'Status post total abdominal hysterectomy , bilateral salpingo- oophorectomy .' +p7802 +(lp7803 +S'Status\tStatus\tNNP\tB-NP\tO' +p7804 +aS'post\tpost\tVBD\tB-VP\tO' +p7805 +aS'total\ttotal\tJJ\tB-NP\tO' +p7806 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p7807 +aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' +p7808 +aS',\t,\t,\tO\tO' +p7809 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p7810 +aS'salpingo-\tsalpingo-\tNN\tI-NP\tO' +p7811 +aS'oophorectomy\toophorectomy\tNN\tI-NP\tO' +p7812 +aS'.\t.\t.\tO\tO' +p7813 +asS'I - heparin for PTT 50-70 durin enzyme leak . metoprolol 12 QID .' +p7814 +(lp7815 +S'I\tI\tCD\tB-NP\tO' +p7816 +aS'-\t-\tHYPH\tI-NP\tO' +p7817 +aS'heparin\theparin\tNN\tI-NP\tO' +p7818 +aS'for\tfor\tIN\tB-PP\tO' +p7819 +aS'PTT\tPTT\tNN\tB-NP\tO' +p7820 +aS'50-70\t50-70\tCD\tI-NP\tO' +p7821 +aS'durin\tdurin\tNN\tI-NP\tO' +p7822 +aS'enzyme\tenzyme\tNN\tI-NP\tO' +p7823 +aS'leak\tleak\tNN\tI-NP\tO' +p7824 +aS'.\t.\t.\tO\tO' +p7825 +aS'metoprolol\tmetoprolol\tNN\tB-NP\tO' +p7826 +aS'12\t12\tCD\tI-NP\tO' +p7827 +aS'QID\tQID\tNN\tI-NP\tO' +p7828 +aS'.\t.\t.\tO\tO' +p7829 +asS'2 plus femoral pulses were noted .' +p7830 +(lp7831 +S'2\t2\tCD\tB-NP\tO' +p7832 +aS'plus\tplus\tCC\tO\tO' +p7833 +aS'femoral\tfemoral\tJJ\tB-NP\tO' +p7834 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p7835 +aS'were\tbe\tVBD\tB-VP\tO' +p7836 +aS'noted\tnote\tVBN\tI-VP\tO' +p7837 +aS'.\t.\t.\tO\tO' +p7838 +asS'The past medical history is as above .' +p7839 +(lp7840 +S'The\tThe\tDT\tB-NP\tO' +p7841 +aS'past\tpast\tJJ\tI-NP\tO' +p7842 +aS'medical\tmedical\tJJ\tI-NP\tO' +p7843 +aS'history\thistory\tNN\tI-NP\tO' +p7844 +aS'is\tbe\tVBZ\tB-VP\tO' +p7845 +aS'as\tas\tRB\tB-ADJP\tO' +p7846 +aS'above\tabove\tJJ\tI-ADJP\tO' +p7847 +aS'.\t.\t.\tO\tO' +p7848 +asS'The patient was admitted with a right occipital cerebral infarction .' +p7849 +(lp7850 +S'The\tThe\tDT\tB-NP\tO' +p7851 +aS'patient\tpatient\tNN\tI-NP\tO' +p7852 +aS'was\tbe\tVBD\tB-VP\tO' +p7853 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p7854 +aS'with\twith\tIN\tB-PP\tO' +p7855 +aS'a\ta\tDT\tB-NP\tO' +p7856 +aS'right\tright\tJJ\tI-NP\tO' +p7857 +aS'occipital\toccipital\tNN\tI-NP\tO' +p7858 +aS'cerebral\tcerebral\tJJ\tI-NP\tO' +p7859 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p7860 +aS'.\t.\t.\tO\tO' +p7861 +asS'Father and brother died of PE .' +p7862 +(lp7863 +S'Father\tFather\tNN\tB-NP\tO' +p7864 +aS'and\tand\tCC\tI-NP\tO' +p7865 +aS'brother\tbrother\tNN\tI-NP\tO' +p7866 +aS'died\tdie\tVBD\tB-VP\tO' +p7867 +aS'of\tof\tIN\tB-PP\tO' +p7868 +aS'PE\tPE\tNN\tB-NP\tO' +p7869 +aS'.\t.\t.\tO\tO' +p7870 +asS'His PPD has been negative one year prior to admission , PPD was rechecked during this admission and was negative .' +p7871 +(lp7872 +S'His\tHis\tPRP$\tB-NP\tO' +p7873 +aS'PPD\tPPD\tNN\tI-NP\tB-protein' +p7874 +aS'has\thave\tVBZ\tB-VP\tO' +p7875 +aS'been\tbe\tVBN\tI-VP\tO' +p7876 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p7877 +aS'one\tone\tCD\tB-NP\tO' +p7878 +aS'year\tyear\tNN\tI-NP\tO' +p7879 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p7880 +aS'to\tto\tTO\tB-PP\tO' +p7881 +aS'admission\tadmission\tNN\tB-NP\tO' +p7882 +aS',\t,\t,\tO\tO' +p7883 +aS'PPD\tPPD\tNN\tB-NP\tB-protein' +p7884 +aS'was\tbe\tVBD\tB-VP\tO' +p7885 +aS'rechecked\trechecke\tVBN\tI-VP\tO' +p7886 +aS'during\tduring\tIN\tB-PP\tO' +p7887 +aS'this\tthis\tDT\tB-NP\tO' +p7888 +aS'admission\tadmission\tNN\tI-NP\tO' +p7889 +aS'and\tand\tCC\tO\tO' +p7890 +aS'was\tbe\tVBD\tB-VP\tO' +p7891 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p7892 +aS'.\t.\t.\tO\tO' +p7893 +asS'Subarachnoid hemorrhage is another possible explanation .' +p7894 +(lp7895 +S'Subarachnoid\tSubarachnoid\tJJ\tB-NP\tO' +p7896 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p7897 +aS'is\tbe\tVBZ\tB-VP\tO' +p7898 +aS'another\tanother\tDT\tB-NP\tO' +p7899 +aS'possible\tpossible\tJJ\tI-NP\tO' +p7900 +aS'explanation\texplanation\tNN\tI-NP\tO' +p7901 +aS'.\t.\t.\tO\tO' +p7902 +asS"The patient 's pain postoperatively was controlled with an epidural catheter ." +p7903 +(lp7904 +S'The\tThe\tDT\tB-NP\tO' +p7905 +aS'patient\tpatient\tNN\tI-NP\tO' +p7906 +aS"'s\t's\tPOS\tB-NP\tO" +p7907 +aS'pain\tpain\tNN\tI-NP\tO' +p7908 +aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' +p7909 +aS'was\tbe\tVBD\tB-VP\tO' +p7910 +aS'controlled\tcontrol\tVBN\tI-VP\tO' +p7911 +aS'with\twith\tIN\tB-PP\tO' +p7912 +aS'an\tan\tDT\tB-NP\tO' +p7913 +aS'epidural\tepidural\tJJ\tI-NP\tO' +p7914 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p7915 +aS'.\t.\t.\tO\tO' +p7916 +asS'The situation was reviewed with his wife , Sligh .' +p7917 +(lp7918 +S'The\tThe\tDT\tB-NP\tO' +p7919 +aS'situation\tsituation\tNN\tI-NP\tO' +p7920 +aS'was\tbe\tVBD\tB-VP\tO' +p7921 +aS'reviewed\treview\tVBN\tI-VP\tO' +p7922 +aS'with\twith\tIN\tB-PP\tO' +p7923 +aS'his\this\tPRP$\tB-NP\tO' +p7924 +aS'wife\twife\tNN\tI-NP\tO' +p7925 +aS',\t,\t,\tO\tO' +p7926 +aS'Sligh\tSligh\tNNP\tB-NP\tO' +p7927 +aS'.\t.\t.\tO\tO' +p7928 +asS'Her daughters came by and visited her , and reported that she was at her baseline mental status on the day prior to discharge .' +p7929 +(lp7930 +S'Her\tHer\tPRP$\tB-NP\tO' +p7931 +aS'daughters\tdaughter\tNNS\tI-NP\tO' +p7932 +aS'came\tcome\tVBD\tB-VP\tO' +p7933 +aS'by\tby\tIN\tB-PP\tO' +p7934 +aS'and\tand\tCC\tO\tO' +p7935 +aS'visited\tvisit\tVBD\tB-VP\tO' +p7936 +aS'her\ther\tPRP\tB-NP\tO' +p7937 +aS',\t,\t,\tO\tO' +p7938 +aS'and\tand\tCC\tO\tO' +p7939 +aS'reported\treport\tVBD\tB-VP\tO' +p7940 +aS'that\tthat\tIN\tB-SBAR\tO' +p7941 +aS'she\tshe\tPRP\tB-NP\tO' +p7942 +aS'was\tbe\tVBD\tB-VP\tO' +p7943 +aS'at\tat\tIN\tB-PP\tO' +p7944 +aS'her\ther\tPRP$\tB-NP\tO' +p7945 +aS'baseline\tbaseline\tNN\tI-NP\tO' +p7946 +aS'mental\tmental\tJJ\tI-NP\tO' +p7947 +aS'status\tstatus\tNN\tI-NP\tO' +p7948 +aS'on\ton\tIN\tB-PP\tO' +p7949 +aS'the\tthe\tDT\tB-NP\tO' +p7950 +aS'day\tday\tNN\tI-NP\tO' +p7951 +aS'prior\tprior\tRB\tB-ADVP\tO' +p7952 +aS'to\tto\tTO\tB-VP\tO' +p7953 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p7954 +aS'.\t.\t.\tO\tO' +p7955 +asS'Blood cultures remained negative at this time .' +p7956 +(lp7957 +S'Blood\tBlood\tNN\tB-NP\tB-cell_line' +p7958 +aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' +p7959 +aS'remained\tremain\tVBD\tB-VP\tO' +p7960 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p7961 +aS'at\tat\tIN\tB-PP\tO' +p7962 +aS'this\tthis\tDT\tB-NP\tO' +p7963 +aS'time\ttime\tNN\tI-NP\tO' +p7964 +aS'.\t.\t.\tO\tO' +p7965 +asS"After the termination of resuscitation , both the anesthesia Intensive Care Unit attending and the surgical attending were present to discuss the proceedings events with the patient 's family members including his next of kin , his mother ." +p7966 +(lp7967 +S'After\tAfter\tIN\tB-PP\tO' +p7968 +aS'the\tthe\tDT\tB-NP\tO' +p7969 +aS'termination\ttermination\tNN\tI-NP\tO' +p7970 +aS'of\tof\tIN\tB-PP\tO' +p7971 +aS'resuscitation\tresuscitation\tNN\tB-NP\tO' +p7972 +aS',\t,\t,\tO\tO' +p7973 +aS'both\tboth\tCC\tO\tO' +p7974 +aS'the\tthe\tDT\tB-NP\tO' +p7975 +aS'anesthesia\tanesthesia\tNN\tI-NP\tO' +p7976 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p7977 +aS'Care\tCare\tNNP\tI-NP\tO' +p7978 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p7979 +aS'attending\tattend\tVBG\tB-VP\tO' +p7980 +aS'and\tand\tCC\tO\tO' +p7981 +aS'the\tthe\tDT\tB-NP\tO' +p7982 +aS'surgical\tsurgical\tJJ\tI-NP\tO' +p7983 +aS'attending\tattending\tNN\tI-NP\tO' +p7984 +aS'were\tbe\tVBD\tB-VP\tO' +p7985 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p7986 +aS'to\tto\tTO\tB-VP\tO' +p7987 +aS'discuss\tdiscuss\tVB\tI-VP\tO' +p7988 +aS'the\tthe\tDT\tB-NP\tO' +p7989 +aS'proceedings\tproceeding\tNNS\tI-NP\tO' +p7990 +aS'events\tevent\tNNS\tI-NP\tO' +p7991 +aS'with\twith\tIN\tB-PP\tO' +p7992 +aS'the\tthe\tDT\tB-NP\tO' +p7993 +aS'patient\tpatient\tNN\tI-NP\tO' +p7994 +aS"'s\t's\tPOS\tB-NP\tO" +p7995 +aS'family\tfamily\tNN\tI-NP\tO' +p7996 +aS'members\tmember\tNNS\tI-NP\tO' +p7997 +aS'including\tinclude\tVBG\tB-PP\tO' +p7998 +aS'his\this\tPRP$\tB-NP\tO' +p7999 +aS'next\tnext\tNN\tI-NP\tO' +p8000 +aS'of\tof\tIN\tB-PP\tO' +p8001 +aS'kin\tkin\tNN\tB-NP\tO' +p8002 +aS',\t,\t,\tO\tO' +p8003 +aS'his\this\tPRP$\tB-NP\tO' +p8004 +aS'mother\tmother\tNN\tI-NP\tO' +p8005 +aS'.\t.\t.\tO\tO' +p8006 +asS'Respiratory rate 20 .' +p8007 +(lp8008 +S'Respiratory\tRespiratory\tJJ\tB-NP\tO' +p8009 +aS'rate\trate\tNN\tI-NP\tO' +p8010 +aS'20\t20\tCD\tI-NP\tO' +p8011 +aS'.\t.\t.\tO\tO' +p8012 +asS'Blood cultures were pertinent for one bottle of gram - positive coagulase - negative Staphylococcus which grew from 08-25 .' +p8013 +(lp8014 +S'Blood\tBlood\tNN\tB-NP\tB-cell_line' +p8015 +aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' +p8016 +aS'were\tbe\tVBD\tB-VP\tO' +p8017 +aS'pertinent\tpertinent\tJJ\tB-ADJP\tO' +p8018 +aS'for\tfor\tIN\tB-PP\tO' +p8019 +aS'one\tone\tCD\tB-NP\tO' +p8020 +aS'bottle\tbottle\tNN\tI-NP\tO' +p8021 +aS'of\tof\tIN\tB-PP\tO' +p8022 +aS'gram\tgram\tNN\tB-NP\tB-protein' +p8023 +aS'-\t-\tHYPH\tB-NP\tI-protein' +p8024 +aS'positive\tpositive\tJJ\tI-NP\tI-protein' +p8025 +aS'coagulase\tcoagulase\tNN\tI-NP\tI-protein' +p8026 +aS'-\t-\tHYPH\tB-NP\tO' +p8027 +aS'negative\tnegative\tJJ\tI-NP\tO' +p8028 +aS'Staphylococcus\tStaphylococcus\tNN\tI-NP\tO' +p8029 +aS'which\twhich\tWDT\tB-NP\tO' +p8030 +aS'grew\tgrow\tVBD\tB-VP\tO' +p8031 +aS'from\tfrom\tIN\tB-PP\tO' +p8032 +aS'08-25\t08-25\tCD\tB-NP\tO' +p8033 +aS'.\t.\t.\tO\tO' +p8034 +asS'The patient denies any recent upper respiratory infections , no fevers , no chills , no change in cough , sputum .' +p8035 +(lp8036 +S'The\tThe\tDT\tB-NP\tO' +p8037 +aS'patient\tpatient\tNN\tI-NP\tO' +p8038 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p8039 +aS'any\tany\tDT\tB-NP\tO' +p8040 +aS'recent\trecent\tJJ\tI-NP\tO' +p8041 +aS'upper\tupper\tJJ\tI-NP\tO' +p8042 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p8043 +aS'infections\tinfection\tNNS\tI-NP\tO' +p8044 +aS',\t,\t,\tO\tO' +p8045 +aS'no\tno\tDT\tB-NP\tO' +p8046 +aS'fevers\tfever\tNNS\tI-NP\tO' +p8047 +aS',\t,\t,\tO\tO' +p8048 +aS'no\tno\tDT\tB-NP\tO' +p8049 +aS'chills\tchill\tNNS\tI-NP\tO' +p8050 +aS',\t,\t,\tO\tO' +p8051 +aS'no\tno\tDT\tB-NP\tO' +p8052 +aS'change\tchange\tNN\tI-NP\tO' +p8053 +aS'in\tin\tIN\tB-PP\tO' +p8054 +aS'cough\tcough\tNN\tB-NP\tO' +p8055 +aS',\t,\t,\tO\tO' +p8056 +aS'sputum\tsputum\tNN\tB-NP\tO' +p8057 +aS'.\t.\t.\tO\tO' +p8058 +asS'He had a TEE on 2019-01-22 which revealed thickened mitral leaflets with small vegetations on both anterior and posterior leaflets with moderate to severe mitral regurgitation .' +p8059 +(lp8060 +S'He\tHe\tPRP\tB-NP\tO' +p8061 +aS'had\thave\tVBD\tB-VP\tO' +p8062 +aS'a\ta\tDT\tB-NP\tO' +p8063 +aS'TEE\tTEE\tNN\tI-NP\tO' +p8064 +aS'on\ton\tIN\tB-PP\tO' +p8065 +aS'2019-01-22\t2019-01-22\tCD\tB-NP\tO' +p8066 +aS'which\twhich\tWDT\tB-NP\tO' +p8067 +aS'revealed\treveal\tVBD\tB-VP\tO' +p8068 +aS'thickened\tthicken\tVBN\tI-VP\tO' +p8069 +aS'mitral\tmitral\tJJ\tB-NP\tO' +p8070 +aS'leaflets\tleaflet\tNNS\tI-NP\tO' +p8071 +aS'with\twith\tIN\tB-PP\tO' +p8072 +aS'small\tsmall\tJJ\tB-NP\tO' +p8073 +aS'vegetations\tvegetation\tNNS\tI-NP\tO' +p8074 +aS'on\ton\tIN\tB-PP\tO' +p8075 +aS'both\tboth\tCC\tB-NP\tO' +p8076 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p8077 +aS'and\tand\tCC\tI-NP\tO' +p8078 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p8079 +aS'leaflets\tleaflet\tNNS\tI-NP\tO' +p8080 +aS'with\twith\tIN\tB-PP\tO' +p8081 +aS'moderate\tmoderate\tJJ\tB-ADJP\tO' +p8082 +aS'to\tto\tTO\tB-PP\tO' +p8083 +aS'severe\tsevere\tJJ\tB-NP\tO' +p8084 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p8085 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p8086 +aS'.\t.\t.\tO\tO' +p8087 +asS'Maximum mechanical ventilation PIP 26 , PEEP 6 , rate of 25 , maximum FIO2 35 percent .' +p8088 +(lp8089 +S'Maximum\tMaximum\tJJ\tB-NP\tO' +p8090 +aS'mechanical\tmechanical\tJJ\tI-NP\tO' +p8091 +aS'ventilation\tventilation\tNN\tI-NP\tO' +p8092 +aS'PIP\tPIP\tNN\tI-NP\tO' +p8093 +aS'26\t26\tCD\tI-NP\tO' +p8094 +aS',\t,\t,\tO\tO' +p8095 +aS'PEEP\tPEEP\tNN\tB-NP\tB-protein' +p8096 +aS'6\t6\tCD\tI-NP\tI-protein' +p8097 +aS',\t,\t,\tO\tO' +p8098 +aS'rate\trate\tNN\tB-NP\tO' +p8099 +aS'of\tof\tIN\tB-PP\tO' +p8100 +aS'25\t25\tCD\tB-NP\tO' +p8101 +aS',\t,\t,\tO\tO' +p8102 +aS'maximum\tmaximum\tJJ\tB-NP\tO' +p8103 +aS'FIO2\tFIO2\tCD\tI-NP\tO' +p8104 +aS'35\t35\tCD\tI-NP\tO' +p8105 +aS'percent\tpercent\tNN\tI-NP\tO' +p8106 +aS'.\t.\t.\tO\tO' +p8107 +asS'Pelvic mass , benign mucinous cystadenoma .' +p8108 +(lp8109 +S'Pelvic\tPelvic\tJJ\tB-NP\tO' +p8110 +aS'mass\tmass\tNN\tI-NP\tO' +p8111 +aS',\t,\t,\tO\tO' +p8112 +aS'benign\tbenign\tJJ\tB-NP\tO' +p8113 +aS'mucinous\tmucinous\tJJ\tI-NP\tO' +p8114 +aS'cystadenoma\tcystadenoma\tNN\tI-NP\tO' +p8115 +aS'.\t.\t.\tO\tO' +p8116 +asS'The opinion of the Renal consult was that this was permanent and non-reversible renal failure since it did not improve with dialysis and the patient will continue on dialysis three times per week .' +p8117 +(lp8118 +S'The\tThe\tDT\tB-NP\tO' +p8119 +aS'opinion\topinion\tNN\tI-NP\tO' +p8120 +aS'of\tof\tIN\tB-PP\tO' +p8121 +aS'the\tthe\tDT\tB-NP\tO' +p8122 +aS'Renal\tRenal\tJJ\tI-NP\tO' +p8123 +aS'consult\tconsult\tNN\tI-NP\tO' +p8124 +aS'was\tbe\tVBD\tB-VP\tO' +p8125 +aS'that\tthat\tIN\tB-SBAR\tO' +p8126 +aS'this\tthis\tDT\tB-NP\tO' +p8127 +aS'was\tbe\tVBD\tB-VP\tO' +p8128 +aS'permanent\tpermanent\tJJ\tB-NP\tO' +p8129 +aS'and\tand\tCC\tI-NP\tO' +p8130 +aS'non-reversible\tnon-reversible\tJJ\tI-NP\tO' +p8131 +aS'renal\trenal\tJJ\tI-NP\tO' +p8132 +aS'failure\tfailure\tNN\tI-NP\tO' +p8133 +aS'since\tsince\tIN\tB-SBAR\tO' +p8134 +aS'it\tit\tPRP\tB-NP\tO' +p8135 +aS'did\tdo\tVBD\tB-VP\tO' +p8136 +aS'not\tnot\tRB\tI-VP\tO' +p8137 +aS'improve\timprove\tVB\tI-VP\tO' +p8138 +aS'with\twith\tIN\tB-PP\tO' +p8139 +aS'dialysis\tdialysis\tNN\tB-NP\tO' +p8140 +aS'and\tand\tCC\tO\tO' +p8141 +aS'the\tthe\tDT\tB-NP\tO' +p8142 +aS'patient\tpatient\tNN\tI-NP\tO' +p8143 +aS'will\twill\tMD\tB-VP\tO' +p8144 +aS'continue\tcontinue\tVB\tI-VP\tO' +p8145 +aS'on\ton\tIN\tB-PP\tO' +p8146 +aS'dialysis\tdialysis\tNN\tB-NP\tO' +p8147 +aS'three\tthree\tCD\tB-NP\tO' +p8148 +aS'times\ttime\tNNS\tI-NP\tO' +p8149 +aS'per\tper\tIN\tB-PP\tO' +p8150 +aS'week\tweek\tNN\tB-NP\tO' +p8151 +aS'.\t.\t.\tO\tO' +p8152 +asS'On this echocardiogram , he was found to have mildly dilated left atrium , mild symmetric left ventricular hypertrophy , and a normal ejection fraction of greater than 55% .' +p8153 +(lp8154 +S'On\tOn\tIN\tB-PP\tO' +p8155 +aS'this\tthis\tDT\tB-NP\tO' +p8156 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p8157 +aS',\t,\t,\tO\tO' +p8158 +aS'he\the\tPRP\tB-NP\tO' +p8159 +aS'was\tbe\tVBD\tB-VP\tO' +p8160 +aS'found\tfind\tVBN\tI-VP\tO' +p8161 +aS'to\tto\tTO\tI-VP\tO' +p8162 +aS'have\thave\tVB\tI-VP\tO' +p8163 +aS'mildly\tmildly\tRB\tI-VP\tO' +p8164 +aS'dilated\tdilate\tVBN\tI-VP\tO' +p8165 +aS'left\tleft\tJJ\tB-NP\tO' +p8166 +aS'atrium\tatrium\tNN\tI-NP\tO' +p8167 +aS',\t,\t,\tO\tO' +p8168 +aS'mild\tmild\tJJ\tB-NP\tO' +p8169 +aS'symmetric\tsymmetric\tJJ\tI-NP\tO' +p8170 +aS'left\tleft\tJJ\tI-NP\tO' +p8171 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p8172 +aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' +p8173 +aS',\t,\t,\tO\tO' +p8174 +aS'and\tand\tCC\tO\tO' +p8175 +aS'a\ta\tDT\tB-NP\tO' +p8176 +aS'normal\tnormal\tJJ\tI-NP\tO' +p8177 +aS'ejection\tejection\tNN\tI-NP\tO' +p8178 +aS'fraction\tfraction\tNN\tI-NP\tO' +p8179 +aS'of\tof\tIN\tB-PP\tO' +p8180 +aS'greater\tgreat\tJJR\tB-NP\tO' +p8181 +aS'than\tthan\tIN\tI-NP\tO' +p8182 +aS'55%\t55%\tCD\tI-NP\tO' +p8183 +aS'.\t.\t.\tO\tO' +p8184 +asS'Dictated By : Emily M. Cassidy , M.D.' +p8185 +(lp8186 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p8187 +aS'By\tBy\tIN\tB-PP\tO' +p8188 +aS':\t:\t:\tO\tO' +p8189 +aS'Emily\tEmily\tNNP\tB-NP\tO' +p8190 +aS'M.\tM.\tNNP\tI-NP\tO' +p8191 +aS'Cassidy\tCassidy\tNNP\tI-NP\tO' +p8192 +aS',\t,\t,\tO\tO' +p8193 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p8194 +asS'Respiratory breath sounds are clear bilaterally , decreased at the bases .' +p8195 +(lp8196 +S'Respiratory\tRespiratory\tJJ\tB-NP\tO' +p8197 +aS'breath\tbreath\tNN\tI-NP\tO' +p8198 +aS'sounds\tsound\tNNS\tI-NP\tO' +p8199 +aS'are\tbe\tVBP\tB-VP\tO' +p8200 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p8201 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p8202 +aS',\t,\t,\tO\tO' +p8203 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p8204 +aS'at\tat\tIN\tB-PP\tO' +p8205 +aS'the\tthe\tDT\tB-NP\tO' +p8206 +aS'bases\tbase\tNNS\tI-NP\tO' +p8207 +aS'.\t.\t.\tO\tO' +p8208 +asS'On 02/08/91 , the patient called Dr. Seen because of increased shortness of breath and malaise .' +p8209 +(lp8210 +S'On\tOn\tIN\tB-PP\tO' +p8211 +aS'02/08/91\t02/08/91\tCD\tB-NP\tO' +p8212 +aS',\t,\t,\tO\tO' +p8213 +aS'the\tthe\tDT\tB-NP\tO' +p8214 +aS'patient\tpatient\tNN\tI-NP\tO' +p8215 +aS'called\tcall\tVBN\tB-VP\tO' +p8216 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p8217 +aS'Seen\tSeen\tNNP\tI-NP\tO' +p8218 +aS'because\tbecause\tIN\tB-PP\tO' +p8219 +aS'of\tof\tIN\tI-PP\tO' +p8220 +aS'increased\tincrease\tVBN\tB-NP\tO' +p8221 +aS'shortness\tshortness\tNN\tI-NP\tO' +p8222 +aS'of\tof\tIN\tB-PP\tO' +p8223 +aS'breath\tbreath\tNN\tB-NP\tO' +p8224 +aS'and\tand\tCC\tI-NP\tO' +p8225 +aS'malaise\tmalaise\tNN\tI-NP\tO' +p8226 +aS'.\t.\t.\tO\tO' +p8227 +asS'He developed physiologic hyperbilirubinemia ( peak bili 8.6/0.3 on 06-08 , DOL3 ) for which he was treated with a single phototherapy .' +p8228 +(lp8229 +S'He\tHe\tPRP\tB-NP\tO' +p8230 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p8231 +aS'physiologic\tphysiologic\tJJ\tB-NP\tO' +p8232 +aS'hyperbilirubinemia\thyperbilirubinemia\tNN\tI-NP\tO' +p8233 +aS'(\t(\t(\tO\tO' +p8234 +aS'peak\tpeak\tJJ\tB-NP\tO' +p8235 +aS'bili\tbili\tNN\tI-NP\tO' +p8236 +aS'8.6/0.3\t8.6/0.3\tCD\tI-NP\tO' +p8237 +aS'on\ton\tIN\tB-PP\tO' +p8238 +aS'06-08\t06-08\tCD\tB-NP\tO' +p8239 +aS',\t,\t,\tO\tO' +p8240 +aS'DOL3\tDOL3\tNN\tB-NP\tB-protein' +p8241 +aS')\t)\t)\tO\tO' +p8242 +aS'for\tfor\tIN\tB-PP\tO' +p8243 +aS'which\twhich\tWDT\tB-NP\tO' +p8244 +aS'he\the\tPRP\tB-NP\tO' +p8245 +aS'was\tbe\tVBD\tB-VP\tO' +p8246 +aS'treated\ttreat\tVBN\tI-VP\tO' +p8247 +aS'with\twith\tIN\tB-PP\tO' +p8248 +aS'a\ta\tDT\tB-NP\tO' +p8249 +aS'single\tsingle\tJJ\tI-NP\tO' +p8250 +aS'phototherapy\tphototherapy\tNN\tI-NP\tO' +p8251 +aS'.\t.\t.\tO\tO' +p8252 +asS'Dictated By : Anthony O Carreno , M.D.' +p8253 +(lp8254 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p8255 +aS'By\tBy\tIN\tB-PP\tO' +p8256 +aS':\t:\t:\tO\tO' +p8257 +aS'Anthony\tAnthony\tNNP\tB-NP\tO' +p8258 +aS'O\tO\tNNP\tI-NP\tO' +p8259 +aS'Carreno\tCarreno\tNNP\tI-NP\tO' +p8260 +aS',\t,\t,\tO\tO' +p8261 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p8262 +asS'Dexedrine 5 mg per day and Motrin 600 mg tid .' +p8263 +(lp8264 +S'Dexedrine\tDexedrine\tNN\tB-NP\tO' +p8265 +aS'5\t5\tCD\tI-NP\tO' +p8266 +aS'mg\tmg\tNN\tI-NP\tO' +p8267 +aS'per\tper\tIN\tB-PP\tO' +p8268 +aS'day\tday\tNN\tB-NP\tO' +p8269 +aS'and\tand\tCC\tO\tO' +p8270 +aS'Motrin\tMotrin\tNN\tB-NP\tO' +p8271 +aS'600\t600\tCD\tI-NP\tO' +p8272 +aS'mg\tmg\tNN\tI-NP\tO' +p8273 +aS'tid\ttid\tNN\tI-NP\tO' +p8274 +aS'.\t.\t.\tO\tO' +p8275 +asS'During conscious sedation , the patient developed bigeminy ( the patient was sedated , did not feel chest pain or shortness of breath ) .' +p8276 +(lp8277 +S'During\tDuring\tIN\tB-PP\tO' +p8278 +aS'conscious\tconscious\tJJ\tB-NP\tO' +p8279 +aS'sedation\tsedation\tNN\tI-NP\tO' +p8280 +aS',\t,\t,\tO\tO' +p8281 +aS'the\tthe\tDT\tB-NP\tO' +p8282 +aS'patient\tpatient\tNN\tI-NP\tO' +p8283 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p8284 +aS'bigeminy\tbigeminy\tJJ\tB-ADJP\tO' +p8285 +aS'(\t(\t(\tO\tO' +p8286 +aS'the\tthe\tDT\tB-NP\tO' +p8287 +aS'patient\tpatient\tNN\tI-NP\tO' +p8288 +aS'was\tbe\tVBD\tB-VP\tO' +p8289 +aS'sedated\tsedate\tVBN\tI-VP\tO' +p8290 +aS',\t,\t,\tO\tO' +p8291 +aS'did\tdo\tVBD\tB-VP\tO' +p8292 +aS'not\tnot\tRB\tI-VP\tO' +p8293 +aS'feel\tfeel\tVB\tI-VP\tO' +p8294 +aS'chest\tchest\tNN\tB-NP\tO' +p8295 +aS'pain\tpain\tNN\tI-NP\tO' +p8296 +aS'or\tor\tCC\tI-NP\tO' +p8297 +aS'shortness\tshortness\tNN\tI-NP\tO' +p8298 +aS'of\tof\tIN\tB-PP\tO' +p8299 +aS'breath\tbreath\tNN\tB-NP\tO' +p8300 +aS')\t)\t)\tO\tO' +p8301 +aS'.\t.\t.\tO\tO' +p8302 +asS'Patient was instructed to decrease her evening dose if she does not continue to take good po .' +p8303 +(lp8304 +S'Patient\tPatient\tNN\tB-NP\tO' +p8305 +aS'was\tbe\tVBD\tB-VP\tO' +p8306 +aS'instructed\tinstruct\tVBN\tI-VP\tO' +p8307 +aS'to\tto\tTO\tI-VP\tO' +p8308 +aS'decrease\tdecrease\tVB\tI-VP\tO' +p8309 +aS'her\ther\tPRP$\tB-NP\tO' +p8310 +aS'evening\tevening\tNN\tI-NP\tO' +p8311 +aS'dose\tdose\tNN\tI-NP\tO' +p8312 +aS'if\tif\tIN\tB-SBAR\tO' +p8313 +aS'she\tshe\tPRP\tB-NP\tO' +p8314 +aS'does\tdo\tVBZ\tB-VP\tO' +p8315 +aS'not\tnot\tRB\tI-VP\tO' +p8316 +aS'continue\tcontinue\tVB\tI-VP\tO' +p8317 +aS'to\tto\tTO\tI-VP\tO' +p8318 +aS'take\ttake\tVB\tI-VP\tO' +p8319 +aS'good\tgood\tJJ\tB-NP\tO' +p8320 +aS'po\tpo\tNN\tI-NP\tO' +p8321 +aS'.\t.\t.\tO\tO' +p8322 +asS'1. CAD : presented with anginal symptoms and EKG changes ( STEMI ) , with cardiac catheterization revealing lesions in LAD , LcX , and PLB .' +p8323 +(lp8324 +S'1.\t1.\tCD\tB-NP\tO' +p8325 +aS'CAD\tCAD\tNN\tI-NP\tO' +p8326 +aS':\t:\t:\tO\tO' +p8327 +aS'presented\tpresent\tVBN\tB-VP\tO' +p8328 +aS'with\twith\tIN\tB-PP\tO' +p8329 +aS'anginal\tanginal\tJJ\tB-NP\tO' +p8330 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p8331 +aS'and\tand\tCC\tO\tO' +p8332 +aS'EKG\tEKG\tNN\tB-NP\tO' +p8333 +aS'changes\tchange\tNNS\tI-NP\tO' +p8334 +aS'(\t(\t(\tO\tO' +p8335 +aS'STEMI\tSTEMI\tNN\tB-NP\tB-protein' +p8336 +aS')\t)\t)\tO\tO' +p8337 +aS',\t,\t,\tO\tO' +p8338 +aS'with\twith\tIN\tB-PP\tO' +p8339 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p8340 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p8341 +aS'revealing\treveal\tVBG\tB-VP\tO' +p8342 +aS'lesions\tlesion\tNNS\tB-NP\tO' +p8343 +aS'in\tin\tIN\tB-PP\tO' +p8344 +aS'LAD\tLAD\tNN\tB-NP\tO' +p8345 +aS',\t,\t,\tO\tO' +p8346 +aS'LcX\tLcX\tNN\tB-NP\tB-protein' +p8347 +aS',\t,\t,\tO\tO' +p8348 +aS'and\tand\tCC\tO\tO' +p8349 +aS'PLB\tPLB\tNN\tB-NP\tB-protein' +p8350 +aS'.\t.\t.\tO\tO' +p8351 +asS'She had moist mucous membranes .' +p8352 +(lp8353 +S'She\tShe\tPRP\tB-NP\tO' +p8354 +aS'had\thave\tVBD\tB-VP\tO' +p8355 +aS'moist\tmoist\tJJ\tB-NP\tO' +p8356 +aS'mucous\tmucous\tJJ\tI-NP\tO' +p8357 +aS'membranes\tmembrane\tNNS\tI-NP\tO' +p8358 +aS'.\t.\t.\tO\tO' +p8359 +asS'An MRI of her C-spine was done to evaluate for ligamentous injury , but this was extremely limited examination due to patient motion and the signal in the spinal cord could not be adequately assessed for edema .' +p8360 +(lp8361 +S'An\tAn\tDT\tB-NP\tO' +p8362 +aS'MRI\tMRI\tNN\tI-NP\tO' +p8363 +aS'of\tof\tIN\tB-PP\tO' +p8364 +aS'her\ther\tPRP$\tB-NP\tO' +p8365 +aS'C-spine\tC-spine\tNN\tI-NP\tO' +p8366 +aS'was\tbe\tVBD\tB-VP\tO' +p8367 +aS'done\tdo\tVBN\tI-VP\tO' +p8368 +aS'to\tto\tTO\tI-VP\tO' +p8369 +aS'evaluate\tevaluate\tVB\tI-VP\tO' +p8370 +aS'for\tfor\tIN\tB-PP\tO' +p8371 +aS'ligamentous\tligamentous\tJJ\tB-NP\tO' +p8372 +aS'injury\tinjury\tNN\tI-NP\tO' +p8373 +aS',\t,\t,\tO\tO' +p8374 +aS'but\tbut\tCC\tO\tO' +p8375 +aS'this\tthis\tDT\tB-NP\tO' +p8376 +aS'was\tbe\tVBD\tB-VP\tO' +p8377 +aS'extremely\textremely\tRB\tB-NP\tO' +p8378 +aS'limited\tlimit\tVBN\tI-NP\tO' +p8379 +aS'examination\texamination\tNN\tI-NP\tO' +p8380 +aS'due\tdue\tIN\tB-PP\tO' +p8381 +aS'to\tto\tTO\tI-PP\tO' +p8382 +aS'patient\tpatient\tNN\tB-NP\tO' +p8383 +aS'motion\tmotion\tNN\tI-NP\tO' +p8384 +aS'and\tand\tCC\tO\tO' +p8385 +aS'the\tthe\tDT\tB-NP\tO' +p8386 +aS'signal\tsignal\tNN\tI-NP\tO' +p8387 +aS'in\tin\tIN\tB-PP\tO' +p8388 +aS'the\tthe\tDT\tB-NP\tO' +p8389 +aS'spinal\tspinal\tJJ\tI-NP\tO' +p8390 +aS'cord\tcord\tNN\tI-NP\tO' +p8391 +aS'could\tcould\tMD\tB-VP\tO' +p8392 +aS'not\tnot\tRB\tI-VP\tO' +p8393 +aS'be\tbe\tVB\tI-VP\tO' +p8394 +aS'adequately\tadequately\tRB\tI-VP\tO' +p8395 +aS'assessed\tassess\tVBN\tI-VP\tO' +p8396 +aS'for\tfor\tIN\tB-PP\tO' +p8397 +aS'edema\tedema\tNN\tB-NP\tO' +p8398 +aS'.\t.\t.\tO\tO' +p8399 +asS'Over the next the rash progressed , and the patient subsequently began spiking fevers to approx 103 F , c/b hypotension requiring aggressive fluid repletion and pressors , and tachycardia to the' +p8400 +(lp8401 +S'Over\tOver\tIN\tB-PP\tO' +p8402 +aS'the\tthe\tDT\tB-NP\tO' +p8403 +aS'next\tnext\tJJ\tI-NP\tO' +p8404 +aS'the\tthe\tDT\tI-NP\tO' +p8405 +aS'rash\trash\tNN\tI-NP\tO' +p8406 +aS'progressed\tprogress\tVBD\tB-VP\tO' +p8407 +aS',\t,\t,\tO\tO' +p8408 +aS'and\tand\tCC\tO\tO' +p8409 +aS'the\tthe\tDT\tB-NP\tO' +p8410 +aS'patient\tpatient\tNN\tI-NP\tO' +p8411 +aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' +p8412 +aS'began\tbegin\tVBD\tB-VP\tO' +p8413 +aS'spiking\tspike\tVBG\tI-VP\tO' +p8414 +aS'fevers\tfever\tNNS\tB-NP\tO' +p8415 +aS'to\tto\tTO\tB-VP\tO' +p8416 +aS'approx\tapprox\tVB\tI-VP\tO' +p8417 +aS'103\t103\tCD\tB-NP\tO' +p8418 +aS'F\tF\tNN\tI-NP\tO' +p8419 +aS',\t,\t,\tO\tO' +p8420 +aS'c/b\tc/b\tNN\tB-NP\tO' +p8421 +aS'hypotension\thypotension\tNN\tI-NP\tO' +p8422 +aS'requiring\trequire\tVBG\tB-VP\tO' +p8423 +aS'aggressive\taggressive\tJJ\tB-NP\tO' +p8424 +aS'fluid\tfluid\tNN\tI-NP\tO' +p8425 +aS'repletion\trepletion\tNN\tI-NP\tO' +p8426 +aS'and\tand\tCC\tI-NP\tO' +p8427 +aS'pressors\tpressor\tNNS\tI-NP\tO' +p8428 +aS',\t,\t,\tO\tO' +p8429 +aS'and\tand\tCC\tO\tO' +p8430 +aS'tachycardia\ttachycardia\tNN\tB-NP\tO' +p8431 +aS'to\tto\tTO\tB-PP\tO' +p8432 +aS'the\tthe\tDT\tB-NP\tO' +p8433 +asS'The electrocardiogram was normal sinus rhythm at 81 , with normal intervals and normal axis , had poor R-wave progression consistent with an old anterior myocardial infarction , had flipped T-waves in V1 through V5 , which were of no significant change since his last EKG on 5-25-93 .' +p8434 +(lp8435 +S'The\tThe\tDT\tB-NP\tO' +p8436 +aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' +p8437 +aS'was\tbe\tVBD\tB-VP\tO' +p8438 +aS'normal\tnormal\tJJ\tB-NP\tO' +p8439 +aS'sinus\tsinus\tNN\tI-NP\tO' +p8440 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p8441 +aS'at\tat\tIN\tB-PP\tO' +p8442 +aS'81\t81\tCD\tB-NP\tO' +p8443 +aS',\t,\t,\tO\tO' +p8444 +aS'with\twith\tIN\tB-PP\tO' +p8445 +aS'normal\tnormal\tJJ\tB-NP\tO' +p8446 +aS'intervals\tinterval\tNNS\tI-NP\tO' +p8447 +aS'and\tand\tCC\tO\tO' +p8448 +aS'normal\tnormal\tJJ\tB-NP\tO' +p8449 +aS'axis\taxis\tNN\tI-NP\tO' +p8450 +aS',\t,\t,\tO\tO' +p8451 +aS'had\thave\tVBD\tB-VP\tO' +p8452 +aS'poor\tpoor\tJJ\tB-NP\tO' +p8453 +aS'R-wave\tR-wave\tNN\tI-NP\tO' +p8454 +aS'progression\tprogression\tNN\tI-NP\tO' +p8455 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p8456 +aS'with\twith\tIN\tB-PP\tO' +p8457 +aS'an\tan\tDT\tB-NP\tO' +p8458 +aS'old\told\tJJ\tI-NP\tO' +p8459 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p8460 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p8461 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p8462 +aS',\t,\t,\tO\tO' +p8463 +aS'had\thave\tVBD\tB-VP\tO' +p8464 +aS'flipped\tflip\tVBN\tI-VP\tO' +p8465 +aS'T-waves\tT-wave\tNNS\tB-NP\tO' +p8466 +aS'in\tin\tIN\tB-PP\tO' +p8467 +aS'V1\tV1\tNN\tB-NP\tO' +p8468 +aS'through\tthrough\tIN\tB-PP\tO' +p8469 +aS'V5\tV5\tNN\tB-NP\tB-protein' +p8470 +aS',\t,\t,\tO\tO' +p8471 +aS'which\twhich\tWDT\tB-NP\tO' +p8472 +aS'were\tbe\tVBD\tB-VP\tO' +p8473 +aS'of\tof\tIN\tB-PP\tO' +p8474 +aS'no\tno\tDT\tB-NP\tO' +p8475 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p8476 +aS'change\tchange\tNN\tI-NP\tO' +p8477 +aS'since\tsince\tIN\tB-PP\tO' +p8478 +aS'his\this\tPRP$\tB-NP\tO' +p8479 +aS'last\tlast\tJJ\tI-NP\tO' +p8480 +aS'EKG\tEKG\tNN\tI-NP\tO' +p8481 +aS'on\ton\tIN\tB-PP\tO' +p8482 +aS'5-25-93\t5-25-93\tNN\tB-NP\tO' +p8483 +aS'.\t.\t.\tO\tO' +p8484 +asS'She arrived intubated and sedated from Esteban Hospital .' +p8485 +(lp8486 +S'She\tShe\tPRP\tB-NP\tO' +p8487 +aS'arrived\tarrive\tVBD\tB-VP\tO' +p8488 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p8489 +aS'and\tand\tCC\tI-VP\tO' +p8490 +aS'sedated\tsedate\tVBN\tI-VP\tO' +p8491 +aS'from\tfrom\tIN\tB-PP\tO' +p8492 +aS'Esteban\tEsteban\tNNP\tB-NP\tO' +p8493 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p8494 +aS'.\t.\t.\tO\tO' +p8495 +asS'The ionized calcium was elevated as was the parathormone level .' +p8496 +(lp8497 +S'The\tThe\tDT\tB-NP\tO' +p8498 +aS'ionized\tionize\tVBN\tI-NP\tO' +p8499 +aS'calcium\tcalcium\tNN\tI-NP\tO' +p8500 +aS'was\tbe\tVBD\tB-VP\tO' +p8501 +aS'elevated\televate\tVBN\tI-VP\tO' +p8502 +aS'as\tas\tIN\tB-SBAR\tO' +p8503 +aS'was\tbe\tVBD\tB-VP\tO' +p8504 +aS'the\tthe\tDT\tB-NP\tO' +p8505 +aS'parathormone\tparathormone\tNN\tI-NP\tO' +p8506 +aS'level\tlevel\tNN\tI-NP\tO' +p8507 +aS'.\t.\t.\tO\tO' +p8508 +asS'The patient is instructed to followup with her doctor in 1 to 2 weeks of discharge .' +p8509 +(lp8510 +S'The\tThe\tDT\tB-NP\tO' +p8511 +aS'patient\tpatient\tNN\tI-NP\tO' +p8512 +aS'is\tbe\tVBZ\tB-VP\tO' +p8513 +aS'instructed\tinstruct\tVBN\tI-VP\tO' +p8514 +aS'to\tto\tTO\tI-VP\tO' +p8515 +aS'followup\tfollowup\tVB\tI-VP\tO' +p8516 +aS'with\twith\tIN\tB-PP\tO' +p8517 +aS'her\ther\tPRP$\tB-NP\tO' +p8518 +aS'doctor\tdoctor\tNN\tI-NP\tO' +p8519 +aS'in\tin\tIN\tB-PP\tO' +p8520 +aS'1\t1\tCD\tB-NP\tO' +p8521 +aS'to\tto\tTO\tI-NP\tO' +p8522 +aS'2\t2\tCD\tI-NP\tO' +p8523 +aS'weeks\tweek\tNNS\tI-NP\tO' +p8524 +aS'of\tof\tIN\tB-PP\tO' +p8525 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p8526 +aS'.\t.\t.\tO\tO' +p8527 +asS'1. The patient was to arrange his follow-up with his primary care physician , Bryan Smith .' +p8528 +(lp8529 +S'1.\t1.\tLS\tB-LST\tO' +p8530 +aS'The\tThe\tDT\tB-NP\tO' +p8531 +aS'patient\tpatient\tNN\tI-NP\tO' +p8532 +aS'was\tbe\tVBD\tB-VP\tO' +p8533 +aS'to\tto\tTO\tB-VP\tO' +p8534 +aS'arrange\tarrange\tVB\tI-VP\tO' +p8535 +aS'his\this\tPRP$\tB-NP\tO' +p8536 +aS'follow-up\tfollow-up\tNN\tI-NP\tO' +p8537 +aS'with\twith\tIN\tB-PP\tO' +p8538 +aS'his\this\tPRP$\tB-NP\tO' +p8539 +aS'primary\tprimary\tJJ\tI-NP\tO' +p8540 +aS'care\tcare\tNN\tI-NP\tO' +p8541 +aS'physician\tphysician\tNN\tI-NP\tO' +p8542 +aS',\t,\t,\tO\tO' +p8543 +aS'Bryan\tBryan\tNNP\tB-NP\tO' +p8544 +aS'Smith\tSmith\tNNP\tI-NP\tO' +p8545 +aS'.\t.\t.\tO\tO' +p8546 +asS'esophagoscopy , bronchoscopy , pericardectomy , excision of gastric ulcer , repair of gastric ulcer and pectoralis major myocutaneous flap performed on December 4 , 1995 by Dr. Reg Cranka and Dr. Win Shufffyfe .' +p8547 +(lp8548 +S'esophagoscopy\tesophagoscopy\tNN\tB-NP\tO' +p8549 +aS',\t,\t,\tO\tO' +p8550 +aS'bronchoscopy\tbronchoscopy\tNN\tB-NP\tO' +p8551 +aS',\t,\t,\tO\tO' +p8552 +aS'pericardectomy\tpericardectomy\tNN\tB-NP\tO' +p8553 +aS',\t,\t,\tO\tO' +p8554 +aS'excision\texcision\tNN\tB-NP\tO' +p8555 +aS'of\tof\tIN\tB-PP\tO' +p8556 +aS'gastric\tgastric\tJJ\tB-NP\tO' +p8557 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p8558 +aS',\t,\t,\tO\tO' +p8559 +aS'repair\trepair\tNN\tB-NP\tO' +p8560 +aS'of\tof\tIN\tB-PP\tO' +p8561 +aS'gastric\tgastric\tJJ\tB-NP\tO' +p8562 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p8563 +aS'and\tand\tCC\tI-NP\tO' +p8564 +aS'pectoralis\tpectoralis\tNN\tI-NP\tB-protein' +p8565 +aS'major\tmajor\tJJ\tI-NP\tI-protein' +p8566 +aS'myocutaneous\tmyocutaneous\tJJ\tI-NP\tI-protein' +p8567 +aS'flap\tflap\tNN\tI-NP\tI-protein' +p8568 +aS'performed\tperform\tVBN\tB-VP\tO' +p8569 +aS'on\ton\tIN\tB-PP\tO' +p8570 +aS'December\tDecember\tNNP\tB-NP\tO' +p8571 +aS'4\t4\tCD\tI-NP\tO' +p8572 +aS',\t,\t,\tI-NP\tO' +p8573 +aS'1995\t1995\tCD\tI-NP\tO' +p8574 +aS'by\tby\tIN\tB-PP\tO' +p8575 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p8576 +aS'Reg\tReg\tNNP\tI-NP\tO' +p8577 +aS'Cranka\tCranka\tNNP\tI-NP\tO' +p8578 +aS'and\tand\tCC\tO\tO' +p8579 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p8580 +aS'Win\tWin\tNNP\tI-NP\tO' +p8581 +aS'Shufffyfe\tShufffyfe\tNNP\tI-NP\tO' +p8582 +aS'.\t.\t.\tO\tO' +p8583 +asS'7. Avandia 4 mg once daily .' +p8584 +(lp8585 +S'7.\t7.\tCD\tB-NP\tO' +p8586 +aS'Avandia\tAvandia\tNNP\tI-NP\tO' +p8587 +aS'4\t4\tCD\tI-NP\tO' +p8588 +aS'mg\tmg\tNN\tI-NP\tO' +p8589 +aS'once\tonce\tRB\tB-ADVP\tO' +p8590 +aS'daily\tdaily\tRB\tI-ADVP\tO' +p8591 +aS'.\t.\t.\tO\tO' +p8592 +asS'Dictated By : Jon O Shappy , M.D.' +p8593 +(lp8594 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p8595 +aS'By\tBy\tIN\tB-PP\tO' +p8596 +aS':\t:\t:\tO\tO' +p8597 +aS'Jon\tJon\tNNP\tB-NP\tO' +p8598 +aS'O\tO\tNNP\tI-NP\tO' +p8599 +aS'Shappy\tShappy\tNNP\tI-NP\tO' +p8600 +aS',\t,\t,\tO\tO' +p8601 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p8602 +asS'4. Humulin Walters insulin 24 units subcutaneous q A.M. and 8 to 16 in the evening depending upon where his blood sugar has been .' +p8603 +(lp8604 +S'4.\t4.\tLS\tB-NP\tO' +p8605 +aS'Humulin\tHumulin\tNN\tI-NP\tB-protein' +p8606 +aS'Walters\tWalter\tVBZ\tB-VP\tO' +p8607 +aS'insulin\tinsulin\tNN\tB-NP\tB-protein' +p8608 +aS'24\t24\tCD\tB-NP\tI-protein' +p8609 +aS'units\tunit\tNNS\tI-NP\tI-protein' +p8610 +aS'subcutaneous\tsubcutaneous\tJJ\tB-NP\tO' +p8611 +aS'q\tq\tNN\tI-NP\tO' +p8612 +aS'A.M.\tA.M.\tNNP\tI-NP\tO' +p8613 +aS'and\tand\tCC\tO\tO' +p8614 +aS'8\t8\tCD\tB-NP\tO' +p8615 +aS'to\tto\tTO\tB-PP\tO' +p8616 +aS'16\t16\tCD\tB-NP\tO' +p8617 +aS'in\tin\tIN\tB-PP\tO' +p8618 +aS'the\tthe\tDT\tB-NP\tO' +p8619 +aS'evening\tevening\tNN\tI-NP\tO' +p8620 +aS'depending\tdepend\tVBG\tB-VP\tO' +p8621 +aS'upon\tupon\tIN\tB-PP\tO' +p8622 +aS'where\twhere\tWRB\tB-ADVP\tO' +p8623 +aS'his\this\tPRP$\tB-NP\tO' +p8624 +aS'blood\tblood\tNN\tI-NP\tO' +p8625 +aS'sugar\tsugar\tNN\tI-NP\tO' +p8626 +aS'has\thave\tVBZ\tB-VP\tO' +p8627 +aS'been\tbe\tVBN\tI-VP\tO' +p8628 +aS'.\t.\t.\tO\tO' +p8629 +asS'STAPHYLOCOCCUS , COAGULASE NEGATIVE .' +p8630 +(lp8631 +S'STAPHYLOCOCCUS\tSTAPHYLOCOCCUS\tNNS\tB-NP\tO' +p8632 +aS',\t,\t,\tO\tO' +p8633 +aS'COAGULASE\tCOAGULASE\tNNP\tB-NP\tB-protein' +p8634 +aS'NEGATIVE\tNEGATIVE\tNNP\tI-NP\tO' +p8635 +aS'.\t.\t.\tO\tO' +p8636 +asS'Consume a diet as tolerated avoiding carbonated beverages .' +p8637 +(lp8638 +S'Consume\tConsume\tVB\tB-VP\tO' +p8639 +aS'a\ta\tDT\tB-NP\tO' +p8640 +aS'diet\tdiet\tNN\tI-NP\tO' +p8641 +aS'as\tas\tIN\tB-SBAR\tO' +p8642 +aS'tolerated\ttolerate\tVBN\tO\tO' +p8643 +aS'avoiding\tavoid\tVBG\tB-VP\tO' +p8644 +aS'carbonated\tcarbonate\tVBN\tB-NP\tO' +p8645 +aS'beverages\tbeverage\tNNS\tI-NP\tO' +p8646 +aS'.\t.\t.\tO\tO' +p8647 +asS'Infected aortic graft .' +p8648 +(lp8649 +S'Infected\tInfected\tJJ\tB-NP\tO' +p8650 +aS'aortic\taortic\tJJ\tI-NP\tO' +p8651 +aS'graft\tgraft\tNN\tI-NP\tO' +p8652 +aS'.\t.\t.\tO\tO' +p8653 +asS'Recurrent urinary tract infections , most recently on 2/23/97 ; recurrent aspiration pneumonias , most recently on 2/21/97 ; multi-infarct dementia with associated dysphasia ; mitral regurgitation ; history of congestive heart failure ; pernicious anemia ; chronic venous stasis ; status post left femoral neck fracture .' +p8654 +(lp8655 +S'Recurrent\tRecurrent\tJJ\tB-NP\tO' +p8656 +aS'urinary\turinary\tJJ\tI-NP\tO' +p8657 +aS'tract\ttract\tNN\tI-NP\tO' +p8658 +aS'infections\tinfection\tNNS\tI-NP\tO' +p8659 +aS',\t,\t,\tO\tO' +p8660 +aS'most\tmost\tRBS\tB-ADVP\tO' +p8661 +aS'recently\trecently\tRB\tI-ADVP\tO' +p8662 +aS'on\ton\tIN\tB-PP\tO' +p8663 +aS'2/23/97\t2/23/97\tCD\tB-NP\tO' +p8664 +aS';\t;\t:\tO\tO' +p8665 +aS'recurrent\trecurrent\tJJ\tB-NP\tO' +p8666 +aS'aspiration\taspiration\tNN\tI-NP\tO' +p8667 +aS'pneumonias\tpneumonia\tNNS\tI-NP\tO' +p8668 +aS',\t,\t,\tO\tO' +p8669 +aS'most\tmost\tRBS\tB-ADVP\tO' +p8670 +aS'recently\trecently\tRB\tI-ADVP\tO' +p8671 +aS'on\ton\tIN\tB-PP\tO' +p8672 +aS'2/21/97\t2/21/97\tCD\tB-NP\tO' +p8673 +aS';\t;\t:\tO\tO' +p8674 +aS'multi-infarct\tmulti-infarct\tJJ\tB-NP\tO' +p8675 +aS'dementia\tdementia\tNN\tI-NP\tO' +p8676 +aS'with\twith\tIN\tB-PP\tO' +p8677 +aS'associated\tassociate\tVBN\tB-NP\tO' +p8678 +aS'dysphasia\tdysphasia\tNN\tI-NP\tO' +p8679 +aS';\t;\t:\tO\tO' +p8680 +aS'mitral\tmitral\tJJ\tB-NP\tO' +p8681 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p8682 +aS';\t;\t:\tO\tO' +p8683 +aS'history\thistory\tNN\tB-NP\tO' +p8684 +aS'of\tof\tIN\tB-PP\tO' +p8685 +aS'congestive\tcongestive\tJJ\tB-NP\tO' +p8686 +aS'heart\theart\tNN\tI-NP\tO' +p8687 +aS'failure\tfailure\tNN\tI-NP\tO' +p8688 +aS';\t;\t:\tO\tO' +p8689 +aS'pernicious\tpernicious\tJJ\tB-NP\tO' +p8690 +aS'anemia\tanemia\tNN\tI-NP\tO' +p8691 +aS';\t;\t:\tO\tO' +p8692 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p8693 +aS'venous\tvenous\tJJ\tI-NP\tO' +p8694 +aS'stasis\tstasis\tNN\tI-NP\tO' +p8695 +aS';\t;\t:\tO\tO' +p8696 +aS'status\tstatus\tNN\tB-NP\tO' +p8697 +aS'post\tpost\tNN\tI-NP\tO' +p8698 +aS'left\tleave\tVBD\tB-VP\tO' +p8699 +aS'femoral\tfemoral\tJJ\tB-NP\tO' +p8700 +aS'neck\tneck\tNN\tI-NP\tO' +p8701 +aS'fracture\tfracture\tNN\tI-NP\tO' +p8702 +aS'.\t.\t.\tO\tO' +p8703 +asS'Total bilirubin 3.0 , direct bilirubin of 2.0 .' +p8704 +(lp8705 +S'Total\tTotal\tJJ\tB-NP\tO' +p8706 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p8707 +aS'3.0\t3.0\tCD\tI-NP\tO' +p8708 +aS',\t,\t,\tO\tO' +p8709 +aS'direct\tdirect\tJJ\tB-NP\tO' +p8710 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p8711 +aS'of\tof\tIN\tB-PP\tO' +p8712 +aS'2.0\t2.0\tCD\tB-NP\tO' +p8713 +aS'.\t.\t.\tO\tO' +p8714 +asS'- renal cell ca , s/p left nephrectomy 1992' +p8715 +(lp8716 +S'-\t-\tHYPH\tB-NP\tO' +p8717 +aS'renal\trenal\tJJ\tI-NP\tO' +p8718 +aS'cell\tcell\tNN\tI-NP\tO' +p8719 +aS'ca\tca\tNN\tI-NP\tO' +p8720 +aS',\t,\t,\tO\tO' +p8721 +aS's/p\ts/p\tNN\tB-NP\tO' +p8722 +aS'left\tleave\tVBD\tB-VP\tO' +p8723 +aS'nephrectomy\tnephrectomy\tNN\tB-NP\tO' +p8724 +aS'1992\t1992\tCD\tI-NP\tO' +p8725 +asS'No scleral icterus .' +p8726 +(lp8727 +S'No\tNo\tDT\tB-NP\tO' +p8728 +aS'scleral\tscleral\tJJ\tI-NP\tO' +p8729 +aS'icterus\ticterus\tNN\tI-NP\tO' +p8730 +aS'.\t.\t.\tO\tO' +p8731 +asS'3. Apnea and bradycardia of prematurity .' +p8732 +(lp8733 +S'3.\t3.\tLS\tB-NP\tO' +p8734 +aS'Apnea\tApnea\tNN\tI-NP\tO' +p8735 +aS'and\tand\tCC\tI-NP\tO' +p8736 +aS'bradycardia\tbradycardia\tNN\tI-NP\tO' +p8737 +aS'of\tof\tIN\tB-PP\tO' +p8738 +aS'prematurity\tprematurity\tNN\tB-NP\tO' +p8739 +aS'.\t.\t.\tO\tO' +p8740 +asS'The patient had complaint of headaches in the past .' +p8741 +(lp8742 +S'The\tThe\tDT\tB-NP\tO' +p8743 +aS'patient\tpatient\tNN\tI-NP\tO' +p8744 +aS'had\thave\tVBD\tB-VP\tO' +p8745 +aS'complaint\tcomplaint\tNN\tB-NP\tO' +p8746 +aS'of\tof\tIN\tB-PP\tO' +p8747 +aS'headaches\theadache\tNNS\tB-NP\tO' +p8748 +aS'in\tin\tIN\tB-PP\tO' +p8749 +aS'the\tthe\tDT\tB-NP\tO' +p8750 +aS'past\tpast\tNN\tI-NP\tO' +p8751 +aS'.\t.\t.\tO\tO' +p8752 +asS'REPORTED BY PHONE TO Robert BURGER 2014-11-30 10:35A .' +p8753 +(lp8754 +S'REPORTED\tREPORTED\tNNP\tB-NP\tO' +p8755 +aS'BY\tBY\tNNP\tI-NP\tO' +p8756 +aS'PHONE\tPHONE\tNNP\tI-NP\tO' +p8757 +aS'TO\tTO\tNNP\tI-NP\tO' +p8758 +aS'Robert\tRobert\tNNP\tI-NP\tO' +p8759 +aS'BURGER\tBURGER\tNNP\tI-NP\tO' +p8760 +aS'2014-11-30\t2014-11-30\tCD\tI-NP\tO' +p8761 +aS'10:35A\t10:35A\tNN\tI-NP\tO' +p8762 +aS'.\t.\t.\tO\tO' +p8763 +asS'The patient became hypotensive into the 70 s without any symptoms .' +p8764 +(lp8765 +S'The\tThe\tDT\tB-NP\tO' +p8766 +aS'patient\tpatient\tNN\tI-NP\tO' +p8767 +aS'became\tbecome\tVBD\tB-VP\tO' +p8768 +aS'hypotensive\thypotensive\tJJ\tB-ADJP\tO' +p8769 +aS'into\tinto\tIN\tB-PP\tO' +p8770 +aS'the\tthe\tDT\tB-NP\tO' +p8771 +aS'70\t70\tCD\tI-NP\tO' +p8772 +aS's\ts\tNN\tI-NP\tO' +p8773 +aS'without\twithout\tIN\tB-PP\tO' +p8774 +aS'any\tany\tDT\tB-NP\tO' +p8775 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p8776 +aS'.\t.\t.\tO\tO' +p8777 +asS'The patient fell well on the day of discharge .' +p8778 +(lp8779 +S'The\tThe\tDT\tB-NP\tO' +p8780 +aS'patient\tpatient\tNN\tI-NP\tO' +p8781 +aS'fell\tfall\tVBD\tB-VP\tO' +p8782 +aS'well\twell\tRB\tB-ADVP\tO' +p8783 +aS'on\ton\tIN\tB-PP\tO' +p8784 +aS'the\tthe\tDT\tB-NP\tO' +p8785 +aS'day\tday\tNN\tI-NP\tO' +p8786 +aS'of\tof\tIN\tB-PP\tO' +p8787 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p8788 +aS'.\t.\t.\tO\tO' +p8789 +asS'Cardiac echocardiogram .' +p8790 +(lp8791 +S'Cardiac\tCardiac\tJJ\tB-NP\tO' +p8792 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p8793 +aS'.\t.\t.\tO\tO' +p8794 +asS'The patient is a 63 year-old woman transferred from Pre Health on June 19 , 1998 to the Verg Medical Center Intensive Care Unit for evaluation of thrombotic thrombocytopenic purpura and bronchiolitis obliterans organizing pneumonia .' +p8795 +(lp8796 +S'The\tThe\tDT\tB-NP\tO' +p8797 +aS'patient\tpatient\tNN\tI-NP\tO' +p8798 +aS'is\tbe\tVBZ\tB-VP\tO' +p8799 +aS'a\ta\tDT\tB-NP\tO' +p8800 +aS'63\t63\tCD\tI-NP\tO' +p8801 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p8802 +aS'woman\twoman\tNN\tI-NP\tO' +p8803 +aS'transferred\ttransfer\tVBN\tB-VP\tO' +p8804 +aS'from\tfrom\tIN\tB-PP\tO' +p8805 +aS'Pre\tPre\tNNP\tB-NP\tO' +p8806 +aS'Health\tHealth\tNNP\tI-NP\tO' +p8807 +aS'on\ton\tIN\tB-PP\tO' +p8808 +aS'June\tJune\tNNP\tB-NP\tO' +p8809 +aS'19\t19\tCD\tI-NP\tO' +p8810 +aS',\t,\t,\tO\tO' +p8811 +aS'1998\t1998\tCD\tB-NP\tO' +p8812 +aS'to\tto\tTO\tB-PP\tO' +p8813 +aS'the\tthe\tDT\tB-NP\tO' +p8814 +aS'Verg\tVerg\tNNP\tI-NP\tO' +p8815 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p8816 +aS'Center\tCenter\tNNP\tI-NP\tO' +p8817 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p8818 +aS'Care\tCare\tNNP\tI-NP\tO' +p8819 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p8820 +aS'for\tfor\tIN\tB-PP\tO' +p8821 +aS'evaluation\tevaluation\tNN\tB-NP\tO' +p8822 +aS'of\tof\tIN\tB-PP\tO' +p8823 +aS'thrombotic\tthrombotic\tJJ\tB-NP\tO' +p8824 +aS'thrombocytopenic\tthrombocytopenic\tJJ\tI-NP\tO' +p8825 +aS'purpura\tpurpura\tNN\tI-NP\tO' +p8826 +aS'and\tand\tCC\tI-NP\tO' +p8827 +aS'bronchiolitis\tbronchiolitis\tNN\tI-NP\tO' +p8828 +aS'obliterans\tobliteran\tNNS\tI-NP\tO' +p8829 +aS'organizing\torganize\tVBG\tB-VP\tO' +p8830 +aS'pneumonia\tpneumonia\tNN\tB-NP\tO' +p8831 +aS'.\t.\t.\tO\tO' +p8832 +asS'The patient in September of 1993 had 3-4 millimeter ST segment elevation in V1 through V4 and depression in II , III , and AVF .' +p8833 +(lp8834 +S'The\tThe\tDT\tB-NP\tO' +p8835 +aS'patient\tpatient\tNN\tI-NP\tO' +p8836 +aS'in\tin\tIN\tB-PP\tO' +p8837 +aS'September\tSeptember\tNNP\tB-NP\tO' +p8838 +aS'of\tof\tIN\tB-PP\tO' +p8839 +aS'1993\t1993\tCD\tB-NP\tO' +p8840 +aS'had\thave\tVBD\tB-VP\tO' +p8841 +aS'3-4\t3-4\tCD\tB-NP\tO' +p8842 +aS'millimeter\tmillimeter\tNN\tI-NP\tO' +p8843 +aS'ST\tST\tNN\tI-NP\tO' +p8844 +aS'segment\tsegment\tNN\tI-NP\tO' +p8845 +aS'elevation\televation\tNN\tI-NP\tO' +p8846 +aS'in\tin\tIN\tB-PP\tO' +p8847 +aS'V1\tV1\tNN\tB-NP\tO' +p8848 +aS'through\tthrough\tIN\tB-PP\tO' +p8849 +aS'V4\tV4\tNN\tB-NP\tB-protein' +p8850 +aS'and\tand\tCC\tI-NP\tO' +p8851 +aS'depression\tdepression\tNN\tI-NP\tO' +p8852 +aS'in\tin\tIN\tB-PP\tO' +p8853 +aS'II\tII\tCD\tB-NP\tO' +p8854 +aS',\t,\t,\tI-NP\tO' +p8855 +aS'III\tIII\tCD\tI-NP\tO' +p8856 +aS',\t,\t,\tO\tO' +p8857 +aS'and\tand\tCC\tO\tO' +p8858 +aS'AVF\tAVF\tNN\tB-NP\tB-protein' +p8859 +aS'.\t.\t.\tO\tO' +p8860 +asS'Moderate ( 2 +) mitral regurgitation is seen .' +p8861 +(lp8862 +S'Moderate\tModerate\tJJ\tO\tO' +p8863 +aS'(\t(\t(\tO\tO' +p8864 +aS'2\t2\tCD\tB-NP\tO' +p8865 +aS'+)\t+)\tCC\tO\tO' +p8866 +aS'mitral\tmitral\tJJ\tB-NP\tO' +p8867 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p8868 +aS'is\tbe\tVBZ\tB-VP\tO' +p8869 +aS'seen\tsee\tVBN\tI-VP\tO' +p8870 +aS'.\t.\t.\tO\tO' +p8871 +asS'The patient was admitted to the Hospital and was taken to the operating room for an open Bankart procedure with biceps tenodesis ( Please see the operative note for full details ) .' +p8872 +(lp8873 +S'The\tThe\tDT\tB-NP\tO' +p8874 +aS'patient\tpatient\tNN\tI-NP\tO' +p8875 +aS'was\tbe\tVBD\tB-VP\tO' +p8876 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p8877 +aS'to\tto\tTO\tB-PP\tO' +p8878 +aS'the\tthe\tDT\tB-NP\tO' +p8879 +aS'Hospital\tHospital\tNN\tI-NP\tO' +p8880 +aS'and\tand\tCC\tO\tO' +p8881 +aS'was\tbe\tVBD\tB-VP\tO' +p8882 +aS'taken\ttake\tVBN\tI-VP\tO' +p8883 +aS'to\tto\tTO\tB-PP\tO' +p8884 +aS'the\tthe\tDT\tB-NP\tO' +p8885 +aS'operating\toperating\tNN\tI-NP\tO' +p8886 +aS'room\troom\tNN\tI-NP\tO' +p8887 +aS'for\tfor\tIN\tB-PP\tO' +p8888 +aS'an\tan\tDT\tB-NP\tO' +p8889 +aS'open\topen\tJJ\tI-NP\tO' +p8890 +aS'Bankart\tBankart\tNNP\tI-NP\tO' +p8891 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p8892 +aS'with\twith\tIN\tB-PP\tO' +p8893 +aS'biceps\tbicep\tNNS\tB-NP\tO' +p8894 +aS'tenodesis\ttenodesis\tNN\tI-NP\tO' +p8895 +aS'(\t(\t(\tO\tO' +p8896 +aS'Please\tPlease\tNN\tB-NP\tO' +p8897 +aS'see\tsee\tVBP\tB-VP\tO' +p8898 +aS'the\tthe\tDT\tB-NP\tO' +p8899 +aS'operative\toperative\tJJ\tI-NP\tO' +p8900 +aS'note\tnote\tNN\tI-NP\tO' +p8901 +aS'for\tfor\tIN\tB-PP\tO' +p8902 +aS'full\tfull\tJJ\tB-NP\tO' +p8903 +aS'details\tdetail\tNNS\tI-NP\tO' +p8904 +aS')\t)\t)\tO\tO' +p8905 +aS'.\t.\t.\tO\tO' +p8906 +asS'The pt continued to have low urine output .' +p8907 +(lp8908 +S'The\tThe\tDT\tB-NP\tO' +p8909 +aS'pt\tpt\tNN\tI-NP\tO' +p8910 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p8911 +aS'to\tto\tTO\tI-VP\tO' +p8912 +aS'have\thave\tVB\tI-VP\tO' +p8913 +aS'low\tlow\tJJ\tB-NP\tO' +p8914 +aS'urine\turine\tNN\tI-NP\tO' +p8915 +aS'output\toutput\tNN\tI-NP\tO' +p8916 +aS'.\t.\t.\tO\tO' +p8917 +asS'Copious urine output , BUN 1.0 , creatinine .8 .' +p8918 +(lp8919 +S'Copious\tCopious\tJJ\tB-NP\tO' +p8920 +aS'urine\turine\tNN\tI-NP\tO' +p8921 +aS'output\toutput\tNN\tI-NP\tO' +p8922 +aS',\t,\t,\tO\tO' +p8923 +aS'BUN\tBUN\tNN\tB-NP\tB-cell_line' +p8924 +aS'1.0\t1.0\tCD\tI-NP\tI-cell_line' +p8925 +aS',\t,\t,\tO\tO' +p8926 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p8927 +aS'.8\t.8\tCD\tI-NP\tO' +p8928 +aS'.\t.\t.\tO\tO' +p8929 +asS'On 11-18 a DNR order was put into place .' +p8930 +(lp8931 +S'On\tOn\tIN\tB-PP\tO' +p8932 +aS'11-18\t11-18\tCD\tB-NP\tO' +p8933 +aS'a\ta\tDT\tB-NP\tO' +p8934 +aS'DNR\tDNR\tNN\tI-NP\tO' +p8935 +aS'order\torder\tNN\tI-NP\tO' +p8936 +aS'was\tbe\tVBD\tB-VP\tO' +p8937 +aS'put\tput\tVBN\tI-VP\tO' +p8938 +aS'into\tinto\tIN\tB-PP\tO' +p8939 +aS'place\tplace\tNN\tB-NP\tO' +p8940 +aS'.\t.\t.\tO\tO' +p8941 +asS'clear to auscultation .' +p8942 +(lp8943 +S'clear\tclear\tJJ\tB-ADJP\tO' +p8944 +aS'to\tto\tTO\tB-PP\tO' +p8945 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p8946 +aS'.\t.\t.\tO\tO' +p8947 +asS'No slurred speech .' +p8948 +(lp8949 +S'No\tNo\tDT\tB-NP\tO' +p8950 +aS'slurred\tslur\tVBD\tB-VP\tO' +p8951 +aS'speech\tspeech\tNN\tB-NP\tO' +p8952 +aS'.\t.\t.\tO\tO' +p8953 +asS'She was generally doing well with resolution of her temperature until 4/1/97 at 9:20 P.M. , when she was noted to be unresponsive with fixed dilated pupils .' +p8954 +(lp8955 +S'She\tShe\tPRP\tB-NP\tO' +p8956 +aS'was\tbe\tVBD\tB-VP\tO' +p8957 +aS'generally\tgenerally\tRB\tI-VP\tO' +p8958 +aS'doing\tdo\tVBG\tI-VP\tO' +p8959 +aS'well\twell\tRB\tB-ADVP\tO' +p8960 +aS'with\twith\tIN\tB-PP\tO' +p8961 +aS'resolution\tresolution\tNN\tB-NP\tO' +p8962 +aS'of\tof\tIN\tB-PP\tO' +p8963 +aS'her\ther\tPRP$\tB-NP\tO' +p8964 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p8965 +aS'until\tuntil\tIN\tB-PP\tO' +p8966 +aS'4/1/97\t4/1/97\tCD\tB-NP\tO' +p8967 +aS'at\tat\tIN\tB-PP\tO' +p8968 +aS'9:20\t9:20\tCD\tB-NP\tO' +p8969 +aS'P.M.\tP.M.\tNNP\tI-NP\tO' +p8970 +aS',\t,\t,\tO\tO' +p8971 +aS'when\twhen\tWRB\tB-ADVP\tO' +p8972 +aS'she\tshe\tPRP\tB-NP\tO' +p8973 +aS'was\tbe\tVBD\tB-VP\tO' +p8974 +aS'noted\tnote\tVBN\tI-VP\tO' +p8975 +aS'to\tto\tTO\tI-VP\tO' +p8976 +aS'be\tbe\tVB\tI-VP\tO' +p8977 +aS'unresponsive\tunresponsive\tJJ\tB-ADJP\tO' +p8978 +aS'with\twith\tIN\tB-PP\tO' +p8979 +aS'fixed\tfix\tVBN\tB-NP\tO' +p8980 +aS'dilated\tdilated\tJJ\tI-NP\tO' +p8981 +aS'pupils\tpupil\tNNS\tI-NP\tO' +p8982 +aS'.\t.\t.\tO\tO' +p8983 +asS'Redo AVR with aortic root enlargement ( 21 mm CE Magna pericardial valve )' +p8984 +(lp8985 +S'Redo\tRedo\tNN\tB-NP\tB-protein' +p8986 +aS'AVR\tAVR\tNN\tI-NP\tI-protein' +p8987 +aS'with\twith\tIN\tB-PP\tO' +p8988 +aS'aortic\taortic\tJJ\tB-NP\tO' +p8989 +aS'root\troot\tNN\tI-NP\tO' +p8990 +aS'enlargement\tenlargement\tNN\tI-NP\tO' +p8991 +aS'(\t(\t(\tO\tO' +p8992 +aS'21\t21\tCD\tB-NP\tO' +p8993 +aS'mm\tmm\tNN\tI-NP\tO' +p8994 +aS'CE\tCE\tNNP\tI-NP\tO' +p8995 +aS'Magna\tMagna\tNNP\tI-NP\tO' +p8996 +aS'pericardial\tpericardial\tJJ\tI-NP\tO' +p8997 +aS'valve\tvalve\tNN\tI-NP\tO' +p8998 +aS')\t)\t)\tO\tO' +p8999 +asS'The electrocardiogram showed Q waves in V1 through V6 , T wave pseudonormalization in V1 through V6 .' +p9000 +(lp9001 +S'The\tThe\tDT\tB-NP\tO' +p9002 +aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' +p9003 +aS'showed\tshow\tVBD\tB-VP\tO' +p9004 +aS'Q\tQ\tNN\tB-NP\tO' +p9005 +aS'waves\twave\tNNS\tI-NP\tO' +p9006 +aS'in\tin\tIN\tB-PP\tO' +p9007 +aS'V1\tV1\tNN\tB-NP\tO' +p9008 +aS'through\tthrough\tIN\tB-PP\tO' +p9009 +aS'V6\tV6\tNN\tB-NP\tB-protein' +p9010 +aS',\t,\t,\tO\tO' +p9011 +aS'T\tT\tNN\tB-NP\tO' +p9012 +aS'wave\twave\tNN\tI-NP\tO' +p9013 +aS'pseudonormalization\tpseudonormalization\tNN\tI-NP\tO' +p9014 +aS'in\tin\tIN\tB-PP\tO' +p9015 +aS'V1\tV1\tNN\tB-NP\tO' +p9016 +aS'through\tthrough\tIN\tB-PP\tO' +p9017 +aS'V6\tV6\tNN\tB-NP\tB-protein' +p9018 +aS'.\t.\t.\tO\tO' +p9019 +asS'IMPRESSION : Minimally displaced , comminuted fractures of the left C7 and T1 transverse processes .' +p9020 +(lp9021 +S'IMPRESSION\tIMPRESSION\tNN\tB-NP\tO' +p9022 +aS':\t:\t:\tO\tO' +p9023 +aS'Minimally\tMinimally\tNNP\tB-NP\tO' +p9024 +aS'displaced\tdisplace\tVBD\tB-VP\tO' +p9025 +aS',\t,\t,\tO\tO' +p9026 +aS'comminuted\tcomminute\tVBD\tB-VP\tO' +p9027 +aS'fractures\tfracture\tNNS\tB-NP\tO' +p9028 +aS'of\tof\tIN\tB-PP\tO' +p9029 +aS'the\tthe\tDT\tB-NP\tO' +p9030 +aS'left\tleft\tJJ\tI-NP\tO' +p9031 +aS'C7\tC7\tNN\tI-NP\tO' +p9032 +aS'and\tand\tCC\tI-NP\tO' +p9033 +aS'T1\tT1\tNN\tI-NP\tO' +p9034 +aS'transverse\ttransverse\tJJ\tI-NP\tO' +p9035 +aS'processes\tprocess\tNNS\tI-NP\tO' +p9036 +aS'.\t.\t.\tO\tO' +p9037 +asS'A bronchoscopy was done and there was blood found in the upper airways but no evidence of blood in alveoli so it was not felt to be DAH .' +p9038 +(lp9039 +S'A\tA\tDT\tB-NP\tO' +p9040 +aS'bronchoscopy\tbronchoscopy\tNN\tI-NP\tO' +p9041 +aS'was\tbe\tVBD\tB-VP\tO' +p9042 +aS'done\tdo\tVBN\tI-VP\tO' +p9043 +aS'and\tand\tCC\tO\tO' +p9044 +aS'there\tthere\tEX\tB-NP\tO' +p9045 +aS'was\tbe\tVBD\tB-VP\tO' +p9046 +aS'blood\tblood\tNN\tB-NP\tO' +p9047 +aS'found\tfind\tVBN\tB-VP\tO' +p9048 +aS'in\tin\tIN\tB-PP\tO' +p9049 +aS'the\tthe\tDT\tB-NP\tO' +p9050 +aS'upper\tupper\tJJ\tI-NP\tO' +p9051 +aS'airways\tairway\tNNS\tI-NP\tO' +p9052 +aS'but\tbut\tCC\tO\tO' +p9053 +aS'no\tno\tDT\tB-NP\tO' +p9054 +aS'evidence\tevidence\tNN\tI-NP\tO' +p9055 +aS'of\tof\tIN\tB-PP\tO' +p9056 +aS'blood\tblood\tNN\tB-NP\tO' +p9057 +aS'in\tin\tIN\tB-PP\tO' +p9058 +aS'alveoli\talveolus\tNNS\tB-NP\tO' +p9059 +aS'so\tso\tIN\tB-SBAR\tO' +p9060 +aS'it\tit\tPRP\tB-NP\tO' +p9061 +aS'was\tbe\tVBD\tB-VP\tO' +p9062 +aS'not\tnot\tRB\tI-VP\tO' +p9063 +aS'felt\tfeel\tVBN\tI-VP\tO' +p9064 +aS'to\tto\tTO\tI-VP\tO' +p9065 +aS'be\tbe\tVB\tI-VP\tO' +p9066 +aS'DAH\tDAH\tNN\tB-NP\tO' +p9067 +aS'.\t.\t.\tO\tO' +p9068 +asS'His epidural was successfully discontinued and he is discharged to home on 08-15 with instructions to follow-up with Dr. Cordova in the office within the next one to two weeks .' +p9069 +(lp9070 +S'His\tHis\tPRP$\tB-NP\tO' +p9071 +aS'epidural\tepidural\tNN\tI-NP\tO' +p9072 +aS'was\tbe\tVBD\tB-VP\tO' +p9073 +aS'successfully\tsuccessfully\tRB\tI-VP\tO' +p9074 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p9075 +aS'and\tand\tCC\tO\tO' +p9076 +aS'he\the\tPRP\tB-NP\tO' +p9077 +aS'is\tbe\tVBZ\tB-VP\tO' +p9078 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p9079 +aS'to\tto\tTO\tB-PP\tO' +p9080 +aS'home\thome\tNN\tB-NP\tO' +p9081 +aS'on\ton\tIN\tB-PP\tO' +p9082 +aS'08-15\t08-15\tCD\tB-NP\tO' +p9083 +aS'with\twith\tIN\tB-PP\tO' +p9084 +aS'instructions\tinstruction\tNNS\tB-NP\tO' +p9085 +aS'to\tto\tTO\tB-VP\tO' +p9086 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p9087 +aS'with\twith\tIN\tB-PP\tO' +p9088 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p9089 +aS'Cordova\tCordova\tNNP\tI-NP\tO' +p9090 +aS'in\tin\tIN\tB-PP\tO' +p9091 +aS'the\tthe\tDT\tB-NP\tO' +p9092 +aS'office\toffice\tNN\tI-NP\tO' +p9093 +aS'within\twithin\tIN\tB-PP\tO' +p9094 +aS'the\tthe\tDT\tB-NP\tO' +p9095 +aS'next\tnext\tJJ\tI-NP\tO' +p9096 +aS'one\tone\tCD\tI-NP\tO' +p9097 +aS'to\tto\tTO\tI-NP\tO' +p9098 +aS'two\ttwo\tCD\tI-NP\tO' +p9099 +aS'weeks\tweek\tNNS\tI-NP\tO' +p9100 +aS'.\t.\t.\tO\tO' +p9101 +asS'The measures included attempts at pacing .' +p9102 +(lp9103 +S'The\tThe\tDT\tB-NP\tO' +p9104 +aS'measures\tmeasure\tNNS\tI-NP\tO' +p9105 +aS'included\tinclude\tVBD\tB-VP\tO' +p9106 +aS'attempts\tattempt\tNNS\tB-NP\tO' +p9107 +aS'at\tat\tIN\tB-PP\tO' +p9108 +aS'pacing\tpacing\tNN\tB-NP\tO' +p9109 +aS'.\t.\t.\tO\tO' +p9110 +asS'The infant passed both ears on 2018-12-30 .' +p9111 +(lp9112 +S'The\tThe\tDT\tB-NP\tO' +p9113 +aS'infant\tinfant\tNN\tI-NP\tO' +p9114 +aS'passed\tpass\tVBD\tB-VP\tO' +p9115 +aS'both\tboth\tDT\tB-NP\tO' +p9116 +aS'ears\tear\tNNS\tI-NP\tO' +p9117 +aS'on\ton\tIN\tB-PP\tO' +p9118 +aS'2018-12-30\t2018-12-30\tCD\tB-NP\tO' +p9119 +aS'.\t.\t.\tO\tO' +p9120 +asS'11. Dispo : back to prison; ? extradition to Hawaii' +p9121 +(lp9122 +S'11.\t11.\tCD\tB-NP\tO' +p9123 +aS'Dispo\tDispo\tNNP\tI-NP\tO' +p9124 +aS':\t:\t:\tO\tO' +p9125 +aS'back\tback\tRB\tB-ADVP\tO' +p9126 +aS'to\tto\tTO\tB-VP\tO' +p9127 +aS'prison;\tprison;\tVB\tI-VP\tO' +p9128 +aS'?\t?\t.\tO\tO' +p9129 +aS'extradition\textradition\tNN\tB-NP\tO' +p9130 +aS'to\tto\tTO\tB-PP\tO' +p9131 +aS'Hawaii\tHawaii\tNNP\tB-NP\tO' +p9132 +asS'This report was created by WEERTLUC , BIRI 10/18/2001 10:23 AM' +p9133 +(lp9134 +S'This\tThis\tDT\tB-NP\tO' +p9135 +aS'report\treport\tNN\tI-NP\tO' +p9136 +aS'was\tbe\tVBD\tB-VP\tO' +p9137 +aS'created\tcreate\tVBN\tI-VP\tO' +p9138 +aS'by\tby\tIN\tB-PP\tO' +p9139 +aS'WEERTLUC\tWEERTLUC\tNNP\tB-NP\tO' +p9140 +aS',\t,\t,\tO\tO' +p9141 +aS'BIRI\tBIRI\tNNP\tB-NP\tO' +p9142 +aS'10/18/2001\t10/18/2001\tCD\tB-NP\tO' +p9143 +aS'10:23\t10:23\tCD\tI-NP\tO' +p9144 +aS'AM\tAM\tNN\tI-NP\tO' +p9145 +asS'She did not fill script for 2 days and even then was not compliant with her meds .' +p9146 +(lp9147 +S'She\tShe\tPRP\tB-NP\tO' +p9148 +aS'did\tdo\tVBD\tB-VP\tO' +p9149 +aS'not\tnot\tRB\tI-VP\tO' +p9150 +aS'fill\tfill\tVB\tI-VP\tO' +p9151 +aS'script\tscript\tNN\tB-NP\tO' +p9152 +aS'for\tfor\tIN\tB-PP\tO' +p9153 +aS'2\t2\tCD\tB-NP\tO' +p9154 +aS'days\tday\tNNS\tI-NP\tO' +p9155 +aS'and\tand\tCC\tO\tO' +p9156 +aS'even\teven\tRB\tB-ADVP\tO' +p9157 +aS'then\tthen\tRB\tI-ADVP\tO' +p9158 +aS'was\tbe\tVBD\tB-VP\tO' +p9159 +aS'not\tnot\tRB\tO\tO' +p9160 +aS'compliant\tcompliant\tJJ\tB-ADJP\tO' +p9161 +aS'with\twith\tIN\tB-PP\tO' +p9162 +aS'her\ther\tPRP$\tB-NP\tO' +p9163 +aS'meds\tmed\tNNS\tI-NP\tO' +p9164 +aS'.\t.\t.\tO\tO' +p9165 +asS'Electrocardiogram status post percutaneous coronary intervention revealed a normal sinus rhythm at 84 , with a' +p9166 +(lp9167 +S'Electrocardiogram\tElectrocardiogram\tNN\tB-NP\tO' +p9168 +aS'status\tstatus\tNN\tI-NP\tO' +p9169 +aS'post\tpost\tIN\tB-PP\tO' +p9170 +aS'percutaneous\tpercutaneous\tJJ\tB-NP\tO' +p9171 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p9172 +aS'intervention\tintervention\tNN\tI-NP\tO' +p9173 +aS'revealed\treveal\tVBD\tB-VP\tO' +p9174 +aS'a\ta\tDT\tB-NP\tO' +p9175 +aS'normal\tnormal\tJJ\tI-NP\tO' +p9176 +aS'sinus\tsinus\tNN\tI-NP\tO' +p9177 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p9178 +aS'at\tat\tIN\tB-PP\tO' +p9179 +aS'84\t84\tCD\tB-NP\tO' +p9180 +aS',\t,\t,\tO\tO' +p9181 +aS'with\twith\tIN\tB-PP\tO' +p9182 +aS'a\ta\tDT\tB-NP\tO' +p9183 +asS'Apparently , he had had a low hematocrit as an outpatient and was checked two weeks prior to admission but was not given transfusion because the patient did not want to come in at that time .' +p9184 +(lp9185 +S'Apparently\tApparently\tRB\tB-ADVP\tO' +p9186 +aS',\t,\t,\tO\tO' +p9187 +aS'he\the\tPRP\tB-NP\tO' +p9188 +aS'had\thave\tVBD\tB-VP\tO' +p9189 +aS'had\thave\tVBN\tI-VP\tO' +p9190 +aS'a\ta\tDT\tB-NP\tO' +p9191 +aS'low\tlow\tJJ\tI-NP\tO' +p9192 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p9193 +aS'as\tas\tIN\tB-PP\tO' +p9194 +aS'an\tan\tDT\tB-NP\tO' +p9195 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p9196 +aS'and\tand\tCC\tO\tO' +p9197 +aS'was\tbe\tVBD\tB-VP\tO' +p9198 +aS'checked\tcheck\tVBN\tI-VP\tO' +p9199 +aS'two\ttwo\tCD\tB-NP\tO' +p9200 +aS'weeks\tweek\tNNS\tI-NP\tO' +p9201 +aS'prior\tprior\tRB\tB-ADVP\tO' +p9202 +aS'to\tto\tTO\tB-PP\tO' +p9203 +aS'admission\tadmission\tNN\tB-NP\tO' +p9204 +aS'but\tbut\tCC\tO\tO' +p9205 +aS'was\tbe\tVBD\tB-VP\tO' +p9206 +aS'not\tnot\tRB\tI-VP\tO' +p9207 +aS'given\tgive\tVBN\tI-VP\tO' +p9208 +aS'transfusion\ttransfusion\tNN\tB-NP\tO' +p9209 +aS'because\tbecause\tIN\tB-SBAR\tO' +p9210 +aS'the\tthe\tDT\tB-NP\tO' +p9211 +aS'patient\tpatient\tNN\tI-NP\tO' +p9212 +aS'did\tdo\tVBD\tB-VP\tO' +p9213 +aS'not\tnot\tRB\tI-VP\tO' +p9214 +aS'want\twant\tVB\tI-VP\tO' +p9215 +aS'to\tto\tTO\tI-VP\tO' +p9216 +aS'come\tcome\tVB\tI-VP\tO' +p9217 +aS'in\tin\tRP\tB-PRT\tO' +p9218 +aS'at\tat\tIN\tB-PP\tO' +p9219 +aS'that\tthat\tDT\tB-NP\tO' +p9220 +aS'time\ttime\tNN\tI-NP\tO' +p9221 +aS'.\t.\t.\tO\tO' +p9222 +asS'It was felt to be pain secondary to her self-extubation and noncardiac chest pain .' +p9223 +(lp9224 +S'It\tIt\tPRP\tB-NP\tO' +p9225 +aS'was\tbe\tVBD\tB-VP\tO' +p9226 +aS'felt\tfeel\tVBN\tI-VP\tO' +p9227 +aS'to\tto\tTO\tI-VP\tO' +p9228 +aS'be\tbe\tVB\tI-VP\tO' +p9229 +aS'pain\tpain\tNN\tB-NP\tO' +p9230 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p9231 +aS'to\tto\tTO\tB-PP\tO' +p9232 +aS'her\ther\tPRP$\tB-NP\tO' +p9233 +aS'self-extubation\tself-extubation\tNN\tI-NP\tO' +p9234 +aS'and\tand\tCC\tI-NP\tO' +p9235 +aS'noncardiac\tnoncardiac\tJJ\tI-NP\tO' +p9236 +aS'chest\tchest\tNN\tI-NP\tO' +p9237 +aS'pain\tpain\tNN\tI-NP\tO' +p9238 +aS'.\t.\t.\tO\tO' +p9239 +asS'Her anterior neck and chest had a 1 cm to 2 cm area of ecchymosis .' +p9240 +(lp9241 +S'Her\tHer\tPRP$\tB-NP\tO' +p9242 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p9243 +aS'neck\tneck\tNN\tI-NP\tO' +p9244 +aS'and\tand\tCC\tI-NP\tO' +p9245 +aS'chest\tchest\tNN\tI-NP\tO' +p9246 +aS'had\thave\tVBD\tB-VP\tO' +p9247 +aS'a\ta\tDT\tB-NP\tO' +p9248 +aS'1\t1\tCD\tI-NP\tO' +p9249 +aS'cm\tcm\tNN\tI-NP\tO' +p9250 +aS'to\tto\tTO\tB-PP\tO' +p9251 +aS'2\t2\tCD\tB-NP\tO' +p9252 +aS'cm\tcm\tNN\tI-NP\tO' +p9253 +aS'area\tarea\tNN\tI-NP\tO' +p9254 +aS'of\tof\tIN\tB-PP\tO' +p9255 +aS'ecchymosis\tecchymosis\tNN\tB-NP\tO' +p9256 +aS'.\t.\t.\tO\tO' +p9257 +asS'His discharge chest x-ray showed persistent bibasilar atelectasis with only tiny pleural effusions .' +p9258 +(lp9259 +S'His\tHis\tPRP$\tB-NP\tO' +p9260 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p9261 +aS'chest\tchest\tNN\tI-NP\tO' +p9262 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p9263 +aS'showed\tshow\tVBD\tB-VP\tO' +p9264 +aS'persistent\tpersistent\tJJ\tB-NP\tO' +p9265 +aS'bibasilar\tbibasilar\tJJ\tI-NP\tO' +p9266 +aS'atelectasis\tatelectasis\tNN\tI-NP\tO' +p9267 +aS'with\twith\tIN\tB-PP\tO' +p9268 +aS'only\tonly\tJJ\tB-NP\tO' +p9269 +aS'tiny\ttiny\tJJ\tI-NP\tO' +p9270 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p9271 +aS'effusions\teffusion\tNNS\tI-NP\tO' +p9272 +aS'.\t.\t.\tO\tO' +p9273 +asS'She was given a Z-Pak for treatment along with albuterol .' +p9274 +(lp9275 +S'She\tShe\tPRP\tB-NP\tO' +p9276 +aS'was\tbe\tVBD\tB-VP\tO' +p9277 +aS'given\tgive\tVBN\tI-VP\tO' +p9278 +aS'a\ta\tDT\tB-NP\tO' +p9279 +aS'Z-Pak\tZ-Pak\tNN\tI-NP\tB-protein' +p9280 +aS'for\tfor\tIN\tB-PP\tO' +p9281 +aS'treatment\ttreatment\tNN\tB-NP\tO' +p9282 +aS'along\talong\tIN\tB-PP\tO' +p9283 +aS'with\twith\tIN\tB-PP\tO' +p9284 +aS'albuterol\talbuterol\tNN\tB-NP\tO' +p9285 +aS'.\t.\t.\tO\tO' +p9286 +asS'Decision was made to withdraw aggressive measures of care , with priority on patient 's comfort .' +p9287 +(lp9288 +S'Decision\tDecision\tNN\tB-NP\tO' +p9289 +aS'was\tbe\tVBD\tB-VP\tO' +p9290 +aS'made\tmake\tVBN\tI-VP\tO' +p9291 +aS'to\tto\tTO\tB-VP\tO' +p9292 +aS'withdraw\twithdraw\tVB\tI-VP\tO' +p9293 +aS'aggressive\taggressive\tJJ\tB-NP\tO' +p9294 +aS'measures\tmeasure\tNNS\tI-NP\tO' +p9295 +aS'of\tof\tIN\tB-PP\tO' +p9296 +aS'care\tcare\tNN\tB-NP\tO' +p9297 +aS',\t,\t,\tO\tO' +p9298 +aS'with\twith\tIN\tB-PP\tO' +p9299 +aS'priority\tpriority\tNN\tB-NP\tO' +p9300 +aS'on\ton\tIN\tB-PP\tO' +p9301 +aS'patient\tpatient\tNN\tB-NP\tO' +p9302 +aS''s\t'\tNNS\tI-NP\tO' +p9303 +aS'comfort\tcomfort\tNN\tI-NP\tO' +p9304 +aS'.\t.\t.\tO\tO' +p9305 +asS'Her hematocrit remained stable at 24-26 following the acute drop.' +p9306 +(lp9307 +S'Her\tHer\tPRP$\tB-NP\tO' +p9308 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p9309 +aS'remained\tremain\tVBD\tB-VP\tO' +p9310 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p9311 +aS'at\tat\tIN\tB-PP\tO' +p9312 +aS'24-26\t24-26\tCD\tB-NP\tO' +p9313 +aS'following\tfollow\tVBG\tB-PP\tO' +p9314 +aS'the\tthe\tDT\tB-NP\tO' +p9315 +aS'acute\tacute\tJJ\tI-NP\tO' +p9316 +aS'drop.\tdrop.\tNN\tI-NP\tO' +p9317 +asS'An echocardiogram was obtained and showed that the ejection fraction was 60% and there was no thrombus .' +p9318 +(lp9319 +S'An\tAn\tDT\tB-NP\tO' +p9320 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p9321 +aS'was\tbe\tVBD\tB-VP\tO' +p9322 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p9323 +aS'and\tand\tCC\tO\tO' +p9324 +aS'showed\tshow\tVBD\tB-VP\tO' +p9325 +aS'that\tthat\tIN\tB-SBAR\tO' +p9326 +aS'the\tthe\tDT\tB-NP\tO' +p9327 +aS'ejection\tejection\tNN\tI-NP\tO' +p9328 +aS'fraction\tfraction\tNN\tI-NP\tO' +p9329 +aS'was\tbe\tVBD\tB-VP\tO' +p9330 +aS'60%\t60%\tJJ\tB-ADJP\tO' +p9331 +aS'and\tand\tCC\tO\tO' +p9332 +aS'there\tthere\tEX\tB-NP\tO' +p9333 +aS'was\tbe\tVBD\tB-VP\tO' +p9334 +aS'no\tno\tDT\tB-NP\tO' +p9335 +aS'thrombus\tthrombus\tNN\tI-NP\tO' +p9336 +aS'.\t.\t.\tO\tO' +p9337 +asS'INDICATION : Intraparenchymal hemorrhage after fall .' +p9338 +(lp9339 +S'INDICATION\tINDICATION\tNN\tB-NP\tO' +p9340 +aS':\t:\t:\tO\tO' +p9341 +aS'Intraparenchymal\tIntraparenchymal\tJJ\tB-NP\tO' +p9342 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p9343 +aS'after\tafter\tIN\tB-PP\tO' +p9344 +aS'fall\tfall\tNN\tB-NP\tO' +p9345 +aS'.\t.\t.\tO\tO' +p9346 +asS'The patient will follow-up with her primary care provider , Dr. Na Fongbain at the Cord Memorial Hospital .' +p9347 +(lp9348 +S'The\tThe\tDT\tB-NP\tO' +p9349 +aS'patient\tpatient\tNN\tI-NP\tO' +p9350 +aS'will\twill\tMD\tB-VP\tO' +p9351 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p9352 +aS'with\twith\tIN\tB-PP\tO' +p9353 +aS'her\ther\tPRP$\tB-NP\tO' +p9354 +aS'primary\tprimary\tJJ\tI-NP\tO' +p9355 +aS'care\tcare\tNN\tI-NP\tO' +p9356 +aS'provider\tprovider\tNN\tI-NP\tO' +p9357 +aS',\t,\t,\tO\tO' +p9358 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p9359 +aS'Na\tNa\tNNP\tI-NP\tO' +p9360 +aS'Fongbain\tFongbain\tNNP\tI-NP\tO' +p9361 +aS'at\tat\tIN\tB-PP\tO' +p9362 +aS'the\tthe\tDT\tB-NP\tO' +p9363 +aS'Cord\tCord\tNNP\tI-NP\tO' +p9364 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p9365 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p9366 +aS'.\t.\t.\tO\tO' +p9367 +asS'Denies etoh , illicits .' +p9368 +(lp9369 +S'Denies\tDeny\tNNS\tB-NP\tO' +p9370 +aS'etoh\tetoh\tNN\tI-NP\tO' +p9371 +aS',\t,\t,\tO\tO' +p9372 +aS'illicits\tillicit\tNNS\tB-NP\tO' +p9373 +aS'.\t.\t.\tO\tO' +p9374 +asS'The patient stated her symptoms began in 2011 and have increased in intensity and frequency every since then .' +p9375 +(lp9376 +S'The\tThe\tDT\tB-NP\tO' +p9377 +aS'patient\tpatient\tNN\tI-NP\tO' +p9378 +aS'stated\tstate\tVBD\tB-VP\tO' +p9379 +aS'her\ther\tPRP$\tB-NP\tO' +p9380 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p9381 +aS'began\tbegin\tVBD\tB-VP\tO' +p9382 +aS'in\tin\tIN\tB-PP\tO' +p9383 +aS'2011\t2011\tCD\tB-NP\tO' +p9384 +aS'and\tand\tCC\tO\tO' +p9385 +aS'have\thave\tVBP\tB-VP\tO' +p9386 +aS'increased\tincrease\tVBN\tI-VP\tO' +p9387 +aS'in\tin\tIN\tB-PP\tO' +p9388 +aS'intensity\tintensity\tNN\tB-NP\tO' +p9389 +aS'and\tand\tCC\tI-NP\tO' +p9390 +aS'frequency\tfrequency\tNN\tI-NP\tO' +p9391 +aS'every\tevery\tDT\tB-NP\tO' +p9392 +aS'since\tsince\tIN\tB-PP\tO' +p9393 +aS'then\tthen\tRB\tB-NP\tO' +p9394 +aS'.\t.\t.\tO\tO' +p9395 +asS'HEIGHT 63 HEENT NORMAL MOUTH NORMAL NECK NORMAL BREASTS NORMAL No masses NIPPLES NORMAL CHEST NORMAL CTA bilat , neg wheezing COR NORMAL NSR , no murmur ABDOMEN Gravid , vtx .' +p9396 +(lp9397 +S'HEIGHT\tHEIGHT\tNN\tB-NP\tB-protein' +p9398 +aS'63\t63\tCD\tI-NP\tI-protein' +p9399 +aS'HEENT\tHEENT\tNNP\tI-NP\tI-protein' +p9400 +aS'NORMAL\tNORMAL\tNNP\tI-NP\tI-protein' +p9401 +aS'MOUTH\tMOUTH\tNNP\tI-NP\tI-protein' +p9402 +aS'NORMAL\tNORMAL\tNNP\tI-NP\tI-protein' +p9403 +aS'NECK\tNECK\tNNP\tI-NP\tI-protein' +p9404 +aS'NORMAL\tNORMAL\tNNP\tI-NP\tO' +p9405 +aS'BREASTS\tBREASTS\tNNP\tI-NP\tO' +p9406 +aS'NORMAL\tNORMAL\tNNP\tI-NP\tO' +p9407 +aS'No\tNo\tNNP\tI-NP\tO' +p9408 +aS'masses\tmass\tVBZ\tB-VP\tO' +p9409 +aS'NIPPLES\tNIPPLES\tNNP\tB-NP\tO' +p9410 +aS'NORMAL\tNORMAL\tNNP\tI-NP\tO' +p9411 +aS'CHEST\tCHEST\tNN\tI-NP\tO' +p9412 +aS'NORMAL\tNORMAL\tNN\tI-NP\tO' +p9413 +aS'CTA\tCTA\tNN\tI-NP\tO' +p9414 +aS'bilat\tbilat\tNN\tI-NP\tO' +p9415 +aS',\t,\t,\tO\tO' +p9416 +aS'neg\tneg\tNN\tB-NP\tO' +p9417 +aS'wheezing\twheeze\tVBG\tB-VP\tO' +p9418 +aS'COR\tCOR\tNNP\tB-NP\tO' +p9419 +aS'NORMAL\tNORMAL\tNNP\tI-NP\tO' +p9420 +aS'NSR\tNSR\tNNP\tI-NP\tO' +p9421 +aS',\t,\t,\tO\tO' +p9422 +aS'no\tno\tDT\tB-NP\tO' +p9423 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p9424 +aS'ABDOMEN\tABDOMEN\tNN\tI-NP\tO' +p9425 +aS'Gravid\tGravid\tNN\tI-NP\tO' +p9426 +aS',\t,\t,\tO\tO' +p9427 +aS'vtx\tvtx\tNN\tB-NP\tO' +p9428 +aS'.\t.\t.\tO\tO' +p9429 +asS'12. Levofloxacin 500 mg Tablet Sig : One ( 1 ) Tablet PO Q24H ( every 24 hours ) for 3 days .' +p9430 +(lp9431 +S'12.\t12.\tCD\tB-NP\tO' +p9432 +aS'Levofloxacin\tLevofloxacin\tNN\tI-NP\tO' +p9433 +aS'500\t500\tCD\tB-NP\tO' +p9434 +aS'mg\tmg\tNN\tI-NP\tO' +p9435 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p9436 +aS'Sig\tSig\tNNP\tI-NP\tO' +p9437 +aS':\t:\t:\tO\tO' +p9438 +aS'One\tOne\tCD\tB-NP\tO' +p9439 +aS'(\t(\t(\tO\tO' +p9440 +aS'1\t1\tCD\tB-NP\tO' +p9441 +aS')\t)\t)\tO\tO' +p9442 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p9443 +aS'PO\tPO\tNN\tI-NP\tO' +p9444 +aS'Q24H\tQ24H\tNN\tI-NP\tO' +p9445 +aS'(\t(\t(\tO\tO' +p9446 +aS'every\tevery\tDT\tB-NP\tO' +p9447 +aS'24\t24\tCD\tI-NP\tO' +p9448 +aS'hours\thour\tNNS\tI-NP\tO' +p9449 +aS')\t)\t)\tO\tO' +p9450 +aS'for\tfor\tIN\tB-PP\tO' +p9451 +aS'3\t3\tCD\tB-NP\tO' +p9452 +aS'days\tday\tNNS\tI-NP\tO' +p9453 +aS'.\t.\t.\tO\tO' +p9454 +asS'Mr. Steadman is a 25 year old man who was locked out of his apartment and tried to enter by climbing up two stories to get in by a window .' +p9455 +(lp9456 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p9457 +aS'Steadman\tSteadman\tNNP\tI-NP\tO' +p9458 +aS'is\tbe\tVBZ\tB-VP\tO' +p9459 +aS'a\ta\tDT\tB-NP\tO' +p9460 +aS'25\t25\tCD\tI-NP\tO' +p9461 +aS'year\tyear\tNN\tI-NP\tO' +p9462 +aS'old\told\tJJ\tI-NP\tO' +p9463 +aS'man\tman\tNN\tI-NP\tO' +p9464 +aS'who\twho\tWP\tB-NP\tO' +p9465 +aS'was\tbe\tVBD\tB-VP\tO' +p9466 +aS'locked\tlock\tVBN\tI-VP\tO' +p9467 +aS'out\tout\tIN\tB-PP\tO' +p9468 +aS'of\tof\tIN\tB-PP\tO' +p9469 +aS'his\this\tPRP$\tB-NP\tO' +p9470 +aS'apartment\tapartment\tNN\tI-NP\tO' +p9471 +aS'and\tand\tCC\tO\tO' +p9472 +aS'tried\ttry\tVBD\tB-VP\tO' +p9473 +aS'to\tto\tTO\tI-VP\tO' +p9474 +aS'enter\tenter\tVB\tI-VP\tO' +p9475 +aS'by\tby\tIN\tB-PP\tO' +p9476 +aS'climbing\tclimb\tVBG\tB-VP\tO' +p9477 +aS'up\tup\tRP\tB-PRT\tO' +p9478 +aS'two\ttwo\tCD\tB-NP\tO' +p9479 +aS'stories\tstory\tNNS\tI-NP\tO' +p9480 +aS'to\tto\tTO\tB-VP\tO' +p9481 +aS'get\tget\tVB\tI-VP\tO' +p9482 +aS'in\tin\tRP\tB-PRT\tO' +p9483 +aS'by\tby\tIN\tB-PP\tO' +p9484 +aS'a\ta\tDT\tB-NP\tO' +p9485 +aS'window\twindow\tNN\tI-NP\tO' +p9486 +aS'.\t.\t.\tO\tO' +p9487 +asS'The patient ruled out for MI by cardiac markers .' +p9488 +(lp9489 +S'The\tThe\tDT\tB-NP\tO' +p9490 +aS'patient\tpatient\tNN\tI-NP\tO' +p9491 +aS'ruled\trule\tVBD\tB-VP\tO' +p9492 +aS'out\tout\tRP\tB-PRT\tO' +p9493 +aS'for\tfor\tIN\tB-PP\tO' +p9494 +aS'MI\tMI\tNN\tB-NP\tO' +p9495 +aS'by\tby\tIN\tB-PP\tO' +p9496 +aS'cardiac\tcardiac\tJJ\tB-NP\tB-protein' +p9497 +aS'markers\tmarker\tNNS\tI-NP\tI-protein' +p9498 +aS'.\t.\t.\tO\tO' +p9499 +asS'Overall LVEF is difficult to assess due to poor echo windows although the basal LV appeas hyperdynamic without regional contraction abnormality ( suspect significant improvement compared to prior study dated 2017-07-18 ).' +p9500 +(lp9501 +S'Overall\tOverall\tJJ\tB-NP\tO' +p9502 +aS'LVEF\tLVEF\tNN\tI-NP\tB-protein' +p9503 +aS'is\tbe\tVBZ\tB-VP\tO' +p9504 +aS'difficult\tdifficult\tJJ\tB-ADJP\tO' +p9505 +aS'to\tto\tTO\tB-VP\tO' +p9506 +aS'assess\tassess\tVB\tI-VP\tO' +p9507 +aS'due\tdue\tIN\tB-PP\tO' +p9508 +aS'to\tto\tTO\tB-PP\tO' +p9509 +aS'poor\tpoor\tJJ\tB-NP\tO' +p9510 +aS'echo\techo\tJJ\tI-NP\tO' +p9511 +aS'windows\twindow\tNNS\tI-NP\tO' +p9512 +aS'although\talthough\tIN\tB-SBAR\tO' +p9513 +aS'the\tthe\tDT\tB-NP\tO' +p9514 +aS'basal\tbasal\tJJ\tI-NP\tO' +p9515 +aS'LV\tLV\tNN\tI-NP\tO' +p9516 +aS'appeas\tappea\tNNS\tI-NP\tO' +p9517 +aS'hyperdynamic\thyperdynamic\tJJ\tB-ADJP\tO' +p9518 +aS'without\twithout\tIN\tB-PP\tO' +p9519 +aS'regional\tregional\tJJ\tB-NP\tO' +p9520 +aS'contraction\tcontraction\tNN\tI-NP\tO' +p9521 +aS'abnormality\tabnormality\tNN\tI-NP\tO' +p9522 +aS'(\t(\t(\tO\tO' +p9523 +aS'suspect\tsuspect\tNN\tB-NP\tO' +p9524 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p9525 +aS'improvement\timprovement\tNN\tI-NP\tO' +p9526 +aS'compared\tcompare\tVBN\tB-VP\tO' +p9527 +aS'to\tto\tTO\tB-PP\tO' +p9528 +aS'prior\tprior\tJJ\tB-NP\tO' +p9529 +aS'study\tstudy\tNN\tI-NP\tO' +p9530 +aS'dated\tdate\tVBD\tB-VP\tO' +p9531 +aS'2017-07-18\t2017-07-18\tCD\tB-NP\tO' +p9532 +aS').\t).\t.\tO\tO' +p9533 +asS'Patient is strongly encouraged to followup with her outside primary care provider to followup for the vaginal bleeding given her history of fibroids and question metaplasia of the endometrium .' +p9534 +(lp9535 +S'Patient\tPatient\tNN\tB-NP\tO' +p9536 +aS'is\tbe\tVBZ\tB-VP\tO' +p9537 +aS'strongly\tstrongly\tRB\tI-VP\tO' +p9538 +aS'encouraged\tencourage\tVBN\tI-VP\tO' +p9539 +aS'to\tto\tTO\tI-VP\tO' +p9540 +aS'followup\tfollowup\tVB\tI-VP\tO' +p9541 +aS'with\twith\tIN\tB-PP\tO' +p9542 +aS'her\ther\tPRP\tB-NP\tO' +p9543 +aS'outside\toutside\tJJ\tI-NP\tO' +p9544 +aS'primary\tprimary\tJJ\tI-NP\tO' +p9545 +aS'care\tcare\tNN\tI-NP\tO' +p9546 +aS'provider\tprovider\tNN\tI-NP\tO' +p9547 +aS'to\tto\tTO\tB-VP\tO' +p9548 +aS'followup\tfollowup\tVB\tI-VP\tO' +p9549 +aS'for\tfor\tIN\tB-PP\tO' +p9550 +aS'the\tthe\tDT\tB-NP\tO' +p9551 +aS'vaginal\tvaginal\tJJ\tI-NP\tO' +p9552 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p9553 +aS'given\tgive\tVBN\tB-VP\tO' +p9554 +aS'her\ther\tPRP$\tB-NP\tO' +p9555 +aS'history\thistory\tNN\tI-NP\tO' +p9556 +aS'of\tof\tIN\tB-PP\tO' +p9557 +aS'fibroids\tfibroid\tNNS\tB-NP\tO' +p9558 +aS'and\tand\tCC\tO\tO' +p9559 +aS'question\tquestion\tNN\tB-NP\tO' +p9560 +aS'metaplasia\tmetaplasia\tNN\tI-NP\tO' +p9561 +aS'of\tof\tIN\tB-PP\tO' +p9562 +aS'the\tthe\tDT\tB-NP\tO' +p9563 +aS'endometrium\tendometrium\tNN\tI-NP\tO' +p9564 +aS'.\t.\t.\tO\tO' +p9565 +asS'The patient was discharged to home with appropriate Flolan teaching and supplies .' +p9566 +(lp9567 +S'The\tThe\tDT\tB-NP\tO' +p9568 +aS'patient\tpatient\tNN\tI-NP\tO' +p9569 +aS'was\tbe\tVBD\tB-VP\tO' +p9570 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p9571 +aS'to\tto\tTO\tB-PP\tO' +p9572 +aS'home\thome\tNN\tB-NP\tO' +p9573 +aS'with\twith\tIN\tB-PP\tO' +p9574 +aS'appropriate\tappropriate\tJJ\tB-NP\tO' +p9575 +aS'Flolan\tFlolan\tNN\tI-NP\tO' +p9576 +aS'teaching\tteaching\tNN\tI-NP\tO' +p9577 +aS'and\tand\tCC\tI-NP\tO' +p9578 +aS'supplies\tsupply\tNNS\tI-NP\tO' +p9579 +aS'.\t.\t.\tO\tO' +p9580 +asS'Second , he had a witnessed episode in which his eyes rolled to the back of his head and there was a question of some seizure activity .' +p9581 +(lp9582 +S'Second\tSecond\tRB\tB-ADVP\tO' +p9583 +aS',\t,\t,\tO\tO' +p9584 +aS'he\the\tPRP\tB-NP\tO' +p9585 +aS'had\thave\tVBD\tB-VP\tO' +p9586 +aS'a\ta\tDT\tB-NP\tO' +p9587 +aS'witnessed\twitness\tVBN\tI-NP\tO' +p9588 +aS'episode\tepisode\tNN\tI-NP\tO' +p9589 +aS'in\tin\tIN\tB-PP\tO' +p9590 +aS'which\twhich\tWDT\tB-NP\tO' +p9591 +aS'his\this\tPRP$\tB-NP\tO' +p9592 +aS'eyes\teye\tNNS\tI-NP\tO' +p9593 +aS'rolled\troll\tVBD\tB-VP\tO' +p9594 +aS'to\tto\tTO\tB-PP\tO' +p9595 +aS'the\tthe\tDT\tB-NP\tO' +p9596 +aS'back\tback\tNN\tI-NP\tO' +p9597 +aS'of\tof\tIN\tB-PP\tO' +p9598 +aS'his\this\tPRP$\tB-NP\tO' +p9599 +aS'head\thead\tNN\tI-NP\tO' +p9600 +aS'and\tand\tCC\tO\tO' +p9601 +aS'there\tthere\tEX\tB-NP\tO' +p9602 +aS'was\tbe\tVBD\tB-VP\tO' +p9603 +aS'a\ta\tDT\tB-NP\tO' +p9604 +aS'question\tquestion\tNN\tI-NP\tO' +p9605 +aS'of\tof\tIN\tB-PP\tO' +p9606 +aS'some\tsome\tDT\tB-NP\tO' +p9607 +aS'seizure\tseizure\tNN\tI-NP\tO' +p9608 +aS'activity\tactivity\tNN\tI-NP\tO' +p9609 +aS'.\t.\t.\tO\tO' +p9610 +asS'Follow-up with Dr. Tina Phillips in Stroke Clinic in about 2 months .' +p9611 +(lp9612 +S'Follow-up\tFollow-up\tNN\tB-NP\tO' +p9613 +aS'with\twith\tIN\tB-PP\tO' +p9614 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p9615 +aS'Tina\tTina\tNNP\tI-NP\tO' +p9616 +aS'Phillips\tPhillips\tNNP\tI-NP\tO' +p9617 +aS'in\tin\tIN\tB-PP\tO' +p9618 +aS'Stroke\tStroke\tNNP\tB-NP\tO' +p9619 +aS'Clinic\tClinic\tNNP\tI-NP\tO' +p9620 +aS'in\tin\tIN\tB-PP\tO' +p9621 +aS'about\tabout\tRB\tB-NP\tO' +p9622 +aS'2\t2\tCD\tI-NP\tO' +p9623 +aS'months\tmonth\tNNS\tI-NP\tO' +p9624 +aS'.\t.\t.\tO\tO' +p9625 +asS'Call ( 909 ) 566-1185 to schedule appointment in Trauma Clinic in 3-4 weeks .' +p9626 +(lp9627 +S'Call\tCall\tNN\tB-NP\tO' +p9628 +aS'(\t(\t(\tO\tO' +p9629 +aS'909\t909\tCD\tB-NP\tO' +p9630 +aS')\t)\t)\tO\tO' +p9631 +aS'566-1185\t566-1185\tCD\tB-NP\tO' +p9632 +aS'to\tto\tTO\tB-VP\tO' +p9633 +aS'schedule\tschedule\tVB\tI-VP\tO' +p9634 +aS'appointment\tappointment\tNN\tB-NP\tO' +p9635 +aS'in\tin\tIN\tB-PP\tO' +p9636 +aS'Trauma\tTrauma\tNNP\tB-NP\tO' +p9637 +aS'Clinic\tClinic\tNNP\tI-NP\tO' +p9638 +aS'in\tin\tIN\tB-PP\tO' +p9639 +aS'3-4\t3-4\tCD\tB-NP\tO' +p9640 +aS'weeks\tweek\tNNS\tI-NP\tO' +p9641 +aS'.\t.\t.\tO\tO' +p9642 +asS'A magnetic resonance imaging study will be scheduled as an outpatient in three months to rule out a small vascular malformation if responsible for the hemorrhage .' +p9643 +(lp9644 +S'A\tA\tDT\tB-NP\tO' +p9645 +aS'magnetic\tmagnetic\tJJ\tI-NP\tO' +p9646 +aS'resonance\tresonance\tNN\tI-NP\tO' +p9647 +aS'imaging\timaging\tNN\tI-NP\tO' +p9648 +aS'study\tstudy\tNN\tI-NP\tO' +p9649 +aS'will\twill\tMD\tB-VP\tO' +p9650 +aS'be\tbe\tVB\tI-VP\tO' +p9651 +aS'scheduled\tschedule\tVBN\tI-VP\tO' +p9652 +aS'as\tas\tIN\tB-PP\tO' +p9653 +aS'an\tan\tDT\tB-NP\tO' +p9654 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p9655 +aS'in\tin\tIN\tB-PP\tO' +p9656 +aS'three\tthree\tCD\tB-NP\tO' +p9657 +aS'months\tmonth\tNNS\tI-NP\tO' +p9658 +aS'to\tto\tTO\tB-VP\tO' +p9659 +aS'rule\trule\tVB\tI-VP\tO' +p9660 +aS'out\tout\tRP\tB-PRT\tO' +p9661 +aS'a\ta\tDT\tB-NP\tO' +p9662 +aS'small\tsmall\tJJ\tI-NP\tO' +p9663 +aS'vascular\tvascular\tJJ\tI-NP\tO' +p9664 +aS'malformation\tmalformation\tNN\tI-NP\tO' +p9665 +aS'if\tif\tIN\tB-SBAR\tO' +p9666 +aS'responsible\tresponsible\tJJ\tB-ADJP\tO' +p9667 +aS'for\tfor\tIN\tB-PP\tO' +p9668 +aS'the\tthe\tDT\tB-NP\tO' +p9669 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p9670 +aS'.\t.\t.\tO\tO' +p9671 +asS'He had previous substernal gastric bypass because of an interruption of his esophagus at the time of his gunshot wound .' +p9672 +(lp9673 +S'He\tHe\tPRP\tB-NP\tO' +p9674 +aS'had\thave\tVBD\tB-VP\tO' +p9675 +aS'previous\tprevious\tJJ\tB-NP\tO' +p9676 +aS'substernal\tsubsternal\tJJ\tI-NP\tO' +p9677 +aS'gastric\tgastric\tJJ\tI-NP\tO' +p9678 +aS'bypass\tbypass\tNN\tI-NP\tO' +p9679 +aS'because\tbecause\tIN\tB-PP\tO' +p9680 +aS'of\tof\tIN\tI-PP\tO' +p9681 +aS'an\tan\tDT\tB-NP\tO' +p9682 +aS'interruption\tinterruption\tNN\tI-NP\tO' +p9683 +aS'of\tof\tIN\tB-PP\tO' +p9684 +aS'his\this\tPRP$\tB-NP\tO' +p9685 +aS'esophagus\tesophagus\tNN\tI-NP\tO' +p9686 +aS'at\tat\tIN\tB-PP\tO' +p9687 +aS'the\tthe\tDT\tB-NP\tO' +p9688 +aS'time\ttime\tNN\tI-NP\tO' +p9689 +aS'of\tof\tIN\tB-PP\tO' +p9690 +aS'his\this\tPRP$\tB-NP\tO' +p9691 +aS'gunshot\tgunshot\tNN\tI-NP\tO' +p9692 +aS'wound\twound\tNN\tI-NP\tO' +p9693 +aS'.\t.\t.\tO\tO' +p9694 +asS'The left forearm and right lower leg wound should be kept clean and dry with regular dressing changes with dry gauze once per day .' +p9695 +(lp9696 +S'The\tThe\tDT\tB-NP\tO' +p9697 +aS'left\tleft\tJJ\tI-NP\tO' +p9698 +aS'forearm\tforearm\tNN\tI-NP\tO' +p9699 +aS'and\tand\tCC\tO\tO' +p9700 +aS'right\tright\tRB\tB-NP\tO' +p9701 +aS'lower\tlow\tJJR\tI-NP\tO' +p9702 +aS'leg\tleg\tNN\tI-NP\tO' +p9703 +aS'wound\twound\tNN\tI-NP\tO' +p9704 +aS'should\tshould\tMD\tB-VP\tO' +p9705 +aS'be\tbe\tVB\tI-VP\tO' +p9706 +aS'kept\tkeep\tVBN\tI-VP\tO' +p9707 +aS'clean\tclean\tJJ\tB-ADJP\tO' +p9708 +aS'and\tand\tCC\tI-ADJP\tO' +p9709 +aS'dry\tdry\tJJ\tI-ADJP\tO' +p9710 +aS'with\twith\tIN\tB-PP\tO' +p9711 +aS'regular\tregular\tJJ\tB-NP\tO' +p9712 +aS'dressing\tdress\tVBG\tI-NP\tO' +p9713 +aS'changes\tchange\tNNS\tI-NP\tO' +p9714 +aS'with\twith\tIN\tB-PP\tO' +p9715 +aS'dry\tdry\tJJ\tB-NP\tO' +p9716 +aS'gauze\tgauze\tNN\tI-NP\tO' +p9717 +aS'once\tonce\tRB\tB-ADVP\tO' +p9718 +aS'per\tper\tIN\tB-PP\tO' +p9719 +aS'day\tday\tNN\tB-NP\tO' +p9720 +aS'.\t.\t.\tO\tO' +p9721 +asS'The patient was admitted to the hospital overnight for pai n management in the setting of a large incision with large amounts of dissection during the procedure .' +p9722 +(lp9723 +S'The\tThe\tDT\tB-NP\tO' +p9724 +aS'patient\tpatient\tNN\tI-NP\tO' +p9725 +aS'was\tbe\tVBD\tB-VP\tO' +p9726 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p9727 +aS'to\tto\tTO\tB-PP\tO' +p9728 +aS'the\tthe\tDT\tB-NP\tO' +p9729 +aS'hospital\thospital\tNN\tI-NP\tO' +p9730 +aS'overnight\tovernight\tRB\tB-ADVP\tO' +p9731 +aS'for\tfor\tIN\tB-PP\tO' +p9732 +aS'pai\tpai\tNN\tB-NP\tO' +p9733 +aS'n\tn\tNN\tI-NP\tO' +p9734 +aS'management\tmanagement\tNN\tI-NP\tO' +p9735 +aS'in\tin\tIN\tB-PP\tO' +p9736 +aS'the\tthe\tDT\tB-NP\tO' +p9737 +aS'setting\tsetting\tNN\tI-NP\tO' +p9738 +aS'of\tof\tIN\tB-PP\tO' +p9739 +aS'a\ta\tDT\tB-NP\tO' +p9740 +aS'large\tlarge\tJJ\tI-NP\tO' +p9741 +aS'incision\tincision\tNN\tI-NP\tO' +p9742 +aS'with\twith\tIN\tB-PP\tO' +p9743 +aS'large\tlarge\tJJ\tB-NP\tO' +p9744 +aS'amounts\tamount\tNNS\tI-NP\tO' +p9745 +aS'of\tof\tIN\tB-PP\tO' +p9746 +aS'dissection\tdissection\tNN\tB-NP\tO' +p9747 +aS'during\tduring\tIN\tB-PP\tO' +p9748 +aS'the\tthe\tDT\tB-NP\tO' +p9749 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p9750 +aS'.\t.\t.\tO\tO' +p9751 +asS'She was kept on bedrest for two days and then was ambulating and voiding well without trouble on postoperative day number three when the Foley catheter was discontinued .' +p9752 +(lp9753 +S'She\tShe\tPRP\tB-NP\tO' +p9754 +aS'was\tbe\tVBD\tB-VP\tO' +p9755 +aS'kept\tkeep\tVBN\tI-VP\tO' +p9756 +aS'on\ton\tIN\tB-PP\tO' +p9757 +aS'bedrest\tbedrest\tNN\tB-NP\tO' +p9758 +aS'for\tfor\tIN\tB-PP\tO' +p9759 +aS'two\ttwo\tCD\tB-NP\tO' +p9760 +aS'days\tday\tNNS\tI-NP\tO' +p9761 +aS'and\tand\tCC\tO\tO' +p9762 +aS'then\tthen\tRB\tB-ADVP\tO' +p9763 +aS'was\tbe\tVBD\tB-VP\tO' +p9764 +aS'ambulating\tambulate\tVBG\tI-VP\tO' +p9765 +aS'and\tand\tCC\tI-VP\tO' +p9766 +aS'voiding\tvoid\tVBG\tI-VP\tO' +p9767 +aS'well\twell\tRB\tB-ADVP\tO' +p9768 +aS'without\twithout\tIN\tB-PP\tO' +p9769 +aS'trouble\ttrouble\tNN\tB-NP\tO' +p9770 +aS'on\ton\tIN\tB-PP\tO' +p9771 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p9772 +aS'day\tday\tNN\tI-NP\tO' +p9773 +aS'number\tnumber\tNN\tI-NP\tO' +p9774 +aS'three\tthree\tCD\tI-NP\tO' +p9775 +aS'when\twhen\tWRB\tB-ADVP\tO' +p9776 +aS'the\tthe\tDT\tB-NP\tO' +p9777 +aS'Foley\tFoley\tNNP\tI-NP\tO' +p9778 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p9779 +aS'was\tbe\tVBD\tB-VP\tO' +p9780 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p9781 +aS'.\t.\t.\tO\tO' +p9782 +asS'The liver was 11 cm by percussion .' +p9783 +(lp9784 +S'The\tThe\tDT\tB-NP\tO' +p9785 +aS'liver\tliver\tNN\tI-NP\tO' +p9786 +aS'was\tbe\tVBD\tB-VP\tO' +p9787 +aS'11\t11\tCD\tB-NP\tO' +p9788 +aS'cm\tcm\tNN\tI-NP\tO' +p9789 +aS'by\tby\tIN\tB-PP\tO' +p9790 +aS'percussion\tpercussion\tNN\tB-NP\tO' +p9791 +aS'.\t.\t.\tO\tO' +p9792 +asS'" 1. Mild but multifocal atherosclerotic disease involving the infrarenal aorta and iliac arteries , with no significant pressure gradient associated .' +p9793 +(lp9794 +S'"\t"\t``\tO\tO' +p9795 +aS'1.\t1.\tCD\tB-NP\tO' +p9796 +aS'Mild\tMild\tNNP\tI-NP\tO' +p9797 +aS'but\tbut\tCC\tO\tO' +p9798 +aS'multifocal\tmultifocal\tJJ\tB-NP\tO' +p9799 +aS'atherosclerotic\tatherosclerotic\tJJ\tI-NP\tO' +p9800 +aS'disease\tdisease\tNN\tI-NP\tO' +p9801 +aS'involving\tinvolve\tVBG\tB-VP\tO' +p9802 +aS'the\tthe\tDT\tB-NP\tO' +p9803 +aS'infrarenal\tinfrarenal\tJJ\tI-NP\tO' +p9804 +aS'aorta\taorta\tNN\tI-NP\tO' +p9805 +aS'and\tand\tCC\tO\tO' +p9806 +aS'iliac\tiliac\tJJ\tB-NP\tO' +p9807 +aS'arteries\tartery\tNNS\tI-NP\tO' +p9808 +aS',\t,\t,\tO\tO' +p9809 +aS'with\twith\tIN\tB-PP\tO' +p9810 +aS'no\tno\tDT\tB-NP\tO' +p9811 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p9812 +aS'pressure\tpressure\tNN\tI-NP\tO' +p9813 +aS'gradient\tgradient\tNN\tI-NP\tO' +p9814 +aS'associated\tassociate\tVBN\tB-VP\tO' +p9815 +aS'.\t.\t.\tO\tO' +p9816 +asS'At the time he took good po .' +p9817 +(lp9818 +S'At\tAt\tIN\tB-PP\tO' +p9819 +aS'the\tthe\tDT\tB-NP\tO' +p9820 +aS'time\ttime\tNN\tI-NP\tO' +p9821 +aS'he\the\tPRP\tB-NP\tO' +p9822 +aS'took\ttake\tVBD\tB-VP\tO' +p9823 +aS'good\tgood\tJJ\tB-NP\tO' +p9824 +aS'po\tpo\tNN\tI-NP\tO' +p9825 +aS'.\t.\t.\tO\tO' +p9826 +asS'She is a pleasant well appearing elderly woman in no acute distress .' +p9827 +(lp9828 +S'She\tShe\tPRP\tB-NP\tO' +p9829 +aS'is\tbe\tVBZ\tB-VP\tO' +p9830 +aS'a\ta\tDT\tB-NP\tO' +p9831 +aS'pleasant\tpleasant\tNN\tI-NP\tO' +p9832 +aS'well\twell\tRB\tB-VP\tO' +p9833 +aS'appearing\tappear\tVBG\tI-VP\tO' +p9834 +aS'elderly\telderly\tJJ\tB-NP\tO' +p9835 +aS'woman\twoman\tNN\tI-NP\tO' +p9836 +aS'in\tin\tIN\tB-PP\tO' +p9837 +aS'no\tno\tDT\tB-NP\tO' +p9838 +aS'acute\tacute\tJJ\tI-NP\tO' +p9839 +aS'distress\tdistress\tNN\tI-NP\tO' +p9840 +aS'.\t.\t.\tO\tO' +p9841 +asS'He had a barium swallow and endoscopy and was said not to have gastric or pericardial ulcer .' +p9842 +(lp9843 +S'He\tHe\tPRP\tB-NP\tO' +p9844 +aS'had\thave\tVBD\tB-VP\tO' +p9845 +aS'a\ta\tDT\tB-NP\tO' +p9846 +aS'barium\tbarium\tNN\tI-NP\tO' +p9847 +aS'swallow\tswallow\tNN\tI-NP\tO' +p9848 +aS'and\tand\tCC\tI-NP\tO' +p9849 +aS'endoscopy\tendoscopy\tNN\tI-NP\tO' +p9850 +aS'and\tand\tCC\tO\tO' +p9851 +aS'was\tbe\tVBD\tB-VP\tO' +p9852 +aS'said\tsay\tVBD\tI-VP\tO' +p9853 +aS'not\tnot\tRB\tO\tO' +p9854 +aS'to\tto\tTO\tB-VP\tO' +p9855 +aS'have\thave\tVB\tI-VP\tO' +p9856 +aS'gastric\tgastric\tJJ\tB-NP\tO' +p9857 +aS'or\tor\tCC\tI-NP\tO' +p9858 +aS'pericardial\tpericardial\tJJ\tI-NP\tO' +p9859 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p9860 +aS'.\t.\t.\tO\tO' +p9861 +asS'Dr. Falccouette would like to perform an excision and closure flap of her left ischial decubitusin the near future .' +p9862 +(lp9863 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p9864 +aS'Falccouette\tFalccouette\tNNP\tI-NP\tO' +p9865 +aS'would\twould\tMD\tB-VP\tO' +p9866 +aS'like\tlike\tVB\tI-VP\tO' +p9867 +aS'to\tto\tTO\tI-VP\tO' +p9868 +aS'perform\tperform\tVB\tI-VP\tO' +p9869 +aS'an\tan\tDT\tB-NP\tO' +p9870 +aS'excision\texcision\tNN\tI-NP\tO' +p9871 +aS'and\tand\tCC\tI-NP\tO' +p9872 +aS'closure\tclosure\tNN\tI-NP\tO' +p9873 +aS'flap\tflap\tNN\tI-NP\tO' +p9874 +aS'of\tof\tIN\tB-PP\tO' +p9875 +aS'her\ther\tPRP$\tB-NP\tO' +p9876 +aS'left\tleft\tJJ\tI-NP\tO' +p9877 +aS'ischial\tischial\tJJ\tI-NP\tO' +p9878 +aS'decubitusin\tdecubitusin\tNN\tI-NP\tO' +p9879 +aS'the\tthe\tDT\tB-NP\tO' +p9880 +aS'near\tnear\tJJ\tI-NP\tO' +p9881 +aS'future\tfuture\tNN\tI-NP\tO' +p9882 +aS'.\t.\t.\tO\tO' +p9883 +asS'Extraocular muscles were intact .' +p9884 +(lp9885 +S'Extraocular\tExtraocular\tJJ\tB-NP\tO' +p9886 +aS'muscles\tmuscle\tNNS\tI-NP\tO' +p9887 +aS'were\tbe\tVBD\tB-VP\tO' +p9888 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p9889 +aS'.\t.\t.\tO\tO' +p9890 +asS'1. Niacin 500 mg Capsule , Sustained Release Sig : One ( 1 ) Capsule , Sustained Release PO DAILY ( Daily ) .' +p9891 +(lp9892 +S'1.\t1.\tLS\tB-NP\tO' +p9893 +aS'Niacin\tNiacin\tNN\tI-NP\tO' +p9894 +aS'500\t500\tCD\tB-NP\tO' +p9895 +aS'mg\tmg\tNN\tI-NP\tO' +p9896 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p9897 +aS',\t,\t,\tO\tO' +p9898 +aS'Sustained\tSustained\tNNP\tB-NP\tO' +p9899 +aS'Release\tRelease\tNNP\tI-NP\tO' +p9900 +aS'Sig\tSig\tNNP\tI-NP\tB-protein' +p9901 +aS':\t:\t:\tO\tO' +p9902 +aS'One\tOne\tCD\tB-NP\tO' +p9903 +aS'(\t(\t(\tO\tO' +p9904 +aS'1\t1\tCD\tB-NP\tO' +p9905 +aS')\t)\t)\tO\tO' +p9906 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p9907 +aS',\t,\t,\tO\tO' +p9908 +aS'Sustained\tSustained\tNNP\tB-NP\tO' +p9909 +aS'Release\tRelease\tNNP\tI-NP\tO' +p9910 +aS'PO\tPO\tNNP\tI-NP\tO' +p9911 +aS'DAILY\tDAILY\tNNP\tI-NP\tO' +p9912 +aS'(\t(\t(\tO\tO' +p9913 +aS'Daily\tDaily\tNNP\tB-NP\tO' +p9914 +aS')\t)\t)\tO\tO' +p9915 +aS'.\t.\t.\tO\tO' +p9916 +asS'These tests were sent on the 18th and are pending at the time of discharge .' +p9917 +(lp9918 +S'These\tThese\tDT\tB-NP\tO' +p9919 +aS'tests\ttest\tNNS\tI-NP\tO' +p9920 +aS'were\tbe\tVBD\tB-VP\tO' +p9921 +aS'sent\tsend\tVBN\tI-VP\tO' +p9922 +aS'on\ton\tIN\tB-PP\tO' +p9923 +aS'the\tthe\tDT\tB-NP\tO' +p9924 +aS'18th\t18th\tNN\tI-NP\tO' +p9925 +aS'and\tand\tCC\tO\tO' +p9926 +aS'are\tbe\tVBP\tB-VP\tO' +p9927 +aS'pending\tpende\tVBG\tI-VP\tO' +p9928 +aS'at\tat\tIN\tB-PP\tO' +p9929 +aS'the\tthe\tDT\tB-NP\tO' +p9930 +aS'time\ttime\tNN\tI-NP\tO' +p9931 +aS'of\tof\tIN\tB-PP\tO' +p9932 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p9933 +aS'.\t.\t.\tO\tO' +p9934 +asS'Urology also followed him and kept him on antibiotics until postoperative day #7 at which point antibiotics were discontinued .' +p9935 +(lp9936 +S'Urology\tUrology\tNNP\tB-NP\tO' +p9937 +aS'also\talso\tRB\tB-ADVP\tO' +p9938 +aS'followed\tfollow\tVBD\tB-VP\tO' +p9939 +aS'him\thim\tPRP\tB-NP\tO' +p9940 +aS'and\tand\tCC\tO\tO' +p9941 +aS'kept\tkeep\tVBD\tB-VP\tO' +p9942 +aS'him\thim\tPRP\tB-NP\tO' +p9943 +aS'on\ton\tIN\tB-PP\tO' +p9944 +aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' +p9945 +aS'until\tuntil\tIN\tB-PP\tO' +p9946 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p9947 +aS'day\tday\tNN\tI-NP\tO' +p9948 +aS'#7\t#7\tCD\tI-NP\tO' +p9949 +aS'at\tat\tIN\tB-PP\tO' +p9950 +aS'which\twhich\tWDT\tB-NP\tO' +p9951 +aS'point\tpoint\tNN\tB-NP\tO' +p9952 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p9953 +aS'were\tbe\tVBD\tB-VP\tO' +p9954 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p9955 +aS'.\t.\t.\tO\tO' +p9956 +asS'Following intervention right heart catheterization was performed to rule out RV infarct .' +p9957 +(lp9958 +S'Following\tFollow\tVBG\tB-PP\tO' +p9959 +aS'intervention\tintervention\tNN\tB-NP\tO' +p9960 +aS'right\tright\tJJ\tI-NP\tO' +p9961 +aS'heart\theart\tNN\tI-NP\tO' +p9962 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p9963 +aS'was\tbe\tVBD\tB-VP\tO' +p9964 +aS'performed\tperform\tVBN\tI-VP\tO' +p9965 +aS'to\tto\tTO\tI-VP\tO' +p9966 +aS'rule\trule\tVB\tI-VP\tO' +p9967 +aS'out\tout\tRP\tB-PRT\tO' +p9968 +aS'RV\tRV\tNN\tB-NP\tO' +p9969 +aS'infarct\tinfarct\tNN\tI-NP\tO' +p9970 +aS'.\t.\t.\tO\tO' +p9971 +asS'Juanita does not feel any palpitations .' +p9972 +(lp9973 +S'Juanita\tJuanita\tNNP\tB-NP\tO' +p9974 +aS'does\tdo\tVBZ\tB-VP\tO' +p9975 +aS'not\tnot\tRB\tI-VP\tO' +p9976 +aS'feel\tfeel\tVB\tI-VP\tO' +p9977 +aS'any\tany\tDT\tB-NP\tO' +p9978 +aS'palpitations\tpalpitation\tNNS\tI-NP\tO' +p9979 +aS'.\t.\t.\tO\tO' +p9980 +asS'The patient seemed notably anxious and depressed .' +p9981 +(lp9982 +S'The\tThe\tDT\tB-NP\tO' +p9983 +aS'patient\tpatient\tNN\tI-NP\tO' +p9984 +aS'seemed\tseem\tVBD\tB-VP\tO' +p9985 +aS'notably\tnotably\tRB\tB-ADJP\tO' +p9986 +aS'anxious\tanxious\tJJ\tI-ADJP\tO' +p9987 +aS'and\tand\tCC\tI-ADJP\tO' +p9988 +aS'depressed\tdepressed\tJJ\tI-ADJP\tO' +p9989 +aS'.\t.\t.\tO\tO' +p9990 +asS'Hematocrit on admission 47% .' +p9991 +(lp9992 +S'Hematocrit\tHematocrit\tNN\tB-NP\tO' +p9993 +aS'on\ton\tIN\tB-PP\tO' +p9994 +aS'admission\tadmission\tNN\tB-NP\tO' +p9995 +aS'47%\t47%\tNN\tI-NP\tO' +p9996 +aS'.\t.\t.\tO\tO' +p9997 +asS'She is to be maintained on metoprolol for blood pressure control and the restarting of her ACE inhibitor is to be decided by her primary care physician .' +p9998 +(lp9999 +S'She\tShe\tPRP\tB-NP\tO' +p10000 +aS'is\tbe\tVBZ\tB-VP\tO' +p10001 +aS'to\tto\tTO\tI-VP\tO' +p10002 +aS'be\tbe\tVB\tI-VP\tO' +p10003 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p10004 +aS'on\ton\tIN\tB-PP\tO' +p10005 +aS'metoprolol\tmetoprolol\tNN\tB-NP\tO' +p10006 +aS'for\tfor\tIN\tB-PP\tO' +p10007 +aS'blood\tblood\tNN\tB-NP\tO' +p10008 +aS'pressure\tpressure\tNN\tI-NP\tO' +p10009 +aS'control\tcontrol\tNN\tI-NP\tO' +p10010 +aS'and\tand\tCC\tO\tO' +p10011 +aS'the\tthe\tDT\tB-NP\tO' +p10012 +aS'restarting\trestarting\tNN\tI-NP\tO' +p10013 +aS'of\tof\tIN\tB-PP\tO' +p10014 +aS'her\ther\tPRP$\tB-NP\tO' +p10015 +aS'ACE\tACE\tNN\tI-NP\tO' +p10016 +aS'inhibitor\tinhibitor\tNN\tI-NP\tO' +p10017 +aS'is\tbe\tVBZ\tB-VP\tO' +p10018 +aS'to\tto\tTO\tB-VP\tO' +p10019 +aS'be\tbe\tVB\tI-VP\tO' +p10020 +aS'decided\tdecide\tVBN\tI-VP\tO' +p10021 +aS'by\tby\tIN\tB-PP\tO' +p10022 +aS'her\ther\tPRP$\tB-NP\tO' +p10023 +aS'primary\tprimary\tJJ\tI-NP\tO' +p10024 +aS'care\tcare\tNN\tI-NP\tO' +p10025 +aS'physician\tphysician\tNN\tI-NP\tO' +p10026 +aS'.\t.\t.\tO\tO' +p10027 +asS'Please continue to take all your medicaitons and follow up with your appointments as below .' +p10028 +(lp10029 +S'Please\tPlease\tNN\tB-NP\tB-protein' +p10030 +aS'continue\tcontinue\tVBP\tB-VP\tO' +p10031 +aS'to\tto\tTO\tI-VP\tO' +p10032 +aS'take\ttake\tVB\tI-VP\tO' +p10033 +aS'all\tall\tDT\tB-NP\tO' +p10034 +aS'your\tyour\tPRP$\tI-NP\tO' +p10035 +aS'medicaitons\tmedicaiton\tNNS\tI-NP\tO' +p10036 +aS'and\tand\tCC\tO\tO' +p10037 +aS'follow\tfollow\tVB\tB-VP\tO' +p10038 +aS'up\tup\tRP\tB-PRT\tO' +p10039 +aS'with\twith\tIN\tB-PP\tO' +p10040 +aS'your\tyour\tPRP$\tB-NP\tO' +p10041 +aS'appointments\tappointment\tNNS\tI-NP\tO' +p10042 +aS'as\tas\tIN\tB-PP\tO' +p10043 +aS'below\tbelow\tRB\tI-PP\tO' +p10044 +aS'.\t.\t.\tO\tO' +p10045 +asS'The patient had a chest CT scan demonstrating no dissection or evidence of congestive heart failure .' +p10046 +(lp10047 +S'The\tThe\tDT\tB-NP\tO' +p10048 +aS'patient\tpatient\tNN\tI-NP\tO' +p10049 +aS'had\thave\tVBD\tB-VP\tO' +p10050 +aS'a\ta\tDT\tB-NP\tO' +p10051 +aS'chest\tchest\tNN\tI-NP\tO' +p10052 +aS'CT\tCT\tNN\tI-NP\tO' +p10053 +aS'scan\tscan\tNN\tI-NP\tO' +p10054 +aS'demonstrating\tdemonstrate\tVBG\tB-VP\tO' +p10055 +aS'no\tno\tDT\tB-NP\tO' +p10056 +aS'dissection\tdissection\tNN\tI-NP\tO' +p10057 +aS'or\tor\tCC\tI-NP\tO' +p10058 +aS'evidence\tevidence\tNN\tI-NP\tO' +p10059 +aS'of\tof\tIN\tB-PP\tO' +p10060 +aS'congestive\tcongestive\tJJ\tB-NP\tO' +p10061 +aS'heart\theart\tNN\tI-NP\tO' +p10062 +aS'failure\tfailure\tNN\tI-NP\tO' +p10063 +aS'.\t.\t.\tO\tO' +p10064 +asS'He had no chest pain , palpitations , diaphoresis , or nausea .' +p10065 +(lp10066 +S'He\tHe\tPRP\tB-NP\tO' +p10067 +aS'had\thave\tVBD\tB-VP\tO' +p10068 +aS'no\tno\tDT\tB-NP\tO' +p10069 +aS'chest\tchest\tNN\tI-NP\tO' +p10070 +aS'pain\tpain\tNN\tI-NP\tO' +p10071 +aS',\t,\t,\tO\tO' +p10072 +aS'palpitations\tpalpitation\tNNS\tB-NP\tO' +p10073 +aS',\t,\t,\tO\tO' +p10074 +aS'diaphoresis\tdiaphoresis\tNN\tB-NP\tO' +p10075 +aS',\t,\t,\tO\tO' +p10076 +aS'or\tor\tCC\tO\tO' +p10077 +aS'nausea\tnausea\tNN\tB-NP\tO' +p10078 +aS'.\t.\t.\tO\tO' +p10079 +asS'The patient is an 80 year old female with breast cancer , status post lumpectomy / radiation therapy / Tamoxifen ( 2000 ) , hypertension , hyperlipidemia , multiple urinary tract infections who presents with a four day prodrome of dry cough , rhinorrhea , coryza , malaise , chills , headache , decreased p.o. intake , loose bowel movements with diarrhea and no blood , decreased urine output , no sick contacts , had flu shot this year .' +p10080 +(lp10081 +S'The\tThe\tDT\tB-NP\tO' +p10082 +aS'patient\tpatient\tNN\tI-NP\tO' +p10083 +aS'is\tbe\tVBZ\tB-VP\tO' +p10084 +aS'an\tan\tDT\tB-NP\tO' +p10085 +aS'80\t80\tCD\tI-NP\tO' +p10086 +aS'year\tyear\tNN\tI-NP\tO' +p10087 +aS'old\told\tJJ\tI-NP\tO' +p10088 +aS'female\tfemale\tNN\tI-NP\tO' +p10089 +aS'with\twith\tIN\tB-PP\tO' +p10090 +aS'breast\tbreast\tNN\tB-NP\tO' +p10091 +aS'cancer\tcancer\tNN\tI-NP\tO' +p10092 +aS',\t,\t,\tO\tO' +p10093 +aS'status\tstatus\tNN\tB-NP\tO' +p10094 +aS'post\tpost\tNN\tI-NP\tO' +p10095 +aS'lumpectomy\tlumpectomy\tNN\tI-NP\tO' +p10096 +aS'/\t/\tSYM\tB-NP\tO' +p10097 +aS'radiation\tradiation\tNN\tI-NP\tO' +p10098 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p10099 +aS'/\t/\tSYM\tO\tO' +p10100 +aS'Tamoxifen\tTamoxifen\tNN\tB-NP\tO' +p10101 +aS'(\t(\t(\tO\tO' +p10102 +aS'2000\t2000\tCD\tB-NP\tO' +p10103 +aS')\t)\t)\tO\tO' +p10104 +aS',\t,\t,\tO\tO' +p10105 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p10106 +aS',\t,\t,\tO\tO' +p10107 +aS'hyperlipidemia\thyperlipidemia\tNN\tB-NP\tO' +p10108 +aS',\t,\t,\tO\tO' +p10109 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p10110 +aS'urinary\turinary\tJJ\tI-NP\tO' +p10111 +aS'tract\ttract\tNN\tI-NP\tO' +p10112 +aS'infections\tinfection\tNNS\tI-NP\tO' +p10113 +aS'who\twho\tWP\tB-NP\tO' +p10114 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p10115 +aS'with\twith\tIN\tB-PP\tO' +p10116 +aS'a\ta\tDT\tB-NP\tO' +p10117 +aS'four\tfour\tCD\tI-NP\tO' +p10118 +aS'day\tday\tNN\tI-NP\tO' +p10119 +aS'prodrome\tprodrome\tNN\tI-NP\tO' +p10120 +aS'of\tof\tIN\tB-PP\tO' +p10121 +aS'dry\tdry\tJJ\tB-NP\tO' +p10122 +aS'cough\tcough\tNN\tI-NP\tO' +p10123 +aS',\t,\t,\tO\tO' +p10124 +aS'rhinorrhea\trhinorrhea\tNN\tB-NP\tO' +p10125 +aS',\t,\t,\tO\tO' +p10126 +aS'coryza\tcoryza\tNN\tB-NP\tO' +p10127 +aS',\t,\t,\tO\tO' +p10128 +aS'malaise\tmalaise\tNN\tB-NP\tO' +p10129 +aS',\t,\t,\tO\tO' +p10130 +aS'chills\tchill\tNNS\tB-NP\tO' +p10131 +aS',\t,\t,\tO\tO' +p10132 +aS'headache\theadache\tNN\tB-NP\tO' +p10133 +aS',\t,\t,\tO\tO' +p10134 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p10135 +aS'p.o.\tp.o.\tNN\tB-NP\tO' +p10136 +aS'intake\tintake\tNN\tI-NP\tO' +p10137 +aS',\t,\t,\tO\tO' +p10138 +aS'loose\tloose\tJJ\tB-NP\tO' +p10139 +aS'bowel\tbowel\tNN\tI-NP\tO' +p10140 +aS'movements\tmovement\tNNS\tI-NP\tO' +p10141 +aS'with\twith\tIN\tB-PP\tO' +p10142 +aS'diarrhea\tdiarrhea\tNN\tB-NP\tO' +p10143 +aS'and\tand\tCC\tO\tO' +p10144 +aS'no\tno\tDT\tB-NP\tO' +p10145 +aS'blood\tblood\tNN\tI-NP\tO' +p10146 +aS',\t,\t,\tO\tO' +p10147 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p10148 +aS'urine\turine\tNN\tB-NP\tO' +p10149 +aS'output\toutput\tNN\tI-NP\tO' +p10150 +aS',\t,\t,\tO\tO' +p10151 +aS'no\tno\tDT\tB-NP\tO' +p10152 +aS'sick\tsick\tJJ\tI-NP\tO' +p10153 +aS'contacts\tcontact\tNNS\tI-NP\tO' +p10154 +aS',\t,\t,\tO\tO' +p10155 +aS'had\thave\tVBD\tB-VP\tO' +p10156 +aS'flu\tflu\tNN\tB-NP\tO' +p10157 +aS'shot\tshot\tNN\tI-NP\tO' +p10158 +aS'this\tthis\tDT\tB-NP\tO' +p10159 +aS'year\tyear\tNN\tI-NP\tO' +p10160 +aS'.\t.\t.\tO\tO' +p10161 +asS'4 ) RHEUMATOID ARTHRITIS / CUTANEOUS LUPUS ( MIXED CONNECTIVE TISSUE DISEASE ) .' +p10162 +(lp10163 +S'4\t4\tLS\tB-LST\tO' +p10164 +aS')\t)\t)\tO\tO' +p10165 +aS'RHEUMATOID\tRHEUMATOID\tNN\tB-NP\tO' +p10166 +aS'ARTHRITIS\tARTHRITIS\tNN\tI-NP\tO' +p10167 +aS'/\t/\tSYM\tB-VP\tO' +p10168 +aS'CUTANEOUS\tCUTANEOUS\tNN\tB-NP\tO' +p10169 +aS'LUPUS\tLUPUS\tNN\tI-NP\tO' +p10170 +aS'(\t(\t(\tO\tO' +p10171 +aS'MIXED\tMIXED\tVBN\tB-NP\tO' +p10172 +aS'CONNECTIVE\tCONNECTIVE\tNN\tI-NP\tO' +p10173 +aS'TISSUE\tTISSUE\tNN\tI-NP\tO' +p10174 +aS'DISEASE\tDISEASE\tNN\tI-NP\tO' +p10175 +aS')\t)\t)\tO\tO' +p10176 +aS'.\t.\t.\tO\tO' +p10177 +asS'Despite absence of seizure activity on EEG , patient was continued on Dilantin .' +p10178 +(lp10179 +S'Despite\tDespite\tIN\tB-PP\tO' +p10180 +aS'absence\tabsence\tNN\tB-NP\tO' +p10181 +aS'of\tof\tIN\tB-PP\tO' +p10182 +aS'seizure\tseizure\tNN\tB-NP\tO' +p10183 +aS'activity\tactivity\tNN\tI-NP\tO' +p10184 +aS'on\ton\tIN\tB-PP\tO' +p10185 +aS'EEG\tEEG\tNN\tB-NP\tB-protein' +p10186 +aS',\t,\t,\tO\tO' +p10187 +aS'patient\tpatient\tNN\tB-NP\tO' +p10188 +aS'was\tbe\tVBD\tB-VP\tO' +p10189 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p10190 +aS'on\ton\tIN\tB-PP\tO' +p10191 +aS'Dilantin\tDilantin\tNN\tB-NP\tB-protein' +p10192 +aS'.\t.\t.\tO\tO' +p10193 +asS'We have given her Lovenox in the past , and she continues to bleed .' +p10194 +(lp10195 +S'We\tWe\tPRP\tB-NP\tO' +p10196 +aS'have\thave\tVBP\tB-VP\tO' +p10197 +aS'given\tgive\tVBN\tI-VP\tO' +p10198 +aS'her\ther\tPRP$\tB-NP\tO' +p10199 +aS'Lovenox\tLovenox\tNN\tI-NP\tO' +p10200 +aS'in\tin\tIN\tB-PP\tO' +p10201 +aS'the\tthe\tDT\tB-NP\tO' +p10202 +aS'past\tpast\tNN\tI-NP\tO' +p10203 +aS',\t,\t,\tO\tO' +p10204 +aS'and\tand\tCC\tO\tO' +p10205 +aS'she\tshe\tPRP\tB-NP\tO' +p10206 +aS'continues\tcontinue\tVBZ\tB-VP\tO' +p10207 +aS'to\tto\tTO\tI-VP\tO' +p10208 +aS'bleed\tbleed\tVB\tI-VP\tO' +p10209 +aS'.\t.\t.\tO\tO' +p10210 +asS'The pain was substernal 07-08 , did not radiate .' +p10211 +(lp10212 +S'The\tThe\tDT\tB-NP\tO' +p10213 +aS'pain\tpain\tNN\tI-NP\tO' +p10214 +aS'was\tbe\tVBD\tB-VP\tO' +p10215 +aS'substernal\tsubsternal\tJJ\tB-ADJP\tO' +p10216 +aS'07-08\t07-08\tCD\tB-NP\tO' +p10217 +aS',\t,\t,\tO\tO' +p10218 +aS'did\tdo\tVBD\tB-VP\tO' +p10219 +aS'not\tnot\tRB\tI-VP\tO' +p10220 +aS'radiate\tradiate\tVB\tI-VP\tO' +p10221 +aS'.\t.\t.\tO\tO' +p10222 +asS'No abnormal movements , tremors .' +p10223 +(lp10224 +S'No\tNo\tDT\tB-NP\tO' +p10225 +aS'abnormal\tabnormal\tJJ\tI-NP\tO' +p10226 +aS'movements\tmovement\tNNS\tI-NP\tO' +p10227 +aS',\t,\t,\tO\tO' +p10228 +aS'tremors\ttremor\tNNS\tB-NP\tO' +p10229 +aS'.\t.\t.\tO\tO' +p10230 +asS'Sodium of 130 , potassium 3.5 , chloride 93 , bicarbonate 28 , BUN 15 , creatinine 1.1, prothrombin time 14.1 , partial thrombin time 29.7 .' +p10231 +(lp10232 +S'Sodium\tSodium\tNN\tB-NP\tO' +p10233 +aS'of\tof\tIN\tB-PP\tO' +p10234 +aS'130\t130\tCD\tB-NP\tO' +p10235 +aS',\t,\t,\tO\tO' +p10236 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p10237 +aS'3.5\t3.5\tCD\tI-NP\tO' +p10238 +aS',\t,\t,\tO\tO' +p10239 +aS'chloride\tchloride\tNN\tB-NP\tO' +p10240 +aS'93\t93\tCD\tI-NP\tO' +p10241 +aS',\t,\t,\tO\tO' +p10242 +aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' +p10243 +aS'28\t28\tCD\tI-NP\tO' +p10244 +aS',\t,\t,\tO\tO' +p10245 +aS'BUN\tBUN\tNNP\tB-NP\tO' +p10246 +aS'15\t15\tCD\tI-NP\tO' +p10247 +aS',\t,\t,\tO\tO' +p10248 +aS'creatinine\tcreatinine\tNN\tB-NP\tB-protein' +p10249 +aS'1.1,\t1.1,\tCD\tI-NP\tI-protein' +p10250 +aS'prothrombin\tprothrombin\tNN\tI-NP\tI-protein' +p10251 +aS'time\ttime\tNN\tI-NP\tI-protein' +p10252 +aS'14.1\t14.1\tCD\tB-NP\tI-protein' +p10253 +aS',\t,\t,\tO\tO' +p10254 +aS'partial\tpartial\tJJ\tB-NP\tO' +p10255 +aS'thrombin\tthrombin\tNN\tI-NP\tB-protein' +p10256 +aS'time\ttime\tNN\tI-NP\tO' +p10257 +aS'29.7\t29.7\tCD\tB-NP\tO' +p10258 +aS'.\t.\t.\tO\tO' +p10259 +asS'For the past several years , the patient has continued to have significant exercise intolerance which has limited his ability to work .' +p10260 +(lp10261 +S'For\tFor\tIN\tB-PP\tO' +p10262 +aS'the\tthe\tDT\tB-NP\tO' +p10263 +aS'past\tpast\tJJ\tI-NP\tO' +p10264 +aS'several\tseveral\tJJ\tI-NP\tO' +p10265 +aS'years\tyear\tNNS\tI-NP\tO' +p10266 +aS',\t,\t,\tO\tO' +p10267 +aS'the\tthe\tDT\tB-NP\tO' +p10268 +aS'patient\tpatient\tNN\tI-NP\tO' +p10269 +aS'has\thave\tVBZ\tB-VP\tO' +p10270 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p10271 +aS'to\tto\tTO\tI-VP\tO' +p10272 +aS'have\thave\tVB\tI-VP\tO' +p10273 +aS'significant\tsignificant\tJJ\tB-NP\tO' +p10274 +aS'exercise\texercise\tNN\tI-NP\tO' +p10275 +aS'intolerance\tintolerance\tNN\tI-NP\tO' +p10276 +aS'which\twhich\tWDT\tB-NP\tO' +p10277 +aS'has\thave\tVBZ\tB-VP\tO' +p10278 +aS'limited\tlimit\tVBN\tI-VP\tO' +p10279 +aS'his\this\tPRP$\tB-NP\tO' +p10280 +aS'ability\tability\tNN\tI-NP\tO' +p10281 +aS'to\tto\tTO\tB-VP\tO' +p10282 +aS'work\twork\tVB\tI-VP\tO' +p10283 +aS'.\t.\t.\tO\tO' +p10284 +asS'He was in moderate respiratory distress .' +p10285 +(lp10286 +S'He\tHe\tPRP\tB-NP\tO' +p10287 +aS'was\tbe\tVBD\tB-VP\tO' +p10288 +aS'in\tin\tIN\tB-PP\tO' +p10289 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p10290 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p10291 +aS'distress\tdistress\tNN\tI-NP\tO' +p10292 +aS'.\t.\t.\tO\tO' +p10293 +asS'Humulin 70 units bid .' +p10294 +(lp10295 +S'Humulin\tHumulin\tNN\tB-NP\tO' +p10296 +aS'70\t70\tCD\tI-NP\tO' +p10297 +aS'units\tunit\tNNS\tI-NP\tO' +p10298 +aS'bid\tbid\tNN\tI-NP\tO' +p10299 +aS'.\t.\t.\tO\tO' +p10300 +asS'CBC and blood culture were obtained on admission .' +p10301 +(lp10302 +S'CBC\tCBC\tNN\tB-NP\tB-protein' +p10303 +aS'and\tand\tCC\tI-NP\tO' +p10304 +aS'blood\tblood\tNN\tI-NP\tO' +p10305 +aS'culture\tculture\tNN\tI-NP\tO' +p10306 +aS'were\tbe\tVBD\tB-VP\tO' +p10307 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p10308 +aS'on\ton\tIN\tB-PP\tO' +p10309 +aS'admission\tadmission\tNN\tB-NP\tO' +p10310 +aS'.\t.\t.\tO\tO' +p10311 +asS'3. Colistin 30 mg nebulizer twice a day , give 30 minutes post albuterol and Atrovent .' +p10312 +(lp10313 +S'3.\t3.\tLS\tB-LST\tO' +p10314 +aS'Colistin\tColistin\tNN\tB-NP\tO' +p10315 +aS'30\t30\tCD\tI-NP\tO' +p10316 +aS'mg\tmg\tNN\tI-NP\tO' +p10317 +aS'nebulizer\tnebulizer\tNN\tI-NP\tO' +p10318 +aS'twice\ttwice\tRB\tB-NP\tO' +p10319 +aS'a\ta\tDT\tI-NP\tO' +p10320 +aS'day\tday\tNN\tI-NP\tO' +p10321 +aS',\t,\t,\tO\tO' +p10322 +aS'give\tgive\tVB\tB-VP\tO' +p10323 +aS'30\t30\tCD\tB-NP\tO' +p10324 +aS'minutes\tminute\tNNS\tI-NP\tO' +p10325 +aS'post\tpost\tIN\tB-PP\tO' +p10326 +aS'albuterol\talbuterol\tNN\tB-NP\tO' +p10327 +aS'and\tand\tCC\tI-NP\tO' +p10328 +aS'Atrovent\tAtrovent\tNN\tI-NP\tO' +p10329 +aS'.\t.\t.\tO\tO' +p10330 +asS'She will be monitored with a King of Hearts monitor .' +p10331 +(lp10332 +S'She\tShe\tPRP\tB-NP\tO' +p10333 +aS'will\twill\tMD\tB-VP\tO' +p10334 +aS'be\tbe\tVB\tI-VP\tO' +p10335 +aS'monitored\tmonitor\tVBN\tI-VP\tO' +p10336 +aS'with\twith\tIN\tB-PP\tO' +p10337 +aS'a\ta\tDT\tB-NP\tO' +p10338 +aS'King\tKing\tNNP\tI-NP\tO' +p10339 +aS'of\tof\tIN\tB-PP\tO' +p10340 +aS'Hearts\tHearts\tNNP\tB-NP\tO' +p10341 +aS'monitor\tmonitor\tNN\tI-NP\tO' +p10342 +aS'.\t.\t.\tO\tO' +p10343 +asS'Head CT demonstrated no evidence of intracranial bleeding .' +p10344 +(lp10345 +S'Head\tHead\tNN\tB-NP\tO' +p10346 +aS'CT\tCT\tNN\tI-NP\tO' +p10347 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p10348 +aS'no\tno\tDT\tB-NP\tO' +p10349 +aS'evidence\tevidence\tNN\tI-NP\tO' +p10350 +aS'of\tof\tIN\tB-PP\tO' +p10351 +aS'intracranial\tintracranial\tJJ\tB-NP\tO' +p10352 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p10353 +aS'.\t.\t.\tO\tO' +p10354 +asS'She has had subsequent CEA's and scans which were negative .' +p10355 +(lp10356 +S'She\tShe\tPRP\tB-NP\tO' +p10357 +aS'has\thave\tVBZ\tB-VP\tO' +p10358 +aS'had\thave\tVBN\tI-VP\tO' +p10359 +aS'subsequent\tsubsequent\tJJ\tB-NP\tO' +p10360 +aS'CEA's\tCEA'\tNNS\tI-NP\tO' +p10361 +aS'and\tand\tCC\tI-NP\tO' +p10362 +aS'scans\tscan\tNNS\tI-NP\tO' +p10363 +aS'which\twhich\tWDT\tB-NP\tO' +p10364 +aS'were\tbe\tVBD\tB-VP\tO' +p10365 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p10366 +aS'.\t.\t.\tO\tO' +p10367 +asS'He was continued on Physical Therapy and with his mother present , he began to follow commands much more appropriately and was able to be rehabilitated .' +p10368 +(lp10369 +S'He\tHe\tPRP\tB-NP\tO' +p10370 +aS'was\tbe\tVBD\tB-VP\tO' +p10371 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p10372 +aS'on\ton\tIN\tB-PP\tO' +p10373 +aS'Physical\tPhysical\tJJ\tB-NP\tO' +p10374 +aS'Therapy\tTherapy\tNN\tI-NP\tO' +p10375 +aS'and\tand\tCC\tB-PP\tO' +p10376 +aS'with\twith\tIN\tB-PP\tO' +p10377 +aS'his\this\tPRP$\tB-NP\tO' +p10378 +aS'mother\tmother\tNN\tI-NP\tO' +p10379 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p10380 +aS',\t,\t,\tO\tO' +p10381 +aS'he\the\tPRP\tB-NP\tO' +p10382 +aS'began\tbegin\tVBD\tB-VP\tO' +p10383 +aS'to\tto\tTO\tI-VP\tO' +p10384 +aS'follow\tfollow\tVB\tI-VP\tO' +p10385 +aS'commands\tcommand\tNNS\tB-NP\tO' +p10386 +aS'much\tmuch\tRB\tB-ADVP\tO' +p10387 +aS'more\tmore\tRBR\tI-ADVP\tO' +p10388 +aS'appropriately\tappropriately\tRB\tI-ADVP\tO' +p10389 +aS'and\tand\tCC\tO\tO' +p10390 +aS'was\tbe\tVBD\tB-VP\tO' +p10391 +aS'able\table\tJJ\tB-ADJP\tO' +p10392 +aS'to\tto\tTO\tB-VP\tO' +p10393 +aS'be\tbe\tVB\tI-VP\tO' +p10394 +aS'rehabilitated\trehabilitate\tVBN\tI-VP\tO' +p10395 +aS'.\t.\t.\tO\tO' +p10396 +asS'PAST SURGICAL HISTORY included appendectomy and bunionectomy .' +p10397 +(lp10398 +S'PAST\tPAST\tNN\tB-NP\tO' +p10399 +aS'SURGICAL\tSURGICAL\tNN\tI-NP\tO' +p10400 +aS'HISTORY\tHISTORY\tNN\tI-NP\tO' +p10401 +aS'included\tinclude\tVBD\tB-VP\tO' +p10402 +aS'appendectomy\tappendectomy\tNN\tB-NP\tO' +p10403 +aS'and\tand\tCC\tI-NP\tO' +p10404 +aS'bunionectomy\tbunionectomy\tNN\tI-NP\tO' +p10405 +aS'.\t.\t.\tO\tO' +p10406 +asS'Also the adenexal mass may represent a second primary maligancy .' +p10407 +(lp10408 +S'Also\tAlso\tRB\tB-ADVP\tO' +p10409 +aS'the\tthe\tDT\tB-NP\tO' +p10410 +aS'adenexal\tadenexal\tJJ\tI-NP\tO' +p10411 +aS'mass\tmass\tNN\tI-NP\tO' +p10412 +aS'may\tmay\tMD\tB-VP\tO' +p10413 +aS'represent\trepresent\tVB\tI-VP\tO' +p10414 +aS'a\ta\tDT\tB-NP\tO' +p10415 +aS'second\tsecond\tJJ\tI-NP\tO' +p10416 +aS'primary\tprimary\tJJ\tI-NP\tO' +p10417 +aS'maligancy\tmaligancy\tNN\tI-NP\tO' +p10418 +aS'.\t.\t.\tO\tO' +p10419 +asS'Responsible After Study for Causing Admission ) s / p total thyoidectomy' +p10420 +(lp10421 +S'Responsible\tResponsible\tJJ\tB-ADJP\tO' +p10422 +aS'After\tAfter\tIN\tB-PP\tO' +p10423 +aS'Study\tStudy\tNN\tB-NP\tO' +p10424 +aS'for\tfor\tIN\tB-PP\tO' +p10425 +aS'Causing\tCause\tVBG\tB-NP\tO' +p10426 +aS'Admission\tAdmission\tNN\tI-NP\tO' +p10427 +aS')\t)\t)\tI-NP\tO' +p10428 +aS's\ts\tNN\tI-NP\tO' +p10429 +aS'/\t/\tSYM\tB-NP\tO' +p10430 +aS'p\tp\tNN\tI-NP\tO' +p10431 +aS'total\ttotal\tJJ\tI-NP\tO' +p10432 +aS'thyoidectomy\tthyoidectomy\tNN\tI-NP\tO' +p10433 +asS'She denies EtOH , tobacco , and drugs .' +p10434 +(lp10435 +S'She\tShe\tPRP\tB-NP\tO' +p10436 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p10437 +aS'EtOH\tEtOH\tNN\tB-NP\tB-protein' +p10438 +aS',\t,\t,\tO\tO' +p10439 +aS'tobacco\ttobacco\tNN\tB-NP\tO' +p10440 +aS',\t,\t,\tO\tO' +p10441 +aS'and\tand\tCC\tO\tO' +p10442 +aS'drugs\tdrug\tNNS\tB-NP\tO' +p10443 +aS'.\t.\t.\tO\tO' +p10444 +asS'The patient was discharged in stable condition .' +p10445 +(lp10446 +S'The\tThe\tDT\tB-NP\tO' +p10447 +aS'patient\tpatient\tNN\tI-NP\tO' +p10448 +aS'was\tbe\tVBD\tB-VP\tO' +p10449 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p10450 +aS'in\tin\tIN\tB-PP\tO' +p10451 +aS'stable\tstable\tJJ\tB-NP\tO' +p10452 +aS'condition\tcondition\tNN\tI-NP\tO' +p10453 +aS'.\t.\t.\tO\tO' +p10454 +asS'Renal ultrasound was negative for abscess orhydronephrosis .' +p10455 +(lp10456 +S'Renal\tRenal\tJJ\tB-NP\tO' +p10457 +aS'ultrasound\tultrasound\tNN\tI-NP\tO' +p10458 +aS'was\tbe\tVBD\tB-VP\tO' +p10459 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p10460 +aS'for\tfor\tIN\tB-PP\tO' +p10461 +aS'abscess\tabscess\tNN\tB-NP\tO' +p10462 +aS'orhydronephrosis\torhydronephrosis\tNN\tI-NP\tO' +p10463 +aS'.\t.\t.\tO\tO' +p10464 +asS'It was unchanged in comparison to 2017-08-14 with similar ventricular function and inferior and inferolateral hypokinesis .' +p10465 +(lp10466 +S'It\tIt\tPRP\tB-NP\tO' +p10467 +aS'was\tbe\tVBD\tB-VP\tO' +p10468 +aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' +p10469 +aS'in\tin\tIN\tB-PP\tO' +p10470 +aS'comparison\tcomparison\tNN\tB-NP\tO' +p10471 +aS'to\tto\tTO\tB-PP\tO' +p10472 +aS'2017-08-14\t2017-08-14\tCD\tB-NP\tO' +p10473 +aS'with\twith\tIN\tB-PP\tO' +p10474 +aS'similar\tsimilar\tJJ\tB-NP\tO' +p10475 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p10476 +aS'function\tfunction\tNN\tI-NP\tO' +p10477 +aS'and\tand\tCC\tO\tO' +p10478 +aS'inferior\tinferior\tJJ\tB-NP\tO' +p10479 +aS'and\tand\tCC\tI-NP\tO' +p10480 +aS'inferolateral\tinferolateral\tJJ\tI-NP\tO' +p10481 +aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' +p10482 +aS'.\t.\t.\tO\tO' +p10483 +asS'01-01 , 01-02 X 3 , 01-03 , 01-04 , 11/27X 2 NGTD .' +p10484 +(lp10485 +S'01-01\t01-01\tCD\tB-NP\tO' +p10486 +aS',\t,\t,\tI-NP\tO' +p10487 +aS'01-02\t01-02\tCD\tI-NP\tO' +p10488 +aS'X\tX\tSYM\tI-NP\tO' +p10489 +aS'3\t3\tCD\tI-NP\tO' +p10490 +aS',\t,\t,\tI-NP\tO' +p10491 +aS'01-03\t01-03\tCD\tI-NP\tO' +p10492 +aS',\t,\t,\tI-NP\tO' +p10493 +aS'01-04\t01-04\tCD\tI-NP\tO' +p10494 +aS',\t,\t,\tO\tO' +p10495 +aS'11/27X\t11/27X\tNN\tB-NP\tO' +p10496 +aS'2\t2\tCD\tI-NP\tO' +p10497 +aS'NGTD\tNGTD\tNN\tI-NP\tO' +p10498 +aS'.\t.\t.\tO\tO' +p10499 +asS'3. Anzemet 100 mg p.o. once daily p.r.n. nausea .' +p10500 +(lp10501 +S'3.\t3.\tLS\tB-NP\tO' +p10502 +aS'Anzemet\tAnzemet\tNNP\tI-NP\tO' +p10503 +aS'100\t100\tCD\tI-NP\tO' +p10504 +aS'mg\tmg\tNN\tI-NP\tO' +p10505 +aS'p.o.\tp.o.\tRB\tB-NP\tO' +p10506 +aS'once\tonce\tRB\tI-NP\tO' +p10507 +aS'daily\tdaily\tJJ\tI-NP\tO' +p10508 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p10509 +aS'nausea\tnausea\tNN\tI-NP\tO' +p10510 +aS'.\t.\t.\tO\tO' +p10511 +asS'+ non-bloody diarrhea x 1 on DOA .' +p10512 +(lp10513 +S'+\t+\tSYM\tO\tO' +p10514 +aS'non-bloody\tnon-bloody\tJJ\tB-NP\tO' +p10515 +aS'diarrhea\tdiarrhea\tNN\tI-NP\tO' +p10516 +aS'x\tx\tSYM\tB-NP\tO' +p10517 +aS'1\t1\tCD\tI-NP\tO' +p10518 +aS'on\ton\tIN\tB-PP\tO' +p10519 +aS'DOA\tDOA\tNN\tB-NP\tB-protein' +p10520 +aS'.\t.\t.\tO\tO' +p10521 +asS'Electrocardiogram showed normal sinus rhythm at 73 beats per minute .' +p10522 +(lp10523 +S'Electrocardiogram\tElectrocardiogram\tNN\tB-NP\tO' +p10524 +aS'showed\tshow\tVBD\tB-VP\tO' +p10525 +aS'normal\tnormal\tJJ\tB-NP\tO' +p10526 +aS'sinus\tsinus\tNN\tI-NP\tO' +p10527 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p10528 +aS'at\tat\tIN\tB-PP\tO' +p10529 +aS'73\t73\tCD\tB-NP\tO' +p10530 +aS'beats\tbeat\tNNS\tI-NP\tO' +p10531 +aS'per\tper\tIN\tB-PP\tO' +p10532 +aS'minute\tminute\tNN\tB-NP\tO' +p10533 +aS'.\t.\t.\tO\tO' +p10534 +asS'FHTs 140s w/ reactivity .' +p10535 +(lp10536 +S'FHTs\tFHT\tNNS\tB-NP\tO' +p10537 +aS'140s\t140\tNNS\tI-NP\tO' +p10538 +aS'w/\tw/\tNN\tI-NP\tO' +p10539 +aS'reactivity\treactivity\tNN\tI-NP\tO' +p10540 +aS'.\t.\t.\tO\tO' +p10541 +asS'h / o GERD- nexium .' +p10542 +(lp10543 +S'h\th\tNN\tB-NP\tO' +p10544 +aS'/\t/\tSYM\tI-NP\tO' +p10545 +aS'o\to\tNN\tI-NP\tO' +p10546 +aS'GERD-\tGERD-\tNN\tI-NP\tO' +p10547 +aS'nexium\tnexium\tNN\tI-NP\tO' +p10548 +aS'.\t.\t.\tO\tO' +p10549 +asS'Multivitamin Capsule Sig : One ( 1 ) Cap PO DAILY ( Daily ) .' +p10550 +(lp10551 +S'Multivitamin\tMultivitamin\tNNP\tB-NP\tO' +p10552 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p10553 +aS'Sig\tSig\tNNP\tI-NP\tO' +p10554 +aS':\t:\t:\tO\tO' +p10555 +aS'One\tOne\tCD\tB-NP\tO' +p10556 +aS'(\t(\t(\tO\tO' +p10557 +aS'1\t1\tCD\tB-NP\tO' +p10558 +aS')\t)\t)\tO\tO' +p10559 +aS'Cap\tCap\tNN\tB-NP\tO' +p10560 +aS'PO\tPO\tNN\tI-NP\tO' +p10561 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p10562 +aS'(\t(\t(\tO\tO' +p10563 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p10564 +aS')\t)\t)\tO\tO' +p10565 +aS'.\t.\t.\tO\tO' +p10566 +asS'DEEP VENOUS THROMBOSIS OF RIGHT LOWER EXTREMITY .' +p10567 +(lp10568 +S'DEEP\tDEEP\tNN\tB-NP\tO' +p10569 +aS'VENOUS\tVENOUS\tVBZ\tB-VP\tO' +p10570 +aS'THROMBOSIS\tTHROMBOSIS\tNN\tB-NP\tB-protein' +p10571 +aS'OF\tOF\tIN\tB-PP\tI-protein' +p10572 +aS'RIGHT\tRIGHT\tNN\tB-NP\tO' +p10573 +aS'LOWER\tLOWER\tNN\tI-NP\tO' +p10574 +aS'EXTREMITY\tEXTREMITY\tNN\tI-NP\tO' +p10575 +aS'.\t.\t.\tO\tO' +p10576 +asS'32 and 4/7 weeks , now day of life six , stable in room air .' +p10577 +(lp10578 +S'32\t32\tCD\tB-NP\tO' +p10579 +aS'and\tand\tCC\tI-NP\tO' +p10580 +aS'4/7\t4/7\tCD\tI-NP\tO' +p10581 +aS'weeks\tweek\tNNS\tI-NP\tO' +p10582 +aS',\t,\t,\tO\tO' +p10583 +aS'now\tnow\tRB\tB-NP\tO' +p10584 +aS'day\tday\tNN\tI-NP\tO' +p10585 +aS'of\tof\tIN\tB-PP\tO' +p10586 +aS'life\tlife\tNN\tB-NP\tO' +p10587 +aS'six\tsix\tCD\tI-NP\tO' +p10588 +aS',\t,\t,\tI-NP\tO' +p10589 +aS'stable\tstable\tJJ\tI-NP\tO' +p10590 +aS'in\tin\tIN\tB-PP\tO' +p10591 +aS'room\troom\tNN\tB-NP\tO' +p10592 +aS'air\tair\tNN\tI-NP\tO' +p10593 +aS'.\t.\t.\tO\tO' +p10594 +asS"The patient 's metformin was held and she has been maintained on SSI qid while in the CMED ." +p10595 +(lp10596 +S'The\tThe\tDT\tB-NP\tO' +p10597 +aS'patient\tpatient\tNN\tI-NP\tO' +p10598 +aS"'s\t's\tPOS\tB-NP\tO" +p10599 +aS'metformin\tmetformin\tNN\tI-NP\tO' +p10600 +aS'was\tbe\tVBD\tB-VP\tO' +p10601 +aS'held\thold\tVBN\tI-VP\tO' +p10602 +aS'and\tand\tCC\tO\tO' +p10603 +aS'she\tshe\tPRP\tB-NP\tO' +p10604 +aS'has\thave\tVBZ\tB-VP\tO' +p10605 +aS'been\tbe\tVBN\tI-VP\tO' +p10606 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p10607 +aS'on\ton\tIN\tB-PP\tO' +p10608 +aS'SSI\tSSI\tNN\tB-NP\tO' +p10609 +aS'qid\tqid\tNN\tI-NP\tO' +p10610 +aS'while\twhile\tIN\tB-SBAR\tO' +p10611 +aS'in\tin\tIN\tB-PP\tO' +p10612 +aS'the\tthe\tDT\tB-NP\tO' +p10613 +aS'CMED\tCMED\tNN\tI-NP\tO' +p10614 +aS'.\t.\t.\tO\tO' +p10615 +asS'The mid-distal LAD was underfilled initially but was without obstructive disease .' +p10616 +(lp10617 +S'The\tThe\tDT\tB-NP\tO' +p10618 +aS'mid-distal\tmid-distal\tJJ\tI-NP\tO' +p10619 +aS'LAD\tLAD\tNN\tI-NP\tO' +p10620 +aS'was\tbe\tVBD\tB-VP\tO' +p10621 +aS'underfilled\tunderfille\tVBN\tI-VP\tO' +p10622 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p10623 +aS'but\tbut\tCC\tO\tO' +p10624 +aS'was\tbe\tVBD\tB-VP\tO' +p10625 +aS'without\twithout\tIN\tB-PP\tO' +p10626 +aS'obstructive\tobstructive\tJJ\tB-NP\tO' +p10627 +aS'disease\tdisease\tNN\tI-NP\tO' +p10628 +aS'.\t.\t.\tO\tO' +p10629 +asS'No costovertebral angle tenderness bilaterally .' +p10630 +(lp10631 +S'No\tNo\tDT\tB-NP\tO' +p10632 +aS'costovertebral\tcostovertebral\tJJ\tI-NP\tO' +p10633 +aS'angle\tangle\tNN\tI-NP\tO' +p10634 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p10635 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p10636 +aS'.\t.\t.\tO\tO' +p10637 +asS'The patient has no cyanosis , clubbing or edema in extremities .' +p10638 +(lp10639 +S'The\tThe\tDT\tB-NP\tO' +p10640 +aS'patient\tpatient\tNN\tI-NP\tO' +p10641 +aS'has\thave\tVBZ\tB-VP\tO' +p10642 +aS'no\tno\tDT\tB-NP\tO' +p10643 +aS'cyanosis\tcyanosis\tNN\tI-NP\tO' +p10644 +aS',\t,\t,\tI-NP\tO' +p10645 +aS'clubbing\tclubbing\tNN\tI-NP\tO' +p10646 +aS'or\tor\tCC\tI-NP\tO' +p10647 +aS'edema\tedema\tNN\tI-NP\tO' +p10648 +aS'in\tin\tIN\tB-PP\tO' +p10649 +aS'extremities\textremity\tNNS\tB-NP\tO' +p10650 +aS'.\t.\t.\tO\tO' +p10651 +asS'3. Status post tubal ligation .' +p10652 +(lp10653 +S'3.\t3.\tLS\tB-LST\tO' +p10654 +aS'Status\tStatus\tNNP\tB-NP\tO' +p10655 +aS'post\tpost\tIN\tB-PP\tO' +p10656 +aS'tubal\ttubal\tJJ\tB-NP\tO' +p10657 +aS'ligation\tligation\tNN\tI-NP\tO' +p10658 +aS'.\t.\t.\tO\tO' +p10659 +asS'Extraocular movements - conjugated eye movement intact .' +p10660 +(lp10661 +S'Extraocular\tExtraocular\tJJ\tB-NP\tO' +p10662 +aS'movements\tmovement\tNNS\tI-NP\tO' +p10663 +aS'-\t-\tHYPH\tO\tO' +p10664 +aS'conjugated\tconjugate\tVBN\tB-NP\tO' +p10665 +aS'eye\teye\tNN\tI-NP\tO' +p10666 +aS'movement\tmovement\tNN\tI-NP\tO' +p10667 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p10668 +aS'.\t.\t.\tO\tO' +p10669 +asS'4. Resection of floor of mouth tumor .' +p10670 +(lp10671 +S'4.\t4.\tLS\tB-NP\tO' +p10672 +aS'Resection\tResection\tNN\tI-NP\tO' +p10673 +aS'of\tof\tIN\tB-PP\tO' +p10674 +aS'floor\tfloor\tNN\tB-NP\tO' +p10675 +aS'of\tof\tIN\tB-PP\tO' +p10676 +aS'mouth\tmouth\tJJ\tB-NP\tO' +p10677 +aS'tumor\ttumor\tNN\tI-NP\tO' +p10678 +aS'.\t.\t.\tO\tO' +p10679 +asS'His head ultrasound on 05-14 reveals no interventricular hemorrhage .' +p10680 +(lp10681 +S'His\tHis\tPRP$\tB-NP\tO' +p10682 +aS'head\thead\tNN\tI-NP\tO' +p10683 +aS'ultrasound\tultrasound\tNN\tI-NP\tO' +p10684 +aS'on\ton\tIN\tB-PP\tO' +p10685 +aS'05-14\t05-14\tNN\tB-NP\tO' +p10686 +aS'reveals\treveal\tVBZ\tB-VP\tO' +p10687 +aS'no\tno\tDT\tB-NP\tO' +p10688 +aS'interventricular\tinterventricular\tJJ\tI-NP\tO' +p10689 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p10690 +aS'.\t.\t.\tO\tO' +p10691 +asS'4. Niferex 150 mg p.o. q. day times one month .' +p10692 +(lp10693 +S'4.\t4.\tLS\tB-LST\tO' +p10694 +aS'Niferex\tNiferex\tNNP\tB-NP\tO' +p10695 +aS'150\t150\tCD\tI-NP\tO' +p10696 +aS'mg\tmg\tNN\tI-NP\tO' +p10697 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p10698 +aS'q.\tq.\tNN\tI-NP\tO' +p10699 +aS'day\tday\tNN\tI-NP\tO' +p10700 +aS'times\ttime\tVBZ\tB-VP\tO' +p10701 +aS'one\tone\tCD\tB-NP\tO' +p10702 +aS'month\tmonth\tNN\tI-NP\tO' +p10703 +aS'.\t.\t.\tO\tO' +p10704 +asS'Cscope unable to complete due to blood but tics seen .' +p10705 +(lp10706 +S'Cscope\tCscope\tNN\tB-NP\tO' +p10707 +aS'unable\tunable\tJJ\tB-ADJP\tO' +p10708 +aS'to\tto\tTO\tB-VP\tO' +p10709 +aS'complete\tcomplete\tVB\tI-VP\tO' +p10710 +aS'due\tdue\tIN\tB-PP\tO' +p10711 +aS'to\tto\tTO\tB-PP\tO' +p10712 +aS'blood\tblood\tNN\tB-NP\tO' +p10713 +aS'but\tbut\tCC\tI-NP\tO' +p10714 +aS'tics\ttic\tNNS\tI-NP\tO' +p10715 +aS'seen\tsee\tVBN\tB-VP\tO' +p10716 +aS'.\t.\t.\tO\tO' +p10717 +asS'Surgery was consulted for concern of cholangitis with probable sepsis .' +p10718 +(lp10719 +S'Surgery\tSurgery\tNN\tB-NP\tO' +p10720 +aS'was\tbe\tVBD\tB-VP\tO' +p10721 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p10722 +aS'for\tfor\tIN\tB-PP\tO' +p10723 +aS'concern\tconcern\tNN\tB-NP\tO' +p10724 +aS'of\tof\tIN\tB-PP\tO' +p10725 +aS'cholangitis\tcholangitis\tNN\tB-NP\tO' +p10726 +aS'with\twith\tIN\tB-PP\tO' +p10727 +aS'probable\tprobable\tJJ\tB-NP\tO' +p10728 +aS'sepsis\tsepsis\tNN\tI-NP\tO' +p10729 +aS'.\t.\t.\tO\tO' +p10730 +asS'Tylenol # 3 , Xanax , Ciprofloxacin , Flagyl .' +p10731 +(lp10732 +S'Tylenol\tTylenol\tNN\tB-NP\tB-protein' +p10733 +aS'#\t#\t#\tI-NP\tI-protein' +p10734 +aS'3\t3\tCD\tI-NP\tI-protein' +p10735 +aS',\t,\t,\tO\tO' +p10736 +aS'Xanax\tXanax\tNN\tB-NP\tO' +p10737 +aS',\t,\t,\tO\tO' +p10738 +aS'Ciprofloxacin\tCiprofloxacin\tNN\tB-NP\tO' +p10739 +aS',\t,\t,\tO\tO' +p10740 +aS'Flagyl\tFlagyl\tNN\tB-NP\tO' +p10741 +aS'.\t.\t.\tO\tO' +p10742 +asS'After his initial intubation he remained quite stable .' +p10743 +(lp10744 +S'After\tAfter\tIN\tB-PP\tO' +p10745 +aS'his\this\tPRP$\tB-NP\tO' +p10746 +aS'initial\tinitial\tJJ\tI-NP\tO' +p10747 +aS'intubation\tintubation\tNN\tI-NP\tO' +p10748 +aS'he\the\tPRP\tB-NP\tO' +p10749 +aS'remained\tremain\tVBD\tB-VP\tO' +p10750 +aS'quite\tquite\tRB\tB-ADJP\tO' +p10751 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p10752 +aS'.\t.\t.\tO\tO' +p10753 +asS'Cerebrovascular accident .' +p10754 +(lp10755 +S'Cerebrovascular\tCerebrovascular\tJJ\tB-NP\tO' +p10756 +aS'accident\taccident\tNN\tI-NP\tO' +p10757 +aS'.\t.\t.\tO\tO' +p10758 +asS'He was discharged home in stable conditions .' +p10759 +(lp10760 +S'He\tHe\tPRP\tB-NP\tO' +p10761 +aS'was\tbe\tVBD\tB-VP\tO' +p10762 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p10763 +aS'home\thome\tNN\tB-ADVP\tO' +p10764 +aS'in\tin\tIN\tB-PP\tO' +p10765 +aS'stable\tstable\tJJ\tB-NP\tO' +p10766 +aS'conditions\tcondition\tNNS\tI-NP\tO' +p10767 +aS'.\t.\t.\tO\tO' +p10768 +asS'There was also moderate to severe focal stenosis of the left renal artery approximately 1.3 cm from its origin .' +p10769 +(lp10770 +S'There\tThere\tEX\tB-NP\tO' +p10771 +aS'was\tbe\tVBD\tB-VP\tO' +p10772 +aS'also\talso\tRB\tB-ADVP\tO' +p10773 +aS'moderate\tmoderate\tJJ\tB-ADJP\tO' +p10774 +aS'to\tto\tTO\tB-PP\tO' +p10775 +aS'severe\tsevere\tJJ\tB-NP\tO' +p10776 +aS'focal\tfocal\tJJ\tI-NP\tO' +p10777 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p10778 +aS'of\tof\tIN\tB-PP\tO' +p10779 +aS'the\tthe\tDT\tB-NP\tO' +p10780 +aS'left\tleft\tJJ\tI-NP\tO' +p10781 +aS'renal\trenal\tJJ\tI-NP\tO' +p10782 +aS'artery\tartery\tNN\tI-NP\tO' +p10783 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p10784 +aS'1.3\t1.3\tCD\tI-NP\tO' +p10785 +aS'cm\tcm\tNN\tI-NP\tO' +p10786 +aS'from\tfrom\tIN\tB-PP\tO' +p10787 +aS'its\tits\tPRP$\tB-NP\tO' +p10788 +aS'origin\torigin\tNN\tI-NP\tO' +p10789 +aS'.\t.\t.\tO\tO' +p10790 +asS'Gastroc. 3 on the left and 4+ on the right .' +p10791 +(lp10792 +S'Gastroc.\tGastroc.\tNNP\tB-NP\tB-protein' +p10793 +aS'3\t3\tCD\tI-NP\tI-protein' +p10794 +aS'on\ton\tIN\tB-PP\tO' +p10795 +aS'the\tthe\tDT\tB-NP\tO' +p10796 +aS'left\tleft\tJJ\tI-NP\tO' +p10797 +aS'and\tand\tCC\tI-NP\tO' +p10798 +aS'4+\t4+\tJJ\tI-NP\tO' +p10799 +aS'on\ton\tIN\tB-PP\tO' +p10800 +aS'the\tthe\tDT\tB-NP\tO' +p10801 +aS'right\tright\tNN\tI-NP\tO' +p10802 +aS'.\t.\t.\tO\tO' +p10803 +asS'The blood pressure is 120/82 , heart rate 88 , weight 125 pounds .' +p10804 +(lp10805 +S'The\tThe\tDT\tB-NP\tO' +p10806 +aS'blood\tblood\tNN\tI-NP\tO' +p10807 +aS'pressure\tpressure\tNN\tI-NP\tO' +p10808 +aS'is\tbe\tVBZ\tB-VP\tO' +p10809 +aS'120/82\t120/82\tCD\tB-NP\tO' +p10810 +aS',\t,\t,\tO\tO' +p10811 +aS'heart\theart\tNN\tB-NP\tO' +p10812 +aS'rate\trate\tNN\tI-NP\tO' +p10813 +aS'88\t88\tCD\tI-NP\tO' +p10814 +aS',\t,\t,\tO\tO' +p10815 +aS'weight\tweight\tNN\tB-NP\tO' +p10816 +aS'125\t125\tCD\tB-NP\tO' +p10817 +aS'pounds\tpound\tNNS\tI-NP\tO' +p10818 +aS'.\t.\t.\tO\tO' +p10819 +asS'Patent nares .' +p10820 +(lp10821 +S'Patent\tPatent\tNN\tB-NP\tO' +p10822 +aS'nares\tnare\tNNS\tI-NP\tO' +p10823 +aS'.\t.\t.\tO\tO' +p10824 +asS'The patient is being maintained on Digoxin for his paroxysmal atrial fibrillation .' +p10825 +(lp10826 +S'The\tThe\tDT\tB-NP\tO' +p10827 +aS'patient\tpatient\tNN\tI-NP\tO' +p10828 +aS'is\tbe\tVBZ\tB-VP\tO' +p10829 +aS'being\tbe\tVBG\tI-VP\tO' +p10830 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p10831 +aS'on\ton\tIN\tB-PP\tO' +p10832 +aS'Digoxin\tDigoxin\tNN\tB-NP\tO' +p10833 +aS'for\tfor\tIN\tB-PP\tO' +p10834 +aS'his\this\tPRP$\tB-NP\tO' +p10835 +aS'paroxysmal\tparoxysmal\tJJ\tI-NP\tO' +p10836 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p10837 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p10838 +aS'.\t.\t.\tO\tO' +p10839 +asS'This morning , 2017-07-12 , Ms. Gallegos King feeling weaker than usual .' +p10840 +(lp10841 +S'This\tThis\tDT\tB-NP\tO' +p10842 +aS'morning\tmorning\tNN\tI-NP\tO' +p10843 +aS',\t,\t,\tO\tO' +p10844 +aS'2017-07-12\t2017-07-12\tCD\tB-NP\tO' +p10845 +aS',\t,\t,\tO\tO' +p10846 +aS'Ms.\tMs.\tNNP\tB-NP\tO' +p10847 +aS'Gallegos\tGallegos\tNNP\tI-NP\tO' +p10848 +aS'King\tKing\tNNP\tI-NP\tO' +p10849 +aS'feeling\tfeel\tVBG\tB-VP\tO' +p10850 +aS'weaker\tweak\tJJR\tB-ADJP\tO' +p10851 +aS'than\tthan\tIN\tB-PP\tO' +p10852 +aS'usual\tusual\tJJ\tB-ADJP\tO' +p10853 +aS'.\t.\t.\tO\tO' +p10854 +asS'4. Acetaminophen 325 mg Tablet Sig : 1-2 Tablets PO Q4-6H ( every 4 to 6 hours ) as needed .' +p10855 +(lp10856 +S'4.\t4.\tLS\tB-NP\tO' +p10857 +aS'Acetaminophen\tAcetaminophen\tNN\tI-NP\tO' +p10858 +aS'325\t325\tCD\tI-NP\tO' +p10859 +aS'mg\tmg\tNN\tI-NP\tO' +p10860 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p10861 +aS'Sig\tSig\tNNP\tI-NP\tO' +p10862 +aS':\t:\t:\tO\tO' +p10863 +aS'1-2\t1-2\tCD\tB-NP\tO' +p10864 +aS'Tablets\tTablet\tNNS\tI-NP\tO' +p10865 +aS'PO\tPO\tNN\tI-NP\tO' +p10866 +aS'Q4-6H\tQ4-6H\tNN\tI-NP\tO' +p10867 +aS'(\t(\t(\tO\tO' +p10868 +aS'every\tevery\tDT\tB-NP\tO' +p10869 +aS'4\t4\tCD\tI-NP\tO' +p10870 +aS'to\tto\tTO\tI-NP\tO' +p10871 +aS'6\t6\tCD\tI-NP\tO' +p10872 +aS'hours\thour\tNNS\tI-NP\tO' +p10873 +aS')\t)\t)\tO\tO' +p10874 +aS'as\tas\tIN\tB-SBAR\tO' +p10875 +aS'needed\tneed\tVBN\tB-VP\tO' +p10876 +aS'.\t.\t.\tO\tO' +p10877 +asS'Anti-coagulation was started with Warfarin 5 mg with a goal of 2-3 and a plan for cardioversion in 6 weeks .' +p10878 +(lp10879 +S'Anti-coagulation\tAnti-coagulation\tNN\tB-NP\tO' +p10880 +aS'was\tbe\tVBD\tB-VP\tO' +p10881 +aS'started\tstart\tVBN\tI-VP\tO' +p10882 +aS'with\twith\tIN\tB-PP\tO' +p10883 +aS'Warfarin\tWarfarin\tNN\tB-NP\tO' +p10884 +aS'5\t5\tCD\tI-NP\tO' +p10885 +aS'mg\tmg\tNN\tI-NP\tO' +p10886 +aS'with\twith\tIN\tB-PP\tO' +p10887 +aS'a\ta\tDT\tB-NP\tO' +p10888 +aS'goal\tgoal\tNN\tI-NP\tO' +p10889 +aS'of\tof\tIN\tB-PP\tO' +p10890 +aS'2-3\t2-3\tNN\tB-NP\tO' +p10891 +aS'and\tand\tCC\tO\tO' +p10892 +aS'a\ta\tDT\tB-NP\tO' +p10893 +aS'plan\tplan\tNN\tI-NP\tO' +p10894 +aS'for\tfor\tIN\tB-PP\tO' +p10895 +aS'cardioversion\tcardioversion\tNN\tB-NP\tO' +p10896 +aS'in\tin\tIN\tB-PP\tO' +p10897 +aS'6\t6\tCD\tB-NP\tO' +p10898 +aS'weeks\tweek\tNNS\tI-NP\tO' +p10899 +aS'.\t.\t.\tO\tO' +p10900 +asS'No tobacco .' +p10901 +(lp10902 +S'No\tNo\tDT\tB-NP\tO' +p10903 +aS'tobacco\ttobacco\tNN\tI-NP\tO' +p10904 +aS'.\t.\t.\tO\tO' +p10905 +asS'Again seen are subtle hypodensities within the periventricular white matter which is an indication of chronic microvascular ischemic changes , stable .' +p10906 +(lp10907 +S'Again\tAgain\tRB\tB-VP\tO' +p10908 +aS'seen\tsee\tVBN\tI-VP\tO' +p10909 +aS'are\tbe\tVBP\tB-VP\tO' +p10910 +aS'subtle\tsubtle\tJJ\tB-NP\tO' +p10911 +aS'hypodensities\thypodensity\tNNS\tI-NP\tO' +p10912 +aS'within\twithin\tIN\tB-PP\tO' +p10913 +aS'the\tthe\tDT\tB-NP\tO' +p10914 +aS'periventricular\tperiventricular\tJJ\tI-NP\tO' +p10915 +aS'white\twhite\tJJ\tI-NP\tO' +p10916 +aS'matter\tmatter\tNN\tI-NP\tO' +p10917 +aS'which\twhich\tWDT\tB-NP\tO' +p10918 +aS'is\tbe\tVBZ\tB-VP\tO' +p10919 +aS'an\tan\tDT\tB-NP\tO' +p10920 +aS'indication\tindication\tNN\tI-NP\tO' +p10921 +aS'of\tof\tIN\tB-PP\tO' +p10922 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p10923 +aS'microvascular\tmicrovascular\tJJ\tI-NP\tO' +p10924 +aS'ischemic\tischemic\tJJ\tI-NP\tO' +p10925 +aS'changes\tchange\tNNS\tI-NP\tO' +p10926 +aS',\t,\t,\tO\tO' +p10927 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p10928 +aS'.\t.\t.\tO\tO' +p10929 +asS'Renal failure .' +p10930 +(lp10931 +S'Renal\tRenal\tJJ\tB-NP\tO' +p10932 +aS'failure\tfailure\tNN\tI-NP\tO' +p10933 +aS'.\t.\t.\tO\tO' +p10934 +asS'The patient is a 52 year old Czech speaking gentleman with a history of severe mitral regurgitation .' +p10935 +(lp10936 +S'The\tThe\tDT\tB-NP\tO' +p10937 +aS'patient\tpatient\tNN\tI-NP\tO' +p10938 +aS'is\tbe\tVBZ\tB-VP\tO' +p10939 +aS'a\ta\tDT\tB-NP\tO' +p10940 +aS'52\t52\tCD\tI-NP\tO' +p10941 +aS'year\tyear\tNN\tI-NP\tO' +p10942 +aS'old\told\tJJ\tI-NP\tO' +p10943 +aS'Czech\tCzech\tNN\tI-NP\tO' +p10944 +aS'speaking\tspeak\tVBG\tB-VP\tO' +p10945 +aS'gentleman\tgentleman\tNN\tB-NP\tO' +p10946 +aS'with\twith\tIN\tB-PP\tO' +p10947 +aS'a\ta\tDT\tB-NP\tO' +p10948 +aS'history\thistory\tNN\tI-NP\tO' +p10949 +aS'of\tof\tIN\tB-PP\tO' +p10950 +aS'severe\tsevere\tJJ\tB-NP\tO' +p10951 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p10952 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p10953 +aS'.\t.\t.\tO\tO' +p10954 +asS'Overnight , fresh frozen plasma was given for goal INR of < 1.4 .' +p10955 +(lp10956 +S'Overnight\tOvernight\tRB\tB-ADVP\tO' +p10957 +aS',\t,\t,\tO\tO' +p10958 +aS'fresh\tfresh\tJJ\tB-NP\tO' +p10959 +aS'frozen\tfreeze\tVBN\tI-NP\tO' +p10960 +aS'plasma\tplasma\tNN\tI-NP\tO' +p10961 +aS'was\tbe\tVBD\tB-VP\tO' +p10962 +aS'given\tgive\tVBN\tI-VP\tO' +p10963 +aS'for\tfor\tIN\tB-PP\tO' +p10964 +aS'goal\tgoal\tNN\tB-NP\tO' +p10965 +aS'INR\tINR\tNN\tI-NP\tO' +p10966 +aS'of\tof\tIN\tB-PP\tO' +p10967 +aS'<\t<\tSYM\tB-NP\tO' +p10968 +aS'1.4\t1.4\tCD\tI-NP\tO' +p10969 +aS'.\t.\t.\tO\tO' +p10970 +asS'There was no evidence of pericardial effusion .' +p10971 +(lp10972 +S'There\tThere\tEX\tB-NP\tO' +p10973 +aS'was\tbe\tVBD\tB-VP\tO' +p10974 +aS'no\tno\tDT\tB-NP\tO' +p10975 +aS'evidence\tevidence\tNN\tI-NP\tO' +p10976 +aS'of\tof\tIN\tB-PP\tO' +p10977 +aS'pericardial\tpericardial\tJJ\tB-NP\tO' +p10978 +aS'effusion\teffusion\tNN\tI-NP\tO' +p10979 +aS'.\t.\t.\tO\tO' +p10980 +asS'Due to family request to move patient to a hospital closer to home , she will remain intubated until transfer , with plan to extubate upon arrival to Women and Infants hospital with initiation of full palliative care and compliance of DNI status .' +p10981 +(lp10982 +S'Due\tDue\tJJ\tB-ADJP\tO' +p10983 +aS'to\tto\tTO\tB-PP\tO' +p10984 +aS'family\tfamily\tNN\tB-NP\tO' +p10985 +aS'request\trequest\tNN\tI-NP\tO' +p10986 +aS'to\tto\tTO\tB-VP\tO' +p10987 +aS'move\tmove\tVB\tI-VP\tO' +p10988 +aS'patient\tpatient\tNN\tB-NP\tO' +p10989 +aS'to\tto\tTO\tB-PP\tO' +p10990 +aS'a\ta\tDT\tB-NP\tO' +p10991 +aS'hospital\thospital\tNN\tI-NP\tO' +p10992 +aS'closer\tcloser\tRBR\tB-ADVP\tO' +p10993 +aS'to\tto\tTO\tB-PP\tO' +p10994 +aS'home\thome\tNN\tB-NP\tO' +p10995 +aS',\t,\t,\tO\tO' +p10996 +aS'she\tshe\tPRP\tB-NP\tO' +p10997 +aS'will\twill\tMD\tB-VP\tO' +p10998 +aS'remain\tremain\tVB\tI-VP\tO' +p10999 +aS'intubated\tintubated\tJJ\tB-ADJP\tO' +p11000 +aS'until\tuntil\tIN\tB-PP\tO' +p11001 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p11002 +aS',\t,\t,\tO\tO' +p11003 +aS'with\twith\tIN\tB-PP\tO' +p11004 +aS'plan\tplan\tNN\tB-NP\tO' +p11005 +aS'to\tto\tTO\tB-VP\tO' +p11006 +aS'extubate\textubate\tVB\tI-VP\tO' +p11007 +aS'upon\tupon\tIN\tB-PP\tO' +p11008 +aS'arrival\tarrival\tNN\tB-NP\tO' +p11009 +aS'to\tto\tTO\tB-PP\tO' +p11010 +aS'Women\tWoman\tNNS\tB-NP\tO' +p11011 +aS'and\tand\tCC\tI-NP\tO' +p11012 +aS'Infants\tInfant\tNNS\tI-NP\tO' +p11013 +aS'hospital\thospital\tNN\tI-NP\tO' +p11014 +aS'with\twith\tIN\tB-PP\tO' +p11015 +aS'initiation\tinitiation\tNN\tB-NP\tO' +p11016 +aS'of\tof\tIN\tB-PP\tO' +p11017 +aS'full\tfull\tJJ\tB-NP\tO' +p11018 +aS'palliative\tpalliative\tJJ\tI-NP\tO' +p11019 +aS'care\tcare\tNN\tI-NP\tO' +p11020 +aS'and\tand\tCC\tI-NP\tO' +p11021 +aS'compliance\tcompliance\tNN\tI-NP\tO' +p11022 +aS'of\tof\tIN\tB-PP\tO' +p11023 +aS'DNI\tDNI\tNN\tB-NP\tO' +p11024 +aS'status\tstatus\tNN\tI-NP\tO' +p11025 +aS'.\t.\t.\tO\tO' +p11026 +asS'Nothing in the vagina for 6 weeks - no tampons , no douching , no intercourse .' +p11027 +(lp11028 +S'Nothing\tNothing\tNN\tB-NP\tO' +p11029 +aS'in\tin\tIN\tB-PP\tO' +p11030 +aS'the\tthe\tDT\tB-NP\tO' +p11031 +aS'vagina\tvagina\tNN\tI-NP\tO' +p11032 +aS'for\tfor\tIN\tB-PP\tO' +p11033 +aS'6\t6\tCD\tB-NP\tO' +p11034 +aS'weeks\tweek\tNNS\tI-NP\tO' +p11035 +aS'-\t-\t:\tO\tO' +p11036 +aS'no\tno\tDT\tB-NP\tO' +p11037 +aS'tampons\ttampon\tNNS\tI-NP\tO' +p11038 +aS',\t,\t,\tO\tO' +p11039 +aS'no\tno\tDT\tB-NP\tO' +p11040 +aS'douching\tdouching\tNN\tI-NP\tO' +p11041 +aS',\t,\t,\tO\tO' +p11042 +aS'no\tno\tDT\tB-NP\tO' +p11043 +aS'intercourse\tintercourse\tNN\tI-NP\tO' +p11044 +aS'.\t.\t.\tO\tO' +p11045 +asS'She Will need to complete a 14 day course of vancomycin for her MRSA pneumonia on 2019-07-30 .' +p11046 +(lp11047 +S'She\tShe\tPRP\tB-NP\tO' +p11048 +aS'Will\tWill\tMD\tB-VP\tO' +p11049 +aS'need\tneed\tVB\tI-VP\tO' +p11050 +aS'to\tto\tTO\tI-VP\tO' +p11051 +aS'complete\tcomplete\tVB\tI-VP\tO' +p11052 +aS'a\ta\tDT\tB-NP\tO' +p11053 +aS'14\t14\tCD\tI-NP\tO' +p11054 +aS'day\tday\tNN\tI-NP\tO' +p11055 +aS'course\tcourse\tNN\tI-NP\tO' +p11056 +aS'of\tof\tIN\tB-PP\tO' +p11057 +aS'vancomycin\tvancomycin\tNN\tB-NP\tO' +p11058 +aS'for\tfor\tIN\tB-PP\tO' +p11059 +aS'her\ther\tPRP$\tB-NP\tO' +p11060 +aS'MRSA\tMRSA\tNN\tI-NP\tO' +p11061 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p11062 +aS'on\ton\tIN\tB-PP\tO' +p11063 +aS'2019-07-30\t2019-07-30\tCD\tB-NP\tO' +p11064 +aS'.\t.\t.\tO\tO' +p11065 +asS'EKG - old TWI III .' +p11066 +(lp11067 +S'EKG\tEKG\tNN\tB-NP\tB-protein' +p11068 +aS'-\t-\tHYPH\tI-NP\tO' +p11069 +aS'old\told\tJJ\tI-NP\tO' +p11070 +aS'TWI\tTWI\tNN\tI-NP\tO' +p11071 +aS'III\tIII\tCD\tI-NP\tO' +p11072 +aS'.\t.\t.\tO\tO' +p11073 +asS'Incidentally , it also showed diverticulosis .' +p11074 +(lp11075 +S'Incidentally\tIncidentally\tRB\tB-ADVP\tO' +p11076 +aS',\t,\t,\tO\tO' +p11077 +aS'it\tit\tPRP\tB-NP\tO' +p11078 +aS'also\talso\tRB\tB-ADVP\tO' +p11079 +aS'showed\tshow\tVBD\tB-VP\tO' +p11080 +aS'diverticulosis\tdiverticulosis\tNN\tB-NP\tO' +p11081 +aS'.\t.\t.\tO\tO' +p11082 +asS'The margins were free of tumor , but 10 out of 21 lymph nodes were positive for metastatic carcinoma .' +p11083 +(lp11084 +S'The\tThe\tDT\tB-NP\tO' +p11085 +aS'margins\tmargin\tNNS\tI-NP\tO' +p11086 +aS'were\tbe\tVBD\tB-VP\tO' +p11087 +aS'free\tfree\tJJ\tB-ADJP\tO' +p11088 +aS'of\tof\tIN\tB-PP\tO' +p11089 +aS'tumor\ttumor\tNN\tB-NP\tO' +p11090 +aS',\t,\t,\tO\tO' +p11091 +aS'but\tbut\tCC\tO\tO' +p11092 +aS'10\t10\tCD\tB-NP\tO' +p11093 +aS'out\tout\tIN\tI-NP\tO' +p11094 +aS'of\tof\tIN\tI-NP\tO' +p11095 +aS'21\t21\tCD\tI-NP\tO' +p11096 +aS'lymph\tlymph\tNN\tI-NP\tO' +p11097 +aS'nodes\tnode\tNNS\tI-NP\tO' +p11098 +aS'were\tbe\tVBD\tB-VP\tO' +p11099 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p11100 +aS'for\tfor\tIN\tB-PP\tO' +p11101 +aS'metastatic\tmetastatic\tJJ\tB-NP\tO' +p11102 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p11103 +aS'.\t.\t.\tO\tO' +p11104 +asS'Nortriptyline 25 mg. po. qhs .' +p11105 +(lp11106 +S'Nortriptyline\tNortriptyline\tNN\tB-NP\tO' +p11107 +aS'25\t25\tCD\tI-NP\tO' +p11108 +aS'mg.\tmg.\tNN\tI-NP\tO' +p11109 +aS'po.\tpo.\tNN\tI-NP\tO' +p11110 +aS'qhs\tqh\tNNS\tI-NP\tO' +p11111 +aS'.\t.\t.\tO\tO' +p11112 +asS'Calculated LVEF 42% .' +p11113 +(lp11114 +S'Calculated\tCalculate\tVBN\tB-NP\tO' +p11115 +aS'LVEF\tLVEF\tNN\tI-NP\tB-protein' +p11116 +aS'42%\t42%\tNN\tI-NP\tI-protein' +p11117 +aS'.\t.\t.\tO\tO' +p11118 +asS'HEENT : Pupils equal , round and reactive to light .' +p11119 +(lp11120 +S'HEENT\tHEENT\tNN\tB-NP\tO' +p11121 +aS':\t:\t:\tO\tO' +p11122 +aS'Pupils\tPupil\tNNS\tB-NP\tO' +p11123 +aS'equal\tequal\tJJ\tB-NP\tO' +p11124 +aS',\t,\t,\tI-NP\tO' +p11125 +aS'round\tround\tJJ\tI-NP\tO' +p11126 +aS'and\tand\tCC\tI-NP\tO' +p11127 +aS'reactive\treactive\tJJ\tI-NP\tO' +p11128 +aS'to\tto\tTO\tB-PP\tO' +p11129 +aS'light\tlight\tNN\tB-NP\tO' +p11130 +aS'.\t.\t.\tO\tO' +p11131 +asS'On the a.m. of 10-24-93 , the patient developed crushing substernal chest pain and shortness of breath .' +p11132 +(lp11133 +S'On\tOn\tIN\tB-PP\tO' +p11134 +aS'the\tthe\tDT\tB-NP\tO' +p11135 +aS'a.m.\ta.m.\tNN\tI-NP\tO' +p11136 +aS'of\tof\tIN\tB-PP\tO' +p11137 +aS'10-24-93\t10-24-93\tCD\tB-NP\tO' +p11138 +aS',\t,\t,\tO\tO' +p11139 +aS'the\tthe\tDT\tB-NP\tO' +p11140 +aS'patient\tpatient\tNN\tI-NP\tO' +p11141 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p11142 +aS'crushing\tcrush\tVBG\tI-VP\tO' +p11143 +aS'substernal\tsubsternal\tJJ\tB-NP\tO' +p11144 +aS'chest\tchest\tNN\tI-NP\tO' +p11145 +aS'pain\tpain\tNN\tI-NP\tO' +p11146 +aS'and\tand\tCC\tI-NP\tO' +p11147 +aS'shortness\tshortness\tNN\tI-NP\tO' +p11148 +aS'of\tof\tIN\tB-PP\tO' +p11149 +aS'breath\tbreath\tNN\tB-NP\tO' +p11150 +aS'.\t.\t.\tO\tO' +p11151 +asS"The patient was also seen subsequently in consultation by the Plastic Surgical Service who discontinued a number of the patient 's indwelling drains but they felt that others needed to stay while the patient was sent to rehabilitation ." +p11152 +(lp11153 +S'The\tThe\tDT\tB-NP\tO' +p11154 +aS'patient\tpatient\tNN\tI-NP\tO' +p11155 +aS'was\tbe\tVBD\tB-VP\tO' +p11156 +aS'also\talso\tRB\tI-VP\tO' +p11157 +aS'seen\tsee\tVBN\tI-VP\tO' +p11158 +aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' +p11159 +aS'in\tin\tIN\tB-PP\tO' +p11160 +aS'consultation\tconsultation\tNN\tB-NP\tO' +p11161 +aS'by\tby\tIN\tB-PP\tO' +p11162 +aS'the\tthe\tDT\tB-NP\tO' +p11163 +aS'Plastic\tPlastic\tNNP\tI-NP\tO' +p11164 +aS'Surgical\tSurgical\tNNP\tI-NP\tO' +p11165 +aS'Service\tService\tNNP\tI-NP\tO' +p11166 +aS'who\twho\tWP\tB-NP\tO' +p11167 +aS'discontinued\tdiscontinue\tVBD\tB-VP\tO' +p11168 +aS'a\ta\tDT\tB-NP\tO' +p11169 +aS'number\tnumber\tNN\tI-NP\tO' +p11170 +aS'of\tof\tIN\tB-PP\tO' +p11171 +aS'the\tthe\tDT\tB-NP\tO' +p11172 +aS'patient\tpatient\tNN\tI-NP\tO' +p11173 +aS"'s\t's\tPOS\tB-NP\tO" +p11174 +aS'indwelling\tindwell\tVBG\tI-NP\tO' +p11175 +aS'drains\tdrain\tNNS\tI-NP\tO' +p11176 +aS'but\tbut\tCC\tO\tO' +p11177 +aS'they\tthey\tPRP\tB-NP\tO' +p11178 +aS'felt\tfeel\tVBD\tB-VP\tO' +p11179 +aS'that\tthat\tIN\tB-SBAR\tO' +p11180 +aS'others\tother\tNNS\tB-NP\tO' +p11181 +aS'needed\tneed\tVBN\tB-VP\tO' +p11182 +aS'to\tto\tTO\tB-VP\tO' +p11183 +aS'stay\tstay\tVB\tI-VP\tO' +p11184 +aS'while\twhile\tIN\tB-SBAR\tO' +p11185 +aS'the\tthe\tDT\tB-NP\tO' +p11186 +aS'patient\tpatient\tNN\tI-NP\tO' +p11187 +aS'was\tbe\tVBD\tB-VP\tO' +p11188 +aS'sent\tsend\tVBN\tI-VP\tO' +p11189 +aS'to\tto\tTO\tB-PP\tO' +p11190 +aS'rehabilitation\trehabilitation\tNN\tB-NP\tO' +p11191 +aS'.\t.\t.\tO\tO' +p11192 +asS'No osseous lesions are seen .' +p11193 +(lp11194 +S'No\tNo\tDT\tB-NP\tO' +p11195 +aS'osseous\tosseous\tJJ\tI-NP\tO' +p11196 +aS'lesions\tlesion\tNNS\tI-NP\tO' +p11197 +aS'are\tbe\tVBP\tB-VP\tO' +p11198 +aS'seen\tsee\tVBN\tI-VP\tO' +p11199 +aS'.\t.\t.\tO\tO' +p11200 +asS'Attending : Everett J. Decardo , M.D.' +p11201 +(lp11202 +S'Attending\tAttend\tVBG\tB-VP\tO' +p11203 +aS':\t:\t:\tO\tO' +p11204 +aS'Everett\tEverett\tNNP\tB-NP\tO' +p11205 +aS'J.\tJ.\tNNP\tI-NP\tO' +p11206 +aS'Decardo\tDecardo\tNNP\tI-NP\tO' +p11207 +aS',\t,\t,\tO\tO' +p11208 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p11209 +asS'She is following up with Dr. Mcmaster on 2017-09-29 at 11:30 a.m.' +p11210 +(lp11211 +S'She\tShe\tPRP\tB-NP\tO' +p11212 +aS'is\tbe\tVBZ\tB-VP\tO' +p11213 +aS'following\tfollow\tVBG\tI-VP\tO' +p11214 +aS'up\tup\tRP\tB-PRT\tO' +p11215 +aS'with\twith\tIN\tB-PP\tO' +p11216 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p11217 +aS'Mcmaster\tMcmaster\tNNP\tI-NP\tO' +p11218 +aS'on\ton\tIN\tB-PP\tO' +p11219 +aS'2017-09-29\t2017-09-29\tCD\tB-NP\tO' +p11220 +aS'at\tat\tIN\tB-PP\tO' +p11221 +aS'11:30\t11:30\tCD\tB-NP\tO' +p11222 +aS'a.m.\ta.m.\tNN\tI-NP\tO' +p11223 +asS'The patient did develop some hypertension during infusion of her VP 16 to the 170/100 range , which apparently happened during her prior chemotherapy .' +p11224 +(lp11225 +S'The\tThe\tDT\tB-NP\tO' +p11226 +aS'patient\tpatient\tNN\tI-NP\tO' +p11227 +aS'did\tdo\tVBD\tB-VP\tO' +p11228 +aS'develop\tdevelop\tVB\tI-VP\tO' +p11229 +aS'some\tsome\tDT\tB-NP\tO' +p11230 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p11231 +aS'during\tduring\tIN\tB-PP\tO' +p11232 +aS'infusion\tinfusion\tNN\tB-NP\tO' +p11233 +aS'of\tof\tIN\tB-PP\tO' +p11234 +aS'her\ther\tPRP$\tB-NP\tO' +p11235 +aS'VP\tVP\tNN\tI-NP\tB-protein' +p11236 +aS'16\t16\tCD\tI-NP\tI-protein' +p11237 +aS'to\tto\tTO\tB-PP\tO' +p11238 +aS'the\tthe\tDT\tB-NP\tO' +p11239 +aS'170/100\t170/100\tCD\tI-NP\tO' +p11240 +aS'range\trange\tNN\tI-NP\tO' +p11241 +aS',\t,\t,\tO\tO' +p11242 +aS'which\twhich\tWDT\tB-NP\tO' +p11243 +aS'apparently\tapparently\tRB\tB-ADVP\tO' +p11244 +aS'happened\thappen\tVBD\tB-VP\tO' +p11245 +aS'during\tduring\tIN\tB-PP\tO' +p11246 +aS'her\ther\tPRP$\tB-NP\tO' +p11247 +aS'prior\tprior\tJJ\tI-NP\tO' +p11248 +aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' +p11249 +aS'.\t.\t.\tO\tO' +p11250 +asS'Amiodarone boluses were given and the patient was started on 400 three times a day of p.o. amiodarone , aggressive pulmonary toilet and continued diuresis was done , however , the patient continued to have respiratory difficulties when in rapid atrial fibrillation .' +p11251 +(lp11252 +S'Amiodarone\tAmiodarone\tNN\tB-NP\tO' +p11253 +aS'boluses\tbolus\tNNS\tI-NP\tO' +p11254 +aS'were\tbe\tVBD\tB-VP\tO' +p11255 +aS'given\tgive\tVBN\tI-VP\tO' +p11256 +aS'and\tand\tCC\tO\tO' +p11257 +aS'the\tthe\tDT\tB-NP\tO' +p11258 +aS'patient\tpatient\tNN\tI-NP\tO' +p11259 +aS'was\tbe\tVBD\tB-VP\tO' +p11260 +aS'started\tstart\tVBN\tI-VP\tO' +p11261 +aS'on\ton\tIN\tB-PP\tO' +p11262 +aS'400\t400\tCD\tB-NP\tO' +p11263 +aS'three\tthree\tCD\tI-NP\tO' +p11264 +aS'times\ttime\tNNS\tI-NP\tO' +p11265 +aS'a\ta\tDT\tB-NP\tO' +p11266 +aS'day\tday\tNN\tI-NP\tO' +p11267 +aS'of\tof\tIN\tB-PP\tO' +p11268 +aS'p.o.\tp.o.\tFW\tB-NP\tO' +p11269 +aS'amiodarone\tamiodarone\tNN\tI-NP\tO' +p11270 +aS',\t,\t,\tO\tO' +p11271 +aS'aggressive\taggressive\tJJ\tB-NP\tO' +p11272 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p11273 +aS'toilet\ttoilet\tNN\tI-NP\tO' +p11274 +aS'and\tand\tCC\tO\tO' +p11275 +aS'continued\tcontinued\tJJ\tB-NP\tO' +p11276 +aS'diuresis\tdiuresis\tNN\tI-NP\tO' +p11277 +aS'was\tbe\tVBD\tB-VP\tO' +p11278 +aS'done\tdo\tVBN\tI-VP\tO' +p11279 +aS',\t,\t,\tO\tO' +p11280 +aS'however\thowever\tRB\tB-ADVP\tO' +p11281 +aS',\t,\t,\tO\tO' +p11282 +aS'the\tthe\tDT\tB-NP\tO' +p11283 +aS'patient\tpatient\tNN\tI-NP\tO' +p11284 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p11285 +aS'to\tto\tTO\tI-VP\tO' +p11286 +aS'have\thave\tVB\tI-VP\tO' +p11287 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p11288 +aS'difficulties\tdifficulty\tNNS\tI-NP\tO' +p11289 +aS'when\twhen\tWRB\tB-ADVP\tO' +p11290 +aS'in\tin\tIN\tB-PP\tO' +p11291 +aS'rapid\trapid\tJJ\tB-NP\tO' +p11292 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p11293 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p11294 +aS'.\t.\t.\tO\tO' +p11295 +asS'Regular , rate , and rhythm , no murmur .' +p11296 +(lp11297 +S'Regular\tRegular\tJJ\tB-NP\tO' +p11298 +aS',\t,\t,\tI-NP\tO' +p11299 +aS'rate\trate\tNN\tI-NP\tO' +p11300 +aS',\t,\t,\tO\tO' +p11301 +aS'and\tand\tCC\tO\tO' +p11302 +aS'rhythm\trhythm\tNN\tB-NP\tO' +p11303 +aS',\t,\t,\tO\tO' +p11304 +aS'no\tno\tDT\tB-NP\tO' +p11305 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p11306 +aS'.\t.\t.\tO\tO' +p11307 +asS'7. ID .' +p11308 +(lp11309 +S'7.\t7.\tCD\tB-NP\tO' +p11310 +aS'ID\tID\tNN\tI-NP\tO' +p11311 +aS'.\t.\t.\tO\tO' +p11312 +asS'A small right occipital lobe chronic infarction is also evident .' +p11313 +(lp11314 +S'A\tA\tDT\tB-NP\tO' +p11315 +aS'small\tsmall\tJJ\tI-NP\tO' +p11316 +aS'right\tright\tJJ\tI-NP\tO' +p11317 +aS'occipital\toccipital\tNN\tI-NP\tO' +p11318 +aS'lobe\tlobe\tNN\tI-NP\tO' +p11319 +aS'chronic\tchronic\tJJ\tI-NP\tO' +p11320 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p11321 +aS'is\tbe\tVBZ\tB-VP\tO' +p11322 +aS'also\talso\tRB\tB-ADVP\tO' +p11323 +aS'evident\tevident\tJJ\tB-ADJP\tO' +p11324 +aS'.\t.\t.\tO\tO' +p11325 +asS'7. Anemia of prematurity .' +p11326 +(lp11327 +S'7.\t7.\tLS\tB-NP\tO' +p11328 +aS'Anemia\tAnemia\tNN\tI-NP\tO' +p11329 +aS'of\tof\tIN\tB-PP\tO' +p11330 +aS'prematurity\tprematurity\tNN\tB-NP\tO' +p11331 +aS'.\t.\t.\tO\tO' +p11332 +asS'He is being discharged to rehabilitation to follow up for XRT given the fact that his pathology revealed squamous cell cancer extending deep to the margin as well as positive level II nodes .' +p11333 +(lp11334 +S'He\tHe\tPRP\tB-NP\tO' +p11335 +aS'is\tbe\tVBZ\tB-VP\tO' +p11336 +aS'being\tbe\tVBG\tI-VP\tO' +p11337 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p11338 +aS'to\tto\tTO\tB-PP\tO' +p11339 +aS'rehabilitation\trehabilitation\tNN\tB-NP\tO' +p11340 +aS'to\tto\tTO\tB-VP\tO' +p11341 +aS'follow\tfollow\tVB\tI-VP\tO' +p11342 +aS'up\tup\tRP\tB-PRT\tO' +p11343 +aS'for\tfor\tIN\tB-PP\tO' +p11344 +aS'XRT\tXRT\tNN\tB-NP\tB-protein' +p11345 +aS'given\tgive\tVBN\tB-VP\tO' +p11346 +aS'the\tthe\tDT\tB-NP\tO' +p11347 +aS'fact\tfact\tNN\tI-NP\tO' +p11348 +aS'that\tthat\tIN\tB-SBAR\tO' +p11349 +aS'his\this\tPRP$\tB-NP\tO' +p11350 +aS'pathology\tpathology\tNN\tI-NP\tO' +p11351 +aS'revealed\treveal\tVBD\tB-VP\tO' +p11352 +aS'squamous\tsquamous\tJJ\tB-NP\tO' +p11353 +aS'cell\tcell\tNN\tI-NP\tO' +p11354 +aS'cancer\tcancer\tNN\tI-NP\tO' +p11355 +aS'extending\textend\tVBG\tB-VP\tO' +p11356 +aS'deep\tdeep\tJJ\tB-ADJP\tO' +p11357 +aS'to\tto\tTO\tB-PP\tO' +p11358 +aS'the\tthe\tDT\tB-NP\tO' +p11359 +aS'margin\tmargin\tNN\tI-NP\tO' +p11360 +aS'as\tas\tRB\tB-CONJP\tO' +p11361 +aS'well\twell\tRB\tI-CONJP\tO' +p11362 +aS'as\tas\tIN\tI-CONJP\tO' +p11363 +aS'positive\tpositive\tJJ\tB-NP\tO' +p11364 +aS'level\tlevel\tNN\tI-NP\tO' +p11365 +aS'II\tII\tCD\tB-NP\tO' +p11366 +aS'nodes\tnode\tNNS\tI-NP\tO' +p11367 +aS'.\t.\t.\tO\tO' +p11368 +asS'5. Colace .' +p11369 +(lp11370 +S'5.\t5.\tLS\tB-LST\tO' +p11371 +aS'Colace\tColace\tNNP\tB-NP\tO' +p11372 +aS'.\t.\t.\tO\tO' +p11373 +asS'Found to be in DIC and supported with daily blood products .' +p11374 +(lp11375 +S'Found\tFound\tNN\tB-NP\tO' +p11376 +aS'to\tto\tTO\tB-VP\tO' +p11377 +aS'be\tbe\tVB\tI-VP\tO' +p11378 +aS'in\tin\tIN\tB-PP\tO' +p11379 +aS'DIC\tDIC\tNN\tB-NP\tO' +p11380 +aS'and\tand\tCC\tO\tO' +p11381 +aS'supported\tsupport\tVBN\tB-VP\tO' +p11382 +aS'with\twith\tIN\tB-PP\tO' +p11383 +aS'daily\tdaily\tJJ\tB-NP\tO' +p11384 +aS'blood\tblood\tNN\tI-NP\tO' +p11385 +aS'products\tproduct\tNNS\tI-NP\tO' +p11386 +aS'.\t.\t.\tO\tO' +p11387 +asS'Trimethoprim/Sulfa sensitivity testing available on request .' +p11388 +(lp11389 +S'Trimethoprim/Sulfa\tTrimethoprim/Sulfa\tNN\tB-NP\tO' +p11390 +aS'sensitivity\tsensitivity\tNN\tI-NP\tO' +p11391 +aS'testing\ttesting\tNN\tI-NP\tO' +p11392 +aS'available\tavailable\tJJ\tB-ADJP\tO' +p11393 +aS'on\ton\tIN\tB-PP\tO' +p11394 +aS'request\trequest\tNN\tB-NP\tO' +p11395 +aS'.\t.\t.\tO\tO' +p11396 +asS'On initial exam , her left shoulder was tender to palpation over the proximal humerus with decreased range of motion .' +p11397 +(lp11398 +S'On\tOn\tIN\tB-PP\tO' +p11399 +aS'initial\tinitial\tJJ\tB-NP\tO' +p11400 +aS'exam\texam\tNN\tI-NP\tO' +p11401 +aS',\t,\t,\tO\tO' +p11402 +aS'her\ther\tPRP$\tB-NP\tO' +p11403 +aS'left\tleft\tJJ\tI-NP\tO' +p11404 +aS'shoulder\tshoulder\tNN\tI-NP\tO' +p11405 +aS'was\tbe\tVBD\tB-VP\tO' +p11406 +aS'tender\ttender\tNN\tB-NP\tO' +p11407 +aS'to\tto\tTO\tB-PP\tO' +p11408 +aS'palpation\tpalpation\tNN\tB-NP\tO' +p11409 +aS'over\tover\tIN\tB-PP\tO' +p11410 +aS'the\tthe\tDT\tB-NP\tO' +p11411 +aS'proximal\tproximal\tJJ\tI-NP\tO' +p11412 +aS'humerus\thumerus\tNN\tI-NP\tO' +p11413 +aS'with\twith\tIN\tB-PP\tO' +p11414 +aS'decreased\tdecrease\tVBN\tB-NP\tO' +p11415 +aS'range\trange\tNN\tI-NP\tO' +p11416 +aS'of\tof\tIN\tB-PP\tO' +p11417 +aS'motion\tmotion\tNN\tB-NP\tO' +p11418 +aS'.\t.\t.\tO\tO' +p11419 +asS'He describes a negative PPD one year prior to admission when he was in prison for one week .' +p11420 +(lp11421 +S'He\tHe\tPRP\tB-NP\tO' +p11422 +aS'describes\tdescribe\tVBZ\tB-VP\tO' +p11423 +aS'a\ta\tDT\tB-NP\tO' +p11424 +aS'negative\tnegative\tJJ\tI-NP\tO' +p11425 +aS'PPD\tPPD\tNN\tI-NP\tO' +p11426 +aS'one\tone\tCD\tB-NP\tO' +p11427 +aS'year\tyear\tNN\tI-NP\tO' +p11428 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p11429 +aS'to\tto\tTO\tB-PP\tO' +p11430 +aS'admission\tadmission\tNN\tB-NP\tO' +p11431 +aS'when\twhen\tWRB\tB-ADVP\tO' +p11432 +aS'he\the\tPRP\tB-NP\tO' +p11433 +aS'was\tbe\tVBD\tB-VP\tO' +p11434 +aS'in\tin\tIN\tB-PP\tO' +p11435 +aS'prison\tprison\tNN\tB-NP\tO' +p11436 +aS'for\tfor\tIN\tB-PP\tO' +p11437 +aS'one\tone\tCD\tB-NP\tO' +p11438 +aS'week\tweek\tNN\tI-NP\tO' +p11439 +aS'.\t.\t.\tO\tO' +p11440 +asS'Her Jackson-Pratt drain was removed on June 30 , 1994 , postoperative day four .' +p11441 +(lp11442 +S'Her\tHer\tPRP$\tB-NP\tO' +p11443 +aS'Jackson-Pratt\tJackson-Pratt\tJJ\tI-NP\tO' +p11444 +aS'drain\tdrain\tNN\tI-NP\tO' +p11445 +aS'was\tbe\tVBD\tB-VP\tO' +p11446 +aS'removed\tremove\tVBN\tI-VP\tO' +p11447 +aS'on\ton\tIN\tB-PP\tO' +p11448 +aS'June\tJune\tNNP\tB-NP\tO' +p11449 +aS'30\t30\tCD\tI-NP\tO' +p11450 +aS',\t,\t,\tI-NP\tO' +p11451 +aS'1994\t1994\tCD\tI-NP\tO' +p11452 +aS',\t,\t,\tO\tO' +p11453 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p11454 +aS'day\tday\tNN\tI-NP\tO' +p11455 +aS'four\tfour\tCD\tB-NP\tO' +p11456 +aS'.\t.\t.\tO\tO' +p11457 +asS'She also c/o LLQ and groin pain which responded to tylenol .' +p11458 +(lp11459 +S'She\tShe\tPRP\tB-NP\tO' +p11460 +aS'also\talso\tRB\tB-ADVP\tO' +p11461 +aS'c/o\tc/o\tVBP\tB-VP\tO' +p11462 +aS'LLQ\tLLQ\tNN\tB-NP\tB-protein' +p11463 +aS'and\tand\tCC\tI-NP\tO' +p11464 +aS'groin\tgroin\tNN\tI-NP\tO' +p11465 +aS'pain\tpain\tNN\tI-NP\tO' +p11466 +aS'which\twhich\tWDT\tB-NP\tO' +p11467 +aS'responded\trespond\tVBD\tB-VP\tO' +p11468 +aS'to\tto\tTO\tB-PP\tO' +p11469 +aS'tylenol\ttylenol\tNN\tB-NP\tO' +p11470 +aS'.\t.\t.\tO\tO' +p11471 +asS'On 2010-06-07 , the patient underwent a mechanical aortic valve replacement with a 23 mm Carbomedics mechanical valve and a Supra coronary aortic graft with gelweave 28 mm .' +p11472 +(lp11473 +S'On\tOn\tIN\tB-PP\tO' +p11474 +aS'2010-06-07\t2010-06-07\tCD\tB-NP\tO' +p11475 +aS',\t,\t,\tO\tO' +p11476 +aS'the\tthe\tDT\tB-NP\tO' +p11477 +aS'patient\tpatient\tNN\tI-NP\tO' +p11478 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p11479 +aS'a\ta\tDT\tB-NP\tO' +p11480 +aS'mechanical\tmechanical\tJJ\tI-NP\tO' +p11481 +aS'aortic\taortic\tJJ\tI-NP\tO' +p11482 +aS'valve\tvalve\tNN\tI-NP\tO' +p11483 +aS'replacement\treplacement\tNN\tI-NP\tO' +p11484 +aS'with\twith\tIN\tB-PP\tO' +p11485 +aS'a\ta\tDT\tB-NP\tO' +p11486 +aS'23\t23\tCD\tI-NP\tO' +p11487 +aS'mm\tmm\tNN\tI-NP\tO' +p11488 +aS'Carbomedics\tCarbomedics\tNNP\tI-NP\tO' +p11489 +aS'mechanical\tmechanical\tJJ\tI-NP\tO' +p11490 +aS'valve\tvalve\tNN\tI-NP\tO' +p11491 +aS'and\tand\tCC\tO\tO' +p11492 +aS'a\ta\tDT\tB-NP\tO' +p11493 +aS'Supra\tSupra\tNNP\tI-NP\tO' +p11494 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p11495 +aS'aortic\taortic\tJJ\tI-NP\tO' +p11496 +aS'graft\tgraft\tNN\tI-NP\tO' +p11497 +aS'with\twith\tIN\tB-PP\tO' +p11498 +aS'gelweave\tgelweave\tNN\tB-NP\tO' +p11499 +aS'28\t28\tCD\tI-NP\tO' +p11500 +aS'mm\tmm\tNN\tI-NP\tO' +p11501 +aS'.\t.\t.\tO\tO' +p11502 +asS'The pt was made comfortable and she expired several hours later .' +p11503 +(lp11504 +S'The\tThe\tDT\tB-NP\tO' +p11505 +aS'pt\tpt\tNN\tI-NP\tO' +p11506 +aS'was\tbe\tVBD\tB-VP\tO' +p11507 +aS'made\tmake\tVBN\tI-VP\tO' +p11508 +aS'comfortable\tcomfortable\tJJ\tB-ADJP\tO' +p11509 +aS'and\tand\tCC\tO\tO' +p11510 +aS'she\tshe\tPRP\tB-NP\tO' +p11511 +aS'expired\texpire\tVBD\tB-VP\tO' +p11512 +aS'several\tseveral\tJJ\tB-NP\tO' +p11513 +aS'hours\thour\tNNS\tI-NP\tO' +p11514 +aS'later\tlater\tRB\tB-ADVP\tO' +p11515 +aS'.\t.\t.\tO\tO' +p11516 +asS'In June 1993 , the patient had a parathyroidectomy and also of note , in September 1992 , the patient had an exploratory laparotomy for pain and chronic pancreatitis .' +p11517 +(lp11518 +S'In\tIn\tIN\tB-PP\tO' +p11519 +aS'June\tJune\tNNP\tB-NP\tO' +p11520 +aS'1993\t1993\tCD\tI-NP\tO' +p11521 +aS',\t,\t,\tO\tO' +p11522 +aS'the\tthe\tDT\tB-NP\tO' +p11523 +aS'patient\tpatient\tNN\tI-NP\tO' +p11524 +aS'had\thave\tVBD\tB-VP\tO' +p11525 +aS'a\ta\tDT\tB-NP\tO' +p11526 +aS'parathyroidectomy\tparathyroidectomy\tNN\tI-NP\tO' +p11527 +aS'and\tand\tCC\tO\tO' +p11528 +aS'also\talso\tRB\tB-ADVP\tO' +p11529 +aS'of\tof\tIN\tB-PP\tO' +p11530 +aS'note\tnote\tNN\tB-NP\tO' +p11531 +aS',\t,\t,\tO\tO' +p11532 +aS'in\tin\tIN\tB-PP\tO' +p11533 +aS'September\tSeptember\tNNP\tB-NP\tO' +p11534 +aS'1992\t1992\tCD\tI-NP\tO' +p11535 +aS',\t,\t,\tO\tO' +p11536 +aS'the\tthe\tDT\tB-NP\tO' +p11537 +aS'patient\tpatient\tNN\tI-NP\tO' +p11538 +aS'had\thave\tVBD\tB-VP\tO' +p11539 +aS'an\tan\tDT\tB-NP\tO' +p11540 +aS'exploratory\texploratory\tJJ\tI-NP\tO' +p11541 +aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' +p11542 +aS'for\tfor\tIN\tB-PP\tO' +p11543 +aS'pain\tpain\tNN\tB-NP\tO' +p11544 +aS'and\tand\tCC\tO\tO' +p11545 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p11546 +aS'pancreatitis\tpancreatitis\tNN\tI-NP\tO' +p11547 +aS'.\t.\t.\tO\tO' +p11548 +asS'Dictated By : Michael X. Fisher , M.D.' +p11549 +(lp11550 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p11551 +aS'By\tBy\tIN\tB-PP\tO' +p11552 +aS':\t:\t:\tO\tO' +p11553 +aS'Michael\tMichael\tNNP\tB-NP\tO' +p11554 +aS'X.\tX.\tNNP\tI-NP\tO' +p11555 +aS'Fisher\tFisher\tNNP\tI-NP\tO' +p11556 +aS',\t,\t,\tO\tO' +p11557 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p11558 +asS'These have all been negative .' +p11559 +(lp11560 +S'These\tThese\tDT\tB-NP\tO' +p11561 +aS'have\thave\tVBP\tB-VP\tO' +p11562 +aS'all\tall\tDT\tO\tO' +p11563 +aS'been\tbe\tVBN\tB-VP\tO' +p11564 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p11565 +aS'.\t.\t.\tO\tO' +p11566 +asS'Triamcinolone , one tablet PO b.i.d. , dosage unknown , Xanax one tablet PO t.i.d. , prn anxiety , dosage unknown , MS Contin prn .' +p11567 +(lp11568 +S'Triamcinolone\tTriamcinolone\tNN\tB-NP\tO' +p11569 +aS',\t,\t,\tO\tO' +p11570 +aS'one\tone\tCD\tB-NP\tO' +p11571 +aS'tablet\ttablet\tNN\tI-NP\tO' +p11572 +aS'PO\tPO\tNN\tI-NP\tO' +p11573 +aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' +p11574 +aS',\t,\t,\tO\tO' +p11575 +aS'dosage\tdosage\tNN\tB-NP\tO' +p11576 +aS'unknown\tunknown\tJJ\tB-ADJP\tO' +p11577 +aS',\t,\t,\tO\tO' +p11578 +aS'Xanax\tXanax\tNN\tB-NP\tB-protein' +p11579 +aS'one\tone\tCD\tI-NP\tI-protein' +p11580 +aS'tablet\ttablet\tNN\tI-NP\tI-protein' +p11581 +aS'PO\tPO\tNN\tI-NP\tI-protein' +p11582 +aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' +p11583 +aS',\t,\t,\tO\tO' +p11584 +aS'prn\tprn\tNN\tB-NP\tO' +p11585 +aS'anxiety\tanxiety\tNN\tI-NP\tO' +p11586 +aS',\t,\t,\tO\tO' +p11587 +aS'dosage\tdosage\tNN\tB-NP\tO' +p11588 +aS'unknown\tunknown\tJJ\tI-NP\tO' +p11589 +aS',\t,\t,\tO\tO' +p11590 +aS'MS\tMS\tNNP\tB-NP\tO' +p11591 +aS'Contin\tContin\tNNP\tI-NP\tO' +p11592 +aS'prn\tprn\tNN\tI-NP\tO' +p11593 +aS'.\t.\t.\tO\tO' +p11594 +asS'At Springfield , CT chest was positive for saddle PE .' +p11595 +(lp11596 +S'At\tAt\tIN\tB-PP\tO' +p11597 +aS'Springfield\tSpringfield\tNNP\tB-NP\tO' +p11598 +aS',\t,\t,\tO\tO' +p11599 +aS'CT\tCT\tNN\tB-NP\tO' +p11600 +aS'chest\tchest\tNN\tI-NP\tO' +p11601 +aS'was\tbe\tVBD\tB-VP\tO' +p11602 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p11603 +aS'for\tfor\tIN\tB-PP\tO' +p11604 +aS'saddle\tsaddle\tJJ\tB-NP\tO' +p11605 +aS'PE\tPE\tNN\tI-NP\tO' +p11606 +aS'.\t.\t.\tO\tO' +p11607 +asS'Sinus bradycardia with markedly prolonged P-R interval and Wenckebach type' +p11608 +(lp11609 +S'Sinus\tSinus\tNN\tB-NP\tO' +p11610 +aS'bradycardia\tbradycardia\tNN\tI-NP\tO' +p11611 +aS'with\twith\tIN\tB-PP\tO' +p11612 +aS'markedly\tmarkedly\tRB\tB-NP\tO' +p11613 +aS'prolonged\tprolong\tVBN\tI-NP\tO' +p11614 +aS'P-R\tP-R\tNN\tI-NP\tB-protein' +p11615 +aS'interval\tinterval\tNN\tI-NP\tO' +p11616 +aS'and\tand\tCC\tO\tO' +p11617 +aS'Wenckebach\tWenckebach\tNN\tB-NP\tO' +p11618 +aS'type\ttype\tNN\tI-NP\tO' +p11619 +asS'TIA lung nodule ( followed by Dr. Belt ) s/p fissurectomy/skull Fx' +p11620 +(lp11621 +S'TIA\tTIA\tNN\tB-NP\tO' +p11622 +aS'lung\tlung\tNN\tI-NP\tO' +p11623 +aS'nodule\tnodule\tNN\tI-NP\tO' +p11624 +aS'(\t(\t(\tO\tO' +p11625 +aS'followed\tfollow\tVBN\tB-VP\tO' +p11626 +aS'by\tby\tIN\tB-PP\tO' +p11627 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p11628 +aS'Belt\tBelt\tNNP\tI-NP\tO' +p11629 +aS')\t)\t)\tO\tO' +p11630 +aS's/p\ts/p\tNN\tB-NP\tO' +p11631 +aS'fissurectomy/skull\tfissurectomy/skull\tNN\tI-NP\tO' +p11632 +aS'Fx\tFx\tNNP\tB-NP\tO' +p11633 +asS'5) PLASMACYTOMA .' +p11634 +(lp11635 +S'5)\t5)\tLS\tB-NP\tO' +p11636 +aS'PLASMACYTOMA\tPLASMACYTOMA\tNN\tI-NP\tB-cell_line' +p11637 +aS'.\t.\t.\tO\tO' +p11638 +asS'On admision , T 97.5 , HR 86 , BP 111/47 , R 20 .' +p11639 +(lp11640 +S'On\tOn\tIN\tB-PP\tO' +p11641 +aS'admision\tadmision\tNN\tB-NP\tO' +p11642 +aS',\t,\t,\tO\tO' +p11643 +aS'T\tT\tNN\tB-NP\tB-cell_line' +p11644 +aS'97.5\t97.5\tCD\tI-NP\tI-cell_line' +p11645 +aS',\t,\t,\tO\tO' +p11646 +aS'HR\tHR\tNN\tB-NP\tB-protein' +p11647 +aS'86\t86\tCD\tI-NP\tI-protein' +p11648 +aS',\t,\t,\tO\tO' +p11649 +aS'BP\tBP\tNN\tB-NP\tB-DNA' +p11650 +aS'111/47\t111/47\tCD\tI-NP\tI-DNA' +p11651 +aS',\t,\t,\tO\tO' +p11652 +aS'R\tR\tNN\tB-NP\tB-protein' +p11653 +aS'20\t20\tCD\tI-NP\tI-protein' +p11654 +aS'.\t.\t.\tO\tO' +p11655 +asS'She is without bruits or JVD .' +p11656 +(lp11657 +S'She\tShe\tPRP\tB-NP\tO' +p11658 +aS'is\tbe\tVBZ\tB-VP\tO' +p11659 +aS'without\twithout\tIN\tB-PP\tO' +p11660 +aS'bruits\tbruit\tNNS\tB-NP\tO' +p11661 +aS'or\tor\tCC\tI-NP\tO' +p11662 +aS'JVD\tJVD\tNN\tI-NP\tB-protein' +p11663 +aS'.\t.\t.\tO\tO' +p11664 +asS'Please see cathed report for full details .' +p11665 +(lp11666 +S'Please\tPlease\tVB\tB-VP\tO' +p11667 +aS'see\tsee\tVB\tI-VP\tO' +p11668 +aS'cathed\tcathe\tVBN\tB-NP\tO' +p11669 +aS'report\treport\tNN\tI-NP\tO' +p11670 +aS'for\tfor\tIN\tB-PP\tO' +p11671 +aS'full\tfull\tJJ\tB-NP\tO' +p11672 +aS'details\tdetail\tNNS\tI-NP\tO' +p11673 +aS'.\t.\t.\tO\tO' +p11674 +asS'Her bicarbonate peaked at 39 and generally is in the 36-38 range .' +p11675 +(lp11676 +S'Her\tHer\tPRP$\tB-NP\tO' +p11677 +aS'bicarbonate\tbicarbonate\tNN\tI-NP\tO' +p11678 +aS'peaked\tpeak\tVBD\tB-VP\tO' +p11679 +aS'at\tat\tIN\tB-PP\tO' +p11680 +aS'39\t39\tCD\tB-NP\tO' +p11681 +aS'and\tand\tCC\tO\tO' +p11682 +aS'generally\tgenerally\tRB\tB-VP\tO' +p11683 +aS'is\tbe\tVBZ\tI-VP\tO' +p11684 +aS'in\tin\tIN\tB-PP\tO' +p11685 +aS'the\tthe\tDT\tB-NP\tO' +p11686 +aS'36-38\t36-38\tCD\tI-NP\tO' +p11687 +aS'range\trange\tNN\tI-NP\tO' +p11688 +aS'.\t.\t.\tO\tO' +p11689 +asS'Weight was 122.5 .' +p11690 +(lp11691 +S'Weight\tWeight\tNNP\tB-NP\tO' +p11692 +aS'was\tbe\tVBD\tB-VP\tO' +p11693 +aS'122.5\t122.5\tCD\tB-NP\tO' +p11694 +aS'.\t.\t.\tO\tO' +p11695 +asS'61 yo African-American-Hispanic male had abnormal EKG found as part of pre-op eval. for ventral hernia repair .' +p11696 +(lp11697 +S'61\t61\tCD\tB-NP\tO' +p11698 +aS'yo\tyo\tNN\tI-NP\tO' +p11699 +aS'African-American-Hispanic\tAfrican-American-Hispanic\tJJ\tI-NP\tO' +p11700 +aS'male\tmale\tNN\tI-NP\tO' +p11701 +aS'had\thave\tVBD\tB-VP\tO' +p11702 +aS'abnormal\tabnormal\tJJ\tB-NP\tO' +p11703 +aS'EKG\tEKG\tNN\tI-NP\tO' +p11704 +aS'found\tfind\tVBN\tB-VP\tO' +p11705 +aS'as\tas\tIN\tB-PP\tO' +p11706 +aS'part\tpart\tNN\tB-NP\tO' +p11707 +aS'of\tof\tIN\tB-PP\tO' +p11708 +aS'pre-op\tpre-op\tJJ\tB-NP\tO' +p11709 +aS'eval.\teval.\tNN\tI-NP\tO' +p11710 +aS'for\tfor\tIN\tB-PP\tO' +p11711 +aS'ventral\tventral\tJJ\tB-NP\tO' +p11712 +aS'hernia\thernia\tNN\tI-NP\tO' +p11713 +aS'repair\trepair\tNN\tI-NP\tO' +p11714 +aS'.\t.\t.\tO\tO' +p11715 +asS'Pericardial fluid analysis was consistent with an exudative etiology .' +p11716 +(lp11717 +S'Pericardial\tPericardial\tJJ\tB-NP\tO' +p11718 +aS'fluid\tfluid\tNN\tI-NP\tO' +p11719 +aS'analysis\tanalysis\tNN\tI-NP\tO' +p11720 +aS'was\tbe\tVBD\tB-VP\tO' +p11721 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p11722 +aS'with\twith\tIN\tB-PP\tO' +p11723 +aS'an\tan\tDT\tB-NP\tO' +p11724 +aS'exudative\texudative\tJJ\tI-NP\tO' +p11725 +aS'etiology\tetiology\tNN\tI-NP\tO' +p11726 +aS'.\t.\t.\tO\tO' +p11727 +asS'She has had chronic atrial fibrillation .' +p11728 +(lp11729 +S'She\tShe\tPRP\tB-NP\tO' +p11730 +aS'has\thave\tVBZ\tB-VP\tO' +p11731 +aS'had\thave\tVBN\tI-VP\tO' +p11732 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p11733 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p11734 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p11735 +aS'.\t.\t.\tO\tO' +p11736 +asS'5. Toprol XL .' +p11737 +(lp11738 +S'5.\t5.\tLS\tB-NP\tO' +p11739 +aS'Toprol\tToprol\tNN\tI-NP\tB-protein' +p11740 +aS'XL\tXL\tNN\tI-NP\tI-protein' +p11741 +aS'.\t.\t.\tO\tO' +p11742 +asS'Genitourinary normal female genitalia .' +p11743 +(lp11744 +S'Genitourinary\tGenitourinary\tJJ\tB-NP\tO' +p11745 +aS'normal\tnormal\tJJ\tI-NP\tO' +p11746 +aS'female\tfemale\tJJ\tI-NP\tO' +p11747 +aS'genitalia\tgenitalia\tNNS\tI-NP\tO' +p11748 +aS'.\t.\t.\tO\tO' +p11749 +asS'The patient subsequently underwent a cardiac catheterization on 2010-06-01 , which demonstrated no hemodynamically significant coronary artery disease , but critical aortic stenosis consistent with his echocardiogram study results .' +p11750 +(lp11751 +S'The\tThe\tDT\tB-NP\tO' +p11752 +aS'patient\tpatient\tNN\tI-NP\tO' +p11753 +aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' +p11754 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p11755 +aS'a\ta\tDT\tB-NP\tO' +p11756 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p11757 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p11758 +aS'on\ton\tIN\tB-PP\tO' +p11759 +aS'2010-06-01\t2010-06-01\tCD\tB-NP\tO' +p11760 +aS',\t,\t,\tO\tO' +p11761 +aS'which\twhich\tWDT\tB-NP\tO' +p11762 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p11763 +aS'no\tno\tDT\tB-NP\tO' +p11764 +aS'hemodynamically\themodynamically\tRB\tI-NP\tO' +p11765 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p11766 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p11767 +aS'artery\tartery\tNN\tI-NP\tO' +p11768 +aS'disease\tdisease\tNN\tI-NP\tO' +p11769 +aS',\t,\t,\tO\tO' +p11770 +aS'but\tbut\tCC\tO\tO' +p11771 +aS'critical\tcritical\tJJ\tB-NP\tO' +p11772 +aS'aortic\taortic\tJJ\tI-NP\tO' +p11773 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p11774 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p11775 +aS'with\twith\tIN\tB-PP\tO' +p11776 +aS'his\this\tPRP$\tB-NP\tO' +p11777 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p11778 +aS'study\tstudy\tNN\tI-NP\tO' +p11779 +aS'results\tresult\tNNS\tI-NP\tO' +p11780 +aS'.\t.\t.\tO\tO' +p11781 +asS'Abdominal series showed non-specific dilatation of the large bowel with no evidence of ileus .' +p11782 +(lp11783 +S'Abdominal\tAbdominal\tJJ\tB-NP\tO' +p11784 +aS'series\tseries\tNN\tI-NP\tO' +p11785 +aS'showed\tshow\tVBD\tB-VP\tO' +p11786 +aS'non-specific\tnon-specific\tJJ\tB-NP\tO' +p11787 +aS'dilatation\tdilatation\tNN\tI-NP\tO' +p11788 +aS'of\tof\tIN\tB-PP\tO' +p11789 +aS'the\tthe\tDT\tB-NP\tO' +p11790 +aS'large\tlarge\tJJ\tI-NP\tO' +p11791 +aS'bowel\tbowel\tNN\tI-NP\tO' +p11792 +aS'with\twith\tIN\tB-PP\tO' +p11793 +aS'no\tno\tDT\tB-NP\tO' +p11794 +aS'evidence\tevidence\tNN\tI-NP\tO' +p11795 +aS'of\tof\tIN\tB-PP\tO' +p11796 +aS'ileus\tileus\tNN\tB-NP\tO' +p11797 +aS'.\t.\t.\tO\tO' +p11798 +asS'There was no evidence of effusion .' +p11799 +(lp11800 +S'There\tThere\tEX\tB-NP\tO' +p11801 +aS'was\tbe\tVBD\tB-VP\tO' +p11802 +aS'no\tno\tDT\tB-NP\tO' +p11803 +aS'evidence\tevidence\tNN\tI-NP\tO' +p11804 +aS'of\tof\tIN\tB-PP\tO' +p11805 +aS'effusion\teffusion\tNN\tB-NP\tO' +p11806 +aS'.\t.\t.\tO\tO' +p11807 +asS'The rectum is unremarkable .' +p11808 +(lp11809 +S'The\tThe\tDT\tB-NP\tO' +p11810 +aS'rectum\trectum\tNN\tI-NP\tO' +p11811 +aS'is\tbe\tVBZ\tB-VP\tO' +p11812 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p11813 +aS'.\t.\t.\tO\tO' +p11814 +asS'Skin : well-healed surgical scars on lower back' +p11815 +(lp11816 +S'Skin\tSkin\tNN\tB-NP\tO' +p11817 +aS':\t:\t:\tO\tO' +p11818 +aS'well-healed\twell-healed\tJJ\tB-NP\tO' +p11819 +aS'surgical\tsurgical\tJJ\tI-NP\tO' +p11820 +aS'scars\tscar\tNNS\tI-NP\tO' +p11821 +aS'on\ton\tIN\tB-PP\tO' +p11822 +aS'lower\tlow\tJJR\tB-NP\tO' +p11823 +aS'back\tback\tRB\tB-ADVP\tO' +p11824 +asS'Patient should follow up with at plastic surgery clinic in 2 weeks .' +p11825 +(lp11826 +S'Patient\tPatient\tNN\tB-NP\tO' +p11827 +aS'should\tshould\tMD\tB-VP\tO' +p11828 +aS'follow\tfollow\tVB\tI-VP\tO' +p11829 +aS'up\tup\tRP\tB-PRT\tO' +p11830 +aS'with\twith\tIN\tB-PP\tO' +p11831 +aS'at\tat\tIN\tB-PP\tO' +p11832 +aS'plastic\tplastic\tNN\tB-NP\tO' +p11833 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p11834 +aS'clinic\tclinic\tNN\tI-NP\tO' +p11835 +aS'in\tin\tIN\tB-PP\tO' +p11836 +aS'2\t2\tCD\tB-NP\tO' +p11837 +aS'weeks\tweek\tNNS\tI-NP\tO' +p11838 +aS'.\t.\t.\tO\tO' +p11839 +asS'4. Prednisone 5 mg Tablet Sig : Three ( 3 ) Tablet PO DAILY ( Daily ) .' +p11840 +(lp11841 +S'4.\t4.\tLS\tB-NP\tO' +p11842 +aS'Prednisone\tPrednisone\tNN\tI-NP\tO' +p11843 +aS'5\t5\tCD\tI-NP\tO' +p11844 +aS'mg\tmg\tNN\tI-NP\tO' +p11845 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p11846 +aS'Sig\tSig\tNNP\tI-NP\tO' +p11847 +aS':\t:\t:\tO\tO' +p11848 +aS'Three\tThree\tCD\tB-NP\tO' +p11849 +aS'(\t(\t(\tO\tO' +p11850 +aS'3\t3\tCD\tB-NP\tO' +p11851 +aS')\t)\t)\tO\tO' +p11852 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p11853 +aS'PO\tPO\tNN\tI-NP\tO' +p11854 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p11855 +aS'(\t(\t(\tO\tO' +p11856 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p11857 +aS')\t)\t)\tO\tO' +p11858 +aS'.\t.\t.\tO\tO' +p11859 +asS'Wound check appointment 4 East as instructed by nurse ( 280-5326 )' +p11860 +(lp11861 +S'Wound\tWound\tJJ\tB-NP\tO' +p11862 +aS'check\tcheck\tNN\tI-NP\tO' +p11863 +aS'appointment\tappointment\tNN\tI-NP\tO' +p11864 +aS'4\t4\tCD\tI-NP\tO' +p11865 +aS'East\tEast\tNN\tI-NP\tO' +p11866 +aS'as\tas\tIN\tB-SBAR\tO' +p11867 +aS'instructed\tinstruct\tVBN\tB-VP\tO' +p11868 +aS'by\tby\tIN\tB-PP\tO' +p11869 +aS'nurse\tnurse\tNN\tB-NP\tO' +p11870 +aS'(\t(\t(\tO\tO' +p11871 +aS'280-5326\t280-5326\tCD\tB-NP\tO' +p11872 +aS')\t)\t)\tO\tO' +p11873 +asS'He was continued on observation and sitters and finally became more docile and cooperative .' +p11874 +(lp11875 +S'He\tHe\tPRP\tB-NP\tO' +p11876 +aS'was\tbe\tVBD\tB-VP\tO' +p11877 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p11878 +aS'on\ton\tIN\tB-PP\tO' +p11879 +aS'observation\tobservation\tNN\tB-NP\tO' +p11880 +aS'and\tand\tCC\tI-NP\tO' +p11881 +aS'sitters\tsitter\tNNS\tI-NP\tO' +p11882 +aS'and\tand\tCC\tO\tO' +p11883 +aS'finally\tfinally\tRB\tB-VP\tO' +p11884 +aS'became\tbecome\tVBD\tI-VP\tO' +p11885 +aS'more\tmore\tJJR\tB-NP\tO' +p11886 +aS'docile\tdocile\tNN\tI-NP\tO' +p11887 +aS'and\tand\tCC\tI-NP\tO' +p11888 +aS'cooperative\tcooperative\tNN\tI-NP\tO' +p11889 +aS'.\t.\t.\tO\tO' +p11890 +asS'She came from Czech Republic 14 years ago .' +p11891 +(lp11892 +S'She\tShe\tPRP\tB-NP\tO' +p11893 +aS'came\tcome\tVBD\tB-VP\tO' +p11894 +aS'from\tfrom\tIN\tB-PP\tO' +p11895 +aS'Czech\tCzech\tNNP\tB-NP\tO' +p11896 +aS'Republic\tRepublic\tNNP\tI-NP\tO' +p11897 +aS'14\t14\tCD\tB-NP\tO' +p11898 +aS'years\tyear\tNNS\tI-NP\tO' +p11899 +aS'ago\tago\tRB\tB-ADVP\tO' +p11900 +aS'.\t.\t.\tO\tO' +p11901 +asS'Abdomen was soft , nontender , nondistended with positive bowel sounds .' +p11902 +(lp11903 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p11904 +aS'was\tbe\tVBD\tB-VP\tO' +p11905 +aS'soft\tsoft\tJJ\tB-NP\tO' +p11906 +aS',\t,\t,\tI-NP\tO' +p11907 +aS'nontender\tnontender\tJJ\tI-NP\tO' +p11908 +aS',\t,\t,\tI-NP\tO' +p11909 +aS'nondistended\tnondistended\tJJ\tI-NP\tO' +p11910 +aS'with\twith\tIN\tB-PP\tO' +p11911 +aS'positive\tpositive\tJJ\tB-NP\tO' +p11912 +aS'bowel\tbowel\tNN\tI-NP\tO' +p11913 +aS'sounds\tsound\tNNS\tI-NP\tO' +p11914 +aS'.\t.\t.\tO\tO' +p11915 +asS'He does become slightly short of breath when lifting furniture .' +p11916 +(lp11917 +S'He\tHe\tPRP\tB-NP\tO' +p11918 +aS'does\tdo\tVBZ\tB-VP\tO' +p11919 +aS'become\tbecome\tVB\tI-VP\tO' +p11920 +aS'slightly\tslightly\tRB\tB-ADJP\tO' +p11921 +aS'short\tshort\tJJ\tI-ADJP\tO' +p11922 +aS'of\tof\tIN\tB-PP\tO' +p11923 +aS'breath\tbreath\tNN\tB-NP\tO' +p11924 +aS'when\twhen\tWRB\tB-ADVP\tO' +p11925 +aS'lifting\tlift\tVBG\tB-VP\tO' +p11926 +aS'furniture\tfurniture\tNN\tB-NP\tO' +p11927 +aS'.\t.\t.\tO\tO' +p11928 +asS'Diagonal 1 also had a 99% stenosis .' +p11929 +(lp11930 +S'Diagonal\tDiagonal\tJJ\tB-NP\tO' +p11931 +aS'1\t1\tCD\tI-NP\tO' +p11932 +aS'also\talso\tRB\tB-ADVP\tO' +p11933 +aS'had\thave\tVBD\tB-VP\tO' +p11934 +aS'a\ta\tDT\tB-NP\tO' +p11935 +aS'99%\t99%\tCD\tI-NP\tO' +p11936 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p11937 +aS'.\t.\t.\tO\tO' +p11938 +asS'A chest x-ray disclosed a left pleural effusion .' +p11939 +(lp11940 +S'A\tA\tDT\tB-NP\tO' +p11941 +aS'chest\tchest\tNN\tI-NP\tO' +p11942 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p11943 +aS'disclosed\tdisclose\tVBD\tB-VP\tO' +p11944 +aS'a\ta\tDT\tB-NP\tO' +p11945 +aS'left\tleft\tJJ\tI-NP\tO' +p11946 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p11947 +aS'effusion\teffusion\tNN\tI-NP\tO' +p11948 +aS'.\t.\t.\tO\tO' +p11949 +asS'Soft , nd , hypoactive bowel sounds' +p11950 +(lp11951 +S'Soft\tSoft\tRB\tB-ADVP\tO' +p11952 +aS',\t,\t,\tO\tO' +p11953 +aS'nd\tnd\tNN\tB-NP\tO' +p11954 +aS',\t,\t,\tO\tO' +p11955 +aS'hypoactive\thypoactive\tJJ\tB-NP\tO' +p11956 +aS'bowel\tbowel\tNN\tI-NP\tO' +p11957 +aS'sounds\tsound\tNNS\tI-NP\tO' +p11958 +asS'Very early in the morning on postoperative day # 3 , the patient became acutely hypoxic after several hours of marginal oxygenation with respiratory rates in the thirties and the patient was urgently intubated , without complication .' +p11959 +(lp11960 +S'Very\tVery\tRB\tB-ADVP\tO' +p11961 +aS'early\tearly\tRB\tI-ADVP\tO' +p11962 +aS'in\tin\tIN\tB-PP\tO' +p11963 +aS'the\tthe\tDT\tB-NP\tO' +p11964 +aS'morning\tmorning\tNN\tI-NP\tO' +p11965 +aS'on\ton\tIN\tB-PP\tO' +p11966 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p11967 +aS'day\tday\tNN\tI-NP\tO' +p11968 +aS'#\t#\t#\tB-NP\tO' +p11969 +aS'3\t3\tCD\tI-NP\tO' +p11970 +aS',\t,\t,\tO\tO' +p11971 +aS'the\tthe\tDT\tB-NP\tO' +p11972 +aS'patient\tpatient\tNN\tI-NP\tO' +p11973 +aS'became\tbecome\tVBD\tB-VP\tO' +p11974 +aS'acutely\tacutely\tRB\tB-ADJP\tO' +p11975 +aS'hypoxic\thypoxic\tJJ\tI-ADJP\tO' +p11976 +aS'after\tafter\tIN\tB-PP\tO' +p11977 +aS'several\tseveral\tJJ\tB-NP\tO' +p11978 +aS'hours\thour\tNNS\tI-NP\tO' +p11979 +aS'of\tof\tIN\tB-PP\tO' +p11980 +aS'marginal\tmarginal\tJJ\tB-NP\tO' +p11981 +aS'oxygenation\toxygenation\tNN\tI-NP\tO' +p11982 +aS'with\twith\tIN\tB-PP\tO' +p11983 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p11984 +aS'rates\trate\tNNS\tI-NP\tO' +p11985 +aS'in\tin\tIN\tB-PP\tO' +p11986 +aS'the\tthe\tDT\tB-NP\tO' +p11987 +aS'thirties\tthirty\tNNS\tI-NP\tO' +p11988 +aS'and\tand\tCC\tO\tO' +p11989 +aS'the\tthe\tDT\tB-NP\tO' +p11990 +aS'patient\tpatient\tNN\tI-NP\tO' +p11991 +aS'was\tbe\tVBD\tB-VP\tO' +p11992 +aS'urgently\turgently\tRB\tI-VP\tO' +p11993 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p11994 +aS',\t,\t,\tO\tO' +p11995 +aS'without\twithout\tIN\tB-PP\tO' +p11996 +aS'complication\tcomplication\tNN\tB-NP\tO' +p11997 +aS'.\t.\t.\tO\tO' +p11998 +asS'There was cardiomegaly with prominent vascularity , but no effusions .' +p11999 +(lp12000 +S'There\tThere\tEX\tB-NP\tO' +p12001 +aS'was\tbe\tVBD\tB-VP\tO' +p12002 +aS'cardiomegaly\tcardiomegaly\tRB\tB-ADVP\tO' +p12003 +aS'with\twith\tIN\tB-PP\tO' +p12004 +aS'prominent\tprominent\tJJ\tB-NP\tO' +p12005 +aS'vascularity\tvascularity\tNN\tI-NP\tO' +p12006 +aS',\t,\t,\tO\tO' +p12007 +aS'but\tbut\tCC\tO\tO' +p12008 +aS'no\tno\tDT\tB-NP\tO' +p12009 +aS'effusions\teffusion\tNNS\tI-NP\tO' +p12010 +aS'.\t.\t.\tO\tO' +p12011 +asS'The patient is an 83-year-old male with a history of diabetes mellitus , steroid-treated polymyalgia rheumatica , hypertension , benign prostatic hypertrophy , and high cholesterol who presented for a lower extremity peripheral angiography for bilateral foot ulcers , and he was found to an evaluated blood urea nitrogen , and creatinine , and potassium .' +p12012 +(lp12013 +S'The\tThe\tDT\tB-NP\tO' +p12014 +aS'patient\tpatient\tNN\tI-NP\tO' +p12015 +aS'is\tbe\tVBZ\tB-VP\tO' +p12016 +aS'an\tan\tDT\tB-NP\tO' +p12017 +aS'83-year-old\t83-year-old\tJJ\tI-NP\tO' +p12018 +aS'male\tmale\tNN\tI-NP\tO' +p12019 +aS'with\twith\tIN\tB-PP\tO' +p12020 +aS'a\ta\tDT\tB-NP\tO' +p12021 +aS'history\thistory\tNN\tI-NP\tO' +p12022 +aS'of\tof\tIN\tB-PP\tO' +p12023 +aS'diabetes\tdiabetes\tNN\tB-NP\tO' +p12024 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p12025 +aS',\t,\t,\tO\tO' +p12026 +aS'steroid-treated\tsteroid-treated\tJJ\tB-NP\tO' +p12027 +aS'polymyalgia\tpolymyalgia\tNN\tI-NP\tO' +p12028 +aS'rheumatica\trheumatica\tNN\tI-NP\tO' +p12029 +aS',\t,\t,\tO\tO' +p12030 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p12031 +aS',\t,\t,\tO\tO' +p12032 +aS'benign\tbenign\tJJ\tB-NP\tO' +p12033 +aS'prostatic\tprostatic\tJJ\tI-NP\tO' +p12034 +aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' +p12035 +aS',\t,\t,\tO\tO' +p12036 +aS'and\tand\tCC\tO\tO' +p12037 +aS'high\thigh\tJJ\tB-NP\tO' +p12038 +aS'cholesterol\tcholesterol\tNN\tI-NP\tO' +p12039 +aS'who\twho\tWP\tB-NP\tO' +p12040 +aS'presented\tpresent\tVBD\tB-VP\tO' +p12041 +aS'for\tfor\tIN\tB-PP\tO' +p12042 +aS'a\ta\tDT\tB-NP\tO' +p12043 +aS'lower\tlow\tJJR\tI-NP\tO' +p12044 +aS'extremity\textremity\tNN\tI-NP\tO' +p12045 +aS'peripheral\tperipheral\tJJ\tI-NP\tO' +p12046 +aS'angiography\tangiography\tNN\tI-NP\tO' +p12047 +aS'for\tfor\tIN\tB-PP\tO' +p12048 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p12049 +aS'foot\tfoot\tNN\tI-NP\tO' +p12050 +aS'ulcers\tulcer\tNNS\tI-NP\tO' +p12051 +aS',\t,\t,\tO\tO' +p12052 +aS'and\tand\tCC\tO\tO' +p12053 +aS'he\the\tPRP\tB-NP\tO' +p12054 +aS'was\tbe\tVBD\tB-VP\tO' +p12055 +aS'found\tfind\tVBN\tI-VP\tO' +p12056 +aS'to\tto\tTO\tB-PP\tO' +p12057 +aS'an\tan\tDT\tB-NP\tO' +p12058 +aS'evaluated\tevaluate\tVBN\tI-NP\tO' +p12059 +aS'blood\tblood\tNN\tI-NP\tO' +p12060 +aS'urea\turea\tNN\tI-NP\tO' +p12061 +aS'nitrogen\tnitrogen\tNN\tI-NP\tO' +p12062 +aS',\t,\t,\tO\tO' +p12063 +aS'and\tand\tCC\tO\tO' +p12064 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p12065 +aS',\t,\t,\tO\tO' +p12066 +aS'and\tand\tCC\tO\tO' +p12067 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p12068 +aS'.\t.\t.\tO\tO' +p12069 +asS'A transvenous pacing wire was attempted and a pacing rhythm was obtained but with no palpable blood pressure .' +p12070 +(lp12071 +S'A\tA\tDT\tB-NP\tO' +p12072 +aS'transvenous\ttransvenous\tJJ\tI-NP\tO' +p12073 +aS'pacing\tpacing\tNN\tI-NP\tO' +p12074 +aS'wire\twire\tNN\tI-NP\tO' +p12075 +aS'was\tbe\tVBD\tB-VP\tO' +p12076 +aS'attempted\tattempt\tVBN\tI-VP\tO' +p12077 +aS'and\tand\tCC\tO\tO' +p12078 +aS'a\ta\tDT\tB-NP\tO' +p12079 +aS'pacing\tpacing\tNN\tI-NP\tO' +p12080 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p12081 +aS'was\tbe\tVBD\tB-VP\tO' +p12082 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p12083 +aS'but\tbut\tCC\tO\tO' +p12084 +aS'with\twith\tIN\tB-PP\tO' +p12085 +aS'no\tno\tDT\tB-NP\tO' +p12086 +aS'palpable\tpalpable\tJJ\tI-NP\tO' +p12087 +aS'blood\tblood\tNN\tI-NP\tO' +p12088 +aS'pressure\tpressure\tNN\tI-NP\tO' +p12089 +aS'.\t.\t.\tO\tO' +p12090 +asS'At that time , it seems that he had been on T peace since 4 am today .' +p12091 +(lp12092 +S'At\tAt\tIN\tB-PP\tO' +p12093 +aS'that\tthat\tDT\tB-NP\tO' +p12094 +aS'time\ttime\tNN\tI-NP\tO' +p12095 +aS',\t,\t,\tO\tO' +p12096 +aS'it\tit\tPRP\tB-NP\tO' +p12097 +aS'seems\tseem\tVBZ\tB-VP\tO' +p12098 +aS'that\tthat\tIN\tB-SBAR\tO' +p12099 +aS'he\the\tPRP\tB-NP\tO' +p12100 +aS'had\thave\tVBD\tB-VP\tO' +p12101 +aS'been\tbe\tVBN\tI-VP\tO' +p12102 +aS'on\ton\tIN\tB-PP\tO' +p12103 +aS'T\tT\tNN\tB-NP\tO' +p12104 +aS'peace\tpeace\tNN\tI-NP\tO' +p12105 +aS'since\tsince\tIN\tB-PP\tO' +p12106 +aS'4\t4\tCD\tB-NP\tO' +p12107 +aS'am\tam\tNN\tI-NP\tO' +p12108 +aS'today\ttoday\tNN\tB-NP\tO' +p12109 +aS'.\t.\t.\tO\tO' +p12110 +asS'Therefore , home 02 was recommended on discharge .' +p12111 +(lp12112 +S'Therefore\tTherefore\tRB\tB-ADVP\tO' +p12113 +aS',\t,\t,\tO\tO' +p12114 +aS'home\thome\tNN\tB-NP\tO' +p12115 +aS'02\t02\tCD\tI-NP\tO' +p12116 +aS'was\tbe\tVBD\tB-VP\tO' +p12117 +aS'recommended\trecommend\tVBN\tI-VP\tO' +p12118 +aS'on\ton\tIN\tB-PP\tO' +p12119 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p12120 +aS'.\t.\t.\tO\tO' +p12121 +asS'He was evaluated by the speech and swallow pathology group at the Ph University Of Medical Center and it was decided that he was able to swallow on his own with a soft solid diet with supervision .' +p12122 +(lp12123 +S'He\tHe\tPRP\tB-NP\tO' +p12124 +aS'was\tbe\tVBD\tB-VP\tO' +p12125 +aS'evaluated\tevaluate\tVBN\tI-VP\tO' +p12126 +aS'by\tby\tIN\tB-PP\tO' +p12127 +aS'the\tthe\tDT\tB-NP\tO' +p12128 +aS'speech\tspeech\tNN\tI-NP\tO' +p12129 +aS'and\tand\tCC\tO\tO' +p12130 +aS'swallow\tswallow\tVB\tB-VP\tO' +p12131 +aS'pathology\tpathology\tNN\tB-NP\tO' +p12132 +aS'group\tgroup\tNN\tI-NP\tO' +p12133 +aS'at\tat\tIN\tB-PP\tO' +p12134 +aS'the\tthe\tDT\tB-NP\tO' +p12135 +aS'Ph\tPh\tNNP\tI-NP\tO' +p12136 +aS'University\tUniversity\tNNP\tI-NP\tO' +p12137 +aS'Of\tOf\tNNP\tI-NP\tO' +p12138 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p12139 +aS'Center\tCenter\tNNP\tI-NP\tO' +p12140 +aS'and\tand\tCC\tO\tO' +p12141 +aS'it\tit\tPRP\tB-NP\tO' +p12142 +aS'was\tbe\tVBD\tB-VP\tO' +p12143 +aS'decided\tdecide\tVBN\tI-VP\tO' +p12144 +aS'that\tthat\tIN\tB-SBAR\tO' +p12145 +aS'he\the\tPRP\tB-NP\tO' +p12146 +aS'was\tbe\tVBD\tB-VP\tO' +p12147 +aS'able\table\tJJ\tB-ADJP\tO' +p12148 +aS'to\tto\tTO\tB-VP\tO' +p12149 +aS'swallow\tswallow\tVB\tI-VP\tO' +p12150 +aS'on\ton\tIN\tB-PP\tO' +p12151 +aS'his\this\tPRP$\tB-NP\tO' +p12152 +aS'own\town\tJJ\tI-NP\tO' +p12153 +aS'with\twith\tIN\tB-PP\tO' +p12154 +aS'a\ta\tDT\tB-NP\tO' +p12155 +aS'soft\tsoft\tJJ\tI-NP\tO' +p12156 +aS'solid\tsolid\tJJ\tI-NP\tO' +p12157 +aS'diet\tdiet\tNN\tI-NP\tO' +p12158 +aS'with\twith\tIN\tB-PP\tO' +p12159 +aS'supervision\tsupervision\tNN\tB-NP\tO' +p12160 +aS'.\t.\t.\tO\tO' +p12161 +asS'4) ECHO ( 06-18 ): Mild symmetric left ventricular hypertrophy with preserved biventricular systolic function .' +p12162 +(lp12163 +S'4)\t4)\tLS\tB-NP\tO' +p12164 +aS'ECHO\tECHO\tNN\tI-NP\tB-protein' +p12165 +aS'(\t(\t(\tO\tO' +p12166 +aS'06-18\t06-18\tCD\tB-NP\tO' +p12167 +aS'):\t):\t)\tO\tO' +p12168 +aS'Mild\tMild\tNNP\tB-NP\tO' +p12169 +aS'symmetric\tsymmetric\tJJ\tI-NP\tO' +p12170 +aS'left\tleft\tJJ\tI-NP\tO' +p12171 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p12172 +aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' +p12173 +aS'with\twith\tIN\tB-PP\tO' +p12174 +aS'preserved\tpreserve\tVBN\tB-NP\tO' +p12175 +aS'biventricular\tbiventricular\tJJ\tI-NP\tO' +p12176 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p12177 +aS'function\tfunction\tNN\tI-NP\tO' +p12178 +aS'.\t.\t.\tO\tO' +p12179 +asS'Slow-Mag 2 tablets PO bid , Ativan 1 mg sublingually q4h prn nausea .' +p12180 +(lp12181 +S'Slow-Mag\tSlow-Mag\tJJ\tB-NP\tO' +p12182 +aS'2\t2\tCD\tI-NP\tO' +p12183 +aS'tablets\ttablet\tNNS\tI-NP\tO' +p12184 +aS'PO\tPO\tNN\tI-NP\tO' +p12185 +aS'bid\tbid\tNN\tI-NP\tO' +p12186 +aS',\t,\t,\tO\tO' +p12187 +aS'Ativan\tAtivan\tNNP\tB-NP\tO' +p12188 +aS'1\t1\tCD\tI-NP\tO' +p12189 +aS'mg\tmg\tNN\tI-NP\tO' +p12190 +aS'sublingually\tsublingually\tRB\tB-NP\tO' +p12191 +aS'q4h\tq4h\tNN\tI-NP\tO' +p12192 +aS'prn\tprn\tNN\tI-NP\tO' +p12193 +aS'nausea\tnausea\tNN\tI-NP\tO' +p12194 +aS'.\t.\t.\tO\tO' +p12195 +asS'- Seek medical attention for fevers ( temp > 101.5 ) , worsening pain , drainage or excessive bleeding from incision , chest pain , shortness of breath , or any other symptoms of concern .' +p12196 +(lp12197 +S'-\t-\tHYPH\tB-NP\tO' +p12198 +aS'Seek\tSeek\tNN\tI-NP\tO' +p12199 +aS'medical\tmedical\tJJ\tI-NP\tO' +p12200 +aS'attention\tattention\tNN\tI-NP\tO' +p12201 +aS'for\tfor\tIN\tB-PP\tO' +p12202 +aS'fevers\tfever\tNNS\tB-NP\tO' +p12203 +aS'(\t(\t(\tO\tO' +p12204 +aS'temp\ttemp\tNN\tB-NP\tO' +p12205 +aS'>\t>\tCC\tO\tO' +p12206 +aS'101.5\t101.5\tCD\tB-NP\tO' +p12207 +aS')\t)\t)\tO\tO' +p12208 +aS',\t,\t,\tO\tO' +p12209 +aS'worsening\tworsen\tVBG\tB-VP\tO' +p12210 +aS'pain\tpain\tNN\tB-NP\tO' +p12211 +aS',\t,\t,\tO\tO' +p12212 +aS'drainage\tdrainage\tNN\tB-NP\tO' +p12213 +aS'or\tor\tCC\tO\tO' +p12214 +aS'excessive\texcessive\tJJ\tB-NP\tO' +p12215 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p12216 +aS'from\tfrom\tIN\tB-PP\tO' +p12217 +aS'incision\tincision\tNN\tB-NP\tO' +p12218 +aS',\t,\t,\tO\tO' +p12219 +aS'chest\tchest\tNN\tB-NP\tO' +p12220 +aS'pain\tpain\tNN\tI-NP\tO' +p12221 +aS',\t,\t,\tO\tO' +p12222 +aS'shortness\tshortness\tNN\tB-NP\tO' +p12223 +aS'of\tof\tIN\tB-PP\tO' +p12224 +aS'breath\tbreath\tNN\tB-NP\tO' +p12225 +aS',\t,\t,\tO\tO' +p12226 +aS'or\tor\tCC\tO\tO' +p12227 +aS'any\tany\tDT\tB-NP\tO' +p12228 +aS'other\tother\tJJ\tI-NP\tO' +p12229 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p12230 +aS'of\tof\tIN\tB-PP\tO' +p12231 +aS'concern\tconcern\tNN\tB-NP\tO' +p12232 +aS'.\t.\t.\tO\tO' +p12233 +asS'During this admission you have been treated for a CHF exacerbation .' +p12234 +(lp12235 +S'During\tDuring\tIN\tB-PP\tO' +p12236 +aS'this\tthis\tDT\tB-NP\tO' +p12237 +aS'admission\tadmission\tNN\tI-NP\tO' +p12238 +aS'you\tyou\tPRP\tB-NP\tO' +p12239 +aS'have\thave\tVBP\tB-VP\tO' +p12240 +aS'been\tbe\tVBN\tI-VP\tO' +p12241 +aS'treated\ttreat\tVBN\tI-VP\tO' +p12242 +aS'for\tfor\tIN\tB-PP\tO' +p12243 +aS'a\ta\tDT\tB-NP\tO' +p12244 +aS'CHF\tCHF\tNN\tI-NP\tO' +p12245 +aS'exacerbation\texacerbation\tNN\tI-NP\tO' +p12246 +aS'.\t.\t.\tO\tO' +p12247 +asS'RRR , nl s1 , s2 , no m/r/g' +p12248 +(lp12249 +S'RRR\tRRR\tNN\tB-NP\tB-protein' +p12250 +aS',\t,\t,\tO\tO' +p12251 +aS'nl\tnl\tNN\tB-NP\tB-protein' +p12252 +aS's1\ts1\tNN\tI-NP\tI-protein' +p12253 +aS',\t,\t,\tO\tO' +p12254 +aS's2\ts2\tNN\tB-NP\tB-protein' +p12255 +aS',\t,\t,\tO\tO' +p12256 +aS'no\tno\tDT\tB-NP\tO' +p12257 +aS'm/r/g\tm/r/g\tNN\tI-NP\tO' +p12258 +asS'3. mild hypomagnesemia .' +p12259 +(lp12260 +S'3.\t3.\tLS\tB-NP\tO' +p12261 +aS'mild\tmild\tJJ\tI-NP\tO' +p12262 +aS'hypomagnesemia\thypomagnesemia\tNN\tI-NP\tO' +p12263 +aS'.\t.\t.\tO\tO' +p12264 +asS'Lisinopril 2.5 qday , Buspiron 20 mg po qday , Digoxin , Doxasozin 8 mg qhs , Glyburide 2.5 mg qday , metoprolol bid , atorvastatin 20 mg qday , warfarin 5 mg qday' +p12265 +(lp12266 +S'Lisinopril\tLisinopril\tNNP\tB-NP\tO' +p12267 +aS'2.5\t2.5\tCD\tI-NP\tO' +p12268 +aS'qday\tqday\tNNP\tI-NP\tO' +p12269 +aS',\t,\t,\tI-NP\tO' +p12270 +aS'Buspiron\tBuspiron\tNNP\tI-NP\tO' +p12271 +aS'20\t20\tCD\tI-NP\tO' +p12272 +aS'mg\tmg\tNN\tI-NP\tO' +p12273 +aS'po\tpo\tNN\tI-NP\tO' +p12274 +aS'qday\tqday\tNN\tI-NP\tO' +p12275 +aS',\t,\t,\tO\tO' +p12276 +aS'Digoxin\tDigoxin\tNN\tB-NP\tO' +p12277 +aS',\t,\t,\tO\tO' +p12278 +aS'Doxasozin\tDoxasozin\tNN\tB-NP\tO' +p12279 +aS'8\t8\tCD\tI-NP\tO' +p12280 +aS'mg\tmg\tNN\tI-NP\tO' +p12281 +aS'qhs\tqh\tNNS\tI-NP\tO' +p12282 +aS',\t,\t,\tO\tO' +p12283 +aS'Glyburide\tGlyburide\tNN\tB-NP\tO' +p12284 +aS'2.5\t2.5\tCD\tI-NP\tO' +p12285 +aS'mg\tmg\tNN\tI-NP\tO' +p12286 +aS'qday\tqday\tNN\tI-NP\tO' +p12287 +aS',\t,\t,\tO\tO' +p12288 +aS'metoprolol\tmetoprolol\tNN\tB-NP\tO' +p12289 +aS'bid\tbid\tNN\tI-NP\tO' +p12290 +aS',\t,\t,\tO\tO' +p12291 +aS'atorvastatin\tatorvastatin\tNN\tB-NP\tO' +p12292 +aS'20\t20\tCD\tI-NP\tO' +p12293 +aS'mg\tmg\tNN\tI-NP\tO' +p12294 +aS'qday\tqday\tNN\tI-NP\tO' +p12295 +aS',\t,\t,\tO\tO' +p12296 +aS'warfarin\twarfarin\tNN\tB-NP\tO' +p12297 +aS'5\t5\tCD\tI-NP\tO' +p12298 +aS'mg\tmg\tNN\tI-NP\tO' +p12299 +aS'qday\tqday\tNN\tI-NP\tO' +p12300 +asS'Responsible After Study for Causing Admission ) IUP at 36 weeks , delivered' +p12301 +(lp12302 +S'Responsible\tResponsible\tJJ\tB-ADJP\tO' +p12303 +aS'After\tAfter\tIN\tB-PP\tO' +p12304 +aS'Study\tStudy\tNN\tB-NP\tO' +p12305 +aS'for\tfor\tIN\tB-PP\tO' +p12306 +aS'Causing\tCause\tVBG\tB-VP\tO' +p12307 +aS'Admission\tAdmission\tNN\tB-NP\tO' +p12308 +aS')\t)\t)\tO\tO' +p12309 +aS'IUP\tIUP\tNN\tB-NP\tO' +p12310 +aS'at\tat\tIN\tB-PP\tO' +p12311 +aS'36\t36\tCD\tB-NP\tO' +p12312 +aS'weeks\tweek\tNNS\tI-NP\tO' +p12313 +aS',\t,\t,\tO\tO' +p12314 +aS'delivered\tdeliver\tVBN\tB-VP\tO' +p12315 +asS'This is a 73-year-old man with squamous cell carcinoma of the lung , status post lobectomy and resection of left cervical recurrence , admitted here with fever and neutropenia .' +p12316 +(lp12317 +S'This\tThis\tDT\tB-NP\tO' +p12318 +aS'is\tbe\tVBZ\tB-VP\tO' +p12319 +aS'a\ta\tDT\tB-NP\tO' +p12320 +aS'73-year-old\t73-year-old\tJJ\tI-NP\tO' +p12321 +aS'man\tman\tNN\tI-NP\tO' +p12322 +aS'with\twith\tIN\tB-PP\tO' +p12323 +aS'squamous\tsquamous\tJJ\tB-NP\tO' +p12324 +aS'cell\tcell\tNN\tI-NP\tO' +p12325 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p12326 +aS'of\tof\tIN\tB-PP\tO' +p12327 +aS'the\tthe\tDT\tB-NP\tO' +p12328 +aS'lung\tlung\tNN\tI-NP\tO' +p12329 +aS',\t,\t,\tO\tO' +p12330 +aS'status\tstatus\tNN\tB-NP\tO' +p12331 +aS'post\tpost\tNN\tI-NP\tO' +p12332 +aS'lobectomy\tlobectomy\tNN\tI-NP\tO' +p12333 +aS'and\tand\tCC\tO\tO' +p12334 +aS'resection\tresection\tNN\tB-NP\tO' +p12335 +aS'of\tof\tIN\tB-PP\tO' +p12336 +aS'left\tleft\tJJ\tB-NP\tO' +p12337 +aS'cervical\tcervical\tJJ\tI-NP\tO' +p12338 +aS'recurrence\trecurrence\tNN\tI-NP\tO' +p12339 +aS',\t,\t,\tO\tO' +p12340 +aS'admitted\tadmit\tVBN\tB-VP\tO' +p12341 +aS'here\there\tRB\tB-ADVP\tO' +p12342 +aS'with\twith\tIN\tB-PP\tO' +p12343 +aS'fever\tfever\tNN\tB-NP\tO' +p12344 +aS'and\tand\tCC\tI-NP\tO' +p12345 +aS'neutropenia\tneutropenia\tNN\tI-NP\tO' +p12346 +aS'.\t.\t.\tO\tO' +p12347 +asS'After multiple discussion with family and the doctor accepting the patient at Women and Infants Hospital( Dr . Pauling ) at RI .' +p12348 +(lp12349 +S'After\tAfter\tIN\tB-PP\tO' +p12350 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p12351 +aS'discussion\tdiscussion\tNN\tI-NP\tO' +p12352 +aS'with\twith\tIN\tB-PP\tO' +p12353 +aS'family\tfamily\tNN\tB-NP\tO' +p12354 +aS'and\tand\tCC\tO\tO' +p12355 +aS'the\tthe\tDT\tB-NP\tO' +p12356 +aS'doctor\tdoctor\tNN\tI-NP\tO' +p12357 +aS'accepting\taccept\tVBG\tB-VP\tO' +p12358 +aS'the\tthe\tDT\tB-NP\tO' +p12359 +aS'patient\tpatient\tNN\tI-NP\tO' +p12360 +aS'at\tat\tIN\tB-PP\tO' +p12361 +aS'Women\tWoman\tNNS\tB-NP\tO' +p12362 +aS'and\tand\tCC\tO\tO' +p12363 +aS'Infants\tInfants\tNNP\tB-NP\tO' +p12364 +aS'Hospital(\tHospital(\tNNP\tI-NP\tO' +p12365 +aS'Dr\tDr\tNNP\tI-NP\tO' +p12366 +aS'.\t.\t.\tI-NP\tO' +p12367 +aS'Pauling\tPauling\tNNP\tI-NP\tO' +p12368 +aS')\t)\t)\tO\tO' +p12369 +aS'at\tat\tIN\tB-PP\tO' +p12370 +aS'RI\tRI\tNN\tB-NP\tB-protein' +p12371 +aS'.\t.\t.\tO\tO' +p12372 +asS'No thrush .' +p12373 +(lp12374 +S'No\tNo\tDT\tB-NP\tO' +p12375 +aS'thrush\tthrush\tNN\tI-NP\tO' +p12376 +aS'.\t.\t.\tO\tO' +p12377 +asS'There were no known drug allergies .' +p12378 +(lp12379 +S'There\tThere\tEX\tB-NP\tO' +p12380 +aS'were\tbe\tVBD\tB-VP\tO' +p12381 +aS'no\tno\tDT\tB-NP\tO' +p12382 +aS'known\tknow\tVBN\tI-NP\tO' +p12383 +aS'drug\tdrug\tNN\tI-NP\tO' +p12384 +aS'allergies\tallergy\tNNS\tI-NP\tO' +p12385 +aS'.\t.\t.\tO\tO' +p12386 +asS'Transdermal nitroglycerin caused headache .' +p12387 +(lp12388 +S'Transdermal\tTransdermal\tJJ\tB-NP\tO' +p12389 +aS'nitroglycerin\tnitroglycerin\tNN\tI-NP\tO' +p12390 +aS'caused\tcause\tVBD\tB-VP\tO' +p12391 +aS'headache\theadache\tNN\tB-NP\tO' +p12392 +aS'.\t.\t.\tO\tO' +p12393 +asS'Curtis van den Moreno MD 07-506' +p12394 +(lp12395 +S'Curtis\tCurtis\tNNP\tB-NP\tO' +p12396 +aS'van\tvan\tNNP\tI-NP\tO' +p12397 +aS'den\tden\tNNP\tI-NP\tO' +p12398 +aS'Moreno\tMoreno\tNNP\tI-NP\tO' +p12399 +aS'MD\tMD\tNNP\tI-NP\tO' +p12400 +aS'07-506\t07-506\tCD\tI-NP\tO' +p12401 +asS'As she starting taking some foods , her glargine was decrease .' +p12402 +(lp12403 +S'As\tAs\tIN\tB-SBAR\tO' +p12404 +aS'she\tshe\tPRP\tB-NP\tO' +p12405 +aS'starting\tstart\tVBG\tB-VP\tO' +p12406 +aS'taking\ttake\tVBG\tI-VP\tO' +p12407 +aS'some\tsome\tDT\tB-NP\tO' +p12408 +aS'foods\tfood\tNNS\tI-NP\tO' +p12409 +aS',\t,\t,\tO\tO' +p12410 +aS'her\ther\tPRP$\tB-NP\tO' +p12411 +aS'glargine\tglargine\tNN\tI-NP\tO' +p12412 +aS'was\tbe\tVBD\tB-VP\tO' +p12413 +aS'decrease\tdecrease\tNN\tB-NP\tO' +p12414 +aS'.\t.\t.\tO\tO' +p12415 +asS'The cough was mostly nonproductive .' +p12416 +(lp12417 +S'The\tThe\tDT\tB-NP\tO' +p12418 +aS'cough\tcough\tNN\tI-NP\tO' +p12419 +aS'was\tbe\tVBD\tB-VP\tO' +p12420 +aS'mostly\tmostly\tRB\tB-ADJP\tO' +p12421 +aS'nonproductive\tnonproductive\tJJ\tI-ADJP\tO' +p12422 +aS'.\t.\t.\tO\tO' +p12423 +asS'(3) In 1967 he had an orchiopexy for undescended testicle .' +p12424 +(lp12425 +S'(3)\t(3)\tLS\tB-LST\tO' +p12426 +aS'In\tIn\tIN\tB-PP\tO' +p12427 +aS'1967\t1967\tCD\tB-NP\tO' +p12428 +aS'he\the\tPRP\tB-NP\tO' +p12429 +aS'had\thave\tVBD\tB-VP\tO' +p12430 +aS'an\tan\tDT\tB-NP\tO' +p12431 +aS'orchiopexy\torchiopexy\tNN\tI-NP\tO' +p12432 +aS'for\tfor\tIN\tB-PP\tO' +p12433 +aS'undescended\tundescended\tJJ\tB-NP\tO' +p12434 +aS'testicle\ttesticle\tNN\tI-NP\tO' +p12435 +aS'.\t.\t.\tO\tO' +p12436 +asS'2. Dilated cardiomyopathy .' +p12437 +(lp12438 +S'2.\t2.\tLS\tB-LST\tO' +p12439 +aS'Dilated\tDilate\tVBD\tB-VP\tO' +p12440 +aS'cardiomyopathy\tcardiomyopathy\tNN\tB-NP\tO' +p12441 +aS'.\t.\t.\tO\tO' +p12442 +asS'Her hematocrit was 26.8 and she was transfused 1 unit of packed red blood cells .' +p12443 +(lp12444 +S'Her\tHer\tPRP$\tB-NP\tO' +p12445 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p12446 +aS'was\tbe\tVBD\tB-VP\tO' +p12447 +aS'26.8\t26.8\tCD\tB-NP\tO' +p12448 +aS'and\tand\tCC\tO\tO' +p12449 +aS'she\tshe\tPRP\tB-NP\tO' +p12450 +aS'was\tbe\tVBD\tB-VP\tO' +p12451 +aS'transfused\ttransfuse\tVBN\tI-VP\tO' +p12452 +aS'1\t1\tCD\tB-NP\tO' +p12453 +aS'unit\tunit\tNN\tI-NP\tO' +p12454 +aS'of\tof\tIN\tB-PP\tO' +p12455 +aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' +p12456 +aS'red\tred\tJJ\tI-NP\tI-cell_type' +p12457 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p12458 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p12459 +aS'.\t.\t.\tO\tO' +p12460 +asS'There was mild finger-to-nose dysmetria on the left .' +p12461 +(lp12462 +S'There\tThere\tEX\tB-NP\tO' +p12463 +aS'was\tbe\tVBD\tB-VP\tO' +p12464 +aS'mild\tmild\tJJ\tB-NP\tO' +p12465 +aS'finger-to-nose\tfinger-to-nose\tJJ\tI-NP\tO' +p12466 +aS'dysmetria\tdysmetria\tNN\tI-NP\tO' +p12467 +aS'on\ton\tIN\tB-PP\tO' +p12468 +aS'the\tthe\tDT\tB-NP\tO' +p12469 +aS'left\tleft\tNN\tI-NP\tO' +p12470 +aS'.\t.\t.\tO\tO' +p12471 +asS'You should take this medication every other day .' +p12472 +(lp12473 +S'You\tYou\tPRP\tB-NP\tB-protein' +p12474 +aS'should\tshould\tMD\tB-VP\tO' +p12475 +aS'take\ttake\tVB\tI-VP\tO' +p12476 +aS'this\tthis\tDT\tB-NP\tO' +p12477 +aS'medication\tmedication\tNN\tI-NP\tO' +p12478 +aS'every\tevery\tDT\tB-NP\tO' +p12479 +aS'other\tother\tJJ\tI-NP\tO' +p12480 +aS'day\tday\tNN\tI-NP\tO' +p12481 +aS'.\t.\t.\tO\tO' +p12482 +asS'On postoperative day four , the patient Cordis was removed .' +p12483 +(lp12484 +S'On\tOn\tIN\tB-PP\tO' +p12485 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p12486 +aS'day\tday\tNN\tI-NP\tO' +p12487 +aS'four\tfour\tCD\tB-NP\tO' +p12488 +aS',\t,\t,\tO\tO' +p12489 +aS'the\tthe\tDT\tB-NP\tO' +p12490 +aS'patient\tpatient\tNN\tI-NP\tO' +p12491 +aS'Cordis\tCordis\tNNP\tB-NP\tO' +p12492 +aS'was\tbe\tVBD\tB-VP\tO' +p12493 +aS'removed\tremove\tVBN\tI-VP\tO' +p12494 +aS'.\t.\t.\tO\tO' +p12495 +asS'He was found to have a DVT by ultrasound .' +p12496 +(lp12497 +S'He\tHe\tPRP\tB-NP\tO' +p12498 +aS'was\tbe\tVBD\tB-VP\tO' +p12499 +aS'found\tfind\tVBN\tI-VP\tO' +p12500 +aS'to\tto\tTO\tI-VP\tO' +p12501 +aS'have\thave\tVB\tI-VP\tO' +p12502 +aS'a\ta\tDT\tB-NP\tO' +p12503 +aS'DVT\tDVT\tNN\tI-NP\tB-protein' +p12504 +aS'by\tby\tIN\tB-PP\tO' +p12505 +aS'ultrasound\tultrasound\tNN\tB-NP\tO' +p12506 +aS'.\t.\t.\tO\tO' +p12507 +asS'On 5-9-92 the right-sided symptoms worsened and she also had some elements of aphasia .' +p12508 +(lp12509 +S'On\tOn\tIN\tB-PP\tO' +p12510 +aS'5-9-92\t5-9-92\tCD\tB-NP\tO' +p12511 +aS'the\tthe\tDT\tB-NP\tO' +p12512 +aS'right-sided\tright-sided\tJJ\tI-NP\tO' +p12513 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p12514 +aS'worsened\tworsen\tVBD\tB-VP\tO' +p12515 +aS'and\tand\tCC\tO\tO' +p12516 +aS'she\tshe\tPRP\tB-NP\tO' +p12517 +aS'also\talso\tRB\tB-ADVP\tO' +p12518 +aS'had\thave\tVBD\tB-VP\tO' +p12519 +aS'some\tsome\tDT\tB-NP\tO' +p12520 +aS'elements\telement\tNNS\tI-NP\tO' +p12521 +aS'of\tof\tIN\tB-PP\tO' +p12522 +aS'aphasia\taphasia\tNN\tB-NP\tO' +p12523 +aS'.\t.\t.\tO\tO' +p12524 +asS'MRSA urinary tract infection .' +p12525 +(lp12526 +S'MRSA\tMRSA\tNN\tB-NP\tO' +p12527 +aS'urinary\turinary\tJJ\tI-NP\tO' +p12528 +aS'tract\ttract\tNN\tI-NP\tO' +p12529 +aS'infection\tinfection\tNN\tI-NP\tO' +p12530 +aS'.\t.\t.\tO\tO' +p12531 +asS'fever , left lower extremity redness , dysuria , inability to urinate' +p12532 +(lp12533 +S'fever\tfever\tRB\tB-ADVP\tO' +p12534 +aS',\t,\t,\tO\tO' +p12535 +aS'left\tleave\tVBD\tB-VP\tO' +p12536 +aS'lower\tlow\tJJR\tB-NP\tO' +p12537 +aS'extremity\textremity\tNN\tI-NP\tO' +p12538 +aS'redness\tredness\tNN\tI-NP\tO' +p12539 +aS',\t,\t,\tO\tO' +p12540 +aS'dysuria\tdysuria\tNN\tB-NP\tO' +p12541 +aS',\t,\t,\tO\tO' +p12542 +aS'inability\tinability\tNN\tB-NP\tO' +p12543 +aS'to\tto\tTO\tB-VP\tO' +p12544 +aS'urinate\turinate\tVB\tI-VP\tO' +p12545 +asS'Medications per gastrostomy tube on postoperative day one .' +p12546 +(lp12547 +S'Medications\tMedication\tNNS\tB-NP\tO' +p12548 +aS'per\tper\tIN\tB-PP\tO' +p12549 +aS'gastrostomy\tgastrostomy\tNN\tB-NP\tO' +p12550 +aS'tube\ttube\tNN\tI-NP\tO' +p12551 +aS'on\ton\tIN\tB-PP\tO' +p12552 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p12553 +aS'day\tday\tNN\tI-NP\tO' +p12554 +aS'one\tone\tCD\tI-NP\tO' +p12555 +aS'.\t.\t.\tO\tO' +p12556 +asS'The patient was arranged for follow-up appointment with Dr. Scarvzine of rheumatology on 10/11/01 .' +p12557 +(lp12558 +S'The\tThe\tDT\tB-NP\tO' +p12559 +aS'patient\tpatient\tNN\tI-NP\tO' +p12560 +aS'was\tbe\tVBD\tB-VP\tO' +p12561 +aS'arranged\tarrange\tVBN\tI-VP\tO' +p12562 +aS'for\tfor\tIN\tB-PP\tO' +p12563 +aS'follow-up\tfollow-up\tJJ\tB-NP\tO' +p12564 +aS'appointment\tappointment\tNN\tI-NP\tO' +p12565 +aS'with\twith\tIN\tB-PP\tO' +p12566 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p12567 +aS'Scarvzine\tScarvzine\tNNP\tI-NP\tO' +p12568 +aS'of\tof\tIN\tB-PP\tO' +p12569 +aS'rheumatology\trheumatology\tNN\tB-NP\tO' +p12570 +aS'on\ton\tIN\tB-PP\tO' +p12571 +aS'10/11/01\t10/11/01\tCD\tB-NP\tO' +p12572 +aS'.\t.\t.\tO\tO' +p12573 +asS'Findings were discussed with Dr. Leanne Vazquez at the time this study was performed , but the study was not dictated until the morning of 2014-10-22 , due to PACS malfunction .' +p12574 +(lp12575 +S'Findings\tFinding\tNNS\tB-NP\tO' +p12576 +aS'were\tbe\tVBD\tB-VP\tO' +p12577 +aS'discussed\tdiscuss\tVBN\tI-VP\tO' +p12578 +aS'with\twith\tIN\tB-PP\tO' +p12579 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p12580 +aS'Leanne\tLeanne\tNNP\tI-NP\tO' +p12581 +aS'Vazquez\tVazquez\tNNP\tI-NP\tO' +p12582 +aS'at\tat\tIN\tB-PP\tO' +p12583 +aS'the\tthe\tDT\tB-NP\tO' +p12584 +aS'time\ttime\tNN\tI-NP\tO' +p12585 +aS'this\tthis\tDT\tB-NP\tO' +p12586 +aS'study\tstudy\tNN\tI-NP\tO' +p12587 +aS'was\tbe\tVBD\tB-VP\tO' +p12588 +aS'performed\tperform\tVBN\tI-VP\tO' +p12589 +aS',\t,\t,\tO\tO' +p12590 +aS'but\tbut\tCC\tO\tO' +p12591 +aS'the\tthe\tDT\tB-NP\tO' +p12592 +aS'study\tstudy\tNN\tI-NP\tO' +p12593 +aS'was\tbe\tVBD\tB-VP\tO' +p12594 +aS'not\tnot\tRB\tI-VP\tO' +p12595 +aS'dictated\tdictate\tVBN\tI-VP\tO' +p12596 +aS'until\tuntil\tIN\tB-SBAR\tO' +p12597 +aS'the\tthe\tDT\tB-NP\tO' +p12598 +aS'morning\tmorning\tNN\tI-NP\tO' +p12599 +aS'of\tof\tIN\tB-PP\tO' +p12600 +aS'2014-10-22\t2014-10-22\tCD\tB-NP\tO' +p12601 +aS',\t,\t,\tO\tO' +p12602 +aS'due\tdue\tJJ\tB-ADJP\tO' +p12603 +aS'to\tto\tTO\tB-PP\tO' +p12604 +aS'PACS\tPACS\tNN\tB-NP\tO' +p12605 +aS'malfunction\tmalfunction\tNN\tI-NP\tO' +p12606 +aS'.\t.\t.\tO\tO' +p12607 +asS'Surgery Recovery Unit without complication .' +p12608 +(lp12609 +S'Surgery\tSurgery\tNNP\tB-NP\tO' +p12610 +aS'Recovery\tRecovery\tNNP\tI-NP\tO' +p12611 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p12612 +aS'without\twithout\tIN\tB-PP\tO' +p12613 +aS'complication\tcomplication\tNN\tB-NP\tO' +p12614 +aS'.\t.\t.\tO\tO' +p12615 +asS'The patient remained unstable .' +p12616 +(lp12617 +S'The\tThe\tDT\tB-NP\tO' +p12618 +aS'patient\tpatient\tNN\tI-NP\tO' +p12619 +aS'remained\tremain\tVBD\tB-VP\tO' +p12620 +aS'unstable\tunstable\tJJ\tB-ADJP\tO' +p12621 +aS'.\t.\t.\tO\tO' +p12622 +asS'No left ventricular aneurysm is seen .' +p12623 +(lp12624 +S'No\tNo\tDT\tB-NP\tO' +p12625 +aS'left\tleft\tJJ\tI-NP\tO' +p12626 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p12627 +aS'aneurysm\taneurysm\tNN\tI-NP\tO' +p12628 +aS'is\tbe\tVBZ\tB-VP\tO' +p12629 +aS'seen\tsee\tVBN\tI-VP\tO' +p12630 +aS'.\t.\t.\tO\tO' +p12631 +asS'On July 26 , abdominal irrigation and debridement was performed in the RICU ; this was repeated daily for the next three days .' +p12632 +(lp12633 +S'On\tOn\tIN\tB-PP\tO' +p12634 +aS'July\tJuly\tNNP\tB-NP\tO' +p12635 +aS'26\t26\tCD\tI-NP\tO' +p12636 +aS',\t,\t,\tO\tO' +p12637 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p12638 +aS'irrigation\tirrigation\tNN\tI-NP\tO' +p12639 +aS'and\tand\tCC\tI-NP\tO' +p12640 +aS'debridement\tdebridement\tNN\tI-NP\tO' +p12641 +aS'was\tbe\tVBD\tB-VP\tO' +p12642 +aS'performed\tperform\tVBN\tI-VP\tO' +p12643 +aS'in\tin\tIN\tB-PP\tO' +p12644 +aS'the\tthe\tDT\tB-NP\tO' +p12645 +aS'RICU\tRICU\tNNP\tI-NP\tO' +p12646 +aS';\t;\t:\tO\tO' +p12647 +aS'this\tthis\tDT\tB-NP\tO' +p12648 +aS'was\tbe\tVBD\tB-VP\tO' +p12649 +aS'repeated\trepeat\tVBN\tI-VP\tO' +p12650 +aS'daily\tdaily\tRB\tB-ADVP\tO' +p12651 +aS'for\tfor\tIN\tB-PP\tO' +p12652 +aS'the\tthe\tDT\tB-NP\tO' +p12653 +aS'next\tnext\tJJ\tI-NP\tO' +p12654 +aS'three\tthree\tCD\tI-NP\tO' +p12655 +aS'days\tday\tNNS\tI-NP\tO' +p12656 +aS'.\t.\t.\tO\tO' +p12657 +asS'A head CT was done which ruled out any acute processes .' +p12658 +(lp12659 +S'A\tA\tDT\tB-NP\tO' +p12660 +aS'head\thead\tNN\tI-NP\tO' +p12661 +aS'CT\tCT\tNN\tI-NP\tO' +p12662 +aS'was\tbe\tVBD\tB-VP\tO' +p12663 +aS'done\tdo\tVBN\tI-VP\tO' +p12664 +aS'which\twhich\tWDT\tB-NP\tO' +p12665 +aS'ruled\trule\tVBD\tB-VP\tO' +p12666 +aS'out\tout\tRP\tB-PRT\tO' +p12667 +aS'any\tany\tDT\tB-NP\tO' +p12668 +aS'acute\tacute\tJJ\tI-NP\tO' +p12669 +aS'processes\tprocess\tNNS\tI-NP\tO' +p12670 +aS'.\t.\t.\tO\tO' +p12671 +asS'4. Carbidopa-Levodopa 25-250 mg PO 5 TIMES PER DAY .' +p12672 +(lp12673 +S'4.\t4.\tLS\tB-LST\tO' +p12674 +aS'Carbidopa-Levodopa\tCarbidopa-Levodopa\tNNP\tB-NP\tO' +p12675 +aS'25-250\t25-250\tCD\tI-NP\tO' +p12676 +aS'mg\tmg\tNN\tI-NP\tO' +p12677 +aS'PO\tPO\tNN\tI-NP\tO' +p12678 +aS'5\t5\tCD\tI-NP\tO' +p12679 +aS'TIMES\tTIMES\tVBZ\tB-VP\tO' +p12680 +aS'PER\tPER\tNNP\tB-NP\tO' +p12681 +aS'DAY\tDAY\tNNP\tI-NP\tO' +p12682 +aS'.\t.\t.\tO\tO' +p12683 +asS'Apgars eight at one minute and eight at five minutes .' +p12684 +(lp12685 +S'Apgars\tApgar\tNNS\tB-NP\tO' +p12686 +aS'eight\teight\tCD\tB-NP\tO' +p12687 +aS'at\tat\tIN\tB-PP\tO' +p12688 +aS'one\tone\tCD\tB-NP\tO' +p12689 +aS'minute\tminute\tNN\tI-NP\tO' +p12690 +aS'and\tand\tCC\tO\tO' +p12691 +aS'eight\teight\tCD\tB-NP\tO' +p12692 +aS'at\tat\tIN\tB-PP\tO' +p12693 +aS'five\tfive\tCD\tB-NP\tO' +p12694 +aS'minutes\tminute\tNNS\tI-NP\tO' +p12695 +aS'.\t.\t.\tO\tO' +p12696 +asS'Triamcinolone cream .' +p12697 +(lp12698 +S'Triamcinolone\tTriamcinolone\tNN\tB-NP\tO' +p12699 +aS'cream\tcream\tNN\tI-NP\tO' +p12700 +aS'.\t.\t.\tO\tO' +p12701 +asS'5. State newborn screens were sent on 2018-05-09 ; and results are pending .' +p12702 +(lp12703 +S'5.\t5.\tLS\tB-NP\tO' +p12704 +aS'State\tState\tNN\tI-NP\tO' +p12705 +aS'newborn\tnewborn\tJJ\tI-NP\tO' +p12706 +aS'screens\tscreen\tNNS\tI-NP\tO' +p12707 +aS'were\tbe\tVBD\tB-VP\tO' +p12708 +aS'sent\tsend\tVBN\tI-VP\tO' +p12709 +aS'on\ton\tIN\tB-PP\tO' +p12710 +aS'2018-05-09\t2018-05-09\tCD\tB-NP\tO' +p12711 +aS';\t;\t:\tO\tO' +p12712 +aS'and\tand\tCC\tO\tO' +p12713 +aS'results\tresult\tNNS\tB-NP\tO' +p12714 +aS'are\tbe\tVBP\tB-VP\tO' +p12715 +aS'pending\tpende\tVBG\tI-VP\tO' +p12716 +aS'.\t.\t.\tO\tO' +p12717 +asS'Also in the course of the month that he was in the ICU he had a left chest tube placed for fluid and then a right chest tube placed ultimately for fluid .' +p12718 +(lp12719 +S'Also\tAlso\tRB\tB-ADVP\tO' +p12720 +aS'in\tin\tIN\tB-PP\tO' +p12721 +aS'the\tthe\tDT\tB-NP\tO' +p12722 +aS'course\tcourse\tNN\tI-NP\tO' +p12723 +aS'of\tof\tIN\tB-PP\tO' +p12724 +aS'the\tthe\tDT\tB-NP\tO' +p12725 +aS'month\tmonth\tNN\tI-NP\tO' +p12726 +aS'that\tthat\tIN\tB-SBAR\tO' +p12727 +aS'he\the\tPRP\tB-NP\tO' +p12728 +aS'was\tbe\tVBD\tB-VP\tO' +p12729 +aS'in\tin\tIN\tB-PP\tO' +p12730 +aS'the\tthe\tDT\tB-NP\tO' +p12731 +aS'ICU\tICU\tNN\tI-NP\tB-DNA' +p12732 +aS'he\the\tPRP\tB-NP\tO' +p12733 +aS'had\thave\tVBD\tB-VP\tO' +p12734 +aS'a\ta\tDT\tB-NP\tO' +p12735 +aS'left\tleft\tJJ\tI-NP\tO' +p12736 +aS'chest\tchest\tNN\tI-NP\tO' +p12737 +aS'tube\ttube\tNN\tI-NP\tO' +p12738 +aS'placed\tplace\tVBN\tB-VP\tO' +p12739 +aS'for\tfor\tIN\tB-PP\tO' +p12740 +aS'fluid\tfluid\tNN\tB-NP\tO' +p12741 +aS'and\tand\tCC\tB-NP\tO' +p12742 +aS'then\tthen\tRB\tI-NP\tO' +p12743 +aS'a\ta\tDT\tB-NP\tO' +p12744 +aS'right\tright\tJJ\tI-NP\tO' +p12745 +aS'chest\tchest\tNN\tI-NP\tO' +p12746 +aS'tube\ttube\tNN\tI-NP\tO' +p12747 +aS'placed\tplace\tVBN\tB-VP\tO' +p12748 +aS'ultimately\tultimately\tRB\tB-ADVP\tO' +p12749 +aS'for\tfor\tIN\tB-PP\tO' +p12750 +aS'fluid\tfluid\tNN\tB-NP\tO' +p12751 +aS'.\t.\t.\tO\tO' +p12752 +asS'The night prior to admission , he was found by his wife on the bathroom floor in a pool of urine , unresponsive without any body movements , post-ictal state .' +p12753 +(lp12754 +S'The\tThe\tDT\tB-NP\tO' +p12755 +aS'night\tnight\tNN\tI-NP\tO' +p12756 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p12757 +aS'to\tto\tTO\tB-PP\tO' +p12758 +aS'admission\tadmission\tNN\tB-NP\tO' +p12759 +aS',\t,\t,\tO\tO' +p12760 +aS'he\the\tPRP\tB-NP\tO' +p12761 +aS'was\tbe\tVBD\tB-VP\tO' +p12762 +aS'found\tfind\tVBN\tI-VP\tO' +p12763 +aS'by\tby\tIN\tB-PP\tO' +p12764 +aS'his\this\tPRP$\tB-NP\tO' +p12765 +aS'wife\twife\tNN\tI-NP\tO' +p12766 +aS'on\ton\tIN\tB-PP\tO' +p12767 +aS'the\tthe\tDT\tB-NP\tO' +p12768 +aS'bathroom\tbathroom\tNN\tI-NP\tO' +p12769 +aS'floor\tfloor\tNN\tI-NP\tO' +p12770 +aS'in\tin\tIN\tB-PP\tO' +p12771 +aS'a\ta\tDT\tB-NP\tO' +p12772 +aS'pool\tpool\tNN\tI-NP\tO' +p12773 +aS'of\tof\tIN\tB-PP\tO' +p12774 +aS'urine\turine\tNN\tB-NP\tO' +p12775 +aS',\t,\t,\tO\tO' +p12776 +aS'unresponsive\tunresponsive\tJJ\tB-ADJP\tO' +p12777 +aS'without\twithout\tIN\tB-PP\tO' +p12778 +aS'any\tany\tDT\tB-NP\tO' +p12779 +aS'body\tbody\tNN\tI-NP\tO' +p12780 +aS'movements\tmovement\tNNS\tI-NP\tO' +p12781 +aS',\t,\t,\tO\tO' +p12782 +aS'post-ictal\tpost-ictal\tJJ\tB-NP\tO' +p12783 +aS'state\tstate\tNN\tI-NP\tO' +p12784 +aS'.\t.\t.\tO\tO' +p12785 +asS'The first sound was normal .' +p12786 +(lp12787 +S'The\tThe\tDT\tB-NP\tO' +p12788 +aS'first\tfirst\tJJ\tI-NP\tO' +p12789 +aS'sound\tsound\tNN\tI-NP\tO' +p12790 +aS'was\tbe\tVBD\tB-VP\tO' +p12791 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p12792 +aS'.\t.\t.\tO\tO' +p12793 +asS'Further ROS reveals mild SOB in the days preceding admission , but he tells me that he was surprised to find out about his low oxygen saturation because he did not feel that bad .' +p12794 +(lp12795 +S'Further\tFurther\tJJ\tB-NP\tO' +p12796 +aS'ROS\tROS\tNN\tI-NP\tO' +p12797 +aS'reveals\treveal\tVBZ\tB-VP\tO' +p12798 +aS'mild\tmild\tJJ\tB-NP\tB-protein' +p12799 +aS'SOB\tSOB\tNN\tI-NP\tI-protein' +p12800 +aS'in\tin\tIN\tB-PP\tO' +p12801 +aS'the\tthe\tDT\tB-NP\tO' +p12802 +aS'days\tday\tNNS\tI-NP\tO' +p12803 +aS'preceding\tprecede\tVBG\tB-VP\tO' +p12804 +aS'admission\tadmission\tNN\tB-NP\tO' +p12805 +aS',\t,\t,\tO\tO' +p12806 +aS'but\tbut\tCC\tO\tO' +p12807 +aS'he\the\tPRP\tB-NP\tO' +p12808 +aS'tells\ttell\tVBZ\tB-VP\tO' +p12809 +aS'me\tme\tPRP\tB-NP\tO' +p12810 +aS'that\tthat\tIN\tB-SBAR\tO' +p12811 +aS'he\the\tPRP\tB-NP\tO' +p12812 +aS'was\tbe\tVBD\tB-VP\tO' +p12813 +aS'surprised\tsurprise\tVBN\tI-VP\tO' +p12814 +aS'to\tto\tTO\tI-VP\tO' +p12815 +aS'find\tfind\tVB\tI-VP\tO' +p12816 +aS'out\tout\tRP\tB-PRT\tO' +p12817 +aS'about\tabout\tIN\tB-PP\tO' +p12818 +aS'his\this\tPRP$\tB-NP\tO' +p12819 +aS'low\tlow\tJJ\tI-NP\tO' +p12820 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p12821 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p12822 +aS'because\tbecause\tIN\tB-SBAR\tO' +p12823 +aS'he\the\tPRP\tB-NP\tO' +p12824 +aS'did\tdo\tVBD\tB-VP\tO' +p12825 +aS'not\tnot\tRB\tI-VP\tO' +p12826 +aS'feel\tfeel\tVB\tI-VP\tO' +p12827 +aS'that\tthat\tIN\tB-NP\tO' +p12828 +aS'bad\tbad\tJJ\tB-ADJP\tO' +p12829 +aS'.\t.\t.\tO\tO' +p12830 +asS'2. Type 2 diabetes .' +p12831 +(lp12832 +S'2.\t2.\tLS\tB-NP\tO' +p12833 +aS'Type\tType\tNN\tI-NP\tO' +p12834 +aS'2\t2\tCD\tB-NP\tO' +p12835 +aS'diabetes\tdiabete\tNNS\tI-NP\tO' +p12836 +aS'.\t.\t.\tO\tO' +p12837 +asS'He had oxygen saturations of 99% with an Fi02 of 40% and had no complaints .' +p12838 +(lp12839 +S'He\tHe\tPRP\tB-NP\tO' +p12840 +aS'had\thave\tVBD\tB-VP\tO' +p12841 +aS'oxygen\toxygen\tNN\tB-NP\tO' +p12842 +aS'saturations\tsaturation\tNNS\tI-NP\tO' +p12843 +aS'of\tof\tIN\tB-PP\tO' +p12844 +aS'99%\t99%\tCD\tB-NP\tO' +p12845 +aS'with\twith\tIN\tB-PP\tO' +p12846 +aS'an\tan\tDT\tB-NP\tO' +p12847 +aS'Fi02\tFi02\tNN\tI-NP\tO' +p12848 +aS'of\tof\tIN\tB-PP\tO' +p12849 +aS'40%\t40%\tNN\tB-NP\tO' +p12850 +aS'and\tand\tCC\tO\tO' +p12851 +aS'had\thave\tVBD\tB-VP\tO' +p12852 +aS'no\tno\tDT\tB-NP\tO' +p12853 +aS'complaints\tcomplaint\tNNS\tI-NP\tO' +p12854 +aS'.\t.\t.\tO\tO' +p12855 +asS'The remainder of his preoperative course was benign .' +p12856 +(lp12857 +S'The\tThe\tDT\tB-NP\tO' +p12858 +aS'remainder\tremainder\tNN\tI-NP\tO' +p12859 +aS'of\tof\tIN\tB-PP\tO' +p12860 +aS'his\this\tPRP$\tB-NP\tO' +p12861 +aS'preoperative\tpreoperative\tJJ\tI-NP\tO' +p12862 +aS'course\tcourse\tNN\tI-NP\tO' +p12863 +aS'was\tbe\tVBD\tB-VP\tO' +p12864 +aS'benign\tbenign\tJJ\tB-ADJP\tO' +p12865 +aS'.\t.\t.\tO\tO' +p12866 +asS'She was weaned down until she was maintaining her oxygen saturation above 90% on 6L by nasal cannuala .' +p12867 +(lp12868 +S'She\tShe\tPRP\tB-NP\tO' +p12869 +aS'was\tbe\tVBD\tB-VP\tO' +p12870 +aS'weaned\twean\tVBN\tI-VP\tO' +p12871 +aS'down\tdown\tRP\tB-PRT\tO' +p12872 +aS'until\tuntil\tIN\tB-SBAR\tO' +p12873 +aS'she\tshe\tPRP\tB-NP\tO' +p12874 +aS'was\tbe\tVBD\tB-VP\tO' +p12875 +aS'maintaining\tmaintain\tVBG\tI-VP\tO' +p12876 +aS'her\ther\tPRP$\tB-NP\tO' +p12877 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p12878 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p12879 +aS'above\tabove\tIN\tB-PP\tO' +p12880 +aS'90%\t90%\tNN\tB-NP\tO' +p12881 +aS'on\ton\tIN\tB-PP\tO' +p12882 +aS'6L\t6L\tNN\tB-NP\tO' +p12883 +aS'by\tby\tIN\tB-PP\tO' +p12884 +aS'nasal\tnasal\tJJ\tB-NP\tO' +p12885 +aS'cannuala\tcannuala\tNN\tI-NP\tO' +p12886 +aS'.\t.\t.\tO\tO' +p12887 +asS'The patient presented to the outside hospital Emergency Room where she was started on Aspirin , Lovenox and beta blocker .' +p12888 +(lp12889 +S'The\tThe\tDT\tB-NP\tO' +p12890 +aS'patient\tpatient\tNN\tI-NP\tO' +p12891 +aS'presented\tpresent\tVBN\tB-VP\tO' +p12892 +aS'to\tto\tTO\tB-PP\tO' +p12893 +aS'the\tthe\tDT\tB-NP\tO' +p12894 +aS'outside\toutside\tJJ\tI-NP\tO' +p12895 +aS'hospital\thospital\tNN\tI-NP\tO' +p12896 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p12897 +aS'Room\tRoom\tNNP\tI-NP\tO' +p12898 +aS'where\twhere\tWRB\tB-ADVP\tO' +p12899 +aS'she\tshe\tPRP\tB-NP\tO' +p12900 +aS'was\tbe\tVBD\tB-VP\tO' +p12901 +aS'started\tstart\tVBN\tI-VP\tO' +p12902 +aS'on\ton\tIN\tB-PP\tO' +p12903 +aS'Aspirin\tAspirin\tNN\tB-NP\tO' +p12904 +aS',\t,\t,\tO\tO' +p12905 +aS'Lovenox\tLovenox\tNN\tB-NP\tO' +p12906 +aS'and\tand\tCC\tO\tO' +p12907 +aS'beta\tbeta\tNN\tB-NP\tO' +p12908 +aS'blocker\tblocker\tNN\tI-NP\tO' +p12909 +aS'.\t.\t.\tO\tO' +p12910 +asS'This 85 year old man was admitted because of the new onset of focal left-sided seizure and unresponsiveness .' +p12911 +(lp12912 +S'This\tThis\tDT\tB-NP\tO' +p12913 +aS'85\t85\tCD\tI-NP\tO' +p12914 +aS'year\tyear\tNN\tI-NP\tO' +p12915 +aS'old\told\tJJ\tI-NP\tO' +p12916 +aS'man\tman\tNN\tI-NP\tO' +p12917 +aS'was\tbe\tVBD\tB-VP\tO' +p12918 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p12919 +aS'because\tbecause\tRB\tB-PP\tO' +p12920 +aS'of\tof\tIN\tI-PP\tO' +p12921 +aS'the\tthe\tDT\tB-NP\tO' +p12922 +aS'new\tnew\tJJ\tI-NP\tO' +p12923 +aS'onset\tonset\tNN\tI-NP\tO' +p12924 +aS'of\tof\tIN\tB-PP\tO' +p12925 +aS'focal\tfocal\tJJ\tB-NP\tO' +p12926 +aS'left-sided\tleft-sided\tJJ\tI-NP\tO' +p12927 +aS'seizure\tseizure\tNN\tI-NP\tO' +p12928 +aS'and\tand\tCC\tI-NP\tO' +p12929 +aS'unresponsiveness\tunresponsiveness\tNN\tI-NP\tO' +p12930 +aS'.\t.\t.\tO\tO' +p12931 +asS'She continued to improve steadily over the next several days without any other post-op' +p12932 +(lp12933 +S'She\tShe\tPRP\tB-NP\tO' +p12934 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p12935 +aS'to\tto\tTO\tI-VP\tO' +p12936 +aS'improve\timprove\tVB\tI-VP\tO' +p12937 +aS'steadily\tsteadily\tRB\tB-ADVP\tO' +p12938 +aS'over\tover\tIN\tB-PP\tO' +p12939 +aS'the\tthe\tDT\tB-NP\tO' +p12940 +aS'next\tnext\tJJ\tI-NP\tO' +p12941 +aS'several\tseveral\tJJ\tI-NP\tO' +p12942 +aS'days\tday\tNNS\tI-NP\tO' +p12943 +aS'without\twithout\tIN\tB-PP\tO' +p12944 +aS'any\tany\tDT\tB-NP\tO' +p12945 +aS'other\tother\tJJ\tI-NP\tO' +p12946 +aS'post-op\tpost-op\tJJ\tI-NP\tO' +p12947 +asS'pain .' +p12948 +(lp12949 +S'pain\tpain\tNN\tB-NP\tO' +p12950 +aS'.\t.\t.\tO\tO' +p12951 +asS"On 2017-03-03 , a family meeting resulted in the patient 's code being changed to comfort measures only ." +p12952 +(lp12953 +S'On\tOn\tIN\tB-PP\tO' +p12954 +aS'2017-03-03\t2017-03-03\tCD\tB-NP\tO' +p12955 +aS',\t,\t,\tO\tO' +p12956 +aS'a\ta\tDT\tB-NP\tO' +p12957 +aS'family\tfamily\tNN\tI-NP\tO' +p12958 +aS'meeting\tmeeting\tNN\tI-NP\tO' +p12959 +aS'resulted\tresult\tVBD\tB-VP\tO' +p12960 +aS'in\tin\tIN\tB-PP\tO' +p12961 +aS'the\tthe\tDT\tB-NP\tO' +p12962 +aS'patient\tpatient\tNN\tI-NP\tO' +p12963 +aS"'s\t's\tPOS\tB-NP\tO" +p12964 +aS'code\tcode\tNN\tI-NP\tO' +p12965 +aS'being\tbe\tVBG\tB-VP\tO' +p12966 +aS'changed\tchange\tVBN\tI-VP\tO' +p12967 +aS'to\tto\tTO\tB-VP\tO' +p12968 +aS'comfort\tcomfort\tVB\tI-VP\tO' +p12969 +aS'measures\tmeasure\tNNS\tB-NP\tO' +p12970 +aS'only\tonly\tRB\tB-ADVP\tO' +p12971 +aS'.\t.\t.\tO\tO' +p12972 +asS'Pain was controlled with tylenol and the pt was reassured .' +p12973 +(lp12974 +S'Pain\tPain\tNN\tB-NP\tB-protein' +p12975 +aS'was\tbe\tVBD\tB-VP\tO' +p12976 +aS'controlled\tcontrol\tVBN\tI-VP\tO' +p12977 +aS'with\twith\tIN\tB-PP\tO' +p12978 +aS'tylenol\ttylenol\tNN\tB-NP\tO' +p12979 +aS'and\tand\tCC\tO\tO' +p12980 +aS'the\tthe\tDT\tB-NP\tO' +p12981 +aS'pt\tpt\tNN\tI-NP\tO' +p12982 +aS'was\tbe\tVBD\tB-VP\tO' +p12983 +aS'reassured\treassure\tVBN\tI-VP\tO' +p12984 +aS'.\t.\t.\tO\tO' +p12985 +asS'2. F/U with primary pediatricians in 3-4 days or earlier as needed .' +p12986 +(lp12987 +S'2.\t2.\tLS\tB-NP\tO' +p12988 +aS'F/U\tF/U\tNN\tI-NP\tO' +p12989 +aS'with\twith\tIN\tB-PP\tO' +p12990 +aS'primary\tprimary\tJJ\tB-NP\tO' +p12991 +aS'pediatricians\tpediatrician\tNNS\tI-NP\tO' +p12992 +aS'in\tin\tIN\tB-PP\tO' +p12993 +aS'3-4\t3-4\tCD\tB-NP\tO' +p12994 +aS'days\tday\tNNS\tI-NP\tO' +p12995 +aS'or\tor\tCC\tO\tO' +p12996 +aS'earlier\tearlier\tRBR\tB-ADVP\tO' +p12997 +aS'as\tas\tIN\tB-SBAR\tO' +p12998 +aS'needed\tneed\tVBN\tB-VP\tO' +p12999 +aS'.\t.\t.\tO\tO' +p13000 +asS'The neck was supple without JVD .' +p13001 +(lp13002 +S'The\tThe\tDT\tB-NP\tO' +p13003 +aS'neck\tneck\tNN\tI-NP\tO' +p13004 +aS'was\tbe\tVBD\tB-VP\tO' +p13005 +aS'supple\tsupple\tNN\tB-NP\tO' +p13006 +aS'without\twithout\tIN\tB-PP\tO' +p13007 +aS'JVD\tJVD\tNN\tB-NP\tB-protein' +p13008 +aS'.\t.\t.\tO\tO' +p13009 +asS'Renal ultrasound was scheduled during the Intensive Care Unit stay .' +p13010 +(lp13011 +S'Renal\tRenal\tJJ\tB-NP\tO' +p13012 +aS'ultrasound\tultrasound\tNN\tI-NP\tO' +p13013 +aS'was\tbe\tVBD\tB-VP\tO' +p13014 +aS'scheduled\tschedule\tVBN\tI-VP\tO' +p13015 +aS'during\tduring\tIN\tB-PP\tO' +p13016 +aS'the\tthe\tDT\tB-NP\tO' +p13017 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p13018 +aS'Care\tCare\tNNP\tI-NP\tO' +p13019 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p13020 +aS'stay\tstay\tNN\tI-NP\tO' +p13021 +aS'.\t.\t.\tO\tO' +p13022 +asS'The patient also suffered a hypotensive episode while in the endoscopy suite for her EGD on 11/17/04 .' +p13023 +(lp13024 +S'The\tThe\tDT\tB-NP\tO' +p13025 +aS'patient\tpatient\tNN\tI-NP\tO' +p13026 +aS'also\talso\tRB\tB-ADVP\tO' +p13027 +aS'suffered\tsuffer\tVBD\tB-VP\tO' +p13028 +aS'a\ta\tDT\tB-NP\tO' +p13029 +aS'hypotensive\thypotensive\tJJ\tI-NP\tO' +p13030 +aS'episode\tepisode\tNN\tI-NP\tO' +p13031 +aS'while\twhile\tIN\tB-SBAR\tO' +p13032 +aS'in\tin\tIN\tB-PP\tO' +p13033 +aS'the\tthe\tDT\tB-NP\tO' +p13034 +aS'endoscopy\tendoscopy\tNN\tI-NP\tO' +p13035 +aS'suite\tsuite\tNN\tI-NP\tO' +p13036 +aS'for\tfor\tIN\tB-PP\tO' +p13037 +aS'her\ther\tPRP$\tB-NP\tO' +p13038 +aS'EGD\tEGD\tNN\tI-NP\tB-protein' +p13039 +aS'on\ton\tIN\tB-PP\tO' +p13040 +aS'11/17/04\t11/17/04\tCD\tB-NP\tO' +p13041 +aS'.\t.\t.\tO\tO' +p13042 +asS'He also became increasingly confused .' +p13043 +(lp13044 +S'He\tHe\tPRP\tB-NP\tO' +p13045 +aS'also\talso\tRB\tB-ADVP\tO' +p13046 +aS'became\tbecome\tVBD\tB-VP\tO' +p13047 +aS'increasingly\tincreasingly\tRB\tB-ADJP\tO' +p13048 +aS'confused\tconfuse\tVBN\tI-ADJP\tO' +p13049 +aS'.\t.\t.\tO\tO' +p13050 +asS'He denied any history of similar symptoms in the past and has had no prior history of angina or myocardial infarction .' +p13051 +(lp13052 +S'He\tHe\tPRP\tB-NP\tO' +p13053 +aS'denied\tdeny\tVBD\tB-VP\tO' +p13054 +aS'any\tany\tDT\tB-NP\tO' +p13055 +aS'history\thistory\tNN\tI-NP\tO' +p13056 +aS'of\tof\tIN\tB-PP\tO' +p13057 +aS'similar\tsimilar\tJJ\tB-NP\tO' +p13058 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p13059 +aS'in\tin\tIN\tB-PP\tO' +p13060 +aS'the\tthe\tDT\tB-NP\tO' +p13061 +aS'past\tpast\tNN\tI-NP\tO' +p13062 +aS'and\tand\tCC\tO\tO' +p13063 +aS'has\thave\tVBZ\tB-VP\tO' +p13064 +aS'had\thave\tVBN\tI-VP\tO' +p13065 +aS'no\tno\tDT\tB-NP\tO' +p13066 +aS'prior\tprior\tJJ\tI-NP\tO' +p13067 +aS'history\thistory\tNN\tI-NP\tO' +p13068 +aS'of\tof\tIN\tB-PP\tO' +p13069 +aS'angina\tangina\tNN\tB-NP\tO' +p13070 +aS'or\tor\tCC\tO\tO' +p13071 +aS'myocardial\tmyocardial\tJJ\tB-NP\tO' +p13072 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p13073 +aS'.\t.\t.\tO\tO' +p13074 +asS'2. Gallbladder polyp and possible tiny stones .' +p13075 +(lp13076 +S'2.\t2.\tLS\tB-NP\tO' +p13077 +aS'Gallbladder\tGallbladder\tNN\tI-NP\tO' +p13078 +aS'polyp\tpolyp\tNN\tI-NP\tO' +p13079 +aS'and\tand\tCC\tO\tO' +p13080 +aS'possible\tpossible\tJJ\tB-NP\tO' +p13081 +aS'tiny\ttiny\tJJ\tI-NP\tO' +p13082 +aS'stones\tstone\tNNS\tI-NP\tO' +p13083 +aS'.\t.\t.\tO\tO' +p13084 +asS'Eventually , as the patient remained hemodynamically stable , his airway remained stable , and he was tolerating PO s, he was transitioned to the floor where he remained otherwise stable and asymptomatic .' +p13085 +(lp13086 +S'Eventually\tEventually\tRB\tB-ADVP\tO' +p13087 +aS',\t,\t,\tO\tO' +p13088 +aS'as\tas\tIN\tB-SBAR\tO' +p13089 +aS'the\tthe\tDT\tB-NP\tO' +p13090 +aS'patient\tpatient\tNN\tI-NP\tO' +p13091 +aS'remained\tremain\tVBD\tB-VP\tO' +p13092 +aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' +p13093 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p13094 +aS',\t,\t,\tO\tO' +p13095 +aS'his\this\tPRP$\tB-NP\tO' +p13096 +aS'airway\tairway\tNN\tI-NP\tO' +p13097 +aS'remained\tremain\tVBD\tB-VP\tO' +p13098 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p13099 +aS',\t,\t,\tO\tO' +p13100 +aS'and\tand\tCC\tO\tO' +p13101 +aS'he\the\tPRP\tB-NP\tO' +p13102 +aS'was\tbe\tVBD\tB-VP\tO' +p13103 +aS'tolerating\ttolerate\tVBG\tI-VP\tO' +p13104 +aS'PO\tPO\tNN\tB-NP\tB-protein' +p13105 +aS's,\ts,\tNN\tI-NP\tI-protein' +p13106 +aS'he\the\tPRP\tB-NP\tO' +p13107 +aS'was\tbe\tVBD\tB-VP\tO' +p13108 +aS'transitioned\ttransitione\tVBN\tI-VP\tO' +p13109 +aS'to\tto\tTO\tB-PP\tO' +p13110 +aS'the\tthe\tDT\tB-NP\tO' +p13111 +aS'floor\tfloor\tNN\tI-NP\tO' +p13112 +aS'where\twhere\tWRB\tB-ADVP\tO' +p13113 +aS'he\the\tPRP\tB-NP\tO' +p13114 +aS'remained\tremain\tVBD\tB-VP\tO' +p13115 +aS'otherwise\totherwise\tRB\tB-ADJP\tO' +p13116 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p13117 +aS'and\tand\tCC\tI-ADJP\tO' +p13118 +aS'asymptomatic\tasymptomatic\tJJ\tI-ADJP\tO' +p13119 +aS'.\t.\t.\tO\tO' +p13120 +asS'Patient had a history of fibroids during this hospitalization .' +p13121 +(lp13122 +S'Patient\tPatient\tNN\tB-NP\tO' +p13123 +aS'had\thave\tVBD\tB-VP\tO' +p13124 +aS'a\ta\tDT\tB-NP\tO' +p13125 +aS'history\thistory\tNN\tI-NP\tO' +p13126 +aS'of\tof\tIN\tB-PP\tO' +p13127 +aS'fibroids\tfibroid\tNNS\tB-NP\tO' +p13128 +aS'during\tduring\tIN\tB-PP\tO' +p13129 +aS'this\tthis\tDT\tB-NP\tO' +p13130 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p13131 +aS'.\t.\t.\tO\tO' +p13132 +asS'A guaiac positive stool was also noted in the month of July .' +p13133 +(lp13134 +S'A\tA\tDT\tB-NP\tO' +p13135 +aS'guaiac\tguaiac\tJJ\tI-NP\tO' +p13136 +aS'positive\tpositive\tJJ\tI-NP\tO' +p13137 +aS'stool\tstool\tNN\tI-NP\tO' +p13138 +aS'was\tbe\tVBD\tB-VP\tO' +p13139 +aS'also\talso\tRB\tI-VP\tO' +p13140 +aS'noted\tnote\tVBN\tI-VP\tO' +p13141 +aS'in\tin\tIN\tB-PP\tO' +p13142 +aS'the\tthe\tDT\tB-NP\tO' +p13143 +aS'month\tmonth\tNN\tI-NP\tO' +p13144 +aS'of\tof\tIN\tB-PP\tO' +p13145 +aS'July\tJuly\tNNP\tB-NP\tO' +p13146 +aS'.\t.\t.\tO\tO' +p13147 +asS'13) h/o amputation of right 2nd toe secondary to osteomyelitis in 2005' +p13148 +(lp13149 +S'13)\t13)\tLS\tB-NP\tO' +p13150 +aS'h/o\th/o\tNN\tI-NP\tO' +p13151 +aS'amputation\tamputation\tNN\tI-NP\tO' +p13152 +aS'of\tof\tIN\tB-PP\tO' +p13153 +aS'right\tright\tJJ\tB-NP\tO' +p13154 +aS'2nd\t2nd\tJJ\tI-NP\tO' +p13155 +aS'toe\ttoe\tNN\tI-NP\tO' +p13156 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p13157 +aS'to\tto\tTO\tB-PP\tO' +p13158 +aS'osteomyelitis\tosteomyelitis\tNN\tB-NP\tO' +p13159 +aS'in\tin\tIN\tB-PP\tO' +p13160 +aS'2005\t2005\tCD\tB-NP\tO' +p13161 +asS'She was asymptomatic , and her EKG was within normal limits .' +p13162 +(lp13163 +S'She\tShe\tPRP\tB-NP\tO' +p13164 +aS'was\tbe\tVBD\tB-VP\tO' +p13165 +aS'asymptomatic\tasymptomatic\tJJ\tB-ADJP\tO' +p13166 +aS',\t,\t,\tO\tO' +p13167 +aS'and\tand\tCC\tO\tO' +p13168 +aS'her\ther\tPRP$\tB-NP\tO' +p13169 +aS'EKG\tEKG\tNN\tI-NP\tB-protein' +p13170 +aS'was\tbe\tVBD\tB-VP\tO' +p13171 +aS'within\twithin\tIN\tB-PP\tO' +p13172 +aS'normal\tnormal\tJJ\tB-NP\tO' +p13173 +aS'limits\tlimit\tNNS\tI-NP\tO' +p13174 +aS'.\t.\t.\tO\tO' +p13175 +asS'Portable chest on 2/23/00 - Lungs were clear .' +p13176 +(lp13177 +S'Portable\tPortable\tJJ\tB-NP\tO' +p13178 +aS'chest\tchest\tNN\tI-NP\tO' +p13179 +aS'on\ton\tIN\tB-PP\tO' +p13180 +aS'2/23/00\t2/23/00\tCD\tB-NP\tO' +p13181 +aS'-\t-\tHYPH\tI-NP\tO' +p13182 +aS'Lungs\tLung\tNNS\tI-NP\tO' +p13183 +aS'were\tbe\tVBD\tB-VP\tO' +p13184 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p13185 +aS'.\t.\t.\tO\tO' +p13186 +asS'This episode happened three times that night and finally on the fourth re-awakening , the patient presented to the Emergency Department at Springfield and was transferred to the Faulkner Hospital for coronary revascularization .' +p13187 +(lp13188 +S'This\tThis\tDT\tB-NP\tO' +p13189 +aS'episode\tepisode\tNN\tI-NP\tO' +p13190 +aS'happened\thappen\tVBD\tB-VP\tO' +p13191 +aS'three\tthree\tCD\tB-NP\tO' +p13192 +aS'times\ttime\tNNS\tI-NP\tO' +p13193 +aS'that\tthat\tIN\tB-NP\tO' +p13194 +aS'night\tnight\tNN\tB-NP\tO' +p13195 +aS'and\tand\tCC\tB-PP\tO' +p13196 +aS'finally\tfinally\tRB\tB-ADVP\tO' +p13197 +aS'on\ton\tIN\tB-PP\tO' +p13198 +aS'the\tthe\tDT\tB-NP\tO' +p13199 +aS'fourth\tfourth\tJJ\tI-NP\tO' +p13200 +aS're-awakening\tre-awakening\tNN\tI-NP\tO' +p13201 +aS',\t,\t,\tO\tO' +p13202 +aS'the\tthe\tDT\tB-NP\tO' +p13203 +aS'patient\tpatient\tNN\tI-NP\tO' +p13204 +aS'presented\tpresent\tVBN\tB-VP\tO' +p13205 +aS'to\tto\tTO\tB-PP\tO' +p13206 +aS'the\tthe\tDT\tB-NP\tO' +p13207 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p13208 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p13209 +aS'at\tat\tIN\tB-PP\tO' +p13210 +aS'Springfield\tSpringfield\tNNP\tB-NP\tO' +p13211 +aS'and\tand\tCC\tO\tO' +p13212 +aS'was\tbe\tVBD\tB-VP\tO' +p13213 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p13214 +aS'to\tto\tTO\tB-PP\tO' +p13215 +aS'the\tthe\tDT\tB-NP\tO' +p13216 +aS'Faulkner\tFaulkner\tNNP\tI-NP\tO' +p13217 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p13218 +aS'for\tfor\tIN\tB-PP\tO' +p13219 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p13220 +aS'revascularization\trevascularization\tNN\tI-NP\tO' +p13221 +aS'.\t.\t.\tO\tO' +p13222 +asS'The patient had back pain on admission without any focal neurological signs .' +p13223 +(lp13224 +S'The\tThe\tDT\tB-NP\tO' +p13225 +aS'patient\tpatient\tNN\tI-NP\tO' +p13226 +aS'had\thave\tVBD\tB-VP\tO' +p13227 +aS'back\tback\tJJ\tB-NP\tO' +p13228 +aS'pain\tpain\tNN\tI-NP\tO' +p13229 +aS'on\ton\tIN\tB-PP\tO' +p13230 +aS'admission\tadmission\tNN\tB-NP\tO' +p13231 +aS'without\twithout\tIN\tB-PP\tO' +p13232 +aS'any\tany\tDT\tB-NP\tO' +p13233 +aS'focal\tfocal\tJJ\tI-NP\tO' +p13234 +aS'neurological\tneurological\tJJ\tI-NP\tO' +p13235 +aS'signs\tsign\tNNS\tI-NP\tO' +p13236 +aS'.\t.\t.\tO\tO' +p13237 +asS'The patient has had gastric ulcer repair and also has a colostomy .' +p13238 +(lp13239 +S'The\tThe\tDT\tB-NP\tO' +p13240 +aS'patient\tpatient\tNN\tI-NP\tO' +p13241 +aS'has\thave\tVBZ\tB-VP\tO' +p13242 +aS'had\thave\tVBN\tI-VP\tO' +p13243 +aS'gastric\tgastric\tJJ\tB-NP\tO' +p13244 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p13245 +aS'repair\trepair\tNN\tI-NP\tO' +p13246 +aS'and\tand\tCC\tO\tO' +p13247 +aS'also\talso\tRB\tB-VP\tO' +p13248 +aS'has\thave\tVBZ\tI-VP\tO' +p13249 +aS'a\ta\tDT\tB-NP\tO' +p13250 +aS'colostomy\tcolostomy\tNN\tI-NP\tO' +p13251 +aS'.\t.\t.\tO\tO' +p13252 +asS'She was sent to New England Sinai Hospital & Rehab Center for an endoscopic retrograde cholangiopancreatography and possible stent placement .' +p13253 +(lp13254 +S'She\tShe\tPRP\tB-NP\tO' +p13255 +aS'was\tbe\tVBD\tB-VP\tO' +p13256 +aS'sent\tsend\tVBN\tI-VP\tO' +p13257 +aS'to\tto\tTO\tB-PP\tO' +p13258 +aS'New\tNew\tNNP\tB-NP\tO' +p13259 +aS'England\tEngland\tNNP\tI-NP\tO' +p13260 +aS'Sinai\tSinai\tNNP\tI-NP\tO' +p13261 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p13262 +aS'&\t&\tCC\tI-NP\tO' +p13263 +aS'Rehab\tRehab\tNNP\tI-NP\tO' +p13264 +aS'Center\tCenter\tNNP\tI-NP\tO' +p13265 +aS'for\tfor\tIN\tB-PP\tO' +p13266 +aS'an\tan\tDT\tB-NP\tO' +p13267 +aS'endoscopic\tendoscopic\tJJ\tI-NP\tO' +p13268 +aS'retrograde\tretrograde\tJJ\tI-NP\tO' +p13269 +aS'cholangiopancreatography\tcholangiopancreatography\tNN\tI-NP\tO' +p13270 +aS'and\tand\tCC\tO\tO' +p13271 +aS'possible\tpossible\tJJ\tB-NP\tO' +p13272 +aS'stent\tstent\tJJ\tI-NP\tO' +p13273 +aS'placement\tplacement\tNN\tI-NP\tO' +p13274 +aS'.\t.\t.\tO\tO' +p13275 +asS'The patient is a 45 - year-old female here for a diagnostic cerebral angiogram with coiling .' +p13276 +(lp13277 +S'The\tThe\tDT\tB-NP\tO' +p13278 +aS'patient\tpatient\tNN\tI-NP\tO' +p13279 +aS'is\tbe\tVBZ\tB-VP\tO' +p13280 +aS'a\ta\tDT\tB-NP\tO' +p13281 +aS'45\t45\tCD\tI-NP\tO' +p13282 +aS'-\t-\tHYPH\tI-NP\tO' +p13283 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p13284 +aS'female\tfemale\tNN\tI-NP\tO' +p13285 +aS'here\there\tRB\tB-ADVP\tO' +p13286 +aS'for\tfor\tIN\tB-PP\tO' +p13287 +aS'a\ta\tDT\tB-NP\tO' +p13288 +aS'diagnostic\tdiagnostic\tJJ\tI-NP\tO' +p13289 +aS'cerebral\tcerebral\tJJ\tI-NP\tO' +p13290 +aS'angiogram\tangiogram\tNN\tI-NP\tO' +p13291 +aS'with\twith\tIN\tB-PP\tO' +p13292 +aS'coiling\tcoil\tVBG\tB-NP\tO' +p13293 +aS'.\t.\t.\tO\tO' +p13294 +asS'Normal axis .' +p13295 +(lp13296 +S'Normal\tNormal\tJJ\tB-NP\tO' +p13297 +aS'axis\taxis\tNN\tI-NP\tO' +p13298 +aS'.\t.\t.\tO\tO' +p13299 +asS'Please take an over the counter stool softener such as Colace or a gentle laxative such as Milk of Magnesia if you experience constipation .' +p13300 +(lp13301 +S'Please\tPlease\tVB\tB-VP\tO' +p13302 +aS'take\ttake\tVB\tI-VP\tO' +p13303 +aS'an\tan\tDT\tB-NP\tO' +p13304 +aS'over\tover\tIN\tB-PP\tO' +p13305 +aS'the\tthe\tDT\tB-NP\tO' +p13306 +aS'counter\tcounter\tNN\tI-NP\tO' +p13307 +aS'stool\tstool\tNN\tI-NP\tO' +p13308 +aS'softener\tsoftener\tNN\tI-NP\tO' +p13309 +aS'such\tsuch\tJJ\tB-PP\tO' +p13310 +aS'as\tas\tIN\tI-PP\tO' +p13311 +aS'Colace\tColace\tNNP\tB-NP\tO' +p13312 +aS'or\tor\tCC\tO\tO' +p13313 +aS'a\ta\tDT\tB-NP\tO' +p13314 +aS'gentle\tgentle\tJJ\tI-NP\tO' +p13315 +aS'laxative\tlaxative\tNN\tI-NP\tO' +p13316 +aS'such\tsuch\tJJ\tB-PP\tO' +p13317 +aS'as\tas\tIN\tI-PP\tO' +p13318 +aS'Milk\tMilk\tNNP\tB-NP\tO' +p13319 +aS'of\tof\tIN\tB-PP\tO' +p13320 +aS'Magnesia\tMagnesia\tNNP\tB-NP\tO' +p13321 +aS'if\tif\tIN\tB-SBAR\tO' +p13322 +aS'you\tyou\tPRP\tB-NP\tO' +p13323 +aS'experience\texperience\tVBP\tB-VP\tO' +p13324 +aS'constipation\tconstipation\tNN\tB-NP\tO' +p13325 +aS'.\t.\t.\tO\tO' +p13326 +asS'Octreotide was initiated in an attempt to decrease the gastric secretions .' +p13327 +(lp13328 +S'Octreotide\tOctreotide\tNN\tB-NP\tO' +p13329 +aS'was\tbe\tVBD\tB-VP\tO' +p13330 +aS'initiated\tinitiate\tVBN\tI-VP\tO' +p13331 +aS'in\tin\tIN\tB-PP\tO' +p13332 +aS'an\tan\tDT\tB-NP\tO' +p13333 +aS'attempt\tattempt\tNN\tI-NP\tO' +p13334 +aS'to\tto\tTO\tB-VP\tO' +p13335 +aS'decrease\tdecrease\tVB\tI-VP\tO' +p13336 +aS'the\tthe\tDT\tB-NP\tO' +p13337 +aS'gastric\tgastric\tJJ\tI-NP\tO' +p13338 +aS'secretions\tsecretion\tNNS\tI-NP\tO' +p13339 +aS'.\t.\t.\tO\tO' +p13340 +asS'Afebrile , vital signs stable but notable for a blood pressure of 164/80 .' +p13341 +(lp13342 +S'Afebrile\tAfebrile\tRB\tB-ADVP\tO' +p13343 +aS',\t,\t,\tO\tO' +p13344 +aS'vital\tvital\tJJ\tB-NP\tO' +p13345 +aS'signs\tsign\tNNS\tI-NP\tO' +p13346 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p13347 +aS'but\tbut\tCC\tI-ADJP\tO' +p13348 +aS'notable\tnotable\tJJ\tI-ADJP\tO' +p13349 +aS'for\tfor\tIN\tB-PP\tO' +p13350 +aS'a\ta\tDT\tB-NP\tO' +p13351 +aS'blood\tblood\tNN\tI-NP\tO' +p13352 +aS'pressure\tpressure\tNN\tI-NP\tO' +p13353 +aS'of\tof\tIN\tB-PP\tO' +p13354 +aS'164/80\t164/80\tCD\tB-NP\tO' +p13355 +aS'.\t.\t.\tO\tO' +p13356 +asS'The patient was admitted to the Arkzie- Memorial for lumbar puncture .' +p13357 +(lp13358 +S'The\tThe\tDT\tB-NP\tO' +p13359 +aS'patient\tpatient\tNN\tI-NP\tO' +p13360 +aS'was\tbe\tVBD\tB-VP\tO' +p13361 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p13362 +aS'to\tto\tTO\tB-PP\tO' +p13363 +aS'the\tthe\tDT\tB-NP\tO' +p13364 +aS'Arkzie-\tArkzie-\tNNP\tI-NP\tO' +p13365 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p13366 +aS'for\tfor\tIN\tB-PP\tO' +p13367 +aS'lumbar\tlumbar\tJJ\tB-NP\tO' +p13368 +aS'puncture\tpuncture\tNN\tI-NP\tO' +p13369 +aS'.\t.\t.\tO\tO' +p13370 +asS'Carotid non-invasive testing was unremarkable .' +p13371 +(lp13372 +S'Carotid\tCarotid\tJJ\tB-NP\tO' +p13373 +aS'non-invasive\tnon-invasive\tJJ\tI-NP\tO' +p13374 +aS'testing\ttesting\tNN\tI-NP\tO' +p13375 +aS'was\tbe\tVBD\tB-VP\tO' +p13376 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p13377 +aS'.\t.\t.\tO\tO' +p13378 +asS'Showed a 71 year old white female in no acute distress .' +p13379 +(lp13380 +S'Showed\tShow\tVBD\tB-VP\tO' +p13381 +aS'a\ta\tDT\tB-NP\tO' +p13382 +aS'71\t71\tCD\tI-NP\tO' +p13383 +aS'year\tyear\tNN\tI-NP\tO' +p13384 +aS'old\told\tJJ\tI-NP\tO' +p13385 +aS'white\twhite\tJJ\tI-NP\tO' +p13386 +aS'female\tfemale\tNN\tI-NP\tO' +p13387 +aS'in\tin\tIN\tB-PP\tO' +p13388 +aS'no\tno\tDT\tB-NP\tO' +p13389 +aS'acute\tacute\tJJ\tI-NP\tO' +p13390 +aS'distress\tdistress\tNN\tI-NP\tO' +p13391 +aS'.\t.\t.\tO\tO' +p13392 +asS'# CHF - patient does not seem volume overloaded at this time .' +p13393 +(lp13394 +S'#\t#\t#\tB-NP\tO' +p13395 +aS'CHF\tCHF\tNN\tI-NP\tB-protein' +p13396 +aS'-\t-\tHYPH\tO\tO' +p13397 +aS'patient\tpatient\tNN\tB-NP\tO' +p13398 +aS'does\tdo\tVBZ\tB-VP\tO' +p13399 +aS'not\tnot\tRB\tI-VP\tO' +p13400 +aS'seem\tseem\tVB\tI-VP\tO' +p13401 +aS'volume\tvolume\tNN\tB-NP\tO' +p13402 +aS'overloaded\toverload\tVBN\tB-VP\tO' +p13403 +aS'at\tat\tIN\tB-PP\tO' +p13404 +aS'this\tthis\tDT\tB-NP\tO' +p13405 +aS'time\ttime\tNN\tI-NP\tO' +p13406 +aS'.\t.\t.\tO\tO' +p13407 +asS'One drain was removed on postoperative day number two , and the second drain she will be discharged to home with .' +p13408 +(lp13409 +S'One\tOne\tCD\tB-NP\tO' +p13410 +aS'drain\tdrain\tNN\tI-NP\tO' +p13411 +aS'was\tbe\tVBD\tB-VP\tO' +p13412 +aS'removed\tremove\tVBN\tI-VP\tO' +p13413 +aS'on\ton\tIN\tB-PP\tO' +p13414 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p13415 +aS'day\tday\tNN\tI-NP\tO' +p13416 +aS'number\tnumber\tNN\tI-NP\tO' +p13417 +aS'two\ttwo\tCD\tB-NP\tO' +p13418 +aS',\t,\t,\tO\tO' +p13419 +aS'and\tand\tCC\tO\tO' +p13420 +aS'the\tthe\tDT\tB-NP\tO' +p13421 +aS'second\tsecond\tJJ\tI-NP\tO' +p13422 +aS'drain\tdrain\tNN\tI-NP\tO' +p13423 +aS'she\tshe\tPRP\tB-NP\tO' +p13424 +aS'will\twill\tMD\tB-VP\tO' +p13425 +aS'be\tbe\tVB\tI-VP\tO' +p13426 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p13427 +aS'to\tto\tTO\tB-VP\tO' +p13428 +aS'home\thome\tVB\tI-VP\tO' +p13429 +aS'with\twith\tIN\tB-PP\tO' +p13430 +aS'.\t.\t.\tO\tO' +p13431 +asS'Caffeine citrate was initiated on 11-14 for apnea and bradycardia of prematurity .' +p13432 +(lp13433 +S'Caffeine\tCaffeine\tNN\tB-NP\tO' +p13434 +aS'citrate\tcitrate\tNN\tI-NP\tO' +p13435 +aS'was\tbe\tVBD\tB-VP\tO' +p13436 +aS'initiated\tinitiate\tVBN\tI-VP\tO' +p13437 +aS'on\ton\tIN\tB-PP\tO' +p13438 +aS'11-14\t11-14\tNN\tB-NP\tO' +p13439 +aS'for\tfor\tIN\tB-PP\tO' +p13440 +aS'apnea\tapnea\tNN\tB-NP\tO' +p13441 +aS'and\tand\tCC\tI-NP\tO' +p13442 +aS'bradycardia\tbradycardia\tNN\tI-NP\tO' +p13443 +aS'of\tof\tIN\tB-PP\tO' +p13444 +aS'prematurity\tprematurity\tNN\tB-NP\tO' +p13445 +aS'.\t.\t.\tO\tO' +p13446 +asS'Need to follow INR after Keflex is discontinued as expect it will change .' +p13447 +(lp13448 +S'Need\tNeed\tNN\tB-NP\tO' +p13449 +aS'to\tto\tTO\tB-VP\tO' +p13450 +aS'follow\tfollow\tVB\tI-VP\tO' +p13451 +aS'INR\tINR\tNNP\tB-NP\tO' +p13452 +aS'after\tafter\tIN\tB-SBAR\tO' +p13453 +aS'Keflex\tKeflex\tNNP\tB-NP\tO' +p13454 +aS'is\tbe\tVBZ\tB-VP\tO' +p13455 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p13456 +aS'as\tas\tIN\tB-SBAR\tO' +p13457 +aS'expect\texpect\tVBP\tB-VP\tO' +p13458 +aS'it\tit\tPRP\tB-NP\tO' +p13459 +aS'will\twill\tMD\tB-VP\tO' +p13460 +aS'change\tchange\tVB\tI-VP\tO' +p13461 +aS'.\t.\t.\tO\tO' +p13462 +asS'His Hct was stable on 08-09 at 24.4 ; he had plasmapheresis on 08-09 ( followed by 10 mg IVIG ).' +p13463 +(lp13464 +S'His\tHis\tPRP$\tB-NP\tO' +p13465 +aS'Hct\tHct\tNN\tI-NP\tB-protein' +p13466 +aS'was\tbe\tVBD\tB-VP\tO' +p13467 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p13468 +aS'on\ton\tIN\tB-PP\tO' +p13469 +aS'08-09\t08-09\tCD\tB-NP\tO' +p13470 +aS'at\tat\tIN\tB-PP\tO' +p13471 +aS'24.4\t24.4\tCD\tB-NP\tO' +p13472 +aS';\t;\t:\tO\tO' +p13473 +aS'he\the\tPRP\tB-NP\tO' +p13474 +aS'had\thave\tVBD\tB-VP\tO' +p13475 +aS'plasmapheresis\tplasmapheresis\tNN\tB-NP\tO' +p13476 +aS'on\ton\tIN\tB-PP\tO' +p13477 +aS'08-09\t08-09\tCD\tB-NP\tO' +p13478 +aS'(\t(\t(\tO\tO' +p13479 +aS'followed\tfollow\tVBN\tB-VP\tO' +p13480 +aS'by\tby\tIN\tB-PP\tO' +p13481 +aS'10\t10\tCD\tB-NP\tO' +p13482 +aS'mg\tmg\tNN\tI-NP\tO' +p13483 +aS'IVIG\tIVIG\tNNP\tI-NP\tO' +p13484 +aS').\t).\tNNP\tI-NP\tO' +p13485 +asS'The patient is a 37 year old lady with type 1 diabetes mellitus , who is four months postcadaveric kidney transplantation and now has good graft function .' +p13486 +(lp13487 +S'The\tThe\tDT\tB-NP\tO' +p13488 +aS'patient\tpatient\tNN\tI-NP\tO' +p13489 +aS'is\tbe\tVBZ\tB-VP\tO' +p13490 +aS'a\ta\tDT\tB-NP\tO' +p13491 +aS'37\t37\tCD\tI-NP\tO' +p13492 +aS'year\tyear\tNN\tI-NP\tO' +p13493 +aS'old\told\tJJ\tI-NP\tO' +p13494 +aS'lady\tlady\tNN\tI-NP\tO' +p13495 +aS'with\twith\tIN\tB-PP\tO' +p13496 +aS'type\ttype\tNN\tB-NP\tO' +p13497 +aS'1\t1\tCD\tI-NP\tO' +p13498 +aS'diabetes\tdiabetes\tNN\tI-NP\tO' +p13499 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p13500 +aS',\t,\t,\tO\tO' +p13501 +aS'who\twho\tWP\tB-NP\tO' +p13502 +aS'is\tbe\tVBZ\tB-VP\tO' +p13503 +aS'four\tfour\tCD\tB-NP\tO' +p13504 +aS'months\tmonth\tNNS\tI-NP\tO' +p13505 +aS'postcadaveric\tpostcadaveric\tJJ\tB-NP\tO' +p13506 +aS'kidney\tkidney\tNN\tI-NP\tO' +p13507 +aS'transplantation\ttransplantation\tNN\tI-NP\tO' +p13508 +aS'and\tand\tCC\tO\tO' +p13509 +aS'now\tnow\tRB\tB-VP\tO' +p13510 +aS'has\thave\tVBZ\tI-VP\tO' +p13511 +aS'good\tgood\tJJ\tB-NP\tO' +p13512 +aS'graft\tgraft\tNN\tI-NP\tO' +p13513 +aS'function\tfunction\tNN\tI-NP\tO' +p13514 +aS'.\t.\t.\tO\tO' +p13515 +asS'The patient was taken back to surgery by the interventional radiology team and had a second drain placed without any difficulty and was transferred back to the Short Stay Unit .' +p13516 +(lp13517 +S'The\tThe\tDT\tB-NP\tO' +p13518 +aS'patient\tpatient\tNN\tI-NP\tO' +p13519 +aS'was\tbe\tVBD\tB-VP\tO' +p13520 +aS'taken\ttake\tVBN\tI-VP\tO' +p13521 +aS'back\tback\tRB\tB-ADVP\tO' +p13522 +aS'to\tto\tTO\tB-PP\tO' +p13523 +aS'surgery\tsurgery\tNN\tB-NP\tO' +p13524 +aS'by\tby\tIN\tB-PP\tO' +p13525 +aS'the\tthe\tDT\tB-NP\tO' +p13526 +aS'interventional\tinterventional\tJJ\tI-NP\tO' +p13527 +aS'radiology\tradiology\tNN\tI-NP\tO' +p13528 +aS'team\tteam\tNN\tI-NP\tO' +p13529 +aS'and\tand\tCC\tO\tO' +p13530 +aS'had\thave\tVBD\tB-VP\tO' +p13531 +aS'a\ta\tDT\tB-NP\tO' +p13532 +aS'second\tsecond\tJJ\tI-NP\tO' +p13533 +aS'drain\tdrain\tNN\tI-NP\tO' +p13534 +aS'placed\tplace\tVBN\tB-VP\tO' +p13535 +aS'without\twithout\tIN\tB-PP\tO' +p13536 +aS'any\tany\tDT\tB-NP\tO' +p13537 +aS'difficulty\tdifficulty\tNN\tI-NP\tO' +p13538 +aS'and\tand\tCC\tO\tO' +p13539 +aS'was\tbe\tVBD\tB-VP\tO' +p13540 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p13541 +aS'back\tback\tRB\tB-ADVP\tO' +p13542 +aS'to\tto\tTO\tB-PP\tO' +p13543 +aS'the\tthe\tDT\tB-NP\tO' +p13544 +aS'Short\tShort\tNNP\tI-NP\tO' +p13545 +aS'Stay\tStay\tNNP\tI-NP\tO' +p13546 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p13547 +aS'.\t.\t.\tO\tO' +p13548 +asS'Activity : No heavy lifting of items 11-02 pounds until the follow up appointment with your doctor .' +p13549 +(lp13550 +S'Activity\tActivity\tNN\tB-NP\tO' +p13551 +aS':\t:\t:\tO\tO' +p13552 +aS'No\tNo\tDT\tB-NP\tO' +p13553 +aS'heavy\theavy\tJJ\tI-NP\tO' +p13554 +aS'lifting\tlifting\tNN\tI-NP\tO' +p13555 +aS'of\tof\tIN\tB-PP\tO' +p13556 +aS'items\titem\tNNS\tB-NP\tO' +p13557 +aS'11-02\t11-02\tCD\tB-NP\tO' +p13558 +aS'pounds\tpound\tNNS\tI-NP\tO' +p13559 +aS'until\tuntil\tIN\tB-PP\tO' +p13560 +aS'the\tthe\tDT\tB-NP\tO' +p13561 +aS'follow\tfollow\tNN\tI-NP\tO' +p13562 +aS'up\tup\tRP\tB-PRT\tO' +p13563 +aS'appointment\tappointment\tNN\tB-NP\tO' +p13564 +aS'with\twith\tIN\tB-PP\tO' +p13565 +aS'your\tyour\tPRP$\tB-NP\tO' +p13566 +aS'doctor\tdoctor\tNN\tI-NP\tO' +p13567 +aS'.\t.\t.\tO\tO' +p13568 +asS'A left lower extremity ultrasound was negative for deep venous thrombosis .' +p13569 +(lp13570 +S'A\tA\tDT\tB-NP\tO' +p13571 +aS'left\tleave\tVBD\tB-VP\tO' +p13572 +aS'lower\tlow\tJJR\tB-NP\tO' +p13573 +aS'extremity\textremity\tNN\tI-NP\tO' +p13574 +aS'ultrasound\tultrasound\tNN\tI-NP\tO' +p13575 +aS'was\tbe\tVBD\tB-VP\tO' +p13576 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p13577 +aS'for\tfor\tIN\tB-PP\tO' +p13578 +aS'deep\tdeep\tJJ\tB-NP\tO' +p13579 +aS'venous\tvenous\tJJ\tI-NP\tO' +p13580 +aS'thrombosis\tthrombosis\tNN\tI-NP\tO' +p13581 +aS'.\t.\t.\tO\tO' +p13582 +asS'Please followup with Dr. Lesha Lefebvre on 08-15 at 10:30 am .' +p13583 +(lp13584 +S'Please\tPlease\tNN\tB-NP\tO' +p13585 +aS'followup\tfollowup\tNN\tI-NP\tO' +p13586 +aS'with\twith\tIN\tB-PP\tO' +p13587 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p13588 +aS'Lesha\tLesha\tNNP\tI-NP\tO' +p13589 +aS'Lefebvre\tLefebvre\tNNP\tI-NP\tO' +p13590 +aS'on\ton\tIN\tB-PP\tO' +p13591 +aS'08-15\t08-15\tCD\tB-NP\tO' +p13592 +aS'at\tat\tIN\tB-PP\tO' +p13593 +aS'10:30\t10:30\tCD\tB-NP\tO' +p13594 +aS'am\tam\tNN\tI-NP\tO' +p13595 +aS'.\t.\t.\tO\tO' +p13596 +asS'The patient presents with increased abdominal pain and poor oral intake as well as generalized weakness .' +p13597 +(lp13598 +S'The\tThe\tDT\tB-NP\tO' +p13599 +aS'patient\tpatient\tNN\tI-NP\tO' +p13600 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p13601 +aS'with\twith\tIN\tB-PP\tO' +p13602 +aS'increased\tincrease\tVBN\tB-NP\tO' +p13603 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p13604 +aS'pain\tpain\tNN\tI-NP\tO' +p13605 +aS'and\tand\tCC\tO\tO' +p13606 +aS'poor\tpoor\tJJ\tB-NP\tO' +p13607 +aS'oral\toral\tJJ\tI-NP\tO' +p13608 +aS'intake\tintake\tNN\tI-NP\tO' +p13609 +aS'as\tas\tRB\tB-CONJP\tO' +p13610 +aS'well\twell\tRB\tI-CONJP\tO' +p13611 +aS'as\tas\tIN\tI-CONJP\tO' +p13612 +aS'generalized\tgeneralize\tVBN\tB-NP\tO' +p13613 +aS'weakness\tweakness\tNN\tI-NP\tO' +p13614 +aS'.\t.\t.\tO\tO' +p13615 +asS'He had difficulty weaning from the vent due to difficulties with neurological status ( he remained drowsy and unresponsive for many days ) but eventually awoke enough and was extubated without difficulty and remained stable on 3L NC .' +p13616 +(lp13617 +S'He\tHe\tPRP\tB-NP\tO' +p13618 +aS'had\thave\tVBD\tB-VP\tO' +p13619 +aS'difficulty\tdifficulty\tNN\tB-NP\tO' +p13620 +aS'weaning\twean\tVBG\tB-VP\tO' +p13621 +aS'from\tfrom\tIN\tB-PP\tO' +p13622 +aS'the\tthe\tDT\tB-NP\tO' +p13623 +aS'vent\tvent\tNN\tI-NP\tO' +p13624 +aS'due\tdue\tJJ\tB-ADJP\tO' +p13625 +aS'to\tto\tTO\tB-PP\tO' +p13626 +aS'difficulties\tdifficulty\tNNS\tB-NP\tO' +p13627 +aS'with\twith\tIN\tB-PP\tO' +p13628 +aS'neurological\tneurological\tJJ\tB-NP\tO' +p13629 +aS'status\tstatus\tNN\tI-NP\tO' +p13630 +aS'(\t(\t(\tO\tO' +p13631 +aS'he\the\tPRP\tB-NP\tO' +p13632 +aS'remained\tremain\tVBD\tB-VP\tO' +p13633 +aS'drowsy\tdrowsy\tJJ\tB-ADJP\tO' +p13634 +aS'and\tand\tCC\tI-ADJP\tO' +p13635 +aS'unresponsive\tunresponsive\tJJ\tI-ADJP\tO' +p13636 +aS'for\tfor\tIN\tB-PP\tO' +p13637 +aS'many\tmany\tJJ\tB-NP\tO' +p13638 +aS'days\tday\tNNS\tI-NP\tO' +p13639 +aS')\t)\t)\tO\tO' +p13640 +aS'but\tbut\tCC\tO\tO' +p13641 +aS'eventually\teventually\tRB\tB-ADVP\tO' +p13642 +aS'awoke\tawoke\tRB\tB-ADVP\tO' +p13643 +aS'enough\tenough\tRB\tI-ADVP\tO' +p13644 +aS'and\tand\tCC\tO\tO' +p13645 +aS'was\tbe\tVBD\tB-VP\tO' +p13646 +aS'extubated\textubate\tVBN\tI-VP\tO' +p13647 +aS'without\twithout\tIN\tB-PP\tO' +p13648 +aS'difficulty\tdifficulty\tNN\tB-NP\tO' +p13649 +aS'and\tand\tCC\tO\tO' +p13650 +aS'remained\tremain\tVBD\tB-VP\tO' +p13651 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p13652 +aS'on\ton\tIN\tB-PP\tO' +p13653 +aS'3L\t3L\tNN\tB-NP\tO' +p13654 +aS'NC\tNC\tNN\tI-NP\tO' +p13655 +aS'.\t.\t.\tO\tO' +p13656 +asS'Blood cultures remained negative to date .' +p13657 +(lp13658 +S'Blood\tBlood\tNN\tB-NP\tB-cell_line' +p13659 +aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' +p13660 +aS'remained\tremain\tVBD\tB-VP\tO' +p13661 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p13662 +aS'to\tto\tTO\tB-PP\tO' +p13663 +aS'date\tdate\tNN\tB-NP\tO' +p13664 +aS'.\t.\t.\tO\tO' +p13665 +asS'on 10-27-93 , the patient went to the cath lab which revealed a small nondominant right coronary artery without any lesions , a restenosis of the proximal left anterior descending lesion that had been PTCA 'd , a lesion in the first OM , and a moderately severe left circumflex lesion after the OM3 .' +p13666 +(lp13667 +S'on\ton\tIN\tB-PP\tO' +p13668 +aS'10-27-93\t10-27-93\tCD\tB-NP\tO' +p13669 +aS',\t,\t,\tO\tO' +p13670 +aS'the\tthe\tDT\tB-NP\tO' +p13671 +aS'patient\tpatient\tNN\tI-NP\tO' +p13672 +aS'went\tgo\tVBD\tB-VP\tO' +p13673 +aS'to\tto\tTO\tB-PP\tO' +p13674 +aS'the\tthe\tDT\tB-NP\tO' +p13675 +aS'cath\tcath\tNN\tI-NP\tO' +p13676 +aS'lab\tlab\tNN\tI-NP\tO' +p13677 +aS'which\twhich\tWDT\tB-NP\tO' +p13678 +aS'revealed\treveal\tVBD\tB-VP\tO' +p13679 +aS'a\ta\tDT\tB-NP\tO' +p13680 +aS'small\tsmall\tJJ\tI-NP\tO' +p13681 +aS'nondominant\tnondominant\tJJ\tI-NP\tO' +p13682 +aS'right\tright\tJJ\tI-NP\tO' +p13683 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p13684 +aS'artery\tartery\tNN\tI-NP\tO' +p13685 +aS'without\twithout\tIN\tB-PP\tO' +p13686 +aS'any\tany\tDT\tB-NP\tO' +p13687 +aS'lesions\tlesion\tNNS\tI-NP\tO' +p13688 +aS',\t,\t,\tO\tO' +p13689 +aS'a\ta\tDT\tB-NP\tO' +p13690 +aS'restenosis\trestenosis\tNN\tI-NP\tO' +p13691 +aS'of\tof\tIN\tB-PP\tO' +p13692 +aS'the\tthe\tDT\tB-NP\tO' +p13693 +aS'proximal\tproximal\tJJ\tI-NP\tO' +p13694 +aS'left\tleft\tJJ\tI-NP\tO' +p13695 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p13696 +aS'descending\tdescend\tVBG\tI-NP\tO' +p13697 +aS'lesion\tlesion\tNN\tI-NP\tO' +p13698 +aS'that\tthat\tWDT\tB-NP\tO' +p13699 +aS'had\thave\tVBD\tB-VP\tO' +p13700 +aS'been\tbe\tVBN\tI-VP\tO' +p13701 +aS'PTCA\tPTCA\tNNP\tB-NP\tO' +p13702 +aS''d\t'd\tNNP\tI-NP\tO' +p13703 +aS',\t,\t,\tO\tO' +p13704 +aS'a\ta\tDT\tB-NP\tO' +p13705 +aS'lesion\tlesion\tNN\tI-NP\tO' +p13706 +aS'in\tin\tIN\tB-PP\tO' +p13707 +aS'the\tthe\tDT\tB-NP\tO' +p13708 +aS'first\tfirst\tJJ\tI-NP\tO' +p13709 +aS'OM\tOM\tNN\tI-NP\tO' +p13710 +aS',\t,\t,\tO\tO' +p13711 +aS'and\tand\tCC\tO\tO' +p13712 +aS'a\ta\tDT\tB-NP\tO' +p13713 +aS'moderately\tmoderately\tRB\tI-NP\tO' +p13714 +aS'severe\tsevere\tJJ\tI-NP\tO' +p13715 +aS'left\tleft\tJJ\tI-NP\tO' +p13716 +aS'circumflex\tcircumflex\tNN\tI-NP\tO' +p13717 +aS'lesion\tlesion\tNN\tI-NP\tO' +p13718 +aS'after\tafter\tIN\tB-PP\tO' +p13719 +aS'the\tthe\tDT\tB-NP\tO' +p13720 +aS'OM3\tOM3\tNN\tI-NP\tB-protein' +p13721 +aS'.\t.\t.\tO\tO' +p13722 +asS'Fever / + BC w/ h/o MV endocarditis' +p13723 +(lp13724 +S'Fever\tFever\tRB\tB-ADVP\tO' +p13725 +aS'/\t/\tSYM\tO\tB-cell_type' +p13726 +aS'+\t+\tSYM\tO\tI-cell_type' +p13727 +aS'BC\tBC\tNN\tB-NP\tI-cell_type' +p13728 +aS'w/\tw/\tSYM\tI-NP\tO' +p13729 +aS'h/o\th/o\tNN\tI-NP\tO' +p13730 +aS'MV\tMV\tNN\tI-NP\tO' +p13731 +aS'endocarditis\tendocarditis\tNN\tI-NP\tO' +p13732 +asS'Anterior wall prolapses 3 cm past the hymen with loss of urine on valsalva; cervix 1cm above the hymen; posterior prolapse only to the hymen but 3.4 cm of perineal descent .' +p13733 +(lp13734 +S'Anterior\tAnterior\tJJ\tB-NP\tO' +p13735 +aS'wall\twall\tNN\tI-NP\tO' +p13736 +aS'prolapses\tprolapse\tVBZ\tB-VP\tO' +p13737 +aS'3\t3\tCD\tB-NP\tO' +p13738 +aS'cm\tcm\tNN\tI-NP\tO' +p13739 +aS'past\tpast\tIN\tB-PP\tO' +p13740 +aS'the\tthe\tDT\tB-NP\tO' +p13741 +aS'hymen\thyman\tNNS\tI-NP\tO' +p13742 +aS'with\twith\tIN\tB-PP\tO' +p13743 +aS'loss\tloss\tNN\tB-NP\tO' +p13744 +aS'of\tof\tIN\tB-PP\tO' +p13745 +aS'urine\turine\tNN\tB-NP\tO' +p13746 +aS'on\ton\tIN\tB-PP\tO' +p13747 +aS'valsalva;\tvalsalva;\tNN\tB-NP\tO' +p13748 +aS'cervix\tcervix\tNN\tI-NP\tO' +p13749 +aS'1cm\t1cm\tNN\tI-NP\tO' +p13750 +aS'above\tabove\tIN\tB-PP\tO' +p13751 +aS'the\tthe\tDT\tB-NP\tO' +p13752 +aS'hymen;\thymen;\tNN\tI-NP\tO' +p13753 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p13754 +aS'prolapse\tprolapse\tNN\tI-NP\tO' +p13755 +aS'only\tonly\tRB\tB-ADVP\tO' +p13756 +aS'to\tto\tTO\tB-PP\tO' +p13757 +aS'the\tthe\tDT\tB-NP\tO' +p13758 +aS'hymen\thyman\tNNS\tI-NP\tO' +p13759 +aS'but\tbut\tCC\tO\tO' +p13760 +aS'3.4\t3.4\tCD\tB-NP\tO' +p13761 +aS'cm\tcm\tNN\tI-NP\tO' +p13762 +aS'of\tof\tIN\tB-PP\tO' +p13763 +aS'perineal\tperineal\tJJ\tB-NP\tO' +p13764 +aS'descent\tdescent\tNN\tI-NP\tO' +p13765 +aS'.\t.\t.\tO\tO' +p13766 +asS'3. Acute thrombosis .' +p13767 +(lp13768 +S'3.\t3.\tLS\tB-NP\tO' +p13769 +aS'Acute\tAcute\tJJ\tI-NP\tO' +p13770 +aS'thrombosis\tthrombosis\tNN\tI-NP\tO' +p13771 +aS'.\t.\t.\tO\tO' +p13772 +asS'An angiogram was done which disclosed possible subsegmental pulmonary emboli of the upper lobes as well as infiltrates consistent with aspiration pneumonia .' +p13773 +(lp13774 +S'An\tAn\tDT\tB-NP\tO' +p13775 +aS'angiogram\tangiogram\tNN\tI-NP\tO' +p13776 +aS'was\tbe\tVBD\tB-VP\tO' +p13777 +aS'done\tdo\tVBN\tI-VP\tO' +p13778 +aS'which\twhich\tWDT\tB-NP\tO' +p13779 +aS'disclosed\tdisclose\tVBD\tB-VP\tO' +p13780 +aS'possible\tpossible\tJJ\tB-NP\tO' +p13781 +aS'subsegmental\tsubsegmental\tJJ\tI-NP\tO' +p13782 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p13783 +aS'emboli\tembolus\tNNS\tI-NP\tO' +p13784 +aS'of\tof\tIN\tB-PP\tO' +p13785 +aS'the\tthe\tDT\tB-NP\tO' +p13786 +aS'upper\tupper\tJJ\tI-NP\tO' +p13787 +aS'lobes\tlobe\tNNS\tI-NP\tO' +p13788 +aS'as\tas\tRB\tB-CONJP\tO' +p13789 +aS'well\twell\tRB\tI-CONJP\tO' +p13790 +aS'as\tas\tIN\tI-CONJP\tO' +p13791 +aS'infiltrates\tinfiltrate\tNNS\tB-NP\tO' +p13792 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p13793 +aS'with\twith\tIN\tB-PP\tO' +p13794 +aS'aspiration\taspiration\tNN\tB-NP\tO' +p13795 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p13796 +aS'.\t.\t.\tO\tO' +p13797 +asS'Dentistry and OMFS were consulted , and he had four front teeth removed on 10-04 .' +p13798 +(lp13799 +S'Dentistry\tDentistry\tNN\tB-NP\tO' +p13800 +aS'and\tand\tCC\tI-NP\tO' +p13801 +aS'OMFS\tOMFS\tNN\tI-NP\tB-protein' +p13802 +aS'were\tbe\tVBD\tB-VP\tO' +p13803 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p13804 +aS',\t,\t,\tO\tO' +p13805 +aS'and\tand\tCC\tO\tO' +p13806 +aS'he\the\tPRP\tB-NP\tO' +p13807 +aS'had\thave\tVBD\tB-VP\tO' +p13808 +aS'four\tfour\tCD\tB-NP\tO' +p13809 +aS'front\tfront\tJJ\tI-NP\tO' +p13810 +aS'teeth\ttooth\tNNS\tI-NP\tO' +p13811 +aS'removed\tremove\tVBN\tB-VP\tO' +p13812 +aS'on\ton\tIN\tB-PP\tO' +p13813 +aS'10-04\t10-04\tCD\tB-NP\tO' +p13814 +aS'.\t.\t.\tO\tO' +p13815 +asS'Briley von der Ross MD 67-576' +p13816 +(lp13817 +S'Briley\tBriley\tNNP\tB-NP\tO' +p13818 +aS'von\tvon\tNNP\tI-NP\tO' +p13819 +aS'der\tder\tNNP\tI-NP\tO' +p13820 +aS'Ross\tRoss\tNNP\tI-NP\tO' +p13821 +aS'MD\tMD\tNNP\tI-NP\tO' +p13822 +aS'67-576\t67-576\tCD\tI-NP\tO' +p13823 +asS'LFTs wre elevated at presentation .' +p13824 +(lp13825 +S'LFTs\tLFT\tNNS\tB-NP\tB-protein' +p13826 +aS'wre\twre\tVBP\tB-VP\tO' +p13827 +aS'elevated\televated\tJJ\tB-ADJP\tO' +p13828 +aS'at\tat\tIN\tB-PP\tO' +p13829 +aS'presentation\tpresentation\tNN\tB-NP\tO' +p13830 +aS'.\t.\t.\tO\tO' +p13831 +asS'Heart normal in size , mediastinal and hilar contours are normal .' +p13832 +(lp13833 +S'Heart\tHeart\tNN\tB-NP\tO' +p13834 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p13835 +aS'in\tin\tIN\tB-PP\tO' +p13836 +aS'size\tsize\tNN\tB-NP\tO' +p13837 +aS',\t,\t,\tO\tO' +p13838 +aS'mediastinal\tmediastinal\tJJ\tB-NP\tO' +p13839 +aS'and\tand\tCC\tI-NP\tO' +p13840 +aS'hilar\thilar\tJJ\tI-NP\tO' +p13841 +aS'contours\tcontour\tNNS\tI-NP\tO' +p13842 +aS'are\tbe\tVBP\tB-VP\tO' +p13843 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p13844 +aS'.\t.\t.\tO\tO' +p13845 +asS'HEENT , ears poor hearing .' +p13846 +(lp13847 +S'HEENT\tHEENT\tNN\tB-NP\tO' +p13848 +aS',\t,\t,\tO\tO' +p13849 +aS'ears\tear\tVBZ\tB-VP\tO' +p13850 +aS'poor\tpoor\tJJ\tB-NP\tO' +p13851 +aS'hearing\thearing\tNN\tI-NP\tO' +p13852 +aS'.\t.\t.\tO\tO' +p13853 +asS'MAVIC WORD , M.D. and TOMEDANKELL EAR M.D. , DEPT OF NEUROLOGY .' +p13854 +(lp13855 +S'MAVIC\tMAVIC\tNNP\tB-NP\tO' +p13856 +aS'WORD\tWORD\tNNP\tI-NP\tO' +p13857 +aS',\t,\t,\tO\tO' +p13858 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p13859 +aS'and\tand\tCC\tO\tO' +p13860 +aS'TOMEDANKELL\tTOMEDANKELL\tNNP\tB-NP\tO' +p13861 +aS'EAR\tEAR\tNNP\tI-NP\tO' +p13862 +aS'M.D.\tM.D.\tNNP\tI-NP\tO' +p13863 +aS',\t,\t,\tO\tO' +p13864 +aS'DEPT\tDEPT\tNNP\tB-NP\tO' +p13865 +aS'OF\tOF\tIN\tB-PP\tO' +p13866 +aS'NEUROLOGY\tNEUROLOGY\tNNP\tB-NP\tO' +p13867 +aS'.\t.\t.\tO\tO' +p13868 +asS'He has remained without any chest pain following this procedure and his sternal wound is clean , dry and intact at the end of the procedure .' +p13869 +(lp13870 +S'He\tHe\tPRP\tB-NP\tO' +p13871 +aS'has\thave\tVBZ\tB-VP\tO' +p13872 +aS'remained\tremain\tVBN\tI-VP\tO' +p13873 +aS'without\twithout\tIN\tB-PP\tO' +p13874 +aS'any\tany\tDT\tB-NP\tO' +p13875 +aS'chest\tch\tJJS\tI-NP\tO' +p13876 +aS'pain\tpain\tNN\tI-NP\tO' +p13877 +aS'following\tfollow\tVBG\tB-PP\tO' +p13878 +aS'this\tthis\tDT\tB-NP\tO' +p13879 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p13880 +aS'and\tand\tCC\tO\tO' +p13881 +aS'his\this\tPRP$\tB-NP\tO' +p13882 +aS'sternal\tsternal\tJJ\tI-NP\tO' +p13883 +aS'wound\twound\tNN\tI-NP\tO' +p13884 +aS'is\tbe\tVBZ\tB-VP\tO' +p13885 +aS'clean\tclean\tJJ\tB-NP\tO' +p13886 +aS',\t,\t,\tI-NP\tO' +p13887 +aS'dry\tdry\tJJ\tI-NP\tO' +p13888 +aS'and\tand\tCC\tI-NP\tO' +p13889 +aS'intact\tintact\tJJ\tI-NP\tO' +p13890 +aS'at\tat\tIN\tB-PP\tO' +p13891 +aS'the\tthe\tDT\tB-NP\tO' +p13892 +aS'end\tend\tNN\tI-NP\tO' +p13893 +aS'of\tof\tIN\tB-PP\tO' +p13894 +aS'the\tthe\tDT\tB-NP\tO' +p13895 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p13896 +aS'.\t.\t.\tO\tO' +p13897 +asS'Cultures drawn off the HD cath are negative to date .' +p13898 +(lp13899 +S'Cultures\tCulture\tNNS\tB-NP\tO' +p13900 +aS'drawn\tdraw\tVBN\tB-VP\tO' +p13901 +aS'off\toff\tIN\tB-PP\tO' +p13902 +aS'the\tthe\tDT\tB-NP\tO' +p13903 +aS'HD\tHD\tNN\tI-NP\tO' +p13904 +aS'cath\tcath\tNN\tI-NP\tO' +p13905 +aS'are\tbe\tVBP\tB-VP\tO' +p13906 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p13907 +aS'to\tto\tTO\tB-PP\tO' +p13908 +aS'date\tdate\tNN\tB-NP\tO' +p13909 +aS'.\t.\t.\tO\tO' +p13910 +asS'His only family member is a niece in Missouri .' +p13911 +(lp13912 +S'His\tHis\tPRP$\tB-NP\tB-protein' +p13913 +aS'only\tonly\tJJ\tI-NP\tI-protein' +p13914 +aS'family\tfamily\tNN\tI-NP\tI-protein' +p13915 +aS'member\tmember\tNN\tI-NP\tI-protein' +p13916 +aS'is\tbe\tVBZ\tB-VP\tO' +p13917 +aS'a\ta\tDT\tB-NP\tO' +p13918 +aS'niece\tniece\tNN\tI-NP\tO' +p13919 +aS'in\tin\tIN\tB-PP\tO' +p13920 +aS'Missouri\tMissouri\tNNP\tB-NP\tO' +p13921 +aS'.\t.\t.\tO\tO' +p13922 +asS'Near discharge his BP was controlled with Metoprolol only .' +p13923 +(lp13924 +S'Near\tNear\tRB\tB-ADVP\tO' +p13925 +aS'discharge\tdischarge\tVB\tB-VP\tO' +p13926 +aS'his\this\tPRP$\tB-NP\tO' +p13927 +aS'BP\tBP\tNN\tI-NP\tO' +p13928 +aS'was\tbe\tVBD\tB-VP\tO' +p13929 +aS'controlled\tcontrol\tVBN\tI-VP\tO' +p13930 +aS'with\twith\tIN\tB-PP\tO' +p13931 +aS'Metoprolol\tMetoprolol\tNN\tB-NP\tO' +p13932 +aS'only\tonly\tRB\tB-ADVP\tO' +p13933 +aS'.\t.\t.\tO\tO' +p13934 +asS'2. Polymyalgia rheumatica diagnosed four years ago ; on steroids .' +p13935 +(lp13936 +S'2.\t2.\tLS\tB-NP\tO' +p13937 +aS'Polymyalgia\tPolymyalgia\tNNP\tI-NP\tO' +p13938 +aS'rheumatica\trheumatica\tNN\tI-NP\tO' +p13939 +aS'diagnosed\tdiagnose\tVBD\tB-VP\tO' +p13940 +aS'four\tfour\tCD\tB-NP\tO' +p13941 +aS'years\tyear\tNNS\tI-NP\tO' +p13942 +aS'ago\tago\tRB\tB-ADVP\tO' +p13943 +aS';\t;\t:\tO\tO' +p13944 +aS'on\ton\tIN\tB-PP\tO' +p13945 +aS'steroids\tsteroid\tNNS\tB-NP\tO' +p13946 +aS'.\t.\t.\tO\tO' +p13947 +asS'Responsible After Study for Causing Admission ) Right LE pain' +p13948 +(lp13949 +S'Responsible\tResponsible\tJJ\tB-ADJP\tO' +p13950 +aS'After\tAfter\tIN\tB-PP\tO' +p13951 +aS'Study\tStudy\tNN\tB-NP\tO' +p13952 +aS'for\tfor\tIN\tB-PP\tO' +p13953 +aS'Causing\tCause\tVBG\tB-VP\tO' +p13954 +aS'Admission\tAdmission\tNN\tB-NP\tO' +p13955 +aS')\t)\t)\tO\tO' +p13956 +aS'Right\tRight\tNN\tB-NP\tO' +p13957 +aS'LE\tLE\tNN\tI-NP\tO' +p13958 +aS'pain\tpain\tNN\tI-NP\tO' +p13959 +asS'Follow up with Dr. Garza , Orthopaedics in 10-14 days , call 953 6923 for an appointment .' +p13960 +(lp13961 +S'Follow\tFollow\tVB\tB-VP\tO' +p13962 +aS'up\tup\tRP\tB-PRT\tO' +p13963 +aS'with\twith\tIN\tB-PP\tO' +p13964 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p13965 +aS'Garza\tGarza\tNNP\tI-NP\tO' +p13966 +aS',\t,\t,\tO\tO' +p13967 +aS'Orthopaedics\tOrthopaedics\tNNP\tB-NP\tO' +p13968 +aS'in\tin\tIN\tB-PP\tO' +p13969 +aS'10-14\t10-14\tCD\tB-NP\tO' +p13970 +aS'days\tday\tNNS\tI-NP\tO' +p13971 +aS',\t,\t,\tO\tO' +p13972 +aS'call\tcall\tVBP\tB-VP\tO' +p13973 +aS'953\t953\tCD\tB-NP\tO' +p13974 +aS'6923\t6923\tCD\tI-NP\tO' +p13975 +aS'for\tfor\tIN\tB-PP\tO' +p13976 +aS'an\tan\tDT\tB-NP\tO' +p13977 +aS'appointment\tappointment\tNN\tI-NP\tO' +p13978 +aS'.\t.\t.\tO\tO' +p13979 +asS'Dr. Ear brought the patient to the operating room on 10/5/00 .' +p13980 +(lp13981 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p13982 +aS'Ear\tEar\tNNP\tI-NP\tO' +p13983 +aS'brought\tbring\tVBD\tB-VP\tO' +p13984 +aS'the\tthe\tDT\tB-NP\tO' +p13985 +aS'patient\tpatient\tNN\tI-NP\tO' +p13986 +aS'to\tto\tTO\tB-PP\tO' +p13987 +aS'the\tthe\tDT\tB-NP\tO' +p13988 +aS'operating\toperating\tNN\tI-NP\tO' +p13989 +aS'room\troom\tNN\tI-NP\tO' +p13990 +aS'on\ton\tIN\tB-PP\tO' +p13991 +aS'10/5/00\t10/5/00\tCD\tB-NP\tO' +p13992 +aS'.\t.\t.\tO\tO' +p13993 +asS'After removal of tunneled line pt was given tube feeds while she was intubated .' +p13994 +(lp13995 +S'After\tAfter\tIN\tB-PP\tO' +p13996 +aS'removal\tremoval\tNN\tB-NP\tO' +p13997 +aS'of\tof\tIN\tB-PP\tO' +p13998 +aS'tunneled\ttunnel\tVBN\tB-NP\tO' +p13999 +aS'line\tline\tNN\tI-NP\tO' +p14000 +aS'pt\tpt\tNN\tI-NP\tO' +p14001 +aS'was\tbe\tVBD\tB-VP\tO' +p14002 +aS'given\tgive\tVBN\tI-VP\tO' +p14003 +aS'tube\ttube\tNN\tB-NP\tO' +p14004 +aS'feeds\tfeed\tNNS\tI-NP\tO' +p14005 +aS'while\twhile\tIN\tB-SBAR\tO' +p14006 +aS'she\tshe\tPRP\tB-NP\tO' +p14007 +aS'was\tbe\tVBD\tB-VP\tO' +p14008 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p14009 +aS'.\t.\t.\tO\tO' +p14010 +asS'8. Ascorbic Acid 500 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ).' +p14011 +(lp14012 +S'8.\t8.\tCD\tB-NP\tO' +p14013 +aS'Ascorbic\tAscorbic\tNNP\tI-NP\tO' +p14014 +aS'Acid\tAcid\tNNP\tI-NP\tO' +p14015 +aS'500\t500\tCD\tI-NP\tO' +p14016 +aS'mg\tmg\tNN\tI-NP\tO' +p14017 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p14018 +aS'Sig\tSig\tNNP\tI-NP\tO' +p14019 +aS':\t:\t:\tO\tO' +p14020 +aS'One\tOne\tCD\tB-NP\tO' +p14021 +aS'(\t(\t(\tO\tO' +p14022 +aS'1\t1\tCD\tB-NP\tO' +p14023 +aS')\t)\t)\tO\tO' +p14024 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p14025 +aS'PO\tPO\tNN\tI-NP\tO' +p14026 +aS'BID\tBID\tNN\tI-NP\tO' +p14027 +aS'(\t(\t(\tO\tO' +p14028 +aS'2\t2\tCD\tB-NP\tO' +p14029 +aS'times\ttime\tNNS\tI-NP\tO' +p14030 +aS'a\ta\tDT\tB-NP\tO' +p14031 +aS'day\tday\tNN\tI-NP\tO' +p14032 +aS').\t).\t.\tO\tO' +p14033 +asS'The second sound was normally split .' +p14034 +(lp14035 +S'The\tThe\tDT\tB-NP\tO' +p14036 +aS'second\tsecond\tJJ\tI-NP\tO' +p14037 +aS'sound\tsound\tNN\tI-NP\tO' +p14038 +aS'was\tbe\tVBD\tB-VP\tO' +p14039 +aS'normally\tnormally\tRB\tI-VP\tO' +p14040 +aS'split\tsplit\tVBN\tI-VP\tO' +p14041 +aS'.\t.\t.\tO\tO' +p14042 +asS"The patient 's subsequent postoperative course was characterized by persistent hypertension which required a significant amount of antihypertensives including Lopressor 100 mg po three times a day , Captopril 100 mg po three times a day , as well as Procardia ." +p14043 +(lp14044 +S'The\tThe\tDT\tB-NP\tO' +p14045 +aS'patient\tpatient\tNN\tI-NP\tO' +p14046 +aS"'s\t's\tPOS\tB-NP\tO" +p14047 +aS'subsequent\tsubsequent\tJJ\tI-NP\tO' +p14048 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p14049 +aS'course\tcourse\tNN\tI-NP\tO' +p14050 +aS'was\tbe\tVBD\tB-VP\tO' +p14051 +aS'characterized\tcharacterize\tVBN\tI-VP\tO' +p14052 +aS'by\tby\tIN\tB-PP\tO' +p14053 +aS'persistent\tpersistent\tJJ\tB-NP\tO' +p14054 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p14055 +aS'which\twhich\tWDT\tB-NP\tO' +p14056 +aS'required\trequire\tVBD\tB-VP\tO' +p14057 +aS'a\ta\tDT\tB-NP\tO' +p14058 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p14059 +aS'amount\tamount\tNN\tI-NP\tO' +p14060 +aS'of\tof\tIN\tB-PP\tO' +p14061 +aS'antihypertensives\tantihypertensive\tNNS\tB-NP\tO' +p14062 +aS'including\tinclude\tVBG\tB-PP\tO' +p14063 +aS'Lopressor\tLopressor\tNN\tB-NP\tO' +p14064 +aS'100\t100\tCD\tI-NP\tO' +p14065 +aS'mg\tmg\tNN\tI-NP\tO' +p14066 +aS'po\tpo\tIN\tB-PP\tO' +p14067 +aS'three\tthree\tCD\tB-NP\tO' +p14068 +aS'times\ttime\tNNS\tI-NP\tO' +p14069 +aS'a\ta\tDT\tB-NP\tO' +p14070 +aS'day\tday\tNN\tI-NP\tO' +p14071 +aS',\t,\t,\tO\tO' +p14072 +aS'Captopril\tCaptopril\tNNP\tB-NP\tO' +p14073 +aS'100\t100\tCD\tI-NP\tO' +p14074 +aS'mg\tmg\tNN\tI-NP\tO' +p14075 +aS'po\tpo\tIN\tB-PP\tO' +p14076 +aS'three\tthree\tCD\tB-NP\tO' +p14077 +aS'times\ttime\tNNS\tI-NP\tO' +p14078 +aS'a\ta\tDT\tB-NP\tO' +p14079 +aS'day\tday\tNN\tI-NP\tO' +p14080 +aS',\t,\t,\tO\tO' +p14081 +aS'as\tas\tRB\tB-CONJP\tO' +p14082 +aS'well\twell\tRB\tI-CONJP\tO' +p14083 +aS'as\tas\tIN\tI-CONJP\tO' +p14084 +aS'Procardia\tProcardia\tNNP\tB-NP\tO' +p14085 +aS'.\t.\t.\tO\tO' +p14086 +asS'Abdomen soft , nontender , nondistended .' +p14087 +(lp14088 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p14089 +aS'soft\tsoft\tJJ\tI-NP\tO' +p14090 +aS',\t,\t,\tI-NP\tO' +p14091 +aS'nontender\tnontender\tJJ\tI-NP\tO' +p14092 +aS',\t,\t,\tI-NP\tO' +p14093 +aS'nondistended\tnondistended\tJJ\tI-NP\tO' +p14094 +aS'.\t.\t.\tO\tO' +p14095 +asS'Her CKs did trend down over the course of her hospital stay , and in the setting of her known clean coronaries on cardiac catheterization in 2011-11-19 , it was believed that a myocarditis might be the cause of her elevated cardiac enzymes and also could have exacerbated her congestive heart failure .' +p14096 +(lp14097 +S'Her\tHer\tPRP$\tB-NP\tO' +p14098 +aS'CKs\tCK\tNNS\tI-NP\tB-protein' +p14099 +aS'did\tdo\tVBD\tB-VP\tO' +p14100 +aS'trend\ttrend\tVB\tI-VP\tO' +p14101 +aS'down\tdown\tRP\tB-PRT\tO' +p14102 +aS'over\tover\tIN\tB-PP\tO' +p14103 +aS'the\tthe\tDT\tB-NP\tO' +p14104 +aS'course\tcourse\tNN\tI-NP\tO' +p14105 +aS'of\tof\tIN\tB-PP\tO' +p14106 +aS'her\ther\tPRP$\tB-NP\tO' +p14107 +aS'hospital\thospital\tNN\tI-NP\tO' +p14108 +aS'stay\tstay\tNN\tI-NP\tO' +p14109 +aS',\t,\t,\tO\tO' +p14110 +aS'and\tand\tCC\tO\tO' +p14111 +aS'in\tin\tIN\tB-PP\tO' +p14112 +aS'the\tthe\tDT\tB-NP\tO' +p14113 +aS'setting\tsetting\tNN\tI-NP\tO' +p14114 +aS'of\tof\tIN\tB-PP\tO' +p14115 +aS'her\ther\tPRP$\tB-NP\tO' +p14116 +aS'known\tknown\tJJ\tI-NP\tO' +p14117 +aS'clean\tclean\tJJ\tI-NP\tO' +p14118 +aS'coronaries\tcoronary\tNNS\tI-NP\tO' +p14119 +aS'on\ton\tIN\tB-PP\tO' +p14120 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p14121 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p14122 +aS'in\tin\tIN\tB-PP\tO' +p14123 +aS'2011-11-19\t2011-11-19\tCD\tB-NP\tO' +p14124 +aS',\t,\t,\tO\tO' +p14125 +aS'it\tit\tPRP\tB-NP\tO' +p14126 +aS'was\tbe\tVBD\tB-VP\tO' +p14127 +aS'believed\tbelieve\tVBN\tI-VP\tO' +p14128 +aS'that\tthat\tIN\tB-SBAR\tO' +p14129 +aS'a\ta\tDT\tB-NP\tO' +p14130 +aS'myocarditis\tmyocarditis\tNN\tI-NP\tO' +p14131 +aS'might\tmight\tMD\tB-VP\tO' +p14132 +aS'be\tbe\tVB\tI-VP\tO' +p14133 +aS'the\tthe\tDT\tB-NP\tO' +p14134 +aS'cause\tcause\tNN\tI-NP\tO' +p14135 +aS'of\tof\tIN\tB-PP\tO' +p14136 +aS'her\ther\tPRP$\tB-NP\tB-protein' +p14137 +aS'elevated\televated\tJJ\tI-NP\tI-protein' +p14138 +aS'cardiac\tcardiac\tJJ\tI-NP\tI-protein' +p14139 +aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' +p14140 +aS'and\tand\tCC\tO\tO' +p14141 +aS'also\talso\tRB\tB-ADVP\tO' +p14142 +aS'could\tcould\tMD\tB-VP\tO' +p14143 +aS'have\thave\tVB\tI-VP\tO' +p14144 +aS'exacerbated\texacerbate\tVBN\tI-VP\tO' +p14145 +aS'her\ther\tPRP$\tB-NP\tO' +p14146 +aS'congestive\tcongestive\tJJ\tI-NP\tO' +p14147 +aS'heart\theart\tNN\tI-NP\tO' +p14148 +aS'failure\tfailure\tNN\tI-NP\tO' +p14149 +aS'.\t.\t.\tO\tO' +p14150 +asS'Patient with a history of known malignancy and also a history of pulmonary embolisms from 2012-04-23 .' +p14151 +(lp14152 +S'Patient\tPatient\tNN\tB-NP\tO' +p14153 +aS'with\twith\tIN\tB-PP\tO' +p14154 +aS'a\ta\tDT\tB-NP\tO' +p14155 +aS'history\thistory\tNN\tI-NP\tO' +p14156 +aS'of\tof\tIN\tB-PP\tO' +p14157 +aS'known\tknown\tJJ\tB-NP\tO' +p14158 +aS'malignancy\tmalignancy\tNN\tI-NP\tO' +p14159 +aS'and\tand\tCC\tO\tO' +p14160 +aS'also\talso\tRB\tB-ADVP\tO' +p14161 +aS'a\ta\tDT\tB-NP\tO' +p14162 +aS'history\thistory\tNN\tI-NP\tO' +p14163 +aS'of\tof\tIN\tB-PP\tO' +p14164 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p14165 +aS'embolisms\tembolism\tNNS\tI-NP\tO' +p14166 +aS'from\tfrom\tIN\tB-PP\tO' +p14167 +aS'2012-04-23\t2012-04-23\tCD\tB-NP\tO' +p14168 +aS'.\t.\t.\tO\tO' +p14169 +asS'11. Oxycodone 5 mg Tablet Sig : One ( 1 ) Tablet PO Q4-6H ( every 4 to 6 hours ) as needed for pain .' +p14170 +(lp14171 +S'11.\t11.\tCD\tB-NP\tO' +p14172 +aS'Oxycodone\tOxycodone\tNN\tI-NP\tO' +p14173 +aS'5\t5\tCD\tB-NP\tO' +p14174 +aS'mg\tmg\tNN\tI-NP\tO' +p14175 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p14176 +aS'Sig\tSig\tNNP\tI-NP\tO' +p14177 +aS':\t:\t:\tO\tO' +p14178 +aS'One\tOne\tCD\tB-NP\tO' +p14179 +aS'(\t(\t(\tO\tO' +p14180 +aS'1\t1\tCD\tB-NP\tO' +p14181 +aS')\t)\t)\tO\tO' +p14182 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p14183 +aS'PO\tPO\tNN\tI-NP\tO' +p14184 +aS'Q4-6H\tQ4-6H\tNN\tI-NP\tO' +p14185 +aS'(\t(\t(\tO\tO' +p14186 +aS'every\tevery\tDT\tB-NP\tO' +p14187 +aS'4\t4\tCD\tI-NP\tO' +p14188 +aS'to\tto\tTO\tI-NP\tO' +p14189 +aS'6\t6\tCD\tI-NP\tO' +p14190 +aS'hours\thour\tNNS\tI-NP\tO' +p14191 +aS')\t)\t)\tO\tO' +p14192 +aS'as\tas\tIN\tB-SBAR\tO' +p14193 +aS'needed\tneed\tVBN\tB-VP\tO' +p14194 +aS'for\tfor\tIN\tB-PP\tO' +p14195 +aS'pain\tpain\tNN\tB-NP\tO' +p14196 +aS'.\t.\t.\tO\tO' +p14197 +asS'Dictated By : Hayden Y. Ferguson , M.D.' +p14198 +(lp14199 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p14200 +aS'By\tBy\tIN\tB-PP\tO' +p14201 +aS':\t:\t:\tO\tO' +p14202 +aS'Hayden\tHayden\tNNP\tB-NP\tO' +p14203 +aS'Y.\tY.\tNNP\tI-NP\tO' +p14204 +aS'Ferguson\tFerguson\tNNP\tI-NP\tO' +p14205 +aS',\t,\t,\tO\tO' +p14206 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p14207 +asS'pelvic organ prolapse stress urinary incontinence retroperitoneal bleed hemoperitoneum' +p14208 +(lp14209 +S'pelvic\tpelvic\tJJ\tB-NP\tO' +p14210 +aS'organ\torgan\tNN\tI-NP\tO' +p14211 +aS'prolapse\tprolapse\tNN\tI-NP\tO' +p14212 +aS'stress\tstress\tNN\tI-NP\tO' +p14213 +aS'urinary\turinary\tJJ\tI-NP\tO' +p14214 +aS'incontinence\tincontinence\tNN\tI-NP\tO' +p14215 +aS'retroperitoneal\tretroperitoneal\tJJ\tI-NP\tO' +p14216 +aS'bleed\tbleed\tNN\tI-NP\tO' +p14217 +aS'hemoperitoneum\themoperitoneum\tNN\tI-NP\tO' +p14218 +asS'This is a 47 - year-old male with a past medical history of type 2 diabetes , high cholesterol , hypertension , and coronary artery disease , status post percutaneous transluminal coronary angioplasty times two , who presented with acute coronary syndrome refractory to medical treatment and TNK , now status post Angio-Jet percutaneous transluminal coronary angioplasty and stent of proximal left anterior descending artery and percutaneous transluminal coronary angioplasty of first diagonal with intra-aortic balloon pump placement .' +p14219 +(lp14220 +S'This\tThis\tDT\tB-NP\tO' +p14221 +aS'is\tbe\tVBZ\tB-VP\tO' +p14222 +aS'a\ta\tDT\tB-NP\tO' +p14223 +aS'47\t47\tCD\tI-NP\tO' +p14224 +aS'-\t-\tHYPH\tI-NP\tO' +p14225 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p14226 +aS'male\tmale\tNN\tI-NP\tO' +p14227 +aS'with\twith\tIN\tB-PP\tO' +p14228 +aS'a\ta\tDT\tB-NP\tO' +p14229 +aS'past\tpast\tJJ\tI-NP\tO' +p14230 +aS'medical\tmedical\tJJ\tI-NP\tO' +p14231 +aS'history\thistory\tNN\tI-NP\tO' +p14232 +aS'of\tof\tIN\tB-PP\tO' +p14233 +aS'type\ttype\tNN\tB-NP\tO' +p14234 +aS'2\t2\tCD\tI-NP\tO' +p14235 +aS'diabetes\tdiabete\tNNS\tI-NP\tO' +p14236 +aS',\t,\t,\tO\tO' +p14237 +aS'high\thigh\tJJ\tB-NP\tO' +p14238 +aS'cholesterol\tcholesterol\tNN\tI-NP\tO' +p14239 +aS',\t,\t,\tO\tO' +p14240 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p14241 +aS',\t,\t,\tO\tO' +p14242 +aS'and\tand\tCC\tO\tO' +p14243 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p14244 +aS'artery\tartery\tNN\tI-NP\tO' +p14245 +aS'disease\tdisease\tNN\tI-NP\tO' +p14246 +aS',\t,\t,\tO\tO' +p14247 +aS'status\tstatus\tNN\tB-NP\tO' +p14248 +aS'post\tpost\tVBD\tB-VP\tO' +p14249 +aS'percutaneous\tpercutaneous\tJJ\tB-NP\tO' +p14250 +aS'transluminal\ttransluminal\tJJ\tI-NP\tO' +p14251 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p14252 +aS'angioplasty\tangioplasty\tJJ\tI-NP\tO' +p14253 +aS'times\ttime\tNNS\tI-NP\tO' +p14254 +aS'two\ttwo\tCD\tB-NP\tO' +p14255 +aS',\t,\t,\tO\tO' +p14256 +aS'who\twho\tWP\tB-NP\tO' +p14257 +aS'presented\tpresent\tVBD\tB-VP\tO' +p14258 +aS'with\twith\tIN\tB-PP\tO' +p14259 +aS'acute\tacute\tJJ\tB-NP\tO' +p14260 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p14261 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p14262 +aS'refractory\trefractory\tJJ\tB-ADJP\tO' +p14263 +aS'to\tto\tTO\tB-PP\tO' +p14264 +aS'medical\tmedical\tJJ\tB-NP\tO' +p14265 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p14266 +aS'and\tand\tCC\tI-NP\tO' +p14267 +aS'TNK\tTNK\tNN\tI-NP\tB-protein' +p14268 +aS',\t,\t,\tO\tO' +p14269 +aS'now\tnow\tRB\tB-ADVP\tO' +p14270 +aS'status\tstatus\tNN\tB-NP\tO' +p14271 +aS'post\tpost\tNN\tI-NP\tO' +p14272 +aS'Angio-Jet\tAngio-Jet\tJJ\tI-NP\tO' +p14273 +aS'percutaneous\tpercutaneous\tJJ\tI-NP\tO' +p14274 +aS'transluminal\ttransluminal\tJJ\tI-NP\tO' +p14275 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p14276 +aS'angioplasty\tangioplasty\tNN\tI-NP\tO' +p14277 +aS'and\tand\tCC\tI-NP\tO' +p14278 +aS'stent\tstent\tNN\tI-NP\tO' +p14279 +aS'of\tof\tIN\tB-PP\tO' +p14280 +aS'proximal\tproximal\tJJ\tB-NP\tO' +p14281 +aS'left\tleft\tJJ\tI-NP\tO' +p14282 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p14283 +aS'descending\tdescend\tVBG\tI-NP\tO' +p14284 +aS'artery\tartery\tNN\tI-NP\tO' +p14285 +aS'and\tand\tCC\tO\tO' +p14286 +aS'percutaneous\tpercutaneous\tJJ\tB-NP\tO' +p14287 +aS'transluminal\ttransluminal\tJJ\tI-NP\tO' +p14288 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p14289 +aS'angioplasty\tangioplasty\tNN\tI-NP\tO' +p14290 +aS'of\tof\tIN\tB-PP\tO' +p14291 +aS'first\tfirst\tJJ\tB-NP\tO' +p14292 +aS'diagonal\tdiagonal\tJJ\tI-NP\tO' +p14293 +aS'with\twith\tIN\tB-PP\tO' +p14294 +aS'intra-aortic\tintra-aortic\tJJ\tB-NP\tO' +p14295 +aS'balloon\tballoon\tNN\tI-NP\tO' +p14296 +aS'pump\tpump\tNN\tI-NP\tO' +p14297 +aS'placement\tplacement\tNN\tI-NP\tO' +p14298 +aS'.\t.\t.\tO\tO' +p14299 +asS'72 year old man with intraparenchymal bleed s/p fall' +p14300 +(lp14301 +S'72\t72\tCD\tB-NP\tO' +p14302 +aS'year\tyear\tNN\tI-NP\tO' +p14303 +aS'old\told\tJJ\tI-NP\tO' +p14304 +aS'man\tman\tNN\tI-NP\tO' +p14305 +aS'with\twith\tIN\tB-PP\tO' +p14306 +aS'intraparenchymal\tintraparenchymal\tJJ\tB-NP\tO' +p14307 +aS'bleed\tbleed\tNN\tI-NP\tO' +p14308 +aS's/p\ts/p\tNN\tI-NP\tO' +p14309 +aS'fall\tfall\tNN\tI-NP\tO' +p14310 +asS'Mr. Knueppel had had a long protracted period of intubation prior to the operation .' +p14311 +(lp14312 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p14313 +aS'Knueppel\tKnueppel\tNNP\tI-NP\tO' +p14314 +aS'had\thave\tVBD\tB-VP\tO' +p14315 +aS'had\thave\tVBN\tI-VP\tO' +p14316 +aS'a\ta\tDT\tB-NP\tO' +p14317 +aS'long\tlong\tJJ\tI-NP\tO' +p14318 +aS'protracted\tprotracted\tJJ\tI-NP\tO' +p14319 +aS'period\tperiod\tNN\tI-NP\tO' +p14320 +aS'of\tof\tIN\tB-PP\tO' +p14321 +aS'intubation\tintubation\tNN\tB-NP\tO' +p14322 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p14323 +aS'to\tto\tTO\tB-PP\tO' +p14324 +aS'the\tthe\tDT\tB-NP\tO' +p14325 +aS'operation\toperation\tNN\tI-NP\tO' +p14326 +aS'.\t.\t.\tO\tO' +p14327 +asS'He denies any ETOH or tobacco use .' +p14328 +(lp14329 +S'He\tHe\tPRP\tB-NP\tO' +p14330 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p14331 +aS'any\tany\tDT\tB-NP\tO' +p14332 +aS'ETOH\tETOH\tNN\tI-NP\tB-protein' +p14333 +aS'or\tor\tCC\tI-NP\tO' +p14334 +aS'tobacco\ttobacco\tNN\tI-NP\tO' +p14335 +aS'use\tuse\tNN\tI-NP\tO' +p14336 +aS'.\t.\t.\tO\tO' +p14337 +asS'Dr. Vito Dotzler , phone ( 259 ) 579-8396 , fax 898-3942 .' +p14338 +(lp14339 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p14340 +aS'Vito\tVito\tNNP\tI-NP\tO' +p14341 +aS'Dotzler\tDotzler\tNNP\tI-NP\tO' +p14342 +aS',\t,\t,\tO\tO' +p14343 +aS'phone\tphone\tNN\tB-NP\tO' +p14344 +aS'(\t(\t(\tO\tO' +p14345 +aS'259\t259\tCD\tB-NP\tO' +p14346 +aS')\t)\t)\tO\tO' +p14347 +aS'579-8396\t579-8396\tCD\tB-NP\tO' +p14348 +aS',\t,\t,\tO\tO' +p14349 +aS'fax\tfax\tNN\tB-NP\tO' +p14350 +aS'898-3942\t898-3942\tCD\tI-NP\tO' +p14351 +aS'.\t.\t.\tO\tO' +p14352 +asS'A biopsy showed moderately to poorly differentiated Grade III-IV adenocarcinoma on the left .' +p14353 +(lp14354 +S'A\tA\tDT\tB-NP\tO' +p14355 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p14356 +aS'showed\tshow\tVBD\tB-VP\tO' +p14357 +aS'moderately\tmoderately\tRB\tB-ADVP\tO' +p14358 +aS'to\tto\tTO\tB-PP\tO' +p14359 +aS'poorly\tpoorly\tRB\tB-NP\tO' +p14360 +aS'differentiated\tdifferentiate\tVBN\tI-NP\tO' +p14361 +aS'Grade\tGrade\tNNP\tI-NP\tO' +p14362 +aS'III-IV\tIII-IV\tNNP\tI-NP\tO' +p14363 +aS'adenocarcinoma\tadenocarcinoma\tNN\tI-NP\tO' +p14364 +aS'on\ton\tIN\tB-PP\tO' +p14365 +aS'the\tthe\tDT\tB-NP\tO' +p14366 +aS'left\tleft\tNN\tI-NP\tO' +p14367 +aS'.\t.\t.\tO\tO' +p14368 +asS'Coags and UA were checked and were normal .' +p14369 +(lp14370 +S'Coags\tCoag\tNNS\tB-NP\tO' +p14371 +aS'and\tand\tCC\tI-NP\tO' +p14372 +aS'UA\tUA\tNN\tI-NP\tO' +p14373 +aS'were\tbe\tVBD\tB-VP\tO' +p14374 +aS'checked\tcheck\tVBN\tI-VP\tO' +p14375 +aS'and\tand\tCC\tO\tO' +p14376 +aS'were\tbe\tVBD\tB-VP\tO' +p14377 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p14378 +aS'.\t.\t.\tO\tO' +p14379 +asS'The patient was admitted for treatment of a presumed aspiration pneumonia and for rehydration .' +p14380 +(lp14381 +S'The\tThe\tDT\tB-NP\tO' +p14382 +aS'patient\tpatient\tNN\tI-NP\tO' +p14383 +aS'was\tbe\tVBD\tB-VP\tO' +p14384 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p14385 +aS'for\tfor\tIN\tB-PP\tO' +p14386 +aS'treatment\ttreatment\tNN\tB-NP\tO' +p14387 +aS'of\tof\tIN\tB-PP\tO' +p14388 +aS'a\ta\tDT\tB-NP\tO' +p14389 +aS'presumed\tpresume\tVBN\tI-NP\tO' +p14390 +aS'aspiration\taspiration\tNN\tI-NP\tO' +p14391 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p14392 +aS'and\tand\tCC\tB-PP\tO' +p14393 +aS'for\tfor\tIN\tB-PP\tO' +p14394 +aS'rehydration\trehydration\tNN\tB-NP\tO' +p14395 +aS'.\t.\t.\tO\tO' +p14396 +asS'Pt was due for HD but missed it secondary to her illness .' +p14397 +(lp14398 +S'Pt\tPt\tNN\tB-NP\tO' +p14399 +aS'was\tbe\tVBD\tB-VP\tO' +p14400 +aS'due\tdue\tJJ\tB-ADJP\tO' +p14401 +aS'for\tfor\tIN\tB-PP\tO' +p14402 +aS'HD\tHD\tNN\tB-NP\tO' +p14403 +aS'but\tbut\tCC\tO\tO' +p14404 +aS'missed\tmiss\tVBD\tB-VP\tO' +p14405 +aS'it\tit\tPRP\tB-NP\tO' +p14406 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p14407 +aS'to\tto\tTO\tB-PP\tO' +p14408 +aS'her\ther\tPRP$\tB-NP\tO' +p14409 +aS'illness\tillness\tNN\tI-NP\tO' +p14410 +aS'.\t.\t.\tO\tO' +p14411 +asS'Denies recent fevers , chills .' +p14412 +(lp14413 +S'Denies\tDeny\tNNS\tB-NP\tO' +p14414 +aS'recent\trecent\tJJ\tI-NP\tO' +p14415 +aS'fevers\tfever\tNNS\tI-NP\tO' +p14416 +aS',\t,\t,\tO\tO' +p14417 +aS'chills\tchill\tNNS\tB-NP\tO' +p14418 +aS'.\t.\t.\tO\tO' +p14419 +asS'EOMI .' +p14420 +(lp14421 +S'EOMI\tEOMI\tLS\tB-LST\tB-DNA' +p14422 +aS'.\t.\t.\tO\tO' +p14423 +asS'DISCHARGE FOLLOW UP : The patient is to follow up with Dr. Debra Oneal , his PCP and his cardiologist in 3 weeks .' +p14424 +(lp14425 +S'DISCHARGE\tDISCHARGE\tNN\tB-NP\tO' +p14426 +aS'FOLLOW\tFOLLOW\tNN\tI-NP\tO' +p14427 +aS'UP\tUP\tNN\tI-NP\tO' +p14428 +aS':\t:\t:\tO\tO' +p14429 +aS'The\tThe\tDT\tB-NP\tO' +p14430 +aS'patient\tpatient\tNN\tI-NP\tO' +p14431 +aS'is\tbe\tVBZ\tB-VP\tO' +p14432 +aS'to\tto\tTO\tB-VP\tO' +p14433 +aS'follow\tfollow\tVB\tI-VP\tO' +p14434 +aS'up\tup\tRP\tB-PRT\tO' +p14435 +aS'with\twith\tIN\tB-PP\tO' +p14436 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p14437 +aS'Debra\tDebra\tNNP\tI-NP\tO' +p14438 +aS'Oneal\tOneal\tNNP\tI-NP\tO' +p14439 +aS',\t,\t,\tO\tO' +p14440 +aS'his\this\tPRP$\tB-NP\tO' +p14441 +aS'PCP\tPCP\tNN\tI-NP\tO' +p14442 +aS'and\tand\tCC\tO\tO' +p14443 +aS'his\this\tPRP$\tB-NP\tO' +p14444 +aS'cardiologist\tcardiologist\tNN\tI-NP\tO' +p14445 +aS'in\tin\tIN\tB-PP\tO' +p14446 +aS'3\t3\tCD\tB-NP\tO' +p14447 +aS'weeks\tweek\tNNS\tI-NP\tO' +p14448 +aS'.\t.\t.\tO\tO' +p14449 +asS'Soon after surgery , the patient noted her left lower face and hand were weak .' +p14450 +(lp14451 +S'Soon\tSoon\tRB\tB-ADVP\tO' +p14452 +aS'after\tafter\tIN\tB-PP\tO' +p14453 +aS'surgery\tsurgery\tNN\tB-NP\tO' +p14454 +aS',\t,\t,\tO\tO' +p14455 +aS'the\tthe\tDT\tB-NP\tO' +p14456 +aS'patient\tpatient\tNN\tI-NP\tO' +p14457 +aS'noted\tnote\tVBD\tB-VP\tO' +p14458 +aS'her\ther\tPRP\tB-NP\tO' +p14459 +aS'left\tleave\tVBD\tB-VP\tO' +p14460 +aS'lower\tlow\tJJR\tB-NP\tO' +p14461 +aS'face\tface\tNN\tI-NP\tO' +p14462 +aS'and\tand\tCC\tI-NP\tO' +p14463 +aS'hand\thand\tNN\tI-NP\tO' +p14464 +aS'were\tbe\tVBD\tB-VP\tO' +p14465 +aS'weak\tweak\tJJ\tB-ADJP\tO' +p14466 +aS'.\t.\t.\tO\tO' +p14467 +asS'Has a history of hypothyroidism .' +p14468 +(lp14469 +S'Has\tHas\tIN\tB-PP\tO' +p14470 +aS'a\ta\tDT\tB-NP\tO' +p14471 +aS'history\thistory\tNN\tI-NP\tO' +p14472 +aS'of\tof\tIN\tB-PP\tO' +p14473 +aS'hypothyroidism\thypothyroidism\tNN\tB-NP\tO' +p14474 +aS'.\t.\t.\tO\tO' +p14475 +asS'The patient will also be followed by his regular Urologist at Ochtuheihugh Put University Medical Center within one week after discharge for his continuing hematuria .' +p14476 +(lp14477 +S'The\tThe\tDT\tB-NP\tO' +p14478 +aS'patient\tpatient\tNN\tI-NP\tO' +p14479 +aS'will\twill\tMD\tB-VP\tO' +p14480 +aS'also\talso\tRB\tI-VP\tO' +p14481 +aS'be\tbe\tVB\tI-VP\tO' +p14482 +aS'followed\tfollow\tVBN\tI-VP\tO' +p14483 +aS'by\tby\tIN\tB-PP\tO' +p14484 +aS'his\this\tPRP$\tB-NP\tO' +p14485 +aS'regular\tregular\tJJ\tI-NP\tO' +p14486 +aS'Urologist\tUrologist\tNN\tI-NP\tO' +p14487 +aS'at\tat\tIN\tB-PP\tO' +p14488 +aS'Ochtuheihugh\tOchtuheihugh\tNNP\tB-NP\tO' +p14489 +aS'Put\tPut\tNNP\tI-NP\tO' +p14490 +aS'University\tUniversity\tNNP\tI-NP\tO' +p14491 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p14492 +aS'Center\tCenter\tNNP\tI-NP\tO' +p14493 +aS'within\twithin\tIN\tB-PP\tO' +p14494 +aS'one\tone\tCD\tB-NP\tO' +p14495 +aS'week\tweek\tNN\tI-NP\tO' +p14496 +aS'after\tafter\tIN\tB-PP\tO' +p14497 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p14498 +aS'for\tfor\tIN\tB-PP\tO' +p14499 +aS'his\this\tPRP$\tB-NP\tB-DNA' +p14500 +aS'continuing\tcontinue\tVBG\tI-NP\tO' +p14501 +aS'hematuria\thematuria\tNN\tI-NP\tO' +p14502 +aS'.\t.\t.\tO\tO' +p14503 +asS'Significant for Insulin dependent diabetes mellitus , atrial fibrillation , hypothyroidism , hypertension , depression , frequent urinary tract infections , neuropathic pain syndrome and osteoporosis .' +p14504 +(lp14505 +S'Significant\tSignificant\tJJ\tB-ADJP\tO' +p14506 +aS'for\tfor\tIN\tB-PP\tO' +p14507 +aS'Insulin\tInsulin\tNN\tB-NP\tB-protein' +p14508 +aS'dependent\tdependent\tJJ\tI-NP\tO' +p14509 +aS'diabetes\tdiabete\tNNS\tI-NP\tO' +p14510 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p14511 +aS',\t,\t,\tO\tO' +p14512 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p14513 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p14514 +aS',\t,\t,\tO\tO' +p14515 +aS'hypothyroidism\thypothyroidism\tNN\tB-NP\tO' +p14516 +aS',\t,\t,\tO\tO' +p14517 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p14518 +aS',\t,\t,\tO\tO' +p14519 +aS'depression\tdepression\tNN\tB-NP\tO' +p14520 +aS',\t,\t,\tO\tO' +p14521 +aS'frequent\tfrequent\tJJ\tB-NP\tO' +p14522 +aS'urinary\turinary\tJJ\tI-NP\tO' +p14523 +aS'tract\ttract\tNN\tI-NP\tO' +p14524 +aS'infections\tinfection\tNNS\tI-NP\tO' +p14525 +aS',\t,\t,\tO\tO' +p14526 +aS'neuropathic\tneuropathic\tJJ\tB-NP\tO' +p14527 +aS'pain\tpain\tNN\tI-NP\tO' +p14528 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p14529 +aS'and\tand\tCC\tI-NP\tO' +p14530 +aS'osteoporosis\tosteoporosis\tNN\tI-NP\tO' +p14531 +aS'.\t.\t.\tO\tO' +p14532 +asS'Attending : Michael D. Christensen , M.D.' +p14533 +(lp14534 +S'Attending\tAttend\tVBG\tB-VP\tO' +p14535 +aS':\t:\t:\tO\tO' +p14536 +aS'Michael\tMichael\tNNP\tB-NP\tO' +p14537 +aS'D.\tD.\tNNP\tI-NP\tO' +p14538 +aS'Christensen\tChristensen\tNNP\tI-NP\tO' +p14539 +aS',\t,\t,\tO\tO' +p14540 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p14541 +asS'En route , she was given additional lasix of 60 mg IV and nitro spray x 2 .' +p14542 +(lp14543 +S'En\tEn\tNNP\tB-NP\tO' +p14544 +aS'route\troute\tNN\tI-NP\tO' +p14545 +aS',\t,\t,\tO\tO' +p14546 +aS'she\tshe\tPRP\tB-NP\tO' +p14547 +aS'was\tbe\tVBD\tB-VP\tO' +p14548 +aS'given\tgive\tVBN\tI-VP\tO' +p14549 +aS'additional\tadditional\tJJ\tB-NP\tO' +p14550 +aS'lasix\tlasix\tNN\tI-NP\tO' +p14551 +aS'of\tof\tIN\tB-PP\tO' +p14552 +aS'60\t60\tCD\tB-NP\tO' +p14553 +aS'mg\tmg\tNN\tI-NP\tO' +p14554 +aS'IV\tIV\tCD\tB-NP\tO' +p14555 +aS'and\tand\tCC\tI-NP\tO' +p14556 +aS'nitro\tnitro\tNN\tI-NP\tB-protein' +p14557 +aS'spray\tspray\tNN\tI-NP\tI-protein' +p14558 +aS'x\tx\tNN\tI-NP\tI-protein' +p14559 +aS'2\t2\tCD\tI-NP\tI-protein' +p14560 +aS'.\t.\t.\tO\tO' +p14561 +asS'Includes ischemic cardiomyopathy with an echocardiogram done on 11/13/97 showing an ejection fraction of 28% and LV that is diffusely hypokinetic .' +p14562 +(lp14563 +S'Includes\tInclude\tVBZ\tB-VP\tO' +p14564 +aS'ischemic\tischemic\tJJ\tB-NP\tO' +p14565 +aS'cardiomyopathy\tcardiomyopathy\tNN\tI-NP\tO' +p14566 +aS'with\twith\tIN\tB-PP\tO' +p14567 +aS'an\tan\tDT\tB-NP\tO' +p14568 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p14569 +aS'done\tdo\tVBN\tB-VP\tO' +p14570 +aS'on\ton\tIN\tB-PP\tO' +p14571 +aS'11/13/97\t11/13/97\tCD\tB-NP\tO' +p14572 +aS'showing\tshow\tVBG\tB-VP\tO' +p14573 +aS'an\tan\tDT\tB-NP\tO' +p14574 +aS'ejection\tejection\tNN\tI-NP\tO' +p14575 +aS'fraction\tfraction\tNN\tI-NP\tO' +p14576 +aS'of\tof\tIN\tB-PP\tO' +p14577 +aS'28%\t28%\tNN\tB-NP\tO' +p14578 +aS'and\tand\tCC\tI-NP\tO' +p14579 +aS'LV\tLV\tNN\tI-NP\tO' +p14580 +aS'that\tthat\tWDT\tB-NP\tO' +p14581 +aS'is\tbe\tVBZ\tB-VP\tO' +p14582 +aS'diffusely\tdiffusely\tRB\tB-ADJP\tO' +p14583 +aS'hypokinetic\thypokinetic\tJJ\tI-ADJP\tO' +p14584 +aS'.\t.\t.\tO\tO' +p14585 +asS'There is no family history of heart disease .' +p14586 +(lp14587 +S'There\tThere\tEX\tB-NP\tO' +p14588 +aS'is\tbe\tVBZ\tB-VP\tO' +p14589 +aS'no\tno\tDT\tB-NP\tO' +p14590 +aS'family\tfamily\tNN\tI-NP\tO' +p14591 +aS'history\thistory\tNN\tI-NP\tO' +p14592 +aS'of\tof\tIN\tB-PP\tO' +p14593 +aS'heart\theart\tNN\tB-NP\tO' +p14594 +aS'disease\tdisease\tNN\tI-NP\tO' +p14595 +aS'.\t.\t.\tO\tO' +p14596 +asS'5. Fall from standing on 2014-01-29 with resultant displaced radial fracture which was reduced , closed , and casted .' +p14597 +(lp14598 +S'5.\t5.\tLS\tB-NP\tO' +p14599 +aS'Fall\tFall\tNN\tI-NP\tO' +p14600 +aS'from\tfrom\tIN\tB-PP\tO' +p14601 +aS'standing\tstand\tVBG\tB-VP\tO' +p14602 +aS'on\ton\tIN\tB-PP\tO' +p14603 +aS'2014-01-29\t2014-01-29\tCD\tB-NP\tO' +p14604 +aS'with\twith\tIN\tB-PP\tO' +p14605 +aS'resultant\tresultant\tJJ\tB-NP\tO' +p14606 +aS'displaced\tdisplaced\tJJ\tI-NP\tO' +p14607 +aS'radial\tradial\tJJ\tI-NP\tO' +p14608 +aS'fracture\tfracture\tNN\tI-NP\tO' +p14609 +aS'which\twhich\tWDT\tB-NP\tO' +p14610 +aS'was\tbe\tVBD\tB-VP\tO' +p14611 +aS'reduced\treduce\tVBN\tI-VP\tO' +p14612 +aS',\t,\t,\tO\tO' +p14613 +aS'closed\tclose\tVBN\tB-VP\tO' +p14614 +aS',\t,\t,\tO\tO' +p14615 +aS'and\tand\tCC\tO\tO' +p14616 +aS'casted\tcast\tVBN\tB-VP\tO' +p14617 +aS'.\t.\t.\tO\tO' +p14618 +asS'82 y/o f w h/o afib , SSS s/p pacer 05-08 c/b PTX requiring CT , CAD , who was readmitted 05-24 with ARF and lethargy , found to have a large pericardial effusion and bilateral pleural effusions , with echo showing no evidence of tamponade , who is transferred for possible pericardial effusion drainage and treatment of CHF , as well as drainage of bilateral pleural effusions .' +p14619 +(lp14620 +S'82\t82\tCD\tB-NP\tO' +p14621 +aS'y/o\ty/o\tNN\tI-NP\tO' +p14622 +aS'f\tf\tNN\tI-NP\tO' +p14623 +aS'w\tw\tNN\tI-NP\tO' +p14624 +aS'h/o\th/o\tNN\tI-NP\tO' +p14625 +aS'afib\tafib\tNN\tI-NP\tO' +p14626 +aS',\t,\t,\tO\tO' +p14627 +aS'SSS\tSSS\tNN\tB-NP\tO' +p14628 +aS's/p\ts/p\tNN\tI-NP\tO' +p14629 +aS'pacer\tpacer\tNN\tI-NP\tO' +p14630 +aS'05-08\t05-08\tCD\tI-NP\tO' +p14631 +aS'c/b\tc/b\tNN\tI-NP\tO' +p14632 +aS'PTX\tPTX\tNN\tI-NP\tO' +p14633 +aS'requiring\trequire\tVBG\tB-VP\tO' +p14634 +aS'CT\tCT\tNN\tB-NP\tO' +p14635 +aS',\t,\t,\tO\tO' +p14636 +aS'CAD\tCAD\tNN\tB-NP\tB-protein' +p14637 +aS',\t,\t,\tO\tO' +p14638 +aS'who\twho\tWP\tB-NP\tO' +p14639 +aS'was\tbe\tVBD\tB-VP\tO' +p14640 +aS'readmitted\treadmitte\tVBN\tI-VP\tO' +p14641 +aS'05-24\t05-24\tCD\tB-NP\tO' +p14642 +aS'with\twith\tIN\tB-PP\tO' +p14643 +aS'ARF\tARF\tNN\tB-NP\tB-protein' +p14644 +aS'and\tand\tCC\tI-NP\tO' +p14645 +aS'lethargy\tlethargy\tNN\tI-NP\tO' +p14646 +aS',\t,\t,\tO\tO' +p14647 +aS'found\tfind\tVBN\tB-VP\tO' +p14648 +aS'to\tto\tTO\tI-VP\tO' +p14649 +aS'have\thave\tVB\tI-VP\tO' +p14650 +aS'a\ta\tDT\tB-NP\tO' +p14651 +aS'large\tlarge\tJJ\tI-NP\tO' +p14652 +aS'pericardial\tpericardial\tJJ\tI-NP\tO' +p14653 +aS'effusion\teffusion\tNN\tI-NP\tO' +p14654 +aS'and\tand\tCC\tO\tO' +p14655 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p14656 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p14657 +aS'effusions\teffusion\tNNS\tI-NP\tO' +p14658 +aS',\t,\t,\tO\tO' +p14659 +aS'with\twith\tIN\tB-PP\tO' +p14660 +aS'echo\techo\tNN\tB-NP\tO' +p14661 +aS'showing\tshow\tVBG\tB-VP\tO' +p14662 +aS'no\tno\tDT\tB-NP\tO' +p14663 +aS'evidence\tevidence\tNN\tI-NP\tO' +p14664 +aS'of\tof\tIN\tB-PP\tO' +p14665 +aS'tamponade\ttamponade\tNN\tB-NP\tO' +p14666 +aS',\t,\t,\tO\tO' +p14667 +aS'who\twho\tWP\tB-NP\tO' +p14668 +aS'is\tbe\tVBZ\tB-VP\tO' +p14669 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p14670 +aS'for\tfor\tIN\tB-PP\tO' +p14671 +aS'possible\tpossible\tJJ\tB-NP\tO' +p14672 +aS'pericardial\tpericardial\tJJ\tI-NP\tO' +p14673 +aS'effusion\teffusion\tNN\tI-NP\tO' +p14674 +aS'drainage\tdrainage\tNN\tI-NP\tO' +p14675 +aS'and\tand\tCC\tI-NP\tO' +p14676 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p14677 +aS'of\tof\tIN\tB-PP\tO' +p14678 +aS'CHF\tCHF\tNN\tB-NP\tB-protein' +p14679 +aS',\t,\t,\tO\tO' +p14680 +aS'as\tas\tRB\tB-CONJP\tO' +p14681 +aS'well\twell\tRB\tI-CONJP\tO' +p14682 +aS'as\tas\tIN\tI-CONJP\tO' +p14683 +aS'drainage\tdrainage\tNN\tB-NP\tO' +p14684 +aS'of\tof\tIN\tB-PP\tO' +p14685 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p14686 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p14687 +aS'effusions\teffusion\tNNS\tI-NP\tO' +p14688 +aS'.\t.\t.\tO\tO' +p14689 +asS'On postoperative day four , the patient continued to have nasogastric tube in place .' +p14690 +(lp14691 +S'On\tOn\tIN\tB-PP\tO' +p14692 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p14693 +aS'day\tday\tNN\tI-NP\tO' +p14694 +aS'four\tfour\tCD\tB-NP\tO' +p14695 +aS',\t,\t,\tO\tO' +p14696 +aS'the\tthe\tDT\tB-NP\tO' +p14697 +aS'patient\tpatient\tNN\tI-NP\tO' +p14698 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p14699 +aS'to\tto\tTO\tI-VP\tO' +p14700 +aS'have\thave\tVB\tI-VP\tO' +p14701 +aS'nasogastric\tnasogastric\tJJ\tB-NP\tO' +p14702 +aS'tube\ttube\tNN\tI-NP\tO' +p14703 +aS'in\tin\tIN\tB-PP\tO' +p14704 +aS'place\tplace\tNN\tB-NP\tO' +p14705 +aS'.\t.\t.\tO\tO' +p14706 +asS'The study was repeated and yet again Mr. Knueppel was unable to swallow without evidence of aspiration .' +p14707 +(lp14708 +S'The\tThe\tDT\tB-NP\tO' +p14709 +aS'study\tstudy\tNN\tI-NP\tO' +p14710 +aS'was\tbe\tVBD\tB-VP\tO' +p14711 +aS'repeated\trepeat\tVBN\tI-VP\tO' +p14712 +aS'and\tand\tCC\tO\tO' +p14713 +aS'yet\tyet\tRB\tO\tO' +p14714 +aS'again\tagain\tRB\tB-ADVP\tO' +p14715 +aS'Mr.\tMr.\tNNP\tB-NP\tO' +p14716 +aS'Knueppel\tKnueppel\tNNP\tI-NP\tO' +p14717 +aS'was\tbe\tVBD\tB-VP\tO' +p14718 +aS'unable\tunable\tJJ\tB-ADJP\tO' +p14719 +aS'to\tto\tTO\tB-VP\tO' +p14720 +aS'swallow\tswallow\tVB\tI-VP\tO' +p14721 +aS'without\twithout\tIN\tB-PP\tO' +p14722 +aS'evidence\tevidence\tNN\tB-NP\tO' +p14723 +aS'of\tof\tIN\tB-PP\tO' +p14724 +aS'aspiration\taspiration\tNN\tB-NP\tO' +p14725 +aS'.\t.\t.\tO\tO' +p14726 +asS'In 1993 she had a DDD pacemaker for complete heart block .' +p14727 +(lp14728 +S'In\tIn\tIN\tB-PP\tO' +p14729 +aS'1993\t1993\tCD\tB-NP\tO' +p14730 +aS'she\tshe\tPRP\tB-NP\tO' +p14731 +aS'had\thave\tVBD\tB-VP\tO' +p14732 +aS'a\ta\tDT\tB-NP\tO' +p14733 +aS'DDD\tDDD\tNN\tI-NP\tO' +p14734 +aS'pacemaker\tpacemaker\tNN\tI-NP\tO' +p14735 +aS'for\tfor\tIN\tB-PP\tO' +p14736 +aS'complete\tcomplete\tJJ\tB-NP\tO' +p14737 +aS'heart\theart\tNN\tI-NP\tO' +p14738 +aS'block\tblock\tNN\tI-NP\tO' +p14739 +aS'.\t.\t.\tO\tO' +p14740 +asS'Recently he had been receiving a combination of outpatient chemotherapy with the CAMP Program .' +p14741 +(lp14742 +S'Recently\tRecently\tRB\tB-ADVP\tO' +p14743 +aS'he\the\tPRP\tB-NP\tO' +p14744 +aS'had\thave\tVBD\tB-VP\tO' +p14745 +aS'been\tbe\tVBN\tI-VP\tO' +p14746 +aS'receiving\treceive\tVBG\tI-VP\tO' +p14747 +aS'a\ta\tDT\tB-NP\tO' +p14748 +aS'combination\tcombination\tNN\tI-NP\tO' +p14749 +aS'of\tof\tIN\tB-PP\tO' +p14750 +aS'outpatient\toutpatient\tNN\tB-NP\tO' +p14751 +aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' +p14752 +aS'with\twith\tIN\tB-PP\tO' +p14753 +aS'the\tthe\tDT\tB-NP\tO' +p14754 +aS'CAMP\tCAMP\tNN\tI-NP\tO' +p14755 +aS'Program\tProgram\tNN\tI-NP\tO' +p14756 +aS'.\t.\t.\tO\tO' +p14757 +asS'5. Cyclosporin microemulsion .' +p14758 +(lp14759 +S'5.\t5.\tLS\tB-NP\tO' +p14760 +aS'Cyclosporin\tCyclosporin\tNN\tI-NP\tO' +p14761 +aS'microemulsion\tmicroemulsion\tNN\tI-NP\tO' +p14762 +aS'.\t.\t.\tO\tO' +p14763 +asS'5. Warfarin Sodium 5 mg Tablet Sig : One ( 1 ) Tablet PO HS ( at bedtime ).' +p14764 +(lp14765 +S'5.\t5.\tLS\tB-NP\tO' +p14766 +aS'Warfarin\tWarfarin\tNNP\tI-NP\tO' +p14767 +aS'Sodium\tSodium\tNNP\tI-NP\tO' +p14768 +aS'5\t5\tCD\tI-NP\tO' +p14769 +aS'mg\tmg\tNN\tI-NP\tO' +p14770 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p14771 +aS'Sig\tSig\tNNP\tI-NP\tO' +p14772 +aS':\t:\t:\tO\tO' +p14773 +aS'One\tOne\tCD\tB-NP\tO' +p14774 +aS'(\t(\t(\tO\tO' +p14775 +aS'1\t1\tCD\tB-NP\tO' +p14776 +aS')\t)\t)\tO\tO' +p14777 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p14778 +aS'PO\tPO\tNN\tI-NP\tO' +p14779 +aS'HS\tHS\tNN\tI-NP\tO' +p14780 +aS'(\t(\t(\tO\tO' +p14781 +aS'at\tat\tIN\tB-PP\tO' +p14782 +aS'bedtime\tbedtime\tNN\tB-NP\tO' +p14783 +aS').\t).\t.\tO\tO' +p14784 +asS'No further episodes of hypotension were noted .' +p14785 +(lp14786 +S'No\tNo\tDT\tB-NP\tO' +p14787 +aS'further\tfurther\tJJ\tI-NP\tO' +p14788 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p14789 +aS'of\tof\tIN\tB-PP\tO' +p14790 +aS'hypotension\thypotension\tNN\tB-NP\tO' +p14791 +aS'were\tbe\tVBD\tB-VP\tO' +p14792 +aS'noted\tnote\tVBN\tI-VP\tO' +p14793 +aS'.\t.\t.\tO\tO' +p14794 +asS'Remainder of his cardiac workup was negative .' +p14795 +(lp14796 +S'Remainder\tRemainder\tNN\tB-NP\tO' +p14797 +aS'of\tof\tIN\tB-PP\tO' +p14798 +aS'his\this\tPRP$\tB-NP\tO' +p14799 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p14800 +aS'workup\tworkup\tNN\tI-NP\tO' +p14801 +aS'was\tbe\tVBD\tB-VP\tO' +p14802 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p14803 +aS'.\t.\t.\tO\tO' +p14804 +asS'The lung sounds were rhonchorous , otherwise clear to auscultation and percussion .' +p14805 +(lp14806 +S'The\tThe\tDT\tB-NP\tO' +p14807 +aS'lung\tlung\tNN\tI-NP\tO' +p14808 +aS'sounds\tsound\tNNS\tI-NP\tO' +p14809 +aS'were\tbe\tVBD\tB-VP\tO' +p14810 +aS'rhonchorous\trhonchorous\tJJ\tB-ADJP\tO' +p14811 +aS',\t,\t,\tO\tO' +p14812 +aS'otherwise\totherwise\tRB\tB-ADJP\tO' +p14813 +aS'clear\tclear\tJJ\tI-ADJP\tO' +p14814 +aS'to\tto\tTO\tB-PP\tO' +p14815 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p14816 +aS'and\tand\tCC\tI-NP\tO' +p14817 +aS'percussion\tpercussion\tNN\tI-NP\tO' +p14818 +aS'.\t.\t.\tO\tO' +p14819 +asS'7. Coronary artery disease , status post myocardial infarction in 2012-05-06 .' +p14820 +(lp14821 +S'7.\t7.\tLS\tB-NP\tO' +p14822 +aS'Coronary\tCoronary\tJJ\tI-NP\tO' +p14823 +aS'artery\tartery\tNN\tI-NP\tO' +p14824 +aS'disease\tdisease\tNN\tI-NP\tO' +p14825 +aS',\t,\t,\tO\tO' +p14826 +aS'status\tstatus\tNN\tB-NP\tO' +p14827 +aS'post\tpost\tNN\tI-NP\tO' +p14828 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p14829 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p14830 +aS'in\tin\tIN\tB-PP\tO' +p14831 +aS'2012-05-06\t2012-05-06\tCD\tB-NP\tO' +p14832 +aS'.\t.\t.\tO\tO' +p14833 +asS'These were both determined to be present and intact .' +p14834 +(lp14835 +S'These\tThese\tDT\tB-NP\tO' +p14836 +aS'were\tbe\tVBD\tB-VP\tO' +p14837 +aS'both\tboth\tDT\tO\tO' +p14838 +aS'determined\tdetermine\tVBN\tB-VP\tO' +p14839 +aS'to\tto\tTO\tB-VP\tO' +p14840 +aS'be\tbe\tVB\tI-VP\tO' +p14841 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p14842 +aS'and\tand\tCC\tI-ADJP\tO' +p14843 +aS'intact\tintact\tJJ\tI-ADJP\tO' +p14844 +aS'.\t.\t.\tO\tO' +p14845 +asS'Due to this GI was consulted and felt that he would be a candidate for esophagogastroduodenoscopy .' +p14846 +(lp14847 +S'Due\tDue\tJJ\tB-ADJP\tO' +p14848 +aS'to\tto\tTO\tB-PP\tO' +p14849 +aS'this\tthis\tDT\tB-NP\tO' +p14850 +aS'GI\tGI\tNN\tI-NP\tO' +p14851 +aS'was\tbe\tVBD\tB-VP\tO' +p14852 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p14853 +aS'and\tand\tCC\tO\tO' +p14854 +aS'felt\tfeel\tVBD\tB-VP\tO' +p14855 +aS'that\tthat\tIN\tB-SBAR\tO' +p14856 +aS'he\the\tPRP\tB-NP\tO' +p14857 +aS'would\twould\tMD\tB-VP\tO' +p14858 +aS'be\tbe\tVB\tI-VP\tO' +p14859 +aS'a\ta\tDT\tB-NP\tO' +p14860 +aS'candidate\tcandidate\tNN\tI-NP\tO' +p14861 +aS'for\tfor\tIN\tB-PP\tO' +p14862 +aS'esophagogastroduodenoscopy\tesophagogastroduodenoscopy\tNN\tB-NP\tO' +p14863 +aS'.\t.\t.\tO\tO' +p14864 +asS'Nystatin Mouthwash Swish and Swallow .' +p14865 +(lp14866 +S'Nystatin\tNystatin\tNN\tB-NP\tO' +p14867 +aS'Mouthwash\tMouthwash\tNNP\tI-NP\tO' +p14868 +aS'Swish\tSwish\tNNP\tI-NP\tO' +p14869 +aS'and\tand\tCC\tO\tO' +p14870 +aS'Swallow\tSwallow\tNNP\tB-NP\tO' +p14871 +aS'.\t.\t.\tO\tO' +p14872 +asS'The medical examiner has also been notified of the passing of the patient .' +p14873 +(lp14874 +S'The\tThe\tDT\tB-NP\tO' +p14875 +aS'medical\tmedical\tJJ\tI-NP\tO' +p14876 +aS'examiner\texaminer\tNN\tI-NP\tO' +p14877 +aS'has\thave\tVBZ\tB-VP\tO' +p14878 +aS'also\talso\tRB\tI-VP\tO' +p14879 +aS'been\tbe\tVBN\tI-VP\tO' +p14880 +aS'notified\tnotify\tVBN\tI-VP\tO' +p14881 +aS'of\tof\tIN\tB-PP\tO' +p14882 +aS'the\tthe\tDT\tB-NP\tO' +p14883 +aS'passing\tpassing\tNN\tI-NP\tO' +p14884 +aS'of\tof\tIN\tB-PP\tO' +p14885 +aS'the\tthe\tDT\tB-NP\tO' +p14886 +aS'patient\tpatient\tNN\tI-NP\tO' +p14887 +aS'.\t.\t.\tO\tO' +p14888 +asS'Patient is known to have a baseline of 1.0 , most likely hypovolemia and prerenal .' +p14889 +(lp14890 +S'Patient\tPatient\tNN\tB-NP\tO' +p14891 +aS'is\tbe\tVBZ\tB-VP\tO' +p14892 +aS'known\tknow\tVBN\tI-VP\tO' +p14893 +aS'to\tto\tTO\tI-VP\tO' +p14894 +aS'have\thave\tVB\tI-VP\tO' +p14895 +aS'a\ta\tDT\tB-NP\tO' +p14896 +aS'baseline\tbaseline\tNN\tI-NP\tO' +p14897 +aS'of\tof\tIN\tB-PP\tO' +p14898 +aS'1.0\t1.0\tCD\tB-NP\tO' +p14899 +aS',\t,\t,\tO\tO' +p14900 +aS'most\tmost\tRBS\tB-NP\tO' +p14901 +aS'likely\tlikely\tJJ\tI-NP\tO' +p14902 +aS'hypovolemia\thypovolemia\tNN\tI-NP\tO' +p14903 +aS'and\tand\tCC\tO\tO' +p14904 +aS'prerenal\tprerenal\tJJ\tB-ADJP\tO' +p14905 +aS'.\t.\t.\tO\tO' +p14906 +asS'The estimated right atrial pressure is 16-20 mmHg .' +p14907 +(lp14908 +S'The\tThe\tDT\tB-NP\tO' +p14909 +aS'estimated\testimate\tVBN\tI-NP\tO' +p14910 +aS'right\tright\tJJ\tI-NP\tO' +p14911 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p14912 +aS'pressure\tpressure\tNN\tI-NP\tO' +p14913 +aS'is\tbe\tVBZ\tB-VP\tO' +p14914 +aS'16-20\t16-20\tCD\tB-NP\tO' +p14915 +aS'mmHg\tmmHg\tNN\tI-NP\tO' +p14916 +aS'.\t.\t.\tO\tO' +p14917 +asS'Gastroenterology - 9092 N. Eighth Cir. , Wisecup Rose - 1st floor .' +p14918 +(lp14919 +S'Gastroenterology\tGastroenterology\tNN\tB-NP\tO' +p14920 +aS'-\t-\tHYPH\tI-NP\tO' +p14921 +aS'9092\t9092\tCD\tI-NP\tO' +p14922 +aS'N.\tN.\tNNP\tI-NP\tO' +p14923 +aS'Eighth\tEighth\tNNP\tI-NP\tO' +p14924 +aS'Cir.\tCir.\tNNP\tI-NP\tO' +p14925 +aS',\t,\t,\tO\tO' +p14926 +aS'Wisecup\tWisecup\tNNP\tB-NP\tO' +p14927 +aS'Rose\tRose\tNNP\tI-NP\tO' +p14928 +aS'-\t-\tHYPH\tB-NP\tO' +p14929 +aS'1st\t1st\tJJ\tI-NP\tO' +p14930 +aS'floor\tfloor\tNN\tI-NP\tO' +p14931 +aS'.\t.\t.\tO\tO' +p14932 +asS'8. Vioxx times three weeks .' +p14933 +(lp14934 +S'8.\t8.\tCD\tB-NP\tO' +p14935 +aS'Vioxx\tVioxx\tNNP\tI-NP\tO' +p14936 +aS'times\ttimes\tCC\tO\tO' +p14937 +aS'three\tthree\tCD\tB-NP\tO' +p14938 +aS'weeks\tweek\tNNS\tI-NP\tO' +p14939 +aS'.\t.\t.\tO\tO' +p14940 +asS'There is severe global left ventricular hypokinesis to akinesis with some sparing of basal wall motion .' +p14941 +(lp14942 +S'There\tThere\tEX\tB-NP\tO' +p14943 +aS'is\tbe\tVBZ\tB-VP\tO' +p14944 +aS'severe\tsevere\tJJ\tB-NP\tO' +p14945 +aS'global\tglobal\tJJ\tI-NP\tO' +p14946 +aS'left\tleft\tJJ\tI-NP\tO' +p14947 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p14948 +aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' +p14949 +aS'to\tto\tTO\tB-PP\tO' +p14950 +aS'akinesis\takinesis\tNN\tB-NP\tO' +p14951 +aS'with\twith\tIN\tB-PP\tO' +p14952 +aS'some\tsome\tDT\tB-NP\tO' +p14953 +aS'sparing\tsparing\tNN\tI-NP\tO' +p14954 +aS'of\tof\tIN\tB-PP\tO' +p14955 +aS'basal\tbasal\tJJ\tB-NP\tO' +p14956 +aS'wall\twall\tNN\tI-NP\tO' +p14957 +aS'motion\tmotion\tNN\tI-NP\tO' +p14958 +aS'.\t.\t.\tO\tO' +p14959 +asS'The patient at that time noted slight shortness of breath but was sent home anyway .' +p14960 +(lp14961 +S'The\tThe\tDT\tB-NP\tO' +p14962 +aS'patient\tpatient\tNN\tI-NP\tO' +p14963 +aS'at\tat\tIN\tB-PP\tO' +p14964 +aS'that\tthat\tDT\tB-NP\tO' +p14965 +aS'time\ttime\tNN\tI-NP\tO' +p14966 +aS'noted\tnote\tVBD\tB-VP\tO' +p14967 +aS'slight\tslight\tJJ\tB-NP\tO' +p14968 +aS'shortness\tshortness\tNN\tI-NP\tO' +p14969 +aS'of\tof\tIN\tB-PP\tO' +p14970 +aS'breath\tbreath\tNN\tB-NP\tO' +p14971 +aS'but\tbut\tCC\tO\tO' +p14972 +aS'was\tbe\tVBD\tB-VP\tO' +p14973 +aS'sent\tsend\tVBN\tI-VP\tO' +p14974 +aS'home\thome\tNN\tB-ADVP\tO' +p14975 +aS'anyway\tanyway\tRB\tB-ADVP\tO' +p14976 +aS'.\t.\t.\tO\tO' +p14977 +asS'Mother with h/o emphysema , CAD' +p14978 +(lp14979 +S'Mother\tMother\tDT\tB-NP\tO' +p14980 +aS'with\twith\tIN\tB-PP\tO' +p14981 +aS'h/o\th/o\tNN\tB-NP\tO' +p14982 +aS'emphysema\temphysema\tNN\tI-NP\tO' +p14983 +aS',\t,\t,\tO\tO' +p14984 +aS'CAD\tCAD\tNN\tB-NP\tO' +p14985 +asS'Pt was transferred to The Hospital for Orthopedics for further management with wishes from the pt and family to reverse DNR/DNI status if surgery was indicated .' +p14986 +(lp14987 +S'Pt\tPt\tNN\tB-NP\tO' +p14988 +aS'was\tbe\tVBD\tB-VP\tO' +p14989 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p14990 +aS'to\tto\tTO\tB-PP\tO' +p14991 +aS'The\tThe\tDT\tB-NP\tO' +p14992 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p14993 +aS'for\tfor\tIN\tB-PP\tO' +p14994 +aS'Orthopedics\tOrthopedics\tNNP\tB-NP\tO' +p14995 +aS'for\tfor\tIN\tB-PP\tO' +p14996 +aS'further\tfurther\tJJ\tB-NP\tO' +p14997 +aS'management\tmanagement\tNN\tI-NP\tO' +p14998 +aS'with\twith\tIN\tB-PP\tO' +p14999 +aS'wishes\twish\tNNS\tB-NP\tO' +p15000 +aS'from\tfrom\tIN\tB-PP\tO' +p15001 +aS'the\tthe\tDT\tB-NP\tO' +p15002 +aS'pt\tpt\tNN\tI-NP\tO' +p15003 +aS'and\tand\tCC\tI-NP\tO' +p15004 +aS'family\tfamily\tNN\tI-NP\tO' +p15005 +aS'to\tto\tTO\tB-VP\tO' +p15006 +aS'reverse\treverse\tVB\tI-VP\tO' +p15007 +aS'DNR/DNI\tDNR/DNI\tNN\tB-NP\tO' +p15008 +aS'status\tstatus\tNN\tI-NP\tO' +p15009 +aS'if\tif\tIN\tB-SBAR\tO' +p15010 +aS'surgery\tsurgery\tNN\tB-NP\tO' +p15011 +aS'was\tbe\tVBD\tB-VP\tO' +p15012 +aS'indicated\tindicate\tVBN\tI-VP\tO' +p15013 +aS'.\t.\t.\tO\tO' +p15014 +asS'Friday 08-17 and Monday 08-20 cbc , chem10 , pt/ptt/inr and trough prograf level .' +p15015 +(lp15016 +S'Friday\tFriday\tNNP\tB-NP\tO' +p15017 +aS'08-17\t08-17\tCD\tI-NP\tO' +p15018 +aS'and\tand\tCC\tO\tO' +p15019 +aS'Monday\tMonday\tNNP\tB-NP\tO' +p15020 +aS'08-20\t08-20\tCD\tI-NP\tO' +p15021 +aS'cbc\tcbc\tNN\tI-NP\tO' +p15022 +aS',\t,\t,\tO\tO' +p15023 +aS'chem10\tchem10\tNN\tB-NP\tB-protein' +p15024 +aS',\t,\t,\tO\tO' +p15025 +aS'pt/ptt/inr\tpt/ptt/inr\tNN\tB-NP\tO' +p15026 +aS'and\tand\tCC\tI-NP\tO' +p15027 +aS'trough\ttrough\tNN\tI-NP\tO' +p15028 +aS'prograf\tprograf\tNN\tI-NP\tO' +p15029 +aS'level\tlevel\tNN\tI-NP\tO' +p15030 +aS'.\t.\t.\tO\tO' +p15031 +asS'For this pneumonia , he was placed empirically on imipenem , vancomycin , and Flagyl .' +p15032 +(lp15033 +S'For\tFor\tIN\tB-PP\tO' +p15034 +aS'this\tthis\tDT\tB-NP\tO' +p15035 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p15036 +aS',\t,\t,\tO\tO' +p15037 +aS'he\the\tPRP\tB-NP\tO' +p15038 +aS'was\tbe\tVBD\tB-VP\tO' +p15039 +aS'placed\tplace\tVBN\tI-VP\tO' +p15040 +aS'empirically\tempirically\tRB\tB-ADVP\tO' +p15041 +aS'on\ton\tIN\tB-PP\tO' +p15042 +aS'imipenem\timipenem\tNN\tB-NP\tO' +p15043 +aS',\t,\t,\tO\tO' +p15044 +aS'vancomycin\tvancomycin\tNN\tB-NP\tO' +p15045 +aS',\t,\t,\tO\tO' +p15046 +aS'and\tand\tCC\tO\tO' +p15047 +aS'Flagyl\tFlagyl\tNN\tB-NP\tO' +p15048 +aS'.\t.\t.\tO\tO' +p15049 +asS'There was an occlusion of posterior tibial artery at the ankle .' +p15050 +(lp15051 +S'There\tThere\tEX\tB-NP\tO' +p15052 +aS'was\tbe\tVBD\tB-VP\tO' +p15053 +aS'an\tan\tDT\tB-NP\tO' +p15054 +aS'occlusion\tocclusion\tNN\tI-NP\tO' +p15055 +aS'of\tof\tIN\tB-PP\tO' +p15056 +aS'posterior\tposterior\tJJ\tB-NP\tO' +p15057 +aS'tibial\ttibial\tJJ\tI-NP\tO' +p15058 +aS'artery\tartery\tNN\tI-NP\tO' +p15059 +aS'at\tat\tIN\tB-PP\tO' +p15060 +aS'the\tthe\tDT\tB-NP\tO' +p15061 +aS'ankle\tankle\tNN\tI-NP\tO' +p15062 +aS'.\t.\t.\tO\tO' +p15063 +asS'For details of this operation , please see the previously dictated operative note .' +p15064 +(lp15065 +S'For\tFor\tIN\tB-PP\tO' +p15066 +aS'details\tdetail\tNNS\tB-NP\tO' +p15067 +aS'of\tof\tIN\tB-PP\tO' +p15068 +aS'this\tthis\tDT\tB-NP\tO' +p15069 +aS'operation\toperation\tNN\tI-NP\tO' +p15070 +aS',\t,\t,\tO\tO' +p15071 +aS'please\tplease\tNN\tB-NP\tO' +p15072 +aS'see\tsee\tVBP\tB-VP\tO' +p15073 +aS'the\tthe\tDT\tB-NP\tO' +p15074 +aS'previously\tpreviously\tRB\tI-NP\tO' +p15075 +aS'dictated\tdictate\tVBN\tI-NP\tO' +p15076 +aS'operative\toperative\tJJ\tI-NP\tO' +p15077 +aS'note\tnote\tNN\tI-NP\tO' +p15078 +aS'.\t.\t.\tO\tO' +p15079 +asS'A tumor was noted on her vulva which was biopsied and revealed squamous cell carcinoma in situ .' +p15080 +(lp15081 +S'A\tA\tDT\tB-NP\tO' +p15082 +aS'tumor\ttumor\tNN\tI-NP\tO' +p15083 +aS'was\tbe\tVBD\tB-VP\tO' +p15084 +aS'noted\tnote\tVBN\tI-VP\tO' +p15085 +aS'on\ton\tIN\tB-PP\tO' +p15086 +aS'her\ther\tPRP$\tB-NP\tO' +p15087 +aS'vulva\tvulva\tNN\tI-NP\tO' +p15088 +aS'which\twhich\tWDT\tB-NP\tO' +p15089 +aS'was\tbe\tVBD\tB-VP\tO' +p15090 +aS'biopsied\tbiopsie\tVBN\tI-VP\tO' +p15091 +aS'and\tand\tCC\tO\tO' +p15092 +aS'revealed\treveal\tVBD\tB-VP\tO' +p15093 +aS'squamous\tsquamous\tJJ\tB-NP\tO' +p15094 +aS'cell\tcell\tNN\tI-NP\tO' +p15095 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p15096 +aS'in\tin\tFW\tB-ADVP\tO' +p15097 +aS'situ\tsitu\tFW\tI-ADVP\tO' +p15098 +aS'.\t.\t.\tO\tO' +p15099 +asS'Dialysis as scheduled .' +p15100 +(lp15101 +S'Dialysis\tDialysis\tNN\tB-NP\tO' +p15102 +aS'as\tas\tIN\tB-PP\tO' +p15103 +aS'scheduled\tschedule\tVBN\tB-VP\tO' +p15104 +aS'.\t.\t.\tO\tO' +p15105 +asS'Digoxin level was 1.4 .' +p15106 +(lp15107 +S'Digoxin\tDigoxin\tNN\tB-NP\tO' +p15108 +aS'level\tlevel\tNN\tI-NP\tO' +p15109 +aS'was\tbe\tVBD\tB-VP\tO' +p15110 +aS'1.4\t1.4\tCD\tB-NP\tO' +p15111 +aS'.\t.\t.\tO\tO' +p15112 +asS'The left ventriculogram revealed an akinetic anterolateral and apical ventricle .' +p15113 +(lp15114 +S'The\tThe\tDT\tB-NP\tO' +p15115 +aS'left\tleft\tJJ\tI-NP\tO' +p15116 +aS'ventriculogram\tventriculogram\tNN\tI-NP\tO' +p15117 +aS'revealed\treveal\tVBD\tB-VP\tO' +p15118 +aS'an\tan\tDT\tB-NP\tO' +p15119 +aS'akinetic\takinetic\tJJ\tI-NP\tO' +p15120 +aS'anterolateral\tanterolateral\tJJ\tI-NP\tO' +p15121 +aS'and\tand\tCC\tI-NP\tO' +p15122 +aS'apical\tapical\tJJ\tI-NP\tO' +p15123 +aS'ventricle\tventricle\tNN\tI-NP\tO' +p15124 +aS'.\t.\t.\tO\tO' +p15125 +asS'No tobacco , drug use .' +p15126 +(lp15127 +S'No\tNo\tDT\tB-NP\tO' +p15128 +aS'tobacco\ttobacco\tNN\tI-NP\tO' +p15129 +aS',\t,\t,\tI-NP\tO' +p15130 +aS'drug\tdrug\tNN\tI-NP\tO' +p15131 +aS'use\tuse\tNN\tI-NP\tO' +p15132 +aS'.\t.\t.\tO\tO' +p15133 +asS'He did not require intubation and improved with q. two hour nebulizers and chest PT .' +p15134 +(lp15135 +S'He\tHe\tPRP\tB-NP\tO' +p15136 +aS'did\tdo\tVBD\tB-VP\tO' +p15137 +aS'not\tnot\tRB\tI-VP\tO' +p15138 +aS'require\trequire\tVB\tI-VP\tO' +p15139 +aS'intubation\tintubation\tNN\tB-NP\tO' +p15140 +aS'and\tand\tCC\tO\tO' +p15141 +aS'improved\timprove\tVBN\tB-VP\tO' +p15142 +aS'with\twith\tIN\tB-PP\tO' +p15143 +aS'q.\tq.\tNN\tB-NP\tO' +p15144 +aS'two\ttwo\tCD\tI-NP\tO' +p15145 +aS'hour\thour\tNN\tI-NP\tO' +p15146 +aS'nebulizers\tnebulizer\tNNS\tI-NP\tO' +p15147 +aS'and\tand\tCC\tO\tO' +p15148 +aS'chest\tchest\tNN\tB-NP\tO' +p15149 +aS'PT\tPT\tNN\tI-NP\tO' +p15150 +aS'.\t.\t.\tO\tO' +p15151 +asS'Therefore the patient was intubated at 3:45 a.m. on 9/7/93 .' +p15152 +(lp15153 +S'Therefore\tTherefore\tRB\tB-ADVP\tO' +p15154 +aS'the\tthe\tDT\tB-NP\tO' +p15155 +aS'patient\tpatient\tNN\tI-NP\tO' +p15156 +aS'was\tbe\tVBD\tB-VP\tO' +p15157 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p15158 +aS'at\tat\tIN\tB-PP\tO' +p15159 +aS'3:45\t3:45\tCD\tB-NP\tO' +p15160 +aS'a.m.\ta.m.\tNN\tI-NP\tO' +p15161 +aS'on\ton\tIN\tB-PP\tO' +p15162 +aS'9/7/93\t9/7/93\tCD\tB-NP\tO' +p15163 +aS'.\t.\t.\tO\tO' +p15164 +asS'He was also started on p.o. Vancomycin for question C. difficile colitis .' +p15165 +(lp15166 +S'He\tHe\tPRP\tB-NP\tO' +p15167 +aS'was\tbe\tVBD\tB-VP\tO' +p15168 +aS'also\talso\tRB\tI-VP\tO' +p15169 +aS'started\tstart\tVBN\tI-VP\tO' +p15170 +aS'on\ton\tIN\tB-PP\tO' +p15171 +aS'p.o.\tp.o.\tFW\tB-NP\tO' +p15172 +aS'Vancomycin\tVancomycin\tNN\tI-NP\tO' +p15173 +aS'for\tfor\tIN\tB-PP\tO' +p15174 +aS'question\tquestion\tNN\tB-NP\tO' +p15175 +aS'C.\tC.\tFW\tI-NP\tO' +p15176 +aS'difficile\tdifficile\tJJ\tI-NP\tO' +p15177 +aS'colitis\tcolitis\tNN\tI-NP\tO' +p15178 +aS'.\t.\t.\tO\tO' +p15179 +asS'4. Guaifenesin syrup p.r.n. cough .' +p15180 +(lp15181 +S'4.\t4.\tLS\tB-NP\tO' +p15182 +aS'Guaifenesin\tGuaifenesin\tNN\tI-NP\tO' +p15183 +aS'syrup\tsyrup\tNN\tI-NP\tO' +p15184 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p15185 +aS'cough\tcough\tNN\tI-NP\tO' +p15186 +aS'.\t.\t.\tO\tO' +p15187 +asS'It was not necessary to start him on oral hypoglycemics or insulin .' +p15188 +(lp15189 +S'It\tIt\tPRP\tB-NP\tO' +p15190 +aS'was\tbe\tVBD\tB-VP\tO' +p15191 +aS'not\tnot\tRB\tO\tO' +p15192 +aS'necessary\tnecessary\tJJ\tB-ADJP\tO' +p15193 +aS'to\tto\tTO\tB-VP\tO' +p15194 +aS'start\tstart\tVB\tI-VP\tO' +p15195 +aS'him\thim\tPRP\tB-NP\tO' +p15196 +aS'on\ton\tIN\tB-PP\tO' +p15197 +aS'oral\toral\tJJ\tB-NP\tO' +p15198 +aS'hypoglycemics\thypoglycemic\tNNS\tI-NP\tO' +p15199 +aS'or\tor\tCC\tI-NP\tO' +p15200 +aS'insulin\tinsulin\tNN\tI-NP\tB-protein' +p15201 +aS'.\t.\t.\tO\tO' +p15202 +asS'At the time of discharge , the patient still had a mildly elevated white blood cell count but was asymptomatic with a normal temperature .' +p15203 +(lp15204 +S'At\tAt\tIN\tB-PP\tO' +p15205 +aS'the\tthe\tDT\tB-NP\tO' +p15206 +aS'time\ttime\tNN\tI-NP\tO' +p15207 +aS'of\tof\tIN\tB-PP\tO' +p15208 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p15209 +aS',\t,\t,\tO\tO' +p15210 +aS'the\tthe\tDT\tB-NP\tO' +p15211 +aS'patient\tpatient\tNN\tI-NP\tO' +p15212 +aS'still\tstill\tRB\tB-ADVP\tO' +p15213 +aS'had\thave\tVBD\tB-VP\tO' +p15214 +aS'a\ta\tDT\tB-NP\tO' +p15215 +aS'mildly\tmildly\tRB\tI-NP\tO' +p15216 +aS'elevated\televated\tJJ\tI-NP\tO' +p15217 +aS'white\twhite\tJJ\tI-NP\tO' +p15218 +aS'blood\tblood\tNN\tI-NP\tO' +p15219 +aS'cell\tcell\tNN\tI-NP\tO' +p15220 +aS'count\tcount\tNN\tI-NP\tO' +p15221 +aS'but\tbut\tCC\tO\tO' +p15222 +aS'was\tbe\tVBD\tB-VP\tO' +p15223 +aS'asymptomatic\tasymptomatic\tJJ\tB-ADJP\tO' +p15224 +aS'with\twith\tIN\tB-PP\tO' +p15225 +aS'a\ta\tDT\tB-NP\tO' +p15226 +aS'normal\tnormal\tJJ\tI-NP\tO' +p15227 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p15228 +aS'.\t.\t.\tO\tO' +p15229 +asS'Tonsillectomy .' +p15230 +(lp15231 +S'Tonsillectomy\tTonsillectomy\tNN\tB-NP\tO' +p15232 +aS'.\t.\t.\tO\tO' +p15233 +asS'No jugular venous distention .' +p15234 +(lp15235 +S'No\tNo\tDT\tB-NP\tO' +p15236 +aS'jugular\tjugular\tJJ\tI-NP\tO' +p15237 +aS'venous\tvenous\tJJ\tI-NP\tO' +p15238 +aS'distention\tdistention\tNN\tI-NP\tO' +p15239 +aS'.\t.\t.\tO\tO' +p15240 +asS'On 03-02 at 10 am , the patient had an acutechange in mental status with bradycardia , hypertension , pinpoint pupils , decerebrate posturing and increased tone in bilateral upper extremities and unresponsiveness .' +p15241 +(lp15242 +S'On\tOn\tIN\tB-PP\tO' +p15243 +aS'03-02\t03-02\tCD\tB-NP\tO' +p15244 +aS'at\tat\tIN\tB-PP\tO' +p15245 +aS'10\t10\tCD\tB-NP\tO' +p15246 +aS'am\tam\tNN\tI-NP\tO' +p15247 +aS',\t,\t,\tO\tO' +p15248 +aS'the\tthe\tDT\tB-NP\tO' +p15249 +aS'patient\tpatient\tNN\tI-NP\tO' +p15250 +aS'had\thave\tVBD\tB-VP\tO' +p15251 +aS'an\tan\tDT\tB-NP\tO' +p15252 +aS'acutechange\tacutechange\tNN\tI-NP\tO' +p15253 +aS'in\tin\tIN\tB-PP\tO' +p15254 +aS'mental\tmental\tJJ\tB-NP\tO' +p15255 +aS'status\tstatus\tNN\tI-NP\tO' +p15256 +aS'with\twith\tIN\tB-PP\tO' +p15257 +aS'bradycardia\tbradycardia\tNN\tB-NP\tO' +p15258 +aS',\t,\t,\tO\tO' +p15259 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p15260 +aS',\t,\t,\tO\tO' +p15261 +aS'pinpoint\tpinpoint\tNN\tB-NP\tO' +p15262 +aS'pupils\tpupil\tNNS\tI-NP\tO' +p15263 +aS',\t,\t,\tO\tO' +p15264 +aS'decerebrate\tdecerebrate\tVBP\tB-VP\tO' +p15265 +aS'posturing\tposture\tVBG\tI-VP\tO' +p15266 +aS'and\tand\tCC\tO\tO' +p15267 +aS'increased\tincrease\tVBN\tB-NP\tO' +p15268 +aS'tone\ttone\tNN\tI-NP\tO' +p15269 +aS'in\tin\tIN\tB-PP\tO' +p15270 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p15271 +aS'upper\tupper\tJJ\tI-NP\tO' +p15272 +aS'extremities\textremity\tNNS\tI-NP\tO' +p15273 +aS'and\tand\tCC\tI-NP\tO' +p15274 +aS'unresponsiveness\tunresponsiveness\tNN\tI-NP\tO' +p15275 +aS'.\t.\t.\tO\tO' +p15276 +asS'It was felt that the patient 's extensive pulmonary metastases and bilateral pleural effusions resulted in increased work of respiration and a sensation of shortness of breath .' +p15277 +(lp15278 +S'It\tIt\tPRP\tB-NP\tO' +p15279 +aS'was\tbe\tVBD\tB-VP\tO' +p15280 +aS'felt\tfeel\tVBN\tI-VP\tO' +p15281 +aS'that\tthat\tIN\tB-SBAR\tO' +p15282 +aS'the\tthe\tDT\tB-NP\tO' +p15283 +aS'patient\tpatient\tNN\tI-NP\tO' +p15284 +aS''s\t'\tVBZ\tB-VP\tO' +p15285 +aS'extensive\textensive\tJJ\tB-NP\tO' +p15286 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p15287 +aS'metastases\tmetastasis\tNNS\tI-NP\tO' +p15288 +aS'and\tand\tCC\tO\tO' +p15289 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p15290 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p15291 +aS'effusions\teffusion\tNNS\tI-NP\tO' +p15292 +aS'resulted\tresult\tVBD\tB-VP\tO' +p15293 +aS'in\tin\tIN\tB-PP\tO' +p15294 +aS'increased\tincrease\tVBN\tB-NP\tO' +p15295 +aS'work\twork\tNN\tI-NP\tO' +p15296 +aS'of\tof\tIN\tB-PP\tO' +p15297 +aS'respiration\trespiration\tNN\tB-NP\tO' +p15298 +aS'and\tand\tCC\tO\tO' +p15299 +aS'a\ta\tDT\tB-NP\tO' +p15300 +aS'sensation\tsensation\tNN\tI-NP\tO' +p15301 +aS'of\tof\tIN\tB-PP\tO' +p15302 +aS'shortness\tshortness\tNN\tB-NP\tO' +p15303 +aS'of\tof\tIN\tB-PP\tO' +p15304 +aS'breath\tbreath\tNN\tB-NP\tO' +p15305 +aS'.\t.\t.\tO\tO' +p15306 +asS'Right basilar atelectasis has slightly worsened .' +p15307 +(lp15308 +S'Right\tRight\tRB\tB-NP\tO' +p15309 +aS'basilar\tbasilar\tJJ\tI-NP\tO' +p15310 +aS'atelectasis\tatelectasis\tNN\tI-NP\tO' +p15311 +aS'has\thave\tVBZ\tB-VP\tO' +p15312 +aS'slightly\tslightly\tRB\tI-VP\tO' +p15313 +aS'worsened\tworsen\tVBN\tI-VP\tO' +p15314 +aS'.\t.\t.\tO\tO' +p15315 +asS'It is very important that you followup with your cardiology .' +p15316 +(lp15317 +S'It\tIt\tPRP\tB-NP\tO' +p15318 +aS'is\tbe\tVBZ\tB-VP\tO' +p15319 +aS'very\tvery\tRB\tB-ADJP\tO' +p15320 +aS'important\timportant\tJJ\tI-ADJP\tO' +p15321 +aS'that\tthat\tIN\tB-SBAR\tO' +p15322 +aS'you\tyou\tPRP\tB-NP\tO' +p15323 +aS'followup\tfollowup\tVBP\tB-VP\tO' +p15324 +aS'with\twith\tIN\tB-PP\tO' +p15325 +aS'your\tyour\tPRP$\tB-NP\tO' +p15326 +aS'cardiology\tcardiology\tNN\tI-NP\tO' +p15327 +aS'.\t.\t.\tO\tO' +p15328 +asS'Denied nausea , vomiting , diaphoresis , bowel movement changes .' +p15329 +(lp15330 +S'Denied\tDeny\tVBN\tB-NP\tO' +p15331 +aS'nausea\tnausea\tNN\tI-NP\tO' +p15332 +aS',\t,\t,\tO\tO' +p15333 +aS'vomiting\tvomiting\tNN\tB-NP\tO' +p15334 +aS',\t,\t,\tO\tO' +p15335 +aS'diaphoresis\tdiaphoresis\tNN\tB-NP\tO' +p15336 +aS',\t,\t,\tO\tO' +p15337 +aS'bowel\tbowel\tNN\tB-NP\tO' +p15338 +aS'movement\tmovement\tNN\tI-NP\tO' +p15339 +aS'changes\tchange\tNNS\tI-NP\tO' +p15340 +aS'.\t.\t.\tO\tO' +p15341 +asS'Therefore , in the end left atrial hypertension was essentially ruled out as a primary cause .' +p15342 +(lp15343 +S'Therefore\tTherefore\tRB\tB-ADVP\tO' +p15344 +aS',\t,\t,\tO\tO' +p15345 +aS'in\tin\tIN\tB-PP\tO' +p15346 +aS'the\tthe\tDT\tB-NP\tO' +p15347 +aS'end\tend\tNN\tI-NP\tO' +p15348 +aS'left\tleave\tVBD\tB-VP\tO' +p15349 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p15350 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p15351 +aS'was\tbe\tVBD\tB-VP\tO' +p15352 +aS'essentially\tessentially\tRB\tI-VP\tO' +p15353 +aS'ruled\trule\tVBN\tI-VP\tO' +p15354 +aS'out\tout\tRP\tB-PRT\tO' +p15355 +aS'as\tas\tIN\tB-PP\tO' +p15356 +aS'a\ta\tDT\tB-NP\tO' +p15357 +aS'primary\tprimary\tJJ\tI-NP\tO' +p15358 +aS'cause\tcause\tNN\tI-NP\tO' +p15359 +aS'.\t.\t.\tO\tO' +p15360 +asS'Please notify nurses , doctors Marilyn Kristen Layne workers of chest pain , shortness of breath , palpitations or lightheadedness .' +p15361 +(lp15362 +S'Please\tPlease\tVB\tB-VP\tO' +p15363 +aS'notify\tnotify\tJJ\tB-NP\tO' +p15364 +aS'nurses\tnurse\tNNS\tI-NP\tO' +p15365 +aS',\t,\t,\tO\tO' +p15366 +aS'doctors\tdoctor\tNNS\tB-NP\tO' +p15367 +aS'Marilyn\tMarilyn\tNNP\tI-NP\tO' +p15368 +aS'Kristen\tKristen\tNNP\tI-NP\tO' +p15369 +aS'Layne\tLayne\tNNP\tI-NP\tO' +p15370 +aS'workers\tworker\tNNS\tI-NP\tO' +p15371 +aS'of\tof\tIN\tB-PP\tO' +p15372 +aS'chest\tchest\tNN\tB-NP\tO' +p15373 +aS'pain\tpain\tNN\tI-NP\tO' +p15374 +aS',\t,\t,\tO\tO' +p15375 +aS'shortness\tshortness\tNN\tB-NP\tO' +p15376 +aS'of\tof\tIN\tB-PP\tO' +p15377 +aS'breath\tbreath\tNN\tB-NP\tO' +p15378 +aS',\t,\t,\tO\tO' +p15379 +aS'palpitations\tpalpitation\tNNS\tB-NP\tO' +p15380 +aS'or\tor\tCC\tO\tO' +p15381 +aS'lightheadedness\tlightheadedness\tNN\tB-NP\tO' +p15382 +aS'.\t.\t.\tO\tO' +p15383 +asS'AMPULLARY ADENOCARCINOMA .' +p15384 +(lp15385 +S'AMPULLARY\tAMPULLARY\tNN\tB-NP\tO' +p15386 +aS'ADENOCARCINOMA\tADENOCARCINOMA\tNN\tI-NP\tO' +p15387 +aS'.\t.\t.\tO\tO' +p15388 +asS'He reports that the pain was similar to his prior MI .' +p15389 +(lp15390 +S'He\tHe\tPRP\tB-NP\tO' +p15391 +aS'reports\treport\tVBZ\tB-VP\tO' +p15392 +aS'that\tthat\tIN\tB-SBAR\tO' +p15393 +aS'the\tthe\tDT\tB-NP\tO' +p15394 +aS'pain\tpain\tNN\tI-NP\tO' +p15395 +aS'was\tbe\tVBD\tB-VP\tO' +p15396 +aS'similar\tsimilar\tJJ\tB-ADJP\tO' +p15397 +aS'to\tto\tTO\tB-PP\tO' +p15398 +aS'his\this\tPRP$\tB-NP\tO' +p15399 +aS'prior\tprior\tJJ\tI-NP\tO' +p15400 +aS'MI\tMI\tNN\tI-NP\tO' +p15401 +aS'.\t.\t.\tO\tO' +p15402 +asS'For the question of seizure activity associated with a cortical bleed , he was started prophylactically on Keppra ( given questionable allergy to dilantin ) , at 500 mg bid ; no seizure activity was seen .' +p15403 +(lp15404 +S'For\tFor\tIN\tB-PP\tO' +p15405 +aS'the\tthe\tDT\tB-NP\tO' +p15406 +aS'question\tquestion\tNN\tI-NP\tO' +p15407 +aS'of\tof\tIN\tB-PP\tO' +p15408 +aS'seizure\tseizure\tNN\tB-NP\tO' +p15409 +aS'activity\tactivity\tNN\tI-NP\tO' +p15410 +aS'associated\tassociate\tVBN\tB-VP\tO' +p15411 +aS'with\twith\tIN\tB-PP\tO' +p15412 +aS'a\ta\tDT\tB-NP\tO' +p15413 +aS'cortical\tcortical\tJJ\tI-NP\tO' +p15414 +aS'bleed\tbleed\tNN\tI-NP\tO' +p15415 +aS',\t,\t,\tO\tO' +p15416 +aS'he\the\tPRP\tB-NP\tO' +p15417 +aS'was\tbe\tVBD\tB-VP\tO' +p15418 +aS'started\tstart\tVBN\tI-VP\tO' +p15419 +aS'prophylactically\tprophylactically\tRB\tB-ADVP\tO' +p15420 +aS'on\ton\tIN\tB-PP\tO' +p15421 +aS'Keppra\tKeppra\tNNP\tB-NP\tO' +p15422 +aS'(\t(\t(\tO\tO' +p15423 +aS'given\tgive\tVBN\tB-VP\tO' +p15424 +aS'questionable\tquestionable\tJJ\tB-NP\tO' +p15425 +aS'allergy\tallergy\tNN\tI-NP\tO' +p15426 +aS'to\tto\tTO\tB-PP\tO' +p15427 +aS'dilantin\tdilantin\tNN\tB-NP\tO' +p15428 +aS')\t)\t)\tO\tO' +p15429 +aS',\t,\t,\tO\tO' +p15430 +aS'at\tat\tIN\tB-PP\tO' +p15431 +aS'500\t500\tCD\tB-NP\tO' +p15432 +aS'mg\tmg\tNN\tI-NP\tO' +p15433 +aS'bid\tbid\tRB\tB-ADVP\tO' +p15434 +aS';\t;\t:\tO\tO' +p15435 +aS'no\tno\tDT\tB-NP\tO' +p15436 +aS'seizure\tseizure\tNN\tI-NP\tO' +p15437 +aS'activity\tactivity\tNN\tI-NP\tO' +p15438 +aS'was\tbe\tVBD\tB-VP\tO' +p15439 +aS'seen\tsee\tVBN\tI-VP\tO' +p15440 +aS'.\t.\t.\tO\tO' +p15441 +asS'Nexium 40 mg a day .' +p15442 +(lp15443 +S'Nexium\tNexium\tNN\tB-NP\tO' +p15444 +aS'40\t40\tCD\tI-NP\tO' +p15445 +aS'mg\tmg\tNN\tI-NP\tO' +p15446 +aS'a\ta\tDT\tB-NP\tO' +p15447 +aS'day\tday\tNN\tI-NP\tO' +p15448 +aS'.\t.\t.\tO\tO' +p15449 +asS'The patient was noted to be confused and to be disoriented toward the end of the day after complaining of shortness of breath for most of the day .' +p15450 +(lp15451 +S'The\tThe\tDT\tB-NP\tO' +p15452 +aS'patient\tpatient\tNN\tI-NP\tO' +p15453 +aS'was\tbe\tVBD\tB-VP\tO' +p15454 +aS'noted\tnote\tVBN\tI-VP\tO' +p15455 +aS'to\tto\tTO\tI-VP\tO' +p15456 +aS'be\tbe\tVB\tI-VP\tO' +p15457 +aS'confused\tconfuse\tVBN\tI-VP\tO' +p15458 +aS'and\tand\tCC\tO\tO' +p15459 +aS'to\tto\tTO\tB-VP\tO' +p15460 +aS'be\tbe\tVB\tI-VP\tO' +p15461 +aS'disoriented\tdisorient\tVBN\tI-VP\tO' +p15462 +aS'toward\ttoward\tIN\tB-PP\tO' +p15463 +aS'the\tthe\tDT\tB-NP\tO' +p15464 +aS'end\tend\tNN\tI-NP\tO' +p15465 +aS'of\tof\tIN\tB-PP\tO' +p15466 +aS'the\tthe\tDT\tB-NP\tO' +p15467 +aS'day\tday\tNN\tI-NP\tO' +p15468 +aS'after\tafter\tIN\tB-PP\tO' +p15469 +aS'complaining\tcomplain\tVBG\tB-NP\tO' +p15470 +aS'of\tof\tIN\tB-PP\tO' +p15471 +aS'shortness\tshortness\tNN\tB-NP\tO' +p15472 +aS'of\tof\tIN\tB-PP\tO' +p15473 +aS'breath\tbreath\tNN\tB-NP\tO' +p15474 +aS'for\tfor\tIN\tB-PP\tO' +p15475 +aS'most\tmost\tJJS\tB-NP\tO' +p15476 +aS'of\tof\tIN\tB-PP\tO' +p15477 +aS'the\tthe\tDT\tB-NP\tO' +p15478 +aS'day\tday\tNN\tI-NP\tO' +p15479 +aS'.\t.\t.\tO\tO' +p15480 +asS'On day of life #1 , caffeine was started .' +p15481 +(lp15482 +S'On\tOn\tIN\tB-PP\tO' +p15483 +aS'day\tday\tNN\tB-NP\tO' +p15484 +aS'of\tof\tIN\tB-PP\tO' +p15485 +aS'life\tlife\tNN\tB-NP\tO' +p15486 +aS'#1\t#1\tNN\tI-NP\tO' +p15487 +aS',\t,\t,\tO\tO' +p15488 +aS'caffeine\tcaffeine\tNN\tB-NP\tO' +p15489 +aS'was\tbe\tVBD\tB-VP\tO' +p15490 +aS'started\tstart\tVBN\tI-VP\tO' +p15491 +aS'.\t.\t.\tO\tO' +p15492 +asS'Electrolytes were within normal limits , glucose 192 , BUN and creatinine 9/0.7 , hematocrit 49.5 , white blood count 7.9 , platelet count 166,000 , 65% polys , 3 bands , 24% lymphs .' +p15493 +(lp15494 +S'Electrolytes\tElectrolyte\tNNS\tB-NP\tO' +p15495 +aS'were\tbe\tVBD\tB-VP\tO' +p15496 +aS'within\twithin\tIN\tB-PP\tO' +p15497 +aS'normal\tnormal\tJJ\tB-NP\tO' +p15498 +aS'limits\tlimit\tNNS\tI-NP\tO' +p15499 +aS',\t,\t,\tO\tO' +p15500 +aS'glucose\tglucose\tNN\tB-NP\tO' +p15501 +aS'192\t192\tCD\tI-NP\tO' +p15502 +aS',\t,\t,\tO\tO' +p15503 +aS'BUN\tBUN\tNN\tB-NP\tB-protein' +p15504 +aS'and\tand\tCC\tO\tO' +p15505 +aS'creatinine\tcreatinine\tNN\tB-NP\tB-protein' +p15506 +aS'9/0.7\t9/0.7\tCD\tI-NP\tI-protein' +p15507 +aS',\t,\t,\tO\tO' +p15508 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p15509 +aS'49.5\t49.5\tCD\tI-NP\tI-protein' +p15510 +aS',\t,\t,\tO\tO' +p15511 +aS'white\twhite\tJJ\tB-NP\tO' +p15512 +aS'blood\tblood\tNN\tI-NP\tO' +p15513 +aS'count\tcount\tNN\tI-NP\tO' +p15514 +aS'7.9\t7.9\tCD\tI-NP\tO' +p15515 +aS',\t,\t,\tO\tO' +p15516 +aS'platelet\tplatelet\tNN\tB-NP\tB-protein' +p15517 +aS'count\tcount\tNN\tI-NP\tI-protein' +p15518 +aS'166,000\t166,000\tCD\tI-NP\tI-protein' +p15519 +aS',\t,\t,\tO\tO' +p15520 +aS'65%\t65%\tCD\tB-NP\tO' +p15521 +aS'polys\tpoly\tNNS\tI-NP\tO' +p15522 +aS',\t,\t,\tO\tO' +p15523 +aS'3\t3\tCD\tB-NP\tO' +p15524 +aS'bands\tband\tNNS\tI-NP\tO' +p15525 +aS',\t,\t,\tO\tO' +p15526 +aS'24%\t24%\tCD\tB-NP\tO' +p15527 +aS'lymphs\tlymph\tNNS\tI-NP\tO' +p15528 +aS'.\t.\t.\tO\tO' +p15529 +asS'Right lateral gaze , the right eye had 2 mm. of sclera showing , the left eye was normal , and there are a few beats of right beading nystagmus .' +p15530 +(lp15531 +S'Right\tRight\tRB\tB-NP\tO' +p15532 +aS'lateral\tlateral\tJJ\tI-NP\tO' +p15533 +aS'gaze\tgaze\tNN\tI-NP\tO' +p15534 +aS',\t,\t,\tO\tO' +p15535 +aS'the\tthe\tDT\tB-NP\tO' +p15536 +aS'right\tright\tJJ\tI-NP\tO' +p15537 +aS'eye\teye\tNN\tI-NP\tO' +p15538 +aS'had\thave\tVBD\tB-VP\tO' +p15539 +aS'2\t2\tCD\tB-NP\tO' +p15540 +aS'mm.\tmm.\tNN\tI-NP\tO' +p15541 +aS'of\tof\tIN\tB-PP\tO' +p15542 +aS'sclera\tsclera\tNN\tB-NP\tO' +p15543 +aS'showing\tshowing\tNN\tI-NP\tO' +p15544 +aS',\t,\t,\tO\tO' +p15545 +aS'the\tthe\tDT\tB-NP\tO' +p15546 +aS'left\tleft\tJJ\tI-NP\tO' +p15547 +aS'eye\teye\tNN\tI-NP\tO' +p15548 +aS'was\tbe\tVBD\tB-VP\tO' +p15549 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p15550 +aS',\t,\t,\tO\tO' +p15551 +aS'and\tand\tCC\tO\tO' +p15552 +aS'there\tthere\tEX\tB-NP\tO' +p15553 +aS'are\tbe\tVBP\tB-VP\tO' +p15554 +aS'a\ta\tDT\tB-NP\tO' +p15555 +aS'few\tfew\tJJ\tI-NP\tO' +p15556 +aS'beats\tbeat\tNNS\tI-NP\tO' +p15557 +aS'of\tof\tIN\tB-PP\tO' +p15558 +aS'right\tright\tJJ\tB-NP\tO' +p15559 +aS'beading\tbead\tVBG\tI-NP\tO' +p15560 +aS'nystagmus\tnystagmus\tNN\tI-NP\tO' +p15561 +aS'.\t.\t.\tO\tO' +p15562 +asS'Received 10 mg SC Vitamin K and 2 units FFP while in Gary .' +p15563 +(lp15564 +S'Received\tReceive\tVBN\tB-NP\tO' +p15565 +aS'10\t10\tCD\tI-NP\tO' +p15566 +aS'mg\tmg\tNN\tI-NP\tO' +p15567 +aS'SC\tSC\tNN\tI-NP\tO' +p15568 +aS'Vitamin\tVitamin\tNN\tI-NP\tO' +p15569 +aS'K\tK\tNN\tI-NP\tO' +p15570 +aS'and\tand\tCC\tO\tO' +p15571 +aS'2\t2\tCD\tB-NP\tO' +p15572 +aS'units\tunit\tNNS\tI-NP\tO' +p15573 +aS'FFP\tFFP\tNN\tI-NP\tO' +p15574 +aS'while\twhile\tIN\tB-SBAR\tO' +p15575 +aS'in\tin\tIN\tB-PP\tO' +p15576 +aS'Gary\tGary\tNNP\tB-NP\tO' +p15577 +aS'.\t.\t.\tO\tO' +p15578 +asS'He had a 95% proximal left anterior descending lesion which was PTCA 'd to a residual of 30% and an intra-aortic balloon pump was placed .' +p15579 +(lp15580 +S'He\tHe\tPRP\tB-NP\tO' +p15581 +aS'had\thave\tVBD\tB-VP\tO' +p15582 +aS'a\ta\tDT\tB-NP\tO' +p15583 +aS'95%\t95%\tCD\tI-NP\tO' +p15584 +aS'proximal\tproximal\tJJ\tI-NP\tO' +p15585 +aS'left\tleft\tJJ\tI-NP\tO' +p15586 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p15587 +aS'descending\tdescend\tVBG\tI-NP\tO' +p15588 +aS'lesion\tlesion\tNN\tI-NP\tO' +p15589 +aS'which\twhich\tWDT\tB-NP\tO' +p15590 +aS'was\tbe\tVBD\tB-VP\tO' +p15591 +aS'PTCA\tPTCA\tNN\tB-NP\tO' +p15592 +aS''d\t'd\tNN\tI-NP\tO' +p15593 +aS'to\tto\tTO\tB-PP\tO' +p15594 +aS'a\ta\tDT\tB-NP\tO' +p15595 +aS'residual\tresidual\tNN\tI-NP\tO' +p15596 +aS'of\tof\tIN\tB-PP\tO' +p15597 +aS'30%\t30%\tCD\tB-NP\tO' +p15598 +aS'and\tand\tCC\tO\tO' +p15599 +aS'an\tan\tDT\tB-NP\tO' +p15600 +aS'intra-aortic\tintra-aortic\tJJ\tI-NP\tO' +p15601 +aS'balloon\tballoon\tNN\tI-NP\tO' +p15602 +aS'pump\tpump\tNN\tI-NP\tO' +p15603 +aS'was\tbe\tVBD\tB-VP\tO' +p15604 +aS'placed\tplace\tVBN\tI-VP\tO' +p15605 +aS'.\t.\t.\tO\tO' +p15606 +asS'Chronic thrombocytopenia was noted , however the patient did not require platelet transfusions .' +p15607 +(lp15608 +S'Chronic\tChronic\tJJ\tB-NP\tO' +p15609 +aS'thrombocytopenia\tthrombocytopenia\tNN\tI-NP\tO' +p15610 +aS'was\tbe\tVBD\tB-VP\tO' +p15611 +aS'noted\tnote\tVBN\tI-VP\tO' +p15612 +aS',\t,\t,\tO\tO' +p15613 +aS'however\thowever\tRB\tB-ADVP\tO' +p15614 +aS'the\tthe\tDT\tB-NP\tO' +p15615 +aS'patient\tpatient\tNN\tI-NP\tO' +p15616 +aS'did\tdo\tVBD\tB-VP\tO' +p15617 +aS'not\tnot\tRB\tI-VP\tO' +p15618 +aS'require\trequire\tVB\tI-VP\tO' +p15619 +aS'platelet\tplatelet\tNN\tB-NP\tO' +p15620 +aS'transfusions\ttransfusion\tNNS\tI-NP\tO' +p15621 +aS'.\t.\t.\tO\tO' +p15622 +asS'Postoperatively , there was much edema associated in the postoperative course from coronary artery bypass grafting .' +p15623 +(lp15624 +S'Postoperatively\tPostoperatively\tRB\tB-ADVP\tO' +p15625 +aS',\t,\t,\tO\tO' +p15626 +aS'there\tthere\tEX\tB-NP\tO' +p15627 +aS'was\tbe\tVBD\tB-VP\tO' +p15628 +aS'much\tmuch\tJJ\tB-NP\tO' +p15629 +aS'edema\tedema\tNN\tI-NP\tO' +p15630 +aS'associated\tassociate\tVBN\tB-VP\tO' +p15631 +aS'in\tin\tIN\tB-PP\tO' +p15632 +aS'the\tthe\tDT\tB-NP\tO' +p15633 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p15634 +aS'course\tcourse\tNN\tI-NP\tO' +p15635 +aS'from\tfrom\tIN\tB-PP\tO' +p15636 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p15637 +aS'artery\tartery\tNN\tI-NP\tO' +p15638 +aS'bypass\tbypass\tIN\tB-PP\tO' +p15639 +aS'grafting\tgrafting\tNN\tB-NP\tO' +p15640 +aS'.\t.\t.\tO\tO' +p15641 +asS'( typical dose is 1 mcg per lb. )' +p15642 +(lp15643 +S'(\t(\t(\tO\tO' +p15644 +aS'typical\ttypical\tJJ\tB-NP\tO' +p15645 +aS'dose\tdose\tNN\tI-NP\tO' +p15646 +aS'is\tbe\tVBZ\tB-VP\tO' +p15647 +aS'1\t1\tCD\tB-NP\tO' +p15648 +aS'mcg\tmcg\tNN\tI-NP\tO' +p15649 +aS'per\tper\tIN\tB-PP\tO' +p15650 +aS'lb.\tlb.\tNN\tB-NP\tO' +p15651 +aS')\t)\t)\tO\tO' +p15652 +asS'He was taken to Huyychestleme Health Of in Scoo , Utah where he had a temperature of 99.9 , blood pressure 90/50 , heart rate 128 , and O2 sat of 91% on room air .' +p15653 +(lp15654 +S'He\tHe\tPRP\tB-NP\tO' +p15655 +aS'was\tbe\tVBD\tB-VP\tO' +p15656 +aS'taken\ttake\tVBN\tI-VP\tO' +p15657 +aS'to\tto\tTO\tB-PP\tO' +p15658 +aS'Huyychestleme\tHuyychestleme\tNNP\tB-NP\tO' +p15659 +aS'Health\tHealth\tNNP\tI-NP\tO' +p15660 +aS'Of\tOf\tNNP\tI-NP\tO' +p15661 +aS'in\tin\tIN\tB-PP\tO' +p15662 +aS'Scoo\tScoo\tNNP\tB-NP\tO' +p15663 +aS',\t,\t,\tO\tO' +p15664 +aS'Utah\tUtah\tNNP\tB-NP\tO' +p15665 +aS'where\twhere\tWRB\tB-ADVP\tO' +p15666 +aS'he\the\tPRP\tB-NP\tO' +p15667 +aS'had\thave\tVBD\tB-VP\tO' +p15668 +aS'a\ta\tDT\tB-NP\tO' +p15669 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p15670 +aS'of\tof\tIN\tB-PP\tO' +p15671 +aS'99.9\t99.9\tCD\tB-NP\tO' +p15672 +aS',\t,\t,\tO\tO' +p15673 +aS'blood\tblood\tNN\tB-NP\tO' +p15674 +aS'pressure\tpressure\tNN\tI-NP\tO' +p15675 +aS'90/50\t90/50\tCD\tI-NP\tO' +p15676 +aS',\t,\t,\tO\tO' +p15677 +aS'heart\theart\tNN\tB-NP\tO' +p15678 +aS'rate\trate\tNN\tI-NP\tO' +p15679 +aS'128\t128\tCD\tI-NP\tO' +p15680 +aS',\t,\t,\tO\tO' +p15681 +aS'and\tand\tCC\tO\tO' +p15682 +aS'O2\tO2\tNN\tB-NP\tO' +p15683 +aS'sat\tsat\tNN\tI-NP\tO' +p15684 +aS'of\tof\tIN\tB-PP\tO' +p15685 +aS'91%\t91%\tNN\tB-NP\tO' +p15686 +aS'on\ton\tIN\tB-PP\tO' +p15687 +aS'room\troom\tNN\tB-NP\tO' +p15688 +aS'air\tair\tNN\tI-NP\tO' +p15689 +aS'.\t.\t.\tO\tO' +p15690 +asS'Cardiogenic shock .' +p15691 +(lp15692 +S'Cardiogenic\tCardiogenic\tJJ\tB-NP\tO' +p15693 +aS'shock\tshock\tNN\tI-NP\tO' +p15694 +aS'.\t.\t.\tO\tO' +p15695 +asS'No active issues .' +p15696 +(lp15697 +S'No\tNo\tDT\tB-NP\tO' +p15698 +aS'active\tactive\tJJ\tI-NP\tO' +p15699 +aS'issues\tissue\tNNS\tI-NP\tO' +p15700 +aS'.\t.\t.\tO\tO' +p15701 +asS'EKG demonstrated normal sinus rhythm , rate of 73 , borderline left atrial enlargement , axis of-28 , T-wave inversions in V4 through V6 , I and aVL , borderline left ventricular hypertrophy with strain compared to earlier this AM .' +p15702 +(lp15703 +S'EKG\tEKG\tNN\tB-NP\tB-protein' +p15704 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p15705 +aS'normal\tnormal\tJJ\tB-NP\tO' +p15706 +aS'sinus\tsinus\tNN\tI-NP\tO' +p15707 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p15708 +aS',\t,\t,\tO\tO' +p15709 +aS'rate\trate\tNN\tB-NP\tO' +p15710 +aS'of\tof\tIN\tB-PP\tO' +p15711 +aS'73\t73\tCD\tB-NP\tO' +p15712 +aS',\t,\t,\tO\tO' +p15713 +aS'borderline\tborderline\tJJ\tB-NP\tO' +p15714 +aS'left\tleft\tJJ\tI-NP\tO' +p15715 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p15716 +aS'enlargement\tenlargement\tNN\tI-NP\tO' +p15717 +aS',\t,\t,\tO\tO' +p15718 +aS'axis\taxis\tNN\tB-NP\tB-protein' +p15719 +aS'of-28\tof-28\tCD\tI-NP\tI-protein' +p15720 +aS',\t,\t,\tO\tO' +p15721 +aS'T-wave\tT-wave\tJJ\tB-NP\tO' +p15722 +aS'inversions\tinversion\tNNS\tI-NP\tO' +p15723 +aS'in\tin\tIN\tB-PP\tO' +p15724 +aS'V4\tV4\tNN\tB-NP\tO' +p15725 +aS'through\tthrough\tIN\tB-PP\tO' +p15726 +aS'V6\tV6\tNN\tB-NP\tB-protein' +p15727 +aS',\t,\t,\tI-NP\tO' +p15728 +aS'I\tI\tNN\tI-NP\tO' +p15729 +aS'and\tand\tCC\tI-NP\tO' +p15730 +aS'aVL\taVL\tNN\tI-NP\tO' +p15731 +aS',\t,\t,\tO\tO' +p15732 +aS'borderline\tborderline\tJJ\tB-NP\tO' +p15733 +aS'left\tleft\tJJ\tI-NP\tO' +p15734 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p15735 +aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' +p15736 +aS'with\twith\tIN\tB-PP\tO' +p15737 +aS'strain\tstrain\tNN\tB-NP\tO' +p15738 +aS'compared\tcompare\tVBN\tB-VP\tO' +p15739 +aS'to\tto\tTO\tB-PP\tO' +p15740 +aS'earlier\tearlier\tRBR\tB-NP\tO' +p15741 +aS'this\tthis\tDT\tI-NP\tO' +p15742 +aS'AM\tAM\tNN\tI-NP\tO' +p15743 +aS'.\t.\t.\tO\tO' +p15744 +asS'Cardiovascular examination revealed a regular rate and rhythm .' +p15745 +(lp15746 +S'Cardiovascular\tCardiovascular\tJJ\tB-NP\tO' +p15747 +aS'examination\texamination\tNN\tI-NP\tO' +p15748 +aS'revealed\treveal\tVBD\tB-VP\tO' +p15749 +aS'a\ta\tDT\tB-NP\tO' +p15750 +aS'regular\tregular\tJJ\tI-NP\tO' +p15751 +aS'rate\trate\tNN\tI-NP\tO' +p15752 +aS'and\tand\tCC\tI-NP\tO' +p15753 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p15754 +aS'.\t.\t.\tO\tO' +p15755 +asS'May eat regular food .' +p15756 +(lp15757 +S'May\tMay\tMD\tB-VP\tO' +p15758 +aS'eat\teat\tVB\tI-VP\tO' +p15759 +aS'regular\tregular\tJJ\tB-NP\tO' +p15760 +aS'food\tfood\tNN\tI-NP\tO' +p15761 +aS'.\t.\t.\tO\tO' +p15762 +asS'He responded well to this regimen and made adequate urine output .' +p15763 +(lp15764 +S'He\tHe\tPRP\tB-NP\tO' +p15765 +aS'responded\trespond\tVBD\tB-VP\tO' +p15766 +aS'well\twell\tRB\tB-ADVP\tO' +p15767 +aS'to\tto\tTO\tB-PP\tO' +p15768 +aS'this\tthis\tDT\tB-NP\tO' +p15769 +aS'regimen\tregimen\tNN\tI-NP\tO' +p15770 +aS'and\tand\tCC\tO\tO' +p15771 +aS'made\tmake\tVBD\tB-VP\tO' +p15772 +aS'adequate\tadequate\tJJ\tB-NP\tO' +p15773 +aS'urine\turine\tNN\tI-NP\tO' +p15774 +aS'output\toutput\tNN\tI-NP\tO' +p15775 +aS'.\t.\t.\tO\tO' +p15776 +asS'A CT scan was performed on 07-17 to evaluate the soft tissue swelling seen on CT at the outside hospital .' +p15777 +(lp15778 +S'A\tA\tDT\tB-NP\tO' +p15779 +aS'CT\tCT\tNN\tI-NP\tO' +p15780 +aS'scan\tscan\tNN\tI-NP\tO' +p15781 +aS'was\tbe\tVBD\tB-VP\tO' +p15782 +aS'performed\tperform\tVBN\tI-VP\tO' +p15783 +aS'on\ton\tIN\tB-PP\tO' +p15784 +aS'07-17\t07-17\tCD\tB-NP\tO' +p15785 +aS'to\tto\tTO\tB-VP\tO' +p15786 +aS'evaluate\tevaluate\tVB\tI-VP\tO' +p15787 +aS'the\tthe\tDT\tB-NP\tO' +p15788 +aS'soft\tsoft\tJJ\tI-NP\tO' +p15789 +aS'tissue\ttissue\tNN\tI-NP\tO' +p15790 +aS'swelling\tswelling\tNN\tI-NP\tO' +p15791 +aS'seen\tsee\tVBN\tB-VP\tO' +p15792 +aS'on\ton\tIN\tB-PP\tO' +p15793 +aS'CT\tCT\tNN\tB-NP\tO' +p15794 +aS'at\tat\tIN\tB-PP\tO' +p15795 +aS'the\tthe\tDT\tB-NP\tO' +p15796 +aS'outside\toutside\tJJ\tI-NP\tO' +p15797 +aS'hospital\thospital\tNN\tI-NP\tO' +p15798 +aS'.\t.\t.\tO\tO' +p15799 +asS'We went ahead and got a head CT scanand it showed no enhancing lesions .' +p15800 +(lp15801 +S'We\tWe\tPRP\tB-NP\tO' +p15802 +aS'went\tgo\tVBD\tB-VP\tO' +p15803 +aS'ahead\tahead\tRB\tB-ADVP\tO' +p15804 +aS'and\tand\tCC\tO\tO' +p15805 +aS'got\tget\tVBD\tB-VP\tO' +p15806 +aS'a\ta\tDT\tB-NP\tO' +p15807 +aS'head\thead\tNN\tI-NP\tO' +p15808 +aS'CT\tCT\tNN\tI-NP\tO' +p15809 +aS'scanand\tscanand\tNN\tI-NP\tO' +p15810 +aS'it\tit\tPRP\tB-NP\tO' +p15811 +aS'showed\tshow\tVBD\tB-VP\tO' +p15812 +aS'no\tno\tDT\tB-NP\tO' +p15813 +aS'enhancing\tenhance\tVBG\tI-NP\tO' +p15814 +aS'lesions\tlesion\tNNS\tI-NP\tO' +p15815 +aS'.\t.\t.\tO\tO' +p15816 +asS'Signed electronically by : DR. Kevin Sineath on : Andrea 2016-06-30 1:09 PM' +p15817 +(lp15818 +S'Signed\tSign\tVBN\tB-VP\tO' +p15819 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p15820 +aS'by\tby\tIN\tB-PP\tO' +p15821 +aS':\t:\t:\tO\tO' +p15822 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p15823 +aS'Kevin\tKevin\tNNP\tI-NP\tO' +p15824 +aS'Sineath\tSineath\tNNP\tI-NP\tO' +p15825 +aS'on\ton\tIN\tB-PP\tO' +p15826 +aS':\t:\t:\tO\tO' +p15827 +aS'Andrea\tAndrea\tNNP\tB-NP\tO' +p15828 +aS'2016-06-30\t2016-06-30\tCD\tB-NP\tO' +p15829 +aS'1:09\t1:09\tCD\tI-NP\tO' +p15830 +aS'PM\tPM\tNN\tI-NP\tO' +p15831 +asS'98.6 54 119/59 18 100% RA .' +p15832 +(lp15833 +S'98.6\t98.6\tCD\tB-NP\tO' +p15834 +aS'54\t54\tCD\tI-NP\tO' +p15835 +aS'119/59\t119/59\tCD\tI-NP\tO' +p15836 +aS'18\t18\tCD\tI-NP\tO' +p15837 +aS'100%\t100%\tCD\tI-NP\tO' +p15838 +aS'RA\tRA\tNN\tI-NP\tO' +p15839 +aS'.\t.\t.\tO\tO' +p15840 +asS'1. Tuberculosis , mother was treated in 2001 according to chart with subsequent negative chest x-ray , and' +p15841 +(lp15842 +S'1.\t1.\tLS\tB-LST\tO' +p15843 +aS'Tuberculosis\tTuberculosis\tNN\tB-NP\tO' +p15844 +aS',\t,\t,\tO\tO' +p15845 +aS'mother\tmother\tNN\tB-NP\tO' +p15846 +aS'was\tbe\tVBD\tB-VP\tO' +p15847 +aS'treated\ttreat\tVBN\tI-VP\tO' +p15848 +aS'in\tin\tIN\tB-PP\tO' +p15849 +aS'2001\t2001\tCD\tB-NP\tO' +p15850 +aS'according\taccord\tVBG\tB-PP\tO' +p15851 +aS'to\tto\tTO\tB-VP\tO' +p15852 +aS'chart\tchart\tVB\tI-VP\tO' +p15853 +aS'with\twith\tIN\tB-PP\tO' +p15854 +aS'subsequent\tsubsequent\tJJ\tB-NP\tO' +p15855 +aS'negative\tnegative\tJJ\tI-NP\tO' +p15856 +aS'chest\tchest\tNN\tI-NP\tO' +p15857 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p15858 +aS',\t,\t,\tO\tO' +p15859 +aS'and\tand\tCC\tO\tO' +p15860 +asS'The first abnormality raises the possibility of material ( such as subdural fluid ) interposed between the brain and recording electrodes or widespread cortical dysfunction on that side .' +p15861 +(lp15862 +S'The\tThe\tDT\tB-NP\tO' +p15863 +aS'first\tfirst\tJJ\tI-NP\tO' +p15864 +aS'abnormality\tabnormality\tNN\tI-NP\tO' +p15865 +aS'raises\traise\tVBZ\tB-VP\tO' +p15866 +aS'the\tthe\tDT\tB-NP\tO' +p15867 +aS'possibility\tpossibility\tNN\tI-NP\tO' +p15868 +aS'of\tof\tIN\tB-PP\tO' +p15869 +aS'material\tmaterial\tNN\tB-NP\tO' +p15870 +aS'(\t(\t(\tO\tO' +p15871 +aS'such\tsuch\tJJ\tB-PP\tO' +p15872 +aS'as\tas\tIN\tI-PP\tO' +p15873 +aS'subdural\tsubdural\tJJ\tB-NP\tO' +p15874 +aS'fluid\tfluid\tNN\tI-NP\tO' +p15875 +aS')\t)\t)\tO\tO' +p15876 +aS'interposed\tinterpose\tVBN\tB-VP\tO' +p15877 +aS'between\tbetween\tIN\tB-PP\tO' +p15878 +aS'the\tthe\tDT\tB-NP\tO' +p15879 +aS'brain\tbrain\tNN\tI-NP\tO' +p15880 +aS'and\tand\tCC\tI-NP\tO' +p15881 +aS'recording\trecording\tNN\tI-NP\tO' +p15882 +aS'electrodes\telectrode\tNNS\tI-NP\tO' +p15883 +aS'or\tor\tCC\tO\tO' +p15884 +aS'widespread\twidespread\tJJ\tB-NP\tO' +p15885 +aS'cortical\tcortical\tJJ\tI-NP\tO' +p15886 +aS'dysfunction\tdysfunction\tNN\tI-NP\tO' +p15887 +aS'on\ton\tIN\tB-PP\tO' +p15888 +aS'that\tthat\tDT\tB-NP\tO' +p15889 +aS'side\tside\tNN\tI-NP\tO' +p15890 +aS'.\t.\t.\tO\tO' +p15891 +asS'The ascending aorta is mildly dilated .' +p15892 +(lp15893 +S'The\tThe\tDT\tB-NP\tO' +p15894 +aS'ascending\tascend\tVBG\tI-NP\tO' +p15895 +aS'aorta\taorta\tNN\tI-NP\tO' +p15896 +aS'is\tbe\tVBZ\tB-VP\tO' +p15897 +aS'mildly\tmildly\tRB\tI-VP\tO' +p15898 +aS'dilated\tdilate\tVBN\tI-VP\tO' +p15899 +aS'.\t.\t.\tO\tO' +p15900 +asS'Abdomen , soft , non-tender , non-distended , normal active bowel sounds .' +p15901 +(lp15902 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p15903 +aS',\t,\t,\tO\tO' +p15904 +aS'soft\tsoft\tJJ\tB-NP\tO' +p15905 +aS',\t,\t,\tI-NP\tO' +p15906 +aS'non-tender\tnon-tender\tJJ\tI-NP\tO' +p15907 +aS',\t,\t,\tI-NP\tO' +p15908 +aS'non-distended\tnon-distended\tJJ\tI-NP\tO' +p15909 +aS',\t,\t,\tI-NP\tO' +p15910 +aS'normal\tnormal\tJJ\tI-NP\tO' +p15911 +aS'active\tactive\tJJ\tI-NP\tO' +p15912 +aS'bowel\tbowel\tNN\tI-NP\tO' +p15913 +aS'sounds\tsound\tNNS\tI-NP\tO' +p15914 +aS'.\t.\t.\tO\tO' +p15915 +asS'Neck was supple with no lymphadenopathy .' +p15916 +(lp15917 +S'Neck\tNeck\tNN\tB-NP\tO' +p15918 +aS'was\tbe\tVBD\tB-VP\tO' +p15919 +aS'supple\tsupple\tNN\tB-NP\tO' +p15920 +aS'with\twith\tIN\tB-PP\tO' +p15921 +aS'no\tno\tDT\tB-NP\tO' +p15922 +aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' +p15923 +aS'.\t.\t.\tO\tO' +p15924 +asS'On admission was only significant for her orthopaedic exam .' +p15925 +(lp15926 +S'On\tOn\tIN\tB-PP\tO' +p15927 +aS'admission\tadmission\tNN\tB-NP\tO' +p15928 +aS'was\tbe\tVBD\tB-VP\tO' +p15929 +aS'only\tonly\tRB\tB-ADVP\tO' +p15930 +aS'significant\tsignificant\tJJ\tB-ADJP\tO' +p15931 +aS'for\tfor\tIN\tB-PP\tO' +p15932 +aS'her\ther\tPRP$\tB-NP\tO' +p15933 +aS'orthopaedic\torthopaedic\tJJ\tI-NP\tO' +p15934 +aS'exam\texam\tNN\tI-NP\tO' +p15935 +aS'.\t.\t.\tO\tO' +p15936 +asS'Extr : DP/PT 2+ bilaterally , no c/c/e' +p15937 +(lp15938 +S'Extr\tExtr\tNN\tB-NP\tO' +p15939 +aS':\t:\t:\tO\tO' +p15940 +aS'DP/PT\tDP/PT\tNN\tB-NP\tO' +p15941 +aS'2+\t2+\tNN\tI-NP\tO' +p15942 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p15943 +aS',\t,\t,\tO\tO' +p15944 +aS'no\tno\tDT\tB-NP\tO' +p15945 +aS'c/c/e\tc/c/e\tNN\tI-NP\tO' +p15946 +asS'This is an 83 year old woman with a history of hypertension who presents with slurred speech when dehydrated .' +p15947 +(lp15948 +S'This\tThis\tDT\tB-NP\tO' +p15949 +aS'is\tbe\tVBZ\tB-VP\tO' +p15950 +aS'an\tan\tDT\tB-NP\tO' +p15951 +aS'83\t83\tCD\tI-NP\tO' +p15952 +aS'year\tyear\tNN\tI-NP\tO' +p15953 +aS'old\told\tJJ\tI-NP\tO' +p15954 +aS'woman\twoman\tNN\tI-NP\tO' +p15955 +aS'with\twith\tIN\tB-PP\tO' +p15956 +aS'a\ta\tDT\tB-NP\tO' +p15957 +aS'history\thistory\tNN\tI-NP\tO' +p15958 +aS'of\tof\tIN\tB-PP\tO' +p15959 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p15960 +aS'who\twho\tWP\tB-NP\tO' +p15961 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p15962 +aS'with\twith\tIN\tB-PP\tO' +p15963 +aS'slurred\tslur\tVBN\tB-NP\tO' +p15964 +aS'speech\tspeech\tNN\tI-NP\tO' +p15965 +aS'when\twhen\tWRB\tB-ADVP\tO' +p15966 +aS'dehydrated\tdehydrate\tVBN\tB-VP\tO' +p15967 +aS'.\t.\t.\tO\tO' +p15968 +asS'The patient was noted to have mild transaminitis on admission .' +p15969 +(lp15970 +S'The\tThe\tDT\tB-NP\tO' +p15971 +aS'patient\tpatient\tNN\tI-NP\tO' +p15972 +aS'was\tbe\tVBD\tB-VP\tO' +p15973 +aS'noted\tnote\tVBN\tI-VP\tO' +p15974 +aS'to\tto\tTO\tI-VP\tO' +p15975 +aS'have\thave\tVB\tI-VP\tO' +p15976 +aS'mild\tmild\tJJ\tB-NP\tO' +p15977 +aS'transaminitis\ttransaminitis\tNN\tI-NP\tO' +p15978 +aS'on\ton\tIN\tB-PP\tO' +p15979 +aS'admission\tadmission\tNN\tB-NP\tO' +p15980 +aS'.\t.\t.\tO\tO' +p15981 +asS'For this he was admitted .' +p15982 +(lp15983 +S'For\tFor\tIN\tB-PP\tO' +p15984 +aS'this\tthis\tDT\tB-NP\tO' +p15985 +aS'he\the\tPRP\tB-NP\tO' +p15986 +aS'was\tbe\tVBD\tB-VP\tO' +p15987 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p15988 +aS'.\t.\t.\tO\tO' +p15989 +asS'This is to notify you that your patient , GLYN , AEA arrived in the Emergency Department at Daughtersvillshamen's Hospital on 02/25/2001 12:20 PM .' +p15990 +(lp15991 +S'This\tThis\tDT\tB-NP\tO' +p15992 +aS'is\tbe\tVBZ\tB-VP\tO' +p15993 +aS'to\tto\tTO\tB-VP\tO' +p15994 +aS'notify\tnotify\tVB\tI-VP\tO' +p15995 +aS'you\tyou\tPRP\tB-NP\tO' +p15996 +aS'that\tthat\tIN\tB-SBAR\tO' +p15997 +aS'your\tyour\tPRP$\tB-NP\tO' +p15998 +aS'patient\tpatient\tNN\tI-NP\tO' +p15999 +aS',\t,\t,\tO\tO' +p16000 +aS'GLYN\tGLYN\tNN\tB-NP\tB-protein' +p16001 +aS',\t,\t,\tO\tO' +p16002 +aS'AEA\tAEA\tNN\tB-NP\tB-protein' +p16003 +aS'arrived\tarrive\tVBD\tB-VP\tO' +p16004 +aS'in\tin\tIN\tB-PP\tO' +p16005 +aS'the\tthe\tDT\tB-NP\tO' +p16006 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p16007 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p16008 +aS'at\tat\tIN\tB-PP\tO' +p16009 +aS'Daughtersvillshamen's\tDaughtersvillshamen's\tNNP\tB-NP\tO' +p16010 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p16011 +aS'on\ton\tIN\tB-PP\tO' +p16012 +aS'02/25/2001\t02/25/2001\tCD\tB-NP\tO' +p16013 +aS'12:20\t12:20\tCD\tI-NP\tO' +p16014 +aS'PM\tPM\tNN\tI-NP\tO' +p16015 +aS'.\t.\t.\tO\tO' +p16016 +asS'An endoscopic retrograde cholangiopancreatography also demonstrated similar findings' +p16017 +(lp16018 +S'An\tAn\tDT\tB-NP\tO' +p16019 +aS'endoscopic\tendoscopic\tJJ\tI-NP\tO' +p16020 +aS'retrograde\tretrograde\tJJ\tI-NP\tO' +p16021 +aS'cholangiopancreatography\tcholangiopancreatography\tNN\tI-NP\tO' +p16022 +aS'also\talso\tRB\tB-ADVP\tO' +p16023 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p16024 +aS'similar\tsimilar\tJJ\tB-NP\tO' +p16025 +aS'findings\tfinding\tNNS\tI-NP\tO' +p16026 +asS'CBC with a white count of 6.2 , hemoglobin 13.3 , hematocrit 39.4 , platelet 307,000 .' +p16027 +(lp16028 +S'CBC\tCBC\tNN\tB-NP\tB-protein' +p16029 +aS'with\twith\tIN\tB-PP\tO' +p16030 +aS'a\ta\tDT\tB-NP\tO' +p16031 +aS'white\twhite\tJJ\tI-NP\tO' +p16032 +aS'count\tcount\tNN\tI-NP\tO' +p16033 +aS'of\tof\tIN\tB-PP\tO' +p16034 +aS'6.2\t6.2\tCD\tB-NP\tO' +p16035 +aS',\t,\t,\tO\tO' +p16036 +aS'hemoglobin\themoglobin\tNN\tB-NP\tB-protein' +p16037 +aS'13.3\t13.3\tCD\tI-NP\tI-protein' +p16038 +aS',\t,\t,\tO\tO' +p16039 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p16040 +aS'39.4\t39.4\tCD\tI-NP\tI-protein' +p16041 +aS',\t,\t,\tO\tO' +p16042 +aS'platelet\tplatelet\tNN\tB-NP\tB-protein' +p16043 +aS'307,000\t307,000\tCD\tI-NP\tI-protein' +p16044 +aS'.\t.\t.\tO\tO' +p16045 +asS'He had mild elevation of the WBC intermittently grossly bloody urine .' +p16046 +(lp16047 +S'He\tHe\tPRP\tB-NP\tO' +p16048 +aS'had\thave\tVBD\tB-VP\tO' +p16049 +aS'mild\tmild\tJJ\tB-NP\tO' +p16050 +aS'elevation\televation\tNN\tI-NP\tO' +p16051 +aS'of\tof\tIN\tB-PP\tO' +p16052 +aS'the\tthe\tDT\tB-NP\tO' +p16053 +aS'WBC\tWBC\tNNP\tI-NP\tO' +p16054 +aS'intermittently\tintermittently\tRB\tB-NP\tO' +p16055 +aS'grossly\tgrossly\tRB\tI-NP\tO' +p16056 +aS'bloody\tbloody\tJJ\tI-NP\tO' +p16057 +aS'urine\turine\tNN\tI-NP\tO' +p16058 +aS'.\t.\t.\tO\tO' +p16059 +asS'The patient denies having any drug allergies .' +p16060 +(lp16061 +S'The\tThe\tDT\tB-NP\tO' +p16062 +aS'patient\tpatient\tNN\tI-NP\tO' +p16063 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p16064 +aS'having\thave\tVBG\tI-VP\tO' +p16065 +aS'any\tany\tDT\tB-NP\tO' +p16066 +aS'drug\tdrug\tNN\tI-NP\tO' +p16067 +aS'allergies\tallergy\tNNS\tI-NP\tO' +p16068 +aS'.\t.\t.\tO\tO' +p16069 +asS'CONDITION ON DISCHARGE : Good .' +p16070 +(lp16071 +S'CONDITION\tCONDITION\tNN\tB-NP\tO' +p16072 +aS'ON\tON\tNN\tI-NP\tO' +p16073 +aS'DISCHARGE\tDISCHARGE\tNN\tI-NP\tO' +p16074 +aS':\t:\t:\tO\tO' +p16075 +aS'Good\tGood\tNNP\tB-NP\tO' +p16076 +aS'.\t.\t.\tO\tO' +p16077 +asS'from the left anterior descending to the PA .' +p16078 +(lp16079 +S'from\tfrom\tIN\tB-PP\tO' +p16080 +aS'the\tthe\tDT\tB-NP\tO' +p16081 +aS'left\tleft\tJJ\tI-NP\tO' +p16082 +aS'anterior\tanterior\tNN\tI-NP\tO' +p16083 +aS'descending\tdescend\tVBG\tB-VP\tO' +p16084 +aS'to\tto\tTO\tB-PP\tO' +p16085 +aS'the\tthe\tDT\tB-NP\tO' +p16086 +aS'PA\tPA\tNN\tI-NP\tO' +p16087 +aS'.\t.\t.\tO\tO' +p16088 +asS'The cause of death was a combination of GI bleeding felt to be ultimately related to his known metastatic pancreatic cancer .' +p16089 +(lp16090 +S'The\tThe\tDT\tB-NP\tO' +p16091 +aS'cause\tcause\tNN\tI-NP\tO' +p16092 +aS'of\tof\tIN\tB-PP\tO' +p16093 +aS'death\tdeath\tNN\tB-NP\tO' +p16094 +aS'was\tbe\tVBD\tB-VP\tO' +p16095 +aS'a\ta\tDT\tB-NP\tO' +p16096 +aS'combination\tcombination\tNN\tI-NP\tO' +p16097 +aS'of\tof\tIN\tB-PP\tO' +p16098 +aS'GI\tGI\tNN\tB-NP\tO' +p16099 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p16100 +aS'felt\tfeel\tVBD\tB-VP\tO' +p16101 +aS'to\tto\tTO\tI-VP\tO' +p16102 +aS'be\tbe\tVB\tI-VP\tO' +p16103 +aS'ultimately\tultimately\tRB\tI-VP\tO' +p16104 +aS'related\trelate\tVBN\tI-VP\tO' +p16105 +aS'to\tto\tTO\tB-PP\tO' +p16106 +aS'his\this\tPRP$\tB-NP\tB-DNA' +p16107 +aS'known\tknow\tVBN\tI-NP\tO' +p16108 +aS'metastatic\tmetastatic\tJJ\tI-NP\tO' +p16109 +aS'pancreatic\tpancreatic\tJJ\tI-NP\tO' +p16110 +aS'cancer\tcancer\tNN\tI-NP\tO' +p16111 +aS'.\t.\t.\tO\tO' +p16112 +asS'Skin : warm and dry , no rash or breakdown noted though could not examine sacrum' +p16113 +(lp16114 +S'Skin\tSkin\tNN\tB-NP\tO' +p16115 +aS':\t:\t:\tO\tO' +p16116 +aS'warm\twarm\tJJ\tB-ADJP\tO' +p16117 +aS'and\tand\tCC\tI-ADJP\tO' +p16118 +aS'dry\tdry\tJJ\tI-ADJP\tO' +p16119 +aS',\t,\t,\tO\tO' +p16120 +aS'no\tno\tDT\tB-NP\tO' +p16121 +aS'rash\trash\tNN\tI-NP\tO' +p16122 +aS'or\tor\tCC\tI-NP\tO' +p16123 +aS'breakdown\tbreakdown\tNN\tI-NP\tO' +p16124 +aS'noted\tnote\tVBN\tB-VP\tO' +p16125 +aS'though\tthough\tIN\tB-SBAR\tO' +p16126 +aS'could\tcould\tMD\tB-VP\tO' +p16127 +aS'not\tnot\tRB\tI-VP\tO' +p16128 +aS'examine\texamine\tVB\tI-VP\tO' +p16129 +aS'sacrum\tsacrum\tNN\tB-NP\tO' +p16130 +asS'Cardiac catheterization demonstrates severe triple vessel coronary artery disease , RCA 100% occluded , saphenous vein graft to OM1 graft was 100% occluded and a patent LIMA , but severely diseased LAD .' +p16131 +(lp16132 +S'Cardiac\tCardiac\tJJ\tB-NP\tO' +p16133 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p16134 +aS'demonstrates\tdemonstrate\tVBZ\tB-VP\tO' +p16135 +aS'severe\tsevere\tJJ\tB-NP\tO' +p16136 +aS'triple\ttriple\tJJ\tI-NP\tO' +p16137 +aS'vessel\tvessel\tNN\tI-NP\tO' +p16138 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p16139 +aS'artery\tartery\tNN\tI-NP\tO' +p16140 +aS'disease\tdisease\tNN\tI-NP\tO' +p16141 +aS',\t,\t,\tO\tO' +p16142 +aS'RCA\tRCA\tNN\tB-NP\tB-protein' +p16143 +aS'100%\t100%\tCD\tI-NP\tI-protein' +p16144 +aS'occluded\tocclude\tVBD\tB-VP\tO' +p16145 +aS',\t,\t,\tO\tO' +p16146 +aS'saphenous\tsaphenous\tJJ\tB-NP\tO' +p16147 +aS'vein\tvein\tNN\tI-NP\tO' +p16148 +aS'graft\tgraft\tNN\tI-NP\tO' +p16149 +aS'to\tto\tTO\tB-PP\tO' +p16150 +aS'OM1\tOM1\tNN\tB-NP\tO' +p16151 +aS'graft\tgraft\tNN\tI-NP\tO' +p16152 +aS'was\tbe\tVBD\tB-VP\tO' +p16153 +aS'100%\t100%\tCD\tB-NP\tO' +p16154 +aS'occluded\tocclude\tVBN\tB-VP\tO' +p16155 +aS'and\tand\tCC\tO\tO' +p16156 +aS'a\ta\tDT\tB-NP\tO' +p16157 +aS'patent\tpatent\tNN\tI-NP\tO' +p16158 +aS'LIMA\tLIMA\tNN\tI-NP\tO' +p16159 +aS',\t,\t,\tO\tO' +p16160 +aS'but\tbut\tCC\tO\tO' +p16161 +aS'severely\tseverely\tRB\tB-VP\tO' +p16162 +aS'diseased\tdisease\tVBD\tI-VP\tO' +p16163 +aS'LAD\tLAD\tNN\tB-NP\tO' +p16164 +aS'.\t.\t.\tO\tO' +p16165 +asS'His TTE showed EF 45-50% , moderate cLVH , abnormal diastolic function , moderate MR , moderate TR and severe LAE .' +p16166 +(lp16167 +S'His\tHis\tPRP$\tB-NP\tO' +p16168 +aS'TTE\tTTE\tNN\tI-NP\tB-protein' +p16169 +aS'showed\tshow\tVBD\tB-VP\tI-protein' +p16170 +aS'EF\tEF\tNN\tB-NP\tI-protein' +p16171 +aS'45-50%\t45-50%\tJJ\tI-NP\tO' +p16172 +aS',\t,\t,\tI-NP\tO' +p16173 +aS'moderate\tmoderate\tJJ\tI-NP\tO' +p16174 +aS'cLVH\tcLVH\tNN\tI-NP\tO' +p16175 +aS',\t,\t,\tO\tO' +p16176 +aS'abnormal\tabnormal\tJJ\tB-NP\tO' +p16177 +aS'diastolic\tdiastolic\tJJ\tI-NP\tO' +p16178 +aS'function\tfunction\tNN\tI-NP\tO' +p16179 +aS',\t,\t,\tO\tO' +p16180 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p16181 +aS'MR\tMR\tNN\tI-NP\tB-protein' +p16182 +aS',\t,\t,\tO\tO' +p16183 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p16184 +aS'TR\tTR\tNN\tI-NP\tO' +p16185 +aS'and\tand\tCC\tO\tO' +p16186 +aS'severe\tsevere\tJJ\tB-NP\tO' +p16187 +aS'LAE\tLAE\tNN\tI-NP\tO' +p16188 +aS'.\t.\t.\tO\tO' +p16189 +asS"The patient 's nutrition was suboptimal , and the patient was started on tube feeding ." +p16190 +(lp16191 +S'The\tThe\tDT\tB-NP\tO' +p16192 +aS'patient\tpatient\tNN\tI-NP\tO' +p16193 +aS"'s\t's\tPOS\tB-NP\tO" +p16194 +aS'nutrition\tnutrition\tNN\tI-NP\tO' +p16195 +aS'was\tbe\tVBD\tB-VP\tO' +p16196 +aS'suboptimal\tsuboptimal\tJJ\tB-ADJP\tO' +p16197 +aS',\t,\t,\tO\tO' +p16198 +aS'and\tand\tCC\tO\tO' +p16199 +aS'the\tthe\tDT\tB-NP\tO' +p16200 +aS'patient\tpatient\tNN\tI-NP\tO' +p16201 +aS'was\tbe\tVBD\tB-VP\tO' +p16202 +aS'started\tstart\tVBN\tI-VP\tO' +p16203 +aS'on\ton\tIN\tB-PP\tO' +p16204 +aS'tube\ttube\tNN\tB-NP\tO' +p16205 +aS'feeding\tfeeding\tNN\tI-NP\tO' +p16206 +aS'.\t.\t.\tO\tO' +p16207 +asS'Fluid and electrolyte .' +p16208 +(lp16209 +S'Fluid\tFluid\tNN\tB-NP\tO' +p16210 +aS'and\tand\tCC\tI-NP\tO' +p16211 +aS'electrolyte\telectrolyte\tNN\tI-NP\tO' +p16212 +aS'.\t.\t.\tO\tO' +p16213 +asS'Dilantin level was 22.6 , 20.2 , 20 .' +p16214 +(lp16215 +S'Dilantin\tDilantin\tNN\tB-NP\tO' +p16216 +aS'level\tlevel\tNN\tI-NP\tO' +p16217 +aS'was\tbe\tVBD\tB-VP\tO' +p16218 +aS'22.6\t22.6\tCD\tB-NP\tO' +p16219 +aS',\t,\t,\tI-NP\tO' +p16220 +aS'20.2\t20.2\tCD\tI-NP\tO' +p16221 +aS',\t,\t,\tI-NP\tO' +p16222 +aS'20\t20\tCD\tI-NP\tO' +p16223 +aS'.\t.\t.\tO\tO' +p16224 +asS'This is a 33 - year-old Asian-Caucasian male with a history of Type 1 diabetes , asthma , alcohol abuse , and personality disorder / depression admitted on 2010-08-28 for persistent hypoglycemia .' +p16225 +(lp16226 +S'This\tThis\tDT\tB-NP\tO' +p16227 +aS'is\tbe\tVBZ\tB-VP\tO' +p16228 +aS'a\ta\tDT\tB-NP\tO' +p16229 +aS'33\t33\tCD\tI-NP\tO' +p16230 +aS'-\t-\tHYPH\tI-NP\tO' +p16231 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p16232 +aS'Asian-Caucasian\tAsian-Caucasian\tJJ\tI-NP\tO' +p16233 +aS'male\tmale\tNN\tI-NP\tO' +p16234 +aS'with\twith\tIN\tB-PP\tO' +p16235 +aS'a\ta\tDT\tB-NP\tO' +p16236 +aS'history\thistory\tNN\tI-NP\tO' +p16237 +aS'of\tof\tIN\tB-PP\tO' +p16238 +aS'Type\tType\tNN\tB-NP\tO' +p16239 +aS'1\t1\tCD\tI-NP\tO' +p16240 +aS'diabetes\tdiabetes\tNN\tI-NP\tO' +p16241 +aS',\t,\t,\tO\tO' +p16242 +aS'asthma\tasthma\tNN\tB-NP\tO' +p16243 +aS',\t,\t,\tO\tO' +p16244 +aS'alcohol\talcohol\tNN\tB-NP\tO' +p16245 +aS'abuse\tabuse\tNN\tI-NP\tO' +p16246 +aS',\t,\t,\tO\tO' +p16247 +aS'and\tand\tCC\tO\tO' +p16248 +aS'personality\tpersonality\tNN\tB-NP\tO' +p16249 +aS'disorder\tdisorder\tNN\tI-NP\tO' +p16250 +aS'/\t/\tSYM\tB-NP\tO' +p16251 +aS'depression\tdepression\tNN\tI-NP\tO' +p16252 +aS'admitted\tadmit\tVBN\tB-VP\tO' +p16253 +aS'on\ton\tIN\tB-PP\tO' +p16254 +aS'2010-08-28\t2010-08-28\tCD\tB-NP\tO' +p16255 +aS'for\tfor\tIN\tB-PP\tO' +p16256 +aS'persistent\tpersistent\tJJ\tB-NP\tO' +p16257 +aS'hypoglycemia\thypoglycemia\tNN\tI-NP\tO' +p16258 +aS'.\t.\t.\tO\tO' +p16259 +asS'She should have her chem 7 checked next week given the start of her new meds .' +p16260 +(lp16261 +S'She\tShe\tPRP\tB-NP\tO' +p16262 +aS'should\tshould\tMD\tB-VP\tO' +p16263 +aS'have\thave\tVB\tI-VP\tO' +p16264 +aS'her\ther\tPRP$\tB-NP\tO' +p16265 +aS'chem\tchem\tNN\tI-NP\tO' +p16266 +aS'7\t7\tCD\tI-NP\tO' +p16267 +aS'checked\tcheck\tVBD\tB-VP\tO' +p16268 +aS'next\tnext\tJJ\tB-NP\tO' +p16269 +aS'week\tweek\tNN\tI-NP\tO' +p16270 +aS'given\tgive\tVBN\tB-PP\tO' +p16271 +aS'the\tthe\tDT\tB-NP\tO' +p16272 +aS'start\tstart\tNN\tI-NP\tO' +p16273 +aS'of\tof\tIN\tB-PP\tO' +p16274 +aS'her\ther\tPRP$\tB-NP\tO' +p16275 +aS'new\tnew\tJJ\tI-NP\tO' +p16276 +aS'meds\tmed\tNNS\tI-NP\tO' +p16277 +aS'.\t.\t.\tO\tO' +p16278 +asS'The patient voided spontaneously .' +p16279 +(lp16280 +S'The\tThe\tDT\tB-NP\tO' +p16281 +aS'patient\tpatient\tNN\tI-NP\tO' +p16282 +aS'voided\tvoid\tVBD\tB-VP\tO' +p16283 +aS'spontaneously\tspontaneously\tRB\tB-ADVP\tO' +p16284 +aS'.\t.\t.\tO\tO' +p16285 +asS'On 09-06 , he was brought to the Operating Room , please see the Operating Room report for full details .' +p16286 +(lp16287 +S'On\tOn\tIN\tB-PP\tO' +p16288 +aS'09-06\t09-06\tCD\tB-NP\tO' +p16289 +aS',\t,\t,\tO\tO' +p16290 +aS'he\the\tPRP\tB-NP\tO' +p16291 +aS'was\tbe\tVBD\tB-VP\tO' +p16292 +aS'brought\tbring\tVBN\tI-VP\tO' +p16293 +aS'to\tto\tTO\tB-PP\tO' +p16294 +aS'the\tthe\tDT\tB-NP\tO' +p16295 +aS'Operating\tOperating\tNNP\tI-NP\tO' +p16296 +aS'Room\tRoom\tNNP\tI-NP\tO' +p16297 +aS',\t,\t,\tO\tO' +p16298 +aS'please\tplease\tNN\tB-NP\tO' +p16299 +aS'see\tsee\tVBP\tB-VP\tO' +p16300 +aS'the\tthe\tDT\tB-NP\tO' +p16301 +aS'Operating\tOperating\tNNP\tI-NP\tO' +p16302 +aS'Room\tRoom\tNNP\tI-NP\tO' +p16303 +aS'report\treport\tNN\tI-NP\tO' +p16304 +aS'for\tfor\tIN\tB-PP\tO' +p16305 +aS'full\tfull\tJJ\tB-NP\tO' +p16306 +aS'details\tdetail\tNNS\tI-NP\tO' +p16307 +aS'.\t.\t.\tO\tO' +p16308 +asS"Collagen vascular disease could not be definitively ruled out ; however , given the patient 's lack of connective tissue disorder stigmata it was thought to be less likely , and the patient 's human immunodeficiency virus test was negative ." +p16309 +(lp16310 +S'Collagen\tCollagen\tNN\tB-NP\tB-protein' +p16311 +aS'vascular\tvascular\tJJ\tI-NP\tO' +p16312 +aS'disease\tdisease\tNN\tI-NP\tO' +p16313 +aS'could\tcould\tMD\tB-VP\tO' +p16314 +aS'not\tnot\tRB\tI-VP\tO' +p16315 +aS'be\tbe\tVB\tI-VP\tO' +p16316 +aS'definitively\tdefinitively\tRB\tI-VP\tO' +p16317 +aS'ruled\trule\tVBN\tI-VP\tO' +p16318 +aS'out\tout\tRP\tB-PRT\tO' +p16319 +aS';\t;\t:\tO\tO' +p16320 +aS'however\thowever\tRB\tO\tO' +p16321 +aS',\t,\t,\tO\tO' +p16322 +aS'given\tgive\tVBN\tB-PP\tO' +p16323 +aS'the\tthe\tDT\tB-NP\tO' +p16324 +aS'patient\tpatient\tNN\tI-NP\tO' +p16325 +aS"'s\t's\tPOS\tB-NP\tO" +p16326 +aS'lack\tlack\tNN\tI-NP\tO' +p16327 +aS'of\tof\tIN\tB-PP\tO' +p16328 +aS'connective\tconnective\tJJ\tB-NP\tO' +p16329 +aS'tissue\ttissue\tNN\tI-NP\tO' +p16330 +aS'disorder\tdisorder\tNN\tI-NP\tO' +p16331 +aS'stigmata\tstigma\tNNS\tI-NP\tO' +p16332 +aS'it\tit\tPRP\tB-NP\tO' +p16333 +aS'was\tbe\tVBD\tB-VP\tO' +p16334 +aS'thought\tthink\tVBN\tI-VP\tO' +p16335 +aS'to\tto\tTO\tI-VP\tO' +p16336 +aS'be\tbe\tVB\tI-VP\tO' +p16337 +aS'less\tless\tRBR\tB-ADJP\tO' +p16338 +aS'likely\tlikely\tJJ\tI-ADJP\tO' +p16339 +aS',\t,\t,\tO\tO' +p16340 +aS'and\tand\tCC\tO\tO' +p16341 +aS'the\tthe\tDT\tB-NP\tO' +p16342 +aS'patient\tpatient\tNN\tI-NP\tO' +p16343 +aS"'s\t's\tPOS\tB-NP\tO" +p16344 +aS'human\thuman\tJJ\tI-NP\tO' +p16345 +aS'immunodeficiency\timmunodeficiency\tNN\tI-NP\tO' +p16346 +aS'virus\tvirus\tNN\tI-NP\tO' +p16347 +aS'test\ttest\tNN\tI-NP\tO' +p16348 +aS'was\tbe\tVBD\tB-VP\tO' +p16349 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p16350 +aS'.\t.\t.\tO\tO' +p16351 +asS'On physical exam the patient is a well appearing , elderly white female , in no acute distress .' +p16352 +(lp16353 +S'On\tOn\tIN\tB-PP\tO' +p16354 +aS'physical\tphysical\tJJ\tB-NP\tO' +p16355 +aS'exam\texam\tNN\tI-NP\tO' +p16356 +aS'the\tthe\tDT\tB-NP\tO' +p16357 +aS'patient\tpatient\tNN\tI-NP\tO' +p16358 +aS'is\tbe\tVBZ\tB-VP\tO' +p16359 +aS'a\ta\tDT\tB-NP\tO' +p16360 +aS'well\twell\tRB\tI-NP\tO' +p16361 +aS'appearing\tappearing\tJJ\tI-NP\tO' +p16362 +aS',\t,\t,\tI-NP\tO' +p16363 +aS'elderly\telderly\tJJ\tI-NP\tO' +p16364 +aS'white\twhite\tJJ\tI-NP\tO' +p16365 +aS'female\tfemale\tNN\tI-NP\tO' +p16366 +aS',\t,\t,\tO\tO' +p16367 +aS'in\tin\tIN\tB-PP\tO' +p16368 +aS'no\tno\tDT\tB-NP\tO' +p16369 +aS'acute\tacute\tJJ\tI-NP\tO' +p16370 +aS'distress\tdistress\tNN\tI-NP\tO' +p16371 +aS'.\t.\t.\tO\tO' +p16372 +asS'Clear amniotic fluid .' +p16373 +(lp16374 +S'Clear\tClear\tJJ\tB-NP\tO' +p16375 +aS'amniotic\tamniotic\tJJ\tI-NP\tO' +p16376 +aS'fluid\tfluid\tNN\tI-NP\tO' +p16377 +aS'.\t.\t.\tO\tO' +p16378 +asS'Anterior fontanel soft and flat .' +p16379 +(lp16380 +S'Anterior\tAnterior\tJJ\tB-NP\tO' +p16381 +aS'fontanel\tfontanel\tNN\tI-NP\tO' +p16382 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p16383 +aS'and\tand\tCC\tI-ADJP\tO' +p16384 +aS'flat\tflat\tJJ\tI-ADJP\tO' +p16385 +aS'.\t.\t.\tO\tO' +p16386 +asS'The patient will also see his pulmonologist , Dr. Daniel Bell , appointment was made on discharge .' +p16387 +(lp16388 +S'The\tThe\tDT\tB-NP\tO' +p16389 +aS'patient\tpatient\tNN\tI-NP\tO' +p16390 +aS'will\twill\tMD\tB-VP\tO' +p16391 +aS'also\talso\tRB\tI-VP\tO' +p16392 +aS'see\tsee\tVB\tI-VP\tO' +p16393 +aS'his\this\tPRP$\tB-NP\tO' +p16394 +aS'pulmonologist\tpulmonologist\tNN\tI-NP\tO' +p16395 +aS',\t,\t,\tO\tO' +p16396 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p16397 +aS'Daniel\tDaniel\tNNP\tI-NP\tO' +p16398 +aS'Bell\tBell\tNNP\tI-NP\tO' +p16399 +aS',\t,\t,\tO\tO' +p16400 +aS'appointment\tappointment\tNN\tB-NP\tO' +p16401 +aS'was\tbe\tVBD\tB-VP\tO' +p16402 +aS'made\tmake\tVBN\tI-VP\tO' +p16403 +aS'on\ton\tIN\tB-PP\tO' +p16404 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p16405 +aS'.\t.\t.\tO\tO' +p16406 +asS'He denied any seizure activity , loss of consciousness , incontinence , shortness of breath , fevers , or chills , chest pain , change in urinary or bowel habits , or suicidal ideation .' +p16407 +(lp16408 +S'He\tHe\tPRP\tB-NP\tO' +p16409 +aS'denied\tdeny\tVBD\tB-VP\tO' +p16410 +aS'any\tany\tDT\tB-NP\tO' +p16411 +aS'seizure\tseizure\tNN\tI-NP\tO' +p16412 +aS'activity\tactivity\tNN\tI-NP\tO' +p16413 +aS',\t,\t,\tO\tO' +p16414 +aS'loss\tloss\tNN\tB-NP\tO' +p16415 +aS'of\tof\tIN\tB-PP\tO' +p16416 +aS'consciousness\tconsciousness\tNN\tB-NP\tO' +p16417 +aS',\t,\t,\tO\tO' +p16418 +aS'incontinence\tincontinence\tNN\tB-NP\tO' +p16419 +aS',\t,\t,\tO\tO' +p16420 +aS'shortness\tshortness\tNN\tB-NP\tO' +p16421 +aS'of\tof\tIN\tB-PP\tO' +p16422 +aS'breath\tbreath\tNN\tB-NP\tO' +p16423 +aS',\t,\t,\tO\tO' +p16424 +aS'fevers\tfever\tNNS\tB-NP\tO' +p16425 +aS',\t,\t,\tO\tO' +p16426 +aS'or\tor\tCC\tO\tO' +p16427 +aS'chills\tchill\tNNS\tB-NP\tO' +p16428 +aS',\t,\t,\tO\tO' +p16429 +aS'chest\tchest\tNN\tB-NP\tO' +p16430 +aS'pain\tpain\tNN\tI-NP\tO' +p16431 +aS',\t,\t,\tO\tO' +p16432 +aS'change\tchange\tNN\tB-NP\tO' +p16433 +aS'in\tin\tIN\tB-PP\tO' +p16434 +aS'urinary\turinary\tJJ\tB-NP\tO' +p16435 +aS'or\tor\tCC\tI-NP\tO' +p16436 +aS'bowel\tbowel\tNN\tI-NP\tO' +p16437 +aS'habits\thabit\tNNS\tI-NP\tO' +p16438 +aS',\t,\t,\tO\tO' +p16439 +aS'or\tor\tCC\tO\tO' +p16440 +aS'suicidal\tsuicidal\tJJ\tB-NP\tO' +p16441 +aS'ideation\tideation\tNN\tI-NP\tO' +p16442 +aS'.\t.\t.\tO\tO' +p16443 +asS'10. Hydrochlorothiazide 25 mg once daily .' +p16444 +(lp16445 +S'10.\t10.\tCD\tB-NP\tO' +p16446 +aS'Hydrochlorothiazide\tHydrochlorothiazide\tNN\tI-NP\tO' +p16447 +aS'25\t25\tCD\tB-NP\tO' +p16448 +aS'mg\tmg\tNN\tI-NP\tO' +p16449 +aS'once\tonce\tRB\tB-ADVP\tO' +p16450 +aS'daily\tdaily\tRB\tI-ADVP\tO' +p16451 +aS'.\t.\t.\tO\tO' +p16452 +asS'Lines included a right antecubital peripheral intravenous .' +p16453 +(lp16454 +S'Lines\tLine\tNNS\tB-NP\tO' +p16455 +aS'included\tinclude\tVBD\tB-VP\tO' +p16456 +aS'a\ta\tDT\tB-NP\tO' +p16457 +aS'right\tright\tJJ\tI-NP\tO' +p16458 +aS'antecubital\tantecubital\tJJ\tI-NP\tO' +p16459 +aS'peripheral\tperipheral\tJJ\tI-NP\tO' +p16460 +aS'intravenous\tintravenous\tJJ\tI-NP\tO' +p16461 +aS'.\t.\t.\tO\tO' +p16462 +asS'Chest x-ray showed patient was in congestive heart failure .' +p16463 +(lp16464 +S'Chest\tCh\tJJS\tB-NP\tO' +p16465 +aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' +p16466 +aS'showed\tshow\tVBD\tB-VP\tO' +p16467 +aS'patient\tpatient\tNN\tB-NP\tO' +p16468 +aS'was\tbe\tVBD\tB-VP\tO' +p16469 +aS'in\tin\tIN\tB-PP\tO' +p16470 +aS'congestive\tcongestive\tJJ\tB-NP\tO' +p16471 +aS'heart\theart\tNN\tI-NP\tO' +p16472 +aS'failure\tfailure\tNN\tI-NP\tO' +p16473 +aS'.\t.\t.\tO\tO' +p16474 +asS'The patient presented to the emergency room on 3/7/02 , complaining of fevers since Monday 3/2/02 .' +p16475 +(lp16476 +S'The\tThe\tDT\tB-NP\tO' +p16477 +aS'patient\tpatient\tNN\tI-NP\tO' +p16478 +aS'presented\tpresent\tVBN\tB-VP\tO' +p16479 +aS'to\tto\tTO\tB-PP\tO' +p16480 +aS'the\tthe\tDT\tB-NP\tO' +p16481 +aS'emergency\temergency\tNN\tI-NP\tO' +p16482 +aS'room\troom\tNN\tI-NP\tO' +p16483 +aS'on\ton\tIN\tB-PP\tO' +p16484 +aS'3/7/02\t3/7/02\tCD\tB-NP\tO' +p16485 +aS',\t,\t,\tO\tO' +p16486 +aS'complaining\tcomplain\tVBG\tB-VP\tO' +p16487 +aS'of\tof\tIN\tB-PP\tO' +p16488 +aS'fevers\tfever\tNNS\tB-NP\tO' +p16489 +aS'since\tsince\tIN\tB-PP\tO' +p16490 +aS'Monday\tMonday\tNNP\tB-NP\tO' +p16491 +aS'3/2/02\t3/2/02\tCD\tI-NP\tO' +p16492 +aS'.\t.\t.\tO\tO' +p16493 +asS'Patient noted the foot dragging to have worsened over the past few weeks but improved since on Decadron the past week before admission .' +p16494 +(lp16495 +S'Patient\tPatient\tNN\tB-NP\tO' +p16496 +aS'noted\tnote\tVBD\tB-VP\tO' +p16497 +aS'the\tthe\tDT\tB-NP\tO' +p16498 +aS'foot\tfoot\tNN\tI-NP\tO' +p16499 +aS'dragging\tdrag\tVBG\tB-VP\tO' +p16500 +aS'to\tto\tTO\tI-VP\tO' +p16501 +aS'have\thave\tVB\tI-VP\tO' +p16502 +aS'worsened\tworsen\tVBN\tI-VP\tO' +p16503 +aS'over\tover\tIN\tB-PP\tO' +p16504 +aS'the\tthe\tDT\tB-NP\tO' +p16505 +aS'past\tpast\tJJ\tI-NP\tO' +p16506 +aS'few\tfew\tJJ\tI-NP\tO' +p16507 +aS'weeks\tweek\tNNS\tI-NP\tO' +p16508 +aS'but\tbut\tCC\tO\tO' +p16509 +aS'improved\timprove\tVBD\tB-VP\tO' +p16510 +aS'since\tsince\tIN\tB-PP\tO' +p16511 +aS'on\ton\tIN\tB-PP\tO' +p16512 +aS'Decadron\tDecadron\tNNP\tB-NP\tO' +p16513 +aS'the\tthe\tDT\tB-NP\tO' +p16514 +aS'past\tpast\tJJ\tI-NP\tO' +p16515 +aS'week\tweek\tNN\tI-NP\tO' +p16516 +aS'before\tbefore\tIN\tB-PP\tO' +p16517 +aS'admission\tadmission\tNN\tB-NP\tO' +p16518 +aS'.\t.\t.\tO\tO' +p16519 +asS"Given that she does have new lesions on MRI , if OCB s were sent this would have weighed in in her dx of MS , and it's possible she could benefit from MS therapy ." +p16520 +(lp16521 +S'Given\tGive\tVBN\tB-VP\tO' +p16522 +aS'that\tthat\tIN\tB-SBAR\tO' +p16523 +aS'she\tshe\tPRP\tB-NP\tO' +p16524 +aS'does\tdo\tVBZ\tB-VP\tO' +p16525 +aS'have\thave\tVB\tI-VP\tO' +p16526 +aS'new\tnew\tJJ\tB-NP\tO' +p16527 +aS'lesions\tlesion\tNNS\tI-NP\tO' +p16528 +aS'on\ton\tIN\tB-PP\tO' +p16529 +aS'MRI\tMRI\tNN\tB-NP\tB-protein' +p16530 +aS',\t,\t,\tO\tO' +p16531 +aS'if\tif\tIN\tB-SBAR\tO' +p16532 +aS'OCB\tOCB\tNN\tB-NP\tB-protein' +p16533 +aS's\ts\tNNS\tI-NP\tI-protein' +p16534 +aS'were\tbe\tVBD\tB-VP\tO' +p16535 +aS'sent\tsend\tVBN\tI-VP\tO' +p16536 +aS'this\tthis\tDT\tB-NP\tO' +p16537 +aS'would\twould\tMD\tB-VP\tO' +p16538 +aS'have\thave\tVB\tI-VP\tO' +p16539 +aS'weighed\tweigh\tVBN\tI-VP\tO' +p16540 +aS'in\tin\tIN\tB-PP\tO' +p16541 +aS'in\tin\tIN\tB-PP\tO' +p16542 +aS'her\ther\tPRP$\tB-NP\tO' +p16543 +aS'dx\tdx\tNN\tI-NP\tO' +p16544 +aS'of\tof\tIN\tB-PP\tO' +p16545 +aS'MS\tMS\tNN\tB-NP\tO' +p16546 +aS',\t,\t,\tO\tO' +p16547 +aS'and\tand\tCC\tO\tO' +p16548 +aS"it's\tit'\tNNS\tB-NP\tO" +p16549 +aS'possible\tpossible\tJJ\tB-ADJP\tO' +p16550 +aS'she\tshe\tPRP\tB-NP\tO' +p16551 +aS'could\tcould\tMD\tB-VP\tO' +p16552 +aS'benefit\tbenefit\tVB\tI-VP\tO' +p16553 +aS'from\tfrom\tIN\tB-PP\tO' +p16554 +aS'MS\tMS\tNN\tB-NP\tO' +p16555 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p16556 +aS'.\t.\t.\tO\tO' +p16557 +asS'Chest x-ray showed low lung volumes but no evidence of congestive heart failure .' +p16558 +(lp16559 +S'Chest\tCh\tJJS\tB-NP\tO' +p16560 +aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' +p16561 +aS'showed\tshow\tVBD\tB-VP\tO' +p16562 +aS'low\tlow\tJJ\tB-NP\tO' +p16563 +aS'lung\tlung\tNN\tI-NP\tO' +p16564 +aS'volumes\tvolume\tNNS\tI-NP\tO' +p16565 +aS'but\tbut\tCC\tO\tO' +p16566 +aS'no\tno\tDT\tB-NP\tO' +p16567 +aS'evidence\tevidence\tNN\tI-NP\tO' +p16568 +aS'of\tof\tIN\tB-PP\tO' +p16569 +aS'congestive\tcongestive\tJJ\tB-NP\tO' +p16570 +aS'heart\theart\tNN\tI-NP\tO' +p16571 +aS'failure\tfailure\tNN\tI-NP\tO' +p16572 +aS'.\t.\t.\tO\tO' +p16573 +asS'Accordingly , an Oncology consult was called on 4/29/93 and a bone marrow aspirate biopsy was performed .' +p16574 +(lp16575 +S'Accordingly\tAccordingly\tRB\tB-ADVP\tO' +p16576 +aS',\t,\t,\tO\tO' +p16577 +aS'an\tan\tDT\tB-NP\tO' +p16578 +aS'Oncology\tOncology\tNNP\tI-NP\tO' +p16579 +aS'consult\tconsult\tNN\tI-NP\tO' +p16580 +aS'was\tbe\tVBD\tB-VP\tO' +p16581 +aS'called\tcall\tVBN\tI-VP\tO' +p16582 +aS'on\ton\tIN\tB-PP\tO' +p16583 +aS'4/29/93\t4/29/93\tCD\tB-NP\tO' +p16584 +aS'and\tand\tCC\tO\tO' +p16585 +aS'a\ta\tDT\tB-NP\tO' +p16586 +aS'bone\tbone\tNN\tI-NP\tO' +p16587 +aS'marrow\tmarrow\tNN\tI-NP\tO' +p16588 +aS'aspirate\taspirate\tNN\tI-NP\tO' +p16589 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p16590 +aS'was\tbe\tVBD\tB-VP\tO' +p16591 +aS'performed\tperform\tVBN\tI-VP\tO' +p16592 +aS'.\t.\t.\tO\tO' +p16593 +asS'No guarding or rebound .' +p16594 +(lp16595 +S'No\tNo\tDT\tB-NP\tO' +p16596 +aS'guarding\tguarding\tNN\tI-NP\tO' +p16597 +aS'or\tor\tCC\tI-NP\tO' +p16598 +aS'rebound\trebound\tNN\tI-NP\tO' +p16599 +aS'.\t.\t.\tO\tO' +p16600 +asS'pt will be discharged home with plan to continue current dialysis schedule ( Tue / Th / Sat ).' +p16601 +(lp16602 +S'pt\tpt\tNN\tB-NP\tO' +p16603 +aS'will\twill\tMD\tB-VP\tO' +p16604 +aS'be\tbe\tVB\tI-VP\tO' +p16605 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p16606 +aS'home\thome\tNN\tB-ADVP\tO' +p16607 +aS'with\twith\tIN\tB-PP\tO' +p16608 +aS'plan\tplan\tNN\tB-NP\tO' +p16609 +aS'to\tto\tTO\tB-VP\tO' +p16610 +aS'continue\tcontinue\tVB\tI-VP\tO' +p16611 +aS'current\tcurrent\tJJ\tB-NP\tO' +p16612 +aS'dialysis\tdialysis\tNN\tI-NP\tO' +p16613 +aS'schedule\tschedule\tNN\tI-NP\tO' +p16614 +aS'(\t(\t(\tO\tO' +p16615 +aS'Tue\tTue\tNN\tB-NP\tO' +p16616 +aS'/\t/\tSYM\tB-NP\tO' +p16617 +aS'Th\tTh\tNN\tI-NP\tO' +p16618 +aS'/\t/\tSYM\tI-NP\tO' +p16619 +aS'Sat\tSat\tNN\tI-NP\tB-protein' +p16620 +aS').\t).\t)\tO\tO' +p16621 +asS'The mitral valve leaflets are mildly thickened .' +p16622 +(lp16623 +S'The\tThe\tDT\tB-NP\tO' +p16624 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p16625 +aS'valve\tvalve\tNN\tI-NP\tO' +p16626 +aS'leaflets\tleaflet\tNNS\tI-NP\tO' +p16627 +aS'are\tbe\tVBP\tB-VP\tO' +p16628 +aS'mildly\tmildly\tRB\tI-VP\tO' +p16629 +aS'thickened\tthicken\tVBN\tI-VP\tO' +p16630 +aS'.\t.\t.\tO\tO' +p16631 +asS'Hemodialysis MWF , Dr. Gaetz 220-871-6906 1-2 weeks , Dr. Clow 836-771-4924 1 week , Cardiology Clinic 452-860-1428 , please call to make an appointment in 1-2 weeks with a cardiology fellow ,' +p16632 +(lp16633 +S'Hemodialysis\tHemodialysis\tNN\tB-NP\tB-protein' +p16634 +aS'MWF\tMWF\tNN\tI-NP\tI-protein' +p16635 +aS',\t,\t,\tO\tO' +p16636 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p16637 +aS'Gaetz\tGaetz\tNNP\tI-NP\tO' +p16638 +aS'220-871-6906\t220-871-6906\tCD\tI-NP\tO' +p16639 +aS'1-2\t1-2\tCD\tI-NP\tO' +p16640 +aS'weeks\tweek\tNNS\tI-NP\tO' +p16641 +aS',\t,\t,\tO\tO' +p16642 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p16643 +aS'Clow\tClow\tNNP\tI-NP\tO' +p16644 +aS'836-771-4924\t836-771-4924\tCD\tI-NP\tO' +p16645 +aS'1\t1\tCD\tI-NP\tO' +p16646 +aS'week\tweek\tNN\tI-NP\tO' +p16647 +aS',\t,\t,\tO\tO' +p16648 +aS'Cardiology\tCardiology\tNNP\tB-NP\tO' +p16649 +aS'Clinic\tClinic\tNNP\tI-NP\tO' +p16650 +aS'452-860-1428\t452-860-1428\tCD\tI-NP\tO' +p16651 +aS',\t,\t,\tO\tO' +p16652 +aS'please\tplease\tVB\tB-VP\tO' +p16653 +aS'call\tcall\tNN\tB-NP\tO' +p16654 +aS'to\tto\tTO\tB-VP\tO' +p16655 +aS'make\tmake\tVB\tI-VP\tO' +p16656 +aS'an\tan\tDT\tB-NP\tO' +p16657 +aS'appointment\tappointment\tNN\tI-NP\tO' +p16658 +aS'in\tin\tIN\tB-PP\tO' +p16659 +aS'1-2\t1-2\tCD\tB-NP\tO' +p16660 +aS'weeks\tweek\tNNS\tI-NP\tO' +p16661 +aS'with\twith\tIN\tB-PP\tO' +p16662 +aS'a\ta\tDT\tB-NP\tO' +p16663 +aS'cardiology\tcardiology\tNN\tI-NP\tO' +p16664 +aS'fellow\tfellow\tNN\tI-NP\tO' +p16665 +aS',\t,\t,\tO\tO' +p16666 +asS'The patient was admitted with a question of lupus given her ANA of 1:640 although her rheumatoid factor and ANCA were negative .' +p16667 +(lp16668 +S'The\tThe\tDT\tB-NP\tO' +p16669 +aS'patient\tpatient\tNN\tI-NP\tO' +p16670 +aS'was\tbe\tVBD\tB-VP\tO' +p16671 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p16672 +aS'with\twith\tIN\tB-PP\tO' +p16673 +aS'a\ta\tDT\tB-NP\tO' +p16674 +aS'question\tquestion\tNN\tI-NP\tO' +p16675 +aS'of\tof\tIN\tB-PP\tO' +p16676 +aS'lupus\tlupus\tNN\tB-NP\tO' +p16677 +aS'given\tgive\tVBN\tB-VP\tO' +p16678 +aS'her\ther\tPRP$\tB-NP\tO' +p16679 +aS'ANA\tANA\tNN\tI-NP\tO' +p16680 +aS'of\tof\tIN\tB-PP\tO' +p16681 +aS'1:640\t1:640\tCD\tB-NP\tO' +p16682 +aS'although\talthough\tIN\tB-SBAR\tO' +p16683 +aS'her\ther\tPRP$\tB-NP\tB-protein' +p16684 +aS'rheumatoid\trheumatoid\tJJ\tI-NP\tI-protein' +p16685 +aS'factor\tfactor\tNN\tI-NP\tI-protein' +p16686 +aS'and\tand\tCC\tI-NP\tO' +p16687 +aS'ANCA\tANCA\tNN\tI-NP\tB-protein' +p16688 +aS'were\tbe\tVBD\tB-VP\tO' +p16689 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p16690 +aS'.\t.\t.\tO\tO' +p16691 +asS'8. History of upper gastrointestinal bleed .' +p16692 +(lp16693 +S'8.\t8.\tLS\tB-NP\tO' +p16694 +aS'History\tHistory\tNN\tI-NP\tO' +p16695 +aS'of\tof\tIN\tB-PP\tO' +p16696 +aS'upper\tupper\tJJ\tB-NP\tO' +p16697 +aS'gastrointestinal\tgastrointestinal\tJJ\tI-NP\tO' +p16698 +aS'bleed\tbleed\tNN\tI-NP\tO' +p16699 +aS'.\t.\t.\tO\tO' +p16700 +asS'9. Hearing impaired .' +p16701 +(lp16702 +S'9.\t9.\tLS\tB-LST\tO' +p16703 +aS'Hearing\tHearing\tNNP\tB-NP\tO' +p16704 +aS'impaired\timpair\tVBD\tB-VP\tO' +p16705 +aS'.\t.\t.\tO\tO' +p16706 +asS'The patient had sudden onset of blurred vision , where the right side of his wife 's face looked blurred .' +p16707 +(lp16708 +S'The\tThe\tDT\tB-NP\tO' +p16709 +aS'patient\tpatient\tNN\tI-NP\tO' +p16710 +aS'had\thave\tVBD\tB-VP\tO' +p16711 +aS'sudden\tsudden\tJJ\tB-NP\tO' +p16712 +aS'onset\tonset\tNN\tI-NP\tO' +p16713 +aS'of\tof\tIN\tB-PP\tO' +p16714 +aS'blurred\tblurred\tJJ\tB-NP\tO' +p16715 +aS'vision\tvision\tNN\tI-NP\tO' +p16716 +aS',\t,\t,\tO\tO' +p16717 +aS'where\twhere\tWRB\tB-ADVP\tO' +p16718 +aS'the\tthe\tDT\tB-NP\tO' +p16719 +aS'right\tright\tJJ\tI-NP\tO' +p16720 +aS'side\tside\tNN\tI-NP\tO' +p16721 +aS'of\tof\tIN\tB-PP\tO' +p16722 +aS'his\this\tPRP$\tB-NP\tO' +p16723 +aS'wife\twife\tNN\tI-NP\tO' +p16724 +aS''s\t'\tNNS\tI-NP\tO' +p16725 +aS'face\tface\tVBP\tB-VP\tO' +p16726 +aS'looked\tlook\tVBN\tI-VP\tO' +p16727 +aS'blurred\tblur\tVBN\tI-VP\tO' +p16728 +aS'.\t.\t.\tO\tO' +p16729 +asS'7. Dilaudid prn .' +p16730 +(lp16731 +S'7.\t7.\tLS\tB-LST\tO' +p16732 +aS'Dilaudid\tDilaudid\tVBD\tB-VP\tO' +p16733 +aS'prn\tprn\tNN\tB-NP\tO' +p16734 +aS'.\t.\t.\tO\tO' +p16735 +asS'Endoscopy never revealed specific sources of bleeding , although he appeared to have a diffuse duodenitis .' +p16736 +(lp16737 +S'Endoscopy\tEndoscopy\tNNP\tB-NP\tO' +p16738 +aS'never\tnever\tRB\tB-VP\tO' +p16739 +aS'revealed\treveal\tVBN\tI-VP\tO' +p16740 +aS'specific\tspecific\tJJ\tB-NP\tO' +p16741 +aS'sources\tsource\tNNS\tI-NP\tO' +p16742 +aS'of\tof\tIN\tB-PP\tO' +p16743 +aS'bleeding\tbleeding\tNN\tB-NP\tO' +p16744 +aS',\t,\t,\tO\tO' +p16745 +aS'although\talthough\tIN\tB-SBAR\tO' +p16746 +aS'he\the\tPRP\tB-NP\tO' +p16747 +aS'appeared\tappear\tVBD\tB-VP\tO' +p16748 +aS'to\tto\tTO\tI-VP\tO' +p16749 +aS'have\thave\tVB\tI-VP\tO' +p16750 +aS'a\ta\tDT\tB-NP\tO' +p16751 +aS'diffuse\tdiffuse\tJJ\tI-NP\tO' +p16752 +aS'duodenitis\tduodenitis\tNN\tI-NP\tO' +p16753 +aS'.\t.\t.\tO\tO' +p16754 +asS'He by emergency room report , was found in his apartment lobby agitated .' +p16755 +(lp16756 +S'He\tHe\tPRP\tB-NP\tO' +p16757 +aS'by\tby\tIN\tB-PP\tO' +p16758 +aS'emergency\temergency\tNN\tB-NP\tO' +p16759 +aS'room\troom\tNN\tI-NP\tO' +p16760 +aS'report\treport\tNN\tI-NP\tO' +p16761 +aS',\t,\t,\tO\tO' +p16762 +aS'was\tbe\tVBD\tB-VP\tO' +p16763 +aS'found\tfind\tVBN\tI-VP\tO' +p16764 +aS'in\tin\tIN\tB-PP\tO' +p16765 +aS'his\this\tPRP$\tB-NP\tO' +p16766 +aS'apartment\tapartment\tNN\tI-NP\tO' +p16767 +aS'lobby\tlobby\tNN\tI-NP\tO' +p16768 +aS'agitated\tagitate\tVBN\tB-VP\tO' +p16769 +aS'.\t.\t.\tO\tO' +p16770 +asS'The patient is a 49 year-old man with hepatitis C cirrhosis complicated by encephalopathy , positive esophageal varices , now with worsening confusion and lethargy .' +p16771 +(lp16772 +S'The\tThe\tDT\tB-NP\tO' +p16773 +aS'patient\tpatient\tNN\tI-NP\tO' +p16774 +aS'is\tbe\tVBZ\tB-VP\tO' +p16775 +aS'a\ta\tDT\tB-NP\tO' +p16776 +aS'49\t49\tCD\tI-NP\tO' +p16777 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p16778 +aS'man\tman\tNN\tI-NP\tO' +p16779 +aS'with\twith\tIN\tB-PP\tO' +p16780 +aS'hepatitis\thepatitis\tNN\tB-NP\tO' +p16781 +aS'C\tC\tNN\tI-NP\tO' +p16782 +aS'cirrhosis\tcirrhosis\tNN\tI-NP\tO' +p16783 +aS'complicated\tcomplicate\tVBN\tB-VP\tO' +p16784 +aS'by\tby\tIN\tB-PP\tO' +p16785 +aS'encephalopathy\tencephalopathy\tNN\tB-NP\tO' +p16786 +aS',\t,\t,\tO\tO' +p16787 +aS'positive\tpositive\tJJ\tB-NP\tO' +p16788 +aS'esophageal\tesophageal\tJJ\tI-NP\tO' +p16789 +aS'varices\tvarix\tNNS\tI-NP\tO' +p16790 +aS',\t,\t,\tO\tO' +p16791 +aS'now\tnow\tRB\tB-ADVP\tO' +p16792 +aS'with\twith\tIN\tB-PP\tO' +p16793 +aS'worsening\tworsen\tVBG\tB-VP\tO' +p16794 +aS'confusion\tconfusion\tNN\tB-NP\tO' +p16795 +aS'and\tand\tCC\tI-NP\tO' +p16796 +aS'lethargy\tlethargy\tNN\tI-NP\tO' +p16797 +aS'.\t.\t.\tO\tO' +p16798 +asS'The patient has been instructed to follow-up with Dr. Red in one week and in the Urology Clinic in three weeks .' +p16799 +(lp16800 +S'The\tThe\tDT\tB-NP\tO' +p16801 +aS'patient\tpatient\tNN\tI-NP\tO' +p16802 +aS'has\thave\tVBZ\tB-VP\tO' +p16803 +aS'been\tbe\tVBN\tI-VP\tO' +p16804 +aS'instructed\tinstruct\tVBN\tI-VP\tO' +p16805 +aS'to\tto\tTO\tI-VP\tO' +p16806 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p16807 +aS'with\twith\tIN\tB-PP\tO' +p16808 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p16809 +aS'Red\tRed\tNNP\tI-NP\tO' +p16810 +aS'in\tin\tIN\tB-PP\tO' +p16811 +aS'one\tone\tCD\tB-NP\tO' +p16812 +aS'week\tweek\tNN\tI-NP\tO' +p16813 +aS'and\tand\tCC\tO\tO' +p16814 +aS'in\tin\tIN\tB-PP\tO' +p16815 +aS'the\tthe\tDT\tB-NP\tO' +p16816 +aS'Urology\tUrology\tNNP\tI-NP\tO' +p16817 +aS'Clinic\tClinic\tNNP\tI-NP\tO' +p16818 +aS'in\tin\tIN\tB-PP\tO' +p16819 +aS'three\tthree\tCD\tB-NP\tO' +p16820 +aS'weeks\tweek\tNNS\tI-NP\tO' +p16821 +aS'.\t.\t.\tO\tO' +p16822 +asS'On discharge , the patient was maintained on standing diuretics as well as PRN nebs and INH COPD meds .' +p16823 +(lp16824 +S'On\tOn\tIN\tB-PP\tO' +p16825 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p16826 +aS',\t,\t,\tO\tO' +p16827 +aS'the\tthe\tDT\tB-NP\tO' +p16828 +aS'patient\tpatient\tNN\tI-NP\tO' +p16829 +aS'was\tbe\tVBD\tB-VP\tO' +p16830 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p16831 +aS'on\ton\tIN\tB-PP\tO' +p16832 +aS'standing\tstand\tVBG\tB-VP\tO' +p16833 +aS'diuretics\tdiuretic\tNNS\tB-NP\tO' +p16834 +aS'as\tas\tRB\tB-CONJP\tO' +p16835 +aS'well\twell\tRB\tI-CONJP\tO' +p16836 +aS'as\tas\tIN\tI-CONJP\tO' +p16837 +aS'PRN\tPRN\tNN\tB-NP\tB-protein' +p16838 +aS'nebs\tneb\tNNS\tI-NP\tI-protein' +p16839 +aS'and\tand\tCC\tO\tO' +p16840 +aS'INH\tINH\tNN\tB-NP\tO' +p16841 +aS'COPD\tCOPD\tNN\tI-NP\tO' +p16842 +aS'meds\tmed\tNNS\tI-NP\tO' +p16843 +aS'.\t.\t.\tO\tO' +p16844 +asS'She will follow up with her primary oncologists , Dr A and Dr Dark , at IVMC , after her discharge .' +p16845 +(lp16846 +S'She\tShe\tPRP\tB-NP\tO' +p16847 +aS'will\twill\tMD\tB-VP\tO' +p16848 +aS'follow\tfollow\tVB\tI-VP\tO' +p16849 +aS'up\tup\tRP\tB-PRT\tO' +p16850 +aS'with\twith\tIN\tB-PP\tO' +p16851 +aS'her\ther\tPRP$\tB-NP\tO' +p16852 +aS'primary\tprimary\tJJ\tI-NP\tO' +p16853 +aS'oncologists\toncologist\tNNS\tI-NP\tO' +p16854 +aS',\t,\t,\tO\tO' +p16855 +aS'Dr\tDr\tNNP\tB-NP\tO' +p16856 +aS'A\tA\tNNP\tI-NP\tO' +p16857 +aS'and\tand\tCC\tO\tO' +p16858 +aS'Dr\tDr\tNNP\tB-NP\tO' +p16859 +aS'Dark\tDark\tNNP\tI-NP\tO' +p16860 +aS',\t,\t,\tO\tO' +p16861 +aS'at\tat\tIN\tB-PP\tO' +p16862 +aS'IVMC\tIVMC\tNN\tB-NP\tB-protein' +p16863 +aS',\t,\t,\tO\tO' +p16864 +aS'after\tafter\tIN\tB-PP\tO' +p16865 +aS'her\ther\tPRP$\tB-NP\tO' +p16866 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p16867 +aS'.\t.\t.\tO\tO' +p16868 +asS'Review of systems was significant for menopausal symptoms ( for which she has attempted hormone replacement therapy , discontinued in 2014 ).' +p16869 +(lp16870 +S'Review\tReview\tNN\tB-NP\tO' +p16871 +aS'of\tof\tIN\tB-PP\tO' +p16872 +aS'systems\tsystem\tNNS\tB-NP\tO' +p16873 +aS'was\tbe\tVBD\tB-VP\tO' +p16874 +aS'significant\tsignificant\tJJ\tB-ADJP\tO' +p16875 +aS'for\tfor\tIN\tB-PP\tO' +p16876 +aS'menopausal\tmenopausal\tJJ\tB-NP\tO' +p16877 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p16878 +aS'(\t(\t(\tO\tO' +p16879 +aS'for\tfor\tIN\tB-PP\tO' +p16880 +aS'which\twhich\tWDT\tB-NP\tO' +p16881 +aS'she\tshe\tPRP\tB-NP\tO' +p16882 +aS'has\thave\tVBZ\tB-VP\tO' +p16883 +aS'attempted\tattempt\tVBN\tI-VP\tO' +p16884 +aS'hormone\thormone\tNN\tB-NP\tO' +p16885 +aS'replacement\treplacement\tNN\tI-NP\tO' +p16886 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p16887 +aS',\t,\t,\tO\tO' +p16888 +aS'discontinued\tdiscontinue\tVBN\tB-VP\tO' +p16889 +aS'in\tin\tIN\tB-PP\tO' +p16890 +aS'2014\t2014\tCD\tB-NP\tO' +p16891 +aS').\t).\t.\tO\tO' +p16892 +asS'The patient was transferred to Medical Intensive Care Unit for further management for acute GI bleed .' +p16893 +(lp16894 +S'The\tThe\tDT\tB-NP\tO' +p16895 +aS'patient\tpatient\tNN\tI-NP\tO' +p16896 +aS'was\tbe\tVBD\tB-VP\tO' +p16897 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p16898 +aS'to\tto\tTO\tB-PP\tO' +p16899 +aS'Medical\tMedical\tNNP\tB-NP\tO' +p16900 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p16901 +aS'Care\tCare\tNNP\tI-NP\tO' +p16902 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p16903 +aS'for\tfor\tIN\tB-PP\tO' +p16904 +aS'further\tfurther\tJJ\tB-NP\tO' +p16905 +aS'management\tmanagement\tNN\tI-NP\tO' +p16906 +aS'for\tfor\tIN\tB-PP\tO' +p16907 +aS'acute\tacute\tJJ\tB-NP\tO' +p16908 +aS'GI\tGI\tNN\tI-NP\tO' +p16909 +aS'bleed\tbleed\tNN\tI-NP\tO' +p16910 +aS'.\t.\t.\tO\tO' +p16911 +asS'The patient actually was improved .' +p16912 +(lp16913 +S'The\tThe\tDT\tB-NP\tO' +p16914 +aS'patient\tpatient\tNN\tI-NP\tO' +p16915 +aS'actually\tactually\tRB\tB-ADVP\tO' +p16916 +aS'was\tbe\tVBD\tB-VP\tO' +p16917 +aS'improved\timprove\tVBN\tI-VP\tO' +p16918 +aS'.\t.\t.\tO\tO' +p16919 +asS'He had decompensation of his cirrhosis in 2011 with ascites and SBP .' +p16920 +(lp16921 +S'He\tHe\tPRP\tB-NP\tO' +p16922 +aS'had\thave\tVBD\tB-VP\tO' +p16923 +aS'decompensation\tdecompensation\tNN\tB-NP\tO' +p16924 +aS'of\tof\tIN\tB-PP\tO' +p16925 +aS'his\this\tPRP$\tB-NP\tO' +p16926 +aS'cirrhosis\tcirrhosis\tNN\tI-NP\tO' +p16927 +aS'in\tin\tIN\tB-PP\tO' +p16928 +aS'2011\t2011\tCD\tB-NP\tO' +p16929 +aS'with\twith\tIN\tB-PP\tO' +p16930 +aS'ascites\tascite\tNNS\tB-NP\tO' +p16931 +aS'and\tand\tCC\tI-NP\tO' +p16932 +aS'SBP\tSBP\tNN\tI-NP\tB-protein' +p16933 +aS'.\t.\t.\tO\tO' +p16934 +asS'Palate was midline .' +p16935 +(lp16936 +S'Palate\tPalate\tNN\tB-NP\tO' +p16937 +aS'was\tbe\tVBD\tB-VP\tO' +p16938 +aS'midline\tmidline\tNN\tB-NP\tO' +p16939 +aS'.\t.\t.\tO\tO' +p16940 +asS'Native hepatectomy .' +p16941 +(lp16942 +S'Native\tNative\tJJ\tB-NP\tO' +p16943 +aS'hepatectomy\thepatectomy\tNN\tI-NP\tO' +p16944 +aS'.\t.\t.\tO\tO' +p16945 +asS'The patient was placed on a Morphine drip and extubated and passed away at 10:55 a.m. on 2011-09-27 .' +p16946 +(lp16947 +S'The\tThe\tDT\tB-NP\tO' +p16948 +aS'patient\tpatient\tNN\tI-NP\tO' +p16949 +aS'was\tbe\tVBD\tB-VP\tO' +p16950 +aS'placed\tplace\tVBN\tI-VP\tO' +p16951 +aS'on\ton\tIN\tB-PP\tO' +p16952 +aS'a\ta\tDT\tB-NP\tO' +p16953 +aS'Morphine\tMorphine\tNN\tI-NP\tO' +p16954 +aS'drip\tdrip\tNN\tI-NP\tO' +p16955 +aS'and\tand\tCC\tO\tO' +p16956 +aS'extubated\textubate\tVBN\tB-VP\tO' +p16957 +aS'and\tand\tCC\tI-VP\tO' +p16958 +aS'passed\tpass\tVBN\tI-VP\tO' +p16959 +aS'away\taway\tRB\tB-ADVP\tO' +p16960 +aS'at\tat\tIN\tB-PP\tO' +p16961 +aS'10:55\t10:55\tCD\tB-NP\tO' +p16962 +aS'a.m.\ta.m.\tNN\tI-NP\tO' +p16963 +aS'on\ton\tIN\tB-PP\tO' +p16964 +aS'2011-09-27\t2011-09-27\tCD\tB-NP\tO' +p16965 +aS'.\t.\t.\tO\tO' +p16966 +asS'The patient was to follow-up with the Petersly Hospital And Medical Center as an outpatient for further treatment .' +p16967 +(lp16968 +S'The\tThe\tDT\tB-NP\tO' +p16969 +aS'patient\tpatient\tNN\tI-NP\tO' +p16970 +aS'was\tbe\tVBD\tB-VP\tO' +p16971 +aS'to\tto\tTO\tB-VP\tO' +p16972 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p16973 +aS'with\twith\tIN\tB-PP\tO' +p16974 +aS'the\tthe\tDT\tB-NP\tO' +p16975 +aS'Petersly\tPetersly\tNNP\tI-NP\tO' +p16976 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p16977 +aS'And\tAnd\tNNP\tI-NP\tO' +p16978 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p16979 +aS'Center\tCenter\tNNP\tI-NP\tO' +p16980 +aS'as\tas\tIN\tB-PP\tO' +p16981 +aS'an\tan\tDT\tB-NP\tO' +p16982 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p16983 +aS'for\tfor\tIN\tB-PP\tO' +p16984 +aS'further\tfurther\tJJ\tB-NP\tO' +p16985 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p16986 +aS'.\t.\t.\tO\tO' +p16987 +asS'6. Clopidogrel 75 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' +p16988 +(lp16989 +S'6.\t6.\tCD\tB-NP\tO' +p16990 +aS'Clopidogrel\tClopidogrel\tNN\tI-NP\tO' +p16991 +aS'75\t75\tCD\tB-NP\tO' +p16992 +aS'mg\tmg\tNN\tI-NP\tO' +p16993 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p16994 +aS'Sig\tSig\tNNP\tI-NP\tO' +p16995 +aS':\t:\t:\tO\tO' +p16996 +aS'One\tOne\tCD\tB-NP\tO' +p16997 +aS'(\t(\t(\tO\tO' +p16998 +aS'1\t1\tCD\tB-NP\tO' +p16999 +aS')\t)\t)\tO\tO' +p17000 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p17001 +aS'PO\tPO\tNN\tI-NP\tO' +p17002 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p17003 +aS'(\t(\t(\tO\tO' +p17004 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p17005 +aS')\t)\t)\tO\tO' +p17006 +aS'.\t.\t.\tO\tO' +p17007 +asS'Dictated By : Doris Q. Marszalek , M.D.' +p17008 +(lp17009 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p17010 +aS'By\tBy\tIN\tB-PP\tO' +p17011 +aS':\t:\t:\tO\tO' +p17012 +aS'Doris\tDoris\tNNP\tB-NP\tO' +p17013 +aS'Q.\tQ.\tNNP\tI-NP\tO' +p17014 +aS'Marszalek\tMarszalek\tNNP\tI-NP\tO' +p17015 +aS',\t,\t,\tO\tO' +p17016 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p17017 +asS'You will have your blood drawn tomorrow ( 2019-02-10 ) by VNA .' +p17018 +(lp17019 +S'You\tYou\tPRP\tB-NP\tB-protein' +p17020 +aS'will\twill\tMD\tB-VP\tO' +p17021 +aS'have\thave\tVB\tI-VP\tO' +p17022 +aS'your\tyour\tPRP$\tB-NP\tO' +p17023 +aS'blood\tblood\tNN\tI-NP\tO' +p17024 +aS'drawn\tdrawn\tNN\tI-NP\tO' +p17025 +aS'tomorrow\ttomorrow\tNN\tB-NP\tO' +p17026 +aS'(\t(\t(\tO\tO' +p17027 +aS'2019-02-10\t2019-02-10\tCD\tB-NP\tO' +p17028 +aS')\t)\t)\tO\tO' +p17029 +aS'by\tby\tIN\tB-PP\tO' +p17030 +aS'VNA\tVNA\tNN\tB-NP\tB-protein' +p17031 +aS'.\t.\t.\tO\tO' +p17032 +asS'Felt likely 03-07 the sulfa moiety of the furosemide .' +p17033 +(lp17034 +S'Felt\tFelt\tNNP\tB-NP\tO' +p17035 +aS'likely\tlikely\tRB\tB-NP\tO' +p17036 +aS'03-07\t03-07\tCD\tI-NP\tO' +p17037 +aS'the\tthe\tDT\tB-NP\tO' +p17038 +aS'sulfa\tsulfa\tNN\tI-NP\tO' +p17039 +aS'moiety\tmoiety\tNN\tI-NP\tO' +p17040 +aS'of\tof\tIN\tB-PP\tO' +p17041 +aS'the\tthe\tDT\tB-NP\tO' +p17042 +aS'furosemide\tfurosemide\tNN\tI-NP\tO' +p17043 +aS'.\t.\t.\tO\tO' +p17044 +asS'5. Valganciclovir 450 mg Tablet Sig : Two ( 2 ) Tablet PO DAILY ( Daily ) .' +p17045 +(lp17046 +S'5.\t5.\tLS\tB-LST\tO' +p17047 +aS'Valganciclovir\tValganciclovir\tNNP\tB-NP\tO' +p17048 +aS'450\t450\tCD\tI-NP\tO' +p17049 +aS'mg\tmg\tNN\tI-NP\tO' +p17050 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p17051 +aS'Sig\tSig\tNNP\tI-NP\tO' +p17052 +aS':\t:\t:\tO\tO' +p17053 +aS'Two\tTwo\tCD\tB-NP\tO' +p17054 +aS'(\t(\t(\tO\tO' +p17055 +aS'2\t2\tCD\tO\tO' +p17056 +aS')\t)\t)\tO\tO' +p17057 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p17058 +aS'PO\tPO\tNN\tI-NP\tO' +p17059 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p17060 +aS'(\t(\t(\tO\tO' +p17061 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p17062 +aS')\t)\t)\tO\tO' +p17063 +aS'.\t.\t.\tO\tO' +p17064 +asS'History of DVT .' +p17065 +(lp17066 +S'History\tHistory\tNN\tB-NP\tO' +p17067 +aS'of\tof\tIN\tB-PP\tO' +p17068 +aS'DVT\tDVT\tNN\tB-NP\tB-protein' +p17069 +aS'.\t.\t.\tO\tO' +p17070 +asS'As mentioned above , the patient did develop MRSA pneumonia that was started to be treated with vancomycin and she did also develop an oxygen requirement the day prior to discharge .' +p17071 +(lp17072 +S'As\tAs\tIN\tB-SBAR\tO' +p17073 +aS'mentioned\tmention\tVBN\tB-VP\tO' +p17074 +aS'above\tabove\tRB\tB-ADVP\tO' +p17075 +aS',\t,\t,\tO\tO' +p17076 +aS'the\tthe\tDT\tB-NP\tO' +p17077 +aS'patient\tpatient\tNN\tI-NP\tO' +p17078 +aS'did\tdo\tVBD\tB-VP\tO' +p17079 +aS'develop\tdevelop\tVB\tI-VP\tO' +p17080 +aS'MRSA\tMRSA\tNN\tB-NP\tO' +p17081 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p17082 +aS'that\tthat\tWDT\tB-NP\tO' +p17083 +aS'was\tbe\tVBD\tB-VP\tO' +p17084 +aS'started\tstart\tVBN\tI-VP\tO' +p17085 +aS'to\tto\tTO\tI-VP\tO' +p17086 +aS'be\tbe\tVB\tI-VP\tO' +p17087 +aS'treated\ttreat\tVBN\tI-VP\tO' +p17088 +aS'with\twith\tIN\tB-PP\tO' +p17089 +aS'vancomycin\tvancomycin\tNN\tB-NP\tO' +p17090 +aS'and\tand\tCC\tO\tO' +p17091 +aS'she\tshe\tPRP\tB-NP\tO' +p17092 +aS'did\tdo\tVBD\tB-VP\tO' +p17093 +aS'also\talso\tRB\tI-VP\tO' +p17094 +aS'develop\tdevelop\tVB\tI-VP\tO' +p17095 +aS'an\tan\tDT\tB-NP\tO' +p17096 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p17097 +aS'requirement\trequirement\tNN\tI-NP\tO' +p17098 +aS'the\tthe\tDT\tB-NP\tO' +p17099 +aS'day\tday\tNN\tI-NP\tO' +p17100 +aS'prior\tprior\tRB\tB-ADVP\tO' +p17101 +aS'to\tto\tTO\tB-VP\tO' +p17102 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p17103 +aS'.\t.\t.\tO\tO' +p17104 +asS'His INR decreased to 1.3 at the time of discharge .' +p17105 +(lp17106 +S'His\tHis\tPRP$\tB-NP\tO' +p17107 +aS'INR\tINR\tNN\tI-NP\tB-protein' +p17108 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p17109 +aS'to\tto\tTO\tB-PP\tO' +p17110 +aS'1.3\t1.3\tCD\tB-NP\tO' +p17111 +aS'at\tat\tIN\tB-PP\tO' +p17112 +aS'the\tthe\tDT\tB-NP\tO' +p17113 +aS'time\ttime\tNN\tI-NP\tO' +p17114 +aS'of\tof\tIN\tB-PP\tO' +p17115 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p17116 +aS'.\t.\t.\tO\tO' +p17117 +asS'The patient was extubated by postoperative day # 1 but was noted to be relatively hypoxemic with high oxygen requirement .' +p17118 +(lp17119 +S'The\tThe\tDT\tB-NP\tO' +p17120 +aS'patient\tpatient\tNN\tI-NP\tO' +p17121 +aS'was\tbe\tVBD\tB-VP\tO' +p17122 +aS'extubated\textubate\tVBN\tI-VP\tO' +p17123 +aS'by\tby\tIN\tB-PP\tO' +p17124 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p17125 +aS'day\tday\tNN\tI-NP\tO' +p17126 +aS'#\t#\t#\tB-NP\tO' +p17127 +aS'1\t1\tCD\tI-NP\tO' +p17128 +aS'but\tbut\tCC\tO\tO' +p17129 +aS'was\tbe\tVBD\tB-VP\tO' +p17130 +aS'noted\tnote\tVBN\tI-VP\tO' +p17131 +aS'to\tto\tTO\tI-VP\tO' +p17132 +aS'be\tbe\tVB\tI-VP\tO' +p17133 +aS'relatively\trelatively\tRB\tB-ADJP\tO' +p17134 +aS'hypoxemic\thypoxemic\tJJ\tI-ADJP\tO' +p17135 +aS'with\twith\tIN\tB-PP\tO' +p17136 +aS'high\thigh\tJJ\tB-NP\tO' +p17137 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p17138 +aS'requirement\trequirement\tNN\tI-NP\tO' +p17139 +aS'.\t.\t.\tO\tO' +p17140 +asS'3) ENDOMETRIOSIS .' +p17141 +(lp17142 +S'3)\t3)\tLS\tB-NP\tO' +p17143 +aS'ENDOMETRIOSIS\tENDOMETRIOSIS\tNN\tI-NP\tO' +p17144 +aS'.\t.\t.\tO\tO' +p17145 +asS'5. Combivent 3 puffs four times per day .' +p17146 +(lp17147 +S'5.\t5.\tLS\tB-LST\tO' +p17148 +aS'Combivent\tCombivent\tNNP\tB-NP\tO' +p17149 +aS'3\t3\tCD\tI-NP\tO' +p17150 +aS'puffs\tpuff\tVBZ\tB-VP\tO' +p17151 +aS'four\tfour\tCD\tB-NP\tO' +p17152 +aS'times\ttime\tNNS\tI-NP\tO' +p17153 +aS'per\tper\tIN\tB-PP\tO' +p17154 +aS'day\tday\tNN\tB-NP\tO' +p17155 +aS'.\t.\t.\tO\tO' +p17156 +asS'The patient had a good bump in his hematocrit , more than expected from 22 to high 20 's range next day after 3 1/2 units , but later that evening had a drop in his hematocrit so was given 4 more 1/2 units at this point for a total of 4 units packed red blood cells .' +p17157 +(lp17158 +S'The\tThe\tDT\tB-NP\tO' +p17159 +aS'patient\tpatient\tNN\tI-NP\tO' +p17160 +aS'had\thave\tVBD\tB-VP\tO' +p17161 +aS'a\ta\tDT\tB-NP\tO' +p17162 +aS'good\tgood\tJJ\tI-NP\tO' +p17163 +aS'bump\tbump\tNN\tI-NP\tO' +p17164 +aS'in\tin\tIN\tB-PP\tO' +p17165 +aS'his\this\tPRP$\tB-NP\tO' +p17166 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p17167 +aS',\t,\t,\tO\tO' +p17168 +aS'more\tmore\tRBR\tB-VP\tO' +p17169 +aS'than\tthan\tIN\tI-VP\tO' +p17170 +aS'expected\texpect\tVBN\tI-VP\tO' +p17171 +aS'from\tfrom\tIN\tB-PP\tO' +p17172 +aS'22\t22\tCD\tB-NP\tO' +p17173 +aS'to\tto\tTO\tB-PP\tO' +p17174 +aS'high\thigh\tJJ\tB-NP\tO' +p17175 +aS'20\t20\tCD\tI-NP\tO' +p17176 +aS''s\t'\tNNS\tI-NP\tO' +p17177 +aS'range\trange\tVBP\tB-VP\tO' +p17178 +aS'next\tnext\tJJ\tB-NP\tO' +p17179 +aS'day\tday\tNN\tI-NP\tO' +p17180 +aS'after\tafter\tIN\tB-PP\tO' +p17181 +aS'3\t3\tCD\tB-NP\tO' +p17182 +aS'1/2\t1/2\tCD\tI-NP\tO' +p17183 +aS'units\tunit\tNNS\tI-NP\tO' +p17184 +aS',\t,\t,\tO\tO' +p17185 +aS'but\tbut\tCC\tO\tO' +p17186 +aS'later\tlater\tRB\tB-ADVP\tO' +p17187 +aS'that\tthat\tDT\tB-NP\tO' +p17188 +aS'evening\tevening\tNN\tI-NP\tO' +p17189 +aS'had\thave\tVBD\tB-VP\tO' +p17190 +aS'a\ta\tDT\tB-NP\tO' +p17191 +aS'drop\tdrop\tNN\tI-NP\tO' +p17192 +aS'in\tin\tIN\tB-PP\tO' +p17193 +aS'his\this\tPRP$\tB-NP\tO' +p17194 +aS'hematocrit\thematocrit\tNN\tI-NP\tB-protein' +p17195 +aS'so\tso\tRB\tB-ADVP\tI-protein' +p17196 +aS'was\tbe\tVBD\tB-VP\tI-protein' +p17197 +aS'given\tgive\tVBN\tI-VP\tI-protein' +p17198 +aS'4\t4\tCD\tB-NP\tI-protein' +p17199 +aS'more\tmore\tJJR\tI-NP\tO' +p17200 +aS'1/2\t1/2\tCD\tI-NP\tO' +p17201 +aS'units\tunit\tNNS\tI-NP\tO' +p17202 +aS'at\tat\tIN\tB-PP\tO' +p17203 +aS'this\tthis\tDT\tB-NP\tO' +p17204 +aS'point\tpoint\tNN\tI-NP\tO' +p17205 +aS'for\tfor\tIN\tB-PP\tO' +p17206 +aS'a\ta\tDT\tB-NP\tO' +p17207 +aS'total\ttotal\tNN\tI-NP\tO' +p17208 +aS'of\tof\tIN\tB-PP\tO' +p17209 +aS'4\t4\tCD\tB-NP\tO' +p17210 +aS'units\tunit\tNNS\tI-NP\tO' +p17211 +aS'packed\tpack\tVBD\tB-VP\tO' +p17212 +aS'red\tred\tJJ\tB-NP\tB-cell_type' +p17213 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p17214 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p17215 +aS'.\t.\t.\tO\tO' +p17216 +asS'7. Papain - Urea 830,000-10 unit -% Spray , Non-Aerosol Sig : One ( 1 ) Appl Topical DAILY ( Daily ) .' +p17217 +(lp17218 +S'7.\t7.\tCD\tB-NP\tO' +p17219 +aS'Papain\tPapain\tNNP\tI-NP\tO' +p17220 +aS'-\t-\tHYPH\tI-NP\tO' +p17221 +aS'Urea\tUrea\tNNP\tI-NP\tO' +p17222 +aS'830,000-10\t830,000-10\tCD\tI-NP\tO' +p17223 +aS'unit\tunit\tNN\tI-NP\tO' +p17224 +aS'-%\t-%\tJJ\tI-NP\tO' +p17225 +aS'Spray\tSpray\tNNP\tI-NP\tO' +p17226 +aS',\t,\t,\tO\tO' +p17227 +aS'Non-Aerosol\tNon-Aerosol\tNNP\tB-NP\tO' +p17228 +aS'Sig\tSig\tNNP\tI-NP\tO' +p17229 +aS':\t:\t:\tO\tO' +p17230 +aS'One\tOne\tCD\tB-NP\tO' +p17231 +aS'(\t(\t(\tO\tO' +p17232 +aS'1\t1\tCD\tB-NP\tO' +p17233 +aS')\t)\t)\tO\tO' +p17234 +aS'Appl\tAppl\tNNP\tB-NP\tO' +p17235 +aS'Topical\tTopical\tJJ\tI-NP\tO' +p17236 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p17237 +aS'(\t(\t(\tO\tO' +p17238 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p17239 +aS')\t)\t)\tO\tO' +p17240 +aS'.\t.\t.\tO\tO' +p17241 +asS'This should be repeated in several days as her mental status continues to clear .' +p17242 +(lp17243 +S'This\tThis\tDT\tB-NP\tO' +p17244 +aS'should\tshould\tMD\tB-VP\tO' +p17245 +aS'be\tbe\tVB\tI-VP\tO' +p17246 +aS'repeated\trepeat\tVBN\tI-VP\tO' +p17247 +aS'in\tin\tIN\tB-PP\tO' +p17248 +aS'several\tseveral\tJJ\tB-NP\tO' +p17249 +aS'days\tday\tNNS\tI-NP\tO' +p17250 +aS'as\tas\tIN\tB-PP\tO' +p17251 +aS'her\ther\tPRP$\tB-NP\tO' +p17252 +aS'mental\tmental\tJJ\tI-NP\tO' +p17253 +aS'status\tstatus\tNN\tI-NP\tO' +p17254 +aS'continues\tcontinue\tVBZ\tB-VP\tO' +p17255 +aS'to\tto\tTO\tI-VP\tO' +p17256 +aS'clear\tclear\tVB\tI-VP\tO' +p17257 +aS'.\t.\t.\tO\tO' +p17258 +asS'Her right superior parathyroid gland was removed and the rest of her parathyroid glands were left in place .' +p17259 +(lp17260 +S'Her\tHer\tPRP$\tB-NP\tO' +p17261 +aS'right\tright\tJJ\tI-NP\tO' +p17262 +aS'superior\tsuperior\tJJ\tI-NP\tO' +p17263 +aS'parathyroid\tparathyroid\tJJ\tI-NP\tO' +p17264 +aS'gland\tgland\tNN\tI-NP\tO' +p17265 +aS'was\tbe\tVBD\tB-VP\tO' +p17266 +aS'removed\tremove\tVBN\tI-VP\tO' +p17267 +aS'and\tand\tCC\tO\tO' +p17268 +aS'the\tthe\tDT\tB-NP\tO' +p17269 +aS'rest\trest\tNN\tI-NP\tO' +p17270 +aS'of\tof\tIN\tB-PP\tO' +p17271 +aS'her\ther\tPRP$\tB-NP\tO' +p17272 +aS'parathyroid\tparathyroid\tJJ\tI-NP\tO' +p17273 +aS'glands\tgland\tNNS\tI-NP\tO' +p17274 +aS'were\tbe\tVBD\tB-VP\tO' +p17275 +aS'left\tleave\tVBN\tI-VP\tO' +p17276 +aS'in\tin\tIN\tB-PP\tO' +p17277 +aS'place\tplace\tNN\tB-NP\tO' +p17278 +aS'.\t.\t.\tO\tO' +p17279 +asS'The patient failed the conservative therapy and is admitted for a spinal cord stimulator trial .' +p17280 +(lp17281 +S'The\tThe\tDT\tB-NP\tO' +p17282 +aS'patient\tpatient\tNN\tI-NP\tO' +p17283 +aS'failed\tfail\tVBD\tB-VP\tO' +p17284 +aS'the\tthe\tDT\tB-NP\tO' +p17285 +aS'conservative\tconservative\tJJ\tI-NP\tO' +p17286 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p17287 +aS'and\tand\tCC\tO\tO' +p17288 +aS'is\tbe\tVBZ\tB-VP\tO' +p17289 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p17290 +aS'for\tfor\tIN\tB-PP\tO' +p17291 +aS'a\ta\tDT\tB-NP\tO' +p17292 +aS'spinal\tspinal\tJJ\tI-NP\tO' +p17293 +aS'cord\tcord\tNN\tI-NP\tO' +p17294 +aS'stimulator\tstimulator\tNN\tI-NP\tO' +p17295 +aS'trial\ttrial\tNN\tI-NP\tO' +p17296 +aS'.\t.\t.\tO\tO' +p17297 +asS'His ECG showed no ischemic changes .' +p17298 +(lp17299 +S'His\tHis\tPRP$\tB-NP\tO' +p17300 +aS'ECG\tECG\tNN\tI-NP\tB-protein' +p17301 +aS'showed\tshow\tVBD\tB-VP\tO' +p17302 +aS'no\tno\tDT\tB-NP\tO' +p17303 +aS'ischemic\tischemic\tJJ\tI-NP\tO' +p17304 +aS'changes\tchange\tNNS\tI-NP\tO' +p17305 +aS'.\t.\t.\tO\tO' +p17306 +asS'She has been afebrile for greater than 10 days , including several days on oral antibiotics .' +p17307 +(lp17308 +S'She\tShe\tPRP\tB-NP\tO' +p17309 +aS'has\thave\tVBZ\tB-VP\tO' +p17310 +aS'been\tbe\tVBN\tI-VP\tO' +p17311 +aS'afebrile\tafebrile\tRB\tB-ADVP\tO' +p17312 +aS'for\tfor\tIN\tB-PP\tO' +p17313 +aS'greater\tgreat\tJJR\tB-NP\tO' +p17314 +aS'than\tthan\tIN\tI-NP\tO' +p17315 +aS'10\t10\tCD\tI-NP\tO' +p17316 +aS'days\tday\tNNS\tI-NP\tO' +p17317 +aS',\t,\t,\tO\tO' +p17318 +aS'including\tinclude\tVBG\tB-PP\tO' +p17319 +aS'several\tseveral\tJJ\tB-NP\tO' +p17320 +aS'days\tday\tNNS\tI-NP\tO' +p17321 +aS'on\ton\tIN\tB-PP\tO' +p17322 +aS'oral\toral\tJJ\tB-NP\tO' +p17323 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p17324 +aS'.\t.\t.\tO\tO' +p17325 +asS'2. Aortic stenosis .' +p17326 +(lp17327 +S'2.\t2.\tLS\tB-NP\tO' +p17328 +aS'Aortic\tAortic\tJJ\tI-NP\tO' +p17329 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p17330 +aS'.\t.\t.\tO\tO' +p17331 +asS'2. Protonix 40 mg po bid .' +p17332 +(lp17333 +S'2.\t2.\tLS\tB-NP\tO' +p17334 +aS'Protonix\tProtonix\tNNP\tI-NP\tO' +p17335 +aS'40\t40\tCD\tI-NP\tO' +p17336 +aS'mg\tmg\tNN\tI-NP\tO' +p17337 +aS'po\tpo\tNN\tI-NP\tO' +p17338 +aS'bid\tbid\tNN\tI-NP\tO' +p17339 +aS'.\t.\t.\tO\tO' +p17340 +asS'Following this episode the patient felt like she was " too stressed " for pacemaker placement .' +p17341 +(lp17342 +S'Following\tFollow\tVBG\tB-PP\tO' +p17343 +aS'this\tthis\tDT\tB-NP\tO' +p17344 +aS'episode\tepisode\tNN\tI-NP\tO' +p17345 +aS'the\tthe\tDT\tB-NP\tO' +p17346 +aS'patient\tpatient\tNN\tI-NP\tO' +p17347 +aS'felt\tfeel\tVBD\tB-VP\tO' +p17348 +aS'like\tlike\tIN\tB-SBAR\tO' +p17349 +aS'she\tshe\tPRP\tB-NP\tO' +p17350 +aS'was\tbe\tVBD\tB-VP\tO' +p17351 +aS'"\t"\t\'\'\tO\tO' +p17352 +aS'too\ttoo\tRB\tB-ADJP\tO' +p17353 +aS'stressed\tstressed\tJJ\tI-ADJP\tO' +p17354 +aS'"\t"\t\'\'\tO\tO' +p17355 +aS'for\tfor\tIN\tB-PP\tO' +p17356 +aS'pacemaker\tpacemaker\tNN\tB-NP\tO' +p17357 +aS'placement\tplacement\tNN\tI-NP\tO' +p17358 +aS'.\t.\t.\tO\tO' +p17359 +asS'Her bicarb began to drop and she developed an anion gap acidosis .' +p17360 +(lp17361 +S'Her\tHer\tPRP$\tB-NP\tO' +p17362 +aS'bicarb\tbicarb\tNN\tI-NP\tO' +p17363 +aS'began\tbegin\tVBD\tB-VP\tO' +p17364 +aS'to\tto\tTO\tI-VP\tO' +p17365 +aS'drop\tdrop\tVB\tI-VP\tO' +p17366 +aS'and\tand\tCC\tO\tO' +p17367 +aS'she\tshe\tPRP\tB-NP\tO' +p17368 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p17369 +aS'an\tan\tDT\tB-NP\tO' +p17370 +aS'anion\tanion\tNN\tI-NP\tO' +p17371 +aS'gap\tgap\tNN\tI-NP\tO' +p17372 +aS'acidosis\tacidosis\tNN\tI-NP\tO' +p17373 +aS'.\t.\t.\tO\tO' +p17374 +asS'5. Lopressor 100 mg po three times a day .' +p17375 +(lp17376 +S'5.\t5.\tLS\tB-NP\tO' +p17377 +aS'Lopressor\tLopressor\tNN\tI-NP\tO' +p17378 +aS'100\t100\tCD\tI-NP\tO' +p17379 +aS'mg\tmg\tNN\tI-NP\tO' +p17380 +aS'po\tpo\tIN\tB-PP\tO' +p17381 +aS'three\tthree\tCD\tB-NP\tO' +p17382 +aS'times\ttime\tNNS\tI-NP\tO' +p17383 +aS'a\ta\tDT\tB-NP\tO' +p17384 +aS'day\tday\tNN\tI-NP\tO' +p17385 +aS'.\t.\t.\tO\tO' +p17386 +asS'Sulfa ( Sulfonamides ) / Penicillins' +p17387 +(lp17388 +S'Sulfa\tSulfa\tNN\tB-NP\tO' +p17389 +aS'(\t(\t(\tO\tO' +p17390 +aS'Sulfonamides\tSulfonamide\tNNS\tB-NP\tO' +p17391 +aS')\t)\t)\tO\tO' +p17392 +aS'/\t/\tSYM\tB-NP\tO' +p17393 +aS'Penicillins\tPenicillin\tNNS\tI-NP\tB-protein' +p17394 +asS'By the next morning , the degree of drainage had decreased considerably with only 60 cc drained over six hours .' +p17395 +(lp17396 +S'By\tBy\tIN\tB-PP\tO' +p17397 +aS'the\tthe\tDT\tB-NP\tO' +p17398 +aS'next\tnext\tJJ\tI-NP\tO' +p17399 +aS'morning\tmorning\tNN\tI-NP\tO' +p17400 +aS',\t,\t,\tO\tO' +p17401 +aS'the\tthe\tDT\tB-NP\tO' +p17402 +aS'degree\tdegree\tNN\tI-NP\tO' +p17403 +aS'of\tof\tIN\tB-PP\tO' +p17404 +aS'drainage\tdrainage\tNN\tB-NP\tO' +p17405 +aS'had\thave\tVBD\tB-VP\tO' +p17406 +aS'decreased\tdecrease\tVBN\tI-VP\tO' +p17407 +aS'considerably\tconsiderably\tRB\tB-ADVP\tO' +p17408 +aS'with\twith\tIN\tB-PP\tO' +p17409 +aS'only\tonly\tRB\tB-NP\tO' +p17410 +aS'60\t60\tCD\tI-NP\tO' +p17411 +aS'cc\tcc\tNN\tI-NP\tO' +p17412 +aS'drained\tdrain\tVBD\tB-VP\tO' +p17413 +aS'over\tover\tIN\tB-NP\tO' +p17414 +aS'six\tsix\tCD\tI-NP\tO' +p17415 +aS'hours\thour\tNNS\tI-NP\tO' +p17416 +aS'.\t.\t.\tO\tO' +p17417 +asS'Daughter died of MI at age 49 .' +p17418 +(lp17419 +S'Daughter\tDaughter\tNNP\tB-NP\tO' +p17420 +aS'died\tdie\tVBD\tB-VP\tO' +p17421 +aS'of\tof\tIN\tB-PP\tO' +p17422 +aS'MI\tMI\tNN\tB-NP\tO' +p17423 +aS'at\tat\tIN\tB-PP\tO' +p17424 +aS'age\tage\tNN\tB-NP\tO' +p17425 +aS'49\t49\tCD\tI-NP\tO' +p17426 +aS'.\t.\t.\tO\tO' +p17427 +asS'A chest x-ray postoperatively showed clear lung fields .' +p17428 +(lp17429 +S'A\tA\tDT\tB-NP\tO' +p17430 +aS'chest\tch\tJJS\tI-NP\tO' +p17431 +aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' +p17432 +aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' +p17433 +aS'showed\tshow\tVBD\tB-VP\tO' +p17434 +aS'clear\tclear\tJJ\tB-NP\tO' +p17435 +aS'lung\tlung\tNN\tI-NP\tO' +p17436 +aS'fields\tfield\tNNS\tI-NP\tO' +p17437 +aS'.\t.\t.\tO\tO' +p17438 +asS'Follow-up in 1 month with neurosurgery for a repeat head CT was arranged .' +p17439 +(lp17440 +S'Follow-up\tFollow-up\tNN\tB-NP\tO' +p17441 +aS'in\tin\tIN\tB-PP\tO' +p17442 +aS'1\t1\tCD\tB-NP\tO' +p17443 +aS'month\tmonth\tNN\tI-NP\tO' +p17444 +aS'with\twith\tIN\tB-PP\tO' +p17445 +aS'neurosurgery\tneurosurgery\tNN\tB-NP\tO' +p17446 +aS'for\tfor\tIN\tB-PP\tO' +p17447 +aS'a\ta\tDT\tB-NP\tO' +p17448 +aS'repeat\trepeat\tNN\tI-NP\tO' +p17449 +aS'head\thead\tNN\tI-NP\tO' +p17450 +aS'CT\tCT\tNN\tI-NP\tO' +p17451 +aS'was\tbe\tVBD\tB-VP\tO' +p17452 +aS'arranged\tarrange\tVBN\tI-VP\tO' +p17453 +aS'.\t.\t.\tO\tO' +p17454 +asS'Electrocardiogram revealed left atrial hypertrophy , right ventricular hypertrophy , and poor R wave progression which were new .' +p17455 +(lp17456 +S'Electrocardiogram\tElectrocardiogram\tNNP\tB-NP\tO' +p17457 +aS'revealed\treveal\tVBD\tB-VP\tO' +p17458 +aS'left\tleft\tJJ\tB-NP\tO' +p17459 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p17460 +aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' +p17461 +aS',\t,\t,\tO\tO' +p17462 +aS'right\tright\tJJ\tB-NP\tO' +p17463 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p17464 +aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' +p17465 +aS',\t,\t,\tO\tO' +p17466 +aS'and\tand\tCC\tO\tO' +p17467 +aS'poor\tpoor\tJJ\tB-NP\tO' +p17468 +aS'R\tR\tNN\tI-NP\tO' +p17469 +aS'wave\twave\tNN\tI-NP\tO' +p17470 +aS'progression\tprogression\tNN\tI-NP\tO' +p17471 +aS'which\twhich\tWDT\tB-NP\tO' +p17472 +aS'were\tbe\tVBD\tB-VP\tO' +p17473 +aS'new\tnew\tJJ\tB-ADJP\tO' +p17474 +aS'.\t.\t.\tO\tO' +p17475 +asS'There was evidence of possible aspiration pneumonia on CXR , though he was extubated without incident on the AM of transfer to the medicine floor .' +p17476 +(lp17477 +S'There\tThere\tEX\tB-NP\tO' +p17478 +aS'was\tbe\tVBD\tB-VP\tO' +p17479 +aS'evidence\tevidence\tNN\tB-NP\tO' +p17480 +aS'of\tof\tIN\tB-PP\tO' +p17481 +aS'possible\tpossible\tJJ\tB-NP\tO' +p17482 +aS'aspiration\taspiration\tNN\tI-NP\tO' +p17483 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p17484 +aS'on\ton\tIN\tB-PP\tO' +p17485 +aS'CXR\tCXR\tNN\tB-NP\tB-protein' +p17486 +aS',\t,\t,\tO\tO' +p17487 +aS'though\tthough\tIN\tB-SBAR\tO' +p17488 +aS'he\the\tPRP\tB-NP\tO' +p17489 +aS'was\tbe\tVBD\tB-VP\tO' +p17490 +aS'extubated\textubate\tVBN\tI-VP\tO' +p17491 +aS'without\twithout\tIN\tB-PP\tO' +p17492 +aS'incident\tincident\tNN\tB-NP\tO' +p17493 +aS'on\ton\tIN\tB-PP\tO' +p17494 +aS'the\tthe\tDT\tB-NP\tO' +p17495 +aS'AM\tAM\tNN\tI-NP\tO' +p17496 +aS'of\tof\tIN\tB-PP\tO' +p17497 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p17498 +aS'to\tto\tTO\tB-PP\tO' +p17499 +aS'the\tthe\tDT\tB-NP\tO' +p17500 +aS'medicine\tmedicine\tNN\tI-NP\tO' +p17501 +aS'floor\tfloor\tNN\tI-NP\tO' +p17502 +aS'.\t.\t.\tO\tO' +p17503 +asS'Echo was obtained which showed WMA and EF of 35-40% .' +p17504 +(lp17505 +S'Echo\tEcho\tNN\tB-NP\tO' +p17506 +aS'was\tbe\tVBD\tB-VP\tO' +p17507 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p17508 +aS'which\twhich\tWDT\tB-NP\tO' +p17509 +aS'showed\tshow\tVBD\tB-VP\tO' +p17510 +aS'WMA\tWMA\tNN\tB-NP\tO' +p17511 +aS'and\tand\tCC\tI-NP\tO' +p17512 +aS'EF\tEF\tNN\tI-NP\tO' +p17513 +aS'of\tof\tIN\tB-PP\tO' +p17514 +aS'35-40%\t35-40%\tNN\tB-NP\tB-protein' +p17515 +aS'.\t.\t.\tO\tO' +p17516 +asS'Well healed midline scar from chest down to pubis .' +p17517 +(lp17518 +S'Well\tWell\tRB\tB-NP\tO' +p17519 +aS'healed\theal\tVBN\tI-NP\tO' +p17520 +aS'midline\tmidline\tNN\tI-NP\tO' +p17521 +aS'scar\tscar\tNN\tI-NP\tO' +p17522 +aS'from\tfrom\tIN\tB-PP\tO' +p17523 +aS'chest\tchest\tNN\tB-NP\tO' +p17524 +aS'down\tdown\tRB\tB-ADVP\tO' +p17525 +aS'to\tto\tTO\tB-PP\tO' +p17526 +aS'pubis\tpubis\tNN\tB-NP\tO' +p17527 +aS'.\t.\t.\tO\tO' +p17528 +asS'1. ST elevation myocardial infarction .' +p17529 +(lp17530 +S'1.\t1.\tLS\tB-NP\tO' +p17531 +aS'ST\tST\tNN\tI-NP\tO' +p17532 +aS'elevation\televation\tNN\tI-NP\tO' +p17533 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p17534 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p17535 +aS'.\t.\t.\tO\tO' +p17536 +asS'His father had prostate cancer .' +p17537 +(lp17538 +S'His\tHis\tPRP$\tB-NP\tO' +p17539 +aS'father\tfather\tNN\tI-NP\tO' +p17540 +aS'had\thave\tVBD\tB-VP\tO' +p17541 +aS'prostate\tprostate\tNN\tB-NP\tO' +p17542 +aS'cancer\tcancer\tNN\tI-NP\tO' +p17543 +aS'.\t.\t.\tO\tO' +p17544 +asS'Total cholesterol 142 .' +p17545 +(lp17546 +S'Total\tTotal\tJJ\tB-NP\tO' +p17547 +aS'cholesterol\tcholesterol\tNN\tI-NP\tO' +p17548 +aS'142\t142\tCD\tI-NP\tO' +p17549 +aS'.\t.\t.\tO\tO' +p17550 +asS'Brittle bones were noted during the operation .' +p17551 +(lp17552 +S'Brittle\tBrittle\tJJ\tB-NP\tO' +p17553 +aS'bones\tbone\tNNS\tI-NP\tO' +p17554 +aS'were\tbe\tVBD\tB-VP\tO' +p17555 +aS'noted\tnote\tVBN\tI-VP\tO' +p17556 +aS'during\tduring\tIN\tB-PP\tO' +p17557 +aS'the\tthe\tDT\tB-NP\tO' +p17558 +aS'operation\toperation\tNN\tI-NP\tO' +p17559 +aS'.\t.\t.\tO\tO' +p17560 +asS'The location of the second catheter was confirmed that evening by a follow-up scan which revealed good placement .' +p17561 +(lp17562 +S'The\tThe\tDT\tB-NP\tO' +p17563 +aS'location\tlocation\tNN\tI-NP\tO' +p17564 +aS'of\tof\tIN\tB-PP\tO' +p17565 +aS'the\tthe\tDT\tB-NP\tO' +p17566 +aS'second\tsecond\tJJ\tI-NP\tO' +p17567 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p17568 +aS'was\tbe\tVBD\tB-VP\tO' +p17569 +aS'confirmed\tconfirm\tVBN\tI-VP\tO' +p17570 +aS'that\tthat\tIN\tB-SBAR\tO' +p17571 +aS'evening\tevening\tNN\tB-NP\tO' +p17572 +aS'by\tby\tIN\tB-PP\tO' +p17573 +aS'a\ta\tDT\tB-NP\tO' +p17574 +aS'follow-up\tfollow-up\tJJ\tI-NP\tO' +p17575 +aS'scan\tscan\tNN\tI-NP\tO' +p17576 +aS'which\twhich\tWDT\tB-NP\tO' +p17577 +aS'revealed\treveal\tVBD\tB-VP\tO' +p17578 +aS'good\tgood\tJJ\tB-NP\tO' +p17579 +aS'placement\tplacement\tNN\tI-NP\tO' +p17580 +aS'.\t.\t.\tO\tO' +p17581 +asS'Infant was started on enteral feedings on day of life four and advanced to full volume feedings of 150 cc per kilogram per day by day of life seven .' +p17582 +(lp17583 +S'Infant\tInfant\tNN\tB-NP\tO' +p17584 +aS'was\tbe\tVBD\tB-VP\tO' +p17585 +aS'started\tstart\tVBN\tI-VP\tO' +p17586 +aS'on\ton\tIN\tB-PP\tO' +p17587 +aS'enteral\tenteral\tJJ\tB-NP\tO' +p17588 +aS'feedings\tfeeding\tNNS\tI-NP\tO' +p17589 +aS'on\ton\tIN\tB-PP\tO' +p17590 +aS'day\tday\tNN\tB-NP\tO' +p17591 +aS'of\tof\tIN\tB-PP\tO' +p17592 +aS'life\tlife\tNN\tB-NP\tO' +p17593 +aS'four\tfour\tCD\tI-NP\tO' +p17594 +aS'and\tand\tCC\tO\tO' +p17595 +aS'advanced\tadvance\tVBD\tB-VP\tO' +p17596 +aS'to\tto\tTO\tB-PP\tO' +p17597 +aS'full\tfull\tJJ\tB-NP\tO' +p17598 +aS'volume\tvolume\tNN\tI-NP\tO' +p17599 +aS'feedings\tfeeding\tNNS\tI-NP\tO' +p17600 +aS'of\tof\tIN\tB-PP\tO' +p17601 +aS'150\t150\tCD\tB-NP\tO' +p17602 +aS'cc\tcc\tNN\tI-NP\tO' +p17603 +aS'per\tper\tIN\tB-PP\tO' +p17604 +aS'kilogram\tkilogram\tNN\tB-NP\tO' +p17605 +aS'per\tper\tIN\tB-PP\tO' +p17606 +aS'day\tday\tNN\tB-NP\tO' +p17607 +aS'by\tby\tIN\tB-PP\tO' +p17608 +aS'day\tday\tNN\tB-NP\tO' +p17609 +aS'of\tof\tIN\tB-PP\tO' +p17610 +aS'life\tlife\tNN\tB-NP\tO' +p17611 +aS'seven\tseven\tCD\tI-NP\tO' +p17612 +aS'.\t.\t.\tO\tO' +p17613 +asS'The patient became agitated with both tent and Bi-PAP machine , although continued to saturate well .' +p17614 +(lp17615 +S'The\tThe\tDT\tB-NP\tO' +p17616 +aS'patient\tpatient\tNN\tI-NP\tO' +p17617 +aS'became\tbecome\tVBD\tB-VP\tO' +p17618 +aS'agitated\tagitate\tVBN\tI-VP\tO' +p17619 +aS'with\twith\tIN\tB-PP\tO' +p17620 +aS'both\tboth\tCC\tO\tO' +p17621 +aS'tent\ttent\tNN\tB-NP\tO' +p17622 +aS'and\tand\tCC\tO\tO' +p17623 +aS'Bi-PAP\tBi-PAP\tNN\tB-NP\tO' +p17624 +aS'machine\tmachine\tNN\tI-NP\tO' +p17625 +aS',\t,\t,\tO\tO' +p17626 +aS'although\talthough\tIN\tB-SBAR\tO' +p17627 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p17628 +aS'to\tto\tTO\tI-VP\tO' +p17629 +aS'saturate\tsaturate\tVB\tI-VP\tO' +p17630 +aS'well\twell\tRB\tB-ADVP\tO' +p17631 +aS'.\t.\t.\tO\tO' +p17632 +asS'The renal function deteriorated somewhat , hampering our ability to give him his Gentamicin .' +p17633 +(lp17634 +S'The\tThe\tDT\tB-NP\tO' +p17635 +aS'renal\trenal\tJJ\tI-NP\tO' +p17636 +aS'function\tfunction\tNN\tI-NP\tO' +p17637 +aS'deteriorated\tdeteriorate\tVBN\tB-VP\tO' +p17638 +aS'somewhat\tsomewhat\tRB\tB-ADVP\tO' +p17639 +aS',\t,\t,\tO\tO' +p17640 +aS'hampering\thamper\tVBG\tB-VP\tO' +p17641 +aS'our\tour\tPRP$\tB-NP\tO' +p17642 +aS'ability\tability\tNN\tI-NP\tO' +p17643 +aS'to\tto\tTO\tB-VP\tO' +p17644 +aS'give\tgive\tVB\tI-VP\tO' +p17645 +aS'him\thim\tPRP\tB-NP\tO' +p17646 +aS'his\this\tPRP$\tB-NP\tO' +p17647 +aS'Gentamicin\tGentamicin\tNN\tI-NP\tO' +p17648 +aS'.\t.\t.\tO\tO' +p17649 +asS'Signed electronically by : DR. Pamula Pugh on : Russell 2019-01-31 12:12 PM' +p17650 +(lp17651 +S'Signed\tSign\tVBN\tB-VP\tO' +p17652 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p17653 +aS'by\tby\tIN\tB-PP\tO' +p17654 +aS':\t:\t:\tO\tO' +p17655 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p17656 +aS'Pamula\tPamula\tNNP\tI-NP\tO' +p17657 +aS'Pugh\tPugh\tNNP\tI-NP\tO' +p17658 +aS'on\ton\tIN\tB-PP\tO' +p17659 +aS':\t:\t:\tO\tO' +p17660 +aS'Russell\tRussell\tNNP\tB-NP\tO' +p17661 +aS'2019-01-31\t2019-01-31\tCD\tB-NP\tO' +p17662 +aS'12:12\t12:12\tCD\tI-NP\tO' +p17663 +aS'PM\tPM\tNN\tI-NP\tO' +p17664 +asS'As of 3/21 , he was alert , appropriate and answers questions and follows command on exam .' +p17665 +(lp17666 +S'As\tAs\tIN\tB-PP\tO' +p17667 +aS'of\tof\tIN\tB-PP\tO' +p17668 +aS'3/21\t3/21\tCD\tB-NP\tO' +p17669 +aS',\t,\t,\tO\tO' +p17670 +aS'he\the\tPRP\tB-NP\tO' +p17671 +aS'was\tbe\tVBD\tB-VP\tO' +p17672 +aS'alert\talert\tJJ\tB-NP\tO' +p17673 +aS',\t,\t,\tI-NP\tO' +p17674 +aS'appropriate\tappropriate\tJJ\tI-NP\tO' +p17675 +aS'and\tand\tCC\tI-NP\tO' +p17676 +aS'answers\tanswer\tNNS\tI-NP\tO' +p17677 +aS'questions\tquestion\tNNS\tI-NP\tO' +p17678 +aS'and\tand\tCC\tO\tO' +p17679 +aS'follows\tfollow\tVBZ\tB-VP\tO' +p17680 +aS'command\tcommand\tNN\tB-NP\tO' +p17681 +aS'on\ton\tIN\tB-PP\tO' +p17682 +aS'exam\texam\tNN\tB-NP\tO' +p17683 +aS'.\t.\t.\tO\tO' +p17684 +asS'The patient 's paraplegia resolved by the morning of her second hospital day , and she maintained 5/5 motor strength in all groups .' +p17685 +(lp17686 +S'The\tThe\tDT\tB-NP\tO' +p17687 +aS'patient\tpatient\tNN\tI-NP\tO' +p17688 +aS''s\t'\tNNS\tI-NP\tO' +p17689 +aS'paraplegia\tparaplegia\tNN\tI-NP\tO' +p17690 +aS'resolved\tresolve\tVBN\tB-VP\tO' +p17691 +aS'by\tby\tIN\tB-PP\tO' +p17692 +aS'the\tthe\tDT\tB-NP\tO' +p17693 +aS'morning\tmorning\tNN\tI-NP\tO' +p17694 +aS'of\tof\tIN\tB-PP\tO' +p17695 +aS'her\ther\tPRP$\tB-NP\tO' +p17696 +aS'second\tsecond\tJJ\tI-NP\tO' +p17697 +aS'hospital\thospital\tNN\tI-NP\tO' +p17698 +aS'day\tday\tNN\tI-NP\tO' +p17699 +aS',\t,\t,\tO\tO' +p17700 +aS'and\tand\tCC\tO\tO' +p17701 +aS'she\tshe\tPRP\tB-NP\tO' +p17702 +aS'maintained\tmaintain\tVBD\tB-VP\tO' +p17703 +aS'5/5\t5/5\tCD\tB-NP\tO' +p17704 +aS'motor\tmotor\tNN\tI-NP\tO' +p17705 +aS'strength\tstrength\tNN\tI-NP\tO' +p17706 +aS'in\tin\tIN\tB-PP\tO' +p17707 +aS'all\tall\tDT\tB-NP\tO' +p17708 +aS'groups\tgroup\tNNS\tI-NP\tO' +p17709 +aS'.\t.\t.\tO\tO' +p17710 +asS'Cardiovascular : Regular , rate , and rhythm , no murmur .' +p17711 +(lp17712 +S'Cardiovascular\tCardiovascular\tJJ\tB-ADJP\tO' +p17713 +aS':\t:\t:\tO\tO' +p17714 +aS'Regular\tRegular\tJJ\tB-NP\tO' +p17715 +aS',\t,\t,\tI-NP\tO' +p17716 +aS'rate\trate\tNN\tI-NP\tO' +p17717 +aS',\t,\t,\tO\tO' +p17718 +aS'and\tand\tCC\tO\tO' +p17719 +aS'rhythm\trhythm\tNN\tB-NP\tO' +p17720 +aS',\t,\t,\tO\tO' +p17721 +aS'no\tno\tDT\tB-NP\tO' +p17722 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p17723 +aS'.\t.\t.\tO\tO' +p17724 +asS'3. Sepsis , ruled out .' +p17725 +(lp17726 +S'3.\t3.\tLS\tB-NP\tO' +p17727 +aS'Sepsis\tSepsis\tNN\tI-NP\tO' +p17728 +aS',\t,\t,\tO\tO' +p17729 +aS'ruled\trule\tVBD\tB-VP\tO' +p17730 +aS'out\tout\tRP\tB-PRT\tO' +p17731 +aS'.\t.\t.\tO\tO' +p17732 +asS'She continued to have nausea and vomiting .' +p17733 +(lp17734 +S'She\tShe\tPRP\tB-NP\tO' +p17735 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p17736 +aS'to\tto\tTO\tI-VP\tO' +p17737 +aS'have\thave\tVB\tI-VP\tO' +p17738 +aS'nausea\tnausea\tNN\tB-NP\tO' +p17739 +aS'and\tand\tCC\tI-NP\tO' +p17740 +aS'vomiting\tvomiting\tNN\tI-NP\tO' +p17741 +aS'.\t.\t.\tO\tO' +p17742 +asS'A neurological examination was performed which revealed no abnormality and imaging included a head scan which revealed no bleed and a cervical spine series which revealed degenerative joint disease but no obvious fracture .' +p17743 +(lp17744 +S'A\tA\tDT\tB-NP\tO' +p17745 +aS'neurological\tneurological\tJJ\tI-NP\tO' +p17746 +aS'examination\texamination\tNN\tI-NP\tO' +p17747 +aS'was\tbe\tVBD\tB-VP\tO' +p17748 +aS'performed\tperform\tVBN\tI-VP\tO' +p17749 +aS'which\twhich\tWDT\tB-NP\tO' +p17750 +aS'revealed\treveal\tVBD\tB-VP\tO' +p17751 +aS'no\tno\tDT\tB-NP\tO' +p17752 +aS'abnormality\tabnormality\tNN\tI-NP\tO' +p17753 +aS'and\tand\tCC\tI-NP\tO' +p17754 +aS'imaging\timaging\tNN\tI-NP\tO' +p17755 +aS'included\tinclude\tVBD\tB-VP\tO' +p17756 +aS'a\ta\tDT\tB-NP\tO' +p17757 +aS'head\thead\tNN\tI-NP\tO' +p17758 +aS'scan\tscan\tNN\tI-NP\tO' +p17759 +aS'which\twhich\tWDT\tB-NP\tO' +p17760 +aS'revealed\treveal\tVBD\tB-VP\tO' +p17761 +aS'no\tno\tDT\tB-NP\tO' +p17762 +aS'bleed\tbleed\tNN\tI-NP\tO' +p17763 +aS'and\tand\tCC\tO\tO' +p17764 +aS'a\ta\tDT\tB-NP\tO' +p17765 +aS'cervical\tcervical\tJJ\tI-NP\tO' +p17766 +aS'spine\tspine\tNN\tI-NP\tO' +p17767 +aS'series\tseries\tNN\tI-NP\tO' +p17768 +aS'which\twhich\tWDT\tB-NP\tO' +p17769 +aS'revealed\treveal\tVBD\tB-VP\tO' +p17770 +aS'degenerative\tdegenerative\tJJ\tB-NP\tO' +p17771 +aS'joint\tjoint\tJJ\tI-NP\tO' +p17772 +aS'disease\tdisease\tNN\tI-NP\tO' +p17773 +aS'but\tbut\tCC\tO\tO' +p17774 +aS'no\tno\tDT\tB-NP\tO' +p17775 +aS'obvious\tobvious\tJJ\tI-NP\tO' +p17776 +aS'fracture\tfracture\tNN\tI-NP\tO' +p17777 +aS'.\t.\t.\tO\tO' +p17778 +asS"Pt was taken to Bridgewater Chelsea Soldier 's Home Hospital and started on unasyn IV ." +p17779 +(lp17780 +S'Pt\tPt\tNN\tB-NP\tO' +p17781 +aS'was\tbe\tVBD\tB-VP\tO' +p17782 +aS'taken\ttake\tVBN\tI-VP\tO' +p17783 +aS'to\tto\tTO\tB-PP\tO' +p17784 +aS'Bridgewater\tBridgewater\tNNP\tB-NP\tO' +p17785 +aS'Chelsea\tChelsea\tNNP\tI-NP\tO' +p17786 +aS'Soldier\tSoldier\tNNP\tI-NP\tO' +p17787 +aS"'s\t's\tPOS\tB-NP\tO" +p17788 +aS'Home\tHome\tNNP\tI-NP\tO' +p17789 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p17790 +aS'and\tand\tCC\tO\tO' +p17791 +aS'started\tstart\tVBN\tB-VP\tO' +p17792 +aS'on\ton\tIN\tB-PP\tO' +p17793 +aS'unasyn\tunasyn\tNN\tB-NP\tO' +p17794 +aS'IV\tIV\tCD\tI-NP\tO' +p17795 +aS'.\t.\t.\tO\tO' +p17796 +asS'A Neurology consult was obtained and it was felt that the most valuable intervention that could be done for the patient 's intervascular disease would be adequate control of her blood pressure .' +p17797 +(lp17798 +S'A\tA\tDT\tB-NP\tO' +p17799 +aS'Neurology\tNeurology\tNNP\tI-NP\tO' +p17800 +aS'consult\tconsult\tNN\tI-NP\tO' +p17801 +aS'was\tbe\tVBD\tB-VP\tO' +p17802 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p17803 +aS'and\tand\tCC\tO\tO' +p17804 +aS'it\tit\tPRP\tB-NP\tO' +p17805 +aS'was\tbe\tVBD\tB-VP\tO' +p17806 +aS'felt\tfeel\tVBN\tI-VP\tO' +p17807 +aS'that\tthat\tIN\tB-SBAR\tO' +p17808 +aS'the\tthe\tDT\tB-NP\tO' +p17809 +aS'most\tmost\tRBS\tI-NP\tO' +p17810 +aS'valuable\tvaluable\tJJ\tI-NP\tO' +p17811 +aS'intervention\tintervention\tNN\tI-NP\tO' +p17812 +aS'that\tthat\tWDT\tB-NP\tO' +p17813 +aS'could\tcould\tMD\tB-VP\tO' +p17814 +aS'be\tbe\tVB\tI-VP\tO' +p17815 +aS'done\tdo\tVBN\tI-VP\tO' +p17816 +aS'for\tfor\tIN\tB-PP\tO' +p17817 +aS'the\tthe\tDT\tB-NP\tO' +p17818 +aS'patient\tpatient\tNN\tI-NP\tO' +p17819 +aS''s\t'\tNNS\tI-NP\tO' +p17820 +aS'intervascular\tintervascular\tJJ\tB-NP\tO' +p17821 +aS'disease\tdisease\tNN\tI-NP\tO' +p17822 +aS'would\twould\tMD\tB-VP\tO' +p17823 +aS'be\tbe\tVB\tI-VP\tO' +p17824 +aS'adequate\tadequate\tJJ\tB-NP\tO' +p17825 +aS'control\tcontrol\tNN\tI-NP\tO' +p17826 +aS'of\tof\tIN\tB-PP\tO' +p17827 +aS'her\ther\tPRP$\tB-NP\tO' +p17828 +aS'blood\tblood\tNN\tI-NP\tO' +p17829 +aS'pressure\tpressure\tNN\tI-NP\tO' +p17830 +aS'.\t.\t.\tO\tO' +p17831 +asS'Discharged to a rehabilitation facility .' +p17832 +(lp17833 +S'Discharged\tDischarge\tVBN\tB-VP\tO' +p17834 +aS'to\tto\tTO\tB-PP\tO' +p17835 +aS'a\ta\tDT\tB-NP\tO' +p17836 +aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' +p17837 +aS'facility\tfacility\tNN\tI-NP\tO' +p17838 +aS'.\t.\t.\tO\tO' +p17839 +asS'There are no masses and the bowel sounds are present .' +p17840 +(lp17841 +S'There\tThere\tEX\tB-NP\tO' +p17842 +aS'are\tbe\tVBP\tB-VP\tO' +p17843 +aS'no\tno\tDT\tB-NP\tO' +p17844 +aS'masses\tmass\tNNS\tI-NP\tO' +p17845 +aS'and\tand\tCC\tO\tO' +p17846 +aS'the\tthe\tDT\tB-NP\tO' +p17847 +aS'bowel\tbowel\tNN\tI-NP\tO' +p17848 +aS'sounds\tsound\tNNS\tI-NP\tO' +p17849 +aS'are\tbe\tVBP\tB-VP\tO' +p17850 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p17851 +aS'.\t.\t.\tO\tO' +p17852 +asS'Spine straight with normal sacrum .' +p17853 +(lp17854 +S'Spine\tSpine\tNN\tB-NP\tO' +p17855 +aS'straight\tstraight\tRB\tB-ADVP\tO' +p17856 +aS'with\twith\tIN\tB-PP\tO' +p17857 +aS'normal\tnormal\tJJ\tB-NP\tO' +p17858 +aS'sacrum\tsacrum\tNN\tI-NP\tO' +p17859 +aS'.\t.\t.\tO\tO' +p17860 +asS'The oncology service was also consulted for patient and performed a bone marrow biopsy .' +p17861 +(lp17862 +S'The\tThe\tDT\tB-NP\tO' +p17863 +aS'oncology\toncology\tNN\tI-NP\tO' +p17864 +aS'service\tservice\tNN\tI-NP\tO' +p17865 +aS'was\tbe\tVBD\tB-VP\tO' +p17866 +aS'also\talso\tRB\tI-VP\tO' +p17867 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p17868 +aS'for\tfor\tIN\tB-PP\tO' +p17869 +aS'patient\tpatient\tNN\tB-NP\tO' +p17870 +aS'and\tand\tCC\tO\tO' +p17871 +aS'performed\tperform\tVBD\tB-VP\tO' +p17872 +aS'a\ta\tDT\tB-NP\tO' +p17873 +aS'bone\tbone\tNN\tI-NP\tO' +p17874 +aS'marrow\tmarrow\tNN\tI-NP\tO' +p17875 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p17876 +aS'.\t.\t.\tO\tO' +p17877 +asS'He had a good cardiac index off all inotropic medications and his Swan-Ganz catheter was discontinued .' +p17878 +(lp17879 +S'He\tHe\tPRP\tB-NP\tO' +p17880 +aS'had\thave\tVBD\tB-VP\tO' +p17881 +aS'a\ta\tDT\tB-NP\tO' +p17882 +aS'good\tgood\tJJ\tI-NP\tO' +p17883 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p17884 +aS'index\tindex\tNN\tI-NP\tO' +p17885 +aS'off\toff\tIN\tB-PP\tO' +p17886 +aS'all\tall\tDT\tB-NP\tO' +p17887 +aS'inotropic\tinotropic\tJJ\tI-NP\tO' +p17888 +aS'medications\tmedication\tNNS\tI-NP\tO' +p17889 +aS'and\tand\tCC\tO\tO' +p17890 +aS'his\this\tPRP$\tB-NP\tO' +p17891 +aS'Swan-Ganz\tSwan-Ganz\tNNP\tI-NP\tO' +p17892 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p17893 +aS'was\tbe\tVBD\tB-VP\tO' +p17894 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p17895 +aS'.\t.\t.\tO\tO' +p17896 +asS'in USOH until this am when felt LH and then ICD discharge .' +p17897 +(lp17898 +S'in\tin\tIN\tB-PP\tO' +p17899 +aS'USOH\tUSOH\tNN\tB-NP\tO' +p17900 +aS'until\tuntil\tIN\tB-PP\tO' +p17901 +aS'this\tthis\tDT\tB-NP\tO' +p17902 +aS'am\tam\tNN\tI-NP\tO' +p17903 +aS'when\twhen\tWRB\tB-ADVP\tO' +p17904 +aS'felt\tfeel\tVBD\tB-VP\tO' +p17905 +aS'LH\tLH\tNN\tB-NP\tO' +p17906 +aS'and\tand\tCC\tB-NP\tO' +p17907 +aS'then\tthen\tRB\tI-NP\tO' +p17908 +aS'ICD\tICD\tNN\tB-NP\tO' +p17909 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p17910 +aS'.\t.\t.\tO\tO' +p17911 +asS'regular rate and rhythm with a 2/6 diastolic ___ and a 1/6 systolic ejection murmur .' +p17912 +(lp17913 +S'regular\tregular\tJJ\tB-NP\tO' +p17914 +aS'rate\trate\tNN\tI-NP\tO' +p17915 +aS'and\tand\tCC\tI-NP\tO' +p17916 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p17917 +aS'with\twith\tIN\tB-PP\tO' +p17918 +aS'a\ta\tDT\tB-NP\tO' +p17919 +aS'2/6\t2/6\tCD\tI-NP\tO' +p17920 +aS'diastolic\tdiastolic\tJJ\tI-NP\tO' +p17921 +aS'___\t___\tNN\tI-NP\tO' +p17922 +aS'and\tand\tCC\tO\tO' +p17923 +aS'a\ta\tDT\tB-NP\tO' +p17924 +aS'1/6\t1/6\tCD\tI-NP\tO' +p17925 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p17926 +aS'ejection\tejection\tNN\tI-NP\tO' +p17927 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p17928 +aS'.\t.\t.\tO\tO' +p17929 +asS'2. Mitral commissurectomy .' +p17930 +(lp17931 +S'2.\t2.\tLS\tB-NP\tO' +p17932 +aS'Mitral\tMitral\tJJ\tI-NP\tO' +p17933 +aS'commissurectomy\tcommissurectomy\tNN\tI-NP\tO' +p17934 +aS'.\t.\t.\tO\tO' +p17935 +asS'Optimization of his fluid balance was managed by the medical service in consultation with hepatology and renal .' +p17936 +(lp17937 +S'Optimization\tOptimization\tNN\tB-NP\tO' +p17938 +aS'of\tof\tIN\tB-PP\tO' +p17939 +aS'his\this\tPRP$\tB-NP\tO' +p17940 +aS'fluid\tfluid\tNN\tI-NP\tO' +p17941 +aS'balance\tbalance\tNN\tI-NP\tO' +p17942 +aS'was\tbe\tVBD\tB-VP\tO' +p17943 +aS'managed\tmanage\tVBN\tI-VP\tO' +p17944 +aS'by\tby\tIN\tB-PP\tO' +p17945 +aS'the\tthe\tDT\tB-NP\tO' +p17946 +aS'medical\tmedical\tJJ\tI-NP\tO' +p17947 +aS'service\tservice\tNN\tI-NP\tO' +p17948 +aS'in\tin\tIN\tB-PP\tO' +p17949 +aS'consultation\tconsultation\tNN\tB-NP\tO' +p17950 +aS'with\twith\tIN\tB-PP\tO' +p17951 +aS'hepatology\thepatology\tNN\tB-NP\tO' +p17952 +aS'and\tand\tCC\tO\tO' +p17953 +aS'renal\trenal\tJJ\tB-ADJP\tO' +p17954 +aS'.\t.\t.\tO\tO' +p17955 +asS'Neurologic examination - he was unarousible and without sedation .' +p17956 +(lp17957 +S'Neurologic\tNeurologic\tJJ\tB-NP\tO' +p17958 +aS'examination\texamination\tNN\tI-NP\tO' +p17959 +aS'-\t-\tHYPH\tO\tO' +p17960 +aS'he\the\tPRP\tB-NP\tO' +p17961 +aS'was\tbe\tVBD\tB-VP\tO' +p17962 +aS'unarousible\tunarousible\tJJ\tB-ADJP\tO' +p17963 +aS'and\tand\tCC\tO\tO' +p17964 +aS'without\twithout\tIN\tB-PP\tO' +p17965 +aS'sedation\tsedation\tNN\tB-NP\tO' +p17966 +aS'.\t.\t.\tO\tO' +p17967 +asS'That area was resected with no evidence of metastatic disease .' +p17968 +(lp17969 +S'That\tThat\tDT\tB-NP\tO' +p17970 +aS'area\tarea\tNN\tI-NP\tO' +p17971 +aS'was\tbe\tVBD\tB-VP\tO' +p17972 +aS'resected\tresecte\tVBN\tI-VP\tO' +p17973 +aS'with\twith\tIN\tB-PP\tO' +p17974 +aS'no\tno\tDT\tB-NP\tO' +p17975 +aS'evidence\tevidence\tNN\tI-NP\tO' +p17976 +aS'of\tof\tIN\tB-PP\tO' +p17977 +aS'metastatic\tmetastatic\tJJ\tB-NP\tO' +p17978 +aS'disease\tdisease\tNN\tI-NP\tO' +p17979 +aS'.\t.\t.\tO\tO' +p17980 +asS'5. Hydromorphone 2 mg Tablet Sig : 1-2 Tablets PO Q4H ( every 4 hours ) as needed for pain .' +p17981 +(lp17982 +S'5.\t5.\tLS\tO\tO' +p17983 +aS'Hydromorphone\tHydromorphone\tNN\tB-NP\tO' +p17984 +aS'2\t2\tCD\tI-NP\tO' +p17985 +aS'mg\tmg\tNN\tI-NP\tO' +p17986 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p17987 +aS'Sig\tSig\tNNP\tI-NP\tO' +p17988 +aS':\t:\t:\tO\tO' +p17989 +aS'1-2\t1-2\tCD\tB-NP\tO' +p17990 +aS'Tablets\tTablet\tNNS\tI-NP\tO' +p17991 +aS'PO\tPO\tNN\tI-NP\tO' +p17992 +aS'Q4H\tQ4H\tNN\tI-NP\tO' +p17993 +aS'(\t(\t(\tO\tO' +p17994 +aS'every\tevery\tDT\tB-NP\tO' +p17995 +aS'4\t4\tCD\tI-NP\tO' +p17996 +aS'hours\thour\tNNS\tI-NP\tO' +p17997 +aS')\t)\t)\tO\tO' +p17998 +aS'as\tas\tIN\tB-SBAR\tO' +p17999 +aS'needed\tneed\tVBN\tB-VP\tO' +p18000 +aS'for\tfor\tIN\tB-PP\tO' +p18001 +aS'pain\tpain\tNN\tB-NP\tO' +p18002 +aS'.\t.\t.\tO\tO' +p18003 +asS'Cardiology consultation was obtained .' +p18004 +(lp18005 +S'Cardiology\tCardiology\tNN\tB-NP\tO' +p18006 +aS'consultation\tconsultation\tNN\tI-NP\tO' +p18007 +aS'was\tbe\tVBD\tB-VP\tO' +p18008 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p18009 +aS'.\t.\t.\tO\tO' +p18010 +asS'He is in sinus rhythm .' +p18011 +(lp18012 +S'He\tHe\tPRP\tB-NP\tO' +p18013 +aS'is\tbe\tVBZ\tB-VP\tO' +p18014 +aS'in\tin\tIN\tB-PP\tO' +p18015 +aS'sinus\tsinus\tNN\tB-NP\tO' +p18016 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p18017 +aS'.\t.\t.\tO\tO' +p18018 +asS'The skin is jaundiced .' +p18019 +(lp18020 +S'The\tThe\tDT\tB-NP\tO' +p18021 +aS'skin\tskin\tNN\tI-NP\tO' +p18022 +aS'is\tbe\tVBZ\tB-VP\tO' +p18023 +aS'jaundiced\tjaundice\tVBN\tI-VP\tO' +p18024 +aS'.\t.\t.\tO\tO' +p18025 +asS'Given his history and physical exam , Mr. Anders presented with an injury most consistent with meniscal tear .' +p18026 +(lp18027 +S'Given\tGive\tVBN\tB-PP\tO' +p18028 +aS'his\this\tPRP$\tB-NP\tO' +p18029 +aS'history\thistory\tNN\tI-NP\tO' +p18030 +aS'and\tand\tCC\tI-NP\tO' +p18031 +aS'physical\tphysical\tJJ\tI-NP\tO' +p18032 +aS'exam\texam\tNN\tI-NP\tO' +p18033 +aS',\t,\t,\tO\tO' +p18034 +aS'Mr.\tMr.\tNNP\tB-NP\tO' +p18035 +aS'Anders\tAnders\tNNP\tI-NP\tO' +p18036 +aS'presented\tpresent\tVBD\tB-VP\tO' +p18037 +aS'with\twith\tIN\tB-PP\tO' +p18038 +aS'an\tan\tDT\tB-NP\tO' +p18039 +aS'injury\tinjury\tNN\tI-NP\tO' +p18040 +aS'most\tmost\tRBS\tB-ADJP\tO' +p18041 +aS'consistent\tconsistent\tJJ\tI-ADJP\tO' +p18042 +aS'with\twith\tIN\tB-PP\tO' +p18043 +aS'meniscal\tmeniscal\tJJ\tB-NP\tO' +p18044 +aS'tear\ttear\tNN\tI-NP\tO' +p18045 +aS'.\t.\t.\tO\tO' +p18046 +asS"In brief , the patient is a 64 - year-old male with a significant history for coronary artery disease , status post three myocardial infarctions and also status post five vessel coronary artery bypass graft in ' 89 and status post multiple percutaneous transluminal coronary angioplasties who recently had a catheterization done in Mississippi and stent placed in 2013-03-24 ." +p18047 +(lp18048 +S'In\tIn\tIN\tB-PP\tO' +p18049 +aS'brief\tbrief\tNN\tB-NP\tO' +p18050 +aS',\t,\t,\tO\tO' +p18051 +aS'the\tthe\tDT\tB-NP\tO' +p18052 +aS'patient\tpatient\tNN\tI-NP\tO' +p18053 +aS'is\tbe\tVBZ\tB-VP\tO' +p18054 +aS'a\ta\tDT\tB-NP\tO' +p18055 +aS'64\t64\tCD\tI-NP\tO' +p18056 +aS'-\t-\tHYPH\tI-NP\tO' +p18057 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p18058 +aS'male\tmale\tNN\tI-NP\tO' +p18059 +aS'with\twith\tIN\tB-PP\tO' +p18060 +aS'a\ta\tDT\tB-NP\tO' +p18061 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p18062 +aS'history\thistory\tNN\tI-NP\tO' +p18063 +aS'for\tfor\tIN\tB-PP\tO' +p18064 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p18065 +aS'artery\tartery\tNN\tI-NP\tO' +p18066 +aS'disease\tdisease\tNN\tI-NP\tO' +p18067 +aS',\t,\t,\tO\tO' +p18068 +aS'status\tstatus\tNN\tB-NP\tO' +p18069 +aS'post\tpost\tVBD\tB-VP\tO' +p18070 +aS'three\tthree\tCD\tB-NP\tO' +p18071 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p18072 +aS'infarctions\tinfarction\tNNS\tI-NP\tO' +p18073 +aS'and\tand\tCC\tO\tO' +p18074 +aS'also\talso\tRB\tB-ADVP\tO' +p18075 +aS'status\tstatus\tNN\tB-NP\tO' +p18076 +aS'post\tpost\tIN\tB-PP\tO' +p18077 +aS'five\tfive\tCD\tB-NP\tO' +p18078 +aS'vessel\tvessel\tNN\tI-NP\tO' +p18079 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p18080 +aS'artery\tartery\tNN\tI-NP\tO' +p18081 +aS'bypass\tbypass\tIN\tB-PP\tO' +p18082 +aS'graft\tgraft\tNN\tB-NP\tO' +p18083 +aS'in\tin\tIN\tB-PP\tO' +p18084 +aS"'\t'\t``\tO\tO" +p18085 +aS'89\t89\tCD\tB-NP\tO' +p18086 +aS'and\tand\tCC\tO\tO' +p18087 +aS'status\tstatus\tNN\tB-NP\tO' +p18088 +aS'post\tpost\tVBP\tB-VP\tO' +p18089 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p18090 +aS'percutaneous\tpercutaneous\tJJ\tI-NP\tO' +p18091 +aS'transluminal\ttransluminal\tJJ\tI-NP\tO' +p18092 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p18093 +aS'angioplasties\tangioplasty\tNNS\tI-NP\tO' +p18094 +aS'who\twho\tWP\tB-NP\tO' +p18095 +aS'recently\trecently\tRB\tB-ADVP\tO' +p18096 +aS'had\thave\tVBD\tB-VP\tO' +p18097 +aS'a\ta\tDT\tB-NP\tO' +p18098 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p18099 +aS'done\tdo\tVBN\tB-VP\tO' +p18100 +aS'in\tin\tIN\tB-PP\tO' +p18101 +aS'Mississippi\tMississippi\tNNP\tB-NP\tO' +p18102 +aS'and\tand\tCC\tO\tO' +p18103 +aS'stent\tstent\tJJ\tB-NP\tO' +p18104 +aS'placed\tplace\tVBN\tB-VP\tO' +p18105 +aS'in\tin\tIN\tB-PP\tO' +p18106 +aS'2013-03-24\t2013-03-24\tCD\tB-NP\tO' +p18107 +aS'.\t.\t.\tO\tO' +p18108 +asS'postoperative day #5 .' +p18109 +(lp18110 +S'postoperative\tpostoperative\tJJ\tB-NP\tO' +p18111 +aS'day\tday\tNN\tI-NP\tO' +p18112 +aS'#5\t#5\tCD\tI-NP\tO' +p18113 +aS'.\t.\t.\tO\tO' +p18114 +asS'He was admitted to the neurology ICU for closer monitoring and was stable overnight - BP was initially elevated and required a labetalol drip for < 24 hours , then stabilized .' +p18115 +(lp18116 +S'He\tHe\tPRP\tB-NP\tO' +p18117 +aS'was\tbe\tVBD\tB-VP\tO' +p18118 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p18119 +aS'to\tto\tTO\tB-PP\tO' +p18120 +aS'the\tthe\tDT\tB-NP\tO' +p18121 +aS'neurology\tneurology\tNN\tI-NP\tO' +p18122 +aS'ICU\tICU\tNN\tI-NP\tO' +p18123 +aS'for\tfor\tIN\tB-PP\tO' +p18124 +aS'closer\tclose\tJJR\tB-NP\tO' +p18125 +aS'monitoring\tmonitoring\tNN\tI-NP\tO' +p18126 +aS'and\tand\tCC\tO\tO' +p18127 +aS'was\tbe\tVBD\tB-VP\tO' +p18128 +aS'stable\tstable\tJJ\tB-NP\tO' +p18129 +aS'overnight\tovernight\tJJ\tI-NP\tO' +p18130 +aS'-\t-\tHYPH\tI-NP\tO' +p18131 +aS'BP\tBP\tNN\tI-NP\tO' +p18132 +aS'was\tbe\tVBD\tB-VP\tO' +p18133 +aS'initially\tinitially\tRB\tI-VP\tO' +p18134 +aS'elevated\televate\tVBN\tI-VP\tO' +p18135 +aS'and\tand\tCC\tO\tO' +p18136 +aS'required\trequire\tVBD\tB-VP\tO' +p18137 +aS'a\ta\tDT\tB-NP\tO' +p18138 +aS'labetalol\tlabetalol\tNN\tI-NP\tO' +p18139 +aS'drip\tdrip\tNN\tI-NP\tO' +p18140 +aS'for\tfor\tIN\tB-PP\tO' +p18141 +aS'<\t<\tSYM\tB-NP\tO' +p18142 +aS'24\t24\tCD\tI-NP\tO' +p18143 +aS'hours\thour\tNNS\tI-NP\tO' +p18144 +aS',\t,\t,\tO\tO' +p18145 +aS'then\tthen\tRB\tB-ADVP\tO' +p18146 +aS'stabilized\tstabilize\tVBD\tB-VP\tO' +p18147 +aS'.\t.\t.\tO\tO' +p18148 +asS'Needs anticoagulation for 6 months for right common femoral artery deep venous thrombosis .' +p18149 +(lp18150 +S'Needs\tNeed\tNNS\tB-NP\tO' +p18151 +aS'anticoagulation\tanticoagulation\tNN\tI-NP\tO' +p18152 +aS'for\tfor\tIN\tB-PP\tO' +p18153 +aS'6\t6\tCD\tB-NP\tO' +p18154 +aS'months\tmonth\tNNS\tI-NP\tO' +p18155 +aS'for\tfor\tIN\tB-PP\tO' +p18156 +aS'right\tright\tJJ\tB-NP\tO' +p18157 +aS'common\tcommon\tJJ\tI-NP\tO' +p18158 +aS'femoral\tfemoral\tJJ\tI-NP\tO' +p18159 +aS'artery\tartery\tNN\tI-NP\tO' +p18160 +aS'deep\tdeep\tJJ\tI-NP\tO' +p18161 +aS'venous\tvenous\tJJ\tI-NP\tO' +p18162 +aS'thrombosis\tthrombosis\tNN\tI-NP\tO' +p18163 +aS'.\t.\t.\tO\tO' +p18164 +asS'No EKG changes , marijuana in urine , HCO3 22 .' +p18165 +(lp18166 +S'No\tNo\tDT\tB-NP\tO' +p18167 +aS'EKG\tEKG\tNN\tI-NP\tO' +p18168 +aS'changes\tchange\tNNS\tI-NP\tO' +p18169 +aS',\t,\t,\tO\tO' +p18170 +aS'marijuana\tmarijuana\tNN\tB-NP\tO' +p18171 +aS'in\tin\tIN\tB-PP\tO' +p18172 +aS'urine\turine\tNN\tB-NP\tO' +p18173 +aS',\t,\t,\tO\tO' +p18174 +aS'HCO3\tHCO3\tNN\tB-NP\tO' +p18175 +aS'22\t22\tCD\tI-NP\tO' +p18176 +aS'.\t.\t.\tO\tO' +p18177 +asS'It was nontender .' +p18178 +(lp18179 +S'It\tIt\tPRP\tB-NP\tO' +p18180 +aS'was\tbe\tVBD\tB-VP\tO' +p18181 +aS'nontender\tnontender\tJJ\tB-ADJP\tO' +p18182 +aS'.\t.\t.\tO\tO' +p18183 +asS'HYPERCALCEMIA .' +p18184 +(lp18185 +S'HYPERCALCEMIA\tHYPERCALCEMIA\tNN\tB-NP\tO' +p18186 +aS'.\t.\t.\tO\tO' +p18187 +asS"The need for further anti-coagulation was discussed with the patient 's attending , Dr. Coleman , and it was decided not to continue anti-coagulation due to increased risk of gastrointestinal bleeding ." +p18188 +(lp18189 +S'The\tThe\tDT\tB-NP\tO' +p18190 +aS'need\tneed\tNN\tI-NP\tO' +p18191 +aS'for\tfor\tIN\tB-PP\tO' +p18192 +aS'further\tfurther\tJJ\tB-NP\tO' +p18193 +aS'anti-coagulation\tanti-coagulation\tNN\tI-NP\tO' +p18194 +aS'was\tbe\tVBD\tB-VP\tO' +p18195 +aS'discussed\tdiscuss\tVBN\tI-VP\tO' +p18196 +aS'with\twith\tIN\tB-PP\tO' +p18197 +aS'the\tthe\tDT\tB-NP\tO' +p18198 +aS'patient\tpatient\tNN\tI-NP\tO' +p18199 +aS"'s\t's\tPOS\tB-NP\tO" +p18200 +aS'attending\tattend\tVBG\tI-NP\tO' +p18201 +aS',\t,\t,\tO\tO' +p18202 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p18203 +aS'Coleman\tColeman\tNNP\tI-NP\tO' +p18204 +aS',\t,\t,\tO\tO' +p18205 +aS'and\tand\tCC\tO\tO' +p18206 +aS'it\tit\tPRP\tB-NP\tO' +p18207 +aS'was\tbe\tVBD\tB-VP\tO' +p18208 +aS'decided\tdecide\tVBN\tI-VP\tO' +p18209 +aS'not\tnot\tRB\tO\tO' +p18210 +aS'to\tto\tTO\tB-VP\tO' +p18211 +aS'continue\tcontinue\tVB\tI-VP\tO' +p18212 +aS'anti-coagulation\tanti-coagulation\tNN\tB-NP\tO' +p18213 +aS'due\tdue\tJJ\tB-PP\tO' +p18214 +aS'to\tto\tTO\tB-PP\tO' +p18215 +aS'increased\tincrease\tVBN\tB-NP\tO' +p18216 +aS'risk\trisk\tNN\tI-NP\tO' +p18217 +aS'of\tof\tIN\tB-PP\tO' +p18218 +aS'gastrointestinal\tgastrointestinal\tJJ\tB-NP\tO' +p18219 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p18220 +aS'.\t.\t.\tO\tO' +p18221 +asS'The patient lives alone in Woburn .' +p18222 +(lp18223 +S'The\tThe\tDT\tB-NP\tO' +p18224 +aS'patient\tpatient\tNN\tI-NP\tO' +p18225 +aS'lives\tlive\tVBZ\tB-VP\tO' +p18226 +aS'alone\talone\tRB\tB-ADVP\tO' +p18227 +aS'in\tin\tIN\tB-PP\tO' +p18228 +aS'Woburn\tWoburn\tNNP\tB-NP\tO' +p18229 +aS'.\t.\t.\tO\tO' +p18230 +asS'He is being transferred to the floor for ongoing care .' +p18231 +(lp18232 +S'He\tHe\tPRP\tB-NP\tO' +p18233 +aS'is\tbe\tVBZ\tB-VP\tO' +p18234 +aS'being\tbe\tVBG\tI-VP\tO' +p18235 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p18236 +aS'to\tto\tTO\tB-PP\tO' +p18237 +aS'the\tthe\tDT\tB-NP\tO' +p18238 +aS'floor\tfloor\tNN\tI-NP\tO' +p18239 +aS'for\tfor\tIN\tB-PP\tO' +p18240 +aS'ongoing\tongoing\tJJ\tB-NP\tO' +p18241 +aS'care\tcare\tNN\tI-NP\tO' +p18242 +aS'.\t.\t.\tO\tO' +p18243 +asS'Rate of 91 , first degree AV block , intervals .22 , .92 , .36 , with left ventricular hypertrophy .' +p18244 +(lp18245 +S'Rate\tRate\tNN\tB-NP\tO' +p18246 +aS'of\tof\tIN\tB-PP\tO' +p18247 +aS'91\t91\tCD\tB-NP\tO' +p18248 +aS',\t,\t,\tO\tO' +p18249 +aS'first\tfirst\tJJ\tB-NP\tO' +p18250 +aS'degree\tdegree\tNN\tI-NP\tO' +p18251 +aS'AV\tAV\tNN\tI-NP\tO' +p18252 +aS'block\tblock\tNN\tI-NP\tO' +p18253 +aS',\t,\t,\tO\tO' +p18254 +aS'intervals\tinterval\tNNS\tB-NP\tO' +p18255 +aS'.22\t.22\tCD\tI-NP\tO' +p18256 +aS',\t,\t,\tI-NP\tO' +p18257 +aS'.92\t.92\tCD\tI-NP\tO' +p18258 +aS',\t,\t,\tI-NP\tO' +p18259 +aS'.36\t.36\tCD\tI-NP\tO' +p18260 +aS',\t,\t,\tO\tO' +p18261 +aS'with\twith\tIN\tB-PP\tO' +p18262 +aS'left\tleft\tJJ\tB-NP\tO' +p18263 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p18264 +aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' +p18265 +aS'.\t.\t.\tO\tO' +p18266 +asS'An additional CT scan was obtained on hospital day three .' +p18267 +(lp18268 +S'An\tAn\tDT\tB-NP\tO' +p18269 +aS'additional\tadditional\tJJ\tI-NP\tO' +p18270 +aS'CT\tCT\tNN\tI-NP\tO' +p18271 +aS'scan\tscan\tNN\tI-NP\tO' +p18272 +aS'was\tbe\tVBD\tB-VP\tO' +p18273 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p18274 +aS'on\ton\tIN\tB-PP\tO' +p18275 +aS'hospital\thospital\tNN\tB-NP\tO' +p18276 +aS'day\tday\tNN\tI-NP\tO' +p18277 +aS'three\tthree\tCD\tI-NP\tO' +p18278 +aS'.\t.\t.\tO\tO' +p18279 +asS'LEFT ANTERIOR TEMPORAL INTRAPARENCHYMAL HEMORRHAGE .' +p18280 +(lp18281 +S'LEFT\tLEFT\tNN\tB-NP\tO' +p18282 +aS'ANTERIOR\tANTERIOR\tNN\tI-NP\tO' +p18283 +aS'TEMPORAL\tTEMPORAL\tNN\tI-NP\tO' +p18284 +aS'INTRAPARENCHYMAL\tINTRAPARENCHYMAL\tNN\tI-NP\tO' +p18285 +aS'HEMORRHAGE\tHEMORRHAGE\tNN\tI-NP\tO' +p18286 +aS'.\t.\t.\tO\tO' +p18287 +asS'Serial KUBs revealed nonspecific changes with dilated loops .' +p18288 +(lp18289 +S'Serial\tSerial\tJJ\tB-NP\tO' +p18290 +aS'KUBs\tKUB\tNNS\tI-NP\tO' +p18291 +aS'revealed\treveal\tVBD\tB-VP\tO' +p18292 +aS'nonspecific\tnonspecific\tJJ\tB-NP\tO' +p18293 +aS'changes\tchange\tNNS\tI-NP\tO' +p18294 +aS'with\twith\tIN\tB-PP\tO' +p18295 +aS'dilated\tdilated\tJJ\tB-NP\tO' +p18296 +aS'loops\tloop\tNNS\tI-NP\tO' +p18297 +aS'.\t.\t.\tO\tO' +p18298 +asS"Before this age and for the first 24 months of the infant 's life , immunization against influenza is recommended for household contacts and out of home caregivers ." +p18299 +(lp18300 +S'Before\tBefore\tIN\tB-SBAR\tO' +p18301 +aS'this\tthis\tDT\tB-NP\tO' +p18302 +aS'age\tage\tNN\tI-NP\tO' +p18303 +aS'and\tand\tCC\tB-PP\tO' +p18304 +aS'for\tfor\tIN\tB-PP\tO' +p18305 +aS'the\tthe\tDT\tB-NP\tO' +p18306 +aS'first\tfirst\tJJ\tI-NP\tO' +p18307 +aS'24\t24\tCD\tI-NP\tO' +p18308 +aS'months\tmonth\tNNS\tI-NP\tO' +p18309 +aS'of\tof\tIN\tB-PP\tO' +p18310 +aS'the\tthe\tDT\tB-NP\tO' +p18311 +aS'infant\tinfant\tNN\tI-NP\tO' +p18312 +aS"'s\t's\tPOS\tB-NP\tO" +p18313 +aS'life\tlife\tNN\tI-NP\tO' +p18314 +aS',\t,\t,\tO\tO' +p18315 +aS'immunization\timmunization\tNN\tB-NP\tO' +p18316 +aS'against\tagainst\tIN\tB-PP\tO' +p18317 +aS'influenza\tinfluenza\tNN\tB-NP\tO' +p18318 +aS'is\tbe\tVBZ\tB-VP\tO' +p18319 +aS'recommended\trecommend\tVBN\tI-VP\tO' +p18320 +aS'for\tfor\tIN\tB-PP\tO' +p18321 +aS'household\thousehold\tNN\tB-NP\tO' +p18322 +aS'contacts\tcontact\tNNS\tI-NP\tO' +p18323 +aS'and\tand\tCC\tB-PP\tO' +p18324 +aS'out\tout\tIN\tB-PP\tO' +p18325 +aS'of\tof\tIN\tB-PP\tO' +p18326 +aS'home\thome\tNN\tB-NP\tO' +p18327 +aS'caregivers\tcaregiver\tNNS\tI-NP\tO' +p18328 +aS'.\t.\t.\tO\tO' +p18329 +asS'She also had some black , tarry stool in her colostomy bag .' +p18330 +(lp18331 +S'She\tShe\tPRP\tB-NP\tO' +p18332 +aS'also\talso\tRB\tB-ADVP\tO' +p18333 +aS'had\thave\tVBD\tB-VP\tO' +p18334 +aS'some\tsome\tDT\tB-NP\tO' +p18335 +aS'black\tblack\tJJ\tI-NP\tO' +p18336 +aS',\t,\t,\tI-NP\tO' +p18337 +aS'tarry\ttarry\tJJ\tI-NP\tO' +p18338 +aS'stool\tstool\tNN\tI-NP\tO' +p18339 +aS'in\tin\tIN\tB-PP\tO' +p18340 +aS'her\ther\tPRP$\tB-NP\tO' +p18341 +aS'colostomy\tcolostomy\tNN\tI-NP\tO' +p18342 +aS'bag\tbag\tNN\tI-NP\tO' +p18343 +aS'.\t.\t.\tO\tO' +p18344 +asS'3. Unconjugated hyperbilirubinemia .' +p18345 +(lp18346 +S'3.\t3.\tLS\tB-NP\tO' +p18347 +aS'Unconjugated\tUnconjugated\tJJ\tI-NP\tO' +p18348 +aS'hyperbilirubinemia\thyperbilirubinemia\tNN\tI-NP\tO' +p18349 +aS'.\t.\t.\tO\tO' +p18350 +asS'Sclera were anicteric .' +p18351 +(lp18352 +S'Sclera\tSclera\tNNP\tB-NP\tO' +p18353 +aS'were\tbe\tVBD\tB-VP\tO' +p18354 +aS'anicteric\tanicteric\tJJ\tB-ADJP\tO' +p18355 +aS'.\t.\t.\tO\tO' +p18356 +asS'Head CT was done with final results pending on discharge .' +p18357 +(lp18358 +S'Head\tHead\tNN\tB-NP\tO' +p18359 +aS'CT\tCT\tNN\tI-NP\tO' +p18360 +aS'was\tbe\tVBD\tB-VP\tO' +p18361 +aS'done\tdo\tVBN\tI-VP\tO' +p18362 +aS'with\twith\tIN\tB-PP\tO' +p18363 +aS'final\tfinal\tJJ\tB-NP\tO' +p18364 +aS'results\tresult\tNNS\tI-NP\tO' +p18365 +aS'pending\tpende\tVBG\tB-VP\tO' +p18366 +aS'on\ton\tIN\tB-PP\tO' +p18367 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p18368 +aS'.\t.\t.\tO\tO' +p18369 +asS'No driving while taking pain medications .' +p18370 +(lp18371 +S'No\tNo\tDT\tB-NP\tO' +p18372 +aS'driving\tdriving\tNN\tI-NP\tO' +p18373 +aS'while\twhile\tIN\tB-SBAR\tO' +p18374 +aS'taking\ttake\tVBG\tB-VP\tO' +p18375 +aS'pain\tpain\tNN\tB-NP\tO' +p18376 +aS'medications\tmedication\tNNS\tI-NP\tO' +p18377 +aS'.\t.\t.\tO\tO' +p18378 +asS'The patient is a 73 year old male with a recent history of paroxysmal atrial fibrillation and hypercholesterolemia who presented to the Emergency Department with the chief complaint of syncope .' +p18379 +(lp18380 +S'The\tThe\tDT\tB-NP\tO' +p18381 +aS'patient\tpatient\tNN\tI-NP\tO' +p18382 +aS'is\tbe\tVBZ\tB-VP\tO' +p18383 +aS'a\ta\tDT\tB-NP\tO' +p18384 +aS'73\t73\tCD\tI-NP\tO' +p18385 +aS'year\tyear\tNN\tI-NP\tO' +p18386 +aS'old\told\tJJ\tI-NP\tO' +p18387 +aS'male\tmale\tNN\tI-NP\tO' +p18388 +aS'with\twith\tIN\tB-PP\tO' +p18389 +aS'a\ta\tDT\tB-NP\tO' +p18390 +aS'recent\trecent\tJJ\tI-NP\tO' +p18391 +aS'history\thistory\tNN\tI-NP\tO' +p18392 +aS'of\tof\tIN\tB-PP\tO' +p18393 +aS'paroxysmal\tparoxysmal\tJJ\tB-NP\tO' +p18394 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p18395 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p18396 +aS'and\tand\tCC\tI-NP\tO' +p18397 +aS'hypercholesterolemia\thypercholesterolemia\tNN\tI-NP\tO' +p18398 +aS'who\twho\tWP\tB-NP\tO' +p18399 +aS'presented\tpresent\tVBD\tB-VP\tO' +p18400 +aS'to\tto\tTO\tB-PP\tO' +p18401 +aS'the\tthe\tDT\tB-NP\tO' +p18402 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p18403 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p18404 +aS'with\twith\tIN\tB-PP\tO' +p18405 +aS'the\tthe\tDT\tB-NP\tO' +p18406 +aS'chief\tchief\tJJ\tI-NP\tO' +p18407 +aS'complaint\tcomplaint\tNN\tI-NP\tO' +p18408 +aS'of\tof\tIN\tB-PP\tO' +p18409 +aS'syncope\tsyncope\tNN\tB-NP\tO' +p18410 +aS'.\t.\t.\tO\tO' +p18411 +asS'There was no HSM .' +p18412 +(lp18413 +S'There\tThere\tEX\tB-NP\tO' +p18414 +aS'was\tbe\tVBD\tB-VP\tO' +p18415 +aS'no\tno\tDT\tB-NP\tO' +p18416 +aS'HSM\tHSM\tNN\tI-NP\tB-protein' +p18417 +aS'.\t.\t.\tO\tO' +p18418 +asS'She was hemodynamically stable and remained on the ventilator .' +p18419 +(lp18420 +S'She\tShe\tPRP\tB-NP\tO' +p18421 +aS'was\tbe\tVBD\tB-VP\tO' +p18422 +aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' +p18423 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p18424 +aS'and\tand\tCC\tO\tO' +p18425 +aS'remained\tremain\tVBD\tB-VP\tO' +p18426 +aS'on\ton\tIN\tB-PP\tO' +p18427 +aS'the\tthe\tDT\tB-NP\tO' +p18428 +aS'ventilator\tventilator\tNN\tI-NP\tO' +p18429 +aS'.\t.\t.\tO\tO' +p18430 +asS'However , with persistent abdomen distention , there is likely restrictive deficit and , in addition , after each tap , he at times became hypotensive and with some mild fluid resuscitation decompensated with pulmonary edema , requiring both albumin and Lasix to try to mobilize third space fluids .' +p18431 +(lp18432 +S'However\tHowever\tRB\tB-ADVP\tO' +p18433 +aS',\t,\t,\tO\tO' +p18434 +aS'with\twith\tIN\tB-PP\tO' +p18435 +aS'persistent\tpersistent\tJJ\tB-NP\tO' +p18436 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p18437 +aS'distention\tdistention\tNN\tI-NP\tO' +p18438 +aS',\t,\t,\tO\tO' +p18439 +aS'there\tthere\tEX\tB-NP\tO' +p18440 +aS'is\tbe\tVBZ\tB-VP\tO' +p18441 +aS'likely\tlikely\tJJ\tB-NP\tO' +p18442 +aS'restrictive\trestrictive\tJJ\tI-NP\tO' +p18443 +aS'deficit\tdeficit\tNN\tI-NP\tO' +p18444 +aS'and\tand\tCC\tO\tO' +p18445 +aS',\t,\t,\tO\tO' +p18446 +aS'in\tin\tIN\tB-PP\tO' +p18447 +aS'addition\taddition\tNN\tB-NP\tO' +p18448 +aS',\t,\t,\tO\tO' +p18449 +aS'after\tafter\tIN\tB-SBAR\tO' +p18450 +aS'each\teach\tDT\tB-NP\tO' +p18451 +aS'tap\ttap\tNN\tI-NP\tB-protein' +p18452 +aS',\t,\t,\tO\tO' +p18453 +aS'he\the\tPRP\tB-NP\tO' +p18454 +aS'at\tat\tIN\tB-PP\tO' +p18455 +aS'times\ttime\tNNS\tB-NP\tO' +p18456 +aS'became\tbecome\tVBD\tB-VP\tO' +p18457 +aS'hypotensive\thypotensive\tJJ\tB-ADJP\tO' +p18458 +aS'and\tand\tCC\tO\tO' +p18459 +aS'with\twith\tIN\tB-PP\tO' +p18460 +aS'some\tsome\tDT\tB-NP\tO' +p18461 +aS'mild\tmild\tJJ\tI-NP\tO' +p18462 +aS'fluid\tfluid\tNN\tI-NP\tO' +p18463 +aS'resuscitation\tresuscitation\tNN\tI-NP\tO' +p18464 +aS'decompensated\tdecompensate\tVBN\tB-VP\tO' +p18465 +aS'with\twith\tIN\tB-PP\tO' +p18466 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p18467 +aS'edema\tedema\tNN\tI-NP\tO' +p18468 +aS',\t,\t,\tO\tO' +p18469 +aS'requiring\trequire\tVBG\tB-VP\tO' +p18470 +aS'both\tboth\tCC\tO\tO' +p18471 +aS'albumin\talbumin\tNN\tB-NP\tO' +p18472 +aS'and\tand\tCC\tI-NP\tO' +p18473 +aS'Lasix\tLasix\tNN\tI-NP\tO' +p18474 +aS'to\tto\tTO\tB-VP\tO' +p18475 +aS'try\ttry\tVB\tI-VP\tO' +p18476 +aS'to\tto\tTO\tI-VP\tO' +p18477 +aS'mobilize\tmobilize\tVB\tI-VP\tO' +p18478 +aS'third\tthird\tJJ\tB-NP\tO' +p18479 +aS'space\tspace\tNN\tI-NP\tO' +p18480 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p18481 +aS'.\t.\t.\tO\tO' +p18482 +asS'Furthermore there was a mass on the right pectoralis muscle which is supposed to be metastatic cancer .' +p18483 +(lp18484 +S'Furthermore\tFurthermore\tRB\tB-ADVP\tO' +p18485 +aS'there\tthere\tEX\tB-NP\tO' +p18486 +aS'was\tbe\tVBD\tB-VP\tO' +p18487 +aS'a\ta\tDT\tB-NP\tO' +p18488 +aS'mass\tmass\tNN\tI-NP\tO' +p18489 +aS'on\ton\tIN\tB-PP\tO' +p18490 +aS'the\tthe\tDT\tB-NP\tO' +p18491 +aS'right\tright\tJJ\tI-NP\tO' +p18492 +aS'pectoralis\tpectoralis\tNN\tI-NP\tO' +p18493 +aS'muscle\tmuscle\tNN\tI-NP\tO' +p18494 +aS'which\twhich\tWDT\tB-NP\tO' +p18495 +aS'is\tbe\tVBZ\tB-VP\tO' +p18496 +aS'supposed\tsuppose\tVBN\tI-VP\tO' +p18497 +aS'to\tto\tTO\tI-VP\tO' +p18498 +aS'be\tbe\tVB\tI-VP\tO' +p18499 +aS'metastatic\tmetastatic\tJJ\tB-NP\tO' +p18500 +aS'cancer\tcancer\tNN\tI-NP\tO' +p18501 +aS'.\t.\t.\tO\tO' +p18502 +asS'L.F. Quigley Memorial Hospital & Rehab Center - Berkshire Medical Center' +p18503 +(lp18504 +S'L.F.\tL.F.\tNNP\tB-NP\tO' +p18505 +aS'Quigley\tQuigley\tNNP\tI-NP\tO' +p18506 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p18507 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p18508 +aS'&\t&\tCC\tI-NP\tO' +p18509 +aS'Rehab\tRehab\tNNP\tI-NP\tO' +p18510 +aS'Center\tCenter\tNNP\tI-NP\tO' +p18511 +aS'-\t-\tHYPH\tB-NP\tO' +p18512 +aS'Berkshire\tBerkshire\tNNP\tI-NP\tO' +p18513 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p18514 +aS'Center\tCenter\tNNP\tI-NP\tO' +p18515 +asS'The physical examination reveals him to be an elderly gentleman who is alert and oriented and in no acute distress .' +p18516 +(lp18517 +S'The\tThe\tDT\tB-NP\tO' +p18518 +aS'physical\tphysical\tJJ\tI-NP\tO' +p18519 +aS'examination\texamination\tNN\tI-NP\tO' +p18520 +aS'reveals\treveal\tVBZ\tB-VP\tO' +p18521 +aS'him\thim\tPRP\tB-NP\tO' +p18522 +aS'to\tto\tTO\tB-VP\tO' +p18523 +aS'be\tbe\tVB\tI-VP\tO' +p18524 +aS'an\tan\tDT\tB-NP\tO' +p18525 +aS'elderly\telderly\tJJ\tI-NP\tO' +p18526 +aS'gentleman\tgentleman\tNN\tI-NP\tO' +p18527 +aS'who\twho\tWP\tB-NP\tO' +p18528 +aS'is\tbe\tVBZ\tB-VP\tO' +p18529 +aS'alert\talert\tJJ\tB-ADJP\tO' +p18530 +aS'and\tand\tCC\tO\tO' +p18531 +aS'oriented\torient\tVBN\tB-VP\tO' +p18532 +aS'and\tand\tCC\tO\tO' +p18533 +aS'in\tin\tIN\tB-PP\tO' +p18534 +aS'no\tno\tDT\tB-NP\tO' +p18535 +aS'acute\tacute\tJJ\tI-NP\tO' +p18536 +aS'distress\tdistress\tNN\tI-NP\tO' +p18537 +aS'.\t.\t.\tO\tO' +p18538 +asS'Abdominally , he does have his midabdominal incision with good approximated margins and stay sutures in place .' +p18539 +(lp18540 +S'Abdominally\tAbdominally\tRB\tB-ADVP\tO' +p18541 +aS',\t,\t,\tO\tO' +p18542 +aS'he\the\tPRP\tB-NP\tO' +p18543 +aS'does\tdo\tVBZ\tB-VP\tO' +p18544 +aS'have\thave\tVB\tI-VP\tO' +p18545 +aS'his\this\tPRP$\tB-NP\tO' +p18546 +aS'midabdominal\tmidabdominal\tJJ\tI-NP\tO' +p18547 +aS'incision\tincision\tNN\tI-NP\tO' +p18548 +aS'with\twith\tIN\tB-PP\tO' +p18549 +aS'good\tgood\tJJ\tB-NP\tB-protein' +p18550 +aS'approximated\tapproximate\tVBN\tI-NP\tI-protein' +p18551 +aS'margins\tmargin\tNNS\tI-NP\tI-protein' +p18552 +aS'and\tand\tCC\tO\tO' +p18553 +aS'stay\tstay\tVB\tB-VP\tO' +p18554 +aS'sutures\tsuture\tNNS\tB-NP\tO' +p18555 +aS'in\tin\tIN\tB-PP\tO' +p18556 +aS'place\tplace\tNN\tB-NP\tO' +p18557 +aS'.\t.\t.\tO\tO' +p18558 +asS'The abdomen was soft , nontender , no masses and nondistended .' +p18559 +(lp18560 +S'The\tThe\tDT\tB-NP\tO' +p18561 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p18562 +aS'was\tbe\tVBD\tB-VP\tO' +p18563 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p18564 +aS',\t,\t,\tO\tO' +p18565 +aS'nontender\tnontender\tJJ\tB-ADJP\tO' +p18566 +aS',\t,\t,\tO\tO' +p18567 +aS'no\tno\tDT\tB-NP\tO' +p18568 +aS'masses\tmass\tNNS\tI-NP\tO' +p18569 +aS'and\tand\tCC\tO\tO' +p18570 +aS'nondistended\tnondistended\tJJ\tB-ADJP\tO' +p18571 +aS'.\t.\t.\tO\tO' +p18572 +asS'3. Acne .' +p18573 +(lp18574 +S'3.\t3.\tLS\tB-LST\tO' +p18575 +aS'Acne\tAcne\tNNP\tB-NP\tO' +p18576 +aS'.\t.\t.\tO\tO' +p18577 +asS'Temperature 96.8 , heart rate 81 , blood pressure 92/47 , and saturating 100% on 40% FIO2 .' +p18578 +(lp18579 +S'Temperature\tTemperature\tNN\tB-NP\tB-protein' +p18580 +aS'96.8\t96.8\tCD\tI-NP\tI-protein' +p18581 +aS',\t,\t,\tO\tO' +p18582 +aS'heart\theart\tNN\tB-NP\tO' +p18583 +aS'rate\trate\tNN\tI-NP\tO' +p18584 +aS'81\t81\tCD\tI-NP\tO' +p18585 +aS',\t,\t,\tO\tO' +p18586 +aS'blood\tblood\tNN\tB-NP\tO' +p18587 +aS'pressure\tpressure\tNN\tI-NP\tO' +p18588 +aS'92/47\t92/47\tCD\tI-NP\tO' +p18589 +aS',\t,\t,\tO\tO' +p18590 +aS'and\tand\tCC\tO\tO' +p18591 +aS'saturating\tsaturate\tVBG\tB-VP\tO' +p18592 +aS'100%\t100%\tCD\tB-NP\tO' +p18593 +aS'on\ton\tIN\tB-PP\tO' +p18594 +aS'40%\t40%\tJJ\tB-NP\tB-protein' +p18595 +aS'FIO2\tFIO2\tNN\tI-NP\tI-protein' +p18596 +aS'.\t.\t.\tO\tO' +p18597 +asS'10. Calcium carbonate 125.0 mg t.i.d.' +p18598 +(lp18599 +S'10.\t10.\tLS\tB-NP\tO' +p18600 +aS'Calcium\tCalcium\tNN\tI-NP\tO' +p18601 +aS'carbonate\tcarbonate\tNN\tI-NP\tO' +p18602 +aS'125.0\t125.0\tCD\tI-NP\tO' +p18603 +aS'mg\tmg\tNN\tI-NP\tO' +p18604 +aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' +p18605 +asS'- plan to restart Paxil when taking PO' +p18606 +(lp18607 +S'-\t-\tHYPH\tB-NP\tO' +p18608 +aS'plan\tplan\tNN\tI-NP\tO' +p18609 +aS'to\tto\tTO\tB-VP\tO' +p18610 +aS'restart\trestart\tVB\tI-VP\tO' +p18611 +aS'Paxil\tPaxil\tNNP\tB-NP\tB-protein' +p18612 +aS'when\twhen\tWRB\tB-ADVP\tI-protein' +p18613 +aS'taking\ttake\tVBG\tB-VP\tI-protein' +p18614 +aS'PO\tPO\tNN\tB-NP\tI-protein' +p18615 +asS'The cardiology service saw the patient and recommended medical management only without catheterization .' +p18616 +(lp18617 +S'The\tThe\tDT\tB-NP\tO' +p18618 +aS'cardiology\tcardiology\tNN\tI-NP\tO' +p18619 +aS'service\tservice\tNN\tI-NP\tO' +p18620 +aS'saw\tsee\tVBD\tB-VP\tO' +p18621 +aS'the\tthe\tDT\tB-NP\tO' +p18622 +aS'patient\tpatient\tNN\tI-NP\tO' +p18623 +aS'and\tand\tCC\tO\tO' +p18624 +aS'recommended\trecommend\tVBD\tB-VP\tO' +p18625 +aS'medical\tmedical\tJJ\tB-NP\tO' +p18626 +aS'management\tmanagement\tNN\tI-NP\tO' +p18627 +aS'only\tonly\tRB\tB-ADVP\tO' +p18628 +aS'without\twithout\tIN\tB-PP\tO' +p18629 +aS'catheterization\tcatheterization\tNN\tB-NP\tO' +p18630 +aS'.\t.\t.\tO\tO' +p18631 +asS'1. Docusate Sodium 100 mg Capsule Sig : One ( 1 ) Capsule PO BID ( 2 times a day ) as needed for constipation .' +p18632 +(lp18633 +S'1.\t1.\tLS\tB-NP\tO' +p18634 +aS'Docusate\tDocusate\tNN\tI-NP\tO' +p18635 +aS'Sodium\tSodium\tNN\tI-NP\tO' +p18636 +aS'100\t100\tCD\tI-NP\tO' +p18637 +aS'mg\tmg\tNN\tI-NP\tO' +p18638 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p18639 +aS'Sig\tSig\tNNP\tI-NP\tO' +p18640 +aS':\t:\t:\tO\tO' +p18641 +aS'One\tOne\tCD\tB-NP\tO' +p18642 +aS'(\t(\t(\tO\tO' +p18643 +aS'1\t1\tCD\tB-NP\tO' +p18644 +aS')\t)\t)\tO\tO' +p18645 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p18646 +aS'PO\tPO\tNNP\tI-NP\tO' +p18647 +aS'BID\tBID\tNNP\tI-NP\tO' +p18648 +aS'(\t(\t(\tO\tO' +p18649 +aS'2\t2\tCD\tB-NP\tO' +p18650 +aS'times\ttime\tNNS\tI-NP\tO' +p18651 +aS'a\ta\tDT\tB-NP\tO' +p18652 +aS'day\tday\tNN\tI-NP\tO' +p18653 +aS')\t)\t)\tO\tO' +p18654 +aS'as\tas\tIN\tB-SBAR\tO' +p18655 +aS'needed\tneed\tVBN\tB-VP\tO' +p18656 +aS'for\tfor\tIN\tB-PP\tO' +p18657 +aS'constipation\tconstipation\tNN\tB-NP\tO' +p18658 +aS'.\t.\t.\tO\tO' +p18659 +asS'He also has history of hypertension , high cholesterol and noninsulin dependent diabetes mellitus .' +p18660 +(lp18661 +S'He\tHe\tPRP\tB-NP\tO' +p18662 +aS'also\talso\tRB\tB-ADVP\tO' +p18663 +aS'has\thave\tVBZ\tB-VP\tO' +p18664 +aS'history\thistory\tNN\tB-NP\tO' +p18665 +aS'of\tof\tIN\tB-PP\tO' +p18666 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p18667 +aS',\t,\t,\tO\tO' +p18668 +aS'high\thigh\tJJ\tB-NP\tO' +p18669 +aS'cholesterol\tcholesterol\tNN\tI-NP\tO' +p18670 +aS'and\tand\tCC\tO\tO' +p18671 +aS'noninsulin\tnoninsulin\tNN\tB-NP\tO' +p18672 +aS'dependent\tdependent\tJJ\tI-NP\tO' +p18673 +aS'diabetes\tdiabete\tNNS\tI-NP\tO' +p18674 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p18675 +aS'.\t.\t.\tO\tO' +p18676 +asS'The patient was continued on steroids throughout the course of her stay .' +p18677 +(lp18678 +S'The\tThe\tDT\tB-NP\tO' +p18679 +aS'patient\tpatient\tNN\tI-NP\tO' +p18680 +aS'was\tbe\tVBD\tB-VP\tO' +p18681 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p18682 +aS'on\ton\tIN\tB-PP\tO' +p18683 +aS'steroids\tsteroid\tNNS\tB-NP\tO' +p18684 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p18685 +aS'the\tthe\tDT\tB-NP\tO' +p18686 +aS'course\tcourse\tNN\tI-NP\tO' +p18687 +aS'of\tof\tIN\tB-PP\tO' +p18688 +aS'her\ther\tPRP$\tB-NP\tO' +p18689 +aS'stay\tstay\tNN\tI-NP\tO' +p18690 +aS'.\t.\t.\tO\tO' +p18691 +asS'6. Heparin Lock Flush 10 unit / mL Daily as needed .' +p18692 +(lp18693 +S'6.\t6.\tLS\tB-LST\tO' +p18694 +aS'Heparin\tHeparin\tNNP\tB-NP\tO' +p18695 +aS'Lock\tLock\tNNP\tI-NP\tO' +p18696 +aS'Flush\tFlush\tNNP\tI-NP\tO' +p18697 +aS'10\t10\tCD\tI-NP\tO' +p18698 +aS'unit\tunit\tNN\tI-NP\tO' +p18699 +aS'/\t/\tSYM\tB-NP\tO' +p18700 +aS'mL\tmL\tNN\tI-NP\tO' +p18701 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p18702 +aS'as\tas\tIN\tB-SBAR\tO' +p18703 +aS'needed\tneed\tVBN\tB-VP\tO' +p18704 +aS'.\t.\t.\tO\tO' +p18705 +asS'History of hepatic encephalopathy .' +p18706 +(lp18707 +S'History\tHistory\tNN\tB-NP\tO' +p18708 +aS'of\tof\tIN\tB-PP\tO' +p18709 +aS'hepatic\thepatic\tJJ\tB-NP\tO' +p18710 +aS'encephalopathy\tencephalopathy\tNN\tI-NP\tO' +p18711 +aS'.\t.\t.\tO\tO' +p18712 +asS'Tissue returned well differentiated adenocarcinoma .' +p18713 +(lp18714 +S'Tissue\tTissue\tNN\tB-NP\tO' +p18715 +aS'returned\treturn\tVBD\tB-VP\tO' +p18716 +aS'well\twell\tRB\tB-NP\tO' +p18717 +aS'differentiated\tdifferentiate\tVBN\tI-NP\tO' +p18718 +aS'adenocarcinoma\tadenocarcinoma\tNN\tI-NP\tO' +p18719 +aS'.\t.\t.\tO\tO' +p18720 +asS'Please follow up at all scheduled appointments including Wednesday in IR clinic .' +p18721 +(lp18722 +S'Please\tPlease\tVB\tB-VP\tO' +p18723 +aS'follow\tfollow\tVB\tI-VP\tO' +p18724 +aS'up\tup\tRP\tB-PRT\tO' +p18725 +aS'at\tat\tIN\tB-PP\tO' +p18726 +aS'all\tall\tDT\tB-NP\tO' +p18727 +aS'scheduled\tschedule\tVBN\tI-NP\tO' +p18728 +aS'appointments\tappointment\tNNS\tI-NP\tO' +p18729 +aS'including\tinclude\tVBG\tB-PP\tO' +p18730 +aS'Wednesday\tWednesday\tNNP\tB-NP\tO' +p18731 +aS'in\tin\tIN\tB-PP\tO' +p18732 +aS'IR\tIR\tNN\tB-NP\tO' +p18733 +aS'clinic\tclinic\tNN\tI-NP\tO' +p18734 +aS'.\t.\t.\tO\tO' +p18735 +asS'Seen by GI and plan is to continue holding anticoagulation and repeat scope on Monday .' +p18736 +(lp18737 +S'Seen\tSeen\tNN\tB-NP\tO' +p18738 +aS'by\tby\tIN\tB-PP\tO' +p18739 +aS'GI\tGI\tNN\tB-NP\tO' +p18740 +aS'and\tand\tCC\tI-NP\tO' +p18741 +aS'plan\tplan\tNN\tI-NP\tO' +p18742 +aS'is\tbe\tVBZ\tB-VP\tO' +p18743 +aS'to\tto\tTO\tB-VP\tO' +p18744 +aS'continue\tcontinue\tVB\tI-VP\tO' +p18745 +aS'holding\thold\tVBG\tI-VP\tO' +p18746 +aS'anticoagulation\tanticoagulation\tNN\tB-NP\tO' +p18747 +aS'and\tand\tCC\tI-NP\tO' +p18748 +aS'repeat\trepeat\tNN\tI-NP\tO' +p18749 +aS'scope\tscope\tNN\tI-NP\tO' +p18750 +aS'on\ton\tIN\tB-PP\tO' +p18751 +aS'Monday\tMonday\tNNP\tB-NP\tO' +p18752 +aS'.\t.\t.\tO\tO' +p18753 +asS'The patient then had recurrent bleeding two weeks later which was once again repaired .' +p18754 +(lp18755 +S'The\tThe\tDT\tB-NP\tO' +p18756 +aS'patient\tpatient\tNN\tI-NP\tO' +p18757 +aS'then\tthen\tRB\tB-ADVP\tO' +p18758 +aS'had\thave\tVBD\tB-VP\tO' +p18759 +aS'recurrent\trecurrent\tJJ\tB-ADJP\tO' +p18760 +aS'bleeding\tbleed\tVBG\tB-VP\tO' +p18761 +aS'two\ttwo\tCD\tB-NP\tO' +p18762 +aS'weeks\tweek\tNNS\tI-NP\tO' +p18763 +aS'later\tlater\tRB\tB-ADVP\tO' +p18764 +aS'which\twhich\tWDT\tB-NP\tO' +p18765 +aS'was\tbe\tVBD\tB-VP\tO' +p18766 +aS'once\tonce\tRB\tB-VP\tO' +p18767 +aS'again\tagain\tRB\tI-VP\tO' +p18768 +aS'repaired\trepair\tVBN\tI-VP\tO' +p18769 +aS'.\t.\t.\tO\tO' +p18770 +asS'With regards to the cancer , there was a large mass along the greater curvature in the body of the stomach , and several perigastric lymph nodes which were taken with the specimen .' +p18771 +(lp18772 +S'With\tWith\tIN\tB-SBAR\tO' +p18773 +aS'regards\tregard\tNNS\tB-NP\tO' +p18774 +aS'to\tto\tTO\tB-PP\tO' +p18775 +aS'the\tthe\tDT\tB-NP\tO' +p18776 +aS'cancer\tcancer\tNN\tI-NP\tO' +p18777 +aS',\t,\t,\tO\tO' +p18778 +aS'there\tthere\tEX\tB-NP\tO' +p18779 +aS'was\tbe\tVBD\tB-VP\tO' +p18780 +aS'a\ta\tDT\tB-NP\tO' +p18781 +aS'large\tlarge\tJJ\tI-NP\tO' +p18782 +aS'mass\tmass\tNN\tI-NP\tO' +p18783 +aS'along\talong\tIN\tB-PP\tO' +p18784 +aS'the\tthe\tDT\tB-NP\tO' +p18785 +aS'greater\tgreat\tJJR\tI-NP\tO' +p18786 +aS'curvature\tcurvature\tNN\tI-NP\tO' +p18787 +aS'in\tin\tIN\tB-PP\tO' +p18788 +aS'the\tthe\tDT\tB-NP\tO' +p18789 +aS'body\tbody\tNN\tI-NP\tO' +p18790 +aS'of\tof\tIN\tB-PP\tO' +p18791 +aS'the\tthe\tDT\tB-NP\tO' +p18792 +aS'stomach\tstomach\tNN\tI-NP\tO' +p18793 +aS',\t,\t,\tO\tO' +p18794 +aS'and\tand\tCC\tO\tO' +p18795 +aS'several\tseveral\tJJ\tB-NP\tO' +p18796 +aS'perigastric\tperigastric\tJJ\tI-NP\tO' +p18797 +aS'lymph\tlymph\tNN\tI-NP\tO' +p18798 +aS'nodes\tnode\tNNS\tI-NP\tO' +p18799 +aS'which\twhich\tWDT\tB-NP\tO' +p18800 +aS'were\tbe\tVBD\tB-VP\tO' +p18801 +aS'taken\ttake\tVBN\tI-VP\tO' +p18802 +aS'with\twith\tIN\tB-PP\tO' +p18803 +aS'the\tthe\tDT\tB-NP\tO' +p18804 +aS'specimen\tspecimen\tNN\tI-NP\tO' +p18805 +aS'.\t.\t.\tO\tO' +p18806 +asS'16. Hydralazine HCl 20 mg / mL Solution Sig : 0.5 syringe Injection Q4HR ( ) as needed for sbp > 150 .' +p18807 +(lp18808 +S'16.\t16.\tLS\tB-NP\tO' +p18809 +aS'Hydralazine\tHydralazine\tNN\tI-NP\tO' +p18810 +aS'HCl\tHCl\tNN\tI-NP\tO' +p18811 +aS'20\t20\tCD\tI-NP\tO' +p18812 +aS'mg\tmg\tNN\tI-NP\tO' +p18813 +aS'/\t/\tSYM\tB-NP\tO' +p18814 +aS'mL\tmL\tNN\tI-NP\tO' +p18815 +aS'Solution\tSolution\tNNP\tI-NP\tO' +p18816 +aS'Sig\tSig\tNNP\tI-NP\tO' +p18817 +aS':\t:\t:\tO\tO' +p18818 +aS'0.5\t0.5\tCD\tB-NP\tO' +p18819 +aS'syringe\tsyringe\tNN\tI-NP\tO' +p18820 +aS'Injection\tInjection\tNN\tI-NP\tO' +p18821 +aS'Q4HR\tQ4HR\tNN\tI-NP\tO' +p18822 +aS'(\t(\t(\tO\tO' +p18823 +aS')\t)\t)\tO\tO' +p18824 +aS'as\tas\tIN\tB-SBAR\tO' +p18825 +aS'needed\tneed\tVBN\tB-VP\tO' +p18826 +aS'for\tfor\tIN\tB-PP\tO' +p18827 +aS'sbp\tsbp\tNN\tB-NP\tO' +p18828 +aS'>\t>\tSYM\tB-NP\tO' +p18829 +aS'150\t150\tCD\tI-NP\tO' +p18830 +aS'.\t.\t.\tO\tO' +p18831 +asS'Pelvic exam showed a small mobile uterus .' +p18832 +(lp18833 +S'Pelvic\tPelvic\tJJ\tB-NP\tO' +p18834 +aS'exam\texam\tNN\tI-NP\tO' +p18835 +aS'showed\tshow\tVBD\tB-VP\tO' +p18836 +aS'a\ta\tDT\tB-NP\tO' +p18837 +aS'small\tsmall\tJJ\tI-NP\tO' +p18838 +aS'mobile\tmobile\tJJ\tI-NP\tO' +p18839 +aS'uterus\tuterus\tNN\tI-NP\tO' +p18840 +aS'.\t.\t.\tO\tO' +p18841 +asS'No drug use .' +p18842 +(lp18843 +S'No\tNo\tDT\tB-NP\tO' +p18844 +aS'drug\tdrug\tNN\tI-NP\tO' +p18845 +aS'use\tuse\tNN\tI-NP\tO' +p18846 +aS'.\t.\t.\tO\tO' +p18847 +asS'The gastric biopsy and the serology were both negative for H. pylori .' +p18848 +(lp18849 +S'The\tThe\tDT\tB-NP\tO' +p18850 +aS'gastric\tgastric\tJJ\tI-NP\tO' +p18851 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p18852 +aS'and\tand\tCC\tO\tO' +p18853 +aS'the\tthe\tDT\tB-NP\tO' +p18854 +aS'serology\tserology\tNN\tI-NP\tO' +p18855 +aS'were\tbe\tVBD\tB-VP\tO' +p18856 +aS'both\tboth\tCC\tO\tO' +p18857 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p18858 +aS'for\tfor\tIN\tB-PP\tO' +p18859 +aS'H.\tH.\tNN\tB-NP\tO' +p18860 +aS'pylori\tpylori\tNN\tI-NP\tO' +p18861 +aS'.\t.\t.\tO\tO' +p18862 +asS'On 2/24/00 , the patient had an episode of exacerbation of epigastric pain with radiation to the left upper quadrant .' +p18863 +(lp18864 +S'On\tOn\tIN\tB-PP\tO' +p18865 +aS'2/24/00\t2/24/00\tCD\tB-NP\tO' +p18866 +aS',\t,\t,\tO\tO' +p18867 +aS'the\tthe\tDT\tB-NP\tO' +p18868 +aS'patient\tpatient\tNN\tI-NP\tO' +p18869 +aS'had\thave\tVBD\tB-VP\tO' +p18870 +aS'an\tan\tDT\tB-NP\tO' +p18871 +aS'episode\tepisode\tNN\tI-NP\tO' +p18872 +aS'of\tof\tIN\tB-PP\tO' +p18873 +aS'exacerbation\texacerbation\tNN\tB-NP\tO' +p18874 +aS'of\tof\tIN\tB-PP\tO' +p18875 +aS'epigastric\tepigastric\tJJ\tB-NP\tB-protein' +p18876 +aS'pain\tpain\tNN\tI-NP\tI-protein' +p18877 +aS'with\twith\tIN\tB-PP\tO' +p18878 +aS'radiation\tradiation\tNN\tB-NP\tO' +p18879 +aS'to\tto\tTO\tB-PP\tO' +p18880 +aS'the\tthe\tDT\tB-NP\tO' +p18881 +aS'left\tleft\tJJ\tI-NP\tO' +p18882 +aS'upper\tupper\tJJ\tI-NP\tO' +p18883 +aS'quadrant\tquadrant\tNN\tI-NP\tO' +p18884 +aS'.\t.\t.\tO\tO' +p18885 +asS'Fontanelle soft and flat .' +p18886 +(lp18887 +S'Fontanelle\tFontanelle\tNN\tB-NP\tO' +p18888 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p18889 +aS'and\tand\tCC\tI-ADJP\tO' +p18890 +aS'flat\tflat\tJJ\tI-ADJP\tO' +p18891 +aS'.\t.\t.\tO\tO' +p18892 +asS'Apgars were 8 at one minute and 9 at five minutes .' +p18893 +(lp18894 +S'Apgars\tApgar\tNNS\tB-NP\tO' +p18895 +aS'were\tbe\tVBD\tB-VP\tO' +p18896 +aS'8\t8\tCD\tB-NP\tO' +p18897 +aS'at\tat\tIN\tB-PP\tO' +p18898 +aS'one\tone\tCD\tB-NP\tO' +p18899 +aS'minute\tminute\tNN\tI-NP\tO' +p18900 +aS'and\tand\tCC\tO\tO' +p18901 +aS'9\t9\tCD\tB-NP\tO' +p18902 +aS'at\tat\tIN\tB-PP\tO' +p18903 +aS'five\tfive\tCD\tB-NP\tO' +p18904 +aS'minutes\tminute\tNNS\tI-NP\tO' +p18905 +aS'.\t.\t.\tO\tO' +p18906 +asS'1. Coronary artery disease s/p MI 20 years ago' +p18907 +(lp18908 +S'1.\t1.\tLS\tB-NP\tO' +p18909 +aS'Coronary\tCoronary\tJJ\tI-NP\tO' +p18910 +aS'artery\tartery\tNN\tI-NP\tO' +p18911 +aS'disease\tdisease\tNN\tI-NP\tO' +p18912 +aS's/p\ts/p\tNN\tI-NP\tO' +p18913 +aS'MI\tMI\tNN\tI-NP\tO' +p18914 +aS'20\t20\tCD\tB-NP\tO' +p18915 +aS'years\tyear\tNNS\tI-NP\tO' +p18916 +aS'ago\tago\tIN\tB-ADVP\tO' +p18917 +asS'The pain improved quickly and the patient was started on a clear liquid diet which was advanced as tolerated .' +p18918 +(lp18919 +S'The\tThe\tDT\tB-NP\tO' +p18920 +aS'pain\tpain\tNN\tI-NP\tO' +p18921 +aS'improved\timprove\tVBD\tB-VP\tO' +p18922 +aS'quickly\tquickly\tRB\tB-ADVP\tO' +p18923 +aS'and\tand\tCC\tO\tO' +p18924 +aS'the\tthe\tDT\tB-NP\tO' +p18925 +aS'patient\tpatient\tNN\tI-NP\tO' +p18926 +aS'was\tbe\tVBD\tB-VP\tO' +p18927 +aS'started\tstart\tVBN\tI-VP\tO' +p18928 +aS'on\ton\tIN\tB-PP\tO' +p18929 +aS'a\ta\tDT\tB-NP\tO' +p18930 +aS'clear\tclear\tJJ\tI-NP\tO' +p18931 +aS'liquid\tliquid\tNN\tI-NP\tO' +p18932 +aS'diet\tdiet\tNN\tI-NP\tO' +p18933 +aS'which\twhich\tWDT\tB-NP\tO' +p18934 +aS'was\tbe\tVBD\tB-VP\tO' +p18935 +aS'advanced\tadvance\tVBN\tI-VP\tO' +p18936 +aS'as\tas\tIN\tB-SBAR\tO' +p18937 +aS'tolerated\ttolerate\tVBN\tB-VP\tO' +p18938 +aS'.\t.\t.\tO\tO' +p18939 +asS'Her EKG was normal .' +p18940 +(lp18941 +S'Her\tHer\tPRP$\tB-NP\tO' +p18942 +aS'EKG\tEKG\tNN\tI-NP\tB-protein' +p18943 +aS'was\tbe\tVBD\tB-VP\tO' +p18944 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p18945 +aS'.\t.\t.\tO\tO' +p18946 +asS'Call with any spiking fevers , leakage from your head wound , increase in headaches , confusion , blurry vision severe neck stiffness , redness , swelling , or discharge around your wound site' +p18947 +(lp18948 +S'Call\tCall\tVB\tB-NP\tO' +p18949 +aS'with\twith\tIN\tB-PP\tO' +p18950 +aS'any\tany\tDT\tB-NP\tO' +p18951 +aS'spiking\tspiking\tNN\tI-NP\tO' +p18952 +aS'fevers\tfever\tNNS\tI-NP\tO' +p18953 +aS',\t,\t,\tO\tO' +p18954 +aS'leakage\tleakage\tNN\tB-NP\tO' +p18955 +aS'from\tfrom\tIN\tB-PP\tO' +p18956 +aS'your\tyour\tPRP$\tB-NP\tO' +p18957 +aS'head\thead\tNN\tI-NP\tO' +p18958 +aS'wound\twound\tNN\tI-NP\tO' +p18959 +aS',\t,\t,\tO\tO' +p18960 +aS'increase\tincrease\tNN\tB-NP\tO' +p18961 +aS'in\tin\tIN\tB-PP\tO' +p18962 +aS'headaches\theadache\tNNS\tB-NP\tO' +p18963 +aS',\t,\t,\tO\tO' +p18964 +aS'confusion\tconfusion\tNN\tB-NP\tO' +p18965 +aS',\t,\t,\tO\tO' +p18966 +aS'blurry\tblurry\tJJ\tB-NP\tO' +p18967 +aS'vision\tvision\tNN\tI-NP\tO' +p18968 +aS'severe\tsevere\tJJ\tI-NP\tO' +p18969 +aS'neck\tneck\tNN\tI-NP\tO' +p18970 +aS'stiffness\tstiffness\tNN\tI-NP\tO' +p18971 +aS',\t,\t,\tO\tO' +p18972 +aS'redness\tredness\tNN\tB-NP\tO' +p18973 +aS',\t,\t,\tO\tO' +p18974 +aS'swelling\tswelling\tNN\tB-NP\tO' +p18975 +aS',\t,\t,\tO\tO' +p18976 +aS'or\tor\tCC\tO\tO' +p18977 +aS'discharge\tdischarge\tVB\tB-VP\tO' +p18978 +aS'around\taround\tIN\tB-PP\tO' +p18979 +aS'your\tyour\tPRP$\tB-NP\tB-DNA' +p18980 +aS'wound\twound\tNN\tI-NP\tI-DNA' +p18981 +aS'site\tsite\tNN\tI-NP\tI-DNA' +p18982 +asS'In consultation with the EP Service , Diltiazem was stopped .' +p18983 +(lp18984 +S'In\tIn\tIN\tB-PP\tO' +p18985 +aS'consultation\tconsultation\tNN\tB-NP\tO' +p18986 +aS'with\twith\tIN\tB-PP\tO' +p18987 +aS'the\tthe\tDT\tB-NP\tO' +p18988 +aS'EP\tEP\tNNP\tI-NP\tO' +p18989 +aS'Service\tService\tNNP\tI-NP\tO' +p18990 +aS',\t,\t,\tO\tO' +p18991 +aS'Diltiazem\tDiltiazem\tNNP\tB-NP\tO' +p18992 +aS'was\tbe\tVBD\tB-VP\tO' +p18993 +aS'stopped\tstop\tVBN\tI-VP\tO' +p18994 +aS'.\t.\t.\tO\tO' +p18995 +asS'- Mylanta 30 cc po q6 prn' +p18996 +(lp18997 +S'-\t-\tHYPH\tB-NP\tO' +p18998 +aS'Mylanta\tMylanta\tNN\tI-NP\tO' +p18999 +aS'30\t30\tCD\tI-NP\tO' +p19000 +aS'cc\tcc\tNN\tI-NP\tO' +p19001 +aS'po\tpo\tNN\tI-NP\tO' +p19002 +aS'q6\tq6\tNN\tI-NP\tO' +p19003 +aS'prn\tprn\tNN\tI-NP\tO' +p19004 +asS'Once her mental status improved she was discharged .' +p19005 +(lp19006 +S'Once\tOnce\tRB\tO\tO' +p19007 +aS'her\ther\tPRP$\tB-NP\tO' +p19008 +aS'mental\tmental\tJJ\tI-NP\tO' +p19009 +aS'status\tstatus\tNN\tI-NP\tO' +p19010 +aS'improved\timprove\tVBD\tB-VP\tO' +p19011 +aS'she\tshe\tPRP\tB-NP\tO' +p19012 +aS'was\tbe\tVBD\tB-VP\tO' +p19013 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p19014 +aS'.\t.\t.\tO\tO' +p19015 +asS'Her visual fields were intact .' +p19016 +(lp19017 +S'Her\tHer\tPRP$\tB-NP\tO' +p19018 +aS'visual\tvisual\tJJ\tI-NP\tO' +p19019 +aS'fields\tfield\tNNS\tI-NP\tO' +p19020 +aS'were\tbe\tVBD\tB-VP\tO' +p19021 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p19022 +aS'.\t.\t.\tO\tO' +p19023 +asS'She was put on Vicodin ES and Ultram with minimal relief .' +p19024 +(lp19025 +S'She\tShe\tPRP\tB-NP\tO' +p19026 +aS'was\tbe\tVBD\tB-VP\tO' +p19027 +aS'put\tput\tVBN\tI-VP\tO' +p19028 +aS'on\ton\tIN\tB-PP\tO' +p19029 +aS'Vicodin\tVicodin\tNNP\tB-NP\tO' +p19030 +aS'ES\tES\tNNP\tI-NP\tO' +p19031 +aS'and\tand\tCC\tI-NP\tO' +p19032 +aS'Ultram\tUltram\tNNP\tI-NP\tO' +p19033 +aS'with\twith\tIN\tB-PP\tO' +p19034 +aS'minimal\tminimal\tJJ\tB-NP\tO' +p19035 +aS'relief\trelief\tNN\tI-NP\tO' +p19036 +aS'.\t.\t.\tO\tO' +p19037 +asS'Her course later became complicated by visual and auditory hallucinations .' +p19038 +(lp19039 +S'Her\tHer\tPRP$\tB-NP\tO' +p19040 +aS'course\tcourse\tNN\tI-NP\tO' +p19041 +aS'later\tlater\tRB\tB-ADVP\tO' +p19042 +aS'became\tbecome\tVBD\tB-VP\tO' +p19043 +aS'complicated\tcomplicate\tVBN\tI-VP\tO' +p19044 +aS'by\tby\tIN\tB-PP\tO' +p19045 +aS'visual\tvisual\tJJ\tB-NP\tO' +p19046 +aS'and\tand\tCC\tI-NP\tO' +p19047 +aS'auditory\tauditory\tJJ\tI-NP\tO' +p19048 +aS'hallucinations\thallucination\tNNS\tI-NP\tO' +p19049 +aS'.\t.\t.\tO\tO' +p19050 +asS'She has not had an LP as far as Dr. Ginger knows .' +p19051 +(lp19052 +S'She\tShe\tPRP\tB-NP\tO' +p19053 +aS'has\thave\tVBZ\tB-VP\tO' +p19054 +aS'not\tnot\tRB\tI-VP\tO' +p19055 +aS'had\thave\tVBN\tI-VP\tO' +p19056 +aS'an\tan\tDT\tB-NP\tO' +p19057 +aS'LP\tLP\tNN\tI-NP\tO' +p19058 +aS'as\tas\tRB\tB-ADVP\tO' +p19059 +aS'far\tfar\tRB\tI-ADVP\tO' +p19060 +aS'as\tas\tIN\tB-SBAR\tO' +p19061 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p19062 +aS'Ginger\tGinger\tNNP\tI-NP\tO' +p19063 +aS'knows\tknow\tVBZ\tB-VP\tO' +p19064 +aS'.\t.\t.\tO\tO' +p19065 +asS'Aspirin 81 mg p.o. q. day .' +p19066 +(lp19067 +S'Aspirin\tAspirin\tNN\tB-NP\tO' +p19068 +aS'81\t81\tCD\tI-NP\tO' +p19069 +aS'mg\tmg\tNN\tI-NP\tO' +p19070 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p19071 +aS'q.\tq.\tNN\tI-NP\tO' +p19072 +aS'day\tday\tNN\tI-NP\tO' +p19073 +aS'.\t.\t.\tO\tO' +p19074 +asS'It was felt that the decreased urine output was secondary to her preload dependence , and that her urine output increased significantly when she was adequately hydrated in the Medical Intensive Care Unit .' +p19075 +(lp19076 +S'It\tIt\tPRP\tB-NP\tO' +p19077 +aS'was\tbe\tVBD\tB-VP\tO' +p19078 +aS'felt\tfeel\tVBN\tI-VP\tO' +p19079 +aS'that\tthat\tIN\tB-SBAR\tO' +p19080 +aS'the\tthe\tDT\tB-NP\tO' +p19081 +aS'decreased\tdecrease\tVBN\tI-NP\tO' +p19082 +aS'urine\turine\tNN\tI-NP\tO' +p19083 +aS'output\toutput\tNN\tI-NP\tO' +p19084 +aS'was\tbe\tVBD\tB-VP\tO' +p19085 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p19086 +aS'to\tto\tTO\tB-PP\tO' +p19087 +aS'her\ther\tPRP$\tB-NP\tO' +p19088 +aS'preload\tpreload\tJJ\tI-NP\tO' +p19089 +aS'dependence\tdependence\tNN\tI-NP\tO' +p19090 +aS',\t,\t,\tO\tO' +p19091 +aS'and\tand\tCC\tO\tO' +p19092 +aS'that\tthat\tIN\tB-SBAR\tO' +p19093 +aS'her\ther\tPRP$\tB-NP\tO' +p19094 +aS'urine\turine\tNN\tI-NP\tO' +p19095 +aS'output\toutput\tNN\tI-NP\tO' +p19096 +aS'increased\tincrease\tVBD\tB-VP\tO' +p19097 +aS'significantly\tsignificantly\tRB\tB-ADVP\tO' +p19098 +aS'when\twhen\tWRB\tB-ADVP\tO' +p19099 +aS'she\tshe\tPRP\tB-NP\tO' +p19100 +aS'was\tbe\tVBD\tB-VP\tO' +p19101 +aS'adequately\tadequately\tRB\tI-VP\tO' +p19102 +aS'hydrated\thydrate\tVBN\tI-VP\tO' +p19103 +aS'in\tin\tIN\tB-PP\tO' +p19104 +aS'the\tthe\tDT\tB-NP\tO' +p19105 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p19106 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p19107 +aS'Care\tCare\tNNP\tI-NP\tO' +p19108 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p19109 +aS'.\t.\t.\tO\tO' +p19110 +asS'1 ) Calcitriol 0.25 mcg p.o. q. day .' +p19111 +(lp19112 +S'1\t1\tLS\tB-LST\tO' +p19113 +aS')\t)\t)\tO\tO' +p19114 +aS'Calcitriol\tCalcitriol\tNN\tB-NP\tO' +p19115 +aS'0.25\t0.25\tCD\tI-NP\tO' +p19116 +aS'mcg\tmcg\tNN\tI-NP\tO' +p19117 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p19118 +aS'q.\tq.\tNN\tI-NP\tO' +p19119 +aS'day\tday\tNN\tI-NP\tO' +p19120 +aS'.\t.\t.\tO\tO' +p19121 +asS'Stool c. diff neg x1 .' +p19122 +(lp19123 +S'Stool\tStool\tNN\tB-NP\tB-protein' +p19124 +aS'c.\tc.\tNN\tI-NP\tI-protein' +p19125 +aS'diff\tdiff\tNN\tI-NP\tI-protein' +p19126 +aS'neg\tneg\tNN\tI-NP\tI-protein' +p19127 +aS'x1\tx1\tNN\tI-NP\tI-protein' +p19128 +aS'.\t.\t.\tO\tO' +p19129 +asS'Over the next several hospital days the patient underwent aortogram as well as chest computer tomogram as outlined earlier .' +p19130 +(lp19131 +S'Over\tOver\tIN\tB-PP\tO' +p19132 +aS'the\tthe\tDT\tB-NP\tO' +p19133 +aS'next\tnext\tJJ\tI-NP\tO' +p19134 +aS'several\tseveral\tJJ\tI-NP\tO' +p19135 +aS'hospital\thospital\tNN\tI-NP\tO' +p19136 +aS'days\tday\tVBZ\tB-VP\tO' +p19137 +aS'the\tthe\tDT\tB-NP\tO' +p19138 +aS'patient\tpatient\tNN\tI-NP\tO' +p19139 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p19140 +aS'aortogram\taortogram\tNN\tB-NP\tO' +p19141 +aS'as\tas\tRB\tB-CONJP\tO' +p19142 +aS'well\twell\tRB\tI-CONJP\tO' +p19143 +aS'as\tas\tIN\tI-CONJP\tO' +p19144 +aS'chest\tch\tJJS\tB-NP\tO' +p19145 +aS'computer\tcomputer\tNN\tI-NP\tO' +p19146 +aS'tomogram\ttomogram\tNN\tI-NP\tO' +p19147 +aS'as\tas\tIN\tB-SBAR\tO' +p19148 +aS'outlined\toutline\tVBN\tB-VP\tO' +p19149 +aS'earlier\tearlier\tRBR\tB-ADVP\tO' +p19150 +aS'.\t.\t.\tO\tO' +p19151 +asS'It did , however , show diffuse slowing .' +p19152 +(lp19153 +S'It\tIt\tPRP\tB-NP\tO' +p19154 +aS'did\tdo\tVBD\tB-VP\tO' +p19155 +aS',\t,\t,\tO\tO' +p19156 +aS'however\thowever\tRB\tB-ADVP\tO' +p19157 +aS',\t,\t,\tO\tO' +p19158 +aS'show\tshow\tVBP\tB-VP\tO' +p19159 +aS'diffuse\tdiffuse\tJJ\tB-NP\tO' +p19160 +aS'slowing\tslowing\tNN\tI-NP\tO' +p19161 +aS'.\t.\t.\tO\tO' +p19162 +asS'Rotator cuff measures 4-5 on the right and 5 out of 5 on the left .' +p19163 +(lp19164 +S'Rotator\tRotator\tNN\tB-NP\tO' +p19165 +aS'cuff\tcuff\tNN\tI-NP\tO' +p19166 +aS'measures\tmeasure\tNNS\tI-NP\tO' +p19167 +aS'4-5\t4-5\tCD\tB-NP\tO' +p19168 +aS'on\ton\tIN\tB-PP\tO' +p19169 +aS'the\tthe\tDT\tB-NP\tO' +p19170 +aS'right\tright\tJJ\tI-NP\tO' +p19171 +aS'and\tand\tCC\tO\tO' +p19172 +aS'5\t5\tCD\tB-NP\tO' +p19173 +aS'out\tout\tIN\tB-PP\tO' +p19174 +aS'of\tof\tIN\tB-PP\tO' +p19175 +aS'5\t5\tCD\tB-NP\tO' +p19176 +aS'on\ton\tIN\tB-PP\tO' +p19177 +aS'the\tthe\tDT\tB-NP\tO' +p19178 +aS'left\tleft\tNN\tI-NP\tO' +p19179 +aS'.\t.\t.\tO\tO' +p19180 +asS'The LAD diffusely diseased proximal section up to 50% with focal 70% mid segment lesion .' +p19181 +(lp19182 +S'The\tThe\tDT\tB-NP\tO' +p19183 +aS'LAD\tLAD\tNN\tI-NP\tO' +p19184 +aS'diffusely\tdiffusely\tRB\tB-ADVP\tO' +p19185 +aS'diseased\tdisease\tVBD\tB-VP\tO' +p19186 +aS'proximal\tproximal\tJJ\tB-NP\tO' +p19187 +aS'section\tsection\tNN\tI-NP\tO' +p19188 +aS'up\tup\tIN\tB-PP\tO' +p19189 +aS'to\tto\tTO\tB-PP\tO' +p19190 +aS'50%\t50%\tCD\tB-NP\tO' +p19191 +aS'with\twith\tIN\tB-PP\tO' +p19192 +aS'focal\tfocal\tJJ\tB-NP\tO' +p19193 +aS'70%\t70%\tJJ\tI-NP\tO' +p19194 +aS'mid\tmid\tJJ\tI-NP\tO' +p19195 +aS'segment\tsegment\tNN\tI-NP\tO' +p19196 +aS'lesion\tlesion\tNN\tI-NP\tO' +p19197 +aS'.\t.\t.\tO\tO' +p19198 +asS'Although the patient 's room air saturation was 96% during this admission , she subjectively complained of increased shortness of breath .' +p19199 +(lp19200 +S'Although\tAlthough\tIN\tB-SBAR\tO' +p19201 +aS'the\tthe\tDT\tB-NP\tO' +p19202 +aS'patient\tpatient\tNN\tI-NP\tO' +p19203 +aS''s\t'\tNNS\tI-NP\tO' +p19204 +aS'room\troom\tNN\tI-NP\tO' +p19205 +aS'air\tair\tNN\tI-NP\tO' +p19206 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p19207 +aS'was\tbe\tVBD\tB-VP\tO' +p19208 +aS'96%\t96%\tCD\tB-NP\tO' +p19209 +aS'during\tduring\tIN\tB-PP\tO' +p19210 +aS'this\tthis\tDT\tB-NP\tO' +p19211 +aS'admission\tadmission\tNN\tI-NP\tO' +p19212 +aS',\t,\t,\tO\tO' +p19213 +aS'she\tshe\tPRP\tB-NP\tO' +p19214 +aS'subjectively\tsubjectively\tRB\tB-ADVP\tO' +p19215 +aS'complained\tcomplain\tVBD\tB-VP\tO' +p19216 +aS'of\tof\tIN\tB-PP\tO' +p19217 +aS'increased\tincrease\tVBN\tB-NP\tO' +p19218 +aS'shortness\tshortness\tNN\tI-NP\tO' +p19219 +aS'of\tof\tIN\tB-PP\tO' +p19220 +aS'breath\tbreath\tNN\tB-NP\tO' +p19221 +aS'.\t.\t.\tO\tO' +p19222 +asS'Her stomach and duodenum were normal and it was suggested that she change her Nexium doses to daily and that she also drink plenty of fluids and water with meals , sit upright when she would eat her meals to decrease the chance of pills eroding her esophagus .' +p19223 +(lp19224 +S'Her\tHer\tPRP$\tB-NP\tO' +p19225 +aS'stomach\tstomach\tNN\tI-NP\tO' +p19226 +aS'and\tand\tCC\tI-NP\tO' +p19227 +aS'duodenum\tduodenum\tNN\tI-NP\tO' +p19228 +aS'were\tbe\tVBD\tB-VP\tO' +p19229 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p19230 +aS'and\tand\tCC\tO\tO' +p19231 +aS'it\tit\tPRP\tB-NP\tO' +p19232 +aS'was\tbe\tVBD\tB-VP\tO' +p19233 +aS'suggested\tsuggest\tVBN\tI-VP\tO' +p19234 +aS'that\tthat\tIN\tB-SBAR\tO' +p19235 +aS'she\tshe\tPRP\tB-NP\tO' +p19236 +aS'change\tchange\tVB\tB-VP\tO' +p19237 +aS'her\ther\tPRP$\tB-NP\tO' +p19238 +aS'Nexium\tNexium\tNN\tI-NP\tO' +p19239 +aS'doses\tdose\tNNS\tI-NP\tO' +p19240 +aS'to\tto\tTO\tB-PP\tO' +p19241 +aS'daily\tdaily\tRB\tB-ADVP\tO' +p19242 +aS'and\tand\tCC\tO\tO' +p19243 +aS'that\tthat\tIN\tB-SBAR\tO' +p19244 +aS'she\tshe\tPRP\tB-NP\tO' +p19245 +aS'also\talso\tRB\tB-ADVP\tO' +p19246 +aS'drink\tdrink\tVBP\tB-VP\tO' +p19247 +aS'plenty\tplenty\tNN\tB-NP\tO' +p19248 +aS'of\tof\tIN\tB-PP\tO' +p19249 +aS'fluids\tfluid\tNNS\tB-NP\tO' +p19250 +aS'and\tand\tCC\tO\tO' +p19251 +aS'water\twater\tNN\tB-NP\tO' +p19252 +aS'with\twith\tIN\tB-PP\tO' +p19253 +aS'meals\tmeal\tNNS\tB-NP\tO' +p19254 +aS',\t,\t,\tO\tO' +p19255 +aS'sit\tsit\tVBP\tB-VP\tO' +p19256 +aS'upright\tupright\tRB\tB-ADVP\tO' +p19257 +aS'when\twhen\tWRB\tB-ADVP\tO' +p19258 +aS'she\tshe\tPRP\tB-NP\tO' +p19259 +aS'would\twould\tMD\tB-VP\tO' +p19260 +aS'eat\teat\tVB\tI-VP\tO' +p19261 +aS'her\ther\tPRP$\tB-NP\tO' +p19262 +aS'meals\tmeal\tNNS\tI-NP\tO' +p19263 +aS'to\tto\tTO\tB-VP\tO' +p19264 +aS'decrease\tdecrease\tVB\tI-VP\tO' +p19265 +aS'the\tthe\tDT\tB-NP\tO' +p19266 +aS'chance\tchance\tNN\tI-NP\tO' +p19267 +aS'of\tof\tIN\tB-PP\tO' +p19268 +aS'pills\tpill\tNNS\tB-NP\tO' +p19269 +aS'eroding\terode\tVBG\tB-VP\tO' +p19270 +aS'her\ther\tPRP$\tB-NP\tO' +p19271 +aS'esophagus\tesophagus\tNN\tI-NP\tO' +p19272 +aS'.\t.\t.\tO\tO' +p19273 +asS'Positive bowel sounds .' +p19274 +(lp19275 +S'Positive\tPositive\tJJ\tB-NP\tO' +p19276 +aS'bowel\tbowel\tNN\tI-NP\tO' +p19277 +aS'sounds\tsound\tNNS\tI-NP\tO' +p19278 +aS'.\t.\t.\tO\tO' +p19279 +asS'An electrocardiogram was consistent with atrial fibrillation .' +p19280 +(lp19281 +S'An\tAn\tDT\tB-NP\tO' +p19282 +aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' +p19283 +aS'was\tbe\tVBD\tB-VP\tO' +p19284 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p19285 +aS'with\twith\tIN\tB-PP\tO' +p19286 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p19287 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p19288 +aS'.\t.\t.\tO\tO' +p19289 +asS'Repeat blood gas was done which was almost identical to the first .' +p19290 +(lp19291 +S'Repeat\tRepeat\tNN\tB-NP\tO' +p19292 +aS'blood\tblood\tNN\tI-NP\tO' +p19293 +aS'gas\tgas\tNN\tI-NP\tO' +p19294 +aS'was\tbe\tVBD\tB-VP\tO' +p19295 +aS'done\tdo\tVBN\tI-VP\tO' +p19296 +aS'which\twhich\tWDT\tB-NP\tO' +p19297 +aS'was\tbe\tVBD\tB-VP\tO' +p19298 +aS'almost\talmost\tRB\tB-ADJP\tO' +p19299 +aS'identical\tidentical\tJJ\tI-ADJP\tO' +p19300 +aS'to\tto\tTO\tB-PP\tO' +p19301 +aS'the\tthe\tDT\tB-NP\tO' +p19302 +aS'first\tfirst\tJJ\tI-NP\tO' +p19303 +aS'.\t.\t.\tO\tO' +p19304 +asS'Head CT showed large right intracerebral hemorrhage .' +p19305 +(lp19306 +S'Head\tHead\tNN\tB-NP\tO' +p19307 +aS'CT\tCT\tNN\tI-NP\tO' +p19308 +aS'showed\tshow\tVBD\tB-VP\tO' +p19309 +aS'large\tlarge\tJJ\tB-NP\tO' +p19310 +aS'right\tright\tJJ\tI-NP\tO' +p19311 +aS'intracerebral\tintracerebral\tJJ\tI-NP\tO' +p19312 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p19313 +aS'.\t.\t.\tO\tO' +p19314 +asS'CK 15,000 .' +p19315 +(lp19316 +S'CK\tCK\tNN\tB-NP\tO' +p19317 +aS'15,000\t15,000\tCD\tI-NP\tO' +p19318 +aS'.\t.\t.\tO\tO' +p19319 +asS"At that time the patient 's hospital course was complicated by a sternal wound infection requiring a sternal debridement and subsequent abdominal flap ." +p19320 +(lp19321 +S'At\tAt\tIN\tB-PP\tO' +p19322 +aS'that\tthat\tDT\tB-NP\tO' +p19323 +aS'time\ttime\tNN\tI-NP\tO' +p19324 +aS'the\tthe\tDT\tB-NP\tO' +p19325 +aS'patient\tpatient\tNN\tI-NP\tO' +p19326 +aS"'s\t's\tPOS\tB-NP\tO" +p19327 +aS'hospital\thospital\tNN\tI-NP\tO' +p19328 +aS'course\tcourse\tNN\tI-NP\tO' +p19329 +aS'was\tbe\tVBD\tB-VP\tO' +p19330 +aS'complicated\tcomplicate\tVBN\tI-VP\tO' +p19331 +aS'by\tby\tIN\tB-PP\tO' +p19332 +aS'a\ta\tDT\tB-NP\tO' +p19333 +aS'sternal\tsternal\tJJ\tI-NP\tO' +p19334 +aS'wound\twound\tNN\tI-NP\tO' +p19335 +aS'infection\tinfection\tNN\tI-NP\tO' +p19336 +aS'requiring\trequire\tVBG\tB-VP\tO' +p19337 +aS'a\ta\tDT\tB-NP\tO' +p19338 +aS'sternal\tsternal\tJJ\tI-NP\tO' +p19339 +aS'debridement\tdebridement\tNN\tI-NP\tO' +p19340 +aS'and\tand\tCC\tO\tO' +p19341 +aS'subsequent\tsubsequent\tJJ\tB-NP\tO' +p19342 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p19343 +aS'flap\tflap\tNN\tI-NP\tO' +p19344 +aS'.\t.\t.\tO\tO' +p19345 +asS'Hypertension - The patient had moderate control of her blood pressure throughout her admission .' +p19346 +(lp19347 +S'Hypertension\tHypertension\tNN\tB-NP\tO' +p19348 +aS'-\t-\tHYPH\tO\tO' +p19349 +aS'The\tThe\tDT\tB-NP\tO' +p19350 +aS'patient\tpatient\tNN\tI-NP\tO' +p19351 +aS'had\thave\tVBD\tB-VP\tO' +p19352 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p19353 +aS'control\tcontrol\tNN\tI-NP\tO' +p19354 +aS'of\tof\tIN\tB-PP\tO' +p19355 +aS'her\ther\tPRP$\tB-NP\tO' +p19356 +aS'blood\tblood\tNN\tI-NP\tO' +p19357 +aS'pressure\tpressure\tNN\tI-NP\tO' +p19358 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p19359 +aS'her\ther\tPRP$\tB-NP\tO' +p19360 +aS'admission\tadmission\tNN\tI-NP\tO' +p19361 +aS'.\t.\t.\tO\tO' +p19362 +asS'Before you have the procedure with Dr. Morris you will need to talk to Dr. Moya to see if you need to stop your coumadin / warfarin for a few days .' +p19363 +(lp19364 +S'Before\tBefore\tIN\tB-SBAR\tO' +p19365 +aS'you\tyou\tPRP\tB-NP\tO' +p19366 +aS'have\thave\tVBP\tB-VP\tO' +p19367 +aS'the\tthe\tDT\tB-NP\tO' +p19368 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p19369 +aS'with\twith\tIN\tB-PP\tO' +p19370 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p19371 +aS'Morris\tMorris\tNNP\tI-NP\tO' +p19372 +aS'you\tyou\tPRP\tB-NP\tO' +p19373 +aS'will\twill\tMD\tB-VP\tO' +p19374 +aS'need\tneed\tVB\tI-VP\tO' +p19375 +aS'to\tto\tTO\tI-VP\tO' +p19376 +aS'talk\ttalk\tVB\tI-VP\tO' +p19377 +aS'to\tto\tTO\tB-PP\tO' +p19378 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p19379 +aS'Moya\tMoya\tNNP\tI-NP\tO' +p19380 +aS'to\tto\tTO\tB-VP\tO' +p19381 +aS'see\tsee\tVB\tI-VP\tO' +p19382 +aS'if\tif\tIN\tB-SBAR\tO' +p19383 +aS'you\tyou\tPRP\tB-NP\tO' +p19384 +aS'need\tneed\tVBP\tB-VP\tO' +p19385 +aS'to\tto\tTO\tI-VP\tO' +p19386 +aS'stop\tstop\tVB\tI-VP\tO' +p19387 +aS'your\tyour\tPRP$\tB-NP\tO' +p19388 +aS'coumadin\tcoumadin\tNN\tI-NP\tO' +p19389 +aS'/\t/\tSYM\tB-NP\tO' +p19390 +aS'warfarin\twarfarin\tNN\tI-NP\tO' +p19391 +aS'for\tfor\tIN\tB-PP\tO' +p19392 +aS'a\ta\tDT\tB-NP\tO' +p19393 +aS'few\tfew\tJJ\tI-NP\tO' +p19394 +aS'days\tday\tNNS\tI-NP\tO' +p19395 +aS'.\t.\t.\tO\tO' +p19396 +asS'His discharge weight is 3585 grams ( 7 pounds 13 ounces ) .' +p19397 +(lp19398 +S'His\tHis\tPRP$\tB-NP\tO' +p19399 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p19400 +aS'weight\tweight\tNN\tI-NP\tO' +p19401 +aS'is\tbe\tVBZ\tB-VP\tO' +p19402 +aS'3585\t3585\tCD\tB-NP\tO' +p19403 +aS'grams\tgram\tNNS\tI-NP\tO' +p19404 +aS'(\t(\t(\tO\tO' +p19405 +aS'7\t7\tCD\tB-NP\tO' +p19406 +aS'pounds\tpound\tNNS\tI-NP\tO' +p19407 +aS'13\t13\tCD\tB-NP\tO' +p19408 +aS'ounces\tounce\tNNS\tI-NP\tO' +p19409 +aS')\t)\t)\tO\tO' +p19410 +aS'.\t.\t.\tO\tO' +p19411 +asS'The patient 's gait was halting , stooped and slow .' +p19412 +(lp19413 +S'The\tThe\tDT\tB-NP\tO' +p19414 +aS'patient\tpatient\tNN\tI-NP\tO' +p19415 +aS''s\t'\tNNS\tI-NP\tO' +p19416 +aS'gait\tgait\tNN\tI-NP\tO' +p19417 +aS'was\tbe\tVBD\tB-VP\tO' +p19418 +aS'halting\thalt\tVBG\tI-VP\tO' +p19419 +aS',\t,\t,\tO\tO' +p19420 +aS'stooped\tstoop\tVBD\tB-VP\tO' +p19421 +aS'and\tand\tCC\tO\tO' +p19422 +aS'slow\tslow\tJJ\tB-ADJP\tO' +p19423 +aS'.\t.\t.\tO\tO' +p19424 +asS'In emergency room , he was noted to be afebrile with stable vital signs , was treated with IV fluids , azithromycin , and cefuroxime .' +p19425 +(lp19426 +S'In\tIn\tIN\tB-PP\tO' +p19427 +aS'emergency\temergency\tNN\tB-NP\tO' +p19428 +aS'room\troom\tNN\tI-NP\tO' +p19429 +aS',\t,\t,\tO\tO' +p19430 +aS'he\the\tPRP\tB-NP\tO' +p19431 +aS'was\tbe\tVBD\tB-VP\tO' +p19432 +aS'noted\tnote\tVBN\tI-VP\tO' +p19433 +aS'to\tto\tTO\tI-VP\tO' +p19434 +aS'be\tbe\tVB\tI-VP\tO' +p19435 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p19436 +aS'with\twith\tIN\tB-PP\tO' +p19437 +aS'stable\tstable\tJJ\tB-NP\tO' +p19438 +aS'vital\tvital\tJJ\tI-NP\tO' +p19439 +aS'signs\tsign\tNNS\tI-NP\tO' +p19440 +aS',\t,\t,\tO\tO' +p19441 +aS'was\tbe\tVBD\tB-VP\tO' +p19442 +aS'treated\ttreat\tVBN\tI-VP\tO' +p19443 +aS'with\twith\tIN\tB-PP\tO' +p19444 +aS'IV\tIV\tCD\tB-NP\tO' +p19445 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p19446 +aS',\t,\t,\tO\tO' +p19447 +aS'azithromycin\tazithromycin\tNN\tB-NP\tO' +p19448 +aS',\t,\t,\tO\tO' +p19449 +aS'and\tand\tCC\tO\tO' +p19450 +aS'cefuroxime\tcefuroxime\tNN\tB-NP\tO' +p19451 +aS'.\t.\t.\tO\tO' +p19452 +asS'Left ventriculography .' +p19453 +(lp19454 +S'Left\tLeft\tJJ\tB-NP\tO' +p19455 +aS'ventriculography\tventriculography\tNN\tI-NP\tO' +p19456 +aS'.\t.\t.\tO\tO' +p19457 +asS'The RA was 5 .' +p19458 +(lp19459 +S'The\tThe\tDT\tB-NP\tO' +p19460 +aS'RA\tRA\tNN\tI-NP\tB-protein' +p19461 +aS'was\tbe\tVBD\tB-VP\tI-protein' +p19462 +aS'5\t5\tCD\tB-NP\tI-protein' +p19463 +aS'.\t.\t.\tO\tO' +p19464 +asS'Premarin 0.625 q.d. , Proventil Inhaler two puffs q.i.d. , Beclovent four puffs b.i.d. , Colace 100 mg p.o. t.i.d. , MS Contin 30 mg p.o. t.i.d. , Elavil 25 mg p.o. q.h.s. , Trilisate 750 mg p.o. b.i.d. , MS Elixir 100 mg p.o. q.2h. p.r.n. , Robitussin with Codeine 5 cc p.o. q.2h. , and home O2 two liters via nasal prong with increase to four liters as needed for symptoms p.r.n.' +p19465 +(lp19466 +S'Premarin\tPremarin\tNN\tB-NP\tO' +p19467 +aS'0.625\t0.625\tCD\tI-NP\tO' +p19468 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p19469 +aS',\t,\t,\tO\tO' +p19470 +aS'Proventil\tProventil\tNNP\tB-NP\tO' +p19471 +aS'Inhaler\tInhaler\tNNP\tI-NP\tO' +p19472 +aS'two\ttwo\tCD\tB-NP\tO' +p19473 +aS'puffs\tpuff\tNNS\tI-NP\tO' +p19474 +aS'q.i.d.\tq.i.d.\tRB\tB-ADVP\tO' +p19475 +aS',\t,\t,\tO\tO' +p19476 +aS'Beclovent\tBeclovent\tNNP\tB-NP\tO' +p19477 +aS'four\tfour\tCD\tI-NP\tO' +p19478 +aS'puffs\tpuff\tNNS\tI-NP\tO' +p19479 +aS'b.i.d.\tb.i.d.\tRB\tB-ADVP\tO' +p19480 +aS',\t,\t,\tO\tO' +p19481 +aS'Colace\tColace\tNNP\tB-NP\tO' +p19482 +aS'100\t100\tCD\tI-NP\tO' +p19483 +aS'mg\tmg\tNN\tI-NP\tO' +p19484 +aS'p.o.\tp.o.\tFW\tB-ADVP\tO' +p19485 +aS't.i.d.\tt.i.d.\tFW\tI-ADVP\tO' +p19486 +aS',\t,\t,\tO\tO' +p19487 +aS'MS\tMS\tNNP\tB-NP\tO' +p19488 +aS'Contin\tContin\tNNP\tI-NP\tO' +p19489 +aS'30\t30\tCD\tI-NP\tO' +p19490 +aS'mg\tmg\tNN\tI-NP\tO' +p19491 +aS'p.o.\tp.o.\tFW\tB-ADVP\tO' +p19492 +aS't.i.d.\tt.i.d.\tFW\tI-ADVP\tO' +p19493 +aS',\t,\t,\tO\tO' +p19494 +aS'Elavil\tElavil\tNNP\tB-NP\tO' +p19495 +aS'25\t25\tCD\tI-NP\tO' +p19496 +aS'mg\tmg\tNN\tI-NP\tO' +p19497 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p19498 +aS'q.h.s.\tq.h.s.\tNN\tI-NP\tO' +p19499 +aS',\t,\t,\tO\tO' +p19500 +aS'Trilisate\tTrilisate\tNN\tB-NP\tO' +p19501 +aS'750\t750\tCD\tI-NP\tO' +p19502 +aS'mg\tmg\tNN\tI-NP\tO' +p19503 +aS'p.o.\tp.o.\tFW\tB-ADVP\tO' +p19504 +aS'b.i.d.\tb.i.d.\tFW\tI-ADVP\tO' +p19505 +aS',\t,\t,\tO\tO' +p19506 +aS'MS\tMS\tNNP\tB-NP\tO' +p19507 +aS'Elixir\tElixir\tNNP\tI-NP\tO' +p19508 +aS'100\t100\tCD\tI-NP\tO' +p19509 +aS'mg\tmg\tNN\tI-NP\tO' +p19510 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p19511 +aS'q.2h.\tq.2h.\tNN\tI-NP\tO' +p19512 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p19513 +aS',\t,\t,\tO\tO' +p19514 +aS'Robitussin\tRobitussin\tNN\tB-NP\tO' +p19515 +aS'with\twith\tIN\tB-PP\tO' +p19516 +aS'Codeine\tCodeine\tNN\tB-NP\tO' +p19517 +aS'5\t5\tCD\tI-NP\tO' +p19518 +aS'cc\tcc\tNN\tI-NP\tO' +p19519 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p19520 +aS'q.2h.\tq.2h.\tNN\tI-NP\tO' +p19521 +aS',\t,\t,\tO\tO' +p19522 +aS'and\tand\tCC\tO\tO' +p19523 +aS'home\thome\tNN\tB-NP\tO' +p19524 +aS'O2\tO2\tNN\tI-NP\tO' +p19525 +aS'two\ttwo\tCD\tB-NP\tO' +p19526 +aS'liters\tliter\tNNS\tI-NP\tO' +p19527 +aS'via\tvia\tIN\tB-PP\tO' +p19528 +aS'nasal\tnasal\tJJ\tB-NP\tO' +p19529 +aS'prong\tprong\tJJ\tI-NP\tO' +p19530 +aS'with\twith\tIN\tB-PP\tO' +p19531 +aS'increase\tincrease\tNN\tB-NP\tO' +p19532 +aS'to\tto\tTO\tB-PP\tO' +p19533 +aS'four\tfour\tCD\tB-NP\tO' +p19534 +aS'liters\tliter\tNNS\tI-NP\tO' +p19535 +aS'as\tas\tIN\tB-SBAR\tO' +p19536 +aS'needed\tneed\tVBN\tB-VP\tO' +p19537 +aS'for\tfor\tIN\tB-PP\tO' +p19538 +aS'symptoms\tsymptom\tNNS\tB-NP\tO' +p19539 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p19540 +asS'On 60% FIO2 his pO2 was 63 .' +p19541 +(lp19542 +S'On\tOn\tIN\tB-PP\tO' +p19543 +aS'60%\t60%\tCD\tB-NP\tO' +p19544 +aS'FIO2\tFIO2\tCD\tI-NP\tO' +p19545 +aS'his\this\tPRP$\tB-NP\tO' +p19546 +aS'pO2\tpO2\tNN\tI-NP\tO' +p19547 +aS'was\tbe\tVBD\tB-VP\tO' +p19548 +aS'63\t63\tCD\tB-NP\tO' +p19549 +aS'.\t.\t.\tO\tO' +p19550 +asS'Blood and urine cultures were sent .' +p19551 +(lp19552 +S'Blood\tBlood\tNN\tB-NP\tO' +p19553 +aS'and\tand\tCC\tI-NP\tO' +p19554 +aS'urine\turine\tNN\tI-NP\tB-cell_line' +p19555 +aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' +p19556 +aS'were\tbe\tVBD\tB-VP\tO' +p19557 +aS'sent\tsend\tVBN\tI-VP\tO' +p19558 +aS'.\t.\t.\tO\tO' +p19559 +asS'6. High cholesterol .' +p19560 +(lp19561 +S'6.\t6.\tLS\tB-NP\tO' +p19562 +aS'High\tHigh\tJJ\tI-NP\tO' +p19563 +aS'cholesterol\tcholesterol\tNN\tI-NP\tO' +p19564 +aS'.\t.\t.\tO\tO' +p19565 +asS'There was no thyromegaly .' +p19566 +(lp19567 +S'There\tThere\tEX\tB-NP\tO' +p19568 +aS'was\tbe\tVBD\tB-VP\tO' +p19569 +aS'no\tno\tDT\tB-NP\tO' +p19570 +aS'thyromegaly\tthyromegaly\tRB\tI-NP\tO' +p19571 +aS'.\t.\t.\tO\tO' +p19572 +asS'She takes one sip of wine on Fridays .' +p19573 +(lp19574 +S'She\tShe\tPRP\tB-NP\tO' +p19575 +aS'takes\ttake\tVBZ\tB-VP\tO' +p19576 +aS'one\tone\tCD\tB-NP\tO' +p19577 +aS'sip\tsip\tNN\tI-NP\tO' +p19578 +aS'of\tof\tIN\tB-PP\tO' +p19579 +aS'wine\twine\tNN\tB-NP\tO' +p19580 +aS'on\ton\tIN\tB-PP\tO' +p19581 +aS'Fridays\tFriday\tNNS\tB-NP\tO' +p19582 +aS'.\t.\t.\tO\tO' +p19583 +asS'He received a course of cefepime also .' +p19584 +(lp19585 +S'He\tHe\tPRP\tB-NP\tO' +p19586 +aS'received\treceive\tVBD\tB-VP\tO' +p19587 +aS'a\ta\tDT\tB-NP\tO' +p19588 +aS'course\tcourse\tNN\tI-NP\tO' +p19589 +aS'of\tof\tIN\tB-PP\tO' +p19590 +aS'cefepime\tcefepime\tNN\tB-NP\tO' +p19591 +aS'also\talso\tRB\tB-ADVP\tO' +p19592 +aS'.\t.\t.\tO\tO' +p19593 +asS'Pulse 82 .' +p19594 +(lp19595 +S'Pulse\tPulse\tNN\tB-NP\tO' +p19596 +aS'82\t82\tCD\tI-NP\tO' +p19597 +aS'.\t.\t.\tO\tO' +p19598 +asS'1. OxyContin 40 mg p.o. q 12hours .' +p19599 +(lp19600 +S'1.\t1.\tLS\tB-NP\tO' +p19601 +aS'OxyContin\tOxyContin\tNN\tI-NP\tO' +p19602 +aS'40\t40\tCD\tI-NP\tO' +p19603 +aS'mg\tmg\tNN\tI-NP\tO' +p19604 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p19605 +aS'q\tq\tNN\tI-NP\tO' +p19606 +aS'12hours\t12hour\tNNS\tI-NP\tO' +p19607 +aS'.\t.\t.\tO\tO' +p19608 +asS'5. Chronic renal insufficiency with a baseline creatinine of 1.1 to 1.4 .' +p19609 +(lp19610 +S'5.\t5.\tLS\tB-NP\tO' +p19611 +aS'Chronic\tChronic\tJJ\tI-NP\tO' +p19612 +aS'renal\trenal\tJJ\tI-NP\tO' +p19613 +aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' +p19614 +aS'with\twith\tIN\tB-PP\tO' +p19615 +aS'a\ta\tDT\tB-NP\tO' +p19616 +aS'baseline\tbaseline\tNN\tI-NP\tO' +p19617 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p19618 +aS'of\tof\tIN\tB-PP\tO' +p19619 +aS'1.1\t1.1\tCD\tB-NP\tO' +p19620 +aS'to\tto\tTO\tB-PP\tO' +p19621 +aS'1.4\t1.4\tCD\tB-NP\tO' +p19622 +aS'.\t.\t.\tO\tO' +p19623 +asS'Aputum cultures pending .' +p19624 +(lp19625 +S'Aputum\tAputum\tNN\tB-NP\tO' +p19626 +aS'cultures\tculture\tNNS\tI-NP\tO' +p19627 +aS'pending\tpende\tVBG\tB-VP\tO' +p19628 +aS'.\t.\t.\tO\tO' +p19629 +asS'Mr. Robert Mackey is a 49 year old gentleman with a 22 year history of diabetes mellitus .' +p19630 +(lp19631 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p19632 +aS'Robert\tRobert\tNNP\tI-NP\tO' +p19633 +aS'Mackey\tMackey\tNNP\tI-NP\tO' +p19634 +aS'is\tbe\tVBZ\tB-VP\tO' +p19635 +aS'a\ta\tDT\tB-NP\tO' +p19636 +aS'49\t49\tCD\tI-NP\tO' +p19637 +aS'year\tyear\tNN\tI-NP\tO' +p19638 +aS'old\told\tJJ\tI-NP\tO' +p19639 +aS'gentleman\tgentleman\tNN\tI-NP\tO' +p19640 +aS'with\twith\tIN\tB-PP\tO' +p19641 +aS'a\ta\tDT\tB-NP\tO' +p19642 +aS'22\t22\tCD\tI-NP\tO' +p19643 +aS'year\tyear\tNN\tI-NP\tO' +p19644 +aS'history\thistory\tNN\tI-NP\tO' +p19645 +aS'of\tof\tIN\tB-PP\tO' +p19646 +aS'diabetes\tdiabetes\tNN\tB-NP\tO' +p19647 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p19648 +aS'.\t.\t.\tO\tO' +p19649 +asS'Tongue protrudes in midline , no fasciculations .' +p19650 +(lp19651 +S'Tongue\tTongue\tJJ\tB-NP\tO' +p19652 +aS'protrudes\tprotrude\tNNS\tI-NP\tO' +p19653 +aS'in\tin\tIN\tB-PP\tO' +p19654 +aS'midline\tmidline\tNN\tB-NP\tO' +p19655 +aS',\t,\t,\tO\tO' +p19656 +aS'no\tno\tDT\tB-NP\tO' +p19657 +aS'fasciculations\tfasciculation\tNNS\tI-NP\tO' +p19658 +aS'.\t.\t.\tO\tO' +p19659 +asS'Temperature was 101.8 .' +p19660 +(lp19661 +S'Temperature\tTemperature\tNN\tB-NP\tO' +p19662 +aS'was\tbe\tVBD\tB-VP\tO' +p19663 +aS'101.8\t101.8\tCD\tB-NP\tO' +p19664 +aS'.\t.\t.\tO\tO' +p19665 +asS'The patient 's lower extremities began to swell and the patient was begun on Hirudin for deep venous thrombosis .' +p19666 +(lp19667 +S'The\tThe\tDT\tB-NP\tO' +p19668 +aS'patient\tpatient\tNN\tI-NP\tO' +p19669 +aS''s\t'\tVBZ\tB-VP\tO' +p19670 +aS'lower\tlow\tJJR\tB-NP\tO' +p19671 +aS'extremities\textremity\tNNS\tI-NP\tO' +p19672 +aS'began\tbegin\tVBD\tB-VP\tO' +p19673 +aS'to\tto\tTO\tI-VP\tO' +p19674 +aS'swell\tswell\tVB\tI-VP\tO' +p19675 +aS'and\tand\tCC\tO\tO' +p19676 +aS'the\tthe\tDT\tB-NP\tO' +p19677 +aS'patient\tpatient\tNN\tI-NP\tO' +p19678 +aS'was\tbe\tVBD\tB-VP\tO' +p19679 +aS'begun\tbegin\tVBN\tI-VP\tO' +p19680 +aS'on\ton\tIN\tB-PP\tO' +p19681 +aS'Hirudin\tHirudin\tNNP\tB-NP\tO' +p19682 +aS'for\tfor\tIN\tB-PP\tO' +p19683 +aS'deep\tdeep\tJJ\tB-NP\tO' +p19684 +aS'venous\tvenous\tJJ\tI-NP\tO' +p19685 +aS'thrombosis\tthrombosis\tNN\tI-NP\tO' +p19686 +aS'.\t.\t.\tO\tO' +p19687 +asS'Ecotrin 1 tablet PO qd , Captopril 6.25 mg PO tid , K-Dur 20 mEq. PO qd , Lasix 20 mg PO qd , Isordil 10 mg PO tid , Sinemet 1/2 tablet PO bid , Symmetrel 100 mg PO bid , Parloder 2.5mg PO qd .' +p19688 +(lp19689 +S'Ecotrin\tEcotrin\tNN\tB-NP\tO' +p19690 +aS'1\t1\tCD\tI-NP\tO' +p19691 +aS'tablet\ttablet\tNN\tI-NP\tO' +p19692 +aS'PO\tPO\tNN\tI-NP\tO' +p19693 +aS'qd\tqd\tNN\tI-NP\tO' +p19694 +aS',\t,\t,\tO\tO' +p19695 +aS'Captopril\tCaptopril\tNNP\tB-NP\tO' +p19696 +aS'6.25\t6.25\tCD\tI-NP\tO' +p19697 +aS'mg\tmg\tNN\tI-NP\tO' +p19698 +aS'PO\tPO\tNN\tI-NP\tO' +p19699 +aS'tid\ttid\tNN\tI-NP\tO' +p19700 +aS',\t,\t,\tO\tO' +p19701 +aS'K-Dur\tK-Dur\tNN\tB-NP\tO' +p19702 +aS'20\t20\tCD\tI-NP\tO' +p19703 +aS'mEq.\tmEq.\tNN\tI-NP\tO' +p19704 +aS'PO\tPO\tNN\tI-NP\tO' +p19705 +aS'qd\tqd\tNN\tI-NP\tO' +p19706 +aS',\t,\t,\tO\tO' +p19707 +aS'Lasix\tLasix\tNN\tB-NP\tO' +p19708 +aS'20\t20\tCD\tI-NP\tO' +p19709 +aS'mg\tmg\tNN\tI-NP\tO' +p19710 +aS'PO\tPO\tNN\tI-NP\tO' +p19711 +aS'qd\tqd\tNN\tI-NP\tO' +p19712 +aS',\t,\t,\tO\tO' +p19713 +aS'Isordil\tIsordil\tNN\tB-NP\tO' +p19714 +aS'10\t10\tCD\tI-NP\tO' +p19715 +aS'mg\tmg\tNN\tI-NP\tO' +p19716 +aS'PO\tPO\tNN\tI-NP\tO' +p19717 +aS'tid\ttid\tNN\tI-NP\tO' +p19718 +aS',\t,\t,\tO\tO' +p19719 +aS'Sinemet\tSinemet\tNNP\tB-NP\tO' +p19720 +aS'1/2\t1/2\tCD\tI-NP\tO' +p19721 +aS'tablet\ttablet\tNN\tI-NP\tO' +p19722 +aS'PO\tPO\tNN\tI-NP\tO' +p19723 +aS'bid\tbid\tNN\tI-NP\tO' +p19724 +aS',\t,\t,\tO\tO' +p19725 +aS'Symmetrel\tSymmetrel\tNN\tB-NP\tO' +p19726 +aS'100\t100\tCD\tI-NP\tO' +p19727 +aS'mg\tmg\tNN\tI-NP\tO' +p19728 +aS'PO\tPO\tNN\tI-NP\tO' +p19729 +aS'bid\tbid\tNN\tI-NP\tO' +p19730 +aS',\t,\t,\tO\tO' +p19731 +aS'Parloder\tParloder\tNNP\tB-NP\tO' +p19732 +aS'2.5mg\t2.5mg\tNNP\tI-NP\tO' +p19733 +aS'PO\tPO\tNNP\tI-NP\tO' +p19734 +aS'qd\tqd\tNN\tI-NP\tO' +p19735 +aS'.\t.\t.\tO\tO' +p19736 +asS'Off for days now .' +p19737 +(lp19738 +S'Off\tOff\tIN\tB-PP\tO' +p19739 +aS'for\tfor\tIN\tB-PP\tO' +p19740 +aS'days\tday\tNNS\tB-NP\tO' +p19741 +aS'now\tnow\tRB\tB-ADVP\tO' +p19742 +aS'.\t.\t.\tO\tO' +p19743 +asS'There were no electrocardiogram changes noted and there were no arrhythmias noted as well .' +p19744 +(lp19745 +S'There\tThere\tEX\tB-NP\tO' +p19746 +aS'were\tbe\tVBD\tB-VP\tO' +p19747 +aS'no\tno\tDT\tB-NP\tO' +p19748 +aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' +p19749 +aS'changes\tchange\tNNS\tI-NP\tO' +p19750 +aS'noted\tnote\tVBD\tB-VP\tO' +p19751 +aS'and\tand\tCC\tO\tO' +p19752 +aS'there\tthere\tEX\tB-NP\tO' +p19753 +aS'were\tbe\tVBD\tB-VP\tO' +p19754 +aS'no\tno\tDT\tB-NP\tO' +p19755 +aS'arrhythmias\tarrhythmia\tNNS\tI-NP\tO' +p19756 +aS'noted\tnote\tVBD\tB-VP\tO' +p19757 +aS'as\tas\tRB\tB-ADVP\tO' +p19758 +aS'well\twell\tRB\tI-ADVP\tO' +p19759 +aS'.\t.\t.\tO\tO' +p19760 +asS'4) Please follow up with Dr. Clow to follow up results of abdominal fat pad biopsy and blood tests to assess for amyloid .' +p19761 +(lp19762 +S'4)\t4)\tLS\tB-NP\tO' +p19763 +aS'Please\tPlease\tNN\tI-NP\tB-protein' +p19764 +aS'follow\tfollow\tVB\tB-VP\tO' +p19765 +aS'up\tup\tRP\tB-PRT\tO' +p19766 +aS'with\twith\tIN\tB-PP\tO' +p19767 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p19768 +aS'Clow\tClow\tNNP\tI-NP\tO' +p19769 +aS'to\tto\tTO\tB-VP\tO' +p19770 +aS'follow\tfollow\tVB\tI-VP\tO' +p19771 +aS'up\tup\tRP\tB-PRT\tO' +p19772 +aS'results\tresult\tNNS\tB-NP\tO' +p19773 +aS'of\tof\tIN\tB-PP\tO' +p19774 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p19775 +aS'fat\tfat\tJJ\tI-NP\tO' +p19776 +aS'pad\tpad\tNN\tI-NP\tO' +p19777 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p19778 +aS'and\tand\tCC\tI-NP\tO' +p19779 +aS'blood\tblood\tNN\tI-NP\tO' +p19780 +aS'tests\ttest\tNNS\tI-NP\tO' +p19781 +aS'to\tto\tTO\tB-VP\tO' +p19782 +aS'assess\tassess\tVB\tI-VP\tO' +p19783 +aS'for\tfor\tIN\tB-PP\tO' +p19784 +aS'amyloid\tamyloid\tNN\tB-NP\tO' +p19785 +aS'.\t.\t.\tO\tO' +p19786 +asS'He was able to be rapidly weaned and extubated .' +p19787 +(lp19788 +S'He\tHe\tPRP\tB-NP\tO' +p19789 +aS'was\tbe\tVBD\tB-VP\tO' +p19790 +aS'able\table\tJJ\tB-ADJP\tO' +p19791 +aS'to\tto\tTO\tB-VP\tO' +p19792 +aS'be\tbe\tVB\tI-VP\tO' +p19793 +aS'rapidly\trapidly\tRB\tI-VP\tO' +p19794 +aS'weaned\twean\tVBN\tI-VP\tO' +p19795 +aS'and\tand\tCC\tI-VP\tO' +p19796 +aS'extubated\textubate\tVBN\tI-VP\tO' +p19797 +aS'.\t.\t.\tO\tO' +p19798 +asS'The remainder of the Hubbard Regional Hospital hospital course , discharge diagnoses , medications and follow-up will be dictated at the time of discharge .' +p19799 +(lp19800 +S'The\tThe\tDT\tB-NP\tO' +p19801 +aS'remainder\tremainder\tNN\tI-NP\tO' +p19802 +aS'of\tof\tIN\tB-PP\tO' +p19803 +aS'the\tthe\tDT\tB-NP\tO' +p19804 +aS'Hubbard\tHubbard\tNNP\tI-NP\tO' +p19805 +aS'Regional\tRegional\tNNP\tI-NP\tO' +p19806 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p19807 +aS'hospital\thospital\tNN\tI-NP\tO' +p19808 +aS'course\tcourse\tNN\tI-NP\tO' +p19809 +aS',\t,\t,\tO\tO' +p19810 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p19811 +aS'diagnoses\tdiagnosis\tNNS\tI-NP\tO' +p19812 +aS',\t,\t,\tO\tO' +p19813 +aS'medications\tmedication\tNNS\tB-NP\tO' +p19814 +aS'and\tand\tCC\tO\tO' +p19815 +aS'follow-up\tfollow-up\tNN\tB-NP\tO' +p19816 +aS'will\twill\tMD\tB-VP\tO' +p19817 +aS'be\tbe\tVB\tI-VP\tO' +p19818 +aS'dictated\tdictate\tVBN\tI-VP\tO' +p19819 +aS'at\tat\tIN\tB-PP\tO' +p19820 +aS'the\tthe\tDT\tB-NP\tO' +p19821 +aS'time\ttime\tNN\tI-NP\tO' +p19822 +aS'of\tof\tIN\tB-PP\tO' +p19823 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p19824 +aS'.\t.\t.\tO\tO' +p19825 +asS'For the left gluteal pressure ulcer , they recommended gentle cleansing with normal saline or commercial wound cleaner , thin layer of Duoderm gel , air dry , allevyn foam adhesive over the site , and change every 2 days or prn .' +p19826 +(lp19827 +S'For\tFor\tIN\tB-PP\tO' +p19828 +aS'the\tthe\tDT\tB-NP\tO' +p19829 +aS'left\tleft\tJJ\tI-NP\tO' +p19830 +aS'gluteal\tgluteal\tJJ\tI-NP\tO' +p19831 +aS'pressure\tpressure\tNN\tI-NP\tO' +p19832 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p19833 +aS',\t,\t,\tO\tO' +p19834 +aS'they\tthey\tPRP\tB-NP\tO' +p19835 +aS'recommended\trecommend\tVBD\tB-VP\tO' +p19836 +aS'gentle\tgentle\tJJ\tB-NP\tO' +p19837 +aS'cleansing\tcleansing\tNN\tI-NP\tO' +p19838 +aS'with\twith\tIN\tB-PP\tO' +p19839 +aS'normal\tnormal\tJJ\tB-NP\tO' +p19840 +aS'saline\tsaline\tNN\tI-NP\tO' +p19841 +aS'or\tor\tCC\tO\tO' +p19842 +aS'commercial\tcommercial\tJJ\tB-NP\tO' +p19843 +aS'wound\twound\tNN\tI-NP\tO' +p19844 +aS'cleaner\tcleaner\tNN\tI-NP\tO' +p19845 +aS',\t,\t,\tO\tO' +p19846 +aS'thin\tthin\tJJ\tB-NP\tO' +p19847 +aS'layer\tlayer\tNN\tI-NP\tO' +p19848 +aS'of\tof\tIN\tB-PP\tO' +p19849 +aS'Duoderm\tDuoderm\tNN\tB-NP\tO' +p19850 +aS'gel\tgel\tNN\tI-NP\tO' +p19851 +aS',\t,\t,\tO\tO' +p19852 +aS'air\tair\tNN\tB-NP\tO' +p19853 +aS'dry\tdry\tJJ\tI-NP\tO' +p19854 +aS',\t,\t,\tI-NP\tO' +p19855 +aS'allevyn\tallevyn\tJJ\tI-NP\tO' +p19856 +aS'foam\tfoam\tNN\tI-NP\tO' +p19857 +aS'adhesive\tadhesive\tJJ\tB-ADJP\tO' +p19858 +aS'over\tover\tIN\tB-PP\tO' +p19859 +aS'the\tthe\tDT\tB-NP\tO' +p19860 +aS'site\tsite\tNN\tI-NP\tO' +p19861 +aS',\t,\t,\tO\tO' +p19862 +aS'and\tand\tCC\tO\tO' +p19863 +aS'change\tchange\tVB\tB-VP\tO' +p19864 +aS'every\tevery\tDT\tB-NP\tO' +p19865 +aS'2\t2\tCD\tI-NP\tO' +p19866 +aS'days\tday\tNNS\tI-NP\tO' +p19867 +aS'or\tor\tCC\tI-NP\tO' +p19868 +aS'prn\tprn\tNN\tI-NP\tO' +p19869 +aS'.\t.\t.\tO\tO' +p19870 +asS'His apical pneumothorax from the outside hospital had resolved .' +p19871 +(lp19872 +S'His\tHis\tPRP$\tB-NP\tO' +p19873 +aS'apical\tapical\tJJ\tI-NP\tO' +p19874 +aS'pneumothorax\tpneumothorax\tNN\tI-NP\tO' +p19875 +aS'from\tfrom\tIN\tB-PP\tO' +p19876 +aS'the\tthe\tDT\tB-NP\tO' +p19877 +aS'outside\toutside\tJJ\tI-NP\tO' +p19878 +aS'hospital\thospital\tNN\tI-NP\tO' +p19879 +aS'had\thave\tVBD\tB-VP\tO' +p19880 +aS'resolved\tresolve\tVBN\tI-VP\tO' +p19881 +aS'.\t.\t.\tO\tO' +p19882 +asS'3. Dexamethasone 4 mg Tablet Sig : Two ( 2 ) Tablet PO Q8H ( every 8 hours ) : please give 8 mg suppository .' +p19883 +(lp19884 +S'3.\t3.\tLS\tB-LST\tO' +p19885 +aS'Dexamethasone\tDexamethasone\tNN\tB-NP\tO' +p19886 +aS'4\t4\tCD\tI-NP\tO' +p19887 +aS'mg\tmg\tNN\tI-NP\tO' +p19888 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p19889 +aS'Sig\tSig\tNNP\tI-NP\tO' +p19890 +aS':\t:\t:\tO\tO' +p19891 +aS'Two\tTwo\tCD\tB-NP\tO' +p19892 +aS'(\t(\t(\tO\tO' +p19893 +aS'2\t2\tCD\tO\tO' +p19894 +aS')\t)\t)\tO\tO' +p19895 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p19896 +aS'PO\tPO\tNN\tI-NP\tO' +p19897 +aS'Q8H\tQ8H\tNN\tI-NP\tO' +p19898 +aS'(\t(\t(\tO\tO' +p19899 +aS'every\tevery\tDT\tB-NP\tO' +p19900 +aS'8\t8\tCD\tI-NP\tO' +p19901 +aS'hours\thour\tNNS\tI-NP\tO' +p19902 +aS')\t)\t)\tO\tO' +p19903 +aS':\t:\t:\tO\tO' +p19904 +aS'please\tplease\tVB\tB-INTJ\tO' +p19905 +aS'give\tgive\tVB\tO\tO' +p19906 +aS'8\t8\tCD\tB-NP\tO' +p19907 +aS'mg\tmg\tNN\tI-NP\tO' +p19908 +aS'suppository\tsuppository\tNN\tI-NP\tO' +p19909 +aS'.\t.\t.\tO\tO' +p19910 +asS'Dictated By : Louise B. Robertson , M.D.' +p19911 +(lp19912 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p19913 +aS'By\tBy\tIN\tB-PP\tO' +p19914 +aS':\t:\t:\tO\tO' +p19915 +aS'Louise\tLouise\tNNP\tB-NP\tO' +p19916 +aS'B.\tB.\tNNP\tI-NP\tO' +p19917 +aS'Robertson\tRobertson\tNNP\tI-NP\tO' +p19918 +aS',\t,\t,\tO\tO' +p19919 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p19920 +asS'Responsible After Study for Causing Admission ) s / p NSVD' +p19921 +(lp19922 +S'Responsible\tResponsible\tJJ\tB-ADJP\tO' +p19923 +aS'After\tAfter\tIN\tB-PP\tO' +p19924 +aS'Study\tStudy\tNN\tB-NP\tO' +p19925 +aS'for\tfor\tIN\tB-PP\tO' +p19926 +aS'Causing\tCause\tVBG\tB-NP\tO' +p19927 +aS'Admission\tAdmission\tNN\tI-NP\tO' +p19928 +aS')\t)\t)\tI-NP\tO' +p19929 +aS's\ts\tNN\tI-NP\tO' +p19930 +aS'/\t/\tSYM\tO\tO' +p19931 +aS'p\tp\tNN\tB-NP\tO' +p19932 +aS'NSVD\tNSVD\tNN\tI-NP\tO' +p19933 +asS'Nevertheless , he developed refractory hypoxemia , hypotension , and ultimately the patient died despite total life support .' +p19934 +(lp19935 +S'Nevertheless\tNevertheless\tRB\tB-ADVP\tO' +p19936 +aS',\t,\t,\tO\tO' +p19937 +aS'he\the\tPRP\tB-NP\tO' +p19938 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p19939 +aS'refractory\trefractory\tJJ\tB-NP\tO' +p19940 +aS'hypoxemia\thypoxemia\tNN\tI-NP\tO' +p19941 +aS',\t,\t,\tO\tO' +p19942 +aS'hypotension\thypotension\tNN\tB-NP\tO' +p19943 +aS',\t,\t,\tO\tO' +p19944 +aS'and\tand\tCC\tO\tO' +p19945 +aS'ultimately\tultimately\tRB\tB-ADVP\tO' +p19946 +aS'the\tthe\tDT\tB-NP\tO' +p19947 +aS'patient\tpatient\tNN\tI-NP\tO' +p19948 +aS'died\tdie\tVBD\tB-VP\tO' +p19949 +aS'despite\tdespite\tIN\tB-PP\tO' +p19950 +aS'total\ttotal\tJJ\tB-NP\tO' +p19951 +aS'life\tlife\tNN\tI-NP\tO' +p19952 +aS'support\tsupport\tNN\tI-NP\tO' +p19953 +aS'.\t.\t.\tO\tO' +p19954 +asS'Occasional alcohol .' +p19955 +(lp19956 +S'Occasional\tOccasional\tJJ\tB-NP\tO' +p19957 +aS'alcohol\talcohol\tNN\tI-NP\tO' +p19958 +aS'.\t.\t.\tO\tO' +p19959 +asS'No bruits appreciated .' +p19960 +(lp19961 +S'No\tNo\tDT\tB-NP\tO' +p19962 +aS'bruits\tbruit\tNNS\tI-NP\tO' +p19963 +aS'appreciated\tappreciate\tVBN\tB-VP\tO' +p19964 +aS'.\t.\t.\tO\tO' +p19965 +asS'Pathology of the biopsy demonstrated glioblastoma multiforme , grade IIi/III .' +p19966 +(lp19967 +S'Pathology\tPathology\tNNS\tB-NP\tO' +p19968 +aS'of\tof\tIN\tB-PP\tO' +p19969 +aS'the\tthe\tDT\tB-NP\tO' +p19970 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p19971 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p19972 +aS'glioblastoma\tglioblastoma\tNN\tB-NP\tO' +p19973 +aS'multiforme\tmultiforme\tJJ\tB-ADJP\tO' +p19974 +aS',\t,\t,\tO\tO' +p19975 +aS'grade\tgrade\tNN\tB-NP\tO' +p19976 +aS'IIi/III\tIIi/III\tNNP\tI-NP\tO' +p19977 +aS'.\t.\t.\tO\tO' +p19978 +asS'Hemodynamically stable , pt doing much better with physical therapy , passed video swallow evaluation tolerating po .' +p19979 +(lp19980 +S'Hemodynamically\tHemodynamically\tRB\tB-ADJP\tO' +p19981 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p19982 +aS',\t,\t,\tO\tO' +p19983 +aS'pt\tpt\tNN\tB-NP\tO' +p19984 +aS'doing\tdo\tVBG\tB-VP\tO' +p19985 +aS'much\tmuch\tRB\tB-ADJP\tO' +p19986 +aS'better\tgood\tJJR\tI-ADJP\tO' +p19987 +aS'with\twith\tIN\tB-PP\tO' +p19988 +aS'physical\tphysical\tJJ\tB-NP\tO' +p19989 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p19990 +aS',\t,\t,\tO\tO' +p19991 +aS'passed\tpass\tVBD\tB-VP\tO' +p19992 +aS'video\tvideo\tNN\tB-NP\tO' +p19993 +aS'swallow\tswallow\tNN\tI-NP\tO' +p19994 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p19995 +aS'tolerating\ttolerate\tVBG\tB-VP\tO' +p19996 +aS'po\tpo\tNN\tB-NP\tO' +p19997 +aS'.\t.\t.\tO\tO' +p19998 +asS"The patient 's course up to the date of transfer to Neurology has been outlined above ." +p19999 +(lp20000 +S'The\tThe\tDT\tB-NP\tO' +p20001 +aS'patient\tpatient\tNN\tI-NP\tO' +p20002 +aS"'s\t's\tPOS\tB-NP\tO" +p20003 +aS'course\tcourse\tNN\tI-NP\tO' +p20004 +aS'up\tup\tIN\tB-PP\tO' +p20005 +aS'to\tto\tTO\tB-PP\tO' +p20006 +aS'the\tthe\tDT\tB-NP\tO' +p20007 +aS'date\tdate\tNN\tI-NP\tO' +p20008 +aS'of\tof\tIN\tB-PP\tO' +p20009 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p20010 +aS'to\tto\tTO\tB-PP\tO' +p20011 +aS'Neurology\tNeurology\tNNP\tB-NP\tO' +p20012 +aS'has\thave\tVBZ\tB-VP\tO' +p20013 +aS'been\tbe\tVBN\tI-VP\tO' +p20014 +aS'outlined\toutline\tVBN\tI-VP\tO' +p20015 +aS'above\tabove\tIN\tB-PP\tO' +p20016 +aS'.\t.\t.\tO\tO' +p20017 +asS"Over the course of the hospital stay the patient 's Flolan dose was titrated to receive maximum benefit without precipitating symptoms of Flolan overdose ." +p20018 +(lp20019 +S'Over\tOver\tIN\tB-PP\tO' +p20020 +aS'the\tthe\tDT\tB-NP\tO' +p20021 +aS'course\tcourse\tNN\tI-NP\tO' +p20022 +aS'of\tof\tIN\tB-PP\tO' +p20023 +aS'the\tthe\tDT\tB-NP\tO' +p20024 +aS'hospital\thospital\tNN\tI-NP\tO' +p20025 +aS'stay\tstay\tVB\tB-VP\tO' +p20026 +aS'the\tthe\tDT\tB-NP\tO' +p20027 +aS'patient\tpatient\tNN\tI-NP\tO' +p20028 +aS"'s\t's\tPOS\tB-NP\tO" +p20029 +aS'Flolan\tFlolan\tNNP\tI-NP\tO' +p20030 +aS'dose\tdose\tNN\tI-NP\tO' +p20031 +aS'was\tbe\tVBD\tB-VP\tO' +p20032 +aS'titrated\ttitrate\tVBN\tI-VP\tO' +p20033 +aS'to\tto\tTO\tI-VP\tO' +p20034 +aS'receive\treceive\tVB\tI-VP\tO' +p20035 +aS'maximum\tmaximum\tJJ\tB-NP\tO' +p20036 +aS'benefit\tbenefit\tNN\tI-NP\tO' +p20037 +aS'without\twithout\tIN\tB-PP\tO' +p20038 +aS'precipitating\tprecipitate\tVBG\tB-VP\tO' +p20039 +aS'symptoms\tsymptom\tNNS\tB-NP\tO' +p20040 +aS'of\tof\tIN\tB-PP\tO' +p20041 +aS'Flolan\tFlolan\tNNP\tB-NP\tO' +p20042 +aS'overdose\toverdose\tNN\tI-NP\tO' +p20043 +aS'.\t.\t.\tO\tO' +p20044 +asS'He remaineda febrile with daily improvement in the appearance of his wound .' +p20045 +(lp20046 +S'He\tHe\tPRP\tB-NP\tO' +p20047 +aS'remaineda\tremaineda\tVBP\tB-VP\tO' +p20048 +aS'febrile\tfebrile\tNN\tB-NP\tO' +p20049 +aS'with\twith\tIN\tB-PP\tO' +p20050 +aS'daily\tdaily\tJJ\tB-NP\tO' +p20051 +aS'improvement\timprovement\tNN\tI-NP\tO' +p20052 +aS'in\tin\tIN\tB-PP\tO' +p20053 +aS'the\tthe\tDT\tB-NP\tO' +p20054 +aS'appearance\tappearance\tNN\tI-NP\tO' +p20055 +aS'of\tof\tIN\tB-PP\tO' +p20056 +aS'his\this\tPRP$\tB-NP\tO' +p20057 +aS'wound\twound\tNN\tI-NP\tO' +p20058 +aS'.\t.\t.\tO\tO' +p20059 +asS'Coumadin was then begun with a goal INR of 2.0 to 3.0 .' +p20060 +(lp20061 +S'Coumadin\tCoumadin\tNN\tB-NP\tO' +p20062 +aS'was\tbe\tVBD\tB-VP\tO' +p20063 +aS'then\tthen\tRB\tI-VP\tO' +p20064 +aS'begun\tbegin\tVBN\tI-VP\tO' +p20065 +aS'with\twith\tIN\tB-PP\tO' +p20066 +aS'a\ta\tDT\tB-NP\tO' +p20067 +aS'goal\tgoal\tNN\tI-NP\tO' +p20068 +aS'INR\tINR\tNN\tI-NP\tO' +p20069 +aS'of\tof\tIN\tB-PP\tO' +p20070 +aS'2.0\t2.0\tCD\tB-NP\tO' +p20071 +aS'to\tto\tTO\tB-PP\tO' +p20072 +aS'3.0\t3.0\tCD\tB-NP\tO' +p20073 +aS'.\t.\t.\tO\tO' +p20074 +asS'Earlier that day pt had a chest x ray which showed diffuse infiltrative process concerning for ARDS .' +p20075 +(lp20076 +S'Earlier\tEarlier\tRBR\tB-ADVP\tO' +p20077 +aS'that\tthat\tDT\tB-NP\tO' +p20078 +aS'day\tday\tNN\tI-NP\tO' +p20079 +aS'pt\tpt\tNN\tI-NP\tO' +p20080 +aS'had\thave\tVBD\tB-VP\tO' +p20081 +aS'a\ta\tDT\tB-NP\tO' +p20082 +aS'chest\tchest\tNN\tI-NP\tO' +p20083 +aS'x\tx\tSYM\tB-NP\tO' +p20084 +aS'ray\tray\tNN\tI-NP\tO' +p20085 +aS'which\twhich\tWDT\tB-NP\tO' +p20086 +aS'showed\tshow\tVBD\tB-VP\tO' +p20087 +aS'diffuse\tdiffuse\tJJ\tB-NP\tO' +p20088 +aS'infiltrative\tinfiltrative\tJJ\tI-NP\tO' +p20089 +aS'process\tprocess\tNN\tI-NP\tO' +p20090 +aS'concerning\tconcern\tVBG\tB-VP\tO' +p20091 +aS'for\tfor\tIN\tB-PP\tO' +p20092 +aS'ARDS\tARDS\tNN\tB-NP\tO' +p20093 +aS'.\t.\t.\tO\tO' +p20094 +asS'Mr. Steadman is a 25 year old man who presented to the The Hospital for Orthopedics on' +p20095 +(lp20096 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p20097 +aS'Steadman\tSteadman\tNNP\tI-NP\tO' +p20098 +aS'is\tbe\tVBZ\tB-VP\tO' +p20099 +aS'a\ta\tDT\tB-NP\tO' +p20100 +aS'25\t25\tCD\tI-NP\tO' +p20101 +aS'year\tyear\tNN\tI-NP\tO' +p20102 +aS'old\told\tJJ\tI-NP\tO' +p20103 +aS'man\tman\tNN\tI-NP\tO' +p20104 +aS'who\twho\tWP\tB-NP\tO' +p20105 +aS'presented\tpresent\tVBD\tB-VP\tO' +p20106 +aS'to\tto\tTO\tB-PP\tO' +p20107 +aS'the\tthe\tDT\tB-NP\tO' +p20108 +aS'The\tThe\tNNP\tI-NP\tO' +p20109 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p20110 +aS'for\tfor\tIN\tB-PP\tO' +p20111 +aS'Orthopedics\tOrthopedics\tNNP\tB-NP\tO' +p20112 +aS'on\ton\tIN\tB-PP\tO' +p20113 +asS'2. Cardiovascular .' +p20114 +(lp20115 +S'2.\t2.\tLS\tB-LST\tO' +p20116 +aS'Cardiovascular\tCardiovascular\tNNP\tB-NP\tO' +p20117 +aS'.\t.\t.\tO\tO' +p20118 +asS'3. Percocet one to two p.o. q. four hours p.r.n.' +p20119 +(lp20120 +S'3.\t3.\tLS\tB-LST\tO' +p20121 +aS'Percocet\tPercocet\tNNP\tB-NP\tO' +p20122 +aS'one\tone\tCD\tI-NP\tO' +p20123 +aS'to\tto\tTO\tB-PP\tO' +p20124 +aS'two\ttwo\tCD\tB-NP\tO' +p20125 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p20126 +aS'q.\tq.\tFW\tI-NP\tO' +p20127 +aS'four\tfour\tCD\tB-NP\tO' +p20128 +aS'hours\thour\tNNS\tI-NP\tO' +p20129 +aS'p.r.n.\tp.r.n.\tRB\tB-ADVP\tO' +p20130 +asS'5. Zestoretic with an unknown dose .' +p20131 +(lp20132 +S'5.\t5.\tLS\tB-LST\tO' +p20133 +aS'Zestoretic\tZestoretic\tJJ\tB-ADJP\tO' +p20134 +aS'with\twith\tIN\tB-PP\tO' +p20135 +aS'an\tan\tDT\tB-NP\tO' +p20136 +aS'unknown\tunknown\tJJ\tI-NP\tO' +p20137 +aS'dose\tdose\tNN\tI-NP\tO' +p20138 +aS'.\t.\t.\tO\tO' +p20139 +asS'She has never received any blood products during this CMED CSRU stay .' +p20140 +(lp20141 +S'She\tShe\tPRP\tB-NP\tO' +p20142 +aS'has\thave\tVBZ\tB-VP\tO' +p20143 +aS'never\tnever\tRB\tI-VP\tO' +p20144 +aS'received\treceive\tVBN\tI-VP\tO' +p20145 +aS'any\tany\tDT\tB-NP\tO' +p20146 +aS'blood\tblood\tNN\tI-NP\tO' +p20147 +aS'products\tproduct\tNNS\tI-NP\tO' +p20148 +aS'during\tduring\tIN\tB-PP\tO' +p20149 +aS'this\tthis\tDT\tB-NP\tO' +p20150 +aS'CMED\tCMED\tVBN\tI-NP\tO' +p20151 +aS'CSRU\tCSRU\tNN\tI-NP\tO' +p20152 +aS'stay\tstay\tNN\tI-NP\tO' +p20153 +aS'.\t.\t.\tO\tO' +p20154 +asS'Please follow up with Dr. Frye in cardiololgy ( ( 216 ) 660-0019 ) on 10-09 at 2:15 PM .' +p20155 +(lp20156 +S'Please\tPlease\tVB\tB-VP\tO' +p20157 +aS'follow\tfollow\tVB\tI-VP\tO' +p20158 +aS'up\tup\tRP\tB-PRT\tO' +p20159 +aS'with\twith\tIN\tB-PP\tO' +p20160 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p20161 +aS'Frye\tFrye\tNNP\tI-NP\tO' +p20162 +aS'in\tin\tIN\tB-PP\tO' +p20163 +aS'cardiololgy\tcardiololgy\tNN\tB-NP\tO' +p20164 +aS'(\t(\t(\tO\tO' +p20165 +aS'(\t(\t(\tO\tO' +p20166 +aS'216\t216\tCD\tB-NP\tO' +p20167 +aS')\t)\t)\tO\tO' +p20168 +aS'660-0019\t660-0019\tCD\tB-NP\tO' +p20169 +aS')\t)\t)\tO\tO' +p20170 +aS'on\ton\tIN\tB-PP\tO' +p20171 +aS'10-09\t10-09\tCD\tB-NP\tO' +p20172 +aS'at\tat\tIN\tB-PP\tO' +p20173 +aS'2:15\t2:15\tCD\tB-NP\tO' +p20174 +aS'PM\tPM\tNN\tI-NP\tO' +p20175 +aS'.\t.\t.\tO\tO' +p20176 +asS'Blood urea nitrogen 11 , creatinine .6 , uric acid 3.0 , alkaline phosphatase 78 , creatinine phosphokinase isoenzymes too low , hematocrit 41 , white blood cell count 11.6 .' +p20177 +(lp20178 +S'Blood\tBlood\tNN\tB-NP\tO' +p20179 +aS'urea\turea\tNN\tI-NP\tO' +p20180 +aS'nitrogen\tnitrogen\tNN\tI-NP\tO' +p20181 +aS'11\t11\tCD\tI-NP\tO' +p20182 +aS',\t,\t,\tO\tO' +p20183 +aS'creatinine\tcreatinine\tNN\tB-NP\tB-protein' +p20184 +aS'.6\t.6\tCD\tI-NP\tI-protein' +p20185 +aS',\t,\t,\tO\tO' +p20186 +aS'uric\turic\tJJ\tB-NP\tO' +p20187 +aS'acid\tacid\tNN\tI-NP\tO' +p20188 +aS'3.0\t3.0\tCD\tI-NP\tO' +p20189 +aS',\t,\t,\tO\tO' +p20190 +aS'alkaline\talkaline\tNN\tB-NP\tO' +p20191 +aS'phosphatase\tphosphatase\tNN\tI-NP\tO' +p20192 +aS'78\t78\tCD\tI-NP\tO' +p20193 +aS',\t,\t,\tO\tO' +p20194 +aS'creatinine\tcreatinine\tNN\tB-NP\tB-protein' +p20195 +aS'phosphokinase\tphosphokinase\tNN\tI-NP\tI-protein' +p20196 +aS'isoenzymes\tisoenzyme\tNNS\tI-NP\tI-protein' +p20197 +aS'too\ttoo\tRB\tB-ADJP\tO' +p20198 +aS'low\tlow\tJJ\tI-ADJP\tO' +p20199 +aS',\t,\t,\tO\tO' +p20200 +aS'hematocrit\thematocrit\tNN\tB-NP\tO' +p20201 +aS'41\t41\tCD\tI-NP\tO' +p20202 +aS',\t,\t,\tO\tO' +p20203 +aS'white\twhite\tJJ\tB-NP\tO' +p20204 +aS'blood\tblood\tNN\tI-NP\tO' +p20205 +aS'cell\tcell\tNN\tI-NP\tO' +p20206 +aS'count\tcount\tNN\tI-NP\tO' +p20207 +aS'11.6\t11.6\tCD\tI-NP\tO' +p20208 +aS'.\t.\t.\tO\tO' +p20209 +asS'On June 26 , 1994 tumor debulking , pelvic lymph node dissection , lysis of adhesions , abdominal wall hernia repair .' +p20210 +(lp20211 +S'On\tOn\tIN\tB-PP\tO' +p20212 +aS'June\tJune\tNNP\tB-NP\tO' +p20213 +aS'26\t26\tCD\tI-NP\tO' +p20214 +aS',\t,\t,\tI-NP\tO' +p20215 +aS'1994\t1994\tCD\tI-NP\tO' +p20216 +aS'tumor\ttumor\tNN\tI-NP\tO' +p20217 +aS'debulking\tdebulking\tNN\tI-NP\tO' +p20218 +aS',\t,\t,\tO\tO' +p20219 +aS'pelvic\tpelvic\tJJ\tB-NP\tO' +p20220 +aS'lymph\tlymph\tNN\tI-NP\tO' +p20221 +aS'node\tnode\tNN\tI-NP\tO' +p20222 +aS'dissection\tdissection\tNN\tI-NP\tO' +p20223 +aS',\t,\t,\tO\tO' +p20224 +aS'lysis\tlysis\tNN\tB-NP\tO' +p20225 +aS'of\tof\tIN\tB-PP\tO' +p20226 +aS'adhesions\tadhesion\tNNS\tB-NP\tO' +p20227 +aS',\t,\t,\tO\tO' +p20228 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p20229 +aS'wall\twall\tNN\tI-NP\tO' +p20230 +aS'hernia\thernia\tNN\tI-NP\tO' +p20231 +aS'repair\trepair\tNN\tI-NP\tO' +p20232 +aS'.\t.\t.\tO\tO' +p20233 +asS'3. Status post left femur fracture' +p20234 +(lp20235 +S'3.\t3.\tLS\tB-NP\tO' +p20236 +aS'Status\tStatus\tNNP\tI-NP\tO' +p20237 +aS'post\tpost\tNN\tI-NP\tO' +p20238 +aS'left\tleave\tVBD\tB-VP\tO' +p20239 +aS'femur\tfemur\tNN\tB-NP\tO' +p20240 +aS'fracture\tfracture\tNN\tI-NP\tO' +p20241 +asS'STAGE 2 OF THE SURGERY WILL BE DONE IN 3 WEEKS .' +p20242 +(lp20243 +S'STAGE\tSTAGE\tNN\tB-NP\tO' +p20244 +aS'2\t2\tCD\tI-NP\tO' +p20245 +aS'OF\tOF\tIN\tB-PP\tO' +p20246 +aS'THE\tTHE\tDT\tB-NP\tO' +p20247 +aS'SURGERY\tSURGERY\tNN\tI-NP\tO' +p20248 +aS'WILL\tWILL\tMD\tB-VP\tO' +p20249 +aS'BE\tBE\tVB\tI-VP\tO' +p20250 +aS'DONE\tDONE\tNN\tB-NP\tO' +p20251 +aS'IN\tIN\tIN\tB-PP\tO' +p20252 +aS'3\t3\tCD\tB-NP\tO' +p20253 +aS'WEEKS\tWEEKS\tNN\tI-NP\tO' +p20254 +aS'.\t.\t.\tO\tO' +p20255 +asS'There is increased tone in his right upper extremity with a slight left pronator drift .' +p20256 +(lp20257 +S'There\tThere\tEX\tB-NP\tO' +p20258 +aS'is\tbe\tVBZ\tB-VP\tO' +p20259 +aS'increased\tincrease\tVBN\tB-NP\tO' +p20260 +aS'tone\ttone\tNN\tI-NP\tO' +p20261 +aS'in\tin\tIN\tB-PP\tO' +p20262 +aS'his\this\tPRP$\tB-NP\tO' +p20263 +aS'right\tright\tJJ\tI-NP\tO' +p20264 +aS'upper\tupper\tJJ\tI-NP\tO' +p20265 +aS'extremity\textremity\tNN\tI-NP\tO' +p20266 +aS'with\twith\tIN\tB-PP\tO' +p20267 +aS'a\ta\tDT\tB-NP\tO' +p20268 +aS'slight\tslight\tJJ\tI-NP\tO' +p20269 +aS'left\tleft\tJJ\tI-NP\tO' +p20270 +aS'pronator\tpronator\tNN\tI-NP\tO' +p20271 +aS'drift\tdrift\tNN\tI-NP\tO' +p20272 +aS'.\t.\t.\tO\tO' +p20273 +asS'Her pulses were intact throughout .' +p20274 +(lp20275 +S'Her\tHer\tPRP$\tB-NP\tO' +p20276 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p20277 +aS'were\tbe\tVBD\tB-VP\tO' +p20278 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p20279 +aS'throughout\tthroughout\tIN\tB-ADVP\tO' +p20280 +aS'.\t.\t.\tO\tO' +p20281 +asS'Obese , soft , non-tender , bowel sounds were present .' +p20282 +(lp20283 +S'Obese\tObese\tJJ\tB-NP\tO' +p20284 +aS',\t,\t,\tI-NP\tO' +p20285 +aS'soft\tsoft\tJJ\tI-NP\tO' +p20286 +aS',\t,\t,\tI-NP\tO' +p20287 +aS'non-tender\tnon-tender\tJJ\tI-NP\tO' +p20288 +aS',\t,\t,\tI-NP\tO' +p20289 +aS'bowel\tbowel\tNN\tI-NP\tO' +p20290 +aS'sounds\tsound\tNNS\tI-NP\tO' +p20291 +aS'were\tbe\tVBD\tB-VP\tO' +p20292 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p20293 +aS'.\t.\t.\tO\tO' +p20294 +asS'Abdomen : soft , nondistended .' +p20295 +(lp20296 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p20297 +aS':\t:\t:\tO\tO' +p20298 +aS'soft\tsoft\tJJ\tB-NP\tO' +p20299 +aS',\t,\t,\tI-NP\tO' +p20300 +aS'nondistended\tnondistended\tJJ\tI-NP\tO' +p20301 +aS'.\t.\t.\tO\tO' +p20302 +asS'Neurological .' +p20303 +(lp20304 +S'Neurological\tNeurological\tJJ\tB-ADJP\tO' +p20305 +aS'.\t.\t.\tO\tO' +p20306 +asS'She did have lower extremity doppler ultrasounds , which were negative .' +p20307 +(lp20308 +S'She\tShe\tPRP\tB-NP\tO' +p20309 +aS'did\tdo\tVBD\tB-VP\tO' +p20310 +aS'have\thave\tVB\tI-VP\tO' +p20311 +aS'lower\tlow\tJJR\tB-NP\tO' +p20312 +aS'extremity\textremity\tNN\tI-NP\tO' +p20313 +aS'doppler\tdoppler\tNN\tI-NP\tO' +p20314 +aS'ultrasounds\tultrasound\tNNS\tI-NP\tO' +p20315 +aS',\t,\t,\tO\tO' +p20316 +aS'which\twhich\tWDT\tB-NP\tO' +p20317 +aS'were\tbe\tVBD\tB-VP\tO' +p20318 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p20319 +aS'.\t.\t.\tO\tO' +p20320 +asS'No further intervention was done .' +p20321 +(lp20322 +S'No\tNo\tDT\tB-NP\tO' +p20323 +aS'further\tfurther\tJJ\tI-NP\tO' +p20324 +aS'intervention\tintervention\tNN\tI-NP\tO' +p20325 +aS'was\tbe\tVBD\tB-VP\tO' +p20326 +aS'done\tdo\tVBN\tI-VP\tO' +p20327 +aS'.\t.\t.\tO\tO' +p20328 +asS'He will have follow up arranged with Dr. Guabenfranda Patient .' +p20329 +(lp20330 +S'He\tHe\tPRP\tB-NP\tO' +p20331 +aS'will\twill\tMD\tB-VP\tO' +p20332 +aS'have\thave\tVB\tI-VP\tO' +p20333 +aS'follow\tfollow\tVB\tI-VP\tO' +p20334 +aS'up\tup\tRP\tB-PRT\tO' +p20335 +aS'arranged\tarrange\tVBN\tB-VP\tO' +p20336 +aS'with\twith\tIN\tB-PP\tO' +p20337 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p20338 +aS'Guabenfranda\tGuabenfranda\tNNP\tI-NP\tO' +p20339 +aS'Patient\tPatient\tNNP\tI-NP\tO' +p20340 +aS'.\t.\t.\tO\tO' +p20341 +asS'This bone marrow transplant did not produce remission and then he was treated with three cycles of VAD subsequently .' +p20342 +(lp20343 +S'This\tThis\tDT\tB-NP\tO' +p20344 +aS'bone\tbone\tNN\tI-NP\tO' +p20345 +aS'marrow\tmarrow\tNN\tI-NP\tO' +p20346 +aS'transplant\ttransplant\tNN\tI-NP\tO' +p20347 +aS'did\tdo\tVBD\tB-VP\tO' +p20348 +aS'not\tnot\tRB\tI-VP\tO' +p20349 +aS'produce\tproduce\tVB\tI-VP\tO' +p20350 +aS'remission\tremission\tNN\tB-NP\tO' +p20351 +aS'and\tand\tCC\tO\tO' +p20352 +aS'then\tthen\tRB\tB-ADVP\tO' +p20353 +aS'he\the\tPRP\tB-NP\tO' +p20354 +aS'was\tbe\tVBD\tB-VP\tO' +p20355 +aS'treated\ttreat\tVBN\tI-VP\tO' +p20356 +aS'with\twith\tIN\tB-PP\tO' +p20357 +aS'three\tthree\tCD\tB-NP\tO' +p20358 +aS'cycles\tcycle\tNNS\tI-NP\tO' +p20359 +aS'of\tof\tIN\tB-PP\tO' +p20360 +aS'VAD\tVAD\tNN\tB-NP\tB-protein' +p20361 +aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' +p20362 +aS'.\t.\t.\tO\tO' +p20363 +asS'The patient presents now for right modified radical mastectomy with impant .' +p20364 +(lp20365 +S'The\tThe\tDT\tB-NP\tO' +p20366 +aS'patient\tpatient\tNN\tI-NP\tO' +p20367 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p20368 +aS'now\tnow\tRB\tB-ADVP\tO' +p20369 +aS'for\tfor\tIN\tB-PP\tO' +p20370 +aS'right\tright\tJJ\tB-NP\tO' +p20371 +aS'modified\tmodify\tVBN\tI-NP\tO' +p20372 +aS'radical\tradical\tJJ\tI-NP\tO' +p20373 +aS'mastectomy\tmastectomy\tNN\tI-NP\tO' +p20374 +aS'with\twith\tIN\tB-PP\tO' +p20375 +aS'impant\timpant\tNN\tB-NP\tO' +p20376 +aS'.\t.\t.\tO\tO' +p20377 +asS'At the time of discharge , her weight is 2,200 grams ; her length is 49.5 centimeters ( 19.5 inches ) and her head circumference is 30.5 centimeters .' +p20378 +(lp20379 +S'At\tAt\tIN\tB-PP\tO' +p20380 +aS'the\tthe\tDT\tB-NP\tO' +p20381 +aS'time\ttime\tNN\tI-NP\tO' +p20382 +aS'of\tof\tIN\tB-PP\tO' +p20383 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p20384 +aS',\t,\t,\tO\tO' +p20385 +aS'her\ther\tPRP$\tB-NP\tO' +p20386 +aS'weight\tweight\tNN\tI-NP\tO' +p20387 +aS'is\tbe\tVBZ\tB-VP\tO' +p20388 +aS'2,200\t2,200\tCD\tB-NP\tO' +p20389 +aS'grams\tgram\tNNS\tI-NP\tO' +p20390 +aS';\t;\t:\tO\tO' +p20391 +aS'her\ther\tPRP$\tB-NP\tO' +p20392 +aS'length\tlength\tNN\tI-NP\tO' +p20393 +aS'is\tbe\tVBZ\tB-VP\tO' +p20394 +aS'49.5\t49.5\tCD\tB-NP\tO' +p20395 +aS'centimeters\tcentimeter\tNNS\tI-NP\tO' +p20396 +aS'(\t(\t(\tO\tO' +p20397 +aS'19.5\t19.5\tCD\tB-NP\tO' +p20398 +aS'inches\tinch\tNNS\tI-NP\tO' +p20399 +aS')\t)\t)\tO\tO' +p20400 +aS'and\tand\tCC\tO\tO' +p20401 +aS'her\ther\tPRP$\tB-NP\tO' +p20402 +aS'head\thead\tNN\tI-NP\tO' +p20403 +aS'circumference\tcircumference\tNN\tI-NP\tO' +p20404 +aS'is\tbe\tVBZ\tB-VP\tO' +p20405 +aS'30.5\t30.5\tCD\tB-NP\tO' +p20406 +aS'centimeters\tcentimeter\tNNS\tI-NP\tO' +p20407 +aS'.\t.\t.\tO\tO' +p20408 +asS'13. MS Contin .' +p20409 +(lp20410 +S'13.\t13.\tLS\tB-NP\tO' +p20411 +aS'MS\tMS\tNN\tI-NP\tB-protein' +p20412 +aS'Contin\tContin\tNN\tI-NP\tI-protein' +p20413 +aS'.\t.\t.\tO\tO' +p20414 +asS'Lungs-clear with good air movement bilaterally .' +p20415 +(lp20416 +S'Lungs-clear\tLungs-clear\tJJ\tB-ADJP\tO' +p20417 +aS'with\twith\tIN\tB-PP\tO' +p20418 +aS'good\tgood\tJJ\tB-NP\tO' +p20419 +aS'air\tair\tNN\tI-NP\tO' +p20420 +aS'movement\tmovement\tNN\tI-NP\tO' +p20421 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p20422 +aS'.\t.\t.\tO\tO' +p20423 +asS'Variably assoc with SOB , nausea , palpitations , tremulousness , diaphoresis .' +p20424 +(lp20425 +S'Variably\tVariably\tRB\tB-NP\tO' +p20426 +aS'assoc\tassoc\tNN\tI-NP\tO' +p20427 +aS'with\twith\tIN\tB-PP\tO' +p20428 +aS'SOB\tSOB\tNN\tB-NP\tB-protein' +p20429 +aS',\t,\t,\tO\tO' +p20430 +aS'nausea\tnausea\tNN\tB-NP\tO' +p20431 +aS',\t,\t,\tO\tO' +p20432 +aS'palpitations\tpalpitation\tNNS\tB-NP\tO' +p20433 +aS',\t,\t,\tO\tO' +p20434 +aS'tremulousness\ttremulousness\tNN\tB-NP\tO' +p20435 +aS',\t,\t,\tO\tO' +p20436 +aS'diaphoresis\tdiaphoresis\tNN\tB-NP\tO' +p20437 +aS'.\t.\t.\tO\tO' +p20438 +asS'1. Only significant for a right inguinal hernia repair .' +p20439 +(lp20440 +S'1.\t1.\tLS\tB-LST\tO' +p20441 +aS'Only\tOnly\tRB\tB-ADJP\tO' +p20442 +aS'significant\tsignificant\tJJ\tI-ADJP\tO' +p20443 +aS'for\tfor\tIN\tB-PP\tO' +p20444 +aS'a\ta\tDT\tB-NP\tO' +p20445 +aS'right\tright\tJJ\tI-NP\tB-protein' +p20446 +aS'inguinal\tinguinal\tJJ\tI-NP\tI-protein' +p20447 +aS'hernia\thernia\tNN\tI-NP\tI-protein' +p20448 +aS'repair\trepair\tNN\tI-NP\tI-protein' +p20449 +aS'.\t.\t.\tO\tO' +p20450 +asS'The patient is a 72 year old white male with a history of coronary artery disease , status post a four vessel coronary artery bypass graft in 1983 , pulmonary hypertension , hepatitis C positive cirrhosis history with history of portal hypertension and status post an upper gastrointestinal bleed on 4-10-98 , who presents from Sondi Memorial for work up of pulmonary infiltrates , acute renal failure and pulmonary hypertension .' +p20451 +(lp20452 +S'The\tThe\tDT\tB-NP\tO' +p20453 +aS'patient\tpatient\tNN\tI-NP\tO' +p20454 +aS'is\tbe\tVBZ\tB-VP\tO' +p20455 +aS'a\ta\tDT\tB-NP\tO' +p20456 +aS'72\t72\tCD\tI-NP\tO' +p20457 +aS'year\tyear\tNN\tI-NP\tO' +p20458 +aS'old\told\tJJ\tI-NP\tO' +p20459 +aS'white\twhite\tJJ\tI-NP\tO' +p20460 +aS'male\tmale\tNN\tI-NP\tO' +p20461 +aS'with\twith\tIN\tB-PP\tO' +p20462 +aS'a\ta\tDT\tB-NP\tO' +p20463 +aS'history\thistory\tNN\tI-NP\tO' +p20464 +aS'of\tof\tIN\tB-PP\tO' +p20465 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p20466 +aS'artery\tartery\tNN\tI-NP\tO' +p20467 +aS'disease\tdisease\tNN\tI-NP\tO' +p20468 +aS',\t,\t,\tO\tO' +p20469 +aS'status\tstatus\tNN\tB-NP\tO' +p20470 +aS'post\tpost\tVBD\tB-VP\tO' +p20471 +aS'a\ta\tDT\tB-NP\tO' +p20472 +aS'four\tfour\tCD\tI-NP\tO' +p20473 +aS'vessel\tvessel\tNN\tI-NP\tO' +p20474 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p20475 +aS'artery\tartery\tNN\tI-NP\tO' +p20476 +aS'bypass\tbypass\tIN\tB-PP\tO' +p20477 +aS'graft\tgraft\tNN\tB-NP\tO' +p20478 +aS'in\tin\tIN\tB-PP\tO' +p20479 +aS'1983\t1983\tCD\tB-NP\tO' +p20480 +aS',\t,\t,\tO\tO' +p20481 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p20482 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p20483 +aS',\t,\t,\tO\tO' +p20484 +aS'hepatitis\thepatitis\tNN\tB-NP\tO' +p20485 +aS'C\tC\tNN\tI-NP\tO' +p20486 +aS'positive\tpositive\tJJ\tI-NP\tO' +p20487 +aS'cirrhosis\tcirrhosis\tNN\tI-NP\tO' +p20488 +aS'history\thistory\tNN\tI-NP\tO' +p20489 +aS'with\twith\tIN\tB-PP\tO' +p20490 +aS'history\thistory\tNN\tB-NP\tO' +p20491 +aS'of\tof\tIN\tB-PP\tO' +p20492 +aS'portal\tportal\tJJ\tB-NP\tO' +p20493 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p20494 +aS'and\tand\tCC\tI-NP\tO' +p20495 +aS'status\tstatus\tNN\tI-NP\tO' +p20496 +aS'post\tpost\tVBP\tB-VP\tO' +p20497 +aS'an\tan\tDT\tB-NP\tO' +p20498 +aS'upper\tupper\tJJ\tI-NP\tO' +p20499 +aS'gastrointestinal\tgastrointestinal\tJJ\tI-NP\tO' +p20500 +aS'bleed\tbleed\tNN\tI-NP\tO' +p20501 +aS'on\ton\tIN\tB-PP\tO' +p20502 +aS'4-10-98\t4-10-98\tNN\tB-NP\tO' +p20503 +aS',\t,\t,\tO\tO' +p20504 +aS'who\twho\tWP\tB-NP\tO' +p20505 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p20506 +aS'from\tfrom\tIN\tB-PP\tO' +p20507 +aS'Sondi\tSondi\tNNP\tB-NP\tO' +p20508 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p20509 +aS'for\tfor\tIN\tB-PP\tO' +p20510 +aS'work\twork\tNN\tB-NP\tO' +p20511 +aS'up\tup\tRB\tB-ADVP\tO' +p20512 +aS'of\tof\tIN\tB-PP\tO' +p20513 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tB-cell_type' +p20514 +aS'infiltrates\tinfiltrate\tNNS\tI-NP\tI-cell_type' +p20515 +aS',\t,\t,\tO\tO' +p20516 +aS'acute\tacute\tJJ\tB-NP\tO' +p20517 +aS'renal\trenal\tJJ\tI-NP\tO' +p20518 +aS'failure\tfailure\tNN\tI-NP\tO' +p20519 +aS'and\tand\tCC\tO\tO' +p20520 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p20521 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p20522 +aS'.\t.\t.\tO\tO' +p20523 +asS'The patient was now very stable , and he was taken to the Respiratory Intensive Care Unit .' +p20524 +(lp20525 +S'The\tThe\tDT\tB-NP\tO' +p20526 +aS'patient\tpatient\tNN\tI-NP\tO' +p20527 +aS'was\tbe\tVBD\tB-VP\tO' +p20528 +aS'now\tnow\tRB\tB-ADVP\tO' +p20529 +aS'very\tvery\tRB\tB-ADJP\tO' +p20530 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p20531 +aS',\t,\t,\tO\tO' +p20532 +aS'and\tand\tCC\tO\tO' +p20533 +aS'he\the\tPRP\tB-NP\tO' +p20534 +aS'was\tbe\tVBD\tB-VP\tO' +p20535 +aS'taken\ttake\tVBN\tI-VP\tO' +p20536 +aS'to\tto\tTO\tB-PP\tO' +p20537 +aS'the\tthe\tDT\tB-NP\tO' +p20538 +aS'Respiratory\tRespiratory\tNNP\tI-NP\tO' +p20539 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p20540 +aS'Care\tCare\tNNP\tI-NP\tO' +p20541 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p20542 +aS'.\t.\t.\tO\tO' +p20543 +asS'POD# 1 pt was tolerating regular diet , ambulating , afebrile , and calcium was stable .' +p20544 +(lp20545 +S'POD#\tPOD#\tNN\tB-NP\tB-protein' +p20546 +aS'1\t1\tCD\tI-NP\tI-protein' +p20547 +aS'pt\tpt\tNN\tI-NP\tO' +p20548 +aS'was\tbe\tVBD\tB-VP\tO' +p20549 +aS'tolerating\ttolerate\tVBG\tI-VP\tO' +p20550 +aS'regular\tregular\tJJ\tB-NP\tO' +p20551 +aS'diet\tdiet\tNN\tI-NP\tO' +p20552 +aS',\t,\t,\tO\tO' +p20553 +aS'ambulating\tambulating\tNN\tB-NP\tO' +p20554 +aS',\t,\t,\tO\tO' +p20555 +aS'afebrile\tafebrile\tNN\tB-NP\tO' +p20556 +aS',\t,\t,\tO\tO' +p20557 +aS'and\tand\tCC\tO\tO' +p20558 +aS'calcium\tcalcium\tNN\tB-NP\tO' +p20559 +aS'was\tbe\tVBD\tB-VP\tO' +p20560 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p20561 +aS'.\t.\t.\tO\tO' +p20562 +asS'She is to follow-up with Dr. Geraldo Davis .' +p20563 +(lp20564 +S'She\tShe\tPRP\tB-NP\tO' +p20565 +aS'is\tbe\tVBZ\tB-VP\tO' +p20566 +aS'to\tto\tTO\tB-VP\tO' +p20567 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p20568 +aS'with\twith\tIN\tB-PP\tO' +p20569 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p20570 +aS'Geraldo\tGeraldo\tNNP\tI-NP\tO' +p20571 +aS'Davis\tDavis\tNNP\tI-NP\tO' +p20572 +aS'.\t.\t.\tO\tO' +p20573 +asS'RESP : Decreased air entry and crackles at both lung bases .' +p20574 +(lp20575 +S'RESP\tRESP\tNN\tB-NP\tO' +p20576 +aS':\t:\t:\tO\tO' +p20577 +aS'Decreased\tDecrease\tVBN\tB-NP\tO' +p20578 +aS'air\tair\tNN\tI-NP\tO' +p20579 +aS'entry\tentry\tNN\tI-NP\tO' +p20580 +aS'and\tand\tCC\tO\tO' +p20581 +aS'crackles\tcrackle\tNNS\tB-NP\tO' +p20582 +aS'at\tat\tIN\tB-PP\tO' +p20583 +aS'both\tboth\tDT\tB-NP\tO' +p20584 +aS'lung\tlung\tNN\tI-NP\tB-protein' +p20585 +aS'bases\tbase\tNNS\tI-NP\tI-protein' +p20586 +aS'.\t.\t.\tO\tO' +p20587 +asS'Abdomen soft with no masses .' +p20588 +(lp20589 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p20590 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p20591 +aS'with\twith\tIN\tB-PP\tO' +p20592 +aS'no\tno\tDT\tB-NP\tO' +p20593 +aS'masses\tmass\tNNS\tI-NP\tO' +p20594 +aS'.\t.\t.\tO\tO' +p20595 +asS'HCTZ 25 mg daily lisinopril 40 mg daily' +p20596 +(lp20597 +S'HCTZ\tHCTZ\tNN\tB-NP\tO' +p20598 +aS'25\t25\tCD\tI-NP\tO' +p20599 +aS'mg\tmg\tNN\tI-NP\tO' +p20600 +aS'daily\tdaily\tJJ\tI-NP\tO' +p20601 +aS'lisinopril\tlisinopril\tNN\tI-NP\tO' +p20602 +aS'40\t40\tCD\tI-NP\tO' +p20603 +aS'mg\tmg\tNN\tI-NP\tO' +p20604 +aS'daily\tdaily\tJJ\tI-NP\tO' +p20605 +asS'Studies of skin galvanic conduction were normal and her RR interval evaluation was not abnormal .' +p20606 +(lp20607 +S'Studies\tStudy\tNNS\tB-NP\tO' +p20608 +aS'of\tof\tIN\tB-PP\tO' +p20609 +aS'skin\tskin\tNN\tB-NP\tO' +p20610 +aS'galvanic\tgalvanic\tJJ\tI-NP\tO' +p20611 +aS'conduction\tconduction\tNN\tI-NP\tO' +p20612 +aS'were\tbe\tVBD\tB-VP\tO' +p20613 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p20614 +aS'and\tand\tCC\tO\tO' +p20615 +aS'her\ther\tPRP$\tB-NP\tO' +p20616 +aS'RR\tRR\tNN\tI-NP\tO' +p20617 +aS'interval\tinterval\tNN\tI-NP\tO' +p20618 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p20619 +aS'was\tbe\tVBD\tB-VP\tO' +p20620 +aS'not\tnot\tRB\tO\tO' +p20621 +aS'abnormal\tabnormal\tJJ\tB-ADJP\tO' +p20622 +aS'.\t.\t.\tO\tO' +p20623 +asS'Chest had diffuse crackles bilaterally halfway up .' +p20624 +(lp20625 +S'Chest\tChest\tNNP\tB-NP\tO' +p20626 +aS'had\thave\tVBD\tB-VP\tO' +p20627 +aS'diffuse\tdiffuse\tJJ\tB-NP\tO' +p20628 +aS'crackles\tcrackle\tNNS\tI-NP\tO' +p20629 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p20630 +aS'halfway\thalfway\tVBP\tB-VP\tO' +p20631 +aS'up\tup\tRP\tB-PRT\tO' +p20632 +aS'.\t.\t.\tO\tO' +p20633 +asS'Still getting chest pain intermittently , but relieved by morphine sulfate .' +p20634 +(lp20635 +S'Still\tStill\tRB\tB-ADVP\tO' +p20636 +aS'getting\tget\tVBG\tB-VP\tO' +p20637 +aS'chest\tch\tJJS\tB-NP\tO' +p20638 +aS'pain\tpain\tNN\tI-NP\tO' +p20639 +aS'intermittently\tintermittently\tRB\tB-ADVP\tO' +p20640 +aS',\t,\t,\tO\tO' +p20641 +aS'but\tbut\tCC\tO\tO' +p20642 +aS'relieved\trelieve\tVBN\tB-VP\tO' +p20643 +aS'by\tby\tIN\tB-PP\tO' +p20644 +aS'morphine\tmorphine\tNN\tB-NP\tO' +p20645 +aS'sulfate\tsulfate\tNN\tI-NP\tO' +p20646 +aS'.\t.\t.\tO\tO' +p20647 +asS'Thus , a heparin sliding scale was begun .' +p20648 +(lp20649 +S'Thus\tThus\tRB\tB-ADVP\tO' +p20650 +aS',\t,\t,\tO\tO' +p20651 +aS'a\ta\tDT\tB-NP\tO' +p20652 +aS'heparin\theparin\tNN\tI-NP\tO' +p20653 +aS'sliding\tslide\tVBG\tB-VP\tO' +p20654 +aS'scale\tscale\tNN\tB-NP\tO' +p20655 +aS'was\tbe\tVBD\tB-VP\tO' +p20656 +aS'begun\tbegin\tVBN\tI-VP\tO' +p20657 +aS'.\t.\t.\tO\tO' +p20658 +asS'At this time , there was diverticulosis with no acute diverticulitis .' +p20659 +(lp20660 +S'At\tAt\tIN\tB-PP\tO' +p20661 +aS'this\tthis\tDT\tB-NP\tO' +p20662 +aS'time\ttime\tNN\tI-NP\tO' +p20663 +aS',\t,\t,\tO\tO' +p20664 +aS'there\tthere\tEX\tB-NP\tO' +p20665 +aS'was\tbe\tVBD\tB-VP\tO' +p20666 +aS'diverticulosis\tdiverticulosis\tNN\tB-NP\tO' +p20667 +aS'with\twith\tIN\tB-PP\tO' +p20668 +aS'no\tno\tDT\tB-NP\tO' +p20669 +aS'acute\tacute\tJJ\tI-NP\tO' +p20670 +aS'diverticulitis\tdiverticulitis\tNN\tI-NP\tO' +p20671 +aS'.\t.\t.\tO\tO' +p20672 +asS'Alert and oriented times three .' +p20673 +(lp20674 +S'Alert\tAlert\tNNP\tB-NP\tO' +p20675 +aS'and\tand\tCC\tO\tO' +p20676 +aS'oriented\torient\tVBN\tB-VP\tO' +p20677 +aS'times\ttime\tNNS\tB-NP\tO' +p20678 +aS'three\tthree\tCD\tB-NP\tO' +p20679 +aS'.\t.\t.\tO\tO' +p20680 +asS'Still drinks occasionally .' +p20681 +(lp20682 +S'Still\tStill\tRB\tB-ADVP\tO' +p20683 +aS'drinks\tdrink\tVBZ\tB-VP\tO' +p20684 +aS'occasionally\toccasionally\tRB\tB-ADVP\tO' +p20685 +aS'.\t.\t.\tO\tO' +p20686 +asS'TOMATO ( causing anaphylaxis ) and TETANUS SHOT .' +p20687 +(lp20688 +S'TOMATO\tTOMATO\tNN\tB-NP\tO' +p20689 +aS'(\t(\t(\tO\tO' +p20690 +aS'causing\tcause\tVBG\tB-VP\tO' +p20691 +aS'anaphylaxis\tanaphylaxis\tNN\tB-NP\tO' +p20692 +aS')\t)\t)\tO\tO' +p20693 +aS'and\tand\tCC\tO\tO' +p20694 +aS'TETANUS\tTETANUS\tNNP\tB-NP\tO' +p20695 +aS'SHOT\tSHOT\tNNP\tI-NP\tO' +p20696 +aS'.\t.\t.\tO\tO' +p20697 +asS'Room air arterial blood gas showed a pO2 of 56 , a pCO2 of 35 , and a pH of 7.52 .' +p20698 +(lp20699 +S'Room\tRoom\tNN\tB-NP\tO' +p20700 +aS'air\tair\tNN\tI-NP\tO' +p20701 +aS'arterial\tarterial\tJJ\tI-NP\tO' +p20702 +aS'blood\tblood\tNN\tI-NP\tO' +p20703 +aS'gas\tgas\tNN\tI-NP\tO' +p20704 +aS'showed\tshow\tVBD\tB-VP\tO' +p20705 +aS'a\ta\tDT\tB-NP\tO' +p20706 +aS'pO2\tpO2\tNN\tI-NP\tO' +p20707 +aS'of\tof\tIN\tB-PP\tO' +p20708 +aS'56\t56\tCD\tB-NP\tO' +p20709 +aS',\t,\t,\tO\tO' +p20710 +aS'a\ta\tDT\tB-NP\tO' +p20711 +aS'pCO2\tpCO2\tNN\tI-NP\tO' +p20712 +aS'of\tof\tIN\tB-PP\tO' +p20713 +aS'35\t35\tCD\tB-NP\tO' +p20714 +aS',\t,\t,\tO\tO' +p20715 +aS'and\tand\tCC\tO\tO' +p20716 +aS'a\ta\tDT\tB-NP\tO' +p20717 +aS'pH\tpH\tNN\tI-NP\tO' +p20718 +aS'of\tof\tIN\tB-PP\tO' +p20719 +aS'7.52\t7.52\tCD\tB-NP\tO' +p20720 +aS'.\t.\t.\tO\tO' +p20721 +asS'6. Acetaminophen 325 mg Tablet Sig : Two ( 2 ) Tablet PO Q6H ( every 6 hours ) as needed for fever or pain .' +p20722 +(lp20723 +S'6.\t6.\tCD\tB-NP\tO' +p20724 +aS'Acetaminophen\tAcetaminophen\tNN\tI-NP\tO' +p20725 +aS'325\t325\tCD\tB-NP\tO' +p20726 +aS'mg\tmg\tNN\tI-NP\tO' +p20727 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p20728 +aS'Sig\tSig\tNNP\tI-NP\tO' +p20729 +aS':\t:\t:\tO\tO' +p20730 +aS'Two\tTwo\tCD\tB-NP\tO' +p20731 +aS'(\t(\t(\tO\tO' +p20732 +aS'2\t2\tCD\tO\tO' +p20733 +aS')\t)\t)\tO\tO' +p20734 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p20735 +aS'PO\tPO\tNN\tI-NP\tO' +p20736 +aS'Q6H\tQ6H\tNN\tI-NP\tO' +p20737 +aS'(\t(\t(\tO\tO' +p20738 +aS'every\tevery\tDT\tB-NP\tO' +p20739 +aS'6\t6\tCD\tI-NP\tO' +p20740 +aS'hours\thour\tNNS\tI-NP\tO' +p20741 +aS')\t)\t)\tO\tO' +p20742 +aS'as\tas\tIN\tB-SBAR\tO' +p20743 +aS'needed\tneed\tVBN\tB-VP\tO' +p20744 +aS'for\tfor\tIN\tB-PP\tO' +p20745 +aS'fever\tfever\tNN\tB-NP\tO' +p20746 +aS'or\tor\tCC\tI-NP\tO' +p20747 +aS'pain\tpain\tNN\tI-NP\tO' +p20748 +aS'.\t.\t.\tO\tO' +p20749 +asS'2015-12-03 10:27 PM estGFR - Using this' +p20750 +(lp20751 +S'2015-12-03\t2015-12-03\tCD\tB-NP\tO' +p20752 +aS'10:27\t10:27\tCD\tI-NP\tO' +p20753 +aS'PM\tPM\tNN\tI-NP\tB-protein' +p20754 +aS'estGFR\testGFR\tNN\tI-NP\tI-protein' +p20755 +aS'-\t-\tHYPH\tO\tO' +p20756 +aS'Using\tUse\tVBG\tB-VP\tO' +p20757 +aS'this\tthis\tDT\tB-NP\tO' +p20758 +asS'She did not work after the age of approximately 65 .' +p20759 +(lp20760 +S'She\tShe\tPRP\tB-NP\tO' +p20761 +aS'did\tdo\tVBD\tB-VP\tO' +p20762 +aS'not\tnot\tRB\tI-VP\tO' +p20763 +aS'work\twork\tVB\tI-VP\tO' +p20764 +aS'after\tafter\tIN\tB-PP\tO' +p20765 +aS'the\tthe\tDT\tB-NP\tO' +p20766 +aS'age\tage\tNN\tI-NP\tO' +p20767 +aS'of\tof\tIN\tB-PP\tO' +p20768 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p20769 +aS'65\t65\tCD\tI-NP\tO' +p20770 +aS'.\t.\t.\tO\tO' +p20771 +asS'She had also been noted to be confused and combative during that 24 hour period .' +p20772 +(lp20773 +S'She\tShe\tPRP\tB-NP\tO' +p20774 +aS'had\thave\tVBD\tB-VP\tO' +p20775 +aS'also\talso\tRB\tI-VP\tO' +p20776 +aS'been\tbe\tVBN\tI-VP\tO' +p20777 +aS'noted\tnote\tVBN\tI-VP\tO' +p20778 +aS'to\tto\tTO\tI-VP\tO' +p20779 +aS'be\tbe\tVB\tI-VP\tO' +p20780 +aS'confused\tconfuse\tVBN\tI-VP\tO' +p20781 +aS'and\tand\tCC\tO\tO' +p20782 +aS'combative\tcombative\tJJ\tB-ADJP\tO' +p20783 +aS'during\tduring\tIN\tB-PP\tO' +p20784 +aS'that\tthat\tDT\tB-NP\tO' +p20785 +aS'24\t24\tCD\tI-NP\tO' +p20786 +aS'hour\thour\tNN\tI-NP\tO' +p20787 +aS'period\tperiod\tNN\tI-NP\tO' +p20788 +aS'.\t.\t.\tO\tO' +p20789 +asS'Prior h/o heavy tobacco use .' +p20790 +(lp20791 +S'Prior\tPrior\tJJ\tB-NP\tO' +p20792 +aS'h/o\th/o\tNN\tI-NP\tO' +p20793 +aS'heavy\theavy\tJJ\tI-NP\tO' +p20794 +aS'tobacco\ttobacco\tNN\tI-NP\tO' +p20795 +aS'use\tuse\tNN\tI-NP\tO' +p20796 +aS'.\t.\t.\tO\tO' +p20797 +asS'Slo-Mag one tab p.o. b.i.d. Stelazine 2 mg. p.o. q.d. Ativan 1 mg p.o. or s.l. q. 4-6 hr. p.r.n. nausea .' +p20798 +(lp20799 +S'Slo-Mag\tSlo-Mag\tJJ\tB-NP\tO' +p20800 +aS'one\tone\tCD\tI-NP\tO' +p20801 +aS'tab\ttab\tNN\tI-NP\tB-protein' +p20802 +aS'p.o.\tp.o.\tFW\tB-NP\tO' +p20803 +aS'b.i.d.\tb.i.d.\tFW\tI-NP\tO' +p20804 +aS'Stelazine\tStelazine\tNN\tI-NP\tO' +p20805 +aS'2\t2\tCD\tI-NP\tO' +p20806 +aS'mg.\tmg.\tNN\tI-NP\tO' +p20807 +aS'p.o.\tp.o.\tFW\tB-ADVP\tO' +p20808 +aS'q.d.\tq.d.\tFW\tI-ADVP\tO' +p20809 +aS'Ativan\tAtivan\tNNP\tB-NP\tO' +p20810 +aS'1\t1\tCD\tI-NP\tO' +p20811 +aS'mg\tmg\tNN\tI-NP\tO' +p20812 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p20813 +aS'or\tor\tCC\tO\tO' +p20814 +aS's.l.\ts.l.\tNN\tB-NP\tO' +p20815 +aS'q.\tq.\tNN\tI-NP\tO' +p20816 +aS'4-6\t4-6\tCD\tI-NP\tO' +p20817 +aS'hr.\thr.\tNN\tI-NP\tO' +p20818 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p20819 +aS'nausea\tnausea\tNN\tI-NP\tO' +p20820 +aS'.\t.\t.\tO\tO' +p20821 +asS'7. Prednisone taper with 40 mg p.o. q.d. for two days , 30 mg p.o. q.d. for two days , 20 mg p.o. q.d. for two days , 10 mg p.o. q.d. for two days .' +p20822 +(lp20823 +S'7.\t7.\tLS\tB-NP\tO' +p20824 +aS'Prednisone\tPrednisone\tNN\tI-NP\tO' +p20825 +aS'taper\ttaper\tNN\tI-NP\tO' +p20826 +aS'with\twith\tIN\tB-PP\tO' +p20827 +aS'40\t40\tCD\tB-NP\tO' +p20828 +aS'mg\tmg\tNN\tI-NP\tO' +p20829 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p20830 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p20831 +aS'for\tfor\tIN\tB-PP\tO' +p20832 +aS'two\ttwo\tCD\tB-NP\tO' +p20833 +aS'days\tday\tNNS\tI-NP\tO' +p20834 +aS',\t,\t,\tO\tO' +p20835 +aS'30\t30\tCD\tB-NP\tO' +p20836 +aS'mg\tmg\tNN\tI-NP\tO' +p20837 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p20838 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p20839 +aS'for\tfor\tIN\tB-PP\tO' +p20840 +aS'two\ttwo\tCD\tB-NP\tO' +p20841 +aS'days\tday\tNNS\tI-NP\tO' +p20842 +aS',\t,\t,\tO\tO' +p20843 +aS'20\t20\tCD\tB-NP\tO' +p20844 +aS'mg\tmg\tNN\tI-NP\tO' +p20845 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p20846 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p20847 +aS'for\tfor\tIN\tB-PP\tO' +p20848 +aS'two\ttwo\tCD\tB-NP\tO' +p20849 +aS'days\tday\tNNS\tI-NP\tO' +p20850 +aS',\t,\t,\tO\tO' +p20851 +aS'10\t10\tCD\tB-NP\tO' +p20852 +aS'mg\tmg\tNN\tI-NP\tO' +p20853 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p20854 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p20855 +aS'for\tfor\tIN\tB-PP\tO' +p20856 +aS'two\ttwo\tCD\tB-NP\tO' +p20857 +aS'days\tday\tNNS\tI-NP\tO' +p20858 +aS'.\t.\t.\tO\tO' +p20859 +asS'He was started on Oct. 25 for this bug .' +p20860 +(lp20861 +S'He\tHe\tPRP\tB-NP\tO' +p20862 +aS'was\tbe\tVBD\tB-VP\tO' +p20863 +aS'started\tstart\tVBN\tI-VP\tO' +p20864 +aS'on\ton\tIN\tB-PP\tO' +p20865 +aS'Oct.\tOct.\tNNP\tB-NP\tO' +p20866 +aS'25\t25\tCD\tI-NP\tO' +p20867 +aS'for\tfor\tIN\tB-PP\tO' +p20868 +aS'this\tthis\tDT\tB-NP\tO' +p20869 +aS'bug\tbug\tNN\tI-NP\tO' +p20870 +aS'.\t.\t.\tO\tO' +p20871 +asS'Normal S1 and S2 .' +p20872 +(lp20873 +S'Normal\tNormal\tJJ\tB-NP\tO' +p20874 +aS'S1\tS1\tNN\tI-NP\tB-protein' +p20875 +aS'and\tand\tCC\tI-NP\tO' +p20876 +aS'S2\tS2\tNN\tI-NP\tB-protein' +p20877 +aS'.\t.\t.\tO\tO' +p20878 +asS'Subsequent hand x-rays obtained showed no evidence of fracture but the patient was seen in consultation by the Plastic Surgery Hand Service .' +p20879 +(lp20880 +S'Subsequent\tSubsequent\tJJ\tB-NP\tO' +p20881 +aS'hand\thand\tNN\tI-NP\tO' +p20882 +aS'x-rays\tx-ray\tNNS\tI-NP\tO' +p20883 +aS'obtained\tobtain\tVBN\tB-VP\tO' +p20884 +aS'showed\tshow\tVBD\tB-VP\tO' +p20885 +aS'no\tno\tDT\tB-NP\tO' +p20886 +aS'evidence\tevidence\tNN\tI-NP\tO' +p20887 +aS'of\tof\tIN\tB-PP\tO' +p20888 +aS'fracture\tfracture\tNN\tB-NP\tO' +p20889 +aS'but\tbut\tCC\tO\tO' +p20890 +aS'the\tthe\tDT\tB-NP\tO' +p20891 +aS'patient\tpatient\tNN\tI-NP\tO' +p20892 +aS'was\tbe\tVBD\tB-VP\tO' +p20893 +aS'seen\tsee\tVBN\tI-VP\tO' +p20894 +aS'in\tin\tIN\tB-PP\tO' +p20895 +aS'consultation\tconsultation\tNN\tB-NP\tO' +p20896 +aS'by\tby\tIN\tB-PP\tO' +p20897 +aS'the\tthe\tDT\tB-NP\tO' +p20898 +aS'Plastic\tPlastic\tNNP\tI-NP\tO' +p20899 +aS'Surgery\tSurgery\tNNP\tI-NP\tO' +p20900 +aS'Hand\tHand\tNNP\tI-NP\tO' +p20901 +aS'Service\tService\tNNP\tI-NP\tO' +p20902 +aS'.\t.\t.\tO\tO' +p20903 +asS'The abdomen revealed normoactive bowel sounds , soft , nontender , nondistended .' +p20904 +(lp20905 +S'The\tThe\tDT\tB-NP\tO' +p20906 +aS'abdomen\tabdoman\tNNS\tI-NP\tO' +p20907 +aS'revealed\treveal\tVBD\tB-VP\tO' +p20908 +aS'normoactive\tnormoactive\tJJ\tB-NP\tO' +p20909 +aS'bowel\tbowel\tNN\tI-NP\tO' +p20910 +aS'sounds\tsound\tNNS\tI-NP\tO' +p20911 +aS',\t,\t,\tO\tO' +p20912 +aS'soft\tsoft\tJJ\tB-NP\tO' +p20913 +aS',\t,\t,\tI-NP\tO' +p20914 +aS'nontender\tnontender\tJJ\tI-NP\tO' +p20915 +aS',\t,\t,\tI-NP\tO' +p20916 +aS'nondistended\tnondistended\tJJ\tI-NP\tO' +p20917 +aS'.\t.\t.\tO\tO' +p20918 +asS'Acute blood loss anemia from rectal bleeding' +p20919 +(lp20920 +S'Acute\tAcute\tJJ\tB-NP\tO' +p20921 +aS'blood\tblood\tNN\tI-NP\tO' +p20922 +aS'loss\tloss\tNN\tI-NP\tO' +p20923 +aS'anemia\tanemia\tNN\tI-NP\tO' +p20924 +aS'from\tfrom\tIN\tB-PP\tO' +p20925 +aS'rectal\trectal\tJJ\tB-NP\tO' +p20926 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p20927 +asS'Denies cigarette , or alcohol use , she is married and has one child .' +p20928 +(lp20929 +S'Denies\tDeny\tNNS\tB-NP\tO' +p20930 +aS'cigarette\tcigarette\tNN\tI-NP\tO' +p20931 +aS',\t,\t,\tO\tO' +p20932 +aS'or\tor\tCC\tO\tO' +p20933 +aS'alcohol\talcohol\tNN\tB-NP\tO' +p20934 +aS'use\tuse\tNN\tI-NP\tO' +p20935 +aS',\t,\t,\tO\tO' +p20936 +aS'she\tshe\tPRP\tB-NP\tO' +p20937 +aS'is\tbe\tVBZ\tB-VP\tO' +p20938 +aS'married\tmarried\tJJ\tB-ADJP\tO' +p20939 +aS'and\tand\tCC\tO\tO' +p20940 +aS'has\thave\tVBZ\tB-VP\tO' +p20941 +aS'one\tone\tCD\tB-NP\tO' +p20942 +aS'child\tchild\tNN\tI-NP\tO' +p20943 +aS'.\t.\t.\tO\tO' +p20944 +asS'8. Aspirin 325 milligrams po q day .' +p20945 +(lp20946 +S'8.\t8.\tCD\tB-NP\tO' +p20947 +aS'Aspirin\tAspirin\tNN\tI-NP\tO' +p20948 +aS'325\t325\tCD\tB-NP\tO' +p20949 +aS'milligrams\tmilligram\tNNS\tI-NP\tO' +p20950 +aS'po\tpo\tVBP\tB-VP\tO' +p20951 +aS'q\tq\tNN\tB-NP\tO' +p20952 +aS'day\tday\tNN\tI-NP\tO' +p20953 +aS'.\t.\t.\tO\tO' +p20954 +asS'HEENT : Positive hoarse whisper .' +p20955 +(lp20956 +S'HEENT\tHEENT\tNN\tB-NP\tO' +p20957 +aS':\t:\t:\tO\tO' +p20958 +aS'Positive\tPositive\tJJ\tB-NP\tO' +p20959 +aS'hoarse\thoarse\tNN\tI-NP\tO' +p20960 +aS'whisper\twhisper\tNN\tI-NP\tO' +p20961 +aS'.\t.\t.\tO\tO' +p20962 +asS'No QRS widening and no peak T waves .' +p20963 +(lp20964 +S'No\tNo\tDT\tB-NP\tO' +p20965 +aS'QRS\tQRS\tNN\tI-NP\tB-protein' +p20966 +aS'widening\twidening\tNN\tI-NP\tO' +p20967 +aS'and\tand\tCC\tO\tO' +p20968 +aS'no\tno\tDT\tB-NP\tO' +p20969 +aS'peak\tpeak\tJJ\tI-NP\tO' +p20970 +aS'T\tT\tNN\tI-NP\tO' +p20971 +aS'waves\twave\tNNS\tI-NP\tO' +p20972 +aS'.\t.\t.\tO\tO' +p20973 +asS'The patient was an unrestrained driver in a car versus tree .' +p20974 +(lp20975 +S'The\tThe\tDT\tB-NP\tO' +p20976 +aS'patient\tpatient\tNN\tI-NP\tO' +p20977 +aS'was\tbe\tVBD\tB-VP\tO' +p20978 +aS'an\tan\tDT\tB-NP\tO' +p20979 +aS'unrestrained\tunrestrained\tJJ\tI-NP\tO' +p20980 +aS'driver\tdriver\tNN\tI-NP\tO' +p20981 +aS'in\tin\tIN\tB-PP\tO' +p20982 +aS'a\ta\tDT\tB-NP\tO' +p20983 +aS'car\tcar\tNN\tI-NP\tO' +p20984 +aS'versus\tversus\tIN\tB-PP\tO' +p20985 +aS'tree\ttree\tNN\tB-NP\tO' +p20986 +aS'.\t.\t.\tO\tO' +p20987 +asS'Mrs. Wisniewski is a 45 - year-old woman with a strong family history of cavernous angiomas .' +p20988 +(lp20989 +S'Mrs.\tMrs.\tNNP\tB-NP\tO' +p20990 +aS'Wisniewski\tWisniewski\tNNP\tI-NP\tO' +p20991 +aS'is\tbe\tVBZ\tB-VP\tO' +p20992 +aS'a\ta\tDT\tB-NP\tO' +p20993 +aS'45\t45\tCD\tI-NP\tO' +p20994 +aS'-\t-\tHYPH\tI-NP\tO' +p20995 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p20996 +aS'woman\twoman\tNN\tI-NP\tO' +p20997 +aS'with\twith\tIN\tB-PP\tO' +p20998 +aS'a\ta\tDT\tB-NP\tO' +p20999 +aS'strong\tstrong\tJJ\tI-NP\tO' +p21000 +aS'family\tfamily\tNN\tI-NP\tO' +p21001 +aS'history\thistory\tNN\tI-NP\tO' +p21002 +aS'of\tof\tIN\tB-PP\tO' +p21003 +aS'cavernous\tcavernous\tJJ\tB-NP\tO' +p21004 +aS'angiomas\tangioma\tNNS\tI-NP\tO' +p21005 +aS'.\t.\t.\tO\tO' +p21006 +asS'Disp : *28 Capsule , Sustained Release( s )*' +p21007 +(lp21008 +S'Disp\tDisp\tNN\tB-NP\tO' +p21009 +aS':\t:\t:\tO\tO' +p21010 +aS'*28\t*28\tCD\tB-NP\tO' +p21011 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p21012 +aS',\t,\t,\tO\tO' +p21013 +aS'Sustained\tSustained\tNNP\tB-NP\tO' +p21014 +aS'Release(\tRelease(\tNNP\tI-NP\tO' +p21015 +aS's\ts\tVBZ\tB-VP\tO' +p21016 +aS')*\t)*\tSYM\tB-NP\tO' +p21017 +asS'Total intravenous fluids of 7300 cc .' +p21018 +(lp21019 +S'Total\tTotal\tJJ\tB-NP\tO' +p21020 +aS'intravenous\tintravenous\tJJ\tI-NP\tO' +p21021 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p21022 +aS'of\tof\tIN\tB-PP\tO' +p21023 +aS'7300\t7300\tCD\tB-NP\tO' +p21024 +aS'cc\tcc\tNN\tI-NP\tO' +p21025 +aS'.\t.\t.\tO\tO' +p21026 +asS'His transfusions have been complicated by fluid overload and congestive heart failure , secondary to ischemia cardiomyopathy .' +p21027 +(lp21028 +S'His\tHis\tPRP$\tB-NP\tO' +p21029 +aS'transfusions\ttransfusion\tNNS\tI-NP\tO' +p21030 +aS'have\thave\tVBP\tB-VP\tO' +p21031 +aS'been\tbe\tVBN\tI-VP\tO' +p21032 +aS'complicated\tcomplicate\tVBN\tI-VP\tO' +p21033 +aS'by\tby\tIN\tB-PP\tO' +p21034 +aS'fluid\tfluid\tNN\tB-NP\tO' +p21035 +aS'overload\toverload\tNN\tI-NP\tO' +p21036 +aS'and\tand\tCC\tO\tO' +p21037 +aS'congestive\tcongestive\tJJ\tB-NP\tO' +p21038 +aS'heart\theart\tNN\tI-NP\tO' +p21039 +aS'failure\tfailure\tNN\tI-NP\tO' +p21040 +aS',\t,\t,\tO\tO' +p21041 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p21042 +aS'to\tto\tTO\tB-PP\tO' +p21043 +aS'ischemia\tischemia\tNN\tB-NP\tO' +p21044 +aS'cardiomyopathy\tcardiomyopathy\tNN\tI-NP\tO' +p21045 +aS'.\t.\t.\tO\tO' +p21046 +asS'There was no evidence of necrosis , erythema or exudate at the site .' +p21047 +(lp21048 +S'There\tThere\tEX\tB-NP\tO' +p21049 +aS'was\tbe\tVBD\tB-VP\tO' +p21050 +aS'no\tno\tDT\tB-NP\tO' +p21051 +aS'evidence\tevidence\tNN\tI-NP\tO' +p21052 +aS'of\tof\tIN\tB-PP\tO' +p21053 +aS'necrosis\tnecrosis\tNN\tB-NP\tO' +p21054 +aS',\t,\t,\tI-NP\tO' +p21055 +aS'erythema\terythema\tNN\tI-NP\tO' +p21056 +aS'or\tor\tCC\tI-NP\tO' +p21057 +aS'exudate\texudate\tNN\tI-NP\tO' +p21058 +aS'at\tat\tIN\tB-PP\tO' +p21059 +aS'the\tthe\tDT\tB-NP\tO' +p21060 +aS'site\tsite\tNN\tI-NP\tO' +p21061 +aS'.\t.\t.\tO\tO' +p21062 +asS'This was followed by later development of lymphedema and left arm ( distal > proximal ) weakness due to metastatic disease in left axilla ensheathing nerve plexus .' +p21063 +(lp21064 +S'This\tThis\tDT\tB-NP\tO' +p21065 +aS'was\tbe\tVBD\tB-VP\tO' +p21066 +aS'followed\tfollow\tVBN\tI-VP\tO' +p21067 +aS'by\tby\tIN\tB-PP\tO' +p21068 +aS'later\tlater\tJJ\tB-NP\tO' +p21069 +aS'development\tdevelopment\tNN\tI-NP\tO' +p21070 +aS'of\tof\tIN\tB-PP\tO' +p21071 +aS'lymphedema\tlymphedema\tNN\tB-NP\tO' +p21072 +aS'and\tand\tCC\tO\tO' +p21073 +aS'left\tleft\tJJ\tB-NP\tO' +p21074 +aS'arm\tarm\tNN\tI-NP\tO' +p21075 +aS'(\t(\t(\tO\tO' +p21076 +aS'distal\tdistal\tJJ\tO\tO' +p21077 +aS'>\t>\tSYM\tO\tO' +p21078 +aS'proximal\tproximal\tJJ\tO\tO' +p21079 +aS')\t)\t)\tO\tO' +p21080 +aS'weakness\tweakness\tNN\tB-NP\tO' +p21081 +aS'due\tdue\tJJ\tB-ADJP\tO' +p21082 +aS'to\tto\tTO\tB-PP\tO' +p21083 +aS'metastatic\tmetastatic\tJJ\tB-NP\tO' +p21084 +aS'disease\tdisease\tNN\tI-NP\tO' +p21085 +aS'in\tin\tIN\tB-PP\tO' +p21086 +aS'left\tleft\tJJ\tB-NP\tO' +p21087 +aS'axilla\taxilla\tNN\tI-NP\tO' +p21088 +aS'ensheathing\tensheathing\tNN\tI-NP\tO' +p21089 +aS'nerve\tnerve\tNN\tI-NP\tO' +p21090 +aS'plexus\tplexus\tNN\tI-NP\tO' +p21091 +aS'.\t.\t.\tO\tO' +p21092 +asS'The liver function tests were within normal limits .' +p21093 +(lp21094 +S'The\tThe\tDT\tB-NP\tO' +p21095 +aS'liver\tliver\tNN\tI-NP\tO' +p21096 +aS'function\tfunction\tNN\tI-NP\tO' +p21097 +aS'tests\ttest\tNNS\tI-NP\tO' +p21098 +aS'were\tbe\tVBD\tB-VP\tO' +p21099 +aS'within\twithin\tIN\tB-PP\tO' +p21100 +aS'normal\tnormal\tJJ\tB-NP\tO' +p21101 +aS'limits\tlimit\tNNS\tI-NP\tO' +p21102 +aS'.\t.\t.\tO\tO' +p21103 +asS'The patient is in no acute distress .' +p21104 +(lp21105 +S'The\tThe\tDT\tB-NP\tO' +p21106 +aS'patient\tpatient\tNN\tI-NP\tO' +p21107 +aS'is\tbe\tVBZ\tB-VP\tO' +p21108 +aS'in\tin\tIN\tB-PP\tO' +p21109 +aS'no\tno\tDT\tB-NP\tO' +p21110 +aS'acute\tacute\tJJ\tI-NP\tO' +p21111 +aS'distress\tdistress\tNN\tI-NP\tO' +p21112 +aS'.\t.\t.\tO\tO' +p21113 +asS'to fluid resuscitation at 4 liters and was admitted to the CMED CCU for hemodynamic monitoring .' +p21114 +(lp21115 +S'to\tto\tTO\tB-VP\tO' +p21116 +aS'fluid\tfluid\tVB\tI-VP\tO' +p21117 +aS'resuscitation\tresuscitation\tNN\tB-NP\tO' +p21118 +aS'at\tat\tIN\tB-PP\tO' +p21119 +aS'4\t4\tCD\tB-NP\tO' +p21120 +aS'liters\tliter\tNNS\tI-NP\tO' +p21121 +aS'and\tand\tCC\tO\tO' +p21122 +aS'was\tbe\tVBD\tB-VP\tO' +p21123 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p21124 +aS'to\tto\tTO\tB-PP\tO' +p21125 +aS'the\tthe\tDT\tB-NP\tO' +p21126 +aS'CMED\tCMED\tVBN\tI-NP\tO' +p21127 +aS'CCU\tCCU\tNN\tI-NP\tO' +p21128 +aS'for\tfor\tIN\tB-PP\tO' +p21129 +aS'hemodynamic\themodynamic\tJJ\tB-NP\tO' +p21130 +aS'monitoring\tmonitoring\tNN\tI-NP\tO' +p21131 +aS'.\t.\t.\tO\tO' +p21132 +asS'Almost complete resolution of pulmonary edema .' +p21133 +(lp21134 +S'Almost\tAlmost\tRB\tB-NP\tO' +p21135 +aS'complete\tcomplete\tJJ\tI-NP\tO' +p21136 +aS'resolution\tresolution\tNN\tI-NP\tO' +p21137 +aS'of\tof\tIN\tB-PP\tO' +p21138 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p21139 +aS'edema\tedema\tNN\tI-NP\tO' +p21140 +aS'.\t.\t.\tO\tO' +p21141 +asS'At that time , she underwent sigmoid colectomy and ventral hernia repair . ( A full account of this operation can be found in the Operative Note ) .' +p21142 +(lp21143 +S'At\tAt\tIN\tB-PP\tO' +p21144 +aS'that\tthat\tDT\tB-NP\tO' +p21145 +aS'time\ttime\tNN\tI-NP\tO' +p21146 +aS',\t,\t,\tO\tO' +p21147 +aS'she\tshe\tPRP\tB-NP\tO' +p21148 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p21149 +aS'sigmoid\tsigmoid\tJJ\tB-NP\tO' +p21150 +aS'colectomy\tcolectomy\tNN\tI-NP\tO' +p21151 +aS'and\tand\tCC\tO\tO' +p21152 +aS'ventral\tventral\tJJ\tB-NP\tO' +p21153 +aS'hernia\thernia\tNN\tI-NP\tO' +p21154 +aS'repair\trepair\tNN\tI-NP\tO' +p21155 +aS'.\t.\t.\tO\tO' +p21156 +aS'(\t(\t(\tO\tO' +p21157 +aS'A\tA\tDT\tB-NP\tO' +p21158 +aS'full\tfull\tJJ\tI-NP\tO' +p21159 +aS'account\taccount\tNN\tI-NP\tO' +p21160 +aS'of\tof\tIN\tB-PP\tO' +p21161 +aS'this\tthis\tDT\tB-NP\tO' +p21162 +aS'operation\toperation\tNN\tI-NP\tO' +p21163 +aS'can\tcan\tMD\tB-VP\tO' +p21164 +aS'be\tbe\tVB\tI-VP\tO' +p21165 +aS'found\tfind\tVBN\tI-VP\tO' +p21166 +aS'in\tin\tIN\tB-PP\tO' +p21167 +aS'the\tthe\tDT\tB-NP\tO' +p21168 +aS'Operative\tOperative\tJJ\tI-NP\tO' +p21169 +aS'Note\tNote\tNN\tI-NP\tO' +p21170 +aS')\t)\t)\tO\tO' +p21171 +aS'.\t.\t.\tO\tO' +p21172 +asS'5. Immunizations received: The infant has not received any immunizations at this time .' +p21173 +(lp21174 +S'5.\t5.\tLS\tB-NP\tO' +p21175 +aS'Immunizations\tImmunization\tNNS\tI-NP\tO' +p21176 +aS'received:\treceived:\tVB\tB-VP\tO' +p21177 +aS'The\tThe\tDT\tB-NP\tO' +p21178 +aS'infant\tinfant\tNN\tI-NP\tO' +p21179 +aS'has\thave\tVBZ\tB-VP\tO' +p21180 +aS'not\tnot\tRB\tI-VP\tO' +p21181 +aS'received\treceive\tVBN\tI-VP\tO' +p21182 +aS'any\tany\tDT\tB-NP\tO' +p21183 +aS'immunizations\timmunization\tNNS\tI-NP\tO' +p21184 +aS'at\tat\tIN\tB-PP\tO' +p21185 +aS'this\tthis\tDT\tB-NP\tO' +p21186 +aS'time\ttime\tNN\tI-NP\tO' +p21187 +aS'.\t.\t.\tO\tO' +p21188 +asS'2. Born at 32-35 weeks with plans for day care during RSV season with a smoker in the household , or with preschool age siblings .' +p21189 +(lp21190 +S'2.\t2.\tLS\tB-NP\tO' +p21191 +aS'Born\tBorn\tNN\tI-NP\tO' +p21192 +aS'at\tat\tIN\tB-PP\tO' +p21193 +aS'32-35\t32-35\tCD\tB-NP\tO' +p21194 +aS'weeks\tweek\tNNS\tI-NP\tO' +p21195 +aS'with\twith\tIN\tB-PP\tO' +p21196 +aS'plans\tplan\tNNS\tB-NP\tO' +p21197 +aS'for\tfor\tIN\tB-PP\tO' +p21198 +aS'day\tday\tNN\tB-NP\tO' +p21199 +aS'care\tcare\tNN\tI-NP\tO' +p21200 +aS'during\tduring\tIN\tB-PP\tO' +p21201 +aS'RSV\tRSV\tNN\tB-NP\tO' +p21202 +aS'season\tseason\tNN\tI-NP\tO' +p21203 +aS'with\twith\tIN\tB-PP\tO' +p21204 +aS'a\ta\tDT\tB-NP\tO' +p21205 +aS'smoker\tsmoker\tNN\tI-NP\tO' +p21206 +aS'in\tin\tIN\tB-PP\tO' +p21207 +aS'the\tthe\tDT\tB-NP\tO' +p21208 +aS'household\thousehold\tNN\tI-NP\tO' +p21209 +aS',\t,\t,\tO\tO' +p21210 +aS'or\tor\tCC\tO\tO' +p21211 +aS'with\twith\tIN\tB-PP\tO' +p21212 +aS'preschool\tpreschool\tNN\tB-NP\tO' +p21213 +aS'age\tage\tNN\tI-NP\tO' +p21214 +aS'siblings\tsibling\tNNS\tI-NP\tO' +p21215 +aS'.\t.\t.\tO\tO' +p21216 +asS'Dr. ______________ consulted on the case .' +p21217 +(lp21218 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p21219 +aS'______________\t______________\tNNP\tI-NP\tO' +p21220 +aS'consulted\tconsult\tVBD\tB-VP\tO' +p21221 +aS'on\ton\tIN\tB-PP\tO' +p21222 +aS'the\tthe\tDT\tB-NP\tO' +p21223 +aS'case\tcase\tNN\tI-NP\tO' +p21224 +aS'.\t.\t.\tO\tO' +p21225 +asS'An exercise tolerance test with imaging .' +p21226 +(lp21227 +S'An\tAn\tDT\tB-NP\tO' +p21228 +aS'exercise\texercise\tNN\tI-NP\tO' +p21229 +aS'tolerance\ttolerance\tNN\tI-NP\tO' +p21230 +aS'test\ttest\tNN\tI-NP\tO' +p21231 +aS'with\twith\tIN\tB-PP\tO' +p21232 +aS'imaging\timaging\tNN\tB-NP\tO' +p21233 +aS'.\t.\t.\tO\tO' +p21234 +asS'Physical therapy was re consulted .' +p21235 +(lp21236 +S'Physical\tPhysical\tJJ\tB-NP\tO' +p21237 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p21238 +aS'was\tbe\tVBD\tB-VP\tO' +p21239 +aS're\tre\tNN\tB-NP\tO' +p21240 +aS'consulted\tconsult\tVBN\tB-VP\tO' +p21241 +aS'.\t.\t.\tO\tO' +p21242 +asS'The patient underwent an adenosine stress test , where he exercised for 4 minutes , reaching 65% of predicted heart rate .' +p21243 +(lp21244 +S'The\tThe\tDT\tB-NP\tO' +p21245 +aS'patient\tpatient\tNN\tI-NP\tO' +p21246 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p21247 +aS'an\tan\tDT\tB-NP\tO' +p21248 +aS'adenosine\tadenosine\tNN\tI-NP\tO' +p21249 +aS'stress\tstress\tNN\tI-NP\tO' +p21250 +aS'test\ttest\tNN\tI-NP\tO' +p21251 +aS',\t,\t,\tO\tO' +p21252 +aS'where\twhere\tWRB\tB-ADVP\tO' +p21253 +aS'he\the\tPRP\tB-NP\tO' +p21254 +aS'exercised\texercise\tVBD\tB-VP\tO' +p21255 +aS'for\tfor\tIN\tB-PP\tO' +p21256 +aS'4\t4\tCD\tB-NP\tO' +p21257 +aS'minutes\tminute\tNNS\tI-NP\tO' +p21258 +aS',\t,\t,\tO\tO' +p21259 +aS'reaching\treach\tVBG\tB-VP\tO' +p21260 +aS'65%\t65%\tCD\tB-NP\tO' +p21261 +aS'of\tof\tIN\tB-PP\tO' +p21262 +aS'predicted\tpredict\tVBN\tB-NP\tO' +p21263 +aS'heart\theart\tNN\tI-NP\tO' +p21264 +aS'rate\trate\tNN\tI-NP\tO' +p21265 +aS'.\t.\t.\tO\tO' +p21266 +asS'He was continued to be followed by Psychiatry and then was casted by Orthopedics .' +p21267 +(lp21268 +S'He\tHe\tPRP\tB-NP\tO' +p21269 +aS'was\tbe\tVBD\tB-VP\tO' +p21270 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p21271 +aS'to\tto\tTO\tI-VP\tO' +p21272 +aS'be\tbe\tVB\tI-VP\tO' +p21273 +aS'followed\tfollow\tVBN\tI-VP\tO' +p21274 +aS'by\tby\tIN\tB-PP\tO' +p21275 +aS'Psychiatry\tPsychiatry\tNN\tB-NP\tO' +p21276 +aS'and\tand\tCC\tO\tO' +p21277 +aS'then\tthen\tRB\tB-ADVP\tO' +p21278 +aS'was\tbe\tVBD\tB-VP\tO' +p21279 +aS'casted\tcast\tVBN\tI-VP\tO' +p21280 +aS'by\tby\tIN\tB-PP\tO' +p21281 +aS'Orthopedics\tOrthopedics\tNNP\tB-NP\tO' +p21282 +aS'.\t.\t.\tO\tO' +p21283 +asS"Not following commands but moves UE 's to try to pull out NG tube ." +p21284 +(lp21285 +S'Not\tNot\tRB\tO\tO' +p21286 +aS'following\tfollow\tVBG\tB-PP\tO' +p21287 +aS'commands\tcommand\tNNS\tB-NP\tO' +p21288 +aS'but\tbut\tCC\tO\tO' +p21289 +aS'moves\tmove\tVBZ\tB-VP\tO' +p21290 +aS'UE\tUE\tNNP\tB-NP\tO' +p21291 +aS"'s\t's\tPOS\tB-NP\tO" +p21292 +aS'to\tto\tTO\tB-VP\tO' +p21293 +aS'try\ttry\tVB\tI-VP\tO' +p21294 +aS'to\tto\tTO\tI-VP\tO' +p21295 +aS'pull\tpull\tVB\tI-VP\tO' +p21296 +aS'out\tout\tRP\tB-PRT\tO' +p21297 +aS'NG\tNG\tNN\tB-NP\tO' +p21298 +aS'tube\ttube\tNN\tI-NP\tO' +p21299 +aS'.\t.\t.\tO\tO' +p21300 +asS'Goal INR 01-31 .' +p21301 +(lp21302 +S'Goal\tGoal\tJJ\tB-NP\tO' +p21303 +aS'INR\tINR\tNN\tI-NP\tO' +p21304 +aS'01-31\t01-31\tCD\tI-NP\tO' +p21305 +aS'.\t.\t.\tO\tO' +p21306 +asS'Pregnancy was complicated by oligohydramnios with an AFI of 3.5 and by multiple evaluations for decreased fetal movement .' +p21307 +(lp21308 +S'Pregnancy\tPregnancy\tNN\tB-NP\tO' +p21309 +aS'was\tbe\tVBD\tB-VP\tO' +p21310 +aS'complicated\tcomplicate\tVBN\tI-VP\tO' +p21311 +aS'by\tby\tIN\tB-PP\tO' +p21312 +aS'oligohydramnios\toligohydramnio\tNNS\tB-NP\tO' +p21313 +aS'with\twith\tIN\tB-PP\tO' +p21314 +aS'an\tan\tDT\tB-NP\tO' +p21315 +aS'AFI\tAFI\tNN\tI-NP\tO' +p21316 +aS'of\tof\tIN\tB-PP\tO' +p21317 +aS'3.5\t3.5\tCD\tB-NP\tO' +p21318 +aS'and\tand\tCC\tO\tO' +p21319 +aS'by\tby\tIN\tB-PP\tO' +p21320 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p21321 +aS'evaluations\tevaluation\tNNS\tI-NP\tO' +p21322 +aS'for\tfor\tIN\tB-PP\tO' +p21323 +aS'decreased\tdecrease\tVBN\tB-NP\tO' +p21324 +aS'fetal\tfetal\tJJ\tI-NP\tO' +p21325 +aS'movement\tmovement\tNN\tI-NP\tO' +p21326 +aS'.\t.\t.\tO\tO' +p21327 +asS'3. State newborn screen was sent on 2015-04-24 and results are pending .' +p21328 +(lp21329 +S'3.\t3.\tLS\tB-NP\tO' +p21330 +aS'State\tState\tNN\tI-NP\tO' +p21331 +aS'newborn\tnewborn\tJJ\tI-NP\tO' +p21332 +aS'screen\tscreen\tNN\tI-NP\tO' +p21333 +aS'was\tbe\tVBD\tB-VP\tO' +p21334 +aS'sent\tsend\tVBN\tI-VP\tO' +p21335 +aS'on\ton\tIN\tB-PP\tO' +p21336 +aS'2015-04-24\t2015-04-24\tCD\tB-NP\tO' +p21337 +aS'and\tand\tCC\tO\tO' +p21338 +aS'results\tresult\tNNS\tB-NP\tO' +p21339 +aS'are\tbe\tVBP\tB-VP\tO' +p21340 +aS'pending\tpende\tVBG\tI-VP\tO' +p21341 +aS'.\t.\t.\tO\tO' +p21342 +asS'Gallbladder was visualized with stones .' +p21343 +(lp21344 +S'Gallbladder\tGallbladder\tNN\tB-NP\tO' +p21345 +aS'was\tbe\tVBD\tB-VP\tO' +p21346 +aS'visualized\tvisualize\tVBN\tI-VP\tO' +p21347 +aS'with\twith\tIN\tB-PP\tO' +p21348 +aS'stones\tstone\tNNS\tB-NP\tO' +p21349 +aS'.\t.\t.\tO\tO' +p21350 +asS'On admission , the patient has no complaints except anxiety .' +p21351 +(lp21352 +S'On\tOn\tIN\tB-PP\tO' +p21353 +aS'admission\tadmission\tNN\tB-NP\tO' +p21354 +aS',\t,\t,\tO\tO' +p21355 +aS'the\tthe\tDT\tB-NP\tO' +p21356 +aS'patient\tpatient\tNN\tI-NP\tO' +p21357 +aS'has\thave\tVBZ\tB-VP\tO' +p21358 +aS'no\tno\tDT\tB-NP\tO' +p21359 +aS'complaints\tcomplaint\tNNS\tI-NP\tO' +p21360 +aS'except\texcept\tIN\tB-PP\tO' +p21361 +aS'anxiety\tanxiety\tNN\tB-NP\tO' +p21362 +aS'.\t.\t.\tO\tO' +p21363 +asS'4 days of worsening SOB with sore throat and cough productive of yellow / green sputum .' +p21364 +(lp21365 +S'4\t4\tCD\tB-NP\tO' +p21366 +aS'days\tday\tNNS\tI-NP\tO' +p21367 +aS'of\tof\tIN\tB-PP\tO' +p21368 +aS'worsening\tworsen\tVBG\tB-VP\tO' +p21369 +aS'SOB\tSOB\tNN\tB-NP\tB-protein' +p21370 +aS'with\twith\tIN\tB-PP\tO' +p21371 +aS'sore\tsore\tJJ\tB-NP\tO' +p21372 +aS'throat\tthroat\tNN\tI-NP\tO' +p21373 +aS'and\tand\tCC\tI-NP\tO' +p21374 +aS'cough\tcough\tNN\tI-NP\tO' +p21375 +aS'productive\tproductive\tJJ\tB-ADJP\tO' +p21376 +aS'of\tof\tIN\tB-PP\tO' +p21377 +aS'yellow\tyellow\tJJ\tB-NP\tO' +p21378 +aS'/\t/\tSYM\tI-NP\tO' +p21379 +aS'green\tgreen\tJJ\tI-NP\tO' +p21380 +aS'sputum\tsputum\tNN\tI-NP\tO' +p21381 +aS'.\t.\t.\tO\tO' +p21382 +asS'The patient tolerated the advancement of his diet without problems .' +p21383 +(lp21384 +S'The\tThe\tDT\tB-NP\tO' +p21385 +aS'patient\tpatient\tNN\tI-NP\tO' +p21386 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p21387 +aS'the\tthe\tDT\tB-NP\tO' +p21388 +aS'advancement\tadvancement\tNN\tI-NP\tO' +p21389 +aS'of\tof\tIN\tB-PP\tO' +p21390 +aS'his\this\tPRP$\tB-NP\tO' +p21391 +aS'diet\tdiet\tNN\tI-NP\tO' +p21392 +aS'without\twithout\tIN\tB-PP\tO' +p21393 +aS'problems\tproblem\tNNS\tB-NP\tO' +p21394 +aS'.\t.\t.\tO\tO' +p21395 +asS'3. Hypokalemia .' +p21396 +(lp21397 +S'3.\t3.\tLS\tB-NP\tO' +p21398 +aS'Hypokalemia\tHypokalemia\tNN\tI-NP\tO' +p21399 +aS'.\t.\t.\tO\tO' +p21400 +asS'She remained on telemetry for greater than 48 hours which demonstrated no dysrhythmia during this time .' +p21401 +(lp21402 +S'She\tShe\tPRP\tB-NP\tO' +p21403 +aS'remained\tremain\tVBD\tB-VP\tO' +p21404 +aS'on\ton\tIN\tB-PP\tO' +p21405 +aS'telemetry\ttelemetry\tNN\tB-NP\tO' +p21406 +aS'for\tfor\tIN\tB-PP\tO' +p21407 +aS'greater\tgreat\tJJR\tB-NP\tO' +p21408 +aS'than\tthan\tIN\tI-NP\tO' +p21409 +aS'48\t48\tCD\tI-NP\tO' +p21410 +aS'hours\thour\tNNS\tI-NP\tO' +p21411 +aS'which\twhich\tWDT\tB-NP\tO' +p21412 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p21413 +aS'no\tno\tDT\tB-NP\tO' +p21414 +aS'dysrhythmia\tdysrhythmia\tNN\tI-NP\tO' +p21415 +aS'during\tduring\tIN\tB-PP\tO' +p21416 +aS'this\tthis\tDT\tB-NP\tO' +p21417 +aS'time\ttime\tNN\tI-NP\tO' +p21418 +aS'.\t.\t.\tO\tO' +p21419 +asS'HCG was negative .' +p21420 +(lp21421 +S'HCG\tHCG\tNN\tB-NP\tB-protein' +p21422 +aS'was\tbe\tVBD\tB-VP\tO' +p21423 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p21424 +aS'.\t.\t.\tO\tO' +p21425 +asS'6. Aerobid three puffs twice a day .' +p21426 +(lp21427 +S'6.\t6.\tCD\tB-NP\tO' +p21428 +aS'Aerobid\tAerobid\tNNP\tI-NP\tO' +p21429 +aS'three\tthree\tCD\tI-NP\tO' +p21430 +aS'puffs\tpuff\tNNS\tI-NP\tO' +p21431 +aS'twice\ttwice\tRB\tB-NP\tO' +p21432 +aS'a\ta\tDT\tI-NP\tO' +p21433 +aS'day\tday\tNN\tI-NP\tO' +p21434 +aS'.\t.\t.\tO\tO' +p21435 +asS'For the past five weeks , the patient has experienced dragging of the right leg with weakness throughout that side .' +p21436 +(lp21437 +S'For\tFor\tIN\tB-PP\tO' +p21438 +aS'the\tthe\tDT\tB-NP\tO' +p21439 +aS'past\tpast\tJJ\tI-NP\tO' +p21440 +aS'five\tfive\tCD\tI-NP\tO' +p21441 +aS'weeks\tweek\tNNS\tI-NP\tO' +p21442 +aS',\t,\t,\tO\tO' +p21443 +aS'the\tthe\tDT\tB-NP\tO' +p21444 +aS'patient\tpatient\tNN\tI-NP\tO' +p21445 +aS'has\thave\tVBZ\tB-VP\tO' +p21446 +aS'experienced\texperience\tVBN\tI-VP\tO' +p21447 +aS'dragging\tdragging\tNN\tB-NP\tO' +p21448 +aS'of\tof\tIN\tB-PP\tO' +p21449 +aS'the\tthe\tDT\tB-NP\tO' +p21450 +aS'right\tright\tJJ\tI-NP\tO' +p21451 +aS'leg\tleg\tNN\tI-NP\tO' +p21452 +aS'with\twith\tIN\tB-PP\tO' +p21453 +aS'weakness\tweakness\tNN\tB-NP\tO' +p21454 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p21455 +aS'that\tthat\tDT\tB-NP\tO' +p21456 +aS'side\tside\tNN\tI-NP\tO' +p21457 +aS'.\t.\t.\tO\tO' +p21458 +asS'HEENT revealed extraocular movements were intact .' +p21459 +(lp21460 +S'HEENT\tHEENT\tNN\tB-NP\tO' +p21461 +aS'revealed\treveal\tVBD\tB-VP\tO' +p21462 +aS'extraocular\textraocular\tJJ\tB-NP\tO' +p21463 +aS'movements\tmovement\tNNS\tI-NP\tO' +p21464 +aS'were\tbe\tVBD\tB-VP\tO' +p21465 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p21466 +aS'.\t.\t.\tO\tO' +p21467 +asS'Further , at Ceanotsit Ortgold Center his serum toxicology screens were positive .' +p21468 +(lp21469 +S'Further\tFurther\tRB\tB-ADVP\tO' +p21470 +aS',\t,\t,\tO\tO' +p21471 +aS'at\tat\tIN\tB-PP\tO' +p21472 +aS'Ceanotsit\tCeanotsit\tNNP\tB-NP\tO' +p21473 +aS'Ortgold\tOrtgold\tNNP\tI-NP\tO' +p21474 +aS'Center\tCenter\tNNP\tI-NP\tO' +p21475 +aS'his\this\tPRP$\tB-NP\tO' +p21476 +aS'serum\tserum\tNN\tI-NP\tO' +p21477 +aS'toxicology\ttoxicology\tNN\tI-NP\tO' +p21478 +aS'screens\tscreen\tNNS\tI-NP\tO' +p21479 +aS'were\tbe\tVBD\tB-VP\tO' +p21480 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p21481 +aS'.\t.\t.\tO\tO' +p21482 +asS'ALT 176 .' +p21483 +(lp21484 +S'ALT\tALT\tNN\tB-NP\tB-protein' +p21485 +aS'176\t176\tCD\tI-NP\tI-protein' +p21486 +aS'.\t.\t.\tO\tO' +p21487 +asS'The patient was hyperventilated to goal PCO2 30-35 with ICP improvement .' +p21488 +(lp21489 +S'The\tThe\tDT\tB-NP\tO' +p21490 +aS'patient\tpatient\tNN\tI-NP\tO' +p21491 +aS'was\tbe\tVBD\tB-VP\tO' +p21492 +aS'hyperventilated\thyperventilate\tVBN\tI-VP\tO' +p21493 +aS'to\tto\tTO\tB-PP\tO' +p21494 +aS'goal\tgoal\tNN\tB-NP\tO' +p21495 +aS'PCO2\tPCO2\tNN\tI-NP\tO' +p21496 +aS'30-35\t30-35\tCD\tI-NP\tO' +p21497 +aS'with\twith\tIN\tB-PP\tO' +p21498 +aS'ICP\tICP\tNN\tB-NP\tO' +p21499 +aS'improvement\timprovement\tNN\tI-NP\tO' +p21500 +aS'.\t.\t.\tO\tO' +p21501 +asS'Pupils were 3.5 OD , and 3.0 OS , irregular and non reactive .' +p21502 +(lp21503 +S'Pupils\tPupil\tNNS\tB-NP\tO' +p21504 +aS'were\tbe\tVBD\tB-VP\tO' +p21505 +aS'3.5\t3.5\tCD\tB-NP\tO' +p21506 +aS'OD\tOD\tNN\tI-NP\tO' +p21507 +aS',\t,\t,\tO\tO' +p21508 +aS'and\tand\tCC\tO\tO' +p21509 +aS'3.0\t3.0\tCD\tB-NP\tO' +p21510 +aS'OS\tOS\tNN\tI-NP\tO' +p21511 +aS',\t,\t,\tO\tO' +p21512 +aS'irregular\tirregular\tJJ\tB-ADJP\tO' +p21513 +aS'and\tand\tCC\tO\tO' +p21514 +aS'non\tnon\tAFX\tB-ADJP\tO' +p21515 +aS'reactive\treactive\tJJ\tI-ADJP\tO' +p21516 +aS'.\t.\t.\tO\tO' +p21517 +asS'Patient is being sent home on Ecotrin one q.d. , Digoxin 0.l25 mg every three days , Quinidine 648 mg q.a.m. and 324 mg q.p.m. and q.h.s. , Mevacor 20 mg p.o. q.d. , Carafate one gram p.o. q.i.d. , Colace l00 mg p.o. t.i.d. , Lasix 80 mg p.o. q.d. , Potassium 20 mEq p.o. q.d. , and iron supplements .' +p21518 +(lp21519 +S'Patient\tPatient\tNN\tB-NP\tO' +p21520 +aS'is\tbe\tVBZ\tB-VP\tO' +p21521 +aS'being\tbe\tVBG\tI-VP\tO' +p21522 +aS'sent\tsend\tVBN\tI-VP\tO' +p21523 +aS'home\thome\tNN\tB-ADVP\tO' +p21524 +aS'on\ton\tIN\tB-PP\tO' +p21525 +aS'Ecotrin\tEcotrin\tNN\tB-NP\tO' +p21526 +aS'one\tone\tCD\tI-NP\tO' +p21527 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p21528 +aS',\t,\t,\tO\tO' +p21529 +aS'Digoxin\tDigoxin\tNN\tB-NP\tO' +p21530 +aS'0.l25\t0.l25\tCD\tI-NP\tO' +p21531 +aS'mg\tmg\tNN\tI-NP\tO' +p21532 +aS'every\tevery\tDT\tB-NP\tO' +p21533 +aS'three\tthree\tCD\tI-NP\tO' +p21534 +aS'days\tday\tNNS\tI-NP\tO' +p21535 +aS',\t,\t,\tO\tO' +p21536 +aS'Quinidine\tQuinidine\tNN\tB-NP\tO' +p21537 +aS'648\t648\tCD\tI-NP\tO' +p21538 +aS'mg\tmg\tNN\tI-NP\tO' +p21539 +aS'q.a.m.\tq.a.m.\tNN\tI-NP\tO' +p21540 +aS'and\tand\tCC\tO\tO' +p21541 +aS'324\t324\tCD\tB-NP\tO' +p21542 +aS'mg\tmg\tNN\tI-NP\tO' +p21543 +aS'q.p.m.\tq.p.m.\tNN\tI-NP\tO' +p21544 +aS'and\tand\tCC\tI-NP\tO' +p21545 +aS'q.h.s.\tq.h.s.\tNN\tI-NP\tO' +p21546 +aS',\t,\t,\tO\tO' +p21547 +aS'Mevacor\tMevacor\tNNP\tB-NP\tO' +p21548 +aS'20\t20\tCD\tI-NP\tO' +p21549 +aS'mg\tmg\tNN\tI-NP\tO' +p21550 +aS'p.o.\tp.o.\tFW\tB-ADVP\tO' +p21551 +aS'q.d.\tq.d.\tFW\tI-ADVP\tO' +p21552 +aS',\t,\t,\tO\tO' +p21553 +aS'Carafate\tCarafate\tNNP\tB-NP\tO' +p21554 +aS'one\tone\tCD\tI-NP\tO' +p21555 +aS'gram\tgram\tNN\tI-NP\tO' +p21556 +aS'p.o.\tp.o.\tFW\tB-ADVP\tO' +p21557 +aS'q.i.d.\tq.i.d.\tFW\tI-ADVP\tO' +p21558 +aS',\t,\t,\tO\tO' +p21559 +aS'Colace\tColace\tNNP\tB-NP\tO' +p21560 +aS'l00\tl00\tCD\tI-NP\tO' +p21561 +aS'mg\tmg\tNN\tI-NP\tO' +p21562 +aS'p.o.\tp.o.\tFW\tB-ADVP\tO' +p21563 +aS't.i.d.\tt.i.d.\tFW\tI-ADVP\tO' +p21564 +aS',\t,\t,\tO\tO' +p21565 +aS'Lasix\tLasix\tNNP\tB-NP\tO' +p21566 +aS'80\t80\tCD\tI-NP\tO' +p21567 +aS'mg\tmg\tNN\tI-NP\tO' +p21568 +aS'p.o.\tp.o.\tFW\tB-ADVP\tO' +p21569 +aS'q.d.\tq.d.\tFW\tI-ADVP\tO' +p21570 +aS',\t,\t,\tO\tO' +p21571 +aS'Potassium\tPotassium\tNN\tB-NP\tO' +p21572 +aS'20\t20\tCD\tI-NP\tO' +p21573 +aS'mEq\tmEq\tNN\tI-NP\tO' +p21574 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p21575 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p21576 +aS',\t,\t,\tO\tO' +p21577 +aS'and\tand\tCC\tO\tO' +p21578 +aS'iron\tiron\tNN\tB-NP\tO' +p21579 +aS'supplements\tsupplement\tNNS\tI-NP\tO' +p21580 +aS'.\t.\t.\tO\tO' +p21581 +asS'The patient denies melena , hematochezia , nausea , and abdominal pain .' +p21582 +(lp21583 +S'The\tThe\tDT\tB-NP\tO' +p21584 +aS'patient\tpatient\tNN\tI-NP\tO' +p21585 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p21586 +aS'melena\tmelena\tNN\tB-NP\tO' +p21587 +aS',\t,\t,\tO\tO' +p21588 +aS'hematochezia\thematochezia\tNN\tB-NP\tO' +p21589 +aS',\t,\t,\tO\tO' +p21590 +aS'nausea\tnausea\tNN\tB-NP\tO' +p21591 +aS',\t,\t,\tO\tO' +p21592 +aS'and\tand\tCC\tO\tO' +p21593 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p21594 +aS'pain\tpain\tNN\tI-NP\tO' +p21595 +aS'.\t.\t.\tO\tO' +p21596 +asS'The third issue was that her anticoagulation was grossly out of control on admission with PT of 25.6 and PTT of 42.2 .' +p21597 +(lp21598 +S'The\tThe\tDT\tB-NP\tO' +p21599 +aS'third\tthird\tJJ\tI-NP\tO' +p21600 +aS'issue\tissue\tNN\tI-NP\tO' +p21601 +aS'was\tbe\tVBD\tB-VP\tO' +p21602 +aS'that\tthat\tDT\tO\tO' +p21603 +aS'her\ther\tPRP$\tB-NP\tO' +p21604 +aS'anticoagulation\tanticoagulation\tNN\tI-NP\tO' +p21605 +aS'was\tbe\tVBD\tB-VP\tO' +p21606 +aS'grossly\tgrossly\tRB\tB-ADVP\tO' +p21607 +aS'out\tout\tIN\tB-PP\tO' +p21608 +aS'of\tof\tIN\tB-PP\tO' +p21609 +aS'control\tcontrol\tNN\tB-NP\tO' +p21610 +aS'on\ton\tIN\tB-PP\tO' +p21611 +aS'admission\tadmission\tNN\tB-NP\tO' +p21612 +aS'with\twith\tIN\tB-PP\tO' +p21613 +aS'PT\tPT\tNN\tB-NP\tO' +p21614 +aS'of\tof\tIN\tB-PP\tO' +p21615 +aS'25.6\t25.6\tCD\tB-NP\tO' +p21616 +aS'and\tand\tCC\tO\tO' +p21617 +aS'PTT\tPTT\tNN\tB-NP\tO' +p21618 +aS'of\tof\tIN\tB-PP\tO' +p21619 +aS'42.2\t42.2\tCD\tB-NP\tO' +p21620 +aS'.\t.\t.\tO\tO' +p21621 +asS'He had undergone full Psychiatric evaluation , and was prepared for transfer to a Psychiatric Hospital .' +p21622 +(lp21623 +S'He\tHe\tPRP\tB-NP\tO' +p21624 +aS'had\thave\tVBD\tB-VP\tO' +p21625 +aS'undergone\tundergo\tVBN\tI-VP\tO' +p21626 +aS'full\tfull\tJJ\tB-NP\tO' +p21627 +aS'Psychiatric\tPsychiatric\tJJ\tI-NP\tO' +p21628 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p21629 +aS',\t,\t,\tO\tO' +p21630 +aS'and\tand\tCC\tO\tO' +p21631 +aS'was\tbe\tVBD\tB-VP\tO' +p21632 +aS'prepared\tprepare\tVBN\tI-VP\tO' +p21633 +aS'for\tfor\tIN\tB-PP\tO' +p21634 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p21635 +aS'to\tto\tTO\tB-PP\tO' +p21636 +aS'a\ta\tDT\tB-NP\tO' +p21637 +aS'Psychiatric\tPsychiatric\tNNP\tI-NP\tO' +p21638 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p21639 +aS'.\t.\t.\tO\tO' +p21640 +asS'She lives with her daughter , and denies any tobacco or alcohol use .' +p21641 +(lp21642 +S'She\tShe\tPRP\tB-NP\tO' +p21643 +aS'lives\tlive\tVBZ\tB-VP\tO' +p21644 +aS'with\twith\tIN\tB-PP\tO' +p21645 +aS'her\ther\tPRP$\tB-NP\tO' +p21646 +aS'daughter\tdaughter\tNN\tI-NP\tO' +p21647 +aS',\t,\t,\tO\tO' +p21648 +aS'and\tand\tCC\tO\tO' +p21649 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p21650 +aS'any\tany\tDT\tB-NP\tO' +p21651 +aS'tobacco\ttobacco\tNN\tI-NP\tO' +p21652 +aS'or\tor\tCC\tI-NP\tO' +p21653 +aS'alcohol\talcohol\tNN\tI-NP\tO' +p21654 +aS'use\tuse\tNN\tI-NP\tO' +p21655 +aS'.\t.\t.\tO\tO' +p21656 +asS'She continued to have a few schistocytes on her smear , but it was much decreased .' +p21657 +(lp21658 +S'She\tShe\tPRP\tB-NP\tO' +p21659 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p21660 +aS'to\tto\tTO\tI-VP\tO' +p21661 +aS'have\thave\tVB\tI-VP\tO' +p21662 +aS'a\ta\tDT\tB-NP\tO' +p21663 +aS'few\tfew\tJJ\tI-NP\tO' +p21664 +aS'schistocytes\tschistocyte\tNNS\tI-NP\tO' +p21665 +aS'on\ton\tIN\tB-PP\tO' +p21666 +aS'her\ther\tPRP$\tB-NP\tO' +p21667 +aS'smear\tsmear\tNN\tI-NP\tO' +p21668 +aS',\t,\t,\tO\tO' +p21669 +aS'but\tbut\tCC\tO\tO' +p21670 +aS'it\tit\tPRP\tB-NP\tO' +p21671 +aS'was\tbe\tVBD\tB-VP\tO' +p21672 +aS'much\tmuch\tRB\tI-VP\tO' +p21673 +aS'decreased\tdecrease\tVBN\tI-VP\tO' +p21674 +aS'.\t.\t.\tO\tO' +p21675 +asS'Meds at home : Coumadin , Levoxyl , Folate , Colace , Byetta , Verapamil , Lisinopril , Pravachol , Nexium , Lasix , Celexa' +p21676 +(lp21677 +S'Meds\tMed\tNNS\tB-NP\tO' +p21678 +aS'at\tat\tIN\tB-PP\tO' +p21679 +aS'home\thome\tNN\tB-NP\tO' +p21680 +aS':\t:\t:\tO\tO' +p21681 +aS'Coumadin\tCoumadin\tNNP\tB-NP\tO' +p21682 +aS',\t,\t,\tO\tO' +p21683 +aS'Levoxyl\tLevoxyl\tNNP\tB-NP\tO' +p21684 +aS',\t,\t,\tO\tO' +p21685 +aS'Folate\tFolate\tNNP\tB-NP\tO' +p21686 +aS',\t,\t,\tO\tO' +p21687 +aS'Colace\tColace\tNNP\tB-NP\tO' +p21688 +aS',\t,\t,\tO\tO' +p21689 +aS'Byetta\tByetta\tNNP\tB-NP\tO' +p21690 +aS',\t,\t,\tO\tO' +p21691 +aS'Verapamil\tVerapamil\tNNP\tB-NP\tO' +p21692 +aS',\t,\t,\tO\tO' +p21693 +aS'Lisinopril\tLisinopril\tNNP\tB-NP\tO' +p21694 +aS',\t,\t,\tO\tO' +p21695 +aS'Pravachol\tPravachol\tNNP\tB-NP\tO' +p21696 +aS',\t,\t,\tO\tO' +p21697 +aS'Nexium\tNexium\tNNP\tB-NP\tO' +p21698 +aS',\t,\t,\tO\tO' +p21699 +aS'Lasix\tLasix\tNNP\tB-NP\tO' +p21700 +aS',\t,\t,\tO\tO' +p21701 +aS'Celexa\tCelexa\tNNP\tB-NP\tO' +p21702 +asS'Toes are downgoing .' +p21703 +(lp21704 +S'Toes\tToe\tNNS\tB-NP\tO' +p21705 +aS'are\tbe\tVBP\tB-VP\tO' +p21706 +aS'downgoing\tdowngoe\tVBG\tI-VP\tO' +p21707 +aS'.\t.\t.\tO\tO' +p21708 +asS'2. Rule out sepsis without antibiotics .' +p21709 +(lp21710 +S'2.\t2.\tLS\tB-LST\tO' +p21711 +aS'Rule\tRule\tNNP\tB-NP\tO' +p21712 +aS'out\tout\tIN\tB-PP\tO' +p21713 +aS'sepsis\tsepsis\tNN\tB-NP\tO' +p21714 +aS'without\twithout\tIN\tB-PP\tO' +p21715 +aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' +p21716 +aS'.\t.\t.\tO\tO' +p21717 +asS'CVA 2012 w/ right sided weakness' +p21718 +(lp21719 +S'CVA\tCVA\tNN\tB-NP\tO' +p21720 +aS'2012\t2012\tCD\tI-NP\tO' +p21721 +aS'w/\tw/\tNN\tI-NP\tO' +p21722 +aS'right\tright\tJJ\tI-NP\tO' +p21723 +aS'sided\tsided\tJJ\tI-NP\tO' +p21724 +aS'weakness\tweakness\tNN\tI-NP\tO' +p21725 +asS'The patient was stable for transfer to the floor , was treated with over 72 hours of IV Unasyn , and then transitioned to oral regimen of Augmentin to be continued as an outpatient .' +p21726 +(lp21727 +S'The\tThe\tDT\tB-NP\tO' +p21728 +aS'patient\tpatient\tNN\tI-NP\tO' +p21729 +aS'was\tbe\tVBD\tB-VP\tO' +p21730 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p21731 +aS'for\tfor\tIN\tB-PP\tO' +p21732 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p21733 +aS'to\tto\tTO\tB-PP\tO' +p21734 +aS'the\tthe\tDT\tB-NP\tO' +p21735 +aS'floor\tfloor\tNN\tI-NP\tO' +p21736 +aS',\t,\t,\tO\tO' +p21737 +aS'was\tbe\tVBD\tB-VP\tO' +p21738 +aS'treated\ttreat\tVBN\tI-VP\tO' +p21739 +aS'with\twith\tIN\tB-PP\tO' +p21740 +aS'over\tover\tIN\tB-NP\tO' +p21741 +aS'72\t72\tCD\tI-NP\tO' +p21742 +aS'hours\thour\tNNS\tI-NP\tO' +p21743 +aS'of\tof\tIN\tB-PP\tO' +p21744 +aS'IV\tIV\tCD\tB-NP\tO' +p21745 +aS'Unasyn\tUnasyn\tNN\tI-NP\tO' +p21746 +aS',\t,\t,\tO\tO' +p21747 +aS'and\tand\tCC\tO\tO' +p21748 +aS'then\tthen\tRB\tB-VP\tO' +p21749 +aS'transitioned\ttransitione\tVBN\tI-VP\tO' +p21750 +aS'to\tto\tTO\tB-PP\tO' +p21751 +aS'oral\toral\tJJ\tB-NP\tO' +p21752 +aS'regimen\tregimen\tNN\tI-NP\tO' +p21753 +aS'of\tof\tIN\tB-PP\tO' +p21754 +aS'Augmentin\tAugmentin\tNN\tB-NP\tB-protein' +p21755 +aS'to\tto\tTO\tB-VP\tO' +p21756 +aS'be\tbe\tVB\tI-VP\tO' +p21757 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p21758 +aS'as\tas\tIN\tB-PP\tO' +p21759 +aS'an\tan\tDT\tB-NP\tO' +p21760 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p21761 +aS'.\t.\t.\tO\tO' +p21762 +asS'His meds on transfer to FIH were Levophed , Dopamine , and Ceftriaxone .' +p21763 +(lp21764 +S'His\tHis\tPRP$\tB-NP\tO' +p21765 +aS'meds\tmed\tNNS\tI-NP\tO' +p21766 +aS'on\ton\tIN\tB-PP\tO' +p21767 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p21768 +aS'to\tto\tTO\tB-PP\tO' +p21769 +aS'FIH\tFIH\tNN\tB-NP\tO' +p21770 +aS'were\tbe\tVBD\tB-VP\tO' +p21771 +aS'Levophed\tLevophe\tVBN\tI-VP\tO' +p21772 +aS',\t,\t,\tO\tO' +p21773 +aS'Dopamine\tDopamine\tNN\tB-NP\tO' +p21774 +aS',\t,\t,\tO\tO' +p21775 +aS'and\tand\tCC\tO\tO' +p21776 +aS'Ceftriaxone\tCeftriaxone\tNN\tB-NP\tO' +p21777 +aS'.\t.\t.\tO\tO' +p21778 +asS'The patient will follow-up with Dr. vel Diaz in 3-4 weeks .' +p21779 +(lp21780 +S'The\tThe\tDT\tB-NP\tO' +p21781 +aS'patient\tpatient\tNN\tI-NP\tO' +p21782 +aS'will\twill\tMD\tB-VP\tO' +p21783 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p21784 +aS'with\twith\tIN\tB-PP\tO' +p21785 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p21786 +aS'vel\tvel\tNN\tI-NP\tO' +p21787 +aS'Diaz\tDiaz\tNNP\tI-NP\tO' +p21788 +aS'in\tin\tIN\tB-PP\tO' +p21789 +aS'3-4\t3-4\tCD\tB-NP\tO' +p21790 +aS'weeks\tweek\tNNS\tI-NP\tO' +p21791 +aS'.\t.\t.\tO\tO' +p21792 +asS'HEENT : PERRLA , no carotid bruits' +p21793 +(lp21794 +S'HEENT\tHEENT\tNN\tB-NP\tO' +p21795 +aS':\t:\t:\tO\tO' +p21796 +aS'PERRLA\tPERRLA\tNN\tB-NP\tO' +p21797 +aS',\t,\t,\tO\tO' +p21798 +aS'no\tno\tDT\tB-NP\tO' +p21799 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p21800 +aS'bruits\tbruit\tNNS\tI-NP\tO' +p21801 +asS'Discharge Condition : see dc summary' +p21802 +(lp21803 +S'Discharge\tDischarge\tNNP\tB-NP\tO' +p21804 +aS'Condition\tCondition\tNNP\tI-NP\tO' +p21805 +aS':\t:\t:\tO\tO' +p21806 +aS'see\tsee\tVB\tB-VP\tO' +p21807 +aS'dc\tdc\tNN\tB-NP\tO' +p21808 +aS'summary\tsummary\tNN\tI-NP\tO' +p21809 +asS'Otherwise negative .' +p21810 +(lp21811 +S'Otherwise\tOtherwise\tRB\tB-ADJP\tO' +p21812 +aS'negative\tnegative\tJJ\tI-ADJP\tO' +p21813 +aS'.\t.\t.\tO\tO' +p21814 +asS'Enteral feedings were initiated on day of life #1 .' +p21815 +(lp21816 +S'Enteral\tEnteral\tJJ\tB-NP\tO' +p21817 +aS'feedings\tfeeding\tNNS\tI-NP\tO' +p21818 +aS'were\tbe\tVBD\tB-VP\tO' +p21819 +aS'initiated\tinitiate\tVBN\tI-VP\tO' +p21820 +aS'on\ton\tIN\tB-PP\tO' +p21821 +aS'day\tday\tNN\tB-NP\tO' +p21822 +aS'of\tof\tIN\tB-PP\tO' +p21823 +aS'life\tlife\tNN\tB-NP\tO' +p21824 +aS'#1\t#1\tNN\tI-NP\tO' +p21825 +aS'.\t.\t.\tO\tO' +p21826 +asS'The patient is a 66 year old white female with metastatic colon carcinoma with a mass in the left superhilar region , who presents for bronchoscopy , mediastinal exploration and resection .' +p21827 +(lp21828 +S'The\tThe\tDT\tB-NP\tO' +p21829 +aS'patient\tpatient\tNN\tI-NP\tO' +p21830 +aS'is\tbe\tVBZ\tB-VP\tO' +p21831 +aS'a\ta\tDT\tB-NP\tO' +p21832 +aS'66\t66\tCD\tI-NP\tO' +p21833 +aS'year\tyear\tNN\tI-NP\tO' +p21834 +aS'old\told\tJJ\tI-NP\tO' +p21835 +aS'white\twhite\tJJ\tI-NP\tO' +p21836 +aS'female\tfemale\tNN\tI-NP\tO' +p21837 +aS'with\twith\tIN\tB-PP\tO' +p21838 +aS'metastatic\tmetastatic\tJJ\tB-NP\tO' +p21839 +aS'colon\tcolon\tNN\tI-NP\tO' +p21840 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p21841 +aS'with\twith\tIN\tB-PP\tO' +p21842 +aS'a\ta\tDT\tB-NP\tO' +p21843 +aS'mass\tmass\tNN\tI-NP\tO' +p21844 +aS'in\tin\tIN\tB-PP\tO' +p21845 +aS'the\tthe\tDT\tB-NP\tO' +p21846 +aS'left\tleft\tJJ\tI-NP\tB-DNA' +p21847 +aS'superhilar\tsuperhilar\tJJ\tI-NP\tI-DNA' +p21848 +aS'region\tregion\tNN\tI-NP\tI-DNA' +p21849 +aS',\t,\t,\tO\tO' +p21850 +aS'who\twho\tWP\tB-NP\tO' +p21851 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p21852 +aS'for\tfor\tIN\tB-PP\tO' +p21853 +aS'bronchoscopy\tbronchoscopy\tNN\tB-NP\tO' +p21854 +aS',\t,\t,\tO\tO' +p21855 +aS'mediastinal\tmediastinal\tJJ\tB-NP\tO' +p21856 +aS'exploration\texploration\tNN\tI-NP\tO' +p21857 +aS'and\tand\tCC\tI-NP\tO' +p21858 +aS'resection\tresection\tNN\tI-NP\tO' +p21859 +aS'.\t.\t.\tO\tO' +p21860 +asS'5. Mass effect was considered , although no focal deficits were ever noted on examination and due to the fluctuating sensorium , it was determined that there was no severe underlying structural abnormality .' +p21861 +(lp21862 +S'5.\t5.\tLS\tB-NP\tO' +p21863 +aS'Mass\tMass\tNNP\tI-NP\tO' +p21864 +aS'effect\teffect\tNN\tI-NP\tO' +p21865 +aS'was\tbe\tVBD\tB-VP\tO' +p21866 +aS'considered\tconsider\tVBN\tI-VP\tO' +p21867 +aS',\t,\t,\tO\tO' +p21868 +aS'although\talthough\tIN\tB-SBAR\tO' +p21869 +aS'no\tno\tDT\tB-NP\tO' +p21870 +aS'focal\tfocal\tJJ\tI-NP\tO' +p21871 +aS'deficits\tdeficit\tNNS\tI-NP\tO' +p21872 +aS'were\tbe\tVBD\tB-VP\tO' +p21873 +aS'ever\tever\tRB\tI-VP\tO' +p21874 +aS'noted\tnote\tVBN\tI-VP\tO' +p21875 +aS'on\ton\tIN\tB-PP\tO' +p21876 +aS'examination\texamination\tNN\tB-NP\tO' +p21877 +aS'and\tand\tCC\tO\tO' +p21878 +aS'due\tdue\tJJ\tB-ADJP\tO' +p21879 +aS'to\tto\tTO\tB-PP\tO' +p21880 +aS'the\tthe\tDT\tB-NP\tO' +p21881 +aS'fluctuating\tfluctuate\tVBG\tI-NP\tO' +p21882 +aS'sensorium\tsensorium\tNN\tI-NP\tO' +p21883 +aS',\t,\t,\tO\tO' +p21884 +aS'it\tit\tPRP\tB-NP\tO' +p21885 +aS'was\tbe\tVBD\tB-VP\tO' +p21886 +aS'determined\tdetermine\tVBN\tI-VP\tO' +p21887 +aS'that\tthat\tIN\tB-SBAR\tO' +p21888 +aS'there\tthere\tEX\tB-NP\tO' +p21889 +aS'was\tbe\tVBD\tB-VP\tO' +p21890 +aS'no\tno\tDT\tB-NP\tO' +p21891 +aS'severe\tsevere\tJJ\tI-NP\tO' +p21892 +aS'underlying\tunderlie\tVBG\tI-NP\tO' +p21893 +aS'structural\tstructural\tJJ\tI-NP\tO' +p21894 +aS'abnormality\tabnormality\tNN\tI-NP\tO' +p21895 +aS'.\t.\t.\tO\tO' +p21896 +asS'1. The left ventricular cavity is moderately dilated .' +p21897 +(lp21898 +S'1.\t1.\tLS\tB-LST\tO' +p21899 +aS'The\tThe\tDT\tB-NP\tO' +p21900 +aS'left\tleft\tJJ\tI-NP\tO' +p21901 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p21902 +aS'cavity\tcavity\tNN\tI-NP\tO' +p21903 +aS'is\tbe\tVBZ\tB-VP\tO' +p21904 +aS'moderately\tmoderately\tRB\tI-VP\tO' +p21905 +aS'dilated\tdilate\tVBN\tI-VP\tO' +p21906 +aS'.\t.\t.\tO\tO' +p21907 +asS'On this examination , the patient was found to have mild biliary stricture most likely secondary to chronic pancreatitis .' +p21908 +(lp21909 +S'On\tOn\tIN\tB-PP\tO' +p21910 +aS'this\tthis\tDT\tB-NP\tO' +p21911 +aS'examination\texamination\tNN\tI-NP\tO' +p21912 +aS',\t,\t,\tO\tO' +p21913 +aS'the\tthe\tDT\tB-NP\tO' +p21914 +aS'patient\tpatient\tNN\tI-NP\tO' +p21915 +aS'was\tbe\tVBD\tB-VP\tO' +p21916 +aS'found\tfind\tVBN\tI-VP\tO' +p21917 +aS'to\tto\tTO\tI-VP\tO' +p21918 +aS'have\thave\tVB\tI-VP\tO' +p21919 +aS'mild\tmild\tJJ\tB-NP\tO' +p21920 +aS'biliary\tbiliary\tJJ\tI-NP\tO' +p21921 +aS'stricture\tstricture\tNN\tI-NP\tO' +p21922 +aS'most\tmost\tRBS\tB-ADVP\tO' +p21923 +aS'likely\tlikely\tRB\tI-ADVP\tO' +p21924 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p21925 +aS'to\tto\tTO\tB-PP\tO' +p21926 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p21927 +aS'pancreatitis\tpancreatitis\tNN\tI-NP\tO' +p21928 +aS'.\t.\t.\tO\tO' +p21929 +asS'Sternal wound infection .' +p21930 +(lp21931 +S'Sternal\tSternal\tJJ\tB-NP\tO' +p21932 +aS'wound\twound\tNN\tI-NP\tO' +p21933 +aS'infection\tinfection\tNN\tI-NP\tO' +p21934 +aS'.\t.\t.\tO\tO' +p21935 +asS'Resting WMA include mid to distal septal akinesis , apical akinesis , inferior akinesis/hypokinesis , and mid to distal anterolateral hypokinesis / akinesis .' +p21936 +(lp21937 +S'Resting\tRest\tVBG\tB-VP\tO' +p21938 +aS'WMA\tWMA\tNN\tB-NP\tO' +p21939 +aS'include\tinclude\tVBP\tB-VP\tO' +p21940 +aS'mid\tmid\tJJ\tB-ADJP\tO' +p21941 +aS'to\tto\tTO\tB-PP\tO' +p21942 +aS'distal\tdistal\tJJ\tB-NP\tO' +p21943 +aS'septal\tseptal\tJJ\tI-NP\tO' +p21944 +aS'akinesis\takinesis\tNN\tI-NP\tO' +p21945 +aS',\t,\t,\tO\tO' +p21946 +aS'apical\tapical\tJJ\tB-NP\tO' +p21947 +aS'akinesis\takinesis\tNN\tI-NP\tO' +p21948 +aS',\t,\t,\tO\tO' +p21949 +aS'inferior\tinferior\tJJ\tB-NP\tO' +p21950 +aS'akinesis/hypokinesis\takinesis/hypokinesis\tNN\tI-NP\tO' +p21951 +aS',\t,\t,\tO\tO' +p21952 +aS'and\tand\tCC\tO\tO' +p21953 +aS'mid\tmid\tNN\tB-NP\tO' +p21954 +aS'to\tto\tTO\tB-PP\tO' +p21955 +aS'distal\tdistal\tJJ\tB-NP\tO' +p21956 +aS'anterolateral\tanterolateral\tJJ\tI-NP\tO' +p21957 +aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' +p21958 +aS'/\t/\tSYM\tB-NP\tO' +p21959 +aS'akinesis\takinesis\tNN\tI-NP\tO' +p21960 +aS'.\t.\t.\tO\tO' +p21961 +asS'Left ventricular hypertrophy .' +p21962 +(lp21963 +S'Left\tLeave\tVBN\tB-NP\tO' +p21964 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p21965 +aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' +p21966 +aS'.\t.\t.\tO\tO' +p21967 +asS'Lives with his partner .' +p21968 +(lp21969 +S'Lives\tLife\tNNS\tB-NP\tO' +p21970 +aS'with\twith\tIN\tB-PP\tO' +p21971 +aS'his\this\tPRP$\tB-NP\tO' +p21972 +aS'partner\tpartner\tNN\tI-NP\tO' +p21973 +aS'.\t.\t.\tO\tO' +p21974 +asS'Of note there was a clear A wave in the RV tracing , suggestive of RV infarct .' +p21975 +(lp21976 +S'Of\tOf\tIN\tB-PP\tO' +p21977 +aS'note\tnote\tNN\tB-NP\tO' +p21978 +aS'there\tthere\tEX\tB-NP\tO' +p21979 +aS'was\tbe\tVBD\tB-VP\tO' +p21980 +aS'a\ta\tDT\tB-NP\tO' +p21981 +aS'clear\tclear\tJJ\tI-NP\tO' +p21982 +aS'A\tA\tNN\tI-NP\tO' +p21983 +aS'wave\twave\tNN\tI-NP\tO' +p21984 +aS'in\tin\tIN\tB-PP\tO' +p21985 +aS'the\tthe\tDT\tB-NP\tO' +p21986 +aS'RV\tRV\tNN\tI-NP\tO' +p21987 +aS'tracing\ttracing\tNN\tI-NP\tO' +p21988 +aS',\t,\t,\tO\tO' +p21989 +aS'suggestive\tsuggestive\tJJ\tB-ADJP\tO' +p21990 +aS'of\tof\tIN\tB-PP\tO' +p21991 +aS'RV\tRV\tNN\tB-NP\tO' +p21992 +aS'infarct\tinfarct\tNN\tI-NP\tO' +p21993 +aS'.\t.\t.\tO\tO' +p21994 +asS'5. Albuterol nebulizers q. four hours and q. two hours p.r.n.' +p21995 +(lp21996 +S'5.\t5.\tLS\tB-NP\tO' +p21997 +aS'Albuterol\tAlbuterol\tNN\tI-NP\tO' +p21998 +aS'nebulizers\tnebulizer\tNNS\tI-NP\tO' +p21999 +aS'q.\tq.\tVBP\tB-VP\tO' +p22000 +aS'four\tfour\tCD\tB-NP\tO' +p22001 +aS'hours\thour\tNNS\tI-NP\tO' +p22002 +aS'and\tand\tCC\tI-NP\tO' +p22003 +aS'q.\tq.\tNN\tI-NP\tO' +p22004 +aS'two\ttwo\tCD\tB-NP\tO' +p22005 +aS'hours\thour\tNNS\tI-NP\tO' +p22006 +aS'p.r.n.\tp.r.n.\tRB\tB-ADVP\tO' +p22007 +asS'She lives in an assisted living , and was noted yesterday to have generalized tonic-clonic activity beginning on the right side and lasting 90 minutes .' +p22008 +(lp22009 +S'She\tShe\tPRP\tB-NP\tO' +p22010 +aS'lives\tlive\tVBZ\tB-VP\tO' +p22011 +aS'in\tin\tIN\tB-PP\tO' +p22012 +aS'an\tan\tDT\tB-NP\tO' +p22013 +aS'assisted\tassisted\tJJ\tI-NP\tO' +p22014 +aS'living\tliving\tNN\tI-NP\tO' +p22015 +aS',\t,\t,\tO\tO' +p22016 +aS'and\tand\tCC\tO\tO' +p22017 +aS'was\tbe\tVBD\tB-VP\tO' +p22018 +aS'noted\tnote\tVBN\tI-VP\tO' +p22019 +aS'yesterday\tyesterday\tNN\tB-NP\tO' +p22020 +aS'to\tto\tTO\tB-VP\tO' +p22021 +aS'have\thave\tVB\tI-VP\tO' +p22022 +aS'generalized\tgeneralize\tVBN\tI-VP\tO' +p22023 +aS'tonic-clonic\ttonic-clonic\tJJ\tB-NP\tO' +p22024 +aS'activity\tactivity\tNN\tI-NP\tO' +p22025 +aS'beginning\tbegin\tVBG\tB-VP\tO' +p22026 +aS'on\ton\tIN\tB-PP\tO' +p22027 +aS'the\tthe\tDT\tB-NP\tO' +p22028 +aS'right\tright\tJJ\tI-NP\tO' +p22029 +aS'side\tside\tNN\tI-NP\tO' +p22030 +aS'and\tand\tCC\tO\tO' +p22031 +aS'lasting\tlast\tVBG\tB-VP\tO' +p22032 +aS'90\t90\tCD\tB-NP\tO' +p22033 +aS'minutes\tminute\tNNS\tI-NP\tO' +p22034 +aS'.\t.\t.\tO\tO' +p22035 +asS'he was taken to Williams ICU until 08-09 when he was discharged to Waltham/Weston Hospital Rehab .' +p22036 +(lp22037 +S'he\the\tPRP\tB-NP\tO' +p22038 +aS'was\tbe\tVBD\tB-VP\tO' +p22039 +aS'taken\ttake\tVBN\tI-VP\tO' +p22040 +aS'to\tto\tTO\tB-PP\tO' +p22041 +aS'Williams\tWilliams\tNNP\tB-NP\tO' +p22042 +aS'ICU\tICU\tNNP\tI-NP\tO' +p22043 +aS'until\tuntil\tIN\tB-PP\tO' +p22044 +aS'08-09\t08-09\tCD\tB-NP\tO' +p22045 +aS'when\twhen\tWRB\tB-ADVP\tO' +p22046 +aS'he\the\tPRP\tB-NP\tO' +p22047 +aS'was\tbe\tVBD\tB-VP\tO' +p22048 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p22049 +aS'to\tto\tTO\tB-PP\tO' +p22050 +aS'Waltham/Weston\tWaltham/Weston\tNNP\tB-NP\tO' +p22051 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p22052 +aS'Rehab\tRehab\tNNP\tI-NP\tO' +p22053 +aS'.\t.\t.\tO\tO' +p22054 +asS'5. Mild dementia .' +p22055 +(lp22056 +S'5.\t5.\tLS\tB-NP\tO' +p22057 +aS'Mild\tMild\tNNP\tI-NP\tO' +p22058 +aS'dementia\tdementia\tNN\tI-NP\tO' +p22059 +aS'.\t.\t.\tO\tO' +p22060 +asS'# Osteoporosis - We continued actonel/vit D , Tums' +p22061 +(lp22062 +S'#\t#\t#\tB-NP\tO' +p22063 +aS'Osteoporosis\tOsteoporosis\tNN\tI-NP\tO' +p22064 +aS'-\t-\tHYPH\tO\tO' +p22065 +aS'We\tWe\tPRP\tB-NP\tO' +p22066 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p22067 +aS'actonel/vit\tactonel/vit\tNN\tB-NP\tO' +p22068 +aS'D\tD\tNNP\tI-NP\tO' +p22069 +aS',\t,\t,\tO\tO' +p22070 +aS'Tums\tTums\tNNP\tB-NP\tO' +p22071 +asS'Discharged with Margaret Hallock , cardiology follow up as well as scheduled appointment with a new PCP @ Newton Health Center .' +p22072 +(lp22073 +S'Discharged\tDischarge\tVBN\tB-VP\tO' +p22074 +aS'with\twith\tIN\tB-PP\tO' +p22075 +aS'Margaret\tMargaret\tNNP\tB-NP\tO' +p22076 +aS'Hallock\tHallock\tNNP\tI-NP\tO' +p22077 +aS',\t,\t,\tO\tO' +p22078 +aS'cardiology\tcardiology\tNN\tB-NP\tO' +p22079 +aS'follow\tfollow\tVBP\tB-VP\tO' +p22080 +aS'up\tup\tRP\tB-PRT\tO' +p22081 +aS'as\tas\tRB\tB-CONJP\tO' +p22082 +aS'well\twell\tRB\tI-CONJP\tO' +p22083 +aS'as\tas\tIN\tI-CONJP\tO' +p22084 +aS'scheduled\tscheduled\tJJ\tB-NP\tO' +p22085 +aS'appointment\tappointment\tNN\tI-NP\tO' +p22086 +aS'with\twith\tIN\tB-PP\tO' +p22087 +aS'a\ta\tDT\tB-NP\tO' +p22088 +aS'new\tnew\tJJ\tI-NP\tO' +p22089 +aS'PCP\tPCP\tNN\tI-NP\tB-protein' +p22090 +aS'@\t@\tNN\tI-NP\tI-protein' +p22091 +aS'Newton\tNewton\tNNP\tI-NP\tO' +p22092 +aS'Health\tHealth\tNNP\tI-NP\tO' +p22093 +aS'Center\tCenter\tNNP\tI-NP\tO' +p22094 +aS'.\t.\t.\tO\tO' +p22095 +asS'She was continued on suicide precautions with a one-to-one sitter , and plan was for psychiatric admission when medical issues had resolved .' +p22096 +(lp22097 +S'She\tShe\tPRP\tB-NP\tO' +p22098 +aS'was\tbe\tVBD\tB-VP\tO' +p22099 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p22100 +aS'on\ton\tIN\tB-PP\tO' +p22101 +aS'suicide\tsuicide\tNN\tB-NP\tO' +p22102 +aS'precautions\tprecaution\tNNS\tI-NP\tO' +p22103 +aS'with\twith\tIN\tB-PP\tO' +p22104 +aS'a\ta\tDT\tB-NP\tO' +p22105 +aS'one-to-one\tone-to-one\tJJ\tI-NP\tO' +p22106 +aS'sitter\tsitter\tNN\tI-NP\tO' +p22107 +aS',\t,\t,\tO\tO' +p22108 +aS'and\tand\tCC\tO\tO' +p22109 +aS'plan\tplan\tNN\tB-NP\tO' +p22110 +aS'was\tbe\tVBD\tB-VP\tO' +p22111 +aS'for\tfor\tIN\tB-PP\tO' +p22112 +aS'psychiatric\tpsychiatric\tJJ\tB-NP\tO' +p22113 +aS'admission\tadmission\tNN\tI-NP\tO' +p22114 +aS'when\twhen\tWRB\tB-ADVP\tO' +p22115 +aS'medical\tmedical\tJJ\tB-NP\tO' +p22116 +aS'issues\tissue\tNNS\tI-NP\tO' +p22117 +aS'had\thave\tVBD\tB-VP\tO' +p22118 +aS'resolved\tresolve\tVBN\tI-VP\tO' +p22119 +aS'.\t.\t.\tO\tO' +p22120 +asS'Percocet and erythromycin , she gets gastrointestinal upset and Keflex she gets hives .' +p22121 +(lp22122 +S'Percocet\tPercocet\tNN\tB-NP\tO' +p22123 +aS'and\tand\tCC\tI-NP\tO' +p22124 +aS'erythromycin\terythromycin\tNN\tI-NP\tO' +p22125 +aS',\t,\t,\tO\tO' +p22126 +aS'she\tshe\tPRP\tB-NP\tO' +p22127 +aS'gets\tget\tVBZ\tB-VP\tO' +p22128 +aS'gastrointestinal\tgastrointestinal\tJJ\tB-NP\tO' +p22129 +aS'upset\tupset\tNN\tI-NP\tO' +p22130 +aS'and\tand\tCC\tO\tO' +p22131 +aS'Keflex\tKeflex\tNNP\tB-NP\tO' +p22132 +aS'she\tshe\tPRP\tB-NP\tO' +p22133 +aS'gets\tget\tVBZ\tB-VP\tO' +p22134 +aS'hives\thive\tNNS\tB-NP\tO' +p22135 +aS'.\t.\t.\tO\tO' +p22136 +asS'The mediastinum appears unchanged .' +p22137 +(lp22138 +S'The\tThe\tDT\tB-NP\tO' +p22139 +aS'mediastinum\tmediastinum\tNN\tI-NP\tO' +p22140 +aS'appears\tappear\tVBZ\tB-VP\tO' +p22141 +aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' +p22142 +aS'.\t.\t.\tO\tO' +p22143 +asS'2. Medications : The infant is receiving Fer-in-Phillip supplementation of 0.15 ml p.o. once daily .' +p22144 +(lp22145 +S'2.\t2.\tCD\tB-NP\tO' +p22146 +aS'Medications\tMedication\tNNS\tI-NP\tO' +p22147 +aS':\t:\t:\tO\tO' +p22148 +aS'The\tThe\tDT\tB-NP\tO' +p22149 +aS'infant\tinfant\tNN\tI-NP\tO' +p22150 +aS'is\tbe\tVBZ\tB-VP\tO' +p22151 +aS'receiving\treceive\tVBG\tI-VP\tO' +p22152 +aS'Fer-in-Phillip\tFer-in-Phillip\tJJ\tB-NP\tO' +p22153 +aS'supplementation\tsupplementation\tNN\tI-NP\tO' +p22154 +aS'of\tof\tIN\tB-PP\tO' +p22155 +aS'0.15\t0.15\tCD\tB-NP\tO' +p22156 +aS'ml\tml\tNN\tI-NP\tO' +p22157 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p22158 +aS'once\tonce\tRB\tB-ADVP\tO' +p22159 +aS'daily\tdaily\tRB\tI-ADVP\tO' +p22160 +aS'.\t.\t.\tO\tO' +p22161 +asS'Positive tenderness to sternum .' +p22162 +(lp22163 +S'Positive\tPositive\tJJ\tB-NP\tO' +p22164 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p22165 +aS'to\tto\tTO\tB-PP\tO' +p22166 +aS'sternum\tsternum\tNN\tB-NP\tO' +p22167 +aS'.\t.\t.\tO\tO' +p22168 +asS'Beta hCG was negative .' +p22169 +(lp22170 +S'Beta\tBeta\tSYM\tO\tO' +p22171 +aS'hCG\thCG\tNN\tB-NP\tO' +p22172 +aS'was\tbe\tVBD\tB-VP\tO' +p22173 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p22174 +aS'.\t.\t.\tO\tO' +p22175 +asS'The patient was transferred to the Cardiac Surgical Intensive Care Unit in stable condition .' +p22176 +(lp22177 +S'The\tThe\tDT\tB-NP\tO' +p22178 +aS'patient\tpatient\tNN\tI-NP\tO' +p22179 +aS'was\tbe\tVBD\tB-VP\tO' +p22180 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p22181 +aS'to\tto\tTO\tB-PP\tO' +p22182 +aS'the\tthe\tDT\tB-NP\tO' +p22183 +aS'Cardiac\tCardiac\tNNP\tI-NP\tO' +p22184 +aS'Surgical\tSurgical\tNNP\tI-NP\tO' +p22185 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p22186 +aS'Care\tCare\tNNP\tI-NP\tO' +p22187 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p22188 +aS'in\tin\tIN\tB-PP\tO' +p22189 +aS'stable\tstable\tJJ\tB-NP\tO' +p22190 +aS'condition\tcondition\tNN\tI-NP\tO' +p22191 +aS'.\t.\t.\tO\tO' +p22192 +asS'He was discharged in stable condition with instructions to follow up with his PCP as well as to follow up with the Anticoagulation Clinic and Dr. Gilbert .' +p22193 +(lp22194 +S'He\tHe\tPRP\tB-NP\tO' +p22195 +aS'was\tbe\tVBD\tB-VP\tO' +p22196 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p22197 +aS'in\tin\tIN\tB-PP\tO' +p22198 +aS'stable\tstable\tJJ\tB-NP\tO' +p22199 +aS'condition\tcondition\tNN\tI-NP\tO' +p22200 +aS'with\twith\tIN\tB-PP\tO' +p22201 +aS'instructions\tinstruction\tNNS\tB-NP\tO' +p22202 +aS'to\tto\tTO\tB-VP\tO' +p22203 +aS'follow\tfollow\tVB\tI-VP\tO' +p22204 +aS'up\tup\tRP\tB-PRT\tO' +p22205 +aS'with\twith\tIN\tB-PP\tO' +p22206 +aS'his\this\tPRP$\tB-NP\tO' +p22207 +aS'PCP\tPCP\tNN\tI-NP\tB-protein' +p22208 +aS'as\tas\tRB\tB-CONJP\tO' +p22209 +aS'well\twell\tRB\tI-CONJP\tO' +p22210 +aS'as\tas\tIN\tI-CONJP\tO' +p22211 +aS'to\tto\tTO\tB-VP\tO' +p22212 +aS'follow\tfollow\tVB\tI-VP\tO' +p22213 +aS'up\tup\tRP\tB-PRT\tO' +p22214 +aS'with\twith\tIN\tB-PP\tO' +p22215 +aS'the\tthe\tDT\tB-NP\tO' +p22216 +aS'Anticoagulation\tAnticoagulation\tNNP\tI-NP\tO' +p22217 +aS'Clinic\tClinic\tNNP\tI-NP\tO' +p22218 +aS'and\tand\tCC\tO\tO' +p22219 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p22220 +aS'Gilbert\tGilbert\tNNP\tI-NP\tO' +p22221 +aS'.\t.\t.\tO\tO' +p22222 +asS'CT angiogram had been negative for pulmonary embolism .' +p22223 +(lp22224 +S'CT\tCT\tNN\tB-NP\tO' +p22225 +aS'angiogram\tangiogram\tNN\tI-NP\tO' +p22226 +aS'had\thave\tVBD\tB-VP\tO' +p22227 +aS'been\tbe\tVBN\tI-VP\tO' +p22228 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p22229 +aS'for\tfor\tIN\tB-PP\tO' +p22230 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p22231 +aS'embolism\tembolism\tNN\tI-NP\tO' +p22232 +aS'.\t.\t.\tO\tO' +p22233 +asS'The blurred vision was homonymous , which he had blurred in each eye in the left visual field .' +p22234 +(lp22235 +S'The\tThe\tDT\tB-NP\tO' +p22236 +aS'blurred\tblurred\tJJ\tI-NP\tO' +p22237 +aS'vision\tvision\tNN\tI-NP\tO' +p22238 +aS'was\tbe\tVBD\tB-VP\tO' +p22239 +aS'homonymous\thomonymous\tJJ\tB-ADJP\tO' +p22240 +aS',\t,\t,\tO\tO' +p22241 +aS'which\twhich\tWDT\tB-NP\tO' +p22242 +aS'he\the\tPRP\tB-NP\tO' +p22243 +aS'had\thave\tVBD\tB-VP\tO' +p22244 +aS'blurred\tblur\tVBN\tI-VP\tO' +p22245 +aS'in\tin\tIN\tB-PP\tO' +p22246 +aS'each\teach\tDT\tB-NP\tO' +p22247 +aS'eye\teye\tNN\tI-NP\tO' +p22248 +aS'in\tin\tIN\tB-PP\tO' +p22249 +aS'the\tthe\tDT\tB-NP\tO' +p22250 +aS'left\tleft\tJJ\tI-NP\tO' +p22251 +aS'visual\tvisual\tJJ\tI-NP\tO' +p22252 +aS'field\tfield\tNN\tI-NP\tO' +p22253 +aS'.\t.\t.\tO\tO' +p22254 +asS'The fascia appeared intact by probing .' +p22255 +(lp22256 +S'The\tThe\tDT\tB-NP\tO' +p22257 +aS'fascia\tfascia\tNN\tI-NP\tO' +p22258 +aS'appeared\tappear\tVBD\tB-VP\tO' +p22259 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p22260 +aS'by\tby\tIN\tB-PP\tO' +p22261 +aS'probing\tprobe\tVBG\tB-VP\tO' +p22262 +aS'.\t.\t.\tO\tO' +p22263 +asS'He is being transferred to Massachusetts General Hospital Newborn Intensive Care Unit for continuing care .' +p22264 +(lp22265 +S'He\tHe\tPRP\tB-NP\tO' +p22266 +aS'is\tbe\tVBZ\tB-VP\tO' +p22267 +aS'being\tbe\tVBG\tI-VP\tO' +p22268 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p22269 +aS'to\tto\tTO\tB-PP\tO' +p22270 +aS'Massachusetts\tMassachusetts\tNNP\tB-NP\tO' +p22271 +aS'General\tGeneral\tNNP\tI-NP\tO' +p22272 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p22273 +aS'Newborn\tNewborn\tNNP\tI-NP\tO' +p22274 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p22275 +aS'Care\tCare\tNNP\tI-NP\tO' +p22276 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p22277 +aS'for\tfor\tIN\tB-PP\tO' +p22278 +aS'continuing\tcontinue\tVBG\tB-NP\tO' +p22279 +aS'care\tcare\tNN\tI-NP\tO' +p22280 +aS'.\t.\t.\tO\tO' +p22281 +asS'The patient is a retired psychiatrist who lives in Ph .' +p22282 +(lp22283 +S'The\tThe\tDT\tB-NP\tO' +p22284 +aS'patient\tpatient\tNN\tI-NP\tO' +p22285 +aS'is\tbe\tVBZ\tB-VP\tO' +p22286 +aS'a\ta\tDT\tB-NP\tO' +p22287 +aS'retired\tretired\tJJ\tI-NP\tO' +p22288 +aS'psychiatrist\tpsychiatrist\tNN\tI-NP\tO' +p22289 +aS'who\twho\tWP\tB-NP\tO' +p22290 +aS'lives\tlive\tVBZ\tB-VP\tO' +p22291 +aS'in\tin\tIN\tB-PP\tO' +p22292 +aS'Ph\tPh\tNNP\tB-NP\tO' +p22293 +aS'.\t.\t.\tO\tO' +p22294 +asS"Coronary Artery Disease , Hypertension , Hyperlipidemia , Diabetes Mellitus , Hypothyroid , h/o Bilateral DVT 's ( on chronic coumadin therapy ), Pleural disorder ? Sarcoidosis , Gastritis , B12 deficiency , Chronic renal insufficiency , s/p Appendectomy , s/p Lap cholectomy , s/p Total abdominal hysterectomy" +p22295 +(lp22296 +S'Coronary\tCoronary\tNNP\tB-NP\tO' +p22297 +aS'Artery\tArtery\tNNP\tI-NP\tO' +p22298 +aS'Disease\tDisease\tNNP\tI-NP\tO' +p22299 +aS',\t,\t,\tO\tO' +p22300 +aS'Hypertension\tHypertension\tNNP\tB-NP\tO' +p22301 +aS',\t,\t,\tO\tO' +p22302 +aS'Hyperlipidemia\tHyperlipidemia\tNNP\tB-NP\tO' +p22303 +aS',\t,\t,\tO\tO' +p22304 +aS'Diabetes\tDiabetes\tNNP\tB-NP\tO' +p22305 +aS'Mellitus\tMellitus\tNNP\tI-NP\tO' +p22306 +aS',\t,\t,\tO\tO' +p22307 +aS'Hypothyroid\tHypothyroid\tNNP\tB-NP\tO' +p22308 +aS',\t,\t,\tO\tO' +p22309 +aS'h/o\th/o\tDT\tB-NP\tO' +p22310 +aS'Bilateral\tBilateral\tNNP\tI-NP\tO' +p22311 +aS'DVT\tDVT\tNNP\tI-NP\tO' +p22312 +aS"'s\t's\tPOS\tB-NP\tO" +p22313 +aS'(\t(\t(\tO\tO' +p22314 +aS'on\ton\tIN\tB-PP\tO' +p22315 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p22316 +aS'coumadin\tcoumadin\tNN\tI-NP\tO' +p22317 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p22318 +aS'),\t),\tVBD\tB-VP\tO' +p22319 +aS'Pleural\tPleural\tJJ\tB-NP\tO' +p22320 +aS'disorder\tdisorder\tNN\tI-NP\tO' +p22321 +aS'?\t?\t.\tO\tO' +p22322 +aS'Sarcoidosis\tSarcoidosis\tNN\tB-NP\tO' +p22323 +aS',\t,\t,\tO\tO' +p22324 +aS'Gastritis\tGastritis\tNN\tB-NP\tO' +p22325 +aS',\t,\t,\tO\tO' +p22326 +aS'B12\tB12\tNN\tB-NP\tB-protein' +p22327 +aS'deficiency\tdeficiency\tNN\tI-NP\tO' +p22328 +aS',\t,\t,\tO\tO' +p22329 +aS'Chronic\tChronic\tNNP\tB-NP\tO' +p22330 +aS'renal\trenal\tJJ\tI-NP\tO' +p22331 +aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' +p22332 +aS',\t,\t,\tO\tO' +p22333 +aS's/p\ts/p\tNN\tB-NP\tO' +p22334 +aS'Appendectomy\tAppendectomy\tNNP\tI-NP\tO' +p22335 +aS',\t,\t,\tO\tO' +p22336 +aS's/p\ts/p\tNN\tB-NP\tO' +p22337 +aS'Lap\tLap\tNN\tI-NP\tO' +p22338 +aS'cholectomy\tcholectomy\tNN\tI-NP\tO' +p22339 +aS',\t,\t,\tO\tO' +p22340 +aS's/p\ts/p\tNN\tB-NP\tO' +p22341 +aS'Total\tTotal\tJJ\tI-NP\tO' +p22342 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p22343 +aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' +p22344 +asS'The patient states that he recalls going out alone to a cafe the evening prior to admission .' +p22345 +(lp22346 +S'The\tThe\tDT\tB-NP\tO' +p22347 +aS'patient\tpatient\tNN\tI-NP\tO' +p22348 +aS'states\tstate\tVBZ\tB-VP\tO' +p22349 +aS'that\tthat\tIN\tB-SBAR\tO' +p22350 +aS'he\the\tPRP\tB-NP\tO' +p22351 +aS'recalls\trecall\tVBZ\tB-VP\tO' +p22352 +aS'going\tgo\tVBG\tI-VP\tO' +p22353 +aS'out\tout\tRP\tB-PRT\tO' +p22354 +aS'alone\talone\tRB\tB-ADVP\tO' +p22355 +aS'to\tto\tTO\tB-PP\tO' +p22356 +aS'a\ta\tDT\tB-NP\tO' +p22357 +aS'cafe\tcafe\tNN\tI-NP\tO' +p22358 +aS'the\tthe\tDT\tB-NP\tO' +p22359 +aS'evening\tevening\tNN\tI-NP\tO' +p22360 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p22361 +aS'to\tto\tTO\tB-PP\tO' +p22362 +aS'admission\tadmission\tNN\tB-NP\tO' +p22363 +aS'.\t.\t.\tO\tO' +p22364 +asS'The pt is a 55yo F s / p Roux en Y GBP in 12/20 presenting to the ED this AM c / o mod severe midepigastric pain .' +p22365 +(lp22366 +S'The\tThe\tDT\tB-NP\tO' +p22367 +aS'pt\tpt\tNN\tI-NP\tO' +p22368 +aS'is\tbe\tVBZ\tB-VP\tO' +p22369 +aS'a\ta\tDT\tB-NP\tO' +p22370 +aS'55yo\t55yo\tNN\tI-NP\tO' +p22371 +aS'F\tF\tNN\tI-NP\tO' +p22372 +aS's\ts\tNN\tI-NP\tO' +p22373 +aS'/\t/\tSYM\tB-NP\tO' +p22374 +aS'p\tp\tNN\tI-NP\tO' +p22375 +aS'Roux\tRoux\tNN\tI-NP\tO' +p22376 +aS'en\ten\tIN\tB-PP\tO' +p22377 +aS'Y\tY\tNN\tB-NP\tB-protein' +p22378 +aS'GBP\tGBP\tNN\tI-NP\tI-protein' +p22379 +aS'in\tin\tIN\tB-PP\tO' +p22380 +aS'12/20\t12/20\tCD\tB-NP\tO' +p22381 +aS'presenting\tpresent\tVBG\tB-VP\tO' +p22382 +aS'to\tto\tTO\tB-PP\tO' +p22383 +aS'the\tthe\tDT\tB-NP\tO' +p22384 +aS'ED\tED\tNN\tI-NP\tO' +p22385 +aS'this\tthis\tDT\tB-NP\tO' +p22386 +aS'AM\tAM\tNN\tI-NP\tB-protein' +p22387 +aS'c\tc\tNN\tI-NP\tI-protein' +p22388 +aS'/\t/\tSYM\tB-VP\tO' +p22389 +aS'o\to\tNN\tB-NP\tO' +p22390 +aS'mod\tmod\tNN\tI-NP\tO' +p22391 +aS'severe\tsevere\tJJ\tI-NP\tO' +p22392 +aS'midepigastric\tmidepigastric\tJJ\tI-NP\tO' +p22393 +aS'pain\tpain\tNN\tI-NP\tO' +p22394 +aS'.\t.\t.\tO\tO' +p22395 +asS'A family discussion resulted in the decision to make the patient comfort measures only .' +p22396 +(lp22397 +S'A\tA\tDT\tB-NP\tO' +p22398 +aS'family\tfamily\tNN\tI-NP\tO' +p22399 +aS'discussion\tdiscussion\tNN\tI-NP\tO' +p22400 +aS'resulted\tresult\tVBD\tB-VP\tO' +p22401 +aS'in\tin\tIN\tB-PP\tO' +p22402 +aS'the\tthe\tDT\tB-NP\tO' +p22403 +aS'decision\tdecision\tNN\tI-NP\tO' +p22404 +aS'to\tto\tTO\tB-VP\tO' +p22405 +aS'make\tmake\tVB\tI-VP\tO' +p22406 +aS'the\tthe\tDT\tB-NP\tO' +p22407 +aS'patient\tpatient\tNN\tI-NP\tO' +p22408 +aS'comfort\tcomfort\tNN\tI-NP\tO' +p22409 +aS'measures\tmeasure\tVBZ\tB-VP\tO' +p22410 +aS'only\tonly\tRB\tB-ADVP\tO' +p22411 +aS'.\t.\t.\tO\tO' +p22412 +asS"On admission to the ICU the pt ' steroid dose was increased to 8 mg bid 03-07 to a dead space measurement of 50% ." +p22413 +(lp22414 +S'On\tOn\tIN\tB-PP\tO' +p22415 +aS'admission\tadmission\tNN\tB-NP\tO' +p22416 +aS'to\tto\tTO\tB-PP\tO' +p22417 +aS'the\tthe\tDT\tB-NP\tO' +p22418 +aS'ICU\tICU\tNN\tI-NP\tO' +p22419 +aS'the\tthe\tDT\tB-NP\tO' +p22420 +aS'pt\tpt\tNN\tI-NP\tO' +p22421 +aS"'\t'\tPOS\tB-NP\tO" +p22422 +aS'steroid\tsteroid\tNN\tI-NP\tO' +p22423 +aS'dose\tdose\tNN\tI-NP\tO' +p22424 +aS'was\tbe\tVBD\tB-VP\tO' +p22425 +aS'increased\tincrease\tVBN\tI-VP\tO' +p22426 +aS'to\tto\tTO\tB-PP\tO' +p22427 +aS'8\t8\tCD\tB-NP\tO' +p22428 +aS'mg\tmg\tNN\tI-NP\tO' +p22429 +aS'bid\tbid\tRB\tB-NP\tO' +p22430 +aS'03-07\t03-07\tCD\tI-NP\tO' +p22431 +aS'to\tto\tTO\tB-PP\tO' +p22432 +aS'a\ta\tDT\tB-NP\tO' +p22433 +aS'dead\tdead\tJJ\tI-NP\tO' +p22434 +aS'space\tspace\tNN\tI-NP\tO' +p22435 +aS'measurement\tmeasurement\tNN\tI-NP\tO' +p22436 +aS'of\tof\tIN\tB-PP\tO' +p22437 +aS'50%\t50%\tCD\tB-NP\tO' +p22438 +aS'.\t.\t.\tO\tO' +p22439 +asS'4. Zantac 150 mg po bid .' +p22440 +(lp22441 +S'4.\t4.\tLS\tB-LST\tO' +p22442 +aS'Zantac\tZantac\tNN\tB-NP\tO' +p22443 +aS'150\t150\tCD\tI-NP\tO' +p22444 +aS'mg\tmg\tNN\tI-NP\tO' +p22445 +aS'po\tpo\tNN\tI-NP\tO' +p22446 +aS'bid\tbid\tNN\tI-NP\tO' +p22447 +aS'.\t.\t.\tO\tO' +p22448 +asS'At their request , a CT scan of the chest with contrast was performed on the day of discharge .' +p22449 +(lp22450 +S'At\tAt\tIN\tB-PP\tO' +p22451 +aS'their\ttheir\tPRP$\tB-NP\tO' +p22452 +aS'request\trequest\tNN\tI-NP\tO' +p22453 +aS',\t,\t,\tO\tO' +p22454 +aS'a\ta\tDT\tB-NP\tO' +p22455 +aS'CT\tCT\tNN\tI-NP\tO' +p22456 +aS'scan\tscan\tNN\tI-NP\tO' +p22457 +aS'of\tof\tIN\tB-PP\tO' +p22458 +aS'the\tthe\tDT\tB-NP\tO' +p22459 +aS'chest\tchest\tNN\tI-NP\tO' +p22460 +aS'with\twith\tIN\tB-PP\tO' +p22461 +aS'contrast\tcontrast\tNN\tB-NP\tO' +p22462 +aS'was\tbe\tVBD\tB-VP\tO' +p22463 +aS'performed\tperform\tVBN\tI-VP\tO' +p22464 +aS'on\ton\tIN\tB-PP\tO' +p22465 +aS'the\tthe\tDT\tB-NP\tO' +p22466 +aS'day\tday\tNN\tI-NP\tO' +p22467 +aS'of\tof\tIN\tB-PP\tO' +p22468 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p22469 +aS'.\t.\t.\tO\tO' +p22470 +asS'Humulin 70/30 with 30 units subq.q.a.m. and 20 units subq.q.p.m. Vasotec 20 mg. q. a.m. Prozac 40 mg. q.d. Lasix 40 mg. q.d. K-Dur approximately 28 ? mEq q.d. Atropine 1% 1 GTT OD b.i.d. Ocufen 0.03% 1 GTT OD t.i.d. Ventolin metered-dose inhaler .' +p22471 +(lp22472 +S'Humulin\tHumulin\tNNP\tB-NP\tO' +p22473 +aS'70/30\t70/30\tCD\tI-NP\tO' +p22474 +aS'with\twith\tIN\tB-PP\tO' +p22475 +aS'30\t30\tCD\tB-NP\tO' +p22476 +aS'units\tunit\tNNS\tI-NP\tO' +p22477 +aS'subq.q.a.m.\tsubq.q.a.m.\tNN\tB-NP\tO' +p22478 +aS'and\tand\tCC\tI-NP\tO' +p22479 +aS'20\t20\tCD\tI-NP\tO' +p22480 +aS'units\tunit\tNNS\tI-NP\tO' +p22481 +aS'subq.q.p.m.\tsubq.q.p.m.\tNN\tI-NP\tO' +p22482 +aS'Vasotec\tVasotec\tNNP\tB-NP\tO' +p22483 +aS'20\t20\tCD\tI-NP\tO' +p22484 +aS'mg.\tmg.\tNN\tI-NP\tO' +p22485 +aS'q.\tq.\tNN\tI-NP\tO' +p22486 +aS'a.m.\ta.m.\tRB\tB-ADVP\tO' +p22487 +aS'Prozac\tProzac\tNNP\tB-NP\tO' +p22488 +aS'40\t40\tCD\tI-NP\tO' +p22489 +aS'mg.\tmg.\tNN\tI-NP\tO' +p22490 +aS'q.d.\tq.d.\tVBN\tB-VP\tO' +p22491 +aS'Lasix\tLasix\tNNP\tB-NP\tO' +p22492 +aS'40\t40\tCD\tI-NP\tO' +p22493 +aS'mg.\tmg.\tNN\tI-NP\tO' +p22494 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p22495 +aS'K-Dur\tK-Dur\tNN\tI-NP\tO' +p22496 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p22497 +aS'28\t28\tCD\tI-NP\tO' +p22498 +aS'?\t?\t.\tO\tO' +p22499 +aS'mEq\tmEq\tNN\tB-NP\tO' +p22500 +aS'q.d.\tq.d.\tVBD\tB-VP\tO' +p22501 +aS'Atropine\tAtropine\tNNP\tB-NP\tO' +p22502 +aS'1%\t1%\tCD\tI-NP\tO' +p22503 +aS'1\t1\tCD\tI-NP\tO' +p22504 +aS'GTT\tGTT\tNN\tI-NP\tO' +p22505 +aS'OD\tOD\tNN\tI-NP\tO' +p22506 +aS'b.i.d.\tb.i.d.\tVBN\tB-VP\tO' +p22507 +aS'Ocufen\tOcufen\tNNP\tB-NP\tO' +p22508 +aS'0.03%\t0.03%\tCD\tI-NP\tO' +p22509 +aS'1\t1\tCD\tI-NP\tO' +p22510 +aS'GTT\tGTT\tNN\tI-NP\tO' +p22511 +aS'OD\tOD\tNN\tI-NP\tO' +p22512 +aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' +p22513 +aS'Ventolin\tVentolin\tNNP\tI-NP\tO' +p22514 +aS'metered-dose\tmetered-dose\tJJ\tI-NP\tO' +p22515 +aS'inhaler\tinhaler\tNN\tI-NP\tO' +p22516 +aS'.\t.\t.\tO\tO' +p22517 +asS'Prochlorperazine 10 mg q 6 h' +p22518 +(lp22519 +S'Prochlorperazine\tProchlorperazine\tNN\tB-NP\tO' +p22520 +aS'10\t10\tCD\tI-NP\tO' +p22521 +aS'mg\tmg\tNN\tI-NP\tO' +p22522 +aS'q\tq\tNN\tI-NP\tO' +p22523 +aS'6\t6\tCD\tB-NP\tO' +p22524 +aS'h\th\tNN\tI-NP\tO' +p22525 +asS'Albuterol inhaler .' +p22526 +(lp22527 +S'Albuterol\tAlbuterol\tNN\tB-NP\tO' +p22528 +aS'inhaler\tinhaler\tNN\tI-NP\tO' +p22529 +aS'.\t.\t.\tO\tO' +p22530 +asS'On the day of admission she returned to the outside hospital Emergency Room where an abdominal CT was performed , which showed " thickened stomach and free air ."' +p22531 +(lp22532 +S'On\tOn\tIN\tB-PP\tO' +p22533 +aS'the\tthe\tDT\tB-NP\tO' +p22534 +aS'day\tday\tNN\tI-NP\tO' +p22535 +aS'of\tof\tIN\tB-PP\tO' +p22536 +aS'admission\tadmission\tNN\tB-NP\tO' +p22537 +aS'she\tshe\tPRP\tB-NP\tO' +p22538 +aS'returned\treturn\tVBD\tB-VP\tO' +p22539 +aS'to\tto\tTO\tB-PP\tO' +p22540 +aS'the\tthe\tDT\tB-NP\tO' +p22541 +aS'outside\toutside\tJJ\tI-NP\tO' +p22542 +aS'hospital\thospital\tNN\tI-NP\tO' +p22543 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p22544 +aS'Room\tRoom\tNNP\tI-NP\tO' +p22545 +aS'where\twhere\tWRB\tB-ADVP\tO' +p22546 +aS'an\tan\tDT\tB-NP\tO' +p22547 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p22548 +aS'CT\tCT\tNN\tI-NP\tO' +p22549 +aS'was\tbe\tVBD\tB-VP\tO' +p22550 +aS'performed\tperform\tVBN\tI-VP\tO' +p22551 +aS',\t,\t,\tO\tO' +p22552 +aS'which\twhich\tWDT\tB-NP\tO' +p22553 +aS'showed\tshow\tVBD\tB-VP\tO' +p22554 +aS'"\t"\t``\tO\tO' +p22555 +aS'thickened\tthickened\tJJ\tB-NP\tO' +p22556 +aS'stomach\tstomach\tNN\tI-NP\tO' +p22557 +aS'and\tand\tCC\tO\tO' +p22558 +aS'free\tfree\tJJ\tB-NP\tO' +p22559 +aS'air\tair\tNN\tI-NP\tO' +p22560 +aS'."\t."\t.\tO\tO' +p22561 +asS'Sternum is stable , incision with staples , opened to air , clean and dry .' +p22562 +(lp22563 +S'Sternum\tSternum\tNNP\tB-NP\tO' +p22564 +aS'is\tbe\tVBZ\tB-VP\tO' +p22565 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p22566 +aS',\t,\t,\tO\tO' +p22567 +aS'incision\tincision\tNN\tB-NP\tO' +p22568 +aS'with\twith\tIN\tB-PP\tO' +p22569 +aS'staples\tstaple\tNNS\tB-NP\tO' +p22570 +aS',\t,\t,\tO\tO' +p22571 +aS'opened\topen\tVBD\tB-VP\tO' +p22572 +aS'to\tto\tTO\tB-PP\tO' +p22573 +aS'air\tair\tNN\tB-NP\tO' +p22574 +aS',\t,\t,\tO\tO' +p22575 +aS'clean\tclean\tJJ\tB-ADJP\tO' +p22576 +aS'and\tand\tCC\tI-ADJP\tO' +p22577 +aS'dry\tdry\tJJ\tI-ADJP\tO' +p22578 +aS'.\t.\t.\tO\tO' +p22579 +asS'History of gastrointestinal intolerance to Tetracycline , Erythromycin , declomycin associated with edema and rash , Talwin associated with disorientation and gastrointestinal symptoms , Dilantin has caused rash and edema , morphine associated with itching and gastrointestinal symptoms , Demerol unclear .' +p22580 +(lp22581 +S'History\tHistory\tNN\tB-NP\tO' +p22582 +aS'of\tof\tIN\tB-PP\tO' +p22583 +aS'gastrointestinal\tgastrointestinal\tJJ\tB-NP\tO' +p22584 +aS'intolerance\tintolerance\tNN\tI-NP\tO' +p22585 +aS'to\tto\tTO\tB-PP\tO' +p22586 +aS'Tetracycline\tTetracycline\tNN\tB-NP\tO' +p22587 +aS',\t,\t,\tO\tO' +p22588 +aS'Erythromycin\tErythromycin\tNN\tB-NP\tO' +p22589 +aS',\t,\t,\tO\tO' +p22590 +aS'declomycin\tdeclomycin\tNN\tB-NP\tO' +p22591 +aS'associated\tassociate\tVBN\tB-VP\tO' +p22592 +aS'with\twith\tIN\tB-PP\tO' +p22593 +aS'edema\tedema\tNN\tB-NP\tO' +p22594 +aS'and\tand\tCC\tI-NP\tO' +p22595 +aS'rash\trash\tNN\tI-NP\tO' +p22596 +aS',\t,\t,\tO\tO' +p22597 +aS'Talwin\tTalwin\tNN\tB-NP\tB-protein' +p22598 +aS'associated\tassociate\tVBN\tB-VP\tO' +p22599 +aS'with\twith\tIN\tB-PP\tO' +p22600 +aS'disorientation\tdisorientation\tNN\tB-NP\tO' +p22601 +aS'and\tand\tCC\tO\tO' +p22602 +aS'gastrointestinal\tgastrointestinal\tJJ\tB-NP\tO' +p22603 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p22604 +aS',\t,\t,\tO\tO' +p22605 +aS'Dilantin\tDilantin\tNNP\tB-NP\tO' +p22606 +aS'has\thave\tVBZ\tB-VP\tO' +p22607 +aS'caused\tcause\tVBN\tI-VP\tO' +p22608 +aS'rash\trash\tNN\tB-NP\tO' +p22609 +aS'and\tand\tCC\tI-NP\tO' +p22610 +aS'edema\tedema\tNN\tI-NP\tO' +p22611 +aS',\t,\t,\tO\tO' +p22612 +aS'morphine\tmorphine\tNN\tB-NP\tO' +p22613 +aS'associated\tassociate\tVBN\tB-VP\tO' +p22614 +aS'with\twith\tIN\tB-PP\tO' +p22615 +aS'itching\titch\tVBG\tB-NP\tO' +p22616 +aS'and\tand\tCC\tO\tO' +p22617 +aS'gastrointestinal\tgastrointestinal\tJJ\tB-NP\tO' +p22618 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p22619 +aS',\t,\t,\tO\tO' +p22620 +aS'Demerol\tDemerol\tNN\tB-NP\tO' +p22621 +aS'unclear\tunclear\tJJ\tB-ADJP\tO' +p22622 +aS'.\t.\t.\tO\tO' +p22623 +asS'EKG was negative for ischemia .' +p22624 +(lp22625 +S'EKG\tEKG\tNN\tB-NP\tB-protein' +p22626 +aS'was\tbe\tVBD\tB-VP\tO' +p22627 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p22628 +aS'for\tfor\tIN\tB-PP\tO' +p22629 +aS'ischemia\tischemia\tNN\tB-NP\tO' +p22630 +aS'.\t.\t.\tO\tO' +p22631 +asS'An IVC filter is seen .' +p22632 +(lp22633 +S'An\tAn\tDT\tB-NP\tO' +p22634 +aS'IVC\tIVC\tNN\tI-NP\tO' +p22635 +aS'filter\tfilter\tNN\tI-NP\tO' +p22636 +aS'is\tbe\tVBZ\tB-VP\tO' +p22637 +aS'seen\tsee\tVBN\tI-VP\tO' +p22638 +aS'.\t.\t.\tO\tO' +p22639 +asS'Please follow-up with your primary doctor within 2 weeks of leaving the hospital .' +p22640 +(lp22641 +S'Please\tPlease\tNN\tB-NP\tO' +p22642 +aS'follow-up\tfollow-up\tNN\tI-NP\tO' +p22643 +aS'with\twith\tIN\tB-PP\tO' +p22644 +aS'your\tyour\tPRP$\tB-NP\tO' +p22645 +aS'primary\tprimary\tJJ\tI-NP\tO' +p22646 +aS'doctor\tdoctor\tNN\tI-NP\tO' +p22647 +aS'within\twithin\tIN\tB-PP\tO' +p22648 +aS'2\t2\tCD\tB-NP\tO' +p22649 +aS'weeks\tweek\tNNS\tI-NP\tO' +p22650 +aS'of\tof\tIN\tB-PP\tO' +p22651 +aS'leaving\tleave\tVBG\tB-VP\tO' +p22652 +aS'the\tthe\tDT\tB-NP\tO' +p22653 +aS'hospital\thospital\tNN\tI-NP\tO' +p22654 +aS'.\t.\t.\tO\tO' +p22655 +asS'Brother with MI at age 35' +p22656 +(lp22657 +S'Brother\tBrother\tDT\tB-NP\tO' +p22658 +aS'with\twith\tIN\tB-PP\tO' +p22659 +aS'MI\tMI\tNN\tB-NP\tO' +p22660 +aS'at\tat\tIN\tB-PP\tO' +p22661 +aS'age\tage\tNN\tB-NP\tO' +p22662 +aS'35\t35\tCD\tI-NP\tO' +p22663 +asS'OTHER DIAGNOSIS ; Conditions , Infections , Complications , affecting Treatment / Stay pp' +p22664 +(lp22665 +S'OTHER\tOTHER\tNN\tB-NP\tO' +p22666 +aS'DIAGNOSIS\tDIAGNOSIS\tNN\tI-NP\tO' +p22667 +aS';\t;\t:\tO\tO' +p22668 +aS'Conditions\tCondition\tNNS\tB-NP\tO' +p22669 +aS',\t,\t,\tO\tO' +p22670 +aS'Infections\tInfection\tNNS\tB-NP\tO' +p22671 +aS',\t,\t,\tO\tO' +p22672 +aS'Complications\tComplication\tNNS\tB-NP\tO' +p22673 +aS',\t,\t,\tO\tO' +p22674 +aS'affecting\taffect\tVBG\tB-VP\tO' +p22675 +aS'Treatment\tTreatment\tNN\tB-NP\tO' +p22676 +aS'/\t/\tSYM\tO\tO' +p22677 +aS'Stay\tStay\tNN\tB-NP\tO' +p22678 +aS'pp\tpp\tNN\tI-NP\tO' +p22679 +asS'She becomes short of breath just by getting up from her chair and can only walk 2-3 steps on a flat surface .' +p22680 +(lp22681 +S'She\tShe\tPRP\tB-NP\tO' +p22682 +aS'becomes\tbecome\tVBZ\tB-VP\tO' +p22683 +aS'short\tshort\tJJ\tB-ADJP\tO' +p22684 +aS'of\tof\tIN\tB-PP\tO' +p22685 +aS'breath\tbreath\tNN\tB-NP\tO' +p22686 +aS'just\tjust\tRB\tB-ADVP\tO' +p22687 +aS'by\tby\tIN\tB-PP\tO' +p22688 +aS'getting\tget\tVBG\tB-VP\tO' +p22689 +aS'up\tup\tRP\tB-PRT\tO' +p22690 +aS'from\tfrom\tIN\tB-PP\tO' +p22691 +aS'her\ther\tPRP$\tB-NP\tO' +p22692 +aS'chair\tchair\tNN\tI-NP\tO' +p22693 +aS'and\tand\tCC\tO\tO' +p22694 +aS'can\tcan\tMD\tB-VP\tO' +p22695 +aS'only\tonly\tRB\tI-VP\tO' +p22696 +aS'walk\twalk\tVB\tI-VP\tO' +p22697 +aS'2-3\t2-3\tCD\tB-NP\tO' +p22698 +aS'steps\tstep\tNNS\tI-NP\tO' +p22699 +aS'on\ton\tIN\tB-PP\tO' +p22700 +aS'a\ta\tDT\tB-NP\tO' +p22701 +aS'flat\tflat\tJJ\tI-NP\tO' +p22702 +aS'surface\tsurface\tNN\tI-NP\tO' +p22703 +aS'.\t.\t.\tO\tO' +p22704 +asS'Respiratory examination was clear to auscultation bilaterally .' +p22705 +(lp22706 +S'Respiratory\tRespiratory\tJJ\tB-NP\tO' +p22707 +aS'examination\texamination\tNN\tI-NP\tO' +p22708 +aS'was\tbe\tVBD\tB-VP\tO' +p22709 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p22710 +aS'to\tto\tTO\tB-PP\tO' +p22711 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p22712 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p22713 +aS'.\t.\t.\tO\tO' +p22714 +asS'14. Dexamethasone 2 mg Tablet Sig : One ( 1 ) Tablet PO Q12H ( every 12 hours ) .' +p22715 +(lp22716 +S'14.\t14.\tLS\tO\tO' +p22717 +aS'Dexamethasone\tDexamethasone\tNN\tB-NP\tO' +p22718 +aS'2\t2\tCD\tI-NP\tO' +p22719 +aS'mg\tmg\tNN\tI-NP\tO' +p22720 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p22721 +aS'Sig\tSig\tNNP\tI-NP\tO' +p22722 +aS':\t:\t:\tO\tO' +p22723 +aS'One\tOne\tCD\tB-NP\tO' +p22724 +aS'(\t(\t(\tO\tO' +p22725 +aS'1\t1\tCD\tB-NP\tO' +p22726 +aS')\t)\t)\tO\tO' +p22727 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p22728 +aS'PO\tPO\tNN\tI-NP\tO' +p22729 +aS'Q12H\tQ12H\tNN\tI-NP\tO' +p22730 +aS'(\t(\t(\tO\tO' +p22731 +aS'every\tevery\tDT\tB-NP\tO' +p22732 +aS'12\t12\tCD\tI-NP\tO' +p22733 +aS'hours\thour\tNNS\tI-NP\tO' +p22734 +aS')\t)\t)\tO\tO' +p22735 +aS'.\t.\t.\tO\tO' +p22736 +asS'Post intubation , hypotensive and started on dopamine and transitioned to levophed .' +p22737 +(lp22738 +S'Post\tPost\tNNP\tB-NP\tO' +p22739 +aS'intubation\tintubation\tNN\tI-NP\tO' +p22740 +aS',\t,\t,\tO\tO' +p22741 +aS'hypotensive\thypotensive\tJJ\tB-ADJP\tO' +p22742 +aS'and\tand\tCC\tO\tO' +p22743 +aS'started\tstart\tVBN\tB-VP\tO' +p22744 +aS'on\ton\tIN\tB-PP\tO' +p22745 +aS'dopamine\tdopamine\tNN\tB-NP\tO' +p22746 +aS'and\tand\tCC\tO\tO' +p22747 +aS'transitioned\ttransitione\tVBN\tB-VP\tO' +p22748 +aS'to\tto\tTO\tB-VP\tO' +p22749 +aS'levophed\tlevophe\tVBN\tI-VP\tO' +p22750 +aS'.\t.\t.\tO\tO' +p22751 +asS'Dr. Harris ( 859-847-5149 ) on 2015-10-05 at 915 am .' +p22752 +(lp22753 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p22754 +aS'Harris\tHarris\tNNP\tI-NP\tO' +p22755 +aS'(\t(\t(\tO\tO' +p22756 +aS'859-847-5149\t859-847-5149\tCD\tB-NP\tO' +p22757 +aS')\t)\t)\tO\tO' +p22758 +aS'on\ton\tIN\tB-PP\tO' +p22759 +aS'2015-10-05\t2015-10-05\tCD\tB-NP\tO' +p22760 +aS'at\tat\tIN\tB-PP\tO' +p22761 +aS'915\t915\tCD\tB-NP\tO' +p22762 +aS'am\tam\tNN\tI-NP\tO' +p22763 +aS'.\t.\t.\tO\tO' +p22764 +asS'Sodium 129 , creatinine 3.0 , BUN 70 , potassium 5.0 , bicarbonate 23 , chloride 99 , ALT 36 , AST 30 , alkaline phosphatase 215 , total bilirubin 1.1 , albumin 2.6 , white blood cell count 2.0 , hematocrit 30.5 , platelets 60 .' +p22765 +(lp22766 +S'Sodium\tSodium\tNN\tB-NP\tB-protein' +p22767 +aS'129\t129\tCD\tI-NP\tI-protein' +p22768 +aS',\t,\t,\tO\tO' +p22769 +aS'creatinine\tcreatinine\tNN\tB-NP\tB-protein' +p22770 +aS'3.0\t3.0\tCD\tI-NP\tI-protein' +p22771 +aS',\t,\t,\tO\tO' +p22772 +aS'BUN\tBUN\tNN\tB-NP\tB-DNA' +p22773 +aS'70\t70\tCD\tI-NP\tI-DNA' +p22774 +aS',\t,\t,\tO\tO' +p22775 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p22776 +aS'5.0\t5.0\tCD\tI-NP\tO' +p22777 +aS',\t,\t,\tO\tO' +p22778 +aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' +p22779 +aS'23\t23\tCD\tI-NP\tO' +p22780 +aS',\t,\t,\tO\tO' +p22781 +aS'chloride\tchloride\tNN\tB-NP\tO' +p22782 +aS'99\t99\tCD\tI-NP\tO' +p22783 +aS',\t,\t,\tO\tO' +p22784 +aS'ALT\tALT\tNN\tB-NP\tB-DNA' +p22785 +aS'36\t36\tCD\tI-NP\tI-DNA' +p22786 +aS',\t,\t,\tO\tO' +p22787 +aS'AST\tAST\tNN\tB-NP\tO' +p22788 +aS'30\t30\tCD\tI-NP\tO' +p22789 +aS',\t,\t,\tO\tO' +p22790 +aS'alkaline\talkaline\tNN\tB-NP\tO' +p22791 +aS'phosphatase\tphosphatase\tNN\tI-NP\tO' +p22792 +aS'215\t215\tCD\tI-NP\tO' +p22793 +aS',\t,\t,\tO\tO' +p22794 +aS'total\ttotal\tJJ\tB-NP\tO' +p22795 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p22796 +aS'1.1\t1.1\tCD\tI-NP\tO' +p22797 +aS',\t,\t,\tO\tO' +p22798 +aS'albumin\talbumin\tNN\tB-NP\tB-protein' +p22799 +aS'2.6\t2.6\tCD\tI-NP\tI-protein' +p22800 +aS',\t,\t,\tO\tO' +p22801 +aS'white\twhite\tJJ\tB-NP\tO' +p22802 +aS'blood\tblood\tNN\tI-NP\tO' +p22803 +aS'cell\tcell\tNN\tI-NP\tO' +p22804 +aS'count\tcount\tNN\tI-NP\tO' +p22805 +aS'2.0\t2.0\tCD\tB-NP\tO' +p22806 +aS',\t,\t,\tO\tO' +p22807 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p22808 +aS'30.5\t30.5\tCD\tI-NP\tI-protein' +p22809 +aS',\t,\t,\tO\tO' +p22810 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p22811 +aS'60\t60\tCD\tB-NP\tO' +p22812 +aS'.\t.\t.\tO\tO' +p22813 +asS'62 year-old status-post gastric bypass and laprascopic cholecystectomy 7 weeks prior to admission who presented with fever , chills , and left lower extemity redness .' +p22814 +(lp22815 +S'62\t62\tCD\tB-NP\tO' +p22816 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p22817 +aS'status-post\tstatus-post\tJJ\tI-NP\tO' +p22818 +aS'gastric\tgastric\tJJ\tI-NP\tO' +p22819 +aS'bypass\tbypass\tNN\tI-NP\tO' +p22820 +aS'and\tand\tCC\tO\tO' +p22821 +aS'laprascopic\tlaprascopic\tJJ\tB-NP\tB-protein' +p22822 +aS'cholecystectomy\tcholecystectomy\tNN\tI-NP\tI-protein' +p22823 +aS'7\t7\tCD\tB-NP\tI-protein' +p22824 +aS'weeks\tweek\tNNS\tI-NP\tI-protein' +p22825 +aS'prior\tprior\tRB\tB-ADVP\tO' +p22826 +aS'to\tto\tTO\tB-PP\tO' +p22827 +aS'admission\tadmission\tNN\tB-NP\tO' +p22828 +aS'who\twho\tWP\tB-NP\tO' +p22829 +aS'presented\tpresent\tVBD\tB-VP\tO' +p22830 +aS'with\twith\tIN\tB-PP\tO' +p22831 +aS'fever\tfever\tNN\tB-NP\tO' +p22832 +aS',\t,\t,\tO\tO' +p22833 +aS'chills\tchill\tNNS\tB-NP\tO' +p22834 +aS',\t,\t,\tO\tO' +p22835 +aS'and\tand\tCC\tO\tO' +p22836 +aS'left\tleave\tVBD\tB-VP\tO' +p22837 +aS'lower\tlow\tJJR\tB-NP\tO' +p22838 +aS'extemity\textemity\tNN\tI-NP\tO' +p22839 +aS'redness\tredness\tNN\tI-NP\tO' +p22840 +aS'.\t.\t.\tO\tO' +p22841 +asS"He remained afebrile during the course of his stay after transfer to the floor and per CMED CSRU was to be discharged on a 2-week course of Augmentin with follow-up with Dr. Thibodeau in 2 weeks ' time in addition to a Medrol Dosepak ." +p22842 +(lp22843 +S'He\tHe\tPRP\tB-NP\tO' +p22844 +aS'remained\tremain\tVBD\tB-VP\tO' +p22845 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p22846 +aS'during\tduring\tIN\tB-PP\tO' +p22847 +aS'the\tthe\tDT\tB-NP\tO' +p22848 +aS'course\tcourse\tNN\tI-NP\tO' +p22849 +aS'of\tof\tIN\tB-PP\tO' +p22850 +aS'his\this\tPRP$\tB-NP\tO' +p22851 +aS'stay\tstay\tNN\tI-NP\tO' +p22852 +aS'after\tafter\tIN\tB-PP\tO' +p22853 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p22854 +aS'to\tto\tTO\tB-PP\tO' +p22855 +aS'the\tthe\tDT\tB-NP\tO' +p22856 +aS'floor\tfloor\tNN\tI-NP\tO' +p22857 +aS'and\tand\tCC\tO\tO' +p22858 +aS'per\tper\tIN\tB-PP\tO' +p22859 +aS'CMED\tCMED\tVBN\tB-NP\tO' +p22860 +aS'CSRU\tCSRU\tNN\tI-NP\tO' +p22861 +aS'was\tbe\tVBD\tB-VP\tO' +p22862 +aS'to\tto\tTO\tI-VP\tO' +p22863 +aS'be\tbe\tVB\tI-VP\tO' +p22864 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p22865 +aS'on\ton\tIN\tB-PP\tO' +p22866 +aS'a\ta\tDT\tB-NP\tO' +p22867 +aS'2-week\t2-week\tJJ\tI-NP\tO' +p22868 +aS'course\tcourse\tNN\tI-NP\tO' +p22869 +aS'of\tof\tIN\tB-PP\tO' +p22870 +aS'Augmentin\tAugmentin\tNN\tB-NP\tB-protein' +p22871 +aS'with\twith\tIN\tB-PP\tO' +p22872 +aS'follow-up\tfollow-up\tNN\tB-NP\tO' +p22873 +aS'with\twith\tIN\tB-PP\tO' +p22874 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p22875 +aS'Thibodeau\tThibodeau\tNNP\tI-NP\tO' +p22876 +aS'in\tin\tIN\tB-PP\tO' +p22877 +aS'2\t2\tCD\tB-NP\tO' +p22878 +aS'weeks\tweek\tNNS\tI-NP\tO' +p22879 +aS"'\t'\tPOS\tB-NP\tO" +p22880 +aS'time\ttime\tNN\tI-NP\tO' +p22881 +aS'in\tin\tIN\tB-PP\tO' +p22882 +aS'addition\taddition\tNN\tB-NP\tO' +p22883 +aS'to\tto\tTO\tB-PP\tO' +p22884 +aS'a\ta\tDT\tB-NP\tO' +p22885 +aS'Medrol\tMedrol\tNNP\tI-NP\tO' +p22886 +aS'Dosepak\tDosepak\tNNP\tI-NP\tO' +p22887 +aS'.\t.\t.\tO\tO' +p22888 +asS'10. Outpatient Lab Work please have your INR checked at the rehab center with a goal of 03-22 .' +p22889 +(lp22890 +S'10.\t10.\tLS\tB-LST\tO' +p22891 +aS'Outpatient\tOutpatient\tNNP\tB-NP\tO' +p22892 +aS'Lab\tLab\tNNP\tI-NP\tO' +p22893 +aS'Work\tWork\tNNP\tI-NP\tO' +p22894 +aS'please\tplease\tNN\tI-NP\tO' +p22895 +aS'have\thave\tVBP\tB-VP\tO' +p22896 +aS'your\tyour\tPRP$\tB-NP\tO' +p22897 +aS'INR\tINR\tNN\tI-NP\tB-protein' +p22898 +aS'checked\tcheck\tVBD\tB-VP\tO' +p22899 +aS'at\tat\tIN\tB-PP\tO' +p22900 +aS'the\tthe\tDT\tB-NP\tO' +p22901 +aS'rehab\trehab\tNN\tI-NP\tO' +p22902 +aS'center\tcenter\tNN\tI-NP\tO' +p22903 +aS'with\twith\tIN\tB-PP\tO' +p22904 +aS'a\ta\tDT\tB-NP\tO' +p22905 +aS'goal\tgoal\tNN\tI-NP\tO' +p22906 +aS'of\tof\tIN\tB-PP\tO' +p22907 +aS'03-22\t03-22\tCD\tB-NP\tO' +p22908 +aS'.\t.\t.\tO\tO' +p22909 +asS'Now declining gradually since January ( 30 lbs weight loss , becoming more confused , decreased appetite ).' +p22910 +(lp22911 +S'Now\tNow\tRB\tB-ADVP\tO' +p22912 +aS'declining\tdecline\tVBG\tB-VP\tO' +p22913 +aS'gradually\tgradually\tRB\tB-ADVP\tO' +p22914 +aS'since\tsince\tIN\tB-PP\tO' +p22915 +aS'January\tJanuary\tNNP\tB-NP\tO' +p22916 +aS'(\t(\t(\tO\tO' +p22917 +aS'30\t30\tCD\tB-NP\tO' +p22918 +aS'lbs\tlb\tNNS\tI-NP\tO' +p22919 +aS'weight\tweight\tNN\tI-NP\tO' +p22920 +aS'loss\tloss\tNN\tI-NP\tO' +p22921 +aS',\t,\t,\tO\tO' +p22922 +aS'becoming\tbecome\tVBG\tB-VP\tO' +p22923 +aS'more\tmore\tRBR\tB-ADJP\tO' +p22924 +aS'confused\tconfuse\tVBN\tI-ADJP\tO' +p22925 +aS',\t,\t,\tO\tO' +p22926 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p22927 +aS'appetite\tappetite\tNN\tB-NP\tO' +p22928 +aS').\t).\t.\tO\tO' +p22929 +asS'6) ARF - Cr mildly elevated on tx to ICU , u lytes c/w prerenal azotemia , which resolved w/ IVF .' +p22930 +(lp22931 +S'6)\t6)\tLS\tB-NP\tO' +p22932 +aS'ARF\tARF\tNN\tI-NP\tB-protein' +p22933 +aS'-\t-\tHYPH\tB-NP\tO' +p22934 +aS'Cr\tCr\tNN\tI-NP\tB-protein' +p22935 +aS'mildly\tmildly\tRB\tB-ADJP\tO' +p22936 +aS'elevated\televated\tJJ\tI-ADJP\tO' +p22937 +aS'on\ton\tIN\tB-PP\tO' +p22938 +aS'tx\ttx\tNN\tB-NP\tO' +p22939 +aS'to\tto\tTO\tB-PP\tO' +p22940 +aS'ICU\tICU\tNN\tB-NP\tB-protein' +p22941 +aS',\t,\t,\tO\tO' +p22942 +aS'u\tu\tNN\tB-NP\tO' +p22943 +aS'lytes\tlyte\tNNS\tI-NP\tO' +p22944 +aS'c/w\tc/w\tVBP\tB-VP\tO' +p22945 +aS'prerenal\tprerenal\tJJ\tB-NP\tO' +p22946 +aS'azotemia\tazotemia\tNN\tI-NP\tO' +p22947 +aS',\t,\t,\tO\tO' +p22948 +aS'which\twhich\tWDT\tB-NP\tO' +p22949 +aS'resolved\tresolve\tVBD\tB-VP\tO' +p22950 +aS'w/\tw/\tNN\tB-NP\tO' +p22951 +aS'IVF\tIVF\tNN\tI-NP\tO' +p22952 +aS'.\t.\t.\tO\tO' +p22953 +asS'Extensive first degree and second degree burns around the face , superficial in nature , with no blistering .' +p22954 +(lp22955 +S'Extensive\tExtensive\tJJ\tB-NP\tO' +p22956 +aS'first\tfirst\tJJ\tI-NP\tO' +p22957 +aS'degree\tdegree\tNN\tI-NP\tO' +p22958 +aS'and\tand\tCC\tO\tO' +p22959 +aS'second\tsecond\tJJ\tB-NP\tO' +p22960 +aS'degree\tdegree\tNN\tI-NP\tO' +p22961 +aS'burns\tburn\tNNS\tI-NP\tO' +p22962 +aS'around\taround\tIN\tB-PP\tO' +p22963 +aS'the\tthe\tDT\tB-NP\tO' +p22964 +aS'face\tface\tNN\tI-NP\tO' +p22965 +aS',\t,\t,\tO\tO' +p22966 +aS'superficial\tsuperficial\tJJ\tB-ADJP\tO' +p22967 +aS'in\tin\tIN\tB-PP\tO' +p22968 +aS'nature\tnature\tNN\tB-NP\tO' +p22969 +aS',\t,\t,\tO\tO' +p22970 +aS'with\twith\tIN\tB-PP\tO' +p22971 +aS'no\tno\tDT\tB-NP\tO' +p22972 +aS'blistering\tblistering\tNN\tI-NP\tO' +p22973 +aS'.\t.\t.\tO\tO' +p22974 +asS'Spine intact .' +p22975 +(lp22976 +S'Spine\tSpine\tNN\tB-NP\tO' +p22977 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p22978 +aS'.\t.\t.\tO\tO' +p22979 +asS'Otherwise , the axis is normal and the intervals are normal .' +p22980 +(lp22981 +S'Otherwise\tOtherwise\tRB\tB-ADVP\tO' +p22982 +aS',\t,\t,\tO\tO' +p22983 +aS'the\tthe\tDT\tB-NP\tO' +p22984 +aS'axis\taxis\tNN\tI-NP\tO' +p22985 +aS'is\tbe\tVBZ\tB-VP\tO' +p22986 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p22987 +aS'and\tand\tCC\tO\tO' +p22988 +aS'the\tthe\tDT\tB-NP\tO' +p22989 +aS'intervals\tinterval\tNNS\tI-NP\tO' +p22990 +aS'are\tbe\tVBP\tB-VP\tO' +p22991 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p22992 +aS'.\t.\t.\tO\tO' +p22993 +asS'Pt initially with mild ARI , this was thought to be due to dehydration , after initial volume repletion her renal function improved to her baseline .' +p22994 +(lp22995 +S'Pt\tPt\tNN\tB-NP\tO' +p22996 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p22997 +aS'with\twith\tIN\tB-PP\tO' +p22998 +aS'mild\tmild\tJJ\tB-NP\tO' +p22999 +aS'ARI\tARI\tNN\tI-NP\tO' +p23000 +aS',\t,\t,\tO\tO' +p23001 +aS'this\tthis\tDT\tB-NP\tO' +p23002 +aS'was\tbe\tVBD\tB-VP\tO' +p23003 +aS'thought\tthink\tVBN\tI-VP\tO' +p23004 +aS'to\tto\tTO\tI-VP\tO' +p23005 +aS'be\tbe\tVB\tI-VP\tO' +p23006 +aS'due\tdue\tIN\tB-PP\tO' +p23007 +aS'to\tto\tTO\tB-PP\tO' +p23008 +aS'dehydration\tdehydration\tNN\tB-NP\tO' +p23009 +aS',\t,\t,\tO\tO' +p23010 +aS'after\tafter\tIN\tB-PP\tO' +p23011 +aS'initial\tinitial\tJJ\tB-NP\tO' +p23012 +aS'volume\tvolume\tNN\tI-NP\tO' +p23013 +aS'repletion\trepletion\tNN\tI-NP\tO' +p23014 +aS'her\ther\tPRP$\tB-NP\tO' +p23015 +aS'renal\trenal\tJJ\tI-NP\tO' +p23016 +aS'function\tfunction\tNN\tI-NP\tO' +p23017 +aS'improved\timprove\tVBN\tB-VP\tO' +p23018 +aS'to\tto\tTO\tB-PP\tO' +p23019 +aS'her\ther\tPRP$\tB-NP\tO' +p23020 +aS'baseline\tbaseline\tNN\tI-NP\tO' +p23021 +aS'.\t.\t.\tO\tO' +p23022 +asS'2. poor dentition .' +p23023 +(lp23024 +S'2.\t2.\tLS\tB-NP\tO' +p23025 +aS'poor\tpoor\tJJ\tI-NP\tO' +p23026 +aS'dentition\tdentition\tNN\tI-NP\tO' +p23027 +aS'.\t.\t.\tO\tO' +p23028 +asS'Intracranial pressures were normal .' +p23029 +(lp23030 +S'Intracranial\tIntracranial\tJJ\tB-NP\tO' +p23031 +aS'pressures\tpressure\tNNS\tI-NP\tO' +p23032 +aS'were\tbe\tVBD\tB-VP\tO' +p23033 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p23034 +aS'.\t.\t.\tO\tO' +p23035 +asS'Given that he will need continued taps,' +p23036 +(lp23037 +S'Given\tGive\tVBN\tB-VP\tO' +p23038 +aS'that\tthat\tIN\tB-SBAR\tO' +p23039 +aS'he\the\tPRP\tB-NP\tO' +p23040 +aS'will\twill\tMD\tB-VP\tO' +p23041 +aS'need\tneed\tVB\tI-VP\tO' +p23042 +aS'continued\tcontinued\tJJ\tB-NP\tO' +p23043 +aS'taps,\ttaps,\tNN\tI-NP\tO' +p23044 +asS'Blood cultures negative .' +p23045 +(lp23046 +S'Blood\tBlood\tNN\tB-NP\tO' +p23047 +aS'cultures\tculture\tNNS\tI-NP\tO' +p23048 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p23049 +aS'.\t.\t.\tO\tO' +p23050 +asS'He has been depressed recently regarding stress with his home life and on the night of his extra insulin doses , his wife had just kicked him out of the house .' +p23051 +(lp23052 +S'He\tHe\tPRP\tB-NP\tO' +p23053 +aS'has\thave\tVBZ\tB-VP\tO' +p23054 +aS'been\tbe\tVBN\tI-VP\tO' +p23055 +aS'depressed\tdepress\tVBN\tI-VP\tO' +p23056 +aS'recently\trecently\tRB\tB-ADVP\tO' +p23057 +aS'regarding\tregard\tVBG\tB-VP\tO' +p23058 +aS'stress\tstress\tNN\tB-NP\tO' +p23059 +aS'with\twith\tIN\tB-PP\tO' +p23060 +aS'his\this\tPRP$\tB-NP\tO' +p23061 +aS'home\thome\tNN\tI-NP\tO' +p23062 +aS'life\tlife\tNN\tI-NP\tO' +p23063 +aS'and\tand\tCC\tB-PP\tO' +p23064 +aS'on\ton\tIN\tB-PP\tO' +p23065 +aS'the\tthe\tDT\tB-NP\tO' +p23066 +aS'night\tnight\tNN\tI-NP\tO' +p23067 +aS'of\tof\tIN\tB-PP\tO' +p23068 +aS'his\this\tPRP$\tB-NP\tO' +p23069 +aS'extra\textra\tJJ\tI-NP\tO' +p23070 +aS'insulin\tinsulin\tNN\tI-NP\tO' +p23071 +aS'doses\tdose\tNNS\tI-NP\tO' +p23072 +aS',\t,\t,\tO\tO' +p23073 +aS'his\this\tPRP$\tB-NP\tO' +p23074 +aS'wife\twife\tNN\tI-NP\tO' +p23075 +aS'had\thave\tVBD\tB-VP\tO' +p23076 +aS'just\tjust\tRB\tI-VP\tO' +p23077 +aS'kicked\tkick\tVBN\tI-VP\tO' +p23078 +aS'him\thim\tPRP\tB-NP\tO' +p23079 +aS'out\tout\tIN\tB-ADVP\tO' +p23080 +aS'of\tof\tIN\tB-PP\tO' +p23081 +aS'the\tthe\tDT\tB-NP\tO' +p23082 +aS'house\thouse\tNN\tI-NP\tO' +p23083 +aS'.\t.\t.\tO\tO' +p23084 +asS'He has remained on room air since that time and has had no issues with apnea or desaturation since being on room air .' +p23085 +(lp23086 +S'He\tHe\tPRP\tB-NP\tO' +p23087 +aS'has\thave\tVBZ\tB-VP\tO' +p23088 +aS'remained\tremain\tVBN\tI-VP\tO' +p23089 +aS'on\ton\tIN\tB-PP\tO' +p23090 +aS'room\troom\tNN\tB-NP\tO' +p23091 +aS'air\tair\tNN\tI-NP\tO' +p23092 +aS'since\tsince\tIN\tB-PP\tO' +p23093 +aS'that\tthat\tDT\tB-NP\tO' +p23094 +aS'time\ttime\tNN\tB-NP\tO' +p23095 +aS'and\tand\tCC\tO\tO' +p23096 +aS'has\thave\tVBZ\tB-VP\tO' +p23097 +aS'had\thave\tVBN\tI-VP\tO' +p23098 +aS'no\tno\tDT\tB-NP\tO' +p23099 +aS'issues\tissue\tNNS\tI-NP\tO' +p23100 +aS'with\twith\tIN\tB-PP\tO' +p23101 +aS'apnea\tapnea\tNN\tB-NP\tO' +p23102 +aS'or\tor\tCC\tI-NP\tO' +p23103 +aS'desaturation\tdesaturation\tNN\tI-NP\tO' +p23104 +aS'since\tsince\tIN\tB-PP\tO' +p23105 +aS'being\tbe\tVBG\tB-VP\tO' +p23106 +aS'on\ton\tIN\tB-PP\tO' +p23107 +aS'room\troom\tNN\tB-NP\tO' +p23108 +aS'air\tair\tNN\tI-NP\tO' +p23109 +aS'.\t.\t.\tO\tO' +p23110 +asS'Intraoperatively , the patient recieved 5u PRBC .' +p23111 +(lp23112 +S'Intraoperatively\tIntraoperatively\tRB\tB-ADVP\tO' +p23113 +aS',\t,\t,\tO\tO' +p23114 +aS'the\tthe\tDT\tB-NP\tO' +p23115 +aS'patient\tpatient\tNN\tI-NP\tO' +p23116 +aS'recieved\trecieve\tVBD\tB-VP\tO' +p23117 +aS'5u\t5u\tCD\tB-NP\tO' +p23118 +aS'PRBC\tPRBC\tNNP\tI-NP\tO' +p23119 +aS'.\t.\t.\tO\tO' +p23120 +asS'The oropharynx was intubated .' +p23121 +(lp23122 +S'The\tThe\tDT\tB-NP\tO' +p23123 +aS'oropharynx\toropharynx\tNN\tI-NP\tO' +p23124 +aS'was\tbe\tVBD\tB-VP\tO' +p23125 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p23126 +aS'.\t.\t.\tO\tO' +p23127 +asS'- CK negative .' +p23128 +(lp23129 +S'-\t-\tHYPH\tB-NP\tO' +p23130 +aS'CK\tCK\tNN\tI-NP\tO' +p23131 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p23132 +aS'.\t.\t.\tO\tO' +p23133 +asS'The skin and extremities were normal with no cyanosis , clubbing , edema , lesions , or rashes .' +p23134 +(lp23135 +S'The\tThe\tDT\tB-NP\tO' +p23136 +aS'skin\tskin\tNN\tI-NP\tO' +p23137 +aS'and\tand\tCC\tI-NP\tO' +p23138 +aS'extremities\textremity\tNNS\tI-NP\tO' +p23139 +aS'were\tbe\tVBD\tB-VP\tO' +p23140 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p23141 +aS'with\twith\tIN\tB-PP\tO' +p23142 +aS'no\tno\tDT\tB-NP\tO' +p23143 +aS'cyanosis\tcyanosis\tNN\tI-NP\tO' +p23144 +aS',\t,\t,\tO\tO' +p23145 +aS'clubbing\tclubbing\tNN\tB-NP\tO' +p23146 +aS',\t,\t,\tO\tO' +p23147 +aS'edema\tedema\tNN\tB-NP\tO' +p23148 +aS',\t,\t,\tO\tO' +p23149 +aS'lesions\tlesion\tNNS\tB-NP\tO' +p23150 +aS',\t,\t,\tO\tO' +p23151 +aS'or\tor\tCC\tO\tO' +p23152 +aS'rashes\trash\tNNS\tB-NP\tO' +p23153 +aS'.\t.\t.\tO\tO' +p23154 +asS'On discharge , strength was nearly intact in the limbs , though he still had a right-sided facial droop .' +p23155 +(lp23156 +S'On\tOn\tIN\tB-PP\tO' +p23157 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p23158 +aS',\t,\t,\tO\tO' +p23159 +aS'strength\tstrength\tNN\tB-NP\tO' +p23160 +aS'was\tbe\tVBD\tB-VP\tO' +p23161 +aS'nearly\tnearly\tRB\tB-ADJP\tO' +p23162 +aS'intact\tintact\tJJ\tI-ADJP\tO' +p23163 +aS'in\tin\tIN\tB-PP\tO' +p23164 +aS'the\tthe\tDT\tB-NP\tO' +p23165 +aS'limbs\tlimb\tNNS\tI-NP\tO' +p23166 +aS',\t,\t,\tO\tO' +p23167 +aS'though\tthough\tIN\tB-SBAR\tO' +p23168 +aS'he\the\tPRP\tB-NP\tO' +p23169 +aS'still\tstill\tRB\tB-ADVP\tO' +p23170 +aS'had\thave\tVBD\tB-VP\tO' +p23171 +aS'a\ta\tDT\tB-NP\tO' +p23172 +aS'right-sided\tright-sided\tJJ\tI-NP\tB-protein' +p23173 +aS'facial\tfacial\tJJ\tI-NP\tI-protein' +p23174 +aS'droop\tdroop\tNN\tI-NP\tI-protein' +p23175 +aS'.\t.\t.\tO\tO' +p23176 +asS'He was not in any apparent distress .' +p23177 +(lp23178 +S'He\tHe\tPRP\tB-NP\tO' +p23179 +aS'was\tbe\tVBD\tB-VP\tO' +p23180 +aS'not\tnot\tRB\tO\tO' +p23181 +aS'in\tin\tIN\tB-PP\tO' +p23182 +aS'any\tany\tDT\tB-NP\tO' +p23183 +aS'apparent\tapparent\tJJ\tI-NP\tO' +p23184 +aS'distress\tdistress\tNN\tI-NP\tO' +p23185 +aS'.\t.\t.\tO\tO' +p23186 +asS'Given her fever , sx of chest pain and SOB as well as an elevated WBC count , she was initially thought to have a PNA .' +p23187 +(lp23188 +S'Given\tGive\tVBN\tB-PP\tO' +p23189 +aS'her\ther\tPRP$\tB-NP\tO' +p23190 +aS'fever\tfever\tNN\tI-NP\tO' +p23191 +aS',\t,\t,\tO\tO' +p23192 +aS'sx\tsx\tNN\tB-NP\tO' +p23193 +aS'of\tof\tIN\tB-PP\tO' +p23194 +aS'chest\tchest\tNN\tB-NP\tO' +p23195 +aS'pain\tpain\tNN\tI-NP\tO' +p23196 +aS'and\tand\tCC\tI-NP\tO' +p23197 +aS'SOB\tSOB\tNN\tI-NP\tB-protein' +p23198 +aS'as\tas\tRB\tB-CONJP\tO' +p23199 +aS'well\twell\tRB\tI-CONJP\tO' +p23200 +aS'as\tas\tIN\tI-CONJP\tO' +p23201 +aS'an\tan\tDT\tB-NP\tO' +p23202 +aS'elevated\televated\tJJ\tI-NP\tO' +p23203 +aS'WBC\tWBC\tNNP\tI-NP\tO' +p23204 +aS'count\tcount\tNN\tI-NP\tO' +p23205 +aS',\t,\t,\tO\tO' +p23206 +aS'she\tshe\tPRP\tB-NP\tO' +p23207 +aS'was\tbe\tVBD\tB-VP\tO' +p23208 +aS'initially\tinitially\tRB\tI-VP\tO' +p23209 +aS'thought\tthink\tVBN\tI-VP\tO' +p23210 +aS'to\tto\tTO\tI-VP\tO' +p23211 +aS'have\thave\tVB\tI-VP\tO' +p23212 +aS'a\ta\tDT\tB-NP\tO' +p23213 +aS'PNA\tPNA\tNN\tI-NP\tB-protein' +p23214 +aS'.\t.\t.\tO\tO' +p23215 +asS'He also received several blood transfusions while here to maintain his Hct around 30 .' +p23216 +(lp23217 +S'He\tHe\tPRP\tB-NP\tO' +p23218 +aS'also\talso\tRB\tB-ADVP\tO' +p23219 +aS'received\treceive\tVBD\tB-VP\tO' +p23220 +aS'several\tseveral\tJJ\tB-NP\tO' +p23221 +aS'blood\tblood\tNN\tI-NP\tO' +p23222 +aS'transfusions\ttransfusion\tNNS\tI-NP\tO' +p23223 +aS'while\twhile\tIN\tB-SBAR\tO' +p23224 +aS'here\there\tRB\tB-ADVP\tO' +p23225 +aS'to\tto\tTO\tB-VP\tO' +p23226 +aS'maintain\tmaintain\tVB\tI-VP\tO' +p23227 +aS'his\this\tPRP$\tB-NP\tO' +p23228 +aS'Hct\tHct\tNN\tI-NP\tB-protein' +p23229 +aS'around\taround\tIN\tB-PP\tO' +p23230 +aS'30\t30\tCD\tB-NP\tO' +p23231 +aS'.\t.\t.\tO\tO' +p23232 +asS'The family will return the body to Sa for burial .' +p23233 +(lp23234 +S'The\tThe\tDT\tB-NP\tO' +p23235 +aS'family\tfamily\tNN\tI-NP\tO' +p23236 +aS'will\twill\tMD\tB-VP\tO' +p23237 +aS'return\treturn\tVB\tI-VP\tO' +p23238 +aS'the\tthe\tDT\tB-NP\tO' +p23239 +aS'body\tbody\tNN\tI-NP\tO' +p23240 +aS'to\tto\tTO\tB-PP\tO' +p23241 +aS'Sa\tSa\tNNP\tB-NP\tO' +p23242 +aS'for\tfor\tIN\tB-PP\tO' +p23243 +aS'burial\tburial\tNN\tB-NP\tO' +p23244 +aS'.\t.\t.\tO\tO' +p23245 +asS'Over night , his blood pressure trended up to 130 s systolic .' +p23246 +(lp23247 +S'Over\tOver\tIN\tB-PP\tO' +p23248 +aS'night\tnight\tNN\tB-NP\tO' +p23249 +aS',\t,\t,\tO\tO' +p23250 +aS'his\this\tPRP$\tB-NP\tO' +p23251 +aS'blood\tblood\tNN\tI-NP\tO' +p23252 +aS'pressure\tpressure\tNN\tI-NP\tO' +p23253 +aS'trended\ttrend\tVBD\tB-VP\tO' +p23254 +aS'up\tup\tRB\tB-NP\tO' +p23255 +aS'to\tto\tTO\tI-NP\tO' +p23256 +aS'130\t130\tCD\tI-NP\tO' +p23257 +aS's\ts\tNN\tI-NP\tO' +p23258 +aS'systolic\tsystolic\tJJ\tB-ADJP\tO' +p23259 +aS'.\t.\t.\tO\tO' +p23260 +asS'Extr - No edema .' +p23261 +(lp23262 +S'Extr\tExtr\tNN\tB-NP\tO' +p23263 +aS'-\t-\tHYPH\tO\tO' +p23264 +aS'No\tNo\tDT\tB-NP\tO' +p23265 +aS'edema\tedema\tNN\tI-NP\tO' +p23266 +aS'.\t.\t.\tO\tO' +p23267 +asS'( Home regimen , Gabapentin 800 mg PO QAM , 1600 mg PO Q3PM , 1600 mg PO QHS .' +p23268 +(lp23269 +S'(\t(\t(\tO\tO' +p23270 +aS'Home\tHome\tNN\tB-NP\tO' +p23271 +aS'regimen\tregimen\tNN\tI-NP\tO' +p23272 +aS',\t,\t,\tO\tO' +p23273 +aS'Gabapentin\tGabapentin\tNN\tB-NP\tB-protein' +p23274 +aS'800\t800\tCD\tI-NP\tI-protein' +p23275 +aS'mg\tmg\tNN\tI-NP\tI-protein' +p23276 +aS'PO\tPO\tNN\tI-NP\tI-protein' +p23277 +aS'QAM\tQAM\tNN\tI-NP\tI-protein' +p23278 +aS',\t,\t,\tO\tO' +p23279 +aS'1600\t1600\tCD\tB-NP\tO' +p23280 +aS'mg\tmg\tNN\tI-NP\tO' +p23281 +aS'PO\tPO\tNN\tI-NP\tO' +p23282 +aS'Q3PM\tQ3PM\tNN\tI-NP\tO' +p23283 +aS',\t,\t,\tO\tO' +p23284 +aS'1600\t1600\tCD\tB-NP\tO' +p23285 +aS'mg\tmg\tNN\tI-NP\tO' +p23286 +aS'PO\tPO\tNN\tI-NP\tO' +p23287 +aS'QHS\tQHS\tNN\tI-NP\tO' +p23288 +aS'.\t.\t.\tO\tO' +p23289 +asS'No incisional scars .' +p23290 +(lp23291 +S'No\tNo\tDT\tB-NP\tO' +p23292 +aS'incisional\tincisional\tJJ\tI-NP\tO' +p23293 +aS'scars\tscar\tNNS\tI-NP\tO' +p23294 +aS'.\t.\t.\tO\tO' +p23295 +asS'Please continue to take this medication as prescribed .' +p23296 +(lp23297 +S'Please\tPlease\tNN\tB-NP\tB-protein' +p23298 +aS'continue\tcontinue\tVBP\tB-VP\tO' +p23299 +aS'to\tto\tTO\tI-VP\tO' +p23300 +aS'take\ttake\tVB\tI-VP\tO' +p23301 +aS'this\tthis\tDT\tB-NP\tO' +p23302 +aS'medication\tmedication\tNN\tI-NP\tO' +p23303 +aS'as\tas\tIN\tB-SBAR\tO' +p23304 +aS'prescribed\tprescribe\tVBN\tB-VP\tO' +p23305 +aS'.\t.\t.\tO\tO' +p23306 +asS'However , the right ventricular was diffusely hypokinetic .' +p23307 +(lp23308 +S'However\tHowever\tRB\tB-ADVP\tO' +p23309 +aS',\t,\t,\tO\tO' +p23310 +aS'the\tthe\tDT\tB-NP\tO' +p23311 +aS'right\tright\tJJ\tI-NP\tO' +p23312 +aS'ventricular\tventricular\tNN\tI-NP\tO' +p23313 +aS'was\tbe\tVBD\tB-VP\tO' +p23314 +aS'diffusely\tdiffusely\tRB\tB-ADJP\tO' +p23315 +aS'hypokinetic\thypokinetic\tJJ\tI-ADJP\tO' +p23316 +aS'.\t.\t.\tO\tO' +p23317 +asS'On postoperative day 4 , additional attempts were made to wean the patient off of his Neo-Synephrine , however , he continued to drop his blood pressure whenever an attempt was made .' +p23318 +(lp23319 +S'On\tOn\tIN\tB-PP\tO' +p23320 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p23321 +aS'day\tday\tNN\tI-NP\tO' +p23322 +aS'4\t4\tCD\tI-NP\tO' +p23323 +aS',\t,\t,\tO\tO' +p23324 +aS'additional\tadditional\tJJ\tB-NP\tO' +p23325 +aS'attempts\tattempt\tNNS\tI-NP\tO' +p23326 +aS'were\tbe\tVBD\tB-VP\tO' +p23327 +aS'made\tmake\tVBN\tI-VP\tO' +p23328 +aS'to\tto\tTO\tB-VP\tO' +p23329 +aS'wean\twean\tVB\tI-VP\tO' +p23330 +aS'the\tthe\tDT\tB-NP\tO' +p23331 +aS'patient\tpatient\tNN\tI-NP\tO' +p23332 +aS'off\toff\tIN\tB-PP\tO' +p23333 +aS'of\tof\tIN\tB-PP\tO' +p23334 +aS'his\this\tPRP$\tB-NP\tO' +p23335 +aS'Neo-Synephrine\tNeo-Synephrine\tNN\tI-NP\tO' +p23336 +aS',\t,\t,\tO\tO' +p23337 +aS'however\thowever\tRB\tB-ADVP\tO' +p23338 +aS',\t,\t,\tO\tO' +p23339 +aS'he\the\tPRP\tB-NP\tO' +p23340 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p23341 +aS'to\tto\tTO\tI-VP\tO' +p23342 +aS'drop\tdrop\tVB\tI-VP\tO' +p23343 +aS'his\this\tPRP$\tB-NP\tO' +p23344 +aS'blood\tblood\tNN\tI-NP\tO' +p23345 +aS'pressure\tpressure\tNN\tI-NP\tO' +p23346 +aS'whenever\twhenever\tWRB\tB-ADVP\tO' +p23347 +aS'an\tan\tDT\tB-NP\tO' +p23348 +aS'attempt\tattempt\tNN\tI-NP\tO' +p23349 +aS'was\tbe\tVBD\tB-VP\tO' +p23350 +aS'made\tmake\tVBN\tI-VP\tO' +p23351 +aS'.\t.\t.\tO\tO' +p23352 +asS'Can increase her Ace inhibitor as tolerated .' +p23353 +(lp23354 +S'Can\tCan\tMD\tB-VP\tO' +p23355 +aS'increase\tincrease\tVB\tI-VP\tO' +p23356 +aS'her\ther\tPRP$\tB-NP\tO' +p23357 +aS'Ace\tAce\tNNP\tI-NP\tO' +p23358 +aS'inhibitor\tinhibitor\tNN\tI-NP\tO' +p23359 +aS'as\tas\tIN\tB-SBAR\tO' +p23360 +aS'tolerated\ttolerate\tVBN\tB-VP\tO' +p23361 +aS'.\t.\t.\tO\tO' +p23362 +asS'UTERINE PROLAPSE .' +p23363 +(lp23364 +S'UTERINE\tUTERINE\tNN\tB-NP\tO' +p23365 +aS'PROLAPSE\tPROLAPSE\tNN\tI-NP\tO' +p23366 +aS'.\t.\t.\tO\tO' +p23367 +asS"Subsequent to starting this antibiotic regimen the patient 's wound drainage appeared to subside ." +p23368 +(lp23369 +S'Subsequent\tSubsequent\tJJ\tB-ADJP\tO' +p23370 +aS'to\tto\tTO\tB-PP\tO' +p23371 +aS'starting\tstart\tVBG\tB-VP\tO' +p23372 +aS'this\tthis\tDT\tB-NP\tO' +p23373 +aS'antibiotic\tantibiotic\tJJ\tI-NP\tO' +p23374 +aS'regimen\tregimen\tNN\tI-NP\tO' +p23375 +aS'the\tthe\tDT\tB-NP\tO' +p23376 +aS'patient\tpatient\tNN\tI-NP\tO' +p23377 +aS"'s\t's\tPOS\tB-NP\tO" +p23378 +aS'wound\twound\tNN\tI-NP\tO' +p23379 +aS'drainage\tdrainage\tNN\tI-NP\tO' +p23380 +aS'appeared\tappear\tVBD\tB-VP\tO' +p23381 +aS'to\tto\tTO\tB-PP\tO' +p23382 +aS'subside\tsubside\tNN\tB-NP\tO' +p23383 +aS'.\t.\t.\tO\tO' +p23384 +asS'She continued to put out low amounts of urine throughout the admission , despite aggressive diuresis with IV lasix gtt and boluses .' +p23385 +(lp23386 +S'She\tShe\tPRP\tB-NP\tO' +p23387 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p23388 +aS'to\tto\tTO\tI-VP\tO' +p23389 +aS'put\tput\tVB\tI-VP\tO' +p23390 +aS'out\tout\tRP\tB-PRT\tO' +p23391 +aS'low\tlow\tJJ\tB-NP\tO' +p23392 +aS'amounts\tamount\tNNS\tI-NP\tO' +p23393 +aS'of\tof\tIN\tB-PP\tO' +p23394 +aS'urine\turine\tNN\tB-NP\tO' +p23395 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p23396 +aS'the\tthe\tDT\tB-NP\tO' +p23397 +aS'admission\tadmission\tNN\tI-NP\tO' +p23398 +aS',\t,\t,\tO\tO' +p23399 +aS'despite\tdespite\tIN\tB-PP\tO' +p23400 +aS'aggressive\taggressive\tJJ\tB-NP\tO' +p23401 +aS'diuresis\tdiuresis\tNN\tI-NP\tO' +p23402 +aS'with\twith\tIN\tB-PP\tO' +p23403 +aS'IV\tIV\tCD\tB-NP\tO' +p23404 +aS'lasix\tlasix\tCD\tI-NP\tO' +p23405 +aS'gtt\tgtt\tNN\tI-NP\tO' +p23406 +aS'and\tand\tCC\tI-NP\tO' +p23407 +aS'boluses\tbolus\tNNS\tI-NP\tO' +p23408 +aS'.\t.\t.\tO\tO' +p23409 +asS'Dictated By : George D Gregory , M.D.' +p23410 +(lp23411 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p23412 +aS'By\tBy\tIN\tB-PP\tO' +p23413 +aS':\t:\t:\tO\tO' +p23414 +aS'George\tGeorge\tNNP\tB-NP\tO' +p23415 +aS'D\tD\tNNP\tI-NP\tO' +p23416 +aS'Gregory\tGregory\tNNP\tI-NP\tO' +p23417 +aS',\t,\t,\tO\tO' +p23418 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p23419 +asS'His lungs were found to have decreased breath sounds with a question of fluid overload .' +p23420 +(lp23421 +S'His\tHis\tPRP$\tB-NP\tO' +p23422 +aS'lungs\tlung\tNNS\tI-NP\tO' +p23423 +aS'were\tbe\tVBD\tB-VP\tO' +p23424 +aS'found\tfind\tVBN\tI-VP\tO' +p23425 +aS'to\tto\tTO\tI-VP\tO' +p23426 +aS'have\thave\tVB\tI-VP\tO' +p23427 +aS'decreased\tdecrease\tVBN\tB-NP\tO' +p23428 +aS'breath\tbreath\tNN\tI-NP\tO' +p23429 +aS'sounds\tsound\tVBZ\tB-VP\tO' +p23430 +aS'with\twith\tIN\tB-PP\tO' +p23431 +aS'a\ta\tDT\tB-NP\tO' +p23432 +aS'question\tquestion\tNN\tI-NP\tO' +p23433 +aS'of\tof\tIN\tB-PP\tO' +p23434 +aS'fluid\tfluid\tNN\tB-NP\tO' +p23435 +aS'overload\toverload\tNN\tI-NP\tO' +p23436 +aS'.\t.\t.\tO\tO' +p23437 +asS'PTT was 29.8 .' +p23438 +(lp23439 +S'PTT\tPTT\tNN\tB-NP\tO' +p23440 +aS'was\tbe\tVBD\tB-VP\tO' +p23441 +aS'29.8\t29.8\tCD\tB-NP\tO' +p23442 +aS'.\t.\t.\tO\tO' +p23443 +asS'The fluconazole was discontinued .' +p23444 +(lp23445 +S'The\tThe\tDT\tB-NP\tO' +p23446 +aS'fluconazole\tfluconazole\tNN\tI-NP\tO' +p23447 +aS'was\tbe\tVBD\tB-VP\tO' +p23448 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p23449 +aS'.\t.\t.\tO\tO' +p23450 +asS'He can be given intravenous Lasix as needed for any evidence of respiratory compromise or increasing pulmonary edema .' +p23451 +(lp23452 +S'He\tHe\tPRP\tB-NP\tO' +p23453 +aS'can\tcan\tMD\tB-VP\tO' +p23454 +aS'be\tbe\tVB\tI-VP\tO' +p23455 +aS'given\tgive\tVBN\tI-VP\tO' +p23456 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p23457 +aS'Lasix\tLasix\tNNP\tI-NP\tO' +p23458 +aS'as\tas\tIN\tB-SBAR\tO' +p23459 +aS'needed\tneed\tVBN\tB-VP\tO' +p23460 +aS'for\tfor\tIN\tB-PP\tO' +p23461 +aS'any\tany\tDT\tB-NP\tO' +p23462 +aS'evidence\tevidence\tNN\tI-NP\tO' +p23463 +aS'of\tof\tIN\tB-PP\tO' +p23464 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p23465 +aS'compromise\tcompromise\tNN\tI-NP\tO' +p23466 +aS'or\tor\tCC\tO\tO' +p23467 +aS'increasing\tincrease\tVBG\tB-VP\tO' +p23468 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p23469 +aS'edema\tedema\tNN\tI-NP\tO' +p23470 +aS'.\t.\t.\tO\tO' +p23471 +asS'The Athol Memorial Hospital hospital course was initially consistent with transient tachypnea of the newborn .' +p23472 +(lp23473 +S'The\tThe\tDT\tB-NP\tO' +p23474 +aS'Athol\tAthol\tNNP\tI-NP\tO' +p23475 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p23476 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p23477 +aS'hospital\thospital\tNN\tI-NP\tO' +p23478 +aS'course\tcourse\tNN\tI-NP\tO' +p23479 +aS'was\tbe\tVBD\tB-VP\tO' +p23480 +aS'initially\tinitially\tRB\tB-ADJP\tO' +p23481 +aS'consistent\tconsistent\tJJ\tI-ADJP\tO' +p23482 +aS'with\twith\tIN\tB-PP\tO' +p23483 +aS'transient\ttransient\tJJ\tB-NP\tO' +p23484 +aS'tachypnea\ttachypnea\tNN\tI-NP\tO' +p23485 +aS'of\tof\tIN\tB-PP\tO' +p23486 +aS'the\tthe\tDT\tB-NP\tO' +p23487 +aS'newborn\tnewborn\tNN\tI-NP\tO' +p23488 +aS'.\t.\t.\tO\tO' +p23489 +asS'No definite axillary , mediastinal , or hilar lymphadenopathy is seen .' +p23490 +(lp23491 +S'No\tNo\tDT\tB-NP\tO' +p23492 +aS'definite\tdefinite\tJJ\tI-NP\tO' +p23493 +aS'axillary\taxillary\tNN\tI-NP\tO' +p23494 +aS',\t,\t,\tO\tO' +p23495 +aS'mediastinal\tmediastinal\tJJ\tB-ADJP\tO' +p23496 +aS',\t,\t,\tO\tO' +p23497 +aS'or\tor\tCC\tO\tO' +p23498 +aS'hilar\thilar\tJJ\tB-NP\tO' +p23499 +aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' +p23500 +aS'is\tbe\tVBZ\tB-VP\tO' +p23501 +aS'seen\tsee\tVBN\tI-VP\tO' +p23502 +aS'.\t.\t.\tO\tO' +p23503 +asS'3. Humalog 75/25 , subcutaneously .' +p23504 +(lp23505 +S'3.\t3.\tLS\tB-LST\tO' +p23506 +aS'Humalog\tHumalog\tNNP\tB-NP\tO' +p23507 +aS'75/25\t75/25\tCD\tI-NP\tO' +p23508 +aS',\t,\t,\tO\tO' +p23509 +aS'subcutaneously\tsubcutaneously\tRB\tB-ADVP\tO' +p23510 +aS'.\t.\t.\tO\tO' +p23511 +asS'She denied fevers , chills or sweats .' +p23512 +(lp23513 +S'She\tShe\tPRP\tB-NP\tO' +p23514 +aS'denied\tdeny\tVBD\tB-VP\tO' +p23515 +aS'fevers\tfever\tNNS\tB-NP\tO' +p23516 +aS',\t,\t,\tI-NP\tO' +p23517 +aS'chills\tchill\tNNS\tI-NP\tO' +p23518 +aS'or\tor\tCC\tI-NP\tO' +p23519 +aS'sweats\tsweat\tNNS\tI-NP\tO' +p23520 +aS'.\t.\t.\tO\tO' +p23521 +asS'The dorsalis pedis pulses were 2+ bilaterally .' +p23522 +(lp23523 +S'The\tThe\tDT\tB-NP\tO' +p23524 +aS'dorsalis\tdorsalis\tNN\tI-NP\tO' +p23525 +aS'pedis\tpedis\tNN\tI-NP\tO' +p23526 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p23527 +aS'were\tbe\tVBD\tB-VP\tO' +p23528 +aS'2+\t2+\tJJ\tB-ADJP\tO' +p23529 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p23530 +aS'.\t.\t.\tO\tO' +p23531 +asS'An angiography showed bleeding in two vessels off of the Minnie supplying the sigmoid that were succesfully embolized .' +p23532 +(lp23533 +S'An\tAn\tDT\tB-NP\tO' +p23534 +aS'angiography\tangiography\tNN\tI-NP\tO' +p23535 +aS'showed\tshow\tVBD\tB-VP\tO' +p23536 +aS'bleeding\tbleed\tVBG\tI-VP\tO' +p23537 +aS'in\tin\tIN\tB-PP\tO' +p23538 +aS'two\ttwo\tCD\tB-NP\tO' +p23539 +aS'vessels\tvessel\tNNS\tI-NP\tO' +p23540 +aS'off\toff\tIN\tB-PP\tO' +p23541 +aS'of\tof\tIN\tB-PP\tO' +p23542 +aS'the\tthe\tDT\tB-NP\tO' +p23543 +aS'Minnie\tMinnie\tNNP\tI-NP\tO' +p23544 +aS'supplying\tsupply\tVBG\tB-VP\tO' +p23545 +aS'the\tthe\tDT\tB-NP\tO' +p23546 +aS'sigmoid\tsigmoid\tNN\tI-NP\tO' +p23547 +aS'that\tthat\tWDT\tB-NP\tO' +p23548 +aS'were\tbe\tVBD\tB-VP\tO' +p23549 +aS'succesfully\tsuccesfully\tRB\tI-VP\tO' +p23550 +aS'embolized\tembolize\tVBN\tI-VP\tO' +p23551 +aS'.\t.\t.\tO\tO' +p23552 +asS'Mr. Knueppel had a long postoperative course .' +p23553 +(lp23554 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p23555 +aS'Knueppel\tKnueppel\tNNP\tI-NP\tO' +p23556 +aS'had\thave\tVBD\tB-VP\tO' +p23557 +aS'a\ta\tDT\tB-NP\tO' +p23558 +aS'long\tlong\tJJ\tI-NP\tO' +p23559 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p23560 +aS'course\tcourse\tNN\tI-NP\tO' +p23561 +aS'.\t.\t.\tO\tO' +p23562 +asS'Over the ensuing twenty-four hours , bilateral infiltrates on chest X-ray with poor oxygenation and labile blood pressure requiring PA line guided fluid and pressors developed .' +p23563 +(lp23564 +S'Over\tOver\tIN\tB-PP\tO' +p23565 +aS'the\tthe\tDT\tB-NP\tO' +p23566 +aS'ensuing\tensue\tVBG\tI-NP\tO' +p23567 +aS'twenty-four\ttwenty-four\tCD\tI-NP\tO' +p23568 +aS'hours\thour\tNNS\tI-NP\tO' +p23569 +aS',\t,\t,\tO\tO' +p23570 +aS'bilateral\tbilateral\tJJ\tB-NP\tB-cell_type' +p23571 +aS'infiltrates\tinfiltrate\tNNS\tI-NP\tI-cell_type' +p23572 +aS'on\ton\tIN\tB-PP\tO' +p23573 +aS'chest\tchest\tNN\tB-NP\tO' +p23574 +aS'X-ray\tX-ray\tNN\tI-NP\tO' +p23575 +aS'with\twith\tIN\tB-PP\tO' +p23576 +aS'poor\tpoor\tJJ\tB-NP\tO' +p23577 +aS'oxygenation\toxygenation\tNN\tI-NP\tO' +p23578 +aS'and\tand\tCC\tO\tO' +p23579 +aS'labile\tlabile\tJJ\tB-NP\tO' +p23580 +aS'blood\tblood\tNN\tI-NP\tO' +p23581 +aS'pressure\tpressure\tNN\tI-NP\tO' +p23582 +aS'requiring\trequire\tVBG\tB-VP\tO' +p23583 +aS'PA\tPA\tNN\tB-NP\tB-cell_line' +p23584 +aS'line\tline\tNN\tI-NP\tI-cell_line' +p23585 +aS'guided\tguide\tVBD\tB-VP\tO' +p23586 +aS'fluid\tfluid\tNN\tB-NP\tO' +p23587 +aS'and\tand\tCC\tI-NP\tO' +p23588 +aS'pressors\tpressor\tNNS\tI-NP\tO' +p23589 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p23590 +aS'.\t.\t.\tO\tO' +p23591 +asS'The patient was seen in consultation by Dr. Wire who felt that manipulation of the tracheal tube was the best approach to the air leak since it was a new trach and he was requiring such high ventilator support that it was risky to change it .' +p23592 +(lp23593 +S'The\tThe\tDT\tB-NP\tO' +p23594 +aS'patient\tpatient\tNN\tI-NP\tO' +p23595 +aS'was\tbe\tVBD\tB-VP\tO' +p23596 +aS'seen\tsee\tVBN\tI-VP\tO' +p23597 +aS'in\tin\tIN\tB-PP\tO' +p23598 +aS'consultation\tconsultation\tNN\tB-NP\tO' +p23599 +aS'by\tby\tIN\tB-PP\tO' +p23600 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p23601 +aS'Wire\tWire\tNNP\tI-NP\tO' +p23602 +aS'who\twho\tWP\tB-NP\tO' +p23603 +aS'felt\tfeel\tVBD\tB-VP\tO' +p23604 +aS'that\tthat\tIN\tB-SBAR\tO' +p23605 +aS'manipulation\tmanipulation\tNN\tB-NP\tO' +p23606 +aS'of\tof\tIN\tB-PP\tO' +p23607 +aS'the\tthe\tDT\tB-NP\tO' +p23608 +aS'tracheal\ttracheal\tJJ\tI-NP\tO' +p23609 +aS'tube\ttube\tNN\tI-NP\tO' +p23610 +aS'was\tbe\tVBD\tB-VP\tO' +p23611 +aS'the\tthe\tDT\tB-NP\tO' +p23612 +aS'best\tgood\tJJS\tI-NP\tO' +p23613 +aS'approach\tapproach\tNN\tI-NP\tO' +p23614 +aS'to\tto\tTO\tB-PP\tO' +p23615 +aS'the\tthe\tDT\tB-NP\tO' +p23616 +aS'air\tair\tNN\tI-NP\tO' +p23617 +aS'leak\tleak\tNN\tI-NP\tO' +p23618 +aS'since\tsince\tIN\tB-SBAR\tO' +p23619 +aS'it\tit\tPRP\tB-NP\tO' +p23620 +aS'was\tbe\tVBD\tB-VP\tO' +p23621 +aS'a\ta\tDT\tB-NP\tO' +p23622 +aS'new\tnew\tJJ\tI-NP\tO' +p23623 +aS'trach\ttrach\tNN\tI-NP\tO' +p23624 +aS'and\tand\tCC\tO\tO' +p23625 +aS'he\the\tPRP\tB-NP\tO' +p23626 +aS'was\tbe\tVBD\tB-VP\tO' +p23627 +aS'requiring\trequire\tVBG\tI-VP\tO' +p23628 +aS'such\tsuch\tJJ\tB-NP\tO' +p23629 +aS'high\thigh\tJJ\tI-NP\tO' +p23630 +aS'ventilator\tventilator\tNN\tI-NP\tO' +p23631 +aS'support\tsupport\tNN\tI-NP\tO' +p23632 +aS'that\tthat\tIN\tB-SBAR\tO' +p23633 +aS'it\tit\tPRP\tB-NP\tO' +p23634 +aS'was\tbe\tVBD\tB-VP\tO' +p23635 +aS'risky\trisky\tJJ\tB-ADJP\tO' +p23636 +aS'to\tto\tTO\tB-VP\tO' +p23637 +aS'change\tchange\tVB\tI-VP\tO' +p23638 +aS'it\tit\tPRP\tB-NP\tO' +p23639 +aS'.\t.\t.\tO\tO' +p23640 +asS'He was continued on heparin for treatment of the pulmonary emboli .' +p23641 +(lp23642 +S'He\tHe\tPRP\tB-NP\tO' +p23643 +aS'was\tbe\tVBD\tB-VP\tO' +p23644 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p23645 +aS'on\ton\tIN\tB-PP\tO' +p23646 +aS'heparin\theparin\tNN\tB-NP\tO' +p23647 +aS'for\tfor\tIN\tB-PP\tO' +p23648 +aS'treatment\ttreatment\tNN\tB-NP\tO' +p23649 +aS'of\tof\tIN\tB-PP\tO' +p23650 +aS'the\tthe\tDT\tB-NP\tO' +p23651 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p23652 +aS'emboli\tembolus\tNNS\tI-NP\tO' +p23653 +aS'.\t.\t.\tO\tO' +p23654 +asS'Wound vac in place on R foot .' +p23655 +(lp23656 +S'Wound\tWound\tJJ\tB-NP\tO' +p23657 +aS'vac\tvac\tNN\tI-NP\tO' +p23658 +aS'in\tin\tIN\tB-PP\tO' +p23659 +aS'place\tplace\tNN\tB-NP\tO' +p23660 +aS'on\ton\tIN\tB-PP\tO' +p23661 +aS'R\tR\tNN\tB-NP\tO' +p23662 +aS'foot\tfoot\tNN\tI-NP\tO' +p23663 +aS'.\t.\t.\tO\tO' +p23664 +asS'3) Renal insufficiency : Creatinine improved from 2.1 to 1.3 at time of discharge .' +p23665 +(lp23666 +S'3)\t3)\tLS\tB-NP\tO' +p23667 +aS'Renal\tRenal\tJJ\tI-NP\tO' +p23668 +aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' +p23669 +aS':\t:\t:\tO\tO' +p23670 +aS'Creatinine\tCreatinine\tNN\tB-NP\tO' +p23671 +aS'improved\timprove\tVBD\tB-VP\tO' +p23672 +aS'from\tfrom\tIN\tB-PP\tO' +p23673 +aS'2.1\t2.1\tCD\tB-NP\tO' +p23674 +aS'to\tto\tTO\tB-PP\tO' +p23675 +aS'1.3\t1.3\tCD\tB-NP\tO' +p23676 +aS'at\tat\tIN\tB-PP\tO' +p23677 +aS'time\ttime\tNN\tB-NP\tO' +p23678 +aS'of\tof\tIN\tB-PP\tO' +p23679 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p23680 +aS'.\t.\t.\tO\tO' +p23681 +asS'Depression .' +p23682 +(lp23683 +S'Depression\tDepression\tNN\tB-NP\tO' +p23684 +aS'.\t.\t.\tO\tO' +p23685 +asS'The patient was admitted on 10/22/00 and received cytoxan and total body irradiation per protocol .' +p23686 +(lp23687 +S'The\tThe\tDT\tB-NP\tO' +p23688 +aS'patient\tpatient\tNN\tI-NP\tO' +p23689 +aS'was\tbe\tVBD\tB-VP\tO' +p23690 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p23691 +aS'on\ton\tIN\tB-PP\tO' +p23692 +aS'10/22/00\t10/22/00\tCD\tB-NP\tO' +p23693 +aS'and\tand\tCC\tO\tO' +p23694 +aS'received\treceive\tVBD\tB-VP\tO' +p23695 +aS'cytoxan\tcytoxan\tNN\tB-NP\tO' +p23696 +aS'and\tand\tCC\tO\tO' +p23697 +aS'total\ttotal\tJJ\tB-NP\tO' +p23698 +aS'body\tbody\tNN\tI-NP\tO' +p23699 +aS'irradiation\tirradiation\tNN\tI-NP\tO' +p23700 +aS'per\tper\tIN\tB-PP\tO' +p23701 +aS'protocol\tprotocol\tNN\tB-NP\tO' +p23702 +aS'.\t.\t.\tO\tO' +p23703 +asS'The oxygen saturation was normal at 98% on room air .' +p23704 +(lp23705 +S'The\tThe\tDT\tB-NP\tO' +p23706 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p23707 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p23708 +aS'was\tbe\tVBD\tB-VP\tO' +p23709 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p23710 +aS'at\tat\tIN\tB-PP\tO' +p23711 +aS'98%\t98%\tNN\tB-NP\tO' +p23712 +aS'on\ton\tIN\tB-PP\tO' +p23713 +aS'room\troom\tNN\tB-NP\tO' +p23714 +aS'air\tair\tNN\tI-NP\tO' +p23715 +aS'.\t.\t.\tO\tO' +p23716 +asS'ETT in correct position .' +p23717 +(lp23718 +S'ETT\tETT\tNN\tB-NP\tO' +p23719 +aS'in\tin\tIN\tB-PP\tO' +p23720 +aS'correct\tcorrect\tJJ\tB-NP\tO' +p23721 +aS'position\tposition\tNN\tI-NP\tO' +p23722 +aS'.\t.\t.\tO\tO' +p23723 +asS'He was admitted to the Neonatal Intensive Care Unit for treatment of prematurity .' +p23724 +(lp23725 +S'He\tHe\tPRP\tB-NP\tO' +p23726 +aS'was\tbe\tVBD\tB-VP\tO' +p23727 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p23728 +aS'to\tto\tTO\tB-PP\tO' +p23729 +aS'the\tthe\tDT\tB-NP\tO' +p23730 +aS'Neonatal\tNeonatal\tNNP\tI-NP\tO' +p23731 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p23732 +aS'Care\tCare\tNNP\tI-NP\tO' +p23733 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p23734 +aS'for\tfor\tIN\tB-PP\tO' +p23735 +aS'treatment\ttreatment\tNN\tB-NP\tO' +p23736 +aS'of\tof\tIN\tB-PP\tO' +p23737 +aS'prematurity\tprematurity\tNN\tB-NP\tO' +p23738 +aS'.\t.\t.\tO\tO' +p23739 +asS'MR studies revealed a large left middle cerebral artery infarction with multiple smaller posterior circulation infarctions .' +p23740 +(lp23741 +S'MR\tMR\tNN\tB-NP\tO' +p23742 +aS'studies\tstudy\tNNS\tI-NP\tO' +p23743 +aS'revealed\treveal\tVBD\tB-VP\tO' +p23744 +aS'a\ta\tDT\tB-NP\tO' +p23745 +aS'large\tlarge\tJJ\tI-NP\tO' +p23746 +aS'left\tleft\tJJ\tI-NP\tO' +p23747 +aS'middle\tmiddle\tJJ\tI-NP\tO' +p23748 +aS'cerebral\tcerebral\tJJ\tI-NP\tO' +p23749 +aS'artery\tartery\tNN\tI-NP\tO' +p23750 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p23751 +aS'with\twith\tIN\tB-PP\tO' +p23752 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p23753 +aS'smaller\tsmall\tJJR\tI-NP\tO' +p23754 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p23755 +aS'circulation\tcirculation\tNN\tI-NP\tO' +p23756 +aS'infarctions\tinfarction\tNNS\tI-NP\tO' +p23757 +aS'.\t.\t.\tO\tO' +p23758 +asS'He states he had onset of this pain today ; described as anterior chest pain with radiation to right shoulder , 09-26 , was increasing over the course of 45 minutes to 1 hour ( occurred after arrested ).' +p23759 +(lp23760 +S'He\tHe\tPRP\tB-NP\tO' +p23761 +aS'states\tstate\tVBZ\tB-VP\tO' +p23762 +aS'he\the\tPRP\tB-NP\tO' +p23763 +aS'had\thave\tVBD\tB-VP\tO' +p23764 +aS'onset\tonset\tNN\tB-NP\tO' +p23765 +aS'of\tof\tIN\tB-PP\tO' +p23766 +aS'this\tthis\tDT\tB-NP\tO' +p23767 +aS'pain\tpain\tNN\tI-NP\tO' +p23768 +aS'today\ttoday\tNN\tB-NP\tO' +p23769 +aS';\t;\t:\tO\tO' +p23770 +aS'described\tdescribe\tVBN\tB-VP\tO' +p23771 +aS'as\tas\tIN\tB-PP\tO' +p23772 +aS'anterior\tanterior\tJJ\tB-NP\tO' +p23773 +aS'chest\tchest\tNN\tI-NP\tO' +p23774 +aS'pain\tpain\tNN\tI-NP\tO' +p23775 +aS'with\twith\tIN\tB-PP\tO' +p23776 +aS'radiation\tradiation\tNN\tB-NP\tO' +p23777 +aS'to\tto\tTO\tB-PP\tO' +p23778 +aS'right\tright\tJJ\tB-NP\tO' +p23779 +aS'shoulder\tshoulder\tNN\tI-NP\tO' +p23780 +aS',\t,\t,\tO\tO' +p23781 +aS'09-26\t09-26\tCD\tB-NP\tO' +p23782 +aS',\t,\t,\tO\tO' +p23783 +aS'was\tbe\tVBD\tB-VP\tO' +p23784 +aS'increasing\tincrease\tVBG\tI-VP\tO' +p23785 +aS'over\tover\tIN\tB-PP\tO' +p23786 +aS'the\tthe\tDT\tB-NP\tO' +p23787 +aS'course\tcourse\tNN\tI-NP\tO' +p23788 +aS'of\tof\tIN\tB-PP\tO' +p23789 +aS'45\t45\tCD\tB-NP\tO' +p23790 +aS'minutes\tminute\tNNS\tI-NP\tO' +p23791 +aS'to\tto\tTO\tB-PP\tO' +p23792 +aS'1\t1\tCD\tB-NP\tO' +p23793 +aS'hour\thour\tNN\tI-NP\tO' +p23794 +aS'(\t(\t(\tO\tO' +p23795 +aS'occurred\toccur\tVBD\tB-VP\tO' +p23796 +aS'after\tafter\tIN\tB-SBAR\tO' +p23797 +aS'arrested\tarrest\tVBN\tB-VP\tO' +p23798 +aS').\t).\t)\tO\tO' +p23799 +asS'Electrocardiogram notable for sinus tachycardia with a rate of 104 beats per minute , normal axis , normal intervals , new T wave inversion in III and old T wave inversions in aVL and V1 .' +p23800 +(lp23801 +S'Electrocardiogram\tElectrocardiogram\tNN\tB-NP\tO' +p23802 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p23803 +aS'for\tfor\tIN\tB-PP\tO' +p23804 +aS'sinus\tsinus\tNN\tB-NP\tO' +p23805 +aS'tachycardia\ttachycardia\tNN\tI-NP\tO' +p23806 +aS'with\twith\tIN\tB-PP\tO' +p23807 +aS'a\ta\tDT\tB-NP\tO' +p23808 +aS'rate\trate\tNN\tI-NP\tO' +p23809 +aS'of\tof\tIN\tB-PP\tO' +p23810 +aS'104\t104\tCD\tB-NP\tO' +p23811 +aS'beats\tbeat\tNNS\tI-NP\tO' +p23812 +aS'per\tper\tIN\tB-PP\tO' +p23813 +aS'minute\tminute\tNN\tB-NP\tO' +p23814 +aS',\t,\t,\tO\tO' +p23815 +aS'normal\tnormal\tJJ\tB-NP\tO' +p23816 +aS'axis\taxis\tNN\tI-NP\tO' +p23817 +aS',\t,\t,\tO\tO' +p23818 +aS'normal\tnormal\tJJ\tB-NP\tO' +p23819 +aS'intervals\tinterval\tNNS\tI-NP\tO' +p23820 +aS',\t,\t,\tO\tO' +p23821 +aS'new\tnew\tJJ\tB-NP\tO' +p23822 +aS'T\tT\tNN\tI-NP\tO' +p23823 +aS'wave\twave\tNN\tI-NP\tO' +p23824 +aS'inversion\tinversion\tNN\tI-NP\tO' +p23825 +aS'in\tin\tIN\tB-PP\tO' +p23826 +aS'III\tIII\tCD\tB-NP\tO' +p23827 +aS'and\tand\tCC\tO\tO' +p23828 +aS'old\told\tJJ\tB-NP\tO' +p23829 +aS'T\tT\tNN\tI-NP\tO' +p23830 +aS'wave\twave\tNN\tI-NP\tO' +p23831 +aS'inversions\tinversion\tNNS\tI-NP\tO' +p23832 +aS'in\tin\tIN\tB-PP\tO' +p23833 +aS'aVL\taVL\tNN\tB-NP\tO' +p23834 +aS'and\tand\tCC\tI-NP\tO' +p23835 +aS'V1\tV1\tNN\tI-NP\tB-protein' +p23836 +aS'.\t.\t.\tO\tO' +p23837 +asS'She will followup in the Wardca Presiew Hospital in one week .' +p23838 +(lp23839 +S'She\tShe\tPRP\tB-NP\tO' +p23840 +aS'will\twill\tMD\tB-VP\tO' +p23841 +aS'followup\tfollowup\tVB\tI-VP\tO' +p23842 +aS'in\tin\tIN\tB-PP\tO' +p23843 +aS'the\tthe\tDT\tB-NP\tO' +p23844 +aS'Wardca\tWardca\tNNP\tI-NP\tO' +p23845 +aS'Presiew\tPresiew\tNNP\tI-NP\tO' +p23846 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p23847 +aS'in\tin\tIN\tB-PP\tO' +p23848 +aS'one\tone\tCD\tB-NP\tO' +p23849 +aS'week\tweek\tNN\tI-NP\tO' +p23850 +aS'.\t.\t.\tO\tO' +p23851 +asS'No murmur on exam .' +p23852 +(lp23853 +S'No\tNo\tDT\tB-NP\tO' +p23854 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p23855 +aS'on\ton\tIN\tB-PP\tO' +p23856 +aS'exam\texam\tNN\tB-NP\tO' +p23857 +aS'.\t.\t.\tO\tO' +p23858 +asS'OSH - sinus tach at 108 , nl axis , nl intevals .' +p23859 +(lp23860 +S'OSH\tOSH\tNN\tB-NP\tB-protein' +p23861 +aS'-\t-\tHYPH\tI-NP\tO' +p23862 +aS'sinus\tsinus\tNN\tI-NP\tO' +p23863 +aS'tach\ttach\tNN\tI-NP\tO' +p23864 +aS'at\tat\tIN\tB-PP\tO' +p23865 +aS'108\t108\tCD\tB-NP\tO' +p23866 +aS',\t,\t,\tO\tO' +p23867 +aS'nl\tnl\tNN\tB-NP\tO' +p23868 +aS'axis\taxis\tNN\tI-NP\tO' +p23869 +aS',\t,\t,\tO\tO' +p23870 +aS'nl\tnl\tNN\tB-NP\tO' +p23871 +aS'intevals\tinteval\tNNS\tI-NP\tO' +p23872 +aS'.\t.\t.\tO\tO' +p23873 +asS'She had normal comprehension .' +p23874 +(lp23875 +S'She\tShe\tPRP\tB-NP\tO' +p23876 +aS'had\thave\tVBD\tB-VP\tO' +p23877 +aS'normal\tnormal\tJJ\tB-NP\tO' +p23878 +aS'comprehension\tcomprehension\tNN\tI-NP\tO' +p23879 +aS'.\t.\t.\tO\tO' +p23880 +asS'The right upper extremity was positive for abrasions .' +p23881 +(lp23882 +S'The\tThe\tDT\tB-NP\tO' +p23883 +aS'right\tright\tJJ\tI-NP\tO' +p23884 +aS'upper\tupper\tJJ\tI-NP\tO' +p23885 +aS'extremity\textremity\tNN\tI-NP\tO' +p23886 +aS'was\tbe\tVBD\tB-VP\tO' +p23887 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p23888 +aS'for\tfor\tIN\tB-PP\tO' +p23889 +aS'abrasions\tabrasion\tNNS\tB-NP\tO' +p23890 +aS'.\t.\t.\tO\tO' +p23891 +asS'There was a question of whether to start him on Quinidine versus beta blockers .' +p23892 +(lp23893 +S'There\tThere\tEX\tB-NP\tO' +p23894 +aS'was\tbe\tVBD\tB-VP\tO' +p23895 +aS'a\ta\tDT\tB-NP\tO' +p23896 +aS'question\tquestion\tNN\tI-NP\tO' +p23897 +aS'of\tof\tIN\tB-PP\tO' +p23898 +aS'whether\twhether\tIN\tB-SBAR\tO' +p23899 +aS'to\tto\tTO\tB-VP\tO' +p23900 +aS'start\tstart\tVB\tI-VP\tO' +p23901 +aS'him\thim\tPRP\tB-NP\tO' +p23902 +aS'on\ton\tIN\tB-PP\tO' +p23903 +aS'Quinidine\tQuinidine\tNN\tB-NP\tB-DNA' +p23904 +aS'versus\tversus\tIN\tB-PP\tI-DNA' +p23905 +aS'beta\tbeta\tNN\tB-NP\tI-DNA' +p23906 +aS'blockers\tblocker\tNNS\tI-NP\tI-DNA' +p23907 +aS'.\t.\t.\tO\tO' +p23908 +asS'No f/c/ sweats .' +p23909 +(lp23910 +S'No\tNo\tDT\tB-NP\tO' +p23911 +aS'f/c/\tf/c/\tNN\tI-NP\tO' +p23912 +aS'sweats\tsweat\tNNS\tI-NP\tO' +p23913 +aS'.\t.\t.\tO\tO' +p23914 +asS'She is divorced and retired .' +p23915 +(lp23916 +S'She\tShe\tPRP\tB-NP\tO' +p23917 +aS'is\tbe\tVBZ\tB-VP\tO' +p23918 +aS'divorced\tdivorce\tVBN\tI-VP\tO' +p23919 +aS'and\tand\tCC\tI-VP\tO' +p23920 +aS'retired\tretire\tVBN\tI-VP\tO' +p23921 +aS'.\t.\t.\tO\tO' +p23922 +asS'A subsequent workup including upper gastrointestinal series and abdominal computerized tomography scan suggested the presence of a gastric mass .' +p23923 +(lp23924 +S'A\tA\tDT\tB-NP\tO' +p23925 +aS'subsequent\tsubsequent\tJJ\tI-NP\tO' +p23926 +aS'workup\tworkup\tNN\tI-NP\tO' +p23927 +aS'including\tinclude\tVBG\tB-PP\tO' +p23928 +aS'upper\tupper\tJJ\tB-NP\tO' +p23929 +aS'gastrointestinal\tgastrointestinal\tJJ\tI-NP\tO' +p23930 +aS'series\tseries\tNN\tI-NP\tO' +p23931 +aS'and\tand\tCC\tO\tO' +p23932 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p23933 +aS'computerized\tcomputerized\tJJ\tI-NP\tO' +p23934 +aS'tomography\ttomography\tNN\tI-NP\tO' +p23935 +aS'scan\tscan\tNN\tI-NP\tO' +p23936 +aS'suggested\tsuggest\tVBD\tB-VP\tO' +p23937 +aS'the\tthe\tDT\tB-NP\tO' +p23938 +aS'presence\tpresence\tNN\tI-NP\tO' +p23939 +aS'of\tof\tIN\tB-PP\tO' +p23940 +aS'a\ta\tDT\tB-NP\tO' +p23941 +aS'gastric\tgastric\tJJ\tI-NP\tO' +p23942 +aS'mass\tmass\tNN\tI-NP\tO' +p23943 +aS'.\t.\t.\tO\tO' +p23944 +asS'She also felt dizzy and the room was spinning .' +p23945 +(lp23946 +S'She\tShe\tPRP\tB-NP\tO' +p23947 +aS'also\talso\tRB\tB-ADVP\tO' +p23948 +aS'felt\tfeel\tVBD\tB-VP\tO' +p23949 +aS'dizzy\tdizzy\tJJ\tB-ADJP\tO' +p23950 +aS'and\tand\tCC\tO\tO' +p23951 +aS'the\tthe\tDT\tB-NP\tO' +p23952 +aS'room\troom\tNN\tI-NP\tO' +p23953 +aS'was\tbe\tVBD\tB-VP\tO' +p23954 +aS'spinning\tspin\tVBG\tI-VP\tO' +p23955 +aS'.\t.\t.\tO\tO' +p23956 +asS'He also has a diagnosis of interstitial cystitis and more significantly has a history of coronary artery disease with a recent catheterization , supraventricular tachycardia , and a progressive mitochondrial myopathy .' +p23957 +(lp23958 +S'He\tHe\tPRP\tB-NP\tO' +p23959 +aS'also\talso\tRB\tB-ADVP\tO' +p23960 +aS'has\thave\tVBZ\tB-VP\tO' +p23961 +aS'a\ta\tDT\tB-NP\tO' +p23962 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p23963 +aS'of\tof\tIN\tB-PP\tO' +p23964 +aS'interstitial\tinterstitial\tJJ\tB-NP\tO' +p23965 +aS'cystitis\tcystitis\tNN\tI-NP\tO' +p23966 +aS'and\tand\tCC\tO\tO' +p23967 +aS'more\tmore\tRBR\tB-ADVP\tO' +p23968 +aS'significantly\tsignificantly\tRB\tI-ADVP\tO' +p23969 +aS'has\thave\tVBZ\tB-VP\tO' +p23970 +aS'a\ta\tDT\tB-NP\tO' +p23971 +aS'history\thistory\tNN\tI-NP\tO' +p23972 +aS'of\tof\tIN\tB-PP\tO' +p23973 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p23974 +aS'artery\tartery\tNN\tI-NP\tO' +p23975 +aS'disease\tdisease\tNN\tI-NP\tO' +p23976 +aS'with\twith\tIN\tB-PP\tO' +p23977 +aS'a\ta\tDT\tB-NP\tO' +p23978 +aS'recent\trecent\tJJ\tI-NP\tO' +p23979 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p23980 +aS',\t,\t,\tO\tO' +p23981 +aS'supraventricular\tsupraventricular\tJJ\tB-NP\tO' +p23982 +aS'tachycardia\ttachycardia\tNN\tI-NP\tO' +p23983 +aS',\t,\t,\tO\tO' +p23984 +aS'and\tand\tCC\tO\tO' +p23985 +aS'a\ta\tDT\tB-NP\tO' +p23986 +aS'progressive\tprogressive\tJJ\tI-NP\tO' +p23987 +aS'mitochondrial\tmitochondrial\tJJ\tI-NP\tO' +p23988 +aS'myopathy\tmyopathy\tNN\tI-NP\tO' +p23989 +aS'.\t.\t.\tO\tO' +p23990 +asS'Her mental status also had decreased from admission and her urine output was minimal , 225cc over the past 12 hours .' +p23991 +(lp23992 +S'Her\tHer\tPRP$\tB-NP\tO' +p23993 +aS'mental\tmental\tJJ\tI-NP\tO' +p23994 +aS'status\tstatus\tNN\tI-NP\tO' +p23995 +aS'also\talso\tRB\tB-ADVP\tO' +p23996 +aS'had\thave\tVBD\tB-VP\tO' +p23997 +aS'decreased\tdecrease\tVBN\tI-VP\tO' +p23998 +aS'from\tfrom\tIN\tB-PP\tO' +p23999 +aS'admission\tadmission\tNN\tB-NP\tO' +p24000 +aS'and\tand\tCC\tO\tO' +p24001 +aS'her\ther\tPRP$\tB-NP\tO' +p24002 +aS'urine\turine\tNN\tI-NP\tO' +p24003 +aS'output\toutput\tNN\tI-NP\tO' +p24004 +aS'was\tbe\tVBD\tB-VP\tO' +p24005 +aS'minimal\tminimal\tJJ\tB-ADJP\tO' +p24006 +aS',\t,\t,\tO\tO' +p24007 +aS'225cc\t225cc\tNN\tB-NP\tO' +p24008 +aS'over\tover\tIN\tB-PP\tO' +p24009 +aS'the\tthe\tDT\tB-NP\tO' +p24010 +aS'past\tpast\tJJ\tI-NP\tO' +p24011 +aS'12\t12\tCD\tI-NP\tO' +p24012 +aS'hours\thour\tNNS\tI-NP\tO' +p24013 +aS'.\t.\t.\tO\tO' +p24014 +asS'Recently , the patient has been treated with several steroid tapers .' +p24015 +(lp24016 +S'Recently\tRecently\tRB\tB-ADVP\tO' +p24017 +aS',\t,\t,\tO\tO' +p24018 +aS'the\tthe\tDT\tB-NP\tO' +p24019 +aS'patient\tpatient\tNN\tI-NP\tO' +p24020 +aS'has\thave\tVBZ\tB-VP\tO' +p24021 +aS'been\tbe\tVBN\tI-VP\tO' +p24022 +aS'treated\ttreat\tVBN\tI-VP\tO' +p24023 +aS'with\twith\tIN\tB-PP\tO' +p24024 +aS'several\tseveral\tJJ\tB-NP\tO' +p24025 +aS'steroid\tsteroid\tNN\tI-NP\tO' +p24026 +aS'tapers\ttaper\tNNS\tI-NP\tO' +p24027 +aS'.\t.\t.\tO\tO' +p24028 +asS'This clot was small and it was questionable as to whether it was old or new .' +p24029 +(lp24030 +S'This\tThis\tDT\tB-NP\tO' +p24031 +aS'clot\tclot\tNN\tI-NP\tO' +p24032 +aS'was\tbe\tVBD\tB-VP\tO' +p24033 +aS'small\tsmall\tJJ\tB-ADJP\tO' +p24034 +aS'and\tand\tCC\tO\tO' +p24035 +aS'it\tit\tPRP\tB-NP\tO' +p24036 +aS'was\tbe\tVBD\tB-VP\tO' +p24037 +aS'questionable\tquestionable\tJJ\tB-ADJP\tO' +p24038 +aS'as\tas\tIN\tB-PP\tO' +p24039 +aS'to\tto\tTO\tB-PP\tO' +p24040 +aS'whether\twhether\tIN\tB-SBAR\tO' +p24041 +aS'it\tit\tPRP\tB-NP\tO' +p24042 +aS'was\tbe\tVBD\tB-VP\tO' +p24043 +aS'old\told\tJJ\tB-ADJP\tO' +p24044 +aS'or\tor\tCC\tI-ADJP\tO' +p24045 +aS'new\tnew\tJJ\tI-ADJP\tO' +p24046 +aS'.\t.\t.\tO\tO' +p24047 +asS'Cardiovascular had a regular rate and rhythm .' +p24048 +(lp24049 +S'Cardiovascular\tCardiovascular\tNNP\tB-NP\tO' +p24050 +aS'had\thave\tVBD\tB-VP\tO' +p24051 +aS'a\ta\tDT\tB-NP\tO' +p24052 +aS'regular\tregular\tJJ\tI-NP\tO' +p24053 +aS'rate\trate\tNN\tI-NP\tO' +p24054 +aS'and\tand\tCC\tI-NP\tO' +p24055 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p24056 +aS'.\t.\t.\tO\tO' +p24057 +asS'A report of an elevated 17-OH was called to the CMED CCU .' +p24058 +(lp24059 +S'A\tA\tDT\tB-NP\tO' +p24060 +aS'report\treport\tNN\tI-NP\tO' +p24061 +aS'of\tof\tIN\tB-PP\tO' +p24062 +aS'an\tan\tDT\tB-NP\tO' +p24063 +aS'elevated\televate\tVBN\tI-NP\tO' +p24064 +aS'17-OH\t17-OH\tNN\tI-NP\tO' +p24065 +aS'was\tbe\tVBD\tB-VP\tO' +p24066 +aS'called\tcall\tVBN\tI-VP\tO' +p24067 +aS'to\tto\tTO\tB-PP\tO' +p24068 +aS'the\tthe\tDT\tB-NP\tO' +p24069 +aS'CMED\tCMED\tVBN\tI-NP\tO' +p24070 +aS'CCU\tCCU\tNN\tI-NP\tO' +p24071 +aS'.\t.\t.\tO\tO' +p24072 +asS'The patient has a tracheostomy , NG tube , and a Foley catheter .' +p24073 +(lp24074 +S'The\tThe\tDT\tB-NP\tO' +p24075 +aS'patient\tpatient\tNN\tI-NP\tO' +p24076 +aS'has\thave\tVBZ\tB-VP\tO' +p24077 +aS'a\ta\tDT\tB-NP\tO' +p24078 +aS'tracheostomy\ttracheostomy\tNN\tI-NP\tO' +p24079 +aS',\t,\t,\tO\tO' +p24080 +aS'NG\tNG\tNN\tB-NP\tO' +p24081 +aS'tube\ttube\tNN\tI-NP\tO' +p24082 +aS',\t,\t,\tO\tO' +p24083 +aS'and\tand\tCC\tO\tO' +p24084 +aS'a\ta\tDT\tB-NP\tO' +p24085 +aS'Foley\tFoley\tNNP\tI-NP\tO' +p24086 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p24087 +aS'.\t.\t.\tO\tO' +p24088 +asS'She cut down dramatically on smoking two years ago , but has continued to smoke , although , very recently , she admits to only " two puffs " per day .' +p24089 +(lp24090 +S'She\tShe\tPRP\tB-NP\tO' +p24091 +aS'cut\tcut\tVBD\tB-VP\tO' +p24092 +aS'down\tdown\tRB\tB-ADVP\tO' +p24093 +aS'dramatically\tdramatically\tRB\tB-ADVP\tO' +p24094 +aS'on\ton\tIN\tB-PP\tO' +p24095 +aS'smoking\tsmoke\tVBG\tB-VP\tO' +p24096 +aS'two\ttwo\tCD\tB-NP\tO' +p24097 +aS'years\tyear\tNNS\tI-NP\tO' +p24098 +aS'ago\tago\tRB\tB-ADVP\tO' +p24099 +aS',\t,\t,\tO\tO' +p24100 +aS'but\tbut\tCC\tO\tO' +p24101 +aS'has\thave\tVBZ\tB-VP\tO' +p24102 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p24103 +aS'to\tto\tTO\tI-VP\tO' +p24104 +aS'smoke\tsmoke\tVB\tI-VP\tO' +p24105 +aS',\t,\t,\tO\tO' +p24106 +aS'although\talthough\tIN\tB-SBAR\tO' +p24107 +aS',\t,\t,\tO\tO' +p24108 +aS'very\tvery\tRB\tB-ADVP\tO' +p24109 +aS'recently\trecently\tRB\tI-ADVP\tO' +p24110 +aS',\t,\t,\tO\tO' +p24111 +aS'she\tshe\tPRP\tB-NP\tO' +p24112 +aS'admits\tadmit\tVBZ\tB-VP\tO' +p24113 +aS'to\tto\tTO\tI-VP\tO' +p24114 +aS'only\tonly\tRB\tI-VP\tO' +p24115 +aS'"\t"\tVB\tI-VP\tO' +p24116 +aS'two\ttwo\tCD\tB-NP\tO' +p24117 +aS'puffs\tpuff\tNNS\tI-NP\tO' +p24118 +aS'"\t"\tCC\tB-PP\tO' +p24119 +aS'per\tper\tIN\tB-PP\tO' +p24120 +aS'day\tday\tNN\tB-NP\tO' +p24121 +aS'.\t.\t.\tO\tO' +p24122 +asS'diabetes mellitus with diabetic renopathy , renovascular occlusive disease , with thrombosis of the right renal artery , hypertension , probably renal vascular , hypertensive cardiac disease with history of congestive heart failure , chronic renal insufficiency , coronary artery disease .' +p24123 +(lp24124 +S'diabetes\tdiabetes\tNN\tB-NP\tO' +p24125 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p24126 +aS'with\twith\tIN\tB-PP\tO' +p24127 +aS'diabetic\tdiabetic\tJJ\tB-NP\tO' +p24128 +aS'renopathy\trenopathy\tNN\tI-NP\tO' +p24129 +aS',\t,\t,\tO\tO' +p24130 +aS'renovascular\trenovascular\tJJ\tB-NP\tO' +p24131 +aS'occlusive\tocclusive\tJJ\tI-NP\tO' +p24132 +aS'disease\tdisease\tNN\tI-NP\tO' +p24133 +aS',\t,\t,\tO\tO' +p24134 +aS'with\twith\tIN\tB-PP\tO' +p24135 +aS'thrombosis\tthrombosis\tNN\tB-NP\tO' +p24136 +aS'of\tof\tIN\tB-PP\tO' +p24137 +aS'the\tthe\tDT\tB-NP\tO' +p24138 +aS'right\tright\tJJ\tI-NP\tO' +p24139 +aS'renal\trenal\tJJ\tI-NP\tO' +p24140 +aS'artery\tartery\tNN\tI-NP\tO' +p24141 +aS',\t,\t,\tO\tO' +p24142 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p24143 +aS',\t,\t,\tO\tO' +p24144 +aS'probably\tprobably\tRB\tB-NP\tO' +p24145 +aS'renal\trenal\tJJ\tI-NP\tO' +p24146 +aS'vascular\tvascular\tJJ\tI-NP\tO' +p24147 +aS',\t,\t,\tI-NP\tO' +p24148 +aS'hypertensive\thypertensive\tJJ\tI-NP\tO' +p24149 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p24150 +aS'disease\tdisease\tNN\tI-NP\tO' +p24151 +aS'with\twith\tIN\tB-PP\tO' +p24152 +aS'history\thistory\tNN\tB-NP\tO' +p24153 +aS'of\tof\tIN\tB-PP\tO' +p24154 +aS'congestive\tcongestive\tJJ\tB-NP\tO' +p24155 +aS'heart\theart\tNN\tI-NP\tO' +p24156 +aS'failure\tfailure\tNN\tI-NP\tO' +p24157 +aS',\t,\t,\tO\tO' +p24158 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p24159 +aS'renal\trenal\tJJ\tI-NP\tO' +p24160 +aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' +p24161 +aS',\t,\t,\tO\tO' +p24162 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p24163 +aS'artery\tartery\tNN\tI-NP\tO' +p24164 +aS'disease\tdisease\tNN\tI-NP\tO' +p24165 +aS'.\t.\t.\tO\tO' +p24166 +asS'Stable Hct of 31 .' +p24167 +(lp24168 +S'Stable\tStable\tJJ\tB-NP\tO' +p24169 +aS'Hct\tHct\tNN\tI-NP\tO' +p24170 +aS'of\tof\tIN\tB-PP\tO' +p24171 +aS'31\t31\tCD\tB-NP\tO' +p24172 +aS'.\t.\t.\tO\tO' +p24173 +asS'The neck was supple , and without adenopathy .' +p24174 +(lp24175 +S'The\tThe\tDT\tB-NP\tO' +p24176 +aS'neck\tneck\tNN\tI-NP\tO' +p24177 +aS'was\tbe\tVBD\tB-VP\tO' +p24178 +aS'supple\tsupple\tNN\tB-NP\tO' +p24179 +aS',\t,\t,\tO\tO' +p24180 +aS'and\tand\tCC\tO\tO' +p24181 +aS'without\twithout\tIN\tB-PP\tO' +p24182 +aS'adenopathy\tadenopathy\tNN\tB-NP\tO' +p24183 +aS'.\t.\t.\tO\tO' +p24184 +asS'No murmurs were appreciated .' +p24185 +(lp24186 +S'No\tNo\tDT\tB-NP\tO' +p24187 +aS'murmurs\tmurmur\tNNS\tI-NP\tO' +p24188 +aS'were\tbe\tVBD\tB-VP\tO' +p24189 +aS'appreciated\tappreciate\tVBN\tI-VP\tO' +p24190 +aS'.\t.\t.\tO\tO' +p24191 +asS'She then received continuous nebulizer treatments for approximately eight hours with minimal improvement .' +p24192 +(lp24193 +S'She\tShe\tPRP\tB-NP\tO' +p24194 +aS'then\tthen\tRB\tB-ADVP\tO' +p24195 +aS'received\treceive\tVBD\tB-VP\tO' +p24196 +aS'continuous\tcontinuous\tJJ\tB-NP\tO' +p24197 +aS'nebulizer\tnebulizer\tNN\tI-NP\tO' +p24198 +aS'treatments\ttreatment\tNNS\tI-NP\tO' +p24199 +aS'for\tfor\tIN\tB-PP\tO' +p24200 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p24201 +aS'eight\teight\tCD\tI-NP\tO' +p24202 +aS'hours\thour\tNNS\tI-NP\tO' +p24203 +aS'with\twith\tIN\tB-PP\tO' +p24204 +aS'minimal\tminimal\tJJ\tB-NP\tO' +p24205 +aS'improvement\timprovement\tNN\tI-NP\tO' +p24206 +aS'.\t.\t.\tO\tO' +p24207 +asS'The patient was noted to have a slight hematocrit drop and was transfused one unit of packed red blood cells for a goal hematocrit of greater than 30 .' +p24208 +(lp24209 +S'The\tThe\tDT\tB-NP\tO' +p24210 +aS'patient\tpatient\tNN\tI-NP\tO' +p24211 +aS'was\tbe\tVBD\tB-VP\tO' +p24212 +aS'noted\tnote\tVBN\tI-VP\tO' +p24213 +aS'to\tto\tTO\tI-VP\tO' +p24214 +aS'have\thave\tVB\tI-VP\tO' +p24215 +aS'a\ta\tDT\tB-NP\tO' +p24216 +aS'slight\tslight\tJJ\tI-NP\tO' +p24217 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p24218 +aS'drop\tdrop\tNN\tI-NP\tO' +p24219 +aS'and\tand\tCC\tO\tO' +p24220 +aS'was\tbe\tVBD\tB-VP\tO' +p24221 +aS'transfused\ttransfuse\tVBN\tI-VP\tO' +p24222 +aS'one\tone\tCD\tB-NP\tO' +p24223 +aS'unit\tunit\tNN\tI-NP\tO' +p24224 +aS'of\tof\tIN\tB-PP\tO' +p24225 +aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' +p24226 +aS'red\tred\tJJ\tI-NP\tI-cell_type' +p24227 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p24228 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p24229 +aS'for\tfor\tIN\tB-PP\tO' +p24230 +aS'a\ta\tDT\tB-NP\tO' +p24231 +aS'goal\tgoal\tNN\tI-NP\tO' +p24232 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p24233 +aS'of\tof\tIN\tB-PP\tO' +p24234 +aS'greater\tgreat\tJJR\tB-NP\tO' +p24235 +aS'than\tthan\tIN\tI-NP\tO' +p24236 +aS'30\t30\tCD\tI-NP\tO' +p24237 +aS'.\t.\t.\tO\tO' +p24238 +asS'Neck : never had c spine cleared by neurosurg .' +p24239 +(lp24240 +S'Neck\tNeck\tNN\tB-NP\tO' +p24241 +aS':\t:\t:\tO\tO' +p24242 +aS'never\tnever\tRB\tB-ADVP\tO' +p24243 +aS'had\thave\tVBD\tB-VP\tO' +p24244 +aS'c\tc\tNN\tB-NP\tO' +p24245 +aS'spine\tspine\tNN\tI-NP\tO' +p24246 +aS'cleared\tclear\tVBN\tB-VP\tO' +p24247 +aS'by\tby\tIN\tB-PP\tO' +p24248 +aS'neurosurg\tneurosurg\tNN\tB-NP\tO' +p24249 +aS'.\t.\t.\tO\tO' +p24250 +asS'8 .' +p24251 +(lp24252 +S'8\t8\tCD\tB-NP\tO' +p24253 +aS'.\t.\t.\tO\tO' +p24254 +asS'She is also started on marinol 2.5 mg p.o. b.i.d. and encouraged p.o. intake .' +p24255 +(lp24256 +S'She\tShe\tPRP\tB-NP\tO' +p24257 +aS'is\tbe\tVBZ\tB-VP\tO' +p24258 +aS'also\talso\tRB\tI-VP\tO' +p24259 +aS'started\tstart\tVBN\tI-VP\tO' +p24260 +aS'on\ton\tIN\tB-PP\tO' +p24261 +aS'marinol\tmarinol\tNN\tB-NP\tO' +p24262 +aS'2.5\t2.5\tCD\tI-NP\tO' +p24263 +aS'mg\tmg\tNN\tI-NP\tO' +p24264 +aS'p.o.\tp.o.\tFW\tB-ADVP\tO' +p24265 +aS'b.i.d.\tb.i.d.\tFW\tI-ADVP\tO' +p24266 +aS'and\tand\tCC\tO\tO' +p24267 +aS'encouraged\tencouraged\tFW\tB-NP\tO' +p24268 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p24269 +aS'intake\tintake\tNN\tI-NP\tO' +p24270 +aS'.\t.\t.\tO\tO' +p24271 +asS'She works at TackyMart , is single .' +p24272 +(lp24273 +S'She\tShe\tPRP\tB-NP\tO' +p24274 +aS'works\twork\tVBZ\tB-VP\tO' +p24275 +aS'at\tat\tIN\tB-PP\tO' +p24276 +aS'TackyMart\tTackyMart\tNNP\tB-NP\tO' +p24277 +aS',\t,\t,\tO\tO' +p24278 +aS'is\tbe\tVBZ\tB-VP\tO' +p24279 +aS'single\tsingle\tJJ\tB-ADJP\tO' +p24280 +aS'.\t.\t.\tO\tO' +p24281 +asS'After arriving on the Floor , the patient had an episode of rapid atrial fibrillation which was treated with amiodarone and Lopressor .' +p24282 +(lp24283 +S'After\tAfter\tIN\tB-PP\tO' +p24284 +aS'arriving\tarrive\tVBG\tB-VP\tO' +p24285 +aS'on\ton\tIN\tB-PP\tO' +p24286 +aS'the\tthe\tDT\tB-NP\tO' +p24287 +aS'Floor\tFloor\tNNP\tI-NP\tO' +p24288 +aS',\t,\t,\tO\tO' +p24289 +aS'the\tthe\tDT\tB-NP\tO' +p24290 +aS'patient\tpatient\tNN\tI-NP\tO' +p24291 +aS'had\thave\tVBD\tB-VP\tO' +p24292 +aS'an\tan\tDT\tB-NP\tO' +p24293 +aS'episode\tepisode\tNN\tI-NP\tO' +p24294 +aS'of\tof\tIN\tB-PP\tO' +p24295 +aS'rapid\trapid\tJJ\tB-NP\tO' +p24296 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p24297 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p24298 +aS'which\twhich\tWDT\tB-NP\tO' +p24299 +aS'was\tbe\tVBD\tB-VP\tO' +p24300 +aS'treated\ttreat\tVBN\tI-VP\tO' +p24301 +aS'with\twith\tIN\tB-PP\tO' +p24302 +aS'amiodarone\tamiodarone\tNN\tB-NP\tO' +p24303 +aS'and\tand\tCC\tI-NP\tO' +p24304 +aS'Lopressor\tLopressor\tNN\tI-NP\tO' +p24305 +aS'.\t.\t.\tO\tO' +p24306 +asS'CK 's were mildly elevated but the MB fractions were not remarkable .' +p24307 +(lp24308 +S'CK\tCK\tNN\tB-NP\tB-protein' +p24309 +aS''s\t'\tNNS\tI-NP\tI-protein' +p24310 +aS'were\tbe\tVBD\tB-VP\tO' +p24311 +aS'mildly\tmildly\tRB\tI-VP\tO' +p24312 +aS'elevated\televate\tVBN\tI-VP\tO' +p24313 +aS'but\tbut\tCC\tO\tO' +p24314 +aS'the\tthe\tDT\tB-NP\tO' +p24315 +aS'MB\tMB\tNN\tI-NP\tO' +p24316 +aS'fractions\tfraction\tNNS\tI-NP\tO' +p24317 +aS'were\tbe\tVBD\tB-VP\tO' +p24318 +aS'not\tnot\tRB\tO\tO' +p24319 +aS'remarkable\tremarkable\tJJ\tB-ADJP\tO' +p24320 +aS'.\t.\t.\tO\tO' +p24321 +asS'8. Left foot ulcer status post debridement .' +p24322 +(lp24323 +S'8.\t8.\tLS\tB-NP\tO' +p24324 +aS'Left\tLeft\tNN\tI-NP\tO' +p24325 +aS'foot\tfoot\tNN\tI-NP\tO' +p24326 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p24327 +aS'status\tstatus\tNN\tI-NP\tO' +p24328 +aS'post\tpost\tNN\tI-NP\tO' +p24329 +aS'debridement\tdebridement\tNN\tI-NP\tO' +p24330 +aS'.\t.\t.\tO\tO' +p24331 +asS'2. Lasix .' +p24332 +(lp24333 +S'2.\t2.\tLS\tB-LST\tO' +p24334 +aS'Lasix\tLasix\tNNP\tB-NP\tO' +p24335 +aS'.\t.\t.\tO\tO' +p24336 +asS'She has a son who is actively involved in her care .' +p24337 +(lp24338 +S'She\tShe\tPRP\tB-NP\tO' +p24339 +aS'has\thave\tVBZ\tB-VP\tO' +p24340 +aS'a\ta\tDT\tB-NP\tO' +p24341 +aS'son\tson\tNN\tI-NP\tO' +p24342 +aS'who\twho\tWP\tB-NP\tO' +p24343 +aS'is\tbe\tVBZ\tB-VP\tO' +p24344 +aS'actively\tactively\tRB\tI-VP\tO' +p24345 +aS'involved\tinvolve\tVBN\tI-VP\tO' +p24346 +aS'in\tin\tIN\tB-PP\tO' +p24347 +aS'her\ther\tPRP$\tB-NP\tO' +p24348 +aS'care\tcare\tNN\tI-NP\tO' +p24349 +aS'.\t.\t.\tO\tO' +p24350 +asS'She denies any hypertension , coronary artery disease , chest pain , myocardial infarction or diabetes mellitus .' +p24351 +(lp24352 +S'She\tShe\tPRP\tB-NP\tO' +p24353 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p24354 +aS'any\tany\tDT\tB-NP\tO' +p24355 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p24356 +aS',\t,\t,\tO\tO' +p24357 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p24358 +aS'artery\tartery\tNN\tI-NP\tO' +p24359 +aS'disease\tdisease\tNN\tI-NP\tO' +p24360 +aS',\t,\t,\tO\tO' +p24361 +aS'chest\tchest\tNN\tB-NP\tO' +p24362 +aS'pain\tpain\tNN\tI-NP\tO' +p24363 +aS',\t,\t,\tO\tO' +p24364 +aS'myocardial\tmyocardial\tJJ\tB-NP\tO' +p24365 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p24366 +aS'or\tor\tCC\tI-NP\tO' +p24367 +aS'diabetes\tdiabetes\tNN\tI-NP\tO' +p24368 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p24369 +aS'.\t.\t.\tO\tO' +p24370 +asS'On 11/16/03 , the patient 's pain increased and she presented to an outside hospital with nausea and vomiting and an inability to tolerate p.o. intake .' +p24371 +(lp24372 +S'On\tOn\tIN\tB-PP\tO' +p24373 +aS'11/16/03\t11/16/03\tCD\tB-NP\tO' +p24374 +aS',\t,\t,\tO\tO' +p24375 +aS'the\tthe\tDT\tB-NP\tO' +p24376 +aS'patient\tpatient\tNN\tI-NP\tO' +p24377 +aS''s\t'\tNNS\tI-NP\tO' +p24378 +aS'pain\tpain\tNN\tI-NP\tO' +p24379 +aS'increased\tincrease\tVBD\tB-VP\tO' +p24380 +aS'and\tand\tCC\tO\tO' +p24381 +aS'she\tshe\tPRP\tB-NP\tO' +p24382 +aS'presented\tpresent\tVBD\tB-VP\tO' +p24383 +aS'to\tto\tTO\tB-PP\tO' +p24384 +aS'an\tan\tDT\tB-NP\tO' +p24385 +aS'outside\toutside\tJJ\tI-NP\tO' +p24386 +aS'hospital\thospital\tNN\tI-NP\tO' +p24387 +aS'with\twith\tIN\tB-PP\tO' +p24388 +aS'nausea\tnausea\tNN\tB-NP\tO' +p24389 +aS'and\tand\tCC\tI-NP\tO' +p24390 +aS'vomiting\tvomiting\tNN\tI-NP\tO' +p24391 +aS'and\tand\tCC\tO\tO' +p24392 +aS'an\tan\tDT\tB-NP\tO' +p24393 +aS'inability\tinability\tNN\tI-NP\tO' +p24394 +aS'to\tto\tTO\tB-VP\tO' +p24395 +aS'tolerate\ttolerate\tVB\tI-VP\tO' +p24396 +aS'p.o.\tp.o.\tNN\tB-NP\tO' +p24397 +aS'intake\tintake\tNN\tI-NP\tO' +p24398 +aS'.\t.\t.\tO\tO' +p24399 +asS'Immunizations , the infant received hepatitis B vaccine on 2016-06-02 .' +p24400 +(lp24401 +S'Immunizations\tImmunization\tNNS\tB-NP\tO' +p24402 +aS',\t,\t,\tO\tO' +p24403 +aS'the\tthe\tDT\tB-NP\tO' +p24404 +aS'infant\tinfant\tNN\tI-NP\tO' +p24405 +aS'received\treceive\tVBD\tB-VP\tO' +p24406 +aS'hepatitis\thepatitis\tNN\tB-NP\tO' +p24407 +aS'B\tB\tNN\tI-NP\tO' +p24408 +aS'vaccine\tvaccine\tNN\tI-NP\tO' +p24409 +aS'on\ton\tIN\tB-PP\tO' +p24410 +aS'2016-06-02\t2016-06-02\tCD\tB-NP\tO' +p24411 +aS'.\t.\t.\tO\tO' +p24412 +asS'PERC. NEPH. .' +p24413 +(lp24414 +S'PERC.\tPERC.\tNNP\tB-NP\tO' +p24415 +aS'NEPH.\tNEPH.\tNNP\tI-NP\tO' +p24416 +aS'.\t.\t.\tO\tO' +p24417 +asS'- Pepcid 20 mg po daily' +p24418 +(lp24419 +S'-\t-\tHYPH\tB-NP\tO' +p24420 +aS'Pepcid\tPepcid\tNN\tI-NP\tB-protein' +p24421 +aS'20\t20\tCD\tI-NP\tI-protein' +p24422 +aS'mg\tmg\tNN\tI-NP\tI-protein' +p24423 +aS'po\tpo\tNN\tI-NP\tI-protein' +p24424 +aS'daily\tdaily\tRB\tB-ADVP\tO' +p24425 +asS'The patient has diminished vibration and propioception in the left upper and lower extremity and decreased temperature , light touch and pinprick sensation in the right upper and lower extremity consistent with a high cervical spinal sensory level .' +p24426 +(lp24427 +S'The\tThe\tDT\tB-NP\tO' +p24428 +aS'patient\tpatient\tNN\tI-NP\tO' +p24429 +aS'has\thave\tVBZ\tB-VP\tO' +p24430 +aS'diminished\tdiminish\tVBN\tI-VP\tO' +p24431 +aS'vibration\tvibration\tNN\tB-NP\tO' +p24432 +aS'and\tand\tCC\tI-NP\tO' +p24433 +aS'propioception\tpropioception\tNN\tI-NP\tO' +p24434 +aS'in\tin\tIN\tB-PP\tO' +p24435 +aS'the\tthe\tDT\tB-NP\tO' +p24436 +aS'left\tleft\tJJ\tI-NP\tO' +p24437 +aS'upper\tupper\tJJ\tI-NP\tO' +p24438 +aS'and\tand\tCC\tI-NP\tO' +p24439 +aS'lower\tlow\tJJR\tI-NP\tO' +p24440 +aS'extremity\textremity\tNN\tI-NP\tO' +p24441 +aS'and\tand\tCC\tO\tO' +p24442 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p24443 +aS'temperature\ttemperature\tNN\tB-NP\tO' +p24444 +aS',\t,\t,\tO\tO' +p24445 +aS'light\tlight\tNN\tB-NP\tO' +p24446 +aS'touch\ttouch\tNN\tI-NP\tO' +p24447 +aS'and\tand\tCC\tO\tO' +p24448 +aS'pinprick\tpinprick\tNN\tB-NP\tO' +p24449 +aS'sensation\tsensation\tNN\tI-NP\tO' +p24450 +aS'in\tin\tIN\tB-PP\tO' +p24451 +aS'the\tthe\tDT\tB-NP\tO' +p24452 +aS'right\tright\tJJ\tI-NP\tO' +p24453 +aS'upper\tupper\tJJ\tI-NP\tO' +p24454 +aS'and\tand\tCC\tI-NP\tO' +p24455 +aS'lower\tlow\tJJR\tI-NP\tO' +p24456 +aS'extremity\textremity\tNN\tI-NP\tO' +p24457 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p24458 +aS'with\twith\tIN\tB-PP\tO' +p24459 +aS'a\ta\tDT\tB-NP\tO' +p24460 +aS'high\thigh\tJJ\tI-NP\tO' +p24461 +aS'cervical\tcervical\tJJ\tI-NP\tO' +p24462 +aS'spinal\tspinal\tJJ\tI-NP\tO' +p24463 +aS'sensory\tsensory\tJJ\tI-NP\tO' +p24464 +aS'level\tlevel\tNN\tI-NP\tO' +p24465 +aS'.\t.\t.\tO\tO' +p24466 +asS'Mid-way through his hospital course he developed trilobar pneumonia and this was probably complicated further by adult respiratory distress syndrome and the multi-organ system failure syndrome .' +p24467 +(lp24468 +S'Mid-way\tMid-way\tNN\tB-NP\tO' +p24469 +aS'through\tthrough\tIN\tB-PP\tO' +p24470 +aS'his\this\tPRP$\tB-NP\tO' +p24471 +aS'hospital\thospital\tNN\tI-NP\tO' +p24472 +aS'course\tcourse\tNN\tI-NP\tO' +p24473 +aS'he\the\tPRP\tB-NP\tO' +p24474 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p24475 +aS'trilobar\ttrilobar\tNN\tB-NP\tO' +p24476 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p24477 +aS'and\tand\tCC\tO\tO' +p24478 +aS'this\tthis\tDT\tB-NP\tO' +p24479 +aS'was\tbe\tVBD\tB-VP\tO' +p24480 +aS'probably\tprobably\tRB\tI-VP\tO' +p24481 +aS'complicated\tcomplicate\tVBN\tI-VP\tO' +p24482 +aS'further\tfurther\tRBR\tB-ADVP\tO' +p24483 +aS'by\tby\tIN\tB-PP\tO' +p24484 +aS'adult\tadult\tJJ\tB-NP\tO' +p24485 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p24486 +aS'distress\tdistress\tNN\tI-NP\tO' +p24487 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p24488 +aS'and\tand\tCC\tO\tO' +p24489 +aS'the\tthe\tDT\tB-NP\tO' +p24490 +aS'multi-organ\tmulti-organ\tJJ\tI-NP\tO' +p24491 +aS'system\tsystem\tNN\tI-NP\tO' +p24492 +aS'failure\tfailure\tNN\tI-NP\tO' +p24493 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p24494 +aS'.\t.\t.\tO\tO' +p24495 +asS'His mother and father both died secondary to myocardial infarction .' +p24496 +(lp24497 +S'His\tHis\tPRP$\tB-NP\tO' +p24498 +aS'mother\tmother\tNN\tI-NP\tO' +p24499 +aS'and\tand\tCC\tI-NP\tO' +p24500 +aS'father\tfather\tNN\tI-NP\tO' +p24501 +aS'both\tboth\tDT\tB-NP\tO' +p24502 +aS'died\tdie\tVBD\tB-VP\tO' +p24503 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p24504 +aS'to\tto\tTO\tB-PP\tO' +p24505 +aS'myocardial\tmyocardial\tJJ\tB-NP\tO' +p24506 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p24507 +aS'.\t.\t.\tO\tO' +p24508 +asS'Testes scrotum .' +p24509 +(lp24510 +S'Testes\tTestes\tJJ\tB-NP\tO' +p24511 +aS'scrotum\tscrotum\tNN\tI-NP\tO' +p24512 +aS'.\t.\t.\tO\tO' +p24513 +asS'Patient was admitted to the GYN Oncology SErvice in 1980 by Dr. Slaineaee Ganz .' +p24514 +(lp24515 +S'Patient\tPatient\tNN\tB-NP\tO' +p24516 +aS'was\tbe\tVBD\tB-VP\tO' +p24517 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p24518 +aS'to\tto\tTO\tB-PP\tO' +p24519 +aS'the\tthe\tDT\tB-NP\tO' +p24520 +aS'GYN\tGYN\tNNP\tI-NP\tO' +p24521 +aS'Oncology\tOncology\tNNP\tI-NP\tO' +p24522 +aS'SErvice\tSErvice\tNNP\tI-NP\tO' +p24523 +aS'in\tin\tIN\tB-PP\tO' +p24524 +aS'1980\t1980\tCD\tB-NP\tO' +p24525 +aS'by\tby\tIN\tB-PP\tO' +p24526 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p24527 +aS'Slaineaee\tSlaineaee\tNNP\tI-NP\tO' +p24528 +aS'Ganz\tGanz\tNNP\tI-NP\tO' +p24529 +aS'.\t.\t.\tO\tO' +p24530 +asS'This has still be known to occur during the placement of pacemaker .' +p24531 +(lp24532 +S'This\tThis\tDT\tB-NP\tO' +p24533 +aS'has\thave\tVBZ\tB-VP\tO' +p24534 +aS'still\tstill\tRB\tI-VP\tO' +p24535 +aS'be\tbe\tVB\tI-VP\tO' +p24536 +aS'known\tknow\tVBN\tI-VP\tO' +p24537 +aS'to\tto\tTO\tB-VP\tO' +p24538 +aS'occur\toccur\tVB\tI-VP\tO' +p24539 +aS'during\tduring\tIN\tB-PP\tO' +p24540 +aS'the\tthe\tDT\tB-NP\tO' +p24541 +aS'placement\tplacement\tNN\tI-NP\tO' +p24542 +aS'of\tof\tIN\tB-PP\tO' +p24543 +aS'pacemaker\tpacemaker\tNN\tB-NP\tO' +p24544 +aS'.\t.\t.\tO\tO' +p24545 +asS'He denied any fevers , chills , or night sweats .' +p24546 +(lp24547 +S'He\tHe\tPRP\tB-NP\tO' +p24548 +aS'denied\tdeny\tVBD\tB-VP\tO' +p24549 +aS'any\tany\tDT\tB-NP\tO' +p24550 +aS'fevers\tfever\tNNS\tI-NP\tO' +p24551 +aS',\t,\t,\tO\tO' +p24552 +aS'chills\tchill\tNNS\tB-NP\tO' +p24553 +aS',\t,\t,\tO\tO' +p24554 +aS'or\tor\tCC\tO\tO' +p24555 +aS'night\tnight\tNN\tB-NP\tO' +p24556 +aS'sweats\tsweat\tNNS\tI-NP\tO' +p24557 +aS'.\t.\t.\tO\tO' +p24558 +asS'Two possible markers are anti-Hu syndrome and anti-Yo antibody .' +p24559 +(lp24560 +S'Two\tTwo\tCD\tB-NP\tO' +p24561 +aS'possible\tpossible\tJJ\tI-NP\tO' +p24562 +aS'markers\tmarker\tNNS\tI-NP\tO' +p24563 +aS'are\tbe\tVBP\tB-VP\tO' +p24564 +aS'anti-Hu\tanti-Hu\tJJ\tB-NP\tO' +p24565 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p24566 +aS'and\tand\tCC\tO\tO' +p24567 +aS'anti-Yo\tanti-Yo\tJJ\tB-NP\tB-protein' +p24568 +aS'antibody\tantibody\tNN\tI-NP\tI-protein' +p24569 +aS'.\t.\t.\tO\tO' +p24570 +asS'She also reports difficulty sleeping , daytime sleepiness .' +p24571 +(lp24572 +S'She\tShe\tPRP\tB-NP\tO' +p24573 +aS'also\talso\tRB\tB-ADVP\tO' +p24574 +aS'reports\treport\tVBZ\tB-VP\tO' +p24575 +aS'difficulty\tdifficulty\tNN\tB-NP\tO' +p24576 +aS'sleeping\tsleep\tVBG\tB-VP\tO' +p24577 +aS',\t,\t,\tO\tO' +p24578 +aS'daytime\tdaytime\tNN\tB-NP\tO' +p24579 +aS'sleepiness\tsleepiness\tNN\tI-NP\tO' +p24580 +aS'.\t.\t.\tO\tO' +p24581 +asS'Patient had CTA which showed bilateral pulmonary embolisms .' +p24582 +(lp24583 +S'Patient\tPatient\tNN\tB-NP\tO' +p24584 +aS'had\thave\tVBD\tB-VP\tO' +p24585 +aS'CTA\tCTA\tNN\tB-NP\tB-protein' +p24586 +aS'which\twhich\tWDT\tB-NP\tO' +p24587 +aS'showed\tshow\tVBD\tB-VP\tO' +p24588 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p24589 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p24590 +aS'embolisms\tembolism\tNNS\tI-NP\tO' +p24591 +aS'.\t.\t.\tO\tO' +p24592 +asS'Attending : Donald R Virgil , M.D.' +p24593 +(lp24594 +S'Attending\tAttend\tVBG\tB-VP\tO' +p24595 +aS':\t:\t:\tO\tO' +p24596 +aS'Donald\tDonald\tNNP\tB-NP\tO' +p24597 +aS'R\tR\tNNP\tI-NP\tO' +p24598 +aS'Virgil\tVirgil\tNNP\tI-NP\tO' +p24599 +aS',\t,\t,\tO\tO' +p24600 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p24601 +asS'On the day of admission , she was generally stable and she had no evidence of disease in the pelvis , no bleeding and no other abnormality .' +p24602 +(lp24603 +S'On\tOn\tIN\tB-PP\tO' +p24604 +aS'the\tthe\tDT\tB-NP\tO' +p24605 +aS'day\tday\tNN\tI-NP\tO' +p24606 +aS'of\tof\tIN\tB-PP\tO' +p24607 +aS'admission\tadmission\tNN\tB-NP\tO' +p24608 +aS',\t,\t,\tO\tO' +p24609 +aS'she\tshe\tPRP\tB-NP\tO' +p24610 +aS'was\tbe\tVBD\tB-VP\tO' +p24611 +aS'generally\tgenerally\tRB\tB-ADVP\tO' +p24612 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p24613 +aS'and\tand\tCC\tO\tO' +p24614 +aS'she\tshe\tPRP\tB-NP\tO' +p24615 +aS'had\thave\tVBD\tB-VP\tO' +p24616 +aS'no\tno\tDT\tB-NP\tO' +p24617 +aS'evidence\tevidence\tNN\tI-NP\tO' +p24618 +aS'of\tof\tIN\tB-PP\tO' +p24619 +aS'disease\tdisease\tNN\tB-NP\tO' +p24620 +aS'in\tin\tIN\tB-PP\tO' +p24621 +aS'the\tthe\tDT\tB-NP\tO' +p24622 +aS'pelvis\tpelvis\tNN\tI-NP\tO' +p24623 +aS',\t,\t,\tO\tO' +p24624 +aS'no\tno\tDT\tB-NP\tO' +p24625 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p24626 +aS'and\tand\tCC\tO\tO' +p24627 +aS'no\tno\tDT\tB-NP\tO' +p24628 +aS'other\tother\tJJ\tI-NP\tO' +p24629 +aS'abnormality\tabnormality\tNN\tI-NP\tO' +p24630 +aS'.\t.\t.\tO\tO' +p24631 +asS'His hematocrit was 34.8 .' +p24632 +(lp24633 +S'His\tHis\tPRP$\tB-NP\tO' +p24634 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p24635 +aS'was\tbe\tVBD\tB-VP\tO' +p24636 +aS'34.8\t34.8\tCD\tB-NP\tO' +p24637 +aS'.\t.\t.\tO\tO' +p24638 +asS'- Metoprolol Tartrate 12.5 mg BID' +p24639 +(lp24640 +S'-\t-\tHYPH\tB-NP\tO' +p24641 +aS'Metoprolol\tMetoprolol\tNN\tI-NP\tO' +p24642 +aS'Tartrate\tTartrate\tNN\tI-NP\tO' +p24643 +aS'12.5\t12.5\tCD\tI-NP\tO' +p24644 +aS'mg\tmg\tNN\tI-NP\tO' +p24645 +aS'BID\tBID\tNN\tI-NP\tO' +p24646 +asS'Disp : *180 Tablet( s )*' +p24647 +(lp24648 +S'Disp\tDisp\tNN\tB-NP\tO' +p24649 +aS':\t:\t:\tO\tO' +p24650 +aS'*180\t*180\tCD\tB-NP\tO' +p24651 +aS'Tablet(\tTablet(\t(\tI-NP\tO' +p24652 +aS's\ts\tNN\tI-NP\tO' +p24653 +aS')*\t)*\tSYM\tB-NP\tO' +p24654 +asS'1. Docusate Sodium 100 mg Capsule Sig : One ( 1 ) Capsule PO BID ( 2 times a day ).' +p24655 +(lp24656 +S'1.\t1.\tLS\tB-NP\tO' +p24657 +aS'Docusate\tDocusate\tNN\tI-NP\tO' +p24658 +aS'Sodium\tSodium\tNN\tI-NP\tO' +p24659 +aS'100\t100\tCD\tI-NP\tO' +p24660 +aS'mg\tmg\tNN\tI-NP\tO' +p24661 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p24662 +aS'Sig\tSig\tNNP\tI-NP\tO' +p24663 +aS':\t:\t:\tO\tO' +p24664 +aS'One\tOne\tCD\tB-NP\tO' +p24665 +aS'(\t(\t(\tO\tO' +p24666 +aS'1\t1\tCD\tB-NP\tO' +p24667 +aS')\t)\t)\tO\tO' +p24668 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p24669 +aS'PO\tPO\tNNP\tI-NP\tO' +p24670 +aS'BID\tBID\tNNP\tI-NP\tO' +p24671 +aS'(\t(\t(\tO\tO' +p24672 +aS'2\t2\tCD\tB-NP\tO' +p24673 +aS'times\ttime\tNNS\tI-NP\tO' +p24674 +aS'a\ta\tDT\tB-NP\tO' +p24675 +aS'day\tday\tNN\tI-NP\tO' +p24676 +aS').\t).\t.\tO\tO' +p24677 +asS'Mr. Douglass is being discharged on 2017-01-13 to a rehabilitation facility in good condition .' +p24678 +(lp24679 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p24680 +aS'Douglass\tDouglass\tNNP\tI-NP\tO' +p24681 +aS'is\tbe\tVBZ\tB-VP\tO' +p24682 +aS'being\tbe\tVBG\tI-VP\tO' +p24683 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p24684 +aS'on\ton\tIN\tB-PP\tO' +p24685 +aS'2017-01-13\t2017-01-13\tCD\tB-NP\tO' +p24686 +aS'to\tto\tTO\tB-PP\tO' +p24687 +aS'a\ta\tDT\tB-NP\tO' +p24688 +aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' +p24689 +aS'facility\tfacility\tNN\tI-NP\tO' +p24690 +aS'in\tin\tIN\tB-PP\tO' +p24691 +aS'good\tgood\tJJ\tB-NP\tO' +p24692 +aS'condition\tcondition\tNN\tI-NP\tO' +p24693 +aS'.\t.\t.\tO\tO' +p24694 +asS'The patient tolerated a C5-6 ACDF by Dr. Miezetri Gach quite well .' +p24695 +(lp24696 +S'The\tThe\tDT\tB-NP\tO' +p24697 +aS'patient\tpatient\tNN\tI-NP\tO' +p24698 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p24699 +aS'a\ta\tDT\tB-NP\tO' +p24700 +aS'C5-6\tC5-6\tNN\tI-NP\tB-protein' +p24701 +aS'ACDF\tACDF\tNN\tI-NP\tI-protein' +p24702 +aS'by\tby\tIN\tB-PP\tO' +p24703 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p24704 +aS'Miezetri\tMiezetri\tNNP\tI-NP\tO' +p24705 +aS'Gach\tGach\tNNP\tI-NP\tO' +p24706 +aS'quite\tquite\tRB\tB-ADVP\tO' +p24707 +aS'well\twell\tRB\tI-ADVP\tO' +p24708 +aS'.\t.\t.\tO\tO' +p24709 +asS'This 62 year-old obese male was admitted with cellulitis and presumed bacteremia .' +p24710 +(lp24711 +S'This\tThis\tDT\tB-NP\tO' +p24712 +aS'62\t62\tCD\tI-NP\tO' +p24713 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p24714 +aS'obese\tobese\tJJ\tI-NP\tO' +p24715 +aS'male\tmale\tNN\tI-NP\tO' +p24716 +aS'was\tbe\tVBD\tB-VP\tO' +p24717 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p24718 +aS'with\twith\tIN\tB-PP\tO' +p24719 +aS'cellulitis\tcellulitis\tNN\tB-NP\tO' +p24720 +aS'and\tand\tCC\tO\tO' +p24721 +aS'presumed\tpresume\tVBN\tB-NP\tO' +p24722 +aS'bacteremia\tbacteremia\tNN\tI-NP\tO' +p24723 +aS'.\t.\t.\tO\tO' +p24724 +asS'In terms of his liver abnormalities , it was felt that viral hepatitis was in the differential as well as several opportunistic infections of the liver but also was felt that Bactrim could be a cause of these abnormalities .' +p24725 +(lp24726 +S'In\tIn\tIN\tB-PP\tO' +p24727 +aS'terms\tterm\tNNS\tB-NP\tO' +p24728 +aS'of\tof\tIN\tB-PP\tO' +p24729 +aS'his\this\tPRP$\tB-NP\tO' +p24730 +aS'liver\tliver\tNN\tI-NP\tO' +p24731 +aS'abnormalities\tabnormality\tNNS\tI-NP\tO' +p24732 +aS',\t,\t,\tO\tO' +p24733 +aS'it\tit\tPRP\tB-NP\tO' +p24734 +aS'was\tbe\tVBD\tB-VP\tO' +p24735 +aS'felt\tfeel\tVBN\tI-VP\tO' +p24736 +aS'that\tthat\tIN\tB-SBAR\tO' +p24737 +aS'viral\tviral\tJJ\tB-NP\tO' +p24738 +aS'hepatitis\thepatitis\tNN\tI-NP\tO' +p24739 +aS'was\tbe\tVBD\tB-VP\tO' +p24740 +aS'in\tin\tIN\tB-PP\tO' +p24741 +aS'the\tthe\tDT\tB-NP\tO' +p24742 +aS'differential\tdifferential\tJJ\tI-NP\tO' +p24743 +aS'as\tas\tRB\tB-CONJP\tO' +p24744 +aS'well\twell\tRB\tI-CONJP\tO' +p24745 +aS'as\tas\tIN\tI-CONJP\tO' +p24746 +aS'several\tseveral\tJJ\tB-NP\tO' +p24747 +aS'opportunistic\topportunistic\tJJ\tI-NP\tO' +p24748 +aS'infections\tinfection\tNNS\tI-NP\tO' +p24749 +aS'of\tof\tIN\tB-PP\tO' +p24750 +aS'the\tthe\tDT\tB-NP\tO' +p24751 +aS'liver\tliver\tNN\tI-NP\tO' +p24752 +aS'but\tbut\tCC\tB-CONJP\tO' +p24753 +aS'also\talso\tRB\tI-CONJP\tO' +p24754 +aS'was\tbe\tVBD\tB-VP\tO' +p24755 +aS'felt\tfeel\tVBN\tI-VP\tO' +p24756 +aS'that\tthat\tIN\tB-SBAR\tO' +p24757 +aS'Bactrim\tBactrim\tNNP\tB-NP\tO' +p24758 +aS'could\tcould\tMD\tB-VP\tO' +p24759 +aS'be\tbe\tVB\tI-VP\tO' +p24760 +aS'a\ta\tDT\tB-NP\tO' +p24761 +aS'cause\tcause\tNN\tI-NP\tO' +p24762 +aS'of\tof\tIN\tB-PP\tO' +p24763 +aS'these\tthese\tDT\tB-NP\tO' +p24764 +aS'abnormalities\tabnormality\tNNS\tI-NP\tO' +p24765 +aS'.\t.\t.\tO\tO' +p24766 +asS'The examination the abdomen was benign .' +p24767 +(lp24768 +S'The\tThe\tDT\tB-NP\tO' +p24769 +aS'examination\texamination\tNN\tI-NP\tO' +p24770 +aS'the\tthe\tDT\tB-NP\tO' +p24771 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p24772 +aS'was\tbe\tVBD\tB-VP\tO' +p24773 +aS'benign\tbenign\tJJ\tB-ADJP\tO' +p24774 +aS'.\t.\t.\tO\tO' +p24775 +asS'Signed electronically by : DR. Stephen Williams on : SAT 2011-10-08 9:45 AM' +p24776 +(lp24777 +S'Signed\tSign\tVBN\tB-VP\tO' +p24778 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p24779 +aS'by\tby\tIN\tB-PP\tO' +p24780 +aS':\t:\t:\tO\tO' +p24781 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p24782 +aS'Stephen\tStephen\tNNP\tI-NP\tO' +p24783 +aS'Williams\tWilliams\tNNP\tI-NP\tO' +p24784 +aS'on\ton\tIN\tB-PP\tO' +p24785 +aS':\t:\t:\tO\tO' +p24786 +aS'SAT\tSAT\tNN\tB-NP\tO' +p24787 +aS'2011-10-08\t2011-10-08\tCD\tI-NP\tO' +p24788 +aS'9:45\t9:45\tCD\tI-NP\tO' +p24789 +aS'AM\tAM\tNN\tI-NP\tO' +p24790 +asS'Provider : Laurie , Paul G. ( 858 ) 481-2816 Call to schedule appointment .' +p24791 +(lp24792 +S'Provider\tProvider\tNN\tB-NP\tO' +p24793 +aS':\t:\t:\tO\tO' +p24794 +aS'Laurie\tLaurie\tNNP\tB-NP\tO' +p24795 +aS',\t,\t,\tO\tO' +p24796 +aS'Paul\tPaul\tNNP\tB-NP\tO' +p24797 +aS'G.\tG.\tNNP\tI-NP\tO' +p24798 +aS'(\t(\t(\tO\tO' +p24799 +aS'858\t858\tCD\tB-NP\tO' +p24800 +aS')\t)\t)\tO\tO' +p24801 +aS'481-2816\t481-2816\tCD\tB-NP\tO' +p24802 +aS'Call\tCall\tNN\tI-NP\tO' +p24803 +aS'to\tto\tTO\tB-PP\tO' +p24804 +aS'schedule\tschedule\tNN\tB-NP\tO' +p24805 +aS'appointment\tappointment\tNN\tI-NP\tO' +p24806 +aS'.\t.\t.\tO\tO' +p24807 +asS'Additionaly surveillance cultures were drawn daily and the patient was transferred back to the floor with no subsequent pressor requirement .' +p24808 +(lp24809 +S'Additionaly\tAdditionaly\tRB\tB-ADVP\tO' +p24810 +aS'surveillance\tsurveillance\tNN\tB-NP\tO' +p24811 +aS'cultures\tculture\tNNS\tI-NP\tO' +p24812 +aS'were\tbe\tVBD\tB-VP\tO' +p24813 +aS'drawn\tdraw\tVBN\tI-VP\tO' +p24814 +aS'daily\tdaily\tRB\tB-ADVP\tO' +p24815 +aS'and\tand\tCC\tO\tO' +p24816 +aS'the\tthe\tDT\tB-NP\tO' +p24817 +aS'patient\tpatient\tNN\tI-NP\tO' +p24818 +aS'was\tbe\tVBD\tB-VP\tO' +p24819 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p24820 +aS'back\tback\tRB\tB-ADVP\tO' +p24821 +aS'to\tto\tTO\tB-PP\tO' +p24822 +aS'the\tthe\tDT\tB-NP\tO' +p24823 +aS'floor\tfloor\tNN\tI-NP\tO' +p24824 +aS'with\twith\tIN\tB-PP\tO' +p24825 +aS'no\tno\tDT\tB-NP\tO' +p24826 +aS'subsequent\tsubsequent\tJJ\tI-NP\tO' +p24827 +aS'pressor\tpressor\tNN\tI-NP\tO' +p24828 +aS'requirement\trequirement\tNN\tI-NP\tO' +p24829 +aS'.\t.\t.\tO\tO' +p24830 +asS'This is a 44 year-old right handed woman with Down 's syndrome who presents with falling and a decrease in her activities of daily living .' +p24831 +(lp24832 +S'This\tThis\tDT\tB-NP\tO' +p24833 +aS'is\tbe\tVBZ\tB-VP\tO' +p24834 +aS'a\ta\tDT\tB-NP\tO' +p24835 +aS'44\t44\tCD\tI-NP\tO' +p24836 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p24837 +aS'right\tright\tJJ\tI-NP\tO' +p24838 +aS'handed\thanded\tJJ\tI-NP\tO' +p24839 +aS'woman\twoman\tNN\tI-NP\tO' +p24840 +aS'with\twith\tIN\tB-PP\tO' +p24841 +aS'Down\tDown\tNN\tB-NP\tO' +p24842 +aS''s\t'\tNNS\tI-NP\tO' +p24843 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p24844 +aS'who\twho\tWP\tB-NP\tO' +p24845 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p24846 +aS'with\twith\tIN\tB-PP\tO' +p24847 +aS'falling\tfall\tVBG\tB-VP\tO' +p24848 +aS'and\tand\tCC\tO\tO' +p24849 +aS'a\ta\tDT\tB-NP\tO' +p24850 +aS'decrease\tdecrease\tNN\tI-NP\tO' +p24851 +aS'in\tin\tIN\tB-PP\tO' +p24852 +aS'her\ther\tPRP$\tB-NP\tO' +p24853 +aS'activities\tactivity\tNNS\tI-NP\tO' +p24854 +aS'of\tof\tIN\tB-PP\tO' +p24855 +aS'daily\tdaily\tJJ\tB-NP\tO' +p24856 +aS'living\tliving\tNN\tI-NP\tO' +p24857 +aS'.\t.\t.\tO\tO' +p24858 +asS'CORONARY ARTERY DISEASE .' +p24859 +(lp24860 +S'CORONARY\tCORONARY\tNN\tB-NP\tO' +p24861 +aS'ARTERY\tARTERY\tNN\tI-NP\tO' +p24862 +aS'DISEASE\tDISEASE\tNN\tI-NP\tO' +p24863 +aS'.\t.\t.\tO\tO' +p24864 +asS'7. Intra-abdominal infection .' +p24865 +(lp24866 +S'7.\t7.\tLS\tB-NP\tO' +p24867 +aS'Intra-abdominal\tIntra-abdominal\tJJ\tI-NP\tO' +p24868 +aS'infection\tinfection\tNN\tI-NP\tO' +p24869 +aS'.\t.\t.\tO\tO' +p24870 +asS'3. Biventricular systolic function is unchanged .' +p24871 +(lp24872 +S'3.\t3.\tLS\tB-NP\tO' +p24873 +aS'Biventricular\tBiventricular\tJJ\tI-NP\tO' +p24874 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p24875 +aS'function\tfunction\tNN\tI-NP\tO' +p24876 +aS'is\tbe\tVBZ\tB-VP\tO' +p24877 +aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' +p24878 +aS'.\t.\t.\tO\tO' +p24879 +asS'7. Dilantin 100 mg IV tid which can be changed to a po regimen in seven days .' +p24880 +(lp24881 +S'7.\t7.\tCD\tB-NP\tO' +p24882 +aS'Dilantin\tDilantin\tNN\tI-NP\tO' +p24883 +aS'100\t100\tCD\tB-NP\tO' +p24884 +aS'mg\tmg\tNN\tI-NP\tO' +p24885 +aS'IV\tIV\tCD\tB-NP\tO' +p24886 +aS'tid\ttid\tNN\tI-NP\tO' +p24887 +aS'which\twhich\tWDT\tB-NP\tO' +p24888 +aS'can\tcan\tMD\tB-VP\tO' +p24889 +aS'be\tbe\tVB\tI-VP\tO' +p24890 +aS'changed\tchange\tVBN\tI-VP\tO' +p24891 +aS'to\tto\tTO\tB-PP\tO' +p24892 +aS'a\ta\tDT\tB-NP\tO' +p24893 +aS'po\tpo\tNN\tI-NP\tO' +p24894 +aS'regimen\tregimen\tNN\tI-NP\tO' +p24895 +aS'in\tin\tIN\tB-PP\tO' +p24896 +aS'seven\tseven\tCD\tB-NP\tO' +p24897 +aS'days\tday\tNNS\tI-NP\tO' +p24898 +aS'.\t.\t.\tO\tO' +p24899 +asS'The patient was rate controlled and transferred to the Stillman Infirmary for emergent cardiac catheterization .' +p24900 +(lp24901 +S'The\tThe\tDT\tB-NP\tO' +p24902 +aS'patient\tpatient\tNN\tI-NP\tO' +p24903 +aS'was\tbe\tVBD\tB-VP\tO' +p24904 +aS'rate\trate\tNN\tI-VP\tO' +p24905 +aS'controlled\tcontrol\tVBN\tI-VP\tO' +p24906 +aS'and\tand\tCC\tO\tO' +p24907 +aS'transferred\ttransfer\tVBN\tB-VP\tO' +p24908 +aS'to\tto\tTO\tB-PP\tO' +p24909 +aS'the\tthe\tDT\tB-NP\tO' +p24910 +aS'Stillman\tStillman\tNNP\tI-NP\tO' +p24911 +aS'Infirmary\tInfirmary\tNNP\tI-NP\tO' +p24912 +aS'for\tfor\tIN\tB-PP\tO' +p24913 +aS'emergent\temergent\tJJ\tB-NP\tO' +p24914 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p24915 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p24916 +aS'.\t.\t.\tO\tO' +p24917 +asS'Heparin was discontinued because of the risk of intercerebral hemorrhage .' +p24918 +(lp24919 +S'Heparin\tHeparin\tNN\tB-NP\tO' +p24920 +aS'was\tbe\tVBD\tB-VP\tO' +p24921 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p24922 +aS'because\tbecause\tRB\tB-PP\tO' +p24923 +aS'of\tof\tIN\tI-PP\tO' +p24924 +aS'the\tthe\tDT\tB-NP\tO' +p24925 +aS'risk\trisk\tNN\tI-NP\tO' +p24926 +aS'of\tof\tIN\tB-PP\tO' +p24927 +aS'intercerebral\tintercerebral\tJJ\tB-NP\tO' +p24928 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p24929 +aS'.\t.\t.\tO\tO' +p24930 +asS'S1 , S2 .' +p24931 +(lp24932 +S'S1\tS1\tNN\tB-NP\tB-protein' +p24933 +aS',\t,\t,\tO\tO' +p24934 +aS'S2\tS2\tNN\tB-NP\tB-protein' +p24935 +aS'.\t.\t.\tO\tO' +p24936 +asS'Indeed , he was treated with diuretics and nitrates along with cessation of his aspirin , and he was put on IV Heparin .' +p24937 +(lp24938 +S'Indeed\tIndeed\tRB\tB-ADVP\tO' +p24939 +aS',\t,\t,\tO\tO' +p24940 +aS'he\the\tPRP\tB-NP\tO' +p24941 +aS'was\tbe\tVBD\tB-VP\tO' +p24942 +aS'treated\ttreat\tVBN\tI-VP\tO' +p24943 +aS'with\twith\tIN\tB-PP\tO' +p24944 +aS'diuretics\tdiuretic\tNNS\tB-NP\tO' +p24945 +aS'and\tand\tCC\tI-NP\tO' +p24946 +aS'nitrates\tnitrate\tNNS\tI-NP\tO' +p24947 +aS'along\talong\tIN\tB-PP\tO' +p24948 +aS'with\twith\tIN\tB-PP\tO' +p24949 +aS'cessation\tcessation\tNN\tB-NP\tO' +p24950 +aS'of\tof\tIN\tB-PP\tO' +p24951 +aS'his\this\tPRP$\tB-NP\tO' +p24952 +aS'aspirin\taspirin\tNN\tI-NP\tO' +p24953 +aS',\t,\t,\tO\tO' +p24954 +aS'and\tand\tCC\tO\tO' +p24955 +aS'he\the\tPRP\tB-NP\tO' +p24956 +aS'was\tbe\tVBD\tB-VP\tO' +p24957 +aS'put\tput\tVBN\tI-VP\tO' +p24958 +aS'on\ton\tIN\tB-PP\tO' +p24959 +aS'IV\tIV\tCD\tB-NP\tO' +p24960 +aS'Heparin\tHeparin\tNN\tI-NP\tO' +p24961 +aS'.\t.\t.\tO\tO' +p24962 +asS'she was transfused with 5 units of PRBC in the ICU andsent to the Lahey Clinic - North Shore .' +p24963 +(lp24964 +S'she\tshe\tPRP\tB-NP\tO' +p24965 +aS'was\tbe\tVBD\tB-VP\tO' +p24966 +aS'transfused\ttransfuse\tVBN\tI-VP\tO' +p24967 +aS'with\twith\tIN\tB-PP\tO' +p24968 +aS'5\t5\tCD\tB-NP\tO' +p24969 +aS'units\tunit\tNNS\tI-NP\tO' +p24970 +aS'of\tof\tIN\tB-PP\tO' +p24971 +aS'PRBC\tPRBC\tNN\tB-NP\tB-protein' +p24972 +aS'in\tin\tIN\tB-PP\tO' +p24973 +aS'the\tthe\tDT\tB-NP\tO' +p24974 +aS'ICU\tICU\tNN\tI-NP\tO' +p24975 +aS'andsent\tandsent\tNN\tI-NP\tO' +p24976 +aS'to\tto\tTO\tB-PP\tO' +p24977 +aS'the\tthe\tDT\tB-NP\tO' +p24978 +aS'Lahey\tLahey\tNNP\tI-NP\tO' +p24979 +aS'Clinic\tClinic\tNNP\tI-NP\tO' +p24980 +aS'-\t-\tHYPH\tI-NP\tO' +p24981 +aS'North\tNorth\tNNP\tB-NP\tO' +p24982 +aS'Shore\tShore\tNNP\tI-NP\tO' +p24983 +aS'.\t.\t.\tO\tO' +p24984 +asS'Chest x-ray that was questionable left lower lobe infiltrate .' +p24985 +(lp24986 +S'Chest\tCh\tJJS\tB-NP\tO' +p24987 +aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' +p24988 +aS'that\tthat\tWDT\tB-NP\tO' +p24989 +aS'was\tbe\tVBD\tB-VP\tO' +p24990 +aS'questionable\tquestionable\tJJ\tB-ADJP\tO' +p24991 +aS'left\tleave\tVBD\tB-VP\tO' +p24992 +aS'lower\tlow\tJJR\tB-NP\tO' +p24993 +aS'lobe\tlobe\tNN\tI-NP\tO' +p24994 +aS'infiltrate\tinfiltrate\tNN\tI-NP\tO' +p24995 +aS'.\t.\t.\tO\tO' +p24996 +asS'He was found to be healthy .' +p24997 +(lp24998 +S'He\tHe\tPRP\tB-NP\tO' +p24999 +aS'was\tbe\tVBD\tB-VP\tO' +p25000 +aS'found\tfind\tVBN\tI-VP\tO' +p25001 +aS'to\tto\tTO\tI-VP\tO' +p25002 +aS'be\tbe\tVB\tI-VP\tO' +p25003 +aS'healthy\thealthy\tJJ\tB-ADJP\tO' +p25004 +aS'.\t.\t.\tO\tO' +p25005 +asS'She became more alert during the remainder of the exam .' +p25006 +(lp25007 +S'She\tShe\tPRP\tB-NP\tO' +p25008 +aS'became\tbecome\tVBD\tB-VP\tO' +p25009 +aS'more\tmore\tRBR\tB-ADJP\tO' +p25010 +aS'alert\talert\tJJ\tI-ADJP\tO' +p25011 +aS'during\tduring\tIN\tB-PP\tO' +p25012 +aS'the\tthe\tDT\tB-NP\tO' +p25013 +aS'remainder\tremainder\tNN\tI-NP\tO' +p25014 +aS'of\tof\tIN\tB-PP\tO' +p25015 +aS'the\tthe\tDT\tB-NP\tO' +p25016 +aS'exam\texam\tNN\tI-NP\tO' +p25017 +aS'.\t.\t.\tO\tO' +p25018 +asS'Mychelia required two transfusions during her hospital stay .' +p25019 +(lp25020 +S'Mychelia\tMychelia\tNNP\tB-NP\tO' +p25021 +aS'required\trequire\tVBD\tB-VP\tO' +p25022 +aS'two\ttwo\tCD\tB-NP\tO' +p25023 +aS'transfusions\ttransfusion\tNNS\tI-NP\tO' +p25024 +aS'during\tduring\tIN\tB-PP\tO' +p25025 +aS'her\ther\tPRP$\tB-NP\tO' +p25026 +aS'hospital\thospital\tNN\tI-NP\tO' +p25027 +aS'stay\tstay\tNN\tI-NP\tO' +p25028 +aS'.\t.\t.\tO\tO' +p25029 +asS'The patient 's major improvement came after the first two days with brisk diuresis with Lasix .' +p25030 +(lp25031 +S'The\tThe\tDT\tB-NP\tO' +p25032 +aS'patient\tpatient\tNN\tI-NP\tO' +p25033 +aS''s\t'\tNNS\tI-NP\tO' +p25034 +aS'major\tmajor\tJJ\tB-NP\tO' +p25035 +aS'improvement\timprovement\tNN\tI-NP\tO' +p25036 +aS'came\tcome\tVBD\tB-VP\tO' +p25037 +aS'after\tafter\tIN\tB-PP\tO' +p25038 +aS'the\tthe\tDT\tB-NP\tO' +p25039 +aS'first\tfirst\tJJ\tI-NP\tO' +p25040 +aS'two\ttwo\tCD\tI-NP\tO' +p25041 +aS'days\tday\tNNS\tI-NP\tO' +p25042 +aS'with\twith\tIN\tB-PP\tO' +p25043 +aS'brisk\tbrisk\tJJ\tB-NP\tO' +p25044 +aS'diuresis\tdiuresis\tNN\tI-NP\tO' +p25045 +aS'with\twith\tIN\tB-PP\tO' +p25046 +aS'Lasix\tLasix\tNNP\tB-NP\tO' +p25047 +aS'.\t.\t.\tO\tO' +p25048 +asS'He is married .' +p25049 +(lp25050 +S'He\tHe\tPRP\tB-NP\tO' +p25051 +aS'is\tbe\tVBZ\tB-VP\tO' +p25052 +aS'married\tmarry\tVBN\tI-VP\tO' +p25053 +aS'.\t.\t.\tO\tO' +p25054 +asS'She was noted to have low urine output at times .' +p25055 +(lp25056 +S'She\tShe\tPRP\tB-NP\tO' +p25057 +aS'was\tbe\tVBD\tB-VP\tO' +p25058 +aS'noted\tnote\tVBN\tI-VP\tO' +p25059 +aS'to\tto\tTO\tI-VP\tO' +p25060 +aS'have\thave\tVB\tI-VP\tO' +p25061 +aS'low\tlow\tJJ\tB-NP\tO' +p25062 +aS'urine\turine\tNN\tI-NP\tO' +p25063 +aS'output\toutput\tNN\tI-NP\tO' +p25064 +aS'at\tat\tIN\tB-PP\tO' +p25065 +aS'times\ttime\tNNS\tB-NP\tO' +p25066 +aS'.\t.\t.\tO\tO' +p25067 +asS'S1/S2 .' +p25068 +(lp25069 +S'S1/S2\tS1/S2\tNN\tB-NP\tO' +p25070 +aS'.\t.\t.\tO\tO' +p25071 +asS'Skin is warm and dry with decreased skin turgor .' +p25072 +(lp25073 +S'Skin\tSkin\tNNP\tB-NP\tO' +p25074 +aS'is\tbe\tVBZ\tB-VP\tO' +p25075 +aS'warm\twarm\tJJ\tB-ADJP\tO' +p25076 +aS'and\tand\tCC\tI-ADJP\tO' +p25077 +aS'dry\tdry\tJJ\tI-ADJP\tO' +p25078 +aS'with\twith\tIN\tB-PP\tO' +p25079 +aS'decreased\tdecrease\tVBN\tB-NP\tO' +p25080 +aS'skin\tskin\tNN\tI-NP\tO' +p25081 +aS'turgor\tturgor\tNN\tI-NP\tO' +p25082 +aS'.\t.\t.\tO\tO' +p25083 +asS'6. Back surgery .' +p25084 +(lp25085 +S'6.\t6.\tLS\tB-NP\tO' +p25086 +aS'Back\tBack\tNN\tI-NP\tO' +p25087 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p25088 +aS'.\t.\t.\tO\tO' +p25089 +asS'L PICC ( 2017-02-14 ) .' +p25090 +(lp25091 +S'L\tL\tNN\tB-NP\tO' +p25092 +aS'PICC\tPICC\tNN\tI-NP\tO' +p25093 +aS'(\t(\t(\tO\tO' +p25094 +aS'2017-02-14\t2017-02-14\tCD\tB-NP\tO' +p25095 +aS')\t)\t)\tO\tO' +p25096 +aS'.\t.\t.\tO\tO' +p25097 +asS'Incision with staples , open to air , clean and dry .' +p25098 +(lp25099 +S'Incision\tIncision\tNN\tB-NP\tO' +p25100 +aS'with\twith\tIN\tB-PP\tO' +p25101 +aS'staples\tstaple\tNNS\tB-NP\tO' +p25102 +aS',\t,\t,\tO\tO' +p25103 +aS'open\topen\tJJ\tB-ADJP\tO' +p25104 +aS'to\tto\tTO\tB-PP\tO' +p25105 +aS'air\tair\tNN\tB-NP\tO' +p25106 +aS',\t,\t,\tO\tO' +p25107 +aS'clean\tclean\tJJ\tB-ADJP\tO' +p25108 +aS'and\tand\tCC\tI-ADJP\tO' +p25109 +aS'dry\tdry\tJJ\tI-ADJP\tO' +p25110 +aS'.\t.\t.\tO\tO' +p25111 +asS'3. Codeine for cough .' +p25112 +(lp25113 +S'3.\t3.\tLS\tB-NP\tO' +p25114 +aS'Codeine\tCodeine\tNN\tI-NP\tO' +p25115 +aS'for\tfor\tIN\tB-PP\tO' +p25116 +aS'cough\tcough\tNN\tB-NP\tO' +p25117 +aS'.\t.\t.\tO\tO' +p25118 +asS'The patient smoked one pack of cigarettes per day from age 16 to 50 .' +p25119 +(lp25120 +S'The\tThe\tDT\tB-NP\tO' +p25121 +aS'patient\tpatient\tNN\tI-NP\tO' +p25122 +aS'smoked\tsmoke\tVBD\tB-VP\tO' +p25123 +aS'one\tone\tCD\tB-NP\tO' +p25124 +aS'pack\tpack\tNN\tI-NP\tO' +p25125 +aS'of\tof\tIN\tB-PP\tO' +p25126 +aS'cigarettes\tcigarette\tNNS\tB-NP\tO' +p25127 +aS'per\tper\tIN\tB-PP\tO' +p25128 +aS'day\tday\tNN\tB-NP\tO' +p25129 +aS'from\tfrom\tIN\tB-PP\tO' +p25130 +aS'age\tage\tNN\tB-NP\tO' +p25131 +aS'16\t16\tCD\tI-NP\tO' +p25132 +aS'to\tto\tTO\tB-PP\tO' +p25133 +aS'50\t50\tCD\tB-NP\tO' +p25134 +aS'.\t.\t.\tO\tO' +p25135 +asS'Follow-up chest CT on October 26 , 1997 at the Ver Medical Center showed multiple pulmonary nodules in abundant number , very small nodes seen in the mediastinum but no hilar adenopathy , no hepatosplenomegaly or adrenal mass was noted .' +p25136 +(lp25137 +S'Follow-up\tFollow-up\tJJ\tB-NP\tO' +p25138 +aS'chest\tchest\tNN\tI-NP\tO' +p25139 +aS'CT\tCT\tNN\tI-NP\tO' +p25140 +aS'on\ton\tIN\tB-PP\tO' +p25141 +aS'October\tOctober\tNNP\tB-NP\tO' +p25142 +aS'26\t26\tCD\tI-NP\tO' +p25143 +aS',\t,\t,\tI-NP\tO' +p25144 +aS'1997\t1997\tCD\tI-NP\tO' +p25145 +aS'at\tat\tIN\tB-PP\tO' +p25146 +aS'the\tthe\tDT\tB-NP\tO' +p25147 +aS'Ver\tVer\tNNP\tI-NP\tO' +p25148 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p25149 +aS'Center\tCenter\tNNP\tI-NP\tO' +p25150 +aS'showed\tshow\tVBD\tB-VP\tO' +p25151 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p25152 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p25153 +aS'nodules\tnodule\tNNS\tI-NP\tO' +p25154 +aS'in\tin\tIN\tB-PP\tO' +p25155 +aS'abundant\tabundant\tJJ\tB-NP\tO' +p25156 +aS'number\tnumber\tNN\tI-NP\tO' +p25157 +aS',\t,\t,\tO\tO' +p25158 +aS'very\tvery\tRB\tB-NP\tO' +p25159 +aS'small\tsmall\tJJ\tI-NP\tO' +p25160 +aS'nodes\tnode\tNNS\tI-NP\tO' +p25161 +aS'seen\tsee\tVBN\tB-VP\tO' +p25162 +aS'in\tin\tIN\tB-PP\tO' +p25163 +aS'the\tthe\tDT\tB-NP\tO' +p25164 +aS'mediastinum\tmediastinum\tNN\tI-NP\tO' +p25165 +aS'but\tbut\tCC\tO\tO' +p25166 +aS'no\tno\tDT\tB-NP\tO' +p25167 +aS'hilar\thilar\tJJ\tI-NP\tO' +p25168 +aS'adenopathy\tadenopathy\tNN\tI-NP\tO' +p25169 +aS',\t,\t,\tO\tO' +p25170 +aS'no\tno\tDT\tB-NP\tO' +p25171 +aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tI-NP\tO' +p25172 +aS'or\tor\tCC\tO\tO' +p25173 +aS'adrenal\tadrenal\tJJ\tB-NP\tO' +p25174 +aS'mass\tmass\tNN\tI-NP\tO' +p25175 +aS'was\tbe\tVBD\tB-VP\tO' +p25176 +aS'noted\tnote\tVBN\tI-VP\tO' +p25177 +aS'.\t.\t.\tO\tO' +p25178 +asS'At this time , an Infectious Disease consult was obtained , and the recommendation was to discontinue the ampicillin , gentamicin and clindamycin , and start her on intravenous Unasyn .' +p25179 +(lp25180 +S'At\tAt\tIN\tB-PP\tO' +p25181 +aS'this\tthis\tDT\tB-NP\tO' +p25182 +aS'time\ttime\tNN\tI-NP\tO' +p25183 +aS',\t,\t,\tO\tO' +p25184 +aS'an\tan\tDT\tB-NP\tO' +p25185 +aS'Infectious\tInfectious\tJJ\tI-NP\tO' +p25186 +aS'Disease\tDisease\tNN\tI-NP\tO' +p25187 +aS'consult\tconsult\tNN\tI-NP\tO' +p25188 +aS'was\tbe\tVBD\tB-VP\tO' +p25189 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p25190 +aS',\t,\t,\tO\tO' +p25191 +aS'and\tand\tCC\tO\tO' +p25192 +aS'the\tthe\tDT\tB-NP\tO' +p25193 +aS'recommendation\trecommendation\tNN\tI-NP\tO' +p25194 +aS'was\tbe\tVBD\tB-VP\tO' +p25195 +aS'to\tto\tTO\tB-VP\tO' +p25196 +aS'discontinue\tdiscontinue\tVB\tI-VP\tO' +p25197 +aS'the\tthe\tDT\tB-NP\tO' +p25198 +aS'ampicillin\tampicillin\tNN\tI-NP\tO' +p25199 +aS',\t,\t,\tI-NP\tO' +p25200 +aS'gentamicin\tgentamicin\tNN\tI-NP\tO' +p25201 +aS'and\tand\tCC\tI-NP\tO' +p25202 +aS'clindamycin\tclindamycin\tNN\tI-NP\tO' +p25203 +aS',\t,\t,\tO\tO' +p25204 +aS'and\tand\tCC\tO\tO' +p25205 +aS'start\tstart\tVB\tB-VP\tO' +p25206 +aS'her\ther\tPRP\tB-NP\tO' +p25207 +aS'on\ton\tIN\tB-PP\tO' +p25208 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p25209 +aS'Unasyn\tUnasyn\tNN\tI-NP\tO' +p25210 +aS'.\t.\t.\tO\tO' +p25211 +asS'Visual fields were full to confrontation .' +p25212 +(lp25213 +S'Visual\tVisual\tJJ\tB-NP\tO' +p25214 +aS'fields\tfield\tNNS\tI-NP\tO' +p25215 +aS'were\tbe\tVBD\tB-VP\tO' +p25216 +aS'full\tfull\tJJ\tB-ADJP\tO' +p25217 +aS'to\tto\tTO\tB-PP\tO' +p25218 +aS'confrontation\tconfrontation\tNN\tB-NP\tO' +p25219 +aS'.\t.\t.\tO\tO' +p25220 +asS'Infant was extubated on day of life four to CPAP and transitioned to room air on day of life six .' +p25221 +(lp25222 +S'Infant\tInfant\tNN\tB-NP\tO' +p25223 +aS'was\tbe\tVBD\tB-VP\tO' +p25224 +aS'extubated\textubate\tVBN\tI-VP\tO' +p25225 +aS'on\ton\tIN\tB-PP\tO' +p25226 +aS'day\tday\tNN\tB-NP\tO' +p25227 +aS'of\tof\tIN\tB-PP\tO' +p25228 +aS'life\tlife\tNN\tB-NP\tO' +p25229 +aS'four\tfour\tCD\tI-NP\tO' +p25230 +aS'to\tto\tTO\tB-PP\tO' +p25231 +aS'CPAP\tCPAP\tNN\tB-NP\tB-protein' +p25232 +aS'and\tand\tCC\tO\tO' +p25233 +aS'transitioned\ttransitione\tVBN\tB-VP\tO' +p25234 +aS'to\tto\tTO\tB-PP\tO' +p25235 +aS'room\troom\tNN\tB-NP\tO' +p25236 +aS'air\tair\tNN\tI-NP\tO' +p25237 +aS'on\ton\tIN\tB-PP\tO' +p25238 +aS'day\tday\tNN\tB-NP\tO' +p25239 +aS'of\tof\tIN\tB-PP\tO' +p25240 +aS'life\tlife\tNN\tB-NP\tO' +p25241 +aS'six\tsix\tCD\tI-NP\tO' +p25242 +aS'.\t.\t.\tO\tO' +p25243 +asS'Therefore , she received 1L of D5 , and her sugars were elevated to 400 the day of discharge .' +p25244 +(lp25245 +S'Therefore\tTherefore\tRB\tB-ADVP\tO' +p25246 +aS',\t,\t,\tO\tO' +p25247 +aS'she\tshe\tPRP\tB-NP\tO' +p25248 +aS'received\treceive\tVBD\tB-VP\tO' +p25249 +aS'1L\t1L\tNN\tB-NP\tO' +p25250 +aS'of\tof\tIN\tB-PP\tO' +p25251 +aS'D5\tD5\tNN\tB-NP\tB-protein' +p25252 +aS',\t,\t,\tO\tO' +p25253 +aS'and\tand\tCC\tO\tO' +p25254 +aS'her\ther\tPRP$\tB-NP\tO' +p25255 +aS'sugars\tsugar\tNNS\tI-NP\tO' +p25256 +aS'were\tbe\tVBD\tB-VP\tO' +p25257 +aS'elevated\televate\tVBN\tI-VP\tO' +p25258 +aS'to\tto\tTO\tB-PP\tO' +p25259 +aS'400\t400\tCD\tB-NP\tO' +p25260 +aS'the\tthe\tDT\tB-NP\tO' +p25261 +aS'day\tday\tNN\tI-NP\tO' +p25262 +aS'of\tof\tIN\tB-PP\tO' +p25263 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p25264 +aS'.\t.\t.\tO\tO' +p25265 +asS"The patient 's pericardium was left open ; lines placed included a right radial line and a right IJ line ; both ventricular and atrial wires were placed ; two mediastinal tubes were placed ." +p25266 +(lp25267 +S'The\tThe\tDT\tB-NP\tO' +p25268 +aS'patient\tpatient\tNN\tI-NP\tO' +p25269 +aS"'s\t's\tPOS\tB-NP\tO" +p25270 +aS'pericardium\tpericardium\tNN\tI-NP\tO' +p25271 +aS'was\tbe\tVBD\tB-VP\tO' +p25272 +aS'left\tleave\tVBN\tI-VP\tO' +p25273 +aS'open\topen\tJJ\tB-ADJP\tO' +p25274 +aS';\t;\t:\tO\tO' +p25275 +aS'lines\tline\tNNS\tB-NP\tO' +p25276 +aS'placed\tplace\tVBN\tB-VP\tO' +p25277 +aS'included\tinclude\tVBD\tB-VP\tO' +p25278 +aS'a\ta\tDT\tB-NP\tO' +p25279 +aS'right\tright\tJJ\tI-NP\tB-cell_line' +p25280 +aS'radial\tradial\tJJ\tI-NP\tI-cell_line' +p25281 +aS'line\tline\tNN\tI-NP\tI-cell_line' +p25282 +aS'and\tand\tCC\tO\tO' +p25283 +aS'a\ta\tDT\tB-NP\tO' +p25284 +aS'right\tright\tJJ\tI-NP\tB-cell_line' +p25285 +aS'IJ\tIJ\tNN\tI-NP\tI-cell_line' +p25286 +aS'line\tline\tNN\tI-NP\tI-cell_line' +p25287 +aS';\t;\t:\tO\tO' +p25288 +aS'both\tboth\tDT\tB-NP\tO' +p25289 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p25290 +aS'and\tand\tCC\tI-NP\tO' +p25291 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p25292 +aS'wires\twire\tNNS\tI-NP\tO' +p25293 +aS'were\tbe\tVBD\tB-VP\tO' +p25294 +aS'placed\tplace\tVBN\tI-VP\tO' +p25295 +aS';\t;\t:\tO\tO' +p25296 +aS'two\ttwo\tCD\tB-NP\tO' +p25297 +aS'mediastinal\tmediastinal\tJJ\tI-NP\tO' +p25298 +aS'tubes\ttube\tNNS\tI-NP\tO' +p25299 +aS'were\tbe\tVBD\tB-VP\tO' +p25300 +aS'placed\tplace\tVBN\tI-VP\tO' +p25301 +aS'.\t.\t.\tO\tO' +p25302 +asS'The patient should follow-up with his primary care physician within one week .' +p25303 +(lp25304 +S'The\tThe\tDT\tB-NP\tO' +p25305 +aS'patient\tpatient\tNN\tI-NP\tO' +p25306 +aS'should\tshould\tMD\tB-VP\tO' +p25307 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p25308 +aS'with\twith\tIN\tB-PP\tO' +p25309 +aS'his\this\tPRP$\tB-NP\tO' +p25310 +aS'primary\tprimary\tJJ\tI-NP\tO' +p25311 +aS'care\tcare\tNN\tI-NP\tO' +p25312 +aS'physician\tphysician\tNN\tI-NP\tO' +p25313 +aS'within\twithin\tIN\tB-PP\tO' +p25314 +aS'one\tone\tCD\tB-NP\tO' +p25315 +aS'week\tweek\tNN\tI-NP\tO' +p25316 +aS'.\t.\t.\tO\tO' +p25317 +asS'Concern for aspiration of mediations to lungs .' +p25318 +(lp25319 +S'Concern\tConcern\tNN\tB-NP\tO' +p25320 +aS'for\tfor\tIN\tB-PP\tO' +p25321 +aS'aspiration\taspiration\tNN\tB-NP\tO' +p25322 +aS'of\tof\tIN\tB-PP\tO' +p25323 +aS'mediations\tmediation\tNNS\tB-NP\tO' +p25324 +aS'to\tto\tTO\tB-PP\tO' +p25325 +aS'lungs\tlung\tNNS\tB-NP\tO' +p25326 +aS'.\t.\t.\tO\tO' +p25327 +asS'The patient 's abdominal fluid cell counts showed 2400 white blood cells , 500 red cells with 82 polyps , 11 lymphs , 7 monos .' +p25328 +(lp25329 +S'The\tThe\tDT\tB-NP\tO' +p25330 +aS'patient\tpatient\tNN\tI-NP\tO' +p25331 +aS''s\t'\tNNS\tI-NP\tO' +p25332 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p25333 +aS'fluid\tfluid\tNN\tI-NP\tO' +p25334 +aS'cell\tcell\tNN\tI-NP\tO' +p25335 +aS'counts\tcount\tNNS\tI-NP\tO' +p25336 +aS'showed\tshow\tVBD\tB-VP\tO' +p25337 +aS'2400\t2400\tCD\tB-NP\tO' +p25338 +aS'white\twhite\tJJ\tI-NP\tO' +p25339 +aS'blood\tblood\tNN\tI-NP\tO' +p25340 +aS'cells\tcell\tNNS\tI-NP\tO' +p25341 +aS',\t,\t,\tO\tO' +p25342 +aS'500\t500\tCD\tB-NP\tO' +p25343 +aS'red\tred\tJJ\tI-NP\tB-cell_type' +p25344 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p25345 +aS'with\twith\tIN\tB-PP\tO' +p25346 +aS'82\t82\tCD\tB-NP\tO' +p25347 +aS'polyps\tpolyp\tNNS\tI-NP\tO' +p25348 +aS',\t,\t,\tO\tO' +p25349 +aS'11\t11\tCD\tB-NP\tO' +p25350 +aS'lymphs\tlymph\tNNS\tI-NP\tO' +p25351 +aS',\t,\t,\tO\tO' +p25352 +aS'7\t7\tCD\tB-NP\tO' +p25353 +aS'monos\tmono\tNNS\tI-NP\tO' +p25354 +aS'.\t.\t.\tO\tO' +p25355 +asS'4. Failed swallow study status post percutaneous endoscopic gastrostomy tube placement .' +p25356 +(lp25357 +S'4.\t4.\tLS\tB-LST\tO' +p25358 +aS'Failed\tFail\tVBD\tB-VP\tO' +p25359 +aS'swallow\tswallow\tVB\tI-VP\tO' +p25360 +aS'study\tstudy\tNN\tB-NP\tO' +p25361 +aS'status\tstatus\tNN\tI-NP\tO' +p25362 +aS'post\tpost\tIN\tB-PP\tO' +p25363 +aS'percutaneous\tpercutaneous\tJJ\tB-NP\tO' +p25364 +aS'endoscopic\tendoscopic\tJJ\tI-NP\tO' +p25365 +aS'gastrostomy\tgastrostomy\tNN\tI-NP\tO' +p25366 +aS'tube\ttube\tNN\tI-NP\tO' +p25367 +aS'placement\tplacement\tNN\tI-NP\tO' +p25368 +aS'.\t.\t.\tO\tO' +p25369 +asS'He has a history of intravenous drug abuse , no alcohol abuse or tobacco abuse .' +p25370 +(lp25371 +S'He\tHe\tPRP\tB-NP\tO' +p25372 +aS'has\thave\tVBZ\tB-VP\tO' +p25373 +aS'a\ta\tDT\tB-NP\tO' +p25374 +aS'history\thistory\tNN\tI-NP\tO' +p25375 +aS'of\tof\tIN\tB-PP\tO' +p25376 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p25377 +aS'drug\tdrug\tNN\tI-NP\tO' +p25378 +aS'abuse\tabuse\tNN\tI-NP\tO' +p25379 +aS',\t,\t,\tO\tO' +p25380 +aS'no\tno\tDT\tB-NP\tO' +p25381 +aS'alcohol\talcohol\tNN\tI-NP\tO' +p25382 +aS'abuse\tabuse\tNN\tI-NP\tO' +p25383 +aS'or\tor\tCC\tI-NP\tO' +p25384 +aS'tobacco\ttobacco\tNN\tI-NP\tO' +p25385 +aS'abuse\tabuse\tNN\tI-NP\tO' +p25386 +aS'.\t.\t.\tO\tO' +p25387 +asS'Following initiation of his Zosyn , the white count continued to improve and the patient was planned for a PICC line for long-term intravenous antibiotics .' +p25388 +(lp25389 +S'Following\tFollow\tVBG\tB-PP\tO' +p25390 +aS'initiation\tinitiation\tNN\tB-NP\tO' +p25391 +aS'of\tof\tIN\tB-PP\tO' +p25392 +aS'his\this\tPRP$\tB-NP\tO' +p25393 +aS'Zosyn\tZosyn\tNN\tI-NP\tB-protein' +p25394 +aS',\t,\t,\tO\tO' +p25395 +aS'the\tthe\tDT\tB-NP\tO' +p25396 +aS'white\twhite\tJJ\tI-NP\tO' +p25397 +aS'count\tcount\tNN\tI-NP\tO' +p25398 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p25399 +aS'to\tto\tTO\tI-VP\tO' +p25400 +aS'improve\timprove\tVB\tI-VP\tO' +p25401 +aS'and\tand\tCC\tO\tO' +p25402 +aS'the\tthe\tDT\tB-NP\tO' +p25403 +aS'patient\tpatient\tNN\tI-NP\tO' +p25404 +aS'was\tbe\tVBD\tB-VP\tO' +p25405 +aS'planned\tplan\tVBN\tI-VP\tO' +p25406 +aS'for\tfor\tIN\tB-PP\tO' +p25407 +aS'a\ta\tDT\tB-NP\tO' +p25408 +aS'PICC\tPICC\tNN\tI-NP\tB-cell_line' +p25409 +aS'line\tline\tNN\tI-NP\tI-cell_line' +p25410 +aS'for\tfor\tIN\tB-PP\tO' +p25411 +aS'long-term\tlong-term\tJJ\tB-NP\tO' +p25412 +aS'intravenous\tintravenous\tJJ\tI-NP\tO' +p25413 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p25414 +aS'.\t.\t.\tO\tO' +p25415 +asS'5. Declined triple screen and amniocentesis .' +p25416 +(lp25417 +S'5.\t5.\tLS\tB-LST\tO' +p25418 +aS'Declined\tDecline\tVBD\tB-VP\tO' +p25419 +aS'triple\ttriple\tJJ\tB-NP\tO' +p25420 +aS'screen\tscreen\tNN\tI-NP\tO' +p25421 +aS'and\tand\tCC\tI-NP\tO' +p25422 +aS'amniocentesis\tamniocentesis\tNN\tI-NP\tO' +p25423 +aS'.\t.\t.\tO\tO' +p25424 +asS'8) MULTIPLE MYELOMA .' +p25425 +(lp25426 +S'8)\t8)\tLS\tB-NP\tO' +p25427 +aS'MULTIPLE\tMULTIPLE\tNN\tI-NP\tO' +p25428 +aS'MYELOMA\tMYELOMA\tNN\tI-NP\tO' +p25429 +aS'.\t.\t.\tO\tO' +p25430 +asS'Grasp symmetric .' +p25431 +(lp25432 +S'Grasp\tGrasp\tNN\tB-NP\tO' +p25433 +aS'symmetric\tsymmetric\tJJ\tB-ADJP\tO' +p25434 +aS'.\t.\t.\tO\tO' +p25435 +asS'ECG : Ventricular paced rhythm .' +p25436 +(lp25437 +S'ECG\tECG\tNN\tB-NP\tO' +p25438 +aS':\t:\t:\tO\tO' +p25439 +aS'Ventricular\tVentricular\tJJ\tB-NP\tO' +p25440 +aS'paced\tpaced\tJJ\tI-NP\tO' +p25441 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p25442 +aS'.\t.\t.\tO\tO' +p25443 +asS'Her Foley was removed .' +p25444 +(lp25445 +S'Her\tHer\tPRP$\tB-NP\tO' +p25446 +aS'Foley\tFoley\tNNP\tI-NP\tO' +p25447 +aS'was\tbe\tVBD\tB-VP\tO' +p25448 +aS'removed\tremove\tVBN\tI-VP\tO' +p25449 +aS'.\t.\t.\tO\tO' +p25450 +asS'GI was consulted for colonoscopy .' +p25451 +(lp25452 +S'GI\tGI\tNN\tB-NP\tO' +p25453 +aS'was\tbe\tVBD\tB-VP\tO' +p25454 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p25455 +aS'for\tfor\tIN\tB-PP\tO' +p25456 +aS'colonoscopy\tcolonoscopy\tNN\tB-NP\tO' +p25457 +aS'.\t.\t.\tO\tO' +p25458 +asS'He has a history of gastroesophageal reflux disease and anemia .' +p25459 +(lp25460 +S'He\tHe\tPRP\tB-NP\tO' +p25461 +aS'has\thave\tVBZ\tB-VP\tO' +p25462 +aS'a\ta\tDT\tB-NP\tO' +p25463 +aS'history\thistory\tNN\tI-NP\tO' +p25464 +aS'of\tof\tIN\tB-PP\tO' +p25465 +aS'gastroesophageal\tgastroesophageal\tJJ\tB-NP\tO' +p25466 +aS'reflux\treflux\tNN\tI-NP\tO' +p25467 +aS'disease\tdisease\tNN\tI-NP\tO' +p25468 +aS'and\tand\tCC\tO\tO' +p25469 +aS'anemia\tanemia\tNN\tB-NP\tO' +p25470 +aS'.\t.\t.\tO\tO' +p25471 +asS'Her central line was removed and the tip was culture negative .' +p25472 +(lp25473 +S'Her\tHer\tPRP$\tB-NP\tB-cell_line' +p25474 +aS'central\tcentral\tJJ\tI-NP\tI-cell_line' +p25475 +aS'line\tline\tNN\tI-NP\tI-cell_line' +p25476 +aS'was\tbe\tVBD\tB-VP\tO' +p25477 +aS'removed\tremove\tVBN\tI-VP\tO' +p25478 +aS'and\tand\tCC\tO\tO' +p25479 +aS'the\tthe\tDT\tB-NP\tO' +p25480 +aS'tip\ttip\tNN\tI-NP\tB-protein' +p25481 +aS'was\tbe\tVBD\tB-VP\tO' +p25482 +aS'culture\tculture\tNN\tB-NP\tO' +p25483 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p25484 +aS'.\t.\t.\tO\tO' +p25485 +asS'His blood sugars were followed by the Cape Cod Hospital Clinic service and insulin has been adjusted accordingly .' +p25486 +(lp25487 +S'His\tHis\tPRP$\tB-NP\tO' +p25488 +aS'blood\tblood\tNN\tI-NP\tO' +p25489 +aS'sugars\tsugar\tNNS\tI-NP\tO' +p25490 +aS'were\tbe\tVBD\tB-VP\tO' +p25491 +aS'followed\tfollow\tVBN\tI-VP\tO' +p25492 +aS'by\tby\tIN\tB-PP\tO' +p25493 +aS'the\tthe\tDT\tB-NP\tO' +p25494 +aS'Cape\tCape\tNNP\tI-NP\tO' +p25495 +aS'Cod\tCod\tNNP\tI-NP\tO' +p25496 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p25497 +aS'Clinic\tClinic\tNNP\tI-NP\tO' +p25498 +aS'service\tservice\tNN\tI-NP\tO' +p25499 +aS'and\tand\tCC\tI-NP\tO' +p25500 +aS'insulin\tinsulin\tNN\tI-NP\tB-protein' +p25501 +aS'has\thave\tVBZ\tB-VP\tO' +p25502 +aS'been\tbe\tVBN\tI-VP\tO' +p25503 +aS'adjusted\tadjust\tVBN\tI-VP\tO' +p25504 +aS'accordingly\taccordingly\tRB\tB-ADVP\tO' +p25505 +aS'.\t.\t.\tO\tO' +p25506 +asS'Shortness of breath .' +p25507 +(lp25508 +S'Shortness\tShortness\tNN\tB-NP\tO' +p25509 +aS'of\tof\tIN\tB-PP\tO' +p25510 +aS'breath\tbreath\tNN\tB-NP\tO' +p25511 +aS'.\t.\t.\tO\tO' +p25512 +asS'Slightly increased in recent months .' +p25513 +(lp25514 +S'Slightly\tSlightly\tRB\tB-ADVP\tO' +p25515 +aS'increased\tincrease\tVBN\tB-VP\tO' +p25516 +aS'in\tin\tIN\tB-PP\tO' +p25517 +aS'recent\trecent\tJJ\tB-NP\tO' +p25518 +aS'months\tmonth\tNNS\tI-NP\tO' +p25519 +aS'.\t.\t.\tO\tO' +p25520 +asS'The general examination was essentially unremarkable , as per previous notes .' +p25521 +(lp25522 +S'The\tThe\tDT\tB-NP\tO' +p25523 +aS'general\tgeneral\tJJ\tI-NP\tO' +p25524 +aS'examination\texamination\tNN\tI-NP\tO' +p25525 +aS'was\tbe\tVBD\tB-VP\tO' +p25526 +aS'essentially\tessentially\tRB\tB-ADJP\tO' +p25527 +aS'unremarkable\tunremarkable\tJJ\tI-ADJP\tO' +p25528 +aS',\t,\t,\tO\tO' +p25529 +aS'as\tas\tIN\tB-PP\tO' +p25530 +aS'per\tper\tIN\tB-PP\tO' +p25531 +aS'previous\tprevious\tJJ\tB-NP\tO' +p25532 +aS'notes\tnote\tNNS\tI-NP\tO' +p25533 +aS'.\t.\t.\tO\tO' +p25534 +asS'Able to describe two routes from house to the CMH .' +p25535 +(lp25536 +S'Able\tAble\tNN\tB-NP\tO' +p25537 +aS'to\tto\tTO\tB-VP\tO' +p25538 +aS'describe\tdescribe\tVB\tI-VP\tO' +p25539 +aS'two\ttwo\tCD\tB-NP\tO' +p25540 +aS'routes\troute\tNNS\tI-NP\tO' +p25541 +aS'from\tfrom\tIN\tB-PP\tO' +p25542 +aS'house\thouse\tNN\tB-NP\tO' +p25543 +aS'to\tto\tTO\tB-PP\tO' +p25544 +aS'the\tthe\tDT\tB-NP\tO' +p25545 +aS'CMH\tCMH\tNN\tI-NP\tB-DNA' +p25546 +aS'.\t.\t.\tO\tO' +p25547 +asS'The head , eyes , ears , nose and throat examination is notable for pupils which have irregular border and are very sluggishly reactive .' +p25548 +(lp25549 +S'The\tThe\tDT\tB-NP\tO' +p25550 +aS'head\thead\tNN\tI-NP\tO' +p25551 +aS',\t,\t,\tO\tO' +p25552 +aS'eyes\teye\tNNS\tB-NP\tO' +p25553 +aS',\t,\t,\tO\tO' +p25554 +aS'ears\tear\tNNS\tB-NP\tO' +p25555 +aS',\t,\t,\tO\tO' +p25556 +aS'nose\tnose\tNN\tB-NP\tO' +p25557 +aS'and\tand\tCC\tI-NP\tO' +p25558 +aS'throat\tthroat\tNN\tI-NP\tO' +p25559 +aS'examination\texamination\tNN\tI-NP\tO' +p25560 +aS'is\tbe\tVBZ\tB-VP\tO' +p25561 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p25562 +aS'for\tfor\tIN\tB-PP\tO' +p25563 +aS'pupils\tpupil\tNNS\tB-NP\tO' +p25564 +aS'which\twhich\tWDT\tB-NP\tO' +p25565 +aS'have\thave\tVBP\tB-VP\tO' +p25566 +aS'irregular\tirregular\tJJ\tB-NP\tO' +p25567 +aS'border\tborder\tNN\tI-NP\tO' +p25568 +aS'and\tand\tCC\tO\tO' +p25569 +aS'are\tbe\tVBP\tB-VP\tO' +p25570 +aS'very\tvery\tRB\tB-ADJP\tO' +p25571 +aS'sluggishly\tsluggishly\tRB\tI-ADJP\tO' +p25572 +aS'reactive\treactive\tJJ\tI-ADJP\tO' +p25573 +aS'.\t.\t.\tO\tO' +p25574 +asS'Briefly , this is a 57-year-old gentleman with a history of COPD , status post intubation six years ago but not on home 02 with recent FEV1 27% of predicted value , and FEV1/FVC ratio 56% of hypercholesterolemia , who was admitted for COPD exacerbation and worsening of upper respiratory tract infection symptoms for a week prior to admission .' +p25575 +(lp25576 +S'Briefly\tBriefly\tNNP\tB-NP\tO' +p25577 +aS',\t,\t,\tO\tO' +p25578 +aS'this\tthis\tDT\tB-NP\tO' +p25579 +aS'is\tbe\tVBZ\tB-VP\tO' +p25580 +aS'a\ta\tDT\tB-NP\tO' +p25581 +aS'57-year-old\t57-year-old\tJJ\tI-NP\tO' +p25582 +aS'gentleman\tgentleman\tNN\tI-NP\tO' +p25583 +aS'with\twith\tIN\tB-PP\tO' +p25584 +aS'a\ta\tDT\tB-NP\tO' +p25585 +aS'history\thistory\tNN\tI-NP\tO' +p25586 +aS'of\tof\tIN\tB-PP\tO' +p25587 +aS'COPD\tCOPD\tNN\tB-NP\tO' +p25588 +aS',\t,\t,\tO\tO' +p25589 +aS'status\tstatus\tNN\tB-NP\tO' +p25590 +aS'post\tpost\tNN\tI-NP\tO' +p25591 +aS'intubation\tintubation\tNN\tI-NP\tO' +p25592 +aS'six\tsix\tCD\tB-NP\tO' +p25593 +aS'years\tyear\tNNS\tI-NP\tO' +p25594 +aS'ago\tago\tRB\tB-ADVP\tO' +p25595 +aS'but\tbut\tCC\tB-PP\tO' +p25596 +aS'not\tnot\tRB\tB-PP\tO' +p25597 +aS'on\ton\tIN\tI-PP\tO' +p25598 +aS'home\thome\tNN\tB-NP\tO' +p25599 +aS'02\t02\tCD\tI-NP\tO' +p25600 +aS'with\twith\tIN\tB-PP\tO' +p25601 +aS'recent\trecent\tJJ\tB-NP\tO' +p25602 +aS'FEV1\tFEV1\tNN\tI-NP\tO' +p25603 +aS'27%\t27%\tNN\tI-NP\tO' +p25604 +aS'of\tof\tIN\tB-PP\tO' +p25605 +aS'predicted\tpredict\tVBN\tB-NP\tO' +p25606 +aS'value\tvalue\tNN\tI-NP\tO' +p25607 +aS',\t,\t,\tO\tO' +p25608 +aS'and\tand\tCC\tO\tO' +p25609 +aS'FEV1/FVC\tFEV1/FVC\tNN\tB-NP\tO' +p25610 +aS'ratio\tratio\tNN\tI-NP\tO' +p25611 +aS'56%\t56%\tNN\tI-NP\tO' +p25612 +aS'of\tof\tIN\tB-PP\tO' +p25613 +aS'hypercholesterolemia\thypercholesterolemia\tNN\tB-NP\tO' +p25614 +aS',\t,\t,\tO\tO' +p25615 +aS'who\twho\tWP\tB-NP\tO' +p25616 +aS'was\tbe\tVBD\tB-VP\tO' +p25617 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p25618 +aS'for\tfor\tIN\tB-PP\tO' +p25619 +aS'COPD\tCOPD\tNN\tB-NP\tO' +p25620 +aS'exacerbation\texacerbation\tNN\tI-NP\tO' +p25621 +aS'and\tand\tCC\tI-NP\tO' +p25622 +aS'worsening\tworsening\tNN\tI-NP\tO' +p25623 +aS'of\tof\tIN\tB-PP\tO' +p25624 +aS'upper\tupper\tJJ\tB-NP\tO' +p25625 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p25626 +aS'tract\ttract\tNN\tI-NP\tO' +p25627 +aS'infection\tinfection\tNN\tI-NP\tO' +p25628 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p25629 +aS'for\tfor\tIN\tB-PP\tO' +p25630 +aS'a\ta\tDT\tB-NP\tO' +p25631 +aS'week\tweek\tNN\tI-NP\tO' +p25632 +aS'prior\tprior\tRB\tB-ADVP\tO' +p25633 +aS'to\tto\tTO\tB-PP\tO' +p25634 +aS'admission\tadmission\tNN\tB-NP\tO' +p25635 +aS'.\t.\t.\tO\tO' +p25636 +asS'In December of 1992 , she underwent a transverse colectomy for colon carcinoma which was Duke 's grade B-II , lymph nodes were negative .' +p25637 +(lp25638 +S'In\tIn\tIN\tB-PP\tO' +p25639 +aS'December\tDecember\tNNP\tB-NP\tO' +p25640 +aS'of\tof\tIN\tB-PP\tO' +p25641 +aS'1992\t1992\tCD\tB-NP\tO' +p25642 +aS',\t,\t,\tO\tO' +p25643 +aS'she\tshe\tPRP\tB-NP\tO' +p25644 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p25645 +aS'a\ta\tDT\tB-NP\tO' +p25646 +aS'transverse\ttransverse\tJJ\tI-NP\tO' +p25647 +aS'colectomy\tcolectomy\tNN\tI-NP\tO' +p25648 +aS'for\tfor\tIN\tB-PP\tO' +p25649 +aS'colon\tcolon\tNN\tB-NP\tO' +p25650 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p25651 +aS'which\twhich\tWDT\tB-NP\tO' +p25652 +aS'was\tbe\tVBD\tB-VP\tO' +p25653 +aS'Duke\tDuke\tNNP\tB-NP\tO' +p25654 +aS''s\t'\tNNS\tI-NP\tO' +p25655 +aS'grade\tgrade\tNN\tI-NP\tO' +p25656 +aS'B-II\tB-II\tNN\tI-NP\tO' +p25657 +aS',\t,\t,\tO\tO' +p25658 +aS'lymph\tlymph\tNN\tB-NP\tO' +p25659 +aS'nodes\tnode\tNNS\tI-NP\tO' +p25660 +aS'were\tbe\tVBD\tB-VP\tO' +p25661 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p25662 +aS'.\t.\t.\tO\tO' +p25663 +asS'Post right heart catheterization and right ventricular biopsy , the patient was sent to the CCU for a Swan - guided therapy in the setting of her elevated wedge pressures and low cardiac output .' +p25664 +(lp25665 +S'Post\tPost\tJJ\tB-NP\tO' +p25666 +aS'right\tright\tJJ\tI-NP\tO' +p25667 +aS'heart\theart\tNN\tI-NP\tO' +p25668 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p25669 +aS'and\tand\tCC\tO\tO' +p25670 +aS'right\tright\tJJ\tB-NP\tO' +p25671 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p25672 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p25673 +aS',\t,\t,\tO\tO' +p25674 +aS'the\tthe\tDT\tB-NP\tO' +p25675 +aS'patient\tpatient\tNN\tI-NP\tO' +p25676 +aS'was\tbe\tVBD\tB-VP\tO' +p25677 +aS'sent\tsend\tVBN\tI-VP\tO' +p25678 +aS'to\tto\tTO\tB-PP\tO' +p25679 +aS'the\tthe\tDT\tB-NP\tO' +p25680 +aS'CCU\tCCU\tNN\tI-NP\tO' +p25681 +aS'for\tfor\tIN\tB-PP\tO' +p25682 +aS'a\ta\tDT\tB-NP\tO' +p25683 +aS'Swan\tSwan\tNN\tI-NP\tO' +p25684 +aS'-\t-\tHYPH\tO\tO' +p25685 +aS'guided\tguide\tVBN\tB-NP\tO' +p25686 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p25687 +aS'in\tin\tIN\tB-PP\tO' +p25688 +aS'the\tthe\tDT\tB-NP\tO' +p25689 +aS'setting\tsetting\tNN\tI-NP\tO' +p25690 +aS'of\tof\tIN\tB-PP\tO' +p25691 +aS'her\ther\tPRP$\tB-NP\tO' +p25692 +aS'elevated\televated\tJJ\tI-NP\tO' +p25693 +aS'wedge\twedge\tNN\tI-NP\tO' +p25694 +aS'pressures\tpressure\tNNS\tI-NP\tO' +p25695 +aS'and\tand\tCC\tO\tO' +p25696 +aS'low\tlow\tJJ\tB-NP\tO' +p25697 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p25698 +aS'output\toutput\tNN\tI-NP\tO' +p25699 +aS'.\t.\t.\tO\tO' +p25700 +asS'Clinically , she did much better and her blood pressure was optimized prior to discharge .' +p25701 +(lp25702 +S'Clinically\tClinically\tRB\tB-ADVP\tO' +p25703 +aS',\t,\t,\tO\tO' +p25704 +aS'she\tshe\tPRP\tB-NP\tO' +p25705 +aS'did\tdo\tVBD\tB-VP\tO' +p25706 +aS'much\tmuch\tRB\tB-ADJP\tO' +p25707 +aS'better\tgood\tJJR\tI-ADJP\tO' +p25708 +aS'and\tand\tCC\tO\tO' +p25709 +aS'her\ther\tPRP$\tB-NP\tO' +p25710 +aS'blood\tblood\tNN\tI-NP\tO' +p25711 +aS'pressure\tpressure\tNN\tI-NP\tO' +p25712 +aS'was\tbe\tVBD\tB-VP\tO' +p25713 +aS'optimized\toptimize\tVBN\tI-VP\tO' +p25714 +aS'prior\tprior\tRB\tB-ADVP\tO' +p25715 +aS'to\tto\tTO\tB-VP\tO' +p25716 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p25717 +aS'.\t.\t.\tO\tO' +p25718 +asS'In the esophagus , there was a small hiatal hernia and in the stomach there is evidence of erosive gastritis of the body of the stomach and the antrum , the mucous appeared edematous .' +p25719 +(lp25720 +S'In\tIn\tIN\tB-PP\tO' +p25721 +aS'the\tthe\tDT\tB-NP\tO' +p25722 +aS'esophagus\tesophagus\tNN\tI-NP\tO' +p25723 +aS',\t,\t,\tO\tO' +p25724 +aS'there\tthere\tEX\tB-NP\tO' +p25725 +aS'was\tbe\tVBD\tB-VP\tO' +p25726 +aS'a\ta\tDT\tB-NP\tO' +p25727 +aS'small\tsmall\tJJ\tI-NP\tO' +p25728 +aS'hiatal\thiatal\tJJ\tI-NP\tO' +p25729 +aS'hernia\thernia\tNN\tI-NP\tO' +p25730 +aS'and\tand\tCC\tB-PP\tO' +p25731 +aS'in\tin\tIN\tB-PP\tO' +p25732 +aS'the\tthe\tDT\tB-NP\tO' +p25733 +aS'stomach\tstomach\tNN\tI-NP\tO' +p25734 +aS'there\tthere\tEX\tB-NP\tO' +p25735 +aS'is\tbe\tVBZ\tB-VP\tO' +p25736 +aS'evidence\tevidence\tNN\tB-NP\tO' +p25737 +aS'of\tof\tIN\tB-PP\tO' +p25738 +aS'erosive\terosive\tJJ\tB-NP\tO' +p25739 +aS'gastritis\tgastritis\tNN\tI-NP\tO' +p25740 +aS'of\tof\tIN\tB-PP\tO' +p25741 +aS'the\tthe\tDT\tB-NP\tO' +p25742 +aS'body\tbody\tNN\tI-NP\tO' +p25743 +aS'of\tof\tIN\tB-PP\tO' +p25744 +aS'the\tthe\tDT\tB-NP\tO' +p25745 +aS'stomach\tstomach\tNN\tI-NP\tO' +p25746 +aS'and\tand\tCC\tO\tO' +p25747 +aS'the\tthe\tDT\tB-NP\tO' +p25748 +aS'antrum\tantrum\tNN\tI-NP\tO' +p25749 +aS',\t,\t,\tO\tO' +p25750 +aS'the\tthe\tDT\tB-NP\tO' +p25751 +aS'mucous\tmucous\tNN\tI-NP\tO' +p25752 +aS'appeared\tappear\tVBD\tB-VP\tO' +p25753 +aS'edematous\tedematous\tJJ\tB-ADJP\tO' +p25754 +aS'.\t.\t.\tO\tO' +p25755 +asS'While mammogram and CA-15.3 and breast exam are all normal , the idea of a perineoplastic syndrome with or without concomitant breast Ca has reared its head .' +p25756 +(lp25757 +S'While\tWhile\tIN\tB-SBAR\tO' +p25758 +aS'mammogram\tmammogram\tNN\tB-NP\tO' +p25759 +aS'and\tand\tCC\tI-NP\tO' +p25760 +aS'CA-15.3\tCA-15.3\tNN\tI-NP\tB-protein' +p25761 +aS'and\tand\tCC\tI-NP\tO' +p25762 +aS'breast\tbreast\tNN\tI-NP\tO' +p25763 +aS'exam\texam\tNN\tI-NP\tO' +p25764 +aS'are\tbe\tVBP\tB-VP\tO' +p25765 +aS'all\tall\tDT\tO\tO' +p25766 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p25767 +aS',\t,\t,\tO\tO' +p25768 +aS'the\tthe\tDT\tB-NP\tO' +p25769 +aS'idea\tidea\tNN\tI-NP\tO' +p25770 +aS'of\tof\tIN\tB-PP\tO' +p25771 +aS'a\ta\tDT\tB-NP\tO' +p25772 +aS'perineoplastic\tperineoplastic\tJJ\tI-NP\tO' +p25773 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p25774 +aS'with\twith\tIN\tB-PP\tO' +p25775 +aS'or\tor\tCC\tB-PP\tO' +p25776 +aS'without\twithout\tIN\tB-PP\tO' +p25777 +aS'concomitant\tconcomitant\tJJ\tB-NP\tO' +p25778 +aS'breast\tbreast\tNN\tI-NP\tO' +p25779 +aS'Ca\tCa\tNN\tI-NP\tO' +p25780 +aS'has\thave\tVBZ\tB-VP\tO' +p25781 +aS'reared\trear\tVBN\tI-VP\tO' +p25782 +aS'its\tits\tPRP$\tB-NP\tO' +p25783 +aS'head\thead\tNN\tI-NP\tO' +p25784 +aS'.\t.\t.\tO\tO' +p25785 +asS'He then developed urinary retention requiring foley placement .' +p25786 +(lp25787 +S'He\tHe\tPRP\tB-NP\tO' +p25788 +aS'then\tthen\tRB\tB-ADVP\tO' +p25789 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p25790 +aS'urinary\turinary\tJJ\tB-NP\tO' +p25791 +aS'retention\tretention\tNN\tI-NP\tO' +p25792 +aS'requiring\trequire\tVBG\tB-VP\tO' +p25793 +aS'foley\tfoley\tJJ\tB-NP\tO' +p25794 +aS'placement\tplacement\tNN\tI-NP\tO' +p25795 +aS'.\t.\t.\tO\tO' +p25796 +asS'Newton-Wellesley Hospital for the Aged - Acute Rehab' +p25797 +(lp25798 +S'Newton-Wellesley\tNewton-Wellesley\tNNP\tB-NP\tO' +p25799 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p25800 +aS'for\tfor\tIN\tB-PP\tO' +p25801 +aS'the\tthe\tDT\tB-NP\tO' +p25802 +aS'Aged\tAged\tNNP\tI-NP\tO' +p25803 +aS'-\t-\tHYPH\tI-NP\tO' +p25804 +aS'Acute\tAcute\tNNP\tI-NP\tO' +p25805 +aS'Rehab\tRehab\tNNP\tI-NP\tO' +p25806 +asS'He was loaded with IV Dilantin .' +p25807 +(lp25808 +S'He\tHe\tPRP\tB-NP\tO' +p25809 +aS'was\tbe\tVBD\tB-VP\tO' +p25810 +aS'loaded\tload\tVBN\tI-VP\tO' +p25811 +aS'with\twith\tIN\tB-PP\tO' +p25812 +aS'IV\tIV\tCD\tB-NP\tO' +p25813 +aS'Dilantin\tDilantin\tNN\tI-NP\tO' +p25814 +aS'.\t.\t.\tO\tO' +p25815 +asS'The patient was initially treated with Dopamine which was subsequently weaned off after his sepsis improved .' +p25816 +(lp25817 +S'The\tThe\tDT\tB-NP\tO' +p25818 +aS'patient\tpatient\tNN\tI-NP\tO' +p25819 +aS'was\tbe\tVBD\tB-VP\tO' +p25820 +aS'initially\tinitially\tRB\tI-VP\tO' +p25821 +aS'treated\ttreat\tVBN\tI-VP\tO' +p25822 +aS'with\twith\tIN\tB-PP\tO' +p25823 +aS'Dopamine\tDopamine\tNN\tB-NP\tO' +p25824 +aS'which\twhich\tWDT\tB-NP\tO' +p25825 +aS'was\tbe\tVBD\tB-VP\tO' +p25826 +aS'subsequently\tsubsequently\tRB\tI-VP\tO' +p25827 +aS'weaned\twean\tVBN\tI-VP\tO' +p25828 +aS'off\toff\tRP\tB-PRT\tO' +p25829 +aS'after\tafter\tIN\tB-PP\tO' +p25830 +aS'his\this\tPRP$\tB-NP\tO' +p25831 +aS'sepsis\tsepsis\tNN\tI-NP\tO' +p25832 +aS'improved\timprove\tVBD\tB-VP\tO' +p25833 +aS'.\t.\t.\tO\tO' +p25834 +asS'Grade II decrescendo diastolic murmur at the left lower sternal border .' +p25835 +(lp25836 +S'Grade\tGrade\tNN\tB-NP\tB-protein' +p25837 +aS'II\tII\tCD\tI-NP\tI-protein' +p25838 +aS'decrescendo\tdecrescendo\tVBP\tB-VP\tO' +p25839 +aS'diastolic\tdiastolic\tJJ\tB-NP\tO' +p25840 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p25841 +aS'at\tat\tIN\tB-PP\tO' +p25842 +aS'the\tthe\tDT\tB-NP\tO' +p25843 +aS'left\tleft\tJJ\tI-NP\tO' +p25844 +aS'lower\tlow\tJJR\tI-NP\tO' +p25845 +aS'sternal\tsternal\tJJ\tI-NP\tO' +p25846 +aS'border\tborder\tNN\tI-NP\tO' +p25847 +aS'.\t.\t.\tO\tO' +p25848 +asS'His mediastinal chest tubes were removed , however , his pleural chest tubes remained in place .' +p25849 +(lp25850 +S'His\tHis\tPRP$\tB-NP\tO' +p25851 +aS'mediastinal\tmediastinal\tJJ\tI-NP\tO' +p25852 +aS'chest\tchest\tNN\tI-NP\tO' +p25853 +aS'tubes\ttube\tNNS\tI-NP\tO' +p25854 +aS'were\tbe\tVBD\tB-VP\tO' +p25855 +aS'removed\tremove\tVBN\tI-VP\tO' +p25856 +aS',\t,\t,\tO\tO' +p25857 +aS'however\thowever\tRB\tB-ADVP\tO' +p25858 +aS',\t,\t,\tO\tO' +p25859 +aS'his\this\tPRP$\tB-NP\tO' +p25860 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p25861 +aS'chest\tchest\tNN\tI-NP\tO' +p25862 +aS'tubes\ttube\tNNS\tI-NP\tO' +p25863 +aS'remained\tremain\tVBD\tB-VP\tO' +p25864 +aS'in\tin\tIN\tB-PP\tO' +p25865 +aS'place\tplace\tNN\tB-NP\tO' +p25866 +aS'.\t.\t.\tO\tO' +p25867 +asS'5. B-Complex with Vitamin C Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' +p25868 +(lp25869 +S'5.\t5.\tLS\tB-NP\tO' +p25870 +aS'B-Complex\tB-Complex\tNN\tI-NP\tB-protein' +p25871 +aS'with\twith\tIN\tB-PP\tO' +p25872 +aS'Vitamin\tVitamin\tNNP\tB-NP\tO' +p25873 +aS'C\tC\tNNP\tI-NP\tO' +p25874 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p25875 +aS'Sig\tSig\tNNP\tI-NP\tO' +p25876 +aS':\t:\t:\tO\tO' +p25877 +aS'One\tOne\tCD\tB-NP\tO' +p25878 +aS'(\t(\t(\tO\tO' +p25879 +aS'1\t1\tCD\tB-NP\tO' +p25880 +aS')\t)\t)\tO\tO' +p25881 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p25882 +aS'PO\tPO\tNN\tI-NP\tO' +p25883 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p25884 +aS'(\t(\t(\tO\tO' +p25885 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p25886 +aS')\t)\t)\tO\tO' +p25887 +aS'.\t.\t.\tO\tO' +p25888 +asS'There were no other abnormalities noted on this study .' +p25889 +(lp25890 +S'There\tThere\tEX\tB-NP\tO' +p25891 +aS'were\tbe\tVBD\tB-VP\tO' +p25892 +aS'no\tno\tDT\tB-NP\tO' +p25893 +aS'other\tother\tJJ\tI-NP\tO' +p25894 +aS'abnormalities\tabnormality\tNNS\tI-NP\tO' +p25895 +aS'noted\tnote\tVBN\tB-VP\tO' +p25896 +aS'on\ton\tIN\tB-PP\tO' +p25897 +aS'this\tthis\tDT\tB-NP\tO' +p25898 +aS'study\tstudy\tNN\tI-NP\tO' +p25899 +aS'.\t.\t.\tO\tO' +p25900 +asS'Call for an appointment ( 724 ) 875 5043' +p25901 +(lp25902 +S'Call\tCall\tVB\tB-NP\tO' +p25903 +aS'for\tfor\tIN\tB-PP\tO' +p25904 +aS'an\tan\tDT\tB-NP\tO' +p25905 +aS'appointment\tappointment\tNN\tI-NP\tO' +p25906 +aS'(\t(\t(\tO\tO' +p25907 +aS'724\t724\tCD\tB-NP\tO' +p25908 +aS')\t)\t)\tO\tO' +p25909 +aS'875\t875\tCD\tB-NP\tO' +p25910 +aS'5043\t5043\tCD\tI-NP\tO' +p25911 +asS'Mrs. Gonzalez is a patient with a prior medical history including hypothyroidism , iron-deficiency anemia , osteoporosis , increased cholesterol , peptic ulcer disease , chronic constipation , and status post appendectomy as well as status post hysterectomy and bilateral salpingo-oophorectomy .' +p25912 +(lp25913 +S'Mrs.\tMrs.\tNNP\tB-NP\tO' +p25914 +aS'Gonzalez\tGonzalez\tNNP\tI-NP\tO' +p25915 +aS'is\tbe\tVBZ\tB-VP\tO' +p25916 +aS'a\ta\tDT\tB-NP\tO' +p25917 +aS'patient\tpatient\tNN\tI-NP\tO' +p25918 +aS'with\twith\tIN\tB-PP\tO' +p25919 +aS'a\ta\tDT\tB-NP\tO' +p25920 +aS'prior\tprior\tJJ\tI-NP\tO' +p25921 +aS'medical\tmedical\tJJ\tI-NP\tO' +p25922 +aS'history\thistory\tNN\tI-NP\tO' +p25923 +aS'including\tinclude\tVBG\tB-PP\tO' +p25924 +aS'hypothyroidism\thypothyroidism\tNN\tB-NP\tO' +p25925 +aS',\t,\t,\tO\tO' +p25926 +aS'iron-deficiency\tiron-deficiency\tNN\tB-NP\tO' +p25927 +aS'anemia\tanemia\tNN\tI-NP\tO' +p25928 +aS',\t,\t,\tO\tO' +p25929 +aS'osteoporosis\tosteoporosis\tNN\tB-NP\tO' +p25930 +aS',\t,\t,\tO\tO' +p25931 +aS'increased\tincrease\tVBN\tB-NP\tO' +p25932 +aS'cholesterol\tcholesterol\tNN\tI-NP\tO' +p25933 +aS',\t,\t,\tO\tO' +p25934 +aS'peptic\tpeptic\tJJ\tB-NP\tO' +p25935 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p25936 +aS'disease\tdisease\tNN\tI-NP\tO' +p25937 +aS',\t,\t,\tO\tO' +p25938 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p25939 +aS'constipation\tconstipation\tNN\tI-NP\tO' +p25940 +aS',\t,\t,\tO\tO' +p25941 +aS'and\tand\tCC\tO\tO' +p25942 +aS'status\tstatus\tNN\tB-NP\tO' +p25943 +aS'post\tpost\tNN\tI-NP\tO' +p25944 +aS'appendectomy\tappendectomy\tNN\tI-NP\tO' +p25945 +aS'as\tas\tRB\tB-CONJP\tO' +p25946 +aS'well\twell\tRB\tI-CONJP\tO' +p25947 +aS'as\tas\tIN\tI-CONJP\tO' +p25948 +aS'status\tstatus\tNN\tB-NP\tO' +p25949 +aS'post\tpost\tNN\tI-NP\tO' +p25950 +aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' +p25951 +aS'and\tand\tCC\tO\tO' +p25952 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p25953 +aS'salpingo-oophorectomy\tsalpingo-oophorectomy\tNN\tI-NP\tO' +p25954 +aS'.\t.\t.\tO\tO' +p25955 +asS'Moreover her MRI did not show any discrete cerebellar lesions .' +p25956 +(lp25957 +S'Moreover\tMoreover\tRB\tB-ADVP\tO' +p25958 +aS'her\ther\tPRP$\tB-NP\tO' +p25959 +aS'MRI\tMRI\tNN\tI-NP\tB-protein' +p25960 +aS'did\tdo\tVBD\tB-VP\tO' +p25961 +aS'not\tnot\tRB\tI-VP\tO' +p25962 +aS'show\tshow\tVB\tI-VP\tO' +p25963 +aS'any\tany\tDT\tB-NP\tO' +p25964 +aS'discrete\tdiscrete\tJJ\tI-NP\tO' +p25965 +aS'cerebellar\tcerebellar\tJJ\tI-NP\tO' +p25966 +aS'lesions\tlesion\tNNS\tI-NP\tO' +p25967 +aS'.\t.\t.\tO\tO' +p25968 +asS'He has been a construction worker for the past 20 years .' +p25969 +(lp25970 +S'He\tHe\tPRP\tB-NP\tO' +p25971 +aS'has\thave\tVBZ\tB-VP\tO' +p25972 +aS'been\tbe\tVBN\tI-VP\tO' +p25973 +aS'a\ta\tDT\tB-NP\tO' +p25974 +aS'construction\tconstruction\tNN\tI-NP\tO' +p25975 +aS'worker\tworker\tNN\tI-NP\tO' +p25976 +aS'for\tfor\tIN\tB-PP\tO' +p25977 +aS'the\tthe\tDT\tB-NP\tO' +p25978 +aS'past\tpast\tJJ\tI-NP\tO' +p25979 +aS'20\t20\tCD\tI-NP\tO' +p25980 +aS'years\tyear\tNNS\tI-NP\tO' +p25981 +aS'.\t.\t.\tO\tO' +p25982 +asS'5. Levothyroxine 75 mcg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' +p25983 +(lp25984 +S'5.\t5.\tLS\tB-NP\tO' +p25985 +aS'Levothyroxine\tLevothyroxine\tNNP\tI-NP\tO' +p25986 +aS'75\t75\tCD\tI-NP\tO' +p25987 +aS'mcg\tmcg\tNN\tI-NP\tO' +p25988 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p25989 +aS'Sig\tSig\tNNP\tI-NP\tO' +p25990 +aS':\t:\t:\tO\tO' +p25991 +aS'One\tOne\tCD\tB-NP\tO' +p25992 +aS'(\t(\t(\tO\tO' +p25993 +aS'1\t1\tCD\tB-NP\tO' +p25994 +aS')\t)\t)\tO\tO' +p25995 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p25996 +aS'PO\tPO\tNN\tI-NP\tO' +p25997 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p25998 +aS'(\t(\t(\tO\tO' +p25999 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p26000 +aS')\t)\t)\tO\tO' +p26001 +aS'.\t.\t.\tO\tO' +p26002 +asS'However , she is CMO and will not be intubated for respiratory distress .' +p26003 +(lp26004 +S'However\tHowever\tRB\tB-ADVP\tO' +p26005 +aS',\t,\t,\tO\tO' +p26006 +aS'she\tshe\tPRP\tB-NP\tO' +p26007 +aS'is\tbe\tVBZ\tB-VP\tO' +p26008 +aS'CMO\tCMO\tNN\tB-NP\tO' +p26009 +aS'and\tand\tCC\tO\tO' +p26010 +aS'will\twill\tMD\tB-VP\tO' +p26011 +aS'not\tnot\tRB\tI-VP\tO' +p26012 +aS'be\tbe\tVB\tI-VP\tO' +p26013 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p26014 +aS'for\tfor\tIN\tB-PP\tO' +p26015 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p26016 +aS'distress\tdistress\tNN\tI-NP\tO' +p26017 +aS'.\t.\t.\tO\tO' +p26018 +asS'3. Rectal cancer .' +p26019 +(lp26020 +S'3.\t3.\tLS\tB-NP\tO' +p26021 +aS'Rectal\tRectal\tJJ\tI-NP\tO' +p26022 +aS'cancer\tcancer\tNN\tI-NP\tO' +p26023 +aS'.\t.\t.\tO\tO' +p26024 +asS'hematocrit 33 , white count 4.4 , with 28% monos and 30% polys and bands .' +p26025 +(lp26026 +S'hematocrit\thematocrit\tNN\tB-NP\tO' +p26027 +aS'33\t33\tCD\tI-NP\tO' +p26028 +aS',\t,\t,\tO\tO' +p26029 +aS'white\twhite\tJJ\tB-NP\tO' +p26030 +aS'count\tcount\tNN\tI-NP\tO' +p26031 +aS'4.4\t4.4\tCD\tI-NP\tO' +p26032 +aS',\t,\t,\tO\tO' +p26033 +aS'with\twith\tIN\tB-PP\tO' +p26034 +aS'28%\t28%\tJJ\tB-NP\tO' +p26035 +aS'monos\tmono\tNNS\tI-NP\tO' +p26036 +aS'and\tand\tCC\tO\tO' +p26037 +aS'30%\t30%\tCD\tB-NP\tO' +p26038 +aS'polys\tpoly\tNNS\tI-NP\tO' +p26039 +aS'and\tand\tCC\tI-NP\tO' +p26040 +aS'bands\tband\tNNS\tI-NP\tO' +p26041 +aS'.\t.\t.\tO\tO' +p26042 +asS'Penicillins / Estrogens / Ancef / Tegretol / Keflex' +p26043 +(lp26044 +S'Penicillins\tPenicillin\tNNS\tB-NP\tB-protein' +p26045 +aS'/\t/\tSYM\tO\tB-protein' +p26046 +aS'Estrogens\tEstrogen\tNNS\tB-NP\tI-protein' +p26047 +aS'/\t/\tSYM\tB-VP\tI-protein' +p26048 +aS'Ancef\tAncef\tNN\tB-NP\tI-protein' +p26049 +aS'/\t/\tSYM\tI-NP\tO' +p26050 +aS'Tegretol\tTegretol\tNN\tI-NP\tO' +p26051 +aS'/\t/\tSYM\tO\tO' +p26052 +aS'Keflex\tKeflex\tNN\tB-NP\tO' +p26053 +asS'This was a well-developed , well-nourished female in no acute distress .' +p26054 +(lp26055 +S'This\tThis\tDT\tB-NP\tO' +p26056 +aS'was\tbe\tVBD\tB-VP\tO' +p26057 +aS'a\ta\tDT\tB-NP\tO' +p26058 +aS'well-developed\twell-developed\tJJ\tI-NP\tO' +p26059 +aS',\t,\t,\tI-NP\tO' +p26060 +aS'well-nourished\twell-nourished\tJJ\tI-NP\tO' +p26061 +aS'female\tfemale\tNN\tI-NP\tO' +p26062 +aS'in\tin\tIN\tB-PP\tO' +p26063 +aS'no\tno\tDT\tB-NP\tO' +p26064 +aS'acute\tacute\tJJ\tI-NP\tO' +p26065 +aS'distress\tdistress\tNN\tI-NP\tO' +p26066 +aS'.\t.\t.\tO\tO' +p26067 +asS'INDICATION : 72-year-old male with altered mental status .' +p26068 +(lp26069 +S'INDICATION\tINDICATION\tNN\tB-NP\tO' +p26070 +aS':\t:\t:\tO\tO' +p26071 +aS'72-year-old\t72-year-old\tJJ\tB-NP\tO' +p26072 +aS'male\tmale\tNN\tI-NP\tO' +p26073 +aS'with\twith\tIN\tB-PP\tO' +p26074 +aS'altered\talter\tVBN\tB-NP\tO' +p26075 +aS'mental\tmental\tJJ\tI-NP\tO' +p26076 +aS'status\tstatus\tNN\tI-NP\tO' +p26077 +aS'.\t.\t.\tO\tO' +p26078 +asS'The patient was continued on heparin throughout his hospital course and transitioned to Coumadin on hospital day four .' +p26079 +(lp26080 +S'The\tThe\tDT\tB-NP\tO' +p26081 +aS'patient\tpatient\tNN\tI-NP\tO' +p26082 +aS'was\tbe\tVBD\tB-VP\tO' +p26083 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p26084 +aS'on\ton\tIN\tB-PP\tO' +p26085 +aS'heparin\theparin\tNN\tB-NP\tO' +p26086 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p26087 +aS'his\this\tPRP$\tB-NP\tO' +p26088 +aS'hospital\thospital\tNN\tI-NP\tO' +p26089 +aS'course\tcourse\tNN\tI-NP\tO' +p26090 +aS'and\tand\tCC\tO\tO' +p26091 +aS'transitioned\ttransitione\tVBN\tB-VP\tO' +p26092 +aS'to\tto\tTO\tB-PP\tO' +p26093 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p26094 +aS'on\ton\tIN\tB-PP\tO' +p26095 +aS'hospital\thospital\tNN\tB-NP\tO' +p26096 +aS'day\tday\tNN\tI-NP\tO' +p26097 +aS'four\tfour\tCD\tI-NP\tO' +p26098 +aS'.\t.\t.\tO\tO' +p26099 +asS'Images through the skull base demonstrate soft tissue changes in the sphenoid sinus which could be due to retained secretions from intubation .' +p26100 +(lp26101 +S'Images\tImage\tNNS\tB-NP\tO' +p26102 +aS'through\tthrough\tIN\tB-PP\tO' +p26103 +aS'the\tthe\tDT\tB-NP\tO' +p26104 +aS'skull\tskull\tNN\tI-NP\tO' +p26105 +aS'base\tbase\tNN\tI-NP\tO' +p26106 +aS'demonstrate\tdemonstrate\tVBP\tB-VP\tO' +p26107 +aS'soft\tsoft\tJJ\tB-NP\tO' +p26108 +aS'tissue\ttissue\tNN\tI-NP\tO' +p26109 +aS'changes\tchange\tNNS\tI-NP\tO' +p26110 +aS'in\tin\tIN\tB-PP\tO' +p26111 +aS'the\tthe\tDT\tB-NP\tO' +p26112 +aS'sphenoid\tsphenoid\tJJ\tI-NP\tO' +p26113 +aS'sinus\tsinus\tNN\tI-NP\tO' +p26114 +aS'which\twhich\tWDT\tB-NP\tO' +p26115 +aS'could\tcould\tMD\tB-VP\tO' +p26116 +aS'be\tbe\tVB\tI-VP\tO' +p26117 +aS'due\tdue\tJJ\tB-PP\tO' +p26118 +aS'to\tto\tTO\tB-PP\tO' +p26119 +aS'retained\tretain\tVBN\tB-NP\tO' +p26120 +aS'secretions\tsecretion\tNNS\tI-NP\tO' +p26121 +aS'from\tfrom\tIN\tB-PP\tO' +p26122 +aS'intubation\tintubation\tNN\tB-NP\tO' +p26123 +aS'.\t.\t.\tO\tO' +p26124 +asS'He was continued on his home cardiac regimen , but was started on indomethacin for post pericardiotomy syndrome .' +p26125 +(lp26126 +S'He\tHe\tPRP\tB-NP\tO' +p26127 +aS'was\tbe\tVBD\tB-VP\tO' +p26128 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p26129 +aS'on\ton\tIN\tB-PP\tO' +p26130 +aS'his\this\tPRP$\tB-NP\tO' +p26131 +aS'home\thome\tNN\tI-NP\tO' +p26132 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p26133 +aS'regimen\tregimen\tNN\tI-NP\tO' +p26134 +aS',\t,\t,\tO\tO' +p26135 +aS'but\tbut\tCC\tO\tO' +p26136 +aS'was\tbe\tVBD\tB-VP\tO' +p26137 +aS'started\tstart\tVBN\tI-VP\tO' +p26138 +aS'on\ton\tIN\tB-PP\tO' +p26139 +aS'indomethacin\tindomethacin\tNN\tB-NP\tO' +p26140 +aS'for\tfor\tIN\tB-PP\tO' +p26141 +aS'post\tpost\tNN\tB-NP\tO' +p26142 +aS'pericardiotomy\tpericardiotomy\tNN\tI-NP\tO' +p26143 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p26144 +aS'.\t.\t.\tO\tO' +p26145 +asS'He had a gastric pull up in 1992 of the stomach into the left thorax and he has a transverse colostomy and a sinus tract on the abdomen .' +p26146 +(lp26147 +S'He\tHe\tPRP\tB-NP\tO' +p26148 +aS'had\thave\tVBD\tB-VP\tO' +p26149 +aS'a\ta\tDT\tB-NP\tO' +p26150 +aS'gastric\tgastric\tJJ\tI-NP\tO' +p26151 +aS'pull\tpull\tNN\tI-NP\tO' +p26152 +aS'up\tup\tRB\tB-ADVP\tO' +p26153 +aS'in\tin\tIN\tB-PP\tO' +p26154 +aS'1992\t1992\tCD\tB-NP\tO' +p26155 +aS'of\tof\tIN\tB-PP\tO' +p26156 +aS'the\tthe\tDT\tB-NP\tO' +p26157 +aS'stomach\tstomach\tNN\tI-NP\tO' +p26158 +aS'into\tinto\tIN\tB-PP\tO' +p26159 +aS'the\tthe\tDT\tB-NP\tO' +p26160 +aS'left\tleft\tJJ\tI-NP\tO' +p26161 +aS'thorax\tthorax\tNN\tI-NP\tO' +p26162 +aS'and\tand\tCC\tO\tO' +p26163 +aS'he\the\tPRP\tB-NP\tO' +p26164 +aS'has\thave\tVBZ\tB-VP\tO' +p26165 +aS'a\ta\tDT\tB-NP\tO' +p26166 +aS'transverse\ttransverse\tJJ\tI-NP\tO' +p26167 +aS'colostomy\tcolostomy\tNN\tI-NP\tO' +p26168 +aS'and\tand\tCC\tO\tO' +p26169 +aS'a\ta\tDT\tB-NP\tO' +p26170 +aS'sinus\tsinus\tNN\tI-NP\tO' +p26171 +aS'tract\ttract\tNN\tI-NP\tO' +p26172 +aS'on\ton\tIN\tB-PP\tO' +p26173 +aS'the\tthe\tDT\tB-NP\tO' +p26174 +aS'abdomen\tabdoman\tNNS\tI-NP\tO' +p26175 +aS'.\t.\t.\tO\tO' +p26176 +asS'She was discharged to home in stable condition .' +p26177 +(lp26178 +S'She\tShe\tPRP\tB-NP\tO' +p26179 +aS'was\tbe\tVBD\tB-VP\tO' +p26180 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p26181 +aS'to\tto\tTO\tB-PP\tO' +p26182 +aS'home\thome\tNN\tB-NP\tO' +p26183 +aS'in\tin\tIN\tB-PP\tO' +p26184 +aS'stable\tstable\tJJ\tB-NP\tO' +p26185 +aS'condition\tcondition\tNN\tI-NP\tO' +p26186 +aS'.\t.\t.\tO\tO' +p26187 +asS'1. Synthroid 0.125 mg. daily .' +p26188 +(lp26189 +S'1.\t1.\tLS\tB-NP\tO' +p26190 +aS'Synthroid\tSynthroid\tJJ\tI-NP\tO' +p26191 +aS'0.125\t0.125\tCD\tI-NP\tO' +p26192 +aS'mg.\tmg.\tNN\tI-NP\tO' +p26193 +aS'daily\tdaily\tRB\tB-ADVP\tO' +p26194 +aS'.\t.\t.\tO\tO' +p26195 +asS'1. Uterus and cervix , hysterectomy ( A-E ):' +p26196 +(lp26197 +S'1.\t1.\tLS\tB-NP\tO' +p26198 +aS'Uterus\tUterus\tNN\tI-NP\tO' +p26199 +aS'and\tand\tCC\tI-NP\tO' +p26200 +aS'cervix\tcervix\tNN\tI-NP\tO' +p26201 +aS',\t,\t,\tO\tO' +p26202 +aS'hysterectomy\thysterectomy\tNN\tB-NP\tO' +p26203 +aS'(\t(\t(\tO\tO' +p26204 +aS'A-E\tA-E\tNN\tB-NP\tO' +p26205 +aS'):\t):\t)\tO\tO' +p26206 +asS'On discharge she was awake , alert and orientated X3 with c/o mild headache .' +p26207 +(lp26208 +S'On\tOn\tIN\tB-PP\tO' +p26209 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p26210 +aS'she\tshe\tPRP\tB-NP\tO' +p26211 +aS'was\tbe\tVBD\tB-VP\tO' +p26212 +aS'awake\tawake\tJJ\tB-ADJP\tO' +p26213 +aS',\t,\t,\tO\tO' +p26214 +aS'alert\talert\tJJ\tB-ADJP\tO' +p26215 +aS'and\tand\tCC\tO\tO' +p26216 +aS'orientated\torientate\tVBN\tB-VP\tO' +p26217 +aS'X3\tX3\tNN\tB-NP\tB-DNA' +p26218 +aS'with\twith\tIN\tB-PP\tO' +p26219 +aS'c/o\tc/o\tNN\tB-NP\tO' +p26220 +aS'mild\tmild\tJJ\tI-NP\tO' +p26221 +aS'headache\theadache\tNN\tI-NP\tO' +p26222 +aS'.\t.\t.\tO\tO' +p26223 +asS'It was felt at that time that the changing mental status and respiratory distress might be due to a combination of medication and worsening mucositis .' +p26224 +(lp26225 +S'It\tIt\tPRP\tB-NP\tO' +p26226 +aS'was\tbe\tVBD\tB-VP\tO' +p26227 +aS'felt\tfeel\tVBN\tI-VP\tO' +p26228 +aS'at\tat\tIN\tB-PP\tO' +p26229 +aS'that\tthat\tDT\tB-NP\tO' +p26230 +aS'time\ttime\tNN\tI-NP\tO' +p26231 +aS'that\tthat\tIN\tB-SBAR\tO' +p26232 +aS'the\tthe\tDT\tB-NP\tO' +p26233 +aS'changing\tchange\tVBG\tI-NP\tO' +p26234 +aS'mental\tmental\tJJ\tI-NP\tO' +p26235 +aS'status\tstatus\tNN\tI-NP\tO' +p26236 +aS'and\tand\tCC\tO\tO' +p26237 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p26238 +aS'distress\tdistress\tNN\tI-NP\tO' +p26239 +aS'might\tmight\tMD\tB-VP\tO' +p26240 +aS'be\tbe\tVB\tI-VP\tO' +p26241 +aS'due\tdue\tJJ\tB-ADVP\tO' +p26242 +aS'to\tto\tTO\tB-PP\tO' +p26243 +aS'a\ta\tDT\tB-NP\tO' +p26244 +aS'combination\tcombination\tNN\tI-NP\tO' +p26245 +aS'of\tof\tIN\tB-PP\tO' +p26246 +aS'medication\tmedication\tNN\tB-NP\tO' +p26247 +aS'and\tand\tCC\tO\tO' +p26248 +aS'worsening\tworsen\tVBG\tB-VP\tO' +p26249 +aS'mucositis\tmucositis\tNN\tB-NP\tO' +p26250 +aS'.\t.\t.\tO\tO' +p26251 +asS'versus early pseudocyst .' +p26252 +(lp26253 +S'versus\tversus\tIN\tB-PP\tO' +p26254 +aS'early\tearly\tJJ\tB-NP\tO' +p26255 +aS'pseudocyst\tpseudocyst\tNN\tI-NP\tO' +p26256 +aS'.\t.\t.\tO\tO' +p26257 +asS'A bone scan was also obtained to rule out an occult hip fracture which was negative .' +p26258 +(lp26259 +S'A\tA\tDT\tB-NP\tO' +p26260 +aS'bone\tbone\tNN\tI-NP\tO' +p26261 +aS'scan\tscan\tNN\tI-NP\tO' +p26262 +aS'was\tbe\tVBD\tB-VP\tO' +p26263 +aS'also\talso\tRB\tI-VP\tO' +p26264 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p26265 +aS'to\tto\tTO\tI-VP\tO' +p26266 +aS'rule\trule\tVB\tI-VP\tO' +p26267 +aS'out\tout\tRP\tB-PRT\tO' +p26268 +aS'an\tan\tDT\tB-NP\tO' +p26269 +aS'occult\toccult\tJJ\tI-NP\tO' +p26270 +aS'hip\thip\tNN\tI-NP\tO' +p26271 +aS'fracture\tfracture\tNN\tI-NP\tO' +p26272 +aS'which\twhich\tWDT\tB-NP\tO' +p26273 +aS'was\tbe\tVBD\tB-VP\tO' +p26274 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p26275 +aS'.\t.\t.\tO\tO' +p26276 +asS'4) STEROID INDUCED DIABETES MELLITUS .' +p26277 +(lp26278 +S'4)\t4)\tLS\tB-NP\tO' +p26279 +aS'STEROID\tSTEROID\tNN\tI-NP\tO' +p26280 +aS'INDUCED\tINDUCED\tNNP\tI-NP\tO' +p26281 +aS'DIABETES\tDIABETES\tNNP\tI-NP\tO' +p26282 +aS'MELLITUS\tMELLITUS\tNNP\tI-NP\tO' +p26283 +aS'.\t.\t.\tO\tO' +p26284 +asS'There was sigmoid narrowing near a large left ovarian mass , and distal ileal narrowing by a right ovarian mass .' +p26285 +(lp26286 +S'There\tThere\tEX\tB-NP\tO' +p26287 +aS'was\tbe\tVBD\tB-VP\tO' +p26288 +aS'sigmoid\tsigmoid\tJJ\tB-NP\tO' +p26289 +aS'narrowing\tnarrowing\tNN\tI-NP\tO' +p26290 +aS'near\tnear\tIN\tB-PP\tO' +p26291 +aS'a\ta\tDT\tB-NP\tO' +p26292 +aS'large\tlarge\tJJ\tI-NP\tO' +p26293 +aS'left\tleft\tJJ\tI-NP\tO' +p26294 +aS'ovarian\tovarian\tJJ\tI-NP\tO' +p26295 +aS'mass\tmass\tNN\tI-NP\tO' +p26296 +aS',\t,\t,\tO\tO' +p26297 +aS'and\tand\tCC\tO\tO' +p26298 +aS'distal\tdistal\tJJ\tB-NP\tO' +p26299 +aS'ileal\tileal\tJJ\tI-NP\tO' +p26300 +aS'narrowing\tnarrowing\tNN\tI-NP\tO' +p26301 +aS'by\tby\tIN\tB-PP\tO' +p26302 +aS'a\ta\tDT\tB-NP\tO' +p26303 +aS'right\tright\tJJ\tI-NP\tO' +p26304 +aS'ovarian\tovarian\tJJ\tI-NP\tO' +p26305 +aS'mass\tmass\tNN\tI-NP\tO' +p26306 +aS'.\t.\t.\tO\tO' +p26307 +asS'Infant is currently on breast milk or Enfamil 24 calories per ounce po minimum 140 cc per kilogram per day .' +p26308 +(lp26309 +S'Infant\tInfant\tNN\tB-NP\tO' +p26310 +aS'is\tbe\tVBZ\tB-VP\tO' +p26311 +aS'currently\tcurrently\tRB\tB-ADVP\tO' +p26312 +aS'on\ton\tIN\tB-PP\tO' +p26313 +aS'breast\tbreast\tNN\tB-NP\tO' +p26314 +aS'milk\tmilk\tNN\tI-NP\tO' +p26315 +aS'or\tor\tCC\tO\tO' +p26316 +aS'Enfamil\tEnfamil\tNN\tB-NP\tO' +p26317 +aS'24\t24\tCD\tB-NP\tO' +p26318 +aS'calories\tcalorie\tNNS\tI-NP\tO' +p26319 +aS'per\tper\tIN\tB-PP\tO' +p26320 +aS'ounce\tounce\tNN\tB-NP\tO' +p26321 +aS'po\tpo\tNN\tI-NP\tO' +p26322 +aS'minimum\tminimum\tNN\tI-NP\tO' +p26323 +aS'140\t140\tCD\tI-NP\tO' +p26324 +aS'cc\tcc\tNN\tI-NP\tO' +p26325 +aS'per\tper\tIN\tB-PP\tO' +p26326 +aS'kilogram\tkilogram\tNN\tB-NP\tO' +p26327 +aS'per\tper\tIN\tB-PP\tO' +p26328 +aS'day\tday\tNN\tB-NP\tO' +p26329 +aS'.\t.\t.\tO\tO' +p26330 +asS'Right AKA stump with dry gangrene' +p26331 +(lp26332 +S'Right\tRight\tNN\tB-NP\tO' +p26333 +aS'AKA\tAKA\tNN\tI-NP\tO' +p26334 +aS'stump\tstump\tNN\tI-NP\tO' +p26335 +aS'with\twith\tIN\tB-PP\tO' +p26336 +aS'dry\tdry\tJJ\tB-NP\tO' +p26337 +aS'gangrene\tgangrene\tNN\tI-NP\tO' +p26338 +asS'Thomas Haas x 15 yrs but maintains her certification .' +p26339 +(lp26340 +S'Thomas\tThomas\tNNP\tB-NP\tO' +p26341 +aS'Haas\tHaas\tNNP\tI-NP\tO' +p26342 +aS'x\tx\tNNP\tI-NP\tO' +p26343 +aS'15\t15\tCD\tB-NP\tO' +p26344 +aS'yrs\tyr\tNNS\tI-NP\tO' +p26345 +aS'but\tbut\tCC\tO\tO' +p26346 +aS'maintains\tmaintain\tVBZ\tB-VP\tO' +p26347 +aS'her\ther\tPRP$\tB-NP\tO' +p26348 +aS'certification\tcertification\tNN\tI-NP\tO' +p26349 +aS'.\t.\t.\tO\tO' +p26350 +asS'IMPRESSION : AP chest compared to 07-30 through 26 : Mild pulmonary edema is unchanged .' +p26351 +(lp26352 +S'IMPRESSION\tIMPRESSION\tNN\tB-NP\tO' +p26353 +aS':\t:\t:\tO\tO' +p26354 +aS'AP\tAP\tNN\tB-NP\tO' +p26355 +aS'chest\tchest\tNN\tI-NP\tO' +p26356 +aS'compared\tcompare\tVBN\tB-VP\tO' +p26357 +aS'to\tto\tTO\tB-PP\tO' +p26358 +aS'07-30\t07-30\tCD\tB-NP\tO' +p26359 +aS'through\tthrough\tIN\tB-PP\tO' +p26360 +aS'26\t26\tCD\tB-NP\tO' +p26361 +aS':\t:\t:\tO\tO' +p26362 +aS'Mild\tMild\tNNP\tB-NP\tO' +p26363 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p26364 +aS'edema\tedema\tNN\tI-NP\tO' +p26365 +aS'is\tbe\tVBZ\tB-VP\tO' +p26366 +aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' +p26367 +aS'.\t.\t.\tO\tO' +p26368 +asS'The pain and light-headedness is now severely lifestyle limiting and the patient requested evaluation for possible aortic valve replacement .' +p26369 +(lp26370 +S'The\tThe\tDT\tB-NP\tO' +p26371 +aS'pain\tpain\tNN\tI-NP\tO' +p26372 +aS'and\tand\tCC\tI-NP\tO' +p26373 +aS'light-headedness\tlight-headedness\tNN\tI-NP\tO' +p26374 +aS'is\tbe\tVBZ\tB-VP\tO' +p26375 +aS'now\tnow\tRB\tB-ADVP\tO' +p26376 +aS'severely\tseverely\tRB\tB-NP\tO' +p26377 +aS'lifestyle\tlifestyle\tNN\tI-NP\tO' +p26378 +aS'limiting\tlimit\tVBG\tB-VP\tO' +p26379 +aS'and\tand\tCC\tO\tO' +p26380 +aS'the\tthe\tDT\tB-NP\tO' +p26381 +aS'patient\tpatient\tNN\tI-NP\tO' +p26382 +aS'requested\trequest\tVBD\tB-VP\tO' +p26383 +aS'evaluation\tevaluation\tNN\tB-NP\tO' +p26384 +aS'for\tfor\tIN\tB-PP\tO' +p26385 +aS'possible\tpossible\tJJ\tB-NP\tO' +p26386 +aS'aortic\taortic\tJJ\tI-NP\tO' +p26387 +aS'valve\tvalve\tNN\tI-NP\tO' +p26388 +aS'replacement\treplacement\tNN\tI-NP\tO' +p26389 +aS'.\t.\t.\tO\tO' +p26390 +asS'Her heart has regular rate and rhythm with I / VI systolic ejection murmur at the base .' +p26391 +(lp26392 +S'Her\tHer\tPRP$\tB-NP\tO' +p26393 +aS'heart\theart\tNN\tI-NP\tO' +p26394 +aS'has\thave\tVBZ\tB-VP\tO' +p26395 +aS'regular\tregular\tJJ\tB-NP\tO' +p26396 +aS'rate\trate\tNN\tI-NP\tO' +p26397 +aS'and\tand\tCC\tI-NP\tO' +p26398 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p26399 +aS'with\twith\tIN\tB-PP\tO' +p26400 +aS'I\tI\tNN\tB-NP\tO' +p26401 +aS'/\t/\tSYM\tB-NP\tO' +p26402 +aS'VI\tVI\tNN\tI-NP\tO' +p26403 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p26404 +aS'ejection\tejection\tNN\tI-NP\tO' +p26405 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p26406 +aS'at\tat\tIN\tB-PP\tO' +p26407 +aS'the\tthe\tDT\tB-NP\tO' +p26408 +aS'base\tbase\tNN\tI-NP\tO' +p26409 +aS'.\t.\t.\tO\tO' +p26410 +asS'The Foley catheter was in place and the Bacitracin ointment should be applied to the urethral meatus twice a day .' +p26411 +(lp26412 +S'The\tThe\tDT\tB-NP\tO' +p26413 +aS'Foley\tFoley\tNNP\tI-NP\tO' +p26414 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p26415 +aS'was\tbe\tVBD\tB-VP\tO' +p26416 +aS'in\tin\tIN\tB-PP\tO' +p26417 +aS'place\tplace\tNN\tB-NP\tO' +p26418 +aS'and\tand\tCC\tO\tO' +p26419 +aS'the\tthe\tDT\tB-NP\tO' +p26420 +aS'Bacitracin\tBacitracin\tNN\tI-NP\tO' +p26421 +aS'ointment\tointment\tNN\tI-NP\tO' +p26422 +aS'should\tshould\tMD\tB-VP\tO' +p26423 +aS'be\tbe\tVB\tI-VP\tO' +p26424 +aS'applied\tapply\tVBN\tI-VP\tO' +p26425 +aS'to\tto\tTO\tB-PP\tO' +p26426 +aS'the\tthe\tDT\tB-NP\tO' +p26427 +aS'urethral\turethral\tJJ\tI-NP\tO' +p26428 +aS'meatus\tmeatus\tNN\tI-NP\tO' +p26429 +aS'twice\ttwice\tRB\tB-NP\tO' +p26430 +aS'a\ta\tDT\tI-NP\tO' +p26431 +aS'day\tday\tNN\tI-NP\tO' +p26432 +aS'.\t.\t.\tO\tO' +p26433 +asS'Subsequently , the patient began vigorously diuresing with 4 liters urine recovered the following hospital day .' +p26434 +(lp26435 +S'Subsequently\tSubsequently\tRB\tB-ADVP\tO' +p26436 +aS',\t,\t,\tO\tO' +p26437 +aS'the\tthe\tDT\tB-NP\tO' +p26438 +aS'patient\tpatient\tNN\tI-NP\tO' +p26439 +aS'began\tbegin\tVBD\tB-VP\tO' +p26440 +aS'vigorously\tvigorously\tRB\tI-VP\tO' +p26441 +aS'diuresing\tdiurese\tVBG\tI-VP\tO' +p26442 +aS'with\twith\tIN\tB-PP\tO' +p26443 +aS'4\t4\tCD\tB-NP\tO' +p26444 +aS'liters\tliter\tNNS\tI-NP\tO' +p26445 +aS'urine\turine\tNN\tI-NP\tO' +p26446 +aS'recovered\trecover\tVBD\tB-VP\tO' +p26447 +aS'the\tthe\tDT\tB-NP\tO' +p26448 +aS'following\tfollow\tVBG\tI-NP\tO' +p26449 +aS'hospital\thospital\tNN\tI-NP\tO' +p26450 +aS'day\tday\tNN\tI-NP\tO' +p26451 +aS'.\t.\t.\tO\tO' +p26452 +asS'The gait was intact and the tandem gait was intact as well .' +p26453 +(lp26454 +S'The\tThe\tDT\tB-NP\tO' +p26455 +aS'gait\tgait\tNN\tI-NP\tO' +p26456 +aS'was\tbe\tVBD\tB-VP\tO' +p26457 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p26458 +aS'and\tand\tCC\tO\tO' +p26459 +aS'the\tthe\tDT\tB-NP\tO' +p26460 +aS'tandem\ttandem\tJJ\tI-NP\tO' +p26461 +aS'gait\tgait\tNN\tI-NP\tO' +p26462 +aS'was\tbe\tVBD\tB-VP\tO' +p26463 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p26464 +aS'as\tas\tRB\tB-ADVP\tO' +p26465 +aS'well\twell\tRB\tI-ADVP\tO' +p26466 +aS'.\t.\t.\tO\tO' +p26467 +asS'130s .' +p26468 +(lp26469 +S'130s\t130\tNNS\tB-NP\tO' +p26470 +aS'.\t.\t.\tO\tO' +p26471 +asS'Primarily the family lives in Wisconsin .' +p26472 +(lp26473 +S'Primarily\tPrimarily\tRB\tB-ADVP\tO' +p26474 +aS'the\tthe\tDT\tB-NP\tO' +p26475 +aS'family\tfamily\tNN\tI-NP\tO' +p26476 +aS'lives\tlife\tNNS\tI-NP\tO' +p26477 +aS'in\tin\tIN\tB-PP\tO' +p26478 +aS'Wisconsin\tWisconsin\tNNP\tB-NP\tO' +p26479 +aS'.\t.\t.\tO\tO' +p26480 +asS'A thallium stress test showed tachycardia and severe dyspnea as well as a fall in blood pressure with low level exercise .' +p26481 +(lp26482 +S'A\tA\tDT\tB-NP\tO' +p26483 +aS'thallium\tthallium\tNN\tI-NP\tO' +p26484 +aS'stress\tstress\tNN\tI-NP\tO' +p26485 +aS'test\ttest\tNN\tI-NP\tO' +p26486 +aS'showed\tshow\tVBD\tB-VP\tO' +p26487 +aS'tachycardia\ttachycardia\tNN\tB-NP\tO' +p26488 +aS'and\tand\tCC\tO\tO' +p26489 +aS'severe\tsevere\tJJ\tB-NP\tO' +p26490 +aS'dyspnea\tdyspnea\tNN\tI-NP\tO' +p26491 +aS'as\tas\tRB\tB-CONJP\tO' +p26492 +aS'well\twell\tRB\tI-CONJP\tO' +p26493 +aS'as\tas\tIN\tI-CONJP\tO' +p26494 +aS'a\ta\tDT\tB-NP\tO' +p26495 +aS'fall\tfall\tNN\tI-NP\tO' +p26496 +aS'in\tin\tIN\tB-PP\tO' +p26497 +aS'blood\tblood\tNN\tB-NP\tO' +p26498 +aS'pressure\tpressure\tNN\tI-NP\tO' +p26499 +aS'with\twith\tIN\tB-PP\tO' +p26500 +aS'low\tlow\tJJ\tB-NP\tO' +p26501 +aS'level\tlevel\tNN\tI-NP\tO' +p26502 +aS'exercise\texercise\tNN\tI-NP\tO' +p26503 +aS'.\t.\t.\tO\tO' +p26504 +asS'R nephrostomy tube in place and draining' +p26505 +(lp26506 +S'R\tR\tNN\tB-NP\tO' +p26507 +aS'nephrostomy\tnephrostomy\tNN\tI-NP\tO' +p26508 +aS'tube\ttube\tNN\tI-NP\tO' +p26509 +aS'in\tin\tIN\tB-PP\tO' +p26510 +aS'place\tplace\tNN\tB-NP\tO' +p26511 +aS'and\tand\tCC\tO\tO' +p26512 +aS'draining\tdrain\tVBG\tB-VP\tO' +p26513 +asS'Cranial nerves II-XII are grossly intact , 5/5 strength in all extremities , sensation is intact in all extremities .' +p26514 +(lp26515 +S'Cranial\tCranial\tJJ\tB-NP\tO' +p26516 +aS'nerves\tnerve\tNNS\tI-NP\tO' +p26517 +aS'II-XII\tII-XII\tNN\tI-NP\tB-protein' +p26518 +aS'are\tbe\tVBP\tB-VP\tO' +p26519 +aS'grossly\tgrossly\tRB\tB-ADJP\tO' +p26520 +aS'intact\tintact\tJJ\tI-ADJP\tO' +p26521 +aS',\t,\t,\tO\tO' +p26522 +aS'5/5\t5/5\tCD\tB-NP\tO' +p26523 +aS'strength\tstrength\tNN\tI-NP\tO' +p26524 +aS'in\tin\tIN\tB-PP\tO' +p26525 +aS'all\tall\tDT\tB-NP\tO' +p26526 +aS'extremities\textremity\tNNS\tI-NP\tO' +p26527 +aS',\t,\t,\tO\tO' +p26528 +aS'sensation\tsensation\tNN\tB-NP\tO' +p26529 +aS'is\tbe\tVBZ\tB-VP\tO' +p26530 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p26531 +aS'in\tin\tIN\tB-PP\tO' +p26532 +aS'all\tall\tDT\tB-NP\tO' +p26533 +aS'extremities\textremity\tNNS\tI-NP\tO' +p26534 +aS'.\t.\t.\tO\tO' +p26535 +asS'Significant for a left ear operation approximately 30 years ago with left TM reconstruction in December 1999 at Hitch Hospital .' +p26536 +(lp26537 +S'Significant\tSignificant\tJJ\tB-ADJP\tO' +p26538 +aS'for\tfor\tIN\tB-PP\tO' +p26539 +aS'a\ta\tDT\tB-NP\tO' +p26540 +aS'left\tleft\tJJ\tI-NP\tO' +p26541 +aS'ear\tear\tNN\tI-NP\tO' +p26542 +aS'operation\toperation\tNN\tI-NP\tO' +p26543 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p26544 +aS'30\t30\tCD\tI-NP\tO' +p26545 +aS'years\tyear\tNNS\tI-NP\tO' +p26546 +aS'ago\tago\tRB\tB-ADVP\tO' +p26547 +aS'with\twith\tIN\tB-PP\tO' +p26548 +aS'left\tleft\tJJ\tB-NP\tO' +p26549 +aS'TM\tTM\tNN\tI-NP\tO' +p26550 +aS'reconstruction\treconstruction\tNN\tI-NP\tO' +p26551 +aS'in\tin\tIN\tB-PP\tO' +p26552 +aS'December\tDecember\tNNP\tB-NP\tO' +p26553 +aS'1999\t1999\tCD\tI-NP\tO' +p26554 +aS'at\tat\tIN\tB-PP\tO' +p26555 +aS'Hitch\tHitch\tNNP\tB-NP\tO' +p26556 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p26557 +aS'.\t.\t.\tO\tO' +p26558 +asS'3. End stage renal disease , status post kidney transplantation .' +p26559 +(lp26560 +S'3.\t3.\tLS\tB-NP\tO' +p26561 +aS'End\tEnd\tNN\tI-NP\tO' +p26562 +aS'stage\tstage\tNN\tI-NP\tO' +p26563 +aS'renal\trenal\tJJ\tI-NP\tO' +p26564 +aS'disease\tdisease\tNN\tI-NP\tO' +p26565 +aS',\t,\t,\tO\tO' +p26566 +aS'status\tstatus\tNN\tB-NP\tO' +p26567 +aS'post\tpost\tNN\tI-NP\tO' +p26568 +aS'kidney\tkidney\tNN\tI-NP\tO' +p26569 +aS'transplantation\ttransplantation\tNN\tI-NP\tO' +p26570 +aS'.\t.\t.\tO\tO' +p26571 +asS'Guarded , but stable .' +p26572 +(lp26573 +S'Guarded\tGuard\tVBN\tB-VP\tO' +p26574 +aS',\t,\t,\tO\tO' +p26575 +aS'but\tbut\tCC\tO\tO' +p26576 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p26577 +aS'.\t.\t.\tO\tO' +p26578 +asS'On postoperative day number ten , the patient returned to the floor with improved renal function and without oxygen requirement .' +p26579 +(lp26580 +S'On\tOn\tIN\tB-PP\tO' +p26581 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p26582 +aS'day\tday\tNN\tI-NP\tO' +p26583 +aS'number\tnumber\tNN\tI-NP\tO' +p26584 +aS'ten\tten\tCD\tI-NP\tO' +p26585 +aS',\t,\t,\tO\tO' +p26586 +aS'the\tthe\tDT\tB-NP\tO' +p26587 +aS'patient\tpatient\tNN\tI-NP\tO' +p26588 +aS'returned\treturn\tVBD\tB-VP\tO' +p26589 +aS'to\tto\tTO\tB-PP\tO' +p26590 +aS'the\tthe\tDT\tB-NP\tO' +p26591 +aS'floor\tfloor\tNN\tI-NP\tO' +p26592 +aS'with\twith\tIN\tB-PP\tO' +p26593 +aS'improved\timprove\tVBN\tB-NP\tO' +p26594 +aS'renal\trenal\tJJ\tI-NP\tO' +p26595 +aS'function\tfunction\tNN\tI-NP\tO' +p26596 +aS'and\tand\tCC\tB-PP\tO' +p26597 +aS'without\twithout\tIN\tB-PP\tO' +p26598 +aS'oxygen\toxygen\tNN\tB-NP\tO' +p26599 +aS'requirement\trequirement\tNN\tI-NP\tO' +p26600 +aS'.\t.\t.\tO\tO' +p26601 +asS'1 ) Non-insulin dependent diabetes mellitus .' +p26602 +(lp26603 +S'1\t1\tLS\tB-LST\tO' +p26604 +aS')\t)\t)\tO\tO' +p26605 +aS'Non-insulin\tNon-insulin\tNN\tB-NP\tB-protein' +p26606 +aS'dependent\tdependent\tJJ\tI-NP\tO' +p26607 +aS'diabetes\tdiabete\tNNS\tI-NP\tO' +p26608 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p26609 +aS'.\t.\t.\tO\tO' +p26610 +asS'2 ) Coronary artery disease , status post coronary artery bypass graft , status post anterior myocardial infarction , sick sinus syndrome , status post a VVI pacer placement .' +p26611 +(lp26612 +S'2\t2\tLS\tB-LST\tO' +p26613 +aS')\t)\t)\tO\tO' +p26614 +aS'Coronary\tCoronary\tJJ\tB-NP\tO' +p26615 +aS'artery\tartery\tNN\tI-NP\tO' +p26616 +aS'disease\tdisease\tNN\tI-NP\tO' +p26617 +aS',\t,\t,\tO\tO' +p26618 +aS'status\tstatus\tNN\tB-NP\tO' +p26619 +aS'post\tpost\tNN\tI-NP\tO' +p26620 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p26621 +aS'artery\tartery\tNN\tI-NP\tO' +p26622 +aS'bypass\tbypass\tIN\tB-PP\tO' +p26623 +aS'graft\tgraft\tNN\tB-NP\tO' +p26624 +aS',\t,\t,\tO\tO' +p26625 +aS'status\tstatus\tNN\tB-NP\tO' +p26626 +aS'post\tpost\tVBD\tB-VP\tO' +p26627 +aS'anterior\tanterior\tJJ\tB-NP\tO' +p26628 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p26629 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p26630 +aS',\t,\t,\tO\tO' +p26631 +aS'sick\tsick\tJJ\tB-NP\tO' +p26632 +aS'sinus\tsinus\tNN\tI-NP\tO' +p26633 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p26634 +aS',\t,\t,\tO\tO' +p26635 +aS'status\tstatus\tNN\tB-NP\tO' +p26636 +aS'post\tpost\tVBD\tB-VP\tO' +p26637 +aS'a\ta\tDT\tB-NP\tO' +p26638 +aS'VVI\tVVI\tNN\tI-NP\tO' +p26639 +aS'pacer\tpacer\tNN\tI-NP\tO' +p26640 +aS'placement\tplacement\tNN\tI-NP\tO' +p26641 +aS'.\t.\t.\tO\tO' +p26642 +asS'negative .' +p26643 +(lp26644 +S'negative\tnegative\tJJ\tB-ADJP\tO' +p26645 +aS'.\t.\t.\tO\tO' +p26646 +asS'Sensation : Intact to light touch , propioception , pinprick execept decreased sensation L5-S1 distrubution .' +p26647 +(lp26648 +S'Sensation\tSensation\tNN\tB-NP\tO' +p26649 +aS':\t:\t:\tO\tO' +p26650 +aS'Intact\tIntact\tNN\tB-NP\tO' +p26651 +aS'to\tto\tTO\tB-PP\tO' +p26652 +aS'light\tlight\tJJ\tB-NP\tO' +p26653 +aS'touch\ttouch\tNN\tI-NP\tO' +p26654 +aS',\t,\t,\tO\tO' +p26655 +aS'propioception\tpropioception\tNN\tB-NP\tO' +p26656 +aS',\t,\t,\tO\tO' +p26657 +aS'pinprick\tpinprick\tNN\tB-NP\tO' +p26658 +aS'execept\texecept\tNN\tI-NP\tO' +p26659 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p26660 +aS'sensation\tsensation\tNN\tB-NP\tO' +p26661 +aS'L5-S1\tL5-S1\tNN\tI-NP\tO' +p26662 +aS'distrubution\tdistrubution\tNN\tI-NP\tO' +p26663 +aS'.\t.\t.\tO\tO' +p26664 +asS'Blood pressure 110/50 , pulse rate 94 , respiratory rate 22 , temperature maximum 101 degrees , decreasing to 99 degrees .' +p26665 +(lp26666 +S'Blood\tBlood\tNN\tB-NP\tO' +p26667 +aS'pressure\tpressure\tNN\tI-NP\tO' +p26668 +aS'110/50\t110/50\tCD\tI-NP\tO' +p26669 +aS',\t,\t,\tO\tO' +p26670 +aS'pulse\tpulse\tNN\tB-NP\tO' +p26671 +aS'rate\trate\tNN\tI-NP\tO' +p26672 +aS'94\t94\tCD\tI-NP\tO' +p26673 +aS',\t,\t,\tO\tO' +p26674 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p26675 +aS'rate\trate\tNN\tI-NP\tO' +p26676 +aS'22\t22\tCD\tI-NP\tO' +p26677 +aS',\t,\t,\tO\tO' +p26678 +aS'temperature\ttemperature\tNN\tB-NP\tO' +p26679 +aS'maximum\tmaximum\tNN\tI-NP\tO' +p26680 +aS'101\t101\tCD\tB-NP\tO' +p26681 +aS'degrees\tdegree\tNNS\tI-NP\tO' +p26682 +aS',\t,\t,\tO\tO' +p26683 +aS'decreasing\tdecrease\tVBG\tB-VP\tO' +p26684 +aS'to\tto\tTO\tB-PP\tO' +p26685 +aS'99\t99\tCD\tB-NP\tO' +p26686 +aS'degrees\tdegree\tNNS\tI-NP\tO' +p26687 +aS'.\t.\t.\tO\tO' +p26688 +asS'There was no evidence of ARDS .' +p26689 +(lp26690 +S'There\tThere\tEX\tB-NP\tO' +p26691 +aS'was\tbe\tVBD\tB-VP\tO' +p26692 +aS'no\tno\tDT\tB-NP\tO' +p26693 +aS'evidence\tevidence\tNN\tI-NP\tO' +p26694 +aS'of\tof\tIN\tB-PP\tO' +p26695 +aS'ARDS\tARDS\tNN\tB-NP\tO' +p26696 +aS'.\t.\t.\tO\tO' +p26697 +asS'He received one gram of Ceftriaxone intravenously after blood cultures were drawn .' +p26698 +(lp26699 +S'He\tHe\tPRP\tB-NP\tO' +p26700 +aS'received\treceive\tVBD\tB-VP\tO' +p26701 +aS'one\tone\tCD\tB-NP\tO' +p26702 +aS'gram\tgram\tNN\tI-NP\tO' +p26703 +aS'of\tof\tIN\tB-PP\tO' +p26704 +aS'Ceftriaxone\tCeftriaxone\tNN\tB-NP\tB-cell_line' +p26705 +aS'intravenously\tintravenously\tRB\tB-ADVP\tI-cell_line' +p26706 +aS'after\tafter\tIN\tB-PP\tI-cell_line' +p26707 +aS'blood\tblood\tNN\tB-NP\tI-cell_line' +p26708 +aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' +p26709 +aS'were\tbe\tVBD\tB-VP\tO' +p26710 +aS'drawn\tdraw\tVBN\tI-VP\tO' +p26711 +aS'.\t.\t.\tO\tO' +p26712 +asS'Endotracheal .' +p26713 +(lp26714 +S'Endotracheal\tEndotracheal\tJJ\tB-ADJP\tO' +p26715 +aS'.\t.\t.\tO\tO' +p26716 +asS'PSYCHOSOCIAL : A Arbour Hospital social worker has been involved with the family .' +p26717 +(lp26718 +S'PSYCHOSOCIAL\tPSYCHOSOCIAL\tNN\tB-NP\tO' +p26719 +aS':\t:\t:\tO\tO' +p26720 +aS'A\tA\tDT\tB-NP\tO' +p26721 +aS'Arbour\tArbour\tNNP\tI-NP\tO' +p26722 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p26723 +aS'social\tsocial\tJJ\tI-NP\tO' +p26724 +aS'worker\tworker\tNN\tI-NP\tO' +p26725 +aS'has\thave\tVBZ\tB-VP\tO' +p26726 +aS'been\tbe\tVBN\tI-VP\tO' +p26727 +aS'involved\tinvolve\tVBN\tI-VP\tO' +p26728 +aS'with\twith\tIN\tB-PP\tO' +p26729 +aS'the\tthe\tDT\tB-NP\tO' +p26730 +aS'family\tfamily\tNN\tI-NP\tO' +p26731 +aS'.\t.\t.\tO\tO' +p26732 +asS'Extremities had 2+ bilateral lower extremity edema to knees .' +p26733 +(lp26734 +S'Extremities\tExtremity\tNNS\tB-NP\tO' +p26735 +aS'had\thave\tVBD\tB-VP\tO' +p26736 +aS'2+\t2+\tJJ\tB-NP\tO' +p26737 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p26738 +aS'lower\tlow\tJJR\tI-NP\tO' +p26739 +aS'extremity\textremity\tNN\tI-NP\tO' +p26740 +aS'edema\tedema\tNN\tI-NP\tO' +p26741 +aS'to\tto\tTO\tB-PP\tO' +p26742 +aS'knees\tknee\tNNS\tB-NP\tO' +p26743 +aS'.\t.\t.\tO\tO' +p26744 +asS'In general , the patient looked acutely and chronically ill .' +p26745 +(lp26746 +S'In\tIn\tIN\tB-PP\tO' +p26747 +aS'general\tgeneral\tJJ\tB-ADJP\tO' +p26748 +aS',\t,\t,\tO\tO' +p26749 +aS'the\tthe\tDT\tB-NP\tO' +p26750 +aS'patient\tpatient\tNN\tI-NP\tO' +p26751 +aS'looked\tlook\tVBD\tB-VP\tO' +p26752 +aS'acutely\tacutely\tRB\tB-ADVP\tO' +p26753 +aS'and\tand\tCC\tI-ADVP\tO' +p26754 +aS'chronically\tchronically\tRB\tB-ADJP\tO' +p26755 +aS'ill\till\tJJ\tI-ADJP\tO' +p26756 +aS'.\t.\t.\tO\tO' +p26757 +asS'1. Prematurity at 31 weeks , twin #1 .' +p26758 +(lp26759 +S'1.\t1.\tLS\tB-NP\tO' +p26760 +aS'Prematurity\tPrematurity\tNN\tI-NP\tO' +p26761 +aS'at\tat\tIN\tB-PP\tO' +p26762 +aS'31\t31\tCD\tB-NP\tO' +p26763 +aS'weeks\tweek\tNNS\tI-NP\tO' +p26764 +aS',\t,\t,\tO\tO' +p26765 +aS'twin\ttwin\tNN\tB-NP\tO' +p26766 +aS'#1\t#1\tNN\tI-NP\tO' +p26767 +aS'.\t.\t.\tO\tO' +p26768 +asS'The patient was started on Lupron on 10/18/03 , but pain was not affected .' +p26769 +(lp26770 +S'The\tThe\tDT\tB-NP\tO' +p26771 +aS'patient\tpatient\tNN\tI-NP\tO' +p26772 +aS'was\tbe\tVBD\tB-VP\tO' +p26773 +aS'started\tstart\tVBN\tI-VP\tO' +p26774 +aS'on\ton\tIN\tB-PP\tO' +p26775 +aS'Lupron\tLupron\tNNP\tB-NP\tO' +p26776 +aS'on\ton\tIN\tB-PP\tO' +p26777 +aS'10/18/03\t10/18/03\tCD\tB-NP\tO' +p26778 +aS',\t,\t,\tO\tO' +p26779 +aS'but\tbut\tCC\tO\tO' +p26780 +aS'pain\tpain\tNN\tB-NP\tO' +p26781 +aS'was\tbe\tVBD\tB-VP\tO' +p26782 +aS'not\tnot\tRB\tI-VP\tO' +p26783 +aS'affected\taffect\tVBN\tI-VP\tO' +p26784 +aS'.\t.\t.\tO\tO' +p26785 +asS'His fingersticks are currently in the 200 s and his normal blood glucose at home ranges between 90-200 per the patient .' +p26786 +(lp26787 +S'His\tHis\tPRP$\tB-NP\tO' +p26788 +aS'fingersticks\tfingerstick\tNNS\tI-NP\tO' +p26789 +aS'are\tbe\tVBP\tB-VP\tO' +p26790 +aS'currently\tcurrently\tRB\tB-ADVP\tO' +p26791 +aS'in\tin\tIN\tB-PP\tO' +p26792 +aS'the\tthe\tDT\tB-NP\tO' +p26793 +aS'200\t200\tCD\tI-NP\tO' +p26794 +aS's\ts\tNN\tI-NP\tO' +p26795 +aS'and\tand\tCC\tO\tO' +p26796 +aS'his\this\tPRP$\tB-NP\tO' +p26797 +aS'normal\tnormal\tJJ\tI-NP\tO' +p26798 +aS'blood\tblood\tNN\tI-NP\tO' +p26799 +aS'glucose\tglucose\tNN\tI-NP\tO' +p26800 +aS'at\tat\tIN\tB-PP\tO' +p26801 +aS'home\thome\tNN\tB-NP\tO' +p26802 +aS'ranges\trange\tNNS\tI-NP\tO' +p26803 +aS'between\tbetween\tIN\tB-PP\tO' +p26804 +aS'90-200\t90-200\tCD\tB-NP\tO' +p26805 +aS'per\tper\tIN\tB-PP\tO' +p26806 +aS'the\tthe\tDT\tB-NP\tO' +p26807 +aS'patient\tpatient\tNN\tI-NP\tO' +p26808 +aS'.\t.\t.\tO\tO' +p26809 +asS'The patient was seen by the oncology consult service who contacted her outside hematologist Dr. Pauling .' +p26810 +(lp26811 +S'The\tThe\tDT\tB-NP\tO' +p26812 +aS'patient\tpatient\tNN\tI-NP\tO' +p26813 +aS'was\tbe\tVBD\tB-VP\tO' +p26814 +aS'seen\tsee\tVBN\tI-VP\tO' +p26815 +aS'by\tby\tIN\tB-PP\tO' +p26816 +aS'the\tthe\tDT\tB-NP\tO' +p26817 +aS'oncology\toncology\tNN\tI-NP\tO' +p26818 +aS'consult\tconsult\tNN\tI-NP\tO' +p26819 +aS'service\tservice\tNN\tI-NP\tO' +p26820 +aS'who\twho\tWP\tB-NP\tO' +p26821 +aS'contacted\tcontact\tVBD\tB-VP\tO' +p26822 +aS'her\ther\tPRP$\tB-NP\tO' +p26823 +aS'outside\toutside\tJJ\tI-NP\tO' +p26824 +aS'hematologist\thematologist\tNN\tI-NP\tO' +p26825 +aS'Dr.\tDr.\tNNP\tI-NP\tO' +p26826 +aS'Pauling\tPauling\tNNP\tI-NP\tO' +p26827 +aS'.\t.\t.\tO\tO' +p26828 +asS'This was a .................... graft .' +p26829 +(lp26830 +S'This\tThis\tDT\tB-NP\tO' +p26831 +aS'was\tbe\tVBD\tB-VP\tO' +p26832 +aS'a\ta\tDT\tO\tO' +p26833 +aS'....................\t....................\t:\tO\tO' +p26834 +aS'graft\tgraft\tNN\tB-NP\tO' +p26835 +aS'.\t.\t.\tO\tO' +p26836 +asS'Albumin was very low and pt had significant edema likely 03-15 this .' +p26837 +(lp26838 +S'Albumin\tAlbumin\tNN\tB-NP\tB-protein' +p26839 +aS'was\tbe\tVBD\tB-VP\tO' +p26840 +aS'very\tvery\tRB\tB-ADJP\tO' +p26841 +aS'low\tlow\tJJ\tI-ADJP\tO' +p26842 +aS'and\tand\tCC\tO\tO' +p26843 +aS'pt\tpt\tNN\tB-NP\tO' +p26844 +aS'had\thave\tVBD\tB-VP\tO' +p26845 +aS'significant\tsignificant\tJJ\tB-NP\tO' +p26846 +aS'edema\tedema\tNN\tI-NP\tO' +p26847 +aS'likely\tlikely\tRB\tB-ADJP\tO' +p26848 +aS'03-15\t03-15\tCD\tB-NP\tO' +p26849 +aS'this\tthis\tDT\tB-NP\tO' +p26850 +aS'.\t.\t.\tO\tO' +p26851 +asS'C. Unremarkable myometrium .' +p26852 +(lp26853 +S'C.\tC.\tFW\tB-NP\tO' +p26854 +aS'Unremarkable\tUnremarkable\tJJ\tI-NP\tO' +p26855 +aS'myometrium\tmyometrium\tNN\tI-NP\tO' +p26856 +aS'.\t.\t.\tO\tO' +p26857 +asS'Patient was also found to have abnormal TFTs on Sutent and was started on replacement' +p26858 +(lp26859 +S'Patient\tPatient\tNN\tB-NP\tO' +p26860 +aS'was\tbe\tVBD\tB-VP\tO' +p26861 +aS'also\talso\tRB\tI-VP\tO' +p26862 +aS'found\tfind\tVBN\tI-VP\tO' +p26863 +aS'to\tto\tTO\tI-VP\tO' +p26864 +aS'have\thave\tVB\tI-VP\tO' +p26865 +aS'abnormal\tabnormal\tJJ\tB-NP\tO' +p26866 +aS'TFTs\tTFT\tNNS\tI-NP\tO' +p26867 +aS'on\ton\tIN\tB-PP\tO' +p26868 +aS'Sutent\tSutent\tNNP\tB-NP\tO' +p26869 +aS'and\tand\tCC\tO\tO' +p26870 +aS'was\tbe\tVBD\tB-VP\tO' +p26871 +aS'started\tstart\tVBN\tI-VP\tO' +p26872 +aS'on\ton\tIN\tB-PP\tO' +p26873 +aS'replacement\treplacement\tNN\tB-NP\tO' +p26874 +asS'The patient was briefly admitted to the ICU for low hematocrit and hyponatremia immediately following the surgery but was then transferred back to the floor in stable condition .' +p26875 +(lp26876 +S'The\tThe\tDT\tB-NP\tO' +p26877 +aS'patient\tpatient\tNN\tI-NP\tO' +p26878 +aS'was\tbe\tVBD\tB-VP\tO' +p26879 +aS'briefly\tbriefly\tRB\tI-VP\tO' +p26880 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p26881 +aS'to\tto\tTO\tB-PP\tO' +p26882 +aS'the\tthe\tDT\tB-NP\tO' +p26883 +aS'ICU\tICU\tNN\tI-NP\tO' +p26884 +aS'for\tfor\tIN\tB-PP\tO' +p26885 +aS'low\tlow\tJJ\tB-NP\tO' +p26886 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p26887 +aS'and\tand\tCC\tI-NP\tO' +p26888 +aS'hyponatremia\thyponatremia\tNN\tI-NP\tO' +p26889 +aS'immediately\timmediately\tRB\tB-VP\tO' +p26890 +aS'following\tfollow\tVBG\tI-VP\tO' +p26891 +aS'the\tthe\tDT\tB-NP\tO' +p26892 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p26893 +aS'but\tbut\tCC\tO\tO' +p26894 +aS'was\tbe\tVBD\tB-VP\tO' +p26895 +aS'then\tthen\tRB\tI-VP\tO' +p26896 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p26897 +aS'back\tback\tRB\tB-ADVP\tO' +p26898 +aS'to\tto\tTO\tB-PP\tO' +p26899 +aS'the\tthe\tDT\tB-NP\tO' +p26900 +aS'floor\tfloor\tNN\tI-NP\tO' +p26901 +aS'in\tin\tIN\tB-PP\tO' +p26902 +aS'stable\tstable\tJJ\tB-NP\tO' +p26903 +aS'condition\tcondition\tNN\tI-NP\tO' +p26904 +aS'.\t.\t.\tO\tO' +p26905 +asS'No further intraaxial or extraaxial fluid collections or hematoma are identified .' +p26906 +(lp26907 +S'No\tNo\tDT\tB-NP\tO' +p26908 +aS'further\tfurther\tJJ\tI-NP\tO' +p26909 +aS'intraaxial\tintraaxial\tJJ\tI-NP\tO' +p26910 +aS'or\tor\tCC\tI-NP\tO' +p26911 +aS'extraaxial\textraaxial\tJJ\tI-NP\tO' +p26912 +aS'fluid\tfluid\tNN\tI-NP\tO' +p26913 +aS'collections\tcollection\tNNS\tI-NP\tO' +p26914 +aS'or\tor\tCC\tO\tO' +p26915 +aS'hematoma\thematoma\tNN\tB-NP\tO' +p26916 +aS'are\tbe\tVBP\tB-VP\tO' +p26917 +aS'identified\tidentify\tVBN\tI-VP\tO' +p26918 +aS'.\t.\t.\tO\tO' +p26919 +asS'Her preoperative hematocrit was 41 and her hematocrit dropped to 30.4 on postoperative day # 2 .' +p26920 +(lp26921 +S'Her\tHer\tPRP$\tB-NP\tO' +p26922 +aS'preoperative\tpreoperative\tJJ\tI-NP\tO' +p26923 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p26924 +aS'was\tbe\tVBD\tB-VP\tO' +p26925 +aS'41\t41\tCD\tB-NP\tO' +p26926 +aS'and\tand\tCC\tO\tO' +p26927 +aS'her\ther\tPRP$\tB-NP\tO' +p26928 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p26929 +aS'dropped\tdrop\tVBD\tB-VP\tO' +p26930 +aS'to\tto\tTO\tB-PP\tO' +p26931 +aS'30.4\t30.4\tCD\tB-NP\tO' +p26932 +aS'on\ton\tIN\tB-PP\tO' +p26933 +aS'postoperative\tpostoperative\tJJ\tB-NP\tB-protein' +p26934 +aS'day\tday\tNN\tI-NP\tI-protein' +p26935 +aS'#\t#\t#\tB-NP\tI-protein' +p26936 +aS'2\t2\tCD\tI-NP\tI-protein' +p26937 +aS'.\t.\t.\tO\tO' +p26938 +asS'Her son reports that she then developed a headache and fevers started three days ago which were treated with tylenol .' +p26939 +(lp26940 +S'Her\tHer\tPRP$\tB-NP\tO' +p26941 +aS'son\tson\tNN\tI-NP\tO' +p26942 +aS'reports\treport\tVBZ\tB-VP\tO' +p26943 +aS'that\tthat\tIN\tB-SBAR\tO' +p26944 +aS'she\tshe\tPRP\tB-NP\tO' +p26945 +aS'then\tthen\tRB\tB-ADVP\tO' +p26946 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p26947 +aS'a\ta\tDT\tB-NP\tO' +p26948 +aS'headache\theadache\tNN\tI-NP\tO' +p26949 +aS'and\tand\tCC\tI-NP\tO' +p26950 +aS'fevers\tfever\tNNS\tI-NP\tO' +p26951 +aS'started\tstart\tVBD\tB-VP\tO' +p26952 +aS'three\tthree\tCD\tB-NP\tO' +p26953 +aS'days\tday\tNNS\tI-NP\tO' +p26954 +aS'ago\tago\tIN\tB-ADVP\tO' +p26955 +aS'which\twhich\tWDT\tB-NP\tO' +p26956 +aS'were\tbe\tVBD\tB-VP\tO' +p26957 +aS'treated\ttreat\tVBN\tI-VP\tO' +p26958 +aS'with\twith\tIN\tB-PP\tO' +p26959 +aS'tylenol\ttylenol\tNN\tB-NP\tO' +p26960 +aS'.\t.\t.\tO\tO' +p26961 +asS'Mr. Cordano is a 58-year-old gentlemen with a past medical history significant for primary sclerosing cholangitis who presented with a chief complaint of endoscopic retrograde cholangiopancreatography endoscopic retrograde cholangiopancreatography and percutaneous transhepatic cholangiogram .' +p26962 +(lp26963 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p26964 +aS'Cordano\tCordano\tNNP\tI-NP\tO' +p26965 +aS'is\tbe\tVBZ\tB-VP\tO' +p26966 +aS'a\ta\tDT\tB-NP\tO' +p26967 +aS'58-year-old\t58-year-old\tJJ\tI-NP\tO' +p26968 +aS'gentlemen\tgentleman\tNNS\tI-NP\tO' +p26969 +aS'with\twith\tIN\tB-PP\tO' +p26970 +aS'a\ta\tDT\tB-NP\tO' +p26971 +aS'past\tpast\tJJ\tI-NP\tO' +p26972 +aS'medical\tmedical\tJJ\tI-NP\tO' +p26973 +aS'history\thistory\tNN\tI-NP\tO' +p26974 +aS'significant\tsignificant\tJJ\tB-ADJP\tO' +p26975 +aS'for\tfor\tIN\tB-PP\tO' +p26976 +aS'primary\tprimary\tJJ\tB-NP\tO' +p26977 +aS'sclerosing\tsclerose\tVBG\tI-NP\tO' +p26978 +aS'cholangitis\tcholangitis\tNN\tI-NP\tO' +p26979 +aS'who\twho\tWP\tB-NP\tO' +p26980 +aS'presented\tpresent\tVBD\tB-VP\tO' +p26981 +aS'with\twith\tIN\tB-PP\tO' +p26982 +aS'a\ta\tDT\tB-NP\tO' +p26983 +aS'chief\tchief\tJJ\tI-NP\tO' +p26984 +aS'complaint\tcomplaint\tNN\tI-NP\tO' +p26985 +aS'of\tof\tIN\tB-PP\tO' +p26986 +aS'endoscopic\tendoscopic\tJJ\tB-NP\tO' +p26987 +aS'retrograde\tretrograde\tJJ\tI-NP\tO' +p26988 +aS'cholangiopancreatography\tcholangiopancreatography\tNN\tI-NP\tO' +p26989 +aS'endoscopic\tendoscopic\tJJ\tI-NP\tO' +p26990 +aS'retrograde\tretrograde\tJJ\tI-NP\tO' +p26991 +aS'cholangiopancreatography\tcholangiopancreatography\tNN\tI-NP\tO' +p26992 +aS'and\tand\tCC\tO\tO' +p26993 +aS'percutaneous\tpercutaneous\tJJ\tB-NP\tO' +p26994 +aS'transhepatic\ttranshepatic\tJJ\tI-NP\tO' +p26995 +aS'cholangiogram\tcholangiogram\tNN\tI-NP\tO' +p26996 +aS'.\t.\t.\tO\tO' +p26997 +asS'The diagnosis , therefore , was relapsed C. difficile colitis .' +p26998 +(lp26999 +S'The\tThe\tDT\tB-NP\tO' +p27000 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p27001 +aS',\t,\t,\tO\tO' +p27002 +aS'therefore\ttherefore\tRB\tB-ADVP\tO' +p27003 +aS',\t,\t,\tO\tO' +p27004 +aS'was\tbe\tVBD\tB-VP\tO' +p27005 +aS'relapsed\trelapse\tVBN\tI-VP\tO' +p27006 +aS'C.\tC.\tNNP\tB-NP\tO' +p27007 +aS'difficile\tdifficile\tJJ\tI-NP\tO' +p27008 +aS'colitis\tcolitis\tNN\tI-NP\tO' +p27009 +aS'.\t.\t.\tO\tO' +p27010 +asS'Mr. Patient underwent venogram and inferior vena cava filter placement on February 23 , 1993 and was then he was admitted to the Fairm of Ijordcompmac Hospital for postoperative care .' +p27011 +(lp27012 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p27013 +aS'Patient\tPatient\tNNP\tI-NP\tO' +p27014 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p27015 +aS'venogram\tvenogram\tNN\tB-NP\tO' +p27016 +aS'and\tand\tCC\tO\tO' +p27017 +aS'inferior\tinferior\tJJ\tB-NP\tO' +p27018 +aS'vena\tvena\tNN\tI-NP\tO' +p27019 +aS'cava\tcava\tNN\tI-NP\tO' +p27020 +aS'filter\tfilter\tNN\tI-NP\tO' +p27021 +aS'placement\tplacement\tNN\tI-NP\tO' +p27022 +aS'on\ton\tIN\tB-PP\tO' +p27023 +aS'February\tFebruary\tNNP\tB-NP\tO' +p27024 +aS'23\t23\tCD\tI-NP\tO' +p27025 +aS',\t,\t,\tI-NP\tO' +p27026 +aS'1993\t1993\tCD\tI-NP\tO' +p27027 +aS'and\tand\tCC\tO\tO' +p27028 +aS'was\tbe\tVBD\tB-VP\tO' +p27029 +aS'then\tthen\tRB\tB-ADVP\tO' +p27030 +aS'he\the\tPRP\tB-NP\tO' +p27031 +aS'was\tbe\tVBD\tB-VP\tO' +p27032 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p27033 +aS'to\tto\tTO\tB-PP\tO' +p27034 +aS'the\tthe\tDT\tB-NP\tO' +p27035 +aS'Fairm\tFairm\tNNP\tI-NP\tO' +p27036 +aS'of\tof\tIN\tB-PP\tO' +p27037 +aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' +p27038 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p27039 +aS'for\tfor\tIN\tB-PP\tO' +p27040 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p27041 +aS'care\tcare\tNN\tI-NP\tO' +p27042 +aS'.\t.\t.\tO\tO' +p27043 +asS'Allergies include AMOXICILLIN and CODEINE .' +p27044 +(lp27045 +S'Allergies\tAllergy\tNNS\tB-NP\tO' +p27046 +aS'include\tinclude\tVBP\tB-VP\tO' +p27047 +aS'AMOXICILLIN\tAMOXICILLIN\tNN\tB-NP\tB-protein' +p27048 +aS'and\tand\tCC\tI-NP\tO' +p27049 +aS'CODEINE\tCODEINE\tNN\tI-NP\tO' +p27050 +aS'.\t.\t.\tO\tO' +p27051 +asS'He was born to a 35 - year-old gravida 2 , para 1 ( now 2 ) mother .' +p27052 +(lp27053 +S'He\tHe\tPRP\tB-NP\tO' +p27054 +aS'was\tbe\tVBD\tB-VP\tO' +p27055 +aS'born\tbear\tVBN\tI-VP\tO' +p27056 +aS'to\tto\tTO\tB-PP\tO' +p27057 +aS'a\ta\tDT\tB-NP\tO' +p27058 +aS'35\t35\tCD\tI-NP\tO' +p27059 +aS'-\t-\tHYPH\tI-NP\tO' +p27060 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p27061 +aS'gravida\tgravida\tNN\tI-NP\tO' +p27062 +aS'2\t2\tCD\tI-NP\tO' +p27063 +aS',\t,\t,\tO\tO' +p27064 +aS'para\tpara\tNN\tB-NP\tO' +p27065 +aS'1\t1\tCD\tI-NP\tO' +p27066 +aS'(\t(\t(\tO\tO' +p27067 +aS'now\tnow\tRB\tB-ADVP\tO' +p27068 +aS'2\t2\tCD\tO\tO' +p27069 +aS')\t)\t)\tO\tO' +p27070 +aS'mother\tmother\tNN\tB-NP\tO' +p27071 +aS'.\t.\t.\tO\tO' +p27072 +asS'There were no blood products received during hospitalization .' +p27073 +(lp27074 +S'There\tThere\tEX\tB-NP\tO' +p27075 +aS'were\tbe\tVBD\tB-VP\tO' +p27076 +aS'no\tno\tDT\tB-NP\tO' +p27077 +aS'blood\tblood\tNN\tI-NP\tO' +p27078 +aS'products\tproduct\tNNS\tI-NP\tO' +p27079 +aS'received\treceive\tVBN\tB-VP\tO' +p27080 +aS'during\tduring\tIN\tB-PP\tO' +p27081 +aS'hospitalization\thospitalization\tNN\tB-NP\tO' +p27082 +aS'.\t.\t.\tO\tO' +p27083 +asS'She has complaints of abdominal distention , emesis , and constipation .' +p27084 +(lp27085 +S'She\tShe\tPRP\tB-NP\tO' +p27086 +aS'has\thave\tVBZ\tB-VP\tO' +p27087 +aS'complaints\tcomplaint\tNNS\tB-NP\tO' +p27088 +aS'of\tof\tIN\tB-PP\tO' +p27089 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p27090 +aS'distention\tdistention\tNN\tI-NP\tO' +p27091 +aS',\t,\t,\tO\tO' +p27092 +aS'emesis\temesis\tNN\tB-NP\tO' +p27093 +aS',\t,\t,\tO\tO' +p27094 +aS'and\tand\tCC\tO\tO' +p27095 +aS'constipation\tconstipation\tNN\tB-NP\tO' +p27096 +aS'.\t.\t.\tO\tO' +p27097 +asS'There was a tiny region of activity in what appears to be anterior scalp .' +p27098 +(lp27099 +S'There\tThere\tEX\tB-NP\tO' +p27100 +aS'was\tbe\tVBD\tB-VP\tO' +p27101 +aS'a\ta\tDT\tB-NP\tO' +p27102 +aS'tiny\ttiny\tJJ\tI-NP\tO' +p27103 +aS'region\tregion\tNN\tI-NP\tO' +p27104 +aS'of\tof\tIN\tB-PP\tO' +p27105 +aS'activity\tactivity\tNN\tB-NP\tO' +p27106 +aS'in\tin\tIN\tB-PP\tO' +p27107 +aS'what\twhat\tWP\tB-NP\tO' +p27108 +aS'appears\tappear\tVBZ\tB-VP\tO' +p27109 +aS'to\tto\tTO\tI-VP\tO' +p27110 +aS'be\tbe\tVB\tI-VP\tO' +p27111 +aS'anterior\tanterior\tJJ\tB-NP\tO' +p27112 +aS'scalp\tscalp\tNN\tI-NP\tO' +p27113 +aS'.\t.\t.\tO\tO' +p27114 +asS'# A fib - continued BB .' +p27115 +(lp27116 +S'#\t#\t#\tO\tO' +p27117 +aS'A\tA\tDT\tB-NP\tO' +p27118 +aS'fib\tfib\tNN\tI-NP\tB-protein' +p27119 +aS'-\t-\tHYPH\tB-VP\tO' +p27120 +aS'continued\tcontinue\tVBN\tB-NP\tO' +p27121 +aS'BB\tBB\tNN\tI-NP\tO' +p27122 +aS'.\t.\t.\tO\tO' +p27123 +asS'Please see the previously dictated operative note for more details .' +p27124 +(lp27125 +S'Please\tPlease\tVB\tB-VP\tO' +p27126 +aS'see\tsee\tVB\tI-VP\tO' +p27127 +aS'the\tthe\tDT\tB-NP\tO' +p27128 +aS'previously\tpreviously\tRB\tI-NP\tO' +p27129 +aS'dictated\tdictate\tVBN\tI-NP\tO' +p27130 +aS'operative\toperative\tJJ\tI-NP\tO' +p27131 +aS'note\tnote\tNN\tI-NP\tO' +p27132 +aS'for\tfor\tIN\tB-PP\tO' +p27133 +aS'more\tmore\tJJR\tB-NP\tO' +p27134 +aS'details\tdetail\tNNS\tI-NP\tO' +p27135 +aS'.\t.\t.\tO\tO' +p27136 +asS'From his urinalysis , he has mostly a prerenal state .' +p27137 +(lp27138 +S'From\tFrom\tIN\tB-PP\tO' +p27139 +aS'his\this\tPRP$\tB-NP\tO' +p27140 +aS'urinalysis\turinalysis\tNN\tI-NP\tO' +p27141 +aS',\t,\t,\tO\tO' +p27142 +aS'he\the\tPRP\tB-NP\tO' +p27143 +aS'has\thave\tVBZ\tB-VP\tO' +p27144 +aS'mostly\tmostly\tRB\tB-ADVP\tO' +p27145 +aS'a\ta\tDT\tB-NP\tO' +p27146 +aS'prerenal\tprerenal\tJJ\tI-NP\tO' +p27147 +aS'state\tstate\tNN\tI-NP\tO' +p27148 +aS'.\t.\t.\tO\tO' +p27149 +asS'FOLLOW-UP PLANS : The patient will follow-up with her primary care physician in the week following discharge for further monitoring of her INR and adjustment of her Coumadin dose .' +p27150 +(lp27151 +S'FOLLOW-UP\tFOLLOW-UP\tNN\tB-NP\tO' +p27152 +aS'PLANS\tPLANS\tNN\tI-NP\tO' +p27153 +aS':\t:\t:\tO\tO' +p27154 +aS'The\tThe\tDT\tB-NP\tO' +p27155 +aS'patient\tpatient\tNN\tI-NP\tO' +p27156 +aS'will\twill\tMD\tB-VP\tO' +p27157 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p27158 +aS'with\twith\tIN\tB-PP\tO' +p27159 +aS'her\ther\tPRP$\tB-NP\tO' +p27160 +aS'primary\tprimary\tJJ\tI-NP\tO' +p27161 +aS'care\tcare\tNN\tI-NP\tO' +p27162 +aS'physician\tphysician\tNN\tI-NP\tO' +p27163 +aS'in\tin\tIN\tB-PP\tO' +p27164 +aS'the\tthe\tDT\tB-NP\tO' +p27165 +aS'week\tweek\tNN\tI-NP\tO' +p27166 +aS'following\tfollow\tVBG\tB-PP\tO' +p27167 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p27168 +aS'for\tfor\tIN\tB-PP\tO' +p27169 +aS'further\tfurther\tJJ\tB-NP\tO' +p27170 +aS'monitoring\tmonitoring\tNN\tI-NP\tO' +p27171 +aS'of\tof\tIN\tB-PP\tO' +p27172 +aS'her\ther\tPRP$\tB-NP\tO' +p27173 +aS'INR\tINR\tNN\tI-NP\tB-protein' +p27174 +aS'and\tand\tCC\tI-NP\tO' +p27175 +aS'adjustment\tadjustment\tNN\tI-NP\tO' +p27176 +aS'of\tof\tIN\tB-PP\tO' +p27177 +aS'her\ther\tPRP$\tB-NP\tO' +p27178 +aS'Coumadin\tCoumadin\tNN\tI-NP\tO' +p27179 +aS'dose\tdose\tNN\tI-NP\tO' +p27180 +aS'.\t.\t.\tO\tO' +p27181 +asS'This will be discussed below .' +p27182 +(lp27183 +S'This\tThis\tDT\tB-NP\tO' +p27184 +aS'will\twill\tMD\tB-VP\tO' +p27185 +aS'be\tbe\tVB\tI-VP\tO' +p27186 +aS'discussed\tdiscuss\tVBN\tI-VP\tO' +p27187 +aS'below\tbelow\tIN\tB-PP\tO' +p27188 +aS'.\t.\t.\tO\tO' +p27189 +asS'2. Asthma .' +p27190 +(lp27191 +S'2.\t2.\tLS\tB-NP\tO' +p27192 +aS'Asthma\tAsthma\tNN\tI-NP\tO' +p27193 +aS'.\t.\t.\tO\tO' +p27194 +asS'An appointment was established for him to see his primary care doctor , Dr. Stella Booth on Maynard , 2014-10-20 and the patient was referred to Dr. Granville Hamers , at Ware in cardiology to be seen in two weeks .' +p27195 +(lp27196 +S'An\tAn\tDT\tB-NP\tO' +p27197 +aS'appointment\tappointment\tNN\tI-NP\tO' +p27198 +aS'was\tbe\tVBD\tB-VP\tO' +p27199 +aS'established\testablish\tVBN\tI-VP\tO' +p27200 +aS'for\tfor\tIN\tB-SBAR\tO' +p27201 +aS'him\thim\tPRP\tB-NP\tO' +p27202 +aS'to\tto\tTO\tB-VP\tO' +p27203 +aS'see\tsee\tVB\tI-VP\tO' +p27204 +aS'his\this\tPRP$\tB-NP\tO' +p27205 +aS'primary\tprimary\tJJ\tI-NP\tO' +p27206 +aS'care\tcare\tNN\tI-NP\tO' +p27207 +aS'doctor\tdoctor\tNN\tI-NP\tO' +p27208 +aS',\t,\t,\tO\tO' +p27209 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p27210 +aS'Stella\tStella\tNNP\tI-NP\tO' +p27211 +aS'Booth\tBooth\tNNP\tI-NP\tO' +p27212 +aS'on\ton\tIN\tB-PP\tO' +p27213 +aS'Maynard\tMaynard\tNNP\tB-NP\tO' +p27214 +aS',\t,\t,\tO\tO' +p27215 +aS'2014-10-20\t2014-10-20\tCD\tB-NP\tO' +p27216 +aS'and\tand\tCC\tO\tO' +p27217 +aS'the\tthe\tDT\tB-NP\tO' +p27218 +aS'patient\tpatient\tNN\tI-NP\tO' +p27219 +aS'was\tbe\tVBD\tB-VP\tO' +p27220 +aS'referred\trefer\tVBN\tI-VP\tO' +p27221 +aS'to\tto\tTO\tB-PP\tO' +p27222 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p27223 +aS'Granville\tGranville\tNNP\tI-NP\tO' +p27224 +aS'Hamers\tHamers\tNNP\tI-NP\tO' +p27225 +aS',\t,\t,\tO\tO' +p27226 +aS'at\tat\tIN\tB-PP\tO' +p27227 +aS'Ware\tWare\tNNP\tB-NP\tO' +p27228 +aS'in\tin\tIN\tB-PP\tO' +p27229 +aS'cardiology\tcardiology\tNN\tB-NP\tO' +p27230 +aS'to\tto\tTO\tB-VP\tO' +p27231 +aS'be\tbe\tVB\tI-VP\tO' +p27232 +aS'seen\tsee\tVBN\tI-VP\tO' +p27233 +aS'in\tin\tIN\tB-PP\tO' +p27234 +aS'two\ttwo\tCD\tB-NP\tO' +p27235 +aS'weeks\tweek\tNNS\tI-NP\tO' +p27236 +aS'.\t.\t.\tO\tO' +p27237 +asS'He underwent lower extremity study to rule out a DVT in both legs .' +p27238 +(lp27239 +S'He\tHe\tPRP\tB-NP\tO' +p27240 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p27241 +aS'lower\tlow\tJJR\tB-NP\tO' +p27242 +aS'extremity\textremity\tNN\tI-NP\tO' +p27243 +aS'study\tstudy\tNN\tI-NP\tO' +p27244 +aS'to\tto\tTO\tB-VP\tO' +p27245 +aS'rule\trule\tVB\tI-VP\tO' +p27246 +aS'out\tout\tRP\tB-PRT\tO' +p27247 +aS'a\ta\tDT\tB-NP\tO' +p27248 +aS'DVT\tDVT\tNN\tI-NP\tO' +p27249 +aS'in\tin\tIN\tB-PP\tO' +p27250 +aS'both\tboth\tDT\tB-NP\tO' +p27251 +aS'legs\tleg\tNNS\tI-NP\tO' +p27252 +aS'.\t.\t.\tO\tO' +p27253 +asS"If the patient 's p.o. intake drop below 300 cc per day , the patient should be hydrated at 100 cc an hour ." +p27254 +(lp27255 +S'If\tIf\tIN\tB-SBAR\tO' +p27256 +aS'the\tthe\tDT\tB-NP\tO' +p27257 +aS'patient\tpatient\tNN\tI-NP\tO' +p27258 +aS"'s\t's\tPOS\tB-NP\tO" +p27259 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p27260 +aS'intake\tintake\tFW\tI-NP\tO' +p27261 +aS'drop\tdrop\tNN\tI-NP\tO' +p27262 +aS'below\tbelow\tIN\tB-PP\tO' +p27263 +aS'300\t300\tCD\tB-NP\tO' +p27264 +aS'cc\tcc\tNN\tI-NP\tO' +p27265 +aS'per\tper\tIN\tB-PP\tO' +p27266 +aS'day\tday\tNN\tB-NP\tO' +p27267 +aS',\t,\t,\tO\tO' +p27268 +aS'the\tthe\tDT\tB-NP\tO' +p27269 +aS'patient\tpatient\tNN\tI-NP\tO' +p27270 +aS'should\tshould\tMD\tB-VP\tO' +p27271 +aS'be\tbe\tVB\tI-VP\tO' +p27272 +aS'hydrated\thydrate\tVBN\tI-VP\tO' +p27273 +aS'at\tat\tIN\tB-PP\tO' +p27274 +aS'100\t100\tCD\tB-NP\tO' +p27275 +aS'cc\tcc\tNN\tI-NP\tO' +p27276 +aS'an\tan\tDT\tB-NP\tO' +p27277 +aS'hour\thour\tNN\tI-NP\tO' +p27278 +aS'.\t.\t.\tO\tO' +p27279 +asS'Chest xray reveals no consolidation or signs of edema .' +p27280 +(lp27281 +S'Chest\tCh\tJJS\tB-NP\tO' +p27282 +aS'xray\txray\tNN\tI-NP\tO' +p27283 +aS'reveals\treveal\tVBZ\tB-VP\tO' +p27284 +aS'no\tno\tDT\tB-NP\tO' +p27285 +aS'consolidation\tconsolidation\tNN\tI-NP\tO' +p27286 +aS'or\tor\tCC\tI-NP\tO' +p27287 +aS'signs\tsign\tNNS\tI-NP\tO' +p27288 +aS'of\tof\tIN\tB-PP\tO' +p27289 +aS'edema\tedema\tNN\tB-NP\tO' +p27290 +aS'.\t.\t.\tO\tO' +p27291 +asS'On postoperative day #4 , he remained afebrile with stable vital signs on Lopressor at 25 mg po bid and an amiodarone dose .' +p27292 +(lp27293 +S'On\tOn\tIN\tB-PP\tO' +p27294 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p27295 +aS'day\tday\tNN\tI-NP\tO' +p27296 +aS'#4\t#4\tCD\tI-NP\tO' +p27297 +aS',\t,\t,\tO\tO' +p27298 +aS'he\the\tPRP\tB-NP\tO' +p27299 +aS'remained\tremain\tVBD\tB-VP\tO' +p27300 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p27301 +aS'with\twith\tIN\tB-PP\tO' +p27302 +aS'stable\tstable\tJJ\tB-NP\tO' +p27303 +aS'vital\tvital\tJJ\tI-NP\tO' +p27304 +aS'signs\tsign\tNNS\tI-NP\tO' +p27305 +aS'on\ton\tIN\tB-PP\tO' +p27306 +aS'Lopressor\tLopressor\tNN\tB-NP\tO' +p27307 +aS'at\tat\tIN\tB-PP\tO' +p27308 +aS'25\t25\tCD\tB-NP\tO' +p27309 +aS'mg\tmg\tNN\tI-NP\tO' +p27310 +aS'po\tpo\tNN\tI-NP\tO' +p27311 +aS'bid\tbid\tNN\tI-NP\tO' +p27312 +aS'and\tand\tCC\tO\tO' +p27313 +aS'an\tan\tDT\tB-NP\tO' +p27314 +aS'amiodarone\tamiodarone\tNN\tI-NP\tO' +p27315 +aS'dose\tdose\tNN\tI-NP\tO' +p27316 +aS'.\t.\t.\tO\tO' +p27317 +asS'The patient 's pain was initially controlled with IV pain medications but at the time of discharge to the rehab facility he was able to control his pain on po pain medications .' +p27318 +(lp27319 +S'The\tThe\tDT\tB-NP\tO' +p27320 +aS'patient\tpatient\tNN\tI-NP\tO' +p27321 +aS''s\t'\tNNS\tI-NP\tO' +p27322 +aS'pain\tpain\tNN\tI-NP\tO' +p27323 +aS'was\tbe\tVBD\tB-VP\tO' +p27324 +aS'initially\tinitially\tRB\tI-VP\tO' +p27325 +aS'controlled\tcontrol\tVBN\tI-VP\tO' +p27326 +aS'with\twith\tIN\tB-PP\tO' +p27327 +aS'IV\tIV\tCD\tB-NP\tO' +p27328 +aS'pain\tpain\tNN\tI-NP\tO' +p27329 +aS'medications\tmedication\tNNS\tI-NP\tO' +p27330 +aS'but\tbut\tCC\tB-PP\tO' +p27331 +aS'at\tat\tIN\tB-PP\tO' +p27332 +aS'the\tthe\tDT\tB-NP\tO' +p27333 +aS'time\ttime\tNN\tI-NP\tO' +p27334 +aS'of\tof\tIN\tB-PP\tO' +p27335 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p27336 +aS'to\tto\tTO\tB-PP\tO' +p27337 +aS'the\tthe\tDT\tB-NP\tO' +p27338 +aS'rehab\trehab\tNN\tI-NP\tO' +p27339 +aS'facility\tfacility\tNN\tI-NP\tO' +p27340 +aS'he\the\tPRP\tB-NP\tO' +p27341 +aS'was\tbe\tVBD\tB-VP\tO' +p27342 +aS'able\table\tJJ\tB-ADJP\tO' +p27343 +aS'to\tto\tTO\tB-VP\tO' +p27344 +aS'control\tcontrol\tVB\tI-VP\tO' +p27345 +aS'his\this\tPRP$\tB-NP\tO' +p27346 +aS'pain\tpain\tNN\tI-NP\tO' +p27347 +aS'on\ton\tIN\tB-PP\tO' +p27348 +aS'po\tpo\tNN\tB-NP\tO' +p27349 +aS'pain\tpain\tNN\tI-NP\tO' +p27350 +aS'medications\tmedication\tNNS\tI-NP\tO' +p27351 +aS'.\t.\t.\tO\tO' +p27352 +asS'Pulmonary is clear to auscultation bilaterally .' +p27353 +(lp27354 +S'Pulmonary\tPulmonary\tNNP\tB-NP\tO' +p27355 +aS'is\tbe\tVBZ\tB-VP\tO' +p27356 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p27357 +aS'to\tto\tTO\tB-PP\tO' +p27358 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p27359 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p27360 +aS'.\t.\t.\tO\tO' +p27361 +asS'He stopped secondary to aggressive behavior .' +p27362 +(lp27363 +S'He\tHe\tPRP\tB-NP\tO' +p27364 +aS'stopped\tstop\tVBD\tB-VP\tO' +p27365 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p27366 +aS'to\tto\tTO\tB-PP\tO' +p27367 +aS'aggressive\taggressive\tJJ\tB-NP\tO' +p27368 +aS'behavior\tbehavior\tNN\tI-NP\tO' +p27369 +aS'.\t.\t.\tO\tO' +p27370 +asS'Acute postoperative delirium .' +p27371 +(lp27372 +S'Acute\tAcute\tJJ\tB-NP\tO' +p27373 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p27374 +aS'delirium\tdelirium\tNN\tI-NP\tO' +p27375 +aS'.\t.\t.\tO\tO' +p27376 +asS'1. Prilosec 20 mg p.o. q. day .' +p27377 +(lp27378 +S'1.\t1.\tLS\tB-NP\tO' +p27379 +aS'Prilosec\tPrilosec\tNNP\tI-NP\tO' +p27380 +aS'20\t20\tCD\tI-NP\tO' +p27381 +aS'mg\tmg\tNN\tI-NP\tO' +p27382 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p27383 +aS'q.\tq.\tNN\tI-NP\tO' +p27384 +aS'day\tday\tNN\tI-NP\tO' +p27385 +aS'.\t.\t.\tO\tO' +p27386 +asS'Warm , with no edema and palpable pulses bilaterally .' +p27387 +(lp27388 +S'Warm\tWarm\tNNP\tB-NP\tO' +p27389 +aS',\t,\t,\tO\tO' +p27390 +aS'with\twith\tIN\tB-PP\tO' +p27391 +aS'no\tno\tDT\tB-NP\tO' +p27392 +aS'edema\tedema\tNN\tI-NP\tO' +p27393 +aS'and\tand\tCC\tO\tO' +p27394 +aS'palpable\tpalpable\tJJ\tB-NP\tO' +p27395 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p27396 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p27397 +aS'.\t.\t.\tO\tO' +p27398 +asS'The patient is allergic to penicillin and shell fish .' +p27399 +(lp27400 +S'The\tThe\tDT\tB-NP\tO' +p27401 +aS'patient\tpatient\tNN\tI-NP\tO' +p27402 +aS'is\tbe\tVBZ\tB-VP\tO' +p27403 +aS'allergic\tallergic\tJJ\tB-ADJP\tO' +p27404 +aS'to\tto\tTO\tB-PP\tO' +p27405 +aS'penicillin\tpenicillin\tNN\tB-NP\tO' +p27406 +aS'and\tand\tCC\tI-NP\tO' +p27407 +aS'shell\tshell\tNN\tI-NP\tO' +p27408 +aS'fish\tfish\tNN\tI-NP\tO' +p27409 +aS'.\t.\t.\tO\tO' +p27410 +asS'12. Insulin NPH Human Recomb 100 unit / mL Cartridge Sig : One ( 1 ) Subcutaneous at breakfast : Please take as prescribed by Albano / Transplant Team .' +p27411 +(lp27412 +S'12.\t12.\tLS\tB-NP\tO' +p27413 +aS'Insulin\tInsulin\tNN\tI-NP\tB-protein' +p27414 +aS'NPH\tNPH\tNN\tI-NP\tI-protein' +p27415 +aS'Human\tHuman\tJJ\tI-NP\tI-protein' +p27416 +aS'Recomb\tRecomb\tNN\tI-NP\tI-protein' +p27417 +aS'100\t100\tCD\tI-NP\tI-protein' +p27418 +aS'unit\tunit\tNN\tI-NP\tI-protein' +p27419 +aS'/\t/\tSYM\tB-NP\tO' +p27420 +aS'mL\tmL\tNN\tI-NP\tO' +p27421 +aS'Cartridge\tCartridge\tNNP\tI-NP\tO' +p27422 +aS'Sig\tSig\tNNP\tI-NP\tO' +p27423 +aS':\t:\t:\tO\tO' +p27424 +aS'One\tOne\tCD\tB-NP\tO' +p27425 +aS'(\t(\t(\tO\tO' +p27426 +aS'1\t1\tCD\tB-NP\tO' +p27427 +aS')\t)\t)\tO\tO' +p27428 +aS'Subcutaneous\tSubcutaneous\tJJ\tB-ADJP\tO' +p27429 +aS'at\tat\tIN\tB-PP\tO' +p27430 +aS'breakfast\tbreakfast\tNN\tB-NP\tO' +p27431 +aS':\t:\t:\tO\tO' +p27432 +aS'Please\tPlease\tNN\tB-NP\tB-protein' +p27433 +aS'take\ttake\tVBP\tB-VP\tO' +p27434 +aS'as\tas\tRB\tI-VP\tO' +p27435 +aS'prescribed\tprescribe\tVBN\tI-VP\tO' +p27436 +aS'by\tby\tIN\tB-PP\tO' +p27437 +aS'Albano\tAlbano\tNN\tB-NP\tO' +p27438 +aS'/\t/\tSYM\tI-NP\tO' +p27439 +aS'Transplant\tTransplant\tNN\tI-NP\tO' +p27440 +aS'Team\tTeam\tNN\tI-NP\tO' +p27441 +aS'.\t.\t.\tO\tO' +p27442 +asS'1. Atorvastatin 80 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' +p27443 +(lp27444 +S'1.\t1.\tLS\tB-LST\tO' +p27445 +aS'Atorvastatin\tAtorvastatin\tNN\tB-NP\tO' +p27446 +aS'80\t80\tCD\tI-NP\tO' +p27447 +aS'mg\tmg\tNN\tI-NP\tO' +p27448 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p27449 +aS'Sig\tSig\tNNP\tI-NP\tO' +p27450 +aS':\t:\t:\tO\tO' +p27451 +aS'One\tOne\tCD\tB-NP\tO' +p27452 +aS'(\t(\t(\tO\tO' +p27453 +aS'1\t1\tCD\tB-NP\tO' +p27454 +aS')\t)\t)\tO\tO' +p27455 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p27456 +aS'PO\tPO\tNN\tI-NP\tO' +p27457 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p27458 +aS'(\t(\t(\tO\tO' +p27459 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p27460 +aS')\t)\t)\tO\tO' +p27461 +aS'.\t.\t.\tO\tO' +p27462 +asS'3. Thiamine .' +p27463 +(lp27464 +S'3.\t3.\tLS\tB-NP\tO' +p27465 +aS'Thiamine\tThiamine\tNN\tI-NP\tO' +p27466 +aS'.\t.\t.\tO\tO' +p27467 +asS'6. right cheek basal cell carcinoma to be removed in the future ,' +p27468 +(lp27469 +S'6.\t6.\tLS\tB-NP\tO' +p27470 +aS'right\tright\tJJ\tI-NP\tO' +p27471 +aS'cheek\tcheek\tNN\tI-NP\tO' +p27472 +aS'basal\tbasal\tJJ\tI-NP\tO' +p27473 +aS'cell\tcell\tNN\tI-NP\tO' +p27474 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p27475 +aS'to\tto\tTO\tB-VP\tO' +p27476 +aS'be\tbe\tVB\tI-VP\tO' +p27477 +aS'removed\tremove\tVBN\tI-VP\tO' +p27478 +aS'in\tin\tIN\tB-PP\tO' +p27479 +aS'the\tthe\tDT\tB-NP\tO' +p27480 +aS'future\tfuture\tNN\tI-NP\tO' +p27481 +aS',\t,\t,\tO\tO' +p27482 +asS'He had no lymphadenopathy .' +p27483 +(lp27484 +S'He\tHe\tPRP\tB-NP\tO' +p27485 +aS'had\thave\tVBD\tB-VP\tO' +p27486 +aS'no\tno\tDT\tB-NP\tO' +p27487 +aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' +p27488 +aS'.\t.\t.\tO\tO' +p27489 +asS'were clear to auscultation .' +p27490 +(lp27491 +S'were\tbe\tVBD\tB-VP\tO' +p27492 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p27493 +aS'to\tto\tTO\tB-PP\tO' +p27494 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p27495 +aS'.\t.\t.\tO\tO' +p27496 +asS'Continued on IVF ( received total 2300 cc ) , with improved BP to SBP 105-118 .' +p27497 +(lp27498 +S'Continued\tContinue\tVBN\tB-VP\tO' +p27499 +aS'on\ton\tIN\tB-PP\tO' +p27500 +aS'IVF\tIVF\tNN\tB-NP\tB-protein' +p27501 +aS'(\t(\t(\tO\tO' +p27502 +aS'received\treceive\tVBN\tB-VP\tO' +p27503 +aS'total\ttotal\tJJ\tB-NP\tO' +p27504 +aS'2300\t2300\tCD\tI-NP\tO' +p27505 +aS'cc\tcc\tNN\tI-NP\tO' +p27506 +aS')\t)\t)\tO\tO' +p27507 +aS',\t,\t,\tO\tO' +p27508 +aS'with\twith\tIN\tB-PP\tO' +p27509 +aS'improved\timprove\tVBN\tB-NP\tO' +p27510 +aS'BP\tBP\tNN\tI-NP\tO' +p27511 +aS'to\tto\tTO\tB-PP\tO' +p27512 +aS'SBP\tSBP\tNN\tB-NP\tO' +p27513 +aS'105-118\t105-118\tCD\tI-NP\tO' +p27514 +aS'.\t.\t.\tO\tO' +p27515 +asS'He had some further anterolateral ST segment changes .' +p27516 +(lp27517 +S'He\tHe\tPRP\tB-NP\tO' +p27518 +aS'had\thave\tVBD\tB-VP\tO' +p27519 +aS'some\tsome\tDT\tB-NP\tO' +p27520 +aS'further\tfurther\tJJ\tI-NP\tO' +p27521 +aS'anterolateral\tanterolateral\tJJ\tI-NP\tO' +p27522 +aS'ST\tST\tNN\tI-NP\tO' +p27523 +aS'segment\tsegment\tNN\tI-NP\tO' +p27524 +aS'changes\tchange\tNNS\tI-NP\tO' +p27525 +aS'.\t.\t.\tO\tO' +p27526 +asS'On examination , her lungs were clear .' +p27527 +(lp27528 +S'On\tOn\tIN\tB-PP\tO' +p27529 +aS'examination\texamination\tNN\tB-NP\tO' +p27530 +aS',\t,\t,\tO\tO' +p27531 +aS'her\ther\tPRP$\tB-NP\tO' +p27532 +aS'lungs\tlung\tNNS\tI-NP\tO' +p27533 +aS'were\tbe\tVBD\tB-VP\tO' +p27534 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p27535 +aS'.\t.\t.\tO\tO' +p27536 +asS'We think this is likely due to an SIADH as she is euvolemic .' +p27537 +(lp27538 +S'We\tWe\tPRP\tB-NP\tO' +p27539 +aS'think\tthink\tVBP\tB-VP\tO' +p27540 +aS'this\tthis\tDT\tB-NP\tO' +p27541 +aS'is\tbe\tVBZ\tB-VP\tO' +p27542 +aS'likely\tlikely\tRB\tB-ADJP\tO' +p27543 +aS'due\tdue\tJJ\tI-ADJP\tO' +p27544 +aS'to\tto\tTO\tB-PP\tO' +p27545 +aS'an\tan\tDT\tB-NP\tO' +p27546 +aS'SIADH\tSIADH\tNN\tI-NP\tB-protein' +p27547 +aS'as\tas\tIN\tB-SBAR\tO' +p27548 +aS'she\tshe\tPRP\tB-NP\tO' +p27549 +aS'is\tbe\tVBZ\tB-VP\tO' +p27550 +aS'euvolemic\teuvolemic\tJJ\tB-ADJP\tO' +p27551 +aS'.\t.\t.\tO\tO' +p27552 +asS'The Lasix drip was eventually changed to IV Lasix boluses , with a net diuresis of over 36 liters for the hospital stay .' +p27553 +(lp27554 +S'The\tThe\tDT\tB-NP\tO' +p27555 +aS'Lasix\tLasix\tNNP\tI-NP\tO' +p27556 +aS'drip\tdrip\tNN\tI-NP\tO' +p27557 +aS'was\tbe\tVBD\tB-VP\tO' +p27558 +aS'eventually\teventually\tRB\tI-VP\tO' +p27559 +aS'changed\tchange\tVBN\tI-VP\tO' +p27560 +aS'to\tto\tTO\tB-PP\tO' +p27561 +aS'IV\tIV\tCD\tB-NP\tO' +p27562 +aS'Lasix\tLasix\tNNP\tI-NP\tO' +p27563 +aS'boluses\tbolus\tNNS\tI-NP\tO' +p27564 +aS',\t,\t,\tO\tO' +p27565 +aS'with\twith\tIN\tB-PP\tO' +p27566 +aS'a\ta\tDT\tB-NP\tO' +p27567 +aS'net\tnet\tJJ\tI-NP\tO' +p27568 +aS'diuresis\tdiuresis\tNN\tI-NP\tO' +p27569 +aS'of\tof\tIN\tB-PP\tO' +p27570 +aS'over\tover\tIN\tB-NP\tO' +p27571 +aS'36\t36\tCD\tI-NP\tO' +p27572 +aS'liters\tliter\tNNS\tI-NP\tO' +p27573 +aS'for\tfor\tIN\tB-PP\tO' +p27574 +aS'the\tthe\tDT\tB-NP\tO' +p27575 +aS'hospital\thospital\tNN\tI-NP\tO' +p27576 +aS'stay\tstay\tNN\tI-NP\tO' +p27577 +aS'.\t.\t.\tO\tO' +p27578 +asS'Multiple tattoos .' +p27579 +(lp27580 +S'Multiple\tMultiple\tJJ\tB-NP\tO' +p27581 +aS'tattoos\ttattoo\tNNS\tI-NP\tO' +p27582 +aS'.\t.\t.\tO\tO' +p27583 +asS'Chronic renal insufficiency .' +p27584 +(lp27585 +S'Chronic\tChronic\tJJ\tB-NP\tO' +p27586 +aS'renal\trenal\tJJ\tI-NP\tO' +p27587 +aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' +p27588 +aS'.\t.\t.\tO\tO' +p27589 +asS'The patient was an alert , jaundiced gentleman in no acute distress .' +p27590 +(lp27591 +S'The\tThe\tDT\tB-NP\tO' +p27592 +aS'patient\tpatient\tNN\tI-NP\tO' +p27593 +aS'was\tbe\tVBD\tB-VP\tO' +p27594 +aS'an\tan\tDT\tB-NP\tO' +p27595 +aS'alert\talert\tJJ\tI-NP\tO' +p27596 +aS',\t,\t,\tI-NP\tO' +p27597 +aS'jaundiced\tjaundiced\tJJ\tI-NP\tO' +p27598 +aS'gentleman\tgentleman\tNN\tI-NP\tO' +p27599 +aS'in\tin\tIN\tB-PP\tO' +p27600 +aS'no\tno\tDT\tB-NP\tO' +p27601 +aS'acute\tacute\tJJ\tI-NP\tO' +p27602 +aS'distress\tdistress\tNN\tI-NP\tO' +p27603 +aS'.\t.\t.\tO\tO' +p27604 +asS'He reports that his primary physician is aware of his anemia and was in the process of followup .' +p27605 +(lp27606 +S'He\tHe\tPRP\tB-NP\tO' +p27607 +aS'reports\treport\tVBZ\tB-VP\tO' +p27608 +aS'that\tthat\tIN\tB-SBAR\tO' +p27609 +aS'his\this\tPRP$\tB-NP\tO' +p27610 +aS'primary\tprimary\tJJ\tI-NP\tO' +p27611 +aS'physician\tphysician\tNN\tI-NP\tO' +p27612 +aS'is\tbe\tVBZ\tB-VP\tO' +p27613 +aS'aware\taware\tJJ\tB-ADJP\tO' +p27614 +aS'of\tof\tIN\tB-PP\tO' +p27615 +aS'his\this\tPRP$\tB-NP\tO' +p27616 +aS'anemia\tanemia\tNN\tI-NP\tO' +p27617 +aS'and\tand\tCC\tO\tO' +p27618 +aS'was\tbe\tVBD\tB-VP\tO' +p27619 +aS'in\tin\tIN\tB-PP\tO' +p27620 +aS'the\tthe\tDT\tB-NP\tO' +p27621 +aS'process\tprocess\tNN\tI-NP\tO' +p27622 +aS'of\tof\tIN\tB-PP\tO' +p27623 +aS'followup\tfollowup\tNN\tB-NP\tO' +p27624 +aS'.\t.\t.\tO\tO' +p27625 +asS'His DIC was further complicated by hepatic failure which resulted in poor endogenous production of clotting factors and he remained fresh frozen plasma dependent .' +p27626 +(lp27627 +S'His\tHis\tPRP$\tB-NP\tO' +p27628 +aS'DIC\tDIC\tNN\tI-NP\tO' +p27629 +aS'was\tbe\tVBD\tB-VP\tO' +p27630 +aS'further\tfurther\tRBR\tI-VP\tO' +p27631 +aS'complicated\tcomplicate\tVBN\tI-VP\tO' +p27632 +aS'by\tby\tIN\tB-PP\tO' +p27633 +aS'hepatic\thepatic\tJJ\tB-NP\tO' +p27634 +aS'failure\tfailure\tNN\tI-NP\tO' +p27635 +aS'which\twhich\tWDT\tB-NP\tO' +p27636 +aS'resulted\tresult\tVBD\tB-VP\tO' +p27637 +aS'in\tin\tIN\tB-PP\tO' +p27638 +aS'poor\tpoor\tJJ\tB-NP\tO' +p27639 +aS'endogenous\tendogenous\tJJ\tI-NP\tO' +p27640 +aS'production\tproduction\tNN\tI-NP\tO' +p27641 +aS'of\tof\tIN\tB-PP\tO' +p27642 +aS'clotting\tclot\tVBG\tB-NP\tB-protein' +p27643 +aS'factors\tfactor\tNNS\tI-NP\tI-protein' +p27644 +aS'and\tand\tCC\tO\tO' +p27645 +aS'he\the\tPRP\tB-NP\tO' +p27646 +aS'remained\tremain\tVBD\tB-VP\tO' +p27647 +aS'fresh\tfresh\tJJ\tB-NP\tO' +p27648 +aS'frozen\tfreeze\tVBN\tI-NP\tO' +p27649 +aS'plasma\tplasma\tNN\tI-NP\tO' +p27650 +aS'dependent\tdependent\tJJ\tB-ADJP\tO' +p27651 +aS'.\t.\t.\tO\tO' +p27652 +asS'Condition on discharge was stable and asymptomatic .' +p27653 +(lp27654 +S'Condition\tCondition\tNN\tB-NP\tO' +p27655 +aS'on\ton\tIN\tB-PP\tO' +p27656 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p27657 +aS'was\tbe\tVBD\tB-VP\tO' +p27658 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p27659 +aS'and\tand\tCC\tI-ADJP\tO' +p27660 +aS'asymptomatic\tasymptomatic\tJJ\tI-ADJP\tO' +p27661 +aS'.\t.\t.\tO\tO' +p27662 +asS'After a long discussion , patient and family asked to be made CMO .' +p27663 +(lp27664 +S'After\tAfter\tIN\tB-PP\tO' +p27665 +aS'a\ta\tDT\tB-NP\tO' +p27666 +aS'long\tlong\tJJ\tI-NP\tO' +p27667 +aS'discussion\tdiscussion\tNN\tI-NP\tO' +p27668 +aS',\t,\t,\tO\tO' +p27669 +aS'patient\tpatient\tNN\tB-NP\tO' +p27670 +aS'and\tand\tCC\tI-NP\tO' +p27671 +aS'family\tfamily\tNN\tI-NP\tO' +p27672 +aS'asked\task\tVBD\tB-VP\tO' +p27673 +aS'to\tto\tTO\tI-VP\tO' +p27674 +aS'be\tbe\tVB\tI-VP\tO' +p27675 +aS'made\tmake\tVBN\tI-VP\tO' +p27676 +aS'CMO\tCMO\tNN\tB-NP\tB-protein' +p27677 +aS'.\t.\t.\tO\tO' +p27678 +asS'His aspirin was restarted prior to discharge .' +p27679 +(lp27680 +S'His\tHis\tPRP$\tB-NP\tO' +p27681 +aS'aspirin\taspirin\tNN\tI-NP\tO' +p27682 +aS'was\tbe\tVBD\tB-VP\tO' +p27683 +aS'restarted\trestart\tVBN\tI-VP\tO' +p27684 +aS'prior\tprior\tRB\tB-ADVP\tO' +p27685 +aS'to\tto\tTO\tB-VP\tO' +p27686 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p27687 +aS'.\t.\t.\tO\tO' +p27688 +asS'Discharge Condition : patient passed away' +p27689 +(lp27690 +S'Discharge\tDischarge\tNNP\tB-NP\tO' +p27691 +aS'Condition\tCondition\tNNP\tI-NP\tO' +p27692 +aS':\t:\t:\tO\tO' +p27693 +aS'patient\tpatient\tNN\tB-NP\tO' +p27694 +aS'passed\tpass\tVBD\tB-VP\tO' +p27695 +aS'away\taway\tRB\tB-ADVP\tO' +p27696 +asS'Otherwise , the gait was normal .' +p27697 +(lp27698 +S'Otherwise\tOtherwise\tRB\tB-ADVP\tO' +p27699 +aS',\t,\t,\tO\tO' +p27700 +aS'the\tthe\tDT\tB-NP\tO' +p27701 +aS'gait\tgait\tNN\tI-NP\tO' +p27702 +aS'was\tbe\tVBD\tB-VP\tO' +p27703 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p27704 +aS'.\t.\t.\tO\tO' +p27705 +asS'She had a normal S1 , S2 with a 2/6 systolic ejection murmur at the left upper sternal border .' +p27706 +(lp27707 +S'She\tShe\tPRP\tB-NP\tO' +p27708 +aS'had\thave\tVBD\tB-VP\tO' +p27709 +aS'a\ta\tDT\tB-NP\tO' +p27710 +aS'normal\tnormal\tJJ\tI-NP\tO' +p27711 +aS'S1\tS1\tNN\tI-NP\tO' +p27712 +aS',\t,\t,\tO\tO' +p27713 +aS'S2\tS2\tNN\tB-NP\tB-protein' +p27714 +aS'with\twith\tIN\tB-PP\tO' +p27715 +aS'a\ta\tDT\tB-NP\tO' +p27716 +aS'2/6\t2/6\tCD\tI-NP\tO' +p27717 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p27718 +aS'ejection\tejection\tNN\tI-NP\tO' +p27719 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p27720 +aS'at\tat\tIN\tB-PP\tO' +p27721 +aS'the\tthe\tDT\tB-NP\tO' +p27722 +aS'left\tleft\tJJ\tI-NP\tO' +p27723 +aS'upper\tupper\tJJ\tI-NP\tO' +p27724 +aS'sternal\tsternal\tJJ\tI-NP\tO' +p27725 +aS'border\tborder\tNN\tI-NP\tO' +p27726 +aS'.\t.\t.\tO\tO' +p27727 +asS'Later that am , she stood from her wheelchair , had a prodrome of LH and then reports LOC and fall .' +p27728 +(lp27729 +S'Later\tLater\tRB\tB-ADVP\tO' +p27730 +aS'that\tthat\tWDT\tB-NP\tO' +p27731 +aS'am\tbe\tVBP\tB-VP\tO' +p27732 +aS',\t,\t,\tO\tO' +p27733 +aS'she\tshe\tPRP\tB-NP\tO' +p27734 +aS'stood\tstand\tVBD\tB-VP\tO' +p27735 +aS'from\tfrom\tIN\tB-PP\tO' +p27736 +aS'her\ther\tPRP$\tB-NP\tO' +p27737 +aS'wheelchair\twheelchair\tNN\tI-NP\tO' +p27738 +aS',\t,\t,\tO\tO' +p27739 +aS'had\thave\tVBD\tB-VP\tO' +p27740 +aS'a\ta\tDT\tB-NP\tO' +p27741 +aS'prodrome\tprodrome\tNN\tI-NP\tO' +p27742 +aS'of\tof\tIN\tB-PP\tO' +p27743 +aS'LH\tLH\tNN\tB-NP\tO' +p27744 +aS'and\tand\tCC\tO\tO' +p27745 +aS'then\tthen\tRB\tB-VP\tO' +p27746 +aS'reports\treport\tVBZ\tI-VP\tO' +p27747 +aS'LOC\tLOC\tNN\tB-NP\tO' +p27748 +aS'and\tand\tCC\tI-NP\tO' +p27749 +aS'fall\tfall\tNN\tI-NP\tO' +p27750 +aS'.\t.\t.\tO\tO' +p27751 +asS'P - no evidence of failure' +p27752 +(lp27753 +S'P\tP\tNN\tB-NP\tO' +p27754 +aS'-\t-\tHYPH\tB-VP\tO' +p27755 +aS'no\tno\tDT\tB-NP\tO' +p27756 +aS'evidence\tevidence\tNN\tI-NP\tO' +p27757 +aS'of\tof\tIN\tB-PP\tO' +p27758 +aS'failure\tfailure\tNN\tB-NP\tO' +p27759 +asS'She voided on the morning of POD # 1 .' +p27760 +(lp27761 +S'She\tShe\tPRP\tB-NP\tO' +p27762 +aS'voided\tvoid\tVBD\tB-VP\tO' +p27763 +aS'on\ton\tIN\tB-PP\tO' +p27764 +aS'the\tthe\tDT\tB-NP\tO' +p27765 +aS'morning\tmorning\tNN\tI-NP\tO' +p27766 +aS'of\tof\tIN\tB-PP\tO' +p27767 +aS'POD\tPOD\tNN\tB-NP\tB-protein' +p27768 +aS'#\t#\tSYM\tB-NP\tI-protein' +p27769 +aS'1\t1\tCD\tI-NP\tI-protein' +p27770 +aS'.\t.\t.\tO\tO' +p27771 +asS'It is also noted that there was splenomegaly .' +p27772 +(lp27773 +S'It\tIt\tPRP\tB-NP\tO' +p27774 +aS'is\tbe\tVBZ\tB-VP\tO' +p27775 +aS'also\talso\tRB\tI-VP\tO' +p27776 +aS'noted\tnote\tVBN\tI-VP\tO' +p27777 +aS'that\tthat\tIN\tB-SBAR\tO' +p27778 +aS'there\tthere\tEX\tB-NP\tO' +p27779 +aS'was\tbe\tVBD\tB-VP\tO' +p27780 +aS'splenomegaly\tsplenomegaly\tNN\tB-NP\tO' +p27781 +aS'.\t.\t.\tO\tO' +p27782 +asS'No prominent focal abnormalities were evident , and there were no epileptiform features .' +p27783 +(lp27784 +S'No\tNo\tDT\tB-NP\tO' +p27785 +aS'prominent\tprominent\tJJ\tI-NP\tO' +p27786 +aS'focal\tfocal\tJJ\tI-NP\tO' +p27787 +aS'abnormalities\tabnormality\tNNS\tI-NP\tO' +p27788 +aS'were\tbe\tVBD\tB-VP\tO' +p27789 +aS'evident\tevident\tJJ\tB-ADJP\tO' +p27790 +aS',\t,\t,\tO\tO' +p27791 +aS'and\tand\tCC\tO\tO' +p27792 +aS'there\tthere\tEX\tB-NP\tO' +p27793 +aS'were\tbe\tVBD\tB-VP\tO' +p27794 +aS'no\tno\tDT\tB-NP\tO' +p27795 +aS'epileptiform\tepileptiform\tNN\tI-NP\tO' +p27796 +aS'features\tfeature\tNNS\tI-NP\tO' +p27797 +aS'.\t.\t.\tO\tO' +p27798 +asS'Ext : warm well perfused , no C/C/E' +p27799 +(lp27800 +S'Ext\tExt\tNNP\tB-NP\tO' +p27801 +aS':\t:\t:\tO\tO' +p27802 +aS'warm\twarm\tJJ\tB-ADJP\tO' +p27803 +aS'well\twell\tRB\tB-VP\tO' +p27804 +aS'perfused\tperfuse\tVBN\tI-VP\tO' +p27805 +aS',\t,\t,\tO\tO' +p27806 +aS'no\tno\tDT\tB-NP\tO' +p27807 +aS'C/C/E\tC/C/E\tNN\tI-NP\tB-protein' +p27808 +asS'2. Osteoarthritis .' +p27809 +(lp27810 +S'2.\t2.\tLS\tB-NP\tO' +p27811 +aS'Osteoarthritis\tOsteoarthritis\tNN\tI-NP\tO' +p27812 +aS'.\t.\t.\tO\tO' +p27813 +asS'Cardiovascular - irregular rhythm , normal rate .' +p27814 +(lp27815 +S'Cardiovascular\tCardiovascular\tJJ\tB-NP\tO' +p27816 +aS'-\t-\tHYPH\tI-NP\tO' +p27817 +aS'irregular\tirregular\tJJ\tI-NP\tO' +p27818 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p27819 +aS',\t,\t,\tO\tO' +p27820 +aS'normal\tnormal\tJJ\tB-NP\tO' +p27821 +aS'rate\trate\tNN\tI-NP\tO' +p27822 +aS'.\t.\t.\tO\tO' +p27823 +asS'He was treated with Octreotide to try to slow down the bleeding .' +p27824 +(lp27825 +S'He\tHe\tPRP\tB-NP\tO' +p27826 +aS'was\tbe\tVBD\tB-VP\tO' +p27827 +aS'treated\ttreat\tVBN\tI-VP\tO' +p27828 +aS'with\twith\tIN\tB-PP\tO' +p27829 +aS'Octreotide\tOctreotide\tNN\tB-NP\tO' +p27830 +aS'to\tto\tTO\tB-VP\tO' +p27831 +aS'try\ttry\tVB\tI-VP\tO' +p27832 +aS'to\tto\tTO\tI-VP\tO' +p27833 +aS'slow\tslow\tVB\tI-VP\tO' +p27834 +aS'down\tdown\tRP\tB-PRT\tO' +p27835 +aS'the\tthe\tDT\tB-NP\tO' +p27836 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p27837 +aS'.\t.\t.\tO\tO' +p27838 +asS'On 5/11/05 repeat imaging revealed some edema and mass affect .' +p27839 +(lp27840 +S'On\tOn\tIN\tB-PP\tO' +p27841 +aS'5/11/05\t5/11/05\tCD\tB-NP\tO' +p27842 +aS'repeat\trepeat\tNN\tI-NP\tO' +p27843 +aS'imaging\timaging\tNN\tI-NP\tO' +p27844 +aS'revealed\treveal\tVBD\tB-VP\tO' +p27845 +aS'some\tsome\tDT\tB-NP\tO' +p27846 +aS'edema\tedema\tNN\tI-NP\tO' +p27847 +aS'and\tand\tCC\tI-NP\tO' +p27848 +aS'mass\tmass\tNN\tI-NP\tO' +p27849 +aS'affect\taffect\tNN\tI-NP\tO' +p27850 +aS'.\t.\t.\tO\tO' +p27851 +asS'4. Oxycodone-Acetaminophen 5-325 mg Tablet Sig : 1-2 Tablets PO every 4-6 hours as needed for pain .' +p27852 +(lp27853 +S'4.\t4.\tLS\tB-NP\tO' +p27854 +aS'Oxycodone-Acetaminophen\tOxycodone-Acetaminophen\tNN\tI-NP\tO' +p27855 +aS'5-325\t5-325\tCD\tI-NP\tO' +p27856 +aS'mg\tmg\tNN\tI-NP\tO' +p27857 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p27858 +aS'Sig\tSig\tNNP\tI-NP\tO' +p27859 +aS':\t:\t:\tO\tO' +p27860 +aS'1-2\t1-2\tCD\tB-NP\tO' +p27861 +aS'Tablets\tTablet\tNNS\tI-NP\tO' +p27862 +aS'PO\tPO\tNN\tI-NP\tO' +p27863 +aS'every\tevery\tDT\tB-NP\tO' +p27864 +aS'4-6\t4-6\tCD\tI-NP\tO' +p27865 +aS'hours\thour\tNNS\tI-NP\tO' +p27866 +aS'as\tas\tIN\tB-SBAR\tO' +p27867 +aS'needed\tneed\tVBN\tB-VP\tO' +p27868 +aS'for\tfor\tIN\tB-PP\tO' +p27869 +aS'pain\tpain\tNN\tB-NP\tO' +p27870 +aS'.\t.\t.\tO\tO' +p27871 +asS'Hepatitis C .' +p27872 +(lp27873 +S'Hepatitis\tHepatitis\tNNP\tB-NP\tO' +p27874 +aS'C\tC\tNNP\tI-NP\tO' +p27875 +aS'.\t.\t.\tO\tO' +p27876 +asS'Insomnia .' +p27877 +(lp27878 +S'Insomnia\tInsomnia\tNNP\tB-NP\tO' +p27879 +aS'.\t.\t.\tO\tO' +p27880 +asS'On admission revealed white blood cell count 4.2 , Hct 27 , platelet count 28 .' +p27881 +(lp27882 +S'On\tOn\tIN\tB-PP\tO' +p27883 +aS'admission\tadmission\tNN\tB-NP\tO' +p27884 +aS'revealed\treveal\tVBD\tB-VP\tO' +p27885 +aS'white\twhite\tJJ\tB-NP\tO' +p27886 +aS'blood\tblood\tNN\tI-NP\tO' +p27887 +aS'cell\tcell\tNN\tI-NP\tO' +p27888 +aS'count\tcount\tNN\tI-NP\tO' +p27889 +aS'4.2\t4.2\tCD\tB-NP\tO' +p27890 +aS',\t,\t,\tO\tO' +p27891 +aS'Hct\tHct\tNN\tB-NP\tB-protein' +p27892 +aS'27\t27\tCD\tI-NP\tI-protein' +p27893 +aS',\t,\t,\tO\tO' +p27894 +aS'platelet\tplatelet\tNN\tB-NP\tO' +p27895 +aS'count\tcount\tNN\tI-NP\tO' +p27896 +aS'28\t28\tCD\tI-NP\tO' +p27897 +aS'.\t.\t.\tO\tO' +p27898 +asS'CN 04-15 intact , 07-06 bilateral upper and lower extremity strength .' +p27899 +(lp27900 +S'CN\tCN\tNN\tB-NP\tO' +p27901 +aS'04-15\t04-15\tCD\tI-NP\tO' +p27902 +aS'intact\tintact\tJJ\tI-NP\tO' +p27903 +aS',\t,\t,\tO\tO' +p27904 +aS'07-06\t07-06\tCD\tB-NP\tO' +p27905 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p27906 +aS'upper\tupper\tJJ\tI-NP\tO' +p27907 +aS'and\tand\tCC\tI-NP\tO' +p27908 +aS'lower\tlow\tJJR\tI-NP\tO' +p27909 +aS'extremity\textremity\tNN\tI-NP\tO' +p27910 +aS'strength\tstrength\tNN\tI-NP\tO' +p27911 +aS'.\t.\t.\tO\tO' +p27912 +asS'Pt continued on home regimen of calcium acetate 667 mg , 3 capsules TID .' +p27913 +(lp27914 +S'Pt\tPt\tNN\tB-NP\tO' +p27915 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p27916 +aS'on\ton\tIN\tB-PP\tO' +p27917 +aS'home\thome\tNN\tB-NP\tO' +p27918 +aS'regimen\tregimen\tNN\tI-NP\tO' +p27919 +aS'of\tof\tIN\tB-PP\tO' +p27920 +aS'calcium\tcalcium\tNN\tB-NP\tO' +p27921 +aS'acetate\tacetate\tNN\tI-NP\tO' +p27922 +aS'667\t667\tCD\tI-NP\tO' +p27923 +aS'mg\tmg\tNN\tI-NP\tO' +p27924 +aS',\t,\t,\tO\tO' +p27925 +aS'3\t3\tCD\tB-NP\tO' +p27926 +aS'capsules\tcapsule\tNNS\tI-NP\tO' +p27927 +aS'TID\tTID\tNN\tI-NP\tO' +p27928 +aS'.\t.\t.\tO\tO' +p27929 +asS'However , following cycle 4 , she developed a flu-like illness , followed by fever , nonproductive cough and dyspnea on exertion .' +p27930 +(lp27931 +S'However\tHowever\tRB\tB-ADVP\tO' +p27932 +aS',\t,\t,\tO\tO' +p27933 +aS'following\tfollow\tVBG\tB-VP\tO' +p27934 +aS'cycle\tcycle\tNN\tB-NP\tO' +p27935 +aS'4\t4\tCD\tI-NP\tO' +p27936 +aS',\t,\t,\tO\tO' +p27937 +aS'she\tshe\tPRP\tB-NP\tO' +p27938 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p27939 +aS'a\ta\tDT\tB-NP\tO' +p27940 +aS'flu-like\tflu-like\tJJ\tI-NP\tO' +p27941 +aS'illness\tillness\tNN\tI-NP\tO' +p27942 +aS',\t,\t,\tO\tO' +p27943 +aS'followed\tfollow\tVBN\tB-VP\tO' +p27944 +aS'by\tby\tIN\tB-PP\tO' +p27945 +aS'fever\tfever\tNN\tB-NP\tO' +p27946 +aS',\t,\t,\tO\tO' +p27947 +aS'nonproductive\tnonproductive\tJJ\tB-NP\tO' +p27948 +aS'cough\tcough\tNN\tI-NP\tO' +p27949 +aS'and\tand\tCC\tI-NP\tO' +p27950 +aS'dyspnea\tdyspnea\tNN\tI-NP\tO' +p27951 +aS'on\ton\tIN\tB-PP\tO' +p27952 +aS'exertion\texertion\tNN\tB-NP\tO' +p27953 +aS'.\t.\t.\tO\tO' +p27954 +asS'The patient 's sister has a history of cervical cancer .' +p27955 +(lp27956 +S'The\tThe\tDT\tB-NP\tO' +p27957 +aS'patient\tpatient\tNN\tI-NP\tO' +p27958 +aS''s\t'\tNNS\tI-NP\tO' +p27959 +aS'sister\tsister\tNN\tI-NP\tO' +p27960 +aS'has\thave\tVBZ\tB-VP\tO' +p27961 +aS'a\ta\tDT\tB-NP\tO' +p27962 +aS'history\thistory\tNN\tI-NP\tO' +p27963 +aS'of\tof\tIN\tB-PP\tO' +p27964 +aS'cervical\tcervical\tJJ\tB-NP\tO' +p27965 +aS'cancer\tcancer\tNN\tI-NP\tO' +p27966 +aS'.\t.\t.\tO\tO' +p27967 +asS'#. Anemia : Unclear source .' +p27968 +(lp27969 +S'#.\t#.\tRB\tB-ADVP\tO' +p27970 +aS'Anemia\tAnemia\tNNP\tB-NP\tO' +p27971 +aS':\t:\t:\tO\tO' +p27972 +aS'Unclear\tUnclear\tJJ\tB-NP\tO' +p27973 +aS'source\tsource\tNN\tI-NP\tO' +p27974 +aS'.\t.\t.\tO\tO' +p27975 +asS'Temp 98.5 , heart rate 74 , BP 140/90 , respiratory rate 18 , O2 sat 98% .' +p27976 +(lp27977 +S'Temp\tTemp\tNNP\tB-NP\tO' +p27978 +aS'98.5\t98.5\tCD\tI-NP\tO' +p27979 +aS',\t,\t,\tO\tO' +p27980 +aS'heart\theart\tNN\tB-NP\tO' +p27981 +aS'rate\trate\tNN\tI-NP\tO' +p27982 +aS'74\t74\tCD\tI-NP\tO' +p27983 +aS',\t,\t,\tO\tO' +p27984 +aS'BP\tBP\tNN\tB-NP\tB-DNA' +p27985 +aS'140/90\t140/90\tCD\tI-NP\tI-DNA' +p27986 +aS',\t,\t,\tO\tO' +p27987 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p27988 +aS'rate\trate\tNN\tI-NP\tO' +p27989 +aS'18\t18\tCD\tI-NP\tO' +p27990 +aS',\t,\t,\tO\tO' +p27991 +aS'O2\tO2\tNN\tB-NP\tO' +p27992 +aS'sat\tsit\tVBD\tB-VP\tO' +p27993 +aS'98%\t98%\tCD\tB-NP\tO' +p27994 +aS'.\t.\t.\tO\tO' +p27995 +asS'The patient has no history of alcohol abuse .' +p27996 +(lp27997 +S'The\tThe\tDT\tB-NP\tO' +p27998 +aS'patient\tpatient\tNN\tI-NP\tO' +p27999 +aS'has\thave\tVBZ\tB-VP\tO' +p28000 +aS'no\tno\tDT\tB-NP\tO' +p28001 +aS'history\thistory\tNN\tI-NP\tO' +p28002 +aS'of\tof\tIN\tB-PP\tO' +p28003 +aS'alcohol\talcohol\tNN\tB-NP\tO' +p28004 +aS'abuse\tabuse\tNN\tI-NP\tO' +p28005 +aS'.\t.\t.\tO\tO' +p28006 +asS'Pt was extubated the next day .' +p28007 +(lp28008 +S'Pt\tPt\tNN\tB-NP\tO' +p28009 +aS'was\tbe\tVBD\tB-VP\tO' +p28010 +aS'extubated\textubate\tVBN\tI-VP\tO' +p28011 +aS'the\tthe\tDT\tB-NP\tO' +p28012 +aS'next\tnext\tJJ\tI-NP\tO' +p28013 +aS'day\tday\tNN\tI-NP\tO' +p28014 +aS'.\t.\t.\tO\tO' +p28015 +asS'4. Nasal oxygen 3L per minute .' +p28016 +(lp28017 +S'4.\t4.\tLS\tB-NP\tO' +p28018 +aS'Nasal\tNasal\tJJ\tI-NP\tO' +p28019 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p28020 +aS'3L\t3L\tNN\tI-NP\tO' +p28021 +aS'per\tper\tIN\tB-PP\tO' +p28022 +aS'minute\tminute\tNN\tB-NP\tO' +p28023 +aS'.\t.\t.\tO\tO' +p28024 +asS'--- RISS - tight glucose control pre-op' +p28025 +(lp28026 +S'---\t---\tSYM\tO\tO' +p28027 +aS'RISS\tRISS\tNN\tB-NP\tB-protein' +p28028 +aS'-\t-\tHYPH\tI-NP\tO' +p28029 +aS'tight\ttight\tJJ\tI-NP\tO' +p28030 +aS'glucose\tglucose\tNN\tI-NP\tO' +p28031 +aS'control\tcontrol\tNN\tI-NP\tO' +p28032 +aS'pre-op\tpre-op\tJJ\tB-ADJP\tO' +p28033 +asS'At time of my evaluation , the patient denied nausea , vomitting , abdominal pain , dysuria , dizziness , changes in vision /hearing' +p28034 +(lp28035 +S'At\tAt\tIN\tB-PP\tO' +p28036 +aS'time\ttime\tNN\tB-NP\tO' +p28037 +aS'of\tof\tIN\tB-PP\tO' +p28038 +aS'my\tmy\tPRP$\tB-NP\tO' +p28039 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p28040 +aS',\t,\t,\tO\tO' +p28041 +aS'the\tthe\tDT\tB-NP\tO' +p28042 +aS'patient\tpatient\tNN\tI-NP\tO' +p28043 +aS'denied\tdeny\tVBD\tB-VP\tO' +p28044 +aS'nausea\tnausea\tNN\tB-NP\tO' +p28045 +aS',\t,\t,\tO\tO' +p28046 +aS'vomitting\tvomitting\tNN\tB-NP\tO' +p28047 +aS',\t,\t,\tO\tO' +p28048 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p28049 +aS'pain\tpain\tNN\tI-NP\tO' +p28050 +aS',\t,\t,\tO\tO' +p28051 +aS'dysuria\tdysuria\tNN\tB-NP\tO' +p28052 +aS',\t,\t,\tO\tO' +p28053 +aS'dizziness\tdizziness\tNN\tB-NP\tO' +p28054 +aS',\t,\t,\tO\tO' +p28055 +aS'changes\tchange\tNNS\tB-NP\tO' +p28056 +aS'in\tin\tIN\tB-PP\tO' +p28057 +aS'vision\tvision\tNN\tB-NP\tO' +p28058 +aS'/hearing\t/heare\tVBG\tB-VP\tO' +p28059 +asS'Also , with Dr. Fyfe of ENT scheduled for Halloween .' +p28060 +(lp28061 +S'Also\tAlso\tRB\tB-ADVP\tO' +p28062 +aS',\t,\t,\tO\tO' +p28063 +aS'with\twith\tIN\tB-PP\tO' +p28064 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p28065 +aS'Fyfe\tFyfe\tNNP\tI-NP\tO' +p28066 +aS'of\tof\tIN\tB-PP\tO' +p28067 +aS'ENT\tENT\tNNP\tB-NP\tO' +p28068 +aS'scheduled\tschedule\tVBN\tB-VP\tO' +p28069 +aS'for\tfor\tIN\tB-PP\tO' +p28070 +aS'Halloween\tHalloween\tNNP\tB-NP\tO' +p28071 +aS'.\t.\t.\tO\tO' +p28072 +asS'A nitro drip was started in an effort to decrease her preload and afterload .' +p28073 +(lp28074 +S'A\tA\tDT\tB-NP\tO' +p28075 +aS'nitro\tnitro\tNN\tI-NP\tO' +p28076 +aS'drip\tdrip\tNN\tI-NP\tO' +p28077 +aS'was\tbe\tVBD\tB-VP\tO' +p28078 +aS'started\tstart\tVBN\tI-VP\tO' +p28079 +aS'in\tin\tIN\tB-PP\tO' +p28080 +aS'an\tan\tDT\tB-NP\tO' +p28081 +aS'effort\teffort\tNN\tI-NP\tO' +p28082 +aS'to\tto\tTO\tB-VP\tO' +p28083 +aS'decrease\tdecrease\tVB\tI-VP\tO' +p28084 +aS'her\ther\tPRP$\tB-NP\tO' +p28085 +aS'preload\tpreload\tNN\tI-NP\tO' +p28086 +aS'and\tand\tCC\tI-NP\tO' +p28087 +aS'afterload\tafterload\tNN\tI-NP\tO' +p28088 +aS'.\t.\t.\tO\tO' +p28089 +asS'Osteochondromatosis , right knee .' +p28090 +(lp28091 +S'Osteochondromatosis\tOsteochondromatosis\tNN\tB-NP\tO' +p28092 +aS',\t,\t,\tO\tO' +p28093 +aS'right\tright\tJJ\tB-NP\tO' +p28094 +aS'knee\tknee\tNN\tI-NP\tO' +p28095 +aS'.\t.\t.\tO\tO' +p28096 +asS'Mr. Vinktlandfreierm was admitted from Owaleharbo Tanaminer Hospital to which he had been discharged approximately four days prior to admission .' +p28097 +(lp28098 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p28099 +aS'Vinktlandfreierm\tVinktlandfreierm\tNNP\tI-NP\tO' +p28100 +aS'was\tbe\tVBD\tB-VP\tO' +p28101 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p28102 +aS'from\tfrom\tIN\tB-PP\tO' +p28103 +aS'Owaleharbo\tOwaleharbo\tNNP\tB-NP\tO' +p28104 +aS'Tanaminer\tTanaminer\tNNP\tI-NP\tO' +p28105 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p28106 +aS'to\tto\tTO\tB-PP\tO' +p28107 +aS'which\twhich\tWDT\tB-NP\tO' +p28108 +aS'he\the\tPRP\tB-NP\tO' +p28109 +aS'had\thave\tVBD\tB-VP\tO' +p28110 +aS'been\tbe\tVBN\tI-VP\tO' +p28111 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p28112 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p28113 +aS'four\tfour\tCD\tI-NP\tO' +p28114 +aS'days\tday\tNNS\tI-NP\tO' +p28115 +aS'prior\tprior\tRB\tB-ADVP\tO' +p28116 +aS'to\tto\tTO\tB-PP\tO' +p28117 +aS'admission\tadmission\tNN\tB-NP\tO' +p28118 +aS'.\t.\t.\tO\tO' +p28119 +asS'7. Metoprolol Tartrate 25 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ) .' +p28120 +(lp28121 +S'7.\t7.\tCD\tB-NP\tO' +p28122 +aS'Metoprolol\tMetoprolol\tNNP\tI-NP\tO' +p28123 +aS'Tartrate\tTartrate\tNNP\tI-NP\tO' +p28124 +aS'25\t25\tCD\tI-NP\tO' +p28125 +aS'mg\tmg\tNN\tI-NP\tO' +p28126 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p28127 +aS'Sig\tSig\tNNP\tI-NP\tO' +p28128 +aS':\t:\t:\tO\tO' +p28129 +aS'One\tOne\tCD\tB-NP\tO' +p28130 +aS'(\t(\t(\tO\tO' +p28131 +aS'1\t1\tCD\tB-NP\tO' +p28132 +aS')\t)\t)\tO\tO' +p28133 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p28134 +aS'PO\tPO\tNN\tI-NP\tO' +p28135 +aS'BID\tBID\tNN\tI-NP\tO' +p28136 +aS'(\t(\t(\tO\tO' +p28137 +aS'2\t2\tCD\tB-NP\tO' +p28138 +aS'times\ttime\tNNS\tI-NP\tO' +p28139 +aS'a\ta\tDT\tB-NP\tO' +p28140 +aS'day\tday\tNN\tI-NP\tO' +p28141 +aS')\t)\t)\tO\tO' +p28142 +aS'.\t.\t.\tO\tO' +p28143 +asS'1+ right posterior tibialis , 2+ left posterior tibialis , no edema , ichthyotic changes were present .' +p28144 +(lp28145 +S'1+\t1+\tJJ\tB-NP\tO' +p28146 +aS'right\tright\tJJ\tI-NP\tO' +p28147 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p28148 +aS'tibialis\ttibialis\tNN\tI-NP\tO' +p28149 +aS',\t,\t,\tO\tO' +p28150 +aS'2+\t2+\tJJ\tB-NP\tO' +p28151 +aS'left\tleft\tJJ\tI-NP\tO' +p28152 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p28153 +aS'tibialis\ttibialis\tNN\tI-NP\tO' +p28154 +aS',\t,\t,\tO\tO' +p28155 +aS'no\tno\tDT\tB-NP\tO' +p28156 +aS'edema\tedema\tNN\tI-NP\tO' +p28157 +aS',\t,\t,\tO\tO' +p28158 +aS'ichthyotic\tichthyotic\tJJ\tB-NP\tO' +p28159 +aS'changes\tchange\tNNS\tI-NP\tO' +p28160 +aS'were\tbe\tVBD\tB-VP\tO' +p28161 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p28162 +aS'.\t.\t.\tO\tO' +p28163 +asS'9) Fosamax 10 mg p.o. q. day .' +p28164 +(lp28165 +S'9)\t9)\tCD\tB-NP\tO' +p28166 +aS'Fosamax\tFosamax\tNN\tI-NP\tO' +p28167 +aS'10\t10\tCD\tB-NP\tO' +p28168 +aS'mg\tmg\tNN\tI-NP\tO' +p28169 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p28170 +aS'q.\tq.\tNN\tI-NP\tO' +p28171 +aS'day\tday\tNN\tI-NP\tO' +p28172 +aS'.\t.\t.\tO\tO' +p28173 +asS'RIGHT TIBIA / FIBULA , AP AND LATERAL VIEWS : An intramedullary rod is seen fixating a proximal diaphyseal comminuted tibial fracture with six proximal and two distal screws .' +p28174 +(lp28175 +S'RIGHT\tRIGHT\tNN\tB-NP\tO' +p28176 +aS'TIBIA\tTIBIA\tNN\tI-NP\tO' +p28177 +aS'/\t/\tSYM\tB-NP\tO' +p28178 +aS'FIBULA\tFIBULA\tNN\tI-NP\tO' +p28179 +aS',\t,\t,\tO\tO' +p28180 +aS'AP\tAP\tNN\tB-NP\tO' +p28181 +aS'AND\tAND\tCC\tI-NP\tO' +p28182 +aS'LATERAL\tLATERAL\tNN\tI-NP\tO' +p28183 +aS'VIEWS\tVIEWS\tNN\tI-NP\tO' +p28184 +aS':\t:\t:\tO\tO' +p28185 +aS'An\tAn\tDT\tB-NP\tO' +p28186 +aS'intramedullary\tintramedullary\tJJ\tI-NP\tO' +p28187 +aS'rod\trod\tNN\tI-NP\tO' +p28188 +aS'is\tbe\tVBZ\tB-VP\tO' +p28189 +aS'seen\tsee\tVBN\tI-VP\tO' +p28190 +aS'fixating\tfixate\tVBG\tI-VP\tO' +p28191 +aS'a\ta\tDT\tB-NP\tO' +p28192 +aS'proximal\tproximal\tJJ\tI-NP\tO' +p28193 +aS'diaphyseal\tdiaphyseal\tNN\tI-NP\tO' +p28194 +aS'comminuted\tcomminute\tVBD\tB-VP\tO' +p28195 +aS'tibial\ttibial\tJJ\tB-NP\tO' +p28196 +aS'fracture\tfracture\tNN\tI-NP\tO' +p28197 +aS'with\twith\tIN\tB-PP\tO' +p28198 +aS'six\tsix\tCD\tB-NP\tO' +p28199 +aS'proximal\tproximal\tJJ\tI-NP\tO' +p28200 +aS'and\tand\tCC\tO\tO' +p28201 +aS'two\ttwo\tCD\tB-NP\tO' +p28202 +aS'distal\tdistal\tJJ\tI-NP\tO' +p28203 +aS'screws\tscrew\tNNS\tI-NP\tO' +p28204 +aS'.\t.\t.\tO\tO' +p28205 +asS'She was in her usual state of health until around 12:40 on October 19 , when while on the phone , started to have difficulty in talking .' +p28206 +(lp28207 +S'She\tShe\tPRP\tB-NP\tO' +p28208 +aS'was\tbe\tVBD\tB-VP\tO' +p28209 +aS'in\tin\tIN\tB-PP\tO' +p28210 +aS'her\ther\tPRP$\tB-NP\tO' +p28211 +aS'usual\tusual\tJJ\tI-NP\tO' +p28212 +aS'state\tstate\tNN\tI-NP\tO' +p28213 +aS'of\tof\tIN\tB-PP\tO' +p28214 +aS'health\thealth\tNN\tB-NP\tO' +p28215 +aS'until\tuntil\tIN\tB-PP\tO' +p28216 +aS'around\taround\tIN\tB-PP\tO' +p28217 +aS'12:40\t12:40\tCD\tB-NP\tO' +p28218 +aS'on\ton\tIN\tB-PP\tO' +p28219 +aS'October\tOctober\tNNP\tB-NP\tO' +p28220 +aS'19\t19\tCD\tI-NP\tO' +p28221 +aS',\t,\t,\tO\tO' +p28222 +aS'when\twhen\tWRB\tB-ADVP\tO' +p28223 +aS'while\twhile\tIN\tB-SBAR\tO' +p28224 +aS'on\ton\tIN\tB-PP\tO' +p28225 +aS'the\tthe\tDT\tB-NP\tO' +p28226 +aS'phone\tphone\tNN\tI-NP\tO' +p28227 +aS',\t,\t,\tO\tO' +p28228 +aS'started\tstart\tVBD\tB-VP\tO' +p28229 +aS'to\tto\tTO\tI-VP\tO' +p28230 +aS'have\thave\tVB\tI-VP\tO' +p28231 +aS'difficulty\tdifficulty\tNN\tB-NP\tO' +p28232 +aS'in\tin\tIN\tB-PP\tO' +p28233 +aS'talking\ttalk\tVBG\tB-NP\tO' +p28234 +aS'.\t.\t.\tO\tO' +p28235 +asS'Emaciated white female in mild respiratory distress .' +p28236 +(lp28237 +S'Emaciated\tEmaciate\tVBN\tB-NP\tO' +p28238 +aS'white\twhite\tJJ\tI-NP\tO' +p28239 +aS'female\tfemale\tNN\tI-NP\tO' +p28240 +aS'in\tin\tIN\tB-PP\tO' +p28241 +aS'mild\tmild\tJJ\tB-NP\tO' +p28242 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p28243 +aS'distress\tdistress\tNN\tI-NP\tO' +p28244 +aS'.\t.\t.\tO\tO' +p28245 +asS'She remained afebrile throughout her admission tolerating a regular diet by post-operative day two and was discharged on June 6 , 1993 with Percocet for pain .' +p28246 +(lp28247 +S'She\tShe\tPRP\tB-NP\tO' +p28248 +aS'remained\tremain\tVBD\tB-VP\tO' +p28249 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p28250 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p28251 +aS'her\ther\tPRP$\tB-NP\tO' +p28252 +aS'admission\tadmission\tNN\tI-NP\tO' +p28253 +aS'tolerating\ttolerate\tVBG\tB-VP\tO' +p28254 +aS'a\ta\tDT\tB-NP\tO' +p28255 +aS'regular\tregular\tJJ\tI-NP\tO' +p28256 +aS'diet\tdiet\tNN\tI-NP\tO' +p28257 +aS'by\tby\tIN\tB-PP\tO' +p28258 +aS'post-operative\tpost-operative\tJJ\tB-NP\tO' +p28259 +aS'day\tday\tNN\tI-NP\tO' +p28260 +aS'two\ttwo\tCD\tB-NP\tO' +p28261 +aS'and\tand\tCC\tO\tO' +p28262 +aS'was\tbe\tVBD\tB-VP\tO' +p28263 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p28264 +aS'on\ton\tIN\tB-PP\tO' +p28265 +aS'June\tJune\tNNP\tB-NP\tB-protein' +p28266 +aS'6\t6\tCD\tI-NP\tI-protein' +p28267 +aS',\t,\t,\tI-NP\tO' +p28268 +aS'1993\t1993\tCD\tI-NP\tO' +p28269 +aS'with\twith\tIN\tB-PP\tO' +p28270 +aS'Percocet\tPercocet\tNN\tB-NP\tO' +p28271 +aS'for\tfor\tIN\tB-PP\tO' +p28272 +aS'pain\tpain\tNN\tB-NP\tO' +p28273 +aS'.\t.\t.\tO\tO' +p28274 +asS'4. Abnormal liver function tests - The patient had an isolated , elevated alkaline phosphatase with a confirmatory elevation in his gamma glutamyl transferase .' +p28275 +(lp28276 +S'4.\t4.\tLS\tB-NP\tO' +p28277 +aS'Abnormal\tAbnormal\tJJ\tI-NP\tO' +p28278 +aS'liver\tliver\tNN\tI-NP\tO' +p28279 +aS'function\tfunction\tNN\tI-NP\tO' +p28280 +aS'tests\ttest\tNNS\tI-NP\tO' +p28281 +aS'-\t-\t:\tO\tO' +p28282 +aS'The\tThe\tDT\tB-NP\tO' +p28283 +aS'patient\tpatient\tNN\tI-NP\tO' +p28284 +aS'had\thave\tVBD\tB-VP\tO' +p28285 +aS'an\tan\tDT\tB-NP\tO' +p28286 +aS'isolated\tisolate\tVBN\tI-NP\tO' +p28287 +aS',\t,\t,\tI-NP\tO' +p28288 +aS'elevated\televated\tJJ\tI-NP\tO' +p28289 +aS'alkaline\talkaline\tNN\tI-NP\tB-protein' +p28290 +aS'phosphatase\tphosphatase\tNN\tI-NP\tI-protein' +p28291 +aS'with\twith\tIN\tB-PP\tO' +p28292 +aS'a\ta\tDT\tB-NP\tO' +p28293 +aS'confirmatory\tconfirmatory\tJJ\tI-NP\tO' +p28294 +aS'elevation\televation\tNN\tI-NP\tO' +p28295 +aS'in\tin\tIN\tB-PP\tO' +p28296 +aS'his\this\tPRP$\tB-NP\tO' +p28297 +aS'gamma\tgamma\tNN\tI-NP\tB-protein' +p28298 +aS'glutamyl\tglutamyl\tNN\tI-NP\tI-protein' +p28299 +aS'transferase\ttransferase\tNN\tI-NP\tI-protein' +p28300 +aS'.\t.\t.\tO\tO' +p28301 +asS'5. Mild apnea and bradycardia of prematurity resolved .' +p28302 +(lp28303 +S'5.\t5.\tLS\tB-NP\tO' +p28304 +aS'Mild\tMild\tNNP\tI-NP\tO' +p28305 +aS'apnea\tapnea\tNN\tI-NP\tO' +p28306 +aS'and\tand\tCC\tI-NP\tO' +p28307 +aS'bradycardia\tbradycardia\tNN\tI-NP\tO' +p28308 +aS'of\tof\tIN\tB-PP\tO' +p28309 +aS'prematurity\tprematurity\tNN\tB-NP\tO' +p28310 +aS'resolved\tresolve\tVBN\tB-VP\tO' +p28311 +aS'.\t.\t.\tO\tO' +p28312 +asS'The patient is to follow up with Dr. Ria in clinic on one month time and the family is to call me if there were any questions in the interim .' +p28313 +(lp28314 +S'The\tThe\tDT\tB-NP\tO' +p28315 +aS'patient\tpatient\tNN\tI-NP\tO' +p28316 +aS'is\tbe\tVBZ\tB-VP\tO' +p28317 +aS'to\tto\tTO\tB-VP\tO' +p28318 +aS'follow\tfollow\tVB\tI-VP\tO' +p28319 +aS'up\tup\tRP\tB-PRT\tO' +p28320 +aS'with\twith\tIN\tB-PP\tO' +p28321 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p28322 +aS'Ria\tRia\tNNP\tI-NP\tO' +p28323 +aS'in\tin\tIN\tB-PP\tO' +p28324 +aS'clinic\tclinic\tNN\tB-NP\tO' +p28325 +aS'on\ton\tIN\tB-PP\tO' +p28326 +aS'one\tone\tCD\tB-NP\tO' +p28327 +aS'month\tmonth\tNN\tI-NP\tO' +p28328 +aS'time\ttime\tNN\tI-NP\tO' +p28329 +aS'and\tand\tCC\tO\tO' +p28330 +aS'the\tthe\tDT\tB-NP\tO' +p28331 +aS'family\tfamily\tNN\tI-NP\tO' +p28332 +aS'is\tbe\tVBZ\tB-VP\tO' +p28333 +aS'to\tto\tTO\tB-VP\tO' +p28334 +aS'call\tcall\tVB\tI-VP\tO' +p28335 +aS'me\tme\tPRP\tB-NP\tO' +p28336 +aS'if\tif\tIN\tB-SBAR\tO' +p28337 +aS'there\tthere\tEX\tB-NP\tO' +p28338 +aS'were\tbe\tVBD\tB-VP\tO' +p28339 +aS'any\tany\tDT\tB-NP\tO' +p28340 +aS'questions\tquestion\tNNS\tI-NP\tO' +p28341 +aS'in\tin\tIN\tB-PP\tO' +p28342 +aS'the\tthe\tDT\tB-NP\tO' +p28343 +aS'interim\tinterim\tNN\tI-NP\tO' +p28344 +aS'.\t.\t.\tO\tO' +p28345 +asS'On admission he had no upper respiratory tract symptoms , recent infections , chest pain , shortness of breath , nausea or vomiting , change in bowel habits or abdomen pain .' +p28346 +(lp28347 +S'On\tOn\tIN\tB-PP\tO' +p28348 +aS'admission\tadmission\tNN\tB-NP\tO' +p28349 +aS'he\the\tPRP\tB-NP\tO' +p28350 +aS'had\thave\tVBD\tB-VP\tO' +p28351 +aS'no\tno\tDT\tB-NP\tO' +p28352 +aS'upper\tupper\tJJ\tI-NP\tO' +p28353 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p28354 +aS'tract\ttract\tNN\tI-NP\tO' +p28355 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p28356 +aS',\t,\t,\tO\tO' +p28357 +aS'recent\trecent\tJJ\tB-NP\tO' +p28358 +aS'infections\tinfection\tNNS\tI-NP\tO' +p28359 +aS',\t,\t,\tO\tO' +p28360 +aS'chest\tchest\tNN\tB-NP\tO' +p28361 +aS'pain\tpain\tNN\tI-NP\tO' +p28362 +aS',\t,\t,\tO\tO' +p28363 +aS'shortness\tshortness\tNN\tB-NP\tO' +p28364 +aS'of\tof\tIN\tB-PP\tO' +p28365 +aS'breath\tbreath\tNN\tB-NP\tO' +p28366 +aS',\t,\t,\tI-NP\tO' +p28367 +aS'nausea\tnausea\tNN\tI-NP\tO' +p28368 +aS'or\tor\tCC\tI-NP\tO' +p28369 +aS'vomiting\tvomiting\tNN\tI-NP\tO' +p28370 +aS',\t,\t,\tO\tO' +p28371 +aS'change\tchange\tNN\tB-NP\tO' +p28372 +aS'in\tin\tIN\tB-PP\tO' +p28373 +aS'bowel\tbowel\tNN\tB-NP\tO' +p28374 +aS'habits\thabit\tNNS\tI-NP\tO' +p28375 +aS'or\tor\tCC\tO\tO' +p28376 +aS'abdomen\tabdomen\tNN\tB-NP\tO' +p28377 +aS'pain\tpain\tNN\tI-NP\tO' +p28378 +aS'.\t.\t.\tO\tO' +p28379 +asS'Bloody drainage from his increasingly distended abdomen was noted .' +p28380 +(lp28381 +S'Bloody\tBloody\tJJ\tB-NP\tO' +p28382 +aS'drainage\tdrainage\tNN\tI-NP\tO' +p28383 +aS'from\tfrom\tIN\tB-PP\tO' +p28384 +aS'his\this\tPRP$\tB-NP\tB-DNA' +p28385 +aS'increasingly\tincreasingly\tRB\tI-NP\tO' +p28386 +aS'distended\tdistended\tJJ\tI-NP\tO' +p28387 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p28388 +aS'was\tbe\tVBD\tB-VP\tO' +p28389 +aS'noted\tnote\tVBN\tI-VP\tO' +p28390 +aS'.\t.\t.\tO\tO' +p28391 +asS'She has been seen by Dr. Tokbelb , her primary care physician in Itgreenredan Hospital , and also Dr. Kotefyfechird , her cardiologist , and also an endocrinologist at Retelk County Medical Center .' +p28392 +(lp28393 +S'She\tShe\tPRP\tB-NP\tO' +p28394 +aS'has\thave\tVBZ\tB-VP\tO' +p28395 +aS'been\tbe\tVBN\tI-VP\tO' +p28396 +aS'seen\tsee\tVBN\tI-VP\tO' +p28397 +aS'by\tby\tIN\tB-PP\tO' +p28398 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p28399 +aS'Tokbelb\tTokbelb\tNNP\tI-NP\tO' +p28400 +aS',\t,\t,\tO\tO' +p28401 +aS'her\ther\tPRP$\tB-NP\tO' +p28402 +aS'primary\tprimary\tJJ\tI-NP\tO' +p28403 +aS'care\tcare\tNN\tI-NP\tO' +p28404 +aS'physician\tphysician\tNN\tI-NP\tO' +p28405 +aS'in\tin\tIN\tB-PP\tO' +p28406 +aS'Itgreenredan\tItgreenredan\tNNP\tB-NP\tO' +p28407 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p28408 +aS',\t,\t,\tO\tO' +p28409 +aS'and\tand\tCC\tO\tO' +p28410 +aS'also\talso\tRB\tB-ADVP\tO' +p28411 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p28412 +aS'Kotefyfechird\tKotefyfechird\tNNP\tI-NP\tO' +p28413 +aS',\t,\t,\tO\tO' +p28414 +aS'her\ther\tPRP$\tB-NP\tO' +p28415 +aS'cardiologist\tcardiologist\tNN\tI-NP\tO' +p28416 +aS',\t,\t,\tO\tO' +p28417 +aS'and\tand\tCC\tO\tO' +p28418 +aS'also\talso\tRB\tB-ADVP\tO' +p28419 +aS'an\tan\tDT\tB-NP\tO' +p28420 +aS'endocrinologist\tendocrinologist\tNN\tI-NP\tO' +p28421 +aS'at\tat\tIN\tB-PP\tO' +p28422 +aS'Retelk\tRetelk\tNNP\tB-NP\tO' +p28423 +aS'County\tCounty\tNNP\tI-NP\tO' +p28424 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p28425 +aS'Center\tCenter\tNNP\tI-NP\tO' +p28426 +aS'.\t.\t.\tO\tO' +p28427 +asS'The patient finally died .' +p28428 +(lp28429 +S'The\tThe\tDT\tB-NP\tO' +p28430 +aS'patient\tpatient\tNN\tI-NP\tO' +p28431 +aS'finally\tfinally\tRB\tB-ADVP\tO' +p28432 +aS'died\tdie\tVBD\tB-VP\tO' +p28433 +aS'.\t.\t.\tO\tO' +p28434 +asS'Disp :* 8 Capsule (s)* Refills :* 0 *' +p28435 +(lp28436 +S'Disp\tDisp\tNN\tB-NP\tO' +p28437 +aS':*\t:*\tSYM\tI-NP\tO' +p28438 +aS'8\t8\tCD\tI-NP\tO' +p28439 +aS'Capsule\tCapsule\tNN\tI-NP\tO' +p28440 +aS'(s)*\t(s)*\tSYM\tB-NP\tO' +p28441 +aS'Refills\tRefill\tNNPS\tI-NP\tO' +p28442 +aS':*\t:*\tSYM\tI-NP\tO' +p28443 +aS'0\t0\tCD\tI-NP\tO' +p28444 +aS'*\t*\tSYM\tB-NP\tO' +p28445 +asS'2. In addition , as stated above , Dr.Hastings office from Cardiothoracic Surgery will be in contact with Ms. Williams to arrange followup for her ascending aortic aneurysm in approximately one month .' +p28446 +(lp28447 +S'2.\t2.\tLS\tB-LST\tO' +p28448 +aS'In\tIn\tIN\tB-PP\tO' +p28449 +aS'addition\taddition\tNN\tB-NP\tO' +p28450 +aS',\t,\t,\tO\tO' +p28451 +aS'as\tas\tIN\tB-SBAR\tO' +p28452 +aS'stated\tstate\tVBN\tB-VP\tO' +p28453 +aS'above\tabove\tRB\tB-ADVP\tO' +p28454 +aS',\t,\t,\tO\tO' +p28455 +aS'Dr.Hastings\tDr.Hastings\tNNP\tB-NP\tO' +p28456 +aS'office\toffice\tNN\tI-NP\tO' +p28457 +aS'from\tfrom\tIN\tB-PP\tO' +p28458 +aS'Cardiothoracic\tCardiothoracic\tNNP\tB-NP\tO' +p28459 +aS'Surgery\tSurgery\tNNP\tI-NP\tO' +p28460 +aS'will\twill\tMD\tB-VP\tO' +p28461 +aS'be\tbe\tVB\tI-VP\tO' +p28462 +aS'in\tin\tIN\tB-PP\tO' +p28463 +aS'contact\tcontact\tNN\tB-NP\tO' +p28464 +aS'with\twith\tIN\tB-PP\tO' +p28465 +aS'Ms.\tMs.\tNNP\tB-NP\tO' +p28466 +aS'Williams\tWilliams\tNNP\tI-NP\tO' +p28467 +aS'to\tto\tTO\tB-VP\tO' +p28468 +aS'arrange\tarrange\tVB\tI-VP\tO' +p28469 +aS'followup\tfollowup\tNN\tB-NP\tO' +p28470 +aS'for\tfor\tIN\tB-PP\tO' +p28471 +aS'her\ther\tPRP$\tB-NP\tO' +p28472 +aS'ascending\tascend\tVBG\tI-NP\tO' +p28473 +aS'aortic\taortic\tJJ\tI-NP\tO' +p28474 +aS'aneurysm\taneurysm\tNN\tI-NP\tO' +p28475 +aS'in\tin\tIN\tB-PP\tO' +p28476 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p28477 +aS'one\tone\tCD\tI-NP\tO' +p28478 +aS'month\tmonth\tNN\tI-NP\tO' +p28479 +aS'.\t.\t.\tO\tO' +p28480 +asS'The patient lives with his wife and is a retired sardine packer .' +p28481 +(lp28482 +S'The\tThe\tDT\tB-NP\tO' +p28483 +aS'patient\tpatient\tNN\tI-NP\tO' +p28484 +aS'lives\tlive\tVBZ\tB-VP\tO' +p28485 +aS'with\twith\tIN\tB-PP\tO' +p28486 +aS'his\this\tPRP$\tB-NP\tO' +p28487 +aS'wife\twife\tNN\tI-NP\tO' +p28488 +aS'and\tand\tCC\tO\tO' +p28489 +aS'is\tbe\tVBZ\tB-VP\tO' +p28490 +aS'a\ta\tDT\tB-NP\tO' +p28491 +aS'retired\tretired\tJJ\tI-NP\tO' +p28492 +aS'sardine\tsardine\tNN\tI-NP\tO' +p28493 +aS'packer\tpacker\tNN\tI-NP\tO' +p28494 +aS'.\t.\t.\tO\tO' +p28495 +asS'2. dilation and curettage in 1992 for polyps ,' +p28496 +(lp28497 +S'2.\t2.\tLS\tB-NP\tO' +p28498 +aS'dilation\tdilation\tNN\tI-NP\tO' +p28499 +aS'and\tand\tCC\tI-NP\tO' +p28500 +aS'curettage\tcurettage\tNN\tI-NP\tO' +p28501 +aS'in\tin\tIN\tB-PP\tO' +p28502 +aS'1992\t1992\tCD\tB-NP\tO' +p28503 +aS'for\tfor\tIN\tB-PP\tO' +p28504 +aS'polyps\tpolyp\tNNS\tB-NP\tO' +p28505 +aS',\t,\t,\tO\tO' +p28506 +asS'5) Ischemic bowel status post SMA Percutaneous Transluminal Coronary Angioplasty .' +p28507 +(lp28508 +S'5)\t5)\tLS\tB-NP\tO' +p28509 +aS'Ischemic\tIschemic\tJJ\tI-NP\tO' +p28510 +aS'bowel\tbowel\tNN\tI-NP\tO' +p28511 +aS'status\tstatus\tNN\tI-NP\tO' +p28512 +aS'post\tpost\tIN\tB-PP\tO' +p28513 +aS'SMA\tSMA\tNNP\tB-NP\tO' +p28514 +aS'Percutaneous\tPercutaneous\tNNP\tI-NP\tO' +p28515 +aS'Transluminal\tTransluminal\tNNP\tI-NP\tO' +p28516 +aS'Coronary\tCoronary\tNNP\tI-NP\tO' +p28517 +aS'Angioplasty\tAngioplasty\tNNP\tI-NP\tO' +p28518 +aS'.\t.\t.\tO\tO' +p28519 +asS'Influenza A - DFA confirmed , the viral cultures were pending at the time of discharge .' +p28520 +(lp28521 +S'Influenza\tInfluenza\tNN\tB-NP\tB-protein' +p28522 +aS'A\tA\tNN\tI-NP\tI-protein' +p28523 +aS'-\t-\tHYPH\tI-NP\tO' +p28524 +aS'DFA\tDFA\tNN\tI-NP\tO' +p28525 +aS'confirmed\tconfirm\tVBN\tB-VP\tO' +p28526 +aS',\t,\t,\tO\tO' +p28527 +aS'the\tthe\tDT\tB-NP\tO' +p28528 +aS'viral\tviral\tJJ\tI-NP\tB-cell_line' +p28529 +aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' +p28530 +aS'were\tbe\tVBD\tB-VP\tO' +p28531 +aS'pending\tpende\tVBG\tI-VP\tO' +p28532 +aS'at\tat\tIN\tB-PP\tO' +p28533 +aS'the\tthe\tDT\tB-NP\tO' +p28534 +aS'time\ttime\tNN\tI-NP\tO' +p28535 +aS'of\tof\tIN\tB-PP\tO' +p28536 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p28537 +aS'.\t.\t.\tO\tO' +p28538 +asS'On postoperative day number four , the patient was noted to have a low platelet level of 43,000 .' +p28539 +(lp28540 +S'On\tOn\tIN\tB-PP\tO' +p28541 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p28542 +aS'day\tday\tNN\tI-NP\tO' +p28543 +aS'number\tnumber\tNN\tI-NP\tO' +p28544 +aS'four\tfour\tCD\tB-NP\tO' +p28545 +aS',\t,\t,\tO\tO' +p28546 +aS'the\tthe\tDT\tB-NP\tO' +p28547 +aS'patient\tpatient\tNN\tI-NP\tO' +p28548 +aS'was\tbe\tVBD\tB-VP\tO' +p28549 +aS'noted\tnote\tVBN\tI-VP\tO' +p28550 +aS'to\tto\tTO\tI-VP\tO' +p28551 +aS'have\thave\tVB\tI-VP\tO' +p28552 +aS'a\ta\tDT\tB-NP\tO' +p28553 +aS'low\tlow\tJJ\tI-NP\tO' +p28554 +aS'platelet\tplatelet\tNN\tI-NP\tO' +p28555 +aS'level\tlevel\tNN\tI-NP\tO' +p28556 +aS'of\tof\tIN\tB-PP\tO' +p28557 +aS'43,000\t43,000\tCD\tB-NP\tO' +p28558 +aS'.\t.\t.\tO\tO' +p28559 +asS'The pupils are equal , round , and reactive to light and accommodation .' +p28560 +(lp28561 +S'The\tThe\tDT\tB-NP\tO' +p28562 +aS'pupils\tpupil\tNNS\tI-NP\tO' +p28563 +aS'are\tbe\tVBP\tB-VP\tO' +p28564 +aS'equal\tequal\tJJ\tB-ADJP\tO' +p28565 +aS',\t,\t,\tO\tO' +p28566 +aS'round\tround\tJJ\tB-ADJP\tO' +p28567 +aS',\t,\t,\tO\tO' +p28568 +aS'and\tand\tCC\tO\tO' +p28569 +aS'reactive\treactive\tJJ\tB-ADJP\tO' +p28570 +aS'to\tto\tTO\tB-PP\tO' +p28571 +aS'light\tlight\tNN\tB-NP\tO' +p28572 +aS'and\tand\tCC\tI-NP\tO' +p28573 +aS'accommodation\taccommodation\tNN\tI-NP\tO' +p28574 +aS'.\t.\t.\tO\tO' +p28575 +asS'An angiogram on HD#4 showed severe tibial disease and moderate SFA disease , no DP artery was seen .' +p28576 +(lp28577 +S'An\tAn\tDT\tB-NP\tO' +p28578 +aS'angiogram\tangiogram\tNN\tI-NP\tO' +p28579 +aS'on\ton\tIN\tB-PP\tO' +p28580 +aS'HD#4\tHD#4\tNN\tB-NP\tB-protein' +p28581 +aS'showed\tshow\tVBD\tB-VP\tO' +p28582 +aS'severe\tsevere\tJJ\tB-NP\tO' +p28583 +aS'tibial\ttibial\tJJ\tI-NP\tO' +p28584 +aS'disease\tdisease\tNN\tI-NP\tO' +p28585 +aS'and\tand\tCC\tO\tO' +p28586 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p28587 +aS'SFA\tSFA\tNN\tI-NP\tO' +p28588 +aS'disease\tdisease\tNN\tI-NP\tO' +p28589 +aS',\t,\t,\tO\tO' +p28590 +aS'no\tno\tDT\tB-NP\tO' +p28591 +aS'DP\tDP\tNN\tI-NP\tO' +p28592 +aS'artery\tartery\tNN\tI-NP\tO' +p28593 +aS'was\tbe\tVBD\tB-VP\tO' +p28594 +aS'seen\tsee\tVBN\tI-VP\tO' +p28595 +aS'.\t.\t.\tO\tO' +p28596 +asS'She had a cough productive of white sputum and felt warm , although she did not record her temperature .' +p28597 +(lp28598 +S'She\tShe\tPRP\tB-NP\tO' +p28599 +aS'had\thave\tVBD\tB-VP\tO' +p28600 +aS'a\ta\tDT\tB-NP\tO' +p28601 +aS'cough\tcough\tNN\tI-NP\tO' +p28602 +aS'productive\tproductive\tJJ\tB-ADJP\tO' +p28603 +aS'of\tof\tIN\tB-PP\tO' +p28604 +aS'white\twhite\tJJ\tB-NP\tO' +p28605 +aS'sputum\tsputum\tNN\tI-NP\tO' +p28606 +aS'and\tand\tCC\tO\tO' +p28607 +aS'felt\tfeel\tVBD\tB-VP\tO' +p28608 +aS'warm\twarm\tJJ\tB-ADJP\tO' +p28609 +aS',\t,\t,\tO\tO' +p28610 +aS'although\talthough\tIN\tB-SBAR\tO' +p28611 +aS'she\tshe\tPRP\tB-NP\tO' +p28612 +aS'did\tdo\tVBD\tB-VP\tO' +p28613 +aS'not\tnot\tRB\tI-VP\tO' +p28614 +aS'record\trecord\tVB\tI-VP\tO' +p28615 +aS'her\ther\tPRP$\tB-NP\tO' +p28616 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p28617 +aS'.\t.\t.\tO\tO' +p28618 +asS'It initially started one day previously but has gotten significantly worse over last 12 hours .' +p28619 +(lp28620 +S'It\tIt\tPRP\tB-NP\tO' +p28621 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p28622 +aS'started\tstart\tVBD\tB-VP\tO' +p28623 +aS'one\tone\tCD\tB-NP\tO' +p28624 +aS'day\tday\tNN\tI-NP\tO' +p28625 +aS'previously\tpreviously\tRB\tB-ADVP\tO' +p28626 +aS'but\tbut\tCC\tO\tO' +p28627 +aS'has\thave\tVBZ\tB-VP\tO' +p28628 +aS'gotten\tget\tVBN\tI-VP\tO' +p28629 +aS'significantly\tsignificantly\tRB\tB-ADJP\tO' +p28630 +aS'worse\tworse\tJJR\tI-ADJP\tO' +p28631 +aS'over\tover\tIN\tB-PP\tO' +p28632 +aS'last\tlast\tJJ\tB-NP\tO' +p28633 +aS'12\t12\tCD\tI-NP\tO' +p28634 +aS'hours\thour\tNNS\tI-NP\tO' +p28635 +aS'.\t.\t.\tO\tO' +p28636 +asS'She was quickly placed on a diet and advanced to regular diet .' +p28637 +(lp28638 +S'She\tShe\tPRP\tB-NP\tO' +p28639 +aS'was\tbe\tVBD\tB-VP\tO' +p28640 +aS'quickly\tquickly\tRB\tI-VP\tO' +p28641 +aS'placed\tplace\tVBN\tI-VP\tO' +p28642 +aS'on\ton\tIN\tB-PP\tO' +p28643 +aS'a\ta\tDT\tB-NP\tO' +p28644 +aS'diet\tdiet\tNN\tI-NP\tO' +p28645 +aS'and\tand\tCC\tO\tO' +p28646 +aS'advanced\tadvance\tVBN\tB-VP\tO' +p28647 +aS'to\tto\tTO\tB-PP\tO' +p28648 +aS'regular\tregular\tJJ\tB-NP\tO' +p28649 +aS'diet\tdiet\tNN\tI-NP\tO' +p28650 +aS'.\t.\t.\tO\tO' +p28651 +asS'His hospital course began on 2014-02-13 when he underwent a right carotid endarterectomy for 95% stenosis of the carotid artery .' +p28652 +(lp28653 +S'His\tHis\tPRP$\tB-NP\tO' +p28654 +aS'hospital\thospital\tNN\tI-NP\tO' +p28655 +aS'course\tcourse\tNN\tI-NP\tO' +p28656 +aS'began\tbegin\tVBD\tB-VP\tO' +p28657 +aS'on\ton\tIN\tB-PP\tO' +p28658 +aS'2014-02-13\t2014-02-13\tCD\tB-NP\tO' +p28659 +aS'when\twhen\tWRB\tB-ADVP\tO' +p28660 +aS'he\the\tPRP\tB-NP\tO' +p28661 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p28662 +aS'a\ta\tDT\tB-NP\tO' +p28663 +aS'right\tright\tJJ\tI-NP\tO' +p28664 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p28665 +aS'endarterectomy\tendarterectomy\tNN\tI-NP\tO' +p28666 +aS'for\tfor\tIN\tB-PP\tO' +p28667 +aS'95%\t95%\tCD\tB-NP\tO' +p28668 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p28669 +aS'of\tof\tIN\tB-PP\tO' +p28670 +aS'the\tthe\tDT\tB-NP\tO' +p28671 +aS'carotid\tcarotid\tJJ\tI-NP\tO' +p28672 +aS'artery\tartery\tNN\tI-NP\tO' +p28673 +aS'.\t.\t.\tO\tO' +p28674 +asS'She was started on Singulair 10 mg p.o. q.d.' +p28675 +(lp28676 +S'She\tShe\tPRP\tB-NP\tO' +p28677 +aS'was\tbe\tVBD\tB-VP\tO' +p28678 +aS'started\tstart\tVBN\tI-VP\tO' +p28679 +aS'on\ton\tIN\tB-PP\tO' +p28680 +aS'Singulair\tSingulair\tNN\tB-NP\tO' +p28681 +aS'10\t10\tCD\tI-NP\tO' +p28682 +aS'mg\tmg\tNN\tI-NP\tO' +p28683 +aS'p.o.\tp.o.\tFW\tB-ADVP\tO' +p28684 +aS'q.d.\tq.d.\tFW\tI-ADVP\tO' +p28685 +asS'Pt is medically cleared for procedure , likely has some mile rate related ischemia .' +p28686 +(lp28687 +S'Pt\tPt\tNN\tB-NP\tO' +p28688 +aS'is\tbe\tVBZ\tB-VP\tO' +p28689 +aS'medically\tmedically\tRB\tI-VP\tO' +p28690 +aS'cleared\tclear\tVBN\tI-VP\tO' +p28691 +aS'for\tfor\tIN\tB-PP\tO' +p28692 +aS'procedure\tprocedure\tNN\tB-NP\tO' +p28693 +aS',\t,\t,\tO\tO' +p28694 +aS'likely\tlikely\tRB\tB-ADVP\tO' +p28695 +aS'has\thave\tVBZ\tB-VP\tO' +p28696 +aS'some\tsome\tDT\tB-NP\tO' +p28697 +aS'mile\tmile\tJJ\tI-NP\tO' +p28698 +aS'rate\trate\tNN\tI-NP\tO' +p28699 +aS'related\trelated\tJJ\tI-NP\tO' +p28700 +aS'ischemia\tischemia\tNN\tI-NP\tO' +p28701 +aS'.\t.\t.\tO\tO' +p28702 +asS'The patient is intubated and sedated , but easily arousable .' +p28703 +(lp28704 +S'The\tThe\tDT\tB-NP\tO' +p28705 +aS'patient\tpatient\tNN\tI-NP\tO' +p28706 +aS'is\tbe\tVBZ\tB-VP\tO' +p28707 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p28708 +aS'and\tand\tCC\tI-VP\tO' +p28709 +aS'sedated\tsedate\tVBN\tI-VP\tO' +p28710 +aS',\t,\t,\tO\tO' +p28711 +aS'but\tbut\tCC\tO\tO' +p28712 +aS'easily\teasily\tRB\tB-ADJP\tO' +p28713 +aS'arousable\tarousable\tJJ\tI-ADJP\tO' +p28714 +aS'.\t.\t.\tO\tO' +p28715 +asS'Anemia , with a baseline hematocrit of 31.0 , with a TIBC that was low and a high ferritin .' +p28716 +(lp28717 +S'Anemia\tAnemia\tNNP\tB-NP\tO' +p28718 +aS',\t,\t,\tO\tO' +p28719 +aS'with\twith\tIN\tB-PP\tO' +p28720 +aS'a\ta\tDT\tB-NP\tO' +p28721 +aS'baseline\tbaseline\tNN\tI-NP\tO' +p28722 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p28723 +aS'of\tof\tIN\tB-PP\tO' +p28724 +aS'31.0\t31.0\tCD\tB-NP\tO' +p28725 +aS',\t,\t,\tO\tO' +p28726 +aS'with\twith\tIN\tB-PP\tO' +p28727 +aS'a\ta\tDT\tB-NP\tO' +p28728 +aS'TIBC\tTIBC\tNN\tI-NP\tB-DNA' +p28729 +aS'that\tthat\tWDT\tB-NP\tO' +p28730 +aS'was\tbe\tVBD\tB-VP\tO' +p28731 +aS'low\tlow\tJJ\tB-ADJP\tO' +p28732 +aS'and\tand\tCC\tO\tO' +p28733 +aS'a\ta\tDT\tB-NP\tO' +p28734 +aS'high\thigh\tJJ\tI-NP\tO' +p28735 +aS'ferritin\tferritin\tNN\tI-NP\tO' +p28736 +aS'.\t.\t.\tO\tO' +p28737 +asS'Mr. Knueppel Robertson a distal radius fracture prior to arriving to the hospital .' +p28738 +(lp28739 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p28740 +aS'Knueppel\tKnueppel\tNNP\tI-NP\tO' +p28741 +aS'Robertson\tRobertson\tNNP\tI-NP\tO' +p28742 +aS'a\ta\tDT\tB-NP\tO' +p28743 +aS'distal\tdistal\tJJ\tI-NP\tO' +p28744 +aS'radius\tradius\tNN\tI-NP\tO' +p28745 +aS'fracture\tfracture\tNN\tI-NP\tO' +p28746 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p28747 +aS'to\tto\tTO\tB-PP\tO' +p28748 +aS'arriving\tarrive\tVBG\tB-VP\tO' +p28749 +aS'to\tto\tTO\tB-PP\tO' +p28750 +aS'the\tthe\tDT\tB-NP\tO' +p28751 +aS'hospital\thospital\tNN\tI-NP\tO' +p28752 +aS'.\t.\t.\tO\tO' +p28753 +asS'8. Neoral 500 mg po bid .' +p28754 +(lp28755 +S'8.\t8.\tCD\tB-NP\tO' +p28756 +aS'Neoral\tNeoral\tJJ\tI-NP\tO' +p28757 +aS'500\t500\tCD\tI-NP\tO' +p28758 +aS'mg\tmg\tNN\tI-NP\tO' +p28759 +aS'po\tpo\tNN\tI-NP\tO' +p28760 +aS'bid\tbid\tNN\tI-NP\tO' +p28761 +aS'.\t.\t.\tO\tO' +p28762 +asS'The infant is currently on a 120 cc per kg per day of premature Enfamil 20 calorie or breast milk , tolerating feeds well .' +p28763 +(lp28764 +S'The\tThe\tDT\tB-NP\tO' +p28765 +aS'infant\tinfant\tNN\tI-NP\tO' +p28766 +aS'is\tbe\tVBZ\tB-VP\tO' +p28767 +aS'currently\tcurrently\tRB\tB-ADVP\tO' +p28768 +aS'on\ton\tIN\tB-PP\tO' +p28769 +aS'a\ta\tDT\tB-NP\tO' +p28770 +aS'120\t120\tCD\tI-NP\tO' +p28771 +aS'cc\tcc\tNN\tI-NP\tO' +p28772 +aS'per\tper\tIN\tB-PP\tO' +p28773 +aS'kg\tkg\tNN\tB-NP\tO' +p28774 +aS'per\tper\tIN\tB-PP\tO' +p28775 +aS'day\tday\tNN\tB-NP\tO' +p28776 +aS'of\tof\tIN\tB-PP\tO' +p28777 +aS'premature\tpremature\tJJ\tB-NP\tO' +p28778 +aS'Enfamil\tEnfamil\tNN\tI-NP\tO' +p28779 +aS'20\t20\tCD\tI-NP\tO' +p28780 +aS'calorie\tcalorie\tNN\tI-NP\tO' +p28781 +aS'or\tor\tCC\tI-NP\tO' +p28782 +aS'breast\tbreast\tNN\tI-NP\tO' +p28783 +aS'milk\tmilk\tNN\tI-NP\tO' +p28784 +aS',\t,\t,\tO\tO' +p28785 +aS'tolerating\ttolerate\tVBG\tB-VP\tO' +p28786 +aS'feeds\tfeed\tNNS\tB-NP\tO' +p28787 +aS'well\twell\tRB\tB-ADVP\tO' +p28788 +aS'.\t.\t.\tO\tO' +p28789 +asS'Her sputum grew out Pseudomonas aeruginosa as well .' +p28790 +(lp28791 +S'Her\tHer\tPRP$\tB-NP\tO' +p28792 +aS'sputum\tsputum\tNN\tI-NP\tO' +p28793 +aS'grew\tgrow\tVBD\tB-VP\tO' +p28794 +aS'out\tout\tRP\tB-PRT\tO' +p28795 +aS'Pseudomonas\tPseudomonas\tNNP\tB-NP\tO' +p28796 +aS'aeruginosa\taeruginosa\tNN\tI-NP\tO' +p28797 +aS'as\tas\tRB\tB-ADVP\tO' +p28798 +aS'well\twell\tRB\tI-ADVP\tO' +p28799 +aS'.\t.\t.\tO\tO' +p28800 +asS'Unfortunately throughout her admission , we were unable to test any more titers since she was receiving daily plasma exchange .' +p28801 +(lp28802 +S'Unfortunately\tUnfortunately\tRB\tB-ADVP\tO' +p28803 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p28804 +aS'her\ther\tPRP$\tB-NP\tO' +p28805 +aS'admission\tadmission\tNN\tI-NP\tO' +p28806 +aS',\t,\t,\tO\tO' +p28807 +aS'we\twe\tPRP\tB-NP\tO' +p28808 +aS'were\tbe\tVBD\tB-VP\tO' +p28809 +aS'unable\tunable\tJJ\tB-ADJP\tO' +p28810 +aS'to\tto\tTO\tB-VP\tO' +p28811 +aS'test\ttest\tVB\tI-VP\tO' +p28812 +aS'any\tany\tDT\tB-NP\tO' +p28813 +aS'more\tmore\tJJR\tI-NP\tO' +p28814 +aS'titers\ttiter\tNNS\tI-NP\tO' +p28815 +aS'since\tsince\tIN\tB-SBAR\tO' +p28816 +aS'she\tshe\tPRP\tB-NP\tO' +p28817 +aS'was\tbe\tVBD\tB-VP\tO' +p28818 +aS'receiving\treceive\tVBG\tI-VP\tO' +p28819 +aS'daily\tdaily\tJJ\tB-NP\tO' +p28820 +aS'plasma\tplasma\tNN\tI-NP\tO' +p28821 +aS'exchange\texchange\tNN\tI-NP\tO' +p28822 +aS'.\t.\t.\tO\tO' +p28823 +asS'Hematocrit was 24.8 , with a baseline of 46 .' +p28824 +(lp28825 +S'Hematocrit\tHematocrit\tNN\tB-NP\tB-protein' +p28826 +aS'was\tbe\tVBD\tB-VP\tI-protein' +p28827 +aS'24.8\t24.8\tCD\tB-NP\tI-protein' +p28828 +aS',\t,\t,\tO\tO' +p28829 +aS'with\twith\tIN\tB-PP\tO' +p28830 +aS'a\ta\tDT\tB-NP\tO' +p28831 +aS'baseline\tbaseline\tNN\tI-NP\tO' +p28832 +aS'of\tof\tIN\tB-PP\tO' +p28833 +aS'46\t46\tCD\tB-NP\tO' +p28834 +aS'.\t.\t.\tO\tO' +p28835 +asS'He had no fecal leukocytes .' +p28836 +(lp28837 +S'He\tHe\tPRP\tB-NP\tO' +p28838 +aS'had\thave\tVBD\tB-VP\tO' +p28839 +aS'no\tno\tDT\tB-NP\tO' +p28840 +aS'fecal\tfecal\tJJ\tI-NP\tB-cell_type' +p28841 +aS'leukocytes\tleukocyte\tNNS\tI-NP\tI-cell_type' +p28842 +aS'.\t.\t.\tO\tO' +p28843 +asS'You must take your aspirin and plavix every day to prevent failure of these stents which could be life threatening .' +p28844 +(lp28845 +S'You\tYou\tPRP\tB-NP\tB-protein' +p28846 +aS'must\tmust\tMD\tB-VP\tO' +p28847 +aS'take\ttake\tVB\tI-VP\tO' +p28848 +aS'your\tyour\tPRP$\tB-NP\tO' +p28849 +aS'aspirin\taspirin\tNN\tI-NP\tO' +p28850 +aS'and\tand\tCC\tI-NP\tO' +p28851 +aS'plavix\tplavix\tNN\tI-NP\tO' +p28852 +aS'every\tevery\tDT\tB-NP\tO' +p28853 +aS'day\tday\tNN\tI-NP\tO' +p28854 +aS'to\tto\tTO\tB-VP\tO' +p28855 +aS'prevent\tprevent\tVB\tI-VP\tO' +p28856 +aS'failure\tfailure\tNN\tB-NP\tO' +p28857 +aS'of\tof\tIN\tB-PP\tO' +p28858 +aS'these\tthese\tDT\tB-NP\tO' +p28859 +aS'stents\tstent\tNNS\tI-NP\tO' +p28860 +aS'which\twhich\tWDT\tB-NP\tO' +p28861 +aS'could\tcould\tMD\tB-VP\tO' +p28862 +aS'be\tbe\tVB\tI-VP\tO' +p28863 +aS'life\tlife\tNN\tB-NP\tO' +p28864 +aS'threatening\tthreatening\tNN\tI-NP\tO' +p28865 +aS'.\t.\t.\tO\tO' +p28866 +asS'On postop day number three her abdomen was noted to be distended with a few bowel sounds and she still had not passed gas .' +p28867 +(lp28868 +S'On\tOn\tIN\tB-PP\tO' +p28869 +aS'postop\tpostop\tJJ\tB-NP\tO' +p28870 +aS'day\tday\tNN\tI-NP\tO' +p28871 +aS'number\tnumber\tNN\tI-NP\tO' +p28872 +aS'three\tthree\tCD\tB-NP\tO' +p28873 +aS'her\ther\tPRP$\tI-NP\tO' +p28874 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p28875 +aS'was\tbe\tVBD\tB-VP\tO' +p28876 +aS'noted\tnote\tVBN\tI-VP\tO' +p28877 +aS'to\tto\tTO\tI-VP\tO' +p28878 +aS'be\tbe\tVB\tI-VP\tO' +p28879 +aS'distended\tdistend\tVBN\tI-VP\tO' +p28880 +aS'with\twith\tIN\tB-PP\tO' +p28881 +aS'a\ta\tDT\tB-NP\tO' +p28882 +aS'few\tfew\tJJ\tI-NP\tO' +p28883 +aS'bowel\tbowel\tNN\tI-NP\tO' +p28884 +aS'sounds\tsound\tNNS\tI-NP\tO' +p28885 +aS'and\tand\tCC\tO\tO' +p28886 +aS'she\tshe\tPRP\tB-NP\tO' +p28887 +aS'still\tstill\tRB\tB-ADVP\tO' +p28888 +aS'had\thave\tVBD\tB-VP\tO' +p28889 +aS'not\tnot\tRB\tI-VP\tO' +p28890 +aS'passed\tpass\tVBN\tI-VP\tO' +p28891 +aS'gas\tgas\tNN\tB-NP\tB-DNA' +p28892 +aS'.\t.\t.\tO\tO' +p28893 +asS'8) CAD - w/ abnl EF , however pt tolerated aggressive fluid resusciation w/o significant hypoxia .' +p28894 +(lp28895 +S'8)\t8)\tLS\tB-NP\tO' +p28896 +aS'CAD\tCAD\tNN\tI-NP\tB-protein' +p28897 +aS'-\t-\tHYPH\tO\tO' +p28898 +aS'w/\tw/\tSYM\tB-NP\tO' +p28899 +aS'abnl\tabnl\tNN\tI-NP\tO' +p28900 +aS'EF\tEF\tNN\tI-NP\tO' +p28901 +aS',\t,\t,\tO\tO' +p28902 +aS'however\thowever\tRB\tB-NP\tO' +p28903 +aS'pt\tpt\tJJ\tI-NP\tO' +p28904 +aS'tolerated\ttolerate\tVBN\tI-NP\tO' +p28905 +aS'aggressive\taggressive\tJJ\tI-NP\tO' +p28906 +aS'fluid\tfluid\tNN\tI-NP\tO' +p28907 +aS'resusciation\tresusciation\tNN\tI-NP\tO' +p28908 +aS'w/o\tw/o\tNN\tI-NP\tO' +p28909 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p28910 +aS'hypoxia\thypoxia\tNN\tI-NP\tO' +p28911 +aS'.\t.\t.\tO\tO' +p28912 +asS'The patient had a normal amylase and lipase , and a normal basic metabolic panel .' +p28913 +(lp28914 +S'The\tThe\tDT\tB-NP\tO' +p28915 +aS'patient\tpatient\tNN\tI-NP\tO' +p28916 +aS'had\thave\tVBD\tB-VP\tO' +p28917 +aS'a\ta\tDT\tB-NP\tO' +p28918 +aS'normal\tnormal\tJJ\tI-NP\tO' +p28919 +aS'amylase\tamylase\tNN\tI-NP\tO' +p28920 +aS'and\tand\tCC\tI-NP\tO' +p28921 +aS'lipase\tlipase\tNN\tI-NP\tO' +p28922 +aS',\t,\t,\tO\tO' +p28923 +aS'and\tand\tCC\tO\tO' +p28924 +aS'a\ta\tDT\tB-NP\tO' +p28925 +aS'normal\tnormal\tJJ\tI-NP\tO' +p28926 +aS'basic\tbasic\tJJ\tI-NP\tO' +p28927 +aS'metabolic\tmetabolic\tJJ\tI-NP\tO' +p28928 +aS'panel\tpanel\tNN\tI-NP\tO' +p28929 +aS'.\t.\t.\tO\tO' +p28930 +asS'No regular breast self examination , has not had a mammogram .' +p28931 +(lp28932 +S'No\tNo\tDT\tB-NP\tO' +p28933 +aS'regular\tregular\tJJ\tI-NP\tO' +p28934 +aS'breast\tbreast\tNN\tI-NP\tO' +p28935 +aS'self\tself\tNN\tI-NP\tO' +p28936 +aS'examination\texamination\tNN\tI-NP\tO' +p28937 +aS',\t,\t,\tO\tO' +p28938 +aS'has\thave\tVBZ\tB-VP\tO' +p28939 +aS'not\tnot\tRB\tI-VP\tO' +p28940 +aS'had\thave\tVBN\tI-VP\tO' +p28941 +aS'a\ta\tDT\tB-NP\tO' +p28942 +aS'mammogram\tmammogram\tNN\tI-NP\tO' +p28943 +aS'.\t.\t.\tO\tO' +p28944 +asS'denies fh of bleeding or clotting disorders .' +p28945 +(lp28946 +S'denies\tdeny\tVBZ\tB-VP\tO' +p28947 +aS'fh\tfh\tNN\tB-NP\tO' +p28948 +aS'of\tof\tIN\tB-PP\tO' +p28949 +aS'bleeding\tbleed\tVBG\tB-VP\tO' +p28950 +aS'or\tor\tCC\tI-VP\tO' +p28951 +aS'clotting\tclot\tVBG\tI-VP\tO' +p28952 +aS'disorders\tdisorder\tNNS\tB-NP\tO' +p28953 +aS'.\t.\t.\tO\tO' +p28954 +asS'He was finally sent home for home rehabilitation on 2011-02-23 .' +p28955 +(lp28956 +S'He\tHe\tPRP\tB-NP\tO' +p28957 +aS'was\tbe\tVBD\tB-VP\tO' +p28958 +aS'finally\tfinally\tRB\tI-VP\tO' +p28959 +aS'sent\tsend\tVBN\tI-VP\tO' +p28960 +aS'home\thome\tNN\tB-ADVP\tO' +p28961 +aS'for\tfor\tIN\tB-PP\tO' +p28962 +aS'home\thome\tNN\tB-NP\tO' +p28963 +aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' +p28964 +aS'on\ton\tIN\tB-PP\tO' +p28965 +aS'2011-02-23\t2011-02-23\tCD\tB-NP\tO' +p28966 +aS'.\t.\t.\tO\tO' +p28967 +asS'The importance of quitting smoking as well as continuing to follow his medical regimen was emphasized to the daughter and to the patient .' +p28968 +(lp28969 +S'The\tThe\tDT\tB-NP\tO' +p28970 +aS'importance\timportance\tNN\tI-NP\tO' +p28971 +aS'of\tof\tIN\tB-PP\tO' +p28972 +aS'quitting\tquit\tVBG\tB-VP\tO' +p28973 +aS'smoking\tsmoking\tNN\tB-NP\tO' +p28974 +aS'as\tas\tRB\tB-CONJP\tO' +p28975 +aS'well\twell\tRB\tI-CONJP\tO' +p28976 +aS'as\tas\tIN\tI-CONJP\tO' +p28977 +aS'continuing\tcontinue\tVBG\tB-VP\tO' +p28978 +aS'to\tto\tTO\tI-VP\tO' +p28979 +aS'follow\tfollow\tVB\tI-VP\tO' +p28980 +aS'his\this\tPRP$\tB-NP\tO' +p28981 +aS'medical\tmedical\tJJ\tI-NP\tO' +p28982 +aS'regimen\tregimen\tNN\tI-NP\tO' +p28983 +aS'was\tbe\tVBD\tB-VP\tO' +p28984 +aS'emphasized\temphasize\tVBN\tI-VP\tO' +p28985 +aS'to\tto\tTO\tB-PP\tO' +p28986 +aS'the\tthe\tDT\tB-NP\tO' +p28987 +aS'daughter\tdaughter\tNN\tI-NP\tO' +p28988 +aS'and\tand\tCC\tB-PP\tO' +p28989 +aS'to\tto\tTO\tB-PP\tO' +p28990 +aS'the\tthe\tDT\tB-NP\tO' +p28991 +aS'patient\tpatient\tNN\tI-NP\tO' +p28992 +aS'.\t.\t.\tO\tO' +p28993 +asS'The patient spoke with his cardiologist who referred him for pericardiocentesis for persistent and symptomatic pericardial effusion .' +p28994 +(lp28995 +S'The\tThe\tDT\tB-NP\tO' +p28996 +aS'patient\tpatient\tNN\tI-NP\tO' +p28997 +aS'spoke\tspeak\tVBD\tB-VP\tO' +p28998 +aS'with\twith\tIN\tB-PP\tO' +p28999 +aS'his\this\tPRP$\tB-NP\tO' +p29000 +aS'cardiologist\tcardiologist\tNN\tI-NP\tO' +p29001 +aS'who\twho\tWP\tB-NP\tO' +p29002 +aS'referred\trefer\tVBD\tB-VP\tO' +p29003 +aS'him\thim\tPRP\tB-NP\tO' +p29004 +aS'for\tfor\tIN\tB-PP\tO' +p29005 +aS'pericardiocentesis\tpericardiocentesis\tNN\tB-NP\tO' +p29006 +aS'for\tfor\tIN\tB-PP\tO' +p29007 +aS'persistent\tpersistent\tJJ\tB-NP\tO' +p29008 +aS'and\tand\tCC\tI-NP\tO' +p29009 +aS'symptomatic\tsymptomatic\tJJ\tI-NP\tO' +p29010 +aS'pericardial\tpericardial\tJJ\tI-NP\tO' +p29011 +aS'effusion\teffusion\tNN\tI-NP\tO' +p29012 +aS'.\t.\t.\tO\tO' +p29013 +asS'Proventil inhaler via nebulizers 0.5 milligrams with Atrovent .' +p29014 +(lp29015 +S'Proventil\tProventil\tIN\tB-PP\tO' +p29016 +aS'inhaler\tinhaler\tNN\tB-NP\tO' +p29017 +aS'via\tvia\tIN\tB-PP\tO' +p29018 +aS'nebulizers\tnebulizer\tNNS\tB-NP\tO' +p29019 +aS'0.5\t0.5\tCD\tB-NP\tO' +p29020 +aS'milligrams\tmilligram\tNNS\tI-NP\tO' +p29021 +aS'with\twith\tIN\tB-PP\tO' +p29022 +aS'Atrovent\tAtrovent\tNNP\tB-NP\tO' +p29023 +aS'.\t.\t.\tO\tO' +p29024 +asS'She is ready to be sent home with antibiotics .' +p29025 +(lp29026 +S'She\tShe\tPRP\tB-NP\tO' +p29027 +aS'is\tbe\tVBZ\tB-VP\tO' +p29028 +aS'ready\tready\tJJ\tB-ADJP\tO' +p29029 +aS'to\tto\tTO\tB-VP\tO' +p29030 +aS'be\tbe\tVB\tI-VP\tO' +p29031 +aS'sent\tsend\tVBN\tI-VP\tO' +p29032 +aS'home\thome\tNN\tB-ADVP\tO' +p29033 +aS'with\twith\tIN\tB-PP\tO' +p29034 +aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' +p29035 +aS'.\t.\t.\tO\tO' +p29036 +asS'Discharged to rehab .' +p29037 +(lp29038 +S'Discharged\tDischarge\tVBN\tB-VP\tO' +p29039 +aS'to\tto\tTO\tB-VP\tO' +p29040 +aS'rehab\trehab\tVB\tI-VP\tO' +p29041 +aS'.\t.\t.\tO\tO' +p29042 +asS'2. His non-essential medications that may have been contributing to his change in mental status were discontinued ; those included Temocillin , Nortriptyline , Haldol , Lorazepam , Venlafaxine , Bupropion , and Gabapentin .' +p29043 +(lp29044 +S'2.\t2.\tLS\tB-LST\tO' +p29045 +aS'His\tHis\tPRP$\tB-NP\tO' +p29046 +aS'non-essential\tnon-essential\tJJ\tI-NP\tO' +p29047 +aS'medications\tmedication\tNNS\tI-NP\tO' +p29048 +aS'that\tthat\tWDT\tB-NP\tO' +p29049 +aS'may\tmay\tMD\tB-VP\tO' +p29050 +aS'have\thave\tVB\tI-VP\tO' +p29051 +aS'been\tbe\tVBN\tI-VP\tO' +p29052 +aS'contributing\tcontribute\tVBG\tI-VP\tO' +p29053 +aS'to\tto\tTO\tB-PP\tO' +p29054 +aS'his\this\tPRP$\tB-NP\tO' +p29055 +aS'change\tchange\tNN\tI-NP\tO' +p29056 +aS'in\tin\tIN\tB-PP\tO' +p29057 +aS'mental\tmental\tJJ\tB-NP\tO' +p29058 +aS'status\tstatus\tNN\tI-NP\tO' +p29059 +aS'were\tbe\tVBD\tB-VP\tO' +p29060 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p29061 +aS';\t;\t:\tO\tO' +p29062 +aS'those\tthose\tDT\tB-NP\tO' +p29063 +aS'included\tinclude\tVBN\tB-VP\tO' +p29064 +aS'Temocillin\tTemocillin\tNNP\tB-NP\tO' +p29065 +aS',\t,\t,\tO\tO' +p29066 +aS'Nortriptyline\tNortriptyline\tNNP\tB-NP\tO' +p29067 +aS',\t,\t,\tO\tO' +p29068 +aS'Haldol\tHaldol\tNNP\tB-NP\tO' +p29069 +aS',\t,\t,\tO\tO' +p29070 +aS'Lorazepam\tLorazepam\tNNP\tB-NP\tO' +p29071 +aS',\t,\t,\tO\tO' +p29072 +aS'Venlafaxine\tVenlafaxine\tNNP\tB-NP\tO' +p29073 +aS',\t,\t,\tO\tO' +p29074 +aS'Bupropion\tBupropion\tNNP\tB-NP\tO' +p29075 +aS',\t,\t,\tO\tO' +p29076 +aS'and\tand\tCC\tO\tO' +p29077 +aS'Gabapentin\tGabapentin\tNN\tB-NP\tB-protein' +p29078 +aS'.\t.\t.\tO\tO' +p29079 +asS'He was supported on BIPAP for his respiratory status .' +p29080 +(lp29081 +S'He\tHe\tPRP\tB-NP\tO' +p29082 +aS'was\tbe\tVBD\tB-VP\tO' +p29083 +aS'supported\tsupport\tVBN\tI-VP\tO' +p29084 +aS'on\ton\tIN\tB-PP\tO' +p29085 +aS'BIPAP\tBIPAP\tNN\tB-NP\tB-protein' +p29086 +aS'for\tfor\tIN\tB-PP\tO' +p29087 +aS'his\this\tPRP$\tB-NP\tO' +p29088 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p29089 +aS'status\tstatus\tNN\tI-NP\tO' +p29090 +aS'.\t.\t.\tO\tO' +p29091 +asS'The patient was admitted to Edith Nourse Rogers Memorial VA Hospital and brought to the operating room on 2013-01-04 by Dr. van der Talbot where she received a coronary artery bypass graft times three .' +p29092 +(lp29093 +S'The\tThe\tDT\tB-NP\tO' +p29094 +aS'patient\tpatient\tNN\tI-NP\tO' +p29095 +aS'was\tbe\tVBD\tB-VP\tO' +p29096 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p29097 +aS'to\tto\tTO\tB-PP\tO' +p29098 +aS'Edith\tEdith\tNNP\tB-NP\tO' +p29099 +aS'Nourse\tNourse\tNNP\tI-NP\tO' +p29100 +aS'Rogers\tRogers\tNNP\tI-NP\tO' +p29101 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p29102 +aS'VA\tVA\tNNP\tI-NP\tO' +p29103 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p29104 +aS'and\tand\tCC\tO\tO' +p29105 +aS'brought\tbring\tVBD\tB-VP\tO' +p29106 +aS'to\tto\tTO\tB-PP\tO' +p29107 +aS'the\tthe\tDT\tB-NP\tO' +p29108 +aS'operating\toperating\tNN\tI-NP\tO' +p29109 +aS'room\troom\tNN\tI-NP\tO' +p29110 +aS'on\ton\tIN\tB-PP\tO' +p29111 +aS'2013-01-04\t2013-01-04\tCD\tB-NP\tO' +p29112 +aS'by\tby\tIN\tB-PP\tO' +p29113 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p29114 +aS'van\tvan\tNNP\tI-NP\tO' +p29115 +aS'der\tder\tNNP\tI-NP\tO' +p29116 +aS'Talbot\tTalbot\tNNP\tI-NP\tO' +p29117 +aS'where\twhere\tWRB\tB-ADVP\tO' +p29118 +aS'she\tshe\tPRP\tB-NP\tO' +p29119 +aS'received\treceive\tVBD\tB-VP\tO' +p29120 +aS'a\ta\tDT\tB-NP\tO' +p29121 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p29122 +aS'artery\tartery\tNN\tI-NP\tO' +p29123 +aS'bypass\tbypass\tIN\tB-PP\tO' +p29124 +aS'graft\tgraft\tNN\tB-NP\tO' +p29125 +aS'times\ttime\tNNS\tI-NP\tO' +p29126 +aS'three\tthree\tCD\tI-NP\tO' +p29127 +aS'.\t.\t.\tO\tO' +p29128 +asS'He will follow up with Dr. Iechalette Cancer in his office .' +p29129 +(lp29130 +S'He\tHe\tPRP\tB-NP\tO' +p29131 +aS'will\twill\tMD\tB-VP\tO' +p29132 +aS'follow\tfollow\tVB\tI-VP\tO' +p29133 +aS'up\tup\tRP\tB-PRT\tO' +p29134 +aS'with\twith\tIN\tB-PP\tO' +p29135 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p29136 +aS'Iechalette\tIechalette\tNNP\tI-NP\tO' +p29137 +aS'Cancer\tCancer\tNNP\tI-NP\tO' +p29138 +aS'in\tin\tIN\tB-PP\tO' +p29139 +aS'his\this\tPRP$\tB-NP\tO' +p29140 +aS'office\toffice\tNN\tI-NP\tO' +p29141 +aS'.\t.\t.\tO\tO' +p29142 +asS'He was told to return to the emergency department if he had any chest pain , pressure , difficulty breathing , nausea , light-headiness or dizziness .' +p29143 +(lp29144 +S'He\tHe\tPRP\tB-NP\tO' +p29145 +aS'was\tbe\tVBD\tB-VP\tO' +p29146 +aS'told\ttell\tVBN\tI-VP\tO' +p29147 +aS'to\tto\tTO\tI-VP\tO' +p29148 +aS'return\treturn\tVB\tI-VP\tO' +p29149 +aS'to\tto\tTO\tB-PP\tO' +p29150 +aS'the\tthe\tDT\tB-NP\tO' +p29151 +aS'emergency\temergency\tNN\tI-NP\tO' +p29152 +aS'department\tdepartment\tNN\tI-NP\tO' +p29153 +aS'if\tif\tIN\tB-SBAR\tO' +p29154 +aS'he\the\tPRP\tB-NP\tO' +p29155 +aS'had\thave\tVBD\tB-VP\tO' +p29156 +aS'any\tany\tDT\tB-NP\tO' +p29157 +aS'chest\tch\tJJS\tI-NP\tO' +p29158 +aS'pain\tpain\tNN\tI-NP\tO' +p29159 +aS',\t,\t,\tO\tO' +p29160 +aS'pressure\tpressure\tNN\tB-NP\tO' +p29161 +aS',\t,\t,\tO\tO' +p29162 +aS'difficulty\tdifficulty\tNN\tB-NP\tO' +p29163 +aS'breathing\tbreathing\tNN\tI-NP\tO' +p29164 +aS',\t,\t,\tO\tO' +p29165 +aS'nausea\tnausea\tNN\tB-NP\tO' +p29166 +aS',\t,\t,\tO\tO' +p29167 +aS'light-headiness\tlight-headiness\tNN\tB-NP\tO' +p29168 +aS'or\tor\tCC\tI-NP\tO' +p29169 +aS'dizziness\tdizziness\tNN\tI-NP\tO' +p29170 +aS'.\t.\t.\tO\tO' +p29171 +asS'She was promptly intubated for airway protection and in order to administer charcoal .' +p29172 +(lp29173 +S'She\tShe\tPRP\tB-NP\tO' +p29174 +aS'was\tbe\tVBD\tB-VP\tO' +p29175 +aS'promptly\tpromptly\tRB\tI-VP\tO' +p29176 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p29177 +aS'for\tfor\tIN\tB-PP\tO' +p29178 +aS'airway\tairway\tNN\tB-NP\tO' +p29179 +aS'protection\tprotection\tNN\tI-NP\tO' +p29180 +aS'and\tand\tCC\tO\tO' +p29181 +aS'in\tin\tIN\tB-SBAR\tO' +p29182 +aS'order\torder\tNN\tO\tO' +p29183 +aS'to\tto\tTO\tB-VP\tO' +p29184 +aS'administer\tadminister\tVB\tI-VP\tO' +p29185 +aS'charcoal\tcharcoal\tNN\tB-NP\tO' +p29186 +aS'.\t.\t.\tO\tO' +p29187 +asS'NO FUNGUS ISOLATED .' +p29188 +(lp29189 +S'NO\tNO\tNNP\tB-NP\tO' +p29190 +aS'FUNGUS\tFUNGUS\tNNP\tI-NP\tO' +p29191 +aS'ISOLATED\tISOLATED\tNNP\tI-NP\tO' +p29192 +aS'.\t.\t.\tO\tO' +p29193 +asS'Symptoms lasted about five hours and then gradually resolved except for the change in vision .' +p29194 +(lp29195 +S'Symptoms\tSymptom\tNNS\tB-NP\tO' +p29196 +aS'lasted\tlast\tVBD\tB-VP\tO' +p29197 +aS'about\tabout\tRB\tB-NP\tO' +p29198 +aS'five\tfive\tCD\tI-NP\tO' +p29199 +aS'hours\thour\tNNS\tI-NP\tO' +p29200 +aS'and\tand\tCC\tO\tO' +p29201 +aS'then\tthen\tRB\tB-VP\tO' +p29202 +aS'gradually\tgradually\tRB\tI-VP\tO' +p29203 +aS'resolved\tresolve\tVBN\tI-VP\tO' +p29204 +aS'except\texcept\tIN\tB-PP\tO' +p29205 +aS'for\tfor\tIN\tB-PP\tO' +p29206 +aS'the\tthe\tDT\tB-NP\tO' +p29207 +aS'change\tchange\tNN\tI-NP\tO' +p29208 +aS'in\tin\tIN\tB-PP\tO' +p29209 +aS'vision\tvision\tNN\tB-NP\tO' +p29210 +aS'.\t.\t.\tO\tO' +p29211 +asS'This was also compounded by a language barrier since the patient cannot speak English .' +p29212 +(lp29213 +S'This\tThis\tDT\tB-NP\tO' +p29214 +aS'was\tbe\tVBD\tB-VP\tO' +p29215 +aS'also\talso\tRB\tI-VP\tO' +p29216 +aS'compounded\tcompound\tVBN\tI-VP\tO' +p29217 +aS'by\tby\tIN\tB-PP\tO' +p29218 +aS'a\ta\tDT\tB-NP\tO' +p29219 +aS'language\tlanguage\tNN\tI-NP\tO' +p29220 +aS'barrier\tbarrier\tNN\tI-NP\tO' +p29221 +aS'since\tsince\tIN\tB-PP\tO' +p29222 +aS'the\tthe\tDT\tB-NP\tO' +p29223 +aS'patient\tpatient\tNN\tI-NP\tO' +p29224 +aS'cannot\tcannot\tMD\tB-VP\tO' +p29225 +aS'speak\tspeak\tVB\tI-VP\tO' +p29226 +aS'English\tEnglish\tNNP\tB-NP\tO' +p29227 +aS'.\t.\t.\tO\tO' +p29228 +asS'6. Aspirin 325 mg qd .' +p29229 +(lp29230 +S'6.\t6.\tLS\tB-LST\tO' +p29231 +aS'Aspirin\tAspirin\tNN\tB-NP\tO' +p29232 +aS'325\t325\tCD\tI-NP\tO' +p29233 +aS'mg\tmg\tNN\tI-NP\tO' +p29234 +aS'qd\tqd\tNN\tI-NP\tO' +p29235 +aS'.\t.\t.\tO\tO' +p29236 +asS'Chest x-ray shows question of a pulmonary nodule in the right lower lobe which may be cancer .' +p29237 +(lp29238 +S'Chest\tCh\tJJS\tB-NP\tO' +p29239 +aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' +p29240 +aS'shows\tshow\tVBZ\tB-VP\tO' +p29241 +aS'question\tquestion\tNN\tB-NP\tO' +p29242 +aS'of\tof\tIN\tB-PP\tO' +p29243 +aS'a\ta\tDT\tB-NP\tO' +p29244 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p29245 +aS'nodule\tnodule\tNN\tI-NP\tO' +p29246 +aS'in\tin\tIN\tB-PP\tO' +p29247 +aS'the\tthe\tDT\tB-NP\tO' +p29248 +aS'right\tright\tJJ\tI-NP\tO' +p29249 +aS'lower\tlow\tJJR\tI-NP\tO' +p29250 +aS'lobe\tlobe\tNN\tI-NP\tO' +p29251 +aS'which\twhich\tWDT\tB-NP\tO' +p29252 +aS'may\tmay\tMD\tB-VP\tO' +p29253 +aS'be\tbe\tVB\tI-VP\tO' +p29254 +aS'cancer\tcancer\tNN\tB-NP\tO' +p29255 +aS'.\t.\t.\tO\tO' +p29256 +asS'A needle jejunostomy catheter was placed at the time of her operation to facilitate postoperative nutrition .' +p29257 +(lp29258 +S'A\tA\tDT\tB-NP\tO' +p29259 +aS'needle\tneedle\tNN\tI-NP\tO' +p29260 +aS'jejunostomy\tjejunostomy\tNN\tI-NP\tO' +p29261 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p29262 +aS'was\tbe\tVBD\tB-VP\tO' +p29263 +aS'placed\tplace\tVBN\tI-VP\tO' +p29264 +aS'at\tat\tIN\tB-PP\tO' +p29265 +aS'the\tthe\tDT\tB-NP\tO' +p29266 +aS'time\ttime\tNN\tI-NP\tO' +p29267 +aS'of\tof\tIN\tB-PP\tO' +p29268 +aS'her\ther\tPRP$\tB-NP\tO' +p29269 +aS'operation\toperation\tNN\tI-NP\tO' +p29270 +aS'to\tto\tTO\tB-VP\tO' +p29271 +aS'facilitate\tfacilitate\tVB\tI-VP\tO' +p29272 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p29273 +aS'nutrition\tnutrition\tNN\tI-NP\tO' +p29274 +aS'.\t.\t.\tO\tO' +p29275 +asS'Patient was discharged from the unit on 12/30/09 and was sent to the floor .' +p29276 +(lp29277 +S'Patient\tPatient\tNN\tB-NP\tO' +p29278 +aS'was\tbe\tVBD\tB-VP\tO' +p29279 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p29280 +aS'from\tfrom\tIN\tB-PP\tO' +p29281 +aS'the\tthe\tDT\tB-NP\tO' +p29282 +aS'unit\tunit\tNN\tI-NP\tO' +p29283 +aS'on\ton\tIN\tB-PP\tO' +p29284 +aS'12/30/09\t12/30/09\tCD\tB-NP\tO' +p29285 +aS'and\tand\tCC\tO\tO' +p29286 +aS'was\tbe\tVBD\tB-VP\tO' +p29287 +aS'sent\tsend\tVBN\tI-VP\tO' +p29288 +aS'to\tto\tTO\tB-PP\tO' +p29289 +aS'the\tthe\tDT\tB-NP\tO' +p29290 +aS'floor\tfloor\tNN\tI-NP\tO' +p29291 +aS'.\t.\t.\tO\tO' +p29292 +asS'The patient was admitted on 3-16-93 to Diy Hospital for an E. coli urinary tract infection .' +p29293 +(lp29294 +S'The\tThe\tDT\tB-NP\tO' +p29295 +aS'patient\tpatient\tNN\tI-NP\tO' +p29296 +aS'was\tbe\tVBD\tB-VP\tO' +p29297 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p29298 +aS'on\ton\tIN\tB-PP\tO' +p29299 +aS'3-16-93\t3-16-93\tCD\tB-NP\tO' +p29300 +aS'to\tto\tTO\tB-PP\tO' +p29301 +aS'Diy\tDiy\tNNP\tB-NP\tO' +p29302 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p29303 +aS'for\tfor\tIN\tB-PP\tO' +p29304 +aS'an\tan\tDT\tB-NP\tO' +p29305 +aS'E.\tE.\tFW\tI-NP\tO' +p29306 +aS'coli\tcoli\tFW\tI-NP\tO' +p29307 +aS'urinary\turinary\tJJ\tI-NP\tO' +p29308 +aS'tract\ttract\tNN\tI-NP\tO' +p29309 +aS'infection\tinfection\tNN\tI-NP\tO' +p29310 +aS'.\t.\t.\tO\tO' +p29311 +asS'On day of life one , the infant had a dextrose stick of 34 .' +p29312 +(lp29313 +S'On\tOn\tIN\tB-PP\tO' +p29314 +aS'day\tday\tNN\tB-NP\tO' +p29315 +aS'of\tof\tIN\tB-PP\tO' +p29316 +aS'life\tlife\tNN\tB-NP\tO' +p29317 +aS'one\tone\tCD\tI-NP\tO' +p29318 +aS',\t,\t,\tO\tO' +p29319 +aS'the\tthe\tDT\tB-NP\tO' +p29320 +aS'infant\tinfant\tNN\tI-NP\tO' +p29321 +aS'had\thave\tVBD\tB-VP\tO' +p29322 +aS'a\ta\tDT\tB-NP\tO' +p29323 +aS'dextrose\tdextrose\tNN\tI-NP\tO' +p29324 +aS'stick\tstick\tNN\tI-NP\tO' +p29325 +aS'of\tof\tIN\tB-PP\tO' +p29326 +aS'34\t34\tCD\tB-NP\tO' +p29327 +aS'.\t.\t.\tO\tO' +p29328 +asS'She underwent four treatments of brachytherapy in March through May of 1993 .' +p29329 +(lp29330 +S'She\tShe\tPRP\tB-NP\tO' +p29331 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p29332 +aS'four\tfour\tCD\tB-NP\tO' +p29333 +aS'treatments\ttreatment\tNNS\tI-NP\tO' +p29334 +aS'of\tof\tIN\tB-PP\tO' +p29335 +aS'brachytherapy\tbrachytherapy\tNN\tB-NP\tO' +p29336 +aS'in\tin\tIN\tB-PP\tO' +p29337 +aS'March\tMarch\tNNP\tB-NP\tO' +p29338 +aS'through\tthrough\tIN\tB-PP\tO' +p29339 +aS'May\tMay\tNNP\tB-NP\tO' +p29340 +aS'of\tof\tIN\tB-PP\tO' +p29341 +aS'1993\t1993\tCD\tB-NP\tO' +p29342 +aS'.\t.\t.\tO\tO' +p29343 +asS'She has had no fevers , chills , respiratory symptoms , diarrhea , bright red blood per rectum or melena .' +p29344 +(lp29345 +S'She\tShe\tPRP\tB-NP\tO' +p29346 +aS'has\thave\tVBZ\tB-VP\tO' +p29347 +aS'had\thave\tVBN\tI-VP\tO' +p29348 +aS'no\tno\tDT\tB-NP\tO' +p29349 +aS'fevers\tfever\tNNS\tI-NP\tO' +p29350 +aS',\t,\t,\tO\tO' +p29351 +aS'chills\tchill\tNNS\tB-NP\tO' +p29352 +aS',\t,\t,\tO\tO' +p29353 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p29354 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p29355 +aS',\t,\t,\tO\tO' +p29356 +aS'diarrhea\tdiarrhea\tNN\tB-NP\tO' +p29357 +aS',\t,\t,\tO\tO' +p29358 +aS'bright\tbright\tJJ\tB-NP\tO' +p29359 +aS'red\tred\tJJ\tI-NP\tO' +p29360 +aS'blood\tblood\tNN\tI-NP\tO' +p29361 +aS'per\tper\tIN\tB-PP\tO' +p29362 +aS'rectum\trectum\tNN\tB-NP\tO' +p29363 +aS'or\tor\tCC\tO\tO' +p29364 +aS'melena\tmelena\tNN\tB-NP\tO' +p29365 +aS'.\t.\t.\tO\tO' +p29366 +asS'No transfusion during this admission .' +p29367 +(lp29368 +S'No\tNo\tDT\tB-NP\tO' +p29369 +aS'transfusion\ttransfusion\tNN\tI-NP\tO' +p29370 +aS'during\tduring\tIN\tB-PP\tO' +p29371 +aS'this\tthis\tDT\tB-NP\tO' +p29372 +aS'admission\tadmission\tNN\tI-NP\tO' +p29373 +aS'.\t.\t.\tO\tO' +p29374 +asS'A stress thallium was planned for the day following admission .' +p29375 +(lp29376 +S'A\tA\tDT\tB-NP\tO' +p29377 +aS'stress\tstress\tNN\tI-NP\tO' +p29378 +aS'thallium\tthallium\tNN\tI-NP\tO' +p29379 +aS'was\tbe\tVBD\tB-VP\tO' +p29380 +aS'planned\tplan\tVBN\tI-VP\tO' +p29381 +aS'for\tfor\tIN\tB-PP\tO' +p29382 +aS'the\tthe\tDT\tB-NP\tO' +p29383 +aS'day\tday\tNN\tI-NP\tO' +p29384 +aS'following\tfollow\tVBG\tB-PP\tO' +p29385 +aS'admission\tadmission\tNN\tB-NP\tO' +p29386 +aS'.\t.\t.\tO\tO' +p29387 +asS'COMPARISON : Non-contrast head CT from 2015-10-27 .' +p29388 +(lp29389 +S'COMPARISON\tCOMPARISON\tNN\tB-NP\tO' +p29390 +aS':\t:\t:\tO\tO' +p29391 +aS'Non-contrast\tNon-contrast\tJJ\tB-NP\tO' +p29392 +aS'head\thead\tNN\tI-NP\tO' +p29393 +aS'CT\tCT\tNN\tI-NP\tO' +p29394 +aS'from\tfrom\tIN\tB-PP\tO' +p29395 +aS'2015-10-27\t2015-10-27\tCD\tB-NP\tO' +p29396 +aS'.\t.\t.\tO\tO' +p29397 +asS'There was normal flow within the middle hepatic vein .' +p29398 +(lp29399 +S'There\tThere\tEX\tB-NP\tO' +p29400 +aS'was\tbe\tVBD\tB-VP\tO' +p29401 +aS'normal\tnormal\tJJ\tB-NP\tO' +p29402 +aS'flow\tflow\tNN\tI-NP\tO' +p29403 +aS'within\twithin\tIN\tB-PP\tO' +p29404 +aS'the\tthe\tDT\tB-NP\tO' +p29405 +aS'middle\tmiddle\tJJ\tI-NP\tO' +p29406 +aS'hepatic\thepatic\tJJ\tI-NP\tO' +p29407 +aS'vein\tvein\tNN\tI-NP\tO' +p29408 +aS'.\t.\t.\tO\tO' +p29409 +asS'She had a symmetric smile .' +p29410 +(lp29411 +S'She\tShe\tPRP\tB-NP\tO' +p29412 +aS'had\thave\tVBD\tB-VP\tO' +p29413 +aS'a\ta\tDT\tB-NP\tO' +p29414 +aS'symmetric\tsymmetric\tJJ\tI-NP\tO' +p29415 +aS'smile\tsmile\tNN\tI-NP\tO' +p29416 +aS'.\t.\t.\tO\tO' +p29417 +asS'At the time , patient had bright red blood per rectum as well and patient had cardiac catheterization at the time which showed 95% left anterior descending , which was percutaneous transluminal coronary angioplastied and had intra-aortic balloon pump placement .' +p29418 +(lp29419 +S'At\tAt\tIN\tB-PP\tO' +p29420 +aS'the\tthe\tDT\tB-NP\tO' +p29421 +aS'time\ttime\tNN\tI-NP\tO' +p29422 +aS',\t,\t,\tO\tO' +p29423 +aS'patient\tpatient\tNN\tB-NP\tO' +p29424 +aS'had\thave\tVBD\tB-VP\tO' +p29425 +aS'bright\tbright\tJJ\tB-NP\tO' +p29426 +aS'red\tred\tJJ\tI-NP\tO' +p29427 +aS'blood\tblood\tNN\tI-NP\tO' +p29428 +aS'per\tper\tIN\tB-PP\tO' +p29429 +aS'rectum\trectum\tNN\tB-NP\tO' +p29430 +aS'as\tas\tRB\tB-ADVP\tO' +p29431 +aS'well\twell\tRB\tI-ADVP\tO' +p29432 +aS'and\tand\tCC\tO\tO' +p29433 +aS'patient\tpatient\tNN\tB-NP\tO' +p29434 +aS'had\thave\tVBD\tB-VP\tO' +p29435 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p29436 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p29437 +aS'at\tat\tIN\tB-PP\tO' +p29438 +aS'the\tthe\tDT\tB-NP\tO' +p29439 +aS'time\ttime\tNN\tI-NP\tO' +p29440 +aS'which\twhich\tWDT\tB-NP\tO' +p29441 +aS'showed\tshow\tVBD\tB-VP\tO' +p29442 +aS'95%\t95%\tCD\tB-NP\tO' +p29443 +aS'left\tleft\tJJ\tI-NP\tO' +p29444 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p29445 +aS'descending\tdescending\tNN\tI-NP\tO' +p29446 +aS',\t,\t,\tO\tO' +p29447 +aS'which\twhich\tWDT\tB-NP\tO' +p29448 +aS'was\tbe\tVBD\tB-VP\tO' +p29449 +aS'percutaneous\tpercutaneous\tJJ\tB-NP\tO' +p29450 +aS'transluminal\ttransluminal\tJJ\tI-NP\tO' +p29451 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p29452 +aS'angioplastied\tangioplastie\tVBD\tB-VP\tO' +p29453 +aS'and\tand\tCC\tO\tO' +p29454 +aS'had\thave\tVBD\tB-VP\tO' +p29455 +aS'intra-aortic\tintra-aortic\tJJ\tB-NP\tO' +p29456 +aS'balloon\tballoon\tNN\tI-NP\tO' +p29457 +aS'pump\tpump\tNN\tI-NP\tO' +p29458 +aS'placement\tplacement\tNN\tI-NP\tO' +p29459 +aS'.\t.\t.\tO\tO' +p29460 +asS'3. Hypoplastic left lower extremity and hip repair at the age of five .' +p29461 +(lp29462 +S'3.\t3.\tLS\tB-LST\tO' +p29463 +aS'Hypoplastic\tHypoplastic\tNNP\tB-NP\tO' +p29464 +aS'left\tleave\tVBD\tB-VP\tO' +p29465 +aS'lower\tlow\tJJR\tB-NP\tO' +p29466 +aS'extremity\textremity\tNN\tI-NP\tO' +p29467 +aS'and\tand\tCC\tI-NP\tO' +p29468 +aS'hip\thip\tNN\tI-NP\tO' +p29469 +aS'repair\trepair\tNN\tI-NP\tO' +p29470 +aS'at\tat\tIN\tB-PP\tO' +p29471 +aS'the\tthe\tDT\tB-NP\tO' +p29472 +aS'age\tage\tNN\tI-NP\tO' +p29473 +aS'of\tof\tIN\tB-PP\tO' +p29474 +aS'five\tfive\tCD\tB-NP\tO' +p29475 +aS'.\t.\t.\tO\tO' +p29476 +asS'Gastritis .' +p29477 +(lp29478 +S'Gastritis\tGastritis\tNN\tB-NP\tO' +p29479 +aS'.\t.\t.\tO\tO' +p29480 +asS'On May 12 , 1998 , the patient presented to Pre Health with fever , cough , dyspnea and a chest x-ray revealing a patchy infiltrate in the right lung .' +p29481 +(lp29482 +S'On\tOn\tIN\tB-PP\tO' +p29483 +aS'May\tMay\tNNP\tB-NP\tO' +p29484 +aS'12\t12\tCD\tI-NP\tO' +p29485 +aS',\t,\t,\tI-NP\tO' +p29486 +aS'1998\t1998\tCD\tI-NP\tO' +p29487 +aS',\t,\t,\tO\tO' +p29488 +aS'the\tthe\tDT\tB-NP\tO' +p29489 +aS'patient\tpatient\tNN\tI-NP\tO' +p29490 +aS'presented\tpresent\tVBN\tB-VP\tO' +p29491 +aS'to\tto\tTO\tB-PP\tO' +p29492 +aS'Pre\tPre\tNNP\tB-NP\tO' +p29493 +aS'Health\tHealth\tNNP\tI-NP\tO' +p29494 +aS'with\twith\tIN\tB-PP\tO' +p29495 +aS'fever\tfever\tNN\tB-NP\tO' +p29496 +aS',\t,\t,\tO\tO' +p29497 +aS'cough\tcough\tNN\tB-NP\tO' +p29498 +aS',\t,\t,\tO\tO' +p29499 +aS'dyspnea\tdyspnea\tNN\tB-NP\tO' +p29500 +aS'and\tand\tCC\tO\tO' +p29501 +aS'a\ta\tDT\tB-NP\tO' +p29502 +aS'chest\tchest\tNN\tI-NP\tO' +p29503 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p29504 +aS'revealing\treveal\tVBG\tB-VP\tO' +p29505 +aS'a\ta\tDT\tB-NP\tO' +p29506 +aS'patchy\tpatchy\tJJ\tI-NP\tO' +p29507 +aS'infiltrate\tinfiltrate\tNN\tI-NP\tO' +p29508 +aS'in\tin\tIN\tB-PP\tO' +p29509 +aS'the\tthe\tDT\tB-NP\tO' +p29510 +aS'right\tright\tJJ\tI-NP\tO' +p29511 +aS'lung\tlung\tNN\tI-NP\tO' +p29512 +aS'.\t.\t.\tO\tO' +p29513 +asS'He is not ambulatory and is very deconditioned secondary to several complications within the past two months related to an AICD pocket infection .' +p29514 +(lp29515 +S'He\tHe\tPRP\tB-NP\tO' +p29516 +aS'is\tbe\tVBZ\tB-VP\tO' +p29517 +aS'not\tnot\tRB\tO\tO' +p29518 +aS'ambulatory\tambulatory\tJJ\tB-ADJP\tO' +p29519 +aS'and\tand\tCC\tO\tO' +p29520 +aS'is\tbe\tVBZ\tB-VP\tO' +p29521 +aS'very\tvery\tRB\tI-VP\tO' +p29522 +aS'deconditioned\tdeconditione\tVBN\tI-VP\tO' +p29523 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p29524 +aS'to\tto\tTO\tB-PP\tO' +p29525 +aS'several\tseveral\tJJ\tB-NP\tO' +p29526 +aS'complications\tcomplication\tNNS\tI-NP\tO' +p29527 +aS'within\twithin\tIN\tB-PP\tO' +p29528 +aS'the\tthe\tDT\tB-NP\tO' +p29529 +aS'past\tpast\tJJ\tI-NP\tO' +p29530 +aS'two\ttwo\tCD\tI-NP\tO' +p29531 +aS'months\tmonth\tNNS\tI-NP\tO' +p29532 +aS'related\trelate\tVBN\tB-VP\tO' +p29533 +aS'to\tto\tTO\tB-PP\tO' +p29534 +aS'an\tan\tDT\tB-NP\tO' +p29535 +aS'AICD\tAICD\tNN\tI-NP\tO' +p29536 +aS'pocket\tpocket\tNN\tI-NP\tO' +p29537 +aS'infection\tinfection\tNN\tI-NP\tO' +p29538 +aS'.\t.\t.\tO\tO' +p29539 +asS"Right parietal oligodendroglioma , as above status post craniotomy x 3 ( '95 , '04 , '05 )" +p29540 +(lp29541 +S'Right\tRight\tRB\tB-NP\tO' +p29542 +aS'parietal\tparietal\tJJ\tI-NP\tO' +p29543 +aS'oligodendroglioma\toligodendroglioma\tNN\tI-NP\tO' +p29544 +aS',\t,\t,\tO\tO' +p29545 +aS'as\tas\tIN\tB-PP\tO' +p29546 +aS'above\tabove\tIN\tB-PP\tO' +p29547 +aS'status\tstatus\tNN\tB-NP\tB-protein' +p29548 +aS'post\tpost\tNN\tI-NP\tI-protein' +p29549 +aS'craniotomy\tcraniotomy\tNN\tI-NP\tI-protein' +p29550 +aS'x\tx\tSYM\tB-NP\tI-protein' +p29551 +aS'3\t3\tCD\tI-NP\tI-protein' +p29552 +aS'(\t(\t(\tO\tO' +p29553 +aS"'95\t'95\tCD\tB-NP\tO" +p29554 +aS',\t,\t,\tI-NP\tO' +p29555 +aS"'04\t'04\tCD\tI-NP\tO" +p29556 +aS',\t,\t,\tI-NP\tO' +p29557 +aS"'05\t'05\tCD\tI-NP\tO" +p29558 +aS')\t)\t)\tO\tO' +p29559 +asS'She had some wheezing , which responded well to Albuterol nebulizers .' +p29560 +(lp29561 +S'She\tShe\tPRP\tB-NP\tO' +p29562 +aS'had\thave\tVBD\tB-VP\tO' +p29563 +aS'some\tsome\tDT\tB-NP\tO' +p29564 +aS'wheezing\twheezing\tNN\tI-NP\tO' +p29565 +aS',\t,\t,\tO\tO' +p29566 +aS'which\twhich\tWDT\tB-NP\tO' +p29567 +aS'responded\trespond\tVBD\tB-VP\tO' +p29568 +aS'well\twell\tRB\tB-ADVP\tO' +p29569 +aS'to\tto\tTO\tB-PP\tO' +p29570 +aS'Albuterol\tAlbuterol\tNN\tB-NP\tO' +p29571 +aS'nebulizers\tnebulizer\tNNS\tI-NP\tO' +p29572 +aS'.\t.\t.\tO\tO' +p29573 +asS'Vitals on admission : Please refer to addendum .' +p29574 +(lp29575 +S'Vitals\tVital\tNNS\tB-NP\tO' +p29576 +aS'on\ton\tIN\tB-PP\tO' +p29577 +aS'admission\tadmission\tNN\tB-NP\tO' +p29578 +aS':\t:\t:\tO\tO' +p29579 +aS'Please\tPlease\tNN\tB-NP\tB-protein' +p29580 +aS'refer\trefer\tVBP\tB-VP\tO' +p29581 +aS'to\tto\tTO\tI-VP\tO' +p29582 +aS'addendum\taddendum\tVB\tI-VP\tO' +p29583 +aS'.\t.\t.\tO\tO' +p29584 +asS'Includes diabetes , diagnosed at age 14 .' +p29585 +(lp29586 +S'Includes\tInclude\tVBZ\tB-VP\tO' +p29587 +aS'diabetes\tdiabete\tNNS\tB-NP\tO' +p29588 +aS',\t,\t,\tO\tO' +p29589 +aS'diagnosed\tdiagnose\tVBN\tB-VP\tO' +p29590 +aS'at\tat\tIN\tB-PP\tO' +p29591 +aS'age\tage\tNN\tB-NP\tO' +p29592 +aS'14\t14\tCD\tI-NP\tO' +p29593 +aS'.\t.\t.\tO\tO' +p29594 +asS'Skin examination was notable for a leg ulcer and cellulitis to be delineated below .' +p29595 +(lp29596 +S'Skin\tSkin\tNN\tB-NP\tO' +p29597 +aS'examination\texamination\tNN\tI-NP\tO' +p29598 +aS'was\tbe\tVBD\tB-VP\tO' +p29599 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p29600 +aS'for\tfor\tIN\tB-PP\tO' +p29601 +aS'a\ta\tDT\tB-NP\tO' +p29602 +aS'leg\tleg\tNN\tI-NP\tO' +p29603 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p29604 +aS'and\tand\tCC\tI-NP\tO' +p29605 +aS'cellulitis\tcellulitis\tNN\tI-NP\tO' +p29606 +aS'to\tto\tTO\tB-VP\tO' +p29607 +aS'be\tbe\tVB\tI-VP\tO' +p29608 +aS'delineated\tdelineate\tVBN\tI-VP\tO' +p29609 +aS'below\tbelow\tIN\tB-PP\tO' +p29610 +aS'.\t.\t.\tO\tO' +p29611 +asS'There is luminal irregularity seen in segments of both the left and right external iliac arteries consistent with spasm .' +p29612 +(lp29613 +S'There\tThere\tEX\tB-NP\tO' +p29614 +aS'is\tbe\tVBZ\tB-VP\tO' +p29615 +aS'luminal\tluminal\tJJ\tB-NP\tO' +p29616 +aS'irregularity\tirregularity\tNN\tI-NP\tO' +p29617 +aS'seen\tsee\tVBN\tB-VP\tO' +p29618 +aS'in\tin\tIN\tB-PP\tO' +p29619 +aS'segments\tsegment\tNNS\tB-NP\tO' +p29620 +aS'of\tof\tIN\tB-PP\tO' +p29621 +aS'both\tboth\tCC\tO\tO' +p29622 +aS'the\tthe\tDT\tB-NP\tO' +p29623 +aS'left\tleft\tJJ\tI-NP\tO' +p29624 +aS'and\tand\tCC\tI-NP\tO' +p29625 +aS'right\tright\tJJ\tI-NP\tO' +p29626 +aS'external\texternal\tJJ\tI-NP\tO' +p29627 +aS'iliac\tiliac\tJJ\tI-NP\tO' +p29628 +aS'arteries\tartery\tNNS\tI-NP\tO' +p29629 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p29630 +aS'with\twith\tIN\tB-PP\tO' +p29631 +aS'spasm\tspasm\tNN\tB-NP\tO' +p29632 +aS'.\t.\t.\tO\tO' +p29633 +asS'He should be on Coumadin for anticoagulation for three weeks from the date of surgery with twice weekly blood draws for INR with a goal of 1.5 to 2.0 .' +p29634 +(lp29635 +S'He\tHe\tPRP\tB-NP\tO' +p29636 +aS'should\tshould\tMD\tB-VP\tO' +p29637 +aS'be\tbe\tVB\tI-VP\tO' +p29638 +aS'on\ton\tIN\tB-PP\tO' +p29639 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p29640 +aS'for\tfor\tIN\tB-PP\tO' +p29641 +aS'anticoagulation\tanticoagulation\tNN\tB-NP\tO' +p29642 +aS'for\tfor\tIN\tB-PP\tO' +p29643 +aS'three\tthree\tCD\tB-NP\tO' +p29644 +aS'weeks\tweek\tNNS\tI-NP\tO' +p29645 +aS'from\tfrom\tIN\tB-PP\tO' +p29646 +aS'the\tthe\tDT\tB-NP\tO' +p29647 +aS'date\tdate\tNN\tI-NP\tO' +p29648 +aS'of\tof\tIN\tB-PP\tO' +p29649 +aS'surgery\tsurgery\tNN\tB-NP\tO' +p29650 +aS'with\twith\tIN\tB-PP\tO' +p29651 +aS'twice\ttwice\tJJ\tB-NP\tO' +p29652 +aS'weekly\tweekly\tJJ\tI-NP\tO' +p29653 +aS'blood\tblood\tNN\tI-NP\tO' +p29654 +aS'draws\tdraw\tNNS\tI-NP\tO' +p29655 +aS'for\tfor\tIN\tB-PP\tO' +p29656 +aS'INR\tINR\tNN\tB-NP\tB-protein' +p29657 +aS'with\twith\tIN\tB-PP\tO' +p29658 +aS'a\ta\tDT\tB-NP\tO' +p29659 +aS'goal\tgoal\tNN\tI-NP\tO' +p29660 +aS'of\tof\tIN\tB-PP\tO' +p29661 +aS'1.5\t1.5\tCD\tB-NP\tO' +p29662 +aS'to\tto\tTO\tB-PP\tO' +p29663 +aS'2.0\t2.0\tCD\tB-NP\tO' +p29664 +aS'.\t.\t.\tO\tO' +p29665 +asS'Attending : Derrick Z Wooster , M.D.' +p29666 +(lp29667 +S'Attending\tAttend\tVBG\tB-VP\tO' +p29668 +aS':\t:\t:\tO\tO' +p29669 +aS'Derrick\tDerrick\tNNP\tB-NP\tO' +p29670 +aS'Z\tZ\tNNP\tI-NP\tO' +p29671 +aS'Wooster\tWooster\tNNP\tI-NP\tO' +p29672 +aS',\t,\t,\tO\tO' +p29673 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p29674 +asS'Her neurologic examination remained completely nonfocal and otherwise normal .' +p29675 +(lp29676 +S'Her\tHer\tPRP$\tB-NP\tO' +p29677 +aS'neurologic\tneurologic\tJJ\tI-NP\tO' +p29678 +aS'examination\texamination\tNN\tI-NP\tO' +p29679 +aS'remained\tremain\tVBD\tB-VP\tO' +p29680 +aS'completely\tcompletely\tRB\tB-ADJP\tO' +p29681 +aS'nonfocal\tnonfocal\tJJ\tI-ADJP\tO' +p29682 +aS'and\tand\tCC\tO\tO' +p29683 +aS'otherwise\totherwise\tRB\tB-ADJP\tO' +p29684 +aS'normal\tnormal\tJJ\tI-ADJP\tO' +p29685 +aS'.\t.\t.\tO\tO' +p29686 +asS'Over the next several days he continued to improve his ambulation and mobility with physical therapy .' +p29687 +(lp29688 +S'Over\tOver\tIN\tB-PP\tO' +p29689 +aS'the\tthe\tDT\tB-NP\tO' +p29690 +aS'next\tnext\tJJ\tI-NP\tO' +p29691 +aS'several\tseveral\tJJ\tI-NP\tO' +p29692 +aS'days\tday\tNNS\tI-NP\tO' +p29693 +aS'he\the\tPRP\tB-NP\tO' +p29694 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p29695 +aS'to\tto\tTO\tI-VP\tO' +p29696 +aS'improve\timprove\tVB\tI-VP\tO' +p29697 +aS'his\this\tPRP$\tB-NP\tO' +p29698 +aS'ambulation\tambulation\tNN\tI-NP\tO' +p29699 +aS'and\tand\tCC\tI-NP\tO' +p29700 +aS'mobility\tmobility\tNN\tI-NP\tO' +p29701 +aS'with\twith\tIN\tB-PP\tO' +p29702 +aS'physical\tphysical\tJJ\tB-NP\tO' +p29703 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p29704 +aS'.\t.\t.\tO\tO' +p29705 +asS'Respirations are unlabored at 16 .' +p29706 +(lp29707 +S'Respirations\tRespiration\tNNS\tB-NP\tO' +p29708 +aS'are\tbe\tVBP\tB-VP\tO' +p29709 +aS'unlabored\tunlabored\tJJ\tB-ADJP\tO' +p29710 +aS'at\tat\tIN\tB-PP\tO' +p29711 +aS'16\t16\tCD\tB-NP\tO' +p29712 +aS'.\t.\t.\tO\tO' +p29713 +asS'The blood culture remained sterile .' +p29714 +(lp29715 +S'The\tThe\tDT\tB-NP\tO' +p29716 +aS'blood\tblood\tNN\tI-NP\tO' +p29717 +aS'culture\tculture\tNN\tI-NP\tO' +p29718 +aS'remained\tremain\tVBD\tB-VP\tO' +p29719 +aS'sterile\tsterile\tJJ\tB-ADJP\tO' +p29720 +aS'.\t.\t.\tO\tO' +p29721 +asS'He diuresed well on the dopamine gtt and his BP was supported .' +p29722 +(lp29723 +S'He\tHe\tPRP\tB-NP\tO' +p29724 +aS'diuresed\tdiurese\tVBD\tB-VP\tO' +p29725 +aS'well\twell\tRB\tB-ADVP\tO' +p29726 +aS'on\ton\tIN\tB-PP\tO' +p29727 +aS'the\tthe\tDT\tB-NP\tO' +p29728 +aS'dopamine\tdopamine\tNN\tI-NP\tO' +p29729 +aS'gtt\tgtt\tNN\tI-NP\tO' +p29730 +aS'and\tand\tCC\tO\tO' +p29731 +aS'his\this\tPRP$\tB-NP\tO' +p29732 +aS'BP\tBP\tNN\tI-NP\tO' +p29733 +aS'was\tbe\tVBD\tB-VP\tO' +p29734 +aS'supported\tsupport\tVBN\tI-VP\tO' +p29735 +aS'.\t.\t.\tO\tO' +p29736 +asS'IMPRESSION : Moderate symmetric eft ventricular hypertrophy with severe global biventricular hypokinesis c/w diffuse process ( toxin , metabolic , cannot exclude myocarditis ; in the absence of LVH on ECG , an infiltrative process should also be considered ).' +p29737 +(lp29738 +S'IMPRESSION\tIMPRESSION\tNN\tB-NP\tO' +p29739 +aS':\t:\t:\tO\tO' +p29740 +aS'Moderate\tModerate\tJJ\tB-NP\tO' +p29741 +aS'symmetric\tsymmetric\tJJ\tI-NP\tO' +p29742 +aS'eft\teft\tNN\tI-NP\tO' +p29743 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p29744 +aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' +p29745 +aS'with\twith\tIN\tB-PP\tO' +p29746 +aS'severe\tsevere\tJJ\tB-NP\tO' +p29747 +aS'global\tglobal\tJJ\tI-NP\tO' +p29748 +aS'biventricular\tbiventricular\tJJ\tI-NP\tO' +p29749 +aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' +p29750 +aS'c/w\tc/w\tNN\tI-NP\tO' +p29751 +aS'diffuse\tdiffuse\tJJ\tI-NP\tO' +p29752 +aS'process\tprocess\tNN\tI-NP\tO' +p29753 +aS'(\t(\t(\tO\tO' +p29754 +aS'toxin\ttoxin\tNN\tB-NP\tO' +p29755 +aS',\t,\t,\tO\tO' +p29756 +aS'metabolic\tmetabolic\tJJ\tB-ADJP\tO' +p29757 +aS',\t,\t,\tO\tO' +p29758 +aS'cannot\tcannot\tMD\tB-VP\tO' +p29759 +aS'exclude\texclude\tVB\tI-VP\tO' +p29760 +aS'myocarditis\tmyocarditis\tNN\tB-NP\tO' +p29761 +aS';\t;\t:\tO\tO' +p29762 +aS'in\tin\tIN\tB-PP\tO' +p29763 +aS'the\tthe\tDT\tB-NP\tO' +p29764 +aS'absence\tabsence\tNN\tI-NP\tO' +p29765 +aS'of\tof\tIN\tB-PP\tO' +p29766 +aS'LVH\tLVH\tNN\tB-NP\tB-protein' +p29767 +aS'on\ton\tIN\tB-PP\tO' +p29768 +aS'ECG\tECG\tNN\tB-NP\tB-protein' +p29769 +aS',\t,\t,\tO\tO' +p29770 +aS'an\tan\tDT\tB-NP\tO' +p29771 +aS'infiltrative\tinfiltrative\tJJ\tI-NP\tO' +p29772 +aS'process\tprocess\tNN\tI-NP\tO' +p29773 +aS'should\tshould\tMD\tB-VP\tO' +p29774 +aS'also\talso\tRB\tI-VP\tO' +p29775 +aS'be\tbe\tVB\tI-VP\tO' +p29776 +aS'considered\tconsider\tVBN\tI-VP\tO' +p29777 +aS').\t).\t)\tO\tO' +p29778 +asS'Perfusion good .' +p29779 +(lp29780 +S'Perfusion\tPerfusion\tNN\tB-NP\tO' +p29781 +aS'good\tgood\tJJ\tI-NP\tO' +p29782 +aS'.\t.\t.\tO\tO' +p29783 +asS'Her post-operative course continued uneventfully in the ICU , and she was transferred to the floor POD#6 .' +p29784 +(lp29785 +S'Her\tHer\tPRP$\tB-NP\tO' +p29786 +aS'post-operative\tpost-operative\tJJ\tI-NP\tO' +p29787 +aS'course\tcourse\tNN\tI-NP\tO' +p29788 +aS'continued\tcontinue\tVBN\tB-VP\tO' +p29789 +aS'uneventfully\tuneventfully\tRB\tB-ADVP\tO' +p29790 +aS'in\tin\tIN\tB-PP\tO' +p29791 +aS'the\tthe\tDT\tB-NP\tO' +p29792 +aS'ICU\tICU\tNN\tI-NP\tB-DNA' +p29793 +aS',\t,\t,\tO\tO' +p29794 +aS'and\tand\tCC\tO\tO' +p29795 +aS'she\tshe\tPRP\tB-NP\tO' +p29796 +aS'was\tbe\tVBD\tB-VP\tO' +p29797 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p29798 +aS'to\tto\tTO\tB-PP\tO' +p29799 +aS'the\tthe\tDT\tB-NP\tO' +p29800 +aS'floor\tfloor\tNN\tI-NP\tB-protein' +p29801 +aS'POD#6\tPOD#6\tNN\tI-NP\tI-protein' +p29802 +aS'.\t.\t.\tO\tO' +p29803 +asS'AST 87 .' +p29804 +(lp29805 +S'AST\tAST\tRB\tB-NP\tO' +p29806 +aS'87\t87\tCD\tI-NP\tO' +p29807 +aS'.\t.\t.\tO\tO' +p29808 +asS'Continue elevation and tight dressing to LUE >' +p29809 +(lp29810 +S'Continue\tContinue\tJJ\tB-NP\tO' +p29811 +aS'elevation\televation\tNN\tI-NP\tO' +p29812 +aS'and\tand\tCC\tO\tO' +p29813 +aS'tight\ttight\tVB\tB-VP\tO' +p29814 +aS'dressing\tdress\tVBG\tI-VP\tO' +p29815 +aS'to\tto\tTO\tB-PP\tO' +p29816 +aS'LUE\tLUE\tNN\tB-NP\tB-protein' +p29817 +aS'>\t>\tSYM\tB-NP\tI-protein' +p29818 +asS'Also a chronic infarction in the right cerebellum .' +p29819 +(lp29820 +S'Also\tAlso\tRB\tB-ADVP\tO' +p29821 +aS'a\ta\tDT\tB-NP\tO' +p29822 +aS'chronic\tchronic\tJJ\tI-NP\tO' +p29823 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p29824 +aS'in\tin\tIN\tB-PP\tO' +p29825 +aS'the\tthe\tDT\tB-NP\tO' +p29826 +aS'right\tright\tJJ\tI-NP\tO' +p29827 +aS'cerebellum\tcerebellum\tNN\tI-NP\tO' +p29828 +aS'.\t.\t.\tO\tO' +p29829 +asS'Inspect site every shift .' +p29830 +(lp29831 +S'Inspect\tInspect\tNN\tB-NP\tO' +p29832 +aS'site\tsite\tNN\tI-NP\tO' +p29833 +aS'every\tevery\tDT\tB-NP\tO' +p29834 +aS'shift\tshift\tNN\tI-NP\tO' +p29835 +aS'.\t.\t.\tO\tO' +p29836 +asS'3. Mitochondrial myopathy .' +p29837 +(lp29838 +S'3.\t3.\tLS\tB-NP\tO' +p29839 +aS'Mitochondrial\tMitochondrial\tJJ\tI-NP\tO' +p29840 +aS'myopathy\tmyopathy\tNN\tI-NP\tO' +p29841 +aS'.\t.\t.\tO\tO' +p29842 +asS'4) Hypertension : He was restarted on his atenolol and verapamil once his blood pressure stabilized on 03-25 .' +p29843 +(lp29844 +S'4)\t4)\tCD\tB-NP\tO' +p29845 +aS'Hypertension\tHypertension\tNN\tI-NP\tO' +p29846 +aS':\t:\t:\tO\tO' +p29847 +aS'He\tHe\tPRP\tB-NP\tO' +p29848 +aS'was\tbe\tVBD\tB-VP\tO' +p29849 +aS'restarted\trestart\tVBN\tI-VP\tO' +p29850 +aS'on\ton\tIN\tB-PP\tO' +p29851 +aS'his\this\tPRP$\tB-NP\tO' +p29852 +aS'atenolol\tatenolol\tNN\tI-NP\tO' +p29853 +aS'and\tand\tCC\tI-NP\tO' +p29854 +aS'verapamil\tverapamil\tNN\tI-NP\tO' +p29855 +aS'once\tonce\tRB\tO\tO' +p29856 +aS'his\this\tPRP$\tB-NP\tO' +p29857 +aS'blood\tblood\tNN\tI-NP\tO' +p29858 +aS'pressure\tpressure\tNN\tI-NP\tO' +p29859 +aS'stabilized\tstabilize\tVBD\tB-VP\tO' +p29860 +aS'on\ton\tIN\tB-PP\tO' +p29861 +aS'03-25\t03-25\tCD\tB-NP\tO' +p29862 +aS'.\t.\t.\tO\tO' +p29863 +asS'Chest CT revealed a pulmonary nodule .' +p29864 +(lp29865 +S'Chest\tCh\tJJS\tB-NP\tO' +p29866 +aS'CT\tCT\tNN\tI-NP\tB-protein' +p29867 +aS'revealed\treveal\tVBD\tB-VP\tO' +p29868 +aS'a\ta\tDT\tB-NP\tO' +p29869 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p29870 +aS'nodule\tnodule\tNN\tI-NP\tO' +p29871 +aS'.\t.\t.\tO\tO' +p29872 +asS'Other major issues - As a result of all the things happened and with her hyponatremia and also the other problems , her blood pressure was elevated also .' +p29873 +(lp29874 +S'Other\tOther\tJJ\tB-NP\tO' +p29875 +aS'major\tmajor\tJJ\tI-NP\tO' +p29876 +aS'issues\tissue\tNNS\tI-NP\tO' +p29877 +aS'-\t-\t:\tO\tO' +p29878 +aS'As\tAs\tIN\tB-PP\tO' +p29879 +aS'a\ta\tDT\tB-NP\tO' +p29880 +aS'result\tresult\tNN\tI-NP\tO' +p29881 +aS'of\tof\tIN\tB-PP\tO' +p29882 +aS'all\tall\tPDT\tB-NP\tO' +p29883 +aS'the\tthe\tDT\tI-NP\tO' +p29884 +aS'things\tthing\tNNS\tI-NP\tO' +p29885 +aS'happened\thappen\tVBD\tB-VP\tO' +p29886 +aS'and\tand\tCC\tO\tO' +p29887 +aS'with\twith\tIN\tB-PP\tO' +p29888 +aS'her\ther\tPRP$\tB-NP\tO' +p29889 +aS'hyponatremia\thyponatremia\tNN\tI-NP\tO' +p29890 +aS'and\tand\tCC\tO\tO' +p29891 +aS'also\talso\tRB\tB-ADVP\tO' +p29892 +aS'the\tthe\tDT\tB-NP\tO' +p29893 +aS'other\tother\tJJ\tI-NP\tO' +p29894 +aS'problems\tproblem\tNNS\tI-NP\tO' +p29895 +aS',\t,\t,\tO\tO' +p29896 +aS'her\ther\tPRP$\tB-NP\tO' +p29897 +aS'blood\tblood\tNN\tI-NP\tO' +p29898 +aS'pressure\tpressure\tNN\tI-NP\tO' +p29899 +aS'was\tbe\tVBD\tB-VP\tO' +p29900 +aS'elevated\televate\tVBN\tI-VP\tO' +p29901 +aS'also\talso\tRB\tB-ADVP\tO' +p29902 +aS'.\t.\t.\tO\tO' +p29903 +asS'He was afebrile .' +p29904 +(lp29905 +S'He\tHe\tPRP\tB-NP\tO' +p29906 +aS'was\tbe\tVBD\tB-VP\tO' +p29907 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p29908 +aS'.\t.\t.\tO\tO' +p29909 +asS'The toes were downgoing bilaterally .' +p29910 +(lp29911 +S'The\tThe\tDT\tB-NP\tO' +p29912 +aS'toes\ttoe\tNNS\tI-NP\tO' +p29913 +aS'were\tbe\tVBD\tB-VP\tO' +p29914 +aS'downgoing\tdowngoe\tVBG\tI-VP\tO' +p29915 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p29916 +aS'.\t.\t.\tO\tO' +p29917 +asS'2. Rupture of diverticulum with pericolic abscess .' +p29918 +(lp29919 +S'2.\t2.\tLS\tB-NP\tO' +p29920 +aS'Rupture\tRupture\tNN\tI-NP\tO' +p29921 +aS'of\tof\tIN\tB-PP\tO' +p29922 +aS'diverticulum\tdiverticulum\tNN\tB-NP\tO' +p29923 +aS'with\twith\tIN\tB-PP\tO' +p29924 +aS'pericolic\tpericolic\tJJ\tB-NP\tO' +p29925 +aS'abscess\tabscess\tNN\tI-NP\tO' +p29926 +aS'.\t.\t.\tO\tO' +p29927 +asS'1. Ciprofloxacin 500 mg Tablet Sig : One ( 1 ) Tablet PO Q12H ( every 12 hours ) for 6 days .' +p29928 +(lp29929 +S'1.\t1.\tLS\tB-NP\tO' +p29930 +aS'Ciprofloxacin\tCiprofloxacin\tNN\tI-NP\tO' +p29931 +aS'500\t500\tCD\tI-NP\tO' +p29932 +aS'mg\tmg\tNN\tI-NP\tO' +p29933 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p29934 +aS'Sig\tSig\tNNP\tI-NP\tO' +p29935 +aS':\t:\t:\tO\tO' +p29936 +aS'One\tOne\tCD\tB-NP\tO' +p29937 +aS'(\t(\t(\tO\tO' +p29938 +aS'1\t1\tCD\tB-NP\tO' +p29939 +aS')\t)\t)\tO\tO' +p29940 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p29941 +aS'PO\tPO\tNN\tI-NP\tO' +p29942 +aS'Q12H\tQ12H\tNN\tI-NP\tO' +p29943 +aS'(\t(\t(\tO\tO' +p29944 +aS'every\tevery\tDT\tB-NP\tO' +p29945 +aS'12\t12\tCD\tI-NP\tO' +p29946 +aS'hours\thour\tNNS\tI-NP\tO' +p29947 +aS')\t)\t)\tO\tO' +p29948 +aS'for\tfor\tIN\tB-PP\tO' +p29949 +aS'6\t6\tCD\tB-NP\tO' +p29950 +aS'days\tday\tNNS\tI-NP\tO' +p29951 +aS'.\t.\t.\tO\tO' +p29952 +asS'Right hip pain degenerative joint disease for right total hip replacement .' +p29953 +(lp29954 +S'Right\tRight\tNN\tB-NP\tO' +p29955 +aS'hip\thip\tNN\tI-NP\tO' +p29956 +aS'pain\tpain\tNN\tI-NP\tO' +p29957 +aS'degenerative\tdegenerative\tJJ\tI-NP\tO' +p29958 +aS'joint\tjoint\tNN\tI-NP\tO' +p29959 +aS'disease\tdisease\tNN\tI-NP\tO' +p29960 +aS'for\tfor\tIN\tB-PP\tO' +p29961 +aS'right\tright\tJJ\tB-NP\tO' +p29962 +aS'total\ttotal\tJJ\tI-NP\tO' +p29963 +aS'hip\thip\tNN\tI-NP\tO' +p29964 +aS'replacement\treplacement\tNN\tI-NP\tO' +p29965 +aS'.\t.\t.\tO\tO' +p29966 +asS'The patient tolerated nasogastric tube clamping trials with high residuals in the 600 cc range .' +p29967 +(lp29968 +S'The\tThe\tDT\tB-NP\tO' +p29969 +aS'patient\tpatient\tNN\tI-NP\tO' +p29970 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p29971 +aS'nasogastric\tnasogastric\tJJ\tB-NP\tO' +p29972 +aS'tube\ttube\tNN\tI-NP\tO' +p29973 +aS'clamping\tclamping\tNN\tI-NP\tO' +p29974 +aS'trials\ttrial\tNNS\tI-NP\tO' +p29975 +aS'with\twith\tIN\tB-PP\tO' +p29976 +aS'high\thigh\tJJ\tB-NP\tO' +p29977 +aS'residuals\tresidual\tNNS\tI-NP\tO' +p29978 +aS'in\tin\tIN\tB-PP\tO' +p29979 +aS'the\tthe\tDT\tB-NP\tO' +p29980 +aS'600\t600\tCD\tI-NP\tO' +p29981 +aS'cc\tcc\tNN\tI-NP\tO' +p29982 +aS'range\trange\tNN\tI-NP\tO' +p29983 +aS'.\t.\t.\tO\tO' +p29984 +asS'There has been interval development of moderate amount of high-attenuation fluid within the effusion consistent with hemorrhage .' +p29985 +(lp29986 +S'There\tThere\tEX\tB-NP\tO' +p29987 +aS'has\thave\tVBZ\tB-VP\tO' +p29988 +aS'been\tbe\tVBN\tI-VP\tO' +p29989 +aS'interval\tinterval\tJJ\tB-NP\tO' +p29990 +aS'development\tdevelopment\tNN\tI-NP\tO' +p29991 +aS'of\tof\tIN\tB-PP\tO' +p29992 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p29993 +aS'amount\tamount\tNN\tI-NP\tO' +p29994 +aS'of\tof\tIN\tB-PP\tO' +p29995 +aS'high-attenuation\thigh-attenuation\tJJ\tB-NP\tO' +p29996 +aS'fluid\tfluid\tNN\tI-NP\tO' +p29997 +aS'within\twithin\tIN\tB-PP\tO' +p29998 +aS'the\tthe\tDT\tB-NP\tO' +p29999 +aS'effusion\teffusion\tNN\tI-NP\tO' +p30000 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p30001 +aS'with\twith\tIN\tB-PP\tO' +p30002 +aS'hemorrhage\themorrhage\tNN\tB-NP\tO' +p30003 +aS'.\t.\t.\tO\tO' +p30004 +asS'If you have any fevers/chills , nausea/vomiting , chest pain , foot pain , please seek medical attention .' +p30005 +(lp30006 +S'If\tIf\tIN\tB-SBAR\tO' +p30007 +aS'you\tyou\tPRP\tB-NP\tO' +p30008 +aS'have\thave\tVBP\tB-VP\tO' +p30009 +aS'any\tany\tDT\tB-NP\tO' +p30010 +aS'fevers/chills\tfevers/chill\tNNS\tI-NP\tO' +p30011 +aS',\t,\t,\tO\tO' +p30012 +aS'nausea/vomiting\tnausea/vomiting\tNN\tB-NP\tO' +p30013 +aS',\t,\t,\tO\tO' +p30014 +aS'chest\tchest\tNN\tB-NP\tO' +p30015 +aS'pain\tpain\tNN\tI-NP\tO' +p30016 +aS',\t,\t,\tO\tO' +p30017 +aS'foot\tfoot\tNN\tB-NP\tO' +p30018 +aS'pain\tpain\tNN\tI-NP\tO' +p30019 +aS',\t,\t,\tO\tO' +p30020 +aS'please\tplease\tNN\tB-NP\tO' +p30021 +aS'seek\tseek\tVBP\tB-VP\tO' +p30022 +aS'medical\tmedical\tJJ\tB-NP\tO' +p30023 +aS'attention\tattention\tNN\tI-NP\tO' +p30024 +aS'.\t.\t.\tO\tO' +p30025 +asS'SINGLE AP VIEW OF THE CHEST .' +p30026 +(lp30027 +S'SINGLE\tSINGLE\tNNP\tB-NP\tO' +p30028 +aS'AP\tAP\tNNP\tI-NP\tO' +p30029 +aS'VIEW\tVIEW\tNNP\tI-NP\tO' +p30030 +aS'OF\tOF\tIN\tB-PP\tO' +p30031 +aS'THE\tTHE\tDT\tB-NP\tO' +p30032 +aS'CHEST\tCHEST\tNN\tI-NP\tB-DNA' +p30033 +aS'.\t.\t.\tO\tO' +p30034 +asS'The patient was continued on Ampicillin , Gentamycin and Flagyl , which had been started at the time of transfer to the CMED CCU .' +p30035 +(lp30036 +S'The\tThe\tDT\tB-NP\tO' +p30037 +aS'patient\tpatient\tNN\tI-NP\tO' +p30038 +aS'was\tbe\tVBD\tB-VP\tO' +p30039 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p30040 +aS'on\ton\tIN\tB-PP\tO' +p30041 +aS'Ampicillin\tAmpicillin\tNN\tB-NP\tB-protein' +p30042 +aS',\t,\t,\tI-NP\tO' +p30043 +aS'Gentamycin\tGentamycin\tNN\tI-NP\tO' +p30044 +aS'and\tand\tCC\tI-NP\tO' +p30045 +aS'Flagyl\tFlagyl\tNN\tI-NP\tO' +p30046 +aS',\t,\t,\tO\tO' +p30047 +aS'which\twhich\tWDT\tB-NP\tO' +p30048 +aS'had\thave\tVBD\tB-VP\tO' +p30049 +aS'been\tbe\tVBN\tI-VP\tO' +p30050 +aS'started\tstart\tVBN\tI-VP\tO' +p30051 +aS'at\tat\tIN\tB-PP\tO' +p30052 +aS'the\tthe\tDT\tB-NP\tO' +p30053 +aS'time\ttime\tNN\tI-NP\tO' +p30054 +aS'of\tof\tIN\tB-PP\tO' +p30055 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p30056 +aS'to\tto\tTO\tB-PP\tO' +p30057 +aS'the\tthe\tDT\tB-NP\tO' +p30058 +aS'CMED\tCMED\tVBN\tI-NP\tO' +p30059 +aS'CCU\tCCU\tNN\tI-NP\tO' +p30060 +aS'.\t.\t.\tO\tO' +p30061 +asS'Osteopenia .' +p30062 +(lp30063 +S'Osteopenia\tOsteopenia\tNNP\tB-NP\tO' +p30064 +aS'.\t.\t.\tO\tO' +p30065 +asS'He has coronary artery disease and underwent a CABG in 1998 .' +p30066 +(lp30067 +S'He\tHe\tPRP\tB-NP\tO' +p30068 +aS'has\thave\tVBZ\tB-VP\tO' +p30069 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p30070 +aS'artery\tartery\tNN\tI-NP\tO' +p30071 +aS'disease\tdisease\tNN\tI-NP\tO' +p30072 +aS'and\tand\tCC\tO\tO' +p30073 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p30074 +aS'a\ta\tDT\tB-NP\tO' +p30075 +aS'CABG\tCABG\tNN\tI-NP\tB-protein' +p30076 +aS'in\tin\tIN\tB-PP\tO' +p30077 +aS'1998\t1998\tCD\tB-NP\tO' +p30078 +aS'.\t.\t.\tO\tO' +p30079 +asS'His hematocrit was 44 .' +p30080 +(lp30081 +S'His\tHis\tPRP$\tB-NP\tO' +p30082 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p30083 +aS'was\tbe\tVBD\tB-VP\tO' +p30084 +aS'44\t44\tCD\tB-NP\tO' +p30085 +aS'.\t.\t.\tO\tO' +p30086 +asS'A chest x-ray showed clearing of the opacities in the chest x-ray that were consistent with pulmonary edema because he continued to have some abnormality in the right lower lobe .' +p30087 +(lp30088 +S'A\tA\tDT\tB-NP\tO' +p30089 +aS'chest\tchest\tNN\tI-NP\tO' +p30090 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p30091 +aS'showed\tshow\tVBD\tB-VP\tO' +p30092 +aS'clearing\tclearing\tNN\tB-NP\tO' +p30093 +aS'of\tof\tIN\tB-PP\tO' +p30094 +aS'the\tthe\tDT\tB-NP\tO' +p30095 +aS'opacities\topacity\tNNS\tI-NP\tO' +p30096 +aS'in\tin\tIN\tB-PP\tO' +p30097 +aS'the\tthe\tDT\tB-NP\tO' +p30098 +aS'chest\tchest\tNN\tI-NP\tO' +p30099 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p30100 +aS'that\tthat\tWDT\tB-NP\tO' +p30101 +aS'were\tbe\tVBD\tB-VP\tO' +p30102 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p30103 +aS'with\twith\tIN\tB-PP\tO' +p30104 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p30105 +aS'edema\tedema\tNN\tI-NP\tO' +p30106 +aS'because\tbecause\tIN\tB-SBAR\tO' +p30107 +aS'he\the\tPRP\tB-NP\tO' +p30108 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p30109 +aS'to\tto\tTO\tI-VP\tO' +p30110 +aS'have\thave\tVB\tI-VP\tO' +p30111 +aS'some\tsome\tDT\tB-NP\tO' +p30112 +aS'abnormality\tabnormality\tNN\tI-NP\tO' +p30113 +aS'in\tin\tIN\tB-PP\tO' +p30114 +aS'the\tthe\tDT\tB-NP\tO' +p30115 +aS'right\tright\tJJ\tI-NP\tO' +p30116 +aS'lower\tlow\tJJR\tI-NP\tO' +p30117 +aS'lobe\tlobe\tNN\tI-NP\tO' +p30118 +aS'.\t.\t.\tO\tO' +p30119 +asS'There was no evidence of head trauma .' +p30120 +(lp30121 +S'There\tThere\tEX\tB-NP\tO' +p30122 +aS'was\tbe\tVBD\tB-VP\tO' +p30123 +aS'no\tno\tDT\tB-NP\tO' +p30124 +aS'evidence\tevidence\tNN\tI-NP\tO' +p30125 +aS'of\tof\tIN\tB-PP\tO' +p30126 +aS'head\thead\tNN\tB-NP\tO' +p30127 +aS'trauma\ttrauma\tNN\tI-NP\tO' +p30128 +aS'.\t.\t.\tO\tO' +p30129 +asS'His weight at the time of transfer is 2800 grams .' +p30130 +(lp30131 +S'His\tHis\tPRP$\tB-NP\tO' +p30132 +aS'weight\tweight\tNN\tI-NP\tO' +p30133 +aS'at\tat\tIN\tB-PP\tO' +p30134 +aS'the\tthe\tDT\tB-NP\tO' +p30135 +aS'time\ttime\tNN\tI-NP\tO' +p30136 +aS'of\tof\tIN\tB-PP\tO' +p30137 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p30138 +aS'is\tbe\tVBZ\tB-VP\tO' +p30139 +aS'2800\t2800\tCD\tB-NP\tO' +p30140 +aS'grams\tgram\tNNS\tI-NP\tO' +p30141 +aS'.\t.\t.\tO\tO' +p30142 +asS'4. Comorbidities of anxiety disorder/depression .' +p30143 +(lp30144 +S'4.\t4.\tLS\tB-NP\tO' +p30145 +aS'Comorbidities\tComorbidity\tNNS\tI-NP\tO' +p30146 +aS'of\tof\tIN\tB-PP\tO' +p30147 +aS'anxiety\tanxiety\tNN\tB-NP\tO' +p30148 +aS'disorder/depression\tdisorder/depression\tNN\tI-NP\tO' +p30149 +aS'.\t.\t.\tO\tO' +p30150 +asS'She was started under phototherapy on day of life one through day of life three with a peak serum bilirubin of 4.7/0.3 .' +p30151 +(lp30152 +S'She\tShe\tPRP\tB-NP\tO' +p30153 +aS'was\tbe\tVBD\tB-VP\tO' +p30154 +aS'started\tstart\tVBN\tI-VP\tO' +p30155 +aS'under\tunder\tIN\tB-PP\tO' +p30156 +aS'phototherapy\tphototherapy\tNN\tB-NP\tO' +p30157 +aS'on\ton\tIN\tB-PP\tO' +p30158 +aS'day\tday\tNN\tB-NP\tO' +p30159 +aS'of\tof\tIN\tB-PP\tO' +p30160 +aS'life\tlife\tNN\tB-NP\tO' +p30161 +aS'one\tone\tCD\tB-NP\tO' +p30162 +aS'through\tthrough\tIN\tB-PP\tO' +p30163 +aS'day\tday\tNN\tB-NP\tO' +p30164 +aS'of\tof\tIN\tB-PP\tO' +p30165 +aS'life\tlife\tNN\tB-NP\tO' +p30166 +aS'three\tthree\tCD\tB-NP\tO' +p30167 +aS'with\twith\tIN\tB-PP\tO' +p30168 +aS'a\ta\tDT\tB-NP\tO' +p30169 +aS'peak\tpeak\tJJ\tI-NP\tO' +p30170 +aS'serum\tserum\tNN\tI-NP\tO' +p30171 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p30172 +aS'of\tof\tIN\tB-PP\tO' +p30173 +aS'4.7/0.3\t4.7/0.3\tCD\tB-NP\tO' +p30174 +aS'.\t.\t.\tO\tO' +p30175 +asS'Focal calcifications in aortic root .' +p30176 +(lp30177 +S'Focal\tFocal\tJJ\tB-NP\tO' +p30178 +aS'calcifications\tcalcification\tNNS\tI-NP\tO' +p30179 +aS'in\tin\tIN\tB-PP\tO' +p30180 +aS'aortic\taortic\tJJ\tB-NP\tO' +p30181 +aS'root\troot\tNN\tI-NP\tO' +p30182 +aS'.\t.\t.\tO\tO' +p30183 +asS'The patient was admitted to the Step Down Unit for a rule out MI protocol .' +p30184 +(lp30185 +S'The\tThe\tDT\tB-NP\tO' +p30186 +aS'patient\tpatient\tNN\tI-NP\tO' +p30187 +aS'was\tbe\tVBD\tB-VP\tO' +p30188 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p30189 +aS'to\tto\tTO\tB-PP\tO' +p30190 +aS'the\tthe\tDT\tB-NP\tO' +p30191 +aS'Step\tStep\tNNP\tI-NP\tO' +p30192 +aS'Down\tDown\tNNP\tI-NP\tO' +p30193 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p30194 +aS'for\tfor\tIN\tB-PP\tO' +p30195 +aS'a\ta\tDT\tB-NP\tO' +p30196 +aS'rule\trule\tNN\tI-NP\tO' +p30197 +aS'out\tout\tIN\tB-PP\tO' +p30198 +aS'MI\tMI\tNN\tB-NP\tO' +p30199 +aS'protocol\tprotocol\tNN\tI-NP\tO' +p30200 +aS'.\t.\t.\tO\tO' +p30201 +asS'She had dual-mode , dual-pacing , dual-sensing pacemaker placed with a lower rate at 60 ppm , and upper rate of 120 ppm with a paced AV of 150 msec .' +p30202 +(lp30203 +S'She\tShe\tPRP\tB-NP\tO' +p30204 +aS'had\thave\tVBD\tB-VP\tO' +p30205 +aS'dual-mode\tdual-mode\tJJ\tB-NP\tO' +p30206 +aS',\t,\t,\tI-NP\tO' +p30207 +aS'dual-pacing\tdual-pacing\tJJ\tI-NP\tO' +p30208 +aS',\t,\t,\tI-NP\tO' +p30209 +aS'dual-sensing\tdual-sensing\tJJ\tI-NP\tO' +p30210 +aS'pacemaker\tpacemaker\tNN\tI-NP\tO' +p30211 +aS'placed\tplace\tVBN\tB-VP\tO' +p30212 +aS'with\twith\tIN\tB-PP\tO' +p30213 +aS'a\ta\tDT\tB-NP\tO' +p30214 +aS'lower\tlow\tJJR\tI-NP\tO' +p30215 +aS'rate\trate\tNN\tI-NP\tO' +p30216 +aS'at\tat\tIN\tB-PP\tO' +p30217 +aS'60\t60\tCD\tB-NP\tO' +p30218 +aS'ppm\tppm\tNN\tI-NP\tO' +p30219 +aS',\t,\t,\tO\tO' +p30220 +aS'and\tand\tCC\tO\tO' +p30221 +aS'upper\tupper\tJJ\tB-NP\tO' +p30222 +aS'rate\trate\tNN\tI-NP\tO' +p30223 +aS'of\tof\tIN\tB-PP\tO' +p30224 +aS'120\t120\tCD\tB-NP\tO' +p30225 +aS'ppm\tppm\tNN\tI-NP\tO' +p30226 +aS'with\twith\tIN\tB-PP\tO' +p30227 +aS'a\ta\tDT\tB-NP\tO' +p30228 +aS'paced\tpaced\tJJ\tI-NP\tO' +p30229 +aS'AV\tAV\tNN\tI-NP\tO' +p30230 +aS'of\tof\tIN\tB-PP\tO' +p30231 +aS'150\t150\tCD\tB-NP\tO' +p30232 +aS'msec\tmsec\tNN\tI-NP\tO' +p30233 +aS'.\t.\t.\tO\tO' +p30234 +asS'Her lungs have decreased sounds bilaterally in the upper lung fields .' +p30235 +(lp30236 +S'Her\tHer\tPRP$\tB-NP\tO' +p30237 +aS'lungs\tlung\tNNS\tI-NP\tO' +p30238 +aS'have\thave\tVBP\tB-VP\tO' +p30239 +aS'decreased\tdecrease\tVBN\tI-VP\tO' +p30240 +aS'sounds\tsound\tNNS\tB-NP\tO' +p30241 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p30242 +aS'in\tin\tIN\tB-PP\tO' +p30243 +aS'the\tthe\tDT\tB-NP\tO' +p30244 +aS'upper\tupper\tJJ\tI-NP\tO' +p30245 +aS'lung\tlung\tNN\tI-NP\tO' +p30246 +aS'fields\tfield\tNNS\tI-NP\tO' +p30247 +aS'.\t.\t.\tO\tO' +p30248 +asS'The patient urinalysis on 10/19/97 showed moderate occult blood , pH 5 , albumin 1+ , white blood cells present , 2-50 red blood cell , 10-20 white blood cells , few bacteria , and moderate bladder epithelial cells .' +p30249 +(lp30250 +S'The\tThe\tDT\tB-NP\tO' +p30251 +aS'patient\tpatient\tNN\tI-NP\tO' +p30252 +aS'urinalysis\turinalysis\tNN\tI-NP\tO' +p30253 +aS'on\ton\tIN\tB-PP\tO' +p30254 +aS'10/19/97\t10/19/97\tCD\tB-NP\tO' +p30255 +aS'showed\tshow\tVBD\tB-VP\tO' +p30256 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p30257 +aS'occult\toccult\tJJ\tI-NP\tO' +p30258 +aS'blood\tblood\tNN\tI-NP\tO' +p30259 +aS',\t,\t,\tO\tO' +p30260 +aS'pH\tpH\tNN\tB-NP\tB-protein' +p30261 +aS'5\t5\tCD\tI-NP\tI-protein' +p30262 +aS',\t,\t,\tO\tO' +p30263 +aS'albumin\talbumin\tNN\tB-NP\tO' +p30264 +aS'1+\t1+\tJJ\tI-NP\tO' +p30265 +aS',\t,\t,\tI-NP\tO' +p30266 +aS'white\twhite\tJJ\tI-NP\tB-cell_type' +p30267 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p30268 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p30269 +aS'present\tpresent\tVBP\tB-VP\tO' +p30270 +aS',\t,\t,\tO\tO' +p30271 +aS'2-50\t2-50\tCD\tB-NP\tO' +p30272 +aS'red\tred\tJJ\tI-NP\tO' +p30273 +aS'blood\tblood\tNN\tI-NP\tO' +p30274 +aS'cell\tcell\tNN\tI-NP\tO' +p30275 +aS',\t,\t,\tO\tO' +p30276 +aS'10-20\t10-20\tCD\tB-NP\tO' +p30277 +aS'white\twhite\tJJ\tI-NP\tB-cell_type' +p30278 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p30279 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p30280 +aS',\t,\t,\tO\tO' +p30281 +aS'few\tfew\tJJ\tB-NP\tO' +p30282 +aS'bacteria\tbacteria\tNNS\tI-NP\tO' +p30283 +aS',\t,\t,\tO\tO' +p30284 +aS'and\tand\tCC\tO\tO' +p30285 +aS'moderate\tmoderate\tJJ\tB-NP\tB-cell_type' +p30286 +aS'bladder\tbladder\tNN\tI-NP\tI-cell_type' +p30287 +aS'epithelial\tepithelial\tJJ\tI-NP\tI-cell_type' +p30288 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p30289 +aS'.\t.\t.\tO\tO' +p30290 +asS'She receives this medication by mail from her relatives in Jill .' +p30291 +(lp30292 +S'She\tShe\tPRP\tB-NP\tO' +p30293 +aS'receives\treceive\tVBZ\tB-VP\tO' +p30294 +aS'this\tthis\tDT\tB-NP\tO' +p30295 +aS'medication\tmedication\tNN\tI-NP\tO' +p30296 +aS'by\tby\tIN\tB-PP\tO' +p30297 +aS'mail\tmail\tNN\tB-NP\tO' +p30298 +aS'from\tfrom\tIN\tB-PP\tO' +p30299 +aS'her\ther\tPRP$\tB-NP\tO' +p30300 +aS'relatives\trelative\tNNS\tI-NP\tO' +p30301 +aS'in\tin\tIN\tB-PP\tO' +p30302 +aS'Jill\tJill\tNNP\tB-NP\tO' +p30303 +aS'.\t.\t.\tO\tO' +p30304 +asS'She was held NPO .' +p30305 +(lp30306 +S'She\tShe\tPRP\tB-NP\tO' +p30307 +aS'was\tbe\tVBD\tB-VP\tO' +p30308 +aS'held\thold\tVBN\tI-VP\tO' +p30309 +aS'NPO\tNPO\tNNP\tB-NP\tO' +p30310 +aS'.\t.\t.\tO\tO' +p30311 +asS'Anxiety disorder .' +p30312 +(lp30313 +S'Anxiety\tAnxiety\tNN\tB-NP\tO' +p30314 +aS'disorder\tdisorder\tNN\tI-NP\tO' +p30315 +aS'.\t.\t.\tO\tO' +p30316 +asS'Given the elevated stroke risk of aortic cross-clamping in the setting of this finding , the plan for a bypass graft was aborted .' +p30317 +(lp30318 +S'Given\tGive\tVBN\tB-PP\tO' +p30319 +aS'the\tthe\tDT\tB-NP\tO' +p30320 +aS'elevated\televated\tJJ\tI-NP\tO' +p30321 +aS'stroke\tstroke\tJJ\tI-NP\tO' +p30322 +aS'risk\trisk\tNN\tI-NP\tO' +p30323 +aS'of\tof\tIN\tB-PP\tO' +p30324 +aS'aortic\taortic\tJJ\tB-NP\tO' +p30325 +aS'cross-clamping\tcross-clamping\tNN\tI-NP\tO' +p30326 +aS'in\tin\tIN\tB-PP\tO' +p30327 +aS'the\tthe\tDT\tB-NP\tO' +p30328 +aS'setting\tsetting\tNN\tI-NP\tO' +p30329 +aS'of\tof\tIN\tB-PP\tO' +p30330 +aS'this\tthis\tDT\tB-NP\tO' +p30331 +aS'finding\tfinding\tNN\tI-NP\tO' +p30332 +aS',\t,\t,\tO\tO' +p30333 +aS'the\tthe\tDT\tB-NP\tO' +p30334 +aS'plan\tplan\tNN\tI-NP\tO' +p30335 +aS'for\tfor\tIN\tB-PP\tO' +p30336 +aS'a\ta\tDT\tB-NP\tO' +p30337 +aS'bypass\tbypass\tNN\tI-NP\tO' +p30338 +aS'graft\tgraft\tNN\tI-NP\tO' +p30339 +aS'was\tbe\tVBD\tB-VP\tO' +p30340 +aS'aborted\tabort\tVBN\tI-VP\tO' +p30341 +aS'.\t.\t.\tO\tO' +p30342 +asS'4. Aspirin .' +p30343 +(lp30344 +S'4.\t4.\tLS\tB-NP\tO' +p30345 +aS'Aspirin\tAspirin\tNN\tI-NP\tO' +p30346 +aS'.\t.\t.\tO\tO' +p30347 +asS'No bowel or bladder incontinence .' +p30348 +(lp30349 +S'No\tNo\tDT\tB-NP\tO' +p30350 +aS'bowel\tbowel\tNN\tI-NP\tO' +p30351 +aS'or\tor\tCC\tI-NP\tO' +p30352 +aS'bladder\tbladder\tNN\tI-NP\tO' +p30353 +aS'incontinence\tincontinence\tNN\tI-NP\tO' +p30354 +aS'.\t.\t.\tO\tO' +p30355 +asS'There were no hypertensive or diabetic changes .' +p30356 +(lp30357 +S'There\tThere\tEX\tB-NP\tO' +p30358 +aS'were\tbe\tVBD\tB-VP\tO' +p30359 +aS'no\tno\tDT\tB-NP\tO' +p30360 +aS'hypertensive\thypertensive\tJJ\tI-NP\tO' +p30361 +aS'or\tor\tCC\tI-NP\tO' +p30362 +aS'diabetic\tdiabetic\tJJ\tI-NP\tO' +p30363 +aS'changes\tchange\tNNS\tI-NP\tO' +p30364 +aS'.\t.\t.\tO\tO' +p30365 +asS'Discussion was had at this time with the patient regarding whether or not this represented an infected abscess vs. post-surgical change .' +p30366 +(lp30367 +S'Discussion\tDiscussion\tNN\tB-NP\tO' +p30368 +aS'was\tbe\tVBD\tB-VP\tO' +p30369 +aS'had\thave\tVBN\tI-VP\tO' +p30370 +aS'at\tat\tIN\tB-PP\tO' +p30371 +aS'this\tthis\tDT\tB-NP\tO' +p30372 +aS'time\ttime\tNN\tI-NP\tO' +p30373 +aS'with\twith\tIN\tB-PP\tO' +p30374 +aS'the\tthe\tDT\tB-NP\tO' +p30375 +aS'patient\tpatient\tNN\tI-NP\tO' +p30376 +aS'regarding\tregard\tVBG\tB-VP\tO' +p30377 +aS'whether\twhether\tIN\tB-SBAR\tO' +p30378 +aS'or\tor\tCC\tO\tO' +p30379 +aS'not\tnot\tRB\tO\tO' +p30380 +aS'this\tthis\tDT\tB-NP\tO' +p30381 +aS'represented\trepresent\tVBD\tB-VP\tO' +p30382 +aS'an\tan\tDT\tB-NP\tO' +p30383 +aS'infected\tinfected\tJJ\tI-NP\tO' +p30384 +aS'abscess\tabscess\tNN\tI-NP\tO' +p30385 +aS'vs.\tvs.\tIN\tB-PP\tO' +p30386 +aS'post-surgical\tpost-surgical\tJJ\tB-NP\tO' +p30387 +aS'change\tchange\tNN\tI-NP\tO' +p30388 +aS'.\t.\t.\tO\tO' +p30389 +asS'Examination demonstrated a regular rate and rhythm without any murmurs noted .' +p30390 +(lp30391 +S'Examination\tExamination\tNN\tB-NP\tO' +p30392 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p30393 +aS'a\ta\tDT\tB-NP\tO' +p30394 +aS'regular\tregular\tJJ\tI-NP\tO' +p30395 +aS'rate\trate\tNN\tI-NP\tO' +p30396 +aS'and\tand\tCC\tI-NP\tO' +p30397 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p30398 +aS'without\twithout\tIN\tB-PP\tO' +p30399 +aS'any\tany\tDT\tB-NP\tO' +p30400 +aS'murmurs\tmurmur\tNNS\tI-NP\tO' +p30401 +aS'noted\tnote\tVBD\tB-VP\tO' +p30402 +aS'.\t.\t.\tO\tO' +p30403 +asS'Dr. Robinson , Lawrence General Hospital Hospital' +p30404 +(lp30405 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p30406 +aS'Robinson\tRobinson\tNNP\tI-NP\tO' +p30407 +aS',\t,\t,\tO\tO' +p30408 +aS'Lawrence\tLawrence\tNNP\tB-NP\tO' +p30409 +aS'General\tGeneral\tNNP\tI-NP\tO' +p30410 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p30411 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p30412 +asS"54 yo F with Crohn 's disease s/p ileostomy with subsequent short gut syndrome with port-o-cath for TPN presents with acute onset pleuritic chest pain with fever , chills , and sob ." +p30413 +(lp30414 +S'54\t54\tCD\tB-NP\tO' +p30415 +aS'yo\tyo\tNN\tI-NP\tO' +p30416 +aS'F\tF\tNN\tI-NP\tO' +p30417 +aS'with\twith\tIN\tB-PP\tO' +p30418 +aS'Crohn\tCrohn\tNN\tB-NP\tO' +p30419 +aS"'s\t's\tPOS\tB-NP\tO" +p30420 +aS'disease\tdisease\tNN\tI-NP\tO' +p30421 +aS's/p\ts/p\tNN\tI-NP\tO' +p30422 +aS'ileostomy\tileostomy\tNN\tI-NP\tO' +p30423 +aS'with\twith\tIN\tB-PP\tO' +p30424 +aS'subsequent\tsubsequent\tJJ\tB-NP\tO' +p30425 +aS'short\tshort\tJJ\tI-NP\tO' +p30426 +aS'gut\tgut\tNN\tI-NP\tO' +p30427 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p30428 +aS'with\twith\tIN\tB-PP\tO' +p30429 +aS'port-o-cath\tport-o-cath\tNN\tB-NP\tO' +p30430 +aS'for\tfor\tIN\tB-PP\tO' +p30431 +aS'TPN\tTPN\tNN\tB-NP\tB-protein' +p30432 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p30433 +aS'with\twith\tIN\tB-PP\tO' +p30434 +aS'acute\tacute\tJJ\tB-NP\tO' +p30435 +aS'onset\tonset\tNN\tI-NP\tO' +p30436 +aS'pleuritic\tpleuritic\tJJ\tI-NP\tO' +p30437 +aS'chest\tchest\tNN\tI-NP\tO' +p30438 +aS'pain\tpain\tNN\tI-NP\tO' +p30439 +aS'with\twith\tIN\tB-PP\tO' +p30440 +aS'fever\tfever\tNN\tB-NP\tO' +p30441 +aS',\t,\t,\tO\tO' +p30442 +aS'chills\tchill\tNNS\tB-NP\tO' +p30443 +aS',\t,\t,\tO\tO' +p30444 +aS'and\tand\tCC\tO\tO' +p30445 +aS'sob\tsob\tNN\tB-NP\tB-protein' +p30446 +aS'.\t.\t.\tO\tO' +p30447 +asS'- AICD Pocket infection c/b MSSA bacteremia , pericardial effusion s/p mediastinal exploration , evacuation of pericardial effusion & hematoma ( 2017-07-24 )' +p30448 +(lp30449 +S'-\t-\tHYPH\tB-NP\tO' +p30450 +aS'AICD\tAICD\tNN\tI-NP\tO' +p30451 +aS'Pocket\tPocket\tNN\tI-NP\tO' +p30452 +aS'infection\tinfection\tNN\tI-NP\tO' +p30453 +aS'c/b\tc/b\tNN\tI-NP\tO' +p30454 +aS'MSSA\tMSSA\tNN\tI-NP\tO' +p30455 +aS'bacteremia\tbacteremia\tNN\tI-NP\tO' +p30456 +aS',\t,\t,\tO\tO' +p30457 +aS'pericardial\tpericardial\tJJ\tB-NP\tO' +p30458 +aS'effusion\teffusion\tNN\tI-NP\tO' +p30459 +aS's/p\ts/p\tNN\tI-NP\tO' +p30460 +aS'mediastinal\tmediastinal\tJJ\tI-NP\tO' +p30461 +aS'exploration\texploration\tNN\tI-NP\tO' +p30462 +aS',\t,\t,\tO\tO' +p30463 +aS'evacuation\tevacuation\tNN\tB-NP\tO' +p30464 +aS'of\tof\tIN\tB-PP\tO' +p30465 +aS'pericardial\tpericardial\tJJ\tB-NP\tO' +p30466 +aS'effusion\teffusion\tNN\tI-NP\tO' +p30467 +aS'&\t&\tCC\tI-NP\tO' +p30468 +aS'hematoma\thematoma\tNN\tI-NP\tO' +p30469 +aS'(\t(\t(\tO\tO' +p30470 +aS'2017-07-24\t2017-07-24\tCD\tB-NP\tO' +p30471 +aS')\t)\t)\tO\tO' +p30472 +asS'At 2:30 on June 26 , 1999 , I was called to see the patient who had expired .' +p30473 +(lp30474 +S'At\tAt\tIN\tB-PP\tO' +p30475 +aS'2:30\t2:30\tCD\tB-NP\tO' +p30476 +aS'on\ton\tIN\tB-PP\tO' +p30477 +aS'June\tJune\tNNP\tB-NP\tO' +p30478 +aS'26\t26\tCD\tI-NP\tO' +p30479 +aS',\t,\t,\tI-NP\tO' +p30480 +aS'1999\t1999\tCD\tI-NP\tO' +p30481 +aS',\t,\t,\tO\tO' +p30482 +aS'I\tI\tPRP\tB-NP\tO' +p30483 +aS'was\tbe\tVBD\tB-VP\tO' +p30484 +aS'called\tcall\tVBN\tI-VP\tO' +p30485 +aS'to\tto\tTO\tB-VP\tO' +p30486 +aS'see\tsee\tVB\tI-VP\tO' +p30487 +aS'the\tthe\tDT\tB-NP\tO' +p30488 +aS'patient\tpatient\tNN\tI-NP\tO' +p30489 +aS'who\twho\tWP\tB-NP\tO' +p30490 +aS'had\thave\tVBD\tB-VP\tO' +p30491 +aS'expired\texpire\tVBN\tI-VP\tO' +p30492 +aS'.\t.\t.\tO\tO' +p30493 +asS'3) Cogentin 0.5 mg. 2 tabs q.a.m. , 1 q.lunch time , 1 q.bed time .' +p30494 +(lp30495 +S'3)\t3)\tLS\tB-NP\tO' +p30496 +aS'Cogentin\tCogentin\tNN\tI-NP\tO' +p30497 +aS'0.5\t0.5\tCD\tB-NP\tO' +p30498 +aS'mg.\tmg.\tNN\tI-NP\tO' +p30499 +aS'2\t2\tCD\tB-NP\tO' +p30500 +aS'tabs\ttab\tNNS\tI-NP\tO' +p30501 +aS'q.a.m.\tq.a.m.\tNN\tI-NP\tO' +p30502 +aS',\t,\t,\tO\tO' +p30503 +aS'1\t1\tCD\tB-NP\tO' +p30504 +aS'q.lunch\tq.lunch\tNN\tI-NP\tO' +p30505 +aS'time\ttime\tNN\tI-NP\tO' +p30506 +aS',\t,\t,\tO\tO' +p30507 +aS'1\t1\tCD\tB-NP\tO' +p30508 +aS'q.bed\tq.be\tVBD\tB-VP\tO' +p30509 +aS'time\ttime\tNN\tB-NP\tO' +p30510 +aS'.\t.\t.\tO\tO' +p30511 +asS'She described the pain as a burning pain which is positional , worse when she walks or does any type of exercise .' +p30512 +(lp30513 +S'She\tShe\tPRP\tB-NP\tO' +p30514 +aS'described\tdescribe\tVBD\tB-VP\tO' +p30515 +aS'the\tthe\tDT\tB-NP\tO' +p30516 +aS'pain\tpain\tNN\tI-NP\tO' +p30517 +aS'as\tas\tIN\tB-PP\tO' +p30518 +aS'a\ta\tDT\tB-NP\tO' +p30519 +aS'burning\tburn\tVBG\tI-NP\tO' +p30520 +aS'pain\tpain\tNN\tI-NP\tO' +p30521 +aS'which\twhich\tWDT\tB-NP\tO' +p30522 +aS'is\tbe\tVBZ\tB-VP\tO' +p30523 +aS'positional\tpositional\tJJ\tB-ADJP\tO' +p30524 +aS',\t,\t,\tO\tO' +p30525 +aS'worse\tworse\tJJR\tB-ADJP\tO' +p30526 +aS'when\twhen\tWRB\tB-ADVP\tO' +p30527 +aS'she\tshe\tPRP\tB-NP\tO' +p30528 +aS'walks\twalk\tVBZ\tB-VP\tO' +p30529 +aS'or\tor\tCC\tI-VP\tO' +p30530 +aS'does\tdo\tVBZ\tI-VP\tO' +p30531 +aS'any\tany\tDT\tB-NP\tO' +p30532 +aS'type\ttype\tNN\tI-NP\tO' +p30533 +aS'of\tof\tIN\tB-PP\tO' +p30534 +aS'exercise\texercise\tNN\tB-NP\tO' +p30535 +aS'.\t.\t.\tO\tO' +p30536 +asS'7. Vitamins .' +p30537 +(lp30538 +S'7.\t7.\tLS\tB-NP\tO' +p30539 +aS'Vitamins\tVitamin\tNNS\tI-NP\tO' +p30540 +aS'.\t.\t.\tO\tO' +p30541 +asS'The patient was admitted with the assessment of left rotator cuff repair and he was taken to the Operating Room on the day of admission where he underwent left rotator cuff repair under general endotracheal tube anesthesia .' +p30542 +(lp30543 +S'The\tThe\tDT\tB-NP\tO' +p30544 +aS'patient\tpatient\tNN\tI-NP\tO' +p30545 +aS'was\tbe\tVBD\tB-VP\tO' +p30546 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p30547 +aS'with\twith\tIN\tB-PP\tO' +p30548 +aS'the\tthe\tDT\tB-NP\tO' +p30549 +aS'assessment\tassessment\tNN\tI-NP\tO' +p30550 +aS'of\tof\tIN\tB-PP\tO' +p30551 +aS'left\tleft\tJJ\tB-NP\tO' +p30552 +aS'rotator\trotator\tNN\tI-NP\tO' +p30553 +aS'cuff\tcuff\tNN\tI-NP\tO' +p30554 +aS'repair\trepair\tNN\tI-NP\tO' +p30555 +aS'and\tand\tCC\tO\tO' +p30556 +aS'he\the\tPRP\tB-NP\tO' +p30557 +aS'was\tbe\tVBD\tB-VP\tO' +p30558 +aS'taken\ttake\tVBN\tI-VP\tO' +p30559 +aS'to\tto\tTO\tB-PP\tO' +p30560 +aS'the\tthe\tDT\tB-NP\tO' +p30561 +aS'Operating\tOperating\tNNP\tI-NP\tO' +p30562 +aS'Room\tRoom\tNNP\tI-NP\tO' +p30563 +aS'on\ton\tIN\tB-PP\tO' +p30564 +aS'the\tthe\tDT\tB-NP\tO' +p30565 +aS'day\tday\tNN\tI-NP\tO' +p30566 +aS'of\tof\tIN\tB-PP\tO' +p30567 +aS'admission\tadmission\tNN\tB-NP\tO' +p30568 +aS'where\twhere\tWRB\tB-ADVP\tO' +p30569 +aS'he\the\tPRP\tB-NP\tO' +p30570 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p30571 +aS'left\tleft\tJJ\tB-NP\tO' +p30572 +aS'rotator\trotator\tNN\tI-NP\tO' +p30573 +aS'cuff\tcuff\tNN\tI-NP\tO' +p30574 +aS'repair\trepair\tNN\tI-NP\tO' +p30575 +aS'under\tunder\tIN\tB-PP\tO' +p30576 +aS'general\tgeneral\tJJ\tB-NP\tO' +p30577 +aS'endotracheal\tendotracheal\tJJ\tI-NP\tO' +p30578 +aS'tube\ttube\tNN\tI-NP\tO' +p30579 +aS'anesthesia\tanesthesia\tNN\tI-NP\tO' +p30580 +aS'.\t.\t.\tO\tO' +p30581 +asS'In addition , the patient gets 250 cc. of juice ( not water ) three times a day .' +p30582 +(lp30583 +S'In\tIn\tIN\tB-PP\tO' +p30584 +aS'addition\taddition\tNN\tB-NP\tO' +p30585 +aS',\t,\t,\tO\tO' +p30586 +aS'the\tthe\tDT\tB-NP\tO' +p30587 +aS'patient\tpatient\tNN\tI-NP\tO' +p30588 +aS'gets\tget\tVBZ\tB-VP\tO' +p30589 +aS'250\t250\tCD\tB-NP\tO' +p30590 +aS'cc.\tcc.\tNN\tI-NP\tO' +p30591 +aS'of\tof\tIN\tB-PP\tO' +p30592 +aS'juice\tjuice\tNN\tB-NP\tO' +p30593 +aS'(\t(\t(\tO\tO' +p30594 +aS'not\tnot\tRB\tO\tO' +p30595 +aS'water\twater\tNN\tB-NP\tO' +p30596 +aS')\t)\t)\tO\tO' +p30597 +aS'three\tthree\tCD\tB-NP\tO' +p30598 +aS'times\ttime\tNNS\tI-NP\tO' +p30599 +aS'a\ta\tDT\tB-NP\tO' +p30600 +aS'day\tday\tNN\tI-NP\tO' +p30601 +aS'.\t.\t.\tO\tO' +p30602 +asS'POD# 05-25 she continued with intermittent complaints of urinary retention .' +p30603 +(lp30604 +S'POD#\tPOD#\tNN\tB-NP\tO' +p30605 +aS'05-25\t05-25\tCD\tI-NP\tO' +p30606 +aS'she\tshe\tPRP\tB-NP\tO' +p30607 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p30608 +aS'with\twith\tIN\tB-PP\tO' +p30609 +aS'intermittent\tintermittent\tJJ\tB-NP\tO' +p30610 +aS'complaints\tcomplaint\tNNS\tI-NP\tO' +p30611 +aS'of\tof\tIN\tB-PP\tO' +p30612 +aS'urinary\turinary\tJJ\tB-NP\tO' +p30613 +aS'retention\tretention\tNN\tI-NP\tO' +p30614 +aS'.\t.\t.\tO\tO' +p30615 +asS'4/11/95 .' +p30616 +(lp30617 +S'4/11/95\t4/11/95\tCD\tB-NP\tO' +p30618 +aS'.\t.\t.\tO\tO' +p30619 +asS'Coumadin 2.5 mg. five times a week , Ativan and Lomotil prn .' +p30620 +(lp30621 +S'Coumadin\tCoumadin\tNN\tB-NP\tO' +p30622 +aS'2.5\t2.5\tCD\tI-NP\tO' +p30623 +aS'mg.\tmg.\tNN\tI-NP\tO' +p30624 +aS'five\tfive\tCD\tB-NP\tO' +p30625 +aS'times\ttime\tNNS\tI-NP\tO' +p30626 +aS'a\ta\tDT\tB-NP\tO' +p30627 +aS'week\tweek\tNN\tI-NP\tO' +p30628 +aS',\t,\t,\tO\tO' +p30629 +aS'Ativan\tAtivan\tNN\tB-NP\tO' +p30630 +aS'and\tand\tCC\tO\tO' +p30631 +aS'Lomotil\tLomotil\tNN\tB-NP\tO' +p30632 +aS'prn\tprn\tNN\tI-NP\tO' +p30633 +aS'.\t.\t.\tO\tO' +p30634 +asS'Epinephrine and atropine were administered as were bicarbonate and calcium .' +p30635 +(lp30636 +S'Epinephrine\tEpinephrine\tNN\tB-NP\tO' +p30637 +aS'and\tand\tCC\tI-NP\tO' +p30638 +aS'atropine\tatropine\tNN\tI-NP\tO' +p30639 +aS'were\tbe\tVBD\tB-VP\tO' +p30640 +aS'administered\tadminister\tVBN\tI-VP\tO' +p30641 +aS'as\tas\tIN\tB-SBAR\tO' +p30642 +aS'were\tbe\tVBD\tB-VP\tO' +p30643 +aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' +p30644 +aS'and\tand\tCC\tI-NP\tO' +p30645 +aS'calcium\tcalcium\tNN\tI-NP\tO' +p30646 +aS'.\t.\t.\tO\tO' +p30647 +asS'1. Amiodarone 200 mg Tablet Sig : 0.5 Tablet PO qod - in March , should be on odd days .' +p30648 +(lp30649 +S'1.\t1.\tLS\tB-NP\tO' +p30650 +aS'Amiodarone\tAmiodarone\tNN\tI-NP\tO' +p30651 +aS'200\t200\tCD\tI-NP\tO' +p30652 +aS'mg\tmg\tNN\tI-NP\tO' +p30653 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p30654 +aS'Sig\tSig\tNNP\tI-NP\tO' +p30655 +aS':\t:\t:\tO\tO' +p30656 +aS'0.5\t0.5\tCD\tB-NP\tO' +p30657 +aS'Tablet\tTablet\tNN\tI-NP\tO' +p30658 +aS'PO\tPO\tNN\tI-NP\tO' +p30659 +aS'qod\tqod\tNN\tI-NP\tO' +p30660 +aS'-\t-\tHYPH\tB-ADJP\tO' +p30661 +aS'in\tin\tIN\tB-PP\tO' +p30662 +aS'March\tMarch\tNNP\tB-NP\tO' +p30663 +aS',\t,\t,\tO\tO' +p30664 +aS'should\tshould\tMD\tB-VP\tO' +p30665 +aS'be\tbe\tVB\tI-VP\tO' +p30666 +aS'on\ton\tIN\tB-PP\tO' +p30667 +aS'odd\todd\tJJ\tB-NP\tO' +p30668 +aS'days\tday\tNNS\tI-NP\tO' +p30669 +aS'.\t.\t.\tO\tO' +p30670 +asS'Postoperatively , she had her heparin restarted , and had a PTT rising to 142.8 and then down to 92 .' +p30671 +(lp30672 +S'Postoperatively\tPostoperatively\tRB\tB-ADVP\tO' +p30673 +aS',\t,\t,\tO\tO' +p30674 +aS'she\tshe\tPRP\tB-NP\tO' +p30675 +aS'had\thave\tVBD\tB-VP\tO' +p30676 +aS'her\ther\tPRP$\tB-NP\tO' +p30677 +aS'heparin\theparin\tNN\tI-NP\tO' +p30678 +aS'restarted\trestart\tVBD\tB-VP\tO' +p30679 +aS',\t,\t,\tO\tO' +p30680 +aS'and\tand\tCC\tO\tO' +p30681 +aS'had\thave\tVBD\tB-VP\tO' +p30682 +aS'a\ta\tDT\tB-NP\tO' +p30683 +aS'PTT\tPTT\tNN\tI-NP\tO' +p30684 +aS'rising\trise\tVBG\tB-VP\tO' +p30685 +aS'to\tto\tTO\tB-PP\tO' +p30686 +aS'142.8\t142.8\tCD\tB-NP\tO' +p30687 +aS'and\tand\tCC\tO\tO' +p30688 +aS'then\tthen\tRB\tB-ADVP\tO' +p30689 +aS'down\tdown\tRB\tI-ADVP\tO' +p30690 +aS'to\tto\tTO\tB-PP\tO' +p30691 +aS'92\t92\tCD\tB-NP\tO' +p30692 +aS'.\t.\t.\tO\tO' +p30693 +asS"On 09-02 it was decided that the patient was stable and ready to be transferred back to rehabilitation , however case management was unable to get authorization from the patient 's insurance company and he remained in the hospital throughout the holiday weekend awaiting insurance authorization for transfer back to rehabilitation ." +p30694 +(lp30695 +S'On\tOn\tIN\tB-PP\tO' +p30696 +aS'09-02\t09-02\tCD\tB-NP\tO' +p30697 +aS'it\tit\tPRP\tB-NP\tO' +p30698 +aS'was\tbe\tVBD\tB-VP\tO' +p30699 +aS'decided\tdecide\tVBN\tI-VP\tO' +p30700 +aS'that\tthat\tIN\tB-SBAR\tO' +p30701 +aS'the\tthe\tDT\tB-NP\tO' +p30702 +aS'patient\tpatient\tNN\tI-NP\tO' +p30703 +aS'was\tbe\tVBD\tB-VP\tO' +p30704 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p30705 +aS'and\tand\tCC\tI-ADJP\tO' +p30706 +aS'ready\tready\tJJ\tI-ADJP\tO' +p30707 +aS'to\tto\tTO\tB-VP\tO' +p30708 +aS'be\tbe\tVB\tI-VP\tO' +p30709 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p30710 +aS'back\tback\tRB\tB-ADVP\tO' +p30711 +aS'to\tto\tTO\tB-PP\tO' +p30712 +aS'rehabilitation\trehabilitation\tNN\tB-NP\tO' +p30713 +aS',\t,\t,\tO\tO' +p30714 +aS'however\thowever\tRB\tB-NP\tO' +p30715 +aS'case\tcase\tNN\tI-NP\tO' +p30716 +aS'management\tmanagement\tNN\tI-NP\tO' +p30717 +aS'was\tbe\tVBD\tB-VP\tO' +p30718 +aS'unable\tunable\tJJ\tB-ADJP\tO' +p30719 +aS'to\tto\tTO\tB-VP\tO' +p30720 +aS'get\tget\tVB\tI-VP\tO' +p30721 +aS'authorization\tauthorization\tNN\tB-NP\tO' +p30722 +aS'from\tfrom\tIN\tB-PP\tO' +p30723 +aS'the\tthe\tDT\tB-NP\tO' +p30724 +aS'patient\tpatient\tNN\tI-NP\tO' +p30725 +aS"'s\t's\tPOS\tB-NP\tO" +p30726 +aS'insurance\tinsurance\tNN\tI-NP\tO' +p30727 +aS'company\tcompany\tNN\tI-NP\tO' +p30728 +aS'and\tand\tCC\tO\tO' +p30729 +aS'he\the\tPRP\tB-NP\tO' +p30730 +aS'remained\tremain\tVBD\tB-VP\tO' +p30731 +aS'in\tin\tIN\tB-PP\tO' +p30732 +aS'the\tthe\tDT\tB-NP\tO' +p30733 +aS'hospital\thospital\tNN\tI-NP\tO' +p30734 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p30735 +aS'the\tthe\tDT\tB-NP\tO' +p30736 +aS'holiday\tholiday\tNN\tI-NP\tO' +p30737 +aS'weekend\tweekend\tNN\tI-NP\tO' +p30738 +aS'awaiting\tawait\tVBG\tB-VP\tO' +p30739 +aS'insurance\tinsurance\tNN\tB-NP\tO' +p30740 +aS'authorization\tauthorization\tNN\tI-NP\tO' +p30741 +aS'for\tfor\tIN\tB-PP\tO' +p30742 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p30743 +aS'back\tback\tRB\tB-ADVP\tO' +p30744 +aS'to\tto\tTO\tB-PP\tO' +p30745 +aS'rehabilitation\trehabilitation\tNN\tB-NP\tO' +p30746 +aS'.\t.\t.\tO\tO' +p30747 +asS'It was felt that his dementing illness and rigidity was most likely due to some type of cortico-basal ganglia degeneration process , but this was not clarified during this admission .' +p30748 +(lp30749 +S'It\tIt\tPRP\tB-NP\tO' +p30750 +aS'was\tbe\tVBD\tB-VP\tO' +p30751 +aS'felt\tfeel\tVBN\tI-VP\tO' +p30752 +aS'that\tthat\tIN\tB-SBAR\tO' +p30753 +aS'his\this\tPRP$\tB-NP\tB-DNA' +p30754 +aS'dementing\tdemente\tVBG\tI-NP\tO' +p30755 +aS'illness\tillness\tNN\tI-NP\tO' +p30756 +aS'and\tand\tCC\tI-NP\tO' +p30757 +aS'rigidity\trigidity\tNN\tI-NP\tO' +p30758 +aS'was\tbe\tVBD\tB-VP\tO' +p30759 +aS'most\tmost\tRBS\tB-ADVP\tO' +p30760 +aS'likely\tlikely\tRB\tI-ADVP\tO' +p30761 +aS'due\tdue\tIN\tB-PP\tO' +p30762 +aS'to\tto\tTO\tB-PP\tO' +p30763 +aS'some\tsome\tDT\tB-NP\tO' +p30764 +aS'type\ttype\tNN\tI-NP\tO' +p30765 +aS'of\tof\tIN\tB-PP\tO' +p30766 +aS'cortico-basal\tcortico-basal\tJJ\tB-NP\tO' +p30767 +aS'ganglia\tganglia\tNNS\tI-NP\tO' +p30768 +aS'degeneration\tdegeneration\tNN\tI-NP\tO' +p30769 +aS'process\tprocess\tNN\tI-NP\tO' +p30770 +aS',\t,\t,\tO\tO' +p30771 +aS'but\tbut\tCC\tO\tO' +p30772 +aS'this\tthis\tDT\tB-NP\tO' +p30773 +aS'was\tbe\tVBD\tB-VP\tO' +p30774 +aS'not\tnot\tRB\tI-VP\tO' +p30775 +aS'clarified\tclarify\tVBN\tI-VP\tO' +p30776 +aS'during\tduring\tIN\tB-PP\tO' +p30777 +aS'this\tthis\tDT\tB-NP\tO' +p30778 +aS'admission\tadmission\tNN\tI-NP\tO' +p30779 +aS'.\t.\t.\tO\tO' +p30780 +asS'The patient had two recent admissions for pancreatitis in January 1994 , and August 1994 .' +p30781 +(lp30782 +S'The\tThe\tDT\tB-NP\tO' +p30783 +aS'patient\tpatient\tNN\tI-NP\tO' +p30784 +aS'had\thave\tVBD\tB-VP\tO' +p30785 +aS'two\ttwo\tCD\tB-NP\tO' +p30786 +aS'recent\trecent\tJJ\tI-NP\tO' +p30787 +aS'admissions\tadmission\tNNS\tI-NP\tO' +p30788 +aS'for\tfor\tIN\tB-PP\tO' +p30789 +aS'pancreatitis\tpancreatitis\tNN\tB-NP\tO' +p30790 +aS'in\tin\tIN\tB-PP\tO' +p30791 +aS'January\tJanuary\tNNP\tB-NP\tO' +p30792 +aS'1994\t1994\tCD\tI-NP\tO' +p30793 +aS',\t,\t,\tO\tO' +p30794 +aS'and\tand\tCC\tO\tO' +p30795 +aS'August\tAugust\tNNP\tB-NP\tO' +p30796 +aS'1994\t1994\tCD\tI-NP\tO' +p30797 +aS'.\t.\t.\tO\tO' +p30798 +asS'A dual chamber pacemaker is seen with leads terminating in the right atrium and right ventricle .' +p30799 +(lp30800 +S'A\tA\tDT\tB-NP\tO' +p30801 +aS'dual\tdual\tJJ\tI-NP\tO' +p30802 +aS'chamber\tchamber\tNN\tI-NP\tO' +p30803 +aS'pacemaker\tpacemaker\tNN\tI-NP\tO' +p30804 +aS'is\tbe\tVBZ\tB-VP\tO' +p30805 +aS'seen\tsee\tVBN\tI-VP\tO' +p30806 +aS'with\twith\tIN\tB-PP\tO' +p30807 +aS'leads\tlead\tNNS\tB-NP\tO' +p30808 +aS'terminating\tterminate\tVBG\tB-VP\tO' +p30809 +aS'in\tin\tIN\tB-PP\tO' +p30810 +aS'the\tthe\tDT\tB-NP\tO' +p30811 +aS'right\tright\tJJ\tI-NP\tO' +p30812 +aS'atrium\tatrium\tNN\tI-NP\tO' +p30813 +aS'and\tand\tCC\tI-NP\tO' +p30814 +aS'right\tright\tJJ\tI-NP\tO' +p30815 +aS'ventricle\tventricle\tNN\tI-NP\tO' +p30816 +aS'.\t.\t.\tO\tO' +p30817 +asS'Rectal is guaiac positive per Emergency Department .' +p30818 +(lp30819 +S'Rectal\tRectal\tJJ\tB-NP\tO' +p30820 +aS'is\tbe\tVBZ\tB-VP\tO' +p30821 +aS'guaiac\tguaiac\tJJ\tB-ADJP\tO' +p30822 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p30823 +aS'per\tper\tIN\tB-PP\tO' +p30824 +aS'Emergency\tEmergency\tNNP\tB-NP\tO' +p30825 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p30826 +aS'.\t.\t.\tO\tO' +p30827 +asS'She ambulated without difficulty and was discharged to home to be followed medically for her coronary artery disease following two failed bypass graft procedure by Dr. Brendniungand Asilbekote in Bi Masase , KS .' +p30828 +(lp30829 +S'She\tShe\tPRP\tB-NP\tO' +p30830 +aS'ambulated\tambulate\tVBD\tB-VP\tO' +p30831 +aS'without\twithout\tIN\tB-PP\tO' +p30832 +aS'difficulty\tdifficulty\tNN\tB-NP\tO' +p30833 +aS'and\tand\tCC\tO\tO' +p30834 +aS'was\tbe\tVBD\tB-VP\tO' +p30835 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p30836 +aS'to\tto\tTO\tB-PP\tO' +p30837 +aS'home\thome\tNN\tB-NP\tO' +p30838 +aS'to\tto\tTO\tB-VP\tO' +p30839 +aS'be\tbe\tVB\tI-VP\tO' +p30840 +aS'followed\tfollow\tVBN\tI-VP\tO' +p30841 +aS'medically\tmedically\tRB\tB-ADVP\tO' +p30842 +aS'for\tfor\tIN\tB-PP\tO' +p30843 +aS'her\ther\tPRP$\tB-NP\tO' +p30844 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p30845 +aS'artery\tartery\tNN\tI-NP\tO' +p30846 +aS'disease\tdisease\tNN\tI-NP\tO' +p30847 +aS'following\tfollow\tVBG\tB-PP\tO' +p30848 +aS'two\ttwo\tCD\tB-NP\tO' +p30849 +aS'failed\tfail\tVBD\tB-VP\tO' +p30850 +aS'bypass\tbypass\tIN\tB-PP\tO' +p30851 +aS'graft\tgraft\tNN\tB-NP\tO' +p30852 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p30853 +aS'by\tby\tIN\tB-PP\tO' +p30854 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p30855 +aS'Brendniungand\tBrendniungand\tNNP\tI-NP\tO' +p30856 +aS'Asilbekote\tAsilbekote\tNNP\tI-NP\tO' +p30857 +aS'in\tin\tIN\tB-PP\tO' +p30858 +aS'Bi\tBi\tNNP\tB-NP\tO' +p30859 +aS'Masase\tMasase\tNNP\tI-NP\tO' +p30860 +aS',\t,\t,\tO\tO' +p30861 +aS'KS\tKS\tNNP\tB-NP\tO' +p30862 +aS'.\t.\t.\tO\tO' +p30863 +asS'The creatinine was 1.3 and dropping to 1.1 .' +p30864 +(lp30865 +S'The\tThe\tDT\tB-NP\tO' +p30866 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p30867 +aS'was\tbe\tVBD\tB-VP\tO' +p30868 +aS'1.3\t1.3\tCD\tB-NP\tO' +p30869 +aS'and\tand\tCC\tO\tO' +p30870 +aS'dropping\tdrop\tVBG\tB-VP\tO' +p30871 +aS'to\tto\tTO\tB-PP\tO' +p30872 +aS'1.1\t1.1\tCD\tB-NP\tO' +p30873 +aS'.\t.\t.\tO\tO' +p30874 +asS'She had admitted to the CMED and had multiple episodes of apnea throughout the night .' +p30875 +(lp30876 +S'She\tShe\tPRP\tB-NP\tO' +p30877 +aS'had\thave\tVBD\tB-VP\tO' +p30878 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p30879 +aS'to\tto\tTO\tB-PP\tO' +p30880 +aS'the\tthe\tDT\tB-NP\tO' +p30881 +aS'CMED\tCMED\tNN\tI-NP\tO' +p30882 +aS'and\tand\tCC\tO\tO' +p30883 +aS'had\thave\tVBD\tB-VP\tO' +p30884 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p30885 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p30886 +aS'of\tof\tIN\tB-PP\tO' +p30887 +aS'apnea\tapnea\tNN\tB-NP\tO' +p30888 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p30889 +aS'the\tthe\tDT\tB-NP\tO' +p30890 +aS'night\tnight\tNN\tI-NP\tO' +p30891 +aS'.\t.\t.\tO\tO' +p30892 +asS'Hematocrit 36 , white blood cell count 8.3 , platelets 342 .' +p30893 +(lp30894 +S'Hematocrit\tHematocrit\tNN\tB-NP\tB-protein' +p30895 +aS'36\t36\tCD\tI-NP\tI-protein' +p30896 +aS',\t,\t,\tO\tO' +p30897 +aS'white\twhite\tJJ\tB-NP\tO' +p30898 +aS'blood\tblood\tNN\tI-NP\tO' +p30899 +aS'cell\tcell\tNN\tI-NP\tO' +p30900 +aS'count\tcount\tNN\tI-NP\tO' +p30901 +aS'8.3\t8.3\tCD\tB-NP\tO' +p30902 +aS',\t,\t,\tO\tO' +p30903 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p30904 +aS'342\t342\tCD\tB-NP\tO' +p30905 +aS'.\t.\t.\tO\tO' +p30906 +asS'The deep tendon reflexes were 2+ on the left side , 1+ on the right side .' +p30907 +(lp30908 +S'The\tThe\tDT\tB-NP\tO' +p30909 +aS'deep\tdeep\tJJ\tI-NP\tO' +p30910 +aS'tendon\ttendon\tNN\tI-NP\tO' +p30911 +aS'reflexes\treflex\tNNS\tI-NP\tO' +p30912 +aS'were\tbe\tVBD\tB-VP\tO' +p30913 +aS'2+\t2+\tJJ\tB-ADJP\tO' +p30914 +aS'on\ton\tIN\tB-PP\tO' +p30915 +aS'the\tthe\tDT\tB-NP\tO' +p30916 +aS'left\tleft\tJJ\tI-NP\tO' +p30917 +aS'side\tside\tNN\tI-NP\tO' +p30918 +aS',\t,\t,\tO\tO' +p30919 +aS'1+\t1+\tJJ\tB-ADJP\tO' +p30920 +aS'on\ton\tIN\tB-PP\tO' +p30921 +aS'the\tthe\tDT\tB-NP\tO' +p30922 +aS'right\tright\tJJ\tI-NP\tO' +p30923 +aS'side\tside\tNN\tI-NP\tO' +p30924 +aS'.\t.\t.\tO\tO' +p30925 +asS'OTHER TREATMENTS / PROCEDURES ( NOT IN O.R. ) None .' +p30926 +(lp30927 +S'OTHER\tOTHER\tNN\tB-NP\tO' +p30928 +aS'TREATMENTS\tTREATMENTS\tNN\tI-NP\tO' +p30929 +aS'/\t/\tSYM\tO\tO' +p30930 +aS'PROCEDURES\tPROCEDURES\tNN\tB-NP\tO' +p30931 +aS'(\t(\t(\tO\tO' +p30932 +aS'NOT\tNOT\tNN\tB-NP\tB-protein' +p30933 +aS'IN\tIN\tIN\tB-PP\tI-protein' +p30934 +aS'O.R.\tO.R.\tNNP\tB-NP\tO' +p30935 +aS')\t)\t)\tO\tO' +p30936 +aS'None\tNone\tNNP\tB-NP\tO' +p30937 +aS'.\t.\t.\tO\tO' +p30938 +asS'The head , eyes , ears , nose , throat exam was notable for alopecia , otherwise unremarkable .' +p30939 +(lp30940 +S'The\tThe\tDT\tB-NP\tO' +p30941 +aS'head\thead\tNN\tI-NP\tO' +p30942 +aS',\t,\t,\tO\tO' +p30943 +aS'eyes\teye\tNNS\tB-NP\tO' +p30944 +aS',\t,\t,\tO\tO' +p30945 +aS'ears\tear\tNNS\tB-NP\tO' +p30946 +aS',\t,\t,\tO\tO' +p30947 +aS'nose\tnose\tNN\tB-NP\tO' +p30948 +aS',\t,\t,\tO\tO' +p30949 +aS'throat\tthroat\tDT\tB-NP\tO' +p30950 +aS'exam\texam\tNN\tI-NP\tO' +p30951 +aS'was\tbe\tVBD\tB-VP\tO' +p30952 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p30953 +aS'for\tfor\tIN\tB-PP\tO' +p30954 +aS'alopecia\talopecia\tNN\tB-NP\tO' +p30955 +aS',\t,\t,\tO\tO' +p30956 +aS'otherwise\totherwise\tRB\tB-ADJP\tO' +p30957 +aS'unremarkable\tunremarkable\tJJ\tI-ADJP\tO' +p30958 +aS'.\t.\t.\tO\tO' +p30959 +asS'The patient complained of diaphoresis , confusion , dizziness , lightheadedness after drinking a 24 ounce beer and taking at least an extra 15 units of NPH insulin the evening of 2010-08-27 ( later reported over 70 U insulin administered from 2.30 PM until time of presentation ) followed by not eating dinner .' +p30960 +(lp30961 +S'The\tThe\tDT\tB-NP\tO' +p30962 +aS'patient\tpatient\tNN\tI-NP\tO' +p30963 +aS'complained\tcomplain\tVBD\tB-VP\tO' +p30964 +aS'of\tof\tIN\tB-PP\tO' +p30965 +aS'diaphoresis\tdiaphoresis\tNN\tB-NP\tO' +p30966 +aS',\t,\t,\tO\tO' +p30967 +aS'confusion\tconfusion\tNN\tB-NP\tO' +p30968 +aS',\t,\t,\tO\tO' +p30969 +aS'dizziness\tdizziness\tNN\tB-NP\tO' +p30970 +aS',\t,\t,\tO\tO' +p30971 +aS'lightheadedness\tlightheadedness\tNN\tB-NP\tO' +p30972 +aS'after\tafter\tIN\tB-PP\tO' +p30973 +aS'drinking\tdrink\tVBG\tB-VP\tO' +p30974 +aS'a\ta\tDT\tB-NP\tO' +p30975 +aS'24\t24\tCD\tI-NP\tO' +p30976 +aS'ounce\tounce\tNN\tI-NP\tO' +p30977 +aS'beer\tbeer\tNN\tI-NP\tO' +p30978 +aS'and\tand\tCC\tO\tO' +p30979 +aS'taking\ttake\tVBG\tB-VP\tO' +p30980 +aS'at\tat\tIN\tB-ADVP\tO' +p30981 +aS'least\tleast\tJJS\tI-ADVP\tO' +p30982 +aS'an\tan\tDT\tB-NP\tO' +p30983 +aS'extra\textra\tJJ\tI-NP\tO' +p30984 +aS'15\t15\tCD\tI-NP\tO' +p30985 +aS'units\tunit\tNNS\tI-NP\tO' +p30986 +aS'of\tof\tIN\tB-PP\tO' +p30987 +aS'NPH\tNPH\tNN\tB-NP\tB-protein' +p30988 +aS'insulin\tinsulin\tNN\tI-NP\tI-protein' +p30989 +aS'the\tthe\tDT\tB-NP\tO' +p30990 +aS'evening\tevening\tNN\tI-NP\tO' +p30991 +aS'of\tof\tIN\tB-PP\tO' +p30992 +aS'2010-08-27\t2010-08-27\tCD\tB-NP\tO' +p30993 +aS'(\t(\t(\tO\tO' +p30994 +aS'later\tlater\tRB\tB-VP\tO' +p30995 +aS'reported\treport\tVBN\tI-VP\tO' +p30996 +aS'over\tover\tIN\tB-NP\tO' +p30997 +aS'70\t70\tCD\tI-NP\tO' +p30998 +aS'U\tU\tNN\tI-NP\tO' +p30999 +aS'insulin\tinsulin\tNN\tI-NP\tO' +p31000 +aS'administered\tadminister\tVBN\tB-VP\tO' +p31001 +aS'from\tfrom\tIN\tB-PP\tO' +p31002 +aS'2.30\t2.30\tCD\tB-NP\tO' +p31003 +aS'PM\tPM\tNN\tI-NP\tO' +p31004 +aS'until\tuntil\tIN\tB-PP\tO' +p31005 +aS'time\ttime\tNN\tB-NP\tO' +p31006 +aS'of\tof\tIN\tB-PP\tO' +p31007 +aS'presentation\tpresentation\tNN\tB-NP\tO' +p31008 +aS')\t)\t)\tO\tO' +p31009 +aS'followed\tfollow\tVBN\tB-VP\tO' +p31010 +aS'by\tby\tIN\tB-PP\tO' +p31011 +aS'not\tnot\tRB\tO\tO' +p31012 +aS'eating\teat\tVBG\tB-VP\tO' +p31013 +aS'dinner\tdinner\tNN\tB-NP\tO' +p31014 +aS'.\t.\t.\tO\tO' +p31015 +asS'The patient is a 65-year-old man with refractory CLL , status post non-myeloblative stem cell transplant approximately nine months prior to admission , and status post prolonged recent Retelk County Medical Center stay for Acanthamoeba infection of skin and sinuses , complicated by ARS due to medication toxicity , as well as GVHD and recent CMV infection , readmitted for new fever , increasing creatinine , hepatomegaly and fluid surge spacing , in the setting of hyponatremia .' +p31016 +(lp31017 +S'The\tThe\tDT\tB-NP\tO' +p31018 +aS'patient\tpatient\tNN\tI-NP\tO' +p31019 +aS'is\tbe\tVBZ\tB-VP\tO' +p31020 +aS'a\ta\tDT\tB-NP\tO' +p31021 +aS'65-year-old\t65-year-old\tJJ\tI-NP\tO' +p31022 +aS'man\tman\tNN\tI-NP\tO' +p31023 +aS'with\twith\tIN\tB-PP\tO' +p31024 +aS'refractory\trefractory\tJJ\tB-NP\tO' +p31025 +aS'CLL\tCLL\tNN\tI-NP\tO' +p31026 +aS',\t,\t,\tO\tO' +p31027 +aS'status\tstatus\tNN\tB-NP\tO' +p31028 +aS'post\tpost\tNN\tI-NP\tO' +p31029 +aS'non-myeloblative\tnon-myeloblative\tJJ\tI-NP\tO' +p31030 +aS'stem\tstem\tNN\tI-NP\tO' +p31031 +aS'cell\tcell\tNN\tI-NP\tO' +p31032 +aS'transplant\ttransplant\tNN\tI-NP\tO' +p31033 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p31034 +aS'nine\tnine\tCD\tI-NP\tO' +p31035 +aS'months\tmonth\tNNS\tI-NP\tO' +p31036 +aS'prior\tprior\tRB\tB-ADVP\tO' +p31037 +aS'to\tto\tTO\tB-PP\tO' +p31038 +aS'admission\tadmission\tNN\tB-NP\tO' +p31039 +aS',\t,\t,\tO\tO' +p31040 +aS'and\tand\tCC\tO\tO' +p31041 +aS'status\tstatus\tNN\tB-NP\tO' +p31042 +aS'post\tpost\tNN\tI-NP\tO' +p31043 +aS'prolonged\tprolong\tVBD\tB-VP\tO' +p31044 +aS'recent\trecent\tJJ\tB-NP\tO' +p31045 +aS'Retelk\tRetelk\tNNP\tI-NP\tO' +p31046 +aS'County\tCounty\tNNP\tI-NP\tO' +p31047 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p31048 +aS'Center\tCenter\tNNP\tI-NP\tO' +p31049 +aS'stay\tstay\tNN\tI-NP\tO' +p31050 +aS'for\tfor\tIN\tB-PP\tO' +p31051 +aS'Acanthamoeba\tAcanthamoeba\tNN\tB-NP\tO' +p31052 +aS'infection\tinfection\tNN\tI-NP\tO' +p31053 +aS'of\tof\tIN\tB-PP\tO' +p31054 +aS'skin\tskin\tNN\tB-NP\tO' +p31055 +aS'and\tand\tCC\tI-NP\tO' +p31056 +aS'sinuses\tsinus\tNNS\tI-NP\tO' +p31057 +aS',\t,\t,\tO\tO' +p31058 +aS'complicated\tcomplicate\tVBN\tB-VP\tO' +p31059 +aS'by\tby\tIN\tB-PP\tO' +p31060 +aS'ARS\tARS\tNNS\tB-NP\tB-protein' +p31061 +aS'due\tdue\tJJ\tB-ADJP\tO' +p31062 +aS'to\tto\tTO\tB-PP\tO' +p31063 +aS'medication\tmedication\tNN\tB-NP\tO' +p31064 +aS'toxicity\ttoxicity\tNN\tI-NP\tO' +p31065 +aS',\t,\t,\tO\tO' +p31066 +aS'as\tas\tRB\tB-CONJP\tO' +p31067 +aS'well\twell\tRB\tI-CONJP\tO' +p31068 +aS'as\tas\tIN\tI-CONJP\tO' +p31069 +aS'GVHD\tGVHD\tNN\tB-NP\tO' +p31070 +aS'and\tand\tCC\tO\tO' +p31071 +aS'recent\trecent\tJJ\tB-NP\tO' +p31072 +aS'CMV\tCMV\tNN\tI-NP\tO' +p31073 +aS'infection\tinfection\tNN\tI-NP\tO' +p31074 +aS',\t,\t,\tO\tO' +p31075 +aS'readmitted\treadmitte\tVBN\tB-VP\tO' +p31076 +aS'for\tfor\tIN\tB-PP\tO' +p31077 +aS'new\tnew\tJJ\tB-NP\tO' +p31078 +aS'fever\tfever\tNN\tI-NP\tO' +p31079 +aS',\t,\t,\tO\tO' +p31080 +aS'increasing\tincrease\tVBG\tB-VP\tO' +p31081 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p31082 +aS',\t,\t,\tI-NP\tO' +p31083 +aS'hepatomegaly\thepatomegaly\tNN\tI-NP\tO' +p31084 +aS'and\tand\tCC\tI-NP\tO' +p31085 +aS'fluid\tfluid\tNN\tI-NP\tO' +p31086 +aS'surge\tsurge\tNN\tI-NP\tO' +p31087 +aS'spacing\tspacing\tNN\tI-NP\tO' +p31088 +aS',\t,\t,\tO\tO' +p31089 +aS'in\tin\tIN\tB-PP\tO' +p31090 +aS'the\tthe\tDT\tB-NP\tO' +p31091 +aS'setting\tsetting\tNN\tI-NP\tO' +p31092 +aS'of\tof\tIN\tB-PP\tO' +p31093 +aS'hyponatremia\thyponatremia\tNN\tB-NP\tO' +p31094 +aS'.\t.\t.\tO\tO' +p31095 +asS'The patient is a 62-year-old female with a history of diabetes mellitus , hypertension , COPD , hypercholesterolemia , depression and CHF who was lying in bed on the night prior to admission when she developed left-sided chest pain located in the mid-breast region with some fluttering her chest .' +p31096 +(lp31097 +S'The\tThe\tDT\tB-NP\tO' +p31098 +aS'patient\tpatient\tNN\tI-NP\tO' +p31099 +aS'is\tbe\tVBZ\tB-VP\tO' +p31100 +aS'a\ta\tDT\tB-NP\tO' +p31101 +aS'62-year-old\t62-year-old\tJJ\tI-NP\tO' +p31102 +aS'female\tfemale\tNN\tI-NP\tO' +p31103 +aS'with\twith\tIN\tB-PP\tO' +p31104 +aS'a\ta\tDT\tB-NP\tO' +p31105 +aS'history\thistory\tNN\tI-NP\tO' +p31106 +aS'of\tof\tIN\tB-PP\tO' +p31107 +aS'diabetes\tdiabetes\tNN\tB-NP\tO' +p31108 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p31109 +aS',\t,\t,\tO\tO' +p31110 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p31111 +aS',\t,\t,\tO\tO' +p31112 +aS'COPD\tCOPD\tNN\tB-NP\tO' +p31113 +aS',\t,\t,\tO\tO' +p31114 +aS'hypercholesterolemia\thypercholesterolemia\tNN\tB-NP\tO' +p31115 +aS',\t,\t,\tO\tO' +p31116 +aS'depression\tdepression\tNN\tB-NP\tO' +p31117 +aS'and\tand\tCC\tI-NP\tO' +p31118 +aS'CHF\tCHF\tNN\tI-NP\tB-protein' +p31119 +aS'who\twho\tWP\tB-NP\tO' +p31120 +aS'was\tbe\tVBD\tB-VP\tO' +p31121 +aS'lying\tlie\tVBG\tI-VP\tO' +p31122 +aS'in\tin\tIN\tB-PP\tO' +p31123 +aS'bed\tbed\tNN\tB-NP\tO' +p31124 +aS'on\ton\tIN\tB-PP\tO' +p31125 +aS'the\tthe\tDT\tB-NP\tO' +p31126 +aS'night\tnight\tNN\tI-NP\tO' +p31127 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p31128 +aS'to\tto\tTO\tB-PP\tO' +p31129 +aS'admission\tadmission\tNN\tB-NP\tO' +p31130 +aS'when\twhen\tWRB\tB-ADVP\tO' +p31131 +aS'she\tshe\tPRP\tB-NP\tO' +p31132 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p31133 +aS'left-sided\tleft-sided\tJJ\tB-NP\tO' +p31134 +aS'chest\tchest\tNN\tI-NP\tO' +p31135 +aS'pain\tpain\tNN\tI-NP\tO' +p31136 +aS'located\tlocated\tJJ\tB-ADJP\tO' +p31137 +aS'in\tin\tIN\tB-PP\tO' +p31138 +aS'the\tthe\tDT\tB-NP\tO' +p31139 +aS'mid-breast\tmid-breast\tJJ\tI-NP\tB-DNA' +p31140 +aS'region\tregion\tNN\tI-NP\tI-DNA' +p31141 +aS'with\twith\tIN\tB-PP\tO' +p31142 +aS'some\tsome\tDT\tB-NP\tO' +p31143 +aS'fluttering\tflutter\tVBG\tB-VP\tO' +p31144 +aS'her\ther\tPRP$\tB-NP\tO' +p31145 +aS'chest\tchest\tNN\tI-NP\tO' +p31146 +aS'.\t.\t.\tO\tO' +p31147 +asS'The patient 's hospitalization was uncomplicated .' +p31148 +(lp31149 +S'The\tThe\tDT\tB-NP\tO' +p31150 +aS'patient\tpatient\tNN\tI-NP\tO' +p31151 +aS''s\t'\tNNS\tI-NP\tO' +p31152 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p31153 +aS'was\tbe\tVBD\tB-VP\tO' +p31154 +aS'uncomplicated\tuncomplicated\tJJ\tB-ADJP\tO' +p31155 +aS'.\t.\t.\tO\tO' +p31156 +asS'Extremities were unremarkable .' +p31157 +(lp31158 +S'Extremities\tExtremity\tNNS\tB-NP\tO' +p31159 +aS'were\tbe\tVBD\tB-VP\tO' +p31160 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p31161 +aS'.\t.\t.\tO\tO' +p31162 +asS'PLEASE GIVE PATIENT MEDICATIONS AS PRESCRIBED AND READ WARNING LABELS CAREFULLY .' +p31163 +(lp31164 +S'PLEASE\tPLEASE\tNNP\tB-NP\tO' +p31165 +aS'GIVE\tGIVE\tNNP\tI-NP\tO' +p31166 +aS'PATIENT\tPATIENT\tNNP\tI-NP\tO' +p31167 +aS'MEDICATIONS\tMEDICATIONS\tNNP\tI-NP\tO' +p31168 +aS'AS\tAS\tNNP\tI-NP\tO' +p31169 +aS'PRESCRIBED\tPRESCRIBED\tVBD\tB-VP\tO' +p31170 +aS'AND\tAND\tCC\tB-NP\tO' +p31171 +aS'READ\tREAD\tNN\tI-NP\tO' +p31172 +aS'WARNING\tWARNING\tNN\tI-NP\tO' +p31173 +aS'LABELS\tLABELS\tNN\tI-NP\tO' +p31174 +aS'CAREFULLY\tCAREFULLY\tNN\tI-NP\tO' +p31175 +aS'.\t.\t.\tO\tO' +p31176 +asS'On postoperative day seven the patient diet was slowly advanced as tolerated .' +p31177 +(lp31178 +S'On\tOn\tIN\tB-PP\tO' +p31179 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p31180 +aS'day\tday\tNN\tI-NP\tO' +p31181 +aS'seven\tseven\tCD\tI-NP\tO' +p31182 +aS'the\tthe\tDT\tB-NP\tO' +p31183 +aS'patient\tpatient\tNN\tI-NP\tO' +p31184 +aS'diet\tdiet\tNN\tI-NP\tO' +p31185 +aS'was\tbe\tVBD\tB-VP\tO' +p31186 +aS'slowly\tslowly\tRB\tI-VP\tO' +p31187 +aS'advanced\tadvance\tVBN\tI-VP\tO' +p31188 +aS'as\tas\tIN\tB-SBAR\tO' +p31189 +aS'tolerated\ttolerate\tVBN\tB-VP\tO' +p31190 +aS'.\t.\t.\tO\tO' +p31191 +asS'The patient will follow up with Dr. Kayschird to schedule for the epidural pump .' +p31192 +(lp31193 +S'The\tThe\tDT\tB-NP\tO' +p31194 +aS'patient\tpatient\tNN\tI-NP\tO' +p31195 +aS'will\twill\tMD\tB-VP\tO' +p31196 +aS'follow\tfollow\tVB\tI-VP\tO' +p31197 +aS'up\tup\tRP\tB-PRT\tO' +p31198 +aS'with\twith\tIN\tB-PP\tO' +p31199 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p31200 +aS'Kayschird\tKayschird\tNNP\tI-NP\tO' +p31201 +aS'to\tto\tTO\tB-VP\tO' +p31202 +aS'schedule\tschedule\tVB\tI-VP\tO' +p31203 +aS'for\tfor\tIN\tB-PP\tO' +p31204 +aS'the\tthe\tDT\tB-NP\tO' +p31205 +aS'epidural\tepidural\tJJ\tI-NP\tO' +p31206 +aS'pump\tpump\tNN\tI-NP\tO' +p31207 +aS'.\t.\t.\tO\tO' +p31208 +asS'This area has continued to drain and it is felt that it could be best managed by an ostomy appliance and stoma care .' +p31209 +(lp31210 +S'This\tThis\tDT\tB-NP\tO' +p31211 +aS'area\tarea\tNN\tI-NP\tO' +p31212 +aS'has\thave\tVBZ\tB-VP\tO' +p31213 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p31214 +aS'to\tto\tTO\tI-VP\tO' +p31215 +aS'drain\tdrain\tVB\tI-VP\tO' +p31216 +aS'and\tand\tCC\tO\tO' +p31217 +aS'it\tit\tPRP\tB-NP\tO' +p31218 +aS'is\tbe\tVBZ\tB-VP\tO' +p31219 +aS'felt\tfeel\tVBN\tI-VP\tO' +p31220 +aS'that\tthat\tIN\tB-SBAR\tO' +p31221 +aS'it\tit\tPRP\tB-NP\tO' +p31222 +aS'could\tcould\tMD\tB-VP\tO' +p31223 +aS'be\tbe\tVB\tI-VP\tO' +p31224 +aS'best\twell\tRBS\tI-VP\tO' +p31225 +aS'managed\tmanage\tVBN\tI-VP\tO' +p31226 +aS'by\tby\tIN\tB-PP\tO' +p31227 +aS'an\tan\tDT\tB-NP\tO' +p31228 +aS'ostomy\tostomy\tNN\tI-NP\tO' +p31229 +aS'appliance\tappliance\tNN\tI-NP\tO' +p31230 +aS'and\tand\tCC\tO\tO' +p31231 +aS'stoma\tstoma\tNN\tB-NP\tO' +p31232 +aS'care\tcare\tNN\tI-NP\tO' +p31233 +aS'.\t.\t.\tO\tO' +p31234 +asS'In general , this was a female in moderate distress secondary to shortness of breath , spoke in short phrases and then in complete sentences as the night went on .' +p31235 +(lp31236 +S'In\tIn\tIN\tB-PP\tO' +p31237 +aS'general\tgeneral\tJJ\tB-ADJP\tO' +p31238 +aS',\t,\t,\tO\tO' +p31239 +aS'this\tthis\tDT\tB-NP\tO' +p31240 +aS'was\tbe\tVBD\tB-VP\tO' +p31241 +aS'a\ta\tDT\tB-NP\tO' +p31242 +aS'female\tfemale\tNN\tI-NP\tO' +p31243 +aS'in\tin\tIN\tB-PP\tO' +p31244 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p31245 +aS'distress\tdistress\tNN\tI-NP\tO' +p31246 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p31247 +aS'to\tto\tTO\tB-PP\tO' +p31248 +aS'shortness\tshortness\tNN\tB-NP\tO' +p31249 +aS'of\tof\tIN\tB-PP\tO' +p31250 +aS'breath\tbreath\tNN\tB-NP\tO' +p31251 +aS',\t,\t,\tO\tO' +p31252 +aS'spoke\tspeak\tVBD\tB-VP\tO' +p31253 +aS'in\tin\tIN\tB-PP\tO' +p31254 +aS'short\tshort\tJJ\tB-NP\tO' +p31255 +aS'phrases\tphrase\tNNS\tI-NP\tO' +p31256 +aS'and\tand\tCC\tO\tO' +p31257 +aS'then\tthen\tRB\tB-ADVP\tO' +p31258 +aS'in\tin\tIN\tB-PP\tO' +p31259 +aS'complete\tcomplete\tJJ\tB-NP\tO' +p31260 +aS'sentences\tsentence\tNNS\tI-NP\tO' +p31261 +aS'as\tas\tIN\tB-PP\tO' +p31262 +aS'the\tthe\tDT\tB-NP\tO' +p31263 +aS'night\tnight\tNN\tI-NP\tO' +p31264 +aS'went\tgo\tVBD\tB-VP\tO' +p31265 +aS'on\ton\tIN\tB-PRT\tO' +p31266 +aS'.\t.\t.\tO\tO' +p31267 +asS'Moist mucous membranes , clear oropharynx .' +p31268 +(lp31269 +S'Moist\tMoist\tJJ\tB-NP\tO' +p31270 +aS'mucous\tmucous\tJJ\tI-NP\tO' +p31271 +aS'membranes\tmembrane\tNNS\tI-NP\tO' +p31272 +aS',\t,\t,\tO\tO' +p31273 +aS'clear\tclear\tJJ\tB-NP\tO' +p31274 +aS'oropharynx\toropharynx\tNN\tI-NP\tO' +p31275 +aS'.\t.\t.\tO\tO' +p31276 +asS'5. Oxycodone 10 mg q.4 h. p.r.n. for pain .' +p31277 +(lp31278 +S'5.\t5.\tLS\tB-LST\tO' +p31279 +aS'Oxycodone\tOxycodone\tNN\tB-NP\tO' +p31280 +aS'10\t10\tCD\tI-NP\tO' +p31281 +aS'mg\tmg\tNN\tI-NP\tO' +p31282 +aS'q.4\tq.4\tNN\tI-NP\tO' +p31283 +aS'h.\th.\tNN\tI-NP\tO' +p31284 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p31285 +aS'for\tfor\tIN\tB-PP\tO' +p31286 +aS'pain\tpain\tNN\tB-NP\tO' +p31287 +aS'.\t.\t.\tO\tO' +p31288 +asS'No tub baths or swimming .' +p31289 +(lp31290 +S'No\tNo\tDT\tB-NP\tO' +p31291 +aS'tub\ttub\tNN\tI-NP\tO' +p31292 +aS'baths\tbath\tNNS\tI-NP\tO' +p31293 +aS'or\tor\tCC\tI-NP\tO' +p31294 +aS'swimming\tswimming\tNN\tI-NP\tO' +p31295 +aS'.\t.\t.\tO\tO' +p31296 +asS'He also had a 3-4 year history of impotence .' +p31297 +(lp31298 +S'He\tHe\tPRP\tB-NP\tO' +p31299 +aS'also\talso\tRB\tB-ADVP\tO' +p31300 +aS'had\thave\tVBD\tB-VP\tO' +p31301 +aS'a\ta\tDT\tB-NP\tO' +p31302 +aS'3-4\t3-4\tCD\tI-NP\tO' +p31303 +aS'year\tyear\tNN\tI-NP\tO' +p31304 +aS'history\thistory\tNN\tI-NP\tO' +p31305 +aS'of\tof\tIN\tB-PP\tO' +p31306 +aS'impotence\timpotence\tNN\tB-NP\tO' +p31307 +aS'.\t.\t.\tO\tO' +p31308 +asS'In November , 1997 she had a small myocardial infarction as was transferred to Ona Hospital where a cardiac catheterization showed a tight left internal mammary artery to left anterior descending stenosis , high grade saphenous vein graft to obtuse marginal 1 stenosis and patent obtuse marginal 2 graft .' +p31309 +(lp31310 +S'In\tIn\tIN\tB-PP\tO' +p31311 +aS'November\tNovember\tNNP\tB-NP\tO' +p31312 +aS',\t,\t,\tO\tO' +p31313 +aS'1997\t1997\tCD\tB-NP\tO' +p31314 +aS'she\tshe\tPRP\tB-NP\tO' +p31315 +aS'had\thave\tVBD\tB-VP\tO' +p31316 +aS'a\ta\tDT\tB-NP\tO' +p31317 +aS'small\tsmall\tJJ\tI-NP\tO' +p31318 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p31319 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p31320 +aS'as\tas\tIN\tB-SBAR\tO' +p31321 +aS'was\tbe\tVBD\tB-VP\tO' +p31322 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p31323 +aS'to\tto\tTO\tB-PP\tO' +p31324 +aS'Ona\tOna\tNNP\tB-NP\tO' +p31325 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p31326 +aS'where\twhere\tWRB\tB-ADVP\tO' +p31327 +aS'a\ta\tDT\tB-NP\tO' +p31328 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p31329 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p31330 +aS'showed\tshow\tVBD\tB-VP\tO' +p31331 +aS'a\ta\tDT\tB-NP\tO' +p31332 +aS'tight\ttight\tJJ\tI-NP\tO' +p31333 +aS'left\tleft\tJJ\tI-NP\tO' +p31334 +aS'internal\tinternal\tJJ\tI-NP\tO' +p31335 +aS'mammary\tmammary\tJJ\tI-NP\tO' +p31336 +aS'artery\tartery\tNN\tI-NP\tO' +p31337 +aS'to\tto\tTO\tB-VP\tO' +p31338 +aS'left\tleft\tVB\tI-VP\tO' +p31339 +aS'anterior\tanterior\tJJ\tB-NP\tO' +p31340 +aS'descending\tdescend\tVBG\tI-NP\tO' +p31341 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p31342 +aS',\t,\t,\tO\tO' +p31343 +aS'high\thigh\tJJ\tB-NP\tO' +p31344 +aS'grade\tgrade\tNN\tI-NP\tO' +p31345 +aS'saphenous\tsaphenous\tJJ\tI-NP\tO' +p31346 +aS'vein\tvein\tNN\tI-NP\tO' +p31347 +aS'graft\tgraft\tNN\tI-NP\tO' +p31348 +aS'to\tto\tTO\tB-VP\tO' +p31349 +aS'obtuse\tobtuse\tVB\tI-VP\tO' +p31350 +aS'marginal\tmarginal\tJJ\tB-NP\tO' +p31351 +aS'1\t1\tCD\tI-NP\tO' +p31352 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p31353 +aS'and\tand\tCC\tI-NP\tO' +p31354 +aS'patent\tpatent\tNN\tI-NP\tO' +p31355 +aS'obtuse\tobtuse\tNN\tI-NP\tO' +p31356 +aS'marginal\tmarginal\tJJ\tI-NP\tO' +p31357 +aS'2\t2\tCD\tI-NP\tO' +p31358 +aS'graft\tgraft\tNN\tI-NP\tO' +p31359 +aS'.\t.\t.\tO\tO' +p31360 +asS'On transfer , she also arrived on 200 mcg of nitroglycerin and reports p.r.n. Alka-Seltzer , sinus and NyQuil use .' +p31361 +(lp31362 +S'On\tOn\tIN\tB-PP\tO' +p31363 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p31364 +aS',\t,\t,\tO\tO' +p31365 +aS'she\tshe\tPRP\tB-NP\tO' +p31366 +aS'also\talso\tRB\tB-ADVP\tO' +p31367 +aS'arrived\tarrive\tVBD\tB-VP\tO' +p31368 +aS'on\ton\tIN\tB-PP\tO' +p31369 +aS'200\t200\tCD\tB-NP\tO' +p31370 +aS'mcg\tmcg\tNN\tI-NP\tO' +p31371 +aS'of\tof\tIN\tB-PP\tO' +p31372 +aS'nitroglycerin\tnitroglycerin\tNN\tB-NP\tO' +p31373 +aS'and\tand\tCC\tI-NP\tO' +p31374 +aS'reports\treport\tNNS\tI-NP\tO' +p31375 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p31376 +aS'Alka-Seltzer\tAlka-Seltzer\tNNP\tI-NP\tO' +p31377 +aS',\t,\t,\tI-NP\tO' +p31378 +aS'sinus\tsinus\tNNP\tI-NP\tO' +p31379 +aS'and\tand\tCC\tI-NP\tO' +p31380 +aS'NyQuil\tNyQuil\tNNP\tI-NP\tO' +p31381 +aS'use\tuse\tNN\tI-NP\tO' +p31382 +aS'.\t.\t.\tO\tO' +p31383 +asS'She does stairs one at a time and only with help .' +p31384 +(lp31385 +S'She\tShe\tPRP\tB-NP\tO' +p31386 +aS'does\tdo\tVBZ\tB-VP\tO' +p31387 +aS'stairs\tstair\tNNS\tB-NP\tO' +p31388 +aS'one\tone\tCD\tB-NP\tO' +p31389 +aS'at\tat\tIN\tB-PP\tO' +p31390 +aS'a\ta\tDT\tB-NP\tO' +p31391 +aS'time\ttime\tNN\tI-NP\tO' +p31392 +aS'and\tand\tCC\tO\tO' +p31393 +aS'only\tonly\tRB\tB-ADVP\tO' +p31394 +aS'with\twith\tIN\tB-PP\tO' +p31395 +aS'help\thelp\tNN\tB-NP\tO' +p31396 +aS'.\t.\t.\tO\tO' +p31397 +asS'The patient is retired employee of the City of Avi Den , Hawaii , lives on a pension and Social Security .' +p31398 +(lp31399 +S'The\tThe\tDT\tB-NP\tO' +p31400 +aS'patient\tpatient\tNN\tI-NP\tO' +p31401 +aS'is\tbe\tVBZ\tB-VP\tO' +p31402 +aS'retired\tretire\tVBN\tI-VP\tO' +p31403 +aS'employee\temployee\tNN\tB-NP\tO' +p31404 +aS'of\tof\tIN\tB-PP\tO' +p31405 +aS'the\tthe\tDT\tB-NP\tO' +p31406 +aS'City\tCity\tNNP\tI-NP\tO' +p31407 +aS'of\tof\tIN\tB-PP\tO' +p31408 +aS'Avi\tAvi\tNNP\tB-NP\tO' +p31409 +aS'Den\tDen\tNNP\tI-NP\tO' +p31410 +aS',\t,\t,\tO\tO' +p31411 +aS'Hawaii\tHawaii\tNNP\tB-NP\tO' +p31412 +aS',\t,\t,\tO\tO' +p31413 +aS'lives\tlive\tVBZ\tB-VP\tO' +p31414 +aS'on\ton\tIN\tB-PP\tO' +p31415 +aS'a\ta\tDT\tB-NP\tO' +p31416 +aS'pension\tpension\tNN\tI-NP\tO' +p31417 +aS'and\tand\tCC\tI-NP\tO' +p31418 +aS'Social\tSocial\tNNP\tI-NP\tO' +p31419 +aS'Security\tSecurity\tNNP\tI-NP\tO' +p31420 +aS'.\t.\t.\tO\tO' +p31421 +asS'Creatine kinases trended from 11:15 on the day of admission from 83 to 3021 at 5 p.m. to 3450 at 11 p.m. , to 1734 at 5:30 a.m. on 11-07 , to 1277 at 11:30 a.m. on 11-07 , to 83 at 9:30 a.m. on 11-11 .' +p31422 +(lp31423 +S'Creatine\tCreatine\tNN\tB-NP\tB-protein' +p31424 +aS'kinases\tkinase\tNNS\tI-NP\tI-protein' +p31425 +aS'trended\ttrend\tVBN\tB-VP\tO' +p31426 +aS'from\tfrom\tIN\tB-PP\tO' +p31427 +aS'11:15\t11:15\tCD\tB-NP\tO' +p31428 +aS'on\ton\tIN\tB-PP\tO' +p31429 +aS'the\tthe\tDT\tB-NP\tO' +p31430 +aS'day\tday\tNN\tI-NP\tO' +p31431 +aS'of\tof\tIN\tB-PP\tO' +p31432 +aS'admission\tadmission\tNN\tB-NP\tO' +p31433 +aS'from\tfrom\tIN\tB-PP\tO' +p31434 +aS'83\t83\tCD\tB-NP\tO' +p31435 +aS'to\tto\tTO\tB-PP\tO' +p31436 +aS'3021\t3021\tCD\tB-NP\tO' +p31437 +aS'at\tat\tIN\tB-PP\tO' +p31438 +aS'5\t5\tCD\tB-NP\tO' +p31439 +aS'p.m.\tp.m.\tNN\tI-NP\tO' +p31440 +aS'to\tto\tTO\tB-PP\tO' +p31441 +aS'3450\t3450\tCD\tB-NP\tO' +p31442 +aS'at\tat\tIN\tB-PP\tO' +p31443 +aS'11\t11\tCD\tB-NP\tO' +p31444 +aS'p.m.\tp.m.\tRB\tI-NP\tO' +p31445 +aS',\t,\t,\tO\tO' +p31446 +aS'to\tto\tTO\tB-PP\tO' +p31447 +aS'1734\t1734\tCD\tB-NP\tO' +p31448 +aS'at\tat\tIN\tB-PP\tO' +p31449 +aS'5:30\t5:30\tCD\tB-NP\tO' +p31450 +aS'a.m.\ta.m.\tNN\tI-NP\tO' +p31451 +aS'on\ton\tIN\tB-PP\tO' +p31452 +aS'11-07\t11-07\tCD\tB-NP\tO' +p31453 +aS',\t,\t,\tO\tO' +p31454 +aS'to\tto\tTO\tB-PP\tO' +p31455 +aS'1277\t1277\tCD\tB-NP\tO' +p31456 +aS'at\tat\tIN\tB-PP\tO' +p31457 +aS'11:30\t11:30\tCD\tB-NP\tO' +p31458 +aS'a.m.\ta.m.\tNN\tI-NP\tO' +p31459 +aS'on\ton\tIN\tB-PP\tO' +p31460 +aS'11-07\t11-07\tCD\tB-NP\tO' +p31461 +aS',\t,\t,\tO\tO' +p31462 +aS'to\tto\tTO\tB-PP\tO' +p31463 +aS'83\t83\tCD\tB-NP\tO' +p31464 +aS'at\tat\tIN\tB-PP\tO' +p31465 +aS'9:30\t9:30\tCD\tB-NP\tO' +p31466 +aS'a.m.\ta.m.\tNN\tI-NP\tO' +p31467 +aS'on\ton\tIN\tB-PP\tO' +p31468 +aS'11-11\t11-11\tNN\tB-NP\tO' +p31469 +aS'.\t.\t.\tO\tO' +p31470 +asS'A right heart catheterization was performed on 2014-12-05 .' +p31471 +(lp31472 +S'A\tA\tDT\tB-NP\tO' +p31473 +aS'right\tright\tJJ\tI-NP\tO' +p31474 +aS'heart\theart\tNN\tI-NP\tO' +p31475 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p31476 +aS'was\tbe\tVBD\tB-VP\tO' +p31477 +aS'performed\tperform\tVBN\tI-VP\tO' +p31478 +aS'on\ton\tIN\tB-PP\tO' +p31479 +aS'2014-12-05\t2014-12-05\tCD\tB-NP\tO' +p31480 +aS'.\t.\t.\tO\tO' +p31481 +asS'revealed 2+ carotid pulses with bruits bilaterally , 2+ radial , 2+ femoral , 1+ dorsalis pedis bilaterally .' +p31482 +(lp31483 +S'revealed\treveal\tVBD\tB-VP\tO' +p31484 +aS'2+\t2+\tJJ\tB-NP\tO' +p31485 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p31486 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p31487 +aS'with\twith\tIN\tB-PP\tO' +p31488 +aS'bruits\tbruit\tNNS\tB-NP\tO' +p31489 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p31490 +aS',\t,\t,\tO\tO' +p31491 +aS'2+\t2+\tJJ\tB-NP\tO' +p31492 +aS'radial\tradial\tNN\tI-NP\tO' +p31493 +aS',\t,\t,\tO\tO' +p31494 +aS'2+\t2+\tJJ\tB-NP\tO' +p31495 +aS'femoral\tfemoral\tJJ\tI-NP\tO' +p31496 +aS',\t,\t,\tI-NP\tO' +p31497 +aS'1+\t1+\tJJ\tI-NP\tO' +p31498 +aS'dorsalis\tdorsalis\tNN\tI-NP\tO' +p31499 +aS'pedis\tpedis\tNN\tI-NP\tO' +p31500 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p31501 +aS'.\t.\t.\tO\tO' +p31502 +asS'- Trauma Surgery Clinic in four weeks with CT abdomen results .' +p31503 +(lp31504 +S'-\t-\tHYPH\tB-NP\tO' +p31505 +aS'Trauma\tTrauma\tNNP\tI-NP\tO' +p31506 +aS'Surgery\tSurgery\tNNP\tI-NP\tO' +p31507 +aS'Clinic\tClinic\tNNP\tI-NP\tO' +p31508 +aS'in\tin\tIN\tB-PP\tO' +p31509 +aS'four\tfour\tCD\tB-NP\tO' +p31510 +aS'weeks\tweek\tNNS\tI-NP\tO' +p31511 +aS'with\twith\tIN\tB-PP\tO' +p31512 +aS'CT\tCT\tNN\tB-NP\tO' +p31513 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p31514 +aS'results\tresult\tNNS\tI-NP\tO' +p31515 +aS'.\t.\t.\tO\tO' +p31516 +asS'11. Minoxidil 10 mg Tablet Sig : 0.5 Tablet PO DAILY ( Daily ) .' +p31517 +(lp31518 +S'11.\t11.\tCD\tB-NP\tO' +p31519 +aS'Minoxidil\tMinoxidil\tNN\tI-NP\tO' +p31520 +aS'10\t10\tCD\tB-NP\tO' +p31521 +aS'mg\tmg\tNN\tI-NP\tO' +p31522 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p31523 +aS'Sig\tSig\tNNP\tI-NP\tO' +p31524 +aS':\t:\t:\tO\tO' +p31525 +aS'0.5\t0.5\tCD\tB-NP\tO' +p31526 +aS'Tablet\tTablet\tNN\tI-NP\tO' +p31527 +aS'PO\tPO\tNN\tI-NP\tO' +p31528 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p31529 +aS'(\t(\t(\tO\tO' +p31530 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p31531 +aS')\t)\t)\tO\tO' +p31532 +aS'.\t.\t.\tO\tO' +p31533 +asS'All anticoagulation stopped despite the risk of DVT , afib .' +p31534 +(lp31535 +S'All\tAll\tDT\tB-NP\tO' +p31536 +aS'anticoagulation\tanticoagulation\tNN\tI-NP\tO' +p31537 +aS'stopped\tstop\tVBD\tB-VP\tO' +p31538 +aS'despite\tdespite\tIN\tB-PP\tO' +p31539 +aS'the\tthe\tDT\tB-NP\tO' +p31540 +aS'risk\trisk\tNN\tI-NP\tO' +p31541 +aS'of\tof\tIN\tB-PP\tO' +p31542 +aS'DVT\tDVT\tNN\tB-NP\tO' +p31543 +aS',\t,\t,\tO\tO' +p31544 +aS'afib\tafib\tNN\tB-NP\tO' +p31545 +aS'.\t.\t.\tO\tO' +p31546 +asS'Renal - The patient was admitted with a creatinine of 1.8 , considered likely secondary to hypovolemia .' +p31547 +(lp31548 +S'Renal\tRenal\tJJ\tB-ADJP\tO' +p31549 +aS'-\t-\tHYPH\tO\tO' +p31550 +aS'The\tThe\tDT\tB-NP\tO' +p31551 +aS'patient\tpatient\tNN\tI-NP\tO' +p31552 +aS'was\tbe\tVBD\tB-VP\tO' +p31553 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p31554 +aS'with\twith\tIN\tB-PP\tO' +p31555 +aS'a\ta\tDT\tB-NP\tO' +p31556 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p31557 +aS'of\tof\tIN\tB-PP\tO' +p31558 +aS'1.8\t1.8\tCD\tB-NP\tO' +p31559 +aS',\t,\t,\tO\tO' +p31560 +aS'considered\tconsider\tVBN\tB-VP\tO' +p31561 +aS'likely\tlikely\tRB\tB-ADJP\tO' +p31562 +aS'secondary\tsecondary\tJJ\tI-ADJP\tO' +p31563 +aS'to\tto\tTO\tB-PP\tO' +p31564 +aS'hypovolemia\thypovolemia\tNN\tB-NP\tO' +p31565 +aS'.\t.\t.\tO\tO' +p31566 +asS'Pain was 12-28 at time of transfer .' +p31567 +(lp31568 +S'Pain\tPain\tNNP\tB-NP\tO' +p31569 +aS'was\tbe\tVBD\tB-VP\tO' +p31570 +aS'12-28\t12-28\tCD\tB-NP\tO' +p31571 +aS'at\tat\tIN\tB-PP\tO' +p31572 +aS'time\ttime\tNN\tB-NP\tO' +p31573 +aS'of\tof\tIN\tB-PP\tO' +p31574 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p31575 +aS'.\t.\t.\tO\tO' +p31576 +asS'Metformin 1000 qd tums 1500 bid' +p31577 +(lp31578 +S'Metformin\tMetformin\tNN\tB-NP\tO' +p31579 +aS'1000\t1000\tCD\tI-NP\tO' +p31580 +aS'qd\tqd\tNN\tI-NP\tO' +p31581 +aS'tums\ttum\tNNS\tI-NP\tO' +p31582 +aS'1500\t1500\tCD\tB-NP\tO' +p31583 +aS'bid\tbid\tNN\tI-NP\tO' +p31584 +asS'The patient will follow up in EP Clinic on 2012-03-19 .' +p31585 +(lp31586 +S'The\tThe\tDT\tB-NP\tO' +p31587 +aS'patient\tpatient\tNN\tI-NP\tO' +p31588 +aS'will\twill\tMD\tB-VP\tO' +p31589 +aS'follow\tfollow\tVB\tI-VP\tO' +p31590 +aS'up\tup\tRP\tB-PRT\tO' +p31591 +aS'in\tin\tIN\tB-PP\tO' +p31592 +aS'EP\tEP\tNNP\tB-NP\tO' +p31593 +aS'Clinic\tClinic\tNNP\tI-NP\tO' +p31594 +aS'on\ton\tIN\tB-PP\tO' +p31595 +aS'2012-03-19\t2012-03-19\tCD\tB-NP\tO' +p31596 +aS'.\t.\t.\tO\tO' +p31597 +asS'Nursing Director Pcaer,ter Medical Center Sco , Ohio' +p31598 +(lp31599 +S'Nursing\tNurse\tVBG\tB-VP\tO' +p31600 +aS'Director\tDirector\tNNP\tB-NP\tO' +p31601 +aS'Pcaer,ter\tPcaer,ter\tNNP\tI-NP\tO' +p31602 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p31603 +aS'Center\tCenter\tNNP\tI-NP\tO' +p31604 +aS'Sco\tSco\tNNP\tI-NP\tO' +p31605 +aS',\t,\t,\tO\tO' +p31606 +aS'Ohio\tOhio\tNNP\tB-NP\tO' +p31607 +asS'6. Lovenox 60 mg b.i.d. until therapeutic on Coumadin .' +p31608 +(lp31609 +S'6.\t6.\tCD\tB-NP\tO' +p31610 +aS'Lovenox\tLovenox\tNNP\tI-NP\tO' +p31611 +aS'60\t60\tCD\tI-NP\tO' +p31612 +aS'mg\tmg\tNN\tI-NP\tO' +p31613 +aS'b.i.d.\tb.i.d.\tRB\tB-ADVP\tO' +p31614 +aS'until\tuntil\tIN\tB-PP\tO' +p31615 +aS'therapeutic\ttherapeutic\tJJ\tB-ADJP\tO' +p31616 +aS'on\ton\tIN\tB-PP\tO' +p31617 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p31618 +aS'.\t.\t.\tO\tO' +p31619 +asS'Apgar scores were 6 at one minute and 8 at five minutes .' +p31620 +(lp31621 +S'Apgar\tApgar\tNN\tB-NP\tO' +p31622 +aS'scores\tscore\tNNS\tI-NP\tO' +p31623 +aS'were\tbe\tVBD\tB-VP\tO' +p31624 +aS'6\t6\tCD\tB-NP\tO' +p31625 +aS'at\tat\tIN\tB-PP\tO' +p31626 +aS'one\tone\tCD\tB-NP\tO' +p31627 +aS'minute\tminute\tNN\tI-NP\tO' +p31628 +aS'and\tand\tCC\tO\tO' +p31629 +aS'8\t8\tCD\tB-NP\tO' +p31630 +aS'at\tat\tIN\tB-PP\tO' +p31631 +aS'five\tfive\tCD\tB-NP\tO' +p31632 +aS'minutes\tminute\tNNS\tI-NP\tO' +p31633 +aS'.\t.\t.\tO\tO' +p31634 +asS'Clear to auscultation bilaterally .' +p31635 +(lp31636 +S'Clear\tClear\tJJ\tB-ADJP\tO' +p31637 +aS'to\tto\tTO\tB-PP\tO' +p31638 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p31639 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p31640 +aS'.\t.\t.\tO\tO' +p31641 +asS'The patient has a history of hypertension , coronary artery disease , and insulin-dependent diabetes for 32 years .' +p31642 +(lp31643 +S'The\tThe\tDT\tB-NP\tO' +p31644 +aS'patient\tpatient\tNN\tI-NP\tO' +p31645 +aS'has\thave\tVBZ\tB-VP\tO' +p31646 +aS'a\ta\tDT\tB-NP\tO' +p31647 +aS'history\thistory\tNN\tI-NP\tO' +p31648 +aS'of\tof\tIN\tB-PP\tO' +p31649 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p31650 +aS',\t,\t,\tO\tO' +p31651 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p31652 +aS'artery\tartery\tNN\tI-NP\tO' +p31653 +aS'disease\tdisease\tNN\tI-NP\tO' +p31654 +aS',\t,\t,\tO\tO' +p31655 +aS'and\tand\tCC\tO\tO' +p31656 +aS'insulin-dependent\tinsulin-dependent\tJJ\tB-NP\tO' +p31657 +aS'diabetes\tdiabete\tNNS\tI-NP\tO' +p31658 +aS'for\tfor\tIN\tB-PP\tO' +p31659 +aS'32\t32\tCD\tB-NP\tO' +p31660 +aS'years\tyear\tNNS\tI-NP\tO' +p31661 +aS'.\t.\t.\tO\tO' +p31662 +asS'Percocet one to two tablets PO q.4h. to 6h.p.r.n. pain .' +p31663 +(lp31664 +S'Percocet\tPercocet\tIN\tB-PP\tO' +p31665 +aS'one\tone\tCD\tB-NP\tO' +p31666 +aS'to\tto\tTO\tI-NP\tO' +p31667 +aS'two\ttwo\tCD\tI-NP\tO' +p31668 +aS'tablets\ttablet\tNNS\tI-NP\tO' +p31669 +aS'PO\tPO\tNN\tI-NP\tO' +p31670 +aS'q.4h.\tq.4h.\tNN\tI-NP\tO' +p31671 +aS'to\tto\tTO\tB-PP\tO' +p31672 +aS'6h.p.r.n.\t6h.p.r.n.\tCD\tB-NP\tO' +p31673 +aS'pain\tpain\tNN\tI-NP\tO' +p31674 +aS'.\t.\t.\tO\tO' +p31675 +asS'The patient was taken to the Operating Room on 2013-09-04 , where a coronary artery bypass graft times four was performed , left internal mammary artery to left anterior descending , saphenous vein graft to diagonal , saphenous vein graft to obtuse marginal and saphenous vein graft to PC by Dr. Wright .' +p31676 +(lp31677 +S'The\tThe\tDT\tB-NP\tO' +p31678 +aS'patient\tpatient\tNN\tI-NP\tO' +p31679 +aS'was\tbe\tVBD\tB-VP\tO' +p31680 +aS'taken\ttake\tVBN\tI-VP\tO' +p31681 +aS'to\tto\tTO\tB-PP\tO' +p31682 +aS'the\tthe\tDT\tB-NP\tO' +p31683 +aS'Operating\tOperating\tNNP\tI-NP\tO' +p31684 +aS'Room\tRoom\tNNP\tI-NP\tO' +p31685 +aS'on\ton\tIN\tB-PP\tO' +p31686 +aS'2013-09-04\t2013-09-04\tCD\tB-NP\tO' +p31687 +aS',\t,\t,\tO\tO' +p31688 +aS'where\twhere\tWRB\tB-ADVP\tO' +p31689 +aS'a\ta\tDT\tB-NP\tO' +p31690 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p31691 +aS'artery\tartery\tNN\tI-NP\tO' +p31692 +aS'bypass\tbypass\tIN\tB-PP\tO' +p31693 +aS'graft\tgraft\tNN\tB-NP\tO' +p31694 +aS'times\ttime\tNNS\tI-NP\tO' +p31695 +aS'four\tfour\tCD\tB-NP\tO' +p31696 +aS'was\tbe\tVBD\tB-VP\tO' +p31697 +aS'performed\tperform\tVBN\tI-VP\tO' +p31698 +aS',\t,\t,\tO\tO' +p31699 +aS'left\tleave\tVBD\tB-VP\tO' +p31700 +aS'internal\tinternal\tJJ\tB-NP\tO' +p31701 +aS'mammary\tmammary\tJJ\tI-NP\tO' +p31702 +aS'artery\tartery\tNN\tI-NP\tO' +p31703 +aS'to\tto\tTO\tB-VP\tO' +p31704 +aS'left\tleft\tVB\tI-VP\tO' +p31705 +aS'anterior\tanterior\tJJ\tB-NP\tO' +p31706 +aS'descending\tdescend\tVBG\tI-NP\tO' +p31707 +aS',\t,\t,\tO\tO' +p31708 +aS'saphenous\tsaphenous\tJJ\tB-NP\tO' +p31709 +aS'vein\tvein\tNN\tI-NP\tO' +p31710 +aS'graft\tgraft\tNN\tI-NP\tO' +p31711 +aS'to\tto\tTO\tB-PP\tO' +p31712 +aS'diagonal\tdiagonal\tJJ\tB-NP\tO' +p31713 +aS',\t,\t,\tI-NP\tO' +p31714 +aS'saphenous\tsaphenous\tJJ\tI-NP\tO' +p31715 +aS'vein\tvein\tNN\tI-NP\tO' +p31716 +aS'graft\tgraft\tNN\tI-NP\tO' +p31717 +aS'to\tto\tTO\tB-VP\tO' +p31718 +aS'obtuse\tobtuse\tVB\tI-VP\tO' +p31719 +aS'marginal\tmarginal\tJJ\tB-NP\tO' +p31720 +aS'and\tand\tCC\tI-NP\tO' +p31721 +aS'saphenous\tsaphenous\tJJ\tI-NP\tO' +p31722 +aS'vein\tvein\tNN\tI-NP\tO' +p31723 +aS'graft\tgraft\tNN\tI-NP\tO' +p31724 +aS'to\tto\tTO\tB-PP\tO' +p31725 +aS'PC\tPC\tNN\tB-NP\tB-cell_type' +p31726 +aS'by\tby\tIN\tB-PP\tO' +p31727 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p31728 +aS'Wright\tWright\tNNP\tI-NP\tO' +p31729 +aS'.\t.\t.\tO\tO' +p31730 +asS'Her amylase and lipase were trending down , however .' +p31731 +(lp31732 +S'Her\tHer\tPRP$\tB-NP\tO' +p31733 +aS'amylase\tamylase\tNN\tI-NP\tB-protein' +p31734 +aS'and\tand\tCC\tI-NP\tO' +p31735 +aS'lipase\tlipase\tNN\tI-NP\tO' +p31736 +aS'were\tbe\tVBD\tB-VP\tO' +p31737 +aS'trending\ttrend\tVBG\tI-VP\tO' +p31738 +aS'down\tdown\tRP\tB-PRT\tO' +p31739 +aS',\t,\t,\tO\tO' +p31740 +aS'however\thowever\tRB\tB-ADVP\tO' +p31741 +aS'.\t.\t.\tO\tO' +p31742 +asS'Opening pressure was 17 and approximately 20-25 cc of CSF was removed .' +p31743 +(lp31744 +S'Opening\tOpen\tVBG\tB-NP\tO' +p31745 +aS'pressure\tpressure\tNN\tI-NP\tO' +p31746 +aS'was\tbe\tVBD\tB-VP\tO' +p31747 +aS'17\t17\tCD\tB-NP\tO' +p31748 +aS'and\tand\tCC\tO\tO' +p31749 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p31750 +aS'20-25\t20-25\tCD\tI-NP\tO' +p31751 +aS'cc\tcc\tNN\tI-NP\tO' +p31752 +aS'of\tof\tIN\tB-PP\tO' +p31753 +aS'CSF\tCSF\tNN\tB-NP\tB-protein' +p31754 +aS'was\tbe\tVBD\tB-VP\tO' +p31755 +aS'removed\tremove\tVBN\tI-VP\tO' +p31756 +aS'.\t.\t.\tO\tO' +p31757 +asS'Right posterior tibial artery completely occluded .' +p31758 +(lp31759 +S'Right\tRight\tRB\tB-NP\tO' +p31760 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p31761 +aS'tibial\ttibial\tJJ\tI-NP\tO' +p31762 +aS'artery\tartery\tNN\tI-NP\tO' +p31763 +aS'completely\tcompletely\tRB\tB-ADVP\tO' +p31764 +aS'occluded\tocclude\tVBD\tB-VP\tO' +p31765 +aS'.\t.\t.\tO\tO' +p31766 +asS'He was encouraged to eat and it was decided not to place either a feeding tube or to start TPN .' +p31767 +(lp31768 +S'He\tHe\tPRP\tB-NP\tO' +p31769 +aS'was\tbe\tVBD\tB-VP\tO' +p31770 +aS'encouraged\tencourage\tVBN\tI-VP\tO' +p31771 +aS'to\tto\tTO\tI-VP\tO' +p31772 +aS'eat\teat\tVB\tI-VP\tO' +p31773 +aS'and\tand\tCC\tO\tO' +p31774 +aS'it\tit\tPRP\tB-NP\tO' +p31775 +aS'was\tbe\tVBD\tB-VP\tO' +p31776 +aS'decided\tdecide\tVBN\tI-VP\tO' +p31777 +aS'not\tnot\tRB\tO\tO' +p31778 +aS'to\tto\tTO\tB-VP\tO' +p31779 +aS'place\tplace\tVB\tI-VP\tO' +p31780 +aS'either\teither\tCC\tO\tO' +p31781 +aS'a\ta\tDT\tB-NP\tO' +p31782 +aS'feeding\tfeeding\tNN\tI-NP\tO' +p31783 +aS'tube\ttube\tNN\tI-NP\tO' +p31784 +aS'or\tor\tCC\tO\tO' +p31785 +aS'to\tto\tTO\tB-VP\tO' +p31786 +aS'start\tstart\tVB\tI-VP\tO' +p31787 +aS'TPN\tTPN\tNN\tB-NP\tB-protein' +p31788 +aS'.\t.\t.\tO\tO' +p31789 +asS'The patient is divorced .' +p31790 +(lp31791 +S'The\tThe\tDT\tB-NP\tO' +p31792 +aS'patient\tpatient\tNN\tI-NP\tO' +p31793 +aS'is\tbe\tVBZ\tB-VP\tO' +p31794 +aS'divorced\tdivorce\tVBN\tI-VP\tO' +p31795 +aS'.\t.\t.\tO\tO' +p31796 +asS'Coumadin was restarted at a dose of 2 mg qhs .' +p31797 +(lp31798 +S'Coumadin\tCoumadin\tNN\tB-NP\tO' +p31799 +aS'was\tbe\tVBD\tB-VP\tO' +p31800 +aS'restarted\trestart\tVBN\tI-VP\tO' +p31801 +aS'at\tat\tIN\tB-PP\tO' +p31802 +aS'a\ta\tDT\tB-NP\tO' +p31803 +aS'dose\tdose\tNN\tI-NP\tO' +p31804 +aS'of\tof\tIN\tB-PP\tO' +p31805 +aS'2\t2\tCD\tB-NP\tO' +p31806 +aS'mg\tmg\tNN\tI-NP\tO' +p31807 +aS'qhs\tqh\tNNS\tI-NP\tO' +p31808 +aS'.\t.\t.\tO\tO' +p31809 +asS'The patient was treated with a Lidocaine patch and Percocet prn .' +p31810 +(lp31811 +S'The\tThe\tDT\tB-NP\tO' +p31812 +aS'patient\tpatient\tNN\tI-NP\tO' +p31813 +aS'was\tbe\tVBD\tB-VP\tO' +p31814 +aS'treated\ttreat\tVBN\tI-VP\tO' +p31815 +aS'with\twith\tIN\tB-PP\tO' +p31816 +aS'a\ta\tDT\tB-NP\tO' +p31817 +aS'Lidocaine\tLidocaine\tNN\tI-NP\tO' +p31818 +aS'patch\tpatch\tNN\tI-NP\tO' +p31819 +aS'and\tand\tCC\tO\tO' +p31820 +aS'Percocet\tPercocet\tNN\tB-NP\tO' +p31821 +aS'prn\tprn\tNN\tI-NP\tO' +p31822 +aS'.\t.\t.\tO\tO' +p31823 +asS'13. Amoxicillin-Pot Clavulanate 875-125 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ) for 4 days .' +p31824 +(lp31825 +S'13.\t13.\tLS\tB-LST\tO' +p31826 +aS'Amoxicillin-Pot\tAmoxicillin-Pot\t:\tO\tO' +p31827 +aS'Clavulanate\tClavulanate\tVB\tB-VP\tO' +p31828 +aS'875-125\t875-125\tCD\tB-NP\tO' +p31829 +aS'mg\tmg\tNN\tI-NP\tO' +p31830 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p31831 +aS'Sig\tSig\tNNP\tI-NP\tO' +p31832 +aS':\t:\t:\tO\tO' +p31833 +aS'One\tOne\tCD\tB-NP\tO' +p31834 +aS'(\t(\t(\tO\tO' +p31835 +aS'1\t1\tCD\tB-NP\tO' +p31836 +aS')\t)\t)\tO\tO' +p31837 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p31838 +aS'PO\tPO\tNN\tI-NP\tO' +p31839 +aS'BID\tBID\tNN\tI-NP\tO' +p31840 +aS'(\t(\t(\tO\tO' +p31841 +aS'2\t2\tCD\tB-NP\tO' +p31842 +aS'times\ttime\tNNS\tI-NP\tO' +p31843 +aS'a\ta\tDT\tB-NP\tO' +p31844 +aS'day\tday\tNN\tI-NP\tO' +p31845 +aS')\t)\t)\tO\tO' +p31846 +aS'for\tfor\tIN\tB-PP\tO' +p31847 +aS'4\t4\tCD\tB-NP\tO' +p31848 +aS'days\tday\tNNS\tI-NP\tO' +p31849 +aS'.\t.\t.\tO\tO' +p31850 +asS'The patient is getting tube feeds via her NG tube of full strength Jevity of 75 cc per hour .' +p31851 +(lp31852 +S'The\tThe\tDT\tB-NP\tO' +p31853 +aS'patient\tpatient\tNN\tI-NP\tO' +p31854 +aS'is\tbe\tVBZ\tB-VP\tO' +p31855 +aS'getting\tget\tVBG\tI-VP\tO' +p31856 +aS'tube\ttube\tJJ\tB-NP\tO' +p31857 +aS'feeds\tfeed\tNNS\tI-NP\tO' +p31858 +aS'via\tvia\tIN\tB-PP\tO' +p31859 +aS'her\ther\tPRP$\tB-NP\tO' +p31860 +aS'NG\tNG\tNN\tI-NP\tO' +p31861 +aS'tube\ttube\tNN\tI-NP\tO' +p31862 +aS'of\tof\tIN\tB-PP\tO' +p31863 +aS'full\tfull\tJJ\tB-NP\tO' +p31864 +aS'strength\tstrength\tNN\tI-NP\tO' +p31865 +aS'Jevity\tJevity\tNN\tI-NP\tO' +p31866 +aS'of\tof\tIN\tB-PP\tO' +p31867 +aS'75\t75\tCD\tB-NP\tO' +p31868 +aS'cc\tcc\tNN\tI-NP\tO' +p31869 +aS'per\tper\tIN\tB-PP\tO' +p31870 +aS'hour\thour\tNN\tB-NP\tO' +p31871 +aS'.\t.\t.\tO\tO' +p31872 +asS'The patient is a 40 year old male with a history of prior anterior myocardial infarction and insulin dependent diabetes mellitus who was transferred from an outside hospital after an episode of acute shortness of breath and pulmonary edema .' +p31873 +(lp31874 +S'The\tThe\tDT\tB-NP\tO' +p31875 +aS'patient\tpatient\tNN\tI-NP\tO' +p31876 +aS'is\tbe\tVBZ\tB-VP\tO' +p31877 +aS'a\ta\tDT\tB-NP\tO' +p31878 +aS'40\t40\tCD\tI-NP\tO' +p31879 +aS'year\tyear\tNN\tI-NP\tO' +p31880 +aS'old\told\tJJ\tI-NP\tO' +p31881 +aS'male\tmale\tNN\tI-NP\tO' +p31882 +aS'with\twith\tIN\tB-PP\tO' +p31883 +aS'a\ta\tDT\tB-NP\tO' +p31884 +aS'history\thistory\tNN\tI-NP\tO' +p31885 +aS'of\tof\tIN\tB-PP\tO' +p31886 +aS'prior\tprior\tJJ\tB-NP\tO' +p31887 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p31888 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p31889 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p31890 +aS'and\tand\tCC\tI-NP\tO' +p31891 +aS'insulin\tinsulin\tNN\tI-NP\tB-protein' +p31892 +aS'dependent\tdependent\tJJ\tI-NP\tO' +p31893 +aS'diabetes\tdiabete\tNNS\tI-NP\tO' +p31894 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p31895 +aS'who\twho\tWP\tB-NP\tO' +p31896 +aS'was\tbe\tVBD\tB-VP\tO' +p31897 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p31898 +aS'from\tfrom\tIN\tB-PP\tO' +p31899 +aS'an\tan\tDT\tB-NP\tO' +p31900 +aS'outside\toutside\tJJ\tI-NP\tO' +p31901 +aS'hospital\thospital\tNN\tI-NP\tO' +p31902 +aS'after\tafter\tIN\tB-PP\tO' +p31903 +aS'an\tan\tDT\tB-NP\tO' +p31904 +aS'episode\tepisode\tNN\tI-NP\tO' +p31905 +aS'of\tof\tIN\tB-PP\tO' +p31906 +aS'acute\tacute\tJJ\tB-NP\tO' +p31907 +aS'shortness\tshortness\tNN\tI-NP\tO' +p31908 +aS'of\tof\tIN\tB-PP\tO' +p31909 +aS'breath\tbreath\tNN\tB-NP\tO' +p31910 +aS'and\tand\tCC\tO\tO' +p31911 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p31912 +aS'edema\tedema\tNN\tI-NP\tO' +p31913 +aS'.\t.\t.\tO\tO' +p31914 +asS'He has not had a bilirubin checked .' +p31915 +(lp31916 +S'He\tHe\tPRP\tB-NP\tO' +p31917 +aS'has\thave\tVBZ\tB-VP\tO' +p31918 +aS'not\tnot\tRB\tI-VP\tO' +p31919 +aS'had\thave\tVBN\tI-VP\tO' +p31920 +aS'a\ta\tDT\tB-NP\tO' +p31921 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p31922 +aS'checked\tcheck\tVBD\tB-VP\tO' +p31923 +aS'.\t.\t.\tO\tO' +p31924 +asS'Extremities demonstrated no edema .' +p31925 +(lp31926 +S'Extremities\tExtremity\tNNS\tB-NP\tO' +p31927 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p31928 +aS'no\tno\tDT\tB-NP\tO' +p31929 +aS'edema\tedema\tNN\tI-NP\tO' +p31930 +aS'.\t.\t.\tO\tO' +p31931 +asS'No smoking history .' +p31932 +(lp31933 +S'No\tNo\tDT\tB-NP\tO' +p31934 +aS'smoking\tsmoking\tNN\tI-NP\tO' +p31935 +aS'history\thistory\tNN\tI-NP\tO' +p31936 +aS'.\t.\t.\tO\tO' +p31937 +asS'Due to the risks of coronary ischemia if this represented an LCAPA , the infant was followed with regular ECHOs and EKGs during the remainder of hospitalization , with no evidence of ischemia , valvular regurgitation , or compromised ventricular function .' +p31938 +(lp31939 +S'Due\tDue\tJJ\tB-PP\tO' +p31940 +aS'to\tto\tTO\tI-PP\tO' +p31941 +aS'the\tthe\tDT\tB-NP\tO' +p31942 +aS'risks\trisk\tNNS\tI-NP\tO' +p31943 +aS'of\tof\tIN\tB-PP\tO' +p31944 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p31945 +aS'ischemia\tischemia\tNN\tI-NP\tO' +p31946 +aS'if\tif\tIN\tB-SBAR\tO' +p31947 +aS'this\tthis\tDT\tB-NP\tO' +p31948 +aS'represented\trepresent\tVBD\tB-VP\tO' +p31949 +aS'an\tan\tDT\tB-NP\tO' +p31950 +aS'LCAPA\tLCAPA\tNN\tI-NP\tB-protein' +p31951 +aS',\t,\t,\tO\tO' +p31952 +aS'the\tthe\tDT\tB-NP\tO' +p31953 +aS'infant\tinfant\tNN\tI-NP\tO' +p31954 +aS'was\tbe\tVBD\tB-VP\tO' +p31955 +aS'followed\tfollow\tVBN\tI-VP\tO' +p31956 +aS'with\twith\tIN\tB-PP\tO' +p31957 +aS'regular\tregular\tJJ\tB-NP\tO' +p31958 +aS'ECHOs\tECHO\tNNS\tI-NP\tO' +p31959 +aS'and\tand\tCC\tI-NP\tO' +p31960 +aS'EKGs\tEKG\tNNS\tI-NP\tB-protein' +p31961 +aS'during\tduring\tIN\tB-PP\tO' +p31962 +aS'the\tthe\tDT\tB-NP\tO' +p31963 +aS'remainder\tremainder\tNN\tI-NP\tO' +p31964 +aS'of\tof\tIN\tB-PP\tO' +p31965 +aS'hospitalization\thospitalization\tNN\tB-NP\tO' +p31966 +aS',\t,\t,\tO\tO' +p31967 +aS'with\twith\tIN\tB-PP\tO' +p31968 +aS'no\tno\tDT\tB-NP\tO' +p31969 +aS'evidence\tevidence\tNN\tI-NP\tO' +p31970 +aS'of\tof\tIN\tB-PP\tO' +p31971 +aS'ischemia\tischemia\tNN\tB-NP\tO' +p31972 +aS',\t,\t,\tO\tO' +p31973 +aS'valvular\tvalvular\tJJ\tB-NP\tO' +p31974 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p31975 +aS',\t,\t,\tO\tO' +p31976 +aS'or\tor\tCC\tO\tO' +p31977 +aS'compromised\tcompromise\tVBN\tB-NP\tO' +p31978 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p31979 +aS'function\tfunction\tNN\tI-NP\tO' +p31980 +aS'.\t.\t.\tO\tO' +p31981 +asS'Strength was 5/5 times four extremities .' +p31982 +(lp31983 +S'Strength\tStrength\tNN\tB-NP\tO' +p31984 +aS'was\tbe\tVBD\tB-VP\tO' +p31985 +aS'5/5\t5/5\tCD\tB-NP\tO' +p31986 +aS'times\ttime\tNNS\tI-NP\tO' +p31987 +aS'four\tfour\tCD\tB-NP\tO' +p31988 +aS'extremities\textremity\tNNS\tI-NP\tO' +p31989 +aS'.\t.\t.\tO\tO' +p31990 +asS'1. Lopressor 75 mg p.o. twice a day .' +p31991 +(lp31992 +S'1.\t1.\tLS\tB-NP\tO' +p31993 +aS'Lopressor\tLopressor\tNN\tI-NP\tO' +p31994 +aS'75\t75\tCD\tI-NP\tO' +p31995 +aS'mg\tmg\tNN\tI-NP\tO' +p31996 +aS'p.o.\tp.o.\tRB\tB-NP\tO' +p31997 +aS'twice\ttwice\tRB\tI-NP\tO' +p31998 +aS'a\ta\tDT\tI-NP\tO' +p31999 +aS'day\tday\tNN\tI-NP\tO' +p32000 +aS'.\t.\t.\tO\tO' +p32001 +asS'Her tachycardia improved .' +p32002 +(lp32003 +S'Her\tHer\tPRP$\tB-NP\tO' +p32004 +aS'tachycardia\ttachycardia\tNN\tI-NP\tO' +p32005 +aS'improved\timprove\tVBD\tB-VP\tO' +p32006 +aS'.\t.\t.\tO\tO' +p32007 +asS'The patient 's allergies include a questionable penicillin reaction ; however , the patient tolerated Ampicillin well .' +p32008 +(lp32009 +S'The\tThe\tDT\tB-NP\tO' +p32010 +aS'patient\tpatient\tNN\tI-NP\tO' +p32011 +aS''s\t'\tNNS\tI-NP\tO' +p32012 +aS'allergies\tallergy\tNNS\tI-NP\tO' +p32013 +aS'include\tinclude\tVBP\tB-VP\tO' +p32014 +aS'a\ta\tDT\tB-NP\tO' +p32015 +aS'questionable\tquestionable\tJJ\tI-NP\tO' +p32016 +aS'penicillin\tpenicillin\tNN\tI-NP\tO' +p32017 +aS'reaction\treaction\tNN\tI-NP\tO' +p32018 +aS';\t;\t:\tO\tO' +p32019 +aS'however\thowever\tRB\tB-ADVP\tO' +p32020 +aS',\t,\t,\tO\tO' +p32021 +aS'the\tthe\tDT\tB-NP\tO' +p32022 +aS'patient\tpatient\tNN\tI-NP\tO' +p32023 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p32024 +aS'Ampicillin\tAmpicillin\tNNP\tB-NP\tO' +p32025 +aS'well\twell\tRB\tB-ADVP\tO' +p32026 +aS'.\t.\t.\tO\tO' +p32027 +asS'Similar lack of improvement w/ additional broad spectrum coverage following admission .' +p32028 +(lp32029 +S'Similar\tSimilar\tJJ\tB-NP\tO' +p32030 +aS'lack\tlack\tNN\tI-NP\tO' +p32031 +aS'of\tof\tIN\tB-PP\tO' +p32032 +aS'improvement\timprovement\tNN\tB-NP\tO' +p32033 +aS'w/\tw/\tNN\tI-NP\tO' +p32034 +aS'additional\tadditional\tJJ\tI-NP\tO' +p32035 +aS'broad\tbroad\tJJ\tI-NP\tO' +p32036 +aS'spectrum\tspectrum\tNN\tI-NP\tO' +p32037 +aS'coverage\tcoverage\tNN\tI-NP\tO' +p32038 +aS'following\tfollow\tVBG\tB-PP\tO' +p32039 +aS'admission\tadmission\tNN\tB-NP\tO' +p32040 +aS'.\t.\t.\tO\tO' +p32041 +asS'The patient has had several admissions in the past for attempted suicide with overdose of his insulin and though he denied at this time attempting to end his life , it appears that the social situation of increased stressors corresponding to this time suggest that this is not the truth .' +p32042 +(lp32043 +S'The\tThe\tDT\tB-NP\tO' +p32044 +aS'patient\tpatient\tNN\tI-NP\tO' +p32045 +aS'has\thave\tVBZ\tB-VP\tO' +p32046 +aS'had\thave\tVBN\tI-VP\tO' +p32047 +aS'several\tseveral\tJJ\tB-NP\tO' +p32048 +aS'admissions\tadmission\tNNS\tI-NP\tO' +p32049 +aS'in\tin\tIN\tB-PP\tO' +p32050 +aS'the\tthe\tDT\tB-NP\tO' +p32051 +aS'past\tpast\tNN\tI-NP\tO' +p32052 +aS'for\tfor\tIN\tB-PP\tO' +p32053 +aS'attempted\tattempt\tVBN\tB-NP\tO' +p32054 +aS'suicide\tsuicide\tNN\tI-NP\tO' +p32055 +aS'with\twith\tIN\tB-PP\tO' +p32056 +aS'overdose\toverdose\tNN\tB-NP\tO' +p32057 +aS'of\tof\tIN\tB-PP\tO' +p32058 +aS'his\this\tPRP$\tB-NP\tO' +p32059 +aS'insulin\tinsulin\tNN\tI-NP\tB-protein' +p32060 +aS'and\tand\tCC\tO\tO' +p32061 +aS'though\tthough\tIN\tB-SBAR\tO' +p32062 +aS'he\the\tPRP\tB-NP\tO' +p32063 +aS'denied\tdeny\tVBD\tB-VP\tO' +p32064 +aS'at\tat\tIN\tB-PP\tO' +p32065 +aS'this\tthis\tDT\tB-NP\tO' +p32066 +aS'time\ttime\tNN\tI-NP\tO' +p32067 +aS'attempting\tattempt\tVBG\tB-VP\tO' +p32068 +aS'to\tto\tTO\tI-VP\tO' +p32069 +aS'end\tend\tVB\tI-VP\tO' +p32070 +aS'his\this\tPRP$\tB-NP\tO' +p32071 +aS'life\tlife\tNN\tI-NP\tO' +p32072 +aS',\t,\t,\tO\tO' +p32073 +aS'it\tit\tPRP\tB-NP\tO' +p32074 +aS'appears\tappear\tVBZ\tB-VP\tO' +p32075 +aS'that\tthat\tIN\tB-SBAR\tO' +p32076 +aS'the\tthe\tDT\tB-NP\tO' +p32077 +aS'social\tsocial\tJJ\tI-NP\tO' +p32078 +aS'situation\tsituation\tNN\tI-NP\tO' +p32079 +aS'of\tof\tIN\tB-PP\tO' +p32080 +aS'increased\tincrease\tVBN\tB-NP\tO' +p32081 +aS'stressors\tstressor\tNNS\tI-NP\tO' +p32082 +aS'corresponding\tcorrespond\tVBG\tB-VP\tO' +p32083 +aS'to\tto\tTO\tB-PP\tO' +p32084 +aS'this\tthis\tDT\tB-NP\tO' +p32085 +aS'time\ttime\tNN\tI-NP\tO' +p32086 +aS'suggest\tsuggest\tVBP\tB-VP\tO' +p32087 +aS'that\tthat\tIN\tB-SBAR\tO' +p32088 +aS'this\tthis\tDT\tB-NP\tO' +p32089 +aS'is\tbe\tVBZ\tB-VP\tO' +p32090 +aS'not\tnot\tRB\tO\tO' +p32091 +aS'the\tthe\tDT\tB-NP\tO' +p32092 +aS'truth\ttruth\tNN\tI-NP\tO' +p32093 +aS'.\t.\t.\tO\tO' +p32094 +asS'The patient will get a total of a two week course of Diflucan .' +p32095 +(lp32096 +S'The\tThe\tDT\tB-NP\tO' +p32097 +aS'patient\tpatient\tNN\tI-NP\tO' +p32098 +aS'will\twill\tMD\tB-VP\tO' +p32099 +aS'get\tget\tVB\tI-VP\tO' +p32100 +aS'a\ta\tDT\tB-NP\tO' +p32101 +aS'total\ttotal\tNN\tI-NP\tO' +p32102 +aS'of\tof\tIN\tB-PP\tO' +p32103 +aS'a\ta\tDT\tB-NP\tO' +p32104 +aS'two\ttwo\tCD\tI-NP\tO' +p32105 +aS'week\tweek\tNN\tI-NP\tO' +p32106 +aS'course\tcourse\tNN\tI-NP\tO' +p32107 +aS'of\tof\tIN\tB-PP\tO' +p32108 +aS'Diflucan\tDiflucan\tNNP\tB-NP\tO' +p32109 +aS'.\t.\t.\tO\tO' +p32110 +asS'Chronic muscle spasms .' +p32111 +(lp32112 +S'Chronic\tChronic\tJJ\tB-NP\tO' +p32113 +aS'muscle\tmuscle\tNN\tI-NP\tO' +p32114 +aS'spasms\tspasm\tNNS\tI-NP\tO' +p32115 +aS'.\t.\t.\tO\tO' +p32116 +asS'Regular and tachycardic .' +p32117 +(lp32118 +S'Regular\tRegular\tJJ\tB-ADJP\tO' +p32119 +aS'and\tand\tCC\tI-ADJP\tO' +p32120 +aS'tachycardic\ttachycardic\tJJ\tI-ADJP\tO' +p32121 +aS'.\t.\t.\tO\tO' +p32122 +asS'1. Atrovent nebulizers 0.5 mg mixed with albuterol , nebulizer is given every six hours .' +p32123 +(lp32124 +S'1.\t1.\tLS\tB-NP\tO' +p32125 +aS'Atrovent\tAtrovent\tNN\tI-NP\tO' +p32126 +aS'nebulizers\tnebulizer\tNNS\tI-NP\tO' +p32127 +aS'0.5\t0.5\tCD\tB-NP\tO' +p32128 +aS'mg\tmg\tNN\tI-NP\tO' +p32129 +aS'mixed\tmix\tVBN\tB-VP\tO' +p32130 +aS'with\twith\tIN\tB-PP\tO' +p32131 +aS'albuterol\talbuterol\tNN\tB-NP\tO' +p32132 +aS',\t,\t,\tO\tO' +p32133 +aS'nebulizer\tnebulizer\tNN\tB-NP\tO' +p32134 +aS'is\tbe\tVBZ\tB-VP\tO' +p32135 +aS'given\tgive\tVBN\tI-VP\tO' +p32136 +aS'every\tevery\tDT\tB-NP\tO' +p32137 +aS'six\tsix\tCD\tI-NP\tO' +p32138 +aS'hours\thour\tNNS\tI-NP\tO' +p32139 +aS'.\t.\t.\tO\tO' +p32140 +asS'This showed the unchanged left temporal parenchymal interparenchymal hematoma and the old embolic right frontal infarct , but there were no new lesions and no evidence of his susceptibility studies to suggest old bleeds which might have been consistent with amylase angiopathy .' +p32141 +(lp32142 +S'This\tThis\tDT\tB-NP\tO' +p32143 +aS'showed\tshow\tVBD\tB-VP\tO' +p32144 +aS'the\tthe\tDT\tB-NP\tO' +p32145 +aS'unchanged\tunchanged\tJJ\tI-NP\tO' +p32146 +aS'left\tleft\tJJ\tI-NP\tO' +p32147 +aS'temporal\ttemporal\tJJ\tI-NP\tO' +p32148 +aS'parenchymal\tparenchymal\tJJ\tI-NP\tO' +p32149 +aS'interparenchymal\tinterparenchymal\tJJ\tI-NP\tO' +p32150 +aS'hematoma\thematoma\tNN\tI-NP\tO' +p32151 +aS'and\tand\tCC\tO\tO' +p32152 +aS'the\tthe\tDT\tB-NP\tO' +p32153 +aS'old\told\tJJ\tI-NP\tO' +p32154 +aS'embolic\tembolic\tJJ\tI-NP\tO' +p32155 +aS'right\tright\tJJ\tI-NP\tO' +p32156 +aS'frontal\tfrontal\tJJ\tI-NP\tO' +p32157 +aS'infarct\tinfarct\tNN\tI-NP\tO' +p32158 +aS',\t,\t,\tO\tO' +p32159 +aS'but\tbut\tCC\tO\tO' +p32160 +aS'there\tthere\tEX\tB-NP\tO' +p32161 +aS'were\tbe\tVBD\tB-VP\tO' +p32162 +aS'no\tno\tDT\tB-NP\tO' +p32163 +aS'new\tnew\tJJ\tI-NP\tO' +p32164 +aS'lesions\tlesion\tNNS\tI-NP\tO' +p32165 +aS'and\tand\tCC\tO\tO' +p32166 +aS'no\tno\tDT\tB-NP\tO' +p32167 +aS'evidence\tevidence\tNN\tI-NP\tO' +p32168 +aS'of\tof\tIN\tB-PP\tO' +p32169 +aS'his\this\tPRP$\tB-NP\tO' +p32170 +aS'susceptibility\tsusceptibility\tNN\tI-NP\tO' +p32171 +aS'studies\tstudy\tNNS\tI-NP\tO' +p32172 +aS'to\tto\tTO\tB-VP\tO' +p32173 +aS'suggest\tsuggest\tVB\tI-VP\tO' +p32174 +aS'old\told\tJJ\tB-NP\tO' +p32175 +aS'bleeds\tbleed\tNNS\tI-NP\tO' +p32176 +aS'which\twhich\tWDT\tB-NP\tO' +p32177 +aS'might\tmight\tMD\tB-VP\tO' +p32178 +aS'have\thave\tVB\tI-VP\tO' +p32179 +aS'been\tbe\tVBN\tI-VP\tO' +p32180 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p32181 +aS'with\twith\tIN\tB-PP\tO' +p32182 +aS'amylase\tamylase\tNN\tB-NP\tO' +p32183 +aS'angiopathy\tangiopathy\tNN\tI-NP\tO' +p32184 +aS'.\t.\t.\tO\tO' +p32185 +asS'The patient was discharged from The Hospital for Orthopedics with the diagnosis of pulmonary embolism about six months prior to the current admission and was started on Warfarin .' +p32186 +(lp32187 +S'The\tThe\tDT\tB-NP\tO' +p32188 +aS'patient\tpatient\tNN\tI-NP\tO' +p32189 +aS'was\tbe\tVBD\tB-VP\tO' +p32190 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p32191 +aS'from\tfrom\tIN\tB-PP\tO' +p32192 +aS'The\tThe\tDT\tB-NP\tO' +p32193 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p32194 +aS'for\tfor\tIN\tB-PP\tO' +p32195 +aS'Orthopedics\tOrthopedics\tNNP\tB-NP\tO' +p32196 +aS'with\twith\tIN\tB-PP\tO' +p32197 +aS'the\tthe\tDT\tB-NP\tO' +p32198 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p32199 +aS'of\tof\tIN\tB-PP\tO' +p32200 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p32201 +aS'embolism\tembolism\tNN\tI-NP\tO' +p32202 +aS'about\tabout\tIN\tB-NP\tO' +p32203 +aS'six\tsix\tCD\tI-NP\tO' +p32204 +aS'months\tmonth\tNNS\tI-NP\tO' +p32205 +aS'prior\tprior\tRB\tB-ADVP\tO' +p32206 +aS'to\tto\tTO\tB-PP\tO' +p32207 +aS'the\tthe\tDT\tB-NP\tO' +p32208 +aS'current\tcurrent\tJJ\tI-NP\tO' +p32209 +aS'admission\tadmission\tNN\tI-NP\tO' +p32210 +aS'and\tand\tCC\tO\tO' +p32211 +aS'was\tbe\tVBD\tB-VP\tO' +p32212 +aS'started\tstart\tVBN\tI-VP\tO' +p32213 +aS'on\ton\tIN\tB-PP\tO' +p32214 +aS'Warfarin\tWarfarin\tNNP\tB-NP\tO' +p32215 +aS'.\t.\t.\tO\tO' +p32216 +asS'CN : mild left facial droop , o/w appears intact ; 4/5 strength on flex at elbows b/l , legs 06-22 strength , DTR s intact , sensation intact' +p32217 +(lp32218 +S'CN\tCN\tNN\tB-NP\tB-protein' +p32219 +aS':\t:\t:\tO\tO' +p32220 +aS'mild\tmild\tJJ\tB-NP\tO' +p32221 +aS'left\tleft\tJJ\tI-NP\tO' +p32222 +aS'facial\tfacial\tJJ\tI-NP\tO' +p32223 +aS'droop\tdroop\tNN\tI-NP\tO' +p32224 +aS',\t,\t,\tO\tO' +p32225 +aS'o/w\to/w\tNN\tB-NP\tO' +p32226 +aS'appears\tappear\tVBZ\tB-VP\tO' +p32227 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p32228 +aS';\t;\t:\tO\tO' +p32229 +aS'4/5\t4/5\tCD\tB-NP\tO' +p32230 +aS'strength\tstrength\tNN\tI-NP\tO' +p32231 +aS'on\ton\tIN\tB-PP\tO' +p32232 +aS'flex\tflex\tNN\tB-NP\tO' +p32233 +aS'at\tat\tIN\tB-PP\tO' +p32234 +aS'elbows\telbow\tNNS\tB-NP\tO' +p32235 +aS'b/l\tb/l\tNN\tI-NP\tO' +p32236 +aS',\t,\t,\tO\tO' +p32237 +aS'legs\tleg\tVBZ\tB-VP\tO' +p32238 +aS'06-22\t06-22\tCD\tB-NP\tO' +p32239 +aS'strength\tstrength\tNN\tI-NP\tO' +p32240 +aS',\t,\t,\tO\tO' +p32241 +aS'DTR\tDTR\tNN\tB-NP\tB-protein' +p32242 +aS's\ts\tVBZ\tB-VP\tO' +p32243 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p32244 +aS',\t,\t,\tO\tO' +p32245 +aS'sensation\tsensation\tNN\tB-NP\tO' +p32246 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p32247 +asS'Corneals were present bilaterally .' +p32248 +(lp32249 +S'Corneals\tCorneal\tNNS\tB-NP\tO' +p32250 +aS'were\tbe\tVBD\tB-VP\tO' +p32251 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p32252 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p32253 +aS'.\t.\t.\tO\tO' +p32254 +asS'7. Nephrocaps one cap p.o. q.d.' +p32255 +(lp32256 +S'7.\t7.\tCD\tB-NP\tO' +p32257 +aS'Nephrocaps\tNephrocap\tVBZ\tB-VP\tO' +p32258 +aS'one\tone\tCD\tB-NP\tO' +p32259 +aS'cap\tcap\tNN\tI-NP\tO' +p32260 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p32261 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p32262 +asS"Upon arrival to the floor the patient 's wires were discontinued on 2009-05-05 and his Foley catheter was discontinued ." +p32263 +(lp32264 +S'Upon\tUpon\tIN\tB-PP\tO' +p32265 +aS'arrival\tarrival\tNN\tB-NP\tO' +p32266 +aS'to\tto\tTO\tB-PP\tO' +p32267 +aS'the\tthe\tDT\tB-NP\tO' +p32268 +aS'floor\tfloor\tNN\tI-NP\tO' +p32269 +aS'the\tthe\tDT\tB-NP\tO' +p32270 +aS'patient\tpatient\tNN\tI-NP\tO' +p32271 +aS"'s\t's\tPOS\tB-NP\tO" +p32272 +aS'wires\twire\tNNS\tI-NP\tO' +p32273 +aS'were\tbe\tVBD\tB-VP\tO' +p32274 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p32275 +aS'on\ton\tIN\tB-PP\tO' +p32276 +aS'2009-05-05\t2009-05-05\tCD\tB-NP\tO' +p32277 +aS'and\tand\tCC\tO\tO' +p32278 +aS'his\this\tPRP$\tB-NP\tO' +p32279 +aS'Foley\tFoley\tNNP\tI-NP\tO' +p32280 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p32281 +aS'was\tbe\tVBD\tB-VP\tO' +p32282 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p32283 +aS'.\t.\t.\tO\tO' +p32284 +asS'There was no evidence of cardiac tamponade or specific underlying coronary dysfunction .' +p32285 +(lp32286 +S'There\tThere\tEX\tB-NP\tO' +p32287 +aS'was\tbe\tVBD\tB-VP\tO' +p32288 +aS'no\tno\tDT\tB-NP\tO' +p32289 +aS'evidence\tevidence\tNN\tI-NP\tO' +p32290 +aS'of\tof\tIN\tB-PP\tO' +p32291 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p32292 +aS'tamponade\ttamponade\tNN\tI-NP\tO' +p32293 +aS'or\tor\tCC\tO\tO' +p32294 +aS'specific\tspecific\tJJ\tB-NP\tO' +p32295 +aS'underlying\tunderlie\tVBG\tI-NP\tO' +p32296 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p32297 +aS'dysfunction\tdysfunction\tNN\tI-NP\tO' +p32298 +aS'.\t.\t.\tO\tO' +p32299 +asS'Please call the surgeon or return to the Emergency Department if you develop chest pain , shortness of breath , fever greater than 101.5 , foul smelling or colorful drainage from your incisions , redness or swelling , severe abdominal pain or distention , persistent nausea or vomiting , inability to eat or drink , or any' +p32300 +(lp32301 +S'Please\tPlease\tVB\tB-VP\tO' +p32302 +aS'call\tcall\tVB\tI-VP\tO' +p32303 +aS'the\tthe\tDT\tB-NP\tO' +p32304 +aS'surgeon\tsurgeon\tNN\tI-NP\tO' +p32305 +aS'or\tor\tCC\tO\tO' +p32306 +aS'return\treturn\tVB\tB-VP\tO' +p32307 +aS'to\tto\tTO\tB-PP\tO' +p32308 +aS'the\tthe\tDT\tB-NP\tO' +p32309 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p32310 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p32311 +aS'if\tif\tIN\tB-SBAR\tO' +p32312 +aS'you\tyou\tPRP\tB-NP\tO' +p32313 +aS'develop\tdevelop\tVBP\tB-VP\tO' +p32314 +aS'chest\tchest\tNN\tB-NP\tO' +p32315 +aS'pain\tpain\tNN\tI-NP\tO' +p32316 +aS',\t,\t,\tO\tO' +p32317 +aS'shortness\tshortness\tNN\tB-NP\tO' +p32318 +aS'of\tof\tIN\tB-PP\tO' +p32319 +aS'breath\tbreath\tNN\tB-NP\tO' +p32320 +aS',\t,\t,\tO\tO' +p32321 +aS'fever\tfever\tRB\tB-ADJP\tO' +p32322 +aS'greater\tgreat\tJJR\tI-ADJP\tO' +p32323 +aS'than\tthan\tIN\tB-PP\tO' +p32324 +aS'101.5\t101.5\tCD\tB-NP\tO' +p32325 +aS',\t,\t,\tO\tO' +p32326 +aS'foul\tfoul\tJJ\tB-NP\tO' +p32327 +aS'smelling\tsmelling\tNN\tI-NP\tO' +p32328 +aS'or\tor\tCC\tO\tO' +p32329 +aS'colorful\tcolorful\tJJ\tB-NP\tO' +p32330 +aS'drainage\tdrainage\tNN\tI-NP\tO' +p32331 +aS'from\tfrom\tIN\tB-PP\tO' +p32332 +aS'your\tyour\tPRP$\tB-NP\tO' +p32333 +aS'incisions\tincision\tNNS\tI-NP\tO' +p32334 +aS',\t,\t,\tO\tO' +p32335 +aS'redness\tredness\tNN\tB-NP\tO' +p32336 +aS'or\tor\tCC\tI-NP\tO' +p32337 +aS'swelling\tswelling\tNN\tI-NP\tO' +p32338 +aS',\t,\t,\tO\tO' +p32339 +aS'severe\tsevere\tJJ\tB-NP\tO' +p32340 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p32341 +aS'pain\tpain\tNN\tI-NP\tO' +p32342 +aS'or\tor\tCC\tI-NP\tO' +p32343 +aS'distention\tdistention\tNN\tI-NP\tO' +p32344 +aS',\t,\t,\tO\tO' +p32345 +aS'persistent\tpersistent\tJJ\tB-NP\tO' +p32346 +aS'nausea\tnausea\tNN\tI-NP\tO' +p32347 +aS'or\tor\tCC\tI-NP\tO' +p32348 +aS'vomiting\tvomiting\tNN\tI-NP\tO' +p32349 +aS',\t,\t,\tO\tO' +p32350 +aS'inability\tinability\tNN\tB-NP\tO' +p32351 +aS'to\tto\tTO\tB-VP\tO' +p32352 +aS'eat\teat\tVB\tI-VP\tO' +p32353 +aS'or\tor\tCC\tI-VP\tO' +p32354 +aS'drink\tdrink\tVB\tI-VP\tO' +p32355 +aS',\t,\t,\tO\tO' +p32356 +aS'or\tor\tCC\tO\tO' +p32357 +aS'any\tany\tDT\tO\tO' +p32358 +asS'It was unclear the source of her bacteremia .' +p32359 +(lp32360 +S'It\tIt\tPRP\tB-NP\tO' +p32361 +aS'was\tbe\tVBD\tB-VP\tO' +p32362 +aS'unclear\tunclear\tJJ\tB-ADJP\tO' +p32363 +aS'the\tthe\tDT\tB-NP\tO' +p32364 +aS'source\tsource\tNN\tI-NP\tO' +p32365 +aS'of\tof\tIN\tB-PP\tO' +p32366 +aS'her\ther\tPRP$\tB-NP\tO' +p32367 +aS'bacteremia\tbacteremia\tNN\tI-NP\tO' +p32368 +aS'.\t.\t.\tO\tO' +p32369 +asS'She did well during the postoperative period .' +p32370 +(lp32371 +S'She\tShe\tPRP\tB-NP\tO' +p32372 +aS'did\tdo\tVBD\tB-VP\tO' +p32373 +aS'well\twell\tRB\tB-ADVP\tO' +p32374 +aS'during\tduring\tIN\tB-PP\tO' +p32375 +aS'the\tthe\tDT\tB-NP\tO' +p32376 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p32377 +aS'period\tperiod\tNN\tI-NP\tO' +p32378 +aS'.\t.\t.\tO\tO' +p32379 +asS'On the following morning 4/17/93 , the patient was taken to the operating room where she underwent a right total hip replacement , using a hybrid S-ROM system .' +p32380 +(lp32381 +S'On\tOn\tIN\tB-PP\tO' +p32382 +aS'the\tthe\tDT\tB-NP\tO' +p32383 +aS'following\tfollow\tVBG\tI-NP\tO' +p32384 +aS'morning\tmorning\tNN\tI-NP\tO' +p32385 +aS'4/17/93\t4/17/93\tCD\tI-NP\tO' +p32386 +aS',\t,\t,\tO\tO' +p32387 +aS'the\tthe\tDT\tB-NP\tO' +p32388 +aS'patient\tpatient\tNN\tI-NP\tO' +p32389 +aS'was\tbe\tVBD\tB-VP\tO' +p32390 +aS'taken\ttake\tVBN\tI-VP\tO' +p32391 +aS'to\tto\tTO\tB-PP\tO' +p32392 +aS'the\tthe\tDT\tB-NP\tO' +p32393 +aS'operating\toperating\tNN\tI-NP\tO' +p32394 +aS'room\troom\tNN\tI-NP\tO' +p32395 +aS'where\twhere\tWRB\tB-ADVP\tO' +p32396 +aS'she\tshe\tPRP\tB-NP\tO' +p32397 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p32398 +aS'a\ta\tDT\tB-NP\tO' +p32399 +aS'right\tright\tJJ\tI-NP\tO' +p32400 +aS'total\ttotal\tJJ\tI-NP\tO' +p32401 +aS'hip\thip\tNN\tI-NP\tO' +p32402 +aS'replacement\treplacement\tNN\tI-NP\tO' +p32403 +aS',\t,\t,\tO\tO' +p32404 +aS'using\tuse\tVBG\tB-VP\tO' +p32405 +aS'a\ta\tDT\tB-NP\tO' +p32406 +aS'hybrid\thybrid\tNN\tI-NP\tO' +p32407 +aS'S-ROM\tS-ROM\tNN\tI-NP\tO' +p32408 +aS'system\tsystem\tNN\tI-NP\tO' +p32409 +aS'.\t.\t.\tO\tO' +p32410 +asS'He quit all tobacco approximately 27 years ago .' +p32411 +(lp32412 +S'He\tHe\tPRP\tB-NP\tO' +p32413 +aS'quit\tquit\tVBD\tB-VP\tO' +p32414 +aS'all\tall\tDT\tB-NP\tO' +p32415 +aS'tobacco\ttobacco\tNN\tI-NP\tO' +p32416 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p32417 +aS'27\t27\tCD\tI-NP\tO' +p32418 +aS'years\tyear\tNNS\tI-NP\tO' +p32419 +aS'ago\tago\tRB\tB-ADVP\tO' +p32420 +aS'.\t.\t.\tO\tO' +p32421 +asS'He was transferred to the CMED CCU in critical but stable condition .' +p32422 +(lp32423 +S'He\tHe\tPRP\tB-NP\tO' +p32424 +aS'was\tbe\tVBD\tB-VP\tO' +p32425 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p32426 +aS'to\tto\tTO\tB-PP\tO' +p32427 +aS'the\tthe\tDT\tB-NP\tO' +p32428 +aS'CMED\tCMED\tVBN\tI-NP\tO' +p32429 +aS'CCU\tCCU\tNN\tI-NP\tO' +p32430 +aS'in\tin\tIN\tB-PP\tO' +p32431 +aS'critical\tcritical\tJJ\tB-NP\tO' +p32432 +aS'but\tbut\tCC\tI-NP\tO' +p32433 +aS'stable\tstable\tJJ\tI-NP\tO' +p32434 +aS'condition\tcondition\tNN\tI-NP\tO' +p32435 +aS'.\t.\t.\tO\tO' +p32436 +asS'Infectious disease continued to follow and on 2012-02-29 , the patient spiked again which at that time was felt to be due to his central line and the central line was resited on the left side and the patient was started on intravenous Vancomycin .' +p32437 +(lp32438 +S'Infectious\tInfectious\tJJ\tB-NP\tO' +p32439 +aS'disease\tdisease\tNN\tI-NP\tO' +p32440 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p32441 +aS'to\tto\tTO\tI-VP\tO' +p32442 +aS'follow\tfollow\tVB\tI-VP\tO' +p32443 +aS'and\tand\tCC\tO\tO' +p32444 +aS'on\ton\tIN\tB-PP\tO' +p32445 +aS'2012-02-29\t2012-02-29\tCD\tB-NP\tO' +p32446 +aS',\t,\t,\tO\tO' +p32447 +aS'the\tthe\tDT\tB-NP\tO' +p32448 +aS'patient\tpatient\tNN\tI-NP\tO' +p32449 +aS'spiked\tspike\tVBD\tB-VP\tO' +p32450 +aS'again\tagain\tRB\tB-ADVP\tO' +p32451 +aS'which\twhich\tWDT\tB-NP\tO' +p32452 +aS'at\tat\tIN\tB-PP\tO' +p32453 +aS'that\tthat\tDT\tB-NP\tO' +p32454 +aS'time\ttime\tNN\tI-NP\tO' +p32455 +aS'was\tbe\tVBD\tB-VP\tO' +p32456 +aS'felt\tfeel\tVBN\tI-VP\tO' +p32457 +aS'to\tto\tTO\tI-VP\tO' +p32458 +aS'be\tbe\tVB\tI-VP\tO' +p32459 +aS'due\tdue\tIN\tB-PP\tO' +p32460 +aS'to\tto\tTO\tB-PP\tO' +p32461 +aS'his\this\tPRP$\tB-NP\tO' +p32462 +aS'central\tcentral\tJJ\tI-NP\tO' +p32463 +aS'line\tline\tNN\tI-NP\tO' +p32464 +aS'and\tand\tCC\tO\tO' +p32465 +aS'the\tthe\tDT\tB-NP\tO' +p32466 +aS'central\tcentral\tJJ\tI-NP\tB-cell_line' +p32467 +aS'line\tline\tNN\tI-NP\tI-cell_line' +p32468 +aS'was\tbe\tVBD\tB-VP\tO' +p32469 +aS'resited\tresite\tVBN\tI-VP\tO' +p32470 +aS'on\ton\tIN\tB-PP\tO' +p32471 +aS'the\tthe\tDT\tB-NP\tO' +p32472 +aS'left\tleft\tJJ\tI-NP\tO' +p32473 +aS'side\tside\tNN\tI-NP\tO' +p32474 +aS'and\tand\tCC\tO\tO' +p32475 +aS'the\tthe\tDT\tB-NP\tO' +p32476 +aS'patient\tpatient\tNN\tI-NP\tO' +p32477 +aS'was\tbe\tVBD\tB-VP\tO' +p32478 +aS'started\tstart\tVBN\tI-VP\tO' +p32479 +aS'on\ton\tIN\tB-PP\tO' +p32480 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p32481 +aS'Vancomycin\tVancomycin\tNN\tI-NP\tO' +p32482 +aS'.\t.\t.\tO\tO' +p32483 +asS'He is a realtor .' +p32484 +(lp32485 +S'He\tHe\tPRP\tB-NP\tB-DNA' +p32486 +aS'is\tbe\tVBZ\tB-VP\tO' +p32487 +aS'a\ta\tDT\tB-NP\tO' +p32488 +aS'realtor\trealtor\tNN\tI-NP\tO' +p32489 +aS'.\t.\t.\tO\tO' +p32490 +asS'The patient initially presented with T max of 101.3 at outside hospital with increasing white blood cell counts and a positive urinalysis .' +p32491 +(lp32492 +S'The\tThe\tDT\tB-NP\tO' +p32493 +aS'patient\tpatient\tNN\tI-NP\tO' +p32494 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p32495 +aS'presented\tpresent\tVBD\tB-VP\tO' +p32496 +aS'with\twith\tIN\tB-PP\tO' +p32497 +aS'T\tT\tNN\tB-NP\tO' +p32498 +aS'max\tmax\tNN\tI-NP\tO' +p32499 +aS'of\tof\tIN\tB-PP\tO' +p32500 +aS'101.3\t101.3\tCD\tB-NP\tO' +p32501 +aS'at\tat\tIN\tB-PP\tO' +p32502 +aS'outside\toutside\tJJ\tB-NP\tO' +p32503 +aS'hospital\thospital\tNN\tI-NP\tO' +p32504 +aS'with\twith\tIN\tB-PP\tO' +p32505 +aS'increasing\tincrease\tVBG\tB-VP\tO' +p32506 +aS'white\twhite\tJJ\tB-NP\tO' +p32507 +aS'blood\tblood\tNN\tI-NP\tO' +p32508 +aS'cell\tcell\tNN\tI-NP\tO' +p32509 +aS'counts\tcount\tNNS\tI-NP\tO' +p32510 +aS'and\tand\tCC\tO\tO' +p32511 +aS'a\ta\tDT\tB-NP\tO' +p32512 +aS'positive\tpositive\tJJ\tI-NP\tO' +p32513 +aS'urinalysis\turinalysis\tNN\tI-NP\tO' +p32514 +aS'.\t.\t.\tO\tO' +p32515 +asS'#. SOB : Most consistent with CHF by exam , although unknown what the severity of her COPD is currently .' +p32516 +(lp32517 +S'#.\t#.\tJJ\tB-NP\tB-protein' +p32518 +aS'SOB\tSOB\tNN\tI-NP\tI-protein' +p32519 +aS':\t:\t:\tO\tO' +p32520 +aS'Most\tMost\tJJS\tB-ADJP\tO' +p32521 +aS'consistent\tconsistent\tJJ\tI-ADJP\tO' +p32522 +aS'with\twith\tIN\tB-PP\tO' +p32523 +aS'CHF\tCHF\tNN\tB-NP\tB-protein' +p32524 +aS'by\tby\tIN\tB-PP\tO' +p32525 +aS'exam\texam\tNN\tB-NP\tO' +p32526 +aS',\t,\t,\tO\tO' +p32527 +aS'although\talthough\tIN\tB-SBAR\tO' +p32528 +aS'unknown\tunknown\tJJ\tO\tO' +p32529 +aS'what\twhat\tWP\tB-NP\tO' +p32530 +aS'the\tthe\tDT\tB-NP\tO' +p32531 +aS'severity\tseverity\tNN\tI-NP\tO' +p32532 +aS'of\tof\tIN\tB-PP\tO' +p32533 +aS'her\ther\tPRP$\tB-NP\tO' +p32534 +aS'COPD\tCOPD\tNN\tI-NP\tO' +p32535 +aS'is\tbe\tVBZ\tB-VP\tO' +p32536 +aS'currently\tcurrently\tRB\tB-ADVP\tO' +p32537 +aS'.\t.\t.\tO\tO' +p32538 +asS'Therefore , because of his need for intense psychiatric care , the patient is discharged to the Vo Black Doylestrictshore Ft. Clinics Medical Center on the 7th hospital day .' +p32539 +(lp32540 +S'Therefore\tTherefore\tRB\tB-ADVP\tO' +p32541 +aS',\t,\t,\tO\tO' +p32542 +aS'because\tbecause\tIN\tB-PP\tO' +p32543 +aS'of\tof\tIN\tI-PP\tO' +p32544 +aS'his\this\tPRP$\tB-NP\tO' +p32545 +aS'need\tneed\tNN\tI-NP\tO' +p32546 +aS'for\tfor\tIN\tB-PP\tO' +p32547 +aS'intense\tintense\tJJ\tB-NP\tO' +p32548 +aS'psychiatric\tpsychiatric\tJJ\tI-NP\tO' +p32549 +aS'care\tcare\tNN\tI-NP\tO' +p32550 +aS',\t,\t,\tO\tO' +p32551 +aS'the\tthe\tDT\tB-NP\tO' +p32552 +aS'patient\tpatient\tNN\tI-NP\tO' +p32553 +aS'is\tbe\tVBZ\tB-VP\tO' +p32554 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p32555 +aS'to\tto\tTO\tB-PP\tO' +p32556 +aS'the\tthe\tDT\tB-NP\tO' +p32557 +aS'Vo\tVo\tNNP\tI-NP\tO' +p32558 +aS'Black\tBlack\tNNP\tI-NP\tO' +p32559 +aS'Doylestrictshore\tDoylestrictshore\tNNP\tI-NP\tO' +p32560 +aS'Ft.\tFt.\tNNP\tI-NP\tO' +p32561 +aS'Clinics\tClinics\tNNP\tI-NP\tO' +p32562 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p32563 +aS'Center\tCenter\tNNP\tI-NP\tO' +p32564 +aS'on\ton\tIN\tB-PP\tO' +p32565 +aS'the\tthe\tDT\tB-NP\tO' +p32566 +aS'7th\t7th\tJJ\tI-NP\tO' +p32567 +aS'hospital\thospital\tNN\tI-NP\tO' +p32568 +aS'day\tday\tNN\tI-NP\tO' +p32569 +aS'.\t.\t.\tO\tO' +p32570 +asS'She uses only occasional alcohol and she is not sexually active .' +p32571 +(lp32572 +S'She\tShe\tPRP\tB-NP\tO' +p32573 +aS'uses\tuse\tVBZ\tB-VP\tO' +p32574 +aS'only\tonly\tRB\tB-NP\tO' +p32575 +aS'occasional\toccasional\tJJ\tI-NP\tO' +p32576 +aS'alcohol\talcohol\tNN\tI-NP\tO' +p32577 +aS'and\tand\tCC\tO\tO' +p32578 +aS'she\tshe\tPRP\tB-NP\tO' +p32579 +aS'is\tbe\tVBZ\tB-VP\tO' +p32580 +aS'not\tnot\tRB\tO\tO' +p32581 +aS'sexually\tsexually\tRB\tB-ADJP\tO' +p32582 +aS'active\tactive\tJJ\tI-ADJP\tO' +p32583 +aS'.\t.\t.\tO\tO' +p32584 +asS'He underwent catheterization on 2016-04-05 which revealed a left ventricular ejection fraction of 50% , no mitral regurgitation , insufficiency or hypokinesis .' +p32585 +(lp32586 +S'He\tHe\tPRP\tB-NP\tO' +p32587 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p32588 +aS'catheterization\tcatheterization\tNN\tB-NP\tO' +p32589 +aS'on\ton\tIN\tB-PP\tO' +p32590 +aS'2016-04-05\t2016-04-05\tCD\tB-NP\tO' +p32591 +aS'which\twhich\tWDT\tB-NP\tO' +p32592 +aS'revealed\treveal\tVBD\tB-VP\tO' +p32593 +aS'a\ta\tDT\tB-NP\tO' +p32594 +aS'left\tleft\tJJ\tI-NP\tO' +p32595 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p32596 +aS'ejection\tejection\tNN\tI-NP\tO' +p32597 +aS'fraction\tfraction\tNN\tI-NP\tO' +p32598 +aS'of\tof\tIN\tB-PP\tO' +p32599 +aS'50%\t50%\tCD\tB-NP\tO' +p32600 +aS',\t,\t,\tO\tO' +p32601 +aS'no\tno\tDT\tB-NP\tO' +p32602 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p32603 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p32604 +aS',\t,\t,\tI-NP\tO' +p32605 +aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' +p32606 +aS'or\tor\tCC\tI-NP\tO' +p32607 +aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' +p32608 +aS'.\t.\t.\tO\tO' +p32609 +asS'8. Polyvinyl Alcohol 1.4 % Drops Sig : 1-2 Drops Ophthalmic PRN ( as needed ) .' +p32610 +(lp32611 +S'8.\t8.\tCD\tB-NP\tO' +p32612 +aS'Polyvinyl\tPolyvinyl\tNN\tI-NP\tO' +p32613 +aS'Alcohol\tAlcohol\tNN\tI-NP\tO' +p32614 +aS'1.4\t1.4\tCD\tB-NP\tO' +p32615 +aS'%\t%\tNN\tI-NP\tO' +p32616 +aS'Drops\tDrops\tNNP\tI-NP\tO' +p32617 +aS'Sig\tSig\tNNP\tI-NP\tO' +p32618 +aS':\t:\t:\tO\tO' +p32619 +aS'1-2\t1-2\tCD\tB-NP\tO' +p32620 +aS'Drops\tDrop\tVBZ\tB-VP\tO' +p32621 +aS'Ophthalmic\tOphthalmic\tJJ\tB-NP\tO' +p32622 +aS'PRN\tPRN\tNN\tI-NP\tO' +p32623 +aS'(\t(\t(\tO\tO' +p32624 +aS'as\tas\tIN\tB-SBAR\tO' +p32625 +aS'needed\tneed\tVBN\tB-VP\tO' +p32626 +aS')\t)\t)\tO\tO' +p32627 +aS'.\t.\t.\tO\tO' +p32628 +asS'In the correct clincial setting , this could be consistent with an abscess .' +p32629 +(lp32630 +S'In\tIn\tIN\tB-PP\tO' +p32631 +aS'the\tthe\tDT\tB-NP\tO' +p32632 +aS'correct\tcorrect\tJJ\tI-NP\tO' +p32633 +aS'clincial\tclincial\tJJ\tI-NP\tO' +p32634 +aS'setting\tsetting\tNN\tI-NP\tO' +p32635 +aS',\t,\t,\tO\tO' +p32636 +aS'this\tthis\tDT\tB-NP\tO' +p32637 +aS'could\tcould\tMD\tB-VP\tO' +p32638 +aS'be\tbe\tVB\tI-VP\tO' +p32639 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p32640 +aS'with\twith\tIN\tB-PP\tO' +p32641 +aS'an\tan\tDT\tB-NP\tO' +p32642 +aS'abscess\tabscess\tNN\tI-NP\tO' +p32643 +aS'.\t.\t.\tO\tO' +p32644 +asS'4. Hydralazine 12.5 mg four times per day .' +p32645 +(lp32646 +S'4.\t4.\tLS\tB-NP\tO' +p32647 +aS'Hydralazine\tHydralazine\tNN\tI-NP\tO' +p32648 +aS'12.5\t12.5\tCD\tB-NP\tO' +p32649 +aS'mg\tmg\tNN\tI-NP\tO' +p32650 +aS'four\tfour\tCD\tB-NP\tO' +p32651 +aS'times\ttime\tNNS\tI-NP\tO' +p32652 +aS'per\tper\tIN\tB-PP\tO' +p32653 +aS'day\tday\tNN\tB-NP\tO' +p32654 +aS'.\t.\t.\tO\tO' +p32655 +asS'2. Bilateral pleural effusions , right greater than left , with left-sided compressive atelectasis .' +p32656 +(lp32657 +S'2.\t2.\tLS\tB-NP\tO' +p32658 +aS'Bilateral\tBilateral\tJJ\tI-NP\tO' +p32659 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p32660 +aS'effusions\teffusion\tNNS\tI-NP\tO' +p32661 +aS',\t,\t,\tO\tO' +p32662 +aS'right\tright\tRB\tB-ADVP\tO' +p32663 +aS'greater\tgreat\tJJR\tI-ADVP\tO' +p32664 +aS'than\tthan\tIN\tB-PP\tO' +p32665 +aS'left\tleft\tJJ\tB-ADJP\tO' +p32666 +aS',\t,\t,\tO\tO' +p32667 +aS'with\twith\tIN\tB-SBAR\tO' +p32668 +aS'left-sided\tleft-sided\tJJ\tB-NP\tO' +p32669 +aS'compressive\tcompressive\tJJ\tI-NP\tO' +p32670 +aS'atelectasis\tatelectasis\tNN\tI-NP\tO' +p32671 +aS'.\t.\t.\tO\tO' +p32672 +asS'Appropriate tone and activity .' +p32673 +(lp32674 +S'Appropriate\tAppropriate\tJJ\tB-NP\tO' +p32675 +aS'tone\ttone\tNN\tI-NP\tO' +p32676 +aS'and\tand\tCC\tI-NP\tO' +p32677 +aS'activity\tactivity\tNN\tI-NP\tO' +p32678 +aS'.\t.\t.\tO\tO' +p32679 +asS'5. Reglan 10 mg four times a day before meals and at bedtime .' +p32680 +(lp32681 +S'5.\t5.\tLS\tB-LST\tO' +p32682 +aS'Reglan\tReglan\tNNP\tB-NP\tO' +p32683 +aS'10\t10\tCD\tI-NP\tO' +p32684 +aS'mg\tmg\tNN\tI-NP\tO' +p32685 +aS'four\tfour\tCD\tB-NP\tO' +p32686 +aS'times\ttime\tNNS\tI-NP\tO' +p32687 +aS'a\ta\tDT\tB-NP\tO' +p32688 +aS'day\tday\tNN\tI-NP\tO' +p32689 +aS'before\tbefore\tIN\tB-PP\tO' +p32690 +aS'meals\tmeal\tNNS\tB-NP\tO' +p32691 +aS'and\tand\tCC\tB-PP\tO' +p32692 +aS'at\tat\tIN\tB-PP\tO' +p32693 +aS'bedtime\tbedtime\tNN\tB-NP\tO' +p32694 +aS'.\t.\t.\tO\tO' +p32695 +asS'The patient has been admitted 5 x in the past to Nantucket Cottage Hospital since 11-30 for encephalopathy .' +p32696 +(lp32697 +S'The\tThe\tDT\tB-NP\tO' +p32698 +aS'patient\tpatient\tNN\tI-NP\tO' +p32699 +aS'has\thave\tVBZ\tB-VP\tO' +p32700 +aS'been\tbe\tVBN\tI-VP\tO' +p32701 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p32702 +aS'5\t5\tCD\tB-NP\tO' +p32703 +aS'x\tx\tNN\tI-NP\tO' +p32704 +aS'in\tin\tIN\tB-PP\tO' +p32705 +aS'the\tthe\tDT\tB-NP\tO' +p32706 +aS'past\tpast\tNN\tI-NP\tO' +p32707 +aS'to\tto\tTO\tB-PP\tO' +p32708 +aS'Nantucket\tNantucket\tNNP\tB-NP\tO' +p32709 +aS'Cottage\tCottage\tNNP\tI-NP\tO' +p32710 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p32711 +aS'since\tsince\tIN\tB-PP\tO' +p32712 +aS'11-30\t11-30\tCD\tB-NP\tO' +p32713 +aS'for\tfor\tIN\tB-PP\tO' +p32714 +aS'encephalopathy\tencephalopathy\tNN\tB-NP\tO' +p32715 +aS'.\t.\t.\tO\tO' +p32716 +asS'Plan is for surveillance cultures to be drawn at dialysis .' +p32717 +(lp32718 +S'Plan\tPlan\tNN\tB-NP\tO' +p32719 +aS'is\tbe\tVBZ\tB-VP\tO' +p32720 +aS'for\tfor\tIN\tB-PP\tO' +p32721 +aS'surveillance\tsurveillance\tNN\tB-NP\tO' +p32722 +aS'cultures\tculture\tNNS\tI-NP\tO' +p32723 +aS'to\tto\tTO\tB-VP\tO' +p32724 +aS'be\tbe\tVB\tI-VP\tO' +p32725 +aS'drawn\tdraw\tVBN\tI-VP\tO' +p32726 +aS'at\tat\tIN\tB-PP\tO' +p32727 +aS'dialysis\tdialysis\tNN\tB-NP\tO' +p32728 +aS'.\t.\t.\tO\tO' +p32729 +asS'Significant for an appendectomy in the distant past , cholecystectomy in the past , history of of Cesarean section in the past and a history of near total thyroidectomy for nodular goiter in the past .' +p32730 +(lp32731 +S'Significant\tSignificant\tJJ\tB-ADJP\tO' +p32732 +aS'for\tfor\tIN\tB-PP\tO' +p32733 +aS'an\tan\tDT\tB-NP\tO' +p32734 +aS'appendectomy\tappendectomy\tNN\tI-NP\tO' +p32735 +aS'in\tin\tIN\tB-PP\tO' +p32736 +aS'the\tthe\tDT\tB-NP\tO' +p32737 +aS'distant\tdistant\tJJ\tI-NP\tO' +p32738 +aS'past\tpast\tNN\tI-NP\tO' +p32739 +aS',\t,\t,\tO\tO' +p32740 +aS'cholecystectomy\tcholecystectomy\tNN\tB-NP\tO' +p32741 +aS'in\tin\tIN\tB-PP\tO' +p32742 +aS'the\tthe\tDT\tB-NP\tO' +p32743 +aS'past\tpast\tNN\tI-NP\tO' +p32744 +aS',\t,\t,\tO\tO' +p32745 +aS'history\thistory\tNN\tB-NP\tO' +p32746 +aS'of\tof\tIN\tB-PP\tO' +p32747 +aS'of\tof\tIN\tB-PP\tO' +p32748 +aS'Cesarean\tCesarean\tJJ\tB-NP\tO' +p32749 +aS'section\tsection\tNN\tI-NP\tO' +p32750 +aS'in\tin\tIN\tB-PP\tO' +p32751 +aS'the\tthe\tDT\tB-NP\tO' +p32752 +aS'past\tpast\tNN\tI-NP\tO' +p32753 +aS'and\tand\tCC\tO\tO' +p32754 +aS'a\ta\tDT\tB-NP\tO' +p32755 +aS'history\thistory\tNN\tI-NP\tO' +p32756 +aS'of\tof\tIN\tB-PP\tO' +p32757 +aS'near\tnear\tJJ\tB-NP\tO' +p32758 +aS'total\ttotal\tJJ\tI-NP\tO' +p32759 +aS'thyroidectomy\tthyroidectomy\tNN\tI-NP\tO' +p32760 +aS'for\tfor\tIN\tB-PP\tO' +p32761 +aS'nodular\tnodular\tJJ\tB-NP\tO' +p32762 +aS'goiter\tgoiter\tNN\tI-NP\tO' +p32763 +aS'in\tin\tIN\tB-PP\tO' +p32764 +aS'the\tthe\tDT\tB-NP\tO' +p32765 +aS'past\tpast\tNN\tI-NP\tO' +p32766 +aS'.\t.\t.\tO\tO' +p32767 +asS'Gerardo weaned to room air on day of life #6 .' +p32768 +(lp32769 +S'Gerardo\tGerardo\tNNP\tB-NP\tO' +p32770 +aS'weaned\twean\tVBD\tB-VP\tO' +p32771 +aS'to\tto\tTO\tB-PP\tO' +p32772 +aS'room\troom\tNN\tB-NP\tO' +p32773 +aS'air\tair\tNN\tI-NP\tO' +p32774 +aS'on\ton\tIN\tB-PP\tO' +p32775 +aS'day\tday\tNN\tB-NP\tO' +p32776 +aS'of\tof\tIN\tB-PP\tO' +p32777 +aS'life\tlife\tNN\tB-NP\tO' +p32778 +aS'#6\t#6\tCD\tI-NP\tO' +p32779 +aS'.\t.\t.\tO\tO' +p32780 +asS'Vanco was added for possible nosocomial infection .' +p32781 +(lp32782 +S'Vanco\tVanco\tNNP\tB-NP\tO' +p32783 +aS'was\tbe\tVBD\tB-VP\tO' +p32784 +aS'added\tadd\tVBN\tI-VP\tO' +p32785 +aS'for\tfor\tIN\tB-PP\tO' +p32786 +aS'possible\tpossible\tJJ\tB-NP\tO' +p32787 +aS'nosocomial\tnosocomial\tJJ\tI-NP\tO' +p32788 +aS'infection\tinfection\tNN\tI-NP\tO' +p32789 +aS'.\t.\t.\tO\tO' +p32790 +asS'Dictated By : Lynn J Crump , M.D.' +p32791 +(lp32792 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p32793 +aS'By\tBy\tIN\tB-PP\tO' +p32794 +aS':\t:\t:\tO\tO' +p32795 +aS'Lynn\tLynn\tNNP\tB-NP\tO' +p32796 +aS'J\tJ\tNNP\tI-NP\tO' +p32797 +aS'Crump\tCrump\tNNP\tI-NP\tO' +p32798 +aS',\t,\t,\tO\tO' +p32799 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p32800 +asS'The patient is to maintain his incisions clean and dry at all times .' +p32801 +(lp32802 +S'The\tThe\tDT\tB-NP\tO' +p32803 +aS'patient\tpatient\tNN\tI-NP\tO' +p32804 +aS'is\tbe\tVBZ\tB-VP\tO' +p32805 +aS'to\tto\tTO\tB-VP\tO' +p32806 +aS'maintain\tmaintain\tVB\tI-VP\tO' +p32807 +aS'his\this\tPRP$\tB-NP\tO' +p32808 +aS'incisions\tincision\tNNS\tI-NP\tO' +p32809 +aS'clean\tclean\tJJ\tB-ADJP\tO' +p32810 +aS'and\tand\tCC\tO\tO' +p32811 +aS'dry\tdry\tJJ\tB-ADJP\tO' +p32812 +aS'at\tat\tIN\tB-PP\tO' +p32813 +aS'all\tall\tDT\tB-NP\tO' +p32814 +aS'times\ttime\tNNS\tI-NP\tO' +p32815 +aS'.\t.\t.\tO\tO' +p32816 +asS'The patient was a 108-year-old nursing home resident , who was admitted with a two-day history of increased respiratory secretions and a 24-hour history of elevated fever .' +p32817 +(lp32818 +S'The\tThe\tDT\tB-NP\tO' +p32819 +aS'patient\tpatient\tNN\tI-NP\tO' +p32820 +aS'was\tbe\tVBD\tB-VP\tO' +p32821 +aS'a\ta\tDT\tB-NP\tO' +p32822 +aS'108-year-old\t108-year-old\tJJ\tI-NP\tO' +p32823 +aS'nursing\tnursing\tNN\tI-NP\tO' +p32824 +aS'home\thome\tNN\tI-NP\tO' +p32825 +aS'resident\tresident\tNN\tI-NP\tO' +p32826 +aS',\t,\t,\tO\tO' +p32827 +aS'who\twho\tWP\tB-NP\tO' +p32828 +aS'was\tbe\tVBD\tB-VP\tO' +p32829 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p32830 +aS'with\twith\tIN\tB-PP\tO' +p32831 +aS'a\ta\tDT\tB-NP\tO' +p32832 +aS'two-day\ttwo-day\tJJ\tI-NP\tO' +p32833 +aS'history\thistory\tNN\tI-NP\tO' +p32834 +aS'of\tof\tIN\tB-PP\tO' +p32835 +aS'increased\tincrease\tVBN\tB-NP\tO' +p32836 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p32837 +aS'secretions\tsecretion\tNNS\tI-NP\tO' +p32838 +aS'and\tand\tCC\tO\tO' +p32839 +aS'a\ta\tDT\tB-NP\tO' +p32840 +aS'24-hour\t24-hour\tJJ\tI-NP\tO' +p32841 +aS'history\thistory\tNN\tI-NP\tO' +p32842 +aS'of\tof\tIN\tB-PP\tO' +p32843 +aS'elevated\televated\tJJ\tB-NP\tO' +p32844 +aS'fever\tfever\tNN\tI-NP\tO' +p32845 +aS'.\t.\t.\tO\tO' +p32846 +asS'8 ) Serax 15 mg p.o. q.h.s. p.r.n. insomnia .' +p32847 +(lp32848 +S'8\t8\tCD\tB-NP\tO' +p32849 +aS')\t)\t)\tO\tO' +p32850 +aS'Serax\tSerax\tNNP\tB-NP\tO' +p32851 +aS'15\t15\tCD\tI-NP\tO' +p32852 +aS'mg\tmg\tNN\tI-NP\tO' +p32853 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p32854 +aS'q.h.s.\tq.h.s.\tFW\tI-NP\tO' +p32855 +aS'p.r.n.\tp.r.n.\tFW\tI-NP\tO' +p32856 +aS'insomnia\tinsomnia\tNN\tI-NP\tO' +p32857 +aS'.\t.\t.\tO\tO' +p32858 +asS'pacer DDDR ( Vitatron CL860 ) placed 05-08 for SSS with symptomatic bradycardia , c/b R PTX requiring chest tube' +p32859 +(lp32860 +S'pacer\tpacer\tNN\tB-NP\tO' +p32861 +aS'DDDR\tDDDR\tNN\tI-NP\tO' +p32862 +aS'(\t(\t(\tO\tO' +p32863 +aS'Vitatron\tVitatron\tNN\tB-NP\tO' +p32864 +aS'CL860\tCL860\tNN\tI-NP\tO' +p32865 +aS')\t)\t)\tO\tO' +p32866 +aS'placed\tplace\tVBD\tB-VP\tO' +p32867 +aS'05-08\t05-08\tCD\tB-NP\tO' +p32868 +aS'for\tfor\tIN\tB-PP\tO' +p32869 +aS'SSS\tSSS\tNN\tB-NP\tO' +p32870 +aS'with\twith\tIN\tB-PP\tO' +p32871 +aS'symptomatic\tsymptomatic\tJJ\tB-NP\tO' +p32872 +aS'bradycardia\tbradycardia\tNN\tI-NP\tO' +p32873 +aS',\t,\t,\tO\tO' +p32874 +aS'c/b\tc/b\tNN\tB-NP\tO' +p32875 +aS'R\tR\tNN\tI-NP\tO' +p32876 +aS'PTX\tPTX\tNN\tI-NP\tO' +p32877 +aS'requiring\trequire\tVBG\tB-VP\tO' +p32878 +aS'chest\tchest\tNN\tB-NP\tO' +p32879 +aS'tube\ttube\tNN\tI-NP\tO' +p32880 +asS'This pregnancy is complicated by a cyst noted on the umbilical cord on fetal ultrasound study at 18 weeks gestation .' +p32881 +(lp32882 +S'This\tThis\tDT\tB-NP\tO' +p32883 +aS'pregnancy\tpregnancy\tNN\tI-NP\tO' +p32884 +aS'is\tbe\tVBZ\tB-VP\tO' +p32885 +aS'complicated\tcomplicate\tVBN\tI-VP\tO' +p32886 +aS'by\tby\tIN\tB-PP\tO' +p32887 +aS'a\ta\tDT\tB-NP\tO' +p32888 +aS'cyst\tcyst\tNN\tI-NP\tO' +p32889 +aS'noted\tnote\tVBN\tB-VP\tO' +p32890 +aS'on\ton\tIN\tB-PP\tO' +p32891 +aS'the\tthe\tDT\tB-NP\tO' +p32892 +aS'umbilical\tumbilical\tJJ\tI-NP\tO' +p32893 +aS'cord\tcord\tNN\tI-NP\tO' +p32894 +aS'on\ton\tIN\tB-PP\tO' +p32895 +aS'fetal\tfetal\tJJ\tB-NP\tO' +p32896 +aS'ultrasound\tultrasound\tJJ\tI-NP\tO' +p32897 +aS'study\tstudy\tNN\tI-NP\tO' +p32898 +aS'at\tat\tIN\tB-PP\tO' +p32899 +aS'18\t18\tCD\tB-NP\tO' +p32900 +aS'weeks\tweek\tNNS\tI-NP\tO' +p32901 +aS'gestation\tgestation\tNN\tI-NP\tO' +p32902 +aS'.\t.\t.\tO\tO' +p32903 +asS'The patient now presents for line 1 , cycle 4 to 15 of VP 16 and Cisplatin chemotherapy .' +p32904 +(lp32905 +S'The\tThe\tDT\tB-NP\tO' +p32906 +aS'patient\tpatient\tNN\tI-NP\tO' +p32907 +aS'now\tnow\tRB\tB-ADVP\tO' +p32908 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p32909 +aS'for\tfor\tIN\tB-PP\tO' +p32910 +aS'line\tline\tNN\tB-NP\tO' +p32911 +aS'1\t1\tCD\tI-NP\tO' +p32912 +aS',\t,\t,\tO\tO' +p32913 +aS'cycle\tcycle\tNN\tB-NP\tO' +p32914 +aS'4\t4\tCD\tI-NP\tO' +p32915 +aS'to\tto\tTO\tB-PP\tO' +p32916 +aS'15\t15\tCD\tB-NP\tO' +p32917 +aS'of\tof\tIN\tB-PP\tO' +p32918 +aS'VP\tVP\tNN\tB-NP\tB-protein' +p32919 +aS'16\t16\tCD\tI-NP\tI-protein' +p32920 +aS'and\tand\tCC\tI-NP\tO' +p32921 +aS'Cisplatin\tCisplatin\tNN\tI-NP\tO' +p32922 +aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' +p32923 +aS'.\t.\t.\tO\tO' +p32924 +asS'The left toe was upgoing , the right toe was downgoing .' +p32925 +(lp32926 +S'The\tThe\tDT\tB-NP\tO' +p32927 +aS'left\tleft\tJJ\tI-NP\tO' +p32928 +aS'toe\ttoe\tNN\tI-NP\tO' +p32929 +aS'was\tbe\tVBD\tB-VP\tO' +p32930 +aS'upgoing\tupgoe\tVBG\tI-VP\tO' +p32931 +aS',\t,\t,\tO\tO' +p32932 +aS'the\tthe\tDT\tB-NP\tO' +p32933 +aS'right\tright\tJJ\tI-NP\tO' +p32934 +aS'toe\ttoe\tNN\tI-NP\tO' +p32935 +aS'was\tbe\tVBD\tB-VP\tO' +p32936 +aS'downgoing\tdowngoe\tVBG\tI-VP\tO' +p32937 +aS'.\t.\t.\tO\tO' +p32938 +asS'The pupils were equal , round , and reactive to light .' +p32939 +(lp32940 +S'The\tThe\tDT\tB-NP\tO' +p32941 +aS'pupils\tpupil\tNNS\tI-NP\tO' +p32942 +aS'were\tbe\tVBD\tB-VP\tO' +p32943 +aS'equal\tequal\tJJ\tB-ADJP\tO' +p32944 +aS',\t,\t,\tO\tO' +p32945 +aS'round\tround\tJJ\tB-ADJP\tO' +p32946 +aS',\t,\t,\tO\tO' +p32947 +aS'and\tand\tCC\tO\tO' +p32948 +aS'reactive\treactive\tJJ\tB-ADJP\tO' +p32949 +aS'to\tto\tTO\tB-PP\tO' +p32950 +aS'light\tlight\tNN\tB-NP\tO' +p32951 +aS'.\t.\t.\tO\tO' +p32952 +asS'Negative in detail .' +p32953 +(lp32954 +S'Negative\tNegative\tJJ\tB-ADJP\tO' +p32955 +aS'in\tin\tIN\tB-PP\tO' +p32956 +aS'detail\tdetail\tNN\tB-NP\tO' +p32957 +aS'.\t.\t.\tO\tO' +p32958 +asS'Ms Crossman is an 84 year old female with complaints of abdominal pain , diarrhea , nausea and vomiting x 1 week , who presented to an outside hospital .' +p32959 +(lp32960 +S'Ms\tMs\tNNP\tB-NP\tO' +p32961 +aS'Crossman\tCrossman\tNNP\tI-NP\tO' +p32962 +aS'is\tbe\tVBZ\tB-VP\tO' +p32963 +aS'an\tan\tDT\tB-NP\tO' +p32964 +aS'84\t84\tCD\tI-NP\tO' +p32965 +aS'year\tyear\tNN\tI-NP\tO' +p32966 +aS'old\told\tJJ\tI-NP\tO' +p32967 +aS'female\tfemale\tNN\tI-NP\tO' +p32968 +aS'with\twith\tIN\tB-PP\tO' +p32969 +aS'complaints\tcomplaint\tNNS\tB-NP\tO' +p32970 +aS'of\tof\tIN\tB-PP\tO' +p32971 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p32972 +aS'pain\tpain\tNN\tI-NP\tO' +p32973 +aS',\t,\t,\tO\tO' +p32974 +aS'diarrhea\tdiarrhea\tNN\tB-NP\tO' +p32975 +aS',\t,\t,\tO\tO' +p32976 +aS'nausea\tnausea\tNN\tB-NP\tO' +p32977 +aS'and\tand\tCC\tO\tO' +p32978 +aS'vomiting\tvomit\tVBG\tB-VP\tO' +p32979 +aS'x\tx\tSYM\tB-NP\tO' +p32980 +aS'1\t1\tCD\tI-NP\tO' +p32981 +aS'week\tweek\tNN\tI-NP\tO' +p32982 +aS',\t,\t,\tO\tO' +p32983 +aS'who\twho\tWP\tB-NP\tO' +p32984 +aS'presented\tpresent\tVBD\tB-VP\tO' +p32985 +aS'to\tto\tTO\tB-PP\tO' +p32986 +aS'an\tan\tDT\tB-NP\tO' +p32987 +aS'outside\toutside\tJJ\tI-NP\tO' +p32988 +aS'hospital\thospital\tNN\tI-NP\tO' +p32989 +aS'.\t.\t.\tO\tO' +p32990 +asS'He withdrew to noxious stimuli equally and purposefully after 20 minutes in the trauma bay .' +p32991 +(lp32992 +S'He\tHe\tPRP\tB-NP\tO' +p32993 +aS'withdrew\twithdraw\tVBD\tB-VP\tO' +p32994 +aS'to\tto\tTO\tB-PP\tO' +p32995 +aS'noxious\tnoxious\tJJ\tB-NP\tO' +p32996 +aS'stimuli\tstimulus\tNNS\tI-NP\tO' +p32997 +aS'equally\tequally\tRB\tB-ADVP\tO' +p32998 +aS'and\tand\tCC\tI-ADVP\tO' +p32999 +aS'purposefully\tpurposefully\tRB\tI-ADVP\tO' +p33000 +aS'after\tafter\tIN\tB-PP\tO' +p33001 +aS'20\t20\tCD\tB-NP\tO' +p33002 +aS'minutes\tminute\tNNS\tI-NP\tO' +p33003 +aS'in\tin\tIN\tB-PP\tO' +p33004 +aS'the\tthe\tDT\tB-NP\tO' +p33005 +aS'trauma\ttrauma\tNN\tI-NP\tO' +p33006 +aS'bay\tbay\tNN\tI-NP\tO' +p33007 +aS'.\t.\t.\tO\tO' +p33008 +asS'On postoperative day one , there were no active issues .' +p33009 +(lp33010 +S'On\tOn\tIN\tB-PP\tO' +p33011 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p33012 +aS'day\tday\tNN\tI-NP\tO' +p33013 +aS'one\tone\tCD\tB-NP\tO' +p33014 +aS',\t,\t,\tO\tO' +p33015 +aS'there\tthere\tEX\tB-NP\tO' +p33016 +aS'were\tbe\tVBD\tB-VP\tO' +p33017 +aS'no\tno\tDT\tB-NP\tO' +p33018 +aS'active\tactive\tJJ\tI-NP\tO' +p33019 +aS'issues\tissue\tNNS\tI-NP\tO' +p33020 +aS'.\t.\t.\tO\tO' +p33021 +asS'She presented to the hospital with a numb right leg this morning and underwent an emergent embolectomy .' +p33022 +(lp33023 +S'She\tShe\tPRP\tB-NP\tO' +p33024 +aS'presented\tpresent\tVBD\tB-VP\tO' +p33025 +aS'to\tto\tTO\tB-PP\tO' +p33026 +aS'the\tthe\tDT\tB-NP\tO' +p33027 +aS'hospital\thospital\tNN\tI-NP\tO' +p33028 +aS'with\twith\tIN\tB-PP\tO' +p33029 +aS'a\ta\tDT\tB-NP\tO' +p33030 +aS'numb\tnumb\tNN\tI-NP\tO' +p33031 +aS'right\tright\tJJ\tI-NP\tO' +p33032 +aS'leg\tleg\tNN\tI-NP\tO' +p33033 +aS'this\tthis\tDT\tB-NP\tO' +p33034 +aS'morning\tmorning\tNN\tI-NP\tO' +p33035 +aS'and\tand\tCC\tO\tO' +p33036 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p33037 +aS'an\tan\tDT\tB-NP\tO' +p33038 +aS'emergent\temergent\tJJ\tI-NP\tO' +p33039 +aS'embolectomy\tembolectomy\tNN\tI-NP\tO' +p33040 +aS'.\t.\t.\tO\tO' +p33041 +asS'Other blood culture was negative .' +p33042 +(lp33043 +S'Other\tOther\tJJ\tB-NP\tO' +p33044 +aS'blood\tblood\tNN\tI-NP\tO' +p33045 +aS'culture\tculture\tNN\tI-NP\tO' +p33046 +aS'was\tbe\tVBD\tB-VP\tO' +p33047 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p33048 +aS'.\t.\t.\tO\tO' +p33049 +asS'He was treated with Dopamine for hypertension and Inderal for tachycardia .' +p33050 +(lp33051 +S'He\tHe\tPRP\tB-NP\tO' +p33052 +aS'was\tbe\tVBD\tB-VP\tO' +p33053 +aS'treated\ttreat\tVBN\tI-VP\tO' +p33054 +aS'with\twith\tIN\tB-PP\tO' +p33055 +aS'Dopamine\tDopamine\tNN\tB-NP\tO' +p33056 +aS'for\tfor\tIN\tB-PP\tO' +p33057 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p33058 +aS'and\tand\tCC\tO\tO' +p33059 +aS'Inderal\tInderal\tJJ\tB-ADJP\tO' +p33060 +aS'for\tfor\tIN\tB-PP\tO' +p33061 +aS'tachycardia\ttachycardia\tNN\tB-NP\tO' +p33062 +aS'.\t.\t.\tO\tO' +p33063 +asS'She was immobilized in the C-spine collar at the scene of the accident and subsequently transported by EMS to the New England Sinai Hospital & Rehab Center Emergency Department for further management .' +p33064 +(lp33065 +S'She\tShe\tPRP\tB-NP\tO' +p33066 +aS'was\tbe\tVBD\tB-VP\tO' +p33067 +aS'immobilized\timmobilize\tVBN\tI-VP\tO' +p33068 +aS'in\tin\tIN\tB-PP\tO' +p33069 +aS'the\tthe\tDT\tB-NP\tO' +p33070 +aS'C-spine\tC-spine\tNN\tI-NP\tO' +p33071 +aS'collar\tcollar\tNN\tI-NP\tO' +p33072 +aS'at\tat\tIN\tB-PP\tO' +p33073 +aS'the\tthe\tDT\tB-NP\tO' +p33074 +aS'scene\tscene\tNN\tI-NP\tO' +p33075 +aS'of\tof\tIN\tB-PP\tO' +p33076 +aS'the\tthe\tDT\tB-NP\tO' +p33077 +aS'accident\taccident\tNN\tI-NP\tO' +p33078 +aS'and\tand\tCC\tO\tO' +p33079 +aS'subsequently\tsubsequently\tRB\tB-VP\tO' +p33080 +aS'transported\ttransport\tVBN\tI-VP\tO' +p33081 +aS'by\tby\tIN\tB-PP\tO' +p33082 +aS'EMS\tEMS\tNNP\tB-NP\tO' +p33083 +aS'to\tto\tTO\tB-PP\tO' +p33084 +aS'the\tthe\tDT\tB-NP\tO' +p33085 +aS'New\tNew\tNNP\tI-NP\tO' +p33086 +aS'England\tEngland\tNNP\tI-NP\tO' +p33087 +aS'Sinai\tSinai\tNNP\tI-NP\tO' +p33088 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p33089 +aS'&\t&\tCC\tI-NP\tO' +p33090 +aS'Rehab\tRehab\tNNP\tI-NP\tO' +p33091 +aS'Center\tCenter\tNNP\tI-NP\tO' +p33092 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p33093 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p33094 +aS'for\tfor\tIN\tB-PP\tO' +p33095 +aS'further\tfurther\tJJ\tB-NP\tO' +p33096 +aS'management\tmanagement\tNN\tI-NP\tO' +p33097 +aS'.\t.\t.\tO\tO' +p33098 +asS'Not applicable; patient deceased .' +p33099 +(lp33100 +S'Not\tNot\tRB\tB-NP\tO' +p33101 +aS'applicable;\tapplicable;\tNN\tI-NP\tO' +p33102 +aS'patient\tpatient\tNN\tI-NP\tO' +p33103 +aS'deceased\tdecease\tVBD\tB-VP\tO' +p33104 +aS'.\t.\t.\tO\tO' +p33105 +asS'- L hydroureter obstruction , s/p R ureteral stent 2016-03-24' +p33106 +(lp33107 +S'-\t-\tHYPH\tB-NP\tO' +p33108 +aS'L\tL\tNN\tI-NP\tO' +p33109 +aS'hydroureter\thydroureter\tNN\tI-NP\tO' +p33110 +aS'obstruction\tobstruction\tNN\tI-NP\tO' +p33111 +aS',\t,\t,\tO\tO' +p33112 +aS's/p\ts/p\tNN\tB-NP\tO' +p33113 +aS'R\tR\tNN\tI-NP\tO' +p33114 +aS'ureteral\tureteral\tJJ\tI-NP\tO' +p33115 +aS'stent\tstent\tNN\tI-NP\tO' +p33116 +aS'2016-03-24\t2016-03-24\tCD\tI-NP\tO' +p33117 +asS'Signed electronically by : DR. Santos von der Ross on : WED 2013-08-21 2:56 PM' +p33118 +(lp33119 +S'Signed\tSign\tVBN\tB-VP\tO' +p33120 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p33121 +aS'by\tby\tIN\tB-PP\tO' +p33122 +aS':\t:\t:\tO\tO' +p33123 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p33124 +aS'Santos\tSantos\tNNP\tI-NP\tO' +p33125 +aS'von\tvon\tNNP\tI-NP\tO' +p33126 +aS'der\tder\tNNP\tI-NP\tO' +p33127 +aS'Ross\tRoss\tNNP\tI-NP\tO' +p33128 +aS'on\ton\tIN\tB-PP\tO' +p33129 +aS':\t:\t:\tO\tO' +p33130 +aS'WED\tWED\tVBD\tB-VP\tO' +p33131 +aS'2013-08-21\t2013-08-21\tCD\tB-NP\tO' +p33132 +aS'2:56\t2:56\tCD\tI-NP\tO' +p33133 +aS'PM\tPM\tNN\tI-NP\tO' +p33134 +asS'No signs of edema and the patient had warm and palpable pulses distally .' +p33135 +(lp33136 +S'No\tNo\tDT\tB-NP\tO' +p33137 +aS'signs\tsign\tNNS\tI-NP\tO' +p33138 +aS'of\tof\tIN\tB-PP\tO' +p33139 +aS'edema\tedema\tNN\tB-NP\tO' +p33140 +aS'and\tand\tCC\tO\tO' +p33141 +aS'the\tthe\tDT\tB-NP\tO' +p33142 +aS'patient\tpatient\tNN\tI-NP\tO' +p33143 +aS'had\thave\tVBD\tB-VP\tO' +p33144 +aS'warm\twarm\tJJ\tB-NP\tO' +p33145 +aS'and\tand\tCC\tI-NP\tO' +p33146 +aS'palpable\tpalpable\tJJ\tI-NP\tO' +p33147 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p33148 +aS'distally\tdistally\tRB\tB-ADVP\tO' +p33149 +aS'.\t.\t.\tO\tO' +p33150 +asS'6. Caspofungin acetate 50 mg IV q.d. , day 23 of treatment and patient should remain on it indefinitely .' +p33151 +(lp33152 +S'6.\t6.\tLS\tB-NP\tO' +p33153 +aS'Caspofungin\tCaspofungin\tNN\tI-NP\tO' +p33154 +aS'acetate\tacetate\tNN\tI-NP\tO' +p33155 +aS'50\t50\tCD\tB-NP\tO' +p33156 +aS'mg\tmg\tNN\tI-NP\tO' +p33157 +aS'IV\tIV\tCD\tB-NP\tO' +p33158 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p33159 +aS',\t,\t,\tO\tO' +p33160 +aS'day\tday\tNN\tB-NP\tO' +p33161 +aS'23\t23\tCD\tI-NP\tO' +p33162 +aS'of\tof\tIN\tB-PP\tO' +p33163 +aS'treatment\ttreatment\tNN\tB-NP\tO' +p33164 +aS'and\tand\tCC\tI-NP\tO' +p33165 +aS'patient\tpatient\tNN\tI-NP\tO' +p33166 +aS'should\tshould\tMD\tB-VP\tO' +p33167 +aS'remain\tremain\tVB\tI-VP\tO' +p33168 +aS'on\ton\tIN\tB-PP\tO' +p33169 +aS'it\tit\tPRP\tB-NP\tO' +p33170 +aS'indefinitely\tindefinitely\tRB\tB-ADVP\tO' +p33171 +aS'.\t.\t.\tO\tO' +p33172 +asS'Blood cltures from 11-30 grew KLEBSIELLA PNEUMONIAE and 12-01 grew KLEBSIELLA PNEUMONIAE and PROTEUS MIRABILIS both sensitive to the Meropenam which she had already been receiving .' +p33173 +(lp33174 +S'Blood\tBlood\tNN\tB-NP\tO' +p33175 +aS'cltures\tclture\tNNS\tI-NP\tO' +p33176 +aS'from\tfrom\tIN\tB-PP\tO' +p33177 +aS'11-30\t11-30\tCD\tB-NP\tO' +p33178 +aS'grew\tgrow\tVBD\tB-VP\tO' +p33179 +aS'KLEBSIELLA\tKLEBSIELLA\tNN\tB-NP\tO' +p33180 +aS'PNEUMONIAE\tPNEUMONIAE\tNN\tI-NP\tO' +p33181 +aS'and\tand\tCC\tI-NP\tO' +p33182 +aS'12-01\t12-01\tNN\tI-NP\tO' +p33183 +aS'grew\tgrow\tVBD\tB-VP\tO' +p33184 +aS'KLEBSIELLA\tKLEBSIELLA\tNN\tB-NP\tO' +p33185 +aS'PNEUMONIAE\tPNEUMONIAE\tNN\tI-NP\tO' +p33186 +aS'and\tand\tCC\tO\tO' +p33187 +aS'PROTEUS\tPROTEUS\tNN\tB-NP\tO' +p33188 +aS'MIRABILIS\tMIRABILIS\tNN\tI-NP\tO' +p33189 +aS'both\tboth\tCC\tO\tO' +p33190 +aS'sensitive\tsensitive\tJJ\tB-ADJP\tO' +p33191 +aS'to\tto\tTO\tB-PP\tO' +p33192 +aS'the\tthe\tDT\tB-NP\tO' +p33193 +aS'Meropenam\tMeropenam\tNNP\tI-NP\tO' +p33194 +aS'which\twhich\tWDT\tB-NP\tO' +p33195 +aS'she\tshe\tPRP\tB-NP\tO' +p33196 +aS'had\thave\tVBD\tB-VP\tO' +p33197 +aS'already\talready\tRB\tI-VP\tO' +p33198 +aS'been\tbe\tVBN\tI-VP\tO' +p33199 +aS'receiving\treceive\tVBG\tI-VP\tO' +p33200 +aS'.\t.\t.\tO\tO' +p33201 +asS'This additional chest tube was removed the following day .' +p33202 +(lp33203 +S'This\tThis\tDT\tB-NP\tO' +p33204 +aS'additional\tadditional\tJJ\tI-NP\tO' +p33205 +aS'chest\tchest\tNN\tI-NP\tO' +p33206 +aS'tube\ttube\tNN\tI-NP\tO' +p33207 +aS'was\tbe\tVBD\tB-VP\tO' +p33208 +aS'removed\tremove\tVBN\tI-VP\tO' +p33209 +aS'the\tthe\tDT\tB-NP\tO' +p33210 +aS'following\tfollowing\tJJ\tI-NP\tO' +p33211 +aS'day\tday\tNN\tI-NP\tO' +p33212 +aS'.\t.\t.\tO\tO' +p33213 +asS'7. PE ( 11-14 )- On heparin drip .' +p33214 +(lp33215 +S'7.\t7.\tLS\tB-NP\tO' +p33216 +aS'PE\tPE\tNN\tI-NP\tO' +p33217 +aS'(\t(\t(\tO\tO' +p33218 +aS'11-14\t11-14\tCD\tB-NP\tO' +p33219 +aS')-\t)-\t)\tO\tO' +p33220 +aS'On\tOn\tIN\tB-PP\tO' +p33221 +aS'heparin\theparin\tNN\tB-NP\tO' +p33222 +aS'drip\tdrip\tNN\tI-NP\tO' +p33223 +aS'.\t.\t.\tO\tO' +p33224 +asS'The pupils were equal , round , reactive to light .' +p33225 +(lp33226 +S'The\tThe\tDT\tB-NP\tO' +p33227 +aS'pupils\tpupil\tNNS\tI-NP\tO' +p33228 +aS'were\tbe\tVBD\tB-VP\tO' +p33229 +aS'equal\tequal\tJJ\tB-NP\tO' +p33230 +aS',\t,\t,\tI-NP\tO' +p33231 +aS'round\tround\tJJ\tI-NP\tO' +p33232 +aS',\t,\t,\tI-NP\tO' +p33233 +aS'reactive\treactive\tJJ\tI-NP\tO' +p33234 +aS'to\tto\tTO\tB-PP\tO' +p33235 +aS'light\tlight\tNN\tB-NP\tO' +p33236 +aS'.\t.\t.\tO\tO' +p33237 +asS'Systemic arterial resistance 12/81 .' +p33238 +(lp33239 +S'Systemic\tSystemic\tJJ\tB-NP\tO' +p33240 +aS'arterial\tarterial\tJJ\tI-NP\tO' +p33241 +aS'resistance\tresistance\tNN\tI-NP\tO' +p33242 +aS'12/81\t12/81\tCD\tI-NP\tO' +p33243 +aS'.\t.\t.\tO\tO' +p33244 +asS'red blood cells with a good response up to 30 .' +p33245 +(lp33246 +S'red\tred\tJJ\tB-NP\tB-cell_type' +p33247 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p33248 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p33249 +aS'with\twith\tIN\tB-PP\tO' +p33250 +aS'a\ta\tDT\tB-NP\tO' +p33251 +aS'good\tgood\tJJ\tI-NP\tO' +p33252 +aS'response\tresponse\tNN\tI-NP\tO' +p33253 +aS'up\tup\tIN\tB-PP\tO' +p33254 +aS'to\tto\tTO\tB-PP\tO' +p33255 +aS'30\t30\tCD\tB-NP\tO' +p33256 +aS'.\t.\t.\tO\tO' +p33257 +asS'Clinically , the patient continued to deteriorate .' +p33258 +(lp33259 +S'Clinically\tClinically\tRB\tB-ADVP\tO' +p33260 +aS',\t,\t,\tO\tO' +p33261 +aS'the\tthe\tDT\tB-NP\tO' +p33262 +aS'patient\tpatient\tNN\tI-NP\tO' +p33263 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p33264 +aS'to\tto\tTO\tI-VP\tO' +p33265 +aS'deteriorate\tdeteriorate\tVB\tI-VP\tO' +p33266 +aS'.\t.\t.\tO\tO' +p33267 +asS'Tylenol 650 mg po q4h p.r.n. , Dulcolax 10 mg per rectum b.i.d. p.r.n. , Decadron 5 mg IV q6h , Digoxin 0.25 mg po q day , Colace 100 mg po t.i.d. , Florinef 0.1 mg po q day for presumed adrenal insufficiency , Imipenem 500 mg IV q6h , insulin NPH 60 units subcu q a.m. , insulin NPH 20 units subcu q p.m. , insulin CZI sliding scale regular , Synthroid 125 mcg po q day , magnesium sliding scale , potassium sliding scale today , morphine sulfate IV p.r.n. dressing changes and breakthrough pain , Carafate 1 gm po q.i.d. , Tobramycin 200 mg IV q30h , Vancomyin 1 mg IV q18h.' +p33268 +(lp33269 +S'Tylenol\tTylenol\tNN\tB-NP\tO' +p33270 +aS'650\t650\tCD\tI-NP\tO' +p33271 +aS'mg\tmg\tNN\tI-NP\tO' +p33272 +aS'po\tpo\tNN\tI-NP\tO' +p33273 +aS'q4h\tq4h\tNN\tI-NP\tO' +p33274 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p33275 +aS',\t,\t,\tO\tO' +p33276 +aS'Dulcolax\tDulcolax\tNN\tB-NP\tO' +p33277 +aS'10\t10\tCD\tI-NP\tO' +p33278 +aS'mg\tmg\tNN\tI-NP\tO' +p33279 +aS'per\tper\tIN\tB-PP\tO' +p33280 +aS'rectum\trectum\tNN\tB-NP\tO' +p33281 +aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' +p33282 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p33283 +aS',\t,\t,\tO\tO' +p33284 +aS'Decadron\tDecadron\tNNP\tB-NP\tO' +p33285 +aS'5\t5\tCD\tI-NP\tO' +p33286 +aS'mg\tmg\tNN\tI-NP\tO' +p33287 +aS'IV\tIV\tCD\tB-NP\tO' +p33288 +aS'q6h\tq6h\tNN\tI-NP\tO' +p33289 +aS',\t,\t,\tO\tO' +p33290 +aS'Digoxin\tDigoxin\tNN\tB-NP\tO' +p33291 +aS'0.25\t0.25\tCD\tI-NP\tO' +p33292 +aS'mg\tmg\tNN\tI-NP\tO' +p33293 +aS'po\tpo\tNN\tI-NP\tO' +p33294 +aS'q\tq\tNN\tI-NP\tO' +p33295 +aS'day\tday\tNN\tI-NP\tO' +p33296 +aS',\t,\t,\tO\tO' +p33297 +aS'Colace\tColace\tNNP\tB-NP\tO' +p33298 +aS'100\t100\tCD\tI-NP\tO' +p33299 +aS'mg\tmg\tNN\tI-NP\tO' +p33300 +aS'po\tpo\tNN\tI-NP\tO' +p33301 +aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' +p33302 +aS',\t,\t,\tO\tO' +p33303 +aS'Florinef\tFlorinef\tNN\tB-NP\tO' +p33304 +aS'0.1\t0.1\tCD\tI-NP\tO' +p33305 +aS'mg\tmg\tNN\tI-NP\tO' +p33306 +aS'po\tpo\tNN\tI-NP\tO' +p33307 +aS'q\tq\tNN\tI-NP\tO' +p33308 +aS'day\tday\tNN\tI-NP\tO' +p33309 +aS'for\tfor\tIN\tB-PP\tO' +p33310 +aS'presumed\tpresume\tVBN\tB-NP\tO' +p33311 +aS'adrenal\tadrenal\tJJ\tI-NP\tO' +p33312 +aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' +p33313 +aS',\t,\t,\tO\tO' +p33314 +aS'Imipenem\tImipenem\tNN\tB-NP\tO' +p33315 +aS'500\t500\tCD\tI-NP\tO' +p33316 +aS'mg\tmg\tNN\tI-NP\tO' +p33317 +aS'IV\tIV\tCD\tB-NP\tO' +p33318 +aS'q6h\tq6h\tNN\tI-NP\tO' +p33319 +aS',\t,\t,\tO\tO' +p33320 +aS'insulin\tinsulin\tNN\tB-NP\tO' +p33321 +aS'NPH\tNPH\tNN\tI-NP\tO' +p33322 +aS'60\t60\tCD\tB-NP\tO' +p33323 +aS'units\tunit\tNNS\tI-NP\tO' +p33324 +aS'subcu\tsubcu\tNN\tI-NP\tO' +p33325 +aS'q\tq\tNN\tI-NP\tO' +p33326 +aS'a.m.\ta.m.\tNN\tI-NP\tO' +p33327 +aS',\t,\t,\tO\tO' +p33328 +aS'insulin\tinsulin\tNN\tB-NP\tO' +p33329 +aS'NPH\tNPH\tNN\tI-NP\tO' +p33330 +aS'20\t20\tCD\tB-NP\tO' +p33331 +aS'units\tunit\tNNS\tI-NP\tO' +p33332 +aS'subcu\tsubcu\tNN\tI-NP\tO' +p33333 +aS'q\tq\tNN\tI-NP\tO' +p33334 +aS'p.m.\tp.m.\tNN\tI-NP\tO' +p33335 +aS',\t,\t,\tO\tO' +p33336 +aS'insulin\tinsulin\tNN\tB-NP\tO' +p33337 +aS'CZI\tCZI\tNN\tI-NP\tO' +p33338 +aS'sliding\tslide\tVBG\tB-VP\tO' +p33339 +aS'scale\tscale\tNN\tB-NP\tO' +p33340 +aS'regular\tregular\tJJ\tI-NP\tO' +p33341 +aS',\t,\t,\tI-NP\tO' +p33342 +aS'Synthroid\tSynthroid\tJJ\tI-NP\tO' +p33343 +aS'125\t125\tCD\tI-NP\tO' +p33344 +aS'mcg\tmcg\tNN\tI-NP\tO' +p33345 +aS'po\tpo\tNN\tI-NP\tO' +p33346 +aS'q\tq\tNN\tI-NP\tO' +p33347 +aS'day\tday\tNN\tI-NP\tO' +p33348 +aS',\t,\t,\tO\tO' +p33349 +aS'magnesium\tmagnesium\tNN\tB-NP\tO' +p33350 +aS'sliding\tslide\tVBG\tB-VP\tO' +p33351 +aS'scale\tscale\tNN\tB-NP\tO' +p33352 +aS',\t,\t,\tO\tO' +p33353 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p33354 +aS'sliding\tslide\tVBG\tB-VP\tO' +p33355 +aS'scale\tscale\tNN\tB-NP\tO' +p33356 +aS'today\ttoday\tNN\tB-NP\tO' +p33357 +aS',\t,\t,\tO\tO' +p33358 +aS'morphine\tmorphine\tNN\tB-NP\tO' +p33359 +aS'sulfate\tsulfate\tNN\tI-NP\tO' +p33360 +aS'IV\tIV\tCD\tI-NP\tO' +p33361 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p33362 +aS'dressing\tdress\tVBG\tB-VP\tO' +p33363 +aS'changes\tchange\tNNS\tB-NP\tO' +p33364 +aS'and\tand\tCC\tO\tO' +p33365 +aS'breakthrough\tbreakthrough\tNN\tB-NP\tO' +p33366 +aS'pain\tpain\tNN\tI-NP\tO' +p33367 +aS',\t,\t,\tO\tO' +p33368 +aS'Carafate\tCarafate\tNN\tB-NP\tO' +p33369 +aS'1\t1\tCD\tI-NP\tO' +p33370 +aS'gm\tgm\tNN\tI-NP\tO' +p33371 +aS'po\tpo\tNN\tI-NP\tO' +p33372 +aS'q.i.d.\tq.i.d.\tNN\tI-NP\tO' +p33373 +aS',\t,\t,\tO\tO' +p33374 +aS'Tobramycin\tTobramycin\tNN\tB-NP\tO' +p33375 +aS'200\t200\tCD\tI-NP\tO' +p33376 +aS'mg\tmg\tNN\tI-NP\tO' +p33377 +aS'IV\tIV\tCD\tB-NP\tO' +p33378 +aS'q30h\tq30h\tNN\tI-NP\tO' +p33379 +aS',\t,\t,\tO\tO' +p33380 +aS'Vancomyin\tVancomyin\tNN\tB-NP\tO' +p33381 +aS'1\t1\tCD\tI-NP\tO' +p33382 +aS'mg\tmg\tNN\tI-NP\tO' +p33383 +aS'IV\tIV\tCD\tB-NP\tO' +p33384 +aS'q18h.\tq18h.\tNN\tI-NP\tO' +p33385 +asS'1. Coronary artery disease ; 3-vessel disease .' +p33386 +(lp33387 +S'1.\t1.\tLS\tB-NP\tO' +p33388 +aS'Coronary\tCoronary\tJJ\tI-NP\tO' +p33389 +aS'artery\tartery\tNN\tI-NP\tO' +p33390 +aS'disease\tdisease\tNN\tI-NP\tO' +p33391 +aS';\t;\t:\tO\tO' +p33392 +aS'3-vessel\t3-vessel\tJJ\tB-NP\tO' +p33393 +aS'disease\tdisease\tNN\tI-NP\tO' +p33394 +aS'.\t.\t.\tO\tO' +p33395 +asS'- After she was made CMO , the pt was started on Morphine gtt to maximize comfort and minimize air hunger .' +p33396 +(lp33397 +S'-\t-\t:\tO\tO' +p33398 +aS'After\tAfter\tIN\tB-PP\tO' +p33399 +aS'she\tshe\tPRP\tB-NP\tO' +p33400 +aS'was\tbe\tVBD\tB-VP\tO' +p33401 +aS'made\tmake\tVBN\tI-VP\tO' +p33402 +aS'CMO\tCMO\tNN\tB-NP\tB-protein' +p33403 +aS',\t,\t,\tO\tO' +p33404 +aS'the\tthe\tDT\tB-NP\tO' +p33405 +aS'pt\tpt\tNN\tI-NP\tO' +p33406 +aS'was\tbe\tVBD\tB-VP\tO' +p33407 +aS'started\tstart\tVBN\tI-VP\tO' +p33408 +aS'on\ton\tIN\tB-PP\tO' +p33409 +aS'Morphine\tMorphine\tNN\tB-NP\tO' +p33410 +aS'gtt\tgtt\tNN\tI-NP\tO' +p33411 +aS'to\tto\tTO\tB-VP\tO' +p33412 +aS'maximize\tmaximize\tVB\tI-VP\tO' +p33413 +aS'comfort\tcomfort\tNN\tB-NP\tO' +p33414 +aS'and\tand\tCC\tO\tO' +p33415 +aS'minimize\tminimize\tVB\tB-VP\tO' +p33416 +aS'air\tair\tNN\tB-NP\tO' +p33417 +aS'hunger\thunger\tNN\tI-NP\tO' +p33418 +aS'.\t.\t.\tO\tO' +p33419 +asS'Neurology follow up with Dr. Workman is scheduled for 2017-10-20 at 12:30 pm at the Addison Gilbert Hospital of Oak Bluffs , Ison 11 .' +p33420 +(lp33421 +S'Neurology\tNeurology\tNNP\tB-NP\tO' +p33422 +aS'follow\tfollow\tVB\tB-VP\tO' +p33423 +aS'up\tup\tRP\tB-PRT\tO' +p33424 +aS'with\twith\tIN\tB-PP\tO' +p33425 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p33426 +aS'Workman\tWorkman\tNNP\tI-NP\tO' +p33427 +aS'is\tbe\tVBZ\tB-VP\tO' +p33428 +aS'scheduled\tschedule\tVBN\tI-VP\tO' +p33429 +aS'for\tfor\tIN\tB-PP\tO' +p33430 +aS'2017-10-20\t2017-10-20\tCD\tB-NP\tO' +p33431 +aS'at\tat\tIN\tB-PP\tO' +p33432 +aS'12:30\t12:30\tCD\tB-NP\tO' +p33433 +aS'pm\tpm\tNN\tI-NP\tO' +p33434 +aS'at\tat\tIN\tB-PP\tO' +p33435 +aS'the\tthe\tDT\tB-NP\tO' +p33436 +aS'Addison\tAddison\tNNP\tI-NP\tO' +p33437 +aS'Gilbert\tGilbert\tNNP\tI-NP\tO' +p33438 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p33439 +aS'of\tof\tIN\tB-PP\tO' +p33440 +aS'Oak\tOak\tNNP\tB-NP\tB-protein' +p33441 +aS'Bluffs\tBluff\tNNPS\tI-NP\tO' +p33442 +aS',\t,\t,\tO\tO' +p33443 +aS'Ison\tIson\tNNP\tB-NP\tO' +p33444 +aS'11\t11\tCD\tI-NP\tO' +p33445 +aS'.\t.\t.\tO\tO' +p33446 +asS'She has been very helpful in translating and seems to say that Ms. Shuffa is in good spirits .' +p33447 +(lp33448 +S'She\tShe\tPRP\tB-NP\tO' +p33449 +aS'has\thave\tVBZ\tB-VP\tO' +p33450 +aS'been\tbe\tVBN\tI-VP\tO' +p33451 +aS'very\tvery\tRB\tB-ADJP\tO' +p33452 +aS'helpful\thelpful\tJJ\tI-ADJP\tO' +p33453 +aS'in\tin\tIN\tB-PP\tO' +p33454 +aS'translating\ttranslate\tVBG\tB-VP\tO' +p33455 +aS'and\tand\tCC\tO\tO' +p33456 +aS'seems\tseem\tVBZ\tB-VP\tO' +p33457 +aS'to\tto\tTO\tI-VP\tO' +p33458 +aS'say\tsay\tVB\tI-VP\tO' +p33459 +aS'that\tthat\tIN\tB-SBAR\tO' +p33460 +aS'Ms.\tMs.\tNNP\tB-NP\tO' +p33461 +aS'Shuffa\tShuffa\tNNP\tI-NP\tO' +p33462 +aS'is\tbe\tVBZ\tB-VP\tO' +p33463 +aS'in\tin\tIN\tB-PP\tO' +p33464 +aS'good\tgood\tJJ\tB-NP\tO' +p33465 +aS'spirits\tspirit\tNNS\tI-NP\tO' +p33466 +aS'.\t.\t.\tO\tO' +p33467 +asS'The patient was continued on his G-CSF with an increase in his white count to 8 from 1.8 .' +p33468 +(lp33469 +S'The\tThe\tDT\tB-NP\tO' +p33470 +aS'patient\tpatient\tNN\tI-NP\tO' +p33471 +aS'was\tbe\tVBD\tB-VP\tO' +p33472 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p33473 +aS'on\ton\tIN\tB-PP\tO' +p33474 +aS'his\this\tPRP$\tB-NP\tO' +p33475 +aS'G-CSF\tG-CSF\tNN\tI-NP\tB-protein' +p33476 +aS'with\twith\tIN\tB-PP\tO' +p33477 +aS'an\tan\tDT\tB-NP\tO' +p33478 +aS'increase\tincrease\tNN\tI-NP\tO' +p33479 +aS'in\tin\tIN\tB-PP\tO' +p33480 +aS'his\this\tPRP$\tB-NP\tO' +p33481 +aS'white\twhite\tJJ\tI-NP\tO' +p33482 +aS'count\tcount\tNN\tI-NP\tO' +p33483 +aS'to\tto\tTO\tB-PP\tO' +p33484 +aS'8\t8\tCD\tB-NP\tO' +p33485 +aS'from\tfrom\tIN\tB-PP\tO' +p33486 +aS'1.8\t1.8\tCD\tB-NP\tO' +p33487 +aS'.\t.\t.\tO\tO' +p33488 +asS'The abdomen revealed a midline scar and a right lower quadrant scar , and it was soft and nontender wit positive bowel sounds .' +p33489 +(lp33490 +S'The\tThe\tDT\tB-NP\tO' +p33491 +aS'abdomen\tabdoman\tNNS\tI-NP\tO' +p33492 +aS'revealed\treveal\tVBD\tB-VP\tO' +p33493 +aS'a\ta\tDT\tB-NP\tO' +p33494 +aS'midline\tmidline\tNN\tI-NP\tO' +p33495 +aS'scar\tscar\tNN\tI-NP\tO' +p33496 +aS'and\tand\tCC\tO\tO' +p33497 +aS'a\ta\tDT\tB-NP\tO' +p33498 +aS'right\tright\tRB\tI-NP\tO' +p33499 +aS'lower\tlow\tJJR\tI-NP\tO' +p33500 +aS'quadrant\tquadrant\tNN\tI-NP\tO' +p33501 +aS'scar\tscar\tNN\tI-NP\tO' +p33502 +aS',\t,\t,\tO\tO' +p33503 +aS'and\tand\tCC\tO\tO' +p33504 +aS'it\tit\tPRP\tB-NP\tO' +p33505 +aS'was\tbe\tVBD\tB-VP\tO' +p33506 +aS'soft\tsoft\tJJ\tB-NP\tO' +p33507 +aS'and\tand\tCC\tI-NP\tO' +p33508 +aS'nontender\tnontender\tJJ\tI-NP\tO' +p33509 +aS'wit\twit\tNN\tI-NP\tO' +p33510 +aS'positive\tpositive\tJJ\tI-NP\tO' +p33511 +aS'bowel\tbowel\tNN\tI-NP\tO' +p33512 +aS'sounds\tsound\tNNS\tI-NP\tO' +p33513 +aS'.\t.\t.\tO\tO' +p33514 +asS'She describes her mood as depressed , however she denies suicidal ideation at this time .' +p33515 +(lp33516 +S'She\tShe\tPRP\tB-NP\tO' +p33517 +aS'describes\tdescribe\tVBZ\tB-VP\tO' +p33518 +aS'her\ther\tPRP$\tB-NP\tO' +p33519 +aS'mood\tmood\tNN\tI-NP\tO' +p33520 +aS'as\tas\tIN\tB-PP\tO' +p33521 +aS'depressed\tdepressed\tJJ\tB-ADJP\tO' +p33522 +aS',\t,\t,\tO\tO' +p33523 +aS'however\thowever\tRB\tB-ADVP\tO' +p33524 +aS'she\tshe\tPRP\tB-NP\tO' +p33525 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p33526 +aS'suicidal\tsuicidal\tJJ\tB-NP\tO' +p33527 +aS'ideation\tideation\tNN\tI-NP\tO' +p33528 +aS'at\tat\tIN\tB-PP\tO' +p33529 +aS'this\tthis\tDT\tB-NP\tO' +p33530 +aS'time\ttime\tNN\tI-NP\tO' +p33531 +aS'.\t.\t.\tO\tO' +p33532 +asS'Sister with bone cancer .' +p33533 +(lp33534 +S'Sister\tSister\tNN\tB-NP\tO' +p33535 +aS'with\twith\tIN\tB-PP\tO' +p33536 +aS'bone\tbone\tNN\tB-NP\tO' +p33537 +aS'cancer\tcancer\tNN\tI-NP\tO' +p33538 +aS'.\t.\t.\tO\tO' +p33539 +asS'Deep tendon reflexes were 1-2+ and symmetric bilaterally .' +p33540 +(lp33541 +S'Deep\tDeep\tJJ\tB-NP\tO' +p33542 +aS'tendon\ttendon\tNN\tI-NP\tO' +p33543 +aS'reflexes\treflex\tNNS\tI-NP\tO' +p33544 +aS'were\tbe\tVBD\tB-VP\tO' +p33545 +aS'1-2+\t1-2+\tJJ\tB-ADJP\tO' +p33546 +aS'and\tand\tCC\tI-ADJP\tO' +p33547 +aS'symmetric\tsymmetric\tJJ\tI-ADJP\tO' +p33548 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p33549 +aS'.\t.\t.\tO\tO' +p33550 +asS'There is no evidence of surrounding edema .' +p33551 +(lp33552 +S'There\tThere\tEX\tB-NP\tO' +p33553 +aS'is\tbe\tVBZ\tB-VP\tO' +p33554 +aS'no\tno\tDT\tB-NP\tO' +p33555 +aS'evidence\tevidence\tNN\tI-NP\tO' +p33556 +aS'of\tof\tIN\tB-PP\tO' +p33557 +aS'surrounding\tsurround\tVBG\tB-VP\tO' +p33558 +aS'edema\tedema\tNN\tB-NP\tO' +p33559 +aS'.\t.\t.\tO\tO' +p33560 +asS'For her paraplegia and associated muscle spasticity she was continued on her Zanaflex .' +p33561 +(lp33562 +S'For\tFor\tIN\tB-PP\tO' +p33563 +aS'her\ther\tPRP$\tB-NP\tO' +p33564 +aS'paraplegia\tparaplegia\tNN\tI-NP\tO' +p33565 +aS'and\tand\tCC\tO\tO' +p33566 +aS'associated\tassociate\tVBN\tB-NP\tO' +p33567 +aS'muscle\tmuscle\tNN\tI-NP\tO' +p33568 +aS'spasticity\tspasticity\tNN\tI-NP\tO' +p33569 +aS'she\tshe\tPRP\tB-NP\tO' +p33570 +aS'was\tbe\tVBD\tB-VP\tO' +p33571 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p33572 +aS'on\ton\tIN\tB-PP\tO' +p33573 +aS'her\ther\tPRP$\tB-NP\tO' +p33574 +aS'Zanaflex\tZanaflex\tNN\tI-NP\tO' +p33575 +aS'.\t.\t.\tO\tO' +p33576 +asS'4. Suspicion for sepsis ruled out .' +p33577 +(lp33578 +S'4.\t4.\tLS\tB-NP\tO' +p33579 +aS'Suspicion\tSuspicion\tNN\tI-NP\tO' +p33580 +aS'for\tfor\tIN\tB-PP\tO' +p33581 +aS'sepsis\tsepsis\tNN\tB-NP\tO' +p33582 +aS'ruled\trule\tVBD\tB-VP\tO' +p33583 +aS'out\tout\tRP\tB-PRT\tO' +p33584 +aS'.\t.\t.\tO\tO' +p33585 +asS'You should call Dr. Worden to also see him again sooner 09-07 days .' +p33586 +(lp33587 +S'You\tYou\tPRP\tB-NP\tB-protein' +p33588 +aS'should\tshould\tMD\tB-VP\tO' +p33589 +aS'call\tcall\tVB\tI-VP\tO' +p33590 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p33591 +aS'Worden\tWorden\tNNP\tI-NP\tO' +p33592 +aS'to\tto\tTO\tB-VP\tO' +p33593 +aS'also\talso\tRB\tI-VP\tO' +p33594 +aS'see\tsee\tVB\tI-VP\tO' +p33595 +aS'him\thim\tPRP\tB-NP\tO' +p33596 +aS'again\tagain\tRB\tB-ADVP\tO' +p33597 +aS'sooner\tsooner\tRBR\tB-ADVP\tO' +p33598 +aS'09-07\t09-07\tCD\tB-NP\tO' +p33599 +aS'days\tday\tNNS\tI-NP\tO' +p33600 +aS'.\t.\t.\tO\tO' +p33601 +asS'Per report , there were empty bottles of Inderal and Klonopin found at bedside , as well as 02-26 full bottles of geodon , gabapentin , Lescol and paroxitine .' +p33602 +(lp33603 +S'Per\tPer\tNNP\tB-NP\tO' +p33604 +aS'report\treport\tNN\tI-NP\tO' +p33605 +aS',\t,\t,\tO\tO' +p33606 +aS'there\tthere\tEX\tB-NP\tO' +p33607 +aS'were\tbe\tVBD\tB-VP\tO' +p33608 +aS'empty\tempty\tJJ\tB-NP\tO' +p33609 +aS'bottles\tbottle\tNNS\tI-NP\tO' +p33610 +aS'of\tof\tIN\tB-PP\tO' +p33611 +aS'Inderal\tInderal\tJJ\tB-NP\tO' +p33612 +aS'and\tand\tCC\tI-NP\tO' +p33613 +aS'Klonopin\tKlonopin\tNN\tI-NP\tO' +p33614 +aS'found\tfind\tVBN\tB-VP\tO' +p33615 +aS'at\tat\tIN\tB-PP\tO' +p33616 +aS'bedside\tbedside\tNN\tB-NP\tO' +p33617 +aS',\t,\t,\tO\tO' +p33618 +aS'as\tas\tRB\tB-CONJP\tO' +p33619 +aS'well\twell\tRB\tI-CONJP\tO' +p33620 +aS'as\tas\tIN\tI-CONJP\tO' +p33621 +aS'02-26\t02-26\tCD\tB-NP\tO' +p33622 +aS'full\tfull\tJJ\tI-NP\tO' +p33623 +aS'bottles\tbottle\tNNS\tI-NP\tO' +p33624 +aS'of\tof\tIN\tB-PP\tO' +p33625 +aS'geodon\tgeodon\tNN\tB-NP\tO' +p33626 +aS',\t,\t,\tI-NP\tO' +p33627 +aS'gabapentin\tgabapentin\tNN\tI-NP\tB-protein' +p33628 +aS',\t,\t,\tI-NP\tO' +p33629 +aS'Lescol\tLescol\tNN\tI-NP\tO' +p33630 +aS'and\tand\tCC\tI-NP\tO' +p33631 +aS'paroxitine\tparoxitine\tNN\tI-NP\tO' +p33632 +aS'.\t.\t.\tO\tO' +p33633 +asS'She had an extensive workup by Hematology which revealed a bleeding diathesis of unknown origin .' +p33634 +(lp33635 +S'She\tShe\tPRP\tB-NP\tO' +p33636 +aS'had\thave\tVBD\tB-VP\tO' +p33637 +aS'an\tan\tDT\tB-NP\tO' +p33638 +aS'extensive\textensive\tJJ\tI-NP\tO' +p33639 +aS'workup\tworkup\tNN\tI-NP\tO' +p33640 +aS'by\tby\tIN\tB-PP\tO' +p33641 +aS'Hematology\tHematology\tNN\tB-NP\tO' +p33642 +aS'which\twhich\tWDT\tB-NP\tO' +p33643 +aS'revealed\treveal\tVBD\tB-VP\tO' +p33644 +aS'a\ta\tDT\tB-NP\tO' +p33645 +aS'bleeding\tbleed\tVBG\tI-NP\tO' +p33646 +aS'diathesis\tdiathesis\tNN\tI-NP\tO' +p33647 +aS'of\tof\tIN\tB-PP\tO' +p33648 +aS'unknown\tunknown\tJJ\tB-NP\tO' +p33649 +aS'origin\torigin\tNN\tI-NP\tO' +p33650 +aS'.\t.\t.\tO\tO' +p33651 +asS'He went to the Padrugmoff Hospital Emergency Room after trying nitroglycerin at home .' +p33652 +(lp33653 +S'He\tHe\tPRP\tB-NP\tO' +p33654 +aS'went\tgo\tVBD\tB-VP\tO' +p33655 +aS'to\tto\tTO\tB-PP\tO' +p33656 +aS'the\tthe\tDT\tB-NP\tO' +p33657 +aS'Padrugmoff\tPadrugmoff\tNNP\tI-NP\tO' +p33658 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p33659 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p33660 +aS'Room\tRoom\tNNP\tI-NP\tO' +p33661 +aS'after\tafter\tIN\tB-PP\tO' +p33662 +aS'trying\ttry\tVBG\tB-VP\tO' +p33663 +aS'nitroglycerin\tnitroglycerin\tNN\tB-NP\tO' +p33664 +aS'at\tat\tIN\tB-PP\tO' +p33665 +aS'home\thome\tNN\tB-NP\tO' +p33666 +aS'.\t.\t.\tO\tO' +p33667 +asS'1) Alcohol abuse in the past .' +p33668 +(lp33669 +S'1)\t1)\tLS\tB-NP\tO' +p33670 +aS'Alcohol\tAlcohol\tNN\tI-NP\tO' +p33671 +aS'abuse\tabuse\tNN\tI-NP\tO' +p33672 +aS'in\tin\tIN\tB-PP\tO' +p33673 +aS'the\tthe\tDT\tB-NP\tO' +p33674 +aS'past\tpast\tNN\tI-NP\tO' +p33675 +aS'.\t.\t.\tO\tO' +p33676 +asS"Physical Therapy was consulted in order to assess the patient 's ambulation and mobility , however , with his foot infection and associated pain , it was difficult to assess at that time ." +p33677 +(lp33678 +S'Physical\tPhysical\tJJ\tB-NP\tO' +p33679 +aS'Therapy\tTherapy\tNN\tI-NP\tO' +p33680 +aS'was\tbe\tVBD\tB-VP\tO' +p33681 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p33682 +aS'in\tin\tIN\tB-SBAR\tO' +p33683 +aS'order\torder\tNN\tO\tO' +p33684 +aS'to\tto\tTO\tB-VP\tO' +p33685 +aS'assess\tassess\tVB\tI-VP\tO' +p33686 +aS'the\tthe\tDT\tB-NP\tO' +p33687 +aS'patient\tpatient\tNN\tI-NP\tO' +p33688 +aS"'s\t's\tPOS\tB-NP\tO" +p33689 +aS'ambulation\tambulation\tNN\tI-NP\tO' +p33690 +aS'and\tand\tCC\tI-NP\tO' +p33691 +aS'mobility\tmobility\tNN\tI-NP\tO' +p33692 +aS',\t,\t,\tO\tO' +p33693 +aS'however\thowever\tRB\tB-ADVP\tO' +p33694 +aS',\t,\t,\tO\tO' +p33695 +aS'with\twith\tIN\tB-PP\tO' +p33696 +aS'his\this\tPRP$\tB-NP\tO' +p33697 +aS'foot\tfoot\tNN\tI-NP\tO' +p33698 +aS'infection\tinfection\tNN\tI-NP\tO' +p33699 +aS'and\tand\tCC\tO\tO' +p33700 +aS'associated\tassociate\tVBN\tB-VP\tO' +p33701 +aS'pain\tpain\tNN\tB-NP\tO' +p33702 +aS',\t,\t,\tO\tO' +p33703 +aS'it\tit\tPRP\tB-NP\tO' +p33704 +aS'was\tbe\tVBD\tB-VP\tO' +p33705 +aS'difficult\tdifficult\tJJ\tB-ADJP\tO' +p33706 +aS'to\tto\tTO\tB-VP\tO' +p33707 +aS'assess\tassess\tVB\tI-VP\tO' +p33708 +aS'at\tat\tIN\tB-PP\tO' +p33709 +aS'that\tthat\tDT\tB-NP\tO' +p33710 +aS'time\ttime\tNN\tI-NP\tO' +p33711 +aS'.\t.\t.\tO\tO' +p33712 +asS'Goal INR is 2.0-3.0 .' +p33713 +(lp33714 +S'Goal\tGoal\tNNP\tB-NP\tO' +p33715 +aS'INR\tINR\tNNP\tI-NP\tO' +p33716 +aS'is\tbe\tVBZ\tB-VP\tO' +p33717 +aS'2.0-3.0\t2.0-3.0\tCD\tB-NP\tO' +p33718 +aS'.\t.\t.\tO\tO' +p33719 +asS'4. Hand surgery .' +p33720 +(lp33721 +S'4.\t4.\tLS\tB-NP\tO' +p33722 +aS'Hand\tHand\tNN\tI-NP\tO' +p33723 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p33724 +aS'.\t.\t.\tO\tO' +p33725 +asS'Hips normal , held in the breech position .' +p33726 +(lp33727 +S'Hips\tHip\tNNS\tB-NP\tO' +p33728 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p33729 +aS',\t,\t,\tO\tO' +p33730 +aS'held\thold\tVBN\tB-VP\tO' +p33731 +aS'in\tin\tIN\tB-PP\tO' +p33732 +aS'the\tthe\tDT\tB-NP\tO' +p33733 +aS'breech\tbreech\tNN\tI-NP\tO' +p33734 +aS'position\tposition\tNN\tI-NP\tO' +p33735 +aS'.\t.\t.\tO\tO' +p33736 +asS'He was given lopressor 5 mg x 2 ( 3rd dose given by medflight , 5 mg morphine , ativan , nitro gtt , heparin , and integrillin .' +p33737 +(lp33738 +S'He\tHe\tPRP\tB-NP\tB-protein' +p33739 +aS'was\tbe\tVBD\tB-VP\tI-protein' +p33740 +aS'given\tgive\tVBN\tI-VP\tI-protein' +p33741 +aS'lopressor\tlopressor\tNN\tB-NP\tI-protein' +p33742 +aS'5\t5\tCD\tI-NP\tI-protein' +p33743 +aS'mg\tmg\tNN\tI-NP\tI-protein' +p33744 +aS'x\tx\tSYM\tO\tI-protein' +p33745 +aS'2\t2\tCD\tB-NP\tI-protein' +p33746 +aS'(\t(\t(\tO\tO' +p33747 +aS'3rd\t3rd\tCD\tB-NP\tO' +p33748 +aS'dose\tdose\tNN\tI-NP\tO' +p33749 +aS'given\tgive\tVBN\tB-VP\tO' +p33750 +aS'by\tby\tIN\tB-PP\tO' +p33751 +aS'medflight\tmedflight\tNN\tB-NP\tO' +p33752 +aS',\t,\t,\tO\tO' +p33753 +aS'5\t5\tCD\tB-NP\tO' +p33754 +aS'mg\tmg\tNN\tI-NP\tO' +p33755 +aS'morphine\tmorphine\tNN\tI-NP\tO' +p33756 +aS',\t,\t,\tO\tO' +p33757 +aS'ativan\tativan\tNN\tB-NP\tO' +p33758 +aS',\t,\t,\tO\tO' +p33759 +aS'nitro\tnitro\tNN\tB-NP\tO' +p33760 +aS'gtt\tgtt\tNN\tI-NP\tO' +p33761 +aS',\t,\t,\tO\tO' +p33762 +aS'heparin\theparin\tNN\tB-NP\tO' +p33763 +aS',\t,\t,\tO\tO' +p33764 +aS'and\tand\tCC\tO\tO' +p33765 +aS'integrillin\tintegrillin\tNN\tB-NP\tB-protein' +p33766 +aS'.\t.\t.\tO\tO' +p33767 +asS'She was admitted on 2011-08-25 for nausea , vomiting , and a shortened cervix .' +p33768 +(lp33769 +S'She\tShe\tPRP\tB-NP\tO' +p33770 +aS'was\tbe\tVBD\tB-VP\tO' +p33771 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p33772 +aS'on\ton\tIN\tB-PP\tO' +p33773 +aS'2011-08-25\t2011-08-25\tCD\tB-NP\tO' +p33774 +aS'for\tfor\tIN\tB-PP\tO' +p33775 +aS'nausea\tnausea\tNN\tB-NP\tO' +p33776 +aS',\t,\t,\tO\tO' +p33777 +aS'vomiting\tvomiting\tNN\tB-NP\tO' +p33778 +aS',\t,\t,\tO\tO' +p33779 +aS'and\tand\tCC\tO\tO' +p33780 +aS'a\ta\tDT\tB-NP\tO' +p33781 +aS'shortened\tshorten\tVBN\tI-NP\tO' +p33782 +aS'cervix\tcervix\tNN\tI-NP\tO' +p33783 +aS'.\t.\t.\tO\tO' +p33784 +asS'1. Hyaline Membrane Disease .' +p33785 +(lp33786 +S'1.\t1.\tLS\tB-NP\tO' +p33787 +aS'Hyaline\tHyaline\tNN\tI-NP\tO' +p33788 +aS'Membrane\tMembrane\tNN\tI-NP\tO' +p33789 +aS'Disease\tDisease\tNN\tI-NP\tO' +p33790 +aS'.\t.\t.\tO\tO' +p33791 +asS'It was not felt likely to be due to Parkinson 's disease , as he had no significant response to Eldopa in the past and the patient had no evidence of tremor , although he was quite rigid and bradykinetic .' +p33792 +(lp33793 +S'It\tIt\tPRP\tB-NP\tO' +p33794 +aS'was\tbe\tVBD\tB-VP\tO' +p33795 +aS'not\tnot\tRB\tI-VP\tO' +p33796 +aS'felt\tfeel\tVBN\tI-VP\tO' +p33797 +aS'likely\tlikely\tJJ\tB-ADJP\tO' +p33798 +aS'to\tto\tTO\tB-VP\tO' +p33799 +aS'be\tbe\tVB\tI-VP\tO' +p33800 +aS'due\tdue\tJJ\tB-ADJP\tO' +p33801 +aS'to\tto\tTO\tB-PP\tO' +p33802 +aS'Parkinson\tParkinson\tNNP\tB-NP\tO' +p33803 +aS''s\t'\tNNS\tI-NP\tO' +p33804 +aS'disease\tdisease\tNN\tI-NP\tO' +p33805 +aS',\t,\t,\tO\tO' +p33806 +aS'as\tas\tIN\tB-SBAR\tO' +p33807 +aS'he\the\tPRP\tB-NP\tO' +p33808 +aS'had\thave\tVBD\tB-VP\tO' +p33809 +aS'no\tno\tDT\tB-NP\tO' +p33810 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p33811 +aS'response\tresponse\tNN\tI-NP\tO' +p33812 +aS'to\tto\tTO\tB-PP\tO' +p33813 +aS'Eldopa\tEldopa\tNN\tB-NP\tO' +p33814 +aS'in\tin\tIN\tB-PP\tO' +p33815 +aS'the\tthe\tDT\tB-NP\tO' +p33816 +aS'past\tpast\tNN\tI-NP\tO' +p33817 +aS'and\tand\tCC\tO\tO' +p33818 +aS'the\tthe\tDT\tB-NP\tO' +p33819 +aS'patient\tpatient\tNN\tI-NP\tO' +p33820 +aS'had\thave\tVBD\tB-VP\tO' +p33821 +aS'no\tno\tDT\tB-NP\tO' +p33822 +aS'evidence\tevidence\tNN\tI-NP\tO' +p33823 +aS'of\tof\tIN\tB-PP\tO' +p33824 +aS'tremor\ttremor\tNN\tB-NP\tO' +p33825 +aS',\t,\t,\tO\tO' +p33826 +aS'although\talthough\tIN\tB-SBAR\tO' +p33827 +aS'he\the\tPRP\tB-NP\tO' +p33828 +aS'was\tbe\tVBD\tB-VP\tO' +p33829 +aS'quite\tquite\tRB\tB-ADJP\tO' +p33830 +aS'rigid\trigid\tJJ\tI-ADJP\tO' +p33831 +aS'and\tand\tCC\tI-ADJP\tO' +p33832 +aS'bradykinetic\tbradykinetic\tJJ\tI-ADJP\tO' +p33833 +aS'.\t.\t.\tO\tO' +p33834 +asS'4. Ampicillin 2 grams q. 4 hours .' +p33835 +(lp33836 +S'4.\t4.\tLS\tB-NP\tO' +p33837 +aS'Ampicillin\tAmpicillin\tNN\tI-NP\tO' +p33838 +aS'2\t2\tCD\tB-NP\tO' +p33839 +aS'grams\tgram\tNNS\tI-NP\tO' +p33840 +aS'q.\tq.\tNN\tI-NP\tO' +p33841 +aS'4\t4\tCD\tB-NP\tO' +p33842 +aS'hours\thour\tNNS\tI-NP\tO' +p33843 +aS'.\t.\t.\tO\tO' +p33844 +asS'Dr. Pearly Reilly , 208-4200 .' +p33845 +(lp33846 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p33847 +aS'Pearly\tPearly\tNNP\tI-NP\tO' +p33848 +aS'Reilly\tReilly\tNNP\tI-NP\tO' +p33849 +aS',\t,\t,\tO\tO' +p33850 +aS'208-4200\t208-4200\tCD\tB-NP\tO' +p33851 +aS'.\t.\t.\tO\tO' +p33852 +asS'An echo performed on admission showed an LF EF of 25% .' +p33853 +(lp33854 +S'An\tAn\tDT\tB-NP\tO' +p33855 +aS'echo\techo\tNN\tI-NP\tO' +p33856 +aS'performed\tperform\tVBN\tB-VP\tO' +p33857 +aS'on\ton\tIN\tB-PP\tO' +p33858 +aS'admission\tadmission\tNN\tB-NP\tO' +p33859 +aS'showed\tshow\tVBD\tB-VP\tO' +p33860 +aS'an\tan\tDT\tB-NP\tO' +p33861 +aS'LF\tLF\tNN\tI-NP\tB-protein' +p33862 +aS'EF\tEF\tNN\tI-NP\tI-protein' +p33863 +aS'of\tof\tIN\tB-PP\tO' +p33864 +aS'25%\t25%\tNN\tB-NP\tO' +p33865 +aS'.\t.\t.\tO\tO' +p33866 +asS'She recieved serial enzymes and EKGs .' +p33867 +(lp33868 +S'She\tShe\tPRP\tB-NP\tB-protein' +p33869 +aS'recieved\trecieve\tVBD\tB-VP\tI-protein' +p33870 +aS'serial\tserial\tJJ\tB-NP\tI-protein' +p33871 +aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' +p33872 +aS'and\tand\tCC\tI-NP\tO' +p33873 +aS'EKGs\tEKG\tNNS\tI-NP\tB-protein' +p33874 +aS'.\t.\t.\tO\tO' +p33875 +asS'IP reviewed the films and recommended continue oncologic care according to' +p33876 +(lp33877 +S'IP\tIP\tNN\tB-NP\tO' +p33878 +aS'reviewed\treview\tVBD\tB-VP\tO' +p33879 +aS'the\tthe\tDT\tB-NP\tO' +p33880 +aS'films\tfilm\tNNS\tI-NP\tO' +p33881 +aS'and\tand\tCC\tO\tO' +p33882 +aS'recommended\trecommend\tVBD\tB-VP\tO' +p33883 +aS'continue\tcontinue\tJJ\tB-NP\tO' +p33884 +aS'oncologic\toncologic\tJJ\tI-NP\tO' +p33885 +aS'care\tcare\tNN\tI-NP\tO' +p33886 +aS'according\taccord\tVBG\tB-PP\tO' +p33887 +aS'to\tto\tTO\tB-PP\tO' +p33888 +asS'psychological assessment , past medication responses discussed .' +p33889 +(lp33890 +S'psychological\tpsychological\tJJ\tB-NP\tO' +p33891 +aS'assessment\tassessment\tNN\tI-NP\tO' +p33892 +aS',\t,\t,\tO\tO' +p33893 +aS'past\tpast\tJJ\tB-NP\tO' +p33894 +aS'medication\tmedication\tNN\tI-NP\tO' +p33895 +aS'responses\tresponse\tNNS\tI-NP\tO' +p33896 +aS'discussed\tdiscuss\tVBN\tB-VP\tO' +p33897 +aS'.\t.\t.\tO\tO' +p33898 +asS'3. Acetic acid 0.25% wet-to-dry dressing changes q. day for his left foot ulcer .' +p33899 +(lp33900 +S'3.\t3.\tLS\tB-NP\tO' +p33901 +aS'Acetic\tAcetic\tJJ\tI-NP\tO' +p33902 +aS'acid\tacid\tNN\tI-NP\tO' +p33903 +aS'0.25%\t0.25%\tCD\tI-NP\tO' +p33904 +aS'wet-to-dry\twet-to-dry\tJJ\tI-NP\tO' +p33905 +aS'dressing\tdress\tVBG\tI-NP\tO' +p33906 +aS'changes\tchange\tNNS\tI-NP\tO' +p33907 +aS'q.\tq.\tLS\tB-NP\tO' +p33908 +aS'day\tday\tNN\tI-NP\tO' +p33909 +aS'for\tfor\tIN\tB-PP\tO' +p33910 +aS'his\this\tPRP$\tB-NP\tO' +p33911 +aS'left\tleft\tJJ\tI-NP\tO' +p33912 +aS'foot\tfoot\tNN\tI-NP\tO' +p33913 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p33914 +aS'.\t.\t.\tO\tO' +p33915 +asS'The review of systems is negative .' +p33916 +(lp33917 +S'The\tThe\tDT\tB-NP\tO' +p33918 +aS'review\treview\tNN\tI-NP\tO' +p33919 +aS'of\tof\tIN\tB-PP\tO' +p33920 +aS'systems\tsystem\tNNS\tB-NP\tO' +p33921 +aS'is\tbe\tVBZ\tB-VP\tO' +p33922 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p33923 +aS'.\t.\t.\tO\tO' +p33924 +asS'His hematocrit has been stable in the mid-30s .' +p33925 +(lp33926 +S'His\tHis\tPRP$\tB-NP\tO' +p33927 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p33928 +aS'has\thave\tVBZ\tB-VP\tO' +p33929 +aS'been\tbe\tVBN\tI-VP\tO' +p33930 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p33931 +aS'in\tin\tIN\tB-PP\tO' +p33932 +aS'the\tthe\tDT\tB-NP\tO' +p33933 +aS'mid-30s\tmid-30\tNNS\tI-NP\tO' +p33934 +aS'.\t.\t.\tO\tO' +p33935 +asS'The patient was admitted on July 9 to the operating room .' +p33936 +(lp33937 +S'The\tThe\tDT\tB-NP\tO' +p33938 +aS'patient\tpatient\tNN\tI-NP\tO' +p33939 +aS'was\tbe\tVBD\tB-VP\tO' +p33940 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p33941 +aS'on\ton\tIN\tB-PP\tO' +p33942 +aS'July\tJuly\tNNP\tB-NP\tO' +p33943 +aS'9\t9\tCD\tI-NP\tO' +p33944 +aS'to\tto\tTO\tB-PP\tO' +p33945 +aS'the\tthe\tDT\tB-NP\tO' +p33946 +aS'operating\toperating\tNN\tI-NP\tO' +p33947 +aS'room\troom\tNN\tI-NP\tO' +p33948 +aS'.\t.\t.\tO\tO' +p33949 +asS'These findings indicate a widespread encephalopathy .' +p33950 +(lp33951 +S'These\tThese\tDT\tB-NP\tO' +p33952 +aS'findings\tfinding\tNNS\tI-NP\tO' +p33953 +aS'indicate\tindicate\tVBP\tB-VP\tO' +p33954 +aS'a\ta\tDT\tB-NP\tO' +p33955 +aS'widespread\twidespread\tJJ\tI-NP\tO' +p33956 +aS'encephalopathy\tencephalopathy\tNN\tI-NP\tO' +p33957 +aS'.\t.\t.\tO\tO' +p33958 +asS'HEENT : mmm , JVP at 14 cm , no bruits , supple' +p33959 +(lp33960 +S'HEENT\tHEENT\tNN\tB-NP\tO' +p33961 +aS':\t:\t:\tO\tO' +p33962 +aS'mmm\tmmm\tNN\tB-NP\tO' +p33963 +aS',\t,\t,\tO\tO' +p33964 +aS'JVP\tJVP\tNN\tB-NP\tB-protein' +p33965 +aS'at\tat\tIN\tB-PP\tO' +p33966 +aS'14\t14\tCD\tB-NP\tO' +p33967 +aS'cm\tcm\tNN\tI-NP\tO' +p33968 +aS',\t,\t,\tO\tO' +p33969 +aS'no\tno\tDT\tB-NP\tO' +p33970 +aS'bruits\tbruit\tNNS\tI-NP\tO' +p33971 +aS',\t,\t,\tO\tO' +p33972 +aS'supple\tsupple\tNN\tB-NP\tO' +p33973 +asS'Following evaluation and treatment , the patient 's disposition at the end of the visit was ADMITTED AS AN INPATIENT TO FAIRM OF IJORDCOMPMAC HOSPITAL .' +p33974 +(lp33975 +S'Following\tFollow\tVBG\tB-PP\tO' +p33976 +aS'evaluation\tevaluation\tNN\tB-NP\tO' +p33977 +aS'and\tand\tCC\tI-NP\tO' +p33978 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p33979 +aS',\t,\t,\tO\tO' +p33980 +aS'the\tthe\tDT\tB-NP\tO' +p33981 +aS'patient\tpatient\tNN\tI-NP\tO' +p33982 +aS''s\t'\tNNS\tI-NP\tO' +p33983 +aS'disposition\tdisposition\tNN\tI-NP\tO' +p33984 +aS'at\tat\tIN\tB-PP\tO' +p33985 +aS'the\tthe\tDT\tB-NP\tO' +p33986 +aS'end\tend\tNN\tI-NP\tO' +p33987 +aS'of\tof\tIN\tB-PP\tO' +p33988 +aS'the\tthe\tDT\tB-NP\tO' +p33989 +aS'visit\tvisit\tNN\tI-NP\tO' +p33990 +aS'was\tbe\tVBD\tB-VP\tO' +p33991 +aS'ADMITTED\tADMITTED\tVBN\tI-VP\tO' +p33992 +aS'AS\tAS\tNNP\tB-NP\tO' +p33993 +aS'AN\tAN\tNNP\tI-NP\tO' +p33994 +aS'INPATIENT\tINPATIENT\tNNP\tI-NP\tO' +p33995 +aS'TO\tTO\tNNP\tI-NP\tO' +p33996 +aS'FAIRM\tFAIRM\tNNP\tI-NP\tO' +p33997 +aS'OF\tOF\tIN\tB-PP\tO' +p33998 +aS'IJORDCOMPMAC\tIJORDCOMPMAC\tNNP\tB-NP\tO' +p33999 +aS'HOSPITAL\tHOSPITAL\tNNP\tI-NP\tO' +p34000 +aS'.\t.\t.\tO\tO' +p34001 +asS'The abdomen was soft , nontender , nondistended , mildly obese with liver edge two centimeters below the right costal margin .' +p34002 +(lp34003 +S'The\tThe\tDT\tB-NP\tO' +p34004 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p34005 +aS'was\tbe\tVBD\tB-VP\tO' +p34006 +aS'soft\tsoft\tJJ\tB-NP\tO' +p34007 +aS',\t,\t,\tI-NP\tO' +p34008 +aS'nontender\tnontender\tJJ\tI-NP\tO' +p34009 +aS',\t,\t,\tI-NP\tO' +p34010 +aS'nondistended\tnondistended\tJJ\tI-NP\tO' +p34011 +aS',\t,\t,\tI-NP\tO' +p34012 +aS'mildly\tmildly\tRB\tI-NP\tO' +p34013 +aS'obese\tobese\tJJ\tI-ADJP\tO' +p34014 +aS'with\twith\tIN\tB-PP\tO' +p34015 +aS'liver\tliver\tNN\tB-NP\tO' +p34016 +aS'edge\tedge\tNN\tI-NP\tO' +p34017 +aS'two\ttwo\tCD\tB-NP\tO' +p34018 +aS'centimeters\tcentimeter\tNNS\tI-NP\tO' +p34019 +aS'below\tbelow\tIN\tB-PP\tO' +p34020 +aS'the\tthe\tDT\tB-NP\tO' +p34021 +aS'right\tright\tJJ\tI-NP\tO' +p34022 +aS'costal\tcostal\tJJ\tI-NP\tO' +p34023 +aS'margin\tmargin\tNN\tI-NP\tO' +p34024 +aS'.\t.\t.\tO\tO' +p34025 +asS'White blood cell count was 11.5 , 85 polys , 5 bands , hematocrit 37.6 , platelet count 328 .' +p34026 +(lp34027 +S'White\tWhite\tJJ\tB-NP\tO' +p34028 +aS'blood\tblood\tNN\tI-NP\tO' +p34029 +aS'cell\tcell\tNN\tI-NP\tO' +p34030 +aS'count\tcount\tNN\tI-NP\tO' +p34031 +aS'was\tbe\tVBD\tB-VP\tO' +p34032 +aS'11.5\t11.5\tCD\tB-NP\tO' +p34033 +aS',\t,\t,\tO\tO' +p34034 +aS'85\t85\tCD\tB-NP\tO' +p34035 +aS'polys\tpoly\tNNS\tI-NP\tO' +p34036 +aS',\t,\t,\tO\tO' +p34037 +aS'5\t5\tCD\tB-NP\tO' +p34038 +aS'bands\tband\tNNS\tI-NP\tO' +p34039 +aS',\t,\t,\tO\tO' +p34040 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p34041 +aS'37.6\t37.6\tCD\tI-NP\tI-protein' +p34042 +aS',\t,\t,\tO\tO' +p34043 +aS'platelet\tplatelet\tNN\tB-NP\tB-protein' +p34044 +aS'count\tcount\tNN\tI-NP\tI-protein' +p34045 +aS'328\t328\tCD\tI-NP\tI-protein' +p34046 +aS'.\t.\t.\tO\tO' +p34047 +asS'Lives along , takes care of herself .' +p34048 +(lp34049 +S'Lives\tLife\tNNS\tB-NP\tO' +p34050 +aS'along\talong\tRB\tB-ADVP\tO' +p34051 +aS',\t,\t,\tO\tO' +p34052 +aS'takes\ttake\tVBZ\tB-VP\tO' +p34053 +aS'care\tcare\tNN\tB-NP\tO' +p34054 +aS'of\tof\tIN\tB-PP\tO' +p34055 +aS'herself\therself\tPRP\tB-NP\tO' +p34056 +aS'.\t.\t.\tO\tO' +p34057 +asS'There are several foster children also in the home that take care of her at times .' +p34058 +(lp34059 +S'There\tThere\tEX\tB-NP\tO' +p34060 +aS'are\tbe\tVBP\tB-VP\tO' +p34061 +aS'several\tseveral\tJJ\tB-NP\tO' +p34062 +aS'foster\tfoster\tJJ\tI-NP\tO' +p34063 +aS'children\tchild\tNNS\tI-NP\tO' +p34064 +aS'also\talso\tRB\tB-ADVP\tO' +p34065 +aS'in\tin\tIN\tB-PP\tO' +p34066 +aS'the\tthe\tDT\tB-NP\tO' +p34067 +aS'home\thome\tNN\tI-NP\tO' +p34068 +aS'that\tthat\tWDT\tB-NP\tO' +p34069 +aS'take\ttake\tVBP\tB-VP\tO' +p34070 +aS'care\tcare\tNN\tB-NP\tO' +p34071 +aS'of\tof\tIN\tB-PP\tO' +p34072 +aS'her\ther\tPRP\tB-NP\tO' +p34073 +aS'at\tat\tIN\tB-PP\tO' +p34074 +aS'times\ttime\tNNS\tB-NP\tO' +p34075 +aS'.\t.\t.\tO\tO' +p34076 +asS'Overall left ventricular systolic function is normal ( LVEF>55% ) .' +p34077 +(lp34078 +S'Overall\tOverall\tRB\tB-ADVP\tO' +p34079 +aS'left\tleave\tVBD\tB-VP\tO' +p34080 +aS'ventricular\tventricular\tJJ\tB-NP\tO' +p34081 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p34082 +aS'function\tfunction\tNN\tI-NP\tO' +p34083 +aS'is\tbe\tVBZ\tB-VP\tO' +p34084 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p34085 +aS'(\t(\t(\tO\tO' +p34086 +aS'LVEF>55%\tLVEF>55%\tNN\tB-NP\tB-protein' +p34087 +aS')\t)\t)\tO\tO' +p34088 +aS'.\t.\t.\tO\tO' +p34089 +asS'He lives by himself in Tennessee .' +p34090 +(lp34091 +S'He\tHe\tPRP\tB-NP\tO' +p34092 +aS'lives\tlive\tVBZ\tB-VP\tO' +p34093 +aS'by\tby\tIN\tB-PP\tO' +p34094 +aS'himself\thimself\tPRP\tB-NP\tO' +p34095 +aS'in\tin\tIN\tB-PP\tO' +p34096 +aS'Tennessee\tTennessee\tNNP\tB-NP\tO' +p34097 +aS'.\t.\t.\tO\tO' +p34098 +asS'In the Intensive Care Unit the patient was kept intubated and sedated until 09/02/98 which was postoperative day no. 1 following the homograft replacement .' +p34099 +(lp34100 +S'In\tIn\tIN\tB-PP\tO' +p34101 +aS'the\tthe\tDT\tB-NP\tO' +p34102 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p34103 +aS'Care\tCare\tNNP\tI-NP\tO' +p34104 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p34105 +aS'the\tthe\tDT\tB-NP\tO' +p34106 +aS'patient\tpatient\tNN\tI-NP\tO' +p34107 +aS'was\tbe\tVBD\tB-VP\tO' +p34108 +aS'kept\tkeep\tVBN\tI-VP\tO' +p34109 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p34110 +aS'and\tand\tCC\tI-VP\tO' +p34111 +aS'sedated\tsedate\tVBN\tI-VP\tO' +p34112 +aS'until\tuntil\tIN\tB-PP\tO' +p34113 +aS'09/02/98\t09/02/98\tCD\tB-NP\tO' +p34114 +aS'which\twhich\tWDT\tB-NP\tO' +p34115 +aS'was\tbe\tVBD\tB-VP\tO' +p34116 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p34117 +aS'day\tday\tNN\tI-NP\tO' +p34118 +aS'no.\tno.\tRB\tB-NP\tO' +p34119 +aS'1\t1\tCD\tI-NP\tO' +p34120 +aS'following\tfollow\tVBG\tB-PP\tO' +p34121 +aS'the\tthe\tDT\tB-NP\tO' +p34122 +aS'homograft\thomograft\tNN\tI-NP\tO' +p34123 +aS'replacement\treplacement\tNN\tI-NP\tO' +p34124 +aS'.\t.\t.\tO\tO' +p34125 +asS'She made mistakes with position sense , roughly at chance level with both great toes and the left first finger , position sense in the right limb seems preserved .' +p34126 +(lp34127 +S'She\tShe\tPRP\tB-NP\tO' +p34128 +aS'made\tmake\tVBD\tB-VP\tO' +p34129 +aS'mistakes\tmistake\tNNS\tB-NP\tO' +p34130 +aS'with\twith\tIN\tB-PP\tO' +p34131 +aS'position\tposition\tNN\tB-NP\tO' +p34132 +aS'sense\tsense\tNN\tI-NP\tO' +p34133 +aS',\t,\t,\tO\tO' +p34134 +aS'roughly\troughly\tRB\tB-ADVP\tO' +p34135 +aS'at\tat\tIN\tB-PP\tO' +p34136 +aS'chance\tchance\tNN\tB-NP\tO' +p34137 +aS'level\tlevel\tNN\tI-NP\tO' +p34138 +aS'with\twith\tIN\tB-PP\tO' +p34139 +aS'both\tboth\tDT\tB-NP\tO' +p34140 +aS'great\tgreat\tJJ\tI-NP\tO' +p34141 +aS'toes\ttoe\tNNS\tI-NP\tO' +p34142 +aS'and\tand\tCC\tO\tO' +p34143 +aS'the\tthe\tDT\tB-NP\tO' +p34144 +aS'left\tleft\tJJ\tI-NP\tO' +p34145 +aS'first\tfirst\tJJ\tI-NP\tO' +p34146 +aS'finger\tfinger\tNN\tI-NP\tO' +p34147 +aS',\t,\t,\tO\tO' +p34148 +aS'position\tposition\tNN\tB-NP\tO' +p34149 +aS'sense\tsense\tNN\tI-NP\tO' +p34150 +aS'in\tin\tIN\tB-PP\tO' +p34151 +aS'the\tthe\tDT\tB-NP\tO' +p34152 +aS'right\tright\tJJ\tI-NP\tO' +p34153 +aS'limb\tlimb\tNN\tI-NP\tO' +p34154 +aS'seems\tseem\tVBZ\tB-VP\tO' +p34155 +aS'preserved\tpreserve\tVBN\tB-ADJP\tO' +p34156 +aS'.\t.\t.\tO\tO' +p34157 +asS'Two daughters came by and requested to be health care proxies as patient approved .' +p34158 +(lp34159 +S'Two\tTwo\tCD\tB-NP\tO' +p34160 +aS'daughters\tdaughter\tNNS\tI-NP\tO' +p34161 +aS'came\tcome\tVBD\tB-VP\tO' +p34162 +aS'by\tby\tIN\tB-PP\tO' +p34163 +aS'and\tand\tCC\tO\tO' +p34164 +aS'requested\trequest\tVBN\tB-VP\tO' +p34165 +aS'to\tto\tTO\tI-VP\tO' +p34166 +aS'be\tbe\tVB\tI-VP\tO' +p34167 +aS'health\thealth\tNN\tB-NP\tO' +p34168 +aS'care\tcare\tNN\tI-NP\tO' +p34169 +aS'proxies\tproxy\tNNS\tI-NP\tO' +p34170 +aS'as\tas\tIN\tB-PP\tO' +p34171 +aS'patient\tpatient\tNN\tB-NP\tO' +p34172 +aS'approved\tapprove\tVBN\tB-VP\tO' +p34173 +aS'.\t.\t.\tO\tO' +p34174 +asS'Finally , on the day prior to discharge , she was stabilized to the point that she could have her EGD .' +p34175 +(lp34176 +S'Finally\tFinally\tRB\tB-ADVP\tO' +p34177 +aS',\t,\t,\tO\tO' +p34178 +aS'on\ton\tIN\tB-PP\tO' +p34179 +aS'the\tthe\tDT\tB-NP\tO' +p34180 +aS'day\tday\tNN\tI-NP\tO' +p34181 +aS'prior\tprior\tRB\tB-ADVP\tO' +p34182 +aS'to\tto\tTO\tB-VP\tO' +p34183 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p34184 +aS',\t,\t,\tO\tO' +p34185 +aS'she\tshe\tPRP\tB-NP\tO' +p34186 +aS'was\tbe\tVBD\tB-VP\tO' +p34187 +aS'stabilized\tstabilize\tVBN\tI-VP\tO' +p34188 +aS'to\tto\tTO\tB-PP\tO' +p34189 +aS'the\tthe\tDT\tB-NP\tO' +p34190 +aS'point\tpoint\tNN\tI-NP\tO' +p34191 +aS'that\tthat\tIN\tB-SBAR\tO' +p34192 +aS'she\tshe\tPRP\tB-NP\tO' +p34193 +aS'could\tcould\tMD\tB-VP\tO' +p34194 +aS'have\thave\tVB\tI-VP\tO' +p34195 +aS'her\ther\tPRP$\tB-NP\tO' +p34196 +aS'EGD\tEGD\tNN\tI-NP\tB-protein' +p34197 +aS'.\t.\t.\tO\tO' +p34198 +asS'If you lose consciousness , develop a low BP , have lightheadedness with standing , develop a fever , or have other worrisome symptoms , please seek medical care .' +p34199 +(lp34200 +S'If\tIf\tIN\tB-SBAR\tO' +p34201 +aS'you\tyou\tPRP\tB-NP\tO' +p34202 +aS'lose\tlose\tVBP\tB-VP\tO' +p34203 +aS'consciousness\tconsciousness\tNN\tB-NP\tO' +p34204 +aS',\t,\t,\tO\tO' +p34205 +aS'develop\tdevelop\tVBP\tB-VP\tO' +p34206 +aS'a\ta\tDT\tB-NP\tO' +p34207 +aS'low\tlow\tJJ\tI-NP\tO' +p34208 +aS'BP\tBP\tNN\tI-NP\tO' +p34209 +aS',\t,\t,\tO\tO' +p34210 +aS'have\thave\tVBP\tB-VP\tO' +p34211 +aS'lightheadedness\tlightheadedness\tNN\tB-NP\tO' +p34212 +aS'with\twith\tIN\tB-PP\tO' +p34213 +aS'standing\tstanding\tNN\tB-NP\tO' +p34214 +aS',\t,\t,\tO\tO' +p34215 +aS'develop\tdevelop\tVBP\tB-VP\tO' +p34216 +aS'a\ta\tDT\tB-NP\tO' +p34217 +aS'fever\tfever\tNN\tI-NP\tO' +p34218 +aS',\t,\t,\tO\tO' +p34219 +aS'or\tor\tCC\tO\tO' +p34220 +aS'have\thave\tVBP\tB-VP\tO' +p34221 +aS'other\tother\tJJ\tB-NP\tO' +p34222 +aS'worrisome\tworrisome\tJJ\tI-NP\tO' +p34223 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p34224 +aS',\t,\t,\tO\tO' +p34225 +aS'please\tplease\tVB\tB-VP\tO' +p34226 +aS'seek\tseek\tJJ\tB-NP\tO' +p34227 +aS'medical\tmedical\tJJ\tI-NP\tO' +p34228 +aS'care\tcare\tNN\tI-NP\tO' +p34229 +aS'.\t.\t.\tO\tO' +p34230 +asS'He has Nystatin suspension mouthwash , 10 cc swish and swallow q.i.d. He gets Serax , 15 to 30 mg p.o. q h.s. prni nsomnia .' +p34231 +(lp34232 +S'He\tHe\tPRP\tB-NP\tO' +p34233 +aS'has\thave\tVBZ\tB-VP\tO' +p34234 +aS'Nystatin\tNystatin\tNN\tB-NP\tO' +p34235 +aS'suspension\tsuspension\tNN\tI-NP\tO' +p34236 +aS'mouthwash\tmouthwash\tNN\tI-NP\tO' +p34237 +aS',\t,\t,\tO\tO' +p34238 +aS'10\t10\tCD\tB-NP\tO' +p34239 +aS'cc\tcc\tNN\tI-NP\tO' +p34240 +aS'swish\tswish\tVB\tB-VP\tO' +p34241 +aS'and\tand\tCC\tI-VP\tO' +p34242 +aS'swallow\tswallow\tVB\tI-VP\tO' +p34243 +aS'q.i.d.\tq.i.d.\tFW\tB-NP\tO' +p34244 +aS'He\tHe\tPRP\tB-NP\tO' +p34245 +aS'gets\tget\tVBZ\tB-VP\tO' +p34246 +aS'Serax\tSerax\tNN\tB-NP\tO' +p34247 +aS',\t,\t,\tO\tO' +p34248 +aS'15\t15\tCD\tB-NP\tO' +p34249 +aS'to\tto\tTO\tI-NP\tO' +p34250 +aS'30\t30\tCD\tI-NP\tO' +p34251 +aS'mg\tmg\tNN\tI-NP\tO' +p34252 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p34253 +aS'q\tq\tNN\tI-NP\tO' +p34254 +aS'h.s.\th.s.\tNN\tI-NP\tO' +p34255 +aS'prni\tprni\tNN\tI-NP\tO' +p34256 +aS'nsomnia\tnsomnia\tNN\tI-NP\tO' +p34257 +aS'.\t.\t.\tO\tO' +p34258 +asS'3. Osteoarthritis .' +p34259 +(lp34260 +S'3.\t3.\tLS\tB-NP\tO' +p34261 +aS'Osteoarthritis\tOsteoarthritis\tNN\tI-NP\tO' +p34262 +aS'.\t.\t.\tO\tO' +p34263 +asS'AZMACORT , CLINDAMYCIN , VERSED , FENTANYL , and MORPHINE .' +p34264 +(lp34265 +S'AZMACORT\tAZMACORT\tNN\tB-NP\tO' +p34266 +aS',\t,\t,\tO\tO' +p34267 +aS'CLINDAMYCIN\tCLINDAMYCIN\tNN\tB-NP\tO' +p34268 +aS',\t,\t,\tO\tO' +p34269 +aS'VERSED\tVERSED\tNN\tB-NP\tO' +p34270 +aS',\t,\t,\tO\tO' +p34271 +aS'FENTANYL\tFENTANYL\tNN\tB-NP\tO' +p34272 +aS',\t,\t,\tO\tO' +p34273 +aS'and\tand\tCC\tO\tO' +p34274 +aS'MORPHINE\tMORPHINE\tNN\tB-NP\tO' +p34275 +aS'.\t.\t.\tO\tO' +p34276 +asS'Prior to admission , he had a long and complicated hospital course at the outside hospital .' +p34277 +(lp34278 +S'Prior\tPrior\tRB\tB-ADVP\tO' +p34279 +aS'to\tto\tTO\tB-PP\tO' +p34280 +aS'admission\tadmission\tNN\tB-NP\tO' +p34281 +aS',\t,\t,\tO\tO' +p34282 +aS'he\the\tPRP\tB-NP\tO' +p34283 +aS'had\thave\tVBD\tB-VP\tO' +p34284 +aS'a\ta\tDT\tB-NP\tO' +p34285 +aS'long\tlong\tJJ\tI-NP\tO' +p34286 +aS'and\tand\tCC\tI-NP\tO' +p34287 +aS'complicated\tcomplicate\tVBN\tI-NP\tO' +p34288 +aS'hospital\thospital\tNN\tI-NP\tO' +p34289 +aS'course\tcourse\tNN\tI-NP\tO' +p34290 +aS'at\tat\tIN\tB-PP\tO' +p34291 +aS'the\tthe\tDT\tB-NP\tO' +p34292 +aS'outside\toutside\tJJ\tI-NP\tO' +p34293 +aS'hospital\thospital\tNN\tI-NP\tO' +p34294 +aS'.\t.\t.\tO\tO' +p34295 +asS'States that lightheadedness is resolved .' +p34296 +(lp34297 +S'States\tState\tNNS\tB-NP\tO' +p34298 +aS'that\tthat\tIN\tB-SBAR\tO' +p34299 +aS'lightheadedness\tlightheadedness\tNN\tB-NP\tO' +p34300 +aS'is\tbe\tVBZ\tB-VP\tO' +p34301 +aS'resolved\tresolve\tVBN\tI-VP\tO' +p34302 +aS'.\t.\t.\tO\tO' +p34303 +asS'Neck and mouth were normal .' +p34304 +(lp34305 +S'Neck\tNeck\tNN\tB-NP\tO' +p34306 +aS'and\tand\tCC\tI-NP\tO' +p34307 +aS'mouth\tmouth\tNN\tI-NP\tO' +p34308 +aS'were\tbe\tVBD\tB-VP\tO' +p34309 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p34310 +aS'.\t.\t.\tO\tO' +p34311 +asS'pneumothorax .' +p34312 +(lp34313 +S'pneumothorax\tpneumothorax\tNN\tB-NP\tO' +p34314 +aS'.\t.\t.\tO\tO' +p34315 +asS'ENDOMETRIAL CANCER .' +p34316 +(lp34317 +S'ENDOMETRIAL\tENDOMETRIAL\tJJ\tB-NP\tO' +p34318 +aS'CANCER\tCANCER\tNN\tI-NP\tO' +p34319 +aS'.\t.\t.\tO\tO' +p34320 +asS'The cardiac examination revealed anapical impulse in the fifth left intercostal space , left to mid clavicular line .' +p34321 +(lp34322 +S'The\tThe\tDT\tB-NP\tO' +p34323 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p34324 +aS'examination\texamination\tNN\tI-NP\tO' +p34325 +aS'revealed\treveal\tVBD\tB-VP\tO' +p34326 +aS'anapical\tanapical\tJJ\tB-NP\tO' +p34327 +aS'impulse\timpulse\tNN\tI-NP\tO' +p34328 +aS'in\tin\tIN\tB-PP\tO' +p34329 +aS'the\tthe\tDT\tB-NP\tO' +p34330 +aS'fifth\tfifth\tJJ\tI-NP\tO' +p34331 +aS'left\tleft\tJJ\tI-NP\tO' +p34332 +aS'intercostal\tintercostal\tJJ\tI-NP\tO' +p34333 +aS'space\tspace\tNN\tI-NP\tO' +p34334 +aS',\t,\t,\tO\tO' +p34335 +aS'left\tleave\tVBD\tB-VP\tO' +p34336 +aS'to\tto\tTO\tI-VP\tO' +p34337 +aS'mid\tmid\tVB\tI-VP\tO' +p34338 +aS'clavicular\tclavicular\tJJ\tB-NP\tO' +p34339 +aS'line\tline\tNN\tI-NP\tO' +p34340 +aS'.\t.\t.\tO\tO' +p34341 +asS'You may bear weight on your both legs .' +p34342 +(lp34343 +S'You\tYou\tPRP\tB-NP\tB-protein' +p34344 +aS'may\tmay\tMD\tB-VP\tO' +p34345 +aS'bear\tbear\tVB\tI-VP\tO' +p34346 +aS'weight\tweight\tNN\tB-NP\tO' +p34347 +aS'on\ton\tIN\tB-PP\tO' +p34348 +aS'your\tyour\tPRP$\tB-NP\tO' +p34349 +aS'both\tboth\tDT\tI-NP\tO' +p34350 +aS'legs\tleg\tNNS\tI-NP\tO' +p34351 +aS'.\t.\t.\tO\tO' +p34352 +asS'His Alk Phos were inititially low a few days after the operation , but it rised up to 422 two weeks after , but down-trended , as with the rest of his liver function test by the time he left the hospital .' +p34353 +(lp34354 +S'His\tHis\tPRP$\tB-NP\tB-protein' +p34355 +aS'Alk\tAlk\tNNP\tI-NP\tB-protein' +p34356 +aS'Phos\tPhos\tNNP\tI-NP\tO' +p34357 +aS'were\tbe\tVBD\tB-VP\tO' +p34358 +aS'inititially\tinititially\tRB\tB-NP\tO' +p34359 +aS'low\tlow\tJJ\tI-NP\tO' +p34360 +aS'a\ta\tDT\tI-NP\tO' +p34361 +aS'few\tfew\tJJ\tI-NP\tO' +p34362 +aS'days\tday\tNNS\tI-NP\tO' +p34363 +aS'after\tafter\tIN\tB-PP\tO' +p34364 +aS'the\tthe\tDT\tB-NP\tO' +p34365 +aS'operation\toperation\tNN\tI-NP\tO' +p34366 +aS',\t,\t,\tO\tO' +p34367 +aS'but\tbut\tCC\tO\tO' +p34368 +aS'it\tit\tPRP\tB-NP\tO' +p34369 +aS'rised\trise\tVBD\tB-VP\tO' +p34370 +aS'up\tup\tRB\tB-ADVP\tO' +p34371 +aS'to\tto\tTO\tB-PP\tO' +p34372 +aS'422\t422\tCD\tB-NP\tO' +p34373 +aS'two\ttwo\tCD\tI-NP\tO' +p34374 +aS'weeks\tweek\tNNS\tI-NP\tO' +p34375 +aS'after\tafter\tIN\tB-SBAR\tO' +p34376 +aS',\t,\t,\tO\tO' +p34377 +aS'but\tbut\tCC\tO\tO' +p34378 +aS'down-trended\tdown-trende\tVBD\tB-VP\tO' +p34379 +aS',\t,\t,\tO\tO' +p34380 +aS'as\tas\tIN\tB-PP\tO' +p34381 +aS'with\twith\tIN\tB-PP\tO' +p34382 +aS'the\tthe\tDT\tB-NP\tO' +p34383 +aS'rest\trest\tNN\tI-NP\tO' +p34384 +aS'of\tof\tIN\tB-PP\tO' +p34385 +aS'his\this\tPRP$\tB-NP\tO' +p34386 +aS'liver\tliver\tNN\tI-NP\tO' +p34387 +aS'function\tfunction\tNN\tI-NP\tO' +p34388 +aS'test\ttest\tNN\tI-NP\tO' +p34389 +aS'by\tby\tIN\tB-PP\tO' +p34390 +aS'the\tthe\tDT\tB-NP\tO' +p34391 +aS'time\ttime\tNN\tI-NP\tO' +p34392 +aS'he\the\tPRP\tB-NP\tO' +p34393 +aS'left\tleave\tVBD\tB-VP\tO' +p34394 +aS'the\tthe\tDT\tB-NP\tO' +p34395 +aS'hospital\thospital\tNN\tI-NP\tO' +p34396 +aS'.\t.\t.\tO\tO' +p34397 +asS'The goal was 3 to 4 stools per day .' +p34398 +(lp34399 +S'The\tThe\tDT\tB-NP\tO' +p34400 +aS'goal\tgoal\tNN\tI-NP\tO' +p34401 +aS'was\tbe\tVBD\tB-VP\tO' +p34402 +aS'3\t3\tCD\tB-NP\tO' +p34403 +aS'to\tto\tTO\tB-PP\tO' +p34404 +aS'4\t4\tCD\tB-NP\tO' +p34405 +aS'stools\tstool\tNNS\tI-NP\tO' +p34406 +aS'per\tper\tIN\tB-PP\tO' +p34407 +aS'day\tday\tNN\tB-NP\tO' +p34408 +aS'.\t.\t.\tO\tO' +p34409 +asS'A small apical muscular VSD was also noted .' +p34410 +(lp34411 +S'A\tA\tDT\tB-NP\tO' +p34412 +aS'small\tsmall\tJJ\tI-NP\tO' +p34413 +aS'apical\tapical\tJJ\tI-NP\tO' +p34414 +aS'muscular\tmuscular\tJJ\tI-NP\tO' +p34415 +aS'VSD\tVSD\tNN\tI-NP\tO' +p34416 +aS'was\tbe\tVBD\tB-VP\tO' +p34417 +aS'also\talso\tRB\tI-VP\tO' +p34418 +aS'noted\tnote\tVBN\tI-VP\tO' +p34419 +aS'.\t.\t.\tO\tO' +p34420 +asS'Her phosphorous rose appropriately to 3.6 at the time of discharge .' +p34421 +(lp34422 +S'Her\tHer\tPRP$\tB-NP\tO' +p34423 +aS'phosphorous\tphosphorous\tJJ\tI-NP\tO' +p34424 +aS'rose\trise\tVBD\tB-VP\tO' +p34425 +aS'appropriately\tappropriately\tRB\tB-ADVP\tO' +p34426 +aS'to\tto\tTO\tB-PP\tO' +p34427 +aS'3.6\t3.6\tCD\tB-NP\tO' +p34428 +aS'at\tat\tIN\tB-PP\tO' +p34429 +aS'the\tthe\tDT\tB-NP\tO' +p34430 +aS'time\ttime\tNN\tI-NP\tO' +p34431 +aS'of\tof\tIN\tB-PP\tO' +p34432 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p34433 +aS'.\t.\t.\tO\tO' +p34434 +asS'Catheterization results showed 100% occlusion of the proximal left anterior descending artery and 50% stenosis of first diagonal .' +p34435 +(lp34436 +S'Catheterization\tCatheterization\tNN\tB-NP\tO' +p34437 +aS'results\tresult\tNNS\tI-NP\tO' +p34438 +aS'showed\tshow\tVBD\tB-VP\tO' +p34439 +aS'100%\t100%\tCD\tB-NP\tO' +p34440 +aS'occlusion\tocclusion\tNN\tI-NP\tO' +p34441 +aS'of\tof\tIN\tB-PP\tO' +p34442 +aS'the\tthe\tDT\tB-NP\tO' +p34443 +aS'proximal\tproximal\tJJ\tI-NP\tO' +p34444 +aS'left\tleft\tJJ\tI-NP\tO' +p34445 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p34446 +aS'descending\tdescend\tVBG\tI-NP\tO' +p34447 +aS'artery\tartery\tNN\tI-NP\tO' +p34448 +aS'and\tand\tCC\tO\tO' +p34449 +aS'50%\t50%\tCD\tB-NP\tO' +p34450 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p34451 +aS'of\tof\tIN\tB-PP\tO' +p34452 +aS'first\tfirst\tJJ\tB-NP\tO' +p34453 +aS'diagonal\tdiagonal\tNN\tI-NP\tO' +p34454 +aS'.\t.\t.\tO\tO' +p34455 +asS'On 09-03-92 , patient underwent a left great toe buttontoe amputation under regional ankle block for chronic ulcer and osteomyelitis of the left great toe .' +p34456 +(lp34457 +S'On\tOn\tIN\tB-PP\tO' +p34458 +aS'09-03-92\t09-03-92\tCD\tB-NP\tO' +p34459 +aS',\t,\t,\tO\tO' +p34460 +aS'patient\tpatient\tNN\tB-NP\tO' +p34461 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p34462 +aS'a\ta\tDT\tB-NP\tO' +p34463 +aS'left\tleft\tJJ\tI-NP\tO' +p34464 +aS'great\tgreat\tJJ\tI-NP\tO' +p34465 +aS'toe\ttoe\tNN\tI-NP\tO' +p34466 +aS'buttontoe\tbuttontoe\tNN\tI-NP\tO' +p34467 +aS'amputation\tamputation\tNN\tI-NP\tO' +p34468 +aS'under\tunder\tIN\tB-PP\tO' +p34469 +aS'regional\tregional\tJJ\tB-NP\tO' +p34470 +aS'ankle\tankle\tNN\tI-NP\tO' +p34471 +aS'block\tblock\tNN\tI-NP\tO' +p34472 +aS'for\tfor\tIN\tB-PP\tO' +p34473 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p34474 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p34475 +aS'and\tand\tCC\tI-NP\tO' +p34476 +aS'osteomyelitis\tosteomyelitis\tNN\tI-NP\tO' +p34477 +aS'of\tof\tIN\tB-PP\tO' +p34478 +aS'the\tthe\tDT\tB-NP\tO' +p34479 +aS'left\tleft\tJJ\tI-NP\tO' +p34480 +aS'great\tgreat\tJJ\tI-NP\tO' +p34481 +aS'toe\ttoe\tNN\tI-NP\tO' +p34482 +aS'.\t.\t.\tO\tO' +p34483 +asS'The patient was discharged to stay with her family until returning home and will be screened for house safety upon moving from the family 's house .' +p34484 +(lp34485 +S'The\tThe\tDT\tB-NP\tO' +p34486 +aS'patient\tpatient\tNN\tI-NP\tO' +p34487 +aS'was\tbe\tVBD\tB-VP\tO' +p34488 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p34489 +aS'to\tto\tTO\tI-VP\tO' +p34490 +aS'stay\tstay\tVB\tI-VP\tO' +p34491 +aS'with\twith\tIN\tB-PP\tO' +p34492 +aS'her\ther\tPRP$\tB-NP\tO' +p34493 +aS'family\tfamily\tNN\tI-NP\tO' +p34494 +aS'until\tuntil\tIN\tB-PP\tO' +p34495 +aS'returning\treturn\tVBG\tB-VP\tO' +p34496 +aS'home\thome\tNN\tB-NP\tO' +p34497 +aS'and\tand\tCC\tO\tO' +p34498 +aS'will\twill\tMD\tB-VP\tO' +p34499 +aS'be\tbe\tVB\tI-VP\tO' +p34500 +aS'screened\tscreen\tVBN\tI-VP\tO' +p34501 +aS'for\tfor\tIN\tB-PP\tO' +p34502 +aS'house\thouse\tNN\tB-NP\tO' +p34503 +aS'safety\tsafety\tNN\tI-NP\tO' +p34504 +aS'upon\tupon\tIN\tB-PP\tO' +p34505 +aS'moving\tmove\tVBG\tB-VP\tO' +p34506 +aS'from\tfrom\tIN\tB-PP\tO' +p34507 +aS'the\tthe\tDT\tB-NP\tO' +p34508 +aS'family\tfamily\tNN\tI-NP\tO' +p34509 +aS''s\t'\tNNS\tI-NP\tO' +p34510 +aS'house\thouse\tNN\tI-NP\tO' +p34511 +aS'.\t.\t.\tO\tO' +p34512 +asS'Vital signs were stable on arrival in the David , but the patient was minimally responsive and subsequently intubated for airway protection .' +p34513 +(lp34514 +S'Vital\tVital\tJJ\tB-NP\tO' +p34515 +aS'signs\tsign\tNNS\tI-NP\tO' +p34516 +aS'were\tbe\tVBD\tB-VP\tO' +p34517 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p34518 +aS'on\ton\tIN\tB-PP\tO' +p34519 +aS'arrival\tarrival\tNN\tB-NP\tO' +p34520 +aS'in\tin\tIN\tB-PP\tO' +p34521 +aS'the\tthe\tDT\tB-NP\tO' +p34522 +aS'David\tDavid\tNNP\tI-NP\tO' +p34523 +aS',\t,\t,\tO\tO' +p34524 +aS'but\tbut\tCC\tO\tO' +p34525 +aS'the\tthe\tDT\tB-NP\tO' +p34526 +aS'patient\tpatient\tNN\tI-NP\tO' +p34527 +aS'was\tbe\tVBD\tB-VP\tO' +p34528 +aS'minimally\tminimally\tRB\tB-ADJP\tO' +p34529 +aS'responsive\tresponsive\tJJ\tI-ADJP\tO' +p34530 +aS'and\tand\tCC\tO\tO' +p34531 +aS'subsequently\tsubsequently\tRB\tB-VP\tO' +p34532 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p34533 +aS'for\tfor\tIN\tB-PP\tO' +p34534 +aS'airway\tairway\tNN\tB-NP\tO' +p34535 +aS'protection\tprotection\tNN\tI-NP\tO' +p34536 +aS'.\t.\t.\tO\tO' +p34537 +asS'Central IV access was obtained .' +p34538 +(lp34539 +S'Central\tCentral\tJJ\tB-NP\tO' +p34540 +aS'IV\tIV\tCD\tI-NP\tO' +p34541 +aS'access\taccess\tNN\tI-NP\tO' +p34542 +aS'was\tbe\tVBD\tB-VP\tO' +p34543 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p34544 +aS'.\t.\t.\tO\tO' +p34545 +asS'The patient was discharged on Tenormin , 25 mg PO qd ; Bactrim DS , one PO bid x5 days .' +p34546 +(lp34547 +S'The\tThe\tDT\tB-NP\tO' +p34548 +aS'patient\tpatient\tNN\tI-NP\tO' +p34549 +aS'was\tbe\tVBD\tB-VP\tO' +p34550 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p34551 +aS'on\ton\tIN\tB-PP\tO' +p34552 +aS'Tenormin\tTenormin\tNN\tB-NP\tO' +p34553 +aS',\t,\t,\tO\tO' +p34554 +aS'25\t25\tCD\tB-NP\tO' +p34555 +aS'mg\tmg\tNN\tI-NP\tO' +p34556 +aS'PO\tPO\tNN\tI-NP\tO' +p34557 +aS'qd\tqd\tNN\tI-NP\tO' +p34558 +aS';\t;\t:\tO\tO' +p34559 +aS'Bactrim\tBactrim\tNNP\tB-NP\tO' +p34560 +aS'DS\tDS\tNNP\tI-NP\tO' +p34561 +aS',\t,\t,\tO\tO' +p34562 +aS'one\tone\tCD\tB-NP\tO' +p34563 +aS'PO\tPO\tNN\tI-NP\tO' +p34564 +aS'bid\tbid\tNN\tI-NP\tO' +p34565 +aS'x5\tx5\tCD\tB-NP\tO' +p34566 +aS'days\tday\tNNS\tI-NP\tO' +p34567 +aS'.\t.\t.\tO\tO' +p34568 +asS'No phototherapy was started .' +p34569 +(lp34570 +S'No\tNo\tDT\tB-NP\tO' +p34571 +aS'phototherapy\tphototherapy\tNN\tI-NP\tO' +p34572 +aS'was\tbe\tVBD\tB-VP\tO' +p34573 +aS'started\tstart\tVBN\tI-VP\tO' +p34574 +aS'.\t.\t.\tO\tO' +p34575 +asS'The patient remained mechanically ventilated throughout his hospitalization .' +p34576 +(lp34577 +S'The\tThe\tDT\tB-NP\tO' +p34578 +aS'patient\tpatient\tNN\tI-NP\tO' +p34579 +aS'remained\tremain\tVBD\tB-VP\tO' +p34580 +aS'mechanically\tmechanically\tRB\tI-VP\tO' +p34581 +aS'ventilated\tventilate\tVBN\tI-VP\tO' +p34582 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p34583 +aS'his\this\tPRP$\tB-NP\tO' +p34584 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p34585 +aS'.\t.\t.\tO\tO' +p34586 +asS'Rales 1/3 of the way upbilaterally .' +p34587 +(lp34588 +S'Rales\tRale\tNNS\tB-NP\tB-protein' +p34589 +aS'1/3\t1/3\tCD\tB-NP\tI-protein' +p34590 +aS'of\tof\tIN\tB-PP\tO' +p34591 +aS'the\tthe\tDT\tB-NP\tO' +p34592 +aS'way\tway\tNN\tI-NP\tO' +p34593 +aS'upbilaterally\tupbilaterally\tRB\tB-ADVP\tO' +p34594 +aS'.\t.\t.\tO\tO' +p34595 +asS'Lopressor 100 mg p.o. b.i.d. ; Nifedipine 10 mg p.o. t.i.d. ; Timoptic solution 0.5% OS b.i.d. ; Coumadin 1 mg alternating with 1.5 mg q.o.d. at q.h.s. and Haldol 2 mg p.o. q.h.s. p.r.n. in the evening , only for agitation associated with confusion .' +p34596 +(lp34597 +S'Lopressor\tLopressor\tNN\tB-NP\tO' +p34598 +aS'100\t100\tCD\tI-NP\tO' +p34599 +aS'mg\tmg\tNN\tI-NP\tO' +p34600 +aS'p.o.\tp.o.\tFW\tB-ADVP\tO' +p34601 +aS'b.i.d.\tb.i.d.\tFW\tI-ADVP\tO' +p34602 +aS';\t;\t:\tO\tO' +p34603 +aS'Nifedipine\tNifedipine\tNN\tB-NP\tO' +p34604 +aS'10\t10\tCD\tI-NP\tO' +p34605 +aS'mg\tmg\tNN\tI-NP\tO' +p34606 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p34607 +aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' +p34608 +aS';\t;\t:\tO\tO' +p34609 +aS'Timoptic\tTimoptic\tJJ\tB-NP\tO' +p34610 +aS'solution\tsolution\tNN\tI-NP\tO' +p34611 +aS'0.5%\t0.5%\tCD\tI-NP\tO' +p34612 +aS'OS\tOS\tNN\tI-NP\tO' +p34613 +aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' +p34614 +aS';\t;\t:\tO\tO' +p34615 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p34616 +aS'1\t1\tCD\tI-NP\tO' +p34617 +aS'mg\tmg\tNN\tI-NP\tO' +p34618 +aS'alternating\talternate\tVBG\tB-VP\tO' +p34619 +aS'with\twith\tIN\tB-PP\tO' +p34620 +aS'1.5\t1.5\tCD\tB-NP\tO' +p34621 +aS'mg\tmg\tNN\tI-NP\tO' +p34622 +aS'q.o.d.\tq.o.d.\tNN\tI-NP\tO' +p34623 +aS'at\tat\tIN\tB-PP\tO' +p34624 +aS'q.h.s.\tq.h.s.\tNN\tB-NP\tO' +p34625 +aS'and\tand\tCC\tO\tO' +p34626 +aS'Haldol\tHaldol\tNN\tB-NP\tO' +p34627 +aS'2\t2\tCD\tI-NP\tO' +p34628 +aS'mg\tmg\tNN\tI-NP\tO' +p34629 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p34630 +aS'q.h.s.\tq.h.s.\tNN\tI-NP\tO' +p34631 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p34632 +aS'in\tin\tIN\tB-PP\tO' +p34633 +aS'the\tthe\tDT\tB-NP\tO' +p34634 +aS'evening\tevening\tNN\tI-NP\tO' +p34635 +aS',\t,\t,\tO\tO' +p34636 +aS'only\tonly\tRB\tB-ADVP\tO' +p34637 +aS'for\tfor\tIN\tB-PP\tO' +p34638 +aS'agitation\tagitation\tNN\tB-NP\tO' +p34639 +aS'associated\tassociate\tVBN\tB-VP\tO' +p34640 +aS'with\twith\tIN\tB-PP\tO' +p34641 +aS'confusion\tconfusion\tNN\tB-NP\tO' +p34642 +aS'.\t.\t.\tO\tO' +p34643 +asS'Pressure ulcers under bilateral LE right above the ankles .' +p34644 +(lp34645 +S'Pressure\tPressure\tNN\tB-NP\tO' +p34646 +aS'ulcers\tulcer\tNNS\tI-NP\tO' +p34647 +aS'under\tunder\tIN\tB-PP\tO' +p34648 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p34649 +aS'LE\tLE\tNN\tI-NP\tO' +p34650 +aS'right\tright\tRB\tB-PP\tO' +p34651 +aS'above\tabove\tIN\tI-PP\tO' +p34652 +aS'the\tthe\tDT\tB-NP\tO' +p34653 +aS'ankles\tankle\tNNS\tI-NP\tO' +p34654 +aS'.\t.\t.\tO\tO' +p34655 +asS'Asthma / COPD on BiPAP , history of intubation .' +p34656 +(lp34657 +S'Asthma\tAsthma\tNN\tB-NP\tO' +p34658 +aS'/\t/\tSYM\tI-NP\tO' +p34659 +aS'COPD\tCOPD\tNN\tI-NP\tO' +p34660 +aS'on\ton\tIN\tB-PP\tO' +p34661 +aS'BiPAP\tBiPAP\tNN\tB-NP\tB-protein' +p34662 +aS',\t,\t,\tO\tO' +p34663 +aS'history\thistory\tNN\tB-NP\tO' +p34664 +aS'of\tof\tIN\tB-PP\tO' +p34665 +aS'intubation\tintubation\tNN\tB-NP\tO' +p34666 +aS'.\t.\t.\tO\tO' +p34667 +asS'At that time a pelvic ultrasound was performed showing extensive fluid and clear mass within the pelvi-abdominal cavity .' +p34668 +(lp34669 +S'At\tAt\tIN\tB-PP\tO' +p34670 +aS'that\tthat\tDT\tB-NP\tO' +p34671 +aS'time\ttime\tNN\tI-NP\tO' +p34672 +aS'a\ta\tDT\tB-NP\tO' +p34673 +aS'pelvic\tpelvic\tJJ\tI-NP\tO' +p34674 +aS'ultrasound\tultrasound\tNN\tI-NP\tO' +p34675 +aS'was\tbe\tVBD\tB-VP\tO' +p34676 +aS'performed\tperform\tVBN\tI-VP\tO' +p34677 +aS'showing\tshow\tVBG\tB-VP\tO' +p34678 +aS'extensive\textensive\tJJ\tB-NP\tO' +p34679 +aS'fluid\tfluid\tNN\tI-NP\tO' +p34680 +aS'and\tand\tCC\tO\tO' +p34681 +aS'clear\tclear\tJJ\tB-NP\tO' +p34682 +aS'mass\tmass\tNN\tI-NP\tO' +p34683 +aS'within\twithin\tIN\tB-PP\tO' +p34684 +aS'the\tthe\tDT\tB-NP\tO' +p34685 +aS'pelvi-abdominal\tpelvi-abdominal\tJJ\tI-NP\tO' +p34686 +aS'cavity\tcavity\tNN\tI-NP\tO' +p34687 +aS'.\t.\t.\tO\tO' +p34688 +asS'1. Mitral regurgitation status post minimally invasive mitral valve repair .' +p34689 +(lp34690 +S'1.\t1.\tLS\tB-NP\tO' +p34691 +aS'Mitral\tMitral\tJJ\tI-NP\tO' +p34692 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p34693 +aS'status\tstatus\tNN\tI-NP\tO' +p34694 +aS'post\tpost\tVBD\tB-VP\tO' +p34695 +aS'minimally\tminimally\tRB\tB-NP\tO' +p34696 +aS'invasive\tinvasive\tJJ\tI-NP\tO' +p34697 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p34698 +aS'valve\tvalve\tNN\tI-NP\tO' +p34699 +aS'repair\trepair\tNN\tI-NP\tO' +p34700 +aS'.\t.\t.\tO\tO' +p34701 +asS'CXR confirmed good position and no PTx .' +p34702 +(lp34703 +S'CXR\tCXR\tNN\tB-NP\tB-protein' +p34704 +aS'confirmed\tconfirm\tVBD\tB-VP\tO' +p34705 +aS'good\tgood\tJJ\tB-NP\tO' +p34706 +aS'position\tposition\tNN\tI-NP\tO' +p34707 +aS'and\tand\tCC\tO\tO' +p34708 +aS'no\tno\tDT\tB-NP\tO' +p34709 +aS'PTx\tPTx\tNN\tI-NP\tB-protein' +p34710 +aS'.\t.\t.\tO\tO' +p34711 +asS"The patient 's bilirubin level at 24 hours of life was 4.6." +p34712 +(lp34713 +S'The\tThe\tDT\tB-NP\tO' +p34714 +aS'patient\tpatient\tNN\tI-NP\tO' +p34715 +aS"'s\t's\tPOS\tB-NP\tO" +p34716 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p34717 +aS'level\tlevel\tNN\tI-NP\tO' +p34718 +aS'at\tat\tIN\tB-PP\tO' +p34719 +aS'24\t24\tCD\tB-NP\tO' +p34720 +aS'hours\thour\tNNS\tI-NP\tO' +p34721 +aS'of\tof\tIN\tB-PP\tO' +p34722 +aS'life\tlife\tNN\tB-NP\tO' +p34723 +aS'was\tbe\tVBD\tB-VP\tO' +p34724 +aS'4.6.\t4.6.\tCD\tB-NP\tO' +p34725 +asS'Pulse 60 .' +p34726 +(lp34727 +S'Pulse\tPulse\tNN\tB-NP\tO' +p34728 +aS'60\t60\tCD\tI-NP\tO' +p34729 +aS'.\t.\t.\tO\tO' +p34730 +asS'1. The patient was asked to call his physician if he experienced any lightheadedness , dizziness , nausea , vomiting , fevers , or chills .' +p34731 +(lp34732 +S'1.\t1.\tLS\tB-LST\tO' +p34733 +aS'The\tThe\tDT\tB-NP\tO' +p34734 +aS'patient\tpatient\tNN\tI-NP\tO' +p34735 +aS'was\tbe\tVBD\tB-VP\tO' +p34736 +aS'asked\task\tVBN\tI-VP\tO' +p34737 +aS'to\tto\tTO\tI-VP\tO' +p34738 +aS'call\tcall\tVB\tI-VP\tO' +p34739 +aS'his\this\tPRP$\tB-NP\tO' +p34740 +aS'physician\tphysician\tNN\tI-NP\tO' +p34741 +aS'if\tif\tIN\tB-SBAR\tO' +p34742 +aS'he\the\tPRP\tB-NP\tO' +p34743 +aS'experienced\texperience\tVBD\tB-VP\tO' +p34744 +aS'any\tany\tDT\tB-NP\tO' +p34745 +aS'lightheadedness\tlightheadedness\tNN\tI-NP\tO' +p34746 +aS',\t,\t,\tO\tO' +p34747 +aS'dizziness\tdizziness\tNN\tB-NP\tO' +p34748 +aS',\t,\t,\tO\tO' +p34749 +aS'nausea\tnausea\tNN\tB-NP\tO' +p34750 +aS',\t,\t,\tO\tO' +p34751 +aS'vomiting\tvomit\tVBG\tB-VP\tO' +p34752 +aS',\t,\t,\tO\tO' +p34753 +aS'fevers\tfever\tNNS\tB-NP\tO' +p34754 +aS',\t,\t,\tO\tO' +p34755 +aS'or\tor\tCC\tO\tO' +p34756 +aS'chills\tchill\tNNS\tB-NP\tO' +p34757 +aS'.\t.\t.\tO\tO' +p34758 +asS'His chest X-ray did not reveal any abnormality .' +p34759 +(lp34760 +S'His\tHis\tPRP$\tB-NP\tO' +p34761 +aS'chest\tchest\tNN\tI-NP\tO' +p34762 +aS'X-ray\tX-ray\tNN\tI-NP\tO' +p34763 +aS'did\tdo\tVBD\tB-VP\tO' +p34764 +aS'not\tnot\tRB\tI-VP\tO' +p34765 +aS'reveal\treveal\tVB\tI-VP\tO' +p34766 +aS'any\tany\tDT\tB-NP\tO' +p34767 +aS'abnormality\tabnormality\tNN\tI-NP\tO' +p34768 +aS'.\t.\t.\tO\tO' +p34769 +asS'Her Neo-Synephrine drip was weaned to off .' +p34770 +(lp34771 +S'Her\tHer\tPRP$\tB-NP\tO' +p34772 +aS'Neo-Synephrine\tNeo-Synephrine\tJJ\tI-NP\tO' +p34773 +aS'drip\tdrip\tNN\tI-NP\tO' +p34774 +aS'was\tbe\tVBD\tB-VP\tO' +p34775 +aS'weaned\twean\tVBN\tI-VP\tO' +p34776 +aS'to\tto\tTO\tB-PP\tO' +p34777 +aS'off\toff\tRB\tB-ADVP\tO' +p34778 +aS'.\t.\t.\tO\tO' +p34779 +asS'please evaluate ambutlation ability and O2 requirement' +p34780 +(lp34781 +S'please\tplease\tVB\tB-INTJ\tO' +p34782 +aS'evaluate\tevaluate\tVB\tB-VP\tO' +p34783 +aS'ambutlation\tambutlation\tNN\tB-NP\tO' +p34784 +aS'ability\tability\tNN\tI-NP\tO' +p34785 +aS'and\tand\tCC\tO\tO' +p34786 +aS'O2\tO2\tNN\tB-NP\tO' +p34787 +aS'requirement\trequirement\tNN\tI-NP\tO' +p34788 +asS'7. Zithropren 50 mg q. day .' +p34789 +(lp34790 +S'7.\t7.\tCD\tB-NP\tO' +p34791 +aS'Zithropren\tZithropren\tNN\tI-NP\tO' +p34792 +aS'50\t50\tCD\tB-NP\tO' +p34793 +aS'mg\tmg\tNN\tI-NP\tO' +p34794 +aS'q.\tq.\tNN\tI-NP\tO' +p34795 +aS'day\tday\tNN\tI-NP\tO' +p34796 +aS'.\t.\t.\tO\tO' +p34797 +asS'Radiographic studies demonstrated an inferior displaced left midclavicular fracture , no evidence of' +p34798 +(lp34799 +S'Radiographic\tRadiographic\tJJ\tB-NP\tO' +p34800 +aS'studies\tstudy\tNNS\tI-NP\tO' +p34801 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p34802 +aS'an\tan\tDT\tB-NP\tO' +p34803 +aS'inferior\tinferior\tJJ\tI-NP\tO' +p34804 +aS'displaced\tdisplaced\tJJ\tI-NP\tO' +p34805 +aS'left\tleft\tJJ\tI-NP\tO' +p34806 +aS'midclavicular\tmidclavicular\tJJ\tI-NP\tO' +p34807 +aS'fracture\tfracture\tNN\tI-NP\tO' +p34808 +aS',\t,\t,\tO\tO' +p34809 +aS'no\tno\tDT\tB-NP\tO' +p34810 +aS'evidence\tevidence\tNN\tI-NP\tO' +p34811 +aS'of\tof\tIN\tB-PP\tO' +p34812 +asS'She was advanced to full volume enteral feeds by day of life 7 , and then to a maximum caloric density of 28 cals / oz .' +p34813 +(lp34814 +S'She\tShe\tPRP\tB-NP\tO' +p34815 +aS'was\tbe\tVBD\tB-VP\tO' +p34816 +aS'advanced\tadvance\tVBN\tI-VP\tO' +p34817 +aS'to\tto\tTO\tB-PP\tO' +p34818 +aS'full\tfull\tJJ\tB-NP\tO' +p34819 +aS'volume\tvolume\tNN\tI-NP\tO' +p34820 +aS'enteral\tenteral\tJJ\tI-NP\tO' +p34821 +aS'feeds\tfeed\tNNS\tI-NP\tO' +p34822 +aS'by\tby\tIN\tB-PP\tO' +p34823 +aS'day\tday\tNN\tB-NP\tO' +p34824 +aS'of\tof\tIN\tB-PP\tO' +p34825 +aS'life\tlife\tNN\tB-NP\tO' +p34826 +aS'7\t7\tCD\tI-NP\tO' +p34827 +aS',\t,\t,\tO\tO' +p34828 +aS'and\tand\tCC\tO\tO' +p34829 +aS'then\tthen\tRB\tB-ADVP\tO' +p34830 +aS'to\tto\tTO\tB-PP\tO' +p34831 +aS'a\ta\tDT\tB-NP\tO' +p34832 +aS'maximum\tmaximum\tNN\tI-NP\tO' +p34833 +aS'caloric\tcaloric\tJJ\tI-NP\tO' +p34834 +aS'density\tdensity\tNN\tI-NP\tO' +p34835 +aS'of\tof\tIN\tB-PP\tO' +p34836 +aS'28\t28\tCD\tB-NP\tO' +p34837 +aS'cals\tcal\tNNS\tI-NP\tO' +p34838 +aS'/\t/\tSYM\tB-NP\tO' +p34839 +aS'oz\toz\tNN\tI-NP\tO' +p34840 +aS'.\t.\t.\tO\tO' +p34841 +asS'Mason Street .' +p34842 +(lp34843 +S'Mason\tMason\tNNP\tB-NP\tO' +p34844 +aS'Street\tStreet\tNNP\tI-NP\tO' +p34845 +aS'.\t.\t.\tO\tO' +p34846 +asS'R inguinal hernia .' +p34847 +(lp34848 +S'R\tR\tNN\tB-NP\tO' +p34849 +aS'inguinal\tinguinal\tJJ\tI-NP\tO' +p34850 +aS'hernia\thernia\tNN\tI-NP\tO' +p34851 +aS'.\t.\t.\tO\tO' +p34852 +asS'3. left breast biopsy which was benign ,' +p34853 +(lp34854 +S'3.\t3.\tLS\tB-LST\tO' +p34855 +aS'left\tleave\tVBD\tB-VP\tO' +p34856 +aS'breast\tbreast\tNN\tB-NP\tO' +p34857 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p34858 +aS'which\twhich\tWDT\tB-NP\tO' +p34859 +aS'was\tbe\tVBD\tB-VP\tO' +p34860 +aS'benign\tbenign\tJJ\tB-ADJP\tO' +p34861 +aS',\t,\t,\tO\tO' +p34862 +asS'He was then transitioned to oral Lasix for maintainence .' +p34863 +(lp34864 +S'He\tHe\tPRP\tB-NP\tO' +p34865 +aS'was\tbe\tVBD\tB-VP\tO' +p34866 +aS'then\tthen\tRB\tI-VP\tO' +p34867 +aS'transitioned\ttransitione\tVBN\tI-VP\tO' +p34868 +aS'to\tto\tTO\tB-PP\tO' +p34869 +aS'oral\toral\tJJ\tB-NP\tO' +p34870 +aS'Lasix\tLasix\tNN\tI-NP\tO' +p34871 +aS'for\tfor\tIN\tB-PP\tO' +p34872 +aS'maintainence\tmaintainence\tNN\tB-NP\tO' +p34873 +aS'.\t.\t.\tO\tO' +p34874 +asS'FINDINGS : C1 through T1 are well visualized .' +p34875 +(lp34876 +S'FINDINGS\tFINDINGS\tNNS\tB-NP\tO' +p34877 +aS':\t:\t:\tO\tO' +p34878 +aS'C1\tC1\tNN\tB-NP\tB-protein' +p34879 +aS'through\tthrough\tIN\tB-PP\tO' +p34880 +aS'T1\tT1\tNN\tB-NP\tB-DNA' +p34881 +aS'are\tbe\tVBP\tB-VP\tO' +p34882 +aS'well\twell\tRB\tI-VP\tO' +p34883 +aS'visualized\tvisualize\tVBN\tI-VP\tO' +p34884 +aS'.\t.\t.\tO\tO' +p34885 +asS'He is tolerating his feedings well .' +p34886 +(lp34887 +S'He\tHe\tPRP\tB-NP\tO' +p34888 +aS'is\tbe\tVBZ\tB-VP\tO' +p34889 +aS'tolerating\ttolerate\tVBG\tI-VP\tO' +p34890 +aS'his\this\tPRP$\tB-NP\tO' +p34891 +aS'feedings\tfeeding\tNNS\tI-NP\tO' +p34892 +aS'well\twell\tRB\tB-ADVP\tO' +p34893 +aS'.\t.\t.\tO\tO' +p34894 +asS'This was controlled , necessitating ten minutes of aortic clamping and found to have originated from the rupture of the left renal vein one centimeter from its junction with the inferior vena cava .' +p34895 +(lp34896 +S'This\tThis\tDT\tB-NP\tO' +p34897 +aS'was\tbe\tVBD\tB-VP\tO' +p34898 +aS'controlled\tcontrol\tVBN\tI-VP\tO' +p34899 +aS',\t,\t,\tO\tO' +p34900 +aS'necessitating\tnecessitate\tVBG\tB-VP\tO' +p34901 +aS'ten\tten\tCD\tB-NP\tO' +p34902 +aS'minutes\tminute\tNNS\tI-NP\tO' +p34903 +aS'of\tof\tIN\tB-PP\tO' +p34904 +aS'aortic\taortic\tJJ\tB-NP\tO' +p34905 +aS'clamping\tclamping\tNN\tI-NP\tO' +p34906 +aS'and\tand\tCC\tO\tO' +p34907 +aS'found\tfind\tVBN\tB-VP\tO' +p34908 +aS'to\tto\tTO\tI-VP\tO' +p34909 +aS'have\thave\tVB\tI-VP\tO' +p34910 +aS'originated\toriginate\tVBN\tI-VP\tO' +p34911 +aS'from\tfrom\tIN\tB-PP\tO' +p34912 +aS'the\tthe\tDT\tB-NP\tO' +p34913 +aS'rupture\trupture\tNN\tI-NP\tO' +p34914 +aS'of\tof\tIN\tB-PP\tO' +p34915 +aS'the\tthe\tDT\tB-NP\tO' +p34916 +aS'left\tleft\tJJ\tI-NP\tO' +p34917 +aS'renal\trenal\tJJ\tI-NP\tO' +p34918 +aS'vein\tvein\tNN\tI-NP\tO' +p34919 +aS'one\tone\tCD\tB-NP\tO' +p34920 +aS'centimeter\tcentimeter\tNN\tI-NP\tO' +p34921 +aS'from\tfrom\tIN\tB-PP\tO' +p34922 +aS'its\tits\tPRP$\tB-NP\tO' +p34923 +aS'junction\tjunction\tNN\tI-NP\tO' +p34924 +aS'with\twith\tIN\tB-PP\tO' +p34925 +aS'the\tthe\tDT\tB-NP\tO' +p34926 +aS'inferior\tinferior\tJJ\tI-NP\tO' +p34927 +aS'vena\tvena\tNN\tI-NP\tO' +p34928 +aS'cava\tcava\tNN\tI-NP\tO' +p34929 +aS'.\t.\t.\tO\tO' +p34930 +asS'However , on the night of admission the patient was found lying in her bed diaphoretic and obtunded , and a code was called .' +p34931 +(lp34932 +S'However\tHowever\tRB\tB-ADVP\tO' +p34933 +aS',\t,\t,\tO\tO' +p34934 +aS'on\ton\tIN\tB-PP\tO' +p34935 +aS'the\tthe\tDT\tB-NP\tO' +p34936 +aS'night\tnight\tNN\tI-NP\tO' +p34937 +aS'of\tof\tIN\tB-PP\tO' +p34938 +aS'admission\tadmission\tNN\tB-NP\tO' +p34939 +aS'the\tthe\tDT\tB-NP\tO' +p34940 +aS'patient\tpatient\tNN\tI-NP\tO' +p34941 +aS'was\tbe\tVBD\tB-VP\tO' +p34942 +aS'found\tfind\tVBN\tI-VP\tO' +p34943 +aS'lying\tlie\tVBG\tI-VP\tO' +p34944 +aS'in\tin\tIN\tB-PP\tO' +p34945 +aS'her\ther\tPRP$\tB-NP\tO' +p34946 +aS'bed\tbed\tNN\tI-NP\tO' +p34947 +aS'diaphoretic\tdiaphoretic\tJJ\tB-ADJP\tO' +p34948 +aS'and\tand\tCC\tI-ADJP\tO' +p34949 +aS'obtunded\tobtunded\tJJ\tI-ADJP\tO' +p34950 +aS',\t,\t,\tO\tO' +p34951 +aS'and\tand\tCC\tO\tO' +p34952 +aS'a\ta\tDT\tB-NP\tO' +p34953 +aS'code\tcode\tNN\tI-NP\tO' +p34954 +aS'was\tbe\tVBD\tB-VP\tO' +p34955 +aS'called\tcall\tVBN\tI-VP\tO' +p34956 +aS'.\t.\t.\tO\tO' +p34957 +asS'No radial pulse on right .' +p34958 +(lp34959 +S'No\tNo\tDT\tB-NP\tO' +p34960 +aS'radial\tradial\tJJ\tI-NP\tO' +p34961 +aS'pulse\tpulse\tNN\tI-NP\tO' +p34962 +aS'on\ton\tIN\tB-PP\tO' +p34963 +aS'right\tright\tNN\tB-NP\tO' +p34964 +aS'.\t.\t.\tO\tO' +p34965 +asS'2. Protonix 40 mg po qd .' +p34966 +(lp34967 +S'2.\t2.\tLS\tB-NP\tO' +p34968 +aS'Protonix\tProtonix\tNNP\tI-NP\tO' +p34969 +aS'40\t40\tCD\tI-NP\tO' +p34970 +aS'mg\tmg\tNN\tI-NP\tO' +p34971 +aS'po\tpo\tNN\tI-NP\tO' +p34972 +aS'qd\tqd\tNN\tI-NP\tO' +p34973 +aS'.\t.\t.\tO\tO' +p34974 +asS'Renal tubular acidosis distal type I ; shock ; severe acidosis and severe electrolyte imbalance ; seizure disorder ; rule out sepsis , varicella .' +p34975 +(lp34976 +S'Renal\tRenal\tJJ\tB-NP\tO' +p34977 +aS'tubular\ttubular\tJJ\tI-NP\tO' +p34978 +aS'acidosis\tacidosis\tNN\tI-NP\tO' +p34979 +aS'distal\tdistal\tJJ\tI-NP\tO' +p34980 +aS'type\ttype\tNN\tI-NP\tO' +p34981 +aS'I\tI\tCD\tI-NP\tO' +p34982 +aS';\t;\t:\tO\tO' +p34983 +aS'shock\tshock\tNN\tB-NP\tO' +p34984 +aS';\t;\t:\tO\tO' +p34985 +aS'severe\tsevere\tJJ\tB-NP\tO' +p34986 +aS'acidosis\tacidosis\tNN\tI-NP\tO' +p34987 +aS'and\tand\tCC\tO\tO' +p34988 +aS'severe\tsevere\tJJ\tB-NP\tO' +p34989 +aS'electrolyte\telectrolyte\tNN\tI-NP\tO' +p34990 +aS'imbalance\timbalance\tNN\tI-NP\tO' +p34991 +aS';\t;\t:\tO\tO' +p34992 +aS'seizure\tseizure\tNN\tB-NP\tO' +p34993 +aS'disorder\tdisorder\tNN\tI-NP\tO' +p34994 +aS';\t;\t:\tO\tO' +p34995 +aS'rule\trule\tNN\tB-VP\tO' +p34996 +aS'out\tout\tRP\tB-PRT\tO' +p34997 +aS'sepsis\tsepsis\tNN\tB-NP\tO' +p34998 +aS',\t,\t,\tO\tO' +p34999 +aS'varicella\tvaricella\tNN\tB-NP\tO' +p35000 +aS'.\t.\t.\tO\tO' +p35001 +asS'Plavix 75 mg every day , Lipitor 40 mg every day , HCTZ 50 mg , Monopril 10 mg every day , Viagra 100 mg prn .' +p35002 +(lp35003 +S'Plavix\tPlavix\tNN\tB-NP\tO' +p35004 +aS'75\t75\tCD\tI-NP\tO' +p35005 +aS'mg\tmg\tNN\tI-NP\tO' +p35006 +aS'every\tevery\tDT\tB-NP\tO' +p35007 +aS'day\tday\tNN\tI-NP\tO' +p35008 +aS',\t,\t,\tO\tO' +p35009 +aS'Lipitor\tLipitor\tNN\tB-NP\tO' +p35010 +aS'40\t40\tCD\tI-NP\tO' +p35011 +aS'mg\tmg\tNN\tI-NP\tO' +p35012 +aS'every\tevery\tDT\tB-NP\tO' +p35013 +aS'day\tday\tNN\tI-NP\tO' +p35014 +aS',\t,\t,\tO\tO' +p35015 +aS'HCTZ\tHCTZ\tNN\tB-NP\tO' +p35016 +aS'50\t50\tCD\tI-NP\tO' +p35017 +aS'mg\tmg\tNN\tI-NP\tO' +p35018 +aS',\t,\t,\tO\tO' +p35019 +aS'Monopril\tMonopril\tNNP\tB-NP\tO' +p35020 +aS'10\t10\tCD\tI-NP\tO' +p35021 +aS'mg\tmg\tNN\tI-NP\tO' +p35022 +aS'every\tevery\tDT\tB-NP\tO' +p35023 +aS'day\tday\tNN\tI-NP\tO' +p35024 +aS',\t,\t,\tO\tO' +p35025 +aS'Viagra\tViagra\tNNP\tB-NP\tO' +p35026 +aS'100\t100\tCD\tI-NP\tO' +p35027 +aS'mg\tmg\tNN\tI-NP\tO' +p35028 +aS'prn\tprn\tNN\tI-NP\tO' +p35029 +aS'.\t.\t.\tO\tO' +p35030 +asS'He was found in his apartment lobby " shouting " and very agitated .' +p35031 +(lp35032 +S'He\tHe\tPRP\tB-NP\tO' +p35033 +aS'was\tbe\tVBD\tB-VP\tO' +p35034 +aS'found\tfind\tVBN\tI-VP\tO' +p35035 +aS'in\tin\tIN\tB-PP\tO' +p35036 +aS'his\this\tPRP$\tB-NP\tB-cell_type' +p35037 +aS'apartment\tapartment\tNN\tI-NP\tI-cell_type' +p35038 +aS'lobby\tlobby\tNN\tI-NP\tI-cell_type' +p35039 +aS'"\t"\t``\tB-NP\tI-cell_type' +p35040 +aS'shouting\tshouting\tNN\tI-NP\tI-cell_type' +p35041 +aS'"\t"\t\'\'\tO\tI-cell_type' +p35042 +aS'and\tand\tCC\tO\tO' +p35043 +aS'very\tvery\tRB\tB-ADJP\tO' +p35044 +aS'agitated\tagitate\tVBN\tI-ADJP\tO' +p35045 +aS'.\t.\t.\tO\tO' +p35046 +asS'His blood type is A+ , Coombs negative .' +p35047 +(lp35048 +S'His\tHis\tPRP$\tB-NP\tO' +p35049 +aS'blood\tblood\tNN\tI-NP\tO' +p35050 +aS'type\ttype\tNN\tI-NP\tO' +p35051 +aS'is\tbe\tVBZ\tB-VP\tO' +p35052 +aS'A+\tA+\tNNP\tB-NP\tO' +p35053 +aS',\t,\t,\tO\tO' +p35054 +aS'Coombs\tCoombs\tNNP\tB-NP\tO' +p35055 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p35056 +aS'.\t.\t.\tO\tO' +p35057 +asS'The wound was a midline incision for his radical cystoprostatectomy .' +p35058 +(lp35059 +S'The\tThe\tDT\tB-NP\tO' +p35060 +aS'wound\twound\tNN\tI-NP\tO' +p35061 +aS'was\tbe\tVBD\tB-VP\tO' +p35062 +aS'a\ta\tDT\tB-NP\tO' +p35063 +aS'midline\tmidline\tNN\tI-NP\tO' +p35064 +aS'incision\tincision\tNN\tI-NP\tO' +p35065 +aS'for\tfor\tIN\tB-PP\tO' +p35066 +aS'his\this\tPRP$\tB-NP\tO' +p35067 +aS'radical\tradical\tJJ\tI-NP\tO' +p35068 +aS'cystoprostatectomy\tcystoprostatectomy\tNN\tI-NP\tO' +p35069 +aS'.\t.\t.\tO\tO' +p35070 +asS'Chest clear to percussion and auscultation .' +p35071 +(lp35072 +S'Chest\tChest\tRBS\tB-ADJP\tO' +p35073 +aS'clear\tclear\tJJ\tI-ADJP\tO' +p35074 +aS'to\tto\tTO\tB-PP\tO' +p35075 +aS'percussion\tpercussion\tNN\tB-NP\tO' +p35076 +aS'and\tand\tCC\tI-NP\tO' +p35077 +aS'auscultation\tauscultation\tNN\tI-NP\tO' +p35078 +aS'.\t.\t.\tO\tO' +p35079 +asS'Regular rate and rhythm .' +p35080 +(lp35081 +S'Regular\tRegular\tJJ\tB-NP\tO' +p35082 +aS'rate\trate\tNN\tI-NP\tO' +p35083 +aS'and\tand\tCC\tI-NP\tO' +p35084 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p35085 +aS'.\t.\t.\tO\tO' +p35086 +asS'Based on 1997 AHA endocarditis prophylaxis recommendations , the echo findings indicate a low risk ( prophylaxis not recommended ).' +p35087 +(lp35088 +S'Based\tBase\tVBN\tB-PP\tO' +p35089 +aS'on\ton\tIN\tB-PP\tO' +p35090 +aS'1997\t1997\tCD\tB-NP\tO' +p35091 +aS'AHA\tAHA\tNN\tI-NP\tO' +p35092 +aS'endocarditis\tendocarditis\tNN\tI-NP\tO' +p35093 +aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' +p35094 +aS'recommendations\trecommendation\tNNS\tI-NP\tO' +p35095 +aS',\t,\t,\tO\tO' +p35096 +aS'the\tthe\tDT\tB-NP\tO' +p35097 +aS'echo\techo\tJJ\tI-NP\tO' +p35098 +aS'findings\tfinding\tNNS\tI-NP\tO' +p35099 +aS'indicate\tindicate\tVBP\tB-VP\tO' +p35100 +aS'a\ta\tDT\tB-NP\tO' +p35101 +aS'low\tlow\tJJ\tI-NP\tO' +p35102 +aS'risk\trisk\tNN\tI-NP\tO' +p35103 +aS'(\t(\t(\tO\tO' +p35104 +aS'prophylaxis\tprophylaxis\tNN\tB-NP\tO' +p35105 +aS'not\tnot\tRB\tO\tO' +p35106 +aS'recommended\trecommend\tVBD\tB-VP\tO' +p35107 +aS').\t).\t.\tO\tO' +p35108 +asS'There is no shift of normally midline structures .' +p35109 +(lp35110 +S'There\tThere\tEX\tB-NP\tO' +p35111 +aS'is\tbe\tVBZ\tB-VP\tO' +p35112 +aS'no\tno\tDT\tB-NP\tO' +p35113 +aS'shift\tshift\tNN\tI-NP\tO' +p35114 +aS'of\tof\tIN\tB-PP\tO' +p35115 +aS'normally\tnormally\tRB\tB-NP\tO' +p35116 +aS'midline\tmidline\tNN\tI-NP\tO' +p35117 +aS'structures\tstructure\tNNS\tI-NP\tO' +p35118 +aS'.\t.\t.\tO\tO' +p35119 +asS'Coronary artery disease ; hypertension ; hyperlipidemia ; sleep apnea ; diabetes type 2 .' +p35120 +(lp35121 +S'Coronary\tCoronary\tJJ\tB-NP\tO' +p35122 +aS'artery\tartery\tNN\tI-NP\tO' +p35123 +aS'disease\tdisease\tNN\tI-NP\tO' +p35124 +aS';\t;\t:\tO\tO' +p35125 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p35126 +aS';\t;\t:\tO\tO' +p35127 +aS'hyperlipidemia\thyperlipidemia\tNN\tB-NP\tO' +p35128 +aS';\t;\t:\tO\tO' +p35129 +aS'sleep\tsleep\tJJ\tB-NP\tO' +p35130 +aS'apnea\tapnea\tNN\tI-NP\tO' +p35131 +aS';\t;\t:\tO\tO' +p35132 +aS'diabetes\tdiabetes\tNN\tB-NP\tO' +p35133 +aS'type\ttype\tNN\tI-NP\tO' +p35134 +aS'2\t2\tCD\tI-NP\tO' +p35135 +aS'.\t.\t.\tO\tO' +p35136 +asS'4. History of colon cancer with a colectomy in the past .' +p35137 +(lp35138 +S'4.\t4.\tLS\tB-NP\tO' +p35139 +aS'History\tHistory\tNN\tI-NP\tO' +p35140 +aS'of\tof\tIN\tB-PP\tO' +p35141 +aS'colon\tcolon\tNN\tB-NP\tO' +p35142 +aS'cancer\tcancer\tNN\tI-NP\tO' +p35143 +aS'with\twith\tIN\tB-PP\tO' +p35144 +aS'a\ta\tDT\tB-NP\tO' +p35145 +aS'colectomy\tcolectomy\tNN\tI-NP\tO' +p35146 +aS'in\tin\tIN\tB-PP\tO' +p35147 +aS'the\tthe\tDT\tB-NP\tO' +p35148 +aS'past\tpast\tNN\tI-NP\tO' +p35149 +aS'.\t.\t.\tO\tO' +p35150 +asS'A differential according to the imaging included a fistula with adjacent inflammatory change but also carcinoma or adenomatosis .' +p35151 +(lp35152 +S'A\tA\tDT\tB-NP\tO' +p35153 +aS'differential\tdifferential\tJJ\tI-NP\tO' +p35154 +aS'according\taccord\tVBG\tB-PP\tO' +p35155 +aS'to\tto\tTO\tB-PP\tO' +p35156 +aS'the\tthe\tDT\tB-NP\tO' +p35157 +aS'imaging\timaging\tNN\tI-NP\tO' +p35158 +aS'included\tinclude\tVBD\tB-VP\tO' +p35159 +aS'a\ta\tDT\tB-NP\tO' +p35160 +aS'fistula\tfistula\tNN\tI-NP\tO' +p35161 +aS'with\twith\tIN\tB-PP\tO' +p35162 +aS'adjacent\tadjacent\tJJ\tB-NP\tO' +p35163 +aS'inflammatory\tinflammatory\tJJ\tI-NP\tO' +p35164 +aS'change\tchange\tNN\tI-NP\tO' +p35165 +aS'but\tbut\tCC\tB-CONJP\tO' +p35166 +aS'also\talso\tRB\tI-CONJP\tO' +p35167 +aS'carcinoma\tcarcinoma\tNN\tB-NP\tO' +p35168 +aS'or\tor\tCC\tI-NP\tO' +p35169 +aS'adenomatosis\tadenomatosis\tNN\tI-NP\tO' +p35170 +aS'.\t.\t.\tO\tO' +p35171 +asS'The right ventricular cavity is mildly dilated .' +p35172 +(lp35173 +S'The\tThe\tDT\tB-NP\tO' +p35174 +aS'right\tright\tJJ\tI-NP\tO' +p35175 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p35176 +aS'cavity\tcavity\tNN\tI-NP\tO' +p35177 +aS'is\tbe\tVBZ\tB-VP\tO' +p35178 +aS'mildly\tmildly\tRB\tI-VP\tO' +p35179 +aS'dilated\tdilate\tVBN\tI-VP\tO' +p35180 +aS'.\t.\t.\tO\tO' +p35181 +asS"The patient 's HSV antibody titer was found to be negative and the patient 's Acyclovir was not restarted ." +p35182 +(lp35183 +S'The\tThe\tDT\tB-NP\tO' +p35184 +aS'patient\tpatient\tNN\tI-NP\tO' +p35185 +aS"'s\t's\tPOS\tB-NP\tO" +p35186 +aS'HSV\tHSV\tNN\tI-NP\tO' +p35187 +aS'antibody\tantibody\tNN\tI-NP\tO' +p35188 +aS'titer\ttiter\tNN\tI-NP\tO' +p35189 +aS'was\tbe\tVBD\tB-VP\tO' +p35190 +aS'found\tfind\tVBN\tI-VP\tO' +p35191 +aS'to\tto\tTO\tI-VP\tO' +p35192 +aS'be\tbe\tVB\tI-VP\tO' +p35193 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p35194 +aS'and\tand\tCC\tO\tO' +p35195 +aS'the\tthe\tDT\tB-NP\tO' +p35196 +aS'patient\tpatient\tNN\tI-NP\tO' +p35197 +aS"'s\t's\tPOS\tB-NP\tO" +p35198 +aS'Acyclovir\tAcyclovir\tNN\tI-NP\tO' +p35199 +aS'was\tbe\tVBD\tB-VP\tO' +p35200 +aS'not\tnot\tRB\tI-VP\tO' +p35201 +aS'restarted\trestart\tVBN\tI-VP\tO' +p35202 +aS'.\t.\t.\tO\tO' +p35203 +asS'Her medications were resumed .' +p35204 +(lp35205 +S'Her\tHer\tPRP$\tB-NP\tO' +p35206 +aS'medications\tmedication\tNNS\tI-NP\tO' +p35207 +aS'were\tbe\tVBD\tB-VP\tO' +p35208 +aS'resumed\tresume\tVBN\tI-VP\tO' +p35209 +aS'.\t.\t.\tO\tO' +p35210 +asS'A quantitative VQ scan of the lung showed 42% ventilation to the left , 57% ventilation to the right , 42% perfusion to the left , 57% perfusion to the right .' +p35211 +(lp35212 +S'A\tA\tDT\tB-NP\tO' +p35213 +aS'quantitative\tquantitative\tJJ\tI-NP\tO' +p35214 +aS'VQ\tVQ\tNN\tI-NP\tO' +p35215 +aS'scan\tscan\tNN\tI-NP\tO' +p35216 +aS'of\tof\tIN\tB-PP\tO' +p35217 +aS'the\tthe\tDT\tB-NP\tO' +p35218 +aS'lung\tlung\tNN\tI-NP\tO' +p35219 +aS'showed\tshow\tVBD\tB-VP\tO' +p35220 +aS'42%\t42%\tCD\tB-NP\tO' +p35221 +aS'ventilation\tventilation\tNN\tI-NP\tO' +p35222 +aS'to\tto\tTO\tB-PP\tO' +p35223 +aS'the\tthe\tDT\tB-NP\tO' +p35224 +aS'left\tleft\tNN\tI-NP\tO' +p35225 +aS',\t,\t,\tO\tO' +p35226 +aS'57%\t57%\tCD\tB-NP\tO' +p35227 +aS'ventilation\tventilation\tNN\tI-NP\tO' +p35228 +aS'to\tto\tTO\tB-PP\tO' +p35229 +aS'the\tthe\tDT\tB-NP\tO' +p35230 +aS'right\tright\tNN\tI-NP\tO' +p35231 +aS',\t,\t,\tO\tO' +p35232 +aS'42%\t42%\tCD\tB-NP\tO' +p35233 +aS'perfusion\tperfusion\tNN\tI-NP\tO' +p35234 +aS'to\tto\tTO\tB-PP\tO' +p35235 +aS'the\tthe\tDT\tB-NP\tO' +p35236 +aS'left\tleft\tNN\tI-NP\tO' +p35237 +aS',\t,\t,\tO\tO' +p35238 +aS'57%\t57%\tCD\tB-NP\tO' +p35239 +aS'perfusion\tperfusion\tNN\tI-NP\tO' +p35240 +aS'to\tto\tTO\tB-PP\tO' +p35241 +aS'the\tthe\tDT\tB-NP\tO' +p35242 +aS'right\tright\tNN\tI-NP\tO' +p35243 +aS'.\t.\t.\tO\tO' +p35244 +asS'monitor / return for nausea / vomiting , headache , visual / mental status changes or other concerns .' +p35245 +(lp35246 +S'monitor\tmonitor\tNN\tB-NP\tO' +p35247 +aS'/\t/\tSYM\tI-NP\tO' +p35248 +aS'return\treturn\tNN\tI-NP\tO' +p35249 +aS'for\tfor\tIN\tB-PP\tO' +p35250 +aS'nausea\tnausea\tNN\tB-NP\tO' +p35251 +aS'/\t/\tSYM\tI-NP\tO' +p35252 +aS'vomiting\tvomiting\tNN\tI-NP\tO' +p35253 +aS',\t,\t,\tO\tO' +p35254 +aS'headache\theadache\tNN\tB-NP\tO' +p35255 +aS',\t,\t,\tO\tO' +p35256 +aS'visual\tvisual\tJJ\tB-NP\tO' +p35257 +aS'/\t/\tSYM\tI-NP\tO' +p35258 +aS'mental\tmental\tJJ\tI-NP\tO' +p35259 +aS'status\tstatus\tNN\tI-NP\tO' +p35260 +aS'changes\tchange\tNNS\tI-NP\tO' +p35261 +aS'or\tor\tCC\tO\tO' +p35262 +aS'other\tother\tJJ\tB-NP\tO' +p35263 +aS'concerns\tconcern\tNNS\tI-NP\tO' +p35264 +aS'.\t.\t.\tO\tO' +p35265 +asS'Her abdomen remained tender and distended despite attempted decompression .' +p35266 +(lp35267 +S'Her\tHer\tPRP$\tB-NP\tO' +p35268 +aS'abdomen\tabdoman\tNNS\tI-NP\tO' +p35269 +aS'remained\tremain\tVBD\tB-VP\tO' +p35270 +aS'tender\ttender\tNN\tB-NP\tO' +p35271 +aS'and\tand\tCC\tO\tO' +p35272 +aS'distended\tdistend\tVBD\tB-VP\tO' +p35273 +aS'despite\tdespite\tIN\tB-PP\tO' +p35274 +aS'attempted\tattempt\tVBN\tB-NP\tO' +p35275 +aS'decompression\tdecompression\tNN\tI-NP\tO' +p35276 +aS'.\t.\t.\tO\tO' +p35277 +asS'The patient was able to advance her diet well from liquids to solids , however , she was plagued with a persistent cough and some low grade fevers to 99.0 F .' +p35278 +(lp35279 +S'The\tThe\tDT\tB-NP\tO' +p35280 +aS'patient\tpatient\tNN\tI-NP\tO' +p35281 +aS'was\tbe\tVBD\tB-VP\tO' +p35282 +aS'able\table\tJJ\tB-ADJP\tO' +p35283 +aS'to\tto\tTO\tB-VP\tO' +p35284 +aS'advance\tadvance\tVB\tI-VP\tO' +p35285 +aS'her\ther\tPRP$\tB-NP\tO' +p35286 +aS'diet\tdiet\tNN\tI-NP\tO' +p35287 +aS'well\twell\tRB\tB-ADVP\tO' +p35288 +aS'from\tfrom\tIN\tB-PP\tO' +p35289 +aS'liquids\tliquid\tNNS\tB-NP\tO' +p35290 +aS'to\tto\tTO\tB-PP\tO' +p35291 +aS'solids\tsolid\tNNS\tB-NP\tO' +p35292 +aS',\t,\t,\tO\tO' +p35293 +aS'however\thowever\tRB\tB-ADVP\tO' +p35294 +aS',\t,\t,\tO\tO' +p35295 +aS'she\tshe\tPRP\tB-NP\tO' +p35296 +aS'was\tbe\tVBD\tB-VP\tO' +p35297 +aS'plagued\tplague\tVBN\tI-VP\tO' +p35298 +aS'with\twith\tIN\tB-PP\tO' +p35299 +aS'a\ta\tDT\tB-NP\tO' +p35300 +aS'persistent\tpersistent\tJJ\tI-NP\tO' +p35301 +aS'cough\tcough\tNN\tI-NP\tO' +p35302 +aS'and\tand\tCC\tO\tO' +p35303 +aS'some\tsome\tDT\tB-NP\tO' +p35304 +aS'low\tlow\tJJ\tI-NP\tO' +p35305 +aS'grade\tgrade\tNN\tI-NP\tO' +p35306 +aS'fevers\tfever\tNNS\tI-NP\tO' +p35307 +aS'to\tto\tTO\tB-PP\tO' +p35308 +aS'99.0\t99.0\tCD\tB-NP\tO' +p35309 +aS'F\tF\tNN\tI-NP\tO' +p35310 +aS'.\t.\t.\tO\tO' +p35311 +asS'Coronary Artery Disease s/p Coronary Artery Bypass Graft x 2' +p35312 +(lp35313 +S'Coronary\tCoronary\tNNP\tB-NP\tO' +p35314 +aS'Artery\tArtery\tNNP\tI-NP\tO' +p35315 +aS'Disease\tDisease\tNNP\tI-NP\tO' +p35316 +aS's/p\ts/p\tNN\tI-NP\tO' +p35317 +aS'Coronary\tCoronary\tNNP\tI-NP\tO' +p35318 +aS'Artery\tArtery\tNNP\tI-NP\tO' +p35319 +aS'Bypass\tBypass\tNNP\tI-NP\tO' +p35320 +aS'Graft\tGraft\tNNP\tI-NP\tO' +p35321 +aS'x\tx\tNN\tI-NP\tO' +p35322 +aS'2\t2\tCD\tI-NP\tO' +p35323 +asS'2. Tamoxifen 20 mg p.o. daily .' +p35324 +(lp35325 +S'2.\t2.\tLS\tB-NP\tO' +p35326 +aS'Tamoxifen\tTamoxifen\tNN\tI-NP\tO' +p35327 +aS'20\t20\tCD\tI-NP\tO' +p35328 +aS'mg\tmg\tNN\tI-NP\tO' +p35329 +aS'p.o.\tp.o.\tRB\tB-ADVP\tO' +p35330 +aS'daily\tdaily\tRB\tI-ADVP\tO' +p35331 +aS'.\t.\t.\tO\tO' +p35332 +asS'The EP service was consulted and recommended transesophageal echocardiogram and cardioversion .' +p35333 +(lp35334 +S'The\tThe\tDT\tB-NP\tO' +p35335 +aS'EP\tEP\tNN\tI-NP\tO' +p35336 +aS'service\tservice\tNN\tI-NP\tO' +p35337 +aS'was\tbe\tVBD\tB-VP\tO' +p35338 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p35339 +aS'and\tand\tCC\tO\tO' +p35340 +aS'recommended\trecommend\tVBN\tB-VP\tO' +p35341 +aS'transesophageal\ttransesophageal\tJJ\tB-NP\tO' +p35342 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p35343 +aS'and\tand\tCC\tI-NP\tO' +p35344 +aS'cardioversion\tcardioversion\tNN\tI-NP\tO' +p35345 +aS'.\t.\t.\tO\tO' +p35346 +asS'The patient should also have her potassium levels checked two times per week to insure that she is not becoming hypokalemic .' +p35347 +(lp35348 +S'The\tThe\tDT\tB-NP\tO' +p35349 +aS'patient\tpatient\tNN\tI-NP\tO' +p35350 +aS'should\tshould\tMD\tB-VP\tO' +p35351 +aS'also\talso\tRB\tI-VP\tO' +p35352 +aS'have\thave\tVB\tI-VP\tO' +p35353 +aS'her\ther\tPRP$\tB-NP\tO' +p35354 +aS'potassium\tpotassium\tNN\tI-NP\tO' +p35355 +aS'levels\tlevel\tNNS\tI-NP\tO' +p35356 +aS'checked\tcheck\tVBD\tB-VP\tO' +p35357 +aS'two\ttwo\tCD\tB-NP\tO' +p35358 +aS'times\ttime\tNNS\tI-NP\tO' +p35359 +aS'per\tper\tIN\tB-PP\tO' +p35360 +aS'week\tweek\tNN\tB-NP\tO' +p35361 +aS'to\tto\tTO\tB-VP\tO' +p35362 +aS'insure\tinsure\tVB\tI-VP\tO' +p35363 +aS'that\tthat\tIN\tB-SBAR\tO' +p35364 +aS'she\tshe\tPRP\tB-NP\tO' +p35365 +aS'is\tbe\tVBZ\tB-VP\tO' +p35366 +aS'not\tnot\tRB\tI-VP\tO' +p35367 +aS'becoming\tbecome\tVBG\tI-VP\tO' +p35368 +aS'hypokalemic\thypokalemic\tJJ\tB-ADJP\tO' +p35369 +aS'.\t.\t.\tO\tO' +p35370 +asS'He lives at home with his wife .' +p35371 +(lp35372 +S'He\tHe\tPRP\tB-NP\tO' +p35373 +aS'lives\tlive\tVBZ\tB-VP\tO' +p35374 +aS'at\tat\tIN\tB-PP\tO' +p35375 +aS'home\thome\tNN\tB-NP\tO' +p35376 +aS'with\twith\tIN\tB-PP\tO' +p35377 +aS'his\this\tPRP$\tB-NP\tO' +p35378 +aS'wife\twife\tNN\tI-NP\tO' +p35379 +aS'.\t.\t.\tO\tO' +p35380 +asS'She started on enteral feeds on day of life number two and progressed without difficulty to full volume feedings by day of life five and then was advanced to calorie enhanced breast milk of 24 calories per ounce .' +p35381 +(lp35382 +S'She\tShe\tPRP\tB-NP\tO' +p35383 +aS'started\tstart\tVBD\tB-VP\tO' +p35384 +aS'on\ton\tIN\tB-PP\tO' +p35385 +aS'enteral\tenteral\tJJ\tB-NP\tO' +p35386 +aS'feeds\tfeed\tNNS\tI-NP\tO' +p35387 +aS'on\ton\tIN\tB-PP\tO' +p35388 +aS'day\tday\tNN\tB-NP\tO' +p35389 +aS'of\tof\tIN\tB-PP\tO' +p35390 +aS'life\tlife\tNN\tB-NP\tO' +p35391 +aS'number\tnumber\tNN\tI-NP\tO' +p35392 +aS'two\ttwo\tCD\tB-NP\tO' +p35393 +aS'and\tand\tCC\tO\tO' +p35394 +aS'progressed\tprogress\tVBD\tB-VP\tO' +p35395 +aS'without\twithout\tIN\tB-PP\tO' +p35396 +aS'difficulty\tdifficulty\tNN\tB-NP\tO' +p35397 +aS'to\tto\tTO\tB-PP\tO' +p35398 +aS'full\tfull\tJJ\tB-NP\tO' +p35399 +aS'volume\tvolume\tNN\tI-NP\tO' +p35400 +aS'feedings\tfeeding\tNNS\tI-NP\tO' +p35401 +aS'by\tby\tIN\tB-PP\tO' +p35402 +aS'day\tday\tNN\tB-NP\tO' +p35403 +aS'of\tof\tIN\tB-PP\tO' +p35404 +aS'life\tlife\tNN\tB-NP\tO' +p35405 +aS'five\tfive\tCD\tI-NP\tO' +p35406 +aS'and\tand\tCC\tO\tO' +p35407 +aS'then\tthen\tRB\tO\tO' +p35408 +aS'was\tbe\tVBD\tB-VP\tO' +p35409 +aS'advanced\tadvance\tVBN\tI-VP\tO' +p35410 +aS'to\tto\tTO\tI-VP\tO' +p35411 +aS'calorie\tcalorie\tVB\tI-VP\tO' +p35412 +aS'enhanced\tenhance\tVBN\tB-NP\tO' +p35413 +aS'breast\tbreast\tNN\tI-NP\tO' +p35414 +aS'milk\tmilk\tNN\tI-NP\tO' +p35415 +aS'of\tof\tIN\tB-PP\tO' +p35416 +aS'24\t24\tCD\tB-NP\tO' +p35417 +aS'calories\tcalorie\tNNS\tI-NP\tO' +p35418 +aS'per\tper\tIN\tB-PP\tO' +p35419 +aS'ounce\tounce\tNN\tB-NP\tO' +p35420 +aS'.\t.\t.\tO\tO' +p35421 +asS'Group B Streptococcus status unknown .' +p35422 +(lp35423 +S'Group\tGroup\tNN\tB-NP\tO' +p35424 +aS'B\tB\tNN\tI-NP\tO' +p35425 +aS'Streptococcus\tStreptococcus\tNN\tI-NP\tO' +p35426 +aS'status\tstatus\tNN\tI-NP\tO' +p35427 +aS'unknown\tunknown\tJJ\tB-ADJP\tO' +p35428 +aS'.\t.\t.\tO\tO' +p35429 +asS'There was a left central facial paresis .' +p35430 +(lp35431 +S'There\tThere\tEX\tB-NP\tO' +p35432 +aS'was\tbe\tVBD\tB-VP\tO' +p35433 +aS'a\ta\tDT\tB-NP\tO' +p35434 +aS'left\tleft\tJJ\tI-NP\tO' +p35435 +aS'central\tcentral\tJJ\tI-NP\tO' +p35436 +aS'facial\tfacial\tJJ\tI-NP\tO' +p35437 +aS'paresis\tparesis\tNN\tI-NP\tO' +p35438 +aS'.\t.\t.\tO\tO' +p35439 +asS'1. Heparin Sodium ( Porcine ) 5,000 unit / mL Solution Sig : One ( 1 ) Injection TID ( 3 times a day ) .' +p35440 +(lp35441 +S'1.\t1.\tLS\tB-NP\tO' +p35442 +aS'Heparin\tHeparin\tNN\tI-NP\tB-protein' +p35443 +aS'Sodium\tSodium\tNN\tI-NP\tI-protein' +p35444 +aS'(\t(\t(\tO\tI-protein' +p35445 +aS'Porcine\tPorcine\tNN\tB-NP\tI-protein' +p35446 +aS')\t)\t)\tO\tI-protein' +p35447 +aS'5,000\t5,000\tCD\tB-NP\tI-protein' +p35448 +aS'unit\tunit\tNN\tI-NP\tI-protein' +p35449 +aS'/\t/\tSYM\tB-NP\tO' +p35450 +aS'mL\tmL\tNN\tI-NP\tO' +p35451 +aS'Solution\tSolution\tNNP\tI-NP\tO' +p35452 +aS'Sig\tSig\tNNP\tI-NP\tO' +p35453 +aS':\t:\t:\tO\tO' +p35454 +aS'One\tOne\tCD\tB-NP\tO' +p35455 +aS'(\t(\t(\tO\tO' +p35456 +aS'1\t1\tCD\tB-NP\tO' +p35457 +aS')\t)\t)\tO\tO' +p35458 +aS'Injection\tInjection\tNN\tB-NP\tO' +p35459 +aS'TID\tTID\tNN\tI-NP\tO' +p35460 +aS'(\t(\t(\tO\tO' +p35461 +aS'3\t3\tCD\tB-NP\tO' +p35462 +aS'times\ttime\tNNS\tI-NP\tO' +p35463 +aS'a\ta\tDT\tB-NP\tO' +p35464 +aS'day\tday\tNN\tI-NP\tO' +p35465 +aS')\t)\t)\tO\tO' +p35466 +aS'.\t.\t.\tO\tO' +p35467 +asS'At a goal weight of 142 pounds , Mr. State 's filling pressures appeared ideal with a wedge pressure of 14 and his goal weight range will be between 142 and 44 pounds at home .' +p35468 +(lp35469 +S'At\tAt\tIN\tB-PP\tO' +p35470 +aS'a\ta\tDT\tB-NP\tO' +p35471 +aS'goal\tgoal\tNN\tI-NP\tO' +p35472 +aS'weight\tweight\tNN\tI-NP\tO' +p35473 +aS'of\tof\tIN\tB-PP\tO' +p35474 +aS'142\t142\tCD\tB-NP\tO' +p35475 +aS'pounds\tpound\tNNS\tI-NP\tO' +p35476 +aS',\t,\t,\tO\tO' +p35477 +aS'Mr.\tMr.\tNNP\tB-NP\tO' +p35478 +aS'State\tState\tNNP\tI-NP\tO' +p35479 +aS''s\t'\tNNS\tI-NP\tO' +p35480 +aS'filling\tfill\tVBG\tB-VP\tO' +p35481 +aS'pressures\tpressure\tNNS\tB-NP\tO' +p35482 +aS'appeared\tappear\tVBD\tB-VP\tO' +p35483 +aS'ideal\tideal\tJJ\tB-ADJP\tO' +p35484 +aS'with\twith\tIN\tB-PP\tO' +p35485 +aS'a\ta\tDT\tB-NP\tO' +p35486 +aS'wedge\twedge\tNN\tI-NP\tO' +p35487 +aS'pressure\tpressure\tNN\tI-NP\tO' +p35488 +aS'of\tof\tIN\tB-PP\tO' +p35489 +aS'14\t14\tCD\tB-NP\tO' +p35490 +aS'and\tand\tCC\tO\tO' +p35491 +aS'his\this\tPRP$\tB-NP\tO' +p35492 +aS'goal\tgoal\tJJ\tI-NP\tO' +p35493 +aS'weight\tweight\tNN\tI-NP\tO' +p35494 +aS'range\trange\tNN\tI-NP\tO' +p35495 +aS'will\twill\tMD\tB-VP\tO' +p35496 +aS'be\tbe\tVB\tI-VP\tO' +p35497 +aS'between\tbetween\tIN\tB-PP\tO' +p35498 +aS'142\t142\tCD\tB-NP\tO' +p35499 +aS'and\tand\tCC\tI-NP\tO' +p35500 +aS'44\t44\tCD\tI-NP\tO' +p35501 +aS'pounds\tpound\tNNS\tI-NP\tO' +p35502 +aS'at\tat\tIN\tB-PP\tO' +p35503 +aS'home\thome\tNN\tB-NP\tO' +p35504 +aS'.\t.\t.\tO\tO' +p35505 +asS'11. Warfarin Sodium 1 mg Tablet Sig : Five ( 5 ) Tablet PO once a day : Take 5 mg on 04-18 .' +p35506 +(lp35507 +S'11.\t11.\tLS\tB-NP\tO' +p35508 +aS'Warfarin\tWarfarin\tNNP\tI-NP\tO' +p35509 +aS'Sodium\tSodium\tNNP\tI-NP\tO' +p35510 +aS'1\t1\tCD\tI-NP\tO' +p35511 +aS'mg\tmg\tNN\tI-NP\tO' +p35512 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p35513 +aS'Sig\tSig\tNNP\tI-NP\tO' +p35514 +aS':\t:\t:\tO\tO' +p35515 +aS'Five\tFive\tCD\tB-NP\tO' +p35516 +aS'(\t(\t(\tO\tO' +p35517 +aS'5\t5\tCD\tB-NP\tO' +p35518 +aS')\t)\t)\tO\tO' +p35519 +aS'Tablet\tTablet\tNN\tB-NP\tB-protein' +p35520 +aS'PO\tPO\tNN\tI-NP\tI-protein' +p35521 +aS'once\tonce\tRB\tO\tO' +p35522 +aS'a\ta\tDT\tB-NP\tO' +p35523 +aS'day\tday\tNN\tI-NP\tO' +p35524 +aS':\t:\t:\tO\tO' +p35525 +aS'Take\tTake\tVB\tB-VP\tO' +p35526 +aS'5\t5\tCD\tB-NP\tO' +p35527 +aS'mg\tmg\tNN\tI-NP\tO' +p35528 +aS'on\ton\tIN\tB-PP\tO' +p35529 +aS'04-18\t04-18\tCD\tB-NP\tO' +p35530 +aS'.\t.\t.\tO\tO' +p35531 +asS'Appendectomy at the age of 14 , open .' +p35532 +(lp35533 +S'Appendectomy\tAppendectomy\tNN\tB-NP\tO' +p35534 +aS'at\tat\tIN\tB-PP\tO' +p35535 +aS'the\tthe\tDT\tB-NP\tO' +p35536 +aS'age\tage\tNN\tI-NP\tO' +p35537 +aS'of\tof\tIN\tB-PP\tO' +p35538 +aS'14\t14\tCD\tB-NP\tO' +p35539 +aS',\t,\t,\tO\tO' +p35540 +aS'open\topen\tJJ\tB-ADJP\tO' +p35541 +aS'.\t.\t.\tO\tO' +p35542 +asS'He was initially treated with vancomycin and zosyn while awaiting culture results .' +p35543 +(lp35544 +S'He\tHe\tPRP\tB-NP\tO' +p35545 +aS'was\tbe\tVBD\tB-VP\tO' +p35546 +aS'initially\tinitially\tRB\tI-VP\tO' +p35547 +aS'treated\ttreat\tVBN\tI-VP\tO' +p35548 +aS'with\twith\tIN\tB-PP\tO' +p35549 +aS'vancomycin\tvancomycin\tNN\tB-NP\tO' +p35550 +aS'and\tand\tCC\tI-NP\tO' +p35551 +aS'zosyn\tzosyn\tNN\tI-NP\tO' +p35552 +aS'while\twhile\tIN\tB-SBAR\tO' +p35553 +aS'awaiting\tawait\tVBG\tB-VP\tO' +p35554 +aS'culture\tculture\tNN\tB-NP\tO' +p35555 +aS'results\tresult\tNNS\tI-NP\tO' +p35556 +aS'.\t.\t.\tO\tO' +p35557 +asS'UTIs , obstruction of the right subclavian vein and right brachial cephalic vein , herpes zoster .' +p35558 +(lp35559 +S'UTIs\tUTI\tNNS\tB-NP\tO' +p35560 +aS',\t,\t,\tO\tO' +p35561 +aS'obstruction\tobstruction\tNN\tB-NP\tO' +p35562 +aS'of\tof\tIN\tB-PP\tO' +p35563 +aS'the\tthe\tDT\tB-NP\tO' +p35564 +aS'right\tright\tJJ\tI-NP\tO' +p35565 +aS'subclavian\tsubclavian\tJJ\tI-NP\tO' +p35566 +aS'vein\tvein\tNN\tI-NP\tO' +p35567 +aS'and\tand\tCC\tO\tO' +p35568 +aS'right\tright\tJJ\tB-NP\tO' +p35569 +aS'brachial\tbrachial\tJJ\tI-NP\tO' +p35570 +aS'cephalic\tcephalic\tJJ\tI-NP\tO' +p35571 +aS'vein\tvein\tNN\tI-NP\tO' +p35572 +aS',\t,\t,\tO\tO' +p35573 +aS'herpes\therpes\tNN\tB-NP\tO' +p35574 +aS'zoster\tzoster\tNN\tI-NP\tO' +p35575 +aS'.\t.\t.\tO\tO' +p35576 +asS'Afebrile the next day and pacing wires removed without incident .' +p35577 +(lp35578 +S'Afebrile\tAfebrile\tIN\tB-PP\tO' +p35579 +aS'the\tthe\tDT\tB-NP\tO' +p35580 +aS'next\tnext\tJJ\tI-NP\tO' +p35581 +aS'day\tday\tNN\tI-NP\tO' +p35582 +aS'and\tand\tCC\tO\tO' +p35583 +aS'pacing\tpacing\tNN\tB-NP\tO' +p35584 +aS'wires\twire\tNNS\tI-NP\tO' +p35585 +aS'removed\tremove\tVBN\tB-VP\tO' +p35586 +aS'without\twithout\tIN\tB-PP\tO' +p35587 +aS'incident\tincident\tNN\tB-NP\tO' +p35588 +aS'.\t.\t.\tO\tO' +p35589 +asS'Oropharynx was benign without exudate .' +p35590 +(lp35591 +S'Oropharynx\tOropharynx\tNNP\tB-NP\tO' +p35592 +aS'was\tbe\tVBD\tB-VP\tO' +p35593 +aS'benign\tbenign\tJJ\tB-ADJP\tO' +p35594 +aS'without\twithout\tIN\tB-PP\tO' +p35595 +aS'exudate\texudate\tNN\tB-NP\tO' +p35596 +aS'.\t.\t.\tO\tO' +p35597 +asS'Cultures were taken .' +p35598 +(lp35599 +S'Cultures\tCulture\tNNS\tB-NP\tO' +p35600 +aS'were\tbe\tVBD\tB-VP\tO' +p35601 +aS'taken\ttake\tVBN\tI-VP\tO' +p35602 +aS'.\t.\t.\tO\tO' +p35603 +asS'There had been some concern her nausea was due to her amiodarone which had been discontinued about 1 week ago .' +p35604 +(lp35605 +S'There\tThere\tEX\tB-NP\tO' +p35606 +aS'had\thave\tVBD\tB-VP\tO' +p35607 +aS'been\tbe\tVBN\tI-VP\tO' +p35608 +aS'some\tsome\tDT\tB-NP\tO' +p35609 +aS'concern\tconcern\tNN\tI-NP\tO' +p35610 +aS'her\ther\tPRP$\tB-NP\tO' +p35611 +aS'nausea\tnausea\tNN\tI-NP\tO' +p35612 +aS'was\tbe\tVBD\tB-VP\tO' +p35613 +aS'due\tdue\tJJ\tB-ADJP\tO' +p35614 +aS'to\tto\tTO\tB-PP\tO' +p35615 +aS'her\ther\tPRP$\tB-NP\tO' +p35616 +aS'amiodarone\tamiodarone\tNN\tI-NP\tO' +p35617 +aS'which\twhich\tWDT\tB-NP\tO' +p35618 +aS'had\thave\tVBD\tB-VP\tO' +p35619 +aS'been\tbe\tVBN\tI-VP\tO' +p35620 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p35621 +aS'about\tabout\tIN\tB-NP\tO' +p35622 +aS'1\t1\tCD\tI-NP\tO' +p35623 +aS'week\tweek\tNN\tI-NP\tO' +p35624 +aS'ago\tago\tRB\tB-ADVP\tO' +p35625 +aS'.\t.\t.\tO\tO' +p35626 +asS'She had bilateral crepitus in the anterior neck .' +p35627 +(lp35628 +S'She\tShe\tPRP\tB-NP\tO' +p35629 +aS'had\thave\tVBD\tB-VP\tO' +p35630 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p35631 +aS'crepitus\tcrepitus\tNN\tI-NP\tO' +p35632 +aS'in\tin\tIN\tB-PP\tO' +p35633 +aS'the\tthe\tDT\tB-NP\tO' +p35634 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p35635 +aS'neck\tneck\tNN\tI-NP\tO' +p35636 +aS'.\t.\t.\tO\tO' +p35637 +asS'FLANK PAIN URI ?' +p35638 +(lp35639 +S'FLANK\tFLANK\tNN\tB-NP\tB-protein' +p35640 +aS'PAIN\tPAIN\tNN\tI-NP\tO' +p35641 +aS'URI\tURI\tNN\tI-NP\tO' +p35642 +aS'?\t?\t.\tO\tO' +p35643 +asS'SMA-7 was unremarkable aside form a creatinine of 1.6 and a glucose of 207 ; otherwise , was within normal limits .' +p35644 +(lp35645 +S'SMA-7\tSMA-7\tNN\tB-NP\tB-protein' +p35646 +aS'was\tbe\tVBD\tB-VP\tO' +p35647 +aS'unremarkable\tunremarkable\tJJ\tB-NP\tO' +p35648 +aS'aside\taside\tNN\tI-NP\tO' +p35649 +aS'form\tform\tVBP\tB-VP\tO' +p35650 +aS'a\ta\tDT\tB-NP\tO' +p35651 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p35652 +aS'of\tof\tIN\tB-PP\tO' +p35653 +aS'1.6\t1.6\tCD\tB-NP\tO' +p35654 +aS'and\tand\tCC\tO\tO' +p35655 +aS'a\ta\tDT\tB-NP\tO' +p35656 +aS'glucose\tglucose\tNN\tI-NP\tO' +p35657 +aS'of\tof\tIN\tB-PP\tO' +p35658 +aS'207\t207\tCD\tB-NP\tO' +p35659 +aS';\t;\t:\tO\tO' +p35660 +aS'otherwise\totherwise\tRB\tB-ADVP\tO' +p35661 +aS',\t,\t,\tO\tO' +p35662 +aS'was\tbe\tVBD\tB-VP\tO' +p35663 +aS'within\twithin\tIN\tB-PP\tO' +p35664 +aS'normal\tnormal\tJJ\tB-NP\tO' +p35665 +aS'limits\tlimit\tNNS\tI-NP\tO' +p35666 +aS'.\t.\t.\tO\tO' +p35667 +asS'His extraocular movements were intact .' +p35668 +(lp35669 +S'His\tHis\tPRP$\tB-NP\tO' +p35670 +aS'extraocular\textraocular\tJJ\tI-NP\tO' +p35671 +aS'movements\tmovement\tNNS\tI-NP\tO' +p35672 +aS'were\tbe\tVBD\tB-VP\tO' +p35673 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p35674 +aS'.\t.\t.\tO\tO' +p35675 +asS'He had chest tube and pacing wires in place .' +p35676 +(lp35677 +S'He\tHe\tPRP\tB-NP\tO' +p35678 +aS'had\thave\tVBD\tB-VP\tO' +p35679 +aS'chest\tchest\tNN\tB-NP\tO' +p35680 +aS'tube\ttube\tNN\tI-NP\tO' +p35681 +aS'and\tand\tCC\tI-NP\tO' +p35682 +aS'pacing\tpacing\tNN\tI-NP\tO' +p35683 +aS'wires\twire\tNNS\tI-NP\tO' +p35684 +aS'in\tin\tIN\tB-PP\tO' +p35685 +aS'place\tplace\tNN\tB-NP\tO' +p35686 +aS'.\t.\t.\tO\tO' +p35687 +asS'Mr. Mass had a past medical history which included Wegener 's granulomatosis , history of an anterior myocardial infarction , and gallstone pancreatitis .' +p35688 +(lp35689 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p35690 +aS'Mass\tMass\tNNP\tI-NP\tO' +p35691 +aS'had\thave\tVBD\tB-VP\tO' +p35692 +aS'a\ta\tDT\tB-NP\tO' +p35693 +aS'past\tpast\tJJ\tI-NP\tO' +p35694 +aS'medical\tmedical\tJJ\tI-NP\tO' +p35695 +aS'history\thistory\tNN\tI-NP\tO' +p35696 +aS'which\twhich\tWDT\tB-NP\tO' +p35697 +aS'included\tinclude\tVBD\tB-VP\tO' +p35698 +aS'Wegener\tWegener\tNNP\tB-NP\tO' +p35699 +aS''s\t'\tNNS\tI-NP\tO' +p35700 +aS'granulomatosis\tgranulomatosis\tNN\tI-NP\tO' +p35701 +aS',\t,\t,\tO\tO' +p35702 +aS'history\thistory\tNN\tB-NP\tO' +p35703 +aS'of\tof\tIN\tB-PP\tO' +p35704 +aS'an\tan\tDT\tB-NP\tO' +p35705 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p35706 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p35707 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p35708 +aS',\t,\t,\tO\tO' +p35709 +aS'and\tand\tCC\tO\tO' +p35710 +aS'gallstone\tgallstone\tNN\tB-NP\tO' +p35711 +aS'pancreatitis\tpancreatitis\tNN\tI-NP\tO' +p35712 +aS'.\t.\t.\tO\tO' +p35713 +asS'Prenatal screens benign .' +p35714 +(lp35715 +S'Prenatal\tPrenatal\tJJ\tB-NP\tO' +p35716 +aS'screens\tscreen\tNNS\tI-NP\tO' +p35717 +aS'benign\tbenign\tJJ\tB-ADJP\tO' +p35718 +aS'.\t.\t.\tO\tO' +p35719 +asS'In the subsequent two days , she had several small spells of " imbalance " , particularly towards the right , and other symptoms included diffuse and mainly frontal headaches and mild neck soreness .' +p35720 +(lp35721 +S'In\tIn\tIN\tB-PP\tO' +p35722 +aS'the\tthe\tDT\tB-NP\tO' +p35723 +aS'subsequent\tsubsequent\tJJ\tI-NP\tO' +p35724 +aS'two\ttwo\tCD\tI-NP\tO' +p35725 +aS'days\tday\tNNS\tI-NP\tO' +p35726 +aS',\t,\t,\tO\tO' +p35727 +aS'she\tshe\tPRP\tB-NP\tO' +p35728 +aS'had\thave\tVBD\tB-VP\tO' +p35729 +aS'several\tseveral\tJJ\tB-NP\tO' +p35730 +aS'small\tsmall\tJJ\tI-NP\tO' +p35731 +aS'spells\tspell\tNNS\tI-NP\tO' +p35732 +aS'of\tof\tIN\tB-PP\tO' +p35733 +aS'"\t"\tNN\tB-NP\tB-protein' +p35734 +aS'imbalance\timbalance\tNN\tI-NP\tI-protein' +p35735 +aS'"\t"\tNN\tI-NP\tI-protein' +p35736 +aS',\t,\t,\tO\tO' +p35737 +aS'particularly\tparticularly\tRB\tB-ADVP\tO' +p35738 +aS'towards\ttowards\tIN\tB-PP\tO' +p35739 +aS'the\tthe\tDT\tB-NP\tO' +p35740 +aS'right\tright\tNN\tI-NP\tO' +p35741 +aS',\t,\t,\tO\tO' +p35742 +aS'and\tand\tCC\tO\tO' +p35743 +aS'other\tother\tJJ\tB-NP\tO' +p35744 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p35745 +aS'included\tinclude\tVBD\tB-VP\tO' +p35746 +aS'diffuse\tdiffuse\tJJ\tB-NP\tO' +p35747 +aS'and\tand\tCC\tI-NP\tO' +p35748 +aS'mainly\tmainly\tRB\tI-NP\tO' +p35749 +aS'frontal\tfrontal\tJJ\tI-NP\tO' +p35750 +aS'headaches\theadache\tNNS\tI-NP\tO' +p35751 +aS'and\tand\tCC\tO\tO' +p35752 +aS'mild\tmild\tJJ\tB-NP\tO' +p35753 +aS'neck\tneck\tNN\tI-NP\tO' +p35754 +aS'soreness\tsoreness\tNN\tI-NP\tO' +p35755 +aS'.\t.\t.\tO\tO' +p35756 +asS'Warm with good distal pulses .' +p35757 +(lp35758 +S'Warm\tWarm\tNN\tB-NP\tO' +p35759 +aS'with\twith\tIN\tB-PP\tO' +p35760 +aS'good\tgood\tJJ\tB-NP\tO' +p35761 +aS'distal\tdistal\tJJ\tI-NP\tO' +p35762 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p35763 +aS'.\t.\t.\tO\tO' +p35764 +asS'Denies any hemetemesis .' +p35765 +(lp35766 +S'Denies\tDeny\tNNS\tB-NP\tO' +p35767 +aS'any\tany\tDT\tB-NP\tO' +p35768 +aS'hemetemesis\themetemesis\tNN\tI-NP\tO' +p35769 +aS'.\t.\t.\tO\tO' +p35770 +asS'24. Prochlorperazine 10 mg Tablet Sig : One ( 1 ) Tablet PO Q6H ( every 6 hours ) as needed .' +p35771 +(lp35772 +S'24.\t24.\tCD\tB-NP\tO' +p35773 +aS'Prochlorperazine\tProchlorperazine\tNN\tI-NP\tO' +p35774 +aS'10\t10\tCD\tB-NP\tO' +p35775 +aS'mg\tmg\tNN\tI-NP\tO' +p35776 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p35777 +aS'Sig\tSig\tNNP\tI-NP\tO' +p35778 +aS':\t:\t:\tO\tO' +p35779 +aS'One\tOne\tCD\tB-NP\tO' +p35780 +aS'(\t(\t(\tO\tO' +p35781 +aS'1\t1\tCD\tB-NP\tO' +p35782 +aS')\t)\t)\tO\tO' +p35783 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p35784 +aS'PO\tPO\tNN\tI-NP\tO' +p35785 +aS'Q6H\tQ6H\tNN\tI-NP\tO' +p35786 +aS'(\t(\t(\tO\tO' +p35787 +aS'every\tevery\tDT\tB-NP\tO' +p35788 +aS'6\t6\tCD\tI-NP\tO' +p35789 +aS'hours\thour\tNNS\tI-NP\tO' +p35790 +aS')\t)\t)\tO\tO' +p35791 +aS'as\tas\tIN\tB-SBAR\tO' +p35792 +aS'needed\tneed\tVBN\tB-VP\tO' +p35793 +aS'.\t.\t.\tO\tO' +p35794 +asS'8. Hypertension .' +p35795 +(lp35796 +S'8.\t8.\tCD\tB-NP\tO' +p35797 +aS'Hypertension\tHypertension\tNN\tI-NP\tO' +p35798 +aS'.\t.\t.\tO\tO' +p35799 +asS'10. Lasix 40 mg bid x 21 days .' +p35800 +(lp35801 +S'10.\t10.\tCD\tB-NP\tO' +p35802 +aS'Lasix\tLasix\tNNP\tI-NP\tO' +p35803 +aS'40\t40\tCD\tI-NP\tO' +p35804 +aS'mg\tmg\tNN\tI-NP\tO' +p35805 +aS'bid\tbid\tRB\tB-VP\tO' +p35806 +aS'x\tx\tSYM\tB-NP\tO' +p35807 +aS'21\t21\tCD\tB-NP\tO' +p35808 +aS'days\tday\tNNS\tI-NP\tO' +p35809 +aS'.\t.\t.\tO\tO' +p35810 +asS'Briefly , the surgery on 2014-07-29 revealed a carcinoma of the gallbladder with a cholecystocolonic fistula which crossed into the liver as well as metastatic adenopathy around the portal nodes as well as retroperitoneal nodes around the inferior vena cava and the hepatic artery .' +p35811 +(lp35812 +S'Briefly\tBriefly\tNNP\tB-NP\tO' +p35813 +aS',\t,\t,\tO\tO' +p35814 +aS'the\tthe\tDT\tB-NP\tO' +p35815 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p35816 +aS'on\ton\tIN\tB-PP\tO' +p35817 +aS'2014-07-29\t2014-07-29\tCD\tB-NP\tO' +p35818 +aS'revealed\treveal\tVBD\tB-VP\tO' +p35819 +aS'a\ta\tDT\tB-NP\tO' +p35820 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p35821 +aS'of\tof\tIN\tB-PP\tO' +p35822 +aS'the\tthe\tDT\tB-NP\tO' +p35823 +aS'gallbladder\tgallbladder\tNN\tI-NP\tO' +p35824 +aS'with\twith\tIN\tB-PP\tO' +p35825 +aS'a\ta\tDT\tB-NP\tO' +p35826 +aS'cholecystocolonic\tcholecystocolonic\tJJ\tI-NP\tO' +p35827 +aS'fistula\tfistula\tNN\tI-NP\tO' +p35828 +aS'which\twhich\tWDT\tB-NP\tO' +p35829 +aS'crossed\tcross\tVBD\tB-VP\tO' +p35830 +aS'into\tinto\tIN\tB-PP\tO' +p35831 +aS'the\tthe\tDT\tB-NP\tO' +p35832 +aS'liver\tliver\tNN\tI-NP\tO' +p35833 +aS'as\tas\tRB\tB-CONJP\tO' +p35834 +aS'well\twell\tRB\tI-CONJP\tO' +p35835 +aS'as\tas\tIN\tI-CONJP\tO' +p35836 +aS'metastatic\tmetastatic\tJJ\tB-NP\tO' +p35837 +aS'adenopathy\tadenopathy\tNN\tI-NP\tO' +p35838 +aS'around\taround\tIN\tB-PP\tO' +p35839 +aS'the\tthe\tDT\tB-NP\tO' +p35840 +aS'portal\tportal\tJJ\tI-NP\tO' +p35841 +aS'nodes\tnode\tNNS\tI-NP\tO' +p35842 +aS'as\tas\tRB\tB-CONJP\tO' +p35843 +aS'well\twell\tRB\tI-CONJP\tO' +p35844 +aS'as\tas\tIN\tI-CONJP\tO' +p35845 +aS'retroperitoneal\tretroperitoneal\tJJ\tB-NP\tO' +p35846 +aS'nodes\tnode\tNNS\tI-NP\tO' +p35847 +aS'around\taround\tIN\tB-PP\tO' +p35848 +aS'the\tthe\tDT\tB-NP\tO' +p35849 +aS'inferior\tinferior\tJJ\tI-NP\tO' +p35850 +aS'vena\tvena\tNN\tI-NP\tO' +p35851 +aS'cava\tcava\tNN\tI-NP\tO' +p35852 +aS'and\tand\tCC\tO\tO' +p35853 +aS'the\tthe\tDT\tB-NP\tO' +p35854 +aS'hepatic\thepatic\tJJ\tI-NP\tO' +p35855 +aS'artery\tartery\tNN\tI-NP\tO' +p35856 +aS'.\t.\t.\tO\tO' +p35857 +asS'She now presents for left axillary node dissection , to complete her staging .' +p35858 +(lp35859 +S'She\tShe\tPRP\tB-NP\tO' +p35860 +aS'now\tnow\tRB\tB-ADVP\tO' +p35861 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p35862 +aS'for\tfor\tIN\tB-PP\tO' +p35863 +aS'left\tleft\tJJ\tB-NP\tO' +p35864 +aS'axillary\taxillary\tJJ\tI-NP\tO' +p35865 +aS'node\tnode\tNN\tI-NP\tO' +p35866 +aS'dissection\tdissection\tNN\tI-NP\tO' +p35867 +aS',\t,\t,\tO\tO' +p35868 +aS'to\tto\tTO\tB-VP\tO' +p35869 +aS'complete\tcomplete\tVB\tI-VP\tO' +p35870 +aS'her\ther\tPRP$\tB-NP\tO' +p35871 +aS'staging\tstaging\tNN\tI-NP\tO' +p35872 +aS'.\t.\t.\tO\tO' +p35873 +asS'Of note , the patient has extreme pain with these dressing changes and requires parenteral morphine sulfate for pain control during dressing changes .' +p35874 +(lp35875 +S'Of\tOf\tIN\tB-PP\tO' +p35876 +aS'note\tnote\tNN\tB-NP\tO' +p35877 +aS',\t,\t,\tO\tO' +p35878 +aS'the\tthe\tDT\tB-NP\tO' +p35879 +aS'patient\tpatient\tNN\tI-NP\tO' +p35880 +aS'has\thave\tVBZ\tB-VP\tO' +p35881 +aS'extreme\textreme\tJJ\tB-NP\tO' +p35882 +aS'pain\tpain\tNN\tI-NP\tO' +p35883 +aS'with\twith\tIN\tB-PP\tO' +p35884 +aS'these\tthese\tDT\tB-NP\tO' +p35885 +aS'dressing\tdress\tVBG\tI-NP\tO' +p35886 +aS'changes\tchange\tNNS\tI-NP\tO' +p35887 +aS'and\tand\tCC\tO\tO' +p35888 +aS'requires\trequire\tVBZ\tB-VP\tO' +p35889 +aS'parenteral\tparenteral\tJJ\tB-NP\tO' +p35890 +aS'morphine\tmorphine\tNN\tI-NP\tO' +p35891 +aS'sulfate\tsulfate\tNN\tI-NP\tO' +p35892 +aS'for\tfor\tIN\tB-PP\tO' +p35893 +aS'pain\tpain\tNN\tB-NP\tO' +p35894 +aS'control\tcontrol\tNN\tI-NP\tO' +p35895 +aS'during\tduring\tIN\tB-PP\tO' +p35896 +aS'dressing\tdress\tVBG\tB-VP\tO' +p35897 +aS'changes\tchange\tNNS\tB-NP\tO' +p35898 +aS'.\t.\t.\tO\tO' +p35899 +asS'He was seen by his primary care physician the day before admission and complained of two weeks of increasing shortness of breath and fatigue , weight gain and abdominal fullness .' +p35900 +(lp35901 +S'He\tHe\tPRP\tB-NP\tO' +p35902 +aS'was\tbe\tVBD\tB-VP\tO' +p35903 +aS'seen\tsee\tVBN\tI-VP\tO' +p35904 +aS'by\tby\tIN\tB-PP\tO' +p35905 +aS'his\this\tPRP$\tB-NP\tO' +p35906 +aS'primary\tprimary\tJJ\tI-NP\tO' +p35907 +aS'care\tcare\tNN\tI-NP\tO' +p35908 +aS'physician\tphysician\tNN\tI-NP\tO' +p35909 +aS'the\tthe\tDT\tB-NP\tO' +p35910 +aS'day\tday\tNN\tI-NP\tO' +p35911 +aS'before\tbefore\tIN\tB-PP\tO' +p35912 +aS'admission\tadmission\tNN\tB-NP\tO' +p35913 +aS'and\tand\tCC\tO\tO' +p35914 +aS'complained\tcomplain\tVBD\tB-VP\tO' +p35915 +aS'of\tof\tIN\tB-PP\tO' +p35916 +aS'two\ttwo\tCD\tB-NP\tO' +p35917 +aS'weeks\tweek\tNNS\tI-NP\tO' +p35918 +aS'of\tof\tIN\tB-PP\tO' +p35919 +aS'increasing\tincrease\tVBG\tB-VP\tO' +p35920 +aS'shortness\tshortness\tNN\tB-NP\tO' +p35921 +aS'of\tof\tIN\tB-PP\tO' +p35922 +aS'breath\tbreath\tNN\tB-NP\tO' +p35923 +aS'and\tand\tCC\tI-NP\tO' +p35924 +aS'fatigue\tfatigue\tNN\tI-NP\tO' +p35925 +aS',\t,\t,\tO\tO' +p35926 +aS'weight\tweight\tNN\tB-NP\tO' +p35927 +aS'gain\tgain\tNN\tI-NP\tO' +p35928 +aS'and\tand\tCC\tO\tO' +p35929 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p35930 +aS'fullness\tfullness\tNN\tI-NP\tO' +p35931 +aS'.\t.\t.\tO\tO' +p35932 +asS'1) atrial fibrillation on coumadin ,' +p35933 +(lp35934 +S'1)\t1)\tLS\tB-NP\tO' +p35935 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p35936 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p35937 +aS'on\ton\tIN\tB-PP\tO' +p35938 +aS'coumadin\tcoumadin\tNN\tB-NP\tO' +p35939 +aS',\t,\t,\tO\tO' +p35940 +asS'He developed another round of acute renal failure with ATN and casts in his urine .' +p35941 +(lp35942 +S'He\tHe\tPRP\tB-NP\tO' +p35943 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p35944 +aS'another\tanother\tDT\tB-NP\tO' +p35945 +aS'round\tround\tNN\tI-NP\tO' +p35946 +aS'of\tof\tIN\tB-PP\tO' +p35947 +aS'acute\tacute\tJJ\tB-NP\tO' +p35948 +aS'renal\trenal\tJJ\tI-NP\tO' +p35949 +aS'failure\tfailure\tNN\tI-NP\tO' +p35950 +aS'with\twith\tIN\tB-PP\tO' +p35951 +aS'ATN\tATN\tNN\tB-NP\tB-protein' +p35952 +aS'and\tand\tCC\tI-NP\tO' +p35953 +aS'casts\tcast\tNNS\tI-NP\tO' +p35954 +aS'in\tin\tIN\tB-PP\tO' +p35955 +aS'his\this\tPRP$\tB-NP\tO' +p35956 +aS'urine\turine\tNN\tI-NP\tO' +p35957 +aS'.\t.\t.\tO\tO' +p35958 +asS'D-dimer was negative .' +p35959 +(lp35960 +S'D-dimer\tD-dimer\tNN\tB-NP\tB-protein' +p35961 +aS'was\tbe\tVBD\tB-VP\tO' +p35962 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p35963 +aS'.\t.\t.\tO\tO' +p35964 +asS'He was seen by respiratory therapy and suctioned continually throughout his hospital course .' +p35965 +(lp35966 +S'He\tHe\tPRP\tB-NP\tO' +p35967 +aS'was\tbe\tVBD\tB-VP\tO' +p35968 +aS'seen\tsee\tVBN\tI-VP\tO' +p35969 +aS'by\tby\tIN\tB-PP\tO' +p35970 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p35971 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p35972 +aS'and\tand\tCC\tO\tO' +p35973 +aS'suctioned\tsuctione\tVBN\tB-VP\tO' +p35974 +aS'continually\tcontinually\tRB\tB-ADVP\tO' +p35975 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p35976 +aS'his\this\tPRP$\tB-NP\tO' +p35977 +aS'hospital\thospital\tNN\tI-NP\tO' +p35978 +aS'course\tcourse\tNN\tI-NP\tO' +p35979 +aS'.\t.\t.\tO\tO' +p35980 +asS'The patient was discharged to Kindred Park View Specialty Hospital of Springfield Rehabilitation Hospital in good condition .' +p35981 +(lp35982 +S'The\tThe\tDT\tB-NP\tO' +p35983 +aS'patient\tpatient\tNN\tI-NP\tO' +p35984 +aS'was\tbe\tVBD\tB-VP\tO' +p35985 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p35986 +aS'to\tto\tTO\tB-PP\tO' +p35987 +aS'Kindred\tKindred\tNNP\tB-NP\tO' +p35988 +aS'Park\tPark\tNNP\tI-NP\tO' +p35989 +aS'View\tView\tNNP\tI-NP\tO' +p35990 +aS'Specialty\tSpecialty\tNNP\tI-NP\tO' +p35991 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p35992 +aS'of\tof\tIN\tB-PP\tO' +p35993 +aS'Springfield\tSpringfield\tNNP\tB-NP\tO' +p35994 +aS'Rehabilitation\tRehabilitation\tNNP\tI-NP\tO' +p35995 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p35996 +aS'in\tin\tIN\tB-PP\tO' +p35997 +aS'good\tgood\tJJ\tB-NP\tO' +p35998 +aS'condition\tcondition\tNN\tI-NP\tO' +p35999 +aS'.\t.\t.\tO\tO' +p36000 +asS'Fine needle aspiration on October 23 , 1991 demonstrated atypical cells which occurred singly and in clusters .' +p36001 +(lp36002 +S'Fine\tFine\tJJ\tB-NP\tO' +p36003 +aS'needle\tneedle\tNN\tI-NP\tO' +p36004 +aS'aspiration\taspiration\tNN\tI-NP\tO' +p36005 +aS'on\ton\tIN\tB-PP\tO' +p36006 +aS'October\tOctober\tNNP\tB-NP\tO' +p36007 +aS'23\t23\tCD\tI-NP\tO' +p36008 +aS',\t,\t,\tI-NP\tO' +p36009 +aS'1991\t1991\tCD\tI-NP\tO' +p36010 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p36011 +aS'atypical\tatypical\tJJ\tB-NP\tB-cell_type' +p36012 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p36013 +aS'which\twhich\tWDT\tB-NP\tO' +p36014 +aS'occurred\toccur\tVBD\tB-VP\tO' +p36015 +aS'singly\tsingly\tRB\tB-ADVP\tO' +p36016 +aS'and\tand\tCC\tO\tO' +p36017 +aS'in\tin\tIN\tB-PP\tO' +p36018 +aS'clusters\tcluster\tNNS\tB-NP\tO' +p36019 +aS'.\t.\t.\tO\tO' +p36020 +asS'1. Aspirin 325 mg p.o. once per day .' +p36021 +(lp36022 +S'1.\t1.\tLS\tB-NP\tO' +p36023 +aS'Aspirin\tAspirin\tNN\tI-NP\tO' +p36024 +aS'325\t325\tCD\tI-NP\tO' +p36025 +aS'mg\tmg\tNN\tI-NP\tO' +p36026 +aS'p.o.\tp.o.\tRB\tB-ADVP\tO' +p36027 +aS'once\tonce\tRB\tI-ADVP\tO' +p36028 +aS'per\tper\tIN\tB-PP\tO' +p36029 +aS'day\tday\tNN\tB-NP\tO' +p36030 +aS'.\t.\t.\tO\tO' +p36031 +asS'He underwent flap checks every 15 minutes initially with a dextran infusion .' +p36032 +(lp36033 +S'He\tHe\tPRP\tB-NP\tO' +p36034 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p36035 +aS'flap\tflap\tNN\tB-NP\tO' +p36036 +aS'checks\tcheck\tNNS\tI-NP\tO' +p36037 +aS'every\tevery\tDT\tB-NP\tO' +p36038 +aS'15\t15\tCD\tI-NP\tO' +p36039 +aS'minutes\tminute\tNNS\tI-NP\tO' +p36040 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p36041 +aS'with\twith\tIN\tB-PP\tO' +p36042 +aS'a\ta\tDT\tB-NP\tO' +p36043 +aS'dextran\tdextran\tNN\tI-NP\tO' +p36044 +aS'infusion\tinfusion\tNN\tI-NP\tO' +p36045 +aS'.\t.\t.\tO\tO' +p36046 +asS'12. Metoprolol Tartrate 25 mg Tablet Sig : 0.5 Tablet PO BID ( 2 times a day ) .' +p36047 +(lp36048 +S'12.\t12.\tLS\tB-NP\tO' +p36049 +aS'Metoprolol\tMetoprolol\tNN\tI-NP\tO' +p36050 +aS'Tartrate\tTartrate\tNN\tI-NP\tO' +p36051 +aS'25\t25\tCD\tI-NP\tO' +p36052 +aS'mg\tmg\tNN\tI-NP\tO' +p36053 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p36054 +aS'Sig\tSig\tNNP\tI-NP\tO' +p36055 +aS':\t:\t:\tO\tO' +p36056 +aS'0.5\t0.5\tCD\tB-NP\tO' +p36057 +aS'Tablet\tTablet\tNN\tI-NP\tO' +p36058 +aS'PO\tPO\tNN\tI-NP\tO' +p36059 +aS'BID\tBID\tNN\tI-NP\tO' +p36060 +aS'(\t(\t(\tO\tO' +p36061 +aS'2\t2\tCD\tB-NP\tO' +p36062 +aS'times\ttime\tNNS\tI-NP\tO' +p36063 +aS'a\ta\tDT\tB-NP\tO' +p36064 +aS'day\tday\tNN\tI-NP\tO' +p36065 +aS')\t)\t)\tO\tO' +p36066 +aS'.\t.\t.\tO\tO' +p36067 +asS'7. Levetiracetam 500 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ) : on 04-05 , please increase to TWO tablets bid ( 1000 mg bid ) .' +p36068 +(lp36069 +S'7.\t7.\tCD\tB-NP\tO' +p36070 +aS'Levetiracetam\tLevetiracetam\tNNP\tI-NP\tO' +p36071 +aS'500\t500\tCD\tI-NP\tO' +p36072 +aS'mg\tmg\tNN\tI-NP\tO' +p36073 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p36074 +aS'Sig\tSig\tNNP\tI-NP\tO' +p36075 +aS':\t:\t:\tO\tO' +p36076 +aS'One\tOne\tCD\tB-NP\tO' +p36077 +aS'(\t(\t(\tO\tO' +p36078 +aS'1\t1\tCD\tB-NP\tO' +p36079 +aS')\t)\t)\tO\tO' +p36080 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p36081 +aS'PO\tPO\tNN\tI-NP\tO' +p36082 +aS'BID\tBID\tNN\tI-NP\tO' +p36083 +aS'(\t(\t(\tO\tO' +p36084 +aS'2\t2\tCD\tB-NP\tO' +p36085 +aS'times\ttime\tNNS\tI-NP\tO' +p36086 +aS'a\ta\tDT\tB-NP\tO' +p36087 +aS'day\tday\tNN\tI-NP\tO' +p36088 +aS')\t)\t)\tO\tO' +p36089 +aS':\t:\t:\tO\tO' +p36090 +aS'on\ton\tIN\tB-PP\tO' +p36091 +aS'04-05\t04-05\tCD\tB-NP\tO' +p36092 +aS',\t,\t,\tO\tO' +p36093 +aS'please\tplease\tVB\tB-VP\tO' +p36094 +aS'increase\tincrease\tNN\tB-NP\tO' +p36095 +aS'to\tto\tTO\tB-PP\tO' +p36096 +aS'TWO\tTWO\tNN\tB-NP\tO' +p36097 +aS'tablets\ttablet\tNNS\tI-NP\tO' +p36098 +aS'bid\tbid\tNN\tI-NP\tO' +p36099 +aS'(\t(\t(\tO\tO' +p36100 +aS'1000\t1000\tCD\tB-NP\tO' +p36101 +aS'mg\tmg\tNN\tI-NP\tO' +p36102 +aS'bid\tbid\tRB\tB-ADVP\tO' +p36103 +aS')\t)\t)\tO\tO' +p36104 +aS'.\t.\t.\tO\tO' +p36105 +asS'Her physical examination remained relatively unchanged , with resolution of the subtle left hand weakness and right facial weakness .' +p36106 +(lp36107 +S'Her\tHer\tPRP$\tB-NP\tO' +p36108 +aS'physical\tphysical\tJJ\tI-NP\tO' +p36109 +aS'examination\texamination\tNN\tI-NP\tO' +p36110 +aS'remained\tremain\tVBD\tB-VP\tO' +p36111 +aS'relatively\trelatively\tRB\tB-ADJP\tO' +p36112 +aS'unchanged\tunchanged\tJJ\tI-ADJP\tO' +p36113 +aS',\t,\t,\tO\tO' +p36114 +aS'with\twith\tIN\tB-PP\tO' +p36115 +aS'resolution\tresolution\tNN\tB-NP\tO' +p36116 +aS'of\tof\tIN\tB-PP\tO' +p36117 +aS'the\tthe\tDT\tB-NP\tO' +p36118 +aS'subtle\tsubtle\tJJ\tI-NP\tO' +p36119 +aS'left\tleft\tJJ\tI-NP\tO' +p36120 +aS'hand\thand\tNN\tI-NP\tO' +p36121 +aS'weakness\tweakness\tNN\tI-NP\tO' +p36122 +aS'and\tand\tCC\tO\tO' +p36123 +aS'right\tright\tJJ\tB-NP\tO' +p36124 +aS'facial\tfacial\tJJ\tI-NP\tO' +p36125 +aS'weakness\tweakness\tNN\tI-NP\tO' +p36126 +aS'.\t.\t.\tO\tO' +p36127 +asS'The patient was admitted .' +p36128 +(lp36129 +S'The\tThe\tDT\tB-NP\tO' +p36130 +aS'patient\tpatient\tNN\tI-NP\tO' +p36131 +aS'was\tbe\tVBD\tB-VP\tO' +p36132 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p36133 +aS'.\t.\t.\tO\tO' +p36134 +asS'He has a PICC line in place for his antibiotics which are as follows .' +p36135 +(lp36136 +S'He\tHe\tPRP\tB-NP\tO' +p36137 +aS'has\thave\tVBZ\tB-VP\tO' +p36138 +aS'a\ta\tDT\tB-NP\tO' +p36139 +aS'PICC\tPICC\tNN\tI-NP\tB-cell_line' +p36140 +aS'line\tline\tNN\tI-NP\tI-cell_line' +p36141 +aS'in\tin\tIN\tB-PP\tO' +p36142 +aS'place\tplace\tNN\tB-NP\tO' +p36143 +aS'for\tfor\tIN\tB-SBAR\tO' +p36144 +aS'his\this\tPRP$\tB-NP\tO' +p36145 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p36146 +aS'which\twhich\tWDT\tB-NP\tO' +p36147 +aS'are\tbe\tVBP\tB-VP\tO' +p36148 +aS'as\tas\tIN\tB-PP\tO' +p36149 +aS'follows\tfollow\tVBZ\tB-VP\tO' +p36150 +aS'.\t.\t.\tO\tO' +p36151 +asS'At this time , her post-void residuals range from 2 cc to 25 cc .' +p36152 +(lp36153 +S'At\tAt\tIN\tB-PP\tO' +p36154 +aS'this\tthis\tDT\tB-NP\tO' +p36155 +aS'time\ttime\tNN\tI-NP\tO' +p36156 +aS',\t,\t,\tO\tO' +p36157 +aS'her\ther\tPRP$\tB-NP\tO' +p36158 +aS'post-void\tpost-void\tJJ\tI-NP\tO' +p36159 +aS'residuals\tresidual\tNNS\tI-NP\tO' +p36160 +aS'range\trange\tVBP\tB-VP\tO' +p36161 +aS'from\tfrom\tIN\tB-PP\tO' +p36162 +aS'2\t2\tCD\tB-NP\tO' +p36163 +aS'cc\tcc\tNN\tI-NP\tO' +p36164 +aS'to\tto\tTO\tB-PP\tO' +p36165 +aS'25\t25\tCD\tB-NP\tO' +p36166 +aS'cc\tcc\tNN\tI-NP\tO' +p36167 +aS'.\t.\t.\tO\tO' +p36168 +asS'His wound demonstrated no erythema with moderate dark drainage .' +p36169 +(lp36170 +S'His\tHis\tPRP$\tB-NP\tO' +p36171 +aS'wound\twound\tNN\tI-NP\tO' +p36172 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p36173 +aS'no\tno\tDT\tB-NP\tO' +p36174 +aS'erythema\terythema\tNN\tI-NP\tO' +p36175 +aS'with\twith\tIN\tB-PP\tO' +p36176 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p36177 +aS'dark\tdark\tJJ\tI-NP\tO' +p36178 +aS'drainage\tdrainage\tNN\tI-NP\tO' +p36179 +aS'.\t.\t.\tO\tO' +p36180 +asS'Initially when she arrived to the floor she was afebrile , normotensive without signs of orthostasis , had a negative UA , a clear chest xray and no signs / symptoms of a fever .' +p36181 +(lp36182 +S'Initially\tInitially\tRB\tB-ADVP\tO' +p36183 +aS'when\twhen\tWRB\tB-ADVP\tO' +p36184 +aS'she\tshe\tPRP\tB-NP\tO' +p36185 +aS'arrived\tarrive\tVBD\tB-VP\tO' +p36186 +aS'to\tto\tTO\tB-PP\tO' +p36187 +aS'the\tthe\tDT\tB-NP\tO' +p36188 +aS'floor\tfloor\tNN\tI-NP\tO' +p36189 +aS'she\tshe\tPRP\tB-NP\tO' +p36190 +aS'was\tbe\tVBD\tB-VP\tO' +p36191 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p36192 +aS',\t,\t,\tO\tO' +p36193 +aS'normotensive\tnormotensive\tJJ\tB-ADJP\tO' +p36194 +aS'without\twithout\tIN\tB-PP\tO' +p36195 +aS'signs\tsign\tNNS\tB-NP\tO' +p36196 +aS'of\tof\tIN\tB-PP\tO' +p36197 +aS'orthostasis\torthostasis\tNN\tB-NP\tO' +p36198 +aS',\t,\t,\tO\tO' +p36199 +aS'had\thave\tVBD\tB-VP\tO' +p36200 +aS'a\ta\tDT\tB-NP\tO' +p36201 +aS'negative\tnegative\tJJ\tI-NP\tO' +p36202 +aS'UA\tUA\tNNP\tI-NP\tO' +p36203 +aS',\t,\t,\tO\tO' +p36204 +aS'a\ta\tDT\tB-NP\tO' +p36205 +aS'clear\tclear\tJJ\tI-NP\tO' +p36206 +aS'chest\tchest\tNN\tI-NP\tO' +p36207 +aS'xray\txray\tNN\tI-NP\tO' +p36208 +aS'and\tand\tCC\tO\tO' +p36209 +aS'no\tno\tDT\tB-NP\tO' +p36210 +aS'signs\tsign\tNNS\tI-NP\tO' +p36211 +aS'/\t/\tSYM\tB-NP\tO' +p36212 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p36213 +aS'of\tof\tIN\tB-PP\tO' +p36214 +aS'a\ta\tDT\tB-NP\tO' +p36215 +aS'fever\tfever\tNN\tI-NP\tO' +p36216 +aS'.\t.\t.\tO\tO' +p36217 +asS'Serum Cocaine was positive 6-12 hours ingestion at the Fairm of Ijordcompmac Hospital .' +p36218 +(lp36219 +S'Serum\tSerum\tNN\tB-NP\tO' +p36220 +aS'Cocaine\tCocaine\tNN\tI-NP\tO' +p36221 +aS'was\tbe\tVBD\tB-VP\tO' +p36222 +aS'positive\tpositive\tJJ\tB-NP\tO' +p36223 +aS'6-12\t6-12\tNN\tI-NP\tO' +p36224 +aS'hours\thour\tNNS\tI-NP\tO' +p36225 +aS'ingestion\tingestion\tNN\tI-NP\tO' +p36226 +aS'at\tat\tIN\tB-PP\tO' +p36227 +aS'the\tthe\tDT\tB-NP\tO' +p36228 +aS'Fairm\tFairm\tNNP\tI-NP\tO' +p36229 +aS'of\tof\tIN\tB-PP\tO' +p36230 +aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' +p36231 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p36232 +aS'.\t.\t.\tO\tO' +p36233 +asS'2010-10-01 pt underwent ex. lap with en bloc resection of L liver lobe , biliary tree , and portal vein .' +p36234 +(lp36235 +S'2010-10-01\t2010-10-01\tCD\tB-NP\tO' +p36236 +aS'pt\tpt\tNN\tI-NP\tO' +p36237 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p36238 +aS'ex.\tex.\tNN\tB-NP\tO' +p36239 +aS'lap\tlap\tNN\tI-NP\tO' +p36240 +aS'with\twith\tIN\tB-PP\tO' +p36241 +aS'en\ten\tNN\tB-NP\tO' +p36242 +aS'bloc\tbloc\tNN\tI-NP\tO' +p36243 +aS'resection\tresection\tNN\tI-NP\tO' +p36244 +aS'of\tof\tIN\tB-PP\tO' +p36245 +aS'L\tL\tNN\tB-NP\tO' +p36246 +aS'liver\tliver\tNN\tI-NP\tO' +p36247 +aS'lobe\tlobe\tNN\tI-NP\tO' +p36248 +aS',\t,\t,\tO\tO' +p36249 +aS'biliary\tbiliary\tJJ\tB-NP\tO' +p36250 +aS'tree\ttree\tNN\tI-NP\tO' +p36251 +aS',\t,\t,\tO\tO' +p36252 +aS'and\tand\tCC\tO\tO' +p36253 +aS'portal\tportal\tJJ\tB-NP\tO' +p36254 +aS'vein\tvein\tNN\tI-NP\tO' +p36255 +aS'.\t.\t.\tO\tO' +p36256 +asS'Ativan .' +p36257 +(lp36258 +S'Ativan\tAtivan\tNNP\tB-NP\tO' +p36259 +aS'.\t.\t.\tO\tO' +p36260 +asS'Also contribution of autonomic dysfunction .' +p36261 +(lp36262 +S'Also\tAlso\tRB\tB-NP\tO' +p36263 +aS'contribution\tcontribution\tNN\tI-NP\tO' +p36264 +aS'of\tof\tIN\tB-PP\tO' +p36265 +aS'autonomic\tautonomic\tJJ\tB-NP\tO' +p36266 +aS'dysfunction\tdysfunction\tNN\tI-NP\tO' +p36267 +aS'.\t.\t.\tO\tO' +p36268 +asS'She underwent exploratory laparotomy and had a bilateral salpingo-oophorectomy and appendectomy .' +p36269 +(lp36270 +S'She\tShe\tPRP\tB-NP\tO' +p36271 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p36272 +aS'exploratory\texploratory\tJJ\tB-NP\tO' +p36273 +aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' +p36274 +aS'and\tand\tCC\tO\tO' +p36275 +aS'had\thave\tVBD\tB-VP\tO' +p36276 +aS'a\ta\tDT\tB-NP\tO' +p36277 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p36278 +aS'salpingo-oophorectomy\tsalpingo-oophorectomy\tNN\tI-NP\tO' +p36279 +aS'and\tand\tCC\tI-NP\tO' +p36280 +aS'appendectomy\tappendectomy\tNN\tI-NP\tO' +p36281 +aS'.\t.\t.\tO\tO' +p36282 +asS'She had lost the 6 pounds that she reported gaining in the four days prior to her hospitalization .' +p36283 +(lp36284 +S'She\tShe\tPRP\tB-NP\tO' +p36285 +aS'had\thave\tVBD\tB-VP\tO' +p36286 +aS'lost\tlose\tVBN\tI-VP\tO' +p36287 +aS'the\tthe\tDT\tB-NP\tO' +p36288 +aS'6\t6\tCD\tI-NP\tO' +p36289 +aS'pounds\tpound\tNNS\tI-NP\tO' +p36290 +aS'that\tthat\tIN\tB-NP\tO' +p36291 +aS'she\tshe\tPRP\tB-NP\tO' +p36292 +aS'reported\treport\tVBD\tB-VP\tO' +p36293 +aS'gaining\tgain\tVBG\tB-NP\tO' +p36294 +aS'in\tin\tIN\tB-PP\tO' +p36295 +aS'the\tthe\tDT\tB-NP\tO' +p36296 +aS'four\tfour\tCD\tI-NP\tO' +p36297 +aS'days\tday\tNNS\tI-NP\tO' +p36298 +aS'prior\tprior\tRB\tB-ADVP\tO' +p36299 +aS'to\tto\tTO\tB-PP\tO' +p36300 +aS'her\ther\tPRP$\tB-NP\tO' +p36301 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p36302 +aS'.\t.\t.\tO\tO' +p36303 +asS'Oropharynx is moist .' +p36304 +(lp36305 +S'Oropharynx\tOropharynx\tNN\tB-NP\tO' +p36306 +aS'is\tbe\tVBZ\tB-VP\tO' +p36307 +aS'moist\tmoist\tNN\tB-NP\tO' +p36308 +aS'.\t.\t.\tO\tO' +p36309 +asS'She is a remote cigarette smoker .' +p36310 +(lp36311 +S'She\tShe\tPRP\tB-NP\tO' +p36312 +aS'is\tbe\tVBZ\tB-VP\tO' +p36313 +aS'a\ta\tDT\tB-NP\tO' +p36314 +aS'remote\tremote\tJJ\tI-NP\tO' +p36315 +aS'cigarette\tcigarette\tNN\tI-NP\tO' +p36316 +aS'smoker\tsmoker\tNN\tI-NP\tO' +p36317 +aS'.\t.\t.\tO\tO' +p36318 +asS'3. FEVER .' +p36319 +(lp36320 +S'3.\t3.\tLS\tB-NP\tO' +p36321 +aS'FEVER\tFEVER\tNN\tI-NP\tB-protein' +p36322 +aS'.\t.\t.\tO\tO' +p36323 +asS'The patient has extensive hepatic metastases and by CT scan there is obstruction of the intrahepatic IVC .' +p36324 +(lp36325 +S'The\tThe\tDT\tB-NP\tO' +p36326 +aS'patient\tpatient\tNN\tI-NP\tO' +p36327 +aS'has\thave\tVBZ\tB-VP\tO' +p36328 +aS'extensive\textensive\tJJ\tB-NP\tO' +p36329 +aS'hepatic\thepatic\tJJ\tI-NP\tO' +p36330 +aS'metastases\tmetastasis\tNNS\tI-NP\tO' +p36331 +aS'and\tand\tCC\tB-PP\tO' +p36332 +aS'by\tby\tIN\tB-PP\tO' +p36333 +aS'CT\tCT\tNN\tB-NP\tO' +p36334 +aS'scan\tscan\tNN\tI-NP\tO' +p36335 +aS'there\tthere\tEX\tB-NP\tO' +p36336 +aS'is\tbe\tVBZ\tB-VP\tO' +p36337 +aS'obstruction\tobstruction\tNN\tB-NP\tO' +p36338 +aS'of\tof\tIN\tB-PP\tO' +p36339 +aS'the\tthe\tDT\tB-NP\tO' +p36340 +aS'intrahepatic\tintrahepatic\tJJ\tI-NP\tO' +p36341 +aS'IVC\tIVC\tNN\tI-NP\tO' +p36342 +aS'.\t.\t.\tO\tO' +p36343 +asS'Left kidney with a small cyst splenic lesion and no triple A .' +p36344 +(lp36345 +S'Left\tLeft\tJJ\tB-NP\tO' +p36346 +aS'kidney\tkidney\tNN\tI-NP\tO' +p36347 +aS'with\twith\tIN\tB-PP\tO' +p36348 +aS'a\ta\tDT\tB-NP\tO' +p36349 +aS'small\tsmall\tJJ\tI-NP\tO' +p36350 +aS'cyst\tcyst\tNN\tI-NP\tO' +p36351 +aS'splenic\tsplenic\tJJ\tI-NP\tO' +p36352 +aS'lesion\tlesion\tNN\tI-NP\tO' +p36353 +aS'and\tand\tCC\tO\tO' +p36354 +aS'no\tno\tDT\tB-NP\tO' +p36355 +aS'triple\ttriple\tJJ\tI-NP\tB-protein' +p36356 +aS'A\tA\tNN\tI-NP\tI-protein' +p36357 +aS'.\t.\t.\tO\tO' +p36358 +asS'Lives alone in elderly housing , a daughter in the area , two children and exercises two times a week by walking and stretching .' +p36359 +(lp36360 +S'Lives\tLife\tNNS\tB-NP\tO' +p36361 +aS'alone\talone\tRB\tB-ADVP\tO' +p36362 +aS'in\tin\tIN\tB-PP\tO' +p36363 +aS'elderly\telderly\tJJ\tB-NP\tO' +p36364 +aS'housing\thousing\tNN\tI-NP\tO' +p36365 +aS',\t,\t,\tO\tO' +p36366 +aS'a\ta\tDT\tB-NP\tO' +p36367 +aS'daughter\tdaughter\tNN\tI-NP\tO' +p36368 +aS'in\tin\tIN\tB-PP\tO' +p36369 +aS'the\tthe\tDT\tB-NP\tO' +p36370 +aS'area\tarea\tNN\tI-NP\tO' +p36371 +aS',\t,\t,\tO\tO' +p36372 +aS'two\ttwo\tCD\tB-NP\tO' +p36373 +aS'children\tchild\tNNS\tI-NP\tO' +p36374 +aS'and\tand\tCC\tO\tO' +p36375 +aS'exercises\texercise\tVBZ\tB-VP\tO' +p36376 +aS'two\ttwo\tCD\tB-NP\tO' +p36377 +aS'times\ttime\tNNS\tI-NP\tO' +p36378 +aS'a\ta\tDT\tB-NP\tO' +p36379 +aS'week\tweek\tNN\tI-NP\tO' +p36380 +aS'by\tby\tIN\tB-PP\tO' +p36381 +aS'walking\twalk\tVBG\tB-VP\tO' +p36382 +aS'and\tand\tCC\tI-VP\tO' +p36383 +aS'stretching\tstretch\tVBG\tI-VP\tO' +p36384 +aS'.\t.\t.\tO\tO' +p36385 +asS'Please call your surgeon if you develop chest pain , shortness of breath , fever greater than 101.5 , foul smelling or colorful drainage from your incisions , redness or swelling , severe abdominal pain or distention , persistent nausea or vomiting , inability to eat or drink , or any other symptoms which are concerning to you .' +p36386 +(lp36387 +S'Please\tPlease\tVB\tB-VP\tO' +p36388 +aS'call\tcall\tVB\tI-VP\tO' +p36389 +aS'your\tyour\tPRP$\tB-NP\tO' +p36390 +aS'surgeon\tsurgeon\tNN\tI-NP\tO' +p36391 +aS'if\tif\tIN\tB-SBAR\tO' +p36392 +aS'you\tyou\tPRP\tB-NP\tO' +p36393 +aS'develop\tdevelop\tVBP\tB-VP\tO' +p36394 +aS'chest\tchest\tNN\tB-NP\tO' +p36395 +aS'pain\tpain\tNN\tI-NP\tO' +p36396 +aS',\t,\t,\tO\tO' +p36397 +aS'shortness\tshortness\tNN\tB-NP\tO' +p36398 +aS'of\tof\tIN\tB-PP\tO' +p36399 +aS'breath\tbreath\tNN\tB-NP\tO' +p36400 +aS',\t,\t,\tO\tO' +p36401 +aS'fever\tfever\tRB\tB-ADJP\tO' +p36402 +aS'greater\tgreat\tJJR\tI-ADJP\tO' +p36403 +aS'than\tthan\tIN\tB-PP\tO' +p36404 +aS'101.5\t101.5\tCD\tB-NP\tO' +p36405 +aS',\t,\t,\tO\tO' +p36406 +aS'foul\tfoul\tJJ\tB-NP\tO' +p36407 +aS'smelling\tsmelling\tNN\tI-NP\tO' +p36408 +aS'or\tor\tCC\tO\tO' +p36409 +aS'colorful\tcolorful\tJJ\tB-NP\tO' +p36410 +aS'drainage\tdrainage\tNN\tI-NP\tO' +p36411 +aS'from\tfrom\tIN\tB-PP\tO' +p36412 +aS'your\tyour\tPRP$\tB-NP\tO' +p36413 +aS'incisions\tincision\tNNS\tI-NP\tO' +p36414 +aS',\t,\t,\tO\tO' +p36415 +aS'redness\tredness\tNN\tB-NP\tO' +p36416 +aS'or\tor\tCC\tI-NP\tO' +p36417 +aS'swelling\tswelling\tNN\tI-NP\tO' +p36418 +aS',\t,\t,\tO\tO' +p36419 +aS'severe\tsevere\tJJ\tB-NP\tO' +p36420 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p36421 +aS'pain\tpain\tNN\tI-NP\tO' +p36422 +aS'or\tor\tCC\tI-NP\tO' +p36423 +aS'distention\tdistention\tNN\tI-NP\tO' +p36424 +aS',\t,\t,\tO\tO' +p36425 +aS'persistent\tpersistent\tJJ\tB-NP\tO' +p36426 +aS'nausea\tnausea\tNN\tI-NP\tO' +p36427 +aS'or\tor\tCC\tI-NP\tO' +p36428 +aS'vomiting\tvomiting\tNN\tI-NP\tO' +p36429 +aS',\t,\t,\tO\tO' +p36430 +aS'inability\tinability\tNN\tB-NP\tO' +p36431 +aS'to\tto\tTO\tB-VP\tO' +p36432 +aS'eat\teat\tVB\tI-VP\tO' +p36433 +aS'or\tor\tCC\tI-VP\tO' +p36434 +aS'drink\tdrink\tVB\tI-VP\tO' +p36435 +aS',\t,\t,\tO\tO' +p36436 +aS'or\tor\tCC\tO\tO' +p36437 +aS'any\tany\tDT\tB-NP\tO' +p36438 +aS'other\tother\tJJ\tI-NP\tO' +p36439 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p36440 +aS'which\twhich\tWDT\tB-NP\tO' +p36441 +aS'are\tbe\tVBP\tB-VP\tO' +p36442 +aS'concerning\tconcern\tVBG\tI-VP\tO' +p36443 +aS'to\tto\tTO\tB-PP\tO' +p36444 +aS'you\tyou\tPRP\tB-NP\tO' +p36445 +aS'.\t.\t.\tO\tO' +p36446 +asS'2. Bronchitis .' +p36447 +(lp36448 +S'2.\t2.\tLS\tB-NP\tO' +p36449 +aS'Bronchitis\tBronchitis\tNN\tI-NP\tO' +p36450 +aS'.\t.\t.\tO\tO' +p36451 +asS'An extensive work-up was done for any metabolic abnormalities which was unrevealing .' +p36452 +(lp36453 +S'An\tAn\tDT\tB-NP\tO' +p36454 +aS'extensive\textensive\tJJ\tI-NP\tO' +p36455 +aS'work-up\twork-up\tNN\tI-NP\tO' +p36456 +aS'was\tbe\tVBD\tB-VP\tO' +p36457 +aS'done\tdo\tVBN\tI-VP\tO' +p36458 +aS'for\tfor\tIN\tB-PP\tO' +p36459 +aS'any\tany\tDT\tB-NP\tO' +p36460 +aS'metabolic\tmetabolic\tJJ\tI-NP\tO' +p36461 +aS'abnormalities\tabnormality\tNNS\tI-NP\tO' +p36462 +aS'which\twhich\tWDT\tB-NP\tO' +p36463 +aS'was\tbe\tVBD\tB-VP\tO' +p36464 +aS'unrevealing\tunreveale\tVBG\tI-VP\tO' +p36465 +aS'.\t.\t.\tO\tO' +p36466 +asS'Lumbar puncture was performed and the micro cultures are still pending .' +p36467 +(lp36468 +S'Lumbar\tLumbar\tNN\tB-NP\tO' +p36469 +aS'puncture\tpuncture\tNN\tI-NP\tO' +p36470 +aS'was\tbe\tVBD\tB-VP\tO' +p36471 +aS'performed\tperform\tVBN\tI-VP\tO' +p36472 +aS'and\tand\tCC\tO\tO' +p36473 +aS'the\tthe\tDT\tB-NP\tO' +p36474 +aS'micro\tmicro\tNN\tI-NP\tB-cell_line' +p36475 +aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' +p36476 +aS'are\tbe\tVBP\tB-VP\tO' +p36477 +aS'still\tstill\tRB\tI-VP\tO' +p36478 +aS'pending\tpende\tVBG\tI-VP\tO' +p36479 +aS'.\t.\t.\tO\tO' +p36480 +asS'She was also admitted to be connected up with social services for HIV patients .' +p36481 +(lp36482 +S'She\tShe\tPRP\tB-NP\tO' +p36483 +aS'was\tbe\tVBD\tB-VP\tO' +p36484 +aS'also\talso\tRB\tI-VP\tO' +p36485 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p36486 +aS'to\tto\tTO\tI-VP\tO' +p36487 +aS'be\tbe\tVB\tI-VP\tO' +p36488 +aS'connected\tconnect\tVBN\tI-VP\tO' +p36489 +aS'up\tup\tRP\tB-PRT\tO' +p36490 +aS'with\twith\tIN\tB-PP\tO' +p36491 +aS'social\tsocial\tJJ\tB-NP\tO' +p36492 +aS'services\tservice\tNNS\tI-NP\tO' +p36493 +aS'for\tfor\tIN\tB-PP\tO' +p36494 +aS'HIV\tHIV\tNN\tB-NP\tO' +p36495 +aS'patients\tpatient\tNNS\tI-NP\tO' +p36496 +aS'.\t.\t.\tO\tO' +p36497 +asS'Cardiac catheterization .' +p36498 +(lp36499 +S'Cardiac\tCardiac\tJJ\tB-NP\tO' +p36500 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p36501 +aS'.\t.\t.\tO\tO' +p36502 +asS'The patient is a pleasant 83-year-old retired psychiatrist who presents with a chief complaint of gait difficulty for the last five to six months .' +p36503 +(lp36504 +S'The\tThe\tDT\tB-NP\tO' +p36505 +aS'patient\tpatient\tNN\tI-NP\tO' +p36506 +aS'is\tbe\tVBZ\tB-VP\tO' +p36507 +aS'a\ta\tDT\tB-NP\tO' +p36508 +aS'pleasant\tpleasant\tJJ\tI-NP\tO' +p36509 +aS'83-year-old\t83-year-old\tJJ\tI-NP\tO' +p36510 +aS'retired\tretired\tJJ\tI-NP\tO' +p36511 +aS'psychiatrist\tpsychiatrist\tNN\tI-NP\tO' +p36512 +aS'who\twho\tWP\tB-NP\tO' +p36513 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p36514 +aS'with\twith\tIN\tB-PP\tO' +p36515 +aS'a\ta\tDT\tB-NP\tO' +p36516 +aS'chief\tchief\tJJ\tI-NP\tO' +p36517 +aS'complaint\tcomplaint\tNN\tI-NP\tO' +p36518 +aS'of\tof\tIN\tB-PP\tO' +p36519 +aS'gait\tgait\tNN\tB-NP\tO' +p36520 +aS'difficulty\tdifficulty\tNN\tI-NP\tO' +p36521 +aS'for\tfor\tIN\tB-PP\tO' +p36522 +aS'the\tthe\tDT\tB-NP\tO' +p36523 +aS'last\tlast\tJJ\tI-NP\tO' +p36524 +aS'five\tfive\tCD\tI-NP\tO' +p36525 +aS'to\tto\tTO\tI-NP\tO' +p36526 +aS'six\tsix\tCD\tI-NP\tO' +p36527 +aS'months\tmonth\tNNS\tI-NP\tO' +p36528 +aS'.\t.\t.\tO\tO' +p36529 +asS'10. Lipitor 10 mg p.o. q. day .' +p36530 +(lp36531 +S'10.\t10.\tCD\tB-NP\tO' +p36532 +aS'Lipitor\tLipitor\tNN\tI-NP\tO' +p36533 +aS'10\t10\tCD\tB-NP\tO' +p36534 +aS'mg\tmg\tNN\tI-NP\tO' +p36535 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p36536 +aS'q.\tq.\tNN\tI-NP\tO' +p36537 +aS'day\tday\tNN\tI-NP\tO' +p36538 +aS'.\t.\t.\tO\tO' +p36539 +asS'His INR will have to be monitored closely unitl his levels are stable .' +p36540 +(lp36541 +S'His\tHis\tPRP$\tB-NP\tO' +p36542 +aS'INR\tINR\tNN\tI-NP\tB-protein' +p36543 +aS'will\twill\tMD\tB-VP\tO' +p36544 +aS'have\thave\tVB\tI-VP\tO' +p36545 +aS'to\tto\tTO\tI-VP\tO' +p36546 +aS'be\tbe\tVB\tI-VP\tO' +p36547 +aS'monitored\tmonitor\tVBN\tI-VP\tO' +p36548 +aS'closely\tclosely\tRB\tB-ADVP\tO' +p36549 +aS'unitl\tunitl\tIN\tB-PP\tO' +p36550 +aS'his\this\tPRP$\tB-NP\tO' +p36551 +aS'levels\tlevel\tNNS\tI-NP\tO' +p36552 +aS'are\tbe\tVBP\tB-VP\tO' +p36553 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p36554 +aS'.\t.\t.\tO\tO' +p36555 +asS'--- hold off on X-rays for now' +p36556 +(lp36557 +S'---\t---\tSYM\tO\tO' +p36558 +aS'hold\thold\tVB\tB-VP\tO' +p36559 +aS'off\toff\tRP\tB-PRT\tO' +p36560 +aS'on\ton\tIN\tB-PP\tO' +p36561 +aS'X-rays\tX-ray\tNNS\tB-NP\tO' +p36562 +aS'for\tfor\tIN\tB-PP\tO' +p36563 +aS'now\tnow\tRB\tB-NP\tO' +p36564 +asS'PT was 12.5 ; PTT 27.0 .' +p36565 +(lp36566 +S'PT\tPT\tNN\tB-NP\tO' +p36567 +aS'was\tbe\tVBD\tB-VP\tO' +p36568 +aS'12.5\t12.5\tCD\tB-NP\tO' +p36569 +aS';\t;\t:\tO\tO' +p36570 +aS'PTT\tPTT\tNN\tB-NP\tO' +p36571 +aS'27.0\t27.0\tCD\tI-NP\tO' +p36572 +aS'.\t.\t.\tO\tO' +p36573 +asS'The patient should continue to have dry sterile dressings to her back and iliac crest wounds until follow up with Dr. Uph .' +p36574 +(lp36575 +S'The\tThe\tDT\tB-NP\tO' +p36576 +aS'patient\tpatient\tNN\tI-NP\tO' +p36577 +aS'should\tshould\tMD\tB-VP\tO' +p36578 +aS'continue\tcontinue\tVB\tI-VP\tO' +p36579 +aS'to\tto\tTO\tI-VP\tO' +p36580 +aS'have\thave\tVB\tI-VP\tO' +p36581 +aS'dry\tdry\tJJ\tB-NP\tO' +p36582 +aS'sterile\tsterile\tJJ\tI-NP\tO' +p36583 +aS'dressings\tdressing\tNNS\tI-NP\tO' +p36584 +aS'to\tto\tTO\tB-PP\tO' +p36585 +aS'her\ther\tPRP$\tB-NP\tO' +p36586 +aS'back\tback\tJJ\tI-NP\tO' +p36587 +aS'and\tand\tCC\tI-NP\tO' +p36588 +aS'iliac\tiliac\tJJ\tI-NP\tO' +p36589 +aS'crest\tcrest\tNN\tI-NP\tO' +p36590 +aS'wounds\twound\tNNS\tI-NP\tO' +p36591 +aS'until\tuntil\tIN\tB-PP\tO' +p36592 +aS'follow\tfollow\tVB\tB-VP\tO' +p36593 +aS'up\tup\tRP\tB-PRT\tO' +p36594 +aS'with\twith\tIN\tB-PP\tO' +p36595 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p36596 +aS'Uph\tUph\tNNP\tI-NP\tO' +p36597 +aS'.\t.\t.\tO\tO' +p36598 +asS'His alkaline phosphatase and all the other abnormal liver function tests were resolving .' +p36599 +(lp36600 +S'His\tHis\tPRP$\tB-NP\tO' +p36601 +aS'alkaline\talkaline\tJJ\tI-NP\tB-protein' +p36602 +aS'phosphatase\tphosphatase\tNN\tI-NP\tI-protein' +p36603 +aS'and\tand\tCC\tO\tO' +p36604 +aS'all\tall\tPDT\tB-NP\tO' +p36605 +aS'the\tthe\tDT\tI-NP\tO' +p36606 +aS'other\tother\tJJ\tI-NP\tO' +p36607 +aS'abnormal\tabnormal\tJJ\tI-NP\tO' +p36608 +aS'liver\tliver\tNN\tI-NP\tO' +p36609 +aS'function\tfunction\tNN\tI-NP\tO' +p36610 +aS'tests\ttest\tNNS\tI-NP\tO' +p36611 +aS'were\tbe\tVBD\tB-VP\tO' +p36612 +aS'resolving\tresolve\tVBG\tI-VP\tO' +p36613 +aS'.\t.\t.\tO\tO' +p36614 +asS'extrem warm , no edema , no varicosities , 2+ pedal pulses' +p36615 +(lp36616 +S'extrem\textrem\tNN\tB-NP\tO' +p36617 +aS'warm\twarm\tNN\tI-NP\tO' +p36618 +aS',\t,\t,\tO\tO' +p36619 +aS'no\tno\tDT\tB-NP\tO' +p36620 +aS'edema\tedema\tNN\tI-NP\tO' +p36621 +aS',\t,\t,\tO\tO' +p36622 +aS'no\tno\tDT\tB-NP\tO' +p36623 +aS'varicosities\tvaricosity\tNNS\tI-NP\tO' +p36624 +aS',\t,\t,\tO\tO' +p36625 +aS'2+\t2+\tJJ\tB-NP\tO' +p36626 +aS'pedal\tpedal\tJJ\tI-NP\tO' +p36627 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p36628 +asS'Otherwise he is awake , alert and appropriate and can respond to questions and can move his upper extremities .' +p36629 +(lp36630 +S'Otherwise\tOtherwise\tRB\tB-ADVP\tO' +p36631 +aS'he\the\tPRP\tB-NP\tO' +p36632 +aS'is\tbe\tVBZ\tB-VP\tO' +p36633 +aS'awake\tawake\tJJ\tB-ADJP\tO' +p36634 +aS',\t,\t,\tI-ADJP\tO' +p36635 +aS'alert\talert\tJJ\tI-ADJP\tO' +p36636 +aS'and\tand\tCC\tI-ADJP\tO' +p36637 +aS'appropriate\tappropriate\tJJ\tI-ADJP\tO' +p36638 +aS'and\tand\tCC\tO\tO' +p36639 +aS'can\tcan\tMD\tB-VP\tO' +p36640 +aS'respond\trespond\tVB\tI-VP\tO' +p36641 +aS'to\tto\tTO\tB-PP\tO' +p36642 +aS'questions\tquestion\tNNS\tB-NP\tO' +p36643 +aS'and\tand\tCC\tO\tO' +p36644 +aS'can\tcan\tMD\tB-VP\tO' +p36645 +aS'move\tmove\tVB\tI-VP\tO' +p36646 +aS'his\this\tPRP$\tB-NP\tO' +p36647 +aS'upper\tupper\tJJ\tI-NP\tO' +p36648 +aS'extremities\textremity\tNNS\tI-NP\tO' +p36649 +aS'.\t.\t.\tO\tO' +p36650 +asS'10-02-94 left hepatectomy , 10-01-94 celiac and superior mesenteric angiogram .' +p36651 +(lp36652 +S'10-02-94\t10-02-94\tCD\tB-NP\tO' +p36653 +aS'left\tleft\tJJ\tI-NP\tO' +p36654 +aS'hepatectomy\thepatectomy\tNN\tI-NP\tO' +p36655 +aS',\t,\t,\tO\tO' +p36656 +aS'10-01-94\t10-01-94\tCD\tB-NP\tO' +p36657 +aS'celiac\tceliac\tJJ\tI-NP\tO' +p36658 +aS'and\tand\tCC\tI-NP\tO' +p36659 +aS'superior\tsuperior\tJJ\tI-NP\tO' +p36660 +aS'mesenteric\tmesenteric\tJJ\tI-NP\tO' +p36661 +aS'angiogram\tangiogram\tNN\tI-NP\tO' +p36662 +aS'.\t.\t.\tO\tO' +p36663 +asS'The peritoneal fluid showed a glucose of 244 , total protein 0.8 and a albumin of 0.5 , globulin 0.3 , amylase 16 , LDH of 51 .' +p36664 +(lp36665 +S'The\tThe\tDT\tB-NP\tO' +p36666 +aS'peritoneal\tperitoneal\tJJ\tI-NP\tO' +p36667 +aS'fluid\tfluid\tNN\tI-NP\tO' +p36668 +aS'showed\tshow\tVBD\tB-VP\tO' +p36669 +aS'a\ta\tDT\tB-NP\tO' +p36670 +aS'glucose\tglucose\tNN\tI-NP\tO' +p36671 +aS'of\tof\tIN\tB-PP\tO' +p36672 +aS'244\t244\tCD\tB-NP\tO' +p36673 +aS',\t,\t,\tO\tO' +p36674 +aS'total\ttotal\tJJ\tB-NP\tO' +p36675 +aS'protein\tprotein\tNN\tI-NP\tO' +p36676 +aS'0.8\t0.8\tCD\tI-NP\tO' +p36677 +aS'and\tand\tCC\tO\tO' +p36678 +aS'a\ta\tDT\tB-NP\tO' +p36679 +aS'albumin\talbumin\tNN\tI-NP\tO' +p36680 +aS'of\tof\tIN\tB-PP\tO' +p36681 +aS'0.5\t0.5\tCD\tB-NP\tO' +p36682 +aS',\t,\t,\tO\tO' +p36683 +aS'globulin\tglobulin\tNN\tB-NP\tB-protein' +p36684 +aS'0.3\t0.3\tCD\tI-NP\tI-protein' +p36685 +aS',\t,\t,\tO\tO' +p36686 +aS'amylase\tamylase\tNN\tB-NP\tB-protein' +p36687 +aS'16\t16\tCD\tI-NP\tI-protein' +p36688 +aS',\t,\t,\tO\tO' +p36689 +aS'LDH\tLDH\tNN\tB-NP\tO' +p36690 +aS'of\tof\tIN\tB-PP\tO' +p36691 +aS'51\t51\tCD\tB-NP\tO' +p36692 +aS'.\t.\t.\tO\tO' +p36693 +asS'3 ) Prednisone 40 mg p.o. q. day .' +p36694 +(lp36695 +S'3\t3\tLS\tB-LST\tO' +p36696 +aS')\t)\t)\tO\tO' +p36697 +aS'Prednisone\tPrednisone\tNN\tB-NP\tO' +p36698 +aS'40\t40\tCD\tI-NP\tO' +p36699 +aS'mg\tmg\tNN\tI-NP\tO' +p36700 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p36701 +aS'q.\tq.\tNN\tI-NP\tO' +p36702 +aS'day\tday\tNN\tI-NP\tO' +p36703 +aS'.\t.\t.\tO\tO' +p36704 +asS'Regular rate and rhythm , no murmurs .' +p36705 +(lp36706 +S'Regular\tRegular\tJJ\tB-NP\tO' +p36707 +aS'rate\trate\tNN\tI-NP\tO' +p36708 +aS'and\tand\tCC\tI-NP\tO' +p36709 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p36710 +aS',\t,\t,\tO\tO' +p36711 +aS'no\tno\tDT\tB-NP\tO' +p36712 +aS'murmurs\tmurmur\tNNS\tI-NP\tO' +p36713 +aS'.\t.\t.\tO\tO' +p36714 +asS'The abdomen was soft .' +p36715 +(lp36716 +S'The\tThe\tDT\tB-NP\tO' +p36717 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p36718 +aS'was\tbe\tVBD\tB-VP\tO' +p36719 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p36720 +aS'.\t.\t.\tO\tO' +p36721 +asS'A/P : 48 yo morbidly obese woman with HCV cirrhosis c/b encephalopathy , esophageal varices and partial vein thrombosis ( but no hx of SBP ) presents with increasing abdominal girth likely secondary to ascites .' +p36722 +(lp36723 +S'A/P\tA/P\tNN\tB-NP\tO' +p36724 +aS':\t:\t:\tO\tO' +p36725 +aS'48\t48\tCD\tB-NP\tO' +p36726 +aS'yo\tyo\tNN\tI-NP\tO' +p36727 +aS'morbidly\tmorbidly\tRB\tB-NP\tO' +p36728 +aS'obese\tobese\tJJ\tI-NP\tO' +p36729 +aS'woman\twoman\tNN\tI-NP\tO' +p36730 +aS'with\twith\tIN\tB-PP\tO' +p36731 +aS'HCV\tHCV\tNN\tB-NP\tO' +p36732 +aS'cirrhosis\tcirrhosis\tNN\tI-NP\tO' +p36733 +aS'c/b\tc/b\tNN\tI-NP\tO' +p36734 +aS'encephalopathy\tencephalopathy\tNN\tI-NP\tO' +p36735 +aS',\t,\t,\tO\tO' +p36736 +aS'esophageal\tesophageal\tJJ\tB-NP\tO' +p36737 +aS'varices\tvarix\tNNS\tI-NP\tO' +p36738 +aS'and\tand\tCC\tO\tO' +p36739 +aS'partial\tpartial\tJJ\tB-NP\tO' +p36740 +aS'vein\tvein\tNN\tI-NP\tO' +p36741 +aS'thrombosis\tthrombosis\tNN\tI-NP\tO' +p36742 +aS'(\t(\t(\tO\tO' +p36743 +aS'but\tbut\tCC\tO\tO' +p36744 +aS'no\tno\tDT\tB-NP\tO' +p36745 +aS'hx\thx\tNN\tI-NP\tO' +p36746 +aS'of\tof\tIN\tB-PP\tO' +p36747 +aS'SBP\tSBP\tNN\tB-NP\tB-protein' +p36748 +aS')\t)\t)\tO\tO' +p36749 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p36750 +aS'with\twith\tIN\tB-PP\tO' +p36751 +aS'increasing\tincrease\tVBG\tB-NP\tO' +p36752 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p36753 +aS'girth\tgirth\tNN\tI-NP\tO' +p36754 +aS'likely\tlikely\tRB\tB-ADJP\tO' +p36755 +aS'secondary\tsecondary\tJJ\tI-ADJP\tO' +p36756 +aS'to\tto\tTO\tB-PP\tO' +p36757 +aS'ascites\tascite\tNNS\tB-NP\tO' +p36758 +aS'.\t.\t.\tO\tO' +p36759 +asS'However , he was still an intubation candidate if it were felt to be a short term procedure .' +p36760 +(lp36761 +S'However\tHowever\tRB\tB-ADVP\tO' +p36762 +aS',\t,\t,\tO\tO' +p36763 +aS'he\the\tPRP\tB-NP\tO' +p36764 +aS'was\tbe\tVBD\tB-VP\tO' +p36765 +aS'still\tstill\tRB\tB-ADVP\tO' +p36766 +aS'an\tan\tDT\tB-NP\tO' +p36767 +aS'intubation\tintubation\tNN\tI-NP\tO' +p36768 +aS'candidate\tcandidate\tNN\tI-NP\tO' +p36769 +aS'if\tif\tIN\tB-SBAR\tO' +p36770 +aS'it\tit\tPRP\tB-NP\tO' +p36771 +aS'were\tbe\tVBD\tB-VP\tO' +p36772 +aS'felt\tfeel\tVBN\tI-VP\tO' +p36773 +aS'to\tto\tTO\tI-VP\tO' +p36774 +aS'be\tbe\tVB\tI-VP\tO' +p36775 +aS'a\ta\tDT\tB-NP\tO' +p36776 +aS'short\tshort\tJJ\tI-NP\tO' +p36777 +aS'term\tterm\tNN\tI-NP\tO' +p36778 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p36779 +aS'.\t.\t.\tO\tO' +p36780 +asS'The patient smokes one pack per day .' +p36781 +(lp36782 +S'The\tThe\tDT\tB-NP\tO' +p36783 +aS'patient\tpatient\tNN\tI-NP\tO' +p36784 +aS'smokes\tsmoke\tVBZ\tB-VP\tO' +p36785 +aS'one\tone\tCD\tB-NP\tO' +p36786 +aS'pack\tpack\tNN\tI-NP\tO' +p36787 +aS'per\tper\tIN\tB-PP\tO' +p36788 +aS'day\tday\tNN\tB-NP\tO' +p36789 +aS'.\t.\t.\tO\tO' +p36790 +asS'The patient knows to go to Sper Medical Center every day for line care , blood draws , and monitoring .' +p36791 +(lp36792 +S'The\tThe\tDT\tB-NP\tO' +p36793 +aS'patient\tpatient\tNN\tI-NP\tO' +p36794 +aS'knows\tknow\tVBZ\tB-VP\tO' +p36795 +aS'to\tto\tTO\tI-VP\tO' +p36796 +aS'go\tgo\tVB\tI-VP\tO' +p36797 +aS'to\tto\tTO\tB-PP\tO' +p36798 +aS'Sper\tSper\tNNP\tB-NP\tO' +p36799 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p36800 +aS'Center\tCenter\tNNP\tI-NP\tO' +p36801 +aS'every\tevery\tDT\tB-NP\tO' +p36802 +aS'day\tday\tNN\tI-NP\tO' +p36803 +aS'for\tfor\tIN\tB-PP\tO' +p36804 +aS'line\tline\tNN\tB-NP\tO' +p36805 +aS'care\tcare\tNN\tI-NP\tO' +p36806 +aS',\t,\t,\tO\tO' +p36807 +aS'blood\tblood\tNN\tB-NP\tO' +p36808 +aS'draws\tdraw\tNNS\tI-NP\tO' +p36809 +aS',\t,\t,\tO\tO' +p36810 +aS'and\tand\tCC\tO\tO' +p36811 +aS'monitoring\tmonitoring\tNN\tB-NP\tO' +p36812 +aS'.\t.\t.\tO\tO' +p36813 +asS'She denies any CP / cough / fever , abdominal pain / diarrhea , black or bloody stools or headache .' +p36814 +(lp36815 +S'She\tShe\tPRP\tB-NP\tO' +p36816 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p36817 +aS'any\tany\tDT\tB-NP\tO' +p36818 +aS'CP\tCP\tNN\tI-NP\tB-DNA' +p36819 +aS'/\t/\tSYM\tB-NP\tO' +p36820 +aS'cough\tcough\tNN\tI-NP\tO' +p36821 +aS'/\t/\tSYM\tI-NP\tO' +p36822 +aS'fever\tfever\tNN\tI-NP\tO' +p36823 +aS',\t,\t,\tO\tO' +p36824 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p36825 +aS'pain\tpain\tNN\tI-NP\tO' +p36826 +aS'/\t/\tSYM\tB-NP\tO' +p36827 +aS'diarrhea\tdiarrhea\tNN\tI-NP\tO' +p36828 +aS',\t,\t,\tO\tO' +p36829 +aS'black\tblack\tJJ\tB-NP\tO' +p36830 +aS'or\tor\tCC\tI-NP\tO' +p36831 +aS'bloody\tbloody\tJJ\tI-NP\tO' +p36832 +aS'stools\tstool\tNNS\tI-NP\tO' +p36833 +aS'or\tor\tCC\tI-NP\tO' +p36834 +aS'headache\theadache\tNN\tI-NP\tO' +p36835 +aS'.\t.\t.\tO\tO' +p36836 +asS'Pt was recently admitted for fever due to cholangitis on 10-18 and had chemo ( CDDP and Gemcitabine ) on Monday , 10-21 .' +p36837 +(lp36838 +S'Pt\tPt\tNN\tB-NP\tO' +p36839 +aS'was\tbe\tVBD\tB-VP\tO' +p36840 +aS'recently\trecently\tRB\tI-VP\tO' +p36841 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p36842 +aS'for\tfor\tIN\tB-PP\tO' +p36843 +aS'fever\tfever\tNN\tB-NP\tO' +p36844 +aS'due\tdue\tJJ\tB-ADJP\tO' +p36845 +aS'to\tto\tTO\tB-PP\tO' +p36846 +aS'cholangitis\tcholangitis\tNN\tB-NP\tO' +p36847 +aS'on\ton\tIN\tB-PP\tO' +p36848 +aS'10-18\t10-18\tCD\tB-NP\tO' +p36849 +aS'and\tand\tCC\tO\tO' +p36850 +aS'had\thave\tVBD\tB-VP\tO' +p36851 +aS'chemo\tchemo\tNN\tB-NP\tO' +p36852 +aS'(\t(\t(\tO\tO' +p36853 +aS'CDDP\tCDDP\tNN\tB-NP\tB-protein' +p36854 +aS'and\tand\tCC\tO\tO' +p36855 +aS'Gemcitabine\tGemcitabine\tNN\tB-NP\tO' +p36856 +aS')\t)\t)\tO\tO' +p36857 +aS'on\ton\tIN\tB-PP\tO' +p36858 +aS'Monday\tMonday\tNNP\tB-NP\tO' +p36859 +aS',\t,\t,\tO\tO' +p36860 +aS'10-21\t10-21\tCD\tB-NP\tO' +p36861 +aS'.\t.\t.\tO\tO' +p36862 +asS'Cryptogenic cirrhosis with an unclear work up .' +p36863 +(lp36864 +S'Cryptogenic\tCryptogenic\tJJ\tB-NP\tO' +p36865 +aS'cirrhosis\tcirrhosis\tNN\tI-NP\tO' +p36866 +aS'with\twith\tIN\tB-PP\tO' +p36867 +aS'an\tan\tDT\tB-NP\tO' +p36868 +aS'unclear\tunclear\tJJ\tI-NP\tO' +p36869 +aS'work\twork\tNN\tI-NP\tO' +p36870 +aS'up\tup\tRP\tB-PRT\tO' +p36871 +aS'.\t.\t.\tO\tO' +p36872 +asS'1. Sepsis / ID- Started on sepsis protocol .' +p36873 +(lp36874 +S'1.\t1.\tLS\tB-NP\tO' +p36875 +aS'Sepsis\tSepsis\tNN\tI-NP\tO' +p36876 +aS'/\t/\tSYM\tI-NP\tO' +p36877 +aS'ID-\tID-\tNN\tI-NP\tO' +p36878 +aS'Started\tStart\tVBN\tB-VP\tO' +p36879 +aS'on\ton\tIN\tB-PP\tO' +p36880 +aS'sepsis\tsepsis\tNN\tB-NP\tO' +p36881 +aS'protocol\tprotocol\tNN\tI-NP\tO' +p36882 +aS'.\t.\t.\tO\tO' +p36883 +asS'The patient 's temperature was 102 , heart rate 118 , blood pressure 111/56 , respiratory rate 28 , satting 92% on room air .' +p36884 +(lp36885 +S'The\tThe\tDT\tB-NP\tO' +p36886 +aS'patient\tpatient\tNN\tI-NP\tO' +p36887 +aS''s\t'\tNNS\tI-NP\tO' +p36888 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p36889 +aS'was\tbe\tVBD\tB-VP\tO' +p36890 +aS'102\t102\tCD\tB-NP\tO' +p36891 +aS',\t,\t,\tO\tO' +p36892 +aS'heart\theart\tNN\tB-NP\tO' +p36893 +aS'rate\trate\tNN\tI-NP\tO' +p36894 +aS'118\t118\tCD\tI-NP\tO' +p36895 +aS',\t,\t,\tO\tO' +p36896 +aS'blood\tblood\tNN\tB-NP\tO' +p36897 +aS'pressure\tpressure\tNN\tI-NP\tO' +p36898 +aS'111/56\t111/56\tCD\tI-NP\tO' +p36899 +aS',\t,\t,\tI-NP\tO' +p36900 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p36901 +aS'rate\trate\tNN\tI-NP\tO' +p36902 +aS'28\t28\tCD\tI-NP\tO' +p36903 +aS',\t,\t,\tO\tO' +p36904 +aS'satting\tsatte\tVBG\tB-VP\tO' +p36905 +aS'92%\t92%\tNN\tB-NP\tO' +p36906 +aS'on\ton\tIN\tB-PP\tO' +p36907 +aS'room\troom\tNN\tB-NP\tO' +p36908 +aS'air\tair\tNN\tI-NP\tO' +p36909 +aS'.\t.\t.\tO\tO' +p36910 +asS'He drinks one glass of wine per night .' +p36911 +(lp36912 +S'He\tHe\tPRP\tB-NP\tO' +p36913 +aS'drinks\tdrink\tVBZ\tB-VP\tO' +p36914 +aS'one\tone\tCD\tB-NP\tO' +p36915 +aS'glass\tglass\tNN\tI-NP\tO' +p36916 +aS'of\tof\tIN\tB-PP\tO' +p36917 +aS'wine\twine\tNN\tB-NP\tO' +p36918 +aS'per\tper\tIN\tB-PP\tO' +p36919 +aS'night\tnight\tNN\tB-NP\tO' +p36920 +aS'.\t.\t.\tO\tO' +p36921 +asS'ROM , no signs of effusion' +p36922 +(lp36923 +S'ROM\tROM\tNN\tB-NP\tO' +p36924 +aS',\t,\t,\tO\tO' +p36925 +aS'no\tno\tDT\tB-NP\tO' +p36926 +aS'signs\tsign\tNNS\tI-NP\tO' +p36927 +aS'of\tof\tIN\tB-PP\tO' +p36928 +aS'effusion\teffusion\tNN\tB-NP\tO' +p36929 +asS'The assay was nonreactive .' +p36930 +(lp36931 +S'The\tThe\tDT\tB-NP\tO' +p36932 +aS'assay\tassay\tNN\tI-NP\tO' +p36933 +aS'was\tbe\tVBD\tB-VP\tO' +p36934 +aS'nonreactive\tnonreactive\tJJ\tB-ADJP\tO' +p36935 +aS'.\t.\t.\tO\tO' +p36936 +asS'Urine cultures from 11-30 grew STAPH AUREUS COAG + , and GRAM NEGATIVE RODS of two morphologies ( not further speciated ) .' +p36937 +(lp36938 +S'Urine\tUrine\tNN\tB-NP\tB-cell_line' +p36939 +aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' +p36940 +aS'from\tfrom\tIN\tB-PP\tO' +p36941 +aS'11-30\t11-30\tCD\tB-NP\tO' +p36942 +aS'grew\tgrow\tVBD\tB-VP\tO' +p36943 +aS'STAPH\tSTAPH\tNN\tB-NP\tB-protein' +p36944 +aS'AUREUS\tAUREUS\tNN\tI-NP\tI-protein' +p36945 +aS'COAG\tCOAG\tNN\tI-NP\tI-protein' +p36946 +aS'+\t+\tSYM\tB-NP\tO' +p36947 +aS',\t,\t,\tO\tO' +p36948 +aS'and\tand\tCC\tO\tO' +p36949 +aS'GRAM\tGRAM\tNNP\tB-NP\tO' +p36950 +aS'NEGATIVE\tNEGATIVE\tNNP\tI-NP\tO' +p36951 +aS'RODS\tRODS\tNNP\tI-NP\tO' +p36952 +aS'of\tof\tIN\tB-PP\tO' +p36953 +aS'two\ttwo\tCD\tB-NP\tO' +p36954 +aS'morphologies\tmorphology\tNNS\tI-NP\tO' +p36955 +aS'(\t(\t(\tO\tO' +p36956 +aS'not\tnot\tRB\tB-VP\tO' +p36957 +aS'further\tfurther\tRBR\tI-VP\tO' +p36958 +aS'speciated\tspeciate\tVBN\tI-VP\tO' +p36959 +aS')\t)\t)\tO\tO' +p36960 +aS'.\t.\t.\tO\tO' +p36961 +asS'So on discharge she is on atenolol 100 .' +p36962 +(lp36963 +S'So\tSo\tRB\tB-ADVP\tO' +p36964 +aS'on\ton\tIN\tB-PP\tO' +p36965 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p36966 +aS'she\tshe\tPRP\tB-NP\tO' +p36967 +aS'is\tbe\tVBZ\tB-VP\tO' +p36968 +aS'on\ton\tIN\tB-PP\tO' +p36969 +aS'atenolol\tatenolol\tNN\tB-NP\tB-protein' +p36970 +aS'100\t100\tCD\tI-NP\tI-protein' +p36971 +aS'.\t.\t.\tO\tO' +p36972 +asS'1) Comminuted intertrochanteric fracture of the right femur , with avulsion of the lesser trochanter , displacement and angulation .' +p36973 +(lp36974 +S'1)\t1)\tLS\tB-LST\tO' +p36975 +aS'Comminuted\tComminute\tVBD\tB-VP\tO' +p36976 +aS'intertrochanteric\tintertrochanteric\tJJ\tB-NP\tO' +p36977 +aS'fracture\tfracture\tNN\tI-NP\tO' +p36978 +aS'of\tof\tIN\tB-PP\tO' +p36979 +aS'the\tthe\tDT\tB-NP\tO' +p36980 +aS'right\tright\tJJ\tI-NP\tO' +p36981 +aS'femur\tfemur\tNN\tI-NP\tO' +p36982 +aS',\t,\t,\tO\tO' +p36983 +aS'with\twith\tIN\tB-PP\tO' +p36984 +aS'avulsion\tavulsion\tNN\tB-NP\tO' +p36985 +aS'of\tof\tIN\tB-PP\tO' +p36986 +aS'the\tthe\tDT\tB-NP\tO' +p36987 +aS'lesser\tless\tJJR\tI-NP\tO' +p36988 +aS'trochanter\ttrochanter\tNN\tI-NP\tO' +p36989 +aS',\t,\t,\tI-NP\tO' +p36990 +aS'displacement\tdisplacement\tNN\tI-NP\tO' +p36991 +aS'and\tand\tCC\tI-NP\tO' +p36992 +aS'angulation\tangulation\tNN\tI-NP\tO' +p36993 +aS'.\t.\t.\tO\tO' +p36994 +asS'The patient was told that he should discus with his PCP further GI testing , as well as medications for anxiety .' +p36995 +(lp36996 +S'The\tThe\tDT\tB-NP\tO' +p36997 +aS'patient\tpatient\tNN\tI-NP\tO' +p36998 +aS'was\tbe\tVBD\tB-VP\tO' +p36999 +aS'told\ttell\tVBN\tI-VP\tO' +p37000 +aS'that\tthat\tIN\tB-SBAR\tO' +p37001 +aS'he\the\tPRP\tB-NP\tO' +p37002 +aS'should\tshould\tMD\tB-VP\tO' +p37003 +aS'discus\tdiscus\tVB\tI-VP\tO' +p37004 +aS'with\twith\tIN\tB-PP\tO' +p37005 +aS'his\this\tPRP$\tB-NP\tO' +p37006 +aS'PCP\tPCP\tNN\tI-NP\tO' +p37007 +aS'further\tfurther\tJJ\tI-NP\tO' +p37008 +aS'GI\tGI\tNN\tI-NP\tO' +p37009 +aS'testing\ttesting\tNN\tI-NP\tO' +p37010 +aS',\t,\t,\tO\tO' +p37011 +aS'as\tas\tRB\tB-CONJP\tO' +p37012 +aS'well\twell\tRB\tI-CONJP\tO' +p37013 +aS'as\tas\tIN\tI-CONJP\tO' +p37014 +aS'medications\tmedication\tNNS\tB-NP\tO' +p37015 +aS'for\tfor\tIN\tB-PP\tO' +p37016 +aS'anxiety\tanxiety\tNN\tB-NP\tO' +p37017 +aS'.\t.\t.\tO\tO' +p37018 +asS'[ Intrinsic right ventricular systolic function is likely more depressed given the severity of tricuspid regurgitation .]' +p37019 +(lp37020 +S'[\t[\t(\tO\tO' +p37021 +aS'Intrinsic\tIntrinsic\tJJ\tB-NP\tO' +p37022 +aS'right\tright\tJJ\tI-NP\tO' +p37023 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p37024 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p37025 +aS'function\tfunction\tNN\tI-NP\tO' +p37026 +aS'is\tbe\tVBZ\tB-VP\tO' +p37027 +aS'likely\tlikely\tRB\tB-ADJP\tO' +p37028 +aS'more\tmore\tRBR\tI-ADJP\tO' +p37029 +aS'depressed\tdepressed\tJJ\tI-ADJP\tO' +p37030 +aS'given\tgive\tVBN\tB-PP\tO' +p37031 +aS'the\tthe\tDT\tB-NP\tO' +p37032 +aS'severity\tseverity\tNN\tI-NP\tO' +p37033 +aS'of\tof\tIN\tB-PP\tO' +p37034 +aS'tricuspid\ttricuspid\tJJ\tB-NP\tO' +p37035 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p37036 +aS'.]\t.]\t.\tO\tO' +p37037 +asS'Urinary tract infection .' +p37038 +(lp37039 +S'Urinary\tUrinary\tJJ\tB-NP\tO' +p37040 +aS'tract\ttract\tNN\tI-NP\tO' +p37041 +aS'infection\tinfection\tNN\tI-NP\tO' +p37042 +aS'.\t.\t.\tO\tO' +p37043 +asS'2. Triplet #3 of triplet gestation .' +p37044 +(lp37045 +S'2.\t2.\tLS\tB-NP\tO' +p37046 +aS'Triplet\tTriplet\tNN\tI-NP\tO' +p37047 +aS'#3\t#3\tNN\tI-NP\tO' +p37048 +aS'of\tof\tIN\tB-PP\tO' +p37049 +aS'triplet\ttriplet\tJJ\tB-NP\tO' +p37050 +aS'gestation\tgestation\tNN\tI-NP\tO' +p37051 +aS'.\t.\t.\tO\tO' +p37052 +asS'On day three of admission , the patient felt that his strength was back to baseline .' +p37053 +(lp37054 +S'On\tOn\tIN\tB-PP\tO' +p37055 +aS'day\tday\tNN\tB-NP\tO' +p37056 +aS'three\tthree\tCD\tI-NP\tO' +p37057 +aS'of\tof\tIN\tB-PP\tO' +p37058 +aS'admission\tadmission\tNN\tB-NP\tO' +p37059 +aS',\t,\t,\tO\tO' +p37060 +aS'the\tthe\tDT\tB-NP\tO' +p37061 +aS'patient\tpatient\tNN\tI-NP\tO' +p37062 +aS'felt\tfeel\tVBD\tB-VP\tO' +p37063 +aS'that\tthat\tDT\tO\tO' +p37064 +aS'his\this\tPRP$\tB-NP\tO' +p37065 +aS'strength\tstrength\tNN\tI-NP\tO' +p37066 +aS'was\tbe\tVBD\tB-VP\tO' +p37067 +aS'back\tback\tRB\tB-ADVP\tO' +p37068 +aS'to\tto\tTO\tB-PP\tO' +p37069 +aS'baseline\tbaseline\tNN\tB-NP\tO' +p37070 +aS'.\t.\t.\tO\tO' +p37071 +asS'PT 11.6/10.1 , repeat PT 12.8/10.5 .' +p37072 +(lp37073 +S'PT\tPT\tNN\tB-NP\tB-protein' +p37074 +aS'11.6/10.1\t11.6/10.1\tCD\tI-NP\tI-protein' +p37075 +aS',\t,\t,\tO\tO' +p37076 +aS'repeat\trepeat\tNN\tB-NP\tO' +p37077 +aS'PT\tPT\tNN\tI-NP\tO' +p37078 +aS'12.8/10.5\t12.8/10.5\tCD\tI-NP\tO' +p37079 +aS'.\t.\t.\tO\tO' +p37080 +asS'Bone scan showed degenerative joint disease in the shoulders and lumbar spine as well as increased radio chaser uptake in the breast bilaterally .' +p37081 +(lp37082 +S'Bone\tBone\tNN\tB-NP\tO' +p37083 +aS'scan\tscan\tNN\tI-NP\tO' +p37084 +aS'showed\tshow\tVBD\tB-VP\tO' +p37085 +aS'degenerative\tdegenerative\tJJ\tB-NP\tO' +p37086 +aS'joint\tjoint\tJJ\tI-NP\tO' +p37087 +aS'disease\tdisease\tNN\tI-NP\tO' +p37088 +aS'in\tin\tIN\tB-PP\tO' +p37089 +aS'the\tthe\tDT\tB-NP\tO' +p37090 +aS'shoulders\tshoulder\tNNS\tI-NP\tO' +p37091 +aS'and\tand\tCC\tI-NP\tO' +p37092 +aS'lumbar\tlumbar\tNN\tI-NP\tO' +p37093 +aS'spine\tspine\tNN\tI-NP\tO' +p37094 +aS'as\tas\tRB\tB-CONJP\tO' +p37095 +aS'well\twell\tRB\tI-CONJP\tO' +p37096 +aS'as\tas\tIN\tI-CONJP\tO' +p37097 +aS'increased\tincrease\tVBN\tB-NP\tO' +p37098 +aS'radio\tradio\tNN\tI-NP\tO' +p37099 +aS'chaser\tchaser\tNN\tI-NP\tO' +p37100 +aS'uptake\tuptake\tNN\tI-NP\tO' +p37101 +aS'in\tin\tIN\tB-PP\tO' +p37102 +aS'the\tthe\tDT\tB-NP\tO' +p37103 +aS'breast\tbreast\tNN\tI-NP\tO' +p37104 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p37105 +aS'.\t.\t.\tO\tO' +p37106 +asS'Significant for mother who has hypertension and stroke at the age of 70 .' +p37107 +(lp37108 +S'Significant\tSignificant\tJJ\tB-ADJP\tO' +p37109 +aS'for\tfor\tIN\tB-PP\tO' +p37110 +aS'mother\tmother\tNN\tB-NP\tO' +p37111 +aS'who\twho\tWP\tB-NP\tO' +p37112 +aS'has\thave\tVBZ\tB-VP\tO' +p37113 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p37114 +aS'and\tand\tCC\tO\tO' +p37115 +aS'stroke\tstroke\tVB\tB-VP\tO' +p37116 +aS'at\tat\tIN\tB-PP\tO' +p37117 +aS'the\tthe\tDT\tB-NP\tO' +p37118 +aS'age\tage\tNN\tI-NP\tO' +p37119 +aS'of\tof\tIN\tB-PP\tO' +p37120 +aS'70\t70\tCD\tB-NP\tO' +p37121 +aS'.\t.\t.\tO\tO' +p37122 +asS'The plantar was upgoing on the left side .' +p37123 +(lp37124 +S'The\tThe\tDT\tB-NP\tO' +p37125 +aS'plantar\tplantar\tNN\tI-NP\tO' +p37126 +aS'was\tbe\tVBD\tB-VP\tO' +p37127 +aS'upgoing\tupgoe\tVBG\tI-VP\tO' +p37128 +aS'on\ton\tIN\tB-PP\tO' +p37129 +aS'the\tthe\tDT\tB-NP\tO' +p37130 +aS'left\tleft\tJJ\tI-NP\tO' +p37131 +aS'side\tside\tNN\tI-NP\tO' +p37132 +aS'.\t.\t.\tO\tO' +p37133 +asS'There was no splenomegaly or hepatosplenomegaly .' +p37134 +(lp37135 +S'There\tThere\tEX\tB-NP\tO' +p37136 +aS'was\tbe\tVBD\tB-VP\tO' +p37137 +aS'no\tno\tDT\tB-NP\tO' +p37138 +aS'splenomegaly\tsplenomegaly\tNN\tI-NP\tO' +p37139 +aS'or\tor\tCC\tI-NP\tO' +p37140 +aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tI-NP\tO' +p37141 +aS'.\t.\t.\tO\tO' +p37142 +asS'Enfamil or breast milk 24 calories per oz , with enfamil powder .' +p37143 +(lp37144 +S'Enfamil\tEnfamil\tNN\tB-NP\tO' +p37145 +aS'or\tor\tCC\tI-NP\tO' +p37146 +aS'breast\tbreast\tNN\tI-NP\tO' +p37147 +aS'milk\tmilk\tNN\tI-NP\tO' +p37148 +aS'24\t24\tCD\tB-NP\tO' +p37149 +aS'calories\tcalorie\tNNS\tI-NP\tO' +p37150 +aS'per\tper\tIN\tB-PP\tO' +p37151 +aS'oz\toz\tNN\tB-NP\tO' +p37152 +aS',\t,\t,\tO\tO' +p37153 +aS'with\twith\tIN\tB-PP\tO' +p37154 +aS'enfamil\tenfamil\tNN\tB-NP\tO' +p37155 +aS'powder\tpowder\tNN\tI-NP\tO' +p37156 +aS'.\t.\t.\tO\tO' +p37157 +asS'Dr. Koteelks indicated that the patient did not have sinus problems currently but thought that the trigeminal pain might be investigated further and that the sphenoid might account for some of the patient 's discomfort .' +p37158 +(lp37159 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p37160 +aS'Koteelks\tKoteelks\tNNP\tI-NP\tO' +p37161 +aS'indicated\tindicate\tVBD\tB-VP\tO' +p37162 +aS'that\tthat\tIN\tB-SBAR\tO' +p37163 +aS'the\tthe\tDT\tB-NP\tO' +p37164 +aS'patient\tpatient\tNN\tI-NP\tO' +p37165 +aS'did\tdo\tVBD\tB-VP\tO' +p37166 +aS'not\tnot\tRB\tI-VP\tO' +p37167 +aS'have\thave\tVB\tI-VP\tO' +p37168 +aS'sinus\tsinus\tNN\tB-NP\tO' +p37169 +aS'problems\tproblem\tNNS\tI-NP\tO' +p37170 +aS'currently\tcurrently\tRB\tB-ADVP\tO' +p37171 +aS'but\tbut\tCC\tO\tO' +p37172 +aS'thought\tthink\tVBD\tB-VP\tO' +p37173 +aS'that\tthat\tIN\tB-SBAR\tO' +p37174 +aS'the\tthe\tDT\tB-NP\tO' +p37175 +aS'trigeminal\ttrigeminal\tJJ\tI-NP\tB-protein' +p37176 +aS'pain\tpain\tNN\tI-NP\tI-protein' +p37177 +aS'might\tmight\tMD\tB-VP\tO' +p37178 +aS'be\tbe\tVB\tI-VP\tO' +p37179 +aS'investigated\tinvestigate\tVBN\tI-VP\tO' +p37180 +aS'further\tfurther\tRBR\tB-ADVP\tO' +p37181 +aS'and\tand\tCC\tO\tO' +p37182 +aS'that\tthat\tIN\tB-SBAR\tO' +p37183 +aS'the\tthe\tDT\tB-NP\tO' +p37184 +aS'sphenoid\tsphenoid\tNN\tI-NP\tO' +p37185 +aS'might\tmight\tMD\tB-VP\tO' +p37186 +aS'account\taccount\tVB\tI-VP\tO' +p37187 +aS'for\tfor\tIN\tB-PP\tO' +p37188 +aS'some\tsome\tDT\tB-NP\tO' +p37189 +aS'of\tof\tIN\tB-PP\tO' +p37190 +aS'the\tthe\tDT\tB-NP\tO' +p37191 +aS'patient\tpatient\tNN\tI-NP\tO' +p37192 +aS''s\t'\tNNS\tI-NP\tO' +p37193 +aS'discomfort\tdiscomfort\tNN\tI-NP\tO' +p37194 +aS'.\t.\t.\tO\tO' +p37195 +asS'His name is Ettrent Can and he can be reached at 678-233-5033 , b 549 .' +p37196 +(lp37197 +S'His\tHis\tPRP$\tB-NP\tO' +p37198 +aS'name\tname\tNN\tI-NP\tO' +p37199 +aS'is\tbe\tVBZ\tB-VP\tO' +p37200 +aS'Ettrent\tEttrent\tNNP\tB-NP\tO' +p37201 +aS'Can\tCan\tMD\tB-VP\tO' +p37202 +aS'and\tand\tCC\tO\tO' +p37203 +aS'he\the\tPRP\tB-NP\tO' +p37204 +aS'can\tcan\tMD\tB-VP\tO' +p37205 +aS'be\tbe\tVB\tI-VP\tO' +p37206 +aS'reached\treach\tVBN\tI-VP\tO' +p37207 +aS'at\tat\tIN\tB-PP\tO' +p37208 +aS'678-233-5033\t678-233-5033\tCD\tB-NP\tO' +p37209 +aS',\t,\t,\tO\tO' +p37210 +aS'b\tb\tNN\tB-NP\tB-protein' +p37211 +aS'549\t549\tCD\tI-NP\tI-protein' +p37212 +aS'.\t.\t.\tO\tO' +p37213 +asS'Diagnosis peritoneum lavage times two was negative for any signs of intra-abdominal bleeding .' +p37214 +(lp37215 +S'Diagnosis\tDiagnosis\tNN\tB-NP\tO' +p37216 +aS'peritoneum\tperitoneum\tNN\tI-NP\tO' +p37217 +aS'lavage\tlavage\tNN\tI-NP\tO' +p37218 +aS'times\ttime\tNNS\tI-NP\tO' +p37219 +aS'two\ttwo\tCD\tB-NP\tO' +p37220 +aS'was\tbe\tVBD\tB-VP\tO' +p37221 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p37222 +aS'for\tfor\tIN\tB-PP\tO' +p37223 +aS'any\tany\tDT\tB-NP\tO' +p37224 +aS'signs\tsign\tNNS\tI-NP\tO' +p37225 +aS'of\tof\tIN\tB-PP\tO' +p37226 +aS'intra-abdominal\tintra-abdominal\tJJ\tB-NP\tO' +p37227 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p37228 +aS'.\t.\t.\tO\tO' +p37229 +asS'Digoxin , .25 mg PO QD ; Ecotrin , 325 mg QD ; Coumadin , 2.5 mg PO QD ; Lisinopril , 2.5 mg PO QD ; Micronase , 5 mg PO BID .' +p37230 +(lp37231 +S'Digoxin\tDigoxin\tNN\tB-NP\tO' +p37232 +aS',\t,\t,\tO\tO' +p37233 +aS'.25\t.25\tCD\tB-NP\tO' +p37234 +aS'mg\tmg\tNN\tI-NP\tO' +p37235 +aS'PO\tPO\tNN\tI-NP\tO' +p37236 +aS'QD\tQD\tNN\tI-NP\tO' +p37237 +aS';\t;\t:\tO\tO' +p37238 +aS'Ecotrin\tEcotrin\tNN\tB-NP\tO' +p37239 +aS',\t,\t,\tO\tO' +p37240 +aS'325\t325\tCD\tB-NP\tO' +p37241 +aS'mg\tmg\tNN\tI-NP\tO' +p37242 +aS'QD\tQD\tNN\tI-NP\tO' +p37243 +aS';\t;\t:\tO\tO' +p37244 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p37245 +aS',\t,\t,\tO\tO' +p37246 +aS'2.5\t2.5\tCD\tB-NP\tO' +p37247 +aS'mg\tmg\tNN\tI-NP\tO' +p37248 +aS'PO\tPO\tNN\tI-NP\tO' +p37249 +aS'QD\tQD\tNN\tI-NP\tO' +p37250 +aS';\t;\t:\tO\tO' +p37251 +aS'Lisinopril\tLisinopril\tNNP\tB-NP\tO' +p37252 +aS',\t,\t,\tO\tO' +p37253 +aS'2.5\t2.5\tCD\tB-NP\tO' +p37254 +aS'mg\tmg\tNN\tI-NP\tO' +p37255 +aS'PO\tPO\tNN\tI-NP\tO' +p37256 +aS'QD\tQD\tNN\tI-NP\tO' +p37257 +aS';\t;\t:\tO\tO' +p37258 +aS'Micronase\tMicronase\tNN\tB-NP\tO' +p37259 +aS',\t,\t,\tO\tO' +p37260 +aS'5\t5\tCD\tB-NP\tO' +p37261 +aS'mg\tmg\tNN\tI-NP\tO' +p37262 +aS'PO\tPO\tNN\tI-NP\tO' +p37263 +aS'BID\tBID\tNN\tI-NP\tO' +p37264 +aS'.\t.\t.\tO\tO' +p37265 +asS'She smokes approximately one and a half packs of cigarettes per day for the last 30 years .' +p37266 +(lp37267 +S'She\tShe\tPRP\tB-NP\tO' +p37268 +aS'smokes\tsmoke\tVBZ\tB-VP\tO' +p37269 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p37270 +aS'one\tone\tCD\tI-NP\tO' +p37271 +aS'and\tand\tCC\tI-NP\tO' +p37272 +aS'a\ta\tDT\tI-NP\tO' +p37273 +aS'half\thalf\tJJ\tI-NP\tO' +p37274 +aS'packs\tpack\tNNS\tI-NP\tO' +p37275 +aS'of\tof\tIN\tB-PP\tO' +p37276 +aS'cigarettes\tcigarette\tNNS\tB-NP\tO' +p37277 +aS'per\tper\tIN\tB-PP\tO' +p37278 +aS'day\tday\tNN\tB-NP\tO' +p37279 +aS'for\tfor\tIN\tB-PP\tO' +p37280 +aS'the\tthe\tDT\tB-NP\tO' +p37281 +aS'last\tlast\tJJ\tI-NP\tB-protein' +p37282 +aS'30\t30\tCD\tI-NP\tI-protein' +p37283 +aS'years\tyear\tNNS\tI-NP\tI-protein' +p37284 +aS'.\t.\t.\tO\tO' +p37285 +asS'History of 20-to-30-pack-year smoking , quit approximately 15 years ago .' +p37286 +(lp37287 +S'History\tHistory\tNN\tB-NP\tO' +p37288 +aS'of\tof\tIN\tB-PP\tO' +p37289 +aS'20-to-30-pack-year\t20-to-30-pack-year\tJJ\tB-NP\tO' +p37290 +aS'smoking\tsmoking\tNN\tI-NP\tO' +p37291 +aS',\t,\t,\tO\tO' +p37292 +aS'quit\tquit\tVBD\tB-VP\tO' +p37293 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p37294 +aS'15\t15\tCD\tI-NP\tO' +p37295 +aS'years\tyear\tNNS\tI-NP\tO' +p37296 +aS'ago\tago\tRB\tB-ADVP\tO' +p37297 +aS'.\t.\t.\tO\tO' +p37298 +asS'Upon receiving the one unit of red blood cells , her hematocrit returned to 33 , and in the two days subsequent to the transfusion , returned to 34 .' +p37299 +(lp37300 +S'Upon\tUpon\tIN\tB-PP\tO' +p37301 +aS'receiving\treceive\tVBG\tB-VP\tO' +p37302 +aS'the\tthe\tDT\tB-NP\tO' +p37303 +aS'one\tone\tCD\tI-NP\tO' +p37304 +aS'unit\tunit\tNN\tI-NP\tO' +p37305 +aS'of\tof\tIN\tB-PP\tO' +p37306 +aS'red\tred\tJJ\tB-NP\tB-cell_type' +p37307 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p37308 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p37309 +aS',\t,\t,\tO\tO' +p37310 +aS'her\ther\tPRP$\tB-NP\tO' +p37311 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p37312 +aS'returned\treturn\tVBD\tB-VP\tO' +p37313 +aS'to\tto\tTO\tB-PP\tO' +p37314 +aS'33\t33\tCD\tB-NP\tO' +p37315 +aS',\t,\t,\tO\tO' +p37316 +aS'and\tand\tCC\tO\tO' +p37317 +aS'in\tin\tIN\tB-PP\tO' +p37318 +aS'the\tthe\tDT\tB-NP\tO' +p37319 +aS'two\ttwo\tCD\tI-NP\tO' +p37320 +aS'days\tday\tNNS\tI-NP\tO' +p37321 +aS'subsequent\tsubsequent\tJJ\tB-ADJP\tO' +p37322 +aS'to\tto\tTO\tB-PP\tO' +p37323 +aS'the\tthe\tDT\tB-NP\tO' +p37324 +aS'transfusion\ttransfusion\tNN\tI-NP\tO' +p37325 +aS',\t,\t,\tO\tO' +p37326 +aS'returned\treturn\tVBD\tB-VP\tO' +p37327 +aS'to\tto\tTO\tB-PP\tO' +p37328 +aS'34\t34\tCD\tB-NP\tO' +p37329 +aS'.\t.\t.\tO\tO' +p37330 +asS'Coronary artery disease , status post coronary artery bypass grafting times three .' +p37331 +(lp37332 +S'Coronary\tCoronary\tJJ\tB-NP\tO' +p37333 +aS'artery\tartery\tNN\tI-NP\tO' +p37334 +aS'disease\tdisease\tNN\tI-NP\tO' +p37335 +aS',\t,\t,\tO\tO' +p37336 +aS'status\tstatus\tNN\tB-NP\tO' +p37337 +aS'post\tpost\tNN\tI-NP\tO' +p37338 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p37339 +aS'artery\tartery\tNN\tI-NP\tO' +p37340 +aS'bypass\tbypass\tIN\tB-PP\tO' +p37341 +aS'grafting\tgraft\tVBG\tB-VP\tO' +p37342 +aS'times\ttime\tNNS\tB-NP\tO' +p37343 +aS'three\tthree\tCD\tB-NP\tO' +p37344 +aS'.\t.\t.\tO\tO' +p37345 +asS'7. Insulin-sliding scale as well as 40 units of Humalog in the a.m. and 20 at night .' +p37346 +(lp37347 +S'7.\t7.\tLS\tB-NP\tO' +p37348 +aS'Insulin-sliding\tInsulin-sliding\tJJ\tI-NP\tO' +p37349 +aS'scale\tscale\tNN\tI-NP\tO' +p37350 +aS'as\tas\tRB\tB-CONJP\tO' +p37351 +aS'well\twell\tRB\tI-CONJP\tO' +p37352 +aS'as\tas\tIN\tI-CONJP\tO' +p37353 +aS'40\t40\tCD\tB-NP\tO' +p37354 +aS'units\tunit\tNNS\tI-NP\tO' +p37355 +aS'of\tof\tIN\tB-PP\tO' +p37356 +aS'Humalog\tHumalog\tNNP\tB-NP\tO' +p37357 +aS'in\tin\tIN\tB-PP\tO' +p37358 +aS'the\tthe\tDT\tB-NP\tO' +p37359 +aS'a.m.\ta.m.\tNN\tI-NP\tO' +p37360 +aS'and\tand\tCC\tI-NP\tO' +p37361 +aS'20\t20\tCD\tI-NP\tO' +p37362 +aS'at\tat\tIN\tB-PP\tO' +p37363 +aS'night\tnight\tNN\tB-NP\tO' +p37364 +aS'.\t.\t.\tO\tO' +p37365 +asS'The patient was to follow up with her primary care physician ( Dr. Desmet ) , as well as' +p37366 +(lp37367 +S'The\tThe\tDT\tB-NP\tO' +p37368 +aS'patient\tpatient\tNN\tI-NP\tO' +p37369 +aS'was\tbe\tVBD\tB-VP\tO' +p37370 +aS'to\tto\tTO\tB-VP\tO' +p37371 +aS'follow\tfollow\tVB\tI-VP\tO' +p37372 +aS'up\tup\tRP\tB-PRT\tO' +p37373 +aS'with\twith\tIN\tB-PP\tO' +p37374 +aS'her\ther\tPRP$\tB-NP\tO' +p37375 +aS'primary\tprimary\tJJ\tI-NP\tO' +p37376 +aS'care\tcare\tNN\tI-NP\tO' +p37377 +aS'physician\tphysician\tNN\tI-NP\tO' +p37378 +aS'(\t(\t(\tO\tO' +p37379 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p37380 +aS'Desmet\tDesmet\tNNP\tI-NP\tO' +p37381 +aS')\t)\t)\tO\tO' +p37382 +aS',\t,\t,\tO\tO' +p37383 +aS'as\tas\tRB\tB-CONJP\tO' +p37384 +aS'well\twell\tRB\tI-CONJP\tO' +p37385 +aS'as\tas\tIN\tI-CONJP\tO' +p37386 +asS'Weight on admission was 64 kg , at discharge was 51.6 kg .' +p37387 +(lp37388 +S'Weight\tWeight\tNN\tB-NP\tO' +p37389 +aS'on\ton\tIN\tB-PP\tO' +p37390 +aS'admission\tadmission\tNN\tB-NP\tO' +p37391 +aS'was\tbe\tVBD\tB-VP\tO' +p37392 +aS'64\t64\tCD\tB-NP\tO' +p37393 +aS'kg\tkg\tNN\tI-NP\tO' +p37394 +aS',\t,\t,\tO\tO' +p37395 +aS'at\tat\tIN\tB-PP\tO' +p37396 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p37397 +aS'was\tbe\tVBD\tB-VP\tO' +p37398 +aS'51.6\t51.6\tCD\tB-NP\tO' +p37399 +aS'kg\tkg\tNN\tI-NP\tO' +p37400 +aS'.\t.\t.\tO\tO' +p37401 +asS'A second endoscopy was also performed several days later , in order to rule out a gastric ulcer , and also because the patient had had another episode of melena .' +p37402 +(lp37403 +S'A\tA\tDT\tB-NP\tO' +p37404 +aS'second\tsecond\tJJ\tI-NP\tO' +p37405 +aS'endoscopy\tendoscopy\tNN\tI-NP\tO' +p37406 +aS'was\tbe\tVBD\tB-VP\tO' +p37407 +aS'also\talso\tRB\tI-VP\tO' +p37408 +aS'performed\tperform\tVBN\tI-VP\tO' +p37409 +aS'several\tseveral\tJJ\tB-NP\tO' +p37410 +aS'days\tday\tNNS\tI-NP\tO' +p37411 +aS'later\tlater\tRB\tB-ADVP\tO' +p37412 +aS',\t,\t,\tO\tO' +p37413 +aS'in\tin\tIN\tB-SBAR\tO' +p37414 +aS'order\torder\tNN\tO\tO' +p37415 +aS'to\tto\tTO\tB-VP\tO' +p37416 +aS'rule\trule\tVB\tI-VP\tO' +p37417 +aS'out\tout\tRP\tB-PRT\tO' +p37418 +aS'a\ta\tDT\tB-NP\tO' +p37419 +aS'gastric\tgastric\tJJ\tI-NP\tO' +p37420 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p37421 +aS',\t,\t,\tO\tO' +p37422 +aS'and\tand\tCC\tO\tO' +p37423 +aS'also\talso\tRB\tB-ADVP\tO' +p37424 +aS'because\tbecause\tIN\tB-SBAR\tO' +p37425 +aS'the\tthe\tDT\tB-NP\tO' +p37426 +aS'patient\tpatient\tNN\tI-NP\tO' +p37427 +aS'had\thave\tVBD\tB-VP\tO' +p37428 +aS'had\thave\tVBN\tI-VP\tO' +p37429 +aS'another\tanother\tDT\tB-NP\tO' +p37430 +aS'episode\tepisode\tNN\tI-NP\tO' +p37431 +aS'of\tof\tIN\tB-PP\tO' +p37432 +aS'melena\tmelena\tNN\tB-NP\tO' +p37433 +aS'.\t.\t.\tO\tO' +p37434 +asS'3. Episodes of cholecystitis and spastic colon .' +p37435 +(lp37436 +S'3.\t3.\tLS\tB-NP\tO' +p37437 +aS'Episodes\tEpisode\tNNS\tI-NP\tO' +p37438 +aS'of\tof\tIN\tB-PP\tO' +p37439 +aS'cholecystitis\tcholecystitis\tNN\tB-NP\tO' +p37440 +aS'and\tand\tCC\tO\tO' +p37441 +aS'spastic\tspastic\tJJ\tB-NP\tO' +p37442 +aS'colon\tcolon\tNN\tI-NP\tO' +p37443 +aS'.\t.\t.\tO\tO' +p37444 +asS'He has had no antibiotic therapy or blood cultures sent .' +p37445 +(lp37446 +S'He\tHe\tPRP\tB-NP\tO' +p37447 +aS'has\thave\tVBZ\tB-VP\tO' +p37448 +aS'had\thave\tVBN\tI-VP\tO' +p37449 +aS'no\tno\tDT\tB-NP\tO' +p37450 +aS'antibiotic\tantibiotic\tJJ\tI-NP\tO' +p37451 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p37452 +aS'or\tor\tCC\tI-NP\tO' +p37453 +aS'blood\tblood\tNN\tI-NP\tO' +p37454 +aS'cultures\tculture\tNNS\tI-NP\tO' +p37455 +aS'sent\tsend\tVBN\tB-VP\tO' +p37456 +aS'.\t.\t.\tO\tO' +p37457 +asS'6. Depression .' +p37458 +(lp37459 +S'6.\t6.\tLS\tB-NP\tO' +p37460 +aS'Depression\tDepression\tNN\tI-NP\tO' +p37461 +aS'.\t.\t.\tO\tO' +p37462 +asS'OTHER DIAGNOSIS ; Conditions , Infections , Complications , affecting Treatment / Stay depression ( depression )' +p37463 +(lp37464 +S'OTHER\tOTHER\tNN\tB-NP\tO' +p37465 +aS'DIAGNOSIS\tDIAGNOSIS\tNN\tI-NP\tO' +p37466 +aS';\t;\t:\tO\tO' +p37467 +aS'Conditions\tCondition\tNNS\tB-NP\tO' +p37468 +aS',\t,\t,\tO\tO' +p37469 +aS'Infections\tInfection\tNNS\tB-NP\tO' +p37470 +aS',\t,\t,\tO\tO' +p37471 +aS'Complications\tComplication\tNNS\tB-NP\tO' +p37472 +aS',\t,\t,\tO\tO' +p37473 +aS'affecting\taffect\tVBG\tB-VP\tO' +p37474 +aS'Treatment\tTreatment\tNN\tB-NP\tO' +p37475 +aS'/\t/\tSYM\tO\tO' +p37476 +aS'Stay\tStay\tNN\tB-NP\tO' +p37477 +aS'depression\tdepression\tNN\tI-NP\tO' +p37478 +aS'(\t(\t(\tO\tO' +p37479 +aS'depression\tdepression\tNN\tB-NP\tO' +p37480 +aS')\t)\t)\tO\tO' +p37481 +asS'Previous right pneumothorax has resolved except for what is either a small fissural component or a bulla adjacent to the minor fissure .' +p37482 +(lp37483 +S'Previous\tPrevious\tJJ\tB-NP\tO' +p37484 +aS'right\tright\tJJ\tI-NP\tO' +p37485 +aS'pneumothorax\tpneumothorax\tNN\tI-NP\tO' +p37486 +aS'has\thave\tVBZ\tB-VP\tO' +p37487 +aS'resolved\tresolve\tVBN\tI-VP\tO' +p37488 +aS'except\texcept\tIN\tB-PP\tO' +p37489 +aS'for\tfor\tIN\tB-PP\tO' +p37490 +aS'what\twhat\tWP\tB-NP\tO' +p37491 +aS'is\tbe\tVBZ\tB-VP\tO' +p37492 +aS'either\teither\tRB\tB-ADVP\tO' +p37493 +aS'a\ta\tDT\tB-NP\tO' +p37494 +aS'small\tsmall\tJJ\tI-NP\tO' +p37495 +aS'fissural\tfissural\tJJ\tI-NP\tO' +p37496 +aS'component\tcomponent\tNN\tI-NP\tO' +p37497 +aS'or\tor\tCC\tO\tO' +p37498 +aS'a\ta\tDT\tB-NP\tO' +p37499 +aS'bulla\tbulla\tNN\tI-NP\tO' +p37500 +aS'adjacent\tadjacent\tJJ\tB-ADJP\tO' +p37501 +aS'to\tto\tTO\tB-PP\tO' +p37502 +aS'the\tthe\tDT\tB-NP\tO' +p37503 +aS'minor\tminor\tJJ\tI-NP\tO' +p37504 +aS'fissure\tfissure\tNN\tI-NP\tO' +p37505 +aS'.\t.\t.\tO\tO' +p37506 +asS'SHE WILL BE DISCHARGED TODAY BACK TO HER NURSING HOME IN GOOD CONDITION , ON PAIN MEDS , ANTIBIOTICS , AND WITH ANTICIPATED 1:1 WATCH .' +p37507 +(lp37508 +S'SHE\tSHE\tNNP\tB-NP\tO' +p37509 +aS'WILL\tWILL\tNNP\tI-NP\tO' +p37510 +aS'BE\tBE\tNNP\tI-NP\tO' +p37511 +aS'DISCHARGED\tDISCHARGED\tNNP\tI-NP\tO' +p37512 +aS'TODAY\tTODAY\tNNP\tI-NP\tO' +p37513 +aS'BACK\tBACK\tNNP\tI-NP\tO' +p37514 +aS'TO\tTO\tNNP\tI-NP\tO' +p37515 +aS'HER\tHER\tNNP\tI-NP\tO' +p37516 +aS'NURSING\tNURSING\tNNP\tI-NP\tO' +p37517 +aS'HOME\tHOME\tNNP\tI-NP\tO' +p37518 +aS'IN\tIN\tNNP\tI-NP\tO' +p37519 +aS'GOOD\tGOOD\tNNP\tI-NP\tO' +p37520 +aS'CONDITION\tCONDITION\tNNP\tI-NP\tO' +p37521 +aS',\t,\t,\tO\tO' +p37522 +aS'ON\tON\tNNP\tB-NP\tO' +p37523 +aS'PAIN\tPAIN\tNNP\tI-NP\tO' +p37524 +aS'MEDS\tMEDS\tNNP\tI-NP\tO' +p37525 +aS',\t,\t,\tO\tO' +p37526 +aS'ANTIBIOTICS\tANTIBIOTICS\tNNP\tB-NP\tO' +p37527 +aS',\t,\t,\tO\tO' +p37528 +aS'AND\tAND\tCC\tO\tO' +p37529 +aS'WITH\tWITH\tNNP\tB-NP\tO' +p37530 +aS'ANTICIPATED\tANTICIPATED\tVBD\tB-VP\tO' +p37531 +aS'1:1\t1:1\tCD\tB-NP\tO' +p37532 +aS'WATCH\tWATCH\tNN\tI-NP\tO' +p37533 +aS'.\t.\t.\tO\tO' +p37534 +asS'The patient was initially admitted for likely CHF exacerbation .' +p37535 +(lp37536 +S'The\tThe\tDT\tB-NP\tO' +p37537 +aS'patient\tpatient\tNN\tI-NP\tO' +p37538 +aS'was\tbe\tVBD\tB-VP\tO' +p37539 +aS'initially\tinitially\tRB\tI-VP\tO' +p37540 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p37541 +aS'for\tfor\tIN\tB-PP\tO' +p37542 +aS'likely\tlikely\tJJ\tB-NP\tO' +p37543 +aS'CHF\tCHF\tNN\tI-NP\tO' +p37544 +aS'exacerbation\texacerbation\tNN\tI-NP\tO' +p37545 +aS'.\t.\t.\tO\tO' +p37546 +asS'Resting regional wall motion abnormalities include inferolateral , inferior and mid septal hypokinesis .' +p37547 +(lp37548 +S'Resting\tRest\tVBG\tB-VP\tO' +p37549 +aS'regional\tregional\tJJ\tB-NP\tO' +p37550 +aS'wall\twall\tNN\tI-NP\tO' +p37551 +aS'motion\tmotion\tNN\tI-NP\tO' +p37552 +aS'abnormalities\tabnormality\tNNS\tI-NP\tO' +p37553 +aS'include\tinclude\tVBP\tB-VP\tO' +p37554 +aS'inferolateral\tinferolateral\tJJ\tB-NP\tO' +p37555 +aS',\t,\t,\tI-NP\tO' +p37556 +aS'inferior\tinferior\tJJ\tI-NP\tO' +p37557 +aS'and\tand\tCC\tI-NP\tO' +p37558 +aS'mid\tmid\tJJ\tI-NP\tO' +p37559 +aS'septal\tseptal\tJJ\tI-NP\tO' +p37560 +aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' +p37561 +aS'.\t.\t.\tO\tO' +p37562 +asS'Left sided spastic hemiparesis , status post surgical correction of C-1 , C-2 dural AVM .' +p37563 +(lp37564 +S'Left\tLeave\tVBN\tB-NP\tO' +p37565 +aS'sided\tsided\tJJ\tI-NP\tO' +p37566 +aS'spastic\tspastic\tJJ\tI-NP\tO' +p37567 +aS'hemiparesis\themiparesis\tNN\tI-NP\tO' +p37568 +aS',\t,\t,\tO\tO' +p37569 +aS'status\tstatus\tNN\tB-NP\tO' +p37570 +aS'post\tpost\tNN\tI-NP\tO' +p37571 +aS'surgical\tsurgical\tJJ\tI-NP\tO' +p37572 +aS'correction\tcorrection\tNN\tI-NP\tO' +p37573 +aS'of\tof\tIN\tB-PP\tO' +p37574 +aS'C-1\tC-1\tNN\tB-NP\tB-protein' +p37575 +aS',\t,\t,\tO\tO' +p37576 +aS'C-2\tC-2\tNN\tB-NP\tO' +p37577 +aS'dural\tdural\tJJ\tI-NP\tO' +p37578 +aS'AVM\tAVM\tNN\tI-NP\tO' +p37579 +aS'.\t.\t.\tO\tO' +p37580 +asS"While on the floor patient 's hands improved with good range of motion of left hand , however Jones some poor range of motion of right ." +p37581 +(lp37582 +S'While\tWhile\tIN\tB-SBAR\tO' +p37583 +aS'on\ton\tIN\tB-PP\tO' +p37584 +aS'the\tthe\tDT\tB-NP\tO' +p37585 +aS'floor\tfloor\tNN\tI-NP\tO' +p37586 +aS'patient\tpatient\tNN\tI-NP\tO' +p37587 +aS"'s\t's\tPOS\tB-NP\tO" +p37588 +aS'hands\thand\tNNS\tI-NP\tO' +p37589 +aS'improved\timprove\tVBD\tB-VP\tO' +p37590 +aS'with\twith\tIN\tB-PP\tO' +p37591 +aS'good\tgood\tJJ\tB-NP\tO' +p37592 +aS'range\trange\tNN\tI-NP\tO' +p37593 +aS'of\tof\tIN\tB-PP\tO' +p37594 +aS'motion\tmotion\tNN\tB-NP\tO' +p37595 +aS'of\tof\tIN\tB-PP\tO' +p37596 +aS'left\tleft\tJJ\tB-NP\tO' +p37597 +aS'hand\thand\tNN\tI-NP\tO' +p37598 +aS',\t,\t,\tO\tO' +p37599 +aS'however\thowever\tRB\tB-ADVP\tO' +p37600 +aS'Jones\tJones\tNNP\tB-NP\tO' +p37601 +aS'some\tsome\tDT\tB-NP\tO' +p37602 +aS'poor\tpoor\tJJ\tI-NP\tO' +p37603 +aS'range\trange\tNN\tI-NP\tO' +p37604 +aS'of\tof\tIN\tB-PP\tO' +p37605 +aS'motion\tmotion\tNN\tB-NP\tO' +p37606 +aS'of\tof\tIN\tB-PP\tO' +p37607 +aS'right\tright\tNN\tB-NP\tO' +p37608 +aS'.\t.\t.\tO\tO' +p37609 +asS'Her diet was advanced from clears to a diet as tolerated .' +p37610 +(lp37611 +S'Her\tHer\tPRP$\tB-NP\tO' +p37612 +aS'diet\tdiet\tNN\tI-NP\tO' +p37613 +aS'was\tbe\tVBD\tB-VP\tO' +p37614 +aS'advanced\tadvance\tVBN\tI-VP\tO' +p37615 +aS'from\tfrom\tIN\tB-PP\tO' +p37616 +aS'clears\tclear\tNNS\tB-NP\tO' +p37617 +aS'to\tto\tTO\tB-PP\tO' +p37618 +aS'a\ta\tDT\tB-NP\tO' +p37619 +aS'diet\tdiet\tNN\tI-NP\tO' +p37620 +aS'as\tas\tIN\tB-SBAR\tO' +p37621 +aS'tolerated\ttolerate\tVBN\tB-VP\tO' +p37622 +aS'.\t.\t.\tO\tO' +p37623 +asS'Dry mucous membranes .' +p37624 +(lp37625 +S'Dry\tDry\tJJ\tB-NP\tO' +p37626 +aS'mucous\tmucous\tJJ\tI-NP\tO' +p37627 +aS'membranes\tmembrane\tNNS\tI-NP\tO' +p37628 +aS'.\t.\t.\tO\tO' +p37629 +asS'The patient was given Vancomycin and a gram of intravenous fluids .' +p37630 +(lp37631 +S'The\tThe\tDT\tB-NP\tO' +p37632 +aS'patient\tpatient\tNN\tI-NP\tO' +p37633 +aS'was\tbe\tVBD\tB-VP\tO' +p37634 +aS'given\tgive\tVBN\tI-VP\tO' +p37635 +aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' +p37636 +aS'and\tand\tCC\tO\tO' +p37637 +aS'a\ta\tDT\tB-NP\tO' +p37638 +aS'gram\tgram\tNN\tI-NP\tO' +p37639 +aS'of\tof\tIN\tB-PP\tO' +p37640 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p37641 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p37642 +aS'.\t.\t.\tO\tO' +p37643 +asS'Pt tolerated surgery well and was transferred to CT CMED ICU .' +p37644 +(lp37645 +S'Pt\tPt\tNN\tB-NP\tO' +p37646 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p37647 +aS'surgery\tsurgery\tNN\tB-NP\tO' +p37648 +aS'well\twell\tRB\tB-ADVP\tO' +p37649 +aS'and\tand\tCC\tO\tO' +p37650 +aS'was\tbe\tVBD\tB-VP\tO' +p37651 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p37652 +aS'to\tto\tTO\tB-PP\tO' +p37653 +aS'CT\tCT\tNN\tB-NP\tB-protein' +p37654 +aS'CMED\tCMED\tNN\tI-NP\tI-protein' +p37655 +aS'ICU\tICU\tNN\tI-NP\tI-protein' +p37656 +aS'.\t.\t.\tO\tO' +p37657 +asS'Pulmonary capillary wedge pressure was markedly elevated at 38 , with a very large mitral valve gradient .' +p37658 +(lp37659 +S'Pulmonary\tPulmonary\tJJ\tB-NP\tO' +p37660 +aS'capillary\tcapillary\tJJ\tI-NP\tO' +p37661 +aS'wedge\twedge\tNN\tI-NP\tO' +p37662 +aS'pressure\tpressure\tNN\tI-NP\tO' +p37663 +aS'was\tbe\tVBD\tB-VP\tO' +p37664 +aS'markedly\tmarkedly\tRB\tI-VP\tO' +p37665 +aS'elevated\televate\tVBN\tI-VP\tO' +p37666 +aS'at\tat\tIN\tB-PP\tO' +p37667 +aS'38\t38\tCD\tB-NP\tO' +p37668 +aS',\t,\t,\tO\tO' +p37669 +aS'with\twith\tIN\tB-PP\tO' +p37670 +aS'a\ta\tDT\tB-NP\tO' +p37671 +aS'very\tvery\tRB\tI-NP\tO' +p37672 +aS'large\tlarge\tJJ\tI-NP\tO' +p37673 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p37674 +aS'valve\tvalve\tNN\tI-NP\tO' +p37675 +aS'gradient\tgradient\tNN\tI-NP\tO' +p37676 +aS'.\t.\t.\tO\tO' +p37677 +asS'He denies any recent chest pain , palpitations , headache , confusion , weakness , numbness , abd pain , or hematuria .' +p37678 +(lp37679 +S'He\tHe\tPRP\tB-NP\tO' +p37680 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p37681 +aS'any\tany\tDT\tB-NP\tO' +p37682 +aS'recent\trecent\tJJ\tI-NP\tO' +p37683 +aS'chest\tchest\tNN\tI-NP\tO' +p37684 +aS'pain\tpain\tNN\tI-NP\tO' +p37685 +aS',\t,\t,\tO\tO' +p37686 +aS'palpitations\tpalpitation\tNNS\tB-NP\tO' +p37687 +aS',\t,\t,\tO\tO' +p37688 +aS'headache\theadache\tNN\tB-NP\tO' +p37689 +aS',\t,\t,\tO\tO' +p37690 +aS'confusion\tconfusion\tNN\tB-NP\tO' +p37691 +aS',\t,\t,\tO\tO' +p37692 +aS'weakness\tweakness\tNN\tB-NP\tO' +p37693 +aS',\t,\t,\tO\tO' +p37694 +aS'numbness\tnumbness\tNN\tB-NP\tO' +p37695 +aS',\t,\t,\tO\tO' +p37696 +aS'abd\tabd\tNN\tB-NP\tO' +p37697 +aS'pain\tpain\tNN\tI-NP\tO' +p37698 +aS',\t,\t,\tO\tO' +p37699 +aS'or\tor\tCC\tO\tO' +p37700 +aS'hematuria\thematuria\tNN\tB-NP\tO' +p37701 +aS'.\t.\t.\tO\tO' +p37702 +asS'It was thought that it could have been a combination of hypotension , hypercapnia and infection .' +p37703 +(lp37704 +S'It\tIt\tPRP\tB-NP\tO' +p37705 +aS'was\tbe\tVBD\tB-VP\tO' +p37706 +aS'thought\tthink\tVBN\tI-VP\tO' +p37707 +aS'that\tthat\tIN\tB-SBAR\tO' +p37708 +aS'it\tit\tPRP\tB-NP\tO' +p37709 +aS'could\tcould\tMD\tB-VP\tO' +p37710 +aS'have\thave\tVB\tI-VP\tO' +p37711 +aS'been\tbe\tVBN\tI-VP\tO' +p37712 +aS'a\ta\tDT\tB-NP\tO' +p37713 +aS'combination\tcombination\tNN\tI-NP\tO' +p37714 +aS'of\tof\tIN\tB-PP\tO' +p37715 +aS'hypotension\thypotension\tNN\tB-NP\tO' +p37716 +aS',\t,\t,\tI-NP\tO' +p37717 +aS'hypercapnia\thypercapnia\tNN\tI-NP\tO' +p37718 +aS'and\tand\tCC\tI-NP\tO' +p37719 +aS'infection\tinfection\tNN\tI-NP\tO' +p37720 +aS'.\t.\t.\tO\tO' +p37721 +asS'3. Pulmonary emboli .' +p37722 +(lp37723 +S'3.\t3.\tLS\tB-NP\tO' +p37724 +aS'Pulmonary\tPulmonary\tNNP\tI-NP\tO' +p37725 +aS'emboli\temboli\tNNP\tI-NP\tO' +p37726 +aS'.\t.\t.\tO\tO' +p37727 +asS'The patient presented initially to Rehab Hospital of the Cape & Islands Hospital at the end of December for abdominal pain , and was found to have pancreatitis .' +p37728 +(lp37729 +S'The\tThe\tDT\tB-NP\tO' +p37730 +aS'patient\tpatient\tNN\tI-NP\tO' +p37731 +aS'presented\tpresent\tVBD\tB-VP\tO' +p37732 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p37733 +aS'to\tto\tTO\tB-VP\tO' +p37734 +aS'Rehab\tRehab\tVB\tI-VP\tO' +p37735 +aS'Hospital\tHospital\tNN\tB-NP\tO' +p37736 +aS'of\tof\tIN\tB-PP\tO' +p37737 +aS'the\tthe\tDT\tB-NP\tO' +p37738 +aS'Cape\tCape\tNNP\tI-NP\tO' +p37739 +aS'&\t&\tCC\tI-NP\tO' +p37740 +aS'Islands\tIslands\tNNP\tI-NP\tO' +p37741 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p37742 +aS'at\tat\tIN\tB-PP\tO' +p37743 +aS'the\tthe\tDT\tB-NP\tO' +p37744 +aS'end\tend\tNN\tI-NP\tO' +p37745 +aS'of\tof\tIN\tB-PP\tO' +p37746 +aS'December\tDecember\tNNP\tB-NP\tO' +p37747 +aS'for\tfor\tIN\tB-PP\tO' +p37748 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p37749 +aS'pain\tpain\tNN\tI-NP\tO' +p37750 +aS',\t,\t,\tO\tO' +p37751 +aS'and\tand\tCC\tO\tO' +p37752 +aS'was\tbe\tVBD\tB-VP\tO' +p37753 +aS'found\tfind\tVBN\tI-VP\tO' +p37754 +aS'to\tto\tTO\tI-VP\tO' +p37755 +aS'have\thave\tVB\tI-VP\tO' +p37756 +aS'pancreatitis\tpancreatitis\tNN\tB-NP\tO' +p37757 +aS'.\t.\t.\tO\tO' +p37758 +asS'Tone decreased slightly in symmetric distribution , moves all extremities equally .' +p37759 +(lp37760 +S'Tone\tTone\tNN\tB-NP\tO' +p37761 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p37762 +aS'slightly\tslightly\tRB\tB-ADVP\tO' +p37763 +aS'in\tin\tIN\tB-PP\tO' +p37764 +aS'symmetric\tsymmetric\tJJ\tB-NP\tO' +p37765 +aS'distribution\tdistribution\tNN\tI-NP\tO' +p37766 +aS',\t,\t,\tO\tO' +p37767 +aS'moves\tmove\tVBZ\tB-VP\tO' +p37768 +aS'all\tall\tDT\tB-NP\tO' +p37769 +aS'extremities\textremity\tNNS\tI-NP\tO' +p37770 +aS'equally\tequally\tRB\tB-ADVP\tO' +p37771 +aS'.\t.\t.\tO\tO' +p37772 +asS'Toes were downgoing .' +p37773 +(lp37774 +S'Toes\tToe\tNNS\tB-NP\tO' +p37775 +aS'were\tbe\tVBD\tB-VP\tO' +p37776 +aS'downgoing\tdowngoe\tVBG\tI-VP\tO' +p37777 +aS'.\t.\t.\tO\tO' +p37778 +asS'Cardiac catheterization : inferior , posterobasilar hypokinesis , 1 + MR , EF 48% , mid RCA 50% , distal RCA 40% , mid LAD 50% , OM3 diffusely diseased s/p stenting of RCA with drug eluting stent with 10% residual flow .' +p37779 +(lp37780 +S'Cardiac\tCardiac\tJJ\tB-NP\tO' +p37781 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p37782 +aS':\t:\t:\tO\tO' +p37783 +aS'inferior\tinferior\tJJ\tB-NP\tO' +p37784 +aS',\t,\t,\tI-NP\tO' +p37785 +aS'posterobasilar\tposterobasilar\tJJ\tI-NP\tO' +p37786 +aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' +p37787 +aS',\t,\t,\tO\tO' +p37788 +aS'1\t1\tCD\tB-NP\tO' +p37789 +aS'+\t+\tSYM\tI-NP\tO' +p37790 +aS'MR\tMR\tNN\tI-NP\tB-protein' +p37791 +aS',\t,\t,\tO\tO' +p37792 +aS'EF\tEF\tNN\tB-NP\tB-protein' +p37793 +aS'48%\t48%\tNN\tI-NP\tI-protein' +p37794 +aS',\t,\t,\tO\tO' +p37795 +aS'mid\tmid\tJJ\tB-ADJP\tO' +p37796 +aS'RCA\tRCA\tNNP\tB-NP\tO' +p37797 +aS'50%\t50%\tCD\tI-NP\tO' +p37798 +aS',\t,\t,\tO\tO' +p37799 +aS'distal\tdistal\tJJ\tB-NP\tB-protein' +p37800 +aS'RCA\tRCA\tNN\tI-NP\tI-protein' +p37801 +aS'40%\t40%\tNN\tI-NP\tI-protein' +p37802 +aS',\t,\t,\tO\tO' +p37803 +aS'mid\tmid\tJJ\tB-NP\tO' +p37804 +aS'LAD\tLAD\tNN\tI-NP\tO' +p37805 +aS'50%\t50%\tCD\tI-NP\tO' +p37806 +aS',\t,\t,\tO\tO' +p37807 +aS'OM3\tOM3\tNN\tB-NP\tB-protein' +p37808 +aS'diffusely\tdiffusely\tRB\tB-ADVP\tO' +p37809 +aS'diseased\tdisease\tVBD\tB-VP\tO' +p37810 +aS's/p\ts/p\tNN\tB-NP\tO' +p37811 +aS'stenting\tstenting\tNN\tI-NP\tO' +p37812 +aS'of\tof\tIN\tB-PP\tO' +p37813 +aS'RCA\tRCA\tNN\tB-NP\tB-protein' +p37814 +aS'with\twith\tIN\tB-PP\tO' +p37815 +aS'drug\tdrug\tNN\tB-NP\tO' +p37816 +aS'eluting\telute\tVBG\tB-VP\tO' +p37817 +aS'stent\tstent\tNN\tB-NP\tO' +p37818 +aS'with\twith\tIN\tB-PP\tO' +p37819 +aS'10%\t10%\tCD\tB-NP\tO' +p37820 +aS'residual\tresidual\tJJ\tI-NP\tO' +p37821 +aS'flow\tflow\tNN\tI-NP\tO' +p37822 +aS'.\t.\t.\tO\tO' +p37823 +asS'May start beta-blocker at a low dose given mild bradycardia at atenolol 50 mg p.o. q day .' +p37824 +(lp37825 +S'May\tMay\tMD\tB-VP\tO' +p37826 +aS'start\tstart\tVB\tI-VP\tO' +p37827 +aS'beta-blocker\tbeta-blocker\tNN\tB-NP\tO' +p37828 +aS'at\tat\tIN\tB-PP\tO' +p37829 +aS'a\ta\tDT\tB-NP\tO' +p37830 +aS'low\tlow\tJJ\tI-NP\tO' +p37831 +aS'dose\tdose\tNN\tI-NP\tO' +p37832 +aS'given\tgive\tVBN\tB-VP\tO' +p37833 +aS'mild\tmild\tJJ\tB-NP\tO' +p37834 +aS'bradycardia\tbradycardia\tNN\tI-NP\tO' +p37835 +aS'at\tat\tIN\tB-PP\tO' +p37836 +aS'atenolol\tatenolol\tNN\tB-NP\tO' +p37837 +aS'50\t50\tCD\tI-NP\tO' +p37838 +aS'mg\tmg\tNN\tI-NP\tO' +p37839 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p37840 +aS'q\tq\tNN\tI-NP\tO' +p37841 +aS'day\tday\tNN\tI-NP\tO' +p37842 +aS'.\t.\t.\tO\tO' +p37843 +asS'There was no obvious segmental wall-motion abnormality .' +p37844 +(lp37845 +S'There\tThere\tEX\tB-NP\tO' +p37846 +aS'was\tbe\tVBD\tB-VP\tO' +p37847 +aS'no\tno\tDT\tB-NP\tO' +p37848 +aS'obvious\tobvious\tJJ\tI-NP\tO' +p37849 +aS'segmental\tsegmental\tJJ\tI-NP\tO' +p37850 +aS'wall-motion\twall-motion\tNN\tI-NP\tO' +p37851 +aS'abnormality\tabnormality\tNN\tI-NP\tO' +p37852 +aS'.\t.\t.\tO\tO' +p37853 +asS'EKG is notable for sinus tachycardia at 100 beats per minute , normal axis .' +p37854 +(lp37855 +S'EKG\tEKG\tNN\tB-NP\tB-protein' +p37856 +aS'is\tbe\tVBZ\tB-VP\tO' +p37857 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p37858 +aS'for\tfor\tIN\tB-PP\tO' +p37859 +aS'sinus\tsinus\tNN\tB-NP\tO' +p37860 +aS'tachycardia\ttachycardia\tNN\tI-NP\tO' +p37861 +aS'at\tat\tIN\tB-PP\tO' +p37862 +aS'100\t100\tCD\tB-NP\tO' +p37863 +aS'beats\tbeat\tNNS\tI-NP\tO' +p37864 +aS'per\tper\tIN\tB-PP\tO' +p37865 +aS'minute\tminute\tNN\tB-NP\tO' +p37866 +aS',\t,\t,\tO\tO' +p37867 +aS'normal\tnormal\tJJ\tB-NP\tO' +p37868 +aS'axis\taxis\tNN\tI-NP\tO' +p37869 +aS'.\t.\t.\tO\tO' +p37870 +asS'The patient should have a follow up appointment arranged with Dr. Level .' +p37871 +(lp37872 +S'The\tThe\tDT\tB-NP\tO' +p37873 +aS'patient\tpatient\tNN\tI-NP\tO' +p37874 +aS'should\tshould\tMD\tB-VP\tO' +p37875 +aS'have\thave\tVB\tI-VP\tO' +p37876 +aS'a\ta\tDT\tB-NP\tO' +p37877 +aS'follow\tfollow\tNN\tI-NP\tO' +p37878 +aS'up\tup\tRP\tB-PRT\tO' +p37879 +aS'appointment\tappointment\tNN\tB-NP\tO' +p37880 +aS'arranged\tarrange\tVBN\tB-VP\tO' +p37881 +aS'with\twith\tIN\tB-PP\tO' +p37882 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p37883 +aS'Level\tLevel\tNNP\tI-NP\tO' +p37884 +aS'.\t.\t.\tO\tO' +p37885 +asS'Abdomen : obese , soft , mildly distended dull to percussion throughout , no tenderness , liver non-palpable due to large volume of ascited' +p37886 +(lp37887 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p37888 +aS':\t:\t:\tO\tO' +p37889 +aS'obese\tobese\tJJ\tB-NP\tO' +p37890 +aS',\t,\t,\tI-NP\tO' +p37891 +aS'soft\tsoft\tJJ\tI-NP\tO' +p37892 +aS',\t,\t,\tO\tO' +p37893 +aS'mildly\tmildly\tRB\tB-ADVP\tO' +p37894 +aS'distended\tdistend\tVBD\tB-VP\tO' +p37895 +aS'dull\tdull\tNN\tB-NP\tO' +p37896 +aS'to\tto\tTO\tB-PP\tO' +p37897 +aS'percussion\tpercussion\tNN\tB-NP\tO' +p37898 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p37899 +aS',\t,\t,\tO\tO' +p37900 +aS'no\tno\tDT\tB-NP\tO' +p37901 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p37902 +aS',\t,\t,\tO\tO' +p37903 +aS'liver\tliver\tNN\tB-NP\tO' +p37904 +aS'non-palpable\tnon-palpable\tJJ\tI-NP\tO' +p37905 +aS'due\tdue\tJJ\tB-ADVP\tO' +p37906 +aS'to\tto\tTO\tB-PP\tO' +p37907 +aS'large\tlarge\tJJ\tB-NP\tO' +p37908 +aS'volume\tvolume\tNN\tI-NP\tO' +p37909 +aS'of\tof\tIN\tB-PP\tO' +p37910 +aS'ascited\tascite\tVBN\tB-VP\tO' +p37911 +asS'Demyelinating polyradiculopathy .' +p37912 +(lp37913 +S'Demyelinating\tDemyelinate\tVBG\tB-VP\tO' +p37914 +aS'polyradiculopathy\tpolyradiculopathy\tNN\tB-NP\tO' +p37915 +aS'.\t.\t.\tO\tO' +p37916 +asS'He was fired as a Federal Express worker recently and his wife kicked the patient out of his home on 2010-08-27 .' +p37917 +(lp37918 +S'He\tHe\tPRP\tB-NP\tO' +p37919 +aS'was\tbe\tVBD\tB-VP\tO' +p37920 +aS'fired\tfire\tVBN\tI-VP\tO' +p37921 +aS'as\tas\tIN\tB-PP\tO' +p37922 +aS'a\ta\tDT\tB-NP\tO' +p37923 +aS'Federal\tFederal\tNNP\tI-NP\tO' +p37924 +aS'Express\tExpress\tNNP\tI-NP\tO' +p37925 +aS'worker\tworker\tNN\tI-NP\tO' +p37926 +aS'recently\trecently\tRB\tB-ADVP\tO' +p37927 +aS'and\tand\tCC\tO\tO' +p37928 +aS'his\this\tPRP$\tB-NP\tO' +p37929 +aS'wife\twife\tNN\tI-NP\tO' +p37930 +aS'kicked\tkick\tVBD\tB-VP\tO' +p37931 +aS'the\tthe\tDT\tB-NP\tO' +p37932 +aS'patient\tpatient\tNN\tI-NP\tO' +p37933 +aS'out\tout\tIN\tB-PP\tO' +p37934 +aS'of\tof\tIN\tB-PP\tO' +p37935 +aS'his\this\tPRP$\tB-NP\tO' +p37936 +aS'home\thome\tNN\tI-NP\tO' +p37937 +aS'on\ton\tIN\tB-PP\tO' +p37938 +aS'2010-08-27\t2010-08-27\tCD\tB-NP\tO' +p37939 +aS'.\t.\t.\tO\tO' +p37940 +asS'She self extubated the first day and was reintubated without any complications .' +p37941 +(lp37942 +S'She\tShe\tPRP\tB-NP\tO' +p37943 +aS'self\tself\tPRP\tB-NP\tO' +p37944 +aS'extubated\textubate\tVBD\tB-VP\tO' +p37945 +aS'the\tthe\tDT\tB-NP\tO' +p37946 +aS'first\tfirst\tJJ\tI-NP\tO' +p37947 +aS'day\tday\tNN\tI-NP\tO' +p37948 +aS'and\tand\tCC\tO\tO' +p37949 +aS'was\tbe\tVBD\tB-VP\tO' +p37950 +aS'reintubated\treintubate\tVBN\tI-VP\tO' +p37951 +aS'without\twithout\tIN\tB-PP\tO' +p37952 +aS'any\tany\tDT\tB-NP\tO' +p37953 +aS'complications\tcomplication\tNNS\tI-NP\tO' +p37954 +aS'.\t.\t.\tO\tO' +p37955 +asS'Initial biopsy of the allograft three days after the operation was consistent with preservation / ischemic injury .' +p37956 +(lp37957 +S'Initial\tInitial\tJJ\tB-NP\tO' +p37958 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p37959 +aS'of\tof\tIN\tB-PP\tO' +p37960 +aS'the\tthe\tDT\tB-NP\tO' +p37961 +aS'allograft\tallograft\tNN\tI-NP\tO' +p37962 +aS'three\tthree\tCD\tB-NP\tO' +p37963 +aS'days\tday\tNNS\tI-NP\tO' +p37964 +aS'after\tafter\tIN\tB-PP\tO' +p37965 +aS'the\tthe\tDT\tB-NP\tO' +p37966 +aS'operation\toperation\tNN\tI-NP\tO' +p37967 +aS'was\tbe\tVBD\tB-VP\tO' +p37968 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p37969 +aS'with\twith\tIN\tB-PP\tO' +p37970 +aS'preservation\tpreservation\tNN\tB-NP\tO' +p37971 +aS'/\t/\tSYM\tB-NP\tO' +p37972 +aS'ischemic\tischemic\tJJ\tI-NP\tO' +p37973 +aS'injury\tinjury\tNN\tI-NP\tO' +p37974 +aS'.\t.\t.\tO\tO' +p37975 +asS'There was no evidence of continued bleeding and her HCT remained stable around 30 .' +p37976 +(lp37977 +S'There\tThere\tEX\tB-NP\tO' +p37978 +aS'was\tbe\tVBD\tB-VP\tO' +p37979 +aS'no\tno\tDT\tB-NP\tO' +p37980 +aS'evidence\tevidence\tNN\tI-NP\tO' +p37981 +aS'of\tof\tIN\tB-PP\tO' +p37982 +aS'continued\tcontinued\tJJ\tB-NP\tO' +p37983 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p37984 +aS'and\tand\tCC\tO\tO' +p37985 +aS'her\ther\tPRP$\tB-NP\tO' +p37986 +aS'HCT\tHCT\tNN\tI-NP\tB-protein' +p37987 +aS'remained\tremain\tVBD\tB-VP\tI-protein' +p37988 +aS'stable\tstable\tJJ\tB-ADJP\tI-protein' +p37989 +aS'around\taround\tIN\tB-PP\tI-protein' +p37990 +aS'30\t30\tCD\tB-NP\tI-protein' +p37991 +aS'.\t.\t.\tO\tO' +p37992 +asS'Also , explained which meds are new .' +p37993 +(lp37994 +S'Also\tAlso\tRB\tB-ADVP\tO' +p37995 +aS',\t,\t,\tO\tO' +p37996 +aS'explained\texplain\tVBD\tB-VP\tO' +p37997 +aS'which\twhich\tWDT\tB-NP\tO' +p37998 +aS'meds\tmed\tNNS\tI-NP\tO' +p37999 +aS'are\tbe\tVBP\tB-VP\tO' +p38000 +aS'new\tnew\tJJ\tB-ADJP\tO' +p38001 +aS'.\t.\t.\tO\tO' +p38002 +asS'- Started lisinopril .' +p38003 +(lp38004 +S'-\t-\tHYPH\tB-NP\tO' +p38005 +aS'Started\tStarted\tJJ\tI-NP\tO' +p38006 +aS'lisinopril\tlisinopril\tNN\tI-NP\tO' +p38007 +aS'.\t.\t.\tO\tO' +p38008 +asS'The patient is to return to the ED for recurrent dizziness , chest pain , shortness of breath or weakness .' +p38009 +(lp38010 +S'The\tThe\tDT\tB-NP\tO' +p38011 +aS'patient\tpatient\tNN\tI-NP\tO' +p38012 +aS'is\tbe\tVBZ\tB-VP\tO' +p38013 +aS'to\tto\tTO\tB-VP\tO' +p38014 +aS'return\treturn\tVB\tI-VP\tO' +p38015 +aS'to\tto\tTO\tB-PP\tO' +p38016 +aS'the\tthe\tDT\tB-NP\tO' +p38017 +aS'ED\tED\tNN\tI-NP\tO' +p38018 +aS'for\tfor\tIN\tB-PP\tO' +p38019 +aS'recurrent\trecurrent\tJJ\tB-NP\tO' +p38020 +aS'dizziness\tdizziness\tNN\tI-NP\tO' +p38021 +aS',\t,\t,\tO\tO' +p38022 +aS'chest\tchest\tNN\tB-NP\tO' +p38023 +aS'pain\tpain\tNN\tI-NP\tO' +p38024 +aS',\t,\t,\tO\tO' +p38025 +aS'shortness\tshortness\tNN\tB-NP\tO' +p38026 +aS'of\tof\tIN\tB-PP\tO' +p38027 +aS'breath\tbreath\tNN\tB-NP\tO' +p38028 +aS'or\tor\tCC\tI-NP\tO' +p38029 +aS'weakness\tweakness\tNN\tI-NP\tO' +p38030 +aS'.\t.\t.\tO\tO' +p38031 +asS'A 24 hour CBC was obtained .' +p38032 +(lp38033 +S'A\tA\tDT\tB-NP\tO' +p38034 +aS'24\t24\tCD\tI-NP\tO' +p38035 +aS'hour\thour\tNN\tI-NP\tO' +p38036 +aS'CBC\tCBC\tNN\tI-NP\tO' +p38037 +aS'was\tbe\tVBD\tB-VP\tO' +p38038 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p38039 +aS'.\t.\t.\tO\tO' +p38040 +asS'She had diagnosed brain mets in 2012-03-25 right side cerebella and parietal for which she was treated with chemotherapy , radiation therapy and Decadron .' +p38041 +(lp38042 +S'She\tShe\tPRP\tB-NP\tO' +p38043 +aS'had\thave\tVBD\tB-VP\tO' +p38044 +aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' +p38045 +aS'brain\tbrain\tNN\tB-NP\tO' +p38046 +aS'mets\tmet\tNNS\tI-NP\tO' +p38047 +aS'in\tin\tIN\tB-PP\tO' +p38048 +aS'2012-03-25\t2012-03-25\tCD\tB-NP\tO' +p38049 +aS'right\tright\tJJ\tI-NP\tO' +p38050 +aS'side\tside\tNN\tI-NP\tO' +p38051 +aS'cerebella\tcerebella\tNN\tI-NP\tO' +p38052 +aS'and\tand\tCC\tI-NP\tO' +p38053 +aS'parietal\tparietal\tNN\tI-NP\tO' +p38054 +aS'for\tfor\tIN\tB-PP\tO' +p38055 +aS'which\twhich\tWDT\tB-NP\tO' +p38056 +aS'she\tshe\tPRP\tB-NP\tO' +p38057 +aS'was\tbe\tVBD\tB-VP\tO' +p38058 +aS'treated\ttreat\tVBN\tI-VP\tO' +p38059 +aS'with\twith\tIN\tB-PP\tO' +p38060 +aS'chemotherapy\tchemotherapy\tNN\tB-NP\tO' +p38061 +aS',\t,\t,\tO\tO' +p38062 +aS'radiation\tradiation\tNN\tB-NP\tO' +p38063 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p38064 +aS'and\tand\tCC\tO\tO' +p38065 +aS'Decadron\tDecadron\tNNP\tB-NP\tO' +p38066 +aS'.\t.\t.\tO\tO' +p38067 +asS'Per cardiology consult recs , discontinued digoxin and started amiodarone .' +p38068 +(lp38069 +S'Per\tPer\tNN\tB-NP\tB-cell_type' +p38070 +aS'cardiology\tcardiology\tNN\tI-NP\tI-cell_type' +p38071 +aS'consult\tconsult\tNN\tI-NP\tI-cell_type' +p38072 +aS'recs\trec\tNNS\tI-NP\tI-cell_type' +p38073 +aS',\t,\t,\tO\tO' +p38074 +aS'discontinued\tdiscontinue\tVBN\tB-NP\tO' +p38075 +aS'digoxin\tdigoxin\tNN\tI-NP\tO' +p38076 +aS'and\tand\tCC\tO\tO' +p38077 +aS'started\tstart\tVBD\tB-VP\tO' +p38078 +aS'amiodarone\tamiodarone\tNN\tB-NP\tO' +p38079 +aS'.\t.\t.\tO\tO' +p38080 +asS'Lorazepam / Penicillins / Prednisone / Hydrochlorothiazide / Ceftriaxone / Phenytoin' +p38081 +(lp38082 +S'Lorazepam\tLorazepam\tNN\tB-NP\tO' +p38083 +aS'/\t/\tSYM\tI-NP\tO' +p38084 +aS'Penicillins\tPenicillins\tNN\tI-NP\tB-protein' +p38085 +aS'/\t/\tSYM\tB-NP\tO' +p38086 +aS'Prednisone\tPrednisone\tNN\tI-NP\tO' +p38087 +aS'/\t/\tSYM\tI-NP\tO' +p38088 +aS'Hydrochlorothiazide\tHydrochlorothiazide\tNN\tI-NP\tO' +p38089 +aS'/\t/\tSYM\tB-NP\tO' +p38090 +aS'Ceftriaxone\tCeftriaxone\tNN\tI-NP\tO' +p38091 +aS'/\t/\tSYM\tO\tO' +p38092 +aS'Phenytoin\tPhenytoin\tNN\tB-NP\tO' +p38093 +asS'Abdominal CT while in the Emergency Department revealed likely primary colorectal adenocarcinoma with multiple liver metastases .' +p38094 +(lp38095 +S'Abdominal\tAbdominal\tJJ\tB-NP\tO' +p38096 +aS'CT\tCT\tNN\tI-NP\tO' +p38097 +aS'while\twhile\tIN\tB-SBAR\tO' +p38098 +aS'in\tin\tIN\tB-PP\tO' +p38099 +aS'the\tthe\tDT\tB-NP\tO' +p38100 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p38101 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p38102 +aS'revealed\treveal\tVBD\tB-VP\tO' +p38103 +aS'likely\tlikely\tRB\tB-NP\tO' +p38104 +aS'primary\tprimary\tJJ\tI-NP\tO' +p38105 +aS'colorectal\tcolorectal\tJJ\tI-NP\tO' +p38106 +aS'adenocarcinoma\tadenocarcinoma\tNN\tI-NP\tO' +p38107 +aS'with\twith\tIN\tB-PP\tO' +p38108 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p38109 +aS'liver\tliver\tNN\tI-NP\tO' +p38110 +aS'metastases\tmetastasis\tNNS\tI-NP\tO' +p38111 +aS'.\t.\t.\tO\tO' +p38112 +asS'Dictated By : Randolph Q Barber , M.D.' +p38113 +(lp38114 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p38115 +aS'By\tBy\tIN\tB-PP\tO' +p38116 +aS':\t:\t:\tO\tO' +p38117 +aS'Randolph\tRandolph\tNNP\tB-NP\tO' +p38118 +aS'Q\tQ\tNNP\tI-NP\tO' +p38119 +aS'Barber\tBarber\tNNP\tI-NP\tO' +p38120 +aS',\t,\t,\tO\tO' +p38121 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p38122 +asS'A Hickman catheter was placed and the patient was begun on chemotherapy .' +p38123 +(lp38124 +S'A\tA\tDT\tB-NP\tO' +p38125 +aS'Hickman\tHickman\tNNP\tI-NP\tO' +p38126 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p38127 +aS'was\tbe\tVBD\tB-VP\tO' +p38128 +aS'placed\tplace\tVBN\tI-VP\tO' +p38129 +aS'and\tand\tCC\tO\tO' +p38130 +aS'the\tthe\tDT\tB-NP\tO' +p38131 +aS'patient\tpatient\tNN\tI-NP\tO' +p38132 +aS'was\tbe\tVBD\tB-VP\tO' +p38133 +aS'begun\tbegin\tVBN\tI-VP\tO' +p38134 +aS'on\ton\tIN\tB-PP\tO' +p38135 +aS'chemotherapy\tchemotherapy\tNN\tB-NP\tO' +p38136 +aS'.\t.\t.\tO\tO' +p38137 +asS'right above-knee amputation five years ago , status post motor vehicle accident .' +p38138 +(lp38139 +S'right\tright\tJJ\tB-NP\tO' +p38140 +aS'above-knee\tabove-knee\tJJ\tI-NP\tO' +p38141 +aS'amputation\tamputation\tNN\tI-NP\tO' +p38142 +aS'five\tfive\tCD\tB-NP\tO' +p38143 +aS'years\tyear\tNNS\tI-NP\tO' +p38144 +aS'ago\tago\tIN\tB-ADVP\tO' +p38145 +aS',\t,\t,\tO\tO' +p38146 +aS'status\tstatus\tNN\tB-NP\tO' +p38147 +aS'post\tpost\tNN\tI-NP\tO' +p38148 +aS'motor\tmotor\tNN\tI-NP\tO' +p38149 +aS'vehicle\tvehicle\tNN\tI-NP\tO' +p38150 +aS'accident\taccident\tNN\tI-NP\tO' +p38151 +aS'.\t.\t.\tO\tO' +p38152 +asS'Psoriasis .' +p38153 +(lp38154 +S'Psoriasis\tPsoriasis\tNN\tB-NP\tO' +p38155 +aS'.\t.\t.\tO\tO' +p38156 +asS'He was extubated on 03-24 and was weaned off oxygen slowly from 03-24 to 03-26 without significant event .' +p38157 +(lp38158 +S'He\tHe\tPRP\tB-NP\tO' +p38159 +aS'was\tbe\tVBD\tB-VP\tO' +p38160 +aS'extubated\textubate\tVBN\tI-VP\tO' +p38161 +aS'on\ton\tIN\tB-PP\tO' +p38162 +aS'03-24\t03-24\tCD\tB-NP\tO' +p38163 +aS'and\tand\tCC\tO\tO' +p38164 +aS'was\tbe\tVBD\tB-VP\tO' +p38165 +aS'weaned\twean\tVBN\tI-VP\tO' +p38166 +aS'off\toff\tRP\tB-PRT\tO' +p38167 +aS'oxygen\toxygen\tNN\tB-NP\tO' +p38168 +aS'slowly\tslowly\tRB\tB-ADVP\tO' +p38169 +aS'from\tfrom\tIN\tB-PP\tO' +p38170 +aS'03-24\t03-24\tCD\tB-NP\tO' +p38171 +aS'to\tto\tTO\tB-PP\tO' +p38172 +aS'03-26\t03-26\tCD\tB-NP\tO' +p38173 +aS'without\twithout\tIN\tB-PP\tO' +p38174 +aS'significant\tsignificant\tJJ\tB-NP\tO' +p38175 +aS'event\tevent\tNN\tI-NP\tO' +p38176 +aS'.\t.\t.\tO\tO' +p38177 +asS'Review of the medical record revealed several previous admissions for cellulitis and bacteremia .' +p38178 +(lp38179 +S'Review\tReview\tNN\tB-NP\tO' +p38180 +aS'of\tof\tIN\tB-PP\tO' +p38181 +aS'the\tthe\tDT\tB-NP\tO' +p38182 +aS'medical\tmedical\tJJ\tI-NP\tO' +p38183 +aS'record\trecord\tNN\tI-NP\tO' +p38184 +aS'revealed\treveal\tVBD\tB-VP\tO' +p38185 +aS'several\tseveral\tJJ\tB-NP\tO' +p38186 +aS'previous\tprevious\tJJ\tI-NP\tO' +p38187 +aS'admissions\tadmission\tNNS\tI-NP\tO' +p38188 +aS'for\tfor\tIN\tB-PP\tO' +p38189 +aS'cellulitis\tcellulitis\tNN\tB-NP\tO' +p38190 +aS'and\tand\tCC\tI-NP\tO' +p38191 +aS'bacteremia\tbacteremia\tNN\tI-NP\tO' +p38192 +aS'.\t.\t.\tO\tO' +p38193 +asS'60 yo M with exertional angina -> positive ETT -> cath with severe 3VD' +p38194 +(lp38195 +S'60\t60\tCD\tB-NP\tO' +p38196 +aS'yo\tyo\tNN\tI-NP\tO' +p38197 +aS'M\tM\tNN\tI-NP\tO' +p38198 +aS'with\twith\tIN\tB-PP\tO' +p38199 +aS'exertional\texertional\tJJ\tB-NP\tO' +p38200 +aS'angina\tangina\tNN\tI-NP\tO' +p38201 +aS'->\t->\tSYM\tB-NP\tO' +p38202 +aS'positive\tpositive\tJJ\tI-NP\tO' +p38203 +aS'ETT\tETT\tNN\tI-NP\tO' +p38204 +aS'->\t->\tSYM\tB-NP\tO' +p38205 +aS'cath\tcath\tNN\tI-NP\tO' +p38206 +aS'with\twith\tIN\tB-PP\tO' +p38207 +aS'severe\tsevere\tJJ\tB-NP\tO' +p38208 +aS'3VD\t3VD\tNN\tI-NP\tO' +p38209 +asS'Dictated By : Cristobal C. Reid , M.D.' +p38210 +(lp38211 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p38212 +aS'By\tBy\tIN\tB-PP\tO' +p38213 +aS':\t:\t:\tO\tO' +p38214 +aS'Cristobal\tCristobal\tNNP\tB-NP\tO' +p38215 +aS'C.\tC.\tNNP\tI-NP\tO' +p38216 +aS'Reid\tReid\tNNP\tI-NP\tO' +p38217 +aS',\t,\t,\tO\tO' +p38218 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p38219 +asS'Blood pressure 140/100 , phosphorus 94 , weight 181 lb .' +p38220 +(lp38221 +S'Blood\tBlood\tNN\tB-NP\tO' +p38222 +aS'pressure\tpressure\tNN\tI-NP\tO' +p38223 +aS'140/100\t140/100\tCD\tI-NP\tO' +p38224 +aS',\t,\t,\tO\tO' +p38225 +aS'phosphorus\tphosphorus\tNN\tB-NP\tO' +p38226 +aS'94\t94\tCD\tI-NP\tO' +p38227 +aS',\t,\t,\tO\tO' +p38228 +aS'weight\tweight\tNN\tB-NP\tO' +p38229 +aS'181\t181\tCD\tI-NP\tO' +p38230 +aS'lb\tlb\tNN\tI-NP\tO' +p38231 +aS'.\t.\t.\tO\tO' +p38232 +asS'Continue to be non-weight bearing on your left leg' +p38233 +(lp38234 +S'Continue\tContinue\tNNP\tB-NP\tO' +p38235 +aS'to\tto\tTO\tB-VP\tO' +p38236 +aS'be\tbe\tVB\tI-VP\tO' +p38237 +aS'non-weight\tnon-weight\tJJ\tB-NP\tO' +p38238 +aS'bearing\tbearing\tNN\tI-NP\tO' +p38239 +aS'on\ton\tIN\tB-PP\tO' +p38240 +aS'your\tyour\tPRP$\tB-NP\tO' +p38241 +aS'left\tleft\tJJ\tI-NP\tO' +p38242 +aS'leg\tleg\tNN\tI-NP\tO' +p38243 +asS'A swan was placed for a more accurate picture of his volume status and he was volume overloaded by swan numbers with an elevated PAD and elevated CVP without an obtainable wedge pressure .' +p38244 +(lp38245 +S'A\tA\tDT\tB-NP\tO' +p38246 +aS'swan\tswan\tNN\tI-NP\tO' +p38247 +aS'was\tbe\tVBD\tB-VP\tO' +p38248 +aS'placed\tplace\tVBN\tI-VP\tO' +p38249 +aS'for\tfor\tIN\tB-PP\tO' +p38250 +aS'a\ta\tDT\tB-NP\tO' +p38251 +aS'more\tmore\tRBR\tI-NP\tO' +p38252 +aS'accurate\taccurate\tJJ\tI-NP\tO' +p38253 +aS'picture\tpicture\tNN\tI-NP\tO' +p38254 +aS'of\tof\tIN\tB-PP\tO' +p38255 +aS'his\this\tPRP$\tB-NP\tO' +p38256 +aS'volume\tvolume\tNN\tI-NP\tO' +p38257 +aS'status\tstatus\tNN\tI-NP\tO' +p38258 +aS'and\tand\tCC\tO\tO' +p38259 +aS'he\the\tPRP\tB-NP\tO' +p38260 +aS'was\tbe\tVBD\tB-VP\tO' +p38261 +aS'volume\tvolume\tNN\tB-NP\tO' +p38262 +aS'overloaded\toverload\tVBN\tB-VP\tO' +p38263 +aS'by\tby\tIN\tB-PP\tO' +p38264 +aS'swan\tswan\tNN\tB-NP\tO' +p38265 +aS'numbers\tnumber\tNNS\tI-NP\tO' +p38266 +aS'with\twith\tIN\tB-PP\tO' +p38267 +aS'an\tan\tDT\tB-NP\tO' +p38268 +aS'elevated\televate\tVBN\tI-NP\tO' +p38269 +aS'PAD\tPAD\tNN\tI-NP\tO' +p38270 +aS'and\tand\tCC\tI-NP\tO' +p38271 +aS'elevated\televated\tJJ\tI-NP\tO' +p38272 +aS'CVP\tCVP\tNN\tI-NP\tO' +p38273 +aS'without\twithout\tIN\tB-PP\tO' +p38274 +aS'an\tan\tDT\tB-NP\tO' +p38275 +aS'obtainable\tobtainable\tJJ\tI-NP\tO' +p38276 +aS'wedge\twedge\tNN\tI-NP\tO' +p38277 +aS'pressure\tpressure\tNN\tI-NP\tO' +p38278 +aS'.\t.\t.\tO\tO' +p38279 +asS"The patient is a 49-year-old gravida III , para II , who was sent from her primary care physician 's office secondary to lower abdominal pain ." +p38280 +(lp38281 +S'The\tThe\tDT\tB-NP\tO' +p38282 +aS'patient\tpatient\tNN\tI-NP\tO' +p38283 +aS'is\tbe\tVBZ\tB-VP\tO' +p38284 +aS'a\ta\tDT\tB-NP\tO' +p38285 +aS'49-year-old\t49-year-old\tJJ\tI-NP\tO' +p38286 +aS'gravida\tgravida\tNN\tI-NP\tO' +p38287 +aS'III\tIII\tCD\tI-NP\tO' +p38288 +aS',\t,\t,\tO\tO' +p38289 +aS'para\tpara\tNN\tB-NP\tO' +p38290 +aS'II\tII\tCD\tI-NP\tO' +p38291 +aS',\t,\t,\tO\tO' +p38292 +aS'who\twho\tWP\tB-NP\tO' +p38293 +aS'was\tbe\tVBD\tB-VP\tO' +p38294 +aS'sent\tsend\tVBN\tI-VP\tO' +p38295 +aS'from\tfrom\tIN\tB-PP\tO' +p38296 +aS'her\ther\tPRP$\tB-NP\tO' +p38297 +aS'primary\tprimary\tJJ\tI-NP\tO' +p38298 +aS'care\tcare\tNN\tI-NP\tO' +p38299 +aS'physician\tphysician\tNN\tI-NP\tO' +p38300 +aS"'s\t's\tPOS\tB-NP\tO" +p38301 +aS'office\toffice\tNN\tI-NP\tO' +p38302 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p38303 +aS'to\tto\tTO\tB-PP\tO' +p38304 +aS'lower\tlow\tJJR\tB-NP\tO' +p38305 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p38306 +aS'pain\tpain\tNN\tI-NP\tO' +p38307 +aS'.\t.\t.\tO\tO' +p38308 +asS'61-120 mg / dL 0 Units' +p38309 +(lp38310 +S'61-120\t61-120\tCD\tB-NP\tO' +p38311 +aS'mg\tmg\tNN\tI-NP\tO' +p38312 +aS'/\t/\tSYM\tB-NP\tO' +p38313 +aS'dL\tdL\tNN\tI-NP\tO' +p38314 +aS'0\t0\tCD\tB-NP\tO' +p38315 +aS'Units\tUnit\tNNS\tI-NP\tO' +p38316 +asS'1. Coronary artery disease , status post coronary artery bypass grafting times 4 with LIMA to the LAD , saphenous vein graft to OM1 , saphenous vein graft to OM2 and saphenous vein graft to the diagonal .' +p38317 +(lp38318 +S'1.\t1.\tLS\tB-NP\tO' +p38319 +aS'Coronary\tCoronary\tJJ\tI-NP\tO' +p38320 +aS'artery\tartery\tNN\tI-NP\tO' +p38321 +aS'disease\tdisease\tNN\tI-NP\tO' +p38322 +aS',\t,\t,\tO\tO' +p38323 +aS'status\tstatus\tNN\tB-NP\tB-protein' +p38324 +aS'post\tpost\tNN\tI-NP\tI-protein' +p38325 +aS'coronary\tcoronary\tJJ\tI-NP\tI-protein' +p38326 +aS'artery\tartery\tNN\tI-NP\tI-protein' +p38327 +aS'bypass\tbypass\tIN\tB-PP\tI-protein' +p38328 +aS'grafting\tgraft\tVBG\tB-VP\tI-protein' +p38329 +aS'times\ttime\tNNS\tB-NP\tI-protein' +p38330 +aS'4\t4\tCD\tB-NP\tI-protein' +p38331 +aS'with\twith\tIN\tB-PP\tO' +p38332 +aS'LIMA\tLIMA\tNN\tB-NP\tB-protein' +p38333 +aS'to\tto\tTO\tB-PP\tO' +p38334 +aS'the\tthe\tDT\tB-NP\tO' +p38335 +aS'LAD\tLAD\tNN\tI-NP\tO' +p38336 +aS',\t,\t,\tO\tO' +p38337 +aS'saphenous\tsaphenous\tJJ\tB-NP\tO' +p38338 +aS'vein\tvein\tNN\tI-NP\tO' +p38339 +aS'graft\tgraft\tNN\tI-NP\tO' +p38340 +aS'to\tto\tTO\tB-PP\tO' +p38341 +aS'OM1\tOM1\tNN\tB-NP\tB-protein' +p38342 +aS',\t,\t,\tO\tO' +p38343 +aS'saphenous\tsaphenous\tJJ\tB-NP\tO' +p38344 +aS'vein\tvein\tNN\tI-NP\tO' +p38345 +aS'graft\tgraft\tNN\tI-NP\tO' +p38346 +aS'to\tto\tTO\tB-PP\tO' +p38347 +aS'OM2\tOM2\tNN\tB-NP\tB-protein' +p38348 +aS'and\tand\tCC\tO\tO' +p38349 +aS'saphenous\tsaphenous\tJJ\tB-NP\tO' +p38350 +aS'vein\tvein\tNN\tI-NP\tO' +p38351 +aS'graft\tgraft\tNN\tI-NP\tO' +p38352 +aS'to\tto\tTO\tB-PP\tO' +p38353 +aS'the\tthe\tDT\tB-NP\tO' +p38354 +aS'diagonal\tdiagonal\tNN\tI-NP\tO' +p38355 +aS'.\t.\t.\tO\tO' +p38356 +asS'The patient had decreased vibratory sense in the distal lower extremities , worse on the left side .' +p38357 +(lp38358 +S'The\tThe\tDT\tB-NP\tO' +p38359 +aS'patient\tpatient\tNN\tI-NP\tO' +p38360 +aS'had\thave\tVBD\tB-VP\tO' +p38361 +aS'decreased\tdecrease\tVBN\tI-VP\tO' +p38362 +aS'vibratory\tvibratory\tJJ\tB-NP\tO' +p38363 +aS'sense\tsense\tNN\tI-NP\tO' +p38364 +aS'in\tin\tIN\tB-PP\tO' +p38365 +aS'the\tthe\tDT\tB-NP\tO' +p38366 +aS'distal\tdistal\tJJ\tI-NP\tO' +p38367 +aS'lower\tlow\tJJR\tI-NP\tO' +p38368 +aS'extremities\textremity\tNNS\tI-NP\tO' +p38369 +aS',\t,\t,\tO\tO' +p38370 +aS'worse\tworse\tJJR\tB-ADJP\tO' +p38371 +aS'on\ton\tIN\tB-PP\tO' +p38372 +aS'the\tthe\tDT\tB-NP\tO' +p38373 +aS'left\tleft\tJJ\tI-NP\tO' +p38374 +aS'side\tside\tNN\tI-NP\tO' +p38375 +aS'.\t.\t.\tO\tO' +p38376 +asS'7. Atrovent nebulizers q6h as needed .' +p38377 +(lp38378 +S'7.\t7.\tLS\tB-NP\tO' +p38379 +aS'Atrovent\tAtrovent\tNN\tI-NP\tO' +p38380 +aS'nebulizers\tnebulizer\tNNS\tI-NP\tO' +p38381 +aS'q6h\tq6h\tNN\tI-NP\tO' +p38382 +aS'as\tas\tIN\tB-SBAR\tO' +p38383 +aS'needed\tneed\tVBN\tB-VP\tO' +p38384 +aS'.\t.\t.\tO\tO' +p38385 +asS'3/6 systolic ejection murmur throughout his precordium .' +p38386 +(lp38387 +S'3/6\t3/6\tCD\tB-NP\tO' +p38388 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p38389 +aS'ejection\tejection\tNN\tI-NP\tO' +p38390 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p38391 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p38392 +aS'his\this\tPRP$\tB-NP\tO' +p38393 +aS'precordium\tprecordium\tNN\tI-NP\tO' +p38394 +aS'.\t.\t.\tO\tO' +p38395 +asS'7. History of salivary gland removal .' +p38396 +(lp38397 +S'7.\t7.\tLS\tB-NP\tO' +p38398 +aS'History\tHistory\tNN\tI-NP\tO' +p38399 +aS'of\tof\tIN\tB-PP\tO' +p38400 +aS'salivary\tsalivary\tJJ\tB-NP\tO' +p38401 +aS'gland\tgland\tNN\tI-NP\tO' +p38402 +aS'removal\tremoval\tNN\tI-NP\tO' +p38403 +aS'.\t.\t.\tO\tO' +p38404 +asS'The patient was treated with intravenous fluids , Kefzol , gentamicin , Vancomycin , and he was transferred to Gaanvantsir .' +p38405 +(lp38406 +S'The\tThe\tDT\tB-NP\tO' +p38407 +aS'patient\tpatient\tNN\tI-NP\tO' +p38408 +aS'was\tbe\tVBD\tB-VP\tO' +p38409 +aS'treated\ttreat\tVBN\tI-VP\tO' +p38410 +aS'with\twith\tIN\tB-PP\tO' +p38411 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p38412 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p38413 +aS',\t,\t,\tO\tO' +p38414 +aS'Kefzol\tKefzol\tNN\tB-NP\tO' +p38415 +aS',\t,\t,\tO\tO' +p38416 +aS'gentamicin\tgentamicin\tNN\tB-NP\tO' +p38417 +aS',\t,\t,\tO\tO' +p38418 +aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' +p38419 +aS',\t,\t,\tO\tO' +p38420 +aS'and\tand\tCC\tO\tO' +p38421 +aS'he\the\tPRP\tB-NP\tO' +p38422 +aS'was\tbe\tVBD\tB-VP\tO' +p38423 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p38424 +aS'to\tto\tTO\tB-PP\tO' +p38425 +aS'Gaanvantsir\tGaanvantsir\tNNP\tB-NP\tO' +p38426 +aS'.\t.\t.\tO\tO' +p38427 +asS'INFERIOR VENA CAVA OBSTRUCTION .' +p38428 +(lp38429 +S'INFERIOR\tINFERIOR\tNN\tB-NP\tO' +p38430 +aS'VENA\tVENA\tNN\tI-NP\tO' +p38431 +aS'CAVA\tCAVA\tNN\tI-NP\tO' +p38432 +aS'OBSTRUCTION\tOBSTRUCTION\tNN\tI-NP\tO' +p38433 +aS'.\t.\t.\tO\tO' +p38434 +asS'3. Phenytoin 50 mg Tablet , Chewable Sig : Three ( 3 ) Tablet , Chewable PO QPM ( once a day ( in the evening )).' +p38435 +(lp38436 +S'3.\t3.\tLS\tB-NP\tO' +p38437 +aS'Phenytoin\tPhenytoin\tNN\tI-NP\tO' +p38438 +aS'50\t50\tCD\tB-NP\tO' +p38439 +aS'mg\tmg\tNN\tI-NP\tO' +p38440 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p38441 +aS',\t,\t,\tO\tO' +p38442 +aS'Chewable\tChewable\tNNP\tB-NP\tO' +p38443 +aS'Sig\tSig\tNNP\tI-NP\tO' +p38444 +aS':\t:\t:\tO\tO' +p38445 +aS'Three\tThree\tCD\tB-NP\tO' +p38446 +aS'(\t(\t(\tO\tO' +p38447 +aS'3\t3\tCD\tB-NP\tO' +p38448 +aS')\t)\t)\tO\tO' +p38449 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p38450 +aS',\t,\t,\tO\tO' +p38451 +aS'Chewable\tChewable\tNNP\tB-NP\tO' +p38452 +aS'PO\tPO\tNNP\tI-NP\tO' +p38453 +aS'QPM\tQPM\tNNP\tI-NP\tO' +p38454 +aS'(\t(\t(\tO\tO' +p38455 +aS'once\tonce\tRB\tO\tO' +p38456 +aS'a\ta\tDT\tB-NP\tO' +p38457 +aS'day\tday\tNN\tI-NP\tO' +p38458 +aS'(\t(\t(\tO\tO' +p38459 +aS'in\tin\tIN\tB-PP\tO' +p38460 +aS'the\tthe\tDT\tB-NP\tO' +p38461 +aS'evening\tevening\tNN\tI-NP\tO' +p38462 +aS')).\t)).\t.\tO\tO' +p38463 +asS'Patient was restarted on her iron supplementation .' +p38464 +(lp38465 +S'Patient\tPatient\tNN\tB-NP\tO' +p38466 +aS'was\tbe\tVBD\tB-VP\tO' +p38467 +aS'restarted\trestart\tVBN\tI-VP\tO' +p38468 +aS'on\ton\tIN\tB-PP\tO' +p38469 +aS'her\ther\tPRP$\tB-NP\tO' +p38470 +aS'iron\tiron\tNN\tI-NP\tO' +p38471 +aS'supplementation\tsupplementation\tNN\tI-NP\tO' +p38472 +aS'.\t.\t.\tO\tO' +p38473 +asS'3. Esoph Varices ( Grade I )' +p38474 +(lp38475 +S'3.\t3.\tLS\tB-NP\tO' +p38476 +aS'Esoph\tEsoph\tNN\tI-NP\tO' +p38477 +aS'Varices\tVarix\tNNS\tI-NP\tO' +p38478 +aS'(\t(\t(\tO\tO' +p38479 +aS'Grade\tGrade\tNN\tB-NP\tO' +p38480 +aS'I\tI\tCD\tI-NP\tO' +p38481 +aS')\t)\t)\tO\tO' +p38482 +asS'There was a small liver laceration seen on the A/P pelvis .' +p38483 +(lp38484 +S'There\tThere\tEX\tB-NP\tO' +p38485 +aS'was\tbe\tVBD\tB-VP\tO' +p38486 +aS'a\ta\tDT\tB-NP\tO' +p38487 +aS'small\tsmall\tJJ\tI-NP\tO' +p38488 +aS'liver\tliver\tNN\tI-NP\tO' +p38489 +aS'laceration\tlaceration\tNN\tI-NP\tO' +p38490 +aS'seen\tsee\tVBN\tB-VP\tO' +p38491 +aS'on\ton\tIN\tB-PP\tO' +p38492 +aS'the\tthe\tDT\tB-NP\tO' +p38493 +aS'A/P\tA/P\tNN\tI-NP\tO' +p38494 +aS'pelvis\tpelvis\tNN\tI-NP\tO' +p38495 +aS'.\t.\t.\tO\tO' +p38496 +asS'9. Zinc Sulfate 220 mg Capsule Sig : One ( 1 ) Capsule PO DAILY ( Daily ) .' +p38497 +(lp38498 +S'9.\t9.\tLS\tB-NP\tO' +p38499 +aS'Zinc\tZinc\tNNP\tI-NP\tO' +p38500 +aS'Sulfate\tSulfate\tNNP\tI-NP\tO' +p38501 +aS'220\t220\tCD\tI-NP\tO' +p38502 +aS'mg\tmg\tNN\tI-NP\tO' +p38503 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p38504 +aS'Sig\tSig\tNNP\tI-NP\tO' +p38505 +aS':\t:\t:\tO\tO' +p38506 +aS'One\tOne\tCD\tB-NP\tO' +p38507 +aS'(\t(\t(\tO\tO' +p38508 +aS'1\t1\tCD\tB-NP\tO' +p38509 +aS')\t)\t)\tO\tO' +p38510 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p38511 +aS'PO\tPO\tNNP\tI-NP\tO' +p38512 +aS'DAILY\tDAILY\tNNP\tI-NP\tO' +p38513 +aS'(\t(\t(\tO\tO' +p38514 +aS'Daily\tDaily\tNNP\tB-NP\tO' +p38515 +aS')\t)\t)\tO\tO' +p38516 +aS'.\t.\t.\tO\tO' +p38517 +asS'He has 2 daughters .' +p38518 +(lp38519 +S'He\tHe\tPRP\tB-NP\tO' +p38520 +aS'has\thave\tVBZ\tB-VP\tO' +p38521 +aS'2\t2\tCD\tB-NP\tO' +p38522 +aS'daughters\tdaughter\tNNS\tI-NP\tO' +p38523 +aS'.\t.\t.\tO\tO' +p38524 +asS'After much discussion with the patient , the patient was informed of the risks of not finishing a 14 day course of intravenous antibiotics and chose to go home .' +p38525 +(lp38526 +S'After\tAfter\tIN\tB-PP\tO' +p38527 +aS'much\tmuch\tJJ\tB-NP\tO' +p38528 +aS'discussion\tdiscussion\tNN\tI-NP\tO' +p38529 +aS'with\twith\tIN\tB-PP\tO' +p38530 +aS'the\tthe\tDT\tB-NP\tO' +p38531 +aS'patient\tpatient\tNN\tI-NP\tO' +p38532 +aS',\t,\t,\tO\tO' +p38533 +aS'the\tthe\tDT\tB-NP\tO' +p38534 +aS'patient\tpatient\tNN\tI-NP\tO' +p38535 +aS'was\tbe\tVBD\tB-VP\tO' +p38536 +aS'informed\tinform\tVBN\tI-VP\tO' +p38537 +aS'of\tof\tIN\tB-PP\tO' +p38538 +aS'the\tthe\tDT\tB-NP\tO' +p38539 +aS'risks\trisk\tNNS\tI-NP\tO' +p38540 +aS'of\tof\tIN\tB-PP\tO' +p38541 +aS'not\tnot\tRB\tB-VP\tO' +p38542 +aS'finishing\tfinish\tVBG\tI-VP\tO' +p38543 +aS'a\ta\tDT\tB-NP\tO' +p38544 +aS'14\t14\tCD\tI-NP\tO' +p38545 +aS'day\tday\tNN\tI-NP\tO' +p38546 +aS'course\tcourse\tNN\tI-NP\tO' +p38547 +aS'of\tof\tIN\tB-PP\tO' +p38548 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p38549 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p38550 +aS'and\tand\tCC\tO\tO' +p38551 +aS'chose\tchoose\tVBD\tB-VP\tO' +p38552 +aS'to\tto\tTO\tI-VP\tO' +p38553 +aS'go\tgo\tVB\tI-VP\tO' +p38554 +aS'home\thome\tNN\tB-NP\tO' +p38555 +aS'.\t.\t.\tO\tO' +p38556 +asS'Given his high right-sided filling pressure , he was started on Lasix for diuresis and his Captopril was increased for greater afterload reduction .' +p38557 +(lp38558 +S'Given\tGive\tVBN\tB-VP\tO' +p38559 +aS'his\this\tPRP$\tB-NP\tO' +p38560 +aS'high\thigh\tJJ\tI-NP\tO' +p38561 +aS'right-sided\tright-sided\tJJ\tI-NP\tO' +p38562 +aS'filling\tfilling\tNN\tI-NP\tO' +p38563 +aS'pressure\tpressure\tNN\tI-NP\tO' +p38564 +aS',\t,\t,\tO\tO' +p38565 +aS'he\the\tPRP\tB-NP\tO' +p38566 +aS'was\tbe\tVBD\tB-VP\tO' +p38567 +aS'started\tstart\tVBN\tI-VP\tO' +p38568 +aS'on\ton\tIN\tB-PP\tO' +p38569 +aS'Lasix\tLasix\tNN\tB-NP\tO' +p38570 +aS'for\tfor\tIN\tB-PP\tO' +p38571 +aS'diuresis\tdiuresis\tNN\tB-NP\tO' +p38572 +aS'and\tand\tCC\tO\tO' +p38573 +aS'his\this\tPRP$\tB-NP\tO' +p38574 +aS'Captopril\tCaptopril\tNNP\tI-NP\tO' +p38575 +aS'was\tbe\tVBD\tB-VP\tO' +p38576 +aS'increased\tincrease\tVBN\tI-VP\tO' +p38577 +aS'for\tfor\tIN\tB-PP\tO' +p38578 +aS'greater\tgreat\tJJR\tB-NP\tO' +p38579 +aS'afterload\tafterload\tJJ\tI-NP\tO' +p38580 +aS'reduction\treduction\tNN\tI-NP\tO' +p38581 +aS'.\t.\t.\tO\tO' +p38582 +asS'Details of the procedure can be found in the operative dictation .' +p38583 +(lp38584 +S'Details\tDetail\tNNS\tB-NP\tO' +p38585 +aS'of\tof\tIN\tB-PP\tO' +p38586 +aS'the\tthe\tDT\tB-NP\tO' +p38587 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p38588 +aS'can\tcan\tMD\tB-VP\tO' +p38589 +aS'be\tbe\tVB\tI-VP\tO' +p38590 +aS'found\tfind\tVBN\tI-VP\tO' +p38591 +aS'in\tin\tIN\tB-PP\tO' +p38592 +aS'the\tthe\tDT\tB-NP\tO' +p38593 +aS'operative\toperative\tJJ\tI-NP\tO' +p38594 +aS'dictation\tdictation\tNN\tI-NP\tO' +p38595 +aS'.\t.\t.\tO\tO' +p38596 +asS'7. Aggrenox twice a day , the dose was not known .' +p38597 +(lp38598 +S'7.\t7.\tLS\tB-NP\tO' +p38599 +aS'Aggrenox\tAggrenox\tNN\tI-NP\tO' +p38600 +aS'twice\ttwice\tRB\tB-NP\tO' +p38601 +aS'a\ta\tDT\tI-NP\tO' +p38602 +aS'day\tday\tNN\tI-NP\tO' +p38603 +aS',\t,\t,\tO\tO' +p38604 +aS'the\tthe\tDT\tB-NP\tO' +p38605 +aS'dose\tdose\tNN\tI-NP\tO' +p38606 +aS'was\tbe\tVBD\tB-VP\tO' +p38607 +aS'not\tnot\tRB\tI-VP\tO' +p38608 +aS'known\tknow\tVBN\tI-VP\tO' +p38609 +aS'.\t.\t.\tO\tO' +p38610 +asS'Pt is a 78 yo male with h/o A fib , s/p multiple CVA s, CHF , HTN , DM2 admitted to Mediplex Rehab Hospital Robert on 02-01 with abdominal pain and n/v since that morning .' +p38611 +(lp38612 +S'Pt\tPt\tNN\tB-NP\tO' +p38613 +aS'is\tbe\tVBZ\tB-VP\tO' +p38614 +aS'a\ta\tDT\tB-NP\tO' +p38615 +aS'78\t78\tCD\tI-NP\tO' +p38616 +aS'yo\tyo\tNN\tI-NP\tO' +p38617 +aS'male\tmale\tJJ\tB-ADJP\tO' +p38618 +aS'with\twith\tIN\tB-PP\tO' +p38619 +aS'h/o\th/o\tNN\tB-NP\tO' +p38620 +aS'A\tA\tNN\tI-NP\tO' +p38621 +aS'fib\tfib\tNN\tI-NP\tO' +p38622 +aS',\t,\t,\tO\tO' +p38623 +aS's/p\ts/p\tNN\tB-NP\tO' +p38624 +aS'multiple\tmultiple\tJJ\tI-NP\tO' +p38625 +aS'CVA\tCVA\tNN\tI-NP\tO' +p38626 +aS's,\ts,\tNN\tI-NP\tO' +p38627 +aS'CHF\tCHF\tNN\tI-NP\tO' +p38628 +aS',\t,\t,\tO\tO' +p38629 +aS'HTN\tHTN\tNN\tB-NP\tB-protein' +p38630 +aS',\t,\t,\tO\tO' +p38631 +aS'DM2\tDM2\tNN\tB-NP\tB-protein' +p38632 +aS'admitted\tadmit\tVBN\tB-VP\tO' +p38633 +aS'to\tto\tTO\tB-PP\tO' +p38634 +aS'Mediplex\tMediplex\tNNP\tB-NP\tO' +p38635 +aS'Rehab\tRehab\tNNP\tI-NP\tO' +p38636 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p38637 +aS'Robert\tRobert\tNNP\tI-NP\tO' +p38638 +aS'on\ton\tIN\tB-PP\tO' +p38639 +aS'02-01\t02-01\tCD\tB-NP\tO' +p38640 +aS'with\twith\tIN\tB-PP\tO' +p38641 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p38642 +aS'pain\tpain\tNN\tI-NP\tO' +p38643 +aS'and\tand\tCC\tI-NP\tO' +p38644 +aS'n/v\tn/v\tNN\tI-NP\tO' +p38645 +aS'since\tsince\tIN\tB-PP\tO' +p38646 +aS'that\tthat\tDT\tB-NP\tO' +p38647 +aS'morning\tmorning\tNN\tI-NP\tO' +p38648 +aS'.\t.\t.\tO\tO' +p38649 +asS'continued .' +p38650 +(lp38651 +S'continued\tcontinue\tVBN\tB-VP\tO' +p38652 +aS'.\t.\t.\tO\tO' +p38653 +asS'Alcohol ; he has no recent use .' +p38654 +(lp38655 +S'Alcohol\tAlcohol\tNN\tB-NP\tO' +p38656 +aS';\t;\t:\tO\tO' +p38657 +aS'he\the\tPRP\tB-NP\tO' +p38658 +aS'has\thave\tVBZ\tB-VP\tO' +p38659 +aS'no\tno\tDT\tB-NP\tO' +p38660 +aS'recent\trecent\tJJ\tI-NP\tO' +p38661 +aS'use\tuse\tNN\tI-NP\tO' +p38662 +aS'.\t.\t.\tO\tO' +p38663 +asS'8. Albuterol ipratropium two puffs four times a day .' +p38664 +(lp38665 +S'8.\t8.\tCD\tB-NP\tO' +p38666 +aS'Albuterol\tAlbuterol\tNNP\tI-NP\tO' +p38667 +aS'ipratropium\tipratropium\tNN\tI-NP\tO' +p38668 +aS'two\ttwo\tCD\tB-NP\tO' +p38669 +aS'puffs\tpuff\tNNS\tI-NP\tO' +p38670 +aS'four\tfour\tCD\tB-NP\tO' +p38671 +aS'times\ttime\tNNS\tI-NP\tO' +p38672 +aS'a\ta\tDT\tB-NP\tO' +p38673 +aS'day\tday\tNN\tI-NP\tO' +p38674 +aS'.\t.\t.\tO\tO' +p38675 +asS'Temperature 101.4 , blood pressure 101/62 , pulse 80 , respiratory rate 19 on a ventilator with settings of assist control at 500/12 and a PEEP of 5 .' +p38676 +(lp38677 +S'Temperature\tTemperature\tNN\tB-NP\tB-protein' +p38678 +aS'101.4\t101.4\tCD\tI-NP\tI-protein' +p38679 +aS',\t,\t,\tO\tO' +p38680 +aS'blood\tblood\tNN\tB-NP\tO' +p38681 +aS'pressure\tpressure\tNN\tI-NP\tO' +p38682 +aS'101/62\t101/62\tCD\tI-NP\tO' +p38683 +aS',\t,\t,\tO\tO' +p38684 +aS'pulse\tpulse\tNN\tB-NP\tO' +p38685 +aS'80\t80\tCD\tI-NP\tO' +p38686 +aS',\t,\t,\tO\tO' +p38687 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p38688 +aS'rate\trate\tNN\tI-NP\tO' +p38689 +aS'19\t19\tCD\tI-NP\tO' +p38690 +aS'on\ton\tIN\tB-PP\tO' +p38691 +aS'a\ta\tDT\tB-NP\tO' +p38692 +aS'ventilator\tventilator\tNN\tI-NP\tO' +p38693 +aS'with\twith\tIN\tB-PP\tO' +p38694 +aS'settings\tsetting\tNNS\tB-NP\tO' +p38695 +aS'of\tof\tIN\tB-PP\tO' +p38696 +aS'assist\tassist\tNN\tB-NP\tO' +p38697 +aS'control\tcontrol\tNN\tI-NP\tO' +p38698 +aS'at\tat\tIN\tB-PP\tO' +p38699 +aS'500/12\t500/12\tCD\tB-NP\tO' +p38700 +aS'and\tand\tCC\tO\tO' +p38701 +aS'a\ta\tDT\tB-NP\tO' +p38702 +aS'PEEP\tPEEP\tNN\tI-NP\tB-protein' +p38703 +aS'of\tof\tIN\tB-PP\tO' +p38704 +aS'5\t5\tCD\tB-NP\tO' +p38705 +aS'.\t.\t.\tO\tO' +p38706 +asS'In the Emergency Department he received aspirin , nitroglycerin drip , heparin drip , Dilaudid , and TNK with decreased in his pain but without resolution of symptoms .' +p38707 +(lp38708 +S'In\tIn\tIN\tB-PP\tO' +p38709 +aS'the\tthe\tDT\tB-NP\tO' +p38710 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p38711 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p38712 +aS'he\the\tPRP\tB-NP\tO' +p38713 +aS'received\treceive\tVBD\tB-VP\tO' +p38714 +aS'aspirin\taspirin\tNN\tB-NP\tO' +p38715 +aS',\t,\t,\tO\tO' +p38716 +aS'nitroglycerin\tnitroglycerin\tNN\tB-NP\tB-protein' +p38717 +aS'drip\tdrip\tNN\tI-NP\tI-protein' +p38718 +aS',\t,\t,\tO\tO' +p38719 +aS'heparin\theparin\tNN\tB-NP\tO' +p38720 +aS'drip\tdrip\tNN\tI-NP\tO' +p38721 +aS',\t,\t,\tO\tO' +p38722 +aS'Dilaudid\tDilaudid\tNN\tB-NP\tO' +p38723 +aS',\t,\t,\tO\tO' +p38724 +aS'and\tand\tCC\tO\tO' +p38725 +aS'TNK\tTNK\tNN\tB-NP\tB-protein' +p38726 +aS'with\twith\tIN\tB-PP\tO' +p38727 +aS'decreased\tdecrease\tVBN\tB-VP\tO' +p38728 +aS'in\tin\tIN\tB-PP\tO' +p38729 +aS'his\this\tPRP$\tB-NP\tO' +p38730 +aS'pain\tpain\tNN\tI-NP\tO' +p38731 +aS'but\tbut\tCC\tB-PP\tO' +p38732 +aS'without\twithout\tIN\tB-PP\tO' +p38733 +aS'resolution\tresolution\tNN\tB-NP\tO' +p38734 +aS'of\tof\tIN\tB-PP\tO' +p38735 +aS'symptoms\tsymptom\tNNS\tB-NP\tO' +p38736 +aS'.\t.\t.\tO\tO' +p38737 +asS'Transferred to Hallmark Health System 03-22 .' +p38738 +(lp38739 +S'Transferred\tTransfer\tVBN\tB-VP\tO' +p38740 +aS'to\tto\tTO\tB-PP\tO' +p38741 +aS'Hallmark\tHallmark\tNNP\tB-NP\tO' +p38742 +aS'Health\tHealth\tNNP\tI-NP\tO' +p38743 +aS'System\tSystem\tNNP\tI-NP\tO' +p38744 +aS'03-22\t03-22\tCD\tI-NP\tO' +p38745 +aS'.\t.\t.\tO\tO' +p38746 +asS"Pt 's vitals on admission wer significant for T 104 , SBP 100 s, HR in the 120 s." +p38747 +(lp38748 +S'Pt\tPt\tNNP\tB-NP\tO' +p38749 +aS"'s\t's\tPOS\tB-NP\tO" +p38750 +aS'vitals\tvital\tNNS\tI-NP\tO' +p38751 +aS'on\ton\tIN\tB-PP\tO' +p38752 +aS'admission\tadmission\tNN\tB-NP\tO' +p38753 +aS'wer\twer\tNN\tI-NP\tO' +p38754 +aS'significant\tsignificant\tJJ\tB-ADJP\tO' +p38755 +aS'for\tfor\tIN\tB-PP\tO' +p38756 +aS'T\tT\tNN\tB-NP\tB-protein' +p38757 +aS'104\t104\tCD\tI-NP\tI-protein' +p38758 +aS',\t,\t,\tO\tO' +p38759 +aS'SBP\tSBP\tNN\tB-NP\tO' +p38760 +aS'100\t100\tCD\tI-NP\tO' +p38761 +aS's,\ts,\tNN\tI-NP\tO' +p38762 +aS'HR\tHR\tNN\tI-NP\tO' +p38763 +aS'in\tin\tIN\tB-PP\tO' +p38764 +aS'the\tthe\tDT\tB-NP\tO' +p38765 +aS'120\t120\tCD\tI-NP\tO' +p38766 +aS's.\ts.\tNNS\tI-NP\tO' +p38767 +asS'During that period of time he received nebulizer treatments with Albuterol .' +p38768 +(lp38769 +S'During\tDuring\tIN\tB-PP\tO' +p38770 +aS'that\tthat\tDT\tB-NP\tO' +p38771 +aS'period\tperiod\tNN\tI-NP\tO' +p38772 +aS'of\tof\tIN\tB-PP\tO' +p38773 +aS'time\ttime\tNN\tB-NP\tO' +p38774 +aS'he\the\tPRP\tB-NP\tO' +p38775 +aS'received\treceive\tVBD\tB-VP\tO' +p38776 +aS'nebulizer\tnebulizer\tNN\tB-NP\tO' +p38777 +aS'treatments\ttreatment\tNNS\tI-NP\tO' +p38778 +aS'with\twith\tIN\tB-PP\tO' +p38779 +aS'Albuterol\tAlbuterol\tNN\tB-NP\tO' +p38780 +aS'.\t.\t.\tO\tO' +p38781 +asS'Neck and lungs are unremarkable .' +p38782 +(lp38783 +S'Neck\tNeck\tNN\tB-NP\tO' +p38784 +aS'and\tand\tCC\tI-NP\tO' +p38785 +aS'lungs\tlung\tNNS\tI-NP\tO' +p38786 +aS'are\tbe\tVBP\tB-VP\tO' +p38787 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p38788 +aS'.\t.\t.\tO\tO' +p38789 +asS'Dictated By : Judy Y Carnevale , M.D.' +p38790 +(lp38791 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p38792 +aS'By\tBy\tIN\tB-PP\tO' +p38793 +aS':\t:\t:\tO\tO' +p38794 +aS'Judy\tJudy\tNNP\tB-NP\tO' +p38795 +aS'Y\tY\tNNP\tI-NP\tO' +p38796 +aS'Carnevale\tCarnevale\tNNP\tI-NP\tO' +p38797 +aS',\t,\t,\tO\tO' +p38798 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p38799 +asS'NO FLATUS X 1 DAY .' +p38800 +(lp38801 +S'NO\tNO\tNN\tB-NP\tO' +p38802 +aS'FLATUS\tFLATUS\tNN\tI-NP\tO' +p38803 +aS'X\tX\tSYM\tB-NP\tO' +p38804 +aS'1\t1\tCD\tI-NP\tO' +p38805 +aS'DAY\tDAY\tNN\tI-NP\tO' +p38806 +aS'.\t.\t.\tO\tO' +p38807 +asS'White blood cell count 3.2 , hematocrit 26.6 , platelets 130 , chemistry is 131 , potassium 3.0 , chloride 105 , bicarb 17 , BUN 10 , creatinine 0.5 , glucose 105 .' +p38808 +(lp38809 +S'White\tWhite\tJJ\tB-NP\tO' +p38810 +aS'blood\tblood\tNN\tI-NP\tO' +p38811 +aS'cell\tcell\tNN\tI-NP\tO' +p38812 +aS'count\tcount\tNN\tI-NP\tO' +p38813 +aS'3.2\t3.2\tCD\tB-NP\tO' +p38814 +aS',\t,\t,\tO\tO' +p38815 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p38816 +aS'26.6\t26.6\tCD\tI-NP\tI-protein' +p38817 +aS',\t,\t,\tO\tO' +p38818 +aS'platelets\tplatelet\tNNS\tB-NP\tB-protein' +p38819 +aS'130\t130\tCD\tB-NP\tI-protein' +p38820 +aS',\t,\t,\tO\tO' +p38821 +aS'chemistry\tchemistry\tNN\tB-NP\tO' +p38822 +aS'is\tbe\tVBZ\tB-VP\tO' +p38823 +aS'131\t131\tCD\tB-NP\tO' +p38824 +aS',\t,\t,\tO\tO' +p38825 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p38826 +aS'3.0\t3.0\tCD\tI-NP\tO' +p38827 +aS',\t,\t,\tO\tO' +p38828 +aS'chloride\tchloride\tNN\tB-NP\tO' +p38829 +aS'105\t105\tCD\tI-NP\tO' +p38830 +aS',\t,\t,\tO\tO' +p38831 +aS'bicarb\tbicarb\tNN\tB-NP\tO' +p38832 +aS'17\t17\tCD\tI-NP\tO' +p38833 +aS',\t,\t,\tO\tO' +p38834 +aS'BUN\tBUN\tNN\tB-NP\tB-DNA' +p38835 +aS'10\t10\tCD\tI-NP\tI-DNA' +p38836 +aS',\t,\t,\tO\tO' +p38837 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p38838 +aS'0.5\t0.5\tCD\tI-NP\tO' +p38839 +aS',\t,\t,\tO\tO' +p38840 +aS'glucose\tglucose\tNN\tB-NP\tO' +p38841 +aS'105\t105\tCD\tI-NP\tO' +p38842 +aS'.\t.\t.\tO\tO' +p38843 +asS'At the time of presentation , temperature 100.8 , heart rate 89 , blood pressure 106 systolic , respiratory rate 18 , oxygen saturation 97 percent in room air .' +p38844 +(lp38845 +S'At\tAt\tIN\tB-PP\tO' +p38846 +aS'the\tthe\tDT\tB-NP\tO' +p38847 +aS'time\ttime\tNN\tI-NP\tO' +p38848 +aS'of\tof\tIN\tB-PP\tO' +p38849 +aS'presentation\tpresentation\tNN\tB-NP\tO' +p38850 +aS',\t,\t,\tO\tO' +p38851 +aS'temperature\ttemperature\tNN\tB-NP\tB-protein' +p38852 +aS'100.8\t100.8\tCD\tI-NP\tI-protein' +p38853 +aS',\t,\t,\tO\tO' +p38854 +aS'heart\theart\tNN\tB-NP\tO' +p38855 +aS'rate\trate\tNN\tI-NP\tO' +p38856 +aS'89\t89\tCD\tI-NP\tO' +p38857 +aS',\t,\t,\tO\tO' +p38858 +aS'blood\tblood\tNN\tB-NP\tO' +p38859 +aS'pressure\tpressure\tNN\tI-NP\tO' +p38860 +aS'106\t106\tCD\tI-NP\tO' +p38861 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p38862 +aS',\t,\t,\tI-NP\tO' +p38863 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p38864 +aS'rate\trate\tNN\tI-NP\tO' +p38865 +aS'18\t18\tCD\tI-NP\tO' +p38866 +aS',\t,\t,\tO\tO' +p38867 +aS'oxygen\toxygen\tNN\tB-NP\tO' +p38868 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p38869 +aS'97\t97\tCD\tI-NP\tO' +p38870 +aS'percent\tpercent\tNN\tI-NP\tO' +p38871 +aS'in\tin\tIN\tB-PP\tO' +p38872 +aS'room\troom\tNN\tB-NP\tO' +p38873 +aS'air\tair\tNN\tI-NP\tO' +p38874 +aS'.\t.\t.\tO\tO' +p38875 +asS'The infant has had no antibiotics since that time .' +p38876 +(lp38877 +S'The\tThe\tDT\tB-NP\tO' +p38878 +aS'infant\tinfant\tNN\tI-NP\tO' +p38879 +aS'has\thave\tVBZ\tB-VP\tO' +p38880 +aS'had\thave\tVBN\tI-VP\tO' +p38881 +aS'no\tno\tDT\tB-NP\tO' +p38882 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p38883 +aS'since\tsince\tIN\tB-PP\tO' +p38884 +aS'that\tthat\tDT\tB-NP\tO' +p38885 +aS'time\ttime\tNN\tI-NP\tO' +p38886 +aS'.\t.\t.\tO\tO' +p38887 +asS'That evening she was unresponsive and the patient was brought to Amesbury Hospital Hospital .' +p38888 +(lp38889 +S'That\tThat\tDT\tB-NP\tO' +p38890 +aS'evening\tevening\tNN\tI-NP\tO' +p38891 +aS'she\tshe\tPRP\tB-NP\tO' +p38892 +aS'was\tbe\tVBD\tB-VP\tO' +p38893 +aS'unresponsive\tunresponsive\tJJ\tB-ADJP\tO' +p38894 +aS'and\tand\tCC\tO\tO' +p38895 +aS'the\tthe\tDT\tB-NP\tO' +p38896 +aS'patient\tpatient\tNN\tI-NP\tO' +p38897 +aS'was\tbe\tVBD\tB-VP\tO' +p38898 +aS'brought\tbring\tVBN\tI-VP\tO' +p38899 +aS'to\tto\tTO\tB-PP\tO' +p38900 +aS'Amesbury\tAmesbury\tNNP\tB-NP\tO' +p38901 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p38902 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p38903 +aS'.\t.\t.\tO\tO' +p38904 +asS'An upper gastrointestinal was unremarkable .' +p38905 +(lp38906 +S'An\tAn\tDT\tB-NP\tO' +p38907 +aS'upper\tupper\tJJ\tI-NP\tO' +p38908 +aS'gastrointestinal\tgastrointestinal\tNN\tI-NP\tO' +p38909 +aS'was\tbe\tVBD\tB-VP\tO' +p38910 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p38911 +aS'.\t.\t.\tO\tO' +p38912 +asS'Significant for normal head , eyes , ears , nose , throat exam with no scleral icterus .' +p38913 +(lp38914 +S'Significant\tSignificant\tJJ\tB-ADJP\tO' +p38915 +aS'for\tfor\tIN\tB-PP\tO' +p38916 +aS'normal\tnormal\tJJ\tB-NP\tO' +p38917 +aS'head\thead\tNN\tI-NP\tO' +p38918 +aS',\t,\t,\tO\tO' +p38919 +aS'eyes\teye\tNNS\tB-NP\tO' +p38920 +aS',\t,\t,\tO\tO' +p38921 +aS'ears\tear\tNNS\tB-NP\tO' +p38922 +aS',\t,\t,\tO\tO' +p38923 +aS'nose\tnose\tNN\tB-NP\tO' +p38924 +aS',\t,\t,\tO\tO' +p38925 +aS'throat\tthroat\tDT\tB-NP\tO' +p38926 +aS'exam\texam\tNN\tI-NP\tO' +p38927 +aS'with\twith\tIN\tB-PP\tO' +p38928 +aS'no\tno\tDT\tB-NP\tO' +p38929 +aS'scleral\tscleral\tJJ\tI-NP\tO' +p38930 +aS'icterus\ticterus\tNN\tI-NP\tO' +p38931 +aS'.\t.\t.\tO\tO' +p38932 +asS'In ED HR 70 , BP 130/80 , O2sat 96% .' +p38933 +(lp38934 +S'In\tIn\tIN\tB-PP\tO' +p38935 +aS'ED\tED\tNN\tB-NP\tB-cell_line' +p38936 +aS'HR\tHR\tNN\tI-NP\tI-cell_line' +p38937 +aS'70\t70\tCD\tI-NP\tI-cell_line' +p38938 +aS',\t,\t,\tO\tO' +p38939 +aS'BP\tBP\tNN\tB-NP\tB-DNA' +p38940 +aS'130/80\t130/80\tCD\tI-NP\tI-DNA' +p38941 +aS',\t,\t,\tO\tO' +p38942 +aS'O2sat\tO2sat\tNN\tB-NP\tO' +p38943 +aS'96%\t96%\tCD\tI-NP\tO' +p38944 +aS'.\t.\t.\tO\tO' +p38945 +asS'History of SVT .' +p38946 +(lp38947 +S'History\tHistory\tNN\tB-NP\tO' +p38948 +aS'of\tof\tIN\tB-PP\tO' +p38949 +aS'SVT\tSVT\tNN\tB-NP\tB-protein' +p38950 +aS'.\t.\t.\tO\tO' +p38951 +asS'His cultures came back as noted with Klebsiella ultimately in his chest wound , MRSA in his sputum .' +p38952 +(lp38953 +S'His\tHis\tPRP$\tB-NP\tB-cell_line' +p38954 +aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' +p38955 +aS'came\tcome\tVBD\tB-VP\tO' +p38956 +aS'back\tback\tRB\tB-ADVP\tO' +p38957 +aS'as\tas\tIN\tB-SBAR\tO' +p38958 +aS'noted\tnote\tVBN\tB-VP\tO' +p38959 +aS'with\twith\tIN\tB-PP\tO' +p38960 +aS'Klebsiella\tKlebsiella\tNN\tB-NP\tO' +p38961 +aS'ultimately\tultimately\tRB\tB-ADVP\tO' +p38962 +aS'in\tin\tIN\tB-PP\tO' +p38963 +aS'his\this\tPRP$\tB-NP\tO' +p38964 +aS'chest\tchest\tNN\tI-NP\tO' +p38965 +aS'wound\twound\tNN\tI-NP\tO' +p38966 +aS',\t,\t,\tO\tO' +p38967 +aS'MRSA\tMRSA\tNN\tB-NP\tO' +p38968 +aS'in\tin\tIN\tB-PP\tO' +p38969 +aS'his\this\tPRP$\tB-NP\tO' +p38970 +aS'sputum\tsputum\tNN\tI-NP\tO' +p38971 +aS'.\t.\t.\tO\tO' +p38972 +asS'Graphesthesia was poor in both hands .' +p38973 +(lp38974 +S'Graphesthesia\tGraphesthesia\tNNP\tB-NP\tO' +p38975 +aS'was\tbe\tVBD\tB-VP\tO' +p38976 +aS'poor\tpoor\tJJ\tB-ADJP\tO' +p38977 +aS'in\tin\tIN\tB-PP\tO' +p38978 +aS'both\tboth\tDT\tB-NP\tO' +p38979 +aS'hands\thand\tNNS\tI-NP\tO' +p38980 +aS'.\t.\t.\tO\tO' +p38981 +asS'10. Epogen 5000 units two times weekly , on Monday and Thursday .' +p38982 +(lp38983 +S'10.\t10.\tLS\tB-NP\tO' +p38984 +aS'Epogen\tEpogen\tNN\tI-NP\tO' +p38985 +aS'5000\t5000\tCD\tB-NP\tO' +p38986 +aS'units\tunit\tNNS\tI-NP\tO' +p38987 +aS'two\ttwo\tCD\tB-NP\tO' +p38988 +aS'times\ttime\tNNS\tI-NP\tO' +p38989 +aS'weekly\tweekly\tRB\tB-ADVP\tO' +p38990 +aS',\t,\t,\tO\tO' +p38991 +aS'on\ton\tIN\tB-PP\tO' +p38992 +aS'Monday\tMonday\tNNP\tB-NP\tO' +p38993 +aS'and\tand\tCC\tO\tO' +p38994 +aS'Thursday\tThursday\tNNP\tB-NP\tO' +p38995 +aS'.\t.\t.\tO\tO' +p38996 +asS'Although her upper respiratory tract infection seemed to be resolving , her weakness persisted .' +p38997 +(lp38998 +S'Although\tAlthough\tIN\tB-SBAR\tO' +p38999 +aS'her\ther\tPRP$\tB-NP\tO' +p39000 +aS'upper\tupper\tJJ\tI-NP\tO' +p39001 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p39002 +aS'tract\ttract\tNN\tI-NP\tO' +p39003 +aS'infection\tinfection\tNN\tI-NP\tO' +p39004 +aS'seemed\tseem\tVBD\tB-VP\tO' +p39005 +aS'to\tto\tTO\tI-VP\tO' +p39006 +aS'be\tbe\tVB\tI-VP\tO' +p39007 +aS'resolving\tresolve\tVBG\tI-VP\tO' +p39008 +aS',\t,\t,\tO\tO' +p39009 +aS'her\ther\tPRP$\tB-NP\tO' +p39010 +aS'weakness\tweakness\tNN\tI-NP\tO' +p39011 +aS'persisted\tpersist\tVBD\tB-VP\tO' +p39012 +aS'.\t.\t.\tO\tO' +p39013 +asS'3. The patient also had a Gastrointestinal Clinic follow-up on 2011-03-28 .' +p39014 +(lp39015 +S'3.\t3.\tLS\tB-LST\tO' +p39016 +aS'The\tThe\tDT\tB-NP\tO' +p39017 +aS'patient\tpatient\tNN\tI-NP\tO' +p39018 +aS'also\talso\tRB\tB-ADVP\tO' +p39019 +aS'had\thave\tVBD\tB-VP\tO' +p39020 +aS'a\ta\tDT\tB-NP\tO' +p39021 +aS'Gastrointestinal\tGastrointestinal\tNNP\tI-NP\tO' +p39022 +aS'Clinic\tClinic\tNNP\tI-NP\tO' +p39023 +aS'follow-up\tfollow-up\tNN\tI-NP\tO' +p39024 +aS'on\ton\tIN\tB-PP\tO' +p39025 +aS'2011-03-28\t2011-03-28\tCD\tB-NP\tO' +p39026 +aS'.\t.\t.\tO\tO' +p39027 +asS'He has been receiving radiation therapy to that area during the hospital stay .' +p39028 +(lp39029 +S'He\tHe\tPRP\tB-NP\tO' +p39030 +aS'has\thave\tVBZ\tB-VP\tO' +p39031 +aS'been\tbe\tVBN\tI-VP\tO' +p39032 +aS'receiving\treceive\tVBG\tI-VP\tO' +p39033 +aS'radiation\tradiation\tNN\tB-NP\tO' +p39034 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p39035 +aS'to\tto\tTO\tB-PP\tO' +p39036 +aS'that\tthat\tDT\tB-NP\tO' +p39037 +aS'area\tarea\tNN\tI-NP\tO' +p39038 +aS'during\tduring\tIN\tB-PP\tO' +p39039 +aS'the\tthe\tDT\tB-NP\tO' +p39040 +aS'hospital\thospital\tNN\tI-NP\tO' +p39041 +aS'stay\tstay\tNN\tI-NP\tO' +p39042 +aS'.\t.\t.\tO\tO' +p39043 +asS'Signed electronically by : DR. Ruth Gibson on : MON 2011-07-18 7:48 AM' +p39044 +(lp39045 +S'Signed\tSign\tVBN\tB-VP\tO' +p39046 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p39047 +aS'by\tby\tIN\tB-PP\tO' +p39048 +aS':\t:\t:\tO\tO' +p39049 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p39050 +aS'Ruth\tRuth\tNNP\tI-NP\tO' +p39051 +aS'Gibson\tGibson\tNNP\tI-NP\tO' +p39052 +aS'on\ton\tIN\tB-PP\tO' +p39053 +aS':\t:\t:\tO\tO' +p39054 +aS'MON\tMON\tNN\tB-NP\tO' +p39055 +aS'2011-07-18\t2011-07-18\tCD\tI-NP\tO' +p39056 +aS'7:48\t7:48\tCD\tI-NP\tO' +p39057 +aS'AM\tAM\tNN\tI-NP\tO' +p39058 +asS'Premature infant born at 34 weeks .' +p39059 +(lp39060 +S'Premature\tPremature\tJJ\tB-NP\tO' +p39061 +aS'infant\tinfant\tNN\tI-NP\tO' +p39062 +aS'born\tbear\tVBN\tB-VP\tO' +p39063 +aS'at\tat\tIN\tB-PP\tO' +p39064 +aS'34\t34\tCD\tB-NP\tO' +p39065 +aS'weeks\tweek\tNNS\tI-NP\tO' +p39066 +aS'.\t.\t.\tO\tO' +p39067 +asS'The patient is an 80 female with a history of diastolic function and heart failure , hypertension and rheumatoid arthritis who presents from an outside hospital with presyncope .' +p39068 +(lp39069 +S'The\tThe\tDT\tB-NP\tO' +p39070 +aS'patient\tpatient\tNN\tI-NP\tO' +p39071 +aS'is\tbe\tVBZ\tB-VP\tO' +p39072 +aS'an\tan\tDT\tB-NP\tO' +p39073 +aS'80\t80\tCD\tI-NP\tO' +p39074 +aS'female\tfemale\tNN\tI-NP\tO' +p39075 +aS'with\twith\tIN\tB-PP\tO' +p39076 +aS'a\ta\tDT\tB-NP\tO' +p39077 +aS'history\thistory\tNN\tI-NP\tO' +p39078 +aS'of\tof\tIN\tB-PP\tO' +p39079 +aS'diastolic\tdiastolic\tJJ\tB-NP\tO' +p39080 +aS'function\tfunction\tNN\tI-NP\tO' +p39081 +aS'and\tand\tCC\tI-NP\tO' +p39082 +aS'heart\theart\tNN\tI-NP\tO' +p39083 +aS'failure\tfailure\tNN\tI-NP\tO' +p39084 +aS',\t,\t,\tO\tO' +p39085 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p39086 +aS'and\tand\tCC\tO\tO' +p39087 +aS'rheumatoid\trheumatoid\tJJ\tB-NP\tO' +p39088 +aS'arthritis\tarthritis\tNN\tI-NP\tO' +p39089 +aS'who\twho\tWP\tB-NP\tO' +p39090 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p39091 +aS'from\tfrom\tIN\tB-PP\tO' +p39092 +aS'an\tan\tDT\tB-NP\tO' +p39093 +aS'outside\toutside\tJJ\tI-NP\tO' +p39094 +aS'hospital\thospital\tNN\tI-NP\tO' +p39095 +aS'with\twith\tIN\tB-PP\tO' +p39096 +aS'presyncope\tpresyncope\tNN\tB-NP\tO' +p39097 +aS'.\t.\t.\tO\tO' +p39098 +asS'Medically eval not high risk surgery , preop beta blocker given .' +p39099 +(lp39100 +S'Medically\tMedically\tRB\tB-ADJP\tO' +p39101 +aS'eval\teval\tJJ\tI-ADJP\tO' +p39102 +aS'not\tnot\tRB\tB-NP\tO' +p39103 +aS'high\thigh\tJJ\tI-NP\tO' +p39104 +aS'risk\trisk\tNN\tI-NP\tO' +p39105 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p39106 +aS',\t,\t,\tO\tO' +p39107 +aS'preop\tpreop\tNN\tB-NP\tO' +p39108 +aS'beta\tbeta\tSYM\tB-NP\tO' +p39109 +aS'blocker\tblocker\tNN\tI-NP\tO' +p39110 +aS'given\tgive\tVBN\tB-VP\tO' +p39111 +aS'.\t.\t.\tO\tO' +p39112 +asS'The patient was then transferred back to the Cardiac Surgical Intensive Care Unit in stable condition .' +p39113 +(lp39114 +S'The\tThe\tDT\tB-NP\tO' +p39115 +aS'patient\tpatient\tNN\tI-NP\tO' +p39116 +aS'was\tbe\tVBD\tB-VP\tO' +p39117 +aS'then\tthen\tRB\tI-VP\tO' +p39118 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p39119 +aS'back\tback\tRB\tB-ADVP\tO' +p39120 +aS'to\tto\tTO\tB-PP\tO' +p39121 +aS'the\tthe\tDT\tB-NP\tO' +p39122 +aS'Cardiac\tCardiac\tNNP\tI-NP\tO' +p39123 +aS'Surgical\tSurgical\tNNP\tI-NP\tO' +p39124 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p39125 +aS'Care\tCare\tNNP\tI-NP\tO' +p39126 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p39127 +aS'in\tin\tIN\tB-PP\tO' +p39128 +aS'stable\tstable\tJJ\tB-NP\tO' +p39129 +aS'condition\tcondition\tNN\tI-NP\tO' +p39130 +aS'.\t.\t.\tO\tO' +p39131 +asS'After a short Medical Intensive Care Unit course where she remained hemodynamically stable , she was transferred to the floor .' +p39132 +(lp39133 +S'After\tAfter\tIN\tB-PP\tO' +p39134 +aS'a\ta\tDT\tB-NP\tO' +p39135 +aS'short\tshort\tJJ\tI-NP\tO' +p39136 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p39137 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p39138 +aS'Care\tCare\tNNP\tI-NP\tO' +p39139 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p39140 +aS'course\tcourse\tNN\tI-NP\tO' +p39141 +aS'where\twhere\tWRB\tB-ADVP\tO' +p39142 +aS'she\tshe\tPRP\tB-NP\tO' +p39143 +aS'remained\tremain\tVBD\tB-VP\tO' +p39144 +aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' +p39145 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p39146 +aS',\t,\t,\tO\tO' +p39147 +aS'she\tshe\tPRP\tB-NP\tO' +p39148 +aS'was\tbe\tVBD\tB-VP\tO' +p39149 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p39150 +aS'to\tto\tTO\tB-PP\tO' +p39151 +aS'the\tthe\tDT\tB-NP\tO' +p39152 +aS'floor\tfloor\tNN\tI-NP\tO' +p39153 +aS'.\t.\t.\tO\tO' +p39154 +asS'No nausea , vomiting , or diarrhea .' +p39155 +(lp39156 +S'No\tNo\tDT\tB-NP\tO' +p39157 +aS'nausea\tnausea\tNN\tI-NP\tO' +p39158 +aS',\t,\t,\tO\tO' +p39159 +aS'vomiting\tvomiting\tNN\tB-NP\tO' +p39160 +aS',\t,\t,\tO\tO' +p39161 +aS'or\tor\tCC\tO\tO' +p39162 +aS'diarrhea\tdiarrhea\tNN\tB-NP\tO' +p39163 +aS'.\t.\t.\tO\tO' +p39164 +asS'Of note , the patient also has a history of incontinence .' +p39165 +(lp39166 +S'Of\tOf\tIN\tB-PP\tO' +p39167 +aS'note\tnote\tNN\tB-NP\tO' +p39168 +aS',\t,\t,\tO\tO' +p39169 +aS'the\tthe\tDT\tB-NP\tO' +p39170 +aS'patient\tpatient\tNN\tI-NP\tO' +p39171 +aS'also\talso\tRB\tB-ADVP\tO' +p39172 +aS'has\thave\tVBZ\tB-VP\tO' +p39173 +aS'a\ta\tDT\tB-NP\tO' +p39174 +aS'history\thistory\tNN\tI-NP\tO' +p39175 +aS'of\tof\tIN\tB-PP\tO' +p39176 +aS'incontinence\tincontinence\tNN\tB-NP\tO' +p39177 +aS'.\t.\t.\tO\tO' +p39178 +asS'Examination showed that the patient was noted to be alert and oriented times three , short term memory was deficient , patient remembered zero out of three things to remember at one minute , speech was noted to be fluent , and cranial nerves II-XII were intact .' +p39179 +(lp39180 +S'Examination\tExamination\tNN\tB-NP\tO' +p39181 +aS'showed\tshow\tVBD\tB-VP\tO' +p39182 +aS'that\tthat\tIN\tB-SBAR\tO' +p39183 +aS'the\tthe\tDT\tB-NP\tO' +p39184 +aS'patient\tpatient\tNN\tI-NP\tO' +p39185 +aS'was\tbe\tVBD\tB-VP\tO' +p39186 +aS'noted\tnote\tVBN\tI-VP\tO' +p39187 +aS'to\tto\tTO\tI-VP\tO' +p39188 +aS'be\tbe\tVB\tI-VP\tO' +p39189 +aS'alert\talert\tJJ\tB-ADJP\tO' +p39190 +aS'and\tand\tCC\tO\tO' +p39191 +aS'oriented\torient\tVBN\tB-VP\tO' +p39192 +aS'times\ttime\tNNS\tB-NP\tO' +p39193 +aS'three\tthree\tCD\tB-NP\tO' +p39194 +aS',\t,\t,\tI-NP\tO' +p39195 +aS'short\tshort\tJJ\tI-NP\tO' +p39196 +aS'term\tterm\tNN\tI-NP\tO' +p39197 +aS'memory\tmemory\tNN\tI-NP\tO' +p39198 +aS'was\tbe\tVBD\tB-VP\tO' +p39199 +aS'deficient\tdeficient\tJJ\tB-ADJP\tO' +p39200 +aS',\t,\t,\tO\tO' +p39201 +aS'patient\tpatient\tNN\tB-NP\tO' +p39202 +aS'remembered\tremember\tVBD\tB-VP\tO' +p39203 +aS'zero\tzero\tCD\tB-NP\tO' +p39204 +aS'out\tout\tIN\tB-PP\tO' +p39205 +aS'of\tof\tIN\tB-PP\tO' +p39206 +aS'three\tthree\tCD\tB-NP\tO' +p39207 +aS'things\tthing\tNNS\tI-NP\tO' +p39208 +aS'to\tto\tTO\tB-VP\tO' +p39209 +aS'remember\tremember\tVB\tI-VP\tO' +p39210 +aS'at\tat\tIN\tB-PP\tO' +p39211 +aS'one\tone\tCD\tB-NP\tO' +p39212 +aS'minute\tminute\tNN\tI-NP\tO' +p39213 +aS',\t,\t,\tO\tO' +p39214 +aS'speech\tspeech\tNN\tB-NP\tO' +p39215 +aS'was\tbe\tVBD\tB-VP\tO' +p39216 +aS'noted\tnote\tVBN\tI-VP\tO' +p39217 +aS'to\tto\tTO\tI-VP\tO' +p39218 +aS'be\tbe\tVB\tI-VP\tO' +p39219 +aS'fluent\tfluent\tJJ\tB-ADJP\tO' +p39220 +aS',\t,\t,\tO\tO' +p39221 +aS'and\tand\tCC\tO\tO' +p39222 +aS'cranial\tcranial\tJJ\tB-NP\tB-protein' +p39223 +aS'nerves\tnerve\tNNS\tI-NP\tI-protein' +p39224 +aS'II-XII\tII-XII\tNN\tI-NP\tI-protein' +p39225 +aS'were\tbe\tVBD\tB-VP\tO' +p39226 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p39227 +aS'.\t.\t.\tO\tO' +p39228 +asS'Her fingersticks decreased with the insulin drip and the intravenous fluids .' +p39229 +(lp39230 +S'Her\tHer\tPRP$\tB-NP\tO' +p39231 +aS'fingersticks\tfingerstick\tNNS\tI-NP\tO' +p39232 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p39233 +aS'with\twith\tIN\tB-PP\tO' +p39234 +aS'the\tthe\tDT\tB-NP\tO' +p39235 +aS'insulin\tinsulin\tNN\tI-NP\tO' +p39236 +aS'drip\tdrip\tNN\tI-NP\tO' +p39237 +aS'and\tand\tCC\tO\tO' +p39238 +aS'the\tthe\tDT\tB-NP\tO' +p39239 +aS'intravenous\tintravenous\tJJ\tI-NP\tO' +p39240 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p39241 +aS'.\t.\t.\tO\tO' +p39242 +asS'Cardiovascular regular rate and rhythm without murmur .' +p39243 +(lp39244 +S'Cardiovascular\tCardiovascular\tJJ\tB-NP\tO' +p39245 +aS'regular\tregular\tJJ\tI-NP\tO' +p39246 +aS'rate\trate\tNN\tI-NP\tO' +p39247 +aS'and\tand\tCC\tI-NP\tO' +p39248 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p39249 +aS'without\twithout\tIN\tB-PP\tO' +p39250 +aS'murmur\tmurmur\tNN\tB-NP\tO' +p39251 +aS'.\t.\t.\tO\tO' +p39252 +asS'The transaortic gradient is normal for this prosthesis .' +p39253 +(lp39254 +S'The\tThe\tDT\tB-NP\tO' +p39255 +aS'transaortic\ttransaortic\tJJ\tI-NP\tO' +p39256 +aS'gradient\tgradient\tNN\tI-NP\tO' +p39257 +aS'is\tbe\tVBZ\tB-VP\tO' +p39258 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p39259 +aS'for\tfor\tIN\tB-PP\tO' +p39260 +aS'this\tthis\tDT\tB-NP\tO' +p39261 +aS'prosthesis\tprosthesis\tNN\tI-NP\tO' +p39262 +aS'.\t.\t.\tO\tO' +p39263 +asS'His graft is granulating in .' +p39264 +(lp39265 +S'His\tHis\tPRP$\tB-NP\tO' +p39266 +aS'graft\tgraft\tNN\tI-NP\tO' +p39267 +aS'is\tbe\tVBZ\tB-VP\tO' +p39268 +aS'granulating\tgranulate\tVBG\tI-VP\tO' +p39269 +aS'in\tin\tRP\tB-PRT\tO' +p39270 +aS'.\t.\t.\tO\tO' +p39271 +asS'2. Atorvastatin 40 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' +p39272 +(lp39273 +S'2.\t2.\tCD\tB-NP\tO' +p39274 +aS'Atorvastatin\tAtorvastatin\tIN\tI-NP\tO' +p39275 +aS'40\t40\tCD\tI-NP\tO' +p39276 +aS'mg\tmg\tNN\tI-NP\tO' +p39277 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p39278 +aS'Sig\tSig\tNNP\tI-NP\tO' +p39279 +aS':\t:\t:\tO\tO' +p39280 +aS'One\tOne\tCD\tB-NP\tO' +p39281 +aS'(\t(\t(\tO\tO' +p39282 +aS'1\t1\tCD\tB-NP\tO' +p39283 +aS')\t)\t)\tO\tO' +p39284 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p39285 +aS'PO\tPO\tNN\tI-NP\tO' +p39286 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p39287 +aS'(\t(\t(\tO\tO' +p39288 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p39289 +aS')\t)\t)\tO\tO' +p39290 +aS'.\t.\t.\tO\tO' +p39291 +asS'She continued to require pressor support in the high 30 's .' +p39292 +(lp39293 +S'She\tShe\tPRP\tB-NP\tO' +p39294 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p39295 +aS'to\tto\tTO\tI-VP\tO' +p39296 +aS'require\trequire\tVB\tI-VP\tO' +p39297 +aS'pressor\tpressor\tNN\tB-NP\tO' +p39298 +aS'support\tsupport\tNN\tI-NP\tO' +p39299 +aS'in\tin\tIN\tB-PP\tO' +p39300 +aS'the\tthe\tDT\tB-NP\tO' +p39301 +aS'high\thigh\tJJ\tI-NP\tO' +p39302 +aS'30\t30\tCD\tI-NP\tO' +p39303 +aS''s\t'\tNNS\tI-NP\tO' +p39304 +aS'.\t.\t.\tO\tO' +p39305 +asS'The patient was made do not resuscitate / do not intubate .' +p39306 +(lp39307 +S'The\tThe\tDT\tB-NP\tO' +p39308 +aS'patient\tpatient\tNN\tI-NP\tO' +p39309 +aS'was\tbe\tVBD\tB-VP\tO' +p39310 +aS'made\tmake\tVBN\tI-VP\tO' +p39311 +aS'do\tdo\tVB\tB-VP\tO' +p39312 +aS'not\tnot\tRB\tI-VP\tO' +p39313 +aS'resuscitate\tresuscitate\tVB\tI-VP\tO' +p39314 +aS'/\t/\tSYM\tB-NP\tO' +p39315 +aS'do\tdo\tVB\tB-VP\tO' +p39316 +aS'not\tnot\tRB\tI-VP\tO' +p39317 +aS'intubate\tintubate\tVB\tI-VP\tO' +p39318 +aS'.\t.\t.\tO\tO' +p39319 +asS'Her enzymes continued to trend down .' +p39320 +(lp39321 +S'Her\tHer\tPRP$\tB-NP\tB-protein' +p39322 +aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' +p39323 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p39324 +aS'to\tto\tTO\tI-VP\tO' +p39325 +aS'trend\ttrend\tVB\tI-VP\tO' +p39326 +aS'down\tdown\tRP\tB-PRT\tO' +p39327 +aS'.\t.\t.\tO\tO' +p39328 +asS'The spine was intact .' +p39329 +(lp39330 +S'The\tThe\tDT\tB-NP\tO' +p39331 +aS'spine\tspine\tNN\tI-NP\tO' +p39332 +aS'was\tbe\tVBD\tB-VP\tO' +p39333 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p39334 +aS'.\t.\t.\tO\tO' +p39335 +asS'Because of his confusion , a neurology consult was obtained and subsequent radiographic imaging revealed chronic appearing infarcts in the right occipital lobe as well as both cerebellar hemispheres , suggestive of more chronic infarcts , as well as an area in the left corona radiata , adjacent to the left lateral ventricle which may or may not be an acute infarct .' +p39336 +(lp39337 +S'Because\tBecause\tIN\tB-PP\tO' +p39338 +aS'of\tof\tIN\tI-PP\tO' +p39339 +aS'his\this\tPRP$\tB-NP\tO' +p39340 +aS'confusion\tconfusion\tNN\tI-NP\tO' +p39341 +aS',\t,\t,\tO\tO' +p39342 +aS'a\ta\tDT\tB-NP\tO' +p39343 +aS'neurology\tneurology\tNN\tI-NP\tO' +p39344 +aS'consult\tconsult\tNN\tI-NP\tO' +p39345 +aS'was\tbe\tVBD\tB-VP\tO' +p39346 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p39347 +aS'and\tand\tCC\tO\tO' +p39348 +aS'subsequent\tsubsequent\tJJ\tB-NP\tO' +p39349 +aS'radiographic\tradiographic\tJJ\tI-NP\tO' +p39350 +aS'imaging\timaging\tNN\tI-NP\tO' +p39351 +aS'revealed\treveal\tVBD\tB-VP\tO' +p39352 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p39353 +aS'appearing\tappear\tVBG\tI-NP\tO' +p39354 +aS'infarcts\tinfarct\tNNS\tI-NP\tO' +p39355 +aS'in\tin\tIN\tB-PP\tO' +p39356 +aS'the\tthe\tDT\tB-NP\tO' +p39357 +aS'right\tright\tJJ\tI-NP\tO' +p39358 +aS'occipital\toccipital\tNN\tI-NP\tO' +p39359 +aS'lobe\tlobe\tNN\tI-NP\tO' +p39360 +aS'as\tas\tRB\tB-CONJP\tO' +p39361 +aS'well\twell\tRB\tI-CONJP\tO' +p39362 +aS'as\tas\tIN\tI-CONJP\tO' +p39363 +aS'both\tboth\tDT\tB-NP\tO' +p39364 +aS'cerebellar\tcerebellar\tJJ\tI-NP\tO' +p39365 +aS'hemispheres\themisphere\tNNS\tI-NP\tO' +p39366 +aS',\t,\t,\tO\tO' +p39367 +aS'suggestive\tsuggestive\tJJ\tB-ADJP\tO' +p39368 +aS'of\tof\tIN\tB-PP\tO' +p39369 +aS'more\tmore\tJJR\tB-NP\tO' +p39370 +aS'chronic\tchronic\tJJ\tI-NP\tO' +p39371 +aS'infarcts\tinfarct\tNNS\tI-NP\tO' +p39372 +aS',\t,\t,\tO\tO' +p39373 +aS'as\tas\tRB\tB-CONJP\tO' +p39374 +aS'well\twell\tRB\tI-CONJP\tO' +p39375 +aS'as\tas\tIN\tI-CONJP\tO' +p39376 +aS'an\tan\tDT\tB-NP\tO' +p39377 +aS'area\tarea\tNN\tI-NP\tO' +p39378 +aS'in\tin\tIN\tB-PP\tO' +p39379 +aS'the\tthe\tDT\tB-NP\tO' +p39380 +aS'left\tleft\tJJ\tI-NP\tO' +p39381 +aS'corona\tcorona\tNN\tI-NP\tO' +p39382 +aS'radiata\tradiata\tNNS\tI-NP\tO' +p39383 +aS',\t,\t,\tO\tO' +p39384 +aS'adjacent\tadjacent\tJJ\tB-ADJP\tO' +p39385 +aS'to\tto\tTO\tB-PP\tO' +p39386 +aS'the\tthe\tDT\tB-NP\tO' +p39387 +aS'left\tleft\tJJ\tI-NP\tO' +p39388 +aS'lateral\tlateral\tJJ\tI-NP\tO' +p39389 +aS'ventricle\tventricle\tNN\tI-NP\tO' +p39390 +aS'which\twhich\tWDT\tB-NP\tO' +p39391 +aS'may\tmay\tMD\tB-VP\tO' +p39392 +aS'or\tor\tCC\tO\tO' +p39393 +aS'may\tmay\tMD\tB-VP\tO' +p39394 +aS'not\tnot\tRB\tI-VP\tO' +p39395 +aS'be\tbe\tVB\tI-VP\tO' +p39396 +aS'an\tan\tDT\tB-NP\tO' +p39397 +aS'acute\tacute\tJJ\tI-NP\tO' +p39398 +aS'infarct\tinfarct\tNN\tI-NP\tO' +p39399 +aS'.\t.\t.\tO\tO' +p39400 +asS'He was found to have CML .' +p39401 +(lp39402 +S'He\tHe\tPRP\tB-NP\tO' +p39403 +aS'was\tbe\tVBD\tB-VP\tO' +p39404 +aS'found\tfind\tVBN\tI-VP\tO' +p39405 +aS'to\tto\tTO\tI-VP\tO' +p39406 +aS'have\thave\tVB\tI-VP\tO' +p39407 +aS'CML\tCML\tNN\tB-NP\tO' +p39408 +aS'.\t.\t.\tO\tO' +p39409 +asS'Baby passed hearing test on 2009-01-21 .' +p39410 +(lp39411 +S'Baby\tBaby\tNNP\tB-NP\tO' +p39412 +aS'passed\tpass\tVBD\tB-VP\tO' +p39413 +aS'hearing\thear\tVBG\tI-VP\tO' +p39414 +aS'test\ttest\tNN\tB-NP\tO' +p39415 +aS'on\ton\tIN\tB-PP\tO' +p39416 +aS'2009-01-21\t2009-01-21\tCD\tB-NP\tO' +p39417 +aS'.\t.\t.\tO\tO' +p39418 +asS'On disability secondary to work-related back injury .' +p39419 +(lp39420 +S'On\tOn\tIN\tB-PP\tO' +p39421 +aS'disability\tdisability\tNN\tB-NP\tO' +p39422 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p39423 +aS'to\tto\tTO\tB-PP\tO' +p39424 +aS'work-related\twork-related\tJJ\tB-NP\tO' +p39425 +aS'back\tback\tJJ\tI-NP\tO' +p39426 +aS'injury\tinjury\tNN\tI-NP\tO' +p39427 +aS'.\t.\t.\tO\tO' +p39428 +asS'There remains a large right and small left pleural effusion , not significantly changed .' +p39429 +(lp39430 +S'There\tThere\tEX\tB-NP\tO' +p39431 +aS'remains\tremain\tVBZ\tB-VP\tO' +p39432 +aS'a\ta\tDT\tB-NP\tO' +p39433 +aS'large\tlarge\tJJ\tI-NP\tO' +p39434 +aS'right\tright\tJJ\tI-NP\tO' +p39435 +aS'and\tand\tCC\tI-NP\tO' +p39436 +aS'small\tsmall\tJJ\tI-NP\tO' +p39437 +aS'left\tleft\tJJ\tI-NP\tO' +p39438 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p39439 +aS'effusion\teffusion\tNN\tI-NP\tO' +p39440 +aS',\t,\t,\tO\tO' +p39441 +aS'not\tnot\tRB\tB-VP\tO' +p39442 +aS'significantly\tsignificantly\tRB\tI-VP\tO' +p39443 +aS'changed\tchange\tVBN\tI-VP\tO' +p39444 +aS'.\t.\t.\tO\tO' +p39445 +asS'Review of liver function tests revealed a cholestatic picture which was not previously found and it was felt that this was secondary to the Bactrim which had been recently stopped anyway .' +p39446 +(lp39447 +S'Review\tReview\tNN\tB-NP\tO' +p39448 +aS'of\tof\tIN\tB-PP\tO' +p39449 +aS'liver\tliver\tNN\tB-NP\tO' +p39450 +aS'function\tfunction\tNN\tI-NP\tO' +p39451 +aS'tests\ttest\tNNS\tI-NP\tO' +p39452 +aS'revealed\treveal\tVBD\tB-VP\tO' +p39453 +aS'a\ta\tDT\tB-NP\tO' +p39454 +aS'cholestatic\tcholestatic\tJJ\tI-NP\tO' +p39455 +aS'picture\tpicture\tNN\tI-NP\tO' +p39456 +aS'which\twhich\tWDT\tB-NP\tO' +p39457 +aS'was\tbe\tVBD\tB-VP\tO' +p39458 +aS'not\tnot\tRB\tI-VP\tO' +p39459 +aS'previously\tpreviously\tRB\tI-VP\tO' +p39460 +aS'found\tfind\tVBN\tI-VP\tO' +p39461 +aS'and\tand\tCC\tO\tO' +p39462 +aS'it\tit\tPRP\tB-NP\tO' +p39463 +aS'was\tbe\tVBD\tB-VP\tO' +p39464 +aS'felt\tfeel\tVBN\tI-VP\tO' +p39465 +aS'that\tthat\tIN\tB-SBAR\tO' +p39466 +aS'this\tthis\tDT\tB-NP\tO' +p39467 +aS'was\tbe\tVBD\tB-VP\tO' +p39468 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p39469 +aS'to\tto\tTO\tB-PP\tO' +p39470 +aS'the\tthe\tDT\tB-NP\tO' +p39471 +aS'Bactrim\tBactrim\tNNP\tI-NP\tO' +p39472 +aS'which\twhich\tWDT\tB-NP\tO' +p39473 +aS'had\thave\tVBD\tB-VP\tO' +p39474 +aS'been\tbe\tVBN\tI-VP\tO' +p39475 +aS'recently\trecently\tRB\tB-ADVP\tO' +p39476 +aS'stopped\tstop\tVBD\tB-VP\tO' +p39477 +aS'anyway\tanyway\tRB\tB-ADVP\tO' +p39478 +aS'.\t.\t.\tO\tO' +p39479 +asS'1) STAPH .' +p39480 +(lp39481 +S'1)\t1)\tLS\tB-NP\tO' +p39482 +aS'STAPH\tSTAPH\tNN\tI-NP\tB-protein' +p39483 +aS'.\t.\t.\tO\tO' +p39484 +asS'Her neurologic examination remained nonfocal .' +p39485 +(lp39486 +S'Her\tHer\tPRP$\tB-NP\tO' +p39487 +aS'neurologic\tneurologic\tJJ\tI-NP\tO' +p39488 +aS'examination\texamination\tNN\tI-NP\tO' +p39489 +aS'remained\tremain\tVBD\tB-VP\tO' +p39490 +aS'nonfocal\tnonfocal\tJJ\tB-ADJP\tO' +p39491 +aS'.\t.\t.\tO\tO' +p39492 +asS'This is also sensitive only to Macrodantin .' +p39493 +(lp39494 +S'This\tThis\tDT\tB-NP\tO' +p39495 +aS'is\tbe\tVBZ\tB-VP\tO' +p39496 +aS'also\talso\tRB\tB-ADVP\tO' +p39497 +aS'sensitive\tsensitive\tJJ\tB-ADJP\tO' +p39498 +aS'only\tonly\tRB\tI-ADJP\tO' +p39499 +aS'to\tto\tTO\tB-PP\tO' +p39500 +aS'Macrodantin\tMacrodantin\tNNP\tB-NP\tO' +p39501 +aS'.\t.\t.\tO\tO' +p39502 +asS'The patient has not obtained gynecologic care for 32 years until April 2004 when an increase in abdominal GERD and urinary symptoms lead her to initial consultation with Dr. Lentny Farstnappsshee in Gobrew Street , Denlandcobridclevena , West Virginia 28880 .' +p39503 +(lp39504 +S'The\tThe\tDT\tB-NP\tO' +p39505 +aS'patient\tpatient\tNN\tI-NP\tO' +p39506 +aS'has\thave\tVBZ\tB-VP\tO' +p39507 +aS'not\tnot\tRB\tI-VP\tO' +p39508 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p39509 +aS'gynecologic\tgynecologic\tJJ\tB-NP\tO' +p39510 +aS'care\tcare\tNN\tI-NP\tO' +p39511 +aS'for\tfor\tIN\tB-PP\tO' +p39512 +aS'32\t32\tCD\tB-NP\tO' +p39513 +aS'years\tyear\tNNS\tI-NP\tO' +p39514 +aS'until\tuntil\tIN\tB-PP\tO' +p39515 +aS'April\tApril\tNNP\tB-NP\tO' +p39516 +aS'2004\t2004\tCD\tI-NP\tO' +p39517 +aS'when\twhen\tWRB\tB-ADVP\tO' +p39518 +aS'an\tan\tDT\tB-NP\tO' +p39519 +aS'increase\tincrease\tNN\tI-NP\tO' +p39520 +aS'in\tin\tIN\tB-PP\tO' +p39521 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p39522 +aS'GERD\tGERD\tNN\tI-NP\tO' +p39523 +aS'and\tand\tCC\tO\tO' +p39524 +aS'urinary\turinary\tJJ\tB-NP\tO' +p39525 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p39526 +aS'lead\tlead\tVBP\tB-VP\tO' +p39527 +aS'her\ther\tPRP\tB-NP\tO' +p39528 +aS'to\tto\tTO\tB-PP\tO' +p39529 +aS'initial\tinitial\tJJ\tB-NP\tO' +p39530 +aS'consultation\tconsultation\tNN\tI-NP\tO' +p39531 +aS'with\twith\tIN\tB-PP\tO' +p39532 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p39533 +aS'Lentny\tLentny\tNNP\tI-NP\tO' +p39534 +aS'Farstnappsshee\tFarstnappsshee\tNNP\tI-NP\tO' +p39535 +aS'in\tin\tIN\tB-PP\tO' +p39536 +aS'Gobrew\tGobrew\tNNP\tB-NP\tO' +p39537 +aS'Street\tStreet\tNNP\tI-NP\tO' +p39538 +aS',\t,\t,\tO\tO' +p39539 +aS'Denlandcobridclevena\tDenlandcobridclevena\tNNP\tB-NP\tO' +p39540 +aS',\t,\t,\tO\tO' +p39541 +aS'West\tWest\tNNP\tB-NP\tO' +p39542 +aS'Virginia\tVirginia\tNNP\tI-NP\tO' +p39543 +aS'28880\t28880\tCD\tI-NP\tO' +p39544 +aS'.\t.\t.\tO\tO' +p39545 +asS'He subsequently developed a staphylococcus aureus pneumonia which was treated with Vancomycin , dosed to levels appropriate for his renal failure .' +p39546 +(lp39547 +S'He\tHe\tPRP\tB-NP\tO' +p39548 +aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' +p39549 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p39550 +aS'a\ta\tDT\tB-NP\tO' +p39551 +aS'staphylococcus\tstaphylococcus\tNN\tI-NP\tO' +p39552 +aS'aureus\taureus\tNN\tI-NP\tO' +p39553 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p39554 +aS'which\twhich\tWDT\tB-NP\tO' +p39555 +aS'was\tbe\tVBD\tB-VP\tO' +p39556 +aS'treated\ttreat\tVBN\tI-VP\tO' +p39557 +aS'with\twith\tIN\tB-PP\tO' +p39558 +aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' +p39559 +aS',\t,\t,\tO\tO' +p39560 +aS'dosed\tdose\tVBN\tB-VP\tO' +p39561 +aS'to\tto\tTO\tB-PP\tO' +p39562 +aS'levels\tlevel\tNNS\tB-NP\tO' +p39563 +aS'appropriate\tappropriate\tJJ\tB-ADJP\tO' +p39564 +aS'for\tfor\tIN\tB-PP\tO' +p39565 +aS'his\this\tPRP$\tB-NP\tO' +p39566 +aS'renal\trenal\tJJ\tI-NP\tO' +p39567 +aS'failure\tfailure\tNN\tI-NP\tO' +p39568 +aS'.\t.\t.\tO\tO' +p39569 +asS'Carotid pulsations are normal without bruit .' +p39570 +(lp39571 +S'Carotid\tCarotid\tJJ\tB-NP\tO' +p39572 +aS'pulsations\tpulsation\tNNS\tI-NP\tO' +p39573 +aS'are\tbe\tVBP\tB-VP\tO' +p39574 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p39575 +aS'without\twithout\tIN\tB-PP\tO' +p39576 +aS'bruit\tbruit\tNN\tB-NP\tO' +p39577 +aS'.\t.\t.\tO\tO' +p39578 +asS'Last menstrual period 2009-02-21 .' +p39579 +(lp39580 +S'Last\tLast\tJJ\tB-NP\tO' +p39581 +aS'menstrual\tmenstrual\tJJ\tI-NP\tO' +p39582 +aS'period\tperiod\tNN\tI-NP\tO' +p39583 +aS'2009-02-21\t2009-02-21\tCD\tI-NP\tO' +p39584 +aS'.\t.\t.\tO\tO' +p39585 +asS'Father with emphysema .' +p39586 +(lp39587 +S'Father\tFather\tRB\tB-ADVP\tO' +p39588 +aS'with\twith\tIN\tB-PP\tO' +p39589 +aS'emphysema\temphysema\tNN\tB-NP\tO' +p39590 +aS'.\t.\t.\tO\tO' +p39591 +asS'This is a 59 year old male with a past medical history significant for an atrioseptal defect repair at age 18 , congestive heart failure with an ejection fraction of 45% and a recent cardiac myocardial infarction , pulmonary hypertension and mitral regurgitation , and atrial fibrillation .' +p39592 +(lp39593 +S'This\tThis\tDT\tB-NP\tO' +p39594 +aS'is\tbe\tVBZ\tB-VP\tO' +p39595 +aS'a\ta\tDT\tB-NP\tO' +p39596 +aS'59\t59\tCD\tI-NP\tO' +p39597 +aS'year\tyear\tNN\tI-NP\tO' +p39598 +aS'old\told\tJJ\tI-NP\tO' +p39599 +aS'male\tmale\tNN\tI-NP\tO' +p39600 +aS'with\twith\tIN\tB-PP\tO' +p39601 +aS'a\ta\tDT\tB-NP\tO' +p39602 +aS'past\tpast\tJJ\tI-NP\tO' +p39603 +aS'medical\tmedical\tJJ\tI-NP\tO' +p39604 +aS'history\thistory\tNN\tI-NP\tO' +p39605 +aS'significant\tsignificant\tJJ\tB-ADJP\tO' +p39606 +aS'for\tfor\tIN\tB-PP\tO' +p39607 +aS'an\tan\tDT\tB-NP\tO' +p39608 +aS'atrioseptal\tatrioseptal\tJJ\tI-NP\tO' +p39609 +aS'defect\tdefect\tNN\tI-NP\tO' +p39610 +aS'repair\trepair\tNN\tI-NP\tO' +p39611 +aS'at\tat\tIN\tB-PP\tO' +p39612 +aS'age\tage\tNN\tB-NP\tO' +p39613 +aS'18\t18\tCD\tI-NP\tO' +p39614 +aS',\t,\t,\tO\tO' +p39615 +aS'congestive\tcongestive\tJJ\tB-NP\tO' +p39616 +aS'heart\theart\tNN\tI-NP\tO' +p39617 +aS'failure\tfailure\tNN\tI-NP\tO' +p39618 +aS'with\twith\tIN\tB-PP\tO' +p39619 +aS'an\tan\tDT\tB-NP\tO' +p39620 +aS'ejection\tejection\tNN\tI-NP\tO' +p39621 +aS'fraction\tfraction\tNN\tI-NP\tO' +p39622 +aS'of\tof\tIN\tB-PP\tO' +p39623 +aS'45%\t45%\tNN\tB-NP\tO' +p39624 +aS'and\tand\tCC\tO\tO' +p39625 +aS'a\ta\tDT\tB-NP\tO' +p39626 +aS'recent\trecent\tJJ\tI-NP\tO' +p39627 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p39628 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p39629 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p39630 +aS',\t,\t,\tO\tO' +p39631 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p39632 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p39633 +aS'and\tand\tCC\tO\tO' +p39634 +aS'mitral\tmitral\tJJ\tB-NP\tO' +p39635 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p39636 +aS',\t,\t,\tO\tO' +p39637 +aS'and\tand\tCC\tO\tO' +p39638 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p39639 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p39640 +aS'.\t.\t.\tO\tO' +p39641 +asS'Therefore , she is on no DVT prophylaxis .' +p39642 +(lp39643 +S'Therefore\tTherefore\tRB\tB-ADVP\tO' +p39644 +aS',\t,\t,\tO\tO' +p39645 +aS'she\tshe\tPRP\tB-NP\tO' +p39646 +aS'is\tbe\tVBZ\tB-VP\tO' +p39647 +aS'on\ton\tIN\tB-PP\tO' +p39648 +aS'no\tno\tDT\tB-NP\tO' +p39649 +aS'DVT\tDVT\tNN\tI-NP\tO' +p39650 +aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' +p39651 +aS'.\t.\t.\tO\tO' +p39652 +asS'This is thought due to the extensive course of Gentamicin which she received .' +p39653 +(lp39654 +S'This\tThis\tDT\tB-NP\tO' +p39655 +aS'is\tbe\tVBZ\tB-VP\tO' +p39656 +aS'thought\tthink\tVBN\tI-VP\tO' +p39657 +aS'due\tdue\tIN\tB-PP\tO' +p39658 +aS'to\tto\tTO\tB-PP\tO' +p39659 +aS'the\tthe\tDT\tB-NP\tO' +p39660 +aS'extensive\textensive\tJJ\tI-NP\tO' +p39661 +aS'course\tcourse\tNN\tI-NP\tO' +p39662 +aS'of\tof\tIN\tB-PP\tO' +p39663 +aS'Gentamicin\tGentamicin\tNN\tB-NP\tO' +p39664 +aS'which\twhich\tWDT\tB-NP\tO' +p39665 +aS'she\tshe\tPRP\tB-NP\tO' +p39666 +aS'received\treceive\tVBD\tB-VP\tO' +p39667 +aS'.\t.\t.\tO\tO' +p39668 +asS'9. Dulcolax 10 mg once daily p.r.n.' +p39669 +(lp39670 +S'9.\t9.\tCD\tB-NP\tO' +p39671 +aS'Dulcolax\tDulcolax\tNN\tI-NP\tO' +p39672 +aS'10\t10\tCD\tB-NP\tO' +p39673 +aS'mg\tmg\tNN\tI-NP\tO' +p39674 +aS'once\tonce\tRB\tB-VP\tO' +p39675 +aS'daily\tdaily\tRB\tI-VP\tO' +p39676 +aS'p.r.n.\tp.r.n.\tVB\tI-VP\tO' +p39677 +asS'She was started on octreotide and nadolol to control portal htn .' +p39678 +(lp39679 +S'She\tShe\tPRP\tB-NP\tO' +p39680 +aS'was\tbe\tVBD\tB-VP\tO' +p39681 +aS'started\tstart\tVBN\tI-VP\tO' +p39682 +aS'on\ton\tIN\tB-PP\tO' +p39683 +aS'octreotide\toctreotide\tNN\tB-NP\tO' +p39684 +aS'and\tand\tCC\tI-NP\tO' +p39685 +aS'nadolol\tnadolol\tNN\tI-NP\tO' +p39686 +aS'to\tto\tTO\tB-VP\tO' +p39687 +aS'control\tcontrol\tVB\tI-VP\tO' +p39688 +aS'portal\tportal\tJJ\tB-NP\tO' +p39689 +aS'htn\thtn\tNN\tI-NP\tO' +p39690 +aS'.\t.\t.\tO\tO' +p39691 +asS'During feeding advancement infant was given parenteral nutrition and intralipids .' +p39692 +(lp39693 +S'During\tDuring\tIN\tB-PP\tO' +p39694 +aS'feeding\tfeed\tVBG\tB-VP\tO' +p39695 +aS'advancement\tadvancement\tNN\tB-NP\tO' +p39696 +aS'infant\tinfant\tNN\tI-NP\tO' +p39697 +aS'was\tbe\tVBD\tB-VP\tO' +p39698 +aS'given\tgive\tVBN\tI-VP\tO' +p39699 +aS'parenteral\tparenteral\tJJ\tB-NP\tO' +p39700 +aS'nutrition\tnutrition\tNN\tI-NP\tO' +p39701 +aS'and\tand\tCC\tI-NP\tO' +p39702 +aS'intralipids\tintralipid\tNNS\tI-NP\tO' +p39703 +aS'.\t.\t.\tO\tO' +p39704 +asS'After his heart rate was controlled , he was transitioned to oral medications and transferred to the medicine service .' +p39705 +(lp39706 +S'After\tAfter\tIN\tB-PP\tO' +p39707 +aS'his\this\tPRP$\tB-NP\tO' +p39708 +aS'heart\theart\tNN\tI-NP\tO' +p39709 +aS'rate\trate\tNN\tI-NP\tO' +p39710 +aS'was\tbe\tVBD\tB-VP\tO' +p39711 +aS'controlled\tcontrol\tVBN\tI-VP\tO' +p39712 +aS',\t,\t,\tO\tO' +p39713 +aS'he\the\tPRP\tB-NP\tO' +p39714 +aS'was\tbe\tVBD\tB-VP\tO' +p39715 +aS'transitioned\ttransitione\tVBN\tI-VP\tO' +p39716 +aS'to\tto\tTO\tB-PP\tO' +p39717 +aS'oral\toral\tJJ\tB-NP\tO' +p39718 +aS'medications\tmedication\tNNS\tI-NP\tO' +p39719 +aS'and\tand\tCC\tO\tO' +p39720 +aS'transferred\ttransfer\tVBN\tB-VP\tO' +p39721 +aS'to\tto\tTO\tB-PP\tO' +p39722 +aS'the\tthe\tDT\tB-NP\tO' +p39723 +aS'medicine\tmedicine\tNN\tI-NP\tO' +p39724 +aS'service\tservice\tNN\tI-NP\tO' +p39725 +aS'.\t.\t.\tO\tO' +p39726 +asS'Several tests , including Duplex Ultrasound , CT of the Abdomen , and Abdominal A-gram all showed patent right and left hepatic arteries arising from the celiac trunk .' +p39727 +(lp39728 +S'Several\tSeveral\tJJ\tB-NP\tO' +p39729 +aS'tests\ttest\tNNS\tI-NP\tO' +p39730 +aS',\t,\t,\tO\tO' +p39731 +aS'including\tinclude\tVBG\tB-PP\tO' +p39732 +aS'Duplex\tDuplex\tNNP\tB-NP\tO' +p39733 +aS'Ultrasound\tUltrasound\tNNP\tI-NP\tO' +p39734 +aS',\t,\t,\tO\tO' +p39735 +aS'CT\tCT\tNN\tB-NP\tO' +p39736 +aS'of\tof\tIN\tB-PP\tO' +p39737 +aS'the\tthe\tDT\tB-NP\tO' +p39738 +aS'Abdomen\tAbdoman\tNNS\tI-NP\tO' +p39739 +aS',\t,\t,\tO\tO' +p39740 +aS'and\tand\tCC\tO\tO' +p39741 +aS'Abdominal\tAbdominal\tJJ\tB-NP\tO' +p39742 +aS'A-gram\tA-gram\tNN\tI-NP\tO' +p39743 +aS'all\tall\tDT\tO\tO' +p39744 +aS'showed\tshow\tVBD\tB-VP\tO' +p39745 +aS'patent\tpatent\tNN\tB-NP\tO' +p39746 +aS'right\tright\tNN\tI-NP\tO' +p39747 +aS'and\tand\tCC\tO\tO' +p39748 +aS'left\tleave\tVBD\tB-VP\tO' +p39749 +aS'hepatic\thepatic\tJJ\tB-NP\tO' +p39750 +aS'arteries\tartery\tNNS\tI-NP\tO' +p39751 +aS'arising\tarise\tVBG\tB-VP\tO' +p39752 +aS'from\tfrom\tIN\tB-PP\tO' +p39753 +aS'the\tthe\tDT\tB-NP\tO' +p39754 +aS'celiac\tceliac\tJJ\tI-NP\tO' +p39755 +aS'trunk\ttrunk\tNN\tI-NP\tO' +p39756 +aS'.\t.\t.\tO\tO' +p39757 +asS'We can go up by 25 mg on the fentanyl patch as needed to control her pain and we can always go up on the dilaudid because she is still in considerable amount of pain .' +p39758 +(lp39759 +S'We\tWe\tPRP\tB-NP\tO' +p39760 +aS'can\tcan\tMD\tB-VP\tO' +p39761 +aS'go\tgo\tVB\tI-VP\tO' +p39762 +aS'up\tup\tRB\tB-ADVP\tO' +p39763 +aS'by\tby\tIN\tB-PP\tO' +p39764 +aS'25\t25\tCD\tB-NP\tO' +p39765 +aS'mg\tmg\tNN\tI-NP\tO' +p39766 +aS'on\ton\tIN\tB-PP\tO' +p39767 +aS'the\tthe\tDT\tB-NP\tO' +p39768 +aS'fentanyl\tfentanyl\tNN\tI-NP\tO' +p39769 +aS'patch\tpatch\tNN\tI-NP\tO' +p39770 +aS'as\tas\tIN\tB-SBAR\tO' +p39771 +aS'needed\tneed\tVBN\tB-VP\tO' +p39772 +aS'to\tto\tTO\tB-VP\tO' +p39773 +aS'control\tcontrol\tVB\tI-VP\tO' +p39774 +aS'her\ther\tPRP$\tB-NP\tO' +p39775 +aS'pain\tpain\tNN\tI-NP\tO' +p39776 +aS'and\tand\tCC\tO\tO' +p39777 +aS'we\twe\tPRP\tB-NP\tO' +p39778 +aS'can\tcan\tMD\tB-VP\tO' +p39779 +aS'always\talways\tRB\tI-VP\tO' +p39780 +aS'go\tgo\tVB\tI-VP\tO' +p39781 +aS'up\tup\tRP\tB-PRT\tO' +p39782 +aS'on\ton\tIN\tB-PP\tO' +p39783 +aS'the\tthe\tDT\tB-NP\tO' +p39784 +aS'dilaudid\tdilaudid\tNN\tI-NP\tO' +p39785 +aS'because\tbecause\tIN\tB-SBAR\tO' +p39786 +aS'she\tshe\tPRP\tB-NP\tO' +p39787 +aS'is\tbe\tVBZ\tB-VP\tO' +p39788 +aS'still\tstill\tRB\tB-ADVP\tO' +p39789 +aS'in\tin\tIN\tB-PP\tO' +p39790 +aS'considerable\tconsiderable\tJJ\tB-NP\tO' +p39791 +aS'amount\tamount\tNN\tI-NP\tO' +p39792 +aS'of\tof\tIN\tB-PP\tO' +p39793 +aS'pain\tpain\tNN\tB-NP\tO' +p39794 +aS'.\t.\t.\tO\tO' +p39795 +asS'Upon admission , he was treated for his pneumonia .' +p39796 +(lp39797 +S'Upon\tUpon\tIN\tB-PP\tO' +p39798 +aS'admission\tadmission\tNN\tB-NP\tO' +p39799 +aS',\t,\t,\tO\tO' +p39800 +aS'he\the\tPRP\tB-NP\tO' +p39801 +aS'was\tbe\tVBD\tB-VP\tO' +p39802 +aS'treated\ttreat\tVBN\tI-VP\tO' +p39803 +aS'for\tfor\tIN\tB-PP\tO' +p39804 +aS'his\this\tPRP$\tB-NP\tO' +p39805 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p39806 +aS'.\t.\t.\tO\tO' +p39807 +asS'In the CMED CCU pt was intubated for ERCP procedure .' +p39808 +(lp39809 +S'In\tIn\tIN\tB-PP\tO' +p39810 +aS'the\tthe\tDT\tB-NP\tO' +p39811 +aS'CMED\tCMED\tVBN\tI-NP\tO' +p39812 +aS'CCU\tCCU\tNN\tI-NP\tO' +p39813 +aS'pt\tpt\tNN\tI-NP\tO' +p39814 +aS'was\tbe\tVBD\tB-VP\tO' +p39815 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p39816 +aS'for\tfor\tIN\tB-PP\tO' +p39817 +aS'ERCP\tERCP\tNN\tB-NP\tO' +p39818 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p39819 +aS'.\t.\t.\tO\tO' +p39820 +asS'regular rate and rhythm with 1 out of 6 systolic ejection murmur .' +p39821 +(lp39822 +S'regular\tregular\tJJ\tB-NP\tO' +p39823 +aS'rate\trate\tNN\tI-NP\tO' +p39824 +aS'and\tand\tCC\tI-NP\tO' +p39825 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p39826 +aS'with\twith\tIN\tB-PP\tO' +p39827 +aS'1\t1\tCD\tB-NP\tO' +p39828 +aS'out\tout\tIN\tI-NP\tO' +p39829 +aS'of\tof\tIN\tI-NP\tO' +p39830 +aS'6\t6\tCD\tI-NP\tO' +p39831 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p39832 +aS'ejection\tejection\tNN\tI-NP\tO' +p39833 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p39834 +aS'.\t.\t.\tO\tO' +p39835 +asS'Tubefeed was resumed without any difficulty since .' +p39836 +(lp39837 +S'Tubefeed\tTubefeed\tNN\tB-NP\tO' +p39838 +aS'was\tbe\tVBD\tB-VP\tO' +p39839 +aS'resumed\tresume\tVBN\tI-VP\tO' +p39840 +aS'without\twithout\tIN\tB-PP\tO' +p39841 +aS'any\tany\tDT\tB-NP\tO' +p39842 +aS'difficulty\tdifficulty\tNN\tI-NP\tO' +p39843 +aS'since\tsince\tIN\tB-ADVP\tO' +p39844 +aS'.\t.\t.\tO\tO' +p39845 +asS'SHe has a culture pending which needs to be followed up at the nursing home and treated if positive .' +p39846 +(lp39847 +S'SHe\tSHe\tNNP\tB-NP\tO' +p39848 +aS'has\thave\tVBZ\tB-VP\tO' +p39849 +aS'a\ta\tDT\tB-NP\tO' +p39850 +aS'culture\tculture\tNN\tI-NP\tO' +p39851 +aS'pending\tpending\tNN\tI-NP\tO' +p39852 +aS'which\twhich\tWDT\tB-NP\tO' +p39853 +aS'needs\tneed\tVBZ\tB-VP\tO' +p39854 +aS'to\tto\tTO\tI-VP\tO' +p39855 +aS'be\tbe\tVB\tI-VP\tO' +p39856 +aS'followed\tfollow\tVBN\tI-VP\tO' +p39857 +aS'up\tup\tRP\tB-PRT\tO' +p39858 +aS'at\tat\tIN\tB-PP\tO' +p39859 +aS'the\tthe\tDT\tB-NP\tO' +p39860 +aS'nursing\tnursing\tNN\tI-NP\tO' +p39861 +aS'home\thome\tNN\tI-NP\tO' +p39862 +aS'and\tand\tCC\tO\tO' +p39863 +aS'treated\ttreat\tVBN\tB-VP\tO' +p39864 +aS'if\tif\tIN\tB-SBAR\tO' +p39865 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p39866 +aS'.\t.\t.\tO\tO' +p39867 +asS'72 yo M with rib fx s/p trauma , failure on previous CXR , now with fever .' +p39868 +(lp39869 +S'72\t72\tCD\tB-NP\tO' +p39870 +aS'yo\tyo\tNN\tI-NP\tO' +p39871 +aS'M\tM\tNN\tI-NP\tO' +p39872 +aS'with\twith\tIN\tB-PP\tO' +p39873 +aS'rib\trib\tNN\tB-NP\tO' +p39874 +aS'fx\tfx\tNN\tI-NP\tO' +p39875 +aS's/p\ts/p\tNN\tI-NP\tO' +p39876 +aS'trauma\ttrauma\tNN\tI-NP\tO' +p39877 +aS',\t,\t,\tO\tO' +p39878 +aS'failure\tfailure\tNN\tB-NP\tO' +p39879 +aS'on\ton\tIN\tB-PP\tO' +p39880 +aS'previous\tprevious\tJJ\tB-NP\tO' +p39881 +aS'CXR\tCXR\tNN\tI-NP\tO' +p39882 +aS',\t,\t,\tO\tO' +p39883 +aS'now\tnow\tRB\tB-ADVP\tO' +p39884 +aS'with\twith\tIN\tB-PP\tO' +p39885 +aS'fever\tfever\tNN\tB-NP\tO' +p39886 +aS'.\t.\t.\tO\tO' +p39887 +asS'2. Respiratory failure unclear etiology , presumed secondary to possible pneumonia , questionable lymphangitic spread .' +p39888 +(lp39889 +S'2.\t2.\tLS\tB-NP\tO' +p39890 +aS'Respiratory\tRespiratory\tJJ\tI-NP\tO' +p39891 +aS'failure\tfailure\tNN\tI-NP\tO' +p39892 +aS'unclear\tunclear\tJJ\tI-NP\tO' +p39893 +aS'etiology\tetiology\tNN\tI-NP\tO' +p39894 +aS',\t,\t,\tO\tO' +p39895 +aS'presumed\tpresume\tVBN\tB-VP\tO' +p39896 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p39897 +aS'to\tto\tTO\tB-PP\tO' +p39898 +aS'possible\tpossible\tJJ\tB-NP\tO' +p39899 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p39900 +aS',\t,\t,\tO\tO' +p39901 +aS'questionable\tquestionable\tJJ\tB-NP\tO' +p39902 +aS'lymphangitic\tlymphangitic\tJJ\tI-NP\tO' +p39903 +aS'spread\tspread\tNN\tI-NP\tO' +p39904 +aS'.\t.\t.\tO\tO' +p39905 +asS'While at home , the patient did not do well and could tolerate minimal food intake and lost about 20 pounds in one month .' +p39906 +(lp39907 +S'While\tWhile\tIN\tB-SBAR\tO' +p39908 +aS'at\tat\tIN\tB-PP\tO' +p39909 +aS'home\thome\tNN\tB-NP\tO' +p39910 +aS',\t,\t,\tO\tO' +p39911 +aS'the\tthe\tDT\tB-NP\tO' +p39912 +aS'patient\tpatient\tNN\tI-NP\tO' +p39913 +aS'did\tdo\tVBD\tB-VP\tO' +p39914 +aS'not\tnot\tRB\tI-VP\tO' +p39915 +aS'do\tdo\tVB\tI-VP\tO' +p39916 +aS'well\twell\tRB\tB-ADVP\tO' +p39917 +aS'and\tand\tCC\tO\tO' +p39918 +aS'could\tcould\tMD\tB-VP\tO' +p39919 +aS'tolerate\ttolerate\tVB\tI-VP\tO' +p39920 +aS'minimal\tminimal\tJJ\tB-NP\tO' +p39921 +aS'food\tfood\tNN\tI-NP\tO' +p39922 +aS'intake\tintake\tNN\tI-NP\tO' +p39923 +aS'and\tand\tCC\tO\tO' +p39924 +aS'lost\tlose\tVBD\tB-VP\tO' +p39925 +aS'about\tabout\tRB\tB-NP\tO' +p39926 +aS'20\t20\tCD\tI-NP\tO' +p39927 +aS'pounds\tpound\tNNS\tI-NP\tO' +p39928 +aS'in\tin\tIN\tB-PP\tO' +p39929 +aS'one\tone\tCD\tB-NP\tO' +p39930 +aS'month\tmonth\tNN\tI-NP\tO' +p39931 +aS'.\t.\t.\tO\tO' +p39932 +asS'Dr. Maa Bloch ( WAMA HEALTH ) Call ASAP to schedule in 1-2 days' +p39933 +(lp39934 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p39935 +aS'Maa\tMaa\tNNP\tI-NP\tO' +p39936 +aS'Bloch\tBloch\tNNP\tI-NP\tO' +p39937 +aS'(\t(\t(\tO\tO' +p39938 +aS'WAMA\tWAMA\tNNP\tB-NP\tO' +p39939 +aS'HEALTH\tHEALTH\tNNP\tI-NP\tO' +p39940 +aS')\t)\t)\tO\tO' +p39941 +aS'Call\tCall\tNN\tB-NP\tO' +p39942 +aS'ASAP\tASAP\tNN\tI-NP\tO' +p39943 +aS'to\tto\tTO\tB-VP\tO' +p39944 +aS'schedule\tschedule\tVB\tI-VP\tO' +p39945 +aS'in\tin\tIN\tB-PP\tO' +p39946 +aS'1-2\t1-2\tCD\tB-NP\tO' +p39947 +aS'days\tday\tNNS\tI-NP\tO' +p39948 +asS'Abdomen was soft and nontender .' +p39949 +(lp39950 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p39951 +aS'was\tbe\tVBD\tB-VP\tO' +p39952 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p39953 +aS'and\tand\tCC\tI-ADJP\tO' +p39954 +aS'nontender\tnontender\tJJ\tI-ADJP\tO' +p39955 +aS'.\t.\t.\tO\tO' +p39956 +asS'11. Bisacodyl 10 mg Suppository Sig : One ( 1 ) Suppository Rectal DAILY ( Daily ) as needed for constipation .' +p39957 +(lp39958 +S'11.\t11.\tLS\tB-LST\tO' +p39959 +aS'Bisacodyl\tBisacodyl\tNN\tB-NP\tO' +p39960 +aS'10\t10\tCD\tI-NP\tO' +p39961 +aS'mg\tmg\tNN\tI-NP\tO' +p39962 +aS'Suppository\tSuppository\tNNP\tI-NP\tO' +p39963 +aS'Sig\tSig\tNNP\tI-NP\tO' +p39964 +aS':\t:\t:\tO\tO' +p39965 +aS'One\tOne\tCD\tB-NP\tO' +p39966 +aS'(\t(\t(\tO\tO' +p39967 +aS'1\t1\tCD\tB-NP\tO' +p39968 +aS')\t)\t)\tO\tO' +p39969 +aS'Suppository\tSuppository\tJJ\tB-NP\tO' +p39970 +aS'Rectal\tRectal\tJJ\tI-NP\tO' +p39971 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p39972 +aS'(\t(\t(\tO\tO' +p39973 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p39974 +aS')\t)\t)\tO\tO' +p39975 +aS'as\tas\tIN\tB-SBAR\tO' +p39976 +aS'needed\tneed\tVBN\tB-VP\tO' +p39977 +aS'for\tfor\tIN\tB-PP\tO' +p39978 +aS'constipation\tconstipation\tNN\tB-NP\tO' +p39979 +aS'.\t.\t.\tO\tO' +p39980 +asS'Standard 12 lead electrocardiogram revealed normal sinus rhythm at a rate of 85 , with poor R wave progression in leads V1 through V3 suggesting the possibility of an old anteroseptal myocardial infarction .' +p39981 +(lp39982 +S'Standard\tStandard\tNNP\tB-NP\tO' +p39983 +aS'12\t12\tCD\tI-NP\tO' +p39984 +aS'lead\tlead\tNN\tI-NP\tO' +p39985 +aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' +p39986 +aS'revealed\treveal\tVBD\tB-VP\tO' +p39987 +aS'normal\tnormal\tJJ\tB-NP\tO' +p39988 +aS'sinus\tsinus\tNN\tI-NP\tO' +p39989 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p39990 +aS'at\tat\tIN\tB-PP\tO' +p39991 +aS'a\ta\tDT\tB-NP\tO' +p39992 +aS'rate\trate\tNN\tI-NP\tO' +p39993 +aS'of\tof\tIN\tB-PP\tO' +p39994 +aS'85\t85\tCD\tB-NP\tO' +p39995 +aS',\t,\t,\tO\tO' +p39996 +aS'with\twith\tIN\tB-PP\tO' +p39997 +aS'poor\tpoor\tJJ\tB-NP\tO' +p39998 +aS'R\tR\tNN\tI-NP\tO' +p39999 +aS'wave\twave\tNN\tI-NP\tO' +p40000 +aS'progression\tprogression\tNN\tI-NP\tO' +p40001 +aS'in\tin\tIN\tB-PP\tO' +p40002 +aS'leads\tlead\tVBZ\tB-VP\tO' +p40003 +aS'V1\tV1\tNN\tB-NP\tB-protein' +p40004 +aS'through\tthrough\tIN\tB-PP\tO' +p40005 +aS'V3\tV3\tNN\tB-NP\tB-protein' +p40006 +aS'suggesting\tsuggest\tVBG\tB-VP\tO' +p40007 +aS'the\tthe\tDT\tB-NP\tO' +p40008 +aS'possibility\tpossibility\tNN\tI-NP\tO' +p40009 +aS'of\tof\tIN\tB-PP\tO' +p40010 +aS'an\tan\tDT\tB-NP\tO' +p40011 +aS'old\told\tJJ\tI-NP\tO' +p40012 +aS'anteroseptal\tanteroseptal\tJJ\tI-NP\tO' +p40013 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p40014 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p40015 +aS'.\t.\t.\tO\tO' +p40016 +asS'11. Potassium Chloride 10 mEq Capsule , Sustained Release Sig : Two ( 2 ) Capsule , Sustained Release PO Q12H ( every 12 hours ).' +p40017 +(lp40018 +S'11.\t11.\tLS\tB-NP\tO' +p40019 +aS'Potassium\tPotassium\tNNP\tI-NP\tO' +p40020 +aS'Chloride\tChloride\tNNP\tI-NP\tO' +p40021 +aS'10\t10\tCD\tI-NP\tO' +p40022 +aS'mEq\tmEq\tNN\tI-NP\tO' +p40023 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p40024 +aS',\t,\t,\tO\tO' +p40025 +aS'Sustained\tSustained\tNNP\tB-NP\tO' +p40026 +aS'Release\tRelease\tNNP\tI-NP\tO' +p40027 +aS'Sig\tSig\tNNP\tI-NP\tB-protein' +p40028 +aS':\t:\t:\tO\tO' +p40029 +aS'Two\tTwo\tCD\tB-NP\tO' +p40030 +aS'(\t(\t(\tO\tO' +p40031 +aS'2\t2\tCD\tB-NP\tO' +p40032 +aS')\t)\t)\tO\tO' +p40033 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p40034 +aS',\t,\t,\tO\tO' +p40035 +aS'Sustained\tSustained\tNNP\tB-NP\tO' +p40036 +aS'Release\tRelease\tNNP\tI-NP\tO' +p40037 +aS'PO\tPO\tNN\tI-NP\tO' +p40038 +aS'Q12H\tQ12H\tNN\tI-NP\tO' +p40039 +aS'(\t(\t(\tO\tO' +p40040 +aS'every\tevery\tDT\tB-NP\tO' +p40041 +aS'12\t12\tCD\tI-NP\tO' +p40042 +aS'hours\thour\tNNS\tI-NP\tO' +p40043 +aS').\t).\t)\tO\tO' +p40044 +asS'Joint deformities consistent with rheumatoid arthritis , right MTP / toe with minimal erythema .' +p40045 +(lp40046 +S'Joint\tJoint\tNN\tB-NP\tO' +p40047 +aS'deformities\tdeformity\tNNS\tI-NP\tO' +p40048 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p40049 +aS'with\twith\tIN\tB-PP\tO' +p40050 +aS'rheumatoid\trheumatoid\tJJ\tB-NP\tO' +p40051 +aS'arthritis\tarthritis\tNN\tI-NP\tO' +p40052 +aS',\t,\t,\tO\tO' +p40053 +aS'right\tright\tJJ\tB-NP\tO' +p40054 +aS'MTP\tMTP\tNN\tI-NP\tO' +p40055 +aS'/\t/\tSYM\tB-NP\tO' +p40056 +aS'toe\ttoe\tNN\tI-NP\tO' +p40057 +aS'with\twith\tIN\tB-PP\tO' +p40058 +aS'minimal\tminimal\tJJ\tB-NP\tO' +p40059 +aS'erythema\terythema\tNN\tI-NP\tO' +p40060 +aS'.\t.\t.\tO\tO' +p40061 +asS'Speech and Swallow evaluated the patient at bedside and recommended advancing to regular diet with regular consistency and saw no evidence of any dysphagia .' +p40062 +(lp40063 +S'Speech\tSpeech\tNNP\tB-NP\tO' +p40064 +aS'and\tand\tCC\tI-NP\tO' +p40065 +aS'Swallow\tSwallow\tNNP\tI-NP\tO' +p40066 +aS'evaluated\tevaluate\tVBD\tB-VP\tO' +p40067 +aS'the\tthe\tDT\tB-NP\tO' +p40068 +aS'patient\tpatient\tNN\tI-NP\tO' +p40069 +aS'at\tat\tIN\tB-PP\tO' +p40070 +aS'bedside\tbedside\tNN\tB-NP\tO' +p40071 +aS'and\tand\tCC\tO\tO' +p40072 +aS'recommended\trecommend\tVBD\tB-VP\tO' +p40073 +aS'advancing\tadvance\tVBG\tI-VP\tO' +p40074 +aS'to\tto\tTO\tB-PP\tO' +p40075 +aS'regular\tregular\tJJ\tB-NP\tO' +p40076 +aS'diet\tdiet\tNN\tI-NP\tO' +p40077 +aS'with\twith\tIN\tB-PP\tO' +p40078 +aS'regular\tregular\tJJ\tB-NP\tO' +p40079 +aS'consistency\tconsistency\tNN\tI-NP\tO' +p40080 +aS'and\tand\tCC\tO\tO' +p40081 +aS'saw\tsee\tVBD\tB-VP\tO' +p40082 +aS'no\tno\tDT\tB-NP\tO' +p40083 +aS'evidence\tevidence\tNN\tI-NP\tO' +p40084 +aS'of\tof\tIN\tB-PP\tO' +p40085 +aS'any\tany\tDT\tB-NP\tO' +p40086 +aS'dysphagia\tdysphagia\tNN\tI-NP\tO' +p40087 +aS'.\t.\t.\tO\tO' +p40088 +asS'Neurosurgical evaluation just recommended serial neurologic checks and a repeat CAT scan on the second day of admission to see if there was any evidence of progression of the bleeding .' +p40089 +(lp40090 +S'Neurosurgical\tNeurosurgical\tJJ\tB-NP\tB-protein' +p40091 +aS'evaluation\tevaluation\tNN\tI-NP\tI-protein' +p40092 +aS'just\tjust\tRB\tB-ADVP\tI-protein' +p40093 +aS'recommended\trecommend\tVBD\tB-VP\tI-protein' +p40094 +aS'serial\tserial\tJJ\tB-NP\tI-protein' +p40095 +aS'neurologic\tneurologic\tJJ\tI-NP\tI-protein' +p40096 +aS'checks\tcheck\tNNS\tI-NP\tI-protein' +p40097 +aS'and\tand\tCC\tO\tO' +p40098 +aS'a\ta\tDT\tB-NP\tO' +p40099 +aS'repeat\trepeat\tNN\tI-NP\tO' +p40100 +aS'CAT\tCAT\tNN\tI-NP\tO' +p40101 +aS'scan\tscan\tNN\tI-NP\tO' +p40102 +aS'on\ton\tIN\tB-PP\tO' +p40103 +aS'the\tthe\tDT\tB-NP\tO' +p40104 +aS'second\tsecond\tJJ\tI-NP\tO' +p40105 +aS'day\tday\tNN\tI-NP\tO' +p40106 +aS'of\tof\tIN\tB-PP\tO' +p40107 +aS'admission\tadmission\tNN\tB-NP\tO' +p40108 +aS'to\tto\tTO\tB-VP\tO' +p40109 +aS'see\tsee\tVB\tI-VP\tO' +p40110 +aS'if\tif\tIN\tB-SBAR\tO' +p40111 +aS'there\tthere\tEX\tB-NP\tO' +p40112 +aS'was\tbe\tVBD\tB-VP\tO' +p40113 +aS'any\tany\tDT\tB-NP\tO' +p40114 +aS'evidence\tevidence\tNN\tI-NP\tO' +p40115 +aS'of\tof\tIN\tB-PP\tO' +p40116 +aS'progression\tprogression\tNN\tB-NP\tO' +p40117 +aS'of\tof\tIN\tB-PP\tO' +p40118 +aS'the\tthe\tDT\tB-NP\tO' +p40119 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p40120 +aS'.\t.\t.\tO\tO' +p40121 +asS'She was treated in the CMED as above .' +p40122 +(lp40123 +S'She\tShe\tPRP\tB-NP\tO' +p40124 +aS'was\tbe\tVBD\tB-VP\tO' +p40125 +aS'treated\ttreat\tVBN\tI-VP\tO' +p40126 +aS'in\tin\tIN\tB-PP\tO' +p40127 +aS'the\tthe\tDT\tB-NP\tO' +p40128 +aS'CMED\tCMED\tNN\tI-NP\tO' +p40129 +aS'as\tas\tIN\tB-PP\tO' +p40130 +aS'above\tabove\tRB\tB-ADVP\tO' +p40131 +aS'.\t.\t.\tO\tO' +p40132 +asS'The hydronephrosis was likely caused by blockage by her tumor .' +p40133 +(lp40134 +S'The\tThe\tDT\tB-NP\tO' +p40135 +aS'hydronephrosis\thydronephrosis\tNN\tI-NP\tO' +p40136 +aS'was\tbe\tVBD\tB-VP\tO' +p40137 +aS'likely\tlikely\tRB\tI-VP\tO' +p40138 +aS'caused\tcause\tVBN\tI-VP\tO' +p40139 +aS'by\tby\tIN\tB-PP\tO' +p40140 +aS'blockage\tblockage\tNN\tB-NP\tO' +p40141 +aS'by\tby\tIN\tB-PP\tO' +p40142 +aS'her\ther\tPRP$\tB-NP\tO' +p40143 +aS'tumor\ttumor\tNN\tI-NP\tO' +p40144 +aS'.\t.\t.\tO\tO' +p40145 +asS'On arrival to Shirley , temperature was 101.2 .' +p40146 +(lp40147 +S'On\tOn\tIN\tB-PP\tO' +p40148 +aS'arrival\tarrival\tNN\tB-NP\tO' +p40149 +aS'to\tto\tTO\tB-PP\tO' +p40150 +aS'Shirley\tShirley\tNNP\tB-NP\tO' +p40151 +aS',\t,\t,\tO\tO' +p40152 +aS'temperature\ttemperature\tNN\tB-NP\tO' +p40153 +aS'was\tbe\tVBD\tB-VP\tO' +p40154 +aS'101.2\t101.2\tCD\tB-NP\tO' +p40155 +aS'.\t.\t.\tO\tO' +p40156 +asS'Please see operative note for full details .' +p40157 +(lp40158 +S'Please\tPlease\tVB\tB-VP\tO' +p40159 +aS'see\tsee\tVB\tI-VP\tO' +p40160 +aS'operative\toperative\tJJ\tB-NP\tO' +p40161 +aS'note\tnote\tNN\tI-NP\tO' +p40162 +aS'for\tfor\tIN\tB-PP\tO' +p40163 +aS'full\tfull\tJJ\tB-NP\tO' +p40164 +aS'details\tdetail\tNNS\tI-NP\tO' +p40165 +aS'.\t.\t.\tO\tO' +p40166 +asS'At home , the patient received metformin and SSI .' +p40167 +(lp40168 +S'At\tAt\tIN\tB-PP\tO' +p40169 +aS'home\thome\tNN\tB-NP\tO' +p40170 +aS',\t,\t,\tO\tO' +p40171 +aS'the\tthe\tDT\tB-NP\tO' +p40172 +aS'patient\tpatient\tNN\tI-NP\tO' +p40173 +aS'received\treceive\tVBD\tB-VP\tO' +p40174 +aS'metformin\tmetformin\tNN\tB-NP\tO' +p40175 +aS'and\tand\tCC\tI-NP\tO' +p40176 +aS'SSI\tSSI\tNN\tI-NP\tO' +p40177 +aS'.\t.\t.\tO\tO' +p40178 +asS'5. GERD .' +p40179 +(lp40180 +S'5.\t5.\tLS\tB-LST\tO' +p40181 +aS'GERD\tGERD\tNNP\tB-NP\tO' +p40182 +aS'.\t.\t.\tO\tO' +p40183 +asS'1. Diabetes .' +p40184 +(lp40185 +S'1.\t1.\tLS\tB-NP\tO' +p40186 +aS'Diabetes\tDiabetes\tNN\tI-NP\tO' +p40187 +aS'.\t.\t.\tO\tO' +p40188 +asS'No hemoptysis , no fevers , chills , sweats , when pneumonia resolved .' +p40189 +(lp40190 +S'No\tNo\tDT\tB-NP\tO' +p40191 +aS'hemoptysis\themoptysis\tNN\tI-NP\tO' +p40192 +aS',\t,\t,\tO\tO' +p40193 +aS'no\tno\tDT\tB-NP\tO' +p40194 +aS'fevers\tfever\tNNS\tI-NP\tO' +p40195 +aS',\t,\t,\tO\tO' +p40196 +aS'chills\tchill\tNNS\tB-NP\tO' +p40197 +aS',\t,\t,\tO\tO' +p40198 +aS'sweats\tsweat\tNNS\tB-NP\tO' +p40199 +aS',\t,\t,\tO\tO' +p40200 +aS'when\twhen\tWRB\tB-ADVP\tO' +p40201 +aS'pneumonia\tpneumonia\tNN\tB-NP\tO' +p40202 +aS'resolved\tresolve\tVBN\tB-VP\tO' +p40203 +aS'.\t.\t.\tO\tO' +p40204 +asS'The psychiatrist also noted the indifference the patient evinced regarding her own symptomatology .' +p40205 +(lp40206 +S'The\tThe\tDT\tB-NP\tO' +p40207 +aS'psychiatrist\tpsychiatrist\tNN\tI-NP\tO' +p40208 +aS'also\talso\tRB\tB-ADVP\tO' +p40209 +aS'noted\tnote\tVBD\tB-VP\tO' +p40210 +aS'the\tthe\tDT\tB-NP\tO' +p40211 +aS'indifference\tindifference\tNN\tI-NP\tO' +p40212 +aS'the\tthe\tDT\tB-NP\tO' +p40213 +aS'patient\tpatient\tNN\tI-NP\tO' +p40214 +aS'evinced\tevince\tVBD\tB-VP\tO' +p40215 +aS'regarding\tregard\tVBG\tI-VP\tO' +p40216 +aS'her\ther\tPRP$\tB-NP\tO' +p40217 +aS'own\town\tJJ\tI-NP\tO' +p40218 +aS'symptomatology\tsymptomatology\tNN\tI-NP\tO' +p40219 +aS'.\t.\t.\tO\tO' +p40220 +asS'stable , will work with home PT' +p40221 +(lp40222 +S'stable\tstable\tJJ\tB-ADJP\tO' +p40223 +aS',\t,\t,\tO\tO' +p40224 +aS'will\twill\tMD\tB-VP\tO' +p40225 +aS'work\twork\tVB\tI-VP\tO' +p40226 +aS'with\twith\tIN\tB-PP\tO' +p40227 +aS'home\thome\tNN\tB-NP\tO' +p40228 +aS'PT\tPT\tNN\tI-NP\tO' +p40229 +asS'2. Multivitamin Capsule Sig : One ( 1 ) Cap PO QAM ( once a day ( in the morning )).' +p40230 +(lp40231 +S'2.\t2.\tLS\tB-LST\tO' +p40232 +aS'Multivitamin\tMultivitamin\tNNP\tB-NP\tO' +p40233 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p40234 +aS'Sig\tSig\tNNP\tI-NP\tO' +p40235 +aS':\t:\t:\tO\tO' +p40236 +aS'One\tOne\tCD\tB-NP\tO' +p40237 +aS'(\t(\t(\tO\tO' +p40238 +aS'1\t1\tCD\tB-NP\tO' +p40239 +aS')\t)\t)\tO\tO' +p40240 +aS'Cap\tCap\tNN\tB-NP\tO' +p40241 +aS'PO\tPO\tNN\tI-NP\tO' +p40242 +aS'QAM\tQAM\tNN\tI-NP\tO' +p40243 +aS'(\t(\t(\tO\tO' +p40244 +aS'once\tonce\tRB\tB-ADVP\tO' +p40245 +aS'a\ta\tDT\tB-NP\tO' +p40246 +aS'day\tday\tNN\tI-NP\tO' +p40247 +aS'(\t(\t(\tO\tO' +p40248 +aS'in\tin\tIN\tB-PP\tO' +p40249 +aS'the\tthe\tDT\tB-NP\tO' +p40250 +aS'morning\tmorning\tNN\tI-NP\tO' +p40251 +aS')).\t)).\t.\tO\tO' +p40252 +asS'Her lungs were clear to auscultation bilaterally .' +p40253 +(lp40254 +S'Her\tHer\tPRP$\tB-NP\tO' +p40255 +aS'lungs\tlung\tNNS\tI-NP\tO' +p40256 +aS'were\tbe\tVBD\tB-VP\tO' +p40257 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p40258 +aS'to\tto\tTO\tB-PP\tO' +p40259 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p40260 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p40261 +aS'.\t.\t.\tO\tO' +p40262 +asS'The patient is a 40 year old woman with end stage renal disease , on hemodialysis since 12/91 .' +p40263 +(lp40264 +S'The\tThe\tDT\tB-NP\tO' +p40265 +aS'patient\tpatient\tNN\tI-NP\tO' +p40266 +aS'is\tbe\tVBZ\tB-VP\tO' +p40267 +aS'a\ta\tDT\tB-NP\tO' +p40268 +aS'40\t40\tCD\tI-NP\tO' +p40269 +aS'year\tyear\tNN\tI-NP\tO' +p40270 +aS'old\told\tJJ\tI-NP\tO' +p40271 +aS'woman\twoman\tNN\tI-NP\tO' +p40272 +aS'with\twith\tIN\tB-PP\tO' +p40273 +aS'end\tend\tNN\tB-NP\tO' +p40274 +aS'stage\tstage\tNN\tI-NP\tO' +p40275 +aS'renal\trenal\tJJ\tI-NP\tO' +p40276 +aS'disease\tdisease\tNN\tI-NP\tO' +p40277 +aS',\t,\t,\tO\tO' +p40278 +aS'on\ton\tIN\tB-PP\tO' +p40279 +aS'hemodialysis\themodialysis\tNN\tB-NP\tB-protein' +p40280 +aS'since\tsince\tIN\tB-PP\tI-protein' +p40281 +aS'12/91\t12/91\tCD\tB-NP\tI-protein' +p40282 +aS'.\t.\t.\tO\tO' +p40283 +asS'Magnetic resonance imaging was negative except for some microvascular cerebral white matter changes .' +p40284 +(lp40285 +S'Magnetic\tMagnetic\tJJ\tB-NP\tO' +p40286 +aS'resonance\tresonance\tNN\tI-NP\tO' +p40287 +aS'imaging\timaging\tNN\tI-NP\tO' +p40288 +aS'was\tbe\tVBD\tB-VP\tO' +p40289 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p40290 +aS'except\texcept\tIN\tB-PP\tO' +p40291 +aS'for\tfor\tIN\tB-PP\tO' +p40292 +aS'some\tsome\tDT\tB-NP\tO' +p40293 +aS'microvascular\tmicrovascular\tJJ\tI-NP\tO' +p40294 +aS'cerebral\tcerebral\tJJ\tI-NP\tO' +p40295 +aS'white\twhite\tJJ\tI-NP\tO' +p40296 +aS'matter\tmatter\tNN\tI-NP\tO' +p40297 +aS'changes\tchange\tNNS\tI-NP\tO' +p40298 +aS'.\t.\t.\tO\tO' +p40299 +asS'The heart was regular rate and rhythm , S4 , S1 , S2 , with a I / VI systolic murmur at the left lower sternal border .' +p40300 +(lp40301 +S'The\tThe\tDT\tB-NP\tO' +p40302 +aS'heart\theart\tNN\tI-NP\tO' +p40303 +aS'was\tbe\tVBD\tB-VP\tO' +p40304 +aS'regular\tregular\tJJ\tB-NP\tO' +p40305 +aS'rate\trate\tNN\tI-NP\tO' +p40306 +aS'and\tand\tCC\tI-NP\tO' +p40307 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p40308 +aS',\t,\t,\tO\tO' +p40309 +aS'S4\tS4\tNN\tB-NP\tB-protein' +p40310 +aS',\t,\t,\tO\tO' +p40311 +aS'S1\tS1\tNN\tB-NP\tB-protein' +p40312 +aS',\t,\t,\tO\tO' +p40313 +aS'S2\tS2\tNN\tB-NP\tB-protein' +p40314 +aS',\t,\t,\tO\tO' +p40315 +aS'with\twith\tIN\tB-PP\tO' +p40316 +aS'a\ta\tDT\tB-NP\tO' +p40317 +aS'I\tI\tNN\tI-NP\tO' +p40318 +aS'/\t/\tSYM\tB-NP\tO' +p40319 +aS'VI\tVI\tNN\tI-NP\tO' +p40320 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p40321 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p40322 +aS'at\tat\tIN\tB-PP\tO' +p40323 +aS'the\tthe\tDT\tB-NP\tO' +p40324 +aS'left\tleft\tJJ\tI-NP\tO' +p40325 +aS'lower\tlow\tJJR\tI-NP\tO' +p40326 +aS'sternal\tsternal\tJJ\tI-NP\tO' +p40327 +aS'border\tborder\tNN\tI-NP\tO' +p40328 +aS'.\t.\t.\tO\tO' +p40329 +asS'4. Gastritis .' +p40330 +(lp40331 +S'4.\t4.\tLS\tB-NP\tO' +p40332 +aS'Gastritis\tGastritis\tNN\tI-NP\tO' +p40333 +aS'.\t.\t.\tO\tO' +p40334 +asS'Anicteric sclera bilat .' +p40335 +(lp40336 +S'Anicteric\tAnicteric\tJJ\tB-NP\tO' +p40337 +aS'sclera\tsclera\tNN\tI-NP\tO' +p40338 +aS'bilat\tbilat\tNN\tI-NP\tO' +p40339 +aS'.\t.\t.\tO\tO' +p40340 +asS'4. depression : continue escitalopram ; assess need to change medication as an outpatient .' +p40341 +(lp40342 +S'4.\t4.\tCD\tB-NP\tO' +p40343 +aS'depression\tdepression\tNN\tI-NP\tO' +p40344 +aS':\t:\t:\tO\tO' +p40345 +aS'continue\tcontinue\tVB\tB-VP\tO' +p40346 +aS'escitalopram\tescitalopram\tNN\tB-NP\tO' +p40347 +aS';\t;\t:\tO\tO' +p40348 +aS'assess\tassess\tNN\tB-NP\tO' +p40349 +aS'need\tneed\tVBP\tB-VP\tO' +p40350 +aS'to\tto\tTO\tI-VP\tO' +p40351 +aS'change\tchange\tVB\tI-VP\tO' +p40352 +aS'medication\tmedication\tNN\tB-NP\tO' +p40353 +aS'as\tas\tIN\tB-PP\tO' +p40354 +aS'an\tan\tDT\tB-NP\tO' +p40355 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p40356 +aS'.\t.\t.\tO\tO' +p40357 +asS'Overall appearances are essentially unchanged since the prior film of 2013-02-20 , apart from removal of the ET tube .' +p40358 +(lp40359 +S'Overall\tOverall\tJJ\tB-NP\tO' +p40360 +aS'appearances\tappearance\tNNS\tI-NP\tO' +p40361 +aS'are\tbe\tVBP\tB-VP\tO' +p40362 +aS'essentially\tessentially\tRB\tB-ADJP\tO' +p40363 +aS'unchanged\tunchanged\tJJ\tI-ADJP\tO' +p40364 +aS'since\tsince\tIN\tB-PP\tO' +p40365 +aS'the\tthe\tDT\tB-NP\tO' +p40366 +aS'prior\tprior\tJJ\tI-NP\tO' +p40367 +aS'film\tfilm\tNN\tI-NP\tO' +p40368 +aS'of\tof\tIN\tB-PP\tO' +p40369 +aS'2013-02-20\t2013-02-20\tCD\tB-NP\tO' +p40370 +aS',\t,\t,\tO\tO' +p40371 +aS'apart\tapart\tRB\tB-ADVP\tO' +p40372 +aS'from\tfrom\tIN\tB-PP\tO' +p40373 +aS'removal\tremoval\tNN\tB-NP\tO' +p40374 +aS'of\tof\tIN\tB-PP\tO' +p40375 +aS'the\tthe\tDT\tB-NP\tO' +p40376 +aS'ET\tET\tNN\tI-NP\tB-DNA' +p40377 +aS'tube\ttube\tNN\tI-NP\tI-DNA' +p40378 +aS'.\t.\t.\tO\tO' +p40379 +asS'Heart rate 108 , blood pressure 140/82 , oxygen saturation 96% , respiratory rate of 22 on BiPAP 5/10/30% .' +p40380 +(lp40381 +S'Heart\tHeart\tNN\tB-NP\tO' +p40382 +aS'rate\trate\tNN\tI-NP\tO' +p40383 +aS'108\t108\tCD\tI-NP\tO' +p40384 +aS',\t,\t,\tO\tO' +p40385 +aS'blood\tblood\tNN\tB-NP\tO' +p40386 +aS'pressure\tpressure\tNN\tI-NP\tO' +p40387 +aS'140/82\t140/82\tCD\tI-NP\tO' +p40388 +aS',\t,\t,\tO\tO' +p40389 +aS'oxygen\toxygen\tNN\tB-NP\tB-protein' +p40390 +aS'saturation\tsaturation\tNN\tI-NP\tI-protein' +p40391 +aS'96%\t96%\tCD\tI-NP\tI-protein' +p40392 +aS',\t,\t,\tO\tO' +p40393 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p40394 +aS'rate\trate\tNN\tI-NP\tO' +p40395 +aS'of\tof\tIN\tB-PP\tO' +p40396 +aS'22\t22\tCD\tB-NP\tO' +p40397 +aS'on\ton\tIN\tB-PP\tO' +p40398 +aS'BiPAP\tBiPAP\tNN\tB-NP\tB-protein' +p40399 +aS'5/10/30%\t5/10/30%\tCD\tI-NP\tI-protein' +p40400 +aS'.\t.\t.\tO\tO' +p40401 +asS'Albumin was 2.3 .' +p40402 +(lp40403 +S'Albumin\tAlbumin\tNNP\tB-NP\tO' +p40404 +aS'was\tbe\tVBD\tB-VP\tO' +p40405 +aS'2.3\t2.3\tCD\tB-NP\tO' +p40406 +aS'.\t.\t.\tO\tO' +p40407 +asS'PENICILLIN .' +p40408 +(lp40409 +S'PENICILLIN\tPENICILLIN\tNN\tB-NP\tB-protein' +p40410 +aS'.\t.\t.\tO\tO' +p40411 +asS'Son is next of kin .' +p40412 +(lp40413 +S'Son\tSon\tNNP\tB-NP\tO' +p40414 +aS'is\tbe\tVBZ\tB-VP\tO' +p40415 +aS'next\tnext\tJJ\tB-ADJP\tO' +p40416 +aS'of\tof\tIN\tB-PP\tO' +p40417 +aS'kin\tkin\tNN\tB-NP\tO' +p40418 +aS'.\t.\t.\tO\tO' +p40419 +asS'Neurologically , mental status examination is normal .' +p40420 +(lp40421 +S'Neurologically\tNeurologically\tRB\tB-ADVP\tO' +p40422 +aS',\t,\t,\tO\tO' +p40423 +aS'mental\tmental\tJJ\tB-NP\tO' +p40424 +aS'status\tstatus\tNN\tI-NP\tO' +p40425 +aS'examination\texamination\tNN\tI-NP\tO' +p40426 +aS'is\tbe\tVBZ\tB-VP\tO' +p40427 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p40428 +aS'.\t.\t.\tO\tO' +p40429 +asS'Patient expired after the endotracheal tube was withdrawn at 6:40 p.m.' +p40430 +(lp40431 +S'Patient\tPatient\tNN\tB-NP\tO' +p40432 +aS'expired\texpire\tVBD\tB-VP\tO' +p40433 +aS'after\tafter\tIN\tB-PP\tO' +p40434 +aS'the\tthe\tDT\tB-NP\tO' +p40435 +aS'endotracheal\tendotracheal\tJJ\tI-NP\tO' +p40436 +aS'tube\ttube\tNN\tI-NP\tO' +p40437 +aS'was\tbe\tVBD\tB-VP\tO' +p40438 +aS'withdrawn\twithdraw\tVBN\tI-VP\tO' +p40439 +aS'at\tat\tIN\tB-PP\tO' +p40440 +aS'6:40\t6:40\tCD\tB-NP\tO' +p40441 +aS'p.m.\tp.m.\tNN\tI-NP\tO' +p40442 +asS'Smokes 1 pack-per-day for 15 years but had quit for 20 years and recently restarted .' +p40443 +(lp40444 +S'Smokes\tSmoke\tNNS\tB-NP\tO' +p40445 +aS'1\t1\tCD\tI-NP\tO' +p40446 +aS'pack-per-day\tpack-per-day\tNN\tI-NP\tO' +p40447 +aS'for\tfor\tIN\tB-PP\tO' +p40448 +aS'15\t15\tCD\tB-NP\tO' +p40449 +aS'years\tyear\tNNS\tI-NP\tO' +p40450 +aS'but\tbut\tCC\tO\tO' +p40451 +aS'had\thave\tVBD\tB-VP\tO' +p40452 +aS'quit\tquit\tVBN\tI-VP\tO' +p40453 +aS'for\tfor\tIN\tB-PP\tO' +p40454 +aS'20\t20\tCD\tB-NP\tO' +p40455 +aS'years\tyear\tNNS\tI-NP\tO' +p40456 +aS'and\tand\tCC\tO\tO' +p40457 +aS'recently\trecently\tRB\tB-VP\tO' +p40458 +aS'restarted\trestart\tVBD\tI-VP\tO' +p40459 +aS'.\t.\t.\tO\tO' +p40460 +asS'Surgery was consulted and Dr. Boston took patient to OR for exploration of cord on 04-01 .' +p40461 +(lp40462 +S'Surgery\tSurgery\tNN\tB-NP\tO' +p40463 +aS'was\tbe\tVBD\tB-VP\tO' +p40464 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p40465 +aS'and\tand\tCC\tO\tO' +p40466 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p40467 +aS'Boston\tBoston\tNNP\tI-NP\tO' +p40468 +aS'took\ttake\tVBD\tB-VP\tO' +p40469 +aS'patient\tpatient\tNN\tB-NP\tO' +p40470 +aS'to\tto\tTO\tB-PP\tO' +p40471 +aS'OR\tOR\tNN\tB-NP\tB-protein' +p40472 +aS'for\tfor\tIN\tB-PP\tO' +p40473 +aS'exploration\texploration\tNN\tB-NP\tO' +p40474 +aS'of\tof\tIN\tB-PP\tO' +p40475 +aS'cord\tcord\tNN\tB-NP\tO' +p40476 +aS'on\ton\tIN\tB-PP\tO' +p40477 +aS'04-01\t04-01\tCD\tB-NP\tO' +p40478 +aS'.\t.\t.\tO\tO' +p40479 +asS'1. Bucket handle medial meniscal tear with flipped fragment in the intercondylar notch .' +p40480 +(lp40481 +S'1.\t1.\tLS\tB-NP\tO' +p40482 +aS'Bucket\tBucket\tNN\tI-NP\tO' +p40483 +aS'handle\thandle\tVB\tB-VP\tO' +p40484 +aS'medial\tmedial\tJJ\tB-NP\tO' +p40485 +aS'meniscal\tmeniscal\tJJ\tI-NP\tO' +p40486 +aS'tear\ttear\tNN\tI-NP\tO' +p40487 +aS'with\twith\tIN\tB-PP\tO' +p40488 +aS'flipped\tflipped\tJJ\tB-NP\tB-protein' +p40489 +aS'fragment\tfragment\tNN\tI-NP\tI-protein' +p40490 +aS'in\tin\tIN\tB-PP\tO' +p40491 +aS'the\tthe\tDT\tB-NP\tO' +p40492 +aS'intercondylar\tintercondylar\tJJ\tI-NP\tO' +p40493 +aS'notch\tnotch\tNN\tI-NP\tO' +p40494 +aS'.\t.\t.\tO\tO' +p40495 +asS'On transfer , she was on her preadmission medications plus Unasyn and Tigan 250 mg p.o. q.6h. p.r.n.' +p40496 +(lp40497 +S'On\tOn\tIN\tB-PP\tO' +p40498 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p40499 +aS',\t,\t,\tO\tO' +p40500 +aS'she\tshe\tPRP\tB-NP\tO' +p40501 +aS'was\tbe\tVBD\tB-VP\tO' +p40502 +aS'on\ton\tIN\tB-PP\tO' +p40503 +aS'her\ther\tPRP$\tB-NP\tO' +p40504 +aS'preadmission\tpreadmission\tNN\tI-NP\tO' +p40505 +aS'medications\tmedication\tNNS\tI-NP\tO' +p40506 +aS'plus\tplus\tCC\tO\tO' +p40507 +aS'Unasyn\tUnasyn\tNN\tB-NP\tO' +p40508 +aS'and\tand\tCC\tI-NP\tO' +p40509 +aS'Tigan\tTigan\tNN\tI-NP\tO' +p40510 +aS'250\t250\tCD\tI-NP\tO' +p40511 +aS'mg\tmg\tNN\tI-NP\tO' +p40512 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p40513 +aS'q.6h.\tq.6h.\tNN\tI-NP\tO' +p40514 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p40515 +asS'Keep your appointments .' +p40516 +(lp40517 +S'Keep\tKeep\tVB\tB-VP\tO' +p40518 +aS'your\tyour\tPRP$\tB-NP\tO' +p40519 +aS'appointments\tappointment\tNNS\tI-NP\tO' +p40520 +aS'.\t.\t.\tO\tO' +p40521 +asS'She was subsequently referred to Dr. Ko for a possible resection of this carcinoma .' +p40522 +(lp40523 +S'She\tShe\tPRP\tB-NP\tO' +p40524 +aS'was\tbe\tVBD\tB-VP\tO' +p40525 +aS'subsequently\tsubsequently\tRB\tI-VP\tO' +p40526 +aS'referred\trefer\tVBN\tI-VP\tO' +p40527 +aS'to\tto\tTO\tB-PP\tO' +p40528 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p40529 +aS'Ko\tKo\tNNP\tI-NP\tO' +p40530 +aS'for\tfor\tIN\tB-PP\tO' +p40531 +aS'a\ta\tDT\tB-NP\tO' +p40532 +aS'possible\tpossible\tJJ\tI-NP\tO' +p40533 +aS'resection\tresection\tNN\tI-NP\tO' +p40534 +aS'of\tof\tIN\tB-PP\tO' +p40535 +aS'this\tthis\tDT\tB-NP\tO' +p40536 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p40537 +aS'.\t.\t.\tO\tO' +p40538 +asS'Calcium 8.7 , bilirubin 0.3/1.3 , creatinine 1.1 , glucose 128 .' +p40539 +(lp40540 +S'Calcium\tCalcium\tNN\tB-NP\tO' +p40541 +aS'8.7\t8.7\tCD\tI-NP\tO' +p40542 +aS',\t,\t,\tO\tO' +p40543 +aS'bilirubin\tbilirubin\tNN\tB-NP\tO' +p40544 +aS'0.3/1.3\t0.3/1.3\tCD\tI-NP\tO' +p40545 +aS',\t,\t,\tO\tO' +p40546 +aS'creatinine\tcreatinine\tNN\tB-NP\tB-protein' +p40547 +aS'1.1\t1.1\tCD\tI-NP\tI-protein' +p40548 +aS',\t,\t,\tO\tO' +p40549 +aS'glucose\tglucose\tNN\tB-NP\tO' +p40550 +aS'128\t128\tCD\tI-NP\tO' +p40551 +aS'.\t.\t.\tO\tO' +p40552 +asS'She has been started on several new medications which are important to protect her heart .' +p40553 +(lp40554 +S'She\tShe\tPRP\tB-NP\tO' +p40555 +aS'has\thave\tVBZ\tB-VP\tO' +p40556 +aS'been\tbe\tVBN\tI-VP\tO' +p40557 +aS'started\tstart\tVBN\tI-VP\tO' +p40558 +aS'on\ton\tIN\tB-PP\tO' +p40559 +aS'several\tseveral\tJJ\tB-NP\tO' +p40560 +aS'new\tnew\tJJ\tI-NP\tO' +p40561 +aS'medications\tmedication\tNNS\tI-NP\tO' +p40562 +aS'which\twhich\tWDT\tB-NP\tO' +p40563 +aS'are\tbe\tVBP\tB-VP\tO' +p40564 +aS'important\timportant\tJJ\tB-ADJP\tO' +p40565 +aS'to\tto\tTO\tB-VP\tO' +p40566 +aS'protect\tprotect\tVB\tI-VP\tO' +p40567 +aS'her\ther\tPRP$\tB-NP\tO' +p40568 +aS'heart\theart\tNN\tI-NP\tO' +p40569 +aS'.\t.\t.\tO\tO' +p40570 +asS'A CT was performed in the Deanna that showed a new significant R-frontal intraparenchymal hemorrhage in the same location as the prior bleed .' +p40571 +(lp40572 +S'A\tA\tDT\tB-NP\tO' +p40573 +aS'CT\tCT\tNN\tI-NP\tB-protein' +p40574 +aS'was\tbe\tVBD\tB-VP\tO' +p40575 +aS'performed\tperform\tVBN\tI-VP\tO' +p40576 +aS'in\tin\tIN\tB-PP\tO' +p40577 +aS'the\tthe\tDT\tB-NP\tO' +p40578 +aS'Deanna\tDeanna\tNNP\tI-NP\tO' +p40579 +aS'that\tthat\tWDT\tB-NP\tO' +p40580 +aS'showed\tshow\tVBD\tB-VP\tO' +p40581 +aS'a\ta\tDT\tB-NP\tO' +p40582 +aS'new\tnew\tJJ\tI-NP\tO' +p40583 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p40584 +aS'R-frontal\tR-frontal\tJJ\tI-NP\tO' +p40585 +aS'intraparenchymal\tintraparenchymal\tJJ\tI-NP\tO' +p40586 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p40587 +aS'in\tin\tIN\tB-PP\tO' +p40588 +aS'the\tthe\tDT\tB-NP\tO' +p40589 +aS'same\tsame\tJJ\tI-NP\tO' +p40590 +aS'location\tlocation\tNN\tI-NP\tO' +p40591 +aS'as\tas\tIN\tB-PP\tO' +p40592 +aS'the\tthe\tDT\tB-NP\tO' +p40593 +aS'prior\tprior\tJJ\tI-NP\tO' +p40594 +aS'bleed\tbleed\tNN\tI-NP\tO' +p40595 +aS'.\t.\t.\tO\tO' +p40596 +asS'CT chest at Erich Lindemann Mental Health Center 05-25 : large pericardial effusion , bilat pleural eff with underlying consolidation which could represent PNA vs. atelectasis' +p40597 +(lp40598 +S'CT\tCT\tNN\tB-NP\tO' +p40599 +aS'chest\tchest\tNN\tI-NP\tO' +p40600 +aS'at\tat\tIN\tB-PP\tO' +p40601 +aS'Erich\tErich\tNNP\tB-NP\tO' +p40602 +aS'Lindemann\tLindemann\tNNP\tI-NP\tO' +p40603 +aS'Mental\tMental\tNNP\tI-NP\tO' +p40604 +aS'Health\tHealth\tNNP\tI-NP\tO' +p40605 +aS'Center\tCenter\tNNP\tI-NP\tO' +p40606 +aS'05-25\t05-25\tCD\tI-NP\tO' +p40607 +aS':\t:\t:\tO\tO' +p40608 +aS'large\tlarge\tJJ\tB-NP\tO' +p40609 +aS'pericardial\tpericardial\tJJ\tI-NP\tO' +p40610 +aS'effusion\teffusion\tNN\tI-NP\tO' +p40611 +aS',\t,\t,\tO\tO' +p40612 +aS'bilat\tbilat\tJJ\tB-NP\tO' +p40613 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p40614 +aS'eff\teff\tNN\tI-NP\tO' +p40615 +aS'with\twith\tIN\tB-PP\tO' +p40616 +aS'underlying\tunderlie\tVBG\tB-VP\tO' +p40617 +aS'consolidation\tconsolidation\tNN\tB-NP\tO' +p40618 +aS'which\twhich\tWDT\tB-NP\tO' +p40619 +aS'could\tcould\tMD\tB-VP\tO' +p40620 +aS'represent\trepresent\tVB\tI-VP\tO' +p40621 +aS'PNA\tPNA\tNN\tB-NP\tB-protein' +p40622 +aS'vs.\tvs.\tIN\tB-PP\tO' +p40623 +aS'atelectasis\tatelectasis\tNN\tB-NP\tO' +p40624 +asS'A computerized tomography scan done on 4/16/95 showed a large " pseudocyst " .' +p40625 +(lp40626 +S'A\tA\tDT\tB-NP\tO' +p40627 +aS'computerized\tcomputerized\tJJ\tI-NP\tO' +p40628 +aS'tomography\ttomography\tNN\tI-NP\tO' +p40629 +aS'scan\tscan\tNN\tI-NP\tO' +p40630 +aS'done\tdo\tVBN\tB-VP\tO' +p40631 +aS'on\ton\tIN\tB-PP\tO' +p40632 +aS'4/16/95\t4/16/95\tCD\tB-NP\tO' +p40633 +aS'showed\tshow\tVBD\tB-VP\tO' +p40634 +aS'a\ta\tDT\tB-NP\tO' +p40635 +aS'large\tlarge\tJJ\tI-NP\tO' +p40636 +aS'"\t"\tCC\tI-NP\tO' +p40637 +aS'pseudocyst\tpseudocyst\tNN\tI-NP\tO' +p40638 +aS'"\t"\tNN\tI-NP\tO' +p40639 +aS'.\t.\t.\tO\tO' +p40640 +asS'She was to followup with Maternal Fetal Medicine in 5 to 7 days .' +p40641 +(lp40642 +S'She\tShe\tPRP\tB-NP\tO' +p40643 +aS'was\tbe\tVBD\tB-VP\tO' +p40644 +aS'to\tto\tTO\tB-VP\tO' +p40645 +aS'followup\tfollowup\tVB\tI-VP\tO' +p40646 +aS'with\twith\tIN\tB-PP\tO' +p40647 +aS'Maternal\tMaternal\tNNP\tB-NP\tO' +p40648 +aS'Fetal\tFetal\tNNP\tI-NP\tO' +p40649 +aS'Medicine\tMedicine\tNNP\tI-NP\tO' +p40650 +aS'in\tin\tIN\tB-PP\tO' +p40651 +aS'5\t5\tCD\tB-NP\tO' +p40652 +aS'to\tto\tTO\tI-NP\tO' +p40653 +aS'7\t7\tCD\tI-NP\tO' +p40654 +aS'days\tday\tNNS\tI-NP\tO' +p40655 +aS'.\t.\t.\tO\tO' +p40656 +asS'Hemodynamic monitoring revealed low systemic vascular resistance and high cardiac output .' +p40657 +(lp40658 +S'Hemodynamic\tHemodynamic\tJJ\tB-NP\tO' +p40659 +aS'monitoring\tmonitoring\tNN\tI-NP\tO' +p40660 +aS'revealed\treveal\tVBD\tB-VP\tO' +p40661 +aS'low\tlow\tJJ\tB-NP\tO' +p40662 +aS'systemic\tsystemic\tJJ\tI-NP\tO' +p40663 +aS'vascular\tvascular\tJJ\tI-NP\tO' +p40664 +aS'resistance\tresistance\tNN\tI-NP\tO' +p40665 +aS'and\tand\tCC\tO\tO' +p40666 +aS'high\thigh\tJJ\tB-NP\tO' +p40667 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p40668 +aS'output\toutput\tNN\tI-NP\tO' +p40669 +aS'.\t.\t.\tO\tO' +p40670 +asS'Urinalysis is pending .' +p40671 +(lp40672 +S'Urinalysis\tUrinalysis\tNN\tB-NP\tO' +p40673 +aS'is\tbe\tVBZ\tB-VP\tO' +p40674 +aS'pending\tpende\tVBG\tB-ADJP\tO' +p40675 +aS'.\t.\t.\tO\tO' +p40676 +asS'She reports no prior surgical history .' +p40677 +(lp40678 +S'She\tShe\tPRP\tB-NP\tO' +p40679 +aS'reports\treport\tVBZ\tB-VP\tO' +p40680 +aS'no\tno\tDT\tB-NP\tO' +p40681 +aS'prior\tprior\tRB\tI-NP\tO' +p40682 +aS'surgical\tsurgical\tJJ\tI-NP\tO' +p40683 +aS'history\thistory\tNN\tI-NP\tO' +p40684 +aS'.\t.\t.\tO\tO' +p40685 +asS'At surgery , the descending aorta was noted to be calcified , and an intraoperative transesophageal echocardiogram revealed an irregular intra-aortic pedunculated lesion .' +p40686 +(lp40687 +S'At\tAt\tIN\tB-PP\tO' +p40688 +aS'surgery\tsurgery\tNN\tB-NP\tO' +p40689 +aS',\t,\t,\tO\tO' +p40690 +aS'the\tthe\tDT\tB-NP\tO' +p40691 +aS'descending\tdescend\tVBG\tI-NP\tO' +p40692 +aS'aorta\taorta\tNN\tI-NP\tO' +p40693 +aS'was\tbe\tVBD\tB-VP\tO' +p40694 +aS'noted\tnote\tVBN\tI-VP\tO' +p40695 +aS'to\tto\tTO\tI-VP\tO' +p40696 +aS'be\tbe\tVB\tI-VP\tO' +p40697 +aS'calcified\tcalcify\tVBN\tI-VP\tO' +p40698 +aS',\t,\t,\tO\tO' +p40699 +aS'and\tand\tCC\tO\tO' +p40700 +aS'an\tan\tDT\tB-NP\tO' +p40701 +aS'intraoperative\tintraoperative\tJJ\tI-NP\tO' +p40702 +aS'transesophageal\ttransesophageal\tJJ\tI-NP\tO' +p40703 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p40704 +aS'revealed\treveal\tVBD\tB-VP\tO' +p40705 +aS'an\tan\tDT\tB-NP\tO' +p40706 +aS'irregular\tirregular\tJJ\tI-NP\tO' +p40707 +aS'intra-aortic\tintra-aortic\tJJ\tI-NP\tO' +p40708 +aS'pedunculated\tpedunculated\tJJ\tI-NP\tO' +p40709 +aS'lesion\tlesion\tNN\tI-NP\tO' +p40710 +aS'.\t.\t.\tO\tO' +p40711 +asS'Vancomycin was added when we had the positive blood culture .' +p40712 +(lp40713 +S'Vancomycin\tVancomycin\tNN\tB-NP\tO' +p40714 +aS'was\tbe\tVBD\tB-VP\tO' +p40715 +aS'added\tadd\tVBN\tI-VP\tO' +p40716 +aS'when\twhen\tWRB\tB-ADVP\tO' +p40717 +aS'we\twe\tPRP\tB-NP\tO' +p40718 +aS'had\thave\tVBD\tB-VP\tO' +p40719 +aS'the\tthe\tDT\tB-NP\tO' +p40720 +aS'positive\tpositive\tJJ\tI-NP\tO' +p40721 +aS'blood\tblood\tNN\tI-NP\tO' +p40722 +aS'culture\tculture\tNN\tI-NP\tO' +p40723 +aS'.\t.\t.\tO\tO' +p40724 +asS'Normal contrast enhancement seen in the left common/internal carotid artery stent .' +p40725 +(lp40726 +S'Normal\tNormal\tJJ\tB-NP\tO' +p40727 +aS'contrast\tcontrast\tNN\tI-NP\tO' +p40728 +aS'enhancement\tenhancement\tNN\tI-NP\tO' +p40729 +aS'seen\tsee\tVBN\tB-VP\tO' +p40730 +aS'in\tin\tIN\tB-PP\tO' +p40731 +aS'the\tthe\tDT\tB-NP\tO' +p40732 +aS'left\tleft\tJJ\tI-NP\tO' +p40733 +aS'common/internal\tcommon/internal\tJJ\tI-NP\tO' +p40734 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p40735 +aS'artery\tartery\tNN\tI-NP\tO' +p40736 +aS'stent\tstent\tNN\tI-NP\tO' +p40737 +aS'.\t.\t.\tO\tO' +p40738 +asS'4. Fluticasone-Salmeterol 250-50 mcg / Dose Disk with Device Sig : One ( 1 ) Disk with Device Inhalation BID ( 2 times a day ).' +p40739 +(lp40740 +S'4.\t4.\tLS\tB-NP\tO' +p40741 +aS'Fluticasone-Salmeterol\tFluticasone-Salmeterol\tNN\tI-NP\tO' +p40742 +aS'250-50\t250-50\tCD\tI-NP\tO' +p40743 +aS'mcg\tmcg\tNN\tI-NP\tO' +p40744 +aS'/\t/\tSYM\tB-NP\tO' +p40745 +aS'Dose\tDose\tNN\tI-NP\tO' +p40746 +aS'Disk\tDisk\tNN\tI-NP\tO' +p40747 +aS'with\twith\tIN\tB-PP\tO' +p40748 +aS'Device\tDevice\tNNP\tB-NP\tO' +p40749 +aS'Sig\tSig\tNNP\tI-NP\tO' +p40750 +aS':\t:\t:\tO\tO' +p40751 +aS'One\tOne\tCD\tB-NP\tO' +p40752 +aS'(\t(\t(\tO\tO' +p40753 +aS'1\t1\tCD\tB-NP\tO' +p40754 +aS')\t)\t)\tO\tO' +p40755 +aS'Disk\tDisk\tNN\tB-NP\tO' +p40756 +aS'with\twith\tIN\tB-PP\tO' +p40757 +aS'Device\tDevice\tNN\tB-NP\tO' +p40758 +aS'Inhalation\tInhalation\tNN\tI-NP\tO' +p40759 +aS'BID\tBID\tNN\tI-NP\tO' +p40760 +aS'(\t(\t(\tO\tO' +p40761 +aS'2\t2\tCD\tB-NP\tO' +p40762 +aS'times\ttime\tNNS\tI-NP\tO' +p40763 +aS'a\ta\tDT\tB-NP\tO' +p40764 +aS'day\tday\tNN\tI-NP\tO' +p40765 +aS').\t).\t.\tO\tO' +p40766 +asS'Her cholesterol was 350 here .' +p40767 +(lp40768 +S'Her\tHer\tPRP$\tB-NP\tO' +p40769 +aS'cholesterol\tcholesterol\tNN\tI-NP\tO' +p40770 +aS'was\tbe\tVBD\tB-VP\tO' +p40771 +aS'350\t350\tCD\tB-NP\tO' +p40772 +aS'here\there\tRB\tB-ADVP\tO' +p40773 +aS'.\t.\t.\tO\tO' +p40774 +asS'Brain CT was negative , as was a bronchoscopy with lavage .' +p40775 +(lp40776 +S'Brain\tBrain\tNN\tB-NP\tO' +p40777 +aS'CT\tCT\tNN\tI-NP\tO' +p40778 +aS'was\tbe\tVBD\tB-VP\tO' +p40779 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p40780 +aS',\t,\t,\tO\tO' +p40781 +aS'as\tas\tIN\tB-SBAR\tO' +p40782 +aS'was\tbe\tVBD\tB-VP\tO' +p40783 +aS'a\ta\tDT\tB-NP\tO' +p40784 +aS'bronchoscopy\tbronchoscopy\tNN\tI-NP\tO' +p40785 +aS'with\twith\tIN\tB-PP\tO' +p40786 +aS'lavage\tlavage\tNN\tB-NP\tO' +p40787 +aS'.\t.\t.\tO\tO' +p40788 +asS'In short , frozen pathology from the uterus showed that there was a grade 1 cancer with no invasion of the myometrium .' +p40789 +(lp40790 +S'In\tIn\tIN\tB-PP\tO' +p40791 +aS'short\tshort\tJJ\tB-NP\tO' +p40792 +aS',\t,\t,\tI-NP\tO' +p40793 +aS'frozen\tfrozen\tJJ\tI-NP\tO' +p40794 +aS'pathology\tpathology\tNN\tI-NP\tO' +p40795 +aS'from\tfrom\tIN\tB-PP\tO' +p40796 +aS'the\tthe\tDT\tB-NP\tO' +p40797 +aS'uterus\tuterus\tNN\tI-NP\tO' +p40798 +aS'showed\tshow\tVBD\tB-VP\tO' +p40799 +aS'that\tthat\tIN\tB-SBAR\tO' +p40800 +aS'there\tthere\tEX\tB-NP\tO' +p40801 +aS'was\tbe\tVBD\tB-VP\tO' +p40802 +aS'a\ta\tDT\tB-NP\tO' +p40803 +aS'grade\tgrade\tNN\tI-NP\tO' +p40804 +aS'1\t1\tCD\tI-NP\tO' +p40805 +aS'cancer\tcancer\tNN\tI-NP\tO' +p40806 +aS'with\twith\tIN\tB-PP\tO' +p40807 +aS'no\tno\tDT\tB-NP\tO' +p40808 +aS'invasion\tinvasion\tNN\tI-NP\tO' +p40809 +aS'of\tof\tIN\tB-PP\tO' +p40810 +aS'the\tthe\tDT\tB-NP\tO' +p40811 +aS'myometrium\tmyometrium\tNN\tI-NP\tO' +p40812 +aS'.\t.\t.\tO\tO' +p40813 +asS'TEF was primarily ruled out as Baker was passed easily to stomach and x-ray revealed good position .' +p40814 +(lp40815 +S'TEF\tTEF\tNN\tB-NP\tB-protein' +p40816 +aS'was\tbe\tVBD\tB-VP\tO' +p40817 +aS'primarily\tprimarily\tRB\tI-VP\tO' +p40818 +aS'ruled\trule\tVBN\tI-VP\tO' +p40819 +aS'out\tout\tRP\tB-PRT\tO' +p40820 +aS'as\tas\tIN\tB-SBAR\tO' +p40821 +aS'Baker\tBaker\tNNP\tB-NP\tO' +p40822 +aS'was\tbe\tVBD\tB-VP\tO' +p40823 +aS'passed\tpass\tVBN\tI-VP\tO' +p40824 +aS'easily\teasily\tRB\tB-ADVP\tO' +p40825 +aS'to\tto\tTO\tB-PP\tO' +p40826 +aS'stomach\tstomach\tNN\tB-NP\tO' +p40827 +aS'and\tand\tCC\tI-NP\tO' +p40828 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p40829 +aS'revealed\treveal\tVBD\tB-VP\tO' +p40830 +aS'good\tgood\tJJ\tB-NP\tO' +p40831 +aS'position\tposition\tNN\tI-NP\tO' +p40832 +aS'.\t.\t.\tO\tO' +p40833 +asS'Hypertension .' +p40834 +(lp40835 +S'Hypertension\tHypertension\tNN\tB-NP\tO' +p40836 +aS'.\t.\t.\tO\tO' +p40837 +asS'11. Furosemide 20 mg Tablet Sig : One ( 1 ) Tablet PO once a day for 2 weeks .' +p40838 +(lp40839 +S'11.\t11.\tCD\tB-NP\tO' +p40840 +aS'Furosemide\tFurosemide\tNN\tI-NP\tO' +p40841 +aS'20\t20\tCD\tB-NP\tO' +p40842 +aS'mg\tmg\tNN\tI-NP\tO' +p40843 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p40844 +aS'Sig\tSig\tNNP\tI-NP\tO' +p40845 +aS':\t:\t:\tO\tO' +p40846 +aS'One\tOne\tCD\tB-NP\tO' +p40847 +aS'(\t(\t(\tO\tO' +p40848 +aS'1\t1\tCD\tB-NP\tO' +p40849 +aS')\t)\t)\tO\tO' +p40850 +aS'Tablet\tTablet\tNN\tB-NP\tB-protein' +p40851 +aS'PO\tPO\tNN\tI-NP\tI-protein' +p40852 +aS'once\tonce\tRB\tO\tO' +p40853 +aS'a\ta\tDT\tB-NP\tO' +p40854 +aS'day\tday\tNN\tI-NP\tO' +p40855 +aS'for\tfor\tIN\tB-PP\tO' +p40856 +aS'2\t2\tCD\tB-NP\tO' +p40857 +aS'weeks\tweek\tNNS\tI-NP\tO' +p40858 +aS'.\t.\t.\tO\tO' +p40859 +asS'STERNAL WOUND INFECTION .' +p40860 +(lp40861 +S'STERNAL\tSTERNAL\tJJ\tB-NP\tO' +p40862 +aS'WOUND\tWOUND\tNN\tI-NP\tO' +p40863 +aS'INFECTION\tINFECTION\tNN\tI-NP\tO' +p40864 +aS'.\t.\t.\tO\tO' +p40865 +asS'Suck and gag present .' +p40866 +(lp40867 +S'Suck\tSuck\tNN\tB-NP\tO' +p40868 +aS'and\tand\tCC\tI-NP\tO' +p40869 +aS'gag\tgag\tNN\tI-NP\tO' +p40870 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p40871 +aS'.\t.\t.\tO\tO' +p40872 +asS'Wound care consult given anasarca to prevent decub .' +p40873 +(lp40874 +S'Wound\tWound\tJJ\tB-NP\tO' +p40875 +aS'care\tcare\tNN\tI-NP\tO' +p40876 +aS'consult\tconsult\tNN\tI-NP\tO' +p40877 +aS'given\tgive\tVBN\tB-VP\tO' +p40878 +aS'anasarca\tanasarca\tNN\tB-NP\tO' +p40879 +aS'to\tto\tTO\tB-VP\tO' +p40880 +aS'prevent\tprevent\tVB\tI-VP\tO' +p40881 +aS'decub\tdecub\tNN\tB-NP\tO' +p40882 +aS'.\t.\t.\tO\tO' +p40883 +asS'Radial , carotid and femoral pulses were symmetric and strong .' +p40884 +(lp40885 +S'Radial\tRadial\tNNP\tB-NP\tO' +p40886 +aS',\t,\t,\tO\tO' +p40887 +aS'carotid\tcarotid\tJJ\tB-NP\tO' +p40888 +aS'and\tand\tCC\tI-NP\tO' +p40889 +aS'femoral\tfemoral\tJJ\tI-NP\tO' +p40890 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p40891 +aS'were\tbe\tVBD\tB-VP\tO' +p40892 +aS'symmetric\tsymmetric\tJJ\tB-ADJP\tO' +p40893 +aS'and\tand\tCC\tI-ADJP\tO' +p40894 +aS'strong\tstrong\tJJ\tI-ADJP\tO' +p40895 +aS'.\t.\t.\tO\tO' +p40896 +asS'Mild PA systolic hypertension .' +p40897 +(lp40898 +S'Mild\tMild\tNNP\tB-NP\tO' +p40899 +aS'PA\tPA\tNNP\tI-NP\tO' +p40900 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p40901 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p40902 +aS'.\t.\t.\tO\tO' +p40903 +asS'3. Atarax 25 mg IV / p.o. q. 4-6 h. prn for itching .' +p40904 +(lp40905 +S'3.\t3.\tLS\tB-NP\tO' +p40906 +aS'Atarax\tAtarax\tNN\tI-NP\tO' +p40907 +aS'25\t25\tCD\tI-NP\tO' +p40908 +aS'mg\tmg\tNN\tI-NP\tO' +p40909 +aS'IV\tIV\tCD\tB-NP\tO' +p40910 +aS'/\t/\tSYM\tI-NP\tO' +p40911 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p40912 +aS'q.\tq.\tNN\tI-NP\tO' +p40913 +aS'4-6\t4-6\tCD\tI-NP\tO' +p40914 +aS'h.\th.\tNN\tI-NP\tO' +p40915 +aS'prn\tprn\tNN\tI-NP\tO' +p40916 +aS'for\tfor\tIN\tB-PP\tO' +p40917 +aS'itching\titch\tVBG\tB-NP\tO' +p40918 +aS'.\t.\t.\tO\tO' +p40919 +asS'Immunostains for cytokeratin AE1/3 and CAM 5.2 , CD-68 , CD-79a , CD-138 , S-100 , LCA absorbed CEA , EMA , CD34 , CD31 , TTF-1 , actin , desmin , MNF-116 , calcitonin , and thyroglobulin are negative .' +p40920 +(lp40921 +S'Immunostains\tImmunostain\tNNS\tB-NP\tO' +p40922 +aS'for\tfor\tIN\tB-PP\tO' +p40923 +aS'cytokeratin\tcytokeratin\tNN\tB-NP\tB-protein' +p40924 +aS'AE1/3\tAE1/3\tNN\tI-NP\tI-protein' +p40925 +aS'and\tand\tCC\tO\tO' +p40926 +aS'CAM\tCAM\tNN\tB-NP\tB-protein' +p40927 +aS'5.2\t5.2\tCD\tI-NP\tI-protein' +p40928 +aS',\t,\t,\tO\tO' +p40929 +aS'CD-68\tCD-68\tNN\tB-NP\tB-protein' +p40930 +aS',\t,\t,\tO\tO' +p40931 +aS'CD-79a\tCD-79a\tNN\tB-NP\tB-protein' +p40932 +aS',\t,\t,\tO\tO' +p40933 +aS'CD-138\tCD-138\tNN\tB-NP\tB-protein' +p40934 +aS',\t,\t,\tO\tO' +p40935 +aS'S-100\tS-100\tNN\tB-NP\tB-protein' +p40936 +aS',\t,\t,\tO\tO' +p40937 +aS'LCA\tLCA\tNN\tB-NP\tB-protein' +p40938 +aS'absorbed\tabsorb\tVBD\tB-VP\tO' +p40939 +aS'CEA\tCEA\tNN\tB-NP\tO' +p40940 +aS',\t,\t,\tO\tO' +p40941 +aS'EMA\tEMA\tNN\tB-NP\tO' +p40942 +aS',\t,\t,\tO\tO' +p40943 +aS'CD34\tCD34\tNN\tB-NP\tB-protein' +p40944 +aS',\t,\t,\tO\tO' +p40945 +aS'CD31\tCD31\tNN\tB-NP\tB-protein' +p40946 +aS',\t,\t,\tO\tO' +p40947 +aS'TTF-1\tTTF-1\tNN\tB-NP\tB-protein' +p40948 +aS',\t,\t,\tO\tO' +p40949 +aS'actin\tactin\tNN\tB-NP\tB-protein' +p40950 +aS',\t,\t,\tO\tO' +p40951 +aS'desmin\tdesmin\tNN\tB-NP\tO' +p40952 +aS',\t,\t,\tO\tO' +p40953 +aS'MNF-116\tMNF-116\tNN\tB-NP\tB-protein' +p40954 +aS',\t,\t,\tO\tO' +p40955 +aS'calcitonin\tcalcitonin\tNN\tB-NP\tB-protein' +p40956 +aS',\t,\t,\tO\tO' +p40957 +aS'and\tand\tCC\tO\tO' +p40958 +aS'thyroglobulin\tthyroglobulin\tNN\tB-NP\tB-protein' +p40959 +aS'are\tbe\tVBP\tB-VP\tO' +p40960 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p40961 +aS'.\t.\t.\tO\tO' +p40962 +asS'Wife reports that he drank a large amt of alcohol ( 12 bottles of beer ) night PTA .' +p40963 +(lp40964 +S'Wife\tWife\tNNP\tB-NP\tO' +p40965 +aS'reports\treport\tVBZ\tB-VP\tO' +p40966 +aS'that\tthat\tIN\tB-SBAR\tO' +p40967 +aS'he\the\tPRP\tB-NP\tO' +p40968 +aS'drank\tdrink\tVBD\tB-VP\tO' +p40969 +aS'a\ta\tDT\tB-NP\tO' +p40970 +aS'large\tlarge\tJJ\tI-NP\tO' +p40971 +aS'amt\tamt\tNN\tI-NP\tO' +p40972 +aS'of\tof\tIN\tB-PP\tO' +p40973 +aS'alcohol\talcohol\tNN\tB-NP\tO' +p40974 +aS'(\t(\t(\tO\tO' +p40975 +aS'12\t12\tCD\tB-NP\tO' +p40976 +aS'bottles\tbottle\tNNS\tI-NP\tO' +p40977 +aS'of\tof\tIN\tB-PP\tO' +p40978 +aS'beer\tbeer\tNN\tB-NP\tO' +p40979 +aS')\t)\t)\tO\tO' +p40980 +aS'night\tnight\tNN\tB-NP\tO' +p40981 +aS'PTA\tPTA\tNN\tI-NP\tO' +p40982 +aS'.\t.\t.\tO\tO' +p40983 +asS'Dr. Asha Vengloan of General Surgery consulted on the patient and concluded the patient does not require any surgical treatment of this problem at the current time and the best treatment for this situation would be to increase the patient 's nutrition .' +p40984 +(lp40985 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p40986 +aS'Asha\tAsha\tNNP\tI-NP\tO' +p40987 +aS'Vengloan\tVengloan\tNNP\tI-NP\tO' +p40988 +aS'of\tof\tIN\tB-PP\tO' +p40989 +aS'General\tGeneral\tNNP\tB-NP\tO' +p40990 +aS'Surgery\tSurgery\tNNP\tI-NP\tO' +p40991 +aS'consulted\tconsult\tVBD\tB-VP\tO' +p40992 +aS'on\ton\tIN\tB-PP\tO' +p40993 +aS'the\tthe\tDT\tB-NP\tO' +p40994 +aS'patient\tpatient\tNN\tI-NP\tO' +p40995 +aS'and\tand\tCC\tO\tO' +p40996 +aS'concluded\tconclude\tVBD\tB-VP\tO' +p40997 +aS'the\tthe\tDT\tB-NP\tO' +p40998 +aS'patient\tpatient\tNN\tI-NP\tO' +p40999 +aS'does\tdo\tVBZ\tB-VP\tO' +p41000 +aS'not\tnot\tRB\tI-VP\tO' +p41001 +aS'require\trequire\tVB\tI-VP\tO' +p41002 +aS'any\tany\tDT\tB-NP\tO' +p41003 +aS'surgical\tsurgical\tJJ\tI-NP\tO' +p41004 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p41005 +aS'of\tof\tIN\tB-PP\tO' +p41006 +aS'this\tthis\tDT\tB-NP\tO' +p41007 +aS'problem\tproblem\tNN\tI-NP\tO' +p41008 +aS'at\tat\tIN\tB-PP\tO' +p41009 +aS'the\tthe\tDT\tB-NP\tO' +p41010 +aS'current\tcurrent\tJJ\tI-NP\tO' +p41011 +aS'time\ttime\tNN\tI-NP\tO' +p41012 +aS'and\tand\tCC\tO\tO' +p41013 +aS'the\tthe\tDT\tB-NP\tO' +p41014 +aS'best\tgood\tJJS\tI-NP\tO' +p41015 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p41016 +aS'for\tfor\tIN\tB-PP\tO' +p41017 +aS'this\tthis\tDT\tB-NP\tO' +p41018 +aS'situation\tsituation\tNN\tI-NP\tO' +p41019 +aS'would\twould\tMD\tB-VP\tO' +p41020 +aS'be\tbe\tVB\tI-VP\tO' +p41021 +aS'to\tto\tTO\tB-VP\tO' +p41022 +aS'increase\tincrease\tVB\tI-VP\tO' +p41023 +aS'the\tthe\tDT\tB-NP\tO' +p41024 +aS'patient\tpatient\tNN\tI-NP\tO' +p41025 +aS''s\t'\tNNS\tI-NP\tO' +p41026 +aS'nutrition\tnutrition\tNN\tI-NP\tO' +p41027 +aS'.\t.\t.\tO\tO' +p41028 +asS'He also required FFP initially to reverse his coagulopathy .' +p41029 +(lp41030 +S'He\tHe\tPRP\tB-NP\tO' +p41031 +aS'also\talso\tRB\tB-ADVP\tO' +p41032 +aS'required\trequire\tVBD\tB-VP\tO' +p41033 +aS'FFP\tFFP\tNN\tB-NP\tB-protein' +p41034 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p41035 +aS'to\tto\tTO\tB-VP\tO' +p41036 +aS'reverse\treverse\tVB\tI-VP\tO' +p41037 +aS'his\this\tPRP$\tB-NP\tO' +p41038 +aS'coagulopathy\tcoagulopathy\tNN\tI-NP\tO' +p41039 +aS'.\t.\t.\tO\tO' +p41040 +asS'Well controlled on Lipitor .' +p41041 +(lp41042 +S'Well\tWell\tRB\tB-ADVP\tO' +p41043 +aS'controlled\tcontrol\tVBN\tB-VP\tO' +p41044 +aS'on\ton\tIN\tB-PP\tO' +p41045 +aS'Lipitor\tLipitor\tNN\tB-NP\tO' +p41046 +aS'.\t.\t.\tO\tO' +p41047 +asS'The patient tolerated the procedure well and there were no complications .' +p41048 +(lp41049 +S'The\tThe\tDT\tB-NP\tO' +p41050 +aS'patient\tpatient\tNN\tI-NP\tO' +p41051 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p41052 +aS'the\tthe\tDT\tB-NP\tO' +p41053 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p41054 +aS'well\twell\tRB\tB-ADVP\tO' +p41055 +aS'and\tand\tCC\tO\tO' +p41056 +aS'there\tthere\tEX\tB-NP\tO' +p41057 +aS'were\tbe\tVBD\tB-VP\tO' +p41058 +aS'no\tno\tDT\tB-NP\tO' +p41059 +aS'complications\tcomplication\tNNS\tI-NP\tO' +p41060 +aS'.\t.\t.\tO\tO' +p41061 +asS'Operative course and recovery were without complication .' +p41062 +(lp41063 +S'Operative\tOperative\tJJ\tB-NP\tO' +p41064 +aS'course\tcourse\tNN\tI-NP\tO' +p41065 +aS'and\tand\tCC\tI-NP\tO' +p41066 +aS'recovery\trecovery\tNN\tI-NP\tO' +p41067 +aS'were\tbe\tVBD\tB-VP\tO' +p41068 +aS'without\twithout\tIN\tB-PP\tO' +p41069 +aS'complication\tcomplication\tNN\tB-NP\tO' +p41070 +aS'.\t.\t.\tO\tO' +p41071 +asS'1. Furosemide 20 mg Tablet Sig : One ( 1 ) Tablet PO once a day for 2 weeks .' +p41072 +(lp41073 +S'1.\t1.\tLS\tB-NP\tO' +p41074 +aS'Furosemide\tFurosemide\tNN\tI-NP\tO' +p41075 +aS'20\t20\tCD\tI-NP\tO' +p41076 +aS'mg\tmg\tNN\tI-NP\tO' +p41077 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p41078 +aS'Sig\tSig\tNNP\tI-NP\tO' +p41079 +aS':\t:\t:\tO\tO' +p41080 +aS'One\tOne\tCD\tB-NP\tO' +p41081 +aS'(\t(\t(\tO\tO' +p41082 +aS'1\t1\tCD\tB-NP\tO' +p41083 +aS')\t)\t)\tO\tO' +p41084 +aS'Tablet\tTablet\tNN\tB-NP\tB-protein' +p41085 +aS'PO\tPO\tNN\tI-NP\tI-protein' +p41086 +aS'once\tonce\tRB\tO\tO' +p41087 +aS'a\ta\tDT\tB-NP\tO' +p41088 +aS'day\tday\tNN\tI-NP\tO' +p41089 +aS'for\tfor\tIN\tB-PP\tO' +p41090 +aS'2\t2\tCD\tB-NP\tO' +p41091 +aS'weeks\tweek\tNNS\tI-NP\tO' +p41092 +aS'.\t.\t.\tO\tO' +p41093 +asS'Continue all your previous medications as directed .' +p41094 +(lp41095 +S'Continue\tContinue\tIN\tB-PP\tO' +p41096 +aS'all\tall\tDT\tB-NP\tO' +p41097 +aS'your\tyour\tPRP$\tI-NP\tO' +p41098 +aS'previous\tprevious\tJJ\tI-NP\tO' +p41099 +aS'medications\tmedication\tNNS\tI-NP\tO' +p41100 +aS'as\tas\tIN\tB-SBAR\tO' +p41101 +aS'directed\tdirect\tVBN\tB-VP\tO' +p41102 +aS'.\t.\t.\tO\tO' +p41103 +asS'He was evaluated by the trauma surgery department and the orthopaedic surgery department .' +p41104 +(lp41105 +S'He\tHe\tPRP\tB-NP\tO' +p41106 +aS'was\tbe\tVBD\tB-VP\tO' +p41107 +aS'evaluated\tevaluate\tVBN\tI-VP\tO' +p41108 +aS'by\tby\tIN\tB-PP\tO' +p41109 +aS'the\tthe\tDT\tB-NP\tO' +p41110 +aS'trauma\ttrauma\tNN\tI-NP\tO' +p41111 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p41112 +aS'department\tdepartment\tNN\tI-NP\tO' +p41113 +aS'and\tand\tCC\tO\tO' +p41114 +aS'the\tthe\tDT\tB-NP\tO' +p41115 +aS'orthopaedic\torthopaedic\tJJ\tI-NP\tO' +p41116 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p41117 +aS'department\tdepartment\tNN\tI-NP\tO' +p41118 +aS'.\t.\t.\tO\tO' +p41119 +asS'NON-Q WAVE MYOCARDIAL INFARCTION .' +p41120 +(lp41121 +S'NON-Q\tNON-Q\tNNP\tB-NP\tO' +p41122 +aS'WAVE\tWAVE\tNNP\tI-NP\tO' +p41123 +aS'MYOCARDIAL\tMYOCARDIAL\tNNP\tI-NP\tO' +p41124 +aS'INFARCTION\tINFARCTION\tNNP\tI-NP\tO' +p41125 +aS'.\t.\t.\tO\tO' +p41126 +asS'Take with 8 oz of plain water SPIRIVA ( TIOTROPIUM ) 18' +p41127 +(lp41128 +S'Take\tTake\tVB\tB-VP\tO' +p41129 +aS'with\twith\tIN\tB-PP\tO' +p41130 +aS'8\t8\tCD\tB-NP\tO' +p41131 +aS'oz\toz\tNN\tI-NP\tO' +p41132 +aS'of\tof\tIN\tB-PP\tO' +p41133 +aS'plain\tplain\tJJ\tB-NP\tO' +p41134 +aS'water\twater\tNN\tI-NP\tO' +p41135 +aS'SPIRIVA\tSPIRIVA\tNN\tI-NP\tO' +p41136 +aS'(\t(\t(\tO\tO' +p41137 +aS'TIOTROPIUM\tTIOTROPIUM\tNN\tB-NP\tO' +p41138 +aS')\t)\t)\tO\tO' +p41139 +aS'18\t18\tCD\tB-NP\tO' +p41140 +asS'Extremities had no edema , 2+ distal pedis .' +p41141 +(lp41142 +S'Extremities\tExtremity\tNNS\tB-NP\tO' +p41143 +aS'had\thave\tVBD\tB-VP\tO' +p41144 +aS'no\tno\tDT\tB-NP\tO' +p41145 +aS'edema\tedema\tNN\tI-NP\tO' +p41146 +aS',\t,\t,\tO\tO' +p41147 +aS'2+\t2+\tJJ\tB-NP\tO' +p41148 +aS'distal\tdistal\tJJ\tI-NP\tO' +p41149 +aS'pedis\tpedis\tNN\tI-NP\tO' +p41150 +aS'.\t.\t.\tO\tO' +p41151 +asS'Abdomen with positive bowel sounds , soft , nontender , nondistended , tolerating a regular diet .' +p41152 +(lp41153 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p41154 +aS'with\twith\tIN\tB-PP\tO' +p41155 +aS'positive\tpositive\tJJ\tB-NP\tO' +p41156 +aS'bowel\tbowel\tNN\tI-NP\tO' +p41157 +aS'sounds\tsound\tNNS\tI-NP\tO' +p41158 +aS',\t,\t,\tO\tO' +p41159 +aS'soft\tsoft\tJJ\tB-NP\tO' +p41160 +aS',\t,\t,\tI-NP\tO' +p41161 +aS'nontender\tnontender\tJJ\tI-NP\tO' +p41162 +aS',\t,\t,\tI-NP\tO' +p41163 +aS'nondistended\tnondistended\tJJ\tI-NP\tO' +p41164 +aS',\t,\t,\tO\tO' +p41165 +aS'tolerating\ttolerate\tVBG\tB-VP\tO' +p41166 +aS'a\ta\tDT\tB-NP\tO' +p41167 +aS'regular\tregular\tJJ\tI-NP\tO' +p41168 +aS'diet\tdiet\tNN\tI-NP\tO' +p41169 +aS'.\t.\t.\tO\tO' +p41170 +asS'There was no rash and no edema and the neurological examination was non-focal .' +p41171 +(lp41172 +S'There\tThere\tEX\tB-NP\tO' +p41173 +aS'was\tbe\tVBD\tB-VP\tO' +p41174 +aS'no\tno\tDT\tB-NP\tO' +p41175 +aS'rash\trash\tNN\tI-NP\tO' +p41176 +aS'and\tand\tCC\tO\tO' +p41177 +aS'no\tno\tDT\tB-NP\tO' +p41178 +aS'edema\tedema\tNN\tI-NP\tO' +p41179 +aS'and\tand\tCC\tO\tO' +p41180 +aS'the\tthe\tDT\tB-NP\tO' +p41181 +aS'neurological\tneurological\tJJ\tI-NP\tO' +p41182 +aS'examination\texamination\tNN\tI-NP\tO' +p41183 +aS'was\tbe\tVBD\tB-VP\tO' +p41184 +aS'non-focal\tnon-focal\tJJ\tB-ADJP\tO' +p41185 +aS'.\t.\t.\tO\tO' +p41186 +asS'At that time , he had guaiac-positive and had a small bowel follow through which was negative .' +p41187 +(lp41188 +S'At\tAt\tIN\tB-PP\tO' +p41189 +aS'that\tthat\tDT\tB-NP\tO' +p41190 +aS'time\ttime\tNN\tI-NP\tO' +p41191 +aS',\t,\t,\tO\tO' +p41192 +aS'he\the\tPRP\tB-NP\tO' +p41193 +aS'had\thave\tVBD\tB-VP\tO' +p41194 +aS'guaiac-positive\tguaiac-positive\tJJ\tB-ADJP\tO' +p41195 +aS'and\tand\tCC\tO\tO' +p41196 +aS'had\thave\tVBD\tB-VP\tO' +p41197 +aS'a\ta\tDT\tB-NP\tO' +p41198 +aS'small\tsmall\tJJ\tI-NP\tO' +p41199 +aS'bowel\tbowel\tNN\tI-NP\tO' +p41200 +aS'follow\tfollow\tNN\tI-NP\tO' +p41201 +aS'through\tthrough\tIN\tB-PP\tO' +p41202 +aS'which\twhich\tWDT\tB-NP\tO' +p41203 +aS'was\tbe\tVBD\tB-VP\tO' +p41204 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p41205 +aS'.\t.\t.\tO\tO' +p41206 +asS'Prenatal screens : blood type A positive , antibody negative , rubella immune , RPR nonreactive , hepatitis B surface antigen negative , GBS unknown .' +p41207 +(lp41208 +S'Prenatal\tPrenatal\tJJ\tB-NP\tO' +p41209 +aS'screens\tscreen\tNNS\tI-NP\tO' +p41210 +aS':\t:\t:\tO\tO' +p41211 +aS'blood\tblood\tNN\tB-NP\tO' +p41212 +aS'type\ttype\tNN\tI-NP\tO' +p41213 +aS'A\tA\tNN\tI-NP\tO' +p41214 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p41215 +aS',\t,\t,\tO\tO' +p41216 +aS'antibody\tantibody\tNN\tB-NP\tO' +p41217 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p41218 +aS',\t,\t,\tO\tO' +p41219 +aS'rubella\trubella\tNN\tB-NP\tO' +p41220 +aS'immune\timmune\tJJ\tB-ADJP\tO' +p41221 +aS',\t,\t,\tO\tO' +p41222 +aS'RPR\tRPR\tNN\tB-NP\tB-protein' +p41223 +aS'nonreactive\tnonreactive\tJJ\tB-ADJP\tO' +p41224 +aS',\t,\t,\tO\tO' +p41225 +aS'hepatitis\thepatitis\tNN\tB-NP\tB-protein' +p41226 +aS'B\tB\tNN\tI-NP\tI-protein' +p41227 +aS'surface\tsurface\tNN\tI-NP\tI-protein' +p41228 +aS'antigen\tantigen\tNN\tI-NP\tI-protein' +p41229 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p41230 +aS',\t,\t,\tO\tO' +p41231 +aS'GBS\tGBS\tNNP\tB-NP\tO' +p41232 +aS'unknown\tunknown\tJJ\tB-ADJP\tO' +p41233 +aS'.\t.\t.\tO\tO' +p41234 +asS'2. Left midclavicular fracture managed nonoperatively .' +p41235 +(lp41236 +S'2.\t2.\tLS\tB-NP\tO' +p41237 +aS'Left\tLeft\tJJ\tI-NP\tO' +p41238 +aS'midclavicular\tmidclavicular\tJJ\tI-NP\tO' +p41239 +aS'fracture\tfracture\tNN\tI-NP\tO' +p41240 +aS'managed\tmanage\tVBD\tB-VP\tO' +p41241 +aS'nonoperatively\tnonoperatively\tRB\tB-ADVP\tO' +p41242 +aS'.\t.\t.\tO\tO' +p41243 +asS'Daughter Lurline is Durable Power of Attorney .' +p41244 +(lp41245 +S'Daughter\tDaughter\tNN\tB-NP\tO' +p41246 +aS'Lurline\tLurline\tNN\tI-NP\tO' +p41247 +aS'is\tbe\tVBZ\tB-VP\tO' +p41248 +aS'Durable\tDurable\tJJ\tB-NP\tO' +p41249 +aS'Power\tPower\tNNP\tI-NP\tO' +p41250 +aS'of\tof\tIN\tB-PP\tO' +p41251 +aS'Attorney\tAttorney\tNNP\tB-NP\tO' +p41252 +aS'.\t.\t.\tO\tO' +p41253 +asS'She was continued on Demerol 50 mg q 6-8 hours p.r.n. for left arm and leg pain .' +p41254 +(lp41255 +S'She\tShe\tPRP\tB-NP\tO' +p41256 +aS'was\tbe\tVBD\tB-VP\tO' +p41257 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p41258 +aS'on\ton\tIN\tB-PP\tO' +p41259 +aS'Demerol\tDemerol\tNN\tB-NP\tO' +p41260 +aS'50\t50\tCD\tI-NP\tO' +p41261 +aS'mg\tmg\tNN\tI-NP\tO' +p41262 +aS'q\tq\tNN\tI-NP\tO' +p41263 +aS'6-8\t6-8\tCD\tB-NP\tO' +p41264 +aS'hours\thour\tNNS\tI-NP\tO' +p41265 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p41266 +aS'for\tfor\tIN\tB-PP\tO' +p41267 +aS'left\tleft\tJJ\tB-NP\tO' +p41268 +aS'arm\tarm\tNN\tI-NP\tO' +p41269 +aS'and\tand\tCC\tI-NP\tO' +p41270 +aS'leg\tleg\tNN\tI-NP\tO' +p41271 +aS'pain\tpain\tNN\tI-NP\tO' +p41272 +aS'.\t.\t.\tO\tO' +p41273 +asS'Sinus tachycardia at 100 .' +p41274 +(lp41275 +S'Sinus\tSinus\tNNP\tB-NP\tO' +p41276 +aS'tachycardia\ttachycardia\tNN\tI-NP\tO' +p41277 +aS'at\tat\tIN\tB-PP\tO' +p41278 +aS'100\t100\tCD\tB-NP\tO' +p41279 +aS'.\t.\t.\tO\tO' +p41280 +asS'No further hematocrit or platelets have been measured .' +p41281 +(lp41282 +S'No\tNo\tDT\tB-NP\tO' +p41283 +aS'further\tfurther\tJJ\tI-NP\tO' +p41284 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p41285 +aS'or\tor\tCC\tI-NP\tO' +p41286 +aS'platelets\tplatelet\tNNS\tI-NP\tB-cell_type' +p41287 +aS'have\thave\tVBP\tB-VP\tO' +p41288 +aS'been\tbe\tVBN\tI-VP\tO' +p41289 +aS'measured\tmeasure\tVBN\tI-VP\tO' +p41290 +aS'.\t.\t.\tO\tO' +p41291 +asS'Pupils are equal and reactive to light .' +p41292 +(lp41293 +S'Pupils\tPupil\tNNS\tB-NP\tO' +p41294 +aS'are\tbe\tVBP\tB-VP\tO' +p41295 +aS'equal\tequal\tJJ\tB-ADJP\tO' +p41296 +aS'and\tand\tCC\tI-ADJP\tO' +p41297 +aS'reactive\treactive\tJJ\tI-ADJP\tO' +p41298 +aS'to\tto\tTO\tB-PP\tO' +p41299 +aS'light\tlight\tNN\tB-NP\tO' +p41300 +aS'.\t.\t.\tO\tO' +p41301 +asS'6. Hydrochlorothiazide , 15 mg p.o. q. day .' +p41302 +(lp41303 +S'6.\t6.\tLS\tB-NP\tO' +p41304 +aS'Hydrochlorothiazide\tHydrochlorothiazide\tNNP\tI-NP\tO' +p41305 +aS',\t,\t,\tO\tO' +p41306 +aS'15\t15\tCD\tB-NP\tO' +p41307 +aS'mg\tmg\tNN\tI-NP\tO' +p41308 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p41309 +aS'q.\tq.\tNN\tI-NP\tO' +p41310 +aS'day\tday\tNN\tI-NP\tO' +p41311 +aS'.\t.\t.\tO\tO' +p41312 +asS'Urine output was always noted to be of sufficient quantity .' +p41313 +(lp41314 +S'Urine\tUrine\tNN\tB-NP\tO' +p41315 +aS'output\toutput\tNN\tI-NP\tO' +p41316 +aS'was\tbe\tVBD\tB-VP\tO' +p41317 +aS'always\talways\tRB\tI-VP\tO' +p41318 +aS'noted\tnote\tVBN\tI-VP\tO' +p41319 +aS'to\tto\tTO\tI-VP\tO' +p41320 +aS'be\tbe\tVB\tI-VP\tO' +p41321 +aS'of\tof\tIN\tB-PP\tO' +p41322 +aS'sufficient\tsufficient\tJJ\tB-NP\tO' +p41323 +aS'quantity\tquantity\tNN\tI-NP\tO' +p41324 +aS'.\t.\t.\tO\tO' +p41325 +asS'3. The patient was instructed to follow up in the Trauma' +p41326 +(lp41327 +S'3.\t3.\tLS\tB-LST\tO' +p41328 +aS'The\tThe\tDT\tB-NP\tO' +p41329 +aS'patient\tpatient\tNN\tI-NP\tO' +p41330 +aS'was\tbe\tVBD\tB-VP\tO' +p41331 +aS'instructed\tinstruct\tVBN\tI-VP\tO' +p41332 +aS'to\tto\tTO\tI-VP\tO' +p41333 +aS'follow\tfollow\tVB\tI-VP\tO' +p41334 +aS'up\tup\tRP\tB-PRT\tO' +p41335 +aS'in\tin\tIN\tB-PP\tO' +p41336 +aS'the\tthe\tDT\tB-NP\tO' +p41337 +aS'Trauma\tTrauma\tNNP\tI-NP\tO' +p41338 +asS'There was no pleural effusion .' +p41339 +(lp41340 +S'There\tThere\tEX\tB-NP\tO' +p41341 +aS'was\tbe\tVBD\tB-VP\tO' +p41342 +aS'no\tno\tDT\tB-NP\tO' +p41343 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p41344 +aS'effusion\teffusion\tNN\tI-NP\tO' +p41345 +aS'.\t.\t.\tO\tO' +p41346 +asS'Haldol / Compazine / Phenergan / Tigan / Flagyl' +p41347 +(lp41348 +S'Haldol\tHaldol\tNN\tB-NP\tO' +p41349 +aS'/\t/\tSYM\tI-NP\tO' +p41350 +aS'Compazine\tCompazine\tNN\tI-NP\tO' +p41351 +aS'/\t/\tSYM\tB-NP\tO' +p41352 +aS'Phenergan\tPhenergan\tNN\tI-NP\tO' +p41353 +aS'/\t/\tSYM\tI-NP\tO' +p41354 +aS'Tigan\tTigan\tNN\tI-NP\tO' +p41355 +aS'/\t/\tSYM\tO\tO' +p41356 +aS'Flagyl\tFlagyl\tNN\tB-NP\tO' +p41357 +asS'2. Lumpectomy of the left breast nodule .' +p41358 +(lp41359 +S'2.\t2.\tLS\tB-NP\tO' +p41360 +aS'Lumpectomy\tLumpectomy\tNN\tI-NP\tO' +p41361 +aS'of\tof\tIN\tB-PP\tO' +p41362 +aS'the\tthe\tDT\tB-NP\tO' +p41363 +aS'left\tleft\tJJ\tI-NP\tO' +p41364 +aS'breast\tbreast\tNN\tI-NP\tO' +p41365 +aS'nodule\tnodule\tNN\tI-NP\tO' +p41366 +aS'.\t.\t.\tO\tO' +p41367 +asS'- may need to diurese based on clinical status , swan numbers' +p41368 +(lp41369 +S'-\t-\tHYPH\tB-NP\tO' +p41370 +aS'may\tmay\tMD\tB-VP\tO' +p41371 +aS'need\tneed\tVB\tI-VP\tO' +p41372 +aS'to\tto\tTO\tI-VP\tO' +p41373 +aS'diurese\tdiurese\tVB\tI-VP\tO' +p41374 +aS'based\tbase\tVBN\tB-PP\tO' +p41375 +aS'on\ton\tIN\tB-PP\tO' +p41376 +aS'clinical\tclinical\tJJ\tB-NP\tO' +p41377 +aS'status\tstatus\tNN\tI-NP\tO' +p41378 +aS',\t,\t,\tO\tO' +p41379 +aS'swan\tswan\tNN\tB-NP\tO' +p41380 +aS'numbers\tnumber\tNNS\tI-NP\tO' +p41381 +asS'A biliary stent was placed after the removal of the stone .' +p41382 +(lp41383 +S'A\tA\tDT\tB-NP\tO' +p41384 +aS'biliary\tbiliary\tJJ\tI-NP\tO' +p41385 +aS'stent\tstent\tNN\tI-NP\tO' +p41386 +aS'was\tbe\tVBD\tB-VP\tO' +p41387 +aS'placed\tplace\tVBN\tI-VP\tO' +p41388 +aS'after\tafter\tIN\tB-PP\tO' +p41389 +aS'the\tthe\tDT\tB-NP\tO' +p41390 +aS'removal\tremoval\tNN\tI-NP\tO' +p41391 +aS'of\tof\tIN\tB-PP\tO' +p41392 +aS'the\tthe\tDT\tB-NP\tO' +p41393 +aS'stone\tstone\tNN\tI-NP\tO' +p41394 +aS'.\t.\t.\tO\tO' +p41395 +asS'You should resume this medication starting Wallace , 06-24 .' +p41396 +(lp41397 +S'You\tYou\tPRP\tB-NP\tB-protein' +p41398 +aS'should\tshould\tMD\tB-VP\tO' +p41399 +aS'resume\tresume\tVB\tI-VP\tO' +p41400 +aS'this\tthis\tDT\tB-NP\tO' +p41401 +aS'medication\tmedication\tNN\tI-NP\tO' +p41402 +aS'starting\tstart\tVBG\tB-PP\tO' +p41403 +aS'Wallace\tWallace\tNNP\tB-NP\tO' +p41404 +aS',\t,\t,\tO\tO' +p41405 +aS'06-24\t06-24\tCD\tB-NP\tO' +p41406 +aS'.\t.\t.\tO\tO' +p41407 +asS'75 yo F s/p MIx4 , numerous cath , PAF , Inducible VTach s/p AICD and pacer with severe COPD / restrictive lung disease s/p fall with intertrochanteric fracture .' +p41408 +(lp41409 +S'75\t75\tCD\tB-NP\tO' +p41410 +aS'yo\tyo\tNN\tI-NP\tO' +p41411 +aS'F\tF\tNN\tI-NP\tO' +p41412 +aS's/p\ts/p\tNN\tI-NP\tO' +p41413 +aS'MIx4\tMIx4\tNN\tI-NP\tO' +p41414 +aS',\t,\t,\tO\tO' +p41415 +aS'numerous\tnumerous\tJJ\tB-NP\tO' +p41416 +aS'cath\tcath\tNN\tI-NP\tO' +p41417 +aS',\t,\t,\tO\tO' +p41418 +aS'PAF\tPAF\tNN\tB-NP\tB-protein' +p41419 +aS',\t,\t,\tO\tO' +p41420 +aS'Inducible\tInducible\tNNP\tB-NP\tO' +p41421 +aS'VTach\tVTach\tNNP\tI-NP\tO' +p41422 +aS's/p\ts/p\tNN\tI-NP\tO' +p41423 +aS'AICD\tAICD\tNN\tI-NP\tO' +p41424 +aS'and\tand\tCC\tI-NP\tO' +p41425 +aS'pacer\tpacer\tNN\tI-NP\tO' +p41426 +aS'with\twith\tIN\tB-PP\tO' +p41427 +aS'severe\tsevere\tJJ\tB-NP\tO' +p41428 +aS'COPD\tCOPD\tNN\tI-NP\tO' +p41429 +aS'/\t/\tSYM\tB-NP\tO' +p41430 +aS'restrictive\trestrictive\tJJ\tI-NP\tO' +p41431 +aS'lung\tlung\tNN\tI-NP\tO' +p41432 +aS'disease\tdisease\tNN\tI-NP\tO' +p41433 +aS's/p\ts/p\tNN\tI-NP\tO' +p41434 +aS'fall\tfall\tNN\tI-NP\tO' +p41435 +aS'with\twith\tIN\tB-PP\tO' +p41436 +aS'intertrochanteric\tintertrochanteric\tJJ\tB-NP\tO' +p41437 +aS'fracture\tfracture\tNN\tI-NP\tO' +p41438 +aS'.\t.\t.\tO\tO' +p41439 +asS'The descending thoracic aorta is mildly dilated .' +p41440 +(lp41441 +S'The\tThe\tDT\tB-NP\tO' +p41442 +aS'descending\tdescend\tVBG\tI-NP\tO' +p41443 +aS'thoracic\tthoracic\tJJ\tI-NP\tO' +p41444 +aS'aorta\taorta\tNN\tI-NP\tO' +p41445 +aS'is\tbe\tVBZ\tB-VP\tO' +p41446 +aS'mildly\tmildly\tRB\tI-VP\tO' +p41447 +aS'dilated\tdilate\tVBN\tI-VP\tO' +p41448 +aS'.\t.\t.\tO\tO' +p41449 +asS'A Hepacoat stent was placed with no residuals but good flow after nitroglycerin and diltiazem .' +p41450 +(lp41451 +S'A\tA\tDT\tB-NP\tO' +p41452 +aS'Hepacoat\tHepacoat\tNN\tI-NP\tO' +p41453 +aS'stent\tstent\tNN\tI-NP\tO' +p41454 +aS'was\tbe\tVBD\tB-VP\tO' +p41455 +aS'placed\tplace\tVBN\tI-VP\tO' +p41456 +aS'with\twith\tIN\tB-PP\tO' +p41457 +aS'no\tno\tDT\tB-NP\tO' +p41458 +aS'residuals\tresidual\tNNS\tI-NP\tO' +p41459 +aS'but\tbut\tCC\tO\tO' +p41460 +aS'good\tgood\tJJ\tB-NP\tO' +p41461 +aS'flow\tflow\tNN\tI-NP\tO' +p41462 +aS'after\tafter\tIN\tB-PP\tO' +p41463 +aS'nitroglycerin\tnitroglycerin\tNN\tB-NP\tO' +p41464 +aS'and\tand\tCC\tI-NP\tO' +p41465 +aS'diltiazem\tdiltiazem\tNN\tI-NP\tO' +p41466 +aS'.\t.\t.\tO\tO' +p41467 +asS'2. History of pulmonary embolism in 2012-04-23 treated with only aspirin secondary to brain mets .' +p41468 +(lp41469 +S'2.\t2.\tLS\tB-NP\tO' +p41470 +aS'History\tHistory\tNN\tI-NP\tO' +p41471 +aS'of\tof\tIN\tB-PP\tO' +p41472 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p41473 +aS'embolism\tembolism\tNN\tI-NP\tO' +p41474 +aS'in\tin\tIN\tB-PP\tO' +p41475 +aS'2012-04-23\t2012-04-23\tCD\tB-NP\tO' +p41476 +aS'treated\ttreat\tVBN\tB-VP\tO' +p41477 +aS'with\twith\tIN\tB-PP\tO' +p41478 +aS'only\tonly\tRB\tB-NP\tO' +p41479 +aS'aspirin\taspirin\tNN\tI-NP\tO' +p41480 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p41481 +aS'to\tto\tTO\tB-PP\tO' +p41482 +aS'brain\tbrain\tNN\tB-NP\tO' +p41483 +aS'mets\tmet\tNNS\tI-NP\tO' +p41484 +aS'.\t.\t.\tO\tO' +p41485 +asS'Left ventricular wall thickness , cavity size , and systolic function are normal ( LVEF>55% ) .' +p41486 +(lp41487 +S'Left\tLeave\tVBN\tB-NP\tO' +p41488 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p41489 +aS'wall\twall\tNN\tI-NP\tO' +p41490 +aS'thickness\tthickness\tNN\tI-NP\tO' +p41491 +aS',\t,\t,\tO\tO' +p41492 +aS'cavity\tcavity\tNN\tB-NP\tO' +p41493 +aS'size\tsize\tNN\tI-NP\tO' +p41494 +aS',\t,\t,\tO\tO' +p41495 +aS'and\tand\tCC\tO\tO' +p41496 +aS'systolic\tsystolic\tJJ\tB-NP\tO' +p41497 +aS'function\tfunction\tNN\tI-NP\tO' +p41498 +aS'are\tbe\tVBP\tB-VP\tO' +p41499 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p41500 +aS'(\t(\t(\tO\tO' +p41501 +aS'LVEF>55%\tLVEF>55%\tNN\tB-NP\tB-protein' +p41502 +aS')\t)\t)\tO\tO' +p41503 +aS'.\t.\t.\tO\tO' +p41504 +asS'Patient will follow-up with his PCP , Dr. Foutchner , on Monday .' +p41505 +(lp41506 +S'Patient\tPatient\tNN\tB-NP\tO' +p41507 +aS'will\twill\tMD\tB-VP\tO' +p41508 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p41509 +aS'with\twith\tIN\tB-PP\tO' +p41510 +aS'his\this\tPRP$\tB-NP\tO' +p41511 +aS'PCP\tPCP\tNN\tI-NP\tB-DNA' +p41512 +aS',\t,\t,\tO\tO' +p41513 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p41514 +aS'Foutchner\tFoutchner\tNNP\tI-NP\tO' +p41515 +aS',\t,\t,\tO\tO' +p41516 +aS'on\ton\tIN\tB-PP\tO' +p41517 +aS'Monday\tMonday\tNNP\tB-NP\tO' +p41518 +aS'.\t.\t.\tO\tO' +p41519 +asS'Lasix 40 PO bid .' +p41520 +(lp41521 +S'Lasix\tLasix\tNNP\tB-NP\tO' +p41522 +aS'40\t40\tCD\tI-NP\tO' +p41523 +aS'PO\tPO\tNN\tI-NP\tO' +p41524 +aS'bid\tbid\tNN\tI-NP\tO' +p41525 +aS'.\t.\t.\tO\tO' +p41526 +asS'Insulin NPH 10 units q.p.m. and 28 units q.a.m. , insulin Regular 4 units q.a.m. and 4 units q.p.m. , aspirin 325 mg p.o. q. day , digoxin 0.25 mg p.o. q. day , simvastatin 20 mg p.o. q. day , captopril 37.5 mg p.o. t.i.d. , Coumadin 5 mg p.o. q.h.s. , Lasix 20 mg p.o. q. day .' +p41527 +(lp41528 +S'Insulin\tInsulin\tNN\tB-NP\tO' +p41529 +aS'NPH\tNPH\tNN\tI-NP\tO' +p41530 +aS'10\t10\tCD\tB-NP\tO' +p41531 +aS'units\tunit\tNNS\tI-NP\tO' +p41532 +aS'q.p.m.\tq.p.m.\tNN\tB-NP\tO' +p41533 +aS'and\tand\tCC\tO\tO' +p41534 +aS'28\t28\tCD\tB-NP\tO' +p41535 +aS'units\tunit\tNNS\tI-NP\tO' +p41536 +aS'q.a.m.\tq.a.m.\tNN\tI-NP\tO' +p41537 +aS',\t,\t,\tO\tO' +p41538 +aS'insulin\tinsulin\tNN\tB-NP\tO' +p41539 +aS'Regular\tRegular\tJJ\tI-NP\tO' +p41540 +aS'4\t4\tCD\tI-NP\tO' +p41541 +aS'units\tunit\tNNS\tI-NP\tO' +p41542 +aS'q.a.m.\tq.a.m.\tNN\tI-NP\tO' +p41543 +aS'and\tand\tCC\tO\tO' +p41544 +aS'4\t4\tCD\tB-NP\tO' +p41545 +aS'units\tunit\tNNS\tI-NP\tO' +p41546 +aS'q.p.m.\tq.p.m.\tNN\tI-NP\tO' +p41547 +aS',\t,\t,\tO\tO' +p41548 +aS'aspirin\taspirin\tNN\tB-NP\tO' +p41549 +aS'325\t325\tCD\tI-NP\tO' +p41550 +aS'mg\tmg\tNN\tI-NP\tO' +p41551 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p41552 +aS'q.\tq.\tNN\tI-NP\tO' +p41553 +aS'day\tday\tNN\tI-NP\tO' +p41554 +aS',\t,\t,\tO\tO' +p41555 +aS'digoxin\tdigoxin\tNN\tB-NP\tO' +p41556 +aS'0.25\t0.25\tCD\tI-NP\tO' +p41557 +aS'mg\tmg\tNN\tI-NP\tO' +p41558 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p41559 +aS'q.\tq.\tNN\tI-NP\tO' +p41560 +aS'day\tday\tNN\tI-NP\tO' +p41561 +aS',\t,\t,\tO\tO' +p41562 +aS'simvastatin\tsimvastatin\tNN\tB-NP\tO' +p41563 +aS'20\t20\tCD\tI-NP\tO' +p41564 +aS'mg\tmg\tNN\tI-NP\tO' +p41565 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p41566 +aS'q.\tq.\tNN\tI-NP\tO' +p41567 +aS'day\tday\tNN\tI-NP\tO' +p41568 +aS',\t,\t,\tO\tO' +p41569 +aS'captopril\tcaptopril\tNN\tB-NP\tO' +p41570 +aS'37.5\t37.5\tCD\tI-NP\tO' +p41571 +aS'mg\tmg\tNN\tI-NP\tO' +p41572 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p41573 +aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' +p41574 +aS',\t,\t,\tO\tO' +p41575 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p41576 +aS'5\t5\tCD\tI-NP\tO' +p41577 +aS'mg\tmg\tNN\tI-NP\tO' +p41578 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p41579 +aS'q.h.s.\tq.h.s.\tNN\tI-NP\tO' +p41580 +aS',\t,\t,\tO\tO' +p41581 +aS'Lasix\tLasix\tNNP\tB-NP\tO' +p41582 +aS'20\t20\tCD\tI-NP\tO' +p41583 +aS'mg\tmg\tNN\tI-NP\tO' +p41584 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p41585 +aS'q.\tq.\tNN\tI-NP\tO' +p41586 +aS'day\tday\tNN\tI-NP\tO' +p41587 +aS'.\t.\t.\tO\tO' +p41588 +asS'She is anticoagulated on Coumadin and this has been stable .' +p41589 +(lp41590 +S'She\tShe\tPRP\tB-NP\tO' +p41591 +aS'is\tbe\tVBZ\tB-VP\tO' +p41592 +aS'anticoagulated\tanticoagulate\tVBN\tI-VP\tO' +p41593 +aS'on\ton\tIN\tB-PP\tO' +p41594 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p41595 +aS'and\tand\tCC\tO\tO' +p41596 +aS'this\tthis\tDT\tB-NP\tO' +p41597 +aS'has\thave\tVBZ\tB-VP\tO' +p41598 +aS'been\tbe\tVBN\tI-VP\tO' +p41599 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p41600 +aS'.\t.\t.\tO\tO' +p41601 +asS'Clinically , this was consistent with SBP , although unfortunately , fluid was never sent for cytology and a lot of those white cells are most likely due to his cancer .' +p41602 +(lp41603 +S'Clinically\tClinically\tRB\tB-ADVP\tO' +p41604 +aS',\t,\t,\tO\tO' +p41605 +aS'this\tthis\tDT\tB-NP\tO' +p41606 +aS'was\tbe\tVBD\tB-VP\tO' +p41607 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p41608 +aS'with\twith\tIN\tB-PP\tO' +p41609 +aS'SBP\tSBP\tNN\tB-NP\tB-protein' +p41610 +aS',\t,\t,\tO\tO' +p41611 +aS'although\talthough\tIN\tB-SBAR\tO' +p41612 +aS'unfortunately\tunfortunately\tRB\tB-ADVP\tO' +p41613 +aS',\t,\t,\tO\tO' +p41614 +aS'fluid\tfluid\tNN\tB-NP\tO' +p41615 +aS'was\tbe\tVBD\tB-VP\tO' +p41616 +aS'never\tnever\tRB\tI-VP\tO' +p41617 +aS'sent\tsend\tVBN\tI-VP\tO' +p41618 +aS'for\tfor\tIN\tB-PP\tO' +p41619 +aS'cytology\tcytology\tNN\tB-NP\tO' +p41620 +aS'and\tand\tCC\tO\tO' +p41621 +aS'a\ta\tDT\tB-NP\tO' +p41622 +aS'lot\tlot\tNN\tI-NP\tO' +p41623 +aS'of\tof\tIN\tB-PP\tO' +p41624 +aS'those\tthose\tDT\tB-NP\tO' +p41625 +aS'white\twhite\tJJ\tI-NP\tB-cell_type' +p41626 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p41627 +aS'are\tbe\tVBP\tB-VP\tO' +p41628 +aS'most\tmost\tRBS\tB-ADVP\tO' +p41629 +aS'likely\tlikely\tRB\tI-ADVP\tO' +p41630 +aS'due\tdue\tIN\tB-PP\tO' +p41631 +aS'to\tto\tTO\tB-PP\tO' +p41632 +aS'his\this\tPRP$\tB-NP\tO' +p41633 +aS'cancer\tcancer\tNN\tI-NP\tO' +p41634 +aS'.\t.\t.\tO\tO' +p41635 +asS'LFTs show an elevated ALT of 52 and AST of 101 with normal alkaline phosphatase and total bilirubin .' +p41636 +(lp41637 +S'LFTs\tLFT\tNNS\tB-NP\tO' +p41638 +aS'show\tshow\tVBP\tB-VP\tO' +p41639 +aS'an\tan\tDT\tB-NP\tO' +p41640 +aS'elevated\televate\tVBN\tI-NP\tO' +p41641 +aS'ALT\tALT\tNN\tI-NP\tO' +p41642 +aS'of\tof\tIN\tB-PP\tO' +p41643 +aS'52\t52\tCD\tB-NP\tO' +p41644 +aS'and\tand\tCC\tO\tO' +p41645 +aS'AST\tAST\tNN\tB-NP\tO' +p41646 +aS'of\tof\tIN\tB-PP\tO' +p41647 +aS'101\t101\tCD\tB-NP\tO' +p41648 +aS'with\twith\tIN\tB-PP\tO' +p41649 +aS'normal\tnormal\tJJ\tB-NP\tO' +p41650 +aS'alkaline\talkaline\tNN\tI-NP\tB-protein' +p41651 +aS'phosphatase\tphosphatase\tNN\tI-NP\tI-protein' +p41652 +aS'and\tand\tCC\tO\tO' +p41653 +aS'total\ttotal\tJJ\tB-NP\tO' +p41654 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p41655 +aS'.\t.\t.\tO\tO' +p41656 +asS'The test was positive for EKG changes and shortness of breath .' +p41657 +(lp41658 +S'The\tThe\tDT\tB-NP\tO' +p41659 +aS'test\ttest\tNN\tI-NP\tO' +p41660 +aS'was\tbe\tVBD\tB-VP\tO' +p41661 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p41662 +aS'for\tfor\tIN\tB-PP\tO' +p41663 +aS'EKG\tEKG\tNN\tB-NP\tO' +p41664 +aS'changes\tchange\tNNS\tI-NP\tO' +p41665 +aS'and\tand\tCC\tO\tO' +p41666 +aS'shortness\tshortness\tNN\tB-NP\tO' +p41667 +aS'of\tof\tIN\tB-PP\tO' +p41668 +aS'breath\tbreath\tNN\tB-NP\tO' +p41669 +aS'.\t.\t.\tO\tO' +p41670 +asS'The fundi are benign and the discs are sharp .' +p41671 +(lp41672 +S'The\tThe\tDT\tB-NP\tO' +p41673 +aS'fundi\tfundi\tNN\tI-NP\tO' +p41674 +aS'are\tbe\tVBP\tB-VP\tO' +p41675 +aS'benign\tbenign\tJJ\tB-ADJP\tO' +p41676 +aS'and\tand\tCC\tO\tO' +p41677 +aS'the\tthe\tDT\tB-NP\tO' +p41678 +aS'discs\tdisc\tNNS\tI-NP\tO' +p41679 +aS'are\tbe\tVBP\tB-VP\tO' +p41680 +aS'sharp\tsharp\tJJ\tB-ADJP\tO' +p41681 +aS'.\t.\t.\tO\tO' +p41682 +asS'no significant arrhythmias .' +p41683 +(lp41684 +S'no\tno\tDT\tB-NP\tO' +p41685 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p41686 +aS'arrhythmias\tarrhythmia\tNNS\tI-NP\tO' +p41687 +aS'.\t.\t.\tO\tO' +p41688 +asS'Over the past several weeks she has also developed severe intermittent abdominal pain , localized to the suprapubic area , left greater than right , occurring intermittently .' +p41689 +(lp41690 +S'Over\tOver\tIN\tB-PP\tO' +p41691 +aS'the\tthe\tDT\tB-NP\tO' +p41692 +aS'past\tpast\tJJ\tI-NP\tO' +p41693 +aS'several\tseveral\tJJ\tI-NP\tO' +p41694 +aS'weeks\tweek\tNNS\tI-NP\tO' +p41695 +aS'she\tshe\tPRP\tB-NP\tO' +p41696 +aS'has\thave\tVBZ\tB-VP\tO' +p41697 +aS'also\talso\tRB\tI-VP\tO' +p41698 +aS'developed\tdevelop\tVBN\tI-VP\tO' +p41699 +aS'severe\tsevere\tJJ\tB-NP\tO' +p41700 +aS'intermittent\tintermittent\tJJ\tI-NP\tO' +p41701 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p41702 +aS'pain\tpain\tNN\tI-NP\tO' +p41703 +aS',\t,\t,\tO\tO' +p41704 +aS'localized\tlocalize\tVBD\tB-VP\tO' +p41705 +aS'to\tto\tTO\tB-PP\tO' +p41706 +aS'the\tthe\tDT\tB-NP\tO' +p41707 +aS'suprapubic\tsuprapubic\tJJ\tI-NP\tO' +p41708 +aS'area\tarea\tNN\tI-NP\tO' +p41709 +aS',\t,\t,\tO\tO' +p41710 +aS'left\tleave\tVBD\tB-VP\tO' +p41711 +aS'greater\tgreat\tJJR\tB-ADJP\tO' +p41712 +aS'than\tthan\tIN\tB-PP\tO' +p41713 +aS'right\tright\tJJ\tB-ADJP\tO' +p41714 +aS',\t,\t,\tO\tO' +p41715 +aS'occurring\toccur\tVBG\tB-VP\tO' +p41716 +aS'intermittently\tintermittently\tRB\tB-ADVP\tO' +p41717 +aS'.\t.\t.\tO\tO' +p41718 +asS'Chest soreness .' +p41719 +(lp41720 +S'Chest\tCh\tJJS\tB-NP\tO' +p41721 +aS'soreness\tsoreness\tNN\tI-NP\tO' +p41722 +aS'.\t.\t.\tO\tO' +p41723 +asS'He had dopplerable lower extremity pulses on the left and on the right , they were palpable .' +p41724 +(lp41725 +S'He\tHe\tPRP\tB-NP\tO' +p41726 +aS'had\thave\tVBD\tB-VP\tO' +p41727 +aS'dopplerable\tdopplerable\tJJ\tB-NP\tO' +p41728 +aS'lower\tlow\tJJR\tI-NP\tO' +p41729 +aS'extremity\textremity\tNN\tI-NP\tO' +p41730 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p41731 +aS'on\ton\tIN\tB-PP\tO' +p41732 +aS'the\tthe\tDT\tB-NP\tO' +p41733 +aS'left\tleft\tNN\tI-NP\tO' +p41734 +aS'and\tand\tCC\tB-PP\tO' +p41735 +aS'on\ton\tIN\tB-PP\tO' +p41736 +aS'the\tthe\tDT\tB-NP\tO' +p41737 +aS'right\tright\tNN\tI-NP\tO' +p41738 +aS',\t,\t,\tO\tO' +p41739 +aS'they\tthey\tPRP\tB-NP\tO' +p41740 +aS'were\tbe\tVBD\tB-VP\tO' +p41741 +aS'palpable\tpalpable\tJJ\tB-ADJP\tO' +p41742 +aS'.\t.\t.\tO\tO' +p41743 +asS'The patient was discharged home early from this admission due to family needs .' +p41744 +(lp41745 +S'The\tThe\tDT\tB-NP\tO' +p41746 +aS'patient\tpatient\tNN\tI-NP\tO' +p41747 +aS'was\tbe\tVBD\tB-VP\tO' +p41748 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p41749 +aS'home\thome\tRB\tB-ADVP\tO' +p41750 +aS'early\tearly\tRB\tB-ADVP\tO' +p41751 +aS'from\tfrom\tIN\tB-PP\tO' +p41752 +aS'this\tthis\tDT\tB-NP\tO' +p41753 +aS'admission\tadmission\tNN\tI-NP\tO' +p41754 +aS'due\tdue\tJJ\tB-ADJP\tO' +p41755 +aS'to\tto\tTO\tB-PP\tO' +p41756 +aS'family\tfamily\tNN\tB-NP\tO' +p41757 +aS'needs\tneed\tNNS\tI-NP\tO' +p41758 +aS'.\t.\t.\tO\tO' +p41759 +asS'Arrested on day of admission for soliciting prostitute ( undercover police officer ) , currently in police custody' +p41760 +(lp41761 +S'Arrested\tArrest\tVBN\tB-VP\tO' +p41762 +aS'on\ton\tIN\tB-PP\tO' +p41763 +aS'day\tday\tNN\tB-NP\tO' +p41764 +aS'of\tof\tIN\tB-PP\tO' +p41765 +aS'admission\tadmission\tNN\tB-NP\tO' +p41766 +aS'for\tfor\tIN\tB-PP\tO' +p41767 +aS'soliciting\tsolicit\tVBG\tB-VP\tO' +p41768 +aS'prostitute\tprostitute\tNN\tB-NP\tO' +p41769 +aS'(\t(\t(\tO\tO' +p41770 +aS'undercover\tundercover\tJJ\tB-NP\tO' +p41771 +aS'police\tpolice\tNN\tI-NP\tO' +p41772 +aS'officer\tofficer\tNN\tI-NP\tO' +p41773 +aS')\t)\t)\tO\tO' +p41774 +aS',\t,\t,\tO\tO' +p41775 +aS'currently\tcurrently\tRB\tB-ADVP\tO' +p41776 +aS'in\tin\tIN\tB-PP\tO' +p41777 +aS'police\tpolice\tNN\tB-NP\tO' +p41778 +aS'custody\tcustody\tNN\tI-NP\tO' +p41779 +asS'During this hospitalization , pt was noted to have sinus bradycardia and pauses , associated with desaturations in the 70 's .' +p41780 +(lp41781 +S'During\tDuring\tIN\tB-PP\tO' +p41782 +aS'this\tthis\tDT\tB-NP\tO' +p41783 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p41784 +aS',\t,\t,\tO\tO' +p41785 +aS'pt\tpt\tNN\tB-NP\tO' +p41786 +aS'was\tbe\tVBD\tB-VP\tO' +p41787 +aS'noted\tnote\tVBN\tI-VP\tO' +p41788 +aS'to\tto\tTO\tI-VP\tO' +p41789 +aS'have\thave\tVB\tI-VP\tO' +p41790 +aS'sinus\tsinus\tNN\tB-NP\tO' +p41791 +aS'bradycardia\tbradycardia\tNN\tI-NP\tO' +p41792 +aS'and\tand\tCC\tI-NP\tO' +p41793 +aS'pauses\tpause\tNNS\tI-NP\tO' +p41794 +aS',\t,\t,\tO\tO' +p41795 +aS'associated\tassociate\tVBN\tB-VP\tO' +p41796 +aS'with\twith\tIN\tB-PP\tO' +p41797 +aS'desaturations\tdesaturation\tNNS\tB-NP\tO' +p41798 +aS'in\tin\tIN\tB-PP\tO' +p41799 +aS'the\tthe\tDT\tB-NP\tO' +p41800 +aS'70\t70\tCD\tI-NP\tO' +p41801 +aS''s\t'\tNNS\tI-NP\tO' +p41802 +aS'.\t.\t.\tO\tO' +p41803 +asS'The patient has a severely comminuted fracture of the proximal left humerus .' +p41804 +(lp41805 +S'The\tThe\tDT\tB-NP\tO' +p41806 +aS'patient\tpatient\tNN\tI-NP\tO' +p41807 +aS'has\thave\tVBZ\tB-VP\tO' +p41808 +aS'a\ta\tDT\tB-NP\tO' +p41809 +aS'severely\tseverely\tRB\tI-NP\tO' +p41810 +aS'comminuted\tcomminute\tVBN\tI-NP\tO' +p41811 +aS'fracture\tfracture\tNN\tI-NP\tO' +p41812 +aS'of\tof\tIN\tB-PP\tO' +p41813 +aS'the\tthe\tDT\tB-NP\tO' +p41814 +aS'proximal\tproximal\tJJ\tI-NP\tO' +p41815 +aS'left\tleft\tJJ\tI-NP\tO' +p41816 +aS'humerus\thumerus\tNN\tI-NP\tO' +p41817 +aS'.\t.\t.\tO\tO' +p41818 +asS'The patient had been made a do not resuscitate do not intubate patient earlier in his hospital stay .' +p41819 +(lp41820 +S'The\tThe\tDT\tB-NP\tO' +p41821 +aS'patient\tpatient\tNN\tI-NP\tO' +p41822 +aS'had\thave\tVBD\tB-VP\tO' +p41823 +aS'been\tbe\tVBN\tI-VP\tO' +p41824 +aS'made\tmake\tVBN\tI-VP\tO' +p41825 +aS'a\ta\tDT\tB-NP\tO' +p41826 +aS'do\tdo\tVBP\tB-VP\tO' +p41827 +aS'not\tnot\tRB\tI-VP\tO' +p41828 +aS'resuscitate\tresuscitate\tVB\tI-VP\tO' +p41829 +aS'do\tdo\tVBP\tB-VP\tO' +p41830 +aS'not\tnot\tRB\tI-VP\tO' +p41831 +aS'intubate\tintubate\tVB\tI-VP\tO' +p41832 +aS'patient\tpatient\tNN\tB-NP\tO' +p41833 +aS'earlier\tearlier\tRBR\tB-ADVP\tO' +p41834 +aS'in\tin\tIN\tB-PP\tO' +p41835 +aS'his\this\tPRP$\tB-NP\tO' +p41836 +aS'hospital\thospital\tNN\tI-NP\tO' +p41837 +aS'stay\tstay\tNN\tI-NP\tO' +p41838 +aS'.\t.\t.\tO\tO' +p41839 +asS'Sodium 139 , potassium 3.8 , chloride 101 , bicarb 26 , BUN 9 , creatinine 0.7 , glucose 141 , albumin 4.1 , calcium 8.9 , LDH 665 , AST 44 , ALT of 57 , amylase 41 , CK 32 .' +p41840 +(lp41841 +S'Sodium\tSodium\tNN\tB-NP\tB-protein' +p41842 +aS'139\t139\tCD\tI-NP\tI-protein' +p41843 +aS',\t,\t,\tO\tO' +p41844 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p41845 +aS'3.8\t3.8\tCD\tI-NP\tO' +p41846 +aS',\t,\t,\tO\tO' +p41847 +aS'chloride\tchloride\tNN\tB-NP\tO' +p41848 +aS'101\t101\tCD\tI-NP\tO' +p41849 +aS',\t,\t,\tO\tO' +p41850 +aS'bicarb\tbicarb\tNN\tB-NP\tO' +p41851 +aS'26\t26\tCD\tI-NP\tO' +p41852 +aS',\t,\t,\tO\tO' +p41853 +aS'BUN\tBUN\tNN\tB-NP\tB-protein' +p41854 +aS'9\t9\tCD\tI-NP\tI-protein' +p41855 +aS',\t,\t,\tO\tO' +p41856 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p41857 +aS'0.7\t0.7\tCD\tI-NP\tO' +p41858 +aS',\t,\t,\tO\tO' +p41859 +aS'glucose\tglucose\tNN\tB-NP\tO' +p41860 +aS'141\t141\tCD\tI-NP\tO' +p41861 +aS',\t,\t,\tO\tO' +p41862 +aS'albumin\talbumin\tNN\tB-NP\tB-protein' +p41863 +aS'4.1\t4.1\tCD\tI-NP\tI-protein' +p41864 +aS',\t,\t,\tO\tO' +p41865 +aS'calcium\tcalcium\tNN\tB-NP\tO' +p41866 +aS'8.9\t8.9\tCD\tI-NP\tO' +p41867 +aS',\t,\t,\tO\tO' +p41868 +aS'LDH\tLDH\tNN\tB-NP\tB-protein' +p41869 +aS'665\t665\tCD\tI-NP\tI-protein' +p41870 +aS',\t,\t,\tO\tO' +p41871 +aS'AST\tAST\tNN\tB-NP\tB-DNA' +p41872 +aS'44\t44\tCD\tI-NP\tI-DNA' +p41873 +aS',\t,\t,\tO\tO' +p41874 +aS'ALT\tALT\tNN\tB-NP\tO' +p41875 +aS'of\tof\tIN\tB-PP\tO' +p41876 +aS'57\t57\tCD\tB-NP\tO' +p41877 +aS',\t,\t,\tO\tO' +p41878 +aS'amylase\tamylase\tNN\tB-NP\tO' +p41879 +aS'41\t41\tCD\tI-NP\tO' +p41880 +aS',\t,\t,\tO\tO' +p41881 +aS'CK\tCK\tNN\tB-NP\tB-protein' +p41882 +aS'32\t32\tCD\tI-NP\tI-protein' +p41883 +aS'.\t.\t.\tO\tO' +p41884 +asS'Her differential diagnosis included ovarian cancer .' +p41885 +(lp41886 +S'Her\tHer\tPRP$\tB-NP\tO' +p41887 +aS'differential\tdifferential\tJJ\tI-NP\tO' +p41888 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p41889 +aS'included\tinclude\tVBD\tB-VP\tO' +p41890 +aS'ovarian\tovarian\tJJ\tB-NP\tO' +p41891 +aS'cancer\tcancer\tNN\tI-NP\tO' +p41892 +aS'.\t.\t.\tO\tO' +p41893 +asS'1. Term male newborn .' +p41894 +(lp41895 +S'1.\t1.\tLS\tB-NP\tO' +p41896 +aS'Term\tTerm\tNN\tI-NP\tO' +p41897 +aS'male\tmale\tJJ\tI-NP\tO' +p41898 +aS'newborn\tnewborn\tNN\tI-NP\tO' +p41899 +aS'.\t.\t.\tO\tO' +p41900 +asS'Chest tubes and wires were all discontinued according to protocol on postoperative day number four .' +p41901 +(lp41902 +S'Chest\tCh\tJJS\tB-NP\tO' +p41903 +aS'tubes\ttube\tNNS\tI-NP\tO' +p41904 +aS'and\tand\tCC\tI-NP\tO' +p41905 +aS'wires\twire\tNNS\tI-NP\tO' +p41906 +aS'were\tbe\tVBD\tB-VP\tO' +p41907 +aS'all\tall\tDT\tO\tO' +p41908 +aS'discontinued\tdiscontinue\tVBN\tB-VP\tO' +p41909 +aS'according\taccord\tVBG\tB-VP\tO' +p41910 +aS'to\tto\tTO\tI-VP\tO' +p41911 +aS'protocol\tprotocol\tVB\tI-VP\tO' +p41912 +aS'on\ton\tIN\tB-PP\tO' +p41913 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p41914 +aS'day\tday\tNN\tI-NP\tO' +p41915 +aS'number\tnumber\tNN\tI-NP\tO' +p41916 +aS'four\tfour\tCD\tI-NP\tO' +p41917 +aS'.\t.\t.\tO\tO' +p41918 +asS'3. Bilateral round , hypodense renal lesions , too small to accurately characterize but likely representing cysts .' +p41919 +(lp41920 +S'3.\t3.\tLS\tB-NP\tO' +p41921 +aS'Bilateral\tBilateral\tNNP\tI-NP\tO' +p41922 +aS'round\tround\tNN\tI-NP\tO' +p41923 +aS',\t,\t,\tO\tO' +p41924 +aS'hypodense\thypodense\tJJ\tB-NP\tO' +p41925 +aS'renal\trenal\tJJ\tI-NP\tO' +p41926 +aS'lesions\tlesion\tNNS\tI-NP\tO' +p41927 +aS',\t,\t,\tO\tO' +p41928 +aS'too\ttoo\tRB\tB-ADJP\tO' +p41929 +aS'small\tsmall\tJJ\tI-ADJP\tO' +p41930 +aS'to\tto\tTO\tB-VP\tO' +p41931 +aS'accurately\taccurately\tRB\tI-VP\tO' +p41932 +aS'characterize\tcharacterize\tVB\tI-VP\tO' +p41933 +aS'but\tbut\tCC\tO\tO' +p41934 +aS'likely\tlikely\tRB\tB-VP\tO' +p41935 +aS'representing\trepresent\tVBG\tI-VP\tO' +p41936 +aS'cysts\tcyst\tNNS\tB-NP\tO' +p41937 +aS'.\t.\t.\tO\tO' +p41938 +asS'The tympanic membranes were gray .' +p41939 +(lp41940 +S'The\tThe\tDT\tB-NP\tO' +p41941 +aS'tympanic\ttympanic\tJJ\tI-NP\tO' +p41942 +aS'membranes\tmembrane\tNNS\tI-NP\tO' +p41943 +aS'were\tbe\tVBD\tB-VP\tO' +p41944 +aS'gray\tgray\tJJ\tB-ADJP\tO' +p41945 +aS'.\t.\t.\tO\tO' +p41946 +asS'He has a history of myocardial infarctions in 1981 , 1992 and 08/97 with thelast episode complicated by anoxic encephalopathy .' +p41947 +(lp41948 +S'He\tHe\tPRP\tB-NP\tO' +p41949 +aS'has\thave\tVBZ\tB-VP\tO' +p41950 +aS'a\ta\tDT\tB-NP\tO' +p41951 +aS'history\thistory\tNN\tI-NP\tO' +p41952 +aS'of\tof\tIN\tB-PP\tO' +p41953 +aS'myocardial\tmyocardial\tJJ\tB-NP\tO' +p41954 +aS'infarctions\tinfarction\tNNS\tI-NP\tO' +p41955 +aS'in\tin\tIN\tB-PP\tO' +p41956 +aS'1981\t1981\tCD\tB-NP\tO' +p41957 +aS',\t,\t,\tI-NP\tO' +p41958 +aS'1992\t1992\tCD\tI-NP\tO' +p41959 +aS'and\tand\tCC\tI-NP\tO' +p41960 +aS'08/97\t08/97\tCD\tI-NP\tO' +p41961 +aS'with\twith\tIN\tB-PP\tO' +p41962 +aS'thelast\tthelast\tNN\tB-NP\tO' +p41963 +aS'episode\tepisode\tNN\tI-NP\tO' +p41964 +aS'complicated\tcomplicate\tVBN\tB-VP\tO' +p41965 +aS'by\tby\tIN\tB-PP\tO' +p41966 +aS'anoxic\tanoxic\tJJ\tB-NP\tO' +p41967 +aS'encephalopathy\tencephalopathy\tNN\tI-NP\tO' +p41968 +aS'.\t.\t.\tO\tO' +p41969 +asS'Left main coronary artery with short vessel without significant lesions .' +p41970 +(lp41971 +S'Left\tLeave\tVBN\tB-NP\tO' +p41972 +aS'main\tmain\tJJ\tI-NP\tO' +p41973 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p41974 +aS'artery\tartery\tNN\tI-NP\tO' +p41975 +aS'with\twith\tIN\tB-PP\tO' +p41976 +aS'short\tshort\tJJ\tB-NP\tO' +p41977 +aS'vessel\tvessel\tNN\tI-NP\tO' +p41978 +aS'without\twithout\tIN\tB-PP\tO' +p41979 +aS'significant\tsignificant\tJJ\tB-NP\tO' +p41980 +aS'lesions\tlesion\tNNS\tI-NP\tO' +p41981 +aS'.\t.\t.\tO\tO' +p41982 +asS'She occasionally feels chest twinges which are nonradiating but are sharp .' +p41983 +(lp41984 +S'She\tShe\tPRP\tB-NP\tO' +p41985 +aS'occasionally\toccasionally\tRB\tB-ADVP\tO' +p41986 +aS'feels\tfeel\tVBZ\tB-VP\tO' +p41987 +aS'chest\tchest\tNN\tB-NP\tO' +p41988 +aS'twinges\ttwinge\tNNS\tI-NP\tO' +p41989 +aS'which\twhich\tWDT\tB-NP\tO' +p41990 +aS'are\tbe\tVBP\tB-VP\tO' +p41991 +aS'nonradiating\tnonradiating\tJJ\tB-ADJP\tO' +p41992 +aS'but\tbut\tCC\tO\tO' +p41993 +aS'are\tbe\tVBP\tB-VP\tO' +p41994 +aS'sharp\tsharp\tJJ\tB-ADJP\tO' +p41995 +aS'.\t.\t.\tO\tO' +p41996 +asS'History of diverticulitis , status post cholecystectomy , status post appendectomy , and hypertension .' +p41997 +(lp41998 +S'History\tHistory\tNN\tB-NP\tO' +p41999 +aS'of\tof\tIN\tB-PP\tO' +p42000 +aS'diverticulitis\tdiverticulitis\tNN\tB-NP\tO' +p42001 +aS',\t,\t,\tO\tO' +p42002 +aS'status\tstatus\tNN\tB-NP\tO' +p42003 +aS'post\tpost\tNN\tI-NP\tO' +p42004 +aS'cholecystectomy\tcholecystectomy\tNN\tI-NP\tO' +p42005 +aS',\t,\t,\tO\tO' +p42006 +aS'status\tstatus\tNN\tB-NP\tO' +p42007 +aS'post\tpost\tNN\tI-NP\tO' +p42008 +aS'appendectomy\tappendectomy\tNN\tI-NP\tO' +p42009 +aS',\t,\t,\tO\tO' +p42010 +aS'and\tand\tCC\tO\tO' +p42011 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p42012 +aS'.\t.\t.\tO\tO' +p42013 +asS'She had no hematoma in her groin site .' +p42014 +(lp42015 +S'She\tShe\tPRP\tB-NP\tO' +p42016 +aS'had\thave\tVBD\tB-VP\tO' +p42017 +aS'no\tno\tDT\tB-NP\tO' +p42018 +aS'hematoma\thematoma\tNN\tI-NP\tO' +p42019 +aS'in\tin\tIN\tB-PP\tO' +p42020 +aS'her\ther\tPRP$\tB-NP\tO' +p42021 +aS'groin\tgroin\tNN\tI-NP\tO' +p42022 +aS'site\tsite\tNN\tI-NP\tO' +p42023 +aS'.\t.\t.\tO\tO' +p42024 +asS"Ultimately it was decided that the patient 's wishes would be to not be maintained in a vegetative state and given his poor prognosis ultimately the decision was made to pursue comfort measures only ." +p42025 +(lp42026 +S'Ultimately\tUltimately\tRB\tB-ADVP\tO' +p42027 +aS'it\tit\tPRP\tB-NP\tO' +p42028 +aS'was\tbe\tVBD\tB-VP\tO' +p42029 +aS'decided\tdecide\tVBN\tI-VP\tO' +p42030 +aS'that\tthat\tIN\tB-SBAR\tO' +p42031 +aS'the\tthe\tDT\tB-NP\tO' +p42032 +aS'patient\tpatient\tNN\tI-NP\tO' +p42033 +aS"'s\t's\tPOS\tB-NP\tO" +p42034 +aS'wishes\twish\tNNS\tI-NP\tO' +p42035 +aS'would\twould\tMD\tB-VP\tO' +p42036 +aS'be\tbe\tVB\tI-VP\tO' +p42037 +aS'to\tto\tTO\tB-VP\tO' +p42038 +aS'not\tnot\tRB\tI-VP\tO' +p42039 +aS'be\tbe\tVB\tI-VP\tO' +p42040 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p42041 +aS'in\tin\tIN\tB-PP\tO' +p42042 +aS'a\ta\tDT\tB-NP\tO' +p42043 +aS'vegetative\tvegetative\tJJ\tI-NP\tO' +p42044 +aS'state\tstate\tNN\tI-NP\tO' +p42045 +aS'and\tand\tCC\tO\tO' +p42046 +aS'given\tgive\tVBN\tB-VP\tO' +p42047 +aS'his\this\tPRP$\tB-NP\tO' +p42048 +aS'poor\tpoor\tJJ\tI-NP\tO' +p42049 +aS'prognosis\tprognosis\tNN\tI-NP\tO' +p42050 +aS'ultimately\tultimately\tRB\tB-ADVP\tO' +p42051 +aS'the\tthe\tDT\tB-NP\tO' +p42052 +aS'decision\tdecision\tNN\tI-NP\tO' +p42053 +aS'was\tbe\tVBD\tB-VP\tO' +p42054 +aS'made\tmake\tVBN\tI-VP\tO' +p42055 +aS'to\tto\tTO\tB-VP\tO' +p42056 +aS'pursue\tpursue\tVB\tI-VP\tO' +p42057 +aS'comfort\tcomfort\tNN\tB-NP\tO' +p42058 +aS'measures\tmeasure\tNNS\tI-NP\tO' +p42059 +aS'only\tonly\tRB\tB-ADVP\tO' +p42060 +aS'.\t.\t.\tO\tO' +p42061 +asS'Significant for left TM scarring without acute inflammation or drainage .' +p42062 +(lp42063 +S'Significant\tSignificant\tJJ\tB-ADJP\tO' +p42064 +aS'for\tfor\tIN\tB-PP\tO' +p42065 +aS'left\tleft\tJJ\tB-NP\tO' +p42066 +aS'TM\tTM\tNN\tI-NP\tO' +p42067 +aS'scarring\tscar\tVBG\tB-VP\tO' +p42068 +aS'without\twithout\tIN\tB-PP\tO' +p42069 +aS'acute\tacute\tJJ\tB-NP\tO' +p42070 +aS'inflammation\tinflammation\tNN\tI-NP\tO' +p42071 +aS'or\tor\tCC\tI-NP\tO' +p42072 +aS'drainage\tdrainage\tNN\tI-NP\tO' +p42073 +aS'.\t.\t.\tO\tO' +p42074 +asS'Light touch was subjectively abnormal on both sides of the face .' +p42075 +(lp42076 +S'Light\tLight\tNN\tB-NP\tO' +p42077 +aS'touch\ttouch\tNN\tI-NP\tO' +p42078 +aS'was\tbe\tVBD\tB-VP\tO' +p42079 +aS'subjectively\tsubjectively\tRB\tB-ADJP\tO' +p42080 +aS'abnormal\tabnormal\tJJ\tI-ADJP\tO' +p42081 +aS'on\ton\tIN\tB-PP\tO' +p42082 +aS'both\tboth\tDT\tB-NP\tO' +p42083 +aS'sides\tside\tNNS\tI-NP\tO' +p42084 +aS'of\tof\tIN\tB-PP\tO' +p42085 +aS'the\tthe\tDT\tB-NP\tO' +p42086 +aS'face\tface\tNN\tI-NP\tO' +p42087 +aS'.\t.\t.\tO\tO' +p42088 +asS'3) STATUS POST FALL .' +p42089 +(lp42090 +S'3)\t3)\tLS\tB-NP\tO' +p42091 +aS'STATUS\tSTATUS\tNN\tI-NP\tO' +p42092 +aS'POST\tPOST\tNN\tI-NP\tO' +p42093 +aS'FALL\tFALL\tNN\tI-NP\tO' +p42094 +aS'.\t.\t.\tO\tO' +p42095 +asS'In mid May she was admitted for fever and neutropenia and at that time had a UTI with blood clots in the urine .' +p42096 +(lp42097 +S'In\tIn\tIN\tB-PP\tO' +p42098 +aS'mid\tmid\tJJ\tB-NP\tO' +p42099 +aS'May\tMay\tNNP\tI-NP\tO' +p42100 +aS'she\tshe\tPRP\tB-NP\tO' +p42101 +aS'was\tbe\tVBD\tB-VP\tO' +p42102 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p42103 +aS'for\tfor\tIN\tB-PP\tO' +p42104 +aS'fever\tfever\tNN\tB-NP\tO' +p42105 +aS'and\tand\tCC\tI-NP\tO' +p42106 +aS'neutropenia\tneutropenia\tNN\tI-NP\tO' +p42107 +aS'and\tand\tCC\tB-PP\tO' +p42108 +aS'at\tat\tIN\tB-PP\tO' +p42109 +aS'that\tthat\tDT\tB-NP\tO' +p42110 +aS'time\ttime\tNN\tI-NP\tO' +p42111 +aS'had\thave\tVBD\tB-VP\tO' +p42112 +aS'a\ta\tDT\tB-NP\tO' +p42113 +aS'UTI\tUTI\tNN\tI-NP\tO' +p42114 +aS'with\twith\tIN\tB-PP\tO' +p42115 +aS'blood\tblood\tNN\tB-NP\tO' +p42116 +aS'clots\tclot\tNNS\tI-NP\tO' +p42117 +aS'in\tin\tIN\tB-PP\tO' +p42118 +aS'the\tthe\tDT\tB-NP\tO' +p42119 +aS'urine\turine\tNN\tI-NP\tO' +p42120 +aS'.\t.\t.\tO\tO' +p42121 +asS'He is a retired taxi driver .' +p42122 +(lp42123 +S'He\tHe\tPRP\tB-NP\tB-DNA' +p42124 +aS'is\tbe\tVBZ\tB-VP\tO' +p42125 +aS'a\ta\tDT\tB-NP\tO' +p42126 +aS'retired\tretired\tJJ\tI-NP\tO' +p42127 +aS'taxi\ttaxi\tNN\tI-NP\tO' +p42128 +aS'driver\tdriver\tNN\tI-NP\tO' +p42129 +aS'.\t.\t.\tO\tO' +p42130 +asS'Return immediately for worsening signs of infection ( increased swelling , pain , redness ) or for any neurologic changes ( blurry or double vision , headaches , trouble walking , etc ) .' +p42131 +(lp42132 +S'Return\tReturn\tNN\tB-NP\tO' +p42133 +aS'immediately\timmediately\tRB\tB-ADVP\tO' +p42134 +aS'for\tfor\tIN\tB-PP\tO' +p42135 +aS'worsening\tworsen\tVBG\tB-VP\tO' +p42136 +aS'signs\tsign\tNNS\tB-NP\tO' +p42137 +aS'of\tof\tIN\tB-PP\tO' +p42138 +aS'infection\tinfection\tNN\tB-NP\tO' +p42139 +aS'(\t(\t(\tO\tO' +p42140 +aS'increased\tincrease\tVBN\tB-NP\tO' +p42141 +aS'swelling\tswelling\tNN\tI-NP\tO' +p42142 +aS',\t,\t,\tO\tO' +p42143 +aS'pain\tpain\tNN\tB-NP\tO' +p42144 +aS',\t,\t,\tO\tO' +p42145 +aS'redness\tredness\tNN\tB-NP\tO' +p42146 +aS')\t)\t)\tO\tO' +p42147 +aS'or\tor\tCC\tO\tO' +p42148 +aS'for\tfor\tIN\tB-PP\tO' +p42149 +aS'any\tany\tDT\tB-NP\tO' +p42150 +aS'neurologic\tneurologic\tJJ\tI-NP\tO' +p42151 +aS'changes\tchange\tNNS\tI-NP\tO' +p42152 +aS'(\t(\t(\tO\tO' +p42153 +aS'blurry\tblurry\tNN\tB-NP\tO' +p42154 +aS'or\tor\tCC\tO\tO' +p42155 +aS'double\tdouble\tJJ\tB-NP\tO' +p42156 +aS'vision\tvision\tNN\tI-NP\tO' +p42157 +aS',\t,\t,\tO\tO' +p42158 +aS'headaches\theadache\tNNS\tB-NP\tO' +p42159 +aS',\t,\t,\tO\tO' +p42160 +aS'trouble\ttrouble\tNN\tB-NP\tO' +p42161 +aS'walking\twalking\tNN\tI-NP\tO' +p42162 +aS',\t,\t,\tO\tO' +p42163 +aS'etc\tetc\tFW\tB-NP\tO' +p42164 +aS')\t)\t)\tO\tO' +p42165 +aS'.\t.\t.\tO\tO' +p42166 +asS'Most recent bilirubin was on 11-14 of 4.8 / 0.3 .' +p42167 +(lp42168 +S'Most\tMost\tRBS\tB-NP\tO' +p42169 +aS'recent\trecent\tJJ\tI-NP\tO' +p42170 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p42171 +aS'was\tbe\tVBD\tB-VP\tO' +p42172 +aS'on\ton\tIN\tB-PP\tO' +p42173 +aS'11-14\t11-14\tCD\tB-NP\tO' +p42174 +aS'of\tof\tIN\tB-PP\tO' +p42175 +aS'4.8\t4.8\tCD\tB-NP\tO' +p42176 +aS'/\t/\tSYM\tI-NP\tO' +p42177 +aS'0.3\t0.3\tCD\tI-NP\tO' +p42178 +aS'.\t.\t.\tO\tO' +p42179 +asS'He was medically managed and eventually his tracheostomy was decannulated .' +p42180 +(lp42181 +S'He\tHe\tPRP\tB-NP\tO' +p42182 +aS'was\tbe\tVBD\tB-VP\tO' +p42183 +aS'medically\tmedically\tRB\tI-VP\tO' +p42184 +aS'managed\tmanage\tVBN\tI-VP\tO' +p42185 +aS'and\tand\tCC\tO\tO' +p42186 +aS'eventually\teventually\tRB\tB-ADVP\tO' +p42187 +aS'his\this\tPRP$\tB-NP\tO' +p42188 +aS'tracheostomy\ttracheostomy\tNN\tI-NP\tO' +p42189 +aS'was\tbe\tVBD\tB-VP\tO' +p42190 +aS'decannulated\tdecannulate\tVBN\tI-VP\tO' +p42191 +aS'.\t.\t.\tO\tO' +p42192 +asS'Dyazide was discontinued .' +p42193 +(lp42194 +S'Dyazide\tDyazide\tNN\tB-NP\tO' +p42195 +aS'was\tbe\tVBD\tB-VP\tO' +p42196 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p42197 +aS'.\t.\t.\tO\tO' +p42198 +asS'At the time of discharge , her potassium had been low despite repletion , Na was elevated , as was blood pressure .' +p42199 +(lp42200 +S'At\tAt\tIN\tB-PP\tO' +p42201 +aS'the\tthe\tDT\tB-NP\tO' +p42202 +aS'time\ttime\tNN\tI-NP\tO' +p42203 +aS'of\tof\tIN\tB-PP\tO' +p42204 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p42205 +aS',\t,\t,\tO\tO' +p42206 +aS'her\ther\tPRP$\tB-NP\tO' +p42207 +aS'potassium\tpotassium\tNN\tI-NP\tO' +p42208 +aS'had\thave\tVBD\tB-VP\tO' +p42209 +aS'been\tbe\tVBN\tI-VP\tO' +p42210 +aS'low\tlow\tJJ\tB-ADJP\tO' +p42211 +aS'despite\tdespite\tIN\tB-PP\tO' +p42212 +aS'repletion\trepletion\tNN\tB-NP\tO' +p42213 +aS',\t,\t,\tO\tO' +p42214 +aS'Na\tNa\tNN\tB-NP\tO' +p42215 +aS'was\tbe\tVBD\tB-VP\tO' +p42216 +aS'elevated\televate\tVBN\tI-VP\tO' +p42217 +aS',\t,\t,\tO\tO' +p42218 +aS'as\tas\tIN\tB-SBAR\tO' +p42219 +aS'was\tbe\tVBD\tB-VP\tO' +p42220 +aS'blood\tblood\tNN\tB-NP\tO' +p42221 +aS'pressure\tpressure\tNN\tI-NP\tO' +p42222 +aS'.\t.\t.\tO\tO' +p42223 +asS'A chest x-ray done at that time revealed a left-sided infiltrate versus effusion .' +p42224 +(lp42225 +S'A\tA\tDT\tB-NP\tO' +p42226 +aS'chest\tch\tJJS\tI-NP\tO' +p42227 +aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' +p42228 +aS'done\tdo\tVBN\tB-VP\tO' +p42229 +aS'at\tat\tIN\tB-PP\tO' +p42230 +aS'that\tthat\tDT\tB-NP\tO' +p42231 +aS'time\ttime\tNN\tI-NP\tO' +p42232 +aS'revealed\treveal\tVBD\tB-VP\tO' +p42233 +aS'a\ta\tDT\tB-NP\tO' +p42234 +aS'left-sided\tleft-sided\tJJ\tI-NP\tO' +p42235 +aS'infiltrate\tinfiltrate\tNN\tI-NP\tO' +p42236 +aS'versus\tversus\tIN\tB-PP\tO' +p42237 +aS'effusion\teffusion\tNN\tB-NP\tO' +p42238 +aS'.\t.\t.\tO\tO' +p42239 +asS'2. Medications : none .' +p42240 +(lp42241 +S'2.\t2.\tCD\tB-NP\tO' +p42242 +aS'Medications\tMedication\tNNS\tI-NP\tO' +p42243 +aS':\t:\t:\tO\tO' +p42244 +aS'none\tnone\tNN\tB-NP\tO' +p42245 +aS'.\t.\t.\tO\tO' +p42246 +asS'Histochemical stains are consistent with hepatobiliary origin .' +p42247 +(lp42248 +S'Histochemical\tHistochemical\tJJ\tB-NP\tO' +p42249 +aS'stains\tstain\tNNS\tI-NP\tO' +p42250 +aS'are\tbe\tVBP\tB-VP\tO' +p42251 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p42252 +aS'with\twith\tIN\tB-PP\tO' +p42253 +aS'hepatobiliary\thepatobiliary\tJJ\tB-NP\tB-protein' +p42254 +aS'origin\torigin\tNN\tI-NP\tI-protein' +p42255 +aS'.\t.\t.\tO\tO' +p42256 +asS'The patient had decreased exercise tolerance and therefore was placed back on his milrinone to keep his cardiac index greater than 2.0 .' +p42257 +(lp42258 +S'The\tThe\tDT\tB-NP\tO' +p42259 +aS'patient\tpatient\tNN\tI-NP\tO' +p42260 +aS'had\thave\tVBD\tB-VP\tO' +p42261 +aS'decreased\tdecrease\tVBN\tI-VP\tO' +p42262 +aS'exercise\texercise\tNN\tB-NP\tO' +p42263 +aS'tolerance\ttolerance\tNN\tI-NP\tO' +p42264 +aS'and\tand\tCC\tO\tO' +p42265 +aS'therefore\ttherefore\tRB\tB-ADVP\tO' +p42266 +aS'was\tbe\tVBD\tB-VP\tO' +p42267 +aS'placed\tplace\tVBN\tI-VP\tO' +p42268 +aS'back\tback\tRB\tB-ADVP\tO' +p42269 +aS'on\ton\tIN\tB-PP\tO' +p42270 +aS'his\this\tPRP$\tB-NP\tO' +p42271 +aS'milrinone\tmilrinone\tNN\tI-NP\tO' +p42272 +aS'to\tto\tTO\tB-VP\tO' +p42273 +aS'keep\tkeep\tVB\tI-VP\tO' +p42274 +aS'his\this\tPRP$\tB-NP\tO' +p42275 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p42276 +aS'index\tindex\tNN\tI-NP\tO' +p42277 +aS'greater\tgreat\tJJR\tB-ADJP\tO' +p42278 +aS'than\tthan\tIN\tB-PP\tO' +p42279 +aS'2.0\t2.0\tCD\tB-NP\tO' +p42280 +aS'.\t.\t.\tO\tO' +p42281 +asS'A repeact head CT was unchanged .' +p42282 +(lp42283 +S'A\tA\tDT\tB-NP\tO' +p42284 +aS'repeact\trepeact\tNN\tI-NP\tO' +p42285 +aS'head\thead\tNN\tI-NP\tO' +p42286 +aS'CT\tCT\tNN\tI-NP\tO' +p42287 +aS'was\tbe\tVBD\tB-VP\tO' +p42288 +aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' +p42289 +aS'.\t.\t.\tO\tO' +p42290 +asS'No evidence of compartment syndrome .' +p42291 +(lp42292 +S'No\tNo\tDT\tB-NP\tO' +p42293 +aS'evidence\tevidence\tNN\tI-NP\tO' +p42294 +aS'of\tof\tIN\tB-PP\tO' +p42295 +aS'compartment\tcompartment\tNN\tB-NP\tO' +p42296 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p42297 +aS'.\t.\t.\tO\tO' +p42298 +asS'1. Non-small cell lung cancer s/p XRT and chemotherapy in French Guiana , s/p right pneumonectomy in 2016-09-21 for recurrence .' +p42299 +(lp42300 +S'1.\t1.\tLS\tB-NP\tO' +p42301 +aS'Non-small\tNon-small\tJJ\tI-NP\tO' +p42302 +aS'cell\tcell\tNN\tI-NP\tO' +p42303 +aS'lung\tlung\tNN\tI-NP\tO' +p42304 +aS'cancer\tcancer\tNN\tI-NP\tO' +p42305 +aS's/p\ts/p\tNN\tI-NP\tO' +p42306 +aS'XRT\tXRT\tNN\tI-NP\tO' +p42307 +aS'and\tand\tCC\tI-NP\tO' +p42308 +aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' +p42309 +aS'in\tin\tIN\tB-PP\tO' +p42310 +aS'French\tFrench\tNNP\tB-NP\tO' +p42311 +aS'Guiana\tGuiana\tNNP\tI-NP\tO' +p42312 +aS',\t,\t,\tO\tO' +p42313 +aS's/p\ts/p\tNN\tB-NP\tO' +p42314 +aS'right\tright\tJJ\tI-NP\tO' +p42315 +aS'pneumonectomy\tpneumonectomy\tNN\tI-NP\tO' +p42316 +aS'in\tin\tIN\tB-PP\tO' +p42317 +aS'2016-09-21\t2016-09-21\tCD\tB-NP\tO' +p42318 +aS'for\tfor\tIN\tB-PP\tO' +p42319 +aS'recurrence\trecurrence\tNN\tB-NP\tO' +p42320 +aS'.\t.\t.\tO\tO' +p42321 +asS'Repeat TSH and Free T4 were appropriate on current outpatient regimen. Patient was continued on Levothyroxine 75mcg po qd .' +p42322 +(lp42323 +S'Repeat\tRepeat\tNN\tB-NP\tO' +p42324 +aS'TSH\tTSH\tNN\tI-NP\tO' +p42325 +aS'and\tand\tCC\tO\tO' +p42326 +aS'Free\tFree\tJJ\tB-NP\tO' +p42327 +aS'T4\tT4\tNN\tI-NP\tO' +p42328 +aS'were\tbe\tVBD\tB-VP\tO' +p42329 +aS'appropriate\tappropriate\tJJ\tB-ADJP\tO' +p42330 +aS'on\ton\tIN\tB-PP\tO' +p42331 +aS'current\tcurrent\tJJ\tB-NP\tO' +p42332 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p42333 +aS'regimen.\tregimen.\tNN\tI-NP\tO' +p42334 +aS'Patient\tPatient\tNN\tI-NP\tO' +p42335 +aS'was\tbe\tVBD\tB-VP\tO' +p42336 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p42337 +aS'on\ton\tIN\tB-PP\tO' +p42338 +aS'Levothyroxine\tLevothyroxine\tNN\tB-NP\tO' +p42339 +aS'75mcg\t75mcg\tCD\tI-NP\tO' +p42340 +aS'po\tpo\tNN\tI-NP\tO' +p42341 +aS'qd\tqd\tNN\tI-NP\tO' +p42342 +aS'.\t.\t.\tO\tO' +p42343 +asS'2. Cardiovascular - The infant was noted on CR-monitor to have premature ventricular contractions which resolved spontaneously .' +p42344 +(lp42345 +S'2.\t2.\tLS\tB-LST\tO' +p42346 +aS'Cardiovascular\tCardiovascular\tJJ\tB-ADJP\tO' +p42347 +aS'-\t-\tHYPH\tO\tO' +p42348 +aS'The\tThe\tDT\tB-NP\tO' +p42349 +aS'infant\tinfant\tNN\tI-NP\tO' +p42350 +aS'was\tbe\tVBD\tB-VP\tO' +p42351 +aS'noted\tnote\tVBN\tI-VP\tO' +p42352 +aS'on\ton\tIN\tB-PP\tO' +p42353 +aS'CR-monitor\tCR-monitor\tNNP\tB-NP\tO' +p42354 +aS'to\tto\tTO\tB-VP\tO' +p42355 +aS'have\thave\tVB\tI-VP\tO' +p42356 +aS'premature\tpremature\tJJ\tB-NP\tO' +p42357 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p42358 +aS'contractions\tcontraction\tNNS\tI-NP\tO' +p42359 +aS'which\twhich\tWDT\tB-NP\tO' +p42360 +aS'resolved\tresolve\tVBD\tB-VP\tO' +p42361 +aS'spontaneously\tspontaneously\tRB\tB-ADVP\tO' +p42362 +aS'.\t.\t.\tO\tO' +p42363 +asS'She has fibromyalgia and a history of slurred speech .' +p42364 +(lp42365 +S'She\tShe\tPRP\tB-NP\tO' +p42366 +aS'has\thave\tVBZ\tB-VP\tO' +p42367 +aS'fibromyalgia\tfibromyalgia\tNN\tB-NP\tO' +p42368 +aS'and\tand\tCC\tO\tO' +p42369 +aS'a\ta\tDT\tB-NP\tO' +p42370 +aS'history\thistory\tNN\tI-NP\tO' +p42371 +aS'of\tof\tIN\tB-PP\tO' +p42372 +aS'slurred\tslur\tVBN\tB-NP\tO' +p42373 +aS'speech\tspeech\tNN\tI-NP\tO' +p42374 +aS'.\t.\t.\tO\tO' +p42375 +asS'Her electrolytes were checked on a daily basis and remained within normal limits , being replaced as needed .' +p42376 +(lp42377 +S'Her\tHer\tPRP$\tB-NP\tO' +p42378 +aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' +p42379 +aS'were\tbe\tVBD\tB-VP\tO' +p42380 +aS'checked\tcheck\tVBN\tI-VP\tO' +p42381 +aS'on\ton\tIN\tB-PP\tO' +p42382 +aS'a\ta\tDT\tB-NP\tO' +p42383 +aS'daily\tdaily\tJJ\tI-NP\tO' +p42384 +aS'basis\tbasis\tNN\tI-NP\tO' +p42385 +aS'and\tand\tCC\tO\tO' +p42386 +aS'remained\tremain\tVBD\tB-VP\tO' +p42387 +aS'within\twithin\tIN\tB-PP\tO' +p42388 +aS'normal\tnormal\tJJ\tB-NP\tO' +p42389 +aS'limits\tlimit\tNNS\tI-NP\tO' +p42390 +aS',\t,\t,\tO\tO' +p42391 +aS'being\tbe\tVBG\tB-VP\tO' +p42392 +aS'replaced\treplace\tVBN\tI-VP\tO' +p42393 +aS'as\tas\tIN\tB-PP\tO' +p42394 +aS'needed\tneed\tVBN\tB-VP\tO' +p42395 +aS'.\t.\t.\tO\tO' +p42396 +asS'This is the second Fairm of Ijordcompmac Hospital admission for Taroby Patient , a 70 year old male with a history of metastatic melanoma .' +p42397 +(lp42398 +S'This\tThis\tDT\tB-NP\tO' +p42399 +aS'is\tbe\tVBZ\tB-VP\tO' +p42400 +aS'the\tthe\tDT\tB-NP\tO' +p42401 +aS'second\tsecond\tJJ\tI-NP\tO' +p42402 +aS'Fairm\tFairm\tNN\tI-NP\tO' +p42403 +aS'of\tof\tIN\tB-PP\tO' +p42404 +aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' +p42405 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p42406 +aS'admission\tadmission\tNN\tI-NP\tO' +p42407 +aS'for\tfor\tIN\tB-PP\tO' +p42408 +aS'Taroby\tTaroby\tNNP\tB-NP\tO' +p42409 +aS'Patient\tPatient\tNNP\tI-NP\tO' +p42410 +aS',\t,\t,\tO\tO' +p42411 +aS'a\ta\tDT\tB-NP\tO' +p42412 +aS'70\t70\tCD\tI-NP\tO' +p42413 +aS'year\tyear\tNN\tI-NP\tO' +p42414 +aS'old\told\tJJ\tI-NP\tO' +p42415 +aS'male\tmale\tNN\tI-NP\tO' +p42416 +aS'with\twith\tIN\tB-PP\tO' +p42417 +aS'a\ta\tDT\tB-NP\tO' +p42418 +aS'history\thistory\tNN\tI-NP\tO' +p42419 +aS'of\tof\tIN\tB-PP\tO' +p42420 +aS'metastatic\tmetastatic\tJJ\tB-NP\tO' +p42421 +aS'melanoma\tmelanoma\tNN\tI-NP\tO' +p42422 +aS'.\t.\t.\tO\tO' +p42423 +asS'We believe the this was an osmotic diarrhea .' +p42424 +(lp42425 +S'We\tWe\tPRP\tB-NP\tO' +p42426 +aS'believe\tbelieve\tVBP\tB-VP\tO' +p42427 +aS'the\tthe\tDT\tB-NP\tO' +p42428 +aS'this\tthis\tDT\tI-NP\tO' +p42429 +aS'was\tbe\tVBD\tB-VP\tO' +p42430 +aS'an\tan\tDT\tB-NP\tO' +p42431 +aS'osmotic\tosmotic\tJJ\tI-NP\tO' +p42432 +aS'diarrhea\tdiarrhea\tNN\tI-NP\tO' +p42433 +aS'.\t.\t.\tO\tO' +p42434 +asS'9. Sevelamer 800 mg Tablet Sig : One ( 1 ) Tablet PO TID ( 3 times a day ) .' +p42435 +(lp42436 +S'9.\t9.\tCD\tB-NP\tO' +p42437 +aS'Sevelamer\tSevelamer\tNN\tI-NP\tO' +p42438 +aS'800\t800\tCD\tB-NP\tO' +p42439 +aS'mg\tmg\tNN\tI-NP\tO' +p42440 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p42441 +aS'Sig\tSig\tNNP\tI-NP\tO' +p42442 +aS':\t:\t:\tO\tO' +p42443 +aS'One\tOne\tCD\tB-NP\tO' +p42444 +aS'(\t(\t(\tO\tO' +p42445 +aS'1\t1\tCD\tB-NP\tO' +p42446 +aS')\t)\t)\tO\tO' +p42447 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p42448 +aS'PO\tPO\tNN\tI-NP\tO' +p42449 +aS'TID\tTID\tNN\tI-NP\tO' +p42450 +aS'(\t(\t(\tO\tO' +p42451 +aS'3\t3\tCD\tB-NP\tO' +p42452 +aS'times\ttime\tNNS\tI-NP\tO' +p42453 +aS'a\ta\tDT\tB-NP\tO' +p42454 +aS'day\tday\tNN\tI-NP\tO' +p42455 +aS')\t)\t)\tO\tO' +p42456 +aS'.\t.\t.\tO\tO' +p42457 +asS'The patient presented with changes in mental status , pCO2 of 100 , pH of 7.19 , decreasing sats on arrival likely element of obstructive-sleep apnea .' +p42458 +(lp42459 +S'The\tThe\tDT\tB-NP\tO' +p42460 +aS'patient\tpatient\tNN\tI-NP\tO' +p42461 +aS'presented\tpresent\tVBD\tB-VP\tO' +p42462 +aS'with\twith\tIN\tB-PP\tO' +p42463 +aS'changes\tchange\tNNS\tB-NP\tO' +p42464 +aS'in\tin\tIN\tB-PP\tO' +p42465 +aS'mental\tmental\tJJ\tB-NP\tO' +p42466 +aS'status\tstatus\tNN\tI-NP\tO' +p42467 +aS',\t,\t,\tO\tO' +p42468 +aS'pCO2\tpCO2\tNN\tB-NP\tO' +p42469 +aS'of\tof\tIN\tB-PP\tO' +p42470 +aS'100\t100\tCD\tB-NP\tO' +p42471 +aS',\t,\t,\tO\tO' +p42472 +aS'pH\tpH\tNN\tB-NP\tO' +p42473 +aS'of\tof\tIN\tB-PP\tO' +p42474 +aS'7.19\t7.19\tCD\tB-NP\tO' +p42475 +aS',\t,\t,\tO\tO' +p42476 +aS'decreasing\tdecrease\tVBG\tB-VP\tO' +p42477 +aS'sats\tsat\tNNS\tB-NP\tO' +p42478 +aS'on\ton\tIN\tB-PP\tO' +p42479 +aS'arrival\tarrival\tJJ\tB-NP\tB-DNA' +p42480 +aS'likely\tlikely\tJJ\tI-NP\tI-DNA' +p42481 +aS'element\telement\tNN\tI-NP\tI-DNA' +p42482 +aS'of\tof\tIN\tB-PP\tO' +p42483 +aS'obstructive-sleep\tobstructive-sleep\tJJ\tB-NP\tO' +p42484 +aS'apnea\tapnea\tNN\tI-NP\tO' +p42485 +aS'.\t.\t.\tO\tO' +p42486 +asS'She ejected .' +p42487 +(lp42488 +S'She\tShe\tPRP\tB-NP\tO' +p42489 +aS'ejected\teject\tVBD\tB-VP\tO' +p42490 +aS'.\t.\t.\tO\tO' +p42491 +asS'fraction of 25 percent .' +p42492 +(lp42493 +S'fraction\tfraction\tNN\tB-NP\tO' +p42494 +aS'of\tof\tIN\tB-PP\tO' +p42495 +aS'25\t25\tCD\tB-NP\tO' +p42496 +aS'percent\tpercent\tNN\tI-NP\tO' +p42497 +aS'.\t.\t.\tO\tO' +p42498 +asS'Specimens sent to pathology included peritoneal washings and permanent specimens from the liver and falciform nodules .' +p42499 +(lp42500 +S'Specimens\tSpecimen\tNNS\tB-NP\tO' +p42501 +aS'sent\tsend\tVBN\tB-VP\tO' +p42502 +aS'to\tto\tTO\tB-PP\tO' +p42503 +aS'pathology\tpathology\tNN\tB-NP\tO' +p42504 +aS'included\tinclude\tVBD\tB-VP\tO' +p42505 +aS'peritoneal\tperitoneal\tJJ\tB-NP\tO' +p42506 +aS'washings\twashing\tNNS\tI-NP\tO' +p42507 +aS'and\tand\tCC\tO\tO' +p42508 +aS'permanent\tpermanent\tJJ\tB-NP\tO' +p42509 +aS'specimens\tspecimen\tNNS\tI-NP\tO' +p42510 +aS'from\tfrom\tIN\tB-PP\tO' +p42511 +aS'the\tthe\tDT\tB-NP\tO' +p42512 +aS'liver\tliver\tNN\tI-NP\tO' +p42513 +aS'and\tand\tCC\tO\tO' +p42514 +aS'falciform\tfalciform\tJJ\tB-NP\tO' +p42515 +aS'nodules\tnodule\tNNS\tI-NP\tO' +p42516 +aS'.\t.\t.\tO\tO' +p42517 +asS"Patient 's hypoxia was felt most likely to be caused by pneumonia ." +p42518 +(lp42519 +S'Patient\tPatient\tNN\tB-NP\tO' +p42520 +aS"'s\t's\tPOS\tB-NP\tO" +p42521 +aS'hypoxia\thypoxia\tNN\tI-NP\tO' +p42522 +aS'was\tbe\tVBD\tB-VP\tO' +p42523 +aS'felt\tfeel\tVBN\tI-VP\tO' +p42524 +aS'most\tmost\tRBS\tB-ADJP\tO' +p42525 +aS'likely\tlikely\tJJ\tI-ADJP\tO' +p42526 +aS'to\tto\tTO\tB-VP\tO' +p42527 +aS'be\tbe\tVB\tI-VP\tO' +p42528 +aS'caused\tcause\tVBN\tI-VP\tO' +p42529 +aS'by\tby\tIN\tB-PP\tO' +p42530 +aS'pneumonia\tpneumonia\tNN\tB-NP\tO' +p42531 +aS'.\t.\t.\tO\tO' +p42532 +asS'Alleyne birth weight was 3.710 kg ( 8 pounds / 3 ounces ).' +p42533 +(lp42534 +S'Alleyne\tAlleyne\tNN\tB-NP\tO' +p42535 +aS'birth\tbirth\tNN\tI-NP\tO' +p42536 +aS'weight\tweight\tNN\tI-NP\tO' +p42537 +aS'was\tbe\tVBD\tB-VP\tO' +p42538 +aS'3.710\t3.710\tCD\tB-NP\tO' +p42539 +aS'kg\tkg\tNN\tI-NP\tO' +p42540 +aS'(\t(\t(\tO\tO' +p42541 +aS'8\t8\tCD\tB-NP\tO' +p42542 +aS'pounds\tpound\tNNS\tI-NP\tO' +p42543 +aS'/\t/\tSYM\tB-NP\tO' +p42544 +aS'3\t3\tCD\tB-NP\tO' +p42545 +aS'ounces\tounce\tNNS\tI-NP\tO' +p42546 +aS').\t).\t)\tO\tO' +p42547 +asS'Sister with stomach cancer .' +p42548 +(lp42549 +S'Sister\tSister\tNN\tB-NP\tO' +p42550 +aS'with\twith\tIN\tB-PP\tO' +p42551 +aS'stomach\tstomach\tNN\tB-NP\tO' +p42552 +aS'cancer\tcancer\tNN\tI-NP\tO' +p42553 +aS'.\t.\t.\tO\tO' +p42554 +asS'Following his recent bone marrow harvest he had protracted episodes of nausea and vomiting .' +p42555 +(lp42556 +S'Following\tFollow\tVBG\tB-PP\tO' +p42557 +aS'his\this\tPRP$\tB-NP\tO' +p42558 +aS'recent\trecent\tJJ\tI-NP\tO' +p42559 +aS'bone\tbone\tNN\tI-NP\tO' +p42560 +aS'marrow\tmarrow\tNN\tI-NP\tO' +p42561 +aS'harvest\tharvest\tNN\tI-NP\tO' +p42562 +aS'he\the\tPRP\tB-NP\tO' +p42563 +aS'had\thave\tVBD\tB-VP\tO' +p42564 +aS'protracted\tprotract\tVBN\tI-VP\tO' +p42565 +aS'episodes\tepisode\tNNS\tB-NP\tO' +p42566 +aS'of\tof\tIN\tB-PP\tO' +p42567 +aS'nausea\tnausea\tNN\tB-NP\tO' +p42568 +aS'and\tand\tCC\tI-NP\tO' +p42569 +aS'vomiting\tvomiting\tNN\tI-NP\tO' +p42570 +aS'.\t.\t.\tO\tO' +p42571 +asS'During his hospital stay , he developed some nonsustained ventricular tachycardia .' +p42572 +(lp42573 +S'During\tDuring\tIN\tB-PP\tO' +p42574 +aS'his\this\tPRP$\tB-NP\tO' +p42575 +aS'hospital\thospital\tNN\tI-NP\tO' +p42576 +aS'stay\tstay\tNN\tI-NP\tO' +p42577 +aS',\t,\t,\tO\tO' +p42578 +aS'he\the\tPRP\tB-NP\tO' +p42579 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p42580 +aS'some\tsome\tDT\tB-NP\tO' +p42581 +aS'nonsustained\tnonsustained\tJJ\tI-NP\tO' +p42582 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p42583 +aS'tachycardia\ttachycardia\tNN\tI-NP\tO' +p42584 +aS'.\t.\t.\tO\tO' +p42585 +asS'normal axis , and normalizing of the inferior ST segments , with Q waves evolving in leads III and aVF .' +p42586 +(lp42587 +S'normal\tnormal\tJJ\tB-NP\tO' +p42588 +aS'axis\taxis\tNN\tI-NP\tO' +p42589 +aS',\t,\t,\tO\tO' +p42590 +aS'and\tand\tCC\tO\tO' +p42591 +aS'normalizing\tnormalize\tVBG\tB-VP\tO' +p42592 +aS'of\tof\tIN\tB-PP\tO' +p42593 +aS'the\tthe\tDT\tB-NP\tO' +p42594 +aS'inferior\tinferior\tJJ\tI-NP\tB-DNA' +p42595 +aS'ST\tST\tNN\tI-NP\tI-DNA' +p42596 +aS'segments\tsegment\tNNS\tI-NP\tI-DNA' +p42597 +aS',\t,\t,\tO\tO' +p42598 +aS'with\twith\tIN\tB-PP\tO' +p42599 +aS'Q\tQ\tNN\tB-NP\tO' +p42600 +aS'waves\twave\tNNS\tI-NP\tO' +p42601 +aS'evolving\tevolve\tVBG\tB-VP\tO' +p42602 +aS'in\tin\tIN\tB-PP\tO' +p42603 +aS'leads\tlead\tNNS\tB-NP\tO' +p42604 +aS'III\tIII\tCD\tB-NP\tO' +p42605 +aS'and\tand\tCC\tO\tO' +p42606 +aS'aVF\taVF\tNN\tB-NP\tO' +p42607 +aS'.\t.\t.\tO\tO' +p42608 +asS'Right ventricular chamber size is normal and free wall motion may be mildly impaired .' +p42609 +(lp42610 +S'Right\tRight\tRB\tB-NP\tO' +p42611 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p42612 +aS'chamber\tchamber\tNN\tI-NP\tO' +p42613 +aS'size\tsize\tNN\tI-NP\tO' +p42614 +aS'is\tbe\tVBZ\tB-VP\tO' +p42615 +aS'normal\tnormal\tJJ\tB-NP\tO' +p42616 +aS'and\tand\tCC\tI-NP\tO' +p42617 +aS'free\tfree\tJJ\tI-NP\tO' +p42618 +aS'wall\twall\tNN\tI-NP\tO' +p42619 +aS'motion\tmotion\tNN\tI-NP\tO' +p42620 +aS'may\tmay\tMD\tB-VP\tO' +p42621 +aS'be\tbe\tVB\tI-VP\tO' +p42622 +aS'mildly\tmildly\tRB\tB-ADJP\tO' +p42623 +aS'impaired\timpaired\tJJ\tI-ADJP\tO' +p42624 +aS'.\t.\t.\tO\tO' +p42625 +asS'He was then intubated for airway protection ( etomidate / succinate ); it was a traumatic intubation' +p42626 +(lp42627 +S'He\tHe\tPRP\tB-NP\tO' +p42628 +aS'was\tbe\tVBD\tB-VP\tO' +p42629 +aS'then\tthen\tRB\tI-VP\tO' +p42630 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p42631 +aS'for\tfor\tIN\tB-PP\tO' +p42632 +aS'airway\tairway\tNN\tB-NP\tO' +p42633 +aS'protection\tprotection\tNN\tI-NP\tO' +p42634 +aS'(\t(\t(\tO\tO' +p42635 +aS'etomidate\tetomidate\tNN\tB-NP\tO' +p42636 +aS'/\t/\tSYM\tB-NP\tO' +p42637 +aS'succinate\tsuccinate\tNN\tI-NP\tO' +p42638 +aS');\t);\t:\tO\tO' +p42639 +aS'it\tit\tPRP\tB-NP\tO' +p42640 +aS'was\tbe\tVBD\tB-VP\tO' +p42641 +aS'a\ta\tDT\tB-NP\tO' +p42642 +aS'traumatic\ttraumatic\tJJ\tI-NP\tO' +p42643 +aS'intubation\tintubation\tNN\tI-NP\tO' +p42644 +asS'2 ) Hypertension .' +p42645 +(lp42646 +S'2\t2\tLS\tB-LST\tO' +p42647 +aS')\t)\t)\tO\tO' +p42648 +aS'Hypertension\tHypertension\tNN\tB-NP\tO' +p42649 +aS'.\t.\t.\tO\tO' +p42650 +asS'1. Regular insulin sliding scale .' +p42651 +(lp42652 +S'1.\t1.\tLS\tB-NP\tO' +p42653 +aS'Regular\tRegular\tJJ\tI-NP\tB-protein' +p42654 +aS'insulin\tinsulin\tNN\tI-NP\tI-protein' +p42655 +aS'sliding\tslide\tVBG\tB-VP\tO' +p42656 +aS'scale\tscale\tNN\tB-NP\tO' +p42657 +aS'.\t.\t.\tO\tO' +p42658 +asS'These dressing changes are applied by applying the Xeroform on Betadine initially and then changing it with sterile dry bandages .' +p42659 +(lp42660 +S'These\tThese\tDT\tB-NP\tO' +p42661 +aS'dressing\tdress\tVBG\tI-NP\tO' +p42662 +aS'changes\tchange\tNNS\tI-NP\tO' +p42663 +aS'are\tbe\tVBP\tB-VP\tO' +p42664 +aS'applied\tapply\tVBN\tI-VP\tO' +p42665 +aS'by\tby\tIN\tB-PP\tO' +p42666 +aS'applying\tapply\tVBG\tB-VP\tO' +p42667 +aS'the\tthe\tDT\tB-NP\tO' +p42668 +aS'Xeroform\tXeroform\tNN\tI-NP\tO' +p42669 +aS'on\ton\tIN\tB-PP\tO' +p42670 +aS'Betadine\tBetadine\tNN\tB-NP\tO' +p42671 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p42672 +aS'and\tand\tCC\tO\tO' +p42673 +aS'then\tthen\tRB\tO\tO' +p42674 +aS'changing\tchange\tVBG\tB-VP\tO' +p42675 +aS'it\tit\tPRP\tB-NP\tO' +p42676 +aS'with\twith\tIN\tB-PP\tO' +p42677 +aS'sterile\tsterile\tJJ\tB-NP\tO' +p42678 +aS'dry\tdry\tJJ\tI-NP\tO' +p42679 +aS'bandages\tbandage\tNNS\tI-NP\tO' +p42680 +aS'.\t.\t.\tO\tO' +p42681 +asS'Pain worse with movement .' +p42682 +(lp42683 +S'Pain\tPain\tNN\tB-NP\tB-protein' +p42684 +aS'worse\tworse\tJJR\tB-ADJP\tO' +p42685 +aS'with\twith\tIN\tB-PP\tO' +p42686 +aS'movement\tmovement\tNN\tB-NP\tO' +p42687 +aS'.\t.\t.\tO\tO' +p42688 +asS'10. Gout .' +p42689 +(lp42690 +S'10.\t10.\tLS\tB-LST\tO' +p42691 +aS'Gout\tGout\tNNP\tB-NP\tO' +p42692 +aS'.\t.\t.\tO\tO' +p42693 +asS'HEENT exam was within normal limits .' +p42694 +(lp42695 +S'HEENT\tHEENT\tNN\tB-NP\tO' +p42696 +aS'exam\texam\tNN\tI-NP\tO' +p42697 +aS'was\tbe\tVBD\tB-VP\tO' +p42698 +aS'within\twithin\tIN\tB-PP\tO' +p42699 +aS'normal\tnormal\tJJ\tB-NP\tO' +p42700 +aS'limits\tlimit\tNNS\tI-NP\tO' +p42701 +aS'.\t.\t.\tO\tO' +p42702 +asS'3. Chronic leg edema .' +p42703 +(lp42704 +S'3.\t3.\tLS\tB-NP\tO' +p42705 +aS'Chronic\tChronic\tJJ\tI-NP\tO' +p42706 +aS'leg\tleg\tNN\tI-NP\tO' +p42707 +aS'edema\tedema\tNN\tI-NP\tO' +p42708 +aS'.\t.\t.\tO\tO' +p42709 +asS'Orthostatic hypotension .' +p42710 +(lp42711 +S'Orthostatic\tOrthostatic\tJJ\tB-NP\tO' +p42712 +aS'hypotension\thypotension\tNN\tI-NP\tO' +p42713 +aS'.\t.\t.\tO\tO' +p42714 +asS'The patient has had progressive failure to thrive and steady weight loss .' +p42715 +(lp42716 +S'The\tThe\tDT\tB-NP\tO' +p42717 +aS'patient\tpatient\tNN\tI-NP\tO' +p42718 +aS'has\thave\tVBZ\tB-VP\tO' +p42719 +aS'had\thave\tVBN\tI-VP\tO' +p42720 +aS'progressive\tprogressive\tJJ\tB-NP\tO' +p42721 +aS'failure\tfailure\tNN\tI-NP\tO' +p42722 +aS'to\tto\tTO\tB-VP\tO' +p42723 +aS'thrive\tthrive\tVB\tI-VP\tO' +p42724 +aS'and\tand\tCC\tO\tO' +p42725 +aS'steady\tsteady\tJJ\tB-NP\tO' +p42726 +aS'weight\tweight\tNN\tI-NP\tO' +p42727 +aS'loss\tloss\tNN\tI-NP\tO' +p42728 +aS'.\t.\t.\tO\tO' +p42729 +asS'This is an 85 year old man initially admitted to the Plastic Surgery Service for evaluation of a left facial mass .' +p42730 +(lp42731 +S'This\tThis\tDT\tB-NP\tO' +p42732 +aS'is\tbe\tVBZ\tB-VP\tO' +p42733 +aS'an\tan\tDT\tB-NP\tO' +p42734 +aS'85\t85\tCD\tI-NP\tO' +p42735 +aS'year\tyear\tNN\tI-NP\tO' +p42736 +aS'old\told\tJJ\tI-NP\tO' +p42737 +aS'man\tman\tNN\tI-NP\tO' +p42738 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p42739 +aS'admitted\tadmit\tVBD\tB-VP\tO' +p42740 +aS'to\tto\tTO\tB-PP\tO' +p42741 +aS'the\tthe\tDT\tB-NP\tO' +p42742 +aS'Plastic\tPlastic\tNNP\tI-NP\tO' +p42743 +aS'Surgery\tSurgery\tNNP\tI-NP\tO' +p42744 +aS'Service\tService\tNNP\tI-NP\tO' +p42745 +aS'for\tfor\tIN\tB-PP\tO' +p42746 +aS'evaluation\tevaluation\tNN\tB-NP\tO' +p42747 +aS'of\tof\tIN\tB-PP\tO' +p42748 +aS'a\ta\tDT\tB-NP\tO' +p42749 +aS'left\tleft\tJJ\tI-NP\tO' +p42750 +aS'facial\tfacial\tJJ\tI-NP\tO' +p42751 +aS'mass\tmass\tNN\tI-NP\tO' +p42752 +aS'.\t.\t.\tO\tO' +p42753 +asS'Pulses remained , aside from the above-knee amputation on the right side , they remained symmetrical bilaterally with 3+ carotid , 2+ brachial , 1+ radial , 3+ femoral .' +p42754 +(lp42755 +S'Pulses\tPulse\tNNS\tB-NP\tO' +p42756 +aS'remained\tremain\tVBD\tB-VP\tO' +p42757 +aS',\t,\t,\tO\tO' +p42758 +aS'aside\taside\tRB\tB-ADVP\tO' +p42759 +aS'from\tfrom\tIN\tB-PP\tO' +p42760 +aS'the\tthe\tDT\tB-NP\tO' +p42761 +aS'above-knee\tabove-knee\tJJ\tI-NP\tO' +p42762 +aS'amputation\tamputation\tNN\tI-NP\tO' +p42763 +aS'on\ton\tIN\tB-PP\tO' +p42764 +aS'the\tthe\tDT\tB-NP\tO' +p42765 +aS'right\tright\tJJ\tI-NP\tO' +p42766 +aS'side\tside\tNN\tI-NP\tO' +p42767 +aS',\t,\t,\tO\tO' +p42768 +aS'they\tthey\tPRP\tB-NP\tO' +p42769 +aS'remained\tremain\tVBD\tB-VP\tO' +p42770 +aS'symmetrical\tsymmetrical\tJJ\tB-ADJP\tO' +p42771 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p42772 +aS'with\twith\tIN\tB-PP\tO' +p42773 +aS'3+\t3+\tJJ\tB-NP\tO' +p42774 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p42775 +aS',\t,\t,\tO\tO' +p42776 +aS'2+\t2+\tJJ\tB-NP\tO' +p42777 +aS'brachial\tbrachial\tJJ\tI-NP\tO' +p42778 +aS',\t,\t,\tI-NP\tO' +p42779 +aS'1+\t1+\tJJ\tI-NP\tO' +p42780 +aS'radial\tradial\tNN\tI-NP\tO' +p42781 +aS',\t,\t,\tO\tO' +p42782 +aS'3+\t3+\tJJ\tB-NP\tO' +p42783 +aS'femoral\tfemoral\tNN\tI-NP\tO' +p42784 +aS'.\t.\t.\tO\tO' +p42785 +asS'A pelvic and abdominal computerized tomography scan on February 18 also showed no evidence of a focal collection or abscess .' +p42786 +(lp42787 +S'A\tA\tDT\tB-NP\tO' +p42788 +aS'pelvic\tpelvic\tJJ\tI-NP\tO' +p42789 +aS'and\tand\tCC\tI-NP\tO' +p42790 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p42791 +aS'computerized\tcomputerized\tJJ\tI-NP\tO' +p42792 +aS'tomography\ttomography\tNN\tI-NP\tO' +p42793 +aS'scan\tscan\tNN\tI-NP\tO' +p42794 +aS'on\ton\tIN\tB-PP\tO' +p42795 +aS'February\tFebruary\tNNP\tB-NP\tO' +p42796 +aS'18\t18\tCD\tI-NP\tO' +p42797 +aS'also\talso\tRB\tB-ADVP\tO' +p42798 +aS'showed\tshow\tVBD\tB-VP\tO' +p42799 +aS'no\tno\tDT\tB-NP\tO' +p42800 +aS'evidence\tevidence\tNN\tI-NP\tO' +p42801 +aS'of\tof\tIN\tB-PP\tO' +p42802 +aS'a\ta\tDT\tB-NP\tO' +p42803 +aS'focal\tfocal\tJJ\tI-NP\tO' +p42804 +aS'collection\tcollection\tNN\tI-NP\tO' +p42805 +aS'or\tor\tCC\tI-NP\tO' +p42806 +aS'abscess\tabscess\tNN\tI-NP\tO' +p42807 +aS'.\t.\t.\tO\tO' +p42808 +asS'The infant cried after bulb suctioning and stimulation .' +p42809 +(lp42810 +S'The\tThe\tDT\tB-NP\tO' +p42811 +aS'infant\tinfant\tNN\tI-NP\tO' +p42812 +aS'cried\tcry\tVBD\tB-VP\tO' +p42813 +aS'after\tafter\tIN\tB-PP\tO' +p42814 +aS'bulb\tbulb\tNN\tB-NP\tO' +p42815 +aS'suctioning\tsuctioning\tNN\tI-NP\tO' +p42816 +aS'and\tand\tCC\tI-NP\tO' +p42817 +aS'stimulation\tstimulation\tNN\tI-NP\tO' +p42818 +aS'.\t.\t.\tO\tO' +p42819 +asS'She denies a rash and any genitourinary symptoms .' +p42820 +(lp42821 +S'She\tShe\tPRP\tB-NP\tO' +p42822 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p42823 +aS'a\ta\tDT\tB-NP\tO' +p42824 +aS'rash\trash\tNN\tI-NP\tO' +p42825 +aS'and\tand\tCC\tO\tO' +p42826 +aS'any\tany\tDT\tB-NP\tO' +p42827 +aS'genitourinary\tgenitourinary\tJJ\tI-NP\tO' +p42828 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p42829 +aS'.\t.\t.\tO\tO' +p42830 +asS'He can walk about a quarter of a mile without stopping .' +p42831 +(lp42832 +S'He\tHe\tPRP\tB-NP\tO' +p42833 +aS'can\tcan\tMD\tB-VP\tO' +p42834 +aS'walk\twalk\tVB\tI-VP\tO' +p42835 +aS'about\tabout\tIN\tB-NP\tO' +p42836 +aS'a\ta\tDT\tI-NP\tO' +p42837 +aS'quarter\tquarter\tNN\tI-NP\tO' +p42838 +aS'of\tof\tIN\tB-PP\tO' +p42839 +aS'a\ta\tDT\tB-NP\tO' +p42840 +aS'mile\tmile\tNN\tI-NP\tO' +p42841 +aS'without\twithout\tIN\tB-PP\tO' +p42842 +aS'stopping\tstop\tVBG\tB-VP\tO' +p42843 +aS'.\t.\t.\tO\tO' +p42844 +asS'Chest was clear to percussion and auscultation .' +p42845 +(lp42846 +S'Chest\tChest\tNNP\tB-NP\tO' +p42847 +aS'was\tbe\tVBD\tB-VP\tO' +p42848 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p42849 +aS'to\tto\tTO\tB-PP\tO' +p42850 +aS'percussion\tpercussion\tNN\tB-NP\tO' +p42851 +aS'and\tand\tCC\tI-NP\tO' +p42852 +aS'auscultation\tauscultation\tNN\tI-NP\tO' +p42853 +aS'.\t.\t.\tO\tO' +p42854 +asS'This AM while talking with his daughter on the phone , he was noted to desaturate into the high 80s and he was brought to the The Hospital for Orthopedics Juan for further evaluation .' +p42855 +(lp42856 +S'This\tThis\tDT\tB-NP\tO' +p42857 +aS'AM\tAM\tNN\tI-NP\tO' +p42858 +aS'while\twhile\tIN\tB-SBAR\tO' +p42859 +aS'talking\ttalk\tVBG\tB-VP\tO' +p42860 +aS'with\twith\tIN\tB-PP\tO' +p42861 +aS'his\this\tPRP$\tB-NP\tO' +p42862 +aS'daughter\tdaughter\tNN\tI-NP\tO' +p42863 +aS'on\ton\tIN\tB-PP\tO' +p42864 +aS'the\tthe\tDT\tB-NP\tO' +p42865 +aS'phone\tphone\tNN\tI-NP\tO' +p42866 +aS',\t,\t,\tO\tO' +p42867 +aS'he\the\tPRP\tB-NP\tO' +p42868 +aS'was\tbe\tVBD\tB-VP\tO' +p42869 +aS'noted\tnote\tVBN\tI-VP\tO' +p42870 +aS'to\tto\tTO\tI-VP\tO' +p42871 +aS'desaturate\tdesaturate\tVB\tI-VP\tO' +p42872 +aS'into\tinto\tIN\tB-PP\tO' +p42873 +aS'the\tthe\tDT\tB-NP\tO' +p42874 +aS'high\thigh\tJJ\tI-NP\tO' +p42875 +aS'80s\t80\tNNS\tI-NP\tO' +p42876 +aS'and\tand\tCC\tO\tO' +p42877 +aS'he\the\tPRP\tB-NP\tO' +p42878 +aS'was\tbe\tVBD\tB-VP\tO' +p42879 +aS'brought\tbring\tVBN\tI-VP\tO' +p42880 +aS'to\tto\tTO\tB-PP\tO' +p42881 +aS'the\tthe\tDT\tB-NP\tO' +p42882 +aS'The\tThe\tNNP\tI-NP\tO' +p42883 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p42884 +aS'for\tfor\tIN\tB-PP\tO' +p42885 +aS'Orthopedics\tOrthopedics\tNNP\tB-NP\tO' +p42886 +aS'Juan\tJuan\tNNP\tI-NP\tO' +p42887 +aS'for\tfor\tIN\tB-PP\tO' +p42888 +aS'further\tfurther\tJJ\tB-NP\tO' +p42889 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p42890 +aS'.\t.\t.\tO\tO' +p42891 +asS'His wife gave him mouth-to-mouth resuscitation and he regained consciousness .' +p42892 +(lp42893 +S'His\tHis\tPRP$\tB-NP\tO' +p42894 +aS'wife\twife\tNN\tI-NP\tO' +p42895 +aS'gave\tgive\tVBD\tB-VP\tO' +p42896 +aS'him\thim\tPRP\tB-NP\tO' +p42897 +aS'mouth-to-mouth\tmouth-to-mouth\tJJ\tB-NP\tO' +p42898 +aS'resuscitation\tresuscitation\tNN\tI-NP\tO' +p42899 +aS'and\tand\tCC\tO\tO' +p42900 +aS'he\the\tPRP\tB-NP\tO' +p42901 +aS'regained\tregain\tVBD\tB-VP\tO' +p42902 +aS'consciousness\tconsciousness\tNN\tB-NP\tO' +p42903 +aS'.\t.\t.\tO\tO' +p42904 +asS'ENTEROCOCCUS SP .' +p42905 +(lp42906 +S'ENTEROCOCCUS\tENTEROCOCCUS\tJJ\tB-NP\tO' +p42907 +aS'SP\tSP\tNN\tI-NP\tO' +p42908 +aS'.\t.\t.\tO\tO' +p42909 +asS'She was able to move all four of her extremities in response to pain .' +p42910 +(lp42911 +S'She\tShe\tPRP\tB-NP\tO' +p42912 +aS'was\tbe\tVBD\tB-VP\tO' +p42913 +aS'able\table\tJJ\tB-ADJP\tO' +p42914 +aS'to\tto\tTO\tB-VP\tO' +p42915 +aS'move\tmove\tVB\tI-VP\tO' +p42916 +aS'all\tall\tDT\tB-NP\tO' +p42917 +aS'four\tfour\tCD\tI-NP\tO' +p42918 +aS'of\tof\tIN\tB-PP\tO' +p42919 +aS'her\ther\tPRP$\tB-NP\tO' +p42920 +aS'extremities\textremity\tNNS\tI-NP\tO' +p42921 +aS'in\tin\tIN\tB-PP\tO' +p42922 +aS'response\tresponse\tNN\tB-NP\tO' +p42923 +aS'to\tto\tTO\tB-VP\tO' +p42924 +aS'pain\tpain\tVB\tI-VP\tO' +p42925 +aS'.\t.\t.\tO\tO' +p42926 +asS'INTRAUTERINE PREGNANCY AT 23 WEEKS .' +p42927 +(lp42928 +S'INTRAUTERINE\tINTRAUTERINE\tNN\tB-NP\tO' +p42929 +aS'PREGNANCY\tPREGNANCY\tNN\tI-NP\tO' +p42930 +aS'AT\tAT\tIN\tB-PP\tO' +p42931 +aS'23\t23\tCD\tB-NP\tO' +p42932 +aS'WEEKS\tWEEKS\tNNS\tI-NP\tO' +p42933 +aS'.\t.\t.\tO\tO' +p42934 +asS'Medications - aspirin 325 mg po qd , Glipizide 25 mg po qd .' +p42935 +(lp42936 +S'Medications\tMedication\tNNS\tB-NP\tO' +p42937 +aS'-\t-\t:\tO\tO' +p42938 +aS'aspirin\taspirin\tNN\tB-NP\tO' +p42939 +aS'325\t325\tCD\tI-NP\tO' +p42940 +aS'mg\tmg\tNN\tI-NP\tO' +p42941 +aS'po\tpo\tNN\tI-NP\tO' +p42942 +aS'qd\tqd\tNN\tI-NP\tO' +p42943 +aS',\t,\t,\tO\tO' +p42944 +aS'Glipizide\tGlipizide\tNN\tB-NP\tO' +p42945 +aS'25\t25\tCD\tI-NP\tO' +p42946 +aS'mg\tmg\tNN\tI-NP\tO' +p42947 +aS'po\tpo\tNN\tI-NP\tO' +p42948 +aS'qd\tqd\tNN\tI-NP\tO' +p42949 +aS'.\t.\t.\tO\tO' +p42950 +asS'6. Rectal bleeding - The patient has a history of rectal bleeding , ever since his brachytherapy for his prostate cancer .' +p42951 +(lp42952 +S'6.\t6.\tLS\tB-NP\tO' +p42953 +aS'Rectal\tRectal\tJJ\tI-NP\tO' +p42954 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p42955 +aS'-\t-\tHYPH\tO\tO' +p42956 +aS'The\tThe\tDT\tB-NP\tO' +p42957 +aS'patient\tpatient\tNN\tI-NP\tO' +p42958 +aS'has\thave\tVBZ\tB-VP\tO' +p42959 +aS'a\ta\tDT\tB-NP\tO' +p42960 +aS'history\thistory\tNN\tI-NP\tO' +p42961 +aS'of\tof\tIN\tB-PP\tO' +p42962 +aS'rectal\trectal\tJJ\tB-NP\tO' +p42963 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p42964 +aS',\t,\t,\tO\tO' +p42965 +aS'ever\tever\tRB\tB-ADVP\tO' +p42966 +aS'since\tsince\tIN\tB-PP\tO' +p42967 +aS'his\this\tPRP$\tB-NP\tO' +p42968 +aS'brachytherapy\tbrachytherapy\tNN\tI-NP\tO' +p42969 +aS'for\tfor\tIN\tB-PP\tO' +p42970 +aS'his\this\tPRP$\tB-NP\tO' +p42971 +aS'prostate\tprostate\tNN\tI-NP\tO' +p42972 +aS'cancer\tcancer\tNN\tI-NP\tO' +p42973 +aS'.\t.\t.\tO\tO' +p42974 +asS'Mychelia was extubated to a CPAP of 6 cm on day of life two where she remained until day of life 20 .' +p42975 +(lp42976 +S'Mychelia\tMychelia\tNN\tB-NP\tO' +p42977 +aS'was\tbe\tVBD\tB-VP\tO' +p42978 +aS'extubated\textubate\tVBN\tI-VP\tO' +p42979 +aS'to\tto\tTO\tB-PP\tO' +p42980 +aS'a\ta\tDT\tB-NP\tO' +p42981 +aS'CPAP\tCPAP\tNN\tI-NP\tB-protein' +p42982 +aS'of\tof\tIN\tB-PP\tO' +p42983 +aS'6\t6\tCD\tB-NP\tO' +p42984 +aS'cm\tcm\tNN\tI-NP\tO' +p42985 +aS'on\ton\tIN\tB-PP\tO' +p42986 +aS'day\tday\tNN\tB-NP\tO' +p42987 +aS'of\tof\tIN\tB-PP\tO' +p42988 +aS'life\tlife\tNN\tB-NP\tO' +p42989 +aS'two\ttwo\tCD\tI-NP\tO' +p42990 +aS'where\twhere\tWRB\tB-ADVP\tO' +p42991 +aS'she\tshe\tPRP\tB-NP\tO' +p42992 +aS'remained\tremain\tVBD\tB-VP\tO' +p42993 +aS'until\tuntil\tIN\tB-PP\tO' +p42994 +aS'day\tday\tNN\tB-NP\tO' +p42995 +aS'of\tof\tIN\tB-PP\tO' +p42996 +aS'life\tlife\tNN\tB-NP\tB-protein' +p42997 +aS'20\t20\tCD\tI-NP\tI-protein' +p42998 +aS'.\t.\t.\tO\tO' +p42999 +asS'Infant with non- dysmorphic facies , palate intact .' +p43000 +(lp43001 +S'Infant\tInfant\tJJ\tB-ADJP\tO' +p43002 +aS'with\twith\tIN\tB-PP\tO' +p43003 +aS'non-\tnon-\tJJ\tB-NP\tO' +p43004 +aS'dysmorphic\tdysmorphic\tJJ\tI-NP\tO' +p43005 +aS'facies\tfacy\tNNS\tI-NP\tO' +p43006 +aS',\t,\t,\tO\tO' +p43007 +aS'palate\tpalate\tNN\tB-NP\tO' +p43008 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p43009 +aS'.\t.\t.\tO\tO' +p43010 +asS'Signed electronically by : DR. Homer Peterson on : FRI 2016-01-29 11:36 AM' +p43011 +(lp43012 +S'Signed\tSign\tVBN\tB-VP\tO' +p43013 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p43014 +aS'by\tby\tIN\tB-PP\tO' +p43015 +aS':\t:\t:\tO\tO' +p43016 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p43017 +aS'Homer\tHomer\tNNP\tI-NP\tO' +p43018 +aS'Peterson\tPeterson\tNNP\tI-NP\tO' +p43019 +aS'on\ton\tIN\tB-PP\tO' +p43020 +aS':\t:\t:\tO\tO' +p43021 +aS'FRI\tFRI\tCD\tB-NP\tO' +p43022 +aS'2016-01-29\t2016-01-29\tCD\tI-NP\tO' +p43023 +aS'11:36\t11:36\tCD\tI-NP\tO' +p43024 +aS'AM\tAM\tNN\tI-NP\tO' +p43025 +asS'Cultures were negative and onlyon one gram stain did it show rare gram negative rods .' +p43026 +(lp43027 +S'Cultures\tCulture\tNNS\tB-NP\tO' +p43028 +aS'were\tbe\tVBD\tB-VP\tO' +p43029 +aS'negative\tnegative\tJJ\tB-NP\tO' +p43030 +aS'and\tand\tCC\tI-NP\tO' +p43031 +aS'onlyon\tonlyon\tJJ\tI-NP\tO' +p43032 +aS'one\tone\tCD\tI-NP\tO' +p43033 +aS'gram\tgram\tNN\tI-NP\tO' +p43034 +aS'stain\tstain\tNN\tI-NP\tO' +p43035 +aS'did\tdo\tVBD\tO\tO' +p43036 +aS'it\tit\tPRP\tB-NP\tO' +p43037 +aS'show\tshow\tVB\tB-VP\tO' +p43038 +aS'rare\trare\tJJ\tB-NP\tO' +p43039 +aS'gram\tgram\tNN\tI-NP\tO' +p43040 +aS'negative\tnegative\tJJ\tI-NP\tO' +p43041 +aS'rods\trod\tNNS\tI-NP\tO' +p43042 +aS'.\t.\t.\tO\tO' +p43043 +asS'Neurologic examination revealed an alert and oriented individual .' +p43044 +(lp43045 +S'Neurologic\tNeurologic\tJJ\tB-NP\tO' +p43046 +aS'examination\texamination\tNN\tI-NP\tO' +p43047 +aS'revealed\treveal\tVBD\tB-VP\tO' +p43048 +aS'an\tan\tDT\tB-NP\tO' +p43049 +aS'alert\talert\tJJ\tI-NP\tO' +p43050 +aS'and\tand\tCC\tI-NP\tO' +p43051 +aS'oriented\torient\tVBN\tI-NP\tO' +p43052 +aS'individual\tindividual\tNN\tI-NP\tO' +p43053 +aS'.\t.\t.\tO\tO' +p43054 +asS'He subsequently was diuresed to a euvolemic state .' +p43055 +(lp43056 +S'He\tHe\tPRP\tB-NP\tO' +p43057 +aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' +p43058 +aS'was\tbe\tVBD\tB-VP\tO' +p43059 +aS'diuresed\tdiurese\tVBN\tI-VP\tO' +p43060 +aS'to\tto\tTO\tB-PP\tO' +p43061 +aS'a\ta\tDT\tB-NP\tO' +p43062 +aS'euvolemic\teuvolemic\tJJ\tI-NP\tO' +p43063 +aS'state\tstate\tNN\tI-NP\tO' +p43064 +aS'.\t.\t.\tO\tO' +p43065 +asS'24. Warfarin 1 mg Tablet Sig : One ( 1 ) Tablet PO at bedtime : Please monitor INR with goal 02-24 .' +p43066 +(lp43067 +S'24.\t24.\tLS\tB-LST\tO' +p43068 +aS'Warfarin\tWarfarin\tNNP\tB-NP\tO' +p43069 +aS'1\t1\tCD\tI-NP\tO' +p43070 +aS'mg\tmg\tNN\tI-NP\tO' +p43071 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p43072 +aS'Sig\tSig\tNNP\tI-NP\tO' +p43073 +aS':\t:\t:\tO\tO' +p43074 +aS'One\tOne\tCD\tB-NP\tO' +p43075 +aS'(\t(\t(\tO\tO' +p43076 +aS'1\t1\tCD\tB-NP\tO' +p43077 +aS')\t)\t)\tO\tO' +p43078 +aS'Tablet\tTablet\tNN\tB-NP\tB-protein' +p43079 +aS'PO\tPO\tNN\tI-NP\tI-protein' +p43080 +aS'at\tat\tIN\tB-PP\tO' +p43081 +aS'bedtime\tbedtime\tNN\tB-NP\tO' +p43082 +aS':\t:\t:\tO\tO' +p43083 +aS'Please\tPlease\tNN\tB-NP\tB-protein' +p43084 +aS'monitor\tmonitor\tNN\tI-NP\tI-protein' +p43085 +aS'INR\tINR\tNN\tI-NP\tI-protein' +p43086 +aS'with\twith\tIN\tB-PP\tO' +p43087 +aS'goal\tgoal\tNN\tB-NP\tO' +p43088 +aS'02-24\t02-24\tCD\tI-NP\tO' +p43089 +aS'.\t.\t.\tO\tO' +p43090 +asS'Read by : Dunn , Rachel Finch' +p43091 +(lp43092 +S'Read\tRead\tVBN\tB-VP\tO' +p43093 +aS'by\tby\tIN\tB-PP\tO' +p43094 +aS':\t:\t:\tO\tO' +p43095 +aS'Dunn\tDunn\tNNP\tB-NP\tO' +p43096 +aS',\t,\t,\tO\tO' +p43097 +aS'Rachel\tRachel\tNNP\tB-NP\tO' +p43098 +aS'Finch\tFinch\tNNP\tI-NP\tO' +p43099 +asS'The patient was found to have substantial auto PEEP with an elevated dead space .' +p43100 +(lp43101 +S'The\tThe\tDT\tB-NP\tO' +p43102 +aS'patient\tpatient\tNN\tI-NP\tO' +p43103 +aS'was\tbe\tVBD\tB-VP\tO' +p43104 +aS'found\tfind\tVBN\tI-VP\tO' +p43105 +aS'to\tto\tTO\tI-VP\tO' +p43106 +aS'have\thave\tVB\tI-VP\tO' +p43107 +aS'substantial\tsubstantial\tJJ\tB-NP\tO' +p43108 +aS'auto\tauto\tNN\tI-NP\tO' +p43109 +aS'PEEP\tPEEP\tNN\tI-NP\tO' +p43110 +aS'with\twith\tIN\tB-PP\tO' +p43111 +aS'an\tan\tDT\tB-NP\tO' +p43112 +aS'elevated\televated\tJJ\tI-NP\tO' +p43113 +aS'dead\tdead\tJJ\tI-NP\tO' +p43114 +aS'space\tspace\tNN\tI-NP\tO' +p43115 +aS'.\t.\t.\tO\tO' +p43116 +asS'#. Oliguric ARF : likely prerenal due to n/v poor po intake and poor forward flow , However , need to continue diuresis .' +p43117 +(lp43118 +S'#.\t#.\tLS\tB-NP\tO' +p43119 +aS'Oliguric\tOliguric\tJJ\tI-NP\tO' +p43120 +aS'ARF\tARF\tNN\tI-NP\tO' +p43121 +aS':\t:\t:\tO\tO' +p43122 +aS'likely\tlikely\tJJ\tB-NP\tO' +p43123 +aS'prerenal\tprerenal\tJJ\tI-NP\tO' +p43124 +aS'due\tdue\tJJ\tB-ADJP\tO' +p43125 +aS'to\tto\tTO\tB-VP\tO' +p43126 +aS'n/v\tn/v\tVB\tI-VP\tO' +p43127 +aS'poor\tpoor\tJJ\tB-NP\tO' +p43128 +aS'po\tpo\tNN\tI-NP\tO' +p43129 +aS'intake\tintake\tNN\tI-NP\tO' +p43130 +aS'and\tand\tCC\tO\tO' +p43131 +aS'poor\tpoor\tJJ\tB-NP\tO' +p43132 +aS'forward\tforward\tJJ\tI-NP\tO' +p43133 +aS'flow\tflow\tNN\tI-NP\tO' +p43134 +aS',\t,\t,\tO\tO' +p43135 +aS'However\tHowever\tRB\tB-ADVP\tO' +p43136 +aS',\t,\t,\tO\tO' +p43137 +aS'need\tneed\tVBP\tB-VP\tO' +p43138 +aS'to\tto\tTO\tI-VP\tO' +p43139 +aS'continue\tcontinue\tVB\tI-VP\tO' +p43140 +aS'diuresis\tdiuresis\tNN\tB-NP\tO' +p43141 +aS'.\t.\t.\tO\tO' +p43142 +asS'The visualized paranasal sinuses are clear .' +p43143 +(lp43144 +S'The\tThe\tDT\tB-NP\tO' +p43145 +aS'visualized\tvisualize\tVBN\tI-NP\tO' +p43146 +aS'paranasal\tparanasal\tJJ\tI-NP\tO' +p43147 +aS'sinuses\tsinus\tNNS\tI-NP\tO' +p43148 +aS'are\tbe\tVBP\tB-VP\tO' +p43149 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p43150 +aS'.\t.\t.\tO\tO' +p43151 +asS'Amicar was of uncertain value , but used intermittently .' +p43152 +(lp43153 +S'Amicar\tAmicar\tNN\tB-NP\tO' +p43154 +aS'was\tbe\tVBD\tB-VP\tO' +p43155 +aS'of\tof\tIN\tB-PP\tO' +p43156 +aS'uncertain\tuncertain\tJJ\tB-NP\tO' +p43157 +aS'value\tvalue\tNN\tI-NP\tO' +p43158 +aS',\t,\t,\tO\tO' +p43159 +aS'but\tbut\tCC\tO\tO' +p43160 +aS'used\tuse\tVBN\tB-VP\tO' +p43161 +aS'intermittently\tintermittently\tRB\tB-ADVP\tO' +p43162 +aS'.\t.\t.\tO\tO' +p43163 +asS'Coronary artery disease - s/p Off Pump CABG' +p43164 +(lp43165 +S'Coronary\tCoronary\tJJ\tB-NP\tO' +p43166 +aS'artery\tartery\tNN\tI-NP\tO' +p43167 +aS'disease\tdisease\tNN\tI-NP\tO' +p43168 +aS'-\t-\tHYPH\tB-NP\tO' +p43169 +aS's/p\ts/p\tNN\tI-NP\tO' +p43170 +aS'Off\tOff\tNNP\tI-NP\tO' +p43171 +aS'Pump\tPump\tNNP\tI-NP\tO' +p43172 +aS'CABG\tCABG\tNNP\tI-NP\tO' +p43173 +asS'On that day she underwent clearance from the Cardiology Service , Dr. Shuff .' +p43174 +(lp43175 +S'On\tOn\tIN\tB-PP\tO' +p43176 +aS'that\tthat\tDT\tB-NP\tO' +p43177 +aS'day\tday\tNN\tI-NP\tO' +p43178 +aS'she\tshe\tPRP\tB-NP\tO' +p43179 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p43180 +aS'clearance\tclearance\tNN\tB-NP\tO' +p43181 +aS'from\tfrom\tIN\tB-PP\tO' +p43182 +aS'the\tthe\tDT\tB-NP\tO' +p43183 +aS'Cardiology\tCardiology\tNNP\tI-NP\tO' +p43184 +aS'Service\tService\tNNP\tI-NP\tO' +p43185 +aS',\t,\t,\tO\tO' +p43186 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p43187 +aS'Shuff\tShuff\tNNP\tI-NP\tO' +p43188 +aS'.\t.\t.\tO\tO' +p43189 +asS'Cocaine intoxication , rhabdomyolysis , renal failure , disseminated intravascular coagulation , septic shock , hepatic failure , pneumonia , pancreatitis , catheter tip infection , anemia , coma .' +p43190 +(lp43191 +S'Cocaine\tCocaine\tNN\tB-NP\tO' +p43192 +aS'intoxication\tintoxication\tNN\tI-NP\tO' +p43193 +aS',\t,\t,\tO\tO' +p43194 +aS'rhabdomyolysis\trhabdomyolysis\tNN\tB-NP\tO' +p43195 +aS',\t,\t,\tO\tO' +p43196 +aS'renal\trenal\tJJ\tB-NP\tO' +p43197 +aS'failure\tfailure\tNN\tI-NP\tO' +p43198 +aS',\t,\t,\tO\tO' +p43199 +aS'disseminated\tdisseminate\tVBN\tB-VP\tO' +p43200 +aS'intravascular\tintravascular\tJJ\tB-NP\tO' +p43201 +aS'coagulation\tcoagulation\tNN\tI-NP\tO' +p43202 +aS',\t,\t,\tO\tO' +p43203 +aS'septic\tseptic\tJJ\tB-NP\tO' +p43204 +aS'shock\tshock\tNN\tI-NP\tO' +p43205 +aS',\t,\t,\tO\tO' +p43206 +aS'hepatic\thepatic\tJJ\tB-NP\tO' +p43207 +aS'failure\tfailure\tNN\tI-NP\tO' +p43208 +aS',\t,\t,\tO\tO' +p43209 +aS'pneumonia\tpneumonia\tNN\tB-NP\tO' +p43210 +aS',\t,\t,\tO\tO' +p43211 +aS'pancreatitis\tpancreatitis\tNN\tB-NP\tO' +p43212 +aS',\t,\t,\tO\tO' +p43213 +aS'catheter\tcatheter\tNN\tB-NP\tO' +p43214 +aS'tip\ttip\tNN\tI-NP\tO' +p43215 +aS'infection\tinfection\tNN\tI-NP\tO' +p43216 +aS',\t,\t,\tO\tO' +p43217 +aS'anemia\tanemia\tNN\tB-NP\tO' +p43218 +aS',\t,\t,\tO\tO' +p43219 +aS'coma\tcoma\tNN\tB-NP\tO' +p43220 +aS'.\t.\t.\tO\tO' +p43221 +asS'Tone was appropriate for gestational age with equal strength , symmetric reflexes .' +p43222 +(lp43223 +S'Tone\tTone\tNN\tB-NP\tO' +p43224 +aS'was\tbe\tVBD\tB-VP\tO' +p43225 +aS'appropriate\tappropriate\tJJ\tB-ADJP\tO' +p43226 +aS'for\tfor\tIN\tB-PP\tO' +p43227 +aS'gestational\tgestational\tJJ\tB-NP\tO' +p43228 +aS'age\tage\tNN\tI-NP\tO' +p43229 +aS'with\twith\tIN\tB-PP\tO' +p43230 +aS'equal\tequal\tJJ\tB-NP\tO' +p43231 +aS'strength\tstrength\tNN\tI-NP\tO' +p43232 +aS',\t,\t,\tO\tO' +p43233 +aS'symmetric\tsymmetric\tJJ\tB-NP\tO' +p43234 +aS'reflexes\treflex\tNNS\tI-NP\tO' +p43235 +aS'.\t.\t.\tO\tO' +p43236 +asS'His coumadin was transitioned to 2 mg and then 1 mg .' +p43237 +(lp43238 +S'His\tHis\tPRP$\tB-NP\tO' +p43239 +aS'coumadin\tcoumadin\tNN\tI-NP\tO' +p43240 +aS'was\tbe\tVBD\tB-VP\tO' +p43241 +aS'transitioned\ttransitione\tVBN\tI-VP\tO' +p43242 +aS'to\tto\tTO\tB-PP\tO' +p43243 +aS'2\t2\tCD\tB-NP\tO' +p43244 +aS'mg\tmg\tNN\tI-NP\tO' +p43245 +aS'and\tand\tCC\tO\tO' +p43246 +aS'then\tthen\tRB\tO\tO' +p43247 +aS'1\t1\tCD\tB-NP\tO' +p43248 +aS'mg\tmg\tNN\tI-NP\tO' +p43249 +aS'.\t.\t.\tO\tO' +p43250 +asS'The patient was seen and it was suggested that he should have an amputation and he decided to come to Fairm of Ijordcompmac Hospital for further evaluation .' +p43251 +(lp43252 +S'The\tThe\tDT\tB-NP\tO' +p43253 +aS'patient\tpatient\tNN\tI-NP\tO' +p43254 +aS'was\tbe\tVBD\tB-VP\tO' +p43255 +aS'seen\tsee\tVBN\tI-VP\tO' +p43256 +aS'and\tand\tCC\tO\tO' +p43257 +aS'it\tit\tPRP\tB-NP\tO' +p43258 +aS'was\tbe\tVBD\tB-VP\tO' +p43259 +aS'suggested\tsuggest\tVBN\tI-VP\tO' +p43260 +aS'that\tthat\tIN\tB-SBAR\tO' +p43261 +aS'he\the\tPRP\tB-NP\tO' +p43262 +aS'should\tshould\tMD\tB-VP\tO' +p43263 +aS'have\thave\tVB\tI-VP\tO' +p43264 +aS'an\tan\tDT\tB-NP\tO' +p43265 +aS'amputation\tamputation\tNN\tI-NP\tO' +p43266 +aS'and\tand\tCC\tO\tO' +p43267 +aS'he\the\tPRP\tB-NP\tO' +p43268 +aS'decided\tdecide\tVBD\tB-VP\tO' +p43269 +aS'to\tto\tTO\tI-VP\tO' +p43270 +aS'come\tcome\tVB\tI-VP\tO' +p43271 +aS'to\tto\tTO\tB-PP\tO' +p43272 +aS'Fairm\tFairm\tNNP\tB-NP\tO' +p43273 +aS'of\tof\tIN\tB-PP\tO' +p43274 +aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' +p43275 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p43276 +aS'for\tfor\tIN\tB-PP\tO' +p43277 +aS'further\tfurther\tJJ\tB-NP\tO' +p43278 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p43279 +aS'.\t.\t.\tO\tO' +p43280 +asS'She is a professional bowler .' +p43281 +(lp43282 +S'She\tShe\tPRP\tB-NP\tO' +p43283 +aS'is\tbe\tVBZ\tB-VP\tO' +p43284 +aS'a\ta\tDT\tB-NP\tO' +p43285 +aS'professional\tprofessional\tJJ\tI-NP\tO' +p43286 +aS'bowler\tbowler\tNN\tI-NP\tO' +p43287 +aS'.\t.\t.\tO\tO' +p43288 +asS'Recent urinary tract infection , E. coli 03/93 .' +p43289 +(lp43290 +S'Recent\tRecent\tJJ\tB-NP\tO' +p43291 +aS'urinary\turinary\tJJ\tI-NP\tO' +p43292 +aS'tract\ttract\tNN\tI-NP\tO' +p43293 +aS'infection\tinfection\tNN\tI-NP\tO' +p43294 +aS',\t,\t,\tO\tO' +p43295 +aS'E.\tE.\tFW\tB-NP\tO' +p43296 +aS'coli\tcoli\tFW\tI-NP\tO' +p43297 +aS'03/93\t03/93\tCD\tI-NP\tO' +p43298 +aS'.\t.\t.\tO\tO' +p43299 +asS'2. CHF : EF 25% on Echo , states he takes lasix at home' +p43300 +(lp43301 +S'2.\t2.\tCD\tB-NP\tO' +p43302 +aS'CHF\tCHF\tNN\tI-NP\tO' +p43303 +aS':\t:\t:\tO\tO' +p43304 +aS'EF\tEF\tNN\tB-NP\tB-protein' +p43305 +aS'25%\t25%\tNN\tI-NP\tI-protein' +p43306 +aS'on\ton\tIN\tB-PP\tO' +p43307 +aS'Echo\tEcho\tNNP\tB-NP\tO' +p43308 +aS',\t,\t,\tO\tO' +p43309 +aS'states\tstate\tVBZ\tB-VP\tO' +p43310 +aS'he\the\tPRP\tB-NP\tO' +p43311 +aS'takes\ttake\tVBZ\tB-VP\tO' +p43312 +aS'lasix\tlasix\tNN\tB-NP\tO' +p43313 +aS'at\tat\tIN\tB-PP\tO' +p43314 +aS'home\thome\tNN\tB-NP\tO' +p43315 +asS'Pupils were large but equal and reactive .' +p43316 +(lp43317 +S'Pupils\tPupil\tNNS\tB-NP\tO' +p43318 +aS'were\tbe\tVBD\tB-VP\tO' +p43319 +aS'large\tlarge\tJJ\tB-ADJP\tO' +p43320 +aS'but\tbut\tCC\tI-ADJP\tO' +p43321 +aS'equal\tequal\tJJ\tI-ADJP\tO' +p43322 +aS'and\tand\tCC\tI-ADJP\tO' +p43323 +aS'reactive\treactive\tJJ\tI-ADJP\tO' +p43324 +aS'.\t.\t.\tO\tO' +p43325 +asS'While on transfer , the patient underwent cardiac catheterization .' +p43326 +(lp43327 +S'While\tWhile\tIN\tB-SBAR\tO' +p43328 +aS'on\ton\tIN\tB-PP\tO' +p43329 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p43330 +aS',\t,\t,\tO\tO' +p43331 +aS'the\tthe\tDT\tB-NP\tO' +p43332 +aS'patient\tpatient\tNN\tI-NP\tO' +p43333 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p43334 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p43335 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p43336 +aS'.\t.\t.\tO\tO' +p43337 +asS'The bilirubin was 0.2 , SGOT 20 , magnesium of 1.4 .' +p43338 +(lp43339 +S'The\tThe\tDT\tB-NP\tO' +p43340 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p43341 +aS'was\tbe\tVBD\tB-VP\tO' +p43342 +aS'0.2\t0.2\tCD\tB-NP\tO' +p43343 +aS',\t,\t,\tO\tO' +p43344 +aS'SGOT\tSGOT\tNN\tB-NP\tB-protein' +p43345 +aS'20\t20\tCD\tI-NP\tI-protein' +p43346 +aS',\t,\t,\tO\tO' +p43347 +aS'magnesium\tmagnesium\tNN\tB-NP\tO' +p43348 +aS'of\tof\tIN\tB-PP\tO' +p43349 +aS'1.4\t1.4\tCD\tB-NP\tO' +p43350 +aS'.\t.\t.\tO\tO' +p43351 +asS'Communicating by speech s/p PMV placement .' +p43352 +(lp43353 +S'Communicating\tCommunicate\tVBG\tB-VP\tO' +p43354 +aS'by\tby\tIN\tB-PP\tO' +p43355 +aS'speech\tspeech\tNN\tB-NP\tO' +p43356 +aS's/p\ts/p\tNN\tI-NP\tO' +p43357 +aS'PMV\tPMV\tNN\tI-NP\tO' +p43358 +aS'placement\tplacement\tNN\tI-NP\tO' +p43359 +aS'.\t.\t.\tO\tO' +p43360 +asS'The leash got wrapped around his legs .' +p43361 +(lp43362 +S'The\tThe\tDT\tB-NP\tO' +p43363 +aS'leash\tleash\tNN\tI-NP\tO' +p43364 +aS'got\tget\tVBD\tB-VP\tO' +p43365 +aS'wrapped\twrap\tVBN\tI-VP\tO' +p43366 +aS'around\taround\tIN\tB-PP\tO' +p43367 +aS'his\this\tPRP$\tB-NP\tO' +p43368 +aS'legs\tleg\tNNS\tI-NP\tO' +p43369 +aS'.\t.\t.\tO\tO' +p43370 +asS'He had episodes of bradycardia without subsequent fall in blood pressure at the beginning of his admission .' +p43371 +(lp43372 +S'He\tHe\tPRP\tB-NP\tO' +p43373 +aS'had\thave\tVBD\tB-VP\tO' +p43374 +aS'episodes\tepisode\tNNS\tB-NP\tO' +p43375 +aS'of\tof\tIN\tB-PP\tO' +p43376 +aS'bradycardia\tbradycardia\tNN\tB-NP\tO' +p43377 +aS'without\twithout\tIN\tB-PP\tO' +p43378 +aS'subsequent\tsubsequent\tJJ\tB-NP\tO' +p43379 +aS'fall\tfall\tNN\tI-NP\tO' +p43380 +aS'in\tin\tIN\tB-PP\tO' +p43381 +aS'blood\tblood\tNN\tB-NP\tO' +p43382 +aS'pressure\tpressure\tNN\tI-NP\tO' +p43383 +aS'at\tat\tIN\tB-PP\tO' +p43384 +aS'the\tthe\tDT\tB-NP\tO' +p43385 +aS'beginning\tbeginning\tNN\tI-NP\tO' +p43386 +aS'of\tof\tIN\tB-PP\tO' +p43387 +aS'his\this\tPRP$\tB-NP\tO' +p43388 +aS'admission\tadmission\tNN\tI-NP\tO' +p43389 +aS'.\t.\t.\tO\tO' +p43390 +asS'Jacqueline has been admitted to the newborn intensive care unit and has been stable in room air since admission .' +p43391 +(lp43392 +S'Jacqueline\tJacqueline\tNNP\tB-NP\tO' +p43393 +aS'has\thave\tVBZ\tB-VP\tO' +p43394 +aS'been\tbe\tVBN\tI-VP\tO' +p43395 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p43396 +aS'to\tto\tTO\tB-PP\tO' +p43397 +aS'the\tthe\tDT\tB-NP\tO' +p43398 +aS'newborn\tnewborn\tJJ\tI-NP\tO' +p43399 +aS'intensive\tintensive\tJJ\tI-NP\tO' +p43400 +aS'care\tcare\tNN\tI-NP\tO' +p43401 +aS'unit\tunit\tNN\tI-NP\tO' +p43402 +aS'and\tand\tCC\tO\tO' +p43403 +aS'has\thave\tVBZ\tB-VP\tO' +p43404 +aS'been\tbe\tVBN\tI-VP\tO' +p43405 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p43406 +aS'in\tin\tIN\tB-PP\tO' +p43407 +aS'room\troom\tNN\tB-NP\tO' +p43408 +aS'air\tair\tNN\tI-NP\tO' +p43409 +aS'since\tsince\tIN\tB-PP\tO' +p43410 +aS'admission\tadmission\tNN\tB-NP\tO' +p43411 +aS'.\t.\t.\tO\tO' +p43412 +asS'There were no radiographic indications of congestive heart failure .' +p43413 +(lp43414 +S'There\tThere\tEX\tB-NP\tO' +p43415 +aS'were\tbe\tVBD\tB-VP\tO' +p43416 +aS'no\tno\tDT\tB-NP\tO' +p43417 +aS'radiographic\tradiographic\tJJ\tI-NP\tO' +p43418 +aS'indications\tindication\tNNS\tI-NP\tO' +p43419 +aS'of\tof\tIN\tB-PP\tO' +p43420 +aS'congestive\tcongestive\tJJ\tB-NP\tO' +p43421 +aS'heart\theart\tNN\tI-NP\tO' +p43422 +aS'failure\tfailure\tNN\tI-NP\tO' +p43423 +aS'.\t.\t.\tO\tO' +p43424 +asS'A growth hormone was sent and the results were pending at time of transfer .' +p43425 +(lp43426 +S'A\tA\tDT\tB-NP\tO' +p43427 +aS'growth\tgrowth\tNN\tI-NP\tO' +p43428 +aS'hormone\thormone\tNN\tI-NP\tO' +p43429 +aS'was\tbe\tVBD\tB-VP\tO' +p43430 +aS'sent\tsend\tVBN\tI-VP\tO' +p43431 +aS'and\tand\tCC\tO\tO' +p43432 +aS'the\tthe\tDT\tB-NP\tO' +p43433 +aS'results\tresult\tNNS\tI-NP\tO' +p43434 +aS'were\tbe\tVBD\tB-VP\tO' +p43435 +aS'pending\tpende\tVBG\tI-VP\tO' +p43436 +aS'at\tat\tIN\tB-PP\tO' +p43437 +aS'time\ttime\tNN\tB-NP\tO' +p43438 +aS'of\tof\tIN\tB-PP\tO' +p43439 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p43440 +aS'.\t.\t.\tO\tO' +p43441 +asS'CTS chest was negative for PE , however it did reveal pulmonary nodules in his RML which need fu imaging in 3 months .' +p43442 +(lp43443 +S'CTS\tCTS\tNN\tB-NP\tO' +p43444 +aS'chest\tchest\tNN\tI-NP\tO' +p43445 +aS'was\tbe\tVBD\tB-VP\tO' +p43446 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p43447 +aS'for\tfor\tIN\tB-PP\tO' +p43448 +aS'PE\tPE\tNN\tB-NP\tO' +p43449 +aS',\t,\t,\tO\tO' +p43450 +aS'however\thowever\tRB\tB-ADVP\tO' +p43451 +aS'it\tit\tPRP\tB-NP\tO' +p43452 +aS'did\tdo\tVBD\tB-VP\tO' +p43453 +aS'reveal\treveal\tVB\tI-VP\tO' +p43454 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p43455 +aS'nodules\tnodule\tNNS\tI-NP\tO' +p43456 +aS'in\tin\tIN\tB-PP\tO' +p43457 +aS'his\this\tPRP$\tB-NP\tO' +p43458 +aS'RML\tRML\tNN\tI-NP\tB-protein' +p43459 +aS'which\twhich\tWDT\tB-NP\tO' +p43460 +aS'need\tneed\tVBP\tB-VP\tO' +p43461 +aS'fu\tfu\tNN\tB-NP\tO' +p43462 +aS'imaging\timaging\tNN\tI-NP\tO' +p43463 +aS'in\tin\tIN\tB-PP\tO' +p43464 +aS'3\t3\tCD\tB-NP\tO' +p43465 +aS'months\tmonth\tNNS\tI-NP\tO' +p43466 +aS'.\t.\t.\tO\tO' +p43467 +asS'Heart Failure Service was involved .' +p43468 +(lp43469 +S'Heart\tHeart\tNNP\tB-NP\tO' +p43470 +aS'Failure\tFailure\tNNP\tI-NP\tO' +p43471 +aS'Service\tService\tNNP\tI-NP\tO' +p43472 +aS'was\tbe\tVBD\tB-VP\tO' +p43473 +aS'involved\tinvolve\tVBN\tI-VP\tO' +p43474 +aS'.\t.\t.\tO\tO' +p43475 +asS'Head injury to the occiput .' +p43476 +(lp43477 +S'Head\tHead\tJJ\tB-NP\tO' +p43478 +aS'injury\tinjury\tNN\tI-NP\tO' +p43479 +aS'to\tto\tTO\tB-PP\tO' +p43480 +aS'the\tthe\tDT\tB-NP\tO' +p43481 +aS'occiput\tocciput\tNN\tI-NP\tO' +p43482 +aS'.\t.\t.\tO\tO' +p43483 +asS'CT shows a right parietal hyperdense and heterogenously enhancing mass measuring 6.5 x 5 cm with the surrounding vasogenic edema in effacement of the right lateral ventricle .' +p43484 +(lp43485 +S'CT\tCT\tNN\tB-NP\tB-protein' +p43486 +aS'shows\tshow\tVBZ\tB-VP\tO' +p43487 +aS'a\ta\tDT\tB-NP\tO' +p43488 +aS'right\tright\tJJ\tI-NP\tO' +p43489 +aS'parietal\tparietal\tJJ\tI-NP\tO' +p43490 +aS'hyperdense\thyperdense\tNN\tI-NP\tO' +p43491 +aS'and\tand\tCC\tO\tO' +p43492 +aS'heterogenously\theterogenously\tRB\tB-VP\tO' +p43493 +aS'enhancing\tenhance\tVBG\tI-VP\tO' +p43494 +aS'mass\tmass\tNN\tB-NP\tO' +p43495 +aS'measuring\tmeasure\tVBG\tB-VP\tO' +p43496 +aS'6.5\t6.5\tCD\tB-NP\tO' +p43497 +aS'x\tx\tSYM\tI-NP\tO' +p43498 +aS'5\t5\tCD\tI-NP\tO' +p43499 +aS'cm\tcm\tNN\tI-NP\tO' +p43500 +aS'with\twith\tIN\tB-PP\tO' +p43501 +aS'the\tthe\tDT\tB-NP\tO' +p43502 +aS'surrounding\tsurround\tVBG\tI-NP\tO' +p43503 +aS'vasogenic\tvasogenic\tJJ\tI-NP\tO' +p43504 +aS'edema\tedema\tNN\tI-NP\tO' +p43505 +aS'in\tin\tIN\tB-PP\tO' +p43506 +aS'effacement\teffacement\tNN\tB-NP\tO' +p43507 +aS'of\tof\tIN\tB-PP\tO' +p43508 +aS'the\tthe\tDT\tB-NP\tO' +p43509 +aS'right\tright\tJJ\tI-NP\tO' +p43510 +aS'lateral\tlateral\tJJ\tI-NP\tO' +p43511 +aS'ventricle\tventricle\tNN\tI-NP\tO' +p43512 +aS'.\t.\t.\tO\tO' +p43513 +asS'4) C. difficile colitis with white blood cell count rising to 51,000 , treated with intravenous and p.o. Flagyl .' +p43514 +(lp43515 +S'4)\t4)\tLS\tB-NP\tO' +p43516 +aS'C.\tC.\tFW\tI-NP\tO' +p43517 +aS'difficile\tdifficile\tJJ\tI-NP\tO' +p43518 +aS'colitis\tcolitis\tNN\tI-NP\tO' +p43519 +aS'with\twith\tIN\tB-PP\tO' +p43520 +aS'white\twhite\tJJ\tB-NP\tO' +p43521 +aS'blood\tblood\tNN\tI-NP\tO' +p43522 +aS'cell\tcell\tNN\tI-NP\tO' +p43523 +aS'count\tcount\tNN\tI-NP\tO' +p43524 +aS'rising\trise\tVBG\tB-VP\tO' +p43525 +aS'to\tto\tTO\tB-PP\tO' +p43526 +aS'51,000\t51,000\tCD\tB-NP\tO' +p43527 +aS',\t,\t,\tO\tO' +p43528 +aS'treated\ttreat\tVBN\tB-VP\tO' +p43529 +aS'with\twith\tIN\tB-PP\tO' +p43530 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p43531 +aS'and\tand\tCC\tI-NP\tO' +p43532 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p43533 +aS'Flagyl\tFlagyl\tNNP\tI-NP\tO' +p43534 +aS'.\t.\t.\tO\tO' +p43535 +asS'Ejection fraction was felt to be 35% in 1993 .' +p43536 +(lp43537 +S'Ejection\tEjection\tNN\tB-NP\tO' +p43538 +aS'fraction\tfraction\tNN\tI-NP\tO' +p43539 +aS'was\tbe\tVBD\tB-VP\tO' +p43540 +aS'felt\tfeel\tVBN\tI-VP\tO' +p43541 +aS'to\tto\tTO\tI-VP\tO' +p43542 +aS'be\tbe\tVB\tI-VP\tO' +p43543 +aS'35%\t35%\tCD\tB-NP\tO' +p43544 +aS'in\tin\tIN\tB-PP\tO' +p43545 +aS'1993\t1993\tCD\tB-NP\tO' +p43546 +aS'.\t.\t.\tO\tO' +p43547 +asS'Full code carried out .' +p43548 +(lp43549 +S'Full\tFull\tJJ\tB-NP\tO' +p43550 +aS'code\tcode\tNN\tI-NP\tO' +p43551 +aS'carried\tcarry\tVBD\tB-VP\tO' +p43552 +aS'out\tout\tRP\tB-PRT\tO' +p43553 +aS'.\t.\t.\tO\tO' +p43554 +asS'From a cardiac point of view , he is in sinus rhythm today .' +p43555 +(lp43556 +S'From\tFrom\tIN\tB-PP\tO' +p43557 +aS'a\ta\tDT\tB-NP\tO' +p43558 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p43559 +aS'point\tpoint\tNN\tI-NP\tO' +p43560 +aS'of\tof\tIN\tB-PP\tO' +p43561 +aS'view\tview\tNN\tB-NP\tO' +p43562 +aS',\t,\t,\tO\tO' +p43563 +aS'he\the\tPRP\tB-NP\tO' +p43564 +aS'is\tbe\tVBZ\tB-VP\tO' +p43565 +aS'in\tin\tIN\tB-PP\tO' +p43566 +aS'sinus\tsinus\tNN\tB-NP\tO' +p43567 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p43568 +aS'today\ttoday\tNN\tB-NP\tO' +p43569 +aS'.\t.\t.\tO\tO' +p43570 +asS'The lateral masses of C1 articulate normally about the odontoid process .' +p43571 +(lp43572 +S'The\tThe\tDT\tB-NP\tO' +p43573 +aS'lateral\tlateral\tJJ\tI-NP\tO' +p43574 +aS'masses\tmass\tNNS\tI-NP\tO' +p43575 +aS'of\tof\tIN\tB-PP\tO' +p43576 +aS'C1\tC1\tNN\tB-NP\tB-protein' +p43577 +aS'articulate\tarticulate\tVBP\tB-VP\tO' +p43578 +aS'normally\tnormally\tRB\tB-ADVP\tO' +p43579 +aS'about\tabout\tRB\tB-NP\tO' +p43580 +aS'the\tthe\tDT\tI-NP\tO' +p43581 +aS'odontoid\todontoid\tJJ\tI-NP\tO' +p43582 +aS'process\tprocess\tNN\tI-NP\tO' +p43583 +aS'.\t.\t.\tO\tO' +p43584 +asS'Following pacemaker placement the patient had no further episodes of bradycardia on telemetry , and therefore she was discharged in satisfactory condition .' +p43585 +(lp43586 +S'Following\tFollow\tVBG\tB-PP\tO' +p43587 +aS'pacemaker\tpacemaker\tNN\tB-NP\tO' +p43588 +aS'placement\tplacement\tNN\tI-NP\tO' +p43589 +aS'the\tthe\tDT\tB-NP\tO' +p43590 +aS'patient\tpatient\tNN\tI-NP\tO' +p43591 +aS'had\thave\tVBD\tB-VP\tO' +p43592 +aS'no\tno\tDT\tB-NP\tO' +p43593 +aS'further\tfurther\tJJ\tI-NP\tO' +p43594 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p43595 +aS'of\tof\tIN\tB-PP\tO' +p43596 +aS'bradycardia\tbradycardia\tNN\tB-NP\tO' +p43597 +aS'on\ton\tIN\tB-PP\tO' +p43598 +aS'telemetry\ttelemetry\tNN\tB-NP\tO' +p43599 +aS',\t,\t,\tO\tO' +p43600 +aS'and\tand\tCC\tO\tO' +p43601 +aS'therefore\ttherefore\tRB\tB-ADVP\tO' +p43602 +aS'she\tshe\tPRP\tB-NP\tO' +p43603 +aS'was\tbe\tVBD\tB-VP\tO' +p43604 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p43605 +aS'in\tin\tIN\tB-PP\tO' +p43606 +aS'satisfactory\tsatisfactory\tJJ\tB-NP\tO' +p43607 +aS'condition\tcondition\tNN\tI-NP\tO' +p43608 +aS'.\t.\t.\tO\tO' +p43609 +asS'Given the patient 's history of cervical cancer , the pericardial effusion was felt most likely to be malignant .' +p43610 +(lp43611 +S'Given\tGive\tVBN\tB-PP\tO' +p43612 +aS'the\tthe\tDT\tB-NP\tO' +p43613 +aS'patient\tpatient\tNN\tI-NP\tO' +p43614 +aS''s\t'\tNNS\tI-NP\tO' +p43615 +aS'history\thistory\tNN\tI-NP\tO' +p43616 +aS'of\tof\tIN\tB-PP\tO' +p43617 +aS'cervical\tcervical\tJJ\tB-NP\tO' +p43618 +aS'cancer\tcancer\tNN\tI-NP\tO' +p43619 +aS',\t,\t,\tO\tO' +p43620 +aS'the\tthe\tDT\tB-NP\tO' +p43621 +aS'pericardial\tpericardial\tJJ\tI-NP\tO' +p43622 +aS'effusion\teffusion\tNN\tI-NP\tO' +p43623 +aS'was\tbe\tVBD\tB-VP\tO' +p43624 +aS'felt\tfeel\tVBN\tI-VP\tO' +p43625 +aS'most\tmost\tRBS\tB-ADJP\tO' +p43626 +aS'likely\tlikely\tJJ\tI-ADJP\tO' +p43627 +aS'to\tto\tTO\tB-VP\tO' +p43628 +aS'be\tbe\tVB\tI-VP\tO' +p43629 +aS'malignant\tmalignant\tJJ\tB-ADJP\tO' +p43630 +aS'.\t.\t.\tO\tO' +p43631 +asS'This is a 30-year-old right hand dominant gentleman who pleasant Software Engineer .' +p43632 +(lp43633 +S'This\tThis\tDT\tB-NP\tO' +p43634 +aS'is\tbe\tVBZ\tB-VP\tO' +p43635 +aS'a\ta\tDT\tB-NP\tO' +p43636 +aS'30-year-old\t30-year-old\tJJ\tI-NP\tO' +p43637 +aS'right\tright\tJJ\tI-NP\tO' +p43638 +aS'hand\thand\tNN\tI-NP\tO' +p43639 +aS'dominant\tdominant\tJJ\tI-NP\tO' +p43640 +aS'gentleman\tgentleman\tNN\tI-NP\tO' +p43641 +aS'who\twho\tWP\tB-NP\tO' +p43642 +aS'pleasant\tpleasant\tVBP\tB-VP\tO' +p43643 +aS'Software\tSoftware\tNNP\tB-NP\tO' +p43644 +aS'Engineer\tEngineer\tNNP\tI-NP\tO' +p43645 +aS'.\t.\t.\tO\tO' +p43646 +asS'He was diuresed with intravenous Lasix to which he responded with at lease a 2L urine output on the first day and 1.5L the second day .' +p43647 +(lp43648 +S'He\tHe\tPRP\tB-NP\tO' +p43649 +aS'was\tbe\tVBD\tB-VP\tO' +p43650 +aS'diuresed\tdiurese\tVBN\tI-VP\tO' +p43651 +aS'with\twith\tIN\tB-PP\tO' +p43652 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p43653 +aS'Lasix\tLasix\tNN\tI-NP\tO' +p43654 +aS'to\tto\tTO\tB-PP\tO' +p43655 +aS'which\twhich\tWDT\tB-NP\tO' +p43656 +aS'he\the\tPRP\tB-NP\tO' +p43657 +aS'responded\trespond\tVBD\tB-VP\tO' +p43658 +aS'with\twith\tIN\tB-PP\tO' +p43659 +aS'at\tat\tIN\tB-PP\tO' +p43660 +aS'lease\tlease\tNN\tB-NP\tO' +p43661 +aS'a\ta\tDT\tB-NP\tO' +p43662 +aS'2L\t2L\tNN\tI-NP\tO' +p43663 +aS'urine\turine\tNN\tI-NP\tO' +p43664 +aS'output\toutput\tNN\tI-NP\tO' +p43665 +aS'on\ton\tIN\tB-PP\tO' +p43666 +aS'the\tthe\tDT\tB-NP\tO' +p43667 +aS'first\tfirst\tJJ\tI-NP\tO' +p43668 +aS'day\tday\tNN\tI-NP\tO' +p43669 +aS'and\tand\tCC\tO\tO' +p43670 +aS'1.5L\t1.5L\tNN\tB-NP\tO' +p43671 +aS'the\tthe\tDT\tB-NP\tO' +p43672 +aS'second\tsecond\tJJ\tI-NP\tO' +p43673 +aS'day\tday\tNN\tI-NP\tO' +p43674 +aS'.\t.\t.\tO\tO' +p43675 +asS'The trachea was midline .' +p43676 +(lp43677 +S'The\tThe\tDT\tB-NP\tO' +p43678 +aS'trachea\ttrachea\tNN\tI-NP\tO' +p43679 +aS'was\tbe\tVBD\tB-VP\tO' +p43680 +aS'midline\tmidline\tNN\tB-NP\tO' +p43681 +aS'.\t.\t.\tO\tO' +p43682 +asS'There was no electrographic evidence of seizure activity noted .' +p43683 +(lp43684 +S'There\tThere\tEX\tB-NP\tO' +p43685 +aS'was\tbe\tVBD\tB-VP\tO' +p43686 +aS'no\tno\tDT\tB-NP\tO' +p43687 +aS'electrographic\telectrographic\tJJ\tI-NP\tO' +p43688 +aS'evidence\tevidence\tNN\tI-NP\tO' +p43689 +aS'of\tof\tIN\tB-PP\tO' +p43690 +aS'seizure\tseizure\tNN\tB-NP\tO' +p43691 +aS'activity\tactivity\tNN\tI-NP\tO' +p43692 +aS'noted\tnote\tVBD\tB-VP\tO' +p43693 +aS'.\t.\t.\tO\tO' +p43694 +asS'she was alert and oriented times three .' +p43695 +(lp43696 +S'she\tshe\tPRP\tB-NP\tO' +p43697 +aS'was\tbe\tVBD\tB-VP\tO' +p43698 +aS'alert\talert\tJJ\tB-ADJP\tO' +p43699 +aS'and\tand\tCC\tO\tO' +p43700 +aS'oriented\torient\tVBN\tB-VP\tO' +p43701 +aS'times\ttime\tNNS\tB-NP\tO' +p43702 +aS'three\tthree\tCD\tB-NP\tO' +p43703 +aS'.\t.\t.\tO\tO' +p43704 +asS'The conclusions at this time of the thyroid cytologist , as well as the bone pathologist , were that the findings were diagnostic of papillary thyroid carcinoma with pulmonary metastases .' +p43705 +(lp43706 +S'The\tThe\tDT\tB-NP\tO' +p43707 +aS'conclusions\tconclusion\tNNS\tI-NP\tO' +p43708 +aS'at\tat\tIN\tB-PP\tO' +p43709 +aS'this\tthis\tDT\tB-NP\tO' +p43710 +aS'time\ttime\tNN\tI-NP\tO' +p43711 +aS'of\tof\tIN\tB-PP\tO' +p43712 +aS'the\tthe\tDT\tB-NP\tO' +p43713 +aS'thyroid\tthyroid\tJJ\tI-NP\tO' +p43714 +aS'cytologist\tcytologist\tNN\tI-NP\tO' +p43715 +aS',\t,\t,\tO\tO' +p43716 +aS'as\tas\tRB\tB-CONJP\tO' +p43717 +aS'well\twell\tRB\tI-CONJP\tO' +p43718 +aS'as\tas\tIN\tI-CONJP\tO' +p43719 +aS'the\tthe\tDT\tB-NP\tO' +p43720 +aS'bone\tbone\tNN\tI-NP\tO' +p43721 +aS'pathologist\tpathologist\tNN\tI-NP\tO' +p43722 +aS',\t,\t,\tO\tO' +p43723 +aS'were\tbe\tVBD\tB-VP\tO' +p43724 +aS'that\tthat\tIN\tB-SBAR\tO' +p43725 +aS'the\tthe\tDT\tB-NP\tO' +p43726 +aS'findings\tfinding\tNNS\tI-NP\tO' +p43727 +aS'were\tbe\tVBD\tB-VP\tO' +p43728 +aS'diagnostic\tdiagnostic\tJJ\tB-ADJP\tO' +p43729 +aS'of\tof\tIN\tB-PP\tO' +p43730 +aS'papillary\tpapillary\tJJ\tB-NP\tO' +p43731 +aS'thyroid\tthyroid\tJJ\tI-NP\tO' +p43732 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p43733 +aS'with\twith\tIN\tB-PP\tO' +p43734 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tB-protein' +p43735 +aS'metastases\tmetastasis\tNNS\tI-NP\tI-protein' +p43736 +aS'.\t.\t.\tO\tO' +p43737 +asS'Lungs were clear to auscultation bilaterally .' +p43738 +(lp43739 +S'Lungs\tLung\tNNS\tB-NP\tO' +p43740 +aS'were\tbe\tVBD\tB-VP\tO' +p43741 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p43742 +aS'to\tto\tTO\tB-PP\tO' +p43743 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p43744 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p43745 +aS'.\t.\t.\tO\tO' +p43746 +asS'Cisapride 10 mg. po. qid .' +p43747 +(lp43748 +S'Cisapride\tCisapride\tNN\tB-NP\tO' +p43749 +aS'10\t10\tCD\tI-NP\tO' +p43750 +aS'mg.\tmg.\tNN\tI-NP\tO' +p43751 +aS'po.\tpo.\tNN\tI-NP\tO' +p43752 +aS'qid\tqid\tNN\tI-NP\tO' +p43753 +aS'.\t.\t.\tO\tO' +p43754 +asS'1. Pill esophagitis .' +p43755 +(lp43756 +S'1.\t1.\tLS\tB-NP\tO' +p43757 +aS'Pill\tPill\tNN\tI-NP\tO' +p43758 +aS'esophagitis\tesophagitis\tNN\tI-NP\tO' +p43759 +aS'.\t.\t.\tO\tO' +p43760 +asS'Follow-up is with Dr. Wedleung in the Hem / Onc in two weeks .' +p43761 +(lp43762 +S'Follow-up\tFollow-up\tNN\tB-NP\tO' +p43763 +aS'is\tbe\tVBZ\tB-VP\tO' +p43764 +aS'with\twith\tIN\tB-PP\tO' +p43765 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p43766 +aS'Wedleung\tWedleung\tNNP\tI-NP\tO' +p43767 +aS'in\tin\tIN\tB-PP\tO' +p43768 +aS'the\tthe\tDT\tB-NP\tO' +p43769 +aS'Hem\tHem\tNN\tI-NP\tB-protein' +p43770 +aS'/\t/\tSYM\tB-NP\tO' +p43771 +aS'Onc\tOnc\tNN\tI-NP\tB-protein' +p43772 +aS'in\tin\tIN\tB-PP\tO' +p43773 +aS'two\ttwo\tCD\tB-NP\tO' +p43774 +aS'weeks\tweek\tNNS\tI-NP\tO' +p43775 +aS'.\t.\t.\tO\tO' +p43776 +asS'The patient was taken from the emergency room and transferred to the Surgical Intensive Care Unit for airway observation .' +p43777 +(lp43778 +S'The\tThe\tDT\tB-NP\tO' +p43779 +aS'patient\tpatient\tNN\tI-NP\tO' +p43780 +aS'was\tbe\tVBD\tB-VP\tO' +p43781 +aS'taken\ttake\tVBN\tI-VP\tO' +p43782 +aS'from\tfrom\tIN\tB-PP\tO' +p43783 +aS'the\tthe\tDT\tB-NP\tO' +p43784 +aS'emergency\temergency\tNN\tI-NP\tO' +p43785 +aS'room\troom\tNN\tI-NP\tO' +p43786 +aS'and\tand\tCC\tO\tO' +p43787 +aS'transferred\ttransfer\tVBN\tB-VP\tO' +p43788 +aS'to\tto\tTO\tB-PP\tO' +p43789 +aS'the\tthe\tDT\tB-NP\tO' +p43790 +aS'Surgical\tSurgical\tNNP\tI-NP\tO' +p43791 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p43792 +aS'Care\tCare\tNNP\tI-NP\tO' +p43793 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p43794 +aS'for\tfor\tIN\tB-PP\tO' +p43795 +aS'airway\tairway\tNN\tB-NP\tO' +p43796 +aS'observation\tobservation\tNN\tI-NP\tO' +p43797 +aS'.\t.\t.\tO\tO' +p43798 +asS'She has been recently evaluated as an outpatient for bradycardia .' +p43799 +(lp43800 +S'She\tShe\tPRP\tB-NP\tO' +p43801 +aS'has\thave\tVBZ\tB-VP\tO' +p43802 +aS'been\tbe\tVBN\tI-VP\tO' +p43803 +aS'recently\trecently\tRB\tI-VP\tO' +p43804 +aS'evaluated\tevaluate\tVBN\tI-VP\tO' +p43805 +aS'as\tas\tIN\tB-PP\tO' +p43806 +aS'an\tan\tDT\tB-NP\tO' +p43807 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p43808 +aS'for\tfor\tIN\tB-PP\tO' +p43809 +aS'bradycardia\tbradycardia\tNN\tB-NP\tO' +p43810 +aS'.\t.\t.\tO\tO' +p43811 +asS'This showed tracheal compressions but no other lesions that were obvious at the time .' +p43812 +(lp43813 +S'This\tThis\tDT\tB-NP\tO' +p43814 +aS'showed\tshow\tVBD\tB-VP\tO' +p43815 +aS'tracheal\ttracheal\tJJ\tB-NP\tO' +p43816 +aS'compressions\tcompression\tNNS\tI-NP\tO' +p43817 +aS'but\tbut\tCC\tO\tO' +p43818 +aS'no\tno\tDT\tB-NP\tO' +p43819 +aS'other\tother\tJJ\tI-NP\tO' +p43820 +aS'lesions\tlesion\tNNS\tI-NP\tO' +p43821 +aS'that\tthat\tWDT\tB-NP\tO' +p43822 +aS'were\tbe\tVBD\tB-VP\tO' +p43823 +aS'obvious\tobvious\tJJ\tB-ADJP\tO' +p43824 +aS'at\tat\tIN\tB-PP\tO' +p43825 +aS'the\tthe\tDT\tB-NP\tO' +p43826 +aS'time\ttime\tNN\tI-NP\tO' +p43827 +aS'.\t.\t.\tO\tO' +p43828 +asS'Non smoker .' +p43829 +(lp43830 +S'Non\tNon\tJJ\tB-NP\tO' +p43831 +aS'smoker\tsmoker\tNN\tI-NP\tO' +p43832 +aS'.\t.\t.\tO\tO' +p43833 +asS'He went home and did not take any of his medications and smoked and drank heavily throughout the several months .' +p43834 +(lp43835 +S'He\tHe\tPRP\tB-NP\tO' +p43836 +aS'went\tgo\tVBD\tB-VP\tO' +p43837 +aS'home\thome\tNN\tB-ADVP\tO' +p43838 +aS'and\tand\tCC\tO\tO' +p43839 +aS'did\tdo\tVBD\tB-VP\tO' +p43840 +aS'not\tnot\tRB\tI-VP\tO' +p43841 +aS'take\ttake\tVB\tI-VP\tO' +p43842 +aS'any\tany\tDT\tB-NP\tO' +p43843 +aS'of\tof\tIN\tB-PP\tO' +p43844 +aS'his\this\tPRP$\tB-NP\tO' +p43845 +aS'medications\tmedication\tNNS\tI-NP\tO' +p43846 +aS'and\tand\tCC\tO\tO' +p43847 +aS'smoked\tsmoke\tVBD\tB-VP\tO' +p43848 +aS'and\tand\tCC\tO\tO' +p43849 +aS'drank\tdrink\tVBD\tB-VP\tO' +p43850 +aS'heavily\theavily\tRB\tB-ADVP\tO' +p43851 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p43852 +aS'the\tthe\tDT\tB-NP\tO' +p43853 +aS'several\tseveral\tJJ\tI-NP\tO' +p43854 +aS'months\tmonth\tNNS\tI-NP\tO' +p43855 +aS'.\t.\t.\tO\tO' +p43856 +asS'Prior to catheterization a VQ scan was performed which revealed a moderate probability for PE with a subsegmental defect in the lingular on the left lung .' +p43857 +(lp43858 +S'Prior\tPrior\tRB\tB-ADVP\tO' +p43859 +aS'to\tto\tTO\tB-VP\tO' +p43860 +aS'catheterization\tcatheterization\tNN\tI-VP\tO' +p43861 +aS'a\ta\tDT\tB-NP\tO' +p43862 +aS'VQ\tVQ\tNN\tI-NP\tO' +p43863 +aS'scan\tscan\tNN\tI-NP\tO' +p43864 +aS'was\tbe\tVBD\tB-VP\tO' +p43865 +aS'performed\tperform\tVBN\tI-VP\tO' +p43866 +aS'which\twhich\tWDT\tB-NP\tO' +p43867 +aS'revealed\treveal\tVBD\tB-VP\tO' +p43868 +aS'a\ta\tDT\tB-NP\tO' +p43869 +aS'moderate\tmoderate\tJJ\tI-NP\tO' +p43870 +aS'probability\tprobability\tNN\tI-NP\tO' +p43871 +aS'for\tfor\tIN\tB-PP\tO' +p43872 +aS'PE\tPE\tNN\tB-NP\tO' +p43873 +aS'with\twith\tIN\tB-PP\tO' +p43874 +aS'a\ta\tDT\tB-NP\tO' +p43875 +aS'subsegmental\tsubsegmental\tJJ\tI-NP\tO' +p43876 +aS'defect\tdefect\tNN\tI-NP\tO' +p43877 +aS'in\tin\tIN\tB-PP\tO' +p43878 +aS'the\tthe\tDT\tB-NP\tO' +p43879 +aS'lingular\tlingular\tJJ\tI-NP\tO' +p43880 +aS'on\ton\tIN\tB-PP\tO' +p43881 +aS'the\tthe\tDT\tB-NP\tO' +p43882 +aS'left\tleft\tJJ\tI-NP\tO' +p43883 +aS'lung\tlung\tNN\tI-NP\tO' +p43884 +aS'.\t.\t.\tO\tO' +p43885 +asS'3. Prilosec 20 mg po per day .' +p43886 +(lp43887 +S'3.\t3.\tLS\tB-NP\tO' +p43888 +aS'Prilosec\tPrilosec\tNNP\tI-NP\tO' +p43889 +aS'20\t20\tCD\tI-NP\tO' +p43890 +aS'mg\tmg\tNN\tI-NP\tO' +p43891 +aS'po\tpo\tNN\tI-NP\tO' +p43892 +aS'per\tper\tIN\tB-PP\tO' +p43893 +aS'day\tday\tNN\tB-NP\tO' +p43894 +aS'.\t.\t.\tO\tO' +p43895 +asS'Platelet count 411,000 .' +p43896 +(lp43897 +S'Platelet\tPlatelet\tNN\tB-NP\tB-protein' +p43898 +aS'count\tcount\tNN\tI-NP\tI-protein' +p43899 +aS'411,000\t411,000\tCD\tI-NP\tI-protein' +p43900 +aS'.\t.\t.\tO\tO' +p43901 +asS'There is no family history of premature coronary artery disease or sudden death .' +p43902 +(lp43903 +S'There\tThere\tEX\tB-NP\tO' +p43904 +aS'is\tbe\tVBZ\tB-VP\tO' +p43905 +aS'no\tno\tDT\tB-NP\tO' +p43906 +aS'family\tfamily\tNN\tI-NP\tO' +p43907 +aS'history\thistory\tNN\tI-NP\tO' +p43908 +aS'of\tof\tIN\tB-PP\tO' +p43909 +aS'premature\tpremature\tJJ\tB-NP\tO' +p43910 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p43911 +aS'artery\tartery\tNN\tI-NP\tO' +p43912 +aS'disease\tdisease\tNN\tI-NP\tO' +p43913 +aS'or\tor\tCC\tO\tO' +p43914 +aS'sudden\tsudden\tJJ\tB-NP\tO' +p43915 +aS'death\tdeath\tNN\tI-NP\tO' +p43916 +aS'.\t.\t.\tO\tO' +p43917 +asS'will discharge pt with instructions to continue NPH 2 UNITS BID as Frederick Tracey recs .' +p43918 +(lp43919 +S'will\twill\tMD\tB-VP\tO' +p43920 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p43921 +aS'pt\tpt\tNN\tB-NP\tO' +p43922 +aS'with\twith\tIN\tB-PP\tO' +p43923 +aS'instructions\tinstruction\tNNS\tB-NP\tO' +p43924 +aS'to\tto\tTO\tB-VP\tO' +p43925 +aS'continue\tcontinue\tVB\tI-VP\tO' +p43926 +aS'NPH\tNPH\tNN\tB-NP\tB-protein' +p43927 +aS'2\t2\tCD\tI-NP\tI-protein' +p43928 +aS'UNITS\tUNITS\tNNP\tI-NP\tO' +p43929 +aS'BID\tBID\tNNP\tI-NP\tO' +p43930 +aS'as\tas\tIN\tB-PP\tO' +p43931 +aS'Frederick\tFrederick\tNNP\tB-NP\tO' +p43932 +aS'Tracey\tTracey\tNNP\tI-NP\tO' +p43933 +aS'recs\trec\tNNS\tI-NP\tO' +p43934 +aS'.\t.\t.\tO\tO' +p43935 +asS'The patient was started on Coumadin five months prior to this admission .' +p43936 +(lp43937 +S'The\tThe\tDT\tB-NP\tO' +p43938 +aS'patient\tpatient\tNN\tI-NP\tO' +p43939 +aS'was\tbe\tVBD\tB-VP\tO' +p43940 +aS'started\tstart\tVBN\tI-VP\tO' +p43941 +aS'on\ton\tIN\tB-PP\tO' +p43942 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p43943 +aS'five\tfive\tCD\tB-NP\tO' +p43944 +aS'months\tmonth\tNNS\tI-NP\tO' +p43945 +aS'prior\tprior\tRB\tB-ADVP\tO' +p43946 +aS'to\tto\tTO\tB-PP\tO' +p43947 +aS'this\tthis\tDT\tB-NP\tO' +p43948 +aS'admission\tadmission\tNN\tI-NP\tO' +p43949 +aS'.\t.\t.\tO\tO' +p43950 +asS'The neck was supple and no goiter was noticed , no bruit was noticed .' +p43951 +(lp43952 +S'The\tThe\tDT\tB-NP\tO' +p43953 +aS'neck\tneck\tNN\tI-NP\tO' +p43954 +aS'was\tbe\tVBD\tB-VP\tO' +p43955 +aS'supple\tsupple\tNN\tB-NP\tO' +p43956 +aS'and\tand\tCC\tO\tO' +p43957 +aS'no\tno\tDT\tB-NP\tO' +p43958 +aS'goiter\tgoiter\tNN\tI-NP\tO' +p43959 +aS'was\tbe\tVBD\tB-VP\tO' +p43960 +aS'noticed\tnotice\tVBN\tI-VP\tO' +p43961 +aS',\t,\t,\tO\tO' +p43962 +aS'no\tno\tDT\tB-NP\tO' +p43963 +aS'bruit\tbruit\tNN\tI-NP\tO' +p43964 +aS'was\tbe\tVBD\tB-VP\tO' +p43965 +aS'noticed\tnotice\tVBN\tI-VP\tO' +p43966 +aS'.\t.\t.\tO\tO' +p43967 +asS'There was no hepatosplenomegaly .' +p43968 +(lp43969 +S'There\tThere\tEX\tB-NP\tO' +p43970 +aS'was\tbe\tVBD\tB-VP\tO' +p43971 +aS'no\tno\tDT\tB-NP\tO' +p43972 +aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tI-NP\tO' +p43973 +aS'.\t.\t.\tO\tO' +p43974 +asS'After extensive discussion between myself , Dr. Amesin , and Dr. Scgach , it was elected to discharge the patient to home with medical management .' +p43975 +(lp43976 +S'After\tAfter\tIN\tB-PP\tO' +p43977 +aS'extensive\textensive\tJJ\tB-NP\tO' +p43978 +aS'discussion\tdiscussion\tNN\tI-NP\tO' +p43979 +aS'between\tbetween\tIN\tB-PP\tO' +p43980 +aS'myself\tmyself\tPRP\tB-NP\tO' +p43981 +aS',\t,\t,\tO\tO' +p43982 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p43983 +aS'Amesin\tAmesin\tNNP\tI-NP\tO' +p43984 +aS',\t,\t,\tO\tO' +p43985 +aS'and\tand\tCC\tO\tO' +p43986 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p43987 +aS'Scgach\tScgach\tNNP\tI-NP\tO' +p43988 +aS',\t,\t,\tO\tO' +p43989 +aS'it\tit\tPRP\tB-NP\tO' +p43990 +aS'was\tbe\tVBD\tB-VP\tO' +p43991 +aS'elected\telect\tVBN\tI-VP\tO' +p43992 +aS'to\tto\tTO\tI-VP\tO' +p43993 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p43994 +aS'the\tthe\tDT\tB-NP\tO' +p43995 +aS'patient\tpatient\tNN\tI-NP\tO' +p43996 +aS'to\tto\tTO\tB-PP\tO' +p43997 +aS'home\thome\tNN\tB-NP\tO' +p43998 +aS'with\twith\tIN\tB-PP\tO' +p43999 +aS'medical\tmedical\tJJ\tB-NP\tO' +p44000 +aS'management\tmanagement\tNN\tI-NP\tO' +p44001 +aS'.\t.\t.\tO\tO' +p44002 +asS'2. Hypertension .' +p44003 +(lp44004 +S'2.\t2.\tLS\tB-NP\tO' +p44005 +aS'Hypertension\tHypertension\tNN\tI-NP\tO' +p44006 +aS'.\t.\t.\tO\tO' +p44007 +asS'The patient could not be moved and had to have 911 called for help .' +p44008 +(lp44009 +S'The\tThe\tDT\tB-NP\tO' +p44010 +aS'patient\tpatient\tNN\tI-NP\tO' +p44011 +aS'could\tcould\tMD\tB-VP\tO' +p44012 +aS'not\tnot\tRB\tI-VP\tO' +p44013 +aS'be\tbe\tVB\tI-VP\tO' +p44014 +aS'moved\tmove\tVBN\tI-VP\tO' +p44015 +aS'and\tand\tCC\tO\tO' +p44016 +aS'had\thave\tVBD\tB-VP\tO' +p44017 +aS'to\tto\tTO\tI-VP\tO' +p44018 +aS'have\thave\tVB\tI-VP\tO' +p44019 +aS'911\t911\tCD\tB-NP\tO' +p44020 +aS'called\tcall\tVBN\tB-VP\tO' +p44021 +aS'for\tfor\tIN\tB-PP\tO' +p44022 +aS'help\thelp\tNN\tB-NP\tO' +p44023 +aS'.\t.\t.\tO\tO' +p44024 +asS'Denies alcohol or tobacco use .' +p44025 +(lp44026 +S'Denies\tDeny\tNNS\tB-NP\tO' +p44027 +aS'alcohol\talcohol\tNN\tI-NP\tO' +p44028 +aS'or\tor\tCC\tI-NP\tO' +p44029 +aS'tobacco\ttobacco\tNN\tI-NP\tO' +p44030 +aS'use\tuse\tNN\tI-NP\tO' +p44031 +aS'.\t.\t.\tO\tO' +p44032 +asS'3. Zanaflex .' +p44033 +(lp44034 +S'3.\t3.\tLS\tB-NP\tO' +p44035 +aS'Zanaflex\tZanaflex\tNN\tI-NP\tO' +p44036 +aS'.\t.\t.\tO\tO' +p44037 +asS"A 5 cm laceration was noted over the patient 's occiput on further inspection with no exposed underlying bone ." +p44038 +(lp44039 +S'A\tA\tDT\tB-NP\tO' +p44040 +aS'5\t5\tCD\tI-NP\tO' +p44041 +aS'cm\tcm\tNN\tI-NP\tO' +p44042 +aS'laceration\tlaceration\tNN\tI-NP\tO' +p44043 +aS'was\tbe\tVBD\tB-VP\tO' +p44044 +aS'noted\tnote\tVBN\tI-VP\tO' +p44045 +aS'over\tover\tIN\tB-PP\tO' +p44046 +aS'the\tthe\tDT\tB-NP\tO' +p44047 +aS'patient\tpatient\tNN\tI-NP\tO' +p44048 +aS"'s\t's\tPOS\tB-NP\tO" +p44049 +aS'occiput\tocciput\tNN\tI-NP\tO' +p44050 +aS'on\ton\tIN\tB-PP\tO' +p44051 +aS'further\tfurther\tJJ\tB-NP\tO' +p44052 +aS'inspection\tinspection\tNN\tI-NP\tO' +p44053 +aS'with\twith\tIN\tB-PP\tO' +p44054 +aS'no\tno\tDT\tB-NP\tO' +p44055 +aS'exposed\texpose\tVBN\tI-NP\tO' +p44056 +aS'underlying\tunderlying\tJJ\tI-NP\tO' +p44057 +aS'bone\tbone\tNN\tI-NP\tO' +p44058 +aS'.\t.\t.\tO\tO' +p44059 +asS'Patient is a 28 year old gravida IV , para 2 with metastatic cervical cancer admitted with a question of malignant pericardial effusion .' +p44060 +(lp44061 +S'Patient\tPatient\tNN\tB-NP\tO' +p44062 +aS'is\tbe\tVBZ\tB-VP\tO' +p44063 +aS'a\ta\tDT\tB-NP\tO' +p44064 +aS'28\t28\tCD\tI-NP\tO' +p44065 +aS'year\tyear\tNN\tI-NP\tO' +p44066 +aS'old\told\tJJ\tI-NP\tO' +p44067 +aS'gravida\tgravida\tNN\tI-NP\tO' +p44068 +aS'IV\tIV\tCD\tI-NP\tO' +p44069 +aS',\t,\t,\tO\tO' +p44070 +aS'para\tpara\tNN\tB-NP\tO' +p44071 +aS'2\t2\tCD\tI-NP\tO' +p44072 +aS'with\twith\tIN\tB-PP\tO' +p44073 +aS'metastatic\tmetastatic\tJJ\tB-NP\tO' +p44074 +aS'cervical\tcervical\tJJ\tI-NP\tO' +p44075 +aS'cancer\tcancer\tNN\tI-NP\tO' +p44076 +aS'admitted\tadmit\tVBN\tB-VP\tO' +p44077 +aS'with\twith\tIN\tB-PP\tO' +p44078 +aS'a\ta\tDT\tB-NP\tO' +p44079 +aS'question\tquestion\tNN\tI-NP\tO' +p44080 +aS'of\tof\tIN\tB-PP\tO' +p44081 +aS'malignant\tmalignant\tJJ\tB-NP\tO' +p44082 +aS'pericardial\tpericardial\tJJ\tI-NP\tO' +p44083 +aS'effusion\teffusion\tNN\tI-NP\tO' +p44084 +aS'.\t.\t.\tO\tO' +p44085 +asS'Neurologically the patient was alert and oriented x3 .' +p44086 +(lp44087 +S'Neurologically\tNeurologically\tRB\tB-ADVP\tO' +p44088 +aS'the\tthe\tDT\tB-NP\tO' +p44089 +aS'patient\tpatient\tNN\tI-NP\tO' +p44090 +aS'was\tbe\tVBD\tB-VP\tO' +p44091 +aS'alert\talert\tJJ\tB-ADJP\tO' +p44092 +aS'and\tand\tCC\tO\tO' +p44093 +aS'oriented\torient\tVBN\tB-VP\tO' +p44094 +aS'x3\tx3\tNN\tB-NP\tO' +p44095 +aS'.\t.\t.\tO\tO' +p44096 +asS'The patient 's gait remained wide based and shuffling and requiring assist .' +p44097 +(lp44098 +S'The\tThe\tDT\tB-NP\tO' +p44099 +aS'patient\tpatient\tNN\tI-NP\tO' +p44100 +aS''s\t'\tNNS\tI-NP\tO' +p44101 +aS'gait\tgait\tNN\tI-NP\tO' +p44102 +aS'remained\tremain\tVBD\tB-VP\tO' +p44103 +aS'wide\twide\tJJ\tB-ADJP\tO' +p44104 +aS'based\tbase\tVBN\tI-ADJP\tO' +p44105 +aS'and\tand\tCC\tO\tO' +p44106 +aS'shuffling\tshuffle\tVBG\tB-VP\tO' +p44107 +aS'and\tand\tCC\tI-VP\tO' +p44108 +aS'requiring\trequire\tVBG\tI-VP\tO' +p44109 +aS'assist\tassist\tNN\tB-NP\tO' +p44110 +aS'.\t.\t.\tO\tO' +p44111 +asS'Lipid panel was checked and showed good control of lipids on his home dose of zocor .' +p44112 +(lp44113 +S'Lipid\tLipid\tNN\tB-NP\tO' +p44114 +aS'panel\tpanel\tNN\tI-NP\tO' +p44115 +aS'was\tbe\tVBD\tB-VP\tO' +p44116 +aS'checked\tcheck\tVBN\tI-VP\tO' +p44117 +aS'and\tand\tCC\tO\tO' +p44118 +aS'showed\tshow\tVBD\tB-VP\tO' +p44119 +aS'good\tgood\tJJ\tB-NP\tO' +p44120 +aS'control\tcontrol\tNN\tI-NP\tO' +p44121 +aS'of\tof\tIN\tB-PP\tO' +p44122 +aS'lipids\tlipid\tNNS\tB-NP\tO' +p44123 +aS'on\ton\tIN\tB-PP\tO' +p44124 +aS'his\this\tPRP$\tB-NP\tO' +p44125 +aS'home\thome\tNN\tI-NP\tO' +p44126 +aS'dose\tdose\tNN\tI-NP\tO' +p44127 +aS'of\tof\tIN\tB-PP\tO' +p44128 +aS'zocor\tzocor\tNN\tB-NP\tO' +p44129 +aS'.\t.\t.\tO\tO' +p44130 +asS'7. Phenytoin Sodium Extended 100 mg Capsule Sig : One ( 1 ) Capsule PO TID ( 3 times a day ).' +p44131 +(lp44132 +S'7.\t7.\tCD\tB-NP\tO' +p44133 +aS'Phenytoin\tPhenytoin\tNNP\tI-NP\tO' +p44134 +aS'Sodium\tSodium\tNNP\tI-NP\tO' +p44135 +aS'Extended\tExtend\tVBD\tB-VP\tO' +p44136 +aS'100\t100\tCD\tB-NP\tO' +p44137 +aS'mg\tmg\tNN\tI-NP\tO' +p44138 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p44139 +aS'Sig\tSig\tNNP\tI-NP\tO' +p44140 +aS':\t:\t:\tO\tO' +p44141 +aS'One\tOne\tCD\tB-NP\tO' +p44142 +aS'(\t(\t(\tO\tO' +p44143 +aS'1\t1\tCD\tB-NP\tO' +p44144 +aS')\t)\t)\tO\tO' +p44145 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p44146 +aS'PO\tPO\tNNP\tI-NP\tO' +p44147 +aS'TID\tTID\tNNP\tI-NP\tO' +p44148 +aS'(\t(\t(\tO\tO' +p44149 +aS'3\t3\tCD\tB-NP\tO' +p44150 +aS'times\ttime\tNNS\tI-NP\tO' +p44151 +aS'a\ta\tDT\tB-NP\tO' +p44152 +aS'day\tday\tNN\tI-NP\tO' +p44153 +aS').\t).\t.\tO\tO' +p44154 +asS'Her allergies are penicillin , which cause throat edema .' +p44155 +(lp44156 +S'Her\tHer\tPRP$\tB-NP\tO' +p44157 +aS'allergies\tallergy\tNNS\tI-NP\tO' +p44158 +aS'are\tbe\tVBP\tB-VP\tO' +p44159 +aS'penicillin\tpenicillin\tNN\tB-NP\tO' +p44160 +aS',\t,\t,\tO\tO' +p44161 +aS'which\twhich\tWDT\tB-NP\tO' +p44162 +aS'cause\tcause\tVBP\tB-VP\tO' +p44163 +aS'throat\tthroat\tDT\tB-NP\tO' +p44164 +aS'edema\tedema\tNN\tI-NP\tO' +p44165 +aS'.\t.\t.\tO\tO' +p44166 +asS'regular rate and rhythm with normal S1 and S2 , no murmurs .' +p44167 +(lp44168 +S'regular\tregular\tJJ\tB-NP\tO' +p44169 +aS'rate\trate\tNN\tI-NP\tO' +p44170 +aS'and\tand\tCC\tI-NP\tO' +p44171 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p44172 +aS'with\twith\tIN\tB-PP\tO' +p44173 +aS'normal\tnormal\tJJ\tB-NP\tO' +p44174 +aS'S1\tS1\tNN\tI-NP\tB-protein' +p44175 +aS'and\tand\tCC\tO\tO' +p44176 +aS'S2\tS2\tNN\tB-NP\tB-protein' +p44177 +aS',\t,\t,\tO\tO' +p44178 +aS'no\tno\tDT\tB-NP\tO' +p44179 +aS'murmurs\tmurmur\tNNS\tI-NP\tO' +p44180 +aS'.\t.\t.\tO\tO' +p44181 +asS'Disp :* 4 Tablet (s)* Refills :* 0 *' +p44182 +(lp44183 +S'Disp\tDisp\tNN\tB-NP\tO' +p44184 +aS':*\t:*\tSYM\tI-NP\tO' +p44185 +aS'4\t4\tCD\tI-NP\tO' +p44186 +aS'Tablet\tTablet\tNN\tI-NP\tO' +p44187 +aS'(s)*\t(s)*\tSYM\tB-NP\tO' +p44188 +aS'Refills\tRefill\tNNPS\tI-NP\tO' +p44189 +aS':*\t:*\tSYM\tI-NP\tO' +p44190 +aS'0\t0\tCD\tI-NP\tO' +p44191 +aS'*\t*\tSYM\tB-NP\tO' +p44192 +asS'Severe hypertension , angina , GERD , peptic ulcer disease , status post Billroth II , ovarian cancer , status post TAH-BSO in 1987 with a negative second look laparotomy in 1988 , chronic anemia , chronic left ear infection .' +p44193 +(lp44194 +S'Severe\tSevere\tJJ\tB-NP\tO' +p44195 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p44196 +aS',\t,\t,\tO\tO' +p44197 +aS'angina\tangina\tNN\tB-NP\tO' +p44198 +aS',\t,\t,\tO\tO' +p44199 +aS'GERD\tGERD\tNN\tB-NP\tO' +p44200 +aS',\t,\t,\tO\tO' +p44201 +aS'peptic\tpeptic\tJJ\tB-NP\tO' +p44202 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p44203 +aS'disease\tdisease\tNN\tI-NP\tO' +p44204 +aS',\t,\t,\tO\tO' +p44205 +aS'status\tstatus\tNN\tB-NP\tB-protein' +p44206 +aS'post\tpost\tNN\tI-NP\tI-protein' +p44207 +aS'Billroth\tBillroth\tNNP\tB-NP\tI-protein' +p44208 +aS'II\tII\tCD\tI-NP\tI-protein' +p44209 +aS',\t,\t,\tO\tO' +p44210 +aS'ovarian\tovarian\tJJ\tB-NP\tO' +p44211 +aS'cancer\tcancer\tNN\tI-NP\tO' +p44212 +aS',\t,\t,\tO\tO' +p44213 +aS'status\tstatus\tNN\tB-NP\tO' +p44214 +aS'post\tpost\tNN\tI-NP\tO' +p44215 +aS'TAH-BSO\tTAH-BSO\tNN\tI-NP\tO' +p44216 +aS'in\tin\tIN\tB-PP\tO' +p44217 +aS'1987\t1987\tCD\tB-NP\tO' +p44218 +aS'with\twith\tIN\tB-PP\tO' +p44219 +aS'a\ta\tDT\tB-NP\tO' +p44220 +aS'negative\tnegative\tJJ\tI-NP\tO' +p44221 +aS'second\tsecond\tJJ\tI-NP\tO' +p44222 +aS'look\tlook\tNN\tI-NP\tO' +p44223 +aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' +p44224 +aS'in\tin\tIN\tB-PP\tO' +p44225 +aS'1988\t1988\tCD\tB-NP\tO' +p44226 +aS',\t,\t,\tO\tO' +p44227 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p44228 +aS'anemia\tanemia\tNN\tI-NP\tO' +p44229 +aS',\t,\t,\tO\tO' +p44230 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p44231 +aS'left\tleft\tJJ\tI-NP\tO' +p44232 +aS'ear\tear\tNN\tI-NP\tO' +p44233 +aS'infection\tinfection\tNN\tI-NP\tO' +p44234 +aS'.\t.\t.\tO\tO' +p44235 +asS'This is a 54 - year-old man with significant coronary artery disease risk factors , positive family history , smoking history , hypertension and gender who presented with an ST elevation MI status post LAD stent , complicated by no residuals requiring nitroglycerin and diltiazem for good flow .' +p44236 +(lp44237 +S'This\tThis\tDT\tB-NP\tO' +p44238 +aS'is\tbe\tVBZ\tB-VP\tO' +p44239 +aS'a\ta\tDT\tB-NP\tO' +p44240 +aS'54\t54\tCD\tI-NP\tO' +p44241 +aS'-\t-\tHYPH\tI-NP\tO' +p44242 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p44243 +aS'man\tman\tNN\tI-NP\tO' +p44244 +aS'with\twith\tIN\tB-PP\tO' +p44245 +aS'significant\tsignificant\tJJ\tB-NP\tO' +p44246 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p44247 +aS'artery\tartery\tNN\tI-NP\tO' +p44248 +aS'disease\tdisease\tNN\tI-NP\tO' +p44249 +aS'risk\trisk\tNN\tI-NP\tO' +p44250 +aS'factors\tfactor\tNNS\tI-NP\tO' +p44251 +aS',\t,\t,\tO\tO' +p44252 +aS'positive\tpositive\tJJ\tB-NP\tO' +p44253 +aS'family\tfamily\tNN\tI-NP\tO' +p44254 +aS'history\thistory\tNN\tI-NP\tO' +p44255 +aS',\t,\t,\tO\tO' +p44256 +aS'smoking\tsmoking\tNN\tB-NP\tO' +p44257 +aS'history\thistory\tNN\tI-NP\tO' +p44258 +aS',\t,\t,\tI-NP\tO' +p44259 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p44260 +aS'and\tand\tCC\tI-NP\tO' +p44261 +aS'gender\tgender\tNN\tI-NP\tO' +p44262 +aS'who\twho\tWP\tB-NP\tO' +p44263 +aS'presented\tpresent\tVBD\tB-VP\tO' +p44264 +aS'with\twith\tIN\tB-PP\tO' +p44265 +aS'an\tan\tDT\tB-NP\tO' +p44266 +aS'ST\tST\tJJ\tI-NP\tO' +p44267 +aS'elevation\televation\tNN\tI-NP\tO' +p44268 +aS'MI\tMI\tNN\tI-NP\tO' +p44269 +aS'status\tstatus\tNN\tI-NP\tO' +p44270 +aS'post\tpost\tNN\tI-NP\tO' +p44271 +aS'LAD\tLAD\tNN\tI-NP\tO' +p44272 +aS'stent\tstent\tNN\tI-NP\tO' +p44273 +aS',\t,\t,\tO\tO' +p44274 +aS'complicated\tcomplicate\tVBN\tB-VP\tO' +p44275 +aS'by\tby\tIN\tB-PP\tO' +p44276 +aS'no\tno\tDT\tB-NP\tO' +p44277 +aS'residuals\tresidual\tNNS\tI-NP\tO' +p44278 +aS'requiring\trequire\tVBG\tB-VP\tO' +p44279 +aS'nitroglycerin\tnitroglycerin\tNN\tB-NP\tO' +p44280 +aS'and\tand\tCC\tI-NP\tO' +p44281 +aS'diltiazem\tdiltiazem\tNN\tI-NP\tO' +p44282 +aS'for\tfor\tIN\tB-PP\tO' +p44283 +aS'good\tgood\tJJ\tB-NP\tO' +p44284 +aS'flow\tflow\tNN\tI-NP\tO' +p44285 +aS'.\t.\t.\tO\tO' +p44286 +asS'Both parents are very involved in the care of Baby Norman Stead .' +p44287 +(lp44288 +S'Both\tBoth\tDT\tB-NP\tO' +p44289 +aS'parents\tparent\tNNS\tI-NP\tO' +p44290 +aS'are\tbe\tVBP\tB-VP\tO' +p44291 +aS'very\tvery\tRB\tI-VP\tO' +p44292 +aS'involved\tinvolve\tVBN\tI-VP\tO' +p44293 +aS'in\tin\tIN\tB-PP\tO' +p44294 +aS'the\tthe\tDT\tB-NP\tO' +p44295 +aS'care\tcare\tNN\tI-NP\tO' +p44296 +aS'of\tof\tIN\tB-PP\tO' +p44297 +aS'Baby\tBaby\tNNP\tB-NP\tO' +p44298 +aS'Norman\tNorman\tNNP\tI-NP\tO' +p44299 +aS'Stead\tStead\tNNP\tI-NP\tO' +p44300 +aS'.\t.\t.\tO\tO' +p44301 +asS'By 04-01 , on postoperative day two , the patient was doing well and the chest tube was discontinued .' +p44302 +(lp44303 +S'By\tBy\tIN\tB-PP\tO' +p44304 +aS'04-01\t04-01\tCD\tB-NP\tO' +p44305 +aS',\t,\t,\tO\tO' +p44306 +aS'on\ton\tIN\tB-PP\tO' +p44307 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p44308 +aS'day\tday\tNN\tI-NP\tO' +p44309 +aS'two\ttwo\tCD\tB-NP\tO' +p44310 +aS',\t,\t,\tO\tO' +p44311 +aS'the\tthe\tDT\tB-NP\tO' +p44312 +aS'patient\tpatient\tNN\tI-NP\tO' +p44313 +aS'was\tbe\tVBD\tB-VP\tO' +p44314 +aS'doing\tdo\tVBG\tI-VP\tO' +p44315 +aS'well\twell\tRB\tB-ADVP\tO' +p44316 +aS'and\tand\tCC\tO\tO' +p44317 +aS'the\tthe\tDT\tB-NP\tO' +p44318 +aS'chest\tchest\tNN\tI-NP\tO' +p44319 +aS'tube\ttube\tNN\tI-NP\tO' +p44320 +aS'was\tbe\tVBD\tB-VP\tO' +p44321 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p44322 +aS'.\t.\t.\tO\tO' +p44323 +asS'Disp :* 28 Tablet Sustained Release (s)* Refills :* 0 *' +p44324 +(lp44325 +S'Disp\tDisp\tNN\tB-NP\tO' +p44326 +aS':*\t:*\tSYM\tI-NP\tO' +p44327 +aS'28\t28\tCD\tI-NP\tO' +p44328 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p44329 +aS'Sustained\tSustained\tNNP\tI-NP\tO' +p44330 +aS'Release\tRelease\tNNP\tI-NP\tO' +p44331 +aS'(s)*\t(s)*\tSYM\tB-NP\tO' +p44332 +aS'Refills\tRefill\tNNPS\tI-NP\tO' +p44333 +aS':*\t:*\tSYM\tI-NP\tO' +p44334 +aS'0\t0\tCD\tI-NP\tO' +p44335 +aS'*\t*\tSYM\tB-NP\tO' +p44336 +asS'Lungs are bilaterally clear to auscultation .' +p44337 +(lp44338 +S'Lungs\tLung\tNNS\tB-NP\tO' +p44339 +aS'are\tbe\tVBP\tB-VP\tO' +p44340 +aS'bilaterally\tbilaterally\tRB\tB-ADJP\tO' +p44341 +aS'clear\tclear\tJJ\tI-ADJP\tO' +p44342 +aS'to\tto\tTO\tB-PP\tO' +p44343 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p44344 +aS'.\t.\t.\tO\tO' +p44345 +asS'According to her sister , the patient has no short-term memory .' +p44346 +(lp44347 +S'According\tAccord\tVBG\tB-PP\tO' +p44348 +aS'to\tto\tTO\tB-PP\tO' +p44349 +aS'her\ther\tPRP$\tB-NP\tO' +p44350 +aS'sister\tsister\tNN\tI-NP\tO' +p44351 +aS',\t,\t,\tO\tO' +p44352 +aS'the\tthe\tDT\tB-NP\tO' +p44353 +aS'patient\tpatient\tNN\tI-NP\tO' +p44354 +aS'has\thave\tVBZ\tB-VP\tO' +p44355 +aS'no\tno\tDT\tB-NP\tO' +p44356 +aS'short-term\tshort-term\tJJ\tI-NP\tO' +p44357 +aS'memory\tmemory\tNN\tI-NP\tO' +p44358 +aS'.\t.\t.\tO\tO' +p44359 +asS'In the seven to eight months preceding admission , he developed recurrent angina with dyspnea on exertion .' +p44360 +(lp44361 +S'In\tIn\tIN\tB-PP\tO' +p44362 +aS'the\tthe\tDT\tB-NP\tO' +p44363 +aS'seven\tseven\tCD\tI-NP\tO' +p44364 +aS'to\tto\tTO\tI-NP\tO' +p44365 +aS'eight\teight\tCD\tI-NP\tO' +p44366 +aS'months\tmonth\tNNS\tI-NP\tO' +p44367 +aS'preceding\tprecede\tVBG\tB-VP\tO' +p44368 +aS'admission\tadmission\tNN\tB-NP\tO' +p44369 +aS',\t,\t,\tO\tO' +p44370 +aS'he\the\tPRP\tB-NP\tO' +p44371 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p44372 +aS'recurrent\trecurrent\tJJ\tB-NP\tO' +p44373 +aS'angina\tangina\tNN\tI-NP\tO' +p44374 +aS'with\twith\tIN\tB-PP\tO' +p44375 +aS'dyspnea\tdyspnea\tNN\tB-NP\tO' +p44376 +aS'on\ton\tIN\tB-PP\tO' +p44377 +aS'exertion\texertion\tNN\tB-NP\tO' +p44378 +aS'.\t.\t.\tO\tO' +p44379 +asS'Chest x-ray revealed mild pulmonary edema .' +p44380 +(lp44381 +S'Chest\tCh\tJJS\tB-NP\tO' +p44382 +aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' +p44383 +aS'revealed\treveal\tVBD\tB-VP\tO' +p44384 +aS'mild\tmild\tJJ\tB-NP\tO' +p44385 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p44386 +aS'edema\tedema\tNN\tI-NP\tO' +p44387 +aS'.\t.\t.\tO\tO' +p44388 +asS'Rectal had normal tone , empty rectal vault , and guaiac negative .' +p44389 +(lp44390 +S'Rectal\tRectal\tNNP\tB-NP\tO' +p44391 +aS'had\thave\tVBD\tB-VP\tO' +p44392 +aS'normal\tnormal\tJJ\tB-NP\tO' +p44393 +aS'tone\ttone\tNN\tI-NP\tO' +p44394 +aS',\t,\t,\tO\tO' +p44395 +aS'empty\tempty\tJJ\tB-NP\tO' +p44396 +aS'rectal\trectal\tJJ\tI-NP\tO' +p44397 +aS'vault\tvault\tNN\tI-NP\tO' +p44398 +aS',\t,\t,\tO\tO' +p44399 +aS'and\tand\tCC\tO\tO' +p44400 +aS'guaiac\tguaiac\tNN\tB-NP\tO' +p44401 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p44402 +aS'.\t.\t.\tO\tO' +p44403 +asS'Transfer from Athol Memorial Hospital for acute on chronic respiratory distress .' +p44404 +(lp44405 +S'Transfer\tTransfer\tNNP\tB-NP\tO' +p44406 +aS'from\tfrom\tIN\tB-PP\tO' +p44407 +aS'Athol\tAthol\tNNP\tB-NP\tO' +p44408 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p44409 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p44410 +aS'for\tfor\tIN\tB-PP\tO' +p44411 +aS'acute\tacute\tJJ\tB-NP\tO' +p44412 +aS'on\ton\tIN\tB-PP\tO' +p44413 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p44414 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p44415 +aS'distress\tdistress\tNN\tI-NP\tO' +p44416 +aS'.\t.\t.\tO\tO' +p44417 +asS'At this time , sodium was 147 , potassium 2.6 , total sodium given during the first 24 hours 20 mEq per kilo per day .' +p44418 +(lp44419 +S'At\tAt\tIN\tB-PP\tO' +p44420 +aS'this\tthis\tDT\tB-NP\tO' +p44421 +aS'time\ttime\tNN\tI-NP\tO' +p44422 +aS',\t,\t,\tO\tO' +p44423 +aS'sodium\tsodium\tNN\tB-NP\tO' +p44424 +aS'was\tbe\tVBD\tB-VP\tO' +p44425 +aS'147\t147\tCD\tB-NP\tO' +p44426 +aS',\t,\t,\tO\tO' +p44427 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p44428 +aS'2.6\t2.6\tCD\tI-NP\tO' +p44429 +aS',\t,\t,\tO\tO' +p44430 +aS'total\ttotal\tJJ\tB-NP\tO' +p44431 +aS'sodium\tsodium\tNN\tI-NP\tO' +p44432 +aS'given\tgive\tVBN\tB-PP\tO' +p44433 +aS'during\tduring\tIN\tB-PP\tO' +p44434 +aS'the\tthe\tDT\tB-NP\tO' +p44435 +aS'first\tfirst\tJJ\tI-NP\tO' +p44436 +aS'24\t24\tCD\tI-NP\tO' +p44437 +aS'hours\thour\tNNS\tI-NP\tO' +p44438 +aS'20\t20\tCD\tI-NP\tO' +p44439 +aS'mEq\tmEq\tNN\tI-NP\tO' +p44440 +aS'per\tper\tIN\tB-PP\tO' +p44441 +aS'kilo\tkilo\tNN\tB-NP\tO' +p44442 +aS'per\tper\tIN\tB-PP\tO' +p44443 +aS'day\tday\tNN\tB-NP\tO' +p44444 +aS'.\t.\t.\tO\tO' +p44445 +asS'7. Coronary artery disease .' +p44446 +(lp44447 +S'7.\t7.\tLS\tB-NP\tO' +p44448 +aS'Coronary\tCoronary\tJJ\tI-NP\tO' +p44449 +aS'artery\tartery\tNN\tI-NP\tO' +p44450 +aS'disease\tdisease\tNN\tI-NP\tO' +p44451 +aS'.\t.\t.\tO\tO' +p44452 +asS'Primary pediatrician is Dr. Satterlund of Westborough Pediatrics .' +p44453 +(lp44454 +S'Primary\tPrimary\tJJ\tB-NP\tO' +p44455 +aS'pediatrician\tpediatrician\tNN\tI-NP\tO' +p44456 +aS'is\tbe\tVBZ\tB-VP\tO' +p44457 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p44458 +aS'Satterlund\tSatterlund\tNNP\tI-NP\tO' +p44459 +aS'of\tof\tIN\tB-PP\tO' +p44460 +aS'Westborough\tWestborough\tNNP\tB-NP\tO' +p44461 +aS'Pediatrics\tPediatrics\tNNP\tI-NP\tO' +p44462 +aS'.\t.\t.\tO\tO' +p44463 +asS'Her hematocrit was 31.1 , WBC 11.6 and 151,000 platelets .' +p44464 +(lp44465 +S'Her\tHer\tPRP$\tB-NP\tO' +p44466 +aS'hematocrit\thematocrit\tNN\tI-NP\tB-protein' +p44467 +aS'was\tbe\tVBD\tB-VP\tI-protein' +p44468 +aS'31.1\t31.1\tCD\tB-NP\tI-protein' +p44469 +aS',\t,\t,\tO\tO' +p44470 +aS'WBC\tWBC\tNNP\tB-NP\tB-DNA' +p44471 +aS'11.6\t11.6\tCD\tI-NP\tI-DNA' +p44472 +aS'and\tand\tCC\tI-NP\tO' +p44473 +aS'151,000\t151,000\tCD\tI-NP\tO' +p44474 +aS'platelets\tplatelet\tNNS\tI-NP\tB-cell_type' +p44475 +aS'.\t.\t.\tO\tO' +p44476 +asS'This was consistent with scar .' +p44477 +(lp44478 +S'This\tThis\tDT\tB-NP\tO' +p44479 +aS'was\tbe\tVBD\tB-VP\tO' +p44480 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p44481 +aS'with\twith\tIN\tB-PP\tO' +p44482 +aS'scar\tscar\tNN\tB-NP\tO' +p44483 +aS'.\t.\t.\tO\tO' +p44484 +asS'Dialysis was continued 3 / week .' +p44485 +(lp44486 +S'Dialysis\tDialysis\tNN\tB-NP\tO' +p44487 +aS'was\tbe\tVBD\tB-VP\tO' +p44488 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p44489 +aS'3\t3\tCD\tB-NP\tO' +p44490 +aS'/\t/\tSYM\tI-NP\tO' +p44491 +aS'week\tweek\tNN\tI-NP\tO' +p44492 +aS'.\t.\t.\tO\tO' +p44493 +asS'Her disposition was to home .' +p44494 +(lp44495 +S'Her\tHer\tPRP$\tB-NP\tO' +p44496 +aS'disposition\tdisposition\tNN\tI-NP\tO' +p44497 +aS'was\tbe\tVBD\tB-VP\tO' +p44498 +aS'to\tto\tTO\tB-PP\tO' +p44499 +aS'home\thome\tNN\tB-NP\tO' +p44500 +aS'.\t.\t.\tO\tO' +p44501 +asS'The Jewish Memorial Hospital hospital course over the 1-day addendum is improving .' +p44502 +(lp44503 +S'The\tThe\tDT\tB-NP\tO' +p44504 +aS'Jewish\tJewish\tNNP\tI-NP\tO' +p44505 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p44506 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p44507 +aS'hospital\thospital\tNN\tI-NP\tO' +p44508 +aS'course\tcourse\tNN\tI-NP\tO' +p44509 +aS'over\tover\tIN\tB-PP\tO' +p44510 +aS'the\tthe\tDT\tB-NP\tO' +p44511 +aS'1-day\t1-day\tJJ\tI-NP\tO' +p44512 +aS'addendum\taddendum\tNN\tI-NP\tO' +p44513 +aS'is\tbe\tVBZ\tB-VP\tO' +p44514 +aS'improving\timprove\tVBG\tI-VP\tO' +p44515 +aS'.\t.\t.\tO\tO' +p44516 +asS'Cardiac and mediastinal contours are within normal limits .' +p44517 +(lp44518 +S'Cardiac\tCardiac\tJJ\tB-NP\tO' +p44519 +aS'and\tand\tCC\tI-NP\tO' +p44520 +aS'mediastinal\tmediastinal\tJJ\tI-NP\tO' +p44521 +aS'contours\tcontour\tNNS\tI-NP\tO' +p44522 +aS'are\tbe\tVBP\tB-VP\tO' +p44523 +aS'within\twithin\tIN\tB-PP\tO' +p44524 +aS'normal\tnormal\tJJ\tB-NP\tO' +p44525 +aS'limits\tlimit\tNNS\tI-NP\tO' +p44526 +aS'.\t.\t.\tO\tO' +p44527 +asS'EKG demonstrated NSR at 87 bpm , nl axis , nl int , LVH w/ strain pattern , no ischemic changes .' +p44528 +(lp44529 +S'EKG\tEKG\tNN\tB-NP\tB-protein' +p44530 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p44531 +aS'NSR\tNSR\tNN\tB-NP\tB-protein' +p44532 +aS'at\tat\tIN\tB-PP\tO' +p44533 +aS'87\t87\tCD\tB-NP\tO' +p44534 +aS'bpm\tbpm\tNN\tI-NP\tO' +p44535 +aS',\t,\t,\tO\tO' +p44536 +aS'nl\tnl\tNN\tB-NP\tO' +p44537 +aS'axis\taxis\tNN\tI-NP\tO' +p44538 +aS',\t,\t,\tO\tO' +p44539 +aS'nl\tnl\tNN\tB-NP\tO' +p44540 +aS'int\tint\tNN\tI-NP\tO' +p44541 +aS',\t,\t,\tO\tO' +p44542 +aS'LVH\tLVH\tNN\tB-NP\tO' +p44543 +aS'w/\tw/\tNN\tI-NP\tO' +p44544 +aS'strain\tstrain\tNN\tI-NP\tO' +p44545 +aS'pattern\tpattern\tNN\tI-NP\tO' +p44546 +aS',\t,\t,\tO\tO' +p44547 +aS'no\tno\tDT\tB-NP\tO' +p44548 +aS'ischemic\tischemic\tJJ\tI-NP\tO' +p44549 +aS'changes\tchange\tNNS\tI-NP\tO' +p44550 +aS'.\t.\t.\tO\tO' +p44551 +asS'Again , she was advanced to full volume but was made NPO on day of life 20 for abdominal distention .' +p44552 +(lp44553 +S'Again\tAgain\tRB\tB-ADVP\tO' +p44554 +aS',\t,\t,\tO\tO' +p44555 +aS'she\tshe\tPRP\tB-NP\tO' +p44556 +aS'was\tbe\tVBD\tB-VP\tO' +p44557 +aS'advanced\tadvance\tVBN\tI-VP\tO' +p44558 +aS'to\tto\tTO\tB-PP\tO' +p44559 +aS'full\tfull\tJJ\tB-NP\tO' +p44560 +aS'volume\tvolume\tNN\tI-NP\tO' +p44561 +aS'but\tbut\tCC\tO\tO' +p44562 +aS'was\tbe\tVBD\tB-VP\tO' +p44563 +aS'made\tmake\tVBN\tI-VP\tO' +p44564 +aS'NPO\tNPO\tNN\tB-NP\tB-protein' +p44565 +aS'on\ton\tIN\tB-PP\tO' +p44566 +aS'day\tday\tNN\tB-NP\tO' +p44567 +aS'of\tof\tIN\tB-PP\tO' +p44568 +aS'life\tlife\tNN\tB-NP\tO' +p44569 +aS'20\t20\tCD\tI-NP\tO' +p44570 +aS'for\tfor\tIN\tB-PP\tO' +p44571 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p44572 +aS'distention\tdistention\tNN\tI-NP\tO' +p44573 +aS'.\t.\t.\tO\tO' +p44574 +asS'no masses .' +p44575 +(lp44576 +S'no\tno\tDT\tB-NP\tO' +p44577 +aS'masses\tmass\tNNS\tI-NP\tO' +p44578 +aS'.\t.\t.\tO\tO' +p44579 +asS'2. Docusate Sodium 100 mg Capsule Sig : One ( 1 ) Capsule PO BID ( 2 times a day ) .' +p44580 +(lp44581 +S'2.\t2.\tLS\tB-NP\tO' +p44582 +aS'Docusate\tDocusate\tNN\tI-NP\tO' +p44583 +aS'Sodium\tSodium\tNN\tI-NP\tO' +p44584 +aS'100\t100\tCD\tI-NP\tO' +p44585 +aS'mg\tmg\tNN\tI-NP\tO' +p44586 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p44587 +aS'Sig\tSig\tNNP\tI-NP\tO' +p44588 +aS':\t:\t:\tO\tO' +p44589 +aS'One\tOne\tCD\tB-NP\tO' +p44590 +aS'(\t(\t(\tO\tO' +p44591 +aS'1\t1\tCD\tB-NP\tO' +p44592 +aS')\t)\t)\tO\tO' +p44593 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p44594 +aS'PO\tPO\tNNP\tI-NP\tO' +p44595 +aS'BID\tBID\tNNP\tI-NP\tO' +p44596 +aS'(\t(\t(\tO\tO' +p44597 +aS'2\t2\tCD\tB-NP\tO' +p44598 +aS'times\ttime\tNNS\tI-NP\tO' +p44599 +aS'a\ta\tDT\tB-NP\tO' +p44600 +aS'day\tday\tNN\tI-NP\tO' +p44601 +aS')\t)\t)\tO\tO' +p44602 +aS'.\t.\t.\tO\tO' +p44603 +asS'Noncontributory .' +p44604 +(lp44605 +S'Noncontributory\tNoncontributory\tJJ\tB-ADJP\tO' +p44606 +aS'.\t.\t.\tO\tO' +p44607 +asS'She has not had hypertension or diabetes , and says he has lowered her cholesterol from 333 to 197 by changing her diet .' +p44608 +(lp44609 +S'She\tShe\tPRP\tB-NP\tO' +p44610 +aS'has\thave\tVBZ\tB-VP\tO' +p44611 +aS'not\tnot\tRB\tI-VP\tO' +p44612 +aS'had\thave\tVBN\tI-VP\tO' +p44613 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p44614 +aS'or\tor\tCC\tI-NP\tO' +p44615 +aS'diabetes\tdiabetes\tNN\tI-NP\tO' +p44616 +aS',\t,\t,\tO\tO' +p44617 +aS'and\tand\tCC\tO\tO' +p44618 +aS'says\tsay\tVBZ\tB-VP\tO' +p44619 +aS'he\the\tPRP\tB-NP\tO' +p44620 +aS'has\thave\tVBZ\tB-VP\tO' +p44621 +aS'lowered\tlower\tVBN\tI-VP\tO' +p44622 +aS'her\ther\tPRP$\tB-NP\tO' +p44623 +aS'cholesterol\tcholesterol\tNN\tI-NP\tO' +p44624 +aS'from\tfrom\tIN\tB-PP\tO' +p44625 +aS'333\t333\tCD\tB-NP\tO' +p44626 +aS'to\tto\tTO\tB-PP\tO' +p44627 +aS'197\t197\tCD\tB-NP\tO' +p44628 +aS'by\tby\tIN\tB-PP\tO' +p44629 +aS'changing\tchange\tVBG\tB-VP\tO' +p44630 +aS'her\ther\tPRP$\tB-NP\tO' +p44631 +aS'diet\tdiet\tNN\tI-NP\tO' +p44632 +aS'.\t.\t.\tO\tO' +p44633 +asS'He was also found to have a malignant lesion in his descending colon .' +p44634 +(lp44635 +S'He\tHe\tPRP\tB-NP\tO' +p44636 +aS'was\tbe\tVBD\tB-VP\tO' +p44637 +aS'also\talso\tRB\tI-VP\tO' +p44638 +aS'found\tfind\tVBN\tI-VP\tO' +p44639 +aS'to\tto\tTO\tI-VP\tO' +p44640 +aS'have\thave\tVB\tI-VP\tO' +p44641 +aS'a\ta\tDT\tB-NP\tO' +p44642 +aS'malignant\tmalignant\tJJ\tI-NP\tO' +p44643 +aS'lesion\tlesion\tNN\tI-NP\tO' +p44644 +aS'in\tin\tIN\tB-PP\tO' +p44645 +aS'his\this\tPRP$\tB-NP\tO' +p44646 +aS'descending\tdescend\tVBG\tI-NP\tO' +p44647 +aS'colon\tcolon\tNN\tI-NP\tO' +p44648 +aS'.\t.\t.\tO\tO' +p44649 +asS'Notable for decreased ability to do her activities of daily living , a decrease in her language , some urinary accidents , increased falls and a poor gait .' +p44650 +(lp44651 +S'Notable\tNotable\tJJ\tB-ADJP\tO' +p44652 +aS'for\tfor\tIN\tB-PP\tO' +p44653 +aS'decreased\tdecrease\tVBN\tB-NP\tO' +p44654 +aS'ability\tability\tNN\tI-NP\tO' +p44655 +aS'to\tto\tTO\tB-VP\tO' +p44656 +aS'do\tdo\tVB\tI-VP\tO' +p44657 +aS'her\ther\tPRP$\tB-NP\tO' +p44658 +aS'activities\tactivity\tNNS\tI-NP\tO' +p44659 +aS'of\tof\tIN\tB-PP\tO' +p44660 +aS'daily\tdaily\tJJ\tB-NP\tO' +p44661 +aS'living\tliving\tNN\tI-NP\tO' +p44662 +aS',\t,\t,\tO\tO' +p44663 +aS'a\ta\tDT\tB-NP\tO' +p44664 +aS'decrease\tdecrease\tNN\tI-NP\tO' +p44665 +aS'in\tin\tIN\tB-PP\tO' +p44666 +aS'her\ther\tPRP$\tB-NP\tO' +p44667 +aS'language\tlanguage\tNN\tI-NP\tO' +p44668 +aS',\t,\t,\tO\tO' +p44669 +aS'some\tsome\tDT\tB-NP\tO' +p44670 +aS'urinary\turinary\tJJ\tI-NP\tO' +p44671 +aS'accidents\taccident\tNNS\tI-NP\tO' +p44672 +aS',\t,\t,\tO\tO' +p44673 +aS'increased\tincrease\tVBN\tB-VP\tO' +p44674 +aS'falls\tfall\tVBZ\tB-VP\tO' +p44675 +aS'and\tand\tCC\tO\tO' +p44676 +aS'a\ta\tDT\tB-NP\tO' +p44677 +aS'poor\tpoor\tJJ\tI-NP\tO' +p44678 +aS'gait\tgait\tNN\tI-NP\tO' +p44679 +aS'.\t.\t.\tO\tO' +p44680 +asS'The day prior , the patient had endoscopic retrograde cholangiopancreatography done with dilated ducts times two and eventually had interventional radiology attempt to place percutaneous drains to decompress his biliary tree .' +p44681 +(lp44682 +S'The\tThe\tDT\tB-NP\tO' +p44683 +aS'day\tday\tNN\tI-NP\tO' +p44684 +aS'prior\tprior\tRB\tB-ADVP\tO' +p44685 +aS',\t,\t,\tO\tO' +p44686 +aS'the\tthe\tDT\tB-NP\tO' +p44687 +aS'patient\tpatient\tNN\tI-NP\tO' +p44688 +aS'had\thave\tVBD\tB-VP\tO' +p44689 +aS'endoscopic\tendoscopic\tJJ\tB-NP\tO' +p44690 +aS'retrograde\tretrograde\tJJ\tI-NP\tO' +p44691 +aS'cholangiopancreatography\tcholangiopancreatography\tNN\tI-NP\tO' +p44692 +aS'done\tdo\tVBN\tB-VP\tO' +p44693 +aS'with\twith\tIN\tB-PP\tO' +p44694 +aS'dilated\tdilate\tVBN\tB-NP\tO' +p44695 +aS'ducts\tduct\tNNS\tI-NP\tO' +p44696 +aS'times\ttime\tNNS\tI-NP\tO' +p44697 +aS'two\ttwo\tCD\tI-NP\tO' +p44698 +aS'and\tand\tCC\tO\tO' +p44699 +aS'eventually\teventually\tRB\tB-VP\tO' +p44700 +aS'had\thave\tVBD\tI-VP\tO' +p44701 +aS'interventional\tinterventional\tJJ\tB-NP\tO' +p44702 +aS'radiology\tradiology\tNN\tI-NP\tO' +p44703 +aS'attempt\tattempt\tNN\tI-NP\tO' +p44704 +aS'to\tto\tTO\tB-VP\tO' +p44705 +aS'place\tplace\tVB\tI-VP\tO' +p44706 +aS'percutaneous\tpercutaneous\tJJ\tB-NP\tO' +p44707 +aS'drains\tdrain\tNNS\tI-NP\tO' +p44708 +aS'to\tto\tTO\tB-VP\tO' +p44709 +aS'decompress\tdecompress\tVB\tI-VP\tO' +p44710 +aS'his\this\tPRP$\tB-NP\tO' +p44711 +aS'biliary\tbiliary\tJJ\tI-NP\tO' +p44712 +aS'tree\ttree\tNN\tI-NP\tO' +p44713 +aS'.\t.\t.\tO\tO' +p44714 +asS'At this time , his neurologic exam is notable for hemiplegia of his left arm , severe hemiparesis of his left leg , mild large fiber sensory loss in his left arm , and otherwise fairly intact mental status , cranial nerve function , and right sided motor and sensory function .' +p44715 +(lp44716 +S'At\tAt\tIN\tB-PP\tO' +p44717 +aS'this\tthis\tDT\tB-NP\tO' +p44718 +aS'time\ttime\tNN\tI-NP\tO' +p44719 +aS',\t,\t,\tO\tO' +p44720 +aS'his\this\tPRP$\tB-NP\tO' +p44721 +aS'neurologic\tneurologic\tJJ\tI-NP\tO' +p44722 +aS'exam\texam\tNN\tI-NP\tO' +p44723 +aS'is\tbe\tVBZ\tB-VP\tO' +p44724 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p44725 +aS'for\tfor\tIN\tB-PP\tO' +p44726 +aS'hemiplegia\themiplegia\tNN\tB-NP\tO' +p44727 +aS'of\tof\tIN\tB-PP\tO' +p44728 +aS'his\this\tPRP$\tB-NP\tO' +p44729 +aS'left\tleft\tJJ\tI-NP\tO' +p44730 +aS'arm\tarm\tNN\tI-NP\tO' +p44731 +aS',\t,\t,\tO\tO' +p44732 +aS'severe\tsevere\tJJ\tB-NP\tO' +p44733 +aS'hemiparesis\themiparesis\tNN\tI-NP\tO' +p44734 +aS'of\tof\tIN\tB-PP\tO' +p44735 +aS'his\this\tPRP$\tB-NP\tO' +p44736 +aS'left\tleft\tJJ\tI-NP\tO' +p44737 +aS'leg\tleg\tNN\tI-NP\tO' +p44738 +aS',\t,\t,\tO\tO' +p44739 +aS'mild\tmild\tJJ\tB-NP\tO' +p44740 +aS'large\tlarge\tJJ\tI-NP\tO' +p44741 +aS'fiber\tfiber\tNN\tI-NP\tO' +p44742 +aS'sensory\tsensory\tJJ\tI-NP\tO' +p44743 +aS'loss\tloss\tNN\tI-NP\tO' +p44744 +aS'in\tin\tIN\tB-PP\tO' +p44745 +aS'his\this\tPRP$\tB-NP\tO' +p44746 +aS'left\tleft\tJJ\tI-NP\tO' +p44747 +aS'arm\tarm\tNN\tI-NP\tO' +p44748 +aS',\t,\t,\tO\tO' +p44749 +aS'and\tand\tCC\tO\tO' +p44750 +aS'otherwise\totherwise\tRB\tB-NP\tO' +p44751 +aS'fairly\tfairly\tRB\tI-NP\tO' +p44752 +aS'intact\tintact\tJJ\tI-NP\tO' +p44753 +aS'mental\tmental\tJJ\tI-NP\tO' +p44754 +aS'status\tstatus\tNN\tI-NP\tO' +p44755 +aS',\t,\t,\tO\tO' +p44756 +aS'cranial\tcranial\tJJ\tB-NP\tO' +p44757 +aS'nerve\tnerve\tNN\tI-NP\tO' +p44758 +aS'function\tfunction\tNN\tI-NP\tO' +p44759 +aS',\t,\t,\tO\tO' +p44760 +aS'and\tand\tCC\tO\tO' +p44761 +aS'right\tright\tJJ\tB-NP\tO' +p44762 +aS'sided\tsided\tJJ\tI-NP\tO' +p44763 +aS'motor\tmotor\tNN\tI-NP\tO' +p44764 +aS'and\tand\tCC\tO\tO' +p44765 +aS'sensory\tsensory\tJJ\tB-NP\tO' +p44766 +aS'function\tfunction\tNN\tI-NP\tO' +p44767 +aS'.\t.\t.\tO\tO' +p44768 +asS'She was not orthostatic .' +p44769 +(lp44770 +S'She\tShe\tPRP\tB-NP\tO' +p44771 +aS'was\tbe\tVBD\tB-VP\tO' +p44772 +aS'not\tnot\tRB\tO\tO' +p44773 +aS'orthostatic\torthostatic\tJJ\tB-ADJP\tO' +p44774 +aS'.\t.\t.\tO\tO' +p44775 +asS'Amiodarone 200 mg Tablet Sig : 0.5 Tablet PO qod - in March , should be on odd days .' +p44776 +(lp44777 +S'Amiodarone\tAmiodarone\tNN\tB-NP\tO' +p44778 +aS'200\t200\tCD\tI-NP\tO' +p44779 +aS'mg\tmg\tNN\tI-NP\tO' +p44780 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p44781 +aS'Sig\tSig\tNNP\tI-NP\tO' +p44782 +aS':\t:\t:\tO\tO' +p44783 +aS'0.5\t0.5\tCD\tB-NP\tO' +p44784 +aS'Tablet\tTablet\tNN\tI-NP\tO' +p44785 +aS'PO\tPO\tNN\tI-NP\tO' +p44786 +aS'qod\tqod\tNN\tI-NP\tO' +p44787 +aS'-\t-\tHYPH\tB-ADJP\tO' +p44788 +aS'in\tin\tIN\tB-PP\tO' +p44789 +aS'March\tMarch\tNNP\tB-NP\tO' +p44790 +aS',\t,\t,\tO\tO' +p44791 +aS'should\tshould\tMD\tB-VP\tO' +p44792 +aS'be\tbe\tVB\tI-VP\tO' +p44793 +aS'on\ton\tIN\tB-PP\tO' +p44794 +aS'odd\todd\tJJ\tB-NP\tO' +p44795 +aS'days\tday\tNNS\tI-NP\tO' +p44796 +aS'.\t.\t.\tO\tO' +p44797 +asS'Patient needs to take all of the medications as directed .' +p44798 +(lp44799 +S'Patient\tPatient\tNN\tB-NP\tO' +p44800 +aS'needs\tneed\tVBZ\tB-VP\tO' +p44801 +aS'to\tto\tTO\tI-VP\tO' +p44802 +aS'take\ttake\tVB\tI-VP\tO' +p44803 +aS'all\tall\tDT\tB-NP\tO' +p44804 +aS'of\tof\tIN\tB-PP\tO' +p44805 +aS'the\tthe\tDT\tB-NP\tO' +p44806 +aS'medications\tmedication\tNNS\tI-NP\tO' +p44807 +aS'as\tas\tIN\tB-SBAR\tO' +p44808 +aS'directed\tdirect\tVBN\tB-VP\tO' +p44809 +aS'.\t.\t.\tO\tO' +p44810 +asS'On physical examination , the patient is afebrile .' +p44811 +(lp44812 +S'On\tOn\tIN\tB-PP\tO' +p44813 +aS'physical\tphysical\tJJ\tB-NP\tO' +p44814 +aS'examination\texamination\tNN\tI-NP\tO' +p44815 +aS',\t,\t,\tO\tO' +p44816 +aS'the\tthe\tDT\tB-NP\tO' +p44817 +aS'patient\tpatient\tNN\tI-NP\tO' +p44818 +aS'is\tbe\tVBZ\tB-VP\tO' +p44819 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p44820 +aS'.\t.\t.\tO\tO' +p44821 +asS'WWP , multiple linear scars and burns on hands and arms' +p44822 +(lp44823 +S'WWP\tWWP\tNN\tB-NP\tB-protein' +p44824 +aS',\t,\t,\tO\tO' +p44825 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p44826 +aS'linear\tlinear\tJJ\tI-NP\tO' +p44827 +aS'scars\tscar\tNNS\tI-NP\tO' +p44828 +aS'and\tand\tCC\tI-NP\tO' +p44829 +aS'burns\tburn\tNNS\tI-NP\tO' +p44830 +aS'on\ton\tIN\tB-PP\tO' +p44831 +aS'hands\thand\tNNS\tB-NP\tO' +p44832 +aS'and\tand\tCC\tI-NP\tO' +p44833 +aS'arms\tarm\tNNS\tI-NP\tO' +p44834 +asS'Dilantin was stopped .' +p44835 +(lp44836 +S'Dilantin\tDilantin\tNN\tB-NP\tB-protein' +p44837 +aS'was\tbe\tVBD\tB-VP\tO' +p44838 +aS'stopped\tstop\tVBN\tI-VP\tO' +p44839 +aS'.\t.\t.\tO\tO' +p44840 +asS'If you continue to have fevers , blood cultures should be repeated .' +p44841 +(lp44842 +S'If\tIf\tIN\tB-SBAR\tO' +p44843 +aS'you\tyou\tPRP\tB-NP\tO' +p44844 +aS'continue\tcontinue\tVBP\tB-VP\tO' +p44845 +aS'to\tto\tTO\tI-VP\tO' +p44846 +aS'have\thave\tVB\tI-VP\tO' +p44847 +aS'fevers\tfever\tNNS\tB-NP\tO' +p44848 +aS',\t,\t,\tO\tO' +p44849 +aS'blood\tblood\tNN\tB-NP\tO' +p44850 +aS'cultures\tculture\tNNS\tI-NP\tO' +p44851 +aS'should\tshould\tMD\tB-VP\tO' +p44852 +aS'be\tbe\tVB\tI-VP\tO' +p44853 +aS'repeated\trepeat\tVBN\tI-VP\tO' +p44854 +aS'.\t.\t.\tO\tO' +p44855 +asS'3. DIARRHEA , NAUSEA AND VOMITING , FEVER .' +p44856 +(lp44857 +S'3.\t3.\tLS\tB-LST\tO' +p44858 +aS'DIARRHEA\tDIARRHEA\tNN\tB-NP\tO' +p44859 +aS',\t,\t,\tO\tO' +p44860 +aS'NAUSEA\tNAUSEA\tNN\tB-NP\tB-protein' +p44861 +aS'AND\tAND\tCC\tO\tO' +p44862 +aS'VOMITING\tVOMITING\tNNP\tB-NP\tO' +p44863 +aS',\t,\t,\tO\tO' +p44864 +aS'FEVER\tFEVER\tNNP\tB-NP\tO' +p44865 +aS'.\t.\t.\tO\tO' +p44866 +asS'She was again weaned from the ventilator , and successfully extubated .' +p44867 +(lp44868 +S'She\tShe\tPRP\tB-NP\tO' +p44869 +aS'was\tbe\tVBD\tB-VP\tO' +p44870 +aS'again\tagain\tRB\tI-VP\tO' +p44871 +aS'weaned\twean\tVBN\tI-VP\tO' +p44872 +aS'from\tfrom\tIN\tB-PP\tO' +p44873 +aS'the\tthe\tDT\tB-NP\tO' +p44874 +aS'ventilator\tventilator\tNN\tI-NP\tO' +p44875 +aS',\t,\t,\tO\tO' +p44876 +aS'and\tand\tCC\tO\tO' +p44877 +aS'successfully\tsuccessfully\tRB\tB-VP\tO' +p44878 +aS'extubated\textubate\tVBN\tI-VP\tO' +p44879 +aS'.\t.\t.\tO\tO' +p44880 +asS'She was found to be having preterm contractions without cervical change and was admitted for bedrest .' +p44881 +(lp44882 +S'She\tShe\tPRP\tB-NP\tO' +p44883 +aS'was\tbe\tVBD\tB-VP\tO' +p44884 +aS'found\tfind\tVBN\tI-VP\tO' +p44885 +aS'to\tto\tTO\tI-VP\tO' +p44886 +aS'be\tbe\tVB\tI-VP\tO' +p44887 +aS'having\thave\tVBG\tI-VP\tO' +p44888 +aS'preterm\tpreterm\tJJ\tB-NP\tO' +p44889 +aS'contractions\tcontraction\tNNS\tI-NP\tO' +p44890 +aS'without\twithout\tIN\tB-PP\tO' +p44891 +aS'cervical\tcervical\tJJ\tB-NP\tO' +p44892 +aS'change\tchange\tNN\tI-NP\tO' +p44893 +aS'and\tand\tCC\tO\tO' +p44894 +aS'was\tbe\tVBD\tB-VP\tO' +p44895 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p44896 +aS'for\tfor\tIN\tB-PP\tO' +p44897 +aS'bedrest\tbedrest\tNN\tB-NP\tO' +p44898 +aS'.\t.\t.\tO\tO' +p44899 +asS'Attending : Jerry R Morris , M.D.' +p44900 +(lp44901 +S'Attending\tAttend\tVBG\tB-VP\tO' +p44902 +aS':\t:\t:\tO\tO' +p44903 +aS'Jerry\tJerry\tNNP\tB-NP\tO' +p44904 +aS'R\tR\tNNP\tI-NP\tO' +p44905 +aS'Morris\tMorris\tNNP\tI-NP\tO' +p44906 +aS',\t,\t,\tO\tO' +p44907 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p44908 +asS'The patient was discharged to the regular cardiothoracic floor where his anti-hypertensives were manipulated to improve his heart rate and blood pressure .' +p44909 +(lp44910 +S'The\tThe\tDT\tB-NP\tO' +p44911 +aS'patient\tpatient\tNN\tI-NP\tO' +p44912 +aS'was\tbe\tVBD\tB-VP\tO' +p44913 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p44914 +aS'to\tto\tTO\tB-PP\tO' +p44915 +aS'the\tthe\tDT\tB-NP\tO' +p44916 +aS'regular\tregular\tJJ\tI-NP\tO' +p44917 +aS'cardiothoracic\tcardiothoracic\tJJ\tI-NP\tO' +p44918 +aS'floor\tfloor\tNN\tI-NP\tO' +p44919 +aS'where\twhere\tWRB\tB-ADVP\tO' +p44920 +aS'his\this\tPRP$\tB-NP\tO' +p44921 +aS'anti-hypertensives\tanti-hypertensive\tNNS\tI-NP\tO' +p44922 +aS'were\tbe\tVBD\tB-VP\tO' +p44923 +aS'manipulated\tmanipulate\tVBN\tI-VP\tO' +p44924 +aS'to\tto\tTO\tI-VP\tO' +p44925 +aS'improve\timprove\tVB\tI-VP\tO' +p44926 +aS'his\this\tPRP$\tB-NP\tO' +p44927 +aS'heart\theart\tNN\tI-NP\tO' +p44928 +aS'rate\trate\tNN\tI-NP\tO' +p44929 +aS'and\tand\tCC\tO\tO' +p44930 +aS'blood\tblood\tNN\tB-NP\tO' +p44931 +aS'pressure\tpressure\tNN\tI-NP\tO' +p44932 +aS'.\t.\t.\tO\tO' +p44933 +asS'Saint Vincent Hospital Hospital .' +p44934 +(lp44935 +S'Saint\tSaint\tNNP\tB-NP\tO' +p44936 +aS'Vincent\tVincent\tNNP\tI-NP\tO' +p44937 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p44938 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p44939 +aS'.\t.\t.\tO\tO' +p44940 +asS'ACUTE PANCREATITIS .' +p44941 +(lp44942 +S'ACUTE\tACUTE\tNN\tB-NP\tO' +p44943 +aS'PANCREATITIS\tPANCREATITIS\tNN\tI-NP\tO' +p44944 +aS'.\t.\t.\tO\tO' +p44945 +asS'His cast was removed by the Orthopedic Service in anticipation of this edema and to avoid compartment syndrome .' +p44946 +(lp44947 +S'His\tHis\tPRP$\tB-NP\tO' +p44948 +aS'cast\tcast\tNN\tI-NP\tO' +p44949 +aS'was\tbe\tVBD\tB-VP\tO' +p44950 +aS'removed\tremove\tVBN\tI-VP\tO' +p44951 +aS'by\tby\tIN\tB-PP\tO' +p44952 +aS'the\tthe\tDT\tB-NP\tO' +p44953 +aS'Orthopedic\tOrthopedic\tNNP\tI-NP\tO' +p44954 +aS'Service\tService\tNNP\tI-NP\tO' +p44955 +aS'in\tin\tIN\tB-PP\tO' +p44956 +aS'anticipation\tanticipation\tNN\tB-NP\tO' +p44957 +aS'of\tof\tIN\tB-PP\tO' +p44958 +aS'this\tthis\tDT\tB-NP\tO' +p44959 +aS'edema\tedema\tNN\tI-NP\tO' +p44960 +aS'and\tand\tCC\tO\tO' +p44961 +aS'to\tto\tTO\tB-VP\tO' +p44962 +aS'avoid\tavoid\tVB\tI-VP\tO' +p44963 +aS'compartment\tcompartment\tNN\tB-NP\tO' +p44964 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p44965 +aS'.\t.\t.\tO\tO' +p44966 +asS'She denies any alcohol , drugs or tobacco .' +p44967 +(lp44968 +S'She\tShe\tPRP\tB-NP\tO' +p44969 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p44970 +aS'any\tany\tDT\tB-NP\tO' +p44971 +aS'alcohol\talcohol\tNN\tI-NP\tO' +p44972 +aS',\t,\t,\tO\tO' +p44973 +aS'drugs\tdrug\tNNS\tB-NP\tO' +p44974 +aS'or\tor\tCC\tO\tO' +p44975 +aS'tobacco\ttobacco\tNN\tB-NP\tO' +p44976 +aS'.\t.\t.\tO\tO' +p44977 +asS'No pneumonia .' +p44978 +(lp44979 +S'No\tNo\tDT\tB-NP\tO' +p44980 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p44981 +aS'.\t.\t.\tO\tO' +p44982 +asS'Neurologic examination revealed alert and oriented times three .' +p44983 +(lp44984 +S'Neurologic\tNeurologic\tJJ\tB-NP\tO' +p44985 +aS'examination\texamination\tNN\tI-NP\tO' +p44986 +aS'revealed\treveal\tVBD\tB-VP\tO' +p44987 +aS'alert\talert\tJJ\tB-NP\tO' +p44988 +aS'and\tand\tCC\tI-NP\tO' +p44989 +aS'oriented\torient\tVBN\tI-NP\tO' +p44990 +aS'times\ttime\tNNS\tI-NP\tO' +p44991 +aS'three\tthree\tCD\tB-NP\tO' +p44992 +aS'.\t.\t.\tO\tO' +p44993 +asS'Please follow up in 1 month .' +p44994 +(lp44995 +S'Please\tPlease\tVB\tB-VP\tO' +p44996 +aS'follow\tfollow\tVB\tI-VP\tO' +p44997 +aS'up\tup\tRP\tB-PRT\tO' +p44998 +aS'in\tin\tIN\tB-PP\tO' +p44999 +aS'1\t1\tCD\tB-NP\tO' +p45000 +aS'month\tmonth\tNN\tI-NP\tO' +p45001 +aS'.\t.\t.\tO\tO' +p45002 +asS'She had been in a whole lot of pain from her left arm lesion .' +p45003 +(lp45004 +S'She\tShe\tPRP\tB-NP\tO' +p45005 +aS'had\thave\tVBD\tB-VP\tO' +p45006 +aS'been\tbe\tVBN\tI-VP\tO' +p45007 +aS'in\tin\tIN\tB-PP\tO' +p45008 +aS'a\ta\tDT\tB-NP\tO' +p45009 +aS'whole\twhole\tJJ\tI-NP\tO' +p45010 +aS'lot\tlot\tNN\tI-NP\tO' +p45011 +aS'of\tof\tIN\tB-PP\tO' +p45012 +aS'pain\tpain\tNN\tB-NP\tO' +p45013 +aS'from\tfrom\tIN\tB-PP\tO' +p45014 +aS'her\ther\tPRP$\tB-NP\tO' +p45015 +aS'left\tleft\tJJ\tI-NP\tO' +p45016 +aS'arm\tarm\tNN\tI-NP\tO' +p45017 +aS'lesion\tlesion\tNN\tI-NP\tO' +p45018 +aS'.\t.\t.\tO\tO' +p45019 +asS'Abdomen soft .' +p45020 +(lp45021 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p45022 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p45023 +aS'.\t.\t.\tO\tO' +p45024 +asS'His post transplant course was initially complicated by hyperglycemia and seizure on postoperative day number one .' +p45025 +(lp45026 +S'His\tHis\tPRP$\tB-NP\tO' +p45027 +aS'post\tpost\tJJ\tI-NP\tO' +p45028 +aS'transplant\ttransplant\tNN\tI-NP\tO' +p45029 +aS'course\tcourse\tNN\tI-NP\tO' +p45030 +aS'was\tbe\tVBD\tB-VP\tO' +p45031 +aS'initially\tinitially\tRB\tI-VP\tO' +p45032 +aS'complicated\tcomplicate\tVBN\tI-VP\tO' +p45033 +aS'by\tby\tIN\tB-PP\tO' +p45034 +aS'hyperglycemia\thyperglycemia\tNN\tB-NP\tO' +p45035 +aS'and\tand\tCC\tI-NP\tO' +p45036 +aS'seizure\tseizure\tNN\tI-NP\tO' +p45037 +aS'on\ton\tIN\tB-PP\tO' +p45038 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p45039 +aS'day\tday\tNN\tI-NP\tO' +p45040 +aS'number\tnumber\tNN\tI-NP\tO' +p45041 +aS'one\tone\tCD\tB-NP\tO' +p45042 +aS'.\t.\t.\tO\tO' +p45043 +asS'Ext : trace LE edema at ankles , extremities cool w/ 2+ radial , 1+ DP/PT pulses .' +p45044 +(lp45045 +S'Ext\tExt\tNNP\tB-NP\tO' +p45046 +aS':\t:\t:\tO\tO' +p45047 +aS'trace\ttrace\tNN\tB-NP\tO' +p45048 +aS'LE\tLE\tNN\tI-NP\tO' +p45049 +aS'edema\tedema\tNN\tI-NP\tO' +p45050 +aS'at\tat\tIN\tB-PP\tO' +p45051 +aS'ankles\tankle\tNNS\tB-NP\tO' +p45052 +aS',\t,\t,\tO\tO' +p45053 +aS'extremities\textremity\tNNS\tB-NP\tO' +p45054 +aS'cool\tcool\tVBP\tB-VP\tO' +p45055 +aS'w/\tw/\tNN\tB-NP\tO' +p45056 +aS'2+\t2+\tJJ\tI-NP\tO' +p45057 +aS'radial\tradial\tNN\tI-NP\tO' +p45058 +aS',\t,\t,\tO\tO' +p45059 +aS'1+\t1+\tJJ\tB-NP\tO' +p45060 +aS'DP/PT\tDP/PT\tNN\tI-NP\tO' +p45061 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p45062 +aS'.\t.\t.\tO\tO' +p45063 +asS'The patient was a very pleasant man who appeared his stated age .' +p45064 +(lp45065 +S'The\tThe\tDT\tB-NP\tO' +p45066 +aS'patient\tpatient\tNN\tI-NP\tO' +p45067 +aS'was\tbe\tVBD\tB-VP\tO' +p45068 +aS'a\ta\tDT\tB-NP\tO' +p45069 +aS'very\tvery\tRB\tI-NP\tO' +p45070 +aS'pleasant\tpleasant\tJJ\tI-NP\tO' +p45071 +aS'man\tman\tNN\tI-NP\tO' +p45072 +aS'who\twho\tWP\tB-NP\tO' +p45073 +aS'appeared\tappear\tVBD\tB-VP\tO' +p45074 +aS'his\this\tPRP$\tB-NP\tO' +p45075 +aS'stated\tstated\tJJ\tI-NP\tO' +p45076 +aS'age\tage\tNN\tI-NP\tO' +p45077 +aS'.\t.\t.\tO\tO' +p45078 +asS'They made recommendations for adjustments to her anti-psychotic medications .' +p45079 +(lp45080 +S'They\tThey\tPRP\tB-NP\tO' +p45081 +aS'made\tmake\tVBD\tB-VP\tO' +p45082 +aS'recommendations\trecommendation\tNNS\tB-NP\tO' +p45083 +aS'for\tfor\tIN\tB-PP\tO' +p45084 +aS'adjustments\tadjustment\tNNS\tB-NP\tO' +p45085 +aS'to\tto\tTO\tB-PP\tO' +p45086 +aS'her\ther\tPRP$\tB-NP\tO' +p45087 +aS'anti-psychotic\tanti-psychotic\tJJ\tI-NP\tO' +p45088 +aS'medications\tmedication\tNNS\tI-NP\tO' +p45089 +aS'.\t.\t.\tO\tO' +p45090 +asS'His hematocrit was 36 , and creatinine 1.6 .' +p45091 +(lp45092 +S'His\tHis\tPRP$\tB-NP\tO' +p45093 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p45094 +aS'was\tbe\tVBD\tB-VP\tO' +p45095 +aS'36\t36\tCD\tB-NP\tO' +p45096 +aS',\t,\t,\tO\tO' +p45097 +aS'and\tand\tCC\tO\tO' +p45098 +aS'creatinine\tcreatinine\tNN\tB-NP\tB-protein' +p45099 +aS'1.6\t1.6\tCD\tI-NP\tI-protein' +p45100 +aS'.\t.\t.\tO\tO' +p45101 +asS'The anus was patent and normally placed .' +p45102 +(lp45103 +S'The\tThe\tDT\tB-NP\tO' +p45104 +aS'anus\tanus\tNN\tI-NP\tO' +p45105 +aS'was\tbe\tVBD\tB-VP\tO' +p45106 +aS'patent\tpatent\tNN\tB-NP\tO' +p45107 +aS'and\tand\tCC\tO\tO' +p45108 +aS'normally\tnormally\tRB\tB-VP\tO' +p45109 +aS'placed\tplace\tVBN\tI-VP\tO' +p45110 +aS'.\t.\t.\tO\tO' +p45111 +asS'We continued amiodarone until pt was made CMO .' +p45112 +(lp45113 +S'We\tWe\tPRP\tB-NP\tO' +p45114 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p45115 +aS'amiodarone\tamiodarone\tNN\tB-NP\tO' +p45116 +aS'until\tuntil\tIN\tB-SBAR\tO' +p45117 +aS'pt\tpt\tNN\tB-NP\tO' +p45118 +aS'was\tbe\tVBD\tB-VP\tO' +p45119 +aS'made\tmake\tVBN\tI-VP\tO' +p45120 +aS'CMO\tCMO\tNN\tB-NP\tB-protein' +p45121 +aS'.\t.\t.\tO\tO' +p45122 +asS'2. Diabetes mellitus type 2 , now currently on insulin .' +p45123 +(lp45124 +S'2.\t2.\tLS\tB-NP\tO' +p45125 +aS'Diabetes\tDiabetes\tNN\tI-NP\tO' +p45126 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p45127 +aS'type\ttype\tNN\tI-NP\tO' +p45128 +aS'2\t2\tCD\tI-NP\tO' +p45129 +aS',\t,\t,\tO\tO' +p45130 +aS'now\tnow\tRB\tB-ADVP\tO' +p45131 +aS'currently\tcurrently\tRB\tB-ADVP\tO' +p45132 +aS'on\ton\tIN\tB-PP\tO' +p45133 +aS'insulin\tinsulin\tNN\tB-NP\tB-protein' +p45134 +aS'.\t.\t.\tO\tO' +p45135 +asS'His mental status did clear somewhat with the addition of standing lactulose ; he was discharged on this medication .' +p45136 +(lp45137 +S'His\tHis\tPRP$\tB-NP\tO' +p45138 +aS'mental\tmental\tJJ\tI-NP\tO' +p45139 +aS'status\tstatus\tNN\tI-NP\tO' +p45140 +aS'did\tdo\tVBD\tB-VP\tO' +p45141 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p45142 +aS'somewhat\tsomewhat\tRB\tB-ADVP\tO' +p45143 +aS'with\twith\tIN\tB-PP\tO' +p45144 +aS'the\tthe\tDT\tB-NP\tO' +p45145 +aS'addition\taddition\tNN\tI-NP\tO' +p45146 +aS'of\tof\tIN\tB-PP\tO' +p45147 +aS'standing\tstand\tVBG\tB-VP\tO' +p45148 +aS'lactulose\tlactulose\tNN\tB-NP\tO' +p45149 +aS';\t;\t:\tO\tO' +p45150 +aS'he\the\tPRP\tB-NP\tO' +p45151 +aS'was\tbe\tVBD\tB-VP\tO' +p45152 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p45153 +aS'on\ton\tIN\tB-PP\tO' +p45154 +aS'this\tthis\tDT\tB-NP\tO' +p45155 +aS'medication\tmedication\tNN\tI-NP\tO' +p45156 +aS'.\t.\t.\tO\tO' +p45157 +asS'She is status post appendectomy and otherwise has no remarkable past medical history .' +p45158 +(lp45159 +S'She\tShe\tPRP\tB-NP\tO' +p45160 +aS'is\tbe\tVBZ\tB-VP\tO' +p45161 +aS'status\tstatus\tNN\tB-NP\tO' +p45162 +aS'post\tpost\tNN\tI-NP\tO' +p45163 +aS'appendectomy\tappendectomy\tNN\tI-NP\tO' +p45164 +aS'and\tand\tCC\tO\tO' +p45165 +aS'otherwise\totherwise\tRB\tB-VP\tO' +p45166 +aS'has\thave\tVBZ\tI-VP\tO' +p45167 +aS'no\tno\tDT\tB-NP\tO' +p45168 +aS'remarkable\tremarkable\tJJ\tI-NP\tO' +p45169 +aS'past\tpast\tJJ\tI-NP\tO' +p45170 +aS'medical\tmedical\tJJ\tI-NP\tO' +p45171 +aS'history\thistory\tNN\tI-NP\tO' +p45172 +aS'.\t.\t.\tO\tO' +p45173 +asS'08-27-92 , left foot film , correlation , patient consistent with osteomyelitis involving the first digit and possibly the second digit of the left foot .' +p45174 +(lp45175 +S'08-27-92\t08-27-92\tCD\tB-NP\tO' +p45176 +aS',\t,\t,\tO\tO' +p45177 +aS'left\tleave\tVBD\tB-VP\tO' +p45178 +aS'foot\tfoot\tNN\tB-NP\tO' +p45179 +aS'film\tfilm\tNN\tI-NP\tO' +p45180 +aS',\t,\t,\tO\tO' +p45181 +aS'correlation\tcorrelation\tNN\tB-NP\tO' +p45182 +aS',\t,\t,\tO\tO' +p45183 +aS'patient\tpatient\tNN\tB-NP\tO' +p45184 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p45185 +aS'with\twith\tIN\tB-PP\tO' +p45186 +aS'osteomyelitis\tosteomyelitis\tNN\tB-NP\tO' +p45187 +aS'involving\tinvolve\tVBG\tB-VP\tO' +p45188 +aS'the\tthe\tDT\tB-NP\tO' +p45189 +aS'first\tfirst\tJJ\tI-NP\tO' +p45190 +aS'digit\tdigit\tNN\tI-NP\tO' +p45191 +aS'and\tand\tCC\tO\tO' +p45192 +aS'possibly\tpossibly\tRB\tB-ADVP\tO' +p45193 +aS'the\tthe\tDT\tB-NP\tO' +p45194 +aS'second\tsecond\tJJ\tI-NP\tO' +p45195 +aS'digit\tdigit\tNN\tI-NP\tO' +p45196 +aS'of\tof\tIN\tB-PP\tO' +p45197 +aS'the\tthe\tDT\tB-NP\tO' +p45198 +aS'left\tleft\tJJ\tI-NP\tO' +p45199 +aS'foot\tfoot\tNN\tI-NP\tO' +p45200 +aS'.\t.\t.\tO\tO' +p45201 +asS'He has been taking breast milk or Enfamil 20 po adlib .' +p45202 +(lp45203 +S'He\tHe\tPRP\tB-NP\tO' +p45204 +aS'has\thave\tVBZ\tB-VP\tO' +p45205 +aS'been\tbe\tVBN\tI-VP\tO' +p45206 +aS'taking\ttake\tVBG\tI-VP\tO' +p45207 +aS'breast\tbreast\tNN\tB-NP\tO' +p45208 +aS'milk\tmilk\tNN\tI-NP\tO' +p45209 +aS'or\tor\tCC\tO\tO' +p45210 +aS'Enfamil\tEnfamil\tNN\tB-NP\tO' +p45211 +aS'20\t20\tCD\tI-NP\tO' +p45212 +aS'po\tpo\tNN\tI-NP\tO' +p45213 +aS'adlib\tadlib\tNN\tI-NP\tO' +p45214 +aS'.\t.\t.\tO\tO' +p45215 +asS'Of note , the patient is status post lymphoma with treatment of chemotherapy and radiation six years ago , and is an insulin-dependent diabetic .' +p45216 +(lp45217 +S'Of\tOf\tIN\tB-PP\tO' +p45218 +aS'note\tnote\tNN\tB-NP\tO' +p45219 +aS',\t,\t,\tO\tO' +p45220 +aS'the\tthe\tDT\tB-NP\tO' +p45221 +aS'patient\tpatient\tNN\tI-NP\tO' +p45222 +aS'is\tbe\tVBZ\tB-VP\tO' +p45223 +aS'status\tstatus\tNN\tB-NP\tO' +p45224 +aS'post\tpost\tNN\tI-NP\tO' +p45225 +aS'lymphoma\tlymphoma\tNN\tI-NP\tO' +p45226 +aS'with\twith\tIN\tB-PP\tO' +p45227 +aS'treatment\ttreatment\tNN\tB-NP\tO' +p45228 +aS'of\tof\tIN\tB-PP\tO' +p45229 +aS'chemotherapy\tchemotherapy\tNN\tB-NP\tO' +p45230 +aS'and\tand\tCC\tI-NP\tO' +p45231 +aS'radiation\tradiation\tNN\tI-NP\tO' +p45232 +aS'six\tsix\tCD\tB-NP\tO' +p45233 +aS'years\tyear\tNNS\tI-NP\tO' +p45234 +aS'ago\tago\tRB\tB-ADVP\tO' +p45235 +aS',\t,\t,\tO\tO' +p45236 +aS'and\tand\tCC\tO\tO' +p45237 +aS'is\tbe\tVBZ\tB-VP\tO' +p45238 +aS'an\tan\tDT\tB-NP\tO' +p45239 +aS'insulin-dependent\tinsulin-dependent\tJJ\tI-NP\tO' +p45240 +aS'diabetic\tdiabetic\tNN\tI-NP\tO' +p45241 +aS'.\t.\t.\tO\tO' +p45242 +asS'The lung fields are clear .' +p45243 +(lp45244 +S'The\tThe\tDT\tB-NP\tO' +p45245 +aS'lung\tlung\tNN\tI-NP\tO' +p45246 +aS'fields\tfield\tNNS\tI-NP\tO' +p45247 +aS'are\tbe\tVBP\tB-VP\tO' +p45248 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p45249 +aS'.\t.\t.\tO\tO' +p45250 +asS'Her extraocular movements were full .' +p45251 +(lp45252 +S'Her\tHer\tPRP$\tB-NP\tO' +p45253 +aS'extraocular\textraocular\tJJ\tI-NP\tO' +p45254 +aS'movements\tmovement\tNNS\tI-NP\tO' +p45255 +aS'were\tbe\tVBD\tB-VP\tO' +p45256 +aS'full\tfull\tJJ\tB-ADJP\tO' +p45257 +aS'.\t.\t.\tO\tO' +p45258 +asS'His neurological exam remained stable with no evidence of increasing lower extremity edema .' +p45259 +(lp45260 +S'His\tHis\tPRP$\tB-NP\tO' +p45261 +aS'neurological\tneurological\tJJ\tI-NP\tO' +p45262 +aS'exam\texam\tNN\tI-NP\tO' +p45263 +aS'remained\tremain\tVBD\tB-VP\tO' +p45264 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p45265 +aS'with\twith\tIN\tB-PP\tO' +p45266 +aS'no\tno\tDT\tB-NP\tO' +p45267 +aS'evidence\tevidence\tNN\tI-NP\tO' +p45268 +aS'of\tof\tIN\tB-PP\tO' +p45269 +aS'increasing\tincrease\tVBG\tB-VP\tO' +p45270 +aS'lower\tlow\tJJR\tB-NP\tO' +p45271 +aS'extremity\textremity\tNN\tI-NP\tO' +p45272 +aS'edema\tedema\tNN\tI-NP\tO' +p45273 +aS'.\t.\t.\tO\tO' +p45274 +asS'16) h/o total hysterectomy in 2009' +p45275 +(lp45276 +S'16)\t16)\tLS\tB-NP\tO' +p45277 +aS'h/o\th/o\tNN\tI-NP\tO' +p45278 +aS'total\ttotal\tJJ\tI-NP\tO' +p45279 +aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' +p45280 +aS'in\tin\tIN\tB-PP\tO' +p45281 +aS'2009\t2009\tCD\tB-NP\tO' +p45282 +asS'8. Insulin Regular Human 100 unit / mL Solution Sig : Sliding scale Injection ASDIR ( AS DIRECTED ) : See the sliding scale .' +p45283 +(lp45284 +S'8.\t8.\tLS\tB-NP\tO' +p45285 +aS'Insulin\tInsulin\tNN\tI-NP\tB-protein' +p45286 +aS'Regular\tRegular\tJJ\tI-NP\tI-protein' +p45287 +aS'Human\tHuman\tJJ\tI-NP\tI-protein' +p45288 +aS'100\t100\tCD\tI-NP\tI-protein' +p45289 +aS'unit\tunit\tNN\tI-NP\tI-protein' +p45290 +aS'/\t/\tSYM\tB-NP\tO' +p45291 +aS'mL\tmL\tNN\tI-NP\tO' +p45292 +aS'Solution\tSolution\tNNP\tI-NP\tO' +p45293 +aS'Sig\tSig\tNNP\tI-NP\tO' +p45294 +aS':\t:\t:\tO\tO' +p45295 +aS'Sliding\tSlide\tVBG\tB-VP\tO' +p45296 +aS'scale\tscale\tNN\tB-NP\tO' +p45297 +aS'Injection\tInjection\tNN\tI-NP\tO' +p45298 +aS'ASDIR\tASDIR\tNN\tI-NP\tO' +p45299 +aS'(\t(\t(\tO\tO' +p45300 +aS'AS\tAS\tNNP\tB-NP\tO' +p45301 +aS'DIRECTED\tDIRECTED\tNNP\tI-NP\tO' +p45302 +aS')\t)\t)\tO\tO' +p45303 +aS':\t:\t:\tO\tO' +p45304 +aS'See\tSee\tVB\tB-VP\tO' +p45305 +aS'the\tthe\tDT\tB-NP\tO' +p45306 +aS'sliding\tslide\tVBG\tI-NP\tO' +p45307 +aS'scale\tscale\tNN\tI-NP\tO' +p45308 +aS'.\t.\t.\tO\tO' +p45309 +asS'Audiology hearing screening was performed with automated auditory brain stem responses .' +p45310 +(lp45311 +S'Audiology\tAudiology\tNN\tB-NP\tO' +p45312 +aS'hearing\thearing\tNN\tI-NP\tO' +p45313 +aS'screening\tscreening\tNN\tI-NP\tO' +p45314 +aS'was\tbe\tVBD\tB-VP\tO' +p45315 +aS'performed\tperform\tVBN\tI-VP\tO' +p45316 +aS'with\twith\tIN\tB-PP\tO' +p45317 +aS'automated\tautomate\tVBN\tB-NP\tO' +p45318 +aS'auditory\tauditory\tJJ\tI-NP\tO' +p45319 +aS'brain\tbrain\tNN\tI-NP\tO' +p45320 +aS'stem\tstem\tNN\tI-NP\tO' +p45321 +aS'responses\tresponse\tNNS\tI-NP\tO' +p45322 +aS'.\t.\t.\tO\tO' +p45323 +asS'Percocet for pain as needed .' +p45324 +(lp45325 +S'Percocet\tPercocet\tNN\tB-NP\tO' +p45326 +aS'for\tfor\tIN\tB-PP\tO' +p45327 +aS'pain\tpain\tNN\tB-NP\tO' +p45328 +aS'as\tas\tIN\tB-SBAR\tO' +p45329 +aS'needed\tneed\tVBN\tB-VP\tO' +p45330 +aS'.\t.\t.\tO\tO' +p45331 +asS'Mr . Davison died approximately 24 hours after decision to be CMO , on 2018-05-01 .' +p45332 +(lp45333 +S'Mr\tMr\tNNP\tB-NP\tB-protein' +p45334 +aS'.\t.\t.\tI-NP\tO' +p45335 +aS'Davison\tDavison\tNNP\tI-NP\tO' +p45336 +aS'died\tdie\tVBD\tB-VP\tO' +p45337 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p45338 +aS'24\t24\tCD\tI-NP\tO' +p45339 +aS'hours\thour\tNNS\tI-NP\tO' +p45340 +aS'after\tafter\tIN\tB-PP\tO' +p45341 +aS'decision\tdecision\tNN\tB-NP\tO' +p45342 +aS'to\tto\tTO\tB-VP\tO' +p45343 +aS'be\tbe\tVB\tI-VP\tO' +p45344 +aS'CMO\tCMO\tNN\tB-NP\tB-protein' +p45345 +aS',\t,\t,\tO\tO' +p45346 +aS'on\ton\tIN\tB-PP\tO' +p45347 +aS'2018-05-01\t2018-05-01\tCD\tB-NP\tO' +p45348 +aS'.\t.\t.\tO\tO' +p45349 +asS'Cardiac : RRR , nl . S1S2 , soft holosytolic murmur apex' +p45350 +(lp45351 +S'Cardiac\tCardiac\tJJ\tB-ADJP\tO' +p45352 +aS':\t:\t:\tO\tO' +p45353 +aS'RRR\tRRR\tNN\tB-NP\tB-protein' +p45354 +aS',\t,\t,\tO\tO' +p45355 +aS'nl\tnl\tNN\tB-NP\tB-protein' +p45356 +aS'.\t.\t.\tI-NP\tI-protein' +p45357 +aS'S1S2\tS1S2\tNN\tI-NP\tI-protein' +p45358 +aS',\t,\t,\tO\tO' +p45359 +aS'soft\tsoft\tJJ\tB-NP\tO' +p45360 +aS'holosytolic\tholosytolic\tJJ\tI-NP\tO' +p45361 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p45362 +aS'apex\tapex\tNN\tI-NP\tO' +p45363 +asS'There is cardiomegaly and tortuosity of the thoracic aorta with small bilateral pleural effusions consistent with CHF .' +p45364 +(lp45365 +S'There\tThere\tEX\tB-NP\tO' +p45366 +aS'is\tbe\tVBZ\tB-VP\tO' +p45367 +aS'cardiomegaly\tcardiomegaly\tNN\tB-NP\tO' +p45368 +aS'and\tand\tCC\tI-NP\tO' +p45369 +aS'tortuosity\ttortuosity\tNN\tI-NP\tO' +p45370 +aS'of\tof\tIN\tB-PP\tO' +p45371 +aS'the\tthe\tDT\tB-NP\tO' +p45372 +aS'thoracic\tthoracic\tJJ\tI-NP\tO' +p45373 +aS'aorta\taorta\tNN\tI-NP\tO' +p45374 +aS'with\twith\tIN\tB-PP\tO' +p45375 +aS'small\tsmall\tJJ\tB-NP\tO' +p45376 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p45377 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p45378 +aS'effusions\teffusion\tNNS\tI-NP\tO' +p45379 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p45380 +aS'with\twith\tIN\tB-PP\tO' +p45381 +aS'CHF\tCHF\tNN\tB-NP\tB-protein' +p45382 +aS'.\t.\t.\tO\tO' +p45383 +asS'BUN 8 , creatinine 0.9 .' +p45384 +(lp45385 +S'BUN\tBUN\tNN\tB-NP\tB-protein' +p45386 +aS'8\t8\tCD\tI-NP\tI-protein' +p45387 +aS',\t,\t,\tO\tO' +p45388 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p45389 +aS'0.9\t0.9\tCD\tI-NP\tO' +p45390 +aS'.\t.\t.\tO\tO' +p45391 +asS'The patient weighed 100 kilograms preoperatively .' +p45392 +(lp45393 +S'The\tThe\tDT\tB-NP\tO' +p45394 +aS'patient\tpatient\tNN\tI-NP\tO' +p45395 +aS'weighed\tweigh\tVBD\tB-VP\tO' +p45396 +aS'100\t100\tCD\tB-NP\tO' +p45397 +aS'kilograms\tkilogram\tNNS\tI-NP\tO' +p45398 +aS'preoperatively\tpreoperatively\tRB\tB-ADVP\tO' +p45399 +aS'.\t.\t.\tO\tO' +p45400 +asS'Chief Complaint : altered metnal status' +p45401 +(lp45402 +S'Chief\tChief\tNNP\tB-NP\tO' +p45403 +aS'Complaint\tComplaint\tNNP\tI-NP\tO' +p45404 +aS':\t:\t:\tO\tO' +p45405 +aS'altered\talter\tVBN\tB-VP\tO' +p45406 +aS'metnal\tmetnal\tJJ\tB-NP\tO' +p45407 +aS'status\tstatus\tNN\tI-NP\tO' +p45408 +asS'2) Mechanical mitral valve : Anticoagulation was reversed for ERCP .' +p45409 +(lp45410 +S'2)\t2)\tLS\tB-NP\tO' +p45411 +aS'Mechanical\tMechanical\tJJ\tI-NP\tO' +p45412 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p45413 +aS'valve\tvalve\tNN\tI-NP\tO' +p45414 +aS':\t:\t:\tO\tO' +p45415 +aS'Anticoagulation\tAnticoagulation\tNN\tB-NP\tO' +p45416 +aS'was\tbe\tVBD\tB-VP\tO' +p45417 +aS'reversed\treverse\tVBN\tI-VP\tO' +p45418 +aS'for\tfor\tIN\tB-PP\tO' +p45419 +aS'ERCP\tERCP\tNN\tB-NP\tB-protein' +p45420 +aS'.\t.\t.\tO\tO' +p45421 +asS'Tizanidine HCl 8 mg PO QHS' +p45422 +(lp45423 +S'Tizanidine\tTizanidine\tNN\tB-NP\tO' +p45424 +aS'HCl\tHCl\tNN\tI-NP\tO' +p45425 +aS'8\t8\tCD\tI-NP\tO' +p45426 +aS'mg\tmg\tNN\tI-NP\tO' +p45427 +aS'PO\tPO\tNN\tI-NP\tO' +p45428 +aS'QHS\tQHS\tNN\tI-NP\tO' +p45429 +asS'She had full strength motor exam , no pronator drift and PERRLA with full EOM s.' +p45430 +(lp45431 +S'She\tShe\tPRP\tB-NP\tO' +p45432 +aS'had\thave\tVBD\tB-VP\tO' +p45433 +aS'full\tfull\tJJ\tB-NP\tO' +p45434 +aS'strength\tstrength\tNN\tI-NP\tO' +p45435 +aS'motor\tmotor\tNN\tI-NP\tO' +p45436 +aS'exam\texam\tNN\tI-NP\tO' +p45437 +aS',\t,\t,\tO\tO' +p45438 +aS'no\tno\tDT\tB-NP\tO' +p45439 +aS'pronator\tpronator\tNN\tI-NP\tO' +p45440 +aS'drift\tdrift\tNN\tI-NP\tO' +p45441 +aS'and\tand\tCC\tI-NP\tO' +p45442 +aS'PERRLA\tPERRLA\tNN\tI-NP\tO' +p45443 +aS'with\twith\tIN\tB-PP\tO' +p45444 +aS'full\tfull\tJJ\tB-NP\tO' +p45445 +aS'EOM\tEOM\tNN\tI-NP\tO' +p45446 +aS's.\ts.\tNN\tI-NP\tO' +p45447 +asS'An echocardiogram was done .' +p45448 +(lp45449 +S'An\tAn\tDT\tB-NP\tO' +p45450 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p45451 +aS'was\tbe\tVBD\tB-VP\tO' +p45452 +aS'done\tdo\tVBN\tI-VP\tO' +p45453 +aS'.\t.\t.\tO\tO' +p45454 +asS'Pregnancy was uncomplicated until an occurrence of HSV outbreak occurred on 2017-09-13 approximately one week prior to delivery .' +p45455 +(lp45456 +S'Pregnancy\tPregnancy\tNN\tB-NP\tO' +p45457 +aS'was\tbe\tVBD\tB-VP\tO' +p45458 +aS'uncomplicated\tuncomplicated\tJJ\tB-ADJP\tO' +p45459 +aS'until\tuntil\tIN\tB-SBAR\tO' +p45460 +aS'an\tan\tDT\tB-NP\tO' +p45461 +aS'occurrence\toccurrence\tNN\tI-NP\tO' +p45462 +aS'of\tof\tIN\tB-PP\tO' +p45463 +aS'HSV\tHSV\tNN\tB-NP\tO' +p45464 +aS'outbreak\toutbreak\tNN\tI-NP\tO' +p45465 +aS'occurred\toccur\tVBD\tB-VP\tO' +p45466 +aS'on\ton\tIN\tB-PP\tO' +p45467 +aS'2017-09-13\t2017-09-13\tCD\tB-NP\tO' +p45468 +aS'approximately\tapproximately\tRB\tI-NP\tO' +p45469 +aS'one\tone\tCD\tI-NP\tO' +p45470 +aS'week\tweek\tNN\tI-NP\tO' +p45471 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p45472 +aS'to\tto\tTO\tB-PP\tO' +p45473 +aS'delivery\tdelivery\tNN\tB-NP\tO' +p45474 +aS'.\t.\t.\tO\tO' +p45475 +asS'The circumflex had a long 30% stenosis proximally and an 80% stenosis at the origin of the second major marginal artery .' +p45476 +(lp45477 +S'The\tThe\tDT\tB-NP\tO' +p45478 +aS'circumflex\tcircumflex\tNN\tI-NP\tO' +p45479 +aS'had\thave\tVBD\tB-VP\tO' +p45480 +aS'a\ta\tDT\tB-NP\tO' +p45481 +aS'long\tlong\tJJ\tI-NP\tO' +p45482 +aS'30%\t30%\tCD\tI-NP\tO' +p45483 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p45484 +aS'proximally\tproximally\tRB\tB-ADVP\tO' +p45485 +aS'and\tand\tCC\tO\tO' +p45486 +aS'an\tan\tDT\tB-NP\tO' +p45487 +aS'80%\t80%\tNN\tI-NP\tO' +p45488 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p45489 +aS'at\tat\tIN\tB-PP\tO' +p45490 +aS'the\tthe\tDT\tB-NP\tO' +p45491 +aS'origin\torigin\tNN\tI-NP\tO' +p45492 +aS'of\tof\tIN\tB-PP\tO' +p45493 +aS'the\tthe\tDT\tB-NP\tO' +p45494 +aS'second\tsecond\tJJ\tI-NP\tO' +p45495 +aS'major\tmajor\tJJ\tI-NP\tO' +p45496 +aS'marginal\tmarginal\tJJ\tI-NP\tO' +p45497 +aS'artery\tartery\tNN\tI-NP\tO' +p45498 +aS'.\t.\t.\tO\tO' +p45499 +asS'Sodium 134 , potassium 4.0 , chloride 91 , bicarbonate 33 , BUN 21 , creatinine 1.1 , glucose 99 , CK 22 , troponin 0 .' +p45500 +(lp45501 +S'Sodium\tSodium\tNN\tB-NP\tB-protein' +p45502 +aS'134\t134\tCD\tI-NP\tI-protein' +p45503 +aS',\t,\t,\tO\tO' +p45504 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p45505 +aS'4.0\t4.0\tCD\tI-NP\tO' +p45506 +aS',\t,\t,\tO\tO' +p45507 +aS'chloride\tchloride\tNN\tB-NP\tO' +p45508 +aS'91\t91\tCD\tI-NP\tO' +p45509 +aS',\t,\t,\tO\tO' +p45510 +aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' +p45511 +aS'33\t33\tCD\tI-NP\tO' +p45512 +aS',\t,\t,\tO\tO' +p45513 +aS'BUN\tBUN\tNN\tB-NP\tB-DNA' +p45514 +aS'21\t21\tCD\tI-NP\tI-DNA' +p45515 +aS',\t,\t,\tO\tO' +p45516 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p45517 +aS'1.1\t1.1\tCD\tI-NP\tO' +p45518 +aS',\t,\t,\tO\tO' +p45519 +aS'glucose\tglucose\tNN\tB-NP\tB-protein' +p45520 +aS'99\t99\tCD\tI-NP\tI-protein' +p45521 +aS',\t,\t,\tO\tO' +p45522 +aS'CK\tCK\tNN\tB-NP\tB-protein' +p45523 +aS'22\t22\tCD\tI-NP\tI-protein' +p45524 +aS',\t,\t,\tO\tO' +p45525 +aS'troponin\ttroponin\tNN\tB-NP\tB-protein' +p45526 +aS'0\t0\tCD\tI-NP\tI-protein' +p45527 +aS'.\t.\t.\tO\tO' +p45528 +asS'Exam today shows he is neurologically alert .' +p45529 +(lp45530 +S'Exam\tExam\tNN\tB-NP\tO' +p45531 +aS'today\ttoday\tNN\tB-NP\tO' +p45532 +aS'shows\tshow\tVBZ\tB-VP\tO' +p45533 +aS'he\the\tPRP\tB-NP\tO' +p45534 +aS'is\tbe\tVBZ\tB-VP\tO' +p45535 +aS'neurologically\tneurologically\tRB\tB-ADJP\tO' +p45536 +aS'alert\talert\tJJ\tI-ADJP\tO' +p45537 +aS'.\t.\t.\tO\tO' +p45538 +asS'Appropriate tone and reflexes .' +p45539 +(lp45540 +S'Appropriate\tAppropriate\tJJ\tB-NP\tO' +p45541 +aS'tone\ttone\tNN\tI-NP\tO' +p45542 +aS'and\tand\tCC\tI-NP\tO' +p45543 +aS'reflexes\treflex\tNNS\tI-NP\tO' +p45544 +aS'.\t.\t.\tO\tO' +p45545 +asS'She denies nausea , vomiting , and diarrhea .' +p45546 +(lp45547 +S'She\tShe\tPRP\tB-NP\tO' +p45548 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p45549 +aS'nausea\tnausea\tNN\tB-NP\tO' +p45550 +aS',\t,\t,\tO\tO' +p45551 +aS'vomiting\tvomiting\tNN\tB-NP\tO' +p45552 +aS',\t,\t,\tO\tO' +p45553 +aS'and\tand\tCC\tO\tO' +p45554 +aS'diarrhea\tdiarrhea\tNN\tB-NP\tO' +p45555 +aS'.\t.\t.\tO\tO' +p45556 +asS'Proceed with colonoscopy .' +p45557 +(lp45558 +S'Proceed\tProceed\tVB\tB-VP\tO' +p45559 +aS'with\twith\tIN\tB-PP\tO' +p45560 +aS'colonoscopy\tcolonoscopy\tNN\tB-NP\tO' +p45561 +aS'.\t.\t.\tO\tO' +p45562 +asS'warm , no edema , no varicosities' +p45563 +(lp45564 +S'warm\twarm\tJJ\tB-ADJP\tO' +p45565 +aS',\t,\t,\tO\tO' +p45566 +aS'no\tno\tDT\tB-NP\tO' +p45567 +aS'edema\tedema\tNN\tI-NP\tO' +p45568 +aS',\t,\t,\tO\tO' +p45569 +aS'no\tno\tDT\tB-NP\tO' +p45570 +aS'varicosities\tvaricosity\tNNS\tI-NP\tO' +p45571 +asS'Mr. Knueppel is afebrile with a temperature of 97.1 , pulse 77 , sinus rhythm .' +p45572 +(lp45573 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p45574 +aS'Knueppel\tKnueppel\tNNP\tI-NP\tO' +p45575 +aS'is\tbe\tVBZ\tB-VP\tO' +p45576 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p45577 +aS'with\twith\tIN\tB-PP\tO' +p45578 +aS'a\ta\tDT\tB-NP\tO' +p45579 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p45580 +aS'of\tof\tIN\tB-PP\tO' +p45581 +aS'97.1\t97.1\tCD\tB-NP\tO' +p45582 +aS',\t,\t,\tO\tO' +p45583 +aS'pulse\tpulse\tNN\tB-NP\tO' +p45584 +aS'77\t77\tCD\tI-NP\tO' +p45585 +aS',\t,\t,\tO\tO' +p45586 +aS'sinus\tsinus\tNN\tB-NP\tO' +p45587 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p45588 +aS'.\t.\t.\tO\tO' +p45589 +asS'Followup cardiac studies showed there was a resolution of his constrictive pericarditis .' +p45590 +(lp45591 +S'Followup\tFollowup\tNN\tB-NP\tO' +p45592 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p45593 +aS'studies\tstudy\tNNS\tI-NP\tO' +p45594 +aS'showed\tshow\tVBD\tB-VP\tO' +p45595 +aS'there\tthere\tEX\tB-NP\tO' +p45596 +aS'was\tbe\tVBD\tB-VP\tO' +p45597 +aS'a\ta\tDT\tB-NP\tO' +p45598 +aS'resolution\tresolution\tNN\tI-NP\tO' +p45599 +aS'of\tof\tIN\tB-PP\tO' +p45600 +aS'his\this\tPRP$\tB-NP\tO' +p45601 +aS'constrictive\tconstrictive\tJJ\tI-NP\tO' +p45602 +aS'pericarditis\tpericarditis\tNN\tI-NP\tO' +p45603 +aS'.\t.\t.\tO\tO' +p45604 +asS'A chest x-ray revealed increased free air under the diaphragm .' +p45605 +(lp45606 +S'A\tA\tDT\tB-NP\tO' +p45607 +aS'chest\tchest\tNN\tI-NP\tO' +p45608 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p45609 +aS'revealed\treveal\tVBD\tB-VP\tO' +p45610 +aS'increased\tincrease\tVBN\tI-VP\tO' +p45611 +aS'free\tfree\tJJ\tB-NP\tO' +p45612 +aS'air\tair\tNN\tI-NP\tO' +p45613 +aS'under\tunder\tIN\tB-PP\tO' +p45614 +aS'the\tthe\tDT\tB-NP\tO' +p45615 +aS'diaphragm\tdiaphragm\tNN\tI-NP\tO' +p45616 +aS'.\t.\t.\tO\tO' +p45617 +asS'Anemia - baseline mid 30 s.' +p45618 +(lp45619 +S'Anemia\tAnemia\tNN\tB-NP\tO' +p45620 +aS'-\t-\tHYPH\tI-NP\tO' +p45621 +aS'baseline\tbaseline\tNN\tI-NP\tO' +p45622 +aS'mid\tmid\tNN\tI-NP\tO' +p45623 +aS'30\t30\tCD\tB-NP\tO' +p45624 +aS's.\ts.\tNNS\tI-NP\tO' +p45625 +asS'She remained afebrile so on 11-02 antibiotic regimen was weaned to only levofloxacin .' +p45626 +(lp45627 +S'She\tShe\tPRP\tB-NP\tO' +p45628 +aS'remained\tremain\tVBD\tB-VP\tO' +p45629 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p45630 +aS'so\tso\tRB\tB-ADVP\tO' +p45631 +aS'on\ton\tIN\tB-PP\tO' +p45632 +aS'11-02\t11-02\tCD\tB-NP\tO' +p45633 +aS'antibiotic\tantibiotic\tJJ\tI-NP\tO' +p45634 +aS'regimen\tregimen\tNN\tI-NP\tO' +p45635 +aS'was\tbe\tVBD\tB-VP\tO' +p45636 +aS'weaned\twean\tVBN\tI-VP\tO' +p45637 +aS'to\tto\tTO\tB-PP\tO' +p45638 +aS'only\tonly\tRB\tB-NP\tO' +p45639 +aS'levofloxacin\tlevofloxacin\tNN\tI-NP\tO' +p45640 +aS'.\t.\t.\tO\tO' +p45641 +asS'His left lower lobe micro results revealed alpha hemolytic Streptococcus on culture and he was then switched to penicillin and Gentamicin after being started on triples of Flagyl , Ampicillin , and Gentamicin .' +p45642 +(lp45643 +S'His\tHis\tPRP$\tB-NP\tB-protein' +p45644 +aS'left\tleave\tVBD\tB-VP\tO' +p45645 +aS'lower\tlow\tJJR\tB-NP\tO' +p45646 +aS'lobe\tlobe\tNN\tI-NP\tO' +p45647 +aS'micro\tmicro\tNN\tI-NP\tO' +p45648 +aS'results\tresult\tNNS\tI-NP\tO' +p45649 +aS'revealed\treveal\tVBD\tB-VP\tO' +p45650 +aS'alpha\talpha\tNN\tB-NP\tO' +p45651 +aS'hemolytic\themolytic\tJJ\tI-NP\tO' +p45652 +aS'Streptococcus\tStreptococcus\tNN\tI-NP\tO' +p45653 +aS'on\ton\tIN\tB-PP\tO' +p45654 +aS'culture\tculture\tNN\tB-NP\tO' +p45655 +aS'and\tand\tCC\tO\tO' +p45656 +aS'he\the\tPRP\tB-NP\tO' +p45657 +aS'was\tbe\tVBD\tB-VP\tO' +p45658 +aS'then\tthen\tRB\tI-VP\tO' +p45659 +aS'switched\tswitch\tVBN\tI-VP\tO' +p45660 +aS'to\tto\tTO\tB-PP\tO' +p45661 +aS'penicillin\tpenicillin\tNN\tB-NP\tO' +p45662 +aS'and\tand\tCC\tI-NP\tO' +p45663 +aS'Gentamicin\tGentamicin\tNN\tI-NP\tO' +p45664 +aS'after\tafter\tIN\tB-PP\tO' +p45665 +aS'being\tbe\tVBG\tB-VP\tO' +p45666 +aS'started\tstart\tVBN\tI-VP\tO' +p45667 +aS'on\ton\tIN\tB-PP\tO' +p45668 +aS'triples\ttriple\tNNS\tB-NP\tO' +p45669 +aS'of\tof\tIN\tB-PP\tO' +p45670 +aS'Flagyl\tFlagyl\tNN\tB-NP\tO' +p45671 +aS',\t,\t,\tO\tO' +p45672 +aS'Ampicillin\tAmpicillin\tNN\tB-NP\tB-protein' +p45673 +aS',\t,\t,\tO\tO' +p45674 +aS'and\tand\tCC\tO\tO' +p45675 +aS'Gentamicin\tGentamicin\tNN\tB-NP\tO' +p45676 +aS'.\t.\t.\tO\tO' +p45677 +asS'She continued to have a rise in her CEA level which prompted a further work up .' +p45678 +(lp45679 +S'She\tShe\tPRP\tB-NP\tO' +p45680 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p45681 +aS'to\tto\tTO\tI-VP\tO' +p45682 +aS'have\thave\tVB\tI-VP\tO' +p45683 +aS'a\ta\tDT\tB-NP\tO' +p45684 +aS'rise\trise\tNN\tI-NP\tO' +p45685 +aS'in\tin\tIN\tB-PP\tO' +p45686 +aS'her\ther\tPRP$\tB-NP\tO' +p45687 +aS'CEA\tCEA\tNN\tI-NP\tB-protein' +p45688 +aS'level\tlevel\tNN\tI-NP\tO' +p45689 +aS'which\twhich\tWDT\tB-NP\tO' +p45690 +aS'prompted\tprompt\tVBD\tB-VP\tO' +p45691 +aS'a\ta\tDT\tB-NP\tO' +p45692 +aS'further\tfurther\tJJ\tI-NP\tO' +p45693 +aS'work\twork\tNN\tI-NP\tO' +p45694 +aS'up\tup\tRP\tB-PRT\tO' +p45695 +aS'.\t.\t.\tO\tO' +p45696 +asS'She underwent the procedure and tolerated the procedure very well .' +p45697 +(lp45698 +S'She\tShe\tPRP\tB-NP\tO' +p45699 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p45700 +aS'the\tthe\tDT\tB-NP\tO' +p45701 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p45702 +aS'and\tand\tCC\tO\tO' +p45703 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p45704 +aS'the\tthe\tDT\tB-NP\tO' +p45705 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p45706 +aS'very\tvery\tRB\tB-ADVP\tO' +p45707 +aS'well\twell\tRB\tI-ADVP\tO' +p45708 +aS'.\t.\t.\tO\tO' +p45709 +asS'The patient is discharged to home .' +p45710 +(lp45711 +S'The\tThe\tDT\tB-NP\tO' +p45712 +aS'patient\tpatient\tNN\tI-NP\tO' +p45713 +aS'is\tbe\tVBZ\tB-VP\tO' +p45714 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p45715 +aS'to\tto\tTO\tB-PP\tO' +p45716 +aS'home\thome\tNN\tB-NP\tO' +p45717 +aS'.\t.\t.\tO\tO' +p45718 +asS'The patient lives currently with a friend , he is from the Taheimpromong and has lived here for 13 years , he does note multiple sexual partners , although he notes using condoms with everyone except his wife , he reportedly had a negative PPD during his prison stay one year ago for one week .' +p45719 +(lp45720 +S'The\tThe\tDT\tB-NP\tO' +p45721 +aS'patient\tpatient\tNN\tI-NP\tO' +p45722 +aS'lives\tlive\tVBZ\tB-VP\tO' +p45723 +aS'currently\tcurrently\tRB\tB-ADVP\tO' +p45724 +aS'with\twith\tIN\tB-PP\tO' +p45725 +aS'a\ta\tDT\tB-NP\tO' +p45726 +aS'friend\tfriend\tNN\tI-NP\tO' +p45727 +aS',\t,\t,\tO\tO' +p45728 +aS'he\the\tPRP\tB-NP\tO' +p45729 +aS'is\tbe\tVBZ\tB-VP\tO' +p45730 +aS'from\tfrom\tIN\tB-PP\tO' +p45731 +aS'the\tthe\tDT\tB-NP\tO' +p45732 +aS'Taheimpromong\tTaheimpromong\tNNP\tI-NP\tO' +p45733 +aS'and\tand\tCC\tO\tO' +p45734 +aS'has\thave\tVBZ\tB-VP\tO' +p45735 +aS'lived\tlive\tVBN\tI-VP\tO' +p45736 +aS'here\there\tRB\tB-ADVP\tO' +p45737 +aS'for\tfor\tIN\tB-PP\tO' +p45738 +aS'13\t13\tCD\tB-NP\tO' +p45739 +aS'years\tyear\tNNS\tI-NP\tO' +p45740 +aS',\t,\t,\tO\tO' +p45741 +aS'he\the\tPRP\tB-NP\tO' +p45742 +aS'does\tdo\tVBZ\tB-VP\tO' +p45743 +aS'note\tnote\tVB\tI-VP\tO' +p45744 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p45745 +aS'sexual\tsexual\tJJ\tI-NP\tO' +p45746 +aS'partners\tpartner\tNNS\tI-NP\tO' +p45747 +aS',\t,\t,\tO\tO' +p45748 +aS'although\talthough\tIN\tB-SBAR\tO' +p45749 +aS'he\the\tPRP\tB-NP\tO' +p45750 +aS'notes\tnote\tVBZ\tB-VP\tO' +p45751 +aS'using\tuse\tVBG\tI-VP\tO' +p45752 +aS'condoms\tcondom\tNNS\tB-NP\tO' +p45753 +aS'with\twith\tIN\tB-PP\tO' +p45754 +aS'everyone\teveryone\tNN\tB-NP\tO' +p45755 +aS'except\texcept\tIN\tB-PP\tO' +p45756 +aS'his\this\tPRP$\tB-NP\tO' +p45757 +aS'wife\twife\tNN\tI-NP\tO' +p45758 +aS',\t,\t,\tO\tO' +p45759 +aS'he\the\tPRP\tB-NP\tO' +p45760 +aS'reportedly\treportedly\tRB\tB-ADVP\tO' +p45761 +aS'had\thave\tVBD\tB-VP\tO' +p45762 +aS'a\ta\tDT\tB-NP\tO' +p45763 +aS'negative\tnegative\tJJ\tI-NP\tO' +p45764 +aS'PPD\tPPD\tNN\tI-NP\tO' +p45765 +aS'during\tduring\tIN\tB-PP\tO' +p45766 +aS'his\this\tPRP$\tB-NP\tO' +p45767 +aS'prison\tprison\tNN\tI-NP\tO' +p45768 +aS'stay\tstay\tVB\tB-VP\tO' +p45769 +aS'one\tone\tCD\tB-NP\tO' +p45770 +aS'year\tyear\tNN\tI-NP\tO' +p45771 +aS'ago\tago\tRB\tB-ADVP\tO' +p45772 +aS'for\tfor\tIN\tB-PP\tO' +p45773 +aS'one\tone\tCD\tB-NP\tO' +p45774 +aS'week\tweek\tNN\tI-NP\tO' +p45775 +aS'.\t.\t.\tO\tO' +p45776 +asS'Signed electronically by : DR. John Bonilla on : MON 2013-05-13 4:49 PM' +p45777 +(lp45778 +S'Signed\tSign\tVBN\tB-VP\tO' +p45779 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p45780 +aS'by\tby\tIN\tB-PP\tO' +p45781 +aS':\t:\t:\tO\tO' +p45782 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p45783 +aS'John\tJohn\tNNP\tI-NP\tO' +p45784 +aS'Bonilla\tBonilla\tNNP\tI-NP\tO' +p45785 +aS'on\ton\tIN\tB-PP\tO' +p45786 +aS':\t:\t:\tO\tO' +p45787 +aS'MON\tMON\tNN\tB-NP\tO' +p45788 +aS'2013-05-13\t2013-05-13\tCD\tI-NP\tO' +p45789 +aS'4:49\t4:49\tCD\tI-NP\tO' +p45790 +aS'PM\tPM\tNN\tI-NP\tO' +p45791 +asS'15. Nitroglycerin SR 2.5 mg twice a day .' +p45792 +(lp45793 +S'15.\t15.\tLS\tB-NP\tO' +p45794 +aS'Nitroglycerin\tNitroglycerin\tNN\tI-NP\tO' +p45795 +aS'SR\tSR\tNN\tI-NP\tO' +p45796 +aS'2.5\t2.5\tCD\tB-NP\tO' +p45797 +aS'mg\tmg\tNN\tI-NP\tO' +p45798 +aS'twice\ttwice\tRB\tB-NP\tO' +p45799 +aS'a\ta\tDT\tI-NP\tO' +p45800 +aS'day\tday\tNN\tI-NP\tO' +p45801 +aS'.\t.\t.\tO\tO' +p45802 +asS'All four children in pts room and agree on CMO - want to d/c c-collar and start morphine ggt .' +p45803 +(lp45804 +S'All\tAll\tDT\tB-NP\tO' +p45805 +aS'four\tfour\tCD\tI-NP\tO' +p45806 +aS'children\tchild\tNNS\tI-NP\tO' +p45807 +aS'in\tin\tIN\tB-PP\tO' +p45808 +aS'pts\tpt\tNNS\tB-NP\tO' +p45809 +aS'room\troom\tNN\tI-NP\tO' +p45810 +aS'and\tand\tCC\tO\tO' +p45811 +aS'agree\tagree\tVBP\tB-VP\tO' +p45812 +aS'on\ton\tIN\tB-PP\tO' +p45813 +aS'CMO\tCMO\tNN\tB-NP\tB-protein' +p45814 +aS'-\t-\tHYPH\tB-NP\tO' +p45815 +aS'want\twant\tNN\tI-NP\tO' +p45816 +aS'to\tto\tTO\tB-PP\tO' +p45817 +aS'd/c\td/c\tNN\tB-NP\tO' +p45818 +aS'c-collar\tc-collar\tNN\tI-NP\tO' +p45819 +aS'and\tand\tCC\tO\tO' +p45820 +aS'start\tstart\tVB\tB-VP\tO' +p45821 +aS'morphine\tmorphine\tNN\tB-NP\tO' +p45822 +aS'ggt\tggt\tNN\tI-NP\tO' +p45823 +aS'.\t.\t.\tO\tO' +p45824 +asS'Deep tendon reflexes are 2+ and symmetric , toes were up going bilaterally .' +p45825 +(lp45826 +S'Deep\tDeep\tJJ\tB-NP\tO' +p45827 +aS'tendon\ttendon\tNN\tI-NP\tO' +p45828 +aS'reflexes\treflex\tNNS\tI-NP\tO' +p45829 +aS'are\tbe\tVBP\tB-VP\tO' +p45830 +aS'2+\t2+\tJJ\tB-ADJP\tO' +p45831 +aS'and\tand\tCC\tI-ADJP\tO' +p45832 +aS'symmetric\tsymmetric\tJJ\tI-ADJP\tO' +p45833 +aS',\t,\t,\tO\tO' +p45834 +aS'toes\ttoe\tNNS\tB-NP\tO' +p45835 +aS'were\tbe\tVBD\tB-VP\tO' +p45836 +aS'up\tup\tRB\tI-VP\tO' +p45837 +aS'going\tgo\tVBG\tI-VP\tO' +p45838 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p45839 +aS'.\t.\t.\tO\tO' +p45840 +asS'She is now unable to stand and needs assistance to sit up .' +p45841 +(lp45842 +S'She\tShe\tPRP\tB-NP\tO' +p45843 +aS'is\tbe\tVBZ\tB-VP\tO' +p45844 +aS'now\tnow\tRB\tB-ADVP\tO' +p45845 +aS'unable\tunable\tJJ\tB-ADJP\tO' +p45846 +aS'to\tto\tTO\tB-VP\tO' +p45847 +aS'stand\tstand\tVB\tI-VP\tO' +p45848 +aS'and\tand\tCC\tO\tO' +p45849 +aS'needs\tneed\tVBZ\tB-VP\tO' +p45850 +aS'assistance\tassistance\tNN\tB-NP\tO' +p45851 +aS'to\tto\tTO\tB-VP\tO' +p45852 +aS'sit\tsit\tVB\tI-VP\tO' +p45853 +aS'up\tup\tRP\tB-PRT\tO' +p45854 +aS'.\t.\t.\tO\tO' +p45855 +asS'BP remained stable throughout the admission ; initially , BP meds were held , but as VS remai ned stable and bleeding subsided , lopressor was titrated up to 25 mg po tid .' +p45856 +(lp45857 +S'BP\tBP\tNN\tB-NP\tO' +p45858 +aS'remained\tremain\tVBD\tB-VP\tO' +p45859 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p45860 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p45861 +aS'the\tthe\tDT\tB-NP\tO' +p45862 +aS'admission\tadmission\tNN\tI-NP\tO' +p45863 +aS';\t;\t:\tO\tO' +p45864 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p45865 +aS',\t,\t,\tO\tO' +p45866 +aS'BP\tBP\tNN\tB-NP\tO' +p45867 +aS'meds\tmed\tNNS\tI-NP\tO' +p45868 +aS'were\tbe\tVBD\tB-VP\tO' +p45869 +aS'held\thold\tVBN\tI-VP\tO' +p45870 +aS',\t,\t,\tO\tO' +p45871 +aS'but\tbut\tCC\tO\tO' +p45872 +aS'as\tas\tIN\tB-SBAR\tO' +p45873 +aS'VS\tVS\tNN\tB-NP\tB-protein' +p45874 +aS'remai\tremai\tNNS\tI-NP\tI-protein' +p45875 +aS'ned\tne\tVBD\tB-VP\tO' +p45876 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p45877 +aS'and\tand\tCC\tO\tO' +p45878 +aS'bleeding\tbleed\tVBG\tB-VP\tO' +p45879 +aS'subsided\tsubsided\tJJ\tB-NP\tO' +p45880 +aS',\t,\t,\tO\tO' +p45881 +aS'lopressor\tlopressor\tNN\tB-NP\tO' +p45882 +aS'was\tbe\tVBD\tB-VP\tO' +p45883 +aS'titrated\ttitrate\tVBN\tI-VP\tO' +p45884 +aS'up\tup\tRB\tB-NP\tO' +p45885 +aS'to\tto\tTO\tI-NP\tO' +p45886 +aS'25\t25\tCD\tI-NP\tO' +p45887 +aS'mg\tmg\tNN\tI-NP\tO' +p45888 +aS'po\tpo\tNN\tI-NP\tO' +p45889 +aS'tid\ttid\tNN\tI-NP\tO' +p45890 +aS'.\t.\t.\tO\tO' +p45891 +asS'On that day he was slightly diaphoretic with some tachycardia to 100 .' +p45892 +(lp45893 +S'On\tOn\tIN\tB-PP\tO' +p45894 +aS'that\tthat\tDT\tB-NP\tO' +p45895 +aS'day\tday\tNN\tI-NP\tO' +p45896 +aS'he\the\tPRP\tB-NP\tO' +p45897 +aS'was\tbe\tVBD\tB-VP\tO' +p45898 +aS'slightly\tslightly\tRB\tB-ADJP\tO' +p45899 +aS'diaphoretic\tdiaphoretic\tJJ\tI-ADJP\tO' +p45900 +aS'with\twith\tIN\tB-PP\tO' +p45901 +aS'some\tsome\tDT\tB-NP\tO' +p45902 +aS'tachycardia\ttachycardia\tNN\tI-NP\tO' +p45903 +aS'to\tto\tTO\tB-PP\tO' +p45904 +aS'100\t100\tCD\tB-NP\tO' +p45905 +aS'.\t.\t.\tO\tO' +p45906 +asS'R complex renal cyst , bladder diverticula .' +p45907 +(lp45908 +S'R\tR\tNN\tB-NP\tB-protein' +p45909 +aS'complex\tcomplex\tNN\tI-NP\tI-protein' +p45910 +aS'renal\trenal\tJJ\tI-NP\tO' +p45911 +aS'cyst\tcyst\tNN\tI-NP\tO' +p45912 +aS',\t,\t,\tO\tO' +p45913 +aS'bladder\tbladder\tNN\tB-NP\tO' +p45914 +aS'diverticula\tdiverticula\tNN\tI-NP\tO' +p45915 +aS'.\t.\t.\tO\tO' +p45916 +asS'The patient presented with a chief complaint of WHEEZES .' +p45917 +(lp45918 +S'The\tThe\tDT\tB-NP\tO' +p45919 +aS'patient\tpatient\tNN\tI-NP\tO' +p45920 +aS'presented\tpresent\tVBD\tB-VP\tO' +p45921 +aS'with\twith\tIN\tB-PP\tO' +p45922 +aS'a\ta\tDT\tB-NP\tO' +p45923 +aS'chief\tchief\tJJ\tI-NP\tO' +p45924 +aS'complaint\tcomplaint\tNN\tI-NP\tO' +p45925 +aS'of\tof\tIN\tB-PP\tO' +p45926 +aS'WHEEZES\tWHEEZES\tNNS\tB-NP\tO' +p45927 +aS'.\t.\t.\tO\tO' +p45928 +asS'Charles quit using Cocaine , ETOH , and IV Heroin two years ago , and his son is unaware of any relapses .' +p45929 +(lp45930 +S'Charles\tCharles\tNNP\tB-NP\tO' +p45931 +aS'quit\tquit\tVBD\tB-VP\tO' +p45932 +aS'using\tuse\tVBG\tI-VP\tO' +p45933 +aS'Cocaine\tCocaine\tNN\tB-NP\tO' +p45934 +aS',\t,\t,\tO\tO' +p45935 +aS'ETOH\tETOH\tNN\tB-NP\tB-protein' +p45936 +aS',\t,\t,\tO\tO' +p45937 +aS'and\tand\tCC\tO\tO' +p45938 +aS'IV\tIV\tCD\tB-NP\tO' +p45939 +aS'Heroin\tHeroin\tNNP\tI-NP\tO' +p45940 +aS'two\ttwo\tCD\tB-NP\tO' +p45941 +aS'years\tyear\tNNS\tI-NP\tO' +p45942 +aS'ago\tago\tRB\tB-ADVP\tO' +p45943 +aS',\t,\t,\tO\tO' +p45944 +aS'and\tand\tCC\tO\tO' +p45945 +aS'his\this\tPRP$\tB-NP\tO' +p45946 +aS'son\tson\tNN\tI-NP\tO' +p45947 +aS'is\tbe\tVBZ\tB-VP\tO' +p45948 +aS'unaware\tunaware\tJJ\tB-ADJP\tO' +p45949 +aS'of\tof\tIN\tB-PP\tO' +p45950 +aS'any\tany\tDT\tB-NP\tO' +p45951 +aS'relapses\trelapse\tNNS\tI-NP\tO' +p45952 +aS'.\t.\t.\tO\tO' +p45953 +asS'No clear diagnosis was made .' +p45954 +(lp45955 +S'No\tNo\tDT\tB-NP\tO' +p45956 +aS'clear\tclear\tJJ\tI-NP\tO' +p45957 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p45958 +aS'was\tbe\tVBD\tB-VP\tO' +p45959 +aS'made\tmake\tVBN\tI-VP\tO' +p45960 +aS'.\t.\t.\tO\tO' +p45961 +asS'Glaucoma .' +p45962 +(lp45963 +S'Glaucoma\tGlaucoma\tNN\tB-NP\tO' +p45964 +aS'.\t.\t.\tO\tO' +p45965 +asS'He has not had any blood work done .' +p45966 +(lp45967 +S'He\tHe\tPRP\tB-NP\tO' +p45968 +aS'has\thave\tVBZ\tB-VP\tO' +p45969 +aS'not\tnot\tRB\tI-VP\tO' +p45970 +aS'had\thave\tVBN\tI-VP\tO' +p45971 +aS'any\tany\tDT\tB-NP\tO' +p45972 +aS'blood\tblood\tNN\tI-NP\tO' +p45973 +aS'work\twork\tNN\tI-NP\tO' +p45974 +aS'done\tdo\tVBN\tB-VP\tO' +p45975 +aS'.\t.\t.\tO\tO' +p45976 +asS'4. Has not received any immunization .' +p45977 +(lp45978 +S'4.\t4.\tLS\tB-LST\tO' +p45979 +aS'Has\tHas\tNNP\tB-NP\tO' +p45980 +aS'not\tnot\tRB\tB-VP\tO' +p45981 +aS'received\treceive\tVBN\tI-VP\tO' +p45982 +aS'any\tany\tDT\tB-NP\tO' +p45983 +aS'immunization\timmunization\tNN\tI-NP\tO' +p45984 +aS'.\t.\t.\tO\tO' +p45985 +asS'The patient is an 82 - year-old male with a history of hypertension , remote tobacco abuse , chronic renal insufficiency , and a history of a TIA who was in his usual state of health until five nights prior to admission when he awoke at midnight with severe epigastric pain radiating to both arms .' +p45986 +(lp45987 +S'The\tThe\tDT\tB-NP\tO' +p45988 +aS'patient\tpatient\tNN\tI-NP\tO' +p45989 +aS'is\tbe\tVBZ\tB-VP\tO' +p45990 +aS'an\tan\tDT\tB-NP\tO' +p45991 +aS'82\t82\tCD\tI-NP\tO' +p45992 +aS'-\t-\tHYPH\tI-NP\tO' +p45993 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p45994 +aS'male\tmale\tNN\tI-NP\tO' +p45995 +aS'with\twith\tIN\tB-PP\tO' +p45996 +aS'a\ta\tDT\tB-NP\tO' +p45997 +aS'history\thistory\tNN\tI-NP\tO' +p45998 +aS'of\tof\tIN\tB-PP\tO' +p45999 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p46000 +aS',\t,\t,\tO\tO' +p46001 +aS'remote\tremote\tJJ\tB-NP\tO' +p46002 +aS'tobacco\ttobacco\tNN\tI-NP\tO' +p46003 +aS'abuse\tabuse\tNN\tI-NP\tO' +p46004 +aS',\t,\t,\tO\tO' +p46005 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p46006 +aS'renal\trenal\tJJ\tI-NP\tO' +p46007 +aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' +p46008 +aS',\t,\t,\tO\tO' +p46009 +aS'and\tand\tCC\tO\tO' +p46010 +aS'a\ta\tDT\tB-NP\tO' +p46011 +aS'history\thistory\tNN\tI-NP\tO' +p46012 +aS'of\tof\tIN\tB-PP\tO' +p46013 +aS'a\ta\tDT\tB-NP\tO' +p46014 +aS'TIA\tTIA\tNN\tI-NP\tB-protein' +p46015 +aS'who\twho\tWP\tB-NP\tO' +p46016 +aS'was\tbe\tVBD\tB-VP\tO' +p46017 +aS'in\tin\tIN\tB-PP\tO' +p46018 +aS'his\this\tPRP$\tB-NP\tO' +p46019 +aS'usual\tusual\tJJ\tI-NP\tO' +p46020 +aS'state\tstate\tNN\tI-NP\tO' +p46021 +aS'of\tof\tIN\tB-PP\tO' +p46022 +aS'health\thealth\tNN\tB-NP\tO' +p46023 +aS'until\tuntil\tIN\tB-PP\tO' +p46024 +aS'five\tfive\tCD\tB-NP\tO' +p46025 +aS'nights\tnight\tNNS\tI-NP\tO' +p46026 +aS'prior\tprior\tRB\tB-ADVP\tO' +p46027 +aS'to\tto\tTO\tB-PP\tO' +p46028 +aS'admission\tadmission\tNN\tB-NP\tO' +p46029 +aS'when\twhen\tWRB\tB-ADVP\tO' +p46030 +aS'he\the\tPRP\tB-NP\tO' +p46031 +aS'awoke\tawake\tVBD\tB-VP\tO' +p46032 +aS'at\tat\tIN\tB-PP\tO' +p46033 +aS'midnight\tmidnight\tNN\tB-NP\tO' +p46034 +aS'with\twith\tIN\tB-PP\tO' +p46035 +aS'severe\tsevere\tJJ\tB-NP\tO' +p46036 +aS'epigastric\tepigastric\tJJ\tI-NP\tO' +p46037 +aS'pain\tpain\tNN\tI-NP\tO' +p46038 +aS'radiating\tradiate\tVBG\tB-VP\tO' +p46039 +aS'to\tto\tTO\tB-PP\tO' +p46040 +aS'both\tboth\tDT\tB-NP\tO' +p46041 +aS'arms\tarm\tNNS\tI-NP\tO' +p46042 +aS'.\t.\t.\tO\tO' +p46043 +asS'There were non-specific ST-T wave abnormalities .' +p46044 +(lp46045 +S'There\tThere\tEX\tB-NP\tO' +p46046 +aS'were\tbe\tVBD\tB-VP\tO' +p46047 +aS'non-specific\tnon-specific\tJJ\tB-NP\tO' +p46048 +aS'ST-T\tST-T\tNN\tI-NP\tO' +p46049 +aS'wave\twave\tNN\tI-NP\tO' +p46050 +aS'abnormalities\tabnormality\tNNS\tI-NP\tO' +p46051 +aS'.\t.\t.\tO\tO' +p46052 +asS'Otherwise normal CN 's .' +p46053 +(lp46054 +S'Otherwise\tOtherwise\tRB\tB-NP\tO' +p46055 +aS'normal\tnormal\tJJ\tI-NP\tO' +p46056 +aS'CN\tCN\tNN\tI-NP\tO' +p46057 +aS''s\t'\tNNS\tI-NP\tO' +p46058 +aS'.\t.\t.\tO\tO' +p46059 +asS'The vehicle was noted to be extensively damaged .' +p46060 +(lp46061 +S'The\tThe\tDT\tB-NP\tO' +p46062 +aS'vehicle\tvehicle\tNN\tI-NP\tO' +p46063 +aS'was\tbe\tVBD\tB-VP\tO' +p46064 +aS'noted\tnote\tVBN\tI-VP\tO' +p46065 +aS'to\tto\tTO\tI-VP\tO' +p46066 +aS'be\tbe\tVB\tI-VP\tO' +p46067 +aS'extensively\textensively\tRB\tI-VP\tO' +p46068 +aS'damaged\tdamage\tVBN\tI-VP\tO' +p46069 +aS'.\t.\t.\tO\tO' +p46070 +asS'Ampicillin and chloramphenicol were given at Noughwell Entanbon Health , and ceftriaxone was given at Fairm of Ijordcompmac Hospital .' +p46071 +(lp46072 +S'Ampicillin\tAmpicillin\tNN\tB-NP\tO' +p46073 +aS'and\tand\tCC\tI-NP\tO' +p46074 +aS'chloramphenicol\tchloramphenicol\tNN\tI-NP\tO' +p46075 +aS'were\tbe\tVBD\tB-VP\tO' +p46076 +aS'given\tgive\tVBN\tI-VP\tO' +p46077 +aS'at\tat\tIN\tB-PP\tO' +p46078 +aS'Noughwell\tNoughwell\tNNP\tB-NP\tO' +p46079 +aS'Entanbon\tEntanbon\tNNP\tI-NP\tO' +p46080 +aS'Health\tHealth\tNNP\tI-NP\tO' +p46081 +aS',\t,\t,\tO\tO' +p46082 +aS'and\tand\tCC\tO\tO' +p46083 +aS'ceftriaxone\tceftriaxone\tNN\tB-NP\tO' +p46084 +aS'was\tbe\tVBD\tB-VP\tO' +p46085 +aS'given\tgive\tVBN\tI-VP\tO' +p46086 +aS'at\tat\tIN\tB-PP\tO' +p46087 +aS'Fairm\tFairm\tNNP\tB-NP\tO' +p46088 +aS'of\tof\tIN\tB-PP\tO' +p46089 +aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' +p46090 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p46091 +aS'.\t.\t.\tO\tO' +p46092 +asS'Dr. Cantsleddjesc felt that no surgical approach to this problem or further intervention or radiologic procedures would be helpful .' +p46093 +(lp46094 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p46095 +aS'Cantsleddjesc\tCantsleddjesc\tNNP\tI-NP\tO' +p46096 +aS'felt\tfeel\tVBD\tB-VP\tO' +p46097 +aS'that\tthat\tIN\tB-SBAR\tO' +p46098 +aS'no\tno\tDT\tB-NP\tO' +p46099 +aS'surgical\tsurgical\tJJ\tI-NP\tO' +p46100 +aS'approach\tapproach\tNN\tI-NP\tO' +p46101 +aS'to\tto\tTO\tB-PP\tO' +p46102 +aS'this\tthis\tDT\tB-NP\tO' +p46103 +aS'problem\tproblem\tNN\tI-NP\tO' +p46104 +aS'or\tor\tCC\tO\tO' +p46105 +aS'further\tfurther\tJJ\tB-NP\tO' +p46106 +aS'intervention\tintervention\tNN\tI-NP\tO' +p46107 +aS'or\tor\tCC\tO\tO' +p46108 +aS'radiologic\tradiologic\tJJ\tB-NP\tO' +p46109 +aS'procedures\tprocedure\tNNS\tI-NP\tO' +p46110 +aS'would\twould\tMD\tB-VP\tO' +p46111 +aS'be\tbe\tVB\tI-VP\tO' +p46112 +aS'helpful\thelpful\tJJ\tB-ADJP\tO' +p46113 +aS'.\t.\t.\tO\tO' +p46114 +asS'Neurologically , the patient was not following commands .' +p46115 +(lp46116 +S'Neurologically\tNeurologically\tRB\tB-ADVP\tO' +p46117 +aS',\t,\t,\tO\tO' +p46118 +aS'the\tthe\tDT\tB-NP\tO' +p46119 +aS'patient\tpatient\tNN\tI-NP\tO' +p46120 +aS'was\tbe\tVBD\tB-VP\tO' +p46121 +aS'not\tnot\tRB\tI-VP\tO' +p46122 +aS'following\tfollow\tVBG\tI-VP\tO' +p46123 +aS'commands\tcommand\tNNS\tB-NP\tO' +p46124 +aS'.\t.\t.\tO\tO' +p46125 +asS'She can name several words such as thumb , watch and knuckle .' +p46126 +(lp46127 +S'She\tShe\tPRP\tB-NP\tO' +p46128 +aS'can\tcan\tMD\tB-VP\tO' +p46129 +aS'name\tname\tVB\tI-VP\tO' +p46130 +aS'several\tseveral\tJJ\tB-NP\tO' +p46131 +aS'words\tword\tNNS\tI-NP\tO' +p46132 +aS'such\tsuch\tJJ\tB-PP\tO' +p46133 +aS'as\tas\tIN\tI-PP\tO' +p46134 +aS'thumb\tthumb\tNN\tB-NP\tO' +p46135 +aS',\t,\t,\tI-NP\tO' +p46136 +aS'watch\twatch\tNN\tI-NP\tO' +p46137 +aS'and\tand\tCC\tI-NP\tO' +p46138 +aS'knuckle\tknuckle\tNN\tI-NP\tO' +p46139 +aS'.\t.\t.\tO\tO' +p46140 +asS'Please call ( 808 ) 246-1373 and schedule an appointment to see Dr. Lewis in 2 weeks .' +p46141 +(lp46142 +S'Please\tPlease\tNN\tB-NP\tO' +p46143 +aS'call\tcall\tNN\tI-NP\tO' +p46144 +aS'(\t(\t(\tO\tO' +p46145 +aS'808\t808\tCD\tB-NP\tO' +p46146 +aS')\t)\t)\tO\tO' +p46147 +aS'246-1373\t246-1373\tCD\tB-NP\tO' +p46148 +aS'and\tand\tCC\tO\tO' +p46149 +aS'schedule\tschedule\tVB\tB-VP\tO' +p46150 +aS'an\tan\tDT\tB-NP\tO' +p46151 +aS'appointment\tappointment\tNN\tI-NP\tO' +p46152 +aS'to\tto\tTO\tB-VP\tO' +p46153 +aS'see\tsee\tVB\tI-VP\tO' +p46154 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p46155 +aS'Lewis\tLewis\tNNP\tI-NP\tO' +p46156 +aS'in\tin\tIN\tB-PP\tO' +p46157 +aS'2\t2\tCD\tB-NP\tO' +p46158 +aS'weeks\tweek\tNNS\tI-NP\tO' +p46159 +aS'.\t.\t.\tO\tO' +p46160 +asS'Symptoms of congestive heart failure gradually abated over the next 48 to 72 hours .' +p46161 +(lp46162 +S'Symptoms\tSymptom\tNNS\tB-NP\tO' +p46163 +aS'of\tof\tIN\tB-PP\tO' +p46164 +aS'congestive\tcongestive\tJJ\tB-NP\tO' +p46165 +aS'heart\theart\tNN\tI-NP\tO' +p46166 +aS'failure\tfailure\tNN\tI-NP\tO' +p46167 +aS'gradually\tgradually\tRB\tB-ADVP\tO' +p46168 +aS'abated\tabate\tVBD\tB-VP\tO' +p46169 +aS'over\tover\tIN\tB-PP\tO' +p46170 +aS'the\tthe\tDT\tB-NP\tO' +p46171 +aS'next\tnext\tJJ\tI-NP\tO' +p46172 +aS'48\t48\tCD\tI-NP\tO' +p46173 +aS'to\tto\tTO\tI-NP\tO' +p46174 +aS'72\t72\tCD\tI-NP\tO' +p46175 +aS'hours\thour\tNNS\tI-NP\tO' +p46176 +aS'.\t.\t.\tO\tO' +p46177 +asS'Discharge Wt 1645 gms .' +p46178 +(lp46179 +S'Discharge\tDischarge\tNNP\tB-NP\tO' +p46180 +aS'Wt\tWt\tNNP\tI-NP\tO' +p46181 +aS'1645\t1645\tCD\tI-NP\tO' +p46182 +aS'gms\tgm\tNNS\tI-NP\tO' +p46183 +aS'.\t.\t.\tO\tO' +p46184 +asS'Cardiology evaluation commented on the patient 's increasing ventricular ectopy and suggested that these were due to an R and T phenomenon from his pacer in the setting of prolonged QT interval .' +p46185 +(lp46186 +S'Cardiology\tCardiology\tNN\tB-NP\tO' +p46187 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p46188 +aS'commented\tcomment\tVBN\tB-VP\tO' +p46189 +aS'on\ton\tIN\tB-PP\tO' +p46190 +aS'the\tthe\tDT\tB-NP\tO' +p46191 +aS'patient\tpatient\tNN\tI-NP\tO' +p46192 +aS''s\t'\tNNS\tI-NP\tO' +p46193 +aS'increasing\tincrease\tVBG\tB-VP\tO' +p46194 +aS'ventricular\tventricular\tJJ\tB-NP\tO' +p46195 +aS'ectopy\tectopy\tNN\tI-NP\tO' +p46196 +aS'and\tand\tCC\tO\tO' +p46197 +aS'suggested\tsuggest\tVBD\tB-VP\tO' +p46198 +aS'that\tthat\tIN\tB-SBAR\tO' +p46199 +aS'these\tthese\tDT\tB-NP\tO' +p46200 +aS'were\tbe\tVBD\tB-VP\tO' +p46201 +aS'due\tdue\tJJ\tB-ADJP\tO' +p46202 +aS'to\tto\tTO\tB-PP\tO' +p46203 +aS'an\tan\tDT\tB-NP\tO' +p46204 +aS'R\tR\tNN\tI-NP\tB-protein' +p46205 +aS'and\tand\tCC\tI-NP\tO' +p46206 +aS'T\tT\tNN\tI-NP\tO' +p46207 +aS'phenomenon\tphenomenon\tNN\tI-NP\tO' +p46208 +aS'from\tfrom\tIN\tB-PP\tO' +p46209 +aS'his\this\tPRP$\tB-NP\tO' +p46210 +aS'pacer\tpacer\tNN\tI-NP\tO' +p46211 +aS'in\tin\tIN\tB-PP\tO' +p46212 +aS'the\tthe\tDT\tB-NP\tO' +p46213 +aS'setting\tsetting\tNN\tI-NP\tO' +p46214 +aS'of\tof\tIN\tB-PP\tO' +p46215 +aS'prolonged\tprolonged\tJJ\tB-NP\tO' +p46216 +aS'QT\tQT\tNN\tI-NP\tO' +p46217 +aS'interval\tinterval\tNN\tI-NP\tO' +p46218 +aS'.\t.\t.\tO\tO' +p46219 +asS'Of note , she has had recent medication changes which included discontinuing Diovan and starting terazosin .' +p46220 +(lp46221 +S'Of\tOf\tIN\tB-PP\tO' +p46222 +aS'note\tnote\tNN\tB-NP\tO' +p46223 +aS',\t,\t,\tO\tO' +p46224 +aS'she\tshe\tPRP\tB-NP\tO' +p46225 +aS'has\thave\tVBZ\tB-VP\tO' +p46226 +aS'had\thave\tVBN\tI-VP\tO' +p46227 +aS'recent\trecent\tJJ\tB-NP\tO' +p46228 +aS'medication\tmedication\tNN\tI-NP\tO' +p46229 +aS'changes\tchange\tNNS\tI-NP\tO' +p46230 +aS'which\twhich\tWDT\tB-NP\tO' +p46231 +aS'included\tinclude\tVBD\tB-VP\tO' +p46232 +aS'discontinuing\tdiscontinue\tVBG\tI-VP\tO' +p46233 +aS'Diovan\tDiovan\tNNP\tB-NP\tO' +p46234 +aS'and\tand\tCC\tO\tO' +p46235 +aS'starting\tstart\tVBG\tB-VP\tO' +p46236 +aS'terazosin\tterazosin\tNN\tB-NP\tO' +p46237 +aS'.\t.\t.\tO\tO' +p46238 +asS'His blood urine and sputum were all cultured .' +p46239 +(lp46240 +S'His\tHis\tPRP$\tB-NP\tO' +p46241 +aS'blood\tblood\tNN\tI-NP\tO' +p46242 +aS'urine\turine\tNN\tI-NP\tO' +p46243 +aS'and\tand\tCC\tI-NP\tO' +p46244 +aS'sputum\tsputum\tNN\tI-NP\tO' +p46245 +aS'were\tbe\tVBD\tB-VP\tO' +p46246 +aS'all\tall\tDT\tO\tO' +p46247 +aS'cultured\tculture\tVBN\tB-VP\tO' +p46248 +aS'.\t.\t.\tO\tO' +p46249 +asS'She also reports a cough productive of green sputum for approximately one week .' +p46250 +(lp46251 +S'She\tShe\tPRP\tB-NP\tO' +p46252 +aS'also\talso\tRB\tB-ADVP\tO' +p46253 +aS'reports\treport\tVBZ\tB-VP\tO' +p46254 +aS'a\ta\tDT\tB-NP\tO' +p46255 +aS'cough\tcough\tNN\tI-NP\tO' +p46256 +aS'productive\tproductive\tJJ\tB-ADJP\tO' +p46257 +aS'of\tof\tIN\tB-PP\tO' +p46258 +aS'green\tgreen\tJJ\tB-NP\tO' +p46259 +aS'sputum\tsputum\tNN\tI-NP\tO' +p46260 +aS'for\tfor\tIN\tB-PP\tO' +p46261 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p46262 +aS'one\tone\tCD\tI-NP\tO' +p46263 +aS'week\tweek\tNN\tI-NP\tO' +p46264 +aS'.\t.\t.\tO\tO' +p46265 +asS'No signs of infection presently , and tolerating dialysis without difficulty .' +p46266 +(lp46267 +S'No\tNo\tDT\tB-NP\tO' +p46268 +aS'signs\tsign\tNNS\tI-NP\tO' +p46269 +aS'of\tof\tIN\tB-PP\tO' +p46270 +aS'infection\tinfection\tNN\tB-NP\tO' +p46271 +aS'presently\tpresently\tRB\tB-ADVP\tO' +p46272 +aS',\t,\t,\tO\tO' +p46273 +aS'and\tand\tCC\tO\tO' +p46274 +aS'tolerating\ttolerate\tVBG\tB-VP\tO' +p46275 +aS'dialysis\tdialysis\tNN\tB-NP\tO' +p46276 +aS'without\twithout\tIN\tB-PP\tO' +p46277 +aS'difficulty\tdifficulty\tNN\tB-NP\tO' +p46278 +aS'.\t.\t.\tO\tO' +p46279 +asS'Vital signs were temperature 97.8 , heart rate 80 and sinus rhythm , blood pressure 140/82 , respiratory rate 18 ,' +p46280 +(lp46281 +S'Vital\tVital\tJJ\tB-NP\tO' +p46282 +aS'signs\tsign\tNNS\tI-NP\tO' +p46283 +aS'were\tbe\tVBD\tB-VP\tO' +p46284 +aS'temperature\ttemperature\tNN\tB-NP\tO' +p46285 +aS'97.8\t97.8\tCD\tI-NP\tO' +p46286 +aS',\t,\t,\tO\tO' +p46287 +aS'heart\theart\tNN\tB-NP\tO' +p46288 +aS'rate\trate\tNN\tI-NP\tO' +p46289 +aS'80\t80\tCD\tB-NP\tO' +p46290 +aS'and\tand\tCC\tI-NP\tO' +p46291 +aS'sinus\tsinus\tNN\tI-NP\tO' +p46292 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p46293 +aS',\t,\t,\tO\tO' +p46294 +aS'blood\tblood\tNN\tB-NP\tO' +p46295 +aS'pressure\tpressure\tNN\tI-NP\tO' +p46296 +aS'140/82\t140/82\tCD\tI-NP\tO' +p46297 +aS',\t,\t,\tI-NP\tO' +p46298 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p46299 +aS'rate\trate\tNN\tI-NP\tO' +p46300 +aS'18\t18\tCD\tI-NP\tO' +p46301 +aS',\t,\t,\tO\tO' +p46302 +asS'A neurologic work-up was undertaken which included a CT scan of the head which revealed no acute bleed and a lumbar puncture which revealed a glucose of 72 , protein 65 , white blood cell count 19 , red blood cell count 11,500 with no evidence of xanthrochromasia .' +p46303 +(lp46304 +S'A\tA\tDT\tB-NP\tO' +p46305 +aS'neurologic\tneurologic\tJJ\tI-NP\tO' +p46306 +aS'work-up\twork-up\tNN\tI-NP\tO' +p46307 +aS'was\tbe\tVBD\tB-VP\tO' +p46308 +aS'undertaken\tundertake\tVBN\tI-VP\tO' +p46309 +aS'which\twhich\tWDT\tB-NP\tO' +p46310 +aS'included\tinclude\tVBD\tB-VP\tO' +p46311 +aS'a\ta\tDT\tB-NP\tO' +p46312 +aS'CT\tCT\tNN\tI-NP\tO' +p46313 +aS'scan\tscan\tNN\tI-NP\tO' +p46314 +aS'of\tof\tIN\tB-PP\tO' +p46315 +aS'the\tthe\tDT\tB-NP\tO' +p46316 +aS'head\thead\tNN\tI-NP\tO' +p46317 +aS'which\twhich\tWDT\tB-NP\tO' +p46318 +aS'revealed\treveal\tVBD\tB-VP\tO' +p46319 +aS'no\tno\tDT\tB-NP\tO' +p46320 +aS'acute\tacute\tJJ\tI-NP\tO' +p46321 +aS'bleed\tbleed\tNN\tI-NP\tO' +p46322 +aS'and\tand\tCC\tO\tO' +p46323 +aS'a\ta\tDT\tB-NP\tO' +p46324 +aS'lumbar\tlumbar\tNN\tI-NP\tO' +p46325 +aS'puncture\tpuncture\tNN\tI-NP\tO' +p46326 +aS'which\twhich\tWDT\tB-NP\tO' +p46327 +aS'revealed\treveal\tVBD\tB-VP\tO' +p46328 +aS'a\ta\tDT\tB-NP\tO' +p46329 +aS'glucose\tglucose\tNN\tI-NP\tO' +p46330 +aS'of\tof\tIN\tB-PP\tO' +p46331 +aS'72\t72\tCD\tB-NP\tO' +p46332 +aS',\t,\t,\tO\tO' +p46333 +aS'protein\tprotein\tNN\tB-NP\tO' +p46334 +aS'65\t65\tCD\tI-NP\tO' +p46335 +aS',\t,\t,\tO\tO' +p46336 +aS'white\twhite\tJJ\tB-NP\tO' +p46337 +aS'blood\tblood\tNN\tI-NP\tO' +p46338 +aS'cell\tcell\tNN\tI-NP\tO' +p46339 +aS'count\tcount\tNN\tI-NP\tO' +p46340 +aS'19\t19\tCD\tI-NP\tO' +p46341 +aS',\t,\t,\tO\tO' +p46342 +aS'red\tred\tJJ\tB-NP\tO' +p46343 +aS'blood\tblood\tNN\tI-NP\tO' +p46344 +aS'cell\tcell\tNN\tI-NP\tO' +p46345 +aS'count\tcount\tNN\tI-NP\tO' +p46346 +aS'11,500\t11,500\tCD\tB-NP\tO' +p46347 +aS'with\twith\tIN\tB-PP\tO' +p46348 +aS'no\tno\tDT\tB-NP\tO' +p46349 +aS'evidence\tevidence\tNN\tI-NP\tO' +p46350 +aS'of\tof\tIN\tB-PP\tO' +p46351 +aS'xanthrochromasia\txanthrochromasia\tNN\tB-NP\tO' +p46352 +aS'.\t.\t.\tO\tO' +p46353 +asS'Please continue to take coumadin as directed by your doctors until told to stop for clots found in your lungs .' +p46354 +(lp46355 +S'Please\tPlease\tNN\tB-NP\tB-protein' +p46356 +aS'continue\tcontinue\tVBP\tB-VP\tO' +p46357 +aS'to\tto\tTO\tI-VP\tO' +p46358 +aS'take\ttake\tVB\tI-VP\tO' +p46359 +aS'coumadin\tcoumadin\tNN\tB-NP\tO' +p46360 +aS'as\tas\tIN\tB-SBAR\tO' +p46361 +aS'directed\tdirect\tVBN\tB-VP\tO' +p46362 +aS'by\tby\tIN\tB-PP\tO' +p46363 +aS'your\tyour\tPRP$\tB-NP\tO' +p46364 +aS'doctors\tdoctor\tNNS\tI-NP\tO' +p46365 +aS'until\tuntil\tIN\tB-SBAR\tO' +p46366 +aS'told\ttell\tVBN\tB-VP\tO' +p46367 +aS'to\tto\tTO\tB-VP\tO' +p46368 +aS'stop\tstop\tVB\tI-VP\tO' +p46369 +aS'for\tfor\tIN\tB-PP\tO' +p46370 +aS'clots\tclot\tNNS\tB-NP\tO' +p46371 +aS'found\tfind\tVBN\tB-VP\tO' +p46372 +aS'in\tin\tIN\tB-PP\tO' +p46373 +aS'your\tyour\tPRP$\tB-NP\tO' +p46374 +aS'lungs\tlung\tNNS\tI-NP\tO' +p46375 +aS'.\t.\t.\tO\tO' +p46376 +asS'Name of primary pediatrician is Ashley Daley of Village Pediatrics in Stockbridge .' +p46377 +(lp46378 +S'Name\tName\tNN\tB-NP\tO' +p46379 +aS'of\tof\tIN\tB-PP\tO' +p46380 +aS'primary\tprimary\tJJ\tB-NP\tO' +p46381 +aS'pediatrician\tpediatrician\tNN\tI-NP\tO' +p46382 +aS'is\tbe\tVBZ\tB-VP\tO' +p46383 +aS'Ashley\tAshley\tNNP\tB-NP\tO' +p46384 +aS'Daley\tDaley\tNNP\tI-NP\tO' +p46385 +aS'of\tof\tIN\tB-PP\tO' +p46386 +aS'Village\tVillage\tNNP\tB-NP\tO' +p46387 +aS'Pediatrics\tPediatrics\tNNP\tI-NP\tO' +p46388 +aS'in\tin\tIN\tB-PP\tO' +p46389 +aS'Stockbridge\tStockbridge\tNNP\tB-NP\tO' +p46390 +aS'.\t.\t.\tO\tO' +p46391 +asS'The patient tolerated the procedure well and was transported to the cardiac surgery recovery room .' +p46392 +(lp46393 +S'The\tThe\tDT\tB-NP\tO' +p46394 +aS'patient\tpatient\tNN\tI-NP\tO' +p46395 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p46396 +aS'the\tthe\tDT\tB-NP\tO' +p46397 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p46398 +aS'well\twell\tRB\tB-ADVP\tO' +p46399 +aS'and\tand\tCC\tO\tO' +p46400 +aS'was\tbe\tVBD\tB-VP\tO' +p46401 +aS'transported\ttransport\tVBN\tI-VP\tO' +p46402 +aS'to\tto\tTO\tB-PP\tO' +p46403 +aS'the\tthe\tDT\tB-NP\tO' +p46404 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p46405 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p46406 +aS'recovery\trecovery\tNN\tI-NP\tO' +p46407 +aS'room\troom\tNN\tI-NP\tO' +p46408 +aS'.\t.\t.\tO\tO' +p46409 +asS'Sensation intact to light touch , pin prick , temperature ( cold ) .' +p46410 +(lp46411 +S'Sensation\tSensation\tNN\tB-NP\tO' +p46412 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p46413 +aS'to\tto\tTO\tB-PP\tO' +p46414 +aS'light\tlight\tJJ\tB-NP\tO' +p46415 +aS'touch\ttouch\tNN\tI-NP\tO' +p46416 +aS',\t,\t,\tO\tO' +p46417 +aS'pin\tpin\tNN\tB-NP\tO' +p46418 +aS'prick\tprick\tNN\tI-NP\tO' +p46419 +aS',\t,\t,\tO\tO' +p46420 +aS'temperature\ttemperature\tNN\tB-NP\tO' +p46421 +aS'(\t(\t(\tO\tO' +p46422 +aS'cold\tcold\tNN\tB-NP\tO' +p46423 +aS')\t)\t)\tO\tO' +p46424 +aS'.\t.\t.\tO\tO' +p46425 +asS'Dilantin 100 mg. po tid , Mylanta 30 cc. po q 4 hours prn , Dyspepsia , Milk of Magnesia 30 cc. po q 4 hours prn constipation , Cimetidine 400 mg. po bid , Haloperidol 1 mg. po or IM q 3 hours prn agitation .' +p46426 +(lp46427 +S'Dilantin\tDilantin\tNN\tB-NP\tO' +p46428 +aS'100\t100\tCD\tI-NP\tO' +p46429 +aS'mg.\tmg.\tNN\tI-NP\tO' +p46430 +aS'po\tpo\tNN\tI-NP\tO' +p46431 +aS'tid\ttid\tNN\tI-NP\tO' +p46432 +aS',\t,\t,\tO\tO' +p46433 +aS'Mylanta\tMylanta\tNNP\tB-NP\tO' +p46434 +aS'30\t30\tCD\tI-NP\tO' +p46435 +aS'cc.\tcc.\tNN\tI-NP\tO' +p46436 +aS'po\tpo\tNN\tI-NP\tO' +p46437 +aS'q\tq\tNN\tI-NP\tO' +p46438 +aS'4\t4\tCD\tB-NP\tO' +p46439 +aS'hours\thour\tNNS\tI-NP\tO' +p46440 +aS'prn\tprn\tNN\tI-NP\tO' +p46441 +aS',\t,\t,\tO\tO' +p46442 +aS'Dyspepsia\tDyspepsia\tNNP\tB-NP\tO' +p46443 +aS',\t,\t,\tO\tO' +p46444 +aS'Milk\tMilk\tNNP\tB-NP\tO' +p46445 +aS'of\tof\tIN\tB-PP\tO' +p46446 +aS'Magnesia\tMagnesia\tNNP\tB-NP\tO' +p46447 +aS'30\t30\tCD\tI-NP\tO' +p46448 +aS'cc.\tcc.\tNN\tI-NP\tO' +p46449 +aS'po\tpo\tNN\tI-NP\tO' +p46450 +aS'q\tq\tNN\tI-NP\tO' +p46451 +aS'4\t4\tCD\tB-NP\tO' +p46452 +aS'hours\thour\tNNS\tI-NP\tO' +p46453 +aS'prn\tprn\tVBP\tB-VP\tO' +p46454 +aS'constipation\tconstipation\tNN\tB-NP\tO' +p46455 +aS',\t,\t,\tO\tO' +p46456 +aS'Cimetidine\tCimetidine\tNN\tB-NP\tO' +p46457 +aS'400\t400\tCD\tI-NP\tO' +p46458 +aS'mg.\tmg.\tNN\tI-NP\tO' +p46459 +aS'po\tpo\tNN\tI-NP\tO' +p46460 +aS'bid\tbid\tNN\tI-NP\tO' +p46461 +aS',\t,\t,\tO\tO' +p46462 +aS'Haloperidol\tHaloperidol\tNN\tB-NP\tO' +p46463 +aS'1\t1\tCD\tI-NP\tO' +p46464 +aS'mg.\tmg.\tNN\tI-NP\tO' +p46465 +aS'po\tpo\tNN\tI-NP\tO' +p46466 +aS'or\tor\tCC\tI-NP\tO' +p46467 +aS'IM\tIM\tNN\tI-NP\tO' +p46468 +aS'q\tq\tNN\tI-NP\tO' +p46469 +aS'3\t3\tCD\tB-NP\tO' +p46470 +aS'hours\thour\tNNS\tI-NP\tO' +p46471 +aS'prn\tprn\tNN\tI-NP\tO' +p46472 +aS'agitation\tagitation\tNN\tI-NP\tO' +p46473 +aS'.\t.\t.\tO\tO' +p46474 +asS'Pulses 2+ carotids bilaterally , 2+ radial pulses , 2+ DP pulses bilaterally .' +p46475 +(lp46476 +S'Pulses\tPulse\tNNS\tB-NP\tO' +p46477 +aS'2+\t2+\tJJ\tI-NP\tO' +p46478 +aS'carotids\tcarotid\tNNS\tI-NP\tO' +p46479 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p46480 +aS',\t,\t,\tO\tO' +p46481 +aS'2+\t2+\tJJ\tB-NP\tO' +p46482 +aS'radial\tradial\tJJ\tI-NP\tO' +p46483 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p46484 +aS',\t,\t,\tO\tO' +p46485 +aS'2+\t2+\tJJ\tB-NP\tO' +p46486 +aS'DP\tDP\tNN\tI-NP\tO' +p46487 +aS'pulses\tpulse\tVBZ\tB-VP\tO' +p46488 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p46489 +aS'.\t.\t.\tO\tO' +p46490 +asS'Patient declined workup / imaging for mets as outpatient .' +p46491 +(lp46492 +S'Patient\tPatient\tNN\tB-NP\tO' +p46493 +aS'declined\tdecline\tVBD\tB-VP\tO' +p46494 +aS'workup\tworkup\tNN\tB-NP\tO' +p46495 +aS'/\t/\tSYM\tB-NP\tO' +p46496 +aS'imaging\timaging\tNN\tI-NP\tO' +p46497 +aS'for\tfor\tIN\tB-PP\tO' +p46498 +aS'mets\tmet\tNNS\tB-NP\tO' +p46499 +aS'as\tas\tIN\tB-PP\tO' +p46500 +aS'outpatient\toutpatient\tNN\tB-NP\tO' +p46501 +aS'.\t.\t.\tO\tO' +p46502 +asS'Ophthalmology noted that this left Martha coloboma was likely an isolated anomaly in the absence of other pathology .' +p46503 +(lp46504 +S'Ophthalmology\tOphthalmology\tNN\tB-NP\tO' +p46505 +aS'noted\tnote\tVBD\tB-VP\tO' +p46506 +aS'that\tthat\tIN\tB-SBAR\tO' +p46507 +aS'this\tthis\tDT\tB-NP\tO' +p46508 +aS'left\tleft\tJJ\tI-NP\tO' +p46509 +aS'Martha\tMartha\tNNP\tI-NP\tO' +p46510 +aS'coloboma\tcoloboma\tNN\tI-NP\tO' +p46511 +aS'was\tbe\tVBD\tB-VP\tO' +p46512 +aS'likely\tlikely\tRB\tB-ADJP\tO' +p46513 +aS'an\tan\tDT\tB-NP\tO' +p46514 +aS'isolated\tisolate\tVBN\tI-NP\tO' +p46515 +aS'anomaly\tanomaly\tRB\tB-ADVP\tO' +p46516 +aS'in\tin\tIN\tB-PP\tO' +p46517 +aS'the\tthe\tDT\tB-NP\tO' +p46518 +aS'absence\tabsence\tNN\tI-NP\tO' +p46519 +aS'of\tof\tIN\tB-PP\tO' +p46520 +aS'other\tother\tJJ\tB-NP\tO' +p46521 +aS'pathology\tpathology\tNN\tI-NP\tO' +p46522 +aS'.\t.\t.\tO\tO' +p46523 +asS'head , eyes , ears , nose and throat examination ; abrasions about his forehead , there was some minimal swelling associated .' +p46524 +(lp46525 +S'head\thead\tNN\tB-NP\tO' +p46526 +aS',\t,\t,\tI-NP\tO' +p46527 +aS'eyes\teye\tNNS\tI-NP\tO' +p46528 +aS',\t,\t,\tI-NP\tO' +p46529 +aS'ears\tear\tNNS\tI-NP\tO' +p46530 +aS',\t,\t,\tI-NP\tO' +p46531 +aS'nose\tnose\tNN\tI-NP\tO' +p46532 +aS'and\tand\tCC\tI-NP\tO' +p46533 +aS'throat\tthroat\tNN\tI-NP\tO' +p46534 +aS'examination\texamination\tNN\tI-NP\tO' +p46535 +aS';\t;\t:\tO\tO' +p46536 +aS'abrasions\tabrasion\tNNS\tB-NP\tO' +p46537 +aS'about\tabout\tIN\tB-PP\tO' +p46538 +aS'his\this\tPRP$\tB-NP\tO' +p46539 +aS'forehead\tforehead\tNN\tI-NP\tO' +p46540 +aS',\t,\t,\tO\tO' +p46541 +aS'there\tthere\tEX\tB-NP\tO' +p46542 +aS'was\tbe\tVBD\tB-VP\tO' +p46543 +aS'some\tsome\tDT\tB-NP\tO' +p46544 +aS'minimal\tminimal\tJJ\tI-NP\tO' +p46545 +aS'swelling\tswelling\tNN\tI-NP\tO' +p46546 +aS'associated\tassociate\tVBN\tB-VP\tO' +p46547 +aS'.\t.\t.\tO\tO' +p46548 +asS"5. Lovenox 40 mg / 0.4 mL Syringe Sig : 0.4 ML 's Subcutaneous once a day for 30 days ." +p46549 +(lp46550 +S'5.\t5.\tLS\tB-NP\tO' +p46551 +aS'Lovenox\tLovenox\tNNP\tI-NP\tO' +p46552 +aS'40\t40\tCD\tI-NP\tO' +p46553 +aS'mg\tmg\tNN\tI-NP\tO' +p46554 +aS'/\t/\tSYM\tB-NP\tO' +p46555 +aS'0.4\t0.4\tCD\tB-NP\tO' +p46556 +aS'mL\tmL\tNN\tI-NP\tO' +p46557 +aS'Syringe\tSyringe\tNNP\tI-NP\tO' +p46558 +aS'Sig\tSig\tNNP\tI-NP\tO' +p46559 +aS':\t:\t:\tO\tO' +p46560 +aS'0.4\t0.4\tCD\tB-NP\tO' +p46561 +aS'ML\tML\tNN\tI-NP\tO' +p46562 +aS"'s\t's\tPOS\tB-NP\tO" +p46563 +aS'Subcutaneous\tSubcutaneous\tJJ\tI-NP\tO' +p46564 +aS'once\tonce\tRB\tB-ADVP\tO' +p46565 +aS'a\ta\tDT\tB-NP\tO' +p46566 +aS'day\tday\tNN\tI-NP\tO' +p46567 +aS'for\tfor\tIN\tB-PP\tO' +p46568 +aS'30\t30\tCD\tB-NP\tO' +p46569 +aS'days\tday\tNNS\tI-NP\tO' +p46570 +aS'.\t.\t.\tO\tO' +p46571 +asS'No carotid bruits .' +p46572 +(lp46573 +S'No\tNo\tDT\tB-NP\tO' +p46574 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p46575 +aS'bruits\tbruit\tNNS\tI-NP\tO' +p46576 +aS'.\t.\t.\tO\tO' +p46577 +asS'A thoracentesis was done with removal of 1.5 liters of fluid .' +p46578 +(lp46579 +S'A\tA\tDT\tB-NP\tO' +p46580 +aS'thoracentesis\tthoracentesis\tNN\tI-NP\tO' +p46581 +aS'was\tbe\tVBD\tB-VP\tO' +p46582 +aS'done\tdo\tVBN\tI-VP\tO' +p46583 +aS'with\twith\tIN\tB-PP\tO' +p46584 +aS'removal\tremoval\tNN\tB-NP\tO' +p46585 +aS'of\tof\tIN\tB-PP\tO' +p46586 +aS'1.5\t1.5\tCD\tB-NP\tO' +p46587 +aS'liters\tliter\tNNS\tI-NP\tO' +p46588 +aS'of\tof\tIN\tB-PP\tO' +p46589 +aS'fluid\tfluid\tNN\tB-NP\tO' +p46590 +aS'.\t.\t.\tO\tO' +p46591 +asS'Decreased turgor with dry mucous membranes .' +p46592 +(lp46593 +S'Decreased\tDecrease\tVBN\tB-NP\tO' +p46594 +aS'turgor\tturgor\tNN\tI-NP\tO' +p46595 +aS'with\twith\tIN\tB-PP\tO' +p46596 +aS'dry\tdry\tJJ\tB-NP\tO' +p46597 +aS'mucous\tmucous\tJJ\tI-NP\tO' +p46598 +aS'membranes\tmembrane\tNNS\tI-NP\tO' +p46599 +aS'.\t.\t.\tO\tO' +p46600 +asS'-- Pt advised of medical risks of using cocaine' +p46601 +(lp46602 +S'--\t--\t:\tO\tO' +p46603 +aS'Pt\tPt\tNN\tB-NP\tO' +p46604 +aS'advised\tadvise\tVBN\tB-VP\tO' +p46605 +aS'of\tof\tIN\tB-PP\tO' +p46606 +aS'medical\tmedical\tJJ\tB-NP\tO' +p46607 +aS'risks\trisk\tNNS\tI-NP\tO' +p46608 +aS'of\tof\tIN\tB-PP\tO' +p46609 +aS'using\tuse\tVBG\tB-VP\tO' +p46610 +aS'cocaine\tcocaine\tNN\tB-NP\tO' +p46611 +asS'There is no hydrocephalus or midline shift seen .' +p46612 +(lp46613 +S'There\tThere\tEX\tB-NP\tO' +p46614 +aS'is\tbe\tVBZ\tB-VP\tO' +p46615 +aS'no\tno\tDT\tB-NP\tO' +p46616 +aS'hydrocephalus\thydrocephalus\tNN\tI-NP\tO' +p46617 +aS'or\tor\tCC\tI-NP\tO' +p46618 +aS'midline\tmidline\tNN\tI-NP\tO' +p46619 +aS'shift\tshift\tNN\tI-NP\tO' +p46620 +aS'seen\tsee\tVBN\tB-VP\tO' +p46621 +aS'.\t.\t.\tO\tO' +p46622 +asS'Chief Complaint : sp cardiac arrest / colitis' +p46623 +(lp46624 +S'Chief\tChief\tNNP\tB-NP\tO' +p46625 +aS'Complaint\tComplaint\tNNP\tI-NP\tO' +p46626 +aS':\t:\t:\tO\tO' +p46627 +aS'sp\tsp\tVB\tB-VP\tO' +p46628 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p46629 +aS'arrest\tarrest\tNN\tI-NP\tO' +p46630 +aS'/\t/\tSYM\tO\tO' +p46631 +aS'colitis\tcolitis\tNN\tB-NP\tO' +p46632 +asS'She was evaluated by Dr. Mielke , a Pulmonologist , who found her to be wheezing and performed pulmonary function tests which showed an FEV1 of 1.1 and an FVC of 1.8 .' +p46633 +(lp46634 +S'She\tShe\tPRP\tB-NP\tO' +p46635 +aS'was\tbe\tVBD\tB-VP\tO' +p46636 +aS'evaluated\tevaluate\tVBN\tI-VP\tO' +p46637 +aS'by\tby\tIN\tB-PP\tO' +p46638 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p46639 +aS'Mielke\tMielke\tNNP\tI-NP\tO' +p46640 +aS',\t,\t,\tO\tO' +p46641 +aS'a\ta\tDT\tB-NP\tO' +p46642 +aS'Pulmonologist\tPulmonologist\tNNP\tI-NP\tO' +p46643 +aS',\t,\t,\tO\tO' +p46644 +aS'who\twho\tWP\tB-NP\tO' +p46645 +aS'found\tfind\tVBD\tB-VP\tO' +p46646 +aS'her\ther\tPRP\tB-NP\tO' +p46647 +aS'to\tto\tTO\tB-VP\tO' +p46648 +aS'be\tbe\tVB\tI-VP\tO' +p46649 +aS'wheezing\twheeze\tVBG\tI-VP\tO' +p46650 +aS'and\tand\tCC\tO\tO' +p46651 +aS'performed\tperform\tVBN\tB-VP\tO' +p46652 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p46653 +aS'function\tfunction\tNN\tI-NP\tO' +p46654 +aS'tests\ttest\tNNS\tI-NP\tO' +p46655 +aS'which\twhich\tWDT\tB-NP\tO' +p46656 +aS'showed\tshow\tVBD\tB-VP\tO' +p46657 +aS'an\tan\tDT\tB-NP\tO' +p46658 +aS'FEV1\tFEV1\tNN\tI-NP\tO' +p46659 +aS'of\tof\tIN\tB-PP\tO' +p46660 +aS'1.1\t1.1\tCD\tB-NP\tO' +p46661 +aS'and\tand\tCC\tO\tO' +p46662 +aS'an\tan\tDT\tB-NP\tO' +p46663 +aS'FVC\tFVC\tNN\tI-NP\tO' +p46664 +aS'of\tof\tIN\tB-PP\tO' +p46665 +aS'1.8\t1.8\tCD\tB-NP\tO' +p46666 +aS'.\t.\t.\tO\tO' +p46667 +asS'It was felt that the patient should have an augmented medical regimen and as an outpatient undergo an exercise tolerance test with viability evaluation to determine whether he would benefit from revascularization .' +p46668 +(lp46669 +S'It\tIt\tPRP\tB-NP\tO' +p46670 +aS'was\tbe\tVBD\tB-VP\tO' +p46671 +aS'felt\tfeel\tVBN\tI-VP\tO' +p46672 +aS'that\tthat\tIN\tB-SBAR\tO' +p46673 +aS'the\tthe\tDT\tB-NP\tO' +p46674 +aS'patient\tpatient\tNN\tI-NP\tO' +p46675 +aS'should\tshould\tMD\tB-VP\tO' +p46676 +aS'have\thave\tVB\tI-VP\tO' +p46677 +aS'an\tan\tDT\tB-NP\tO' +p46678 +aS'augmented\taugmented\tJJ\tI-NP\tO' +p46679 +aS'medical\tmedical\tJJ\tI-NP\tO' +p46680 +aS'regimen\tregimen\tNN\tI-NP\tO' +p46681 +aS'and\tand\tCC\tB-PP\tO' +p46682 +aS'as\tas\tIN\tB-PP\tO' +p46683 +aS'an\tan\tDT\tB-NP\tO' +p46684 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p46685 +aS'undergo\tundergo\tVBP\tB-VP\tO' +p46686 +aS'an\tan\tDT\tB-NP\tO' +p46687 +aS'exercise\texercise\tNN\tI-NP\tO' +p46688 +aS'tolerance\ttolerance\tNN\tI-NP\tO' +p46689 +aS'test\ttest\tNN\tI-NP\tO' +p46690 +aS'with\twith\tIN\tB-PP\tO' +p46691 +aS'viability\tviability\tNN\tB-NP\tO' +p46692 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p46693 +aS'to\tto\tTO\tB-VP\tO' +p46694 +aS'determine\tdetermine\tVB\tI-VP\tO' +p46695 +aS'whether\twhether\tIN\tB-SBAR\tO' +p46696 +aS'he\the\tPRP\tB-NP\tO' +p46697 +aS'would\twould\tMD\tB-VP\tO' +p46698 +aS'benefit\tbenefit\tVB\tI-VP\tO' +p46699 +aS'from\tfrom\tIN\tB-PP\tO' +p46700 +aS'revascularization\trevascularization\tNN\tB-NP\tO' +p46701 +aS'.\t.\t.\tO\tO' +p46702 +asS'Dictated By : James Q. Mitchell , M.D.' +p46703 +(lp46704 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p46705 +aS'By\tBy\tIN\tB-PP\tO' +p46706 +aS':\t:\t:\tO\tO' +p46707 +aS'James\tJames\tNNP\tB-NP\tO' +p46708 +aS'Q.\tQ.\tNNP\tI-NP\tO' +p46709 +aS'Mitchell\tMitchell\tNNP\tI-NP\tO' +p46710 +aS',\t,\t,\tO\tO' +p46711 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p46712 +asS'6. Proteinuria .' +p46713 +(lp46714 +S'6.\t6.\tLS\tB-LST\tO' +p46715 +aS'Proteinuria\tProteinuria\tNNP\tB-NP\tO' +p46716 +aS'.\t.\t.\tO\tO' +p46717 +asS'b. A smoker in the household ,' +p46718 +(lp46719 +S'b.\tb.\tLS\tB-NP\tO' +p46720 +aS'A\tA\tNN\tI-NP\tO' +p46721 +aS'smoker\tsmoker\tNN\tI-NP\tO' +p46722 +aS'in\tin\tIN\tB-PP\tO' +p46723 +aS'the\tthe\tDT\tB-NP\tO' +p46724 +aS'household\thousehold\tNN\tI-NP\tO' +p46725 +aS',\t,\t,\tO\tO' +p46726 +asS'Mother has had multiple ultrasounds and fetal surveys at 17 and 21 weeks that had been unremarkable .' +p46727 +(lp46728 +S'Mother\tMother\tNNP\tB-NP\tO' +p46729 +aS'has\thave\tVBZ\tB-VP\tO' +p46730 +aS'had\thave\tVBN\tI-VP\tO' +p46731 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p46732 +aS'ultrasounds\tultrasound\tNNS\tI-NP\tO' +p46733 +aS'and\tand\tCC\tO\tO' +p46734 +aS'fetal\tfetal\tJJ\tB-NP\tO' +p46735 +aS'surveys\tsurvey\tNNS\tI-NP\tO' +p46736 +aS'at\tat\tIN\tB-PP\tO' +p46737 +aS'17\t17\tCD\tB-NP\tO' +p46738 +aS'and\tand\tCC\tI-NP\tO' +p46739 +aS'21\t21\tCD\tI-NP\tO' +p46740 +aS'weeks\tweek\tNNS\tI-NP\tO' +p46741 +aS'that\tthat\tWDT\tB-NP\tO' +p46742 +aS'had\thave\tVBD\tB-VP\tO' +p46743 +aS'been\tbe\tVBN\tI-VP\tO' +p46744 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p46745 +aS'.\t.\t.\tO\tO' +p46746 +asS'Nuchal cord was noted at delivery .' +p46747 +(lp46748 +S'Nuchal\tNuchal\tJJ\tB-NP\tO' +p46749 +aS'cord\tcord\tNN\tI-NP\tO' +p46750 +aS'was\tbe\tVBD\tB-VP\tO' +p46751 +aS'noted\tnote\tVBN\tI-VP\tO' +p46752 +aS'at\tat\tIN\tB-PP\tO' +p46753 +aS'delivery\tdelivery\tNN\tB-NP\tO' +p46754 +aS'.\t.\t.\tO\tO' +p46755 +asS'His Lopressor was increased another increment .' +p46756 +(lp46757 +S'His\tHis\tPRP$\tB-NP\tO' +p46758 +aS'Lopressor\tLopressor\tNN\tI-NP\tB-protein' +p46759 +aS'was\tbe\tVBD\tB-VP\tO' +p46760 +aS'increased\tincrease\tVBN\tI-VP\tO' +p46761 +aS'another\tanother\tDT\tB-NP\tO' +p46762 +aS'increment\tincrement\tNN\tI-NP\tO' +p46763 +aS'.\t.\t.\tO\tO' +p46764 +asS'Heme - Chronic Fe deficiency anemia , cont iron' +p46765 +(lp46766 +S'Heme\tHeme\tNN\tB-NP\tB-protein' +p46767 +aS'-\t-\tHYPH\tI-NP\tO' +p46768 +aS'Chronic\tChronic\tJJ\tI-NP\tO' +p46769 +aS'Fe\tFe\tNN\tI-NP\tO' +p46770 +aS'deficiency\tdeficiency\tNN\tI-NP\tO' +p46771 +aS'anemia\tanemia\tNN\tI-NP\tO' +p46772 +aS',\t,\t,\tO\tO' +p46773 +aS'cont\tcont\tNN\tB-NP\tO' +p46774 +aS'iron\tiron\tNN\tI-NP\tO' +p46775 +asS'He was also seen by the Electrophysiology service , his pacemaker was interrogated and working fine , with no signs of recent ventricular arrhythmia .' +p46776 +(lp46777 +S'He\tHe\tPRP\tB-NP\tO' +p46778 +aS'was\tbe\tVBD\tB-VP\tO' +p46779 +aS'also\talso\tRB\tI-VP\tO' +p46780 +aS'seen\tsee\tVBN\tI-VP\tO' +p46781 +aS'by\tby\tIN\tB-PP\tO' +p46782 +aS'the\tthe\tDT\tB-NP\tO' +p46783 +aS'Electrophysiology\tElectrophysiology\tNN\tI-NP\tO' +p46784 +aS'service\tservice\tNN\tI-NP\tO' +p46785 +aS',\t,\t,\tO\tO' +p46786 +aS'his\this\tPRP$\tB-NP\tO' +p46787 +aS'pacemaker\tpacemaker\tNN\tI-NP\tO' +p46788 +aS'was\tbe\tVBD\tB-VP\tO' +p46789 +aS'interrogated\tinterrogate\tVBN\tI-VP\tO' +p46790 +aS'and\tand\tCC\tO\tO' +p46791 +aS'working\twork\tVBG\tB-NP\tO' +p46792 +aS'fine\tfine\tNN\tI-NP\tO' +p46793 +aS',\t,\t,\tO\tO' +p46794 +aS'with\twith\tIN\tB-PP\tO' +p46795 +aS'no\tno\tDT\tB-NP\tO' +p46796 +aS'signs\tsign\tNNS\tI-NP\tO' +p46797 +aS'of\tof\tIN\tB-PP\tO' +p46798 +aS'recent\trecent\tJJ\tB-NP\tO' +p46799 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p46800 +aS'arrhythmia\tarrhythmia\tNN\tI-NP\tO' +p46801 +aS'.\t.\t.\tO\tO' +p46802 +asS"Her risk factors : Hypertension , tobacco abuse ( one pack per day times 45 years ), family history ( father diagnosed with coronary artery disease in his 50 's, patient 's mother had coronary artery disease , patient 's brother has coronary artery disease )." +p46803 +(lp46804 +S'Her\tHer\tPRP$\tB-NP\tB-protein' +p46805 +aS'risk\trisk\tNN\tI-NP\tI-protein' +p46806 +aS'factors\tfactor\tNNS\tI-NP\tI-protein' +p46807 +aS':\t:\t:\tO\tO' +p46808 +aS'Hypertension\tHypertension\tNN\tB-NP\tO' +p46809 +aS',\t,\t,\tO\tO' +p46810 +aS'tobacco\ttobacco\tNN\tB-NP\tO' +p46811 +aS'abuse\tabuse\tNN\tI-NP\tO' +p46812 +aS'(\t(\t(\tO\tO' +p46813 +aS'one\tone\tCD\tB-NP\tO' +p46814 +aS'pack\tpack\tNN\tI-NP\tO' +p46815 +aS'per\tper\tIN\tB-PP\tO' +p46816 +aS'day\tday\tNN\tB-NP\tO' +p46817 +aS'times\ttime\tNNS\tI-NP\tO' +p46818 +aS'45\t45\tCD\tB-NP\tO' +p46819 +aS'years\tyear\tNNS\tI-NP\tO' +p46820 +aS'),\t),\tIN\tB-PP\tO' +p46821 +aS'family\tfamily\tNN\tB-NP\tO' +p46822 +aS'history\thistory\tNN\tI-NP\tO' +p46823 +aS'(\t(\t(\tO\tO' +p46824 +aS'father\tfather\tNN\tB-NP\tO' +p46825 +aS'diagnosed\tdiagnose\tVBN\tB-VP\tO' +p46826 +aS'with\twith\tIN\tB-PP\tO' +p46827 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p46828 +aS'artery\tartery\tNN\tI-NP\tO' +p46829 +aS'disease\tdisease\tNN\tI-NP\tO' +p46830 +aS'in\tin\tIN\tB-PP\tO' +p46831 +aS'his\this\tPRP$\tB-NP\tO' +p46832 +aS'50\t50\tCD\tI-NP\tO' +p46833 +aS"'s,\t's,\tPOS\tB-NP\tO" +p46834 +aS'patient\tpatient\tNN\tI-NP\tO' +p46835 +aS"'s\t's\tPOS\tB-NP\tO" +p46836 +aS'mother\tmother\tNN\tI-NP\tO' +p46837 +aS'had\thave\tVBD\tB-VP\tO' +p46838 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p46839 +aS'artery\tartery\tNN\tI-NP\tO' +p46840 +aS'disease\tdisease\tNN\tI-NP\tO' +p46841 +aS',\t,\t,\tO\tO' +p46842 +aS'patient\tpatient\tNN\tB-NP\tO' +p46843 +aS"'s\t's\tPOS\tB-NP\tO" +p46844 +aS'brother\tbrother\tNN\tI-NP\tO' +p46845 +aS'has\thave\tVBZ\tB-VP\tO' +p46846 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p46847 +aS'artery\tartery\tNN\tI-NP\tO' +p46848 +aS'disease\tdisease\tNN\tI-NP\tO' +p46849 +aS').\t).\t.\tO\tO' +p46850 +asS'The aortic valve leaflets ( 3 ) are mildly thickened .' +p46851 +(lp46852 +S'The\tThe\tDT\tB-NP\tO' +p46853 +aS'aortic\taortic\tJJ\tI-NP\tO' +p46854 +aS'valve\tvalve\tNN\tI-NP\tO' +p46855 +aS'leaflets\tleaflet\tNNS\tI-NP\tO' +p46856 +aS'(\t(\t(\tO\tO' +p46857 +aS'3\t3\tCD\tB-NP\tO' +p46858 +aS')\t)\t)\tO\tO' +p46859 +aS'are\tbe\tVBP\tB-VP\tO' +p46860 +aS'mildly\tmildly\tRB\tI-VP\tO' +p46861 +aS'thickened\tthicken\tVBN\tI-VP\tO' +p46862 +aS'.\t.\t.\tO\tO' +p46863 +asS'A bioprosthetic aortic valve prosthesis is present .' +p46864 +(lp46865 +S'A\tA\tDT\tB-NP\tO' +p46866 +aS'bioprosthetic\tbioprosthetic\tJJ\tI-NP\tO' +p46867 +aS'aortic\taortic\tJJ\tI-NP\tO' +p46868 +aS'valve\tvalve\tNN\tI-NP\tO' +p46869 +aS'prosthesis\tprosthesis\tNN\tI-NP\tO' +p46870 +aS'is\tbe\tVBZ\tB-VP\tO' +p46871 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p46872 +aS'.\t.\t.\tO\tO' +p46873 +asS'The patient has been doing well on low flow nasal cannula. He has been tolerating p.o. ad lib feeds .' +p46874 +(lp46875 +S'The\tThe\tDT\tB-NP\tO' +p46876 +aS'patient\tpatient\tNN\tI-NP\tO' +p46877 +aS'has\thave\tVBZ\tB-VP\tO' +p46878 +aS'been\tbe\tVBN\tI-VP\tO' +p46879 +aS'doing\tdo\tVBG\tI-VP\tO' +p46880 +aS'well\twell\tRB\tB-ADVP\tO' +p46881 +aS'on\ton\tIN\tB-PP\tO' +p46882 +aS'low\tlow\tJJ\tB-NP\tO' +p46883 +aS'flow\tflow\tNN\tI-NP\tO' +p46884 +aS'nasal\tnasal\tJJ\tI-NP\tO' +p46885 +aS'cannula.\tcannula.\tNN\tI-NP\tO' +p46886 +aS'He\tHe\tPRP\tB-NP\tO' +p46887 +aS'has\thave\tVBZ\tB-VP\tO' +p46888 +aS'been\tbe\tVBN\tI-VP\tO' +p46889 +aS'tolerating\ttolerate\tVBG\tI-VP\tO' +p46890 +aS'p.o.\tp.o.\tFW\tB-NP\tO' +p46891 +aS'ad\tad\tNN\tI-NP\tO' +p46892 +aS'lib\tlib\tNN\tI-NP\tO' +p46893 +aS'feeds\tfeed\tNNS\tI-NP\tO' +p46894 +aS'.\t.\t.\tO\tO' +p46895 +asS'Ataxia with gait abnormality .' +p46896 +(lp46897 +S'Ataxia\tAtaxia\tNN\tB-NP\tO' +p46898 +aS'with\twith\tIN\tB-PP\tO' +p46899 +aS'gait\tgait\tNN\tB-NP\tO' +p46900 +aS'abnormality\tabnormality\tNN\tI-NP\tO' +p46901 +aS'.\t.\t.\tO\tO' +p46902 +asS'The right coronary artery had mild diffuse plaquing but no evidence of focal stenosis .' +p46903 +(lp46904 +S'The\tThe\tDT\tB-NP\tO' +p46905 +aS'right\tright\tJJ\tI-NP\tO' +p46906 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p46907 +aS'artery\tartery\tNN\tI-NP\tO' +p46908 +aS'had\thave\tVBD\tB-VP\tO' +p46909 +aS'mild\tmild\tJJ\tB-NP\tO' +p46910 +aS'diffuse\tdiffuse\tJJ\tI-NP\tO' +p46911 +aS'plaquing\tplaquing\tNN\tI-NP\tO' +p46912 +aS'but\tbut\tCC\tO\tO' +p46913 +aS'no\tno\tDT\tB-NP\tO' +p46914 +aS'evidence\tevidence\tNN\tI-NP\tO' +p46915 +aS'of\tof\tIN\tB-PP\tO' +p46916 +aS'focal\tfocal\tJJ\tB-NP\tO' +p46917 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p46918 +aS'.\t.\t.\tO\tO' +p46919 +asS'There was mildly reduced flow in the branches of the right middle cerebral artery compared to the left .' +p46920 +(lp46921 +S'There\tThere\tEX\tB-NP\tO' +p46922 +aS'was\tbe\tVBD\tB-VP\tO' +p46923 +aS'mildly\tmildly\tRB\tI-VP\tO' +p46924 +aS'reduced\treduce\tVBN\tB-NP\tO' +p46925 +aS'flow\tflow\tNN\tI-NP\tO' +p46926 +aS'in\tin\tIN\tB-PP\tO' +p46927 +aS'the\tthe\tDT\tB-NP\tO' +p46928 +aS'branches\tbranch\tNNS\tI-NP\tO' +p46929 +aS'of\tof\tIN\tB-PP\tO' +p46930 +aS'the\tthe\tDT\tB-NP\tO' +p46931 +aS'right\tright\tJJ\tI-NP\tO' +p46932 +aS'middle\tmiddle\tJJ\tI-NP\tO' +p46933 +aS'cerebral\tcerebral\tJJ\tI-NP\tO' +p46934 +aS'artery\tartery\tNN\tI-NP\tO' +p46935 +aS'compared\tcompare\tVBN\tB-VP\tO' +p46936 +aS'to\tto\tTO\tB-PP\tO' +p46937 +aS'the\tthe\tDT\tB-NP\tO' +p46938 +aS'left\tleft\tNN\tI-NP\tO' +p46939 +aS'.\t.\t.\tO\tO' +p46940 +asS'# ESRD : etiology likely 02-08 DM and HTN , pt tolerating HD well , and underwent dialysis without difficulty on 01-24 .' +p46941 +(lp46942 +S'#\t#\t#\tB-NP\tO' +p46943 +aS'ESRD\tESRD\tNNP\tI-NP\tO' +p46944 +aS':\t:\t:\tO\tO' +p46945 +aS'etiology\tetiology\tNN\tB-NP\tO' +p46946 +aS'likely\tlikely\tRB\tB-NP\tO' +p46947 +aS'02-08\t02-08\tCD\tI-NP\tO' +p46948 +aS'DM\tDM\tNN\tI-NP\tO' +p46949 +aS'and\tand\tCC\tI-NP\tO' +p46950 +aS'HTN\tHTN\tNN\tI-NP\tB-protein' +p46951 +aS',\t,\t,\tO\tO' +p46952 +aS'pt\tpt\tNN\tB-NP\tO' +p46953 +aS'tolerating\ttolerate\tVBG\tB-VP\tO' +p46954 +aS'HD\tHD\tNN\tB-NP\tO' +p46955 +aS'well\twell\tRB\tB-ADVP\tO' +p46956 +aS',\t,\t,\tO\tO' +p46957 +aS'and\tand\tCC\tO\tO' +p46958 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p46959 +aS'dialysis\tdialysis\tNN\tB-NP\tO' +p46960 +aS'without\twithout\tIN\tB-PP\tO' +p46961 +aS'difficulty\tdifficulty\tNN\tB-NP\tO' +p46962 +aS'on\ton\tIN\tB-PP\tO' +p46963 +aS'01-24\t01-24\tCD\tB-NP\tO' +p46964 +aS'.\t.\t.\tO\tO' +p46965 +asS'His last PTT on 05-16 was 68.3 .' +p46966 +(lp46967 +S'His\tHis\tPRP$\tB-NP\tO' +p46968 +aS'last\tlast\tJJ\tI-NP\tO' +p46969 +aS'PTT\tPTT\tNN\tI-NP\tO' +p46970 +aS'on\ton\tIN\tB-PP\tO' +p46971 +aS'05-16\t05-16\tCD\tB-NP\tO' +p46972 +aS'was\tbe\tVBD\tB-VP\tO' +p46973 +aS'68.3\t68.3\tCD\tB-NP\tO' +p46974 +aS'.\t.\t.\tO\tO' +p46975 +asS'Repleting potassium , magnesium , phosphorus as needed .' +p46976 +(lp46977 +S'Repleting\tReplete\tVBG\tB-VP\tO' +p46978 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p46979 +aS',\t,\t,\tO\tO' +p46980 +aS'magnesium\tmagnesium\tNN\tB-NP\tO' +p46981 +aS',\t,\t,\tO\tO' +p46982 +aS'phosphorus\tphosphorus\tNN\tB-NP\tO' +p46983 +aS'as\tas\tIN\tB-SBAR\tO' +p46984 +aS'needed\tneed\tVBN\tB-VP\tO' +p46985 +aS'.\t.\t.\tO\tO' +p46986 +asS'Pupils noted to be fixed and dilated at 14:10 .' +p46987 +(lp46988 +S'Pupils\tPupil\tNNS\tB-NP\tO' +p46989 +aS'noted\tnote\tVBD\tB-VP\tO' +p46990 +aS'to\tto\tTO\tI-VP\tO' +p46991 +aS'be\tbe\tVB\tI-VP\tO' +p46992 +aS'fixed\tfix\tVBN\tI-VP\tO' +p46993 +aS'and\tand\tCC\tI-VP\tO' +p46994 +aS'dilated\tdilate\tVBN\tI-VP\tO' +p46995 +aS'at\tat\tIN\tB-PP\tO' +p46996 +aS'14:10\t14:10\tCD\tB-NP\tO' +p46997 +aS'.\t.\t.\tO\tO' +p46998 +asS'He tolerated this procedure well .' +p46999 +(lp47000 +S'He\tHe\tPRP\tB-NP\tO' +p47001 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p47002 +aS'this\tthis\tDT\tB-NP\tO' +p47003 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p47004 +aS'well\twell\tRB\tB-ADVP\tO' +p47005 +aS'.\t.\t.\tO\tO' +p47006 +asS'Baby Thomas Moss was born at 39 and 1/2 weeks gestation to a 20-year-old gravida IV , para III , now IV woman .' +p47007 +(lp47008 +S'Baby\tBaby\tNNP\tB-NP\tO' +p47009 +aS'Thomas\tThomas\tNNP\tI-NP\tO' +p47010 +aS'Moss\tMoss\tNNP\tI-NP\tO' +p47011 +aS'was\tbe\tVBD\tB-VP\tO' +p47012 +aS'born\tbear\tVBN\tI-VP\tO' +p47013 +aS'at\tat\tIN\tB-PP\tO' +p47014 +aS'39\t39\tCD\tB-NP\tO' +p47015 +aS'and\tand\tCC\tI-NP\tO' +p47016 +aS'1/2\t1/2\tCD\tI-NP\tO' +p47017 +aS'weeks\tweek\tNNS\tI-NP\tO' +p47018 +aS'gestation\tgestation\tNN\tI-NP\tO' +p47019 +aS'to\tto\tTO\tB-PP\tO' +p47020 +aS'a\ta\tDT\tB-NP\tO' +p47021 +aS'20-year-old\t20-year-old\tJJ\tI-NP\tO' +p47022 +aS'gravida\tgravida\tNN\tI-NP\tO' +p47023 +aS'IV\tIV\tCD\tI-NP\tO' +p47024 +aS',\t,\t,\tO\tO' +p47025 +aS'para\tpara\tNN\tB-NP\tO' +p47026 +aS'III\tIII\tCD\tI-NP\tO' +p47027 +aS',\t,\t,\tO\tO' +p47028 +aS'now\tnow\tRB\tB-ADVP\tO' +p47029 +aS'IV\tIV\tCD\tB-NP\tO' +p47030 +aS'woman\twoman\tNN\tI-NP\tO' +p47031 +aS'.\t.\t.\tO\tO' +p47032 +asS'If her prothrombin time does not come into therapeutic range promptly , then surgery may be delayed .' +p47033 +(lp47034 +S'If\tIf\tIN\tB-SBAR\tO' +p47035 +aS'her\ther\tPRP$\tB-NP\tO' +p47036 +aS'prothrombin\tprothrombin\tNN\tI-NP\tO' +p47037 +aS'time\ttime\tNN\tI-NP\tO' +p47038 +aS'does\tdo\tVBZ\tB-VP\tO' +p47039 +aS'not\tnot\tRB\tI-VP\tO' +p47040 +aS'come\tcome\tVB\tI-VP\tO' +p47041 +aS'into\tinto\tIN\tB-PP\tO' +p47042 +aS'therapeutic\ttherapeutic\tJJ\tB-NP\tO' +p47043 +aS'range\trange\tNN\tI-NP\tO' +p47044 +aS'promptly\tpromptly\tRB\tB-ADVP\tO' +p47045 +aS',\t,\t,\tO\tO' +p47046 +aS'then\tthen\tRB\tB-ADVP\tO' +p47047 +aS'surgery\tsurgery\tNN\tB-NP\tO' +p47048 +aS'may\tmay\tMD\tB-VP\tO' +p47049 +aS'be\tbe\tVB\tI-VP\tO' +p47050 +aS'delayed\tdelay\tVBN\tI-VP\tO' +p47051 +aS'.\t.\t.\tO\tO' +p47052 +asS'The patient lives at Norwood in assisted living section .' +p47053 +(lp47054 +S'The\tThe\tDT\tB-NP\tO' +p47055 +aS'patient\tpatient\tNN\tI-NP\tO' +p47056 +aS'lives\tlive\tVBZ\tB-VP\tO' +p47057 +aS'at\tat\tIN\tB-PP\tO' +p47058 +aS'Norwood\tNorwood\tNNP\tB-NP\tO' +p47059 +aS'in\tin\tIN\tB-PP\tO' +p47060 +aS'assisted\tassist\tVBN\tB-NP\tO' +p47061 +aS'living\tliving\tNN\tI-NP\tO' +p47062 +aS'section\tsection\tNN\tI-NP\tO' +p47063 +aS'.\t.\t.\tO\tO' +p47064 +asS'The patient reported disorientation with Ambien and Halcyon .' +p47065 +(lp47066 +S'The\tThe\tDT\tB-NP\tO' +p47067 +aS'patient\tpatient\tNN\tI-NP\tO' +p47068 +aS'reported\treport\tVBD\tB-VP\tO' +p47069 +aS'disorientation\tdisorientation\tNN\tB-NP\tO' +p47070 +aS'with\twith\tIN\tB-PP\tO' +p47071 +aS'Ambien\tAmbien\tNNP\tB-NP\tO' +p47072 +aS'and\tand\tCC\tI-NP\tO' +p47073 +aS'Halcyon\tHalcyon\tNNP\tI-NP\tO' +p47074 +aS'.\t.\t.\tO\tO' +p47075 +asS'The nares were patent .' +p47076 +(lp47077 +S'The\tThe\tDT\tB-NP\tO' +p47078 +aS'nares\tnare\tNNS\tI-NP\tO' +p47079 +aS'were\tbe\tVBD\tB-VP\tO' +p47080 +aS'patent\tpatent\tNN\tB-NP\tO' +p47081 +aS'.\t.\t.\tO\tO' +p47082 +asS'Normal global and regional biventricular systolic function .' +p47083 +(lp47084 +S'Normal\tNormal\tJJ\tB-NP\tO' +p47085 +aS'global\tglobal\tJJ\tI-NP\tO' +p47086 +aS'and\tand\tCC\tI-NP\tO' +p47087 +aS'regional\tregional\tJJ\tI-NP\tO' +p47088 +aS'biventricular\tbiventricular\tJJ\tI-NP\tO' +p47089 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p47090 +aS'function\tfunction\tNN\tI-NP\tO' +p47091 +aS'.\t.\t.\tO\tO' +p47092 +asS'ST depressions V4 , 5 .' +p47093 +(lp47094 +S'ST\tST\tJJ\tB-NP\tO' +p47095 +aS'depressions\tdepression\tNNS\tI-NP\tO' +p47096 +aS'V4\tV4\tNN\tI-NP\tO' +p47097 +aS',\t,\t,\tO\tO' +p47098 +aS'5\t5\tCD\tB-NP\tO' +p47099 +aS'.\t.\t.\tO\tO' +p47100 +asS"In addition , the patient 's early postoperative course had a tremendous urine output ." +p47101 +(lp47102 +S'In\tIn\tIN\tB-PP\tO' +p47103 +aS'addition\taddition\tNN\tB-NP\tO' +p47104 +aS',\t,\t,\tO\tO' +p47105 +aS'the\tthe\tDT\tB-NP\tO' +p47106 +aS'patient\tpatient\tNN\tI-NP\tO' +p47107 +aS"'s\t's\tPOS\tB-NP\tO" +p47108 +aS'early\tearly\tJJ\tI-NP\tO' +p47109 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p47110 +aS'course\tcourse\tNN\tI-NP\tO' +p47111 +aS'had\thave\tVBD\tB-VP\tO' +p47112 +aS'a\ta\tDT\tB-NP\tO' +p47113 +aS'tremendous\ttremendous\tJJ\tI-NP\tO' +p47114 +aS'urine\turine\tNN\tI-NP\tO' +p47115 +aS'output\toutput\tNN\tI-NP\tO' +p47116 +aS'.\t.\t.\tO\tO' +p47117 +asS'His job as a computer programmer is unstable .' +p47118 +(lp47119 +S'His\tHis\tPRP$\tB-NP\tO' +p47120 +aS'job\tjob\tNN\tI-NP\tB-protein' +p47121 +aS'as\tas\tIN\tB-PP\tO' +p47122 +aS'a\ta\tDT\tB-NP\tO' +p47123 +aS'computer\tcomputer\tNN\tI-NP\tO' +p47124 +aS'programmer\tprogrammer\tNN\tI-NP\tO' +p47125 +aS'is\tbe\tVBZ\tB-VP\tO' +p47126 +aS'unstable\tunstable\tJJ\tB-ADJP\tO' +p47127 +aS'.\t.\t.\tO\tO' +p47128 +asS'1) Digoxin 0.125 mg p.o. q. day .' +p47129 +(lp47130 +S'1)\t1)\tLS\tB-LST\tO' +p47131 +aS'Digoxin\tDigoxin\tNN\tB-NP\tO' +p47132 +aS'0.125\t0.125\tCD\tI-NP\tO' +p47133 +aS'mg\tmg\tNN\tI-NP\tO' +p47134 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p47135 +aS'q.\tq.\tNN\tI-NP\tO' +p47136 +aS'day\tday\tNN\tI-NP\tO' +p47137 +aS'.\t.\t.\tO\tO' +p47138 +asS'The restraints were weaned off overnight although he became acutely agitated and they were replaced early on 08-31 .' +p47139 +(lp47140 +S'The\tThe\tDT\tB-NP\tO' +p47141 +aS'restraints\trestraint\tNNS\tI-NP\tO' +p47142 +aS'were\tbe\tVBD\tB-VP\tO' +p47143 +aS'weaned\twean\tVBN\tI-VP\tO' +p47144 +aS'off\toff\tRP\tB-PRT\tO' +p47145 +aS'overnight\tovernight\tRB\tB-ADVP\tO' +p47146 +aS'although\talthough\tIN\tB-SBAR\tO' +p47147 +aS'he\the\tPRP\tB-NP\tO' +p47148 +aS'became\tbecome\tVBD\tB-VP\tO' +p47149 +aS'acutely\tacutely\tRB\tB-ADJP\tO' +p47150 +aS'agitated\tagitate\tVBN\tI-ADJP\tO' +p47151 +aS'and\tand\tCC\tO\tO' +p47152 +aS'they\tthey\tPRP\tB-NP\tO' +p47153 +aS'were\tbe\tVBD\tB-VP\tO' +p47154 +aS'replaced\treplace\tVBN\tI-VP\tO' +p47155 +aS'early\tearly\tRB\tB-ADVP\tO' +p47156 +aS'on\ton\tIN\tB-PP\tO' +p47157 +aS'08-31\t08-31\tCD\tB-NP\tO' +p47158 +aS'.\t.\t.\tO\tO' +p47159 +asS'There is an air / fluid level within the right maxillary sinus - ? acute sinusitis , but acute blood cannot be excluded , in the setting of acute trauma .' +p47160 +(lp47161 +S'There\tThere\tEX\tB-NP\tO' +p47162 +aS'is\tbe\tVBZ\tB-VP\tO' +p47163 +aS'an\tan\tDT\tB-NP\tO' +p47164 +aS'air\tair\tNN\tI-NP\tO' +p47165 +aS'/\t/\tSYM\tI-NP\tO' +p47166 +aS'fluid\tfluid\tNN\tI-NP\tO' +p47167 +aS'level\tlevel\tNN\tI-NP\tO' +p47168 +aS'within\twithin\tIN\tB-PP\tO' +p47169 +aS'the\tthe\tDT\tB-NP\tO' +p47170 +aS'right\tright\tJJ\tI-NP\tO' +p47171 +aS'maxillary\tmaxillary\tJJ\tI-NP\tO' +p47172 +aS'sinus\tsinus\tNN\tI-NP\tO' +p47173 +aS'-\t-\tHYPH\tB-NP\tO' +p47174 +aS'?\t?\t.\tI-NP\tO' +p47175 +aS'acute\tacute\tJJ\tI-NP\tO' +p47176 +aS'sinusitis\tsinusitis\tNN\tI-NP\tO' +p47177 +aS',\t,\t,\tO\tO' +p47178 +aS'but\tbut\tCC\tO\tO' +p47179 +aS'acute\tacute\tJJ\tB-NP\tO' +p47180 +aS'blood\tblood\tNN\tI-NP\tO' +p47181 +aS'cannot\tcannot\tMD\tB-VP\tO' +p47182 +aS'be\tbe\tVB\tI-VP\tO' +p47183 +aS'excluded\texclude\tVBN\tI-VP\tO' +p47184 +aS',\t,\t,\tO\tO' +p47185 +aS'in\tin\tIN\tB-PP\tO' +p47186 +aS'the\tthe\tDT\tB-NP\tO' +p47187 +aS'setting\tsetting\tNN\tI-NP\tO' +p47188 +aS'of\tof\tIN\tB-PP\tO' +p47189 +aS'acute\tacute\tJJ\tB-NP\tO' +p47190 +aS'trauma\ttrauma\tNN\tI-NP\tO' +p47191 +aS'.\t.\t.\tO\tO' +p47192 +asS'The patient received ampicillin , Gentamycin and Flagyl empirically as well as Narcan to reverse fentanyl .' +p47193 +(lp47194 +S'The\tThe\tDT\tB-NP\tO' +p47195 +aS'patient\tpatient\tNN\tI-NP\tO' +p47196 +aS'received\treceive\tVBD\tB-VP\tO' +p47197 +aS'ampicillin\tampicillin\tNN\tB-NP\tO' +p47198 +aS',\t,\t,\tI-NP\tO' +p47199 +aS'Gentamycin\tGentamycin\tNN\tI-NP\tO' +p47200 +aS'and\tand\tCC\tI-NP\tO' +p47201 +aS'Flagyl\tFlagyl\tNN\tI-NP\tO' +p47202 +aS'empirically\tempirically\tRB\tO\tO' +p47203 +aS'as\tas\tRB\tB-CONJP\tO' +p47204 +aS'well\twell\tRB\tI-CONJP\tO' +p47205 +aS'as\tas\tIN\tI-CONJP\tO' +p47206 +aS'Narcan\tNarcan\tNNP\tB-NP\tO' +p47207 +aS'to\tto\tTO\tB-VP\tO' +p47208 +aS'reverse\treverse\tVB\tI-VP\tO' +p47209 +aS'fentanyl\tfentanyl\tNN\tB-NP\tO' +p47210 +aS'.\t.\t.\tO\tO' +p47211 +asS'FOLLOW-UP will be with Dr. Suot N. Dragtente and with her Venbonlea Health oncology fellows .' +p47212 +(lp47213 +S'FOLLOW-UP\tFOLLOW-UP\tNN\tB-NP\tO' +p47214 +aS'will\twill\tMD\tB-VP\tO' +p47215 +aS'be\tbe\tVB\tI-VP\tO' +p47216 +aS'with\twith\tIN\tB-PP\tO' +p47217 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p47218 +aS'Suot\tSuot\tNNP\tI-NP\tO' +p47219 +aS'N.\tN.\tNNP\tI-NP\tO' +p47220 +aS'Dragtente\tDragtente\tNNP\tI-NP\tO' +p47221 +aS'and\tand\tCC\tB-PP\tO' +p47222 +aS'with\twith\tIN\tB-PP\tO' +p47223 +aS'her\ther\tPRP$\tB-NP\tO' +p47224 +aS'Venbonlea\tVenbonlea\tNNP\tI-NP\tO' +p47225 +aS'Health\tHealth\tNNP\tI-NP\tO' +p47226 +aS'oncology\toncology\tNN\tI-NP\tO' +p47227 +aS'fellows\tfellow\tVBZ\tB-VP\tO' +p47228 +aS'.\t.\t.\tO\tO' +p47229 +asS'Liver slightly pulsatile but no enlarged .' +p47230 +(lp47231 +S'Liver\tLiver\tNN\tB-NP\tO' +p47232 +aS'slightly\tslightly\tRB\tB-ADJP\tO' +p47233 +aS'pulsatile\tpulsatile\tJJ\tI-ADJP\tO' +p47234 +aS'but\tbut\tCC\tO\tO' +p47235 +aS'no\tno\tDT\tB-NP\tO' +p47236 +aS'enlarged\tenlarged\tJJ\tI-NP\tO' +p47237 +aS'.\t.\t.\tO\tO' +p47238 +asS'Dictated By : Margaret BT Mahaffey , M.D.' +p47239 +(lp47240 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p47241 +aS'By\tBy\tIN\tB-PP\tO' +p47242 +aS':\t:\t:\tO\tO' +p47243 +aS'Margaret\tMargaret\tNNP\tB-NP\tO' +p47244 +aS'BT\tBT\tNNP\tI-NP\tO' +p47245 +aS'Mahaffey\tMahaffey\tNNP\tI-NP\tO' +p47246 +aS',\t,\t,\tO\tO' +p47247 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p47248 +asS'hypertension , poor dentition .' +p47249 +(lp47250 +S'hypertension\thypertension\tNN\tB-NP\tO' +p47251 +aS',\t,\t,\tO\tO' +p47252 +aS'poor\tpoor\tJJ\tB-NP\tO' +p47253 +aS'dentition\tdentition\tNN\tI-NP\tO' +p47254 +aS'.\t.\t.\tO\tO' +p47255 +asS'He should be n.p.o. until he has a repeat swallow evaluation which demonstrates his ability to swallow without aspiration .' +p47256 +(lp47257 +S'He\tHe\tPRP\tB-NP\tO' +p47258 +aS'should\tshould\tMD\tB-VP\tO' +p47259 +aS'be\tbe\tVB\tI-VP\tO' +p47260 +aS'n.p.o.\tn.p.o.\tRB\tB-ADVP\tO' +p47261 +aS'until\tuntil\tIN\tB-SBAR\tO' +p47262 +aS'he\the\tPRP\tB-NP\tO' +p47263 +aS'has\thave\tVBZ\tB-VP\tO' +p47264 +aS'a\ta\tDT\tB-NP\tO' +p47265 +aS'repeat\trepeat\tNN\tI-NP\tO' +p47266 +aS'swallow\tswallow\tNN\tI-NP\tO' +p47267 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p47268 +aS'which\twhich\tWDT\tB-NP\tO' +p47269 +aS'demonstrates\tdemonstrate\tVBZ\tB-VP\tO' +p47270 +aS'his\this\tPRP$\tB-NP\tO' +p47271 +aS'ability\tability\tNN\tI-NP\tO' +p47272 +aS'to\tto\tTO\tB-VP\tO' +p47273 +aS'swallow\tswallow\tVB\tI-VP\tO' +p47274 +aS'without\twithout\tIN\tB-PP\tO' +p47275 +aS'aspiration\taspiration\tNN\tB-NP\tO' +p47276 +aS'.\t.\t.\tO\tO' +p47277 +asS'Abdomen is soft , nontender , nondistended , no hepatosplenomegaly .' +p47278 +(lp47279 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p47280 +aS'is\tbe\tVBZ\tB-VP\tO' +p47281 +aS'soft\tsoft\tJJ\tB-NP\tO' +p47282 +aS',\t,\t,\tI-NP\tO' +p47283 +aS'nontender\tnontender\tJJ\tI-NP\tO' +p47284 +aS',\t,\t,\tI-NP\tO' +p47285 +aS'nondistended\tnondistended\tJJ\tI-NP\tO' +p47286 +aS',\t,\t,\tO\tO' +p47287 +aS'no\tno\tDT\tB-NP\tO' +p47288 +aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tI-NP\tO' +p47289 +aS'.\t.\t.\tO\tO' +p47290 +asS'There was a left cataract on the fundoscopic examination .' +p47291 +(lp47292 +S'There\tThere\tEX\tB-NP\tO' +p47293 +aS'was\tbe\tVBD\tB-VP\tO' +p47294 +aS'a\ta\tDT\tB-NP\tO' +p47295 +aS'left\tleft\tJJ\tI-NP\tO' +p47296 +aS'cataract\tcataract\tNN\tI-NP\tO' +p47297 +aS'on\ton\tIN\tB-PP\tO' +p47298 +aS'the\tthe\tDT\tB-NP\tO' +p47299 +aS'fundoscopic\tfundoscopic\tJJ\tI-NP\tO' +p47300 +aS'examination\texamination\tNN\tI-NP\tO' +p47301 +aS'.\t.\t.\tO\tO' +p47302 +asS'O positive , antibody negative , hepatitis B surface antigen negative , RPR nonreactive , GBS negative .' +p47303 +(lp47304 +S'O\tO\tNN\tB-NP\tO' +p47305 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p47306 +aS',\t,\t,\tO\tO' +p47307 +aS'antibody\tantibody\tNN\tB-NP\tO' +p47308 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p47309 +aS',\t,\t,\tO\tO' +p47310 +aS'hepatitis\thepatitis\tNN\tB-NP\tB-protein' +p47311 +aS'B\tB\tNN\tI-NP\tI-protein' +p47312 +aS'surface\tsurface\tNN\tI-NP\tI-protein' +p47313 +aS'antigen\tantigen\tNN\tI-NP\tI-protein' +p47314 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p47315 +aS',\t,\t,\tO\tO' +p47316 +aS'RPR\tRPR\tNN\tB-NP\tB-protein' +p47317 +aS'nonreactive\tnonreactive\tJJ\tI-NP\tO' +p47318 +aS',\t,\t,\tO\tO' +p47319 +aS'GBS\tGBS\tNNP\tB-NP\tO' +p47320 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p47321 +aS'.\t.\t.\tO\tO' +p47322 +asS'On 07-25 , his J-tube was noted to be obstructed but was able to be flushed by IR on 07-26 .' +p47323 +(lp47324 +S'On\tOn\tIN\tB-PP\tO' +p47325 +aS'07-25\t07-25\tCD\tB-NP\tO' +p47326 +aS',\t,\t,\tO\tO' +p47327 +aS'his\this\tPRP$\tB-NP\tO' +p47328 +aS'J-tube\tJ-tube\tNNP\tI-NP\tO' +p47329 +aS'was\tbe\tVBD\tB-VP\tO' +p47330 +aS'noted\tnote\tVBN\tI-VP\tO' +p47331 +aS'to\tto\tTO\tI-VP\tO' +p47332 +aS'be\tbe\tVB\tI-VP\tO' +p47333 +aS'obstructed\tobstruct\tVBN\tI-VP\tO' +p47334 +aS'but\tbut\tCC\tO\tO' +p47335 +aS'was\tbe\tVBD\tB-VP\tO' +p47336 +aS'able\table\tJJ\tB-ADJP\tO' +p47337 +aS'to\tto\tTO\tB-VP\tO' +p47338 +aS'be\tbe\tVB\tI-VP\tO' +p47339 +aS'flushed\tflush\tVBN\tI-VP\tO' +p47340 +aS'by\tby\tIN\tB-PP\tO' +p47341 +aS'IR\tIR\tNN\tB-NP\tB-protein' +p47342 +aS'on\ton\tIN\tB-PP\tO' +p47343 +aS'07-26\t07-26\tCD\tB-NP\tO' +p47344 +aS'.\t.\t.\tO\tO' +p47345 +asS'Coronary artery disease s/p Coronary Artery Bypass Graft x3' +p47346 +(lp47347 +S'Coronary\tCoronary\tJJ\tB-NP\tO' +p47348 +aS'artery\tartery\tNN\tI-NP\tO' +p47349 +aS'disease\tdisease\tNN\tI-NP\tO' +p47350 +aS's/p\ts/p\tNN\tI-NP\tO' +p47351 +aS'Coronary\tCoronary\tNNP\tI-NP\tO' +p47352 +aS'Artery\tArtery\tNNP\tI-NP\tO' +p47353 +aS'Bypass\tBypass\tNNP\tI-NP\tO' +p47354 +aS'Graft\tGraft\tNNP\tI-NP\tO' +p47355 +aS'x3\tx3\tNN\tI-NP\tO' +p47356 +asS'Follow up appointments listed below .' +p47357 +(lp47358 +S'Follow\tFollow\tVB\tB-VP\tO' +p47359 +aS'up\tup\tRP\tB-PRT\tO' +p47360 +aS'appointments\tappointment\tNNS\tB-NP\tO' +p47361 +aS'listed\tlist\tVBN\tB-VP\tO' +p47362 +aS'below\tbelow\tIN\tB-PP\tO' +p47363 +aS'.\t.\t.\tO\tO' +p47364 +asS'He denied any falls at home .' +p47365 +(lp47366 +S'He\tHe\tPRP\tB-NP\tO' +p47367 +aS'denied\tdeny\tVBD\tB-VP\tO' +p47368 +aS'any\tany\tDT\tB-NP\tO' +p47369 +aS'falls\tfall\tNNS\tI-NP\tO' +p47370 +aS'at\tat\tIN\tB-PP\tO' +p47371 +aS'home\thome\tNN\tB-NP\tO' +p47372 +aS'.\t.\t.\tO\tO' +p47373 +asS'HIV .' +p47374 +(lp47375 +S'HIV\tHIV\tNN\tB-NP\tO' +p47376 +aS'.\t.\t.\tO\tO' +p47377 +asS'Continue your Lovenox injections as instructed' +p47378 +(lp47379 +S'Continue\tContinue\tVB\tB-VP\tO' +p47380 +aS'your\tyour\tPRP$\tB-NP\tO' +p47381 +aS'Lovenox\tLovenox\tNNP\tI-NP\tO' +p47382 +aS'injections\tinjection\tNNS\tI-NP\tO' +p47383 +aS'as\tas\tIN\tB-SBAR\tO' +p47384 +aS'instructed\tinstruct\tVBN\tB-VP\tO' +p47385 +asS'So that has really improved .' +p47386 +(lp47387 +S'So\tSo\tIN\tO\tO' +p47388 +aS'that\tthat\tDT\tB-NP\tO' +p47389 +aS'has\thave\tVBZ\tB-VP\tO' +p47390 +aS'really\treally\tRB\tI-VP\tO' +p47391 +aS'improved\timprove\tVBN\tI-VP\tO' +p47392 +aS'.\t.\t.\tO\tO' +p47393 +asS'Arterial blood gas at 3 a.m. demonstrated 7.4/45/125 .' +p47394 +(lp47395 +S'Arterial\tArterial\tJJ\tB-NP\tO' +p47396 +aS'blood\tblood\tNN\tI-NP\tO' +p47397 +aS'gas\tgas\tNN\tI-NP\tO' +p47398 +aS'at\tat\tIN\tB-PP\tO' +p47399 +aS'3\t3\tCD\tB-NP\tO' +p47400 +aS'a.m.\ta.m.\tNN\tI-NP\tO' +p47401 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p47402 +aS'7.4/45/125\t7.4/45/125\tCD\tB-NP\tO' +p47403 +aS'.\t.\t.\tO\tO' +p47404 +asS'9. Absent septum pellucidum .' +p47405 +(lp47406 +S'9.\t9.\tLS\tB-NP\tO' +p47407 +aS'Absent\tAbsent\tJJ\tI-NP\tO' +p47408 +aS'septum\tseptum\tNN\tI-NP\tO' +p47409 +aS'pellucidum\tpellucidum\tNN\tI-NP\tO' +p47410 +aS'.\t.\t.\tO\tO' +p47411 +asS'Infant was treated with supplemental iron , and did not receive any blood transfusions .' +p47412 +(lp47413 +S'Infant\tInfant\tNN\tB-NP\tO' +p47414 +aS'was\tbe\tVBD\tB-VP\tO' +p47415 +aS'treated\ttreat\tVBN\tI-VP\tO' +p47416 +aS'with\twith\tIN\tB-PP\tO' +p47417 +aS'supplemental\tsupplemental\tJJ\tB-NP\tO' +p47418 +aS'iron\tiron\tNN\tI-NP\tO' +p47419 +aS',\t,\t,\tO\tO' +p47420 +aS'and\tand\tCC\tO\tO' +p47421 +aS'did\tdo\tVBD\tB-VP\tO' +p47422 +aS'not\tnot\tRB\tI-VP\tO' +p47423 +aS'receive\treceive\tVB\tI-VP\tO' +p47424 +aS'any\tany\tDT\tB-NP\tO' +p47425 +aS'blood\tblood\tNN\tI-NP\tO' +p47426 +aS'transfusions\ttransfusion\tNNS\tI-NP\tO' +p47427 +aS'.\t.\t.\tO\tO' +p47428 +asS'She also received a fourteen day course of Acyclovir which was begun on June 21 , 1998 for perianal lesions consistent with herpes simplex virus .' +p47429 +(lp47430 +S'She\tShe\tPRP\tB-NP\tO' +p47431 +aS'also\talso\tRB\tB-ADVP\tO' +p47432 +aS'received\treceive\tVBD\tB-VP\tO' +p47433 +aS'a\ta\tDT\tB-NP\tO' +p47434 +aS'fourteen\tfourteen\tCD\tI-NP\tO' +p47435 +aS'day\tday\tNN\tI-NP\tO' +p47436 +aS'course\tcourse\tNN\tI-NP\tO' +p47437 +aS'of\tof\tIN\tB-PP\tO' +p47438 +aS'Acyclovir\tAcyclovir\tNN\tB-NP\tO' +p47439 +aS'which\twhich\tWDT\tB-NP\tO' +p47440 +aS'was\tbe\tVBD\tB-VP\tO' +p47441 +aS'begun\tbegin\tVBN\tI-VP\tO' +p47442 +aS'on\ton\tIN\tB-PP\tO' +p47443 +aS'June\tJune\tNNP\tB-NP\tO' +p47444 +aS'21\t21\tCD\tI-NP\tO' +p47445 +aS',\t,\t,\tO\tO' +p47446 +aS'1998\t1998\tCD\tB-NP\tO' +p47447 +aS'for\tfor\tIN\tB-PP\tO' +p47448 +aS'perianal\tperianal\tJJ\tB-NP\tO' +p47449 +aS'lesions\tlesion\tNNS\tI-NP\tO' +p47450 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p47451 +aS'with\twith\tIN\tB-PP\tO' +p47452 +aS'herpes\therpes\tNN\tB-NP\tO' +p47453 +aS'simplex\tsimplex\tNN\tI-NP\tO' +p47454 +aS'virus\tvirus\tNN\tI-NP\tO' +p47455 +aS'.\t.\t.\tO\tO' +p47456 +asS'On admission the white blood count was 67.3 with a differential of 21% polys , 16% bands , 3% lymphocytes , 2% monocytes , 57% eosinophils and 1% myelocytes .' +p47457 +(lp47458 +S'On\tOn\tIN\tB-PP\tO' +p47459 +aS'admission\tadmission\tNN\tB-NP\tO' +p47460 +aS'the\tthe\tDT\tB-NP\tO' +p47461 +aS'white\twhite\tJJ\tI-NP\tO' +p47462 +aS'blood\tblood\tNN\tI-NP\tO' +p47463 +aS'count\tcount\tNN\tI-NP\tO' +p47464 +aS'was\tbe\tVBD\tB-VP\tO' +p47465 +aS'67.3\t67.3\tCD\tB-NP\tO' +p47466 +aS'with\twith\tIN\tB-PP\tO' +p47467 +aS'a\ta\tDT\tB-NP\tO' +p47468 +aS'differential\tdifferential\tNN\tI-NP\tO' +p47469 +aS'of\tof\tIN\tB-PP\tO' +p47470 +aS'21%\t21%\tCD\tB-NP\tO' +p47471 +aS'polys\tpoly\tNNS\tI-NP\tO' +p47472 +aS',\t,\t,\tO\tO' +p47473 +aS'16%\t16%\tNN\tB-NP\tO' +p47474 +aS'bands\tband\tNNS\tI-NP\tO' +p47475 +aS',\t,\t,\tO\tO' +p47476 +aS'3%\t3%\tNN\tB-NP\tB-cell_line' +p47477 +aS'lymphocytes\tlymphocyte\tNNS\tI-NP\tI-cell_line' +p47478 +aS',\t,\t,\tO\tO' +p47479 +aS'2%\t2%\tNN\tB-NP\tB-cell_type' +p47480 +aS'monocytes\tmonocyte\tNNS\tI-NP\tI-cell_type' +p47481 +aS',\t,\t,\tO\tO' +p47482 +aS'57%\t57%\tCD\tB-NP\tO' +p47483 +aS'eosinophils\teosinophil\tNNS\tI-NP\tB-cell_type' +p47484 +aS'and\tand\tCC\tO\tO' +p47485 +aS'1%\t1%\tNN\tB-NP\tB-cell_line' +p47486 +aS'myelocytes\tmyelocyte\tNNS\tI-NP\tI-cell_line' +p47487 +aS'.\t.\t.\tO\tO' +p47488 +asS'Neurologists at RIH felt she had a poor prognosis , but communication between the medical team and family was strained and transfer was arranged to Mediplex Rehab Hospital for a second opinion .' +p47489 +(lp47490 +S'Neurologists\tNeurologist\tNNS\tB-NP\tO' +p47491 +aS'at\tat\tIN\tB-PP\tO' +p47492 +aS'RIH\tRIH\tNN\tB-NP\tB-protein' +p47493 +aS'felt\tfeel\tVBD\tB-VP\tO' +p47494 +aS'she\tshe\tPRP\tB-NP\tO' +p47495 +aS'had\thave\tVBD\tB-VP\tO' +p47496 +aS'a\ta\tDT\tB-NP\tO' +p47497 +aS'poor\tpoor\tJJ\tI-NP\tO' +p47498 +aS'prognosis\tprognosis\tNN\tI-NP\tO' +p47499 +aS',\t,\t,\tO\tO' +p47500 +aS'but\tbut\tCC\tO\tO' +p47501 +aS'communication\tcommunication\tNN\tB-NP\tO' +p47502 +aS'between\tbetween\tIN\tB-PP\tO' +p47503 +aS'the\tthe\tDT\tB-NP\tO' +p47504 +aS'medical\tmedical\tJJ\tI-NP\tO' +p47505 +aS'team\tteam\tNN\tI-NP\tO' +p47506 +aS'and\tand\tCC\tI-NP\tO' +p47507 +aS'family\tfamily\tNN\tI-NP\tO' +p47508 +aS'was\tbe\tVBD\tB-VP\tO' +p47509 +aS'strained\tstrain\tVBN\tI-VP\tO' +p47510 +aS'and\tand\tCC\tO\tO' +p47511 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p47512 +aS'was\tbe\tVBD\tB-VP\tO' +p47513 +aS'arranged\tarrange\tVBN\tI-VP\tO' +p47514 +aS'to\tto\tTO\tB-PP\tO' +p47515 +aS'Mediplex\tMediplex\tNNP\tB-NP\tO' +p47516 +aS'Rehab\tRehab\tNNP\tI-NP\tO' +p47517 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p47518 +aS'for\tfor\tIN\tB-PP\tO' +p47519 +aS'a\ta\tDT\tB-NP\tO' +p47520 +aS'second\tsecond\tJJ\tI-NP\tO' +p47521 +aS'opinion\topinion\tNN\tI-NP\tO' +p47522 +aS'.\t.\t.\tO\tO' +p47523 +asS'Left humerus film series demonstrated no evidence of fracture or displacement .' +p47524 +(lp47525 +S'Left\tLeave\tVBN\tB-NP\tO' +p47526 +aS'humerus\thumerus\tJJ\tI-NP\tO' +p47527 +aS'film\tfilm\tNN\tI-NP\tO' +p47528 +aS'series\tseries\tNN\tI-NP\tO' +p47529 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p47530 +aS'no\tno\tDT\tB-NP\tO' +p47531 +aS'evidence\tevidence\tNN\tI-NP\tO' +p47532 +aS'of\tof\tIN\tB-PP\tO' +p47533 +aS'fracture\tfracture\tNN\tB-NP\tO' +p47534 +aS'or\tor\tCC\tI-NP\tO' +p47535 +aS'displacement\tdisplacement\tNN\tI-NP\tO' +p47536 +aS'.\t.\t.\tO\tO' +p47537 +asS'States he is not able to walk because of severe pain .' +p47538 +(lp47539 +S'States\tState\tNNS\tB-NP\tO' +p47540 +aS'he\the\tPRP\tB-NP\tO' +p47541 +aS'is\tbe\tVBZ\tB-VP\tO' +p47542 +aS'not\tnot\tRB\tO\tO' +p47543 +aS'able\table\tJJ\tB-ADJP\tO' +p47544 +aS'to\tto\tTO\tB-VP\tO' +p47545 +aS'walk\twalk\tVB\tI-VP\tO' +p47546 +aS'because\tbecause\tIN\tB-PP\tO' +p47547 +aS'of\tof\tIN\tI-PP\tO' +p47548 +aS'severe\tsevere\tJJ\tB-NP\tO' +p47549 +aS'pain\tpain\tNN\tI-NP\tO' +p47550 +aS'.\t.\t.\tO\tO' +p47551 +asS'The heart has a regular rate and rhythm with normal S1 , S2 .' +p47552 +(lp47553 +S'The\tThe\tDT\tB-NP\tO' +p47554 +aS'heart\theart\tNN\tI-NP\tO' +p47555 +aS'has\thave\tVBZ\tB-VP\tO' +p47556 +aS'a\ta\tDT\tB-NP\tO' +p47557 +aS'regular\tregular\tJJ\tI-NP\tO' +p47558 +aS'rate\trate\tNN\tI-NP\tO' +p47559 +aS'and\tand\tCC\tI-NP\tO' +p47560 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p47561 +aS'with\twith\tIN\tB-PP\tO' +p47562 +aS'normal\tnormal\tJJ\tB-NP\tO' +p47563 +aS'S1\tS1\tNN\tI-NP\tO' +p47564 +aS',\t,\t,\tO\tO' +p47565 +aS'S2\tS2\tNN\tB-NP\tB-protein' +p47566 +aS'.\t.\t.\tO\tO' +p47567 +asS'She was given 1 dose of nifedipine 2 days ago as a tocolytic without effect .' +p47568 +(lp47569 +S'She\tShe\tPRP\tB-NP\tO' +p47570 +aS'was\tbe\tVBD\tB-VP\tO' +p47571 +aS'given\tgive\tVBN\tI-VP\tO' +p47572 +aS'1\t1\tCD\tB-NP\tO' +p47573 +aS'dose\tdose\tNN\tI-NP\tO' +p47574 +aS'of\tof\tIN\tB-PP\tO' +p47575 +aS'nifedipine\tnifedipine\tNN\tB-NP\tO' +p47576 +aS'2\t2\tCD\tB-NP\tO' +p47577 +aS'days\tday\tNNS\tI-NP\tO' +p47578 +aS'ago\tago\tRB\tB-ADVP\tO' +p47579 +aS'as\tas\tIN\tB-PP\tO' +p47580 +aS'a\ta\tDT\tB-NP\tO' +p47581 +aS'tocolytic\ttocolytic\tJJ\tI-NP\tO' +p47582 +aS'without\twithout\tIN\tB-PP\tO' +p47583 +aS'effect\teffect\tNN\tB-NP\tO' +p47584 +aS'.\t.\t.\tO\tO' +p47585 +asS'Electrocardiogram at that time showed ST elevations and J point elevations in V2 through V4 .' +p47586 +(lp47587 +S'Electrocardiogram\tElectrocardiogram\tNN\tB-NP\tO' +p47588 +aS'at\tat\tIN\tB-PP\tO' +p47589 +aS'that\tthat\tDT\tB-NP\tO' +p47590 +aS'time\ttime\tNN\tI-NP\tO' +p47591 +aS'showed\tshow\tVBD\tB-VP\tO' +p47592 +aS'ST\tST\tJJ\tB-NP\tO' +p47593 +aS'elevations\televation\tNNS\tI-NP\tO' +p47594 +aS'and\tand\tCC\tO\tO' +p47595 +aS'J\tJ\tNN\tB-NP\tO' +p47596 +aS'point\tpoint\tNN\tI-NP\tO' +p47597 +aS'elevations\televation\tNNS\tI-NP\tO' +p47598 +aS'in\tin\tIN\tB-PP\tO' +p47599 +aS'V2\tV2\tNN\tB-NP\tO' +p47600 +aS'through\tthrough\tIN\tB-PP\tO' +p47601 +aS'V4\tV4\tNN\tB-NP\tB-protein' +p47602 +aS'.\t.\t.\tO\tO' +p47603 +asS'6. CHF with EF 25% on last echo on 2017-07-19' +p47604 +(lp47605 +S'6.\t6.\tLS\tB-NP\tO' +p47606 +aS'CHF\tCHF\tNN\tI-NP\tB-protein' +p47607 +aS'with\twith\tIN\tB-PP\tO' +p47608 +aS'EF\tEF\tNN\tB-NP\tB-protein' +p47609 +aS'25%\t25%\tNN\tI-NP\tI-protein' +p47610 +aS'on\ton\tIN\tB-PP\tO' +p47611 +aS'last\tlast\tJJ\tB-NP\tO' +p47612 +aS'echo\techo\tNN\tI-NP\tO' +p47613 +aS'on\ton\tIN\tB-PP\tO' +p47614 +aS'2017-07-19\t2017-07-19\tCD\tB-NP\tO' +p47615 +asS'He was noted to have some ventricular ectopy on Holter monitor .' +p47616 +(lp47617 +S'He\tHe\tPRP\tB-NP\tO' +p47618 +aS'was\tbe\tVBD\tB-VP\tO' +p47619 +aS'noted\tnote\tVBN\tI-VP\tO' +p47620 +aS'to\tto\tTO\tI-VP\tO' +p47621 +aS'have\thave\tVB\tI-VP\tO' +p47622 +aS'some\tsome\tDT\tB-NP\tO' +p47623 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p47624 +aS'ectopy\tectopy\tNN\tI-NP\tO' +p47625 +aS'on\ton\tIN\tB-PP\tO' +p47626 +aS'Holter\tHolter\tNNP\tB-NP\tO' +p47627 +aS'monitor\tmonitor\tNN\tI-NP\tO' +p47628 +aS'.\t.\t.\tO\tO' +p47629 +asS'The patient was extubated on arrival in the cardiac surgery recovery room but was on no drips .' +p47630 +(lp47631 +S'The\tThe\tDT\tB-NP\tO' +p47632 +aS'patient\tpatient\tNN\tI-NP\tO' +p47633 +aS'was\tbe\tVBD\tB-VP\tO' +p47634 +aS'extubated\textubate\tVBN\tI-VP\tO' +p47635 +aS'on\ton\tIN\tB-PP\tO' +p47636 +aS'arrival\tarrival\tNN\tB-NP\tO' +p47637 +aS'in\tin\tIN\tB-PP\tO' +p47638 +aS'the\tthe\tDT\tB-NP\tO' +p47639 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p47640 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p47641 +aS'recovery\trecovery\tNN\tI-NP\tO' +p47642 +aS'room\troom\tNN\tI-NP\tO' +p47643 +aS'but\tbut\tCC\tO\tO' +p47644 +aS'was\tbe\tVBD\tB-VP\tO' +p47645 +aS'on\ton\tIN\tB-PP\tO' +p47646 +aS'no\tno\tDT\tB-NP\tO' +p47647 +aS'drips\tdrip\tNNS\tI-NP\tO' +p47648 +aS'.\t.\t.\tO\tO' +p47649 +asS'4. Transplant nephrectomy .' +p47650 +(lp47651 +S'4.\t4.\tLS\tB-NP\tO' +p47652 +aS'Transplant\tTransplant\tNN\tI-NP\tO' +p47653 +aS'nephrectomy\tnephrectomy\tNN\tI-NP\tO' +p47654 +aS'.\t.\t.\tO\tO' +p47655 +asS'regular rate and rhythm without murmur .' +p47656 +(lp47657 +S'regular\tregular\tJJ\tB-NP\tO' +p47658 +aS'rate\trate\tNN\tI-NP\tO' +p47659 +aS'and\tand\tCC\tI-NP\tO' +p47660 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p47661 +aS'without\twithout\tIN\tB-PP\tO' +p47662 +aS'murmur\tmurmur\tNN\tB-NP\tO' +p47663 +aS'.\t.\t.\tO\tO' +p47664 +asS'Please see GI .' +p47665 +(lp47666 +S'Please\tPlease\tVB\tB-VP\tO' +p47667 +aS'see\tsee\tVB\tI-VP\tO' +p47668 +aS'GI\tGI\tNN\tB-NP\tO' +p47669 +aS'.\t.\t.\tO\tO' +p47670 +asS'4 ) Plaquenil 200 mg p.o. q. day .' +p47671 +(lp47672 +S'4\t4\tLS\tB-LST\tO' +p47673 +aS')\t)\t)\tO\tO' +p47674 +aS'Plaquenil\tPlaquenil\tNN\tB-NP\tO' +p47675 +aS'200\t200\tCD\tI-NP\tO' +p47676 +aS'mg\tmg\tNN\tI-NP\tO' +p47677 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p47678 +aS'q.\tq.\tNN\tI-NP\tO' +p47679 +aS'day\tday\tNN\tI-NP\tO' +p47680 +aS'.\t.\t.\tO\tO' +p47681 +asS'On day of life 15 , she was made NPO for a distended abdomen and a bilious spit .' +p47682 +(lp47683 +S'On\tOn\tIN\tB-PP\tO' +p47684 +aS'day\tday\tNN\tB-NP\tO' +p47685 +aS'of\tof\tIN\tB-PP\tO' +p47686 +aS'life\tlife\tNN\tB-NP\tO' +p47687 +aS'15\t15\tCD\tI-NP\tO' +p47688 +aS',\t,\t,\tO\tO' +p47689 +aS'she\tshe\tPRP\tB-NP\tO' +p47690 +aS'was\tbe\tVBD\tB-VP\tO' +p47691 +aS'made\tmake\tVBN\tI-VP\tO' +p47692 +aS'NPO\tNPO\tNNP\tB-NP\tO' +p47693 +aS'for\tfor\tIN\tB-PP\tO' +p47694 +aS'a\ta\tDT\tB-NP\tO' +p47695 +aS'distended\tdistended\tJJ\tI-NP\tO' +p47696 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p47697 +aS'and\tand\tCC\tO\tO' +p47698 +aS'a\ta\tDT\tB-NP\tO' +p47699 +aS'bilious\tbilious\tJJ\tI-NP\tO' +p47700 +aS'spit\tspit\tNN\tI-NP\tO' +p47701 +aS'.\t.\t.\tO\tO' +p47702 +asS'Transfer from Tewksbury State Hospital Hospital CMED CCU for neurologic compromise , at request of family for second opinion .' +p47703 +(lp47704 +S'Transfer\tTransfer\tNNP\tB-NP\tO' +p47705 +aS'from\tfrom\tIN\tB-PP\tO' +p47706 +aS'Tewksbury\tTewksbury\tNNP\tB-NP\tO' +p47707 +aS'State\tState\tNNP\tI-NP\tO' +p47708 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p47709 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p47710 +aS'CMED\tCMED\tNNP\tI-NP\tO' +p47711 +aS'CCU\tCCU\tNNP\tI-NP\tO' +p47712 +aS'for\tfor\tIN\tB-PP\tO' +p47713 +aS'neurologic\tneurologic\tJJ\tB-NP\tO' +p47714 +aS'compromise\tcompromise\tNN\tI-NP\tO' +p47715 +aS',\t,\t,\tO\tO' +p47716 +aS'at\tat\tIN\tB-PP\tO' +p47717 +aS'request\trequest\tNN\tB-NP\tO' +p47718 +aS'of\tof\tIN\tB-PP\tO' +p47719 +aS'family\tfamily\tNN\tB-NP\tO' +p47720 +aS'for\tfor\tIN\tB-PP\tO' +p47721 +aS'second\tsecond\tJJ\tB-NP\tO' +p47722 +aS'opinion\topinion\tNN\tI-NP\tO' +p47723 +aS'.\t.\t.\tO\tO' +p47724 +asS'Review of bone windows demonstrates no skull bulge or skull base fracture .' +p47725 +(lp47726 +S'Review\tReview\tNN\tB-NP\tO' +p47727 +aS'of\tof\tIN\tB-PP\tO' +p47728 +aS'bone\tbone\tNN\tB-NP\tO' +p47729 +aS'windows\twindow\tNNS\tI-NP\tO' +p47730 +aS'demonstrates\tdemonstrate\tVBZ\tB-VP\tO' +p47731 +aS'no\tno\tDT\tB-NP\tO' +p47732 +aS'skull\tskull\tNN\tI-NP\tO' +p47733 +aS'bulge\tbulge\tNN\tI-NP\tO' +p47734 +aS'or\tor\tCC\tI-NP\tO' +p47735 +aS'skull\tskull\tNN\tI-NP\tO' +p47736 +aS'base\tbase\tNN\tI-NP\tO' +p47737 +aS'fracture\tfracture\tNN\tI-NP\tO' +p47738 +aS'.\t.\t.\tO\tO' +p47739 +asS'PPX : SC heparin , bowel regimen , nicotine patch' +p47740 +(lp47741 +S'PPX\tPPX\tNN\tB-NP\tB-protein' +p47742 +aS':\t:\t:\tO\tO' +p47743 +aS'SC\tSC\tNN\tB-NP\tO' +p47744 +aS'heparin\theparin\tNN\tI-NP\tO' +p47745 +aS',\t,\t,\tO\tO' +p47746 +aS'bowel\tbowel\tNN\tB-NP\tO' +p47747 +aS'regimen\tregimen\tNN\tI-NP\tO' +p47748 +aS',\t,\t,\tO\tO' +p47749 +aS'nicotine\tnicotine\tNN\tB-NP\tO' +p47750 +aS'patch\tpatch\tNN\tI-NP\tO' +p47751 +asS'His symptoms mildly improved after eating a candy bar .' +p47752 +(lp47753 +S'His\tHis\tPRP$\tB-NP\tO' +p47754 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p47755 +aS'mildly\tmildly\tRB\tB-VP\tO' +p47756 +aS'improved\timprove\tVBD\tI-VP\tO' +p47757 +aS'after\tafter\tIN\tB-PP\tO' +p47758 +aS'eating\teat\tVBG\tB-VP\tO' +p47759 +aS'a\ta\tDT\tB-NP\tO' +p47760 +aS'candy\tcandy\tNN\tI-NP\tO' +p47761 +aS'bar\tbar\tNN\tI-NP\tO' +p47762 +aS'.\t.\t.\tO\tO' +p47763 +asS'Examination was clear to auscultation .' +p47764 +(lp47765 +S'Examination\tExamination\tNN\tB-NP\tO' +p47766 +aS'was\tbe\tVBD\tB-VP\tO' +p47767 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p47768 +aS'to\tto\tTO\tB-PP\tO' +p47769 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p47770 +aS'.\t.\t.\tO\tO' +p47771 +asS'At the time of discharge , he is taking Enfamil 20 calories / ounce with iron .' +p47772 +(lp47773 +S'At\tAt\tIN\tB-PP\tO' +p47774 +aS'the\tthe\tDT\tB-NP\tO' +p47775 +aS'time\ttime\tNN\tI-NP\tO' +p47776 +aS'of\tof\tIN\tB-PP\tO' +p47777 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p47778 +aS',\t,\t,\tO\tO' +p47779 +aS'he\the\tPRP\tB-NP\tO' +p47780 +aS'is\tbe\tVBZ\tB-VP\tO' +p47781 +aS'taking\ttake\tVBG\tI-VP\tO' +p47782 +aS'Enfamil\tEnfamil\tNNP\tB-NP\tO' +p47783 +aS'20\t20\tCD\tI-NP\tO' +p47784 +aS'calories\tcalorie\tNNS\tI-NP\tO' +p47785 +aS'/\t/\tSYM\tB-NP\tO' +p47786 +aS'ounce\tounce\tNN\tI-NP\tO' +p47787 +aS'with\twith\tIN\tB-PP\tO' +p47788 +aS'iron\tiron\tNN\tB-NP\tO' +p47789 +aS'.\t.\t.\tO\tO' +p47790 +asS"On 06-28 , the patient experienced PVC 's ." +p47791 +(lp47792 +S'On\tOn\tIN\tB-PP\tO' +p47793 +aS'06-28\t06-28\tCD\tB-NP\tO' +p47794 +aS',\t,\t,\tO\tO' +p47795 +aS'the\tthe\tDT\tB-NP\tO' +p47796 +aS'patient\tpatient\tNN\tI-NP\tO' +p47797 +aS'experienced\texperience\tVBD\tB-VP\tO' +p47798 +aS'PVC\tPVC\tNN\tB-NP\tO' +p47799 +aS"'s\t's\tPOS\tB-NP\tO" +p47800 +aS'.\t.\t.\tO\tO' +p47801 +asS'Protonix 20 mg q. 24 hours .' +p47802 +(lp47803 +S'Protonix\tProtonix\tNN\tB-NP\tO' +p47804 +aS'20\t20\tCD\tI-NP\tO' +p47805 +aS'mg\tmg\tNN\tI-NP\tO' +p47806 +aS'q.\tq.\tNN\tI-NP\tO' +p47807 +aS'24\t24\tCD\tB-NP\tO' +p47808 +aS'hours\thour\tNNS\tI-NP\tO' +p47809 +aS'.\t.\t.\tO\tO' +p47810 +asS'2) born between 32 and 35 weeks with plans for daycare during RSV season , with a smoker in the household , or with preschool siblings , or' +p47811 +(lp47812 +S'2)\t2)\tLS\tB-LST\tO' +p47813 +aS'born\tbear\tVBN\tB-VP\tO' +p47814 +aS'between\tbetween\tIN\tB-PP\tO' +p47815 +aS'32\t32\tCD\tB-NP\tO' +p47816 +aS'and\tand\tCC\tI-NP\tO' +p47817 +aS'35\t35\tCD\tI-NP\tO' +p47818 +aS'weeks\tweek\tNNS\tI-NP\tO' +p47819 +aS'with\twith\tIN\tB-PP\tO' +p47820 +aS'plans\tplan\tNNS\tB-NP\tO' +p47821 +aS'for\tfor\tIN\tB-PP\tO' +p47822 +aS'daycare\tdaycare\tNN\tB-NP\tO' +p47823 +aS'during\tduring\tIN\tB-PP\tO' +p47824 +aS'RSV\tRSV\tNN\tB-NP\tO' +p47825 +aS'season\tseason\tNN\tI-NP\tO' +p47826 +aS',\t,\t,\tO\tO' +p47827 +aS'with\twith\tIN\tB-PP\tO' +p47828 +aS'a\ta\tDT\tB-NP\tO' +p47829 +aS'smoker\tsmoker\tNN\tI-NP\tO' +p47830 +aS'in\tin\tIN\tB-PP\tO' +p47831 +aS'the\tthe\tDT\tB-NP\tO' +p47832 +aS'household\thousehold\tNN\tI-NP\tO' +p47833 +aS',\t,\t,\tO\tO' +p47834 +aS'or\tor\tCC\tO\tO' +p47835 +aS'with\twith\tIN\tB-PP\tO' +p47836 +aS'preschool\tpreschool\tNN\tB-NP\tO' +p47837 +aS'siblings\tsibling\tNNS\tI-NP\tO' +p47838 +aS',\t,\t,\tO\tO' +p47839 +aS'or\tor\tCC\tO\tO' +p47840 +asS'There was no evidence of MVP .' +p47841 +(lp47842 +S'There\tThere\tEX\tB-NP\tO' +p47843 +aS'was\tbe\tVBD\tB-VP\tO' +p47844 +aS'no\tno\tDT\tB-NP\tO' +p47845 +aS'evidence\tevidence\tNN\tI-NP\tO' +p47846 +aS'of\tof\tIN\tB-PP\tO' +p47847 +aS'MVP\tMVP\tNN\tB-NP\tB-protein' +p47848 +aS'.\t.\t.\tO\tO' +p47849 +asS'Cardiac - RRR .' +p47850 +(lp47851 +S'Cardiac\tCardiac\tJJ\tB-NP\tO' +p47852 +aS'-\t-\tHYPH\tI-NP\tO' +p47853 +aS'RRR\tRRR\tNN\tI-NP\tB-protein' +p47854 +aS'.\t.\t.\tO\tO' +p47855 +asS'The patient originally presented to her PCP approximately one week prior to admission here with increasing cough , dyspnea and fatigue .' +p47856 +(lp47857 +S'The\tThe\tDT\tB-NP\tO' +p47858 +aS'patient\tpatient\tNN\tI-NP\tO' +p47859 +aS'originally\toriginally\tRB\tB-VP\tO' +p47860 +aS'presented\tpresent\tVBN\tI-VP\tO' +p47861 +aS'to\tto\tTO\tB-PP\tO' +p47862 +aS'her\ther\tPRP$\tB-NP\tO' +p47863 +aS'PCP\tPCP\tNN\tI-NP\tB-protein' +p47864 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p47865 +aS'one\tone\tCD\tI-NP\tO' +p47866 +aS'week\tweek\tNN\tI-NP\tO' +p47867 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p47868 +aS'to\tto\tTO\tB-PP\tO' +p47869 +aS'admission\tadmission\tNN\tB-NP\tO' +p47870 +aS'here\there\tRB\tB-ADVP\tO' +p47871 +aS'with\twith\tIN\tB-PP\tO' +p47872 +aS'increasing\tincrease\tVBG\tB-NP\tO' +p47873 +aS'cough\tcough\tNN\tI-NP\tO' +p47874 +aS',\t,\t,\tI-NP\tO' +p47875 +aS'dyspnea\tdyspnea\tNN\tI-NP\tO' +p47876 +aS'and\tand\tCC\tI-NP\tO' +p47877 +aS'fatigue\tfatigue\tNN\tI-NP\tO' +p47878 +aS'.\t.\t.\tO\tO' +p47879 +asS'He was started on IV ig and IV Solu-Medrol for a diagnosis of myasthenia gravis given his past history of thymoma .' +p47880 +(lp47881 +S'He\tHe\tPRP\tB-NP\tO' +p47882 +aS'was\tbe\tVBD\tB-VP\tO' +p47883 +aS'started\tstart\tVBN\tI-VP\tO' +p47884 +aS'on\ton\tIN\tB-PP\tO' +p47885 +aS'IV\tIV\tCD\tB-NP\tO' +p47886 +aS'ig\tig\tNN\tI-NP\tO' +p47887 +aS'and\tand\tCC\tO\tO' +p47888 +aS'IV\tIV\tCD\tB-NP\tO' +p47889 +aS'Solu-Medrol\tSolu-Medrol\tNN\tI-NP\tO' +p47890 +aS'for\tfor\tIN\tB-PP\tO' +p47891 +aS'a\ta\tDT\tB-NP\tO' +p47892 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p47893 +aS'of\tof\tIN\tB-PP\tO' +p47894 +aS'myasthenia\tmyasthenia\tNN\tB-NP\tO' +p47895 +aS'gravis\tgravis\tNN\tI-NP\tO' +p47896 +aS'given\tgive\tVBN\tB-VP\tO' +p47897 +aS'his\this\tPRP$\tB-NP\tO' +p47898 +aS'past\tpast\tJJ\tI-NP\tO' +p47899 +aS'history\thistory\tNN\tI-NP\tO' +p47900 +aS'of\tof\tIN\tB-PP\tO' +p47901 +aS'thymoma\tthymoma\tNN\tB-NP\tO' +p47902 +aS'.\t.\t.\tO\tO' +p47903 +asS'His peak serum bilirubin occurred on day of life three with a total of 8.3 / 0.2 direct , 8.1 indirect mg/dl .' +p47904 +(lp47905 +S'His\tHis\tPRP$\tB-NP\tO' +p47906 +aS'peak\tpeak\tJJ\tI-NP\tO' +p47907 +aS'serum\tserum\tNN\tI-NP\tO' +p47908 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p47909 +aS'occurred\toccur\tVBD\tB-VP\tO' +p47910 +aS'on\ton\tIN\tB-PP\tO' +p47911 +aS'day\tday\tNN\tB-NP\tO' +p47912 +aS'of\tof\tIN\tB-PP\tO' +p47913 +aS'life\tlife\tNN\tB-NP\tO' +p47914 +aS'three\tthree\tCD\tB-NP\tO' +p47915 +aS'with\twith\tIN\tB-PP\tO' +p47916 +aS'a\ta\tDT\tB-NP\tO' +p47917 +aS'total\ttotal\tNN\tI-NP\tO' +p47918 +aS'of\tof\tIN\tB-PP\tO' +p47919 +aS'8.3\t8.3\tCD\tB-NP\tO' +p47920 +aS'/\t/\tSYM\tI-NP\tO' +p47921 +aS'0.2\t0.2\tCD\tI-NP\tO' +p47922 +aS'direct\tdirect\tJJ\tI-NP\tO' +p47923 +aS',\t,\t,\tI-NP\tO' +p47924 +aS'8.1\t8.1\tCD\tI-NP\tO' +p47925 +aS'indirect\tindirect\tJJ\tI-NP\tO' +p47926 +aS'mg/dl\tmg/dl\tNN\tI-NP\tO' +p47927 +aS'.\t.\t.\tO\tO' +p47928 +asS'Walks with walker .' +p47929 +(lp47930 +S'Walks\tWalk\tNNS\tB-NP\tO' +p47931 +aS'with\twith\tIN\tB-PP\tO' +p47932 +aS'walker\twalker\tNN\tB-NP\tO' +p47933 +aS'.\t.\t.\tO\tO' +p47934 +asS'Chest x-ray there revealed bilateral pulmonary infiltrates with increasing pleural effusion .' +p47935 +(lp47936 +S'Chest\tCh\tJJS\tB-NP\tO' +p47937 +aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' +p47938 +aS'there\tthere\tRB\tB-ADVP\tO' +p47939 +aS'revealed\treveal\tVBD\tB-VP\tO' +p47940 +aS'bilateral\tbilateral\tJJ\tB-NP\tB-cell_type' +p47941 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tI-cell_type' +p47942 +aS'infiltrates\tinfiltrate\tNNS\tI-NP\tI-cell_type' +p47943 +aS'with\twith\tIN\tB-PP\tO' +p47944 +aS'increasing\tincrease\tVBG\tB-NP\tO' +p47945 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p47946 +aS'effusion\teffusion\tNN\tI-NP\tO' +p47947 +aS'.\t.\t.\tO\tO' +p47948 +asS'On 1/5 , the patient underwent a local tumor debulking at Bri Health under local anesthesia .' +p47949 +(lp47950 +S'On\tOn\tIN\tB-PP\tO' +p47951 +aS'1/5\t1/5\tCD\tB-NP\tO' +p47952 +aS',\t,\t,\tO\tO' +p47953 +aS'the\tthe\tDT\tB-NP\tO' +p47954 +aS'patient\tpatient\tNN\tI-NP\tO' +p47955 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p47956 +aS'a\ta\tDT\tB-NP\tO' +p47957 +aS'local\tlocal\tJJ\tI-NP\tO' +p47958 +aS'tumor\ttumor\tNN\tI-NP\tO' +p47959 +aS'debulking\tdebulke\tVBG\tB-VP\tO' +p47960 +aS'at\tat\tIN\tB-PP\tO' +p47961 +aS'Bri\tBri\tNNP\tB-NP\tO' +p47962 +aS'Health\tHealth\tNNP\tI-NP\tO' +p47963 +aS'under\tunder\tIN\tB-PP\tO' +p47964 +aS'local\tlocal\tJJ\tB-NP\tO' +p47965 +aS'anesthesia\tanesthesia\tNN\tI-NP\tO' +p47966 +aS'.\t.\t.\tO\tO' +p47967 +asS'2019-10-10 via ambulance after falling 15-20 feet onto concrete .' +p47968 +(lp47969 +S'2019-10-10\t2019-10-10\tCD\tB-NP\tO' +p47970 +aS'via\tvia\tIN\tB-PP\tO' +p47971 +aS'ambulance\tambulance\tNN\tB-NP\tO' +p47972 +aS'after\tafter\tIN\tB-PP\tO' +p47973 +aS'falling\tfall\tVBG\tB-VP\tO' +p47974 +aS'15-20\t15-20\tCD\tB-NP\tO' +p47975 +aS'feet\tfoot\tNNS\tI-NP\tO' +p47976 +aS'onto\tonto\tIN\tB-PP\tO' +p47977 +aS'concrete\tconcrete\tNN\tB-NP\tO' +p47978 +aS'.\t.\t.\tO\tO' +p47979 +asS'Interval development of large left pneumothorax with almost complete collapse of the left lung .' +p47980 +(lp47981 +S'Interval\tInterval\tJJ\tB-NP\tO' +p47982 +aS'development\tdevelopment\tNN\tI-NP\tO' +p47983 +aS'of\tof\tIN\tB-PP\tO' +p47984 +aS'large\tlarge\tJJ\tB-NP\tO' +p47985 +aS'left\tleft\tJJ\tI-NP\tO' +p47986 +aS'pneumothorax\tpneumothorax\tNN\tI-NP\tO' +p47987 +aS'with\twith\tIN\tB-PP\tO' +p47988 +aS'almost\talmost\tRB\tB-NP\tO' +p47989 +aS'complete\tcomplete\tJJ\tI-NP\tO' +p47990 +aS'collapse\tcollapse\tNN\tI-NP\tO' +p47991 +aS'of\tof\tIN\tB-PP\tO' +p47992 +aS'the\tthe\tDT\tB-NP\tO' +p47993 +aS'left\tleft\tJJ\tI-NP\tO' +p47994 +aS'lung\tlung\tNN\tI-NP\tO' +p47995 +aS'.\t.\t.\tO\tO' +p47996 +asS'RESPIRATORY : He has been stable in room air throughout hospital course .' +p47997 +(lp47998 +S'RESPIRATORY\tRESPIRATORY\tNN\tB-NP\tO' +p47999 +aS':\t:\t:\tO\tO' +p48000 +aS'He\tHe\tPRP\tB-NP\tO' +p48001 +aS'has\thave\tVBZ\tB-VP\tO' +p48002 +aS'been\tbe\tVBN\tI-VP\tO' +p48003 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p48004 +aS'in\tin\tIN\tB-PP\tO' +p48005 +aS'room\troom\tNN\tB-NP\tO' +p48006 +aS'air\tair\tNN\tI-NP\tO' +p48007 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p48008 +aS'hospital\thospital\tNN\tB-NP\tO' +p48009 +aS'course\tcourse\tNN\tI-NP\tO' +p48010 +aS'.\t.\t.\tO\tO' +p48011 +asS'The differential diagnosis included viral pneumonitis , Mycoplasma , Chlamydia .' +p48012 +(lp48013 +S'The\tThe\tDT\tB-NP\tO' +p48014 +aS'differential\tdifferential\tJJ\tI-NP\tO' +p48015 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p48016 +aS'included\tinclude\tVBD\tB-VP\tO' +p48017 +aS'viral\tviral\tJJ\tB-NP\tO' +p48018 +aS'pneumonitis\tpneumonitis\tNN\tI-NP\tO' +p48019 +aS',\t,\t,\tO\tO' +p48020 +aS'Mycoplasma\tMycoplasma\tNN\tB-NP\tO' +p48021 +aS',\t,\t,\tO\tO' +p48022 +aS'Chlamydia\tChlamydia\tNNP\tB-NP\tO' +p48023 +aS'.\t.\t.\tO\tO' +p48024 +asS'Sodium 137 , potassium 4.5 , chloride97 , bicarb 24 , BUN 124 , creatinine 4.1 , glucose 144 , AST 49 , ALT33 , alkaline phosphatase 253 , total bili 1.6 , calcium 9.2 , magnesium 2.3 , albumin 3.4 .' +p48025 +(lp48026 +S'Sodium\tSodium\tNN\tB-NP\tB-protein' +p48027 +aS'137\t137\tCD\tI-NP\tI-protein' +p48028 +aS',\t,\t,\tO\tO' +p48029 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p48030 +aS'4.5\t4.5\tCD\tI-NP\tO' +p48031 +aS',\t,\t,\tO\tO' +p48032 +aS'chloride97\tchloride97\tNN\tB-NP\tB-protein' +p48033 +aS',\t,\t,\tO\tO' +p48034 +aS'bicarb\tbicarb\tNN\tB-NP\tO' +p48035 +aS'24\t24\tCD\tI-NP\tO' +p48036 +aS',\t,\t,\tO\tO' +p48037 +aS'BUN\tBUN\tNN\tB-NP\tB-cell_line' +p48038 +aS'124\t124\tCD\tI-NP\tI-cell_line' +p48039 +aS',\t,\t,\tO\tO' +p48040 +aS'creatinine\tcreatinine\tNN\tB-NP\tB-protein' +p48041 +aS'4.1\t4.1\tCD\tI-NP\tI-protein' +p48042 +aS',\t,\t,\tO\tO' +p48043 +aS'glucose\tglucose\tNN\tB-NP\tO' +p48044 +aS'144\t144\tCD\tI-NP\tO' +p48045 +aS',\t,\t,\tO\tO' +p48046 +aS'AST\tAST\tNN\tB-NP\tB-DNA' +p48047 +aS'49\t49\tCD\tI-NP\tI-DNA' +p48048 +aS',\t,\t,\tO\tO' +p48049 +aS'ALT33\tALT33\tNN\tB-NP\tB-protein' +p48050 +aS',\t,\t,\tO\tO' +p48051 +aS'alkaline\talkaline\tNN\tB-NP\tO' +p48052 +aS'phosphatase\tphosphatase\tNN\tI-NP\tO' +p48053 +aS'253\t253\tCD\tI-NP\tO' +p48054 +aS',\t,\t,\tO\tO' +p48055 +aS'total\ttotal\tJJ\tB-NP\tO' +p48056 +aS'bili\tbili\tNNS\tI-NP\tO' +p48057 +aS'1.6\t1.6\tCD\tB-NP\tO' +p48058 +aS',\t,\t,\tO\tO' +p48059 +aS'calcium\tcalcium\tNN\tB-NP\tO' +p48060 +aS'9.2\t9.2\tCD\tI-NP\tO' +p48061 +aS',\t,\t,\tO\tO' +p48062 +aS'magnesium\tmagnesium\tNN\tB-NP\tO' +p48063 +aS'2.3\t2.3\tCD\tI-NP\tO' +p48064 +aS',\t,\t,\tO\tO' +p48065 +aS'albumin\talbumin\tNN\tB-NP\tO' +p48066 +aS'3.4\t3.4\tCD\tI-NP\tO' +p48067 +aS'.\t.\t.\tO\tO' +p48068 +asS'Denies subj / obj fevers or chills .' +p48069 +(lp48070 +S'Denies\tDeny\tNNS\tB-NP\tO' +p48071 +aS'subj\tsubj\tNN\tI-NP\tO' +p48072 +aS'/\t/\tSYM\tB-NP\tO' +p48073 +aS'obj\tobj\tNN\tI-NP\tO' +p48074 +aS'fevers\tfever\tNNS\tI-NP\tO' +p48075 +aS'or\tor\tCC\tI-NP\tO' +p48076 +aS'chills\tchill\tNNS\tI-NP\tO' +p48077 +aS'.\t.\t.\tO\tO' +p48078 +asS'The patient was discharged in stable conditionand will follow up for ( 1 ) sacral decubitus closure , and ( 2 ) placement of epidural pump in the future .' +p48079 +(lp48080 +S'The\tThe\tDT\tB-NP\tO' +p48081 +aS'patient\tpatient\tNN\tI-NP\tO' +p48082 +aS'was\tbe\tVBD\tB-VP\tO' +p48083 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p48084 +aS'in\tin\tIN\tB-PP\tO' +p48085 +aS'stable\tstable\tJJ\tB-NP\tO' +p48086 +aS'conditionand\tconditionand\tNN\tI-NP\tO' +p48087 +aS'will\twill\tMD\tB-VP\tO' +p48088 +aS'follow\tfollow\tVB\tI-VP\tO' +p48089 +aS'up\tup\tRP\tB-PRT\tO' +p48090 +aS'for\tfor\tIN\tB-PP\tO' +p48091 +aS'(\t(\t(\tB-LST\tO' +p48092 +aS'1\t1\tLS\tI-LST\tO' +p48093 +aS')\t)\t)\tO\tO' +p48094 +aS'sacral\tsacral\tJJ\tB-NP\tO' +p48095 +aS'decubitus\tdecubitus\tNN\tI-NP\tO' +p48096 +aS'closure\tclosure\tNN\tI-NP\tO' +p48097 +aS',\t,\t,\tO\tO' +p48098 +aS'and\tand\tCC\tO\tO' +p48099 +aS'(\t(\t(\tB-LST\tO' +p48100 +aS'2\t2\tLS\tI-LST\tO' +p48101 +aS')\t)\t)\tO\tO' +p48102 +aS'placement\tplacement\tNN\tB-NP\tO' +p48103 +aS'of\tof\tIN\tB-PP\tO' +p48104 +aS'epidural\tepidural\tJJ\tB-NP\tO' +p48105 +aS'pump\tpump\tNN\tI-NP\tO' +p48106 +aS'in\tin\tIN\tB-PP\tO' +p48107 +aS'the\tthe\tDT\tB-NP\tO' +p48108 +aS'future\tfuture\tNN\tI-NP\tO' +p48109 +aS'.\t.\t.\tO\tO' +p48110 +asS'While in the Intensive Care Unit , the patient was noted to have increasing abdominal distention .' +p48111 +(lp48112 +S'While\tWhile\tIN\tB-SBAR\tO' +p48113 +aS'in\tin\tIN\tB-PP\tO' +p48114 +aS'the\tthe\tDT\tB-NP\tO' +p48115 +aS'Intensive\tIntensive\tJJ\tI-NP\tB-DNA' +p48116 +aS'Care\tCare\tNNP\tI-NP\tI-DNA' +p48117 +aS'Unit\tUnit\tNNP\tI-NP\tI-DNA' +p48118 +aS',\t,\t,\tO\tO' +p48119 +aS'the\tthe\tDT\tB-NP\tO' +p48120 +aS'patient\tpatient\tNN\tI-NP\tO' +p48121 +aS'was\tbe\tVBD\tB-VP\tO' +p48122 +aS'noted\tnote\tVBN\tI-VP\tO' +p48123 +aS'to\tto\tTO\tI-VP\tO' +p48124 +aS'have\thave\tVB\tI-VP\tO' +p48125 +aS'increasing\tincrease\tVBG\tI-VP\tO' +p48126 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p48127 +aS'distention\tdistention\tNN\tI-NP\tO' +p48128 +aS'.\t.\t.\tO\tO' +p48129 +asS'Rebound bilirubin on day of life #7 was 6.6 , and total was 0.2 direct .' +p48130 +(lp48131 +S'Rebound\tRebound\tJJ\tB-NP\tO' +p48132 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p48133 +aS'on\ton\tIN\tB-PP\tO' +p48134 +aS'day\tday\tNN\tB-NP\tO' +p48135 +aS'of\tof\tIN\tB-PP\tO' +p48136 +aS'life\tlife\tNN\tB-NP\tO' +p48137 +aS'#7\t#7\tCD\tI-NP\tO' +p48138 +aS'was\tbe\tVBD\tB-VP\tO' +p48139 +aS'6.6\t6.6\tCD\tB-NP\tO' +p48140 +aS',\t,\t,\tO\tO' +p48141 +aS'and\tand\tCC\tO\tO' +p48142 +aS'total\ttotal\tNN\tB-NP\tO' +p48143 +aS'was\tbe\tVBD\tB-VP\tO' +p48144 +aS'0.2\t0.2\tCD\tB-ADJP\tO' +p48145 +aS'direct\tdirect\tJJ\tI-ADJP\tO' +p48146 +aS'.\t.\t.\tO\tO' +p48147 +asS'7. Nimodipine 30 mg Capsule Sig : Two ( 2 ) Capsule PO Q4H ( every 4 hours ) for 2 weeks .' +p48148 +(lp48149 +S'7.\t7.\tCD\tB-NP\tO' +p48150 +aS'Nimodipine\tNimodipine\tNN\tI-NP\tO' +p48151 +aS'30\t30\tCD\tB-NP\tO' +p48152 +aS'mg\tmg\tNN\tI-NP\tO' +p48153 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p48154 +aS'Sig\tSig\tNNP\tI-NP\tO' +p48155 +aS':\t:\t:\tO\tO' +p48156 +aS'Two\tTwo\tCD\tB-NP\tO' +p48157 +aS'(\t(\t(\tO\tO' +p48158 +aS'2\t2\tCD\tB-NP\tO' +p48159 +aS')\t)\t)\tO\tO' +p48160 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p48161 +aS'PO\tPO\tNN\tI-NP\tO' +p48162 +aS'Q4H\tQ4H\tNN\tI-NP\tO' +p48163 +aS'(\t(\t(\tO\tO' +p48164 +aS'every\tevery\tDT\tB-NP\tO' +p48165 +aS'4\t4\tCD\tI-NP\tO' +p48166 +aS'hours\thour\tNNS\tI-NP\tO' +p48167 +aS')\t)\t)\tO\tO' +p48168 +aS'for\tfor\tIN\tB-PP\tO' +p48169 +aS'2\t2\tCD\tB-NP\tO' +p48170 +aS'weeks\tweek\tNNS\tI-NP\tO' +p48171 +aS'.\t.\t.\tO\tO' +p48172 +asS'Extremities notable for two plus lower extremity edema and the ankles were noted to be in pressure stockings .' +p48173 +(lp48174 +S'Extremities\tExtremity\tNNS\tB-NP\tO' +p48175 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p48176 +aS'for\tfor\tIN\tB-PP\tO' +p48177 +aS'two\ttwo\tCD\tB-NP\tO' +p48178 +aS'plus\tplus\tCC\tI-NP\tO' +p48179 +aS'lower\tlow\tJJR\tI-NP\tO' +p48180 +aS'extremity\textremity\tNN\tI-NP\tO' +p48181 +aS'edema\tedema\tNN\tI-NP\tO' +p48182 +aS'and\tand\tCC\tO\tO' +p48183 +aS'the\tthe\tDT\tB-NP\tO' +p48184 +aS'ankles\tankle\tNNS\tI-NP\tO' +p48185 +aS'were\tbe\tVBD\tB-VP\tO' +p48186 +aS'noted\tnote\tVBN\tI-VP\tO' +p48187 +aS'to\tto\tTO\tI-VP\tO' +p48188 +aS'be\tbe\tVB\tI-VP\tO' +p48189 +aS'in\tin\tIN\tB-PP\tO' +p48190 +aS'pressure\tpressure\tNN\tB-NP\tO' +p48191 +aS'stockings\tstocking\tNNS\tI-NP\tO' +p48192 +aS'.\t.\t.\tO\tO' +p48193 +asS'As there was no identified bacterial pathogen on any cultures , the patient was continued on the triple antibiotics for first several days of the hospitalization .' +p48194 +(lp48195 +S'As\tAs\tIN\tB-SBAR\tO' +p48196 +aS'there\tthere\tEX\tB-NP\tO' +p48197 +aS'was\tbe\tVBD\tB-VP\tO' +p48198 +aS'no\tno\tDT\tB-NP\tO' +p48199 +aS'identified\tidentify\tVBN\tI-NP\tO' +p48200 +aS'bacterial\tbacterial\tJJ\tI-NP\tO' +p48201 +aS'pathogen\tpathogen\tNN\tI-NP\tO' +p48202 +aS'on\ton\tIN\tB-PP\tO' +p48203 +aS'any\tany\tDT\tB-NP\tO' +p48204 +aS'cultures\tculture\tNNS\tI-NP\tO' +p48205 +aS',\t,\t,\tO\tO' +p48206 +aS'the\tthe\tDT\tB-NP\tO' +p48207 +aS'patient\tpatient\tNN\tI-NP\tO' +p48208 +aS'was\tbe\tVBD\tB-VP\tO' +p48209 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p48210 +aS'on\ton\tIN\tB-PP\tO' +p48211 +aS'the\tthe\tDT\tB-NP\tO' +p48212 +aS'triple\ttriple\tJJ\tI-NP\tO' +p48213 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p48214 +aS'for\tfor\tIN\tB-PP\tO' +p48215 +aS'first\tfirst\tJJ\tB-NP\tO' +p48216 +aS'several\tseveral\tJJ\tI-NP\tO' +p48217 +aS'days\tday\tNNS\tI-NP\tO' +p48218 +aS'of\tof\tIN\tB-PP\tO' +p48219 +aS'the\tthe\tDT\tB-NP\tO' +p48220 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p48221 +aS'.\t.\t.\tO\tO' +p48222 +asS'Further examination revealed a strong palpable pulse with a systolic blood pressure in the 130 s and a heart rate in the 80 s.' +p48223 +(lp48224 +S'Further\tFurther\tRB\tB-NP\tO' +p48225 +aS'examination\texamination\tNN\tI-NP\tO' +p48226 +aS'revealed\treveal\tVBD\tB-VP\tO' +p48227 +aS'a\ta\tDT\tB-NP\tO' +p48228 +aS'strong\tstrong\tJJ\tI-NP\tO' +p48229 +aS'palpable\tpalpable\tJJ\tI-NP\tO' +p48230 +aS'pulse\tpulse\tNN\tI-NP\tO' +p48231 +aS'with\twith\tIN\tB-PP\tO' +p48232 +aS'a\ta\tDT\tB-NP\tO' +p48233 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p48234 +aS'blood\tblood\tNN\tI-NP\tO' +p48235 +aS'pressure\tpressure\tNN\tI-NP\tO' +p48236 +aS'in\tin\tIN\tB-PP\tO' +p48237 +aS'the\tthe\tDT\tB-NP\tO' +p48238 +aS'130\t130\tCD\tI-NP\tO' +p48239 +aS's\ts\tNN\tI-NP\tO' +p48240 +aS'and\tand\tCC\tO\tO' +p48241 +aS'a\ta\tDT\tB-NP\tO' +p48242 +aS'heart\theart\tNN\tI-NP\tO' +p48243 +aS'rate\trate\tNN\tI-NP\tO' +p48244 +aS'in\tin\tIN\tB-PP\tO' +p48245 +aS'the\tthe\tDT\tB-NP\tO' +p48246 +aS'80\t80\tCD\tI-NP\tO' +p48247 +aS's.\ts.\tNNS\tI-NP\tO' +p48248 +asS'Hydrocortisone Na Succ. 100 mg IV Q8H' +p48249 +(lp48250 +S'Hydrocortisone\tHydrocortisone\tNN\tB-NP\tO' +p48251 +aS'Na\tNa\tNN\tI-NP\tO' +p48252 +aS'Succ.\tSucc.\tNNP\tB-NP\tO' +p48253 +aS'100\t100\tCD\tI-NP\tO' +p48254 +aS'mg\tmg\tNN\tI-NP\tO' +p48255 +aS'IV\tIV\tCD\tB-NP\tO' +p48256 +aS'Q8H\tQ8H\tNN\tI-NP\tO' +p48257 +asS'He does have a history of B12 deficiency in the past , and evidence for peripheral neuropathy BLE which may also be contributing to his recent falls . ? EtOH' +p48258 +(lp48259 +S'He\tHe\tPRP\tB-NP\tO' +p48260 +aS'does\tdo\tVBZ\tB-VP\tO' +p48261 +aS'have\thave\tVB\tI-VP\tO' +p48262 +aS'a\ta\tDT\tB-NP\tO' +p48263 +aS'history\thistory\tNN\tI-NP\tO' +p48264 +aS'of\tof\tIN\tB-PP\tO' +p48265 +aS'B12\tB12\tNN\tB-NP\tB-protein' +p48266 +aS'deficiency\tdeficiency\tNN\tI-NP\tO' +p48267 +aS'in\tin\tIN\tB-PP\tO' +p48268 +aS'the\tthe\tDT\tB-NP\tO' +p48269 +aS'past\tpast\tNN\tI-NP\tO' +p48270 +aS',\t,\t,\tO\tO' +p48271 +aS'and\tand\tCC\tO\tO' +p48272 +aS'evidence\tevidence\tNN\tB-NP\tO' +p48273 +aS'for\tfor\tIN\tB-PP\tO' +p48274 +aS'peripheral\tperipheral\tJJ\tB-NP\tO' +p48275 +aS'neuropathy\tneuropathy\tJJ\tI-NP\tO' +p48276 +aS'BLE\tBLE\tNN\tI-NP\tO' +p48277 +aS'which\twhich\tWDT\tB-NP\tO' +p48278 +aS'may\tmay\tMD\tB-VP\tO' +p48279 +aS'also\talso\tRB\tI-VP\tO' +p48280 +aS'be\tbe\tVB\tI-VP\tO' +p48281 +aS'contributing\tcontribute\tVBG\tI-VP\tO' +p48282 +aS'to\tto\tTO\tB-PP\tO' +p48283 +aS'his\this\tPRP$\tB-NP\tB-cell_type' +p48284 +aS'recent\trecent\tJJ\tI-NP\tI-cell_type' +p48285 +aS'falls\tfall\tNNS\tI-NP\tI-cell_type' +p48286 +aS'.\t.\t.\tO\tO' +p48287 +aS'?\t?\t.\tO\tB-protein' +p48288 +aS'EtOH\tEtOH\tNN\tB-NP\tI-protein' +p48289 +asS'She presented for an elective left total knee arthroplasty .' +p48290 +(lp48291 +S'She\tShe\tPRP\tB-NP\tO' +p48292 +aS'presented\tpresent\tVBD\tB-VP\tO' +p48293 +aS'for\tfor\tIN\tB-PP\tO' +p48294 +aS'an\tan\tDT\tB-NP\tO' +p48295 +aS'elective\telective\tJJ\tI-NP\tO' +p48296 +aS'left\tleft\tJJ\tI-NP\tO' +p48297 +aS'total\ttotal\tJJ\tI-NP\tO' +p48298 +aS'knee\tknee\tNN\tI-NP\tO' +p48299 +aS'arthroplasty\tarthroplasty\tNN\tI-NP\tO' +p48300 +aS'.\t.\t.\tO\tO' +p48301 +asS'It was obese with a large midline defect consistent with a ventral hernia , as well as a smaller anterior defect in the left lower quadrant .' +p48302 +(lp48303 +S'It\tIt\tPRP\tB-NP\tO' +p48304 +aS'was\tbe\tVBD\tB-VP\tO' +p48305 +aS'obese\tobese\tJJ\tB-ADJP\tO' +p48306 +aS'with\twith\tIN\tB-PP\tO' +p48307 +aS'a\ta\tDT\tB-NP\tO' +p48308 +aS'large\tlarge\tJJ\tI-NP\tO' +p48309 +aS'midline\tmidline\tNN\tI-NP\tO' +p48310 +aS'defect\tdefect\tNN\tI-NP\tO' +p48311 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p48312 +aS'with\twith\tIN\tB-PP\tO' +p48313 +aS'a\ta\tDT\tB-NP\tO' +p48314 +aS'ventral\tventral\tJJ\tI-NP\tO' +p48315 +aS'hernia\thernia\tNN\tI-NP\tO' +p48316 +aS',\t,\t,\tO\tO' +p48317 +aS'as\tas\tRB\tB-CONJP\tO' +p48318 +aS'well\twell\tRB\tI-CONJP\tO' +p48319 +aS'as\tas\tIN\tI-CONJP\tO' +p48320 +aS'a\ta\tDT\tB-NP\tO' +p48321 +aS'smaller\tsmall\tJJR\tI-NP\tO' +p48322 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p48323 +aS'defect\tdefect\tNN\tI-NP\tO' +p48324 +aS'in\tin\tIN\tB-PP\tO' +p48325 +aS'the\tthe\tDT\tB-NP\tO' +p48326 +aS'left\tleft\tJJ\tI-NP\tO' +p48327 +aS'lower\tlow\tJJR\tI-NP\tO' +p48328 +aS'quadrant\tquadrant\tNN\tI-NP\tO' +p48329 +aS'.\t.\t.\tO\tO' +p48330 +asS'Houghtbreun 6 weeks , No Known Allergies' +p48331 +(lp48332 +S'Houghtbreun\tHoughtbreun\tNNP\tB-NP\tO' +p48333 +aS'6\t6\tCD\tI-NP\tO' +p48334 +aS'weeks\tweek\tNNS\tI-NP\tO' +p48335 +aS',\t,\t,\tO\tO' +p48336 +aS'No\tNo\tNNP\tB-NP\tO' +p48337 +aS'Known\tKnown\tNNP\tI-NP\tO' +p48338 +aS'Allergies\tAllergies\tNNP\tI-NP\tO' +p48339 +asS'3D-construction : poor , difficulties putting handles in clock ; No Apraxia .' +p48340 +(lp48341 +S'3D-construction\t3D-construction\tNN\tB-NP\tO' +p48342 +aS':\t:\t:\tO\tO' +p48343 +aS'poor\tpoor\tJJ\tB-ADJP\tO' +p48344 +aS',\t,\t,\tO\tO' +p48345 +aS'difficulties\tdifficulty\tNNS\tB-NP\tO' +p48346 +aS'putting\tput\tVBG\tB-VP\tO' +p48347 +aS'handles\thandle\tNNS\tB-NP\tO' +p48348 +aS'in\tin\tIN\tB-PP\tO' +p48349 +aS'clock\tclock\tNN\tB-NP\tO' +p48350 +aS';\t;\t:\tO\tO' +p48351 +aS'No\tNo\tDT\tB-NP\tO' +p48352 +aS'Apraxia\tApraxia\tNNP\tI-NP\tO' +p48353 +aS'.\t.\t.\tO\tO' +p48354 +asS'4. Tobacco history .' +p48355 +(lp48356 +S'4.\t4.\tLS\tB-NP\tO' +p48357 +aS'Tobacco\tTobacco\tNNP\tI-NP\tO' +p48358 +aS'history\thistory\tNN\tI-NP\tO' +p48359 +aS'.\t.\t.\tO\tO' +p48360 +asS'Maternal blood type 0-positive , DAT negative , negative , RPR nonreactive .' +p48361 +(lp48362 +S'Maternal\tMaternal\tJJ\tB-NP\tO' +p48363 +aS'blood\tblood\tNN\tI-NP\tO' +p48364 +aS'type\ttype\tNN\tI-NP\tO' +p48365 +aS'0-positive\t0-positive\tJJ\tB-ADJP\tO' +p48366 +aS',\t,\t,\tO\tO' +p48367 +aS'DAT\tDAT\tNN\tB-NP\tO' +p48368 +aS'negative\tnegative\tJJ\tI-NP\tO' +p48369 +aS',\t,\t,\tI-NP\tO' +p48370 +aS'negative\tnegative\tJJ\tI-NP\tO' +p48371 +aS',\t,\t,\tI-NP\tO' +p48372 +aS'RPR\tRPR\tNN\tI-NP\tB-protein' +p48373 +aS'nonreactive\tnonreactive\tJJ\tI-NP\tO' +p48374 +aS'.\t.\t.\tO\tO' +p48375 +asS'However , his Coumadin was subsequently restarted and he achieved therapeutic INR levels before discharge .' +p48376 +(lp48377 +S'However\tHowever\tRB\tB-ADVP\tO' +p48378 +aS',\t,\t,\tO\tO' +p48379 +aS'his\this\tPRP$\tB-NP\tO' +p48380 +aS'Coumadin\tCoumadin\tNN\tI-NP\tO' +p48381 +aS'was\tbe\tVBD\tB-VP\tO' +p48382 +aS'subsequently\tsubsequently\tRB\tI-VP\tO' +p48383 +aS'restarted\trestart\tVBN\tI-VP\tO' +p48384 +aS'and\tand\tCC\tO\tO' +p48385 +aS'he\the\tPRP\tB-NP\tO' +p48386 +aS'achieved\tachieve\tVBD\tB-VP\tO' +p48387 +aS'therapeutic\ttherapeutic\tJJ\tB-NP\tO' +p48388 +aS'INR\tINR\tNN\tI-NP\tO' +p48389 +aS'levels\tlevel\tNNS\tI-NP\tO' +p48390 +aS'before\tbefore\tIN\tB-PP\tO' +p48391 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p48392 +aS'.\t.\t.\tO\tO' +p48393 +asS'The patient was observed overnight without any problems .' +p48394 +(lp48395 +S'The\tThe\tDT\tB-NP\tO' +p48396 +aS'patient\tpatient\tNN\tI-NP\tO' +p48397 +aS'was\tbe\tVBD\tB-VP\tO' +p48398 +aS'observed\tobserve\tVBN\tI-VP\tO' +p48399 +aS'overnight\tovernight\tRB\tB-ADVP\tO' +p48400 +aS'without\twithout\tIN\tB-PP\tO' +p48401 +aS'any\tany\tDT\tB-NP\tO' +p48402 +aS'problems\tproblem\tNNS\tI-NP\tO' +p48403 +aS'.\t.\t.\tO\tO' +p48404 +asS"Again , this was a 47-year-old female admitted with Berkitt's lymphoma ." +p48405 +(lp48406 +S'Again\tAgain\tRB\tB-ADVP\tO' +p48407 +aS',\t,\t,\tO\tO' +p48408 +aS'this\tthis\tDT\tB-NP\tO' +p48409 +aS'was\tbe\tVBD\tB-VP\tO' +p48410 +aS'a\ta\tDT\tB-NP\tO' +p48411 +aS'47-year-old\t47-year-old\tJJ\tI-NP\tO' +p48412 +aS'female\tfemale\tNN\tI-NP\tO' +p48413 +aS'admitted\tadmit\tVBN\tB-VP\tO' +p48414 +aS'with\twith\tIN\tB-PP\tO' +p48415 +aS"Berkitt's\tBerkitt'\tNNS\tB-NP\tO" +p48416 +aS'lymphoma\tlymphoma\tNN\tI-NP\tO' +p48417 +aS'.\t.\t.\tO\tO' +p48418 +asS'Diet was advanced .' +p48419 +(lp48420 +S'Diet\tDiet\tNN\tB-NP\tO' +p48421 +aS'was\tbe\tVBD\tB-VP\tO' +p48422 +aS'advanced\tadvance\tVBN\tI-VP\tO' +p48423 +aS'.\t.\t.\tO\tO' +p48424 +asS'HEENT : MM dry , JVD cannot be assessed' +p48425 +(lp48426 +S'HEENT\tHEENT\tNN\tB-NP\tO' +p48427 +aS':\t:\t:\tO\tO' +p48428 +aS'MM\tMM\tNN\tB-NP\tO' +p48429 +aS'dry\tdry\tNN\tI-NP\tO' +p48430 +aS',\t,\t,\tO\tO' +p48431 +aS'JVD\tJVD\tNN\tB-NP\tB-protein' +p48432 +aS'cannot\tcannot\tMD\tB-VP\tO' +p48433 +aS'be\tbe\tVB\tI-VP\tO' +p48434 +aS'assessed\tassess\tVBN\tI-VP\tO' +p48435 +asS'No carotid bruits were noted .' +p48436 +(lp48437 +S'No\tNo\tDT\tB-NP\tO' +p48438 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p48439 +aS'bruits\tbruit\tNNS\tI-NP\tO' +p48440 +aS'were\tbe\tVBD\tB-VP\tO' +p48441 +aS'noted\tnote\tVBN\tI-VP\tO' +p48442 +aS'.\t.\t.\tO\tO' +p48443 +asS'Her uterus and adnexa were difficult to assess secondary to voluntary tensing of her abdomen .' +p48444 +(lp48445 +S'Her\tHer\tPRP$\tB-NP\tO' +p48446 +aS'uterus\tuterus\tNN\tI-NP\tO' +p48447 +aS'and\tand\tCC\tI-NP\tO' +p48448 +aS'adnexa\tadnexa\tNN\tI-NP\tO' +p48449 +aS'were\tbe\tVBD\tB-VP\tO' +p48450 +aS'difficult\tdifficult\tJJ\tB-ADJP\tO' +p48451 +aS'to\tto\tTO\tB-VP\tO' +p48452 +aS'assess\tassess\tVB\tI-VP\tO' +p48453 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p48454 +aS'to\tto\tTO\tB-PP\tO' +p48455 +aS'voluntary\tvoluntary\tJJ\tB-NP\tO' +p48456 +aS'tensing\ttensing\tNN\tI-NP\tO' +p48457 +aS'of\tof\tIN\tB-PP\tO' +p48458 +aS'her\ther\tPRP$\tB-NP\tO' +p48459 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p48460 +aS'.\t.\t.\tO\tO' +p48461 +asS'The patient has felt unwell since 7/21 after his non-Q wave MI .' +p48462 +(lp48463 +S'The\tThe\tDT\tB-NP\tO' +p48464 +aS'patient\tpatient\tNN\tI-NP\tO' +p48465 +aS'has\thave\tVBZ\tB-VP\tO' +p48466 +aS'felt\tfeel\tVBN\tI-VP\tO' +p48467 +aS'unwell\tunwell\tJJ\tB-ADJP\tO' +p48468 +aS'since\tsince\tIN\tB-PP\tO' +p48469 +aS'7/21\t7/21\tCD\tB-NP\tO' +p48470 +aS'after\tafter\tIN\tB-SBAR\tO' +p48471 +aS'his\this\tPRP$\tB-NP\tO' +p48472 +aS'non-Q\tnon-Q\tJJ\tI-NP\tO' +p48473 +aS'wave\twave\tNN\tI-NP\tO' +p48474 +aS'MI\tMI\tNN\tI-NP\tO' +p48475 +aS'.\t.\t.\tO\tO' +p48476 +asS'The patient was afebrile ; his vital signs were stable .' +p48477 +(lp48478 +S'The\tThe\tDT\tB-NP\tO' +p48479 +aS'patient\tpatient\tNN\tI-NP\tO' +p48480 +aS'was\tbe\tVBD\tB-VP\tO' +p48481 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p48482 +aS';\t;\t:\tO\tO' +p48483 +aS'his\this\tPRP$\tB-NP\tO' +p48484 +aS'vital\tvital\tJJ\tI-NP\tO' +p48485 +aS'signs\tsign\tNNS\tI-NP\tO' +p48486 +aS'were\tbe\tVBD\tB-VP\tO' +p48487 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p48488 +aS'.\t.\t.\tO\tO' +p48489 +asS'Extremities : 05-09 + pretibial edema extending above knee R > L , no asterixis .' +p48490 +(lp48491 +S'Extremities\tExtremity\tNNS\tB-NP\tO' +p48492 +aS':\t:\t:\tO\tO' +p48493 +aS'05-09\t05-09\tCD\tB-NP\tO' +p48494 +aS'+\t+\tCC\tO\tO' +p48495 +aS'pretibial\tpretibial\tJJ\tB-NP\tO' +p48496 +aS'edema\tedema\tNN\tI-NP\tO' +p48497 +aS'extending\textend\tVBG\tB-VP\tO' +p48498 +aS'above\tabove\tIN\tB-PP\tO' +p48499 +aS'knee\tknee\tNN\tB-NP\tO' +p48500 +aS'R\tR\tNN\tI-NP\tO' +p48501 +aS'>\t>\tSYM\tB-VP\tO' +p48502 +aS'L\tL\tNN\tB-NP\tO' +p48503 +aS',\t,\t,\tO\tO' +p48504 +aS'no\tno\tDT\tB-NP\tO' +p48505 +aS'asterixis\tasterixis\tNN\tI-NP\tO' +p48506 +aS'.\t.\t.\tO\tO' +p48507 +asS'A " spot " in the left lower lobe on chest X-ray was noted in October of 1993 , after his pneumonia cleared .' +p48508 +(lp48509 +S'A\tA\tDT\tB-NP\tO' +p48510 +aS'"\t"\tJJ\tI-NP\tO' +p48511 +aS'spot\tspot\tNN\tI-NP\tO' +p48512 +aS'"\t"\tNN\tI-NP\tO' +p48513 +aS'in\tin\tIN\tB-PP\tO' +p48514 +aS'the\tthe\tDT\tB-NP\tO' +p48515 +aS'left\tleft\tJJ\tI-NP\tO' +p48516 +aS'lower\tlow\tJJR\tI-NP\tO' +p48517 +aS'lobe\tlobe\tNN\tI-NP\tO' +p48518 +aS'on\ton\tIN\tB-PP\tO' +p48519 +aS'chest\tchest\tNN\tB-NP\tO' +p48520 +aS'X-ray\tX-ray\tNN\tI-NP\tO' +p48521 +aS'was\tbe\tVBD\tB-VP\tO' +p48522 +aS'noted\tnote\tVBN\tI-VP\tO' +p48523 +aS'in\tin\tIN\tB-PP\tO' +p48524 +aS'October\tOctober\tNNP\tB-NP\tO' +p48525 +aS'of\tof\tIN\tB-PP\tO' +p48526 +aS'1993\t1993\tCD\tB-NP\tO' +p48527 +aS',\t,\t,\tO\tO' +p48528 +aS'after\tafter\tIN\tB-PP\tO' +p48529 +aS'his\this\tPRP$\tB-NP\tO' +p48530 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p48531 +aS'cleared\tclear\tVBD\tB-VP\tO' +p48532 +aS'.\t.\t.\tO\tO' +p48533 +asS'His abdomen had normal bowel sounds , soft and nontender .' +p48534 +(lp48535 +S'His\tHis\tPRP$\tB-NP\tO' +p48536 +aS'abdomen\tabdoman\tNNS\tI-NP\tO' +p48537 +aS'had\thave\tVBD\tB-VP\tO' +p48538 +aS'normal\tnormal\tJJ\tB-NP\tO' +p48539 +aS'bowel\tbowel\tNN\tI-NP\tO' +p48540 +aS'sounds\tsound\tNNS\tI-NP\tO' +p48541 +aS',\t,\t,\tO\tO' +p48542 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p48543 +aS'and\tand\tCC\tI-ADJP\tO' +p48544 +aS'nontender\tnontender\tJJ\tI-ADJP\tO' +p48545 +aS'.\t.\t.\tO\tO' +p48546 +asS'The patient remained hemodynamically stable over the next few days , continued to increase with physical therapy and ambulation .' +p48547 +(lp48548 +S'The\tThe\tDT\tB-NP\tO' +p48549 +aS'patient\tpatient\tNN\tI-NP\tO' +p48550 +aS'remained\tremain\tVBD\tB-VP\tO' +p48551 +aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' +p48552 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p48553 +aS'over\tover\tIN\tB-PP\tO' +p48554 +aS'the\tthe\tDT\tB-NP\tO' +p48555 +aS'next\tnext\tJJ\tI-NP\tO' +p48556 +aS'few\tfew\tJJ\tI-NP\tO' +p48557 +aS'days\tday\tNNS\tI-NP\tO' +p48558 +aS',\t,\t,\tO\tO' +p48559 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p48560 +aS'to\tto\tTO\tI-VP\tO' +p48561 +aS'increase\tincrease\tVB\tI-VP\tO' +p48562 +aS'with\twith\tIN\tB-PP\tO' +p48563 +aS'physical\tphysical\tJJ\tB-NP\tO' +p48564 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p48565 +aS'and\tand\tCC\tI-NP\tO' +p48566 +aS'ambulation\tambulation\tNN\tI-NP\tO' +p48567 +aS'.\t.\t.\tO\tO' +p48568 +asS'The patient worsened rapidly following admission and it was clear to his family and to his physician that he was pre-terminal .' +p48569 +(lp48570 +S'The\tThe\tDT\tB-NP\tO' +p48571 +aS'patient\tpatient\tNN\tI-NP\tO' +p48572 +aS'worsened\tworsen\tVBD\tB-VP\tO' +p48573 +aS'rapidly\trapidly\tRB\tI-VP\tO' +p48574 +aS'following\tfollow\tVBG\tI-VP\tO' +p48575 +aS'admission\tadmission\tNN\tB-NP\tO' +p48576 +aS'and\tand\tCC\tO\tO' +p48577 +aS'it\tit\tPRP\tB-NP\tO' +p48578 +aS'was\tbe\tVBD\tB-VP\tO' +p48579 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p48580 +aS'to\tto\tTO\tB-PP\tO' +p48581 +aS'his\this\tPRP$\tB-NP\tO' +p48582 +aS'family\tfamily\tNN\tI-NP\tO' +p48583 +aS'and\tand\tCC\tB-PP\tO' +p48584 +aS'to\tto\tTO\tB-PP\tO' +p48585 +aS'his\this\tPRP$\tB-NP\tO' +p48586 +aS'physician\tphysician\tNN\tI-NP\tO' +p48587 +aS'that\tthat\tIN\tB-SBAR\tO' +p48588 +aS'he\the\tPRP\tB-NP\tO' +p48589 +aS'was\tbe\tVBD\tB-VP\tO' +p48590 +aS'pre-terminal\tpre-terminal\tJJ\tB-ADJP\tO' +p48591 +aS'.\t.\t.\tO\tO' +p48592 +asS'She went with her sister 's husband to La Community Hospital where she was given sublingual nitroglycerin with complete relief of pain .' +p48593 +(lp48594 +S'She\tShe\tPRP\tB-NP\tO' +p48595 +aS'went\tgo\tVBD\tB-VP\tO' +p48596 +aS'with\twith\tIN\tB-PP\tO' +p48597 +aS'her\ther\tPRP$\tB-NP\tO' +p48598 +aS'sister\tsister\tNN\tI-NP\tO' +p48599 +aS''s\t'\tNNS\tI-NP\tO' +p48600 +aS'husband\thusband\tNN\tI-NP\tO' +p48601 +aS'to\tto\tTO\tB-PP\tO' +p48602 +aS'La\tLa\tNNP\tB-NP\tO' +p48603 +aS'Community\tCommunity\tNNP\tI-NP\tO' +p48604 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p48605 +aS'where\twhere\tWRB\tB-ADVP\tO' +p48606 +aS'she\tshe\tPRP\tB-NP\tO' +p48607 +aS'was\tbe\tVBD\tB-VP\tO' +p48608 +aS'given\tgive\tVBN\tI-VP\tO' +p48609 +aS'sublingual\tsublingual\tJJ\tB-NP\tO' +p48610 +aS'nitroglycerin\tnitroglycerin\tNN\tI-NP\tO' +p48611 +aS'with\twith\tIN\tB-PP\tO' +p48612 +aS'complete\tcomplete\tJJ\tB-NP\tO' +p48613 +aS'relief\trelief\tNN\tI-NP\tO' +p48614 +aS'of\tof\tIN\tB-PP\tO' +p48615 +aS'pain\tpain\tNN\tB-NP\tO' +p48616 +aS'.\t.\t.\tO\tO' +p48617 +asS'CHEMISTRY TotProt Albumin Globuln Calcium Phos Mg UricAcd Iron Cholest' +p48618 +(lp48619 +S'CHEMISTRY\tCHEMISTRY\tNNP\tB-NP\tO' +p48620 +aS'TotProt\tTotProt\tNNP\tI-NP\tO' +p48621 +aS'Albumin\tAlbumin\tNNP\tI-NP\tO' +p48622 +aS'Globuln\tGlobuln\tNNP\tI-NP\tO' +p48623 +aS'Calcium\tCalcium\tNNP\tI-NP\tO' +p48624 +aS'Phos\tPhos\tNNP\tI-NP\tO' +p48625 +aS'Mg\tMg\tNNP\tI-NP\tO' +p48626 +aS'UricAcd\tUricAcd\tNNP\tI-NP\tO' +p48627 +aS'Iron\tIron\tNNP\tI-NP\tO' +p48628 +aS'Cholest\tCholest\tNNP\tI-NP\tO' +p48629 +asS'No dysmetria or pastpointing .' +p48630 +(lp48631 +S'No\tNo\tDT\tB-NP\tO' +p48632 +aS'dysmetria\tdysmetria\tNN\tI-NP\tO' +p48633 +aS'or\tor\tCC\tI-NP\tO' +p48634 +aS'pastpointing\tpastpointing\tNN\tI-NP\tO' +p48635 +aS'.\t.\t.\tO\tO' +p48636 +asS'She will need a TSH and T4 checked as an outpatient .' +p48637 +(lp48638 +S'She\tShe\tPRP\tB-NP\tO' +p48639 +aS'will\twill\tMD\tB-VP\tO' +p48640 +aS'need\tneed\tVB\tI-VP\tO' +p48641 +aS'a\ta\tDT\tB-NP\tO' +p48642 +aS'TSH\tTSH\tNN\tI-NP\tO' +p48643 +aS'and\tand\tCC\tI-NP\tO' +p48644 +aS'T4\tT4\tNN\tI-NP\tO' +p48645 +aS'checked\tcheck\tVBD\tB-VP\tO' +p48646 +aS'as\tas\tIN\tB-PP\tO' +p48647 +aS'an\tan\tDT\tB-NP\tO' +p48648 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p48649 +aS'.\t.\t.\tO\tO' +p48650 +asS'She had 2+ bilateral DP and radial pulses .' +p48651 +(lp48652 +S'She\tShe\tPRP\tB-NP\tO' +p48653 +aS'had\thave\tVBD\tB-VP\tO' +p48654 +aS'2+\t2+\tJJ\tB-NP\tO' +p48655 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p48656 +aS'DP\tDP\tNN\tI-NP\tO' +p48657 +aS'and\tand\tCC\tO\tO' +p48658 +aS'radial\tradial\tJJ\tB-NP\tO' +p48659 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p48660 +aS'.\t.\t.\tO\tO' +p48661 +asS'4. She was also instructed to follow-up with Dr. Reid from Neurology within a month at ( 382 ) 716 4151 , given her neurological deficits during this presentation .' +p48662 +(lp48663 +S'4.\t4.\tLS\tB-LST\tO' +p48664 +aS'She\tShe\tPRP\tB-NP\tO' +p48665 +aS'was\tbe\tVBD\tB-VP\tO' +p48666 +aS'also\talso\tRB\tI-VP\tO' +p48667 +aS'instructed\tinstruct\tVBN\tI-VP\tO' +p48668 +aS'to\tto\tTO\tI-VP\tO' +p48669 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p48670 +aS'with\twith\tIN\tB-PP\tO' +p48671 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p48672 +aS'Reid\tReid\tNNP\tI-NP\tO' +p48673 +aS'from\tfrom\tIN\tB-PP\tO' +p48674 +aS'Neurology\tNeurology\tNNP\tB-NP\tO' +p48675 +aS'within\twithin\tIN\tB-PP\tO' +p48676 +aS'a\ta\tDT\tB-NP\tO' +p48677 +aS'month\tmonth\tNN\tI-NP\tO' +p48678 +aS'at\tat\tIN\tB-PP\tO' +p48679 +aS'(\t(\t(\tO\tO' +p48680 +aS'382\t382\tCD\tB-NP\tO' +p48681 +aS')\t)\t)\tO\tO' +p48682 +aS'716\t716\tCD\tB-NP\tO' +p48683 +aS'4151\t4151\tCD\tI-NP\tO' +p48684 +aS',\t,\t,\tO\tO' +p48685 +aS'given\tgive\tVBN\tB-PP\tO' +p48686 +aS'her\ther\tPRP$\tB-NP\tO' +p48687 +aS'neurological\tneurological\tJJ\tI-NP\tB-protein' +p48688 +aS'deficits\tdeficit\tNNS\tI-NP\tI-protein' +p48689 +aS'during\tduring\tIN\tB-PP\tO' +p48690 +aS'this\tthis\tDT\tB-NP\tO' +p48691 +aS'presentation\tpresentation\tNN\tI-NP\tO' +p48692 +aS'.\t.\t.\tO\tO' +p48693 +asS'It was treated with gent and Cipro .' +p48694 +(lp48695 +S'It\tIt\tPRP\tB-NP\tO' +p48696 +aS'was\tbe\tVBD\tB-VP\tO' +p48697 +aS'treated\ttreat\tVBN\tI-VP\tO' +p48698 +aS'with\twith\tIN\tB-PP\tO' +p48699 +aS'gent\tgent\tJJ\tO\tO' +p48700 +aS'and\tand\tCC\tO\tO' +p48701 +aS'Cipro\tCipro\tNNP\tB-NP\tO' +p48702 +aS'.\t.\t.\tO\tO' +p48703 +asS'Tylenol 650 mg p.o. q4 hours p.r.n. pain .' +p48704 +(lp48705 +S'Tylenol\tTylenol\tNN\tB-NP\tB-protein' +p48706 +aS'650\t650\tCD\tI-NP\tI-protein' +p48707 +aS'mg\tmg\tNN\tI-NP\tI-protein' +p48708 +aS'p.o.\tp.o.\tNN\tI-NP\tI-protein' +p48709 +aS'q4\tq4\tNN\tI-NP\tI-protein' +p48710 +aS'hours\thour\tNNS\tI-NP\tI-protein' +p48711 +aS'p.r.n.\tp.r.n.\tFW\tB-NP\tI-protein' +p48712 +aS'pain\tpain\tNN\tI-NP\tI-protein' +p48713 +aS'.\t.\t.\tO\tO' +p48714 +asS'Right foot pain .' +p48715 +(lp48716 +S'Right\tRight\tNN\tB-NP\tO' +p48717 +aS'foot\tfoot\tNN\tI-NP\tO' +p48718 +aS'pain\tpain\tNN\tI-NP\tO' +p48719 +aS'.\t.\t.\tO\tO' +p48720 +asS'Also , he has been afebrile with stable vitals , tolerating a regular diet , producing good urine and adequate stool .' +p48721 +(lp48722 +S'Also\tAlso\tRB\tB-ADVP\tO' +p48723 +aS',\t,\t,\tO\tO' +p48724 +aS'he\the\tPRP\tB-NP\tO' +p48725 +aS'has\thave\tVBZ\tB-VP\tO' +p48726 +aS'been\tbe\tVBN\tI-VP\tO' +p48727 +aS'afebrile\tafebrile\tRB\tB-ADVP\tO' +p48728 +aS'with\twith\tIN\tB-PP\tO' +p48729 +aS'stable\tstable\tJJ\tB-NP\tO' +p48730 +aS'vitals\tvital\tNNS\tI-NP\tO' +p48731 +aS',\t,\t,\tO\tO' +p48732 +aS'tolerating\ttolerate\tVBG\tB-VP\tO' +p48733 +aS'a\ta\tDT\tB-NP\tO' +p48734 +aS'regular\tregular\tJJ\tI-NP\tO' +p48735 +aS'diet\tdiet\tNN\tI-NP\tO' +p48736 +aS',\t,\t,\tO\tO' +p48737 +aS'producing\tproduce\tVBG\tB-VP\tO' +p48738 +aS'good\tgood\tJJ\tB-NP\tO' +p48739 +aS'urine\turine\tNN\tI-NP\tO' +p48740 +aS'and\tand\tCC\tO\tO' +p48741 +aS'adequate\tadequate\tJJ\tB-NP\tO' +p48742 +aS'stool\tstool\tNN\tI-NP\tO' +p48743 +aS'.\t.\t.\tO\tO' +p48744 +asS'He denies increased urinary frequent or urgency .' +p48745 +(lp48746 +S'He\tHe\tPRP\tB-NP\tO' +p48747 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p48748 +aS'increased\tincrease\tVBN\tI-VP\tO' +p48749 +aS'urinary\turinary\tJJ\tB-NP\tO' +p48750 +aS'frequent\tfrequent\tJJ\tI-NP\tO' +p48751 +aS'or\tor\tCC\tI-NP\tO' +p48752 +aS'urgency\turgency\tNN\tI-NP\tO' +p48753 +aS'.\t.\t.\tO\tO' +p48754 +asS'Neck was supple with no thyromegaly .' +p48755 +(lp48756 +S'Neck\tNeck\tNN\tB-NP\tO' +p48757 +aS'was\tbe\tVBD\tB-VP\tO' +p48758 +aS'supple\tsupple\tNN\tB-NP\tO' +p48759 +aS'with\twith\tIN\tB-PP\tO' +p48760 +aS'no\tno\tDT\tB-NP\tO' +p48761 +aS'thyromegaly\tthyromegaly\tRB\tI-NP\tO' +p48762 +aS'.\t.\t.\tO\tO' +p48763 +asS'He continued to make steady progress and was discharged home on postoperative day three .' +p48764 +(lp48765 +S'He\tHe\tPRP\tB-NP\tO' +p48766 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p48767 +aS'to\tto\tTO\tI-VP\tO' +p48768 +aS'make\tmake\tVB\tI-VP\tO' +p48769 +aS'steady\tsteady\tJJ\tB-NP\tO' +p48770 +aS'progress\tprogress\tNN\tI-NP\tO' +p48771 +aS'and\tand\tCC\tO\tO' +p48772 +aS'was\tbe\tVBD\tB-VP\tO' +p48773 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p48774 +aS'home\thome\tNN\tB-ADVP\tO' +p48775 +aS'on\ton\tIN\tB-PP\tO' +p48776 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p48777 +aS'day\tday\tNN\tI-NP\tO' +p48778 +aS'three\tthree\tCD\tI-NP\tO' +p48779 +aS'.\t.\t.\tO\tO' +p48780 +asS'UA was negative .' +p48781 +(lp48782 +S'UA\tUA\tNNP\tB-NP\tO' +p48783 +aS'was\tbe\tVBD\tB-VP\tO' +p48784 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p48785 +aS'.\t.\t.\tO\tO' +p48786 +asS'On July 29 , the septic state with low SVR and acidosis accelerated beyond the control of maximal support .' +p48787 +(lp48788 +S'On\tOn\tIN\tB-PP\tO' +p48789 +aS'July\tJuly\tNNP\tB-NP\tO' +p48790 +aS'29\t29\tCD\tI-NP\tO' +p48791 +aS',\t,\t,\tO\tO' +p48792 +aS'the\tthe\tDT\tB-NP\tO' +p48793 +aS'septic\tseptic\tJJ\tI-NP\tO' +p48794 +aS'state\tstate\tNN\tI-NP\tO' +p48795 +aS'with\twith\tIN\tB-PP\tO' +p48796 +aS'low\tlow\tJJ\tB-NP\tO' +p48797 +aS'SVR\tSVR\tNN\tI-NP\tB-protein' +p48798 +aS'and\tand\tCC\tI-NP\tO' +p48799 +aS'acidosis\tacidosis\tNN\tI-NP\tO' +p48800 +aS'accelerated\taccelerate\tVBD\tB-VP\tO' +p48801 +aS'beyond\tbeyond\tIN\tB-PP\tO' +p48802 +aS'the\tthe\tDT\tB-NP\tO' +p48803 +aS'control\tcontrol\tNN\tI-NP\tO' +p48804 +aS'of\tof\tIN\tB-PP\tO' +p48805 +aS'maximal\tmaximal\tJJ\tB-NP\tO' +p48806 +aS'support\tsupport\tNN\tI-NP\tO' +p48807 +aS'.\t.\t.\tO\tO' +p48808 +asS'On reflex examination , 2 on the right upper extremity , 2+ on the left upper extremity , 2 on the right knee , 0 on the right ankle , with down going toe on the right .' +p48809 +(lp48810 +S'On\tOn\tIN\tB-PP\tO' +p48811 +aS'reflex\treflex\tNN\tB-NP\tO' +p48812 +aS'examination\texamination\tNN\tI-NP\tO' +p48813 +aS',\t,\t,\tO\tO' +p48814 +aS'2\t2\tCD\tB-NP\tO' +p48815 +aS'on\ton\tIN\tB-PP\tO' +p48816 +aS'the\tthe\tDT\tB-NP\tO' +p48817 +aS'right\tright\tJJ\tI-NP\tO' +p48818 +aS'upper\tupper\tJJ\tI-NP\tO' +p48819 +aS'extremity\textremity\tNN\tI-NP\tO' +p48820 +aS',\t,\t,\tO\tO' +p48821 +aS'2+\t2+\tJJ\tB-ADJP\tO' +p48822 +aS'on\ton\tIN\tB-PP\tO' +p48823 +aS'the\tthe\tDT\tB-NP\tO' +p48824 +aS'left\tleft\tJJ\tI-NP\tO' +p48825 +aS'upper\tupper\tJJ\tI-NP\tO' +p48826 +aS'extremity\textremity\tNN\tI-NP\tO' +p48827 +aS',\t,\t,\tO\tO' +p48828 +aS'2\t2\tCD\tB-NP\tO' +p48829 +aS'on\ton\tIN\tB-PP\tO' +p48830 +aS'the\tthe\tDT\tB-NP\tO' +p48831 +aS'right\tright\tJJ\tI-NP\tO' +p48832 +aS'knee\tknee\tNN\tI-NP\tO' +p48833 +aS',\t,\t,\tO\tO' +p48834 +aS'0\t0\tCD\tB-NP\tO' +p48835 +aS'on\ton\tIN\tB-PP\tO' +p48836 +aS'the\tthe\tDT\tB-NP\tO' +p48837 +aS'right\tright\tJJ\tI-NP\tO' +p48838 +aS'ankle\tankle\tNN\tI-NP\tO' +p48839 +aS',\t,\t,\tO\tO' +p48840 +aS'with\twith\tIN\tB-PP\tO' +p48841 +aS'down\tdown\tRB\tB-ADVP\tO' +p48842 +aS'going\tgo\tVBG\tB-VP\tO' +p48843 +aS'toe\ttoe\tNN\tB-NP\tO' +p48844 +aS'on\ton\tIN\tB-PP\tO' +p48845 +aS'the\tthe\tDT\tB-NP\tO' +p48846 +aS'right\tright\tNN\tI-NP\tO' +p48847 +aS'.\t.\t.\tO\tO' +p48848 +asS'Her CA-125 is 9 .' +p48849 +(lp48850 +S'Her\tHer\tPRP$\tB-NP\tO' +p48851 +aS'CA-125\tCA-125\tNN\tI-NP\tB-protein' +p48852 +aS'is\tbe\tVBZ\tB-VP\tO' +p48853 +aS'9\t9\tCD\tB-NP\tO' +p48854 +aS'.\t.\t.\tO\tO' +p48855 +asS'Please take all medications as listed in the discharge paperwork .' +p48856 +(lp48857 +S'Please\tPlease\tVB\tB-VP\tO' +p48858 +aS'take\ttake\tVB\tI-VP\tO' +p48859 +aS'all\tall\tDT\tB-NP\tO' +p48860 +aS'medications\tmedication\tNNS\tI-NP\tO' +p48861 +aS'as\tas\tIN\tB-SBAR\tO' +p48862 +aS'listed\tlist\tVBN\tB-VP\tO' +p48863 +aS'in\tin\tIN\tB-PP\tO' +p48864 +aS'the\tthe\tDT\tB-NP\tO' +p48865 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p48866 +aS'paperwork\tpaperwork\tNN\tI-NP\tO' +p48867 +aS'.\t.\t.\tO\tO' +p48868 +asS'3. Migraines .' +p48869 +(lp48870 +S'3.\t3.\tLS\tB-NP\tO' +p48871 +aS'Migraines\tMigraine\tNNPS\tI-NP\tO' +p48872 +aS'.\t.\t.\tO\tO' +p48873 +asS'The patient was seen in consultation by the Neurology Department because of the history of Parkinson 's disease .' +p48874 +(lp48875 +S'The\tThe\tDT\tB-NP\tO' +p48876 +aS'patient\tpatient\tNN\tI-NP\tO' +p48877 +aS'was\tbe\tVBD\tB-VP\tO' +p48878 +aS'seen\tsee\tVBN\tI-VP\tO' +p48879 +aS'in\tin\tIN\tB-PP\tO' +p48880 +aS'consultation\tconsultation\tNN\tB-NP\tO' +p48881 +aS'by\tby\tIN\tB-PP\tO' +p48882 +aS'the\tthe\tDT\tB-NP\tO' +p48883 +aS'Neurology\tNeurology\tNNP\tI-NP\tO' +p48884 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p48885 +aS'because\tbecause\tIN\tB-PP\tO' +p48886 +aS'of\tof\tIN\tI-PP\tO' +p48887 +aS'the\tthe\tDT\tB-NP\tO' +p48888 +aS'history\thistory\tNN\tI-NP\tO' +p48889 +aS'of\tof\tIN\tB-PP\tO' +p48890 +aS'Parkinson\tParkinson\tNNP\tB-NP\tO' +p48891 +aS''s\t'\tNNS\tI-NP\tO' +p48892 +aS'disease\tdisease\tNN\tI-NP\tO' +p48893 +aS'.\t.\t.\tO\tO' +p48894 +asS'EKG showed sinus tachycardia .' +p48895 +(lp48896 +S'EKG\tEKG\tNN\tB-NP\tB-protein' +p48897 +aS'showed\tshow\tVBD\tB-VP\tO' +p48898 +aS'sinus\tsinus\tNN\tB-NP\tO' +p48899 +aS'tachycardia\ttachycardia\tNN\tI-NP\tO' +p48900 +aS'.\t.\t.\tO\tO' +p48901 +asS'5 ) The patient will need packed red blood cell transfusions with dialysis when her hematocrit falls below 26 .' +p48902 +(lp48903 +S'5\t5\tLS\tB-LST\tO' +p48904 +aS')\t)\t)\tO\tO' +p48905 +aS'The\tThe\tDT\tB-NP\tO' +p48906 +aS'patient\tpatient\tNN\tI-NP\tO' +p48907 +aS'will\twill\tMD\tB-VP\tO' +p48908 +aS'need\tneed\tVB\tI-VP\tO' +p48909 +aS'packed\tpacked\tJJ\tB-NP\tO' +p48910 +aS'red\tred\tJJ\tI-NP\tO' +p48911 +aS'blood\tblood\tNN\tI-NP\tO' +p48912 +aS'cell\tcell\tNN\tI-NP\tO' +p48913 +aS'transfusions\ttransfusion\tNNS\tI-NP\tO' +p48914 +aS'with\twith\tIN\tB-PP\tO' +p48915 +aS'dialysis\tdialysis\tNN\tB-NP\tO' +p48916 +aS'when\twhen\tWRB\tB-ADVP\tO' +p48917 +aS'her\ther\tPRP$\tB-NP\tO' +p48918 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p48919 +aS'falls\tfall\tVBZ\tB-VP\tO' +p48920 +aS'below\tbelow\tIN\tB-PP\tO' +p48921 +aS'26\t26\tCD\tB-NP\tO' +p48922 +aS'.\t.\t.\tO\tO' +p48923 +asS'In this 2 week interval he denied having CP / chest discomfort or difficulty breathing , no cough or hemoptysis .' +p48924 +(lp48925 +S'In\tIn\tIN\tB-PP\tO' +p48926 +aS'this\tthis\tDT\tB-NP\tO' +p48927 +aS'2\t2\tCD\tI-NP\tO' +p48928 +aS'week\tweek\tNN\tI-NP\tO' +p48929 +aS'interval\tinterval\tNN\tI-NP\tO' +p48930 +aS'he\the\tPRP\tB-NP\tO' +p48931 +aS'denied\tdeny\tVBD\tB-VP\tO' +p48932 +aS'having\thave\tVBG\tI-VP\tO' +p48933 +aS'CP\tCP\tNN\tB-NP\tB-DNA' +p48934 +aS'/\t/\tSYM\tO\tO' +p48935 +aS'chest\tchest\tNN\tB-NP\tO' +p48936 +aS'discomfort\tdiscomfort\tNN\tI-NP\tO' +p48937 +aS'or\tor\tCC\tO\tO' +p48938 +aS'difficulty\tdifficulty\tNN\tB-NP\tO' +p48939 +aS'breathing\tbreathing\tNN\tI-NP\tO' +p48940 +aS',\t,\t,\tO\tO' +p48941 +aS'no\tno\tDT\tB-NP\tO' +p48942 +aS'cough\tcough\tNN\tI-NP\tO' +p48943 +aS'or\tor\tCC\tI-NP\tO' +p48944 +aS'hemoptysis\themoptysis\tNN\tI-NP\tO' +p48945 +aS'.\t.\t.\tO\tO' +p48946 +asS'The patient radiated down her left arm associated with some nausea , no shortness of breath , cough , vomiting , diarrhea .' +p48947 +(lp48948 +S'The\tThe\tDT\tB-NP\tO' +p48949 +aS'patient\tpatient\tNN\tI-NP\tO' +p48950 +aS'radiated\tradiate\tVBD\tB-VP\tO' +p48951 +aS'down\tdown\tRP\tB-PRT\tO' +p48952 +aS'her\ther\tPRP$\tB-NP\tO' +p48953 +aS'left\tleft\tJJ\tI-NP\tO' +p48954 +aS'arm\tarm\tNN\tI-NP\tO' +p48955 +aS'associated\tassociate\tVBN\tB-VP\tO' +p48956 +aS'with\twith\tIN\tB-PP\tO' +p48957 +aS'some\tsome\tDT\tB-NP\tO' +p48958 +aS'nausea\tnausea\tNN\tI-NP\tO' +p48959 +aS',\t,\t,\tO\tO' +p48960 +aS'no\tno\tDT\tB-NP\tO' +p48961 +aS'shortness\tshortness\tNN\tI-NP\tO' +p48962 +aS'of\tof\tIN\tB-PP\tO' +p48963 +aS'breath\tbreath\tNN\tB-NP\tO' +p48964 +aS',\t,\t,\tO\tO' +p48965 +aS'cough\tcough\tNN\tB-NP\tO' +p48966 +aS',\t,\t,\tO\tO' +p48967 +aS'vomiting\tvomiting\tNN\tB-NP\tO' +p48968 +aS',\t,\t,\tO\tO' +p48969 +aS'diarrhea\tdiarrhea\tNN\tB-NP\tO' +p48970 +aS'.\t.\t.\tO\tO' +p48971 +asS'Creatinine slightly elevated at 1.3 , otherwise CBC , chemistries normal .' +p48972 +(lp48973 +S'Creatinine\tCreatinine\tNN\tB-NP\tO' +p48974 +aS'slightly\tslightly\tRB\tB-ADJP\tO' +p48975 +aS'elevated\televated\tJJ\tI-ADJP\tO' +p48976 +aS'at\tat\tIN\tB-PP\tO' +p48977 +aS'1.3\t1.3\tCD\tB-NP\tO' +p48978 +aS',\t,\t,\tO\tO' +p48979 +aS'otherwise\totherwise\tRB\tB-NP\tO' +p48980 +aS'CBC\tCBC\tNNP\tI-NP\tO' +p48981 +aS',\t,\t,\tO\tO' +p48982 +aS'chemistries\tchemistry\tNNS\tB-NP\tO' +p48983 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p48984 +aS'.\t.\t.\tO\tO' +p48985 +asS'The abdomen was soft , nontender and nondistended with no guarding and no hepatosplenomegaly .' +p48986 +(lp48987 +S'The\tThe\tDT\tB-NP\tO' +p48988 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p48989 +aS'was\tbe\tVBD\tB-VP\tO' +p48990 +aS'soft\tsoft\tJJ\tB-NP\tO' +p48991 +aS',\t,\t,\tI-NP\tO' +p48992 +aS'nontender\tnontender\tJJ\tI-NP\tO' +p48993 +aS'and\tand\tCC\tI-NP\tO' +p48994 +aS'nondistended\tnondistended\tJJ\tI-NP\tO' +p48995 +aS'with\twith\tIN\tB-PP\tO' +p48996 +aS'no\tno\tDT\tB-NP\tO' +p48997 +aS'guarding\tguarding\tNN\tI-NP\tO' +p48998 +aS'and\tand\tCC\tO\tO' +p48999 +aS'no\tno\tDT\tB-NP\tO' +p49000 +aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tI-NP\tO' +p49001 +aS'.\t.\t.\tO\tO' +p49002 +asS'Lymphatic-he had shotty cervical adenopathy .' +p49003 +(lp49004 +S'Lymphatic-he\tLymphatic-he\tNNP\tB-NP\tO' +p49005 +aS'had\thave\tVBD\tB-VP\tO' +p49006 +aS'shotty\tshotty\tJJ\tB-NP\tO' +p49007 +aS'cervical\tcervical\tJJ\tI-NP\tO' +p49008 +aS'adenopathy\tadenopathy\tNN\tI-NP\tO' +p49009 +aS'.\t.\t.\tO\tO' +p49010 +asS'Chest x-ray showed left atrial , right ventricular and pulmonary arterial enlargement and interstitial edema with small , bilateral effusions .' +p49011 +(lp49012 +S'Chest\tCh\tJJS\tB-NP\tO' +p49013 +aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' +p49014 +aS'showed\tshow\tVBD\tB-VP\tO' +p49015 +aS'left\tleft\tRB\tB-NP\tO' +p49016 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p49017 +aS',\t,\t,\tI-NP\tO' +p49018 +aS'right\tright\tJJ\tI-NP\tO' +p49019 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p49020 +aS'and\tand\tCC\tI-NP\tO' +p49021 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p49022 +aS'arterial\tarterial\tJJ\tI-NP\tO' +p49023 +aS'enlargement\tenlargement\tNN\tI-NP\tO' +p49024 +aS'and\tand\tCC\tO\tO' +p49025 +aS'interstitial\tinterstitial\tJJ\tB-NP\tO' +p49026 +aS'edema\tedema\tNN\tI-NP\tO' +p49027 +aS'with\twith\tIN\tB-PP\tO' +p49028 +aS'small\tsmall\tJJ\tB-NP\tO' +p49029 +aS',\t,\t,\tI-NP\tO' +p49030 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p49031 +aS'effusions\teffusion\tNNS\tI-NP\tO' +p49032 +aS'.\t.\t.\tO\tO' +p49033 +asS'He was found to have a temperature of 97.4 , heart rate 65 , pressure 107/52 , respiratory rate 22 and saturating 100% on 2 L of a nasal cannula .' +p49034 +(lp49035 +S'He\tHe\tPRP\tB-NP\tO' +p49036 +aS'was\tbe\tVBD\tB-VP\tO' +p49037 +aS'found\tfind\tVBN\tI-VP\tO' +p49038 +aS'to\tto\tTO\tI-VP\tO' +p49039 +aS'have\thave\tVB\tI-VP\tO' +p49040 +aS'a\ta\tDT\tB-NP\tO' +p49041 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p49042 +aS'of\tof\tIN\tB-PP\tO' +p49043 +aS'97.4\t97.4\tCD\tB-NP\tO' +p49044 +aS',\t,\t,\tO\tO' +p49045 +aS'heart\theart\tNN\tB-NP\tO' +p49046 +aS'rate\trate\tNN\tI-NP\tO' +p49047 +aS'65\t65\tCD\tI-NP\tO' +p49048 +aS',\t,\t,\tO\tO' +p49049 +aS'pressure\tpressure\tNN\tB-NP\tO' +p49050 +aS'107/52\t107/52\tCD\tI-NP\tO' +p49051 +aS',\t,\t,\tO\tO' +p49052 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p49053 +aS'rate\trate\tNN\tI-NP\tO' +p49054 +aS'22\t22\tCD\tI-NP\tO' +p49055 +aS'and\tand\tCC\tO\tO' +p49056 +aS'saturating\tsaturate\tVBG\tB-VP\tO' +p49057 +aS'100%\t100%\tCD\tB-NP\tO' +p49058 +aS'on\ton\tIN\tB-PP\tO' +p49059 +aS'2\t2\tCD\tB-NP\tO' +p49060 +aS'L\tL\tNN\tI-NP\tO' +p49061 +aS'of\tof\tIN\tB-PP\tO' +p49062 +aS'a\ta\tDT\tB-NP\tO' +p49063 +aS'nasal\tnasal\tJJ\tI-NP\tO' +p49064 +aS'cannula\tcannula\tNN\tI-NP\tO' +p49065 +aS'.\t.\t.\tO\tO' +p49066 +asS'In addition , to monitoring his intracranial pressure , his systemic blood pressures were maintained in such a manner that his cerebral perfusion pressure was maintained at 70 mmHg .' +p49067 +(lp49068 +S'In\tIn\tIN\tB-PP\tO' +p49069 +aS'addition\taddition\tNN\tB-NP\tO' +p49070 +aS',\t,\t,\tO\tO' +p49071 +aS'to\tto\tTO\tB-PP\tO' +p49072 +aS'monitoring\tmonitor\tVBG\tB-VP\tO' +p49073 +aS'his\this\tPRP$\tB-NP\tO' +p49074 +aS'intracranial\tintracranial\tJJ\tI-NP\tO' +p49075 +aS'pressure\tpressure\tNN\tI-NP\tO' +p49076 +aS',\t,\t,\tO\tO' +p49077 +aS'his\this\tPRP$\tB-NP\tO' +p49078 +aS'systemic\tsystemic\tJJ\tI-NP\tO' +p49079 +aS'blood\tblood\tNN\tI-NP\tO' +p49080 +aS'pressures\tpressure\tNNS\tI-NP\tO' +p49081 +aS'were\tbe\tVBD\tB-VP\tO' +p49082 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p49083 +aS'in\tin\tIN\tB-PP\tO' +p49084 +aS'such\tsuch\tJJ\tB-NP\tO' +p49085 +aS'a\ta\tDT\tI-NP\tO' +p49086 +aS'manner\tmanner\tNN\tI-NP\tO' +p49087 +aS'that\tthat\tIN\tB-NP\tO' +p49088 +aS'his\this\tPRP$\tB-NP\tO' +p49089 +aS'cerebral\tcerebral\tJJ\tI-NP\tO' +p49090 +aS'perfusion\tperfusion\tNN\tI-NP\tO' +p49091 +aS'pressure\tpressure\tNN\tI-NP\tO' +p49092 +aS'was\tbe\tVBD\tB-VP\tO' +p49093 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p49094 +aS'at\tat\tIN\tB-PP\tO' +p49095 +aS'70\t70\tCD\tB-NP\tO' +p49096 +aS'mmHg\tmmHg\tNN\tI-NP\tO' +p49097 +aS'.\t.\t.\tO\tO' +p49098 +asS'She was given a trial of 80/20 mixed helium/oxygen to decrease the stridor but had minimal effect .' +p49099 +(lp49100 +S'She\tShe\tPRP\tB-NP\tO' +p49101 +aS'was\tbe\tVBD\tB-VP\tO' +p49102 +aS'given\tgive\tVBN\tI-VP\tO' +p49103 +aS'a\ta\tDT\tB-NP\tO' +p49104 +aS'trial\ttrial\tNN\tI-NP\tO' +p49105 +aS'of\tof\tIN\tB-PP\tO' +p49106 +aS'80/20\t80/20\tCD\tB-NP\tO' +p49107 +aS'mixed\tmixed\tJJ\tI-NP\tO' +p49108 +aS'helium/oxygen\thelium/oxygen\tNN\tI-NP\tO' +p49109 +aS'to\tto\tTO\tB-VP\tO' +p49110 +aS'decrease\tdecrease\tVB\tI-VP\tO' +p49111 +aS'the\tthe\tDT\tB-NP\tO' +p49112 +aS'stridor\tstridor\tNN\tI-NP\tO' +p49113 +aS'but\tbut\tCC\tO\tO' +p49114 +aS'had\thave\tVBD\tB-VP\tO' +p49115 +aS'minimal\tminimal\tJJ\tB-NP\tO' +p49116 +aS'effect\teffect\tNN\tI-NP\tO' +p49117 +aS'.\t.\t.\tO\tO' +p49118 +asS'Abdomen was soft .' +p49119 +(lp49120 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p49121 +aS'was\tbe\tVBD\tB-VP\tO' +p49122 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p49123 +aS'.\t.\t.\tO\tO' +p49124 +asS'Other possibilities include infection , including her UTI .' +p49125 +(lp49126 +S'Other\tOther\tJJ\tB-NP\tO' +p49127 +aS'possibilities\tpossibility\tNNS\tI-NP\tO' +p49128 +aS'include\tinclude\tVBP\tB-VP\tO' +p49129 +aS'infection\tinfection\tNN\tB-NP\tO' +p49130 +aS',\t,\t,\tO\tO' +p49131 +aS'including\tinclude\tVBG\tB-PP\tO' +p49132 +aS'her\ther\tPRP$\tB-NP\tO' +p49133 +aS'UTI\tUTI\tNN\tI-NP\tB-DNA' +p49134 +aS'.\t.\t.\tO\tO' +p49135 +asS'O positive , antibody negative , hepatitis B surface antigen negative , RPR nonreactive , rubella immune' +p49136 +(lp49137 +S'O\tO\tNN\tB-NP\tO' +p49138 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p49139 +aS',\t,\t,\tO\tO' +p49140 +aS'antibody\tantibody\tNN\tB-NP\tO' +p49141 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p49142 +aS',\t,\t,\tO\tO' +p49143 +aS'hepatitis\thepatitis\tNN\tB-NP\tB-protein' +p49144 +aS'B\tB\tNN\tI-NP\tI-protein' +p49145 +aS'surface\tsurface\tNN\tI-NP\tI-protein' +p49146 +aS'antigen\tantigen\tNN\tI-NP\tI-protein' +p49147 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p49148 +aS',\t,\t,\tO\tO' +p49149 +aS'RPR\tRPR\tNN\tB-NP\tB-protein' +p49150 +aS'nonreactive\tnonreactive\tJJ\tB-ADJP\tO' +p49151 +aS',\t,\t,\tO\tO' +p49152 +aS'rubella\trubella\tNN\tB-NP\tO' +p49153 +aS'immune\timmune\tJJ\tB-ADJP\tO' +p49154 +asS'On 12-23 he went back to the operating room for open jejunostomy tube dehiscence site .' +p49155 +(lp49156 +S'On\tOn\tIN\tB-PP\tO' +p49157 +aS'12-23\t12-23\tCD\tB-NP\tO' +p49158 +aS'he\the\tPRP\tB-NP\tO' +p49159 +aS'went\tgo\tVBD\tB-VP\tO' +p49160 +aS'back\tback\tRB\tB-ADVP\tO' +p49161 +aS'to\tto\tTO\tB-PP\tO' +p49162 +aS'the\tthe\tDT\tB-NP\tO' +p49163 +aS'operating\toperating\tNN\tI-NP\tO' +p49164 +aS'room\troom\tNN\tI-NP\tO' +p49165 +aS'for\tfor\tIN\tB-PP\tO' +p49166 +aS'open\topen\tJJ\tB-NP\tO' +p49167 +aS'jejunostomy\tjejunostomy\tNN\tI-NP\tO' +p49168 +aS'tube\ttube\tNN\tI-NP\tO' +p49169 +aS'dehiscence\tdehiscence\tNN\tI-NP\tO' +p49170 +aS'site\tsite\tNN\tI-NP\tO' +p49171 +aS'.\t.\t.\tO\tO' +p49172 +asS'Physical Therapy has been seeing the patient and putting him through passive external rotation to the neutral position of the left shoulder and forward flexion with physical therapy assistance .' +p49173 +(lp49174 +S'Physical\tPhysical\tJJ\tB-NP\tO' +p49175 +aS'Therapy\tTherapy\tNN\tI-NP\tO' +p49176 +aS'has\thave\tVBZ\tB-VP\tO' +p49177 +aS'been\tbe\tVBN\tI-VP\tO' +p49178 +aS'seeing\tsee\tVBG\tI-VP\tO' +p49179 +aS'the\tthe\tDT\tB-NP\tO' +p49180 +aS'patient\tpatient\tNN\tI-NP\tO' +p49181 +aS'and\tand\tCC\tO\tO' +p49182 +aS'putting\tput\tVBG\tB-VP\tO' +p49183 +aS'him\thim\tPRP\tB-NP\tO' +p49184 +aS'through\tthrough\tIN\tB-PP\tO' +p49185 +aS'passive\tpassive\tJJ\tB-NP\tO' +p49186 +aS'external\texternal\tJJ\tI-NP\tO' +p49187 +aS'rotation\trotation\tNN\tI-NP\tO' +p49188 +aS'to\tto\tTO\tB-PP\tO' +p49189 +aS'the\tthe\tDT\tB-NP\tO' +p49190 +aS'neutral\tneutral\tJJ\tI-NP\tO' +p49191 +aS'position\tposition\tNN\tI-NP\tO' +p49192 +aS'of\tof\tIN\tB-PP\tO' +p49193 +aS'the\tthe\tDT\tB-NP\tO' +p49194 +aS'left\tleft\tJJ\tI-NP\tO' +p49195 +aS'shoulder\tshoulder\tNN\tI-NP\tO' +p49196 +aS'and\tand\tCC\tO\tO' +p49197 +aS'forward\tforward\tJJ\tB-NP\tO' +p49198 +aS'flexion\tflexion\tNN\tI-NP\tO' +p49199 +aS'with\twith\tIN\tB-PP\tO' +p49200 +aS'physical\tphysical\tJJ\tB-NP\tO' +p49201 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p49202 +aS'assistance\tassistance\tNN\tI-NP\tO' +p49203 +aS'.\t.\t.\tO\tO' +p49204 +asS'OK to shower , no bathing or swimming .' +p49205 +(lp49206 +S'OK\tOK\tNN\tB-NP\tO' +p49207 +aS'to\tto\tTO\tB-VP\tO' +p49208 +aS'shower\tshower\tVB\tI-VP\tO' +p49209 +aS',\t,\t,\tO\tO' +p49210 +aS'no\tno\tDT\tB-NP\tO' +p49211 +aS'bathing\tbathing\tNN\tI-NP\tO' +p49212 +aS'or\tor\tCC\tI-NP\tO' +p49213 +aS'swimming\tswimming\tNN\tI-NP\tO' +p49214 +aS'.\t.\t.\tO\tO' +p49215 +asS'In addition there is a distant history of M. kansasaii infection .' +p49216 +(lp49217 +S'In\tIn\tIN\tB-PP\tO' +p49218 +aS'addition\taddition\tNN\tB-NP\tO' +p49219 +aS'there\tthere\tEX\tB-NP\tO' +p49220 +aS'is\tbe\tVBZ\tB-VP\tO' +p49221 +aS'a\ta\tDT\tB-NP\tO' +p49222 +aS'distant\tdistant\tJJ\tI-NP\tO' +p49223 +aS'history\thistory\tNN\tI-NP\tO' +p49224 +aS'of\tof\tIN\tB-PP\tO' +p49225 +aS'M.\tM.\tFW\tB-NP\tO' +p49226 +aS'kansasaii\tkansasaii\tFW\tI-NP\tO' +p49227 +aS'infection\tinfection\tNN\tI-NP\tO' +p49228 +aS'.\t.\t.\tO\tO' +p49229 +asS'Her prednisone was tapered to a stable dose .' +p49230 +(lp49231 +S'Her\tHer\tPRP$\tB-NP\tO' +p49232 +aS'prednisone\tprednisone\tNN\tI-NP\tO' +p49233 +aS'was\tbe\tVBD\tB-VP\tO' +p49234 +aS'tapered\ttaper\tVBN\tI-VP\tO' +p49235 +aS'to\tto\tTO\tB-PP\tO' +p49236 +aS'a\ta\tDT\tB-NP\tO' +p49237 +aS'stable\tstable\tJJ\tI-NP\tO' +p49238 +aS'dose\tdose\tNN\tI-NP\tO' +p49239 +aS'.\t.\t.\tO\tO' +p49240 +asS'History of coronary artery disease status post silent myocardial infarction in the past and three-vessel coronary artery bypass graft in 1987 .' +p49241 +(lp49242 +S'History\tHistory\tNN\tB-NP\tO' +p49243 +aS'of\tof\tIN\tB-PP\tO' +p49244 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p49245 +aS'artery\tartery\tNN\tI-NP\tO' +p49246 +aS'disease\tdisease\tNN\tI-NP\tO' +p49247 +aS'status\tstatus\tNN\tI-NP\tO' +p49248 +aS'post\tpost\tIN\tB-PP\tO' +p49249 +aS'silent\tsilent\tJJ\tB-NP\tO' +p49250 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p49251 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p49252 +aS'in\tin\tIN\tB-PP\tO' +p49253 +aS'the\tthe\tDT\tB-NP\tO' +p49254 +aS'past\tpast\tNN\tI-NP\tO' +p49255 +aS'and\tand\tCC\tI-NP\tO' +p49256 +aS'three-vessel\tthree-vessel\tJJ\tI-NP\tO' +p49257 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p49258 +aS'artery\tartery\tNN\tI-NP\tO' +p49259 +aS'bypass\tbypass\tIN\tB-PP\tO' +p49260 +aS'graft\tgraft\tNN\tB-NP\tO' +p49261 +aS'in\tin\tIN\tB-PP\tO' +p49262 +aS'1987\t1987\tCD\tB-NP\tO' +p49263 +aS'.\t.\t.\tO\tO' +p49264 +asS'Once he was coherent enough , the patient was evaluated by the swallow team who' +p49265 +(lp49266 +S'Once\tOnce\tRB\tO\tO' +p49267 +aS'he\the\tPRP\tB-NP\tO' +p49268 +aS'was\tbe\tVBD\tB-VP\tO' +p49269 +aS'coherent\tcoherent\tJJ\tB-ADJP\tO' +p49270 +aS'enough\tenough\tRB\tI-ADJP\tO' +p49271 +aS',\t,\t,\tO\tO' +p49272 +aS'the\tthe\tDT\tB-NP\tO' +p49273 +aS'patient\tpatient\tNN\tI-NP\tO' +p49274 +aS'was\tbe\tVBD\tB-VP\tO' +p49275 +aS'evaluated\tevaluate\tVBN\tI-VP\tO' +p49276 +aS'by\tby\tIN\tB-PP\tO' +p49277 +aS'the\tthe\tDT\tB-NP\tO' +p49278 +aS'swallow\tswallow\tJJ\tI-NP\tO' +p49279 +aS'team\tteam\tNN\tI-NP\tO' +p49280 +aS'who\twho\tWP\tB-NP\tO' +p49281 +asS'She requested the patient be made Comfort Measures Only .' +p49282 +(lp49283 +S'She\tShe\tPRP\tB-NP\tO' +p49284 +aS'requested\trequest\tVBD\tB-VP\tO' +p49285 +aS'the\tthe\tDT\tB-NP\tO' +p49286 +aS'patient\tpatient\tNN\tI-NP\tO' +p49287 +aS'be\tbe\tVB\tB-VP\tO' +p49288 +aS'made\tmake\tVBN\tI-VP\tO' +p49289 +aS'Comfort\tComfort\tNNP\tB-NP\tO' +p49290 +aS'Measures\tMeasures\tNNP\tI-NP\tO' +p49291 +aS'Only\tOnly\tNNP\tI-NP\tO' +p49292 +aS'.\t.\t.\tO\tO' +p49293 +asS'Daycare during RSV season , a smoker in the household , neuromuscular disease , airway abnormalities or school age siblings or' +p49294 +(lp49295 +S'Daycare\tDaycare\tNN\tB-NP\tO' +p49296 +aS'during\tduring\tIN\tB-PP\tO' +p49297 +aS'RSV\tRSV\tNN\tB-NP\tO' +p49298 +aS'season\tseason\tNN\tI-NP\tO' +p49299 +aS',\t,\t,\tO\tO' +p49300 +aS'a\ta\tDT\tB-NP\tO' +p49301 +aS'smoker\tsmoker\tNN\tI-NP\tO' +p49302 +aS'in\tin\tIN\tB-PP\tO' +p49303 +aS'the\tthe\tDT\tB-NP\tO' +p49304 +aS'household\thousehold\tNN\tI-NP\tO' +p49305 +aS',\t,\t,\tO\tO' +p49306 +aS'neuromuscular\tneuromuscular\tJJ\tB-NP\tO' +p49307 +aS'disease\tdisease\tNN\tI-NP\tO' +p49308 +aS',\t,\t,\tO\tO' +p49309 +aS'airway\tairway\tNN\tB-NP\tO' +p49310 +aS'abnormalities\tabnormality\tNNS\tI-NP\tO' +p49311 +aS'or\tor\tCC\tO\tO' +p49312 +aS'school\tschool\tNN\tB-NP\tO' +p49313 +aS'age\tage\tNN\tI-NP\tO' +p49314 +aS'siblings\tsibling\tNNS\tI-NP\tO' +p49315 +aS'or\tor\tCC\tO\tO' +p49316 +asS'Mr. Minton did not get his IVIG until 2019-04-14 .' +p49317 +(lp49318 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p49319 +aS'Minton\tMinton\tNNP\tI-NP\tO' +p49320 +aS'did\tdo\tVBD\tB-VP\tO' +p49321 +aS'not\tnot\tRB\tI-VP\tO' +p49322 +aS'get\tget\tVB\tI-VP\tO' +p49323 +aS'his\this\tPRP$\tB-NP\tO' +p49324 +aS'IVIG\tIVIG\tNN\tI-NP\tB-protein' +p49325 +aS'until\tuntil\tIN\tB-PP\tO' +p49326 +aS'2019-04-14\t2019-04-14\tCD\tB-NP\tO' +p49327 +aS'.\t.\t.\tO\tO' +p49328 +asS'The patient was admitted to the Cardiac Catheterization Laboratory .' +p49329 +(lp49330 +S'The\tThe\tDT\tB-NP\tO' +p49331 +aS'patient\tpatient\tNN\tI-NP\tO' +p49332 +aS'was\tbe\tVBD\tB-VP\tO' +p49333 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p49334 +aS'to\tto\tTO\tB-PP\tO' +p49335 +aS'the\tthe\tDT\tB-NP\tO' +p49336 +aS'Cardiac\tCardiac\tNNP\tI-NP\tO' +p49337 +aS'Catheterization\tCatheterization\tNNP\tI-NP\tO' +p49338 +aS'Laboratory\tLaboratory\tNNP\tI-NP\tO' +p49339 +aS'.\t.\t.\tO\tO' +p49340 +asS'His goal INR should be 1.6-2.0 . If bleeding continues to occur , consider V. Winchester filter .' +p49341 +(lp49342 +S'His\tHis\tPRP$\tB-NP\tO' +p49343 +aS'goal\tgoal\tNN\tI-NP\tB-protein' +p49344 +aS'INR\tINR\tNN\tI-NP\tI-protein' +p49345 +aS'should\tshould\tMD\tB-VP\tO' +p49346 +aS'be\tbe\tVB\tI-VP\tO' +p49347 +aS'1.6-2.0\t1.6-2.0\tCD\tB-NP\tO' +p49348 +aS'.\t.\t.\tO\tO' +p49349 +aS'If\tIf\tIN\tB-SBAR\tO' +p49350 +aS'bleeding\tbleeding\tNN\tB-NP\tO' +p49351 +aS'continues\tcontinue\tVBZ\tB-VP\tO' +p49352 +aS'to\tto\tTO\tI-VP\tO' +p49353 +aS'occur\toccur\tVB\tI-VP\tO' +p49354 +aS',\t,\t,\tI-VP\tO' +p49355 +aS'consider\tconsider\tVB\tI-VP\tO' +p49356 +aS'V.\tV.\tNNP\tB-NP\tO' +p49357 +aS'Winchester\tWinchester\tNNP\tI-NP\tO' +p49358 +aS'filter\tfilter\tNN\tI-NP\tO' +p49359 +aS'.\t.\t.\tO\tO' +p49360 +asS'The patient smokes one pack per day and has a history of heavy alcohol use .' +p49361 +(lp49362 +S'The\tThe\tDT\tB-NP\tO' +p49363 +aS'patient\tpatient\tNN\tI-NP\tO' +p49364 +aS'smokes\tsmoke\tVBZ\tB-VP\tO' +p49365 +aS'one\tone\tCD\tB-NP\tO' +p49366 +aS'pack\tpack\tNN\tI-NP\tO' +p49367 +aS'per\tper\tIN\tB-PP\tO' +p49368 +aS'day\tday\tNN\tB-NP\tO' +p49369 +aS'and\tand\tCC\tO\tO' +p49370 +aS'has\thave\tVBZ\tB-VP\tO' +p49371 +aS'a\ta\tDT\tB-NP\tO' +p49372 +aS'history\thistory\tNN\tI-NP\tO' +p49373 +aS'of\tof\tIN\tB-PP\tO' +p49374 +aS'heavy\theavy\tJJ\tB-NP\tO' +p49375 +aS'alcohol\talcohol\tNN\tI-NP\tO' +p49376 +aS'use\tuse\tNN\tI-NP\tO' +p49377 +aS'.\t.\t.\tO\tO' +p49378 +asS'Given the fact that the patient had issues with muscle cramping with Atorvastatin in the past , she was started on Pravastatin which should give less of these side effects .' +p49379 +(lp49380 +S'Given\tGive\tVBN\tB-PP\tO' +p49381 +aS'the\tthe\tDT\tB-NP\tO' +p49382 +aS'fact\tfact\tNN\tI-NP\tO' +p49383 +aS'that\tthat\tIN\tB-SBAR\tO' +p49384 +aS'the\tthe\tDT\tB-NP\tO' +p49385 +aS'patient\tpatient\tNN\tI-NP\tO' +p49386 +aS'had\thave\tVBD\tB-VP\tO' +p49387 +aS'issues\tissue\tNNS\tB-NP\tO' +p49388 +aS'with\twith\tIN\tB-PP\tO' +p49389 +aS'muscle\tmuscle\tNN\tB-NP\tO' +p49390 +aS'cramping\tcramp\tVBG\tB-VP\tO' +p49391 +aS'with\twith\tIN\tB-PP\tO' +p49392 +aS'Atorvastatin\tAtorvastatin\tNN\tB-NP\tO' +p49393 +aS'in\tin\tIN\tB-PP\tO' +p49394 +aS'the\tthe\tDT\tB-NP\tO' +p49395 +aS'past\tpast\tNN\tI-NP\tO' +p49396 +aS',\t,\t,\tO\tO' +p49397 +aS'she\tshe\tPRP\tB-NP\tO' +p49398 +aS'was\tbe\tVBD\tB-VP\tO' +p49399 +aS'started\tstart\tVBN\tI-VP\tO' +p49400 +aS'on\ton\tIN\tB-PP\tO' +p49401 +aS'Pravastatin\tPravastatin\tNN\tB-NP\tB-protein' +p49402 +aS'which\twhich\tWDT\tB-NP\tO' +p49403 +aS'should\tshould\tMD\tB-VP\tO' +p49404 +aS'give\tgive\tVB\tI-VP\tO' +p49405 +aS'less\tless\tJJR\tB-NP\tO' +p49406 +aS'of\tof\tIN\tB-PP\tO' +p49407 +aS'these\tthese\tDT\tB-NP\tO' +p49408 +aS'side\tside\tJJ\tI-NP\tO' +p49409 +aS'effects\teffect\tNNS\tI-NP\tO' +p49410 +aS'.\t.\t.\tO\tO' +p49411 +asS'As mentioned earlier he continues to have erythema tracking up his leg and up to his lateral thigh .' +p49412 +(lp49413 +S'As\tAs\tIN\tB-SBAR\tO' +p49414 +aS'mentioned\tmention\tVBN\tB-VP\tO' +p49415 +aS'earlier\tearlier\tRBR\tB-ADVP\tO' +p49416 +aS'he\the\tPRP\tB-NP\tO' +p49417 +aS'continues\tcontinue\tVBZ\tB-VP\tO' +p49418 +aS'to\tto\tTO\tI-VP\tO' +p49419 +aS'have\thave\tVB\tI-VP\tO' +p49420 +aS'erythema\terythema\tNN\tB-NP\tO' +p49421 +aS'tracking\ttrack\tVBG\tB-VP\tO' +p49422 +aS'up\tup\tRP\tB-PRT\tO' +p49423 +aS'his\this\tPRP$\tB-NP\tO' +p49424 +aS'leg\tleg\tNN\tI-NP\tO' +p49425 +aS'and\tand\tCC\tO\tO' +p49426 +aS'up\tup\tRB\tB-ADVP\tO' +p49427 +aS'to\tto\tTO\tB-PP\tO' +p49428 +aS'his\this\tPRP$\tB-NP\tO' +p49429 +aS'lateral\tlateral\tJJ\tI-NP\tO' +p49430 +aS'thigh\tthigh\tNN\tI-NP\tO' +p49431 +aS'.\t.\t.\tO\tO' +p49432 +asS'High WBC .' +p49433 +(lp49434 +S'High\tHigh\tNNP\tB-NP\tO' +p49435 +aS'WBC\tWBC\tNNP\tI-NP\tO' +p49436 +aS'.\t.\t.\tO\tO' +p49437 +asS'On postoperative day one , she was noted to be largely unresponsive with left hemiparesis .' +p49438 +(lp49439 +S'On\tOn\tIN\tB-PP\tO' +p49440 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p49441 +aS'day\tday\tNN\tI-NP\tO' +p49442 +aS'one\tone\tCD\tB-NP\tO' +p49443 +aS',\t,\t,\tO\tO' +p49444 +aS'she\tshe\tPRP\tB-NP\tO' +p49445 +aS'was\tbe\tVBD\tB-VP\tO' +p49446 +aS'noted\tnote\tVBN\tI-VP\tO' +p49447 +aS'to\tto\tTO\tI-VP\tO' +p49448 +aS'be\tbe\tVB\tI-VP\tO' +p49449 +aS'largely\tlargely\tRB\tB-ADJP\tO' +p49450 +aS'unresponsive\tunresponsive\tJJ\tI-ADJP\tO' +p49451 +aS'with\twith\tIN\tB-PP\tO' +p49452 +aS'left\tleft\tJJ\tB-NP\tO' +p49453 +aS'hemiparesis\themiparesis\tNN\tI-NP\tO' +p49454 +aS'.\t.\t.\tO\tO' +p49455 +asS'7. Citalopram 10 mg q. day .' +p49456 +(lp49457 +S'7.\t7.\tCD\tB-NP\tO' +p49458 +aS'Citalopram\tCitalopram\tNNP\tI-NP\tO' +p49459 +aS'10\t10\tCD\tI-NP\tO' +p49460 +aS'mg\tmg\tNN\tI-NP\tO' +p49461 +aS'q.\tq.\tNN\tI-NP\tO' +p49462 +aS'day\tday\tNN\tI-NP\tO' +p49463 +aS'.\t.\t.\tO\tO' +p49464 +asS'Ankle surgery times two on the right .' +p49465 +(lp49466 +S'Ankle\tAnkle\tNN\tB-NP\tO' +p49467 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p49468 +aS'times\ttime\tNNS\tI-NP\tO' +p49469 +aS'two\ttwo\tCD\tB-NP\tO' +p49470 +aS'on\ton\tIN\tB-PP\tO' +p49471 +aS'the\tthe\tDT\tB-NP\tO' +p49472 +aS'right\tright\tNN\tI-NP\tO' +p49473 +aS'.\t.\t.\tO\tO' +p49474 +asS'She also developed a mild urinary tract infection which responded to Bactrim , but which was subsequently stopped because of diarrhea .' +p49475 +(lp49476 +S'She\tShe\tPRP\tB-NP\tO' +p49477 +aS'also\talso\tRB\tB-ADVP\tO' +p49478 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p49479 +aS'a\ta\tDT\tB-NP\tO' +p49480 +aS'mild\tmild\tJJ\tI-NP\tO' +p49481 +aS'urinary\turinary\tJJ\tI-NP\tO' +p49482 +aS'tract\ttract\tNN\tI-NP\tO' +p49483 +aS'infection\tinfection\tNN\tI-NP\tO' +p49484 +aS'which\twhich\tWDT\tB-NP\tO' +p49485 +aS'responded\trespond\tVBD\tB-VP\tO' +p49486 +aS'to\tto\tTO\tB-PP\tO' +p49487 +aS'Bactrim\tBactrim\tNNP\tB-NP\tO' +p49488 +aS',\t,\t,\tO\tO' +p49489 +aS'but\tbut\tCC\tO\tO' +p49490 +aS'which\twhich\tWDT\tB-NP\tO' +p49491 +aS'was\tbe\tVBD\tB-VP\tO' +p49492 +aS'subsequently\tsubsequently\tRB\tI-VP\tO' +p49493 +aS'stopped\tstop\tVBN\tI-VP\tO' +p49494 +aS'because\tbecause\tIN\tB-PP\tO' +p49495 +aS'of\tof\tIN\tI-PP\tO' +p49496 +aS'diarrhea\tdiarrhea\tNN\tB-NP\tO' +p49497 +aS'.\t.\t.\tO\tO' +p49498 +asS'15. Amiodarone 400 mg Tablet Sig : One ( 1 ) Tablet PO once a day : after finishing 400mg BID x 6 days .' +p49499 +(lp49500 +S'15.\t15.\tCD\tB-NP\tO' +p49501 +aS'Amiodarone\tAmiodarone\tNN\tI-NP\tO' +p49502 +aS'400\t400\tCD\tB-NP\tO' +p49503 +aS'mg\tmg\tNN\tI-NP\tO' +p49504 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p49505 +aS'Sig\tSig\tNNP\tI-NP\tO' +p49506 +aS':\t:\t:\tO\tO' +p49507 +aS'One\tOne\tCD\tB-NP\tO' +p49508 +aS'(\t(\t(\tO\tO' +p49509 +aS'1\t1\tCD\tB-NP\tO' +p49510 +aS')\t)\t)\tO\tO' +p49511 +aS'Tablet\tTablet\tNN\tB-NP\tB-protein' +p49512 +aS'PO\tPO\tNN\tI-NP\tI-protein' +p49513 +aS'once\tonce\tRB\tO\tO' +p49514 +aS'a\ta\tDT\tB-NP\tO' +p49515 +aS'day\tday\tNN\tI-NP\tO' +p49516 +aS':\t:\t:\tO\tO' +p49517 +aS'after\tafter\tIN\tB-PP\tO' +p49518 +aS'finishing\tfinish\tVBG\tB-VP\tO' +p49519 +aS'400mg\t400mg\tCD\tB-NP\tO' +p49520 +aS'BID\tBID\tNNP\tI-NP\tO' +p49521 +aS'x\tx\tCC\tO\tO' +p49522 +aS'6\t6\tCD\tB-NP\tO' +p49523 +aS'days\tday\tNNS\tI-NP\tO' +p49524 +aS'.\t.\t.\tO\tO' +p49525 +asS'8 ) The patient has a follow-up appointment with Dr. Ian Zineisfreierm at the We Erthunt Hospital at 180-0455 on August 15 , 1999 at 12:30 PM .' +p49526 +(lp49527 +S'8\t8\tCD\tB-NP\tO' +p49528 +aS')\t)\t)\tO\tO' +p49529 +aS'The\tThe\tDT\tB-NP\tO' +p49530 +aS'patient\tpatient\tNN\tI-NP\tO' +p49531 +aS'has\thave\tVBZ\tB-VP\tO' +p49532 +aS'a\ta\tDT\tB-NP\tO' +p49533 +aS'follow-up\tfollow-up\tJJ\tI-NP\tO' +p49534 +aS'appointment\tappointment\tNN\tI-NP\tO' +p49535 +aS'with\twith\tIN\tB-PP\tO' +p49536 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p49537 +aS'Ian\tIan\tNNP\tI-NP\tO' +p49538 +aS'Zineisfreierm\tZineisfreierm\tNNP\tI-NP\tO' +p49539 +aS'at\tat\tIN\tB-PP\tO' +p49540 +aS'the\tthe\tDT\tB-NP\tO' +p49541 +aS'We\tWe\tPRP\tI-NP\tO' +p49542 +aS'Erthunt\tErthunt\tNNP\tI-NP\tO' +p49543 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p49544 +aS'at\tat\tIN\tB-PP\tO' +p49545 +aS'180-0455\t180-0455\tCD\tB-NP\tO' +p49546 +aS'on\ton\tIN\tB-PP\tO' +p49547 +aS'August\tAugust\tNNP\tB-NP\tO' +p49548 +aS'15\t15\tCD\tI-NP\tO' +p49549 +aS',\t,\t,\tI-NP\tO' +p49550 +aS'1999\t1999\tCD\tI-NP\tO' +p49551 +aS'at\tat\tIN\tB-PP\tO' +p49552 +aS'12:30\t12:30\tCD\tB-NP\tO' +p49553 +aS'PM\tPM\tNN\tI-NP\tO' +p49554 +aS'.\t.\t.\tO\tO' +p49555 +asS'On 06-28 , the patient was also cleared for removal of her C-spine collar and deemed stable for transfer to the Orthopedic Service under the direction of Dr. Ronda Lopez .' +p49556 +(lp49557 +S'On\tOn\tIN\tB-PP\tO' +p49558 +aS'06-28\t06-28\tCD\tB-NP\tO' +p49559 +aS',\t,\t,\tO\tO' +p49560 +aS'the\tthe\tDT\tB-NP\tO' +p49561 +aS'patient\tpatient\tNN\tI-NP\tO' +p49562 +aS'was\tbe\tVBD\tB-VP\tO' +p49563 +aS'also\talso\tRB\tI-VP\tO' +p49564 +aS'cleared\tclear\tVBN\tI-VP\tO' +p49565 +aS'for\tfor\tIN\tB-PP\tO' +p49566 +aS'removal\tremoval\tNN\tB-NP\tO' +p49567 +aS'of\tof\tIN\tB-PP\tO' +p49568 +aS'her\ther\tPRP$\tB-NP\tO' +p49569 +aS'C-spine\tC-spine\tNN\tI-NP\tO' +p49570 +aS'collar\tcollar\tNN\tI-NP\tO' +p49571 +aS'and\tand\tCC\tO\tO' +p49572 +aS'deemed\tdeem\tVBD\tB-VP\tO' +p49573 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p49574 +aS'for\tfor\tIN\tB-PP\tO' +p49575 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p49576 +aS'to\tto\tTO\tB-PP\tO' +p49577 +aS'the\tthe\tDT\tB-NP\tO' +p49578 +aS'Orthopedic\tOrthopedic\tNNP\tI-NP\tO' +p49579 +aS'Service\tService\tNNP\tI-NP\tO' +p49580 +aS'under\tunder\tIN\tB-PP\tO' +p49581 +aS'the\tthe\tDT\tB-NP\tO' +p49582 +aS'direction\tdirection\tNN\tI-NP\tO' +p49583 +aS'of\tof\tIN\tB-PP\tO' +p49584 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p49585 +aS'Ronda\tRonda\tNNP\tI-NP\tO' +p49586 +aS'Lopez\tLopez\tNNP\tI-NP\tO' +p49587 +aS'.\t.\t.\tO\tO' +p49588 +asS'There was hemoptysis and intermittent gastrointestinal bleeding , while he remained profoundly thrombocytopenia .' +p49589 +(lp49590 +S'There\tThere\tEX\tB-NP\tO' +p49591 +aS'was\tbe\tVBD\tB-VP\tO' +p49592 +aS'hemoptysis\themoptysis\tNN\tB-NP\tO' +p49593 +aS'and\tand\tCC\tO\tO' +p49594 +aS'intermittent\tintermittent\tJJ\tB-NP\tO' +p49595 +aS'gastrointestinal\tgastrointestinal\tJJ\tI-NP\tO' +p49596 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p49597 +aS',\t,\t,\tO\tO' +p49598 +aS'while\twhile\tIN\tB-SBAR\tO' +p49599 +aS'he\the\tPRP\tB-NP\tO' +p49600 +aS'remained\tremain\tVBD\tB-VP\tO' +p49601 +aS'profoundly\tprofoundly\tRB\tB-NP\tO' +p49602 +aS'thrombocytopenia\tthrombocytopenia\tNN\tI-NP\tO' +p49603 +aS'.\t.\t.\tO\tO' +p49604 +asS'She had exertional angina at that time .' +p49605 +(lp49606 +S'She\tShe\tPRP\tB-NP\tO' +p49607 +aS'had\thave\tVBD\tB-VP\tO' +p49608 +aS'exertional\texertional\tJJ\tB-NP\tO' +p49609 +aS'angina\tangina\tNN\tI-NP\tO' +p49610 +aS'at\tat\tIN\tB-PP\tO' +p49611 +aS'that\tthat\tDT\tB-NP\tO' +p49612 +aS'time\ttime\tNN\tI-NP\tO' +p49613 +aS'.\t.\t.\tO\tO' +p49614 +asS'Works in a restaurant .' +p49615 +(lp49616 +S'Works\tWork\tNNS\tB-NP\tO' +p49617 +aS'in\tin\tIN\tB-PP\tO' +p49618 +aS'a\ta\tDT\tB-NP\tO' +p49619 +aS'restaurant\trestaurant\tNN\tI-NP\tO' +p49620 +aS'.\t.\t.\tO\tO' +p49621 +asS'He remained in the Intensive Care Unit for an additional day to monitor his hemodynamics .' +p49622 +(lp49623 +S'He\tHe\tPRP\tB-NP\tO' +p49624 +aS'remained\tremain\tVBD\tB-VP\tO' +p49625 +aS'in\tin\tIN\tB-PP\tO' +p49626 +aS'the\tthe\tDT\tB-NP\tO' +p49627 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p49628 +aS'Care\tCare\tNNP\tI-NP\tO' +p49629 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p49630 +aS'for\tfor\tIN\tB-PP\tO' +p49631 +aS'an\tan\tDT\tB-NP\tO' +p49632 +aS'additional\tadditional\tJJ\tI-NP\tO' +p49633 +aS'day\tday\tNN\tI-NP\tO' +p49634 +aS'to\tto\tTO\tB-VP\tO' +p49635 +aS'monitor\tmonitor\tVB\tI-VP\tO' +p49636 +aS'his\this\tPRP$\tB-NP\tO' +p49637 +aS'hemodynamics\themodynamic\tNNS\tI-NP\tO' +p49638 +aS'.\t.\t.\tO\tO' +p49639 +asS"Anemia - The patient 's hematocrit dropped in the Intensive Care Unit to the mid 20s and she received one unit of packed" +p49640 +(lp49641 +S'Anemia\tAnemia\tNN\tB-NP\tO' +p49642 +aS'-\t-\tHYPH\tO\tO' +p49643 +aS'The\tThe\tDT\tB-NP\tO' +p49644 +aS'patient\tpatient\tNN\tI-NP\tO' +p49645 +aS"'s\t's\tPOS\tB-NP\tO" +p49646 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p49647 +aS'dropped\tdrop\tVBD\tB-VP\tO' +p49648 +aS'in\tin\tIN\tB-PP\tO' +p49649 +aS'the\tthe\tDT\tB-NP\tO' +p49650 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p49651 +aS'Care\tCare\tNNP\tI-NP\tO' +p49652 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p49653 +aS'to\tto\tTO\tB-PP\tO' +p49654 +aS'the\tthe\tDT\tB-NP\tO' +p49655 +aS'mid\tmid\tJJ\tI-NP\tO' +p49656 +aS'20s\t20s\tCD\tI-NP\tO' +p49657 +aS'and\tand\tCC\tO\tO' +p49658 +aS'she\tshe\tPRP\tB-NP\tO' +p49659 +aS'received\treceive\tVBD\tB-VP\tO' +p49660 +aS'one\tone\tCD\tB-NP\tO' +p49661 +aS'unit\tunit\tNN\tI-NP\tO' +p49662 +aS'of\tof\tIN\tB-PP\tO' +p49663 +aS'packed\tpack\tVBN\tB-VP\tO' +p49664 +asS'HEENT : Pupils pinpoint , equal , anicteric , normal conjunctiva , intubated , OGT in place , OMMM , normocephalic , atraumatic' +p49665 +(lp49666 +S'HEENT\tHEENT\tNN\tB-NP\tO' +p49667 +aS':\t:\t:\tO\tO' +p49668 +aS'Pupils\tPupil\tNNS\tB-NP\tO' +p49669 +aS'pinpoint\tpinpoint\tNN\tI-NP\tO' +p49670 +aS',\t,\t,\tO\tO' +p49671 +aS'equal\tequal\tJJ\tB-NP\tO' +p49672 +aS',\t,\t,\tI-NP\tO' +p49673 +aS'anicteric\tanicteric\tJJ\tI-NP\tO' +p49674 +aS',\t,\t,\tI-NP\tO' +p49675 +aS'normal\tnormal\tJJ\tI-NP\tO' +p49676 +aS'conjunctiva\tconjunctiva\tNN\tI-NP\tO' +p49677 +aS',\t,\t,\tO\tO' +p49678 +aS'intubated\tintubate\tVBN\tB-VP\tO' +p49679 +aS',\t,\t,\tO\tO' +p49680 +aS'OGT\tOGT\tNN\tB-NP\tO' +p49681 +aS'in\tin\tIN\tB-PP\tO' +p49682 +aS'place\tplace\tNN\tB-NP\tO' +p49683 +aS',\t,\t,\tO\tO' +p49684 +aS'OMMM\tOMMM\tNN\tB-NP\tB-protein' +p49685 +aS',\t,\t,\tO\tO' +p49686 +aS'normocephalic\tnormocephalic\tJJ\tB-NP\tO' +p49687 +aS',\t,\t,\tI-NP\tO' +p49688 +aS'atraumatic\tatraumatic\tJJ\tI-NP\tO' +p49689 +asS'She received a normal saline bolus times one initially for poor perfusion and was started on dopamine with a maximum infusion rate of 6 mcg per kg per hour .' +p49690 +(lp49691 +S'She\tShe\tPRP\tB-NP\tO' +p49692 +aS'received\treceive\tVBD\tB-VP\tO' +p49693 +aS'a\ta\tDT\tB-NP\tO' +p49694 +aS'normal\tnormal\tJJ\tI-NP\tO' +p49695 +aS'saline\tsaline\tNN\tI-NP\tO' +p49696 +aS'bolus\tbolus\tNN\tI-NP\tO' +p49697 +aS'times\ttime\tNNS\tI-NP\tO' +p49698 +aS'one\tone\tCD\tB-NP\tO' +p49699 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p49700 +aS'for\tfor\tIN\tB-PP\tO' +p49701 +aS'poor\tpoor\tJJ\tB-NP\tO' +p49702 +aS'perfusion\tperfusion\tNN\tI-NP\tO' +p49703 +aS'and\tand\tCC\tO\tO' +p49704 +aS'was\tbe\tVBD\tB-VP\tO' +p49705 +aS'started\tstart\tVBN\tI-VP\tO' +p49706 +aS'on\ton\tIN\tB-PP\tO' +p49707 +aS'dopamine\tdopamine\tNN\tB-NP\tO' +p49708 +aS'with\twith\tIN\tB-PP\tO' +p49709 +aS'a\ta\tDT\tB-NP\tO' +p49710 +aS'maximum\tmaximum\tNN\tI-NP\tO' +p49711 +aS'infusion\tinfusion\tNN\tI-NP\tO' +p49712 +aS'rate\trate\tNN\tI-NP\tO' +p49713 +aS'of\tof\tIN\tB-PP\tO' +p49714 +aS'6\t6\tCD\tB-NP\tO' +p49715 +aS'mcg\tmcg\tNN\tI-NP\tO' +p49716 +aS'per\tper\tIN\tB-PP\tO' +p49717 +aS'kg\tkg\tNN\tB-NP\tO' +p49718 +aS'per\tper\tIN\tB-PP\tO' +p49719 +aS'hour\thour\tNN\tB-NP\tO' +p49720 +aS'.\t.\t.\tO\tO' +p49721 +asS'She was followed by Albano during the admission .' +p49722 +(lp49723 +S'She\tShe\tPRP\tB-NP\tO' +p49724 +aS'was\tbe\tVBD\tB-VP\tO' +p49725 +aS'followed\tfollow\tVBN\tI-VP\tO' +p49726 +aS'by\tby\tIN\tB-PP\tO' +p49727 +aS'Albano\tAlbano\tNNP\tB-NP\tO' +p49728 +aS'during\tduring\tIN\tB-PP\tO' +p49729 +aS'the\tthe\tDT\tB-NP\tO' +p49730 +aS'admission\tadmission\tNN\tI-NP\tO' +p49731 +aS'.\t.\t.\tO\tO' +p49732 +asS'A repeat echocardiogram on February 18 showed no significant change of her previous echocardiogram on February 11 , which showed only a small pericardial effusion .' +p49733 +(lp49734 +S'A\tA\tDT\tB-NP\tO' +p49735 +aS'repeat\trepeat\tNN\tI-NP\tO' +p49736 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p49737 +aS'on\ton\tIN\tB-PP\tO' +p49738 +aS'February\tFebruary\tNNP\tB-NP\tO' +p49739 +aS'18\t18\tCD\tI-NP\tO' +p49740 +aS'showed\tshow\tVBD\tB-VP\tO' +p49741 +aS'no\tno\tDT\tB-NP\tO' +p49742 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p49743 +aS'change\tchange\tNN\tI-NP\tO' +p49744 +aS'of\tof\tIN\tB-PP\tO' +p49745 +aS'her\ther\tPRP$\tB-NP\tO' +p49746 +aS'previous\tprevious\tJJ\tI-NP\tO' +p49747 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p49748 +aS'on\ton\tIN\tB-PP\tO' +p49749 +aS'February\tFebruary\tNNP\tB-NP\tO' +p49750 +aS'11\t11\tCD\tI-NP\tO' +p49751 +aS',\t,\t,\tO\tO' +p49752 +aS'which\twhich\tWDT\tB-NP\tO' +p49753 +aS'showed\tshow\tVBD\tB-VP\tO' +p49754 +aS'only\tonly\tRB\tB-NP\tO' +p49755 +aS'a\ta\tDT\tI-NP\tO' +p49756 +aS'small\tsmall\tJJ\tI-NP\tO' +p49757 +aS'pericardial\tpericardial\tJJ\tI-NP\tO' +p49758 +aS'effusion\teffusion\tNN\tI-NP\tO' +p49759 +aS'.\t.\t.\tO\tO' +p49760 +asS'haldol as well as the restraints were not required after the morning of the 23rd .' +p49761 +(lp49762 +S'haldol\thaldol\tNN\tB-NP\tO' +p49763 +aS'as\tas\tRB\tB-CONJP\tO' +p49764 +aS'well\twell\tRB\tI-CONJP\tO' +p49765 +aS'as\tas\tIN\tI-CONJP\tO' +p49766 +aS'the\tthe\tDT\tB-NP\tO' +p49767 +aS'restraints\trestraint\tNNS\tI-NP\tO' +p49768 +aS'were\tbe\tVBD\tB-VP\tO' +p49769 +aS'not\tnot\tRB\tI-VP\tO' +p49770 +aS'required\trequire\tVBN\tI-VP\tO' +p49771 +aS'after\tafter\tIN\tB-PP\tO' +p49772 +aS'the\tthe\tDT\tB-NP\tO' +p49773 +aS'morning\tmorning\tNN\tI-NP\tO' +p49774 +aS'of\tof\tIN\tB-PP\tO' +p49775 +aS'the\tthe\tDT\tB-NP\tO' +p49776 +aS'23rd\t23rd\tNN\tI-NP\tO' +p49777 +aS'.\t.\t.\tO\tO' +p49778 +asS'1. Hepatitis B .' +p49779 +(lp49780 +S'1.\t1.\tLS\tB-NP\tO' +p49781 +aS'Hepatitis\tHepatitis\tNN\tI-NP\tB-protein' +p49782 +aS'B\tB\tNN\tI-NP\tI-protein' +p49783 +aS'.\t.\t.\tO\tO' +p49784 +asS'The patient was taken to the operating room and underwent an orthotopic liver transplant .' +p49785 +(lp49786 +S'The\tThe\tDT\tB-NP\tO' +p49787 +aS'patient\tpatient\tNN\tI-NP\tO' +p49788 +aS'was\tbe\tVBD\tB-VP\tO' +p49789 +aS'taken\ttake\tVBN\tI-VP\tO' +p49790 +aS'to\tto\tTO\tB-PP\tO' +p49791 +aS'the\tthe\tDT\tB-NP\tO' +p49792 +aS'operating\toperating\tNN\tI-NP\tO' +p49793 +aS'room\troom\tNN\tI-NP\tO' +p49794 +aS'and\tand\tCC\tO\tO' +p49795 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p49796 +aS'an\tan\tDT\tB-NP\tO' +p49797 +aS'orthotopic\torthotopic\tJJ\tI-NP\tO' +p49798 +aS'liver\tliver\tNN\tI-NP\tO' +p49799 +aS'transplant\ttransplant\tNN\tI-NP\tO' +p49800 +aS'.\t.\t.\tO\tO' +p49801 +asS'On consultation the patient admitted to dysphasia and periods of diplopia in the past .' +p49802 +(lp49803 +S'On\tOn\tIN\tB-PP\tO' +p49804 +aS'consultation\tconsultation\tNN\tB-NP\tO' +p49805 +aS'the\tthe\tDT\tB-NP\tO' +p49806 +aS'patient\tpatient\tNN\tI-NP\tO' +p49807 +aS'admitted\tadmit\tVBN\tB-VP\tO' +p49808 +aS'to\tto\tTO\tB-PP\tO' +p49809 +aS'dysphasia\tdysphasia\tNN\tB-NP\tO' +p49810 +aS'and\tand\tCC\tI-NP\tO' +p49811 +aS'periods\tperiod\tNNS\tI-NP\tO' +p49812 +aS'of\tof\tIN\tB-PP\tO' +p49813 +aS'diplopia\tdiplopia\tNN\tB-NP\tO' +p49814 +aS'in\tin\tIN\tB-PP\tO' +p49815 +aS'the\tthe\tDT\tB-NP\tO' +p49816 +aS'past\tpast\tNN\tI-NP\tO' +p49817 +aS'.\t.\t.\tO\tO' +p49818 +asS'Notable for a white blood cell of 9.5 , ANC 7.7 , hematocrit 26 , platelets of 248 , BUN and creatinine 12. and 1.2 respectively , magnesium 1.1 , calcium 8.7 .' +p49819 +(lp49820 +S'Notable\tNotable\tJJ\tB-ADJP\tO' +p49821 +aS'for\tfor\tIN\tB-PP\tO' +p49822 +aS'a\ta\tDT\tB-NP\tO' +p49823 +aS'white\twhite\tJJ\tI-NP\tB-cell_type' +p49824 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p49825 +aS'cell\tcell\tNN\tI-NP\tI-cell_type' +p49826 +aS'of\tof\tIN\tB-PP\tO' +p49827 +aS'9.5\t9.5\tCD\tB-NP\tO' +p49828 +aS',\t,\t,\tO\tO' +p49829 +aS'ANC\tANC\tNNP\tB-NP\tO' +p49830 +aS'7.7\t7.7\tCD\tI-NP\tO' +p49831 +aS',\t,\t,\tO\tO' +p49832 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p49833 +aS'26\t26\tCD\tI-NP\tI-protein' +p49834 +aS',\t,\t,\tO\tO' +p49835 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p49836 +aS'of\tof\tIN\tB-PP\tO' +p49837 +aS'248\t248\tCD\tB-NP\tO' +p49838 +aS',\t,\t,\tO\tO' +p49839 +aS'BUN\tBUN\tNN\tB-NP\tB-protein' +p49840 +aS'and\tand\tCC\tO\tO' +p49841 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p49842 +aS'12.\t12.\tCD\tB-NP\tO' +p49843 +aS'and\tand\tCC\tI-NP\tO' +p49844 +aS'1.2\t1.2\tCD\tI-NP\tO' +p49845 +aS'respectively\trespectively\tRB\tB-ADVP\tO' +p49846 +aS',\t,\t,\tO\tO' +p49847 +aS'magnesium\tmagnesium\tNN\tB-NP\tO' +p49848 +aS'1.1\t1.1\tCD\tI-NP\tO' +p49849 +aS',\t,\t,\tO\tO' +p49850 +aS'calcium\tcalcium\tNN\tB-NP\tO' +p49851 +aS'8.7\t8.7\tCD\tI-NP\tO' +p49852 +aS'.\t.\t.\tO\tO' +p49853 +asS'Hepatitis 35 years ago .' +p49854 +(lp49855 +S'Hepatitis\tHepatitis\tNN\tB-NP\tO' +p49856 +aS'35\t35\tCD\tB-NP\tO' +p49857 +aS'years\tyear\tNNS\tI-NP\tO' +p49858 +aS'ago\tago\tRB\tB-ADVP\tO' +p49859 +aS'.\t.\t.\tO\tO' +p49860 +asS'Extremities had bilateral pedal edema .' +p49861 +(lp49862 +S'Extremities\tExtremity\tNNS\tB-NP\tO' +p49863 +aS'had\thave\tVBD\tB-VP\tO' +p49864 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p49865 +aS'pedal\tpedal\tJJ\tI-NP\tO' +p49866 +aS'edema\tedema\tNN\tI-NP\tO' +p49867 +aS'.\t.\t.\tO\tO' +p49868 +asS'Blood cultures done on 11/17/03 grew C. perfringens .' +p49869 +(lp49870 +S'Blood\tBlood\tNN\tB-NP\tO' +p49871 +aS'cultures\tculture\tNNS\tI-NP\tO' +p49872 +aS'done\tdo\tVBN\tB-VP\tO' +p49873 +aS'on\ton\tIN\tB-PP\tO' +p49874 +aS'11/17/03\t11/17/03\tCD\tB-NP\tO' +p49875 +aS'grew\tgrow\tVBD\tB-VP\tO' +p49876 +aS'C.\tC.\tNNP\tB-NP\tO' +p49877 +aS'perfringens\tperfringen\tNNS\tI-NP\tO' +p49878 +aS'.\t.\t.\tO\tO' +p49879 +asS'Dictated By : Michael O. Tucker , M.D.' +p49880 +(lp49881 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p49882 +aS'By\tBy\tIN\tB-PP\tO' +p49883 +aS':\t:\t:\tO\tO' +p49884 +aS'Michael\tMichael\tNNP\tB-NP\tO' +p49885 +aS'O.\tO.\tNNP\tI-NP\tO' +p49886 +aS'Tucker\tTucker\tNNP\tI-NP\tO' +p49887 +aS',\t,\t,\tO\tO' +p49888 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p49889 +asS'Ocuvite Tablet Sig : One ( 1 ) Tablet PO once a day .' +p49890 +(lp49891 +S'Ocuvite\tOcuvite\tNNP\tB-NP\tO' +p49892 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p49893 +aS'Sig\tSig\tNNP\tI-NP\tO' +p49894 +aS':\t:\t:\tO\tO' +p49895 +aS'One\tOne\tCD\tB-NP\tO' +p49896 +aS'(\t(\t(\tO\tO' +p49897 +aS'1\t1\tCD\tB-NP\tO' +p49898 +aS')\t)\t)\tO\tO' +p49899 +aS'Tablet\tTablet\tNN\tB-NP\tB-protein' +p49900 +aS'PO\tPO\tNN\tI-NP\tI-protein' +p49901 +aS'once\tonce\tRB\tO\tO' +p49902 +aS'a\ta\tDT\tB-NP\tO' +p49903 +aS'day\tday\tNN\tI-NP\tO' +p49904 +aS'.\t.\t.\tO\tO' +p49905 +asS'Pt did well in the ICU , w/ his respiratory status steadily improving and was extubated on' +p49906 +(lp49907 +S'Pt\tPt\tNN\tB-NP\tO' +p49908 +aS'did\tdo\tVBD\tB-VP\tO' +p49909 +aS'well\twell\tRB\tB-ADVP\tO' +p49910 +aS'in\tin\tIN\tB-PP\tO' +p49911 +aS'the\tthe\tDT\tB-NP\tO' +p49912 +aS'ICU\tICU\tNN\tI-NP\tB-DNA' +p49913 +aS',\t,\t,\tO\tO' +p49914 +aS'w/\tw/\tVB\tB-VP\tO' +p49915 +aS'his\this\tPRP$\tB-NP\tO' +p49916 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p49917 +aS'status\tstatus\tNN\tI-NP\tO' +p49918 +aS'steadily\tsteadily\tRB\tB-VP\tO' +p49919 +aS'improving\timprove\tVBG\tI-VP\tO' +p49920 +aS'and\tand\tCC\tO\tO' +p49921 +aS'was\tbe\tVBD\tB-VP\tO' +p49922 +aS'extubated\textubate\tVBN\tI-VP\tO' +p49923 +aS'on\ton\tIN\tB-PP\tO' +p49924 +asS'His staples should be removed 10 to 14 days from the date of surgery .' +p49925 +(lp49926 +S'His\tHis\tPRP$\tB-NP\tO' +p49927 +aS'staples\tstaple\tNNS\tI-NP\tO' +p49928 +aS'should\tshould\tMD\tB-VP\tO' +p49929 +aS'be\tbe\tVB\tI-VP\tO' +p49930 +aS'removed\tremove\tVBN\tI-VP\tO' +p49931 +aS'10\t10\tCD\tB-NP\tO' +p49932 +aS'to\tto\tTO\tI-NP\tO' +p49933 +aS'14\t14\tCD\tI-NP\tO' +p49934 +aS'days\tday\tNNS\tI-NP\tO' +p49935 +aS'from\tfrom\tIN\tB-PP\tO' +p49936 +aS'the\tthe\tDT\tB-NP\tO' +p49937 +aS'date\tdate\tNN\tI-NP\tO' +p49938 +aS'of\tof\tIN\tB-PP\tO' +p49939 +aS'surgery\tsurgery\tNN\tB-NP\tO' +p49940 +aS'.\t.\t.\tO\tO' +p49941 +asS'She was gently diuresed towards her pre-op weight .' +p49942 +(lp49943 +S'She\tShe\tPRP\tB-NP\tO' +p49944 +aS'was\tbe\tVBD\tB-VP\tO' +p49945 +aS'gently\tgently\tRB\tI-VP\tO' +p49946 +aS'diuresed\tdiurese\tVBN\tI-VP\tO' +p49947 +aS'towards\ttowards\tIN\tB-PP\tO' +p49948 +aS'her\ther\tPRP$\tB-NP\tO' +p49949 +aS'pre-op\tpre-op\tJJ\tI-NP\tO' +p49950 +aS'weight\tweight\tNN\tI-NP\tO' +p49951 +aS'.\t.\t.\tO\tO' +p49952 +asS'After being treated with lidocaine , the patient became apneic requiring intubation and transfer to the Coronary Care Unit .' +p49953 +(lp49954 +S'After\tAfter\tIN\tB-PP\tO' +p49955 +aS'being\tbe\tVBG\tB-VP\tO' +p49956 +aS'treated\ttreat\tVBN\tI-VP\tO' +p49957 +aS'with\twith\tIN\tB-PP\tO' +p49958 +aS'lidocaine\tlidocaine\tNN\tB-NP\tO' +p49959 +aS',\t,\t,\tO\tO' +p49960 +aS'the\tthe\tDT\tB-NP\tO' +p49961 +aS'patient\tpatient\tNN\tI-NP\tO' +p49962 +aS'became\tbecome\tVBD\tB-VP\tO' +p49963 +aS'apneic\tapneic\tJJ\tB-NP\tO' +p49964 +aS'requiring\trequire\tVBG\tI-NP\tO' +p49965 +aS'intubation\tintubation\tNN\tI-NP\tO' +p49966 +aS'and\tand\tCC\tI-NP\tO' +p49967 +aS'transfer\ttransfer\tNN\tI-NP\tO' +p49968 +aS'to\tto\tTO\tB-PP\tO' +p49969 +aS'the\tthe\tDT\tB-NP\tO' +p49970 +aS'Coronary\tCoronary\tNNP\tI-NP\tO' +p49971 +aS'Care\tCare\tNNP\tI-NP\tO' +p49972 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p49973 +aS'.\t.\t.\tO\tO' +p49974 +asS'Patient transferred from Women and Infants Hospital to RI Hospital 2016-04-25 with weaknes , vag bleeding x several days , fever 102.5 , hypotension , hypoxic 84% on 4L NC , tachypnic to 30 , with labs significant for lactate 6.3 , wbc <1.0 , plt 9 , hgb 8.9 , and INR greater than lab threshold .' +p49975 +(lp49976 +S'Patient\tPatient\tNN\tB-NP\tO' +p49977 +aS'transferred\ttransfer\tVBN\tB-VP\tO' +p49978 +aS'from\tfrom\tIN\tB-PP\tO' +p49979 +aS'Women\tWoman\tNNS\tB-NP\tO' +p49980 +aS'and\tand\tCC\tI-NP\tO' +p49981 +aS'Infants\tInfant\tNNS\tI-NP\tO' +p49982 +aS'Hospital\tHospital\tNN\tI-NP\tO' +p49983 +aS'to\tto\tTO\tB-PP\tO' +p49984 +aS'RI\tRI\tNNP\tB-NP\tO' +p49985 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p49986 +aS'2016-04-25\t2016-04-25\tCD\tI-NP\tO' +p49987 +aS'with\twith\tIN\tB-PP\tO' +p49988 +aS'weaknes\tweakne\tNNS\tB-NP\tO' +p49989 +aS',\t,\t,\tO\tO' +p49990 +aS'vag\tvag\tNN\tB-NP\tO' +p49991 +aS'bleeding\tbleed\tVBG\tB-VP\tO' +p49992 +aS'x\tx\tNN\tB-NP\tO' +p49993 +aS'several\tseveral\tJJ\tI-NP\tO' +p49994 +aS'days\tday\tNNS\tI-NP\tO' +p49995 +aS',\t,\t,\tO\tO' +p49996 +aS'fever\tfever\tNN\tB-NP\tO' +p49997 +aS'102.5\t102.5\tCD\tI-NP\tO' +p49998 +aS',\t,\t,\tO\tO' +p49999 +aS'hypotension\thypotension\tNN\tB-NP\tO' +p50000 +aS',\t,\t,\tO\tO' +p50001 +aS'hypoxic\thypoxic\tJJ\tB-NP\tO' +p50002 +aS'84%\t84%\tNN\tI-NP\tO' +p50003 +aS'on\ton\tIN\tB-PP\tO' +p50004 +aS'4L\t4L\tNN\tB-NP\tO' +p50005 +aS'NC\tNC\tNN\tI-NP\tO' +p50006 +aS',\t,\t,\tO\tO' +p50007 +aS'tachypnic\ttachypnic\tJJ\tB-ADJP\tO' +p50008 +aS'to\tto\tTO\tB-PP\tO' +p50009 +aS'30\t30\tCD\tB-NP\tO' +p50010 +aS',\t,\t,\tO\tO' +p50011 +aS'with\twith\tIN\tB-PP\tO' +p50012 +aS'labs\tlab\tNNS\tB-NP\tO' +p50013 +aS'significant\tsignificant\tJJ\tB-ADJP\tO' +p50014 +aS'for\tfor\tIN\tB-PP\tO' +p50015 +aS'lactate\tlactate\tNN\tB-NP\tO' +p50016 +aS'6.3\t6.3\tCD\tI-NP\tO' +p50017 +aS',\t,\t,\tO\tO' +p50018 +aS'wbc\twbc\tNN\tB-NP\tB-protein' +p50019 +aS'<1.0\t<1.0\tCD\tI-NP\tI-protein' +p50020 +aS',\t,\t,\tO\tO' +p50021 +aS'plt\tplt\tNN\tB-NP\tB-protein' +p50022 +aS'9\t9\tCD\tI-NP\tI-protein' +p50023 +aS',\t,\t,\tO\tO' +p50024 +aS'hgb\thgb\tNN\tB-NP\tB-protein' +p50025 +aS'8.9\t8.9\tCD\tI-NP\tI-protein' +p50026 +aS',\t,\t,\tO\tO' +p50027 +aS'and\tand\tCC\tO\tO' +p50028 +aS'INR\tINR\tNN\tB-NP\tB-protein' +p50029 +aS'greater\tgreat\tJJR\tB-ADJP\tO' +p50030 +aS'than\tthan\tIN\tB-PP\tO' +p50031 +aS'lab\tlab\tNN\tB-NP\tO' +p50032 +aS'threshold\tthreshold\tNN\tI-NP\tO' +p50033 +aS'.\t.\t.\tO\tO' +p50034 +asS'2. He is to follow-up with his primary care physician in one to two weeks .' +p50035 +(lp50036 +S'2.\t2.\tLS\tB-LST\tO' +p50037 +aS'He\tHe\tPRP\tB-NP\tO' +p50038 +aS'is\tbe\tVBZ\tB-VP\tO' +p50039 +aS'to\tto\tTO\tB-VP\tO' +p50040 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p50041 +aS'with\twith\tIN\tB-PP\tO' +p50042 +aS'his\this\tPRP$\tB-NP\tO' +p50043 +aS'primary\tprimary\tJJ\tI-NP\tO' +p50044 +aS'care\tcare\tNN\tI-NP\tO' +p50045 +aS'physician\tphysician\tNN\tI-NP\tO' +p50046 +aS'in\tin\tIN\tB-PP\tO' +p50047 +aS'one\tone\tCD\tB-NP\tO' +p50048 +aS'to\tto\tTO\tI-NP\tO' +p50049 +aS'two\ttwo\tCD\tI-NP\tO' +p50050 +aS'weeks\tweek\tNNS\tI-NP\tO' +p50051 +aS'.\t.\t.\tO\tO' +p50052 +asS'Follow up with Dr. Koteskismanhout in July .' +p50053 +(lp50054 +S'Follow\tFollow\tVB\tB-VP\tO' +p50055 +aS'up\tup\tRP\tB-PRT\tO' +p50056 +aS'with\twith\tIN\tB-PP\tO' +p50057 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p50058 +aS'Koteskismanhout\tKoteskismanhout\tNNP\tI-NP\tO' +p50059 +aS'in\tin\tIN\tB-PP\tO' +p50060 +aS'July\tJuly\tNNP\tB-NP\tO' +p50061 +aS'.\t.\t.\tO\tO' +p50062 +asS'HEENT examination revealed his pupils were equal , round , and reactive to light .' +p50063 +(lp50064 +S'HEENT\tHEENT\tNN\tB-NP\tO' +p50065 +aS'examination\texamination\tNN\tI-NP\tO' +p50066 +aS'revealed\treveal\tVBD\tB-VP\tO' +p50067 +aS'his\this\tPRP$\tB-NP\tO' +p50068 +aS'pupils\tpupil\tNNS\tI-NP\tO' +p50069 +aS'were\tbe\tVBD\tB-VP\tO' +p50070 +aS'equal\tequal\tJJ\tB-ADJP\tO' +p50071 +aS',\t,\t,\tO\tO' +p50072 +aS'round\tround\tJJ\tB-ADJP\tO' +p50073 +aS',\t,\t,\tO\tO' +p50074 +aS'and\tand\tCC\tO\tO' +p50075 +aS'reactive\treactive\tJJ\tB-ADJP\tO' +p50076 +aS'to\tto\tTO\tB-PP\tO' +p50077 +aS'light\tlight\tNN\tB-NP\tO' +p50078 +aS'.\t.\t.\tO\tO' +p50079 +asS'The steroids were tapered .' +p50080 +(lp50081 +S'The\tThe\tDT\tB-NP\tO' +p50082 +aS'steroids\tsteroid\tNNS\tI-NP\tO' +p50083 +aS'were\tbe\tVBD\tB-VP\tO' +p50084 +aS'tapered\ttaper\tVBN\tI-VP\tO' +p50085 +aS'.\t.\t.\tO\tO' +p50086 +asS'She drinks alcohol socially .' +p50087 +(lp50088 +S'She\tShe\tPRP\tB-NP\tO' +p50089 +aS'drinks\tdrink\tVBZ\tB-VP\tO' +p50090 +aS'alcohol\talcohol\tNN\tB-NP\tO' +p50091 +aS'socially\tsocially\tRB\tB-ADVP\tO' +p50092 +aS'.\t.\t.\tO\tO' +p50093 +asS'15. Peripheral vascular disease with history of bilateral lower extremity claudication .' +p50094 +(lp50095 +S'15.\t15.\tLS\tB-NP\tO' +p50096 +aS'Peripheral\tPeripheral\tJJ\tI-NP\tO' +p50097 +aS'vascular\tvascular\tJJ\tI-NP\tO' +p50098 +aS'disease\tdisease\tNN\tI-NP\tO' +p50099 +aS'with\twith\tIN\tB-PP\tO' +p50100 +aS'history\thistory\tNN\tB-NP\tO' +p50101 +aS'of\tof\tIN\tB-PP\tO' +p50102 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p50103 +aS'lower\tlow\tJJR\tI-NP\tO' +p50104 +aS'extremity\textremity\tNN\tI-NP\tO' +p50105 +aS'claudication\tclaudication\tNN\tI-NP\tO' +p50106 +aS'.\t.\t.\tO\tO' +p50107 +asS'Hypertension , CVA 2001 , 2002 diabetes , laryngeal cancer , right CEA , prostatectomy for BPH , total knee replacement , status post appendectomy .' +p50108 +(lp50109 +S'Hypertension\tHypertension\tNN\tB-NP\tO' +p50110 +aS',\t,\t,\tO\tO' +p50111 +aS'CVA\tCVA\tNN\tB-NP\tO' +p50112 +aS'2001\t2001\tCD\tI-NP\tO' +p50113 +aS',\t,\t,\tO\tO' +p50114 +aS'2002\t2002\tCD\tB-NP\tO' +p50115 +aS'diabetes\tdiabete\tNNS\tI-NP\tO' +p50116 +aS',\t,\t,\tO\tO' +p50117 +aS'laryngeal\tlaryngeal\tJJ\tB-NP\tO' +p50118 +aS'cancer\tcancer\tNN\tI-NP\tO' +p50119 +aS',\t,\t,\tO\tO' +p50120 +aS'right\tright\tJJ\tB-NP\tO' +p50121 +aS'CEA\tCEA\tNN\tI-NP\tO' +p50122 +aS',\t,\t,\tO\tO' +p50123 +aS'prostatectomy\tprostatectomy\tNN\tB-NP\tO' +p50124 +aS'for\tfor\tIN\tB-PP\tO' +p50125 +aS'BPH\tBPH\tNN\tB-NP\tO' +p50126 +aS',\t,\t,\tO\tO' +p50127 +aS'total\ttotal\tJJ\tB-NP\tO' +p50128 +aS'knee\tknee\tNN\tI-NP\tO' +p50129 +aS'replacement\treplacement\tNN\tI-NP\tO' +p50130 +aS',\t,\t,\tO\tO' +p50131 +aS'status\tstatus\tNN\tB-NP\tO' +p50132 +aS'post\tpost\tNN\tI-NP\tO' +p50133 +aS'appendectomy\tappendectomy\tNN\tI-NP\tO' +p50134 +aS'.\t.\t.\tO\tO' +p50135 +asS'2. Rule out sepsis with antibiotics .' +p50136 +(lp50137 +S'2.\t2.\tLS\tB-LST\tO' +p50138 +aS'Rule\tRule\tNNP\tB-NP\tO' +p50139 +aS'out\tout\tIN\tB-PP\tO' +p50140 +aS'sepsis\tsepsis\tNN\tB-NP\tO' +p50141 +aS'with\twith\tIN\tB-PP\tO' +p50142 +aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' +p50143 +aS'.\t.\t.\tO\tO' +p50144 +asS'His office will contact her to make that appointment .' +p50145 +(lp50146 +S'His\tHis\tPRP$\tB-NP\tO' +p50147 +aS'office\toffice\tNN\tI-NP\tO' +p50148 +aS'will\twill\tMD\tB-VP\tO' +p50149 +aS'contact\tcontact\tVB\tI-VP\tO' +p50150 +aS'her\ther\tPRP\tB-NP\tO' +p50151 +aS'to\tto\tTO\tB-VP\tO' +p50152 +aS'make\tmake\tVB\tI-VP\tO' +p50153 +aS'that\tthat\tDT\tB-NP\tO' +p50154 +aS'appointment\tappointment\tNN\tI-NP\tO' +p50155 +aS'.\t.\t.\tO\tO' +p50156 +asS'The patient was maintained on triple antibiotics which included Vancomycin , ceftazidime and Gentamicin .' +p50157 +(lp50158 +S'The\tThe\tDT\tB-NP\tO' +p50159 +aS'patient\tpatient\tNN\tI-NP\tO' +p50160 +aS'was\tbe\tVBD\tB-VP\tO' +p50161 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p50162 +aS'on\ton\tIN\tB-PP\tO' +p50163 +aS'triple\ttriple\tJJ\tB-NP\tO' +p50164 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p50165 +aS'which\twhich\tWDT\tB-NP\tO' +p50166 +aS'included\tinclude\tVBD\tB-VP\tO' +p50167 +aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' +p50168 +aS',\t,\t,\tI-NP\tO' +p50169 +aS'ceftazidime\tceftazidime\tNN\tI-NP\tO' +p50170 +aS'and\tand\tCC\tI-NP\tO' +p50171 +aS'Gentamicin\tGentamicin\tNN\tI-NP\tO' +p50172 +aS'.\t.\t.\tO\tO' +p50173 +asS'9. Docusate Sodium 100 mg Capsule Sig : One ( 1 ) Capsule PO BID ( 2 times a day ).' +p50174 +(lp50175 +S'9.\t9.\tLS\tB-NP\tO' +p50176 +aS'Docusate\tDocusate\tNNP\tI-NP\tO' +p50177 +aS'Sodium\tSodium\tNNP\tI-NP\tO' +p50178 +aS'100\t100\tCD\tI-NP\tO' +p50179 +aS'mg\tmg\tNN\tI-NP\tO' +p50180 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p50181 +aS'Sig\tSig\tNNP\tI-NP\tO' +p50182 +aS':\t:\t:\tO\tO' +p50183 +aS'One\tOne\tCD\tB-NP\tO' +p50184 +aS'(\t(\t(\tO\tO' +p50185 +aS'1\t1\tCD\tB-NP\tO' +p50186 +aS')\t)\t)\tO\tO' +p50187 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p50188 +aS'PO\tPO\tNNP\tI-NP\tO' +p50189 +aS'BID\tBID\tNNP\tI-NP\tO' +p50190 +aS'(\t(\t(\tO\tO' +p50191 +aS'2\t2\tCD\tB-NP\tO' +p50192 +aS'times\ttime\tNNS\tI-NP\tO' +p50193 +aS'a\ta\tDT\tB-NP\tO' +p50194 +aS'day\tday\tNN\tI-NP\tO' +p50195 +aS').\t).\t.\tO\tO' +p50196 +asS'Ophthalmology was consulted due to the presence of a coloboma into the left CMED .' +p50197 +(lp50198 +S'Ophthalmology\tOphthalmology\tNN\tB-NP\tO' +p50199 +aS'was\tbe\tVBD\tB-VP\tO' +p50200 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p50201 +aS'due\tdue\tJJ\tB-ADJP\tO' +p50202 +aS'to\tto\tTO\tB-PP\tO' +p50203 +aS'the\tthe\tDT\tB-NP\tO' +p50204 +aS'presence\tpresence\tNN\tI-NP\tO' +p50205 +aS'of\tof\tIN\tB-PP\tO' +p50206 +aS'a\ta\tDT\tB-NP\tO' +p50207 +aS'coloboma\tcoloboma\tNN\tI-NP\tO' +p50208 +aS'into\tinto\tIN\tB-PP\tO' +p50209 +aS'the\tthe\tDT\tB-NP\tO' +p50210 +aS'left\tleft\tJJ\tI-NP\tO' +p50211 +aS'CMED\tCMED\tNN\tI-NP\tO' +p50212 +aS'.\t.\t.\tO\tO' +p50213 +asS'Discharge Diagnosis : mitral valve endocarditis s/p MV replacement' +p50214 +(lp50215 +S'Discharge\tDischarge\tNN\tB-NP\tO' +p50216 +aS'Diagnosis\tDiagnosis\tNN\tI-NP\tO' +p50217 +aS':\t:\t:\tO\tO' +p50218 +aS'mitral\tmitral\tJJ\tB-NP\tO' +p50219 +aS'valve\tvalve\tNN\tI-NP\tO' +p50220 +aS'endocarditis\tendocarditis\tNN\tI-NP\tO' +p50221 +aS's/p\ts/p\tNN\tI-NP\tO' +p50222 +aS'MV\tMV\tNN\tI-NP\tO' +p50223 +aS'replacement\treplacement\tNN\tI-NP\tO' +p50224 +asS'2. Cadaveric renal transplant .' +p50225 +(lp50226 +S'2.\t2.\tLS\tB-NP\tO' +p50227 +aS'Cadaveric\tCadaveric\tJJ\tI-NP\tO' +p50228 +aS'renal\trenal\tJJ\tI-NP\tO' +p50229 +aS'transplant\ttransplant\tNN\tI-NP\tO' +p50230 +aS'.\t.\t.\tO\tO' +p50231 +asS'Social alcohol .' +p50232 +(lp50233 +S'Social\tSocial\tJJ\tB-NP\tO' +p50234 +aS'alcohol\talcohol\tNN\tI-NP\tO' +p50235 +aS'.\t.\t.\tO\tO' +p50236 +asS'There were no rales or wheezes .' +p50237 +(lp50238 +S'There\tThere\tEX\tB-NP\tO' +p50239 +aS'were\tbe\tVBD\tB-VP\tO' +p50240 +aS'no\tno\tDT\tB-NP\tO' +p50241 +aS'rales\trale\tNNS\tI-NP\tO' +p50242 +aS'or\tor\tCC\tI-NP\tO' +p50243 +aS'wheezes\twheeze\tNNS\tI-NP\tO' +p50244 +aS'.\t.\t.\tO\tO' +p50245 +asS'Repeat CXR was unchanged from previously in the ICU ( official read noted mild CHF , but pt was continuing to autodiurese and has remained net negative everyday while on the floor .' +p50246 +(lp50247 +S'Repeat\tRepeat\tNN\tB-NP\tB-protein' +p50248 +aS'CXR\tCXR\tNN\tI-NP\tI-protein' +p50249 +aS'was\tbe\tVBD\tB-VP\tO' +p50250 +aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' +p50251 +aS'from\tfrom\tIN\tB-PP\tO' +p50252 +aS'previously\tpreviously\tRB\tB-NP\tO' +p50253 +aS'in\tin\tIN\tB-PP\tO' +p50254 +aS'the\tthe\tDT\tB-NP\tO' +p50255 +aS'ICU\tICU\tNN\tI-NP\tB-DNA' +p50256 +aS'(\t(\t(\tO\tO' +p50257 +aS'official\tofficial\tJJ\tB-NP\tO' +p50258 +aS'read\tread\tNN\tI-NP\tO' +p50259 +aS'noted\tnote\tVBD\tB-VP\tO' +p50260 +aS'mild\tmild\tJJ\tB-NP\tO' +p50261 +aS'CHF\tCHF\tNN\tI-NP\tO' +p50262 +aS',\t,\t,\tO\tO' +p50263 +aS'but\tbut\tCC\tO\tO' +p50264 +aS'pt\tpt\tNN\tB-NP\tO' +p50265 +aS'was\tbe\tVBD\tB-VP\tO' +p50266 +aS'continuing\tcontinue\tVBG\tI-VP\tO' +p50267 +aS'to\tto\tTO\tI-VP\tO' +p50268 +aS'autodiurese\tautodiurese\tVB\tI-VP\tO' +p50269 +aS'and\tand\tCC\tO\tO' +p50270 +aS'has\thave\tVBZ\tB-VP\tO' +p50271 +aS'remained\tremain\tVBN\tI-VP\tO' +p50272 +aS'net\tnet\tJJ\tB-NP\tO' +p50273 +aS'negative\tnegative\tJJ\tI-NP\tO' +p50274 +aS'everyday\teveryday\tNN\tI-NP\tO' +p50275 +aS'while\twhile\tIN\tB-SBAR\tO' +p50276 +aS'on\ton\tIN\tB-PP\tO' +p50277 +aS'the\tthe\tDT\tB-NP\tO' +p50278 +aS'floor\tfloor\tNN\tI-NP\tO' +p50279 +aS'.\t.\t.\tO\tO' +p50280 +asS'No lymphadenopathy was palpated .' +p50281 +(lp50282 +S'No\tNo\tDT\tB-NP\tO' +p50283 +aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' +p50284 +aS'was\tbe\tVBD\tB-VP\tO' +p50285 +aS'palpated\tpalpate\tVBN\tI-VP\tO' +p50286 +aS'.\t.\t.\tO\tO' +p50287 +asS'The patient is from 45 Sidewonly Blvd , Fresa Loharanleah , Maryland .' +p50288 +(lp50289 +S'The\tThe\tDT\tB-NP\tO' +p50290 +aS'patient\tpatient\tNN\tI-NP\tO' +p50291 +aS'is\tbe\tVBZ\tB-VP\tO' +p50292 +aS'from\tfrom\tIN\tB-PP\tO' +p50293 +aS'45\t45\tCD\tB-NP\tO' +p50294 +aS'Sidewonly\tSidewonly\tNNP\tI-NP\tO' +p50295 +aS'Blvd\tBlvd\tNNP\tI-NP\tO' +p50296 +aS',\t,\t,\tO\tO' +p50297 +aS'Fresa\tFresa\tNNP\tB-NP\tO' +p50298 +aS'Loharanleah\tLoharanleah\tNNP\tI-NP\tO' +p50299 +aS',\t,\t,\tO\tO' +p50300 +aS'Maryland\tMaryland\tNNP\tB-NP\tO' +p50301 +aS'.\t.\t.\tO\tO' +p50302 +asS'6.) Sinus node dysfunction s/p pacemaker' +p50303 +(lp50304 +S'6.)\t6.)\tLS\tB-NP\tO' +p50305 +aS'Sinus\tSinus\tNN\tI-NP\tO' +p50306 +aS'node\tnode\tNN\tI-NP\tO' +p50307 +aS'dysfunction\tdysfunction\tNN\tI-NP\tO' +p50308 +aS's/p\ts/p\tNN\tI-NP\tO' +p50309 +aS'pacemaker\tpacemaker\tNN\tI-NP\tO' +p50310 +asS'2. The patient will have follow-up with Dr. Para in three weeks .' +p50311 +(lp50312 +S'2.\t2.\tLS\tB-LST\tO' +p50313 +aS'The\tThe\tDT\tB-NP\tO' +p50314 +aS'patient\tpatient\tNN\tI-NP\tO' +p50315 +aS'will\twill\tMD\tB-VP\tO' +p50316 +aS'have\thave\tVB\tI-VP\tO' +p50317 +aS'follow-up\tfollow-up\tNN\tB-NP\tO' +p50318 +aS'with\twith\tIN\tB-PP\tO' +p50319 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p50320 +aS'Para\tPara\tNNP\tI-NP\tO' +p50321 +aS'in\tin\tIN\tB-PP\tO' +p50322 +aS'three\tthree\tCD\tB-NP\tO' +p50323 +aS'weeks\tweek\tNNS\tI-NP\tO' +p50324 +aS'.\t.\t.\tO\tO' +p50325 +asS'Over his postoperative course , Mr. Douglass has gradually been able to utilize more and more of his right side and with the assistance of physical therapy and occupational therapy , he has 4 to 5 + strength in his right hand and arm and about 4 + strength in his right leg .' +p50326 +(lp50327 +S'Over\tOver\tIN\tB-PP\tO' +p50328 +aS'his\this\tPRP$\tB-NP\tO' +p50329 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p50330 +aS'course\tcourse\tNN\tI-NP\tO' +p50331 +aS',\t,\t,\tO\tO' +p50332 +aS'Mr.\tMr.\tNNP\tB-NP\tO' +p50333 +aS'Douglass\tDouglass\tNNP\tI-NP\tO' +p50334 +aS'has\thave\tVBZ\tB-VP\tO' +p50335 +aS'gradually\tgradually\tRB\tI-VP\tO' +p50336 +aS'been\tbe\tVBN\tI-VP\tO' +p50337 +aS'able\table\tJJ\tB-ADJP\tO' +p50338 +aS'to\tto\tTO\tB-VP\tO' +p50339 +aS'utilize\tutilize\tVB\tI-VP\tO' +p50340 +aS'more\tmore\tJJR\tB-NP\tO' +p50341 +aS'and\tand\tCC\tI-NP\tO' +p50342 +aS'more\tmore\tJJR\tI-NP\tO' +p50343 +aS'of\tof\tIN\tB-PP\tO' +p50344 +aS'his\this\tPRP$\tB-NP\tO' +p50345 +aS'right\tright\tJJ\tI-NP\tO' +p50346 +aS'side\tside\tNN\tI-NP\tO' +p50347 +aS'and\tand\tCC\tB-PP\tO' +p50348 +aS'with\twith\tIN\tB-PP\tO' +p50349 +aS'the\tthe\tDT\tB-NP\tO' +p50350 +aS'assistance\tassistance\tNN\tI-NP\tO' +p50351 +aS'of\tof\tIN\tB-PP\tO' +p50352 +aS'physical\tphysical\tJJ\tB-NP\tO' +p50353 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p50354 +aS'and\tand\tCC\tO\tO' +p50355 +aS'occupational\toccupational\tJJ\tB-NP\tO' +p50356 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p50357 +aS',\t,\t,\tO\tO' +p50358 +aS'he\the\tPRP\tB-NP\tO' +p50359 +aS'has\thave\tVBZ\tB-VP\tO' +p50360 +aS'4\t4\tCD\tB-NP\tO' +p50361 +aS'to\tto\tTO\tI-NP\tO' +p50362 +aS'5\t5\tCD\tI-NP\tO' +p50363 +aS'+\t+\tSYM\tI-NP\tO' +p50364 +aS'strength\tstrength\tNN\tI-NP\tO' +p50365 +aS'in\tin\tIN\tB-PP\tO' +p50366 +aS'his\this\tPRP$\tB-NP\tO' +p50367 +aS'right\tright\tJJ\tI-NP\tO' +p50368 +aS'hand\thand\tNN\tI-NP\tO' +p50369 +aS'and\tand\tCC\tI-NP\tO' +p50370 +aS'arm\tarm\tNN\tI-NP\tO' +p50371 +aS'and\tand\tCC\tO\tO' +p50372 +aS'about\tabout\tRB\tB-NP\tO' +p50373 +aS'4\t4\tCD\tI-NP\tO' +p50374 +aS'+\t+\tSYM\tI-NP\tO' +p50375 +aS'strength\tstrength\tNN\tI-NP\tO' +p50376 +aS'in\tin\tIN\tB-PP\tO' +p50377 +aS'his\this\tPRP$\tB-NP\tO' +p50378 +aS'right\tright\tJJ\tI-NP\tO' +p50379 +aS'leg\tleg\tNN\tI-NP\tO' +p50380 +aS'.\t.\t.\tO\tO' +p50381 +asS'3. She will remove the neck suture lines Steri-Strips in 10 days .' +p50382 +(lp50383 +S'3.\t3.\tLS\tB-LST\tO' +p50384 +aS'She\tShe\tPRP\tB-NP\tO' +p50385 +aS'will\twill\tMD\tB-VP\tO' +p50386 +aS'remove\tremove\tVB\tI-VP\tO' +p50387 +aS'the\tthe\tDT\tB-NP\tO' +p50388 +aS'neck\tneck\tNN\tI-NP\tO' +p50389 +aS'suture\tsuture\tJJ\tI-NP\tO' +p50390 +aS'lines\tline\tNNS\tI-NP\tO' +p50391 +aS'Steri-Strips\tSteri-Strip\tNNS\tI-NP\tO' +p50392 +aS'in\tin\tIN\tB-PP\tO' +p50393 +aS'10\t10\tCD\tB-NP\tO' +p50394 +aS'days\tday\tNNS\tI-NP\tO' +p50395 +aS'.\t.\t.\tO\tO' +p50396 +asS'Attention deficit disorder ( diagnosed @ 14 yrs of age )' +p50397 +(lp50398 +S'Attention\tAttention\tNN\tB-NP\tO' +p50399 +aS'deficit\tdeficit\tNN\tI-NP\tO' +p50400 +aS'disorder\tdisorder\tNN\tI-NP\tO' +p50401 +aS'(\t(\t(\tO\tO' +p50402 +aS'diagnosed\tdiagnose\tVBN\tB-VP\tO' +p50403 +aS'@\t@\tIN\tB-PP\tO' +p50404 +aS'14\t14\tCD\tB-NP\tO' +p50405 +aS'yrs\tyr\tNNS\tI-NP\tO' +p50406 +aS'of\tof\tIN\tB-PP\tO' +p50407 +aS'age\tage\tNN\tB-NP\tO' +p50408 +aS')\t)\t)\tO\tO' +p50409 +asS'The patient was not intubated .' +p50410 +(lp50411 +S'The\tThe\tDT\tB-NP\tO' +p50412 +aS'patient\tpatient\tNN\tI-NP\tO' +p50413 +aS'was\tbe\tVBD\tB-VP\tO' +p50414 +aS'not\tnot\tRB\tI-VP\tO' +p50415 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p50416 +aS'.\t.\t.\tO\tO' +p50417 +asS'Given right sided hydronephrosis and GNR bactermeia , a percutaneous nephrostomy tube was placed by IR 2014-11-30 .' +p50418 +(lp50419 +S'Given\tGive\tVBN\tB-NP\tO' +p50420 +aS'right\tright\tJJ\tI-NP\tO' +p50421 +aS'sided\tsided\tJJ\tI-NP\tO' +p50422 +aS'hydronephrosis\thydronephrosis\tNN\tI-NP\tO' +p50423 +aS'and\tand\tCC\tI-NP\tO' +p50424 +aS'GNR\tGNR\tNN\tI-NP\tO' +p50425 +aS'bactermeia\tbactermeia\tNN\tI-NP\tO' +p50426 +aS',\t,\t,\tO\tO' +p50427 +aS'a\ta\tDT\tB-NP\tO' +p50428 +aS'percutaneous\tpercutaneous\tJJ\tI-NP\tO' +p50429 +aS'nephrostomy\tnephrostomy\tNN\tI-NP\tO' +p50430 +aS'tube\ttube\tNN\tI-NP\tO' +p50431 +aS'was\tbe\tVBD\tB-VP\tO' +p50432 +aS'placed\tplace\tVBN\tI-VP\tO' +p50433 +aS'by\tby\tIN\tB-PP\tO' +p50434 +aS'IR\tIR\tNN\tB-NP\tO' +p50435 +aS'2014-11-30\t2014-11-30\tCD\tI-NP\tO' +p50436 +aS'.\t.\t.\tO\tO' +p50437 +asS'Helen Cynthia , New York 10969' +p50438 +(lp50439 +S'Helen\tHelen\tNNP\tB-NP\tO' +p50440 +aS'Cynthia\tCynthia\tNNP\tI-NP\tO' +p50441 +aS',\t,\t,\tO\tO' +p50442 +aS'New\tNew\tNNP\tB-NP\tO' +p50443 +aS'York\tYork\tNNP\tI-NP\tO' +p50444 +aS'10969\t10969\t.\tO\tO' +p50445 +asS'She intermittently was able tolerate pos .' +p50446 +(lp50447 +S'She\tShe\tPRP\tB-NP\tO' +p50448 +aS'intermittently\tintermittently\tRB\tB-ADVP\tO' +p50449 +aS'was\tbe\tVBD\tB-VP\tO' +p50450 +aS'able\table\tJJ\tB-NP\tO' +p50451 +aS'tolerate\ttolerate\tJJ\tI-NP\tO' +p50452 +aS'pos\tpo\tNNS\tI-NP\tO' +p50453 +aS'.\t.\t.\tO\tO' +p50454 +asS'Continues to have trace lower extremity edema , and recieves lasix po .' +p50455 +(lp50456 +S'Continues\tContinue\tNNS\tB-NP\tO' +p50457 +aS'to\tto\tTO\tB-VP\tO' +p50458 +aS'have\thave\tVB\tI-VP\tO' +p50459 +aS'trace\ttrace\tNN\tB-NP\tO' +p50460 +aS'lower\tlow\tJJR\tI-NP\tO' +p50461 +aS'extremity\textremity\tNN\tI-NP\tO' +p50462 +aS'edema\tedema\tNN\tI-NP\tO' +p50463 +aS',\t,\t,\tO\tO' +p50464 +aS'and\tand\tCC\tO\tO' +p50465 +aS'recieves\trecieve\tVBZ\tB-VP\tO' +p50466 +aS'lasix\tlasix\tNN\tB-NP\tO' +p50467 +aS'po\tpo\tNN\tI-NP\tO' +p50468 +aS'.\t.\t.\tO\tO' +p50469 +asS'If biopsy results abnormal , will need follow-up intra-esophageal ultrasound by GI service .' +p50470 +(lp50471 +S'If\tIf\tIN\tB-SBAR\tO' +p50472 +aS'biopsy\tbiopsy\tNN\tB-NP\tO' +p50473 +aS'results\tresult\tNNS\tI-NP\tO' +p50474 +aS'abnormal\tabnormal\tJJ\tB-ADJP\tO' +p50475 +aS',\t,\t,\tO\tO' +p50476 +aS'will\twill\tMD\tB-VP\tO' +p50477 +aS'need\tneed\tVB\tI-VP\tO' +p50478 +aS'follow-up\tfollow-up\tJJ\tB-NP\tO' +p50479 +aS'intra-esophageal\tintra-esophageal\tJJ\tI-NP\tO' +p50480 +aS'ultrasound\tultrasound\tNN\tI-NP\tO' +p50481 +aS'by\tby\tIN\tB-PP\tO' +p50482 +aS'GI\tGI\tNN\tB-NP\tO' +p50483 +aS'service\tservice\tNN\tI-NP\tO' +p50484 +aS'.\t.\t.\tO\tO' +p50485 +asS'Avoid getting the incision soaking wet .' +p50486 +(lp50487 +S'Avoid\tAvoid\tNNP\tB-NP\tO' +p50488 +aS'getting\tget\tVBG\tB-VP\tO' +p50489 +aS'the\tthe\tDT\tB-NP\tO' +p50490 +aS'incision\tincision\tNN\tI-NP\tO' +p50491 +aS'soaking\tsoak\tVBG\tB-VP\tO' +p50492 +aS'wet\twet\tJJ\tB-ADJP\tO' +p50493 +aS'.\t.\t.\tO\tO' +p50494 +asS'In general , this is an obese male in mild respiratory distress .' +p50495 +(lp50496 +S'In\tIn\tIN\tB-PP\tO' +p50497 +aS'general\tgeneral\tJJ\tB-ADJP\tO' +p50498 +aS',\t,\t,\tO\tO' +p50499 +aS'this\tthis\tDT\tB-NP\tO' +p50500 +aS'is\tbe\tVBZ\tB-VP\tO' +p50501 +aS'an\tan\tDT\tB-NP\tO' +p50502 +aS'obese\tobese\tJJ\tI-NP\tO' +p50503 +aS'male\tmale\tNN\tI-NP\tO' +p50504 +aS'in\tin\tIN\tB-PP\tO' +p50505 +aS'mild\tmild\tJJ\tB-NP\tO' +p50506 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p50507 +aS'distress\tdistress\tNN\tI-NP\tO' +p50508 +aS'.\t.\t.\tO\tO' +p50509 +asS'4. Ondansetron HCl 2 mg / mL Solution Sig : One ( 1 ) ML Intravenous Q12H ( every 12 hours ) as needed for nausea .' +p50510 +(lp50511 +S'4.\t4.\tLS\tB-NP\tO' +p50512 +aS'Ondansetron\tOndansetron\tNN\tI-NP\tO' +p50513 +aS'HCl\tHCl\tNN\tI-NP\tO' +p50514 +aS'2\t2\tCD\tI-NP\tO' +p50515 +aS'mg\tmg\tNN\tI-NP\tO' +p50516 +aS'/\t/\tSYM\tB-NP\tO' +p50517 +aS'mL\tmL\tNN\tI-NP\tO' +p50518 +aS'Solution\tSolution\tNNP\tI-NP\tO' +p50519 +aS'Sig\tSig\tNNP\tI-NP\tO' +p50520 +aS':\t:\t:\tO\tO' +p50521 +aS'One\tOne\tCD\tB-NP\tO' +p50522 +aS'(\t(\t(\tO\tO' +p50523 +aS'1\t1\tCD\tB-NP\tO' +p50524 +aS')\t)\t)\tO\tO' +p50525 +aS'ML\tML\tNN\tB-NP\tO' +p50526 +aS'Intravenous\tIntravenous\tJJ\tI-NP\tO' +p50527 +aS'Q12H\tQ12H\tNN\tI-NP\tO' +p50528 +aS'(\t(\t(\tO\tO' +p50529 +aS'every\tevery\tDT\tB-NP\tO' +p50530 +aS'12\t12\tCD\tI-NP\tO' +p50531 +aS'hours\thour\tNNS\tI-NP\tO' +p50532 +aS')\t)\t)\tO\tO' +p50533 +aS'as\tas\tIN\tB-SBAR\tO' +p50534 +aS'needed\tneed\tVBN\tB-VP\tO' +p50535 +aS'for\tfor\tIN\tB-PP\tO' +p50536 +aS'nausea\tnausea\tNN\tB-NP\tO' +p50537 +aS'.\t.\t.\tO\tO' +p50538 +asS'She did receive pamidronate on postoperative day one and received a total of four doses thymoglobulin .' +p50539 +(lp50540 +S'She\tShe\tPRP\tB-NP\tO' +p50541 +aS'did\tdo\tVBD\tB-VP\tO' +p50542 +aS'receive\treceive\tVB\tI-VP\tO' +p50543 +aS'pamidronate\tpamidronate\tNN\tB-NP\tO' +p50544 +aS'on\ton\tIN\tB-PP\tO' +p50545 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p50546 +aS'day\tday\tNN\tI-NP\tO' +p50547 +aS'one\tone\tCD\tB-NP\tO' +p50548 +aS'and\tand\tCC\tO\tO' +p50549 +aS'received\treceive\tVBD\tB-VP\tO' +p50550 +aS'a\ta\tDT\tB-NP\tO' +p50551 +aS'total\ttotal\tNN\tI-NP\tO' +p50552 +aS'of\tof\tIN\tB-PP\tO' +p50553 +aS'four\tfour\tCD\tB-NP\tO' +p50554 +aS'doses\tdose\tNNS\tI-NP\tO' +p50555 +aS'thymoglobulin\tthymoglobulin\tNN\tI-NP\tO' +p50556 +aS'.\t.\t.\tO\tO' +p50557 +asS'Over the five to six weeks prior to admission he had a drop off in his mental functioning with more frequent episodes of confusion and disorientation and requiring more assistance with his activities of daily living .' +p50558 +(lp50559 +S'Over\tOver\tIN\tB-PP\tO' +p50560 +aS'the\tthe\tDT\tB-NP\tO' +p50561 +aS'five\tfive\tCD\tI-NP\tO' +p50562 +aS'to\tto\tTO\tI-NP\tO' +p50563 +aS'six\tsix\tCD\tI-NP\tO' +p50564 +aS'weeks\tweek\tNNS\tI-NP\tO' +p50565 +aS'prior\tprior\tRB\tB-ADVP\tO' +p50566 +aS'to\tto\tTO\tB-PP\tO' +p50567 +aS'admission\tadmission\tNN\tB-NP\tO' +p50568 +aS'he\the\tPRP\tB-NP\tO' +p50569 +aS'had\thave\tVBD\tB-VP\tO' +p50570 +aS'a\ta\tDT\tB-NP\tO' +p50571 +aS'drop\tdrop\tNN\tI-NP\tO' +p50572 +aS'off\toff\tRP\tB-PRT\tO' +p50573 +aS'in\tin\tIN\tB-PP\tO' +p50574 +aS'his\this\tPRP$\tB-NP\tO' +p50575 +aS'mental\tmental\tJJ\tI-NP\tO' +p50576 +aS'functioning\tfunction\tVBG\tI-NP\tO' +p50577 +aS'with\twith\tIN\tB-PP\tO' +p50578 +aS'more\tmore\tRBR\tB-NP\tO' +p50579 +aS'frequent\tfrequent\tJJ\tI-NP\tO' +p50580 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p50581 +aS'of\tof\tIN\tB-PP\tO' +p50582 +aS'confusion\tconfusion\tNN\tB-NP\tO' +p50583 +aS'and\tand\tCC\tI-NP\tO' +p50584 +aS'disorientation\tdisorientation\tNN\tI-NP\tO' +p50585 +aS'and\tand\tCC\tO\tO' +p50586 +aS'requiring\trequire\tVBG\tB-VP\tO' +p50587 +aS'more\tmore\tJJR\tB-NP\tO' +p50588 +aS'assistance\tassistance\tNN\tI-NP\tO' +p50589 +aS'with\twith\tIN\tB-PP\tO' +p50590 +aS'his\this\tPRP$\tB-NP\tO' +p50591 +aS'activities\tactivity\tNNS\tI-NP\tO' +p50592 +aS'of\tof\tIN\tB-PP\tO' +p50593 +aS'daily\tdaily\tJJ\tB-NP\tO' +p50594 +aS'living\tliving\tNN\tI-NP\tO' +p50595 +aS'.\t.\t.\tO\tO' +p50596 +asS'Head , eyes , ears , nose and throat - His pupils were equal and three millimeters .' +p50597 +(lp50598 +S'Head\tHead\tRB\tB-ADVP\tO' +p50599 +aS',\t,\t,\tO\tO' +p50600 +aS'eyes\teye\tNNS\tB-NP\tO' +p50601 +aS',\t,\t,\tI-NP\tO' +p50602 +aS'ears\tear\tNNS\tI-NP\tO' +p50603 +aS',\t,\t,\tI-NP\tO' +p50604 +aS'nose\tnose\tNN\tI-NP\tO' +p50605 +aS'and\tand\tCC\tI-NP\tO' +p50606 +aS'throat\tthroat\tNN\tI-NP\tB-protein' +p50607 +aS'-\t-\tHYPH\tO\tI-protein' +p50608 +aS'His\tHis\tPRP$\tB-NP\tI-protein' +p50609 +aS'pupils\tpupil\tNNS\tI-NP\tI-protein' +p50610 +aS'were\tbe\tVBD\tB-VP\tO' +p50611 +aS'equal\tequal\tJJ\tB-ADJP\tO' +p50612 +aS'and\tand\tCC\tO\tO' +p50613 +aS'three\tthree\tCD\tB-NP\tO' +p50614 +aS'millimeters\tmillimeter\tNNS\tI-NP\tO' +p50615 +aS'.\t.\t.\tO\tO' +p50616 +asS'Conditions , Infections , Complications , affecting Treatment / Stay postpartum' +p50617 +(lp50618 +S'Conditions\tCondition\tNNS\tB-NP\tO' +p50619 +aS',\t,\t,\tO\tO' +p50620 +aS'Infections\tInfection\tNNS\tB-NP\tO' +p50621 +aS',\t,\t,\tO\tO' +p50622 +aS'Complications\tComplication\tNNS\tB-NP\tO' +p50623 +aS',\t,\t,\tO\tO' +p50624 +aS'affecting\taffect\tVBG\tB-VP\tO' +p50625 +aS'Treatment\tTreatment\tNN\tB-NP\tO' +p50626 +aS'/\t/\tSYM\tO\tO' +p50627 +aS'Stay\tStay\tNN\tB-NP\tO' +p50628 +aS'postpartum\tpostpartum\tNN\tI-NP\tO' +p50629 +asS'Over the course of her admission were also sent an alpha-1-antitrypsin , which was negative .' +p50630 +(lp50631 +S'Over\tOver\tIN\tB-PP\tO' +p50632 +aS'the\tthe\tDT\tB-NP\tO' +p50633 +aS'course\tcourse\tNN\tI-NP\tO' +p50634 +aS'of\tof\tIN\tB-PP\tO' +p50635 +aS'her\ther\tPRP$\tB-NP\tO' +p50636 +aS'admission\tadmission\tNN\tI-NP\tO' +p50637 +aS'were\tbe\tVBD\tB-VP\tO' +p50638 +aS'also\talso\tRB\tI-VP\tO' +p50639 +aS'sent\tsend\tVBN\tI-VP\tO' +p50640 +aS'an\tan\tDT\tB-NP\tO' +p50641 +aS'alpha-1-antitrypsin\talpha-1-antitrypsin\tNN\tI-NP\tB-protein' +p50642 +aS',\t,\t,\tO\tO' +p50643 +aS'which\twhich\tWDT\tB-NP\tO' +p50644 +aS'was\tbe\tVBD\tB-VP\tO' +p50645 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p50646 +aS'.\t.\t.\tO\tO' +p50647 +asS'LEFT UPPER LOBE LARGE CELL CARCINOMA OF THE LUNG .' +p50648 +(lp50649 +S'LEFT\tLEFT\tNN\tB-NP\tO' +p50650 +aS'UPPER\tUPPER\tNN\tI-NP\tO' +p50651 +aS'LOBE\tLOBE\tNN\tI-NP\tO' +p50652 +aS'LARGE\tLARGE\tNN\tI-NP\tO' +p50653 +aS'CELL\tCELL\tNN\tI-NP\tO' +p50654 +aS'CARCINOMA\tCARCINOMA\tNN\tI-NP\tO' +p50655 +aS'OF\tOF\tIN\tB-PP\tO' +p50656 +aS'THE\tTHE\tDT\tB-NP\tO' +p50657 +aS'LUNG\tLUNG\tNN\tI-NP\tB-protein' +p50658 +aS'.\t.\t.\tO\tO' +p50659 +asS'No audible murmurs .' +p50660 +(lp50661 +S'No\tNo\tDT\tB-NP\tO' +p50662 +aS'audible\taudible\tJJ\tI-NP\tO' +p50663 +aS'murmurs\tmurmur\tNNS\tI-NP\tO' +p50664 +aS'.\t.\t.\tO\tO' +p50665 +asS'Cranial nerves II - XII were grossly intact .' +p50666 +(lp50667 +S'Cranial\tCranial\tNNP\tB-NP\tO' +p50668 +aS'nerves\tnerve\tVBZ\tB-VP\tO' +p50669 +aS'II\tII\tCD\tB-NP\tO' +p50670 +aS'-\t-\tHYPH\tI-NP\tO' +p50671 +aS'XII\tXII\tCD\tI-NP\tB-DNA' +p50672 +aS'were\tbe\tVBD\tB-VP\tO' +p50673 +aS'grossly\tgrossly\tRB\tB-ADJP\tO' +p50674 +aS'intact\tintact\tJJ\tI-ADJP\tO' +p50675 +aS'.\t.\t.\tO\tO' +p50676 +asS'Spinal Stenosis s/p Lumbar Laminectomy x 3' +p50677 +(lp50678 +S'Spinal\tSpinal\tNNP\tB-NP\tO' +p50679 +aS'Stenosis\tStenosis\tNNP\tI-NP\tO' +p50680 +aS's/p\ts/p\tNN\tI-NP\tO' +p50681 +aS'Lumbar\tLumbar\tNNP\tI-NP\tO' +p50682 +aS'Laminectomy\tLaminectomy\tNNP\tI-NP\tO' +p50683 +aS'x\tx\tNN\tI-NP\tO' +p50684 +aS'3\t3\tCD\tI-NP\tO' +p50685 +asS'He was intermittently congested limiting our ability to give intravenous fluid , for his hydrea , although we kept him on Allopurinol .' +p50686 +(lp50687 +S'He\tHe\tPRP\tB-NP\tO' +p50688 +aS'was\tbe\tVBD\tB-VP\tO' +p50689 +aS'intermittently\tintermittently\tRB\tI-VP\tO' +p50690 +aS'congested\tcongest\tVBN\tI-VP\tO' +p50691 +aS'limiting\tlimit\tVBG\tI-VP\tO' +p50692 +aS'our\tour\tPRP$\tB-NP\tO' +p50693 +aS'ability\tability\tNN\tI-NP\tO' +p50694 +aS'to\tto\tTO\tB-VP\tO' +p50695 +aS'give\tgive\tVB\tI-VP\tO' +p50696 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p50697 +aS'fluid\tfluid\tNN\tI-NP\tO' +p50698 +aS',\t,\t,\tO\tO' +p50699 +aS'for\tfor\tIN\tB-PP\tO' +p50700 +aS'his\this\tPRP$\tB-NP\tO' +p50701 +aS'hydrea\thydrea\tNN\tI-NP\tO' +p50702 +aS',\t,\t,\tO\tO' +p50703 +aS'although\talthough\tIN\tB-SBAR\tO' +p50704 +aS'we\twe\tPRP\tB-NP\tO' +p50705 +aS'kept\tkeep\tVBD\tB-VP\tO' +p50706 +aS'him\thim\tPRP\tB-NP\tO' +p50707 +aS'on\ton\tIN\tB-PP\tO' +p50708 +aS'Allopurinol\tAllopurinol\tNNP\tB-NP\tO' +p50709 +aS'.\t.\t.\tO\tO' +p50710 +asS'Vaginal Delivery With First Degree Laceration' +p50711 +(lp50712 +S'Vaginal\tVaginal\tNNP\tB-NP\tO' +p50713 +aS'Delivery\tDelivery\tNNP\tI-NP\tO' +p50714 +aS'With\tWith\tIN\tB-PP\tO' +p50715 +aS'First\tFirst\tNNP\tB-NP\tO' +p50716 +aS'Degree\tDegree\tNNP\tI-NP\tO' +p50717 +aS'Laceration\tLaceration\tNNP\tI-NP\tO' +p50718 +asS'11. Code status - Initially full code then made DNR / DNI after family meeting on 02-27 .' +p50719 +(lp50720 +S'11.\t11.\tLS\tB-NP\tO' +p50721 +aS'Code\tCode\tNN\tI-NP\tO' +p50722 +aS'status\tstatus\tNN\tI-NP\tO' +p50723 +aS'-\t-\tHYPH\tB-VP\tO' +p50724 +aS'Initially\tInitially\tRB\tB-NP\tO' +p50725 +aS'full\tfull\tJJ\tI-NP\tO' +p50726 +aS'code\tcode\tNN\tI-NP\tO' +p50727 +aS'then\tthen\tRB\tB-ADVP\tO' +p50728 +aS'made\tmake\tVBD\tB-VP\tO' +p50729 +aS'DNR\tDNR\tNN\tB-NP\tB-protein' +p50730 +aS'/\t/\tSYM\tB-NP\tO' +p50731 +aS'DNI\tDNI\tNN\tI-NP\tO' +p50732 +aS'after\tafter\tIN\tB-PP\tO' +p50733 +aS'family\tfamily\tNN\tB-NP\tO' +p50734 +aS'meeting\tmeeting\tNN\tI-NP\tO' +p50735 +aS'on\ton\tIN\tB-PP\tO' +p50736 +aS'02-27\t02-27\tCD\tB-NP\tO' +p50737 +aS'.\t.\t.\tO\tO' +p50738 +asS'Apgars were 6 at one minute and 8 at five minutes .' +p50739 +(lp50740 +S'Apgars\tApgar\tNNS\tB-NP\tO' +p50741 +aS'were\tbe\tVBD\tB-VP\tO' +p50742 +aS'6\t6\tCD\tB-NP\tO' +p50743 +aS'at\tat\tIN\tB-PP\tO' +p50744 +aS'one\tone\tCD\tB-NP\tO' +p50745 +aS'minute\tminute\tNN\tI-NP\tO' +p50746 +aS'and\tand\tCC\tO\tO' +p50747 +aS'8\t8\tCD\tB-NP\tO' +p50748 +aS'at\tat\tIN\tB-PP\tO' +p50749 +aS'five\tfive\tCD\tB-NP\tO' +p50750 +aS'minutes\tminute\tNNS\tI-NP\tO' +p50751 +aS'.\t.\t.\tO\tO' +p50752 +asS'Pulmonary revealed she had diffuse wheezes .' +p50753 +(lp50754 +S'Pulmonary\tPulmonary\tNNP\tB-NP\tO' +p50755 +aS'revealed\treveal\tVBD\tB-VP\tO' +p50756 +aS'she\tshe\tPRP\tB-NP\tO' +p50757 +aS'had\thave\tVBD\tB-VP\tO' +p50758 +aS'diffuse\tdiffuse\tJJ\tB-NP\tO' +p50759 +aS'wheezes\twheeze\tNNS\tI-NP\tO' +p50760 +aS'.\t.\t.\tO\tO' +p50761 +asS"However , the patient 's hematocrit bumped only to 28.1 and a repeat later on 9-11 , showed hematocrit of 27.6 ." +p50762 +(lp50763 +S'However\tHowever\tRB\tB-ADVP\tO' +p50764 +aS',\t,\t,\tO\tO' +p50765 +aS'the\tthe\tDT\tB-NP\tO' +p50766 +aS'patient\tpatient\tNN\tI-NP\tO' +p50767 +aS"'s\t's\tPOS\tB-NP\tO" +p50768 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p50769 +aS'bumped\tbump\tVBD\tB-VP\tO' +p50770 +aS'only\tonly\tRB\tB-ADVP\tO' +p50771 +aS'to\tto\tTO\tB-PP\tO' +p50772 +aS'28.1\t28.1\tCD\tB-NP\tO' +p50773 +aS'and\tand\tCC\tO\tO' +p50774 +aS'a\ta\tDT\tB-NP\tO' +p50775 +aS'repeat\trepeat\tNN\tI-NP\tO' +p50776 +aS'later\tlater\tRBR\tB-ADVP\tO' +p50777 +aS'on\ton\tIN\tB-PP\tO' +p50778 +aS'9-11\t9-11\tNN\tB-NP\tO' +p50779 +aS',\t,\t,\tO\tO' +p50780 +aS'showed\tshow\tVBD\tB-VP\tO' +p50781 +aS'hematocrit\thematocrit\tNN\tB-NP\tO' +p50782 +aS'of\tof\tIN\tB-PP\tO' +p50783 +aS'27.6\t27.6\tCD\tB-NP\tO' +p50784 +aS'.\t.\t.\tO\tO' +p50785 +asS'Left ventricular systolic function is hyperdynamic ( EF > 75% ) .' +p50786 +(lp50787 +S'Left\tLeave\tVBN\tB-NP\tO' +p50788 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p50789 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p50790 +aS'function\tfunction\tNN\tI-NP\tO' +p50791 +aS'is\tbe\tVBZ\tB-VP\tO' +p50792 +aS'hyperdynamic\thyperdynamic\tJJ\tB-ADJP\tO' +p50793 +aS'(\t(\t(\tO\tO' +p50794 +aS'EF\tEF\tNN\tB-NP\tB-protein' +p50795 +aS'>\t>\tSYM\tO\tI-protein' +p50796 +aS'75%\t75%\tCD\tB-NP\tI-protein' +p50797 +aS')\t)\t)\tO\tO' +p50798 +aS'.\t.\t.\tO\tO' +p50799 +asS'Left hip arthritis .' +p50800 +(lp50801 +S'Left\tLeave\tVBN\tB-NP\tO' +p50802 +aS'hip\thip\tNN\tI-NP\tO' +p50803 +aS'arthritis\tarthritis\tNN\tI-NP\tO' +p50804 +aS'.\t.\t.\tO\tO' +p50805 +asS'4. Levofloxacin 500 mg p.o. t.i.d. times two days .' +p50806 +(lp50807 +S'4.\t4.\tLS\tB-LST\tO' +p50808 +aS'Levofloxacin\tLevofloxacin\tNN\tB-NP\tO' +p50809 +aS'500\t500\tCD\tI-NP\tO' +p50810 +aS'mg\tmg\tNN\tI-NP\tO' +p50811 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p50812 +aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' +p50813 +aS'times\ttime\tNNS\tI-NP\tO' +p50814 +aS'two\ttwo\tCD\tB-NP\tO' +p50815 +aS'days\tday\tNNS\tI-NP\tO' +p50816 +aS'.\t.\t.\tO\tO' +p50817 +asS'Artificial Tears Drops Sig : One ( 1 ) drop Ophthalmic twice a day : ou .' +p50818 +(lp50819 +S'Artificial\tArtificial\tNNP\tB-NP\tO' +p50820 +aS'Tears\tTear\tNNPS\tI-NP\tO' +p50821 +aS'Drops\tDrops\tNNP\tI-NP\tO' +p50822 +aS'Sig\tSig\tNNP\tI-NP\tO' +p50823 +aS':\t:\t:\tO\tO' +p50824 +aS'One\tOne\tCD\tB-NP\tO' +p50825 +aS'(\t(\t(\tO\tO' +p50826 +aS'1\t1\tCD\tB-NP\tO' +p50827 +aS')\t)\t)\tO\tO' +p50828 +aS'drop\tdrop\tVBP\tB-VP\tO' +p50829 +aS'Ophthalmic\tOphthalmic\tNNP\tB-NP\tO' +p50830 +aS'twice\ttwice\tRB\tB-NP\tO' +p50831 +aS'a\ta\tDT\tI-NP\tO' +p50832 +aS'day\tday\tNN\tI-NP\tO' +p50833 +aS':\t:\t:\tO\tO' +p50834 +aS'ou\tou\tPRP\tB-NP\tO' +p50835 +aS'.\t.\t.\tO\tO' +p50836 +asS'He is discharged to home with pain medication which is percocet .' +p50837 +(lp50838 +S'He\tHe\tPRP\tB-NP\tO' +p50839 +aS'is\tbe\tVBZ\tB-VP\tO' +p50840 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p50841 +aS'to\tto\tTO\tB-PP\tO' +p50842 +aS'home\thome\tNN\tB-NP\tO' +p50843 +aS'with\twith\tIN\tB-PP\tO' +p50844 +aS'pain\tpain\tNN\tB-NP\tO' +p50845 +aS'medication\tmedication\tNN\tI-NP\tO' +p50846 +aS'which\twhich\tWDT\tB-NP\tO' +p50847 +aS'is\tbe\tVBZ\tB-VP\tO' +p50848 +aS'percocet\tpercocet\tNN\tB-NP\tO' +p50849 +aS'.\t.\t.\tO\tO' +p50850 +asS'She also gets Peridex to clean out her mouth .' +p50851 +(lp50852 +S'She\tShe\tPRP\tB-NP\tO' +p50853 +aS'also\talso\tRB\tB-ADVP\tO' +p50854 +aS'gets\tget\tVBZ\tB-VP\tO' +p50855 +aS'Peridex\tPeridex\tNNP\tB-NP\tO' +p50856 +aS'to\tto\tTO\tB-VP\tO' +p50857 +aS'clean\tclean\tVB\tI-VP\tO' +p50858 +aS'out\tout\tRP\tB-PRT\tO' +p50859 +aS'her\ther\tPRP$\tB-NP\tO' +p50860 +aS'mouth\tmouth\tNN\tI-NP\tO' +p50861 +aS'.\t.\t.\tO\tO' +p50862 +asS'The patient was asymptomatic without chest pain , shortness of breath and no mental status changes .' +p50863 +(lp50864 +S'The\tThe\tDT\tB-NP\tO' +p50865 +aS'patient\tpatient\tNN\tI-NP\tO' +p50866 +aS'was\tbe\tVBD\tB-VP\tO' +p50867 +aS'asymptomatic\tasymptomatic\tJJ\tB-ADJP\tO' +p50868 +aS'without\twithout\tIN\tB-PP\tO' +p50869 +aS'chest\tchest\tNN\tB-NP\tO' +p50870 +aS'pain\tpain\tNN\tI-NP\tO' +p50871 +aS',\t,\t,\tO\tO' +p50872 +aS'shortness\tshortness\tNN\tB-NP\tO' +p50873 +aS'of\tof\tIN\tB-PP\tO' +p50874 +aS'breath\tbreath\tNN\tB-NP\tO' +p50875 +aS'and\tand\tCC\tO\tO' +p50876 +aS'no\tno\tDT\tB-NP\tO' +p50877 +aS'mental\tmental\tJJ\tI-NP\tO' +p50878 +aS'status\tstatus\tNN\tI-NP\tO' +p50879 +aS'changes\tchange\tNNS\tI-NP\tO' +p50880 +aS'.\t.\t.\tO\tO' +p50881 +asS'Signed electronically by : DR. Jermaine X Reynolds on : Andrea 2016-06-30 3:46 PM' +p50882 +(lp50883 +S'Signed\tSign\tVBN\tB-VP\tO' +p50884 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p50885 +aS'by\tby\tIN\tB-PP\tO' +p50886 +aS':\t:\t:\tO\tO' +p50887 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p50888 +aS'Jermaine\tJermaine\tNNP\tI-NP\tO' +p50889 +aS'X\tX\tNNP\tI-NP\tO' +p50890 +aS'Reynolds\tReynolds\tNNP\tI-NP\tO' +p50891 +aS'on\ton\tIN\tB-PP\tO' +p50892 +aS':\t:\t:\tO\tO' +p50893 +aS'Andrea\tAndrea\tNNP\tB-NP\tO' +p50894 +aS'2016-06-30\t2016-06-30\tCD\tB-NP\tO' +p50895 +aS'3:46\t3:46\tCD\tI-NP\tO' +p50896 +aS'PM\tPM\tNN\tI-NP\tO' +p50897 +asS'His neurological examination at that time was nonfocal and the head was atraumatic without any evidence of a hematoma .' +p50898 +(lp50899 +S'His\tHis\tPRP$\tB-NP\tO' +p50900 +aS'neurological\tneurological\tJJ\tI-NP\tO' +p50901 +aS'examination\texamination\tNN\tI-NP\tO' +p50902 +aS'at\tat\tIN\tB-PP\tO' +p50903 +aS'that\tthat\tDT\tB-NP\tO' +p50904 +aS'time\ttime\tNN\tI-NP\tO' +p50905 +aS'was\tbe\tVBD\tB-VP\tO' +p50906 +aS'nonfocal\tnonfocal\tJJ\tB-ADJP\tO' +p50907 +aS'and\tand\tCC\tO\tO' +p50908 +aS'the\tthe\tDT\tB-NP\tO' +p50909 +aS'head\thead\tNN\tI-NP\tO' +p50910 +aS'was\tbe\tVBD\tB-VP\tO' +p50911 +aS'atraumatic\tatraumatic\tJJ\tB-ADJP\tO' +p50912 +aS'without\twithout\tIN\tB-PP\tO' +p50913 +aS'any\tany\tDT\tB-NP\tO' +p50914 +aS'evidence\tevidence\tNN\tI-NP\tO' +p50915 +aS'of\tof\tIN\tB-PP\tO' +p50916 +aS'a\ta\tDT\tB-NP\tO' +p50917 +aS'hematoma\thematoma\tNN\tI-NP\tO' +p50918 +aS'.\t.\t.\tO\tO' +p50919 +asS'This report needs to be followed up , and will be available at Bri Health in the Pathology Department some time within the next three to seven days .' +p50920 +(lp50921 +S'This\tThis\tDT\tB-NP\tO' +p50922 +aS'report\treport\tNN\tI-NP\tO' +p50923 +aS'needs\tneed\tVBZ\tB-VP\tO' +p50924 +aS'to\tto\tTO\tI-VP\tO' +p50925 +aS'be\tbe\tVB\tI-VP\tO' +p50926 +aS'followed\tfollow\tVBN\tI-VP\tO' +p50927 +aS'up\tup\tRP\tB-PRT\tO' +p50928 +aS',\t,\t,\tO\tO' +p50929 +aS'and\tand\tCC\tO\tO' +p50930 +aS'will\twill\tMD\tB-VP\tO' +p50931 +aS'be\tbe\tVB\tI-VP\tO' +p50932 +aS'available\tavailable\tJJ\tB-ADJP\tO' +p50933 +aS'at\tat\tIN\tB-PP\tO' +p50934 +aS'Bri\tBri\tNNP\tB-NP\tO' +p50935 +aS'Health\tHealth\tNNP\tI-NP\tO' +p50936 +aS'in\tin\tIN\tB-PP\tO' +p50937 +aS'the\tthe\tDT\tB-NP\tO' +p50938 +aS'Pathology\tPathology\tNNP\tI-NP\tO' +p50939 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p50940 +aS'some\tsome\tDT\tB-NP\tO' +p50941 +aS'time\ttime\tNN\tI-NP\tO' +p50942 +aS'within\twithin\tIN\tB-PP\tO' +p50943 +aS'the\tthe\tDT\tB-NP\tO' +p50944 +aS'next\tnext\tJJ\tI-NP\tO' +p50945 +aS'three\tthree\tCD\tI-NP\tO' +p50946 +aS'to\tto\tTO\tI-NP\tO' +p50947 +aS'seven\tseven\tCD\tI-NP\tO' +p50948 +aS'days\tday\tNNS\tI-NP\tO' +p50949 +aS'.\t.\t.\tO\tO' +p50950 +asS'Abdominal examination was normal .' +p50951 +(lp50952 +S'Abdominal\tAbdominal\tJJ\tB-NP\tO' +p50953 +aS'examination\texamination\tNN\tI-NP\tO' +p50954 +aS'was\tbe\tVBD\tB-VP\tO' +p50955 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p50956 +aS'.\t.\t.\tO\tO' +p50957 +asS'Total volume given as bolus 50 cc's per kilo , sodium bicarbonate at 2 mEq per kilo was given .' +p50958 +(lp50959 +S'Total\tTotal\tJJ\tB-NP\tO' +p50960 +aS'volume\tvolume\tNN\tI-NP\tO' +p50961 +aS'given\tgive\tVBN\tB-VP\tO' +p50962 +aS'as\tas\tIN\tB-PP\tO' +p50963 +aS'bolus\tbolus\tNN\tB-NP\tO' +p50964 +aS'50\t50\tCD\tB-NP\tO' +p50965 +aS'cc's\tcc'\tNNS\tI-NP\tO' +p50966 +aS'per\tper\tIN\tB-PP\tO' +p50967 +aS'kilo\tkilo\tNN\tB-NP\tO' +p50968 +aS',\t,\t,\tO\tO' +p50969 +aS'sodium\tsodium\tNN\tB-NP\tO' +p50970 +aS'bicarbonate\tbicarbonate\tNN\tI-NP\tO' +p50971 +aS'at\tat\tIN\tB-PP\tO' +p50972 +aS'2\t2\tCD\tB-NP\tO' +p50973 +aS'mEq\tmEq\tNN\tI-NP\tO' +p50974 +aS'per\tper\tIN\tB-PP\tO' +p50975 +aS'kilo\tkilo\tNN\tB-NP\tO' +p50976 +aS'was\tbe\tVBD\tB-VP\tO' +p50977 +aS'given\tgive\tVBN\tI-VP\tO' +p50978 +aS'.\t.\t.\tO\tO' +p50979 +asS'1. Coronary artery disease ; the patient is status post percutaneous transluminal coronary angioplasty times three in 2009 at Clinton Hospital ; the patient is status post percutaneous transluminal coronary angioplasty times two in 2005 at Waltham/Weston Hospital .' +p50980 +(lp50981 +S'1.\t1.\tLS\tB-NP\tO' +p50982 +aS'Coronary\tCoronary\tJJ\tI-NP\tO' +p50983 +aS'artery\tartery\tNN\tI-NP\tO' +p50984 +aS'disease\tdisease\tNN\tI-NP\tO' +p50985 +aS';\t;\t:\tO\tO' +p50986 +aS'the\tthe\tDT\tB-NP\tO' +p50987 +aS'patient\tpatient\tNN\tI-NP\tO' +p50988 +aS'is\tbe\tVBZ\tB-VP\tO' +p50989 +aS'status\tstatus\tNN\tB-NP\tO' +p50990 +aS'post\tpost\tIN\tB-PP\tO' +p50991 +aS'percutaneous\tpercutaneous\tJJ\tB-NP\tO' +p50992 +aS'transluminal\ttransluminal\tJJ\tI-NP\tO' +p50993 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p50994 +aS'angioplasty\tangioplasty\tJJ\tI-NP\tO' +p50995 +aS'times\ttime\tNNS\tI-NP\tO' +p50996 +aS'three\tthree\tCD\tB-NP\tO' +p50997 +aS'in\tin\tIN\tB-PP\tO' +p50998 +aS'2009\t2009\tCD\tB-NP\tO' +p50999 +aS'at\tat\tIN\tB-PP\tO' +p51000 +aS'Clinton\tClinton\tNNP\tB-NP\tO' +p51001 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p51002 +aS';\t;\t:\tO\tO' +p51003 +aS'the\tthe\tDT\tB-NP\tO' +p51004 +aS'patient\tpatient\tNN\tI-NP\tO' +p51005 +aS'is\tbe\tVBZ\tB-VP\tO' +p51006 +aS'status\tstatus\tNN\tB-NP\tO' +p51007 +aS'post\tpost\tIN\tB-PP\tO' +p51008 +aS'percutaneous\tpercutaneous\tJJ\tB-NP\tO' +p51009 +aS'transluminal\ttransluminal\tJJ\tI-NP\tO' +p51010 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p51011 +aS'angioplasty\tangioplasty\tJJ\tI-NP\tO' +p51012 +aS'times\ttime\tNNS\tI-NP\tO' +p51013 +aS'two\ttwo\tCD\tB-NP\tO' +p51014 +aS'in\tin\tIN\tB-PP\tO' +p51015 +aS'2005\t2005\tCD\tB-NP\tO' +p51016 +aS'at\tat\tIN\tB-PP\tO' +p51017 +aS'Waltham/Weston\tWaltham/Weston\tNNP\tB-NP\tO' +p51018 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p51019 +aS'.\t.\t.\tO\tO' +p51020 +asS'The patient has a history of gastroesophageal reflux disease .' +p51021 +(lp51022 +S'The\tThe\tDT\tB-NP\tO' +p51023 +aS'patient\tpatient\tNN\tI-NP\tO' +p51024 +aS'has\thave\tVBZ\tB-VP\tO' +p51025 +aS'a\ta\tDT\tB-NP\tO' +p51026 +aS'history\thistory\tNN\tI-NP\tO' +p51027 +aS'of\tof\tIN\tB-PP\tO' +p51028 +aS'gastroesophageal\tgastroesophageal\tJJ\tB-NP\tO' +p51029 +aS'reflux\treflux\tNN\tI-NP\tO' +p51030 +aS'disease\tdisease\tNN\tI-NP\tO' +p51031 +aS'.\t.\t.\tO\tO' +p51032 +asS'He was out of bed to a chair .' +p51033 +(lp51034 +S'He\tHe\tPRP\tB-NP\tO' +p51035 +aS'was\tbe\tVBD\tB-VP\tO' +p51036 +aS'out\tout\tIN\tB-PP\tO' +p51037 +aS'of\tof\tIN\tB-PP\tO' +p51038 +aS'bed\tbed\tNN\tB-NP\tO' +p51039 +aS'to\tto\tTO\tB-PP\tO' +p51040 +aS'a\ta\tDT\tB-NP\tO' +p51041 +aS'chair\tchair\tNN\tI-NP\tO' +p51042 +aS'.\t.\t.\tO\tO' +p51043 +asS'The stoma was pink and functional .' +p51044 +(lp51045 +S'The\tThe\tDT\tB-NP\tO' +p51046 +aS'stoma\tstoma\tNN\tI-NP\tO' +p51047 +aS'was\tbe\tVBD\tB-VP\tO' +p51048 +aS'pink\tpink\tJJ\tB-ADJP\tO' +p51049 +aS'and\tand\tCC\tI-ADJP\tO' +p51050 +aS'functional\tfunctional\tJJ\tI-ADJP\tO' +p51051 +aS'.\t.\t.\tO\tO' +p51052 +asS'He had normoactive bowel sounds .' +p51053 +(lp51054 +S'He\tHe\tPRP\tB-NP\tO' +p51055 +aS'had\thave\tVBD\tB-VP\tO' +p51056 +aS'normoactive\tnormoactive\tJJ\tB-NP\tO' +p51057 +aS'bowel\tbowel\tNN\tI-NP\tO' +p51058 +aS'sounds\tsound\tNNS\tI-NP\tO' +p51059 +aS'.\t.\t.\tO\tO' +p51060 +asS'She was gradually advanced to a regular diet .' +p51061 +(lp51062 +S'She\tShe\tPRP\tB-NP\tO' +p51063 +aS'was\tbe\tVBD\tB-VP\tO' +p51064 +aS'gradually\tgradually\tRB\tI-VP\tO' +p51065 +aS'advanced\tadvance\tVBN\tI-VP\tO' +p51066 +aS'to\tto\tTO\tB-PP\tO' +p51067 +aS'a\ta\tDT\tB-NP\tO' +p51068 +aS'regular\tregular\tJJ\tI-NP\tO' +p51069 +aS'diet\tdiet\tNN\tI-NP\tO' +p51070 +aS'.\t.\t.\tO\tO' +p51071 +asS'1. The left atrium is moderately dilated .' +p51072 +(lp51073 +S'1.\t1.\tLS\tB-LST\tO' +p51074 +aS'The\tThe\tDT\tB-NP\tO' +p51075 +aS'left\tleft\tJJ\tI-NP\tO' +p51076 +aS'atrium\tatrium\tNN\tI-NP\tO' +p51077 +aS'is\tbe\tVBZ\tB-VP\tO' +p51078 +aS'moderately\tmoderately\tRB\tI-VP\tO' +p51079 +aS'dilated\tdilate\tVBN\tI-VP\tO' +p51080 +aS'.\t.\t.\tO\tO' +p51081 +asS'Her coagulation parameters were normal .' +p51082 +(lp51083 +S'Her\tHer\tPRP$\tB-NP\tO' +p51084 +aS'coagulation\tcoagulation\tNN\tI-NP\tO' +p51085 +aS'parameters\tparameter\tNNS\tI-NP\tO' +p51086 +aS'were\tbe\tVBD\tB-VP\tO' +p51087 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p51088 +aS'.\t.\t.\tO\tO' +p51089 +asS'Enteral feeds were started on the date of birth and gradually advanced to full volume .' +p51090 +(lp51091 +S'Enteral\tEnteral\tJJ\tB-NP\tO' +p51092 +aS'feeds\tfeed\tNNS\tI-NP\tO' +p51093 +aS'were\tbe\tVBD\tB-VP\tO' +p51094 +aS'started\tstart\tVBN\tI-VP\tO' +p51095 +aS'on\ton\tIN\tB-PP\tO' +p51096 +aS'the\tthe\tDT\tB-NP\tO' +p51097 +aS'date\tdate\tNN\tI-NP\tO' +p51098 +aS'of\tof\tIN\tB-PP\tO' +p51099 +aS'birth\tbirth\tNN\tB-NP\tO' +p51100 +aS'and\tand\tCC\tO\tO' +p51101 +aS'gradually\tgradually\tRB\tB-VP\tO' +p51102 +aS'advanced\tadvance\tVBN\tI-VP\tO' +p51103 +aS'to\tto\tTO\tB-PP\tO' +p51104 +aS'full\tfull\tJJ\tB-NP\tO' +p51105 +aS'volume\tvolume\tNN\tI-NP\tO' +p51106 +aS'.\t.\t.\tO\tO' +p51107 +asS'He does have his pacing lead with his external pacemaker DDD available to him and is being followed by the EP service and Dr. Janet Gutkin for further outpatient treatment of this' +p51108 +(lp51109 +S'He\tHe\tPRP\tB-NP\tO' +p51110 +aS'does\tdo\tVBZ\tB-VP\tO' +p51111 +aS'have\thave\tVB\tI-VP\tO' +p51112 +aS'his\this\tPRP$\tB-NP\tO' +p51113 +aS'pacing\tpacing\tNN\tI-NP\tO' +p51114 +aS'lead\tlead\tNN\tI-NP\tO' +p51115 +aS'with\twith\tIN\tB-PP\tO' +p51116 +aS'his\this\tPRP$\tB-NP\tO' +p51117 +aS'external\texternal\tJJ\tI-NP\tO' +p51118 +aS'pacemaker\tpacemaker\tNN\tI-NP\tO' +p51119 +aS'DDD\tDDD\tNN\tI-NP\tO' +p51120 +aS'available\tavailable\tJJ\tB-ADJP\tO' +p51121 +aS'to\tto\tTO\tB-PP\tO' +p51122 +aS'him\thim\tPRP\tB-NP\tB-cell_type' +p51123 +aS'and\tand\tCC\tO\tO' +p51124 +aS'is\tbe\tVBZ\tB-VP\tO' +p51125 +aS'being\tbe\tVBG\tI-VP\tO' +p51126 +aS'followed\tfollow\tVBN\tI-VP\tO' +p51127 +aS'by\tby\tIN\tB-PP\tO' +p51128 +aS'the\tthe\tDT\tB-NP\tO' +p51129 +aS'EP\tEP\tNN\tI-NP\tO' +p51130 +aS'service\tservice\tNN\tI-NP\tO' +p51131 +aS'and\tand\tCC\tO\tO' +p51132 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p51133 +aS'Janet\tJanet\tNNP\tI-NP\tO' +p51134 +aS'Gutkin\tGutkin\tNNP\tI-NP\tO' +p51135 +aS'for\tfor\tIN\tB-PP\tO' +p51136 +aS'further\tfurther\tJJ\tB-NP\tO' +p51137 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p51138 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p51139 +aS'of\tof\tIN\tB-PP\tO' +p51140 +aS'this\tthis\tDT\tB-NP\tO' +p51141 +asS'Palate was intact .' +p51142 +(lp51143 +S'Palate\tPalate\tNN\tB-NP\tO' +p51144 +aS'was\tbe\tVBD\tB-VP\tO' +p51145 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p51146 +aS'.\t.\t.\tO\tO' +p51147 +asS'On June 11 , 1998 , the patient had a video assisted thoracoscopic study of the right lung which revealed chronic interstitial pneumonitis with a bronchiolitis obliterans organizing pneumonia-like reaction and a chest tube was placed .' +p51148 +(lp51149 +S'On\tOn\tIN\tB-PP\tO' +p51150 +aS'June\tJune\tNNP\tB-NP\tO' +p51151 +aS'11\t11\tCD\tI-NP\tO' +p51152 +aS',\t,\t,\tO\tO' +p51153 +aS'1998\t1998\tCD\tB-NP\tO' +p51154 +aS',\t,\t,\tO\tO' +p51155 +aS'the\tthe\tDT\tB-NP\tO' +p51156 +aS'patient\tpatient\tNN\tI-NP\tO' +p51157 +aS'had\thave\tVBD\tB-VP\tO' +p51158 +aS'a\ta\tDT\tB-NP\tO' +p51159 +aS'video\tvideo\tNN\tI-NP\tO' +p51160 +aS'assisted\tassist\tVBD\tB-VP\tO' +p51161 +aS'thoracoscopic\tthoracoscopic\tJJ\tB-NP\tO' +p51162 +aS'study\tstudy\tNN\tI-NP\tO' +p51163 +aS'of\tof\tIN\tB-PP\tO' +p51164 +aS'the\tthe\tDT\tB-NP\tO' +p51165 +aS'right\tright\tJJ\tI-NP\tO' +p51166 +aS'lung\tlung\tNN\tI-NP\tO' +p51167 +aS'which\twhich\tWDT\tB-NP\tO' +p51168 +aS'revealed\treveal\tVBD\tB-VP\tO' +p51169 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p51170 +aS'interstitial\tinterstitial\tJJ\tI-NP\tO' +p51171 +aS'pneumonitis\tpneumonitis\tNN\tI-NP\tO' +p51172 +aS'with\twith\tIN\tB-PP\tO' +p51173 +aS'a\ta\tDT\tB-NP\tO' +p51174 +aS'bronchiolitis\tbronchiolitis\tNN\tI-NP\tO' +p51175 +aS'obliterans\tobliteran\tNNS\tI-NP\tO' +p51176 +aS'organizing\torganize\tVBG\tB-VP\tO' +p51177 +aS'pneumonia-like\tpneumonia-like\tJJ\tB-NP\tO' +p51178 +aS'reaction\treaction\tNN\tI-NP\tO' +p51179 +aS'and\tand\tCC\tO\tO' +p51180 +aS'a\ta\tDT\tB-NP\tO' +p51181 +aS'chest\tchest\tNN\tI-NP\tO' +p51182 +aS'tube\ttube\tNN\tI-NP\tO' +p51183 +aS'was\tbe\tVBD\tB-VP\tO' +p51184 +aS'placed\tplace\tVBN\tI-VP\tO' +p51185 +aS'.\t.\t.\tO\tO' +p51186 +asS'Significant only for history of hypertension .' +p51187 +(lp51188 +S'Significant\tSignificant\tJJ\tB-ADJP\tO' +p51189 +aS'only\tonly\tRB\tB-ADVP\tO' +p51190 +aS'for\tfor\tIN\tB-PP\tO' +p51191 +aS'history\thistory\tNN\tB-NP\tO' +p51192 +aS'of\tof\tIN\tB-PP\tO' +p51193 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p51194 +aS'.\t.\t.\tO\tO' +p51195 +asS'She denies smoking or alcohol .' +p51196 +(lp51197 +S'She\tShe\tPRP\tB-NP\tO' +p51198 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p51199 +aS'smoking\tsmoking\tNN\tB-NP\tO' +p51200 +aS'or\tor\tCC\tI-NP\tO' +p51201 +aS'alcohol\talcohol\tNN\tI-NP\tO' +p51202 +aS'.\t.\t.\tO\tO' +p51203 +asS'Dictated By : Steven L. Ibarra , M.D.' +p51204 +(lp51205 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p51206 +aS'By\tBy\tIN\tB-PP\tO' +p51207 +aS':\t:\t:\tO\tO' +p51208 +aS'Steven\tSteven\tNNP\tB-NP\tO' +p51209 +aS'L.\tL.\tNNP\tI-NP\tO' +p51210 +aS'Ibarra\tIbarra\tNNP\tI-NP\tO' +p51211 +aS',\t,\t,\tO\tO' +p51212 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p51213 +asS'The renal service continued to follow close management of his immunosuppression .' +p51214 +(lp51215 +S'The\tThe\tDT\tB-NP\tO' +p51216 +aS'renal\trenal\tJJ\tI-NP\tO' +p51217 +aS'service\tservice\tNN\tI-NP\tO' +p51218 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p51219 +aS'to\tto\tTO\tI-VP\tO' +p51220 +aS'follow\tfollow\tVB\tI-VP\tO' +p51221 +aS'close\tclose\tJJ\tB-NP\tO' +p51222 +aS'management\tmanagement\tNN\tI-NP\tO' +p51223 +aS'of\tof\tIN\tB-PP\tO' +p51224 +aS'his\this\tPRP$\tB-NP\tO' +p51225 +aS'immunosuppression\timmunosuppression\tNN\tI-NP\tO' +p51226 +aS'.\t.\t.\tO\tO' +p51227 +asS'She did well for approximately twelve years until she was diagnosed with carcinoid cancer of the same right upper lobe .' +p51228 +(lp51229 +S'She\tShe\tPRP\tB-NP\tO' +p51230 +aS'did\tdo\tVBD\tB-VP\tO' +p51231 +aS'well\twell\tRB\tB-ADVP\tO' +p51232 +aS'for\tfor\tIN\tB-PP\tO' +p51233 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p51234 +aS'twelve\ttwelve\tCD\tI-NP\tO' +p51235 +aS'years\tyear\tNNS\tI-NP\tO' +p51236 +aS'until\tuntil\tIN\tB-SBAR\tO' +p51237 +aS'she\tshe\tPRP\tB-NP\tO' +p51238 +aS'was\tbe\tVBD\tB-VP\tO' +p51239 +aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' +p51240 +aS'with\twith\tIN\tB-PP\tO' +p51241 +aS'carcinoid\tcarcinoid\tJJ\tB-NP\tO' +p51242 +aS'cancer\tcancer\tNN\tI-NP\tO' +p51243 +aS'of\tof\tIN\tB-PP\tO' +p51244 +aS'the\tthe\tDT\tB-NP\tO' +p51245 +aS'same\tsame\tJJ\tI-NP\tO' +p51246 +aS'right\tright\tJJ\tI-NP\tO' +p51247 +aS'upper\tupper\tJJ\tI-NP\tO' +p51248 +aS'lobe\tlobe\tNN\tI-NP\tO' +p51249 +aS'.\t.\t.\tO\tO' +p51250 +asS'No cervical , para-auricular or clavicular lymphadenopathy .' +p51251 +(lp51252 +S'No\tNo\tDT\tB-NP\tO' +p51253 +aS'cervical\tcervical\tJJ\tI-NP\tO' +p51254 +aS',\t,\t,\tI-NP\tO' +p51255 +aS'para-auricular\tpara-auricular\tJJ\tI-NP\tO' +p51256 +aS'or\tor\tCC\tI-NP\tO' +p51257 +aS'clavicular\tclavicular\tJJ\tI-NP\tO' +p51258 +aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' +p51259 +aS'.\t.\t.\tO\tO' +p51260 +asS'1. Ortho Tri-Cyclen .' +p51261 +(lp51262 +S'1.\t1.\tLS\tB-NP\tO' +p51263 +aS'Ortho\tOrtho\tNNP\tI-NP\tO' +p51264 +aS'Tri-Cyclen\tTri-Cyclen\tNNP\tI-NP\tO' +p51265 +aS'.\t.\t.\tO\tO' +p51266 +asS'He had no recurrent chest pain or shortness of breath throughout admission .' +p51267 +(lp51268 +S'He\tHe\tPRP\tB-NP\tO' +p51269 +aS'had\thave\tVBD\tB-VP\tO' +p51270 +aS'no\tno\tDT\tB-NP\tO' +p51271 +aS'recurrent\trecurrent\tJJ\tI-NP\tO' +p51272 +aS'chest\tchest\tNN\tI-NP\tO' +p51273 +aS'pain\tpain\tNN\tI-NP\tO' +p51274 +aS'or\tor\tCC\tI-NP\tO' +p51275 +aS'shortness\tshortness\tNN\tI-NP\tO' +p51276 +aS'of\tof\tIN\tB-PP\tO' +p51277 +aS'breath\tbreath\tNN\tB-NP\tO' +p51278 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p51279 +aS'admission\tadmission\tNN\tB-NP\tO' +p51280 +aS'.\t.\t.\tO\tO' +p51281 +asS'Potassium 5.2 , creatinine 1.3 , BUN 35 , glucose 152 , D dimer 1636 , INR 1.3 .' +p51282 +(lp51283 +S'Potassium\tPotassium\tNN\tB-NP\tO' +p51284 +aS'5.2\t5.2\tCD\tI-NP\tO' +p51285 +aS',\t,\t,\tO\tO' +p51286 +aS'creatinine\tcreatinine\tNN\tB-NP\tB-protein' +p51287 +aS'1.3\t1.3\tCD\tI-NP\tI-protein' +p51288 +aS',\t,\t,\tO\tO' +p51289 +aS'BUN\tBUN\tNN\tB-NP\tB-DNA' +p51290 +aS'35\t35\tCD\tI-NP\tI-DNA' +p51291 +aS',\t,\t,\tO\tO' +p51292 +aS'glucose\tglucose\tNN\tB-NP\tO' +p51293 +aS'152\t152\tCD\tI-NP\tO' +p51294 +aS',\t,\t,\tO\tO' +p51295 +aS'D\tD\tNN\tB-NP\tO' +p51296 +aS'dimer\tdimer\tNN\tI-NP\tO' +p51297 +aS'1636\t1636\tCD\tI-NP\tO' +p51298 +aS',\t,\t,\tO\tO' +p51299 +aS'INR\tINR\tNN\tB-NP\tB-protein' +p51300 +aS'1.3\t1.3\tCD\tI-NP\tI-protein' +p51301 +aS'.\t.\t.\tO\tO' +p51302 +asS'The patient was continued on his statin .' +p51303 +(lp51304 +S'The\tThe\tDT\tB-NP\tO' +p51305 +aS'patient\tpatient\tNN\tI-NP\tO' +p51306 +aS'was\tbe\tVBD\tB-VP\tO' +p51307 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p51308 +aS'on\ton\tIN\tB-PP\tO' +p51309 +aS'his\this\tPRP$\tB-NP\tO' +p51310 +aS'statin\tstatin\tNN\tI-NP\tO' +p51311 +aS'.\t.\t.\tO\tO' +p51312 +asS'The most recent weight is 2525 g.' +p51313 +(lp51314 +S'The\tThe\tDT\tB-NP\tO' +p51315 +aS'most\tmost\tRBS\tI-NP\tO' +p51316 +aS'recent\trecent\tJJ\tI-NP\tO' +p51317 +aS'weight\tweight\tNN\tI-NP\tO' +p51318 +aS'is\tbe\tVBZ\tB-VP\tO' +p51319 +aS'2525\t2525\tCD\tB-NP\tO' +p51320 +aS'g.\tg.\tNN\tI-NP\tO' +p51321 +asS'Her mental status remained similarly to her admission examination .' +p51322 +(lp51323 +S'Her\tHer\tPRP$\tB-NP\tO' +p51324 +aS'mental\tmental\tJJ\tI-NP\tO' +p51325 +aS'status\tstatus\tNN\tI-NP\tO' +p51326 +aS'remained\tremain\tVBD\tB-VP\tO' +p51327 +aS'similarly\tsimilarly\tRB\tB-ADVP\tO' +p51328 +aS'to\tto\tTO\tB-PP\tO' +p51329 +aS'her\ther\tPRP$\tB-NP\tO' +p51330 +aS'admission\tadmission\tNN\tI-NP\tO' +p51331 +aS'examination\texamination\tNN\tI-NP\tO' +p51332 +aS'.\t.\t.\tO\tO' +p51333 +asS'On postoperative day #4 , the patient began tolerating clear liquids and his diet was advanced as tolerated by postoperative day #6 and 7 .' +p51334 +(lp51335 +S'On\tOn\tIN\tB-PP\tO' +p51336 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p51337 +aS'day\tday\tNN\tI-NP\tO' +p51338 +aS'#4\t#4\tNN\tI-NP\tO' +p51339 +aS',\t,\t,\tO\tO' +p51340 +aS'the\tthe\tDT\tB-NP\tO' +p51341 +aS'patient\tpatient\tNN\tI-NP\tO' +p51342 +aS'began\tbegin\tVBD\tB-VP\tO' +p51343 +aS'tolerating\ttolerate\tVBG\tI-VP\tO' +p51344 +aS'clear\tclear\tJJ\tB-NP\tO' +p51345 +aS'liquids\tliquid\tNNS\tI-NP\tO' +p51346 +aS'and\tand\tCC\tO\tO' +p51347 +aS'his\this\tPRP$\tB-NP\tO' +p51348 +aS'diet\tdiet\tNN\tI-NP\tO' +p51349 +aS'was\tbe\tVBD\tB-VP\tO' +p51350 +aS'advanced\tadvance\tVBN\tI-VP\tO' +p51351 +aS'as\tas\tIN\tB-SBAR\tO' +p51352 +aS'tolerated\ttolerate\tVBN\tB-VP\tO' +p51353 +aS'by\tby\tIN\tB-PP\tO' +p51354 +aS'postoperative\tpostoperative\tJJ\tB-NP\tB-protein' +p51355 +aS'day\tday\tNN\tI-NP\tI-protein' +p51356 +aS'#6\t#6\tCD\tB-NP\tI-protein' +p51357 +aS'and\tand\tCC\tI-NP\tI-protein' +p51358 +aS'7\t7\tCD\tI-NP\tI-protein' +p51359 +aS'.\t.\t.\tO\tO' +p51360 +asS'She was tolerating liquids .' +p51361 +(lp51362 +S'She\tShe\tPRP\tB-NP\tO' +p51363 +aS'was\tbe\tVBD\tB-VP\tO' +p51364 +aS'tolerating\ttolerate\tVBG\tI-VP\tO' +p51365 +aS'liquids\tliquid\tNNS\tB-NP\tO' +p51366 +aS'.\t.\t.\tO\tO' +p51367 +asS'No erythema or swelling noted .' +p51368 +(lp51369 +S'No\tNo\tDT\tB-NP\tO' +p51370 +aS'erythema\terythema\tNN\tI-NP\tO' +p51371 +aS'or\tor\tCC\tI-NP\tO' +p51372 +aS'swelling\tswelling\tNN\tI-NP\tO' +p51373 +aS'noted\tnote\tVBD\tB-VP\tO' +p51374 +aS'.\t.\t.\tO\tO' +p51375 +asS'Findings included thickened pleura with multiple adhesions and an abscess near the margin major fissure .' +p51376 +(lp51377 +S'Findings\tFinding\tNNS\tB-NP\tO' +p51378 +aS'included\tinclude\tVBD\tB-VP\tO' +p51379 +aS'thickened\tthicken\tVBN\tI-VP\tO' +p51380 +aS'pleura\tpleura\tNN\tB-NP\tO' +p51381 +aS'with\twith\tIN\tB-PP\tO' +p51382 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p51383 +aS'adhesions\tadhesion\tNNS\tI-NP\tO' +p51384 +aS'and\tand\tCC\tO\tO' +p51385 +aS'an\tan\tDT\tB-NP\tO' +p51386 +aS'abscess\tabscess\tNN\tI-NP\tO' +p51387 +aS'near\tnear\tIN\tB-PP\tO' +p51388 +aS'the\tthe\tDT\tB-NP\tO' +p51389 +aS'margin\tmargin\tNN\tI-NP\tO' +p51390 +aS'major\tmajor\tJJ\tI-NP\tO' +p51391 +aS'fissure\tfissure\tNN\tI-NP\tO' +p51392 +aS'.\t.\t.\tO\tO' +p51393 +asS'The ears and eyes were normally placed .' +p51394 +(lp51395 +S'The\tThe\tDT\tB-NP\tO' +p51396 +aS'ears\tear\tNNS\tI-NP\tO' +p51397 +aS'and\tand\tCC\tI-NP\tO' +p51398 +aS'eyes\teye\tNNS\tI-NP\tO' +p51399 +aS'were\tbe\tVBD\tB-VP\tO' +p51400 +aS'normally\tnormally\tRB\tI-VP\tO' +p51401 +aS'placed\tplace\tVBN\tI-VP\tO' +p51402 +aS'.\t.\t.\tO\tO' +p51403 +asS'Signed electronically by : DR. George Sherwood on : MON 2012-05-21 11:57 AM' +p51404 +(lp51405 +S'Signed\tSign\tVBN\tB-VP\tO' +p51406 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p51407 +aS'by\tby\tIN\tB-PP\tO' +p51408 +aS':\t:\t:\tO\tO' +p51409 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p51410 +aS'George\tGeorge\tNNP\tI-NP\tO' +p51411 +aS'Sherwood\tSherwood\tNNP\tI-NP\tO' +p51412 +aS'on\ton\tIN\tB-PP\tO' +p51413 +aS':\t:\t:\tO\tO' +p51414 +aS'MON\tMON\tNN\tB-NP\tO' +p51415 +aS'2012-05-21\t2012-05-21\tCD\tI-NP\tO' +p51416 +aS'11:57\t11:57\tCD\tI-NP\tO' +p51417 +aS'AM\tAM\tNN\tI-NP\tO' +p51418 +asS'During the fall she hit her nose and her R knee .' +p51419 +(lp51420 +S'During\tDuring\tIN\tB-PP\tO' +p51421 +aS'the\tthe\tDT\tB-NP\tO' +p51422 +aS'fall\tfall\tNN\tI-NP\tO' +p51423 +aS'she\tshe\tPRP\tB-NP\tO' +p51424 +aS'hit\thit\tVBD\tB-VP\tO' +p51425 +aS'her\ther\tPRP$\tB-NP\tO' +p51426 +aS'nose\tnose\tNN\tI-NP\tO' +p51427 +aS'and\tand\tCC\tO\tO' +p51428 +aS'her\ther\tPRP$\tB-NP\tO' +p51429 +aS'R\tR\tNN\tI-NP\tO' +p51430 +aS'knee\tknee\tNN\tI-NP\tO' +p51431 +aS'.\t.\t.\tO\tO' +p51432 +asS'Currently plans are in the making for arranging for the patient to have home hospice care .' +p51433 +(lp51434 +S'Currently\tCurrently\tRB\tB-ADVP\tO' +p51435 +aS'plans\tplan\tNNS\tB-NP\tO' +p51436 +aS'are\tbe\tVBP\tB-VP\tO' +p51437 +aS'in\tin\tIN\tB-PP\tO' +p51438 +aS'the\tthe\tDT\tB-NP\tO' +p51439 +aS'making\tmaking\tNN\tI-NP\tO' +p51440 +aS'for\tfor\tIN\tB-PP\tO' +p51441 +aS'arranging\tarrange\tVBG\tB-VP\tO' +p51442 +aS'for\tfor\tIN\tB-PP\tO' +p51443 +aS'the\tthe\tDT\tB-NP\tO' +p51444 +aS'patient\tpatient\tNN\tI-NP\tO' +p51445 +aS'to\tto\tTO\tB-VP\tO' +p51446 +aS'have\thave\tVB\tI-VP\tO' +p51447 +aS'home\thome\tNN\tB-NP\tO' +p51448 +aS'hospice\thospice\tNN\tI-NP\tO' +p51449 +aS'care\tcare\tNN\tI-NP\tO' +p51450 +aS'.\t.\t.\tO\tO' +p51451 +asS'He had normal voiding and stooling patterns .' +p51452 +(lp51453 +S'He\tHe\tPRP\tB-NP\tO' +p51454 +aS'had\thave\tVBD\tB-VP\tO' +p51455 +aS'normal\tnormal\tJJ\tB-NP\tO' +p51456 +aS'voiding\tvoiding\tNN\tI-NP\tO' +p51457 +aS'and\tand\tCC\tO\tO' +p51458 +aS'stooling\tstool\tVBG\tB-VP\tO' +p51459 +aS'patterns\tpattern\tNNS\tB-NP\tO' +p51460 +aS'.\t.\t.\tO\tO' +p51461 +asS'Parathyroidectomy on 12-27-96 .' +p51462 +(lp51463 +S'Parathyroidectomy\tParathyroidectomy\tNN\tB-NP\tO' +p51464 +aS'on\ton\tIN\tB-PP\tO' +p51465 +aS'12-27-96\t12-27-96\tCD\tB-NP\tO' +p51466 +aS'.\t.\t.\tO\tO' +p51467 +asS'By the following mornig all mental status changes had cleared and the pt was transferred to the floors for continued care .' +p51468 +(lp51469 +S'By\tBy\tIN\tB-PP\tO' +p51470 +aS'the\tthe\tDT\tB-NP\tO' +p51471 +aS'following\tfollow\tVBG\tI-NP\tO' +p51472 +aS'mornig\tmornig\tNN\tI-NP\tO' +p51473 +aS'all\tall\tDT\tB-NP\tO' +p51474 +aS'mental\tmental\tJJ\tI-NP\tO' +p51475 +aS'status\tstatus\tNN\tI-NP\tO' +p51476 +aS'changes\tchange\tNNS\tI-NP\tO' +p51477 +aS'had\thave\tVBD\tB-VP\tO' +p51478 +aS'cleared\tclear\tVBN\tI-VP\tO' +p51479 +aS'and\tand\tCC\tO\tO' +p51480 +aS'the\tthe\tDT\tB-NP\tO' +p51481 +aS'pt\tpt\tNN\tI-NP\tO' +p51482 +aS'was\tbe\tVBD\tB-VP\tO' +p51483 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p51484 +aS'to\tto\tTO\tB-PP\tO' +p51485 +aS'the\tthe\tDT\tB-NP\tO' +p51486 +aS'floors\tfloor\tNNS\tI-NP\tO' +p51487 +aS'for\tfor\tIN\tB-PP\tO' +p51488 +aS'continued\tcontinued\tJJ\tB-NP\tO' +p51489 +aS'care\tcare\tNN\tI-NP\tO' +p51490 +aS'.\t.\t.\tO\tO' +p51491 +asS'No dysphagia , trouble hearing .' +p51492 +(lp51493 +S'No\tNo\tDT\tB-NP\tO' +p51494 +aS'dysphagia\tdysphagia\tNN\tI-NP\tO' +p51495 +aS',\t,\t,\tO\tO' +p51496 +aS'trouble\ttrouble\tNN\tB-NP\tO' +p51497 +aS'hearing\thearing\tNN\tI-NP\tO' +p51498 +aS'.\t.\t.\tO\tO' +p51499 +asS'There was mild atherosclerosis of the mid left anterior descending .' +p51500 +(lp51501 +S'There\tThere\tEX\tB-NP\tO' +p51502 +aS'was\tbe\tVBD\tB-VP\tO' +p51503 +aS'mild\tmild\tJJ\tB-NP\tO' +p51504 +aS'atherosclerosis\tatherosclerosis\tNN\tI-NP\tO' +p51505 +aS'of\tof\tIN\tB-PP\tO' +p51506 +aS'the\tthe\tDT\tB-NP\tO' +p51507 +aS'mid\tmid\tJJ\tI-NP\tO' +p51508 +aS'left\tleft\tJJ\tI-NP\tO' +p51509 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p51510 +aS'descending\tdescending\tNN\tI-NP\tO' +p51511 +aS'.\t.\t.\tO\tO' +p51512 +asS'She was aggressively anticoagulated with heparin .' +p51513 +(lp51514 +S'She\tShe\tPRP\tB-NP\tO' +p51515 +aS'was\tbe\tVBD\tB-VP\tO' +p51516 +aS'aggressively\taggressively\tRB\tI-VP\tO' +p51517 +aS'anticoagulated\tanticoagulate\tVBN\tI-VP\tO' +p51518 +aS'with\twith\tIN\tB-PP\tO' +p51519 +aS'heparin\theparin\tNN\tB-NP\tO' +p51520 +aS'.\t.\t.\tO\tO' +p51521 +asS'Her MEDICATIONS ON ADMISSION included Coumadin , digoxin , 0.125 , qD , Lasix , 40 , q.i.d. , and Vanceril inhaler .' +p51522 +(lp51523 +S'Her\tHer\tPRP$\tB-NP\tO' +p51524 +aS'MEDICATIONS\tMEDICATIONS\tNNS\tI-NP\tO' +p51525 +aS'ON\tON\tNN\tI-NP\tO' +p51526 +aS'ADMISSION\tADMISSION\tNN\tI-NP\tO' +p51527 +aS'included\tinclude\tVBD\tB-VP\tO' +p51528 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p51529 +aS',\t,\t,\tO\tO' +p51530 +aS'digoxin\tdigoxin\tNN\tB-NP\tO' +p51531 +aS',\t,\t,\tO\tO' +p51532 +aS'0.125\t0.125\tCD\tB-NP\tO' +p51533 +aS',\t,\t,\tO\tO' +p51534 +aS'qD\tqD\tNN\tB-NP\tO' +p51535 +aS',\t,\t,\tO\tO' +p51536 +aS'Lasix\tLasix\tNNP\tB-NP\tO' +p51537 +aS',\t,\t,\tO\tO' +p51538 +aS'40\t40\tCD\tB-NP\tO' +p51539 +aS',\t,\t,\tO\tO' +p51540 +aS'q.i.d.\tq.i.d.\tNN\tB-NP\tO' +p51541 +aS',\t,\t,\tO\tO' +p51542 +aS'and\tand\tCC\tO\tO' +p51543 +aS'Vanceril\tVanceril\tNNP\tB-NP\tO' +p51544 +aS'inhaler\tinhaler\tNN\tI-NP\tO' +p51545 +aS'.\t.\t.\tO\tO' +p51546 +asS'She remained afebrile , she was given ice chips .' +p51547 +(lp51548 +S'She\tShe\tPRP\tB-NP\tO' +p51549 +aS'remained\tremain\tVBD\tB-VP\tO' +p51550 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p51551 +aS',\t,\t,\tO\tO' +p51552 +aS'she\tshe\tPRP\tB-NP\tO' +p51553 +aS'was\tbe\tVBD\tB-VP\tO' +p51554 +aS'given\tgive\tVBN\tI-VP\tO' +p51555 +aS'ice\tice\tNN\tB-NP\tO' +p51556 +aS'chips\tchip\tNNS\tI-NP\tO' +p51557 +aS'.\t.\t.\tO\tO' +p51558 +asS'Attending : Collette C. Higa , M.D.' +p51559 +(lp51560 +S'Attending\tAttend\tVBG\tB-VP\tO' +p51561 +aS':\t:\t:\tO\tO' +p51562 +aS'Collette\tCollette\tNNP\tB-NP\tO' +p51563 +aS'C.\tC.\tNNP\tI-NP\tO' +p51564 +aS'Higa\tHiga\tNNP\tI-NP\tO' +p51565 +aS',\t,\t,\tO\tO' +p51566 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p51567 +asS'Surgical clips are present in the left axilla .' +p51568 +(lp51569 +S'Surgical\tSurgical\tJJ\tB-NP\tO' +p51570 +aS'clips\tclip\tNNS\tI-NP\tO' +p51571 +aS'are\tbe\tVBP\tB-VP\tO' +p51572 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p51573 +aS'in\tin\tIN\tB-PP\tO' +p51574 +aS'the\tthe\tDT\tB-NP\tO' +p51575 +aS'left\tleft\tJJ\tI-NP\tO' +p51576 +aS'axilla\taxilla\tNN\tI-NP\tO' +p51577 +aS'.\t.\t.\tO\tO' +p51578 +asS'Extensive discussions were carried out with Mrs. Less condition was irretrievable .' +p51579 +(lp51580 +S'Extensive\tExtensive\tJJ\tB-NP\tO' +p51581 +aS'discussions\tdiscussion\tNNS\tI-NP\tO' +p51582 +aS'were\tbe\tVBD\tB-VP\tO' +p51583 +aS'carried\tcarry\tVBN\tI-VP\tO' +p51584 +aS'out\tout\tRP\tB-PRT\tO' +p51585 +aS'with\twith\tIN\tB-PP\tO' +p51586 +aS'Mrs.\tMrs.\tNNP\tB-NP\tO' +p51587 +aS'Less\tLess\tNNP\tI-NP\tO' +p51588 +aS'condition\tcondition\tNN\tI-NP\tO' +p51589 +aS'was\tbe\tVBD\tB-VP\tO' +p51590 +aS'irretrievable\tirretrievable\tJJ\tB-ADJP\tO' +p51591 +aS'.\t.\t.\tO\tO' +p51592 +asS'We discontinued his Flagyl on that day .' +p51593 +(lp51594 +S'We\tWe\tPRP\tB-NP\tO' +p51595 +aS'discontinued\tdiscontinue\tVBD\tB-VP\tO' +p51596 +aS'his\this\tPRP$\tB-NP\tO' +p51597 +aS'Flagyl\tFlagyl\tNN\tI-NP\tO' +p51598 +aS'on\ton\tIN\tB-PP\tO' +p51599 +aS'that\tthat\tDT\tB-NP\tO' +p51600 +aS'day\tday\tNN\tI-NP\tO' +p51601 +aS'.\t.\t.\tO\tO' +p51602 +asS'Patient follwed with serial CXR that did not demonstrate reaccumulation .' +p51603 +(lp51604 +S'Patient\tPatient\tNN\tB-NP\tO' +p51605 +aS'follwed\tfollwe\tVBD\tB-VP\tO' +p51606 +aS'with\twith\tIN\tB-PP\tO' +p51607 +aS'serial\tserial\tJJ\tB-NP\tO' +p51608 +aS'CXR\tCXR\tNN\tI-NP\tB-protein' +p51609 +aS'that\tthat\tWDT\tB-NP\tO' +p51610 +aS'did\tdo\tVBD\tB-VP\tO' +p51611 +aS'not\tnot\tRB\tI-VP\tO' +p51612 +aS'demonstrate\tdemonstrate\tVB\tI-VP\tO' +p51613 +aS'reaccumulation\treaccumulation\tNN\tB-NP\tO' +p51614 +aS'.\t.\t.\tO\tO' +p51615 +asS'Please continue to take your other medications as prescribed .' +p51616 +(lp51617 +S'Please\tPlease\tNN\tB-NP\tB-protein' +p51618 +aS'continue\tcontinue\tVBP\tB-VP\tO' +p51619 +aS'to\tto\tTO\tI-VP\tO' +p51620 +aS'take\ttake\tVB\tI-VP\tO' +p51621 +aS'your\tyour\tPRP$\tB-NP\tO' +p51622 +aS'other\tother\tJJ\tI-NP\tO' +p51623 +aS'medications\tmedication\tNNS\tI-NP\tO' +p51624 +aS'as\tas\tIN\tB-SBAR\tO' +p51625 +aS'prescribed\tprescribe\tVBN\tB-VP\tO' +p51626 +aS'.\t.\t.\tO\tO' +p51627 +asS'Regular rate and rhythm , no murmur .' +p51628 +(lp51629 +S'Regular\tRegular\tJJ\tB-NP\tO' +p51630 +aS'rate\trate\tNN\tI-NP\tO' +p51631 +aS'and\tand\tCC\tI-NP\tO' +p51632 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p51633 +aS',\t,\t,\tO\tO' +p51634 +aS'no\tno\tDT\tB-NP\tO' +p51635 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p51636 +aS'.\t.\t.\tO\tO' +p51637 +asS'6. Percocet 1 to 2 po q 4 to 6 hours prn' +p51638 +(lp51639 +S'6.\t6.\tCD\tB-NP\tO' +p51640 +aS'Percocet\tPercocet\tNNP\tI-NP\tO' +p51641 +aS'1\t1\tCD\tI-NP\tO' +p51642 +aS'to\tto\tTO\tI-NP\tO' +p51643 +aS'2\t2\tCD\tI-NP\tO' +p51644 +aS'po\tpo\tNN\tI-NP\tO' +p51645 +aS'q\tq\tNN\tI-NP\tO' +p51646 +aS'4\t4\tCD\tB-NP\tO' +p51647 +aS'to\tto\tTO\tI-NP\tO' +p51648 +aS'6\t6\tCD\tI-NP\tO' +p51649 +aS'hours\thour\tNNS\tI-NP\tO' +p51650 +aS'prn\tprn\tVBP\tB-VP\tO' +p51651 +asS'She had paroxysms of cough and shortness of breath which resolves with water and sitting up .' +p51652 +(lp51653 +S'She\tShe\tPRP\tB-NP\tO' +p51654 +aS'had\thave\tVBD\tB-VP\tO' +p51655 +aS'paroxysms\tparoxysm\tNNS\tB-NP\tO' +p51656 +aS'of\tof\tIN\tB-PP\tO' +p51657 +aS'cough\tcough\tNN\tB-NP\tO' +p51658 +aS'and\tand\tCC\tI-NP\tO' +p51659 +aS'shortness\tshortness\tNN\tI-NP\tO' +p51660 +aS'of\tof\tIN\tB-PP\tO' +p51661 +aS'breath\tbreath\tNN\tB-NP\tO' +p51662 +aS'which\twhich\tWDT\tB-NP\tO' +p51663 +aS'resolves\tresolve\tVBZ\tB-VP\tO' +p51664 +aS'with\twith\tIN\tB-PP\tO' +p51665 +aS'water\twater\tNN\tB-NP\tO' +p51666 +aS'and\tand\tCC\tO\tO' +p51667 +aS'sitting\tsit\tVBG\tB-VP\tO' +p51668 +aS'up\tup\tRP\tB-PRT\tO' +p51669 +aS'.\t.\t.\tO\tO' +p51670 +asS'Patrick reports a mild cough for 2 days PTA , non-productive .' +p51671 +(lp51672 +S'Patrick\tPatrick\tNN\tB-NP\tO' +p51673 +aS'reports\treport\tVBZ\tB-VP\tO' +p51674 +aS'a\ta\tDT\tB-NP\tO' +p51675 +aS'mild\tmild\tJJ\tI-NP\tO' +p51676 +aS'cough\tcough\tNN\tI-NP\tO' +p51677 +aS'for\tfor\tIN\tB-PP\tO' +p51678 +aS'2\t2\tCD\tB-NP\tO' +p51679 +aS'days\tday\tNNS\tI-NP\tO' +p51680 +aS'PTA\tPTA\tNN\tI-NP\tB-protein' +p51681 +aS',\t,\t,\tO\tO' +p51682 +aS'non-productive\tnon-productive\tJJ\tB-ADJP\tO' +p51683 +aS'.\t.\t.\tO\tO' +p51684 +asS'Her family felt that at the present time , because her condition was no good , they would like to just take her home so that she could enjoy the quality of life .' +p51685 +(lp51686 +S'Her\tHer\tPRP$\tB-NP\tB-protein' +p51687 +aS'family\tfamily\tNN\tI-NP\tI-protein' +p51688 +aS'felt\tfeel\tVBD\tB-VP\tO' +p51689 +aS'that\tthat\tIN\tB-SBAR\tO' +p51690 +aS'at\tat\tIN\tB-PP\tO' +p51691 +aS'the\tthe\tDT\tB-NP\tO' +p51692 +aS'present\tpresent\tJJ\tI-NP\tO' +p51693 +aS'time\ttime\tNN\tI-NP\tO' +p51694 +aS',\t,\t,\tO\tO' +p51695 +aS'because\tbecause\tIN\tB-SBAR\tO' +p51696 +aS'her\ther\tPRP$\tB-NP\tO' +p51697 +aS'condition\tcondition\tNN\tI-NP\tO' +p51698 +aS'was\tbe\tVBD\tB-VP\tO' +p51699 +aS'no\tno\tDT\tB-NP\tO' +p51700 +aS'good\tgood\tJJ\tI-NP\tO' +p51701 +aS',\t,\t,\tO\tO' +p51702 +aS'they\tthey\tPRP\tB-NP\tO' +p51703 +aS'would\twould\tMD\tB-VP\tO' +p51704 +aS'like\tlike\tVB\tI-VP\tO' +p51705 +aS'to\tto\tTO\tI-VP\tO' +p51706 +aS'just\tjust\tRB\tI-VP\tO' +p51707 +aS'take\ttake\tVB\tI-VP\tO' +p51708 +aS'her\ther\tPRP$\tB-NP\tO' +p51709 +aS'home\thome\tNN\tI-NP\tO' +p51710 +aS'so\tso\tIN\tB-SBAR\tO' +p51711 +aS'that\tthat\tIN\tI-SBAR\tO' +p51712 +aS'she\tshe\tPRP\tB-NP\tO' +p51713 +aS'could\tcould\tMD\tB-VP\tO' +p51714 +aS'enjoy\tenjoy\tVB\tI-VP\tO' +p51715 +aS'the\tthe\tDT\tB-NP\tO' +p51716 +aS'quality\tquality\tNN\tI-NP\tO' +p51717 +aS'of\tof\tIN\tB-PP\tO' +p51718 +aS'life\tlife\tNN\tB-NP\tO' +p51719 +aS'.\t.\t.\tO\tO' +p51720 +asS'LDH was 38.9 , CK was 66 , her hematocrit was 27.4 , white count was 8.0 and her platelets were 55 .' +p51721 +(lp51722 +S'LDH\tLDH\tNN\tB-NP\tB-protein' +p51723 +aS'was\tbe\tVBD\tB-VP\tO' +p51724 +aS'38.9\t38.9\tCD\tB-NP\tO' +p51725 +aS',\t,\t,\tO\tO' +p51726 +aS'CK\tCK\tNN\tB-NP\tB-protein' +p51727 +aS'was\tbe\tVBD\tB-VP\tO' +p51728 +aS'66\t66\tCD\tB-ADVP\tO' +p51729 +aS',\t,\t,\tO\tO' +p51730 +aS'her\ther\tPRP$\tB-NP\tO' +p51731 +aS'hematocrit\thematocrit\tNN\tI-NP\tB-protein' +p51732 +aS'was\tbe\tVBD\tB-VP\tI-protein' +p51733 +aS'27.4\t27.4\tCD\tB-NP\tI-protein' +p51734 +aS',\t,\t,\tO\tO' +p51735 +aS'white\twhite\tJJ\tB-NP\tO' +p51736 +aS'count\tcount\tNN\tI-NP\tO' +p51737 +aS'was\tbe\tVBD\tB-VP\tO' +p51738 +aS'8.0\t8.0\tCD\tB-NP\tO' +p51739 +aS'and\tand\tCC\tO\tO' +p51740 +aS'her\ther\tPRP$\tB-NP\tO' +p51741 +aS'platelets\tplatelet\tNNS\tI-NP\tB-cell_type' +p51742 +aS'were\tbe\tVBD\tB-VP\tO' +p51743 +aS'55\t55\tCD\tB-NP\tO' +p51744 +aS'.\t.\t.\tO\tO' +p51745 +asS'Platelet count was 759,000 .' +p51746 +(lp51747 +S'Platelet\tPlatelet\tNN\tB-NP\tO' +p51748 +aS'count\tcount\tNN\tI-NP\tO' +p51749 +aS'was\tbe\tVBD\tB-VP\tO' +p51750 +aS'759,000\t759,000\tCD\tB-NP\tO' +p51751 +aS'.\t.\t.\tO\tO' +p51752 +asS'Insight , abstract thinking and ______________ test were all intact .' +p51753 +(lp51754 +S'Insight\tInsight\tNN\tB-NP\tO' +p51755 +aS',\t,\t,\tO\tO' +p51756 +aS'abstract\tabstract\tJJ\tB-NP\tO' +p51757 +aS'thinking\tthinking\tNN\tI-NP\tO' +p51758 +aS'and\tand\tCC\tI-NP\tO' +p51759 +aS'______________\t______________\tNN\tI-NP\tO' +p51760 +aS'test\ttest\tNN\tI-NP\tO' +p51761 +aS'were\tbe\tVBD\tB-VP\tO' +p51762 +aS'all\tall\tDT\tO\tO' +p51763 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p51764 +aS'.\t.\t.\tO\tO' +p51765 +asS'4. Liver laceration .' +p51766 +(lp51767 +S'4.\t4.\tLS\tB-NP\tO' +p51768 +aS'Liver\tLiver\tNN\tI-NP\tO' +p51769 +aS'laceration\tlaceration\tNN\tI-NP\tO' +p51770 +aS'.\t.\t.\tO\tO' +p51771 +asS'If you need additional information please call 598-754-5083 .' +p51772 +(lp51773 +S'If\tIf\tIN\tB-SBAR\tO' +p51774 +aS'you\tyou\tPRP\tB-NP\tO' +p51775 +aS'need\tneed\tVBP\tB-VP\tO' +p51776 +aS'additional\tadditional\tJJ\tB-NP\tO' +p51777 +aS'information\tinformation\tNN\tI-NP\tO' +p51778 +aS'please\tplease\tNN\tI-NP\tO' +p51779 +aS'call\tcall\tNN\tI-NP\tO' +p51780 +aS'598-754-5083\t598-754-5083\tCD\tI-NP\tO' +p51781 +aS'.\t.\t.\tO\tO' +p51782 +asS'He was feeling well and afebrile .' +p51783 +(lp51784 +S'He\tHe\tPRP\tB-NP\tO' +p51785 +aS'was\tbe\tVBD\tB-VP\tO' +p51786 +aS'feeling\tfeel\tVBG\tI-VP\tO' +p51787 +aS'well\twell\tRB\tB-ADVP\tO' +p51788 +aS'and\tand\tCC\tI-ADVP\tO' +p51789 +aS'afebrile\tafebrile\tRB\tI-ADVP\tO' +p51790 +aS'.\t.\t.\tO\tO' +p51791 +asS'Improved .' +p51792 +(lp51793 +S'Improved\tImprove\tVBN\tB-VP\tO' +p51794 +aS'.\t.\t.\tO\tO' +p51795 +asS'Urine sodium is 75 , urine creatinine 143 , urine osmose 392 .' +p51796 +(lp51797 +S'Urine\tUrine\tNN\tB-NP\tO' +p51798 +aS'sodium\tsodium\tNN\tI-NP\tO' +p51799 +aS'is\tbe\tVBZ\tB-VP\tO' +p51800 +aS'75\t75\tCD\tB-NP\tO' +p51801 +aS',\t,\t,\tO\tO' +p51802 +aS'urine\turine\tNN\tB-NP\tO' +p51803 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p51804 +aS'143\t143\tCD\tI-NP\tO' +p51805 +aS',\t,\t,\tO\tO' +p51806 +aS'urine\turine\tNN\tB-NP\tO' +p51807 +aS'osmose\tosmose\tNN\tI-NP\tO' +p51808 +aS'392\t392\tCD\tI-NP\tO' +p51809 +aS'.\t.\t.\tO\tO' +p51810 +asS'Radical retropubic prostatectomy , bilateral lymph node dissection .' +p51811 +(lp51812 +S'Radical\tRadical\tJJ\tB-NP\tO' +p51813 +aS'retropubic\tretropubic\tJJ\tI-NP\tO' +p51814 +aS'prostatectomy\tprostatectomy\tNN\tI-NP\tO' +p51815 +aS',\t,\t,\tO\tO' +p51816 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p51817 +aS'lymph\tlymph\tNN\tI-NP\tO' +p51818 +aS'node\tnode\tNN\tI-NP\tO' +p51819 +aS'dissection\tdissection\tNN\tI-NP\tO' +p51820 +aS'.\t.\t.\tO\tO' +p51821 +asS'Bowel sounds positive , soft , non-tender , non-distended .' +p51822 +(lp51823 +S'Bowel\tBowel\tNNP\tB-NP\tO' +p51824 +aS'sounds\tsound\tVBZ\tB-VP\tO' +p51825 +aS'positive\tpositive\tJJ\tB-NP\tO' +p51826 +aS',\t,\t,\tI-NP\tO' +p51827 +aS'soft\tsoft\tJJ\tI-NP\tO' +p51828 +aS',\t,\t,\tI-NP\tO' +p51829 +aS'non-tender\tnon-tender\tJJ\tI-NP\tO' +p51830 +aS',\t,\t,\tI-NP\tO' +p51831 +aS'non-distended\tnon-distended\tJJ\tI-NP\tO' +p51832 +aS'.\t.\t.\tO\tO' +p51833 +asS'Dr. Rencobe and Dr. Saddbeem .' +p51834 +(lp51835 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p51836 +aS'Rencobe\tRencobe\tNNP\tI-NP\tO' +p51837 +aS'and\tand\tCC\tO\tO' +p51838 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p51839 +aS'Saddbeem\tSaddbeem\tNNP\tI-NP\tO' +p51840 +aS'.\t.\t.\tO\tO' +p51841 +asS'- The patient had a colonoscopy on Monday 11-05 but unfortunately , was unable to complete the study as his bowel' +p51842 +(lp51843 +S'-\t-\tHYPH\tO\tO' +p51844 +aS'The\tThe\tDT\tB-NP\tO' +p51845 +aS'patient\tpatient\tNN\tI-NP\tO' +p51846 +aS'had\thave\tVBD\tB-VP\tO' +p51847 +aS'a\ta\tDT\tB-NP\tO' +p51848 +aS'colonoscopy\tcolonoscopy\tNN\tI-NP\tO' +p51849 +aS'on\ton\tIN\tB-PP\tO' +p51850 +aS'Monday\tMonday\tNNP\tB-NP\tO' +p51851 +aS'11-05\t11-05\tCD\tI-NP\tO' +p51852 +aS'but\tbut\tCC\tO\tO' +p51853 +aS'unfortunately\tunfortunately\tRB\tB-ADVP\tO' +p51854 +aS',\t,\t,\tO\tO' +p51855 +aS'was\tbe\tVBD\tB-VP\tO' +p51856 +aS'unable\tunable\tJJ\tB-ADJP\tO' +p51857 +aS'to\tto\tTO\tB-VP\tO' +p51858 +aS'complete\tcomplete\tVB\tI-VP\tO' +p51859 +aS'the\tthe\tDT\tB-NP\tO' +p51860 +aS'study\tstudy\tNN\tI-NP\tO' +p51861 +aS'as\tas\tIN\tB-PP\tO' +p51862 +aS'his\this\tPRP$\tB-NP\tO' +p51863 +aS'bowel\tbowel\tNN\tI-NP\tO' +p51864 +asS'The patient tolerated the chemotherapy regimen well .' +p51865 +(lp51866 +S'The\tThe\tDT\tB-NP\tO' +p51867 +aS'patient\tpatient\tNN\tI-NP\tO' +p51868 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p51869 +aS'the\tthe\tDT\tB-NP\tO' +p51870 +aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' +p51871 +aS'regimen\tregimen\tNN\tI-NP\tO' +p51872 +aS'well\twell\tRB\tB-ADVP\tO' +p51873 +aS'.\t.\t.\tO\tO' +p51874 +asS'She does have one son who died at the age of 21 years old .' +p51875 +(lp51876 +S'She\tShe\tPRP\tB-NP\tO' +p51877 +aS'does\tdo\tVBZ\tB-VP\tO' +p51878 +aS'have\thave\tVB\tI-VP\tO' +p51879 +aS'one\tone\tCD\tB-NP\tO' +p51880 +aS'son\tson\tNN\tI-NP\tO' +p51881 +aS'who\twho\tWP\tB-NP\tO' +p51882 +aS'died\tdie\tVBD\tB-VP\tO' +p51883 +aS'at\tat\tIN\tB-PP\tO' +p51884 +aS'the\tthe\tDT\tB-NP\tO' +p51885 +aS'age\tage\tNN\tI-NP\tO' +p51886 +aS'of\tof\tIN\tB-PP\tO' +p51887 +aS'21\t21\tCD\tB-NP\tO' +p51888 +aS'years\tyear\tNNS\tI-NP\tO' +p51889 +aS'old\told\tJJ\tB-ADJP\tO' +p51890 +aS'.\t.\t.\tO\tO' +p51891 +asS'The patient had ANCA , anti-GBM , anti-streptolycin , ANA , UPEP , SPEP , renal ultrasound , hepatitis C cryoglobulin sent out .' +p51892 +(lp51893 +S'The\tThe\tDT\tB-NP\tO' +p51894 +aS'patient\tpatient\tNN\tI-NP\tO' +p51895 +aS'had\thave\tVBD\tB-VP\tO' +p51896 +aS'ANCA\tANCA\tNNP\tB-NP\tO' +p51897 +aS',\t,\t,\tO\tO' +p51898 +aS'anti-GBM\tanti-GBM\tJJ\tB-NP\tO' +p51899 +aS',\t,\t,\tI-NP\tO' +p51900 +aS'anti-streptolycin\tanti-streptolycin\tJJ\tI-NP\tO' +p51901 +aS',\t,\t,\tI-NP\tO' +p51902 +aS'ANA\tANA\tNN\tI-NP\tO' +p51903 +aS',\t,\t,\tI-NP\tO' +p51904 +aS'UPEP\tUPEP\tNN\tI-NP\tB-protein' +p51905 +aS',\t,\t,\tI-NP\tO' +p51906 +aS'SPEP\tSPEP\tNN\tI-NP\tB-protein' +p51907 +aS',\t,\t,\tI-NP\tO' +p51908 +aS'renal\trenal\tJJ\tI-NP\tO' +p51909 +aS'ultrasound\tultrasound\tNN\tI-NP\tO' +p51910 +aS',\t,\t,\tO\tO' +p51911 +aS'hepatitis\thepatitis\tNN\tB-NP\tB-protein' +p51912 +aS'C\tC\tNN\tI-NP\tI-protein' +p51913 +aS'cryoglobulin\tcryoglobulin\tNN\tI-NP\tI-protein' +p51914 +aS'sent\tsend\tVBD\tB-VP\tO' +p51915 +aS'out\tout\tRP\tB-PRT\tO' +p51916 +aS'.\t.\t.\tO\tO' +p51917 +asS'2. Furosemide 20 mg Tablet Sig : One ( 1 ) Tablet PO once a Leukhardt for 2 weeks .' +p51918 +(lp51919 +S'2.\t2.\tLS\tB-NP\tO' +p51920 +aS'Furosemide\tFurosemide\tNN\tI-NP\tO' +p51921 +aS'20\t20\tCD\tI-NP\tO' +p51922 +aS'mg\tmg\tNN\tI-NP\tO' +p51923 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p51924 +aS'Sig\tSig\tNNP\tI-NP\tO' +p51925 +aS':\t:\t:\tO\tO' +p51926 +aS'One\tOne\tCD\tB-NP\tO' +p51927 +aS'(\t(\t(\tO\tO' +p51928 +aS'1\t1\tCD\tB-NP\tO' +p51929 +aS')\t)\t)\tO\tO' +p51930 +aS'Tablet\tTablet\tNN\tB-NP\tB-protein' +p51931 +aS'PO\tPO\tNN\tI-NP\tI-protein' +p51932 +aS'once\tonce\tIN\tB-SBAR\tO' +p51933 +aS'a\ta\tDT\tB-NP\tO' +p51934 +aS'Leukhardt\tLeukhardt\tNNP\tI-NP\tO' +p51935 +aS'for\tfor\tIN\tB-PP\tO' +p51936 +aS'2\t2\tCD\tB-NP\tO' +p51937 +aS'weeks\tweek\tNNS\tI-NP\tO' +p51938 +aS'.\t.\t.\tO\tO' +p51939 +asS'Disks were flat .' +p51940 +(lp51941 +S'Disks\tDisk\tNNS\tB-NP\tO' +p51942 +aS'were\tbe\tVBD\tB-VP\tO' +p51943 +aS'flat\tflat\tJJ\tB-ADJP\tO' +p51944 +aS'.\t.\t.\tO\tO' +p51945 +asS'NON-CONTRAST HEAD CT : There is a small amount of hemorrhage within the occipital horns of both lateral ventricles , right greater than left .' +p51946 +(lp51947 +S'NON-CONTRAST\tNON-CONTRAST\tNN\tB-NP\tO' +p51948 +aS'HEAD\tHEAD\tNN\tI-NP\tO' +p51949 +aS'CT\tCT\tNN\tI-NP\tO' +p51950 +aS':\t:\t:\tO\tO' +p51951 +aS'There\tThere\tEX\tB-NP\tO' +p51952 +aS'is\tbe\tVBZ\tB-VP\tO' +p51953 +aS'a\ta\tDT\tB-NP\tO' +p51954 +aS'small\tsmall\tJJ\tI-NP\tO' +p51955 +aS'amount\tamount\tNN\tI-NP\tO' +p51956 +aS'of\tof\tIN\tB-PP\tO' +p51957 +aS'hemorrhage\themorrhage\tNN\tB-NP\tO' +p51958 +aS'within\twithin\tIN\tB-PP\tO' +p51959 +aS'the\tthe\tDT\tB-NP\tO' +p51960 +aS'occipital\toccipital\tJJ\tI-NP\tO' +p51961 +aS'horns\thorn\tNNS\tI-NP\tO' +p51962 +aS'of\tof\tIN\tB-PP\tO' +p51963 +aS'both\tboth\tCC\tB-NP\tO' +p51964 +aS'lateral\tlateral\tJJ\tI-NP\tO' +p51965 +aS'ventricles\tventricle\tNNS\tI-NP\tO' +p51966 +aS',\t,\t,\tO\tO' +p51967 +aS'right\tright\tRB\tB-ADVP\tO' +p51968 +aS'greater\tgreat\tJJR\tI-ADVP\tO' +p51969 +aS'than\tthan\tIN\tB-PP\tO' +p51970 +aS'left\tleft\tJJ\tB-ADJP\tO' +p51971 +aS'.\t.\t.\tO\tO' +p51972 +asS'If symptoms continue to be overwhelming return to V or call 1-903-263-5797' +p51973 +(lp51974 +S'If\tIf\tIN\tB-SBAR\tO' +p51975 +aS'symptoms\tsymptom\tNNS\tB-NP\tO' +p51976 +aS'continue\tcontinue\tVBP\tB-VP\tO' +p51977 +aS'to\tto\tTO\tI-VP\tO' +p51978 +aS'be\tbe\tVB\tI-VP\tO' +p51979 +aS'overwhelming\toverwhelming\tJJ\tB-NP\tO' +p51980 +aS'return\treturn\tNN\tI-NP\tO' +p51981 +aS'to\tto\tTO\tB-PP\tO' +p51982 +aS'V\tV\tNN\tB-NP\tO' +p51983 +aS'or\tor\tCC\tO\tO' +p51984 +aS'call\tcall\tVB\tB-VP\tO' +p51985 +aS'1-903-263-5797\t1-903-263-5797\tCD\tB-NP\tO' +p51986 +asS'There was no CSF density .' +p51987 +(lp51988 +S'There\tThere\tEX\tB-NP\tO' +p51989 +aS'was\tbe\tVBD\tB-VP\tO' +p51990 +aS'no\tno\tDT\tB-NP\tO' +p51991 +aS'CSF\tCSF\tNN\tI-NP\tB-protein' +p51992 +aS'density\tdensity\tNN\tI-NP\tO' +p51993 +aS'.\t.\t.\tO\tO' +p51994 +asS'A follow-up CT scan was done which did not show any evidence for splenomegaly or hepatomegaly .' +p51995 +(lp51996 +S'A\tA\tDT\tB-NP\tO' +p51997 +aS'follow-up\tfollow-up\tJJ\tI-NP\tO' +p51998 +aS'CT\tCT\tNN\tI-NP\tO' +p51999 +aS'scan\tscan\tNN\tI-NP\tO' +p52000 +aS'was\tbe\tVBD\tB-VP\tO' +p52001 +aS'done\tdo\tVBN\tI-VP\tO' +p52002 +aS'which\twhich\tWDT\tB-NP\tO' +p52003 +aS'did\tdo\tVBD\tB-VP\tO' +p52004 +aS'not\tnot\tRB\tI-VP\tO' +p52005 +aS'show\tshow\tVB\tI-VP\tO' +p52006 +aS'any\tany\tDT\tB-NP\tO' +p52007 +aS'evidence\tevidence\tNN\tI-NP\tO' +p52008 +aS'for\tfor\tIN\tB-PP\tO' +p52009 +aS'splenomegaly\tsplenomegaly\tNN\tB-NP\tO' +p52010 +aS'or\tor\tCC\tI-NP\tO' +p52011 +aS'hepatomegaly\thepatomegaly\tNN\tI-NP\tO' +p52012 +aS'.\t.\t.\tO\tO' +p52013 +asS"Patient was transferred to the Kindred Hospital Melendez the patient 's primary care provider was here ." +p52014 +(lp52015 +S'Patient\tPatient\tNN\tB-NP\tO' +p52016 +aS'was\tbe\tVBD\tB-VP\tO' +p52017 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p52018 +aS'to\tto\tTO\tB-PP\tO' +p52019 +aS'the\tthe\tDT\tB-NP\tO' +p52020 +aS'Kindred\tKindred\tNNP\tI-NP\tO' +p52021 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p52022 +aS'Melendez\tMelendez\tNNP\tI-NP\tO' +p52023 +aS'the\tthe\tDT\tB-NP\tO' +p52024 +aS'patient\tpatient\tNN\tI-NP\tO' +p52025 +aS"'s\t's\tPOS\tB-NP\tO" +p52026 +aS'primary\tprimary\tJJ\tI-NP\tO' +p52027 +aS'care\tcare\tNN\tI-NP\tO' +p52028 +aS'provider\tprovider\tNN\tI-NP\tO' +p52029 +aS'was\tbe\tVBD\tB-VP\tO' +p52030 +aS'here\there\tRB\tB-ADVP\tO' +p52031 +aS'.\t.\t.\tO\tO' +p52032 +asS'10. Glucophage 500 mg p.o. twice a day .' +p52033 +(lp52034 +S'10.\t10.\tCD\tB-NP\tO' +p52035 +aS'Glucophage\tGlucophage\tNN\tI-NP\tO' +p52036 +aS'500\t500\tCD\tB-NP\tO' +p52037 +aS'mg\tmg\tNN\tI-NP\tO' +p52038 +aS'p.o.\tp.o.\tRB\tB-NP\tO' +p52039 +aS'twice\ttwice\tRB\tI-NP\tO' +p52040 +aS'a\ta\tDT\tI-NP\tO' +p52041 +aS'day\tday\tNN\tI-NP\tO' +p52042 +aS'.\t.\t.\tO\tO' +p52043 +asS'He is also on MS Contin 45 mg PO q12 hours ( confirmed with wife ) and MSIR 15 mg every 4 hours as needed .' +p52044 +(lp52045 +S'He\tHe\tPRP\tB-NP\tO' +p52046 +aS'is\tbe\tVBZ\tB-VP\tO' +p52047 +aS'also\talso\tRB\tB-ADVP\tO' +p52048 +aS'on\ton\tIN\tB-PP\tO' +p52049 +aS'MS\tMS\tNN\tB-NP\tO' +p52050 +aS'Contin\tContin\tNN\tI-NP\tO' +p52051 +aS'45\t45\tCD\tI-NP\tO' +p52052 +aS'mg\tmg\tNN\tI-NP\tO' +p52053 +aS'PO\tPO\tNN\tI-NP\tO' +p52054 +aS'q12\tq12\tNN\tI-NP\tO' +p52055 +aS'hours\thour\tNNS\tI-NP\tO' +p52056 +aS'(\t(\t(\tO\tO' +p52057 +aS'confirmed\tconfirm\tVBN\tB-VP\tO' +p52058 +aS'with\twith\tIN\tB-PP\tO' +p52059 +aS'wife\twife\tNN\tB-NP\tO' +p52060 +aS')\t)\t)\tO\tO' +p52061 +aS'and\tand\tCC\tO\tO' +p52062 +aS'MSIR\tMSIR\tNN\tB-NP\tO' +p52063 +aS'15\t15\tCD\tI-NP\tO' +p52064 +aS'mg\tmg\tNN\tI-NP\tO' +p52065 +aS'every\tevery\tDT\tB-NP\tO' +p52066 +aS'4\t4\tCD\tI-NP\tO' +p52067 +aS'hours\thour\tNNS\tI-NP\tO' +p52068 +aS'as\tas\tIN\tB-PP\tO' +p52069 +aS'needed\tneed\tVBN\tB-VP\tO' +p52070 +aS'.\t.\t.\tO\tO' +p52071 +asS'The patient has a history of ischemic bowel status post SMA Percutaneous Transluminal Coronary Angioplasty with recent admission for gram negative rod urosepsis complicated by C. difficile colitis .' +p52072 +(lp52073 +S'The\tThe\tDT\tB-NP\tO' +p52074 +aS'patient\tpatient\tNN\tI-NP\tO' +p52075 +aS'has\thave\tVBZ\tB-VP\tO' +p52076 +aS'a\ta\tDT\tB-NP\tO' +p52077 +aS'history\thistory\tNN\tI-NP\tO' +p52078 +aS'of\tof\tIN\tB-PP\tO' +p52079 +aS'ischemic\tischemic\tJJ\tB-NP\tO' +p52080 +aS'bowel\tbowel\tNN\tI-NP\tO' +p52081 +aS'status\tstatus\tNN\tI-NP\tO' +p52082 +aS'post\tpost\tIN\tB-PP\tO' +p52083 +aS'SMA\tSMA\tNNP\tB-NP\tO' +p52084 +aS'Percutaneous\tPercutaneous\tNNP\tI-NP\tO' +p52085 +aS'Transluminal\tTransluminal\tNNP\tI-NP\tO' +p52086 +aS'Coronary\tCoronary\tNNP\tI-NP\tO' +p52087 +aS'Angioplasty\tAngioplasty\tNNP\tI-NP\tO' +p52088 +aS'with\twith\tIN\tB-PP\tO' +p52089 +aS'recent\trecent\tJJ\tB-NP\tO' +p52090 +aS'admission\tadmission\tNN\tI-NP\tO' +p52091 +aS'for\tfor\tIN\tB-PP\tO' +p52092 +aS'gram\tgram\tNN\tB-NP\tO' +p52093 +aS'negative\tnegative\tJJ\tI-NP\tO' +p52094 +aS'rod\trod\tNN\tI-NP\tO' +p52095 +aS'urosepsis\turosepsis\tNN\tI-NP\tO' +p52096 +aS'complicated\tcomplicate\tVBN\tB-VP\tO' +p52097 +aS'by\tby\tIN\tB-PP\tO' +p52098 +aS'C.\tC.\tFW\tB-NP\tO' +p52099 +aS'difficile\tdifficile\tJJ\tI-NP\tO' +p52100 +aS'colitis\tcolitis\tNN\tI-NP\tO' +p52101 +aS'.\t.\t.\tO\tO' +p52102 +asS'2. Exaggerated physiologic hyperbilirubinemia responsive to phototherapy .' +p52103 +(lp52104 +S'2.\t2.\tLS\tB-LST\tO' +p52105 +aS'Exaggerated\tExaggerate\tVBD\tB-VP\tO' +p52106 +aS'physiologic\tphysiologic\tJJ\tB-NP\tO' +p52107 +aS'hyperbilirubinemia\thyperbilirubinemia\tNN\tI-NP\tO' +p52108 +aS'responsive\tresponsive\tJJ\tB-ADJP\tO' +p52109 +aS'to\tto\tTO\tB-PP\tO' +p52110 +aS'phototherapy\tphototherapy\tNN\tB-NP\tO' +p52111 +aS'.\t.\t.\tO\tO' +p52112 +asS'Rectal tone was normal , guaiac negative stool .' +p52113 +(lp52114 +S'Rectal\tRectal\tJJ\tB-NP\tO' +p52115 +aS'tone\ttone\tNN\tI-NP\tO' +p52116 +aS'was\tbe\tVBD\tB-VP\tO' +p52117 +aS'normal\tnormal\tJJ\tB-NP\tO' +p52118 +aS',\t,\t,\tI-NP\tO' +p52119 +aS'guaiac\tguaiac\tJJ\tI-NP\tO' +p52120 +aS'negative\tnegative\tJJ\tI-NP\tO' +p52121 +aS'stool\tstool\tNN\tI-NP\tO' +p52122 +aS'.\t.\t.\tO\tO' +p52123 +asS'The patient was transferred to the West Campus on postoperative day #2 in stable condition .' +p52124 +(lp52125 +S'The\tThe\tDT\tB-NP\tO' +p52126 +aS'patient\tpatient\tNN\tI-NP\tO' +p52127 +aS'was\tbe\tVBD\tB-VP\tO' +p52128 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p52129 +aS'to\tto\tTO\tB-PP\tO' +p52130 +aS'the\tthe\tDT\tB-NP\tO' +p52131 +aS'West\tWest\tNNP\tI-NP\tO' +p52132 +aS'Campus\tCampus\tNNP\tI-NP\tO' +p52133 +aS'on\ton\tIN\tB-PP\tO' +p52134 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p52135 +aS'day\tday\tNN\tI-NP\tO' +p52136 +aS'#2\t#2\tNN\tI-NP\tO' +p52137 +aS'in\tin\tIN\tB-PP\tO' +p52138 +aS'stable\tstable\tJJ\tB-NP\tO' +p52139 +aS'condition\tcondition\tNN\tI-NP\tO' +p52140 +aS'.\t.\t.\tO\tO' +p52141 +asS'The remainder of his hospitalization was uncomplicated .' +p52142 +(lp52143 +S'The\tThe\tDT\tB-NP\tO' +p52144 +aS'remainder\tremainder\tNN\tI-NP\tO' +p52145 +aS'of\tof\tIN\tB-PP\tO' +p52146 +aS'his\this\tPRP$\tB-NP\tO' +p52147 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p52148 +aS'was\tbe\tVBD\tB-VP\tO' +p52149 +aS'uncomplicated\tuncomplicated\tJJ\tB-ADJP\tO' +p52150 +aS'.\t.\t.\tO\tO' +p52151 +asS'Echocardiogram times two .' +p52152 +(lp52153 +S'Echocardiogram\tEchocardiogram\tNN\tB-NP\tO' +p52154 +aS'times\ttime\tNNS\tI-NP\tO' +p52155 +aS'two\ttwo\tCD\tB-NP\tO' +p52156 +aS'.\t.\t.\tO\tO' +p52157 +asS'Her platelet count stayed persistently low and we decided that it might be due to Cimetidine .' +p52158 +(lp52159 +S'Her\tHer\tPRP$\tB-NP\tO' +p52160 +aS'platelet\tplatelet\tNN\tI-NP\tO' +p52161 +aS'count\tcount\tNN\tI-NP\tO' +p52162 +aS'stayed\tstay\tVBD\tB-VP\tO' +p52163 +aS'persistently\tpersistently\tRB\tB-ADJP\tO' +p52164 +aS'low\tlow\tJJ\tI-ADJP\tO' +p52165 +aS'and\tand\tCC\tO\tO' +p52166 +aS'we\twe\tPRP\tB-NP\tO' +p52167 +aS'decided\tdecide\tVBD\tB-VP\tO' +p52168 +aS'that\tthat\tIN\tB-SBAR\tO' +p52169 +aS'it\tit\tPRP\tB-NP\tO' +p52170 +aS'might\tmight\tMD\tB-VP\tO' +p52171 +aS'be\tbe\tVB\tI-VP\tO' +p52172 +aS'due\tdue\tJJ\tB-ADJP\tO' +p52173 +aS'to\tto\tTO\tB-PP\tO' +p52174 +aS'Cimetidine\tCimetidine\tNN\tB-NP\tO' +p52175 +aS'.\t.\t.\tO\tO' +p52176 +asS'At this point the patient continued to followed by Infectious Disease Service and continued to be on intravenous antibiotics which included Vancomycin and Levofloxacin .' +p52177 +(lp52178 +S'At\tAt\tIN\tB-PP\tO' +p52179 +aS'this\tthis\tDT\tB-NP\tO' +p52180 +aS'point\tpoint\tNN\tI-NP\tO' +p52181 +aS'the\tthe\tDT\tB-NP\tO' +p52182 +aS'patient\tpatient\tNN\tI-NP\tO' +p52183 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p52184 +aS'to\tto\tTO\tI-VP\tO' +p52185 +aS'followed\tfollow\tVBN\tI-VP\tO' +p52186 +aS'by\tby\tIN\tB-PP\tO' +p52187 +aS'Infectious\tInfectious\tNNP\tB-NP\tO' +p52188 +aS'Disease\tDisease\tNNP\tI-NP\tO' +p52189 +aS'Service\tService\tNNP\tI-NP\tO' +p52190 +aS'and\tand\tCC\tO\tO' +p52191 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p52192 +aS'to\tto\tTO\tI-VP\tO' +p52193 +aS'be\tbe\tVB\tI-VP\tO' +p52194 +aS'on\ton\tIN\tB-PP\tO' +p52195 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p52196 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p52197 +aS'which\twhich\tWDT\tB-NP\tO' +p52198 +aS'included\tinclude\tVBD\tB-VP\tO' +p52199 +aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' +p52200 +aS'and\tand\tCC\tI-NP\tO' +p52201 +aS'Levofloxacin\tLevofloxacin\tNN\tI-NP\tO' +p52202 +aS'.\t.\t.\tO\tO' +p52203 +asS'PTT was 55 .' +p52204 +(lp52205 +S'PTT\tPTT\tNN\tB-NP\tO' +p52206 +aS'was\tbe\tVBD\tB-VP\tO' +p52207 +aS'55\t55\tCD\tB-NP\tO' +p52208 +aS'.\t.\t.\tO\tO' +p52209 +asS'7. Asthma .' +p52210 +(lp52211 +S'7.\t7.\tCD\tB-NP\tO' +p52212 +aS'Asthma\tAsthma\tNNP\tI-NP\tO' +p52213 +aS'.\t.\t.\tO\tO' +p52214 +asS'On postoperative day three , he transferred to the SDU .' +p52215 +(lp52216 +S'On\tOn\tIN\tB-PP\tO' +p52217 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p52218 +aS'day\tday\tNN\tI-NP\tO' +p52219 +aS'three\tthree\tCD\tI-NP\tO' +p52220 +aS',\t,\t,\tO\tO' +p52221 +aS'he\the\tPRP\tB-NP\tO' +p52222 +aS'transferred\ttransfer\tVBD\tB-VP\tO' +p52223 +aS'to\tto\tTO\tB-PP\tO' +p52224 +aS'the\tthe\tDT\tB-NP\tO' +p52225 +aS'SDU\tSDU\tNNP\tI-NP\tO' +p52226 +aS'.\t.\t.\tO\tO' +p52227 +asS'His face was symmetric ; tongue was midline .' +p52228 +(lp52229 +S'His\tHis\tPRP$\tB-NP\tO' +p52230 +aS'face\tface\tNN\tI-NP\tO' +p52231 +aS'was\tbe\tVBD\tB-VP\tO' +p52232 +aS'symmetric\tsymmetric\tJJ\tB-ADJP\tO' +p52233 +aS';\t;\t:\tO\tO' +p52234 +aS'tongue\ttongue\tNN\tB-NP\tO' +p52235 +aS'was\tbe\tVBD\tB-VP\tO' +p52236 +aS'midline\tmidline\tNN\tB-NP\tO' +p52237 +aS'.\t.\t.\tO\tO' +p52238 +asS'The patient did not qualify for routine ophthalmology exams due to his gestational age at birth .' +p52239 +(lp52240 +S'The\tThe\tDT\tB-NP\tO' +p52241 +aS'patient\tpatient\tNN\tI-NP\tO' +p52242 +aS'did\tdo\tVBD\tB-VP\tO' +p52243 +aS'not\tnot\tRB\tI-VP\tO' +p52244 +aS'qualify\tqualify\tVB\tI-VP\tO' +p52245 +aS'for\tfor\tIN\tB-PP\tO' +p52246 +aS'routine\troutine\tJJ\tB-NP\tO' +p52247 +aS'ophthalmology\tophthalmology\tNN\tI-NP\tO' +p52248 +aS'exams\texam\tNNS\tI-NP\tO' +p52249 +aS'due\tdue\tJJ\tB-ADJP\tO' +p52250 +aS'to\tto\tTO\tB-PP\tO' +p52251 +aS'his\this\tPRP$\tB-NP\tO' +p52252 +aS'gestational\tgestational\tJJ\tI-NP\tO' +p52253 +aS'age\tage\tNN\tI-NP\tO' +p52254 +aS'at\tat\tIN\tB-PP\tO' +p52255 +aS'birth\tbirth\tNN\tB-NP\tO' +p52256 +aS'.\t.\t.\tO\tO' +p52257 +asS'An epidural mass was present at T10 which was extending from the lamina or spinous process anteriorly and almost compressing the spinal cord .' +p52258 +(lp52259 +S'An\tAn\tDT\tB-NP\tO' +p52260 +aS'epidural\tepidural\tJJ\tI-NP\tO' +p52261 +aS'mass\tmass\tNN\tI-NP\tO' +p52262 +aS'was\tbe\tVBD\tB-VP\tO' +p52263 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p52264 +aS'at\tat\tIN\tB-PP\tO' +p52265 +aS'T10\tT10\tNN\tB-NP\tB-protein' +p52266 +aS'which\twhich\tWDT\tB-NP\tO' +p52267 +aS'was\tbe\tVBD\tB-VP\tO' +p52268 +aS'extending\textend\tVBG\tI-VP\tO' +p52269 +aS'from\tfrom\tIN\tB-PP\tO' +p52270 +aS'the\tthe\tDT\tB-NP\tO' +p52271 +aS'lamina\tlamina\tNN\tI-NP\tO' +p52272 +aS'or\tor\tCC\tO\tO' +p52273 +aS'spinous\tspinous\tJJ\tB-NP\tO' +p52274 +aS'process\tprocess\tNN\tI-NP\tO' +p52275 +aS'anteriorly\tanteriorly\tRB\tB-ADVP\tO' +p52276 +aS'and\tand\tCC\tI-ADVP\tO' +p52277 +aS'almost\talmost\tRB\tB-VP\tO' +p52278 +aS'compressing\tcompress\tVBG\tI-VP\tO' +p52279 +aS'the\tthe\tDT\tB-NP\tO' +p52280 +aS'spinal\tspinal\tJJ\tI-NP\tO' +p52281 +aS'cord\tcord\tNN\tI-NP\tO' +p52282 +aS'.\t.\t.\tO\tO' +p52283 +asS'The patient was seen by the wound care nurse and the decubitus ulcer was felt to be mild , but was causing the patient a lot of discomfort and the wound care nurse Ivy Rose lidocaine jelly .' +p52284 +(lp52285 +S'The\tThe\tDT\tB-NP\tO' +p52286 +aS'patient\tpatient\tNN\tI-NP\tO' +p52287 +aS'was\tbe\tVBD\tB-VP\tO' +p52288 +aS'seen\tsee\tVBN\tI-VP\tO' +p52289 +aS'by\tby\tIN\tB-PP\tO' +p52290 +aS'the\tthe\tDT\tB-NP\tO' +p52291 +aS'wound\twound\tNN\tI-NP\tO' +p52292 +aS'care\tcare\tNN\tI-NP\tO' +p52293 +aS'nurse\tnurse\tNN\tI-NP\tO' +p52294 +aS'and\tand\tCC\tO\tO' +p52295 +aS'the\tthe\tDT\tB-NP\tO' +p52296 +aS'decubitus\tdecubitus\tNN\tI-NP\tO' +p52297 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p52298 +aS'was\tbe\tVBD\tB-VP\tO' +p52299 +aS'felt\tfeel\tVBN\tI-VP\tO' +p52300 +aS'to\tto\tTO\tI-VP\tO' +p52301 +aS'be\tbe\tVB\tI-VP\tO' +p52302 +aS'mild\tmild\tJJ\tB-ADJP\tO' +p52303 +aS',\t,\t,\tO\tO' +p52304 +aS'but\tbut\tCC\tO\tO' +p52305 +aS'was\tbe\tVBD\tB-VP\tO' +p52306 +aS'causing\tcause\tVBG\tI-VP\tO' +p52307 +aS'the\tthe\tDT\tB-NP\tO' +p52308 +aS'patient\tpatient\tNN\tI-NP\tO' +p52309 +aS'a\ta\tDT\tB-NP\tO' +p52310 +aS'lot\tlot\tNN\tI-NP\tO' +p52311 +aS'of\tof\tIN\tB-PP\tO' +p52312 +aS'discomfort\tdiscomfort\tNN\tB-NP\tO' +p52313 +aS'and\tand\tCC\tO\tO' +p52314 +aS'the\tthe\tDT\tB-NP\tO' +p52315 +aS'wound\twound\tNN\tI-NP\tO' +p52316 +aS'care\tcare\tNN\tI-NP\tO' +p52317 +aS'nurse\tnurse\tNN\tI-NP\tO' +p52318 +aS'Ivy\tIvy\tNNP\tI-NP\tO' +p52319 +aS'Rose\tRose\tNNP\tI-NP\tO' +p52320 +aS'lidocaine\tlidocaine\tNN\tI-NP\tO' +p52321 +aS'jelly\tjelly\tRB\tB-ADVP\tO' +p52322 +aS'.\t.\t.\tO\tO' +p52323 +asS'Ruled out subarachnoid hemorrhage .' +p52324 +(lp52325 +S'Ruled\tRule\tVBN\tB-VP\tO' +p52326 +aS'out\tout\tRP\tB-PRT\tO' +p52327 +aS'subarachnoid\tsubarachnoid\tJJ\tB-NP\tO' +p52328 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p52329 +aS'.\t.\t.\tO\tO' +p52330 +asS'atrial fibrillation , deep venous thrombosis , pulmonary embolus , right frontal infarct , hypertension , and question progressive supranuclear palsy .' +p52331 +(lp52332 +S'atrial\tatrial\tJJ\tB-NP\tO' +p52333 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p52334 +aS',\t,\t,\tO\tO' +p52335 +aS'deep\tdeep\tJJ\tB-NP\tO' +p52336 +aS'venous\tvenous\tJJ\tI-NP\tO' +p52337 +aS'thrombosis\tthrombosis\tNN\tI-NP\tO' +p52338 +aS',\t,\t,\tO\tO' +p52339 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p52340 +aS'embolus\tembolus\tNN\tI-NP\tO' +p52341 +aS',\t,\t,\tO\tO' +p52342 +aS'right\tright\tJJ\tB-NP\tO' +p52343 +aS'frontal\tfrontal\tJJ\tI-NP\tO' +p52344 +aS'infarct\tinfarct\tNN\tI-NP\tO' +p52345 +aS',\t,\t,\tO\tO' +p52346 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p52347 +aS',\t,\t,\tO\tO' +p52348 +aS'and\tand\tCC\tO\tO' +p52349 +aS'question\tquestion\tNN\tB-NP\tO' +p52350 +aS'progressive\tprogressive\tJJ\tI-NP\tO' +p52351 +aS'supranuclear\tsupranuclear\tJJ\tI-NP\tO' +p52352 +aS'palsy\tpalsy\tNN\tI-NP\tO' +p52353 +aS'.\t.\t.\tO\tO' +p52354 +asS'2. Ventricular ectopy .' +p52355 +(lp52356 +S'2.\t2.\tLS\tB-NP\tO' +p52357 +aS'Ventricular\tVentricular\tJJ\tI-NP\tO' +p52358 +aS'ectopy\tectopy\tNN\tI-NP\tO' +p52359 +aS'.\t.\t.\tO\tO' +p52360 +asS'4. Hiatal hernia .' +p52361 +(lp52362 +S'4.\t4.\tLS\tB-NP\tO' +p52363 +aS'Hiatal\tHiatal\tJJ\tI-NP\tO' +p52364 +aS'hernia\thernia\tNN\tI-NP\tO' +p52365 +aS'.\t.\t.\tO\tO' +p52366 +asS'To home .' +p52367 +(lp52368 +S'To\tTo\tTO\tB-PP\tO' +p52369 +aS'home\thome\tNN\tB-NP\tO' +p52370 +aS'.\t.\t.\tO\tO' +p52371 +asS'The cardiac exam showed point of maximal impulse was not displaced , regular rate and rhythm with normal S1 , S2 , no S3 or S4 , a grade II / VI systolic murmur was heard at the left upper sternal border without radiation , likely representing a flow murmur .' +p52372 +(lp52373 +S'The\tThe\tDT\tB-NP\tO' +p52374 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p52375 +aS'exam\texam\tNN\tI-NP\tO' +p52376 +aS'showed\tshow\tVBD\tB-VP\tO' +p52377 +aS'point\tpoint\tNN\tB-NP\tO' +p52378 +aS'of\tof\tIN\tB-PP\tO' +p52379 +aS'maximal\tmaximal\tJJ\tB-NP\tO' +p52380 +aS'impulse\timpulse\tNN\tI-NP\tO' +p52381 +aS'was\tbe\tVBD\tB-VP\tO' +p52382 +aS'not\tnot\tRB\tI-VP\tO' +p52383 +aS'displaced\tdisplace\tVBN\tI-VP\tO' +p52384 +aS',\t,\t,\tO\tO' +p52385 +aS'regular\tregular\tJJ\tB-NP\tO' +p52386 +aS'rate\trate\tNN\tI-NP\tO' +p52387 +aS'and\tand\tCC\tO\tO' +p52388 +aS'rhythm\trhythm\tNN\tB-NP\tO' +p52389 +aS'with\twith\tIN\tB-PP\tO' +p52390 +aS'normal\tnormal\tJJ\tB-NP\tO' +p52391 +aS'S1\tS1\tNN\tI-NP\tO' +p52392 +aS',\t,\t,\tO\tO' +p52393 +aS'S2\tS2\tNN\tB-NP\tB-protein' +p52394 +aS',\t,\t,\tO\tO' +p52395 +aS'no\tno\tDT\tB-NP\tO' +p52396 +aS'S3\tS3\tNN\tI-NP\tB-protein' +p52397 +aS'or\tor\tCC\tI-NP\tO' +p52398 +aS'S4\tS4\tNN\tI-NP\tB-protein' +p52399 +aS',\t,\t,\tO\tO' +p52400 +aS'a\ta\tDT\tB-NP\tO' +p52401 +aS'grade\tgrade\tNN\tI-NP\tB-protein' +p52402 +aS'II\tII\tCD\tI-NP\tI-protein' +p52403 +aS'/\t/\tSYM\tI-NP\tO' +p52404 +aS'VI\tVI\tCD\tI-NP\tO' +p52405 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p52406 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p52407 +aS'was\tbe\tVBD\tB-VP\tO' +p52408 +aS'heard\thear\tVBN\tI-VP\tO' +p52409 +aS'at\tat\tIN\tB-PP\tO' +p52410 +aS'the\tthe\tDT\tB-NP\tO' +p52411 +aS'left\tleft\tJJ\tI-NP\tO' +p52412 +aS'upper\tupper\tJJ\tI-NP\tO' +p52413 +aS'sternal\tsternal\tJJ\tI-NP\tO' +p52414 +aS'border\tborder\tNN\tI-NP\tO' +p52415 +aS'without\twithout\tIN\tB-PP\tO' +p52416 +aS'radiation\tradiation\tNN\tB-NP\tO' +p52417 +aS',\t,\t,\tO\tO' +p52418 +aS'likely\tlikely\tRB\tB-VP\tO' +p52419 +aS'representing\trepresent\tVBG\tI-VP\tO' +p52420 +aS'a\ta\tDT\tB-NP\tO' +p52421 +aS'flow\tflow\tNN\tI-NP\tO' +p52422 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p52423 +aS'.\t.\t.\tO\tO' +p52424 +asS'She denies any tobacco or alcohol history .' +p52425 +(lp52426 +S'She\tShe\tPRP\tB-NP\tO' +p52427 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p52428 +aS'any\tany\tDT\tB-NP\tO' +p52429 +aS'tobacco\ttobacco\tNN\tI-NP\tO' +p52430 +aS'or\tor\tCC\tI-NP\tO' +p52431 +aS'alcohol\talcohol\tNN\tI-NP\tO' +p52432 +aS'history\thistory\tNN\tI-NP\tO' +p52433 +aS'.\t.\t.\tO\tO' +p52434 +asS'3. Magnesium Hydroxide 400 mg / 5 mL Suspension Sig : Thirty ( 30 ) ML PO Q6H ( every 6 hours ) as needed .' +p52435 +(lp52436 +S'3.\t3.\tLS\tB-NP\tO' +p52437 +aS'Magnesium\tMagnesium\tNN\tI-NP\tO' +p52438 +aS'Hydroxide\tHydroxide\tNN\tI-NP\tO' +p52439 +aS'400\t400\tCD\tI-NP\tO' +p52440 +aS'mg\tmg\tNN\tI-NP\tO' +p52441 +aS'/\t/\tSYM\tB-NP\tO' +p52442 +aS'5\t5\tCD\tB-NP\tO' +p52443 +aS'mL\tmL\tNN\tI-NP\tO' +p52444 +aS'Suspension\tSuspension\tNNP\tI-NP\tO' +p52445 +aS'Sig\tSig\tNNP\tI-NP\tO' +p52446 +aS':\t:\t:\tO\tO' +p52447 +aS'Thirty\tThirty\tCD\tB-NP\tO' +p52448 +aS'(\t(\t(\tO\tO' +p52449 +aS'30\t30\tCD\tO\tO' +p52450 +aS')\t)\t)\tO\tO' +p52451 +aS'ML\tML\tNN\tB-NP\tO' +p52452 +aS'PO\tPO\tNN\tI-NP\tO' +p52453 +aS'Q6H\tQ6H\tNN\tI-NP\tO' +p52454 +aS'(\t(\t(\tO\tO' +p52455 +aS'every\tevery\tDT\tB-NP\tO' +p52456 +aS'6\t6\tCD\tI-NP\tO' +p52457 +aS'hours\thour\tNNS\tI-NP\tO' +p52458 +aS')\t)\t)\tO\tO' +p52459 +aS'as\tas\tIN\tB-SBAR\tO' +p52460 +aS'needed\tneed\tVBN\tB-VP\tO' +p52461 +aS'.\t.\t.\tO\tO' +p52462 +asS'She is drowsy at times , but generally alert , responsive , interactive , able to talk in two to three word sentences when she wants to .' +p52463 +(lp52464 +S'She\tShe\tPRP\tB-NP\tO' +p52465 +aS'is\tbe\tVBZ\tB-VP\tO' +p52466 +aS'drowsy\tdrowsy\tJJ\tB-ADJP\tO' +p52467 +aS'at\tat\tIN\tB-PP\tO' +p52468 +aS'times\ttime\tNNS\tB-NP\tO' +p52469 +aS',\t,\t,\tO\tO' +p52470 +aS'but\tbut\tCC\tO\tO' +p52471 +aS'generally\tgenerally\tRB\tB-NP\tO' +p52472 +aS'alert\talert\tJJ\tI-NP\tO' +p52473 +aS',\t,\t,\tI-NP\tO' +p52474 +aS'responsive\tresponsive\tJJ\tI-NP\tO' +p52475 +aS',\t,\t,\tI-NP\tO' +p52476 +aS'interactive\tinteractive\tJJ\tI-NP\tO' +p52477 +aS',\t,\t,\tI-NP\tO' +p52478 +aS'able\table\tJJ\tI-NP\tO' +p52479 +aS'to\tto\tTO\tB-VP\tO' +p52480 +aS'talk\ttalk\tVB\tI-VP\tO' +p52481 +aS'in\tin\tIN\tB-PP\tO' +p52482 +aS'two\ttwo\tCD\tB-NP\tO' +p52483 +aS'to\tto\tTO\tI-NP\tO' +p52484 +aS'three\tthree\tCD\tI-NP\tO' +p52485 +aS'word\tword\tNN\tI-NP\tO' +p52486 +aS'sentences\tsentence\tNNS\tI-NP\tO' +p52487 +aS'when\twhen\tWRB\tB-ADVP\tO' +p52488 +aS'she\tshe\tPRP\tB-NP\tO' +p52489 +aS'wants\twant\tVBZ\tB-VP\tO' +p52490 +aS'to\tto\tTO\tI-VP\tO' +p52491 +aS'.\t.\t.\tO\tO' +p52492 +asS'She was afebrile with stable vital signs .' +p52493 +(lp52494 +S'She\tShe\tPRP\tB-NP\tO' +p52495 +aS'was\tbe\tVBD\tB-VP\tO' +p52496 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p52497 +aS'with\twith\tIN\tB-PP\tO' +p52498 +aS'stable\tstable\tJJ\tB-NP\tO' +p52499 +aS'vital\tvital\tJJ\tI-NP\tO' +p52500 +aS'signs\tsign\tNNS\tI-NP\tO' +p52501 +aS'.\t.\t.\tO\tO' +p52502 +asS'The patient underwent a percutaneous sphincterotomy extended to a full sphincterectomy .' +p52503 +(lp52504 +S'The\tThe\tDT\tB-NP\tO' +p52505 +aS'patient\tpatient\tNN\tI-NP\tO' +p52506 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p52507 +aS'a\ta\tDT\tB-NP\tO' +p52508 +aS'percutaneous\tpercutaneous\tJJ\tI-NP\tO' +p52509 +aS'sphincterotomy\tsphincterotomy\tNN\tI-NP\tO' +p52510 +aS'extended\textend\tVBN\tB-VP\tO' +p52511 +aS'to\tto\tTO\tB-PP\tO' +p52512 +aS'a\ta\tDT\tB-NP\tO' +p52513 +aS'full\tfull\tJJ\tI-NP\tO' +p52514 +aS'sphincterectomy\tsphincterectomy\tNN\tI-NP\tO' +p52515 +aS'.\t.\t.\tO\tO' +p52516 +asS'Keep the dressing on and dry for 48 hours after the surgery .' +p52517 +(lp52518 +S'Keep\tKeep\tVB\tB-VP\tO' +p52519 +aS'the\tthe\tDT\tB-NP\tO' +p52520 +aS'dressing\tdressing\tNN\tI-NP\tO' +p52521 +aS'on\ton\tIN\tB-PP\tO' +p52522 +aS'and\tand\tCC\tO\tO' +p52523 +aS'dry\tdry\tJJ\tB-ADJP\tO' +p52524 +aS'for\tfor\tIN\tB-PP\tO' +p52525 +aS'48\t48\tCD\tB-NP\tO' +p52526 +aS'hours\thour\tNNS\tI-NP\tO' +p52527 +aS'after\tafter\tIN\tB-PP\tO' +p52528 +aS'the\tthe\tDT\tB-NP\tO' +p52529 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p52530 +aS'.\t.\t.\tO\tO' +p52531 +asS'The patient was A+ .' +p52532 +(lp52533 +S'The\tThe\tDT\tB-NP\tO' +p52534 +aS'patient\tpatient\tNN\tI-NP\tO' +p52535 +aS'was\tbe\tVBD\tB-VP\tO' +p52536 +aS'A+\tA+\tJJ\tB-ADJP\tO' +p52537 +aS'.\t.\t.\tO\tO' +p52538 +asS'Were as they were on admission .' +p52539 +(lp52540 +S'Were\tWere\tJJ\tB-ADJP\tO' +p52541 +aS'as\tas\tIN\tB-SBAR\tO' +p52542 +aS'they\tthey\tPRP\tB-NP\tO' +p52543 +aS'were\tbe\tVBD\tB-VP\tO' +p52544 +aS'on\ton\tIN\tB-PP\tO' +p52545 +aS'admission\tadmission\tNN\tB-NP\tO' +p52546 +aS'.\t.\t.\tO\tO' +p52547 +asS'Right lower quadrant scar and inferior midline scar that are well healed .' +p52548 +(lp52549 +S'Right\tRight\tRB\tB-NP\tO' +p52550 +aS'lower\tlow\tJJR\tI-NP\tO' +p52551 +aS'quadrant\tquadrant\tJJ\tI-NP\tO' +p52552 +aS'scar\tscar\tNN\tI-NP\tO' +p52553 +aS'and\tand\tCC\tO\tO' +p52554 +aS'inferior\tinferior\tJJ\tB-NP\tO' +p52555 +aS'midline\tmidline\tNN\tI-NP\tO' +p52556 +aS'scar\tscar\tNN\tI-NP\tO' +p52557 +aS'that\tthat\tWDT\tB-NP\tO' +p52558 +aS'are\tbe\tVBP\tB-VP\tO' +p52559 +aS'well\twell\tRB\tI-VP\tO' +p52560 +aS'healed\theal\tVBN\tI-VP\tO' +p52561 +aS'.\t.\t.\tO\tO' +p52562 +asS'After a Cardiology consulton 12/13/03 , the patient was started on metoprolol 100 mg p.o. q.i.d. , lisinopril 10 mg q.d. , hydrochlorothiazide 25 mg q.d. .' +p52563 +(lp52564 +S'After\tAfter\tIN\tB-PP\tO' +p52565 +aS'a\ta\tDT\tB-NP\tO' +p52566 +aS'Cardiology\tCardiology\tNN\tI-NP\tB-protein' +p52567 +aS'consulton\tconsulton\tNN\tI-NP\tI-protein' +p52568 +aS'12/13/03\t12/13/03\tCD\tI-NP\tI-protein' +p52569 +aS',\t,\t,\tO\tO' +p52570 +aS'the\tthe\tDT\tB-NP\tO' +p52571 +aS'patient\tpatient\tNN\tI-NP\tO' +p52572 +aS'was\tbe\tVBD\tB-VP\tO' +p52573 +aS'started\tstart\tVBN\tI-VP\tO' +p52574 +aS'on\ton\tIN\tB-PP\tO' +p52575 +aS'metoprolol\tmetoprolol\tNN\tB-NP\tO' +p52576 +aS'100\t100\tCD\tI-NP\tO' +p52577 +aS'mg\tmg\tNN\tI-NP\tO' +p52578 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p52579 +aS'q.i.d.\tq.i.d.\tNN\tI-NP\tO' +p52580 +aS',\t,\t,\tO\tO' +p52581 +aS'lisinopril\tlisinopril\tNN\tB-NP\tO' +p52582 +aS'10\t10\tCD\tI-NP\tO' +p52583 +aS'mg\tmg\tNN\tI-NP\tO' +p52584 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p52585 +aS',\t,\t,\tO\tO' +p52586 +aS'hydrochlorothiazide\thydrochlorothiazide\tNN\tB-NP\tO' +p52587 +aS'25\t25\tCD\tI-NP\tO' +p52588 +aS'mg\tmg\tNN\tI-NP\tO' +p52589 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p52590 +aS'.\t.\t.\tO\tO' +p52591 +asS'She also has new changes on EKG .' +p52592 +(lp52593 +S'She\tShe\tPRP\tB-NP\tO' +p52594 +aS'also\talso\tRB\tB-ADVP\tO' +p52595 +aS'has\thave\tVBZ\tB-VP\tO' +p52596 +aS'new\tnew\tJJ\tB-NP\tO' +p52597 +aS'changes\tchange\tNNS\tI-NP\tO' +p52598 +aS'on\ton\tIN\tB-PP\tO' +p52599 +aS'EKG\tEKG\tNN\tB-NP\tB-protein' +p52600 +aS'.\t.\t.\tO\tO' +p52601 +asS'1. Aspirin 81 mg PO qd ;' +p52602 +(lp52603 +S'1.\t1.\tLS\tB-LST\tO' +p52604 +aS'Aspirin\tAspirin\tNN\tB-NP\tO' +p52605 +aS'81\t81\tCD\tI-NP\tO' +p52606 +aS'mg\tmg\tNN\tI-NP\tO' +p52607 +aS'PO\tPO\tNN\tI-NP\tO' +p52608 +aS'qd\tqd\tNN\tI-NP\tO' +p52609 +aS';\t;\t:\tO\tO' +p52610 +asS'16. Vancomycin in Dextrose 1 g / 200 mL Piggyback Sig : One ( 1 ) Intravenous Q 12H ( Every 12 Hours ): To finish on 2020-05-12 .' +p52611 +(lp52612 +S'16.\t16.\tLS\tB-NP\tO' +p52613 +aS'Vancomycin\tVancomycin\tNN\tI-NP\tO' +p52614 +aS'in\tin\tIN\tB-PP\tO' +p52615 +aS'Dextrose\tDextrose\tNN\tB-NP\tO' +p52616 +aS'1\t1\tCD\tI-NP\tO' +p52617 +aS'g\tg\tNN\tI-NP\tO' +p52618 +aS'/\t/\tSYM\tO\tO' +p52619 +aS'200\t200\tCD\tB-NP\tO' +p52620 +aS'mL\tmL\tNN\tI-NP\tO' +p52621 +aS'Piggyback\tPiggyback\tNNP\tI-NP\tO' +p52622 +aS'Sig\tSig\tNNP\tI-NP\tO' +p52623 +aS':\t:\t:\tO\tO' +p52624 +aS'One\tOne\tCD\tB-NP\tO' +p52625 +aS'(\t(\t(\tO\tO' +p52626 +aS'1\t1\tCD\tB-NP\tO' +p52627 +aS')\t)\t)\tO\tO' +p52628 +aS'Intravenous\tIntravenous\tJJ\tB-NP\tO' +p52629 +aS'Q\tQ\tNN\tI-NP\tO' +p52630 +aS'12H\t12H\tNN\tI-NP\tO' +p52631 +aS'(\t(\t(\tO\tO' +p52632 +aS'Every\tEvery\tDT\tB-NP\tO' +p52633 +aS'12\t12\tCD\tI-NP\tO' +p52634 +aS'Hours\tHour\tNNS\tI-NP\tO' +p52635 +aS'):\t):\t:\tO\tO' +p52636 +aS'To\tTo\tTO\tB-VP\tO' +p52637 +aS'finish\tfinish\tVB\tI-VP\tO' +p52638 +aS'on\ton\tIN\tB-PP\tO' +p52639 +aS'2020-05-12\t2020-05-12\tCD\tB-NP\tO' +p52640 +aS'.\t.\t.\tO\tO' +p52641 +asS'8. Muscular ventricular septal defect .' +p52642 +(lp52643 +S'8.\t8.\tCD\tB-NP\tO' +p52644 +aS'Muscular\tMuscular\tJJ\tI-NP\tO' +p52645 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p52646 +aS'septal\tseptal\tJJ\tI-NP\tO' +p52647 +aS'defect\tdefect\tNN\tI-NP\tO' +p52648 +aS'.\t.\t.\tO\tO' +p52649 +asS'Upon arrival of the covering access physician the patient was being ventilated mechanically and CPR was being performed .' +p52650 +(lp52651 +S'Upon\tUpon\tIN\tB-PP\tO' +p52652 +aS'arrival\tarrival\tNN\tB-NP\tO' +p52653 +aS'of\tof\tIN\tB-PP\tO' +p52654 +aS'the\tthe\tDT\tB-NP\tO' +p52655 +aS'covering\tcover\tVBG\tI-NP\tO' +p52656 +aS'access\taccess\tNN\tI-NP\tO' +p52657 +aS'physician\tphysician\tNN\tI-NP\tO' +p52658 +aS'the\tthe\tDT\tB-NP\tO' +p52659 +aS'patient\tpatient\tNN\tI-NP\tO' +p52660 +aS'was\tbe\tVBD\tB-VP\tO' +p52661 +aS'being\tbe\tVBG\tI-VP\tO' +p52662 +aS'ventilated\tventilate\tVBN\tI-VP\tO' +p52663 +aS'mechanically\tmechanically\tRB\tB-ADVP\tO' +p52664 +aS'and\tand\tCC\tO\tO' +p52665 +aS'CPR\tCPR\tNN\tB-NP\tB-protein' +p52666 +aS'was\tbe\tVBD\tB-VP\tO' +p52667 +aS'being\tbe\tVBG\tI-VP\tO' +p52668 +aS'performed\tperform\tVBN\tI-VP\tO' +p52669 +aS'.\t.\t.\tO\tO' +p52670 +asS'He had coarse respiratory sounds .' +p52671 +(lp52672 +S'He\tHe\tPRP\tB-NP\tO' +p52673 +aS'had\thave\tVBD\tB-VP\tO' +p52674 +aS'coarse\tcoarse\tJJ\tB-NP\tO' +p52675 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p52676 +aS'sounds\tsound\tNNS\tI-NP\tO' +p52677 +aS'.\t.\t.\tO\tO' +p52678 +asS'He was transferred to the floor on HD#2 .' +p52679 +(lp52680 +S'He\tHe\tPRP\tB-NP\tO' +p52681 +aS'was\tbe\tVBD\tB-VP\tO' +p52682 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p52683 +aS'to\tto\tTO\tB-PP\tO' +p52684 +aS'the\tthe\tDT\tB-NP\tO' +p52685 +aS'floor\tfloor\tNN\tI-NP\tO' +p52686 +aS'on\ton\tIN\tB-PP\tO' +p52687 +aS'HD#2\tHD#2\tNN\tB-NP\tB-protein' +p52688 +aS'.\t.\t.\tO\tO' +p52689 +asS'There was a class II laceration of the left liver at the falciform ligament which was actively bleeding , a tear of the transverse mesocolon from its base to the bowel wall with active bleeding , a 7 cm serosal tear of the adjacent transverse colon , and a large central retroperitoneal hematoma .' +p52690 +(lp52691 +S'There\tThere\tEX\tB-NP\tO' +p52692 +aS'was\tbe\tVBD\tB-VP\tO' +p52693 +aS'a\ta\tDT\tB-NP\tO' +p52694 +aS'class\tclass\tNN\tI-NP\tO' +p52695 +aS'II\tII\tCD\tI-NP\tO' +p52696 +aS'laceration\tlaceration\tNN\tI-NP\tO' +p52697 +aS'of\tof\tIN\tB-PP\tO' +p52698 +aS'the\tthe\tDT\tB-NP\tO' +p52699 +aS'left\tleft\tJJ\tI-NP\tO' +p52700 +aS'liver\tliver\tNN\tI-NP\tO' +p52701 +aS'at\tat\tIN\tB-PP\tO' +p52702 +aS'the\tthe\tDT\tB-NP\tO' +p52703 +aS'falciform\tfalciform\tJJ\tI-NP\tO' +p52704 +aS'ligament\tligament\tNN\tI-NP\tO' +p52705 +aS'which\twhich\tWDT\tB-NP\tO' +p52706 +aS'was\tbe\tVBD\tB-VP\tO' +p52707 +aS'actively\tactively\tRB\tI-VP\tO' +p52708 +aS'bleeding\tbleed\tVBG\tI-VP\tO' +p52709 +aS',\t,\t,\tO\tO' +p52710 +aS'a\ta\tDT\tB-NP\tO' +p52711 +aS'tear\ttear\tNN\tI-NP\tO' +p52712 +aS'of\tof\tIN\tB-PP\tO' +p52713 +aS'the\tthe\tDT\tB-NP\tO' +p52714 +aS'transverse\ttransverse\tJJ\tI-NP\tO' +p52715 +aS'mesocolon\tmesocolon\tNN\tI-NP\tO' +p52716 +aS'from\tfrom\tIN\tB-PP\tO' +p52717 +aS'its\tits\tPRP$\tB-NP\tO' +p52718 +aS'base\tbase\tNN\tI-NP\tO' +p52719 +aS'to\tto\tTO\tB-PP\tO' +p52720 +aS'the\tthe\tDT\tB-NP\tO' +p52721 +aS'bowel\tbowel\tNN\tI-NP\tO' +p52722 +aS'wall\twall\tNN\tI-NP\tO' +p52723 +aS'with\twith\tIN\tB-PP\tO' +p52724 +aS'active\tactive\tJJ\tB-NP\tO' +p52725 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p52726 +aS',\t,\t,\tO\tO' +p52727 +aS'a\ta\tDT\tB-NP\tO' +p52728 +aS'7\t7\tCD\tI-NP\tO' +p52729 +aS'cm\tcm\tNN\tI-NP\tO' +p52730 +aS'serosal\tserosal\tJJ\tI-NP\tO' +p52731 +aS'tear\ttear\tNN\tI-NP\tO' +p52732 +aS'of\tof\tIN\tB-PP\tO' +p52733 +aS'the\tthe\tDT\tB-NP\tO' +p52734 +aS'adjacent\tadjacent\tJJ\tI-NP\tO' +p52735 +aS'transverse\ttransverse\tJJ\tI-NP\tO' +p52736 +aS'colon\tcolon\tNN\tI-NP\tO' +p52737 +aS',\t,\t,\tO\tO' +p52738 +aS'and\tand\tCC\tO\tO' +p52739 +aS'a\ta\tDT\tB-NP\tO' +p52740 +aS'large\tlarge\tJJ\tI-NP\tO' +p52741 +aS'central\tcentral\tJJ\tI-NP\tO' +p52742 +aS'retroperitoneal\tretroperitoneal\tJJ\tI-NP\tO' +p52743 +aS'hematoma\thematoma\tNN\tI-NP\tO' +p52744 +aS'.\t.\t.\tO\tO' +p52745 +asS'During the hospital course , the patient was started on a PPI , Nexium , for concerns of acid reflux .' +p52746 +(lp52747 +S'During\tDuring\tIN\tB-PP\tO' +p52748 +aS'the\tthe\tDT\tB-NP\tO' +p52749 +aS'hospital\thospital\tNN\tI-NP\tO' +p52750 +aS'course\tcourse\tNN\tI-NP\tO' +p52751 +aS',\t,\t,\tO\tO' +p52752 +aS'the\tthe\tDT\tB-NP\tO' +p52753 +aS'patient\tpatient\tNN\tI-NP\tO' +p52754 +aS'was\tbe\tVBD\tB-VP\tO' +p52755 +aS'started\tstart\tVBN\tI-VP\tO' +p52756 +aS'on\ton\tIN\tB-PP\tO' +p52757 +aS'a\ta\tDT\tB-NP\tO' +p52758 +aS'PPI\tPPI\tNN\tI-NP\tB-protein' +p52759 +aS',\t,\t,\tO\tO' +p52760 +aS'Nexium\tNexium\tNN\tB-NP\tO' +p52761 +aS',\t,\t,\tO\tO' +p52762 +aS'for\tfor\tIN\tB-PP\tO' +p52763 +aS'concerns\tconcern\tNNS\tB-NP\tO' +p52764 +aS'of\tof\tIN\tB-PP\tO' +p52765 +aS'acid\tacid\tNN\tB-NP\tO' +p52766 +aS'reflux\treflux\tNN\tI-NP\tO' +p52767 +aS'.\t.\t.\tO\tO' +p52768 +asS'He was treated with intravenous fluids and intravenous antibiotics with ceftizoxime , gentamicin , and Flagyl .' +p52769 +(lp52770 +S'He\tHe\tPRP\tB-NP\tO' +p52771 +aS'was\tbe\tVBD\tB-VP\tO' +p52772 +aS'treated\ttreat\tVBN\tI-VP\tO' +p52773 +aS'with\twith\tIN\tB-PP\tO' +p52774 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p52775 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p52776 +aS'and\tand\tCC\tO\tO' +p52777 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p52778 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p52779 +aS'with\twith\tIN\tB-PP\tO' +p52780 +aS'ceftizoxime\tceftizoxime\tNN\tB-NP\tO' +p52781 +aS',\t,\t,\tO\tO' +p52782 +aS'gentamicin\tgentamicin\tNN\tB-NP\tO' +p52783 +aS',\t,\t,\tO\tO' +p52784 +aS'and\tand\tCC\tO\tO' +p52785 +aS'Flagyl\tFlagyl\tNN\tB-NP\tO' +p52786 +aS'.\t.\t.\tO\tO' +p52787 +asS'Infant demonstrated mild increased work of breathing in the delivery room .' +p52788 +(lp52789 +S'Infant\tInfant\tNN\tB-NP\tO' +p52790 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p52791 +aS'mild\tmild\tJJ\tB-NP\tO' +p52792 +aS'increased\tincrease\tVBN\tI-NP\tO' +p52793 +aS'work\twork\tNN\tI-NP\tO' +p52794 +aS'of\tof\tIN\tB-PP\tO' +p52795 +aS'breathing\tbreathing\tNN\tB-NP\tO' +p52796 +aS'in\tin\tIN\tB-PP\tO' +p52797 +aS'the\tthe\tDT\tB-NP\tO' +p52798 +aS'delivery\tdelivery\tNN\tI-NP\tO' +p52799 +aS'room\troom\tNN\tI-NP\tO' +p52800 +aS'.\t.\t.\tO\tO' +p52801 +asS'On 11-2-93 , the patient underwent a low level treadmill exercise test with Thallium imaging .' +p52802 +(lp52803 +S'On\tOn\tIN\tB-PP\tO' +p52804 +aS'11-2-93\t11-2-93\tCD\tB-NP\tO' +p52805 +aS',\t,\t,\tO\tO' +p52806 +aS'the\tthe\tDT\tB-NP\tO' +p52807 +aS'patient\tpatient\tNN\tI-NP\tO' +p52808 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p52809 +aS'a\ta\tDT\tB-NP\tO' +p52810 +aS'low\tlow\tJJ\tI-NP\tO' +p52811 +aS'level\tlevel\tNN\tI-NP\tO' +p52812 +aS'treadmill\ttreadmill\tNN\tI-NP\tO' +p52813 +aS'exercise\texercise\tNN\tI-NP\tO' +p52814 +aS'test\ttest\tNN\tI-NP\tO' +p52815 +aS'with\twith\tIN\tB-PP\tO' +p52816 +aS'Thallium\tThallium\tNN\tB-NP\tO' +p52817 +aS'imaging\timaging\tNN\tI-NP\tO' +p52818 +aS'.\t.\t.\tO\tO' +p52819 +asS'The heart exam revealed a normal Sl and S2 was normally split .' +p52820 +(lp52821 +S'The\tThe\tDT\tB-NP\tO' +p52822 +aS'heart\theart\tNN\tI-NP\tO' +p52823 +aS'exam\texam\tNN\tI-NP\tO' +p52824 +aS'revealed\treveal\tVBD\tB-VP\tO' +p52825 +aS'a\ta\tDT\tB-NP\tO' +p52826 +aS'normal\tnormal\tJJ\tI-NP\tO' +p52827 +aS'Sl\tSl\tNN\tI-NP\tO' +p52828 +aS'and\tand\tCC\tI-NP\tO' +p52829 +aS'S2\tS2\tNN\tI-NP\tB-protein' +p52830 +aS'was\tbe\tVBD\tB-VP\tO' +p52831 +aS'normally\tnormally\tRB\tI-VP\tO' +p52832 +aS'split\tsplit\tVBN\tI-VP\tO' +p52833 +aS'.\t.\t.\tO\tO' +p52834 +asS'He has a history of chronic renal insufficiency likely secondary to hypertension and was admitted with a creatinine of 1.6 .' +p52835 +(lp52836 +S'He\tHe\tPRP\tB-NP\tO' +p52837 +aS'has\thave\tVBZ\tB-VP\tO' +p52838 +aS'a\ta\tDT\tB-NP\tO' +p52839 +aS'history\thistory\tNN\tI-NP\tO' +p52840 +aS'of\tof\tIN\tB-PP\tO' +p52841 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p52842 +aS'renal\trenal\tJJ\tI-NP\tO' +p52843 +aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' +p52844 +aS'likely\tlikely\tRB\tB-ADJP\tO' +p52845 +aS'secondary\tsecondary\tJJ\tI-ADJP\tO' +p52846 +aS'to\tto\tTO\tB-PP\tO' +p52847 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p52848 +aS'and\tand\tCC\tO\tO' +p52849 +aS'was\tbe\tVBD\tB-VP\tO' +p52850 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p52851 +aS'with\twith\tIN\tB-PP\tO' +p52852 +aS'a\ta\tDT\tB-NP\tO' +p52853 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p52854 +aS'of\tof\tIN\tB-PP\tO' +p52855 +aS'1.6\t1.6\tCD\tB-NP\tO' +p52856 +aS'.\t.\t.\tO\tO' +p52857 +asS'Neurological examination revealed that the patient was quite sedated at this time having received some medications .' +p52858 +(lp52859 +S'Neurological\tNeurological\tJJ\tB-NP\tO' +p52860 +aS'examination\texamination\tNN\tI-NP\tO' +p52861 +aS'revealed\treveal\tVBD\tB-VP\tO' +p52862 +aS'that\tthat\tIN\tB-SBAR\tO' +p52863 +aS'the\tthe\tDT\tB-NP\tO' +p52864 +aS'patient\tpatient\tNN\tI-NP\tO' +p52865 +aS'was\tbe\tVBD\tB-VP\tO' +p52866 +aS'quite\tquite\tRB\tI-VP\tO' +p52867 +aS'sedated\tsedate\tVBN\tI-VP\tO' +p52868 +aS'at\tat\tIN\tB-PP\tO' +p52869 +aS'this\tthis\tDT\tB-NP\tO' +p52870 +aS'time\ttime\tNN\tI-NP\tO' +p52871 +aS'having\thave\tVBG\tB-VP\tO' +p52872 +aS'received\treceive\tVBN\tI-VP\tO' +p52873 +aS'some\tsome\tDT\tB-NP\tO' +p52874 +aS'medications\tmedication\tNNS\tI-NP\tO' +p52875 +aS'.\t.\t.\tO\tO' +p52876 +asS'One-year followup may be considered .' +p52877 +(lp52878 +S'One-year\tOne-year\tJJ\tB-NP\tO' +p52879 +aS'followup\tfollowup\tNN\tI-NP\tO' +p52880 +aS'may\tmay\tMD\tB-VP\tO' +p52881 +aS'be\tbe\tVB\tI-VP\tO' +p52882 +aS'considered\tconsider\tVBN\tI-VP\tO' +p52883 +aS'.\t.\t.\tO\tO' +p52884 +asS'The patient was readmitted on 3-20-93 because of fever , chills and a sudden onset of ventricular fibrillation arrest , successfully cardioverted back to rapid atrial fibrillation and finally to sinus rhythm , where an electrocardiogram then showed ST elevation in inferior leads .' +p52885 +(lp52886 +S'The\tThe\tDT\tB-NP\tO' +p52887 +aS'patient\tpatient\tNN\tI-NP\tO' +p52888 +aS'was\tbe\tVBD\tB-VP\tO' +p52889 +aS'readmitted\treadmitte\tVBN\tI-VP\tO' +p52890 +aS'on\ton\tIN\tB-PP\tO' +p52891 +aS'3-20-93\t3-20-93\tNN\tB-NP\tO' +p52892 +aS'because\tbecause\tIN\tB-PP\tO' +p52893 +aS'of\tof\tIN\tI-PP\tO' +p52894 +aS'fever\tfever\tNN\tB-NP\tO' +p52895 +aS',\t,\t,\tO\tO' +p52896 +aS'chills\tchill\tNNS\tB-NP\tO' +p52897 +aS'and\tand\tCC\tO\tO' +p52898 +aS'a\ta\tDT\tB-NP\tO' +p52899 +aS'sudden\tsudden\tJJ\tI-NP\tO' +p52900 +aS'onset\tonset\tNN\tI-NP\tO' +p52901 +aS'of\tof\tIN\tB-PP\tO' +p52902 +aS'ventricular\tventricular\tJJ\tB-NP\tO' +p52903 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p52904 +aS'arrest\tarrest\tNN\tI-NP\tO' +p52905 +aS',\t,\t,\tO\tO' +p52906 +aS'successfully\tsuccessfully\tRB\tB-VP\tO' +p52907 +aS'cardioverted\tcardioverte\tVBD\tI-VP\tO' +p52908 +aS'back\tback\tRB\tB-ADVP\tO' +p52909 +aS'to\tto\tTO\tB-PP\tO' +p52910 +aS'rapid\trapid\tJJ\tB-NP\tO' +p52911 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p52912 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p52913 +aS'and\tand\tCC\tO\tO' +p52914 +aS'finally\tfinally\tRB\tB-ADVP\tO' +p52915 +aS'to\tto\tTO\tB-PP\tO' +p52916 +aS'sinus\tsinus\tNN\tB-NP\tO' +p52917 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p52918 +aS',\t,\t,\tO\tO' +p52919 +aS'where\twhere\tWRB\tB-ADVP\tO' +p52920 +aS'an\tan\tDT\tB-NP\tO' +p52921 +aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' +p52922 +aS'then\tthen\tRB\tB-ADVP\tO' +p52923 +aS'showed\tshow\tVBD\tB-VP\tO' +p52924 +aS'ST\tST\tJJ\tB-NP\tO' +p52925 +aS'elevation\televation\tNN\tI-NP\tO' +p52926 +aS'in\tin\tIN\tB-PP\tO' +p52927 +aS'inferior\tinferior\tJJ\tB-NP\tO' +p52928 +aS'leads\tlead\tNNS\tI-NP\tO' +p52929 +aS'.\t.\t.\tO\tO' +p52930 +asS'2. Captopril 75 mg po three times a day .' +p52931 +(lp52932 +S'2.\t2.\tLS\tB-NP\tO' +p52933 +aS'Captopril\tCaptopril\tNNP\tI-NP\tO' +p52934 +aS'75\t75\tCD\tI-NP\tO' +p52935 +aS'mg\tmg\tNN\tI-NP\tO' +p52936 +aS'po\tpo\tIN\tB-PP\tO' +p52937 +aS'three\tthree\tCD\tB-NP\tO' +p52938 +aS'times\ttime\tNNS\tI-NP\tO' +p52939 +aS'a\ta\tDT\tB-NP\tO' +p52940 +aS'day\tday\tNN\tI-NP\tO' +p52941 +aS'.\t.\t.\tO\tO' +p52942 +asS'Appears to be chronic in nature given degree of metabolic compensation with acute component earlier today .' +p52943 +(lp52944 +S'Appears\tAppear\tVBZ\tB-VP\tO' +p52945 +aS'to\tto\tTO\tI-VP\tO' +p52946 +aS'be\tbe\tVB\tI-VP\tO' +p52947 +aS'chronic\tchronic\tJJ\tB-ADJP\tO' +p52948 +aS'in\tin\tIN\tB-PP\tO' +p52949 +aS'nature\tnature\tJJ\tB-NP\tO' +p52950 +aS'given\tgive\tVBN\tI-NP\tO' +p52951 +aS'degree\tdegree\tNN\tI-NP\tO' +p52952 +aS'of\tof\tIN\tB-PP\tO' +p52953 +aS'metabolic\tmetabolic\tJJ\tB-NP\tO' +p52954 +aS'compensation\tcompensation\tNN\tI-NP\tO' +p52955 +aS'with\twith\tIN\tB-PP\tO' +p52956 +aS'acute\tacute\tJJ\tB-NP\tO' +p52957 +aS'component\tcomponent\tNN\tI-NP\tO' +p52958 +aS'earlier\tearly\tJJR\tB-ADVP\tO' +p52959 +aS'today\ttoday\tNN\tB-NP\tO' +p52960 +aS'.\t.\t.\tO\tO' +p52961 +asS'Has low grade fever since chemo but otherwise ROS was neg for shaking chills , chest pain , SOB , coughing , constipation , diarrhea , tarry stools , abd pain .' +p52962 +(lp52963 +S'Has\tHas\tRB\tB-NP\tO' +p52964 +aS'low\tlow\tJJ\tI-NP\tO' +p52965 +aS'grade\tgrade\tNN\tI-NP\tO' +p52966 +aS'fever\tfever\tNN\tI-NP\tO' +p52967 +aS'since\tsince\tIN\tB-PP\tO' +p52968 +aS'chemo\tchemo\tNN\tB-NP\tO' +p52969 +aS'but\tbut\tCC\tO\tO' +p52970 +aS'otherwise\totherwise\tRB\tB-ADVP\tO' +p52971 +aS'ROS\tROS\tNN\tB-NP\tO' +p52972 +aS'was\tbe\tVBD\tB-VP\tO' +p52973 +aS'neg\tneg\tNN\tB-NP\tO' +p52974 +aS'for\tfor\tIN\tB-PP\tO' +p52975 +aS'shaking\tshake\tVBG\tB-VP\tO' +p52976 +aS'chills\tchill\tNNS\tB-NP\tO' +p52977 +aS',\t,\t,\tO\tO' +p52978 +aS'chest\tchest\tNN\tB-NP\tO' +p52979 +aS'pain\tpain\tNN\tI-NP\tO' +p52980 +aS',\t,\t,\tO\tO' +p52981 +aS'SOB\tSOB\tNN\tB-NP\tB-protein' +p52982 +aS',\t,\t,\tO\tO' +p52983 +aS'coughing\tcoughing\tNN\tB-NP\tO' +p52984 +aS',\t,\t,\tO\tO' +p52985 +aS'constipation\tconstipation\tNN\tB-NP\tO' +p52986 +aS',\t,\t,\tO\tO' +p52987 +aS'diarrhea\tdiarrhea\tNN\tB-NP\tO' +p52988 +aS',\t,\t,\tO\tO' +p52989 +aS'tarry\ttarry\tNN\tB-NP\tO' +p52990 +aS'stools\tstool\tNNS\tI-NP\tO' +p52991 +aS',\t,\t,\tO\tO' +p52992 +aS'abd\tabd\tNN\tB-NP\tO' +p52993 +aS'pain\tpain\tNN\tI-NP\tO' +p52994 +aS'.\t.\t.\tO\tO' +p52995 +asS'Adhere to 2 gm sodium diet' +p52996 +(lp52997 +S'Adhere\tAdhere\tRB\tB-ADVP\tO' +p52998 +aS'to\tto\tTO\tB-PP\tO' +p52999 +aS'2\t2\tCD\tB-NP\tO' +p53000 +aS'gm\tgm\tNN\tI-NP\tO' +p53001 +aS'sodium\tsodium\tNN\tI-NP\tO' +p53002 +aS'diet\tdiet\tNN\tI-NP\tO' +p53003 +asS'1. Epiglottitis / supraglottitis .' +p53004 +(lp53005 +S'1.\t1.\tLS\tB-NP\tO' +p53006 +aS'Epiglottitis\tEpiglottitis\tNN\tI-NP\tO' +p53007 +aS'/\t/\tSYM\tI-NP\tO' +p53008 +aS'supraglottitis\tsupraglottitis\tNN\tI-NP\tO' +p53009 +aS'.\t.\t.\tO\tO' +p53010 +asS'Please add this dictation to initial dictation done on 2015-03-26 .' +p53011 +(lp53012 +S'Please\tPlease\tVB\tB-VP\tO' +p53013 +aS'add\tadd\tVB\tI-VP\tO' +p53014 +aS'this\tthis\tDT\tB-NP\tO' +p53015 +aS'dictation\tdictation\tNN\tI-NP\tO' +p53016 +aS'to\tto\tTO\tB-PP\tO' +p53017 +aS'initial\tinitial\tJJ\tB-NP\tO' +p53018 +aS'dictation\tdictation\tNN\tI-NP\tO' +p53019 +aS'done\tdo\tVBN\tB-VP\tO' +p53020 +aS'on\ton\tIN\tB-PP\tO' +p53021 +aS'2015-03-26\t2015-03-26\tCD\tB-NP\tO' +p53022 +aS'.\t.\t.\tO\tO' +p53023 +asS'Of note , he will need to remain on Plavix for three months postop given the off pump procedure .' +p53024 +(lp53025 +S'Of\tOf\tIN\tB-PP\tO' +p53026 +aS'note\tnote\tNN\tB-NP\tO' +p53027 +aS',\t,\t,\tO\tO' +p53028 +aS'he\the\tPRP\tB-NP\tO' +p53029 +aS'will\twill\tMD\tB-VP\tO' +p53030 +aS'need\tneed\tVB\tI-VP\tO' +p53031 +aS'to\tto\tTO\tI-VP\tO' +p53032 +aS'remain\tremain\tVB\tI-VP\tO' +p53033 +aS'on\ton\tIN\tB-PP\tO' +p53034 +aS'Plavix\tPlavix\tNNP\tB-NP\tO' +p53035 +aS'for\tfor\tIN\tB-PP\tO' +p53036 +aS'three\tthree\tCD\tB-NP\tO' +p53037 +aS'months\tmonth\tNNS\tI-NP\tO' +p53038 +aS'postop\tpostop\tRB\tB-VP\tO' +p53039 +aS'given\tgive\tVBN\tI-VP\tO' +p53040 +aS'the\tthe\tDT\tB-NP\tO' +p53041 +aS'off\toff\tJJ\tI-NP\tO' +p53042 +aS'pump\tpump\tNN\tI-NP\tO' +p53043 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p53044 +aS'.\t.\t.\tO\tO' +p53045 +asS'On 06-25 , urine cultures grew out VRE , and a C diff was negative .' +p53046 +(lp53047 +S'On\tOn\tIN\tB-PP\tO' +p53048 +aS'06-25\t06-25\tCD\tB-NP\tO' +p53049 +aS',\t,\t,\tO\tO' +p53050 +aS'urine\turine\tNN\tB-NP\tB-cell_line' +p53051 +aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' +p53052 +aS'grew\tgrow\tVBD\tB-VP\tO' +p53053 +aS'out\tout\tRP\tB-PRT\tO' +p53054 +aS'VRE\tVRE\tNN\tB-NP\tB-DNA' +p53055 +aS',\t,\t,\tO\tO' +p53056 +aS'and\tand\tCC\tO\tO' +p53057 +aS'a\ta\tDT\tB-NP\tO' +p53058 +aS'C\tC\tNN\tI-NP\tB-protein' +p53059 +aS'diff\tdiff\tNN\tI-NP\tI-protein' +p53060 +aS'was\tbe\tVBD\tB-VP\tO' +p53061 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p53062 +aS'.\t.\t.\tO\tO' +p53063 +asS'He does not regard the examiner .' +p53064 +(lp53065 +S'He\tHe\tPRP\tB-NP\tO' +p53066 +aS'does\tdo\tVBZ\tB-VP\tO' +p53067 +aS'not\tnot\tRB\tI-VP\tO' +p53068 +aS'regard\tregard\tVB\tI-VP\tO' +p53069 +aS'the\tthe\tDT\tB-NP\tO' +p53070 +aS'examiner\texaminer\tNN\tI-NP\tO' +p53071 +aS'.\t.\t.\tO\tO' +p53072 +asS'A abdominal plain film showed non-specific bowel gas patterns that may represent an early obstruction .' +p53073 +(lp53074 +S'A\tA\tDT\tB-NP\tO' +p53075 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p53076 +aS'plain\tplain\tJJ\tI-NP\tO' +p53077 +aS'film\tfilm\tNN\tI-NP\tO' +p53078 +aS'showed\tshow\tVBD\tB-VP\tO' +p53079 +aS'non-specific\tnon-specific\tJJ\tB-NP\tO' +p53080 +aS'bowel\tbowel\tNN\tI-NP\tO' +p53081 +aS'gas\tgas\tNN\tI-NP\tO' +p53082 +aS'patterns\tpattern\tNNS\tI-NP\tO' +p53083 +aS'that\tthat\tWDT\tB-NP\tO' +p53084 +aS'may\tmay\tMD\tB-VP\tO' +p53085 +aS'represent\trepresent\tVB\tI-VP\tO' +p53086 +aS'an\tan\tDT\tB-NP\tO' +p53087 +aS'early\tearly\tJJ\tI-NP\tO' +p53088 +aS'obstruction\tobstruction\tNN\tI-NP\tO' +p53089 +aS'.\t.\t.\tO\tO' +p53090 +asS'Respiratory : She was intubated briefly post-op subtotal colectomy and again for several days after second surgery .' +p53091 +(lp53092 +S'Respiratory\tRespiratory\tJJ\tB-ADJP\tO' +p53093 +aS':\t:\t:\tO\tO' +p53094 +aS'She\tShe\tPRP\tB-NP\tO' +p53095 +aS'was\tbe\tVBD\tB-VP\tO' +p53096 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p53097 +aS'briefly\tbriefly\tRB\tB-ADVP\tO' +p53098 +aS'post-op\tpost-op\tJJ\tB-NP\tO' +p53099 +aS'subtotal\tsubtotal\tJJ\tI-NP\tO' +p53100 +aS'colectomy\tcolectomy\tNN\tI-NP\tO' +p53101 +aS'and\tand\tCC\tO\tO' +p53102 +aS'again\tagain\tRB\tB-ADVP\tO' +p53103 +aS'for\tfor\tIN\tB-PP\tO' +p53104 +aS'several\tseveral\tJJ\tB-NP\tO' +p53105 +aS'days\tday\tNNS\tI-NP\tO' +p53106 +aS'after\tafter\tIN\tB-PP\tO' +p53107 +aS'second\tsecond\tJJ\tB-NP\tO' +p53108 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p53109 +aS'.\t.\t.\tO\tO' +p53110 +asS'Persistent bibasilar atelectasis and tiny pleural effusions .' +p53111 +(lp53112 +S'Persistent\tPersistent\tJJ\tB-NP\tO' +p53113 +aS'bibasilar\tbibasilar\tJJ\tI-NP\tO' +p53114 +aS'atelectasis\tatelectasis\tNN\tI-NP\tO' +p53115 +aS'and\tand\tCC\tO\tO' +p53116 +aS'tiny\ttiny\tJJ\tB-NP\tO' +p53117 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p53118 +aS'effusions\teffusion\tNNS\tI-NP\tO' +p53119 +aS'.\t.\t.\tO\tO' +p53120 +asS'After returning to her room she w noted SSCP without radiation .' +p53121 +(lp53122 +S'After\tAfter\tIN\tB-PP\tO' +p53123 +aS'returning\treturn\tVBG\tB-VP\tO' +p53124 +aS'to\tto\tTO\tB-PP\tO' +p53125 +aS'her\ther\tPRP$\tB-NP\tO' +p53126 +aS'room\troom\tNN\tI-NP\tO' +p53127 +aS'she\tshe\tPRP\tB-NP\tO' +p53128 +aS'w\tw\tVBD\tB-VP\tO' +p53129 +aS'noted\tnote\tVBN\tB-NP\tO' +p53130 +aS'SSCP\tSSCP\tNN\tI-NP\tO' +p53131 +aS'without\twithout\tIN\tB-PP\tO' +p53132 +aS'radiation\tradiation\tNN\tB-NP\tO' +p53133 +aS'.\t.\t.\tO\tO' +p53134 +asS'The patient was anxious with depression poorly controlled until 12/14/03 .' +p53135 +(lp53136 +S'The\tThe\tDT\tB-NP\tO' +p53137 +aS'patient\tpatient\tNN\tI-NP\tO' +p53138 +aS'was\tbe\tVBD\tB-VP\tO' +p53139 +aS'anxious\tanxious\tJJ\tB-ADJP\tO' +p53140 +aS'with\twith\tIN\tB-PP\tO' +p53141 +aS'depression\tdepression\tNN\tB-NP\tO' +p53142 +aS'poorly\tpoorly\tRB\tB-VP\tO' +p53143 +aS'controlled\tcontrol\tVBN\tI-VP\tO' +p53144 +aS'until\tuntil\tIN\tB-PP\tO' +p53145 +aS'12/14/03\t12/14/03\tCD\tB-NP\tO' +p53146 +aS'.\t.\t.\tO\tO' +p53147 +asS'The patient showed peaked T waves on electrocardiogram , and he was transferred to Medicine .' +p53148 +(lp53149 +S'The\tThe\tDT\tB-NP\tO' +p53150 +aS'patient\tpatient\tNN\tI-NP\tO' +p53151 +aS'showed\tshow\tVBD\tB-VP\tO' +p53152 +aS'peaked\tpeaked\tJJ\tB-NP\tO' +p53153 +aS'T\tT\tNN\tI-NP\tO' +p53154 +aS'waves\twave\tNNS\tI-NP\tO' +p53155 +aS'on\ton\tIN\tB-PP\tO' +p53156 +aS'electrocardiogram\telectrocardiogram\tNN\tB-NP\tO' +p53157 +aS',\t,\t,\tO\tO' +p53158 +aS'and\tand\tCC\tO\tO' +p53159 +aS'he\the\tPRP\tB-NP\tO' +p53160 +aS'was\tbe\tVBD\tB-VP\tO' +p53161 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p53162 +aS'to\tto\tTO\tB-PP\tO' +p53163 +aS'Medicine\tMedicine\tNN\tB-NP\tO' +p53164 +aS'.\t.\t.\tO\tO' +p53165 +asS'18. Epoetin Alfa 4,000 unit/mL Solution Sig : One ( 1 ) Injection QMOWEFR ( Monday - Wednesday - Friday ) .' +p53166 +(lp53167 +S'18.\t18.\tCD\tB-NP\tO' +p53168 +aS'Epoetin\tEpoetin\tNNP\tI-NP\tO' +p53169 +aS'Alfa\tAlfa\tNNP\tI-NP\tO' +p53170 +aS'4,000\t4,000\tCD\tI-NP\tO' +p53171 +aS'unit/mL\tunit/mL\tNN\tI-NP\tO' +p53172 +aS'Solution\tSolution\tNNP\tI-NP\tO' +p53173 +aS'Sig\tSig\tNNP\tI-NP\tO' +p53174 +aS':\t:\t:\tO\tO' +p53175 +aS'One\tOne\tCD\tB-NP\tO' +p53176 +aS'(\t(\t(\tO\tO' +p53177 +aS'1\t1\tCD\tB-NP\tO' +p53178 +aS')\t)\t)\tO\tO' +p53179 +aS'Injection\tInjection\tNN\tB-NP\tO' +p53180 +aS'QMOWEFR\tQMOWEFR\tNN\tI-NP\tO' +p53181 +aS'(\t(\t(\tO\tO' +p53182 +aS'Monday\tMonday\tNNP\tB-NP\tO' +p53183 +aS'-\t-\tHYPH\tO\tO' +p53184 +aS'Wednesday\tWednesday\tNNP\tB-NP\tO' +p53185 +aS'-\t-\tHYPH\tO\tO' +p53186 +aS'Friday\tFriday\tNNP\tB-NP\tO' +p53187 +aS')\t)\t)\tO\tO' +p53188 +aS'.\t.\t.\tO\tO' +p53189 +asS'Patient was on pneumoboots while in hospital .' +p53190 +(lp53191 +S'Patient\tPatient\tNN\tB-NP\tO' +p53192 +aS'was\tbe\tVBD\tB-VP\tO' +p53193 +aS'on\ton\tIN\tB-PP\tO' +p53194 +aS'pneumoboots\tpneumoboot\tNNS\tB-NP\tO' +p53195 +aS'while\twhile\tIN\tB-SBAR\tO' +p53196 +aS'in\tin\tIN\tB-PP\tO' +p53197 +aS'hospital\thospital\tNN\tB-NP\tO' +p53198 +aS'.\t.\t.\tO\tO' +p53199 +asS'At this time , his head CT was negative , and he was treated with Dilantin and Phenobarbital .' +p53200 +(lp53201 +S'At\tAt\tIN\tB-PP\tO' +p53202 +aS'this\tthis\tDT\tB-NP\tO' +p53203 +aS'time\ttime\tNN\tI-NP\tO' +p53204 +aS',\t,\t,\tO\tO' +p53205 +aS'his\this\tPRP$\tB-NP\tO' +p53206 +aS'head\thead\tNN\tI-NP\tO' +p53207 +aS'CT\tCT\tNN\tI-NP\tO' +p53208 +aS'was\tbe\tVBD\tB-VP\tO' +p53209 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p53210 +aS',\t,\t,\tO\tO' +p53211 +aS'and\tand\tCC\tO\tO' +p53212 +aS'he\the\tPRP\tB-NP\tO' +p53213 +aS'was\tbe\tVBD\tB-VP\tO' +p53214 +aS'treated\ttreat\tVBN\tI-VP\tO' +p53215 +aS'with\twith\tIN\tB-PP\tO' +p53216 +aS'Dilantin\tDilantin\tNN\tB-NP\tB-protein' +p53217 +aS'and\tand\tCC\tI-NP\tO' +p53218 +aS'Phenobarbital\tPhenobarbital\tNN\tI-NP\tO' +p53219 +aS'.\t.\t.\tO\tO' +p53220 +asS'On admission , he was on Isordil 10 tid and enteric coated aspirin , but he was not taking either of these medications .' +p53221 +(lp53222 +S'On\tOn\tIN\tB-PP\tO' +p53223 +aS'admission\tadmission\tNN\tB-NP\tO' +p53224 +aS',\t,\t,\tO\tO' +p53225 +aS'he\the\tPRP\tB-NP\tO' +p53226 +aS'was\tbe\tVBD\tB-VP\tO' +p53227 +aS'on\ton\tIN\tB-PP\tO' +p53228 +aS'Isordil\tIsordil\tNN\tB-NP\tO' +p53229 +aS'10\t10\tCD\tI-NP\tO' +p53230 +aS'tid\ttid\tNN\tI-NP\tO' +p53231 +aS'and\tand\tCC\tI-NP\tO' +p53232 +aS'enteric\tenteric\tJJ\tI-NP\tO' +p53233 +aS'coated\tcoat\tVBN\tI-NP\tO' +p53234 +aS'aspirin\taspirin\tNN\tI-NP\tO' +p53235 +aS',\t,\t,\tO\tO' +p53236 +aS'but\tbut\tCC\tO\tO' +p53237 +aS'he\the\tPRP\tB-NP\tO' +p53238 +aS'was\tbe\tVBD\tB-VP\tO' +p53239 +aS'not\tnot\tRB\tI-VP\tO' +p53240 +aS'taking\ttake\tVBG\tI-VP\tO' +p53241 +aS'either\teither\tDT\tB-NP\tO' +p53242 +aS'of\tof\tIN\tB-PP\tO' +p53243 +aS'these\tthese\tDT\tB-NP\tO' +p53244 +aS'medications\tmedication\tNNS\tI-NP\tO' +p53245 +aS'.\t.\t.\tO\tO' +p53246 +asS'This was considered too high risk for angioplasty because of the severe disease in the graft .' +p53247 +(lp53248 +S'This\tThis\tDT\tB-NP\tO' +p53249 +aS'was\tbe\tVBD\tB-VP\tO' +p53250 +aS'considered\tconsider\tVBN\tI-VP\tO' +p53251 +aS'too\ttoo\tRB\tB-NP\tO' +p53252 +aS'high\thigh\tJJ\tI-NP\tO' +p53253 +aS'risk\trisk\tNN\tI-NP\tO' +p53254 +aS'for\tfor\tIN\tB-PP\tO' +p53255 +aS'angioplasty\tangioplasty\tJJ\tB-NP\tO' +p53256 +aS'because\tbecause\tIN\tB-PP\tO' +p53257 +aS'of\tof\tIN\tI-PP\tO' +p53258 +aS'the\tthe\tDT\tB-NP\tO' +p53259 +aS'severe\tsevere\tJJ\tI-NP\tO' +p53260 +aS'disease\tdisease\tNN\tI-NP\tO' +p53261 +aS'in\tin\tIN\tB-PP\tO' +p53262 +aS'the\tthe\tDT\tB-NP\tO' +p53263 +aS'graft\tgraft\tNN\tI-NP\tO' +p53264 +aS'.\t.\t.\tO\tO' +p53265 +asS'Abd : thin , nd , nt , soft , no masses palpable' +p53266 +(lp53267 +S'Abd\tAbd\tNN\tB-NP\tO' +p53268 +aS':\t:\t:\tO\tO' +p53269 +aS'thin\tthin\tJJ\tB-ADJP\tO' +p53270 +aS',\t,\t,\tO\tO' +p53271 +aS'nd\tnd\tNN\tB-NP\tO' +p53272 +aS',\t,\t,\tO\tO' +p53273 +aS'nt\tnt\tNN\tB-NP\tO' +p53274 +aS',\t,\t,\tO\tO' +p53275 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p53276 +aS',\t,\t,\tO\tO' +p53277 +aS'no\tno\tDT\tB-NP\tO' +p53278 +aS'masses\tmass\tNNS\tI-NP\tO' +p53279 +aS'palpable\tpalpable\tJJ\tB-ADJP\tO' +p53280 +asS'May take shower .' +p53281 +(lp53282 +S'May\tMay\tMD\tO\tO' +p53283 +aS'take\ttake\tVBP\tB-VP\tO' +p53284 +aS'shower\tshower\tNN\tB-NP\tO' +p53285 +aS'.\t.\t.\tO\tO' +p53286 +asS"On the floor the patient remained stable hemodynamically without recurrent fever and was stable for transfer back to Franciscan Children 's Hospital & Rehab Center 4 ." +p53287 +(lp53288 +S'On\tOn\tIN\tB-PP\tO' +p53289 +aS'the\tthe\tDT\tB-NP\tO' +p53290 +aS'floor\tfloor\tNN\tI-NP\tO' +p53291 +aS'the\tthe\tDT\tB-NP\tO' +p53292 +aS'patient\tpatient\tNN\tI-NP\tO' +p53293 +aS'remained\tremain\tVBD\tB-VP\tO' +p53294 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p53295 +aS'hemodynamically\themodynamically\tRB\tB-ADVP\tO' +p53296 +aS'without\twithout\tIN\tB-PP\tO' +p53297 +aS'recurrent\trecurrent\tJJ\tB-NP\tO' +p53298 +aS'fever\tfever\tNN\tI-NP\tO' +p53299 +aS'and\tand\tCC\tO\tO' +p53300 +aS'was\tbe\tVBD\tB-VP\tO' +p53301 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p53302 +aS'for\tfor\tIN\tB-PP\tO' +p53303 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p53304 +aS'back\tback\tRB\tB-ADVP\tO' +p53305 +aS'to\tto\tTO\tB-PP\tO' +p53306 +aS'Franciscan\tFranciscan\tNNP\tB-NP\tO' +p53307 +aS'Children\tChildren\tNNP\tI-NP\tO' +p53308 +aS"'s\t's\tPOS\tB-NP\tO" +p53309 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p53310 +aS'&\t&\tCC\tI-NP\tO' +p53311 +aS'Rehab\tRehab\tNNP\tI-NP\tO' +p53312 +aS'Center\tCenter\tNNP\tI-NP\tO' +p53313 +aS'4\t4\tCD\tI-NP\tO' +p53314 +aS'.\t.\t.\tO\tO' +p53315 +asS'He was found to have bilateral Staphylococcus pneumonia .' +p53316 +(lp53317 +S'He\tHe\tPRP\tB-NP\tO' +p53318 +aS'was\tbe\tVBD\tB-VP\tO' +p53319 +aS'found\tfind\tVBN\tI-VP\tO' +p53320 +aS'to\tto\tTO\tI-VP\tO' +p53321 +aS'have\thave\tVB\tI-VP\tO' +p53322 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p53323 +aS'Staphylococcus\tStaphylococcus\tNNP\tI-NP\tO' +p53324 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p53325 +aS'.\t.\t.\tO\tO' +p53326 +asS'Pt was continued on aspirin , metoprolol , nifedipine .' +p53327 +(lp53328 +S'Pt\tPt\tNN\tB-NP\tO' +p53329 +aS'was\tbe\tVBD\tB-VP\tO' +p53330 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p53331 +aS'on\ton\tIN\tB-PP\tO' +p53332 +aS'aspirin\taspirin\tNN\tB-NP\tO' +p53333 +aS',\t,\t,\tO\tO' +p53334 +aS'metoprolol\tmetoprolol\tNN\tB-NP\tO' +p53335 +aS',\t,\t,\tO\tO' +p53336 +aS'nifedipine\tnifedipine\tNN\tB-NP\tO' +p53337 +aS'.\t.\t.\tO\tO' +p53338 +asS'We had given her some normal saline and then we proceeded to just do fluid restriction .' +p53339 +(lp53340 +S'We\tWe\tPRP\tB-NP\tO' +p53341 +aS'had\thave\tVBD\tB-VP\tO' +p53342 +aS'given\tgive\tVBN\tI-VP\tO' +p53343 +aS'her\ther\tPRP\tB-NP\tO' +p53344 +aS'some\tsome\tDT\tB-NP\tO' +p53345 +aS'normal\tnormal\tJJ\tI-NP\tO' +p53346 +aS'saline\tsaline\tNN\tI-NP\tO' +p53347 +aS'and\tand\tCC\tO\tO' +p53348 +aS'then\tthen\tRB\tB-ADVP\tO' +p53349 +aS'we\twe\tPRP\tB-NP\tO' +p53350 +aS'proceeded\tproceed\tVBD\tB-VP\tO' +p53351 +aS'to\tto\tTO\tI-VP\tO' +p53352 +aS'just\tjust\tRB\tI-VP\tO' +p53353 +aS'do\tdo\tVB\tI-VP\tO' +p53354 +aS'fluid\tfluid\tJJ\tB-NP\tO' +p53355 +aS'restriction\trestriction\tNN\tI-NP\tO' +p53356 +aS'.\t.\t.\tO\tO' +p53357 +asS'The chemotherapy was well tolerated .' +p53358 +(lp53359 +S'The\tThe\tDT\tB-NP\tO' +p53360 +aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' +p53361 +aS'was\tbe\tVBD\tB-VP\tO' +p53362 +aS'well\twell\tRB\tI-VP\tO' +p53363 +aS'tolerated\ttolerate\tVBN\tI-VP\tO' +p53364 +aS'.\t.\t.\tO\tO' +p53365 +asS'Aspiration pneumonia bilateral , multiple strokes , chronic atrial fibrillation , prostatic hypertrophy with gross hematuria .' +p53366 +(lp53367 +S'Aspiration\tAspiration\tNN\tB-NP\tO' +p53368 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p53369 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p53370 +aS',\t,\t,\tI-NP\tO' +p53371 +aS'multiple\tmultiple\tJJ\tI-NP\tO' +p53372 +aS'strokes\tstroke\tNNS\tI-NP\tO' +p53373 +aS',\t,\t,\tO\tO' +p53374 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p53375 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p53376 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p53377 +aS',\t,\t,\tO\tO' +p53378 +aS'prostatic\tprostatic\tJJ\tB-NP\tO' +p53379 +aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' +p53380 +aS'with\twith\tIN\tB-PP\tO' +p53381 +aS'gross\tgross\tJJ\tB-NP\tO' +p53382 +aS'hematuria\thematuria\tNN\tI-NP\tO' +p53383 +aS'.\t.\t.\tO\tO' +p53384 +asS's / p ventral hernia repair' +p53385 +(lp53386 +S's\ts\tNN\tB-NP\tO' +p53387 +aS'/\t/\tSYM\tI-NP\tO' +p53388 +aS'p\tp\tNN\tI-NP\tO' +p53389 +aS'ventral\tventral\tJJ\tI-NP\tO' +p53390 +aS'hernia\thernia\tNN\tI-NP\tO' +p53391 +aS'repair\trepair\tNN\tI-NP\tO' +p53392 +asS'No CAD in 1st degree relatives .' +p53393 +(lp53394 +S'No\tNo\tDT\tB-NP\tO' +p53395 +aS'CAD\tCAD\tNN\tI-NP\tB-protein' +p53396 +aS'in\tin\tIN\tB-PP\tO' +p53397 +aS'1st\t1st\tJJ\tB-NP\tO' +p53398 +aS'degree\tdegree\tNN\tI-NP\tO' +p53399 +aS'relatives\trelative\tNNS\tI-NP\tO' +p53400 +aS'.\t.\t.\tO\tO' +p53401 +asS'He was to follow up with pulmonary as an outpatient .' +p53402 +(lp53403 +S'He\tHe\tPRP\tB-NP\tO' +p53404 +aS'was\tbe\tVBD\tB-VP\tO' +p53405 +aS'to\tto\tTO\tB-VP\tO' +p53406 +aS'follow\tfollow\tVB\tI-VP\tO' +p53407 +aS'up\tup\tRP\tB-PRT\tO' +p53408 +aS'with\twith\tIN\tB-PP\tO' +p53409 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p53410 +aS'as\tas\tIN\tB-PP\tO' +p53411 +aS'an\tan\tDT\tB-NP\tO' +p53412 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p53413 +aS'.\t.\t.\tO\tO' +p53414 +asS'The surrounding osseous and soft tissue structures are unremarkable .' +p53415 +(lp53416 +S'The\tThe\tDT\tB-NP\tO' +p53417 +aS'surrounding\tsurround\tVBG\tI-NP\tO' +p53418 +aS'osseous\tosseous\tJJ\tI-NP\tO' +p53419 +aS'and\tand\tCC\tI-NP\tO' +p53420 +aS'soft\tsoft\tJJ\tI-NP\tO' +p53421 +aS'tissue\ttissue\tNN\tI-NP\tO' +p53422 +aS'structures\tstructure\tNNS\tI-NP\tO' +p53423 +aS'are\tbe\tVBP\tB-VP\tO' +p53424 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p53425 +aS'.\t.\t.\tO\tO' +p53426 +asS'If the patient can not make those appointments or has any questions about the appointments , please call 787-984-9608 .' +p53427 +(lp53428 +S'If\tIf\tIN\tB-SBAR\tO' +p53429 +aS'the\tthe\tDT\tB-NP\tO' +p53430 +aS'patient\tpatient\tNN\tI-NP\tO' +p53431 +aS'can\tcan\tMD\tB-VP\tO' +p53432 +aS'not\tnot\tRB\tI-VP\tO' +p53433 +aS'make\tmake\tVB\tI-VP\tO' +p53434 +aS'those\tthose\tDT\tB-NP\tO' +p53435 +aS'appointments\tappointment\tNNS\tI-NP\tO' +p53436 +aS'or\tor\tCC\tO\tO' +p53437 +aS'has\thave\tVBZ\tB-VP\tO' +p53438 +aS'any\tany\tDT\tB-NP\tO' +p53439 +aS'questions\tquestion\tNNS\tI-NP\tO' +p53440 +aS'about\tabout\tIN\tB-PP\tO' +p53441 +aS'the\tthe\tDT\tB-NP\tO' +p53442 +aS'appointments\tappointment\tNNS\tI-NP\tO' +p53443 +aS',\t,\t,\tO\tO' +p53444 +aS'please\tplease\tVB\tB-VP\tO' +p53445 +aS'call\tcall\tNN\tB-NP\tO' +p53446 +aS'787-984-9608\t787-984-9608\tCD\tI-NP\tO' +p53447 +aS'.\t.\t.\tO\tO' +p53448 +asS'2. Albuterol-Ipratropium 103-18 mcg/Actuation Aerosol Sig : 06-17 Puffs Inhalation Q2-4H ( every 2 to 4 hours ) as needed .' +p53449 +(lp53450 +S'2.\t2.\tLS\tB-NP\tO' +p53451 +aS'Albuterol-Ipratropium\tAlbuterol-Ipratropium\tNN\tI-NP\tO' +p53452 +aS'103-18\t103-18\tCD\tI-NP\tO' +p53453 +aS'mcg/Actuation\tmcg/Actuation\tNN\tI-NP\tO' +p53454 +aS'Aerosol\tAerosol\tNNP\tI-NP\tO' +p53455 +aS'Sig\tSig\tNNP\tI-NP\tO' +p53456 +aS':\t:\t:\tO\tO' +p53457 +aS'06-17\t06-17\tCD\tB-NP\tO' +p53458 +aS'Puffs\tPuff\tNNS\tI-NP\tO' +p53459 +aS'Inhalation\tInhalation\tNN\tI-NP\tO' +p53460 +aS'Q2-4H\tQ2-4H\tNN\tI-NP\tO' +p53461 +aS'(\t(\t(\tO\tO' +p53462 +aS'every\tevery\tDT\tB-NP\tO' +p53463 +aS'2\t2\tCD\tI-NP\tO' +p53464 +aS'to\tto\tTO\tI-NP\tO' +p53465 +aS'4\t4\tCD\tI-NP\tO' +p53466 +aS'hours\thour\tNNS\tI-NP\tO' +p53467 +aS')\t)\t)\tO\tO' +p53468 +aS'as\tas\tIN\tB-SBAR\tO' +p53469 +aS'needed\tneed\tVBN\tB-VP\tO' +p53470 +aS'.\t.\t.\tO\tO' +p53471 +asS'The patient also revealed a prior history of heavy alcohol use for approximately 20 years , during the mid 1950s to mid 1970s .' +p53472 +(lp53473 +S'The\tThe\tDT\tB-NP\tO' +p53474 +aS'patient\tpatient\tNN\tI-NP\tO' +p53475 +aS'also\talso\tRB\tB-ADVP\tO' +p53476 +aS'revealed\treveal\tVBD\tB-VP\tO' +p53477 +aS'a\ta\tDT\tB-NP\tO' +p53478 +aS'prior\tprior\tJJ\tI-NP\tO' +p53479 +aS'history\thistory\tNN\tI-NP\tO' +p53480 +aS'of\tof\tIN\tB-PP\tO' +p53481 +aS'heavy\theavy\tJJ\tB-NP\tO' +p53482 +aS'alcohol\talcohol\tNN\tI-NP\tO' +p53483 +aS'use\tuse\tNN\tI-NP\tO' +p53484 +aS'for\tfor\tIN\tB-PP\tO' +p53485 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p53486 +aS'20\t20\tCD\tI-NP\tO' +p53487 +aS'years\tyear\tNNS\tI-NP\tO' +p53488 +aS',\t,\t,\tO\tO' +p53489 +aS'during\tduring\tIN\tB-PP\tO' +p53490 +aS'the\tthe\tDT\tB-NP\tO' +p53491 +aS'mid\tmid\tJJ\tI-NP\tO' +p53492 +aS'1950s\t1950s\tCD\tI-NP\tO' +p53493 +aS'to\tto\tTO\tB-PP\tO' +p53494 +aS'mid\tmid\tJJ\tB-NP\tO' +p53495 +aS'1970s\t1970\tNNS\tI-NP\tO' +p53496 +aS'.\t.\t.\tO\tO' +p53497 +asS'Notable for sodium 141 , potassium 4.2 , chloride 109 , bicarb 19.8 , BUN 38 , creatinine 1.2 and glucose 388 .' +p53498 +(lp53499 +S'Notable\tNotable\tJJ\tB-ADJP\tO' +p53500 +aS'for\tfor\tIN\tB-PP\tO' +p53501 +aS'sodium\tsodium\tNN\tB-NP\tO' +p53502 +aS'141\t141\tCD\tI-NP\tO' +p53503 +aS',\t,\t,\tO\tO' +p53504 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p53505 +aS'4.2\t4.2\tCD\tI-NP\tO' +p53506 +aS',\t,\t,\tO\tO' +p53507 +aS'chloride\tchloride\tNN\tB-NP\tO' +p53508 +aS'109\t109\tCD\tI-NP\tO' +p53509 +aS',\t,\t,\tO\tO' +p53510 +aS'bicarb\tbicarb\tNN\tB-NP\tB-protein' +p53511 +aS'19.8\t19.8\tCD\tI-NP\tI-protein' +p53512 +aS',\t,\t,\tO\tO' +p53513 +aS'BUN\tBUN\tNN\tB-NP\tB-DNA' +p53514 +aS'38\t38\tCD\tI-NP\tI-DNA' +p53515 +aS',\t,\t,\tO\tO' +p53516 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p53517 +aS'1.2\t1.2\tCD\tI-NP\tO' +p53518 +aS'and\tand\tCC\tO\tO' +p53519 +aS'glucose\tglucose\tNN\tB-NP\tB-protein' +p53520 +aS'388\t388\tCD\tI-NP\tI-protein' +p53521 +aS'.\t.\t.\tO\tO' +p53522 +asS'Right-sided electrocardiograms showed 1-mm ST elevations in V4 ; consistent with a right ventricular infarct .' +p53523 +(lp53524 +S'Right-sided\tRight-sided\tJJ\tB-NP\tO' +p53525 +aS'electrocardiograms\telectrocardiogram\tNNS\tI-NP\tO' +p53526 +aS'showed\tshow\tVBD\tB-VP\tO' +p53527 +aS'1-mm\t1-mm\tJJ\tB-NP\tO' +p53528 +aS'ST\tST\tJJ\tI-NP\tO' +p53529 +aS'elevations\televation\tNNS\tI-NP\tO' +p53530 +aS'in\tin\tIN\tB-PP\tO' +p53531 +aS'V4\tV4\tNN\tB-NP\tO' +p53532 +aS';\t;\t:\tO\tO' +p53533 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p53534 +aS'with\twith\tIN\tB-PP\tO' +p53535 +aS'a\ta\tDT\tB-NP\tO' +p53536 +aS'right\tright\tJJ\tI-NP\tO' +p53537 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p53538 +aS'infarct\tinfarct\tNN\tI-NP\tO' +p53539 +aS'.\t.\t.\tO\tO' +p53540 +asS'Do no strenuous activity until your symptoms are improved .' +p53541 +(lp53542 +S'Do\tDo\tVBP\tB-VP\tO' +p53543 +aS'no\tno\tDT\tB-NP\tO' +p53544 +aS'strenuous\tstrenuous\tJJ\tI-NP\tO' +p53545 +aS'activity\tactivity\tNN\tI-NP\tO' +p53546 +aS'until\tuntil\tIN\tB-SBAR\tO' +p53547 +aS'your\tyour\tPRP$\tB-NP\tO' +p53548 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p53549 +aS'are\tbe\tVBP\tB-VP\tO' +p53550 +aS'improved\timprove\tVBN\tI-VP\tO' +p53551 +aS'.\t.\t.\tO\tO' +p53552 +asS'This may have been the initial primary cancer although it is unclear at present .' +p53553 +(lp53554 +S'This\tThis\tDT\tB-NP\tO' +p53555 +aS'may\tmay\tMD\tB-VP\tO' +p53556 +aS'have\thave\tVB\tI-VP\tO' +p53557 +aS'been\tbe\tVBN\tI-VP\tO' +p53558 +aS'the\tthe\tDT\tB-NP\tO' +p53559 +aS'initial\tinitial\tJJ\tI-NP\tO' +p53560 +aS'primary\tprimary\tJJ\tI-NP\tO' +p53561 +aS'cancer\tcancer\tNN\tI-NP\tO' +p53562 +aS'although\talthough\tIN\tB-SBAR\tO' +p53563 +aS'it\tit\tPRP\tB-NP\tO' +p53564 +aS'is\tbe\tVBZ\tB-VP\tO' +p53565 +aS'unclear\tunclear\tJJ\tB-ADJP\tO' +p53566 +aS'at\tat\tIN\tB-PP\tO' +p53567 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p53568 +aS'.\t.\t.\tO\tO' +p53569 +asS'The patient was stable for transfer to the CMED floor on POD#3 .' +p53570 +(lp53571 +S'The\tThe\tDT\tB-NP\tO' +p53572 +aS'patient\tpatient\tNN\tI-NP\tO' +p53573 +aS'was\tbe\tVBD\tB-VP\tO' +p53574 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p53575 +aS'for\tfor\tIN\tB-PP\tO' +p53576 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p53577 +aS'to\tto\tTO\tB-PP\tO' +p53578 +aS'the\tthe\tDT\tB-NP\tO' +p53579 +aS'CMED\tCMED\tVBN\tI-NP\tO' +p53580 +aS'floor\tfloor\tNN\tI-NP\tO' +p53581 +aS'on\ton\tIN\tB-PP\tO' +p53582 +aS'POD#3\tPOD#3\tNN\tB-NP\tB-protein' +p53583 +aS'.\t.\t.\tO\tO' +p53584 +asS'CSF grm stn / cx : negative' +p53585 +(lp53586 +S'CSF\tCSF\tNN\tB-NP\tB-protein' +p53587 +aS'grm\tgrm\tNN\tI-NP\tO' +p53588 +aS'stn\tstn\tNN\tI-NP\tO' +p53589 +aS'/\t/\tSYM\tB-NP\tO' +p53590 +aS'cx\tcx\tNN\tI-NP\tO' +p53591 +aS':\t:\t:\tO\tO' +p53592 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p53593 +asS'This was thought to be due to her pneumonia ; however , with her right ventricular hypokinesis , it is also possible that she may have an element of pulmonary hypertension and may warrant further investigation as an outpatient , for example , with chest CT .' +p53594 +(lp53595 +S'This\tThis\tDT\tB-NP\tO' +p53596 +aS'was\tbe\tVBD\tB-VP\tO' +p53597 +aS'thought\tthink\tVBN\tI-VP\tO' +p53598 +aS'to\tto\tTO\tI-VP\tO' +p53599 +aS'be\tbe\tVB\tI-VP\tO' +p53600 +aS'due\tdue\tIN\tB-PP\tO' +p53601 +aS'to\tto\tTO\tB-PP\tO' +p53602 +aS'her\ther\tPRP$\tB-NP\tO' +p53603 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p53604 +aS';\t;\t:\tO\tO' +p53605 +aS'however\thowever\tRB\tB-ADVP\tO' +p53606 +aS',\t,\t,\tO\tO' +p53607 +aS'with\twith\tIN\tB-PP\tO' +p53608 +aS'her\ther\tPRP\tB-NP\tO' +p53609 +aS'right\tright\tJJ\tI-NP\tO' +p53610 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p53611 +aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' +p53612 +aS',\t,\t,\tO\tO' +p53613 +aS'it\tit\tPRP\tB-NP\tO' +p53614 +aS'is\tbe\tVBZ\tB-VP\tO' +p53615 +aS'also\talso\tRB\tB-ADVP\tO' +p53616 +aS'possible\tpossible\tJJ\tB-ADJP\tO' +p53617 +aS'that\tthat\tIN\tB-SBAR\tO' +p53618 +aS'she\tshe\tPRP\tB-NP\tO' +p53619 +aS'may\tmay\tMD\tB-VP\tO' +p53620 +aS'have\thave\tVB\tI-VP\tO' +p53621 +aS'an\tan\tDT\tB-NP\tO' +p53622 +aS'element\telement\tNN\tI-NP\tO' +p53623 +aS'of\tof\tIN\tB-PP\tO' +p53624 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p53625 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p53626 +aS'and\tand\tCC\tO\tO' +p53627 +aS'may\tmay\tMD\tB-VP\tO' +p53628 +aS'warrant\twarrant\tVB\tI-VP\tO' +p53629 +aS'further\tfurther\tJJ\tB-NP\tO' +p53630 +aS'investigation\tinvestigation\tNN\tI-NP\tO' +p53631 +aS'as\tas\tIN\tB-PP\tO' +p53632 +aS'an\tan\tDT\tB-NP\tO' +p53633 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p53634 +aS',\t,\t,\tO\tO' +p53635 +aS'for\tfor\tIN\tB-PP\tO' +p53636 +aS'example\texample\tNN\tB-NP\tO' +p53637 +aS',\t,\t,\tO\tO' +p53638 +aS'with\twith\tIN\tB-PP\tO' +p53639 +aS'chest\tchest\tNN\tB-NP\tO' +p53640 +aS'CT\tCT\tNN\tI-NP\tO' +p53641 +aS'.\t.\t.\tO\tO' +p53642 +asS'WBC s since admission were as high as 14,000 but normalized .' +p53643 +(lp53644 +S'WBC\tWBC\tNNP\tB-NP\tO' +p53645 +aS's\ts\tVBZ\tB-VP\tO' +p53646 +aS'since\tsince\tIN\tB-SBAR\tO' +p53647 +aS'admission\tadmission\tNN\tB-NP\tO' +p53648 +aS'were\tbe\tVBD\tB-VP\tO' +p53649 +aS'as\tas\tRB\tB-ADJP\tO' +p53650 +aS'high\thigh\tJJ\tI-ADJP\tO' +p53651 +aS'as\tas\tIN\tB-PP\tO' +p53652 +aS'14,000\t14,000\tCD\tB-NP\tO' +p53653 +aS'but\tbut\tCC\tO\tO' +p53654 +aS'normalized\tnormalize\tVBD\tB-VP\tO' +p53655 +aS'.\t.\t.\tO\tO' +p53656 +asS'Quit smoking 3.5 years ago .' +p53657 +(lp53658 +S'Quit\tQuit\tNNP\tB-NP\tO' +p53659 +aS'smoking\tsmoke\tVBG\tB-VP\tO' +p53660 +aS'3.5\t3.5\tCD\tB-NP\tO' +p53661 +aS'years\tyear\tNNS\tI-NP\tO' +p53662 +aS'ago\tago\tRB\tB-ADVP\tO' +p53663 +aS'.\t.\t.\tO\tO' +p53664 +asS"Podiatry and Vascular Surgery were reconsulted to assess the patient 's needs for revascularization and for his foot ulcer ." +p53665 +(lp53666 +S'Podiatry\tPodiatry\tNNP\tB-NP\tO' +p53667 +aS'and\tand\tCC\tI-NP\tO' +p53668 +aS'Vascular\tVascular\tNNP\tI-NP\tO' +p53669 +aS'Surgery\tSurgery\tNNP\tI-NP\tO' +p53670 +aS'were\tbe\tVBD\tB-VP\tO' +p53671 +aS'reconsulted\treconsulte\tVBN\tI-VP\tO' +p53672 +aS'to\tto\tTO\tI-VP\tO' +p53673 +aS'assess\tassess\tVB\tI-VP\tO' +p53674 +aS'the\tthe\tDT\tB-NP\tO' +p53675 +aS'patient\tpatient\tNN\tI-NP\tO' +p53676 +aS"'s\t's\tPOS\tB-NP\tO" +p53677 +aS'needs\tneed\tNNS\tI-NP\tO' +p53678 +aS'for\tfor\tIN\tB-PP\tO' +p53679 +aS'revascularization\trevascularization\tNN\tB-NP\tO' +p53680 +aS'and\tand\tCC\tB-PP\tO' +p53681 +aS'for\tfor\tIN\tB-PP\tO' +p53682 +aS'his\this\tPRP$\tB-NP\tO' +p53683 +aS'foot\tfoot\tNN\tI-NP\tO' +p53684 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p53685 +aS'.\t.\t.\tO\tO' +p53686 +asS'The study and the report were reviewed by the staff radiologist .' +p53687 +(lp53688 +S'The\tThe\tDT\tB-NP\tO' +p53689 +aS'study\tstudy\tNN\tI-NP\tO' +p53690 +aS'and\tand\tCC\tO\tO' +p53691 +aS'the\tthe\tDT\tB-NP\tO' +p53692 +aS'report\treport\tNN\tI-NP\tO' +p53693 +aS'were\tbe\tVBD\tB-VP\tO' +p53694 +aS'reviewed\treview\tVBN\tI-VP\tO' +p53695 +aS'by\tby\tIN\tB-PP\tO' +p53696 +aS'the\tthe\tDT\tB-NP\tO' +p53697 +aS'staff\tstaff\tNN\tI-NP\tO' +p53698 +aS'radiologist\tradiologist\tNN\tI-NP\tO' +p53699 +aS'.\t.\t.\tO\tO' +p53700 +asS"4. guiac pos stool : Given the patient 's sx of GERD , current PO steroid regimen , and ASA for her stents , the ddx for her guiac positive stools would include gastritis / gastric ulcer in addition to lower GI pathology ." +p53701 +(lp53702 +S'4.\t4.\tLS\tB-NP\tO' +p53703 +aS'guiac\tguiac\tJJ\tI-NP\tO' +p53704 +aS'pos\tpo\tNNS\tI-NP\tO' +p53705 +aS'stool\tstool\tNN\tI-NP\tO' +p53706 +aS':\t:\t:\tO\tO' +p53707 +aS'Given\tGive\tVBN\tB-VP\tO' +p53708 +aS'the\tthe\tDT\tB-NP\tO' +p53709 +aS'patient\tpatient\tNN\tI-NP\tO' +p53710 +aS"'s\t's\tPOS\tB-NP\tO" +p53711 +aS'sx\tsx\tNN\tI-NP\tO' +p53712 +aS'of\tof\tIN\tB-PP\tO' +p53713 +aS'GERD\tGERD\tNN\tB-NP\tO' +p53714 +aS',\t,\t,\tO\tO' +p53715 +aS'current\tcurrent\tJJ\tB-NP\tO' +p53716 +aS'PO\tPO\tNN\tI-NP\tO' +p53717 +aS'steroid\tsteroid\tNN\tI-NP\tO' +p53718 +aS'regimen\tregimen\tNN\tI-NP\tO' +p53719 +aS',\t,\t,\tO\tO' +p53720 +aS'and\tand\tCC\tO\tO' +p53721 +aS'ASA\tASA\tNN\tB-NP\tO' +p53722 +aS'for\tfor\tIN\tB-PP\tO' +p53723 +aS'her\ther\tPRP$\tB-NP\tO' +p53724 +aS'stents\tstent\tNNS\tI-NP\tO' +p53725 +aS',\t,\t,\tO\tO' +p53726 +aS'the\tthe\tDT\tB-NP\tO' +p53727 +aS'ddx\tddx\tNN\tI-NP\tO' +p53728 +aS'for\tfor\tIN\tB-PP\tO' +p53729 +aS'her\ther\tPRP$\tB-NP\tO' +p53730 +aS'guiac\tguiac\tJJ\tI-NP\tO' +p53731 +aS'positive\tpositive\tJJ\tI-NP\tO' +p53732 +aS'stools\tstool\tNNS\tI-NP\tO' +p53733 +aS'would\twould\tMD\tB-VP\tO' +p53734 +aS'include\tinclude\tVB\tI-VP\tO' +p53735 +aS'gastritis\tgastritis\tNN\tB-NP\tO' +p53736 +aS'/\t/\tSYM\tB-NP\tO' +p53737 +aS'gastric\tgastric\tJJ\tI-NP\tO' +p53738 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p53739 +aS'in\tin\tIN\tB-PP\tO' +p53740 +aS'addition\taddition\tNN\tB-NP\tO' +p53741 +aS'to\tto\tTO\tB-PP\tO' +p53742 +aS'lower\tlow\tJJR\tB-NP\tO' +p53743 +aS'GI\tGI\tNN\tI-NP\tO' +p53744 +aS'pathology\tpathology\tNN\tI-NP\tO' +p53745 +aS'.\t.\t.\tO\tO' +p53746 +asS'She was feeding herself and was very enthusiastic and energetic in her participation in her rehabilitation activities .' +p53747 +(lp53748 +S'She\tShe\tPRP\tB-NP\tO' +p53749 +aS'was\tbe\tVBD\tB-VP\tO' +p53750 +aS'feeding\tfeed\tVBG\tI-VP\tO' +p53751 +aS'herself\therself\tPRP\tB-NP\tO' +p53752 +aS'and\tand\tCC\tO\tO' +p53753 +aS'was\tbe\tVBD\tB-VP\tO' +p53754 +aS'very\tvery\tRB\tB-ADJP\tO' +p53755 +aS'enthusiastic\tenthusiastic\tJJ\tI-ADJP\tO' +p53756 +aS'and\tand\tCC\tI-ADJP\tO' +p53757 +aS'energetic\tenergetic\tJJ\tI-ADJP\tO' +p53758 +aS'in\tin\tIN\tB-PP\tO' +p53759 +aS'her\ther\tPRP$\tB-NP\tO' +p53760 +aS'participation\tparticipation\tNN\tI-NP\tO' +p53761 +aS'in\tin\tIN\tB-PP\tO' +p53762 +aS'her\ther\tPRP$\tB-NP\tO' +p53763 +aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' +p53764 +aS'activities\tactivity\tNNS\tI-NP\tO' +p53765 +aS'.\t.\t.\tO\tO' +p53766 +asS'The patient was discharged hemodynamicallly stable , afebrile with appropriate follow up .' +p53767 +(lp53768 +S'The\tThe\tDT\tB-NP\tO' +p53769 +aS'patient\tpatient\tNN\tI-NP\tO' +p53770 +aS'was\tbe\tVBD\tB-VP\tO' +p53771 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p53772 +aS'hemodynamicallly\themodynamicallly\tRB\tB-ADJP\tO' +p53773 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p53774 +aS',\t,\t,\tO\tO' +p53775 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p53776 +aS'with\twith\tIN\tB-PP\tO' +p53777 +aS'appropriate\tappropriate\tJJ\tB-ADJP\tO' +p53778 +aS'follow\tfollow\tVB\tB-VP\tO' +p53779 +aS'up\tup\tIN\tB-PRT\tO' +p53780 +aS'.\t.\t.\tO\tO' +p53781 +asS'He had a saphenous vein graft to his LAD and diagonal in a sequential fashion , saphenous vein graft to his PDA and a saphenous vein graft to his OM .' +p53782 +(lp53783 +S'He\tHe\tPRP\tB-NP\tO' +p53784 +aS'had\thave\tVBD\tB-VP\tO' +p53785 +aS'a\ta\tDT\tB-NP\tO' +p53786 +aS'saphenous\tsaphenous\tJJ\tI-NP\tO' +p53787 +aS'vein\tvein\tNN\tI-NP\tO' +p53788 +aS'graft\tgraft\tNN\tI-NP\tO' +p53789 +aS'to\tto\tTO\tB-PP\tO' +p53790 +aS'his\this\tPRP$\tB-NP\tO' +p53791 +aS'LAD\tLAD\tNN\tI-NP\tO' +p53792 +aS'and\tand\tCC\tO\tO' +p53793 +aS'diagonal\tdiagonal\tJJ\tB-ADJP\tO' +p53794 +aS'in\tin\tIN\tB-PP\tO' +p53795 +aS'a\ta\tDT\tB-NP\tO' +p53796 +aS'sequential\tsequential\tJJ\tI-NP\tO' +p53797 +aS'fashion\tfashion\tNN\tI-NP\tO' +p53798 +aS',\t,\t,\tO\tO' +p53799 +aS'saphenous\tsaphenous\tJJ\tB-NP\tO' +p53800 +aS'vein\tvein\tNN\tI-NP\tO' +p53801 +aS'graft\tgraft\tNN\tI-NP\tO' +p53802 +aS'to\tto\tTO\tB-PP\tO' +p53803 +aS'his\this\tPRP$\tB-NP\tO' +p53804 +aS'PDA\tPDA\tNN\tI-NP\tB-protein' +p53805 +aS'and\tand\tCC\tO\tO' +p53806 +aS'a\ta\tDT\tB-NP\tO' +p53807 +aS'saphenous\tsaphenous\tJJ\tI-NP\tO' +p53808 +aS'vein\tvein\tNN\tI-NP\tO' +p53809 +aS'graft\tgraft\tNN\tI-NP\tO' +p53810 +aS'to\tto\tTO\tB-PP\tO' +p53811 +aS'his\this\tPRP$\tB-NP\tO' +p53812 +aS'OM\tOM\tNN\tI-NP\tO' +p53813 +aS'.\t.\t.\tO\tO' +p53814 +asS'Dictated By : Emily O Ennis , M.D.' +p53815 +(lp53816 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p53817 +aS'By\tBy\tIN\tB-PP\tO' +p53818 +aS':\t:\t:\tO\tO' +p53819 +aS'Emily\tEmily\tNNP\tB-NP\tO' +p53820 +aS'O\tO\tNNP\tI-NP\tO' +p53821 +aS'Ennis\tEnnis\tNNP\tI-NP\tO' +p53822 +aS',\t,\t,\tO\tO' +p53823 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p53824 +asS'Patient 's chest X-Ray , as mentioned above , showed pulmonary edema .' +p53825 +(lp53826 +S'Patient\tPatient\tNN\tB-NP\tO' +p53827 +aS''s\t'\tNNS\tI-NP\tO' +p53828 +aS'chest\tchest\tVBP\tB-VP\tO' +p53829 +aS'X-Ray\tX-Ray\tNNP\tB-NP\tO' +p53830 +aS',\t,\t,\tO\tO' +p53831 +aS'as\tas\tIN\tB-SBAR\tO' +p53832 +aS'mentioned\tmention\tVBN\tB-VP\tO' +p53833 +aS'above\tabove\tRB\tB-ADVP\tO' +p53834 +aS',\t,\t,\tO\tO' +p53835 +aS'showed\tshow\tVBD\tB-VP\tO' +p53836 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p53837 +aS'edema\tedema\tNN\tI-NP\tO' +p53838 +aS'.\t.\t.\tO\tO' +p53839 +asS'To home without service .' +p53840 +(lp53841 +S'To\tTo\tTO\tB-PP\tO' +p53842 +aS'home\thome\tNN\tB-NP\tO' +p53843 +aS'without\twithout\tIN\tB-PP\tO' +p53844 +aS'service\tservice\tNN\tB-NP\tO' +p53845 +aS'.\t.\t.\tO\tO' +p53846 +asS'He was admitted on 10/17/06 and echocardiogram done on 11/13/09 revealed poor left ventricular function and cardiac catheterization was done on admission which showed three vessel disease .' +p53847 +(lp53848 +S'He\tHe\tPRP\tB-NP\tO' +p53849 +aS'was\tbe\tVBD\tB-VP\tO' +p53850 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p53851 +aS'on\ton\tIN\tB-PP\tO' +p53852 +aS'10/17/06\t10/17/06\tCD\tB-NP\tO' +p53853 +aS'and\tand\tCC\tO\tO' +p53854 +aS'echocardiogram\techocardiogram\tNN\tB-NP\tO' +p53855 +aS'done\tdo\tVBN\tB-VP\tO' +p53856 +aS'on\ton\tIN\tB-PP\tO' +p53857 +aS'11/13/09\t11/13/09\tCD\tB-NP\tO' +p53858 +aS'revealed\treveal\tVBD\tB-VP\tO' +p53859 +aS'poor\tpoor\tJJ\tB-NP\tO' +p53860 +aS'left\tleft\tJJ\tI-NP\tO' +p53861 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p53862 +aS'function\tfunction\tNN\tI-NP\tO' +p53863 +aS'and\tand\tCC\tO\tO' +p53864 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p53865 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p53866 +aS'was\tbe\tVBD\tB-VP\tO' +p53867 +aS'done\tdo\tVBN\tI-VP\tO' +p53868 +aS'on\ton\tIN\tB-PP\tO' +p53869 +aS'admission\tadmission\tNN\tB-NP\tO' +p53870 +aS'which\twhich\tWDT\tB-NP\tO' +p53871 +aS'showed\tshow\tVBD\tB-VP\tO' +p53872 +aS'three\tthree\tCD\tB-NP\tO' +p53873 +aS'vessel\tvessel\tNN\tI-NP\tO' +p53874 +aS'disease\tdisease\tNN\tI-NP\tO' +p53875 +aS'.\t.\t.\tO\tO' +p53876 +asS'The patient was exacerbated when eating and when lying flat .' +p53877 +(lp53878 +S'The\tThe\tDT\tB-NP\tO' +p53879 +aS'patient\tpatient\tNN\tI-NP\tO' +p53880 +aS'was\tbe\tVBD\tB-VP\tO' +p53881 +aS'exacerbated\texacerbate\tVBN\tI-VP\tO' +p53882 +aS'when\twhen\tWRB\tB-ADVP\tO' +p53883 +aS'eating\teat\tVBG\tB-VP\tO' +p53884 +aS'and\tand\tCC\tO\tO' +p53885 +aS'when\twhen\tWRB\tB-ADVP\tO' +p53886 +aS'lying\tlie\tVBG\tB-VP\tO' +p53887 +aS'flat\tflat\tJJ\tB-ADJP\tO' +p53888 +aS'.\t.\t.\tO\tO' +p53889 +asS'Pulm - CTA anteriorlly .' +p53890 +(lp53891 +S'Pulm\tPulm\tNN\tB-NP\tO' +p53892 +aS'-\t-\tHYPH\tI-NP\tO' +p53893 +aS'CTA\tCTA\tNN\tI-NP\tB-protein' +p53894 +aS'anteriorlly\tanteriorlly\tRB\tB-ADVP\tO' +p53895 +aS'.\t.\t.\tO\tO' +p53896 +asS'6. Magnesium Hydroxide 400 mg / 5 mL Suspension Sig : Thirty ( 30 ) ML PO HS ( at bedtime ) as needed for constipation .' +p53897 +(lp53898 +S'6.\t6.\tLS\tB-NP\tO' +p53899 +aS'Magnesium\tMagnesium\tNNP\tI-NP\tO' +p53900 +aS'Hydroxide\tHydroxide\tNNP\tI-NP\tO' +p53901 +aS'400\t400\tCD\tI-NP\tO' +p53902 +aS'mg\tmg\tNN\tI-NP\tO' +p53903 +aS'/\t/\tSYM\tB-NP\tO' +p53904 +aS'5\t5\tCD\tB-NP\tO' +p53905 +aS'mL\tmL\tNN\tI-NP\tO' +p53906 +aS'Suspension\tSuspension\tNNP\tI-NP\tO' +p53907 +aS'Sig\tSig\tNNP\tI-NP\tO' +p53908 +aS':\t:\t:\tO\tO' +p53909 +aS'Thirty\tThirty\tCD\tB-NP\tO' +p53910 +aS'(\t(\t(\tO\tO' +p53911 +aS'30\t30\tCD\tO\tO' +p53912 +aS')\t)\t)\tO\tO' +p53913 +aS'ML\tML\tNN\tB-NP\tO' +p53914 +aS'PO\tPO\tNN\tI-NP\tO' +p53915 +aS'HS\tHS\tNN\tI-NP\tO' +p53916 +aS'(\t(\t(\tO\tO' +p53917 +aS'at\tat\tIN\tB-PP\tO' +p53918 +aS'bedtime\tbedtime\tNN\tB-NP\tO' +p53919 +aS')\t)\t)\tO\tO' +p53920 +aS'as\tas\tIN\tB-SBAR\tO' +p53921 +aS'needed\tneed\tVBN\tB-VP\tO' +p53922 +aS'for\tfor\tIN\tB-PP\tO' +p53923 +aS'constipation\tconstipation\tNN\tB-NP\tO' +p53924 +aS'.\t.\t.\tO\tO' +p53925 +asS'CV : Regular rate and rhythm .' +p53926 +(lp53927 +S'CV\tCV\tNN\tB-NP\tO' +p53928 +aS':\t:\t:\tO\tO' +p53929 +aS'Regular\tRegular\tJJ\tB-NP\tO' +p53930 +aS'rate\trate\tNN\tI-NP\tO' +p53931 +aS'and\tand\tCC\tI-NP\tO' +p53932 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p53933 +aS'.\t.\t.\tO\tO' +p53934 +asS'Vital signs temperature 100.6 .' +p53935 +(lp53936 +S'Vital\tVital\tJJ\tB-NP\tO' +p53937 +aS'signs\tsign\tNNS\tI-NP\tO' +p53938 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p53939 +aS'100.6\t100.6\tCD\tI-NP\tO' +p53940 +aS'.\t.\t.\tO\tO' +p53941 +asS'Extended chemistries were within normal limits with a creatine kinase of 122 and no measured methylene blue fraction given the low value .' +p53942 +(lp53943 +S'Extended\tExtend\tVBN\tB-NP\tO' +p53944 +aS'chemistries\tchemistry\tNNS\tI-NP\tO' +p53945 +aS'were\tbe\tVBD\tB-VP\tO' +p53946 +aS'within\twithin\tIN\tB-PP\tO' +p53947 +aS'normal\tnormal\tJJ\tB-NP\tO' +p53948 +aS'limits\tlimit\tNNS\tI-NP\tO' +p53949 +aS'with\twith\tIN\tB-PP\tO' +p53950 +aS'a\ta\tDT\tB-NP\tO' +p53951 +aS'creatine\tcreatine\tNN\tI-NP\tB-protein' +p53952 +aS'kinase\tkinase\tNN\tI-NP\tI-protein' +p53953 +aS'of\tof\tIN\tB-PP\tO' +p53954 +aS'122\t122\tCD\tB-NP\tO' +p53955 +aS'and\tand\tCC\tO\tO' +p53956 +aS'no\tno\tDT\tB-NP\tO' +p53957 +aS'measured\tmeasure\tVBN\tI-NP\tO' +p53958 +aS'methylene\tmethylene\tNN\tI-NP\tO' +p53959 +aS'blue\tblue\tJJ\tI-NP\tO' +p53960 +aS'fraction\tfraction\tNN\tI-NP\tO' +p53961 +aS'given\tgive\tVBN\tB-PP\tO' +p53962 +aS'the\tthe\tDT\tB-NP\tO' +p53963 +aS'low\tlow\tJJ\tI-NP\tO' +p53964 +aS'value\tvalue\tNN\tI-NP\tO' +p53965 +aS'.\t.\t.\tO\tO' +p53966 +asS'The right side does not move .' +p53967 +(lp53968 +S'The\tThe\tDT\tB-NP\tO' +p53969 +aS'right\tright\tJJ\tI-NP\tO' +p53970 +aS'side\tside\tNN\tI-NP\tO' +p53971 +aS'does\tdo\tVBZ\tB-VP\tO' +p53972 +aS'not\tnot\tRB\tI-VP\tO' +p53973 +aS'move\tmove\tVB\tI-VP\tO' +p53974 +aS'.\t.\t.\tO\tO' +p53975 +asS'Chest x-ray revealed streaky lung fields of normal situs , no consolidation , consistent with retained fetal lung fluid .' +p53976 +(lp53977 +S'Chest\tCh\tJJS\tB-NP\tO' +p53978 +aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' +p53979 +aS'revealed\treveal\tVBD\tB-VP\tO' +p53980 +aS'streaky\tstreaky\tJJ\tB-NP\tO' +p53981 +aS'lung\tlung\tNN\tI-NP\tO' +p53982 +aS'fields\tfield\tNNS\tI-NP\tO' +p53983 +aS'of\tof\tIN\tB-PP\tO' +p53984 +aS'normal\tnormal\tJJ\tB-NP\tO' +p53985 +aS'situs\tsitus\tNN\tI-NP\tO' +p53986 +aS',\t,\t,\tO\tO' +p53987 +aS'no\tno\tDT\tB-NP\tO' +p53988 +aS'consolidation\tconsolidation\tNN\tI-NP\tO' +p53989 +aS',\t,\t,\tO\tO' +p53990 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p53991 +aS'with\twith\tIN\tB-PP\tO' +p53992 +aS'retained\tretain\tVBN\tB-NP\tO' +p53993 +aS'fetal\tfetal\tJJ\tI-NP\tO' +p53994 +aS'lung\tlung\tNN\tI-NP\tO' +p53995 +aS'fluid\tfluid\tNN\tI-NP\tO' +p53996 +aS'.\t.\t.\tO\tO' +p53997 +asS'Given these findings , she underwent a Sestamibi scan .' +p53998 +(lp53999 +S'Given\tGive\tVBN\tB-PP\tO' +p54000 +aS'these\tthese\tDT\tB-NP\tO' +p54001 +aS'findings\tfinding\tNNS\tI-NP\tO' +p54002 +aS',\t,\t,\tO\tO' +p54003 +aS'she\tshe\tPRP\tB-NP\tO' +p54004 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p54005 +aS'a\ta\tDT\tB-NP\tO' +p54006 +aS'Sestamibi\tSestamibi\tNNP\tI-NP\tO' +p54007 +aS'scan\tscan\tNN\tI-NP\tO' +p54008 +aS'.\t.\t.\tO\tO' +p54009 +asS'Then becoming irregular for several years .' +p54010 +(lp54011 +S'Then\tThen\tRB\tO\tO' +p54012 +aS'becoming\tbecome\tVBG\tB-VP\tO' +p54013 +aS'irregular\tirregular\tJJ\tB-ADJP\tO' +p54014 +aS'for\tfor\tIN\tB-PP\tO' +p54015 +aS'several\tseveral\tJJ\tB-NP\tO' +p54016 +aS'years\tyear\tNNS\tI-NP\tO' +p54017 +aS'.\t.\t.\tO\tO' +p54018 +asS'His incision was clean , dry and intact with no erythema .' +p54019 +(lp54020 +S'His\tHis\tPRP$\tB-NP\tO' +p54021 +aS'incision\tincision\tNN\tI-NP\tO' +p54022 +aS'was\tbe\tVBD\tB-VP\tO' +p54023 +aS'clean\tclean\tJJ\tB-NP\tO' +p54024 +aS',\t,\t,\tI-NP\tO' +p54025 +aS'dry\tdry\tJJ\tI-NP\tO' +p54026 +aS'and\tand\tCC\tI-NP\tO' +p54027 +aS'intact\tintact\tJJ\tI-NP\tO' +p54028 +aS'with\twith\tIN\tB-PP\tO' +p54029 +aS'no\tno\tDT\tB-NP\tO' +p54030 +aS'erythema\terythema\tNN\tI-NP\tO' +p54031 +aS'.\t.\t.\tO\tO' +p54032 +asS'Mr. Le is a seventy three year old male who presents to the Fairm of Ijordcompmac Hospital , following a self inflicted gunshot wound to the head .' +p54033 +(lp54034 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p54035 +aS'Le\tLe\tNNP\tI-NP\tO' +p54036 +aS'is\tbe\tVBZ\tB-VP\tO' +p54037 +aS'a\ta\tDT\tB-NP\tO' +p54038 +aS'seventy\tseventy\tJJ\tI-NP\tO' +p54039 +aS'three\tthree\tCD\tI-NP\tO' +p54040 +aS'year\tyear\tNN\tI-NP\tO' +p54041 +aS'old\told\tJJ\tI-NP\tO' +p54042 +aS'male\tmale\tNN\tI-NP\tO' +p54043 +aS'who\twho\tWP\tB-NP\tO' +p54044 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p54045 +aS'to\tto\tTO\tB-PP\tO' +p54046 +aS'the\tthe\tDT\tB-NP\tO' +p54047 +aS'Fairm\tFairm\tNNP\tI-NP\tO' +p54048 +aS'of\tof\tIN\tB-PP\tO' +p54049 +aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' +p54050 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p54051 +aS',\t,\t,\tO\tO' +p54052 +aS'following\tfollow\tVBG\tB-PP\tO' +p54053 +aS'a\ta\tDT\tB-NP\tO' +p54054 +aS'self\tself\tNN\tI-NP\tO' +p54055 +aS'inflicted\tinflict\tVBD\tB-VP\tO' +p54056 +aS'gunshot\tgunshot\tNN\tB-NP\tO' +p54057 +aS'wound\twound\tNN\tI-NP\tO' +p54058 +aS'to\tto\tTO\tB-PP\tO' +p54059 +aS'the\tthe\tDT\tB-NP\tO' +p54060 +aS'head\thead\tNN\tI-NP\tO' +p54061 +aS'.\t.\t.\tO\tO' +p54062 +asS'No central access was needed .' +p54063 +(lp54064 +S'No\tNo\tDT\tB-NP\tO' +p54065 +aS'central\tcentral\tJJ\tI-NP\tO' +p54066 +aS'access\taccess\tNN\tI-NP\tO' +p54067 +aS'was\tbe\tVBD\tB-VP\tO' +p54068 +aS'needed\tneed\tVBN\tI-VP\tO' +p54069 +aS'.\t.\t.\tO\tO' +p54070 +asS'Following evaluation and treatment , the patient 's disposition at the end of the visit was ADMITTED AS AN INPATIENT TO OAKSGEKESSER/ MEMORIAL HOSPITAL .' +p54071 +(lp54072 +S'Following\tFollow\tVBG\tB-PP\tO' +p54073 +aS'evaluation\tevaluation\tNN\tB-NP\tO' +p54074 +aS'and\tand\tCC\tI-NP\tO' +p54075 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p54076 +aS',\t,\t,\tO\tO' +p54077 +aS'the\tthe\tDT\tB-NP\tO' +p54078 +aS'patient\tpatient\tNN\tI-NP\tO' +p54079 +aS''s\t'\tNNS\tI-NP\tO' +p54080 +aS'disposition\tdisposition\tNN\tI-NP\tO' +p54081 +aS'at\tat\tIN\tB-PP\tO' +p54082 +aS'the\tthe\tDT\tB-NP\tO' +p54083 +aS'end\tend\tNN\tI-NP\tO' +p54084 +aS'of\tof\tIN\tB-PP\tO' +p54085 +aS'the\tthe\tDT\tB-NP\tO' +p54086 +aS'visit\tvisit\tNN\tI-NP\tO' +p54087 +aS'was\tbe\tVBD\tB-VP\tO' +p54088 +aS'ADMITTED\tADMITTED\tVBN\tI-VP\tO' +p54089 +aS'AS\tAS\tNNP\tB-NP\tO' +p54090 +aS'AN\tAN\tNNP\tI-NP\tO' +p54091 +aS'INPATIENT\tINPATIENT\tNNP\tI-NP\tO' +p54092 +aS'TO\tTO\tNNP\tI-NP\tO' +p54093 +aS'OAKSGEKESSER/\tOAKSGEKESSER/\tNNP\tI-NP\tO' +p54094 +aS'MEMORIAL\tMEMORIAL\tNNP\tI-NP\tO' +p54095 +aS'HOSPITAL\tHOSPITAL\tNNP\tI-NP\tO' +p54096 +aS'.\t.\t.\tO\tO' +p54097 +asS'12. Acetaminophen - Codeine 300-30 mg Tablet Sig : One ( 1 ) Tablet PO Q4H ( every 4 hours ) as needed .' +p54098 +(lp54099 +S'12.\t12.\tLS\tB-NP\tO' +p54100 +aS'Acetaminophen\tAcetaminophen\tNN\tI-NP\tO' +p54101 +aS'-\t-\tHYPH\tO\tO' +p54102 +aS'Codeine\tCodeine\tNN\tB-NP\tO' +p54103 +aS'300-30\t300-30\tCD\tI-NP\tO' +p54104 +aS'mg\tmg\tNN\tI-NP\tO' +p54105 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p54106 +aS'Sig\tSig\tNNP\tI-NP\tO' +p54107 +aS':\t:\t:\tO\tO' +p54108 +aS'One\tOne\tCD\tB-NP\tO' +p54109 +aS'(\t(\t(\tO\tO' +p54110 +aS'1\t1\tCD\tB-NP\tO' +p54111 +aS')\t)\t)\tO\tO' +p54112 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p54113 +aS'PO\tPO\tNN\tI-NP\tO' +p54114 +aS'Q4H\tQ4H\tNN\tI-NP\tO' +p54115 +aS'(\t(\t(\tO\tO' +p54116 +aS'every\tevery\tDT\tB-NP\tO' +p54117 +aS'4\t4\tCD\tI-NP\tO' +p54118 +aS'hours\thour\tNNS\tI-NP\tO' +p54119 +aS')\t)\t)\tO\tO' +p54120 +aS'as\tas\tIN\tB-SBAR\tO' +p54121 +aS'needed\tneed\tVBN\tB-VP\tO' +p54122 +aS'.\t.\t.\tO\tO' +p54123 +asS'Hips stable , moving all .' +p54124 +(lp54125 +S'Hips\tHip\tNNS\tB-NP\tO' +p54126 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p54127 +aS',\t,\t,\tO\tO' +p54128 +aS'moving\tmove\tVBG\tB-VP\tO' +p54129 +aS'all\tall\tDT\tB-NP\tO' +p54130 +aS'.\t.\t.\tO\tO' +p54131 +asS'Heart rate was 78 , blood pressure 98/50 , respiratory rate of 32 , satting 91% on four liters .' +p54132 +(lp54133 +S'Heart\tHeart\tNN\tB-NP\tO' +p54134 +aS'rate\trate\tNN\tI-NP\tO' +p54135 +aS'was\tbe\tVBD\tB-VP\tO' +p54136 +aS'78\t78\tCD\tB-NP\tO' +p54137 +aS',\t,\t,\tO\tO' +p54138 +aS'blood\tblood\tNN\tB-NP\tO' +p54139 +aS'pressure\tpressure\tNN\tI-NP\tO' +p54140 +aS'98/50\t98/50\tCD\tI-NP\tO' +p54141 +aS',\t,\t,\tO\tO' +p54142 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p54143 +aS'rate\trate\tNN\tI-NP\tO' +p54144 +aS'of\tof\tIN\tB-PP\tO' +p54145 +aS'32\t32\tCD\tB-NP\tO' +p54146 +aS',\t,\t,\tO\tO' +p54147 +aS'satting\tsatte\tVBG\tB-VP\tO' +p54148 +aS'91%\t91%\tCD\tB-NP\tO' +p54149 +aS'on\ton\tIN\tB-PP\tO' +p54150 +aS'four\tfour\tCD\tB-NP\tO' +p54151 +aS'liters\tliter\tNNS\tI-NP\tO' +p54152 +aS'.\t.\t.\tO\tO' +p54153 +asS'Call 381-389-5852 to schedule an apointment with your pain doctor ( Dr. Maa Bloch ) ASAP' +p54154 +(lp54155 +S'Call\tCall\tVB\tB-NP\tO' +p54156 +aS'381-389-5852\t381-389-5852\tCD\tB-NP\tO' +p54157 +aS'to\tto\tTO\tB-VP\tO' +p54158 +aS'schedule\tschedule\tVB\tI-VP\tO' +p54159 +aS'an\tan\tDT\tB-NP\tO' +p54160 +aS'apointment\tapointment\tNN\tI-NP\tO' +p54161 +aS'with\twith\tIN\tB-PP\tO' +p54162 +aS'your\tyour\tPRP$\tB-NP\tO' +p54163 +aS'pain\tpain\tNN\tI-NP\tO' +p54164 +aS'doctor\tdoctor\tNN\tI-NP\tO' +p54165 +aS'(\t(\t(\tO\tO' +p54166 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p54167 +aS'Maa\tMaa\tNNP\tI-NP\tO' +p54168 +aS'Bloch\tBloch\tNNP\tI-NP\tO' +p54169 +aS')\t)\t)\tO\tO' +p54170 +aS'ASAP\tASAP\t.\tO\tO' +p54171 +asS'Cath Lab at the Pinewood , Norfolk that evening where a stent procedure to the RCA was complicated by guidewire entrapment inside of a stent requiring CT surgery to do a thoracotomy with bypass and excision of the wire .' +p54172 +(lp54173 +S'Cath\tCath\tNNP\tB-NP\tO' +p54174 +aS'Lab\tLab\tNNP\tI-NP\tO' +p54175 +aS'at\tat\tIN\tB-PP\tO' +p54176 +aS'the\tthe\tDT\tB-NP\tO' +p54177 +aS'Pinewood\tPinewood\tNNP\tI-NP\tO' +p54178 +aS',\t,\t,\tO\tO' +p54179 +aS'Norfolk\tNorfolk\tNNP\tB-NP\tO' +p54180 +aS'that\tthat\tIN\tB-SBAR\tO' +p54181 +aS'evening\teven\tVBG\tB-VP\tO' +p54182 +aS'where\twhere\tWRB\tB-ADVP\tO' +p54183 +aS'a\ta\tDT\tB-NP\tO' +p54184 +aS'stent\tstent\tJJ\tI-NP\tO' +p54185 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p54186 +aS'to\tto\tTO\tB-PP\tO' +p54187 +aS'the\tthe\tDT\tB-NP\tO' +p54188 +aS'RCA\tRCA\tNN\tI-NP\tB-protein' +p54189 +aS'was\tbe\tVBD\tB-VP\tO' +p54190 +aS'complicated\tcomplicate\tVBN\tI-VP\tO' +p54191 +aS'by\tby\tIN\tB-PP\tO' +p54192 +aS'guidewire\tguidewire\tNN\tB-NP\tO' +p54193 +aS'entrapment\tentrapment\tNN\tI-NP\tO' +p54194 +aS'inside\tinside\tIN\tB-PP\tO' +p54195 +aS'of\tof\tIN\tB-PP\tO' +p54196 +aS'a\ta\tDT\tB-NP\tO' +p54197 +aS'stent\tstent\tJJ\tI-NP\tO' +p54198 +aS'requiring\trequire\tVBG\tI-NP\tO' +p54199 +aS'CT\tCT\tNN\tI-NP\tO' +p54200 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p54201 +aS'to\tto\tTO\tB-VP\tO' +p54202 +aS'do\tdo\tVB\tI-VP\tO' +p54203 +aS'a\ta\tDT\tB-NP\tO' +p54204 +aS'thoracotomy\tthoracotomy\tNN\tI-NP\tO' +p54205 +aS'with\twith\tIN\tB-PP\tO' +p54206 +aS'bypass\tbypass\tNN\tB-NP\tO' +p54207 +aS'and\tand\tCC\tI-NP\tO' +p54208 +aS'excision\texcision\tNN\tI-NP\tO' +p54209 +aS'of\tof\tIN\tB-PP\tO' +p54210 +aS'the\tthe\tDT\tB-NP\tO' +p54211 +aS'wire\twire\tNN\tI-NP\tO' +p54212 +aS'.\t.\t.\tO\tO' +p54213 +asS'5. Fluticasone - Salmeterol 100-50 mcg / Dose Disk with Device Sig : One ( 1 ) Disk with Device Inhalation BID ( 2 times a day ) .' +p54214 +(lp54215 +S'5.\t5.\tLS\tB-NP\tO' +p54216 +aS'Fluticasone\tFluticasone\tNN\tI-NP\tO' +p54217 +aS'-\t-\tHYPH\tO\tO' +p54218 +aS'Salmeterol\tSalmeterol\tNN\tB-NP\tO' +p54219 +aS'100-50\t100-50\tCD\tI-NP\tO' +p54220 +aS'mcg\tmcg\tNN\tI-NP\tO' +p54221 +aS'/\t/\tSYM\tB-NP\tO' +p54222 +aS'Dose\tDose\tNN\tI-NP\tO' +p54223 +aS'Disk\tDisk\tNN\tI-NP\tO' +p54224 +aS'with\twith\tIN\tB-PP\tO' +p54225 +aS'Device\tDevice\tNNP\tB-NP\tO' +p54226 +aS'Sig\tSig\tNNP\tI-NP\tO' +p54227 +aS':\t:\t:\tO\tO' +p54228 +aS'One\tOne\tCD\tB-NP\tO' +p54229 +aS'(\t(\t(\tO\tO' +p54230 +aS'1\t1\tCD\tB-NP\tO' +p54231 +aS')\t)\t)\tO\tO' +p54232 +aS'Disk\tDisk\tNN\tB-NP\tO' +p54233 +aS'with\twith\tIN\tB-PP\tO' +p54234 +aS'Device\tDevice\tNN\tB-NP\tO' +p54235 +aS'Inhalation\tInhalation\tNN\tI-NP\tO' +p54236 +aS'BID\tBID\tNN\tI-NP\tO' +p54237 +aS'(\t(\t(\tO\tO' +p54238 +aS'2\t2\tCD\tB-NP\tO' +p54239 +aS'times\ttime\tNNS\tI-NP\tO' +p54240 +aS'a\ta\tDT\tB-NP\tO' +p54241 +aS'day\tday\tNN\tI-NP\tO' +p54242 +aS')\t)\t)\tO\tO' +p54243 +aS'.\t.\t.\tO\tO' +p54244 +asS'Please follow up with Dr. Scott Ann , MD Phone :( 921 ) 538 8079 on 2020-04-30 at 11:00am .' +p54245 +(lp54246 +S'Please\tPlease\tVB\tB-VP\tO' +p54247 +aS'follow\tfollow\tVB\tI-VP\tO' +p54248 +aS'up\tup\tRP\tB-PRT\tO' +p54249 +aS'with\twith\tIN\tB-PP\tO' +p54250 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p54251 +aS'Scott\tScott\tNNP\tI-NP\tO' +p54252 +aS'Ann\tAnn\tNNP\tI-NP\tO' +p54253 +aS',\t,\t,\tO\tO' +p54254 +aS'MD\tMD\tNNP\tB-NP\tO' +p54255 +aS'Phone\tPhone\tNNP\tI-NP\tO' +p54256 +aS':(\t:(\t(\tO\tO' +p54257 +aS'921\t921\tCD\tB-NP\tO' +p54258 +aS')\t)\t)\tO\tO' +p54259 +aS'538\t538\tCD\tB-NP\tO' +p54260 +aS'8079\t8079\tCD\tI-NP\tO' +p54261 +aS'on\ton\tIN\tB-PP\tO' +p54262 +aS'2020-04-30\t2020-04-30\tCD\tB-NP\tO' +p54263 +aS'at\tat\tIN\tB-PP\tO' +p54264 +aS'11:00am\t11:00am\tNN\tB-NP\tO' +p54265 +aS'.\t.\t.\tO\tO' +p54266 +asS'CP , low prob with atypical chest pain , CK 's x3 flat , and no further episodes of CP during the admission .' +p54267 +(lp54268 +S'CP\tCP\tNN\tB-NP\tB-DNA' +p54269 +aS',\t,\t,\tO\tO' +p54270 +aS'low\tlow\tJJ\tB-NP\tO' +p54271 +aS'prob\tprob\tNN\tI-NP\tO' +p54272 +aS'with\twith\tIN\tB-PP\tO' +p54273 +aS'atypical\tatypical\tJJ\tB-NP\tB-protein' +p54274 +aS'chest\tchest\tNN\tI-NP\tI-protein' +p54275 +aS'pain\tpain\tNN\tI-NP\tI-protein' +p54276 +aS',\t,\t,\tO\tO' +p54277 +aS'CK\tCK\tNN\tB-NP\tB-protein' +p54278 +aS''s\t'\tNNS\tI-NP\tI-protein' +p54279 +aS'x3\tx3\tCD\tB-NP\tI-protein' +p54280 +aS'flat\tflat\tJJ\tB-ADJP\tO' +p54281 +aS',\t,\t,\tO\tO' +p54282 +aS'and\tand\tCC\tO\tO' +p54283 +aS'no\tno\tDT\tB-NP\tO' +p54284 +aS'further\tfurther\tJJ\tI-NP\tO' +p54285 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p54286 +aS'of\tof\tIN\tB-PP\tO' +p54287 +aS'CP\tCP\tNN\tB-NP\tB-DNA' +p54288 +aS'during\tduring\tIN\tB-PP\tO' +p54289 +aS'the\tthe\tDT\tB-NP\tO' +p54290 +aS'admission\tadmission\tNN\tI-NP\tO' +p54291 +aS'.\t.\t.\tO\tO' +p54292 +asS'Cardiac risk factors hypercholesterolemia , hypertension , no history of tobacco use , diabetes or family history .' +p54293 +(lp54294 +S'Cardiac\tCardiac\tJJ\tB-NP\tO' +p54295 +aS'risk\trisk\tNN\tI-NP\tO' +p54296 +aS'factors\tfactor\tNNS\tI-NP\tO' +p54297 +aS'hypercholesterolemia\thypercholesterolemia\tNN\tB-NP\tO' +p54298 +aS',\t,\t,\tO\tO' +p54299 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p54300 +aS',\t,\t,\tO\tO' +p54301 +aS'no\tno\tDT\tB-NP\tO' +p54302 +aS'history\thistory\tNN\tI-NP\tO' +p54303 +aS'of\tof\tIN\tB-PP\tO' +p54304 +aS'tobacco\ttobacco\tNN\tB-NP\tO' +p54305 +aS'use\tuse\tNN\tI-NP\tO' +p54306 +aS',\t,\t,\tO\tO' +p54307 +aS'diabetes\tdiabetes\tNN\tB-NP\tO' +p54308 +aS'or\tor\tCC\tI-NP\tO' +p54309 +aS'family\tfamily\tNN\tI-NP\tO' +p54310 +aS'history\thistory\tNN\tI-NP\tO' +p54311 +aS'.\t.\t.\tO\tO' +p54312 +asS'Dr. James Ramos , telephone ( 346 ) 741 2728 .' +p54313 +(lp54314 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p54315 +aS'James\tJames\tNNP\tI-NP\tO' +p54316 +aS'Ramos\tRamos\tNNP\tI-NP\tO' +p54317 +aS',\t,\t,\tO\tO' +p54318 +aS'telephone\ttelephone\tNN\tB-NP\tO' +p54319 +aS'(\t(\t(\tO\tO' +p54320 +aS'346\t346\tCD\tB-NP\tO' +p54321 +aS')\t)\t)\tO\tO' +p54322 +aS'741\t741\tCD\tB-NP\tO' +p54323 +aS'2728\t2728\tCD\tI-NP\tO' +p54324 +aS'.\t.\t.\tO\tO' +p54325 +asS'The patient was noted to be anxious .' +p54326 +(lp54327 +S'The\tThe\tDT\tB-NP\tO' +p54328 +aS'patient\tpatient\tNN\tI-NP\tO' +p54329 +aS'was\tbe\tVBD\tB-VP\tO' +p54330 +aS'noted\tnote\tVBN\tI-VP\tO' +p54331 +aS'to\tto\tTO\tI-VP\tO' +p54332 +aS'be\tbe\tVB\tI-VP\tO' +p54333 +aS'anxious\tanxious\tJJ\tB-ADJP\tO' +p54334 +aS'.\t.\t.\tO\tO' +p54335 +asS'Potassium 4.4 .' +p54336 +(lp54337 +S'Potassium\tPotassium\tNN\tB-NP\tO' +p54338 +aS'4.4\t4.4\tCD\tI-NP\tO' +p54339 +aS'.\t.\t.\tO\tO' +p54340 +asS'The patient had a steady decline in her hematocrit during this hospitalization .' +p54341 +(lp54342 +S'The\tThe\tDT\tB-NP\tO' +p54343 +aS'patient\tpatient\tNN\tI-NP\tO' +p54344 +aS'had\thave\tVBD\tB-VP\tO' +p54345 +aS'a\ta\tDT\tB-NP\tO' +p54346 +aS'steady\tsteady\tJJ\tI-NP\tO' +p54347 +aS'decline\tdecline\tNN\tI-NP\tO' +p54348 +aS'in\tin\tIN\tB-PP\tO' +p54349 +aS'her\ther\tPRP$\tB-NP\tO' +p54350 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p54351 +aS'during\tduring\tIN\tB-PP\tO' +p54352 +aS'this\tthis\tDT\tB-NP\tO' +p54353 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p54354 +aS'.\t.\t.\tO\tO' +p54355 +asS'His electrocardiogram was concerning for ischemia .' +p54356 +(lp54357 +S'His\tHis\tPRP$\tB-NP\tO' +p54358 +aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' +p54359 +aS'was\tbe\tVBD\tB-VP\tO' +p54360 +aS'concerning\tconcern\tVBG\tI-VP\tO' +p54361 +aS'for\tfor\tIN\tB-PP\tO' +p54362 +aS'ischemia\tischemia\tNN\tB-NP\tO' +p54363 +aS'.\t.\t.\tO\tO' +p54364 +asS'Chronic back pain : several discs and spondylolisthesis' +p54365 +(lp54366 +S'Chronic\tChronic\tJJ\tB-NP\tO' +p54367 +aS'back\tback\tJJ\tI-NP\tO' +p54368 +aS'pain\tpain\tNN\tI-NP\tO' +p54369 +aS':\t:\t:\tO\tO' +p54370 +aS'several\tseveral\tJJ\tB-NP\tO' +p54371 +aS'discs\tdisc\tNNS\tI-NP\tO' +p54372 +aS'and\tand\tCC\tI-NP\tO' +p54373 +aS'spondylolisthesis\tspondylolisthesis\tNN\tI-NP\tO' +p54374 +asS'He also had significant lower extremity and scrotum edema .' +p54375 +(lp54376 +S'He\tHe\tPRP\tB-NP\tO' +p54377 +aS'also\talso\tRB\tB-ADVP\tO' +p54378 +aS'had\thave\tVBD\tB-VP\tO' +p54379 +aS'significant\tsignificant\tJJ\tB-NP\tO' +p54380 +aS'lower\tlow\tJJR\tI-NP\tO' +p54381 +aS'extremity\textremity\tNN\tI-NP\tO' +p54382 +aS'and\tand\tCC\tI-NP\tO' +p54383 +aS'scrotum\tscrotum\tNN\tI-NP\tO' +p54384 +aS'edema\tedema\tNN\tI-NP\tO' +p54385 +aS'.\t.\t.\tO\tO' +p54386 +asS'Neurologic : Awake , alert and oriented x3 .' +p54387 +(lp54388 +S'Neurologic\tNeurologic\tJJ\tB-ADJP\tO' +p54389 +aS':\t:\t:\tO\tO' +p54390 +aS'Awake\tAwake\tNN\tB-NP\tO' +p54391 +aS',\t,\t,\tO\tO' +p54392 +aS'alert\talert\tJJ\tB-NP\tO' +p54393 +aS'and\tand\tCC\tI-NP\tO' +p54394 +aS'oriented\torient\tVBN\tI-NP\tO' +p54395 +aS'x3\tx3\tNN\tI-NP\tO' +p54396 +aS'.\t.\t.\tO\tO' +p54397 +asS'Postoperative days one and two , the patient continued to require Neo-Synephrine to maintain systolic blood pressures greater than 100 .' +p54398 +(lp54399 +S'Postoperative\tPostoperative\tJJ\tB-NP\tO' +p54400 +aS'days\tday\tNNS\tI-NP\tO' +p54401 +aS'one\tone\tCD\tB-NP\tO' +p54402 +aS'and\tand\tCC\tI-NP\tO' +p54403 +aS'two\ttwo\tCD\tI-NP\tO' +p54404 +aS',\t,\t,\tO\tO' +p54405 +aS'the\tthe\tDT\tB-NP\tO' +p54406 +aS'patient\tpatient\tNN\tI-NP\tO' +p54407 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p54408 +aS'to\tto\tTO\tI-VP\tO' +p54409 +aS'require\trequire\tVB\tI-VP\tO' +p54410 +aS'Neo-Synephrine\tNeo-Synephrine\tNN\tB-NP\tO' +p54411 +aS'to\tto\tTO\tB-VP\tO' +p54412 +aS'maintain\tmaintain\tVB\tI-VP\tO' +p54413 +aS'systolic\tsystolic\tJJ\tB-NP\tO' +p54414 +aS'blood\tblood\tNN\tI-NP\tO' +p54415 +aS'pressures\tpressure\tNNS\tI-NP\tO' +p54416 +aS'greater\tgreat\tJJR\tB-ADJP\tO' +p54417 +aS'than\tthan\tIN\tB-PP\tO' +p54418 +aS'100\t100\tCD\tB-NP\tO' +p54419 +aS'.\t.\t.\tO\tO' +p54420 +asS'He is also concerned about the threat of war and is ready to " move to Madagascar ".' +p54421 +(lp54422 +S'He\tHe\tPRP\tB-NP\tO' +p54423 +aS'is\tbe\tVBZ\tB-VP\tO' +p54424 +aS'also\talso\tRB\tI-VP\tO' +p54425 +aS'concerned\tconcern\tVBN\tI-VP\tO' +p54426 +aS'about\tabout\tIN\tB-PP\tO' +p54427 +aS'the\tthe\tDT\tB-NP\tO' +p54428 +aS'threat\tthreat\tNN\tI-NP\tO' +p54429 +aS'of\tof\tIN\tB-PP\tO' +p54430 +aS'war\twar\tNN\tB-NP\tO' +p54431 +aS'and\tand\tCC\tO\tO' +p54432 +aS'is\tbe\tVBZ\tB-VP\tO' +p54433 +aS'ready\tready\tJJ\tB-ADJP\tO' +p54434 +aS'to\tto\tTO\tB-PP\tO' +p54435 +aS'"\t"\t``\tO\tO' +p54436 +aS'move\tmove\tNN\tB-NP\tO' +p54437 +aS'to\tto\tTO\tB-PP\tO' +p54438 +aS'Madagascar\tMadagascar\tNNP\tB-NP\tO' +p54439 +aS'".\t".\t.\tO\tO' +p54440 +asS'Therefore , with blood available from the first aliquot , a second 20 cc per kg of packed red blood cells were infused without incident .' +p54441 +(lp54442 +S'Therefore\tTherefore\tRB\tB-ADVP\tO' +p54443 +aS',\t,\t,\tO\tO' +p54444 +aS'with\twith\tIN\tB-PP\tO' +p54445 +aS'blood\tblood\tNN\tB-NP\tO' +p54446 +aS'available\tavailable\tJJ\tB-ADJP\tO' +p54447 +aS'from\tfrom\tIN\tB-PP\tO' +p54448 +aS'the\tthe\tDT\tB-NP\tO' +p54449 +aS'first\tfirst\tJJ\tI-NP\tO' +p54450 +aS'aliquot\taliquot\tNN\tI-NP\tO' +p54451 +aS',\t,\t,\tO\tO' +p54452 +aS'a\ta\tDT\tB-NP\tO' +p54453 +aS'second\tsecond\tJJ\tI-NP\tO' +p54454 +aS'20\t20\tCD\tI-NP\tO' +p54455 +aS'cc\tcc\tNN\tI-NP\tO' +p54456 +aS'per\tper\tIN\tB-PP\tO' +p54457 +aS'kg\tkg\tNN\tB-NP\tO' +p54458 +aS'of\tof\tIN\tB-PP\tO' +p54459 +aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' +p54460 +aS'red\tred\tJJ\tI-NP\tI-cell_type' +p54461 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p54462 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p54463 +aS'were\tbe\tVBD\tB-VP\tO' +p54464 +aS'infused\tinfuse\tVBN\tI-VP\tO' +p54465 +aS'without\twithout\tIN\tB-PP\tO' +p54466 +aS'incident\tincident\tNN\tB-NP\tO' +p54467 +aS'.\t.\t.\tO\tO' +p54468 +asS'4) Chronic renal insufficiency with baseline creatinine 1.8-2 .' +p54469 +(lp54470 +S'4)\t4)\tLS\tB-NP\tO' +p54471 +aS'Chronic\tChronic\tJJ\tI-NP\tO' +p54472 +aS'renal\trenal\tJJ\tI-NP\tO' +p54473 +aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' +p54474 +aS'with\twith\tIN\tB-PP\tO' +p54475 +aS'baseline\tbaseline\tNN\tB-NP\tO' +p54476 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p54477 +aS'1.8-2\t1.8-2\tCD\tI-NP\tO' +p54478 +aS'.\t.\t.\tO\tO' +p54479 +asS'Hematocrit was 45 , platelet count 270 .' +p54480 +(lp54481 +S'Hematocrit\tHematocrit\tNN\tB-NP\tB-protein' +p54482 +aS'was\tbe\tVBD\tB-VP\tI-protein' +p54483 +aS'45\t45\tCD\tB-NP\tI-protein' +p54484 +aS',\t,\t,\tO\tO' +p54485 +aS'platelet\tplatelet\tNN\tB-NP\tB-protein' +p54486 +aS'count\tcount\tNN\tI-NP\tI-protein' +p54487 +aS'270\t270\tCD\tI-NP\tI-protein' +p54488 +aS'.\t.\t.\tO\tO' +p54489 +asS'She has developed symptoms from a right lower dominant nodule with pressure discomfort in the neck .' +p54490 +(lp54491 +S'She\tShe\tPRP\tB-NP\tO' +p54492 +aS'has\thave\tVBZ\tB-VP\tO' +p54493 +aS'developed\tdevelop\tVBN\tI-VP\tO' +p54494 +aS'symptoms\tsymptom\tNNS\tB-NP\tO' +p54495 +aS'from\tfrom\tIN\tB-PP\tO' +p54496 +aS'a\ta\tDT\tB-NP\tO' +p54497 +aS'right\tright\tJJ\tI-NP\tO' +p54498 +aS'lower\tlow\tJJR\tI-NP\tO' +p54499 +aS'dominant\tdominant\tJJ\tI-NP\tO' +p54500 +aS'nodule\tnodule\tNN\tI-NP\tO' +p54501 +aS'with\twith\tIN\tB-PP\tO' +p54502 +aS'pressure\tpressure\tNN\tB-NP\tO' +p54503 +aS'discomfort\tdiscomfort\tNN\tI-NP\tO' +p54504 +aS'in\tin\tIN\tB-PP\tO' +p54505 +aS'the\tthe\tDT\tB-NP\tO' +p54506 +aS'neck\tneck\tNN\tI-NP\tO' +p54507 +aS'.\t.\t.\tO\tO' +p54508 +asS'At the conclusion of the case , the patient continued to bleed , allbeit at a less brisk pace .' +p54509 +(lp54510 +S'At\tAt\tIN\tB-PP\tO' +p54511 +aS'the\tthe\tDT\tB-NP\tO' +p54512 +aS'conclusion\tconclusion\tNN\tI-NP\tO' +p54513 +aS'of\tof\tIN\tB-PP\tO' +p54514 +aS'the\tthe\tDT\tB-NP\tO' +p54515 +aS'case\tcase\tNN\tI-NP\tO' +p54516 +aS',\t,\t,\tO\tO' +p54517 +aS'the\tthe\tDT\tB-NP\tO' +p54518 +aS'patient\tpatient\tNN\tI-NP\tO' +p54519 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p54520 +aS'to\tto\tTO\tI-VP\tO' +p54521 +aS'bleed\tbleed\tVB\tI-VP\tO' +p54522 +aS',\t,\t,\tO\tO' +p54523 +aS'allbeit\tallbeit\tNN\tB-NP\tO' +p54524 +aS'at\tat\tIN\tB-PP\tO' +p54525 +aS'a\ta\tDT\tB-NP\tO' +p54526 +aS'less\tless\tRBR\tI-NP\tO' +p54527 +aS'brisk\tbrisk\tJJ\tI-NP\tO' +p54528 +aS'pace\tpace\tNN\tI-NP\tO' +p54529 +aS'.\t.\t.\tO\tO' +p54530 +asS'Signed electronically by : DR. Fredrick Rossi on : WED 2011-04-13 1:45 PM' +p54531 +(lp54532 +S'Signed\tSign\tVBN\tB-VP\tO' +p54533 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p54534 +aS'by\tby\tIN\tB-PP\tO' +p54535 +aS':\t:\t:\tO\tO' +p54536 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p54537 +aS'Fredrick\tFredrick\tNNP\tI-NP\tO' +p54538 +aS'Rossi\tRossi\tNNP\tI-NP\tO' +p54539 +aS'on\ton\tIN\tB-PP\tO' +p54540 +aS':\t:\t:\tO\tO' +p54541 +aS'WED\tWED\tVBD\tB-VP\tO' +p54542 +aS'2011-04-13\t2011-04-13\tCD\tB-NP\tO' +p54543 +aS'1:45\t1:45\tCD\tI-NP\tO' +p54544 +aS'PM\tPM\tNN\tI-NP\tO' +p54545 +asS'The patient was started on labetalol and Lisinopril .' +p54546 +(lp54547 +S'The\tThe\tDT\tB-NP\tO' +p54548 +aS'patient\tpatient\tNN\tI-NP\tO' +p54549 +aS'was\tbe\tVBD\tB-VP\tO' +p54550 +aS'started\tstart\tVBN\tI-VP\tO' +p54551 +aS'on\ton\tIN\tB-PP\tO' +p54552 +aS'labetalol\tlabetalol\tNN\tB-NP\tO' +p54553 +aS'and\tand\tCC\tO\tO' +p54554 +aS'Lisinopril\tLisinopril\tNNP\tB-NP\tO' +p54555 +aS'.\t.\t.\tO\tO' +p54556 +asS'An abdominal CT was obtained , which showed only mild pancreatitis .' +p54557 +(lp54558 +S'An\tAn\tDT\tB-NP\tO' +p54559 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p54560 +aS'CT\tCT\tNN\tI-NP\tO' +p54561 +aS'was\tbe\tVBD\tB-VP\tO' +p54562 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p54563 +aS',\t,\t,\tO\tO' +p54564 +aS'which\twhich\tWDT\tB-NP\tO' +p54565 +aS'showed\tshow\tVBD\tB-VP\tO' +p54566 +aS'only\tonly\tRB\tB-NP\tO' +p54567 +aS'mild\tmild\tJJ\tI-NP\tO' +p54568 +aS'pancreatitis\tpancreatitis\tNN\tI-NP\tO' +p54569 +aS'.\t.\t.\tO\tO' +p54570 +asS'Unclear baseline .' +p54571 +(lp54572 +S'Unclear\tUnclear\tJJ\tB-NP\tO' +p54573 +aS'baseline\tbaseline\tNN\tI-NP\tO' +p54574 +aS'.\t.\t.\tO\tO' +p54575 +asS'This is to notify you that your patient , BREUNDAIL , NETFA arrived in the Emergency Department at Fairm of Ijordcompmac Hospital on 11/20/2002 02:02 AM .' +p54576 +(lp54577 +S'This\tThis\tDT\tB-NP\tO' +p54578 +aS'is\tbe\tVBZ\tB-VP\tO' +p54579 +aS'to\tto\tTO\tB-VP\tO' +p54580 +aS'notify\tnotify\tVB\tI-VP\tO' +p54581 +aS'you\tyou\tPRP\tB-NP\tO' +p54582 +aS'that\tthat\tIN\tB-SBAR\tO' +p54583 +aS'your\tyour\tPRP$\tB-NP\tO' +p54584 +aS'patient\tpatient\tNN\tI-NP\tO' +p54585 +aS',\t,\t,\tO\tO' +p54586 +aS'BREUNDAIL\tBREUNDAIL\tNN\tB-NP\tO' +p54587 +aS',\t,\t,\tO\tO' +p54588 +aS'NETFA\tNETFA\tNN\tB-NP\tB-protein' +p54589 +aS'arrived\tarrive\tVBD\tB-VP\tO' +p54590 +aS'in\tin\tIN\tB-PP\tO' +p54591 +aS'the\tthe\tDT\tB-NP\tO' +p54592 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p54593 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p54594 +aS'at\tat\tIN\tB-PP\tO' +p54595 +aS'Fairm\tFairm\tNNP\tB-NP\tO' +p54596 +aS'of\tof\tIN\tB-PP\tO' +p54597 +aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' +p54598 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p54599 +aS'on\ton\tIN\tB-PP\tO' +p54600 +aS'11/20/2002\t11/20/2002\tCD\tB-NP\tO' +p54601 +aS'02:02\t02:02\tCD\tI-NP\tO' +p54602 +aS'AM\tAM\tNN\tI-NP\tO' +p54603 +aS'.\t.\t.\tO\tO' +p54604 +asS'Avoid grapefruit unless MD instructs otherwise .' +p54605 +(lp54606 +S'Avoid\tAvoid\tJJ\tB-NP\tO' +p54607 +aS'grapefruit\tgrapefruit\tNN\tI-NP\tO' +p54608 +aS'unless\tunless\tIN\tB-SBAR\tO' +p54609 +aS'MD\tMD\tNN\tB-NP\tB-DNA' +p54610 +aS'instructs\tinstruct\tNNS\tI-NP\tI-DNA' +p54611 +aS'otherwise\totherwise\tRB\tB-ADVP\tO' +p54612 +aS'.\t.\t.\tO\tO' +p54613 +asS'The daughter says that on the day PTA , when she visited the patient at the NH , he was " having a good day ," more interactive than usual and in good spirits .' +p54614 +(lp54615 +S'The\tThe\tDT\tB-NP\tO' +p54616 +aS'daughter\tdaughter\tNN\tI-NP\tO' +p54617 +aS'says\tsay\tVBZ\tB-VP\tO' +p54618 +aS'that\tthat\tIN\tB-SBAR\tO' +p54619 +aS'on\ton\tIN\tB-PP\tO' +p54620 +aS'the\tthe\tDT\tB-NP\tO' +p54621 +aS'day\tday\tNN\tI-NP\tO' +p54622 +aS'PTA\tPTA\tNN\tI-NP\tO' +p54623 +aS',\t,\t,\tO\tO' +p54624 +aS'when\twhen\tWRB\tB-ADVP\tO' +p54625 +aS'she\tshe\tPRP\tB-NP\tO' +p54626 +aS'visited\tvisit\tVBD\tB-VP\tO' +p54627 +aS'the\tthe\tDT\tB-NP\tO' +p54628 +aS'patient\tpatient\tNN\tI-NP\tO' +p54629 +aS'at\tat\tIN\tB-PP\tO' +p54630 +aS'the\tthe\tDT\tB-NP\tO' +p54631 +aS'NH\tNH\tNN\tI-NP\tO' +p54632 +aS',\t,\t,\tO\tO' +p54633 +aS'he\the\tPRP\tB-NP\tO' +p54634 +aS'was\tbe\tVBD\tB-VP\tO' +p54635 +aS'"\t"\t\'\'\tO\tO' +p54636 +aS'having\thave\tVBG\tB-VP\tO' +p54637 +aS'a\ta\tDT\tB-NP\tO' +p54638 +aS'good\tgood\tJJ\tI-NP\tO' +p54639 +aS'day\tday\tNN\tI-NP\tO' +p54640 +aS',"\t,"\t,\tO\tO' +p54641 +aS'more\tmore\tRBR\tB-ADJP\tO' +p54642 +aS'interactive\tinteractive\tJJ\tI-ADJP\tO' +p54643 +aS'than\tthan\tIN\tB-PP\tO' +p54644 +aS'usual\tusual\tJJ\tB-ADJP\tO' +p54645 +aS'and\tand\tCC\tO\tO' +p54646 +aS'in\tin\tIN\tB-PP\tO' +p54647 +aS'good\tgood\tJJ\tB-NP\tO' +p54648 +aS'spirits\tspirit\tNNS\tI-NP\tO' +p54649 +aS'.\t.\t.\tO\tO' +p54650 +asS'If you experience clear drainage from your wounds , cover them with a clean dressing and stop showering until the drainage subsides for at least 2 days .' +p54651 +(lp54652 +S'If\tIf\tIN\tB-SBAR\tO' +p54653 +aS'you\tyou\tPRP\tB-NP\tO' +p54654 +aS'experience\texperience\tVBP\tB-VP\tO' +p54655 +aS'clear\tclear\tJJ\tB-NP\tO' +p54656 +aS'drainage\tdrainage\tNN\tI-NP\tO' +p54657 +aS'from\tfrom\tIN\tB-PP\tO' +p54658 +aS'your\tyour\tPRP$\tB-NP\tO' +p54659 +aS'wounds\twound\tNNS\tI-NP\tO' +p54660 +aS',\t,\t,\tO\tO' +p54661 +aS'cover\tcover\tVBP\tB-VP\tO' +p54662 +aS'them\tthem\tPRP\tB-NP\tO' +p54663 +aS'with\twith\tIN\tB-PP\tO' +p54664 +aS'a\ta\tDT\tB-NP\tO' +p54665 +aS'clean\tclean\tJJ\tI-NP\tO' +p54666 +aS'dressing\tdressing\tNN\tI-NP\tO' +p54667 +aS'and\tand\tCC\tO\tO' +p54668 +aS'stop\tstop\tVB\tB-VP\tO' +p54669 +aS'showering\tshower\tVBG\tI-VP\tO' +p54670 +aS'until\tuntil\tIN\tB-SBAR\tO' +p54671 +aS'the\tthe\tDT\tB-NP\tO' +p54672 +aS'drainage\tdrainage\tNN\tI-NP\tO' +p54673 +aS'subsides\tsubside\tNNS\tI-NP\tO' +p54674 +aS'for\tfor\tIN\tB-PP\tO' +p54675 +aS'at\tat\tIN\tB-NP\tO' +p54676 +aS'least\tleast\tJJS\tI-NP\tO' +p54677 +aS'2\t2\tCD\tI-NP\tO' +p54678 +aS'days\tday\tNNS\tI-NP\tO' +p54679 +aS'.\t.\t.\tO\tO' +p54680 +asS'Postoperatively , she diuresed very well .' +p54681 +(lp54682 +S'Postoperatively\tPostoperatively\tRB\tB-ADVP\tO' +p54683 +aS',\t,\t,\tO\tO' +p54684 +aS'she\tshe\tPRP\tB-NP\tO' +p54685 +aS'diuresed\tdiurese\tVBD\tB-VP\tO' +p54686 +aS'very\tvery\tRB\tB-ADVP\tO' +p54687 +aS'well\twell\tRB\tI-ADVP\tO' +p54688 +aS'.\t.\t.\tO\tO' +p54689 +asS'He was continued on Aspirin , Metoprolol and Lipitor with no further issues .' +p54690 +(lp54691 +S'He\tHe\tPRP\tB-NP\tO' +p54692 +aS'was\tbe\tVBD\tB-VP\tO' +p54693 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p54694 +aS'on\ton\tIN\tB-PP\tO' +p54695 +aS'Aspirin\tAspirin\tNN\tB-NP\tO' +p54696 +aS',\t,\t,\tI-NP\tO' +p54697 +aS'Metoprolol\tMetoprolol\tNN\tI-NP\tO' +p54698 +aS'and\tand\tCC\tI-NP\tO' +p54699 +aS'Lipitor\tLipitor\tNN\tI-NP\tO' +p54700 +aS'with\twith\tIN\tB-PP\tO' +p54701 +aS'no\tno\tDT\tB-NP\tO' +p54702 +aS'further\tfurther\tJJ\tI-NP\tO' +p54703 +aS'issues\tissue\tNNS\tI-NP\tO' +p54704 +aS'.\t.\t.\tO\tO' +p54705 +asS'White blood cell count was 2.1 with 56 polys and 1 band .' +p54706 +(lp54707 +S'White\tWhite\tJJ\tB-NP\tO' +p54708 +aS'blood\tblood\tNN\tI-NP\tO' +p54709 +aS'cell\tcell\tNN\tI-NP\tO' +p54710 +aS'count\tcount\tNN\tI-NP\tO' +p54711 +aS'was\tbe\tVBD\tB-VP\tO' +p54712 +aS'2.1\t2.1\tCD\tB-NP\tO' +p54713 +aS'with\twith\tIN\tB-PP\tO' +p54714 +aS'56\t56\tCD\tB-NP\tO' +p54715 +aS'polys\tpoly\tNNS\tI-NP\tO' +p54716 +aS'and\tand\tCC\tO\tO' +p54717 +aS'1\t1\tCD\tB-NP\tO' +p54718 +aS'band\tband\tNN\tI-NP\tO' +p54719 +aS'.\t.\t.\tO\tO' +p54720 +asS'2. Colace 100 mg p.o. twice a day .' +p54721 +(lp54722 +S'2.\t2.\tLS\tB-NP\tO' +p54723 +aS'Colace\tColace\tNNP\tI-NP\tO' +p54724 +aS'100\t100\tCD\tI-NP\tO' +p54725 +aS'mg\tmg\tNN\tI-NP\tO' +p54726 +aS'p.o.\tp.o.\tRB\tB-NP\tO' +p54727 +aS'twice\ttwice\tRB\tI-NP\tO' +p54728 +aS'a\ta\tDT\tI-NP\tO' +p54729 +aS'day\tday\tNN\tI-NP\tO' +p54730 +aS'.\t.\t.\tO\tO' +p54731 +asS'No known dysphagia .' +p54732 +(lp54733 +S'No\tNo\tDT\tB-NP\tO' +p54734 +aS'known\tknown\tJJ\tI-NP\tO' +p54735 +aS'dysphagia\tdysphagia\tNN\tI-NP\tO' +p54736 +aS'.\t.\t.\tO\tO' +p54737 +asS'--- lovenox tonight x1 , hold AM dose per CMED CCU' +p54738 +(lp54739 +S'---\t---\tSYM\tO\tO' +p54740 +aS'lovenox\tlovenox\tNN\tB-NP\tO' +p54741 +aS'tonight\ttonight\tNN\tI-NP\tO' +p54742 +aS'x1\tx1\tNN\tI-NP\tO' +p54743 +aS',\t,\t,\tO\tO' +p54744 +aS'hold\thold\tVBG\tB-VP\tO' +p54745 +aS'AM\tAM\tNNP\tB-NP\tO' +p54746 +aS'dose\tdose\tNN\tI-NP\tO' +p54747 +aS'per\tper\tIN\tB-PP\tO' +p54748 +aS'CMED\tCMED\tNN\tB-NP\tO' +p54749 +aS'CCU\tCCU\tNN\tI-NP\tO' +p54750 +asS'Dr. Ther Ludzjesc Director , Section of Cardiology Shiekeu Hospital Medical Centers NC' +p54751 +(lp54752 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p54753 +aS'Ther\tTher\tNNP\tI-NP\tO' +p54754 +aS'Ludzjesc\tLudzjesc\tNNP\tI-NP\tO' +p54755 +aS'Director\tDirector\tNNP\tI-NP\tO' +p54756 +aS',\t,\t,\tO\tO' +p54757 +aS'Section\tSection\tNNP\tB-NP\tO' +p54758 +aS'of\tof\tIN\tB-PP\tO' +p54759 +aS'Cardiology\tCardiology\tNNP\tB-NP\tO' +p54760 +aS'Shiekeu\tShiekeu\tNNP\tI-NP\tO' +p54761 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p54762 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p54763 +aS'Centers\tCenters\tNNP\tI-NP\tO' +p54764 +aS'NC\tNC\tNNP\tI-NP\tO' +p54765 +asS"On postoperative day number two , the patient 's chest tubes were removed without complication and the patient was subsequently cleared for transfer to the floor ." +p54766 +(lp54767 +S'On\tOn\tIN\tB-PP\tO' +p54768 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p54769 +aS'day\tday\tNN\tI-NP\tO' +p54770 +aS'number\tnumber\tNN\tI-NP\tO' +p54771 +aS'two\ttwo\tCD\tB-NP\tO' +p54772 +aS',\t,\t,\tO\tO' +p54773 +aS'the\tthe\tDT\tB-NP\tO' +p54774 +aS'patient\tpatient\tNN\tI-NP\tO' +p54775 +aS"'s\t's\tPOS\tB-NP\tO" +p54776 +aS'chest\tchest\tNN\tI-NP\tO' +p54777 +aS'tubes\ttube\tNNS\tI-NP\tO' +p54778 +aS'were\tbe\tVBD\tB-VP\tO' +p54779 +aS'removed\tremove\tVBN\tI-VP\tO' +p54780 +aS'without\twithout\tIN\tB-PP\tO' +p54781 +aS'complication\tcomplication\tNN\tB-NP\tO' +p54782 +aS'and\tand\tCC\tO\tO' +p54783 +aS'the\tthe\tDT\tB-NP\tO' +p54784 +aS'patient\tpatient\tNN\tI-NP\tO' +p54785 +aS'was\tbe\tVBD\tB-VP\tO' +p54786 +aS'subsequently\tsubsequently\tRB\tI-VP\tO' +p54787 +aS'cleared\tclear\tVBN\tI-VP\tO' +p54788 +aS'for\tfor\tIN\tB-PP\tO' +p54789 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p54790 +aS'to\tto\tTO\tB-PP\tO' +p54791 +aS'the\tthe\tDT\tB-NP\tO' +p54792 +aS'floor\tfloor\tNN\tI-NP\tO' +p54793 +aS'.\t.\t.\tO\tO' +p54794 +asS'It was recommended that the patient begin anticoagulation given the severity of her pulmonary hypertension .' +p54795 +(lp54796 +S'It\tIt\tPRP\tB-NP\tO' +p54797 +aS'was\tbe\tVBD\tB-VP\tO' +p54798 +aS'recommended\trecommend\tVBN\tI-VP\tO' +p54799 +aS'that\tthat\tIN\tB-SBAR\tO' +p54800 +aS'the\tthe\tDT\tB-NP\tO' +p54801 +aS'patient\tpatient\tNN\tI-NP\tO' +p54802 +aS'begin\tbegin\tNN\tI-NP\tO' +p54803 +aS'anticoagulation\tanticoagulation\tNN\tI-NP\tO' +p54804 +aS'given\tgive\tVBN\tB-VP\tO' +p54805 +aS'the\tthe\tDT\tB-NP\tO' +p54806 +aS'severity\tseverity\tNN\tI-NP\tO' +p54807 +aS'of\tof\tIN\tB-PP\tO' +p54808 +aS'her\ther\tPRP$\tB-NP\tO' +p54809 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p54810 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p54811 +aS'.\t.\t.\tO\tO' +p54812 +asS'This is a chronic issue and was controlled with Flexeril and Vicodin .' +p54813 +(lp54814 +S'This\tThis\tDT\tB-NP\tO' +p54815 +aS'is\tbe\tVBZ\tB-VP\tO' +p54816 +aS'a\ta\tDT\tB-NP\tO' +p54817 +aS'chronic\tchronic\tJJ\tI-NP\tO' +p54818 +aS'issue\tissue\tNN\tI-NP\tO' +p54819 +aS'and\tand\tCC\tO\tO' +p54820 +aS'was\tbe\tVBD\tB-VP\tO' +p54821 +aS'controlled\tcontrol\tVBN\tI-VP\tO' +p54822 +aS'with\twith\tIN\tB-PP\tO' +p54823 +aS'Flexeril\tFlexeril\tNNP\tB-NP\tO' +p54824 +aS'and\tand\tCC\tI-NP\tO' +p54825 +aS'Vicodin\tVicodin\tNNP\tI-NP\tO' +p54826 +aS'.\t.\t.\tO\tO' +p54827 +asS'17 year old man with post-op fever .' +p54828 +(lp54829 +S'17\t17\tCD\tB-NP\tO' +p54830 +aS'year\tyear\tNN\tI-NP\tO' +p54831 +aS'old\told\tJJ\tI-NP\tO' +p54832 +aS'man\tman\tNN\tI-NP\tO' +p54833 +aS'with\twith\tIN\tB-PP\tO' +p54834 +aS'post-op\tpost-op\tJJ\tB-NP\tO' +p54835 +aS'fever\tfever\tNN\tI-NP\tO' +p54836 +aS'.\t.\t.\tO\tO' +p54837 +asS'Pulmonary exam he is clear upper lobes , diminished bilateral bases left greater than right .' +p54838 +(lp54839 +S'Pulmonary\tPulmonary\tJJ\tB-NP\tO' +p54840 +aS'exam\texam\tNN\tI-NP\tO' +p54841 +aS'he\the\tPRP\tB-NP\tO' +p54842 +aS'is\tbe\tVBZ\tB-VP\tO' +p54843 +aS'clear\tclear\tJJ\tB-NP\tO' +p54844 +aS'upper\tupper\tJJ\tI-NP\tO' +p54845 +aS'lobes\tlobe\tNNS\tI-NP\tO' +p54846 +aS',\t,\t,\tO\tO' +p54847 +aS'diminished\tdiminish\tVBD\tB-VP\tO' +p54848 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p54849 +aS'bases\tbase\tNNS\tI-NP\tO' +p54850 +aS'left\tleave\tVBD\tB-VP\tO' +p54851 +aS'greater\tgreat\tJJR\tB-ADJP\tO' +p54852 +aS'than\tthan\tIN\tB-PP\tO' +p54853 +aS'right\tright\tJJ\tB-ADJP\tO' +p54854 +aS'.\t.\t.\tO\tO' +p54855 +asS'GI consult team followed pt in hospital .' +p54856 +(lp54857 +S'GI\tGI\tNN\tB-NP\tO' +p54858 +aS'consult\tconsult\tNN\tI-NP\tO' +p54859 +aS'team\tteam\tNN\tI-NP\tO' +p54860 +aS'followed\tfollow\tVBD\tB-VP\tO' +p54861 +aS'pt\tpt\tNN\tB-NP\tO' +p54862 +aS'in\tin\tIN\tB-PP\tO' +p54863 +aS'hospital\thospital\tNN\tB-NP\tO' +p54864 +aS'.\t.\t.\tO\tO' +p54865 +asS'The femoral pulses were diminished .' +p54866 +(lp54867 +S'The\tThe\tDT\tB-NP\tO' +p54868 +aS'femoral\tfemoral\tJJ\tI-NP\tO' +p54869 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p54870 +aS'were\tbe\tVBD\tB-VP\tO' +p54871 +aS'diminished\tdiminish\tVBN\tI-VP\tO' +p54872 +aS'.\t.\t.\tO\tO' +p54873 +asS'Treated with course of local XRT in Springfield Municipal Hospital and Tamoxifen .' +p54874 +(lp54875 +S'Treated\tTreat\tVBN\tB-VP\tO' +p54876 +aS'with\twith\tIN\tB-PP\tO' +p54877 +aS'course\tcourse\tNN\tB-NP\tO' +p54878 +aS'of\tof\tIN\tB-PP\tO' +p54879 +aS'local\tlocal\tJJ\tB-NP\tO' +p54880 +aS'XRT\tXRT\tNN\tI-NP\tO' +p54881 +aS'in\tin\tIN\tB-PP\tO' +p54882 +aS'Springfield\tSpringfield\tNNP\tB-NP\tO' +p54883 +aS'Municipal\tMunicipal\tNNP\tI-NP\tO' +p54884 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p54885 +aS'and\tand\tCC\tO\tO' +p54886 +aS'Tamoxifen\tTamoxifen\tNNP\tB-NP\tO' +p54887 +aS'.\t.\t.\tO\tO' +p54888 +asS'EXTREMITIES : No clubbing , cyanosis , but + edema .' +p54889 +(lp54890 +S'EXTREMITIES\tEXTREMITIES\tNNS\tB-NP\tO' +p54891 +aS':\t:\t:\tO\tO' +p54892 +aS'No\tNo\tDT\tB-NP\tO' +p54893 +aS'clubbing\tclubbing\tNN\tI-NP\tO' +p54894 +aS',\t,\t,\tO\tO' +p54895 +aS'cyanosis\tcyanosis\tNN\tB-NP\tO' +p54896 +aS',\t,\t,\tO\tO' +p54897 +aS'but\tbut\tCC\tO\tO' +p54898 +aS'+\t+\tJJ\tB-NP\tO' +p54899 +aS'edema\tedema\tNN\tI-NP\tO' +p54900 +aS'.\t.\t.\tO\tO' +p54901 +asS'#. Pleural effusions : Likely due to CHF although had some leukocytosis at admission to OSH .' +p54902 +(lp54903 +S'#.\t#.\tLS\tB-NP\tO' +p54904 +aS'Pleural\tPleural\tJJ\tI-NP\tO' +p54905 +aS'effusions\teffusion\tNNS\tI-NP\tO' +p54906 +aS':\t:\t:\tO\tO' +p54907 +aS'Likely\tLikely\tRB\tB-ADVP\tO' +p54908 +aS'due\tdue\tIN\tB-PP\tO' +p54909 +aS'to\tto\tTO\tB-PP\tO' +p54910 +aS'CHF\tCHF\tNN\tB-NP\tB-protein' +p54911 +aS'although\talthough\tIN\tB-SBAR\tO' +p54912 +aS'had\thave\tVBD\tB-VP\tO' +p54913 +aS'some\tsome\tDT\tB-NP\tO' +p54914 +aS'leukocytosis\tleukocytosis\tNN\tI-NP\tO' +p54915 +aS'at\tat\tIN\tB-PP\tO' +p54916 +aS'admission\tadmission\tNN\tB-NP\tO' +p54917 +aS'to\tto\tTO\tB-PP\tO' +p54918 +aS'OSH\tOSH\tNN\tB-NP\tB-protein' +p54919 +aS'.\t.\t.\tO\tO' +p54920 +asS'GEN : Obese male , AAOx3' +p54921 +(lp54922 +S'GEN\tGEN\tNN\tB-NP\tO' +p54923 +aS':\t:\t:\tO\tO' +p54924 +aS'Obese\tObese\tJJ\tB-NP\tO' +p54925 +aS'male\tmale\tNN\tI-NP\tO' +p54926 +aS',\t,\t,\tO\tO' +p54927 +aS'AAOx3\tAAOx3\tNN\tB-NP\tB-protein' +p54928 +asS'10. Acetaminophen 325 mg Tablet Sig : Two ( 2 ) Tablet PO BID ( 2 times a day ) .' +p54929 +(lp54930 +S'10.\t10.\tCD\tB-NP\tO' +p54931 +aS'Acetaminophen\tAcetaminophen\tNN\tI-NP\tO' +p54932 +aS'325\t325\tCD\tB-NP\tO' +p54933 +aS'mg\tmg\tNN\tI-NP\tO' +p54934 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p54935 +aS'Sig\tSig\tNNP\tI-NP\tO' +p54936 +aS':\t:\t:\tO\tO' +p54937 +aS'Two\tTwo\tCD\tB-NP\tO' +p54938 +aS'(\t(\t(\tO\tO' +p54939 +aS'2\t2\tCD\tO\tO' +p54940 +aS')\t)\t)\tO\tO' +p54941 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p54942 +aS'PO\tPO\tNN\tI-NP\tO' +p54943 +aS'BID\tBID\tNN\tI-NP\tO' +p54944 +aS'(\t(\t(\tO\tO' +p54945 +aS'2\t2\tCD\tB-NP\tO' +p54946 +aS'times\ttime\tNNS\tI-NP\tO' +p54947 +aS'a\ta\tDT\tB-NP\tO' +p54948 +aS'day\tday\tNN\tI-NP\tO' +p54949 +aS')\t)\t)\tO\tO' +p54950 +aS'.\t.\t.\tO\tO' +p54951 +asS'There was no nodal dissection done at that time .' +p54952 +(lp54953 +S'There\tThere\tEX\tB-NP\tO' +p54954 +aS'was\tbe\tVBD\tB-VP\tO' +p54955 +aS'no\tno\tDT\tB-NP\tO' +p54956 +aS'nodal\tnodal\tJJ\tI-NP\tO' +p54957 +aS'dissection\tdissection\tNN\tI-NP\tO' +p54958 +aS'done\tdo\tVBN\tB-VP\tO' +p54959 +aS'at\tat\tIN\tB-PP\tO' +p54960 +aS'that\tthat\tDT\tB-NP\tO' +p54961 +aS'time\ttime\tNN\tI-NP\tO' +p54962 +aS'.\t.\t.\tO\tO' +p54963 +asS'Facies nondysmorphic , palate intact .' +p54964 +(lp54965 +S'Facies\tFacy\tNNS\tB-NP\tO' +p54966 +aS'nondysmorphic\tnondysmorphic\tJJ\tB-ADJP\tO' +p54967 +aS',\t,\t,\tO\tO' +p54968 +aS'palate\tpalate\tVB\tB-VP\tO' +p54969 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p54970 +aS'.\t.\t.\tO\tO' +p54971 +asS'The patient was initially treated with intravenous fluids , however , subsequently he was diuresed when he became symptomatic and short of breath .' +p54972 +(lp54973 +S'The\tThe\tDT\tB-NP\tO' +p54974 +aS'patient\tpatient\tNN\tI-NP\tO' +p54975 +aS'was\tbe\tVBD\tB-VP\tO' +p54976 +aS'initially\tinitially\tRB\tI-VP\tO' +p54977 +aS'treated\ttreat\tVBN\tI-VP\tO' +p54978 +aS'with\twith\tIN\tB-PP\tO' +p54979 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p54980 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p54981 +aS',\t,\t,\tO\tO' +p54982 +aS'however\thowever\tRB\tB-ADVP\tO' +p54983 +aS',\t,\t,\tO\tO' +p54984 +aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' +p54985 +aS'he\the\tPRP\tB-NP\tO' +p54986 +aS'was\tbe\tVBD\tB-VP\tO' +p54987 +aS'diuresed\tdiurese\tVBN\tI-VP\tO' +p54988 +aS'when\twhen\tWRB\tB-ADVP\tO' +p54989 +aS'he\the\tPRP\tB-NP\tO' +p54990 +aS'became\tbecome\tVBD\tB-VP\tO' +p54991 +aS'symptomatic\tsymptomatic\tJJ\tB-ADJP\tO' +p54992 +aS'and\tand\tCC\tI-ADJP\tO' +p54993 +aS'short\tshort\tJJ\tI-ADJP\tO' +p54994 +aS'of\tof\tIN\tB-PP\tO' +p54995 +aS'breath\tbreath\tNN\tB-NP\tO' +p54996 +aS'.\t.\t.\tO\tO' +p54997 +asS'Ophthalmology was consulted and ruled out ocular spread .' +p54998 +(lp54999 +S'Ophthalmology\tOphthalmology\tNN\tB-NP\tO' +p55000 +aS'was\tbe\tVBD\tB-VP\tO' +p55001 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p55002 +aS'and\tand\tCC\tO\tO' +p55003 +aS'ruled\trule\tVBD\tB-VP\tO' +p55004 +aS'out\tout\tRP\tB-PRT\tO' +p55005 +aS'ocular\tocular\tJJ\tB-NP\tO' +p55006 +aS'spread\tspread\tNN\tI-NP\tO' +p55007 +aS'.\t.\t.\tO\tO' +p55008 +asS'The patient has been treated with Argon laser therapy in the past for his rectal bleeding and it is recommended that he follow up with his gastroenterologist for repeat Argon laser therapy .' +p55009 +(lp55010 +S'The\tThe\tDT\tB-NP\tO' +p55011 +aS'patient\tpatient\tNN\tI-NP\tO' +p55012 +aS'has\thave\tVBZ\tB-VP\tO' +p55013 +aS'been\tbe\tVBN\tI-VP\tO' +p55014 +aS'treated\ttreat\tVBN\tI-VP\tO' +p55015 +aS'with\twith\tIN\tB-PP\tO' +p55016 +aS'Argon\tArgon\tNN\tB-NP\tO' +p55017 +aS'laser\tlaser\tNN\tI-NP\tO' +p55018 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p55019 +aS'in\tin\tIN\tB-PP\tO' +p55020 +aS'the\tthe\tDT\tB-NP\tO' +p55021 +aS'past\tpast\tNN\tI-NP\tO' +p55022 +aS'for\tfor\tIN\tB-PP\tO' +p55023 +aS'his\this\tPRP$\tB-NP\tO' +p55024 +aS'rectal\trectal\tJJ\tI-NP\tO' +p55025 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p55026 +aS'and\tand\tCC\tO\tO' +p55027 +aS'it\tit\tPRP\tB-NP\tO' +p55028 +aS'is\tbe\tVBZ\tB-VP\tO' +p55029 +aS'recommended\trecommend\tVBN\tI-VP\tO' +p55030 +aS'that\tthat\tIN\tB-SBAR\tO' +p55031 +aS'he\the\tPRP\tB-NP\tO' +p55032 +aS'follow\tfollow\tVB\tB-VP\tO' +p55033 +aS'up\tup\tRP\tB-PRT\tO' +p55034 +aS'with\twith\tIN\tB-PP\tO' +p55035 +aS'his\this\tPRP$\tB-NP\tO' +p55036 +aS'gastroenterologist\tgastroenterologist\tNN\tI-NP\tO' +p55037 +aS'for\tfor\tIN\tB-PP\tO' +p55038 +aS'repeat\trepeat\tNN\tB-NP\tO' +p55039 +aS'Argon\tArgon\tNN\tI-NP\tO' +p55040 +aS'laser\tlaser\tNN\tI-NP\tO' +p55041 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p55042 +aS'.\t.\t.\tO\tO' +p55043 +asS'This NPO was temporary for that day and she then resumed feedings and has been tolerating full enteral feeds well , improved since off of CPAP , passing normal stools , guaiac negative .' +p55044 +(lp55045 +S'This\tThis\tDT\tB-NP\tO' +p55046 +aS'NPO\tNPO\tNN\tI-NP\tB-protein' +p55047 +aS'was\tbe\tVBD\tB-VP\tO' +p55048 +aS'temporary\ttemporary\tJJ\tB-ADJP\tO' +p55049 +aS'for\tfor\tIN\tB-PP\tO' +p55050 +aS'that\tthat\tDT\tB-NP\tO' +p55051 +aS'day\tday\tNN\tI-NP\tO' +p55052 +aS'and\tand\tCC\tO\tO' +p55053 +aS'she\tshe\tPRP\tB-NP\tO' +p55054 +aS'then\tthen\tRB\tB-ADVP\tO' +p55055 +aS'resumed\tresume\tVBD\tB-VP\tO' +p55056 +aS'feedings\tfeeding\tNNS\tB-NP\tO' +p55057 +aS'and\tand\tCC\tO\tO' +p55058 +aS'has\thave\tVBZ\tB-VP\tO' +p55059 +aS'been\tbe\tVBN\tI-VP\tO' +p55060 +aS'tolerating\ttolerate\tVBG\tI-VP\tO' +p55061 +aS'full\tfull\tJJ\tB-NP\tO' +p55062 +aS'enteral\tenteral\tJJ\tI-NP\tO' +p55063 +aS'feeds\tfeed\tNNS\tI-NP\tO' +p55064 +aS'well\twell\tRB\tB-ADVP\tO' +p55065 +aS',\t,\t,\tO\tO' +p55066 +aS'improved\timprove\tVBD\tB-VP\tO' +p55067 +aS'since\tsince\tIN\tB-SBAR\tO' +p55068 +aS'off\toff\tRB\tB-ADVP\tO' +p55069 +aS'of\tof\tIN\tB-PP\tO' +p55070 +aS'CPAP\tCPAP\tNN\tB-NP\tB-protein' +p55071 +aS',\t,\t,\tO\tO' +p55072 +aS'passing\tpass\tVBG\tB-VP\tO' +p55073 +aS'normal\tnormal\tJJ\tB-NP\tO' +p55074 +aS'stools\tstool\tNNS\tI-NP\tO' +p55075 +aS',\t,\t,\tO\tO' +p55076 +aS'guaiac\tguaiac\tNN\tB-NP\tO' +p55077 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p55078 +aS'.\t.\t.\tO\tO' +p55079 +asS'In the setting of Right sublavian line placement as well as nephrostomy tube placement the patient was noted to have a drifting Hct , concerning for bleed , with nadir of 22.8 on 2014-12-01 .' +p55080 +(lp55081 +S'In\tIn\tIN\tB-PP\tO' +p55082 +aS'the\tthe\tDT\tB-NP\tO' +p55083 +aS'setting\tsetting\tNN\tI-NP\tO' +p55084 +aS'of\tof\tIN\tB-PP\tO' +p55085 +aS'Right\tRight\tNNP\tB-NP\tO' +p55086 +aS'sublavian\tsublavian\tJJ\tI-NP\tO' +p55087 +aS'line\tline\tNN\tI-NP\tO' +p55088 +aS'placement\tplacement\tNN\tI-NP\tO' +p55089 +aS'as\tas\tRB\tB-CONJP\tO' +p55090 +aS'well\twell\tRB\tI-CONJP\tO' +p55091 +aS'as\tas\tIN\tI-CONJP\tO' +p55092 +aS'nephrostomy\tnephrostomy\tNN\tB-NP\tO' +p55093 +aS'tube\ttube\tNN\tI-NP\tO' +p55094 +aS'placement\tplacement\tNN\tI-NP\tO' +p55095 +aS'the\tthe\tDT\tB-NP\tO' +p55096 +aS'patient\tpatient\tNN\tI-NP\tO' +p55097 +aS'was\tbe\tVBD\tB-VP\tO' +p55098 +aS'noted\tnote\tVBN\tI-VP\tO' +p55099 +aS'to\tto\tTO\tI-VP\tO' +p55100 +aS'have\thave\tVB\tI-VP\tO' +p55101 +aS'a\ta\tDT\tB-NP\tO' +p55102 +aS'drifting\tdrifting\tNN\tI-NP\tO' +p55103 +aS'Hct\tHct\tNNP\tI-NP\tO' +p55104 +aS',\t,\t,\tO\tO' +p55105 +aS'concerning\tconcern\tVBG\tB-VP\tO' +p55106 +aS'for\tfor\tIN\tB-PP\tO' +p55107 +aS'bleed\tbleed\tNN\tB-NP\tO' +p55108 +aS',\t,\t,\tO\tO' +p55109 +aS'with\twith\tIN\tB-PP\tO' +p55110 +aS'nadir\tnadir\tNN\tB-NP\tO' +p55111 +aS'of\tof\tIN\tB-PP\tO' +p55112 +aS'22.8\t22.8\tCD\tB-NP\tO' +p55113 +aS'on\ton\tIN\tB-PP\tO' +p55114 +aS'2014-12-01\t2014-12-01\tCD\tB-NP\tO' +p55115 +aS'.\t.\t.\tO\tO' +p55116 +asS'He again did not bump his hematocrit sufficiently and remained in the high 20 's after a total of 4 units , so he was given 2 more total units in 1/2 units segments the following day .' +p55117 +(lp55118 +S'He\tHe\tPRP\tB-NP\tO' +p55119 +aS'again\tagain\tRB\tB-ADVP\tO' +p55120 +aS'did\tdo\tVBD\tB-VP\tO' +p55121 +aS'not\tnot\tRB\tI-VP\tO' +p55122 +aS'bump\tbump\tVB\tI-VP\tO' +p55123 +aS'his\this\tPRP$\tB-NP\tO' +p55124 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p55125 +aS'sufficiently\tsufficiently\tRB\tB-ADVP\tO' +p55126 +aS'and\tand\tCC\tO\tO' +p55127 +aS'remained\tremain\tVBD\tB-VP\tO' +p55128 +aS'in\tin\tIN\tB-PP\tO' +p55129 +aS'the\tthe\tDT\tB-NP\tO' +p55130 +aS'high\thigh\tJJ\tI-NP\tO' +p55131 +aS'20\t20\tCD\tI-NP\tO' +p55132 +aS''s\t'\tNNS\tI-NP\tO' +p55133 +aS'after\tafter\tIN\tB-PP\tO' +p55134 +aS'a\ta\tDT\tB-NP\tO' +p55135 +aS'total\ttotal\tNN\tI-NP\tO' +p55136 +aS'of\tof\tIN\tB-PP\tO' +p55137 +aS'4\t4\tCD\tB-NP\tO' +p55138 +aS'units\tunit\tNNS\tI-NP\tO' +p55139 +aS',\t,\t,\tO\tO' +p55140 +aS'so\tso\tIN\tB-SBAR\tO' +p55141 +aS'he\the\tPRP\tB-NP\tO' +p55142 +aS'was\tbe\tVBD\tB-VP\tO' +p55143 +aS'given\tgive\tVBN\tI-VP\tO' +p55144 +aS'2\t2\tCD\tB-NP\tO' +p55145 +aS'more\tmore\tRBR\tI-NP\tO' +p55146 +aS'total\ttotal\tJJ\tI-NP\tO' +p55147 +aS'units\tunit\tNNS\tI-NP\tO' +p55148 +aS'in\tin\tIN\tB-PP\tO' +p55149 +aS'1/2\t1/2\tCD\tB-NP\tO' +p55150 +aS'units\tunit\tNNS\tI-NP\tO' +p55151 +aS'segments\tsegment\tVBZ\tB-VP\tO' +p55152 +aS'the\tthe\tDT\tB-NP\tO' +p55153 +aS'following\tfollow\tVBG\tI-NP\tO' +p55154 +aS'day\tday\tNN\tI-NP\tO' +p55155 +aS'.\t.\t.\tO\tO' +p55156 +asS'Mr. Hohlt is a 76 - year-old man with a history of hypertension , hyperlipidemia and prior myocardial infarction with a percutaneous transluminal coronary angioplasty of the right coronary artery in 2005 at the Cambridge Health Alliance .' +p55157 +(lp55158 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p55159 +aS'Hohlt\tHohlt\tNNP\tI-NP\tO' +p55160 +aS'is\tbe\tVBZ\tB-VP\tO' +p55161 +aS'a\ta\tDT\tB-NP\tO' +p55162 +aS'76\t76\tCD\tI-NP\tO' +p55163 +aS'-\t-\tHYPH\tI-NP\tO' +p55164 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p55165 +aS'man\tman\tNN\tI-NP\tO' +p55166 +aS'with\twith\tIN\tB-PP\tO' +p55167 +aS'a\ta\tDT\tB-NP\tO' +p55168 +aS'history\thistory\tNN\tI-NP\tO' +p55169 +aS'of\tof\tIN\tB-PP\tO' +p55170 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p55171 +aS',\t,\t,\tO\tO' +p55172 +aS'hyperlipidemia\thyperlipidemia\tNN\tB-NP\tO' +p55173 +aS'and\tand\tCC\tO\tO' +p55174 +aS'prior\tprior\tJJ\tB-NP\tO' +p55175 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p55176 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p55177 +aS'with\twith\tIN\tB-PP\tO' +p55178 +aS'a\ta\tDT\tB-NP\tO' +p55179 +aS'percutaneous\tpercutaneous\tJJ\tI-NP\tO' +p55180 +aS'transluminal\ttransluminal\tJJ\tI-NP\tO' +p55181 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p55182 +aS'angioplasty\tangioplasty\tNN\tI-NP\tO' +p55183 +aS'of\tof\tIN\tB-PP\tO' +p55184 +aS'the\tthe\tDT\tB-NP\tO' +p55185 +aS'right\tright\tJJ\tI-NP\tO' +p55186 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p55187 +aS'artery\tartery\tNN\tI-NP\tO' +p55188 +aS'in\tin\tIN\tB-PP\tO' +p55189 +aS'2005\t2005\tCD\tB-NP\tO' +p55190 +aS'at\tat\tIN\tB-PP\tO' +p55191 +aS'the\tthe\tDT\tB-NP\tO' +p55192 +aS'Cambridge\tCambridge\tNNP\tI-NP\tO' +p55193 +aS'Health\tHealth\tNNP\tI-NP\tO' +p55194 +aS'Alliance\tAlliance\tNNP\tI-NP\tO' +p55195 +aS'.\t.\t.\tO\tO' +p55196 +asS'The graft used was a homograft .' +p55197 +(lp55198 +S'The\tThe\tDT\tB-NP\tO' +p55199 +aS'graft\tgraft\tNN\tI-NP\tO' +p55200 +aS'used\tuse\tVBN\tB-VP\tO' +p55201 +aS'was\tbe\tVBD\tB-VP\tO' +p55202 +aS'a\ta\tDT\tB-NP\tO' +p55203 +aS'homograft\thomograft\tNN\tI-NP\tO' +p55204 +aS'.\t.\t.\tO\tO' +p55205 +asS'Her vital signs were stable , she remained afebrile off antibiotics .' +p55206 +(lp55207 +S'Her\tHer\tPRP$\tB-NP\tO' +p55208 +aS'vital\tvital\tJJ\tI-NP\tO' +p55209 +aS'signs\tsign\tNNS\tI-NP\tO' +p55210 +aS'were\tbe\tVBD\tB-VP\tO' +p55211 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p55212 +aS',\t,\t,\tO\tO' +p55213 +aS'she\tshe\tPRP\tB-NP\tO' +p55214 +aS'remained\tremain\tVBD\tB-VP\tO' +p55215 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p55216 +aS'off\toff\tIN\tB-PP\tO' +p55217 +aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' +p55218 +aS'.\t.\t.\tO\tO' +p55219 +asS'He received two amps of Narcan .' +p55220 +(lp55221 +S'He\tHe\tPRP\tB-NP\tO' +p55222 +aS'received\treceive\tVBD\tB-VP\tO' +p55223 +aS'two\ttwo\tCD\tB-NP\tO' +p55224 +aS'amps\tamp\tNNS\tI-NP\tO' +p55225 +aS'of\tof\tIN\tB-PP\tO' +p55226 +aS'Narcan\tNarcan\tNNP\tB-NP\tO' +p55227 +aS'.\t.\t.\tO\tO' +p55228 +asS'His abdomen was soft , nontender and nondistended with a nonerythematous peritoneal dialysis insertion site .' +p55229 +(lp55230 +S'His\tHis\tPRP$\tB-NP\tO' +p55231 +aS'abdomen\tabdoman\tNNS\tI-NP\tO' +p55232 +aS'was\tbe\tVBD\tB-VP\tO' +p55233 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p55234 +aS',\t,\t,\tO\tO' +p55235 +aS'nontender\tnontender\tJJ\tB-ADJP\tO' +p55236 +aS'and\tand\tCC\tI-ADJP\tO' +p55237 +aS'nondistended\tnondistended\tJJ\tI-ADJP\tO' +p55238 +aS'with\twith\tIN\tB-PP\tO' +p55239 +aS'a\ta\tDT\tB-NP\tO' +p55240 +aS'nonerythematous\tnonerythematous\tJJ\tI-NP\tB-DNA' +p55241 +aS'peritoneal\tperitoneal\tJJ\tI-NP\tI-DNA' +p55242 +aS'dialysis\tdialysis\tNN\tI-NP\tI-DNA' +p55243 +aS'insertion\tinsertion\tNN\tI-NP\tI-DNA' +p55244 +aS'site\tsite\tNN\tI-NP\tI-DNA' +p55245 +aS'.\t.\t.\tO\tO' +p55246 +asS'Says that she could not walk a few yards without developing symptoms .' +p55247 +(lp55248 +S'Says\tSay\tVBZ\tB-VP\tO' +p55249 +aS'that\tthat\tIN\tB-SBAR\tO' +p55250 +aS'she\tshe\tPRP\tB-NP\tO' +p55251 +aS'could\tcould\tMD\tB-VP\tO' +p55252 +aS'not\tnot\tRB\tI-VP\tO' +p55253 +aS'walk\twalk\tVB\tI-VP\tO' +p55254 +aS'a\ta\tDT\tB-NP\tO' +p55255 +aS'few\tfew\tJJ\tI-NP\tO' +p55256 +aS'yards\tyard\tNNS\tI-NP\tO' +p55257 +aS'without\twithout\tIN\tB-PP\tO' +p55258 +aS'developing\tdevelop\tVBG\tB-VP\tO' +p55259 +aS'symptoms\tsymptom\tNNS\tB-NP\tO' +p55260 +aS'.\t.\t.\tO\tO' +p55261 +asS'She was initially treated nonoperatively with IV fluids , antibiotics , serial exams and NGT decompression .' +p55262 +(lp55263 +S'She\tShe\tPRP\tB-NP\tO' +p55264 +aS'was\tbe\tVBD\tB-VP\tO' +p55265 +aS'initially\tinitially\tRB\tI-VP\tO' +p55266 +aS'treated\ttreat\tVBN\tI-VP\tO' +p55267 +aS'nonoperatively\tnonoperatively\tRB\tB-ADVP\tO' +p55268 +aS'with\twith\tIN\tB-PP\tO' +p55269 +aS'IV\tIV\tCD\tB-NP\tO' +p55270 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p55271 +aS',\t,\t,\tO\tO' +p55272 +aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' +p55273 +aS',\t,\t,\tO\tO' +p55274 +aS'serial\tserial\tJJ\tB-NP\tO' +p55275 +aS'exams\texam\tNNS\tI-NP\tO' +p55276 +aS'and\tand\tCC\tO\tO' +p55277 +aS'NGT\tNGT\tNN\tB-NP\tO' +p55278 +aS'decompression\tdecompression\tNN\tI-NP\tO' +p55279 +aS'.\t.\t.\tO\tO' +p55280 +asS'They have been informed up to date on his needs , discharge from the hospital .' +p55281 +(lp55282 +S'They\tThey\tPRP\tB-NP\tO' +p55283 +aS'have\thave\tVBP\tB-VP\tO' +p55284 +aS'been\tbe\tVBN\tI-VP\tO' +p55285 +aS'informed\tinform\tVBN\tI-VP\tO' +p55286 +aS'up\tup\tRP\tB-PRT\tO' +p55287 +aS'to\tto\tTO\tB-PP\tO' +p55288 +aS'date\tdate\tNN\tB-NP\tO' +p55289 +aS'on\ton\tIN\tB-PP\tO' +p55290 +aS'his\this\tPRP$\tB-NP\tO' +p55291 +aS'needs\tneed\tNNS\tI-NP\tO' +p55292 +aS',\t,\t,\tO\tO' +p55293 +aS'discharge\tdischarge\tVBP\tB-VP\tO' +p55294 +aS'from\tfrom\tIN\tB-PP\tO' +p55295 +aS'the\tthe\tDT\tB-NP\tO' +p55296 +aS'hospital\thospital\tNN\tI-NP\tO' +p55297 +aS'.\t.\t.\tO\tO' +p55298 +asS'Left ventricular wall thicknesses and cavity size are normal .' +p55299 +(lp55300 +S'Left\tLeave\tVBN\tB-NP\tO' +p55301 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p55302 +aS'wall\twall\tNN\tI-NP\tO' +p55303 +aS'thicknesses\tthickness\tNNS\tI-NP\tO' +p55304 +aS'and\tand\tCC\tO\tO' +p55305 +aS'cavity\tcavity\tNN\tB-NP\tO' +p55306 +aS'size\tsize\tNN\tI-NP\tO' +p55307 +aS'are\tbe\tVBP\tB-VP\tO' +p55308 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p55309 +aS'.\t.\t.\tO\tO' +p55310 +asS'His abdomen was soft , nontender , nondistended .' +p55311 +(lp55312 +S'His\tHis\tPRP$\tB-NP\tO' +p55313 +aS'abdomen\tabdoman\tNNS\tI-NP\tO' +p55314 +aS'was\tbe\tVBD\tB-VP\tO' +p55315 +aS'soft\tsoft\tJJ\tB-NP\tO' +p55316 +aS',\t,\t,\tI-NP\tO' +p55317 +aS'nontender\tnontender\tJJ\tI-NP\tO' +p55318 +aS',\t,\t,\tI-NP\tO' +p55319 +aS'nondistended\tnondistended\tJJ\tI-NP\tO' +p55320 +aS'.\t.\t.\tO\tO' +p55321 +asS'Postoperatively , the patient was transferred to the CSRU for close monitoring .' +p55322 +(lp55323 +S'Postoperatively\tPostoperatively\tRB\tB-ADVP\tO' +p55324 +aS',\t,\t,\tO\tO' +p55325 +aS'the\tthe\tDT\tB-NP\tO' +p55326 +aS'patient\tpatient\tNN\tI-NP\tO' +p55327 +aS'was\tbe\tVBD\tB-VP\tO' +p55328 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p55329 +aS'to\tto\tTO\tB-PP\tO' +p55330 +aS'the\tthe\tDT\tB-NP\tO' +p55331 +aS'CSRU\tCSRU\tNN\tI-NP\tO' +p55332 +aS'for\tfor\tIN\tB-PP\tO' +p55333 +aS'close\tclose\tJJ\tB-NP\tO' +p55334 +aS'monitoring\tmonitoring\tNN\tI-NP\tO' +p55335 +aS'.\t.\t.\tO\tO' +p55336 +asS'Therefore , IV tpa thrombolytics were administered within 3 hours of symptom onset .' +p55337 +(lp55338 +S'Therefore\tTherefore\tRB\tB-ADVP\tO' +p55339 +aS',\t,\t,\tO\tO' +p55340 +aS'IV\tIV\tCD\tB-NP\tO' +p55341 +aS'tpa\ttpa\tNN\tI-NP\tO' +p55342 +aS'thrombolytics\tthrombolytic\tNNS\tI-NP\tO' +p55343 +aS'were\tbe\tVBD\tB-VP\tO' +p55344 +aS'administered\tadminister\tVBN\tI-VP\tO' +p55345 +aS'within\twithin\tIN\tB-PP\tO' +p55346 +aS'3\t3\tCD\tB-NP\tO' +p55347 +aS'hours\thour\tNNS\tI-NP\tO' +p55348 +aS'of\tof\tIN\tB-PP\tO' +p55349 +aS'symptom\tsymptom\tNN\tB-NP\tO' +p55350 +aS'onset\tonset\tNN\tI-NP\tO' +p55351 +aS'.\t.\t.\tO\tO' +p55352 +asS'There were no murmurs or rubs .' +p55353 +(lp55354 +S'There\tThere\tEX\tB-NP\tO' +p55355 +aS'were\tbe\tVBD\tB-VP\tO' +p55356 +aS'no\tno\tDT\tB-NP\tO' +p55357 +aS'murmurs\tmurmur\tNNS\tI-NP\tO' +p55358 +aS'or\tor\tCC\tI-NP\tO' +p55359 +aS'rubs\trub\tNNS\tI-NP\tO' +p55360 +aS'.\t.\t.\tO\tO' +p55361 +asS'The patient tolerated the procedure well and was found postoperatively to have some left upper extremity weakness on proximal greater than distal musculature .' +p55362 +(lp55363 +S'The\tThe\tDT\tB-NP\tO' +p55364 +aS'patient\tpatient\tNN\tI-NP\tO' +p55365 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p55366 +aS'the\tthe\tDT\tB-NP\tO' +p55367 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p55368 +aS'well\twell\tRB\tB-ADVP\tO' +p55369 +aS'and\tand\tCC\tO\tO' +p55370 +aS'was\tbe\tVBD\tB-VP\tO' +p55371 +aS'found\tfind\tVBN\tI-VP\tO' +p55372 +aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' +p55373 +aS'to\tto\tTO\tB-VP\tO' +p55374 +aS'have\thave\tVB\tI-VP\tO' +p55375 +aS'some\tsome\tDT\tB-NP\tO' +p55376 +aS'left\tleft\tJJ\tI-NP\tO' +p55377 +aS'upper\tupper\tJJ\tI-NP\tO' +p55378 +aS'extremity\textremity\tNN\tI-NP\tO' +p55379 +aS'weakness\tweakness\tNN\tI-NP\tO' +p55380 +aS'on\ton\tIN\tB-PP\tO' +p55381 +aS'proximal\tproximal\tJJ\tB-NP\tO' +p55382 +aS'greater\tgreat\tJJR\tI-NP\tO' +p55383 +aS'than\tthan\tIN\tB-PP\tO' +p55384 +aS'distal\tdistal\tJJ\tB-NP\tO' +p55385 +aS'musculature\tmusculature\tNN\tI-NP\tO' +p55386 +aS'.\t.\t.\tO\tO' +p55387 +asS'The cortical ribbon is intact .' +p55388 +(lp55389 +S'The\tThe\tDT\tB-NP\tO' +p55390 +aS'cortical\tcortical\tJJ\tI-NP\tO' +p55391 +aS'ribbon\tribbon\tNN\tI-NP\tO' +p55392 +aS'is\tbe\tVBZ\tB-VP\tO' +p55393 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p55394 +aS'.\t.\t.\tO\tO' +p55395 +asS'Abdominal pain predominally on the right upper quadrant , no signs of peritoneal irritation .' +p55396 +(lp55397 +S'Abdominal\tAbdominal\tJJ\tB-NP\tO' +p55398 +aS'pain\tpain\tNN\tI-NP\tO' +p55399 +aS'predominally\tpredominally\tRB\tB-ADVP\tO' +p55400 +aS'on\ton\tIN\tB-PP\tO' +p55401 +aS'the\tthe\tDT\tB-NP\tO' +p55402 +aS'right\tright\tJJ\tI-NP\tO' +p55403 +aS'upper\tupper\tJJ\tI-NP\tO' +p55404 +aS'quadrant\tquadrant\tNN\tI-NP\tO' +p55405 +aS',\t,\t,\tO\tO' +p55406 +aS'no\tno\tDT\tB-NP\tO' +p55407 +aS'signs\tsign\tNNS\tI-NP\tO' +p55408 +aS'of\tof\tIN\tB-PP\tO' +p55409 +aS'peritoneal\tperitoneal\tJJ\tB-NP\tO' +p55410 +aS'irritation\tirritation\tNN\tI-NP\tO' +p55411 +aS'.\t.\t.\tO\tO' +p55412 +asS'10. Multivitamin Capsule Sig : One ( 1 ) Cap PO DAILY ( Daily ) .' +p55413 +(lp55414 +S'10.\t10.\tLS\tB-LST\tO' +p55415 +aS'Multivitamin\tMultivitamin\tNNP\tB-NP\tO' +p55416 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p55417 +aS'Sig\tSig\tNNP\tI-NP\tO' +p55418 +aS':\t:\t:\tO\tO' +p55419 +aS'One\tOne\tCD\tB-NP\tO' +p55420 +aS'(\t(\t(\tO\tO' +p55421 +aS'1\t1\tCD\tB-NP\tO' +p55422 +aS')\t)\t)\tO\tO' +p55423 +aS'Cap\tCap\tNN\tB-NP\tO' +p55424 +aS'PO\tPO\tNN\tI-NP\tO' +p55425 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p55426 +aS'(\t(\t(\tO\tO' +p55427 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p55428 +aS')\t)\t)\tO\tO' +p55429 +aS'.\t.\t.\tO\tO' +p55430 +asS'Currently the patient is admitted to the Intensive Care Unit for further medical care .' +p55431 +(lp55432 +S'Currently\tCurrently\tRB\tB-ADVP\tO' +p55433 +aS'the\tthe\tDT\tB-NP\tO' +p55434 +aS'patient\tpatient\tNN\tI-NP\tO' +p55435 +aS'is\tbe\tVBZ\tB-VP\tO' +p55436 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p55437 +aS'to\tto\tTO\tB-PP\tO' +p55438 +aS'the\tthe\tDT\tB-NP\tO' +p55439 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p55440 +aS'Care\tCare\tNNP\tI-NP\tO' +p55441 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p55442 +aS'for\tfor\tIN\tB-PP\tO' +p55443 +aS'further\tfurther\tJJ\tB-NP\tO' +p55444 +aS'medical\tmedical\tJJ\tI-NP\tO' +p55445 +aS'care\tcare\tNN\tI-NP\tO' +p55446 +aS'.\t.\t.\tO\tO' +p55447 +asS'This is a chronic problem but may be contributing to her current weakness and inability to walk .' +p55448 +(lp55449 +S'This\tThis\tDT\tB-NP\tO' +p55450 +aS'is\tbe\tVBZ\tB-VP\tO' +p55451 +aS'a\ta\tDT\tB-NP\tO' +p55452 +aS'chronic\tchronic\tJJ\tI-NP\tO' +p55453 +aS'problem\tproblem\tNN\tI-NP\tO' +p55454 +aS'but\tbut\tCC\tO\tO' +p55455 +aS'may\tmay\tMD\tB-VP\tO' +p55456 +aS'be\tbe\tVB\tI-VP\tO' +p55457 +aS'contributing\tcontribute\tVBG\tI-VP\tO' +p55458 +aS'to\tto\tTO\tB-PP\tO' +p55459 +aS'her\ther\tPRP$\tB-NP\tO' +p55460 +aS'current\tcurrent\tJJ\tI-NP\tO' +p55461 +aS'weakness\tweakness\tNN\tI-NP\tO' +p55462 +aS'and\tand\tCC\tI-NP\tO' +p55463 +aS'inability\tinability\tNN\tI-NP\tO' +p55464 +aS'to\tto\tTO\tB-VP\tO' +p55465 +aS'walk\twalk\tVB\tI-VP\tO' +p55466 +aS'.\t.\t.\tO\tO' +p55467 +asS'This was not significantly changed from comparison with 2016-03-17 .' +p55468 +(lp55469 +S'This\tThis\tDT\tB-NP\tO' +p55470 +aS'was\tbe\tVBD\tB-VP\tO' +p55471 +aS'not\tnot\tRB\tO\tO' +p55472 +aS'significantly\tsignificantly\tRB\tB-ADJP\tO' +p55473 +aS'changed\tchange\tVBN\tI-ADJP\tO' +p55474 +aS'from\tfrom\tIN\tB-PP\tO' +p55475 +aS'comparison\tcomparison\tNN\tB-NP\tO' +p55476 +aS'with\twith\tIN\tB-PP\tO' +p55477 +aS'2016-03-17\t2016-03-17\tCD\tB-NP\tO' +p55478 +aS'.\t.\t.\tO\tO' +p55479 +asS'Mildly dilated aortic root and ascending aorta .' +p55480 +(lp55481 +S'Mildly\tMildly\tRB\tB-NP\tO' +p55482 +aS'dilated\tdilate\tVBN\tI-NP\tO' +p55483 +aS'aortic\taortic\tJJ\tI-NP\tO' +p55484 +aS'root\troot\tNN\tI-NP\tO' +p55485 +aS'and\tand\tCC\tO\tO' +p55486 +aS'ascending\tascend\tVBG\tB-VP\tO' +p55487 +aS'aorta\taorta\tNN\tB-NP\tO' +p55488 +aS'.\t.\t.\tO\tO' +p55489 +asS'5. Heparin Sodium ( Porcine ) 5,000 unit / mL Solution Sig : One ( 1 ) Injection TID ( 3 times a day ) .' +p55490 +(lp55491 +S'5.\t5.\tLS\tB-NP\tO' +p55492 +aS'Heparin\tHeparin\tNN\tI-NP\tB-protein' +p55493 +aS'Sodium\tSodium\tNN\tI-NP\tI-protein' +p55494 +aS'(\t(\t(\tO\tI-protein' +p55495 +aS'Porcine\tPorcine\tNN\tB-NP\tI-protein' +p55496 +aS')\t)\t)\tO\tI-protein' +p55497 +aS'5,000\t5,000\tCD\tB-NP\tI-protein' +p55498 +aS'unit\tunit\tNN\tI-NP\tI-protein' +p55499 +aS'/\t/\tSYM\tB-NP\tO' +p55500 +aS'mL\tmL\tNN\tI-NP\tO' +p55501 +aS'Solution\tSolution\tNNP\tI-NP\tO' +p55502 +aS'Sig\tSig\tNNP\tI-NP\tO' +p55503 +aS':\t:\t:\tO\tO' +p55504 +aS'One\tOne\tCD\tB-NP\tO' +p55505 +aS'(\t(\t(\tO\tO' +p55506 +aS'1\t1\tCD\tB-NP\tO' +p55507 +aS')\t)\t)\tO\tO' +p55508 +aS'Injection\tInjection\tNN\tB-NP\tO' +p55509 +aS'TID\tTID\tNN\tI-NP\tO' +p55510 +aS'(\t(\t(\tO\tO' +p55511 +aS'3\t3\tCD\tB-NP\tO' +p55512 +aS'times\ttime\tNNS\tI-NP\tO' +p55513 +aS'a\ta\tDT\tB-NP\tO' +p55514 +aS'day\tday\tNN\tI-NP\tO' +p55515 +aS')\t)\t)\tO\tO' +p55516 +aS'.\t.\t.\tO\tO' +p55517 +asS'He came to this country in late December 1994 to live with his son for a few months and was referred to me for follow up .' +p55518 +(lp55519 +S'He\tHe\tPRP\tB-NP\tO' +p55520 +aS'came\tcome\tVBD\tB-VP\tO' +p55521 +aS'to\tto\tTO\tB-PP\tO' +p55522 +aS'this\tthis\tDT\tB-NP\tO' +p55523 +aS'country\tcountry\tNN\tI-NP\tO' +p55524 +aS'in\tin\tIN\tB-PP\tO' +p55525 +aS'late\tlate\tJJ\tB-NP\tO' +p55526 +aS'December\tDecember\tNNP\tI-NP\tO' +p55527 +aS'1994\t1994\tCD\tI-NP\tO' +p55528 +aS'to\tto\tTO\tB-VP\tO' +p55529 +aS'live\tlive\tVB\tI-VP\tO' +p55530 +aS'with\twith\tIN\tB-PP\tO' +p55531 +aS'his\this\tPRP$\tB-NP\tO' +p55532 +aS'son\tson\tNN\tI-NP\tO' +p55533 +aS'for\tfor\tIN\tB-PP\tO' +p55534 +aS'a\ta\tDT\tB-NP\tO' +p55535 +aS'few\tfew\tJJ\tI-NP\tO' +p55536 +aS'months\tmonth\tNNS\tI-NP\tO' +p55537 +aS'and\tand\tCC\tO\tO' +p55538 +aS'was\tbe\tVBD\tB-VP\tO' +p55539 +aS'referred\trefer\tVBN\tI-VP\tO' +p55540 +aS'to\tto\tTO\tB-PP\tO' +p55541 +aS'me\tme\tPRP\tB-NP\tO' +p55542 +aS'for\tfor\tIN\tB-PP\tO' +p55543 +aS'follow\tfollow\tVB\tB-VP\tO' +p55544 +aS'up\tup\tIN\tB-PRT\tO' +p55545 +aS'.\t.\t.\tO\tO' +p55546 +asS'She delivered a 3263 gram female infant on 10/30/2003 at 05:03 am with apgar scores of 8 and 9 at one and five minutes respectively at 40.1 weeks gestation via spontaneous vertex vaginal delivery .' +p55547 +(lp55548 +S'She\tShe\tPRP\tB-NP\tO' +p55549 +aS'delivered\tdeliver\tVBD\tB-VP\tO' +p55550 +aS'a\ta\tDT\tB-NP\tO' +p55551 +aS'3263\t3263\tCD\tI-NP\tO' +p55552 +aS'gram\tgram\tNN\tI-NP\tO' +p55553 +aS'female\tfemale\tJJ\tI-NP\tO' +p55554 +aS'infant\tinfant\tNN\tI-NP\tO' +p55555 +aS'on\ton\tIN\tB-PP\tO' +p55556 +aS'10/30/2003\t10/30/2003\tCD\tB-NP\tO' +p55557 +aS'at\tat\tIN\tB-PP\tO' +p55558 +aS'05:03\t05:03\tCD\tB-NP\tO' +p55559 +aS'am\tam\tNN\tI-NP\tO' +p55560 +aS'with\twith\tIN\tB-PP\tO' +p55561 +aS'apgar\tapgar\tNN\tB-NP\tO' +p55562 +aS'scores\tscore\tNNS\tI-NP\tO' +p55563 +aS'of\tof\tIN\tB-PP\tO' +p55564 +aS'8\t8\tCD\tB-NP\tO' +p55565 +aS'and\tand\tCC\tI-NP\tO' +p55566 +aS'9\t9\tCD\tI-NP\tO' +p55567 +aS'at\tat\tIN\tB-PP\tO' +p55568 +aS'one\tone\tCD\tB-NP\tO' +p55569 +aS'and\tand\tCC\tI-NP\tO' +p55570 +aS'five\tfive\tCD\tI-NP\tO' +p55571 +aS'minutes\tminute\tNNS\tI-NP\tO' +p55572 +aS'respectively\trespectively\tRB\tB-ADVP\tO' +p55573 +aS'at\tat\tIN\tB-PP\tO' +p55574 +aS'40.1\t40.1\tCD\tB-NP\tO' +p55575 +aS'weeks\tweek\tNNS\tI-NP\tO' +p55576 +aS'gestation\tgestation\tNN\tI-NP\tO' +p55577 +aS'via\tvia\tIN\tB-PP\tO' +p55578 +aS'spontaneous\tspontaneous\tJJ\tB-NP\tO' +p55579 +aS'vertex\tvertex\tNN\tI-NP\tO' +p55580 +aS'vaginal\tvaginal\tJJ\tI-NP\tO' +p55581 +aS'delivery\tdelivery\tNN\tI-NP\tO' +p55582 +aS'.\t.\t.\tO\tO' +p55583 +asS'After some debate , we concluded that Vetrano was not at unusually high risk from RSV , but that her sister might be .' +p55584 +(lp55585 +S'After\tAfter\tIN\tB-PP\tO' +p55586 +aS'some\tsome\tDT\tB-NP\tO' +p55587 +aS'debate\tdebate\tNN\tI-NP\tO' +p55588 +aS',\t,\t,\tO\tO' +p55589 +aS'we\twe\tPRP\tB-NP\tO' +p55590 +aS'concluded\tconclude\tVBD\tB-VP\tO' +p55591 +aS'that\tthat\tIN\tB-SBAR\tO' +p55592 +aS'Vetrano\tVetrano\tNNP\tB-NP\tO' +p55593 +aS'was\tbe\tVBD\tB-VP\tO' +p55594 +aS'not\tnot\tRB\tO\tO' +p55595 +aS'at\tat\tIN\tB-PP\tO' +p55596 +aS'unusually\tunusually\tRB\tB-NP\tO' +p55597 +aS'high\thigh\tJJ\tI-NP\tO' +p55598 +aS'risk\trisk\tNN\tI-NP\tO' +p55599 +aS'from\tfrom\tIN\tB-PP\tO' +p55600 +aS'RSV\tRSV\tNN\tB-NP\tB-protein' +p55601 +aS',\t,\t,\tO\tO' +p55602 +aS'but\tbut\tCC\tO\tO' +p55603 +aS'that\tthat\tDT\tO\tO' +p55604 +aS'her\ther\tPRP$\tB-NP\tO' +p55605 +aS'sister\tsister\tNN\tI-NP\tO' +p55606 +aS'might\tmight\tMD\tB-VP\tO' +p55607 +aS'be\tbe\tVB\tI-VP\tO' +p55608 +aS'.\t.\t.\tO\tO' +p55609 +asS'5) E. coli bacteremia / sepsis : Source of acute cholangitis as above .' +p55610 +(lp55611 +S'5)\t5)\tLS\tB-LST\tO' +p55612 +aS'E.\tE.\tFW\tB-NP\tO' +p55613 +aS'coli\tcoli\tFW\tI-NP\tO' +p55614 +aS'bacteremia\tbacteremia\tNN\tI-NP\tO' +p55615 +aS'/\t/\tSYM\tB-NP\tO' +p55616 +aS'sepsis\tsepsis\tNN\tI-NP\tO' +p55617 +aS':\t:\t:\tO\tO' +p55618 +aS'Source\tSource\tNN\tB-NP\tO' +p55619 +aS'of\tof\tIN\tB-PP\tO' +p55620 +aS'acute\tacute\tJJ\tB-NP\tO' +p55621 +aS'cholangitis\tcholangitis\tNN\tI-NP\tO' +p55622 +aS'as\tas\tIN\tB-PP\tO' +p55623 +aS'above\tabove\tRB\tB-ADVP\tO' +p55624 +aS'.\t.\t.\tO\tO' +p55625 +asS'The patient was admitted with a blood pressure of 140/80 , temperature 101.3 , pulse 84 , and respiratory rate 22 .' +p55626 +(lp55627 +S'The\tThe\tDT\tB-NP\tO' +p55628 +aS'patient\tpatient\tNN\tI-NP\tO' +p55629 +aS'was\tbe\tVBD\tB-VP\tO' +p55630 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p55631 +aS'with\twith\tIN\tB-PP\tO' +p55632 +aS'a\ta\tDT\tB-NP\tO' +p55633 +aS'blood\tblood\tNN\tI-NP\tO' +p55634 +aS'pressure\tpressure\tNN\tI-NP\tO' +p55635 +aS'of\tof\tIN\tB-PP\tO' +p55636 +aS'140/80\t140/80\tCD\tB-NP\tO' +p55637 +aS',\t,\t,\tO\tO' +p55638 +aS'temperature\ttemperature\tNN\tB-NP\tB-protein' +p55639 +aS'101.3\t101.3\tCD\tI-NP\tI-protein' +p55640 +aS',\t,\t,\tO\tO' +p55641 +aS'pulse\tpulse\tNN\tB-NP\tO' +p55642 +aS'84\t84\tCD\tI-NP\tO' +p55643 +aS',\t,\t,\tO\tO' +p55644 +aS'and\tand\tCC\tO\tO' +p55645 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p55646 +aS'rate\trate\tNN\tI-NP\tO' +p55647 +aS'22\t22\tCD\tI-NP\tO' +p55648 +aS'.\t.\t.\tO\tO' +p55649 +asS'Abdominal aortic aneurysm was discovered on examination and patient was referred to Retelk County Medical Center .' +p55650 +(lp55651 +S'Abdominal\tAbdominal\tJJ\tB-NP\tO' +p55652 +aS'aortic\taortic\tJJ\tI-NP\tO' +p55653 +aS'aneurysm\taneurysm\tNN\tI-NP\tO' +p55654 +aS'was\tbe\tVBD\tB-VP\tO' +p55655 +aS'discovered\tdiscover\tVBN\tI-VP\tO' +p55656 +aS'on\ton\tIN\tB-PP\tO' +p55657 +aS'examination\texamination\tNN\tB-NP\tO' +p55658 +aS'and\tand\tCC\tI-NP\tO' +p55659 +aS'patient\tpatient\tNN\tI-NP\tO' +p55660 +aS'was\tbe\tVBD\tB-VP\tO' +p55661 +aS'referred\trefer\tVBN\tI-VP\tO' +p55662 +aS'to\tto\tTO\tB-PP\tO' +p55663 +aS'Retelk\tRetelk\tNNP\tB-NP\tO' +p55664 +aS'County\tCounty\tNNP\tI-NP\tO' +p55665 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p55666 +aS'Center\tCenter\tNNP\tI-NP\tO' +p55667 +aS'.\t.\t.\tO\tO' +p55668 +asS'The cranial nerves II-XII grossly intact , bilaterally symmetric .' +p55669 +(lp55670 +S'The\tThe\tDT\tB-NP\tO' +p55671 +aS'cranial\tcranial\tJJ\tI-NP\tO' +p55672 +aS'nerves\tnerve\tNNS\tI-NP\tO' +p55673 +aS'II-XII\tII-XII\tNN\tI-NP\tB-protein' +p55674 +aS'grossly\tgrossly\tRB\tB-ADJP\tO' +p55675 +aS'intact\tintact\tJJ\tI-ADJP\tO' +p55676 +aS',\t,\t,\tO\tO' +p55677 +aS'bilaterally\tbilaterally\tRB\tB-ADJP\tO' +p55678 +aS'symmetric\tsymmetric\tJJ\tI-ADJP\tO' +p55679 +aS'.\t.\t.\tO\tO' +p55680 +asS'On admission blood pressure 165/70 .' +p55681 +(lp55682 +S'On\tOn\tIN\tB-PP\tO' +p55683 +aS'admission\tadmission\tNN\tB-NP\tB-DNA' +p55684 +aS'blood\tblood\tNN\tI-NP\tI-DNA' +p55685 +aS'pressure\tpressure\tNN\tI-NP\tI-DNA' +p55686 +aS'165/70\t165/70\tCD\tI-NP\tI-DNA' +p55687 +aS'.\t.\t.\tO\tO' +p55688 +asS'A colonoscopy showed anteriordysplasia , no bleeding was seen .' +p55689 +(lp55690 +S'A\tA\tDT\tB-NP\tO' +p55691 +aS'colonoscopy\tcolonoscopy\tNN\tI-NP\tO' +p55692 +aS'showed\tshow\tVBD\tB-VP\tO' +p55693 +aS'anteriordysplasia\tanteriordysplasia\tNN\tB-NP\tO' +p55694 +aS',\t,\t,\tO\tO' +p55695 +aS'no\tno\tDT\tB-NP\tO' +p55696 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p55697 +aS'was\tbe\tVBD\tB-VP\tO' +p55698 +aS'seen\tsee\tVBN\tI-VP\tO' +p55699 +aS'.\t.\t.\tO\tO' +p55700 +asS'Ext : tr edema , 2+ DP bilaterally' +p55701 +(lp55702 +S'Ext\tExt\tNN\tB-NP\tO' +p55703 +aS':\t:\t:\tO\tO' +p55704 +aS'tr\ttr\tNN\tB-NP\tO' +p55705 +aS'edema\tedema\tNN\tI-NP\tO' +p55706 +aS',\t,\t,\tO\tO' +p55707 +aS'2+\t2+\tJJ\tB-NP\tO' +p55708 +aS'DP\tDP\tNN\tI-NP\tO' +p55709 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p55710 +asS'Scruntches eyes closed when try to open them .' +p55711 +(lp55712 +S'Scruntches\tScruntch\tNNS\tB-NP\tO' +p55713 +aS'eyes\teye\tNNS\tI-NP\tO' +p55714 +aS'closed\tclose\tVBD\tB-VP\tO' +p55715 +aS'when\twhen\tWRB\tB-ADVP\tO' +p55716 +aS'try\ttry\tNN\tB-NP\tO' +p55717 +aS'to\tto\tTO\tB-VP\tO' +p55718 +aS'open\topen\tVB\tI-VP\tO' +p55719 +aS'them\tthem\tPRP\tB-NP\tO' +p55720 +aS'.\t.\t.\tO\tO' +p55721 +asS'It was decided that patient should receive one more trial off the vent before committing her to a tracheotomy .' +p55722 +(lp55723 +S'It\tIt\tPRP\tB-NP\tO' +p55724 +aS'was\tbe\tVBD\tB-VP\tO' +p55725 +aS'decided\tdecide\tVBN\tI-VP\tO' +p55726 +aS'that\tthat\tIN\tB-SBAR\tO' +p55727 +aS'patient\tpatient\tNN\tB-NP\tO' +p55728 +aS'should\tshould\tMD\tB-VP\tO' +p55729 +aS'receive\treceive\tVB\tI-VP\tO' +p55730 +aS'one\tone\tCD\tB-NP\tO' +p55731 +aS'more\tmore\tJJR\tI-NP\tO' +p55732 +aS'trial\ttrial\tNN\tI-NP\tO' +p55733 +aS'off\toff\tIN\tB-PP\tO' +p55734 +aS'the\tthe\tDT\tB-NP\tO' +p55735 +aS'vent\tvent\tNN\tI-NP\tO' +p55736 +aS'before\tbefore\tIN\tB-PP\tO' +p55737 +aS'committing\tcommit\tVBG\tB-VP\tO' +p55738 +aS'her\ther\tPRP\tB-NP\tO' +p55739 +aS'to\tto\tTO\tB-PP\tO' +p55740 +aS'a\ta\tDT\tB-NP\tO' +p55741 +aS'tracheotomy\ttracheotomy\tNN\tI-NP\tO' +p55742 +aS'.\t.\t.\tO\tO' +p55743 +asS'Please arrive 1 hour prior to the appointment to complete the Free Care Application there .' +p55744 +(lp55745 +S'Please\tPlease\tNN\tB-NP\tB-protein' +p55746 +aS'arrive\tarrive\tVBP\tB-VP\tO' +p55747 +aS'1\t1\tCD\tB-NP\tO' +p55748 +aS'hour\thour\tNN\tI-NP\tO' +p55749 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p55750 +aS'to\tto\tTO\tB-PP\tO' +p55751 +aS'the\tthe\tDT\tB-NP\tO' +p55752 +aS'appointment\tappointment\tNN\tI-NP\tO' +p55753 +aS'to\tto\tTO\tB-VP\tO' +p55754 +aS'complete\tcomplete\tVB\tI-VP\tO' +p55755 +aS'the\tthe\tDT\tB-NP\tO' +p55756 +aS'Free\tFree\tNNP\tI-NP\tO' +p55757 +aS'Care\tCare\tNNP\tI-NP\tO' +p55758 +aS'Application\tApplication\tNNP\tI-NP\tO' +p55759 +aS'there\tthere\tRB\tB-ADVP\tO' +p55760 +aS'.\t.\t.\tO\tO' +p55761 +asS'After endotracheal intubation , MAPs were maintained between 70 and 90 , dilantin was dose to maintain an appropriate level .' +p55762 +(lp55763 +S'After\tAfter\tIN\tB-PP\tO' +p55764 +aS'endotracheal\tendotracheal\tJJ\tB-NP\tO' +p55765 +aS'intubation\tintubation\tNN\tI-NP\tO' +p55766 +aS',\t,\t,\tO\tO' +p55767 +aS'MAPs\tMAP\tNNS\tB-NP\tB-protein' +p55768 +aS'were\tbe\tVBD\tB-VP\tO' +p55769 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p55770 +aS'between\tbetween\tIN\tB-PP\tO' +p55771 +aS'70\t70\tCD\tB-NP\tO' +p55772 +aS'and\tand\tCC\tI-NP\tO' +p55773 +aS'90\t90\tCD\tI-NP\tO' +p55774 +aS',\t,\t,\tO\tO' +p55775 +aS'dilantin\tdilantin\tNN\tB-NP\tO' +p55776 +aS'was\tbe\tVBD\tB-VP\tO' +p55777 +aS'dose\tdose\tNN\tB-NP\tO' +p55778 +aS'to\tto\tTO\tB-VP\tO' +p55779 +aS'maintain\tmaintain\tVB\tI-VP\tO' +p55780 +aS'an\tan\tDT\tB-NP\tO' +p55781 +aS'appropriate\tappropriate\tJJ\tI-NP\tO' +p55782 +aS'level\tlevel\tNN\tI-NP\tO' +p55783 +aS'.\t.\t.\tO\tO' +p55784 +asS'He is HITT negative .' +p55785 +(lp55786 +S'He\tHe\tPRP\tB-NP\tO' +p55787 +aS'is\tbe\tVBZ\tB-VP\tO' +p55788 +aS'HITT\tHITT\tNN\tB-NP\tO' +p55789 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p55790 +aS'.\t.\t.\tO\tO' +p55791 +asS'Sinemet was stopped during last admission 06-30 as he was thought to NOT have PD .' +p55792 +(lp55793 +S'Sinemet\tSinemet\tNN\tB-NP\tO' +p55794 +aS'was\tbe\tVBD\tB-VP\tO' +p55795 +aS'stopped\tstop\tVBN\tI-VP\tO' +p55796 +aS'during\tduring\tIN\tB-PP\tO' +p55797 +aS'last\tlast\tJJ\tB-NP\tO' +p55798 +aS'admission\tadmission\tNN\tI-NP\tO' +p55799 +aS'06-30\t06-30\tCD\tI-NP\tO' +p55800 +aS'as\tas\tIN\tB-SBAR\tO' +p55801 +aS'he\the\tPRP\tB-NP\tO' +p55802 +aS'was\tbe\tVBD\tB-VP\tO' +p55803 +aS'thought\tthink\tVBN\tI-VP\tO' +p55804 +aS'to\tto\tTO\tB-PP\tO' +p55805 +aS'NOT\tNOT\tNN\tB-NP\tB-protein' +p55806 +aS'have\thave\tVBP\tB-VP\tO' +p55807 +aS'PD\tPD\tNN\tB-NP\tO' +p55808 +aS'.\t.\t.\tO\tO' +p55809 +asS'He was diagnosed by biopsy with oligodendroglioma , and gross total resection by Dr. Redner in' +p55810 +(lp55811 +S'He\tHe\tPRP\tB-NP\tO' +p55812 +aS'was\tbe\tVBD\tB-VP\tO' +p55813 +aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' +p55814 +aS'by\tby\tIN\tB-PP\tO' +p55815 +aS'biopsy\tbiopsy\tNN\tB-NP\tO' +p55816 +aS'with\twith\tIN\tB-PP\tO' +p55817 +aS'oligodendroglioma\toligodendroglioma\tNN\tB-NP\tO' +p55818 +aS',\t,\t,\tO\tO' +p55819 +aS'and\tand\tCC\tO\tO' +p55820 +aS'gross\tgross\tJJ\tB-NP\tO' +p55821 +aS'total\ttotal\tJJ\tI-NP\tO' +p55822 +aS'resection\tresection\tNN\tI-NP\tO' +p55823 +aS'by\tby\tIN\tB-PP\tO' +p55824 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p55825 +aS'Redner\tRedner\tNNP\tI-NP\tO' +p55826 +aS'in\tin\tIN\tB-PP\tO' +p55827 +asS'Due to suboptimal technical quality , a focal wall motion abnormality cannot be fully excluded .' +p55828 +(lp55829 +S'Due\tDue\tJJ\tB-PP\tO' +p55830 +aS'to\tto\tTO\tB-PP\tO' +p55831 +aS'suboptimal\tsuboptimal\tJJ\tB-NP\tO' +p55832 +aS'technical\ttechnical\tJJ\tI-NP\tO' +p55833 +aS'quality\tquality\tNN\tI-NP\tO' +p55834 +aS',\t,\t,\tO\tO' +p55835 +aS'a\ta\tDT\tB-NP\tO' +p55836 +aS'focal\tfocal\tJJ\tI-NP\tO' +p55837 +aS'wall\twall\tNN\tI-NP\tO' +p55838 +aS'motion\tmotion\tNN\tI-NP\tO' +p55839 +aS'abnormality\tabnormality\tNN\tI-NP\tO' +p55840 +aS'cannot\tcannot\tMD\tB-VP\tO' +p55841 +aS'be\tbe\tVB\tI-VP\tO' +p55842 +aS'fully\tfully\tRB\tI-VP\tO' +p55843 +aS'excluded\texclude\tVBN\tI-VP\tO' +p55844 +aS'.\t.\t.\tO\tO' +p55845 +asS'The patient was placed on suicide precautions , and was hydrated with an infusion of intravenous fluid .' +p55846 +(lp55847 +S'The\tThe\tDT\tB-NP\tO' +p55848 +aS'patient\tpatient\tNN\tI-NP\tO' +p55849 +aS'was\tbe\tVBD\tB-VP\tO' +p55850 +aS'placed\tplace\tVBN\tI-VP\tO' +p55851 +aS'on\ton\tIN\tB-PP\tO' +p55852 +aS'suicide\tsuicide\tNN\tB-NP\tO' +p55853 +aS'precautions\tprecaution\tNNS\tI-NP\tO' +p55854 +aS',\t,\t,\tO\tO' +p55855 +aS'and\tand\tCC\tO\tO' +p55856 +aS'was\tbe\tVBD\tB-VP\tO' +p55857 +aS'hydrated\thydrate\tVBN\tI-VP\tO' +p55858 +aS'with\twith\tIN\tB-PP\tO' +p55859 +aS'an\tan\tDT\tB-NP\tO' +p55860 +aS'infusion\tinfusion\tNN\tI-NP\tO' +p55861 +aS'of\tof\tIN\tB-PP\tO' +p55862 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p55863 +aS'fluid\tfluid\tNN\tI-NP\tO' +p55864 +aS'.\t.\t.\tO\tO' +p55865 +asS'temperature 98.9 , pulse 82 , respirations 20 .' +p55866 +(lp55867 +S'temperature\ttemperature\tNN\tB-NP\tO' +p55868 +aS'98.9\t98.9\tCD\tI-NP\tO' +p55869 +aS',\t,\t,\tO\tO' +p55870 +aS'pulse\tpulse\tNN\tB-NP\tO' +p55871 +aS'82\t82\tCD\tI-NP\tO' +p55872 +aS',\t,\t,\tO\tO' +p55873 +aS'respirations\trespiration\tNNS\tB-NP\tO' +p55874 +aS'20\t20\tCD\tB-NP\tO' +p55875 +aS'.\t.\t.\tO\tO' +p55876 +asS'She lives with her daughter .' +p55877 +(lp55878 +S'She\tShe\tPRP\tB-NP\tO' +p55879 +aS'lives\tlive\tVBZ\tB-VP\tO' +p55880 +aS'with\twith\tIN\tB-PP\tO' +p55881 +aS'her\ther\tPRP$\tB-NP\tO' +p55882 +aS'daughter\tdaughter\tNN\tI-NP\tO' +p55883 +aS'.\t.\t.\tO\tO' +p55884 +asS'In the Deanna , her temperature was 96.5 , HR 51 , BP 112/60 , RR 18 , and oxygen saturation was 98% on ambient air .' +p55885 +(lp55886 +S'In\tIn\tIN\tB-PP\tO' +p55887 +aS'the\tthe\tDT\tB-NP\tO' +p55888 +aS'Deanna\tDeanna\tNNP\tI-NP\tO' +p55889 +aS',\t,\t,\tO\tO' +p55890 +aS'her\ther\tPRP$\tB-NP\tO' +p55891 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p55892 +aS'was\tbe\tVBD\tB-VP\tO' +p55893 +aS'96.5\t96.5\tCD\tB-NP\tO' +p55894 +aS',\t,\t,\tO\tO' +p55895 +aS'HR\tHR\tNN\tB-NP\tB-protein' +p55896 +aS'51\t51\tCD\tI-NP\tI-protein' +p55897 +aS',\t,\t,\tO\tO' +p55898 +aS'BP\tBP\tNN\tB-NP\tB-DNA' +p55899 +aS'112/60\t112/60\tCD\tI-NP\tI-DNA' +p55900 +aS',\t,\t,\tO\tO' +p55901 +aS'RR\tRR\tNN\tB-NP\tB-protein' +p55902 +aS'18\t18\tCD\tI-NP\tI-protein' +p55903 +aS',\t,\t,\tO\tO' +p55904 +aS'and\tand\tCC\tO\tO' +p55905 +aS'oxygen\toxygen\tNN\tB-NP\tO' +p55906 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p55907 +aS'was\tbe\tVBD\tB-VP\tO' +p55908 +aS'98%\t98%\tCD\tB-NP\tO' +p55909 +aS'on\ton\tIN\tB-PP\tO' +p55910 +aS'ambient\tambient\tJJ\tB-NP\tO' +p55911 +aS'air\tair\tNN\tI-NP\tO' +p55912 +aS'.\t.\t.\tO\tO' +p55913 +asS'METASTATIC ADENOCARCINOMA OF THE BREAST .' +p55914 +(lp55915 +S'METASTATIC\tMETASTATIC\tNN\tB-NP\tO' +p55916 +aS'ADENOCARCINOMA\tADENOCARCINOMA\tNN\tI-NP\tO' +p55917 +aS'OF\tOF\tIN\tB-PP\tO' +p55918 +aS'THE\tTHE\tDT\tB-NP\tO' +p55919 +aS'BREAST\tBREAST\tNN\tI-NP\tO' +p55920 +aS'.\t.\t.\tO\tO' +p55921 +asS'At this appointment , you should confirm orthopedic follow-up and request a hematology referral .' +p55922 +(lp55923 +S'At\tAt\tIN\tB-PP\tO' +p55924 +aS'this\tthis\tDT\tB-NP\tO' +p55925 +aS'appointment\tappointment\tNN\tI-NP\tO' +p55926 +aS',\t,\t,\tO\tO' +p55927 +aS'you\tyou\tPRP\tB-NP\tO' +p55928 +aS'should\tshould\tMD\tB-VP\tO' +p55929 +aS'confirm\tconfirm\tVB\tI-VP\tO' +p55930 +aS'orthopedic\torthopedic\tJJ\tB-NP\tO' +p55931 +aS'follow-up\tfollow-up\tNN\tI-NP\tO' +p55932 +aS'and\tand\tCC\tI-NP\tO' +p55933 +aS'request\trequest\tNN\tI-NP\tO' +p55934 +aS'a\ta\tDT\tB-NP\tO' +p55935 +aS'hematology\thematology\tNN\tI-NP\tO' +p55936 +aS'referral\treferral\tNN\tI-NP\tO' +p55937 +aS'.\t.\t.\tO\tO' +p55938 +asS'18. Debrox 6.5 % Drops Sig : Five ( 5 ) Drop Otic BID ( 2 times a day ) for 5 days : both ears .' +p55939 +(lp55940 +S'18.\t18.\tCD\tB-NP\tO' +p55941 +aS'Debrox\tDebrox\tNNP\tI-NP\tO' +p55942 +aS'6.5\t6.5\tCD\tI-NP\tO' +p55943 +aS'%\t%\tNN\tI-NP\tO' +p55944 +aS'Drops\tDrops\tNNP\tI-NP\tO' +p55945 +aS'Sig\tSig\tNNP\tI-NP\tO' +p55946 +aS':\t:\t:\tO\tO' +p55947 +aS'Five\tFive\tCD\tB-NP\tO' +p55948 +aS'(\t(\t(\tO\tO' +p55949 +aS'5\t5\tCD\tB-NP\tO' +p55950 +aS')\t)\t)\tO\tO' +p55951 +aS'Drop\tDrop\tNNP\tB-NP\tO' +p55952 +aS'Otic\tOtic\tJJ\tI-NP\tO' +p55953 +aS'BID\tBID\tNN\tI-NP\tO' +p55954 +aS'(\t(\t(\tO\tO' +p55955 +aS'2\t2\tCD\tB-NP\tO' +p55956 +aS'times\ttime\tNNS\tI-NP\tO' +p55957 +aS'a\ta\tDT\tB-NP\tO' +p55958 +aS'day\tday\tNN\tI-NP\tO' +p55959 +aS')\t)\t)\tO\tO' +p55960 +aS'for\tfor\tIN\tB-PP\tO' +p55961 +aS'5\t5\tCD\tB-NP\tO' +p55962 +aS'days\tday\tNNS\tI-NP\tO' +p55963 +aS':\t:\t:\tO\tO' +p55964 +aS'both\tboth\tDT\tB-NP\tO' +p55965 +aS'ears\tear\tNNS\tI-NP\tO' +p55966 +aS'.\t.\t.\tO\tO' +p55967 +asS'Same as admission .' +p55968 +(lp55969 +S'Same\tSame\tNN\tB-NP\tO' +p55970 +aS'as\tas\tIN\tB-PP\tO' +p55971 +aS'admission\tadmission\tNN\tB-NP\tO' +p55972 +aS'.\t.\t.\tO\tO' +p55973 +asS'Metronidazole Tablets ( Flagyl ) ; Multivitamins And Folate Capsules ( Stuart Prenatal With Folate )' +p55974 +(lp55975 +S'Metronidazole\tMetronidazole\tNN\tB-NP\tO' +p55976 +aS'Tablets\tTablet\tNNS\tI-NP\tO' +p55977 +aS'(\t(\t(\tO\tO' +p55978 +aS'Flagyl\tFlagyl\tNN\tB-NP\tO' +p55979 +aS')\t)\t)\tO\tO' +p55980 +aS';\t;\t:\tO\tO' +p55981 +aS'Multivitamins\tMultivitamins\tNNP\tB-NP\tO' +p55982 +aS'And\tAnd\tCC\tI-NP\tO' +p55983 +aS'Folate\tFolate\tNNP\tI-NP\tO' +p55984 +aS'Capsules\tCapsules\tNNP\tI-NP\tO' +p55985 +aS'(\t(\t(\tO\tO' +p55986 +aS'Stuart\tStuart\tNNP\tB-NP\tO' +p55987 +aS'Prenatal\tPrenatal\tNNP\tI-NP\tO' +p55988 +aS'With\tWith\tIN\tB-PP\tO' +p55989 +aS'Folate\tFolate\tNNP\tB-NP\tO' +p55990 +aS')\t)\t)\tO\tO' +p55991 +asS'13. The patient was also discharged with the restarting of warfarin 2 mg daily .' +p55992 +(lp55993 +S'13.\t13.\tLS\tB-LST\tO' +p55994 +aS'The\tThe\tDT\tB-NP\tO' +p55995 +aS'patient\tpatient\tNN\tI-NP\tO' +p55996 +aS'was\tbe\tVBD\tB-VP\tO' +p55997 +aS'also\talso\tRB\tI-VP\tO' +p55998 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p55999 +aS'with\twith\tIN\tB-PP\tO' +p56000 +aS'the\tthe\tDT\tB-NP\tO' +p56001 +aS'restarting\trestarting\tNN\tI-NP\tO' +p56002 +aS'of\tof\tIN\tB-PP\tO' +p56003 +aS'warfarin\twarfarin\tNN\tB-NP\tO' +p56004 +aS'2\t2\tCD\tI-NP\tO' +p56005 +aS'mg\tmg\tNN\tI-NP\tO' +p56006 +aS'daily\tdaily\tRB\tB-ADVP\tO' +p56007 +aS'.\t.\t.\tO\tO' +p56008 +asS'She has failed conservative therapy and is admitted for a spinal cord stimulator trial .' +p56009 +(lp56010 +S'She\tShe\tPRP\tB-NP\tO' +p56011 +aS'has\thave\tVBZ\tB-VP\tO' +p56012 +aS'failed\tfail\tVBN\tI-VP\tO' +p56013 +aS'conservative\tconservative\tJJ\tB-NP\tO' +p56014 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p56015 +aS'and\tand\tCC\tO\tO' +p56016 +aS'is\tbe\tVBZ\tB-VP\tO' +p56017 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p56018 +aS'for\tfor\tIN\tB-PP\tO' +p56019 +aS'a\ta\tDT\tB-NP\tO' +p56020 +aS'spinal\tspinal\tJJ\tI-NP\tO' +p56021 +aS'cord\tcord\tNN\tI-NP\tO' +p56022 +aS'stimulator\tstimulator\tNN\tI-NP\tO' +p56023 +aS'trial\ttrial\tNN\tI-NP\tO' +p56024 +aS'.\t.\t.\tO\tO' +p56025 +asS'HYPERPARATHYROIDISM .' +p56026 +(lp56027 +S'HYPERPARATHYROIDISM\tHYPERPARATHYROIDISM\tNN\tB-NP\tO' +p56028 +aS'.\t.\t.\tO\tO' +p56029 +asS'Soft , non-distended .' +p56030 +(lp56031 +S'Soft\tSoft\tRB\tB-ADVP\tO' +p56032 +aS',\t,\t,\tO\tO' +p56033 +aS'non-distended\tnon-distended\tJJ\tB-ADJP\tO' +p56034 +aS'.\t.\t.\tO\tO' +p56035 +asS'However , the patient is not febrile and her white count should be continued to be watched .' +p56036 +(lp56037 +S'However\tHowever\tRB\tB-ADVP\tO' +p56038 +aS',\t,\t,\tO\tO' +p56039 +aS'the\tthe\tDT\tB-NP\tO' +p56040 +aS'patient\tpatient\tNN\tI-NP\tO' +p56041 +aS'is\tbe\tVBZ\tB-VP\tO' +p56042 +aS'not\tnot\tRB\tO\tO' +p56043 +aS'febrile\tfebrile\tJJ\tB-ADJP\tO' +p56044 +aS'and\tand\tCC\tO\tO' +p56045 +aS'her\ther\tPRP$\tB-NP\tO' +p56046 +aS'white\twhite\tJJ\tI-NP\tO' +p56047 +aS'count\tcount\tNN\tI-NP\tO' +p56048 +aS'should\tshould\tMD\tB-VP\tO' +p56049 +aS'be\tbe\tVB\tI-VP\tO' +p56050 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p56051 +aS'to\tto\tTO\tI-VP\tO' +p56052 +aS'be\tbe\tVB\tI-VP\tO' +p56053 +aS'watched\twatch\tVBN\tI-VP\tO' +p56054 +aS'.\t.\t.\tO\tO' +p56055 +asS'There was no rebound or guarding .' +p56056 +(lp56057 +S'There\tThere\tEX\tB-NP\tO' +p56058 +aS'was\tbe\tVBD\tB-VP\tO' +p56059 +aS'no\tno\tDT\tB-NP\tO' +p56060 +aS'rebound\trebound\tNN\tI-NP\tO' +p56061 +aS'or\tor\tCC\tI-NP\tO' +p56062 +aS'guarding\tguarding\tNN\tI-NP\tO' +p56063 +aS'.\t.\t.\tO\tO' +p56064 +asS'Soft , obese , nontender , nondistended , normal active bowel sounds .' +p56065 +(lp56066 +S'Soft\tSoft\tRB\tB-ADVP\tO' +p56067 +aS',\t,\t,\tO\tO' +p56068 +aS'obese\tobese\tJJ\tB-NP\tO' +p56069 +aS',\t,\t,\tI-NP\tO' +p56070 +aS'nontender\tnontender\tJJ\tI-NP\tO' +p56071 +aS',\t,\t,\tI-NP\tO' +p56072 +aS'nondistended\tnondistended\tJJ\tI-NP\tO' +p56073 +aS',\t,\t,\tI-NP\tO' +p56074 +aS'normal\tnormal\tJJ\tI-NP\tO' +p56075 +aS'active\tactive\tJJ\tI-NP\tO' +p56076 +aS'bowel\tbowel\tNN\tI-NP\tO' +p56077 +aS'sounds\tsound\tNNS\tI-NP\tO' +p56078 +aS'.\t.\t.\tO\tO' +p56079 +asS'Coumadin , 5 mg po alternating with 2.5 mg po ; prednisolone , 30 mg po bid ; hydrochlorothiazide , 50 mg po bid ; potassium chloride , 40 mEq po bid ; Augmentin , 500 mg po tid ; Digoxin , 0.125 mg po qd ; Tylenol , 650 mg po q4h prn ; Carafate , 1 gram po bid ; Synthroid , 0.125 mg po qd .' +p56080 +(lp56081 +S'Coumadin\tCoumadin\tNN\tB-NP\tO' +p56082 +aS',\t,\t,\tO\tO' +p56083 +aS'5\t5\tCD\tB-NP\tO' +p56084 +aS'mg\tmg\tNN\tI-NP\tO' +p56085 +aS'po\tpo\tNN\tI-NP\tO' +p56086 +aS'alternating\talternate\tVBG\tB-VP\tO' +p56087 +aS'with\twith\tIN\tB-PP\tO' +p56088 +aS'2.5\t2.5\tCD\tB-NP\tO' +p56089 +aS'mg\tmg\tNN\tI-NP\tO' +p56090 +aS'po\tpo\tNN\tI-NP\tO' +p56091 +aS';\t;\t:\tO\tO' +p56092 +aS'prednisolone\tprednisolone\tNN\tB-NP\tO' +p56093 +aS',\t,\t,\tO\tO' +p56094 +aS'30\t30\tCD\tB-NP\tO' +p56095 +aS'mg\tmg\tNN\tI-NP\tO' +p56096 +aS'po\tpo\tNN\tI-NP\tO' +p56097 +aS'bid\tbid\tNN\tI-NP\tO' +p56098 +aS';\t;\t:\tO\tO' +p56099 +aS'hydrochlorothiazide\thydrochlorothiazide\tNN\tB-NP\tO' +p56100 +aS',\t,\t,\tO\tO' +p56101 +aS'50\t50\tCD\tB-NP\tO' +p56102 +aS'mg\tmg\tNN\tI-NP\tO' +p56103 +aS'po\tpo\tNN\tI-NP\tO' +p56104 +aS'bid\tbid\tNN\tI-NP\tO' +p56105 +aS';\t;\t:\tO\tO' +p56106 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p56107 +aS'chloride\tchloride\tNN\tI-NP\tO' +p56108 +aS',\t,\t,\tO\tO' +p56109 +aS'40\t40\tCD\tB-NP\tO' +p56110 +aS'mEq\tmEq\tNN\tI-NP\tO' +p56111 +aS'po\tpo\tNN\tI-NP\tO' +p56112 +aS'bid\tbid\tNN\tI-NP\tO' +p56113 +aS';\t;\t:\tO\tO' +p56114 +aS'Augmentin\tAugmentin\tNN\tB-NP\tO' +p56115 +aS',\t,\t,\tO\tO' +p56116 +aS'500\t500\tCD\tB-NP\tO' +p56117 +aS'mg\tmg\tNN\tI-NP\tO' +p56118 +aS'po\tpo\tNN\tI-NP\tO' +p56119 +aS'tid\ttid\tNN\tI-NP\tO' +p56120 +aS';\t;\t:\tO\tO' +p56121 +aS'Digoxin\tDigoxin\tNN\tB-NP\tO' +p56122 +aS',\t,\t,\tO\tO' +p56123 +aS'0.125\t0.125\tCD\tB-NP\tO' +p56124 +aS'mg\tmg\tNN\tI-NP\tO' +p56125 +aS'po\tpo\tNN\tI-NP\tO' +p56126 +aS'qd\tqd\tNN\tI-NP\tO' +p56127 +aS';\t;\t:\tO\tO' +p56128 +aS'Tylenol\tTylenol\tNN\tB-NP\tO' +p56129 +aS',\t,\t,\tO\tO' +p56130 +aS'650\t650\tCD\tB-NP\tO' +p56131 +aS'mg\tmg\tNN\tI-NP\tO' +p56132 +aS'po\tpo\tNN\tI-NP\tO' +p56133 +aS'q4h\tq4h\tNN\tI-NP\tO' +p56134 +aS'prn\tprn\tNN\tI-NP\tO' +p56135 +aS';\t;\t:\tO\tO' +p56136 +aS'Carafate\tCarafate\tNN\tB-NP\tO' +p56137 +aS',\t,\t,\tO\tO' +p56138 +aS'1\t1\tCD\tB-NP\tO' +p56139 +aS'gram\tgram\tNN\tI-NP\tO' +p56140 +aS'po\tpo\tNN\tI-NP\tO' +p56141 +aS'bid\tbid\tNN\tI-NP\tO' +p56142 +aS';\t;\t:\tO\tO' +p56143 +aS'Synthroid\tSynthroid\tNN\tB-NP\tO' +p56144 +aS',\t,\t,\tO\tO' +p56145 +aS'0.125\t0.125\tCD\tB-NP\tO' +p56146 +aS'mg\tmg\tNN\tI-NP\tO' +p56147 +aS'po\tpo\tNN\tI-NP\tO' +p56148 +aS'qd\tqd\tNN\tI-NP\tO' +p56149 +aS'.\t.\t.\tO\tO' +p56150 +asS'He just claims to have no appetite and has very poor effort with feeding .' +p56151 +(lp56152 +S'He\tHe\tPRP\tB-NP\tO' +p56153 +aS'just\tjust\tRB\tB-ADVP\tO' +p56154 +aS'claims\tclaim\tVBZ\tB-VP\tO' +p56155 +aS'to\tto\tTO\tI-VP\tO' +p56156 +aS'have\thave\tVB\tI-VP\tO' +p56157 +aS'no\tno\tDT\tB-NP\tO' +p56158 +aS'appetite\tappetite\tNN\tI-NP\tO' +p56159 +aS'and\tand\tCC\tO\tO' +p56160 +aS'has\thave\tVBZ\tB-VP\tO' +p56161 +aS'very\tvery\tRB\tB-NP\tO' +p56162 +aS'poor\tpoor\tJJ\tI-NP\tO' +p56163 +aS'effort\teffort\tNN\tI-NP\tO' +p56164 +aS'with\twith\tIN\tB-PP\tO' +p56165 +aS'feeding\tfeeding\tNN\tB-NP\tO' +p56166 +aS'.\t.\t.\tO\tO' +p56167 +asS'The same symptoms occurred again the same evening with exertion and then were again relieved with rest .' +p56168 +(lp56169 +S'The\tThe\tDT\tB-NP\tO' +p56170 +aS'same\tsame\tJJ\tI-NP\tO' +p56171 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p56172 +aS'occurred\toccur\tVBD\tB-VP\tO' +p56173 +aS'again\tagain\tRB\tB-ADVP\tO' +p56174 +aS'the\tthe\tDT\tB-NP\tO' +p56175 +aS'same\tsame\tJJ\tI-NP\tO' +p56176 +aS'evening\tevening\tNN\tI-NP\tO' +p56177 +aS'with\twith\tIN\tB-PP\tO' +p56178 +aS'exertion\texertion\tNN\tB-NP\tO' +p56179 +aS'and\tand\tCC\tO\tO' +p56180 +aS'then\tthen\tRB\tO\tO' +p56181 +aS'were\tbe\tVBD\tB-VP\tO' +p56182 +aS'again\tagain\tRB\tI-VP\tO' +p56183 +aS'relieved\trelieve\tVBN\tI-VP\tO' +p56184 +aS'with\twith\tIN\tB-PP\tO' +p56185 +aS'rest\trest\tNN\tB-NP\tO' +p56186 +aS'.\t.\t.\tO\tO' +p56187 +asS'Temp noted to be low at 94 and she was placed on bear hugger which improved temp to 96.7 .' +p56188 +(lp56189 +S'Temp\tTemp\tNNP\tB-NP\tO' +p56190 +aS'noted\tnote\tVBD\tB-VP\tO' +p56191 +aS'to\tto\tTO\tI-VP\tO' +p56192 +aS'be\tbe\tVB\tI-VP\tO' +p56193 +aS'low\tlow\tJJ\tB-ADJP\tO' +p56194 +aS'at\tat\tIN\tB-PP\tO' +p56195 +aS'94\t94\tCD\tB-NP\tO' +p56196 +aS'and\tand\tCC\tO\tO' +p56197 +aS'she\tshe\tPRP\tB-NP\tO' +p56198 +aS'was\tbe\tVBD\tB-VP\tO' +p56199 +aS'placed\tplace\tVBN\tI-VP\tO' +p56200 +aS'on\ton\tIN\tB-PP\tO' +p56201 +aS'bear\tbear\tNN\tB-NP\tO' +p56202 +aS'hugger\thugger\tNN\tI-NP\tO' +p56203 +aS'which\twhich\tWDT\tB-NP\tO' +p56204 +aS'improved\timprove\tVBD\tB-VP\tO' +p56205 +aS'temp\ttemp\tNN\tB-NP\tO' +p56206 +aS'to\tto\tTO\tB-PP\tO' +p56207 +aS'96.7\t96.7\tCD\tB-NP\tO' +p56208 +aS'.\t.\t.\tO\tO' +p56209 +asS'He underwent a trial of TPA followed by heparin .' +p56210 +(lp56211 +S'He\tHe\tPRP\tB-NP\tO' +p56212 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p56213 +aS'a\ta\tDT\tB-NP\tO' +p56214 +aS'trial\ttrial\tNN\tI-NP\tO' +p56215 +aS'of\tof\tIN\tB-PP\tO' +p56216 +aS'TPA\tTPA\tNN\tB-NP\tO' +p56217 +aS'followed\tfollow\tVBN\tB-VP\tO' +p56218 +aS'by\tby\tIN\tB-PP\tO' +p56219 +aS'heparin\theparin\tNN\tB-NP\tO' +p56220 +aS'.\t.\t.\tO\tO' +p56221 +asS'Signed electronically by : DR. Janice Oconnell on : Kent 2019-01-10 3:28 PM' +p56222 +(lp56223 +S'Signed\tSign\tVBN\tB-VP\tO' +p56224 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p56225 +aS'by\tby\tIN\tB-PP\tO' +p56226 +aS':\t:\t:\tO\tO' +p56227 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p56228 +aS'Janice\tJanice\tNNP\tI-NP\tO' +p56229 +aS'Oconnell\tOconnell\tNNP\tI-NP\tO' +p56230 +aS'on\ton\tIN\tB-PP\tO' +p56231 +aS':\t:\t:\tO\tO' +p56232 +aS'Kent\tKent\tNNP\tB-NP\tO' +p56233 +aS'2019-01-10\t2019-01-10\tCD\tB-NP\tO' +p56234 +aS'3:28\t3:28\tCD\tI-NP\tO' +p56235 +aS'PM\tPM\tNN\tI-NP\tO' +p56236 +asS'While he is in the Surgical Intensive Care Unit , paracentesis was performed and it' +p56237 +(lp56238 +S'While\tWhile\tIN\tB-SBAR\tO' +p56239 +aS'he\the\tPRP\tB-NP\tO' +p56240 +aS'is\tbe\tVBZ\tB-VP\tO' +p56241 +aS'in\tin\tIN\tB-PP\tO' +p56242 +aS'the\tthe\tDT\tB-NP\tO' +p56243 +aS'Surgical\tSurgical\tNNP\tI-NP\tO' +p56244 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p56245 +aS'Care\tCare\tNNP\tI-NP\tO' +p56246 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p56247 +aS',\t,\t,\tO\tO' +p56248 +aS'paracentesis\tparacentesis\tNN\tB-NP\tO' +p56249 +aS'was\tbe\tVBD\tB-VP\tO' +p56250 +aS'performed\tperform\tVBN\tI-VP\tO' +p56251 +aS'and\tand\tCC\tO\tO' +p56252 +aS'it\tit\tPRP\tB-NP\tO' +p56253 +asS'At this point , a diagnosis of lupus was considered and her ANA was 1:640 and her rheumatoid factor and ANCA were negative .' +p56254 +(lp56255 +S'At\tAt\tIN\tB-PP\tO' +p56256 +aS'this\tthis\tDT\tB-NP\tO' +p56257 +aS'point\tpoint\tNN\tI-NP\tO' +p56258 +aS',\t,\t,\tO\tO' +p56259 +aS'a\ta\tDT\tB-NP\tO' +p56260 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p56261 +aS'of\tof\tIN\tB-PP\tO' +p56262 +aS'lupus\tlupus\tNN\tB-NP\tO' +p56263 +aS'was\tbe\tVBD\tB-VP\tO' +p56264 +aS'considered\tconsider\tVBN\tI-VP\tO' +p56265 +aS'and\tand\tCC\tO\tO' +p56266 +aS'her\ther\tPRP$\tB-NP\tO' +p56267 +aS'ANA\tANA\tNN\tI-NP\tO' +p56268 +aS'was\tbe\tVBD\tB-VP\tO' +p56269 +aS'1:640\t1:640\tCD\tB-NP\tO' +p56270 +aS'and\tand\tCC\tO\tO' +p56271 +aS'her\ther\tPRP$\tB-NP\tO' +p56272 +aS'rheumatoid\trheumatoid\tJJ\tI-NP\tO' +p56273 +aS'factor\tfactor\tNN\tI-NP\tO' +p56274 +aS'and\tand\tCC\tI-NP\tO' +p56275 +aS'ANCA\tANCA\tNN\tI-NP\tB-protein' +p56276 +aS'were\tbe\tVBD\tB-VP\tO' +p56277 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p56278 +aS'.\t.\t.\tO\tO' +p56279 +asS'In view of these findings , it was elected to discharge her on her present medical program .' +p56280 +(lp56281 +S'In\tIn\tIN\tB-PP\tO' +p56282 +aS'view\tview\tNN\tB-NP\tO' +p56283 +aS'of\tof\tIN\tB-PP\tO' +p56284 +aS'these\tthese\tDT\tB-NP\tO' +p56285 +aS'findings\tfinding\tNNS\tI-NP\tO' +p56286 +aS',\t,\t,\tO\tO' +p56287 +aS'it\tit\tPRP\tB-NP\tO' +p56288 +aS'was\tbe\tVBD\tB-VP\tO' +p56289 +aS'elected\telect\tVBN\tI-VP\tO' +p56290 +aS'to\tto\tTO\tI-VP\tO' +p56291 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p56292 +aS'her\ther\tPRP\tB-NP\tO' +p56293 +aS'on\ton\tIN\tB-PP\tO' +p56294 +aS'her\ther\tPRP\tB-NP\tO' +p56295 +aS'present\tpresent\tJJ\tI-NP\tO' +p56296 +aS'medical\tmedical\tJJ\tI-NP\tO' +p56297 +aS'program\tprogram\tNN\tI-NP\tO' +p56298 +aS'.\t.\t.\tO\tO' +p56299 +asS'Interval resolution of the right pleural effusion and no evidence of pneumothorax .' +p56300 +(lp56301 +S'Interval\tInterval\tJJ\tB-NP\tO' +p56302 +aS'resolution\tresolution\tNN\tI-NP\tO' +p56303 +aS'of\tof\tIN\tB-PP\tO' +p56304 +aS'the\tthe\tDT\tB-NP\tO' +p56305 +aS'right\tright\tJJ\tI-NP\tO' +p56306 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p56307 +aS'effusion\teffusion\tNN\tI-NP\tO' +p56308 +aS'and\tand\tCC\tO\tO' +p56309 +aS'no\tno\tDT\tB-NP\tO' +p56310 +aS'evidence\tevidence\tNN\tI-NP\tO' +p56311 +aS'of\tof\tIN\tB-PP\tO' +p56312 +aS'pneumothorax\tpneumothorax\tNN\tB-NP\tO' +p56313 +aS'.\t.\t.\tO\tO' +p56314 +asS'The physical examination on transfer showed an alert male with temperature 100 degrees , blood pressure 120/64 , heart rate 80 .' +p56315 +(lp56316 +S'The\tThe\tDT\tB-NP\tO' +p56317 +aS'physical\tphysical\tJJ\tI-NP\tO' +p56318 +aS'examination\texamination\tNN\tI-NP\tO' +p56319 +aS'on\ton\tIN\tB-PP\tO' +p56320 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p56321 +aS'showed\tshow\tVBD\tB-VP\tO' +p56322 +aS'an\tan\tDT\tB-NP\tO' +p56323 +aS'alert\talert\tJJ\tI-NP\tO' +p56324 +aS'male\tmale\tNN\tI-NP\tO' +p56325 +aS'with\twith\tIN\tB-PP\tO' +p56326 +aS'temperature\ttemperature\tNN\tB-NP\tO' +p56327 +aS'100\t100\tCD\tB-NP\tO' +p56328 +aS'degrees\tdegree\tNNS\tI-NP\tO' +p56329 +aS',\t,\t,\tO\tO' +p56330 +aS'blood\tblood\tNN\tB-NP\tO' +p56331 +aS'pressure\tpressure\tNN\tI-NP\tO' +p56332 +aS'120/64\t120/64\tCD\tI-NP\tO' +p56333 +aS',\t,\t,\tO\tO' +p56334 +aS'heart\theart\tNN\tB-NP\tO' +p56335 +aS'rate\trate\tNN\tI-NP\tO' +p56336 +aS'80\t80\tCD\tI-NP\tO' +p56337 +aS'.\t.\t.\tO\tO' +p56338 +asS'Mychelia was also treated for physiologic jaundice .' +p56339 +(lp56340 +S'Mychelia\tMychelia\tNN\tB-NP\tO' +p56341 +aS'was\tbe\tVBD\tB-VP\tO' +p56342 +aS'also\talso\tRB\tI-VP\tO' +p56343 +aS'treated\ttreat\tVBN\tI-VP\tO' +p56344 +aS'for\tfor\tIN\tB-PP\tO' +p56345 +aS'physiologic\tphysiologic\tJJ\tB-NP\tO' +p56346 +aS'jaundice\tjaundice\tNN\tI-NP\tO' +p56347 +aS'.\t.\t.\tO\tO' +p56348 +asS'She has been living in an assisted living facility and frequently calls her even right after she has left without remembering her visit .' +p56349 +(lp56350 +S'She\tShe\tPRP\tB-NP\tO' +p56351 +aS'has\thave\tVBZ\tB-VP\tO' +p56352 +aS'been\tbe\tVBN\tI-VP\tO' +p56353 +aS'living\tlive\tVBG\tI-VP\tO' +p56354 +aS'in\tin\tIN\tB-PP\tO' +p56355 +aS'an\tan\tDT\tB-NP\tO' +p56356 +aS'assisted\tassist\tVBN\tI-NP\tO' +p56357 +aS'living\tlive\tVBG\tI-NP\tO' +p56358 +aS'facility\tfacility\tNN\tI-NP\tO' +p56359 +aS'and\tand\tCC\tO\tO' +p56360 +aS'frequently\tfrequently\tRB\tB-VP\tO' +p56361 +aS'calls\tcall\tVBZ\tI-VP\tO' +p56362 +aS'her\ther\tPRP\tB-NP\tO' +p56363 +aS'even\teven\tRB\tB-ADVP\tO' +p56364 +aS'right\tright\tRB\tI-ADVP\tO' +p56365 +aS'after\tafter\tIN\tB-SBAR\tO' +p56366 +aS'she\tshe\tPRP\tB-NP\tO' +p56367 +aS'has\thave\tVBZ\tB-VP\tO' +p56368 +aS'left\tleave\tVBN\tI-VP\tO' +p56369 +aS'without\twithout\tIN\tB-PP\tO' +p56370 +aS'remembering\tremember\tVBG\tB-VP\tO' +p56371 +aS'her\ther\tPRP$\tB-NP\tO' +p56372 +aS'visit\tvisit\tNN\tI-NP\tO' +p56373 +aS'.\t.\t.\tO\tO' +p56374 +asS'6. Status post left knee surgery .' +p56375 +(lp56376 +S'6.\t6.\tLS\tB-NP\tO' +p56377 +aS'Status\tStatus\tNNP\tI-NP\tO' +p56378 +aS'post\tpost\tNN\tI-NP\tO' +p56379 +aS'left\tleave\tVBD\tB-VP\tO' +p56380 +aS'knee\tknee\tNN\tB-NP\tO' +p56381 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p56382 +aS'.\t.\t.\tO\tO' +p56383 +asS'He was instructed to have labs drawn on 08-17 to check trough level of prograf as well as cbc , chem 10 , coags .' +p56384 +(lp56385 +S'He\tHe\tPRP\tB-NP\tO' +p56386 +aS'was\tbe\tVBD\tB-VP\tO' +p56387 +aS'instructed\tinstruct\tVBN\tI-VP\tO' +p56388 +aS'to\tto\tTO\tI-VP\tO' +p56389 +aS'have\thave\tVB\tI-VP\tO' +p56390 +aS'labs\tlab\tNNS\tB-NP\tO' +p56391 +aS'drawn\tdraw\tVBN\tB-VP\tO' +p56392 +aS'on\ton\tIN\tB-PP\tO' +p56393 +aS'08-17\t08-17\tCD\tB-NP\tO' +p56394 +aS'to\tto\tTO\tB-VP\tO' +p56395 +aS'check\tcheck\tVB\tI-VP\tO' +p56396 +aS'trough\ttrough\tNN\tB-NP\tO' +p56397 +aS'level\tlevel\tNN\tI-NP\tO' +p56398 +aS'of\tof\tIN\tB-PP\tO' +p56399 +aS'prograf\tprograf\tNN\tB-NP\tO' +p56400 +aS'as\tas\tRB\tB-CONJP\tO' +p56401 +aS'well\twell\tRB\tI-CONJP\tO' +p56402 +aS'as\tas\tIN\tI-CONJP\tO' +p56403 +aS'cbc\tcbc\tNN\tB-NP\tO' +p56404 +aS',\t,\t,\tO\tO' +p56405 +aS'chem\tchem\tNN\tB-NP\tO' +p56406 +aS'10\t10\tCD\tI-NP\tO' +p56407 +aS',\t,\t,\tO\tO' +p56408 +aS'coags\tcoag\tNNS\tB-NP\tO' +p56409 +aS'.\t.\t.\tO\tO' +p56410 +asS'Deep tendon reflexes were equal and adequate in upper and lower extremities .' +p56411 +(lp56412 +S'Deep\tDeep\tJJ\tB-NP\tO' +p56413 +aS'tendon\ttendon\tNN\tI-NP\tO' +p56414 +aS'reflexes\treflex\tNNS\tI-NP\tO' +p56415 +aS'were\tbe\tVBD\tB-VP\tO' +p56416 +aS'equal\tequal\tJJ\tB-ADJP\tO' +p56417 +aS'and\tand\tCC\tI-ADJP\tO' +p56418 +aS'adequate\tadequate\tJJ\tI-ADJP\tO' +p56419 +aS'in\tin\tIN\tB-PP\tO' +p56420 +aS'upper\tupper\tJJ\tB-NP\tO' +p56421 +aS'and\tand\tCC\tI-NP\tO' +p56422 +aS'lower\tlow\tJJR\tI-NP\tO' +p56423 +aS'extremities\textremity\tNNS\tI-NP\tO' +p56424 +aS'.\t.\t.\tO\tO' +p56425 +asS'His respiratory rate was 30 on face mask .' +p56426 +(lp56427 +S'His\tHis\tPRP$\tB-NP\tO' +p56428 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p56429 +aS'rate\trate\tNN\tI-NP\tO' +p56430 +aS'was\tbe\tVBD\tB-VP\tO' +p56431 +aS'30\t30\tCD\tB-NP\tO' +p56432 +aS'on\ton\tIN\tB-PP\tO' +p56433 +aS'face\tface\tNN\tB-NP\tO' +p56434 +aS'mask\tmask\tNN\tI-NP\tO' +p56435 +aS'.\t.\t.\tO\tO' +p56436 +asS'Extremities and neurological examinations were unremarkable .' +p56437 +(lp56438 +S'Extremities\tExtremity\tNNS\tB-NP\tO' +p56439 +aS'and\tand\tCC\tO\tO' +p56440 +aS'neurological\tneurological\tJJ\tB-NP\tO' +p56441 +aS'examinations\texamination\tNNS\tI-NP\tO' +p56442 +aS'were\tbe\tVBD\tB-VP\tO' +p56443 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p56444 +aS'.\t.\t.\tO\tO' +p56445 +asS'According to his wife , he came home and went to sleep .' +p56446 +(lp56447 +S'According\tAccord\tVBG\tB-PP\tO' +p56448 +aS'to\tto\tTO\tB-PP\tO' +p56449 +aS'his\this\tPRP$\tB-NP\tO' +p56450 +aS'wife\twife\tNN\tI-NP\tO' +p56451 +aS',\t,\t,\tO\tO' +p56452 +aS'he\the\tPRP\tB-NP\tO' +p56453 +aS'came\tcome\tVBD\tB-VP\tO' +p56454 +aS'home\thome\tNN\tB-NP\tO' +p56455 +aS'and\tand\tCC\tO\tO' +p56456 +aS'went\tgo\tVBD\tB-VP\tO' +p56457 +aS'to\tto\tTO\tI-VP\tO' +p56458 +aS'sleep\tsleep\tVB\tI-VP\tO' +p56459 +aS'.\t.\t.\tO\tO' +p56460 +asS'She uses a cane or walker for ambulation , and is limited to one to two blocks .' +p56461 +(lp56462 +S'She\tShe\tPRP\tB-NP\tO' +p56463 +aS'uses\tuse\tVBZ\tB-VP\tO' +p56464 +aS'a\ta\tDT\tB-NP\tO' +p56465 +aS'cane\tcane\tNN\tI-NP\tO' +p56466 +aS'or\tor\tCC\tI-NP\tO' +p56467 +aS'walker\twalker\tNN\tI-NP\tO' +p56468 +aS'for\tfor\tIN\tB-PP\tO' +p56469 +aS'ambulation\tambulation\tNN\tB-NP\tO' +p56470 +aS',\t,\t,\tO\tO' +p56471 +aS'and\tand\tCC\tO\tO' +p56472 +aS'is\tbe\tVBZ\tB-VP\tO' +p56473 +aS'limited\tlimit\tVBN\tB-ADJP\tO' +p56474 +aS'to\tto\tTO\tB-PP\tO' +p56475 +aS'one\tone\tCD\tB-NP\tO' +p56476 +aS'to\tto\tTO\tB-PP\tO' +p56477 +aS'two\ttwo\tCD\tB-NP\tO' +p56478 +aS'blocks\tblock\tNNS\tI-NP\tO' +p56479 +aS'.\t.\t.\tO\tO' +p56480 +asS'Echocardiogram showed moderate dilated left atrium , no atrioseptal defect , severe global left ventricular hypokinesis with severe left ventricular systolic function and moderately dilated right ventricle .' +p56481 +(lp56482 +S'Echocardiogram\tEchocardiogram\tNN\tB-NP\tO' +p56483 +aS'showed\tshow\tVBD\tB-VP\tO' +p56484 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p56485 +aS'dilated\tdilated\tJJ\tI-NP\tO' +p56486 +aS'left\tleft\tJJ\tI-NP\tO' +p56487 +aS'atrium\tatrium\tNN\tI-NP\tO' +p56488 +aS',\t,\t,\tO\tO' +p56489 +aS'no\tno\tDT\tB-NP\tO' +p56490 +aS'atrioseptal\tatrioseptal\tJJ\tI-NP\tO' +p56491 +aS'defect\tdefect\tNN\tI-NP\tO' +p56492 +aS',\t,\t,\tO\tO' +p56493 +aS'severe\tsevere\tJJ\tB-NP\tO' +p56494 +aS'global\tglobal\tJJ\tI-NP\tO' +p56495 +aS'left\tleft\tJJ\tI-NP\tO' +p56496 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p56497 +aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' +p56498 +aS'with\twith\tIN\tB-PP\tO' +p56499 +aS'severe\tsevere\tJJ\tB-NP\tO' +p56500 +aS'left\tleft\tJJ\tI-NP\tO' +p56501 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p56502 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p56503 +aS'function\tfunction\tNN\tI-NP\tO' +p56504 +aS'and\tand\tCC\tO\tO' +p56505 +aS'moderately\tmoderately\tRB\tB-NP\tO' +p56506 +aS'dilated\tdilated\tJJ\tI-NP\tO' +p56507 +aS'right\tright\tJJ\tI-NP\tO' +p56508 +aS'ventricle\tventricle\tNN\tI-NP\tO' +p56509 +aS'.\t.\t.\tO\tO' +p56510 +asS'However , please note that this nodule has been stable over time .' +p56511 +(lp56512 +S'However\tHowever\tRB\tB-ADVP\tO' +p56513 +aS',\t,\t,\tO\tO' +p56514 +aS'please\tplease\tVB\tB-VP\tO' +p56515 +aS'note\tnote\tNN\tB-NP\tO' +p56516 +aS'that\tthat\tIN\tB-SBAR\tO' +p56517 +aS'this\tthis\tDT\tB-NP\tO' +p56518 +aS'nodule\tnodule\tNN\tI-NP\tO' +p56519 +aS'has\thave\tVBZ\tB-VP\tO' +p56520 +aS'been\tbe\tVBN\tI-VP\tO' +p56521 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p56522 +aS'over\tover\tIN\tB-PP\tO' +p56523 +aS'time\ttime\tNN\tB-NP\tO' +p56524 +aS'.\t.\t.\tO\tO' +p56525 +asS'The patient was given printed instructions for headache ( English ) .' +p56526 +(lp56527 +S'The\tThe\tDT\tB-NP\tO' +p56528 +aS'patient\tpatient\tNN\tI-NP\tO' +p56529 +aS'was\tbe\tVBD\tB-VP\tO' +p56530 +aS'given\tgive\tVBN\tI-VP\tO' +p56531 +aS'printed\tprint\tVBN\tB-NP\tO' +p56532 +aS'instructions\tinstruction\tNNS\tI-NP\tO' +p56533 +aS'for\tfor\tIN\tB-PP\tO' +p56534 +aS'headache\theadache\tNN\tB-NP\tO' +p56535 +aS'(\t(\t(\tO\tO' +p56536 +aS'English\tEnglish\tNN\tB-NP\tO' +p56537 +aS')\t)\t)\tO\tO' +p56538 +aS'.\t.\t.\tO\tO' +p56539 +asS'Betoptic 0.5% one drop OU bid , Propene 0.1% one drop OU bid .' +p56540 +(lp56541 +S'Betoptic\tBetoptic\tJJ\tB-NP\tO' +p56542 +aS'0.5%\t0.5%\tCD\tI-NP\tO' +p56543 +aS'one\tone\tCD\tI-NP\tO' +p56544 +aS'drop\tdrop\tNN\tI-NP\tO' +p56545 +aS'OU\tOU\tNN\tI-NP\tO' +p56546 +aS'bid\tbid\tNN\tI-NP\tO' +p56547 +aS',\t,\t,\tO\tO' +p56548 +aS'Propene\tPropene\tNN\tB-NP\tO' +p56549 +aS'0.1%\t0.1%\tCD\tI-NP\tO' +p56550 +aS'one\tone\tCD\tI-NP\tO' +p56551 +aS'drop\tdrop\tNN\tI-NP\tO' +p56552 +aS'OU\tOU\tNN\tI-NP\tO' +p56553 +aS'bid\tbid\tNN\tI-NP\tO' +p56554 +aS'.\t.\t.\tO\tO' +p56555 +asS'She will be sent home with home Arnsperni Health .' +p56556 +(lp56557 +S'She\tShe\tPRP\tB-NP\tO' +p56558 +aS'will\twill\tMD\tB-VP\tO' +p56559 +aS'be\tbe\tVB\tI-VP\tO' +p56560 +aS'sent\tsend\tVBN\tI-VP\tO' +p56561 +aS'home\thome\tNN\tB-ADVP\tO' +p56562 +aS'with\twith\tIN\tB-PP\tO' +p56563 +aS'home\thome\tNN\tB-NP\tO' +p56564 +aS'Arnsperni\tArnsperni\tNNP\tI-NP\tO' +p56565 +aS'Health\tHealth\tNNP\tI-NP\tO' +p56566 +aS'.\t.\t.\tO\tO' +p56567 +asS'The patient had an enlarged left pleural effusion which was noted to layer on a lateral decubitus film .' +p56568 +(lp56569 +S'The\tThe\tDT\tB-NP\tO' +p56570 +aS'patient\tpatient\tNN\tI-NP\tO' +p56571 +aS'had\thave\tVBD\tB-VP\tO' +p56572 +aS'an\tan\tDT\tB-NP\tO' +p56573 +aS'enlarged\tenlarged\tJJ\tI-NP\tO' +p56574 +aS'left\tleft\tJJ\tI-NP\tO' +p56575 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p56576 +aS'effusion\teffusion\tNN\tI-NP\tO' +p56577 +aS'which\twhich\tWDT\tB-NP\tO' +p56578 +aS'was\tbe\tVBD\tB-VP\tO' +p56579 +aS'noted\tnote\tVBN\tI-VP\tO' +p56580 +aS'to\tto\tTO\tI-VP\tO' +p56581 +aS'layer\tlayer\tVB\tI-VP\tO' +p56582 +aS'on\ton\tIN\tB-PP\tO' +p56583 +aS'a\ta\tDT\tB-NP\tO' +p56584 +aS'lateral\tlateral\tJJ\tI-NP\tO' +p56585 +aS'decubitus\tdecubitus\tNN\tI-NP\tO' +p56586 +aS'film\tfilm\tNN\tI-NP\tO' +p56587 +aS'.\t.\t.\tO\tO' +p56588 +asS'17. Ibuprofen 100 mg/5 mL Suspension Sig : Twenty ( 20 ) mL PO Q8H ( every 8 hours ) as needed .' +p56589 +(lp56590 +S'17.\t17.\tCD\tB-NP\tO' +p56591 +aS'Ibuprofen\tIbuprofen\tNN\tI-NP\tO' +p56592 +aS'100\t100\tCD\tB-NP\tO' +p56593 +aS'mg/5\tmg/5\tNN\tI-NP\tO' +p56594 +aS'mL\tmL\tNN\tI-NP\tO' +p56595 +aS'Suspension\tSuspension\tNNP\tI-NP\tO' +p56596 +aS'Sig\tSig\tNNP\tI-NP\tO' +p56597 +aS':\t:\t:\tO\tO' +p56598 +aS'Twenty\tTwenty\tCD\tB-NP\tO' +p56599 +aS'(\t(\t(\tO\tO' +p56600 +aS'20\t20\tCD\tO\tO' +p56601 +aS')\t)\t)\tO\tO' +p56602 +aS'mL\tmL\tNN\tB-NP\tO' +p56603 +aS'PO\tPO\tNN\tI-NP\tO' +p56604 +aS'Q8H\tQ8H\tNN\tI-NP\tO' +p56605 +aS'(\t(\t(\tO\tO' +p56606 +aS'every\tevery\tDT\tB-NP\tO' +p56607 +aS'8\t8\tCD\tI-NP\tO' +p56608 +aS'hours\thour\tNNS\tI-NP\tO' +p56609 +aS')\t)\t)\tO\tO' +p56610 +aS'as\tas\tIN\tB-SBAR\tO' +p56611 +aS'needed\tneed\tVBN\tB-VP\tO' +p56612 +aS'.\t.\t.\tO\tO' +p56613 +asS'3. Oxycodone - Acetaminophen 5-325 mg Tablet Sig : 1-2 Tablets PO Q4H ( every 4 hours ) as needed for pain for 30 doses .' +p56614 +(lp56615 +S'3.\t3.\tLS\tB-NP\tO' +p56616 +aS'Oxycodone\tOxycodone\tNN\tI-NP\tO' +p56617 +aS'-\t-\tHYPH\tO\tO' +p56618 +aS'Acetaminophen\tAcetaminophen\tNN\tB-NP\tO' +p56619 +aS'5-325\t5-325\tCD\tI-NP\tO' +p56620 +aS'mg\tmg\tNN\tI-NP\tO' +p56621 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p56622 +aS'Sig\tSig\tNNP\tI-NP\tO' +p56623 +aS':\t:\t:\tO\tO' +p56624 +aS'1-2\t1-2\tCD\tB-NP\tO' +p56625 +aS'Tablets\tTablet\tNNS\tI-NP\tO' +p56626 +aS'PO\tPO\tNN\tI-NP\tO' +p56627 +aS'Q4H\tQ4H\tNN\tI-NP\tO' +p56628 +aS'(\t(\t(\tO\tO' +p56629 +aS'every\tevery\tDT\tB-NP\tO' +p56630 +aS'4\t4\tCD\tI-NP\tO' +p56631 +aS'hours\thour\tNNS\tI-NP\tO' +p56632 +aS')\t)\t)\tO\tO' +p56633 +aS'as\tas\tIN\tB-SBAR\tO' +p56634 +aS'needed\tneed\tVBN\tB-VP\tO' +p56635 +aS'for\tfor\tIN\tB-PP\tO' +p56636 +aS'pain\tpain\tNN\tB-NP\tO' +p56637 +aS'for\tfor\tIN\tB-PP\tO' +p56638 +aS'30\t30\tCD\tB-NP\tO' +p56639 +aS'doses\tdose\tNNS\tI-NP\tO' +p56640 +aS'.\t.\t.\tO\tO' +p56641 +asS'He was able to maintain a stable mental level for extubation on 03-24 .' +p56642 +(lp56643 +S'He\tHe\tPRP\tB-NP\tO' +p56644 +aS'was\tbe\tVBD\tB-VP\tO' +p56645 +aS'able\table\tJJ\tB-ADJP\tO' +p56646 +aS'to\tto\tTO\tB-VP\tO' +p56647 +aS'maintain\tmaintain\tVB\tI-VP\tO' +p56648 +aS'a\ta\tDT\tB-NP\tO' +p56649 +aS'stable\tstable\tJJ\tI-NP\tO' +p56650 +aS'mental\tmental\tJJ\tI-NP\tO' +p56651 +aS'level\tlevel\tNN\tI-NP\tO' +p56652 +aS'for\tfor\tIN\tB-PP\tO' +p56653 +aS'extubation\textubation\tNN\tB-NP\tO' +p56654 +aS'on\ton\tIN\tB-PP\tO' +p56655 +aS'03-24\t03-24\tCD\tB-NP\tO' +p56656 +aS'.\t.\t.\tO\tO' +p56657 +asS'UCx grew proteus and her abx were changed to levaquin alone and she remained afebrile for > 24 hr on this regimen .' +p56658 +(lp56659 +S'UCx\tUCx\tNN\tB-NP\tO' +p56660 +aS'grew\tgrow\tVBD\tB-VP\tO' +p56661 +aS'proteus\tproteus\tNN\tB-NP\tO' +p56662 +aS'and\tand\tCC\tO\tO' +p56663 +aS'her\ther\tPRP$\tB-NP\tO' +p56664 +aS'abx\tabx\tNN\tI-NP\tO' +p56665 +aS'were\tbe\tVBD\tB-VP\tO' +p56666 +aS'changed\tchange\tVBN\tI-VP\tO' +p56667 +aS'to\tto\tTO\tB-PP\tO' +p56668 +aS'levaquin\tlevaquin\tNN\tB-NP\tO' +p56669 +aS'alone\talone\tRB\tB-ADVP\tO' +p56670 +aS'and\tand\tCC\tO\tO' +p56671 +aS'she\tshe\tPRP\tB-NP\tO' +p56672 +aS'remained\tremain\tVBD\tB-VP\tO' +p56673 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p56674 +aS'for\tfor\tIN\tB-PP\tO' +p56675 +aS'>\t>\tJJR\tB-NP\tO' +p56676 +aS'24\t24\tCD\tI-NP\tO' +p56677 +aS'hr\thr\tNN\tI-NP\tO' +p56678 +aS'on\ton\tIN\tB-PP\tO' +p56679 +aS'this\tthis\tDT\tB-NP\tO' +p56680 +aS'regimen\tregimen\tNN\tI-NP\tO' +p56681 +aS'.\t.\t.\tO\tO' +p56682 +asS'Membranes were ruptured at delivery for clear fluid .' +p56683 +(lp56684 +S'Membranes\tMembrane\tNNS\tB-NP\tO' +p56685 +aS'were\tbe\tVBD\tB-VP\tO' +p56686 +aS'ruptured\trupture\tVBN\tI-VP\tO' +p56687 +aS'at\tat\tIN\tB-PP\tO' +p56688 +aS'delivery\tdelivery\tNN\tB-NP\tO' +p56689 +aS'for\tfor\tIN\tB-PP\tO' +p56690 +aS'clear\tclear\tJJ\tB-NP\tO' +p56691 +aS'fluid\tfluid\tNN\tI-NP\tO' +p56692 +aS'.\t.\t.\tO\tO' +p56693 +asS'The patient had a CT scan , which revealed a mass in the gallbladder neck , but no biliary dilatation .' +p56694 +(lp56695 +S'The\tThe\tDT\tB-NP\tO' +p56696 +aS'patient\tpatient\tNN\tI-NP\tO' +p56697 +aS'had\thave\tVBD\tB-VP\tO' +p56698 +aS'a\ta\tDT\tB-NP\tO' +p56699 +aS'CT\tCT\tNN\tI-NP\tO' +p56700 +aS'scan\tscan\tNN\tI-NP\tO' +p56701 +aS',\t,\t,\tO\tO' +p56702 +aS'which\twhich\tWDT\tB-NP\tO' +p56703 +aS'revealed\treveal\tVBD\tB-VP\tO' +p56704 +aS'a\ta\tDT\tB-NP\tO' +p56705 +aS'mass\tmass\tNN\tI-NP\tO' +p56706 +aS'in\tin\tIN\tB-PP\tO' +p56707 +aS'the\tthe\tDT\tB-NP\tO' +p56708 +aS'gallbladder\tgallbladder\tNN\tI-NP\tO' +p56709 +aS'neck\tneck\tNN\tI-NP\tO' +p56710 +aS',\t,\t,\tO\tO' +p56711 +aS'but\tbut\tCC\tO\tO' +p56712 +aS'no\tno\tDT\tB-NP\tO' +p56713 +aS'biliary\tbiliary\tJJ\tI-NP\tO' +p56714 +aS'dilatation\tdilatation\tNN\tI-NP\tO' +p56715 +aS'.\t.\t.\tO\tO' +p56716 +asS'Pulses : 2+ distally , no carotid or femoral bruits' +p56717 +(lp56718 +S'Pulses\tPulse\tNNS\tB-NP\tO' +p56719 +aS':\t:\t:\tO\tO' +p56720 +aS'2+\t2+\tJJ\tB-ADJP\tO' +p56721 +aS'distally\tdistally\tRB\tB-ADVP\tO' +p56722 +aS',\t,\t,\tO\tO' +p56723 +aS'no\tno\tDT\tB-NP\tO' +p56724 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p56725 +aS'or\tor\tCC\tI-NP\tO' +p56726 +aS'femoral\tfemoral\tJJ\tI-NP\tO' +p56727 +aS'bruits\tbruit\tNNS\tI-NP\tO' +p56728 +asS'He has two kids , works as a landscaper and as a school custodian in Ware .' +p56729 +(lp56730 +S'He\tHe\tPRP\tB-NP\tO' +p56731 +aS'has\thave\tVBZ\tB-VP\tO' +p56732 +aS'two\ttwo\tCD\tB-NP\tO' +p56733 +aS'kids\tkid\tNNS\tI-NP\tO' +p56734 +aS',\t,\t,\tO\tO' +p56735 +aS'works\twork\tVBZ\tB-VP\tO' +p56736 +aS'as\tas\tIN\tB-PP\tO' +p56737 +aS'a\ta\tDT\tB-NP\tO' +p56738 +aS'landscaper\tlandscaper\tNN\tI-NP\tO' +p56739 +aS'and\tand\tCC\tB-PP\tO' +p56740 +aS'as\tas\tIN\tB-PP\tO' +p56741 +aS'a\ta\tDT\tB-NP\tO' +p56742 +aS'school\tschool\tNN\tI-NP\tO' +p56743 +aS'custodian\tcustodian\tNN\tI-NP\tO' +p56744 +aS'in\tin\tIN\tB-PP\tO' +p56745 +aS'Ware\tWare\tNNP\tB-NP\tO' +p56746 +aS'.\t.\t.\tO\tO' +p56747 +asS'The patient was referred to CT surgery who was seen and accepted for coronary artery bypass grafting .' +p56748 +(lp56749 +S'The\tThe\tDT\tB-NP\tO' +p56750 +aS'patient\tpatient\tNN\tI-NP\tO' +p56751 +aS'was\tbe\tVBD\tB-VP\tO' +p56752 +aS'referred\trefer\tVBN\tI-VP\tO' +p56753 +aS'to\tto\tTO\tB-PP\tO' +p56754 +aS'CT\tCT\tNN\tB-NP\tO' +p56755 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p56756 +aS'who\twho\tWP\tB-NP\tO' +p56757 +aS'was\tbe\tVBD\tB-VP\tO' +p56758 +aS'seen\tsee\tVBN\tI-VP\tO' +p56759 +aS'and\tand\tCC\tO\tO' +p56760 +aS'accepted\taccept\tVBN\tB-VP\tO' +p56761 +aS'for\tfor\tIN\tB-PP\tO' +p56762 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p56763 +aS'artery\tartery\tNN\tI-NP\tO' +p56764 +aS'bypass\tbypass\tIN\tB-PP\tO' +p56765 +aS'grafting\tgrafting\tNN\tB-NP\tO' +p56766 +aS'.\t.\t.\tO\tO' +p56767 +asS'Absolutely no smoking .' +p56768 +(lp56769 +S'Absolutely\tAbsolutely\tRB\tB-NP\tO' +p56770 +aS'no\tno\tDT\tI-NP\tO' +p56771 +aS'smoking\tsmoking\tNN\tI-NP\tO' +p56772 +aS'.\t.\t.\tO\tO' +p56773 +asS'1. Pantoprazole 40 mg Tablet , Delayed Release ( E.C. ) Sig : One ( 1 ) Tablet , Delayed Release ( E.C. ) PO once a day .' +p56774 +(lp56775 +S'1.\t1.\tLS\tB-NP\tO' +p56776 +aS'Pantoprazole\tPantoprazole\tNN\tI-NP\tO' +p56777 +aS'40\t40\tCD\tI-NP\tO' +p56778 +aS'mg\tmg\tNN\tI-NP\tO' +p56779 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p56780 +aS',\t,\t,\tO\tO' +p56781 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p56782 +aS'Release\tRelease\tNNP\tI-NP\tO' +p56783 +aS'(\t(\t(\tO\tO' +p56784 +aS'E.C.\tE.C.\tNNP\tB-NP\tO' +p56785 +aS')\t)\t)\tO\tO' +p56786 +aS'Sig\tSig\tNNP\tB-NP\tO' +p56787 +aS':\t:\t:\tO\tO' +p56788 +aS'One\tOne\tCD\tB-NP\tO' +p56789 +aS'(\t(\t(\tO\tO' +p56790 +aS'1\t1\tCD\tB-NP\tO' +p56791 +aS')\t)\t)\tO\tO' +p56792 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p56793 +aS',\t,\t,\tO\tO' +p56794 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p56795 +aS'Release\tRelease\tNNP\tI-NP\tO' +p56796 +aS'(\t(\t(\tO\tO' +p56797 +aS'E.C.\tE.C.\tNNP\tO\tO' +p56798 +aS')\t)\t)\tO\tO' +p56799 +aS'PO\tPO\tNN\tB-NP\tO' +p56800 +aS'once\tonce\tRB\tB-ADVP\tO' +p56801 +aS'a\ta\tDT\tB-NP\tO' +p56802 +aS'day\tday\tNN\tI-NP\tO' +p56803 +aS'.\t.\t.\tO\tO' +p56804 +asS'There was an initial murmur on admission likely secondary to severe anemia which has since resolved .' +p56805 +(lp56806 +S'There\tThere\tEX\tB-NP\tO' +p56807 +aS'was\tbe\tVBD\tB-VP\tO' +p56808 +aS'an\tan\tDT\tB-NP\tO' +p56809 +aS'initial\tinitial\tJJ\tI-NP\tO' +p56810 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p56811 +aS'on\ton\tIN\tB-PP\tO' +p56812 +aS'admission\tadmission\tNN\tB-NP\tO' +p56813 +aS'likely\tlikely\tRB\tB-ADJP\tO' +p56814 +aS'secondary\tsecondary\tJJ\tI-ADJP\tO' +p56815 +aS'to\tto\tTO\tB-PP\tO' +p56816 +aS'severe\tsevere\tJJ\tB-NP\tO' +p56817 +aS'anemia\tanemia\tNN\tI-NP\tO' +p56818 +aS'which\twhich\tWDT\tB-NP\tO' +p56819 +aS'has\thave\tVBZ\tB-VP\tO' +p56820 +aS'since\tsince\tIN\tI-VP\tO' +p56821 +aS'resolved\tresolve\tVBN\tI-VP\tO' +p56822 +aS'.\t.\t.\tO\tO' +p56823 +asS'no known drug allergies .' +p56824 +(lp56825 +S'no\tno\tDT\tB-NP\tO' +p56826 +aS'known\tknow\tVBN\tI-NP\tO' +p56827 +aS'drug\tdrug\tNN\tI-NP\tO' +p56828 +aS'allergies\tallergy\tNNS\tI-NP\tO' +p56829 +aS'.\t.\t.\tO\tO' +p56830 +asS'No hepatosplenomegaly .' +p56831 +(lp56832 +S'No\tNo\tDT\tB-NP\tO' +p56833 +aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tI-NP\tO' +p56834 +aS'.\t.\t.\tO\tO' +p56835 +asS'Her chest was clear to auscultation .' +p56836 +(lp56837 +S'Her\tHer\tPRP$\tB-NP\tO' +p56838 +aS'chest\tchest\tNN\tI-NP\tO' +p56839 +aS'was\tbe\tVBD\tB-VP\tO' +p56840 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p56841 +aS'to\tto\tTO\tB-PP\tO' +p56842 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p56843 +aS'.\t.\t.\tO\tO' +p56844 +asS'He was placed nothing by mouth and the esophagogastroduodenoscopy was done by the GI Service .' +p56845 +(lp56846 +S'He\tHe\tPRP\tB-NP\tO' +p56847 +aS'was\tbe\tVBD\tB-VP\tO' +p56848 +aS'placed\tplace\tVBN\tI-VP\tO' +p56849 +aS'nothing\tnothing\tNN\tB-NP\tO' +p56850 +aS'by\tby\tIN\tB-PP\tO' +p56851 +aS'mouth\tmouth\tNN\tB-NP\tO' +p56852 +aS'and\tand\tCC\tO\tO' +p56853 +aS'the\tthe\tDT\tB-NP\tO' +p56854 +aS'esophagogastroduodenoscopy\tesophagogastroduodenoscopy\tNN\tI-NP\tO' +p56855 +aS'was\tbe\tVBD\tB-VP\tO' +p56856 +aS'done\tdo\tVBN\tI-VP\tO' +p56857 +aS'by\tby\tIN\tB-PP\tO' +p56858 +aS'the\tthe\tDT\tB-NP\tO' +p56859 +aS'GI\tGI\tNNP\tI-NP\tO' +p56860 +aS'Service\tService\tNNP\tI-NP\tO' +p56861 +aS'.\t.\t.\tO\tO' +p56862 +asS'He was given Vitamin K 10 mg subcutaneously , 2.5 liters of normal saline , two units of packed red blood cells and two units of fresh frozen plasma and transferred to the Medical Intensive Care Unit for further management .' +p56863 +(lp56864 +S'He\tHe\tPRP\tB-NP\tO' +p56865 +aS'was\tbe\tVBD\tB-VP\tO' +p56866 +aS'given\tgive\tVBN\tI-VP\tO' +p56867 +aS'Vitamin\tVitamin\tNN\tB-NP\tO' +p56868 +aS'K\tK\tNN\tI-NP\tO' +p56869 +aS'10\t10\tCD\tI-NP\tO' +p56870 +aS'mg\tmg\tNN\tI-NP\tO' +p56871 +aS'subcutaneously\tsubcutaneously\tRB\tB-ADVP\tO' +p56872 +aS',\t,\t,\tO\tO' +p56873 +aS'2.5\t2.5\tCD\tB-NP\tO' +p56874 +aS'liters\tliter\tNNS\tI-NP\tO' +p56875 +aS'of\tof\tIN\tB-PP\tO' +p56876 +aS'normal\tnormal\tJJ\tB-NP\tO' +p56877 +aS'saline\tsaline\tNN\tI-NP\tO' +p56878 +aS',\t,\t,\tO\tO' +p56879 +aS'two\ttwo\tCD\tB-NP\tO' +p56880 +aS'units\tunit\tNNS\tI-NP\tO' +p56881 +aS'of\tof\tIN\tB-PP\tO' +p56882 +aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' +p56883 +aS'red\tred\tJJ\tI-NP\tI-cell_type' +p56884 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p56885 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p56886 +aS'and\tand\tCC\tO\tO' +p56887 +aS'two\ttwo\tCD\tB-NP\tO' +p56888 +aS'units\tunit\tNNS\tI-NP\tO' +p56889 +aS'of\tof\tIN\tB-PP\tO' +p56890 +aS'fresh\tfresh\tJJ\tB-NP\tO' +p56891 +aS'frozen\tfrozen\tJJ\tI-NP\tO' +p56892 +aS'plasma\tplasma\tNN\tI-NP\tO' +p56893 +aS'and\tand\tCC\tO\tO' +p56894 +aS'transferred\ttransfer\tVBN\tB-VP\tO' +p56895 +aS'to\tto\tTO\tB-PP\tO' +p56896 +aS'the\tthe\tDT\tB-NP\tO' +p56897 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p56898 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p56899 +aS'Care\tCare\tNNP\tI-NP\tO' +p56900 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p56901 +aS'for\tfor\tIN\tB-PP\tO' +p56902 +aS'further\tfurther\tJJ\tB-NP\tO' +p56903 +aS'management\tmanagement\tNN\tI-NP\tO' +p56904 +aS'.\t.\t.\tO\tO' +p56905 +asS'In the Emergency Department at the Rehab Hospital of the Cape & Islands Hospital , the patient was noted to have vomited some heme positive material .' +p56906 +(lp56907 +S'In\tIn\tIN\tB-PP\tO' +p56908 +aS'the\tthe\tDT\tB-NP\tO' +p56909 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p56910 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p56911 +aS'at\tat\tIN\tB-PP\tO' +p56912 +aS'the\tthe\tDT\tB-NP\tO' +p56913 +aS'Rehab\tRehab\tNNP\tI-NP\tO' +p56914 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p56915 +aS'of\tof\tIN\tB-PP\tO' +p56916 +aS'the\tthe\tDT\tB-NP\tO' +p56917 +aS'Cape\tCape\tNNP\tI-NP\tO' +p56918 +aS'&\t&\tCC\tI-NP\tO' +p56919 +aS'Islands\tIslands\tNNP\tI-NP\tO' +p56920 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p56921 +aS',\t,\t,\tO\tO' +p56922 +aS'the\tthe\tDT\tB-NP\tO' +p56923 +aS'patient\tpatient\tNN\tI-NP\tO' +p56924 +aS'was\tbe\tVBD\tB-VP\tO' +p56925 +aS'noted\tnote\tVBN\tI-VP\tO' +p56926 +aS'to\tto\tTO\tI-VP\tO' +p56927 +aS'have\thave\tVB\tI-VP\tO' +p56928 +aS'vomited\tvomit\tVBN\tI-VP\tO' +p56929 +aS'some\tsome\tDT\tB-NP\tO' +p56930 +aS'heme\theme\tNN\tI-NP\tO' +p56931 +aS'positive\tpositive\tJJ\tI-NP\tO' +p56932 +aS'material\tmaterial\tNN\tI-NP\tO' +p56933 +aS'.\t.\t.\tO\tO' +p56934 +asS'EKG showed sinus tachycardia and incomplete right bundle branch block .' +p56935 +(lp56936 +S'EKG\tEKG\tNN\tB-NP\tB-protein' +p56937 +aS'showed\tshow\tVBD\tB-VP\tO' +p56938 +aS'sinus\tsinus\tNN\tB-NP\tO' +p56939 +aS'tachycardia\ttachycardia\tNN\tI-NP\tO' +p56940 +aS'and\tand\tCC\tO\tO' +p56941 +aS'incomplete\tincomplete\tJJ\tB-NP\tO' +p56942 +aS'right\tright\tJJ\tI-NP\tO' +p56943 +aS'bundle\tbundle\tNN\tI-NP\tO' +p56944 +aS'branch\tbranch\tNN\tI-NP\tO' +p56945 +aS'block\tblock\tNN\tI-NP\tO' +p56946 +aS'.\t.\t.\tO\tO' +p56947 +asS'The left ventricular ejection fraction was estimated to 38% .' +p56948 +(lp56949 +S'The\tThe\tDT\tB-NP\tO' +p56950 +aS'left\tleft\tJJ\tI-NP\tO' +p56951 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p56952 +aS'ejection\tejection\tNN\tI-NP\tO' +p56953 +aS'fraction\tfraction\tNN\tI-NP\tO' +p56954 +aS'was\tbe\tVBD\tB-VP\tO' +p56955 +aS'estimated\testimate\tVBN\tI-VP\tO' +p56956 +aS'to\tto\tTO\tB-PP\tO' +p56957 +aS'38%\t38%\tCD\tB-NP\tO' +p56958 +aS'.\t.\t.\tO\tO' +p56959 +asS'They continued to agree with the management of the patient and with aggressive pulmonary toilet as well as diuresis and nebulizer treatment .' +p56960 +(lp56961 +S'They\tThey\tPRP\tB-NP\tO' +p56962 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p56963 +aS'to\tto\tTO\tI-VP\tO' +p56964 +aS'agree\tagree\tVB\tI-VP\tO' +p56965 +aS'with\twith\tIN\tB-PP\tO' +p56966 +aS'the\tthe\tDT\tB-NP\tO' +p56967 +aS'management\tmanagement\tNN\tI-NP\tO' +p56968 +aS'of\tof\tIN\tB-PP\tO' +p56969 +aS'the\tthe\tDT\tB-NP\tO' +p56970 +aS'patient\tpatient\tNN\tI-NP\tO' +p56971 +aS'and\tand\tCC\tB-PP\tO' +p56972 +aS'with\twith\tIN\tB-PP\tO' +p56973 +aS'aggressive\taggressive\tJJ\tB-NP\tO' +p56974 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p56975 +aS'toilet\ttoilet\tNN\tI-NP\tO' +p56976 +aS'as\tas\tRB\tB-CONJP\tO' +p56977 +aS'well\twell\tRB\tI-CONJP\tO' +p56978 +aS'as\tas\tIN\tI-CONJP\tO' +p56979 +aS'diuresis\tdiuresis\tNN\tB-NP\tO' +p56980 +aS'and\tand\tCC\tI-NP\tO' +p56981 +aS'nebulizer\tnebulizer\tNN\tI-NP\tO' +p56982 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p56983 +aS'.\t.\t.\tO\tO' +p56984 +asS'The rectal examination is guaiac negative without masses .' +p56985 +(lp56986 +S'The\tThe\tDT\tB-NP\tO' +p56987 +aS'rectal\trectal\tJJ\tI-NP\tO' +p56988 +aS'examination\texamination\tNN\tI-NP\tO' +p56989 +aS'is\tbe\tVBZ\tB-VP\tO' +p56990 +aS'guaiac\tguaiac\tJJ\tB-ADJP\tO' +p56991 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p56992 +aS'without\twithout\tIN\tB-PP\tO' +p56993 +aS'masses\tmass\tNNS\tB-NP\tO' +p56994 +aS'.\t.\t.\tO\tO' +p56995 +asS'Showed normal sinus rhythm at 107 beats per minute with left axis deviation and poor R-wave progression .' +p56996 +(lp56997 +S'Showed\tShow\tVBN\tB-NP\tO' +p56998 +aS'normal\tnormal\tJJ\tI-NP\tO' +p56999 +aS'sinus\tsinus\tNN\tI-NP\tO' +p57000 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p57001 +aS'at\tat\tIN\tB-PP\tO' +p57002 +aS'107\t107\tCD\tB-NP\tO' +p57003 +aS'beats\tbeat\tNNS\tI-NP\tO' +p57004 +aS'per\tper\tIN\tB-PP\tO' +p57005 +aS'minute\tminute\tNN\tB-NP\tO' +p57006 +aS'with\twith\tIN\tB-PP\tO' +p57007 +aS'left\tleft\tJJ\tB-NP\tO' +p57008 +aS'axis\taxis\tNN\tI-NP\tO' +p57009 +aS'deviation\tdeviation\tNN\tI-NP\tO' +p57010 +aS'and\tand\tCC\tO\tO' +p57011 +aS'poor\tpoor\tJJ\tB-NP\tO' +p57012 +aS'R-wave\tR-wave\tNN\tI-NP\tO' +p57013 +aS'progression\tprogression\tNN\tI-NP\tO' +p57014 +aS'.\t.\t.\tO\tO' +p57015 +asS'Pt was weaned down on ventilator , minimal secretions noted .' +p57016 +(lp57017 +S'Pt\tPt\tNN\tB-NP\tO' +p57018 +aS'was\tbe\tVBD\tB-VP\tO' +p57019 +aS'weaned\twean\tVBN\tI-VP\tO' +p57020 +aS'down\tdown\tRP\tB-PRT\tO' +p57021 +aS'on\ton\tIN\tB-PP\tO' +p57022 +aS'ventilator\tventilator\tNN\tB-NP\tO' +p57023 +aS',\t,\t,\tO\tO' +p57024 +aS'minimal\tminimal\tJJ\tB-NP\tO' +p57025 +aS'secretions\tsecretion\tNNS\tI-NP\tO' +p57026 +aS'noted\tnote\tVBD\tB-VP\tO' +p57027 +aS'.\t.\t.\tO\tO' +p57028 +asS'White blood cell count was 16.89 .' +p57029 +(lp57030 +S'White\tWhite\tJJ\tB-NP\tO' +p57031 +aS'blood\tblood\tNN\tI-NP\tO' +p57032 +aS'cell\tcell\tNN\tI-NP\tO' +p57033 +aS'count\tcount\tNN\tI-NP\tO' +p57034 +aS'was\tbe\tVBD\tB-VP\tO' +p57035 +aS'16.89\t16.89\tCD\tB-NP\tO' +p57036 +aS'.\t.\t.\tO\tO' +p57037 +asS'3. Car seat position screening was performed successfully .' +p57038 +(lp57039 +S'3.\t3.\tLS\tB-NP\tO' +p57040 +aS'Car\tCar\tNN\tI-NP\tB-protein' +p57041 +aS'seat\tseat\tNN\tI-NP\tO' +p57042 +aS'position\tposition\tNN\tI-NP\tO' +p57043 +aS'screening\tscreening\tNN\tI-NP\tO' +p57044 +aS'was\tbe\tVBD\tB-VP\tO' +p57045 +aS'performed\tperform\tVBN\tI-VP\tO' +p57046 +aS'successfully\tsuccessfully\tRB\tB-ADVP\tO' +p57047 +aS'.\t.\t.\tO\tO' +p57048 +asS'2. Follow-up with Dr. Michael , his psychiatrist , on Wednesday , 09-08 .' +p57049 +(lp57050 +S'2.\t2.\tLS\tB-NP\tO' +p57051 +aS'Follow-up\tFollow-up\tNN\tI-NP\tO' +p57052 +aS'with\twith\tIN\tB-PP\tO' +p57053 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p57054 +aS'Michael\tMichael\tNNP\tI-NP\tO' +p57055 +aS',\t,\t,\tO\tO' +p57056 +aS'his\this\tPRP$\tB-NP\tO' +p57057 +aS'psychiatrist\tpsychiatrist\tNN\tI-NP\tO' +p57058 +aS',\t,\t,\tO\tO' +p57059 +aS'on\ton\tIN\tB-PP\tO' +p57060 +aS'Wednesday\tWednesday\tNNP\tB-NP\tO' +p57061 +aS',\t,\t,\tO\tO' +p57062 +aS'09-08\t09-08\tCD\tB-NP\tO' +p57063 +aS'.\t.\t.\tO\tO' +p57064 +asS'Date / Time : 2013-11-20 3:00 .' +p57065 +(lp57066 +S'Date\tDate\tNN\tB-NP\tO' +p57067 +aS'/\t/\tSYM\tI-NP\tO' +p57068 +aS'Time\tTime\tNN\tI-NP\tO' +p57069 +aS':\t:\t:\tO\tO' +p57070 +aS'2013-11-20\t2013-11-20\tCD\tB-NP\tO' +p57071 +aS'3:00\t3:00\tCD\tI-NP\tO' +p57072 +aS'.\t.\t.\tO\tO' +p57073 +asS'An abscessogram was performed on 04/12/05 and revealed no fistula .' +p57074 +(lp57075 +S'An\tAn\tDT\tB-NP\tO' +p57076 +aS'abscessogram\tabscessogram\tNN\tI-NP\tO' +p57077 +aS'was\tbe\tVBD\tB-VP\tO' +p57078 +aS'performed\tperform\tVBN\tI-VP\tO' +p57079 +aS'on\ton\tIN\tB-PP\tO' +p57080 +aS'04/12/05\t04/12/05\tCD\tB-NP\tO' +p57081 +aS'and\tand\tCC\tO\tO' +p57082 +aS'revealed\treveal\tVBD\tB-VP\tO' +p57083 +aS'no\tno\tDT\tB-NP\tO' +p57084 +aS'fistula\tfistula\tNN\tI-NP\tO' +p57085 +aS'.\t.\t.\tO\tO' +p57086 +asS'She failed to improve following placement of the ventriculostomy and her poor prognosis was discussed with the family .' +p57087 +(lp57088 +S'She\tShe\tPRP\tB-NP\tO' +p57089 +aS'failed\tfail\tVBD\tB-VP\tO' +p57090 +aS'to\tto\tTO\tI-VP\tO' +p57091 +aS'improve\timprove\tVB\tI-VP\tO' +p57092 +aS'following\tfollow\tVBG\tB-PP\tO' +p57093 +aS'placement\tplacement\tNN\tB-NP\tO' +p57094 +aS'of\tof\tIN\tB-PP\tO' +p57095 +aS'the\tthe\tDT\tB-NP\tO' +p57096 +aS'ventriculostomy\tventriculostomy\tNN\tI-NP\tO' +p57097 +aS'and\tand\tCC\tO\tO' +p57098 +aS'her\ther\tPRP$\tB-NP\tO' +p57099 +aS'poor\tpoor\tJJ\tI-NP\tO' +p57100 +aS'prognosis\tprognosis\tNN\tI-NP\tO' +p57101 +aS'was\tbe\tVBD\tB-VP\tO' +p57102 +aS'discussed\tdiscuss\tVBN\tI-VP\tO' +p57103 +aS'with\twith\tIN\tB-PP\tO' +p57104 +aS'the\tthe\tDT\tB-NP\tO' +p57105 +aS'family\tfamily\tNN\tI-NP\tO' +p57106 +aS'.\t.\t.\tO\tO' +p57107 +asS'He will still need to be on tubefeed to support his nutrition until he is cleared by a nutritionist .' +p57108 +(lp57109 +S'He\tHe\tPRP\tB-NP\tO' +p57110 +aS'will\twill\tMD\tB-VP\tO' +p57111 +aS'still\tstill\tRB\tI-VP\tO' +p57112 +aS'need\tneed\tVB\tI-VP\tO' +p57113 +aS'to\tto\tTO\tI-VP\tO' +p57114 +aS'be\tbe\tVB\tI-VP\tO' +p57115 +aS'on\ton\tIN\tB-PP\tO' +p57116 +aS'tubefeed\ttubefeed\tNN\tB-NP\tO' +p57117 +aS'to\tto\tTO\tB-VP\tO' +p57118 +aS'support\tsupport\tVB\tI-VP\tO' +p57119 +aS'his\this\tPRP$\tB-NP\tO' +p57120 +aS'nutrition\tnutrition\tNN\tI-NP\tO' +p57121 +aS'until\tuntil\tIN\tB-SBAR\tO' +p57122 +aS'he\the\tPRP\tB-NP\tO' +p57123 +aS'is\tbe\tVBZ\tB-VP\tO' +p57124 +aS'cleared\tclear\tVBN\tI-VP\tO' +p57125 +aS'by\tby\tIN\tB-PP\tO' +p57126 +aS'a\ta\tDT\tB-NP\tO' +p57127 +aS'nutritionist\tnutritionist\tNN\tI-NP\tO' +p57128 +aS'.\t.\t.\tO\tO' +p57129 +asS'The patient was then switched to po etidronate .' +p57130 +(lp57131 +S'The\tThe\tDT\tB-NP\tO' +p57132 +aS'patient\tpatient\tNN\tI-NP\tO' +p57133 +aS'was\tbe\tVBD\tB-VP\tO' +p57134 +aS'then\tthen\tRB\tI-VP\tO' +p57135 +aS'switched\tswitch\tVBN\tI-VP\tO' +p57136 +aS'to\tto\tTO\tB-PP\tO' +p57137 +aS'po\tpo\tNN\tB-NP\tO' +p57138 +aS'etidronate\tetidronate\tNN\tI-NP\tO' +p57139 +aS'.\t.\t.\tO\tO' +p57140 +asS'Pheresis to continue as an outpatient with supervision of transplant nephrology on 08-17 , 08-20 and 08-22 .' +p57141 +(lp57142 +S'Pheresis\tPheresis\tNN\tB-NP\tO' +p57143 +aS'to\tto\tTO\tB-VP\tO' +p57144 +aS'continue\tcontinue\tVB\tI-VP\tO' +p57145 +aS'as\tas\tIN\tB-PP\tO' +p57146 +aS'an\tan\tDT\tB-NP\tO' +p57147 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p57148 +aS'with\twith\tIN\tB-PP\tO' +p57149 +aS'supervision\tsupervision\tNN\tB-NP\tO' +p57150 +aS'of\tof\tIN\tB-PP\tO' +p57151 +aS'transplant\ttransplant\tNN\tB-NP\tO' +p57152 +aS'nephrology\tnephrology\tNN\tI-NP\tO' +p57153 +aS'on\ton\tIN\tB-PP\tO' +p57154 +aS'08-17\t08-17\tCD\tB-NP\tO' +p57155 +aS',\t,\t,\tI-NP\tO' +p57156 +aS'08-20\t08-20\tCD\tI-NP\tO' +p57157 +aS'and\tand\tCC\tI-NP\tO' +p57158 +aS'08-22\t08-22\tCD\tI-NP\tO' +p57159 +aS'.\t.\t.\tO\tO' +p57160 +asS'Medications on transfer include multivitamin 1 tablet p.o. q.d. ; Pepcid 20 mg p.o. b.i.d. ; Ventolin inhaler two puffs q.i.d. ; Vancomycin 125 mg p.o. q.i.d. times seven days ; calcium carbonate 1250 mg p.o. b.i.d. ; Lotrimin cream to groin b.i.d. p.r.n. ; O2 at four liters per minute ; and Haldol 1 mg p.o. b.i.d. p.r.n.' +p57161 +(lp57162 +S'Medications\tMedication\tNNS\tB-NP\tO' +p57163 +aS'on\ton\tIN\tB-PP\tO' +p57164 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p57165 +aS'include\tinclude\tVBP\tB-VP\tO' +p57166 +aS'multivitamin\tmultivitamin\tNN\tB-NP\tO' +p57167 +aS'1\t1\tCD\tI-NP\tO' +p57168 +aS'tablet\ttablet\tNN\tI-NP\tO' +p57169 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p57170 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p57171 +aS';\t;\t:\tO\tO' +p57172 +aS'Pepcid\tPepcid\tNN\tB-NP\tO' +p57173 +aS'20\t20\tCD\tI-NP\tO' +p57174 +aS'mg\tmg\tNN\tI-NP\tO' +p57175 +aS'p.o.\tp.o.\tFW\tB-ADVP\tO' +p57176 +aS'b.i.d.\tb.i.d.\tFW\tI-ADVP\tO' +p57177 +aS';\t;\t:\tO\tO' +p57178 +aS'Ventolin\tVentolin\tNNP\tB-NP\tO' +p57179 +aS'inhaler\tinhaler\tIN\tB-PP\tO' +p57180 +aS'two\ttwo\tCD\tB-NP\tO' +p57181 +aS'puffs\tpuff\tNNS\tI-NP\tO' +p57182 +aS'q.i.d.\tq.i.d.\tRB\tB-ADVP\tO' +p57183 +aS';\t;\t:\tO\tO' +p57184 +aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' +p57185 +aS'125\t125\tCD\tI-NP\tO' +p57186 +aS'mg\tmg\tNN\tI-NP\tO' +p57187 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p57188 +aS'q.i.d.\tq.i.d.\tNN\tI-NP\tO' +p57189 +aS'times\ttime\tNNS\tI-NP\tO' +p57190 +aS'seven\tseven\tCD\tI-NP\tO' +p57191 +aS'days\tday\tNNS\tI-NP\tO' +p57192 +aS';\t;\t:\tO\tO' +p57193 +aS'calcium\tcalcium\tNN\tB-NP\tO' +p57194 +aS'carbonate\tcarbonate\tNN\tI-NP\tO' +p57195 +aS'1250\t1250\tCD\tB-NP\tO' +p57196 +aS'mg\tmg\tNN\tI-NP\tO' +p57197 +aS'p.o.\tp.o.\tFW\tB-ADVP\tO' +p57198 +aS'b.i.d.\tb.i.d.\tFW\tI-ADVP\tO' +p57199 +aS';\t;\t:\tO\tO' +p57200 +aS'Lotrimin\tLotrimin\tNNP\tB-NP\tO' +p57201 +aS'cream\tcream\tVBP\tB-VP\tO' +p57202 +aS'to\tto\tTO\tI-VP\tO' +p57203 +aS'groin\tgroin\tVB\tI-VP\tO' +p57204 +aS'b.i.d.\tb.i.d.\tNN\tB-NP\tO' +p57205 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p57206 +aS';\t;\t:\tO\tO' +p57207 +aS'O2\tO2\tNN\tB-NP\tO' +p57208 +aS'at\tat\tIN\tB-PP\tO' +p57209 +aS'four\tfour\tCD\tB-NP\tO' +p57210 +aS'liters\tliter\tNNS\tI-NP\tO' +p57211 +aS'per\tper\tIN\tB-PP\tO' +p57212 +aS'minute\tminute\tNN\tB-NP\tO' +p57213 +aS';\t;\t:\tO\tO' +p57214 +aS'and\tand\tCC\tO\tO' +p57215 +aS'Haldol\tHaldol\tNN\tB-NP\tO' +p57216 +aS'1\t1\tCD\tI-NP\tO' +p57217 +aS'mg\tmg\tNN\tI-NP\tO' +p57218 +aS'p.o.\tp.o.\tFW\tB-NP\tO' +p57219 +aS'b.i.d.\tb.i.d.\tFW\tI-NP\tO' +p57220 +aS'p.r.n.\tp.r.n.\tFW\tI-NP\tO' +p57221 +asS'On hospital day 2 she experienced atrial fibrillation with HR in the 140s .' +p57222 +(lp57223 +S'On\tOn\tIN\tB-PP\tO' +p57224 +aS'hospital\thospital\tNN\tB-NP\tO' +p57225 +aS'day\tday\tNN\tI-NP\tO' +p57226 +aS'2\t2\tCD\tI-NP\tO' +p57227 +aS'she\tshe\tPRP\tB-NP\tO' +p57228 +aS'experienced\texperience\tVBD\tB-VP\tO' +p57229 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p57230 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p57231 +aS'with\twith\tIN\tB-PP\tO' +p57232 +aS'HR\tHR\tNN\tB-NP\tB-protein' +p57233 +aS'in\tin\tIN\tB-PP\tO' +p57234 +aS'the\tthe\tDT\tB-NP\tO' +p57235 +aS'140s\t140\tNNS\tI-NP\tB-DNA' +p57236 +aS'.\t.\t.\tO\tO' +p57237 +asS'Ms. Lenkpruskihkooglekih is a 63-year-old lady with a history of frequent premature ventricular contractions and infrequent short runs of non-sustained ventricular tachycardia ( one four-beat run ) in 1991 , for which several antiarrhythmic agents including Propranolol , Quinidine , Procainamide , Tenormin , Norpace , Corgard , and Flecainide were used , but were stopped because of intolerance .' +p57238 +(lp57239 +S'Ms.\tMs.\tNNP\tB-NP\tO' +p57240 +aS'Lenkpruskihkooglekih\tLenkpruskihkooglekih\tNNP\tI-NP\tO' +p57241 +aS'is\tbe\tVBZ\tB-VP\tO' +p57242 +aS'a\ta\tDT\tB-NP\tO' +p57243 +aS'63-year-old\t63-year-old\tJJ\tI-NP\tO' +p57244 +aS'lady\tlady\tNN\tI-NP\tO' +p57245 +aS'with\twith\tIN\tB-PP\tO' +p57246 +aS'a\ta\tDT\tB-NP\tO' +p57247 +aS'history\thistory\tNN\tI-NP\tO' +p57248 +aS'of\tof\tIN\tB-PP\tO' +p57249 +aS'frequent\tfrequent\tJJ\tB-NP\tO' +p57250 +aS'premature\tpremature\tJJ\tI-NP\tO' +p57251 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p57252 +aS'contractions\tcontraction\tNNS\tI-NP\tO' +p57253 +aS'and\tand\tCC\tO\tO' +p57254 +aS'infrequent\tinfrequent\tJJ\tB-NP\tO' +p57255 +aS'short\tshort\tJJ\tI-NP\tO' +p57256 +aS'runs\trun\tNNS\tI-NP\tO' +p57257 +aS'of\tof\tIN\tB-PP\tO' +p57258 +aS'non-sustained\tnon-sustained\tJJ\tB-NP\tO' +p57259 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p57260 +aS'tachycardia\ttachycardia\tNN\tI-NP\tO' +p57261 +aS'(\t(\t(\tO\tO' +p57262 +aS'one\tone\tCD\tB-NP\tO' +p57263 +aS'four-beat\tfour-beat\tJJ\tI-NP\tO' +p57264 +aS'run\trun\tNN\tI-NP\tO' +p57265 +aS')\t)\t)\tO\tO' +p57266 +aS'in\tin\tIN\tB-PP\tO' +p57267 +aS'1991\t1991\tCD\tB-NP\tO' +p57268 +aS',\t,\t,\tO\tO' +p57269 +aS'for\tfor\tIN\tB-PP\tO' +p57270 +aS'which\twhich\tWDT\tB-NP\tO' +p57271 +aS'several\tseveral\tJJ\tB-NP\tO' +p57272 +aS'antiarrhythmic\tantiarrhythmic\tJJ\tI-NP\tO' +p57273 +aS'agents\tagent\tNNS\tI-NP\tO' +p57274 +aS'including\tinclude\tVBG\tB-PP\tO' +p57275 +aS'Propranolol\tPropranolol\tNN\tB-NP\tO' +p57276 +aS',\t,\t,\tO\tO' +p57277 +aS'Quinidine\tQuinidine\tNN\tB-NP\tO' +p57278 +aS',\t,\t,\tO\tO' +p57279 +aS'Procainamide\tProcainamide\tNNP\tB-NP\tO' +p57280 +aS',\t,\t,\tO\tO' +p57281 +aS'Tenormin\tTenormin\tNNP\tB-NP\tO' +p57282 +aS',\t,\t,\tO\tO' +p57283 +aS'Norpace\tNorpace\tNNP\tB-NP\tO' +p57284 +aS',\t,\t,\tO\tO' +p57285 +aS'Corgard\tCorgard\tNNP\tB-NP\tO' +p57286 +aS',\t,\t,\tO\tO' +p57287 +aS'and\tand\tCC\tO\tO' +p57288 +aS'Flecainide\tFlecainide\tNN\tB-NP\tO' +p57289 +aS'were\tbe\tVBD\tB-VP\tO' +p57290 +aS'used\tuse\tVBN\tI-VP\tO' +p57291 +aS',\t,\t,\tO\tO' +p57292 +aS'but\tbut\tCC\tO\tO' +p57293 +aS'were\tbe\tVBD\tB-VP\tO' +p57294 +aS'stopped\tstop\tVBN\tI-VP\tO' +p57295 +aS'because\tbecause\tRB\tB-PP\tO' +p57296 +aS'of\tof\tIN\tI-PP\tO' +p57297 +aS'intolerance\tintolerance\tNN\tB-NP\tO' +p57298 +aS'.\t.\t.\tO\tO' +p57299 +asS'Review of CTA showed no PE , but there was ground glass opacities on CT , so PCP was considered highly unlikely given her recent history of steroid use .' +p57300 +(lp57301 +S'Review\tReview\tNN\tB-NP\tO' +p57302 +aS'of\tof\tIN\tB-PP\tO' +p57303 +aS'CTA\tCTA\tNN\tB-NP\tB-protein' +p57304 +aS'showed\tshow\tVBD\tB-VP\tO' +p57305 +aS'no\tno\tDT\tB-NP\tO' +p57306 +aS'PE\tPE\tNN\tI-NP\tO' +p57307 +aS',\t,\t,\tO\tO' +p57308 +aS'but\tbut\tCC\tO\tO' +p57309 +aS'there\tthere\tEX\tB-NP\tO' +p57310 +aS'was\tbe\tVBD\tB-VP\tO' +p57311 +aS'ground\tground\tNN\tB-NP\tO' +p57312 +aS'glass\tglass\tNN\tI-NP\tO' +p57313 +aS'opacities\topacity\tNNS\tI-NP\tO' +p57314 +aS'on\ton\tIN\tB-PP\tO' +p57315 +aS'CT\tCT\tNN\tB-NP\tB-protein' +p57316 +aS',\t,\t,\tO\tO' +p57317 +aS'so\tso\tIN\tO\tO' +p57318 +aS'PCP\tPCP\tNN\tB-NP\tB-protein' +p57319 +aS'was\tbe\tVBD\tB-VP\tO' +p57320 +aS'considered\tconsider\tVBN\tI-VP\tO' +p57321 +aS'highly\thighly\tRB\tB-ADJP\tO' +p57322 +aS'unlikely\tunlikely\tJJ\tI-ADJP\tO' +p57323 +aS'given\tgive\tVBN\tB-VP\tO' +p57324 +aS'her\ther\tPRP$\tB-NP\tO' +p57325 +aS'recent\trecent\tJJ\tI-NP\tO' +p57326 +aS'history\thistory\tNN\tI-NP\tO' +p57327 +aS'of\tof\tIN\tB-PP\tO' +p57328 +aS'steroid\tsteroid\tNN\tB-NP\tO' +p57329 +aS'use\tuse\tNN\tI-NP\tO' +p57330 +aS'.\t.\t.\tO\tO' +p57331 +asS'She has got bilateral basilar crackles , no wheezing .' +p57332 +(lp57333 +S'She\tShe\tPRP\tB-NP\tO' +p57334 +aS'has\thave\tVBZ\tB-VP\tO' +p57335 +aS'got\tget\tVBD\tI-VP\tO' +p57336 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p57337 +aS'basilar\tbasilar\tJJ\tI-NP\tO' +p57338 +aS'crackles\tcrackle\tNNS\tI-NP\tO' +p57339 +aS',\t,\t,\tO\tO' +p57340 +aS'no\tno\tDT\tB-NP\tO' +p57341 +aS'wheezing\twheezing\tNN\tI-NP\tO' +p57342 +aS'.\t.\t.\tO\tO' +p57343 +asS'BUN 25 and creatinine 1.4 .' +p57344 +(lp57345 +S'BUN\tBUN\tNN\tB-NP\tO' +p57346 +aS'25\t25\tCD\tI-NP\tO' +p57347 +aS'and\tand\tCC\tO\tO' +p57348 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p57349 +aS'1.4\t1.4\tCD\tI-NP\tO' +p57350 +aS'.\t.\t.\tO\tO' +p57351 +asS'On 2011-11-21 , the patient experienced atypical chest pain which was made worse with inspiration and movement .' +p57352 +(lp57353 +S'On\tOn\tIN\tB-PP\tO' +p57354 +aS'2011-11-21\t2011-11-21\tCD\tB-NP\tO' +p57355 +aS',\t,\t,\tO\tO' +p57356 +aS'the\tthe\tDT\tB-NP\tO' +p57357 +aS'patient\tpatient\tNN\tI-NP\tO' +p57358 +aS'experienced\texperience\tVBD\tB-VP\tO' +p57359 +aS'atypical\tatypical\tJJ\tB-NP\tO' +p57360 +aS'chest\tchest\tNN\tI-NP\tO' +p57361 +aS'pain\tpain\tNN\tI-NP\tO' +p57362 +aS'which\twhich\tWDT\tB-NP\tO' +p57363 +aS'was\tbe\tVBD\tB-VP\tO' +p57364 +aS'made\tmake\tVBN\tI-VP\tO' +p57365 +aS'worse\tworse\tJJR\tB-ADJP\tO' +p57366 +aS'with\twith\tIN\tB-PP\tO' +p57367 +aS'inspiration\tinspiration\tNN\tB-NP\tO' +p57368 +aS'and\tand\tCC\tI-NP\tO' +p57369 +aS'movement\tmovement\tNN\tI-NP\tO' +p57370 +aS'.\t.\t.\tO\tO' +p57371 +asS'Call all providers for appointments .' +p57372 +(lp57373 +S'Call\tCall\tVB\tB-VP\tO' +p57374 +aS'all\tall\tDT\tB-NP\tO' +p57375 +aS'providers\tprovider\tNNS\tI-NP\tO' +p57376 +aS'for\tfor\tIN\tB-PP\tO' +p57377 +aS'appointments\tappointment\tNNS\tB-NP\tO' +p57378 +aS'.\t.\t.\tO\tO' +p57379 +asS'Ascorbic Acid 500 mg PO TID' +p57380 +(lp57381 +S'Ascorbic\tAscorbic\tJJ\tB-NP\tO' +p57382 +aS'Acid\tAcid\tNN\tI-NP\tO' +p57383 +aS'500\t500\tCD\tI-NP\tO' +p57384 +aS'mg\tmg\tNN\tI-NP\tO' +p57385 +aS'PO\tPO\tNN\tI-NP\tO' +p57386 +aS'TID\tTID\tNN\tI-NP\tO' +p57387 +asS'On postoperative day 6 , the patient remained hemodynamically stable and he was transferred to the floor for continuing postoperative care and cardiac rehabilitation .' +p57388 +(lp57389 +S'On\tOn\tIN\tB-PP\tO' +p57390 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p57391 +aS'day\tday\tNN\tI-NP\tO' +p57392 +aS'6\t6\tCD\tI-NP\tO' +p57393 +aS',\t,\t,\tO\tO' +p57394 +aS'the\tthe\tDT\tB-NP\tO' +p57395 +aS'patient\tpatient\tNN\tI-NP\tO' +p57396 +aS'remained\tremain\tVBD\tB-VP\tO' +p57397 +aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' +p57398 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p57399 +aS'and\tand\tCC\tO\tO' +p57400 +aS'he\the\tPRP\tB-NP\tO' +p57401 +aS'was\tbe\tVBD\tB-VP\tO' +p57402 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p57403 +aS'to\tto\tTO\tB-PP\tO' +p57404 +aS'the\tthe\tDT\tB-NP\tO' +p57405 +aS'floor\tfloor\tNN\tI-NP\tO' +p57406 +aS'for\tfor\tIN\tB-PP\tO' +p57407 +aS'continuing\tcontinue\tVBG\tB-NP\tO' +p57408 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p57409 +aS'care\tcare\tNN\tI-NP\tO' +p57410 +aS'and\tand\tCC\tI-NP\tO' +p57411 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p57412 +aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' +p57413 +aS'.\t.\t.\tO\tO' +p57414 +asS'12) Citrucel one tablespoon p.o. q day .' +p57415 +(lp57416 +S'12)\t12)\tLS\tB-LST\tO' +p57417 +aS'Citrucel\tCitrucel\tNNP\tB-NP\tO' +p57418 +aS'one\tone\tCD\tI-NP\tO' +p57419 +aS'tablespoon\ttablespoon\tNN\tI-NP\tO' +p57420 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p57421 +aS'q\tq\tNN\tI-NP\tO' +p57422 +aS'day\tday\tNN\tI-NP\tO' +p57423 +aS'.\t.\t.\tO\tO' +p57424 +asS'1. Tylenol 650 mg p.o. q.4.h. p.r.n. pain .' +p57425 +(lp57426 +S'1.\t1.\tLS\tB-LST\tO' +p57427 +aS'Tylenol\tTylenol\tNN\tB-NP\tB-protein' +p57428 +aS'650\t650\tCD\tI-NP\tI-protein' +p57429 +aS'mg\tmg\tNN\tI-NP\tI-protein' +p57430 +aS'p.o.\tp.o.\tFW\tI-NP\tI-protein' +p57431 +aS'q.4.h.\tq.4.h.\tNN\tI-NP\tI-protein' +p57432 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tI-protein' +p57433 +aS'pain\tpain\tNN\tI-NP\tI-protein' +p57434 +aS'.\t.\t.\tO\tO' +p57435 +asS'Pancreatitis , fluid collection in the lesser sac .' +p57436 +(lp57437 +S'Pancreatitis\tPancreatitis\tNN\tB-NP\tO' +p57438 +aS',\t,\t,\tO\tO' +p57439 +aS'fluid\tfluid\tNN\tB-NP\tO' +p57440 +aS'collection\tcollection\tNN\tI-NP\tO' +p57441 +aS'in\tin\tIN\tB-PP\tO' +p57442 +aS'the\tthe\tDT\tB-NP\tO' +p57443 +aS'lesser\tless\tJJR\tI-NP\tO' +p57444 +aS'sac\tsac\tNN\tI-NP\tO' +p57445 +aS'.\t.\t.\tO\tO' +p57446 +asS'Extraocular movements are intact .' +p57447 +(lp57448 +S'Extraocular\tExtraocular\tJJ\tB-NP\tO' +p57449 +aS'movements\tmovement\tNNS\tI-NP\tO' +p57450 +aS'are\tbe\tVBP\tB-VP\tO' +p57451 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p57452 +aS'.\t.\t.\tO\tO' +p57453 +asS'Swan showed a PA of 29/11 , SVR of 14/9 , cardiac output of 3.86 , cardiac index of 2.14 .' +p57454 +(lp57455 +S'Swan\tSwan\tNN\tB-NP\tO' +p57456 +aS'showed\tshow\tVBD\tB-VP\tO' +p57457 +aS'a\ta\tDT\tB-NP\tO' +p57458 +aS'PA\tPA\tNN\tI-NP\tO' +p57459 +aS'of\tof\tIN\tB-PP\tO' +p57460 +aS'29/11\t29/11\tCD\tB-NP\tO' +p57461 +aS',\t,\t,\tO\tO' +p57462 +aS'SVR\tSVR\tNN\tB-NP\tB-protein' +p57463 +aS'of\tof\tIN\tB-PP\tO' +p57464 +aS'14/9\t14/9\tCD\tB-NP\tO' +p57465 +aS',\t,\t,\tO\tO' +p57466 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p57467 +aS'output\toutput\tNN\tI-NP\tO' +p57468 +aS'of\tof\tIN\tB-PP\tO' +p57469 +aS'3.86\t3.86\tCD\tB-NP\tO' +p57470 +aS',\t,\t,\tO\tO' +p57471 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p57472 +aS'index\tindex\tNN\tI-NP\tO' +p57473 +aS'of\tof\tIN\tB-PP\tO' +p57474 +aS'2.14\t2.14\tCD\tB-NP\tO' +p57475 +aS'.\t.\t.\tO\tO' +p57476 +asS'Fluoroquinolones and other renal toxins were avoided .' +p57477 +(lp57478 +S'Fluoroquinolones\tFluoroquinolone\tNNS\tB-NP\tO' +p57479 +aS'and\tand\tCC\tO\tO' +p57480 +aS'other\tother\tJJ\tB-NP\tO' +p57481 +aS'renal\trenal\tJJ\tI-NP\tO' +p57482 +aS'toxins\ttoxin\tNNS\tI-NP\tO' +p57483 +aS'were\tbe\tVBD\tB-VP\tO' +p57484 +aS'avoided\tavoid\tVBN\tI-VP\tO' +p57485 +aS'.\t.\t.\tO\tO' +p57486 +asS'She had 5/5 strength in bilateral upper and lower extremities .' +p57487 +(lp57488 +S'She\tShe\tPRP\tB-NP\tO' +p57489 +aS'had\thave\tVBD\tB-VP\tO' +p57490 +aS'5/5\t5/5\tCD\tB-NP\tO' +p57491 +aS'strength\tstrength\tNN\tI-NP\tO' +p57492 +aS'in\tin\tIN\tB-PP\tO' +p57493 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p57494 +aS'upper\tupper\tJJ\tI-NP\tO' +p57495 +aS'and\tand\tCC\tI-NP\tO' +p57496 +aS'lower\tlow\tJJR\tI-NP\tO' +p57497 +aS'extremities\textremity\tNNS\tI-NP\tO' +p57498 +aS'.\t.\t.\tO\tO' +p57499 +asS'Likewise , on 04-01 , the patient was weaned off surgery without difficulty .' +p57500 +(lp57501 +S'Likewise\tLikewise\tRB\tB-ADVP\tO' +p57502 +aS',\t,\t,\tO\tO' +p57503 +aS'on\ton\tIN\tB-PP\tO' +p57504 +aS'04-01\t04-01\tCD\tB-NP\tO' +p57505 +aS',\t,\t,\tO\tO' +p57506 +aS'the\tthe\tDT\tB-NP\tO' +p57507 +aS'patient\tpatient\tNN\tI-NP\tO' +p57508 +aS'was\tbe\tVBD\tB-VP\tO' +p57509 +aS'weaned\twean\tVBN\tI-VP\tO' +p57510 +aS'off\toff\tRP\tB-PRT\tO' +p57511 +aS'surgery\tsurgery\tNN\tB-NP\tO' +p57512 +aS'without\twithout\tIN\tB-PP\tO' +p57513 +aS'difficulty\tdifficulty\tNN\tB-NP\tO' +p57514 +aS'.\t.\t.\tO\tO' +p57515 +asS'However the patient was then subsequently transferred to Fairm of Ijordcompmac Hospital upon request of the family on 8/24/98 for further evaluation and possible intervention .' +p57516 +(lp57517 +S'However\tHowever\tRB\tB-ADVP\tO' +p57518 +aS'the\tthe\tDT\tB-NP\tO' +p57519 +aS'patient\tpatient\tNN\tI-NP\tO' +p57520 +aS'was\tbe\tVBD\tB-VP\tO' +p57521 +aS'then\tthen\tRB\tI-VP\tO' +p57522 +aS'subsequently\tsubsequently\tRB\tI-VP\tO' +p57523 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p57524 +aS'to\tto\tTO\tB-PP\tO' +p57525 +aS'Fairm\tFairm\tNNP\tB-NP\tO' +p57526 +aS'of\tof\tIN\tB-PP\tO' +p57527 +aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' +p57528 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p57529 +aS'upon\tupon\tIN\tB-PP\tO' +p57530 +aS'request\trequest\tNN\tB-NP\tO' +p57531 +aS'of\tof\tIN\tB-PP\tO' +p57532 +aS'the\tthe\tDT\tB-NP\tO' +p57533 +aS'family\tfamily\tNN\tI-NP\tO' +p57534 +aS'on\ton\tIN\tB-PP\tO' +p57535 +aS'8/24/98\t8/24/98\tCD\tB-NP\tO' +p57536 +aS'for\tfor\tIN\tB-PP\tO' +p57537 +aS'further\tfurther\tJJ\tB-NP\tO' +p57538 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p57539 +aS'and\tand\tCC\tO\tO' +p57540 +aS'possible\tpossible\tJJ\tB-NP\tO' +p57541 +aS'intervention\tintervention\tNN\tI-NP\tO' +p57542 +aS'.\t.\t.\tO\tO' +p57543 +asS'Left upper extremity examination demonstrated no gross deformities , tenderness to palpation in the mid forearm , intact motor function in the median , radial , and ulnar nerve distributions , intact sensation to light touch in the median and radial nerve distributions , decreased sensation in the ulnar-nerve distribution , warm and well perfused limb with 2+ radial pulses .' +p57544 +(lp57545 +S'Left\tLeave\tVBN\tB-NP\tO' +p57546 +aS'upper\tupper\tJJ\tI-NP\tO' +p57547 +aS'extremity\textremity\tNN\tI-NP\tO' +p57548 +aS'examination\texamination\tNN\tI-NP\tO' +p57549 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p57550 +aS'no\tno\tDT\tB-NP\tO' +p57551 +aS'gross\tgross\tJJ\tI-NP\tO' +p57552 +aS'deformities\tdeformity\tNNS\tI-NP\tO' +p57553 +aS',\t,\t,\tO\tO' +p57554 +aS'tenderness\ttenderness\tNN\tB-NP\tO' +p57555 +aS'to\tto\tTO\tB-PP\tO' +p57556 +aS'palpation\tpalpation\tNN\tB-NP\tO' +p57557 +aS'in\tin\tIN\tB-PP\tO' +p57558 +aS'the\tthe\tDT\tB-NP\tO' +p57559 +aS'mid\tmid\tJJ\tI-NP\tO' +p57560 +aS'forearm\tforearm\tNN\tI-NP\tO' +p57561 +aS',\t,\t,\tO\tO' +p57562 +aS'intact\tintact\tJJ\tB-NP\tO' +p57563 +aS'motor\tmotor\tNN\tI-NP\tO' +p57564 +aS'function\tfunction\tNN\tI-NP\tO' +p57565 +aS'in\tin\tIN\tB-PP\tO' +p57566 +aS'the\tthe\tDT\tB-NP\tO' +p57567 +aS'median\tmedian\tNN\tI-NP\tO' +p57568 +aS',\t,\t,\tO\tO' +p57569 +aS'radial\tradial\tNN\tB-NP\tO' +p57570 +aS',\t,\t,\tO\tO' +p57571 +aS'and\tand\tCC\tO\tO' +p57572 +aS'ulnar\tulnar\tJJ\tB-NP\tO' +p57573 +aS'nerve\tnerve\tNN\tI-NP\tO' +p57574 +aS'distributions\tdistribution\tNNS\tI-NP\tO' +p57575 +aS',\t,\t,\tO\tO' +p57576 +aS'intact\tintact\tJJ\tB-NP\tO' +p57577 +aS'sensation\tsensation\tNN\tI-NP\tO' +p57578 +aS'to\tto\tTO\tB-PP\tO' +p57579 +aS'light\tlight\tNN\tB-NP\tO' +p57580 +aS'touch\ttouch\tNN\tI-NP\tO' +p57581 +aS'in\tin\tIN\tB-PP\tO' +p57582 +aS'the\tthe\tDT\tB-NP\tO' +p57583 +aS'median\tmedian\tJJ\tI-NP\tO' +p57584 +aS'and\tand\tCC\tI-NP\tO' +p57585 +aS'radial\tradial\tJJ\tI-NP\tO' +p57586 +aS'nerve\tnerve\tNN\tI-NP\tO' +p57587 +aS'distributions\tdistribution\tNNS\tI-NP\tO' +p57588 +aS',\t,\t,\tO\tO' +p57589 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p57590 +aS'sensation\tsensation\tNN\tB-NP\tO' +p57591 +aS'in\tin\tIN\tB-PP\tO' +p57592 +aS'the\tthe\tDT\tB-NP\tO' +p57593 +aS'ulnar-nerve\tulnar-nerve\tJJ\tI-NP\tO' +p57594 +aS'distribution\tdistribution\tNN\tI-NP\tO' +p57595 +aS',\t,\t,\tO\tO' +p57596 +aS'warm\twarm\tJJ\tB-NP\tO' +p57597 +aS'and\tand\tCC\tI-NP\tO' +p57598 +aS'well\twell\tRB\tI-NP\tO' +p57599 +aS'perfused\tperfuse\tVBN\tI-NP\tO' +p57600 +aS'limb\tlimb\tNN\tI-NP\tO' +p57601 +aS'with\twith\tIN\tB-PP\tO' +p57602 +aS'2+\t2+\tJJ\tB-NP\tO' +p57603 +aS'radial\tradial\tJJ\tI-NP\tO' +p57604 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p57605 +aS'.\t.\t.\tO\tO' +p57606 +asS'Weight preoperatively was 67 kg , at discharge is 70.9 kg .' +p57607 +(lp57608 +S'Weight\tWeight\tNN\tB-NP\tO' +p57609 +aS'preoperatively\tpreoperatively\tRB\tB-ADVP\tO' +p57610 +aS'was\tbe\tVBD\tB-VP\tO' +p57611 +aS'67\t67\tCD\tB-NP\tO' +p57612 +aS'kg\tkg\tNN\tI-NP\tO' +p57613 +aS',\t,\t,\tO\tO' +p57614 +aS'at\tat\tIN\tB-PP\tO' +p57615 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p57616 +aS'is\tbe\tVBZ\tB-VP\tO' +p57617 +aS'70.9\t70.9\tCD\tB-NP\tO' +p57618 +aS'kg\tkg\tNN\tI-NP\tO' +p57619 +aS'.\t.\t.\tO\tO' +p57620 +asS'A CTA showed diffuse subarachnoid hemorrhage and intraventricular blood but no evidence of an aneurysm .' +p57621 +(lp57622 +S'A\tA\tDT\tB-NP\tO' +p57623 +aS'CTA\tCTA\tNN\tI-NP\tB-protein' +p57624 +aS'showed\tshow\tVBD\tB-VP\tO' +p57625 +aS'diffuse\tdiffuse\tJJ\tB-NP\tO' +p57626 +aS'subarachnoid\tsubarachnoid\tJJ\tI-NP\tO' +p57627 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p57628 +aS'and\tand\tCC\tO\tO' +p57629 +aS'intraventricular\tintraventricular\tJJ\tB-NP\tO' +p57630 +aS'blood\tblood\tNN\tI-NP\tO' +p57631 +aS'but\tbut\tCC\tO\tO' +p57632 +aS'no\tno\tDT\tB-NP\tO' +p57633 +aS'evidence\tevidence\tNN\tI-NP\tO' +p57634 +aS'of\tof\tIN\tB-PP\tO' +p57635 +aS'an\tan\tDT\tB-NP\tO' +p57636 +aS'aneurysm\taneurysm\tNN\tI-NP\tO' +p57637 +aS'.\t.\t.\tO\tO' +p57638 +asS'Tonsillectomy around the age of 10' +p57639 +(lp57640 +S'Tonsillectomy\tTonsillectomy\tNN\tB-NP\tO' +p57641 +aS'around\taround\tIN\tB-PP\tO' +p57642 +aS'the\tthe\tDT\tB-NP\tO' +p57643 +aS'age\tage\tNN\tI-NP\tO' +p57644 +aS'of\tof\tIN\tB-PP\tO' +p57645 +aS'10\t10\tCD\tB-NP\tO' +p57646 +asS'Amiodarone drip .' +p57647 +(lp57648 +S'Amiodarone\tAmiodarone\tNN\tB-NP\tO' +p57649 +aS'drip\tdrip\tNN\tI-NP\tO' +p57650 +aS'.\t.\t.\tO\tO' +p57651 +asS'Weigh yourself every morning , call MD if weight > 3 lbs .' +p57652 +(lp57653 +S'Weigh\tWeigh\tIN\tB-PP\tO' +p57654 +aS'yourself\tyourself\tPRP\tB-NP\tO' +p57655 +aS'every\tevery\tDT\tB-NP\tO' +p57656 +aS'morning\tmorning\tNN\tI-NP\tO' +p57657 +aS',\t,\t,\tO\tO' +p57658 +aS'call\tcall\tNN\tB-NP\tO' +p57659 +aS'MD\tMD\tNN\tI-NP\tO' +p57660 +aS'if\tif\tIN\tB-SBAR\tO' +p57661 +aS'weight\tweight\tNN\tB-NP\tO' +p57662 +aS'>\t>\tSYM\tB-VP\tO' +p57663 +aS'3\t3\tCD\tB-NP\tO' +p57664 +aS'lbs\tlb\tNNS\tI-NP\tO' +p57665 +aS'.\t.\t.\tO\tO' +p57666 +asS'He had also some increased shortness of breath and a 10 pound weight gain and new three to four pillow orthopnea with a dry cough .' +p57667 +(lp57668 +S'He\tHe\tPRP\tB-NP\tO' +p57669 +aS'had\thave\tVBD\tB-VP\tO' +p57670 +aS'also\talso\tRB\tB-ADVP\tO' +p57671 +aS'some\tsome\tDT\tB-NP\tO' +p57672 +aS'increased\tincrease\tVBN\tI-NP\tO' +p57673 +aS'shortness\tshortness\tNN\tI-NP\tO' +p57674 +aS'of\tof\tIN\tB-PP\tO' +p57675 +aS'breath\tbreath\tNN\tB-NP\tO' +p57676 +aS'and\tand\tCC\tO\tO' +p57677 +aS'a\ta\tDT\tB-NP\tO' +p57678 +aS'10\t10\tCD\tI-NP\tO' +p57679 +aS'pound\tpound\tNN\tI-NP\tO' +p57680 +aS'weight\tweight\tNN\tI-NP\tO' +p57681 +aS'gain\tgain\tNN\tI-NP\tO' +p57682 +aS'and\tand\tCC\tO\tO' +p57683 +aS'new\tnew\tJJ\tB-NP\tO' +p57684 +aS'three\tthree\tCD\tI-NP\tO' +p57685 +aS'to\tto\tTO\tI-NP\tO' +p57686 +aS'four\tfour\tCD\tI-NP\tO' +p57687 +aS'pillow\tpillow\tNN\tI-NP\tO' +p57688 +aS'orthopnea\torthopnea\tNN\tI-NP\tO' +p57689 +aS'with\twith\tIN\tB-PP\tO' +p57690 +aS'a\ta\tDT\tB-NP\tO' +p57691 +aS'dry\tdry\tJJ\tI-NP\tO' +p57692 +aS'cough\tcough\tNN\tI-NP\tO' +p57693 +aS'.\t.\t.\tO\tO' +p57694 +asS'Do not drive or drink alcohol while taking narcotics .' +p57695 +(lp57696 +S'Do\tDo\tVBP\tB-VP\tO' +p57697 +aS'not\tnot\tRB\tI-VP\tO' +p57698 +aS'drive\tdrive\tVB\tI-VP\tO' +p57699 +aS'or\tor\tCC\tI-VP\tO' +p57700 +aS'drink\tdrink\tVB\tI-VP\tO' +p57701 +aS'alcohol\talcohol\tNN\tB-NP\tO' +p57702 +aS'while\twhile\tIN\tB-SBAR\tO' +p57703 +aS'taking\ttake\tVBG\tB-VP\tO' +p57704 +aS'narcotics\tnarcotic\tNNS\tB-NP\tO' +p57705 +aS'.\t.\t.\tO\tO' +p57706 +asS'She was then transferred to Ro Woodma Healthcare for further management .' +p57707 +(lp57708 +S'She\tShe\tPRP\tB-NP\tO' +p57709 +aS'was\tbe\tVBD\tB-VP\tO' +p57710 +aS'then\tthen\tRB\tI-VP\tO' +p57711 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p57712 +aS'to\tto\tTO\tB-PP\tO' +p57713 +aS'Ro\tRo\tNNP\tB-NP\tO' +p57714 +aS'Woodma\tWoodma\tNNP\tI-NP\tO' +p57715 +aS'Healthcare\tHealthcare\tNNP\tI-NP\tO' +p57716 +aS'for\tfor\tIN\tB-PP\tO' +p57717 +aS'further\tfurther\tJJ\tB-NP\tO' +p57718 +aS'management\tmanagement\tNN\tI-NP\tO' +p57719 +aS'.\t.\t.\tO\tO' +p57720 +asS'The lung examination was clear but breath sounds were more pronounced on the left than the right .' +p57721 +(lp57722 +S'The\tThe\tDT\tB-NP\tO' +p57723 +aS'lung\tlung\tNN\tI-NP\tO' +p57724 +aS'examination\texamination\tNN\tI-NP\tO' +p57725 +aS'was\tbe\tVBD\tB-VP\tO' +p57726 +aS'clear\tclear\tJJ\tB-NP\tO' +p57727 +aS'but\tbut\tCC\tI-NP\tO' +p57728 +aS'breath\tbreath\tNN\tI-NP\tO' +p57729 +aS'sounds\tsound\tNNS\tI-NP\tO' +p57730 +aS'were\tbe\tVBD\tB-VP\tO' +p57731 +aS'more\tmore\tRBR\tB-ADJP\tO' +p57732 +aS'pronounced\tpronounced\tJJ\tI-ADJP\tO' +p57733 +aS'on\ton\tIN\tB-PP\tO' +p57734 +aS'the\tthe\tDT\tB-NP\tO' +p57735 +aS'left\tleft\tNN\tI-NP\tO' +p57736 +aS'than\tthan\tIN\tB-PP\tO' +p57737 +aS'the\tthe\tDT\tB-NP\tO' +p57738 +aS'right\tright\tNN\tI-NP\tO' +p57739 +aS'.\t.\t.\tO\tO' +p57740 +asS'1. Please take all medications as prescribed .' +p57741 +(lp57742 +S'1.\t1.\tLS\tB-NP\tO' +p57743 +aS'Please\tPlease\tNN\tI-NP\tB-protein' +p57744 +aS'take\ttake\tVB\tB-VP\tO' +p57745 +aS'all\tall\tDT\tB-NP\tO' +p57746 +aS'medications\tmedication\tNNS\tI-NP\tO' +p57747 +aS'as\tas\tIN\tB-SBAR\tO' +p57748 +aS'prescribed\tprescribe\tVBN\tB-VP\tO' +p57749 +aS'.\t.\t.\tO\tO' +p57750 +asS"Patient 's family was notified and declined autopsy ." +p57751 +(lp57752 +S'Patient\tPatient\tNN\tB-NP\tB-protein' +p57753 +aS"'s\t's\tPOS\tB-NP\tI-protein" +p57754 +aS'family\tfamily\tNN\tI-NP\tI-protein' +p57755 +aS'was\tbe\tVBD\tB-VP\tO' +p57756 +aS'notified\tnotify\tVBN\tI-VP\tO' +p57757 +aS'and\tand\tCC\tO\tO' +p57758 +aS'declined\tdecline\tVBN\tB-VP\tO' +p57759 +aS'autopsy\tautopsy\tNN\tB-NP\tO' +p57760 +aS'.\t.\t.\tO\tO' +p57761 +asS'She has been adequately controlled with Tylenol , Motrin & Oxycodone by mouth , per recommendations by Geriatrics .' +p57762 +(lp57763 +S'She\tShe\tPRP\tB-NP\tO' +p57764 +aS'has\thave\tVBZ\tB-VP\tO' +p57765 +aS'been\tbe\tVBN\tI-VP\tO' +p57766 +aS'adequately\tadequately\tRB\tI-VP\tO' +p57767 +aS'controlled\tcontrol\tVBN\tI-VP\tO' +p57768 +aS'with\twith\tIN\tB-PP\tO' +p57769 +aS'Tylenol\tTylenol\tNN\tB-NP\tO' +p57770 +aS',\t,\t,\tO\tO' +p57771 +aS'Motrin\tMotrin\tNNP\tB-NP\tO' +p57772 +aS'&\t&\tCC\tO\tO' +p57773 +aS'Oxycodone\tOxycodone\tVBN\tB-VP\tO' +p57774 +aS'by\tby\tIN\tB-PP\tO' +p57775 +aS'mouth\tmouth\tNN\tB-NP\tO' +p57776 +aS',\t,\t,\tO\tO' +p57777 +aS'per\tper\tIN\tB-PP\tO' +p57778 +aS'recommendations\trecommendation\tNNS\tB-NP\tO' +p57779 +aS'by\tby\tIN\tB-PP\tO' +p57780 +aS'Geriatrics\tGeriatric\tNNS\tB-NP\tO' +p57781 +aS'.\t.\t.\tO\tO' +p57782 +asS'The infant emerged vigorous with Apgars of 9 at one and five minutes .' +p57783 +(lp57784 +S'The\tThe\tDT\tB-NP\tO' +p57785 +aS'infant\tinfant\tNN\tI-NP\tO' +p57786 +aS'emerged\temerge\tVBD\tB-VP\tO' +p57787 +aS'vigorous\tvigorous\tJJ\tB-ADJP\tO' +p57788 +aS'with\twith\tIN\tB-PP\tO' +p57789 +aS'Apgars\tApgar\tNNS\tB-NP\tO' +p57790 +aS'of\tof\tIN\tB-PP\tO' +p57791 +aS'9\t9\tCD\tB-NP\tO' +p57792 +aS'at\tat\tIN\tB-PP\tO' +p57793 +aS'one\tone\tCD\tB-NP\tO' +p57794 +aS'and\tand\tCC\tI-NP\tO' +p57795 +aS'five\tfive\tCD\tI-NP\tO' +p57796 +aS'minutes\tminute\tNNS\tI-NP\tO' +p57797 +aS'.\t.\t.\tO\tO' +p57798 +asS'The patient had an episode of her described vertigo while lying in bed and on the monitor during which no dysrhythmia was noted .' +p57799 +(lp57800 +S'The\tThe\tDT\tB-NP\tO' +p57801 +aS'patient\tpatient\tNN\tI-NP\tO' +p57802 +aS'had\thave\tVBD\tB-VP\tO' +p57803 +aS'an\tan\tDT\tB-NP\tO' +p57804 +aS'episode\tepisode\tNN\tI-NP\tO' +p57805 +aS'of\tof\tIN\tB-PP\tO' +p57806 +aS'her\ther\tPRP$\tB-NP\tO' +p57807 +aS'described\tdescribe\tVBN\tI-NP\tO' +p57808 +aS'vertigo\tvertigo\tRB\tI-NP\tO' +p57809 +aS'while\twhile\tIN\tB-SBAR\tO' +p57810 +aS'lying\tlie\tVBG\tB-VP\tO' +p57811 +aS'in\tin\tIN\tB-PP\tO' +p57812 +aS'bed\tbed\tNN\tB-NP\tO' +p57813 +aS'and\tand\tCC\tB-PP\tO' +p57814 +aS'on\ton\tIN\tB-PP\tO' +p57815 +aS'the\tthe\tDT\tB-NP\tO' +p57816 +aS'monitor\tmonitor\tNN\tI-NP\tO' +p57817 +aS'during\tduring\tIN\tB-PP\tO' +p57818 +aS'which\twhich\tWDT\tB-NP\tO' +p57819 +aS'no\tno\tDT\tB-NP\tO' +p57820 +aS'dysrhythmia\tdysrhythmia\tNN\tI-NP\tO' +p57821 +aS'was\tbe\tVBD\tB-VP\tO' +p57822 +aS'noted\tnote\tVBN\tI-VP\tO' +p57823 +aS'.\t.\t.\tO\tO' +p57824 +asS'Chest x-ray showed right patchy opacity with a right effusion .' +p57825 +(lp57826 +S'Chest\tCh\tJJS\tB-NP\tO' +p57827 +aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' +p57828 +aS'showed\tshow\tVBD\tB-VP\tO' +p57829 +aS'right\tright\tJJ\tB-NP\tO' +p57830 +aS'patchy\tpatchy\tNN\tI-NP\tO' +p57831 +aS'opacity\topacity\tNN\tI-NP\tO' +p57832 +aS'with\twith\tIN\tB-PP\tO' +p57833 +aS'a\ta\tDT\tB-NP\tO' +p57834 +aS'right\tright\tJJ\tI-NP\tO' +p57835 +aS'effusion\teffusion\tNN\tI-NP\tO' +p57836 +aS'.\t.\t.\tO\tO' +p57837 +asS'The patient was taken off fluid restriction .' +p57838 +(lp57839 +S'The\tThe\tDT\tB-NP\tO' +p57840 +aS'patient\tpatient\tNN\tI-NP\tO' +p57841 +aS'was\tbe\tVBD\tB-VP\tO' +p57842 +aS'taken\ttake\tVBN\tI-VP\tO' +p57843 +aS'off\toff\tRP\tB-PRT\tO' +p57844 +aS'fluid\tfluid\tNN\tB-NP\tO' +p57845 +aS'restriction\trestriction\tNN\tI-NP\tO' +p57846 +aS'.\t.\t.\tO\tO' +p57847 +asS'Lipitor 10 mg once a day .' +p57848 +(lp57849 +S'Lipitor\tLipitor\tNN\tB-NP\tO' +p57850 +aS'10\t10\tCD\tI-NP\tO' +p57851 +aS'mg\tmg\tNN\tI-NP\tO' +p57852 +aS'once\tonce\tRB\tB-ADVP\tO' +p57853 +aS'a\ta\tDT\tB-NP\tO' +p57854 +aS'day\tday\tNN\tI-NP\tO' +p57855 +aS'.\t.\t.\tO\tO' +p57856 +asS'Please take your medications as directed' +p57857 +(lp57858 +S'Please\tPlease\tVB\tB-VP\tO' +p57859 +aS'take\ttake\tVB\tI-VP\tO' +p57860 +aS'your\tyour\tPRP$\tB-NP\tO' +p57861 +aS'medications\tmedication\tNNS\tI-NP\tO' +p57862 +aS'as\tas\tIN\tB-SBAR\tO' +p57863 +aS'directed\tdirect\tVBN\tB-VP\tO' +p57864 +asS'C. difficile colitis .' +p57865 +(lp57866 +S'C.\tC.\tFW\tB-NP\tO' +p57867 +aS'difficile\tdifficile\tJJ\tI-NP\tO' +p57868 +aS'colitis\tcolitis\tNN\tI-NP\tO' +p57869 +aS'.\t.\t.\tO\tO' +p57870 +asS'She gets short of breath walking up steps .' +p57871 +(lp57872 +S'She\tShe\tPRP\tB-NP\tO' +p57873 +aS'gets\tget\tVBZ\tB-VP\tO' +p57874 +aS'short\tshort\tJJ\tB-ADJP\tO' +p57875 +aS'of\tof\tIN\tB-PP\tO' +p57876 +aS'breath\tbreath\tNN\tB-NP\tO' +p57877 +aS'walking\twalk\tVBG\tB-VP\tO' +p57878 +aS'up\tup\tRP\tB-PRT\tO' +p57879 +aS'steps\tstep\tNNS\tB-NP\tO' +p57880 +aS'.\t.\t.\tO\tO' +p57881 +asS'Dr. Jesc .' +p57882 +(lp57883 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p57884 +aS'Jesc\tJesc\tNNP\tI-NP\tO' +p57885 +aS'.\t.\t.\tO\tO' +p57886 +asS'EXTREMITIES : Warm and pink .' +p57887 +(lp57888 +S'EXTREMITIES\tEXTREMITIES\tNNS\tB-NP\tO' +p57889 +aS':\t:\t:\tO\tO' +p57890 +aS'Warm\tWarm\tNNP\tB-NP\tO' +p57891 +aS'and\tand\tCC\tO\tO' +p57892 +aS'pink\tpink\tVB\tB-VP\tO' +p57893 +aS'.\t.\t.\tO\tO' +p57894 +asS'She continued to have trouble with afib and required a dilt gtt on the day prior to call-out to control this rhythm but she was transitioned to PO diltiazem on the day of call-out .' +p57895 +(lp57896 +S'She\tShe\tPRP\tB-NP\tO' +p57897 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p57898 +aS'to\tto\tTO\tI-VP\tO' +p57899 +aS'have\thave\tVB\tI-VP\tO' +p57900 +aS'trouble\ttrouble\tNN\tB-NP\tO' +p57901 +aS'with\twith\tIN\tB-PP\tO' +p57902 +aS'afib\tafib\tNN\tB-NP\tO' +p57903 +aS'and\tand\tCC\tO\tO' +p57904 +aS'required\trequire\tVBD\tB-VP\tO' +p57905 +aS'a\ta\tDT\tB-NP\tO' +p57906 +aS'dilt\tdilt\tJJ\tI-NP\tO' +p57907 +aS'gtt\tgtt\tNN\tI-NP\tO' +p57908 +aS'on\ton\tIN\tB-PP\tO' +p57909 +aS'the\tthe\tDT\tB-NP\tO' +p57910 +aS'day\tday\tNN\tI-NP\tO' +p57911 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p57912 +aS'to\tto\tTO\tB-VP\tO' +p57913 +aS'call-out\tcall-out\tVB\tI-VP\tO' +p57914 +aS'to\tto\tTO\tI-VP\tO' +p57915 +aS'control\tcontrol\tVB\tI-VP\tO' +p57916 +aS'this\tthis\tDT\tB-NP\tO' +p57917 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p57918 +aS'but\tbut\tCC\tO\tO' +p57919 +aS'she\tshe\tPRP\tB-NP\tO' +p57920 +aS'was\tbe\tVBD\tB-VP\tO' +p57921 +aS'transitioned\ttransitione\tVBN\tI-VP\tO' +p57922 +aS'to\tto\tTO\tB-PP\tO' +p57923 +aS'PO\tPO\tNN\tB-NP\tO' +p57924 +aS'diltiazem\tdiltiazem\tNN\tI-NP\tO' +p57925 +aS'on\ton\tIN\tB-PP\tO' +p57926 +aS'the\tthe\tDT\tB-NP\tO' +p57927 +aS'day\tday\tNN\tI-NP\tO' +p57928 +aS'of\tof\tIN\tB-PP\tO' +p57929 +aS'call-out\tcall-out\tNN\tB-NP\tO' +p57930 +aS'.\t.\t.\tO\tO' +p57931 +asS'These culminated in an attempted cadaveric kidney transplant undertaken on 12/16/97 , which was complicated by thrombosis and necrosis of the cadaveric renal vein within 24 hours .' +p57932 +(lp57933 +S'These\tThese\tDT\tB-NP\tO' +p57934 +aS'culminated\tculminate\tVBN\tB-VP\tO' +p57935 +aS'in\tin\tIN\tB-PP\tO' +p57936 +aS'an\tan\tDT\tB-NP\tO' +p57937 +aS'attempted\tattempt\tVBN\tI-NP\tO' +p57938 +aS'cadaveric\tcadaveric\tJJ\tI-NP\tO' +p57939 +aS'kidney\tkidney\tNN\tI-NP\tO' +p57940 +aS'transplant\ttransplant\tNN\tI-NP\tO' +p57941 +aS'undertaken\tundertake\tVBN\tB-VP\tO' +p57942 +aS'on\ton\tIN\tB-PP\tO' +p57943 +aS'12/16/97\t12/16/97\tCD\tB-NP\tO' +p57944 +aS',\t,\t,\tO\tO' +p57945 +aS'which\twhich\tWDT\tB-NP\tO' +p57946 +aS'was\tbe\tVBD\tB-VP\tO' +p57947 +aS'complicated\tcomplicate\tVBN\tI-VP\tO' +p57948 +aS'by\tby\tIN\tB-PP\tO' +p57949 +aS'thrombosis\tthrombosis\tNN\tB-NP\tO' +p57950 +aS'and\tand\tCC\tI-NP\tO' +p57951 +aS'necrosis\tnecrosis\tNN\tI-NP\tO' +p57952 +aS'of\tof\tIN\tB-PP\tO' +p57953 +aS'the\tthe\tDT\tB-NP\tO' +p57954 +aS'cadaveric\tcadaveric\tJJ\tI-NP\tO' +p57955 +aS'renal\trenal\tJJ\tI-NP\tO' +p57956 +aS'vein\tvein\tNN\tI-NP\tO' +p57957 +aS'within\twithin\tIN\tB-PP\tO' +p57958 +aS'24\t24\tCD\tB-NP\tO' +p57959 +aS'hours\thour\tNNS\tI-NP\tO' +p57960 +aS'.\t.\t.\tO\tO' +p57961 +asS'Toxicology screen was negative .' +p57962 +(lp57963 +S'Toxicology\tToxicology\tNN\tB-NP\tO' +p57964 +aS'screen\tscreen\tNN\tI-NP\tO' +p57965 +aS'was\tbe\tVBD\tB-VP\tO' +p57966 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p57967 +aS'.\t.\t.\tO\tO' +p57968 +asS'trop < assay , CK 67 , MB 0.2 .' +p57969 +(lp57970 +S'trop\ttrop\tVB\tB-VP\tO' +p57971 +aS'<\t<\tJJ|NN\tB-NP\tO' +p57972 +aS'assay\tassay\tNN\tI-NP\tO' +p57973 +aS',\t,\t,\tO\tO' +p57974 +aS'CK\tCK\tNN\tB-NP\tB-protein' +p57975 +aS'67\t67\tCD\tI-NP\tI-protein' +p57976 +aS',\t,\t,\tO\tO' +p57977 +aS'MB\tMB\tNN\tB-NP\tB-protein' +p57978 +aS'0.2\t0.2\tCD\tI-NP\tI-protein' +p57979 +aS'.\t.\t.\tO\tO' +p57980 +asS'In Clinic his cervical spine examination was benign .' +p57981 +(lp57982 +S'In\tIn\tIN\tB-PP\tO' +p57983 +aS'Clinic\tClinic\tNNP\tB-NP\tO' +p57984 +aS'his\this\tPRP$\tB-NP\tO' +p57985 +aS'cervical\tcervical\tJJ\tI-NP\tO' +p57986 +aS'spine\tspine\tNN\tI-NP\tO' +p57987 +aS'examination\texamination\tNN\tI-NP\tO' +p57988 +aS'was\tbe\tVBD\tB-VP\tO' +p57989 +aS'benign\tbenign\tJJ\tB-ADJP\tO' +p57990 +aS'.\t.\t.\tO\tO' +p57991 +asS'Transmitral Doppler and tissue velocity imaging are consistent with Grade III/IV ( severe ) left ventricular diastolic dysfunction .' +p57992 +(lp57993 +S'Transmitral\tTransmitral\tJJ\tB-NP\tO' +p57994 +aS'Doppler\tDoppler\tNN\tI-NP\tO' +p57995 +aS'and\tand\tCC\tI-NP\tO' +p57996 +aS'tissue\ttissue\tNN\tI-NP\tO' +p57997 +aS'velocity\tvelocity\tNN\tI-NP\tO' +p57998 +aS'imaging\timaging\tNN\tI-NP\tO' +p57999 +aS'are\tbe\tVBP\tB-VP\tO' +p58000 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p58001 +aS'with\twith\tIN\tB-PP\tO' +p58002 +aS'Grade\tGrade\tNN\tB-NP\tO' +p58003 +aS'III/IV\tIII/IV\tCD\tI-NP\tO' +p58004 +aS'(\t(\t(\tO\tO' +p58005 +aS'severe\tsevere\tJJ\tB-ADJP\tO' +p58006 +aS')\t)\t)\tO\tO' +p58007 +aS'left\tleave\tVBD\tB-VP\tO' +p58008 +aS'ventricular\tventricular\tJJ\tB-NP\tO' +p58009 +aS'diastolic\tdiastolic\tJJ\tI-NP\tO' +p58010 +aS'dysfunction\tdysfunction\tNN\tI-NP\tO' +p58011 +aS'.\t.\t.\tO\tO' +p58012 +asS'Urinalysis obtained on admission was additionally negative .' +p58013 +(lp58014 +S'Urinalysis\tUrinalysis\tNN\tB-NP\tO' +p58015 +aS'obtained\tobtain\tVBN\tB-VP\tO' +p58016 +aS'on\ton\tIN\tB-PP\tO' +p58017 +aS'admission\tadmission\tNN\tB-NP\tO' +p58018 +aS'was\tbe\tVBD\tB-VP\tO' +p58019 +aS'additionally\tadditionally\tRB\tB-ADJP\tO' +p58020 +aS'negative\tnegative\tJJ\tI-ADJP\tO' +p58021 +aS'.\t.\t.\tO\tO' +p58022 +asS'2. Hypercholesterolemia .' +p58023 +(lp58024 +S'2.\t2.\tLS\tB-NP\tO' +p58025 +aS'Hypercholesterolemia\tHypercholesterolemia\tNN\tI-NP\tO' +p58026 +aS'.\t.\t.\tO\tO' +p58027 +asS'At this time , the decision to treat the patient nonoperatively was made , and the patient was admitted to the Intensive Care Unit for close monitoring .' +p58028 +(lp58029 +S'At\tAt\tIN\tB-PP\tO' +p58030 +aS'this\tthis\tDT\tB-NP\tO' +p58031 +aS'time\ttime\tNN\tI-NP\tO' +p58032 +aS',\t,\t,\tO\tO' +p58033 +aS'the\tthe\tDT\tB-NP\tO' +p58034 +aS'decision\tdecision\tNN\tI-NP\tO' +p58035 +aS'to\tto\tTO\tB-VP\tO' +p58036 +aS'treat\ttreat\tVB\tI-VP\tO' +p58037 +aS'the\tthe\tDT\tB-NP\tO' +p58038 +aS'patient\tpatient\tNN\tI-NP\tO' +p58039 +aS'nonoperatively\tnonoperatively\tRB\tB-ADVP\tO' +p58040 +aS'was\tbe\tVBD\tB-VP\tO' +p58041 +aS'made\tmake\tVBN\tI-VP\tO' +p58042 +aS',\t,\t,\tO\tO' +p58043 +aS'and\tand\tCC\tO\tO' +p58044 +aS'the\tthe\tDT\tB-NP\tO' +p58045 +aS'patient\tpatient\tNN\tI-NP\tO' +p58046 +aS'was\tbe\tVBD\tB-VP\tO' +p58047 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p58048 +aS'to\tto\tTO\tB-PP\tO' +p58049 +aS'the\tthe\tDT\tB-NP\tO' +p58050 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p58051 +aS'Care\tCare\tNNP\tI-NP\tO' +p58052 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p58053 +aS'for\tfor\tIN\tB-PP\tO' +p58054 +aS'close\tclose\tJJ\tB-NP\tO' +p58055 +aS'monitoring\tmonitoring\tNN\tI-NP\tO' +p58056 +aS'.\t.\t.\tO\tO' +p58057 +asS'B and W and work w/ therapist re: historical issues .' +p58058 +(lp58059 +S'B\tB\tNN\tB-NP\tO' +p58060 +aS'and\tand\tCC\tO\tO' +p58061 +aS'W\tW\tNN\tB-NP\tO' +p58062 +aS'and\tand\tCC\tO\tO' +p58063 +aS'work\twork\tNN\tB-NP\tO' +p58064 +aS'w/\tw/\tNN\tI-NP\tO' +p58065 +aS'therapist\ttherapist\tNN\tI-NP\tO' +p58066 +aS're:\tre:\tVBP\tB-VP\tO' +p58067 +aS'historical\thistorical\tJJ\tB-NP\tO' +p58068 +aS'issues\tissue\tNNS\tI-NP\tO' +p58069 +aS'.\t.\t.\tO\tO' +p58070 +asS'In addition , on postoperative day number two , the patient was transferred out to the floor and she was doing better in terms of pain control on a Dilaudid PCA machine .' +p58071 +(lp58072 +S'In\tIn\tIN\tB-PP\tO' +p58073 +aS'addition\taddition\tNN\tB-NP\tO' +p58074 +aS',\t,\t,\tO\tO' +p58075 +aS'on\ton\tIN\tB-PP\tO' +p58076 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p58077 +aS'day\tday\tNN\tI-NP\tO' +p58078 +aS'number\tnumber\tNN\tI-NP\tO' +p58079 +aS'two\ttwo\tCD\tB-NP\tO' +p58080 +aS',\t,\t,\tO\tO' +p58081 +aS'the\tthe\tDT\tB-NP\tO' +p58082 +aS'patient\tpatient\tNN\tI-NP\tO' +p58083 +aS'was\tbe\tVBD\tB-VP\tO' +p58084 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p58085 +aS'out\tout\tRP\tB-PRT\tO' +p58086 +aS'to\tto\tTO\tB-PP\tO' +p58087 +aS'the\tthe\tDT\tB-NP\tO' +p58088 +aS'floor\tfloor\tNN\tI-NP\tO' +p58089 +aS'and\tand\tCC\tO\tO' +p58090 +aS'she\tshe\tPRP\tB-NP\tO' +p58091 +aS'was\tbe\tVBD\tB-VP\tO' +p58092 +aS'doing\tdo\tVBG\tI-VP\tO' +p58093 +aS'better\twell\tRBR\tB-ADVP\tO' +p58094 +aS'in\tin\tIN\tB-PP\tO' +p58095 +aS'terms\tterm\tNNS\tB-NP\tO' +p58096 +aS'of\tof\tIN\tB-PP\tO' +p58097 +aS'pain\tpain\tNN\tB-NP\tO' +p58098 +aS'control\tcontrol\tNN\tI-NP\tO' +p58099 +aS'on\ton\tIN\tB-PP\tO' +p58100 +aS'a\ta\tDT\tB-NP\tO' +p58101 +aS'Dilaudid\tDilaudid\tJJ\tI-NP\tO' +p58102 +aS'PCA\tPCA\tNN\tI-NP\tO' +p58103 +aS'machine\tmachine\tNN\tI-NP\tO' +p58104 +aS'.\t.\t.\tO\tO' +p58105 +asS'She says that her appetite is good and has noted no weight loss .' +p58106 +(lp58107 +S'She\tShe\tPRP\tB-NP\tO' +p58108 +aS'says\tsay\tVBZ\tB-VP\tO' +p58109 +aS'that\tthat\tIN\tB-SBAR\tO' +p58110 +aS'her\ther\tPRP$\tB-NP\tO' +p58111 +aS'appetite\tappetite\tNN\tI-NP\tO' +p58112 +aS'is\tbe\tVBZ\tB-VP\tO' +p58113 +aS'good\tgood\tJJ\tB-ADJP\tO' +p58114 +aS'and\tand\tCC\tO\tO' +p58115 +aS'has\thave\tVBZ\tB-VP\tO' +p58116 +aS'noted\tnote\tVBN\tI-VP\tO' +p58117 +aS'no\tno\tDT\tB-NP\tO' +p58118 +aS'weight\tweight\tNN\tI-NP\tO' +p58119 +aS'loss\tloss\tNN\tI-NP\tO' +p58120 +aS'.\t.\t.\tO\tO' +p58121 +asS'Became progressively hypoxic and tachypneic throughout the day with respiratory rates of 30-40 with a max respiratory rate of 116 , tachycardia to 120s .' +p58122 +(lp58123 +S'Became\tBecome\tVBD\tB-VP\tO' +p58124 +aS'progressively\tprogressively\tRB\tB-ADJP\tO' +p58125 +aS'hypoxic\thypoxic\tJJ\tI-ADJP\tO' +p58126 +aS'and\tand\tCC\tI-ADJP\tO' +p58127 +aS'tachypneic\ttachypneic\tJJ\tI-ADJP\tO' +p58128 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p58129 +aS'the\tthe\tDT\tB-NP\tO' +p58130 +aS'day\tday\tNN\tI-NP\tO' +p58131 +aS'with\twith\tIN\tB-PP\tO' +p58132 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p58133 +aS'rates\trate\tNNS\tI-NP\tO' +p58134 +aS'of\tof\tIN\tB-PP\tO' +p58135 +aS'30-40\t30-40\tCD\tB-NP\tO' +p58136 +aS'with\twith\tIN\tB-PP\tO' +p58137 +aS'a\ta\tDT\tB-NP\tO' +p58138 +aS'max\tmax\tNN\tI-NP\tO' +p58139 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p58140 +aS'rate\trate\tNN\tI-NP\tO' +p58141 +aS'of\tof\tIN\tB-PP\tO' +p58142 +aS'116\t116\tCD\tB-NP\tO' +p58143 +aS',\t,\t,\tO\tO' +p58144 +aS'tachycardia\ttachycardia\tNN\tB-NP\tO' +p58145 +aS'to\tto\tTO\tB-PP\tO' +p58146 +aS'120s\t120s\tCD\tB-NP\tO' +p58147 +aS'.\t.\t.\tO\tO' +p58148 +asS'A rhythm check obtained during the time of this event demonstrated a pause of six seconds followed by a junctional escape rhythm .' +p58149 +(lp58150 +S'A\tA\tDT\tB-NP\tO' +p58151 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p58152 +aS'check\tcheck\tNN\tI-NP\tO' +p58153 +aS'obtained\tobtain\tVBN\tB-VP\tO' +p58154 +aS'during\tduring\tIN\tB-PP\tO' +p58155 +aS'the\tthe\tDT\tB-NP\tO' +p58156 +aS'time\ttime\tNN\tI-NP\tO' +p58157 +aS'of\tof\tIN\tB-PP\tO' +p58158 +aS'this\tthis\tDT\tB-NP\tO' +p58159 +aS'event\tevent\tNN\tI-NP\tO' +p58160 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p58161 +aS'a\ta\tDT\tB-NP\tO' +p58162 +aS'pause\tpause\tNN\tI-NP\tO' +p58163 +aS'of\tof\tIN\tB-PP\tO' +p58164 +aS'six\tsix\tCD\tB-NP\tO' +p58165 +aS'seconds\tsecond\tNNS\tI-NP\tO' +p58166 +aS'followed\tfollow\tVBN\tB-VP\tO' +p58167 +aS'by\tby\tIN\tB-PP\tO' +p58168 +aS'a\ta\tDT\tB-NP\tO' +p58169 +aS'junctional\tjunctional\tJJ\tI-NP\tO' +p58170 +aS'escape\tescape\tNN\tI-NP\tO' +p58171 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p58172 +aS'.\t.\t.\tO\tO' +p58173 +asS'There was a right groin A line and a left groin venous sheath with a Swan .' +p58174 +(lp58175 +S'There\tThere\tEX\tB-NP\tO' +p58176 +aS'was\tbe\tVBD\tB-VP\tO' +p58177 +aS'a\ta\tDT\tB-NP\tO' +p58178 +aS'right\tright\tJJ\tI-NP\tO' +p58179 +aS'groin\tgroin\tNN\tI-NP\tO' +p58180 +aS'A\tA\tNN\tI-NP\tO' +p58181 +aS'line\tline\tNN\tI-NP\tO' +p58182 +aS'and\tand\tCC\tO\tO' +p58183 +aS'a\ta\tDT\tB-NP\tO' +p58184 +aS'left\tleft\tJJ\tI-NP\tO' +p58185 +aS'groin\tgroin\tNN\tI-NP\tO' +p58186 +aS'venous\tvenous\tJJ\tI-NP\tO' +p58187 +aS'sheath\tsheath\tNN\tI-NP\tO' +p58188 +aS'with\twith\tIN\tB-PP\tO' +p58189 +aS'a\ta\tDT\tB-NP\tO' +p58190 +aS'Swan\tSwan\tNNP\tI-NP\tO' +p58191 +aS'.\t.\t.\tO\tO' +p58192 +asS'Dictated By : Michelle A Sweeney , M.D.' +p58193 +(lp58194 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p58195 +aS'By\tBy\tIN\tB-PP\tO' +p58196 +aS':\t:\t:\tO\tO' +p58197 +aS'Michelle\tMichelle\tNNP\tB-NP\tO' +p58198 +aS'A\tA\tNNP\tI-NP\tO' +p58199 +aS'Sweeney\tSweeney\tNNP\tI-NP\tO' +p58200 +aS',\t,\t,\tO\tO' +p58201 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p58202 +asS'11. S/P L shoulder hemiarthroplasty following a left humeral fracuture in 2018-11-10- Dumas was complicated by a PEA arrest secondary to PE .' +p58203 +(lp58204 +S'11.\t11.\tLS\tB-NP\tO' +p58205 +aS'S/P\tS/P\tNN\tI-NP\tO' +p58206 +aS'L\tL\tNN\tI-NP\tO' +p58207 +aS'shoulder\tshoulder\tNN\tI-NP\tO' +p58208 +aS'hemiarthroplasty\themiarthroplasty\tNN\tI-NP\tO' +p58209 +aS'following\tfollow\tVBG\tB-PP\tO' +p58210 +aS'a\ta\tDT\tB-NP\tO' +p58211 +aS'left\tleft\tJJ\tI-NP\tO' +p58212 +aS'humeral\thumeral\tJJ\tI-NP\tO' +p58213 +aS'fracuture\tfracuture\tNN\tI-NP\tO' +p58214 +aS'in\tin\tIN\tB-PP\tO' +p58215 +aS'2018-11-10-\t2018-11-10-\tCD\tB-NP\tO' +p58216 +aS'Dumas\tDumas\tNNP\tI-NP\tO' +p58217 +aS'was\tbe\tVBD\tB-VP\tO' +p58218 +aS'complicated\tcomplicate\tVBN\tI-VP\tO' +p58219 +aS'by\tby\tIN\tB-PP\tO' +p58220 +aS'a\ta\tDT\tB-NP\tO' +p58221 +aS'PEA\tPEA\tNN\tI-NP\tO' +p58222 +aS'arrest\tarrest\tNN\tI-NP\tO' +p58223 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p58224 +aS'to\tto\tTO\tB-PP\tO' +p58225 +aS'PE\tPE\tNN\tB-NP\tO' +p58226 +aS'.\t.\t.\tO\tO' +p58227 +asS'No masses or vegetations are seen on the aortic valve .' +p58228 +(lp58229 +S'No\tNo\tDT\tB-NP\tO' +p58230 +aS'masses\tmass\tNNS\tI-NP\tO' +p58231 +aS'or\tor\tCC\tI-NP\tO' +p58232 +aS'vegetations\tvegetation\tNNS\tI-NP\tO' +p58233 +aS'are\tbe\tVBP\tB-VP\tO' +p58234 +aS'seen\tsee\tVBN\tI-VP\tO' +p58235 +aS'on\ton\tIN\tB-PP\tO' +p58236 +aS'the\tthe\tDT\tB-NP\tO' +p58237 +aS'aortic\taortic\tJJ\tI-NP\tO' +p58238 +aS'valve\tvalve\tNN\tI-NP\tO' +p58239 +aS'.\t.\t.\tO\tO' +p58240 +asS'Despite having a profund limitation communicating given his neurological status , his mental changes seemed to improved initially .' +p58241 +(lp58242 +S'Despite\tDespite\tIN\tB-PP\tO' +p58243 +aS'having\thave\tVBG\tB-VP\tO' +p58244 +aS'a\ta\tDT\tB-NP\tO' +p58245 +aS'profund\tprofund\tNN\tI-NP\tO' +p58246 +aS'limitation\tlimitation\tNN\tI-NP\tO' +p58247 +aS'communicating\tcommunicate\tVBG\tB-VP\tO' +p58248 +aS'given\tgive\tVBN\tB-PP\tO' +p58249 +aS'his\this\tPRP$\tB-NP\tO' +p58250 +aS'neurological\tneurological\tJJ\tI-NP\tO' +p58251 +aS'status\tstatus\tNN\tI-NP\tO' +p58252 +aS',\t,\t,\tO\tO' +p58253 +aS'his\this\tPRP$\tB-NP\tO' +p58254 +aS'mental\tmental\tJJ\tI-NP\tO' +p58255 +aS'changes\tchange\tNNS\tI-NP\tO' +p58256 +aS'seemed\tseem\tVBD\tB-VP\tO' +p58257 +aS'to\tto\tTO\tI-VP\tO' +p58258 +aS'improved\timproved\tVB\tI-VP\tO' +p58259 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p58260 +aS'.\t.\t.\tO\tO' +p58261 +asS'She also describes a fast heart rate and palpitations .' +p58262 +(lp58263 +S'She\tShe\tPRP\tB-NP\tO' +p58264 +aS'also\talso\tRB\tB-ADVP\tO' +p58265 +aS'describes\tdescribe\tVBZ\tB-VP\tO' +p58266 +aS'a\ta\tDT\tB-NP\tO' +p58267 +aS'fast\tfast\tJJ\tI-NP\tO' +p58268 +aS'heart\theart\tNN\tI-NP\tO' +p58269 +aS'rate\trate\tNN\tI-NP\tO' +p58270 +aS'and\tand\tCC\tO\tO' +p58271 +aS'palpitations\tpalpitation\tNNS\tB-NP\tO' +p58272 +aS'.\t.\t.\tO\tO' +p58273 +asS'The patient was discharged home with services .' +p58274 +(lp58275 +S'The\tThe\tDT\tB-NP\tO' +p58276 +aS'patient\tpatient\tNN\tI-NP\tO' +p58277 +aS'was\tbe\tVBD\tB-VP\tO' +p58278 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p58279 +aS'home\thome\tNN\tB-ADVP\tO' +p58280 +aS'with\twith\tIN\tB-PP\tO' +p58281 +aS'services\tservice\tNNS\tB-NP\tO' +p58282 +aS'.\t.\t.\tO\tO' +p58283 +asS'This is to notify you that your patient , FYFEUARDFEL , TADE arrived in the Emergency Department at Ph University Of Medical Center on 09/20/2000 12:41 PM .' +p58284 +(lp58285 +S'This\tThis\tDT\tB-NP\tO' +p58286 +aS'is\tbe\tVBZ\tB-VP\tO' +p58287 +aS'to\tto\tTO\tB-VP\tO' +p58288 +aS'notify\tnotify\tVB\tI-VP\tO' +p58289 +aS'you\tyou\tPRP\tB-NP\tO' +p58290 +aS'that\tthat\tIN\tB-SBAR\tO' +p58291 +aS'your\tyour\tPRP$\tB-NP\tO' +p58292 +aS'patient\tpatient\tNN\tI-NP\tO' +p58293 +aS',\t,\t,\tO\tO' +p58294 +aS'FYFEUARDFEL\tFYFEUARDFEL\tNN\tB-NP\tO' +p58295 +aS',\t,\t,\tO\tO' +p58296 +aS'TADE\tTADE\tNN\tB-NP\tO' +p58297 +aS'arrived\tarrive\tVBD\tB-VP\tO' +p58298 +aS'in\tin\tIN\tB-PP\tO' +p58299 +aS'the\tthe\tDT\tB-NP\tO' +p58300 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p58301 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p58302 +aS'at\tat\tIN\tB-PP\tO' +p58303 +aS'Ph\tPh\tNNP\tB-NP\tO' +p58304 +aS'University\tUniversity\tNNP\tI-NP\tO' +p58305 +aS'Of\tOf\tNNP\tI-NP\tO' +p58306 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p58307 +aS'Center\tCenter\tNNP\tI-NP\tO' +p58308 +aS'on\ton\tIN\tB-PP\tO' +p58309 +aS'09/20/2000\t09/20/2000\tCD\tB-NP\tO' +p58310 +aS'12:41\t12:41\tCD\tI-NP\tO' +p58311 +aS'PM\tPM\tNN\tI-NP\tO' +p58312 +aS'.\t.\t.\tO\tO' +p58313 +asS'He also had bl atelectasis on cxr .' +p58314 +(lp58315 +S'He\tHe\tPRP\tB-NP\tO' +p58316 +aS'also\talso\tRB\tB-ADVP\tO' +p58317 +aS'had\thave\tVBD\tB-VP\tO' +p58318 +aS'bl\tbl\tNN\tB-NP\tO' +p58319 +aS'atelectasis\tatelectasis\tNN\tI-NP\tO' +p58320 +aS'on\ton\tIN\tB-PP\tO' +p58321 +aS'cxr\tcxr\tNN\tB-NP\tB-protein' +p58322 +aS'.\t.\t.\tO\tO' +p58323 +asS'These have spontaneously reversed , and are nearly normal at the time of discharge .' +p58324 +(lp58325 +S'These\tThese\tDT\tB-NP\tO' +p58326 +aS'have\thave\tVBP\tB-VP\tO' +p58327 +aS'spontaneously\tspontaneously\tRB\tI-VP\tO' +p58328 +aS'reversed\treverse\tVBN\tI-VP\tO' +p58329 +aS',\t,\t,\tO\tO' +p58330 +aS'and\tand\tCC\tO\tO' +p58331 +aS'are\tbe\tVBP\tB-VP\tO' +p58332 +aS'nearly\tnearly\tRB\tB-ADJP\tO' +p58333 +aS'normal\tnormal\tJJ\tI-ADJP\tO' +p58334 +aS'at\tat\tIN\tB-PP\tO' +p58335 +aS'the\tthe\tDT\tB-NP\tO' +p58336 +aS'time\ttime\tNN\tI-NP\tO' +p58337 +aS'of\tof\tIN\tB-PP\tO' +p58338 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p58339 +aS'.\t.\t.\tO\tO' +p58340 +asS'Physical Therapy was consulted , and crutches were given to the patient .' +p58341 +(lp58342 +S'Physical\tPhysical\tJJ\tB-NP\tO' +p58343 +aS'Therapy\tTherapy\tNN\tI-NP\tO' +p58344 +aS'was\tbe\tVBD\tB-VP\tO' +p58345 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p58346 +aS',\t,\t,\tO\tO' +p58347 +aS'and\tand\tCC\tO\tO' +p58348 +aS'crutches\tcrutch\tNNS\tB-NP\tO' +p58349 +aS'were\tbe\tVBD\tB-VP\tO' +p58350 +aS'given\tgive\tVBN\tI-VP\tO' +p58351 +aS'to\tto\tTO\tB-PP\tO' +p58352 +aS'the\tthe\tDT\tB-NP\tO' +p58353 +aS'patient\tpatient\tNN\tI-NP\tO' +p58354 +aS'.\t.\t.\tO\tO' +p58355 +asS'took Prednisone 40 at home and presented to ED where found to have 1mm lateral ST depressions and slight troponin and MB leak .' +p58356 +(lp58357 +S'took\ttake\tVBD\tB-VP\tO' +p58358 +aS'Prednisone\tPrednisone\tNN\tB-NP\tO' +p58359 +aS'40\t40\tCD\tI-NP\tO' +p58360 +aS'at\tat\tIN\tB-PP\tO' +p58361 +aS'home\thome\tNN\tB-NP\tO' +p58362 +aS'and\tand\tCC\tO\tO' +p58363 +aS'presented\tpresent\tVBN\tB-VP\tO' +p58364 +aS'to\tto\tTO\tB-VP\tO' +p58365 +aS'ED\tED\tVBN\tI-VP\tO' +p58366 +aS'where\twhere\tWRB\tB-ADVP\tO' +p58367 +aS'found\tfind\tVBN\tB-VP\tO' +p58368 +aS'to\tto\tTO\tI-VP\tO' +p58369 +aS'have\thave\tVB\tI-VP\tO' +p58370 +aS'1mm\t1mm\tNN\tB-NP\tO' +p58371 +aS'lateral\tlateral\tJJ\tI-NP\tO' +p58372 +aS'ST\tST\tJJ\tI-NP\tO' +p58373 +aS'depressions\tdepression\tNNS\tI-NP\tO' +p58374 +aS'and\tand\tCC\tO\tO' +p58375 +aS'slight\tslight\tJJ\tB-NP\tO' +p58376 +aS'troponin\ttroponin\tNN\tI-NP\tO' +p58377 +aS'and\tand\tCC\tI-NP\tO' +p58378 +aS'MB\tMB\tNN\tI-NP\tB-protein' +p58379 +aS'leak\tleak\tNN\tI-NP\tI-protein' +p58380 +aS'.\t.\t.\tO\tO' +p58381 +asS'Attending : Sarah Q. George , M.D.' +p58382 +(lp58383 +S'Attending\tAttend\tVBG\tB-VP\tO' +p58384 +aS':\t:\t:\tO\tO' +p58385 +aS'Sarah\tSarah\tNNP\tB-NP\tO' +p58386 +aS'Q.\tQ.\tNNP\tI-NP\tO' +p58387 +aS'George\tGeorge\tNNP\tI-NP\tO' +p58388 +aS',\t,\t,\tO\tO' +p58389 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p58390 +asS'9. Hypercoagulable state .' +p58391 +(lp58392 +S'9.\t9.\tLS\tB-NP\tO' +p58393 +aS'Hypercoagulable\tHypercoagulable\tJJ\tI-NP\tO' +p58394 +aS'state\tstate\tNN\tI-NP\tO' +p58395 +aS'.\t.\t.\tO\tO' +p58396 +asS'He is status post a hemiarthroplasty on 10/17/97 .' +p58397 +(lp58398 +S'He\tHe\tPRP\tB-NP\tO' +p58399 +aS'is\tbe\tVBZ\tB-VP\tO' +p58400 +aS'status\tstatus\tNN\tB-NP\tO' +p58401 +aS'post\tpost\tIN\tB-PP\tO' +p58402 +aS'a\ta\tDT\tB-NP\tO' +p58403 +aS'hemiarthroplasty\themiarthroplasty\tNN\tI-NP\tO' +p58404 +aS'on\ton\tIN\tB-PP\tO' +p58405 +aS'10/17/97\t10/17/97\tCD\tB-NP\tO' +p58406 +aS'.\t.\t.\tO\tO' +p58407 +asS'With blood pressure control via a nitroglycerin drip and fluid restriction , the patient quickly improved and a had a relatively short stay in the Intensive Care Unit .' +p58408 +(lp58409 +S'With\tWith\tIN\tB-PP\tO' +p58410 +aS'blood\tblood\tNN\tB-NP\tO' +p58411 +aS'pressure\tpressure\tNN\tI-NP\tO' +p58412 +aS'control\tcontrol\tNN\tI-NP\tO' +p58413 +aS'via\tvia\tIN\tB-PP\tO' +p58414 +aS'a\ta\tDT\tB-NP\tO' +p58415 +aS'nitroglycerin\tnitroglycerin\tNN\tI-NP\tO' +p58416 +aS'drip\tdrip\tNN\tI-NP\tO' +p58417 +aS'and\tand\tCC\tO\tO' +p58418 +aS'fluid\tfluid\tNN\tB-NP\tO' +p58419 +aS'restriction\trestriction\tNN\tI-NP\tO' +p58420 +aS',\t,\t,\tO\tO' +p58421 +aS'the\tthe\tDT\tB-NP\tO' +p58422 +aS'patient\tpatient\tNN\tI-NP\tO' +p58423 +aS'quickly\tquickly\tRB\tB-ADVP\tO' +p58424 +aS'improved\timprove\tVBD\tB-VP\tO' +p58425 +aS'and\tand\tCC\tO\tO' +p58426 +aS'a\ta\tDT\tO\tO' +p58427 +aS'had\thave\tVBD\tB-VP\tO' +p58428 +aS'a\ta\tDT\tB-NP\tO' +p58429 +aS'relatively\trelatively\tRB\tI-NP\tO' +p58430 +aS'short\tshort\tJJ\tI-NP\tO' +p58431 +aS'stay\tstay\tNN\tI-NP\tO' +p58432 +aS'in\tin\tIN\tB-PP\tO' +p58433 +aS'the\tthe\tDT\tB-NP\tO' +p58434 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p58435 +aS'Care\tCare\tNNP\tI-NP\tO' +p58436 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p58437 +aS'.\t.\t.\tO\tO' +p58438 +asS'Significant for her father , who died at 50 years from myocarditis .' +p58439 +(lp58440 +S'Significant\tSignificant\tJJ\tB-ADJP\tO' +p58441 +aS'for\tfor\tIN\tB-PP\tO' +p58442 +aS'her\ther\tPRP$\tB-NP\tO' +p58443 +aS'father\tfather\tNN\tI-NP\tO' +p58444 +aS',\t,\t,\tO\tO' +p58445 +aS'who\twho\tWP\tB-NP\tO' +p58446 +aS'died\tdie\tVBD\tB-VP\tO' +p58447 +aS'at\tat\tIN\tB-PP\tO' +p58448 +aS'50\t50\tCD\tB-NP\tO' +p58449 +aS'years\tyear\tNNS\tI-NP\tO' +p58450 +aS'from\tfrom\tIN\tB-PP\tO' +p58451 +aS'myocarditis\tmyocarditis\tNN\tB-NP\tO' +p58452 +aS'.\t.\t.\tO\tO' +p58453 +asS'You will need to conrtinue with your Lovenox injections for at least 4-6 weeks as instructed by Orthopedics' +p58454 +(lp58455 +S'You\tYou\tPRP\tB-NP\tB-protein' +p58456 +aS'will\twill\tMD\tB-VP\tO' +p58457 +aS'need\tneed\tVB\tI-VP\tO' +p58458 +aS'to\tto\tTO\tI-VP\tO' +p58459 +aS'conrtinue\tconrtinue\tVB\tI-VP\tO' +p58460 +aS'with\twith\tIN\tB-PP\tO' +p58461 +aS'your\tyour\tPRP$\tB-NP\tO' +p58462 +aS'Lovenox\tLovenox\tNN\tI-NP\tO' +p58463 +aS'injections\tinjection\tNNS\tI-NP\tO' +p58464 +aS'for\tfor\tIN\tB-PP\tO' +p58465 +aS'at\tat\tIN\tB-NP\tO' +p58466 +aS'least\tleast\tJJS\tI-NP\tO' +p58467 +aS'4-6\t4-6\tCD\tI-NP\tO' +p58468 +aS'weeks\tweek\tNNS\tI-NP\tO' +p58469 +aS'as\tas\tIN\tB-SBAR\tO' +p58470 +aS'instructed\tinstruct\tVBN\tB-VP\tO' +p58471 +aS'by\tby\tIN\tB-PP\tO' +p58472 +aS'Orthopedics\tOrthopedic\tNNS\tB-NP\tO' +p58473 +asS'Thea patient was referred to Dr. Coma of the Eragnes Houseco Ardbay Memorial Hospital .' +p58474 +(lp58475 +S'Thea\tThea\tNN\tB-NP\tO' +p58476 +aS'patient\tpatient\tNN\tI-NP\tO' +p58477 +aS'was\tbe\tVBD\tB-VP\tO' +p58478 +aS'referred\trefer\tVBN\tI-VP\tO' +p58479 +aS'to\tto\tTO\tB-PP\tO' +p58480 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p58481 +aS'Coma\tComa\tNNP\tI-NP\tO' +p58482 +aS'of\tof\tIN\tB-PP\tO' +p58483 +aS'the\tthe\tDT\tB-NP\tO' +p58484 +aS'Eragnes\tEragnes\tNNP\tI-NP\tO' +p58485 +aS'Houseco\tHouseco\tNNP\tI-NP\tO' +p58486 +aS'Ardbay\tArdbay\tNNP\tI-NP\tO' +p58487 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p58488 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p58489 +aS'.\t.\t.\tO\tO' +p58490 +asS'2. Haldol 1 mg p.o. q. four to six hours p.r.n. agitation .' +p58491 +(lp58492 +S'2.\t2.\tLS\tB-LST\tO' +p58493 +aS'Haldol\tHaldol\tNN\tB-NP\tO' +p58494 +aS'1\t1\tCD\tI-NP\tO' +p58495 +aS'mg\tmg\tNN\tI-NP\tO' +p58496 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p58497 +aS'q.\tq.\tNN\tI-NP\tO' +p58498 +aS'four\tfour\tCD\tB-NP\tO' +p58499 +aS'to\tto\tTO\tI-NP\tO' +p58500 +aS'six\tsix\tCD\tI-NP\tO' +p58501 +aS'hours\thour\tNNS\tI-NP\tO' +p58502 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p58503 +aS'agitation\tagitation\tNN\tI-NP\tO' +p58504 +aS'.\t.\t.\tO\tO' +p58505 +asS'Abd : Non-distended , tender to palpation LLQ' +p58506 +(lp58507 +S'Abd\tAbd\tNN\tB-NP\tO' +p58508 +aS':\t:\t:\tO\tO' +p58509 +aS'Non-distended\tNon-distended\tJJ\tB-NP\tO' +p58510 +aS',\t,\t,\tI-NP\tO' +p58511 +aS'tender\ttender\tNN\tI-NP\tO' +p58512 +aS'to\tto\tTO\tB-PP\tO' +p58513 +aS'palpation\tpalpation\tNN\tB-NP\tO' +p58514 +aS'LLQ\tLLQ\tNN\tI-NP\tO' +p58515 +asS'She was treated with repeated Fleet 's enemas , and on postoperative day three , she had a number of bowel movements , was considerably more comfortable , and deemed ready for discharge .' +p58516 +(lp58517 +S'She\tShe\tPRP\tB-NP\tO' +p58518 +aS'was\tbe\tVBD\tB-VP\tO' +p58519 +aS'treated\ttreat\tVBN\tI-VP\tO' +p58520 +aS'with\twith\tIN\tB-PP\tO' +p58521 +aS'repeated\trepeat\tVBN\tB-NP\tO' +p58522 +aS'Fleet\tFleet\tNNP\tI-NP\tO' +p58523 +aS''s\t'\tNNS\tI-NP\tO' +p58524 +aS'enemas\tenema\tNNS\tI-NP\tO' +p58525 +aS',\t,\t,\tB-PP\tO' +p58526 +aS'and\tand\tCC\tI-PP\tO' +p58527 +aS'on\ton\tIN\tB-PP\tO' +p58528 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p58529 +aS'day\tday\tNN\tI-NP\tO' +p58530 +aS'three\tthree\tCD\tI-NP\tO' +p58531 +aS',\t,\t,\tO\tO' +p58532 +aS'she\tshe\tPRP\tB-NP\tO' +p58533 +aS'had\thave\tVBD\tB-VP\tO' +p58534 +aS'a\ta\tDT\tB-NP\tO' +p58535 +aS'number\tnumber\tNN\tI-NP\tO' +p58536 +aS'of\tof\tIN\tB-PP\tO' +p58537 +aS'bowel\tbowel\tNN\tB-NP\tO' +p58538 +aS'movements\tmovement\tNNS\tI-NP\tO' +p58539 +aS',\t,\t,\tO\tO' +p58540 +aS'was\tbe\tVBD\tB-VP\tO' +p58541 +aS'considerably\tconsiderably\tRB\tB-ADJP\tO' +p58542 +aS'more\tmore\tRBR\tI-ADJP\tO' +p58543 +aS'comfortable\tcomfortable\tJJ\tI-ADJP\tO' +p58544 +aS',\t,\t,\tO\tO' +p58545 +aS'and\tand\tCC\tO\tO' +p58546 +aS'deemed\tdeem\tVBD\tB-VP\tO' +p58547 +aS'ready\tready\tJJ\tB-ADJP\tO' +p58548 +aS'for\tfor\tIN\tB-PP\tO' +p58549 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p58550 +aS'.\t.\t.\tO\tO' +p58551 +asS'Cranial nerves II through XII grossly intact .' +p58552 +(lp58553 +S'Cranial\tCranial\tNNP\tB-NP\tO' +p58554 +aS'nerves\tnerve\tVBZ\tB-VP\tO' +p58555 +aS'II\tII\tCD\tB-NP\tO' +p58556 +aS'through\tthrough\tIN\tB-PP\tO' +p58557 +aS'XII\tXII\tCD\tB-NP\tB-DNA' +p58558 +aS'grossly\tgrossly\tRB\tB-ADJP\tO' +p58559 +aS'intact\tintact\tJJ\tI-ADJP\tO' +p58560 +aS'.\t.\t.\tO\tO' +p58561 +asS'If tests are positive , follow up with your primary care doctor of gynecologist .' +p58562 +(lp58563 +S'If\tIf\tIN\tB-SBAR\tO' +p58564 +aS'tests\ttest\tNNS\tB-NP\tO' +p58565 +aS'are\tbe\tVBP\tB-VP\tO' +p58566 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p58567 +aS',\t,\t,\tO\tO' +p58568 +aS'follow\tfollow\tVB\tB-VP\tO' +p58569 +aS'up\tup\tRP\tB-PRT\tO' +p58570 +aS'with\twith\tIN\tB-PP\tO' +p58571 +aS'your\tyour\tPRP$\tB-NP\tO' +p58572 +aS'primary\tprimary\tJJ\tI-NP\tO' +p58573 +aS'care\tcare\tNN\tI-NP\tO' +p58574 +aS'doctor\tdoctor\tNN\tI-NP\tO' +p58575 +aS'of\tof\tIN\tB-PP\tO' +p58576 +aS'gynecologist\tgynecologist\tNN\tB-NP\tO' +p58577 +aS'.\t.\t.\tO\tO' +p58578 +asS'He has bilateral breath sounds that are clear and equal .' +p58579 +(lp58580 +S'He\tHe\tPRP\tB-NP\tO' +p58581 +aS'has\thave\tVBZ\tB-VP\tO' +p58582 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p58583 +aS'breath\tbreath\tNN\tI-NP\tO' +p58584 +aS'sounds\tsound\tNNS\tI-NP\tO' +p58585 +aS'that\tthat\tWDT\tB-NP\tO' +p58586 +aS'are\tbe\tVBP\tB-VP\tO' +p58587 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p58588 +aS'and\tand\tCC\tI-ADJP\tO' +p58589 +aS'equal\tequal\tJJ\tI-ADJP\tO' +p58590 +aS'.\t.\t.\tO\tO' +p58591 +asS'The patient is married with two children and is currently unemployed .' +p58592 +(lp58593 +S'The\tThe\tDT\tB-NP\tO' +p58594 +aS'patient\tpatient\tNN\tI-NP\tO' +p58595 +aS'is\tbe\tVBZ\tB-VP\tO' +p58596 +aS'married\tmarry\tVBN\tI-VP\tO' +p58597 +aS'with\twith\tIN\tB-PP\tO' +p58598 +aS'two\ttwo\tCD\tB-NP\tO' +p58599 +aS'children\tchild\tNNS\tI-NP\tO' +p58600 +aS'and\tand\tCC\tO\tO' +p58601 +aS'is\tbe\tVBZ\tB-VP\tO' +p58602 +aS'currently\tcurrently\tRB\tB-ADJP\tO' +p58603 +aS'unemployed\tunemployed\tJJ\tI-ADJP\tO' +p58604 +aS'.\t.\t.\tO\tO' +p58605 +asS'There was no cva tenderness or spinal tenderness noted .' +p58606 +(lp58607 +S'There\tThere\tEX\tB-NP\tO' +p58608 +aS'was\tbe\tVBD\tB-VP\tO' +p58609 +aS'no\tno\tDT\tB-NP\tO' +p58610 +aS'cva\tcva\tNN\tI-NP\tO' +p58611 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p58612 +aS'or\tor\tCC\tO\tO' +p58613 +aS'spinal\tspinal\tJJ\tB-NP\tO' +p58614 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p58615 +aS'noted\tnote\tVBD\tB-VP\tO' +p58616 +aS'.\t.\t.\tO\tO' +p58617 +asS'Pulmonary recommended that he just be started on Albuterol and Atrovent metered dose inhalers , 2 puffs q6h , prior to surgery .' +p58618 +(lp58619 +S'Pulmonary\tPulmonary\tNNP\tB-NP\tO' +p58620 +aS'recommended\trecommend\tVBD\tB-VP\tO' +p58621 +aS'that\tthat\tIN\tB-SBAR\tO' +p58622 +aS'he\the\tPRP\tB-NP\tO' +p58623 +aS'just\tjust\tRB\tB-ADVP\tO' +p58624 +aS'be\tbe\tVB\tB-VP\tO' +p58625 +aS'started\tstart\tVBN\tI-VP\tO' +p58626 +aS'on\ton\tIN\tB-PP\tO' +p58627 +aS'Albuterol\tAlbuterol\tNNP\tB-NP\tO' +p58628 +aS'and\tand\tCC\tI-NP\tO' +p58629 +aS'Atrovent\tAtrovent\tNNP\tI-NP\tO' +p58630 +aS'metered\tmeter\tVBD\tB-VP\tO' +p58631 +aS'dose\tdose\tNN\tB-NP\tO' +p58632 +aS'inhalers\tinhaler\tNNS\tI-NP\tO' +p58633 +aS',\t,\t,\tO\tO' +p58634 +aS'2\t2\tCD\tB-NP\tO' +p58635 +aS'puffs\tpuff\tNNS\tI-NP\tO' +p58636 +aS'q6h\tq6h\tNN\tI-NP\tO' +p58637 +aS',\t,\t,\tO\tO' +p58638 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p58639 +aS'to\tto\tTO\tB-PP\tO' +p58640 +aS'surgery\tsurgery\tNN\tB-NP\tO' +p58641 +aS'.\t.\t.\tO\tO' +p58642 +asS'Chem-7 was notable for a bicarbonate of 31 and a glucose of 156 .' +p58643 +(lp58644 +S'Chem-7\tChem-7\tNN\tB-NP\tB-protein' +p58645 +aS'was\tbe\tVBD\tB-VP\tO' +p58646 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p58647 +aS'for\tfor\tIN\tB-PP\tO' +p58648 +aS'a\ta\tDT\tB-NP\tO' +p58649 +aS'bicarbonate\tbicarbonate\tNN\tI-NP\tO' +p58650 +aS'of\tof\tIN\tB-PP\tO' +p58651 +aS'31\t31\tCD\tB-NP\tO' +p58652 +aS'and\tand\tCC\tO\tO' +p58653 +aS'a\ta\tDT\tB-NP\tO' +p58654 +aS'glucose\tglucose\tNN\tI-NP\tO' +p58655 +aS'of\tof\tIN\tB-PP\tO' +p58656 +aS'156\t156\tCD\tB-NP\tO' +p58657 +aS'.\t.\t.\tO\tO' +p58658 +asS'This was done on 11-23 .' +p58659 +(lp58660 +S'This\tThis\tDT\tB-NP\tO' +p58661 +aS'was\tbe\tVBD\tB-VP\tO' +p58662 +aS'done\tdo\tVBN\tI-VP\tO' +p58663 +aS'on\ton\tIN\tB-PP\tO' +p58664 +aS'11-23\t11-23\tCD\tB-NP\tO' +p58665 +aS'.\t.\t.\tO\tO' +p58666 +asS'She was continued on zosyn and vancomycin to complete a >14 day course .' +p58667 +(lp58668 +S'She\tShe\tPRP\tB-NP\tO' +p58669 +aS'was\tbe\tVBD\tB-VP\tO' +p58670 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p58671 +aS'on\ton\tIN\tB-PP\tO' +p58672 +aS'zosyn\tzosyn\tNN\tB-NP\tO' +p58673 +aS'and\tand\tCC\tI-NP\tO' +p58674 +aS'vancomycin\tvancomycin\tNN\tI-NP\tO' +p58675 +aS'to\tto\tTO\tB-VP\tO' +p58676 +aS'complete\tcomplete\tVB\tI-VP\tO' +p58677 +aS'a\ta\tDT\tB-NP\tO' +p58678 +aS'>14\t>14\tNN\tI-NP\tO' +p58679 +aS'day\tday\tNN\tI-NP\tO' +p58680 +aS'course\tcourse\tNN\tI-NP\tO' +p58681 +aS'.\t.\t.\tO\tO' +p58682 +asS'He was diagnosed with needle biopsy on either side of the prostate with 3+3 equals 6 on the right side and 3+4 equals 7 on the left side .' +p58683 +(lp58684 +S'He\tHe\tPRP\tB-NP\tO' +p58685 +aS'was\tbe\tVBD\tB-VP\tO' +p58686 +aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' +p58687 +aS'with\twith\tIN\tB-PP\tO' +p58688 +aS'needle\tneedle\tNN\tB-NP\tO' +p58689 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p58690 +aS'on\ton\tIN\tB-PP\tO' +p58691 +aS'either\teither\tDT\tB-NP\tO' +p58692 +aS'side\tside\tNN\tI-NP\tO' +p58693 +aS'of\tof\tIN\tB-PP\tO' +p58694 +aS'the\tthe\tDT\tB-NP\tO' +p58695 +aS'prostate\tprostate\tNN\tI-NP\tO' +p58696 +aS'with\twith\tIN\tB-PP\tO' +p58697 +aS'3+3\t3+3\tCD\tB-NP\tO' +p58698 +aS'equals\tequal\tNNS\tI-NP\tO' +p58699 +aS'6\t6\tCD\tB-NP\tO' +p58700 +aS'on\ton\tIN\tB-PP\tO' +p58701 +aS'the\tthe\tDT\tB-NP\tO' +p58702 +aS'right\tright\tJJ\tI-NP\tO' +p58703 +aS'side\tside\tNN\tI-NP\tO' +p58704 +aS'and\tand\tCC\tO\tO' +p58705 +aS'3+4\t3+4\tCD\tB-NP\tO' +p58706 +aS'equals\tequal\tNNS\tI-NP\tO' +p58707 +aS'7\t7\tCD\tB-NP\tO' +p58708 +aS'on\ton\tIN\tB-PP\tO' +p58709 +aS'the\tthe\tDT\tB-NP\tO' +p58710 +aS'left\tleft\tJJ\tI-NP\tO' +p58711 +aS'side\tside\tNN\tI-NP\tO' +p58712 +aS'.\t.\t.\tO\tO' +p58713 +asS'The blood cultures on February 26 , 1994 grew out Staphylococcus and she was treated for septicemia .' +p58714 +(lp58715 +S'The\tThe\tDT\tB-NP\tO' +p58716 +aS'blood\tblood\tNN\tI-NP\tO' +p58717 +aS'cultures\tculture\tNNS\tI-NP\tO' +p58718 +aS'on\ton\tIN\tB-PP\tO' +p58719 +aS'February\tFebruary\tNNP\tB-NP\tO' +p58720 +aS'26\t26\tCD\tI-NP\tO' +p58721 +aS',\t,\t,\tI-NP\tO' +p58722 +aS'1994\t1994\tCD\tI-NP\tO' +p58723 +aS'grew\tgrow\tVBD\tB-VP\tO' +p58724 +aS'out\tout\tRP\tB-PRT\tO' +p58725 +aS'Staphylococcus\tStaphylococcus\tNNP\tB-NP\tO' +p58726 +aS'and\tand\tCC\tO\tO' +p58727 +aS'she\tshe\tPRP\tB-NP\tO' +p58728 +aS'was\tbe\tVBD\tB-VP\tO' +p58729 +aS'treated\ttreat\tVBN\tI-VP\tO' +p58730 +aS'for\tfor\tIN\tB-PP\tO' +p58731 +aS'septicemia\tsepticemia\tNN\tB-NP\tO' +p58732 +aS'.\t.\t.\tO\tO' +p58733 +asS'Her number is ( 512 ) 677-6547 .' +p58734 +(lp58735 +S'Her\tHer\tPRP$\tB-NP\tO' +p58736 +aS'number\tnumber\tNN\tI-NP\tO' +p58737 +aS'is\tbe\tVBZ\tB-VP\tO' +p58738 +aS'(\t(\t(\tO\tO' +p58739 +aS'512\t512\tCD\tB-NP\tO' +p58740 +aS')\t)\t)\tO\tO' +p58741 +aS'677-6547\t677-6547\tCD\tB-NP\tO' +p58742 +aS'.\t.\t.\tO\tO' +p58743 +asS'CT was negative and she returned to baseline neuro status without deficits by arrival to CSRU .' +p58744 +(lp58745 +S'CT\tCT\tNN\tB-NP\tO' +p58746 +aS'was\tbe\tVBD\tB-VP\tO' +p58747 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p58748 +aS'and\tand\tCC\tO\tO' +p58749 +aS'she\tshe\tPRP\tB-NP\tO' +p58750 +aS'returned\treturn\tVBD\tB-VP\tO' +p58751 +aS'to\tto\tTO\tB-PP\tO' +p58752 +aS'baseline\tbaseline\tNN\tB-NP\tO' +p58753 +aS'neuro\tneuro\tNN\tI-NP\tO' +p58754 +aS'status\tstatus\tNN\tI-NP\tO' +p58755 +aS'without\twithout\tIN\tB-PP\tO' +p58756 +aS'deficits\tdeficit\tNNS\tB-NP\tO' +p58757 +aS'by\tby\tIN\tB-PP\tO' +p58758 +aS'arrival\tarrival\tNN\tB-NP\tO' +p58759 +aS'to\tto\tTO\tB-PP\tO' +p58760 +aS'CSRU\tCSRU\tNN\tB-NP\tB-protein' +p58761 +aS'.\t.\t.\tO\tO' +p58762 +asS'The patient on admission was requiring 3 L NC in the setting of receiving 2L NS and chest film which demonstrated pulmonary congestion .' +p58763 +(lp58764 +S'The\tThe\tDT\tB-NP\tO' +p58765 +aS'patient\tpatient\tNN\tI-NP\tO' +p58766 +aS'on\ton\tIN\tB-PP\tO' +p58767 +aS'admission\tadmission\tNN\tB-NP\tO' +p58768 +aS'was\tbe\tVBD\tB-VP\tO' +p58769 +aS'requiring\trequire\tVBG\tI-VP\tO' +p58770 +aS'3\t3\tCD\tB-NP\tO' +p58771 +aS'L\tL\tNN\tI-NP\tO' +p58772 +aS'NC\tNC\tNN\tI-NP\tO' +p58773 +aS'in\tin\tIN\tB-PP\tO' +p58774 +aS'the\tthe\tDT\tB-NP\tO' +p58775 +aS'setting\tsetting\tNN\tI-NP\tO' +p58776 +aS'of\tof\tIN\tB-PP\tO' +p58777 +aS'receiving\treceive\tVBG\tB-VP\tO' +p58778 +aS'2L\t2L\tNN\tB-NP\tO' +p58779 +aS'NS\tNS\tNN\tI-NP\tO' +p58780 +aS'and\tand\tCC\tO\tO' +p58781 +aS'chest\tchest\tNN\tB-NP\tO' +p58782 +aS'film\tfilm\tNN\tI-NP\tO' +p58783 +aS'which\twhich\tWDT\tB-NP\tO' +p58784 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p58785 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p58786 +aS'congestion\tcongestion\tNN\tI-NP\tO' +p58787 +aS'.\t.\t.\tO\tO' +p58788 +asS'The patient has stable three-pillow orthopnea and occasional paroxysmal nocturnal dyspnea .' +p58789 +(lp58790 +S'The\tThe\tDT\tB-NP\tO' +p58791 +aS'patient\tpatient\tNN\tI-NP\tO' +p58792 +aS'has\thave\tVBZ\tB-VP\tO' +p58793 +aS'stable\tstable\tJJ\tB-NP\tO' +p58794 +aS'three-pillow\tthree-pillow\tJJ\tI-NP\tO' +p58795 +aS'orthopnea\torthopnea\tNN\tI-NP\tO' +p58796 +aS'and\tand\tCC\tO\tO' +p58797 +aS'occasional\toccasional\tJJ\tB-NP\tO' +p58798 +aS'paroxysmal\tparoxysmal\tJJ\tI-NP\tO' +p58799 +aS'nocturnal\tnocturnal\tJJ\tI-NP\tO' +p58800 +aS'dyspnea\tdyspnea\tNN\tI-NP\tO' +p58801 +aS'.\t.\t.\tO\tO' +p58802 +asS'The abdomen was soft and non-tender , obese , with normal bowel sounds .' +p58803 +(lp58804 +S'The\tThe\tDT\tB-NP\tO' +p58805 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p58806 +aS'was\tbe\tVBD\tB-VP\tO' +p58807 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p58808 +aS'and\tand\tCC\tI-ADJP\tO' +p58809 +aS'non-tender\tnon-tender\tJJ\tI-ADJP\tO' +p58810 +aS',\t,\t,\tO\tO' +p58811 +aS'obese\tobese\tJJ\tB-ADJP\tO' +p58812 +aS',\t,\t,\tO\tO' +p58813 +aS'with\twith\tIN\tB-PP\tO' +p58814 +aS'normal\tnormal\tJJ\tB-NP\tO' +p58815 +aS'bowel\tbowel\tNN\tI-NP\tO' +p58816 +aS'sounds\tsound\tNNS\tI-NP\tO' +p58817 +aS'.\t.\t.\tO\tO' +p58818 +asS'He was monitored with QID fingersticks .' +p58819 +(lp58820 +S'He\tHe\tPRP\tB-NP\tO' +p58821 +aS'was\tbe\tVBD\tB-VP\tO' +p58822 +aS'monitored\tmonitor\tVBN\tI-VP\tO' +p58823 +aS'with\twith\tIN\tB-PP\tO' +p58824 +aS'QID\tQID\tNN\tB-NP\tB-protein' +p58825 +aS'fingersticks\tfingerstick\tNNS\tI-NP\tI-protein' +p58826 +aS'.\t.\t.\tO\tO' +p58827 +asS'Chest pain .' +p58828 +(lp58829 +S'Chest\tCh\tJJS\tB-NP\tO' +p58830 +aS'pain\tpain\tNN\tI-NP\tO' +p58831 +aS'.\t.\t.\tO\tO' +p58832 +asS'There was a question of a small ulcer .' +p58833 +(lp58834 +S'There\tThere\tEX\tB-NP\tO' +p58835 +aS'was\tbe\tVBD\tB-VP\tO' +p58836 +aS'a\ta\tDT\tB-NP\tO' +p58837 +aS'question\tquestion\tNN\tI-NP\tO' +p58838 +aS'of\tof\tIN\tB-PP\tO' +p58839 +aS'a\ta\tDT\tB-NP\tO' +p58840 +aS'small\tsmall\tJJ\tI-NP\tO' +p58841 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p58842 +aS'.\t.\t.\tO\tO' +p58843 +asS'Apparently , the gun belonged to his father .' +p58844 +(lp58845 +S'Apparently\tApparently\tRB\tB-ADVP\tO' +p58846 +aS',\t,\t,\tO\tO' +p58847 +aS'the\tthe\tDT\tB-NP\tO' +p58848 +aS'gun\tgun\tNN\tI-NP\tO' +p58849 +aS'belonged\tbelong\tVBD\tB-VP\tO' +p58850 +aS'to\tto\tTO\tB-PP\tO' +p58851 +aS'his\this\tPRP$\tB-NP\tO' +p58852 +aS'father\tfather\tNN\tI-NP\tO' +p58853 +aS'.\t.\t.\tO\tO' +p58854 +asS'She was transferred in stable condition to the Pasi for further rehabilitation therapy .' +p58855 +(lp58856 +S'She\tShe\tPRP\tB-NP\tO' +p58857 +aS'was\tbe\tVBD\tB-VP\tO' +p58858 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p58859 +aS'in\tin\tIN\tB-PP\tO' +p58860 +aS'stable\tstable\tJJ\tB-NP\tO' +p58861 +aS'condition\tcondition\tNN\tI-NP\tO' +p58862 +aS'to\tto\tTO\tB-PP\tO' +p58863 +aS'the\tthe\tDT\tB-NP\tO' +p58864 +aS'Pasi\tPasi\tNNP\tI-NP\tO' +p58865 +aS'for\tfor\tIN\tB-PP\tO' +p58866 +aS'further\tfurther\tJJ\tB-NP\tO' +p58867 +aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' +p58868 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p58869 +aS'.\t.\t.\tO\tO' +p58870 +asS'He was switched to a 100% NRB mask and ABG was 7.47/31/80 .' +p58871 +(lp58872 +S'He\tHe\tPRP\tB-NP\tO' +p58873 +aS'was\tbe\tVBD\tB-VP\tO' +p58874 +aS'switched\tswitch\tVBN\tI-VP\tO' +p58875 +aS'to\tto\tTO\tB-PP\tO' +p58876 +aS'a\ta\tDT\tB-NP\tO' +p58877 +aS'100%\t100%\tJJ\tI-NP\tO' +p58878 +aS'NRB\tNRB\tNN\tI-NP\tO' +p58879 +aS'mask\tmask\tNN\tI-NP\tO' +p58880 +aS'and\tand\tCC\tI-NP\tO' +p58881 +aS'ABG\tABG\tNN\tI-NP\tO' +p58882 +aS'was\tbe\tVBD\tB-VP\tO' +p58883 +aS'7.47/31/80\t7.47/31/80\tCD\tB-NP\tO' +p58884 +aS'.\t.\t.\tO\tO' +p58885 +asS'Coordination - toe tap was slow bilaterally , although difficult to reproduce , and at best , was essentially within normal limits .' +p58886 +(lp58887 +S'Coordination\tCoordination\tNN\tB-NP\tO' +p58888 +aS'-\t-\tHYPH\tI-NP\tO' +p58889 +aS'toe\ttoe\tNN\tI-NP\tO' +p58890 +aS'tap\ttap\tNN\tI-NP\tO' +p58891 +aS'was\tbe\tVBD\tB-VP\tO' +p58892 +aS'slow\tslow\tJJ\tB-ADJP\tO' +p58893 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p58894 +aS',\t,\t,\tO\tO' +p58895 +aS'although\talthough\tIN\tB-SBAR\tO' +p58896 +aS'difficult\tdifficult\tJJ\tB-ADJP\tO' +p58897 +aS'to\tto\tTO\tB-VP\tO' +p58898 +aS'reproduce\treproduce\tVB\tI-VP\tO' +p58899 +aS',\t,\t,\tO\tO' +p58900 +aS'and\tand\tCC\tO\tO' +p58901 +aS'at\tat\tIN\tB-ADVP\tO' +p58902 +aS'best\tgood\tJJS\tI-ADVP\tO' +p58903 +aS',\t,\t,\tO\tO' +p58904 +aS'was\tbe\tVBD\tB-VP\tO' +p58905 +aS'essentially\tessentially\tRB\tB-ADVP\tO' +p58906 +aS'within\twithin\tIN\tB-PP\tO' +p58907 +aS'normal\tnormal\tJJ\tB-NP\tO' +p58908 +aS'limits\tlimit\tNNS\tI-NP\tO' +p58909 +aS'.\t.\t.\tO\tO' +p58910 +asS'Results are pending .' +p58911 +(lp58912 +S'Results\tResult\tNNS\tB-NP\tO' +p58913 +aS'are\tbe\tVBP\tB-VP\tO' +p58914 +aS'pending\tpende\tVBG\tI-VP\tO' +p58915 +aS'.\t.\t.\tO\tO' +p58916 +asS'These findings indicate a widespread encephalopathic condition affecting both cortical and subcortical structures .' +p58917 +(lp58918 +S'These\tThese\tDT\tB-NP\tO' +p58919 +aS'findings\tfinding\tNNS\tI-NP\tO' +p58920 +aS'indicate\tindicate\tVBP\tB-VP\tO' +p58921 +aS'a\ta\tDT\tB-NP\tO' +p58922 +aS'widespread\twidespread\tJJ\tI-NP\tO' +p58923 +aS'encephalopathic\tencephalopathic\tJJ\tI-NP\tO' +p58924 +aS'condition\tcondition\tNN\tI-NP\tO' +p58925 +aS'affecting\taffect\tVBG\tB-VP\tO' +p58926 +aS'both\tboth\tCC\tO\tO' +p58927 +aS'cortical\tcortical\tJJ\tB-NP\tO' +p58928 +aS'and\tand\tCC\tI-NP\tO' +p58929 +aS'subcortical\tsubcortical\tJJ\tI-NP\tO' +p58930 +aS'structures\tstructure\tNNS\tI-NP\tO' +p58931 +aS'.\t.\t.\tO\tO' +p58932 +asS'MEDICATIONS ON DISCHARGE included Percocet 1 to 2 tablets by mouth every 4 hours as needed for pain , Colace 100 milligrams by mouth twice a day .' +p58933 +(lp58934 +S'MEDICATIONS\tMEDICATIONS\tNNS\tB-NP\tO' +p58935 +aS'ON\tON\tNN\tI-NP\tO' +p58936 +aS'DISCHARGE\tDISCHARGE\tNN\tI-NP\tO' +p58937 +aS'included\tinclude\tVBD\tB-VP\tO' +p58938 +aS'Percocet\tPercocet\tNNP\tB-NP\tO' +p58939 +aS'1\t1\tCD\tI-NP\tO' +p58940 +aS'to\tto\tTO\tI-NP\tO' +p58941 +aS'2\t2\tCD\tI-NP\tO' +p58942 +aS'tablets\ttablet\tNNS\tI-NP\tO' +p58943 +aS'by\tby\tIN\tB-PP\tO' +p58944 +aS'mouth\tmouth\tNN\tB-NP\tO' +p58945 +aS'every\tevery\tDT\tB-NP\tO' +p58946 +aS'4\t4\tCD\tI-NP\tO' +p58947 +aS'hours\thour\tNNS\tI-NP\tO' +p58948 +aS'as\tas\tIN\tB-SBAR\tO' +p58949 +aS'needed\tneed\tVBN\tB-VP\tO' +p58950 +aS'for\tfor\tIN\tB-PP\tO' +p58951 +aS'pain\tpain\tNN\tB-NP\tO' +p58952 +aS',\t,\t,\tO\tO' +p58953 +aS'Colace\tColace\tNNP\tB-NP\tO' +p58954 +aS'100\t100\tCD\tI-NP\tO' +p58955 +aS'milligrams\tmilligram\tNNS\tI-NP\tO' +p58956 +aS'by\tby\tIN\tB-PP\tO' +p58957 +aS'mouth\tmouth\tNN\tB-NP\tO' +p58958 +aS'twice\ttwice\tRB\tB-NP\tO' +p58959 +aS'a\ta\tDT\tI-NP\tO' +p58960 +aS'day\tday\tNN\tI-NP\tO' +p58961 +aS'.\t.\t.\tO\tO' +p58962 +asS'His platelet count was 267 .' +p58963 +(lp58964 +S'His\tHis\tPRP$\tB-NP\tO' +p58965 +aS'platelet\tplatelet\tNN\tI-NP\tB-protein' +p58966 +aS'count\tcount\tNN\tI-NP\tI-protein' +p58967 +aS'was\tbe\tVBD\tB-VP\tI-protein' +p58968 +aS'267\t267\tCD\tB-NP\tI-protein' +p58969 +aS'.\t.\t.\tO\tO' +p58970 +asS'The jugular venous pressure was not assessed secondary to cervical collar being in place .' +p58971 +(lp58972 +S'The\tThe\tDT\tB-NP\tO' +p58973 +aS'jugular\tjugular\tJJ\tI-NP\tO' +p58974 +aS'venous\tvenous\tJJ\tI-NP\tO' +p58975 +aS'pressure\tpressure\tNN\tI-NP\tO' +p58976 +aS'was\tbe\tVBD\tB-VP\tO' +p58977 +aS'not\tnot\tRB\tI-VP\tO' +p58978 +aS'assessed\tassess\tVBN\tI-VP\tO' +p58979 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p58980 +aS'to\tto\tTO\tB-PP\tO' +p58981 +aS'cervical\tcervical\tJJ\tB-NP\tO' +p58982 +aS'collar\tcollar\tNN\tI-NP\tO' +p58983 +aS'being\tbe\tVBG\tB-VP\tO' +p58984 +aS'in\tin\tIN\tB-PP\tO' +p58985 +aS'place\tplace\tNN\tB-NP\tO' +p58986 +aS'.\t.\t.\tO\tO' +p58987 +asS'Stable , much improved from admission , and almost at baseline .' +p58988 +(lp58989 +S'Stable\tStable\tJJ\tB-NP\tO' +p58990 +aS',\t,\t,\tI-NP\tO' +p58991 +aS'much\tmuch\tJJ\tI-NP\tO' +p58992 +aS'improved\timprove\tVBN\tB-VP\tO' +p58993 +aS'from\tfrom\tIN\tB-PP\tO' +p58994 +aS'admission\tadmission\tNN\tB-NP\tO' +p58995 +aS',\t,\t,\tO\tO' +p58996 +aS'and\tand\tCC\tO\tO' +p58997 +aS'almost\talmost\tRB\tB-ADVP\tO' +p58998 +aS'at\tat\tIN\tB-PP\tO' +p58999 +aS'baseline\tbaseline\tNN\tB-NP\tO' +p59000 +aS'.\t.\t.\tO\tO' +p59001 +asS'Extremities : There was no edema in the extremities .' +p59002 +(lp59003 +S'Extremities\tExtremity\tNNS\tB-NP\tO' +p59004 +aS':\t:\t:\tO\tO' +p59005 +aS'There\tThere\tEX\tB-NP\tO' +p59006 +aS'was\tbe\tVBD\tB-VP\tO' +p59007 +aS'no\tno\tDT\tB-NP\tO' +p59008 +aS'edema\tedema\tNN\tI-NP\tO' +p59009 +aS'in\tin\tIN\tB-PP\tO' +p59010 +aS'the\tthe\tDT\tB-NP\tO' +p59011 +aS'extremities\textremity\tNNS\tI-NP\tO' +p59012 +aS'.\t.\t.\tO\tO' +p59013 +asS'She is legally blind .' +p59014 +(lp59015 +S'She\tShe\tPRP\tB-NP\tO' +p59016 +aS'is\tbe\tVBZ\tB-VP\tO' +p59017 +aS'legally\tlegally\tRB\tB-ADJP\tO' +p59018 +aS'blind\tblind\tJJ\tI-ADJP\tO' +p59019 +aS'.\t.\t.\tO\tO' +p59020 +asS'Pulses 2+ PT and DP .' +p59021 +(lp59022 +S'Pulses\tPulse\tNNS\tB-NP\tO' +p59023 +aS'2+\t2+\tJJ\tI-NP\tO' +p59024 +aS'PT\tPT\tNN\tI-NP\tO' +p59025 +aS'and\tand\tCC\tI-NP\tO' +p59026 +aS'DP\tDP\tNN\tI-NP\tO' +p59027 +aS'.\t.\t.\tO\tO' +p59028 +asS'Flow across the interatrial septum is no longer visualized with color flow doppler or with injection of agitatated saline at rest or with valsalva .' +p59029 +(lp59030 +S'Flow\tFlow\tNN\tB-NP\tO' +p59031 +aS'across\tacross\tIN\tB-PP\tO' +p59032 +aS'the\tthe\tDT\tB-NP\tO' +p59033 +aS'interatrial\tinteratrial\tJJ\tI-NP\tO' +p59034 +aS'septum\tseptum\tNN\tI-NP\tO' +p59035 +aS'is\tbe\tVBZ\tB-VP\tO' +p59036 +aS'no\tno\tRB\tB-ADVP\tO' +p59037 +aS'longer\tlonger\tRBR\tI-ADVP\tO' +p59038 +aS'visualized\tvisualize\tVBN\tB-ADJP\tO' +p59039 +aS'with\twith\tIN\tB-PP\tO' +p59040 +aS'color\tcolor\tNN\tB-NP\tO' +p59041 +aS'flow\tflow\tNN\tI-NP\tO' +p59042 +aS'doppler\tdoppler\tNN\tI-NP\tO' +p59043 +aS'or\tor\tCC\tB-PP\tO' +p59044 +aS'with\twith\tIN\tB-PP\tO' +p59045 +aS'injection\tinjection\tNN\tB-NP\tO' +p59046 +aS'of\tof\tIN\tB-PP\tO' +p59047 +aS'agitatated\tagitatate\tVBN\tB-NP\tO' +p59048 +aS'saline\tsaline\tNN\tI-NP\tO' +p59049 +aS'at\tat\tIN\tB-PP\tO' +p59050 +aS'rest\trest\tNN\tB-NP\tO' +p59051 +aS'or\tor\tCC\tB-PP\tO' +p59052 +aS'with\twith\tIN\tB-PP\tO' +p59053 +aS'valsalva\tvalsalva\tNN\tB-NP\tO' +p59054 +aS'.\t.\t.\tO\tO' +p59055 +asS'The chest exam was clear to auscultation .' +p59056 +(lp59057 +S'The\tThe\tDT\tB-NP\tO' +p59058 +aS'chest\tchest\tNN\tI-NP\tO' +p59059 +aS'exam\texam\tNN\tI-NP\tO' +p59060 +aS'was\tbe\tVBD\tB-VP\tO' +p59061 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p59062 +aS'to\tto\tTO\tB-PP\tO' +p59063 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p59064 +aS'.\t.\t.\tO\tO' +p59065 +asS'On discharge , he is mobilized , partial weight bearing with the help of a walker .' +p59066 +(lp59067 +S'On\tOn\tIN\tB-PP\tO' +p59068 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p59069 +aS',\t,\t,\tO\tO' +p59070 +aS'he\the\tPRP\tB-NP\tO' +p59071 +aS'is\tbe\tVBZ\tB-VP\tO' +p59072 +aS'mobilized\tmobilize\tVBN\tI-VP\tO' +p59073 +aS',\t,\t,\tO\tO' +p59074 +aS'partial\tpartial\tJJ\tB-NP\tO' +p59075 +aS'weight\tweight\tNN\tI-NP\tO' +p59076 +aS'bearing\tbear\tVBG\tB-VP\tO' +p59077 +aS'with\twith\tIN\tB-PP\tO' +p59078 +aS'the\tthe\tDT\tB-NP\tO' +p59079 +aS'help\thelp\tNN\tI-NP\tO' +p59080 +aS'of\tof\tIN\tB-PP\tO' +p59081 +aS'a\ta\tDT\tB-NP\tO' +p59082 +aS'walker\twalker\tNN\tI-NP\tO' +p59083 +aS'.\t.\t.\tO\tO' +p59084 +asS'Regular rate , 04-07 holosystolic murmur' +p59085 +(lp59086 +S'Regular\tRegular\tJJ\tB-NP\tO' +p59087 +aS'rate\trate\tNN\tI-NP\tO' +p59088 +aS',\t,\t,\tO\tO' +p59089 +aS'04-07\t04-07\tCD\tB-NP\tO' +p59090 +aS'holosystolic\tholosystolic\tJJ\tI-NP\tO' +p59091 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p59092 +asS'Chemotherapy .' +p59093 +(lp59094 +S'Chemotherapy\tChemotherapy\tNN\tB-NP\tO' +p59095 +aS'.\t.\t.\tO\tO' +p59096 +asS'45 yo F s / p recent inferior STEMI ( 2/17 ) w/ 100% RCA stented -> 0% , and residual LAD / Diag1/LCx / OM2 disease .' +p59097 +(lp59098 +S'45\t45\tCD\tB-NP\tO' +p59099 +aS'yo\tyo\tNN\tI-NP\tO' +p59100 +aS'F\tF\tNN\tI-NP\tO' +p59101 +aS's\ts\tNN\tI-NP\tO' +p59102 +aS'/\t/\tSYM\tB-NP\tO' +p59103 +aS'p\tp\tNN\tI-NP\tO' +p59104 +aS'recent\trecent\tJJ\tI-NP\tO' +p59105 +aS'inferior\tinferior\tJJ\tI-NP\tO' +p59106 +aS'STEMI\tSTEMI\tNN\tI-NP\tO' +p59107 +aS'(\t(\t(\tO\tO' +p59108 +aS'2/17\t2/17\tCD\tB-NP\tO' +p59109 +aS')\t)\t)\tO\tO' +p59110 +aS'w/\tw/\tVBP\tB-VP\tO' +p59111 +aS'100%\t100%\tCD\tB-NP\tO' +p59112 +aS'RCA\tRCA\tNN\tI-NP\tO' +p59113 +aS'stented\tstente\tVBD\tB-VP\tO' +p59114 +aS'->\t->\tJJ\tB-NP\tO' +p59115 +aS'0%\t0%\tNN\tI-NP\tO' +p59116 +aS',\t,\t,\tO\tO' +p59117 +aS'and\tand\tCC\tO\tO' +p59118 +aS'residual\tresidual\tJJ\tB-NP\tO' +p59119 +aS'LAD\tLAD\tNN\tI-NP\tO' +p59120 +aS'/\t/\tSYM\tB-NP\tO' +p59121 +aS'Diag1/LCx\tDiag1/LCx\tNN\tI-NP\tO' +p59122 +aS'/\t/\tSYM\tI-NP\tO' +p59123 +aS'OM2\tOM2\tNN\tI-NP\tO' +p59124 +aS'disease\tdisease\tNN\tI-NP\tO' +p59125 +aS'.\t.\t.\tO\tO' +p59126 +asS'Cardiology felt that follow-up echo was indicated on 06/18 as she had another echocardiogram which showed no change or evidence of tamponade .' +p59127 +(lp59128 +S'Cardiology\tCardiology\tNNP\tB-NP\tO' +p59129 +aS'felt\tfeel\tVBD\tB-VP\tO' +p59130 +aS'that\tthat\tIN\tB-SBAR\tO' +p59131 +aS'follow-up\tfollow-up\tJJ\tB-NP\tO' +p59132 +aS'echo\techo\tNN\tI-NP\tO' +p59133 +aS'was\tbe\tVBD\tB-VP\tO' +p59134 +aS'indicated\tindicate\tVBN\tI-VP\tO' +p59135 +aS'on\ton\tIN\tB-PP\tO' +p59136 +aS'06/18\t06/18\tCD\tB-NP\tO' +p59137 +aS'as\tas\tIN\tB-SBAR\tO' +p59138 +aS'she\tshe\tPRP\tB-NP\tO' +p59139 +aS'had\thave\tVBD\tB-VP\tO' +p59140 +aS'another\tanother\tDT\tB-NP\tO' +p59141 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p59142 +aS'which\twhich\tWDT\tB-NP\tO' +p59143 +aS'showed\tshow\tVBD\tB-VP\tO' +p59144 +aS'no\tno\tDT\tB-NP\tO' +p59145 +aS'change\tchange\tNN\tI-NP\tO' +p59146 +aS'or\tor\tCC\tI-NP\tO' +p59147 +aS'evidence\tevidence\tNN\tI-NP\tO' +p59148 +aS'of\tof\tIN\tB-PP\tO' +p59149 +aS'tamponade\ttamponade\tNN\tB-NP\tO' +p59150 +aS'.\t.\t.\tO\tO' +p59151 +asS'Bilirubin on 04-17 was 8.2/0.3 .' +p59152 +(lp59153 +S'Bilirubin\tBilirubin\tNN\tB-NP\tO' +p59154 +aS'on\ton\tIN\tB-PP\tO' +p59155 +aS'04-17\t04-17\tCD\tB-NP\tO' +p59156 +aS'was\tbe\tVBD\tB-VP\tO' +p59157 +aS'8.2/0.3\t8.2/0.3\tCD\tB-NP\tO' +p59158 +aS'.\t.\t.\tO\tO' +p59159 +asS'The patient had stage 1 sacral decubitus on her buttocks .' +p59160 +(lp59161 +S'The\tThe\tDT\tB-NP\tO' +p59162 +aS'patient\tpatient\tNN\tI-NP\tO' +p59163 +aS'had\thave\tVBD\tB-VP\tO' +p59164 +aS'stage\tstage\tNN\tB-NP\tO' +p59165 +aS'1\t1\tCD\tI-NP\tO' +p59166 +aS'sacral\tsacral\tJJ\tI-NP\tO' +p59167 +aS'decubitus\tdecubitus\tNN\tI-NP\tO' +p59168 +aS'on\ton\tIN\tB-PP\tO' +p59169 +aS'her\ther\tPRP$\tB-NP\tO' +p59170 +aS'buttocks\tbuttock\tNNS\tI-NP\tO' +p59171 +aS'.\t.\t.\tO\tO' +p59172 +asS'Soft abdomen , 3 vessel cord .' +p59173 +(lp59174 +S'Soft\tSoft\tNNP\tB-NP\tO' +p59175 +aS'abdomen\tabdoman\tNNS\tI-NP\tO' +p59176 +aS',\t,\t,\tO\tO' +p59177 +aS'3\t3\tCD\tB-NP\tO' +p59178 +aS'vessel\tvessel\tNN\tI-NP\tO' +p59179 +aS'cord\tcord\tNN\tI-NP\tO' +p59180 +aS'.\t.\t.\tO\tO' +p59181 +asS'It is likely that the patient continues to drink more than he admits .' +p59182 +(lp59183 +S'It\tIt\tPRP\tB-NP\tO' +p59184 +aS'is\tbe\tVBZ\tB-VP\tO' +p59185 +aS'likely\tlikely\tJJ\tB-ADJP\tO' +p59186 +aS'that\tthat\tIN\tB-SBAR\tO' +p59187 +aS'the\tthe\tDT\tB-NP\tO' +p59188 +aS'patient\tpatient\tNN\tI-NP\tO' +p59189 +aS'continues\tcontinue\tVBZ\tB-VP\tO' +p59190 +aS'to\tto\tTO\tI-VP\tO' +p59191 +aS'drink\tdrink\tVB\tI-VP\tO' +p59192 +aS'more\tmore\tJJR\tB-NP\tO' +p59193 +aS'than\tthan\tIN\tB-SBAR\tO' +p59194 +aS'he\the\tPRP\tB-NP\tO' +p59195 +aS'admits\tadmit\tVBZ\tB-VP\tO' +p59196 +aS'.\t.\t.\tO\tO' +p59197 +asS'Later in the morning on 08-31 , the patient was more oriented and alert , and asked to have the restraints removed .' +p59198 +(lp59199 +S'Later\tLater\tRB\tB-ADVP\tO' +p59200 +aS'in\tin\tIN\tB-PP\tO' +p59201 +aS'the\tthe\tDT\tB-NP\tO' +p59202 +aS'morning\tmorning\tNN\tI-NP\tO' +p59203 +aS'on\ton\tIN\tB-PP\tO' +p59204 +aS'08-31\t08-31\tNN\tB-NP\tO' +p59205 +aS',\t,\t,\tO\tO' +p59206 +aS'the\tthe\tDT\tB-NP\tO' +p59207 +aS'patient\tpatient\tNN\tI-NP\tO' +p59208 +aS'was\tbe\tVBD\tB-VP\tO' +p59209 +aS'more\tmore\tRBR\tB-ADJP\tO' +p59210 +aS'oriented\toriented\tJJ\tI-ADJP\tO' +p59211 +aS'and\tand\tCC\tI-ADJP\tO' +p59212 +aS'alert\talert\tJJ\tI-ADJP\tO' +p59213 +aS',\t,\t,\tO\tO' +p59214 +aS'and\tand\tCC\tO\tO' +p59215 +aS'asked\task\tVBD\tB-VP\tO' +p59216 +aS'to\tto\tTO\tI-VP\tO' +p59217 +aS'have\thave\tVB\tI-VP\tO' +p59218 +aS'the\tthe\tDT\tB-NP\tO' +p59219 +aS'restraints\trestraint\tNNS\tI-NP\tO' +p59220 +aS'removed\tremove\tVBN\tB-VP\tO' +p59221 +aS'.\t.\t.\tO\tO' +p59222 +asS'History of coronary artery disease .' +p59223 +(lp59224 +S'History\tHistory\tNN\tB-NP\tO' +p59225 +aS'of\tof\tIN\tB-PP\tO' +p59226 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p59227 +aS'artery\tartery\tNN\tI-NP\tO' +p59228 +aS'disease\tdisease\tNN\tI-NP\tO' +p59229 +aS'.\t.\t.\tO\tO' +p59230 +asS'At cardiac catheterization he had an RA pressure of 8 , an RV pressure of 52/10 , PA pressure of 60/25 , and wedge of 26 .' +p59231 +(lp59232 +S'At\tAt\tIN\tB-PP\tO' +p59233 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p59234 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p59235 +aS'he\the\tPRP\tB-NP\tO' +p59236 +aS'had\thave\tVBD\tB-VP\tO' +p59237 +aS'an\tan\tDT\tB-NP\tO' +p59238 +aS'RA\tRA\tNN\tI-NP\tO' +p59239 +aS'pressure\tpressure\tNN\tI-NP\tO' +p59240 +aS'of\tof\tIN\tB-PP\tO' +p59241 +aS'8\t8\tCD\tB-NP\tO' +p59242 +aS',\t,\t,\tO\tO' +p59243 +aS'an\tan\tDT\tB-NP\tO' +p59244 +aS'RV\tRV\tNN\tI-NP\tO' +p59245 +aS'pressure\tpressure\tNN\tI-NP\tO' +p59246 +aS'of\tof\tIN\tB-PP\tO' +p59247 +aS'52/10\t52/10\tCD\tB-NP\tO' +p59248 +aS',\t,\t,\tO\tO' +p59249 +aS'PA\tPA\tNN\tB-NP\tO' +p59250 +aS'pressure\tpressure\tNN\tI-NP\tO' +p59251 +aS'of\tof\tIN\tB-PP\tO' +p59252 +aS'60/25\t60/25\tCD\tB-NP\tO' +p59253 +aS',\t,\t,\tO\tO' +p59254 +aS'and\tand\tCC\tO\tO' +p59255 +aS'wedge\twedge\tNN\tB-NP\tO' +p59256 +aS'of\tof\tIN\tB-PP\tO' +p59257 +aS'26\t26\tCD\tB-NP\tO' +p59258 +aS'.\t.\t.\tO\tO' +p59259 +asS'His Helicobacter pylori serology was sent and was pending at the time of discharge .' +p59260 +(lp59261 +S'His\tHis\tPRP$\tB-NP\tO' +p59262 +aS'Helicobacter\tHelicobacter\tNN\tI-NP\tO' +p59263 +aS'pylori\tpylori\tNN\tI-NP\tO' +p59264 +aS'serology\tserology\tNN\tI-NP\tO' +p59265 +aS'was\tbe\tVBD\tB-VP\tO' +p59266 +aS'sent\tsend\tVBN\tI-VP\tO' +p59267 +aS'and\tand\tCC\tO\tO' +p59268 +aS'was\tbe\tVBD\tB-VP\tO' +p59269 +aS'pending\tpende\tVBG\tI-VP\tO' +p59270 +aS'at\tat\tIN\tB-PP\tO' +p59271 +aS'the\tthe\tDT\tB-NP\tO' +p59272 +aS'time\ttime\tNN\tI-NP\tO' +p59273 +aS'of\tof\tIN\tB-PP\tO' +p59274 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p59275 +aS'.\t.\t.\tO\tO' +p59276 +asS'Pt was diuresed .' +p59277 +(lp59278 +S'Pt\tPt\tNN\tB-NP\tO' +p59279 +aS'was\tbe\tVBD\tB-VP\tO' +p59280 +aS'diuresed\tdiurese\tVBN\tI-VP\tO' +p59281 +aS'.\t.\t.\tO\tO' +p59282 +asS'No added salt .' +p59283 +(lp59284 +S'No\tNo\tDT\tB-NP\tO' +p59285 +aS'added\tadd\tVBN\tI-NP\tO' +p59286 +aS'salt\tsalt\tNN\tI-NP\tO' +p59287 +aS'.\t.\t.\tO\tO' +p59288 +asS'Potassium chloride 20 mEq times seven days , Plavix 75 mg p.o. q day , Isosorbide 60 mg q day , Percocet p.r.n. , Entericoated aspirin 325 mg q day .' +p59289 +(lp59290 +S'Potassium\tPotassium\tNN\tB-NP\tO' +p59291 +aS'chloride\tchloride\tNN\tI-NP\tO' +p59292 +aS'20\t20\tCD\tI-NP\tO' +p59293 +aS'mEq\tmEq\tNN\tI-NP\tO' +p59294 +aS'times\ttime\tNNS\tI-NP\tO' +p59295 +aS'seven\tseven\tCD\tB-NP\tO' +p59296 +aS'days\tday\tNNS\tI-NP\tO' +p59297 +aS',\t,\t,\tO\tO' +p59298 +aS'Plavix\tPlavix\tNN\tB-NP\tO' +p59299 +aS'75\t75\tCD\tI-NP\tO' +p59300 +aS'mg\tmg\tNN\tI-NP\tO' +p59301 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p59302 +aS'q\tq\tNN\tI-NP\tO' +p59303 +aS'day\tday\tNN\tI-NP\tO' +p59304 +aS',\t,\t,\tO\tO' +p59305 +aS'Isosorbide\tIsosorbide\tNN\tB-NP\tO' +p59306 +aS'60\t60\tCD\tI-NP\tO' +p59307 +aS'mg\tmg\tNN\tI-NP\tO' +p59308 +aS'q\tq\tNN\tI-NP\tO' +p59309 +aS'day\tday\tNN\tI-NP\tO' +p59310 +aS',\t,\t,\tO\tO' +p59311 +aS'Percocet\tPercocet\tNNP\tB-NP\tO' +p59312 +aS'p.r.n.\tp.r.n.\tNNP\tI-NP\tO' +p59313 +aS',\t,\t,\tO\tO' +p59314 +aS'Entericoated\tEntericoate\tVBD\tB-VP\tO' +p59315 +aS'aspirin\taspirin\tNN\tB-NP\tO' +p59316 +aS'325\t325\tCD\tI-NP\tO' +p59317 +aS'mg\tmg\tNN\tI-NP\tO' +p59318 +aS'q\tq\tNN\tI-NP\tO' +p59319 +aS'day\tday\tNN\tI-NP\tO' +p59320 +aS'.\t.\t.\tO\tO' +p59321 +asS'Neck - supple without masses or thyromegaly .' +p59322 +(lp59323 +S'Neck\tNeck\tNN\tB-NP\tO' +p59324 +aS'-\t-\tHYPH\tI-NP\tO' +p59325 +aS'supple\tsupple\tNN\tI-NP\tO' +p59326 +aS'without\twithout\tIN\tB-PP\tO' +p59327 +aS'masses\tmass\tNNS\tB-NP\tO' +p59328 +aS'or\tor\tCC\tO\tO' +p59329 +aS'thyromegaly\tthyromegaly\tRB\tB-ADVP\tO' +p59330 +aS'.\t.\t.\tO\tO' +p59331 +asS'Dr. Shaw at Wellesley House .' +p59332 +(lp59333 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p59334 +aS'Shaw\tShaw\tNNP\tI-NP\tO' +p59335 +aS'at\tat\tIN\tB-PP\tO' +p59336 +aS'Wellesley\tWellesley\tNNP\tB-NP\tO' +p59337 +aS'House\tHouse\tNNP\tI-NP\tO' +p59338 +aS'.\t.\t.\tO\tO' +p59339 +asS'Examination was otherwise unchanged .' +p59340 +(lp59341 +S'Examination\tExamination\tNN\tB-NP\tO' +p59342 +aS'was\tbe\tVBD\tB-VP\tO' +p59343 +aS'otherwise\totherwise\tRB\tB-ADJP\tO' +p59344 +aS'unchanged\tunchanged\tJJ\tI-ADJP\tO' +p59345 +aS'.\t.\t.\tO\tO' +p59346 +asS'1. Percocet , one p.o. q. four hours p.r.n. pain .' +p59347 +(lp59348 +S'1.\t1.\tLS\tB-NP\tO' +p59349 +aS'Percocet\tPercocet\tNNP\tI-NP\tO' +p59350 +aS',\t,\t,\tO\tO' +p59351 +aS'one\tone\tCD\tB-NP\tO' +p59352 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p59353 +aS'q.\tq.\tNN\tI-NP\tO' +p59354 +aS'four\tfour\tCD\tB-NP\tO' +p59355 +aS'hours\thour\tNNS\tI-NP\tO' +p59356 +aS'p.r.n.\tp.r.n.\tJJ\tI-NP\tO' +p59357 +aS'pain\tpain\tNN\tI-NP\tO' +p59358 +aS'.\t.\t.\tO\tO' +p59359 +asS'Unremarkable .' +p59360 +(lp59361 +S'Unremarkable\tUnremarkable\tJJ\tB-ADJP\tO' +p59362 +aS'.\t.\t.\tO\tO' +p59363 +asS'Elongated left atrium .' +p59364 +(lp59365 +S'Elongated\tElongate\tVBN\tB-NP\tO' +p59366 +aS'left\tleft\tJJ\tI-NP\tO' +p59367 +aS'atrium\tatrium\tNN\tI-NP\tO' +p59368 +aS'.\t.\t.\tO\tO' +p59369 +asS'Gout .' +p59370 +(lp59371 +S'Gout\tGout\tNNP\tB-NP\tO' +p59372 +aS'.\t.\t.\tO\tO' +p59373 +asS'He triple flexed his bilateral lower extremities to pain .' +p59374 +(lp59375 +S'He\tHe\tPRP\tB-NP\tO' +p59376 +aS'triple\ttriple\tRB\tB-ADVP\tO' +p59377 +aS'flexed\tflex\tVBD\tB-VP\tO' +p59378 +aS'his\this\tPRP$\tB-NP\tO' +p59379 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p59380 +aS'lower\tlow\tJJR\tI-NP\tO' +p59381 +aS'extremities\textremity\tNNS\tI-NP\tO' +p59382 +aS'to\tto\tTO\tB-VP\tO' +p59383 +aS'pain\tpain\tVB\tI-VP\tO' +p59384 +aS'.\t.\t.\tO\tO' +p59385 +asS'No hydronephrosis is seen .' +p59386 +(lp59387 +S'No\tNo\tDT\tB-NP\tO' +p59388 +aS'hydronephrosis\thydronephrosis\tNN\tI-NP\tO' +p59389 +aS'is\tbe\tVBZ\tB-VP\tO' +p59390 +aS'seen\tsee\tVBN\tI-VP\tO' +p59391 +aS'.\t.\t.\tO\tO' +p59392 +asS'Repeat hepato fungal flare .' +p59393 +(lp59394 +S'Repeat\tRepeat\tNN\tB-NP\tO' +p59395 +aS'hepato\thepato\tNN\tI-NP\tO' +p59396 +aS'fungal\tfungal\tJJ\tI-NP\tO' +p59397 +aS'flare\tflare\tNN\tI-NP\tO' +p59398 +aS'.\t.\t.\tO\tO' +p59399 +asS'The patient was continued on a heparin drip for atrial fibrillation .' +p59400 +(lp59401 +S'The\tThe\tDT\tB-NP\tO' +p59402 +aS'patient\tpatient\tNN\tI-NP\tO' +p59403 +aS'was\tbe\tVBD\tB-VP\tO' +p59404 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p59405 +aS'on\ton\tIN\tB-PP\tO' +p59406 +aS'a\ta\tDT\tB-NP\tO' +p59407 +aS'heparin\theparin\tNN\tI-NP\tO' +p59408 +aS'drip\tdrip\tNN\tI-NP\tO' +p59409 +aS'for\tfor\tIN\tB-PP\tO' +p59410 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p59411 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p59412 +aS'.\t.\t.\tO\tO' +p59413 +asS'3. Levothyroxine 175 mcg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' +p59414 +(lp59415 +S'3.\t3.\tLS\tB-NP\tO' +p59416 +aS'Levothyroxine\tLevothyroxine\tNN\tI-NP\tO' +p59417 +aS'175\t175\tCD\tI-NP\tO' +p59418 +aS'mcg\tmcg\tNN\tI-NP\tO' +p59419 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p59420 +aS'Sig\tSig\tNNP\tI-NP\tO' +p59421 +aS':\t:\t:\tO\tO' +p59422 +aS'One\tOne\tCD\tB-NP\tO' +p59423 +aS'(\t(\t(\tO\tO' +p59424 +aS'1\t1\tCD\tB-NP\tO' +p59425 +aS')\t)\t)\tO\tO' +p59426 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p59427 +aS'PO\tPO\tNN\tI-NP\tO' +p59428 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p59429 +aS'(\t(\t(\tO\tO' +p59430 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p59431 +aS')\t)\t)\tO\tO' +p59432 +aS'.\t.\t.\tO\tO' +p59433 +asS'Here she was given an additional valium 5 mg x 2 and ativan 1 mg x 3 for persistent twitching in her face and right hand .' +p59434 +(lp59435 +S'Here\tHere\tRB\tB-ADVP\tO' +p59436 +aS'she\tshe\tPRP\tB-NP\tO' +p59437 +aS'was\tbe\tVBD\tB-VP\tO' +p59438 +aS'given\tgive\tVBN\tI-VP\tO' +p59439 +aS'an\tan\tDT\tB-NP\tO' +p59440 +aS'additional\tadditional\tJJ\tI-NP\tO' +p59441 +aS'valium\tvalium\tNN\tI-NP\tO' +p59442 +aS'5\t5\tCD\tI-NP\tO' +p59443 +aS'mg\tmg\tNN\tI-NP\tO' +p59444 +aS'x\tx\tSYM\tB-NP\tO' +p59445 +aS'2\t2\tCD\tB-NP\tO' +p59446 +aS'and\tand\tCC\tO\tO' +p59447 +aS'ativan\tativan\tNN\tB-NP\tB-protein' +p59448 +aS'1\t1\tCD\tI-NP\tI-protein' +p59449 +aS'mg\tmg\tNN\tI-NP\tI-protein' +p59450 +aS'x\tx\tSYM\tB-NP\tI-protein' +p59451 +aS'3\t3\tCD\tI-NP\tI-protein' +p59452 +aS'for\tfor\tIN\tB-PP\tO' +p59453 +aS'persistent\tpersistent\tJJ\tB-NP\tO' +p59454 +aS'twitching\ttwitching\tNN\tI-NP\tO' +p59455 +aS'in\tin\tIN\tB-PP\tO' +p59456 +aS'her\ther\tPRP$\tB-NP\tO' +p59457 +aS'face\tface\tNN\tI-NP\tO' +p59458 +aS'and\tand\tCC\tI-NP\tO' +p59459 +aS'right\tright\tJJ\tI-NP\tO' +p59460 +aS'hand\thand\tNN\tI-NP\tO' +p59461 +aS'.\t.\t.\tO\tO' +p59462 +asS'He was given two doses of calcium carbonate 1 gram , and will most likely normalize secondary to both calcium binding and urinary excretion .' +p59463 +(lp59464 +S'He\tHe\tPRP\tB-NP\tO' +p59465 +aS'was\tbe\tVBD\tB-VP\tO' +p59466 +aS'given\tgive\tVBN\tI-VP\tO' +p59467 +aS'two\ttwo\tCD\tB-NP\tO' +p59468 +aS'doses\tdose\tNNS\tI-NP\tO' +p59469 +aS'of\tof\tIN\tB-PP\tO' +p59470 +aS'calcium\tcalcium\tNN\tB-NP\tO' +p59471 +aS'carbonate\tcarbonate\tNN\tI-NP\tO' +p59472 +aS'1\t1\tCD\tI-NP\tO' +p59473 +aS'gram\tgram\tNN\tI-NP\tO' +p59474 +aS',\t,\t,\tO\tO' +p59475 +aS'and\tand\tCC\tO\tO' +p59476 +aS'will\twill\tMD\tB-VP\tO' +p59477 +aS'most\tmost\tRBS\tB-ADVP\tO' +p59478 +aS'likely\tlikely\tRB\tI-ADVP\tO' +p59479 +aS'normalize\tnormalize\tVBP\tB-VP\tO' +p59480 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p59481 +aS'to\tto\tTO\tB-PP\tO' +p59482 +aS'both\tboth\tCC\tO\tO' +p59483 +aS'calcium\tcalcium\tNN\tB-NP\tO' +p59484 +aS'binding\tbinding\tNN\tI-NP\tO' +p59485 +aS'and\tand\tCC\tO\tO' +p59486 +aS'urinary\turinary\tJJ\tB-NP\tO' +p59487 +aS'excretion\texcretion\tNN\tI-NP\tO' +p59488 +aS'.\t.\t.\tO\tO' +p59489 +asS'The right ventricular cavity is mildly dilated with severe free wall hypokinesis .' +p59490 +(lp59491 +S'The\tThe\tDT\tB-NP\tO' +p59492 +aS'right\tright\tJJ\tI-NP\tO' +p59493 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p59494 +aS'cavity\tcavity\tNN\tI-NP\tO' +p59495 +aS'is\tbe\tVBZ\tB-VP\tO' +p59496 +aS'mildly\tmildly\tRB\tI-VP\tO' +p59497 +aS'dilated\tdilate\tVBN\tI-VP\tO' +p59498 +aS'with\twith\tIN\tB-PP\tO' +p59499 +aS'severe\tsevere\tJJ\tB-NP\tO' +p59500 +aS'free\tfree\tJJ\tI-NP\tO' +p59501 +aS'wall\twall\tNN\tI-NP\tO' +p59502 +aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' +p59503 +aS'.\t.\t.\tO\tO' +p59504 +asS'Gent and Cipro were then discontinued and changed to meropenem when blood culture sensitivities became available revealing GNR sensitive to Jacoby but resistant to both Gent and Cipro .' +p59505 +(lp59506 +S'Gent\tGent\tNNP\tB-NP\tO' +p59507 +aS'and\tand\tCC\tI-NP\tO' +p59508 +aS'Cipro\tCipro\tNNP\tI-NP\tO' +p59509 +aS'were\tbe\tVBD\tB-VP\tO' +p59510 +aS'then\tthen\tRB\tI-VP\tO' +p59511 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p59512 +aS'and\tand\tCC\tO\tO' +p59513 +aS'changed\tchange\tVBN\tB-VP\tO' +p59514 +aS'to\tto\tTO\tB-VP\tO' +p59515 +aS'meropenem\tmeropenem\tVB\tI-VP\tO' +p59516 +aS'when\twhen\tWRB\tB-ADVP\tO' +p59517 +aS'blood\tblood\tNN\tB-NP\tO' +p59518 +aS'culture\tculture\tNN\tI-NP\tO' +p59519 +aS'sensitivities\tsensitivity\tNNS\tI-NP\tO' +p59520 +aS'became\tbecome\tVBD\tB-VP\tO' +p59521 +aS'available\tavailable\tJJ\tB-ADJP\tO' +p59522 +aS'revealing\treveal\tVBG\tB-NP\tO' +p59523 +aS'GNR\tGNR\tNN\tI-NP\tB-protein' +p59524 +aS'sensitive\tsensitive\tJJ\tB-ADJP\tO' +p59525 +aS'to\tto\tTO\tB-PP\tO' +p59526 +aS'Jacoby\tJacoby\tNNP\tB-NP\tO' +p59527 +aS'but\tbut\tCC\tO\tO' +p59528 +aS'resistant\tresistant\tJJ\tB-ADJP\tO' +p59529 +aS'to\tto\tTO\tB-PP\tO' +p59530 +aS'both\tboth\tDT\tB-NP\tO' +p59531 +aS'Gent\tGent\tNNP\tI-NP\tO' +p59532 +aS'and\tand\tCC\tI-NP\tO' +p59533 +aS'Cipro\tCipro\tNNP\tI-NP\tO' +p59534 +aS'.\t.\t.\tO\tO' +p59535 +asS'The patient was admitted to the O-CMED Service for further management .' +p59536 +(lp59537 +S'The\tThe\tDT\tB-NP\tO' +p59538 +aS'patient\tpatient\tNN\tI-NP\tO' +p59539 +aS'was\tbe\tVBD\tB-VP\tO' +p59540 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p59541 +aS'to\tto\tTO\tB-PP\tO' +p59542 +aS'the\tthe\tDT\tB-NP\tO' +p59543 +aS'O-CMED\tO-CMED\tNNP\tI-NP\tO' +p59544 +aS'Service\tService\tNNP\tI-NP\tO' +p59545 +aS'for\tfor\tIN\tB-PP\tO' +p59546 +aS'further\tfurther\tJJ\tB-NP\tO' +p59547 +aS'management\tmanagement\tNN\tI-NP\tO' +p59548 +aS'.\t.\t.\tO\tO' +p59549 +asS'The first was Acinetobacter calcoaceticus subspecies anitratus , treated with Ciprofloxacin and Gentamicin .' +p59550 +(lp59551 +S'The\tThe\tDT\tB-NP\tO' +p59552 +aS'first\tfirst\tJJ\tI-NP\tO' +p59553 +aS'was\tbe\tVBD\tB-VP\tO' +p59554 +aS'Acinetobacter\tAcinetobacter\tNN\tB-NP\tO' +p59555 +aS'calcoaceticus\tcalcoaceticus\tNN\tI-NP\tO' +p59556 +aS'subspecies\tsubspecy\tNNS\tI-NP\tO' +p59557 +aS'anitratus\tanitratus\tNN\tI-NP\tO' +p59558 +aS',\t,\t,\tO\tO' +p59559 +aS'treated\ttreat\tVBN\tB-VP\tO' +p59560 +aS'with\twith\tIN\tB-PP\tO' +p59561 +aS'Ciprofloxacin\tCiprofloxacin\tNN\tB-NP\tO' +p59562 +aS'and\tand\tCC\tI-NP\tO' +p59563 +aS'Gentamicin\tGentamicin\tNN\tI-NP\tO' +p59564 +aS'.\t.\t.\tO\tO' +p59565 +asS'The patient was found to have a resting heart rate of approximately 50 subsequent to this .' +p59566 +(lp59567 +S'The\tThe\tDT\tB-NP\tO' +p59568 +aS'patient\tpatient\tNN\tI-NP\tO' +p59569 +aS'was\tbe\tVBD\tB-VP\tO' +p59570 +aS'found\tfind\tVBN\tI-VP\tO' +p59571 +aS'to\tto\tTO\tI-VP\tO' +p59572 +aS'have\thave\tVB\tI-VP\tO' +p59573 +aS'a\ta\tDT\tB-NP\tO' +p59574 +aS'resting\tresting\tJJ\tI-NP\tO' +p59575 +aS'heart\theart\tNN\tI-NP\tO' +p59576 +aS'rate\trate\tNN\tI-NP\tO' +p59577 +aS'of\tof\tIN\tB-PP\tO' +p59578 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p59579 +aS'50\t50\tCD\tI-NP\tO' +p59580 +aS'subsequent\tsubsequent\tJJ\tI-NP\tO' +p59581 +aS'to\tto\tTO\tB-PP\tO' +p59582 +aS'this\tthis\tDT\tB-NP\tO' +p59583 +aS'.\t.\t.\tO\tO' +p59584 +asS'2+ dorsalis pedis and radial pulse on left .' +p59585 +(lp59586 +S'2+\t2+\tJJ\tB-NP\tO' +p59587 +aS'dorsalis\tdorsalis\tNN\tI-NP\tO' +p59588 +aS'pedis\tpedis\tNN\tI-NP\tO' +p59589 +aS'and\tand\tCC\tO\tO' +p59590 +aS'radial\tradial\tJJ\tB-NP\tO' +p59591 +aS'pulse\tpulse\tNN\tI-NP\tO' +p59592 +aS'on\ton\tIN\tB-PP\tO' +p59593 +aS'left\tleft\tNN\tB-NP\tO' +p59594 +aS'.\t.\t.\tO\tO' +p59595 +asS'Please follow-up with PCP .' +p59596 +(lp59597 +S'Please\tPlease\tNN\tB-NP\tO' +p59598 +aS'follow-up\tfollow-up\tNN\tI-NP\tO' +p59599 +aS'with\twith\tIN\tB-PP\tO' +p59600 +aS'PCP\tPCP\tNN\tB-NP\tB-protein' +p59601 +aS'.\t.\t.\tO\tO' +p59602 +asS'General : Asleep , easily arousable .' +p59603 +(lp59604 +S'General\tGeneral\tNNP\tB-NP\tO' +p59605 +aS':\t:\t:\tO\tO' +p59606 +aS'Asleep\tAsleep\tNNP\tB-NP\tO' +p59607 +aS',\t,\t,\tO\tO' +p59608 +aS'easily\teasily\tRB\tB-ADJP\tO' +p59609 +aS'arousable\tarousable\tJJ\tI-ADJP\tO' +p59610 +aS'.\t.\t.\tO\tO' +p59611 +asS'His abdomen is soft and nontender .' +p59612 +(lp59613 +S'His\tHis\tPRP$\tB-NP\tO' +p59614 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p59615 +aS'is\tbe\tVBZ\tB-VP\tO' +p59616 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p59617 +aS'and\tand\tCC\tI-ADJP\tO' +p59618 +aS'nontender\tnontender\tJJ\tI-ADJP\tO' +p59619 +aS'.\t.\t.\tO\tO' +p59620 +asS'He will also go home with VNA for INRs twice weekly with the results reported to his PCP or cardiologist for Coumadin adjustment .' +p59621 +(lp59622 +S'He\tHe\tPRP\tB-NP\tO' +p59623 +aS'will\twill\tMD\tB-VP\tO' +p59624 +aS'also\talso\tRB\tI-VP\tO' +p59625 +aS'go\tgo\tVB\tI-VP\tO' +p59626 +aS'home\thome\tNN\tB-ADVP\tO' +p59627 +aS'with\twith\tIN\tB-PP\tO' +p59628 +aS'VNA\tVNA\tNN\tB-NP\tB-protein' +p59629 +aS'for\tfor\tIN\tB-PP\tO' +p59630 +aS'INRs\tINR\tNNS\tB-NP\tB-protein' +p59631 +aS'twice\ttwice\tRB\tB-ADVP\tO' +p59632 +aS'weekly\tweekly\tRB\tI-ADVP\tO' +p59633 +aS'with\twith\tIN\tB-PP\tO' +p59634 +aS'the\tthe\tDT\tB-NP\tO' +p59635 +aS'results\tresult\tNNS\tI-NP\tO' +p59636 +aS'reported\treport\tVBN\tB-VP\tO' +p59637 +aS'to\tto\tTO\tB-PP\tO' +p59638 +aS'his\this\tPRP$\tB-NP\tO' +p59639 +aS'PCP\tPCP\tNN\tI-NP\tB-DNA' +p59640 +aS'or\tor\tCC\tI-NP\tO' +p59641 +aS'cardiologist\tcardiologist\tNN\tI-NP\tO' +p59642 +aS'for\tfor\tIN\tB-PP\tO' +p59643 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p59644 +aS'adjustment\tadjustment\tNN\tI-NP\tO' +p59645 +aS'.\t.\t.\tO\tO' +p59646 +asS'Overnight in the ICU patient was noticed to have painful bullae on hands and arm along with swelling .' +p59647 +(lp59648 +S'Overnight\tOvernight\tRB\tB-ADVP\tO' +p59649 +aS'in\tin\tIN\tB-PP\tO' +p59650 +aS'the\tthe\tDT\tB-NP\tO' +p59651 +aS'ICU\tICU\tNN\tI-NP\tO' +p59652 +aS'patient\tpatient\tNN\tI-NP\tO' +p59653 +aS'was\tbe\tVBD\tB-VP\tO' +p59654 +aS'noticed\tnotice\tVBN\tI-VP\tO' +p59655 +aS'to\tto\tTO\tI-VP\tO' +p59656 +aS'have\thave\tVB\tI-VP\tO' +p59657 +aS'painful\tpainful\tJJ\tB-NP\tO' +p59658 +aS'bullae\tbulla\tNNS\tI-NP\tO' +p59659 +aS'on\ton\tIN\tB-PP\tO' +p59660 +aS'hands\thand\tNNS\tB-NP\tO' +p59661 +aS'and\tand\tCC\tI-NP\tO' +p59662 +aS'arm\tarm\tNN\tI-NP\tO' +p59663 +aS'along\talong\tIN\tB-PP\tO' +p59664 +aS'with\twith\tIN\tB-PP\tO' +p59665 +aS'swelling\tswelling\tNN\tB-NP\tO' +p59666 +aS'.\t.\t.\tO\tO' +p59667 +asS"On post-op day #3 , the patient 's pacing wires were removed , and his lopressor was started ." +p59668 +(lp59669 +S'On\tOn\tIN\tB-PP\tO' +p59670 +aS'post-op\tpost-op\tJJ\tB-NP\tO' +p59671 +aS'day\tday\tNN\tI-NP\tO' +p59672 +aS'#3\t#3\tNN\tI-NP\tO' +p59673 +aS',\t,\t,\tO\tO' +p59674 +aS'the\tthe\tDT\tB-NP\tO' +p59675 +aS'patient\tpatient\tNN\tI-NP\tO' +p59676 +aS"'s\t's\tPOS\tB-NP\tO" +p59677 +aS'pacing\tpacing\tNN\tI-NP\tO' +p59678 +aS'wires\twire\tNNS\tI-NP\tO' +p59679 +aS'were\tbe\tVBD\tB-VP\tO' +p59680 +aS'removed\tremove\tVBN\tI-VP\tO' +p59681 +aS',\t,\t,\tO\tO' +p59682 +aS'and\tand\tCC\tO\tO' +p59683 +aS'his\this\tPRP$\tB-NP\tO' +p59684 +aS'lopressor\tlopressor\tNN\tI-NP\tO' +p59685 +aS'was\tbe\tVBD\tB-VP\tO' +p59686 +aS'started\tstart\tVBN\tI-VP\tO' +p59687 +aS'.\t.\t.\tO\tO' +p59688 +asS'Gen : caucasian man lying in bed , NAD' +p59689 +(lp59690 +S'Gen\tGen\tNN\tB-NP\tO' +p59691 +aS':\t:\t:\tO\tO' +p59692 +aS'caucasian\tcaucasian\tJJ\tB-NP\tO' +p59693 +aS'man\tman\tNN\tI-NP\tO' +p59694 +aS'lying\tlie\tVBG\tB-VP\tO' +p59695 +aS'in\tin\tIN\tB-PP\tO' +p59696 +aS'bed\tbed\tNN\tB-NP\tO' +p59697 +aS',\t,\t,\tO\tO' +p59698 +aS'NAD\tNAD\tNN\tB-NP\tO' +p59699 +asS'Status post gastric stapling .' +p59700 +(lp59701 +S'Status\tStatus\tNNP\tB-NP\tO' +p59702 +aS'post\tpost\tVBD\tB-VP\tO' +p59703 +aS'gastric\tgastric\tJJ\tB-NP\tO' +p59704 +aS'stapling\tstapling\tNN\tI-NP\tO' +p59705 +aS'.\t.\t.\tO\tO' +p59706 +asS'There is occasional left chest tightening which is brief .' +p59707 +(lp59708 +S'There\tThere\tEX\tB-NP\tO' +p59709 +aS'is\tbe\tVBZ\tB-VP\tO' +p59710 +aS'occasional\toccasional\tJJ\tB-NP\tO' +p59711 +aS'left\tleft\tJJ\tI-NP\tO' +p59712 +aS'chest\tchest\tNN\tI-NP\tO' +p59713 +aS'tightening\ttighten\tVBG\tB-VP\tO' +p59714 +aS'which\twhich\tWDT\tB-NP\tO' +p59715 +aS'is\tbe\tVBZ\tB-VP\tO' +p59716 +aS'brief\tbrief\tJJ\tB-ADJP\tO' +p59717 +aS'.\t.\t.\tO\tO' +p59718 +asS'Blood cultures mentioned previously were positive for C. perfringens .' +p59719 +(lp59720 +S'Blood\tBlood\tNN\tB-NP\tO' +p59721 +aS'cultures\tculture\tNNS\tI-NP\tO' +p59722 +aS'mentioned\tmention\tVBN\tB-VP\tO' +p59723 +aS'previously\tpreviously\tRB\tB-ADVP\tO' +p59724 +aS'were\tbe\tVBD\tB-VP\tO' +p59725 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p59726 +aS'for\tfor\tIN\tB-PP\tO' +p59727 +aS'C.\tC.\tNNP\tB-NP\tO' +p59728 +aS'perfringens\tperfringen\tNNS\tI-NP\tO' +p59729 +aS'.\t.\t.\tO\tO' +p59730 +asS'There was also elevation of the PTT suggesting possible inborn coagulopathy .' +p59731 +(lp59732 +S'There\tThere\tEX\tB-NP\tO' +p59733 +aS'was\tbe\tVBD\tB-VP\tO' +p59734 +aS'also\talso\tRB\tB-ADVP\tO' +p59735 +aS'elevation\televation\tNN\tB-NP\tO' +p59736 +aS'of\tof\tIN\tB-PP\tO' +p59737 +aS'the\tthe\tDT\tB-NP\tO' +p59738 +aS'PTT\tPTT\tNN\tI-NP\tO' +p59739 +aS'suggesting\tsuggest\tVBG\tB-VP\tO' +p59740 +aS'possible\tpossible\tJJ\tB-NP\tO' +p59741 +aS'inborn\tinborn\tJJ\tI-NP\tO' +p59742 +aS'coagulopathy\tcoagulopathy\tNN\tI-NP\tO' +p59743 +aS'.\t.\t.\tO\tO' +p59744 +asS'Patient continued on Lactulose .' +p59745 +(lp59746 +S'Patient\tPatient\tNN\tB-NP\tO' +p59747 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p59748 +aS'on\ton\tIN\tB-PP\tO' +p59749 +aS'Lactulose\tLactulose\tNN\tB-NP\tO' +p59750 +aS'.\t.\t.\tO\tO' +p59751 +asS'No other confluent infiltrates are appreciated' +p59752 +(lp59753 +S'No\tNo\tDT\tB-NP\tO' +p59754 +aS'other\tother\tJJ\tI-NP\tO' +p59755 +aS'confluent\tconfluent\tJJ\tI-NP\tO' +p59756 +aS'infiltrates\tinfiltrate\tNNS\tI-NP\tO' +p59757 +aS'are\tbe\tVBP\tB-VP\tO' +p59758 +aS'appreciated\tappreciate\tVBN\tI-VP\tO' +p59759 +asS'9. Prilosec 20 mg Capsule , Delayed Release ( E.C. ) Sig : One ( 1 ) Capsule , Delayed Release ( E.C. ) PO once a Gray .' +p59760 +(lp59761 +S'9.\t9.\tCD\tB-NP\tO' +p59762 +aS'Prilosec\tPrilosec\tNNP\tI-NP\tO' +p59763 +aS'20\t20\tCD\tI-NP\tO' +p59764 +aS'mg\tmg\tNN\tI-NP\tO' +p59765 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p59766 +aS',\t,\t,\tO\tO' +p59767 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p59768 +aS'Release\tRelease\tNNP\tI-NP\tO' +p59769 +aS'(\t(\t(\tO\tO' +p59770 +aS'E.C.\tE.C.\tNNP\tB-NP\tO' +p59771 +aS')\t)\t)\tO\tO' +p59772 +aS'Sig\tSig\tNNP\tB-NP\tO' +p59773 +aS':\t:\t:\tO\tO' +p59774 +aS'One\tOne\tCD\tB-NP\tO' +p59775 +aS'(\t(\t(\tO\tO' +p59776 +aS'1\t1\tCD\tB-NP\tO' +p59777 +aS')\t)\t)\tO\tO' +p59778 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p59779 +aS',\t,\t,\tO\tO' +p59780 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p59781 +aS'Release\tRelease\tNNP\tI-NP\tO' +p59782 +aS'(\t(\t(\tO\tO' +p59783 +aS'E.C.\tE.C.\tNNP\tO\tO' +p59784 +aS')\t)\t)\tO\tO' +p59785 +aS'PO\tPO\tNN\tB-NP\tO' +p59786 +aS'once\tonce\tRB\tB-ADVP\tO' +p59787 +aS'a\ta\tDT\tB-NP\tO' +p59788 +aS'Gray\tGray\tNNP\tI-NP\tO' +p59789 +aS'.\t.\t.\tO\tO' +p59790 +asS'On transfer , the pt had VSS with a mildly tender abdomen without peritoneal signs .' +p59791 +(lp59792 +S'On\tOn\tIN\tB-PP\tO' +p59793 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p59794 +aS',\t,\t,\tO\tO' +p59795 +aS'the\tthe\tDT\tB-NP\tO' +p59796 +aS'pt\tpt\tNN\tI-NP\tO' +p59797 +aS'had\thave\tVBD\tB-VP\tO' +p59798 +aS'VSS\tVSS\tNN\tB-NP\tB-protein' +p59799 +aS'with\twith\tIN\tB-PP\tO' +p59800 +aS'a\ta\tDT\tB-NP\tO' +p59801 +aS'mildly\tmildly\tRB\tI-NP\tO' +p59802 +aS'tender\ttender\tNN\tI-NP\tO' +p59803 +aS'abdomen\tabdoman\tNNS\tI-NP\tO' +p59804 +aS'without\twithout\tIN\tB-PP\tO' +p59805 +aS'peritoneal\tperitoneal\tJJ\tB-NP\tO' +p59806 +aS'signs\tsign\tNNS\tI-NP\tO' +p59807 +aS'.\t.\t.\tO\tO' +p59808 +asS'If you have any further black stools , bleeding , lightheadedness or any other concerning symptoms please contact your PCP or return to the emergency room .' +p59809 +(lp59810 +S'If\tIf\tIN\tB-SBAR\tO' +p59811 +aS'you\tyou\tPRP\tB-NP\tO' +p59812 +aS'have\thave\tVBP\tB-VP\tO' +p59813 +aS'any\tany\tDT\tB-NP\tO' +p59814 +aS'further\tfurther\tJJ\tI-NP\tO' +p59815 +aS'black\tblack\tJJ\tI-NP\tO' +p59816 +aS'stools\tstool\tNNS\tI-NP\tO' +p59817 +aS',\t,\t,\tO\tO' +p59818 +aS'bleeding\tbleeding\tNN\tB-NP\tO' +p59819 +aS',\t,\t,\tO\tO' +p59820 +aS'lightheadedness\tlightheadedness\tNN\tB-NP\tO' +p59821 +aS'or\tor\tCC\tO\tO' +p59822 +aS'any\tany\tDT\tB-NP\tO' +p59823 +aS'other\tother\tJJ\tI-NP\tO' +p59824 +aS'concerning\tconcern\tVBG\tI-NP\tO' +p59825 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p59826 +aS'please\tplease\tVB\tB-VP\tO' +p59827 +aS'contact\tcontact\tNN\tB-NP\tO' +p59828 +aS'your\tyour\tPRP$\tB-NP\tO' +p59829 +aS'PCP\tPCP\tNN\tI-NP\tB-DNA' +p59830 +aS'or\tor\tCC\tO\tO' +p59831 +aS'return\treturn\tVB\tB-VP\tO' +p59832 +aS'to\tto\tTO\tB-PP\tO' +p59833 +aS'the\tthe\tDT\tB-NP\tO' +p59834 +aS'emergency\temergency\tNN\tI-NP\tO' +p59835 +aS'room\troom\tNN\tI-NP\tO' +p59836 +aS'.\t.\t.\tO\tO' +p59837 +asS'Digoxin 0.125 mg po q.d. , Lasix 40 mg b.i.d. , aspirin held , and Vanceril three puffs b.i.d.' +p59838 +(lp59839 +S'Digoxin\tDigoxin\tNN\tB-NP\tO' +p59840 +aS'0.125\t0.125\tCD\tI-NP\tO' +p59841 +aS'mg\tmg\tNN\tI-NP\tO' +p59842 +aS'po\tpo\tNN\tI-NP\tO' +p59843 +aS'q.d.\tq.d.\tNNP\tI-NP\tO' +p59844 +aS',\t,\t,\tI-NP\tO' +p59845 +aS'Lasix\tLasix\tNNP\tI-NP\tO' +p59846 +aS'40\t40\tCD\tI-NP\tO' +p59847 +aS'mg\tmg\tNN\tI-NP\tO' +p59848 +aS'b.i.d.\tb.i.d.\tRB\tB-ADVP\tO' +p59849 +aS',\t,\t,\tO\tO' +p59850 +aS'aspirin\taspirin\tNN\tB-NP\tO' +p59851 +aS'held\thold\tVBN\tB-VP\tO' +p59852 +aS',\t,\t,\tO\tO' +p59853 +aS'and\tand\tCC\tO\tO' +p59854 +aS'Vanceril\tVanceril\tNNP\tB-NP\tO' +p59855 +aS'three\tthree\tCD\tB-NP\tO' +p59856 +aS'puffs\tpuff\tNNS\tI-NP\tO' +p59857 +aS'b.i.d.\tb.i.d.\tRB\tB-ADVP\tO' +p59858 +asS'Tai Pamela Christopher , Oklahoma 05158' +p59859 +(lp59860 +S'Tai\tTai\tNNP\tB-NP\tO' +p59861 +aS'Pamela\tPamela\tNNP\tI-NP\tO' +p59862 +aS'Christopher\tChristopher\tNNP\tI-NP\tO' +p59863 +aS',\t,\t,\tO\tO' +p59864 +aS'Oklahoma\tOklahoma\tNNP\tB-NP\tO' +p59865 +aS'05158\t05158\tCD\tI-NP\tO' +p59866 +asS'3. Car seat position screening passed .' +p59867 +(lp59868 +S'3.\t3.\tLS\tB-NP\tO' +p59869 +aS'Car\tCar\tNN\tI-NP\tB-protein' +p59870 +aS'seat\tseat\tNN\tI-NP\tO' +p59871 +aS'position\tposition\tNN\tI-NP\tO' +p59872 +aS'screening\tscreening\tNN\tI-NP\tO' +p59873 +aS'passed\tpass\tVBN\tB-VP\tO' +p59874 +aS'.\t.\t.\tO\tO' +p59875 +asS'Mitral Valve Replacement with 31 mm SJM Biocor Tissue valve / della' +p59876 +(lp59877 +S'Mitral\tMitral\tNNP\tB-NP\tO' +p59878 +aS'Valve\tValve\tNNP\tI-NP\tO' +p59879 +aS'Replacement\tReplacement\tNNP\tI-NP\tO' +p59880 +aS'with\twith\tIN\tB-PP\tO' +p59881 +aS'31\t31\tCD\tB-NP\tO' +p59882 +aS'mm\tmm\tNN\tI-NP\tO' +p59883 +aS'SJM\tSJM\tNNP\tI-NP\tO' +p59884 +aS'Biocor\tBiocor\tNNP\tI-NP\tO' +p59885 +aS'Tissue\tTissue\tNN\tI-NP\tO' +p59886 +aS'valve\tvalve\tNN\tI-NP\tO' +p59887 +aS'/\t/\tSYM\tB-VP\tO' +p59888 +aS'della\tdella\tNN\tB-NP\tO' +p59889 +asS'Pt was transferred here for further mgmt of airway and large thyroid mass by our IP team .' +p59890 +(lp59891 +S'Pt\tPt\tNN\tB-NP\tO' +p59892 +aS'was\tbe\tVBD\tB-VP\tO' +p59893 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p59894 +aS'here\there\tRB\tB-ADVP\tO' +p59895 +aS'for\tfor\tIN\tB-PP\tO' +p59896 +aS'further\tfurther\tJJ\tB-NP\tO' +p59897 +aS'mgmt\tmgmt\tNN\tI-NP\tO' +p59898 +aS'of\tof\tIN\tB-PP\tO' +p59899 +aS'airway\tairway\tNN\tB-NP\tO' +p59900 +aS'and\tand\tCC\tO\tO' +p59901 +aS'large\tlarge\tJJ\tB-NP\tO' +p59902 +aS'thyroid\tthyroid\tJJ\tI-NP\tO' +p59903 +aS'mass\tmass\tNN\tI-NP\tO' +p59904 +aS'by\tby\tIN\tB-PP\tO' +p59905 +aS'our\tour\tPRP$\tB-NP\tO' +p59906 +aS'IP\tIP\tNN\tI-NP\tO' +p59907 +aS'team\tteam\tNN\tI-NP\tO' +p59908 +aS'.\t.\t.\tO\tO' +p59909 +asS'The patient received chest physical therapy bid .' +p59910 +(lp59911 +S'The\tThe\tDT\tB-NP\tO' +p59912 +aS'patient\tpatient\tNN\tI-NP\tO' +p59913 +aS'received\treceive\tVBD\tB-VP\tO' +p59914 +aS'chest\tchest\tNN\tB-NP\tO' +p59915 +aS'physical\tphysical\tJJ\tI-NP\tO' +p59916 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p59917 +aS'bid\tbid\tNN\tI-NP\tO' +p59918 +aS'.\t.\t.\tO\tO' +p59919 +asS'2. Silent stroke affecting anterior part of brain' +p59920 +(lp59921 +S'2.\t2.\tLS\tB-LST\tO' +p59922 +aS'Silent\tSilent\tNNP\tB-NP\tO' +p59923 +aS'stroke\tstroke\tVBD\tB-VP\tO' +p59924 +aS'affecting\taffect\tVBG\tI-VP\tO' +p59925 +aS'anterior\tanterior\tJJ\tB-NP\tO' +p59926 +aS'part\tpart\tNN\tI-NP\tO' +p59927 +aS'of\tof\tIN\tB-PP\tO' +p59928 +aS'brain\tbrain\tNN\tB-NP\tO' +p59929 +asS'He is to have follow up in the wound clinic in two weeks and follow up with Dr. Brewster in two to three weeks and follow up with Dr. Rota in 4 weeks .' +p59930 +(lp59931 +S'He\tHe\tPRP\tB-NP\tO' +p59932 +aS'is\tbe\tVBZ\tB-VP\tO' +p59933 +aS'to\tto\tTO\tI-VP\tO' +p59934 +aS'have\thave\tVB\tI-VP\tO' +p59935 +aS'follow\tfollow\tVB\tI-VP\tO' +p59936 +aS'up\tup\tRP\tB-PRT\tO' +p59937 +aS'in\tin\tIN\tB-PP\tO' +p59938 +aS'the\tthe\tDT\tB-NP\tO' +p59939 +aS'wound\twound\tNN\tI-NP\tO' +p59940 +aS'clinic\tclinic\tNN\tI-NP\tO' +p59941 +aS'in\tin\tIN\tB-PP\tO' +p59942 +aS'two\ttwo\tCD\tB-NP\tO' +p59943 +aS'weeks\tweek\tNNS\tI-NP\tO' +p59944 +aS'and\tand\tCC\tO\tO' +p59945 +aS'follow\tfollow\tVB\tB-VP\tO' +p59946 +aS'up\tup\tRP\tB-PRT\tO' +p59947 +aS'with\twith\tIN\tB-PP\tO' +p59948 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p59949 +aS'Brewster\tBrewster\tNNP\tI-NP\tO' +p59950 +aS'in\tin\tIN\tB-PP\tO' +p59951 +aS'two\ttwo\tCD\tB-NP\tO' +p59952 +aS'to\tto\tTO\tI-NP\tO' +p59953 +aS'three\tthree\tCD\tI-NP\tO' +p59954 +aS'weeks\tweek\tNNS\tI-NP\tO' +p59955 +aS'and\tand\tCC\tO\tO' +p59956 +aS'follow\tfollow\tVB\tB-VP\tO' +p59957 +aS'up\tup\tRP\tB-PRT\tO' +p59958 +aS'with\twith\tIN\tB-PP\tO' +p59959 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p59960 +aS'Rota\tRota\tNNP\tI-NP\tO' +p59961 +aS'in\tin\tIN\tB-PP\tO' +p59962 +aS'4\t4\tCD\tB-NP\tO' +p59963 +aS'weeks\tweek\tNNS\tI-NP\tO' +p59964 +aS'.\t.\t.\tO\tO' +p59965 +asS'Wheelchair dependent + requires Hoyer lift .' +p59966 +(lp59967 +S'Wheelchair\tWheelchair\tNN\tB-NP\tO' +p59968 +aS'dependent\tdependent\tJJ\tI-NP\tO' +p59969 +aS'+\t+\tSYM\tB-NP\tO' +p59970 +aS'requires\trequire\tVBZ\tB-VP\tO' +p59971 +aS'Hoyer\tHoyer\tNN\tB-NP\tO' +p59972 +aS'lift\tlift\tNN\tI-NP\tO' +p59973 +aS'.\t.\t.\tO\tO' +p59974 +asS'Her extremities are without edema and are warm .' +p59975 +(lp59976 +S'Her\tHer\tPRP$\tB-NP\tO' +p59977 +aS'extremities\textremity\tNNS\tI-NP\tO' +p59978 +aS'are\tbe\tVBP\tB-VP\tO' +p59979 +aS'without\twithout\tIN\tB-PP\tO' +p59980 +aS'edema\tedema\tNN\tB-NP\tO' +p59981 +aS'and\tand\tCC\tO\tO' +p59982 +aS'are\tbe\tVBP\tB-VP\tO' +p59983 +aS'warm\twarm\tJJ\tB-ADJP\tO' +p59984 +aS'.\t.\t.\tO\tO' +p59985 +asS'The patient was managed on the Medical Service for his drop in blood pressure and cardiac evaluation .' +p59986 +(lp59987 +S'The\tThe\tDT\tB-NP\tO' +p59988 +aS'patient\tpatient\tNN\tI-NP\tO' +p59989 +aS'was\tbe\tVBD\tB-VP\tO' +p59990 +aS'managed\tmanage\tVBN\tI-VP\tO' +p59991 +aS'on\ton\tIN\tB-PP\tO' +p59992 +aS'the\tthe\tDT\tB-NP\tO' +p59993 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p59994 +aS'Service\tService\tNNP\tI-NP\tO' +p59995 +aS'for\tfor\tIN\tB-PP\tO' +p59996 +aS'his\this\tPRP$\tB-NP\tO' +p59997 +aS'drop\tdrop\tNN\tI-NP\tO' +p59998 +aS'in\tin\tIN\tB-PP\tO' +p59999 +aS'blood\tblood\tNN\tB-NP\tO' +p60000 +aS'pressure\tpressure\tNN\tI-NP\tO' +p60001 +aS'and\tand\tCC\tO\tO' +p60002 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p60003 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p60004 +aS'.\t.\t.\tO\tO' +p60005 +asS'2. Ophthalmology Dr. Wilson .' +p60006 +(lp60007 +S'2.\t2.\tLS\tB-LST\tO' +p60008 +aS'Ophthalmology\tOphthalmology\tNNP\tB-NP\tO' +p60009 +aS'Dr.\tDr.\tNNP\tI-NP\tO' +p60010 +aS'Wilson\tWilson\tNNP\tI-NP\tO' +p60011 +aS'.\t.\t.\tO\tO' +p60012 +asS'4. History of hyperkalemia .' +p60013 +(lp60014 +S'4.\t4.\tLS\tB-NP\tO' +p60015 +aS'History\tHistory\tNN\tI-NP\tO' +p60016 +aS'of\tof\tIN\tB-PP\tO' +p60017 +aS'hyperkalemia\thyperkalemia\tNN\tB-NP\tO' +p60018 +aS'.\t.\t.\tO\tO' +p60019 +asS'Soft , nontender , nondistended .' +p60020 +(lp60021 +S'Soft\tSoft\tRB\tB-ADVP\tO' +p60022 +aS',\t,\t,\tO\tO' +p60023 +aS'nontender\tnontender\tJJ\tB-NP\tO' +p60024 +aS',\t,\t,\tI-NP\tO' +p60025 +aS'nondistended\tnondistended\tJJ\tI-NP\tO' +p60026 +aS'.\t.\t.\tO\tO' +p60027 +asS'HEENT showed pupils equal , round , reactive to light and accommodation , and extra ocular movements intact .' +p60028 +(lp60029 +S'HEENT\tHEENT\tNN\tB-NP\tO' +p60030 +aS'showed\tshow\tVBD\tB-VP\tO' +p60031 +aS'pupils\tpupil\tNNS\tB-NP\tO' +p60032 +aS'equal\tequal\tJJ\tB-NP\tO' +p60033 +aS',\t,\t,\tI-NP\tO' +p60034 +aS'round\tround\tJJ\tI-NP\tO' +p60035 +aS',\t,\t,\tI-NP\tO' +p60036 +aS'reactive\treactive\tJJ\tI-NP\tO' +p60037 +aS'to\tto\tTO\tB-PP\tO' +p60038 +aS'light\tlight\tNN\tB-NP\tO' +p60039 +aS'and\tand\tCC\tI-NP\tO' +p60040 +aS'accommodation\taccommodation\tNN\tI-NP\tO' +p60041 +aS',\t,\t,\tO\tO' +p60042 +aS'and\tand\tCC\tO\tO' +p60043 +aS'extra\textra\tJJ\tB-NP\tO' +p60044 +aS'ocular\tocular\tJJ\tI-NP\tO' +p60045 +aS'movements\tmovement\tNNS\tI-NP\tO' +p60046 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p60047 +aS'.\t.\t.\tO\tO' +p60048 +asS'Peritoneal dialysis was instituted on 4/11 after a Tenckhoff catheter was placed by Drs. Freierm , Le , and Round .' +p60049 +(lp60050 +S'Peritoneal\tPeritoneal\tJJ\tB-NP\tO' +p60051 +aS'dialysis\tdialysis\tNN\tI-NP\tO' +p60052 +aS'was\tbe\tVBD\tB-VP\tO' +p60053 +aS'instituted\tinstitute\tVBN\tI-VP\tO' +p60054 +aS'on\ton\tIN\tB-PP\tO' +p60055 +aS'4/11\t4/11\tCD\tB-NP\tO' +p60056 +aS'after\tafter\tIN\tB-PP\tO' +p60057 +aS'a\ta\tDT\tB-NP\tO' +p60058 +aS'Tenckhoff\tTenckhoff\tNNP\tI-NP\tO' +p60059 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p60060 +aS'was\tbe\tVBD\tB-VP\tO' +p60061 +aS'placed\tplace\tVBN\tI-VP\tO' +p60062 +aS'by\tby\tIN\tB-PP\tO' +p60063 +aS'Drs.\tDrs.\tNNP\tB-NP\tO' +p60064 +aS'Freierm\tFreierm\tNNP\tI-NP\tO' +p60065 +aS',\t,\t,\tO\tO' +p60066 +aS'Le\tLe\tNNP\tB-NP\tO' +p60067 +aS',\t,\t,\tO\tO' +p60068 +aS'and\tand\tCC\tO\tO' +p60069 +aS'Round\tRound\tNN\tB-NP\tO' +p60070 +aS'.\t.\t.\tO\tO' +p60071 +asS'Urinalysis showed specific gravity 1.005 , pH 8.0 , positive proteins , positive red blood cells , negative white cell count , positive glucose .' +p60072 +(lp60073 +S'Urinalysis\tUrinalysis\tNN\tB-NP\tO' +p60074 +aS'showed\tshow\tVBD\tB-VP\tO' +p60075 +aS'specific\tspecific\tJJ\tB-NP\tO' +p60076 +aS'gravity\tgravity\tNN\tI-NP\tO' +p60077 +aS'1.005\t1.005\tCD\tI-NP\tO' +p60078 +aS',\t,\t,\tO\tO' +p60079 +aS'pH\tpH\tNN\tB-NP\tO' +p60080 +aS'8.0\t8.0\tCD\tI-NP\tO' +p60081 +aS',\t,\t,\tO\tO' +p60082 +aS'positive\tpositive\tJJ\tB-NP\tB-protein' +p60083 +aS'proteins\tprotein\tNNS\tI-NP\tI-protein' +p60084 +aS',\t,\t,\tO\tO' +p60085 +aS'positive\tpositive\tJJ\tB-NP\tB-cell_type' +p60086 +aS'red\tred\tJJ\tI-NP\tI-cell_type' +p60087 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p60088 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p60089 +aS',\t,\t,\tO\tO' +p60090 +aS'negative\tnegative\tJJ\tB-NP\tO' +p60091 +aS'white\twhite\tJJ\tI-NP\tO' +p60092 +aS'cell\tcell\tNN\tI-NP\tO' +p60093 +aS'count\tcount\tNN\tI-NP\tO' +p60094 +aS',\t,\t,\tO\tO' +p60095 +aS'positive\tpositive\tJJ\tB-NP\tO' +p60096 +aS'glucose\tglucose\tNN\tI-NP\tO' +p60097 +aS'.\t.\t.\tO\tO' +p60098 +asS'Although details were not available at the time of admission , apparently , she had done well until the 24 hours proceeding admission when the cellulitis was felt to be worsening .' +p60099 +(lp60100 +S'Although\tAlthough\tIN\tB-SBAR\tO' +p60101 +aS'details\tdetail\tNNS\tB-NP\tO' +p60102 +aS'were\tbe\tVBD\tB-VP\tO' +p60103 +aS'not\tnot\tRB\tO\tO' +p60104 +aS'available\tavailable\tJJ\tB-ADJP\tO' +p60105 +aS'at\tat\tIN\tB-PP\tO' +p60106 +aS'the\tthe\tDT\tB-NP\tO' +p60107 +aS'time\ttime\tNN\tI-NP\tO' +p60108 +aS'of\tof\tIN\tB-PP\tO' +p60109 +aS'admission\tadmission\tNN\tB-NP\tO' +p60110 +aS',\t,\t,\tO\tO' +p60111 +aS'apparently\tapparently\tRB\tB-ADVP\tO' +p60112 +aS',\t,\t,\tO\tO' +p60113 +aS'she\tshe\tPRP\tB-NP\tO' +p60114 +aS'had\thave\tVBD\tB-VP\tO' +p60115 +aS'done\tdo\tVBN\tI-VP\tO' +p60116 +aS'well\twell\tRB\tB-ADVP\tO' +p60117 +aS'until\tuntil\tIN\tB-PP\tO' +p60118 +aS'the\tthe\tDT\tB-NP\tO' +p60119 +aS'24\t24\tCD\tI-NP\tO' +p60120 +aS'hours\thour\tNNS\tI-NP\tO' +p60121 +aS'proceeding\tproceed\tVBG\tB-VP\tO' +p60122 +aS'admission\tadmission\tNN\tB-NP\tO' +p60123 +aS'when\twhen\tWRB\tB-ADVP\tO' +p60124 +aS'the\tthe\tDT\tB-NP\tO' +p60125 +aS'cellulitis\tcellulitis\tNN\tI-NP\tO' +p60126 +aS'was\tbe\tVBD\tB-VP\tO' +p60127 +aS'felt\tfeel\tVBN\tI-VP\tO' +p60128 +aS'to\tto\tTO\tI-VP\tO' +p60129 +aS'be\tbe\tVB\tI-VP\tO' +p60130 +aS'worsening\tworsen\tVBG\tI-VP\tO' +p60131 +aS'.\t.\t.\tO\tO' +p60132 +asS'Patient was hospitalized September 26 to November 11 for what was diagnosed by skin biopsy and sinus washings as Acanthamoeba infection of skin and sinuses , without any progression to neurologic infection ( as assessed by head CT and MRI ) .' +p60133 +(lp60134 +S'Patient\tPatient\tNN\tB-NP\tO' +p60135 +aS'was\tbe\tVBD\tB-VP\tO' +p60136 +aS'hospitalized\thospitalize\tVBN\tI-VP\tO' +p60137 +aS'September\tSeptember\tNNP\tB-NP\tO' +p60138 +aS'26\t26\tCD\tI-NP\tO' +p60139 +aS'to\tto\tTO\tB-PP\tO' +p60140 +aS'November\tNovember\tNNP\tB-NP\tO' +p60141 +aS'11\t11\tCD\tI-NP\tO' +p60142 +aS'for\tfor\tIN\tB-PP\tO' +p60143 +aS'what\twhat\tWP\tB-NP\tO' +p60144 +aS'was\tbe\tVBD\tB-VP\tO' +p60145 +aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' +p60146 +aS'by\tby\tIN\tB-PP\tO' +p60147 +aS'skin\tskin\tNN\tB-NP\tO' +p60148 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p60149 +aS'and\tand\tCC\tI-NP\tO' +p60150 +aS'sinus\tsinus\tNN\tI-NP\tO' +p60151 +aS'washings\twashing\tNNS\tI-NP\tO' +p60152 +aS'as\tas\tIN\tB-PP\tO' +p60153 +aS'Acanthamoeba\tAcanthamoeba\tNN\tB-NP\tO' +p60154 +aS'infection\tinfection\tNN\tI-NP\tO' +p60155 +aS'of\tof\tIN\tB-PP\tO' +p60156 +aS'skin\tskin\tNN\tB-NP\tO' +p60157 +aS'and\tand\tCC\tI-NP\tO' +p60158 +aS'sinuses\tsinus\tNNS\tI-NP\tO' +p60159 +aS',\t,\t,\tO\tO' +p60160 +aS'without\twithout\tIN\tB-PP\tO' +p60161 +aS'any\tany\tDT\tB-NP\tO' +p60162 +aS'progression\tprogression\tNN\tI-NP\tO' +p60163 +aS'to\tto\tTO\tB-PP\tO' +p60164 +aS'neurologic\tneurologic\tJJ\tB-NP\tO' +p60165 +aS'infection\tinfection\tNN\tI-NP\tO' +p60166 +aS'(\t(\t(\tO\tO' +p60167 +aS'as\tas\tIN\tB-SBAR\tO' +p60168 +aS'assessed\tassess\tVBN\tB-VP\tO' +p60169 +aS'by\tby\tIN\tB-PP\tO' +p60170 +aS'head\thead\tNN\tB-NP\tO' +p60171 +aS'CT\tCT\tNN\tI-NP\tO' +p60172 +aS'and\tand\tCC\tO\tO' +p60173 +aS'MRI\tMRI\tNN\tB-NP\tB-protein' +p60174 +aS')\t)\t)\tO\tO' +p60175 +aS'.\t.\t.\tO\tO' +p60176 +asS'Part 1 of a sleep study .' +p60177 +(lp60178 +S'Part\tPart\tNNP\tB-NP\tO' +p60179 +aS'1\t1\tCD\tI-NP\tO' +p60180 +aS'of\tof\tIN\tB-PP\tO' +p60181 +aS'a\ta\tDT\tB-NP\tO' +p60182 +aS'sleep\tsleep\tJJ\tI-NP\tO' +p60183 +aS'study\tstudy\tNN\tI-NP\tO' +p60184 +aS'.\t.\t.\tO\tO' +p60185 +asS'She also had one episode of shortness of breath .' +p60186 +(lp60187 +S'She\tShe\tPRP\tB-NP\tO' +p60188 +aS'also\talso\tRB\tB-ADVP\tO' +p60189 +aS'had\thave\tVBD\tB-VP\tO' +p60190 +aS'one\tone\tCD\tB-NP\tO' +p60191 +aS'episode\tepisode\tNN\tI-NP\tO' +p60192 +aS'of\tof\tIN\tB-PP\tO' +p60193 +aS'shortness\tshortness\tNN\tB-NP\tO' +p60194 +aS'of\tof\tIN\tB-PP\tO' +p60195 +aS'breath\tbreath\tNN\tB-NP\tO' +p60196 +aS'.\t.\t.\tO\tO' +p60197 +asS'Neuro exam was alert and oriented x 3 .' +p60198 +(lp60199 +S'Neuro\tNeuro\tNN\tB-NP\tO' +p60200 +aS'exam\texam\tNN\tI-NP\tO' +p60201 +aS'was\tbe\tVBD\tB-VP\tO' +p60202 +aS'alert\talert\tJJ\tB-ADJP\tO' +p60203 +aS'and\tand\tCC\tO\tO' +p60204 +aS'oriented\torient\tVBN\tB-VP\tB-protein' +p60205 +aS'x\tx\tNN\tB-NP\tI-protein' +p60206 +aS'3\t3\tCD\tI-NP\tI-protein' +p60207 +aS'.\t.\t.\tO\tO' +p60208 +asS'Shoulder elevation is 170 degrees with 70 degrees of external rotation and internal rotation of the right shoulder to T9 vertebra versus T7 on the left .' +p60209 +(lp60210 +S'Shoulder\tShoulder\tNN\tB-NP\tO' +p60211 +aS'elevation\televation\tNN\tI-NP\tO' +p60212 +aS'is\tbe\tVBZ\tB-VP\tO' +p60213 +aS'170\t170\tCD\tB-NP\tO' +p60214 +aS'degrees\tdegree\tNNS\tI-NP\tO' +p60215 +aS'with\twith\tIN\tB-PP\tO' +p60216 +aS'70\t70\tCD\tB-NP\tO' +p60217 +aS'degrees\tdegree\tNNS\tI-NP\tO' +p60218 +aS'of\tof\tIN\tB-PP\tO' +p60219 +aS'external\texternal\tJJ\tB-NP\tO' +p60220 +aS'rotation\trotation\tNN\tI-NP\tO' +p60221 +aS'and\tand\tCC\tO\tO' +p60222 +aS'internal\tinternal\tJJ\tB-NP\tO' +p60223 +aS'rotation\trotation\tNN\tI-NP\tO' +p60224 +aS'of\tof\tIN\tB-PP\tO' +p60225 +aS'the\tthe\tDT\tB-NP\tO' +p60226 +aS'right\tright\tJJ\tI-NP\tO' +p60227 +aS'shoulder\tshoulder\tNN\tI-NP\tO' +p60228 +aS'to\tto\tTO\tB-PP\tO' +p60229 +aS'T9\tT9\tNN\tB-NP\tO' +p60230 +aS'vertebra\tvertebra\tNN\tI-NP\tO' +p60231 +aS'versus\tversus\tIN\tB-PP\tO' +p60232 +aS'T7\tT7\tNN\tB-NP\tB-DNA' +p60233 +aS'on\ton\tIN\tB-PP\tO' +p60234 +aS'the\tthe\tDT\tB-NP\tO' +p60235 +aS'left\tleft\tNN\tI-NP\tO' +p60236 +aS'.\t.\t.\tO\tO' +p60237 +asS'Postoperatively , the patient was ventilated .' +p60238 +(lp60239 +S'Postoperatively\tPostoperatively\tRB\tB-ADVP\tO' +p60240 +aS',\t,\t,\tO\tO' +p60241 +aS'the\tthe\tDT\tB-NP\tO' +p60242 +aS'patient\tpatient\tNN\tI-NP\tO' +p60243 +aS'was\tbe\tVBD\tB-VP\tO' +p60244 +aS'ventilated\tventilate\tVBN\tI-VP\tO' +p60245 +aS'.\t.\t.\tO\tO' +p60246 +asS'S1 S2 .' +p60247 +(lp60248 +S'S1\tS1\tNN\tB-NP\tB-protein' +p60249 +aS'S2\tS2\tNN\tI-NP\tI-protein' +p60250 +aS'.\t.\t.\tO\tO' +p60251 +asS'Over the next postoperative day the patient was awakened and weaned to extubate without significant difficulties .' +p60252 +(lp60253 +S'Over\tOver\tIN\tB-PP\tO' +p60254 +aS'the\tthe\tDT\tB-NP\tO' +p60255 +aS'next\tnext\tJJ\tI-NP\tO' +p60256 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p60257 +aS'day\tday\tNN\tI-NP\tO' +p60258 +aS'the\tthe\tDT\tB-NP\tO' +p60259 +aS'patient\tpatient\tNN\tI-NP\tO' +p60260 +aS'was\tbe\tVBD\tB-VP\tO' +p60261 +aS'awakened\tawaken\tVBN\tI-VP\tO' +p60262 +aS'and\tand\tCC\tO\tO' +p60263 +aS'weaned\twean\tVBN\tB-VP\tO' +p60264 +aS'to\tto\tTO\tB-VP\tO' +p60265 +aS'extubate\textubate\tVB\tI-VP\tO' +p60266 +aS'without\twithout\tIN\tB-PP\tO' +p60267 +aS'significant\tsignificant\tJJ\tB-NP\tO' +p60268 +aS'difficulties\tdifficulty\tNNS\tI-NP\tO' +p60269 +aS'.\t.\t.\tO\tO' +p60270 +asS'Other medical problems stable .' +p60271 +(lp60272 +S'Other\tOther\tJJ\tB-NP\tO' +p60273 +aS'medical\tmedical\tJJ\tI-NP\tO' +p60274 +aS'problems\tproblem\tNNS\tI-NP\tO' +p60275 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p60276 +aS'.\t.\t.\tO\tO' +p60277 +asS'Continuing taking meds she prescribed .' +p60278 +(lp60279 +S'Continuing\tContinue\tVBG\tB-VP\tO' +p60280 +aS'taking\ttake\tVBG\tI-VP\tO' +p60281 +aS'meds\tmed\tNNS\tB-NP\tO' +p60282 +aS'she\tshe\tPRP\tB-NP\tO' +p60283 +aS'prescribed\tprescribe\tVBD\tB-VP\tO' +p60284 +aS'.\t.\t.\tO\tO' +p60285 +asS'Chest x-ray revealed moderate cardiomegaly with no clear interstitial or alveolar pulmonary edema and chronic atelectasis and / or scarring at both lung bases .' +p60286 +(lp60287 +S'Chest\tCh\tJJS\tB-NP\tO' +p60288 +aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' +p60289 +aS'revealed\treveal\tVBD\tB-VP\tO' +p60290 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p60291 +aS'cardiomegaly\tcardiomegaly\tNN\tI-NP\tO' +p60292 +aS'with\twith\tIN\tB-PP\tO' +p60293 +aS'no\tno\tDT\tB-NP\tO' +p60294 +aS'clear\tclear\tJJ\tI-NP\tO' +p60295 +aS'interstitial\tinterstitial\tJJ\tI-NP\tO' +p60296 +aS'or\tor\tCC\tI-NP\tO' +p60297 +aS'alveolar\talveolar\tJJ\tI-NP\tO' +p60298 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p60299 +aS'edema\tedema\tNN\tI-NP\tO' +p60300 +aS'and\tand\tCC\tO\tO' +p60301 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p60302 +aS'atelectasis\tatelectasis\tNN\tI-NP\tO' +p60303 +aS'and\tand\tCC\tO\tO' +p60304 +aS'/\t/\tSYM\tB-NP\tO' +p60305 +aS'or\tor\tCC\tO\tO' +p60306 +aS'scarring\tscar\tVBG\tB-VP\tO' +p60307 +aS'at\tat\tIN\tB-PP\tO' +p60308 +aS'both\tboth\tDT\tB-NP\tO' +p60309 +aS'lung\tlung\tNN\tI-NP\tB-protein' +p60310 +aS'bases\tbase\tNNS\tI-NP\tI-protein' +p60311 +aS'.\t.\t.\tO\tO' +p60312 +asS'She was treated with Clindamycin and Erythromycin which were changed to Trovan and then transferred to A Hospital .' +p60313 +(lp60314 +S'She\tShe\tPRP\tB-NP\tO' +p60315 +aS'was\tbe\tVBD\tB-VP\tO' +p60316 +aS'treated\ttreat\tVBN\tI-VP\tO' +p60317 +aS'with\twith\tIN\tB-PP\tO' +p60318 +aS'Clindamycin\tClindamycin\tNN\tB-NP\tO' +p60319 +aS'and\tand\tCC\tI-NP\tO' +p60320 +aS'Erythromycin\tErythromycin\tNN\tI-NP\tO' +p60321 +aS'which\twhich\tWDT\tB-NP\tO' +p60322 +aS'were\tbe\tVBD\tB-VP\tO' +p60323 +aS'changed\tchange\tVBN\tI-VP\tO' +p60324 +aS'to\tto\tTO\tB-PP\tO' +p60325 +aS'Trovan\tTrovan\tNN\tB-NP\tO' +p60326 +aS'and\tand\tCC\tO\tO' +p60327 +aS'then\tthen\tRB\tB-VP\tO' +p60328 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p60329 +aS'to\tto\tTO\tB-PP\tO' +p60330 +aS'A\tA\tNN\tB-NP\tO' +p60331 +aS'Hospital\tHospital\tNN\tI-NP\tO' +p60332 +aS'.\t.\t.\tO\tO' +p60333 +asS'STATUS POST ORTHOTOPIC CARDIAC TRANSPLANT .' +p60334 +(lp60335 +S'STATUS\tSTATUS\tNNP\tB-NP\tO' +p60336 +aS'POST\tPOST\tNNP\tI-NP\tO' +p60337 +aS'ORTHOTOPIC\tORTHOTOPIC\tNNP\tI-NP\tO' +p60338 +aS'CARDIAC\tCARDIAC\tNNP\tI-NP\tO' +p60339 +aS'TRANSPLANT\tTRANSPLANT\tNNP\tI-NP\tO' +p60340 +aS'.\t.\t.\tO\tO' +p60341 +asS'Widowed since 1972 , no tobacco , no alcohol , lives alone .' +p60342 +(lp60343 +S'Widowed\tWidow\tVBD\tB-VP\tO' +p60344 +aS'since\tsince\tIN\tB-PP\tO' +p60345 +aS'1972\t1972\tCD\tB-NP\tO' +p60346 +aS',\t,\t,\tO\tO' +p60347 +aS'no\tno\tDT\tB-NP\tO' +p60348 +aS'tobacco\ttobacco\tNN\tI-NP\tO' +p60349 +aS',\t,\t,\tO\tO' +p60350 +aS'no\tno\tDT\tB-NP\tO' +p60351 +aS'alcohol\talcohol\tNN\tI-NP\tO' +p60352 +aS',\t,\t,\tO\tO' +p60353 +aS'lives\tlive\tVBZ\tB-VP\tO' +p60354 +aS'alone\talone\tRB\tB-ADVP\tO' +p60355 +aS'.\t.\t.\tO\tO' +p60356 +asS'She will be followed by the OT / PT dept. for that .' +p60357 +(lp60358 +S'She\tShe\tPRP\tB-NP\tO' +p60359 +aS'will\twill\tMD\tB-VP\tO' +p60360 +aS'be\tbe\tVB\tI-VP\tO' +p60361 +aS'followed\tfollow\tVBN\tI-VP\tO' +p60362 +aS'by\tby\tIN\tB-PP\tO' +p60363 +aS'the\tthe\tDT\tB-NP\tO' +p60364 +aS'OT\tOT\tNN\tI-NP\tO' +p60365 +aS'/\t/\tSYM\tB-NP\tO' +p60366 +aS'PT\tPT\tNN\tI-NP\tO' +p60367 +aS'dept.\tdept.\tNN\tI-NP\tO' +p60368 +aS'for\tfor\tIN\tB-PP\tO' +p60369 +aS'that\tthat\tDT\tB-NP\tO' +p60370 +aS'.\t.\t.\tO\tO' +p60371 +asS'He stayed in the unit for about one day .' +p60372 +(lp60373 +S'He\tHe\tPRP\tB-NP\tO' +p60374 +aS'stayed\tstay\tVBD\tB-VP\tO' +p60375 +aS'in\tin\tIN\tB-PP\tO' +p60376 +aS'the\tthe\tDT\tB-NP\tO' +p60377 +aS'unit\tunit\tNN\tI-NP\tO' +p60378 +aS'for\tfor\tIN\tB-PP\tO' +p60379 +aS'about\tabout\tRB\tB-NP\tO' +p60380 +aS'one\tone\tCD\tI-NP\tO' +p60381 +aS'day\tday\tNN\tI-NP\tO' +p60382 +aS'.\t.\t.\tO\tO' +p60383 +asS'The patient became intermittently agitated .' +p60384 +(lp60385 +S'The\tThe\tDT\tB-NP\tO' +p60386 +aS'patient\tpatient\tNN\tI-NP\tO' +p60387 +aS'became\tbecome\tVBD\tB-VP\tO' +p60388 +aS'intermittently\tintermittently\tRB\tB-ADJP\tO' +p60389 +aS'agitated\tagitate\tVBN\tI-ADJP\tO' +p60390 +aS'.\t.\t.\tO\tO' +p60391 +asS'Discussed with Dr. Joaquin the addition of an alternate Castelluccio with the possibility of tapering down the dilantin in the future , and he agreed that she may benefit from zonegran .' +p60392 +(lp60393 +S'Discussed\tDiscuss\tVBN\tB-VP\tO' +p60394 +aS'with\twith\tIN\tB-PP\tO' +p60395 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p60396 +aS'Joaquin\tJoaquin\tNNP\tI-NP\tO' +p60397 +aS'the\tthe\tDT\tB-NP\tO' +p60398 +aS'addition\taddition\tNN\tI-NP\tO' +p60399 +aS'of\tof\tIN\tB-PP\tO' +p60400 +aS'an\tan\tDT\tB-NP\tO' +p60401 +aS'alternate\talternate\tJJ\tI-NP\tO' +p60402 +aS'Castelluccio\tCastelluccio\tNNP\tI-NP\tO' +p60403 +aS'with\twith\tIN\tB-PP\tO' +p60404 +aS'the\tthe\tDT\tB-NP\tO' +p60405 +aS'possibility\tpossibility\tNN\tI-NP\tO' +p60406 +aS'of\tof\tIN\tB-PP\tO' +p60407 +aS'tapering\ttaper\tVBG\tB-VP\tO' +p60408 +aS'down\tdown\tRP\tB-PRT\tO' +p60409 +aS'the\tthe\tDT\tB-NP\tO' +p60410 +aS'dilantin\tdilantin\tNN\tI-NP\tO' +p60411 +aS'in\tin\tIN\tB-PP\tO' +p60412 +aS'the\tthe\tDT\tB-NP\tO' +p60413 +aS'future\tfuture\tNN\tI-NP\tO' +p60414 +aS',\t,\t,\tO\tO' +p60415 +aS'and\tand\tCC\tO\tO' +p60416 +aS'he\the\tPRP\tB-NP\tO' +p60417 +aS'agreed\tagree\tVBD\tB-VP\tO' +p60418 +aS'that\tthat\tIN\tB-SBAR\tO' +p60419 +aS'she\tshe\tPRP\tB-NP\tO' +p60420 +aS'may\tmay\tMD\tB-VP\tO' +p60421 +aS'benefit\tbenefit\tVB\tI-VP\tO' +p60422 +aS'from\tfrom\tIN\tB-PP\tO' +p60423 +aS'zonegran\tzonegran\tNN\tB-NP\tO' +p60424 +aS'.\t.\t.\tO\tO' +p60425 +asS'PPI , Heparin SQ .' +p60426 +(lp60427 +S'PPI\tPPI\tNN\tB-NP\tB-protein' +p60428 +aS',\t,\t,\tO\tO' +p60429 +aS'Heparin\tHeparin\tNN\tB-NP\tB-protein' +p60430 +aS'SQ\tSQ\tNN\tI-NP\tI-protein' +p60431 +aS'.\t.\t.\tO\tO' +p60432 +asS'Includes her regular insulin sliding scale and her NPH fixed scale of 7 units in the morning , 2 units at noon and 13 units at bedtime .' +p60433 +(lp60434 +S'Includes\tInclude\tVBZ\tB-VP\tO' +p60435 +aS'her\ther\tPRP$\tB-NP\tB-protein' +p60436 +aS'regular\tregular\tJJ\tI-NP\tI-protein' +p60437 +aS'insulin\tinsulin\tNN\tI-NP\tI-protein' +p60438 +aS'sliding\tslide\tVBG\tB-VP\tO' +p60439 +aS'scale\tscale\tNN\tB-NP\tO' +p60440 +aS'and\tand\tCC\tO\tO' +p60441 +aS'her\ther\tPRP$\tB-NP\tO' +p60442 +aS'NPH\tNPH\tNN\tI-NP\tB-protein' +p60443 +aS'fixed\tfix\tVBD\tB-VP\tO' +p60444 +aS'scale\tscale\tNN\tB-NP\tO' +p60445 +aS'of\tof\tIN\tB-PP\tO' +p60446 +aS'7\t7\tCD\tB-NP\tO' +p60447 +aS'units\tunit\tNNS\tI-NP\tO' +p60448 +aS'in\tin\tIN\tB-PP\tO' +p60449 +aS'the\tthe\tDT\tB-NP\tO' +p60450 +aS'morning\tmorning\tNN\tI-NP\tO' +p60451 +aS',\t,\t,\tO\tO' +p60452 +aS'2\t2\tCD\tB-NP\tO' +p60453 +aS'units\tunit\tNNS\tI-NP\tO' +p60454 +aS'at\tat\tIN\tB-PP\tO' +p60455 +aS'noon\tnoon\tNN\tB-NP\tO' +p60456 +aS'and\tand\tCC\tO\tO' +p60457 +aS'13\t13\tCD\tB-NP\tO' +p60458 +aS'units\tunit\tNNS\tI-NP\tO' +p60459 +aS'at\tat\tIN\tB-PP\tO' +p60460 +aS'bedtime\tbedtime\tNN\tB-NP\tO' +p60461 +aS'.\t.\t.\tO\tO' +p60462 +asS'Bowel sounds are active and patent .' +p60463 +(lp60464 +S'Bowel\tBowel\tNN\tB-NP\tO' +p60465 +aS'sounds\tsound\tNNS\tI-NP\tO' +p60466 +aS'are\tbe\tVBP\tB-VP\tO' +p60467 +aS'active\tactive\tJJ\tB-ADJP\tO' +p60468 +aS'and\tand\tCC\tO\tO' +p60469 +aS'patent\tpatent\tNN\tB-NP\tO' +p60470 +aS'.\t.\t.\tO\tO' +p60471 +asS'Topamax is another possibility , but not ideal in a patient with preexisting cognitive deficits .' +p60472 +(lp60473 +S'Topamax\tTopamax\tNN\tB-NP\tO' +p60474 +aS'is\tbe\tVBZ\tB-VP\tO' +p60475 +aS'another\tanother\tDT\tB-NP\tO' +p60476 +aS'possibility\tpossibility\tNN\tI-NP\tO' +p60477 +aS',\t,\t,\tO\tO' +p60478 +aS'but\tbut\tCC\tO\tO' +p60479 +aS'not\tnot\tRB\tO\tO' +p60480 +aS'ideal\tideal\tVB\tB-VP\tO' +p60481 +aS'in\tin\tIN\tB-PP\tO' +p60482 +aS'a\ta\tDT\tB-NP\tO' +p60483 +aS'patient\tpatient\tNN\tI-NP\tO' +p60484 +aS'with\twith\tIN\tB-PP\tO' +p60485 +aS'preexisting\tpreexist\tVBG\tB-VP\tO' +p60486 +aS'cognitive\tcognitive\tJJ\tB-NP\tO' +p60487 +aS'deficits\tdeficit\tNNS\tI-NP\tO' +p60488 +aS'.\t.\t.\tO\tO' +p60489 +asS'SEVERE BLUNT ABDOMINAL TRAUMA .' +p60490 +(lp60491 +S'SEVERE\tSEVERE\tNNP\tB-NP\tO' +p60492 +aS'BLUNT\tBLUNT\tNNP\tI-NP\tO' +p60493 +aS'ABDOMINAL\tABDOMINAL\tNNP\tI-NP\tO' +p60494 +aS'TRAUMA\tTRAUMA\tNNP\tI-NP\tO' +p60495 +aS'.\t.\t.\tO\tO' +p60496 +asS'cc : Beau J. Box , M.D.' +p60497 +(lp60498 +S'cc\tcc\tNN\tB-NP\tO' +p60499 +aS':\t:\t:\tO\tO' +p60500 +aS'Beau\tBeau\tNNP\tB-NP\tO' +p60501 +aS'J.\tJ.\tNNP\tI-NP\tO' +p60502 +aS'Box\tBox\tNNP\tI-NP\tO' +p60503 +aS',\t,\t,\tO\tO' +p60504 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p60505 +asS'The patient also received Unasyn for 2 days , Fluconazole , heparin , Protonix , insulin , morphine , Bactrim .' +p60506 +(lp60507 +S'The\tThe\tDT\tB-NP\tO' +p60508 +aS'patient\tpatient\tNN\tI-NP\tO' +p60509 +aS'also\talso\tRB\tB-ADVP\tO' +p60510 +aS'received\treceive\tVBD\tB-VP\tO' +p60511 +aS'Unasyn\tUnasyn\tNN\tB-NP\tO' +p60512 +aS'for\tfor\tIN\tB-PP\tO' +p60513 +aS'2\t2\tCD\tB-NP\tO' +p60514 +aS'days\tday\tNNS\tI-NP\tO' +p60515 +aS',\t,\t,\tO\tO' +p60516 +aS'Fluconazole\tFluconazole\tNN\tB-NP\tO' +p60517 +aS',\t,\t,\tO\tO' +p60518 +aS'heparin\theparin\tNN\tB-NP\tO' +p60519 +aS',\t,\t,\tO\tO' +p60520 +aS'Protonix\tProtonix\tNN\tB-NP\tO' +p60521 +aS',\t,\t,\tO\tO' +p60522 +aS'insulin\tinsulin\tNN\tB-NP\tB-protein' +p60523 +aS',\t,\t,\tO\tO' +p60524 +aS'morphine\tmorphine\tNN\tB-NP\tO' +p60525 +aS',\t,\t,\tO\tO' +p60526 +aS'Bactrim\tBactrim\tNNP\tB-NP\tO' +p60527 +aS'.\t.\t.\tO\tO' +p60528 +asS'The patient was initially treated with levofloxacin for a left lower lobe infiltrate and a urinary tract infection .' +p60529 +(lp60530 +S'The\tThe\tDT\tB-NP\tO' +p60531 +aS'patient\tpatient\tNN\tI-NP\tO' +p60532 +aS'was\tbe\tVBD\tB-VP\tO' +p60533 +aS'initially\tinitially\tRB\tI-VP\tO' +p60534 +aS'treated\ttreat\tVBN\tI-VP\tO' +p60535 +aS'with\twith\tIN\tB-PP\tO' +p60536 +aS'levofloxacin\tlevofloxacin\tNN\tB-NP\tO' +p60537 +aS'for\tfor\tIN\tB-PP\tO' +p60538 +aS'a\ta\tDT\tB-NP\tO' +p60539 +aS'left\tleft\tJJ\tI-NP\tO' +p60540 +aS'lower\tlow\tJJR\tI-NP\tO' +p60541 +aS'lobe\tlobe\tNN\tI-NP\tO' +p60542 +aS'infiltrate\tinfiltrate\tNN\tI-NP\tO' +p60543 +aS'and\tand\tCC\tO\tO' +p60544 +aS'a\ta\tDT\tB-NP\tO' +p60545 +aS'urinary\turinary\tJJ\tI-NP\tO' +p60546 +aS'tract\ttract\tNN\tI-NP\tO' +p60547 +aS'infection\tinfection\tNN\tI-NP\tO' +p60548 +aS'.\t.\t.\tO\tO' +p60549 +asS'likely having a NSTEMI secondary to demand .' +p60550 +(lp60551 +S'likely\tlikely\tRB\tB-ADVP\tO' +p60552 +aS'having\thave\tVBG\tB-VP\tO' +p60553 +aS'a\ta\tDT\tB-NP\tO' +p60554 +aS'NSTEMI\tNSTEMI\tNN\tI-NP\tO' +p60555 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p60556 +aS'to\tto\tTO\tB-VP\tO' +p60557 +aS'demand\tdemand\tVB\tI-VP\tO' +p60558 +aS'.\t.\t.\tO\tO' +p60559 +asS'Aspirin 325 mg. qday .' +p60560 +(lp60561 +S'Aspirin\tAspirin\tNN\tB-NP\tO' +p60562 +aS'325\t325\tCD\tI-NP\tO' +p60563 +aS'mg.\tmg.\tNN\tI-NP\tO' +p60564 +aS'qday\tqday\tNN\tI-NP\tO' +p60565 +aS'.\t.\t.\tO\tO' +p60566 +asS'Tobacco history , three cigarettes a week .' +p60567 +(lp60568 +S'Tobacco\tTobacco\tNNP\tB-NP\tO' +p60569 +aS'history\thistory\tNN\tI-NP\tO' +p60570 +aS',\t,\t,\tO\tO' +p60571 +aS'three\tthree\tCD\tB-NP\tO' +p60572 +aS'cigarettes\tcigarette\tNNS\tI-NP\tO' +p60573 +aS'a\ta\tDT\tB-NP\tO' +p60574 +aS'week\tweek\tNN\tI-NP\tO' +p60575 +aS'.\t.\t.\tO\tO' +p60576 +asS'No history of nausea and vomiting or shortness of breath .' +p60577 +(lp60578 +S'No\tNo\tDT\tB-NP\tO' +p60579 +aS'history\thistory\tNN\tI-NP\tO' +p60580 +aS'of\tof\tIN\tB-PP\tO' +p60581 +aS'nausea\tnausea\tNN\tB-NP\tO' +p60582 +aS'and\tand\tCC\tI-NP\tO' +p60583 +aS'vomiting\tvomiting\tNN\tI-NP\tO' +p60584 +aS'or\tor\tCC\tI-NP\tO' +p60585 +aS'shortness\tshortness\tNN\tI-NP\tO' +p60586 +aS'of\tof\tIN\tB-PP\tO' +p60587 +aS'breath\tbreath\tNN\tB-NP\tO' +p60588 +aS'.\t.\t.\tO\tO' +p60589 +asS'INR 2.7 and echo repeated , coumadin held , and heparin drips started .' +p60590 +(lp60591 +S'INR\tINR\tNN\tB-NP\tO' +p60592 +aS'2.7\t2.7\tCD\tI-NP\tO' +p60593 +aS'and\tand\tCC\tO\tO' +p60594 +aS'echo\techo\tRB\tB-VP\tO' +p60595 +aS'repeated\trepeat\tVBN\tI-VP\tO' +p60596 +aS',\t,\t,\tO\tO' +p60597 +aS'coumadin\tcoumadin\tNN\tB-NP\tO' +p60598 +aS'held\thold\tVBN\tB-VP\tO' +p60599 +aS',\t,\t,\tO\tO' +p60600 +aS'and\tand\tCC\tO\tO' +p60601 +aS'heparin\theparin\tNN\tB-NP\tO' +p60602 +aS'drips\tdrip\tNNS\tI-NP\tO' +p60603 +aS'started\tstart\tVBD\tB-VP\tO' +p60604 +aS'.\t.\t.\tO\tO' +p60605 +asS'The patient was asymptomatic at this time , and the decision was made to monitor him and to start him on Lasix .' +p60606 +(lp60607 +S'The\tThe\tDT\tB-NP\tO' +p60608 +aS'patient\tpatient\tNN\tI-NP\tO' +p60609 +aS'was\tbe\tVBD\tB-VP\tO' +p60610 +aS'asymptomatic\tasymptomatic\tJJ\tB-ADJP\tO' +p60611 +aS'at\tat\tIN\tB-PP\tO' +p60612 +aS'this\tthis\tDT\tB-NP\tO' +p60613 +aS'time\ttime\tNN\tI-NP\tO' +p60614 +aS',\t,\t,\tO\tO' +p60615 +aS'and\tand\tCC\tO\tO' +p60616 +aS'the\tthe\tDT\tB-NP\tO' +p60617 +aS'decision\tdecision\tNN\tI-NP\tO' +p60618 +aS'was\tbe\tVBD\tB-VP\tO' +p60619 +aS'made\tmake\tVBN\tI-VP\tO' +p60620 +aS'to\tto\tTO\tB-VP\tO' +p60621 +aS'monitor\tmonitor\tVB\tI-VP\tO' +p60622 +aS'him\thim\tPRP\tB-NP\tO' +p60623 +aS'and\tand\tCC\tO\tO' +p60624 +aS'to\tto\tTO\tB-VP\tO' +p60625 +aS'start\tstart\tVB\tI-VP\tO' +p60626 +aS'him\thim\tPRP\tB-NP\tO' +p60627 +aS'on\ton\tIN\tB-PP\tO' +p60628 +aS'Lasix\tLasix\tNNP\tB-NP\tO' +p60629 +aS'.\t.\t.\tO\tO' +p60630 +asS'2. Renal - cont MWF HD ; electrolytes have been stable .' +p60631 +(lp60632 +S'2.\t2.\tLS\tB-NP\tO' +p60633 +aS'Renal\tRenal\tJJ\tI-NP\tO' +p60634 +aS'-\t-\tHYPH\tI-NP\tO' +p60635 +aS'cont\tcont\tNN\tI-NP\tO' +p60636 +aS'MWF\tMWF\tNN\tI-NP\tO' +p60637 +aS'HD\tHD\tNN\tI-NP\tO' +p60638 +aS';\t;\t:\tO\tO' +p60639 +aS'electrolytes\telectrolyte\tNNS\tB-NP\tO' +p60640 +aS'have\thave\tVBP\tB-VP\tO' +p60641 +aS'been\tbe\tVBN\tI-VP\tO' +p60642 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p60643 +aS'.\t.\t.\tO\tO' +p60644 +asS'On POD4 , patient was discharged .' +p60645 +(lp60646 +S'On\tOn\tIN\tB-PP\tO' +p60647 +aS'POD4\tPOD4\tNN\tB-NP\tB-protein' +p60648 +aS',\t,\t,\tO\tO' +p60649 +aS'patient\tpatient\tNN\tB-NP\tO' +p60650 +aS'was\tbe\tVBD\tB-VP\tO' +p60651 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p60652 +aS'.\t.\t.\tO\tO' +p60653 +asS'101.8 , 100 , 144/92 , 18 , 98% 3lnc lying in bed , oriented hospital only scleral icterus tachy but reg diffusely ttp and guaiac negative non-pitting brawny edema with lichenification' +p60654 +(lp60655 +S'101.8\t101.8\tCD\tB-NP\tO' +p60656 +aS',\t,\t,\tI-NP\tO' +p60657 +aS'100\t100\tCD\tI-NP\tO' +p60658 +aS',\t,\t,\tI-NP\tO' +p60659 +aS'144/92\t144/92\tCD\tI-NP\tO' +p60660 +aS',\t,\t,\tI-NP\tO' +p60661 +aS'18\t18\tCD\tI-NP\tO' +p60662 +aS',\t,\t,\tI-NP\tO' +p60663 +aS'98%\t98%\tCD\tI-NP\tO' +p60664 +aS'3lnc\t3lnc\tNN\tI-NP\tO' +p60665 +aS'lying\tlie\tVBG\tB-VP\tO' +p60666 +aS'in\tin\tIN\tB-PP\tO' +p60667 +aS'bed\tbed\tNN\tB-NP\tO' +p60668 +aS',\t,\t,\tO\tO' +p60669 +aS'oriented\torient\tVBD\tB-VP\tO' +p60670 +aS'hospital\thospital\tNN\tB-NP\tO' +p60671 +aS'only\tonly\tRB\tB-NP\tO' +p60672 +aS'scleral\tscleral\tJJ\tI-NP\tO' +p60673 +aS'icterus\ticterus\tNN\tI-NP\tO' +p60674 +aS'tachy\ttachy\tNN\tI-NP\tO' +p60675 +aS'but\tbut\tCC\tO\tO' +p60676 +aS'reg\treg\tNN\tB-NP\tO' +p60677 +aS'diffusely\tdiffusely\tRB\tB-NP\tO' +p60678 +aS'ttp\tttp\tNN\tI-NP\tO' +p60679 +aS'and\tand\tCC\tO\tO' +p60680 +aS'guaiac\tguaiac\tJJ\tB-NP\tO' +p60681 +aS'negative\tnegative\tJJ\tI-NP\tO' +p60682 +aS'non-pitting\tnon-pitting\tJJ\tI-NP\tO' +p60683 +aS'brawny\tbrawny\tJJ\tI-NP\tO' +p60684 +aS'edema\tedema\tNN\tI-NP\tO' +p60685 +aS'with\twith\tIN\tB-PP\tO' +p60686 +aS'lichenification\tlichenification\tNN\tB-NP\tO' +p60687 +asS'Pale as above , nonicteric .' +p60688 +(lp60689 +S'Pale\tPale\tNNP\tB-NP\tO' +p60690 +aS'as\tas\tIN\tB-PP\tO' +p60691 +aS'above\tabove\tJJ\tB-NP\tO' +p60692 +aS',\t,\t,\tI-NP\tO' +p60693 +aS'nonicteric\tnonicteric\tJJ\tI-NP\tO' +p60694 +aS'.\t.\t.\tO\tO' +p60695 +asS'ESRD from IgA , s / p PPI after nodal ablation , HTN , COPD , hypothyroid , hypertrophic' +p60696 +(lp60697 +S'ESRD\tESRD\tNN\tB-NP\tO' +p60698 +aS'from\tfrom\tIN\tB-PP\tO' +p60699 +aS'IgA\tIgA\tNN\tB-NP\tB-protein' +p60700 +aS',\t,\t,\tO\tO' +p60701 +aS's\ts\tNN\tB-NP\tB-protein' +p60702 +aS'/\t/\tSYM\tI-NP\tI-protein' +p60703 +aS'p\tp\tNN\tI-NP\tI-protein' +p60704 +aS'PPI\tPPI\tNN\tI-NP\tI-protein' +p60705 +aS'after\tafter\tIN\tB-PP\tO' +p60706 +aS'nodal\tnodal\tJJ\tB-NP\tO' +p60707 +aS'ablation\tablation\tNN\tI-NP\tO' +p60708 +aS',\t,\t,\tO\tO' +p60709 +aS'HTN\tHTN\tNN\tB-NP\tB-protein' +p60710 +aS',\t,\t,\tO\tO' +p60711 +aS'COPD\tCOPD\tNN\tB-NP\tO' +p60712 +aS',\t,\t,\tO\tO' +p60713 +aS'hypothyroid\thypothyroid\tNN\tB-NP\tO' +p60714 +aS',\t,\t,\tO\tO' +p60715 +aS'hypertrophic\thypertrophic\tJJ\tB-ADJP\tO' +p60716 +asS'He was not taking any PO medications per Hunt Center Rehab so all medications were held .' +p60717 +(lp60718 +S'He\tHe\tPRP\tB-NP\tO' +p60719 +aS'was\tbe\tVBD\tB-VP\tO' +p60720 +aS'not\tnot\tRB\tI-VP\tO' +p60721 +aS'taking\ttake\tVBG\tI-VP\tO' +p60722 +aS'any\tany\tDT\tB-NP\tO' +p60723 +aS'PO\tPO\tNN\tI-NP\tO' +p60724 +aS'medications\tmedication\tNNS\tI-NP\tO' +p60725 +aS'per\tper\tIN\tB-PP\tO' +p60726 +aS'Hunt\tHunt\tNNP\tB-NP\tO' +p60727 +aS'Center\tCenter\tNNP\tI-NP\tO' +p60728 +aS'Rehab\tRehab\tNNP\tI-NP\tO' +p60729 +aS'so\tso\tIN\tB-SBAR\tO' +p60730 +aS'all\tall\tDT\tB-NP\tO' +p60731 +aS'medications\tmedication\tNNS\tI-NP\tO' +p60732 +aS'were\tbe\tVBD\tB-VP\tO' +p60733 +aS'held\thold\tVBN\tI-VP\tO' +p60734 +aS'.\t.\t.\tO\tO' +p60735 +asS'The patient was moving the right side spontaneously , but could not hold arm or leg up for any length of time .' +p60736 +(lp60737 +S'The\tThe\tDT\tB-NP\tO' +p60738 +aS'patient\tpatient\tNN\tI-NP\tO' +p60739 +aS'was\tbe\tVBD\tB-VP\tO' +p60740 +aS'moving\tmove\tVBG\tI-VP\tO' +p60741 +aS'the\tthe\tDT\tB-NP\tO' +p60742 +aS'right\tright\tJJ\tI-NP\tO' +p60743 +aS'side\tside\tNN\tI-NP\tO' +p60744 +aS'spontaneously\tspontaneously\tRB\tB-ADVP\tO' +p60745 +aS',\t,\t,\tO\tO' +p60746 +aS'but\tbut\tCC\tO\tO' +p60747 +aS'could\tcould\tMD\tB-VP\tO' +p60748 +aS'not\tnot\tRB\tI-VP\tO' +p60749 +aS'hold\thold\tVB\tI-VP\tO' +p60750 +aS'arm\tarm\tNN\tB-NP\tO' +p60751 +aS'or\tor\tCC\tI-NP\tO' +p60752 +aS'leg\tleg\tNN\tI-NP\tO' +p60753 +aS'up\tup\tRP\tB-PRT\tO' +p60754 +aS'for\tfor\tIN\tB-PP\tO' +p60755 +aS'any\tany\tDT\tB-NP\tO' +p60756 +aS'length\tlength\tNN\tI-NP\tO' +p60757 +aS'of\tof\tIN\tB-PP\tO' +p60758 +aS'time\ttime\tNN\tB-NP\tO' +p60759 +aS'.\t.\t.\tO\tO' +p60760 +asS'He was admitted for Lumbar drain placement' +p60761 +(lp60762 +S'He\tHe\tPRP\tB-NP\tO' +p60763 +aS'was\tbe\tVBD\tB-VP\tO' +p60764 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p60765 +aS'for\tfor\tIN\tB-PP\tO' +p60766 +aS'Lumbar\tLumbar\tNNP\tB-NP\tO' +p60767 +aS'drain\tdrain\tNN\tI-NP\tO' +p60768 +aS'placement\tplacement\tNN\tI-NP\tO' +p60769 +asS'The aortic valve leaflets ( 3 ) are minimally thickened .' +p60770 +(lp60771 +S'The\tThe\tDT\tB-NP\tO' +p60772 +aS'aortic\taortic\tJJ\tI-NP\tO' +p60773 +aS'valve\tvalve\tNN\tI-NP\tO' +p60774 +aS'leaflets\tleaflet\tNNS\tI-NP\tO' +p60775 +aS'(\t(\t(\tO\tO' +p60776 +aS'3\t3\tCD\tB-NP\tO' +p60777 +aS')\t)\t)\tO\tO' +p60778 +aS'are\tbe\tVBP\tB-VP\tO' +p60779 +aS'minimally\tminimally\tRB\tI-VP\tO' +p60780 +aS'thickened\tthicken\tVBN\tI-VP\tO' +p60781 +aS'.\t.\t.\tO\tO' +p60782 +asS'The patient remained afebrile during the majority of her hospital course .' +p60783 +(lp60784 +S'The\tThe\tDT\tB-NP\tO' +p60785 +aS'patient\tpatient\tNN\tI-NP\tO' +p60786 +aS'remained\tremain\tVBD\tB-VP\tO' +p60787 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p60788 +aS'during\tduring\tIN\tB-PP\tO' +p60789 +aS'the\tthe\tDT\tB-NP\tO' +p60790 +aS'majority\tmajority\tNN\tI-NP\tO' +p60791 +aS'of\tof\tIN\tB-PP\tO' +p60792 +aS'her\ther\tPRP$\tB-NP\tO' +p60793 +aS'hospital\thospital\tNN\tI-NP\tO' +p60794 +aS'course\tcourse\tNN\tI-NP\tO' +p60795 +aS'.\t.\t.\tO\tO' +p60796 +asS'History of Present Illness : see dc summary' +p60797 +(lp60798 +S'History\tHistory\tNN\tB-NP\tO' +p60799 +aS'of\tof\tIN\tB-PP\tO' +p60800 +aS'Present\tPresent\tNNP\tB-NP\tO' +p60801 +aS'Illness\tIllness\tNNP\tI-NP\tO' +p60802 +aS':\t:\t:\tO\tO' +p60803 +aS'see\tsee\tVB\tB-VP\tO' +p60804 +aS'dc\tdc\tNN\tB-NP\tO' +p60805 +aS'summary\tsummary\tNN\tI-NP\tO' +p60806 +asS'IMPRESSION : Comminuted proximal tibiofibular fractures status post ORIF of the tibia with an intramedullary rod and side plate .' +p60807 +(lp60808 +S'IMPRESSION\tIMPRESSION\tNN\tB-NP\tO' +p60809 +aS':\t:\t:\tO\tO' +p60810 +aS'Comminuted\tComminute\tVBN\tB-VP\tO' +p60811 +aS'proximal\tproximal\tJJ\tB-NP\tO' +p60812 +aS'tibiofibular\ttibiofibular\tJJ\tI-NP\tO' +p60813 +aS'fractures\tfracture\tNNS\tI-NP\tO' +p60814 +aS'status\tstatus\tNN\tI-NP\tB-protein' +p60815 +aS'post\tpost\tNN\tI-NP\tI-protein' +p60816 +aS'ORIF\tORIF\tNN\tI-NP\tI-protein' +p60817 +aS'of\tof\tIN\tB-PP\tO' +p60818 +aS'the\tthe\tDT\tB-NP\tO' +p60819 +aS'tibia\ttibia\tNN\tI-NP\tO' +p60820 +aS'with\twith\tIN\tB-PP\tO' +p60821 +aS'an\tan\tDT\tB-NP\tO' +p60822 +aS'intramedullary\tintramedullary\tJJ\tI-NP\tO' +p60823 +aS'rod\trod\tNN\tI-NP\tO' +p60824 +aS'and\tand\tCC\tI-NP\tO' +p60825 +aS'side\tside\tNN\tI-NP\tO' +p60826 +aS'plate\tplate\tNN\tI-NP\tO' +p60827 +aS'.\t.\t.\tO\tO' +p60828 +asS'Despite this findings , he was supported with 40% FIO2 most of the time .' +p60829 +(lp60830 +S'Despite\tDespite\tIN\tB-PP\tO' +p60831 +aS'this\tthis\tDT\tB-NP\tO' +p60832 +aS'findings\tfinding\tNNS\tI-NP\tO' +p60833 +aS',\t,\t,\tO\tO' +p60834 +aS'he\the\tPRP\tB-NP\tO' +p60835 +aS'was\tbe\tVBD\tB-VP\tO' +p60836 +aS'supported\tsupport\tVBN\tI-VP\tO' +p60837 +aS'with\twith\tIN\tB-PP\tO' +p60838 +aS'40%\t40%\tCD\tB-NP\tO' +p60839 +aS'FIO2\tFIO2\tCD\tI-NP\tO' +p60840 +aS'most\tmost\tJJS\tB-NP\tO' +p60841 +aS'of\tof\tIN\tB-PP\tO' +p60842 +aS'the\tthe\tDT\tB-NP\tO' +p60843 +aS'time\ttime\tNN\tI-NP\tO' +p60844 +aS'.\t.\t.\tO\tO' +p60845 +asS'She was brought in for an esophagogastroduodenoscopy on 9/26 but she basically was not sufficiently sedated and readmitted at this time for a GI work-up as well as an evaluation of new abscess in her left lower calf and right medial lower extremity quadriceps muscle .' +p60846 +(lp60847 +S'She\tShe\tPRP\tB-NP\tO' +p60848 +aS'was\tbe\tVBD\tB-VP\tO' +p60849 +aS'brought\tbring\tVBN\tI-VP\tO' +p60850 +aS'in\tin\tRP\tB-PRT\tO' +p60851 +aS'for\tfor\tIN\tB-PP\tO' +p60852 +aS'an\tan\tDT\tB-NP\tO' +p60853 +aS'esophagogastroduodenoscopy\tesophagogastroduodenoscopy\tNN\tI-NP\tO' +p60854 +aS'on\ton\tIN\tB-PP\tO' +p60855 +aS'9/26\t9/26\tCD\tB-NP\tO' +p60856 +aS'but\tbut\tCC\tO\tO' +p60857 +aS'she\tshe\tPRP\tB-NP\tO' +p60858 +aS'basically\tbasically\tRB\tB-ADVP\tO' +p60859 +aS'was\tbe\tVBD\tB-VP\tO' +p60860 +aS'not\tnot\tRB\tI-VP\tO' +p60861 +aS'sufficiently\tsufficiently\tRB\tI-VP\tO' +p60862 +aS'sedated\tsedate\tVBN\tI-VP\tO' +p60863 +aS'and\tand\tCC\tI-VP\tO' +p60864 +aS'readmitted\treadmitte\tVBN\tI-VP\tO' +p60865 +aS'at\tat\tIN\tB-PP\tO' +p60866 +aS'this\tthis\tDT\tB-NP\tO' +p60867 +aS'time\ttime\tNN\tI-NP\tO' +p60868 +aS'for\tfor\tIN\tB-PP\tO' +p60869 +aS'a\ta\tDT\tB-NP\tO' +p60870 +aS'GI\tGI\tNN\tI-NP\tO' +p60871 +aS'work-up\twork-up\tNN\tI-NP\tO' +p60872 +aS'as\tas\tRB\tB-CONJP\tO' +p60873 +aS'well\twell\tRB\tI-CONJP\tO' +p60874 +aS'as\tas\tIN\tI-CONJP\tO' +p60875 +aS'an\tan\tDT\tB-NP\tO' +p60876 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p60877 +aS'of\tof\tIN\tB-PP\tO' +p60878 +aS'new\tnew\tJJ\tB-NP\tO' +p60879 +aS'abscess\tabscess\tNN\tI-NP\tO' +p60880 +aS'in\tin\tIN\tB-PP\tO' +p60881 +aS'her\ther\tPRP$\tB-NP\tO' +p60882 +aS'left\tleft\tJJ\tI-NP\tO' +p60883 +aS'lower\tlow\tJJR\tI-NP\tO' +p60884 +aS'calf\tcalf\tNN\tI-NP\tO' +p60885 +aS'and\tand\tCC\tI-NP\tO' +p60886 +aS'right\tright\tJJ\tI-NP\tO' +p60887 +aS'medial\tmedial\tJJ\tI-NP\tO' +p60888 +aS'lower\tlow\tJJR\tI-NP\tO' +p60889 +aS'extremity\textremity\tNN\tI-NP\tO' +p60890 +aS'quadriceps\tquadricep\tVBZ\tB-VP\tO' +p60891 +aS'muscle\tmuscle\tNN\tB-NP\tO' +p60892 +aS'.\t.\t.\tO\tO' +p60893 +asS'Acute inferior myocardial infarction .' +p60894 +(lp60895 +S'Acute\tAcute\tJJ\tB-NP\tO' +p60896 +aS'inferior\tinferior\tJJ\tI-NP\tO' +p60897 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p60898 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p60899 +aS'.\t.\t.\tO\tO' +p60900 +asS'His CVP is ranging from 07-27 .' +p60901 +(lp60902 +S'His\tHis\tPRP$\tB-NP\tO' +p60903 +aS'CVP\tCVP\tNN\tI-NP\tB-protein' +p60904 +aS'is\tbe\tVBZ\tB-VP\tO' +p60905 +aS'ranging\trange\tVBG\tI-VP\tO' +p60906 +aS'from\tfrom\tIN\tB-PP\tO' +p60907 +aS'07-27\t07-27\tCD\tB-NP\tO' +p60908 +aS'.\t.\t.\tO\tO' +p60909 +asS'CV : difficult to assess heart sounds over respiratory sounds , but appears to have RRR , nl s1 s2 , no murmurs' +p60910 +(lp60911 +S'CV\tCV\tNN\tB-NP\tO' +p60912 +aS':\t:\t:\tO\tO' +p60913 +aS'difficult\tdifficult\tJJ\tB-ADJP\tO' +p60914 +aS'to\tto\tTO\tB-VP\tO' +p60915 +aS'assess\tassess\tVB\tI-VP\tO' +p60916 +aS'heart\theart\tNN\tB-NP\tO' +p60917 +aS'sounds\tsound\tNNS\tI-NP\tO' +p60918 +aS'over\tover\tIN\tB-PP\tO' +p60919 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p60920 +aS'sounds\tsound\tNNS\tI-NP\tO' +p60921 +aS',\t,\t,\tO\tO' +p60922 +aS'but\tbut\tCC\tO\tO' +p60923 +aS'appears\tappear\tVBZ\tB-VP\tO' +p60924 +aS'to\tto\tTO\tI-VP\tO' +p60925 +aS'have\thave\tVB\tI-VP\tO' +p60926 +aS'RRR\tRRR\tNN\tB-NP\tB-protein' +p60927 +aS',\t,\t,\tO\tO' +p60928 +aS'nl\tnl\tNN\tB-NP\tB-protein' +p60929 +aS's1\ts1\tNN\tI-NP\tI-protein' +p60930 +aS's2\ts2\tNN\tI-NP\tI-protein' +p60931 +aS',\t,\t,\tO\tO' +p60932 +aS'no\tno\tDT\tB-NP\tO' +p60933 +aS'murmurs\tmurmur\tNNS\tI-NP\tO' +p60934 +asS'The patient did well and was transferred to the floor on 04-02 .' +p60935 +(lp60936 +S'The\tThe\tDT\tB-NP\tO' +p60937 +aS'patient\tpatient\tNN\tI-NP\tO' +p60938 +aS'did\tdo\tVBD\tB-VP\tO' +p60939 +aS'well\twell\tRB\tB-ADVP\tO' +p60940 +aS'and\tand\tCC\tO\tO' +p60941 +aS'was\tbe\tVBD\tB-VP\tO' +p60942 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p60943 +aS'to\tto\tTO\tB-PP\tO' +p60944 +aS'the\tthe\tDT\tB-NP\tO' +p60945 +aS'floor\tfloor\tNN\tI-NP\tO' +p60946 +aS'on\ton\tIN\tB-PP\tO' +p60947 +aS'04-02\t04-02\tCD\tB-NP\tO' +p60948 +aS'.\t.\t.\tO\tO' +p60949 +asS'Vancomycin level was 21 .' +p60950 +(lp60951 +S'Vancomycin\tVancomycin\tNN\tB-NP\tO' +p60952 +aS'level\tlevel\tNN\tI-NP\tO' +p60953 +aS'was\tbe\tVBD\tB-VP\tO' +p60954 +aS'21\t21\tCD\tB-NP\tO' +p60955 +aS'.\t.\t.\tO\tO' +p60956 +asS'He continued to feed ad lib while a patient in the Newborn Intensive Care Unit .' +p60957 +(lp60958 +S'He\tHe\tPRP\tB-NP\tO' +p60959 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p60960 +aS'to\tto\tTO\tI-VP\tO' +p60961 +aS'feed\tfeed\tVB\tI-VP\tO' +p60962 +aS'ad\tad\tNN\tB-NP\tO' +p60963 +aS'lib\tlib\tNN\tI-NP\tO' +p60964 +aS'while\twhile\tIN\tB-SBAR\tO' +p60965 +aS'a\ta\tDT\tB-NP\tO' +p60966 +aS'patient\tpatient\tNN\tI-NP\tO' +p60967 +aS'in\tin\tIN\tB-PP\tO' +p60968 +aS'the\tthe\tDT\tB-NP\tO' +p60969 +aS'Newborn\tNewborn\tNNP\tI-NP\tO' +p60970 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p60971 +aS'Care\tCare\tNNP\tI-NP\tO' +p60972 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p60973 +aS'.\t.\t.\tO\tO' +p60974 +asS'3rd floor Henderson Building with Dr. Black ( 650 ) 866-1361' +p60975 +(lp60976 +S'3rd\t3rd\tLS\tB-NP\tO' +p60977 +aS'floor\tfloor\tNN\tI-NP\tO' +p60978 +aS'Henderson\tHenderson\tNNP\tI-NP\tO' +p60979 +aS'Building\tBuilding\tNNP\tI-NP\tO' +p60980 +aS'with\twith\tIN\tB-PP\tO' +p60981 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p60982 +aS'Black\tBlack\tNNP\tI-NP\tO' +p60983 +aS'(\t(\t(\tO\tO' +p60984 +aS'650\t650\tCD\tB-NP\tO' +p60985 +aS')\t)\t)\tO\tO' +p60986 +aS'866-1361\t866-1361\tCD\tB-NP\tO' +p60987 +asS'Legs are rigid .' +p60988 +(lp60989 +S'Legs\tLeg\tNNS\tB-NP\tO' +p60990 +aS'are\tbe\tVBP\tB-VP\tO' +p60991 +aS'rigid\trigid\tJJ\tB-ADJP\tO' +p60992 +aS'.\t.\t.\tO\tO' +p60993 +asS'Renee remained cardiovascularly stable with AP s noted to be 120 to 130 s.' +p60994 +(lp60995 +S'Renee\tRenee\tNNP\tB-NP\tO' +p60996 +aS'remained\tremain\tVBD\tB-VP\tO' +p60997 +aS'cardiovascularly\tcardiovascularly\tRB\tB-ADJP\tO' +p60998 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p60999 +aS'with\twith\tIN\tB-PP\tO' +p61000 +aS'AP\tAP\tNN\tB-NP\tB-protein' +p61001 +aS's\ts\tNNS\tI-NP\tI-protein' +p61002 +aS'noted\tnote\tVBN\tB-VP\tO' +p61003 +aS'to\tto\tTO\tI-VP\tO' +p61004 +aS'be\tbe\tVB\tI-VP\tO' +p61005 +aS'120\t120\tCD\tB-NP\tO' +p61006 +aS'to\tto\tTO\tI-NP\tO' +p61007 +aS'130\t130\tCD\tI-NP\tO' +p61008 +aS's.\ts.\tNNS\tI-NP\tO' +p61009 +asS'Cardiology recommended d/cing digoxin and starting amiodarone .' +p61010 +(lp61011 +S'Cardiology\tCardiology\tNNP\tB-NP\tO' +p61012 +aS'recommended\trecommend\tVBD\tB-VP\tO' +p61013 +aS'd/cing\td/ce\tVBG\tI-VP\tO' +p61014 +aS'digoxin\tdigoxin\tNN\tB-NP\tO' +p61015 +aS'and\tand\tCC\tO\tO' +p61016 +aS'starting\tstart\tVBG\tB-VP\tO' +p61017 +aS'amiodarone\tamiodarone\tNN\tB-NP\tO' +p61018 +aS'.\t.\t.\tO\tO' +p61019 +asS'Danvers State Hospital & Rehab Center - Beverly' +p61020 +(lp61021 +S'Danvers\tDanvers\tNNP\tB-NP\tO' +p61022 +aS'State\tState\tNNP\tI-NP\tO' +p61023 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p61024 +aS'&\t&\tCC\tI-NP\tO' +p61025 +aS'Rehab\tRehab\tNNP\tI-NP\tO' +p61026 +aS'Center\tCenter\tNNP\tI-NP\tO' +p61027 +aS'-\t-\tHYPH\tO\tO' +p61028 +aS'Beverly\tBeverly\tNNP\tB-NP\tO' +p61029 +asS'Mediastinal tumor mass .' +p61030 +(lp61031 +S'Mediastinal\tMediastinal\tJJ\tB-NP\tO' +p61032 +aS'tumor\ttumor\tNN\tI-NP\tO' +p61033 +aS'mass\tmass\tNN\tI-NP\tO' +p61034 +aS'.\t.\t.\tO\tO' +p61035 +asS'The right leg was with decreased range of motion of thigh flexion and extension .' +p61036 +(lp61037 +S'The\tThe\tDT\tB-NP\tO' +p61038 +aS'right\tright\tJJ\tI-NP\tO' +p61039 +aS'leg\tleg\tNN\tI-NP\tO' +p61040 +aS'was\tbe\tVBD\tB-VP\tO' +p61041 +aS'with\twith\tIN\tB-PP\tO' +p61042 +aS'decreased\tdecrease\tVBN\tB-NP\tO' +p61043 +aS'range\trange\tNN\tI-NP\tO' +p61044 +aS'of\tof\tIN\tB-PP\tO' +p61045 +aS'motion\tmotion\tNN\tB-NP\tO' +p61046 +aS'of\tof\tIN\tB-PP\tO' +p61047 +aS'thigh\tthigh\tJJ\tB-NP\tO' +p61048 +aS'flexion\tflexion\tNN\tI-NP\tO' +p61049 +aS'and\tand\tCC\tI-NP\tO' +p61050 +aS'extension\textension\tNN\tI-NP\tO' +p61051 +aS'.\t.\t.\tO\tO' +p61052 +asS"Before this age and for the first 24 months of the child 's life immunization against influenza is recommended for household contacts and out of home caregivers ." +p61053 +(lp61054 +S'Before\tBefore\tIN\tB-SBAR\tO' +p61055 +aS'this\tthis\tDT\tB-NP\tO' +p61056 +aS'age\tage\tNN\tI-NP\tO' +p61057 +aS'and\tand\tCC\tB-PP\tO' +p61058 +aS'for\tfor\tIN\tB-PP\tO' +p61059 +aS'the\tthe\tDT\tB-NP\tO' +p61060 +aS'first\tfirst\tJJ\tI-NP\tO' +p61061 +aS'24\t24\tCD\tI-NP\tO' +p61062 +aS'months\tmonth\tNNS\tI-NP\tO' +p61063 +aS'of\tof\tIN\tB-PP\tO' +p61064 +aS'the\tthe\tDT\tB-NP\tO' +p61065 +aS'child\tchild\tNN\tI-NP\tO' +p61066 +aS"'s\t's\tPOS\tB-NP\tO" +p61067 +aS'life\tlife\tNN\tI-NP\tO' +p61068 +aS'immunization\timmunization\tNN\tI-NP\tO' +p61069 +aS'against\tagainst\tIN\tB-PP\tO' +p61070 +aS'influenza\tinfluenza\tNN\tB-NP\tO' +p61071 +aS'is\tbe\tVBZ\tB-VP\tO' +p61072 +aS'recommended\trecommend\tVBN\tI-VP\tO' +p61073 +aS'for\tfor\tIN\tB-PP\tO' +p61074 +aS'household\thousehold\tNN\tB-NP\tO' +p61075 +aS'contacts\tcontact\tNNS\tI-NP\tO' +p61076 +aS'and\tand\tCC\tB-PP\tO' +p61077 +aS'out\tout\tIN\tB-PP\tO' +p61078 +aS'of\tof\tIN\tB-PP\tO' +p61079 +aS'home\thome\tNN\tB-NP\tO' +p61080 +aS'caregivers\tcaregiver\tNNS\tI-NP\tO' +p61081 +aS'.\t.\t.\tO\tO' +p61082 +asS'Baby Girl Rizza-Gannaway is the 1515 gram product of a 32 and 06-30 week twin gestation born to a 37-year-old G - 2 , P - 0 , now 2 , mother .' +p61083 +(lp61084 +S'Baby\tBaby\tNNP\tB-NP\tO' +p61085 +aS'Girl\tGirl\tNNP\tI-NP\tO' +p61086 +aS'Rizza-Gannaway\tRizza-Gannaway\tNNP\tI-NP\tO' +p61087 +aS'is\tbe\tVBZ\tB-VP\tO' +p61088 +aS'the\tthe\tDT\tB-NP\tO' +p61089 +aS'1515\t1515\tCD\tI-NP\tO' +p61090 +aS'gram\tgram\tNN\tI-NP\tO' +p61091 +aS'product\tproduct\tNN\tI-NP\tO' +p61092 +aS'of\tof\tIN\tB-PP\tO' +p61093 +aS'a\ta\tDT\tB-NP\tO' +p61094 +aS'32\t32\tCD\tI-NP\tO' +p61095 +aS'and\tand\tCC\tI-NP\tO' +p61096 +aS'06-30\t06-30\tCD\tI-NP\tO' +p61097 +aS'week\tweek\tNN\tI-NP\tO' +p61098 +aS'twin\ttwin\tNN\tI-NP\tO' +p61099 +aS'gestation\tgestation\tNN\tI-NP\tO' +p61100 +aS'born\tbear\tVBN\tB-VP\tO' +p61101 +aS'to\tto\tTO\tB-PP\tO' +p61102 +aS'a\ta\tDT\tB-NP\tO' +p61103 +aS'37-year-old\t37-year-old\tJJ\tI-NP\tO' +p61104 +aS'G\tG\tNN\tI-NP\tO' +p61105 +aS'-\t-\tHYPH\tO\tO' +p61106 +aS'2\t2\tCD\tB-NP\tO' +p61107 +aS',\t,\t,\tO\tO' +p61108 +aS'P\tP\tNN\tB-NP\tB-protein' +p61109 +aS'-\t-\tHYPH\tO\tI-protein' +p61110 +aS'0\t0\tCD\tB-NP\tI-protein' +p61111 +aS',\t,\t,\tO\tO' +p61112 +aS'now\tnow\tRB\tB-ADVP\tO' +p61113 +aS'2\t2\tCD\tB-NP\tO' +p61114 +aS',\t,\t,\tO\tO' +p61115 +aS'mother\tmother\tNN\tB-NP\tO' +p61116 +aS'.\t.\t.\tO\tO' +p61117 +asS'The patient lives alone , but in a senior living facility adjacent to friends .' +p61118 +(lp61119 +S'The\tThe\tDT\tB-NP\tO' +p61120 +aS'patient\tpatient\tNN\tI-NP\tO' +p61121 +aS'lives\tlive\tVBZ\tB-VP\tO' +p61122 +aS'alone\talone\tRB\tB-ADVP\tO' +p61123 +aS',\t,\t,\tO\tO' +p61124 +aS'but\tbut\tCC\tO\tO' +p61125 +aS'in\tin\tIN\tB-PP\tO' +p61126 +aS'a\ta\tDT\tB-NP\tO' +p61127 +aS'senior\tsenior\tJJ\tI-NP\tO' +p61128 +aS'living\tliving\tNN\tI-NP\tO' +p61129 +aS'facility\tfacility\tNN\tI-NP\tO' +p61130 +aS'adjacent\tadjacent\tJJ\tB-ADJP\tO' +p61131 +aS'to\tto\tTO\tB-PP\tO' +p61132 +aS'friends\tfriend\tNNS\tB-NP\tO' +p61133 +aS'.\t.\t.\tO\tO' +p61134 +asS'Blood alcohol level was 383 .' +p61135 +(lp61136 +S'Blood\tBlood\tNN\tB-NP\tO' +p61137 +aS'alcohol\talcohol\tNN\tI-NP\tO' +p61138 +aS'level\tlevel\tNN\tI-NP\tO' +p61139 +aS'was\tbe\tVBD\tB-VP\tO' +p61140 +aS'383\t383\tCD\tB-NP\tO' +p61141 +aS'.\t.\t.\tO\tO' +p61142 +asS'His heart rate continued to be well controlled with his lopressor .' +p61143 +(lp61144 +S'His\tHis\tPRP$\tB-NP\tO' +p61145 +aS'heart\theart\tNN\tI-NP\tO' +p61146 +aS'rate\trate\tNN\tI-NP\tO' +p61147 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p61148 +aS'to\tto\tTO\tI-VP\tO' +p61149 +aS'be\tbe\tVB\tI-VP\tO' +p61150 +aS'well\twell\tRB\tI-VP\tO' +p61151 +aS'controlled\tcontrol\tVBN\tI-VP\tO' +p61152 +aS'with\twith\tIN\tB-PP\tO' +p61153 +aS'his\this\tPRP$\tB-NP\tO' +p61154 +aS'lopressor\tlopressor\tNN\tI-NP\tO' +p61155 +aS'.\t.\t.\tO\tO' +p61156 +asS'Pt is to continue ciprofloxacin for a complete 14 day course .' +p61157 +(lp61158 +S'Pt\tPt\tNN\tB-NP\tO' +p61159 +aS'is\tbe\tVBZ\tB-VP\tO' +p61160 +aS'to\tto\tTO\tB-VP\tO' +p61161 +aS'continue\tcontinue\tVB\tI-VP\tO' +p61162 +aS'ciprofloxacin\tciprofloxacin\tNN\tB-NP\tO' +p61163 +aS'for\tfor\tIN\tB-PP\tO' +p61164 +aS'a\ta\tDT\tB-NP\tO' +p61165 +aS'complete\tcomplete\tJJ\tI-NP\tO' +p61166 +aS'14\t14\tCD\tI-NP\tO' +p61167 +aS'day\tday\tNN\tI-NP\tO' +p61168 +aS'course\tcourse\tNN\tI-NP\tO' +p61169 +aS'.\t.\t.\tO\tO' +p61170 +asS'Miconazole cream Flovent .' +p61171 +(lp61172 +S'Miconazole\tMiconazole\tNN\tB-NP\tO' +p61173 +aS'cream\tcream\tNN\tI-NP\tO' +p61174 +aS'Flovent\tFlovent\tNNP\tI-NP\tO' +p61175 +aS'.\t.\t.\tO\tO' +p61176 +asS'Hearing screen has not been done but should be done prior to discharge .' +p61177 +(lp61178 +S'Hearing\tHear\tVBG\tB-VP\tO' +p61179 +aS'screen\tscreen\tNN\tB-NP\tO' +p61180 +aS'has\thave\tVBZ\tB-VP\tO' +p61181 +aS'not\tnot\tRB\tI-VP\tO' +p61182 +aS'been\tbe\tVBN\tI-VP\tO' +p61183 +aS'done\tdo\tVBN\tI-VP\tO' +p61184 +aS'but\tbut\tCC\tO\tO' +p61185 +aS'should\tshould\tMD\tB-VP\tO' +p61186 +aS'be\tbe\tVB\tI-VP\tO' +p61187 +aS'done\tdo\tVBN\tI-VP\tO' +p61188 +aS'prior\tprior\tRB\tB-ADVP\tO' +p61189 +aS'to\tto\tTO\tB-VP\tO' +p61190 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p61191 +aS'.\t.\t.\tO\tO' +p61192 +asS'Autopsy permission was declined by the family .' +p61193 +(lp61194 +S'Autopsy\tAutopsy\tNN\tB-NP\tO' +p61195 +aS'permission\tpermission\tNN\tI-NP\tO' +p61196 +aS'was\tbe\tVBD\tB-VP\tO' +p61197 +aS'declined\tdecline\tVBN\tI-VP\tO' +p61198 +aS'by\tby\tIN\tB-PP\tO' +p61199 +aS'the\tthe\tDT\tB-NP\tO' +p61200 +aS'family\tfamily\tNN\tI-NP\tO' +p61201 +aS'.\t.\t.\tO\tO' +p61202 +asS'However , because he could not be weaned from the Neo-Synephrine , he again remained in the Intensive Care Unit .' +p61203 +(lp61204 +S'However\tHowever\tRB\tB-ADVP\tO' +p61205 +aS',\t,\t,\tO\tO' +p61206 +aS'because\tbecause\tIN\tB-SBAR\tO' +p61207 +aS'he\the\tPRP\tB-NP\tO' +p61208 +aS'could\tcould\tMD\tB-VP\tO' +p61209 +aS'not\tnot\tRB\tI-VP\tO' +p61210 +aS'be\tbe\tVB\tI-VP\tO' +p61211 +aS'weaned\twean\tVBN\tI-VP\tO' +p61212 +aS'from\tfrom\tIN\tB-PP\tO' +p61213 +aS'the\tthe\tDT\tB-NP\tO' +p61214 +aS'Neo-Synephrine\tNeo-Synephrine\tNN\tI-NP\tO' +p61215 +aS',\t,\t,\tO\tO' +p61216 +aS'he\the\tPRP\tB-NP\tO' +p61217 +aS'again\tagain\tRB\tB-ADVP\tO' +p61218 +aS'remained\tremain\tVBD\tB-VP\tO' +p61219 +aS'in\tin\tIN\tB-PP\tO' +p61220 +aS'the\tthe\tDT\tB-NP\tO' +p61221 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p61222 +aS'Care\tCare\tNNP\tI-NP\tO' +p61223 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p61224 +aS'.\t.\t.\tO\tO' +p61225 +asS'PM wires in good position .' +p61226 +(lp61227 +S'PM\tPM\tNN\tB-NP\tO' +p61228 +aS'wires\twire\tVBZ\tB-VP\tO' +p61229 +aS'in\tin\tIN\tB-PP\tO' +p61230 +aS'good\tgood\tJJ\tB-NP\tO' +p61231 +aS'position\tposition\tNN\tI-NP\tO' +p61232 +aS'.\t.\t.\tO\tO' +p61233 +asS'One hour after he had physical activity on the previously night as well .' +p61234 +(lp61235 +S'One\tOne\tCD\tB-NP\tO' +p61236 +aS'hour\thour\tNN\tI-NP\tO' +p61237 +aS'after\tafter\tIN\tB-SBAR\tO' +p61238 +aS'he\the\tPRP\tB-NP\tO' +p61239 +aS'had\thave\tVBD\tB-VP\tO' +p61240 +aS'physical\tphysical\tJJ\tB-NP\tO' +p61241 +aS'activity\tactivity\tNN\tI-NP\tO' +p61242 +aS'on\ton\tIN\tB-PP\tO' +p61243 +aS'the\tthe\tDT\tO\tO' +p61244 +aS'previously\tpreviously\tRB\tB-ADVP\tO' +p61245 +aS'night\tnight\tRB\tI-ADVP\tO' +p61246 +aS'as\tas\tRB\tB-ADVP\tO' +p61247 +aS'well\twell\tRB\tI-ADVP\tO' +p61248 +aS'.\t.\t.\tO\tO' +p61249 +asS'Denies ETOH .' +p61250 +(lp61251 +S'Denies\tDeny\tNNS\tB-NP\tO' +p61252 +aS'ETOH\tETOH\tNN\tI-NP\tO' +p61253 +aS'.\t.\t.\tO\tO' +p61254 +asS'The patient was admitted to the O-CMED' +p61255 +(lp61256 +S'The\tThe\tDT\tB-NP\tO' +p61257 +aS'patient\tpatient\tNN\tI-NP\tO' +p61258 +aS'was\tbe\tVBD\tB-VP\tO' +p61259 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p61260 +aS'to\tto\tTO\tB-PP\tO' +p61261 +aS'the\tthe\tDT\tB-NP\tO' +p61262 +aS'O-CMED\tO-CMED\tNN\tI-NP\tO' +p61263 +asS'He was given supplemental oxygen .' +p61264 +(lp61265 +S'He\tHe\tPRP\tB-NP\tO' +p61266 +aS'was\tbe\tVBD\tB-VP\tO' +p61267 +aS'given\tgive\tVBN\tI-VP\tO' +p61268 +aS'supplemental\tsupplemental\tJJ\tB-NP\tO' +p61269 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p61270 +aS'.\t.\t.\tO\tO' +p61271 +asS'The patient was unable to tolerate adequate p.o.'s in the last several days .' +p61272 +(lp61273 +S'The\tThe\tDT\tB-NP\tO' +p61274 +aS'patient\tpatient\tNN\tI-NP\tO' +p61275 +aS'was\tbe\tVBD\tB-VP\tO' +p61276 +aS'unable\tunable\tJJ\tB-ADJP\tO' +p61277 +aS'to\tto\tTO\tB-VP\tO' +p61278 +aS'tolerate\ttolerate\tVB\tI-VP\tO' +p61279 +aS'adequate\tadequate\tJJ\tB-NP\tO' +p61280 +aS'p.o.'s\tp.o.'\tNNS\tI-NP\tO' +p61281 +aS'in\tin\tIN\tB-PP\tO' +p61282 +aS'the\tthe\tDT\tB-NP\tO' +p61283 +aS'last\tlast\tJJ\tI-NP\tO' +p61284 +aS'several\tseveral\tJJ\tI-NP\tO' +p61285 +aS'days\tday\tNNS\tI-NP\tO' +p61286 +aS'.\t.\t.\tO\tO' +p61287 +asS'13. Prednisone 5 mg Tablet Sig : Three ( 3 ) Tablet PO DAILY ( Daily ) .' +p61288 +(lp61289 +S'13.\t13.\tLS\tB-NP\tO' +p61290 +aS'Prednisone\tPrednisone\tNN\tI-NP\tO' +p61291 +aS'5\t5\tCD\tI-NP\tO' +p61292 +aS'mg\tmg\tNN\tI-NP\tO' +p61293 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p61294 +aS'Sig\tSig\tNNP\tI-NP\tO' +p61295 +aS':\t:\t:\tO\tO' +p61296 +aS'Three\tThree\tCD\tB-NP\tO' +p61297 +aS'(\t(\t(\tO\tO' +p61298 +aS'3\t3\tCD\tB-NP\tO' +p61299 +aS')\t)\t)\tO\tO' +p61300 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p61301 +aS'PO\tPO\tNN\tI-NP\tO' +p61302 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p61303 +aS'(\t(\t(\tO\tO' +p61304 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p61305 +aS')\t)\t)\tO\tO' +p61306 +aS'.\t.\t.\tO\tO' +p61307 +asS'A twelve lead electrocardiogram was recommended if this persists .' +p61308 +(lp61309 +S'A\tA\tDT\tB-NP\tO' +p61310 +aS'twelve\ttwelve\tCD\tI-NP\tO' +p61311 +aS'lead\tlead\tNN\tI-NP\tO' +p61312 +aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' +p61313 +aS'was\tbe\tVBD\tB-VP\tO' +p61314 +aS'recommended\trecommend\tVBN\tI-VP\tO' +p61315 +aS'if\tif\tIN\tB-SBAR\tO' +p61316 +aS'this\tthis\tDT\tB-NP\tO' +p61317 +aS'persists\tpersist\tVBZ\tB-VP\tO' +p61318 +aS'.\t.\t.\tO\tO' +p61319 +asS'He was administered intravenous fluids and oral diet as tolerated .' +p61320 +(lp61321 +S'He\tHe\tPRP\tB-NP\tO' +p61322 +aS'was\tbe\tVBD\tB-VP\tO' +p61323 +aS'administered\tadminister\tVBN\tI-VP\tO' +p61324 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p61325 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p61326 +aS'and\tand\tCC\tO\tO' +p61327 +aS'oral\toral\tJJ\tB-NP\tO' +p61328 +aS'diet\tdiet\tNN\tI-NP\tO' +p61329 +aS'as\tas\tIN\tB-SBAR\tO' +p61330 +aS'tolerated\ttolerate\tVBN\tB-VP\tO' +p61331 +aS'.\t.\t.\tO\tO' +p61332 +asS'He had 0 left wrist flexion or extension while his left proximal muscles were 4 including his biceps and triceps .' +p61333 +(lp61334 +S'He\tHe\tPRP\tB-NP\tO' +p61335 +aS'had\thave\tVBD\tB-VP\tO' +p61336 +aS'0\t0\tCD\tB-NP\tO' +p61337 +aS'left\tleft\tJJ\tI-NP\tO' +p61338 +aS'wrist\twrist\tNN\tI-NP\tO' +p61339 +aS'flexion\tflexion\tNN\tI-NP\tO' +p61340 +aS'or\tor\tCC\tI-NP\tO' +p61341 +aS'extension\textension\tNN\tI-NP\tO' +p61342 +aS'while\twhile\tIN\tB-SBAR\tO' +p61343 +aS'his\this\tPRP$\tB-NP\tO' +p61344 +aS'left\tleft\tJJ\tI-NP\tO' +p61345 +aS'proximal\tproximal\tJJ\tI-NP\tO' +p61346 +aS'muscles\tmuscle\tNNS\tI-NP\tO' +p61347 +aS'were\tbe\tVBD\tB-VP\tO' +p61348 +aS'4\t4\tCD\tB-NP\tO' +p61349 +aS'including\tinclude\tVBG\tB-PP\tO' +p61350 +aS'his\this\tPRP$\tB-NP\tO' +p61351 +aS'biceps\tbicep\tNNS\tI-NP\tO' +p61352 +aS'and\tand\tCC\tI-NP\tO' +p61353 +aS'triceps\ttricep\tNNS\tI-NP\tO' +p61354 +aS'.\t.\t.\tO\tO' +p61355 +asS'Nephrolithiasis .' +p61356 +(lp61357 +S'Nephrolithiasis\tNephrolithiasis\tNN\tB-NP\tO' +p61358 +aS'.\t.\t.\tO\tO' +p61359 +asS'Gram stain and culture of the ascites failed to identify any organism .' +p61360 +(lp61361 +S'Gram\tGram\tNN\tB-NP\tO' +p61362 +aS'stain\tstain\tNN\tI-NP\tO' +p61363 +aS'and\tand\tCC\tI-NP\tO' +p61364 +aS'culture\tculture\tNN\tI-NP\tO' +p61365 +aS'of\tof\tIN\tB-PP\tO' +p61366 +aS'the\tthe\tDT\tB-NP\tO' +p61367 +aS'ascites\tascite\tNNS\tI-NP\tO' +p61368 +aS'failed\tfail\tVBD\tB-VP\tO' +p61369 +aS'to\tto\tTO\tI-VP\tO' +p61370 +aS'identify\tidentify\tVB\tI-VP\tO' +p61371 +aS'any\tany\tDT\tB-NP\tO' +p61372 +aS'organism\torganism\tNN\tI-NP\tO' +p61373 +aS'.\t.\t.\tO\tO' +p61374 +asS'4. Gastrointestinal : Boston required treatment for unconjungated hyperbilirubinemia with phototherapy .' +p61375 +(lp61376 +S'4.\t4.\tCD\tB-NP\tO' +p61377 +aS'Gastrointestinal\tGastrointestinal\tNNP\tI-NP\tO' +p61378 +aS':\t:\t:\tO\tO' +p61379 +aS'Boston\tBoston\tNNP\tB-NP\tO' +p61380 +aS'required\trequire\tVBD\tB-VP\tO' +p61381 +aS'treatment\ttreatment\tNN\tB-NP\tO' +p61382 +aS'for\tfor\tIN\tB-PP\tO' +p61383 +aS'unconjungated\tunconjungated\tJJ\tB-NP\tO' +p61384 +aS'hyperbilirubinemia\thyperbilirubinemia\tNN\tI-NP\tO' +p61385 +aS'with\twith\tIN\tB-PP\tO' +p61386 +aS'phototherapy\tphototherapy\tNN\tB-NP\tO' +p61387 +aS'.\t.\t.\tO\tO' +p61388 +asS'During ER evaluation pt was noted to have some degree of dyspnea as well as mental status changes , including loss of short term memory and brief unresponsive period after one dose of IV Benadry and steroids prior to CT scan .' +p61389 +(lp61390 +S'During\tDuring\tIN\tB-PP\tO' +p61391 +aS'ER\tER\tNN\tB-NP\tB-protein' +p61392 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p61393 +aS'pt\tpt\tNN\tI-NP\tO' +p61394 +aS'was\tbe\tVBD\tB-VP\tO' +p61395 +aS'noted\tnote\tVBN\tI-VP\tO' +p61396 +aS'to\tto\tTO\tI-VP\tO' +p61397 +aS'have\thave\tVB\tI-VP\tO' +p61398 +aS'some\tsome\tDT\tB-NP\tO' +p61399 +aS'degree\tdegree\tNN\tI-NP\tO' +p61400 +aS'of\tof\tIN\tB-PP\tO' +p61401 +aS'dyspnea\tdyspnea\tNN\tB-NP\tO' +p61402 +aS'as\tas\tRB\tB-CONJP\tO' +p61403 +aS'well\twell\tRB\tI-CONJP\tO' +p61404 +aS'as\tas\tIN\tI-CONJP\tO' +p61405 +aS'mental\tmental\tJJ\tB-NP\tO' +p61406 +aS'status\tstatus\tNN\tI-NP\tO' +p61407 +aS'changes\tchange\tNNS\tI-NP\tO' +p61408 +aS',\t,\t,\tO\tO' +p61409 +aS'including\tinclude\tVBG\tB-PP\tO' +p61410 +aS'loss\tloss\tNN\tB-NP\tO' +p61411 +aS'of\tof\tIN\tB-PP\tO' +p61412 +aS'short\tshort\tJJ\tB-NP\tO' +p61413 +aS'term\tterm\tNN\tI-NP\tO' +p61414 +aS'memory\tmemory\tNN\tI-NP\tO' +p61415 +aS'and\tand\tCC\tO\tO' +p61416 +aS'brief\tbrief\tJJ\tB-NP\tO' +p61417 +aS'unresponsive\tunresponsive\tJJ\tI-NP\tO' +p61418 +aS'period\tperiod\tNN\tI-NP\tO' +p61419 +aS'after\tafter\tIN\tB-PP\tO' +p61420 +aS'one\tone\tCD\tB-NP\tO' +p61421 +aS'dose\tdose\tNN\tI-NP\tO' +p61422 +aS'of\tof\tIN\tB-PP\tO' +p61423 +aS'IV\tIV\tCD\tB-NP\tO' +p61424 +aS'Benadry\tBenadry\tNNP\tI-NP\tO' +p61425 +aS'and\tand\tCC\tI-NP\tO' +p61426 +aS'steroids\tsteroid\tNNS\tI-NP\tO' +p61427 +aS'prior\tprior\tRB\tB-ADVP\tO' +p61428 +aS'to\tto\tTO\tB-PP\tO' +p61429 +aS'CT\tCT\tNN\tB-NP\tO' +p61430 +aS'scan\tscan\tNN\tI-NP\tO' +p61431 +aS'.\t.\t.\tO\tO' +p61432 +asS'Her history is detailed in the discharge summary of August 10 of this year .' +p61433 +(lp61434 +S'Her\tHer\tPRP$\tB-NP\tO' +p61435 +aS'history\thistory\tNN\tI-NP\tO' +p61436 +aS'is\tbe\tVBZ\tB-VP\tO' +p61437 +aS'detailed\tdetail\tVBN\tI-VP\tO' +p61438 +aS'in\tin\tIN\tB-PP\tO' +p61439 +aS'the\tthe\tDT\tB-NP\tO' +p61440 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p61441 +aS'summary\tsummary\tNN\tI-NP\tO' +p61442 +aS'of\tof\tIN\tB-PP\tO' +p61443 +aS'August\tAugust\tNNP\tB-NP\tO' +p61444 +aS'10\t10\tCD\tI-NP\tO' +p61445 +aS'of\tof\tIN\tB-PP\tO' +p61446 +aS'this\tthis\tDT\tB-NP\tO' +p61447 +aS'year\tyear\tNN\tI-NP\tO' +p61448 +aS'.\t.\t.\tO\tO' +p61449 +asS'His chest was clear to ascultation .' +p61450 +(lp61451 +S'His\tHis\tPRP$\tB-NP\tO' +p61452 +aS'chest\tchest\tNN\tI-NP\tO' +p61453 +aS'was\tbe\tVBD\tB-VP\tO' +p61454 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p61455 +aS'to\tto\tTO\tB-PP\tO' +p61456 +aS'ascultation\tascultation\tNN\tB-NP\tO' +p61457 +aS'.\t.\t.\tO\tO' +p61458 +asS'LEFT TOTAL KNEE ARTHROPLASTY ON 6/26/90 .' +p61459 +(lp61460 +S'LEFT\tLEFT\tNNP\tB-NP\tO' +p61461 +aS'TOTAL\tTOTAL\tNNP\tI-NP\tO' +p61462 +aS'KNEE\tKNEE\tNNP\tI-NP\tO' +p61463 +aS'ARTHROPLASTY\tARTHROPLASTY\tNNP\tI-NP\tO' +p61464 +aS'ON\tON\tNNP\tI-NP\tO' +p61465 +aS'6/26/90\t6/26/90\tCD\tI-NP\tO' +p61466 +aS'.\t.\t.\tO\tO' +p61467 +asS'Pulses were intact .' +p61468 +(lp61469 +S'Pulses\tPulse\tNNS\tB-NP\tO' +p61470 +aS'were\tbe\tVBD\tB-VP\tO' +p61471 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p61472 +aS'.\t.\t.\tO\tO' +p61473 +asS"The patient 's father died of a myocardial infarction at age 40 , and a brother who died of a myocardial infarction at age 40 ." +p61474 +(lp61475 +S'The\tThe\tDT\tB-NP\tO' +p61476 +aS'patient\tpatient\tNN\tI-NP\tO' +p61477 +aS"'s\t's\tPOS\tB-NP\tO" +p61478 +aS'father\tfather\tNN\tI-NP\tO' +p61479 +aS'died\tdie\tVBD\tB-VP\tO' +p61480 +aS'of\tof\tIN\tB-PP\tO' +p61481 +aS'a\ta\tDT\tB-NP\tO' +p61482 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p61483 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p61484 +aS'at\tat\tIN\tB-PP\tO' +p61485 +aS'age\tage\tNN\tB-NP\tO' +p61486 +aS'40\t40\tCD\tI-NP\tO' +p61487 +aS',\t,\t,\tO\tO' +p61488 +aS'and\tand\tCC\tO\tO' +p61489 +aS'a\ta\tDT\tB-NP\tO' +p61490 +aS'brother\tbrother\tNN\tI-NP\tO' +p61491 +aS'who\twho\tWP\tB-NP\tO' +p61492 +aS'died\tdie\tVBD\tB-VP\tO' +p61493 +aS'of\tof\tIN\tB-PP\tO' +p61494 +aS'a\ta\tDT\tB-NP\tO' +p61495 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p61496 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p61497 +aS'at\tat\tIN\tB-PP\tO' +p61498 +aS'age\tage\tNN\tB-NP\tO' +p61499 +aS'40\t40\tCD\tI-NP\tO' +p61500 +aS'.\t.\t.\tO\tO' +p61501 +asS'He was loaded with Dilantin and ultimately was treated with a Pentobarb coma .' +p61502 +(lp61503 +S'He\tHe\tPRP\tB-NP\tO' +p61504 +aS'was\tbe\tVBD\tB-VP\tO' +p61505 +aS'loaded\tload\tVBN\tI-VP\tO' +p61506 +aS'with\twith\tIN\tB-PP\tO' +p61507 +aS'Dilantin\tDilantin\tNN\tB-NP\tB-protein' +p61508 +aS'and\tand\tCC\tO\tO' +p61509 +aS'ultimately\tultimately\tRB\tB-ADVP\tO' +p61510 +aS'was\tbe\tVBD\tB-VP\tO' +p61511 +aS'treated\ttreat\tVBN\tI-VP\tO' +p61512 +aS'with\twith\tIN\tB-PP\tO' +p61513 +aS'a\ta\tDT\tB-NP\tO' +p61514 +aS'Pentobarb\tPentobarb\tNNP\tI-NP\tO' +p61515 +aS'coma\tcoma\tNN\tI-NP\tO' +p61516 +aS'.\t.\t.\tO\tO' +p61517 +asS'Symptoms resolved spontaneously .' +p61518 +(lp61519 +S'Symptoms\tSymptom\tNNS\tB-NP\tO' +p61520 +aS'resolved\tresolve\tVBD\tB-VP\tO' +p61521 +aS'spontaneously\tspontaneously\tRB\tB-ADVP\tO' +p61522 +aS'.\t.\t.\tO\tO' +p61523 +asS"The mother 's prenatal screens were blood type B positive , antibody negative , rubella immune , RPR nonreactive , hepatitis surface antigen negative and group B strep negative ." +p61524 +(lp61525 +S'The\tThe\tDT\tB-NP\tO' +p61526 +aS'mother\tmother\tNN\tI-NP\tO' +p61527 +aS"'s\t's\tPOS\tB-NP\tO" +p61528 +aS'prenatal\tprenatal\tJJ\tI-NP\tO' +p61529 +aS'screens\tscreen\tNNS\tI-NP\tO' +p61530 +aS'were\tbe\tVBD\tB-VP\tO' +p61531 +aS'blood\tblood\tNN\tB-NP\tO' +p61532 +aS'type\ttype\tNN\tI-NP\tO' +p61533 +aS'B\tB\tNN\tI-NP\tO' +p61534 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p61535 +aS',\t,\t,\tO\tO' +p61536 +aS'antibody\tantibody\tNN\tB-NP\tO' +p61537 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p61538 +aS',\t,\t,\tO\tO' +p61539 +aS'rubella\trubella\tNN\tB-NP\tO' +p61540 +aS'immune\timmune\tJJ\tB-ADJP\tO' +p61541 +aS',\t,\t,\tO\tO' +p61542 +aS'RPR\tRPR\tNN\tB-NP\tB-protein' +p61543 +aS'nonreactive\tnonreactive\tJJ\tB-ADJP\tO' +p61544 +aS',\t,\t,\tO\tO' +p61545 +aS'hepatitis\thepatitis\tNN\tB-NP\tB-protein' +p61546 +aS'surface\tsurface\tNN\tI-NP\tI-protein' +p61547 +aS'antigen\tantigen\tNN\tI-NP\tI-protein' +p61548 +aS'negative\tnegative\tJJ\tI-NP\tO' +p61549 +aS'and\tand\tCC\tI-NP\tO' +p61550 +aS'group\tgroup\tNN\tI-NP\tO' +p61551 +aS'B\tB\tNN\tI-NP\tO' +p61552 +aS'strep\tstrep\tNN\tI-NP\tO' +p61553 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p61554 +aS'.\t.\t.\tO\tO' +p61555 +asS'1 ) Cerebrovascular accident in 1995 in the pontine region secondary to hypertension .' +p61556 +(lp61557 +S'1\t1\tLS\tB-LST\tO' +p61558 +aS')\t)\t)\tO\tO' +p61559 +aS'Cerebrovascular\tCerebrovascular\tJJ\tB-NP\tO' +p61560 +aS'accident\taccident\tNN\tI-NP\tO' +p61561 +aS'in\tin\tIN\tB-PP\tO' +p61562 +aS'1995\t1995\tCD\tB-NP\tO' +p61563 +aS'in\tin\tIN\tB-PP\tO' +p61564 +aS'the\tthe\tDT\tB-NP\tO' +p61565 +aS'pontine\tpontine\tJJ\tI-NP\tO' +p61566 +aS'region\tregion\tNN\tI-NP\tO' +p61567 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p61568 +aS'to\tto\tTO\tB-PP\tO' +p61569 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p61570 +aS'.\t.\t.\tO\tO' +p61571 +asS'The patient presented to Sondi Memorial on 4-10-98 with fatigue and fall , found to have a hematocrit of 29 , baseline 37 .' +p61572 +(lp61573 +S'The\tThe\tDT\tB-NP\tO' +p61574 +aS'patient\tpatient\tNN\tI-NP\tO' +p61575 +aS'presented\tpresent\tVBN\tB-VP\tO' +p61576 +aS'to\tto\tTO\tB-PP\tO' +p61577 +aS'Sondi\tSondi\tNNP\tB-NP\tO' +p61578 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p61579 +aS'on\ton\tIN\tB-PP\tO' +p61580 +aS'4-10-98\t4-10-98\tNN\tB-NP\tO' +p61581 +aS'with\twith\tIN\tB-PP\tO' +p61582 +aS'fatigue\tfatigue\tNN\tB-NP\tO' +p61583 +aS'and\tand\tCC\tI-NP\tO' +p61584 +aS'fall\tfall\tNN\tI-NP\tO' +p61585 +aS',\t,\t,\tO\tO' +p61586 +aS'found\tfind\tVBN\tB-VP\tO' +p61587 +aS'to\tto\tTO\tI-VP\tO' +p61588 +aS'have\thave\tVB\tI-VP\tO' +p61589 +aS'a\ta\tDT\tB-NP\tO' +p61590 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p61591 +aS'of\tof\tIN\tB-PP\tO' +p61592 +aS'29\t29\tCD\tB-NP\tO' +p61593 +aS',\t,\t,\tO\tO' +p61594 +aS'baseline\tbaseline\tNN\tB-NP\tO' +p61595 +aS'37\t37\tCD\tI-NP\tO' +p61596 +aS'.\t.\t.\tO\tO' +p61597 +asS'Mr. Stain was transferred from the Oreiewlefell Merkane I Penaltbridgesgreat University Medical Center for progressive respiratory failure and adult respiratory distress syndrome superimposed on a history of chronic obstructive pulmonary disease , perhaps asthma , and ulcerative colitis .' +p61598 +(lp61599 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p61600 +aS'Stain\tStain\tNNP\tI-NP\tO' +p61601 +aS'was\tbe\tVBD\tB-VP\tO' +p61602 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p61603 +aS'from\tfrom\tIN\tB-PP\tO' +p61604 +aS'the\tthe\tDT\tB-NP\tO' +p61605 +aS'Oreiewlefell\tOreiewlefell\tNNP\tI-NP\tO' +p61606 +aS'Merkane\tMerkane\tNNP\tI-NP\tO' +p61607 +aS'I\tI\tNNP\tI-NP\tO' +p61608 +aS'Penaltbridgesgreat\tPenaltbridgesgreat\tNNP\tI-NP\tO' +p61609 +aS'University\tUniversity\tNNP\tI-NP\tO' +p61610 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p61611 +aS'Center\tCenter\tNNP\tI-NP\tO' +p61612 +aS'for\tfor\tIN\tB-PP\tO' +p61613 +aS'progressive\tprogressive\tJJ\tB-NP\tO' +p61614 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p61615 +aS'failure\tfailure\tNN\tI-NP\tO' +p61616 +aS'and\tand\tCC\tO\tO' +p61617 +aS'adult\tadult\tJJ\tB-NP\tO' +p61618 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p61619 +aS'distress\tdistress\tNN\tI-NP\tO' +p61620 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p61621 +aS'superimposed\tsuperimpose\tVBN\tB-VP\tO' +p61622 +aS'on\ton\tIN\tB-PP\tO' +p61623 +aS'a\ta\tDT\tB-NP\tO' +p61624 +aS'history\thistory\tNN\tI-NP\tO' +p61625 +aS'of\tof\tIN\tB-PP\tO' +p61626 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p61627 +aS'obstructive\tobstructive\tJJ\tI-NP\tO' +p61628 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p61629 +aS'disease\tdisease\tNN\tI-NP\tO' +p61630 +aS',\t,\t,\tO\tO' +p61631 +aS'perhaps\tperhaps\tRB\tB-NP\tO' +p61632 +aS'asthma\tasthma\tNN\tI-NP\tO' +p61633 +aS',\t,\t,\tO\tO' +p61634 +aS'and\tand\tCC\tO\tO' +p61635 +aS'ulcerative\tulcerative\tJJ\tB-NP\tO' +p61636 +aS'colitis\tcolitis\tNN\tI-NP\tO' +p61637 +aS'.\t.\t.\tO\tO' +p61638 +asS'Pediatric Nephrology recommended on 9/7/93 , 5:50 p.m. , 10 cc 's per kilo of 150 mEq of sodium bicarbonate per liter , ( 1.5 mEq per kilo bicarbonate , one dose of Lasix and volume as needed ) .' +p61639 +(lp61640 +S'Pediatric\tPediatric\tNNP\tB-NP\tO' +p61641 +aS'Nephrology\tNephrology\tNNP\tI-NP\tO' +p61642 +aS'recommended\trecommend\tVBD\tB-VP\tO' +p61643 +aS'on\ton\tIN\tB-PP\tO' +p61644 +aS'9/7/93\t9/7/93\tCD\tB-NP\tO' +p61645 +aS',\t,\t,\tO\tO' +p61646 +aS'5:50\t5:50\tCD\tB-NP\tO' +p61647 +aS'p.m.\tp.m.\tRB\tB-ADVP\tO' +p61648 +aS',\t,\t,\tO\tO' +p61649 +aS'10\t10\tCD\tB-NP\tO' +p61650 +aS'cc\tcc\tNN\tI-NP\tO' +p61651 +aS''s\t'\tNNS\tI-NP\tO' +p61652 +aS'per\tper\tIN\tB-PP\tO' +p61653 +aS'kilo\tkilo\tNN\tB-NP\tO' +p61654 +aS'of\tof\tIN\tB-PP\tO' +p61655 +aS'150\t150\tCD\tB-NP\tO' +p61656 +aS'mEq\tmEq\tNN\tI-NP\tO' +p61657 +aS'of\tof\tIN\tB-PP\tO' +p61658 +aS'sodium\tsodium\tNN\tB-NP\tO' +p61659 +aS'bicarbonate\tbicarbonate\tNN\tI-NP\tO' +p61660 +aS'per\tper\tIN\tB-PP\tO' +p61661 +aS'liter\tliter\tNN\tB-NP\tO' +p61662 +aS',\t,\t,\tO\tO' +p61663 +aS'(\t(\t(\tO\tO' +p61664 +aS'1.5\t1.5\tCD\tB-NP\tO' +p61665 +aS'mEq\tmEq\tNN\tI-NP\tO' +p61666 +aS'per\tper\tIN\tB-PP\tO' +p61667 +aS'kilo\tkilo\tNN\tB-NP\tO' +p61668 +aS'bicarbonate\tbicarbonate\tNN\tI-NP\tO' +p61669 +aS',\t,\t,\tO\tO' +p61670 +aS'one\tone\tCD\tB-NP\tO' +p61671 +aS'dose\tdose\tNN\tI-NP\tO' +p61672 +aS'of\tof\tIN\tB-PP\tO' +p61673 +aS'Lasix\tLasix\tNN\tB-NP\tO' +p61674 +aS'and\tand\tCC\tI-NP\tO' +p61675 +aS'volume\tvolume\tNN\tI-NP\tO' +p61676 +aS'as\tas\tIN\tB-SBAR\tO' +p61677 +aS'needed\tneed\tVBN\tB-VP\tO' +p61678 +aS')\t)\t)\tO\tO' +p61679 +aS'.\t.\t.\tO\tO' +p61680 +asS'clear to auscultation and percussion bilaterally .' +p61681 +(lp61682 +S'clear\tclear\tJJ\tB-ADJP\tO' +p61683 +aS'to\tto\tTO\tB-PP\tO' +p61684 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p61685 +aS'and\tand\tCC\tI-NP\tO' +p61686 +aS'percussion\tpercussion\tNN\tI-NP\tO' +p61687 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p61688 +aS'.\t.\t.\tO\tO' +p61689 +asS'Coumadin was initially held .' +p61690 +(lp61691 +S'Coumadin\tCoumadin\tNN\tB-NP\tO' +p61692 +aS'was\tbe\tVBD\tB-VP\tO' +p61693 +aS'initially\tinitially\tRB\tI-VP\tO' +p61694 +aS'held\thold\tVBN\tI-VP\tO' +p61695 +aS'.\t.\t.\tO\tO' +p61696 +asS'2. Protonix 40 mg po q day .' +p61697 +(lp61698 +S'2.\t2.\tLS\tB-NP\tO' +p61699 +aS'Protonix\tProtonix\tNNP\tI-NP\tO' +p61700 +aS'40\t40\tCD\tI-NP\tO' +p61701 +aS'mg\tmg\tNN\tI-NP\tO' +p61702 +aS'po\tpo\tNN\tI-NP\tO' +p61703 +aS'q\tq\tNN\tI-NP\tO' +p61704 +aS'day\tday\tNN\tI-NP\tO' +p61705 +aS'.\t.\t.\tO\tO' +p61706 +asS'On no medications at this time .' +p61707 +(lp61708 +S'On\tOn\tIN\tB-PP\tO' +p61709 +aS'no\tno\tDT\tB-NP\tO' +p61710 +aS'medications\tmedication\tNNS\tI-NP\tO' +p61711 +aS'at\tat\tIN\tB-PP\tO' +p61712 +aS'this\tthis\tDT\tB-NP\tO' +p61713 +aS'time\ttime\tNN\tI-NP\tO' +p61714 +aS'.\t.\t.\tO\tO' +p61715 +asS'Pt is now s/p drainage of right pleural effusion , diagnostic and therapeutic , with studies consistent with transudate , etiology most likely 02-15 CHF .' +p61716 +(lp61717 +S'Pt\tPt\tNN\tB-NP\tO' +p61718 +aS'is\tbe\tVBZ\tB-VP\tO' +p61719 +aS'now\tnow\tRB\tI-VP\tO' +p61720 +aS's/p\ts/p\tVB\tI-VP\tO' +p61721 +aS'drainage\tdrainage\tNN\tB-NP\tO' +p61722 +aS'of\tof\tIN\tB-PP\tO' +p61723 +aS'right\tright\tJJ\tB-NP\tO' +p61724 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p61725 +aS'effusion\teffusion\tNN\tI-NP\tO' +p61726 +aS',\t,\t,\tO\tO' +p61727 +aS'diagnostic\tdiagnostic\tJJ\tB-ADJP\tO' +p61728 +aS'and\tand\tCC\tI-ADJP\tO' +p61729 +aS'therapeutic\ttherapeutic\tJJ\tI-ADJP\tO' +p61730 +aS',\t,\t,\tO\tO' +p61731 +aS'with\twith\tIN\tB-PP\tO' +p61732 +aS'studies\tstudy\tNNS\tB-NP\tO' +p61733 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p61734 +aS'with\twith\tIN\tB-PP\tO' +p61735 +aS'transudate\ttransudate\tNN\tB-NP\tO' +p61736 +aS',\t,\t,\tO\tO' +p61737 +aS'etiology\tetiology\tNN\tB-NP\tO' +p61738 +aS'most\tmost\tRBS\tB-ADVP\tO' +p61739 +aS'likely\tlikely\tRB\tI-ADVP\tO' +p61740 +aS'02-15\t02-15\tCD\tB-NP\tO' +p61741 +aS'CHF\tCHF\tNN\tI-NP\tO' +p61742 +aS'.\t.\t.\tO\tO' +p61743 +asS'Extubated early the next morning and chest tubes removed .' +p61744 +(lp61745 +S'Extubated\tExtubate\tVBD\tB-VP\tO' +p61746 +aS'early\tearly\tRB\tB-NP\tO' +p61747 +aS'the\tthe\tDT\tI-NP\tO' +p61748 +aS'next\tnext\tJJ\tI-NP\tO' +p61749 +aS'morning\tmorning\tNN\tI-NP\tO' +p61750 +aS'and\tand\tCC\tI-NP\tO' +p61751 +aS'chest\tchest\tNN\tI-NP\tO' +p61752 +aS'tubes\ttube\tNNS\tI-NP\tO' +p61753 +aS'removed\tremove\tVBN\tB-VP\tO' +p61754 +aS'.\t.\t.\tO\tO' +p61755 +asS'Liver function tests were significant for an ALT 41 , AST 31 , alk phos 76 , T. bili 0.7 , D. bili 0.2 , amylase 345 , lipase 2510 , T. protein 8.1 , albumin 4.9 , globulin 3.2 , Ca 9.9 .' +p61756 +(lp61757 +S'Liver\tLiver\tNN\tB-NP\tO' +p61758 +aS'function\tfunction\tNN\tI-NP\tO' +p61759 +aS'tests\ttest\tNNS\tI-NP\tO' +p61760 +aS'were\tbe\tVBD\tB-VP\tO' +p61761 +aS'significant\tsignificant\tJJ\tB-ADJP\tO' +p61762 +aS'for\tfor\tIN\tB-PP\tO' +p61763 +aS'an\tan\tDT\tB-NP\tO' +p61764 +aS'ALT\tALT\tNN\tI-NP\tB-DNA' +p61765 +aS'41\t41\tCD\tI-NP\tI-DNA' +p61766 +aS',\t,\t,\tO\tO' +p61767 +aS'AST\tAST\tNN\tB-NP\tO' +p61768 +aS'31\t31\tCD\tI-NP\tO' +p61769 +aS',\t,\t,\tO\tO' +p61770 +aS'alk\talk\tNN\tB-NP\tO' +p61771 +aS'phos\tpho\tNNS\tI-NP\tO' +p61772 +aS'76\t76\tCD\tB-NP\tO' +p61773 +aS',\t,\t,\tO\tO' +p61774 +aS'T.\tT.\tNNP\tB-NP\tO' +p61775 +aS'bili\tbili\tNNP\tI-NP\tO' +p61776 +aS'0.7\t0.7\tCD\tI-NP\tO' +p61777 +aS',\t,\t,\tO\tO' +p61778 +aS'D.\tD.\tNNP\tB-NP\tO' +p61779 +aS'bili\tbili\tNNP\tI-NP\tO' +p61780 +aS'0.2\t0.2\tCD\tI-NP\tO' +p61781 +aS',\t,\t,\tO\tO' +p61782 +aS'amylase\tamylase\tNN\tB-NP\tO' +p61783 +aS'345\t345\tCD\tI-NP\tO' +p61784 +aS',\t,\t,\tO\tO' +p61785 +aS'lipase\tlipase\tNN\tB-NP\tO' +p61786 +aS'2510\t2510\tCD\tI-NP\tO' +p61787 +aS',\t,\t,\tO\tO' +p61788 +aS'T.\tT.\tNN\tB-NP\tB-protein' +p61789 +aS'protein\tprotein\tNN\tI-NP\tI-protein' +p61790 +aS'8.1\t8.1\tCD\tI-NP\tI-protein' +p61791 +aS',\t,\t,\tO\tO' +p61792 +aS'albumin\talbumin\tNN\tB-NP\tB-protein' +p61793 +aS'4.9\t4.9\tCD\tI-NP\tI-protein' +p61794 +aS',\t,\t,\tO\tO' +p61795 +aS'globulin\tglobulin\tNN\tB-NP\tB-protein' +p61796 +aS'3.2\t3.2\tCD\tI-NP\tI-protein' +p61797 +aS',\t,\t,\tO\tO' +p61798 +aS'Ca\tCa\tNNP\tB-NP\tO' +p61799 +aS'9.9\t9.9\tCD\tI-NP\tO' +p61800 +aS'.\t.\t.\tO\tO' +p61801 +asS'In addition , the patient desired liposuction of varying areas as well .' +p61802 +(lp61803 +S'In\tIn\tIN\tB-PP\tO' +p61804 +aS'addition\taddition\tNN\tB-NP\tO' +p61805 +aS',\t,\t,\tO\tO' +p61806 +aS'the\tthe\tDT\tB-NP\tO' +p61807 +aS'patient\tpatient\tNN\tI-NP\tO' +p61808 +aS'desired\tdesire\tVBD\tB-VP\tO' +p61809 +aS'liposuction\tliposuction\tNN\tB-NP\tO' +p61810 +aS'of\tof\tIN\tB-PP\tO' +p61811 +aS'varying\tvary\tVBG\tB-NP\tO' +p61812 +aS'areas\tarea\tNNS\tI-NP\tO' +p61813 +aS'as\tas\tRB\tB-ADVP\tO' +p61814 +aS'well\twell\tRB\tI-ADVP\tO' +p61815 +aS'.\t.\t.\tO\tO' +p61816 +asS'6. Losartan 50 mg p.o. q. day .' +p61817 +(lp61818 +S'6.\t6.\tCD\tB-NP\tO' +p61819 +aS'Losartan\tLosartan\tNNP\tI-NP\tO' +p61820 +aS'50\t50\tCD\tI-NP\tO' +p61821 +aS'mg\tmg\tNN\tI-NP\tO' +p61822 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p61823 +aS'q.\tq.\tNN\tI-NP\tO' +p61824 +aS'day\tday\tNN\tI-NP\tO' +p61825 +aS'.\t.\t.\tO\tO' +p61826 +asS'The patient was admitted preoperatively for surgery on 7/4/98 .' +p61827 +(lp61828 +S'The\tThe\tDT\tB-NP\tO' +p61829 +aS'patient\tpatient\tNN\tI-NP\tO' +p61830 +aS'was\tbe\tVBD\tB-VP\tO' +p61831 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p61832 +aS'preoperatively\tpreoperatively\tRB\tB-ADVP\tO' +p61833 +aS'for\tfor\tIN\tB-PP\tO' +p61834 +aS'surgery\tsurgery\tNN\tB-NP\tO' +p61835 +aS'on\ton\tIN\tB-PP\tO' +p61836 +aS'7/4/98\t7/4/98\tCD\tB-NP\tO' +p61837 +aS'.\t.\t.\tO\tO' +p61838 +asS'External ears normal .' +p61839 +(lp61840 +S'External\tExternal\tJJ\tB-NP\tO' +p61841 +aS'ears\tear\tNNS\tI-NP\tO' +p61842 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p61843 +aS'.\t.\t.\tO\tO' +p61844 +asS'Increasing tachypnea and tachycardia in Leola , cxr with likely aspiration pna versus chf , intubated .' +p61845 +(lp61846 +S'Increasing\tIncrease\tVBG\tB-VP\tO' +p61847 +aS'tachypnea\ttachypnea\tNN\tB-NP\tO' +p61848 +aS'and\tand\tCC\tI-NP\tO' +p61849 +aS'tachycardia\ttachycardia\tNN\tI-NP\tO' +p61850 +aS'in\tin\tIN\tB-PP\tO' +p61851 +aS'Leola\tLeola\tNNP\tB-NP\tO' +p61852 +aS',\t,\t,\tO\tO' +p61853 +aS'cxr\tcxr\tNN\tB-NP\tB-protein' +p61854 +aS'with\twith\tIN\tB-PP\tO' +p61855 +aS'likely\tlikely\tJJ\tB-NP\tO' +p61856 +aS'aspiration\taspiration\tNN\tI-NP\tO' +p61857 +aS'pna\tpna\tNN\tI-NP\tO' +p61858 +aS'versus\tversus\tIN\tB-PP\tO' +p61859 +aS'chf\tchf\tNN\tB-NP\tO' +p61860 +aS',\t,\t,\tO\tO' +p61861 +aS'intubated\tintubate\tVBN\tB-VP\tO' +p61862 +aS'.\t.\t.\tO\tO' +p61863 +asS'New echo showed pannus involving the valve and ? thrombus .' +p61864 +(lp61865 +S'New\tNew\tJJ\tB-NP\tO' +p61866 +aS'echo\techo\tNN\tI-NP\tO' +p61867 +aS'showed\tshow\tVBD\tB-VP\tO' +p61868 +aS'pannus\tpannus\tNN\tB-NP\tO' +p61869 +aS'involving\tinvolve\tVBG\tB-VP\tO' +p61870 +aS'the\tthe\tDT\tB-NP\tO' +p61871 +aS'valve\tvalve\tNN\tI-NP\tO' +p61872 +aS'and\tand\tCC\tO\tO' +p61873 +aS'?\t?\t.\tO\tO' +p61874 +aS'thrombus\tthrombus\tNN\tB-NP\tO' +p61875 +aS'.\t.\t.\tO\tO' +p61876 +asS'1. Albuterol Sulfate 0.083 % Solution Sig : One ( 1 ) Inhalation Q4H ( every 4 hours ) as needed .' +p61877 +(lp61878 +S'1.\t1.\tLS\tB-LST\tO' +p61879 +aS'Albuterol\tAlbuterol\tNN\tB-NP\tO' +p61880 +aS'Sulfate\tSulfate\tVB\tB-VP\tO' +p61881 +aS'0.083\t0.083\tCD\tB-NP\tO' +p61882 +aS'%\t%\tNN\tI-NP\tO' +p61883 +aS'Solution\tSolution\tNNP\tI-NP\tO' +p61884 +aS'Sig\tSig\tNNP\tI-NP\tO' +p61885 +aS':\t:\t:\tO\tO' +p61886 +aS'One\tOne\tCD\tB-NP\tO' +p61887 +aS'(\t(\t(\tO\tO' +p61888 +aS'1\t1\tCD\tB-NP\tO' +p61889 +aS')\t)\t)\tO\tO' +p61890 +aS'Inhalation\tInhalation\tNN\tB-NP\tO' +p61891 +aS'Q4H\tQ4H\tNN\tI-NP\tO' +p61892 +aS'(\t(\t(\tO\tO' +p61893 +aS'every\tevery\tDT\tB-NP\tO' +p61894 +aS'4\t4\tCD\tI-NP\tO' +p61895 +aS'hours\thour\tNNS\tI-NP\tO' +p61896 +aS')\t)\t)\tO\tO' +p61897 +aS'as\tas\tIN\tB-SBAR\tO' +p61898 +aS'needed\tneed\tVBN\tB-VP\tO' +p61899 +aS'.\t.\t.\tO\tO' +p61900 +asS'This is a 48-year-old G 3 P 3 who presented to Dr. Fuscmadril 's clinic after having an abnormal pap smear followed by an endometrial biopsy that was suggestive of grade 1 endometrial cancer .' +p61901 +(lp61902 +S'This\tThis\tDT\tB-NP\tO' +p61903 +aS'is\tbe\tVBZ\tB-VP\tO' +p61904 +aS'a\ta\tDT\tB-NP\tO' +p61905 +aS'48-year-old\t48-year-old\tJJ\tI-NP\tO' +p61906 +aS'G\tG\tNN\tI-NP\tO' +p61907 +aS'3\t3\tCD\tI-NP\tO' +p61908 +aS'P\tP\tNN\tI-NP\tO' +p61909 +aS'3\t3\tCD\tI-NP\tO' +p61910 +aS'who\twho\tWP\tB-NP\tO' +p61911 +aS'presented\tpresent\tVBD\tB-VP\tO' +p61912 +aS'to\tto\tTO\tB-PP\tO' +p61913 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p61914 +aS'Fuscmadril\tFuscmadril\tNNP\tI-NP\tO' +p61915 +aS''s\t'\tNNS\tI-NP\tO' +p61916 +aS'clinic\tclinic\tNN\tI-NP\tO' +p61917 +aS'after\tafter\tIN\tB-PP\tO' +p61918 +aS'having\thave\tVBG\tB-VP\tO' +p61919 +aS'an\tan\tDT\tB-NP\tO' +p61920 +aS'abnormal\tabnormal\tJJ\tI-NP\tO' +p61921 +aS'pap\tpap\tNN\tI-NP\tO' +p61922 +aS'smear\tsmear\tNN\tI-NP\tO' +p61923 +aS'followed\tfollow\tVBN\tB-VP\tO' +p61924 +aS'by\tby\tIN\tB-PP\tO' +p61925 +aS'an\tan\tDT\tB-NP\tO' +p61926 +aS'endometrial\tendometrial\tJJ\tI-NP\tO' +p61927 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p61928 +aS'that\tthat\tWDT\tB-NP\tO' +p61929 +aS'was\tbe\tVBD\tB-VP\tO' +p61930 +aS'suggestive\tsuggestive\tJJ\tB-ADJP\tO' +p61931 +aS'of\tof\tIN\tB-PP\tO' +p61932 +aS'grade\tgrade\tNN\tB-NP\tO' +p61933 +aS'1\t1\tCD\tI-NP\tO' +p61934 +aS'endometrial\tendometrial\tJJ\tI-NP\tO' +p61935 +aS'cancer\tcancer\tNN\tI-NP\tO' +p61936 +aS'.\t.\t.\tO\tO' +p61937 +asS'His course was complicated by atrial fibrillation requiring cardioversion .' +p61938 +(lp61939 +S'His\tHis\tPRP$\tB-NP\tO' +p61940 +aS'course\tcourse\tNN\tI-NP\tO' +p61941 +aS'was\tbe\tVBD\tB-VP\tO' +p61942 +aS'complicated\tcomplicate\tVBN\tI-VP\tO' +p61943 +aS'by\tby\tIN\tB-PP\tO' +p61944 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p61945 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p61946 +aS'requiring\trequire\tVBG\tB-VP\tO' +p61947 +aS'cardioversion\tcardioversion\tNN\tB-NP\tO' +p61948 +aS'.\t.\t.\tO\tO' +p61949 +asS'Ms. Bridge was admitted from OSH for coronary artery bypass surgery .' +p61950 +(lp61951 +S'Ms.\tMs.\tNNP\tB-NP\tO' +p61952 +aS'Bridge\tBridge\tNNP\tI-NP\tO' +p61953 +aS'was\tbe\tVBD\tB-VP\tO' +p61954 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p61955 +aS'from\tfrom\tIN\tB-PP\tO' +p61956 +aS'OSH\tOSH\tNN\tB-NP\tO' +p61957 +aS'for\tfor\tIN\tB-PP\tO' +p61958 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p61959 +aS'artery\tartery\tNN\tI-NP\tO' +p61960 +aS'bypass\tbypass\tIN\tB-PP\tO' +p61961 +aS'surgery\tsurgery\tNN\tB-NP\tO' +p61962 +aS'.\t.\t.\tO\tO' +p61963 +asS'Noted for nonicteric sclerae and lungs that are clear to auscultation .' +p61964 +(lp61965 +S'Noted\tNote\tVBN\tB-VP\tO' +p61966 +aS'for\tfor\tIN\tB-PP\tO' +p61967 +aS'nonicteric\tnonicteric\tJJ\tB-NP\tO' +p61968 +aS'sclerae\tsclerae\tNNS\tI-NP\tO' +p61969 +aS'and\tand\tCC\tI-NP\tO' +p61970 +aS'lungs\tlung\tNNS\tI-NP\tO' +p61971 +aS'that\tthat\tWDT\tB-NP\tO' +p61972 +aS'are\tbe\tVBP\tB-VP\tO' +p61973 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p61974 +aS'to\tto\tTO\tB-PP\tO' +p61975 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p61976 +aS'.\t.\t.\tO\tO' +p61977 +asS'Sodium of 138 ; potassium 3.5 ; 106 , 28 , 31 , 1.0 , glucose 134 .' +p61978 +(lp61979 +S'Sodium\tSodium\tNN\tB-NP\tO' +p61980 +aS'of\tof\tIN\tB-PP\tO' +p61981 +aS'138\t138\tCD\tB-NP\tO' +p61982 +aS';\t;\t:\tO\tO' +p61983 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p61984 +aS'3.5\t3.5\tCD\tI-NP\tO' +p61985 +aS';\t;\t:\tO\tO' +p61986 +aS'106\t106\tCD\tB-NP\tO' +p61987 +aS',\t,\t,\tI-NP\tO' +p61988 +aS'28\t28\tCD\tI-NP\tO' +p61989 +aS',\t,\t,\tI-NP\tO' +p61990 +aS'31\t31\tCD\tI-NP\tO' +p61991 +aS',\t,\t,\tI-NP\tO' +p61992 +aS'1.0\t1.0\tCD\tI-NP\tO' +p61993 +aS',\t,\t,\tO\tO' +p61994 +aS'glucose\tglucose\tNN\tB-NP\tO' +p61995 +aS'134\t134\tCD\tI-NP\tO' +p61996 +aS'.\t.\t.\tO\tO' +p61997 +asS'There was a plantar grasp present on the left hand .' +p61998 +(lp61999 +S'There\tThere\tEX\tB-NP\tO' +p62000 +aS'was\tbe\tVBD\tB-VP\tO' +p62001 +aS'a\ta\tDT\tB-NP\tO' +p62002 +aS'plantar\tplantar\tNN\tI-NP\tO' +p62003 +aS'grasp\tgrasp\tNN\tI-NP\tO' +p62004 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p62005 +aS'on\ton\tIN\tB-PP\tO' +p62006 +aS'the\tthe\tDT\tB-NP\tO' +p62007 +aS'left\tleft\tJJ\tI-NP\tO' +p62008 +aS'hand\thand\tNN\tI-NP\tO' +p62009 +aS'.\t.\t.\tO\tO' +p62010 +asS'1. Multiple diverticula .' +p62011 +(lp62012 +S'1.\t1.\tLS\tB-NP\tO' +p62013 +aS'Multiple\tMultiple\tJJ\tI-NP\tO' +p62014 +aS'diverticula\tdiverticula\tNN\tI-NP\tO' +p62015 +aS'.\t.\t.\tO\tO' +p62016 +asS'He has a very supportive family with numerous siblings .' +p62017 +(lp62018 +S'He\tHe\tPRP\tB-NP\tO' +p62019 +aS'has\thave\tVBZ\tB-VP\tO' +p62020 +aS'a\ta\tDT\tB-NP\tO' +p62021 +aS'very\tvery\tRB\tI-NP\tO' +p62022 +aS'supportive\tsupportive\tJJ\tI-NP\tO' +p62023 +aS'family\tfamily\tNN\tI-NP\tO' +p62024 +aS'with\twith\tIN\tB-PP\tO' +p62025 +aS'numerous\tnumerous\tJJ\tB-NP\tO' +p62026 +aS'siblings\tsibling\tNNS\tI-NP\tO' +p62027 +aS'.\t.\t.\tO\tO' +p62028 +asS'The patient 's preliminary admitting physician is CHIRD , GRAJORD C and the preliminary diagnosis is PNA .' +p62029 +(lp62030 +S'The\tThe\tDT\tB-NP\tO' +p62031 +aS'patient\tpatient\tNN\tI-NP\tO' +p62032 +aS''s\t'\tNNS\tI-NP\tO' +p62033 +aS'preliminary\tpreliminary\tJJ\tB-NP\tO' +p62034 +aS'admitting\tadmit\tVBG\tI-NP\tO' +p62035 +aS'physician\tphysician\tNN\tI-NP\tO' +p62036 +aS'is\tbe\tVBZ\tB-VP\tO' +p62037 +aS'CHIRD\tCHIRD\tNNP\tB-NP\tO' +p62038 +aS',\t,\t,\tO\tO' +p62039 +aS'GRAJORD\tGRAJORD\tNNP\tB-NP\tB-cell_type' +p62040 +aS'C\tC\tNNP\tI-NP\tI-cell_type' +p62041 +aS'and\tand\tCC\tO\tO' +p62042 +aS'the\tthe\tDT\tB-NP\tO' +p62043 +aS'preliminary\tpreliminary\tJJ\tI-NP\tO' +p62044 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p62045 +aS'is\tbe\tVBZ\tB-VP\tO' +p62046 +aS'PNA\tPNA\tNN\tB-NP\tO' +p62047 +aS'.\t.\t.\tO\tO' +p62048 +asS'He has had chronic anemia since 1990 , but a bone marrow biopsy in 07-92 , was consistent with myelodysplastic syndrome .' +p62049 +(lp62050 +S'He\tHe\tPRP\tB-NP\tO' +p62051 +aS'has\thave\tVBZ\tB-VP\tO' +p62052 +aS'had\thave\tVBN\tI-VP\tO' +p62053 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p62054 +aS'anemia\tanemia\tNN\tI-NP\tO' +p62055 +aS'since\tsince\tIN\tB-PP\tO' +p62056 +aS'1990\t1990\tCD\tB-NP\tO' +p62057 +aS',\t,\t,\tO\tO' +p62058 +aS'but\tbut\tCC\tO\tO' +p62059 +aS'a\ta\tDT\tB-NP\tO' +p62060 +aS'bone\tbone\tNN\tI-NP\tO' +p62061 +aS'marrow\tmarrow\tNN\tI-NP\tO' +p62062 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p62063 +aS'in\tin\tIN\tB-PP\tO' +p62064 +aS'07-92\t07-92\tCD\tB-NP\tO' +p62065 +aS',\t,\t,\tO\tO' +p62066 +aS'was\tbe\tVBD\tB-VP\tO' +p62067 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p62068 +aS'with\twith\tIN\tB-PP\tO' +p62069 +aS'myelodysplastic\tmyelodysplastic\tJJ\tB-NP\tO' +p62070 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p62071 +aS'.\t.\t.\tO\tO' +p62072 +asS'This 75 year old male had been noted to be anemic with an abnormal white blood count since at least November 1993 , while he was living in Aersing Rocuch Sun and his physicians there had begun to manage him with transfusions , and low dose hydroxyurea .' +p62073 +(lp62074 +S'This\tThis\tDT\tB-NP\tO' +p62075 +aS'75\t75\tCD\tI-NP\tO' +p62076 +aS'year\tyear\tNN\tI-NP\tO' +p62077 +aS'old\told\tJJ\tI-NP\tO' +p62078 +aS'male\tmale\tNN\tI-NP\tO' +p62079 +aS'had\thave\tVBD\tB-VP\tO' +p62080 +aS'been\tbe\tVBN\tI-VP\tO' +p62081 +aS'noted\tnote\tVBN\tI-VP\tO' +p62082 +aS'to\tto\tTO\tI-VP\tO' +p62083 +aS'be\tbe\tVB\tI-VP\tO' +p62084 +aS'anemic\tanemic\tJJ\tB-ADJP\tO' +p62085 +aS'with\twith\tIN\tB-PP\tO' +p62086 +aS'an\tan\tDT\tB-NP\tO' +p62087 +aS'abnormal\tabnormal\tJJ\tI-NP\tO' +p62088 +aS'white\twhite\tJJ\tI-NP\tO' +p62089 +aS'blood\tblood\tNN\tI-NP\tO' +p62090 +aS'count\tcount\tNN\tI-NP\tO' +p62091 +aS'since\tsince\tIN\tB-PP\tO' +p62092 +aS'at\tat\tIN\tB-ADVP\tO' +p62093 +aS'least\tleast\tJJS\tI-ADVP\tO' +p62094 +aS'November\tNovember\tNNP\tB-NP\tO' +p62095 +aS'1993\t1993\tCD\tI-NP\tO' +p62096 +aS',\t,\t,\tO\tO' +p62097 +aS'while\twhile\tIN\tB-SBAR\tO' +p62098 +aS'he\the\tPRP\tB-NP\tO' +p62099 +aS'was\tbe\tVBD\tB-VP\tO' +p62100 +aS'living\tlive\tVBG\tI-VP\tO' +p62101 +aS'in\tin\tIN\tB-PP\tO' +p62102 +aS'Aersing\tAersing\tNNP\tB-NP\tO' +p62103 +aS'Rocuch\tRocuch\tNNP\tI-NP\tO' +p62104 +aS'Sun\tSun\tNNP\tI-NP\tO' +p62105 +aS'and\tand\tCC\tO\tO' +p62106 +aS'his\this\tPRP$\tB-NP\tO' +p62107 +aS'physicians\tphysician\tNNS\tI-NP\tO' +p62108 +aS'there\tthere\tEX\tB-NP\tO' +p62109 +aS'had\thave\tVBD\tB-VP\tO' +p62110 +aS'begun\tbegin\tVBN\tI-VP\tO' +p62111 +aS'to\tto\tTO\tI-VP\tO' +p62112 +aS'manage\tmanage\tVB\tI-VP\tO' +p62113 +aS'him\thim\tPRP\tB-NP\tO' +p62114 +aS'with\twith\tIN\tB-PP\tO' +p62115 +aS'transfusions\ttransfusion\tNNS\tB-NP\tO' +p62116 +aS',\t,\t,\tO\tO' +p62117 +aS'and\tand\tCC\tO\tO' +p62118 +aS'low\tlow\tJJ\tB-NP\tO' +p62119 +aS'dose\tdose\tNN\tI-NP\tO' +p62120 +aS'hydroxyurea\thydroxyurea\tNN\tI-NP\tO' +p62121 +aS'.\t.\t.\tO\tO' +p62122 +asS'The head is normocephalic , atraumatic and eyes are icteric .' +p62123 +(lp62124 +S'The\tThe\tDT\tB-NP\tO' +p62125 +aS'head\thead\tNN\tI-NP\tO' +p62126 +aS'is\tbe\tVBZ\tB-VP\tO' +p62127 +aS'normocephalic\tnormocephalic\tJJ\tB-ADJP\tO' +p62128 +aS',\t,\t,\tO\tO' +p62129 +aS'atraumatic\tatraumatic\tJJ\tB-ADJP\tO' +p62130 +aS'and\tand\tCC\tO\tO' +p62131 +aS'eyes\teye\tNNS\tB-NP\tO' +p62132 +aS'are\tbe\tVBP\tB-VP\tO' +p62133 +aS'icteric\ticteric\tJJ\tB-ADJP\tO' +p62134 +aS'.\t.\t.\tO\tO' +p62135 +asS'Throughout admission , there are no neurological concerns at the time of discharge .' +p62136 +(lp62137 +S'Throughout\tThroughout\tIN\tB-PP\tO' +p62138 +aS'admission\tadmission\tNN\tB-NP\tO' +p62139 +aS',\t,\t,\tO\tO' +p62140 +aS'there\tthere\tEX\tB-NP\tO' +p62141 +aS'are\tbe\tVBP\tB-VP\tO' +p62142 +aS'no\tno\tDT\tB-NP\tO' +p62143 +aS'neurological\tneurological\tJJ\tI-NP\tO' +p62144 +aS'concerns\tconcern\tNNS\tI-NP\tO' +p62145 +aS'at\tat\tIN\tB-PP\tO' +p62146 +aS'the\tthe\tDT\tB-NP\tO' +p62147 +aS'time\ttime\tNN\tI-NP\tO' +p62148 +aS'of\tof\tIN\tB-PP\tO' +p62149 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p62150 +aS'.\t.\t.\tO\tO' +p62151 +asS'The patient will be discharged home without his regular cardiac medications .' +p62152 +(lp62153 +S'The\tThe\tDT\tB-NP\tO' +p62154 +aS'patient\tpatient\tNN\tI-NP\tO' +p62155 +aS'will\twill\tMD\tB-VP\tO' +p62156 +aS'be\tbe\tVB\tI-VP\tO' +p62157 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p62158 +aS'home\thome\tNN\tB-ADVP\tO' +p62159 +aS'without\twithout\tIN\tB-PP\tO' +p62160 +aS'his\this\tPRP$\tB-NP\tO' +p62161 +aS'regular\tregular\tJJ\tI-NP\tO' +p62162 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p62163 +aS'medications\tmedication\tNNS\tI-NP\tO' +p62164 +aS'.\t.\t.\tO\tO' +p62165 +asS'On 06-29 , the patient was transferred to the medical service .' +p62166 +(lp62167 +S'On\tOn\tIN\tB-PP\tO' +p62168 +aS'06-29\t06-29\tCD\tB-NP\tO' +p62169 +aS',\t,\t,\tO\tO' +p62170 +aS'the\tthe\tDT\tB-NP\tO' +p62171 +aS'patient\tpatient\tNN\tI-NP\tO' +p62172 +aS'was\tbe\tVBD\tB-VP\tO' +p62173 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p62174 +aS'to\tto\tTO\tB-PP\tO' +p62175 +aS'the\tthe\tDT\tB-NP\tO' +p62176 +aS'medical\tmedical\tJJ\tI-NP\tO' +p62177 +aS'service\tservice\tNN\tI-NP\tO' +p62178 +aS'.\t.\t.\tO\tO' +p62179 +asS'There was some mild surrounding edema .' +p62180 +(lp62181 +S'There\tThere\tEX\tB-NP\tO' +p62182 +aS'was\tbe\tVBD\tB-VP\tO' +p62183 +aS'some\tsome\tDT\tB-NP\tO' +p62184 +aS'mild\tmild\tJJ\tI-NP\tO' +p62185 +aS'surrounding\tsurround\tVBG\tI-NP\tO' +p62186 +aS'edema\tedema\tNN\tI-NP\tO' +p62187 +aS'.\t.\t.\tO\tO' +p62188 +asS'An echocardiogram was performed on Columbus Day which showed an ejection fraction of 50% , left atrial enlargement , thickening of the aortic wall consistent with atherosclerotic changes , left ventricle size , and systolic function within normal limits .' +p62189 +(lp62190 +S'An\tAn\tDT\tB-NP\tO' +p62191 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p62192 +aS'was\tbe\tVBD\tB-VP\tO' +p62193 +aS'performed\tperform\tVBN\tI-VP\tO' +p62194 +aS'on\ton\tIN\tB-PP\tO' +p62195 +aS'Columbus\tColumbus\tNNP\tB-NP\tO' +p62196 +aS'Day\tDay\tNNP\tI-NP\tO' +p62197 +aS'which\twhich\tWDT\tB-NP\tO' +p62198 +aS'showed\tshow\tVBD\tB-VP\tO' +p62199 +aS'an\tan\tDT\tB-NP\tO' +p62200 +aS'ejection\tejection\tNN\tI-NP\tO' +p62201 +aS'fraction\tfraction\tNN\tI-NP\tO' +p62202 +aS'of\tof\tIN\tB-PP\tO' +p62203 +aS'50%\t50%\tCD\tB-NP\tO' +p62204 +aS',\t,\t,\tO\tO' +p62205 +aS'left\tleave\tVBD\tB-VP\tO' +p62206 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p62207 +aS'enlargement\tenlargement\tNN\tI-NP\tO' +p62208 +aS',\t,\t,\tO\tO' +p62209 +aS'thickening\tthicken\tVBG\tB-VP\tO' +p62210 +aS'of\tof\tIN\tB-PP\tO' +p62211 +aS'the\tthe\tDT\tB-NP\tO' +p62212 +aS'aortic\taortic\tJJ\tI-NP\tO' +p62213 +aS'wall\twall\tNN\tI-NP\tO' +p62214 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p62215 +aS'with\twith\tIN\tB-PP\tO' +p62216 +aS'atherosclerotic\tatherosclerotic\tJJ\tB-NP\tO' +p62217 +aS'changes\tchange\tNNS\tI-NP\tO' +p62218 +aS',\t,\t,\tO\tO' +p62219 +aS'left\tleave\tVBD\tB-VP\tO' +p62220 +aS'ventricle\tventricle\tNN\tB-NP\tO' +p62221 +aS'size\tsize\tNN\tI-NP\tO' +p62222 +aS',\t,\t,\tO\tO' +p62223 +aS'and\tand\tCC\tO\tO' +p62224 +aS'systolic\tsystolic\tJJ\tB-NP\tO' +p62225 +aS'function\tfunction\tNN\tI-NP\tO' +p62226 +aS'within\twithin\tIN\tB-PP\tO' +p62227 +aS'normal\tnormal\tJJ\tB-NP\tO' +p62228 +aS'limits\tlimit\tNNS\tI-NP\tO' +p62229 +aS'.\t.\t.\tO\tO' +p62230 +asS'Dopamine and epinephrine given for cardiovascular support .' +p62231 +(lp62232 +S'Dopamine\tDopamine\tNN\tB-NP\tO' +p62233 +aS'and\tand\tCC\tI-NP\tO' +p62234 +aS'epinephrine\tepinephrine\tNN\tI-NP\tO' +p62235 +aS'given\tgive\tVBN\tB-PP\tO' +p62236 +aS'for\tfor\tIN\tB-PP\tO' +p62237 +aS'cardiovascular\tcardiovascular\tJJ\tB-NP\tO' +p62238 +aS'support\tsupport\tNN\tI-NP\tO' +p62239 +aS'.\t.\t.\tO\tO' +p62240 +asS'He states that he has experienced pain and tightness in his back radiating into both shoulders starting on 2016-09-02 .' +p62241 +(lp62242 +S'He\tHe\tPRP\tB-NP\tO' +p62243 +aS'states\tstate\tVBZ\tB-VP\tO' +p62244 +aS'that\tthat\tIN\tB-SBAR\tO' +p62245 +aS'he\the\tPRP\tB-NP\tO' +p62246 +aS'has\thave\tVBZ\tB-VP\tO' +p62247 +aS'experienced\texperience\tVBN\tI-VP\tO' +p62248 +aS'pain\tpain\tNN\tB-NP\tO' +p62249 +aS'and\tand\tCC\tI-NP\tO' +p62250 +aS'tightness\ttightness\tNN\tI-NP\tO' +p62251 +aS'in\tin\tIN\tB-PP\tO' +p62252 +aS'his\this\tPRP$\tB-NP\tO' +p62253 +aS'back\tback\tNN\tI-NP\tO' +p62254 +aS'radiating\tradiate\tVBG\tB-VP\tO' +p62255 +aS'into\tinto\tIN\tB-PP\tO' +p62256 +aS'both\tboth\tDT\tB-NP\tO' +p62257 +aS'shoulders\tshoulder\tNNS\tI-NP\tO' +p62258 +aS'starting\tstart\tVBG\tB-VP\tO' +p62259 +aS'on\ton\tIN\tB-PP\tO' +p62260 +aS'2016-09-02\t2016-09-02\tCD\tB-NP\tO' +p62261 +aS'.\t.\t.\tO\tO' +p62262 +asS'He was followed by Plastic Surgery for his split thickness skin graft and his bolster was discontinued on postoperative day #5 with good take up of his skin graft .' +p62263 +(lp62264 +S'He\tHe\tPRP\tB-NP\tO' +p62265 +aS'was\tbe\tVBD\tB-VP\tO' +p62266 +aS'followed\tfollow\tVBN\tI-VP\tO' +p62267 +aS'by\tby\tIN\tB-PP\tO' +p62268 +aS'Plastic\tPlastic\tNNP\tB-NP\tO' +p62269 +aS'Surgery\tSurgery\tNNP\tI-NP\tO' +p62270 +aS'for\tfor\tIN\tB-PP\tO' +p62271 +aS'his\this\tPRP$\tB-NP\tO' +p62272 +aS'split\tsplit\tJJ\tI-NP\tO' +p62273 +aS'thickness\tthickness\tNN\tI-NP\tO' +p62274 +aS'skin\tskin\tNN\tI-NP\tO' +p62275 +aS'graft\tgraft\tNN\tI-NP\tO' +p62276 +aS'and\tand\tCC\tO\tO' +p62277 +aS'his\this\tPRP$\tB-NP\tO' +p62278 +aS'bolster\tbolster\tNN\tI-NP\tO' +p62279 +aS'was\tbe\tVBD\tB-VP\tO' +p62280 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p62281 +aS'on\ton\tIN\tB-PP\tO' +p62282 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p62283 +aS'day\tday\tNN\tI-NP\tO' +p62284 +aS'#5\t#5\tCD\tI-NP\tO' +p62285 +aS'with\twith\tIN\tB-PP\tO' +p62286 +aS'good\tgood\tJJ\tB-NP\tO' +p62287 +aS'take\ttake\tNN\tI-NP\tO' +p62288 +aS'up\tup\tRP\tB-PRT\tO' +p62289 +aS'of\tof\tIN\tB-PP\tO' +p62290 +aS'his\this\tPRP$\tB-NP\tO' +p62291 +aS'skin\tskin\tNN\tI-NP\tO' +p62292 +aS'graft\tgraft\tNN\tI-NP\tO' +p62293 +aS'.\t.\t.\tO\tO' +p62294 +asS'He has a 15 to 20 pack-year history .' +p62295 +(lp62296 +S'He\tHe\tPRP\tB-NP\tO' +p62297 +aS'has\thave\tVBZ\tB-VP\tO' +p62298 +aS'a\ta\tDT\tB-NP\tO' +p62299 +aS'15\t15\tCD\tI-NP\tO' +p62300 +aS'to\tto\tTO\tI-NP\tO' +p62301 +aS'20\t20\tCD\tI-NP\tO' +p62302 +aS'pack-year\tpack-year\tJJ\tI-NP\tO' +p62303 +aS'history\thistory\tNN\tI-NP\tO' +p62304 +aS'.\t.\t.\tO\tO' +p62305 +asS'Right parietal wound dehiscence .' +p62306 +(lp62307 +S'Right\tRight\tRB\tB-NP\tO' +p62308 +aS'parietal\tparietal\tJJ\tI-NP\tO' +p62309 +aS'wound\twound\tNN\tI-NP\tO' +p62310 +aS'dehiscence\tdehiscence\tNN\tI-NP\tO' +p62311 +aS'.\t.\t.\tO\tO' +p62312 +asS'4. Sarcoid .' +p62313 +(lp62314 +S'4.\t4.\tLS\tB-NP\tO' +p62315 +aS'Sarcoid\tSarcoid\tNN\tI-NP\tO' +p62316 +aS'.\t.\t.\tO\tO' +p62317 +asS'The rest of her hospital course was unremarkable , with perioperative ampicillin , gentamicin and Flagyl discontinued on postoperative day # 1 .' +p62318 +(lp62319 +S'The\tThe\tDT\tB-NP\tO' +p62320 +aS'rest\trest\tNN\tI-NP\tO' +p62321 +aS'of\tof\tIN\tB-PP\tO' +p62322 +aS'her\ther\tPRP$\tB-NP\tO' +p62323 +aS'hospital\thospital\tNN\tI-NP\tO' +p62324 +aS'course\tcourse\tNN\tI-NP\tO' +p62325 +aS'was\tbe\tVBD\tB-VP\tO' +p62326 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p62327 +aS',\t,\t,\tO\tO' +p62328 +aS'with\twith\tIN\tB-PP\tO' +p62329 +aS'perioperative\tperioperative\tJJ\tB-NP\tB-protein' +p62330 +aS'ampicillin\tampicillin\tNN\tI-NP\tI-protein' +p62331 +aS',\t,\t,\tO\tO' +p62332 +aS'gentamicin\tgentamicin\tNN\tB-NP\tO' +p62333 +aS'and\tand\tCC\tI-NP\tO' +p62334 +aS'Flagyl\tFlagyl\tNN\tI-NP\tO' +p62335 +aS'discontinued\tdiscontinue\tVBN\tB-VP\tO' +p62336 +aS'on\ton\tIN\tB-PP\tO' +p62337 +aS'postoperative\tpostoperative\tJJ\tB-NP\tB-protein' +p62338 +aS'day\tday\tNN\tI-NP\tI-protein' +p62339 +aS'#\t#\t#\tB-NP\tI-protein' +p62340 +aS'1\t1\tCD\tI-NP\tI-protein' +p62341 +aS'.\t.\t.\tO\tO' +p62342 +asS'Rule out sepsis .' +p62343 +(lp62344 +S'Rule\tRule\tNNP\tB-NP\tO' +p62345 +aS'out\tout\tIN\tB-PP\tO' +p62346 +aS'sepsis\tsepsis\tNN\tB-NP\tO' +p62347 +aS'.\t.\t.\tO\tO' +p62348 +asS'There were multiple well healed surgical scars .' +p62349 +(lp62350 +S'There\tThere\tEX\tB-NP\tO' +p62351 +aS'were\tbe\tVBD\tB-VP\tO' +p62352 +aS'multiple\tmultiple\tJJ\tB-ADJP\tO' +p62353 +aS'well\twell\tRB\tB-ADVP\tO' +p62354 +aS'healed\theal\tVBD\tB-VP\tO' +p62355 +aS'surgical\tsurgical\tJJ\tB-NP\tO' +p62356 +aS'scars\tscar\tNNS\tI-NP\tO' +p62357 +aS'.\t.\t.\tO\tO' +p62358 +asS'He has intact distal pulses and 5/5 muscle strength in all major muscle groups .' +p62359 +(lp62360 +S'He\tHe\tPRP\tB-NP\tO' +p62361 +aS'has\thave\tVBZ\tB-VP\tO' +p62362 +aS'intact\tintact\tJJ\tB-NP\tO' +p62363 +aS'distal\tdistal\tJJ\tI-NP\tO' +p62364 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p62365 +aS'and\tand\tCC\tO\tO' +p62366 +aS'5/5\t5/5\tCD\tB-NP\tO' +p62367 +aS'muscle\tmuscle\tNN\tI-NP\tO' +p62368 +aS'strength\tstrength\tNN\tI-NP\tO' +p62369 +aS'in\tin\tIN\tB-PP\tO' +p62370 +aS'all\tall\tDT\tB-NP\tO' +p62371 +aS'major\tmajor\tJJ\tI-NP\tO' +p62372 +aS'muscle\tmuscle\tNN\tI-NP\tO' +p62373 +aS'groups\tgroup\tNNS\tI-NP\tO' +p62374 +aS'.\t.\t.\tO\tO' +p62375 +asS'On postoperative day number four , the patient was transferred from the Intensive Care Unit to the regular part of the hospital where he began working with Physical Therapy and on his first session he was able to ambulate 500 feet and climb one flight of stairs while remaining hemodynamically stable without requiring any oxygen .' +p62376 +(lp62377 +S'On\tOn\tIN\tB-PP\tO' +p62378 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p62379 +aS'day\tday\tNN\tI-NP\tO' +p62380 +aS'number\tnumber\tNN\tI-NP\tO' +p62381 +aS'four\tfour\tCD\tB-NP\tO' +p62382 +aS',\t,\t,\tO\tO' +p62383 +aS'the\tthe\tDT\tB-NP\tO' +p62384 +aS'patient\tpatient\tNN\tI-NP\tO' +p62385 +aS'was\tbe\tVBD\tB-VP\tO' +p62386 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p62387 +aS'from\tfrom\tIN\tB-PP\tO' +p62388 +aS'the\tthe\tDT\tB-NP\tO' +p62389 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p62390 +aS'Care\tCare\tNNP\tI-NP\tO' +p62391 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p62392 +aS'to\tto\tTO\tB-PP\tO' +p62393 +aS'the\tthe\tDT\tB-NP\tO' +p62394 +aS'regular\tregular\tJJ\tI-NP\tO' +p62395 +aS'part\tpart\tNN\tI-NP\tO' +p62396 +aS'of\tof\tIN\tB-PP\tO' +p62397 +aS'the\tthe\tDT\tB-NP\tO' +p62398 +aS'hospital\thospital\tNN\tI-NP\tO' +p62399 +aS'where\twhere\tWRB\tB-ADVP\tO' +p62400 +aS'he\the\tPRP\tB-NP\tO' +p62401 +aS'began\tbegin\tVBD\tB-VP\tO' +p62402 +aS'working\twork\tVBG\tI-VP\tO' +p62403 +aS'with\twith\tIN\tB-PP\tO' +p62404 +aS'Physical\tPhysical\tJJ\tB-NP\tO' +p62405 +aS'Therapy\tTherapy\tNN\tI-NP\tO' +p62406 +aS'and\tand\tCC\tB-PP\tO' +p62407 +aS'on\ton\tIN\tB-PP\tO' +p62408 +aS'his\this\tPRP$\tB-NP\tO' +p62409 +aS'first\tfirst\tJJ\tI-NP\tO' +p62410 +aS'session\tsession\tNN\tI-NP\tO' +p62411 +aS'he\the\tPRP\tB-NP\tO' +p62412 +aS'was\tbe\tVBD\tB-VP\tO' +p62413 +aS'able\table\tJJ\tB-ADJP\tO' +p62414 +aS'to\tto\tTO\tB-VP\tO' +p62415 +aS'ambulate\tambulate\tVB\tI-VP\tO' +p62416 +aS'500\t500\tCD\tB-NP\tO' +p62417 +aS'feet\tfoot\tNNS\tI-NP\tO' +p62418 +aS'and\tand\tCC\tO\tO' +p62419 +aS'climb\tclimb\tNN\tB-NP\tO' +p62420 +aS'one\tone\tCD\tI-NP\tO' +p62421 +aS'flight\tflight\tNN\tI-NP\tO' +p62422 +aS'of\tof\tIN\tB-PP\tO' +p62423 +aS'stairs\tstair\tNNS\tB-NP\tO' +p62424 +aS'while\twhile\tIN\tB-SBAR\tO' +p62425 +aS'remaining\tremain\tVBG\tB-VP\tO' +p62426 +aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' +p62427 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p62428 +aS'without\twithout\tIN\tB-PP\tO' +p62429 +aS'requiring\trequire\tVBG\tB-VP\tO' +p62430 +aS'any\tany\tDT\tB-NP\tO' +p62431 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p62432 +aS'.\t.\t.\tO\tO' +p62433 +asS'Tidal volume is 700 with a rate of 10 , 10 of pressure support , and 10 of PEEP , and 100% FiO2 , satting 100% .' +p62434 +(lp62435 +S'Tidal\tTidal\tJJ\tB-NP\tO' +p62436 +aS'volume\tvolume\tNN\tI-NP\tO' +p62437 +aS'is\tbe\tVBZ\tB-VP\tO' +p62438 +aS'700\t700\tCD\tB-NP\tO' +p62439 +aS'with\twith\tIN\tB-PP\tO' +p62440 +aS'a\ta\tDT\tB-NP\tO' +p62441 +aS'rate\trate\tNN\tI-NP\tO' +p62442 +aS'of\tof\tIN\tB-PP\tO' +p62443 +aS'10\t10\tCD\tB-NP\tO' +p62444 +aS',\t,\t,\tO\tO' +p62445 +aS'10\t10\tCD\tB-NP\tO' +p62446 +aS'of\tof\tIN\tB-PP\tO' +p62447 +aS'pressure\tpressure\tNN\tB-NP\tO' +p62448 +aS'support\tsupport\tNN\tI-NP\tO' +p62449 +aS',\t,\t,\tO\tO' +p62450 +aS'and\tand\tCC\tO\tO' +p62451 +aS'10\t10\tCD\tB-NP\tO' +p62452 +aS'of\tof\tIN\tB-PP\tO' +p62453 +aS'PEEP\tPEEP\tNN\tB-NP\tB-protein' +p62454 +aS',\t,\t,\tO\tO' +p62455 +aS'and\tand\tCC\tO\tO' +p62456 +aS'100%\t100%\tCD\tB-NP\tO' +p62457 +aS'FiO2\tFiO2\tNN\tI-NP\tO' +p62458 +aS',\t,\t,\tO\tO' +p62459 +aS'satting\tsatte\tVBG\tB-VP\tO' +p62460 +aS'100%\t100%\tCD\tB-NP\tO' +p62461 +aS'.\t.\t.\tO\tO' +p62462 +asS'The patient was discharged home that afternoon in stable condition in the afternoon .' +p62463 +(lp62464 +S'The\tThe\tDT\tB-NP\tO' +p62465 +aS'patient\tpatient\tNN\tI-NP\tO' +p62466 +aS'was\tbe\tVBD\tB-VP\tO' +p62467 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p62468 +aS'home\thome\tNN\tB-ADVP\tO' +p62469 +aS'that\tthat\tIN\tB-SBAR\tO' +p62470 +aS'afternoon\tafternoon\tNN\tB-NP\tO' +p62471 +aS'in\tin\tIN\tB-PP\tO' +p62472 +aS'stable\tstable\tJJ\tB-NP\tO' +p62473 +aS'condition\tcondition\tNN\tI-NP\tO' +p62474 +aS'in\tin\tIN\tB-PP\tO' +p62475 +aS'the\tthe\tDT\tB-NP\tO' +p62476 +aS'afternoon\tafternoon\tNN\tI-NP\tO' +p62477 +aS'.\t.\t.\tO\tO' +p62478 +asS'On his current admission , the patient was admitted to Free Medical Center .' +p62479 +(lp62480 +S'On\tOn\tIN\tB-PP\tO' +p62481 +aS'his\this\tPRP$\tB-NP\tO' +p62482 +aS'current\tcurrent\tJJ\tI-NP\tO' +p62483 +aS'admission\tadmission\tNN\tI-NP\tO' +p62484 +aS',\t,\t,\tO\tO' +p62485 +aS'the\tthe\tDT\tB-NP\tO' +p62486 +aS'patient\tpatient\tNN\tI-NP\tO' +p62487 +aS'was\tbe\tVBD\tB-VP\tO' +p62488 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p62489 +aS'to\tto\tTO\tB-PP\tO' +p62490 +aS'Free\tFree\tNNP\tB-NP\tO' +p62491 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p62492 +aS'Center\tCenter\tNNP\tI-NP\tO' +p62493 +aS'.\t.\t.\tO\tO' +p62494 +asS'Newborn state screens have been sent per protocol .' +p62495 +(lp62496 +S'Newborn\tNewborn\tJJ\tB-NP\tO' +p62497 +aS'state\tstate\tNN\tI-NP\tO' +p62498 +aS'screens\tscreen\tNNS\tI-NP\tO' +p62499 +aS'have\thave\tVBP\tB-VP\tO' +p62500 +aS'been\tbe\tVBN\tI-VP\tO' +p62501 +aS'sent\tsend\tVBN\tI-VP\tO' +p62502 +aS'per\tper\tIN\tB-PP\tO' +p62503 +aS'protocol\tprotocol\tNN\tB-NP\tO' +p62504 +aS'.\t.\t.\tO\tO' +p62505 +asS"The patient 's urine output has decreased and his BUN and creatinine remained normal ." +p62506 +(lp62507 +S'The\tThe\tDT\tB-NP\tO' +p62508 +aS'patient\tpatient\tNN\tI-NP\tO' +p62509 +aS"'s\t's\tPOS\tB-NP\tO" +p62510 +aS'urine\turine\tNN\tI-NP\tO' +p62511 +aS'output\toutput\tNN\tI-NP\tO' +p62512 +aS'has\thave\tVBZ\tB-VP\tO' +p62513 +aS'decreased\tdecrease\tVBN\tI-VP\tO' +p62514 +aS'and\tand\tCC\tO\tO' +p62515 +aS'his\this\tPRP$\tB-NP\tO' +p62516 +aS'BUN\tBUN\tNN\tI-NP\tB-protein' +p62517 +aS'and\tand\tCC\tI-NP\tO' +p62518 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p62519 +aS'remained\tremain\tVBD\tB-VP\tO' +p62520 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p62521 +aS'.\t.\t.\tO\tO' +p62522 +asS'It was determined to stop the beta blocker , and atropine was placed at the bedside .' +p62523 +(lp62524 +S'It\tIt\tPRP\tB-NP\tO' +p62525 +aS'was\tbe\tVBD\tB-VP\tO' +p62526 +aS'determined\tdetermine\tVBN\tI-VP\tO' +p62527 +aS'to\tto\tTO\tI-VP\tO' +p62528 +aS'stop\tstop\tVB\tI-VP\tO' +p62529 +aS'the\tthe\tDT\tB-NP\tO' +p62530 +aS'beta\tbeta\tNN\tI-NP\tO' +p62531 +aS'blocker\tblocker\tNN\tI-NP\tO' +p62532 +aS',\t,\t,\tO\tO' +p62533 +aS'and\tand\tCC\tO\tO' +p62534 +aS'atropine\tatropine\tNN\tB-NP\tO' +p62535 +aS'was\tbe\tVBD\tB-VP\tO' +p62536 +aS'placed\tplace\tVBN\tI-VP\tO' +p62537 +aS'at\tat\tIN\tB-PP\tO' +p62538 +aS'the\tthe\tDT\tB-NP\tO' +p62539 +aS'bedside\tbedside\tNN\tI-NP\tO' +p62540 +aS'.\t.\t.\tO\tO' +p62541 +asS'On review of systems , the patient denied any history of transient ischemic attacks .' +p62542 +(lp62543 +S'On\tOn\tIN\tB-PP\tO' +p62544 +aS'review\treview\tNN\tB-NP\tO' +p62545 +aS'of\tof\tIN\tB-PP\tO' +p62546 +aS'systems\tsystem\tNNS\tB-NP\tO' +p62547 +aS',\t,\t,\tO\tO' +p62548 +aS'the\tthe\tDT\tB-NP\tO' +p62549 +aS'patient\tpatient\tNN\tI-NP\tO' +p62550 +aS'denied\tdeny\tVBD\tB-VP\tO' +p62551 +aS'any\tany\tDT\tB-NP\tO' +p62552 +aS'history\thistory\tNN\tI-NP\tO' +p62553 +aS'of\tof\tIN\tB-PP\tO' +p62554 +aS'transient\ttransient\tJJ\tB-NP\tO' +p62555 +aS'ischemic\tischemic\tJJ\tI-NP\tO' +p62556 +aS'attacks\tattack\tNNS\tI-NP\tO' +p62557 +aS'.\t.\t.\tO\tO' +p62558 +asS'The infant has remained on room air throughout his hospitalization with oxygen saturations of greater than 95 percent .' +p62559 +(lp62560 +S'The\tThe\tDT\tB-NP\tO' +p62561 +aS'infant\tinfant\tNN\tI-NP\tO' +p62562 +aS'has\thave\tVBZ\tB-VP\tO' +p62563 +aS'remained\tremain\tVBN\tI-VP\tO' +p62564 +aS'on\ton\tIN\tB-PP\tO' +p62565 +aS'room\troom\tNN\tB-NP\tO' +p62566 +aS'air\tair\tNN\tI-NP\tO' +p62567 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p62568 +aS'his\this\tPRP$\tB-NP\tO' +p62569 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p62570 +aS'with\twith\tIN\tB-PP\tO' +p62571 +aS'oxygen\toxygen\tNN\tB-NP\tO' +p62572 +aS'saturations\tsaturation\tNNS\tI-NP\tO' +p62573 +aS'of\tof\tIN\tB-PP\tO' +p62574 +aS'greater\tgreat\tJJR\tB-NP\tO' +p62575 +aS'than\tthan\tIN\tI-NP\tO' +p62576 +aS'95\t95\tCD\tI-NP\tO' +p62577 +aS'percent\tpercent\tNN\tI-NP\tO' +p62578 +aS'.\t.\t.\tO\tO' +p62579 +asS'Superimposed infectious consolidation is likely .' +p62580 +(lp62581 +S'Superimposed\tSuperimpose\tVBN\tB-NP\tO' +p62582 +aS'infectious\tinfectious\tJJ\tI-NP\tO' +p62583 +aS'consolidation\tconsolidation\tNN\tI-NP\tO' +p62584 +aS'is\tbe\tVBZ\tB-VP\tO' +p62585 +aS'likely\tlikely\tJJ\tB-ADJP\tO' +p62586 +aS'.\t.\t.\tO\tO' +p62587 +asS'21. Calcium Carbonate 500 mg Tablet , Chewable Sig : Three ( 3 ) Tablet , Chewable PO QID ( 4 times a day ) .' +p62588 +(lp62589 +S'21.\t21.\tLS\tB-NP\tO' +p62590 +aS'Calcium\tCalcium\tNN\tI-NP\tO' +p62591 +aS'Carbonate\tCarbonate\tNN\tI-NP\tO' +p62592 +aS'500\t500\tCD\tI-NP\tO' +p62593 +aS'mg\tmg\tNN\tI-NP\tO' +p62594 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p62595 +aS',\t,\t,\tO\tO' +p62596 +aS'Chewable\tChewable\tNNP\tB-NP\tO' +p62597 +aS'Sig\tSig\tNNP\tI-NP\tO' +p62598 +aS':\t:\t:\tO\tO' +p62599 +aS'Three\tThree\tCD\tB-NP\tO' +p62600 +aS'(\t(\t(\tO\tO' +p62601 +aS'3\t3\tCD\tB-NP\tO' +p62602 +aS')\t)\t)\tO\tO' +p62603 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p62604 +aS',\t,\t,\tO\tO' +p62605 +aS'Chewable\tChewable\tJJ\tB-NP\tO' +p62606 +aS'PO\tPO\tNN\tI-NP\tO' +p62607 +aS'QID\tQID\tNN\tI-NP\tO' +p62608 +aS'(\t(\t(\tO\tO' +p62609 +aS'4\t4\tCD\tB-NP\tO' +p62610 +aS'times\ttime\tNNS\tI-NP\tO' +p62611 +aS'a\ta\tDT\tB-NP\tO' +p62612 +aS'day\tday\tNN\tI-NP\tO' +p62613 +aS')\t)\t)\tO\tO' +p62614 +aS'.\t.\t.\tO\tO' +p62615 +asS'Car seat position screening has not yet been done .' +p62616 +(lp62617 +S'Car\tCar\tNN\tB-NP\tB-protein' +p62618 +aS'seat\tseat\tNN\tI-NP\tO' +p62619 +aS'position\tposition\tNN\tI-NP\tO' +p62620 +aS'screening\tscreening\tNN\tI-NP\tO' +p62621 +aS'has\thave\tVBZ\tB-VP\tO' +p62622 +aS'not\tnot\tRB\tI-VP\tO' +p62623 +aS'yet\tyet\tRB\tI-VP\tO' +p62624 +aS'been\tbe\tVBN\tI-VP\tO' +p62625 +aS'done\tdo\tVBN\tI-VP\tO' +p62626 +aS'.\t.\t.\tO\tO' +p62627 +asS'A calcium of 8.4 , phosphate of 2.5 , magnesium of 1.9 .' +p62628 +(lp62629 +S'A\tA\tDT\tB-NP\tO' +p62630 +aS'calcium\tcalcium\tNN\tI-NP\tO' +p62631 +aS'of\tof\tIN\tB-PP\tO' +p62632 +aS'8.4\t8.4\tCD\tB-NP\tO' +p62633 +aS',\t,\t,\tO\tO' +p62634 +aS'phosphate\tphosphate\tNN\tB-NP\tO' +p62635 +aS'of\tof\tIN\tB-PP\tO' +p62636 +aS'2.5\t2.5\tCD\tB-NP\tO' +p62637 +aS',\t,\t,\tO\tO' +p62638 +aS'magnesium\tmagnesium\tNN\tB-NP\tO' +p62639 +aS'of\tof\tIN\tB-PP\tO' +p62640 +aS'1.9\t1.9\tCD\tB-NP\tO' +p62641 +aS'.\t.\t.\tO\tO' +p62642 +asS'Well-appearing female without distress on admission to the Newborn Intensive Care Unit .' +p62643 +(lp62644 +S'Well-appearing\tWell-appearing\tJJ\tB-NP\tO' +p62645 +aS'female\tfemale\tNN\tI-NP\tO' +p62646 +aS'without\twithout\tIN\tB-PP\tO' +p62647 +aS'distress\tdistress\tNN\tB-NP\tO' +p62648 +aS'on\ton\tIN\tB-PP\tO' +p62649 +aS'admission\tadmission\tNN\tB-NP\tO' +p62650 +aS'to\tto\tTO\tB-PP\tO' +p62651 +aS'the\tthe\tDT\tB-NP\tO' +p62652 +aS'Newborn\tNewborn\tNNP\tI-NP\tO' +p62653 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p62654 +aS'Care\tCare\tNNP\tI-NP\tO' +p62655 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p62656 +aS'.\t.\t.\tO\tO' +p62657 +asS'Calcium with 7.2 corrected to less than 8.0, completed calcium carbonate at 500 mg blood pressure.o. t.i.d. while in the hospital .' +p62658 +(lp62659 +S'Calcium\tCalcium\tNN\tB-NP\tO' +p62660 +aS'with\twith\tIN\tB-PP\tO' +p62661 +aS'7.2\t7.2\tCD\tB-NP\tO' +p62662 +aS'corrected\tcorrect\tVBN\tB-VP\tO' +p62663 +aS'to\tto\tTO\tB-PP\tO' +p62664 +aS'less\tless\tJJR\tB-NP\tO' +p62665 +aS'than\tthan\tIN\tI-NP\tO' +p62666 +aS'8.0,\t8.0,\tCD\tI-NP\tO' +p62667 +aS'completed\tcomplete\tVBN\tI-NP\tO' +p62668 +aS'calcium\tcalcium\tNN\tI-NP\tO' +p62669 +aS'carbonate\tcarbonate\tNN\tI-NP\tO' +p62670 +aS'at\tat\tIN\tB-PP\tO' +p62671 +aS'500\t500\tCD\tB-NP\tO' +p62672 +aS'mg\tmg\tNN\tI-NP\tO' +p62673 +aS'blood\tblood\tNN\tI-NP\tO' +p62674 +aS'pressure.o.\tpressure.o.\tNN\tI-NP\tO' +p62675 +aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' +p62676 +aS'while\twhile\tIN\tB-SBAR\tO' +p62677 +aS'in\tin\tIN\tB-PP\tO' +p62678 +aS'the\tthe\tDT\tB-NP\tO' +p62679 +aS'hospital\thospital\tNN\tI-NP\tO' +p62680 +aS'.\t.\t.\tO\tO' +p62681 +asS'No nausea , vomiting , diaphoresis .' +p62682 +(lp62683 +S'No\tNo\tDT\tB-NP\tO' +p62684 +aS'nausea\tnausea\tNN\tI-NP\tO' +p62685 +aS',\t,\t,\tO\tO' +p62686 +aS'vomiting\tvomiting\tNN\tB-NP\tO' +p62687 +aS',\t,\t,\tO\tO' +p62688 +aS'diaphoresis\tdiaphoresis\tNN\tB-NP\tO' +p62689 +aS'.\t.\t.\tO\tO' +p62690 +asS'Attending : Bobby Z.S. Ruiz , M.D.' +p62691 +(lp62692 +S'Attending\tAttend\tVBG\tB-VP\tO' +p62693 +aS':\t:\t:\tO\tO' +p62694 +aS'Bobby\tBobby\tNNP\tB-NP\tO' +p62695 +aS'Z.S.\tZ.S.\tNNP\tI-NP\tO' +p62696 +aS'Ruiz\tRuiz\tNNP\tI-NP\tO' +p62697 +aS',\t,\t,\tO\tO' +p62698 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p62699 +asS'The patient was also noted to have a lot of musculoskeletal component of her pain .' +p62700 +(lp62701 +S'The\tThe\tDT\tB-NP\tO' +p62702 +aS'patient\tpatient\tNN\tI-NP\tO' +p62703 +aS'was\tbe\tVBD\tB-VP\tO' +p62704 +aS'also\talso\tRB\tI-VP\tO' +p62705 +aS'noted\tnote\tVBN\tI-VP\tO' +p62706 +aS'to\tto\tTO\tI-VP\tO' +p62707 +aS'have\thave\tVB\tI-VP\tO' +p62708 +aS'a\ta\tDT\tB-NP\tO' +p62709 +aS'lot\tlot\tNN\tI-NP\tO' +p62710 +aS'of\tof\tIN\tB-PP\tO' +p62711 +aS'musculoskeletal\tmusculoskeletal\tJJ\tB-NP\tO' +p62712 +aS'component\tcomponent\tNN\tI-NP\tO' +p62713 +aS'of\tof\tIN\tB-PP\tO' +p62714 +aS'her\ther\tPRP$\tB-NP\tO' +p62715 +aS'pain\tpain\tNN\tI-NP\tO' +p62716 +aS'.\t.\t.\tO\tO' +p62717 +asS'1) Acute cholangitis : Pt was admitted to the ICU , intubated , and ERCP performed , likely stone obstructing CBD .' +p62718 +(lp62719 +S'1)\t1)\tLS\tB-NP\tO' +p62720 +aS'Acute\tAcute\tJJ\tI-NP\tO' +p62721 +aS'cholangitis\tcholangitis\tNN\tI-NP\tO' +p62722 +aS':\t:\t:\tO\tO' +p62723 +aS'Pt\tPt\tNN\tB-NP\tO' +p62724 +aS'was\tbe\tVBD\tB-VP\tO' +p62725 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p62726 +aS'to\tto\tTO\tB-PP\tO' +p62727 +aS'the\tthe\tDT\tB-NP\tO' +p62728 +aS'ICU\tICU\tNN\tI-NP\tB-DNA' +p62729 +aS',\t,\t,\tO\tO' +p62730 +aS'intubated\tintubate\tVBN\tB-VP\tO' +p62731 +aS',\t,\t,\tO\tO' +p62732 +aS'and\tand\tCC\tO\tO' +p62733 +aS'ERCP\tERCP\tNN\tB-NP\tB-protein' +p62734 +aS'performed\tperform\tVBN\tB-VP\tO' +p62735 +aS',\t,\t,\tO\tO' +p62736 +aS'likely\tlikely\tRB\tB-NP\tO' +p62737 +aS'stone\tstone\tNN\tI-NP\tO' +p62738 +aS'obstructing\tobstruct\tVBG\tB-VP\tO' +p62739 +aS'CBD\tCBD\tNN\tB-NP\tB-protein' +p62740 +aS'.\t.\t.\tO\tO' +p62741 +asS'No sacral anomalies .' +p62742 +(lp62743 +S'No\tNo\tDT\tB-NP\tO' +p62744 +aS'sacral\tsacral\tJJ\tI-NP\tO' +p62745 +aS'anomalies\tanomaly\tNNS\tI-NP\tO' +p62746 +aS'.\t.\t.\tO\tO' +p62747 +asS'He has a chronic cough with clear sputum .' +p62748 +(lp62749 +S'He\tHe\tPRP\tB-NP\tO' +p62750 +aS'has\thave\tVBZ\tB-VP\tO' +p62751 +aS'a\ta\tDT\tB-NP\tO' +p62752 +aS'chronic\tchronic\tJJ\tI-NP\tO' +p62753 +aS'cough\tcough\tNN\tI-NP\tO' +p62754 +aS'with\twith\tIN\tB-PP\tO' +p62755 +aS'clear\tclear\tJJ\tB-NP\tO' +p62756 +aS'sputum\tsputum\tNN\tI-NP\tO' +p62757 +aS'.\t.\t.\tO\tO' +p62758 +asS'The endoscopic retrograde cholangiopancreatography also showed the presence proximal common bile duct .' +p62759 +(lp62760 +S'The\tThe\tDT\tB-NP\tO' +p62761 +aS'endoscopic\tendoscopic\tJJ\tI-NP\tO' +p62762 +aS'retrograde\tretrograde\tJJ\tI-NP\tO' +p62763 +aS'cholangiopancreatography\tcholangiopancreatography\tNN\tI-NP\tO' +p62764 +aS'also\talso\tRB\tB-ADVP\tO' +p62765 +aS'showed\tshow\tVBD\tB-VP\tO' +p62766 +aS'the\tthe\tDT\tB-NP\tO' +p62767 +aS'presence\tpresence\tNN\tI-NP\tO' +p62768 +aS'proximal\tproximal\tJJ\tI-NP\tO' +p62769 +aS'common\tcommon\tJJ\tI-NP\tO' +p62770 +aS'bile\tbile\tNN\tI-NP\tO' +p62771 +aS'duct\tduct\tNN\tI-NP\tO' +p62772 +aS'.\t.\t.\tO\tO' +p62773 +asS'She has a son who is mentally handicapped .' +p62774 +(lp62775 +S'She\tShe\tPRP\tB-NP\tO' +p62776 +aS'has\thave\tVBZ\tB-VP\tO' +p62777 +aS'a\ta\tDT\tB-NP\tO' +p62778 +aS'son\tson\tNN\tI-NP\tO' +p62779 +aS'who\twho\tWP\tB-NP\tO' +p62780 +aS'is\tbe\tVBZ\tB-VP\tO' +p62781 +aS'mentally\tmentally\tRB\tI-VP\tO' +p62782 +aS'handicapped\thandicap\tVBN\tI-VP\tO' +p62783 +aS'.\t.\t.\tO\tO' +p62784 +asS'4. Asthma .' +p62785 +(lp62786 +S'4.\t4.\tLS\tB-NP\tO' +p62787 +aS'Asthma\tAsthma\tNN\tI-NP\tO' +p62788 +aS'.\t.\t.\tO\tO' +p62789 +asS'She went on to experience paroxysmal atrial fibrillation which was initially treated with intravenous Amiodarone .' +p62790 +(lp62791 +S'She\tShe\tPRP\tB-NP\tO' +p62792 +aS'went\tgo\tVBD\tB-VP\tO' +p62793 +aS'on\ton\tRP\tB-PRT\tO' +p62794 +aS'to\tto\tTO\tB-VP\tO' +p62795 +aS'experience\texperience\tVB\tI-VP\tO' +p62796 +aS'paroxysmal\tparoxysmal\tJJ\tB-NP\tO' +p62797 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p62798 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p62799 +aS'which\twhich\tWDT\tB-NP\tO' +p62800 +aS'was\tbe\tVBD\tB-VP\tO' +p62801 +aS'initially\tinitially\tRB\tI-VP\tO' +p62802 +aS'treated\ttreat\tVBN\tI-VP\tO' +p62803 +aS'with\twith\tIN\tB-PP\tO' +p62804 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p62805 +aS'Amiodarone\tAmiodarone\tNN\tI-NP\tO' +p62806 +aS'.\t.\t.\tO\tO' +p62807 +asS'The patient lives with mother and father .' +p62808 +(lp62809 +S'The\tThe\tDT\tB-NP\tO' +p62810 +aS'patient\tpatient\tNN\tI-NP\tO' +p62811 +aS'lives\tlive\tVBZ\tB-VP\tO' +p62812 +aS'with\twith\tIN\tB-PP\tO' +p62813 +aS'mother\tmother\tNN\tB-NP\tO' +p62814 +aS'and\tand\tCC\tI-NP\tO' +p62815 +aS'father\tfather\tNN\tI-NP\tO' +p62816 +aS'.\t.\t.\tO\tO' +p62817 +asS'It has been evaluated in the past without success .' +p62818 +(lp62819 +S'It\tIt\tPRP\tB-NP\tO' +p62820 +aS'has\thave\tVBZ\tB-VP\tO' +p62821 +aS'been\tbe\tVBN\tI-VP\tO' +p62822 +aS'evaluated\tevaluate\tVBN\tI-VP\tO' +p62823 +aS'in\tin\tIN\tB-PP\tO' +p62824 +aS'the\tthe\tDT\tB-NP\tO' +p62825 +aS'past\tpast\tNN\tI-NP\tO' +p62826 +aS'without\twithout\tIN\tB-PP\tO' +p62827 +aS'success\tsuccess\tNN\tB-NP\tO' +p62828 +aS'.\t.\t.\tO\tO' +p62829 +asS'She had peripheral edema with 2+ peripheral pulses bilaterally .' +p62830 +(lp62831 +S'She\tShe\tPRP\tB-NP\tO' +p62832 +aS'had\thave\tVBD\tB-VP\tO' +p62833 +aS'peripheral\tperipheral\tJJ\tB-NP\tO' +p62834 +aS'edema\tedema\tNN\tI-NP\tO' +p62835 +aS'with\twith\tIN\tB-PP\tO' +p62836 +aS'2+\t2+\tJJ\tB-NP\tO' +p62837 +aS'peripheral\tperipheral\tJJ\tI-NP\tO' +p62838 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p62839 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p62840 +aS'.\t.\t.\tO\tO' +p62841 +asS'The patient was taking 470 cc of liquid p.o. and is now in stable condition and ready for transfer to El Hospital to continue his recovery .' +p62842 +(lp62843 +S'The\tThe\tDT\tB-NP\tO' +p62844 +aS'patient\tpatient\tNN\tI-NP\tO' +p62845 +aS'was\tbe\tVBD\tB-VP\tO' +p62846 +aS'taking\ttake\tVBG\tI-VP\tO' +p62847 +aS'470\t470\tCD\tB-NP\tO' +p62848 +aS'cc\tcc\tNN\tI-NP\tO' +p62849 +aS'of\tof\tIN\tB-PP\tO' +p62850 +aS'liquid\tliquid\tJJ\tB-NP\tO' +p62851 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p62852 +aS'and\tand\tCC\tO\tO' +p62853 +aS'is\tbe\tVBZ\tB-VP\tO' +p62854 +aS'now\tnow\tRB\tB-ADVP\tO' +p62855 +aS'in\tin\tIN\tB-PP\tO' +p62856 +aS'stable\tstable\tJJ\tB-NP\tO' +p62857 +aS'condition\tcondition\tNN\tI-NP\tO' +p62858 +aS'and\tand\tCC\tO\tO' +p62859 +aS'ready\tready\tJJ\tB-ADJP\tO' +p62860 +aS'for\tfor\tIN\tB-PP\tO' +p62861 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p62862 +aS'to\tto\tTO\tB-PP\tO' +p62863 +aS'El\tEl\tNNP\tB-NP\tO' +p62864 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p62865 +aS'to\tto\tTO\tB-VP\tO' +p62866 +aS'continue\tcontinue\tVB\tI-VP\tO' +p62867 +aS'his\this\tPRP$\tB-NP\tO' +p62868 +aS'recovery\trecovery\tNN\tI-NP\tO' +p62869 +aS'.\t.\t.\tO\tO' +p62870 +asS'Positive shortness of breath .' +p62871 +(lp62872 +S'Positive\tPositive\tJJ\tB-NP\tO' +p62873 +aS'shortness\tshortness\tNN\tI-NP\tO' +p62874 +aS'of\tof\tIN\tB-PP\tO' +p62875 +aS'breath\tbreath\tNN\tB-NP\tO' +p62876 +aS'.\t.\t.\tO\tO' +p62877 +asS'Fluid amnioswab and fern positive .' +p62878 +(lp62879 +S'Fluid\tFluid\tNN\tB-NP\tB-protein' +p62880 +aS'amnioswab\tamnioswab\tNN\tI-NP\tI-protein' +p62881 +aS'and\tand\tCC\tO\tO' +p62882 +aS'fern\tfern\tNN\tB-NP\tO' +p62883 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p62884 +aS'.\t.\t.\tO\tO' +p62885 +asS'A CT neck showed soft tissue swelling obliterating the airway surrounding the ETT tube .' +p62886 +(lp62887 +S'A\tA\tDT\tB-NP\tO' +p62888 +aS'CT\tCT\tNN\tI-NP\tO' +p62889 +aS'neck\tneck\tNN\tI-NP\tO' +p62890 +aS'showed\tshow\tVBD\tB-VP\tO' +p62891 +aS'soft\tsoft\tJJ\tB-NP\tO' +p62892 +aS'tissue\ttissue\tNN\tI-NP\tO' +p62893 +aS'swelling\tswell\tVBG\tB-VP\tO' +p62894 +aS'obliterating\tobliterate\tVBG\tB-VP\tO' +p62895 +aS'the\tthe\tDT\tB-NP\tO' +p62896 +aS'airway\tairway\tNN\tI-NP\tO' +p62897 +aS'surrounding\tsurround\tVBG\tB-VP\tO' +p62898 +aS'the\tthe\tDT\tB-NP\tO' +p62899 +aS'ETT\tETT\tNN\tI-NP\tB-DNA' +p62900 +aS'tube\ttube\tNN\tI-NP\tI-DNA' +p62901 +aS'.\t.\t.\tO\tO' +p62902 +asS'No lymphadenopathy or thyromegaly .' +p62903 +(lp62904 +S'No\tNo\tDT\tB-NP\tO' +p62905 +aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' +p62906 +aS'or\tor\tCC\tO\tO' +p62907 +aS'thyromegaly\tthyromegaly\tRB\tB-ADVP\tO' +p62908 +aS'.\t.\t.\tO\tO' +p62909 +asS'Clinical decisions regarding the need for prophylaxis should be based on clinical and echocardiographic data .' +p62910 +(lp62911 +S'Clinical\tClinical\tJJ\tB-NP\tO' +p62912 +aS'decisions\tdecision\tNNS\tI-NP\tO' +p62913 +aS'regarding\tregard\tVBG\tB-VP\tO' +p62914 +aS'the\tthe\tDT\tB-NP\tO' +p62915 +aS'need\tneed\tNN\tI-NP\tO' +p62916 +aS'for\tfor\tIN\tB-PP\tO' +p62917 +aS'prophylaxis\tprophylaxis\tNN\tB-NP\tO' +p62918 +aS'should\tshould\tMD\tB-VP\tO' +p62919 +aS'be\tbe\tVB\tI-VP\tO' +p62920 +aS'based\tbase\tVBN\tI-VP\tO' +p62921 +aS'on\ton\tIN\tB-PP\tO' +p62922 +aS'clinical\tclinical\tJJ\tB-NP\tO' +p62923 +aS'and\tand\tCC\tI-NP\tO' +p62924 +aS'echocardiographic\techocardiographic\tJJ\tI-NP\tO' +p62925 +aS'data\tdatum\tNNS\tI-NP\tO' +p62926 +aS'.\t.\t.\tO\tO' +p62927 +asS'He denied chest pain , shortness of breath , palpitations , abdominal pain , N/V , penile discharge .' +p62928 +(lp62929 +S'He\tHe\tPRP\tB-NP\tO' +p62930 +aS'denied\tdeny\tVBD\tB-VP\tO' +p62931 +aS'chest\tchest\tNN\tB-NP\tO' +p62932 +aS'pain\tpain\tNN\tI-NP\tO' +p62933 +aS',\t,\t,\tO\tO' +p62934 +aS'shortness\tshortness\tNN\tB-NP\tO' +p62935 +aS'of\tof\tIN\tB-PP\tO' +p62936 +aS'breath\tbreath\tNN\tB-NP\tO' +p62937 +aS',\t,\t,\tO\tO' +p62938 +aS'palpitations\tpalpitation\tNNS\tB-NP\tO' +p62939 +aS',\t,\t,\tO\tO' +p62940 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p62941 +aS'pain\tpain\tNN\tI-NP\tO' +p62942 +aS',\t,\t,\tO\tO' +p62943 +aS'N/V\tN/V\tNN\tB-NP\tO' +p62944 +aS',\t,\t,\tO\tO' +p62945 +aS'penile\tpenile\tJJ\tB-NP\tO' +p62946 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p62947 +aS'.\t.\t.\tO\tO' +p62948 +asS'The patient had an elective termination of her pregnancy on 1/13/91 .' +p62949 +(lp62950 +S'The\tThe\tDT\tB-NP\tO' +p62951 +aS'patient\tpatient\tNN\tI-NP\tO' +p62952 +aS'had\thave\tVBD\tB-VP\tO' +p62953 +aS'an\tan\tDT\tB-NP\tO' +p62954 +aS'elective\telective\tJJ\tI-NP\tO' +p62955 +aS'termination\ttermination\tNN\tI-NP\tO' +p62956 +aS'of\tof\tIN\tB-PP\tO' +p62957 +aS'her\ther\tPRP$\tB-NP\tO' +p62958 +aS'pregnancy\tpregnancy\tNN\tI-NP\tO' +p62959 +aS'on\ton\tIN\tB-PP\tO' +p62960 +aS'1/13/91\t1/13/91\tCD\tB-NP\tO' +p62961 +aS'.\t.\t.\tO\tO' +p62962 +asS'The patient was able to follow complex commands of three parts involving right and left side .' +p62963 +(lp62964 +S'The\tThe\tDT\tB-NP\tO' +p62965 +aS'patient\tpatient\tNN\tI-NP\tO' +p62966 +aS'was\tbe\tVBD\tB-VP\tO' +p62967 +aS'able\table\tJJ\tB-ADJP\tO' +p62968 +aS'to\tto\tTO\tB-VP\tO' +p62969 +aS'follow\tfollow\tVB\tI-VP\tO' +p62970 +aS'complex\tcomplex\tJJ\tB-NP\tO' +p62971 +aS'commands\tcommand\tNNS\tI-NP\tO' +p62972 +aS'of\tof\tIN\tB-PP\tO' +p62973 +aS'three\tthree\tCD\tB-NP\tO' +p62974 +aS'parts\tpart\tNNS\tI-NP\tO' +p62975 +aS'involving\tinvolve\tVBG\tB-VP\tO' +p62976 +aS'right\tright\tJJ\tB-NP\tO' +p62977 +aS'and\tand\tCC\tI-NP\tO' +p62978 +aS'left\tleft\tJJ\tI-NP\tO' +p62979 +aS'side\tside\tNN\tI-NP\tO' +p62980 +aS'.\t.\t.\tO\tO' +p62981 +asS'On admission , blood pressure 151/61 , heart rate 75 , SaO2 93% on room air .' +p62982 +(lp62983 +S'On\tOn\tIN\tB-PP\tO' +p62984 +aS'admission\tadmission\tNN\tB-NP\tO' +p62985 +aS',\t,\t,\tO\tO' +p62986 +aS'blood\tblood\tNN\tB-NP\tO' +p62987 +aS'pressure\tpressure\tNN\tI-NP\tO' +p62988 +aS'151/61\t151/61\tCD\tI-NP\tO' +p62989 +aS',\t,\t,\tO\tO' +p62990 +aS'heart\theart\tNN\tB-NP\tO' +p62991 +aS'rate\trate\tNN\tI-NP\tO' +p62992 +aS'75\t75\tCD\tI-NP\tO' +p62993 +aS',\t,\t,\tI-NP\tO' +p62994 +aS'SaO2\tSaO2\tNN\tI-NP\tO' +p62995 +aS'93%\t93%\tNN\tI-NP\tO' +p62996 +aS'on\ton\tIN\tB-PP\tO' +p62997 +aS'room\troom\tNN\tB-NP\tO' +p62998 +aS'air\tair\tNN\tI-NP\tO' +p62999 +aS'.\t.\t.\tO\tO' +p63000 +asS'The end-diastolic pulmonic regurgitation velocity is increased suggesting pulmonary artery diastolic hypertension .' +p63001 +(lp63002 +S'The\tThe\tDT\tB-NP\tO' +p63003 +aS'end-diastolic\tend-diastolic\tJJ\tI-NP\tO' +p63004 +aS'pulmonic\tpulmonic\tJJ\tI-NP\tO' +p63005 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p63006 +aS'velocity\tvelocity\tNN\tI-NP\tO' +p63007 +aS'is\tbe\tVBZ\tB-VP\tO' +p63008 +aS'increased\tincrease\tVBN\tI-VP\tO' +p63009 +aS'suggesting\tsuggest\tVBG\tB-VP\tO' +p63010 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p63011 +aS'artery\tartery\tNN\tI-NP\tO' +p63012 +aS'diastolic\tdiastolic\tJJ\tI-NP\tO' +p63013 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p63014 +aS'.\t.\t.\tO\tO' +p63015 +asS'The patient presented with a chief complaint of FOUND DOWN .' +p63016 +(lp63017 +S'The\tThe\tDT\tB-NP\tO' +p63018 +aS'patient\tpatient\tNN\tI-NP\tO' +p63019 +aS'presented\tpresent\tVBD\tB-VP\tO' +p63020 +aS'with\twith\tIN\tB-PP\tO' +p63021 +aS'a\ta\tDT\tB-NP\tO' +p63022 +aS'chief\tchief\tJJ\tI-NP\tO' +p63023 +aS'complaint\tcomplaint\tNN\tI-NP\tO' +p63024 +aS'of\tof\tIN\tB-PP\tO' +p63025 +aS'FOUND\tFOUND\tNN\tB-NP\tO' +p63026 +aS'DOWN\tDOWN\tNN\tI-NP\tO' +p63027 +aS'.\t.\t.\tO\tO' +p63028 +asS'srom in labor .' +p63029 +(lp63030 +S'srom\tsrom\tNN\tB-NP\tO' +p63031 +aS'in\tin\tIN\tB-PP\tO' +p63032 +aS'labor\tlabor\tNN\tB-NP\tO' +p63033 +aS'.\t.\t.\tO\tO' +p63034 +asS'02-27 RUE , absent right ankle .' +p63035 +(lp63036 +S'02-27\t02-27\tCD\tB-NP\tO' +p63037 +aS'RUE\tRUE\tNN\tI-NP\tO' +p63038 +aS',\t,\t,\tO\tO' +p63039 +aS'absent\tabsent\tJJ\tB-NP\tO' +p63040 +aS'right\tright\tJJ\tI-NP\tO' +p63041 +aS'ankle\tankle\tNN\tI-NP\tO' +p63042 +aS'.\t.\t.\tO\tO' +p63043 +asS'generally intact .' +p63044 +(lp63045 +S'generally\tgenerally\tRB\tB-ADVP\tO' +p63046 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p63047 +aS'.\t.\t.\tO\tO' +p63048 +asS'Hearing screens were repeated on 2018-05-13 and he passed both ears .' +p63049 +(lp63050 +S'Hearing\tHear\tVBG\tB-NP\tO' +p63051 +aS'screens\tscreen\tNNS\tI-NP\tO' +p63052 +aS'were\tbe\tVBD\tB-VP\tO' +p63053 +aS'repeated\trepeat\tVBN\tI-VP\tO' +p63054 +aS'on\ton\tIN\tB-PP\tO' +p63055 +aS'2018-05-13\t2018-05-13\tCD\tB-NP\tO' +p63056 +aS'and\tand\tCC\tO\tO' +p63057 +aS'he\the\tPRP\tB-NP\tO' +p63058 +aS'passed\tpass\tVBD\tB-VP\tO' +p63059 +aS'both\tboth\tDT\tB-NP\tO' +p63060 +aS'ears\tear\tNNS\tI-NP\tO' +p63061 +aS'.\t.\t.\tO\tO' +p63062 +asS'His BUN/ creatinine rose from 16/1.2 on 10/18/97 to 25/1.9 on 10/18/97 to 22/9.1 to today 's labs , which are 15/0.7 on 10/23/97 .' +p63063 +(lp63064 +S'His\tHis\tPRP$\tB-NP\tB-protein' +p63065 +aS'BUN/\tBUN/\tNNP\tI-NP\tO' +p63066 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p63067 +aS'rose\trise\tVBD\tB-VP\tO' +p63068 +aS'from\tfrom\tIN\tB-PP\tO' +p63069 +aS'16/1.2\t16/1.2\tCD\tB-NP\tO' +p63070 +aS'on\ton\tIN\tB-PP\tO' +p63071 +aS'10/18/97\t10/18/97\tCD\tB-NP\tO' +p63072 +aS'to\tto\tTO\tB-PP\tO' +p63073 +aS'25/1.9\t25/1.9\tCD\tB-NP\tO' +p63074 +aS'on\ton\tIN\tB-PP\tO' +p63075 +aS'10/18/97\t10/18/97\tCD\tB-NP\tO' +p63076 +aS'to\tto\tTO\tB-PP\tO' +p63077 +aS'22/9.1\t22/9.1\tCD\tB-NP\tO' +p63078 +aS'to\tto\tTO\tB-PP\tO' +p63079 +aS'today\ttoday\tNN\tB-NP\tB-protein' +p63080 +aS''s\t'\tNNS\tI-NP\tI-protein' +p63081 +aS'labs\tlab\tNNS\tI-NP\tI-protein' +p63082 +aS',\t,\t,\tO\tO' +p63083 +aS'which\twhich\tWDT\tB-NP\tO' +p63084 +aS'are\tbe\tVBP\tB-VP\tO' +p63085 +aS'15/0.7\t15/0.7\tCD\tB-NP\tO' +p63086 +aS'on\ton\tIN\tB-PP\tO' +p63087 +aS'10/23/97\t10/23/97\tCD\tB-NP\tO' +p63088 +aS'.\t.\t.\tO\tO' +p63089 +asS'The remaining unit of autologous packed red blood cells was transfused .' +p63090 +(lp63091 +S'The\tThe\tDT\tB-NP\tO' +p63092 +aS'remaining\tremain\tVBG\tI-NP\tO' +p63093 +aS'unit\tunit\tNN\tI-NP\tO' +p63094 +aS'of\tof\tIN\tB-PP\tO' +p63095 +aS'autologous\tautologous\tJJ\tB-NP\tB-cell_type' +p63096 +aS'packed\tpacked\tJJ\tI-NP\tI-cell_type' +p63097 +aS'red\tred\tJJ\tI-NP\tI-cell_type' +p63098 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p63099 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p63100 +aS'was\tbe\tVBD\tB-VP\tO' +p63101 +aS'transfused\ttransfuse\tVBN\tI-VP\tO' +p63102 +aS'.\t.\t.\tO\tO' +p63103 +asS'From the point of discharge today on 12-31 his most recent labs are as follows .' +p63104 +(lp63105 +S'From\tFrom\tIN\tB-PP\tO' +p63106 +aS'the\tthe\tDT\tB-NP\tO' +p63107 +aS'point\tpoint\tNN\tI-NP\tO' +p63108 +aS'of\tof\tIN\tB-PP\tO' +p63109 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p63110 +aS'today\ttoday\tNN\tB-NP\tO' +p63111 +aS'on\ton\tIN\tB-PP\tO' +p63112 +aS'12-31\t12-31\tCD\tB-NP\tO' +p63113 +aS'his\this\tPRP$\tI-NP\tO' +p63114 +aS'most\tmost\tRBS\tI-NP\tO' +p63115 +aS'recent\trecent\tJJ\tI-NP\tO' +p63116 +aS'labs\tlab\tNNS\tI-NP\tO' +p63117 +aS'are\tbe\tVBP\tB-VP\tO' +p63118 +aS'as\tas\tIN\tB-SBAR\tO' +p63119 +aS'follows\tfollow\tVBZ\tB-VP\tO' +p63120 +aS'.\t.\t.\tO\tO' +p63121 +asS'With EKG changes consistent with myocardial infarction , he was transferred to the Mass. Eye & Ear Infirmary for further management .' +p63122 +(lp63123 +S'With\tWith\tIN\tB-PP\tO' +p63124 +aS'EKG\tEKG\tNN\tB-NP\tO' +p63125 +aS'changes\tchange\tNNS\tI-NP\tO' +p63126 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p63127 +aS'with\twith\tIN\tB-PP\tO' +p63128 +aS'myocardial\tmyocardial\tJJ\tB-NP\tO' +p63129 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p63130 +aS',\t,\t,\tO\tO' +p63131 +aS'he\the\tPRP\tB-NP\tO' +p63132 +aS'was\tbe\tVBD\tB-VP\tO' +p63133 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p63134 +aS'to\tto\tTO\tB-PP\tO' +p63135 +aS'the\tthe\tDT\tB-NP\tO' +p63136 +aS'Mass.\tMass.\tNNP\tI-NP\tO' +p63137 +aS'Eye\tEye\tNNP\tI-NP\tO' +p63138 +aS'&\t&\tCC\tI-NP\tO' +p63139 +aS'Ear\tEar\tNNP\tI-NP\tO' +p63140 +aS'Infirmary\tInfirmary\tNNP\tI-NP\tO' +p63141 +aS'for\tfor\tIN\tB-PP\tO' +p63142 +aS'further\tfurther\tJJ\tB-NP\tO' +p63143 +aS'management\tmanagement\tNN\tI-NP\tO' +p63144 +aS'.\t.\t.\tO\tO' +p63145 +asS'This AM with respiratory failure , continued tachycardia on dilt. gtt .' +p63146 +(lp63147 +S'This\tThis\tDT\tB-NP\tO' +p63148 +aS'AM\tAM\tNN\tI-NP\tO' +p63149 +aS'with\twith\tIN\tB-PP\tO' +p63150 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p63151 +aS'failure\tfailure\tNN\tI-NP\tO' +p63152 +aS',\t,\t,\tO\tO' +p63153 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p63154 +aS'tachycardia\ttachycardia\tNN\tB-NP\tO' +p63155 +aS'on\ton\tIN\tB-PP\tO' +p63156 +aS'dilt.\tdilt.\tNN\tB-NP\tO' +p63157 +aS'gtt\tgtt\tNN\tI-NP\tO' +p63158 +aS'.\t.\t.\tO\tO' +p63159 +asS'At the time of admission , white blood cell count 11.1 , hematocrit 37.7 , platelets 326 .' +p63160 +(lp63161 +S'At\tAt\tIN\tB-PP\tO' +p63162 +aS'the\tthe\tDT\tB-NP\tO' +p63163 +aS'time\ttime\tNN\tI-NP\tO' +p63164 +aS'of\tof\tIN\tB-PP\tO' +p63165 +aS'admission\tadmission\tNN\tB-NP\tO' +p63166 +aS',\t,\t,\tO\tO' +p63167 +aS'white\twhite\tJJ\tB-NP\tO' +p63168 +aS'blood\tblood\tNN\tI-NP\tO' +p63169 +aS'cell\tcell\tNN\tI-NP\tO' +p63170 +aS'count\tcount\tNN\tI-NP\tO' +p63171 +aS'11.1\t11.1\tNN\tI-NP\tO' +p63172 +aS',\t,\t,\tO\tO' +p63173 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p63174 +aS'37.7\t37.7\tCD\tI-NP\tI-protein' +p63175 +aS',\t,\t,\tO\tO' +p63176 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p63177 +aS'326\t326\tCD\tB-NP\tO' +p63178 +aS'.\t.\t.\tO\tO' +p63179 +asS'6. Moderate to severe [ 3+ ] tricuspid regurgitation is seen .' +p63180 +(lp63181 +S'6.\t6.\tLS\tB-LST\tO' +p63182 +aS'Moderate\tModerate\tNNP\tB-NP\tO' +p63183 +aS'to\tto\tTO\tB-VP\tO' +p63184 +aS'severe\tsevere\tVB\tI-VP\tO' +p63185 +aS'[\t[\t(\tO\tO' +p63186 +aS'3+\t3+\tJJ\tO\tO' +p63187 +aS']\t]\t)\tO\tO' +p63188 +aS'tricuspid\ttricuspid\tJJ\tB-NP\tO' +p63189 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p63190 +aS'is\tbe\tVBZ\tB-VP\tO' +p63191 +aS'seen\tsee\tVBN\tI-VP\tO' +p63192 +aS'.\t.\t.\tO\tO' +p63193 +asS'The patient was on FK 2 and 2 that was started on postoperative day number 2 .' +p63194 +(lp63195 +S'The\tThe\tDT\tB-NP\tO' +p63196 +aS'patient\tpatient\tNN\tI-NP\tO' +p63197 +aS'was\tbe\tVBD\tB-VP\tO' +p63198 +aS'on\ton\tIN\tB-PP\tO' +p63199 +aS'FK\tFK\tNN\tB-NP\tB-protein' +p63200 +aS'2\t2\tCD\tI-NP\tI-protein' +p63201 +aS'and\tand\tCC\tI-NP\tI-protein' +p63202 +aS'2\t2\tCD\tI-NP\tI-protein' +p63203 +aS'that\tthat\tWDT\tB-NP\tO' +p63204 +aS'was\tbe\tVBD\tB-VP\tO' +p63205 +aS'started\tstart\tVBN\tI-VP\tO' +p63206 +aS'on\ton\tIN\tB-PP\tO' +p63207 +aS'postoperative\tpostoperative\tJJ\tB-NP\tB-protein' +p63208 +aS'day\tday\tNN\tI-NP\tI-protein' +p63209 +aS'number\tnumber\tNN\tI-NP\tI-protein' +p63210 +aS'2\t2\tCD\tI-NP\tI-protein' +p63211 +aS'.\t.\t.\tO\tO' +p63212 +asS'The patient was instructed to follow-up with Dr. Lumar Jongguild .' +p63213 +(lp63214 +S'The\tThe\tDT\tB-NP\tO' +p63215 +aS'patient\tpatient\tNN\tI-NP\tO' +p63216 +aS'was\tbe\tVBD\tB-VP\tO' +p63217 +aS'instructed\tinstruct\tVBN\tI-VP\tO' +p63218 +aS'to\tto\tTO\tI-VP\tO' +p63219 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p63220 +aS'with\twith\tIN\tB-PP\tO' +p63221 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p63222 +aS'Lumar\tLumar\tNNP\tI-NP\tO' +p63223 +aS'Jongguild\tJongguild\tNNP\tI-NP\tO' +p63224 +aS'.\t.\t.\tO\tO' +p63225 +asS'She is also to follow up with her primary care physician to review her hypertensive medications .' +p63226 +(lp63227 +S'She\tShe\tPRP\tB-NP\tO' +p63228 +aS'is\tbe\tVBZ\tB-VP\tO' +p63229 +aS'also\talso\tRB\tB-ADVP\tO' +p63230 +aS'to\tto\tTO\tB-VP\tO' +p63231 +aS'follow\tfollow\tVB\tI-VP\tO' +p63232 +aS'up\tup\tRP\tB-PRT\tO' +p63233 +aS'with\twith\tIN\tB-PP\tO' +p63234 +aS'her\ther\tPRP$\tB-NP\tO' +p63235 +aS'primary\tprimary\tJJ\tI-NP\tO' +p63236 +aS'care\tcare\tNN\tI-NP\tO' +p63237 +aS'physician\tphysician\tNN\tI-NP\tO' +p63238 +aS'to\tto\tTO\tB-VP\tO' +p63239 +aS'review\treview\tVB\tI-VP\tO' +p63240 +aS'her\ther\tPRP$\tB-NP\tO' +p63241 +aS'hypertensive\thypertensive\tJJ\tI-NP\tO' +p63242 +aS'medications\tmedication\tNNS\tI-NP\tO' +p63243 +aS'.\t.\t.\tO\tO' +p63244 +asS'3. The patient is to return to Smith on or about 05-17 to have his staples removed .' +p63245 +(lp63246 +S'3.\t3.\tLS\tB-LST\tO' +p63247 +aS'The\tThe\tDT\tB-NP\tO' +p63248 +aS'patient\tpatient\tNN\tI-NP\tO' +p63249 +aS'is\tbe\tVBZ\tB-VP\tO' +p63250 +aS'to\tto\tTO\tB-VP\tO' +p63251 +aS'return\treturn\tVB\tI-VP\tO' +p63252 +aS'to\tto\tTO\tB-PP\tO' +p63253 +aS'Smith\tSmith\tNNP\tB-NP\tO' +p63254 +aS'on\ton\tIN\tB-PP\tO' +p63255 +aS'or\tor\tCC\tI-PP\tO' +p63256 +aS'about\tabout\tIN\tI-PP\tO' +p63257 +aS'05-17\t05-17\tCD\tB-NP\tO' +p63258 +aS'to\tto\tTO\tB-VP\tO' +p63259 +aS'have\thave\tVB\tI-VP\tO' +p63260 +aS'his\this\tPRP$\tB-NP\tO' +p63261 +aS'staples\tstaple\tNNS\tI-NP\tO' +p63262 +aS'removed\tremove\tVBN\tB-VP\tO' +p63263 +aS'.\t.\t.\tO\tO' +p63264 +asS'3. Follow up in 1 week at brain tumor clinic .' +p63265 +(lp63266 +S'3.\t3.\tLS\tB-LST\tO' +p63267 +aS'Follow\tFollow\tNNP\tB-NP\tO' +p63268 +aS'up\tup\tIN\tB-ADVP\tO' +p63269 +aS'in\tin\tIN\tB-PP\tO' +p63270 +aS'1\t1\tCD\tB-NP\tO' +p63271 +aS'week\tweek\tNN\tI-NP\tO' +p63272 +aS'at\tat\tIN\tB-PP\tO' +p63273 +aS'brain\tbrain\tNN\tB-NP\tO' +p63274 +aS'tumor\ttumor\tNN\tI-NP\tO' +p63275 +aS'clinic\tclinic\tNN\tI-NP\tO' +p63276 +aS'.\t.\t.\tO\tO' +p63277 +asS'Neurological exam was grossly intact .' +p63278 +(lp63279 +S'Neurological\tNeurological\tJJ\tB-NP\tO' +p63280 +aS'exam\texam\tNN\tI-NP\tO' +p63281 +aS'was\tbe\tVBD\tB-VP\tO' +p63282 +aS'grossly\tgrossly\tRB\tB-ADJP\tO' +p63283 +aS'intact\tintact\tJJ\tI-ADJP\tO' +p63284 +aS'.\t.\t.\tO\tO' +p63285 +asS'ETT MIBI 4/14 without e / o ischemia . ?' +p63286 +(lp63287 +S'ETT\tETT\tNNP\tB-NP\tO' +p63288 +aS'MIBI\tMIBI\tNNP\tI-NP\tO' +p63289 +aS'4/14\t4/14\tCD\tI-NP\tO' +p63290 +aS'without\twithout\tIN\tB-PP\tO' +p63291 +aS'e\te\tNN\tB-NP\tO' +p63292 +aS'/\t/\tSYM\tB-NP\tO' +p63293 +aS'o\to\tNN\tI-NP\tO' +p63294 +aS'ischemia\tischemia\tNN\tI-NP\tO' +p63295 +aS'.\t.\t.\tO\tO' +p63296 +aS'?\t?\t.\tO\tO' +p63297 +asS'She is now getting dilaudid 8 mg q2h and in addition she has been on fentanyl patch .' +p63298 +(lp63299 +S'She\tShe\tPRP\tB-NP\tO' +p63300 +aS'is\tbe\tVBZ\tB-VP\tO' +p63301 +aS'now\tnow\tRB\tI-VP\tO' +p63302 +aS'getting\tget\tVBG\tI-VP\tO' +p63303 +aS'dilaudid\tdilaudid\tJJ\tB-NP\tO' +p63304 +aS'8\t8\tCD\tI-NP\tO' +p63305 +aS'mg\tmg\tNN\tI-NP\tO' +p63306 +aS'q2h\tq2h\tNN\tI-NP\tO' +p63307 +aS'and\tand\tCC\tB-PP\tO' +p63308 +aS'in\tin\tIN\tB-PP\tO' +p63309 +aS'addition\taddition\tNN\tB-NP\tO' +p63310 +aS'she\tshe\tPRP\tB-NP\tO' +p63311 +aS'has\thave\tVBZ\tB-VP\tO' +p63312 +aS'been\tbe\tVBN\tI-VP\tO' +p63313 +aS'on\ton\tIN\tB-PP\tO' +p63314 +aS'fentanyl\tfentanyl\tNN\tB-NP\tO' +p63315 +aS'patch\tpatch\tNN\tI-NP\tO' +p63316 +aS'.\t.\t.\tO\tO' +p63317 +asS'4. Mild hyperbilirubinemia .' +p63318 +(lp63319 +S'4.\t4.\tLS\tB-NP\tO' +p63320 +aS'Mild\tMild\tNNP\tI-NP\tO' +p63321 +aS'hyperbilirubinemia\thyperbilirubinemia\tNN\tI-NP\tO' +p63322 +aS'.\t.\t.\tO\tO' +p63323 +asS'Normal first heart sound and second heart sound .' +p63324 +(lp63325 +S'Normal\tNormal\tJJ\tB-NP\tO' +p63326 +aS'first\tfirst\tJJ\tI-NP\tO' +p63327 +aS'heart\theart\tNN\tI-NP\tO' +p63328 +aS'sound\tsound\tNN\tI-NP\tO' +p63329 +aS'and\tand\tCC\tO\tO' +p63330 +aS'second\tsecond\tJJ\tB-NP\tO' +p63331 +aS'heart\theart\tNN\tI-NP\tO' +p63332 +aS'sound\tsound\tNN\tI-NP\tO' +p63333 +aS'.\t.\t.\tO\tO' +p63334 +asS'The patient was returned to the operating room on July 10 , where several loculated thin fluid collections were drained and obviously necrotic tissue was debrided .' +p63335 +(lp63336 +S'The\tThe\tDT\tB-NP\tO' +p63337 +aS'patient\tpatient\tNN\tI-NP\tO' +p63338 +aS'was\tbe\tVBD\tB-VP\tO' +p63339 +aS'returned\treturn\tVBN\tI-VP\tO' +p63340 +aS'to\tto\tTO\tB-PP\tO' +p63341 +aS'the\tthe\tDT\tB-NP\tO' +p63342 +aS'operating\toperating\tNN\tI-NP\tO' +p63343 +aS'room\troom\tNN\tI-NP\tO' +p63344 +aS'on\ton\tIN\tB-PP\tO' +p63345 +aS'July\tJuly\tNNP\tB-NP\tO' +p63346 +aS'10\t10\tCD\tI-NP\tO' +p63347 +aS',\t,\t,\tO\tO' +p63348 +aS'where\twhere\tWRB\tB-ADVP\tO' +p63349 +aS'several\tseveral\tJJ\tB-NP\tO' +p63350 +aS'loculated\tloculate\tVBN\tI-NP\tO' +p63351 +aS'thin\tthin\tJJ\tI-NP\tO' +p63352 +aS'fluid\tfluid\tNN\tI-NP\tO' +p63353 +aS'collections\tcollection\tNNS\tI-NP\tO' +p63354 +aS'were\tbe\tVBD\tB-VP\tO' +p63355 +aS'drained\tdrain\tVBN\tI-VP\tO' +p63356 +aS'and\tand\tCC\tO\tO' +p63357 +aS'obviously\tobviously\tRB\tB-NP\tO' +p63358 +aS'necrotic\tnecrotic\tJJ\tI-NP\tO' +p63359 +aS'tissue\ttissue\tNN\tI-NP\tO' +p63360 +aS'was\tbe\tVBD\tB-VP\tO' +p63361 +aS'debrided\tdebride\tVBN\tI-VP\tO' +p63362 +aS'.\t.\t.\tO\tO' +p63363 +asS'Nadolol 20 mg q. Day .' +p63364 +(lp63365 +S'Nadolol\tNadolol\tNN\tB-NP\tO' +p63366 +aS'20\t20\tCD\tI-NP\tO' +p63367 +aS'mg\tmg\tNN\tI-NP\tO' +p63368 +aS'q.\tq.\tNNP\tI-NP\tO' +p63369 +aS'Day\tDay\tNNP\tI-NP\tO' +p63370 +aS'.\t.\t.\tO\tO' +p63371 +asS'7. Follow up - Follow up appointment with primary pediatrician within five days of discharge .' +p63372 +(lp63373 +S'7.\t7.\tLS\tB-LST\tO' +p63374 +aS'Follow\tFollow\tNN\tB-NP\tO' +p63375 +aS'up\tup\tRB\tB-ADVP\tO' +p63376 +aS'-\t-\tHYPH\tO\tO' +p63377 +aS'Follow\tFollow\tVB\tB-VP\tO' +p63378 +aS'up\tup\tRP\tB-PRT\tO' +p63379 +aS'appointment\tappointment\tNN\tB-NP\tO' +p63380 +aS'with\twith\tIN\tB-PP\tO' +p63381 +aS'primary\tprimary\tJJ\tB-NP\tO' +p63382 +aS'pediatrician\tpediatrician\tNN\tI-NP\tO' +p63383 +aS'within\twithin\tIN\tB-PP\tO' +p63384 +aS'five\tfive\tCD\tB-NP\tO' +p63385 +aS'days\tday\tNNS\tI-NP\tO' +p63386 +aS'of\tof\tIN\tB-PP\tO' +p63387 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p63388 +aS'.\t.\t.\tO\tO' +p63389 +asS'82 , 119/60 , 22 , and 99% on room air .' +p63390 +(lp63391 +S'82\t82\tCD\tB-NP\tO' +p63392 +aS',\t,\t,\tI-NP\tO' +p63393 +aS'119/60\t119/60\tCD\tI-NP\tO' +p63394 +aS',\t,\t,\tI-NP\tO' +p63395 +aS'22\t22\tCD\tI-NP\tO' +p63396 +aS',\t,\t,\tO\tO' +p63397 +aS'and\tand\tCC\tO\tO' +p63398 +aS'99%\t99%\tCD\tB-NP\tO' +p63399 +aS'on\ton\tIN\tB-PP\tO' +p63400 +aS'room\troom\tNN\tB-NP\tO' +p63401 +aS'air\tair\tNN\tI-NP\tO' +p63402 +aS'.\t.\t.\tO\tO' +p63403 +asS'There was no nystagmus , except for some fine fast beat nystagmus bilateral extremes of abduction .' +p63404 +(lp63405 +S'There\tThere\tEX\tB-NP\tO' +p63406 +aS'was\tbe\tVBD\tB-VP\tO' +p63407 +aS'no\tno\tDT\tB-NP\tO' +p63408 +aS'nystagmus\tnystagmus\tNN\tI-NP\tO' +p63409 +aS',\t,\t,\tO\tO' +p63410 +aS'except\texcept\tIN\tB-PP\tO' +p63411 +aS'for\tfor\tIN\tB-PP\tO' +p63412 +aS'some\tsome\tDT\tB-NP\tO' +p63413 +aS'fine\tfine\tJJ\tI-NP\tO' +p63414 +aS'fast\tfast\tJJ\tI-NP\tO' +p63415 +aS'beat\tbeat\tNN\tI-NP\tO' +p63416 +aS'nystagmus\tnystagmus\tNN\tI-NP\tO' +p63417 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p63418 +aS'extremes\textreme\tNNS\tI-NP\tO' +p63419 +aS'of\tof\tIN\tB-PP\tO' +p63420 +aS'abduction\tabduction\tNN\tB-NP\tO' +p63421 +aS'.\t.\t.\tO\tO' +p63422 +asS'Because it was felt the patient was bleeding and the patient was contaminated , she received her IFEX / MESNA .' +p63423 +(lp63424 +S'Because\tBecause\tIN\tB-SBAR\tO' +p63425 +aS'it\tit\tPRP\tB-NP\tO' +p63426 +aS'was\tbe\tVBD\tB-VP\tO' +p63427 +aS'felt\tfeel\tVBN\tI-VP\tO' +p63428 +aS'the\tthe\tDT\tB-NP\tO' +p63429 +aS'patient\tpatient\tNN\tI-NP\tO' +p63430 +aS'was\tbe\tVBD\tB-VP\tO' +p63431 +aS'bleeding\tbleed\tVBG\tI-VP\tO' +p63432 +aS'and\tand\tCC\tO\tO' +p63433 +aS'the\tthe\tDT\tB-NP\tO' +p63434 +aS'patient\tpatient\tNN\tI-NP\tO' +p63435 +aS'was\tbe\tVBD\tB-VP\tO' +p63436 +aS'contaminated\tcontaminate\tVBN\tI-VP\tO' +p63437 +aS',\t,\t,\tO\tO' +p63438 +aS'she\tshe\tPRP\tB-NP\tO' +p63439 +aS'received\treceive\tVBD\tB-VP\tO' +p63440 +aS'her\ther\tPRP$\tB-NP\tO' +p63441 +aS'IFEX\tIFEX\tNN\tI-NP\tB-protein' +p63442 +aS'/\t/\tSYM\tB-NP\tO' +p63443 +aS'MESNA\tMESNA\tNN\tI-NP\tO' +p63444 +aS'.\t.\t.\tO\tO' +p63445 +asS'He was noted to have dark stools per rectum and to be somewhat fluid overloaded .' +p63446 +(lp63447 +S'He\tHe\tPRP\tB-NP\tO' +p63448 +aS'was\tbe\tVBD\tB-VP\tO' +p63449 +aS'noted\tnote\tVBN\tI-VP\tO' +p63450 +aS'to\tto\tTO\tI-VP\tO' +p63451 +aS'have\thave\tVB\tI-VP\tO' +p63452 +aS'dark\tdark\tJJ\tB-NP\tO' +p63453 +aS'stools\tstool\tNNS\tI-NP\tO' +p63454 +aS'per\tper\tIN\tB-PP\tO' +p63455 +aS'rectum\trectum\tNN\tB-NP\tO' +p63456 +aS'and\tand\tCC\tO\tO' +p63457 +aS'to\tto\tTO\tB-VP\tO' +p63458 +aS'be\tbe\tVB\tI-VP\tO' +p63459 +aS'somewhat\tsomewhat\tRB\tB-ADJP\tO' +p63460 +aS'fluid\tfluid\tJJ\tI-ADJP\tO' +p63461 +aS'overloaded\toverload\tVBN\tB-VP\tO' +p63462 +aS'.\t.\t.\tO\tO' +p63463 +asS'Her BP on admission was 120/70 and remained stable following the tap .' +p63464 +(lp63465 +S'Her\tHer\tPRP$\tB-NP\tB-protein' +p63466 +aS'BP\tBP\tNN\tI-NP\tI-protein' +p63467 +aS'on\ton\tIN\tB-PP\tO' +p63468 +aS'admission\tadmission\tNN\tB-NP\tO' +p63469 +aS'was\tbe\tVBD\tB-VP\tO' +p63470 +aS'120/70\t120/70\tCD\tB-NP\tO' +p63471 +aS'and\tand\tCC\tO\tO' +p63472 +aS'remained\tremain\tVBD\tB-VP\tO' +p63473 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p63474 +aS'following\tfollow\tVBG\tB-PP\tO' +p63475 +aS'the\tthe\tDT\tB-NP\tO' +p63476 +aS'tap\ttap\tNN\tI-NP\tB-protein' +p63477 +aS'.\t.\t.\tO\tO' +p63478 +asS"75 yo F with CAD s/p MI x4 ( s/p LAD stent '09 and RCA stent x 2 in '00 and '04 ) , CHF with EF 55% , PAF , Inducible Vtach s/p AICD placement , sick sinus syndrome s/p pacer and COPD with restrictive lung disease ." +p63479 +(lp63480 +S'75\t75\tCD\tB-NP\tO' +p63481 +aS'yo\tyo\tNN\tI-NP\tO' +p63482 +aS'F\tF\tNN\tI-NP\tO' +p63483 +aS'with\twith\tIN\tB-PP\tO' +p63484 +aS'CAD\tCAD\tNN\tB-NP\tO' +p63485 +aS's/p\ts/p\tNN\tI-NP\tO' +p63486 +aS'MI\tMI\tNN\tI-NP\tO' +p63487 +aS'x4\tx4\tNN\tI-NP\tO' +p63488 +aS'(\t(\t(\tO\tO' +p63489 +aS's/p\ts/p\tNN\tB-NP\tO' +p63490 +aS'LAD\tLAD\tNN\tI-NP\tO' +p63491 +aS'stent\tstent\tJJ\tB-ADJP\tO' +p63492 +aS"'09\t'09\tCC\tO\tO" +p63493 +aS'and\tand\tCC\tO\tO' +p63494 +aS'RCA\tRCA\tNN\tB-NP\tB-protein' +p63495 +aS'stent\tstent\tJJ\tI-NP\tI-protein' +p63496 +aS'x\tx\tNN\tI-NP\tI-protein' +p63497 +aS'2\t2\tCD\tI-NP\tI-protein' +p63498 +aS'in\tin\tIN\tB-PP\tO' +p63499 +aS"'00\t'00\tCD\tB-NP\tO" +p63500 +aS'and\tand\tCC\tI-NP\tO' +p63501 +aS"'04\t'04\tCD\tI-NP\tO" +p63502 +aS')\t)\t)\tO\tO' +p63503 +aS',\t,\t,\tO\tO' +p63504 +aS'CHF\tCHF\tNN\tB-NP\tB-protein' +p63505 +aS'with\twith\tIN\tB-PP\tO' +p63506 +aS'EF\tEF\tNN\tB-NP\tB-protein' +p63507 +aS'55%\t55%\tCD\tI-NP\tI-protein' +p63508 +aS',\t,\t,\tO\tO' +p63509 +aS'PAF\tPAF\tNNP\tB-NP\tB-protein' +p63510 +aS',\t,\t,\tO\tO' +p63511 +aS'Inducible\tInducible\tNNP\tB-NP\tO' +p63512 +aS'Vtach\tVtach\tNNP\tI-NP\tO' +p63513 +aS's/p\ts/p\tNN\tI-NP\tO' +p63514 +aS'AICD\tAICD\tNNP\tI-NP\tO' +p63515 +aS'placement\tplacement\tNN\tI-NP\tO' +p63516 +aS',\t,\t,\tO\tO' +p63517 +aS'sick\tsick\tJJ\tB-NP\tO' +p63518 +aS'sinus\tsinus\tNN\tI-NP\tO' +p63519 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p63520 +aS's/p\ts/p\tNN\tI-NP\tO' +p63521 +aS'pacer\tpacer\tNN\tI-NP\tO' +p63522 +aS'and\tand\tCC\tI-NP\tO' +p63523 +aS'COPD\tCOPD\tNN\tI-NP\tO' +p63524 +aS'with\twith\tIN\tB-PP\tO' +p63525 +aS'restrictive\trestrictive\tJJ\tB-NP\tO' +p63526 +aS'lung\tlung\tNN\tI-NP\tO' +p63527 +aS'disease\tdisease\tNN\tI-NP\tO' +p63528 +aS'.\t.\t.\tO\tO' +p63529 +asS'Able to carry on simple conversation .' +p63530 +(lp63531 +S'Able\tAble\tNN\tB-NP\tO' +p63532 +aS'to\tto\tTO\tB-VP\tO' +p63533 +aS'carry\tcarry\tVB\tI-VP\tO' +p63534 +aS'on\ton\tIN\tB-PP\tO' +p63535 +aS'simple\tsimple\tJJ\tB-NP\tO' +p63536 +aS'conversation\tconversation\tNN\tI-NP\tO' +p63537 +aS'.\t.\t.\tO\tO' +p63538 +asS'Pentamidine intravenous and nasal washings were continued .' +p63539 +(lp63540 +S'Pentamidine\tPentamidine\tNN\tB-NP\tO' +p63541 +aS'intravenous\tintravenous\tJJ\tI-NP\tO' +p63542 +aS'and\tand\tCC\tI-NP\tO' +p63543 +aS'nasal\tnasal\tJJ\tI-NP\tO' +p63544 +aS'washings\twashing\tNNS\tI-NP\tO' +p63545 +aS'were\tbe\tVBD\tB-VP\tO' +p63546 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p63547 +aS'.\t.\t.\tO\tO' +p63548 +asS'Father with stroke .' +p63549 +(lp63550 +S'Father\tFather\tRB\tB-ADVP\tO' +p63551 +aS'with\twith\tIN\tB-PP\tO' +p63552 +aS'stroke\tstroke\tNN\tB-NP\tO' +p63553 +aS'.\t.\t.\tO\tO' +p63554 +asS'The patient was supported with abundant use of fresh frozen plasma , cryoprecipitate , platelets , and packed red blood cells .' +p63555 +(lp63556 +S'The\tThe\tDT\tB-NP\tO' +p63557 +aS'patient\tpatient\tNN\tI-NP\tO' +p63558 +aS'was\tbe\tVBD\tB-VP\tO' +p63559 +aS'supported\tsupport\tVBN\tI-VP\tO' +p63560 +aS'with\twith\tIN\tB-PP\tO' +p63561 +aS'abundant\tabundant\tJJ\tB-NP\tO' +p63562 +aS'use\tuse\tNN\tI-NP\tO' +p63563 +aS'of\tof\tIN\tB-PP\tO' +p63564 +aS'fresh\tfresh\tJJ\tB-NP\tO' +p63565 +aS'frozen\tfreeze\tVBN\tI-NP\tO' +p63566 +aS'plasma\tplasma\tNN\tI-NP\tO' +p63567 +aS',\t,\t,\tO\tO' +p63568 +aS'cryoprecipitate\tcryoprecipitate\tNN\tB-NP\tO' +p63569 +aS',\t,\t,\tO\tO' +p63570 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p63571 +aS',\t,\t,\tO\tO' +p63572 +aS'and\tand\tCC\tO\tO' +p63573 +aS'packed\tpack\tVBD\tB-VP\tO' +p63574 +aS'red\tred\tJJ\tB-NP\tB-cell_type' +p63575 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p63576 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p63577 +aS'.\t.\t.\tO\tO' +p63578 +asS'7. Flagyl 500 mg p.o. t.i.d. for the next five weeks for osteomyelitis .' +p63579 +(lp63580 +S'7.\t7.\tCD\tB-NP\tO' +p63581 +aS'Flagyl\tFlagyl\tNN\tI-NP\tO' +p63582 +aS'500\t500\tCD\tB-NP\tO' +p63583 +aS'mg\tmg\tNN\tI-NP\tO' +p63584 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p63585 +aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' +p63586 +aS'for\tfor\tIN\tB-PP\tO' +p63587 +aS'the\tthe\tDT\tB-NP\tO' +p63588 +aS'next\tnext\tJJ\tI-NP\tO' +p63589 +aS'five\tfive\tCD\tI-NP\tO' +p63590 +aS'weeks\tweek\tNNS\tI-NP\tO' +p63591 +aS'for\tfor\tIN\tB-PP\tO' +p63592 +aS'osteomyelitis\tosteomyelitis\tNN\tB-NP\tO' +p63593 +aS'.\t.\t.\tO\tO' +p63594 +asS'He will have VNA services and make the appropriate follow-up appointments .' +p63595 +(lp63596 +S'He\tHe\tPRP\tB-NP\tO' +p63597 +aS'will\twill\tMD\tB-VP\tO' +p63598 +aS'have\thave\tVB\tI-VP\tO' +p63599 +aS'VNA\tVNA\tNN\tB-NP\tO' +p63600 +aS'services\tservice\tNNS\tI-NP\tO' +p63601 +aS'and\tand\tCC\tO\tO' +p63602 +aS'make\tmake\tVB\tB-VP\tO' +p63603 +aS'the\tthe\tDT\tB-NP\tO' +p63604 +aS'appropriate\tappropriate\tJJ\tI-NP\tO' +p63605 +aS'follow-up\tfollow-up\tJJ\tI-NP\tO' +p63606 +aS'appointments\tappointment\tNNS\tI-NP\tO' +p63607 +aS'.\t.\t.\tO\tO' +p63608 +asS'This is a 55-year-old female with multiple prior admissions for pneumonia , COPD , asthma exacerbation , over 3 weeks of upper respiratory like infection unremitting with increased nebulizer treatments at home .' +p63609 +(lp63610 +S'This\tThis\tDT\tB-NP\tO' +p63611 +aS'is\tbe\tVBZ\tB-VP\tO' +p63612 +aS'a\ta\tDT\tB-NP\tO' +p63613 +aS'55-year-old\t55-year-old\tJJ\tI-NP\tO' +p63614 +aS'female\tfemale\tNN\tI-NP\tO' +p63615 +aS'with\twith\tIN\tB-PP\tO' +p63616 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p63617 +aS'prior\tprior\tJJ\tI-NP\tO' +p63618 +aS'admissions\tadmission\tNNS\tI-NP\tO' +p63619 +aS'for\tfor\tIN\tB-PP\tO' +p63620 +aS'pneumonia\tpneumonia\tNN\tB-NP\tO' +p63621 +aS',\t,\t,\tO\tO' +p63622 +aS'COPD\tCOPD\tNN\tB-NP\tO' +p63623 +aS',\t,\t,\tO\tO' +p63624 +aS'asthma\tasthma\tNN\tB-NP\tO' +p63625 +aS'exacerbation\texacerbation\tNN\tI-NP\tO' +p63626 +aS',\t,\t,\tO\tO' +p63627 +aS'over\tover\tIN\tB-NP\tO' +p63628 +aS'3\t3\tCD\tI-NP\tO' +p63629 +aS'weeks\tweek\tNNS\tI-NP\tO' +p63630 +aS'of\tof\tIN\tB-PP\tO' +p63631 +aS'upper\tupper\tJJ\tB-NP\tO' +p63632 +aS'respiratory\trespiratory\tNN\tI-NP\tO' +p63633 +aS'like\tlike\tIN\tB-PP\tO' +p63634 +aS'infection\tinfection\tNN\tB-NP\tO' +p63635 +aS'unremitting\tunremitte\tVBG\tB-VP\tO' +p63636 +aS'with\twith\tIN\tB-PP\tO' +p63637 +aS'increased\tincrease\tVBN\tB-NP\tO' +p63638 +aS'nebulizer\tnebulizer\tNN\tI-NP\tO' +p63639 +aS'treatments\ttreatment\tNNS\tI-NP\tO' +p63640 +aS'at\tat\tIN\tB-PP\tO' +p63641 +aS'home\thome\tNN\tB-NP\tO' +p63642 +aS'.\t.\t.\tO\tO' +p63643 +asS'Signed electronically by : DR. Kevin Arthur on : Tony 2012-01-27 6:52 AM' +p63644 +(lp63645 +S'Signed\tSign\tVBN\tB-VP\tO' +p63646 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p63647 +aS'by\tby\tIN\tB-PP\tO' +p63648 +aS':\t:\t:\tO\tO' +p63649 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p63650 +aS'Kevin\tKevin\tNNP\tI-NP\tO' +p63651 +aS'Arthur\tArthur\tNNP\tI-NP\tO' +p63652 +aS'on\ton\tIN\tB-PP\tO' +p63653 +aS':\t:\t:\tO\tO' +p63654 +aS'Tony\tTony\tNNP\tB-NP\tO' +p63655 +aS'2012-01-27\t2012-01-27\tCD\tB-NP\tO' +p63656 +aS'6:52\t6:52\tCD\tI-NP\tO' +p63657 +aS'AM\tAM\tNN\tI-NP\tO' +p63658 +asS'She is right-handed .' +p63659 +(lp63660 +S'She\tShe\tPRP\tB-NP\tO' +p63661 +aS'is\tbe\tVBZ\tB-VP\tO' +p63662 +aS'right-handed\tright-handed\tJJ\tB-ADJP\tO' +p63663 +aS'.\t.\t.\tO\tO' +p63664 +asS'The ventricles are mildly prominent , but are unchanged from the prior study .' +p63665 +(lp63666 +S'The\tThe\tDT\tB-NP\tO' +p63667 +aS'ventricles\tventricle\tNNS\tI-NP\tO' +p63668 +aS'are\tbe\tVBP\tB-VP\tO' +p63669 +aS'mildly\tmildly\tRB\tB-ADJP\tO' +p63670 +aS'prominent\tprominent\tJJ\tI-ADJP\tO' +p63671 +aS',\t,\t,\tO\tO' +p63672 +aS'but\tbut\tCC\tO\tO' +p63673 +aS'are\tbe\tVBP\tB-VP\tO' +p63674 +aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' +p63675 +aS'from\tfrom\tIN\tB-PP\tO' +p63676 +aS'the\tthe\tDT\tB-NP\tO' +p63677 +aS'prior\tprior\tJJ\tI-NP\tO' +p63678 +aS'study\tstudy\tNN\tI-NP\tO' +p63679 +aS'.\t.\t.\tO\tO' +p63680 +asS'The BUN was 70 and creatinine was 4.6 and for this reason she had ultrasound of the kidney which showed bilateral hydronephrosis .' +p63681 +(lp63682 +S'The\tThe\tDT\tB-NP\tO' +p63683 +aS'BUN\tBUN\tNN\tI-NP\tB-protein' +p63684 +aS'was\tbe\tVBD\tB-VP\tO' +p63685 +aS'70\t70\tCD\tB-NP\tO' +p63686 +aS'and\tand\tCC\tO\tO' +p63687 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p63688 +aS'was\tbe\tVBD\tB-VP\tO' +p63689 +aS'4.6\t4.6\tCD\tB-NP\tO' +p63690 +aS'and\tand\tCC\tB-PP\tO' +p63691 +aS'for\tfor\tIN\tB-PP\tO' +p63692 +aS'this\tthis\tDT\tB-NP\tO' +p63693 +aS'reason\treason\tNN\tI-NP\tO' +p63694 +aS'she\tshe\tPRP\tB-NP\tO' +p63695 +aS'had\thave\tVBD\tB-VP\tO' +p63696 +aS'ultrasound\tultrasound\tVBN\tI-VP\tO' +p63697 +aS'of\tof\tIN\tB-PP\tO' +p63698 +aS'the\tthe\tDT\tB-NP\tO' +p63699 +aS'kidney\tkidney\tNN\tI-NP\tO' +p63700 +aS'which\twhich\tWDT\tB-NP\tO' +p63701 +aS'showed\tshow\tVBD\tB-VP\tO' +p63702 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p63703 +aS'hydronephrosis\thydronephrosis\tNN\tI-NP\tO' +p63704 +aS'.\t.\t.\tO\tO' +p63705 +asS'Coumadin was stopped and she received fFP for tunneled line change over a wire .' +p63706 +(lp63707 +S'Coumadin\tCoumadin\tNN\tB-NP\tO' +p63708 +aS'was\tbe\tVBD\tB-VP\tO' +p63709 +aS'stopped\tstop\tVBN\tI-VP\tO' +p63710 +aS'and\tand\tCC\tO\tO' +p63711 +aS'she\tshe\tPRP\tB-NP\tO' +p63712 +aS'received\treceive\tVBD\tB-VP\tO' +p63713 +aS'fFP\tfFP\tNN\tB-NP\tO' +p63714 +aS'for\tfor\tIN\tB-PP\tO' +p63715 +aS'tunneled\ttunnel\tVBN\tB-NP\tO' +p63716 +aS'line\tline\tNN\tI-NP\tO' +p63717 +aS'change\tchange\tNN\tI-NP\tO' +p63718 +aS'over\tover\tIN\tB-PP\tO' +p63719 +aS'a\ta\tDT\tB-NP\tO' +p63720 +aS'wire\twire\tNN\tI-NP\tO' +p63721 +aS'.\t.\t.\tO\tO' +p63722 +asS'He denied fevers , chills , nausea or vomiting , chest pain or diaphoresis .' +p63723 +(lp63724 +S'He\tHe\tPRP\tB-NP\tO' +p63725 +aS'denied\tdeny\tVBD\tB-VP\tO' +p63726 +aS'fevers\tfever\tNNS\tB-NP\tO' +p63727 +aS',\t,\t,\tO\tO' +p63728 +aS'chills\tchill\tNNS\tB-NP\tO' +p63729 +aS',\t,\t,\tO\tO' +p63730 +aS'nausea\tnausea\tNN\tB-NP\tO' +p63731 +aS'or\tor\tCC\tI-NP\tO' +p63732 +aS'vomiting\tvomiting\tNN\tI-NP\tO' +p63733 +aS',\t,\t,\tO\tO' +p63734 +aS'chest\tchest\tNN\tB-NP\tO' +p63735 +aS'pain\tpain\tNN\tI-NP\tO' +p63736 +aS'or\tor\tCC\tI-NP\tO' +p63737 +aS'diaphoresis\tdiaphoresis\tNN\tI-NP\tO' +p63738 +aS'.\t.\t.\tO\tO' +p63739 +asS'The patient eventually had a left subclavian Tesio catheter placed and a right brachial PICC line placed on July 10 , 1998 which remained patent and uninfected .' +p63740 +(lp63741 +S'The\tThe\tDT\tB-NP\tO' +p63742 +aS'patient\tpatient\tNN\tI-NP\tO' +p63743 +aS'eventually\teventually\tRB\tB-ADVP\tO' +p63744 +aS'had\thave\tVBD\tB-VP\tO' +p63745 +aS'a\ta\tDT\tB-NP\tO' +p63746 +aS'left\tleft\tJJ\tI-NP\tO' +p63747 +aS'subclavian\tsubclavian\tJJ\tI-NP\tO' +p63748 +aS'Tesio\tTesio\tNNP\tI-NP\tO' +p63749 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p63750 +aS'placed\tplace\tVBD\tB-VP\tO' +p63751 +aS'and\tand\tCC\tO\tO' +p63752 +aS'a\ta\tDT\tB-NP\tO' +p63753 +aS'right\tright\tJJ\tI-NP\tB-cell_line' +p63754 +aS'brachial\tbrachial\tJJ\tI-NP\tI-cell_line' +p63755 +aS'PICC\tPICC\tNN\tI-NP\tI-cell_line' +p63756 +aS'line\tline\tNN\tI-NP\tI-cell_line' +p63757 +aS'placed\tplace\tVBN\tB-VP\tO' +p63758 +aS'on\ton\tIN\tB-PP\tO' +p63759 +aS'July\tJuly\tNNP\tB-NP\tO' +p63760 +aS'10\t10\tCD\tI-NP\tO' +p63761 +aS',\t,\t,\tI-NP\tO' +p63762 +aS'1998\t1998\tCD\tI-NP\tO' +p63763 +aS'which\twhich\tWDT\tB-NP\tO' +p63764 +aS'remained\tremain\tVBD\tB-VP\tO' +p63765 +aS'patent\tpatent\tNN\tB-NP\tO' +p63766 +aS'and\tand\tCC\tO\tO' +p63767 +aS'uninfected\tuninfected\tJJ\tB-ADJP\tO' +p63768 +aS'.\t.\t.\tO\tO' +p63769 +asS'Several days prior to discharge , the patient developed some erythematous rash under her left breast and left side that was thought to be due to yeast .' +p63770 +(lp63771 +S'Several\tSeveral\tJJ\tB-NP\tO' +p63772 +aS'days\tday\tNNS\tI-NP\tO' +p63773 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p63774 +aS'to\tto\tTO\tB-VP\tO' +p63775 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p63776 +aS',\t,\t,\tO\tO' +p63777 +aS'the\tthe\tDT\tB-NP\tO' +p63778 +aS'patient\tpatient\tNN\tI-NP\tO' +p63779 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p63780 +aS'some\tsome\tDT\tB-NP\tO' +p63781 +aS'erythematous\terythematous\tJJ\tI-NP\tO' +p63782 +aS'rash\trash\tNN\tI-NP\tO' +p63783 +aS'under\tunder\tIN\tB-PP\tO' +p63784 +aS'her\ther\tPRP$\tB-NP\tO' +p63785 +aS'left\tleft\tJJ\tI-NP\tO' +p63786 +aS'breast\tbreast\tNN\tI-NP\tO' +p63787 +aS'and\tand\tCC\tO\tO' +p63788 +aS'left\tleft\tJJ\tB-NP\tO' +p63789 +aS'side\tside\tNN\tI-NP\tO' +p63790 +aS'that\tthat\tWDT\tB-NP\tO' +p63791 +aS'was\tbe\tVBD\tB-VP\tO' +p63792 +aS'thought\tthink\tVBN\tI-VP\tO' +p63793 +aS'to\tto\tTO\tI-VP\tO' +p63794 +aS'be\tbe\tVB\tI-VP\tO' +p63795 +aS'due\tdue\tIN\tB-PP\tO' +p63796 +aS'to\tto\tTO\tB-PP\tO' +p63797 +aS'yeast\tyeast\tNN\tB-NP\tO' +p63798 +aS'.\t.\t.\tO\tO' +p63799 +asS'At the time of discharge , Mr. Norman hematocrit is at 40.7 .' +p63800 +(lp63801 +S'At\tAt\tIN\tB-PP\tO' +p63802 +aS'the\tthe\tDT\tB-NP\tO' +p63803 +aS'time\ttime\tNN\tI-NP\tO' +p63804 +aS'of\tof\tIN\tB-PP\tO' +p63805 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p63806 +aS',\t,\t,\tO\tO' +p63807 +aS'Mr.\tMr.\tNNP\tB-NP\tO' +p63808 +aS'Norman\tNorman\tNNP\tI-NP\tO' +p63809 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p63810 +aS'is\tbe\tVBZ\tB-VP\tO' +p63811 +aS'at\tat\tIN\tB-PP\tO' +p63812 +aS'40.7\t40.7\tCD\tB-NP\tO' +p63813 +aS'.\t.\t.\tO\tO' +p63814 +asS'The MRI scan on admission revealed an impending cord compression at the level of T10 .' +p63815 +(lp63816 +S'The\tThe\tDT\tB-NP\tO' +p63817 +aS'MRI\tMRI\tNN\tI-NP\tO' +p63818 +aS'scan\tscan\tNN\tI-NP\tO' +p63819 +aS'on\ton\tIN\tB-PP\tO' +p63820 +aS'admission\tadmission\tNN\tB-NP\tO' +p63821 +aS'revealed\treveal\tVBD\tB-VP\tO' +p63822 +aS'an\tan\tDT\tB-NP\tO' +p63823 +aS'impending\timpending\tJJ\tI-NP\tO' +p63824 +aS'cord\tcord\tNN\tI-NP\tO' +p63825 +aS'compression\tcompression\tNN\tI-NP\tO' +p63826 +aS'at\tat\tIN\tB-PP\tO' +p63827 +aS'the\tthe\tDT\tB-NP\tO' +p63828 +aS'level\tlevel\tNN\tI-NP\tO' +p63829 +aS'of\tof\tIN\tB-PP\tO' +p63830 +aS'T10\tT10\tNN\tB-NP\tB-protein' +p63831 +aS'.\t.\t.\tO\tO' +p63832 +asS'The patient 's preoperative examination is notable for normal breasts , normal heart and lungs .' +p63833 +(lp63834 +S'The\tThe\tDT\tB-NP\tO' +p63835 +aS'patient\tpatient\tNN\tI-NP\tO' +p63836 +aS''s\t'\tNNS\tI-NP\tO' +p63837 +aS'preoperative\tpreoperative\tJJ\tB-NP\tO' +p63838 +aS'examination\texamination\tNN\tI-NP\tO' +p63839 +aS'is\tbe\tVBZ\tB-VP\tO' +p63840 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p63841 +aS'for\tfor\tIN\tB-PP\tO' +p63842 +aS'normal\tnormal\tJJ\tB-NP\tO' +p63843 +aS'breasts\tbreast\tNNS\tI-NP\tO' +p63844 +aS',\t,\t,\tO\tO' +p63845 +aS'normal\tnormal\tJJ\tB-NP\tO' +p63846 +aS'heart\theart\tNN\tI-NP\tO' +p63847 +aS'and\tand\tCC\tI-NP\tO' +p63848 +aS'lungs\tlung\tNNS\tI-NP\tO' +p63849 +aS'.\t.\t.\tO\tO' +p63850 +asS'11. Hypercholesterolemia .' +p63851 +(lp63852 +S'11.\t11.\tLS\tB-NP\tO' +p63853 +aS'Hypercholesterolemia\tHypercholesterolemia\tNN\tI-NP\tO' +p63854 +aS'.\t.\t.\tO\tO' +p63855 +asS'Brothers with William cancer and a MI .' +p63856 +(lp63857 +S'Brothers\tBrother\tNNS\tB-NP\tO' +p63858 +aS'with\twith\tIN\tB-PP\tO' +p63859 +aS'William\tWilliam\tNN\tB-NP\tO' +p63860 +aS'cancer\tcancer\tNN\tI-NP\tO' +p63861 +aS'and\tand\tCC\tO\tO' +p63862 +aS'a\ta\tDT\tB-NP\tO' +p63863 +aS'MI\tMI\tNN\tI-NP\tB-protein' +p63864 +aS'.\t.\t.\tO\tO' +p63865 +asS'Cryptogenic cirrhosis .' +p63866 +(lp63867 +S'Cryptogenic\tCryptogenic\tJJ\tB-NP\tO' +p63868 +aS'cirrhosis\tcirrhosis\tNN\tI-NP\tO' +p63869 +aS'.\t.\t.\tO\tO' +p63870 +asS'Ears are normally set .' +p63871 +(lp63872 +S'Ears\tEar\tNNS\tB-NP\tO' +p63873 +aS'are\tbe\tVBP\tB-VP\tO' +p63874 +aS'normally\tnormally\tRB\tI-VP\tO' +p63875 +aS'set\tset\tVBN\tI-VP\tO' +p63876 +aS'.\t.\t.\tO\tO' +p63877 +asS'There was visualization of flow within both posterior cerebral arteries .' +p63878 +(lp63879 +S'There\tThere\tEX\tB-NP\tO' +p63880 +aS'was\tbe\tVBD\tB-VP\tO' +p63881 +aS'visualization\tvisualization\tNN\tB-NP\tO' +p63882 +aS'of\tof\tIN\tB-PP\tO' +p63883 +aS'flow\tflow\tNN\tB-NP\tO' +p63884 +aS'within\twithin\tIN\tB-PP\tO' +p63885 +aS'both\tboth\tCC\tO\tO' +p63886 +aS'posterior\tposterior\tJJ\tB-NP\tO' +p63887 +aS'cerebral\tcerebral\tJJ\tI-NP\tO' +p63888 +aS'arteries\tartery\tNNS\tI-NP\tO' +p63889 +aS'.\t.\t.\tO\tO' +p63890 +asS'The patient describes chest discomfort without any significant EKG changes .' +p63891 +(lp63892 +S'The\tThe\tDT\tB-NP\tO' +p63893 +aS'patient\tpatient\tNN\tI-NP\tO' +p63894 +aS'describes\tdescribe\tVBZ\tB-VP\tO' +p63895 +aS'chest\tchest\tNN\tB-NP\tO' +p63896 +aS'discomfort\tdiscomfort\tNN\tI-NP\tO' +p63897 +aS'without\twithout\tIN\tB-PP\tO' +p63898 +aS'any\tany\tDT\tB-NP\tO' +p63899 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p63900 +aS'EKG\tEKG\tNN\tI-NP\tO' +p63901 +aS'changes\tchange\tNNS\tI-NP\tO' +p63902 +aS'.\t.\t.\tO\tO' +p63903 +asS'Bactrim DS tabs , one tablet p.o. q. day for ten days .' +p63904 +(lp63905 +S'Bactrim\tBactrim\tJJ\tB-NP\tB-protein' +p63906 +aS'DS\tDS\tNN\tI-NP\tI-protein' +p63907 +aS'tabs\ttab\tNNS\tI-NP\tI-protein' +p63908 +aS',\t,\t,\tO\tO' +p63909 +aS'one\tone\tCD\tB-NP\tO' +p63910 +aS'tablet\ttablet\tNN\tI-NP\tO' +p63911 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p63912 +aS'q.\tq.\tNN\tI-NP\tO' +p63913 +aS'day\tday\tNN\tI-NP\tO' +p63914 +aS'for\tfor\tIN\tB-PP\tO' +p63915 +aS'ten\tten\tCD\tB-NP\tO' +p63916 +aS'days\tday\tNNS\tI-NP\tO' +p63917 +aS'.\t.\t.\tO\tO' +p63918 +asS'The patient was admitted to the Fairm of Ijordcompmac Hospital .' +p63919 +(lp63920 +S'The\tThe\tDT\tB-NP\tO' +p63921 +aS'patient\tpatient\tNN\tI-NP\tO' +p63922 +aS'was\tbe\tVBD\tB-VP\tO' +p63923 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p63924 +aS'to\tto\tTO\tB-PP\tO' +p63925 +aS'the\tthe\tDT\tB-NP\tO' +p63926 +aS'Fairm\tFairm\tNNP\tI-NP\tO' +p63927 +aS'of\tof\tIN\tB-PP\tO' +p63928 +aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' +p63929 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p63930 +aS'.\t.\t.\tO\tO' +p63931 +asS'He also had an akinetic anterolateral and apical ventricle .' +p63932 +(lp63933 +S'He\tHe\tPRP\tB-NP\tO' +p63934 +aS'also\talso\tRB\tB-ADVP\tO' +p63935 +aS'had\thave\tVBD\tB-VP\tO' +p63936 +aS'an\tan\tDT\tB-NP\tO' +p63937 +aS'akinetic\takinetic\tJJ\tI-NP\tO' +p63938 +aS'anterolateral\tanterolateral\tJJ\tI-NP\tO' +p63939 +aS'and\tand\tCC\tI-NP\tO' +p63940 +aS'apical\tapical\tJJ\tI-NP\tO' +p63941 +aS'ventricle\tventricle\tNN\tI-NP\tO' +p63942 +aS'.\t.\t.\tO\tO' +p63943 +asS'He was made partial weight-bearing for his right lower extremity .' +p63944 +(lp63945 +S'He\tHe\tPRP\tB-NP\tO' +p63946 +aS'was\tbe\tVBD\tB-VP\tO' +p63947 +aS'made\tmake\tVBN\tI-VP\tO' +p63948 +aS'partial\tpartial\tJJ\tB-NP\tO' +p63949 +aS'weight-bearing\tweight-bearing\tNN\tI-NP\tO' +p63950 +aS'for\tfor\tIN\tB-PP\tO' +p63951 +aS'his\this\tPRP$\tB-NP\tO' +p63952 +aS'right\tright\tJJ\tI-NP\tO' +p63953 +aS'lower\tlow\tJJR\tI-NP\tO' +p63954 +aS'extremity\textremity\tNN\tI-NP\tO' +p63955 +aS'.\t.\t.\tO\tO' +p63956 +asS'However , one day prior to admission the patient developed right lower extremity pain and could not walk secondary to the pain .' +p63957 +(lp63958 +S'However\tHowever\tRB\tB-ADVP\tO' +p63959 +aS',\t,\t,\tO\tO' +p63960 +aS'one\tone\tCD\tB-NP\tO' +p63961 +aS'day\tday\tNN\tI-NP\tO' +p63962 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p63963 +aS'to\tto\tTO\tB-VP\tO' +p63964 +aS'admission\tadmission\tNN\tI-VP\tO' +p63965 +aS'the\tthe\tDT\tB-NP\tO' +p63966 +aS'patient\tpatient\tNN\tI-NP\tO' +p63967 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p63968 +aS'right\tright\tRB\tB-NP\tO' +p63969 +aS'lower\tlow\tJJR\tI-NP\tO' +p63970 +aS'extremity\textremity\tNN\tI-NP\tO' +p63971 +aS'pain\tpain\tNN\tI-NP\tO' +p63972 +aS'and\tand\tCC\tO\tO' +p63973 +aS'could\tcould\tMD\tB-VP\tO' +p63974 +aS'not\tnot\tRB\tI-VP\tO' +p63975 +aS'walk\twalk\tVB\tI-VP\tO' +p63976 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p63977 +aS'to\tto\tTO\tB-PP\tO' +p63978 +aS'the\tthe\tDT\tB-NP\tO' +p63979 +aS'pain\tpain\tNN\tI-NP\tO' +p63980 +aS'.\t.\t.\tO\tO' +p63981 +asS'However , she has no vomiting and only mild nausea with medications .' +p63982 +(lp63983 +S'However\tHowever\tRB\tB-ADVP\tO' +p63984 +aS',\t,\t,\tO\tO' +p63985 +aS'she\tshe\tPRP\tB-NP\tO' +p63986 +aS'has\thave\tVBZ\tB-VP\tO' +p63987 +aS'no\tno\tDT\tB-NP\tO' +p63988 +aS'vomiting\tvomiting\tNN\tI-NP\tO' +p63989 +aS'and\tand\tCC\tO\tO' +p63990 +aS'only\tonly\tRB\tB-NP\tO' +p63991 +aS'mild\tmild\tJJ\tI-NP\tO' +p63992 +aS'nausea\tnausea\tNN\tI-NP\tO' +p63993 +aS'with\twith\tIN\tB-PP\tO' +p63994 +aS'medications\tmedication\tNNS\tB-NP\tO' +p63995 +aS'.\t.\t.\tO\tO' +p63996 +asS'The generalized and background features indicate a wide-spread encephalopathy .' +p63997 +(lp63998 +S'The\tThe\tDT\tB-NP\tO' +p63999 +aS'generalized\tgeneralize\tVBN\tI-NP\tO' +p64000 +aS'and\tand\tCC\tI-NP\tO' +p64001 +aS'background\tbackground\tNN\tI-NP\tO' +p64002 +aS'features\tfeature\tNNS\tI-NP\tO' +p64003 +aS'indicate\tindicate\tVBP\tB-VP\tO' +p64004 +aS'a\ta\tDT\tB-NP\tO' +p64005 +aS'wide-spread\twide-spread\tJJ\tI-NP\tO' +p64006 +aS'encephalopathy\tencephalopathy\tNN\tI-NP\tO' +p64007 +aS'.\t.\t.\tO\tO' +p64008 +asS'Gastroenterology was consulted for this .' +p64009 +(lp64010 +S'Gastroenterology\tGastroenterology\tNN\tB-NP\tO' +p64011 +aS'was\tbe\tVBD\tB-VP\tO' +p64012 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p64013 +aS'for\tfor\tIN\tB-PP\tO' +p64014 +aS'this\tthis\tDT\tB-NP\tO' +p64015 +aS'.\t.\t.\tO\tO' +p64016 +asS'15. Regular insulin sliding scale with finger sticks qac and qhs .' +p64017 +(lp64018 +S'15.\t15.\tLS\tB-NP\tO' +p64019 +aS'Regular\tRegular\tJJ\tI-NP\tB-protein' +p64020 +aS'insulin\tinsulin\tNN\tI-NP\tI-protein' +p64021 +aS'sliding\tslide\tVBG\tB-VP\tO' +p64022 +aS'scale\tscale\tNN\tB-NP\tO' +p64023 +aS'with\twith\tIN\tB-PP\tO' +p64024 +aS'finger\tfinger\tNN\tB-NP\tO' +p64025 +aS'sticks\tstick\tNNS\tI-NP\tO' +p64026 +aS'qac\tqac\tNN\tI-NP\tO' +p64027 +aS'and\tand\tCC\tI-NP\tO' +p64028 +aS'qhs\tqh\tNNS\tI-NP\tO' +p64029 +aS'.\t.\t.\tO\tO' +p64030 +asS'Since chemo pt has intermittent nausea adequately controlled by zofran and compazine .' +p64031 +(lp64032 +S'Since\tSince\tIN\tB-SBAR\tO' +p64033 +aS'chemo\tchemo\tNN\tB-NP\tO' +p64034 +aS'pt\tpt\tNN\tI-NP\tO' +p64035 +aS'has\thave\tVBZ\tB-VP\tO' +p64036 +aS'intermittent\tintermittent\tJJ\tB-NP\tO' +p64037 +aS'nausea\tnausea\tNN\tI-NP\tO' +p64038 +aS'adequately\tadequately\tRB\tB-VP\tO' +p64039 +aS'controlled\tcontrol\tVBN\tI-VP\tO' +p64040 +aS'by\tby\tIN\tB-PP\tO' +p64041 +aS'zofran\tzofran\tNN\tB-NP\tO' +p64042 +aS'and\tand\tCC\tI-NP\tO' +p64043 +aS'compazine\tcompazine\tNN\tI-NP\tO' +p64044 +aS'.\t.\t.\tO\tO' +p64045 +asS'She had wounds which were clean , dry and intact and the patient was stable from a respiratory standpoint using her respirator at night .' +p64046 +(lp64047 +S'She\tShe\tPRP\tB-NP\tO' +p64048 +aS'had\thave\tVBD\tB-VP\tO' +p64049 +aS'wounds\twound\tNNS\tB-NP\tO' +p64050 +aS'which\twhich\tWDT\tB-NP\tO' +p64051 +aS'were\tbe\tVBD\tB-VP\tO' +p64052 +aS'clean\tclean\tJJ\tB-ADJP\tO' +p64053 +aS',\t,\t,\tO\tO' +p64054 +aS'dry\tdry\tJJ\tB-ADJP\tO' +p64055 +aS'and\tand\tCC\tI-ADJP\tO' +p64056 +aS'intact\tintact\tJJ\tI-ADJP\tO' +p64057 +aS'and\tand\tCC\tO\tO' +p64058 +aS'the\tthe\tDT\tB-NP\tO' +p64059 +aS'patient\tpatient\tNN\tI-NP\tO' +p64060 +aS'was\tbe\tVBD\tB-VP\tO' +p64061 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p64062 +aS'from\tfrom\tIN\tB-PP\tO' +p64063 +aS'a\ta\tDT\tB-NP\tO' +p64064 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p64065 +aS'standpoint\tstandpoint\tNN\tI-NP\tO' +p64066 +aS'using\tuse\tVBG\tB-VP\tO' +p64067 +aS'her\ther\tPRP$\tB-NP\tO' +p64068 +aS'respirator\trespirator\tNN\tI-NP\tO' +p64069 +aS'at\tat\tIN\tB-PP\tO' +p64070 +aS'night\tnight\tNN\tB-NP\tO' +p64071 +aS'.\t.\t.\tO\tO' +p64072 +asS'He was subsequently switched to Imipenem and Tobramycin and was maintained on those medications throughout the hospital course .' +p64073 +(lp64074 +S'He\tHe\tPRP\tB-NP\tO' +p64075 +aS'was\tbe\tVBD\tB-VP\tO' +p64076 +aS'subsequently\tsubsequently\tRB\tI-VP\tO' +p64077 +aS'switched\tswitch\tVBN\tI-VP\tO' +p64078 +aS'to\tto\tTO\tB-PP\tO' +p64079 +aS'Imipenem\tImipenem\tNN\tB-NP\tO' +p64080 +aS'and\tand\tCC\tI-NP\tO' +p64081 +aS'Tobramycin\tTobramycin\tNN\tI-NP\tO' +p64082 +aS'and\tand\tCC\tO\tO' +p64083 +aS'was\tbe\tVBD\tB-VP\tO' +p64084 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p64085 +aS'on\ton\tIN\tB-PP\tO' +p64086 +aS'those\tthose\tDT\tB-NP\tO' +p64087 +aS'medications\tmedication\tNNS\tI-NP\tO' +p64088 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p64089 +aS'the\tthe\tDT\tB-NP\tO' +p64090 +aS'hospital\thospital\tNN\tI-NP\tO' +p64091 +aS'course\tcourse\tNN\tI-NP\tO' +p64092 +aS'.\t.\t.\tO\tO' +p64093 +asS'He lives with his two brothers and is on disability .' +p64094 +(lp64095 +S'He\tHe\tPRP\tB-NP\tO' +p64096 +aS'lives\tlive\tVBZ\tB-VP\tO' +p64097 +aS'with\twith\tIN\tB-PP\tO' +p64098 +aS'his\this\tPRP$\tB-NP\tO' +p64099 +aS'two\ttwo\tCD\tI-NP\tO' +p64100 +aS'brothers\tbrother\tNNS\tI-NP\tO' +p64101 +aS'and\tand\tCC\tO\tO' +p64102 +aS'is\tbe\tVBZ\tB-VP\tO' +p64103 +aS'on\ton\tIN\tB-PP\tO' +p64104 +aS'disability\tdisability\tNN\tB-NP\tO' +p64105 +aS'.\t.\t.\tO\tO' +p64106 +asS'Patient is a 58 year old male with a recent admission for abdominal pain s/p negative exploratory laparotomy for suspected intussuception now returns on day of discharge with fever and tachycardia .' +p64107 +(lp64108 +S'Patient\tPatient\tNN\tB-NP\tO' +p64109 +aS'is\tbe\tVBZ\tB-VP\tO' +p64110 +aS'a\ta\tDT\tB-NP\tO' +p64111 +aS'58\t58\tCD\tI-NP\tO' +p64112 +aS'year\tyear\tNN\tI-NP\tO' +p64113 +aS'old\told\tJJ\tI-NP\tO' +p64114 +aS'male\tmale\tNN\tI-NP\tO' +p64115 +aS'with\twith\tIN\tB-PP\tO' +p64116 +aS'a\ta\tDT\tB-NP\tO' +p64117 +aS'recent\trecent\tJJ\tI-NP\tO' +p64118 +aS'admission\tadmission\tNN\tI-NP\tO' +p64119 +aS'for\tfor\tIN\tB-PP\tO' +p64120 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p64121 +aS'pain\tpain\tNN\tI-NP\tO' +p64122 +aS's/p\ts/p\tNN\tI-NP\tO' +p64123 +aS'negative\tnegative\tJJ\tI-NP\tO' +p64124 +aS'exploratory\texploratory\tJJ\tI-NP\tO' +p64125 +aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' +p64126 +aS'for\tfor\tIN\tB-PP\tO' +p64127 +aS'suspected\tsuspect\tVBN\tB-NP\tO' +p64128 +aS'intussuception\tintussuception\tNN\tI-NP\tO' +p64129 +aS'now\tnow\tRB\tB-ADVP\tO' +p64130 +aS'returns\treturn\tVBZ\tB-VP\tO' +p64131 +aS'on\ton\tIN\tB-PP\tO' +p64132 +aS'day\tday\tNN\tB-NP\tO' +p64133 +aS'of\tof\tIN\tB-PP\tO' +p64134 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p64135 +aS'with\twith\tIN\tB-PP\tO' +p64136 +aS'fever\tfever\tNN\tB-NP\tO' +p64137 +aS'and\tand\tCC\tI-NP\tO' +p64138 +aS'tachycardia\ttachycardia\tNN\tI-NP\tO' +p64139 +aS'.\t.\t.\tO\tO' +p64140 +asS'The mitral valve appears structurally normal with trivial mitral regurgitation .' +p64141 +(lp64142 +S'The\tThe\tDT\tB-NP\tO' +p64143 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p64144 +aS'valve\tvalve\tNN\tI-NP\tO' +p64145 +aS'appears\tappear\tVBZ\tB-VP\tO' +p64146 +aS'structurally\tstructurally\tRB\tB-ADJP\tO' +p64147 +aS'normal\tnormal\tJJ\tI-ADJP\tO' +p64148 +aS'with\twith\tIN\tB-PP\tO' +p64149 +aS'trivial\ttrivial\tJJ\tB-NP\tO' +p64150 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p64151 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p64152 +aS'.\t.\t.\tO\tO' +p64153 +asS'Vasotec 20 mg PO b.i.d. , Clonidine 0.2 mg PO b.i.d. , Nifedipine 20 mg PO t.i.d. , Flexeril 10 mg PO t.i.d. , Valium 5 mg PO t.i.d. , Micronase 1.25 mg q.day .' +p64154 +(lp64155 +S'Vasotec\tVasotec\tRB\tB-NP\tO' +p64156 +aS'20\t20\tCD\tI-NP\tO' +p64157 +aS'mg\tmg\tNN\tI-NP\tO' +p64158 +aS'PO\tPO\tNN\tI-NP\tO' +p64159 +aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' +p64160 +aS',\t,\t,\tO\tO' +p64161 +aS'Clonidine\tClonidine\tNN\tB-NP\tO' +p64162 +aS'0.2\t0.2\tCD\tI-NP\tO' +p64163 +aS'mg\tmg\tNN\tI-NP\tO' +p64164 +aS'PO\tPO\tNN\tI-NP\tO' +p64165 +aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' +p64166 +aS',\t,\t,\tO\tO' +p64167 +aS'Nifedipine\tNifedipine\tNN\tB-NP\tO' +p64168 +aS'20\t20\tCD\tI-NP\tO' +p64169 +aS'mg\tmg\tNN\tI-NP\tO' +p64170 +aS'PO\tPO\tNN\tI-NP\tO' +p64171 +aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' +p64172 +aS',\t,\t,\tO\tO' +p64173 +aS'Flexeril\tFlexeril\tNNP\tB-NP\tO' +p64174 +aS'10\t10\tCD\tI-NP\tO' +p64175 +aS'mg\tmg\tNN\tI-NP\tO' +p64176 +aS'PO\tPO\tNN\tI-NP\tO' +p64177 +aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' +p64178 +aS',\t,\t,\tO\tO' +p64179 +aS'Valium\tValium\tNNP\tB-NP\tO' +p64180 +aS'5\t5\tCD\tI-NP\tO' +p64181 +aS'mg\tmg\tNN\tI-NP\tO' +p64182 +aS'PO\tPO\tNN\tI-NP\tO' +p64183 +aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' +p64184 +aS',\t,\t,\tO\tO' +p64185 +aS'Micronase\tMicronase\tNNP\tB-NP\tO' +p64186 +aS'1.25\t1.25\tCD\tI-NP\tO' +p64187 +aS'mg\tmg\tNN\tI-NP\tO' +p64188 +aS'q.day\tq.day\tNN\tI-NP\tO' +p64189 +aS'.\t.\t.\tO\tO' +p64190 +asS'The patient was started on Meclizine on December 31 , 2000 for her nausea and vertigo .' +p64191 +(lp64192 +S'The\tThe\tDT\tB-NP\tO' +p64193 +aS'patient\tpatient\tNN\tI-NP\tO' +p64194 +aS'was\tbe\tVBD\tB-VP\tO' +p64195 +aS'started\tstart\tVBN\tI-VP\tO' +p64196 +aS'on\ton\tIN\tB-PP\tO' +p64197 +aS'Meclizine\tMeclizine\tNN\tB-NP\tO' +p64198 +aS'on\ton\tIN\tB-PP\tO' +p64199 +aS'December\tDecember\tNNP\tB-NP\tO' +p64200 +aS'31\t31\tCD\tI-NP\tO' +p64201 +aS',\t,\t,\tI-NP\tO' +p64202 +aS'2000\t2000\tCD\tI-NP\tO' +p64203 +aS'for\tfor\tIN\tB-PP\tO' +p64204 +aS'her\ther\tPRP$\tB-NP\tO' +p64205 +aS'nausea\tnausea\tNN\tI-NP\tO' +p64206 +aS'and\tand\tCC\tI-NP\tO' +p64207 +aS'vertigo\tvertigo\tNN\tI-NP\tO' +p64208 +aS'.\t.\t.\tO\tO' +p64209 +asS'Cardiology was consulted at that time to evaluate his heart .' +p64210 +(lp64211 +S'Cardiology\tCardiology\tNN\tB-NP\tO' +p64212 +aS'was\tbe\tVBD\tB-VP\tO' +p64213 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p64214 +aS'at\tat\tIN\tB-PP\tO' +p64215 +aS'that\tthat\tDT\tB-NP\tO' +p64216 +aS'time\ttime\tNN\tI-NP\tO' +p64217 +aS'to\tto\tTO\tB-VP\tO' +p64218 +aS'evaluate\tevaluate\tVB\tI-VP\tO' +p64219 +aS'his\this\tPRP$\tB-NP\tO' +p64220 +aS'heart\theart\tNN\tI-NP\tO' +p64221 +aS'.\t.\t.\tO\tO' +p64222 +asS'He received DVT prophylaxis with SC Heparin .' +p64223 +(lp64224 +S'He\tHe\tPRP\tB-NP\tO' +p64225 +aS'received\treceive\tVBD\tB-VP\tO' +p64226 +aS'DVT\tDVT\tNN\tB-NP\tO' +p64227 +aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' +p64228 +aS'with\twith\tIN\tB-PP\tO' +p64229 +aS'SC\tSC\tNN\tB-NP\tB-protein' +p64230 +aS'Heparin\tHeparin\tNN\tI-NP\tI-protein' +p64231 +aS'.\t.\t.\tO\tO' +p64232 +asS'Initial CBC had a white count of 16 , platelet count of 204 , 53 polys and 0 bands .' +p64233 +(lp64234 +S'Initial\tInitial\tJJ\tB-NP\tO' +p64235 +aS'CBC\tCBC\tNN\tI-NP\tO' +p64236 +aS'had\thave\tVBD\tB-VP\tO' +p64237 +aS'a\ta\tDT\tB-NP\tO' +p64238 +aS'white\twhite\tJJ\tI-NP\tO' +p64239 +aS'count\tcount\tNN\tI-NP\tO' +p64240 +aS'of\tof\tIN\tB-PP\tO' +p64241 +aS'16\t16\tCD\tB-NP\tO' +p64242 +aS',\t,\t,\tO\tO' +p64243 +aS'platelet\tplatelet\tNN\tB-NP\tO' +p64244 +aS'count\tcount\tNN\tI-NP\tO' +p64245 +aS'of\tof\tIN\tB-PP\tO' +p64246 +aS'204\t204\tCD\tB-NP\tO' +p64247 +aS',\t,\t,\tO\tO' +p64248 +aS'53\t53\tCD\tB-NP\tO' +p64249 +aS'polys\tpoly\tNNS\tI-NP\tO' +p64250 +aS'and\tand\tCC\tO\tO' +p64251 +aS'0\t0\tCD\tB-NP\tO' +p64252 +aS'bands\tband\tNNS\tI-NP\tO' +p64253 +aS'.\t.\t.\tO\tO' +p64254 +asS'She denies alcohol use .' +p64255 +(lp64256 +S'She\tShe\tPRP\tB-NP\tO' +p64257 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p64258 +aS'alcohol\talcohol\tNN\tB-NP\tO' +p64259 +aS'use\tuse\tNN\tI-NP\tO' +p64260 +aS'.\t.\t.\tO\tO' +p64261 +asS'CSF was notable for sugar level of 65 and total protein level of 56 .' +p64262 +(lp64263 +S'CSF\tCSF\tNN\tB-NP\tB-protein' +p64264 +aS'was\tbe\tVBD\tB-VP\tO' +p64265 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p64266 +aS'for\tfor\tIN\tB-PP\tO' +p64267 +aS'sugar\tsugar\tNN\tB-NP\tO' +p64268 +aS'level\tlevel\tNN\tI-NP\tO' +p64269 +aS'of\tof\tIN\tB-PP\tO' +p64270 +aS'65\t65\tCD\tB-NP\tO' +p64271 +aS'and\tand\tCC\tO\tO' +p64272 +aS'total\ttotal\tJJ\tB-NP\tO' +p64273 +aS'protein\tprotein\tNN\tI-NP\tO' +p64274 +aS'level\tlevel\tNN\tI-NP\tO' +p64275 +aS'of\tof\tIN\tB-PP\tO' +p64276 +aS'56\t56\tCD\tB-NP\tO' +p64277 +aS'.\t.\t.\tO\tO' +p64278 +asS'Neurologically , the patient is alert and oriented times three , anxious .' +p64279 +(lp64280 +S'Neurologically\tNeurologically\tRB\tB-ADVP\tO' +p64281 +aS',\t,\t,\tO\tO' +p64282 +aS'the\tthe\tDT\tB-NP\tO' +p64283 +aS'patient\tpatient\tNN\tI-NP\tO' +p64284 +aS'is\tbe\tVBZ\tB-VP\tO' +p64285 +aS'alert\talert\tJJ\tB-ADJP\tO' +p64286 +aS'and\tand\tCC\tO\tO' +p64287 +aS'oriented\torient\tVBN\tB-VP\tO' +p64288 +aS'times\ttime\tNNS\tB-NP\tO' +p64289 +aS'three\tthree\tCD\tB-NP\tO' +p64290 +aS',\t,\t,\tO\tO' +p64291 +aS'anxious\tanxious\tJJ\tB-ADJP\tO' +p64292 +aS'.\t.\t.\tO\tO' +p64293 +asS'No elevated JVP appreciated .' +p64294 +(lp64295 +S'No\tNo\tDT\tB-NP\tO' +p64296 +aS'elevated\televated\tJJ\tI-NP\tO' +p64297 +aS'JVP\tJVP\tNN\tI-NP\tO' +p64298 +aS'appreciated\tappreciate\tVBN\tB-VP\tO' +p64299 +aS'.\t.\t.\tO\tO' +p64300 +asS'Per daughter , pt did not note chest pain , tachycardia , had a good PO intake and no noted seizure activity .' +p64301 +(lp64302 +S'Per\tPer\tNNP\tB-NP\tO' +p64303 +aS'daughter\tdaughter\tNN\tI-NP\tO' +p64304 +aS',\t,\t,\tO\tO' +p64305 +aS'pt\tpt\tNN\tB-NP\tO' +p64306 +aS'did\tdo\tVBD\tB-VP\tO' +p64307 +aS'not\tnot\tRB\tI-VP\tO' +p64308 +aS'note\tnote\tVB\tI-VP\tO' +p64309 +aS'chest\tchest\tNN\tB-NP\tO' +p64310 +aS'pain\tpain\tNN\tI-NP\tO' +p64311 +aS',\t,\t,\tO\tO' +p64312 +aS'tachycardia\ttachycardia\tNN\tB-NP\tO' +p64313 +aS',\t,\t,\tO\tO' +p64314 +aS'had\thave\tVBD\tB-VP\tO' +p64315 +aS'a\ta\tDT\tB-NP\tO' +p64316 +aS'good\tgood\tJJ\tI-NP\tO' +p64317 +aS'PO\tPO\tNN\tI-NP\tO' +p64318 +aS'intake\tintake\tNN\tI-NP\tO' +p64319 +aS'and\tand\tCC\tO\tO' +p64320 +aS'no\tno\tDT\tB-NP\tO' +p64321 +aS'noted\tnote\tVBN\tI-NP\tO' +p64322 +aS'seizure\tseizure\tNN\tI-NP\tO' +p64323 +aS'activity\tactivity\tNN\tI-NP\tO' +p64324 +aS'.\t.\t.\tO\tO' +p64325 +asS'He was breathing 12 per minute and saturating 98% .' +p64326 +(lp64327 +S'He\tHe\tPRP\tB-NP\tO' +p64328 +aS'was\tbe\tVBD\tB-VP\tO' +p64329 +aS'breathing\tbreathe\tVBG\tI-VP\tO' +p64330 +aS'12\t12\tCD\tB-NP\tO' +p64331 +aS'per\tper\tIN\tB-PP\tO' +p64332 +aS'minute\tminute\tNN\tB-NP\tO' +p64333 +aS'and\tand\tCC\tO\tO' +p64334 +aS'saturating\tsaturate\tVBG\tB-VP\tO' +p64335 +aS'98%\t98%\tCD\tB-NP\tO' +p64336 +aS'.\t.\t.\tO\tO' +p64337 +asS'This was minimized with limitation of volume at each feed with frequent feeding .' +p64338 +(lp64339 +S'This\tThis\tDT\tB-NP\tO' +p64340 +aS'was\tbe\tVBD\tB-VP\tO' +p64341 +aS'minimized\tminimize\tVBN\tI-VP\tO' +p64342 +aS'with\twith\tIN\tB-PP\tO' +p64343 +aS'limitation\tlimitation\tNN\tB-NP\tO' +p64344 +aS'of\tof\tIN\tB-PP\tO' +p64345 +aS'volume\tvolume\tNN\tB-NP\tO' +p64346 +aS'at\tat\tIN\tB-PP\tO' +p64347 +aS'each\teach\tDT\tB-NP\tO' +p64348 +aS'feed\tfeed\tNN\tI-NP\tO' +p64349 +aS'with\twith\tIN\tB-PP\tO' +p64350 +aS'frequent\tfrequent\tJJ\tB-NP\tO' +p64351 +aS'feeding\tfeeding\tNN\tI-NP\tO' +p64352 +aS'.\t.\t.\tO\tO' +p64353 +asS'The patient was in his usual state of health until two months prior to admission when he began to notice shortness of breath on climbing flights of stairs .' +p64354 +(lp64355 +S'The\tThe\tDT\tB-NP\tO' +p64356 +aS'patient\tpatient\tNN\tI-NP\tO' +p64357 +aS'was\tbe\tVBD\tB-VP\tO' +p64358 +aS'in\tin\tIN\tB-PP\tO' +p64359 +aS'his\this\tPRP$\tB-NP\tO' +p64360 +aS'usual\tusual\tJJ\tI-NP\tO' +p64361 +aS'state\tstate\tNN\tI-NP\tO' +p64362 +aS'of\tof\tIN\tB-PP\tO' +p64363 +aS'health\thealth\tNN\tB-NP\tO' +p64364 +aS'until\tuntil\tIN\tB-PP\tO' +p64365 +aS'two\ttwo\tCD\tB-NP\tO' +p64366 +aS'months\tmonth\tNNS\tI-NP\tO' +p64367 +aS'prior\tprior\tRB\tB-ADVP\tO' +p64368 +aS'to\tto\tTO\tB-PP\tO' +p64369 +aS'admission\tadmission\tNN\tB-NP\tO' +p64370 +aS'when\twhen\tWRB\tB-ADVP\tO' +p64371 +aS'he\the\tPRP\tB-NP\tO' +p64372 +aS'began\tbegin\tVBD\tB-VP\tO' +p64373 +aS'to\tto\tTO\tI-VP\tO' +p64374 +aS'notice\tnotice\tVB\tI-VP\tO' +p64375 +aS'shortness\tshortness\tNN\tB-NP\tO' +p64376 +aS'of\tof\tIN\tB-PP\tO' +p64377 +aS'breath\tbreath\tNN\tB-NP\tO' +p64378 +aS'on\ton\tIN\tB-PP\tO' +p64379 +aS'climbing\tclimb\tVBG\tB-VP\tO' +p64380 +aS'flights\tflight\tNNS\tB-NP\tO' +p64381 +aS'of\tof\tIN\tB-PP\tO' +p64382 +aS'stairs\tstair\tNNS\tB-NP\tO' +p64383 +aS'.\t.\t.\tO\tO' +p64384 +asS'Continuous venovenous hemodialysis was started on July 5 , and continued for most of the remainder of the patient 's course .' +p64385 +(lp64386 +S'Continuous\tContinuous\tJJ\tB-NP\tO' +p64387 +aS'venovenous\tvenovenous\tJJ\tI-NP\tO' +p64388 +aS'hemodialysis\themodialysis\tNN\tI-NP\tO' +p64389 +aS'was\tbe\tVBD\tB-VP\tO' +p64390 +aS'started\tstart\tVBN\tI-VP\tO' +p64391 +aS'on\ton\tIN\tB-PP\tO' +p64392 +aS'July\tJuly\tNNP\tB-NP\tO' +p64393 +aS'5\t5\tCD\tI-NP\tO' +p64394 +aS',\t,\t,\tO\tO' +p64395 +aS'and\tand\tCC\tO\tO' +p64396 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p64397 +aS'for\tfor\tIN\tB-PP\tO' +p64398 +aS'most\tmost\tJJS\tB-NP\tO' +p64399 +aS'of\tof\tIN\tB-PP\tO' +p64400 +aS'the\tthe\tDT\tB-NP\tO' +p64401 +aS'remainder\tremainder\tNN\tI-NP\tO' +p64402 +aS'of\tof\tIN\tB-PP\tO' +p64403 +aS'the\tthe\tDT\tB-NP\tO' +p64404 +aS'patient\tpatient\tNN\tI-NP\tO' +p64405 +aS''s\t'\tNNS\tI-NP\tO' +p64406 +aS'course\tcourse\tNN\tI-NP\tO' +p64407 +aS'.\t.\t.\tO\tO' +p64408 +asS'The patient was continued on antibiotics and we obtained a CT scan to check for an enterocutaneous fistula .' +p64409 +(lp64410 +S'The\tThe\tDT\tB-NP\tO' +p64411 +aS'patient\tpatient\tNN\tI-NP\tO' +p64412 +aS'was\tbe\tVBD\tB-VP\tO' +p64413 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p64414 +aS'on\ton\tIN\tB-PP\tO' +p64415 +aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' +p64416 +aS'and\tand\tCC\tO\tO' +p64417 +aS'we\twe\tPRP\tB-NP\tO' +p64418 +aS'obtained\tobtain\tVBD\tB-VP\tO' +p64419 +aS'a\ta\tDT\tB-NP\tO' +p64420 +aS'CT\tCT\tNN\tI-NP\tO' +p64421 +aS'scan\tscan\tNN\tI-NP\tO' +p64422 +aS'to\tto\tTO\tB-VP\tO' +p64423 +aS'check\tcheck\tVB\tI-VP\tO' +p64424 +aS'for\tfor\tIN\tB-PP\tO' +p64425 +aS'an\tan\tDT\tB-NP\tO' +p64426 +aS'enterocutaneous\tenterocutaneous\tJJ\tI-NP\tO' +p64427 +aS'fistula\tfistula\tNN\tI-NP\tO' +p64428 +aS'.\t.\t.\tO\tO' +p64429 +asS'Subsequent discontinuance of azithromycin , trial of 5-FC , with increasing neutropenia requiring discontinuance , change if itraconazole to voriconazole , given continued neutropenia , and trial of sulfadiazine , discontinued for increasing ARS .' +p64430 +(lp64431 +S'Subsequent\tSubsequent\tJJ\tB-NP\tO' +p64432 +aS'discontinuance\tdiscontinuance\tNN\tI-NP\tO' +p64433 +aS'of\tof\tIN\tB-PP\tO' +p64434 +aS'azithromycin\tazithromycin\tNN\tB-NP\tO' +p64435 +aS',\t,\t,\tO\tO' +p64436 +aS'trial\ttrial\tNN\tB-NP\tO' +p64437 +aS'of\tof\tIN\tB-PP\tO' +p64438 +aS'5-FC\t5-FC\tNN\tB-NP\tO' +p64439 +aS',\t,\t,\tO\tO' +p64440 +aS'with\twith\tIN\tB-PP\tO' +p64441 +aS'increasing\tincrease\tVBG\tB-NP\tO' +p64442 +aS'neutropenia\tneutropenia\tNN\tI-NP\tO' +p64443 +aS'requiring\trequire\tVBG\tI-NP\tO' +p64444 +aS'discontinuance\tdiscontinuance\tNN\tI-NP\tO' +p64445 +aS',\t,\t,\tO\tO' +p64446 +aS'change\tchange\tNN\tB-NP\tO' +p64447 +aS'if\tif\tIN\tB-SBAR\tO' +p64448 +aS'itraconazole\titraconazole\tNN\tB-NP\tO' +p64449 +aS'to\tto\tTO\tB-PP\tO' +p64450 +aS'voriconazole\tvoriconazole\tNN\tB-NP\tO' +p64451 +aS',\t,\t,\tO\tO' +p64452 +aS'given\tgive\tVBN\tB-PP\tO' +p64453 +aS'continued\tcontinue\tVBN\tB-NP\tO' +p64454 +aS'neutropenia\tneutropenia\tNN\tI-NP\tO' +p64455 +aS',\t,\t,\tO\tO' +p64456 +aS'and\tand\tCC\tO\tO' +p64457 +aS'trial\ttrial\tNN\tB-NP\tO' +p64458 +aS'of\tof\tIN\tB-PP\tO' +p64459 +aS'sulfadiazine\tsulfadiazine\tNN\tB-NP\tO' +p64460 +aS',\t,\t,\tO\tO' +p64461 +aS'discontinued\tdiscontinue\tVBN\tB-VP\tO' +p64462 +aS'for\tfor\tIN\tB-PP\tO' +p64463 +aS'increasing\tincrease\tVBG\tB-VP\tO' +p64464 +aS'ARS\tARS\tNN\tB-NP\tB-protein' +p64465 +aS'.\t.\t.\tO\tO' +p64466 +asS'The patient quickly responded to a fluid bolus and became interactive .' +p64467 +(lp64468 +S'The\tThe\tDT\tB-NP\tO' +p64469 +aS'patient\tpatient\tNN\tI-NP\tO' +p64470 +aS'quickly\tquickly\tRB\tB-ADVP\tO' +p64471 +aS'responded\trespond\tVBD\tB-VP\tO' +p64472 +aS'to\tto\tTO\tB-PP\tO' +p64473 +aS'a\ta\tDT\tB-NP\tO' +p64474 +aS'fluid\tfluid\tNN\tI-NP\tO' +p64475 +aS'bolus\tbolus\tNN\tI-NP\tO' +p64476 +aS'and\tand\tCC\tO\tO' +p64477 +aS'became\tbecome\tVBD\tB-VP\tO' +p64478 +aS'interactive\tinteractive\tJJ\tB-ADJP\tO' +p64479 +aS'.\t.\t.\tO\tO' +p64480 +asS'He was awake , alert , uncomfortable secondary to incisional tenderness at neck site as well as right iliac graft site .' +p64481 +(lp64482 +S'He\tHe\tPRP\tB-NP\tO' +p64483 +aS'was\tbe\tVBD\tB-VP\tO' +p64484 +aS'awake\tawake\tJJ\tB-NP\tO' +p64485 +aS',\t,\t,\tI-NP\tO' +p64486 +aS'alert\talert\tJJ\tI-NP\tO' +p64487 +aS',\t,\t,\tI-NP\tO' +p64488 +aS'uncomfortable\tuncomfortable\tJJ\tI-NP\tO' +p64489 +aS'secondary\tsecondary\tJJ\tI-NP\tO' +p64490 +aS'to\tto\tTO\tB-PP\tO' +p64491 +aS'incisional\tincisional\tJJ\tB-NP\tO' +p64492 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p64493 +aS'at\tat\tIN\tB-PP\tO' +p64494 +aS'neck\tneck\tNN\tB-NP\tO' +p64495 +aS'site\tsite\tNN\tI-NP\tO' +p64496 +aS'as\tas\tRB\tB-CONJP\tO' +p64497 +aS'well\twell\tRB\tI-CONJP\tO' +p64498 +aS'as\tas\tIN\tI-CONJP\tO' +p64499 +aS'right\tright\tJJ\tB-NP\tB-DNA' +p64500 +aS'iliac\tiliac\tJJ\tI-NP\tI-DNA' +p64501 +aS'graft\tgraft\tNN\tI-NP\tI-DNA' +p64502 +aS'site\tsite\tNN\tI-NP\tI-DNA' +p64503 +aS'.\t.\t.\tO\tO' +p64504 +asS'28. Lorazepam 1 mg Tablet Sig : 0.5 Tablet PO Q6H ( every 6 hours ) as needed .' +p64505 +(lp64506 +S'28.\t28.\tCD\tB-NP\tO' +p64507 +aS'Lorazepam\tLorazepam\tNNP\tI-NP\tO' +p64508 +aS'1\t1\tCD\tI-NP\tO' +p64509 +aS'mg\tmg\tNN\tI-NP\tO' +p64510 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p64511 +aS'Sig\tSig\tNNP\tI-NP\tO' +p64512 +aS':\t:\t:\tO\tO' +p64513 +aS'0.5\t0.5\tCD\tB-NP\tO' +p64514 +aS'Tablet\tTablet\tNN\tI-NP\tO' +p64515 +aS'PO\tPO\tNN\tI-NP\tO' +p64516 +aS'Q6H\tQ6H\tNN\tI-NP\tO' +p64517 +aS'(\t(\t(\tO\tO' +p64518 +aS'every\tevery\tDT\tB-NP\tO' +p64519 +aS'6\t6\tCD\tI-NP\tO' +p64520 +aS'hours\thour\tNNS\tI-NP\tO' +p64521 +aS')\t)\t)\tO\tO' +p64522 +aS'as\tas\tIN\tB-SBAR\tO' +p64523 +aS'needed\tneed\tVBN\tB-VP\tO' +p64524 +aS'.\t.\t.\tO\tO' +p64525 +asS'8. Captopril 50 mg Tablet Sig : One ( 1 ) Tablet PO twice a day .' +p64526 +(lp64527 +S'8.\t8.\tCD\tB-NP\tO' +p64528 +aS'Captopril\tCaptopril\tNNP\tI-NP\tO' +p64529 +aS'50\t50\tCD\tI-NP\tO' +p64530 +aS'mg\tmg\tNN\tI-NP\tO' +p64531 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p64532 +aS'Sig\tSig\tNNP\tI-NP\tO' +p64533 +aS':\t:\t:\tO\tO' +p64534 +aS'One\tOne\tCD\tB-NP\tO' +p64535 +aS'(\t(\t(\tO\tO' +p64536 +aS'1\t1\tCD\tB-NP\tO' +p64537 +aS')\t)\t)\tO\tO' +p64538 +aS'Tablet\tTablet\tNN\tB-NP\tB-protein' +p64539 +aS'PO\tPO\tNN\tI-NP\tI-protein' +p64540 +aS'twice\ttwice\tRB\tB-NP\tO' +p64541 +aS'a\ta\tDT\tI-NP\tO' +p64542 +aS'day\tday\tNN\tI-NP\tO' +p64543 +aS'.\t.\t.\tO\tO' +p64544 +asS'Before this age , the family and other care givers should be considered for immunization against influenza to protect the infant .' +p64545 +(lp64546 +S'Before\tBefore\tIN\tB-SBAR\tO' +p64547 +aS'this\tthis\tDT\tB-NP\tO' +p64548 +aS'age\tage\tNN\tI-NP\tO' +p64549 +aS',\t,\t,\tO\tO' +p64550 +aS'the\tthe\tDT\tB-NP\tO' +p64551 +aS'family\tfamily\tNN\tI-NP\tO' +p64552 +aS'and\tand\tCC\tO\tO' +p64553 +aS'other\tother\tJJ\tB-NP\tO' +p64554 +aS'care\tcare\tNN\tI-NP\tO' +p64555 +aS'givers\tgiver\tNNS\tI-NP\tO' +p64556 +aS'should\tshould\tMD\tB-VP\tO' +p64557 +aS'be\tbe\tVB\tI-VP\tO' +p64558 +aS'considered\tconsider\tVBN\tI-VP\tO' +p64559 +aS'for\tfor\tIN\tB-PP\tO' +p64560 +aS'immunization\timmunization\tNN\tB-NP\tO' +p64561 +aS'against\tagainst\tIN\tB-PP\tO' +p64562 +aS'influenza\tinfluenza\tNN\tB-NP\tO' +p64563 +aS'to\tto\tTO\tB-VP\tO' +p64564 +aS'protect\tprotect\tVB\tI-VP\tO' +p64565 +aS'the\tthe\tDT\tB-NP\tO' +p64566 +aS'infant\tinfant\tNN\tI-NP\tO' +p64567 +aS'.\t.\t.\tO\tO' +p64568 +asS'On an office visit on 01-14 , the patient was found to have significantly elevated alkaline phosphatase .' +p64569 +(lp64570 +S'On\tOn\tIN\tB-PP\tO' +p64571 +aS'an\tan\tDT\tB-NP\tO' +p64572 +aS'office\toffice\tNN\tI-NP\tO' +p64573 +aS'visit\tvisit\tNN\tI-NP\tO' +p64574 +aS'on\ton\tIN\tB-PP\tO' +p64575 +aS'01-14\t01-14\tCD\tB-NP\tO' +p64576 +aS',\t,\t,\tO\tO' +p64577 +aS'the\tthe\tDT\tB-NP\tO' +p64578 +aS'patient\tpatient\tNN\tI-NP\tO' +p64579 +aS'was\tbe\tVBD\tB-VP\tO' +p64580 +aS'found\tfind\tVBN\tI-VP\tO' +p64581 +aS'to\tto\tTO\tI-VP\tO' +p64582 +aS'have\thave\tVB\tI-VP\tO' +p64583 +aS'significantly\tsignificantly\tRB\tB-NP\tO' +p64584 +aS'elevated\televated\tJJ\tI-NP\tO' +p64585 +aS'alkaline\talkaline\tJJ\tI-NP\tB-protein' +p64586 +aS'phosphatase\tphosphatase\tNN\tI-NP\tI-protein' +p64587 +aS'.\t.\t.\tO\tO' +p64588 +asS'Her neck was supple without masses or bruits noted .' +p64589 +(lp64590 +S'Her\tHer\tPRP$\tB-NP\tO' +p64591 +aS'neck\tneck\tNN\tI-NP\tO' +p64592 +aS'was\tbe\tVBD\tB-VP\tO' +p64593 +aS'supple\tsupple\tNN\tB-NP\tO' +p64594 +aS'without\twithout\tIN\tB-PP\tO' +p64595 +aS'masses\tmass\tNNS\tB-NP\tO' +p64596 +aS'or\tor\tCC\tI-NP\tO' +p64597 +aS'bruits\tbruit\tNNS\tI-NP\tO' +p64598 +aS'noted\tnote\tVBD\tB-VP\tO' +p64599 +aS'.\t.\t.\tO\tO' +p64600 +asS'Magnetic resonance cholangiopancreatography did not reveal any evidence of biliary dilatation or of any obstructing pancreatic mass .' +p64601 +(lp64602 +S'Magnetic\tMagnetic\tJJ\tB-NP\tO' +p64603 +aS'resonance\tresonance\tNN\tI-NP\tO' +p64604 +aS'cholangiopancreatography\tcholangiopancreatography\tNN\tI-NP\tO' +p64605 +aS'did\tdo\tVBD\tB-VP\tO' +p64606 +aS'not\tnot\tRB\tI-VP\tO' +p64607 +aS'reveal\treveal\tVB\tI-VP\tO' +p64608 +aS'any\tany\tDT\tB-NP\tO' +p64609 +aS'evidence\tevidence\tNN\tI-NP\tO' +p64610 +aS'of\tof\tIN\tB-PP\tO' +p64611 +aS'biliary\tbiliary\tJJ\tB-NP\tO' +p64612 +aS'dilatation\tdilatation\tNN\tI-NP\tO' +p64613 +aS'or\tor\tCC\tB-PP\tO' +p64614 +aS'of\tof\tIN\tB-PP\tO' +p64615 +aS'any\tany\tDT\tB-NP\tO' +p64616 +aS'obstructing\tobstruct\tVBG\tI-NP\tO' +p64617 +aS'pancreatic\tpancreatic\tJJ\tI-NP\tO' +p64618 +aS'mass\tmass\tNN\tI-NP\tO' +p64619 +aS'.\t.\t.\tO\tO' +p64620 +asS'DISCHARGE STATUS : To home .' +p64621 +(lp64622 +S'DISCHARGE\tDISCHARGE\tNN\tB-NP\tO' +p64623 +aS'STATUS\tSTATUS\tNNS\tI-NP\tO' +p64624 +aS':\t:\t:\tO\tO' +p64625 +aS'To\tTo\tTO\tB-PP\tO' +p64626 +aS'home\thome\tNN\tB-NP\tO' +p64627 +aS'.\t.\t.\tO\tO' +p64628 +asS'He was also given nebulizers without improvement .' +p64629 +(lp64630 +S'He\tHe\tPRP\tB-NP\tO' +p64631 +aS'was\tbe\tVBD\tB-VP\tO' +p64632 +aS'also\talso\tRB\tI-VP\tO' +p64633 +aS'given\tgive\tVBN\tI-VP\tO' +p64634 +aS'nebulizers\tnebulizer\tNNS\tB-NP\tO' +p64635 +aS'without\twithout\tIN\tB-PP\tO' +p64636 +aS'improvement\timprovement\tNN\tB-NP\tO' +p64637 +aS'.\t.\t.\tO\tO' +p64638 +asS'In summary , she had an aortic valve replacement with a #21 mosaic porcine valve .' +p64639 +(lp64640 +S'In\tIn\tIN\tB-PP\tO' +p64641 +aS'summary\tsummary\tNN\tB-NP\tO' +p64642 +aS',\t,\t,\tO\tO' +p64643 +aS'she\tshe\tPRP\tB-NP\tO' +p64644 +aS'had\thave\tVBD\tB-VP\tO' +p64645 +aS'an\tan\tDT\tB-NP\tO' +p64646 +aS'aortic\taortic\tJJ\tI-NP\tO' +p64647 +aS'valve\tvalve\tNN\tI-NP\tO' +p64648 +aS'replacement\treplacement\tNN\tI-NP\tO' +p64649 +aS'with\twith\tIN\tB-PP\tO' +p64650 +aS'a\ta\tDT\tB-NP\tO' +p64651 +aS'#21\t#21\tNN\tI-NP\tO' +p64652 +aS'mosaic\tmosaic\tJJ\tI-NP\tO' +p64653 +aS'porcine\tporcine\tJJ\tI-NP\tO' +p64654 +aS'valve\tvalve\tNN\tI-NP\tO' +p64655 +aS'.\t.\t.\tO\tO' +p64656 +asS"Initially , the patient was begun on Bactrim for presumptive urinary tract infection and the initial course of his hospitalization , he took p.o.' s poorly ." +p64657 +(lp64658 +S'Initially\tInitially\tRB\tB-ADVP\tO' +p64659 +aS',\t,\t,\tO\tO' +p64660 +aS'the\tthe\tDT\tB-NP\tO' +p64661 +aS'patient\tpatient\tNN\tI-NP\tO' +p64662 +aS'was\tbe\tVBD\tB-VP\tO' +p64663 +aS'begun\tbegin\tVBN\tI-VP\tO' +p64664 +aS'on\ton\tIN\tB-PP\tO' +p64665 +aS'Bactrim\tBactrim\tNNP\tB-NP\tO' +p64666 +aS'for\tfor\tIN\tB-PP\tO' +p64667 +aS'presumptive\tpresumptive\tJJ\tB-NP\tO' +p64668 +aS'urinary\turinary\tJJ\tI-NP\tO' +p64669 +aS'tract\ttract\tNN\tI-NP\tO' +p64670 +aS'infection\tinfection\tNN\tI-NP\tO' +p64671 +aS'and\tand\tCC\tO\tO' +p64672 +aS'the\tthe\tDT\tB-NP\tO' +p64673 +aS'initial\tinitial\tJJ\tI-NP\tO' +p64674 +aS'course\tcourse\tNN\tI-NP\tO' +p64675 +aS'of\tof\tIN\tB-PP\tO' +p64676 +aS'his\this\tPRP$\tB-NP\tO' +p64677 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p64678 +aS',\t,\t,\tO\tO' +p64679 +aS'he\the\tPRP\tB-NP\tO' +p64680 +aS'took\ttake\tVBD\tB-VP\tO' +p64681 +aS"p.o.'\tp.o.'\tRB\tB-NP\tO" +p64682 +aS's\ts\tNNS\tI-NP\tO' +p64683 +aS'poorly\tpoorly\tRB\tB-ADVP\tO' +p64684 +aS'.\t.\t.\tO\tO' +p64685 +asS'She had no symptoms of infectious source , normal UA , normal chest xray , and no symptoms nor signs of injury after her fall with syncope .' +p64686 +(lp64687 +S'She\tShe\tPRP\tB-NP\tO' +p64688 +aS'had\thave\tVBD\tB-VP\tO' +p64689 +aS'no\tno\tDT\tB-NP\tO' +p64690 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p64691 +aS'of\tof\tIN\tB-PP\tO' +p64692 +aS'infectious\tinfectious\tJJ\tB-NP\tO' +p64693 +aS'source\tsource\tNN\tI-NP\tO' +p64694 +aS',\t,\t,\tO\tO' +p64695 +aS'normal\tnormal\tJJ\tB-NP\tO' +p64696 +aS'UA\tUA\tNNP\tI-NP\tO' +p64697 +aS',\t,\t,\tO\tO' +p64698 +aS'normal\tnormal\tJJ\tB-NP\tO' +p64699 +aS'chest\tchest\tNN\tI-NP\tO' +p64700 +aS'xray\txray\tNN\tI-NP\tO' +p64701 +aS',\t,\t,\tO\tO' +p64702 +aS'and\tand\tCC\tO\tO' +p64703 +aS'no\tno\tDT\tB-NP\tO' +p64704 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p64705 +aS'nor\tnor\tCC\tI-NP\tO' +p64706 +aS'signs\tsign\tNNS\tI-NP\tO' +p64707 +aS'of\tof\tIN\tB-PP\tO' +p64708 +aS'injury\tinjury\tNN\tB-NP\tO' +p64709 +aS'after\tafter\tIN\tB-PP\tO' +p64710 +aS'her\ther\tPRP$\tB-NP\tO' +p64711 +aS'fall\tfall\tNN\tI-NP\tO' +p64712 +aS'with\twith\tIN\tB-PP\tO' +p64713 +aS'syncope\tsyncope\tNN\tB-NP\tO' +p64714 +aS'.\t.\t.\tO\tO' +p64715 +asS'Breast milk or special care formula 24 calories per ounce at 150 mls per kilo per day with plans to advance calories .' +p64716 +(lp64717 +S'Breast\tBreast\tNN\tB-NP\tO' +p64718 +aS'milk\tmilk\tNN\tI-NP\tO' +p64719 +aS'or\tor\tCC\tO\tO' +p64720 +aS'special\tspecial\tJJ\tB-NP\tO' +p64721 +aS'care\tcare\tNN\tI-NP\tO' +p64722 +aS'formula\tformula\tNN\tI-NP\tO' +p64723 +aS'24\t24\tCD\tB-NP\tO' +p64724 +aS'calories\tcalorie\tNNS\tI-NP\tO' +p64725 +aS'per\tper\tIN\tB-PP\tO' +p64726 +aS'ounce\tounce\tNN\tB-NP\tO' +p64727 +aS'at\tat\tIN\tB-PP\tO' +p64728 +aS'150\t150\tCD\tB-NP\tO' +p64729 +aS'mls\tml\tNNS\tI-NP\tO' +p64730 +aS'per\tper\tIN\tB-PP\tO' +p64731 +aS'kilo\tkilo\tNN\tB-NP\tO' +p64732 +aS'per\tper\tIN\tB-PP\tO' +p64733 +aS'day\tday\tNN\tB-NP\tO' +p64734 +aS'with\twith\tIN\tB-PP\tO' +p64735 +aS'plans\tplan\tNNS\tB-NP\tO' +p64736 +aS'to\tto\tTO\tB-PP\tO' +p64737 +aS'advance\tadvance\tNN\tB-NP\tO' +p64738 +aS'calories\tcalorie\tNNS\tI-NP\tO' +p64739 +aS'.\t.\t.\tO\tO' +p64740 +asS'Left rib fracture .' +p64741 +(lp64742 +S'Left\tLeave\tVBN\tB-NP\tO' +p64743 +aS'rib\trib\tNN\tI-NP\tO' +p64744 +aS'fracture\tfracture\tNN\tI-NP\tO' +p64745 +aS'.\t.\t.\tO\tO' +p64746 +asS'Within 24 hours , he awoke neurologically intact and was extubated without incident .' +p64747 +(lp64748 +S'Within\tWithin\tIN\tB-PP\tO' +p64749 +aS'24\t24\tCD\tB-NP\tO' +p64750 +aS'hours\thour\tNNS\tI-NP\tO' +p64751 +aS',\t,\t,\tO\tO' +p64752 +aS'he\the\tPRP\tB-NP\tO' +p64753 +aS'awoke\tawake\tVBD\tB-VP\tO' +p64754 +aS'neurologically\tneurologically\tRB\tB-ADJP\tO' +p64755 +aS'intact\tintact\tJJ\tI-ADJP\tO' +p64756 +aS'and\tand\tCC\tO\tO' +p64757 +aS'was\tbe\tVBD\tB-VP\tO' +p64758 +aS'extubated\textubate\tVBN\tI-VP\tO' +p64759 +aS'without\twithout\tIN\tB-PP\tO' +p64760 +aS'incident\tincident\tNN\tB-NP\tO' +p64761 +aS'.\t.\t.\tO\tO' +p64762 +asS'11. Left CMED cataract surgery in 2009-10-05 .' +p64763 +(lp64764 +S'11.\t11.\tLS\tB-NP\tO' +p64765 +aS'Left\tLeft\tJJ\tI-NP\tO' +p64766 +aS'CMED\tCMED\tJJ\tI-NP\tO' +p64767 +aS'cataract\tcataract\tNN\tI-NP\tO' +p64768 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p64769 +aS'in\tin\tIN\tB-PP\tO' +p64770 +aS'2009-10-05\t2009-10-05\tCD\tB-NP\tO' +p64771 +aS'.\t.\t.\tO\tO' +p64772 +asS'She was prophylaxed with Kefzol perioperatively and with Coumadin postoperatively .' +p64773 +(lp64774 +S'She\tShe\tPRP\tB-NP\tO' +p64775 +aS'was\tbe\tVBD\tB-VP\tO' +p64776 +aS'prophylaxed\tprophylaxe\tVBN\tI-VP\tO' +p64777 +aS'with\twith\tIN\tB-PP\tO' +p64778 +aS'Kefzol\tKefzol\tNN\tB-NP\tO' +p64779 +aS'perioperatively\tperioperatively\tRB\tB-ADVP\tO' +p64780 +aS'and\tand\tCC\tO\tO' +p64781 +aS'with\twith\tIN\tB-PP\tO' +p64782 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p64783 +aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' +p64784 +aS'.\t.\t.\tO\tO' +p64785 +asS'10. Neurontin 300 mg Capsule Sig : Three ( 3 ) Capsule PO three times a day : take 2 tabs in the morining , 4 tabs in the afternoon , and 4 tabs in the evening .' +p64786 +(lp64787 +S'10.\t10.\tCD\tB-NP\tO' +p64788 +aS'Neurontin\tNeurontin\tNN\tI-NP\tO' +p64789 +aS'300\t300\tCD\tB-NP\tO' +p64790 +aS'mg\tmg\tNN\tI-NP\tO' +p64791 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p64792 +aS'Sig\tSig\tNNP\tI-NP\tO' +p64793 +aS':\t:\t:\tO\tO' +p64794 +aS'Three\tThree\tCD\tB-NP\tO' +p64795 +aS'(\t(\t(\tO\tO' +p64796 +aS'3\t3\tCD\tB-NP\tO' +p64797 +aS')\t)\t)\tO\tO' +p64798 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p64799 +aS'PO\tPO\tNNP\tI-NP\tO' +p64800 +aS'three\tthree\tCD\tB-NP\tO' +p64801 +aS'times\ttime\tNNS\tI-NP\tO' +p64802 +aS'a\ta\tDT\tB-NP\tO' +p64803 +aS'day\tday\tNN\tI-NP\tO' +p64804 +aS':\t:\t:\tO\tO' +p64805 +aS'take\ttake\tVB\tB-VP\tO' +p64806 +aS'2\t2\tCD\tB-NP\tO' +p64807 +aS'tabs\ttab\tNNS\tI-NP\tO' +p64808 +aS'in\tin\tIN\tB-PP\tO' +p64809 +aS'the\tthe\tDT\tB-NP\tO' +p64810 +aS'morining\tmorining\tNN\tI-NP\tO' +p64811 +aS',\t,\t,\tO\tO' +p64812 +aS'4\t4\tCD\tB-NP\tO' +p64813 +aS'tabs\ttab\tNNS\tI-NP\tO' +p64814 +aS'in\tin\tIN\tB-PP\tO' +p64815 +aS'the\tthe\tDT\tB-NP\tO' +p64816 +aS'afternoon\tafternoon\tNN\tI-NP\tO' +p64817 +aS',\t,\t,\tO\tO' +p64818 +aS'and\tand\tCC\tO\tO' +p64819 +aS'4\t4\tCD\tB-NP\tO' +p64820 +aS'tabs\ttab\tNNS\tI-NP\tO' +p64821 +aS'in\tin\tIN\tB-PP\tO' +p64822 +aS'the\tthe\tDT\tB-NP\tO' +p64823 +aS'evening\tevening\tNN\tI-NP\tO' +p64824 +aS'.\t.\t.\tO\tO' +p64825 +asS'On scoping him he had significant supraglottic edema .' +p64826 +(lp64827 +S'On\tOn\tIN\tB-PP\tO' +p64828 +aS'scoping\tscope\tVBG\tB-VP\tO' +p64829 +aS'him\thim\tPRP\tB-NP\tO' +p64830 +aS'he\the\tPRP\tB-NP\tO' +p64831 +aS'had\thave\tVBD\tB-VP\tO' +p64832 +aS'significant\tsignificant\tJJ\tB-NP\tO' +p64833 +aS'supraglottic\tsupraglottic\tJJ\tI-NP\tO' +p64834 +aS'edema\tedema\tNN\tI-NP\tO' +p64835 +aS'.\t.\t.\tO\tO' +p64836 +asS'Baby Julian Stead had been stable with improvement of the subgaleal bleed and good peak and trough factor 8 levels after the bolus infusion .' +p64837 +(lp64838 +S'Baby\tBaby\tNNP\tB-NP\tO' +p64839 +aS'Julian\tJulian\tNNP\tI-NP\tO' +p64840 +aS'Stead\tStead\tNNP\tI-NP\tO' +p64841 +aS'had\thave\tVBD\tB-VP\tO' +p64842 +aS'been\tbe\tVBN\tI-VP\tO' +p64843 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p64844 +aS'with\twith\tIN\tB-PP\tO' +p64845 +aS'improvement\timprovement\tNN\tB-NP\tO' +p64846 +aS'of\tof\tIN\tB-PP\tO' +p64847 +aS'the\tthe\tDT\tB-NP\tO' +p64848 +aS'subgaleal\tsubgaleal\tJJ\tI-NP\tO' +p64849 +aS'bleed\tbleed\tNN\tI-NP\tO' +p64850 +aS'and\tand\tCC\tO\tO' +p64851 +aS'good\tgood\tJJ\tB-NP\tO' +p64852 +aS'peak\tpeak\tNN\tI-NP\tO' +p64853 +aS'and\tand\tCC\tO\tO' +p64854 +aS'trough\ttrough\tNN\tB-NP\tB-protein' +p64855 +aS'factor\tfactor\tNN\tI-NP\tI-protein' +p64856 +aS'8\t8\tCD\tB-NP\tI-protein' +p64857 +aS'levels\tlevel\tNNS\tI-NP\tO' +p64858 +aS'after\tafter\tIN\tB-PP\tO' +p64859 +aS'the\tthe\tDT\tB-NP\tO' +p64860 +aS'bolus\tbolus\tNN\tI-NP\tO' +p64861 +aS'infusion\tinfusion\tNN\tI-NP\tO' +p64862 +aS'.\t.\t.\tO\tO' +p64863 +asS'3. Levoxyl 100 ugm po qd .' +p64864 +(lp64865 +S'3.\t3.\tLS\tB-NP\tO' +p64866 +aS'Levoxyl\tLevoxyl\tNN\tI-NP\tO' +p64867 +aS'100\t100\tCD\tI-NP\tO' +p64868 +aS'ugm\tugm\tNN\tI-NP\tO' +p64869 +aS'po\tpo\tNN\tI-NP\tO' +p64870 +aS'qd\tqd\tNN\tI-NP\tO' +p64871 +aS'.\t.\t.\tO\tO' +p64872 +asS'His hematocrit subsequently bumped to greater than 30 and was discharged with hematocrit of 32 on 11-7-93 .' +p64873 +(lp64874 +S'His\tHis\tPRP$\tB-NP\tO' +p64875 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p64876 +aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' +p64877 +aS'bumped\tbump\tVBD\tB-VP\tO' +p64878 +aS'to\tto\tTO\tB-PP\tO' +p64879 +aS'greater\tgreat\tJJR\tB-NP\tO' +p64880 +aS'than\tthan\tIN\tI-NP\tO' +p64881 +aS'30\t30\tCD\tI-NP\tO' +p64882 +aS'and\tand\tCC\tO\tO' +p64883 +aS'was\tbe\tVBD\tB-VP\tO' +p64884 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p64885 +aS'with\twith\tIN\tB-PP\tO' +p64886 +aS'hematocrit\thematocrit\tNN\tB-NP\tO' +p64887 +aS'of\tof\tIN\tB-PP\tO' +p64888 +aS'32\t32\tCD\tB-NP\tO' +p64889 +aS'on\ton\tIN\tB-PP\tO' +p64890 +aS'11-7-93\t11-7-93\tCD\tB-NP\tO' +p64891 +aS'.\t.\t.\tO\tO' +p64892 +asS'She has noted increased urinary frequency .' +p64893 +(lp64894 +S'She\tShe\tPRP\tB-NP\tO' +p64895 +aS'has\thave\tVBZ\tB-VP\tO' +p64896 +aS'noted\tnote\tVBN\tI-VP\tO' +p64897 +aS'increased\tincrease\tVBN\tB-NP\tO' +p64898 +aS'urinary\turinary\tJJ\tI-NP\tO' +p64899 +aS'frequency\tfrequency\tNN\tI-NP\tO' +p64900 +aS'.\t.\t.\tO\tO' +p64901 +asS'aortic valve replacement .' +p64902 +(lp64903 +S'aortic\taortic\tJJ\tB-NP\tO' +p64904 +aS'valve\tvalve\tNN\tI-NP\tO' +p64905 +aS'replacement\treplacement\tNN\tI-NP\tO' +p64906 +aS'.\t.\t.\tO\tO' +p64907 +asS'A 1.8 cm exophytic renal cyst is seen on the left .' +p64908 +(lp64909 +S'A\tA\tDT\tB-NP\tO' +p64910 +aS'1.8\t1.8\tCD\tI-NP\tO' +p64911 +aS'cm\tcm\tNN\tI-NP\tO' +p64912 +aS'exophytic\texophytic\tJJ\tI-NP\tO' +p64913 +aS'renal\trenal\tJJ\tI-NP\tO' +p64914 +aS'cyst\tcyst\tNN\tI-NP\tO' +p64915 +aS'is\tbe\tVBZ\tB-VP\tO' +p64916 +aS'seen\tsee\tVBN\tI-VP\tO' +p64917 +aS'on\ton\tIN\tB-PP\tO' +p64918 +aS'the\tthe\tDT\tB-NP\tO' +p64919 +aS'left\tleft\tNN\tI-NP\tO' +p64920 +aS'.\t.\t.\tO\tO' +p64921 +asS'Was seen in dialysis on day of admission and was seen to have " raccoon eyes " and HD staff was worried about sending home .' +p64922 +(lp64923 +S'Was\tWa\tNNS\tB-NP\tB-protein' +p64924 +aS'seen\tsee\tVBN\tB-VP\tO' +p64925 +aS'in\tin\tIN\tB-PP\tO' +p64926 +aS'dialysis\tdialysis\tNN\tB-NP\tO' +p64927 +aS'on\ton\tIN\tB-PP\tO' +p64928 +aS'day\tday\tNN\tB-NP\tO' +p64929 +aS'of\tof\tIN\tB-PP\tO' +p64930 +aS'admission\tadmission\tNN\tB-NP\tO' +p64931 +aS'and\tand\tCC\tO\tO' +p64932 +aS'was\tbe\tVBD\tB-VP\tO' +p64933 +aS'seen\tsee\tVBN\tI-VP\tO' +p64934 +aS'to\tto\tTO\tI-VP\tO' +p64935 +aS'have\thave\tVB\tI-VP\tO' +p64936 +aS'"\t"\tJJ\tB-NP\tO' +p64937 +aS'raccoon\traccoon\tNN\tI-NP\tO' +p64938 +aS'eyes\teye\tNNS\tI-NP\tO' +p64939 +aS'"\t"\tCC\tO\tO' +p64940 +aS'and\tand\tCC\tO\tO' +p64941 +aS'HD\tHD\tNN\tB-NP\tO' +p64942 +aS'staff\tstaff\tNN\tI-NP\tO' +p64943 +aS'was\tbe\tVBD\tB-VP\tO' +p64944 +aS'worried\tworry\tVBN\tI-VP\tO' +p64945 +aS'about\tabout\tIN\tB-PP\tO' +p64946 +aS'sending\tsend\tVBG\tB-VP\tO' +p64947 +aS'home\thome\tNN\tB-NP\tO' +p64948 +aS'.\t.\t.\tO\tO' +p64949 +asS'LDH 254 , amylase 727 , lipase 8600 .' +p64950 +(lp64951 +S'LDH\tLDH\tNN\tB-NP\tB-protein' +p64952 +aS'254\t254\tCD\tI-NP\tI-protein' +p64953 +aS',\t,\t,\tO\tO' +p64954 +aS'amylase\tamylase\tNN\tB-NP\tB-protein' +p64955 +aS'727\t727\tCD\tI-NP\tI-protein' +p64956 +aS',\t,\t,\tO\tO' +p64957 +aS'lipase\tlipase\tNN\tB-NP\tO' +p64958 +aS'8600\t8600\tCD\tI-NP\tO' +p64959 +aS'.\t.\t.\tO\tO' +p64960 +asS'She says that oral analgesics have been of little help .' +p64961 +(lp64962 +S'She\tShe\tPRP\tB-NP\tO' +p64963 +aS'says\tsay\tVBZ\tB-VP\tO' +p64964 +aS'that\tthat\tIN\tB-SBAR\tO' +p64965 +aS'oral\toral\tJJ\tB-NP\tO' +p64966 +aS'analgesics\tanalgesic\tNNS\tI-NP\tO' +p64967 +aS'have\thave\tVBP\tB-VP\tO' +p64968 +aS'been\tbe\tVBN\tI-VP\tO' +p64969 +aS'of\tof\tIN\tB-PP\tO' +p64970 +aS'little\tlittle\tJJ\tB-NP\tO' +p64971 +aS'help\thelp\tNN\tI-NP\tO' +p64972 +aS'.\t.\t.\tO\tO' +p64973 +asS'While the pain was initially intermittent , it became steady at about 1:00 p.m. at which time she presented to the Tecal Galecounxopt Community Hospital Emergency Room and following this experience a spontaneous remission of her right sided pain .' +p64974 +(lp64975 +S'While\tWhile\tIN\tB-SBAR\tO' +p64976 +aS'the\tthe\tDT\tB-NP\tO' +p64977 +aS'pain\tpain\tNN\tI-NP\tO' +p64978 +aS'was\tbe\tVBD\tB-VP\tO' +p64979 +aS'initially\tinitially\tRB\tB-ADJP\tO' +p64980 +aS'intermittent\tintermittent\tJJ\tI-ADJP\tO' +p64981 +aS',\t,\t,\tO\tO' +p64982 +aS'it\tit\tPRP\tB-NP\tO' +p64983 +aS'became\tbecome\tVBD\tB-VP\tO' +p64984 +aS'steady\tsteady\tJJ\tB-ADJP\tO' +p64985 +aS'at\tat\tIN\tB-PP\tO' +p64986 +aS'about\tabout\tRB\tB-NP\tO' +p64987 +aS'1:00\t1:00\tCD\tI-NP\tO' +p64988 +aS'p.m.\tp.m.\tNN\tI-NP\tO' +p64989 +aS'at\tat\tIN\tB-PP\tO' +p64990 +aS'which\twhich\tWDT\tB-NP\tO' +p64991 +aS'time\ttime\tNN\tI-NP\tO' +p64992 +aS'she\tshe\tPRP\tB-NP\tO' +p64993 +aS'presented\tpresent\tVBD\tB-VP\tO' +p64994 +aS'to\tto\tTO\tB-PP\tO' +p64995 +aS'the\tthe\tDT\tB-NP\tO' +p64996 +aS'Tecal\tTecal\tNNP\tI-NP\tO' +p64997 +aS'Galecounxopt\tGalecounxopt\tNNP\tI-NP\tO' +p64998 +aS'Community\tCommunity\tNNP\tI-NP\tO' +p64999 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p65000 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p65001 +aS'Room\tRoom\tNNP\tI-NP\tO' +p65002 +aS'and\tand\tCC\tO\tO' +p65003 +aS'following\tfollow\tVBG\tB-PP\tO' +p65004 +aS'this\tthis\tDT\tB-NP\tO' +p65005 +aS'experience\texperience\tNN\tI-NP\tO' +p65006 +aS'a\ta\tDT\tB-NP\tO' +p65007 +aS'spontaneous\tspontaneous\tJJ\tI-NP\tO' +p65008 +aS'remission\tremission\tNN\tI-NP\tO' +p65009 +aS'of\tof\tIN\tB-PP\tO' +p65010 +aS'her\ther\tPRP$\tB-NP\tB-protein' +p65011 +aS'right\tright\tJJ\tI-NP\tI-protein' +p65012 +aS'sided\tsided\tJJ\tI-NP\tI-protein' +p65013 +aS'pain\tpain\tNN\tI-NP\tI-protein' +p65014 +aS'.\t.\t.\tO\tO' +p65015 +asS'She also described sob , nausea , worsening lower ext edema .' +p65016 +(lp65017 +S'She\tShe\tPRP\tB-NP\tO' +p65018 +aS'also\talso\tRB\tB-ADVP\tO' +p65019 +aS'described\tdescribe\tVBD\tB-VP\tO' +p65020 +aS'sob\tsob\tNN\tB-NP\tB-protein' +p65021 +aS',\t,\t,\tO\tO' +p65022 +aS'nausea\tnausea\tNN\tB-NP\tO' +p65023 +aS',\t,\t,\tO\tO' +p65024 +aS'worsening\tworsen\tVBG\tB-VP\tO' +p65025 +aS'lower\tlow\tJJR\tB-NP\tO' +p65026 +aS'ext\text\tJJ\tI-NP\tO' +p65027 +aS'edema\tedema\tNN\tI-NP\tO' +p65028 +aS'.\t.\t.\tO\tO' +p65029 +asS'1. Nephrostomy tube in the right kidney with an 8 mm right ureteric stone .' +p65030 +(lp65031 +S'1.\t1.\tLS\tB-NP\tO' +p65032 +aS'Nephrostomy\tNephrostomy\tNN\tI-NP\tO' +p65033 +aS'tube\ttube\tNN\tI-NP\tO' +p65034 +aS'in\tin\tIN\tB-PP\tO' +p65035 +aS'the\tthe\tDT\tB-NP\tO' +p65036 +aS'right\tright\tJJ\tI-NP\tO' +p65037 +aS'kidney\tkidney\tNN\tI-NP\tO' +p65038 +aS'with\twith\tIN\tB-PP\tO' +p65039 +aS'an\tan\tDT\tB-NP\tO' +p65040 +aS'8\t8\tCD\tI-NP\tO' +p65041 +aS'mm\tmm\tNN\tI-NP\tO' +p65042 +aS'right\tright\tJJ\tI-NP\tO' +p65043 +aS'ureteric\tureteric\tJJ\tI-NP\tO' +p65044 +aS'stone\tstone\tNN\tI-NP\tO' +p65045 +aS'.\t.\t.\tO\tO' +p65046 +asS'His cardiac enzymes include only elevated CK , but not Shaffer , Juan he ruled out for MI .' +p65047 +(lp65048 +S'His\tHis\tPRP$\tB-NP\tO' +p65049 +aS'cardiac\tcardiac\tJJ\tI-NP\tB-protein' +p65050 +aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' +p65051 +aS'include\tinclude\tVBP\tB-VP\tO' +p65052 +aS'only\tonly\tRB\tB-NP\tO' +p65053 +aS'elevated\televated\tJJ\tI-NP\tO' +p65054 +aS'CK\tCK\tNN\tI-NP\tO' +p65055 +aS',\t,\t,\tO\tO' +p65056 +aS'but\tbut\tCC\tO\tO' +p65057 +aS'not\tnot\tRB\tO\tO' +p65058 +aS'Shaffer\tShaffer\tNNP\tB-NP\tO' +p65059 +aS',\t,\t,\tO\tO' +p65060 +aS'Juan\tJuan\tNNP\tB-NP\tO' +p65061 +aS'he\the\tPRP\tB-NP\tO' +p65062 +aS'ruled\trule\tVBD\tB-VP\tO' +p65063 +aS'out\tout\tRP\tB-PRT\tO' +p65064 +aS'for\tfor\tIN\tB-PP\tO' +p65065 +aS'MI\tMI\tNN\tB-NP\tO' +p65066 +aS'.\t.\t.\tO\tO' +p65067 +asS'Impression : mildly dilated right ventricle ; small , hyperdynamic left ventricle ; at least moderate pulmonary hypertension' +p65068 +(lp65069 +S'Impression\tImpression\tNN\tB-NP\tO' +p65070 +aS':\t:\t:\tO\tO' +p65071 +aS'mildly\tmildly\tRB\tB-NP\tO' +p65072 +aS'dilated\tdilate\tVBN\tI-NP\tO' +p65073 +aS'right\tright\tJJ\tI-NP\tO' +p65074 +aS'ventricle\tventricle\tNN\tI-NP\tO' +p65075 +aS';\t;\t:\tO\tO' +p65076 +aS'small\tsmall\tJJ\tB-NP\tO' +p65077 +aS',\t,\t,\tI-NP\tO' +p65078 +aS'hyperdynamic\thyperdynamic\tJJ\tI-NP\tO' +p65079 +aS'left\tleft\tJJ\tI-NP\tO' +p65080 +aS'ventricle\tventricle\tNN\tI-NP\tO' +p65081 +aS';\t;\t:\tO\tO' +p65082 +aS'at\tat\tIN\tB-NP\tO' +p65083 +aS'least\tleast\tJJS\tI-NP\tO' +p65084 +aS'moderate\tmoderate\tJJ\tI-NP\tO' +p65085 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p65086 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p65087 +asS'Please see original Discharge Summary for discharge medications .' +p65088 +(lp65089 +S'Please\tPlease\tVB\tB-VP\tO' +p65090 +aS'see\tsee\tVB\tI-VP\tO' +p65091 +aS'original\toriginal\tJJ\tB-NP\tO' +p65092 +aS'Discharge\tDischarge\tNNP\tI-NP\tO' +p65093 +aS'Summary\tSummary\tNNP\tI-NP\tO' +p65094 +aS'for\tfor\tIN\tB-PP\tO' +p65095 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p65096 +aS'medications\tmedication\tNNS\tI-NP\tO' +p65097 +aS'.\t.\t.\tO\tO' +p65098 +asS'The CT of head and neck was likewise unremarkable showing no evidence of fasciitis or deep tissue thread .' +p65099 +(lp65100 +S'The\tThe\tDT\tB-NP\tO' +p65101 +aS'CT\tCT\tNN\tI-NP\tO' +p65102 +aS'of\tof\tIN\tB-PP\tO' +p65103 +aS'head\thead\tNN\tB-NP\tO' +p65104 +aS'and\tand\tCC\tI-NP\tO' +p65105 +aS'neck\tneck\tNN\tI-NP\tO' +p65106 +aS'was\tbe\tVBD\tB-VP\tO' +p65107 +aS'likewise\tlikewise\tRB\tB-ADJP\tO' +p65108 +aS'unremarkable\tunremarkable\tJJ\tI-ADJP\tO' +p65109 +aS'showing\tshow\tVBG\tB-VP\tO' +p65110 +aS'no\tno\tDT\tB-NP\tO' +p65111 +aS'evidence\tevidence\tNN\tI-NP\tO' +p65112 +aS'of\tof\tIN\tB-PP\tO' +p65113 +aS'fasciitis\tfasciitis\tNN\tB-NP\tO' +p65114 +aS'or\tor\tCC\tO\tO' +p65115 +aS'deep\tdeep\tJJ\tB-NP\tO' +p65116 +aS'tissue\ttissue\tNN\tI-NP\tO' +p65117 +aS'thread\tthread\tNN\tI-NP\tO' +p65118 +aS'.\t.\t.\tO\tO' +p65119 +asS'A fine needle aspirate of this mass reportedly revealed giant cell tumor .' +p65120 +(lp65121 +S'A\tA\tDT\tB-NP\tO' +p65122 +aS'fine\tfine\tJJ\tI-NP\tO' +p65123 +aS'needle\tneedle\tNN\tI-NP\tO' +p65124 +aS'aspirate\taspirate\tNN\tI-NP\tO' +p65125 +aS'of\tof\tIN\tB-PP\tO' +p65126 +aS'this\tthis\tDT\tB-NP\tO' +p65127 +aS'mass\tmass\tNN\tI-NP\tO' +p65128 +aS'reportedly\treportedly\tRB\tB-ADVP\tO' +p65129 +aS'revealed\treveal\tVBD\tB-VP\tO' +p65130 +aS'giant\tgiant\tJJ\tB-NP\tO' +p65131 +aS'cell\tcell\tNN\tI-NP\tO' +p65132 +aS'tumor\ttumor\tNN\tI-NP\tO' +p65133 +aS'.\t.\t.\tO\tO' +p65134 +asS'Hyperlipidemia .' +p65135 +(lp65136 +S'Hyperlipidemia\tHyperlipidemia\tNN\tB-NP\tO' +p65137 +aS'.\t.\t.\tO\tO' +p65138 +asS'Fluoroquinolones .' +p65139 +(lp65140 +S'Fluoroquinolones\tFluoroquinolone\tNNS\tB-NP\tO' +p65141 +aS'.\t.\t.\tO\tO' +p65142 +asS'She was given betamethasone times one and transferred to the Nantucket Cottage Hospital where she was delivered by cesarean section with rupture of membranes at time of delivery notable for slight meconium stained amniotic fluid .' +p65143 +(lp65144 +S'She\tShe\tPRP\tB-NP\tO' +p65145 +aS'was\tbe\tVBD\tB-VP\tO' +p65146 +aS'given\tgive\tVBN\tI-VP\tO' +p65147 +aS'betamethasone\tbetamethasone\tNN\tB-NP\tO' +p65148 +aS'times\ttime\tNNS\tI-NP\tO' +p65149 +aS'one\tone\tCD\tB-NP\tO' +p65150 +aS'and\tand\tCC\tO\tO' +p65151 +aS'transferred\ttransfer\tVBN\tB-VP\tO' +p65152 +aS'to\tto\tTO\tB-PP\tO' +p65153 +aS'the\tthe\tDT\tB-NP\tO' +p65154 +aS'Nantucket\tNantucket\tNNP\tI-NP\tO' +p65155 +aS'Cottage\tCottage\tNNP\tI-NP\tO' +p65156 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p65157 +aS'where\twhere\tWRB\tB-ADVP\tO' +p65158 +aS'she\tshe\tPRP\tB-NP\tO' +p65159 +aS'was\tbe\tVBD\tB-VP\tO' +p65160 +aS'delivered\tdeliver\tVBN\tI-VP\tO' +p65161 +aS'by\tby\tIN\tB-PP\tO' +p65162 +aS'cesarean\tcesarean\tJJ\tB-NP\tO' +p65163 +aS'section\tsection\tNN\tI-NP\tO' +p65164 +aS'with\twith\tIN\tB-PP\tO' +p65165 +aS'rupture\trupture\tNN\tB-NP\tO' +p65166 +aS'of\tof\tIN\tB-PP\tO' +p65167 +aS'membranes\tmembrane\tNNS\tB-NP\tO' +p65168 +aS'at\tat\tIN\tB-PP\tO' +p65169 +aS'time\ttime\tNN\tB-NP\tO' +p65170 +aS'of\tof\tIN\tB-PP\tO' +p65171 +aS'delivery\tdelivery\tNN\tB-NP\tO' +p65172 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p65173 +aS'for\tfor\tIN\tB-PP\tO' +p65174 +aS'slight\tslight\tJJ\tB-NP\tO' +p65175 +aS'meconium\tmeconium\tNN\tI-NP\tO' +p65176 +aS'stained\tstain\tVBD\tB-VP\tO' +p65177 +aS'amniotic\tamniotic\tJJ\tB-NP\tO' +p65178 +aS'fluid\tfluid\tNN\tI-NP\tO' +p65179 +aS'.\t.\t.\tO\tO' +p65180 +asS'Enteral feedings were initiated on day of life 3 and the infant has been ad lib PO feeding on demand since that time .' +p65181 +(lp65182 +S'Enteral\tEnteral\tJJ\tB-NP\tO' +p65183 +aS'feedings\tfeeding\tNNS\tI-NP\tO' +p65184 +aS'were\tbe\tVBD\tB-VP\tO' +p65185 +aS'initiated\tinitiate\tVBN\tI-VP\tO' +p65186 +aS'on\ton\tIN\tB-PP\tO' +p65187 +aS'day\tday\tNN\tB-NP\tO' +p65188 +aS'of\tof\tIN\tB-PP\tO' +p65189 +aS'life\tlife\tNN\tB-NP\tB-protein' +p65190 +aS'3\t3\tCD\tI-NP\tI-protein' +p65191 +aS'and\tand\tCC\tO\tO' +p65192 +aS'the\tthe\tDT\tB-NP\tO' +p65193 +aS'infant\tinfant\tNN\tI-NP\tO' +p65194 +aS'has\thave\tVBZ\tB-VP\tO' +p65195 +aS'been\tbe\tVBN\tI-VP\tO' +p65196 +aS'ad\tad\tNN\tB-NP\tO' +p65197 +aS'lib\tlib\tNN\tI-NP\tO' +p65198 +aS'PO\tPO\tNN\tI-NP\tO' +p65199 +aS'feeding\tfeeding\tNN\tI-NP\tO' +p65200 +aS'on\ton\tIN\tB-PP\tO' +p65201 +aS'demand\tdemand\tNN\tB-NP\tO' +p65202 +aS'since\tsince\tIN\tB-PP\tO' +p65203 +aS'that\tthat\tDT\tB-NP\tO' +p65204 +aS'time\ttime\tNN\tI-NP\tO' +p65205 +aS'.\t.\t.\tO\tO' +p65206 +asS'T 100.1 , P 104 , blood pressure 130/90 , heart rate of 16 , she was sating 95% on room air .' +p65207 +(lp65208 +S'T\tT\tNN\tB-NP\tB-cell_line' +p65209 +aS'100.1\t100.1\tCD\tI-NP\tI-cell_line' +p65210 +aS',\t,\t,\tO\tO' +p65211 +aS'P\tP\tNN\tB-NP\tB-protein' +p65212 +aS'104\t104\tCD\tI-NP\tI-protein' +p65213 +aS',\t,\t,\tO\tO' +p65214 +aS'blood\tblood\tNN\tB-NP\tO' +p65215 +aS'pressure\tpressure\tNN\tI-NP\tO' +p65216 +aS'130/90\t130/90\tCD\tI-NP\tO' +p65217 +aS',\t,\t,\tO\tO' +p65218 +aS'heart\theart\tNN\tB-NP\tO' +p65219 +aS'rate\trate\tNN\tI-NP\tO' +p65220 +aS'of\tof\tIN\tB-PP\tO' +p65221 +aS'16\t16\tCD\tB-NP\tO' +p65222 +aS',\t,\t,\tO\tO' +p65223 +aS'she\tshe\tPRP\tB-NP\tO' +p65224 +aS'was\tbe\tVBD\tB-VP\tO' +p65225 +aS'sating\tsate\tVBG\tI-VP\tO' +p65226 +aS'95%\t95%\tNN\tB-NP\tO' +p65227 +aS'on\ton\tIN\tB-PP\tO' +p65228 +aS'room\troom\tNN\tB-NP\tO' +p65229 +aS'air\tair\tNN\tI-NP\tO' +p65230 +aS'.\t.\t.\tO\tO' +p65231 +asS'The abdomen was left open , with the wound margins connected by a sheet of Marlex mesh to prevent evisceration .' +p65232 +(lp65233 +S'The\tThe\tDT\tB-NP\tO' +p65234 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p65235 +aS'was\tbe\tVBD\tB-VP\tO' +p65236 +aS'left\tleave\tVBN\tI-VP\tO' +p65237 +aS'open\topen\tRP\tB-PRT\tO' +p65238 +aS',\t,\t,\tO\tO' +p65239 +aS'with\twith\tIN\tB-PP\tO' +p65240 +aS'the\tthe\tDT\tB-NP\tO' +p65241 +aS'wound\twound\tJJ\tI-NP\tO' +p65242 +aS'margins\tmargin\tNNS\tI-NP\tO' +p65243 +aS'connected\tconnect\tVBN\tB-VP\tO' +p65244 +aS'by\tby\tIN\tB-PP\tO' +p65245 +aS'a\ta\tDT\tB-NP\tO' +p65246 +aS'sheet\tsheet\tNN\tI-NP\tO' +p65247 +aS'of\tof\tIN\tB-PP\tO' +p65248 +aS'Marlex\tMarlex\tNNP\tB-NP\tO' +p65249 +aS'mesh\tmesh\tVBP\tB-VP\tO' +p65250 +aS'to\tto\tTO\tI-VP\tO' +p65251 +aS'prevent\tprevent\tVB\tI-VP\tO' +p65252 +aS'evisceration\tevisceration\tNN\tB-NP\tO' +p65253 +aS'.\t.\t.\tO\tO' +p65254 +asS'She was seen by the Psychiatry Service .' +p65255 +(lp65256 +S'She\tShe\tPRP\tB-NP\tO' +p65257 +aS'was\tbe\tVBD\tB-VP\tO' +p65258 +aS'seen\tsee\tVBN\tI-VP\tO' +p65259 +aS'by\tby\tIN\tB-PP\tO' +p65260 +aS'the\tthe\tDT\tB-NP\tO' +p65261 +aS'Psychiatry\tPsychiatry\tNNP\tI-NP\tO' +p65262 +aS'Service\tService\tNNP\tI-NP\tO' +p65263 +aS'.\t.\t.\tO\tO' +p65264 +asS"Overnight , the patient became hypoxic , dropping to the 80 's ." +p65265 +(lp65266 +S'Overnight\tOvernight\tRB\tB-ADVP\tO' +p65267 +aS',\t,\t,\tO\tO' +p65268 +aS'the\tthe\tDT\tB-NP\tO' +p65269 +aS'patient\tpatient\tNN\tI-NP\tO' +p65270 +aS'became\tbecome\tVBD\tB-VP\tO' +p65271 +aS'hypoxic\thypoxic\tJJ\tB-ADJP\tO' +p65272 +aS',\t,\t,\tO\tO' +p65273 +aS'dropping\tdrop\tVBG\tB-VP\tO' +p65274 +aS'to\tto\tTO\tB-PP\tO' +p65275 +aS'the\tthe\tDT\tB-NP\tO' +p65276 +aS'80\t80\tCD\tI-NP\tO' +p65277 +aS"'s\t's\tPOS\tB-NP\tO" +p65278 +aS'.\t.\t.\tO\tO' +p65279 +asS'Significant for non-insulin diabetes mellitus , for which he takes Diabeta , one QD ; right eye cataract , operated on three years ago .' +p65280 +(lp65281 +S'Significant\tSignificant\tJJ\tB-ADJP\tO' +p65282 +aS'for\tfor\tIN\tB-PP\tO' +p65283 +aS'non-insulin\tnon-insulin\tJJ\tB-NP\tO' +p65284 +aS'diabetes\tdiabetes\tNN\tI-NP\tO' +p65285 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p65286 +aS',\t,\t,\tO\tO' +p65287 +aS'for\tfor\tIN\tB-PP\tO' +p65288 +aS'which\twhich\tWDT\tB-NP\tO' +p65289 +aS'he\the\tPRP\tB-NP\tO' +p65290 +aS'takes\ttake\tVBZ\tB-VP\tO' +p65291 +aS'Diabeta\tDiabeta\tNN\tB-NP\tO' +p65292 +aS',\t,\t,\tO\tO' +p65293 +aS'one\tone\tCD\tB-NP\tO' +p65294 +aS'QD\tQD\tNN\tI-NP\tO' +p65295 +aS';\t;\t:\tO\tO' +p65296 +aS'right\tright\tJJ\tB-NP\tO' +p65297 +aS'eye\teye\tNN\tI-NP\tO' +p65298 +aS'cataract\tcataract\tNN\tI-NP\tO' +p65299 +aS',\t,\t,\tO\tO' +p65300 +aS'operated\toperate\tVBD\tB-VP\tO' +p65301 +aS'on\ton\tIN\tB-PP\tO' +p65302 +aS'three\tthree\tCD\tB-NP\tO' +p65303 +aS'years\tyear\tNNS\tI-NP\tO' +p65304 +aS'ago\tago\tRB\tB-ADVP\tO' +p65305 +aS'.\t.\t.\tO\tO' +p65306 +asS'Abdominal CT showed inflammation in the right upper quadrant , small fluid in the circumferential thickening of the distal stomach .' +p65307 +(lp65308 +S'Abdominal\tAbdominal\tJJ\tB-NP\tO' +p65309 +aS'CT\tCT\tNN\tI-NP\tO' +p65310 +aS'showed\tshow\tVBD\tB-VP\tO' +p65311 +aS'inflammation\tinflammation\tNN\tB-NP\tO' +p65312 +aS'in\tin\tIN\tB-PP\tO' +p65313 +aS'the\tthe\tDT\tB-NP\tO' +p65314 +aS'right\tright\tJJ\tI-NP\tO' +p65315 +aS'upper\tupper\tJJ\tI-NP\tO' +p65316 +aS'quadrant\tquadrant\tNN\tI-NP\tO' +p65317 +aS',\t,\t,\tO\tO' +p65318 +aS'small\tsmall\tJJ\tB-NP\tO' +p65319 +aS'fluid\tfluid\tNN\tI-NP\tO' +p65320 +aS'in\tin\tIN\tB-PP\tO' +p65321 +aS'the\tthe\tDT\tB-NP\tO' +p65322 +aS'circumferential\tcircumferential\tJJ\tI-NP\tO' +p65323 +aS'thickening\tthickening\tNN\tI-NP\tO' +p65324 +aS'of\tof\tIN\tB-PP\tO' +p65325 +aS'the\tthe\tDT\tB-NP\tO' +p65326 +aS'distal\tdistal\tJJ\tI-NP\tO' +p65327 +aS'stomach\tstomach\tNN\tI-NP\tO' +p65328 +aS'.\t.\t.\tO\tO' +p65329 +asS'She has also had some discomfort in her left lower abdomen and notes diarrhea every 4-5 days .' +p65330 +(lp65331 +S'She\tShe\tPRP\tB-NP\tO' +p65332 +aS'has\thave\tVBZ\tB-VP\tO' +p65333 +aS'also\talso\tRB\tI-VP\tO' +p65334 +aS'had\thave\tVBD\tI-VP\tO' +p65335 +aS'some\tsome\tDT\tB-NP\tO' +p65336 +aS'discomfort\tdiscomfort\tNN\tI-NP\tO' +p65337 +aS'in\tin\tIN\tB-PP\tO' +p65338 +aS'her\ther\tPRP$\tB-NP\tO' +p65339 +aS'left\tleft\tJJ\tI-NP\tO' +p65340 +aS'lower\tlow\tJJR\tI-NP\tO' +p65341 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p65342 +aS'and\tand\tCC\tO\tO' +p65343 +aS'notes\tnote\tVBZ\tB-VP\tO' +p65344 +aS'diarrhea\tdiarrhea\tNN\tB-NP\tO' +p65345 +aS'every\tevery\tDT\tB-NP\tO' +p65346 +aS'4-5\t4-5\tCD\tI-NP\tO' +p65347 +aS'days\tday\tNNS\tI-NP\tO' +p65348 +aS'.\t.\t.\tO\tO' +p65349 +asS'The oropharynx was clear .' +p65350 +(lp65351 +S'The\tThe\tDT\tB-NP\tO' +p65352 +aS'oropharynx\toropharynx\tNN\tI-NP\tO' +p65353 +aS'was\tbe\tVBD\tB-VP\tO' +p65354 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p65355 +aS'.\t.\t.\tO\tO' +p65356 +asS'Not actively suicidal .' +p65357 +(lp65358 +S'Not\tNot\tRB\tO\tO' +p65359 +aS'actively\tactively\tRB\tB-ADJP\tO' +p65360 +aS'suicidal\tsuicidal\tJJ\tI-ADJP\tO' +p65361 +aS'.\t.\t.\tO\tO' +p65362 +asS'The patient and his wife , a nurse , were educated on low molecular wt heparin , which was started in the hospital on 2015-08-26 with close follow-up scheduled with Dr. Demmert of the Wareham VA primary care clinic the next morning .' +p65363 +(lp65364 +S'The\tThe\tDT\tB-NP\tO' +p65365 +aS'patient\tpatient\tNN\tI-NP\tO' +p65366 +aS'and\tand\tCC\tO\tO' +p65367 +aS'his\this\tPRP$\tB-NP\tO' +p65368 +aS'wife\twife\tNN\tI-NP\tO' +p65369 +aS',\t,\t,\tO\tO' +p65370 +aS'a\ta\tDT\tB-NP\tO' +p65371 +aS'nurse\tnurse\tNN\tI-NP\tO' +p65372 +aS',\t,\t,\tO\tO' +p65373 +aS'were\tbe\tVBD\tB-VP\tO' +p65374 +aS'educated\teducate\tVBN\tI-VP\tO' +p65375 +aS'on\ton\tIN\tB-PP\tO' +p65376 +aS'low\tlow\tJJ\tB-NP\tB-protein' +p65377 +aS'molecular\tmolecular\tJJ\tI-NP\tI-protein' +p65378 +aS'wt\twt\tNN\tI-NP\tI-protein' +p65379 +aS'heparin\theparin\tNN\tI-NP\tI-protein' +p65380 +aS',\t,\t,\tO\tO' +p65381 +aS'which\twhich\tWDT\tB-NP\tO' +p65382 +aS'was\tbe\tVBD\tB-VP\tO' +p65383 +aS'started\tstart\tVBN\tI-VP\tO' +p65384 +aS'in\tin\tIN\tB-PP\tO' +p65385 +aS'the\tthe\tDT\tB-NP\tO' +p65386 +aS'hospital\thospital\tNN\tI-NP\tO' +p65387 +aS'on\ton\tIN\tB-PP\tO' +p65388 +aS'2015-08-26\t2015-08-26\tCD\tB-NP\tO' +p65389 +aS'with\twith\tIN\tB-PP\tO' +p65390 +aS'close\tclose\tJJ\tB-NP\tO' +p65391 +aS'follow-up\tfollow-up\tNN\tI-NP\tO' +p65392 +aS'scheduled\tschedule\tVBN\tB-VP\tO' +p65393 +aS'with\twith\tIN\tB-PP\tO' +p65394 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p65395 +aS'Demmert\tDemmert\tNNP\tI-NP\tO' +p65396 +aS'of\tof\tIN\tB-PP\tO' +p65397 +aS'the\tthe\tDT\tB-NP\tO' +p65398 +aS'Wareham\tWareham\tNNP\tI-NP\tO' +p65399 +aS'VA\tVA\tNNP\tI-NP\tO' +p65400 +aS'primary\tprimary\tJJ\tI-NP\tO' +p65401 +aS'care\tcare\tNN\tI-NP\tO' +p65402 +aS'clinic\tclinic\tNN\tI-NP\tO' +p65403 +aS'the\tthe\tDT\tB-NP\tO' +p65404 +aS'next\tnext\tJJ\tI-NP\tO' +p65405 +aS'morning\tmorning\tNN\tI-NP\tO' +p65406 +aS'.\t.\t.\tO\tO' +p65407 +asS'2. Non-specific myositis involving multiple muscle groups in the foreleg , most severe in the anterior , lateral , and posterior deep compartments .' +p65408 +(lp65409 +S'2.\t2.\tLS\tB-NP\tO' +p65410 +aS'Non-specific\tNon-specific\tJJ\tI-NP\tO' +p65411 +aS'myositis\tmyositis\tNN\tI-NP\tO' +p65412 +aS'involving\tinvolve\tVBG\tB-VP\tO' +p65413 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p65414 +aS'muscle\tmuscle\tNN\tI-NP\tO' +p65415 +aS'groups\tgroup\tNNS\tI-NP\tO' +p65416 +aS'in\tin\tIN\tB-PP\tO' +p65417 +aS'the\tthe\tDT\tB-NP\tO' +p65418 +aS'foreleg\tforeleg\tNN\tI-NP\tO' +p65419 +aS',\t,\t,\tO\tO' +p65420 +aS'most\tmost\tRBS\tB-ADJP\tO' +p65421 +aS'severe\tsevere\tJJ\tI-ADJP\tO' +p65422 +aS'in\tin\tIN\tB-PP\tO' +p65423 +aS'the\tthe\tDT\tB-NP\tO' +p65424 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p65425 +aS',\t,\t,\tI-NP\tO' +p65426 +aS'lateral\tlateral\tJJ\tI-NP\tO' +p65427 +aS',\t,\t,\tO\tO' +p65428 +aS'and\tand\tCC\tO\tO' +p65429 +aS'posterior\tposterior\tJJ\tB-NP\tO' +p65430 +aS'deep\tdeep\tJJ\tI-NP\tO' +p65431 +aS'compartments\tcompartment\tNNS\tI-NP\tO' +p65432 +aS'.\t.\t.\tO\tO' +p65433 +asS"Her maternal grandmother had breast cancer in her 80 s and her dad 's grandmother had stomach cancer and died in her 50 s." +p65434 +(lp65435 +S'Her\tHer\tPRP$\tB-NP\tO' +p65436 +aS'maternal\tmaternal\tJJ\tI-NP\tO' +p65437 +aS'grandmother\tgrandmother\tNN\tI-NP\tO' +p65438 +aS'had\thave\tVBD\tB-VP\tO' +p65439 +aS'breast\tbreast\tNN\tB-NP\tO' +p65440 +aS'cancer\tcancer\tNN\tI-NP\tO' +p65441 +aS'in\tin\tIN\tB-PP\tO' +p65442 +aS'her\ther\tPRP$\tB-NP\tO' +p65443 +aS'80\t80\tCD\tI-NP\tO' +p65444 +aS's\ts\tNN\tI-NP\tO' +p65445 +aS'and\tand\tCC\tO\tO' +p65446 +aS'her\ther\tPRP$\tB-NP\tO' +p65447 +aS'dad\tdad\tNN\tI-NP\tO' +p65448 +aS"'s\t's\tPOS\tB-NP\tO" +p65449 +aS'grandmother\tgrandmother\tNN\tI-NP\tO' +p65450 +aS'had\thave\tVBD\tB-VP\tO' +p65451 +aS'stomach\tstomach\tNN\tB-NP\tO' +p65452 +aS'cancer\tcancer\tNN\tI-NP\tO' +p65453 +aS'and\tand\tCC\tO\tO' +p65454 +aS'died\tdie\tVBD\tB-VP\tO' +p65455 +aS'in\tin\tIN\tB-PP\tO' +p65456 +aS'her\ther\tPRP$\tB-NP\tO' +p65457 +aS'50\t50\tCD\tI-NP\tO' +p65458 +aS's.\ts.\tNNS\tI-NP\tO' +p65459 +asS'This could represent either recurrence of scar tissue .' +p65460 +(lp65461 +S'This\tThis\tDT\tB-NP\tO' +p65462 +aS'could\tcould\tMD\tB-VP\tO' +p65463 +aS'represent\trepresent\tVB\tI-VP\tO' +p65464 +aS'either\teither\tCC\tO\tO' +p65465 +aS'recurrence\trecurrence\tNN\tB-NP\tO' +p65466 +aS'of\tof\tIN\tB-PP\tO' +p65467 +aS'scar\tscar\tNN\tB-NP\tO' +p65468 +aS'tissue\ttissue\tNN\tI-NP\tO' +p65469 +aS'.\t.\t.\tO\tO' +p65470 +asS'He is scheduled to follow up with daughter in 2 days .' +p65471 +(lp65472 +S'He\tHe\tPRP\tB-NP\tO' +p65473 +aS'is\tbe\tVBZ\tB-VP\tO' +p65474 +aS'scheduled\tschedule\tVBN\tI-VP\tO' +p65475 +aS'to\tto\tTO\tI-VP\tO' +p65476 +aS'follow\tfollow\tVB\tI-VP\tO' +p65477 +aS'up\tup\tRP\tB-PRT\tO' +p65478 +aS'with\twith\tIN\tB-PP\tO' +p65479 +aS'daughter\tdaughter\tNN\tB-NP\tO' +p65480 +aS'in\tin\tIN\tB-PP\tO' +p65481 +aS'2\t2\tCD\tB-NP\tO' +p65482 +aS'days\tday\tNNS\tI-NP\tO' +p65483 +aS'.\t.\t.\tO\tO' +p65484 +asS'Wound infection .' +p65485 +(lp65486 +S'Wound\tWound\tJJ\tB-NP\tO' +p65487 +aS'infection\tinfection\tNN\tI-NP\tO' +p65488 +aS'.\t.\t.\tO\tO' +p65489 +asS'The patient was admitted to the Orthopedic Service on 4/16/93 .' +p65490 +(lp65491 +S'The\tThe\tDT\tB-NP\tO' +p65492 +aS'patient\tpatient\tNN\tI-NP\tO' +p65493 +aS'was\tbe\tVBD\tB-VP\tO' +p65494 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p65495 +aS'to\tto\tTO\tB-PP\tO' +p65496 +aS'the\tthe\tDT\tB-NP\tO' +p65497 +aS'Orthopedic\tOrthopedic\tNNP\tI-NP\tO' +p65498 +aS'Service\tService\tNNP\tI-NP\tO' +p65499 +aS'on\ton\tIN\tB-PP\tO' +p65500 +aS'4/16/93\t4/16/93\tCD\tB-NP\tO' +p65501 +aS'.\t.\t.\tO\tO' +p65502 +asS'5. Perinatal sepsis ruled out .' +p65503 +(lp65504 +S'5.\t5.\tLS\tB-NP\tO' +p65505 +aS'Perinatal\tPerinatal\tJJ\tI-NP\tO' +p65506 +aS'sepsis\tsepsis\tNN\tI-NP\tO' +p65507 +aS'ruled\trule\tVBD\tB-VP\tO' +p65508 +aS'out\tout\tRP\tB-PRT\tO' +p65509 +aS'.\t.\t.\tO\tO' +p65510 +asS'Hale Air Force Base Pediatrics .' +p65511 +(lp65512 +S'Hale\tHale\tNNP\tB-NP\tO' +p65513 +aS'Air\tAir\tNNP\tI-NP\tO' +p65514 +aS'Force\tForce\tNNP\tI-NP\tO' +p65515 +aS'Base\tBase\tNNP\tI-NP\tO' +p65516 +aS'Pediatrics\tPediatrics\tNNP\tI-NP\tO' +p65517 +aS'.\t.\t.\tO\tO' +p65518 +asS'POD#2 her pain was somewhat uncontrolled , she was placed on Dilaudid PCA with fair effect .' +p65519 +(lp65520 +S'POD#2\tPOD#2\tNN\tB-NP\tB-protein' +p65521 +aS'her\ther\tPRP$\tB-NP\tO' +p65522 +aS'pain\tpain\tNN\tI-NP\tO' +p65523 +aS'was\tbe\tVBD\tB-VP\tO' +p65524 +aS'somewhat\tsomewhat\tRB\tB-ADJP\tO' +p65525 +aS'uncontrolled\tuncontrolled\tJJ\tI-ADJP\tO' +p65526 +aS',\t,\t,\tO\tO' +p65527 +aS'she\tshe\tPRP\tB-NP\tO' +p65528 +aS'was\tbe\tVBD\tB-VP\tO' +p65529 +aS'placed\tplace\tVBN\tI-VP\tO' +p65530 +aS'on\ton\tIN\tB-PP\tO' +p65531 +aS'Dilaudid\tDilaudid\tNNP\tB-NP\tO' +p65532 +aS'PCA\tPCA\tNN\tI-NP\tO' +p65533 +aS'with\twith\tIN\tB-PP\tO' +p65534 +aS'fair\tfair\tJJ\tB-NP\tO' +p65535 +aS'effect\teffect\tNN\tI-NP\tO' +p65536 +aS'.\t.\t.\tO\tO' +p65537 +asS'CHRONIC LYMPHOCYTIC LEUKEMIA .' +p65538 +(lp65539 +S'CHRONIC\tCHRONIC\tNN\tB-NP\tO' +p65540 +aS'LYMPHOCYTIC\tLYMPHOCYTIC\tNN\tI-NP\tO' +p65541 +aS'LEUKEMIA\tLEUKEMIA\tNN\tI-NP\tO' +p65542 +aS'.\t.\t.\tO\tO' +p65543 +asS'He also became short of breath with climbing a flight of stairs .' +p65544 +(lp65545 +S'He\tHe\tPRP\tB-NP\tO' +p65546 +aS'also\talso\tRB\tB-ADVP\tO' +p65547 +aS'became\tbecome\tVBD\tB-VP\tO' +p65548 +aS'short\tshort\tRB\tB-ADJP\tO' +p65549 +aS'of\tof\tIN\tB-PP\tO' +p65550 +aS'breath\tbreath\tNN\tB-NP\tO' +p65551 +aS'with\twith\tIN\tB-PP\tO' +p65552 +aS'climbing\tclimb\tVBG\tB-VP\tO' +p65553 +aS'a\ta\tDT\tB-NP\tO' +p65554 +aS'flight\tflight\tNN\tI-NP\tO' +p65555 +aS'of\tof\tIN\tB-PP\tO' +p65556 +aS'stairs\tstair\tNNS\tB-NP\tO' +p65557 +aS'.\t.\t.\tO\tO' +p65558 +asS'2. Infertility .' +p65559 +(lp65560 +S'2.\t2.\tLS\tB-NP\tO' +p65561 +aS'Infertility\tInfertility\tNN\tI-NP\tO' +p65562 +aS'.\t.\t.\tO\tO' +p65563 +asS'The patient is allergic to penicillin , morphine , codeine .' +p65564 +(lp65565 +S'The\tThe\tDT\tB-NP\tO' +p65566 +aS'patient\tpatient\tNN\tI-NP\tO' +p65567 +aS'is\tbe\tVBZ\tB-VP\tO' +p65568 +aS'allergic\tallergic\tJJ\tB-ADJP\tO' +p65569 +aS'to\tto\tTO\tB-PP\tO' +p65570 +aS'penicillin\tpenicillin\tNN\tB-NP\tB-protein' +p65571 +aS',\t,\t,\tO\tO' +p65572 +aS'morphine\tmorphine\tNN\tB-NP\tO' +p65573 +aS',\t,\t,\tO\tO' +p65574 +aS'codeine\tcodeine\tNN\tB-NP\tO' +p65575 +aS'.\t.\t.\tO\tO' +p65576 +asS'Has brother , nephew and daughter in law near by .' +p65577 +(lp65578 +S'Has\tHas\tNNP\tB-NP\tO' +p65579 +aS'brother\tbrother\tNN\tI-NP\tO' +p65580 +aS',\t,\t,\tO\tO' +p65581 +aS'nephew\tnephew\tNN\tB-NP\tO' +p65582 +aS'and\tand\tCC\tI-NP\tO' +p65583 +aS'daughter\tdaughter\tNN\tI-NP\tO' +p65584 +aS'in\tin\tIN\tB-PP\tO' +p65585 +aS'law\tlaw\tNN\tB-NP\tO' +p65586 +aS'near\tnear\tIN\tB-PP\tO' +p65587 +aS'by\tby\tIN\tB-PP\tO' +p65588 +aS'.\t.\t.\tO\tO' +p65589 +asS'Extremities : no edema; cold feet bilaterally' +p65590 +(lp65591 +S'Extremities\tExtremity\tNNS\tB-NP\tO' +p65592 +aS':\t:\t:\tO\tO' +p65593 +aS'no\tno\tDT\tB-NP\tO' +p65594 +aS'edema;\tedema;\tNN\tI-NP\tO' +p65595 +aS'cold\tcold\tJJ\tI-NP\tO' +p65596 +aS'feet\tfoot\tNNS\tI-NP\tO' +p65597 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p65598 +asS'No st-t abnormalities .' +p65599 +(lp65600 +S'No\tNo\tDT\tB-NP\tO' +p65601 +aS'st-t\tst-t\tJJ\tI-NP\tO' +p65602 +aS'abnormalities\tabnormality\tNNS\tI-NP\tO' +p65603 +aS'.\t.\t.\tO\tO' +p65604 +asS'The neck was supple with full range of movement .' +p65605 +(lp65606 +S'The\tThe\tDT\tB-NP\tO' +p65607 +aS'neck\tneck\tNN\tI-NP\tO' +p65608 +aS'was\tbe\tVBD\tB-VP\tO' +p65609 +aS'supple\tsupple\tNN\tB-NP\tO' +p65610 +aS'with\twith\tIN\tB-PP\tO' +p65611 +aS'full\tfull\tJJ\tB-NP\tO' +p65612 +aS'range\trange\tNN\tI-NP\tO' +p65613 +aS'of\tof\tIN\tB-PP\tO' +p65614 +aS'movement\tmovement\tNN\tB-NP\tO' +p65615 +aS'.\t.\t.\tO\tO' +p65616 +asS'Additionally because of her history of contrast allergy , she was given Solu-Medrol 40 milligrams IV prior to the procedure .' +p65617 +(lp65618 +S'Additionally\tAdditionally\tRB\tB-ADVP\tO' +p65619 +aS'because\tbecause\tIN\tB-PP\tO' +p65620 +aS'of\tof\tIN\tI-PP\tO' +p65621 +aS'her\ther\tPRP$\tB-NP\tO' +p65622 +aS'history\thistory\tNN\tI-NP\tO' +p65623 +aS'of\tof\tIN\tB-PP\tO' +p65624 +aS'contrast\tcontrast\tNN\tB-NP\tO' +p65625 +aS'allergy\tallergy\tNN\tI-NP\tO' +p65626 +aS',\t,\t,\tO\tO' +p65627 +aS'she\tshe\tPRP\tB-NP\tO' +p65628 +aS'was\tbe\tVBD\tB-VP\tO' +p65629 +aS'given\tgive\tVBN\tI-VP\tO' +p65630 +aS'Solu-Medrol\tSolu-Medrol\tNNP\tB-NP\tO' +p65631 +aS'40\t40\tCD\tI-NP\tO' +p65632 +aS'milligrams\tmilligram\tNNS\tI-NP\tO' +p65633 +aS'IV\tIV\tCD\tB-NP\tO' +p65634 +aS'prior\tprior\tJJ\tB-ADVP\tO' +p65635 +aS'to\tto\tTO\tB-PP\tO' +p65636 +aS'the\tthe\tDT\tB-NP\tO' +p65637 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p65638 +aS'.\t.\t.\tO\tO' +p65639 +asS'regular rate and rhythm , without murmur , rub or gallop .' +p65640 +(lp65641 +S'regular\tregular\tJJ\tB-NP\tO' +p65642 +aS'rate\trate\tNN\tI-NP\tO' +p65643 +aS'and\tand\tCC\tI-NP\tO' +p65644 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p65645 +aS',\t,\t,\tO\tO' +p65646 +aS'without\twithout\tIN\tB-PP\tO' +p65647 +aS'murmur\tmurmur\tNN\tB-NP\tO' +p65648 +aS',\t,\t,\tI-NP\tO' +p65649 +aS'rub\trub\tNN\tI-NP\tO' +p65650 +aS'or\tor\tCC\tI-NP\tO' +p65651 +aS'gallop\tgallop\tNN\tI-NP\tO' +p65652 +aS'.\t.\t.\tO\tO' +p65653 +asS"9. Psychosocial - Bridgewater State Hospital Center 's social work involved with family ." +p65654 +(lp65655 +S'9.\t9.\tCD\tB-NP\tO' +p65656 +aS'Psychosocial\tPsychosocial\tNNP\tI-NP\tO' +p65657 +aS'-\t-\tHYPH\tI-NP\tO' +p65658 +aS'Bridgewater\tBridgewater\tNNP\tI-NP\tO' +p65659 +aS'State\tState\tNNP\tI-NP\tO' +p65660 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p65661 +aS'Center\tCenter\tNNP\tI-NP\tO' +p65662 +aS"'s\t's\tPOS\tB-NP\tO" +p65663 +aS'social\tsocial\tJJ\tI-NP\tO' +p65664 +aS'work\twork\tNN\tI-NP\tO' +p65665 +aS'involved\tinvolve\tVBN\tB-VP\tO' +p65666 +aS'with\twith\tIN\tB-PP\tO' +p65667 +aS'family\tfamily\tNN\tB-NP\tO' +p65668 +aS'.\t.\t.\tO\tO' +p65669 +asS'The patient received care on the Baydell Medical Center .' +p65670 +(lp65671 +S'The\tThe\tDT\tB-NP\tO' +p65672 +aS'patient\tpatient\tNN\tI-NP\tO' +p65673 +aS'received\treceive\tVBD\tB-VP\tO' +p65674 +aS'care\tcare\tNN\tB-NP\tO' +p65675 +aS'on\ton\tIN\tB-PP\tO' +p65676 +aS'the\tthe\tDT\tB-NP\tO' +p65677 +aS'Baydell\tBaydell\tNNP\tI-NP\tO' +p65678 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p65679 +aS'Center\tCenter\tNNP\tI-NP\tO' +p65680 +aS'.\t.\t.\tO\tO' +p65681 +asS'Heart rate 62 , respiratory rate 16 , blood pressure right arm 205/84 , oxygen saturation 97% on two liters nasal cannula .' +p65682 +(lp65683 +S'Heart\tHeart\tNN\tB-NP\tO' +p65684 +aS'rate\trate\tNN\tI-NP\tO' +p65685 +aS'62\t62\tCD\tI-NP\tO' +p65686 +aS',\t,\t,\tO\tO' +p65687 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p65688 +aS'rate\trate\tNN\tI-NP\tO' +p65689 +aS'16\t16\tCD\tI-NP\tO' +p65690 +aS',\t,\t,\tO\tO' +p65691 +aS'blood\tblood\tNN\tB-NP\tO' +p65692 +aS'pressure\tpressure\tNN\tI-NP\tO' +p65693 +aS'right\tright\tJJ\tI-NP\tO' +p65694 +aS'arm\tarm\tNN\tI-NP\tO' +p65695 +aS'205/84\t205/84\tCD\tI-NP\tO' +p65696 +aS',\t,\t,\tO\tO' +p65697 +aS'oxygen\toxygen\tNN\tB-NP\tO' +p65698 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p65699 +aS'97%\t97%\tCD\tI-NP\tO' +p65700 +aS'on\ton\tIN\tB-PP\tO' +p65701 +aS'two\ttwo\tCD\tB-NP\tO' +p65702 +aS'liters\tliter\tNNS\tI-NP\tO' +p65703 +aS'nasal\tnasal\tJJ\tI-NP\tO' +p65704 +aS'cannula\tcannula\tNN\tI-NP\tO' +p65705 +aS'.\t.\t.\tO\tO' +p65706 +asS'The patient did well postoperatively and was transported to the regular cardiac surgery floor where he tolerated a regular diet , ambulated well , did well with his activities of daily living .' +p65707 +(lp65708 +S'The\tThe\tDT\tB-NP\tO' +p65709 +aS'patient\tpatient\tNN\tI-NP\tO' +p65710 +aS'did\tdo\tVBD\tB-VP\tO' +p65711 +aS'well\twell\tRB\tB-ADVP\tO' +p65712 +aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' +p65713 +aS'and\tand\tCC\tO\tO' +p65714 +aS'was\tbe\tVBD\tB-VP\tO' +p65715 +aS'transported\ttransport\tVBN\tI-VP\tO' +p65716 +aS'to\tto\tTO\tB-PP\tO' +p65717 +aS'the\tthe\tDT\tB-NP\tO' +p65718 +aS'regular\tregular\tJJ\tI-NP\tO' +p65719 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p65720 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p65721 +aS'floor\tfloor\tNN\tI-NP\tO' +p65722 +aS'where\twhere\tWRB\tB-ADVP\tO' +p65723 +aS'he\the\tPRP\tB-NP\tO' +p65724 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p65725 +aS'a\ta\tDT\tB-NP\tO' +p65726 +aS'regular\tregular\tJJ\tI-NP\tO' +p65727 +aS'diet\tdiet\tNN\tI-NP\tO' +p65728 +aS',\t,\t,\tO\tO' +p65729 +aS'ambulated\tambulate\tVBN\tB-VP\tO' +p65730 +aS'well\twell\tRB\tB-ADVP\tO' +p65731 +aS',\t,\t,\tO\tO' +p65732 +aS'did\tdo\tVBD\tB-VP\tO' +p65733 +aS'well\twell\tRB\tB-ADVP\tO' +p65734 +aS'with\twith\tIN\tB-PP\tO' +p65735 +aS'his\this\tPRP$\tB-NP\tO' +p65736 +aS'activities\tactivity\tNNS\tI-NP\tO' +p65737 +aS'of\tof\tIN\tB-PP\tO' +p65738 +aS'daily\tdaily\tJJ\tB-NP\tO' +p65739 +aS'living\tliving\tNN\tI-NP\tO' +p65740 +aS'.\t.\t.\tO\tO' +p65741 +asS'She does have a left iliac deep vein thrombosis .' +p65742 +(lp65743 +S'She\tShe\tPRP\tB-NP\tO' +p65744 +aS'does\tdo\tVBZ\tB-VP\tO' +p65745 +aS'have\thave\tVB\tI-VP\tO' +p65746 +aS'a\ta\tDT\tB-NP\tO' +p65747 +aS'left\tleft\tJJ\tI-NP\tO' +p65748 +aS'iliac\tiliac\tJJ\tI-NP\tO' +p65749 +aS'deep\tdeep\tJJ\tI-NP\tO' +p65750 +aS'vein\tvein\tNN\tI-NP\tO' +p65751 +aS'thrombosis\tthrombosis\tNN\tI-NP\tO' +p65752 +aS'.\t.\t.\tO\tO' +p65753 +asS'During the operation , the patient received 13 units of packed red blood cells , four units of fresh frozen plasma and one unit of platelets with an estimated blood loss of 1500 cc .' +p65754 +(lp65755 +S'During\tDuring\tIN\tB-PP\tO' +p65756 +aS'the\tthe\tDT\tB-NP\tO' +p65757 +aS'operation\toperation\tNN\tI-NP\tO' +p65758 +aS',\t,\t,\tO\tO' +p65759 +aS'the\tthe\tDT\tB-NP\tO' +p65760 +aS'patient\tpatient\tNN\tI-NP\tO' +p65761 +aS'received\treceive\tVBD\tB-VP\tO' +p65762 +aS'13\t13\tCD\tB-NP\tO' +p65763 +aS'units\tunit\tNNS\tI-NP\tO' +p65764 +aS'of\tof\tIN\tB-PP\tO' +p65765 +aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' +p65766 +aS'red\tred\tJJ\tI-NP\tI-cell_type' +p65767 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p65768 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p65769 +aS',\t,\t,\tO\tO' +p65770 +aS'four\tfour\tCD\tB-NP\tO' +p65771 +aS'units\tunit\tNNS\tI-NP\tO' +p65772 +aS'of\tof\tIN\tB-PP\tO' +p65773 +aS'fresh\tfresh\tJJ\tB-NP\tO' +p65774 +aS'frozen\tfrozen\tJJ\tI-NP\tO' +p65775 +aS'plasma\tplasma\tNN\tI-NP\tO' +p65776 +aS'and\tand\tCC\tO\tO' +p65777 +aS'one\tone\tCD\tB-NP\tO' +p65778 +aS'unit\tunit\tNN\tI-NP\tO' +p65779 +aS'of\tof\tIN\tB-PP\tO' +p65780 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p65781 +aS'with\twith\tIN\tB-PP\tO' +p65782 +aS'an\tan\tDT\tB-NP\tO' +p65783 +aS'estimated\testimate\tVBN\tI-NP\tO' +p65784 +aS'blood\tblood\tNN\tI-NP\tO' +p65785 +aS'loss\tloss\tNN\tI-NP\tO' +p65786 +aS'of\tof\tIN\tB-PP\tO' +p65787 +aS'1500\t1500\tCD\tB-NP\tO' +p65788 +aS'cc\tcc\tNN\tI-NP\tO' +p65789 +aS'.\t.\t.\tO\tO' +p65790 +asS'VS were with stable BPs , tachy to 110-120 , sat 98% RA .' +p65791 +(lp65792 +S'VS\tVS\tNNS\tB-NP\tO' +p65793 +aS'were\tbe\tVBD\tB-VP\tO' +p65794 +aS'with\twith\tIN\tB-PP\tO' +p65795 +aS'stable\tstable\tJJ\tB-NP\tO' +p65796 +aS'BPs\tBP\tNNS\tI-NP\tO' +p65797 +aS',\t,\t,\tO\tO' +p65798 +aS'tachy\ttachy\tNN\tB-NP\tO' +p65799 +aS'to\tto\tTO\tB-PP\tO' +p65800 +aS'110-120\t110-120\tCD\tB-NP\tO' +p65801 +aS',\t,\t,\tO\tO' +p65802 +aS'sat\tsit\tVBD\tB-VP\tO' +p65803 +aS'98%\t98%\tCD\tB-NP\tO' +p65804 +aS'RA\tRA\tNN\tI-NP\tO' +p65805 +aS'.\t.\t.\tO\tO' +p65806 +asS'She denies any pain with activity .' +p65807 +(lp65808 +S'She\tShe\tPRP\tB-NP\tO' +p65809 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p65810 +aS'any\tany\tDT\tB-NP\tO' +p65811 +aS'pain\tpain\tNN\tI-NP\tO' +p65812 +aS'with\twith\tIN\tB-PP\tO' +p65813 +aS'activity\tactivity\tNN\tB-NP\tO' +p65814 +aS'.\t.\t.\tO\tO' +p65815 +asS'Attending : Donald I Patrick , M.D.' +p65816 +(lp65817 +S'Attending\tAttend\tVBG\tB-VP\tO' +p65818 +aS':\t:\t:\tO\tO' +p65819 +aS'Donald\tDonald\tNNP\tB-NP\tO' +p65820 +aS'I\tI\tNNP\tI-NP\tO' +p65821 +aS'Patrick\tPatrick\tNNP\tI-NP\tO' +p65822 +aS',\t,\t,\tO\tO' +p65823 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p65824 +asS'He was again treated with Campath , had recurrent fever in association with sinus symptoms , with CT scan showing left maxillary sinusitis in association with new skin nodules on right elbow and buttocks .' +p65825 +(lp65826 +S'He\tHe\tPRP\tB-NP\tO' +p65827 +aS'was\tbe\tVBD\tB-VP\tO' +p65828 +aS'again\tagain\tRB\tI-VP\tO' +p65829 +aS'treated\ttreat\tVBN\tI-VP\tO' +p65830 +aS'with\twith\tIN\tB-PP\tO' +p65831 +aS'Campath\tCampath\tNN\tB-NP\tO' +p65832 +aS',\t,\t,\tO\tO' +p65833 +aS'had\thave\tVBD\tB-VP\tO' +p65834 +aS'recurrent\trecurrent\tJJ\tB-NP\tO' +p65835 +aS'fever\tfever\tNN\tI-NP\tO' +p65836 +aS'in\tin\tIN\tB-PP\tO' +p65837 +aS'association\tassociation\tNN\tB-NP\tO' +p65838 +aS'with\twith\tIN\tB-PP\tO' +p65839 +aS'sinus\tsinus\tNN\tB-NP\tO' +p65840 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p65841 +aS',\t,\t,\tO\tO' +p65842 +aS'with\twith\tIN\tB-PP\tO' +p65843 +aS'CT\tCT\tNN\tB-NP\tO' +p65844 +aS'scan\tscan\tNN\tI-NP\tO' +p65845 +aS'showing\tshow\tVBG\tB-VP\tO' +p65846 +aS'left\tleft\tJJ\tB-NP\tO' +p65847 +aS'maxillary\tmaxillary\tJJ\tI-NP\tO' +p65848 +aS'sinusitis\tsinusitis\tNN\tI-NP\tO' +p65849 +aS'in\tin\tIN\tB-PP\tO' +p65850 +aS'association\tassociation\tNN\tB-NP\tO' +p65851 +aS'with\twith\tIN\tB-PP\tO' +p65852 +aS'new\tnew\tJJ\tB-NP\tO' +p65853 +aS'skin\tskin\tNN\tI-NP\tO' +p65854 +aS'nodules\tnodule\tNNS\tI-NP\tO' +p65855 +aS'on\ton\tIN\tB-PP\tO' +p65856 +aS'right\tright\tJJ\tB-NP\tO' +p65857 +aS'elbow\telbow\tNN\tI-NP\tO' +p65858 +aS'and\tand\tCC\tI-NP\tO' +p65859 +aS'buttocks\tbuttock\tNNS\tI-NP\tO' +p65860 +aS'.\t.\t.\tO\tO' +p65861 +asS'She takes 14 units of NPH insulin twice a day supplementing with a sliding scale .' +p65862 +(lp65863 +S'She\tShe\tPRP\tB-NP\tO' +p65864 +aS'takes\ttake\tVBZ\tB-VP\tO' +p65865 +aS'14\t14\tCD\tB-NP\tO' +p65866 +aS'units\tunit\tNNS\tI-NP\tO' +p65867 +aS'of\tof\tIN\tB-PP\tO' +p65868 +aS'NPH\tNPH\tNN\tB-NP\tB-protein' +p65869 +aS'insulin\tinsulin\tNN\tI-NP\tI-protein' +p65870 +aS'twice\ttwice\tRB\tB-NP\tO' +p65871 +aS'a\ta\tDT\tI-NP\tO' +p65872 +aS'day\tday\tNN\tI-NP\tO' +p65873 +aS'supplementing\tsupplement\tVBG\tB-VP\tO' +p65874 +aS'with\twith\tIN\tB-PP\tO' +p65875 +aS'a\ta\tDT\tB-NP\tO' +p65876 +aS'sliding\tslide\tVBG\tI-NP\tO' +p65877 +aS'scale\tscale\tNN\tI-NP\tO' +p65878 +aS'.\t.\t.\tO\tO' +p65879 +asS'Pt with surveillance cultures and port tip cultures showing NGTD on 01-24 , he will have futher surveillance cultures drawn at hemodialysis and followed by his nephrologist .' +p65880 +(lp65881 +S'Pt\tPt\tNN\tB-NP\tO' +p65882 +aS'with\twith\tIN\tB-PP\tO' +p65883 +aS'surveillance\tsurveillance\tNN\tB-NP\tO' +p65884 +aS'cultures\tculture\tNNS\tI-NP\tO' +p65885 +aS'and\tand\tCC\tO\tO' +p65886 +aS'port\tport\tNN\tB-NP\tO' +p65887 +aS'tip\ttip\tNN\tI-NP\tO' +p65888 +aS'cultures\tculture\tNNS\tI-NP\tO' +p65889 +aS'showing\tshow\tVBG\tB-VP\tO' +p65890 +aS'NGTD\tNGTD\tNN\tB-NP\tB-protein' +p65891 +aS'on\ton\tIN\tB-PP\tO' +p65892 +aS'01-24\t01-24\tCD\tB-NP\tO' +p65893 +aS',\t,\t,\tO\tO' +p65894 +aS'he\the\tPRP\tB-NP\tO' +p65895 +aS'will\twill\tMD\tB-VP\tO' +p65896 +aS'have\thave\tVB\tI-VP\tO' +p65897 +aS'futher\tfuth\tJJR\tB-NP\tO' +p65898 +aS'surveillance\tsurveillance\tNN\tI-NP\tO' +p65899 +aS'cultures\tculture\tNNS\tI-NP\tO' +p65900 +aS'drawn\tdraw\tVBN\tB-VP\tO' +p65901 +aS'at\tat\tIN\tB-PP\tO' +p65902 +aS'hemodialysis\themodialysis\tNN\tB-NP\tO' +p65903 +aS'and\tand\tCC\tO\tO' +p65904 +aS'followed\tfollow\tVBN\tB-VP\tO' +p65905 +aS'by\tby\tIN\tB-PP\tO' +p65906 +aS'his\this\tPRP$\tB-NP\tO' +p65907 +aS'nephrologist\tnephrologist\tNN\tI-NP\tO' +p65908 +aS'.\t.\t.\tO\tO' +p65909 +asS'Bilirubin level was peaked on day of life 4 to 10.9/0.3 .' +p65910 +(lp65911 +S'Bilirubin\tBilirubin\tNN\tB-NP\tO' +p65912 +aS'level\tlevel\tNN\tI-NP\tO' +p65913 +aS'was\tbe\tVBD\tB-VP\tO' +p65914 +aS'peaked\tpeak\tVBN\tI-VP\tO' +p65915 +aS'on\ton\tIN\tB-PP\tO' +p65916 +aS'day\tday\tNN\tB-NP\tO' +p65917 +aS'of\tof\tIN\tB-PP\tO' +p65918 +aS'life\tlife\tNN\tB-NP\tO' +p65919 +aS'4\t4\tCD\tB-NP\tO' +p65920 +aS'to\tto\tTO\tB-PP\tO' +p65921 +aS'10.9/0.3\t10.9/0.3\tCD\tB-NP\tO' +p65922 +aS'.\t.\t.\tO\tO' +p65923 +asS'On 12-06 , she received her second hepatitis B vaccine .' +p65924 +(lp65925 +S'On\tOn\tIN\tB-PP\tO' +p65926 +aS'12-06\t12-06\tCD\tB-NP\tO' +p65927 +aS',\t,\t,\tO\tO' +p65928 +aS'she\tshe\tPRP\tB-NP\tO' +p65929 +aS'received\treceive\tVBD\tB-VP\tO' +p65930 +aS'her\ther\tPRP$\tB-NP\tO' +p65931 +aS'second\tsecond\tJJ\tI-NP\tO' +p65932 +aS'hepatitis\thepatitis\tNN\tI-NP\tO' +p65933 +aS'B\tB\tNN\tI-NP\tO' +p65934 +aS'vaccine\tvaccine\tNN\tI-NP\tO' +p65935 +aS'.\t.\t.\tO\tO' +p65936 +asS'Prenatal screen , O positive , antibody negative , RPR nonreactive , hepatitis B surface antigen negative , reportedly GBS negative , Rubella immune .' +p65937 +(lp65938 +S'Prenatal\tPrenatal\tJJ\tB-NP\tO' +p65939 +aS'screen\tscreen\tNN\tI-NP\tO' +p65940 +aS',\t,\t,\tO\tO' +p65941 +aS'O\tO\tNN\tB-NP\tO' +p65942 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p65943 +aS',\t,\t,\tO\tO' +p65944 +aS'antibody\tantibody\tNN\tB-NP\tO' +p65945 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p65946 +aS',\t,\t,\tO\tO' +p65947 +aS'RPR\tRPR\tNN\tB-NP\tB-protein' +p65948 +aS'nonreactive\tnonreactive\tJJ\tB-ADJP\tO' +p65949 +aS',\t,\t,\tO\tO' +p65950 +aS'hepatitis\thepatitis\tNN\tB-NP\tB-protein' +p65951 +aS'B\tB\tNN\tI-NP\tI-protein' +p65952 +aS'surface\tsurface\tNN\tI-NP\tI-protein' +p65953 +aS'antigen\tantigen\tNN\tI-NP\tI-protein' +p65954 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p65955 +aS',\t,\t,\tO\tO' +p65956 +aS'reportedly\treportedly\tRB\tB-ADVP\tO' +p65957 +aS'GBS\tGBS\tVBZ\tB-VP\tO' +p65958 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p65959 +aS',\t,\t,\tO\tO' +p65960 +aS'Rubella\tRubella\tNNP\tB-NP\tO' +p65961 +aS'immune\timmune\tJJ\tB-ADJP\tO' +p65962 +aS'.\t.\t.\tO\tO' +p65963 +asS'He was switched from clindamycin to the imipenem and Flagyl .' +p65964 +(lp65965 +S'He\tHe\tPRP\tB-NP\tO' +p65966 +aS'was\tbe\tVBD\tB-VP\tO' +p65967 +aS'switched\tswitch\tVBN\tI-VP\tO' +p65968 +aS'from\tfrom\tIN\tB-PP\tO' +p65969 +aS'clindamycin\tclindamycin\tNN\tB-NP\tO' +p65970 +aS'to\tto\tTO\tB-PP\tO' +p65971 +aS'the\tthe\tDT\tB-NP\tO' +p65972 +aS'imipenem\timipenem\tNN\tI-NP\tO' +p65973 +aS'and\tand\tCC\tI-NP\tO' +p65974 +aS'Flagyl\tFlagyl\tNN\tI-NP\tO' +p65975 +aS'.\t.\t.\tO\tO' +p65976 +asS'Aside from the above , the patient had felt that baseline without fever and chills or change in chronic cough .' +p65977 +(lp65978 +S'Aside\tAside\tRB\tB-ADVP\tO' +p65979 +aS'from\tfrom\tIN\tB-PP\tO' +p65980 +aS'the\tthe\tDT\tB-NP\tO' +p65981 +aS'above\tabove\tJJ\tI-NP\tO' +p65982 +aS',\t,\t,\tO\tO' +p65983 +aS'the\tthe\tDT\tB-NP\tO' +p65984 +aS'patient\tpatient\tNN\tI-NP\tO' +p65985 +aS'had\thave\tVBD\tB-VP\tO' +p65986 +aS'felt\tfeel\tVBN\tI-VP\tO' +p65987 +aS'that\tthat\tIN\tB-SBAR\tO' +p65988 +aS'baseline\tbaseline\tNN\tB-NP\tO' +p65989 +aS'without\twithout\tIN\tB-PP\tO' +p65990 +aS'fever\tfever\tNN\tB-NP\tO' +p65991 +aS'and\tand\tCC\tI-NP\tO' +p65992 +aS'chills\tchill\tNNS\tI-NP\tO' +p65993 +aS'or\tor\tCC\tO\tO' +p65994 +aS'change\tchange\tNN\tB-NP\tO' +p65995 +aS'in\tin\tIN\tB-PP\tO' +p65996 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p65997 +aS'cough\tcough\tNN\tI-NP\tO' +p65998 +aS'.\t.\t.\tO\tO' +p65999 +asS'He is 6 feet 1 inches tall and has a pre-op weight of 181 pounds .' +p66000 +(lp66001 +S'He\tHe\tPRP\tB-NP\tO' +p66002 +aS'is\tbe\tVBZ\tB-VP\tO' +p66003 +aS'6\t6\tCD\tB-NP\tO' +p66004 +aS'feet\tfoot\tNNS\tI-NP\tO' +p66005 +aS'1\t1\tCD\tI-NP\tO' +p66006 +aS'inches\tinch\tNNS\tI-NP\tO' +p66007 +aS'tall\ttall\tJJ\tB-ADJP\tO' +p66008 +aS'and\tand\tCC\tO\tO' +p66009 +aS'has\thave\tVBZ\tB-VP\tO' +p66010 +aS'a\ta\tDT\tB-NP\tO' +p66011 +aS'pre-op\tpre-op\tJJ\tI-NP\tO' +p66012 +aS'weight\tweight\tNN\tI-NP\tO' +p66013 +aS'of\tof\tIN\tB-PP\tO' +p66014 +aS'181\t181\tCD\tB-NP\tO' +p66015 +aS'pounds\tpound\tNNS\tI-NP\tO' +p66016 +aS'.\t.\t.\tO\tO' +p66017 +asS'These drains will then be subsequently taken out by Dr. General upon his followup with the patient .' +p66018 +(lp66019 +S'These\tThese\tDT\tB-NP\tO' +p66020 +aS'drains\tdrain\tNNS\tI-NP\tO' +p66021 +aS'will\twill\tMD\tB-VP\tO' +p66022 +aS'then\tthen\tRB\tI-VP\tO' +p66023 +aS'be\tbe\tVB\tI-VP\tO' +p66024 +aS'subsequently\tsubsequently\tRB\tI-VP\tO' +p66025 +aS'taken\ttake\tVBN\tI-VP\tO' +p66026 +aS'out\tout\tRP\tB-PRT\tO' +p66027 +aS'by\tby\tIN\tB-PP\tO' +p66028 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p66029 +aS'General\tGeneral\tNNP\tI-NP\tO' +p66030 +aS'upon\tupon\tIN\tB-PP\tO' +p66031 +aS'his\this\tPRP$\tB-NP\tO' +p66032 +aS'followup\tfollowup\tNN\tI-NP\tO' +p66033 +aS'with\twith\tIN\tB-PP\tO' +p66034 +aS'the\tthe\tDT\tB-NP\tO' +p66035 +aS'patient\tpatient\tNN\tI-NP\tO' +p66036 +aS'.\t.\t.\tO\tO' +p66037 +asS'At this point , he was made comfort measures and expired comfortably .' +p66038 +(lp66039 +S'At\tAt\tIN\tB-PP\tO' +p66040 +aS'this\tthis\tDT\tB-NP\tO' +p66041 +aS'point\tpoint\tNN\tI-NP\tO' +p66042 +aS',\t,\t,\tO\tO' +p66043 +aS'he\the\tPRP\tB-NP\tO' +p66044 +aS'was\tbe\tVBD\tB-VP\tO' +p66045 +aS'made\tmake\tVBN\tI-VP\tO' +p66046 +aS'comfort\tcomfort\tNN\tB-NP\tO' +p66047 +aS'measures\tmeasure\tNNS\tI-NP\tO' +p66048 +aS'and\tand\tCC\tO\tO' +p66049 +aS'expired\texpire\tVBD\tB-VP\tO' +p66050 +aS'comfortably\tcomfortably\tRB\tB-ADVP\tO' +p66051 +aS'.\t.\t.\tO\tO' +p66052 +asS'Admission sodium of 136 , potassium 3.8 , chloride 99 , bicarbonate 27.3 , BUN and creatinine of 13 and 0.6 , glucose 86 , calcium 9.3 , liver function tests notable for an albumin of 2.5 , globulin 4.5 .' +p66053 +(lp66054 +S'Admission\tAdmission\tNN\tB-NP\tO' +p66055 +aS'sodium\tsodium\tNN\tI-NP\tO' +p66056 +aS'of\tof\tIN\tB-PP\tO' +p66057 +aS'136\t136\tCD\tB-NP\tO' +p66058 +aS',\t,\t,\tO\tO' +p66059 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p66060 +aS'3.8\t3.8\tCD\tI-NP\tO' +p66061 +aS',\t,\t,\tO\tO' +p66062 +aS'chloride\tchloride\tNN\tB-NP\tO' +p66063 +aS'99\t99\tCD\tI-NP\tO' +p66064 +aS',\t,\t,\tO\tO' +p66065 +aS'bicarbonate\tbicarbonate\tNN\tB-NP\tB-protein' +p66066 +aS'27.3\t27.3\tCD\tI-NP\tI-protein' +p66067 +aS',\t,\t,\tO\tO' +p66068 +aS'BUN\tBUN\tNN\tB-NP\tB-protein' +p66069 +aS'and\tand\tCC\tI-NP\tO' +p66070 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p66071 +aS'of\tof\tIN\tB-PP\tO' +p66072 +aS'13\t13\tCD\tB-NP\tO' +p66073 +aS'and\tand\tCC\tI-NP\tO' +p66074 +aS'0.6\t0.6\tCD\tI-NP\tO' +p66075 +aS',\t,\t,\tO\tO' +p66076 +aS'glucose\tglucose\tNN\tB-NP\tB-protein' +p66077 +aS'86\t86\tCD\tI-NP\tI-protein' +p66078 +aS',\t,\t,\tO\tO' +p66079 +aS'calcium\tcalcium\tNN\tB-NP\tO' +p66080 +aS'9.3\t9.3\tCD\tI-NP\tO' +p66081 +aS',\t,\t,\tO\tO' +p66082 +aS'liver\tliver\tNN\tB-NP\tO' +p66083 +aS'function\tfunction\tNN\tI-NP\tO' +p66084 +aS'tests\ttest\tNNS\tI-NP\tO' +p66085 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p66086 +aS'for\tfor\tIN\tB-PP\tO' +p66087 +aS'an\tan\tDT\tB-NP\tO' +p66088 +aS'albumin\talbumin\tNN\tI-NP\tO' +p66089 +aS'of\tof\tIN\tB-PP\tO' +p66090 +aS'2.5\t2.5\tCD\tB-NP\tO' +p66091 +aS',\t,\t,\tO\tO' +p66092 +aS'globulin\tglobulin\tNN\tB-NP\tO' +p66093 +aS'4.5\t4.5\tCD\tI-NP\tO' +p66094 +aS'.\t.\t.\tO\tO' +p66095 +asS'Her antihypertensives were initially held and reinstated upon discharge .' +p66096 +(lp66097 +S'Her\tHer\tPRP$\tB-NP\tO' +p66098 +aS'antihypertensives\tantihypertensive\tNNS\tI-NP\tO' +p66099 +aS'were\tbe\tVBD\tB-VP\tO' +p66100 +aS'initially\tinitially\tRB\tI-VP\tO' +p66101 +aS'held\thold\tVBN\tI-VP\tO' +p66102 +aS'and\tand\tCC\tI-VP\tO' +p66103 +aS'reinstated\treinstate\tVBN\tI-VP\tO' +p66104 +aS'upon\tupon\tIN\tB-PP\tO' +p66105 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p66106 +aS'.\t.\t.\tO\tO' +p66107 +asS'2. Plavix 75 mg once daily .' +p66108 +(lp66109 +S'2.\t2.\tLS\tB-NP\tO' +p66110 +aS'Plavix\tPlavix\tNNP\tI-NP\tO' +p66111 +aS'75\t75\tCD\tI-NP\tO' +p66112 +aS'mg\tmg\tNN\tI-NP\tO' +p66113 +aS'once\tonce\tRB\tB-ADVP\tO' +p66114 +aS'daily\tdaily\tRB\tI-ADVP\tO' +p66115 +aS'.\t.\t.\tO\tO' +p66116 +asS'11. Metoprolol Tartrate 50 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ) .' +p66117 +(lp66118 +S'11.\t11.\tLS\tB-NP\tO' +p66119 +aS'Metoprolol\tMetoprolol\tNN\tI-NP\tO' +p66120 +aS'Tartrate\tTartrate\tNN\tI-NP\tO' +p66121 +aS'50\t50\tCD\tI-NP\tO' +p66122 +aS'mg\tmg\tNN\tI-NP\tO' +p66123 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p66124 +aS'Sig\tSig\tNNP\tI-NP\tO' +p66125 +aS':\t:\t:\tO\tO' +p66126 +aS'One\tOne\tCD\tB-NP\tO' +p66127 +aS'(\t(\t(\tO\tO' +p66128 +aS'1\t1\tCD\tB-NP\tO' +p66129 +aS')\t)\t)\tO\tO' +p66130 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p66131 +aS'PO\tPO\tNN\tI-NP\tO' +p66132 +aS'BID\tBID\tNN\tI-NP\tO' +p66133 +aS'(\t(\t(\tO\tO' +p66134 +aS'2\t2\tCD\tB-NP\tO' +p66135 +aS'times\ttime\tNNS\tI-NP\tO' +p66136 +aS'a\ta\tDT\tB-NP\tO' +p66137 +aS'day\tday\tNN\tI-NP\tO' +p66138 +aS')\t)\t)\tO\tO' +p66139 +aS'.\t.\t.\tO\tO' +p66140 +asS'The ceftriaxone was discontinued after four days in the hospital , and the patient was to continue on Levaquin .' +p66141 +(lp66142 +S'The\tThe\tDT\tB-NP\tO' +p66143 +aS'ceftriaxone\tceftriaxone\tNN\tI-NP\tO' +p66144 +aS'was\tbe\tVBD\tB-VP\tO' +p66145 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p66146 +aS'after\tafter\tIN\tB-PP\tO' +p66147 +aS'four\tfour\tCD\tB-NP\tO' +p66148 +aS'days\tday\tNNS\tI-NP\tO' +p66149 +aS'in\tin\tIN\tB-PP\tO' +p66150 +aS'the\tthe\tDT\tB-NP\tO' +p66151 +aS'hospital\thospital\tNN\tI-NP\tO' +p66152 +aS',\t,\t,\tO\tO' +p66153 +aS'and\tand\tCC\tO\tO' +p66154 +aS'the\tthe\tDT\tB-NP\tO' +p66155 +aS'patient\tpatient\tNN\tI-NP\tO' +p66156 +aS'was\tbe\tVBD\tB-VP\tO' +p66157 +aS'to\tto\tTO\tI-VP\tO' +p66158 +aS'continue\tcontinue\tVB\tI-VP\tO' +p66159 +aS'on\ton\tIN\tB-PP\tO' +p66160 +aS'Levaquin\tLevaquin\tNNP\tB-NP\tO' +p66161 +aS'.\t.\t.\tO\tO' +p66162 +asS'On admission vital signs , heart rate 71 , blood pressure 134/75 , respiratory rate 20 .' +p66163 +(lp66164 +S'On\tOn\tIN\tB-PP\tO' +p66165 +aS'admission\tadmission\tNN\tB-NP\tO' +p66166 +aS'vital\tvital\tJJ\tI-NP\tO' +p66167 +aS'signs\tsign\tNNS\tI-NP\tO' +p66168 +aS',\t,\t,\tO\tO' +p66169 +aS'heart\theart\tNN\tB-NP\tO' +p66170 +aS'rate\trate\tNN\tI-NP\tO' +p66171 +aS'71\t71\tCD\tI-NP\tO' +p66172 +aS',\t,\t,\tO\tO' +p66173 +aS'blood\tblood\tNN\tB-NP\tO' +p66174 +aS'pressure\tpressure\tNN\tI-NP\tO' +p66175 +aS'134/75\t134/75\tCD\tI-NP\tO' +p66176 +aS',\t,\t,\tO\tO' +p66177 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p66178 +aS'rate\trate\tNN\tI-NP\tO' +p66179 +aS'20\t20\tCD\tI-NP\tO' +p66180 +aS'.\t.\t.\tO\tO' +p66181 +asS"The ICU was alerted to the patient 's disposition and the operating room was activated for urgent re-exploration ." +p66182 +(lp66183 +S'The\tThe\tDT\tB-NP\tO' +p66184 +aS'ICU\tICU\tNN\tI-NP\tB-protein' +p66185 +aS'was\tbe\tVBD\tB-VP\tO' +p66186 +aS'alerted\talert\tVBN\tI-VP\tO' +p66187 +aS'to\tto\tTO\tB-PP\tO' +p66188 +aS'the\tthe\tDT\tB-NP\tO' +p66189 +aS'patient\tpatient\tNN\tI-NP\tO' +p66190 +aS"'s\t's\tPOS\tB-NP\tO" +p66191 +aS'disposition\tdisposition\tNN\tI-NP\tO' +p66192 +aS'and\tand\tCC\tO\tO' +p66193 +aS'the\tthe\tDT\tB-NP\tO' +p66194 +aS'operating\toperating\tNN\tI-NP\tO' +p66195 +aS'room\troom\tNN\tI-NP\tO' +p66196 +aS'was\tbe\tVBD\tB-VP\tO' +p66197 +aS'activated\tactivate\tVBN\tI-VP\tO' +p66198 +aS'for\tfor\tIN\tB-PP\tO' +p66199 +aS'urgent\turgent\tJJ\tB-NP\tO' +p66200 +aS're-exploration\tre-exploration\tNN\tI-NP\tO' +p66201 +aS'.\t.\t.\tO\tO' +p66202 +asS'His saturation increased to 87% on a nonrebreather .' +p66203 +(lp66204 +S'His\tHis\tPRP$\tB-NP\tO' +p66205 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p66206 +aS'increased\tincrease\tVBD\tB-VP\tO' +p66207 +aS'to\tto\tTO\tI-VP\tO' +p66208 +aS'87%\t87%\tVB\tI-VP\tO' +p66209 +aS'on\ton\tIN\tB-PP\tO' +p66210 +aS'a\ta\tDT\tB-NP\tO' +p66211 +aS'nonrebreather\tnonrebreather\tNN\tI-NP\tO' +p66212 +aS'.\t.\t.\tO\tO' +p66213 +asS'Upon admission , pt was febrile to 101.2 with U/A consistent with UTI .' +p66214 +(lp66215 +S'Upon\tUpon\tIN\tB-PP\tO' +p66216 +aS'admission\tadmission\tNN\tB-NP\tO' +p66217 +aS',\t,\t,\tO\tO' +p66218 +aS'pt\tpt\tNN\tB-NP\tO' +p66219 +aS'was\tbe\tVBD\tB-VP\tO' +p66220 +aS'febrile\tfebrile\tJJ\tB-ADJP\tO' +p66221 +aS'to\tto\tTO\tB-PP\tO' +p66222 +aS'101.2\t101.2\tCD\tB-NP\tO' +p66223 +aS'with\twith\tIN\tB-PP\tO' +p66224 +aS'U/A\tU/A\tNN\tB-NP\tO' +p66225 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p66226 +aS'with\twith\tIN\tB-PP\tO' +p66227 +aS'UTI\tUTI\tNN\tB-NP\tB-protein' +p66228 +aS'.\t.\t.\tO\tO' +p66229 +asS'She was started on Ampicillin , Gentamycin and Flagyl .' +p66230 +(lp66231 +S'She\tShe\tPRP\tB-NP\tO' +p66232 +aS'was\tbe\tVBD\tB-VP\tO' +p66233 +aS'started\tstart\tVBN\tI-VP\tO' +p66234 +aS'on\ton\tIN\tB-PP\tO' +p66235 +aS'Ampicillin\tAmpicillin\tNN\tB-NP\tB-protein' +p66236 +aS',\t,\t,\tI-NP\tO' +p66237 +aS'Gentamycin\tGentamycin\tNN\tI-NP\tO' +p66238 +aS'and\tand\tCC\tI-NP\tO' +p66239 +aS'Flagyl\tFlagyl\tNN\tI-NP\tO' +p66240 +aS'.\t.\t.\tO\tO' +p66241 +asS'Follow-up appointments should be with Dr. Jones and Dr. Yost in the Transplant Clinic .' +p66242 +(lp66243 +S'Follow-up\tFollow-up\tJJ\tB-NP\tO' +p66244 +aS'appointments\tappointment\tNNS\tI-NP\tO' +p66245 +aS'should\tshould\tMD\tB-VP\tO' +p66246 +aS'be\tbe\tVB\tI-VP\tO' +p66247 +aS'with\twith\tIN\tB-PP\tO' +p66248 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p66249 +aS'Jones\tJones\tNNP\tI-NP\tO' +p66250 +aS'and\tand\tCC\tO\tO' +p66251 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p66252 +aS'Yost\tYost\tNNP\tI-NP\tO' +p66253 +aS'in\tin\tIN\tB-PP\tO' +p66254 +aS'the\tthe\tDT\tB-NP\tO' +p66255 +aS'Transplant\tTransplant\tNNP\tI-NP\tO' +p66256 +aS'Clinic\tClinic\tNNP\tI-NP\tO' +p66257 +aS'.\t.\t.\tO\tO' +p66258 +asS'On 2/23/00 , the high grade fever persisted .' +p66259 +(lp66260 +S'On\tOn\tIN\tB-PP\tO' +p66261 +aS'2/23/00\t2/23/00\tCD\tB-NP\tO' +p66262 +aS',\t,\t,\tO\tO' +p66263 +aS'the\tthe\tDT\tB-NP\tO' +p66264 +aS'high\thigh\tJJ\tI-NP\tO' +p66265 +aS'grade\tgrade\tNN\tI-NP\tO' +p66266 +aS'fever\tfever\tNN\tI-NP\tO' +p66267 +aS'persisted\tpersist\tVBD\tB-VP\tO' +p66268 +aS'.\t.\t.\tO\tO' +p66269 +asS'Notably with respect to apnea and bradycardia of prematurity , the patient has reached 5 days without significant apneic or bradycardic spells as of the time of discharge .' +p66270 +(lp66271 +S'Notably\tNotably\tRB\tB-ADVP\tO' +p66272 +aS'with\twith\tIN\tB-PP\tO' +p66273 +aS'respect\trespect\tNN\tB-NP\tO' +p66274 +aS'to\tto\tTO\tB-PP\tO' +p66275 +aS'apnea\tapnea\tNN\tB-NP\tO' +p66276 +aS'and\tand\tCC\tI-NP\tO' +p66277 +aS'bradycardia\tbradycardia\tNN\tI-NP\tO' +p66278 +aS'of\tof\tIN\tB-PP\tO' +p66279 +aS'prematurity\tprematurity\tNN\tB-NP\tO' +p66280 +aS',\t,\t,\tO\tO' +p66281 +aS'the\tthe\tDT\tB-NP\tO' +p66282 +aS'patient\tpatient\tNN\tI-NP\tO' +p66283 +aS'has\thave\tVBZ\tB-VP\tO' +p66284 +aS'reached\treach\tVBN\tI-VP\tO' +p66285 +aS'5\t5\tCD\tB-NP\tO' +p66286 +aS'days\tday\tNNS\tI-NP\tO' +p66287 +aS'without\twithout\tIN\tB-PP\tO' +p66288 +aS'significant\tsignificant\tJJ\tB-NP\tO' +p66289 +aS'apneic\tapneic\tJJ\tI-NP\tO' +p66290 +aS'or\tor\tCC\tI-NP\tO' +p66291 +aS'bradycardic\tbradycardic\tJJ\tI-NP\tO' +p66292 +aS'spells\tspell\tNNS\tI-NP\tO' +p66293 +aS'as\tas\tIN\tB-PP\tO' +p66294 +aS'of\tof\tIN\tB-PP\tO' +p66295 +aS'the\tthe\tDT\tB-NP\tO' +p66296 +aS'time\ttime\tNN\tI-NP\tO' +p66297 +aS'of\tof\tIN\tB-PP\tO' +p66298 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p66299 +aS'.\t.\t.\tO\tO' +p66300 +asS'Trace edema without cyanosis or clubbing .' +p66301 +(lp66302 +S'Trace\tTrace\tNN\tB-NP\tO' +p66303 +aS'edema\tedema\tNN\tI-NP\tO' +p66304 +aS'without\twithout\tIN\tB-PP\tO' +p66305 +aS'cyanosis\tcyanosis\tNN\tB-NP\tO' +p66306 +aS'or\tor\tCC\tI-NP\tO' +p66307 +aS'clubbing\tclubbing\tNN\tI-NP\tO' +p66308 +aS'.\t.\t.\tO\tO' +p66309 +asS'At the time of discharge her glargine was 10 .' +p66310 +(lp66311 +S'At\tAt\tIN\tB-PP\tO' +p66312 +aS'the\tthe\tDT\tB-NP\tO' +p66313 +aS'time\ttime\tNN\tI-NP\tO' +p66314 +aS'of\tof\tIN\tB-PP\tO' +p66315 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p66316 +aS'her\ther\tPRP$\tB-NP\tO' +p66317 +aS'glargine\tglargine\tNN\tI-NP\tO' +p66318 +aS'was\tbe\tVBD\tB-VP\tO' +p66319 +aS'10\t10\tCD\tB-NP\tO' +p66320 +aS'.\t.\t.\tO\tO' +p66321 +asS'18. Colace 100 mg p.o. twice a day .' +p66322 +(lp66323 +S'18.\t18.\tCD\tB-NP\tO' +p66324 +aS'Colace\tColace\tNNP\tI-NP\tO' +p66325 +aS'100\t100\tCD\tI-NP\tO' +p66326 +aS'mg\tmg\tNN\tI-NP\tO' +p66327 +aS'p.o.\tp.o.\tRB\tB-NP\tO' +p66328 +aS'twice\ttwice\tRB\tI-NP\tO' +p66329 +aS'a\ta\tDT\tI-NP\tO' +p66330 +aS'day\tday\tNN\tI-NP\tO' +p66331 +aS'.\t.\t.\tO\tO' +p66332 +asS'He received one dose of furosemide in the ICU and was transferred to the floor the next day .' +p66333 +(lp66334 +S'He\tHe\tPRP\tB-NP\tO' +p66335 +aS'received\treceive\tVBD\tB-VP\tO' +p66336 +aS'one\tone\tCD\tB-NP\tO' +p66337 +aS'dose\tdose\tNN\tI-NP\tO' +p66338 +aS'of\tof\tIN\tB-PP\tO' +p66339 +aS'furosemide\tfurosemide\tNN\tB-NP\tO' +p66340 +aS'in\tin\tIN\tB-PP\tO' +p66341 +aS'the\tthe\tDT\tB-NP\tO' +p66342 +aS'ICU\tICU\tNN\tI-NP\tB-DNA' +p66343 +aS'and\tand\tCC\tO\tO' +p66344 +aS'was\tbe\tVBD\tB-VP\tO' +p66345 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p66346 +aS'to\tto\tTO\tB-PP\tO' +p66347 +aS'the\tthe\tDT\tB-NP\tO' +p66348 +aS'floor\tfloor\tNN\tI-NP\tO' +p66349 +aS'the\tthe\tDT\tB-NP\tO' +p66350 +aS'next\tnext\tJJ\tI-NP\tO' +p66351 +aS'day\tday\tNN\tI-NP\tO' +p66352 +aS'.\t.\t.\tO\tO' +p66353 +asS'The patient did well until approximately three to four weeks prior to presentation when he began to experience increased dyspnea on exertion .' +p66354 +(lp66355 +S'The\tThe\tDT\tB-NP\tO' +p66356 +aS'patient\tpatient\tNN\tI-NP\tO' +p66357 +aS'did\tdo\tVBD\tB-VP\tO' +p66358 +aS'well\twell\tRB\tB-ADVP\tO' +p66359 +aS'until\tuntil\tIN\tB-PP\tO' +p66360 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p66361 +aS'three\tthree\tCD\tI-NP\tO' +p66362 +aS'to\tto\tTO\tI-NP\tO' +p66363 +aS'four\tfour\tCD\tI-NP\tO' +p66364 +aS'weeks\tweek\tNNS\tI-NP\tO' +p66365 +aS'prior\tprior\tRB\tB-ADVP\tO' +p66366 +aS'to\tto\tTO\tB-PP\tO' +p66367 +aS'presentation\tpresentation\tNN\tB-NP\tO' +p66368 +aS'when\twhen\tWRB\tB-ADVP\tO' +p66369 +aS'he\the\tPRP\tB-NP\tO' +p66370 +aS'began\tbegin\tVBD\tB-VP\tO' +p66371 +aS'to\tto\tTO\tI-VP\tO' +p66372 +aS'experience\texperience\tVB\tI-VP\tO' +p66373 +aS'increased\tincrease\tVBN\tB-NP\tO' +p66374 +aS'dyspnea\tdyspnea\tNN\tI-NP\tO' +p66375 +aS'on\ton\tIN\tB-PP\tO' +p66376 +aS'exertion\texertion\tNN\tB-NP\tO' +p66377 +aS'.\t.\t.\tO\tO' +p66378 +asS'Thoracic Surgery was also consulted and they felt that there was no need for a pericardial window at the time .' +p66379 +(lp66380 +S'Thoracic\tThoracic\tNNP\tB-NP\tO' +p66381 +aS'Surgery\tSurgery\tNNP\tI-NP\tO' +p66382 +aS'was\tbe\tVBD\tB-VP\tO' +p66383 +aS'also\talso\tRB\tI-VP\tO' +p66384 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p66385 +aS'and\tand\tCC\tO\tO' +p66386 +aS'they\tthey\tPRP\tB-NP\tO' +p66387 +aS'felt\tfeel\tVBD\tB-VP\tO' +p66388 +aS'that\tthat\tIN\tB-SBAR\tO' +p66389 +aS'there\tthere\tEX\tB-NP\tO' +p66390 +aS'was\tbe\tVBD\tB-VP\tO' +p66391 +aS'no\tno\tDT\tB-NP\tO' +p66392 +aS'need\tneed\tNN\tI-NP\tO' +p66393 +aS'for\tfor\tIN\tB-PP\tO' +p66394 +aS'a\ta\tDT\tB-NP\tO' +p66395 +aS'pericardial\tpericardial\tJJ\tI-NP\tO' +p66396 +aS'window\twindow\tNN\tI-NP\tO' +p66397 +aS'at\tat\tIN\tB-PP\tO' +p66398 +aS'the\tthe\tDT\tB-NP\tO' +p66399 +aS'time\ttime\tNN\tI-NP\tO' +p66400 +aS'.\t.\t.\tO\tO' +p66401 +asS'Her dilantin levels had been somewhat difficult to control .' +p66402 +(lp66403 +S'Her\tHer\tPRP$\tB-NP\tO' +p66404 +aS'dilantin\tdilantin\tNN\tI-NP\tO' +p66405 +aS'levels\tlevel\tNNS\tI-NP\tO' +p66406 +aS'had\thave\tVBD\tB-VP\tO' +p66407 +aS'been\tbe\tVBN\tI-VP\tO' +p66408 +aS'somewhat\tsomewhat\tRB\tB-ADJP\tO' +p66409 +aS'difficult\tdifficult\tJJ\tI-ADJP\tO' +p66410 +aS'to\tto\tTO\tB-PP\tO' +p66411 +aS'control\tcontrol\tNN\tB-NP\tO' +p66412 +aS'.\t.\t.\tO\tO' +p66413 +asS'He uses a walker .' +p66414 +(lp66415 +S'He\tHe\tPRP\tB-NP\tO' +p66416 +aS'uses\tuse\tVBZ\tB-VP\tO' +p66417 +aS'a\ta\tDT\tB-NP\tO' +p66418 +aS'walker\twalker\tNN\tI-NP\tO' +p66419 +aS'.\t.\t.\tO\tO' +p66420 +asS'- Consider repeat Echo in 1 month and Quincy Medical Center - V/ICD per discretion of primary cardiologist .' +p66421 +(lp66422 +S'-\t-\tHYPH\tB-NP\tO' +p66423 +aS'Consider\tConsider\tNN\tI-NP\tO' +p66424 +aS'repeat\trepeat\tNN\tI-NP\tO' +p66425 +aS'Echo\tEcho\tNNP\tI-NP\tO' +p66426 +aS'in\tin\tIN\tB-PP\tO' +p66427 +aS'1\t1\tCD\tB-NP\tO' +p66428 +aS'month\tmonth\tNN\tI-NP\tO' +p66429 +aS'and\tand\tCC\tO\tO' +p66430 +aS'Quincy\tQuincy\tNNP\tB-NP\tO' +p66431 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p66432 +aS'Center\tCenter\tNNP\tI-NP\tO' +p66433 +aS'-\t-\tHYPH\tI-NP\tO' +p66434 +aS'V/ICD\tV/ICD\tNNP\tI-NP\tO' +p66435 +aS'per\tper\tIN\tB-PP\tO' +p66436 +aS'discretion\tdiscretion\tNN\tB-NP\tO' +p66437 +aS'of\tof\tIN\tB-PP\tO' +p66438 +aS'primary\tprimary\tJJ\tB-NP\tO' +p66439 +aS'cardiologist\tcardiologist\tNN\tI-NP\tO' +p66440 +aS'.\t.\t.\tO\tO' +p66441 +asS'Benign with a hysterectomy scar which was well healed .' +p66442 +(lp66443 +S'Benign\tBenign\tJJ\tB-ADJP\tO' +p66444 +aS'with\twith\tIN\tB-PP\tO' +p66445 +aS'a\ta\tDT\tB-NP\tO' +p66446 +aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' +p66447 +aS'scar\tscar\tNN\tI-NP\tO' +p66448 +aS'which\twhich\tWDT\tB-NP\tO' +p66449 +aS'was\tbe\tVBD\tB-VP\tO' +p66450 +aS'well\twell\tRB\tI-VP\tO' +p66451 +aS'healed\theal\tVBN\tI-VP\tO' +p66452 +aS'.\t.\t.\tO\tO' +p66453 +asS'Abd : obese , +BS , soft , NTND .' +p66454 +(lp66455 +S'Abd\tAbd\tNNP\tB-NP\tO' +p66456 +aS':\t:\t:\tO\tO' +p66457 +aS'obese\tobese\tJJ\tB-NP\tO' +p66458 +aS',\t,\t,\tI-NP\tO' +p66459 +aS'+BS\t+BS\tNNP\tI-NP\tO' +p66460 +aS',\t,\t,\tI-NP\tO' +p66461 +aS'soft\tsoft\tJJ\tI-NP\tO' +p66462 +aS',\t,\t,\tI-NP\tO' +p66463 +aS'NTND\tNTND\tNN\tI-NP\tB-protein' +p66464 +aS'.\t.\t.\tO\tO' +p66465 +asS'She was initially supported with tube feeds during her Intensive Care Unit course , but at this point the patient is CMO and tube feeds have been subsequently discontinued .' +p66466 +(lp66467 +S'She\tShe\tPRP\tB-NP\tO' +p66468 +aS'was\tbe\tVBD\tB-VP\tO' +p66469 +aS'initially\tinitially\tRB\tI-VP\tO' +p66470 +aS'supported\tsupport\tVBN\tI-VP\tO' +p66471 +aS'with\twith\tIN\tB-PP\tO' +p66472 +aS'tube\ttube\tNN\tB-NP\tO' +p66473 +aS'feeds\tfeed\tNNS\tI-NP\tO' +p66474 +aS'during\tduring\tIN\tB-PP\tO' +p66475 +aS'her\ther\tPRP$\tB-NP\tO' +p66476 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p66477 +aS'Care\tCare\tNNP\tI-NP\tO' +p66478 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p66479 +aS'course\tcourse\tNN\tI-NP\tO' +p66480 +aS',\t,\t,\tO\tO' +p66481 +aS'but\tbut\tCC\tO\tO' +p66482 +aS'at\tat\tIN\tB-PP\tO' +p66483 +aS'this\tthis\tDT\tB-NP\tO' +p66484 +aS'point\tpoint\tNN\tI-NP\tO' +p66485 +aS'the\tthe\tDT\tB-NP\tO' +p66486 +aS'patient\tpatient\tNN\tI-NP\tO' +p66487 +aS'is\tbe\tVBZ\tB-VP\tO' +p66488 +aS'CMO\tCMO\tNN\tB-NP\tO' +p66489 +aS'and\tand\tCC\tI-NP\tO' +p66490 +aS'tube\ttube\tNN\tI-NP\tO' +p66491 +aS'feeds\tfeed\tNNS\tI-NP\tO' +p66492 +aS'have\thave\tVBP\tB-VP\tO' +p66493 +aS'been\tbe\tVBN\tI-VP\tO' +p66494 +aS'subsequently\tsubsequently\tRB\tI-VP\tO' +p66495 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p66496 +aS'.\t.\t.\tO\tO' +p66497 +asS'19. Levofloxacin 500 mg Tablet Sig : One ( 1 ) Tablet PO Q24H ( every 24 hours ) : Last day 08-07 .' +p66498 +(lp66499 +S'19.\t19.\tCD\tB-NP\tO' +p66500 +aS'Levofloxacin\tLevofloxacin\tNN\tI-NP\tO' +p66501 +aS'500\t500\tCD\tB-NP\tO' +p66502 +aS'mg\tmg\tNN\tI-NP\tO' +p66503 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p66504 +aS'Sig\tSig\tNNP\tI-NP\tO' +p66505 +aS':\t:\t:\tO\tO' +p66506 +aS'One\tOne\tCD\tB-NP\tO' +p66507 +aS'(\t(\t(\tO\tO' +p66508 +aS'1\t1\tCD\tB-NP\tO' +p66509 +aS')\t)\t)\tO\tO' +p66510 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p66511 +aS'PO\tPO\tNN\tI-NP\tO' +p66512 +aS'Q24H\tQ24H\tNN\tI-NP\tO' +p66513 +aS'(\t(\t(\tO\tO' +p66514 +aS'every\tevery\tDT\tB-NP\tO' +p66515 +aS'24\t24\tCD\tI-NP\tO' +p66516 +aS'hours\thour\tNNS\tI-NP\tO' +p66517 +aS')\t)\t)\tO\tO' +p66518 +aS':\t:\t:\tO\tO' +p66519 +aS'Last\tLast\tJJ\tB-NP\tO' +p66520 +aS'day\tday\tNN\tI-NP\tO' +p66521 +aS'08-07\t08-07\tCD\tI-NP\tO' +p66522 +aS'.\t.\t.\tO\tO' +p66523 +asS'Last week it was worse and he was seen in clinic .' +p66524 +(lp66525 +S'Last\tLast\tJJ\tB-NP\tO' +p66526 +aS'week\tweek\tNN\tI-NP\tO' +p66527 +aS'it\tit\tPRP\tB-NP\tO' +p66528 +aS'was\tbe\tVBD\tB-VP\tO' +p66529 +aS'worse\tworse\tJJR\tB-ADJP\tO' +p66530 +aS'and\tand\tCC\tO\tO' +p66531 +aS'he\the\tPRP\tB-NP\tO' +p66532 +aS'was\tbe\tVBD\tB-VP\tO' +p66533 +aS'seen\tsee\tVBN\tI-VP\tO' +p66534 +aS'in\tin\tIN\tB-PP\tO' +p66535 +aS'clinic\tclinic\tNN\tB-NP\tO' +p66536 +aS'.\t.\t.\tO\tO' +p66537 +asS'Infectious Disease Department as well as Cardiology had recommended a formal 14 - day course of intravenous antibiotics to treat a documented alpha Streptococcal septicemia from outside hospital blood cultures .' +p66538 +(lp66539 +S'Infectious\tInfectious\tNNP\tB-NP\tO' +p66540 +aS'Disease\tDisease\tNNP\tI-NP\tO' +p66541 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p66542 +aS'as\tas\tRB\tB-CONJP\tO' +p66543 +aS'well\twell\tRB\tI-CONJP\tO' +p66544 +aS'as\tas\tIN\tI-CONJP\tO' +p66545 +aS'Cardiology\tCardiology\tNNP\tB-NP\tO' +p66546 +aS'had\thave\tVBD\tB-VP\tO' +p66547 +aS'recommended\trecommend\tVBN\tI-VP\tO' +p66548 +aS'a\ta\tDT\tB-NP\tO' +p66549 +aS'formal\tformal\tJJ\tI-NP\tO' +p66550 +aS'14\t14\tCD\tI-NP\tO' +p66551 +aS'-\t-\tHYPH\tI-NP\tO' +p66552 +aS'day\tday\tNN\tI-NP\tO' +p66553 +aS'course\tcourse\tNN\tI-NP\tO' +p66554 +aS'of\tof\tIN\tB-PP\tO' +p66555 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p66556 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p66557 +aS'to\tto\tTO\tB-VP\tO' +p66558 +aS'treat\ttreat\tVB\tI-VP\tO' +p66559 +aS'a\ta\tDT\tB-NP\tO' +p66560 +aS'documented\tdocument\tVBN\tI-NP\tO' +p66561 +aS'alpha\talpha\tNN\tI-NP\tO' +p66562 +aS'Streptococcal\tStreptococcal\tJJ\tI-NP\tO' +p66563 +aS'septicemia\tsepticemia\tNN\tI-NP\tO' +p66564 +aS'from\tfrom\tIN\tB-PP\tO' +p66565 +aS'outside\toutside\tJJ\tB-NP\tB-cell_line' +p66566 +aS'hospital\thospital\tNN\tI-NP\tI-cell_line' +p66567 +aS'blood\tblood\tNN\tI-NP\tI-cell_line' +p66568 +aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' +p66569 +aS'.\t.\t.\tO\tO' +p66570 +asS'This is an 85 year old female with prior history of non-hodgkins lymphoma , s/p Cytoxan in 2003 a with recurrence in 2009 .' +p66571 +(lp66572 +S'This\tThis\tDT\tB-NP\tO' +p66573 +aS'is\tbe\tVBZ\tB-VP\tO' +p66574 +aS'an\tan\tDT\tB-NP\tO' +p66575 +aS'85\t85\tCD\tI-NP\tO' +p66576 +aS'year\tyear\tNN\tI-NP\tO' +p66577 +aS'old\told\tJJ\tI-NP\tO' +p66578 +aS'female\tfemale\tNN\tI-NP\tO' +p66579 +aS'with\twith\tIN\tB-PP\tO' +p66580 +aS'prior\tprior\tJJ\tB-NP\tO' +p66581 +aS'history\thistory\tNN\tI-NP\tO' +p66582 +aS'of\tof\tIN\tB-PP\tO' +p66583 +aS'non-hodgkins\tnon-hodgkins\tJJ\tB-NP\tO' +p66584 +aS'lymphoma\tlymphoma\tNN\tI-NP\tO' +p66585 +aS',\t,\t,\tO\tO' +p66586 +aS's/p\ts/p\tNN\tB-NP\tO' +p66587 +aS'Cytoxan\tCytoxan\tNN\tI-NP\tO' +p66588 +aS'in\tin\tIN\tB-PP\tO' +p66589 +aS'2003\t2003\tCD\tB-NP\tO' +p66590 +aS'a\ta\tDT\tO\tO' +p66591 +aS'with\twith\tIN\tB-PP\tO' +p66592 +aS'recurrence\trecurrence\tNN\tB-NP\tO' +p66593 +aS'in\tin\tIN\tB-PP\tO' +p66594 +aS'2009\t2009\tCD\tB-NP\tO' +p66595 +aS'.\t.\t.\tO\tO' +p66596 +asS'RARE GROWTH .' +p66597 +(lp66598 +S'RARE\tRARE\tNN\tB-NP\tO' +p66599 +aS'GROWTH\tGROWTH\tNN\tI-NP\tO' +p66600 +aS'.\t.\t.\tO\tO' +p66601 +asS'Sertraline 75 mg q.day .' +p66602 +(lp66603 +S'Sertraline\tSertraline\tNN\tB-NP\tO' +p66604 +aS'75\t75\tCD\tI-NP\tO' +p66605 +aS'mg\tmg\tNN\tI-NP\tO' +p66606 +aS'q.day\tq.day\tNN\tI-NP\tO' +p66607 +aS'.\t.\t.\tO\tO' +p66608 +asS'noncontributory , her last menstrual period was regular , and last week .' +p66609 +(lp66610 +S'noncontributory\tnoncontributory\tJJ\tB-ADVP\tO' +p66611 +aS',\t,\t,\tO\tO' +p66612 +aS'her\ther\tPRP$\tB-NP\tO' +p66613 +aS'last\tlast\tJJ\tI-NP\tO' +p66614 +aS'menstrual\tmenstrual\tJJ\tI-NP\tO' +p66615 +aS'period\tperiod\tNN\tI-NP\tO' +p66616 +aS'was\tbe\tVBD\tB-VP\tO' +p66617 +aS'regular\tregular\tJJ\tB-ADJP\tO' +p66618 +aS',\t,\t,\tO\tO' +p66619 +aS'and\tand\tCC\tO\tO' +p66620 +aS'last\tlast\tJJ\tB-NP\tO' +p66621 +aS'week\tweek\tNN\tI-NP\tO' +p66622 +aS'.\t.\t.\tO\tO' +p66623 +asS'Frank blood was taken out .' +p66624 +(lp66625 +S'Frank\tFrank\tNNP\tB-NP\tO' +p66626 +aS'blood\tblood\tNN\tI-NP\tO' +p66627 +aS'was\tbe\tVBD\tB-VP\tO' +p66628 +aS'taken\ttake\tVBN\tI-VP\tO' +p66629 +aS'out\tout\tRB\tB-PRT\tO' +p66630 +aS'.\t.\t.\tO\tO' +p66631 +asS'Flonase .' +p66632 +(lp66633 +S'Flonase\tFlonase\tNN\tB-NP\tB-protein' +p66634 +aS'.\t.\t.\tO\tO' +p66635 +asS'the right inguinal region .' +p66636 +(lp66637 +S'the\tthe\tDT\tB-NP\tO' +p66638 +aS'right\tright\tJJ\tI-NP\tB-DNA' +p66639 +aS'inguinal\tinguinal\tJJ\tI-NP\tI-DNA' +p66640 +aS'region\tregion\tNN\tI-NP\tI-DNA' +p66641 +aS'.\t.\t.\tO\tO' +p66642 +asS'ALT was 14 , AST was 31 , alkaline phosphatase was 42 , total bilirubin was 0.9 , albumin was 2.2 .' +p66643 +(lp66644 +S'ALT\tALT\tNN\tB-NP\tO' +p66645 +aS'was\tbe\tVBD\tB-VP\tO' +p66646 +aS'14\t14\tCD\tB-NP\tO' +p66647 +aS',\t,\t,\tO\tO' +p66648 +aS'AST\tAST\tNN\tB-NP\tO' +p66649 +aS'was\tbe\tVBD\tB-VP\tO' +p66650 +aS'31\t31\tCD\tB-NP\tO' +p66651 +aS',\t,\t,\tO\tO' +p66652 +aS'alkaline\talkaline\tNN\tB-NP\tB-protein' +p66653 +aS'phosphatase\tphosphatase\tNN\tI-NP\tI-protein' +p66654 +aS'was\tbe\tVBD\tB-VP\tO' +p66655 +aS'42\t42\tCD\tB-NP\tO' +p66656 +aS',\t,\t,\tO\tO' +p66657 +aS'total\ttotal\tJJ\tB-NP\tO' +p66658 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p66659 +aS'was\tbe\tVBD\tB-VP\tO' +p66660 +aS'0.9\t0.9\tCD\tB-NP\tO' +p66661 +aS',\t,\t,\tO\tO' +p66662 +aS'albumin\talbumin\tNN\tB-NP\tB-protein' +p66663 +aS'was\tbe\tVBD\tB-VP\tO' +p66664 +aS'2.2\t2.2\tCD\tB-NP\tO' +p66665 +aS'.\t.\t.\tO\tO' +p66666 +asS'A urinalysis was obtained which showed blood , urine sediment was active with positive dysmorphic cells , red cell casts , and 1+ albumin with mild protein uria .' +p66667 +(lp66668 +S'A\tA\tDT\tB-NP\tO' +p66669 +aS'urinalysis\turinalysis\tNN\tI-NP\tO' +p66670 +aS'was\tbe\tVBD\tB-VP\tO' +p66671 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p66672 +aS'which\twhich\tWDT\tB-NP\tO' +p66673 +aS'showed\tshow\tVBD\tB-VP\tO' +p66674 +aS'blood\tblood\tNN\tB-NP\tO' +p66675 +aS',\t,\t,\tO\tO' +p66676 +aS'urine\turine\tNN\tB-NP\tO' +p66677 +aS'sediment\tsediment\tNN\tI-NP\tO' +p66678 +aS'was\tbe\tVBD\tB-VP\tO' +p66679 +aS'active\tactive\tJJ\tB-ADJP\tO' +p66680 +aS'with\twith\tIN\tB-PP\tO' +p66681 +aS'positive\tpositive\tJJ\tB-NP\tB-cell_type' +p66682 +aS'dysmorphic\tdysmorphic\tJJ\tI-NP\tI-cell_type' +p66683 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p66684 +aS',\t,\t,\tO\tO' +p66685 +aS'red\tred\tJJ\tB-NP\tO' +p66686 +aS'cell\tcell\tNN\tI-NP\tO' +p66687 +aS'casts\tcast\tNNS\tI-NP\tO' +p66688 +aS',\t,\t,\tO\tO' +p66689 +aS'and\tand\tCC\tO\tO' +p66690 +aS'1+\t1+\tJJ\tB-NP\tO' +p66691 +aS'albumin\talbumin\tNN\tI-NP\tO' +p66692 +aS'with\twith\tIN\tB-PP\tO' +p66693 +aS'mild\tmild\tJJ\tB-NP\tO' +p66694 +aS'protein\tprotein\tNN\tI-NP\tO' +p66695 +aS'uria\turia\tNN\tI-NP\tO' +p66696 +aS'.\t.\t.\tO\tO' +p66697 +asS'Twice a day for one month , followed by one tablet per day .' +p66698 +(lp66699 +S'Twice\tTwice\tRB\tB-NP\tO' +p66700 +aS'a\ta\tDT\tI-NP\tO' +p66701 +aS'day\tday\tNN\tI-NP\tO' +p66702 +aS'for\tfor\tIN\tB-PP\tO' +p66703 +aS'one\tone\tCD\tB-NP\tO' +p66704 +aS'month\tmonth\tNN\tI-NP\tO' +p66705 +aS',\t,\t,\tO\tO' +p66706 +aS'followed\tfollow\tVBN\tB-VP\tO' +p66707 +aS'by\tby\tIN\tB-PP\tO' +p66708 +aS'one\tone\tCD\tB-NP\tO' +p66709 +aS'tablet\ttablet\tNN\tI-NP\tO' +p66710 +aS'per\tper\tIN\tB-PP\tO' +p66711 +aS'day\tday\tNN\tB-NP\tO' +p66712 +aS'.\t.\t.\tO\tO' +p66713 +asS'Signed electronically by : DR. Teresa Loper on : FRI 2017-09-22 4:29 PM' +p66714 +(lp66715 +S'Signed\tSign\tVBN\tB-VP\tO' +p66716 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p66717 +aS'by\tby\tIN\tB-PP\tO' +p66718 +aS':\t:\t:\tO\tO' +p66719 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p66720 +aS'Teresa\tTeresa\tNNP\tI-NP\tO' +p66721 +aS'Loper\tLoper\tNNP\tI-NP\tO' +p66722 +aS'on\ton\tIN\tB-PP\tO' +p66723 +aS':\t:\t:\tO\tO' +p66724 +aS'FRI\tFRI\tCD\tB-NP\tO' +p66725 +aS'2017-09-22\t2017-09-22\tCD\tI-NP\tO' +p66726 +aS'4:29\t4:29\tCD\tI-NP\tO' +p66727 +aS'PM\tPM\tNN\tI-NP\tO' +p66728 +asS'Father died from MI at age 72 .' +p66729 +(lp66730 +S'Father\tFather\tNNP\tB-NP\tO' +p66731 +aS'died\tdie\tVBD\tB-VP\tO' +p66732 +aS'from\tfrom\tIN\tB-PP\tO' +p66733 +aS'MI\tMI\tNN\tB-NP\tO' +p66734 +aS'at\tat\tIN\tB-PP\tO' +p66735 +aS'age\tage\tNN\tB-NP\tO' +p66736 +aS'72\t72\tCD\tI-NP\tO' +p66737 +aS'.\t.\t.\tO\tO' +p66738 +asS'Speech therapy was also consulted , and recommended oupatient speech therapy .' +p66739 +(lp66740 +S'Speech\tSpeech\tNN\tB-NP\tO' +p66741 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p66742 +aS'was\tbe\tVBD\tB-VP\tO' +p66743 +aS'also\talso\tRB\tI-VP\tO' +p66744 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p66745 +aS',\t,\t,\tO\tO' +p66746 +aS'and\tand\tCC\tO\tO' +p66747 +aS'recommended\trecommend\tVBD\tB-VP\tO' +p66748 +aS'oupatient\toupatient\tJJ\tB-NP\tO' +p66749 +aS'speech\tspeech\tNN\tI-NP\tO' +p66750 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p66751 +aS'.\t.\t.\tO\tO' +p66752 +asS'There was a 1 cm firm nodule in the right upper quadrant of the abdomen .' +p66753 +(lp66754 +S'There\tThere\tEX\tB-NP\tO' +p66755 +aS'was\tbe\tVBD\tB-VP\tO' +p66756 +aS'a\ta\tDT\tB-NP\tO' +p66757 +aS'1\t1\tCD\tI-NP\tO' +p66758 +aS'cm\tcm\tNN\tI-NP\tO' +p66759 +aS'firm\tfirm\tJJ\tI-NP\tO' +p66760 +aS'nodule\tnodule\tNN\tI-NP\tO' +p66761 +aS'in\tin\tIN\tB-PP\tO' +p66762 +aS'the\tthe\tDT\tB-NP\tO' +p66763 +aS'right\tright\tJJ\tI-NP\tO' +p66764 +aS'upper\tupper\tJJ\tI-NP\tO' +p66765 +aS'quadrant\tquadrant\tNN\tI-NP\tO' +p66766 +aS'of\tof\tIN\tB-PP\tO' +p66767 +aS'the\tthe\tDT\tB-NP\tO' +p66768 +aS'abdomen\tabdoman\tNNS\tI-NP\tO' +p66769 +aS'.\t.\t.\tO\tO' +p66770 +asS'CXR notable for RLL infiltrate with old B upper lung field granulomas .' +p66771 +(lp66772 +S'CXR\tCXR\tNN\tB-NP\tB-protein' +p66773 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p66774 +aS'for\tfor\tIN\tB-PP\tO' +p66775 +aS'RLL\tRLL\tNN\tB-NP\tO' +p66776 +aS'infiltrate\tinfiltrate\tNN\tI-NP\tO' +p66777 +aS'with\twith\tIN\tB-PP\tO' +p66778 +aS'old\told\tJJ\tB-NP\tO' +p66779 +aS'B\tB\tNN\tI-NP\tO' +p66780 +aS'upper\tupper\tJJ\tI-NP\tO' +p66781 +aS'lung\tlung\tNN\tI-NP\tO' +p66782 +aS'field\tfield\tNN\tI-NP\tO' +p66783 +aS'granulomas\tgranuloma\tNNS\tI-NP\tO' +p66784 +aS'.\t.\t.\tO\tO' +p66785 +asS'Sodium 141 , potassium 4.1 , chloride 104 , bicarbonate 28.8 , BUN 17 , creatinine 0.9 , glucose 118 .' +p66786 +(lp66787 +S'Sodium\tSodium\tNN\tB-NP\tB-protein' +p66788 +aS'141\t141\tCD\tI-NP\tI-protein' +p66789 +aS',\t,\t,\tO\tO' +p66790 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p66791 +aS'4.1\t4.1\tCD\tI-NP\tO' +p66792 +aS',\t,\t,\tO\tO' +p66793 +aS'chloride\tchloride\tNN\tB-NP\tO' +p66794 +aS'104\t104\tCD\tI-NP\tO' +p66795 +aS',\t,\t,\tO\tO' +p66796 +aS'bicarbonate\tbicarbonate\tNN\tB-NP\tB-protein' +p66797 +aS'28.8\t28.8\tCD\tI-NP\tI-protein' +p66798 +aS',\t,\t,\tO\tO' +p66799 +aS'BUN\tBUN\tNN\tB-NP\tB-DNA' +p66800 +aS'17\t17\tCD\tI-NP\tI-DNA' +p66801 +aS',\t,\t,\tO\tO' +p66802 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p66803 +aS'0.9\t0.9\tCD\tI-NP\tO' +p66804 +aS',\t,\t,\tO\tO' +p66805 +aS'glucose\tglucose\tNN\tB-NP\tO' +p66806 +aS'118\t118\tCD\tI-NP\tO' +p66807 +aS'.\t.\t.\tO\tO' +p66808 +asS'Discharge Instructions : keep wounds clean and dry .' +p66809 +(lp66810 +S'Discharge\tDischarge\tNNP\tB-NP\tO' +p66811 +aS'Instructions\tInstruction\tNNPS\tI-NP\tO' +p66812 +aS':\t:\t:\tO\tO' +p66813 +aS'keep\tkeep\tVB\tB-VP\tO' +p66814 +aS'wounds\twound\tNNS\tB-NP\tO' +p66815 +aS'clean\tclean\tJJ\tB-ADJP\tO' +p66816 +aS'and\tand\tCC\tI-ADJP\tO' +p66817 +aS'dry\tdry\tJJ\tI-ADJP\tO' +p66818 +aS'.\t.\t.\tO\tO' +p66819 +asS'The EMS was called and found his blood sugar at the time to be 61 and noted to be 41 in the Emergency Department .' +p66820 +(lp66821 +S'The\tThe\tDT\tB-NP\tO' +p66822 +aS'EMS\tEMS\tNNP\tI-NP\tO' +p66823 +aS'was\tbe\tVBD\tB-VP\tO' +p66824 +aS'called\tcall\tVBN\tI-VP\tO' +p66825 +aS'and\tand\tCC\tO\tO' +p66826 +aS'found\tfind\tVBN\tB-VP\tO' +p66827 +aS'his\this\tPRP$\tB-NP\tO' +p66828 +aS'blood\tblood\tNN\tI-NP\tO' +p66829 +aS'sugar\tsugar\tNN\tI-NP\tO' +p66830 +aS'at\tat\tIN\tB-PP\tO' +p66831 +aS'the\tthe\tDT\tB-NP\tO' +p66832 +aS'time\ttime\tNN\tI-NP\tO' +p66833 +aS'to\tto\tTO\tB-VP\tO' +p66834 +aS'be\tbe\tVB\tI-VP\tO' +p66835 +aS'61\t61\tCD\tB-NP\tO' +p66836 +aS'and\tand\tCC\tO\tO' +p66837 +aS'noted\tnote\tVBD\tB-VP\tO' +p66838 +aS'to\tto\tTO\tI-VP\tO' +p66839 +aS'be\tbe\tVB\tI-VP\tO' +p66840 +aS'41\t41\tCD\tB-NP\tO' +p66841 +aS'in\tin\tIN\tB-PP\tO' +p66842 +aS'the\tthe\tDT\tB-NP\tO' +p66843 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p66844 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p66845 +aS'.\t.\t.\tO\tO' +p66846 +asS'patient recovered well from colocetomy .' +p66847 +(lp66848 +S'patient\tpatient\tNN\tB-NP\tO' +p66849 +aS'recovered\trecover\tVBD\tB-VP\tO' +p66850 +aS'well\twell\tRB\tB-ADVP\tO' +p66851 +aS'from\tfrom\tIN\tB-PP\tO' +p66852 +aS'colocetomy\tcolocetomy\tNN\tB-NP\tO' +p66853 +aS'.\t.\t.\tO\tO' +p66854 +asS'This interim dictation to be followed by an addendum detailing end of hospital course .' +p66855 +(lp66856 +S'This\tThis\tDT\tB-NP\tO' +p66857 +aS'interim\tinterim\tJJ\tI-NP\tO' +p66858 +aS'dictation\tdictation\tNN\tI-NP\tO' +p66859 +aS'to\tto\tTO\tB-VP\tO' +p66860 +aS'be\tbe\tVB\tI-VP\tO' +p66861 +aS'followed\tfollow\tVBN\tI-VP\tO' +p66862 +aS'by\tby\tIN\tB-PP\tO' +p66863 +aS'an\tan\tDT\tB-NP\tO' +p66864 +aS'addendum\taddendum\tNN\tI-NP\tO' +p66865 +aS'detailing\tdetailing\tNN\tI-NP\tO' +p66866 +aS'end\tend\tNN\tI-NP\tO' +p66867 +aS'of\tof\tIN\tB-PP\tO' +p66868 +aS'hospital\thospital\tNN\tB-NP\tO' +p66869 +aS'course\tcourse\tNN\tI-NP\tO' +p66870 +aS'.\t.\t.\tO\tO' +p66871 +asS'The patient presented with a comminuted fracture of the proximal left humerus when he slipped over the stairs , about to board an airplane back to Jeglas Blvd. , Jolouisrowarlihis , Alabama 86071 .' +p66872 +(lp66873 +S'The\tThe\tDT\tB-NP\tO' +p66874 +aS'patient\tpatient\tNN\tI-NP\tO' +p66875 +aS'presented\tpresent\tVBD\tB-VP\tO' +p66876 +aS'with\twith\tIN\tB-PP\tO' +p66877 +aS'a\ta\tDT\tB-NP\tO' +p66878 +aS'comminuted\tcomminuted\tJJ\tI-NP\tO' +p66879 +aS'fracture\tfracture\tNN\tI-NP\tO' +p66880 +aS'of\tof\tIN\tB-PP\tO' +p66881 +aS'the\tthe\tDT\tB-NP\tO' +p66882 +aS'proximal\tproximal\tJJ\tI-NP\tO' +p66883 +aS'left\tleft\tJJ\tI-NP\tO' +p66884 +aS'humerus\thumerus\tNN\tI-NP\tO' +p66885 +aS'when\twhen\tWRB\tB-ADVP\tO' +p66886 +aS'he\the\tPRP\tB-NP\tO' +p66887 +aS'slipped\tslip\tVBD\tB-VP\tO' +p66888 +aS'over\tover\tIN\tB-PP\tO' +p66889 +aS'the\tthe\tDT\tB-NP\tO' +p66890 +aS'stairs\tstair\tNNS\tI-NP\tO' +p66891 +aS',\t,\t,\tO\tO' +p66892 +aS'about\tabout\tIN\tO\tO' +p66893 +aS'to\tto\tTO\tB-VP\tO' +p66894 +aS'board\tboard\tVB\tI-VP\tO' +p66895 +aS'an\tan\tDT\tB-NP\tO' +p66896 +aS'airplane\tairplane\tNN\tI-NP\tO' +p66897 +aS'back\tback\tRB\tB-ADVP\tO' +p66898 +aS'to\tto\tTO\tB-PP\tO' +p66899 +aS'Jeglas\tJeglas\tNNP\tB-NP\tO' +p66900 +aS'Blvd.\tBlvd.\tNNP\tI-NP\tO' +p66901 +aS',\t,\t,\tO\tO' +p66902 +aS'Jolouisrowarlihis\tJolouisrowarlihis\tNNP\tB-NP\tO' +p66903 +aS',\t,\t,\tO\tO' +p66904 +aS'Alabama\tAlabama\tNNP\tB-NP\tO' +p66905 +aS'86071\t86071\tCD\tI-NP\tO' +p66906 +aS'.\t.\t.\tO\tO' +p66907 +asS'At the time of her last visit ( 2015-03-18 ) Dr. Bradley had discussed the addition of a third Castelluccio , possibly zonegran ( less likely topamax ), to the dilantin 200 mg bid and keppra 1500 mg bid .' +p66908 +(lp66909 +S'At\tAt\tIN\tB-PP\tO' +p66910 +aS'the\tthe\tDT\tB-NP\tO' +p66911 +aS'time\ttime\tNN\tI-NP\tO' +p66912 +aS'of\tof\tIN\tB-PP\tO' +p66913 +aS'her\ther\tPRP$\tB-NP\tO' +p66914 +aS'last\tlast\tJJ\tI-NP\tO' +p66915 +aS'visit\tvisit\tNN\tI-NP\tO' +p66916 +aS'(\t(\t(\tO\tO' +p66917 +aS'2015-03-18\t2015-03-18\tCD\tB-NP\tO' +p66918 +aS')\t)\t)\tO\tO' +p66919 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p66920 +aS'Bradley\tBradley\tNNP\tI-NP\tO' +p66921 +aS'had\thave\tVBD\tB-VP\tO' +p66922 +aS'discussed\tdiscuss\tVBN\tI-VP\tO' +p66923 +aS'the\tthe\tDT\tB-NP\tO' +p66924 +aS'addition\taddition\tNN\tI-NP\tO' +p66925 +aS'of\tof\tIN\tB-PP\tO' +p66926 +aS'a\ta\tDT\tB-NP\tO' +p66927 +aS'third\tthird\tJJ\tI-NP\tO' +p66928 +aS'Castelluccio\tCastelluccio\tNNP\tI-NP\tO' +p66929 +aS',\t,\t,\tO\tO' +p66930 +aS'possibly\tpossibly\tRB\tB-NP\tO' +p66931 +aS'zonegran\tzonegran\tNN\tI-NP\tO' +p66932 +aS'(\t(\t(\tO\tO' +p66933 +aS'less\tless\tRBR\tB-NP\tO' +p66934 +aS'likely\tlikely\tJJ\tI-NP\tO' +p66935 +aS'topamax\ttopamax\tNN\tI-NP\tO' +p66936 +aS'),\t),\tVBD\tB-VP\tO' +p66937 +aS'to\tto\tTO\tB-PP\tO' +p66938 +aS'the\tthe\tDT\tB-NP\tO' +p66939 +aS'dilantin\tdilantin\tNN\tI-NP\tO' +p66940 +aS'200\t200\tCD\tI-NP\tO' +p66941 +aS'mg\tmg\tNN\tI-NP\tO' +p66942 +aS'bid\tbid\tRB\tB-ADVP\tO' +p66943 +aS'and\tand\tCC\tO\tO' +p66944 +aS'keppra\tkeppra\tNN\tB-NP\tO' +p66945 +aS'1500\t1500\tCD\tI-NP\tO' +p66946 +aS'mg\tmg\tNN\tI-NP\tO' +p66947 +aS'bid\tbid\tRB\tB-ADVP\tO' +p66948 +aS'.\t.\t.\tO\tO' +p66949 +asS'Stable , afebrile .' +p66950 +(lp66951 +S'Stable\tStable\tJJ\tB-NP\tO' +p66952 +aS',\t,\t,\tI-NP\tO' +p66953 +aS'afebrile\tafebrile\tJJ\tI-NP\tO' +p66954 +aS'.\t.\t.\tO\tO' +p66955 +asS'Bone scan , CT of the abdomen , chest X-Ray , and mammogram were all negative .' +p66956 +(lp66957 +S'Bone\tBone\tNN\tB-NP\tO' +p66958 +aS'scan\tscan\tNN\tI-NP\tO' +p66959 +aS',\t,\t,\tO\tO' +p66960 +aS'CT\tCT\tNN\tB-NP\tO' +p66961 +aS'of\tof\tIN\tB-PP\tO' +p66962 +aS'the\tthe\tDT\tB-NP\tO' +p66963 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p66964 +aS',\t,\t,\tO\tO' +p66965 +aS'chest\tchest\tNN\tB-NP\tO' +p66966 +aS'X-Ray\tX-Ray\tNNP\tI-NP\tO' +p66967 +aS',\t,\t,\tO\tO' +p66968 +aS'and\tand\tCC\tO\tO' +p66969 +aS'mammogram\tmammogram\tNN\tB-NP\tO' +p66970 +aS'were\tbe\tVBD\tB-VP\tO' +p66971 +aS'all\tall\tDT\tO\tO' +p66972 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p66973 +aS'.\t.\t.\tO\tO' +p66974 +asS'Upon transfer to the CMED CCU the patient appears somewhat uncomfortable , reporting nausea and abdominal pain , but when questioned he was unable / unwilling to participate in HPI or exam d/t sleepiness .' +p66975 +(lp66976 +S'Upon\tUpon\tIN\tB-PP\tO' +p66977 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p66978 +aS'to\tto\tTO\tB-PP\tO' +p66979 +aS'the\tthe\tDT\tB-NP\tO' +p66980 +aS'CMED\tCMED\tJJ\tI-NP\tO' +p66981 +aS'CCU\tCCU\tNN\tI-NP\tO' +p66982 +aS'the\tthe\tDT\tB-NP\tO' +p66983 +aS'patient\tpatient\tNN\tI-NP\tO' +p66984 +aS'appears\tappear\tVBZ\tB-VP\tO' +p66985 +aS'somewhat\tsomewhat\tRB\tB-ADJP\tO' +p66986 +aS'uncomfortable\tuncomfortable\tJJ\tI-ADJP\tO' +p66987 +aS',\t,\t,\tO\tO' +p66988 +aS'reporting\treport\tVBG\tB-VP\tO' +p66989 +aS'nausea\tnausea\tNN\tB-NP\tO' +p66990 +aS'and\tand\tCC\tO\tO' +p66991 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p66992 +aS'pain\tpain\tNN\tI-NP\tO' +p66993 +aS',\t,\t,\tO\tO' +p66994 +aS'but\tbut\tCC\tO\tO' +p66995 +aS'when\twhen\tWRB\tB-ADVP\tO' +p66996 +aS'questioned\tquestion\tVBN\tB-VP\tO' +p66997 +aS'he\the\tPRP\tB-NP\tO' +p66998 +aS'was\tbe\tVBD\tB-VP\tO' +p66999 +aS'unable\tunable\tJJ\tB-ADJP\tO' +p67000 +aS'/\t/\tSYM\tB-NP\tO' +p67001 +aS'unwilling\tunwilling\tJJ\tB-ADJP\tO' +p67002 +aS'to\tto\tTO\tB-VP\tO' +p67003 +aS'participate\tparticipate\tVB\tI-VP\tO' +p67004 +aS'in\tin\tIN\tB-PP\tO' +p67005 +aS'HPI\tHPI\tNN\tB-NP\tB-cell_line' +p67006 +aS'or\tor\tCC\tI-NP\tO' +p67007 +aS'exam\texam\tNN\tI-NP\tO' +p67008 +aS'd/t\td/t\tNN\tI-NP\tO' +p67009 +aS'sleepiness\tsleepiness\tNN\tI-NP\tO' +p67010 +aS'.\t.\t.\tO\tO' +p67011 +asS'There is no atlantoaxial subluxation .' +p67012 +(lp67013 +S'There\tThere\tEX\tB-NP\tO' +p67014 +aS'is\tbe\tVBZ\tB-VP\tO' +p67015 +aS'no\tno\tDT\tB-NP\tO' +p67016 +aS'atlantoaxial\tatlantoaxial\tJJ\tI-NP\tO' +p67017 +aS'subluxation\tsubluxation\tNN\tI-NP\tO' +p67018 +aS'.\t.\t.\tO\tO' +p67019 +asS'She is afebrile with stable vital signs .' +p67020 +(lp67021 +S'She\tShe\tPRP\tB-NP\tO' +p67022 +aS'is\tbe\tVBZ\tB-VP\tO' +p67023 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p67024 +aS'with\twith\tIN\tB-PP\tO' +p67025 +aS'stable\tstable\tJJ\tB-NP\tO' +p67026 +aS'vital\tvital\tJJ\tI-NP\tO' +p67027 +aS'signs\tsign\tNNS\tI-NP\tO' +p67028 +aS'.\t.\t.\tO\tO' +p67029 +asS'His intracranial pressure remained stable , and his clinical examination was unchanged .' +p67030 +(lp67031 +S'His\tHis\tPRP$\tB-NP\tO' +p67032 +aS'intracranial\tintracranial\tJJ\tI-NP\tO' +p67033 +aS'pressure\tpressure\tNN\tI-NP\tO' +p67034 +aS'remained\tremain\tVBD\tB-VP\tO' +p67035 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p67036 +aS',\t,\t,\tO\tO' +p67037 +aS'and\tand\tCC\tO\tO' +p67038 +aS'his\this\tPRP$\tB-NP\tO' +p67039 +aS'clinical\tclinical\tJJ\tI-NP\tO' +p67040 +aS'examination\texamination\tNN\tI-NP\tO' +p67041 +aS'was\tbe\tVBD\tB-VP\tO' +p67042 +aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' +p67043 +aS'.\t.\t.\tO\tO' +p67044 +asS'He is a heavy smoker and drinks 2-3 shots per day at times .' +p67045 +(lp67046 +S'He\tHe\tPRP\tB-NP\tB-DNA' +p67047 +aS'is\tbe\tVBZ\tB-VP\tO' +p67048 +aS'a\ta\tDT\tB-NP\tO' +p67049 +aS'heavy\theavy\tJJ\tI-NP\tO' +p67050 +aS'smoker\tsmoker\tNN\tI-NP\tO' +p67051 +aS'and\tand\tCC\tO\tO' +p67052 +aS'drinks\tdrink\tVBZ\tB-VP\tO' +p67053 +aS'2-3\t2-3\tCD\tB-NP\tO' +p67054 +aS'shots\tshot\tNNS\tI-NP\tO' +p67055 +aS'per\tper\tIN\tB-PP\tO' +p67056 +aS'day\tday\tNN\tB-NP\tO' +p67057 +aS'at\tat\tIN\tB-PP\tO' +p67058 +aS'times\ttime\tNNS\tB-NP\tO' +p67059 +aS'.\t.\t.\tO\tO' +p67060 +asS'The patient underwent cardiac catheterization on 2011-10-17 which revealed a 20% left vein osteal lesion as well as 70% LAD lesion and an 80% right coronary .' +p67061 +(lp67062 +S'The\tThe\tDT\tB-NP\tO' +p67063 +aS'patient\tpatient\tNN\tI-NP\tO' +p67064 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p67065 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p67066 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p67067 +aS'on\ton\tIN\tB-PP\tO' +p67068 +aS'2011-10-17\t2011-10-17\tCD\tB-NP\tO' +p67069 +aS'which\twhich\tWDT\tB-NP\tO' +p67070 +aS'revealed\treveal\tVBD\tB-VP\tO' +p67071 +aS'a\ta\tDT\tB-NP\tO' +p67072 +aS'20%\t20%\tJJ\tI-NP\tO' +p67073 +aS'left\tleft\tJJ\tI-NP\tO' +p67074 +aS'vein\tvein\tNN\tI-NP\tO' +p67075 +aS'osteal\tosteal\tJJ\tI-NP\tO' +p67076 +aS'lesion\tlesion\tNN\tI-NP\tO' +p67077 +aS'as\tas\tRB\tB-CONJP\tO' +p67078 +aS'well\twell\tRB\tI-CONJP\tO' +p67079 +aS'as\tas\tIN\tI-CONJP\tO' +p67080 +aS'70%\t70%\tJJ\tB-NP\tO' +p67081 +aS'LAD\tLAD\tNN\tI-NP\tO' +p67082 +aS'lesion\tlesion\tNN\tI-NP\tO' +p67083 +aS'and\tand\tCC\tO\tO' +p67084 +aS'an\tan\tDT\tB-NP\tO' +p67085 +aS'80%\t80%\tCD\tI-NP\tO' +p67086 +aS'right\tright\tJJ\tI-NP\tO' +p67087 +aS'coronary\tcoronary\tNN\tI-NP\tO' +p67088 +aS'.\t.\t.\tO\tO' +p67089 +asS'The patient currently lives lone in Malden .' +p67090 +(lp67091 +S'The\tThe\tDT\tB-NP\tO' +p67092 +aS'patient\tpatient\tNN\tI-NP\tO' +p67093 +aS'currently\tcurrently\tRB\tB-ADVP\tO' +p67094 +aS'lives\tlive\tVBZ\tB-VP\tO' +p67095 +aS'lone\tlone\tNN\tB-NP\tO' +p67096 +aS'in\tin\tIN\tB-PP\tO' +p67097 +aS'Malden\tMalden\tNNP\tB-NP\tO' +p67098 +aS'.\t.\t.\tO\tO' +p67099 +asS'The patient received the appropriate protocol for myocardial infarction , intravenous heparin , aspirin , and beta blockers for rate and blood pressure control .' +p67100 +(lp67101 +S'The\tThe\tDT\tB-NP\tO' +p67102 +aS'patient\tpatient\tNN\tI-NP\tO' +p67103 +aS'received\treceive\tVBD\tB-VP\tO' +p67104 +aS'the\tthe\tDT\tB-NP\tO' +p67105 +aS'appropriate\tappropriate\tJJ\tI-NP\tO' +p67106 +aS'protocol\tprotocol\tNN\tI-NP\tO' +p67107 +aS'for\tfor\tIN\tB-PP\tO' +p67108 +aS'myocardial\tmyocardial\tJJ\tB-NP\tO' +p67109 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p67110 +aS',\t,\t,\tO\tO' +p67111 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p67112 +aS'heparin\theparin\tNN\tI-NP\tO' +p67113 +aS',\t,\t,\tO\tO' +p67114 +aS'aspirin\taspirin\tNN\tB-NP\tO' +p67115 +aS',\t,\t,\tO\tO' +p67116 +aS'and\tand\tCC\tO\tO' +p67117 +aS'beta\tbeta\tNN\tB-NP\tO' +p67118 +aS'blockers\tblocker\tNNS\tI-NP\tO' +p67119 +aS'for\tfor\tIN\tB-PP\tO' +p67120 +aS'rate\trate\tNN\tB-NP\tO' +p67121 +aS'and\tand\tCC\tI-NP\tO' +p67122 +aS'blood\tblood\tNN\tI-NP\tO' +p67123 +aS'pressure\tpressure\tNN\tI-NP\tO' +p67124 +aS'control\tcontrol\tNN\tI-NP\tO' +p67125 +aS'.\t.\t.\tO\tO' +p67126 +asS'Denies alcohol use .' +p67127 +(lp67128 +S'Denies\tDeny\tNNS\tB-NP\tO' +p67129 +aS'alcohol\talcohol\tNN\tI-NP\tO' +p67130 +aS'use\tuse\tNN\tI-NP\tO' +p67131 +aS'.\t.\t.\tO\tO' +p67132 +asS'12. Status post left AV fistula .' +p67133 +(lp67134 +S'12.\t12.\tLS\tB-NP\tO' +p67135 +aS'Status\tStatus\tNNP\tI-NP\tO' +p67136 +aS'post\tpost\tNN\tI-NP\tO' +p67137 +aS'left\tleave\tVBD\tB-VP\tO' +p67138 +aS'AV\tAV\tNN\tB-NP\tO' +p67139 +aS'fistula\tfistula\tNN\tI-NP\tO' +p67140 +aS'.\t.\t.\tO\tO' +p67141 +asS'Her lasix gtt continued during this time .' +p67142 +(lp67143 +S'Her\tHer\tPRP$\tB-NP\tO' +p67144 +aS'lasix\tlasix\tNN\tI-NP\tO' +p67145 +aS'gtt\tgtt\tNN\tI-NP\tO' +p67146 +aS'continued\tcontinue\tVBN\tB-VP\tO' +p67147 +aS'during\tduring\tIN\tB-PP\tO' +p67148 +aS'this\tthis\tDT\tB-NP\tO' +p67149 +aS'time\ttime\tNN\tI-NP\tO' +p67150 +aS'.\t.\t.\tO\tO' +p67151 +asS'The possibility that she may need to receive radiation therapy to this area to prevent her from getting further obstruction was also brought up .' +p67152 +(lp67153 +S'The\tThe\tDT\tB-NP\tO' +p67154 +aS'possibility\tpossibility\tNN\tI-NP\tO' +p67155 +aS'that\tthat\tIN\tB-SBAR\tO' +p67156 +aS'she\tshe\tPRP\tB-NP\tO' +p67157 +aS'may\tmay\tMD\tB-VP\tO' +p67158 +aS'need\tneed\tVB\tI-VP\tO' +p67159 +aS'to\tto\tTO\tI-VP\tO' +p67160 +aS'receive\treceive\tVB\tI-VP\tO' +p67161 +aS'radiation\tradiation\tNN\tB-NP\tO' +p67162 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p67163 +aS'to\tto\tTO\tB-PP\tO' +p67164 +aS'this\tthis\tDT\tB-NP\tO' +p67165 +aS'area\tarea\tNN\tI-NP\tO' +p67166 +aS'to\tto\tTO\tB-VP\tO' +p67167 +aS'prevent\tprevent\tVB\tI-VP\tO' +p67168 +aS'her\ther\tPRP\tB-NP\tO' +p67169 +aS'from\tfrom\tIN\tB-PP\tO' +p67170 +aS'getting\tget\tVBG\tB-VP\tO' +p67171 +aS'further\tfurther\tJJ\tB-NP\tO' +p67172 +aS'obstruction\tobstruction\tNN\tI-NP\tO' +p67173 +aS'was\tbe\tVBD\tB-VP\tO' +p67174 +aS'also\talso\tRB\tI-VP\tO' +p67175 +aS'brought\tbring\tVBN\tI-VP\tO' +p67176 +aS'up\tup\tRP\tB-PRT\tO' +p67177 +aS'.\t.\t.\tO\tO' +p67178 +asS'Including cardiomyopathy , aortic stenosis , status post aortic valve replacement , coronary artery disease status post coronary artery bypass grafting with congestive heart failure and pulmonary edema .' +p67179 +(lp67180 +S'Including\tInclude\tVBG\tB-PP\tO' +p67181 +aS'cardiomyopathy\tcardiomyopathy\tNN\tB-NP\tO' +p67182 +aS',\t,\t,\tO\tO' +p67183 +aS'aortic\taortic\tJJ\tB-NP\tO' +p67184 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p67185 +aS',\t,\t,\tO\tO' +p67186 +aS'status\tstatus\tNN\tB-NP\tO' +p67187 +aS'post\tpost\tNN\tI-NP\tO' +p67188 +aS'aortic\taortic\tJJ\tI-NP\tO' +p67189 +aS'valve\tvalve\tNN\tI-NP\tO' +p67190 +aS'replacement\treplacement\tNN\tI-NP\tO' +p67191 +aS',\t,\t,\tO\tO' +p67192 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p67193 +aS'artery\tartery\tNN\tI-NP\tO' +p67194 +aS'disease\tdisease\tNN\tI-NP\tO' +p67195 +aS'status\tstatus\tNN\tI-NP\tO' +p67196 +aS'post\tpost\tNN\tI-NP\tO' +p67197 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p67198 +aS'artery\tartery\tNN\tI-NP\tO' +p67199 +aS'bypass\tbypass\tIN\tB-PP\tO' +p67200 +aS'grafting\tgraft\tVBG\tB-VP\tO' +p67201 +aS'with\twith\tIN\tB-PP\tO' +p67202 +aS'congestive\tcongestive\tJJ\tB-NP\tO' +p67203 +aS'heart\theart\tNN\tI-NP\tO' +p67204 +aS'failure\tfailure\tNN\tI-NP\tO' +p67205 +aS'and\tand\tCC\tO\tO' +p67206 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p67207 +aS'edema\tedema\tNN\tI-NP\tO' +p67208 +aS'.\t.\t.\tO\tO' +p67209 +asS'Mother received epidural and spinal anesthesia .' +p67210 +(lp67211 +S'Mother\tMother\tNNP\tB-NP\tO' +p67212 +aS'received\treceive\tVBD\tB-VP\tO' +p67213 +aS'epidural\tepidural\tJJ\tB-NP\tO' +p67214 +aS'and\tand\tCC\tI-NP\tO' +p67215 +aS'spinal\tspinal\tJJ\tI-NP\tO' +p67216 +aS'anesthesia\tanesthesia\tNN\tI-NP\tO' +p67217 +aS'.\t.\t.\tO\tO' +p67218 +asS'She was not a transplant candidate due to her obesity .' +p67219 +(lp67220 +S'She\tShe\tPRP\tB-NP\tO' +p67221 +aS'was\tbe\tVBD\tB-VP\tO' +p67222 +aS'not\tnot\tRB\tO\tO' +p67223 +aS'a\ta\tDT\tB-NP\tO' +p67224 +aS'transplant\ttransplant\tNN\tI-NP\tO' +p67225 +aS'candidate\tcandidate\tNN\tI-NP\tO' +p67226 +aS'due\tdue\tIN\tB-PP\tO' +p67227 +aS'to\tto\tTO\tB-PP\tO' +p67228 +aS'her\ther\tPRP$\tB-NP\tO' +p67229 +aS'obesity\tobesity\tNN\tI-NP\tO' +p67230 +aS'.\t.\t.\tO\tO' +p67231 +asS'Group B strep status was unknown .' +p67232 +(lp67233 +S'Group\tGroup\tNN\tB-NP\tO' +p67234 +aS'B\tB\tNN\tI-NP\tO' +p67235 +aS'strep\tstrep\tNN\tI-NP\tO' +p67236 +aS'status\tstatus\tNN\tI-NP\tO' +p67237 +aS'was\tbe\tVBD\tB-VP\tO' +p67238 +aS'unknown\tunknown\tJJ\tB-ADJP\tO' +p67239 +aS'.\t.\t.\tO\tO' +p67240 +asS'By report , the patient was ejected from the vehicle on impact and found curled in the fetal position at the rear of the vehicle at the scene .' +p67241 +(lp67242 +S'By\tBy\tIN\tB-PP\tO' +p67243 +aS'report\treport\tNN\tB-NP\tO' +p67244 +aS',\t,\t,\tO\tO' +p67245 +aS'the\tthe\tDT\tB-NP\tO' +p67246 +aS'patient\tpatient\tNN\tI-NP\tO' +p67247 +aS'was\tbe\tVBD\tB-VP\tO' +p67248 +aS'ejected\teject\tVBN\tI-VP\tO' +p67249 +aS'from\tfrom\tIN\tB-PP\tO' +p67250 +aS'the\tthe\tDT\tB-NP\tO' +p67251 +aS'vehicle\tvehicle\tNN\tI-NP\tO' +p67252 +aS'on\ton\tIN\tB-PP\tO' +p67253 +aS'impact\timpact\tNN\tB-NP\tO' +p67254 +aS'and\tand\tCC\tO\tO' +p67255 +aS'found\tfind\tVBN\tB-VP\tO' +p67256 +aS'curled\tcurl\tVBN\tI-VP\tO' +p67257 +aS'in\tin\tIN\tB-PP\tO' +p67258 +aS'the\tthe\tDT\tB-NP\tO' +p67259 +aS'fetal\tfetal\tJJ\tI-NP\tO' +p67260 +aS'position\tposition\tNN\tI-NP\tO' +p67261 +aS'at\tat\tIN\tB-PP\tO' +p67262 +aS'the\tthe\tDT\tB-NP\tO' +p67263 +aS'rear\trear\tNN\tI-NP\tO' +p67264 +aS'of\tof\tIN\tB-PP\tO' +p67265 +aS'the\tthe\tDT\tB-NP\tO' +p67266 +aS'vehicle\tvehicle\tNN\tI-NP\tO' +p67267 +aS'at\tat\tIN\tB-PP\tO' +p67268 +aS'the\tthe\tDT\tB-NP\tO' +p67269 +aS'scene\tscene\tNN\tI-NP\tO' +p67270 +aS'.\t.\t.\tO\tO' +p67271 +asS'Extremities showed trace pulmonary edema .' +p67272 +(lp67273 +S'Extremities\tExtremity\tNNS\tB-NP\tO' +p67274 +aS'showed\tshow\tVBD\tB-VP\tO' +p67275 +aS'trace\ttrace\tNN\tB-NP\tO' +p67276 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p67277 +aS'edema\tedema\tNN\tI-NP\tO' +p67278 +aS'.\t.\t.\tO\tO' +p67279 +asS'Following admission to the floor the pt developed increasing hypoxia and somnolence , requiring intubation on HD 5 .' +p67280 +(lp67281 +S'Following\tFollow\tVBG\tB-PP\tO' +p67282 +aS'admission\tadmission\tNN\tB-NP\tO' +p67283 +aS'to\tto\tTO\tB-PP\tO' +p67284 +aS'the\tthe\tDT\tB-NP\tO' +p67285 +aS'floor\tfloor\tNN\tI-NP\tO' +p67286 +aS'the\tthe\tDT\tB-NP\tO' +p67287 +aS'pt\tpt\tNN\tI-NP\tO' +p67288 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p67289 +aS'increasing\tincrease\tVBG\tI-VP\tO' +p67290 +aS'hypoxia\thypoxia\tNN\tB-NP\tO' +p67291 +aS'and\tand\tCC\tI-NP\tO' +p67292 +aS'somnolence\tsomnolence\tNN\tI-NP\tO' +p67293 +aS',\t,\t,\tO\tO' +p67294 +aS'requiring\trequire\tVBG\tB-VP\tO' +p67295 +aS'intubation\tintubation\tNN\tB-NP\tO' +p67296 +aS'on\ton\tIN\tB-PP\tO' +p67297 +aS'HD\tHD\tNN\tB-NP\tB-protein' +p67298 +aS'5\t5\tCD\tI-NP\tI-protein' +p67299 +aS'.\t.\t.\tO\tO' +p67300 +asS'She is a patient of Dr. James Deighan and will follow-up with her in one to two weeks .' +p67301 +(lp67302 +S'She\tShe\tPRP\tB-NP\tO' +p67303 +aS'is\tbe\tVBZ\tB-VP\tO' +p67304 +aS'a\ta\tDT\tB-NP\tO' +p67305 +aS'patient\tpatient\tNN\tI-NP\tO' +p67306 +aS'of\tof\tIN\tB-PP\tO' +p67307 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p67308 +aS'James\tJames\tNNP\tI-NP\tO' +p67309 +aS'Deighan\tDeighan\tNNP\tI-NP\tO' +p67310 +aS'and\tand\tCC\tO\tO' +p67311 +aS'will\twill\tMD\tB-VP\tO' +p67312 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p67313 +aS'with\twith\tIN\tB-PP\tO' +p67314 +aS'her\ther\tPRP\tB-NP\tO' +p67315 +aS'in\tin\tIN\tB-PP\tO' +p67316 +aS'one\tone\tCD\tB-NP\tO' +p67317 +aS'to\tto\tTO\tI-NP\tO' +p67318 +aS'two\ttwo\tCD\tI-NP\tO' +p67319 +aS'weeks\tweek\tNNS\tI-NP\tO' +p67320 +aS'.\t.\t.\tO\tO' +p67321 +asS'RIGHT OCCIPITAL , CEREBRAL INFARCTION .' +p67322 +(lp67323 +S'RIGHT\tRIGHT\tNNP\tB-NP\tO' +p67324 +aS'OCCIPITAL\tOCCIPITAL\tNNP\tI-NP\tO' +p67325 +aS',\t,\t,\tO\tO' +p67326 +aS'CEREBRAL\tCEREBRAL\tNNP\tB-NP\tO' +p67327 +aS'INFARCTION\tINFARCTION\tNNP\tI-NP\tO' +p67328 +aS'.\t.\t.\tO\tO' +p67329 +asS'His platelet count was maintained with platelet transfusion as necessary .' +p67330 +(lp67331 +S'His\tHis\tPRP$\tB-NP\tO' +p67332 +aS'platelet\tplatelet\tNN\tI-NP\tO' +p67333 +aS'count\tcount\tNN\tI-NP\tO' +p67334 +aS'was\tbe\tVBD\tB-VP\tO' +p67335 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p67336 +aS'with\twith\tIN\tB-PP\tO' +p67337 +aS'platelet\tplatelet\tNN\tB-NP\tO' +p67338 +aS'transfusion\ttransfusion\tNN\tI-NP\tO' +p67339 +aS'as\tas\tIN\tB-PP\tO' +p67340 +aS'necessary\tnecessary\tJJ\tB-ADJP\tO' +p67341 +aS'.\t.\t.\tO\tO' +p67342 +asS'The patient was therefore completely cultured again and begun on antibiotic coverage which would take care of the Pseudomonas he was known to have .' +p67343 +(lp67344 +S'The\tThe\tDT\tB-NP\tO' +p67345 +aS'patient\tpatient\tNN\tI-NP\tO' +p67346 +aS'was\tbe\tVBD\tB-VP\tO' +p67347 +aS'therefore\ttherefore\tRB\tI-VP\tO' +p67348 +aS'completely\tcompletely\tRB\tI-VP\tO' +p67349 +aS'cultured\tculture\tVBN\tI-VP\tO' +p67350 +aS'again\tagain\tRB\tB-ADVP\tO' +p67351 +aS'and\tand\tCC\tO\tO' +p67352 +aS'begun\tbegin\tVBN\tB-VP\tO' +p67353 +aS'on\ton\tIN\tB-PP\tO' +p67354 +aS'antibiotic\tantibiotic\tJJ\tB-NP\tO' +p67355 +aS'coverage\tcoverage\tNN\tI-NP\tO' +p67356 +aS'which\twhich\tWDT\tB-NP\tO' +p67357 +aS'would\twould\tMD\tB-VP\tO' +p67358 +aS'take\ttake\tVB\tI-VP\tO' +p67359 +aS'care\tcare\tNN\tB-NP\tO' +p67360 +aS'of\tof\tIN\tB-PP\tO' +p67361 +aS'the\tthe\tDT\tB-NP\tO' +p67362 +aS'Pseudomonas\tPseudomonas\tNN\tI-NP\tO' +p67363 +aS'he\the\tPRP\tB-NP\tO' +p67364 +aS'was\tbe\tVBD\tB-VP\tO' +p67365 +aS'known\tknow\tVBN\tI-VP\tO' +p67366 +aS'to\tto\tTO\tI-VP\tO' +p67367 +aS'have\thave\tVB\tI-VP\tO' +p67368 +aS'.\t.\t.\tO\tO' +p67369 +asS'On postoperative day number five , the patient continued to remain hemodynamically stable .' +p67370 +(lp67371 +S'On\tOn\tIN\tB-PP\tO' +p67372 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p67373 +aS'day\tday\tNN\tI-NP\tO' +p67374 +aS'number\tnumber\tNN\tI-NP\tO' +p67375 +aS'five\tfive\tCD\tB-NP\tO' +p67376 +aS',\t,\t,\tO\tO' +p67377 +aS'the\tthe\tDT\tB-NP\tO' +p67378 +aS'patient\tpatient\tNN\tI-NP\tO' +p67379 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p67380 +aS'to\tto\tTO\tI-VP\tO' +p67381 +aS'remain\tremain\tVB\tI-VP\tO' +p67382 +aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' +p67383 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p67384 +aS'.\t.\t.\tO\tO' +p67385 +asS'Discussed with trauma team during the study .' +p67386 +(lp67387 +S'Discussed\tDiscuss\tVBN\tB-VP\tO' +p67388 +aS'with\twith\tIN\tB-PP\tO' +p67389 +aS'trauma\ttrauma\tNN\tB-NP\tO' +p67390 +aS'team\tteam\tNN\tI-NP\tO' +p67391 +aS'during\tduring\tIN\tB-PP\tO' +p67392 +aS'the\tthe\tDT\tB-NP\tO' +p67393 +aS'study\tstudy\tNN\tI-NP\tO' +p67394 +aS'.\t.\t.\tO\tO' +p67395 +asS'He was walking in the hall , dragging his intravenous pole when he tripped over the foot of the pole and lost his balance .' +p67396 +(lp67397 +S'He\tHe\tPRP\tB-NP\tO' +p67398 +aS'was\tbe\tVBD\tB-VP\tO' +p67399 +aS'walking\twalk\tVBG\tI-VP\tO' +p67400 +aS'in\tin\tIN\tB-PP\tO' +p67401 +aS'the\tthe\tDT\tB-NP\tO' +p67402 +aS'hall\thall\tNN\tI-NP\tO' +p67403 +aS',\t,\t,\tO\tO' +p67404 +aS'dragging\tdrag\tVBG\tB-VP\tO' +p67405 +aS'his\this\tPRP$\tB-NP\tO' +p67406 +aS'intravenous\tintravenous\tJJ\tI-NP\tO' +p67407 +aS'pole\tpole\tNN\tI-NP\tO' +p67408 +aS'when\twhen\tWRB\tB-ADVP\tO' +p67409 +aS'he\the\tPRP\tB-NP\tO' +p67410 +aS'tripped\ttrip\tVBD\tB-VP\tO' +p67411 +aS'over\tover\tIN\tB-PP\tO' +p67412 +aS'the\tthe\tDT\tB-NP\tO' +p67413 +aS'foot\tfoot\tNN\tI-NP\tO' +p67414 +aS'of\tof\tIN\tB-PP\tO' +p67415 +aS'the\tthe\tDT\tB-NP\tO' +p67416 +aS'pole\tpole\tNN\tI-NP\tO' +p67417 +aS'and\tand\tCC\tO\tO' +p67418 +aS'lost\tlose\tVBD\tB-VP\tO' +p67419 +aS'his\this\tPRP$\tB-NP\tO' +p67420 +aS'balance\tbalance\tNN\tI-NP\tO' +p67421 +aS'.\t.\t.\tO\tO' +p67422 +asS'She is married and lives with her husband .' +p67423 +(lp67424 +S'She\tShe\tPRP\tB-NP\tO' +p67425 +aS'is\tbe\tVBZ\tB-VP\tO' +p67426 +aS'married\tmarried\tJJ\tB-ADJP\tO' +p67427 +aS'and\tand\tCC\tO\tO' +p67428 +aS'lives\tlive\tVBZ\tB-VP\tO' +p67429 +aS'with\twith\tIN\tB-PP\tO' +p67430 +aS'her\ther\tPRP$\tB-NP\tO' +p67431 +aS'husband\thusband\tNN\tI-NP\tO' +p67432 +aS'.\t.\t.\tO\tO' +p67433 +asS'The neck was suppled , with no lymphadenopathy and no jugular venous distention .' +p67434 +(lp67435 +S'The\tThe\tDT\tB-NP\tO' +p67436 +aS'neck\tneck\tNN\tI-NP\tO' +p67437 +aS'was\tbe\tVBD\tB-VP\tO' +p67438 +aS'suppled\tsupple\tVBN\tI-VP\tO' +p67439 +aS',\t,\t,\tO\tO' +p67440 +aS'with\twith\tIN\tB-PP\tO' +p67441 +aS'no\tno\tDT\tB-NP\tO' +p67442 +aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' +p67443 +aS'and\tand\tCC\tO\tO' +p67444 +aS'no\tno\tDT\tB-NP\tO' +p67445 +aS'jugular\tjugular\tJJ\tI-NP\tO' +p67446 +aS'venous\tvenous\tJJ\tI-NP\tO' +p67447 +aS'distention\tdistention\tNN\tI-NP\tO' +p67448 +aS'.\t.\t.\tO\tO' +p67449 +asS'Patient was weaned from supplemental oxygen and tolerated a regular diet prior to discharge .' +p67450 +(lp67451 +S'Patient\tPatient\tNN\tB-NP\tO' +p67452 +aS'was\tbe\tVBD\tB-VP\tO' +p67453 +aS'weaned\twean\tVBN\tI-VP\tO' +p67454 +aS'from\tfrom\tIN\tB-PP\tO' +p67455 +aS'supplemental\tsupplemental\tJJ\tB-NP\tO' +p67456 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p67457 +aS'and\tand\tCC\tO\tO' +p67458 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p67459 +aS'a\ta\tDT\tB-NP\tO' +p67460 +aS'regular\tregular\tJJ\tI-NP\tO' +p67461 +aS'diet\tdiet\tNN\tI-NP\tO' +p67462 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p67463 +aS'to\tto\tTO\tB-VP\tO' +p67464 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p67465 +aS'.\t.\t.\tO\tO' +p67466 +asS'Today , on 2014-03-03 , the patient was seen in clinic with increased lethargy , confusion .' +p67467 +(lp67468 +S'Today\tToday\tNN\tB-NP\tO' +p67469 +aS',\t,\t,\tO\tO' +p67470 +aS'on\ton\tIN\tB-PP\tO' +p67471 +aS'2014-03-03\t2014-03-03\tCD\tB-NP\tO' +p67472 +aS',\t,\t,\tO\tO' +p67473 +aS'the\tthe\tDT\tB-NP\tO' +p67474 +aS'patient\tpatient\tNN\tI-NP\tO' +p67475 +aS'was\tbe\tVBD\tB-VP\tO' +p67476 +aS'seen\tsee\tVBN\tI-VP\tO' +p67477 +aS'in\tin\tIN\tB-PP\tO' +p67478 +aS'clinic\tclinic\tNN\tB-NP\tO' +p67479 +aS'with\twith\tIN\tB-PP\tO' +p67480 +aS'increased\tincrease\tVBN\tB-NP\tO' +p67481 +aS'lethargy\tlethargy\tNN\tI-NP\tO' +p67482 +aS',\t,\t,\tO\tO' +p67483 +aS'confusion\tconfusion\tNN\tB-NP\tO' +p67484 +aS'.\t.\t.\tO\tO' +p67485 +asS'HEMATOLOGY : Hematocrit was done on admission to the CMED .' +p67486 +(lp67487 +S'HEMATOLOGY\tHEMATOLOGY\tNN\tB-NP\tO' +p67488 +aS':\t:\t:\tO\tO' +p67489 +aS'Hematocrit\tHematocrit\tNN\tB-NP\tO' +p67490 +aS'was\tbe\tVBD\tB-VP\tO' +p67491 +aS'done\tdo\tVBN\tI-VP\tO' +p67492 +aS'on\ton\tIN\tB-PP\tO' +p67493 +aS'admission\tadmission\tNN\tB-NP\tO' +p67494 +aS'to\tto\tTO\tB-PP\tO' +p67495 +aS'the\tthe\tDT\tB-NP\tO' +p67496 +aS'CMED\tCMED\tNN\tI-NP\tO' +p67497 +aS'.\t.\t.\tO\tO' +p67498 +asS'The patient 's preliminary admitting physician is GLYNCRED , NABETH N and the preliminary diagnosis is SDH .' +p67499 +(lp67500 +S'The\tThe\tDT\tB-NP\tO' +p67501 +aS'patient\tpatient\tNN\tI-NP\tO' +p67502 +aS''s\t'\tNNS\tI-NP\tO' +p67503 +aS'preliminary\tpreliminary\tJJ\tB-NP\tO' +p67504 +aS'admitting\tadmit\tVBG\tI-NP\tO' +p67505 +aS'physician\tphysician\tNN\tI-NP\tO' +p67506 +aS'is\tbe\tVBZ\tB-VP\tO' +p67507 +aS'GLYNCRED\tGLYNCRED\tVBN\tI-VP\tO' +p67508 +aS',\t,\t,\tO\tO' +p67509 +aS'NABETH\tNABETH\tNNP\tB-NP\tO' +p67510 +aS'N\tN\tNNP\tI-NP\tO' +p67511 +aS'and\tand\tCC\tO\tO' +p67512 +aS'the\tthe\tDT\tB-NP\tO' +p67513 +aS'preliminary\tpreliminary\tJJ\tI-NP\tO' +p67514 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p67515 +aS'is\tbe\tVBZ\tB-VP\tO' +p67516 +aS'SDH\tSDH\tNN\tB-NP\tO' +p67517 +aS'.\t.\t.\tO\tO' +p67518 +asS'Normal male genitalia , testes descended bilaterally .' +p67519 +(lp67520 +S'Normal\tNormal\tJJ\tB-NP\tO' +p67521 +aS'male\tmale\tJJ\tI-NP\tO' +p67522 +aS'genitalia\tgenitalia\tNNS\tI-NP\tO' +p67523 +aS',\t,\t,\tO\tO' +p67524 +aS'testes\ttestis\tNNS\tB-NP\tO' +p67525 +aS'descended\tdescend\tVBD\tB-VP\tO' +p67526 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p67527 +aS'.\t.\t.\tO\tO' +p67528 +asS'Attending : Geoffrey F Corney , M.D.' +p67529 +(lp67530 +S'Attending\tAttend\tVBG\tB-VP\tO' +p67531 +aS':\t:\t:\tO\tO' +p67532 +aS'Geoffrey\tGeoffrey\tNNP\tB-NP\tO' +p67533 +aS'F\tF\tNNP\tI-NP\tO' +p67534 +aS'Corney\tCorney\tNNP\tI-NP\tO' +p67535 +aS',\t,\t,\tO\tO' +p67536 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p67537 +asS'Disp :* 90 Capsule (s)* Refills :* 0 *' +p67538 +(lp67539 +S'Disp\tDisp\tNN\tB-NP\tO' +p67540 +aS':*\t:*\tSYM\tI-NP\tO' +p67541 +aS'90\t90\tCD\tI-NP\tO' +p67542 +aS'Capsule\tCapsule\tNN\tI-NP\tO' +p67543 +aS'(s)*\t(s)*\tSYM\tB-NP\tO' +p67544 +aS'Refills\tRefill\tNNPS\tI-NP\tO' +p67545 +aS':*\t:*\tSYM\tI-NP\tO' +p67546 +aS'0\t0\tCD\tI-NP\tO' +p67547 +aS'*\t*\tSYM\tB-NP\tO' +p67548 +asS'Of note , intraoperatively multiple tissue cultures had been sent .' +p67549 +(lp67550 +S'Of\tOf\tIN\tB-PP\tO' +p67551 +aS'note\tnote\tNN\tB-NP\tO' +p67552 +aS',\t,\t,\tO\tO' +p67553 +aS'intraoperatively\tintraoperatively\tRB\tB-NP\tO' +p67554 +aS'multiple\tmultiple\tJJ\tI-NP\tO' +p67555 +aS'tissue\ttissue\tNN\tI-NP\tO' +p67556 +aS'cultures\tculture\tNNS\tI-NP\tO' +p67557 +aS'had\thave\tVBD\tB-VP\tO' +p67558 +aS'been\tbe\tVBN\tI-VP\tO' +p67559 +aS'sent\tsend\tVBN\tI-VP\tO' +p67560 +aS'.\t.\t.\tO\tO' +p67561 +asS'She is a nurse Damian Mary Lane Hospital .' +p67562 +(lp67563 +S'She\tShe\tPRP\tB-NP\tO' +p67564 +aS'is\tbe\tVBZ\tB-VP\tO' +p67565 +aS'a\ta\tDT\tB-NP\tO' +p67566 +aS'nurse\tnurse\tJJ\tI-NP\tO' +p67567 +aS'Damian\tDamian\tNNP\tI-NP\tO' +p67568 +aS'Mary\tMary\tNNP\tI-NP\tO' +p67569 +aS'Lane\tLane\tNNP\tI-NP\tO' +p67570 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p67571 +aS'.\t.\t.\tO\tO' +p67572 +asS'3. Aspirin 325 mg once daily .' +p67573 +(lp67574 +S'3.\t3.\tLS\tB-NP\tO' +p67575 +aS'Aspirin\tAspirin\tNN\tI-NP\tO' +p67576 +aS'325\t325\tCD\tI-NP\tO' +p67577 +aS'mg\tmg\tNN\tI-NP\tO' +p67578 +aS'once\tonce\tRB\tB-ADVP\tO' +p67579 +aS'daily\tdaily\tRB\tI-ADVP\tO' +p67580 +aS'.\t.\t.\tO\tO' +p67581 +asS'Three on the left knee , 4 on the left ankle with upgoing toe and clonus on the left .' +p67582 +(lp67583 +S'Three\tThree\tCD\tB-NP\tO' +p67584 +aS'on\ton\tIN\tB-PP\tO' +p67585 +aS'the\tthe\tDT\tB-NP\tO' +p67586 +aS'left\tleft\tJJ\tI-NP\tO' +p67587 +aS'knee\tknee\tNN\tI-NP\tO' +p67588 +aS',\t,\t,\tO\tO' +p67589 +aS'4\t4\tCD\tB-NP\tO' +p67590 +aS'on\ton\tIN\tB-PP\tO' +p67591 +aS'the\tthe\tDT\tB-NP\tO' +p67592 +aS'left\tleft\tJJ\tI-NP\tO' +p67593 +aS'ankle\tankle\tNN\tI-NP\tO' +p67594 +aS'with\twith\tIN\tB-PP\tO' +p67595 +aS'upgoing\tupgoe\tVBG\tB-VP\tO' +p67596 +aS'toe\ttoe\tNN\tB-NP\tO' +p67597 +aS'and\tand\tCC\tI-NP\tO' +p67598 +aS'clonus\tclonus\tNN\tI-NP\tO' +p67599 +aS'on\ton\tIN\tB-PP\tO' +p67600 +aS'the\tthe\tDT\tB-NP\tO' +p67601 +aS'left\tleft\tNN\tI-NP\tO' +p67602 +aS'.\t.\t.\tO\tO' +p67603 +asS'1. Senna 8.6 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ) as needed .' +p67604 +(lp67605 +S'1.\t1.\tLS\tB-LST\tO' +p67606 +aS'Senna\tSenna\tNNP\tB-NP\tO' +p67607 +aS'8.6\t8.6\tCD\tI-NP\tO' +p67608 +aS'mg\tmg\tNN\tI-NP\tO' +p67609 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p67610 +aS'Sig\tSig\tNNP\tI-NP\tO' +p67611 +aS':\t:\t:\tO\tO' +p67612 +aS'One\tOne\tCD\tB-NP\tO' +p67613 +aS'(\t(\t(\tO\tO' +p67614 +aS'1\t1\tCD\tB-NP\tO' +p67615 +aS')\t)\t)\tO\tO' +p67616 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p67617 +aS'PO\tPO\tNN\tI-NP\tO' +p67618 +aS'BID\tBID\tNN\tI-NP\tO' +p67619 +aS'(\t(\t(\tO\tO' +p67620 +aS'2\t2\tCD\tB-NP\tO' +p67621 +aS'times\ttime\tNNS\tI-NP\tO' +p67622 +aS'a\ta\tDT\tB-NP\tO' +p67623 +aS'day\tday\tNN\tI-NP\tO' +p67624 +aS')\t)\t)\tO\tO' +p67625 +aS'as\tas\tIN\tB-SBAR\tO' +p67626 +aS'needed\tneed\tVBN\tB-VP\tO' +p67627 +aS'.\t.\t.\tO\tO' +p67628 +asS'5. Right coronary artery stent in 2008 ; ejection fraction 60 to 65% .' +p67629 +(lp67630 +S'5.\t5.\tLS\tB-NP\tO' +p67631 +aS'Right\tRight\tNN\tI-NP\tO' +p67632 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p67633 +aS'artery\tartery\tNN\tI-NP\tO' +p67634 +aS'stent\tstent\tNN\tI-NP\tO' +p67635 +aS'in\tin\tIN\tB-PP\tO' +p67636 +aS'2008\t2008\tCD\tB-NP\tO' +p67637 +aS';\t;\t:\tO\tO' +p67638 +aS'ejection\tejection\tNN\tB-NP\tO' +p67639 +aS'fraction\tfraction\tNN\tI-NP\tO' +p67640 +aS'60\t60\tCD\tB-NP\tO' +p67641 +aS'to\tto\tTO\tB-PP\tO' +p67642 +aS'65%\t65%\tCD\tB-NP\tO' +p67643 +aS'.\t.\t.\tO\tO' +p67644 +asS'Positive bowel sounds , nontender and nondistended .' +p67645 +(lp67646 +S'Positive\tPositive\tJJ\tB-NP\tO' +p67647 +aS'bowel\tbowel\tNN\tI-NP\tO' +p67648 +aS'sounds\tsound\tNNS\tI-NP\tO' +p67649 +aS',\t,\t,\tO\tO' +p67650 +aS'nontender\tnontender\tJJ\tB-ADJP\tO' +p67651 +aS'and\tand\tCC\tI-ADJP\tO' +p67652 +aS'nondistended\tnondistended\tJJ\tI-ADJP\tO' +p67653 +aS'.\t.\t.\tO\tO' +p67654 +asS'Overall left ventricular systolic function is normal LVEF > 55% ) .' +p67655 +(lp67656 +S'Overall\tOverall\tRB\tB-ADVP\tO' +p67657 +aS'left\tleave\tVBD\tB-VP\tO' +p67658 +aS'ventricular\tventricular\tJJ\tB-NP\tO' +p67659 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p67660 +aS'function\tfunction\tNN\tI-NP\tO' +p67661 +aS'is\tbe\tVBZ\tB-VP\tO' +p67662 +aS'normal\tnormal\tJJ\tB-NP\tO' +p67663 +aS'LVEF\tLVEF\tNN\tI-NP\tB-protein' +p67664 +aS'>\t>\tSYM\tB-NP\tO' +p67665 +aS'55%\t55%\tCD\tI-NP\tO' +p67666 +aS')\t)\t)\tO\tO' +p67667 +aS'.\t.\t.\tO\tO' +p67668 +asS"DM , sp L ax-bifem , L fem-CMED , ERCP '04 , T+A , Appy , CEA , L4-L5 laminectomy ." +p67669 +(lp67670 +S'DM\tDM\tNN\tB-NP\tO' +p67671 +aS',\t,\t,\tO\tO' +p67672 +aS'sp\tsp\tNN\tB-NP\tO' +p67673 +aS'L\tL\tNN\tI-NP\tO' +p67674 +aS'ax-bifem\tax-bifem\tNN\tI-NP\tO' +p67675 +aS',\t,\t,\tO\tO' +p67676 +aS'L\tL\tNN\tB-NP\tO' +p67677 +aS'fem-CMED\tfem-CMED\tNN\tI-NP\tO' +p67678 +aS',\t,\t,\tO\tO' +p67679 +aS'ERCP\tERCP\tNN\tB-NP\tB-protein' +p67680 +aS"'04\t'04\tCD\tI-NP\tI-protein" +p67681 +aS',\t,\t,\tO\tO' +p67682 +aS'T+A\tT+A\tNNP\tB-NP\tO' +p67683 +aS',\t,\t,\tO\tO' +p67684 +aS'Appy\tAppy\tNNP\tB-NP\tO' +p67685 +aS',\t,\t,\tO\tO' +p67686 +aS'CEA\tCEA\tNNP\tB-NP\tO' +p67687 +aS',\t,\t,\tO\tO' +p67688 +aS'L4-L5\tL4-L5\tNN\tB-NP\tO' +p67689 +aS'laminectomy\tlaminectomy\tNN\tI-NP\tO' +p67690 +aS'.\t.\t.\tO\tO' +p67691 +asS'Multiple cultures were done and the patient was ultimately found to have methicillin resistant Staphylococcus aureus bacteremia , pneumonia , and urinary tract infection .' +p67692 +(lp67693 +S'Multiple\tMultiple\tJJ\tB-NP\tB-cell_line' +p67694 +aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' +p67695 +aS'were\tbe\tVBD\tB-VP\tO' +p67696 +aS'done\tdo\tVBN\tI-VP\tO' +p67697 +aS'and\tand\tCC\tO\tO' +p67698 +aS'the\tthe\tDT\tB-NP\tO' +p67699 +aS'patient\tpatient\tNN\tI-NP\tO' +p67700 +aS'was\tbe\tVBD\tB-VP\tO' +p67701 +aS'ultimately\tultimately\tRB\tI-VP\tO' +p67702 +aS'found\tfind\tVBN\tI-VP\tO' +p67703 +aS'to\tto\tTO\tI-VP\tO' +p67704 +aS'have\thave\tVB\tI-VP\tO' +p67705 +aS'methicillin\tmethicillin\tNN\tB-NP\tO' +p67706 +aS'resistant\tresistant\tJJ\tI-NP\tO' +p67707 +aS'Staphylococcus\tStaphylococcus\tFW\tI-NP\tO' +p67708 +aS'aureus\taureus\tFW\tI-NP\tO' +p67709 +aS'bacteremia\tbacteremia\tNN\tI-NP\tO' +p67710 +aS',\t,\t,\tO\tO' +p67711 +aS'pneumonia\tpneumonia\tNN\tB-NP\tO' +p67712 +aS',\t,\t,\tO\tO' +p67713 +aS'and\tand\tCC\tO\tO' +p67714 +aS'urinary\turinary\tJJ\tB-NP\tO' +p67715 +aS'tract\ttract\tNN\tI-NP\tO' +p67716 +aS'infection\tinfection\tNN\tI-NP\tO' +p67717 +aS'.\t.\t.\tO\tO' +p67718 +asS'The patient on discharge is to have twice weekly Vancomycin peak and trough levels while he continues on long term Vancomycin therapy .' +p67719 +(lp67720 +S'The\tThe\tDT\tB-NP\tO' +p67721 +aS'patient\tpatient\tNN\tI-NP\tO' +p67722 +aS'on\ton\tIN\tB-PP\tO' +p67723 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p67724 +aS'is\tbe\tVBZ\tB-VP\tO' +p67725 +aS'to\tto\tTO\tB-VP\tO' +p67726 +aS'have\thave\tVB\tI-VP\tO' +p67727 +aS'twice\ttwice\tRB\tB-NP\tO' +p67728 +aS'weekly\tweekly\tJJ\tI-NP\tO' +p67729 +aS'Vancomycin\tVancomycin\tNN\tI-NP\tO' +p67730 +aS'peak\tpeak\tNN\tI-NP\tO' +p67731 +aS'and\tand\tCC\tI-NP\tO' +p67732 +aS'trough\ttrough\tNN\tI-NP\tO' +p67733 +aS'levels\tlevel\tNNS\tI-NP\tO' +p67734 +aS'while\twhile\tIN\tB-SBAR\tO' +p67735 +aS'he\the\tPRP\tB-NP\tO' +p67736 +aS'continues\tcontinue\tVBZ\tB-VP\tO' +p67737 +aS'on\ton\tIN\tB-PP\tO' +p67738 +aS'long\tlong\tJJ\tB-NP\tO' +p67739 +aS'term\tterm\tNN\tI-NP\tO' +p67740 +aS'Vancomycin\tVancomycin\tNN\tI-NP\tO' +p67741 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p67742 +aS'.\t.\t.\tO\tO' +p67743 +asS'The patient received 5 liters of crystalloid , 9 units of fresh frozen plasma , 9 units of red cells , 6 units of platelets , as well as 1 liter of Cell Saver .' +p67744 +(lp67745 +S'The\tThe\tDT\tB-NP\tO' +p67746 +aS'patient\tpatient\tNN\tI-NP\tO' +p67747 +aS'received\treceive\tVBD\tB-VP\tO' +p67748 +aS'5\t5\tCD\tB-NP\tO' +p67749 +aS'liters\tliter\tNNS\tI-NP\tO' +p67750 +aS'of\tof\tIN\tB-PP\tO' +p67751 +aS'crystalloid\tcrystalloid\tNN\tB-NP\tO' +p67752 +aS',\t,\t,\tO\tO' +p67753 +aS'9\t9\tCD\tB-NP\tO' +p67754 +aS'units\tunit\tNNS\tI-NP\tO' +p67755 +aS'of\tof\tIN\tB-PP\tO' +p67756 +aS'fresh\tfresh\tJJ\tB-NP\tO' +p67757 +aS'frozen\tfreeze\tVBN\tI-NP\tO' +p67758 +aS'plasma\tplasma\tNN\tI-NP\tO' +p67759 +aS',\t,\t,\tO\tO' +p67760 +aS'9\t9\tCD\tB-NP\tO' +p67761 +aS'units\tunit\tNNS\tI-NP\tO' +p67762 +aS'of\tof\tIN\tB-PP\tO' +p67763 +aS'red\tred\tJJ\tB-NP\tB-cell_type' +p67764 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p67765 +aS',\t,\t,\tO\tO' +p67766 +aS'6\t6\tCD\tB-NP\tO' +p67767 +aS'units\tunit\tNNS\tI-NP\tO' +p67768 +aS'of\tof\tIN\tB-PP\tO' +p67769 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p67770 +aS',\t,\t,\tO\tO' +p67771 +aS'as\tas\tRB\tB-CONJP\tO' +p67772 +aS'well\twell\tRB\tI-CONJP\tO' +p67773 +aS'as\tas\tIN\tI-CONJP\tO' +p67774 +aS'1\t1\tCD\tB-NP\tO' +p67775 +aS'liter\tliter\tNN\tI-NP\tO' +p67776 +aS'of\tof\tIN\tB-PP\tO' +p67777 +aS'Cell\tCell\tNNP\tB-NP\tO' +p67778 +aS'Saver\tSaver\tNNP\tI-NP\tO' +p67779 +aS'.\t.\t.\tO\tO' +p67780 +asS'Neurosensory was intact and she had normal motor examination with 5/5 strength throughout all her upper and lower extremities .' +p67781 +(lp67782 +S'Neurosensory\tNeurosensory\tNNP\tB-NP\tO' +p67783 +aS'was\tbe\tVBD\tB-VP\tO' +p67784 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p67785 +aS'and\tand\tCC\tO\tO' +p67786 +aS'she\tshe\tPRP\tB-NP\tO' +p67787 +aS'had\thave\tVBD\tB-VP\tO' +p67788 +aS'normal\tnormal\tJJ\tB-NP\tO' +p67789 +aS'motor\tmotor\tNN\tI-NP\tO' +p67790 +aS'examination\texamination\tNN\tI-NP\tO' +p67791 +aS'with\twith\tIN\tB-PP\tO' +p67792 +aS'5/5\t5/5\tCD\tB-NP\tO' +p67793 +aS'strength\tstrength\tNN\tI-NP\tO' +p67794 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p67795 +aS'all\tall\tDT\tB-NP\tO' +p67796 +aS'her\ther\tPRP$\tI-NP\tO' +p67797 +aS'upper\tupper\tJJ\tI-NP\tO' +p67798 +aS'and\tand\tCC\tI-NP\tO' +p67799 +aS'lower\tlow\tJJR\tI-NP\tO' +p67800 +aS'extremities\textremity\tNNS\tI-NP\tO' +p67801 +aS'.\t.\t.\tO\tO' +p67802 +asS'Breath sounds are clear and equal .' +p67803 +(lp67804 +S'Breath\tBreath\tNN\tB-NP\tO' +p67805 +aS'sounds\tsound\tNNS\tI-NP\tO' +p67806 +aS'are\tbe\tVBP\tB-VP\tO' +p67807 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p67808 +aS'and\tand\tCC\tI-ADJP\tO' +p67809 +aS'equal\tequal\tJJ\tI-ADJP\tO' +p67810 +aS'.\t.\t.\tO\tO' +p67811 +asS'1. Morphine Concentrate 20 mg / mL Solution Sig : 2.5-20 mg PO Q1-2H ( ) as needed for pain .' +p67812 +(lp67813 +S'1.\t1.\tLS\tB-NP\tO' +p67814 +aS'Morphine\tMorphine\tNN\tI-NP\tO' +p67815 +aS'Concentrate\tConcentrate\tVBP\tB-VP\tO' +p67816 +aS'20\t20\tCD\tB-NP\tO' +p67817 +aS'mg\tmg\tNN\tI-NP\tO' +p67818 +aS'/\t/\tSYM\tB-NP\tO' +p67819 +aS'mL\tmL\tNN\tI-NP\tO' +p67820 +aS'Solution\tSolution\tNNP\tI-NP\tO' +p67821 +aS'Sig\tSig\tNNP\tI-NP\tO' +p67822 +aS':\t:\t:\tO\tO' +p67823 +aS'2.5-20\t2.5-20\tCD\tB-NP\tO' +p67824 +aS'mg\tmg\tNN\tI-NP\tO' +p67825 +aS'PO\tPO\tNN\tI-NP\tO' +p67826 +aS'Q1-2H\tQ1-2H\tNN\tI-NP\tO' +p67827 +aS'(\t(\t(\tO\tO' +p67828 +aS')\t)\t)\tO\tO' +p67829 +aS'as\tas\tIN\tB-SBAR\tO' +p67830 +aS'needed\tneed\tVBN\tB-VP\tO' +p67831 +aS'for\tfor\tIN\tB-PP\tO' +p67832 +aS'pain\tpain\tNN\tB-NP\tO' +p67833 +aS'.\t.\t.\tO\tO' +p67834 +asS'However , a septic component to the hypotension was also considered as the pt was found to have citrobacter in her urine and C diff in her stool .' +p67835 +(lp67836 +S'However\tHowever\tRB\tB-ADVP\tO' +p67837 +aS',\t,\t,\tO\tO' +p67838 +aS'a\ta\tDT\tB-NP\tO' +p67839 +aS'septic\tseptic\tJJ\tI-NP\tO' +p67840 +aS'component\tcomponent\tNN\tI-NP\tO' +p67841 +aS'to\tto\tTO\tB-PP\tO' +p67842 +aS'the\tthe\tDT\tB-NP\tO' +p67843 +aS'hypotension\thypotension\tNN\tI-NP\tO' +p67844 +aS'was\tbe\tVBD\tB-VP\tO' +p67845 +aS'also\talso\tRB\tI-VP\tO' +p67846 +aS'considered\tconsider\tVBN\tI-VP\tO' +p67847 +aS'as\tas\tIN\tB-PP\tO' +p67848 +aS'the\tthe\tDT\tB-NP\tO' +p67849 +aS'pt\tpt\tNN\tI-NP\tO' +p67850 +aS'was\tbe\tVBD\tB-VP\tO' +p67851 +aS'found\tfind\tVBN\tI-VP\tO' +p67852 +aS'to\tto\tTO\tI-VP\tO' +p67853 +aS'have\thave\tVB\tI-VP\tO' +p67854 +aS'citrobacter\tcitrobacter\tNN\tB-NP\tO' +p67855 +aS'in\tin\tIN\tB-PP\tO' +p67856 +aS'her\ther\tPRP$\tB-NP\tO' +p67857 +aS'urine\turine\tNN\tI-NP\tO' +p67858 +aS'and\tand\tCC\tI-NP\tO' +p67859 +aS'C\tC\tNN\tI-NP\tO' +p67860 +aS'diff\tdiff\tNN\tI-NP\tO' +p67861 +aS'in\tin\tIN\tB-PP\tO' +p67862 +aS'her\ther\tPRP$\tB-NP\tO' +p67863 +aS'stool\tstool\tNN\tI-NP\tO' +p67864 +aS'.\t.\t.\tO\tO' +p67865 +asS'Finally , a super coronary arch graft was implanted .' +p67866 +(lp67867 +S'Finally\tFinally\tRB\tB-ADVP\tO' +p67868 +aS',\t,\t,\tO\tO' +p67869 +aS'a\ta\tDT\tB-NP\tO' +p67870 +aS'super\tsuper\tJJ\tI-NP\tO' +p67871 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p67872 +aS'arch\tarch\tNN\tI-NP\tO' +p67873 +aS'graft\tgraft\tNN\tI-NP\tO' +p67874 +aS'was\tbe\tVBD\tB-VP\tO' +p67875 +aS'implanted\timplant\tVBN\tI-VP\tO' +p67876 +aS'.\t.\t.\tO\tO' +p67877 +asS'Tender to palpation at the left lower quadrant and especially at the epigastrium .' +p67878 +(lp67879 +S'Tender\tTender\tNN\tB-NP\tO' +p67880 +aS'to\tto\tTO\tB-PP\tO' +p67881 +aS'palpation\tpalpation\tNN\tB-NP\tO' +p67882 +aS'at\tat\tIN\tB-PP\tO' +p67883 +aS'the\tthe\tDT\tB-NP\tO' +p67884 +aS'left\tleft\tJJ\tI-NP\tO' +p67885 +aS'lower\tlow\tJJR\tI-NP\tO' +p67886 +aS'quadrant\tquadrant\tNN\tI-NP\tO' +p67887 +aS'and\tand\tCC\tO\tO' +p67888 +aS'especially\tespecially\tRB\tB-ADVP\tO' +p67889 +aS'at\tat\tIN\tB-PP\tO' +p67890 +aS'the\tthe\tDT\tB-NP\tO' +p67891 +aS'epigastrium\tepigastrium\tNN\tI-NP\tO' +p67892 +aS'.\t.\t.\tO\tO' +p67893 +asS'2. Aspirin 325 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' +p67894 +(lp67895 +S'2.\t2.\tLS\tB-NP\tO' +p67896 +aS'Aspirin\tAspirin\tNN\tI-NP\tO' +p67897 +aS'325\t325\tCD\tI-NP\tO' +p67898 +aS'mg\tmg\tNN\tI-NP\tO' +p67899 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p67900 +aS'Sig\tSig\tNNP\tI-NP\tO' +p67901 +aS':\t:\t:\tO\tO' +p67902 +aS'One\tOne\tCD\tB-NP\tO' +p67903 +aS'(\t(\t(\tO\tO' +p67904 +aS'1\t1\tCD\tB-NP\tO' +p67905 +aS')\t)\t)\tO\tO' +p67906 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p67907 +aS'PO\tPO\tNN\tI-NP\tO' +p67908 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p67909 +aS'(\t(\t(\tO\tO' +p67910 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p67911 +aS')\t)\t)\tO\tO' +p67912 +aS'.\t.\t.\tO\tO' +p67913 +asS'EKG , when the patient goes out of left bundle branch block transiently shows an anterolateral Q/wave inversion .' +p67914 +(lp67915 +S'EKG\tEKG\tNN\tB-NP\tB-protein' +p67916 +aS',\t,\t,\tO\tO' +p67917 +aS'when\twhen\tWRB\tB-ADVP\tO' +p67918 +aS'the\tthe\tDT\tB-NP\tO' +p67919 +aS'patient\tpatient\tNN\tI-NP\tO' +p67920 +aS'goes\tgo\tVBZ\tB-VP\tO' +p67921 +aS'out\tout\tIN\tB-PP\tO' +p67922 +aS'of\tof\tIN\tB-PP\tO' +p67923 +aS'left\tleft\tJJ\tB-NP\tO' +p67924 +aS'bundle\tbundle\tNN\tI-NP\tO' +p67925 +aS'branch\tbranch\tNN\tI-NP\tO' +p67926 +aS'block\tblock\tNN\tI-NP\tO' +p67927 +aS'transiently\ttransiently\tRB\tB-VP\tO' +p67928 +aS'shows\tshow\tVBZ\tI-VP\tO' +p67929 +aS'an\tan\tDT\tB-NP\tO' +p67930 +aS'anterolateral\tanterolateral\tJJ\tI-NP\tO' +p67931 +aS'Q/wave\tQ/wave\tNN\tI-NP\tO' +p67932 +aS'inversion\tinversion\tNN\tI-NP\tO' +p67933 +aS'.\t.\t.\tO\tO' +p67934 +asS'On postoperative day #2 , the patient was noted to be relatively stable .' +p67935 +(lp67936 +S'On\tOn\tIN\tB-PP\tO' +p67937 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p67938 +aS'day\tday\tNN\tI-NP\tO' +p67939 +aS'#2\t#2\tNN\tI-NP\tO' +p67940 +aS',\t,\t,\tO\tO' +p67941 +aS'the\tthe\tDT\tB-NP\tO' +p67942 +aS'patient\tpatient\tNN\tI-NP\tO' +p67943 +aS'was\tbe\tVBD\tB-VP\tO' +p67944 +aS'noted\tnote\tVBN\tI-VP\tO' +p67945 +aS'to\tto\tTO\tI-VP\tO' +p67946 +aS'be\tbe\tVB\tI-VP\tO' +p67947 +aS'relatively\trelatively\tRB\tB-ADJP\tO' +p67948 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p67949 +aS'.\t.\t.\tO\tO' +p67950 +asS'She developed no problems with edema or with her wound during her hospital stay .' +p67951 +(lp67952 +S'She\tShe\tPRP\tB-NP\tO' +p67953 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p67954 +aS'no\tno\tDT\tB-NP\tO' +p67955 +aS'problems\tproblem\tNNS\tI-NP\tO' +p67956 +aS'with\twith\tIN\tB-PP\tO' +p67957 +aS'edema\tedema\tNN\tB-NP\tO' +p67958 +aS'or\tor\tCC\tB-PP\tO' +p67959 +aS'with\twith\tIN\tB-PP\tO' +p67960 +aS'her\ther\tPRP$\tB-NP\tO' +p67961 +aS'wound\twound\tNN\tI-NP\tO' +p67962 +aS'during\tduring\tIN\tB-PP\tO' +p67963 +aS'her\ther\tPRP$\tB-NP\tO' +p67964 +aS'hospital\thospital\tNN\tI-NP\tO' +p67965 +aS'stay\tstay\tNN\tI-NP\tO' +p67966 +aS'.\t.\t.\tO\tO' +p67967 +asS'3. Albuterol-Ipratropium 103-18 mcg / Actuation Aerosol Sig : 02-26 Puffs Inhalation Q6H ( every 6 hours ) as needed .' +p67968 +(lp67969 +S'3.\t3.\tLS\tB-NP\tO' +p67970 +aS'Albuterol-Ipratropium\tAlbuterol-Ipratropium\tNN\tI-NP\tO' +p67971 +aS'103-18\t103-18\tCD\tI-NP\tO' +p67972 +aS'mcg\tmcg\tNN\tI-NP\tO' +p67973 +aS'/\t/\tSYM\tB-NP\tO' +p67974 +aS'Actuation\tActuation\tNN\tI-NP\tO' +p67975 +aS'Aerosol\tAerosol\tNNP\tI-NP\tO' +p67976 +aS'Sig\tSig\tNNP\tI-NP\tO' +p67977 +aS':\t:\t:\tO\tO' +p67978 +aS'02-26\t02-26\tCD\tB-NP\tO' +p67979 +aS'Puffs\tPuff\tNNS\tI-NP\tO' +p67980 +aS'Inhalation\tInhalation\tNN\tI-NP\tO' +p67981 +aS'Q6H\tQ6H\tNN\tI-NP\tO' +p67982 +aS'(\t(\t(\tO\tO' +p67983 +aS'every\tevery\tDT\tB-NP\tO' +p67984 +aS'6\t6\tCD\tI-NP\tO' +p67985 +aS'hours\thour\tNNS\tI-NP\tO' +p67986 +aS')\t)\t)\tO\tO' +p67987 +aS'as\tas\tIN\tB-SBAR\tO' +p67988 +aS'needed\tneed\tVBN\tB-VP\tO' +p67989 +aS'.\t.\t.\tO\tO' +p67990 +asS'She had sustained gaze holding nystagmus in both horizontal directions .' +p67991 +(lp67992 +S'She\tShe\tPRP\tB-NP\tO' +p67993 +aS'had\thave\tVBD\tB-VP\tO' +p67994 +aS'sustained\tsustain\tVBN\tI-VP\tO' +p67995 +aS'gaze\tgaze\tVB\tI-VP\tO' +p67996 +aS'holding\thold\tVBG\tI-VP\tO' +p67997 +aS'nystagmus\tnystagmus\tNN\tB-NP\tO' +p67998 +aS'in\tin\tIN\tB-PP\tO' +p67999 +aS'both\tboth\tCC\tB-NP\tO' +p68000 +aS'horizontal\thorizontal\tJJ\tI-NP\tO' +p68001 +aS'directions\tdirection\tNNS\tI-NP\tO' +p68002 +aS'.\t.\t.\tO\tO' +p68003 +asS'On 10-14 , the patient had a transthoracic echocardiogram which revealed a new , moderate-to-large sized pericardial effusion .' +p68004 +(lp68005 +S'On\tOn\tIN\tB-PP\tO' +p68006 +aS'10-14\t10-14\tCD\tB-NP\tO' +p68007 +aS',\t,\t,\tO\tO' +p68008 +aS'the\tthe\tDT\tB-NP\tO' +p68009 +aS'patient\tpatient\tNN\tI-NP\tO' +p68010 +aS'had\thave\tVBD\tB-VP\tO' +p68011 +aS'a\ta\tDT\tB-NP\tO' +p68012 +aS'transthoracic\ttransthoracic\tJJ\tI-NP\tO' +p68013 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p68014 +aS'which\twhich\tWDT\tB-NP\tO' +p68015 +aS'revealed\treveal\tVBD\tB-VP\tO' +p68016 +aS'a\ta\tDT\tB-NP\tO' +p68017 +aS'new\tnew\tJJ\tI-NP\tO' +p68018 +aS',\t,\t,\tI-NP\tO' +p68019 +aS'moderate-to-large\tmoderate-to-large\tJJ\tI-NP\tO' +p68020 +aS'sized\tsized\tJJ\tI-NP\tO' +p68021 +aS'pericardial\tpericardial\tJJ\tI-NP\tO' +p68022 +aS'effusion\teffusion\tNN\tI-NP\tO' +p68023 +aS'.\t.\t.\tO\tO' +p68024 +asS'Signed electronically by : DR. Brian S Heath on : Danielle 2014-08-28 2:52 PM' +p68025 +(lp68026 +S'Signed\tSign\tVBN\tB-VP\tO' +p68027 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p68028 +aS'by\tby\tIN\tB-PP\tO' +p68029 +aS':\t:\t:\tO\tO' +p68030 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p68031 +aS'Brian\tBrian\tNNP\tI-NP\tO' +p68032 +aS'S\tS\tNNP\tI-NP\tO' +p68033 +aS'Heath\tHeath\tNNP\tI-NP\tO' +p68034 +aS'on\ton\tIN\tB-PP\tO' +p68035 +aS':\t:\t:\tO\tO' +p68036 +aS'Danielle\tDanielle\tNNP\tB-NP\tO' +p68037 +aS'2014-08-28\t2014-08-28\tCD\tB-NP\tO' +p68038 +aS'2:52\t2:52\tCD\tI-NP\tO' +p68039 +aS'PM\tPM\tNN\tI-NP\tO' +p68040 +asS'Her oxygen saturation has always been good .' +p68041 +(lp68042 +S'Her\tHer\tPRP$\tB-NP\tO' +p68043 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p68044 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p68045 +aS'has\thave\tVBZ\tB-VP\tO' +p68046 +aS'always\talways\tRB\tI-VP\tO' +p68047 +aS'been\tbe\tVBN\tI-VP\tO' +p68048 +aS'good\tgood\tJJ\tB-ADJP\tO' +p68049 +aS'.\t.\t.\tO\tO' +p68050 +asS'130 minutes , and a rest time of 16 minutes .' +p68051 +(lp68052 +S'130\t130\tCD\tB-NP\tO' +p68053 +aS'minutes\tminute\tNNS\tI-NP\tO' +p68054 +aS',\t,\t,\tO\tO' +p68055 +aS'and\tand\tCC\tO\tO' +p68056 +aS'a\ta\tDT\tB-NP\tO' +p68057 +aS'rest\trest\tNN\tI-NP\tO' +p68058 +aS'time\ttime\tNN\tI-NP\tO' +p68059 +aS'of\tof\tIN\tB-PP\tO' +p68060 +aS'16\t16\tCD\tB-NP\tO' +p68061 +aS'minutes\tminute\tNNS\tI-NP\tO' +p68062 +aS'.\t.\t.\tO\tO' +p68063 +asS'On 2017-09-14 , she was transferred to the regular floor at Far 5 .' +p68064 +(lp68065 +S'On\tOn\tIN\tB-PP\tO' +p68066 +aS'2017-09-14\t2017-09-14\tCD\tB-NP\tO' +p68067 +aS',\t,\t,\tO\tO' +p68068 +aS'she\tshe\tPRP\tB-NP\tO' +p68069 +aS'was\tbe\tVBD\tB-VP\tO' +p68070 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p68071 +aS'to\tto\tTO\tB-PP\tO' +p68072 +aS'the\tthe\tDT\tB-NP\tO' +p68073 +aS'regular\tregular\tJJ\tI-NP\tO' +p68074 +aS'floor\tfloor\tNN\tI-NP\tO' +p68075 +aS'at\tat\tIN\tB-PP\tO' +p68076 +aS'Far\tFar\tNNP\tB-NP\tB-protein' +p68077 +aS'5\t5\tCD\tI-NP\tI-protein' +p68078 +aS'.\t.\t.\tO\tO' +p68079 +asS'He was transfused with 3 u packed cells for a hematocrit of 21 , post transfusion HCT was 26.1 ; there was a questionable transfusion reaction at the end of his first unit of packed cells ; he did subsequently receive the remaining 2 units without any further reaction .' +p68080 +(lp68081 +S'He\tHe\tPRP\tB-NP\tO' +p68082 +aS'was\tbe\tVBD\tB-VP\tO' +p68083 +aS'transfused\ttransfuse\tVBN\tI-VP\tO' +p68084 +aS'with\twith\tIN\tB-PP\tO' +p68085 +aS'3\t3\tCD\tB-NP\tO' +p68086 +aS'u\tu\tNN\tI-NP\tO' +p68087 +aS'packed\tpack\tVBD\tB-VP\tO' +p68088 +aS'cells\tcell\tNNS\tB-NP\tO' +p68089 +aS'for\tfor\tIN\tB-PP\tO' +p68090 +aS'a\ta\tDT\tB-NP\tO' +p68091 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p68092 +aS'of\tof\tIN\tB-PP\tO' +p68093 +aS'21\t21\tCD\tB-NP\tO' +p68094 +aS',\t,\t,\tO\tO' +p68095 +aS'post\tpost\tNN\tB-NP\tO' +p68096 +aS'transfusion\ttransfusion\tNN\tI-NP\tO' +p68097 +aS'HCT\tHCT\tNN\tI-NP\tO' +p68098 +aS'was\tbe\tVBD\tB-VP\tO' +p68099 +aS'26.1\t26.1\tCD\tB-NP\tO' +p68100 +aS';\t;\t:\tO\tO' +p68101 +aS'there\tthere\tEX\tB-NP\tO' +p68102 +aS'was\tbe\tVBD\tB-VP\tO' +p68103 +aS'a\ta\tDT\tB-NP\tO' +p68104 +aS'questionable\tquestionable\tJJ\tI-NP\tO' +p68105 +aS'transfusion\ttransfusion\tNN\tI-NP\tO' +p68106 +aS'reaction\treaction\tNN\tI-NP\tO' +p68107 +aS'at\tat\tIN\tB-PP\tO' +p68108 +aS'the\tthe\tDT\tB-NP\tO' +p68109 +aS'end\tend\tNN\tI-NP\tO' +p68110 +aS'of\tof\tIN\tB-PP\tO' +p68111 +aS'his\this\tPRP$\tB-NP\tO' +p68112 +aS'first\tfirst\tJJ\tI-NP\tO' +p68113 +aS'unit\tunit\tNN\tI-NP\tO' +p68114 +aS'of\tof\tIN\tB-PP\tO' +p68115 +aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' +p68116 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p68117 +aS';\t;\t:\tO\tO' +p68118 +aS'he\the\tPRP\tB-NP\tO' +p68119 +aS'did\tdo\tVBD\tB-VP\tO' +p68120 +aS'subsequently\tsubsequently\tRB\tI-VP\tO' +p68121 +aS'receive\treceive\tVB\tI-VP\tO' +p68122 +aS'the\tthe\tDT\tB-NP\tO' +p68123 +aS'remaining\tremain\tVBG\tI-NP\tO' +p68124 +aS'2\t2\tCD\tI-NP\tO' +p68125 +aS'units\tunit\tNNS\tI-NP\tO' +p68126 +aS'without\twithout\tIN\tB-PP\tO' +p68127 +aS'any\tany\tDT\tB-NP\tO' +p68128 +aS'further\tfurther\tJJ\tI-NP\tO' +p68129 +aS'reaction\treaction\tNN\tI-NP\tO' +p68130 +aS'.\t.\t.\tO\tO' +p68131 +asS'Metastatic work-up was negative .' +p68132 +(lp68133 +S'Metastatic\tMetastatic\tJJ\tB-NP\tO' +p68134 +aS'work-up\twork-up\tNN\tI-NP\tO' +p68135 +aS'was\tbe\tVBD\tB-VP\tO' +p68136 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p68137 +aS'.\t.\t.\tO\tO' +p68138 +asS'For deep vein thrombosis prophylaxis she was treated with subcutaneous heparin and for gastrointestinal prophylaxis she was treated with Protonix .' +p68139 +(lp68140 +S'For\tFor\tIN\tB-PP\tO' +p68141 +aS'deep\tdeep\tJJ\tB-NP\tO' +p68142 +aS'vein\tvein\tNN\tI-NP\tO' +p68143 +aS'thrombosis\tthrombosis\tNN\tI-NP\tO' +p68144 +aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' +p68145 +aS'she\tshe\tPRP\tB-NP\tO' +p68146 +aS'was\tbe\tVBD\tB-VP\tO' +p68147 +aS'treated\ttreat\tVBN\tI-VP\tO' +p68148 +aS'with\twith\tIN\tB-PP\tO' +p68149 +aS'subcutaneous\tsubcutaneous\tJJ\tB-NP\tO' +p68150 +aS'heparin\theparin\tNN\tI-NP\tO' +p68151 +aS'and\tand\tCC\tB-PP\tO' +p68152 +aS'for\tfor\tIN\tB-PP\tO' +p68153 +aS'gastrointestinal\tgastrointestinal\tJJ\tB-NP\tO' +p68154 +aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' +p68155 +aS'she\tshe\tPRP\tB-NP\tO' +p68156 +aS'was\tbe\tVBD\tB-VP\tO' +p68157 +aS'treated\ttreat\tVBN\tI-VP\tO' +p68158 +aS'with\twith\tIN\tB-PP\tO' +p68159 +aS'Protonix\tProtonix\tNNP\tB-NP\tO' +p68160 +aS'.\t.\t.\tO\tO' +p68161 +asS'9. Status post myocardial infarction .' +p68162 +(lp68163 +S'9.\t9.\tLS\tB-LST\tO' +p68164 +aS'Status\tStatus\tNNP\tB-NP\tO' +p68165 +aS'post\tpost\tIN\tB-PP\tO' +p68166 +aS'myocardial\tmyocardial\tJJ\tB-NP\tO' +p68167 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p68168 +aS'.\t.\t.\tO\tO' +p68169 +asS'After discussion , it was decided to attempt to obtain 28 weeks gestation and then deliver electively by cesarean section given the decompensation in the third trimester .' +p68170 +(lp68171 +S'After\tAfter\tIN\tB-PP\tO' +p68172 +aS'discussion\tdiscussion\tNN\tB-NP\tO' +p68173 +aS',\t,\t,\tO\tO' +p68174 +aS'it\tit\tPRP\tB-NP\tO' +p68175 +aS'was\tbe\tVBD\tB-VP\tO' +p68176 +aS'decided\tdecide\tVBN\tI-VP\tO' +p68177 +aS'to\tto\tTO\tI-VP\tO' +p68178 +aS'attempt\tattempt\tVB\tI-VP\tO' +p68179 +aS'to\tto\tTO\tI-VP\tO' +p68180 +aS'obtain\tobtain\tVB\tI-VP\tO' +p68181 +aS'28\t28\tCD\tB-NP\tO' +p68182 +aS'weeks\tweek\tNNS\tI-NP\tO' +p68183 +aS'gestation\tgestation\tNN\tI-NP\tO' +p68184 +aS'and\tand\tCC\tO\tO' +p68185 +aS'then\tthen\tRB\tB-VP\tO' +p68186 +aS'deliver\tdeliver\tVB\tI-VP\tO' +p68187 +aS'electively\telectively\tRB\tB-ADVP\tO' +p68188 +aS'by\tby\tIN\tB-PP\tO' +p68189 +aS'cesarean\tcesarean\tJJ\tB-NP\tO' +p68190 +aS'section\tsection\tNN\tI-NP\tO' +p68191 +aS'given\tgive\tVBN\tB-PP\tO' +p68192 +aS'the\tthe\tDT\tB-NP\tO' +p68193 +aS'decompensation\tdecompensation\tNN\tI-NP\tO' +p68194 +aS'in\tin\tIN\tB-PP\tO' +p68195 +aS'the\tthe\tDT\tB-NP\tO' +p68196 +aS'third\tthird\tJJ\tI-NP\tO' +p68197 +aS'trimester\ttrimester\tNN\tI-NP\tO' +p68198 +aS'.\t.\t.\tO\tO' +p68199 +asS'His cranial nerves and strength were full , and the sensory exam showed mildly decreased vibration and proprioception in both LE , suggesting peripheral neuropathy .' +p68200 +(lp68201 +S'His\tHis\tPRP$\tB-NP\tO' +p68202 +aS'cranial\tcranial\tJJ\tI-NP\tO' +p68203 +aS'nerves\tnerve\tNNS\tI-NP\tO' +p68204 +aS'and\tand\tCC\tI-NP\tO' +p68205 +aS'strength\tstrength\tNN\tI-NP\tO' +p68206 +aS'were\tbe\tVBD\tB-VP\tO' +p68207 +aS'full\tfull\tJJ\tB-ADJP\tO' +p68208 +aS',\t,\t,\tO\tO' +p68209 +aS'and\tand\tCC\tO\tO' +p68210 +aS'the\tthe\tDT\tB-NP\tO' +p68211 +aS'sensory\tsensory\tJJ\tI-NP\tO' +p68212 +aS'exam\texam\tNN\tI-NP\tO' +p68213 +aS'showed\tshow\tVBD\tB-VP\tO' +p68214 +aS'mildly\tmildly\tRB\tB-NP\tO' +p68215 +aS'decreased\tdecrease\tVBN\tI-NP\tO' +p68216 +aS'vibration\tvibration\tNN\tI-NP\tO' +p68217 +aS'and\tand\tCC\tI-NP\tO' +p68218 +aS'proprioception\tproprioception\tNN\tI-NP\tO' +p68219 +aS'in\tin\tIN\tB-PP\tO' +p68220 +aS'both\tboth\tDT\tB-NP\tO' +p68221 +aS'LE\tLE\tNN\tI-NP\tO' +p68222 +aS',\t,\t,\tO\tO' +p68223 +aS'suggesting\tsuggest\tVBG\tB-VP\tO' +p68224 +aS'peripheral\tperipheral\tJJ\tB-NP\tO' +p68225 +aS'neuropathy\tneuropathy\tNN\tI-NP\tO' +p68226 +aS'.\t.\t.\tO\tO' +p68227 +asS'On admission to Fairm of Ijordcompmac Hospital , temperature 100.2 , pulse 149 , respiratory rate 50 , blood pressure 98/66 , mean arterial pressure of 73 , weight 12 kilos .' +p68228 +(lp68229 +S'On\tOn\tIN\tB-PP\tO' +p68230 +aS'admission\tadmission\tNN\tB-NP\tO' +p68231 +aS'to\tto\tTO\tB-PP\tO' +p68232 +aS'Fairm\tFairm\tNNP\tB-NP\tO' +p68233 +aS'of\tof\tIN\tB-PP\tO' +p68234 +aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' +p68235 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p68236 +aS',\t,\t,\tO\tO' +p68237 +aS'temperature\ttemperature\tNN\tB-NP\tB-protein' +p68238 +aS'100.2\t100.2\tCD\tI-NP\tI-protein' +p68239 +aS',\t,\t,\tO\tO' +p68240 +aS'pulse\tpulse\tNN\tB-NP\tO' +p68241 +aS'149\t149\tCD\tI-NP\tO' +p68242 +aS',\t,\t,\tO\tO' +p68243 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p68244 +aS'rate\trate\tNN\tI-NP\tO' +p68245 +aS'50\t50\tCD\tI-NP\tO' +p68246 +aS',\t,\t,\tO\tO' +p68247 +aS'blood\tblood\tNN\tB-NP\tO' +p68248 +aS'pressure\tpressure\tNN\tI-NP\tO' +p68249 +aS'98/66\t98/66\tCD\tI-NP\tO' +p68250 +aS',\t,\t,\tO\tO' +p68251 +aS'mean\tmean\tJJ\tB-NP\tO' +p68252 +aS'arterial\tarterial\tJJ\tI-NP\tO' +p68253 +aS'pressure\tpressure\tNN\tI-NP\tO' +p68254 +aS'of\tof\tIN\tB-PP\tO' +p68255 +aS'73\t73\tCD\tB-NP\tO' +p68256 +aS',\t,\t,\tO\tO' +p68257 +aS'weight\tweight\tNN\tB-NP\tO' +p68258 +aS'12\t12\tCD\tI-NP\tO' +p68259 +aS'kilos\tkilo\tNNS\tI-NP\tO' +p68260 +aS'.\t.\t.\tO\tO' +p68261 +asS'Perforated sigmoid diverticulum status post exploratory laparotomy' +p68262 +(lp68263 +S'Perforated\tPerforate\tVBN\tB-NP\tO' +p68264 +aS'sigmoid\tsigmoid\tJJ\tI-NP\tO' +p68265 +aS'diverticulum\tdiverticulum\tNN\tI-NP\tO' +p68266 +aS'status\tstatus\tNN\tI-NP\tO' +p68267 +aS'post\tpost\tNN\tI-NP\tO' +p68268 +aS'exploratory\texploratory\tNN\tI-NP\tO' +p68269 +aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' +p68270 +asS'She also had an episode of nausea with some emesis , after being treated with Zofran with no relief , a nasogastric tube was placed which drained 1200 cc of bilious fluid .' +p68271 +(lp68272 +S'She\tShe\tPRP\tB-NP\tO' +p68273 +aS'also\talso\tRB\tB-ADVP\tO' +p68274 +aS'had\thave\tVBD\tB-VP\tO' +p68275 +aS'an\tan\tDT\tB-NP\tO' +p68276 +aS'episode\tepisode\tNN\tI-NP\tO' +p68277 +aS'of\tof\tIN\tB-PP\tO' +p68278 +aS'nausea\tnausea\tNN\tB-NP\tO' +p68279 +aS'with\twith\tIN\tB-PP\tO' +p68280 +aS'some\tsome\tDT\tB-NP\tO' +p68281 +aS'emesis\temesis\tNN\tI-NP\tO' +p68282 +aS',\t,\t,\tO\tO' +p68283 +aS'after\tafter\tIN\tB-PP\tO' +p68284 +aS'being\tbe\tVBG\tB-VP\tO' +p68285 +aS'treated\ttreat\tVBN\tI-VP\tO' +p68286 +aS'with\twith\tIN\tB-PP\tO' +p68287 +aS'Zofran\tZofran\tNN\tB-NP\tO' +p68288 +aS'with\twith\tIN\tB-PP\tO' +p68289 +aS'no\tno\tDT\tB-NP\tO' +p68290 +aS'relief\trelief\tNN\tI-NP\tO' +p68291 +aS',\t,\t,\tO\tO' +p68292 +aS'a\ta\tDT\tB-NP\tO' +p68293 +aS'nasogastric\tnasogastric\tJJ\tI-NP\tO' +p68294 +aS'tube\ttube\tNN\tI-NP\tO' +p68295 +aS'was\tbe\tVBD\tB-VP\tO' +p68296 +aS'placed\tplace\tVBN\tI-VP\tO' +p68297 +aS'which\twhich\tWDT\tB-NP\tO' +p68298 +aS'drained\tdrain\tVBD\tB-VP\tO' +p68299 +aS'1200\t1200\tCD\tB-NP\tO' +p68300 +aS'cc\tcc\tNN\tI-NP\tO' +p68301 +aS'of\tof\tIN\tB-PP\tO' +p68302 +aS'bilious\tbilious\tJJ\tB-NP\tO' +p68303 +aS'fluid\tfluid\tNN\tI-NP\tO' +p68304 +aS'.\t.\t.\tO\tO' +p68305 +asS'5. Plavix 75 mg p.o. once per day .' +p68306 +(lp68307 +S'5.\t5.\tLS\tB-NP\tO' +p68308 +aS'Plavix\tPlavix\tNNP\tI-NP\tO' +p68309 +aS'75\t75\tCD\tI-NP\tO' +p68310 +aS'mg\tmg\tNN\tI-NP\tO' +p68311 +aS'p.o.\tp.o.\tRB\tB-ADVP\tO' +p68312 +aS'once\tonce\tRB\tI-ADVP\tO' +p68313 +aS'per\tper\tIN\tB-PP\tO' +p68314 +aS'day\tday\tNN\tB-NP\tO' +p68315 +aS'.\t.\t.\tO\tO' +p68316 +asS'The patient denies use of alcohol or drugs .' +p68317 +(lp68318 +S'The\tThe\tDT\tB-NP\tO' +p68319 +aS'patient\tpatient\tNN\tI-NP\tO' +p68320 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p68321 +aS'use\tuse\tNN\tB-NP\tO' +p68322 +aS'of\tof\tIN\tB-PP\tO' +p68323 +aS'alcohol\talcohol\tNN\tB-NP\tO' +p68324 +aS'or\tor\tCC\tI-NP\tO' +p68325 +aS'drugs\tdrug\tNNS\tI-NP\tO' +p68326 +aS'.\t.\t.\tO\tO' +p68327 +asS'Dictated By : Jeffrey N. Elvington , M.D.' +p68328 +(lp68329 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p68330 +aS'By\tBy\tIN\tB-PP\tO' +p68331 +aS':\t:\t:\tO\tO' +p68332 +aS'Jeffrey\tJeffrey\tNNP\tB-NP\tO' +p68333 +aS'N.\tN.\tNNP\tI-NP\tO' +p68334 +aS'Elvington\tElvington\tNNP\tI-NP\tO' +p68335 +aS',\t,\t,\tO\tO' +p68336 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p68337 +asS'However , he was eventually able to achieve forward flexion of 135 degrees and external rotation of 30 degrees by postoperative day number eight .' +p68338 +(lp68339 +S'However\tHowever\tRB\tB-ADVP\tO' +p68340 +aS',\t,\t,\tO\tO' +p68341 +aS'he\the\tPRP\tB-NP\tO' +p68342 +aS'was\tbe\tVBD\tB-VP\tO' +p68343 +aS'eventually\teventually\tRB\tB-ADJP\tO' +p68344 +aS'able\table\tJJ\tI-ADJP\tO' +p68345 +aS'to\tto\tTO\tB-VP\tO' +p68346 +aS'achieve\tachieve\tVB\tI-VP\tO' +p68347 +aS'forward\tforward\tJJ\tB-NP\tO' +p68348 +aS'flexion\tflexion\tNN\tI-NP\tO' +p68349 +aS'of\tof\tIN\tB-PP\tO' +p68350 +aS'135\t135\tCD\tB-NP\tO' +p68351 +aS'degrees\tdegree\tNNS\tI-NP\tO' +p68352 +aS'and\tand\tCC\tO\tO' +p68353 +aS'external\texternal\tJJ\tB-NP\tO' +p68354 +aS'rotation\trotation\tNN\tI-NP\tO' +p68355 +aS'of\tof\tIN\tB-PP\tO' +p68356 +aS'30\t30\tCD\tB-NP\tO' +p68357 +aS'degrees\tdegree\tNNS\tI-NP\tO' +p68358 +aS'by\tby\tIN\tB-PP\tO' +p68359 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p68360 +aS'day\tday\tNN\tI-NP\tO' +p68361 +aS'number\tnumber\tNN\tI-NP\tO' +p68362 +aS'eight\teight\tCD\tI-NP\tO' +p68363 +aS'.\t.\t.\tO\tO' +p68364 +asS'Dictated By : Linda P.F. Clark , M.D.' +p68365 +(lp68366 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p68367 +aS'By\tBy\tIN\tB-PP\tO' +p68368 +aS':\t:\t:\tO\tO' +p68369 +aS'Linda\tLinda\tNNP\tB-NP\tO' +p68370 +aS'P.F.\tP.F.\tNNP\tI-NP\tO' +p68371 +aS'Clark\tClark\tNNP\tI-NP\tO' +p68372 +aS',\t,\t,\tO\tO' +p68373 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p68374 +asS'1. Levaquin 500 mg one po q day times seven days .' +p68375 +(lp68376 +S'1.\t1.\tLS\tB-NP\tO' +p68377 +aS'Levaquin\tLevaquin\tNNP\tI-NP\tO' +p68378 +aS'500\t500\tCD\tI-NP\tO' +p68379 +aS'mg\tmg\tNN\tI-NP\tO' +p68380 +aS'one\tone\tCD\tB-NP\tO' +p68381 +aS'po\tpo\tNN\tI-NP\tO' +p68382 +aS'q\tq\tNN\tI-NP\tO' +p68383 +aS'day\tday\tNN\tI-NP\tO' +p68384 +aS'times\ttime\tNNS\tI-NP\tO' +p68385 +aS'seven\tseven\tCD\tB-NP\tO' +p68386 +aS'days\tday\tNNS\tI-NP\tO' +p68387 +aS'.\t.\t.\tO\tO' +p68388 +asS'He was started on Pitressin to try to control the gastrointestinal bleeding , but he continued to have severe bleeding , and became progressively hypotensive , with eventual bradycardia and cardiac arrest .' +p68389 +(lp68390 +S'He\tHe\tPRP\tB-NP\tO' +p68391 +aS'was\tbe\tVBD\tB-VP\tO' +p68392 +aS'started\tstart\tVBN\tI-VP\tO' +p68393 +aS'on\ton\tIN\tB-PP\tO' +p68394 +aS'Pitressin\tPitressin\tNNP\tB-NP\tO' +p68395 +aS'to\tto\tTO\tB-VP\tO' +p68396 +aS'try\ttry\tVB\tI-VP\tO' +p68397 +aS'to\tto\tTO\tI-VP\tO' +p68398 +aS'control\tcontrol\tVB\tI-VP\tO' +p68399 +aS'the\tthe\tDT\tB-NP\tO' +p68400 +aS'gastrointestinal\tgastrointestinal\tJJ\tI-NP\tO' +p68401 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p68402 +aS',\t,\t,\tO\tO' +p68403 +aS'but\tbut\tCC\tO\tO' +p68404 +aS'he\the\tPRP\tB-NP\tO' +p68405 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p68406 +aS'to\tto\tTO\tI-VP\tO' +p68407 +aS'have\thave\tVB\tI-VP\tO' +p68408 +aS'severe\tsevere\tJJ\tB-NP\tO' +p68409 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p68410 +aS',\t,\t,\tO\tO' +p68411 +aS'and\tand\tCC\tO\tO' +p68412 +aS'became\tbecome\tVBD\tB-VP\tO' +p68413 +aS'progressively\tprogressively\tRB\tB-ADJP\tO' +p68414 +aS'hypotensive\thypotensive\tJJ\tI-ADJP\tO' +p68415 +aS',\t,\t,\tO\tO' +p68416 +aS'with\twith\tIN\tB-PP\tO' +p68417 +aS'eventual\teventual\tJJ\tB-NP\tO' +p68418 +aS'bradycardia\tbradycardia\tNN\tI-NP\tO' +p68419 +aS'and\tand\tCC\tO\tO' +p68420 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p68421 +aS'arrest\tarrest\tNN\tI-NP\tO' +p68422 +aS'.\t.\t.\tO\tO' +p68423 +asS'He was well nourished so TPN was not started .' +p68424 +(lp68425 +S'He\tHe\tPRP\tB-NP\tO' +p68426 +aS'was\tbe\tVBD\tB-VP\tO' +p68427 +aS'well\twell\tRB\tI-VP\tO' +p68428 +aS'nourished\tnourish\tVBN\tI-VP\tO' +p68429 +aS'so\tso\tIN\tB-SBAR\tO' +p68430 +aS'TPN\tTPN\tNN\tB-NP\tB-protein' +p68431 +aS'was\tbe\tVBD\tB-VP\tO' +p68432 +aS'not\tnot\tRB\tI-VP\tO' +p68433 +aS'started\tstart\tVBN\tI-VP\tO' +p68434 +aS'.\t.\t.\tO\tO' +p68435 +asS'5. Hematology - Most recent hematocrit was 42.8 on 50-05-25 .' +p68436 +(lp68437 +S'5.\t5.\tLS\tB-NP\tO' +p68438 +aS'Hematology\tHematology\tNNP\tI-NP\tO' +p68439 +aS'-\t-\tHYPH\tI-NP\tO' +p68440 +aS'Most\tMost\tJJS\tI-NP\tO' +p68441 +aS'recent\trecent\tJJ\tI-NP\tO' +p68442 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p68443 +aS'was\tbe\tVBD\tB-VP\tO' +p68444 +aS'42.8\t42.8\tCD\tB-NP\tO' +p68445 +aS'on\ton\tIN\tB-PP\tO' +p68446 +aS'50-05-25\t50-05-25\tCD\tB-NP\tO' +p68447 +aS'.\t.\t.\tO\tO' +p68448 +asS'The infant is currently receiving breast milk 22 calories per ounce or premature Enfamil 22 calories per ounce , 150 cc / kg / day p.o. and gavage .' +p68449 +(lp68450 +S'The\tThe\tDT\tB-NP\tO' +p68451 +aS'infant\tinfant\tNN\tI-NP\tO' +p68452 +aS'is\tbe\tVBZ\tB-VP\tO' +p68453 +aS'currently\tcurrently\tRB\tI-VP\tO' +p68454 +aS'receiving\treceive\tVBG\tI-VP\tO' +p68455 +aS'breast\tbreast\tNN\tB-NP\tO' +p68456 +aS'milk\tmilk\tNN\tI-NP\tO' +p68457 +aS'22\t22\tCD\tB-NP\tO' +p68458 +aS'calories\tcalorie\tNNS\tI-NP\tO' +p68459 +aS'per\tper\tIN\tB-PP\tO' +p68460 +aS'ounce\tounce\tNN\tB-NP\tO' +p68461 +aS'or\tor\tCC\tO\tO' +p68462 +aS'premature\tpremature\tJJ\tB-NP\tO' +p68463 +aS'Enfamil\tEnfamil\tNN\tI-NP\tO' +p68464 +aS'22\t22\tCD\tB-NP\tO' +p68465 +aS'calories\tcalorie\tNNS\tI-NP\tO' +p68466 +aS'per\tper\tIN\tB-PP\tO' +p68467 +aS'ounce\tounce\tNN\tB-NP\tO' +p68468 +aS',\t,\t,\tO\tO' +p68469 +aS'150\t150\tCD\tB-NP\tO' +p68470 +aS'cc\tcc\tNN\tI-NP\tO' +p68471 +aS'/\t/\tSYM\tB-NP\tO' +p68472 +aS'kg\tkg\tNN\tI-NP\tO' +p68473 +aS'/\t/\tSYM\tB-NP\tO' +p68474 +aS'day\tday\tNN\tI-NP\tO' +p68475 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p68476 +aS'and\tand\tCC\tI-NP\tO' +p68477 +aS'gavage\tgavage\tNN\tI-NP\tO' +p68478 +aS'.\t.\t.\tO\tO' +p68479 +asS'He remained hemodynamically stable throughout this admission .' +p68480 +(lp68481 +S'He\tHe\tPRP\tB-NP\tO' +p68482 +aS'remained\tremain\tVBD\tB-VP\tO' +p68483 +aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' +p68484 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p68485 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p68486 +aS'this\tthis\tDT\tB-NP\tO' +p68487 +aS'admission\tadmission\tNN\tI-NP\tO' +p68488 +aS'.\t.\t.\tO\tO' +p68489 +asS'Retired .' +p68490 +(lp68491 +S'Retired\tRetire\tVBN\tB-VP\tO' +p68492 +aS'.\t.\t.\tO\tO' +p68493 +asS'8. Enoxaparin 30 mg / 0.3 mL Syringe Sig : One ( 1 ) Subcutaneous Q12H ( every 12 hours ) for 4 weeks .' +p68494 +(lp68495 +S'8.\t8.\tCD\tB-NP\tO' +p68496 +aS'Enoxaparin\tEnoxaparin\tNN\tI-NP\tO' +p68497 +aS'30\t30\tCD\tB-NP\tO' +p68498 +aS'mg\tmg\tNN\tI-NP\tO' +p68499 +aS'/\t/\tSYM\tB-NP\tO' +p68500 +aS'0.3\t0.3\tCD\tB-NP\tO' +p68501 +aS'mL\tmL\tNN\tI-NP\tO' +p68502 +aS'Syringe\tSyringe\tNNP\tI-NP\tO' +p68503 +aS'Sig\tSig\tNNP\tI-NP\tO' +p68504 +aS':\t:\t:\tO\tO' +p68505 +aS'One\tOne\tCD\tB-NP\tO' +p68506 +aS'(\t(\t(\tO\tO' +p68507 +aS'1\t1\tCD\tB-NP\tO' +p68508 +aS')\t)\t)\tO\tO' +p68509 +aS'Subcutaneous\tSubcutaneous\tJJ\tB-NP\tO' +p68510 +aS'Q12H\tQ12H\tNN\tI-NP\tO' +p68511 +aS'(\t(\t(\tO\tO' +p68512 +aS'every\tevery\tDT\tB-NP\tO' +p68513 +aS'12\t12\tCD\tI-NP\tO' +p68514 +aS'hours\thour\tNNS\tI-NP\tO' +p68515 +aS')\t)\t)\tO\tO' +p68516 +aS'for\tfor\tIN\tB-PP\tO' +p68517 +aS'4\t4\tCD\tB-NP\tO' +p68518 +aS'weeks\tweek\tNNS\tI-NP\tO' +p68519 +aS'.\t.\t.\tO\tO' +p68520 +asS'6. Diabetes mellitus .' +p68521 +(lp68522 +S'6.\t6.\tLS\tB-NP\tO' +p68523 +aS'Diabetes\tDiabetes\tNN\tI-NP\tO' +p68524 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p68525 +aS'.\t.\t.\tO\tO' +p68526 +asS'He is to follow up with providers as per discharge instructions .' +p68527 +(lp68528 +S'He\tHe\tPRP\tB-NP\tO' +p68529 +aS'is\tbe\tVBZ\tB-VP\tO' +p68530 +aS'to\tto\tTO\tB-VP\tO' +p68531 +aS'follow\tfollow\tVB\tI-VP\tO' +p68532 +aS'up\tup\tRP\tB-PRT\tO' +p68533 +aS'with\twith\tIN\tB-PP\tO' +p68534 +aS'providers\tprovider\tNNS\tB-NP\tO' +p68535 +aS'as\tas\tIN\tB-PP\tO' +p68536 +aS'per\tper\tIN\tB-PP\tO' +p68537 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p68538 +aS'instructions\tinstruction\tNNS\tI-NP\tO' +p68539 +aS'.\t.\t.\tO\tO' +p68540 +asS'The patient was oriented to person , place and time and opened eyes appropriately to speech when asked .' +p68541 +(lp68542 +S'The\tThe\tDT\tB-NP\tO' +p68543 +aS'patient\tpatient\tNN\tI-NP\tO' +p68544 +aS'was\tbe\tVBD\tB-VP\tO' +p68545 +aS'oriented\torient\tVBN\tI-VP\tO' +p68546 +aS'to\tto\tTO\tB-PP\tO' +p68547 +aS'person\tperson\tNN\tB-NP\tO' +p68548 +aS',\t,\t,\tI-NP\tO' +p68549 +aS'place\tplace\tNN\tI-NP\tO' +p68550 +aS'and\tand\tCC\tI-NP\tO' +p68551 +aS'time\ttime\tNN\tI-NP\tO' +p68552 +aS'and\tand\tCC\tO\tO' +p68553 +aS'opened\topen\tVBD\tB-VP\tO' +p68554 +aS'eyes\teye\tNNS\tB-NP\tO' +p68555 +aS'appropriately\tappropriately\tRB\tB-ADVP\tO' +p68556 +aS'to\tto\tTO\tB-VP\tO' +p68557 +aS'speech\tspeech\tVB\tI-VP\tO' +p68558 +aS'when\twhen\tWRB\tB-ADVP\tO' +p68559 +aS'asked\task\tVBN\tB-VP\tO' +p68560 +aS'.\t.\t.\tO\tO' +p68561 +asS'Should continue Keflex for 10 more days or as clinically indicated .' +p68562 +(lp68563 +S'Should\tShould\tMD\tB-VP\tO' +p68564 +aS'continue\tcontinue\tVB\tI-VP\tO' +p68565 +aS'Keflex\tKeflex\tNNP\tB-NP\tO' +p68566 +aS'for\tfor\tIN\tB-PP\tO' +p68567 +aS'10\t10\tCD\tB-NP\tO' +p68568 +aS'more\tmore\tJJR\tI-NP\tO' +p68569 +aS'days\tday\tNNS\tI-NP\tO' +p68570 +aS'or\tor\tCC\tO\tO' +p68571 +aS'as\tas\tIN\tB-SBAR\tO' +p68572 +aS'clinically\tclinically\tRB\tB-ADVP\tO' +p68573 +aS'indicated\tindicate\tVBN\tB-VP\tO' +p68574 +aS'.\t.\t.\tO\tO' +p68575 +asS'6. Fluticasone .' +p68576 +(lp68577 +S'6.\t6.\tLS\tB-NP\tO' +p68578 +aS'Fluticasone\tFluticasone\tNN\tI-NP\tO' +p68579 +aS'.\t.\t.\tO\tO' +p68580 +asS'2. Status post current cardioversion times four .' +p68581 +(lp68582 +S'2.\t2.\tLS\tB-NP\tO' +p68583 +aS'Status\tStatus\tNNP\tI-NP\tO' +p68584 +aS'post\tpost\tNN\tI-NP\tO' +p68585 +aS'current\tcurrent\tJJ\tI-NP\tO' +p68586 +aS'cardioversion\tcardioversion\tNN\tI-NP\tO' +p68587 +aS'times\ttime\tNNS\tI-NP\tO' +p68588 +aS'four\tfour\tCD\tI-NP\tO' +p68589 +aS'.\t.\t.\tO\tO' +p68590 +asS'Cardiac exam revealed an S1 and an S2 and a diffuse 2/6 systolic murmur .' +p68591 +(lp68592 +S'Cardiac\tCardiac\tJJ\tB-NP\tO' +p68593 +aS'exam\texam\tNN\tI-NP\tO' +p68594 +aS'revealed\treveal\tVBD\tB-VP\tO' +p68595 +aS'an\tan\tDT\tB-NP\tO' +p68596 +aS'S1\tS1\tNN\tI-NP\tB-protein' +p68597 +aS'and\tand\tCC\tO\tO' +p68598 +aS'an\tan\tDT\tB-NP\tO' +p68599 +aS'S2\tS2\tNN\tI-NP\tB-protein' +p68600 +aS'and\tand\tCC\tO\tO' +p68601 +aS'a\ta\tDT\tB-NP\tO' +p68602 +aS'diffuse\tdiffuse\tJJ\tI-NP\tO' +p68603 +aS'2/6\t2/6\tCD\tI-NP\tO' +p68604 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p68605 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p68606 +aS'.\t.\t.\tO\tO' +p68607 +asS'Left coloboma .' +p68608 +(lp68609 +S'Left\tLeft\tJJ\tB-NP\tO' +p68610 +aS'coloboma\tcoloboma\tNN\tI-NP\tO' +p68611 +aS'.\t.\t.\tO\tO' +p68612 +asS'Status post coronary artery bypass grafting .' +p68613 +(lp68614 +S'Status\tStatus\tNNP\tB-NP\tO' +p68615 +aS'post\tpost\tVBD\tB-VP\tO' +p68616 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p68617 +aS'artery\tartery\tNN\tI-NP\tO' +p68618 +aS'bypass\tbypass\tIN\tB-PP\tO' +p68619 +aS'grafting\tgrafting\tNN\tB-NP\tO' +p68620 +aS'.\t.\t.\tO\tO' +p68621 +asS'Please f/u with Dr. Hernandez / neurosurgery in 6 weeks - patient will receive a call from the neurosurgery office to set up a repeat head CT prior and to schedule this visit .' +p68622 +(lp68623 +S'Please\tPlease\tNN\tB-NP\tO' +p68624 +aS'f/u\tf/u\tNN\tI-NP\tO' +p68625 +aS'with\twith\tIN\tB-PP\tO' +p68626 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p68627 +aS'Hernandez\tHernandez\tNNP\tI-NP\tO' +p68628 +aS'/\t/\tSYM\tB-NP\tO' +p68629 +aS'neurosurgery\tneurosurgery\tNN\tI-NP\tO' +p68630 +aS'in\tin\tIN\tB-PP\tO' +p68631 +aS'6\t6\tCD\tB-NP\tO' +p68632 +aS'weeks\tweek\tNNS\tI-NP\tO' +p68633 +aS'-\t-\t:\tO\tO' +p68634 +aS'patient\tpatient\tNN\tB-NP\tO' +p68635 +aS'will\twill\tMD\tB-VP\tO' +p68636 +aS'receive\treceive\tVB\tI-VP\tO' +p68637 +aS'a\ta\tDT\tB-NP\tO' +p68638 +aS'call\tcall\tNN\tI-NP\tO' +p68639 +aS'from\tfrom\tIN\tB-PP\tO' +p68640 +aS'the\tthe\tDT\tB-NP\tO' +p68641 +aS'neurosurgery\tneurosurgery\tNN\tI-NP\tO' +p68642 +aS'office\toffice\tNN\tI-NP\tO' +p68643 +aS'to\tto\tTO\tB-VP\tO' +p68644 +aS'set\tset\tVB\tI-VP\tO' +p68645 +aS'up\tup\tRP\tB-PRT\tO' +p68646 +aS'a\ta\tDT\tB-NP\tO' +p68647 +aS'repeat\trepeat\tNN\tI-NP\tO' +p68648 +aS'head\thead\tNN\tI-NP\tO' +p68649 +aS'CT\tCT\tNN\tI-NP\tO' +p68650 +aS'prior\tprior\tRB\tB-ADVP\tO' +p68651 +aS'and\tand\tCC\tO\tO' +p68652 +aS'to\tto\tTO\tB-VP\tO' +p68653 +aS'schedule\tschedule\tVB\tI-VP\tO' +p68654 +aS'this\tthis\tDT\tB-NP\tO' +p68655 +aS'visit\tvisit\tNN\tI-NP\tO' +p68656 +aS'.\t.\t.\tO\tO' +p68657 +asS'This is most consistent with complex partial seizures with a focus in the left hemisphere , most likely the motor strip .' +p68658 +(lp68659 +S'This\tThis\tDT\tB-NP\tO' +p68660 +aS'is\tbe\tVBZ\tB-VP\tO' +p68661 +aS'most\tmost\tRBS\tB-ADJP\tO' +p68662 +aS'consistent\tconsistent\tJJ\tI-ADJP\tO' +p68663 +aS'with\twith\tIN\tB-PP\tO' +p68664 +aS'complex\tcomplex\tJJ\tB-NP\tO' +p68665 +aS'partial\tpartial\tJJ\tI-NP\tO' +p68666 +aS'seizures\tseizure\tNNS\tI-NP\tO' +p68667 +aS'with\twith\tIN\tB-PP\tO' +p68668 +aS'a\ta\tDT\tB-NP\tO' +p68669 +aS'focus\tfocus\tNN\tI-NP\tO' +p68670 +aS'in\tin\tIN\tB-PP\tO' +p68671 +aS'the\tthe\tDT\tB-NP\tO' +p68672 +aS'left\tleft\tJJ\tI-NP\tO' +p68673 +aS'hemisphere\themisphere\tNN\tI-NP\tO' +p68674 +aS',\t,\t,\tO\tO' +p68675 +aS'most\tmost\tRBS\tB-ADVP\tO' +p68676 +aS'likely\tlikely\tRB\tI-ADVP\tO' +p68677 +aS'the\tthe\tDT\tB-NP\tO' +p68678 +aS'motor\tmotor\tNN\tI-NP\tO' +p68679 +aS'strip\tstrip\tNN\tI-NP\tO' +p68680 +aS'.\t.\t.\tO\tO' +p68681 +asS'He was begun on Physical Therapy but remained agitated .' +p68682 +(lp68683 +S'He\tHe\tPRP\tB-NP\tO' +p68684 +aS'was\tbe\tVBD\tB-VP\tO' +p68685 +aS'begun\tbegin\tVBN\tI-VP\tO' +p68686 +aS'on\ton\tIN\tB-PP\tO' +p68687 +aS'Physical\tPhysical\tJJ\tB-NP\tO' +p68688 +aS'Therapy\tTherapy\tNN\tI-NP\tO' +p68689 +aS'but\tbut\tCC\tO\tO' +p68690 +aS'remained\tremain\tVBD\tB-VP\tO' +p68691 +aS'agitated\tagitate\tVBN\tI-VP\tO' +p68692 +aS'.\t.\t.\tO\tO' +p68693 +asS'Balloon was weaned and finally discontinued .' +p68694 +(lp68695 +S'Balloon\tBalloon\tNN\tB-NP\tO' +p68696 +aS'was\tbe\tVBD\tB-VP\tO' +p68697 +aS'weaned\twean\tVBN\tI-VP\tO' +p68698 +aS'and\tand\tCC\tO\tO' +p68699 +aS'finally\tfinally\tRB\tB-VP\tO' +p68700 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p68701 +aS'.\t.\t.\tO\tO' +p68702 +asS'He was admitted for that procedure .' +p68703 +(lp68704 +S'He\tHe\tPRP\tB-NP\tO' +p68705 +aS'was\tbe\tVBD\tB-VP\tO' +p68706 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p68707 +aS'for\tfor\tIN\tB-PP\tO' +p68708 +aS'that\tthat\tDT\tB-NP\tO' +p68709 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p68710 +aS'.\t.\t.\tO\tO' +p68711 +asS'Negative for congestive heart failure , positive for occasional dyspnea on exertion , negative for dyspnea and she has excellent exercise tolerance .' +p68712 +(lp68713 +S'Negative\tNegative\tJJ\tB-ADJP\tO' +p68714 +aS'for\tfor\tIN\tB-PP\tO' +p68715 +aS'congestive\tcongestive\tJJ\tB-NP\tO' +p68716 +aS'heart\theart\tNN\tI-NP\tO' +p68717 +aS'failure\tfailure\tNN\tI-NP\tO' +p68718 +aS',\t,\t,\tO\tO' +p68719 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p68720 +aS'for\tfor\tIN\tB-PP\tO' +p68721 +aS'occasional\toccasional\tJJ\tB-NP\tO' +p68722 +aS'dyspnea\tdyspnea\tNN\tI-NP\tO' +p68723 +aS'on\ton\tIN\tB-PP\tO' +p68724 +aS'exertion\texertion\tNN\tB-NP\tO' +p68725 +aS',\t,\t,\tO\tO' +p68726 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p68727 +aS'for\tfor\tIN\tB-PP\tO' +p68728 +aS'dyspnea\tdyspnea\tNN\tB-NP\tO' +p68729 +aS'and\tand\tCC\tO\tO' +p68730 +aS'she\tshe\tPRP\tB-NP\tO' +p68731 +aS'has\thave\tVBZ\tB-VP\tO' +p68732 +aS'excellent\texcellent\tJJ\tB-NP\tO' +p68733 +aS'exercise\texercise\tNN\tI-NP\tO' +p68734 +aS'tolerance\ttolerance\tNN\tI-NP\tO' +p68735 +aS'.\t.\t.\tO\tO' +p68736 +asS'opiates used very sparingly in setting of MS change' +p68737 +(lp68738 +S'opiates\topiate\tNNS\tB-NP\tO' +p68739 +aS'used\tuse\tVBN\tB-VP\tO' +p68740 +aS'very\tvery\tRB\tB-ADVP\tO' +p68741 +aS'sparingly\tsparingly\tRB\tI-ADVP\tO' +p68742 +aS'in\tin\tIN\tB-PP\tO' +p68743 +aS'setting\tset\tVBG\tB-VP\tO' +p68744 +aS'of\tof\tIN\tB-PP\tO' +p68745 +aS'MS\tMS\tNN\tB-NP\tO' +p68746 +aS'change\tchange\tNN\tI-NP\tO' +p68747 +asS'Throughout his course during this hospitalization , the patient was also followed by the ENT service .' +p68748 +(lp68749 +S'Throughout\tThroughout\tIN\tB-PP\tO' +p68750 +aS'his\this\tPRP$\tB-NP\tO' +p68751 +aS'course\tcourse\tNN\tI-NP\tO' +p68752 +aS'during\tduring\tIN\tB-PP\tO' +p68753 +aS'this\tthis\tDT\tB-NP\tO' +p68754 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p68755 +aS',\t,\t,\tO\tO' +p68756 +aS'the\tthe\tDT\tB-NP\tO' +p68757 +aS'patient\tpatient\tNN\tI-NP\tO' +p68758 +aS'was\tbe\tVBD\tB-VP\tO' +p68759 +aS'also\talso\tRB\tI-VP\tO' +p68760 +aS'followed\tfollow\tVBN\tI-VP\tO' +p68761 +aS'by\tby\tIN\tB-PP\tO' +p68762 +aS'the\tthe\tDT\tB-NP\tO' +p68763 +aS'ENT\tENT\tNN\tI-NP\tO' +p68764 +aS'service\tservice\tNN\tI-NP\tO' +p68765 +aS'.\t.\t.\tO\tO' +p68766 +asS'The extremities were without edema .' +p68767 +(lp68768 +S'The\tThe\tDT\tB-NP\tO' +p68769 +aS'extremities\textremity\tNNS\tI-NP\tO' +p68770 +aS'were\tbe\tVBD\tB-VP\tO' +p68771 +aS'without\twithout\tIN\tB-PP\tO' +p68772 +aS'edema\tedema\tNN\tB-NP\tO' +p68773 +aS'.\t.\t.\tO\tO' +p68774 +asS'The patient underwent an uncomplicated recovery in the intensive care unit .' +p68775 +(lp68776 +S'The\tThe\tDT\tB-NP\tO' +p68777 +aS'patient\tpatient\tNN\tI-NP\tO' +p68778 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p68779 +aS'an\tan\tDT\tB-NP\tO' +p68780 +aS'uncomplicated\tuncomplicated\tJJ\tI-NP\tO' +p68781 +aS'recovery\trecovery\tNN\tI-NP\tO' +p68782 +aS'in\tin\tIN\tB-PP\tO' +p68783 +aS'the\tthe\tDT\tB-NP\tO' +p68784 +aS'intensive\tintensive\tJJ\tI-NP\tO' +p68785 +aS'care\tcare\tNN\tI-NP\tO' +p68786 +aS'unit\tunit\tNN\tI-NP\tO' +p68787 +aS'.\t.\t.\tO\tO' +p68788 +asS'Allergies included PENICILLIN and IODINE .' +p68789 +(lp68790 +S'Allergies\tAllergy\tNNS\tB-NP\tO' +p68791 +aS'included\tinclude\tVBD\tB-VP\tO' +p68792 +aS'PENICILLIN\tPENICILLIN\tNN\tB-NP\tB-protein' +p68793 +aS'and\tand\tCC\tI-NP\tO' +p68794 +aS'IODINE\tIODINE\tNN\tI-NP\tO' +p68795 +aS'.\t.\t.\tO\tO' +p68796 +asS'The left ventricular cavity is small .' +p68797 +(lp68798 +S'The\tThe\tDT\tB-NP\tO' +p68799 +aS'left\tleft\tJJ\tI-NP\tO' +p68800 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p68801 +aS'cavity\tcavity\tNN\tI-NP\tO' +p68802 +aS'is\tbe\tVBZ\tB-VP\tO' +p68803 +aS'small\tsmall\tJJ\tB-ADJP\tO' +p68804 +aS'.\t.\t.\tO\tO' +p68805 +asS'Status post stent .' +p68806 +(lp68807 +S'Status\tStatus\tNNP\tB-NP\tO' +p68808 +aS'post\tpost\tNN\tI-NP\tO' +p68809 +aS'stent\tstent\tNN\tI-NP\tO' +p68810 +aS'.\t.\t.\tO\tO' +p68811 +asS'11. Sliding scale Humalog regular insulin for breakfast is blood glucose of 151 to 200 equal 4 units , 201 to 250 equal 6 units , 251 to 350 equal 12 units , greater than 350 equals 15 units .' +p68812 +(lp68813 +S'11.\t11.\tLS\tB-LST\tO' +p68814 +aS'Sliding\tSlide\tVBG\tB-VP\tO' +p68815 +aS'scale\tscale\tNN\tB-NP\tB-protein' +p68816 +aS'Humalog\tHumalog\tNN\tI-NP\tI-protein' +p68817 +aS'regular\tregular\tJJ\tI-NP\tI-protein' +p68818 +aS'insulin\tinsulin\tNN\tI-NP\tI-protein' +p68819 +aS'for\tfor\tIN\tB-PP\tO' +p68820 +aS'breakfast\tbreakfast\tNN\tB-NP\tO' +p68821 +aS'is\tbe\tVBZ\tB-VP\tO' +p68822 +aS'blood\tblood\tNN\tB-NP\tO' +p68823 +aS'glucose\tglucose\tNN\tI-NP\tO' +p68824 +aS'of\tof\tIN\tB-PP\tO' +p68825 +aS'151\t151\tCD\tB-NP\tB-DNA' +p68826 +aS'to\tto\tTO\tI-NP\tI-DNA' +p68827 +aS'200\t200\tCD\tI-NP\tI-DNA' +p68828 +aS'equal\tequal\tJJ\tI-NP\tI-DNA' +p68829 +aS'4\t4\tCD\tI-NP\tI-DNA' +p68830 +aS'units\tunit\tNNS\tI-NP\tI-DNA' +p68831 +aS',\t,\t,\tO\tO' +p68832 +aS'201\t201\tCD\tB-NP\tB-DNA' +p68833 +aS'to\tto\tTO\tI-NP\tI-DNA' +p68834 +aS'250\t250\tCD\tI-NP\tI-DNA' +p68835 +aS'equal\tequal\tJJ\tI-NP\tI-DNA' +p68836 +aS'6\t6\tCD\tI-NP\tI-DNA' +p68837 +aS'units\tunit\tNNS\tI-NP\tI-DNA' +p68838 +aS',\t,\t,\tO\tO' +p68839 +aS'251\t251\tCD\tB-NP\tB-DNA' +p68840 +aS'to\tto\tTO\tI-NP\tI-DNA' +p68841 +aS'350\t350\tCD\tI-NP\tI-DNA' +p68842 +aS'equal\tequal\tJJ\tI-NP\tI-DNA' +p68843 +aS'12\t12\tCD\tI-NP\tI-DNA' +p68844 +aS'units\tunit\tNNS\tI-NP\tI-DNA' +p68845 +aS',\t,\t,\tO\tO' +p68846 +aS'greater\tgreat\tJJR\tB-NP\tO' +p68847 +aS'than\tthan\tIN\tI-NP\tO' +p68848 +aS'350\t350\tCD\tI-NP\tB-DNA' +p68849 +aS'equals\tequal\tNNS\tI-NP\tI-DNA' +p68850 +aS'15\t15\tCD\tB-NP\tI-DNA' +p68851 +aS'units\tunit\tNNS\tI-NP\tI-DNA' +p68852 +aS'.\t.\t.\tO\tO' +p68853 +asS'No edema bilaterally .' +p68854 +(lp68855 +S'No\tNo\tDT\tB-NP\tO' +p68856 +aS'edema\tedema\tNN\tI-NP\tO' +p68857 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p68858 +aS'.\t.\t.\tO\tO' +p68859 +asS'10. Pilocarpine gel qhs to both eyes .' +p68860 +(lp68861 +S'10.\t10.\tLS\tB-NP\tO' +p68862 +aS'Pilocarpine\tPilocarpine\tNN\tI-NP\tO' +p68863 +aS'gel\tgel\tNN\tI-NP\tO' +p68864 +aS'qhs\tqh\tNNS\tI-NP\tO' +p68865 +aS'to\tto\tTO\tB-PP\tO' +p68866 +aS'both\tboth\tDT\tB-NP\tO' +p68867 +aS'eyes\teye\tNNS\tI-NP\tO' +p68868 +aS'.\t.\t.\tO\tO' +p68869 +asS'The nasogastric tube terminates within the stomach .' +p68870 +(lp68871 +S'The\tThe\tDT\tB-NP\tO' +p68872 +aS'nasogastric\tnasogastric\tJJ\tI-NP\tO' +p68873 +aS'tube\ttube\tNN\tI-NP\tO' +p68874 +aS'terminates\tterminate\tVBZ\tB-VP\tO' +p68875 +aS'within\twithin\tIN\tB-PP\tO' +p68876 +aS'the\tthe\tDT\tB-NP\tO' +p68877 +aS'stomach\tstomach\tNN\tI-NP\tO' +p68878 +aS'.\t.\t.\tO\tO' +p68879 +asS'--- Protonix , Lovenox , R boot as per CMED CCU' +p68880 +(lp68881 +S'---\t---\tSYM\tO\tO' +p68882 +aS'Protonix\tProtonix\tNNP\tB-NP\tO' +p68883 +aS',\t,\t,\tO\tO' +p68884 +aS'Lovenox\tLovenox\tNNP\tB-NP\tO' +p68885 +aS',\t,\t,\tO\tO' +p68886 +aS'R\tR\tNN\tB-NP\tO' +p68887 +aS'boot\tboot\tNN\tI-NP\tO' +p68888 +aS'as\tas\tIN\tB-PP\tO' +p68889 +aS'per\tper\tIN\tB-PP\tO' +p68890 +aS'CMED\tCMED\tNN\tB-NP\tO' +p68891 +aS'CCU\tCCU\tNN\tB-NP\tO' +p68892 +asS'4. G tube placement .' +p68893 +(lp68894 +S'4.\t4.\tLS\tB-NP\tO' +p68895 +aS'G\tG\tNN\tI-NP\tO' +p68896 +aS'tube\ttube\tNN\tI-NP\tO' +p68897 +aS'placement\tplacement\tNN\tI-NP\tO' +p68898 +aS'.\t.\t.\tO\tO' +p68899 +asS'The oncology fellows from Venbonlea Health followed her course and recommended holding off on her Hydrea while she is hospitalized , and they will follow her as an outpatient and restart her Hydrea when her hematocrit is over 40% .' +p68900 +(lp68901 +S'The\tThe\tDT\tB-NP\tO' +p68902 +aS'oncology\toncology\tNN\tI-NP\tO' +p68903 +aS'fellows\tfellow\tVBZ\tB-VP\tO' +p68904 +aS'from\tfrom\tIN\tB-PP\tO' +p68905 +aS'Venbonlea\tVenbonlea\tNNP\tB-NP\tO' +p68906 +aS'Health\tHealth\tNNP\tI-NP\tO' +p68907 +aS'followed\tfollow\tVBD\tB-VP\tO' +p68908 +aS'her\ther\tPRP$\tB-NP\tO' +p68909 +aS'course\tcourse\tNN\tI-NP\tO' +p68910 +aS'and\tand\tCC\tO\tO' +p68911 +aS'recommended\trecommend\tVBD\tB-VP\tO' +p68912 +aS'holding\thold\tVBG\tI-VP\tO' +p68913 +aS'off\toff\tRP\tB-PRT\tO' +p68914 +aS'on\ton\tIN\tB-PP\tO' +p68915 +aS'her\ther\tPRP$\tB-NP\tO' +p68916 +aS'Hydrea\tHydrea\tNN\tI-NP\tO' +p68917 +aS'while\twhile\tIN\tB-SBAR\tO' +p68918 +aS'she\tshe\tPRP\tB-NP\tO' +p68919 +aS'is\tbe\tVBZ\tB-VP\tO' +p68920 +aS'hospitalized\thospitalize\tVBN\tI-VP\tO' +p68921 +aS',\t,\t,\tO\tO' +p68922 +aS'and\tand\tCC\tO\tO' +p68923 +aS'they\tthey\tPRP\tB-NP\tO' +p68924 +aS'will\twill\tMD\tB-VP\tO' +p68925 +aS'follow\tfollow\tVB\tI-VP\tO' +p68926 +aS'her\ther\tPRP\tB-NP\tO' +p68927 +aS'as\tas\tIN\tB-PP\tO' +p68928 +aS'an\tan\tDT\tB-NP\tO' +p68929 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p68930 +aS'and\tand\tCC\tO\tO' +p68931 +aS'restart\trestart\tVB\tB-VP\tO' +p68932 +aS'her\ther\tPRP\tB-NP\tO' +p68933 +aS'Hydrea\tHydrea\tNNP\tB-NP\tO' +p68934 +aS'when\twhen\tWRB\tB-ADVP\tO' +p68935 +aS'her\ther\tPRP$\tB-NP\tO' +p68936 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p68937 +aS'is\tbe\tVBZ\tB-VP\tO' +p68938 +aS'over\tover\tIN\tB-PP\tO' +p68939 +aS'40%\t40%\tCD\tB-NP\tO' +p68940 +aS'.\t.\t.\tO\tO' +p68941 +asS'States pain is worst when he sits up or twists his back .' +p68942 +(lp68943 +S'States\tState\tNNS\tB-NP\tB-protein' +p68944 +aS'pain\tpain\tNN\tI-NP\tI-protein' +p68945 +aS'is\tbe\tVBZ\tB-VP\tO' +p68946 +aS'worst\tworst\tJJS\tB-ADJP\tO' +p68947 +aS'when\twhen\tWRB\tB-ADVP\tO' +p68948 +aS'he\the\tPRP\tB-NP\tO' +p68949 +aS'sits\tsit\tVBZ\tB-VP\tO' +p68950 +aS'up\tup\tRP\tB-PRT\tO' +p68951 +aS'or\tor\tCC\tO\tO' +p68952 +aS'twists\ttwist\tVBZ\tB-VP\tO' +p68953 +aS'his\this\tPRP$\tB-NP\tO' +p68954 +aS'back\tback\tNN\tI-NP\tO' +p68955 +aS'.\t.\t.\tO\tO' +p68956 +asS'The patient was thought to have normal dental hygiene and low suspicion for a source of his alpha septicemia from his mouth .' +p68957 +(lp68958 +S'The\tThe\tDT\tB-NP\tO' +p68959 +aS'patient\tpatient\tNN\tI-NP\tO' +p68960 +aS'was\tbe\tVBD\tB-VP\tO' +p68961 +aS'thought\tthink\tVBN\tI-VP\tO' +p68962 +aS'to\tto\tTO\tI-VP\tO' +p68963 +aS'have\thave\tVB\tI-VP\tO' +p68964 +aS'normal\tnormal\tJJ\tB-NP\tO' +p68965 +aS'dental\tdental\tJJ\tI-NP\tO' +p68966 +aS'hygiene\thygiene\tNN\tI-NP\tO' +p68967 +aS'and\tand\tCC\tO\tO' +p68968 +aS'low\tlow\tJJ\tB-NP\tO' +p68969 +aS'suspicion\tsuspicion\tNN\tI-NP\tO' +p68970 +aS'for\tfor\tIN\tB-PP\tO' +p68971 +aS'a\ta\tDT\tB-NP\tO' +p68972 +aS'source\tsource\tNN\tI-NP\tO' +p68973 +aS'of\tof\tIN\tB-PP\tO' +p68974 +aS'his\this\tPRP$\tB-NP\tO' +p68975 +aS'alpha\talpha\tNN\tI-NP\tO' +p68976 +aS'septicemia\tsepticemia\tNN\tI-NP\tO' +p68977 +aS'from\tfrom\tIN\tB-PP\tO' +p68978 +aS'his\this\tPRP$\tB-NP\tO' +p68979 +aS'mouth\tmouth\tNN\tI-NP\tO' +p68980 +aS'.\t.\t.\tO\tO' +p68981 +asS'Stool sent for C.diff and given Flagyl 500 mg PO X 1 dose .' +p68982 +(lp68983 +S'Stool\tStool\tNN\tB-NP\tO' +p68984 +aS'sent\tsend\tVBD\tB-VP\tO' +p68985 +aS'for\tfor\tIN\tB-PP\tO' +p68986 +aS'C.diff\tC.diff\tNNP\tB-NP\tO' +p68987 +aS'and\tand\tCC\tO\tO' +p68988 +aS'given\tgive\tVBN\tB-VP\tO' +p68989 +aS'Flagyl\tFlagyl\tNN\tB-NP\tO' +p68990 +aS'500\t500\tCD\tI-NP\tO' +p68991 +aS'mg\tmg\tNN\tI-NP\tO' +p68992 +aS'PO\tPO\tNN\tI-NP\tO' +p68993 +aS'X\tX\tSYM\tB-NP\tO' +p68994 +aS'1\t1\tCD\tI-NP\tO' +p68995 +aS'dose\tdose\tNN\tI-NP\tO' +p68996 +aS'.\t.\t.\tO\tO' +p68997 +asS'1. Insulin by sliding-scale , NPH insulin 16 units in the morning and 6 units in the evening .' +p68998 +(lp68999 +S'1.\t1.\tLS\tB-NP\tO' +p69000 +aS'Insulin\tInsulin\tNN\tI-NP\tB-protein' +p69001 +aS'by\tby\tIN\tB-PP\tO' +p69002 +aS'sliding-scale\tsliding-scale\tJJ\tB-NP\tO' +p69003 +aS',\t,\t,\tI-NP\tO' +p69004 +aS'NPH\tNPH\tNN\tI-NP\tB-protein' +p69005 +aS'insulin\tinsulin\tNN\tI-NP\tI-protein' +p69006 +aS'16\t16\tCD\tB-NP\tI-protein' +p69007 +aS'units\tunit\tNNS\tI-NP\tI-protein' +p69008 +aS'in\tin\tIN\tB-PP\tO' +p69009 +aS'the\tthe\tDT\tB-NP\tO' +p69010 +aS'morning\tmorning\tNN\tI-NP\tO' +p69011 +aS'and\tand\tCC\tI-NP\tO' +p69012 +aS'6\t6\tCD\tI-NP\tO' +p69013 +aS'units\tunit\tNNS\tI-NP\tO' +p69014 +aS'in\tin\tIN\tB-PP\tO' +p69015 +aS'the\tthe\tDT\tB-NP\tO' +p69016 +aS'evening\tevening\tNN\tI-NP\tO' +p69017 +aS'.\t.\t.\tO\tO' +p69018 +asS'Uric acid 4.7 , cholesterol 150 , triglycerides 74 , HDL 44 , LDL 91 .' +p69019 +(lp69020 +S'Uric\tUric\tJJ\tB-NP\tO' +p69021 +aS'acid\tacid\tNN\tI-NP\tO' +p69022 +aS'4.7\t4.7\tCD\tI-NP\tO' +p69023 +aS',\t,\t,\tO\tO' +p69024 +aS'cholesterol\tcholesterol\tNN\tB-NP\tB-protein' +p69025 +aS'150\t150\tCD\tI-NP\tI-protein' +p69026 +aS',\t,\t,\tO\tO' +p69027 +aS'triglycerides\ttriglyceride\tNNS\tB-NP\tO' +p69028 +aS'74\t74\tCD\tB-NP\tO' +p69029 +aS',\t,\t,\tO\tO' +p69030 +aS'HDL\tHDL\tNN\tB-NP\tB-DNA' +p69031 +aS'44\t44\tCD\tI-NP\tI-DNA' +p69032 +aS',\t,\t,\tO\tO' +p69033 +aS'LDL\tLDL\tNN\tB-NP\tO' +p69034 +aS'91\t91\tCD\tI-NP\tO' +p69035 +aS'.\t.\t.\tO\tO' +p69036 +asS'After that the patient had minimal relief of pain .' +p69037 +(lp69038 +S'After\tAfter\tIN\tB-PP\tO' +p69039 +aS'that\tthat\tIN\tB-NP\tO' +p69040 +aS'the\tthe\tDT\tB-NP\tO' +p69041 +aS'patient\tpatient\tNN\tI-NP\tO' +p69042 +aS'had\thave\tVBD\tB-VP\tO' +p69043 +aS'minimal\tminimal\tJJ\tB-NP\tO' +p69044 +aS'relief\trelief\tNN\tI-NP\tO' +p69045 +aS'of\tof\tIN\tB-PP\tO' +p69046 +aS'pain\tpain\tNN\tB-NP\tO' +p69047 +aS'.\t.\t.\tO\tO' +p69048 +asS"His MS waxed and waned for many days and uremia vs. failure to clear sedatives were considered ( although pt was making urine and LFT 's are wnl )." +p69049 +(lp69050 +S'His\tHis\tPRP$\tB-NP\tO' +p69051 +aS'MS\tMS\tNN\tI-NP\tO' +p69052 +aS'waxed\twax\tVBD\tB-VP\tO' +p69053 +aS'and\tand\tCC\tI-VP\tO' +p69054 +aS'waned\twan\tVBD\tI-VP\tO' +p69055 +aS'for\tfor\tIN\tB-PP\tO' +p69056 +aS'many\tmany\tJJ\tB-NP\tO' +p69057 +aS'days\tday\tNNS\tI-NP\tO' +p69058 +aS'and\tand\tCC\tI-NP\tO' +p69059 +aS'uremia\turemia\tNN\tI-NP\tO' +p69060 +aS'vs.\tvs.\tIN\tB-PP\tO' +p69061 +aS'failure\tfailure\tNN\tB-NP\tO' +p69062 +aS'to\tto\tTO\tB-PP\tO' +p69063 +aS'clear\tclear\tJJ\tB-NP\tO' +p69064 +aS'sedatives\tsedative\tNNS\tI-NP\tO' +p69065 +aS'were\tbe\tVBD\tB-VP\tO' +p69066 +aS'considered\tconsider\tVBN\tI-VP\tO' +p69067 +aS'(\t(\t(\tO\tO' +p69068 +aS'although\talthough\tIN\tB-SBAR\tO' +p69069 +aS'pt\tpt\tNN\tB-NP\tO' +p69070 +aS'was\tbe\tVBD\tB-VP\tO' +p69071 +aS'making\tmake\tVBG\tI-VP\tO' +p69072 +aS'urine\turine\tNN\tB-NP\tO' +p69073 +aS'and\tand\tCC\tO\tO' +p69074 +aS'LFT\tLFT\tNN\tB-NP\tO' +p69075 +aS"'s\t's\tPOS\tB-NP\tO" +p69076 +aS'are\tbe\tVBP\tB-VP\tO' +p69077 +aS'wnl\twnl\tNN\tB-NP\tO' +p69078 +aS').\t).\t.\tO\tO' +p69079 +asS'Lobular density at the right hilum .' +p69080 +(lp69081 +S'Lobular\tLobular\tJJ\tB-NP\tO' +p69082 +aS'density\tdensity\tNN\tI-NP\tO' +p69083 +aS'at\tat\tIN\tB-PP\tO' +p69084 +aS'the\tthe\tDT\tB-NP\tO' +p69085 +aS'right\tright\tJJ\tI-NP\tO' +p69086 +aS'hilum\thilum\tNN\tI-NP\tO' +p69087 +aS'.\t.\t.\tO\tO' +p69088 +asS'He was then treated with radiation therapy from T3 to T9 receiving 2500 cGy from 08/94 to 09/94 .' +p69089 +(lp69090 +S'He\tHe\tPRP\tB-NP\tO' +p69091 +aS'was\tbe\tVBD\tB-VP\tO' +p69092 +aS'then\tthen\tRB\tI-VP\tO' +p69093 +aS'treated\ttreat\tVBN\tI-VP\tO' +p69094 +aS'with\twith\tIN\tB-PP\tO' +p69095 +aS'radiation\tradiation\tNN\tB-NP\tO' +p69096 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p69097 +aS'from\tfrom\tIN\tB-PP\tO' +p69098 +aS'T3\tT3\tNN\tB-NP\tO' +p69099 +aS'to\tto\tTO\tB-PP\tO' +p69100 +aS'T9\tT9\tNN\tB-NP\tB-DNA' +p69101 +aS'receiving\treceive\tVBG\tB-VP\tO' +p69102 +aS'2500\t2500\tCD\tB-NP\tO' +p69103 +aS'cGy\tcGy\tNN\tI-NP\tO' +p69104 +aS'from\tfrom\tIN\tB-PP\tO' +p69105 +aS'08/94\t08/94\tCD\tB-NP\tO' +p69106 +aS'to\tto\tTO\tB-PP\tO' +p69107 +aS'09/94\t09/94\tCD\tB-NP\tO' +p69108 +aS'.\t.\t.\tO\tO' +p69109 +asS'General exam revealed a well-developed , well-nourished gentleman in no acute distress .' +p69110 +(lp69111 +S'General\tGeneral\tJJ\tB-NP\tO' +p69112 +aS'exam\texam\tNN\tI-NP\tO' +p69113 +aS'revealed\treveal\tVBD\tB-VP\tO' +p69114 +aS'a\ta\tDT\tB-NP\tO' +p69115 +aS'well-developed\twell-developed\tJJ\tI-NP\tO' +p69116 +aS',\t,\t,\tI-NP\tO' +p69117 +aS'well-nourished\twell-nourished\tJJ\tI-NP\tO' +p69118 +aS'gentleman\tgentleman\tNN\tI-NP\tO' +p69119 +aS'in\tin\tIN\tB-PP\tO' +p69120 +aS'no\tno\tDT\tB-NP\tO' +p69121 +aS'acute\tacute\tJJ\tI-NP\tO' +p69122 +aS'distress\tdistress\tNN\tI-NP\tO' +p69123 +aS'.\t.\t.\tO\tO' +p69124 +asS'Hematocrit is 37.6 , platelet count is 148,000 .' +p69125 +(lp69126 +S'Hematocrit\tHematocrit\tNNP\tB-NP\tO' +p69127 +aS'is\tbe\tVBZ\tB-VP\tO' +p69128 +aS'37.6\t37.6\tCD\tB-NP\tO' +p69129 +aS',\t,\t,\tO\tO' +p69130 +aS'platelet\tplatelet\tNN\tB-NP\tO' +p69131 +aS'count\tcount\tNN\tI-NP\tO' +p69132 +aS'is\tbe\tVBZ\tB-VP\tO' +p69133 +aS'148,000\t148,000\tCD\tB-NP\tO' +p69134 +aS'.\t.\t.\tO\tO' +p69135 +asS'Her usual is systolic blood pressure in the 120 s , this was despite two liters of intravenous fluids and she was transferred to the Medical Intensive Care Unit for closer monitoring for possible early sepsis .' +p69136 +(lp69137 +S'Her\tHer\tPRP$\tB-NP\tO' +p69138 +aS'usual\tusual\tJJ\tI-NP\tO' +p69139 +aS'is\tbe\tVBZ\tB-VP\tO' +p69140 +aS'systolic\tsystolic\tJJ\tB-NP\tO' +p69141 +aS'blood\tblood\tNN\tI-NP\tO' +p69142 +aS'pressure\tpressure\tNN\tI-NP\tO' +p69143 +aS'in\tin\tIN\tB-PP\tO' +p69144 +aS'the\tthe\tDT\tB-NP\tO' +p69145 +aS'120\t120\tCD\tI-NP\tO' +p69146 +aS's\ts\tNN\tI-NP\tO' +p69147 +aS',\t,\t,\tO\tO' +p69148 +aS'this\tthis\tDT\tB-NP\tO' +p69149 +aS'was\tbe\tVBD\tB-VP\tO' +p69150 +aS'despite\tdespite\tIN\tB-PP\tO' +p69151 +aS'two\ttwo\tCD\tB-NP\tO' +p69152 +aS'liters\tliter\tNNS\tI-NP\tO' +p69153 +aS'of\tof\tIN\tB-PP\tO' +p69154 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p69155 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p69156 +aS'and\tand\tCC\tO\tO' +p69157 +aS'she\tshe\tPRP\tB-NP\tO' +p69158 +aS'was\tbe\tVBD\tB-VP\tO' +p69159 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p69160 +aS'to\tto\tTO\tB-PP\tO' +p69161 +aS'the\tthe\tDT\tB-NP\tO' +p69162 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p69163 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p69164 +aS'Care\tCare\tNNP\tI-NP\tO' +p69165 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p69166 +aS'for\tfor\tIN\tB-PP\tO' +p69167 +aS'closer\tclose\tJJR\tB-NP\tO' +p69168 +aS'monitoring\tmonitoring\tNN\tI-NP\tO' +p69169 +aS'for\tfor\tIN\tB-PP\tO' +p69170 +aS'possible\tpossible\tJJ\tB-NP\tO' +p69171 +aS'early\tearly\tJJ\tI-NP\tO' +p69172 +aS'sepsis\tsepsis\tNN\tI-NP\tO' +p69173 +aS'.\t.\t.\tO\tO' +p69174 +asS'Started on unasyn , in hospital suffered mech. fall with hip fx .' +p69175 +(lp69176 +S'Started\tStart\tVBN\tB-VP\tO' +p69177 +aS'on\ton\tIN\tB-PP\tO' +p69178 +aS'unasyn\tunasyn\tNN\tB-NP\tO' +p69179 +aS',\t,\t,\tO\tO' +p69180 +aS'in\tin\tIN\tB-PP\tO' +p69181 +aS'hospital\thospital\tNN\tB-NP\tO' +p69182 +aS'suffered\tsuffer\tVBD\tB-VP\tO' +p69183 +aS'mech.\tmech.\tNN\tB-NP\tO' +p69184 +aS'fall\tfall\tNN\tI-NP\tO' +p69185 +aS'with\twith\tIN\tB-PP\tO' +p69186 +aS'hip\thip\tNN\tB-NP\tO' +p69187 +aS'fx\tfx\tNN\tI-NP\tO' +p69188 +aS'.\t.\t.\tO\tO' +p69189 +asS'End-stage cirrhosis with refractory ascites .' +p69190 +(lp69191 +S'End-stage\tEnd-stage\tJJ\tB-NP\tO' +p69192 +aS'cirrhosis\tcirrhosis\tNN\tI-NP\tO' +p69193 +aS'with\twith\tIN\tB-PP\tO' +p69194 +aS'refractory\trefractory\tJJ\tB-NP\tO' +p69195 +aS'ascites\tascite\tNNS\tI-NP\tO' +p69196 +aS'.\t.\t.\tO\tO' +p69197 +asS'Patient returns from rehabilitation after discharge on November 11 , with new fever up to 102.0 in DSCI clinic , increasing hepatomegaly as assessed by examination in clinic , and increasing creatinine .' +p69198 +(lp69199 +S'Patient\tPatient\tNN\tB-NP\tO' +p69200 +aS'returns\treturn\tNNS\tI-NP\tO' +p69201 +aS'from\tfrom\tIN\tB-PP\tO' +p69202 +aS'rehabilitation\trehabilitation\tNN\tB-NP\tO' +p69203 +aS'after\tafter\tIN\tB-PP\tO' +p69204 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p69205 +aS'on\ton\tIN\tB-PP\tO' +p69206 +aS'November\tNovember\tNNP\tB-NP\tO' +p69207 +aS'11\t11\tCD\tI-NP\tO' +p69208 +aS',\t,\t,\tO\tO' +p69209 +aS'with\twith\tIN\tB-PP\tO' +p69210 +aS'new\tnew\tJJ\tB-NP\tO' +p69211 +aS'fever\tfever\tNN\tI-NP\tO' +p69212 +aS'up\tup\tIN\tB-PP\tO' +p69213 +aS'to\tto\tTO\tB-PP\tO' +p69214 +aS'102.0\t102.0\tCD\tB-NP\tO' +p69215 +aS'in\tin\tIN\tB-PP\tO' +p69216 +aS'DSCI\tDSCI\tNN\tB-NP\tO' +p69217 +aS'clinic\tclinic\tNN\tI-NP\tO' +p69218 +aS',\t,\t,\tO\tO' +p69219 +aS'increasing\tincrease\tVBG\tB-VP\tO' +p69220 +aS'hepatomegaly\thepatomegaly\tRB\tB-ADVP\tO' +p69221 +aS'as\tas\tIN\tB-SBAR\tO' +p69222 +aS'assessed\tassess\tVBN\tB-VP\tO' +p69223 +aS'by\tby\tIN\tB-PP\tO' +p69224 +aS'examination\texamination\tNN\tB-NP\tO' +p69225 +aS'in\tin\tIN\tB-PP\tO' +p69226 +aS'clinic\tclinic\tNN\tB-NP\tO' +p69227 +aS',\t,\t,\tO\tO' +p69228 +aS'and\tand\tCC\tO\tO' +p69229 +aS'increasing\tincrease\tVBG\tB-NP\tO' +p69230 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p69231 +aS'.\t.\t.\tO\tO' +p69232 +asS'3. Asthma .' +p69233 +(lp69234 +S'3.\t3.\tLS\tB-NP\tO' +p69235 +aS'Asthma\tAsthma\tNN\tI-NP\tO' +p69236 +aS'.\t.\t.\tO\tO' +p69237 +asS'A computerized tomography scan revealed right lower occipital low-density area .' +p69238 +(lp69239 +S'A\tA\tDT\tB-NP\tO' +p69240 +aS'computerized\tcomputerized\tJJ\tI-NP\tO' +p69241 +aS'tomography\ttomography\tNN\tI-NP\tO' +p69242 +aS'scan\tscan\tNN\tI-NP\tO' +p69243 +aS'revealed\treveal\tVBD\tB-VP\tO' +p69244 +aS'right\tright\tRB\tB-NP\tO' +p69245 +aS'lower\tlow\tJJR\tI-NP\tO' +p69246 +aS'occipital\toccipital\tNN\tI-NP\tO' +p69247 +aS'low-density\tlow-density\tJJ\tI-NP\tO' +p69248 +aS'area\tarea\tNN\tI-NP\tO' +p69249 +aS'.\t.\t.\tO\tO' +p69250 +asS'No petechiae .' +p69251 +(lp69252 +S'No\tNo\tDT\tB-NP\tO' +p69253 +aS'petechiae\tpetechiae\tFW\tI-NP\tO' +p69254 +aS'.\t.\t.\tO\tO' +p69255 +asS'56 year old man s/p struck by auto' +p69256 +(lp69257 +S'56\t56\tCD\tB-NP\tO' +p69258 +aS'year\tyear\tNN\tI-NP\tO' +p69259 +aS'old\told\tJJ\tI-NP\tO' +p69260 +aS'man\tman\tNN\tI-NP\tO' +p69261 +aS's/p\ts/p\tNN\tI-NP\tO' +p69262 +aS'struck\tstrike\tVBN\tB-VP\tO' +p69263 +aS'by\tby\tIN\tB-PP\tO' +p69264 +aS'auto\tauto\tNN\tB-NP\tO' +p69265 +asS'RECTAL - Guaiac negative with normal tone .' +p69266 +(lp69267 +S'RECTAL\tRECTAL\tJJ\tB-NP\tO' +p69268 +aS'-\t-\tHYPH\tI-NP\tO' +p69269 +aS'Guaiac\tGuaiac\tNN\tI-NP\tO' +p69270 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p69271 +aS'with\twith\tIN\tB-PP\tO' +p69272 +aS'normal\tnormal\tJJ\tB-NP\tO' +p69273 +aS'tone\ttone\tNN\tI-NP\tO' +p69274 +aS'.\t.\t.\tO\tO' +p69275 +asS'Sulfonamides / Zithromax / Floxin / Penicillins / Neurontin / Demerol / Morphine Sulfate / Ativan' +p69276 +(lp69277 +S'Sulfonamides\tSulfonamide\tNNS\tB-NP\tO' +p69278 +aS'/\t/\tSYM\tO\tO' +p69279 +aS'Zithromax\tZithromax\tNN\tB-NP\tO' +p69280 +aS'/\t/\tSYM\tI-NP\tO' +p69281 +aS'Floxin\tFloxin\tNN\tI-NP\tB-protein' +p69282 +aS'/\t/\tSYM\tB-NP\tO' +p69283 +aS'Penicillins\tPenicillins\tNN\tI-NP\tB-protein' +p69284 +aS'/\t/\tSYM\tI-NP\tO' +p69285 +aS'Neurontin\tNeurontin\tNN\tI-NP\tB-protein' +p69286 +aS'/\t/\tSYM\tB-NP\tO' +p69287 +aS'Demerol\tDemerol\tNN\tI-NP\tO' +p69288 +aS'/\t/\tSYM\tI-NP\tO' +p69289 +aS'Morphine\tMorphine\tNN\tI-NP\tO' +p69290 +aS'Sulfate\tSulfate\tNN\tI-NP\tO' +p69291 +aS'/\t/\tSYM\tB-VP\tO' +p69292 +aS'Ativan\tAtivan\tNN\tB-NP\tO' +p69293 +asS'Albumin was 2.6 .' +p69294 +(lp69295 +S'Albumin\tAlbumin\tNNP\tB-NP\tO' +p69296 +aS'was\tbe\tVBD\tB-VP\tO' +p69297 +aS'2.6\t2.6\tCD\tB-NP\tO' +p69298 +aS'.\t.\t.\tO\tO' +p69299 +asS'An EEG was also considered to rule out non-convulsive status epilepticus , although again this did not seem to be a likely cause .' +p69300 +(lp69301 +S'An\tAn\tDT\tB-NP\tO' +p69302 +aS'EEG\tEEG\tNN\tI-NP\tB-protein' +p69303 +aS'was\tbe\tVBD\tB-VP\tO' +p69304 +aS'also\talso\tRB\tI-VP\tO' +p69305 +aS'considered\tconsider\tVBN\tI-VP\tO' +p69306 +aS'to\tto\tTO\tI-VP\tO' +p69307 +aS'rule\trule\tVB\tI-VP\tO' +p69308 +aS'out\tout\tRP\tB-PRT\tO' +p69309 +aS'non-convulsive\tnon-convulsive\tJJ\tB-NP\tO' +p69310 +aS'status\tstatus\tNN\tI-NP\tO' +p69311 +aS'epilepticus\tepilepticus\tNN\tI-NP\tO' +p69312 +aS',\t,\t,\tO\tO' +p69313 +aS'although\talthough\tIN\tB-SBAR\tO' +p69314 +aS'again\tagain\tRB\tB-ADVP\tO' +p69315 +aS'this\tthis\tDT\tB-NP\tO' +p69316 +aS'did\tdo\tVBD\tB-VP\tO' +p69317 +aS'not\tnot\tRB\tI-VP\tO' +p69318 +aS'seem\tseem\tVB\tI-VP\tO' +p69319 +aS'to\tto\tTO\tI-VP\tO' +p69320 +aS'be\tbe\tVB\tI-VP\tO' +p69321 +aS'a\ta\tDT\tB-NP\tO' +p69322 +aS'likely\tlikely\tJJ\tI-NP\tO' +p69323 +aS'cause\tcause\tNN\tI-NP\tO' +p69324 +aS'.\t.\t.\tO\tO' +p69325 +asS'He was tolerating p.o. and feeling back to his baseline .' +p69326 +(lp69327 +S'He\tHe\tPRP\tB-NP\tO' +p69328 +aS'was\tbe\tVBD\tB-VP\tO' +p69329 +aS'tolerating\ttolerate\tVBG\tI-VP\tO' +p69330 +aS'p.o.\tp.o.\tNN\tB-NP\tO' +p69331 +aS'and\tand\tCC\tO\tO' +p69332 +aS'feeling\tfeel\tVBG\tB-VP\tO' +p69333 +aS'back\tback\tRB\tB-ADVP\tO' +p69334 +aS'to\tto\tTO\tB-PP\tO' +p69335 +aS'his\this\tPRP$\tB-NP\tO' +p69336 +aS'baseline\tbaseline\tNN\tI-NP\tO' +p69337 +aS'.\t.\t.\tO\tO' +p69338 +asS'In the Emergency Department , he received 3.5 amps of D50 and then D5 normal saline and D10 normal saline with blood sugars that were slow to increase leading the ICU team to suspect that the patient had taken more insulin than he admitted .' +p69339 +(lp69340 +S'In\tIn\tIN\tB-PP\tO' +p69341 +aS'the\tthe\tDT\tB-NP\tO' +p69342 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p69343 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p69344 +aS',\t,\t,\tO\tO' +p69345 +aS'he\the\tPRP\tB-NP\tO' +p69346 +aS'received\treceive\tVBD\tB-VP\tO' +p69347 +aS'3.5\t3.5\tCD\tB-NP\tO' +p69348 +aS'amps\tamp\tNNS\tI-NP\tO' +p69349 +aS'of\tof\tIN\tB-PP\tO' +p69350 +aS'D50\tD50\tNN\tB-NP\tB-protein' +p69351 +aS'and\tand\tCC\tB-NP\tO' +p69352 +aS'then\tthen\tRB\tI-NP\tO' +p69353 +aS'D5\tD5\tNN\tB-NP\tO' +p69354 +aS'normal\tnormal\tJJ\tI-NP\tO' +p69355 +aS'saline\tsaline\tNN\tI-NP\tO' +p69356 +aS'and\tand\tCC\tI-NP\tO' +p69357 +aS'D10\tD10\tNN\tI-NP\tB-protein' +p69358 +aS'normal\tnormal\tJJ\tI-NP\tO' +p69359 +aS'saline\tsaline\tNN\tI-NP\tO' +p69360 +aS'with\twith\tIN\tB-PP\tO' +p69361 +aS'blood\tblood\tNN\tB-NP\tO' +p69362 +aS'sugars\tsugar\tNNS\tI-NP\tO' +p69363 +aS'that\tthat\tWDT\tB-NP\tO' +p69364 +aS'were\tbe\tVBD\tB-VP\tO' +p69365 +aS'slow\tslow\tJJ\tB-ADJP\tO' +p69366 +aS'to\tto\tTO\tB-VP\tO' +p69367 +aS'increase\tincrease\tVB\tI-VP\tO' +p69368 +aS'leading\tlead\tVBG\tI-VP\tO' +p69369 +aS'the\tthe\tDT\tB-NP\tO' +p69370 +aS'ICU\tICU\tNN\tI-NP\tO' +p69371 +aS'team\tteam\tNN\tI-NP\tO' +p69372 +aS'to\tto\tTO\tB-VP\tO' +p69373 +aS'suspect\tsuspect\tVB\tI-VP\tO' +p69374 +aS'that\tthat\tIN\tB-SBAR\tO' +p69375 +aS'the\tthe\tDT\tB-NP\tO' +p69376 +aS'patient\tpatient\tNN\tI-NP\tO' +p69377 +aS'had\thave\tVBD\tB-VP\tO' +p69378 +aS'taken\ttake\tVBN\tI-VP\tO' +p69379 +aS'more\tmore\tJJR\tB-NP\tO' +p69380 +aS'insulin\tinsulin\tNN\tI-NP\tB-protein' +p69381 +aS'than\tthan\tIN\tB-SBAR\tO' +p69382 +aS'he\the\tPRP\tB-NP\tO' +p69383 +aS'admitted\tadmit\tVBD\tB-VP\tO' +p69384 +aS'.\t.\t.\tO\tO' +p69385 +asS'The patient denied any oliguria , hematuria , dysuria , foamy urine , flank pain , abdominal pain , or urinary hesitancy .' +p69386 +(lp69387 +S'The\tThe\tDT\tB-NP\tO' +p69388 +aS'patient\tpatient\tNN\tI-NP\tO' +p69389 +aS'denied\tdeny\tVBD\tB-VP\tO' +p69390 +aS'any\tany\tDT\tB-NP\tO' +p69391 +aS'oliguria\toliguria\tNN\tI-NP\tO' +p69392 +aS',\t,\t,\tO\tO' +p69393 +aS'hematuria\thematuria\tNN\tB-NP\tO' +p69394 +aS',\t,\t,\tO\tO' +p69395 +aS'dysuria\tdysuria\tNN\tB-NP\tO' +p69396 +aS',\t,\t,\tO\tO' +p69397 +aS'foamy\tfoamy\tJJ\tB-NP\tO' +p69398 +aS'urine\turine\tNN\tI-NP\tO' +p69399 +aS',\t,\t,\tO\tO' +p69400 +aS'flank\tflank\tNN\tB-NP\tO' +p69401 +aS'pain\tpain\tNN\tI-NP\tO' +p69402 +aS',\t,\t,\tO\tO' +p69403 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p69404 +aS'pain\tpain\tNN\tI-NP\tO' +p69405 +aS',\t,\t,\tO\tO' +p69406 +aS'or\tor\tCC\tO\tO' +p69407 +aS'urinary\turinary\tJJ\tB-NP\tO' +p69408 +aS'hesitancy\thesitancy\tNN\tI-NP\tO' +p69409 +aS'.\t.\t.\tO\tO' +p69410 +asS'Subsequent to this , the patient was transferred to the CRSU for closer monitoring .' +p69411 +(lp69412 +S'Subsequent\tSubsequent\tJJ\tB-ADJP\tO' +p69413 +aS'to\tto\tTO\tB-PP\tO' +p69414 +aS'this\tthis\tDT\tB-NP\tO' +p69415 +aS',\t,\t,\tO\tO' +p69416 +aS'the\tthe\tDT\tB-NP\tO' +p69417 +aS'patient\tpatient\tNN\tI-NP\tO' +p69418 +aS'was\tbe\tVBD\tB-VP\tO' +p69419 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p69420 +aS'to\tto\tTO\tB-PP\tO' +p69421 +aS'the\tthe\tDT\tB-NP\tO' +p69422 +aS'CRSU\tCRSU\tNN\tI-NP\tO' +p69423 +aS'for\tfor\tIN\tB-PP\tO' +p69424 +aS'closer\tclose\tJJR\tB-NP\tO' +p69425 +aS'monitoring\tmonitoring\tNN\tI-NP\tO' +p69426 +aS'.\t.\t.\tO\tO' +p69427 +asS'11. Trimethoprim - Sulfamethoxazole 160-800 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ) .' +p69428 +(lp69429 +S'11.\t11.\tLS\tB-NP\tO' +p69430 +aS'Trimethoprim\tTrimethoprim\tNN\tI-NP\tO' +p69431 +aS'-\t-\tHYPH\tO\tO' +p69432 +aS'Sulfamethoxazole\tSulfamethoxazole\tNN\tB-NP\tO' +p69433 +aS'160-800\t160-800\tCD\tI-NP\tO' +p69434 +aS'mg\tmg\tNN\tI-NP\tO' +p69435 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p69436 +aS'Sig\tSig\tNNP\tI-NP\tO' +p69437 +aS':\t:\t:\tO\tO' +p69438 +aS'One\tOne\tCD\tB-NP\tO' +p69439 +aS'(\t(\t(\tO\tO' +p69440 +aS'1\t1\tCD\tB-NP\tO' +p69441 +aS')\t)\t)\tO\tO' +p69442 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p69443 +aS'PO\tPO\tNN\tI-NP\tO' +p69444 +aS'BID\tBID\tNN\tI-NP\tO' +p69445 +aS'(\t(\t(\tO\tO' +p69446 +aS'2\t2\tCD\tB-NP\tO' +p69447 +aS'times\ttime\tNNS\tI-NP\tO' +p69448 +aS'a\ta\tDT\tB-NP\tO' +p69449 +aS'day\tday\tNN\tI-NP\tO' +p69450 +aS')\t)\t)\tO\tO' +p69451 +aS'.\t.\t.\tO\tO' +p69452 +asS'Tip of the NGT is below the edge of the image .' +p69453 +(lp69454 +S'Tip\tTip\tNN\tB-NP\tB-protein' +p69455 +aS'of\tof\tIN\tB-PP\tO' +p69456 +aS'the\tthe\tDT\tB-NP\tO' +p69457 +aS'NGT\tNGT\tNN\tI-NP\tB-protein' +p69458 +aS'is\tbe\tVBZ\tB-VP\tO' +p69459 +aS'below\tbelow\tIN\tB-PP\tO' +p69460 +aS'the\tthe\tDT\tB-NP\tO' +p69461 +aS'edge\tedge\tNN\tI-NP\tO' +p69462 +aS'of\tof\tIN\tB-PP\tO' +p69463 +aS'the\tthe\tDT\tB-NP\tO' +p69464 +aS'image\timage\tNN\tI-NP\tO' +p69465 +aS'.\t.\t.\tO\tO' +p69466 +asS'Substance abuse in mother and brother .' +p69467 +(lp69468 +S'Substance\tSubstance\tNN\tB-NP\tO' +p69469 +aS'abuse\tabuse\tNN\tI-NP\tO' +p69470 +aS'in\tin\tIN\tB-PP\tO' +p69471 +aS'mother\tmother\tNN\tB-NP\tO' +p69472 +aS'and\tand\tCC\tI-NP\tO' +p69473 +aS'brother\tbrother\tNN\tI-NP\tO' +p69474 +aS'.\t.\t.\tO\tO' +p69475 +asS'Re-staging done in April 1993 showed a decrease in the pretracheal nodes with question of some lymphangitic spread versus some pneumonitis .' +p69476 +(lp69477 +S'Re-staging\tRe-staging\tNN\tB-NP\tO' +p69478 +aS'done\tdo\tVBN\tB-VP\tO' +p69479 +aS'in\tin\tIN\tB-PP\tO' +p69480 +aS'April\tApril\tNNP\tB-NP\tO' +p69481 +aS'1993\t1993\tCD\tI-NP\tO' +p69482 +aS'showed\tshow\tVBD\tB-VP\tO' +p69483 +aS'a\ta\tDT\tB-NP\tO' +p69484 +aS'decrease\tdecrease\tNN\tI-NP\tO' +p69485 +aS'in\tin\tIN\tB-PP\tO' +p69486 +aS'the\tthe\tDT\tB-NP\tO' +p69487 +aS'pretracheal\tpretracheal\tJJ\tI-NP\tO' +p69488 +aS'nodes\tnode\tNNS\tI-NP\tO' +p69489 +aS'with\twith\tIN\tB-PP\tO' +p69490 +aS'question\tquestion\tNN\tB-NP\tO' +p69491 +aS'of\tof\tIN\tB-PP\tO' +p69492 +aS'some\tsome\tDT\tB-NP\tO' +p69493 +aS'lymphangitic\tlymphangitic\tJJ\tI-NP\tO' +p69494 +aS'spread\tspread\tNN\tI-NP\tO' +p69495 +aS'versus\tversus\tIN\tB-PP\tO' +p69496 +aS'some\tsome\tDT\tB-NP\tO' +p69497 +aS'pneumonitis\tpneumonitis\tNN\tI-NP\tO' +p69498 +aS'.\t.\t.\tO\tO' +p69499 +asS'Nevertheless , the patient was adamant about going home .' +p69500 +(lp69501 +S'Nevertheless\tNevertheless\tRB\tB-ADVP\tO' +p69502 +aS',\t,\t,\tO\tO' +p69503 +aS'the\tthe\tDT\tB-NP\tO' +p69504 +aS'patient\tpatient\tNN\tI-NP\tO' +p69505 +aS'was\tbe\tVBD\tB-VP\tO' +p69506 +aS'adamant\tadamant\tJJ\tB-ADJP\tO' +p69507 +aS'about\tabout\tIN\tB-PP\tO' +p69508 +aS'going\tgo\tVBG\tB-VP\tO' +p69509 +aS'home\thome\tNN\tB-NP\tO' +p69510 +aS'.\t.\t.\tO\tO' +p69511 +asS'His hips are stable .' +p69512 +(lp69513 +S'His\tHis\tPRP$\tB-NP\tO' +p69514 +aS'hips\thip\tNNS\tI-NP\tO' +p69515 +aS'are\tbe\tVBP\tB-VP\tO' +p69516 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p69517 +aS'.\t.\t.\tO\tO' +p69518 +asS'The patient had missed his usual monthly change of his suprapubic catheter and felt discomfort and noticed some blood at the site of the catheter .' +p69519 +(lp69520 +S'The\tThe\tDT\tB-NP\tO' +p69521 +aS'patient\tpatient\tNN\tI-NP\tO' +p69522 +aS'had\thave\tVBD\tB-VP\tO' +p69523 +aS'missed\tmiss\tVBN\tI-VP\tO' +p69524 +aS'his\this\tPRP$\tB-NP\tO' +p69525 +aS'usual\tusual\tJJ\tI-NP\tO' +p69526 +aS'monthly\tmonthly\tJJ\tI-NP\tO' +p69527 +aS'change\tchange\tNN\tI-NP\tO' +p69528 +aS'of\tof\tIN\tB-PP\tO' +p69529 +aS'his\this\tPRP$\tB-NP\tO' +p69530 +aS'suprapubic\tsuprapubic\tJJ\tI-NP\tO' +p69531 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p69532 +aS'and\tand\tCC\tO\tO' +p69533 +aS'felt\tfeel\tVBD\tB-VP\tO' +p69534 +aS'discomfort\tdiscomfort\tNN\tB-NP\tO' +p69535 +aS'and\tand\tCC\tO\tO' +p69536 +aS'noticed\tnotice\tVBD\tB-VP\tO' +p69537 +aS'some\tsome\tDT\tB-NP\tO' +p69538 +aS'blood\tblood\tNN\tI-NP\tO' +p69539 +aS'at\tat\tIN\tB-PP\tO' +p69540 +aS'the\tthe\tDT\tB-NP\tO' +p69541 +aS'site\tsite\tNN\tI-NP\tO' +p69542 +aS'of\tof\tIN\tB-PP\tO' +p69543 +aS'the\tthe\tDT\tB-NP\tO' +p69544 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p69545 +aS'.\t.\t.\tO\tO' +p69546 +asS'She required approximately five liters of ultrafiltration fluid removal at each dialysis session due to her significant volume overload .' +p69547 +(lp69548 +S'She\tShe\tPRP\tB-NP\tO' +p69549 +aS'required\trequire\tVBD\tB-VP\tO' +p69550 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p69551 +aS'five\tfive\tCD\tI-NP\tO' +p69552 +aS'liters\tliter\tNNS\tI-NP\tO' +p69553 +aS'of\tof\tIN\tB-PP\tO' +p69554 +aS'ultrafiltration\tultrafiltration\tNN\tB-NP\tO' +p69555 +aS'fluid\tfluid\tNN\tI-NP\tO' +p69556 +aS'removal\tremoval\tNN\tI-NP\tO' +p69557 +aS'at\tat\tIN\tB-PP\tO' +p69558 +aS'each\teach\tDT\tB-NP\tO' +p69559 +aS'dialysis\tdialysis\tNN\tI-NP\tO' +p69560 +aS'session\tsession\tNN\tI-NP\tO' +p69561 +aS'due\tdue\tIN\tB-PP\tO' +p69562 +aS'to\tto\tTO\tB-PP\tO' +p69563 +aS'her\ther\tPRP$\tB-NP\tO' +p69564 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p69565 +aS'volume\tvolume\tNN\tI-NP\tO' +p69566 +aS'overload\toverload\tNN\tI-NP\tO' +p69567 +aS'.\t.\t.\tO\tO' +p69568 +asS'The patient is to return to the follow up care of Dr. Ko Kollciem at the Diy Hospital .' +p69569 +(lp69570 +S'The\tThe\tDT\tB-NP\tO' +p69571 +aS'patient\tpatient\tNN\tI-NP\tO' +p69572 +aS'is\tbe\tVBZ\tB-VP\tO' +p69573 +aS'to\tto\tTO\tB-VP\tO' +p69574 +aS'return\treturn\tVB\tI-VP\tO' +p69575 +aS'to\tto\tTO\tB-PP\tO' +p69576 +aS'the\tthe\tDT\tB-NP\tO' +p69577 +aS'follow\tfollow\tVB\tB-VP\tO' +p69578 +aS'up\tup\tRP\tB-PRT\tO' +p69579 +aS'care\tcare\tNN\tB-NP\tO' +p69580 +aS'of\tof\tIN\tB-PP\tO' +p69581 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p69582 +aS'Ko\tKo\tNNP\tI-NP\tO' +p69583 +aS'Kollciem\tKollciem\tNNP\tI-NP\tO' +p69584 +aS'at\tat\tIN\tB-PP\tO' +p69585 +aS'the\tthe\tDT\tB-NP\tO' +p69586 +aS'Diy\tDiy\tNNP\tI-NP\tO' +p69587 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p69588 +aS'.\t.\t.\tO\tO' +p69589 +asS'He was transferred to the regular neurology floor once it became clear that he was not receiving any significant benefit from hypertensive therapy .' +p69590 +(lp69591 +S'He\tHe\tPRP\tB-NP\tO' +p69592 +aS'was\tbe\tVBD\tB-VP\tO' +p69593 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p69594 +aS'to\tto\tTO\tB-PP\tO' +p69595 +aS'the\tthe\tDT\tB-NP\tO' +p69596 +aS'regular\tregular\tJJ\tI-NP\tO' +p69597 +aS'neurology\tneurology\tNN\tI-NP\tO' +p69598 +aS'floor\tfloor\tNN\tI-NP\tO' +p69599 +aS'once\tonce\tIN\tB-SBAR\tO' +p69600 +aS'it\tit\tPRP\tB-NP\tO' +p69601 +aS'became\tbecome\tVBD\tB-VP\tO' +p69602 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p69603 +aS'that\tthat\tIN\tB-SBAR\tO' +p69604 +aS'he\the\tPRP\tB-NP\tO' +p69605 +aS'was\tbe\tVBD\tB-VP\tO' +p69606 +aS'not\tnot\tRB\tI-VP\tO' +p69607 +aS'receiving\treceive\tVBG\tI-VP\tO' +p69608 +aS'any\tany\tDT\tB-NP\tO' +p69609 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p69610 +aS'benefit\tbenefit\tNN\tI-NP\tO' +p69611 +aS'from\tfrom\tIN\tB-PP\tO' +p69612 +aS'hypertensive\thypertensive\tJJ\tB-NP\tO' +p69613 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p69614 +aS'.\t.\t.\tO\tO' +p69615 +asS'Briefly this is a Hispanic patient with history of advanced lung cancer , small cell in histology .' +p69616 +(lp69617 +S'Briefly\tBriefly\tRB\tB-ADVP\tO' +p69618 +aS'this\tthis\tDT\tB-NP\tO' +p69619 +aS'is\tbe\tVBZ\tB-VP\tO' +p69620 +aS'a\ta\tDT\tB-NP\tO' +p69621 +aS'Hispanic\tHispanic\tJJ\tI-NP\tO' +p69622 +aS'patient\tpatient\tNN\tI-NP\tO' +p69623 +aS'with\twith\tIN\tB-PP\tO' +p69624 +aS'history\thistory\tNN\tB-NP\tO' +p69625 +aS'of\tof\tIN\tB-PP\tO' +p69626 +aS'advanced\tadvance\tVBN\tB-NP\tO' +p69627 +aS'lung\tlung\tNN\tI-NP\tO' +p69628 +aS'cancer\tcancer\tNN\tI-NP\tO' +p69629 +aS',\t,\t,\tO\tO' +p69630 +aS'small\tsmall\tJJ\tB-NP\tO' +p69631 +aS'cell\tcell\tNN\tI-NP\tO' +p69632 +aS'in\tin\tIN\tB-PP\tO' +p69633 +aS'histology\thistology\tNN\tB-NP\tO' +p69634 +aS'.\t.\t.\tO\tO' +p69635 +asS'She has had recurrent syncope since age 6 .' +p69636 +(lp69637 +S'She\tShe\tPRP\tB-NP\tO' +p69638 +aS'has\thave\tVBZ\tB-VP\tO' +p69639 +aS'had\thave\tVBN\tI-VP\tO' +p69640 +aS'recurrent\trecurrent\tJJ\tB-NP\tO' +p69641 +aS'syncope\tsyncope\tNN\tI-NP\tO' +p69642 +aS'since\tsince\tIN\tB-PP\tO' +p69643 +aS'age\tage\tNN\tB-NP\tO' +p69644 +aS'6\t6\tCD\tI-NP\tO' +p69645 +aS'.\t.\t.\tO\tO' +p69646 +asS'On admission , electrocardiogram showed less than 1 mm. of ST depression in V4 to V6 , which is likely the patient 's baseline .' +p69647 +(lp69648 +S'On\tOn\tIN\tB-PP\tO' +p69649 +aS'admission\tadmission\tNN\tB-NP\tO' +p69650 +aS',\t,\t,\tO\tO' +p69651 +aS'electrocardiogram\telectrocardiogram\tNN\tB-NP\tO' +p69652 +aS'showed\tshow\tVBD\tB-VP\tO' +p69653 +aS'less\tless\tJJR\tB-NP\tO' +p69654 +aS'than\tthan\tIN\tI-NP\tO' +p69655 +aS'1\t1\tCD\tI-NP\tO' +p69656 +aS'mm.\tmm.\tNN\tI-NP\tO' +p69657 +aS'of\tof\tIN\tB-PP\tO' +p69658 +aS'ST\tST\tJJ\tB-NP\tO' +p69659 +aS'depression\tdepression\tNN\tI-NP\tO' +p69660 +aS'in\tin\tIN\tB-PP\tO' +p69661 +aS'V4\tV4\tNN\tB-NP\tO' +p69662 +aS'to\tto\tTO\tB-PP\tO' +p69663 +aS'V6\tV6\tNN\tB-NP\tB-protein' +p69664 +aS',\t,\t,\tO\tO' +p69665 +aS'which\twhich\tWDT\tB-NP\tO' +p69666 +aS'is\tbe\tVBZ\tB-VP\tO' +p69667 +aS'likely\tlikely\tRB\tB-ADJP\tO' +p69668 +aS'the\tthe\tDT\tB-NP\tO' +p69669 +aS'patient\tpatient\tNN\tI-NP\tO' +p69670 +aS''s\t'\tNNS\tI-NP\tO' +p69671 +aS'baseline\tbaseline\tNN\tI-NP\tO' +p69672 +aS'.\t.\t.\tO\tO' +p69673 +asS'The patient underwent diagnostic and therapeutic paracentesis on 2013-05-16 , 2013-05-21 , and 2013-05-24 .' +p69674 +(lp69675 +S'The\tThe\tDT\tB-NP\tO' +p69676 +aS'patient\tpatient\tNN\tI-NP\tO' +p69677 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p69678 +aS'diagnostic\tdiagnostic\tJJ\tB-NP\tO' +p69679 +aS'and\tand\tCC\tI-NP\tO' +p69680 +aS'therapeutic\ttherapeutic\tJJ\tI-NP\tO' +p69681 +aS'paracentesis\tparacentesis\tNN\tI-NP\tO' +p69682 +aS'on\ton\tIN\tB-PP\tO' +p69683 +aS'2013-05-16\t2013-05-16\tCD\tB-NP\tO' +p69684 +aS',\t,\t,\tI-NP\tO' +p69685 +aS'2013-05-21\t2013-05-21\tCD\tI-NP\tO' +p69686 +aS',\t,\t,\tO\tO' +p69687 +aS'and\tand\tCC\tO\tO' +p69688 +aS'2013-05-24\t2013-05-24\tCD\tB-NP\tO' +p69689 +aS'.\t.\t.\tO\tO' +p69690 +asS'for H.Pylori .' +p69691 +(lp69692 +S'for\tfor\tIN\tB-PP\tO' +p69693 +aS'H.Pylori\tH.Pylori\tNNP\tB-NP\tO' +p69694 +aS'.\t.\t.\tO\tO' +p69695 +asS'There was no induration .' +p69696 +(lp69697 +S'There\tThere\tEX\tB-NP\tO' +p69698 +aS'was\tbe\tVBD\tB-VP\tO' +p69699 +aS'no\tno\tDT\tB-NP\tO' +p69700 +aS'induration\tinduration\tNN\tI-NP\tO' +p69701 +aS'.\t.\t.\tO\tO' +p69702 +asS'During this admission , the patient was started on Baclofen 10 mg p.o. t.i.d. for spasticity .' +p69703 +(lp69704 +S'During\tDuring\tIN\tB-PP\tO' +p69705 +aS'this\tthis\tDT\tB-NP\tO' +p69706 +aS'admission\tadmission\tNN\tI-NP\tO' +p69707 +aS',\t,\t,\tO\tO' +p69708 +aS'the\tthe\tDT\tB-NP\tO' +p69709 +aS'patient\tpatient\tNN\tI-NP\tO' +p69710 +aS'was\tbe\tVBD\tB-VP\tO' +p69711 +aS'started\tstart\tVBN\tI-VP\tO' +p69712 +aS'on\ton\tIN\tB-PP\tO' +p69713 +aS'Baclofen\tBaclofen\tNN\tB-NP\tO' +p69714 +aS'10\t10\tCD\tI-NP\tO' +p69715 +aS'mg\tmg\tNN\tI-NP\tO' +p69716 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p69717 +aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' +p69718 +aS'for\tfor\tIN\tB-PP\tO' +p69719 +aS'spasticity\tspasticity\tNN\tB-NP\tO' +p69720 +aS'.\t.\t.\tO\tO' +p69721 +asS'6. Labetalol 200 mg Tablet Sig : Four ( 4 ) Tablet PO TID ( 3 times a day ) .' +p69722 +(lp69723 +S'6.\t6.\tCD\tB-NP\tO' +p69724 +aS'Labetalol\tLabetalol\tNN\tI-NP\tO' +p69725 +aS'200\t200\tCD\tB-NP\tO' +p69726 +aS'mg\tmg\tNN\tI-NP\tO' +p69727 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p69728 +aS'Sig\tSig\tNNP\tI-NP\tO' +p69729 +aS':\t:\t:\tO\tO' +p69730 +aS'Four\tFour\tCD\tB-NP\tO' +p69731 +aS'(\t(\t(\tO\tO' +p69732 +aS'4\t4\tCD\tB-NP\tO' +p69733 +aS')\t)\t)\tO\tO' +p69734 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p69735 +aS'PO\tPO\tNN\tI-NP\tO' +p69736 +aS'TID\tTID\tNN\tI-NP\tO' +p69737 +aS'(\t(\t(\tO\tO' +p69738 +aS'3\t3\tCD\tB-NP\tO' +p69739 +aS'times\ttime\tNNS\tI-NP\tO' +p69740 +aS'a\ta\tDT\tB-NP\tO' +p69741 +aS'day\tday\tNN\tI-NP\tO' +p69742 +aS')\t)\t)\tO\tO' +p69743 +aS'.\t.\t.\tO\tO' +p69744 +asS'Endocrine was also consulted .' +p69745 +(lp69746 +S'Endocrine\tEndocrine\tNN\tB-NP\tO' +p69747 +aS'was\tbe\tVBD\tB-VP\tO' +p69748 +aS'also\talso\tRB\tI-VP\tO' +p69749 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p69750 +aS'.\t.\t.\tO\tO' +p69751 +asS'16. Ibuprofen 400 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ) .' +p69752 +(lp69753 +S'16.\t16.\tCD\tB-NP\tO' +p69754 +aS'Ibuprofen\tIbuprofen\tNN\tI-NP\tO' +p69755 +aS'400\t400\tCD\tB-NP\tO' +p69756 +aS'mg\tmg\tNN\tI-NP\tO' +p69757 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p69758 +aS'Sig\tSig\tNNP\tI-NP\tO' +p69759 +aS':\t:\t:\tO\tO' +p69760 +aS'One\tOne\tCD\tB-NP\tO' +p69761 +aS'(\t(\t(\tO\tO' +p69762 +aS'1\t1\tCD\tB-NP\tO' +p69763 +aS')\t)\t)\tO\tO' +p69764 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p69765 +aS'PO\tPO\tNN\tI-NP\tO' +p69766 +aS'BID\tBID\tNN\tI-NP\tO' +p69767 +aS'(\t(\t(\tO\tO' +p69768 +aS'2\t2\tCD\tB-NP\tO' +p69769 +aS'times\ttime\tNNS\tI-NP\tO' +p69770 +aS'a\ta\tDT\tB-NP\tO' +p69771 +aS'day\tday\tNN\tI-NP\tO' +p69772 +aS')\t)\t)\tO\tO' +p69773 +aS'.\t.\t.\tO\tO' +p69774 +asS'Attending : Terry U Cheatom , M.D.' +p69775 +(lp69776 +S'Attending\tAttend\tVBG\tB-VP\tO' +p69777 +aS':\t:\t:\tO\tO' +p69778 +aS'Terry\tTerry\tNNP\tB-NP\tO' +p69779 +aS'U\tU\tNNP\tI-NP\tO' +p69780 +aS'Cheatom\tCheatom\tNNP\tI-NP\tO' +p69781 +aS',\t,\t,\tO\tO' +p69782 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p69783 +asS'After the wound was further opened , he was started on ampicillin , Gentamicin , and Flagyl antibiotics and he was placed on a bid dressing change and packing .' +p69784 +(lp69785 +S'After\tAfter\tIN\tB-PP\tO' +p69786 +aS'the\tthe\tDT\tB-NP\tO' +p69787 +aS'wound\twound\tNN\tI-NP\tO' +p69788 +aS'was\tbe\tVBD\tB-VP\tO' +p69789 +aS'further\tfurther\tRBR\tI-VP\tO' +p69790 +aS'opened\topen\tVBN\tI-VP\tO' +p69791 +aS',\t,\t,\tO\tO' +p69792 +aS'he\the\tPRP\tB-NP\tO' +p69793 +aS'was\tbe\tVBD\tB-VP\tO' +p69794 +aS'started\tstart\tVBN\tI-VP\tO' +p69795 +aS'on\ton\tIN\tB-PP\tO' +p69796 +aS'ampicillin\tampicillin\tNN\tB-NP\tO' +p69797 +aS',\t,\t,\tO\tO' +p69798 +aS'Gentamicin\tGentamicin\tNN\tB-NP\tO' +p69799 +aS',\t,\t,\tO\tO' +p69800 +aS'and\tand\tCC\tO\tO' +p69801 +aS'Flagyl\tFlagyl\tNN\tB-NP\tO' +p69802 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p69803 +aS'and\tand\tCC\tO\tO' +p69804 +aS'he\the\tPRP\tB-NP\tO' +p69805 +aS'was\tbe\tVBD\tB-VP\tO' +p69806 +aS'placed\tplace\tVBN\tI-VP\tO' +p69807 +aS'on\ton\tIN\tB-PP\tO' +p69808 +aS'a\ta\tDT\tB-NP\tO' +p69809 +aS'bid\tbid\tNN\tI-NP\tO' +p69810 +aS'dressing\tdress\tVBG\tB-VP\tO' +p69811 +aS'change\tchange\tNN\tB-NP\tO' +p69812 +aS'and\tand\tCC\tI-NP\tO' +p69813 +aS'packing\tpacking\tNN\tI-NP\tO' +p69814 +aS'.\t.\t.\tO\tO' +p69815 +asS'Percocet 1-2 tablets PO q3-4 prn .' +p69816 +(lp69817 +S'Percocet\tPercocet\tIN\tB-PP\tO' +p69818 +aS'1-2\t1-2\tCD\tB-NP\tO' +p69819 +aS'tablets\ttablet\tNNS\tI-NP\tO' +p69820 +aS'PO\tPO\tNN\tI-NP\tO' +p69821 +aS'q3-4\tq3-4\tNN\tI-NP\tO' +p69822 +aS'prn\tprn\tNN\tI-NP\tO' +p69823 +aS'.\t.\t.\tO\tO' +p69824 +asS'Other vital signs were within normal limits .' +p69825 +(lp69826 +S'Other\tOther\tJJ\tB-NP\tO' +p69827 +aS'vital\tvital\tJJ\tI-NP\tO' +p69828 +aS'signs\tsign\tNNS\tI-NP\tO' +p69829 +aS'were\tbe\tVBD\tB-VP\tO' +p69830 +aS'within\twithin\tIN\tB-PP\tO' +p69831 +aS'normal\tnormal\tJJ\tB-NP\tO' +p69832 +aS'limits\tlimit\tNNS\tI-NP\tO' +p69833 +aS'.\t.\t.\tO\tO' +p69834 +asS'Colace stool softener .' +p69835 +(lp69836 +S'Colace\tColace\tNN\tB-NP\tO' +p69837 +aS'stool\tstool\tNN\tI-NP\tO' +p69838 +aS'softener\tsoftener\tNN\tI-NP\tO' +p69839 +aS'.\t.\t.\tO\tO' +p69840 +asS'He was started on finsateride on the day prior to admission .' +p69841 +(lp69842 +S'He\tHe\tPRP\tB-NP\tO' +p69843 +aS'was\tbe\tVBD\tB-VP\tO' +p69844 +aS'started\tstart\tVBN\tI-VP\tO' +p69845 +aS'on\ton\tIN\tB-PP\tO' +p69846 +aS'finsateride\tfinsateride\tNN\tB-NP\tO' +p69847 +aS'on\ton\tIN\tB-PP\tO' +p69848 +aS'the\tthe\tDT\tB-NP\tO' +p69849 +aS'day\tday\tNN\tI-NP\tO' +p69850 +aS'prior\tprior\tRB\tB-ADVP\tO' +p69851 +aS'to\tto\tTO\tB-PP\tO' +p69852 +aS'admission\tadmission\tNN\tB-NP\tO' +p69853 +aS'.\t.\t.\tO\tO' +p69854 +asS'In general , well-appearing man , lying on a stretcher in no acute distress .' +p69855 +(lp69856 +S'In\tIn\tIN\tB-PP\tO' +p69857 +aS'general\tgeneral\tJJ\tB-NP\tO' +p69858 +aS',\t,\t,\tI-NP\tO' +p69859 +aS'well-appearing\twell-appearing\tJJ\tI-NP\tO' +p69860 +aS'man\tman\tNN\tI-NP\tO' +p69861 +aS',\t,\t,\tO\tO' +p69862 +aS'lying\tlie\tVBG\tB-VP\tO' +p69863 +aS'on\ton\tIN\tB-PP\tO' +p69864 +aS'a\ta\tDT\tB-NP\tO' +p69865 +aS'stretcher\tstretcher\tNN\tI-NP\tO' +p69866 +aS'in\tin\tIN\tB-PP\tO' +p69867 +aS'no\tno\tDT\tB-NP\tO' +p69868 +aS'acute\tacute\tJJ\tI-NP\tO' +p69869 +aS'distress\tdistress\tNN\tI-NP\tO' +p69870 +aS'.\t.\t.\tO\tO' +p69871 +asS'Pleasant obese female in NAD , in wrist restraints' +p69872 +(lp69873 +S'Pleasant\tPleasant\tJJ\tB-NP\tO' +p69874 +aS'obese\tobese\tJJ\tI-NP\tO' +p69875 +aS'female\tfemale\tNN\tI-NP\tO' +p69876 +aS'in\tin\tIN\tB-PP\tO' +p69877 +aS'NAD\tNAD\tNN\tB-NP\tO' +p69878 +aS',\t,\t,\tO\tO' +p69879 +aS'in\tin\tIN\tB-PP\tO' +p69880 +aS'wrist\twrist\tNN\tB-NP\tO' +p69881 +aS'restraints\trestraint\tNNS\tI-NP\tO' +p69882 +asS'He is being maintained on glipizide and sliding scale insulin .' +p69883 +(lp69884 +S'He\tHe\tPRP\tB-NP\tO' +p69885 +aS'is\tbe\tVBZ\tB-VP\tO' +p69886 +aS'being\tbe\tVBG\tI-VP\tO' +p69887 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p69888 +aS'on\ton\tIN\tB-PP\tO' +p69889 +aS'glipizide\tglipizide\tNN\tB-NP\tO' +p69890 +aS'and\tand\tCC\tO\tO' +p69891 +aS'sliding\tslide\tVBG\tB-VP\tO' +p69892 +aS'scale\tscale\tNN\tB-NP\tB-protein' +p69893 +aS'insulin\tinsulin\tNN\tI-NP\tI-protein' +p69894 +aS'.\t.\t.\tO\tO' +p69895 +asS'The patient presented with a serum calcium of 11.8 and an albumin of 2.3 on admission .' +p69896 +(lp69897 +S'The\tThe\tDT\tB-NP\tO' +p69898 +aS'patient\tpatient\tNN\tI-NP\tO' +p69899 +aS'presented\tpresent\tVBD\tB-VP\tO' +p69900 +aS'with\twith\tIN\tB-PP\tO' +p69901 +aS'a\ta\tDT\tB-NP\tO' +p69902 +aS'serum\tserum\tNN\tI-NP\tO' +p69903 +aS'calcium\tcalcium\tNN\tI-NP\tO' +p69904 +aS'of\tof\tIN\tB-PP\tO' +p69905 +aS'11.8\t11.8\tCD\tB-NP\tO' +p69906 +aS'and\tand\tCC\tO\tO' +p69907 +aS'an\tan\tDT\tB-NP\tO' +p69908 +aS'albumin\talbumin\tNN\tI-NP\tO' +p69909 +aS'of\tof\tIN\tB-PP\tO' +p69910 +aS'2.3\t2.3\tCD\tB-NP\tO' +p69911 +aS'on\ton\tIN\tB-PP\tO' +p69912 +aS'admission\tadmission\tNN\tB-NP\tO' +p69913 +aS'.\t.\t.\tO\tO' +p69914 +asS'Metastatic breast CA - Large brain mets with midline shift .' +p69915 +(lp69916 +S'Metastatic\tMetastatic\tJJ\tB-NP\tO' +p69917 +aS'breast\tbreast\tNN\tI-NP\tO' +p69918 +aS'CA\tCA\tNN\tI-NP\tO' +p69919 +aS'-\t-\tHYPH\tB-NP\tO' +p69920 +aS'Large\tLarge\tJJ\tI-NP\tO' +p69921 +aS'brain\tbrain\tNN\tI-NP\tO' +p69922 +aS'mets\tmet\tNNS\tI-NP\tO' +p69923 +aS'with\twith\tIN\tB-PP\tO' +p69924 +aS'midline\tmidline\tNN\tB-NP\tO' +p69925 +aS'shift\tshift\tNN\tI-NP\tO' +p69926 +aS'.\t.\t.\tO\tO' +p69927 +asS'According to his wife he had a small abrasion on the top of his head , but nothing major .' +p69928 +(lp69929 +S'According\tAccord\tVBG\tB-PP\tO' +p69930 +aS'to\tto\tTO\tB-PP\tO' +p69931 +aS'his\this\tPRP$\tB-NP\tO' +p69932 +aS'wife\twife\tNN\tI-NP\tO' +p69933 +aS'he\the\tPRP\tB-NP\tO' +p69934 +aS'had\thave\tVBD\tB-VP\tO' +p69935 +aS'a\ta\tDT\tB-NP\tO' +p69936 +aS'small\tsmall\tJJ\tI-NP\tO' +p69937 +aS'abrasion\tabrasion\tNN\tI-NP\tO' +p69938 +aS'on\ton\tIN\tB-PP\tO' +p69939 +aS'the\tthe\tDT\tB-NP\tO' +p69940 +aS'top\ttop\tNN\tI-NP\tO' +p69941 +aS'of\tof\tIN\tB-PP\tO' +p69942 +aS'his\this\tPRP$\tB-NP\tO' +p69943 +aS'head\thead\tNN\tI-NP\tO' +p69944 +aS',\t,\t,\tO\tO' +p69945 +aS'but\tbut\tCC\tO\tO' +p69946 +aS'nothing\tnothing\tNN\tB-NP\tO' +p69947 +aS'major\tmajor\tJJ\tB-ADJP\tO' +p69948 +aS'.\t.\t.\tO\tO' +p69949 +asS'2. Enoxaparin 30 mg / 0.3 mL Syringe Sig : One ( 1 ) 30 mg syringe Subcutaneous Q12H ( every 12 hours ) for 4 weeks .' +p69950 +(lp69951 +S'2.\t2.\tLS\tB-LST\tO' +p69952 +aS'Enoxaparin\tEnoxaparin\tNNP\tB-NP\tO' +p69953 +aS'30\t30\tCD\tI-NP\tO' +p69954 +aS'mg\tmg\tNN\tI-NP\tO' +p69955 +aS'/\t/\tSYM\tB-NP\tO' +p69956 +aS'0.3\t0.3\tCD\tB-NP\tO' +p69957 +aS'mL\tmL\tNN\tI-NP\tO' +p69958 +aS'Syringe\tSyringe\tNNP\tI-NP\tO' +p69959 +aS'Sig\tSig\tNNP\tI-NP\tO' +p69960 +aS':\t:\t:\tO\tO' +p69961 +aS'One\tOne\tCD\tB-NP\tO' +p69962 +aS'(\t(\t(\tO\tO' +p69963 +aS'1\t1\tCD\tB-NP\tO' +p69964 +aS')\t)\t)\tO\tO' +p69965 +aS'30\t30\tCD\tB-NP\tO' +p69966 +aS'mg\tmg\tNN\tI-NP\tO' +p69967 +aS'syringe\tsyringe\tNN\tI-NP\tO' +p69968 +aS'Subcutaneous\tSubcutaneous\tJJ\tI-NP\tO' +p69969 +aS'Q12H\tQ12H\tNN\tI-NP\tO' +p69970 +aS'(\t(\t(\tO\tO' +p69971 +aS'every\tevery\tDT\tB-NP\tO' +p69972 +aS'12\t12\tCD\tI-NP\tO' +p69973 +aS'hours\thour\tNNS\tI-NP\tO' +p69974 +aS')\t)\t)\tO\tO' +p69975 +aS'for\tfor\tIN\tB-PP\tO' +p69976 +aS'4\t4\tCD\tB-NP\tO' +p69977 +aS'weeks\tweek\tNNS\tI-NP\tO' +p69978 +aS'.\t.\t.\tO\tO' +p69979 +asS'In 1992 he underwent redo surgery and aortic valve replacement .' +p69980 +(lp69981 +S'In\tIn\tIN\tB-PP\tO' +p69982 +aS'1992\t1992\tCD\tB-NP\tO' +p69983 +aS'he\the\tPRP\tB-NP\tO' +p69984 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p69985 +aS'redo\tredo\tNN\tB-NP\tO' +p69986 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p69987 +aS'and\tand\tCC\tO\tO' +p69988 +aS'aortic\taortic\tJJ\tB-NP\tO' +p69989 +aS'valve\tvalve\tNN\tI-NP\tO' +p69990 +aS'replacement\treplacement\tNN\tI-NP\tO' +p69991 +aS'.\t.\t.\tO\tO' +p69992 +asS'There was also evidence of an old right frontal infarction .' +p69993 +(lp69994 +S'There\tThere\tEX\tB-NP\tO' +p69995 +aS'was\tbe\tVBD\tB-VP\tO' +p69996 +aS'also\talso\tRB\tB-ADVP\tO' +p69997 +aS'evidence\tevidence\tNN\tB-NP\tO' +p69998 +aS'of\tof\tIN\tB-PP\tO' +p69999 +aS'an\tan\tDT\tB-NP\tO' +p70000 +aS'old\told\tJJ\tI-NP\tO' +p70001 +aS'right\tright\tJJ\tI-NP\tO' +p70002 +aS'frontal\tfrontal\tJJ\tI-NP\tO' +p70003 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p70004 +aS'.\t.\t.\tO\tO' +p70005 +asS'Follow up with Dr. Melendez , Neurosurgery in 4 weeks ; call 745 8256 ext - 6468 for an appointment .' +p70006 +(lp70007 +S'Follow\tFollow\tVB\tB-VP\tO' +p70008 +aS'up\tup\tRP\tB-PRT\tO' +p70009 +aS'with\twith\tIN\tB-PP\tO' +p70010 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p70011 +aS'Melendez\tMelendez\tNNP\tI-NP\tO' +p70012 +aS',\t,\t,\tO\tO' +p70013 +aS'Neurosurgery\tNeurosurgery\tNNP\tB-NP\tO' +p70014 +aS'in\tin\tIN\tB-PP\tO' +p70015 +aS'4\t4\tCD\tB-NP\tO' +p70016 +aS'weeks\tweek\tNNS\tI-NP\tO' +p70017 +aS';\t;\t:\tO\tO' +p70018 +aS'call\tcall\tVB\tB-VP\tO' +p70019 +aS'745\t745\tCD\tB-NP\tO' +p70020 +aS'8256\t8256\tCD\tI-NP\tO' +p70021 +aS'ext\text\tJJ\tI-NP\tO' +p70022 +aS'-\t-\tHYPH\tI-NP\tO' +p70023 +aS'6468\t6468\tCD\tI-NP\tO' +p70024 +aS'for\tfor\tIN\tB-PP\tO' +p70025 +aS'an\tan\tDT\tB-NP\tO' +p70026 +aS'appointment\tappointment\tNN\tI-NP\tO' +p70027 +aS'.\t.\t.\tO\tO' +p70028 +asS'Impression on the anterior aspect of the lower spinal cord at T11-12 by disc bulge .' +p70029 +(lp70030 +S'Impression\tImpression\tNN\tB-NP\tO' +p70031 +aS'on\ton\tIN\tB-PP\tO' +p70032 +aS'the\tthe\tDT\tB-NP\tO' +p70033 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p70034 +aS'aspect\taspect\tNN\tI-NP\tO' +p70035 +aS'of\tof\tIN\tB-PP\tO' +p70036 +aS'the\tthe\tDT\tB-NP\tO' +p70037 +aS'lower\tlow\tJJR\tI-NP\tO' +p70038 +aS'spinal\tspinal\tJJ\tI-NP\tO' +p70039 +aS'cord\tcord\tNN\tI-NP\tO' +p70040 +aS'at\tat\tIN\tB-PP\tO' +p70041 +aS'T11-12\tT11-12\tNN\tB-NP\tO' +p70042 +aS'by\tby\tIN\tB-PP\tO' +p70043 +aS'disc\tdisc\tNN\tB-NP\tO' +p70044 +aS'bulge\tbulge\tNN\tI-NP\tO' +p70045 +aS'.\t.\t.\tO\tO' +p70046 +asS'Due to atherosclerosis , assessment of the intraluminal process of these branches is limited .' +p70047 +(lp70048 +S'Due\tDue\tJJ\tB-PP\tO' +p70049 +aS'to\tto\tTO\tI-PP\tO' +p70050 +aS'atherosclerosis\tatherosclerosis\tNN\tB-NP\tO' +p70051 +aS',\t,\t,\tO\tO' +p70052 +aS'assessment\tassessment\tNN\tB-NP\tO' +p70053 +aS'of\tof\tIN\tB-PP\tO' +p70054 +aS'the\tthe\tDT\tB-NP\tO' +p70055 +aS'intraluminal\tintraluminal\tJJ\tI-NP\tO' +p70056 +aS'process\tprocess\tNN\tI-NP\tO' +p70057 +aS'of\tof\tIN\tB-PP\tO' +p70058 +aS'these\tthese\tDT\tB-NP\tO' +p70059 +aS'branches\tbranch\tNNS\tI-NP\tO' +p70060 +aS'is\tbe\tVBZ\tB-VP\tO' +p70061 +aS'limited\tlimit\tVBN\tB-ADJP\tO' +p70062 +aS'.\t.\t.\tO\tO' +p70063 +asS'The patient is widowed .' +p70064 +(lp70065 +S'The\tThe\tDT\tB-NP\tO' +p70066 +aS'patient\tpatient\tNN\tI-NP\tO' +p70067 +aS'is\tbe\tVBZ\tB-VP\tO' +p70068 +aS'widowed\twidow\tVBN\tI-VP\tO' +p70069 +aS'.\t.\t.\tO\tO' +p70070 +asS'Dictated By : Troy X. Hall , M.D.' +p70071 +(lp70072 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p70073 +aS'By\tBy\tIN\tB-PP\tO' +p70074 +aS':\t:\t:\tO\tO' +p70075 +aS'Troy\tTroy\tNNP\tB-NP\tO' +p70076 +aS'X.\tX.\tNNP\tI-NP\tO' +p70077 +aS'Hall\tHall\tNNP\tI-NP\tO' +p70078 +aS',\t,\t,\tO\tO' +p70079 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p70080 +asS'Abdomen soft , nontender , nondistended , active bowel sounds .' +p70081 +(lp70082 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p70083 +aS'soft\tsoft\tJJ\tI-NP\tO' +p70084 +aS',\t,\t,\tI-NP\tO' +p70085 +aS'nontender\tnontender\tJJ\tI-NP\tO' +p70086 +aS',\t,\t,\tI-NP\tO' +p70087 +aS'nondistended\tnondistended\tJJ\tI-NP\tO' +p70088 +aS',\t,\t,\tI-NP\tO' +p70089 +aS'active\tactive\tJJ\tI-NP\tO' +p70090 +aS'bowel\tbowel\tNN\tI-NP\tO' +p70091 +aS'sounds\tsound\tNNS\tI-NP\tO' +p70092 +aS'.\t.\t.\tO\tO' +p70093 +asS'He will have outpt fitting at the sleep center in Sabo .' +p70094 +(lp70095 +S'He\tHe\tPRP\tB-NP\tO' +p70096 +aS'will\twill\tMD\tB-VP\tO' +p70097 +aS'have\thave\tVB\tI-VP\tO' +p70098 +aS'outpt\toutpt\tJJ\tB-NP\tO' +p70099 +aS'fitting\tfitting\tNN\tI-NP\tO' +p70100 +aS'at\tat\tIN\tB-PP\tO' +p70101 +aS'the\tthe\tDT\tB-NP\tO' +p70102 +aS'sleep\tsleep\tJJ\tI-NP\tO' +p70103 +aS'center\tcenter\tNN\tI-NP\tO' +p70104 +aS'in\tin\tIN\tB-PP\tO' +p70105 +aS'Sabo\tSabo\tNNP\tB-NP\tO' +p70106 +aS'.\t.\t.\tO\tO' +p70107 +asS'15. Metoprolol Succinate 25 mg Tablet Sustained Release 24HR Sig : One ( 1 ) Tablet Sustained Release 24HR PO DAILY ( Daily ).' +p70108 +(lp70109 +S'15.\t15.\tLS\tB-NP\tO' +p70110 +aS'Metoprolol\tMetoprolol\tNN\tI-NP\tO' +p70111 +aS'Succinate\tSuccinate\tNN\tI-NP\tO' +p70112 +aS'25\t25\tCD\tI-NP\tO' +p70113 +aS'mg\tmg\tNN\tI-NP\tO' +p70114 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p70115 +aS'Sustained\tSustained\tNNP\tI-NP\tO' +p70116 +aS'Release\tRelease\tNNP\tI-NP\tO' +p70117 +aS'24HR\t24HR\tNN\tI-NP\tO' +p70118 +aS'Sig\tSig\tNNP\tI-NP\tO' +p70119 +aS':\t:\t:\tO\tO' +p70120 +aS'One\tOne\tCD\tB-NP\tO' +p70121 +aS'(\t(\t(\tO\tO' +p70122 +aS'1\t1\tCD\tB-NP\tO' +p70123 +aS')\t)\t)\tO\tO' +p70124 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p70125 +aS'Sustained\tSustain\tVBD\tB-VP\tO' +p70126 +aS'Release\tRelease\tNN\tB-NP\tO' +p70127 +aS'24HR\t24HR\tNN\tI-NP\tO' +p70128 +aS'PO\tPO\tNN\tI-NP\tO' +p70129 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p70130 +aS'(\t(\t(\tO\tO' +p70131 +aS'Daily\tDaily\tNNP\tB-NP\tO' +p70132 +aS').\t).\t)\tO\tO' +p70133 +asS'8. Isosorbide Mononitrate 30 mg Tablet Sustained Release 24 hr Sig : One ( 1 ) Tablet Sustained Release 24 hr PO DAILY ( Daily ).' +p70134 +(lp70135 +S'8.\t8.\tCD\tB-NP\tO' +p70136 +aS'Isosorbide\tIsosorbide\tNNP\tI-NP\tO' +p70137 +aS'Mononitrate\tMononitrate\tNNP\tI-NP\tO' +p70138 +aS'30\t30\tCD\tI-NP\tO' +p70139 +aS'mg\tmg\tNN\tI-NP\tO' +p70140 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p70141 +aS'Sustained\tSustain\tVBD\tB-VP\tO' +p70142 +aS'Release\tRelease\tNNP\tB-NP\tO' +p70143 +aS'24\t24\tCD\tI-NP\tO' +p70144 +aS'hr\thr\tNN\tI-NP\tO' +p70145 +aS'Sig\tSig\tNNP\tI-NP\tO' +p70146 +aS':\t:\t:\tO\tO' +p70147 +aS'One\tOne\tCD\tB-NP\tO' +p70148 +aS'(\t(\t(\tO\tO' +p70149 +aS'1\t1\tCD\tB-NP\tO' +p70150 +aS')\t)\t)\tO\tO' +p70151 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p70152 +aS'Sustained\tSustain\tVBD\tB-VP\tO' +p70153 +aS'Release\tRelease\tNNP\tB-NP\tO' +p70154 +aS'24\t24\tCD\tI-NP\tO' +p70155 +aS'hr\thr\tNN\tI-NP\tO' +p70156 +aS'PO\tPO\tNN\tI-NP\tO' +p70157 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p70158 +aS'(\t(\t(\tO\tO' +p70159 +aS'Daily\tDaily\tNNP\tB-NP\tO' +p70160 +aS').\t).\t)\tO\tO' +p70161 +asS'The abdomen was soft and nontender with a palpable liver edge and the pulses were diminished .' +p70162 +(lp70163 +S'The\tThe\tDT\tB-NP\tO' +p70164 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p70165 +aS'was\tbe\tVBD\tB-VP\tO' +p70166 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p70167 +aS'and\tand\tCC\tI-ADJP\tO' +p70168 +aS'nontender\tnontender\tJJ\tI-ADJP\tO' +p70169 +aS'with\twith\tIN\tB-PP\tO' +p70170 +aS'a\ta\tDT\tB-NP\tO' +p70171 +aS'palpable\tpalpable\tJJ\tI-NP\tO' +p70172 +aS'liver\tliver\tNN\tI-NP\tO' +p70173 +aS'edge\tedge\tNN\tI-NP\tO' +p70174 +aS'and\tand\tCC\tO\tO' +p70175 +aS'the\tthe\tDT\tB-NP\tO' +p70176 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p70177 +aS'were\tbe\tVBD\tB-VP\tO' +p70178 +aS'diminished\tdiminish\tVBN\tI-VP\tO' +p70179 +aS'.\t.\t.\tO\tO' +p70180 +asS'No family history of heart disease or cancer' +p70181 +(lp70182 +S'No\tNo\tDT\tB-NP\tO' +p70183 +aS'family\tfamily\tNN\tI-NP\tO' +p70184 +aS'history\thistory\tNN\tI-NP\tO' +p70185 +aS'of\tof\tIN\tB-PP\tO' +p70186 +aS'heart\theart\tNN\tB-NP\tO' +p70187 +aS'disease\tdisease\tNN\tI-NP\tO' +p70188 +aS'or\tor\tCC\tO\tO' +p70189 +aS'cancer\tcancer\tNN\tB-NP\tO' +p70190 +asS'Electrocardiogram revealed Q-waves in leads II , III and AVF .' +p70191 +(lp70192 +S'Electrocardiogram\tElectrocardiogram\tNNP\tB-NP\tO' +p70193 +aS'revealed\treveal\tVBD\tB-VP\tO' +p70194 +aS'Q-waves\tQ-wave\tNNS\tB-NP\tO' +p70195 +aS'in\tin\tIN\tB-PP\tO' +p70196 +aS'leads\tlead\tNNS\tB-NP\tO' +p70197 +aS'II\tII\tCD\tI-NP\tO' +p70198 +aS',\t,\t,\tI-NP\tO' +p70199 +aS'III\tIII\tCD\tI-NP\tO' +p70200 +aS'and\tand\tCC\tO\tO' +p70201 +aS'AVF\tAVF\tNN\tB-NP\tB-protein' +p70202 +aS'.\t.\t.\tO\tO' +p70203 +asS'Dilaudid 2 to 4 mg po q3h prn pain , Ativan 1 mg po q12h prn anxiety , Zofran 8 mg po q8h prn nausea , Compazine 10 mg po q6h prn nausea , Decadron 20 mg po q6h x 2 doses .' +p70204 +(lp70205 +S'Dilaudid\tDilaudid\tVBD\tB-VP\tO' +p70206 +aS'2\t2\tCD\tB-NP\tO' +p70207 +aS'to\tto\tTO\tI-NP\tO' +p70208 +aS'4\t4\tCD\tI-NP\tO' +p70209 +aS'mg\tmg\tNN\tI-NP\tO' +p70210 +aS'po\tpo\tNN\tI-NP\tO' +p70211 +aS'q3h\tq3h\tNN\tI-NP\tO' +p70212 +aS'prn\tprn\tNN\tI-NP\tO' +p70213 +aS'pain\tpain\tNN\tI-NP\tO' +p70214 +aS',\t,\t,\tO\tO' +p70215 +aS'Ativan\tAtivan\tNNP\tB-NP\tO' +p70216 +aS'1\t1\tCD\tI-NP\tO' +p70217 +aS'mg\tmg\tNN\tI-NP\tO' +p70218 +aS'po\tpo\tNN\tI-NP\tO' +p70219 +aS'q12h\tq12h\tNN\tI-NP\tO' +p70220 +aS'prn\tprn\tNN\tI-NP\tO' +p70221 +aS'anxiety\tanxiety\tNN\tI-NP\tO' +p70222 +aS',\t,\t,\tO\tO' +p70223 +aS'Zofran\tZofran\tNN\tB-NP\tB-protein' +p70224 +aS'8\t8\tCD\tI-NP\tI-protein' +p70225 +aS'mg\tmg\tNN\tI-NP\tI-protein' +p70226 +aS'po\tpo\tNN\tI-NP\tI-protein' +p70227 +aS'q8h\tq8h\tNN\tI-NP\tI-protein' +p70228 +aS'prn\tprn\tNN\tI-NP\tI-protein' +p70229 +aS'nausea\tnausea\tNN\tI-NP\tI-protein' +p70230 +aS',\t,\t,\tO\tO' +p70231 +aS'Compazine\tCompazine\tNN\tB-NP\tO' +p70232 +aS'10\t10\tCD\tI-NP\tO' +p70233 +aS'mg\tmg\tNN\tI-NP\tO' +p70234 +aS'po\tpo\tNN\tI-NP\tO' +p70235 +aS'q6h\tq6h\tNN\tI-NP\tO' +p70236 +aS'prn\tprn\tNN\tI-NP\tO' +p70237 +aS'nausea\tnausea\tNN\tI-NP\tO' +p70238 +aS',\t,\t,\tO\tO' +p70239 +aS'Decadron\tDecadron\tNNP\tB-NP\tO' +p70240 +aS'20\t20\tCD\tI-NP\tO' +p70241 +aS'mg\tmg\tNN\tI-NP\tO' +p70242 +aS'po\tpo\tNN\tI-NP\tO' +p70243 +aS'q6h\tq6h\tNN\tI-NP\tO' +p70244 +aS'x\tx\tSYM\tB-VP\tO' +p70245 +aS'2\t2\tCD\tB-NP\tO' +p70246 +aS'doses\tdose\tNNS\tI-NP\tO' +p70247 +aS'.\t.\t.\tO\tO' +p70248 +asS'Demerol for pain .' +p70249 +(lp70250 +S'Demerol\tDemerol\tNN\tB-NP\tO' +p70251 +aS'for\tfor\tIN\tB-PP\tO' +p70252 +aS'pain\tpain\tNN\tB-NP\tO' +p70253 +aS'.\t.\t.\tO\tO' +p70254 +asS'Since that time , she has used a cane and she was referred to Dr. Koors .' +p70255 +(lp70256 +S'Since\tSince\tIN\tB-PP\tO' +p70257 +aS'that\tthat\tDT\tB-NP\tO' +p70258 +aS'time\ttime\tNN\tI-NP\tO' +p70259 +aS',\t,\t,\tO\tO' +p70260 +aS'she\tshe\tPRP\tB-NP\tO' +p70261 +aS'has\thave\tVBZ\tB-VP\tO' +p70262 +aS'used\tuse\tVBN\tI-VP\tO' +p70263 +aS'a\ta\tDT\tB-NP\tO' +p70264 +aS'cane\tcane\tNN\tI-NP\tO' +p70265 +aS'and\tand\tCC\tO\tO' +p70266 +aS'she\tshe\tPRP\tB-NP\tO' +p70267 +aS'was\tbe\tVBD\tB-VP\tO' +p70268 +aS'referred\trefer\tVBN\tI-VP\tO' +p70269 +aS'to\tto\tTO\tB-PP\tO' +p70270 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p70271 +aS'Koors\tKoors\tNNP\tI-NP\tO' +p70272 +aS'.\t.\t.\tO\tO' +p70273 +asS'Several loose bowel movements were induced with above regimen .' +p70274 +(lp70275 +S'Several\tSeveral\tJJ\tB-NP\tO' +p70276 +aS'loose\tloose\tJJ\tI-NP\tO' +p70277 +aS'bowel\tbowel\tNN\tI-NP\tO' +p70278 +aS'movements\tmovement\tNNS\tI-NP\tO' +p70279 +aS'were\tbe\tVBD\tB-VP\tO' +p70280 +aS'induced\tinduce\tVBN\tI-VP\tO' +p70281 +aS'with\twith\tIN\tB-PP\tO' +p70282 +aS'above\tabove\tJJ\tB-NP\tO' +p70283 +aS'regimen\tregimen\tNN\tI-NP\tO' +p70284 +aS'.\t.\t.\tO\tO' +p70285 +asS'In the ICU the pt remained stuporous , responsive to painful stimuli .' +p70286 +(lp70287 +S'In\tIn\tIN\tB-PP\tO' +p70288 +aS'the\tthe\tDT\tB-NP\tO' +p70289 +aS'ICU\tICU\tNN\tI-NP\tO' +p70290 +aS'the\tthe\tDT\tB-NP\tO' +p70291 +aS'pt\tpt\tNN\tI-NP\tO' +p70292 +aS'remained\tremain\tVBD\tB-VP\tO' +p70293 +aS'stuporous\tstuporous\tJJ\tB-ADJP\tO' +p70294 +aS',\t,\t,\tO\tO' +p70295 +aS'responsive\tresponsive\tJJ\tB-ADJP\tO' +p70296 +aS'to\tto\tTO\tB-PP\tO' +p70297 +aS'painful\tpainful\tJJ\tB-NP\tO' +p70298 +aS'stimuli\tstimulus\tNNS\tI-NP\tO' +p70299 +aS'.\t.\t.\tO\tO' +p70300 +asS'EKG and LFTs should be monitored by his PCP , William given the high dose of amiodarone he will receive .' +p70301 +(lp70302 +S'EKG\tEKG\tNN\tB-NP\tB-protein' +p70303 +aS'and\tand\tCC\tI-NP\tO' +p70304 +aS'LFTs\tLFT\tNNS\tI-NP\tB-protein' +p70305 +aS'should\tshould\tMD\tB-VP\tO' +p70306 +aS'be\tbe\tVB\tI-VP\tO' +p70307 +aS'monitored\tmonitor\tVBN\tI-VP\tO' +p70308 +aS'by\tby\tIN\tB-PP\tO' +p70309 +aS'his\this\tPRP$\tB-NP\tO' +p70310 +aS'PCP\tPCP\tNN\tI-NP\tB-DNA' +p70311 +aS',\t,\t,\tO\tO' +p70312 +aS'William\tWilliam\tNNP\tB-NP\tO' +p70313 +aS'given\tgive\tVBN\tB-PP\tO' +p70314 +aS'the\tthe\tDT\tB-NP\tO' +p70315 +aS'high\thigh\tJJ\tI-NP\tO' +p70316 +aS'dose\tdose\tNN\tI-NP\tO' +p70317 +aS'of\tof\tIN\tB-PP\tO' +p70318 +aS'amiodarone\tamiodarone\tNN\tB-NP\tO' +p70319 +aS'he\the\tPRP\tB-NP\tO' +p70320 +aS'will\twill\tMD\tB-VP\tO' +p70321 +aS'receive\treceive\tVB\tI-VP\tO' +p70322 +aS'.\t.\t.\tO\tO' +p70323 +asS'3. Sepsis presumed pulmonary source .' +p70324 +(lp70325 +S'3.\t3.\tLS\tB-NP\tO' +p70326 +aS'Sepsis\tSepsis\tNN\tI-NP\tO' +p70327 +aS'presumed\tpresumed\tJJ\tI-NP\tO' +p70328 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p70329 +aS'source\tsource\tNN\tI-NP\tO' +p70330 +aS'.\t.\t.\tO\tO' +p70331 +asS'carcinoma of the kidney , hypovolemia , metastatic liver disease and intrathoracic lymphadenopathy .' +p70332 +(lp70333 +S'carcinoma\tcarcinoma\tNN\tB-NP\tO' +p70334 +aS'of\tof\tIN\tB-PP\tO' +p70335 +aS'the\tthe\tDT\tB-NP\tO' +p70336 +aS'kidney\tkidney\tNN\tI-NP\tO' +p70337 +aS',\t,\t,\tO\tO' +p70338 +aS'hypovolemia\thypovolemia\tNN\tB-NP\tO' +p70339 +aS',\t,\t,\tO\tO' +p70340 +aS'metastatic\tmetastatic\tJJ\tB-NP\tO' +p70341 +aS'liver\tliver\tNN\tI-NP\tO' +p70342 +aS'disease\tdisease\tNN\tI-NP\tO' +p70343 +aS'and\tand\tCC\tO\tO' +p70344 +aS'intrathoracic\tintrathoracic\tJJ\tB-NP\tO' +p70345 +aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' +p70346 +aS'.\t.\t.\tO\tO' +p70347 +asS'2. Thrush : This is likely secondary to her steroid inhalers and PO prednisone for COPD exacerbation .' +p70348 +(lp70349 +S'2.\t2.\tCD\tB-NP\tO' +p70350 +aS'Thrush\tThrush\tNNP\tI-NP\tO' +p70351 +aS':\t:\t:\tO\tO' +p70352 +aS'This\tThis\tDT\tB-NP\tO' +p70353 +aS'is\tbe\tVBZ\tB-VP\tO' +p70354 +aS'likely\tlikely\tRB\tB-ADJP\tO' +p70355 +aS'secondary\tsecondary\tJJ\tI-ADJP\tO' +p70356 +aS'to\tto\tTO\tB-PP\tO' +p70357 +aS'her\ther\tPRP$\tB-NP\tO' +p70358 +aS'steroid\tsteroid\tJJ\tI-NP\tO' +p70359 +aS'inhalers\tinhaler\tNNS\tI-NP\tO' +p70360 +aS'and\tand\tCC\tO\tO' +p70361 +aS'PO\tPO\tNN\tB-NP\tO' +p70362 +aS'prednisone\tprednisone\tNN\tI-NP\tO' +p70363 +aS'for\tfor\tIN\tB-PP\tO' +p70364 +aS'COPD\tCOPD\tNN\tB-NP\tO' +p70365 +aS'exacerbation\texacerbation\tNN\tI-NP\tO' +p70366 +aS'.\t.\t.\tO\tO' +p70367 +asS'The patient is on no specific medications for his cardiac condition .' +p70368 +(lp70369 +S'The\tThe\tDT\tB-NP\tO' +p70370 +aS'patient\tpatient\tNN\tI-NP\tO' +p70371 +aS'is\tbe\tVBZ\tB-VP\tO' +p70372 +aS'on\ton\tIN\tB-PP\tO' +p70373 +aS'no\tno\tDT\tB-NP\tO' +p70374 +aS'specific\tspecific\tJJ\tI-NP\tO' +p70375 +aS'medications\tmedication\tNNS\tI-NP\tO' +p70376 +aS'for\tfor\tIN\tB-PP\tO' +p70377 +aS'his\this\tPRP$\tB-NP\tO' +p70378 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p70379 +aS'condition\tcondition\tNN\tI-NP\tO' +p70380 +aS'.\t.\t.\tO\tO' +p70381 +asS'4. Recent pancreatitis ; prior history for recurrent pancreatitis 30 years ago from alcohol .' +p70382 +(lp70383 +S'4.\t4.\tLS\tB-NP\tO' +p70384 +aS'Recent\tRecent\tJJ\tI-NP\tO' +p70385 +aS'pancreatitis\tpancreatitis\tNN\tI-NP\tO' +p70386 +aS';\t;\t:\tO\tO' +p70387 +aS'prior\tprior\tJJ\tB-NP\tO' +p70388 +aS'history\thistory\tNN\tI-NP\tO' +p70389 +aS'for\tfor\tIN\tB-PP\tO' +p70390 +aS'recurrent\trecurrent\tJJ\tB-NP\tO' +p70391 +aS'pancreatitis\tpancreatitis\tNN\tI-NP\tO' +p70392 +aS'30\t30\tCD\tB-NP\tO' +p70393 +aS'years\tyear\tNNS\tI-NP\tO' +p70394 +aS'ago\tago\tRB\tB-ADVP\tO' +p70395 +aS'from\tfrom\tIN\tB-PP\tO' +p70396 +aS'alcohol\talcohol\tNN\tB-NP\tO' +p70397 +aS'.\t.\t.\tO\tO' +p70398 +asS'On admission , a CT scan of the head with and without contrast was performed , showing a missing posterior arch at C-1 and metallic clips at the craniocervical junction consistent with prior surgical intervention .' +p70399 +(lp70400 +S'On\tOn\tIN\tB-PP\tO' +p70401 +aS'admission\tadmission\tNN\tB-NP\tO' +p70402 +aS',\t,\t,\tO\tO' +p70403 +aS'a\ta\tDT\tB-NP\tO' +p70404 +aS'CT\tCT\tNN\tI-NP\tO' +p70405 +aS'scan\tscan\tNN\tI-NP\tO' +p70406 +aS'of\tof\tIN\tB-PP\tO' +p70407 +aS'the\tthe\tDT\tB-NP\tO' +p70408 +aS'head\thead\tNN\tI-NP\tO' +p70409 +aS'with\twith\tIN\tB-PP\tO' +p70410 +aS'and\tand\tCC\tO\tO' +p70411 +aS'without\twithout\tIN\tB-PP\tO' +p70412 +aS'contrast\tcontrast\tNN\tB-NP\tO' +p70413 +aS'was\tbe\tVBD\tB-VP\tO' +p70414 +aS'performed\tperform\tVBN\tI-VP\tO' +p70415 +aS',\t,\t,\tO\tO' +p70416 +aS'showing\tshow\tVBG\tB-VP\tO' +p70417 +aS'a\ta\tDT\tB-NP\tO' +p70418 +aS'missing\tmiss\tVBG\tI-NP\tO' +p70419 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p70420 +aS'arch\tarch\tNN\tI-NP\tO' +p70421 +aS'at\tat\tIN\tB-PP\tO' +p70422 +aS'C-1\tC-1\tNN\tB-NP\tB-protein' +p70423 +aS'and\tand\tCC\tO\tO' +p70424 +aS'metallic\tmetallic\tJJ\tB-NP\tO' +p70425 +aS'clips\tclip\tNNS\tI-NP\tO' +p70426 +aS'at\tat\tIN\tB-PP\tO' +p70427 +aS'the\tthe\tDT\tB-NP\tO' +p70428 +aS'craniocervical\tcraniocervical\tJJ\tI-NP\tO' +p70429 +aS'junction\tjunction\tNN\tI-NP\tO' +p70430 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p70431 +aS'with\twith\tIN\tB-PP\tO' +p70432 +aS'prior\tprior\tJJ\tB-NP\tO' +p70433 +aS'surgical\tsurgical\tJJ\tI-NP\tO' +p70434 +aS'intervention\tintervention\tNN\tI-NP\tO' +p70435 +aS'.\t.\t.\tO\tO' +p70436 +asS'Her sputum then grew out Klebsiella and she was treated with amikacin and imipenem .' +p70437 +(lp70438 +S'Her\tHer\tPRP$\tB-NP\tO' +p70439 +aS'sputum\tsputum\tNN\tI-NP\tO' +p70440 +aS'then\tthen\tRB\tB-ADVP\tO' +p70441 +aS'grew\tgrow\tVBD\tB-VP\tO' +p70442 +aS'out\tout\tRP\tB-PRT\tO' +p70443 +aS'Klebsiella\tKlebsiella\tNNP\tB-NP\tO' +p70444 +aS'and\tand\tCC\tO\tO' +p70445 +aS'she\tshe\tPRP\tB-NP\tO' +p70446 +aS'was\tbe\tVBD\tB-VP\tO' +p70447 +aS'treated\ttreat\tVBN\tI-VP\tO' +p70448 +aS'with\twith\tIN\tB-PP\tO' +p70449 +aS'amikacin\tamikacin\tNN\tB-NP\tO' +p70450 +aS'and\tand\tCC\tI-NP\tO' +p70451 +aS'imipenem\timipenem\tNN\tI-NP\tO' +p70452 +aS'.\t.\t.\tO\tO' +p70453 +asS'The patient describes whole body numbness .' +p70454 +(lp70455 +S'The\tThe\tDT\tB-NP\tO' +p70456 +aS'patient\tpatient\tNN\tI-NP\tO' +p70457 +aS'describes\tdescribe\tVBZ\tB-VP\tO' +p70458 +aS'whole\twhole\tJJ\tB-NP\tO' +p70459 +aS'body\tbody\tNN\tI-NP\tO' +p70460 +aS'numbness\tnumbness\tNN\tI-NP\tO' +p70461 +aS'.\t.\t.\tO\tO' +p70462 +asS'Make an appointment with Dr. Mclaughlin in neurology clinic for 4 weeks .' +p70463 +(lp70464 +S'Make\tMake\tVB\tB-VP\tO' +p70465 +aS'an\tan\tDT\tB-NP\tO' +p70466 +aS'appointment\tappointment\tNN\tI-NP\tO' +p70467 +aS'with\twith\tIN\tB-PP\tO' +p70468 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p70469 +aS'Mclaughlin\tMclaughlin\tNNP\tI-NP\tO' +p70470 +aS'in\tin\tIN\tB-PP\tO' +p70471 +aS'neurology\tneurology\tNN\tB-NP\tO' +p70472 +aS'clinic\tclinic\tNN\tI-NP\tO' +p70473 +aS'for\tfor\tIN\tB-PP\tO' +p70474 +aS'4\t4\tCD\tB-NP\tO' +p70475 +aS'weeks\tweek\tNNS\tI-NP\tO' +p70476 +aS'.\t.\t.\tO\tO' +p70477 +asS'Cardiovascular has been hemodynamically stable throughout hospital stay .' +p70478 +(lp70479 +S'Cardiovascular\tCardiovascular\tNNP\tB-NP\tO' +p70480 +aS'has\thave\tVBZ\tB-VP\tO' +p70481 +aS'been\tbe\tVBN\tI-VP\tO' +p70482 +aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' +p70483 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p70484 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p70485 +aS'hospital\thospital\tNN\tB-NP\tO' +p70486 +aS'stay\tstay\tNN\tI-NP\tO' +p70487 +aS'.\t.\t.\tO\tO' +p70488 +asS'The patient , at this time , was started on Statin and developed in arthritis approximately one month later with joint pain , myalgia and fatigue .' +p70489 +(lp70490 +S'The\tThe\tDT\tB-NP\tO' +p70491 +aS'patient\tpatient\tNN\tI-NP\tO' +p70492 +aS',\t,\t,\tO\tO' +p70493 +aS'at\tat\tIN\tB-PP\tO' +p70494 +aS'this\tthis\tDT\tB-NP\tO' +p70495 +aS'time\ttime\tNN\tI-NP\tO' +p70496 +aS',\t,\t,\tO\tO' +p70497 +aS'was\tbe\tVBD\tB-VP\tO' +p70498 +aS'started\tstart\tVBN\tI-VP\tO' +p70499 +aS'on\ton\tIN\tB-PP\tO' +p70500 +aS'Statin\tStatin\tNN\tB-NP\tB-protein' +p70501 +aS'and\tand\tCC\tO\tO' +p70502 +aS'developed\tdevelop\tVBN\tB-VP\tO' +p70503 +aS'in\tin\tIN\tB-PP\tO' +p70504 +aS'arthritis\tarthritis\tNN\tB-NP\tO' +p70505 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p70506 +aS'one\tone\tCD\tI-NP\tO' +p70507 +aS'month\tmonth\tNN\tI-NP\tO' +p70508 +aS'later\tlater\tRB\tB-ADVP\tO' +p70509 +aS'with\twith\tIN\tB-PP\tO' +p70510 +aS'joint\tjoint\tJJ\tB-NP\tO' +p70511 +aS'pain\tpain\tNN\tI-NP\tO' +p70512 +aS',\t,\t,\tI-NP\tO' +p70513 +aS'myalgia\tmyalgia\tNN\tI-NP\tO' +p70514 +aS'and\tand\tCC\tI-NP\tO' +p70515 +aS'fatigue\tfatigue\tNN\tI-NP\tO' +p70516 +aS'.\t.\t.\tO\tO' +p70517 +asS'The patient is to follow-up with Dr. Herrick in four weeks time .' +p70518 +(lp70519 +S'The\tThe\tDT\tB-NP\tO' +p70520 +aS'patient\tpatient\tNN\tI-NP\tO' +p70521 +aS'is\tbe\tVBZ\tB-VP\tO' +p70522 +aS'to\tto\tTO\tB-VP\tO' +p70523 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p70524 +aS'with\twith\tIN\tB-PP\tO' +p70525 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p70526 +aS'Herrick\tHerrick\tNNP\tI-NP\tO' +p70527 +aS'in\tin\tIN\tB-PP\tO' +p70528 +aS'four\tfour\tCD\tB-NP\tO' +p70529 +aS'weeks\tweek\tNNS\tI-NP\tO' +p70530 +aS'time\ttime\tNN\tI-NP\tO' +p70531 +aS'.\t.\t.\tO\tO' +p70532 +asS'She had an upper endoscopy at Va Sit Namar Healthcare showing an esophagus filled with clots and small amount of bleeding varices , clot in the stomach with antral gastritis , and a normal duodenum .' +p70533 +(lp70534 +S'She\tShe\tPRP\tB-NP\tO' +p70535 +aS'had\thave\tVBD\tB-VP\tO' +p70536 +aS'an\tan\tDT\tB-NP\tO' +p70537 +aS'upper\tupper\tJJ\tI-NP\tO' +p70538 +aS'endoscopy\tendoscopy\tNN\tI-NP\tO' +p70539 +aS'at\tat\tIN\tB-PP\tO' +p70540 +aS'Va\tVa\tNNP\tB-NP\tO' +p70541 +aS'Sit\tSit\tNNP\tI-NP\tO' +p70542 +aS'Namar\tNamar\tNNP\tI-NP\tO' +p70543 +aS'Healthcare\tHealthcare\tNNP\tI-NP\tO' +p70544 +aS'showing\tshow\tVBG\tB-VP\tO' +p70545 +aS'an\tan\tDT\tB-NP\tO' +p70546 +aS'esophagus\tesophagus\tNN\tI-NP\tO' +p70547 +aS'filled\tfill\tVBN\tB-VP\tO' +p70548 +aS'with\twith\tIN\tB-PP\tO' +p70549 +aS'clots\tclot\tNNS\tB-NP\tO' +p70550 +aS'and\tand\tCC\tO\tO' +p70551 +aS'small\tsmall\tJJ\tB-NP\tO' +p70552 +aS'amount\tamount\tNN\tI-NP\tO' +p70553 +aS'of\tof\tIN\tB-PP\tO' +p70554 +aS'bleeding\tbleed\tVBG\tB-NP\tO' +p70555 +aS'varices\tvarix\tNNS\tI-NP\tO' +p70556 +aS',\t,\t,\tO\tO' +p70557 +aS'clot\tclot\tNN\tB-NP\tO' +p70558 +aS'in\tin\tIN\tB-PP\tO' +p70559 +aS'the\tthe\tDT\tB-NP\tO' +p70560 +aS'stomach\tstomach\tNN\tI-NP\tO' +p70561 +aS'with\twith\tIN\tB-PP\tO' +p70562 +aS'antral\tantral\tJJ\tB-NP\tO' +p70563 +aS'gastritis\tgastritis\tNN\tI-NP\tO' +p70564 +aS',\t,\t,\tO\tO' +p70565 +aS'and\tand\tCC\tO\tO' +p70566 +aS'a\ta\tDT\tB-NP\tO' +p70567 +aS'normal\tnormal\tJJ\tI-NP\tO' +p70568 +aS'duodenum\tduodenum\tNN\tI-NP\tO' +p70569 +aS'.\t.\t.\tO\tO' +p70570 +asS'On postoperative check , he was doing well .' +p70571 +(lp70572 +S'On\tOn\tIN\tB-PP\tO' +p70573 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p70574 +aS'check\tcheck\tNN\tI-NP\tO' +p70575 +aS',\t,\t,\tO\tO' +p70576 +aS'he\the\tPRP\tB-NP\tO' +p70577 +aS'was\tbe\tVBD\tB-VP\tO' +p70578 +aS'doing\tdo\tVBG\tI-VP\tO' +p70579 +aS'well\twell\tRB\tB-ADVP\tO' +p70580 +aS'.\t.\t.\tO\tO' +p70581 +asS'On 2019-04-12 he was transfused with 2 units of packed red blood cells due to post-operative anemia .' +p70582 +(lp70583 +S'On\tOn\tIN\tB-PP\tO' +p70584 +aS'2019-04-12\t2019-04-12\tCD\tB-NP\tO' +p70585 +aS'he\the\tPRP\tB-NP\tO' +p70586 +aS'was\tbe\tVBD\tB-VP\tO' +p70587 +aS'transfused\ttransfuse\tVBN\tI-VP\tO' +p70588 +aS'with\twith\tIN\tB-PP\tO' +p70589 +aS'2\t2\tCD\tB-NP\tO' +p70590 +aS'units\tunit\tNNS\tI-NP\tO' +p70591 +aS'of\tof\tIN\tB-PP\tO' +p70592 +aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' +p70593 +aS'red\tred\tJJ\tI-NP\tI-cell_type' +p70594 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p70595 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p70596 +aS'due\tdue\tJJ\tB-ADJP\tO' +p70597 +aS'to\tto\tTO\tB-PP\tO' +p70598 +aS'post-operative\tpost-operative\tJJ\tB-NP\tO' +p70599 +aS'anemia\tanemia\tNN\tI-NP\tO' +p70600 +aS'.\t.\t.\tO\tO' +p70601 +asS'2. Humalog sliding scale insulin for fingerstick blood glucose 151-200 2 units ; 201-250 4 units ; 251-300 6 units ; 301-350 8 units ; 351-400 10 units ; greater than 400 12 units .' +p70602 +(lp70603 +S'2.\t2.\tLS\tB-LST\tO' +p70604 +aS'Humalog\tHumalog\tNN\tB-NP\tB-protein' +p70605 +aS'sliding\tslide\tVBG\tB-VP\tI-protein' +p70606 +aS'scale\tscale\tNN\tB-NP\tI-protein' +p70607 +aS'insulin\tinsulin\tNN\tI-NP\tI-protein' +p70608 +aS'for\tfor\tIN\tB-PP\tO' +p70609 +aS'fingerstick\tfingerstick\tNN\tB-NP\tB-protein' +p70610 +aS'blood\tblood\tNN\tI-NP\tI-protein' +p70611 +aS'glucose\tglucose\tNN\tI-NP\tI-protein' +p70612 +aS'151-200\t151-200\tCD\tI-NP\tI-protein' +p70613 +aS'2\t2\tCD\tI-NP\tI-protein' +p70614 +aS'units\tunit\tNNS\tI-NP\tI-protein' +p70615 +aS';\t;\t:\tO\tO' +p70616 +aS'201-250\t201-250\tCD\tB-NP\tO' +p70617 +aS'4\t4\tCD\tI-NP\tO' +p70618 +aS'units\tunit\tNNS\tI-NP\tO' +p70619 +aS';\t;\t:\tO\tO' +p70620 +aS'251-300\t251-300\tCD\tB-NP\tO' +p70621 +aS'6\t6\tCD\tI-NP\tO' +p70622 +aS'units\tunit\tNNS\tI-NP\tO' +p70623 +aS';\t;\t:\tO\tO' +p70624 +aS'301-350\t301-350\tCD\tB-NP\tO' +p70625 +aS'8\t8\tCD\tI-NP\tO' +p70626 +aS'units\tunit\tNNS\tI-NP\tO' +p70627 +aS';\t;\t:\tO\tO' +p70628 +aS'351-400\t351-400\tCD\tB-NP\tO' +p70629 +aS'10\t10\tCD\tI-NP\tO' +p70630 +aS'units\tunit\tNNS\tI-NP\tO' +p70631 +aS';\t;\t:\tO\tO' +p70632 +aS'greater\tgreat\tJJR\tB-NP\tO' +p70633 +aS'than\tthan\tIN\tI-NP\tO' +p70634 +aS'400\t400\tCD\tI-NP\tB-DNA' +p70635 +aS'12\t12\tCD\tI-NP\tI-DNA' +p70636 +aS'units\tunit\tNNS\tI-NP\tI-DNA' +p70637 +aS'.\t.\t.\tO\tO' +p70638 +asS'Urinary tract infection , E. Coli .' +p70639 +(lp70640 +S'Urinary\tUrinary\tJJ\tB-NP\tO' +p70641 +aS'tract\ttract\tNN\tI-NP\tO' +p70642 +aS'infection\tinfection\tNN\tI-NP\tO' +p70643 +aS',\t,\t,\tO\tO' +p70644 +aS'E.\tE.\tNNP\tB-NP\tO' +p70645 +aS'Coli\tColi\tNNP\tI-NP\tO' +p70646 +aS'.\t.\t.\tO\tO' +p70647 +asS'9-Catheter tip infections .' +p70648 +(lp70649 +S'9-Catheter\t9-Catheter\tJJ\tB-NP\tO' +p70650 +aS'tip\ttip\tNN\tI-NP\tO' +p70651 +aS'infections\tinfection\tNNS\tI-NP\tO' +p70652 +aS'.\t.\t.\tO\tO' +p70653 +asS'Given the presence of consolidation on chest x-ray , however , and previous history of pneumonia , the patient was maintained on antibiotics of Zithromax 500 mg daily and ceftriaxone .' +p70654 +(lp70655 +S'Given\tGive\tVBN\tB-PP\tO' +p70656 +aS'the\tthe\tDT\tB-NP\tO' +p70657 +aS'presence\tpresence\tNN\tI-NP\tO' +p70658 +aS'of\tof\tIN\tB-PP\tO' +p70659 +aS'consolidation\tconsolidation\tNN\tB-NP\tO' +p70660 +aS'on\ton\tIN\tB-PP\tO' +p70661 +aS'chest\tchest\tNN\tB-NP\tO' +p70662 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p70663 +aS',\t,\t,\tO\tO' +p70664 +aS'however\thowever\tRB\tB-ADVP\tO' +p70665 +aS',\t,\t,\tO\tO' +p70666 +aS'and\tand\tCC\tO\tO' +p70667 +aS'previous\tprevious\tJJ\tB-NP\tO' +p70668 +aS'history\thistory\tNN\tI-NP\tO' +p70669 +aS'of\tof\tIN\tB-PP\tO' +p70670 +aS'pneumonia\tpneumonia\tNN\tB-NP\tO' +p70671 +aS',\t,\t,\tO\tO' +p70672 +aS'the\tthe\tDT\tB-NP\tO' +p70673 +aS'patient\tpatient\tNN\tI-NP\tO' +p70674 +aS'was\tbe\tVBD\tB-VP\tO' +p70675 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p70676 +aS'on\ton\tIN\tB-PP\tO' +p70677 +aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' +p70678 +aS'of\tof\tIN\tB-PP\tO' +p70679 +aS'Zithromax\tZithromax\tNN\tB-NP\tO' +p70680 +aS'500\t500\tCD\tI-NP\tO' +p70681 +aS'mg\tmg\tNN\tI-NP\tO' +p70682 +aS'daily\tdaily\tJJ\tI-NP\tO' +p70683 +aS'and\tand\tCC\tI-NP\tO' +p70684 +aS'ceftriaxone\tceftriaxone\tNN\tI-NP\tO' +p70685 +aS'.\t.\t.\tO\tO' +p70686 +asS'She was noted , on 06/16 , to have numerous erythematous maculopapules on her back and chest .' +p70687 +(lp70688 +S'She\tShe\tPRP\tB-NP\tO' +p70689 +aS'was\tbe\tVBD\tB-VP\tO' +p70690 +aS'noted\tnote\tVBN\tI-VP\tO' +p70691 +aS',\t,\t,\tO\tO' +p70692 +aS'on\ton\tIN\tB-PP\tO' +p70693 +aS'06/16\t06/16\tCD\tB-NP\tO' +p70694 +aS',\t,\t,\tO\tO' +p70695 +aS'to\tto\tTO\tB-VP\tO' +p70696 +aS'have\thave\tVB\tI-VP\tO' +p70697 +aS'numerous\tnumerous\tJJ\tB-NP\tO' +p70698 +aS'erythematous\terythematous\tJJ\tI-NP\tO' +p70699 +aS'maculopapules\tmaculopapule\tNNS\tI-NP\tO' +p70700 +aS'on\ton\tIN\tB-PP\tO' +p70701 +aS'her\ther\tPRP$\tB-NP\tO' +p70702 +aS'back\tback\tNN\tI-NP\tO' +p70703 +aS'and\tand\tCC\tI-NP\tO' +p70704 +aS'chest\tchest\tNN\tI-NP\tO' +p70705 +aS'.\t.\t.\tO\tO' +p70706 +asS'Baby Boy Timberlake was born to a 25 - year-old G-8 , P-4 to 5 mom with Julie type B positive , antibody negative , hepatitis B surface antigen negative , rubella immune , RPR nonreactive , GBS positive with a history of infrequent prenatal care since 28 weeks time and preterm labor .' +p70707 +(lp70708 +S'Baby\tBaby\tNNP\tB-NP\tO' +p70709 +aS'Boy\tBoy\tNNP\tI-NP\tO' +p70710 +aS'Timberlake\tTimberlake\tNNP\tI-NP\tO' +p70711 +aS'was\tbe\tVBD\tB-VP\tO' +p70712 +aS'born\tbear\tVBN\tI-VP\tO' +p70713 +aS'to\tto\tTO\tB-PP\tO' +p70714 +aS'a\ta\tDT\tB-NP\tO' +p70715 +aS'25\t25\tCD\tI-NP\tO' +p70716 +aS'-\t-\tHYPH\tI-NP\tO' +p70717 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p70718 +aS'G-8\tG-8\tNN\tI-NP\tO' +p70719 +aS',\t,\t,\tO\tO' +p70720 +aS'P-4\tP-4\tNN\tB-NP\tO' +p70721 +aS'to\tto\tTO\tB-PP\tO' +p70722 +aS'5\t5\tCD\tB-NP\tO' +p70723 +aS'mom\tmom\tNN\tI-NP\tO' +p70724 +aS'with\twith\tIN\tB-PP\tO' +p70725 +aS'Julie\tJulie\tNNP\tB-NP\tO' +p70726 +aS'type\ttype\tNN\tI-NP\tO' +p70727 +aS'B\tB\tNN\tI-NP\tO' +p70728 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p70729 +aS',\t,\t,\tO\tO' +p70730 +aS'antibody\tantibody\tNN\tB-NP\tO' +p70731 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p70732 +aS',\t,\t,\tO\tO' +p70733 +aS'hepatitis\thepatitis\tNN\tB-NP\tB-protein' +p70734 +aS'B\tB\tNN\tI-NP\tI-protein' +p70735 +aS'surface\tsurface\tNN\tI-NP\tI-protein' +p70736 +aS'antigen\tantigen\tNN\tI-NP\tI-protein' +p70737 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p70738 +aS',\t,\t,\tO\tO' +p70739 +aS'rubella\trubella\tNN\tB-NP\tO' +p70740 +aS'immune\timmune\tJJ\tB-ADJP\tO' +p70741 +aS',\t,\t,\tO\tO' +p70742 +aS'RPR\tRPR\tNN\tB-NP\tB-protein' +p70743 +aS'nonreactive\tnonreactive\tJJ\tI-NP\tO' +p70744 +aS',\t,\t,\tO\tO' +p70745 +aS'GBS\tGBS\tNNP\tB-NP\tO' +p70746 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p70747 +aS'with\twith\tIN\tB-PP\tO' +p70748 +aS'a\ta\tDT\tB-NP\tO' +p70749 +aS'history\thistory\tNN\tI-NP\tO' +p70750 +aS'of\tof\tIN\tB-PP\tO' +p70751 +aS'infrequent\tinfrequent\tJJ\tB-NP\tO' +p70752 +aS'prenatal\tprenatal\tJJ\tI-NP\tO' +p70753 +aS'care\tcare\tNN\tI-NP\tO' +p70754 +aS'since\tsince\tIN\tB-PP\tO' +p70755 +aS'28\t28\tCD\tB-NP\tO' +p70756 +aS'weeks\tweek\tNNS\tI-NP\tO' +p70757 +aS'time\ttime\tNN\tB-NP\tO' +p70758 +aS'and\tand\tCC\tO\tO' +p70759 +aS'preterm\tpreterm\tJJ\tB-NP\tO' +p70760 +aS'labor\tlabor\tNN\tI-NP\tO' +p70761 +aS'.\t.\t.\tO\tO' +p70762 +asS'She will follow-up with Dr. Koors in approximately five weeks .' +p70763 +(lp70764 +S'She\tShe\tPRP\tB-NP\tO' +p70765 +aS'will\twill\tMD\tB-VP\tO' +p70766 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p70767 +aS'with\twith\tIN\tB-PP\tO' +p70768 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p70769 +aS'Koors\tKoors\tNNP\tI-NP\tO' +p70770 +aS'in\tin\tIN\tB-PP\tO' +p70771 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p70772 +aS'five\tfive\tCD\tI-NP\tO' +p70773 +aS'weeks\tweek\tNNS\tI-NP\tO' +p70774 +aS'.\t.\t.\tO\tO' +p70775 +asS'In addition , the patient received the above-described diagnostic procedures , which demonstrated injuries limited to a posterior scalp laceration , left fractured clavicle , left fractured radius , right thigh hematoma , and right leg laceration .' +p70776 +(lp70777 +S'In\tIn\tIN\tB-PP\tO' +p70778 +aS'addition\taddition\tNN\tB-NP\tO' +p70779 +aS',\t,\t,\tO\tO' +p70780 +aS'the\tthe\tDT\tB-NP\tO' +p70781 +aS'patient\tpatient\tNN\tI-NP\tO' +p70782 +aS'received\treceive\tVBD\tB-VP\tO' +p70783 +aS'the\tthe\tDT\tB-NP\tO' +p70784 +aS'above-described\tabove-described\tJJ\tI-NP\tO' +p70785 +aS'diagnostic\tdiagnostic\tJJ\tI-NP\tO' +p70786 +aS'procedures\tprocedure\tNNS\tI-NP\tO' +p70787 +aS',\t,\t,\tO\tO' +p70788 +aS'which\twhich\tWDT\tB-NP\tO' +p70789 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p70790 +aS'injuries\tinjury\tNNS\tB-NP\tO' +p70791 +aS'limited\tlimit\tVBN\tB-VP\tO' +p70792 +aS'to\tto\tTO\tB-PP\tO' +p70793 +aS'a\ta\tDT\tB-NP\tO' +p70794 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p70795 +aS'scalp\tscalp\tNN\tI-NP\tO' +p70796 +aS'laceration\tlaceration\tNN\tI-NP\tO' +p70797 +aS',\t,\t,\tO\tO' +p70798 +aS'left\tleave\tVBD\tB-VP\tO' +p70799 +aS'fractured\tfractured\tJJ\tB-NP\tO' +p70800 +aS'clavicle\tclavicle\tNN\tI-NP\tO' +p70801 +aS',\t,\t,\tO\tO' +p70802 +aS'left\tleave\tVBD\tB-VP\tO' +p70803 +aS'fractured\tfractured\tJJ\tB-NP\tO' +p70804 +aS'radius\tradius\tNN\tI-NP\tO' +p70805 +aS',\t,\t,\tO\tO' +p70806 +aS'right\tright\tJJ\tB-NP\tO' +p70807 +aS'thigh\tthigh\tNN\tI-NP\tO' +p70808 +aS'hematoma\thematoma\tNN\tI-NP\tO' +p70809 +aS',\t,\t,\tO\tO' +p70810 +aS'and\tand\tCC\tO\tO' +p70811 +aS'right\tright\tJJ\tB-NP\tO' +p70812 +aS'leg\tleg\tNN\tI-NP\tO' +p70813 +aS'laceration\tlaceration\tNN\tI-NP\tO' +p70814 +aS'.\t.\t.\tO\tO' +p70815 +asS'Clips in the left axilla demonstrate prior lymph node dissection .' +p70816 +(lp70817 +S'Clips\tClip\tNNS\tB-NP\tO' +p70818 +aS'in\tin\tIN\tB-PP\tO' +p70819 +aS'the\tthe\tDT\tB-NP\tO' +p70820 +aS'left\tleft\tJJ\tI-NP\tO' +p70821 +aS'axilla\taxilla\tNN\tI-NP\tO' +p70822 +aS'demonstrate\tdemonstrate\tVBP\tB-VP\tO' +p70823 +aS'prior\tprior\tJJ\tB-NP\tO' +p70824 +aS'lymph\tlymph\tNN\tI-NP\tO' +p70825 +aS'node\tnode\tNN\tI-NP\tO' +p70826 +aS'dissection\tdissection\tNN\tI-NP\tO' +p70827 +aS'.\t.\t.\tO\tO' +p70828 +asS'8. Status post acute renal failure .' +p70829 +(lp70830 +S'8.\t8.\tCD\tB-NP\tO' +p70831 +aS'Status\tStatus\tNNP\tI-NP\tO' +p70832 +aS'post\tpost\tIN\tB-PP\tO' +p70833 +aS'acute\tacute\tJJ\tB-NP\tO' +p70834 +aS'renal\trenal\tJJ\tI-NP\tO' +p70835 +aS'failure\tfailure\tNN\tI-NP\tO' +p70836 +aS'.\t.\t.\tO\tO' +p70837 +asS'3. SubQ Heparin 5,000 units t.i.d.' +p70838 +(lp70839 +S'3.\t3.\tLS\tB-NP\tO' +p70840 +aS'SubQ\tSubQ\tNN\tI-NP\tO' +p70841 +aS'Heparin\tHeparin\tNN\tI-NP\tO' +p70842 +aS'5,000\t5,000\tCD\tB-NP\tO' +p70843 +aS'units\tunit\tNNS\tI-NP\tO' +p70844 +aS't.i.d.\tt.i.d.\tRB\tB-ADVP\tO' +p70845 +asS'An MRI was performed upon admission and showed an epidural mass at the right posterior lateral T9 to T12 area invading the neural foramina .' +p70846 +(lp70847 +S'An\tAn\tDT\tB-NP\tO' +p70848 +aS'MRI\tMRI\tNN\tI-NP\tB-protein' +p70849 +aS'was\tbe\tVBD\tB-VP\tO' +p70850 +aS'performed\tperform\tVBN\tI-VP\tO' +p70851 +aS'upon\tupon\tIN\tB-PP\tO' +p70852 +aS'admission\tadmission\tNN\tB-NP\tO' +p70853 +aS'and\tand\tCC\tO\tO' +p70854 +aS'showed\tshow\tVBD\tB-VP\tO' +p70855 +aS'an\tan\tDT\tB-NP\tO' +p70856 +aS'epidural\tepidural\tJJ\tI-NP\tO' +p70857 +aS'mass\tmass\tNN\tI-NP\tO' +p70858 +aS'at\tat\tIN\tB-PP\tO' +p70859 +aS'the\tthe\tDT\tB-NP\tO' +p70860 +aS'right\tright\tJJ\tI-NP\tO' +p70861 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p70862 +aS'lateral\tlateral\tJJ\tI-NP\tO' +p70863 +aS'T9\tT9\tNN\tI-NP\tO' +p70864 +aS'to\tto\tTO\tB-PP\tO' +p70865 +aS'T12\tT12\tNN\tB-NP\tO' +p70866 +aS'area\tarea\tNN\tI-NP\tO' +p70867 +aS'invading\tinvade\tVBG\tB-VP\tO' +p70868 +aS'the\tthe\tDT\tB-NP\tO' +p70869 +aS'neural\tneural\tJJ\tI-NP\tO' +p70870 +aS'foramina\tforamina\tNN\tI-NP\tO' +p70871 +aS'.\t.\t.\tO\tO' +p70872 +asS'These include Diabeta 10 mg. po. bid .' +p70873 +(lp70874 +S'These\tThese\tDT\tB-NP\tO' +p70875 +aS'include\tinclude\tVBP\tB-VP\tO' +p70876 +aS'Diabeta\tDiabeta\tNN\tB-NP\tO' +p70877 +aS'10\t10\tCD\tI-NP\tO' +p70878 +aS'mg.\tmg.\tNN\tI-NP\tO' +p70879 +aS'po.\tpo.\tNN\tI-NP\tO' +p70880 +aS'bid\tbid\tNN\tI-NP\tO' +p70881 +aS'.\t.\t.\tO\tO' +p70882 +asS'Left leg could flex 2/5 and wiggle toes .' +p70883 +(lp70884 +S'Left\tLeft\tJJ\tB-NP\tO' +p70885 +aS'leg\tleg\tNN\tI-NP\tO' +p70886 +aS'could\tcould\tMD\tB-VP\tO' +p70887 +aS'flex\tflex\tVB\tI-VP\tO' +p70888 +aS'2/5\t2/5\tCD\tB-NP\tO' +p70889 +aS'and\tand\tCC\tO\tO' +p70890 +aS'wiggle\twiggle\tNN\tB-NP\tO' +p70891 +aS'toes\ttoe\tNNS\tI-NP\tO' +p70892 +aS'.\t.\t.\tO\tO' +p70893 +asS'The left arm was in a cast .' +p70894 +(lp70895 +S'The\tThe\tDT\tB-NP\tO' +p70896 +aS'left\tleft\tJJ\tI-NP\tO' +p70897 +aS'arm\tarm\tNN\tI-NP\tO' +p70898 +aS'was\tbe\tVBD\tB-VP\tO' +p70899 +aS'in\tin\tIN\tB-PP\tO' +p70900 +aS'a\ta\tDT\tB-NP\tO' +p70901 +aS'cast\tcast\tNN\tI-NP\tO' +p70902 +aS'.\t.\t.\tO\tO' +p70903 +asS'Her chest and cardiovascular examinations are unremarkable .' +p70904 +(lp70905 +S'Her\tHer\tPRP$\tB-NP\tO' +p70906 +aS'chest\tchest\tNN\tI-NP\tO' +p70907 +aS'and\tand\tCC\tI-NP\tO' +p70908 +aS'cardiovascular\tcardiovascular\tJJ\tI-NP\tO' +p70909 +aS'examinations\texamination\tNNS\tI-NP\tO' +p70910 +aS'are\tbe\tVBP\tB-VP\tO' +p70911 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p70912 +aS'.\t.\t.\tO\tO' +p70913 +asS'Mr. Mackey also had signs and symptoms consistent with cervical myelopathy ; a cervical MRI scan showed very impressive disc herniations at C5-C6 , less so at C4-C5 , with clear cut cord compression , particularly on the right side C5-C6 .' +p70914 +(lp70915 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p70916 +aS'Mackey\tMackey\tNNP\tI-NP\tO' +p70917 +aS'also\talso\tRB\tB-ADVP\tO' +p70918 +aS'had\thave\tVBD\tB-VP\tO' +p70919 +aS'signs\tsign\tNNS\tB-NP\tO' +p70920 +aS'and\tand\tCC\tI-NP\tO' +p70921 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p70922 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p70923 +aS'with\twith\tIN\tB-PP\tO' +p70924 +aS'cervical\tcervical\tJJ\tB-NP\tO' +p70925 +aS'myelopathy\tmyelopathy\tNN\tI-NP\tO' +p70926 +aS';\t;\t:\tO\tO' +p70927 +aS'a\ta\tDT\tB-NP\tO' +p70928 +aS'cervical\tcervical\tJJ\tI-NP\tO' +p70929 +aS'MRI\tMRI\tNN\tI-NP\tO' +p70930 +aS'scan\tscan\tNN\tI-NP\tO' +p70931 +aS'showed\tshow\tVBD\tB-VP\tO' +p70932 +aS'very\tvery\tRB\tB-NP\tO' +p70933 +aS'impressive\timpressive\tJJ\tI-NP\tO' +p70934 +aS'disc\tdisc\tNN\tI-NP\tO' +p70935 +aS'herniations\therniation\tNNS\tI-NP\tO' +p70936 +aS'at\tat\tIN\tB-PP\tO' +p70937 +aS'C5-C6\tC5-C6\tNN\tB-NP\tB-DNA' +p70938 +aS',\t,\t,\tO\tO' +p70939 +aS'less\tless\tRBR\tB-ADVP\tO' +p70940 +aS'so\tso\tRB\tI-ADVP\tO' +p70941 +aS'at\tat\tIN\tB-PP\tO' +p70942 +aS'C4-C5\tC4-C5\tNN\tB-NP\tB-DNA' +p70943 +aS',\t,\t,\tO\tO' +p70944 +aS'with\twith\tIN\tB-PP\tO' +p70945 +aS'clear\tclear\tJJ\tB-NP\tO' +p70946 +aS'cut\tcut\tNN\tI-NP\tO' +p70947 +aS'cord\tcord\tNN\tI-NP\tO' +p70948 +aS'compression\tcompression\tNN\tI-NP\tO' +p70949 +aS',\t,\t,\tO\tO' +p70950 +aS'particularly\tparticularly\tRB\tB-ADVP\tO' +p70951 +aS'on\ton\tIN\tB-PP\tO' +p70952 +aS'the\tthe\tDT\tB-NP\tO' +p70953 +aS'right\tright\tJJ\tI-NP\tB-protein' +p70954 +aS'side\tside\tNN\tI-NP\tI-protein' +p70955 +aS'C5-C6\tC5-C6\tNN\tI-NP\tI-protein' +p70956 +aS'.\t.\t.\tO\tO' +p70957 +asS'Signed electronically by : DR. Mark Nibbe on : TUE 2015-10-06 9:46 PM' +p70958 +(lp70959 +S'Signed\tSign\tVBN\tB-VP\tO' +p70960 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p70961 +aS'by\tby\tIN\tB-PP\tO' +p70962 +aS':\t:\t:\tO\tO' +p70963 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p70964 +aS'Mark\tMark\tNNP\tI-NP\tO' +p70965 +aS'Nibbe\tNibbe\tNNP\tI-NP\tO' +p70966 +aS'on\ton\tIN\tB-PP\tO' +p70967 +aS':\t:\t:\tO\tO' +p70968 +aS'TUE\tTUE\tNN\tB-NP\tO' +p70969 +aS'2015-10-06\t2015-10-06\tCD\tI-NP\tO' +p70970 +aS'9:46\t9:46\tCD\tI-NP\tO' +p70971 +aS'PM\tPM\tNN\tI-NP\tO' +p70972 +asS'Dr. Alejandro (( 211 ) 394-5801 ) on 2015-10-20 at 145 pm .' +p70973 +(lp70974 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p70975 +aS'Alejandro\tAlejandro\tNNP\tI-NP\tO' +p70976 +aS'((\t((\t(\tO\tO' +p70977 +aS'211\t211\tCD\tB-NP\tO' +p70978 +aS')\t)\t)\tO\tO' +p70979 +aS'394-5801\t394-5801\tCD\tB-NP\tO' +p70980 +aS')\t)\t)\tO\tO' +p70981 +aS'on\ton\tIN\tB-PP\tO' +p70982 +aS'2015-10-20\t2015-10-20\tCD\tB-NP\tO' +p70983 +aS'at\tat\tIN\tB-PP\tO' +p70984 +aS'145\t145\tCD\tB-NP\tO' +p70985 +aS'pm\tpm\tNN\tI-NP\tO' +p70986 +aS'.\t.\t.\tO\tO' +p70987 +asS'His Boston Coma Scale was 16 .' +p70988 +(lp70989 +S'His\tHis\tPRP$\tB-NP\tB-protein' +p70990 +aS'Boston\tBoston\tNNP\tI-NP\tO' +p70991 +aS'Coma\tComa\tNNP\tI-NP\tO' +p70992 +aS'Scale\tScale\tNNP\tI-NP\tO' +p70993 +aS'was\tbe\tVBD\tB-VP\tO' +p70994 +aS'16\t16\tCD\tB-NP\tO' +p70995 +aS'.\t.\t.\tO\tO' +p70996 +asS'He is currently flying on Hwy routes .' +p70997 +(lp70998 +S'He\tHe\tPRP\tB-NP\tO' +p70999 +aS'is\tbe\tVBZ\tB-VP\tO' +p71000 +aS'currently\tcurrently\tRB\tI-VP\tO' +p71001 +aS'flying\tfly\tVBG\tI-VP\tO' +p71002 +aS'on\ton\tIN\tB-PP\tO' +p71003 +aS'Hwy\tHwy\tNNP\tB-NP\tO' +p71004 +aS'routes\troute\tNNS\tI-NP\tO' +p71005 +aS'.\t.\t.\tO\tO' +p71006 +asS'This is to notify you that your patient , AKOTEBONTKAYS , JUANQUINTLEO arrived in the Emergency Department at Ph University Of Medical Center on 07/31/2000 07:36 PM .' +p71007 +(lp71008 +S'This\tThis\tDT\tB-NP\tO' +p71009 +aS'is\tbe\tVBZ\tB-VP\tO' +p71010 +aS'to\tto\tTO\tB-VP\tO' +p71011 +aS'notify\tnotify\tVB\tI-VP\tO' +p71012 +aS'you\tyou\tPRP\tB-NP\tO' +p71013 +aS'that\tthat\tIN\tB-SBAR\tO' +p71014 +aS'your\tyour\tPRP$\tB-NP\tO' +p71015 +aS'patient\tpatient\tNN\tI-NP\tO' +p71016 +aS',\t,\t,\tO\tO' +p71017 +aS'AKOTEBONTKAYS\tAKOTEBONTKAYS\tNN\tB-NP\tO' +p71018 +aS',\t,\t,\tO\tO' +p71019 +aS'JUANQUINTLEO\tJUANQUINTLEO\tNNP\tB-NP\tO' +p71020 +aS'arrived\tarrive\tVBD\tB-VP\tO' +p71021 +aS'in\tin\tIN\tB-PP\tO' +p71022 +aS'the\tthe\tDT\tB-NP\tO' +p71023 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p71024 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p71025 +aS'at\tat\tIN\tB-PP\tO' +p71026 +aS'Ph\tPh\tNNP\tB-NP\tO' +p71027 +aS'University\tUniversity\tNNP\tI-NP\tO' +p71028 +aS'Of\tOf\tNNP\tI-NP\tO' +p71029 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p71030 +aS'Center\tCenter\tNNP\tI-NP\tO' +p71031 +aS'on\ton\tIN\tB-PP\tO' +p71032 +aS'07/31/2000\t07/31/2000\tCD\tB-NP\tO' +p71033 +aS'07:36\t07:36\tCD\tI-NP\tO' +p71034 +aS'PM\tPM\tNN\tI-NP\tO' +p71035 +aS'.\t.\t.\tO\tO' +p71036 +asS'Sodium of 140 , potassium of 3.5 , BUN of 4 , creatinine of 0.6 , glucose of 137 .' +p71037 +(lp71038 +S'Sodium\tSodium\tNN\tB-NP\tO' +p71039 +aS'of\tof\tIN\tB-PP\tO' +p71040 +aS'140\t140\tCD\tB-NP\tO' +p71041 +aS',\t,\t,\tO\tO' +p71042 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p71043 +aS'of\tof\tIN\tB-PP\tO' +p71044 +aS'3.5\t3.5\tCD\tB-NP\tO' +p71045 +aS',\t,\t,\tO\tO' +p71046 +aS'BUN\tBUN\tNN\tB-NP\tO' +p71047 +aS'of\tof\tIN\tB-PP\tO' +p71048 +aS'4\t4\tCD\tB-NP\tO' +p71049 +aS',\t,\t,\tO\tO' +p71050 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p71051 +aS'of\tof\tIN\tB-PP\tO' +p71052 +aS'0.6\t0.6\tCD\tB-NP\tO' +p71053 +aS',\t,\t,\tO\tO' +p71054 +aS'glucose\tglucose\tNN\tB-NP\tO' +p71055 +aS'of\tof\tIN\tB-PP\tO' +p71056 +aS'137\t137\tCD\tB-NP\tO' +p71057 +aS'.\t.\t.\tO\tO' +p71058 +asS'She has had a total abdominal hysterectomy .' +p71059 +(lp71060 +S'She\tShe\tPRP\tB-NP\tO' +p71061 +aS'has\thave\tVBZ\tB-VP\tO' +p71062 +aS'had\thave\tVBN\tI-VP\tO' +p71063 +aS'a\ta\tDT\tB-NP\tO' +p71064 +aS'total\ttotal\tJJ\tI-NP\tO' +p71065 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p71066 +aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' +p71067 +aS'.\t.\t.\tO\tO' +p71068 +asS'He has also been working with Physical Therapy to regain his strength .' +p71069 +(lp71070 +S'He\tHe\tPRP\tB-NP\tO' +p71071 +aS'has\thave\tVBZ\tB-VP\tO' +p71072 +aS'also\talso\tRB\tI-VP\tO' +p71073 +aS'been\tbe\tVBN\tI-VP\tO' +p71074 +aS'working\twork\tVBG\tI-VP\tO' +p71075 +aS'with\twith\tIN\tB-PP\tO' +p71076 +aS'Physical\tPhysical\tJJ\tB-NP\tO' +p71077 +aS'Therapy\tTherapy\tNN\tI-NP\tO' +p71078 +aS'to\tto\tTO\tB-VP\tO' +p71079 +aS'regain\tregain\tVB\tI-VP\tO' +p71080 +aS'his\this\tPRP$\tB-NP\tO' +p71081 +aS'strength\tstrength\tNN\tI-NP\tO' +p71082 +aS'.\t.\t.\tO\tO' +p71083 +asS'There he recalls having pizza and two glasses of red wine .' +p71084 +(lp71085 +S'There\tThere\tEX\tB-NP\tO' +p71086 +aS'he\the\tPRP\tB-NP\tO' +p71087 +aS'recalls\trecall\tVBZ\tB-VP\tO' +p71088 +aS'having\thave\tVBG\tI-VP\tO' +p71089 +aS'pizza\tpizza\tNN\tB-NP\tO' +p71090 +aS'and\tand\tCC\tO\tO' +p71091 +aS'two\ttwo\tCD\tB-NP\tO' +p71092 +aS'glasses\tglass\tNNS\tI-NP\tO' +p71093 +aS'of\tof\tIN\tB-PP\tO' +p71094 +aS'red\tred\tJJ\tB-NP\tO' +p71095 +aS'wine\twine\tNN\tI-NP\tO' +p71096 +aS'.\t.\t.\tO\tO' +p71097 +asS'The patient 's urine output was further augmented by adding Dopamine .' +p71098 +(lp71099 +S'The\tThe\tDT\tB-NP\tO' +p71100 +aS'patient\tpatient\tNN\tI-NP\tO' +p71101 +aS''s\t'\tNNS\tI-NP\tO' +p71102 +aS'urine\turine\tNN\tI-NP\tO' +p71103 +aS'output\toutput\tNN\tI-NP\tO' +p71104 +aS'was\tbe\tVBD\tB-VP\tO' +p71105 +aS'further\tfurther\tRBR\tI-VP\tO' +p71106 +aS'augmented\taugment\tVBN\tI-VP\tO' +p71107 +aS'by\tby\tIN\tB-PP\tO' +p71108 +aS'adding\tadd\tVBG\tB-VP\tO' +p71109 +aS'Dopamine\tDopamine\tNN\tB-NP\tO' +p71110 +aS'.\t.\t.\tO\tO' +p71111 +asS'4. Mild dementia .' +p71112 +(lp71113 +S'4.\t4.\tLS\tB-NP\tO' +p71114 +aS'Mild\tMild\tNNP\tI-NP\tO' +p71115 +aS'dementia\tdementia\tNN\tI-NP\tO' +p71116 +aS'.\t.\t.\tO\tO' +p71117 +asS'Cardiac .' +p71118 +(lp71119 +S'Cardiac\tCardiac\tJJ\tB-ADJP\tO' +p71120 +aS'.\t.\t.\tO\tO' +p71121 +asS'Hct remained stable .' +p71122 +(lp71123 +S'Hct\tHct\tNN\tB-NP\tB-protein' +p71124 +aS'remained\tremain\tVBD\tB-VP\tO' +p71125 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p71126 +aS'.\t.\t.\tO\tO' +p71127 +asS'Disp :* 60 Tablet (s)* Refills :* 0 *' +p71128 +(lp71129 +S'Disp\tDisp\tNN\tB-NP\tO' +p71130 +aS':*\t:*\tSYM\tI-NP\tO' +p71131 +aS'60\t60\tCD\tI-NP\tO' +p71132 +aS'Tablet\tTablet\tNN\tI-NP\tO' +p71133 +aS'(s)*\t(s)*\tSYM\tB-NP\tO' +p71134 +aS'Refills\tRefill\tNNPS\tI-NP\tO' +p71135 +aS':*\t:*\tSYM\tB-NP\tO' +p71136 +aS'0\t0\tCD\tI-NP\tO' +p71137 +aS'*\t*\tSYM\tB-NP\tO' +p71138 +asS'Left chest radiation , on Tamoxifen therapy .' +p71139 +(lp71140 +S'Left\tLeave\tVBN\tB-NP\tO' +p71141 +aS'chest\tchest\tNN\tI-NP\tO' +p71142 +aS'radiation\tradiation\tNN\tI-NP\tO' +p71143 +aS',\t,\t,\tO\tO' +p71144 +aS'on\ton\tIN\tB-PP\tO' +p71145 +aS'Tamoxifen\tTamoxifen\tNN\tB-NP\tO' +p71146 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p71147 +aS'.\t.\t.\tO\tO' +p71148 +asS'6. Renal .' +p71149 +(lp71150 +S'6.\t6.\tLS\tB-LST\tO' +p71151 +aS'Renal\tRenal\tNNP\tB-NP\tO' +p71152 +aS'.\t.\t.\tO\tO' +p71153 +asS'He was anicteric with moist mucous membranes .' +p71154 +(lp71155 +S'He\tHe\tPRP\tB-NP\tO' +p71156 +aS'was\tbe\tVBD\tB-VP\tO' +p71157 +aS'anicteric\tanicteric\tJJ\tB-ADJP\tO' +p71158 +aS'with\twith\tIN\tB-PP\tO' +p71159 +aS'moist\tmoist\tJJ\tB-NP\tO' +p71160 +aS'mucous\tmucous\tJJ\tI-NP\tO' +p71161 +aS'membranes\tmembrane\tNNS\tI-NP\tO' +p71162 +aS'.\t.\t.\tO\tO' +p71163 +asS'There was tan guaiac positive stool with no masses .' +p71164 +(lp71165 +S'There\tThere\tEX\tB-NP\tO' +p71166 +aS'was\tbe\tVBD\tB-VP\tO' +p71167 +aS'tan\ttan\tNN\tB-NP\tO' +p71168 +aS'guaiac\tguaiac\tJJ\tI-NP\tO' +p71169 +aS'positive\tpositive\tJJ\tI-NP\tO' +p71170 +aS'stool\tstool\tNN\tI-NP\tO' +p71171 +aS'with\twith\tIN\tB-PP\tO' +p71172 +aS'no\tno\tDT\tB-NP\tO' +p71173 +aS'masses\tmass\tNNS\tI-NP\tO' +p71174 +aS'.\t.\t.\tO\tO' +p71175 +asS'His genitourinary exam showed an uncircumcised male with normal scrotal contents .' +p71176 +(lp71177 +S'His\tHis\tPRP$\tB-NP\tO' +p71178 +aS'genitourinary\tgenitourinary\tJJ\tI-NP\tO' +p71179 +aS'exam\texam\tNN\tI-NP\tO' +p71180 +aS'showed\tshow\tVBD\tB-VP\tO' +p71181 +aS'an\tan\tDT\tB-NP\tO' +p71182 +aS'uncircumcised\tuncircumcised\tJJ\tI-NP\tO' +p71183 +aS'male\tmale\tNN\tI-NP\tO' +p71184 +aS'with\twith\tIN\tB-PP\tO' +p71185 +aS'normal\tnormal\tJJ\tB-NP\tO' +p71186 +aS'scrotal\tscrotal\tJJ\tI-NP\tO' +p71187 +aS'contents\tcontent\tNNS\tI-NP\tO' +p71188 +aS'.\t.\t.\tO\tO' +p71189 +asS'Her creatinine , which was 5 initially postoperatively , slowly dropped over the next few days until eventually reaching a low of 1 .' +p71190 +(lp71191 +S'Her\tHer\tPRP$\tB-NP\tO' +p71192 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p71193 +aS',\t,\t,\tO\tO' +p71194 +aS'which\twhich\tWDT\tB-NP\tO' +p71195 +aS'was\tbe\tVBD\tB-VP\tO' +p71196 +aS'5\t5\tCD\tB-NP\tO' +p71197 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p71198 +aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' +p71199 +aS',\t,\t,\tO\tO' +p71200 +aS'slowly\tslowly\tRB\tB-VP\tO' +p71201 +aS'dropped\tdrop\tVBD\tI-VP\tO' +p71202 +aS'over\tover\tIN\tB-PP\tO' +p71203 +aS'the\tthe\tDT\tB-NP\tO' +p71204 +aS'next\tnext\tJJ\tI-NP\tO' +p71205 +aS'few\tfew\tJJ\tI-NP\tO' +p71206 +aS'days\tday\tNNS\tI-NP\tO' +p71207 +aS'until\tuntil\tIN\tB-PP\tO' +p71208 +aS'eventually\teventually\tRB\tB-ADVP\tO' +p71209 +aS'reaching\treach\tVBG\tB-VP\tO' +p71210 +aS'a\ta\tDT\tB-NP\tO' +p71211 +aS'low\tlow\tJJ\tI-NP\tO' +p71212 +aS'of\tof\tIN\tB-PP\tO' +p71213 +aS'1\t1\tCD\tB-NP\tO' +p71214 +aS'.\t.\t.\tO\tO' +p71215 +asS'He occasionally had extinction in his left upper , greater than lower extremity , but this was fluctuating .' +p71216 +(lp71217 +S'He\tHe\tPRP\tB-NP\tO' +p71218 +aS'occasionally\toccasionally\tRB\tB-ADVP\tO' +p71219 +aS'had\thave\tVBD\tB-VP\tO' +p71220 +aS'extinction\textinction\tNN\tB-NP\tO' +p71221 +aS'in\tin\tIN\tB-PP\tO' +p71222 +aS'his\this\tPRP$\tB-NP\tO' +p71223 +aS'left\tleft\tJJ\tI-NP\tO' +p71224 +aS'upper\tupper\tJJ\tI-NP\tO' +p71225 +aS',\t,\t,\tO\tO' +p71226 +aS'greater\tgreat\tJJR\tB-ADJP\tO' +p71227 +aS'than\tthan\tIN\tB-PP\tO' +p71228 +aS'lower\tlow\tJJR\tB-NP\tO' +p71229 +aS'extremity\textremity\tNN\tI-NP\tO' +p71230 +aS',\t,\t,\tO\tO' +p71231 +aS'but\tbut\tCC\tO\tO' +p71232 +aS'this\tthis\tDT\tB-NP\tO' +p71233 +aS'was\tbe\tVBD\tB-VP\tO' +p71234 +aS'fluctuating\tfluctuate\tVBG\tI-VP\tO' +p71235 +aS'.\t.\t.\tO\tO' +p71236 +asS'There was also a right leg fluid collection that was incised and drained on August 1 , 1998 .' +p71237 +(lp71238 +S'There\tThere\tEX\tB-NP\tO' +p71239 +aS'was\tbe\tVBD\tB-VP\tO' +p71240 +aS'also\talso\tRB\tB-ADVP\tO' +p71241 +aS'a\ta\tDT\tB-NP\tO' +p71242 +aS'right\tright\tJJ\tI-NP\tO' +p71243 +aS'leg\tleg\tNN\tI-NP\tO' +p71244 +aS'fluid\tfluid\tNN\tI-NP\tO' +p71245 +aS'collection\tcollection\tNN\tI-NP\tO' +p71246 +aS'that\tthat\tWDT\tB-NP\tO' +p71247 +aS'was\tbe\tVBD\tB-VP\tO' +p71248 +aS'incised\tincise\tVBN\tI-VP\tO' +p71249 +aS'and\tand\tCC\tO\tO' +p71250 +aS'drained\tdrain\tVBN\tB-VP\tO' +p71251 +aS'on\ton\tIN\tB-PP\tO' +p71252 +aS'August\tAugust\tNNP\tB-NP\tO' +p71253 +aS'1\t1\tCD\tI-NP\tO' +p71254 +aS',\t,\t,\tI-NP\tO' +p71255 +aS'1998\t1998\tCD\tI-NP\tO' +p71256 +aS'.\t.\t.\tO\tO' +p71257 +asS'Obese , non-distended , positive bowel sounds , mild diffuse tenderness .' +p71258 +(lp71259 +S'Obese\tObese\tJJ\tB-NP\tO' +p71260 +aS',\t,\t,\tI-NP\tO' +p71261 +aS'non-distended\tnon-distended\tJJ\tI-NP\tO' +p71262 +aS',\t,\t,\tI-NP\tO' +p71263 +aS'positive\tpositive\tJJ\tI-NP\tO' +p71264 +aS'bowel\tbowel\tNN\tI-NP\tO' +p71265 +aS'sounds\tsound\tNNS\tI-NP\tO' +p71266 +aS',\t,\t,\tO\tO' +p71267 +aS'mild\tmild\tJJ\tB-NP\tO' +p71268 +aS'diffuse\tdiffuse\tJJ\tI-NP\tO' +p71269 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p71270 +aS'.\t.\t.\tO\tO' +p71271 +asS'One son , in area .' +p71272 +(lp71273 +S'One\tOne\tCD\tB-NP\tO' +p71274 +aS'son\tson\tNN\tI-NP\tO' +p71275 +aS',\t,\t,\tO\tO' +p71276 +aS'in\tin\tIN\tB-PP\tO' +p71277 +aS'area\tarea\tNN\tB-NP\tO' +p71278 +aS'.\t.\t.\tO\tO' +p71279 +asS'He also felt that lung biopsy at this time was rather risky .' +p71280 +(lp71281 +S'He\tHe\tPRP\tB-NP\tO' +p71282 +aS'also\talso\tRB\tB-ADVP\tO' +p71283 +aS'felt\tfeel\tVBD\tB-VP\tO' +p71284 +aS'that\tthat\tIN\tB-SBAR\tO' +p71285 +aS'lung\tlung\tNN\tB-NP\tO' +p71286 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p71287 +aS'at\tat\tIN\tB-PP\tO' +p71288 +aS'this\tthis\tDT\tB-NP\tO' +p71289 +aS'time\ttime\tNN\tI-NP\tO' +p71290 +aS'was\tbe\tVBD\tB-VP\tO' +p71291 +aS'rather\trather\tRB\tB-ADJP\tO' +p71292 +aS'risky\trisky\tJJ\tI-ADJP\tO' +p71293 +aS'.\t.\t.\tO\tO' +p71294 +asS'11 ) Amlodipine 10 mg p.o. q. day .' +p71295 +(lp71296 +S'11\t11\tCD\tB-NP\tO' +p71297 +aS')\t)\t)\tO\tO' +p71298 +aS'Amlodipine\tAmlodipine\tVBP\tB-VP\tO' +p71299 +aS'10\t10\tCD\tB-NP\tO' +p71300 +aS'mg\tmg\tNN\tI-NP\tO' +p71301 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p71302 +aS'q.\tq.\tNN\tI-NP\tO' +p71303 +aS'day\tday\tNN\tI-NP\tO' +p71304 +aS'.\t.\t.\tO\tO' +p71305 +asS'13. Aspirin 81 mg Tablet Sig : One ( 1 ) Tablet PO once a day .' +p71306 +(lp71307 +S'13.\t13.\tLS\tB-NP\tO' +p71308 +aS'Aspirin\tAspirin\tNN\tI-NP\tO' +p71309 +aS'81\t81\tCD\tI-NP\tO' +p71310 +aS'mg\tmg\tNN\tI-NP\tO' +p71311 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p71312 +aS'Sig\tSig\tNNP\tI-NP\tO' +p71313 +aS':\t:\t:\tO\tO' +p71314 +aS'One\tOne\tCD\tB-NP\tO' +p71315 +aS'(\t(\t(\tO\tO' +p71316 +aS'1\t1\tCD\tB-NP\tO' +p71317 +aS')\t)\t)\tO\tO' +p71318 +aS'Tablet\tTablet\tNN\tB-NP\tB-protein' +p71319 +aS'PO\tPO\tNN\tI-NP\tI-protein' +p71320 +aS'once\tonce\tRB\tO\tO' +p71321 +aS'a\ta\tDT\tB-NP\tO' +p71322 +aS'day\tday\tNN\tI-NP\tO' +p71323 +aS'.\t.\t.\tO\tO' +p71324 +asS'Patient denies night sweats in the past month .' +p71325 +(lp71326 +S'Patient\tPatient\tNN\tB-NP\tO' +p71327 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p71328 +aS'night\tnight\tNN\tB-NP\tO' +p71329 +aS'sweats\tsweat\tNNS\tI-NP\tO' +p71330 +aS'in\tin\tIN\tB-PP\tO' +p71331 +aS'the\tthe\tDT\tB-NP\tO' +p71332 +aS'past\tpast\tJJ\tI-NP\tO' +p71333 +aS'month\tmonth\tNN\tI-NP\tO' +p71334 +aS'.\t.\t.\tO\tO' +p71335 +asS'The patient had mild errors in sequential substracting sevens from 100 test .' +p71336 +(lp71337 +S'The\tThe\tDT\tB-NP\tO' +p71338 +aS'patient\tpatient\tNN\tI-NP\tO' +p71339 +aS'had\thave\tVBD\tB-VP\tO' +p71340 +aS'mild\tmild\tJJ\tB-NP\tO' +p71341 +aS'errors\terror\tNNS\tI-NP\tO' +p71342 +aS'in\tin\tIN\tB-PP\tO' +p71343 +aS'sequential\tsequential\tJJ\tB-NP\tO' +p71344 +aS'substracting\tsubstracte\tVBG\tI-NP\tO' +p71345 +aS'sevens\tseven\tNNS\tI-NP\tO' +p71346 +aS'from\tfrom\tIN\tB-PP\tO' +p71347 +aS'100\t100\tCD\tB-NP\tO' +p71348 +aS'test\ttest\tNN\tI-NP\tO' +p71349 +aS'.\t.\t.\tO\tO' +p71350 +asS'At 1645 12-04 , the patient was noted to be hypotensive to 70/40' +p71351 +(lp71352 +S'At\tAt\tIN\tB-PP\tO' +p71353 +aS'1645\t1645\tCD\tB-NP\tO' +p71354 +aS'12-04\t12-04\tCD\tI-NP\tO' +p71355 +aS',\t,\t,\tO\tO' +p71356 +aS'the\tthe\tDT\tB-NP\tO' +p71357 +aS'patient\tpatient\tNN\tI-NP\tO' +p71358 +aS'was\tbe\tVBD\tB-VP\tO' +p71359 +aS'noted\tnote\tVBN\tI-VP\tO' +p71360 +aS'to\tto\tTO\tI-VP\tO' +p71361 +aS'be\tbe\tVB\tI-VP\tO' +p71362 +aS'hypotensive\thypotensive\tJJ\tB-ADJP\tO' +p71363 +aS'to\tto\tTO\tB-PP\tO' +p71364 +aS'70/40\t70/40\tCD\tB-NP\tO' +p71365 +asS'This episode was also accompanied by gagging motions noted of the infant .' +p71366 +(lp71367 +S'This\tThis\tDT\tB-NP\tO' +p71368 +aS'episode\tepisode\tNN\tI-NP\tO' +p71369 +aS'was\tbe\tVBD\tB-VP\tO' +p71370 +aS'also\talso\tRB\tI-VP\tO' +p71371 +aS'accompanied\taccompany\tVBN\tI-VP\tO' +p71372 +aS'by\tby\tIN\tB-PP\tO' +p71373 +aS'gagging\tgag\tVBG\tB-VP\tO' +p71374 +aS'motions\tmotion\tNNS\tB-NP\tO' +p71375 +aS'noted\tnote\tVBN\tB-VP\tO' +p71376 +aS'of\tof\tIN\tB-PP\tO' +p71377 +aS'the\tthe\tDT\tB-NP\tO' +p71378 +aS'infant\tinfant\tNN\tI-NP\tO' +p71379 +aS'.\t.\t.\tO\tO' +p71380 +asS'crystalloid and four units packed red blood cells with good response .' +p71381 +(lp71382 +S'crystalloid\tcrystalloid\tJJ\tB-NP\tO' +p71383 +aS'and\tand\tCC\tI-NP\tO' +p71384 +aS'four\tfour\tCD\tI-NP\tO' +p71385 +aS'units\tunit\tNNS\tI-NP\tO' +p71386 +aS'packed\tpack\tVBD\tB-VP\tO' +p71387 +aS'red\tred\tJJ\tB-NP\tB-cell_type' +p71388 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p71389 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p71390 +aS'with\twith\tIN\tB-PP\tO' +p71391 +aS'good\tgood\tJJ\tB-NP\tO' +p71392 +aS'response\tresponse\tNN\tI-NP\tO' +p71393 +aS'.\t.\t.\tO\tO' +p71394 +asS'7) Peripheral neuropathy .' +p71395 +(lp71396 +S'7)\t7)\tLS\tB-NP\tO' +p71397 +aS'Peripheral\tPeripheral\tJJ\tI-NP\tO' +p71398 +aS'neuropathy\tneuropathy\tNN\tI-NP\tO' +p71399 +aS'.\t.\t.\tO\tO' +p71400 +asS'End-stage renal disease .' +p71401 +(lp71402 +S'End-stage\tEnd-stage\tJJ\tB-NP\tO' +p71403 +aS'renal\trenal\tJJ\tI-NP\tO' +p71404 +aS'disease\tdisease\tNN\tI-NP\tO' +p71405 +aS'.\t.\t.\tO\tO' +p71406 +asS'3. Humulin insulin 2 units QAM' +p71407 +(lp71408 +S'3.\t3.\tLS\tB-NP\tO' +p71409 +aS'Humulin\tHumulin\tNN\tI-NP\tO' +p71410 +aS'insulin\tinsulin\tNN\tI-NP\tO' +p71411 +aS'2\t2\tCD\tB-NP\tO' +p71412 +aS'units\tunit\tNNS\tI-NP\tO' +p71413 +aS'QAM\tQAM\tNN\tB-NP\tO' +p71414 +asS'On the day after admission to the CMED , the patient was noted to have small oxygen requirement with 2L NC .' +p71415 +(lp71416 +S'On\tOn\tIN\tB-PP\tO' +p71417 +aS'the\tthe\tDT\tB-NP\tO' +p71418 +aS'day\tday\tNN\tI-NP\tO' +p71419 +aS'after\tafter\tIN\tB-SBAR\tO' +p71420 +aS'admission\tadmission\tNN\tB-NP\tO' +p71421 +aS'to\tto\tTO\tB-PP\tO' +p71422 +aS'the\tthe\tDT\tB-NP\tO' +p71423 +aS'CMED\tCMED\tNN\tI-NP\tO' +p71424 +aS',\t,\t,\tO\tO' +p71425 +aS'the\tthe\tDT\tB-NP\tO' +p71426 +aS'patient\tpatient\tNN\tI-NP\tO' +p71427 +aS'was\tbe\tVBD\tB-VP\tO' +p71428 +aS'noted\tnote\tVBN\tI-VP\tO' +p71429 +aS'to\tto\tTO\tI-VP\tO' +p71430 +aS'have\thave\tVB\tI-VP\tO' +p71431 +aS'small\tsmall\tJJ\tB-NP\tO' +p71432 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p71433 +aS'requirement\trequirement\tNN\tI-NP\tO' +p71434 +aS'with\twith\tIN\tB-PP\tO' +p71435 +aS'2L\t2L\tNN\tB-NP\tO' +p71436 +aS'NC\tNC\tNN\tI-NP\tO' +p71437 +aS'.\t.\t.\tO\tO' +p71438 +asS'His right arm muscles were also in the range of 4/5.' +p71439 +(lp71440 +S'His\tHis\tPRP$\tB-NP\tO' +p71441 +aS'right\tright\tJJ\tI-NP\tO' +p71442 +aS'arm\tarm\tNN\tI-NP\tO' +p71443 +aS'muscles\tmuscle\tNNS\tI-NP\tO' +p71444 +aS'were\tbe\tVBD\tB-VP\tO' +p71445 +aS'also\talso\tRB\tB-ADVP\tO' +p71446 +aS'in\tin\tIN\tB-PP\tO' +p71447 +aS'the\tthe\tDT\tB-NP\tO' +p71448 +aS'range\trange\tNN\tI-NP\tO' +p71449 +aS'of\tof\tIN\tB-PP\tO' +p71450 +aS'4/5.\t4/5.\tCD\tB-NP\tO' +p71451 +asS'Marked improvement .' +p71452 +(lp71453 +S'Marked\tMarked\tJJ\tB-NP\tO' +p71454 +aS'improvement\timprovement\tNN\tI-NP\tO' +p71455 +aS'.\t.\t.\tO\tO' +p71456 +asS'During her hospitalization , the patient was also seen by the Plastic Service .' +p71457 +(lp71458 +S'During\tDuring\tIN\tB-PP\tO' +p71459 +aS'her\ther\tPRP$\tB-NP\tO' +p71460 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p71461 +aS',\t,\t,\tO\tO' +p71462 +aS'the\tthe\tDT\tB-NP\tO' +p71463 +aS'patient\tpatient\tNN\tI-NP\tO' +p71464 +aS'was\tbe\tVBD\tB-VP\tO' +p71465 +aS'also\talso\tRB\tI-VP\tO' +p71466 +aS'seen\tsee\tVBN\tI-VP\tO' +p71467 +aS'by\tby\tIN\tB-PP\tO' +p71468 +aS'the\tthe\tDT\tB-NP\tO' +p71469 +aS'Plastic\tPlastic\tNNP\tI-NP\tO' +p71470 +aS'Service\tService\tNNP\tI-NP\tO' +p71471 +aS'.\t.\t.\tO\tO' +p71472 +asS'The patient prior to discharge was fitted with an orthoplast finger splint as manufactured by Occupational Therapy Services Fairm of Ijordcompmac Hospital .' +p71473 +(lp71474 +S'The\tThe\tDT\tB-NP\tO' +p71475 +aS'patient\tpatient\tNN\tI-NP\tO' +p71476 +aS'prior\tprior\tRB\tB-ADVP\tO' +p71477 +aS'to\tto\tTO\tB-VP\tO' +p71478 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p71479 +aS'was\tbe\tVBD\tB-VP\tO' +p71480 +aS'fitted\tfit\tVBN\tI-VP\tO' +p71481 +aS'with\twith\tIN\tB-PP\tO' +p71482 +aS'an\tan\tDT\tB-NP\tO' +p71483 +aS'orthoplast\torthoplast\tJJ\tI-NP\tO' +p71484 +aS'finger\tfinger\tNN\tI-NP\tO' +p71485 +aS'splint\tsplint\tNN\tI-NP\tO' +p71486 +aS'as\tas\tIN\tB-SBAR\tO' +p71487 +aS'manufactured\tmanufacture\tVBN\tB-VP\tO' +p71488 +aS'by\tby\tIN\tB-PP\tO' +p71489 +aS'Occupational\tOccupational\tNNP\tB-NP\tO' +p71490 +aS'Therapy\tTherapy\tNNP\tI-NP\tO' +p71491 +aS'Services\tServices\tNNP\tI-NP\tO' +p71492 +aS'Fairm\tFairm\tNNP\tI-NP\tO' +p71493 +aS'of\tof\tIN\tB-PP\tO' +p71494 +aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' +p71495 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p71496 +aS'.\t.\t.\tO\tO' +p71497 +asS'She was clinically euvolemic after that .' +p71498 +(lp71499 +S'She\tShe\tPRP\tB-NP\tO' +p71500 +aS'was\tbe\tVBD\tB-VP\tO' +p71501 +aS'clinically\tclinically\tRB\tB-ADJP\tO' +p71502 +aS'euvolemic\teuvolemic\tJJ\tI-ADJP\tO' +p71503 +aS'after\tafter\tIN\tB-PP\tO' +p71504 +aS'that\tthat\tDT\tB-NP\tO' +p71505 +aS'.\t.\t.\tO\tO' +p71506 +asS'Please return to the ED if you develop any worsening pain , vomiting or fevers > 101 .' +p71507 +(lp71508 +S'Please\tPlease\tVB\tB-VP\tO' +p71509 +aS'return\treturn\tVB\tI-VP\tO' +p71510 +aS'to\tto\tTO\tB-PP\tO' +p71511 +aS'the\tthe\tDT\tB-NP\tO' +p71512 +aS'ED\tED\tNNP\tI-NP\tO' +p71513 +aS'if\tif\tIN\tB-SBAR\tO' +p71514 +aS'you\tyou\tPRP\tB-NP\tO' +p71515 +aS'develop\tdevelop\tVBP\tB-VP\tO' +p71516 +aS'any\tany\tDT\tB-NP\tO' +p71517 +aS'worsening\tworsen\tVBG\tI-NP\tO' +p71518 +aS'pain\tpain\tNN\tI-NP\tO' +p71519 +aS',\t,\t,\tI-NP\tO' +p71520 +aS'vomiting\tvomiting\tNN\tI-NP\tO' +p71521 +aS'or\tor\tCC\tI-NP\tO' +p71522 +aS'fevers\tfever\tNNS\tI-NP\tO' +p71523 +aS'>\t>\t:\tO\tO' +p71524 +aS'101\t101\tCD\tB-NP\tO' +p71525 +aS'.\t.\t.\tO\tO' +p71526 +asS'RA pressure was 13 , RV pressure 45/7 , wedge 27 and PA pressures of 42/21 .' +p71527 +(lp71528 +S'RA\tRA\tNN\tB-NP\tB-protein' +p71529 +aS'pressure\tpressure\tNN\tI-NP\tI-protein' +p71530 +aS'was\tbe\tVBD\tB-VP\tI-protein' +p71531 +aS'13\t13\tCD\tB-NP\tI-protein' +p71532 +aS',\t,\t,\tO\tO' +p71533 +aS'RV\tRV\tNN\tB-NP\tB-protein' +p71534 +aS'pressure\tpressure\tNN\tI-NP\tI-protein' +p71535 +aS'45/7\t45/7\tCD\tI-NP\tI-protein' +p71536 +aS',\t,\t,\tO\tO' +p71537 +aS'wedge\twedge\tNN\tB-NP\tO' +p71538 +aS'27\t27\tCD\tI-NP\tO' +p71539 +aS'and\tand\tCC\tO\tO' +p71540 +aS'PA\tPA\tNN\tB-NP\tO' +p71541 +aS'pressures\tpressure\tNNS\tI-NP\tO' +p71542 +aS'of\tof\tIN\tB-PP\tO' +p71543 +aS'42/21\t42/21\tCD\tB-NP\tO' +p71544 +aS'.\t.\t.\tO\tO' +p71545 +asS'She was monitored overnight .' +p71546 +(lp71547 +S'She\tShe\tPRP\tB-NP\tO' +p71548 +aS'was\tbe\tVBD\tB-VP\tO' +p71549 +aS'monitored\tmonitor\tVBN\tI-VP\tO' +p71550 +aS'overnight\tovernight\tRB\tB-ADVP\tO' +p71551 +aS'.\t.\t.\tO\tO' +p71552 +asS'On admission , heart is regular rate and rhythm without murmur .' +p71553 +(lp71554 +S'On\tOn\tIN\tB-PP\tO' +p71555 +aS'admission\tadmission\tNN\tB-NP\tO' +p71556 +aS',\t,\t,\tO\tO' +p71557 +aS'heart\theart\tNN\tB-NP\tO' +p71558 +aS'is\tbe\tVBZ\tB-VP\tO' +p71559 +aS'regular\tregular\tJJ\tB-NP\tO' +p71560 +aS'rate\trate\tNN\tI-NP\tO' +p71561 +aS'and\tand\tCC\tI-NP\tO' +p71562 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p71563 +aS'without\twithout\tIN\tB-PP\tO' +p71564 +aS'murmur\tmurmur\tNN\tB-NP\tO' +p71565 +aS'.\t.\t.\tO\tO' +p71566 +asS'Continued on valsartan , BB continued , statin' +p71567 +(lp71568 +S'Continued\tContinue\tVBN\tB-VP\tO' +p71569 +aS'on\ton\tIN\tB-PP\tO' +p71570 +aS'valsartan\tvalsartan\tNN\tB-NP\tO' +p71571 +aS',\t,\t,\tO\tO' +p71572 +aS'BB\tBB\tNNP\tB-NP\tO' +p71573 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p71574 +aS',\t,\t,\tO\tO' +p71575 +aS'statin\tstatin\tNN\tB-NP\tO' +p71576 +asS'4. Ipratropium Bromide 0.02 % Solution Sig : One ( 1 ) Inhalation Q6H ( every 6 hours ) .' +p71577 +(lp71578 +S'4.\t4.\tLS\tB-NP\tO' +p71579 +aS'Ipratropium\tIpratropium\tNN\tI-NP\tO' +p71580 +aS'Bromide\tBromide\tNN\tI-NP\tO' +p71581 +aS'0.02\t0.02\tCD\tB-NP\tO' +p71582 +aS'%\t%\tNN\tI-NP\tO' +p71583 +aS'Solution\tSolution\tNNP\tI-NP\tO' +p71584 +aS'Sig\tSig\tNNP\tI-NP\tO' +p71585 +aS':\t:\t:\tO\tO' +p71586 +aS'One\tOne\tCD\tB-NP\tO' +p71587 +aS'(\t(\t(\tO\tO' +p71588 +aS'1\t1\tCD\tB-NP\tO' +p71589 +aS')\t)\t)\tO\tO' +p71590 +aS'Inhalation\tInhalation\tNN\tB-NP\tO' +p71591 +aS'Q6H\tQ6H\tNN\tI-NP\tO' +p71592 +aS'(\t(\t(\tO\tO' +p71593 +aS'every\tevery\tDT\tB-NP\tO' +p71594 +aS'6\t6\tCD\tI-NP\tO' +p71595 +aS'hours\thour\tNNS\tI-NP\tO' +p71596 +aS')\t)\t)\tO\tO' +p71597 +aS'.\t.\t.\tO\tO' +p71598 +asS'CMED CSRU and Plastic Surgery flap checks , tracheostomy care , and Westwood-Pocasset management.' +p71599 +(lp71600 +S'CMED\tCMED\tNNP\tB-NP\tO' +p71601 +aS'CSRU\tCSRU\tNNP\tI-NP\tO' +p71602 +aS'and\tand\tCC\tO\tO' +p71603 +aS'Plastic\tPlastic\tNNP\tB-NP\tO' +p71604 +aS'Surgery\tSurgery\tNNP\tI-NP\tO' +p71605 +aS'flap\tflap\tNN\tI-NP\tO' +p71606 +aS'checks\tcheck\tNNS\tI-NP\tO' +p71607 +aS',\t,\t,\tO\tO' +p71608 +aS'tracheostomy\ttracheostomy\tNN\tB-NP\tO' +p71609 +aS'care\tcare\tNN\tI-NP\tO' +p71610 +aS',\t,\t,\tO\tO' +p71611 +aS'and\tand\tCC\tO\tO' +p71612 +aS'Westwood-Pocasset\tWestwood-Pocasset\tNN\tB-NP\tO' +p71613 +aS'management.\tmanagement.\tNN\tI-NP\tO' +p71614 +asS'He had progressive symptoms of congestive heart failure which led to his evaluation of his cardiac transplant in March of 1991 .' +p71615 +(lp71616 +S'He\tHe\tPRP\tB-NP\tO' +p71617 +aS'had\thave\tVBD\tB-VP\tO' +p71618 +aS'progressive\tprogressive\tJJ\tB-NP\tO' +p71619 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p71620 +aS'of\tof\tIN\tB-PP\tO' +p71621 +aS'congestive\tcongestive\tJJ\tB-NP\tO' +p71622 +aS'heart\theart\tNN\tI-NP\tO' +p71623 +aS'failure\tfailure\tNN\tI-NP\tO' +p71624 +aS'which\twhich\tWDT\tB-NP\tO' +p71625 +aS'led\tlead\tVBD\tB-VP\tO' +p71626 +aS'to\tto\tTO\tB-PP\tO' +p71627 +aS'his\this\tPRP$\tB-NP\tO' +p71628 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p71629 +aS'of\tof\tIN\tB-PP\tO' +p71630 +aS'his\this\tPRP$\tB-NP\tO' +p71631 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p71632 +aS'transplant\ttransplant\tNN\tI-NP\tO' +p71633 +aS'in\tin\tIN\tB-PP\tO' +p71634 +aS'March\tMarch\tNNP\tB-NP\tO' +p71635 +aS'of\tof\tIN\tB-PP\tO' +p71636 +aS'1991\t1991\tCD\tB-NP\tO' +p71637 +aS'.\t.\t.\tO\tO' +p71638 +asS'6. Morphine 15 mg Tablet Sustained Release Sig : Three ( 3 ) Tablet Sustained Release PO Q12H ( every 12 hours ).' +p71639 +(lp71640 +S'6.\t6.\tCD\tB-NP\tO' +p71641 +aS'Morphine\tMorphine\tNNP\tI-NP\tO' +p71642 +aS'15\t15\tCD\tI-NP\tO' +p71643 +aS'mg\tmg\tNN\tI-NP\tO' +p71644 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p71645 +aS'Sustained\tSustained\tNNP\tI-NP\tO' +p71646 +aS'Release\tRelease\tNNP\tI-NP\tO' +p71647 +aS'Sig\tSig\tNNP\tI-NP\tB-protein' +p71648 +aS':\t:\t:\tO\tO' +p71649 +aS'Three\tThree\tCD\tB-NP\tO' +p71650 +aS'(\t(\t(\tO\tO' +p71651 +aS'3\t3\tCD\tB-NP\tO' +p71652 +aS')\t)\t)\tO\tO' +p71653 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p71654 +aS'Sustained\tSustain\tVBD\tB-VP\tO' +p71655 +aS'Release\tRelease\tNN\tB-NP\tO' +p71656 +aS'PO\tPO\tNN\tI-NP\tO' +p71657 +aS'Q12H\tQ12H\tNN\tI-NP\tO' +p71658 +aS'(\t(\t(\tO\tO' +p71659 +aS'every\tevery\tDT\tB-NP\tO' +p71660 +aS'12\t12\tCD\tI-NP\tO' +p71661 +aS'hours\thour\tNNS\tI-NP\tO' +p71662 +aS').\t).\t)\tO\tO' +p71663 +asS'Dorsalis pedis pulses were 2+ bilaterally .' +p71664 +(lp71665 +S'Dorsalis\tDorsalis\tNNP\tB-NP\tO' +p71666 +aS'pedis\tpedis\tNN\tI-NP\tO' +p71667 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p71668 +aS'were\tbe\tVBD\tB-VP\tO' +p71669 +aS'2+\t2+\tJJ\tB-ADJP\tO' +p71670 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p71671 +aS'.\t.\t.\tO\tO' +p71672 +asS'They wanted the patient to return to his home after a stay at a rehab facility .' +p71673 +(lp71674 +S'They\tThey\tPRP\tB-NP\tO' +p71675 +aS'wanted\twant\tVBD\tB-VP\tO' +p71676 +aS'the\tthe\tDT\tB-NP\tO' +p71677 +aS'patient\tpatient\tNN\tI-NP\tO' +p71678 +aS'to\tto\tTO\tB-VP\tO' +p71679 +aS'return\treturn\tVB\tI-VP\tO' +p71680 +aS'to\tto\tTO\tB-PP\tO' +p71681 +aS'his\this\tPRP$\tB-NP\tO' +p71682 +aS'home\thome\tNN\tI-NP\tO' +p71683 +aS'after\tafter\tIN\tB-PP\tO' +p71684 +aS'a\ta\tDT\tB-NP\tO' +p71685 +aS'stay\tstay\tNN\tI-NP\tO' +p71686 +aS'at\tat\tIN\tB-PP\tO' +p71687 +aS'a\ta\tDT\tB-NP\tO' +p71688 +aS'rehab\trehab\tNN\tI-NP\tO' +p71689 +aS'facility\tfacility\tNN\tI-NP\tO' +p71690 +aS'.\t.\t.\tO\tO' +p71691 +asS'Reflexes were 2+ throughout in the upper and lower extremities , and toes were downgoing .' +p71692 +(lp71693 +S'Reflexes\tReflex\tNNS\tB-NP\tO' +p71694 +aS'were\tbe\tVBD\tB-VP\tO' +p71695 +aS'2+\t2+\tJJ\tB-ADJP\tO' +p71696 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p71697 +aS'in\tin\tIN\tB-PP\tO' +p71698 +aS'the\tthe\tDT\tB-NP\tO' +p71699 +aS'upper\tupper\tJJ\tI-NP\tO' +p71700 +aS'and\tand\tCC\tI-NP\tO' +p71701 +aS'lower\tlow\tJJR\tI-NP\tO' +p71702 +aS'extremities\textremity\tNNS\tI-NP\tO' +p71703 +aS',\t,\t,\tO\tO' +p71704 +aS'and\tand\tCC\tO\tO' +p71705 +aS'toes\ttoe\tNNS\tB-NP\tO' +p71706 +aS'were\tbe\tVBD\tB-VP\tO' +p71707 +aS'downgoing\tdowngoe\tVBG\tI-VP\tO' +p71708 +aS'.\t.\t.\tO\tO' +p71709 +asS'The patient the next two days did not notice any significant change in her pain pattern .' +p71710 +(lp71711 +S'The\tThe\tDT\tB-NP\tO' +p71712 +aS'patient\tpatient\tNN\tI-NP\tO' +p71713 +aS'the\tthe\tDT\tB-NP\tO' +p71714 +aS'next\tnext\tJJ\tI-NP\tO' +p71715 +aS'two\ttwo\tCD\tI-NP\tO' +p71716 +aS'days\tday\tNNS\tI-NP\tO' +p71717 +aS'did\tdo\tVBD\tB-VP\tO' +p71718 +aS'not\tnot\tRB\tI-VP\tO' +p71719 +aS'notice\tnotice\tVB\tI-VP\tO' +p71720 +aS'any\tany\tDT\tB-NP\tO' +p71721 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p71722 +aS'change\tchange\tNN\tI-NP\tO' +p71723 +aS'in\tin\tIN\tB-PP\tO' +p71724 +aS'her\ther\tPRP$\tB-NP\tO' +p71725 +aS'pain\tpain\tNN\tI-NP\tO' +p71726 +aS'pattern\tpattern\tNN\tI-NP\tO' +p71727 +aS'.\t.\t.\tO\tO' +p71728 +asS'Responsible After Study for Causing Admission ) erosive esophagitis' +p71729 +(lp71730 +S'Responsible\tResponsible\tJJ\tB-ADJP\tO' +p71731 +aS'After\tAfter\tIN\tB-PP\tO' +p71732 +aS'Study\tStudy\tNN\tB-NP\tO' +p71733 +aS'for\tfor\tIN\tB-PP\tO' +p71734 +aS'Causing\tCause\tVBG\tB-NP\tO' +p71735 +aS'Admission\tAdmission\tNN\tI-NP\tO' +p71736 +aS')\t)\t)\tI-NP\tO' +p71737 +aS'erosive\terosive\tJJ\tI-NP\tO' +p71738 +aS'esophagitis\tesophagitis\tNN\tI-NP\tO' +p71739 +asS'Extremities reveal no edema , no swelling .' +p71740 +(lp71741 +S'Extremities\tExtremity\tNNS\tB-NP\tO' +p71742 +aS'reveal\treveal\tVBP\tB-VP\tO' +p71743 +aS'no\tno\tDT\tB-NP\tO' +p71744 +aS'edema\tedema\tNN\tI-NP\tO' +p71745 +aS',\t,\t,\tO\tO' +p71746 +aS'no\tno\tDT\tB-NP\tO' +p71747 +aS'swelling\tswelling\tNN\tI-NP\tO' +p71748 +aS'.\t.\t.\tO\tO' +p71749 +asS'2. IVF with diamniotic , dichorionic twins .' +p71750 +(lp71751 +S'2.\t2.\tLS\tB-NP\tO' +p71752 +aS'IVF\tIVF\tNN\tI-NP\tB-protein' +p71753 +aS'with\twith\tIN\tB-PP\tO' +p71754 +aS'diamniotic\tdiamniotic\tJJ\tB-NP\tO' +p71755 +aS',\t,\t,\tI-NP\tO' +p71756 +aS'dichorionic\tdichorionic\tJJ\tI-NP\tO' +p71757 +aS'twins\ttwin\tNNS\tI-NP\tO' +p71758 +aS'.\t.\t.\tO\tO' +p71759 +asS'Family and primary carephysician informed .' +p71760 +(lp71761 +S'Family\tFamily\tRB\tB-ADVP\tO' +p71762 +aS'and\tand\tCC\tO\tO' +p71763 +aS'primary\tprimary\tJJ\tB-NP\tO' +p71764 +aS'carephysician\tcarephysician\tNN\tI-NP\tO' +p71765 +aS'informed\tinform\tVBN\tB-VP\tO' +p71766 +aS'.\t.\t.\tO\tO' +p71767 +asS'Discussion with the family regarding the possibility of sending him to a nursing home was entertained however the family strongly refused to allow him to go a nursing home .' +p71768 +(lp71769 +S'Discussion\tDiscussion\tNN\tB-NP\tO' +p71770 +aS'with\twith\tIN\tB-PP\tO' +p71771 +aS'the\tthe\tDT\tB-NP\tO' +p71772 +aS'family\tfamily\tNN\tI-NP\tO' +p71773 +aS'regarding\tregard\tVBG\tB-VP\tO' +p71774 +aS'the\tthe\tDT\tB-NP\tO' +p71775 +aS'possibility\tpossibility\tNN\tI-NP\tO' +p71776 +aS'of\tof\tIN\tB-PP\tO' +p71777 +aS'sending\tsend\tVBG\tB-VP\tO' +p71778 +aS'him\thim\tPRP\tB-NP\tO' +p71779 +aS'to\tto\tTO\tB-PP\tO' +p71780 +aS'a\ta\tDT\tB-NP\tO' +p71781 +aS'nursing\tnursing\tNN\tI-NP\tO' +p71782 +aS'home\thome\tNN\tI-NP\tO' +p71783 +aS'was\tbe\tVBD\tB-VP\tO' +p71784 +aS'entertained\tentertain\tVBN\tI-VP\tO' +p71785 +aS'however\thowever\tRB\tB-ADVP\tO' +p71786 +aS'the\tthe\tDT\tB-NP\tO' +p71787 +aS'family\tfamily\tNN\tI-NP\tO' +p71788 +aS'strongly\tstrongly\tRB\tB-ADVP\tO' +p71789 +aS'refused\trefuse\tVBD\tB-VP\tO' +p71790 +aS'to\tto\tTO\tI-VP\tO' +p71791 +aS'allow\tallow\tVB\tI-VP\tO' +p71792 +aS'him\thim\tPRP\tB-NP\tO' +p71793 +aS'to\tto\tTO\tB-VP\tO' +p71794 +aS'go\tgo\tVB\tI-VP\tO' +p71795 +aS'a\ta\tDT\tB-NP\tO' +p71796 +aS'nursing\tnursing\tNN\tI-NP\tO' +p71797 +aS'home\thome\tNN\tI-NP\tO' +p71798 +aS'.\t.\t.\tO\tO' +p71799 +asS'The patient is a 51 year-old female , with a non-toxic multinodular goiter .' +p71800 +(lp71801 +S'The\tThe\tDT\tB-NP\tO' +p71802 +aS'patient\tpatient\tNN\tI-NP\tO' +p71803 +aS'is\tbe\tVBZ\tB-VP\tO' +p71804 +aS'a\ta\tDT\tB-NP\tO' +p71805 +aS'51\t51\tCD\tI-NP\tO' +p71806 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p71807 +aS'female\tfemale\tNN\tI-NP\tO' +p71808 +aS',\t,\t,\tO\tO' +p71809 +aS'with\twith\tIN\tB-PP\tO' +p71810 +aS'a\ta\tDT\tB-NP\tO' +p71811 +aS'non-toxic\tnon-toxic\tJJ\tI-NP\tO' +p71812 +aS'multinodular\tmultinodular\tJJ\tI-NP\tO' +p71813 +aS'goiter\tgoiter\tNN\tI-NP\tO' +p71814 +aS'.\t.\t.\tO\tO' +p71815 +asS'15. syringes for epogen q week' +p71816 +(lp71817 +S'15.\t15.\tLS\tB-NP\tO' +p71818 +aS'syringes\tsyrinx\tNNS\tI-NP\tO' +p71819 +aS'for\tfor\tIN\tB-PP\tO' +p71820 +aS'epogen\tepogen\tNN\tB-NP\tO' +p71821 +aS'q\tq\tNN\tI-NP\tO' +p71822 +aS'week\tweek\tNN\tI-NP\tO' +p71823 +asS'Dictated By : Lloyd U. King , M.D.' +p71824 +(lp71825 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p71826 +aS'By\tBy\tIN\tB-PP\tO' +p71827 +aS':\t:\t:\tO\tO' +p71828 +aS'Lloyd\tLloyd\tNNP\tB-NP\tO' +p71829 +aS'U.\tU.\tNNP\tI-NP\tO' +p71830 +aS'King\tKing\tNNP\tI-NP\tO' +p71831 +aS',\t,\t,\tO\tO' +p71832 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p71833 +asS'2. Small bilateral pleural effusions .' +p71834 +(lp71835 +S'2.\t2.\tLS\tB-NP\tO' +p71836 +aS'Small\tSmall\tJJ\tI-NP\tO' +p71837 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p71838 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p71839 +aS'effusions\teffusion\tNNS\tI-NP\tO' +p71840 +aS'.\t.\t.\tO\tO' +p71841 +asS'Please follow up with your PCP C. Lettinga ( 572 8343 ) on 10-10 at 1:00 PM' +p71842 +(lp71843 +S'Please\tPlease\tVB\tB-VP\tO' +p71844 +aS'follow\tfollow\tVB\tI-VP\tO' +p71845 +aS'up\tup\tRP\tB-PRT\tO' +p71846 +aS'with\twith\tIN\tB-PP\tO' +p71847 +aS'your\tyour\tPRP$\tB-NP\tO' +p71848 +aS'PCP\tPCP\tNN\tI-NP\tO' +p71849 +aS'C.\tC.\tNNP\tI-NP\tO' +p71850 +aS'Lettinga\tLettinga\tNNP\tI-NP\tO' +p71851 +aS'(\t(\t(\tO\tO' +p71852 +aS'572\t572\tCD\tB-NP\tO' +p71853 +aS'8343\t8343\tCD\tI-NP\tO' +p71854 +aS')\t)\t)\tO\tO' +p71855 +aS'on\ton\tIN\tB-PP\tO' +p71856 +aS'10-10\t10-10\tCD\tB-NP\tO' +p71857 +aS'at\tat\tIN\tB-PP\tO' +p71858 +aS'1:00\t1:00\tCD\tB-NP\tO' +p71859 +aS'PM\tPM\tNN\tI-NP\tO' +p71860 +asS'Follow up as below .' +p71861 +(lp71862 +S'Follow\tFollow\tVB\tB-VP\tO' +p71863 +aS'up\tup\tRP\tB-PRT\tO' +p71864 +aS'as\tas\tRB\tB-ADVP\tO' +p71865 +aS'below\tbelow\tRB\tI-ADVP\tO' +p71866 +aS'.\t.\t.\tO\tO' +p71867 +asS'Tai Pamela Wendell , Oklahoma 05158' +p71868 +(lp71869 +S'Tai\tTai\tNNP\tB-NP\tO' +p71870 +aS'Pamela\tPamela\tNNP\tI-NP\tO' +p71871 +aS'Wendell\tWendell\tNNP\tI-NP\tO' +p71872 +aS',\t,\t,\tO\tO' +p71873 +aS'Oklahoma\tOklahoma\tNNP\tB-NP\tO' +p71874 +aS'05158\t05158\tCD\tI-NP\tO' +p71875 +asS'Agitated in emergency room requiring 4 leather restraints , received 5 mg of Haldol , 2 mg of Ativan .' +p71876 +(lp71877 +S'Agitated\tAgitate\tVBN\tB-VP\tO' +p71878 +aS'in\tin\tIN\tB-PP\tO' +p71879 +aS'emergency\temergency\tNN\tB-NP\tO' +p71880 +aS'room\troom\tNN\tI-NP\tO' +p71881 +aS'requiring\trequire\tVBG\tB-VP\tO' +p71882 +aS'4\t4\tCD\tB-NP\tO' +p71883 +aS'leather\tleather\tNN\tI-NP\tO' +p71884 +aS'restraints\trestraint\tNNS\tI-NP\tO' +p71885 +aS',\t,\t,\tO\tO' +p71886 +aS'received\treceive\tVBD\tB-VP\tO' +p71887 +aS'5\t5\tCD\tB-NP\tO' +p71888 +aS'mg\tmg\tNN\tI-NP\tO' +p71889 +aS'of\tof\tIN\tB-PP\tO' +p71890 +aS'Haldol\tHaldol\tNN\tB-NP\tO' +p71891 +aS',\t,\t,\tO\tO' +p71892 +aS'2\t2\tCD\tB-NP\tO' +p71893 +aS'mg\tmg\tNN\tI-NP\tO' +p71894 +aS'of\tof\tIN\tB-PP\tO' +p71895 +aS'Ativan\tAtivan\tNNP\tB-NP\tO' +p71896 +aS'.\t.\t.\tO\tO' +p71897 +asS'Patient was ruled out by enzymes .' +p71898 +(lp71899 +S'Patient\tPatient\tNN\tB-NP\tO' +p71900 +aS'was\tbe\tVBD\tB-VP\tO' +p71901 +aS'ruled\trule\tVBN\tI-VP\tO' +p71902 +aS'out\tout\tRP\tB-PRT\tO' +p71903 +aS'by\tby\tIN\tB-PP\tO' +p71904 +aS'enzymes\tenzyme\tNNS\tB-NP\tB-protein' +p71905 +aS'.\t.\t.\tO\tO' +p71906 +asS'He had several repeat imaging studies during his Intensive Care Unit stay which showed further demarcation , but not extension of his prior infarct , both on computerized tomography scan and DWI images .' +p71907 +(lp71908 +S'He\tHe\tPRP\tB-NP\tO' +p71909 +aS'had\thave\tVBD\tB-VP\tO' +p71910 +aS'several\tseveral\tJJ\tB-NP\tO' +p71911 +aS'repeat\trepeat\tNN\tI-NP\tO' +p71912 +aS'imaging\timaging\tNN\tI-NP\tO' +p71913 +aS'studies\tstudy\tNNS\tI-NP\tO' +p71914 +aS'during\tduring\tIN\tB-PP\tO' +p71915 +aS'his\this\tPRP$\tB-NP\tO' +p71916 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p71917 +aS'Care\tCare\tNNP\tI-NP\tO' +p71918 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p71919 +aS'stay\tstay\tNN\tI-NP\tO' +p71920 +aS'which\twhich\tWDT\tB-NP\tO' +p71921 +aS'showed\tshow\tVBD\tB-VP\tO' +p71922 +aS'further\tfurther\tJJ\tB-NP\tO' +p71923 +aS'demarcation\tdemarcation\tNN\tI-NP\tO' +p71924 +aS',\t,\t,\tO\tO' +p71925 +aS'but\tbut\tCC\tO\tO' +p71926 +aS'not\tnot\tRB\tO\tO' +p71927 +aS'extension\textension\tNN\tB-NP\tO' +p71928 +aS'of\tof\tIN\tB-PP\tO' +p71929 +aS'his\this\tPRP$\tB-NP\tO' +p71930 +aS'prior\tprior\tJJ\tI-NP\tO' +p71931 +aS'infarct\tinfarct\tNN\tI-NP\tO' +p71932 +aS',\t,\t,\tO\tO' +p71933 +aS'both\tboth\tDT\tO\tO' +p71934 +aS'on\ton\tIN\tB-PP\tO' +p71935 +aS'computerized\tcomputerize\tVBN\tB-NP\tO' +p71936 +aS'tomography\ttomography\tNN\tI-NP\tO' +p71937 +aS'scan\tscan\tNN\tI-NP\tO' +p71938 +aS'and\tand\tCC\tI-NP\tO' +p71939 +aS'DWI\tDWI\tNN\tI-NP\tO' +p71940 +aS'images\timage\tNNS\tI-NP\tO' +p71941 +aS'.\t.\t.\tO\tO' +p71942 +asS'The plan was to start her on heparin and Coumadin and discontinue her heparin when her Coumadin levels became therapeutic as judged by the prothrombin time / INR .' +p71943 +(lp71944 +S'The\tThe\tDT\tB-NP\tO' +p71945 +aS'plan\tplan\tNN\tI-NP\tO' +p71946 +aS'was\tbe\tVBD\tB-VP\tO' +p71947 +aS'to\tto\tTO\tI-VP\tO' +p71948 +aS'start\tstart\tVB\tI-VP\tO' +p71949 +aS'her\ther\tPRP\tB-NP\tO' +p71950 +aS'on\ton\tIN\tB-PP\tO' +p71951 +aS'heparin\theparin\tNN\tB-NP\tO' +p71952 +aS'and\tand\tCC\tI-NP\tO' +p71953 +aS'Coumadin\tCoumadin\tNN\tI-NP\tO' +p71954 +aS'and\tand\tCC\tO\tO' +p71955 +aS'discontinue\tdiscontinue\tVB\tB-VP\tO' +p71956 +aS'her\ther\tPRP$\tB-NP\tO' +p71957 +aS'heparin\theparin\tNN\tI-NP\tO' +p71958 +aS'when\twhen\tWRB\tB-ADVP\tO' +p71959 +aS'her\ther\tPRP$\tB-NP\tO' +p71960 +aS'Coumadin\tCoumadin\tNN\tI-NP\tO' +p71961 +aS'levels\tlevel\tNNS\tI-NP\tO' +p71962 +aS'became\tbecome\tVBD\tB-VP\tO' +p71963 +aS'therapeutic\ttherapeutic\tJJ\tB-ADJP\tO' +p71964 +aS'as\tas\tIN\tB-SBAR\tO' +p71965 +aS'judged\tjudge\tVBN\tB-VP\tO' +p71966 +aS'by\tby\tIN\tB-PP\tO' +p71967 +aS'the\tthe\tDT\tB-NP\tO' +p71968 +aS'prothrombin\tprothrombin\tNN\tI-NP\tO' +p71969 +aS'time\ttime\tNN\tI-NP\tO' +p71970 +aS'/\t/\tSYM\tB-NP\tO' +p71971 +aS'INR\tINR\tNN\tI-NP\tB-protein' +p71972 +aS'.\t.\t.\tO\tO' +p71973 +asS'1. Miconazole Nitrate 2 % Powder Sig : One ( 1 ) Appl Topical QID ( 4 times a day ) .' +p71974 +(lp71975 +S'1.\t1.\tLS\tB-NP\tO' +p71976 +aS'Miconazole\tMiconazole\tNN\tI-NP\tO' +p71977 +aS'Nitrate\tNitrate\tNN\tI-NP\tO' +p71978 +aS'2\t2\tCD\tB-NP\tO' +p71979 +aS'%\t%\tNN\tI-NP\tO' +p71980 +aS'Powder\tPowder\tNNP\tI-NP\tO' +p71981 +aS'Sig\tSig\tNNP\tI-NP\tO' +p71982 +aS':\t:\t:\tO\tO' +p71983 +aS'One\tOne\tCD\tB-NP\tO' +p71984 +aS'(\t(\t(\tO\tO' +p71985 +aS'1\t1\tCD\tB-NP\tO' +p71986 +aS')\t)\t)\tO\tO' +p71987 +aS'Appl\tAppl\tNNP\tB-NP\tO' +p71988 +aS'Topical\tTopical\tJJ\tI-NP\tO' +p71989 +aS'QID\tQID\tNN\tI-NP\tO' +p71990 +aS'(\t(\t(\tO\tO' +p71991 +aS'4\t4\tCD\tB-NP\tO' +p71992 +aS'times\ttime\tNNS\tI-NP\tO' +p71993 +aS'a\ta\tDT\tB-NP\tO' +p71994 +aS'day\tday\tNN\tI-NP\tO' +p71995 +aS')\t)\t)\tO\tO' +p71996 +aS'.\t.\t.\tO\tO' +p71997 +asS'She denies any pain with urination or incontinence .' +p71998 +(lp71999 +S'She\tShe\tPRP\tB-NP\tO' +p72000 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p72001 +aS'any\tany\tDT\tB-NP\tO' +p72002 +aS'pain\tpain\tNN\tI-NP\tO' +p72003 +aS'with\twith\tIN\tB-PP\tO' +p72004 +aS'urination\turination\tNN\tB-NP\tO' +p72005 +aS'or\tor\tCC\tI-NP\tO' +p72006 +aS'incontinence\tincontinence\tNN\tI-NP\tO' +p72007 +aS'.\t.\t.\tO\tO' +p72008 +asS'1. Coronary artery disease .' +p72009 +(lp72010 +S'1.\t1.\tLS\tB-NP\tO' +p72011 +aS'Coronary\tCoronary\tJJ\tI-NP\tO' +p72012 +aS'artery\tartery\tNN\tI-NP\tO' +p72013 +aS'disease\tdisease\tNN\tI-NP\tO' +p72014 +aS'.\t.\t.\tO\tO' +p72015 +asS'In the ICU , the patient was on enalapril , hydralazine and labetalol .' +p72016 +(lp72017 +S'In\tIn\tIN\tB-PP\tO' +p72018 +aS'the\tthe\tDT\tB-NP\tO' +p72019 +aS'ICU\tICU\tNN\tI-NP\tB-DNA' +p72020 +aS',\t,\t,\tO\tO' +p72021 +aS'the\tthe\tDT\tB-NP\tO' +p72022 +aS'patient\tpatient\tNN\tI-NP\tO' +p72023 +aS'was\tbe\tVBD\tB-VP\tO' +p72024 +aS'on\ton\tIN\tB-PP\tO' +p72025 +aS'enalapril\tenalapril\tNN\tB-NP\tO' +p72026 +aS',\t,\t,\tI-NP\tO' +p72027 +aS'hydralazine\thydralazine\tNN\tI-NP\tO' +p72028 +aS'and\tand\tCC\tI-NP\tO' +p72029 +aS'labetalol\tlabetalol\tNN\tI-NP\tO' +p72030 +aS'.\t.\t.\tO\tO' +p72031 +asS'Reported occassional glass of wine , no illicit drugs' +p72032 +(lp72033 +S'Reported\tReport\tVBN\tB-NP\tO' +p72034 +aS'occassional\toccassional\tJJ\tI-NP\tO' +p72035 +aS'glass\tglass\tNN\tI-NP\tO' +p72036 +aS'of\tof\tIN\tB-PP\tO' +p72037 +aS'wine\twine\tNN\tB-NP\tO' +p72038 +aS',\t,\t,\tO\tO' +p72039 +aS'no\tno\tDT\tB-NP\tO' +p72040 +aS'illicit\tillicit\tJJ\tI-NP\tO' +p72041 +aS'drugs\tdrug\tNNS\tI-NP\tO' +p72042 +asS'Also at the time of admission we were also considering palliative Taxol chemotherapy , which the patient declined .' +p72043 +(lp72044 +S'Also\tAlso\tRB\tB-ADVP\tO' +p72045 +aS'at\tat\tIN\tB-PP\tO' +p72046 +aS'the\tthe\tDT\tB-NP\tO' +p72047 +aS'time\ttime\tNN\tI-NP\tO' +p72048 +aS'of\tof\tIN\tB-PP\tO' +p72049 +aS'admission\tadmission\tNN\tB-NP\tO' +p72050 +aS'we\twe\tPRP\tB-NP\tO' +p72051 +aS'were\tbe\tVBD\tB-VP\tO' +p72052 +aS'also\talso\tRB\tI-VP\tO' +p72053 +aS'considering\tconsider\tVBG\tI-VP\tO' +p72054 +aS'palliative\tpalliative\tJJ\tB-NP\tO' +p72055 +aS'Taxol\tTaxol\tNN\tI-NP\tO' +p72056 +aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' +p72057 +aS',\t,\t,\tO\tO' +p72058 +aS'which\twhich\tWDT\tB-NP\tO' +p72059 +aS'the\tthe\tDT\tB-NP\tO' +p72060 +aS'patient\tpatient\tNN\tI-NP\tO' +p72061 +aS'declined\tdecline\tVBD\tB-VP\tO' +p72062 +aS'.\t.\t.\tO\tO' +p72063 +asS'No history of head trauma or seizure disorder' +p72064 +(lp72065 +S'No\tNo\tDT\tB-NP\tO' +p72066 +aS'history\thistory\tNN\tI-NP\tO' +p72067 +aS'of\tof\tIN\tB-PP\tO' +p72068 +aS'head\thead\tNN\tB-NP\tO' +p72069 +aS'trauma\ttrauma\tNN\tI-NP\tO' +p72070 +aS'or\tor\tCC\tO\tO' +p72071 +aS'seizure\tseizure\tNN\tB-NP\tO' +p72072 +aS'disorder\tdisorder\tNN\tI-NP\tO' +p72073 +asS"A repeat straight cath was negative for RBC 's ." +p72074 +(lp72075 +S'A\tA\tDT\tB-NP\tO' +p72076 +aS'repeat\trepeat\tNN\tI-NP\tO' +p72077 +aS'straight\tstraight\tJJ\tI-NP\tO' +p72078 +aS'cath\tcath\tNN\tI-NP\tO' +p72079 +aS'was\tbe\tVBD\tB-VP\tO' +p72080 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p72081 +aS'for\tfor\tIN\tB-PP\tO' +p72082 +aS'RBC\tRBC\tNNP\tB-NP\tB-cell_type' +p72083 +aS"'s\t's\tPOS\tB-NP\tO" +p72084 +aS'.\t.\t.\tO\tO' +p72085 +asS'There were post laparoscopic incisions without erythema with Steri-Strips in place .' +p72086 +(lp72087 +S'There\tThere\tEX\tB-NP\tO' +p72088 +aS'were\tbe\tVBD\tB-VP\tO' +p72089 +aS'post\tpost\tJJ\tB-NP\tO' +p72090 +aS'laparoscopic\tlaparoscopic\tJJ\tI-NP\tO' +p72091 +aS'incisions\tincision\tNNS\tI-NP\tO' +p72092 +aS'without\twithout\tIN\tB-PP\tO' +p72093 +aS'erythema\terythema\tNN\tB-NP\tO' +p72094 +aS'with\twith\tIN\tB-PP\tO' +p72095 +aS'Steri-Strips\tSteri-Strip\tNNS\tB-NP\tB-protein' +p72096 +aS'in\tin\tIN\tB-PP\tO' +p72097 +aS'place\tplace\tNN\tB-NP\tO' +p72098 +aS'.\t.\t.\tO\tO' +p72099 +asS'The patient was transferred for cardiac catheterization .' +p72100 +(lp72101 +S'The\tThe\tDT\tB-NP\tO' +p72102 +aS'patient\tpatient\tNN\tI-NP\tO' +p72103 +aS'was\tbe\tVBD\tB-VP\tO' +p72104 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p72105 +aS'for\tfor\tIN\tB-PP\tO' +p72106 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p72107 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p72108 +aS'.\t.\t.\tO\tO' +p72109 +asS'Abdomen was soft , nontender , nondistended , with normal active bowel sounds .' +p72110 +(lp72111 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p72112 +aS'was\tbe\tVBD\tB-VP\tO' +p72113 +aS'soft\tsoft\tJJ\tB-NP\tO' +p72114 +aS',\t,\t,\tI-NP\tO' +p72115 +aS'nontender\tnontender\tJJ\tI-NP\tO' +p72116 +aS',\t,\t,\tI-NP\tO' +p72117 +aS'nondistended\tnondistended\tJJ\tI-NP\tO' +p72118 +aS',\t,\t,\tO\tO' +p72119 +aS'with\twith\tIN\tB-PP\tO' +p72120 +aS'normal\tnormal\tJJ\tB-NP\tO' +p72121 +aS'active\tactive\tJJ\tI-NP\tO' +p72122 +aS'bowel\tbowel\tNN\tI-NP\tO' +p72123 +aS'sounds\tsound\tNNS\tI-NP\tO' +p72124 +aS'.\t.\t.\tO\tO' +p72125 +asS'Echo did not reveal potential source of emboli , but showed striking left ventricle akinesis and hypokinesis presumbly due to past MI x 2 .' +p72126 +(lp72127 +S'Echo\tEcho\tNNP\tB-NP\tO' +p72128 +aS'did\tdo\tVBD\tB-VP\tO' +p72129 +aS'not\tnot\tRB\tI-VP\tO' +p72130 +aS'reveal\treveal\tVB\tI-VP\tO' +p72131 +aS'potential\tpotential\tJJ\tB-NP\tO' +p72132 +aS'source\tsource\tNN\tI-NP\tO' +p72133 +aS'of\tof\tIN\tB-PP\tO' +p72134 +aS'emboli\tembolus\tNNS\tB-NP\tO' +p72135 +aS',\t,\t,\tO\tO' +p72136 +aS'but\tbut\tCC\tO\tO' +p72137 +aS'showed\tshow\tVBD\tB-VP\tO' +p72138 +aS'striking\tstriking\tJJ\tB-NP\tO' +p72139 +aS'left\tleft\tJJ\tI-NP\tO' +p72140 +aS'ventricle\tventricle\tNN\tI-NP\tO' +p72141 +aS'akinesis\takinesis\tNN\tI-NP\tO' +p72142 +aS'and\tand\tCC\tI-NP\tO' +p72143 +aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' +p72144 +aS'presumbly\tpresumbly\tRB\tB-ADJP\tO' +p72145 +aS'due\tdue\tJJ\tI-ADJP\tO' +p72146 +aS'to\tto\tTO\tB-PP\tO' +p72147 +aS'past\tpast\tJJ\tB-NP\tB-protein' +p72148 +aS'MI\tMI\tNN\tI-NP\tI-protein' +p72149 +aS'x\tx\tNN\tI-NP\tI-protein' +p72150 +aS'2\t2\tCD\tI-NP\tI-protein' +p72151 +aS'.\t.\t.\tO\tO' +p72152 +asS'Straight leg raise test was difficult to perform due to pain but seemed to be positive on the right .' +p72153 +(lp72154 +S'Straight\tStraight\tJJ\tB-NP\tO' +p72155 +aS'leg\tleg\tNN\tI-NP\tO' +p72156 +aS'raise\traise\tNN\tI-NP\tO' +p72157 +aS'test\ttest\tNN\tI-NP\tO' +p72158 +aS'was\tbe\tVBD\tB-VP\tO' +p72159 +aS'difficult\tdifficult\tJJ\tB-ADJP\tO' +p72160 +aS'to\tto\tTO\tB-VP\tO' +p72161 +aS'perform\tperform\tVB\tI-VP\tO' +p72162 +aS'due\tdue\tIN\tB-PP\tO' +p72163 +aS'to\tto\tTO\tB-PP\tO' +p72164 +aS'pain\tpain\tNN\tB-NP\tO' +p72165 +aS'but\tbut\tCC\tO\tO' +p72166 +aS'seemed\tseem\tVBD\tB-VP\tO' +p72167 +aS'to\tto\tTO\tI-VP\tO' +p72168 +aS'be\tbe\tVB\tI-VP\tO' +p72169 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p72170 +aS'on\ton\tIN\tB-PP\tO' +p72171 +aS'the\tthe\tDT\tB-NP\tO' +p72172 +aS'right\tright\tNN\tI-NP\tO' +p72173 +aS'.\t.\t.\tO\tO' +p72174 +asS'He is to follow up with Dr. East here at the Heart Failure Clinic to continue follow up with cardiac rehabilitation and heart failure management .' +p72175 +(lp72176 +S'He\tHe\tPRP\tB-NP\tO' +p72177 +aS'is\tbe\tVBZ\tB-VP\tO' +p72178 +aS'to\tto\tTO\tB-VP\tO' +p72179 +aS'follow\tfollow\tVB\tI-VP\tO' +p72180 +aS'up\tup\tRP\tB-PRT\tO' +p72181 +aS'with\twith\tIN\tB-PP\tO' +p72182 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p72183 +aS'East\tEast\tNNP\tI-NP\tO' +p72184 +aS'here\there\tRB\tB-ADVP\tO' +p72185 +aS'at\tat\tIN\tB-PP\tO' +p72186 +aS'the\tthe\tDT\tB-NP\tO' +p72187 +aS'Heart\tHeart\tNNP\tI-NP\tO' +p72188 +aS'Failure\tFailure\tNNP\tI-NP\tO' +p72189 +aS'Clinic\tClinic\tNNP\tI-NP\tO' +p72190 +aS'to\tto\tTO\tB-VP\tO' +p72191 +aS'continue\tcontinue\tVB\tI-VP\tO' +p72192 +aS'follow\tfollow\tVB\tI-VP\tO' +p72193 +aS'up\tup\tRP\tB-PRT\tO' +p72194 +aS'with\twith\tIN\tB-PP\tO' +p72195 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p72196 +aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' +p72197 +aS'and\tand\tCC\tI-NP\tO' +p72198 +aS'heart\theart\tNN\tI-NP\tO' +p72199 +aS'failure\tfailure\tNN\tI-NP\tO' +p72200 +aS'management\tmanagement\tNN\tI-NP\tO' +p72201 +aS'.\t.\t.\tO\tO' +p72202 +asS'He had guaiac positive stools .' +p72203 +(lp72204 +S'He\tHe\tPRP\tB-NP\tO' +p72205 +aS'had\thave\tVBD\tB-VP\tO' +p72206 +aS'guaiac\tguaiac\tJJ\tB-NP\tO' +p72207 +aS'positive\tpositive\tJJ\tI-NP\tO' +p72208 +aS'stools\tstool\tNNS\tI-NP\tO' +p72209 +aS'.\t.\t.\tO\tO' +p72210 +asS'In 1992 , the patient has been diagnosed with bladder papilloma and has been cystoscoped seven times .' +p72211 +(lp72212 +S'In\tIn\tIN\tB-PP\tO' +p72213 +aS'1992\t1992\tCD\tB-NP\tO' +p72214 +aS',\t,\t,\tO\tO' +p72215 +aS'the\tthe\tDT\tB-NP\tO' +p72216 +aS'patient\tpatient\tNN\tI-NP\tO' +p72217 +aS'has\thave\tVBZ\tB-VP\tO' +p72218 +aS'been\tbe\tVBN\tI-VP\tO' +p72219 +aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' +p72220 +aS'with\twith\tIN\tB-PP\tO' +p72221 +aS'bladder\tbladder\tNN\tB-NP\tO' +p72222 +aS'papilloma\tpapilloma\tNN\tI-NP\tO' +p72223 +aS'and\tand\tCC\tO\tO' +p72224 +aS'has\thave\tVBZ\tB-VP\tO' +p72225 +aS'been\tbe\tVBN\tI-VP\tO' +p72226 +aS'cystoscoped\tcystoscope\tVBN\tI-VP\tO' +p72227 +aS'seven\tseven\tCD\tB-NP\tO' +p72228 +aS'times\ttime\tNNS\tI-NP\tO' +p72229 +aS'.\t.\t.\tO\tO' +p72230 +asS'3. Digoxin .' +p72231 +(lp72232 +S'3.\t3.\tLS\tB-NP\tO' +p72233 +aS'Digoxin\tDigoxin\tNN\tI-NP\tO' +p72234 +aS'.\t.\t.\tO\tO' +p72235 +asS'3. Tylenol prn .' +p72236 +(lp72237 +S'3.\t3.\tLS\tB-NP\tO' +p72238 +aS'Tylenol\tTylenol\tNN\tI-NP\tO' +p72239 +aS'prn\tprn\tNN\tI-NP\tO' +p72240 +aS'.\t.\t.\tO\tO' +p72241 +asS'Patient is a 53 - year-old female found down in hotel room by EMS with change in mental status and lethargy .' +p72242 +(lp72243 +S'Patient\tPatient\tNN\tB-NP\tO' +p72244 +aS'is\tbe\tVBZ\tB-VP\tO' +p72245 +aS'a\ta\tDT\tB-NP\tO' +p72246 +aS'53\t53\tCD\tI-NP\tO' +p72247 +aS'-\t-\tHYPH\tI-NP\tO' +p72248 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p72249 +aS'female\tfemale\tJJ\tI-NP\tO' +p72250 +aS'found\tfind\tVBN\tB-VP\tO' +p72251 +aS'down\tdown\tRB\tB-ADVP\tO' +p72252 +aS'in\tin\tIN\tB-PP\tO' +p72253 +aS'hotel\thotel\tNN\tB-NP\tO' +p72254 +aS'room\troom\tNN\tI-NP\tO' +p72255 +aS'by\tby\tIN\tB-PP\tO' +p72256 +aS'EMS\tEMS\tNN\tB-NP\tO' +p72257 +aS'with\twith\tIN\tB-PP\tO' +p72258 +aS'change\tchange\tNN\tB-NP\tO' +p72259 +aS'in\tin\tIN\tB-PP\tO' +p72260 +aS'mental\tmental\tJJ\tB-NP\tO' +p72261 +aS'status\tstatus\tNN\tI-NP\tO' +p72262 +aS'and\tand\tCC\tO\tO' +p72263 +aS'lethargy\tlethargy\tNN\tB-NP\tO' +p72264 +aS'.\t.\t.\tO\tO' +p72265 +asS'Attending : George XL Patrick , M.D.' +p72266 +(lp72267 +S'Attending\tAttend\tVBG\tB-VP\tO' +p72268 +aS':\t:\t:\tO\tO' +p72269 +aS'George\tGeorge\tNNP\tB-NP\tO' +p72270 +aS'XL\tXL\tNNP\tI-NP\tO' +p72271 +aS'Patrick\tPatrick\tNNP\tI-NP\tO' +p72272 +aS',\t,\t,\tO\tO' +p72273 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p72274 +asS'CP / burning lasted several hours and was relieved after she received Maalox , lidocaine , and NTG in the ED .' +p72275 +(lp72276 +S'CP\tCP\tNN\tB-NP\tB-DNA' +p72277 +aS'/\t/\tSYM\tI-NP\tO' +p72278 +aS'burning\tburning\tNN\tI-NP\tO' +p72279 +aS'lasted\tlast\tVBD\tB-VP\tO' +p72280 +aS'several\tseveral\tJJ\tB-NP\tO' +p72281 +aS'hours\thour\tNNS\tI-NP\tO' +p72282 +aS'and\tand\tCC\tO\tO' +p72283 +aS'was\tbe\tVBD\tB-VP\tO' +p72284 +aS'relieved\trelieve\tVBN\tI-VP\tO' +p72285 +aS'after\tafter\tIN\tB-SBAR\tO' +p72286 +aS'she\tshe\tPRP\tB-NP\tO' +p72287 +aS'received\treceive\tVBD\tB-VP\tO' +p72288 +aS'Maalox\tMaalox\tNNP\tB-NP\tO' +p72289 +aS',\t,\t,\tO\tO' +p72290 +aS'lidocaine\tlidocaine\tNN\tB-NP\tO' +p72291 +aS',\t,\t,\tO\tO' +p72292 +aS'and\tand\tCC\tO\tO' +p72293 +aS'NTG\tNTG\tNN\tB-NP\tB-protein' +p72294 +aS'in\tin\tIN\tB-PP\tO' +p72295 +aS'the\tthe\tDT\tB-NP\tO' +p72296 +aS'ED\tED\tNN\tI-NP\tO' +p72297 +aS'.\t.\t.\tO\tO' +p72298 +asS'The patient was taken to the operating room on March 11 , 2002 , and underwent an uncomplicated right total hip replacement .' +p72299 +(lp72300 +S'The\tThe\tDT\tB-NP\tO' +p72301 +aS'patient\tpatient\tNN\tI-NP\tO' +p72302 +aS'was\tbe\tVBD\tB-VP\tO' +p72303 +aS'taken\ttake\tVBN\tI-VP\tO' +p72304 +aS'to\tto\tTO\tB-PP\tO' +p72305 +aS'the\tthe\tDT\tB-NP\tO' +p72306 +aS'operating\toperating\tNN\tI-NP\tO' +p72307 +aS'room\troom\tNN\tI-NP\tO' +p72308 +aS'on\ton\tIN\tB-PP\tO' +p72309 +aS'March\tMarch\tNNP\tB-NP\tO' +p72310 +aS'11\t11\tCD\tI-NP\tO' +p72311 +aS',\t,\t,\tI-NP\tO' +p72312 +aS'2002\t2002\tCD\tI-NP\tO' +p72313 +aS',\t,\t,\tO\tO' +p72314 +aS'and\tand\tCC\tO\tO' +p72315 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p72316 +aS'an\tan\tDT\tB-NP\tO' +p72317 +aS'uncomplicated\tuncomplicated\tJJ\tI-NP\tO' +p72318 +aS'right\tright\tJJ\tI-NP\tO' +p72319 +aS'total\ttotal\tJJ\tI-NP\tO' +p72320 +aS'hip\thip\tNN\tI-NP\tO' +p72321 +aS'replacement\treplacement\tNN\tI-NP\tO' +p72322 +aS'.\t.\t.\tO\tO' +p72323 +asS'Lung sounds clear bilaterally .' +p72324 +(lp72325 +S'Lung\tLung\tNN\tB-NP\tO' +p72326 +aS'sounds\tsound\tVBZ\tB-VP\tO' +p72327 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p72328 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p72329 +aS'.\t.\t.\tO\tO' +p72330 +asS'Carotids were 1+ bilaterally .' +p72331 +(lp72332 +S'Carotids\tCarotid\tNNS\tB-NP\tO' +p72333 +aS'were\tbe\tVBD\tB-VP\tO' +p72334 +aS'1+\t1+\tJJ\tB-ADJP\tO' +p72335 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p72336 +aS'.\t.\t.\tO\tO' +p72337 +asS'Neurological exam on admission revealed he was drowsy but easily arousable to voice , oriented to person , Retelk County Medical Center , and date , able to say no but mildly inattentive during examination .' +p72338 +(lp72339 +S'Neurological\tNeurological\tJJ\tB-NP\tO' +p72340 +aS'exam\texam\tNN\tI-NP\tO' +p72341 +aS'on\ton\tIN\tB-PP\tO' +p72342 +aS'admission\tadmission\tNN\tB-NP\tO' +p72343 +aS'revealed\treveal\tVBD\tB-VP\tO' +p72344 +aS'he\the\tPRP\tB-NP\tO' +p72345 +aS'was\tbe\tVBD\tB-VP\tO' +p72346 +aS'drowsy\tdrowsy\tJJ\tB-ADJP\tO' +p72347 +aS'but\tbut\tCC\tO\tO' +p72348 +aS'easily\teasily\tRB\tB-ADJP\tO' +p72349 +aS'arousable\tarousable\tJJ\tI-ADJP\tO' +p72350 +aS'to\tto\tTO\tB-PP\tO' +p72351 +aS'voice\tvoice\tNN\tB-NP\tO' +p72352 +aS',\t,\t,\tO\tO' +p72353 +aS'oriented\torient\tVBN\tB-VP\tO' +p72354 +aS'to\tto\tTO\tB-PP\tO' +p72355 +aS'person\tperson\tNN\tB-NP\tO' +p72356 +aS',\t,\t,\tO\tO' +p72357 +aS'Retelk\tRetelk\tNNP\tB-NP\tO' +p72358 +aS'County\tCounty\tNNP\tI-NP\tO' +p72359 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p72360 +aS'Center\tCenter\tNNP\tI-NP\tO' +p72361 +aS',\t,\t,\tO\tO' +p72362 +aS'and\tand\tCC\tO\tO' +p72363 +aS'date\tdate\tNN\tB-NP\tO' +p72364 +aS',\t,\t,\tO\tO' +p72365 +aS'able\table\tJJ\tB-ADJP\tO' +p72366 +aS'to\tto\tTO\tB-VP\tO' +p72367 +aS'say\tsay\tVB\tI-VP\tO' +p72368 +aS'no\tno\tDT\tB-NP\tO' +p72369 +aS'but\tbut\tCC\tO\tO' +p72370 +aS'mildly\tmildly\tRB\tB-ADJP\tO' +p72371 +aS'inattentive\tinattentive\tJJ\tI-ADJP\tO' +p72372 +aS'during\tduring\tIN\tB-PP\tO' +p72373 +aS'examination\texamination\tNN\tB-NP\tO' +p72374 +aS'.\t.\t.\tO\tO' +p72375 +asS"54 yo F with Crohn 's s/p ileostomy and subsequent short gut syndrome with port-a-cath placement for TPN who presents with progressive right sided chest pain that comes in waves ." +p72376 +(lp72377 +S'54\t54\tCD\tB-NP\tO' +p72378 +aS'yo\tyo\tNN\tI-NP\tO' +p72379 +aS'F\tF\tNN\tI-NP\tO' +p72380 +aS'with\twith\tIN\tB-PP\tO' +p72381 +aS'Crohn\tCrohn\tNN\tB-NP\tO' +p72382 +aS"'s\t's\tPOS\tB-NP\tO" +p72383 +aS's/p\ts/p\tNN\tI-NP\tO' +p72384 +aS'ileostomy\tileostomy\tNN\tI-NP\tO' +p72385 +aS'and\tand\tCC\tO\tO' +p72386 +aS'subsequent\tsubsequent\tJJ\tB-NP\tO' +p72387 +aS'short\tshort\tJJ\tI-NP\tO' +p72388 +aS'gut\tgut\tNN\tI-NP\tO' +p72389 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p72390 +aS'with\twith\tIN\tB-PP\tO' +p72391 +aS'port-a-cath\tport-a-cath\tJJ\tB-NP\tO' +p72392 +aS'placement\tplacement\tNN\tI-NP\tO' +p72393 +aS'for\tfor\tIN\tB-PP\tO' +p72394 +aS'TPN\tTPN\tNN\tB-NP\tB-protein' +p72395 +aS'who\twho\tWP\tB-NP\tO' +p72396 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p72397 +aS'with\twith\tIN\tB-PP\tO' +p72398 +aS'progressive\tprogressive\tJJ\tB-NP\tO' +p72399 +aS'right\tright\tJJ\tI-NP\tO' +p72400 +aS'sided\tsided\tJJ\tI-NP\tO' +p72401 +aS'chest\tchest\tNN\tI-NP\tO' +p72402 +aS'pain\tpain\tNN\tI-NP\tO' +p72403 +aS'that\tthat\tWDT\tB-NP\tO' +p72404 +aS'comes\tcome\tVBZ\tB-VP\tO' +p72405 +aS'in\tin\tIN\tB-PP\tO' +p72406 +aS'waves\twave\tNNS\tB-NP\tO' +p72407 +aS'.\t.\t.\tO\tO' +p72408 +asS'Addendum : Findings are c/w paraspinous extension of infection anteriorly and laterally into the medial aspects of the psoas muscles bilaterally at the L3 and L4 levels .' +p72409 +(lp72410 +S'Addendum\tAddendum\tNN\tB-NP\tO' +p72411 +aS':\t:\t:\tO\tO' +p72412 +aS'Findings\tFinding\tNNS\tB-NP\tO' +p72413 +aS'are\tbe\tVBP\tB-VP\tO' +p72414 +aS'c/w\tc/w\tJJ\tB-NP\tO' +p72415 +aS'paraspinous\tparaspinous\tJJ\tI-NP\tO' +p72416 +aS'extension\textension\tNN\tI-NP\tO' +p72417 +aS'of\tof\tIN\tB-PP\tO' +p72418 +aS'infection\tinfection\tNN\tB-NP\tO' +p72419 +aS'anteriorly\tanteriorly\tRB\tB-ADVP\tO' +p72420 +aS'and\tand\tCC\tI-ADVP\tO' +p72421 +aS'laterally\tlaterally\tRB\tI-ADVP\tO' +p72422 +aS'into\tinto\tIN\tB-PP\tO' +p72423 +aS'the\tthe\tDT\tB-NP\tO' +p72424 +aS'medial\tmedial\tJJ\tI-NP\tO' +p72425 +aS'aspects\taspect\tNNS\tI-NP\tO' +p72426 +aS'of\tof\tIN\tB-PP\tO' +p72427 +aS'the\tthe\tDT\tB-NP\tO' +p72428 +aS'psoas\tpsoas\tNN\tI-NP\tO' +p72429 +aS'muscles\tmuscle\tNNS\tI-NP\tO' +p72430 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p72431 +aS'at\tat\tIN\tB-PP\tO' +p72432 +aS'the\tthe\tDT\tB-NP\tO' +p72433 +aS'L3\tL3\tNN\tI-NP\tB-DNA' +p72434 +aS'and\tand\tCC\tI-NP\tO' +p72435 +aS'L4\tL4\tNN\tI-NP\tB-protein' +p72436 +aS'levels\tlevel\tNNS\tI-NP\tO' +p72437 +aS'.\t.\t.\tO\tO' +p72438 +asS'Upon arrival to the CCU , he was hemodynamically stable .' +p72439 +(lp72440 +S'Upon\tUpon\tIN\tB-PP\tO' +p72441 +aS'arrival\tarrival\tNN\tB-NP\tO' +p72442 +aS'to\tto\tTO\tB-PP\tO' +p72443 +aS'the\tthe\tDT\tB-NP\tO' +p72444 +aS'CCU\tCCU\tNN\tI-NP\tB-DNA' +p72445 +aS',\t,\t,\tO\tO' +p72446 +aS'he\the\tPRP\tB-NP\tO' +p72447 +aS'was\tbe\tVBD\tB-VP\tO' +p72448 +aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' +p72449 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p72450 +aS'.\t.\t.\tO\tO' +p72451 +asS'As of the beginning of September , 1999 , she was able to swallow without difficulty , urinate without difficulty ( although bowel movements have been problematic ) .' +p72452 +(lp72453 +S'As\tAs\tIN\tB-PP\tO' +p72454 +aS'of\tof\tIN\tB-PP\tO' +p72455 +aS'the\tthe\tDT\tB-NP\tO' +p72456 +aS'beginning\tbeginning\tNN\tI-NP\tO' +p72457 +aS'of\tof\tIN\tB-PP\tO' +p72458 +aS'September\tSeptember\tNNP\tB-NP\tO' +p72459 +aS',\t,\t,\tO\tO' +p72460 +aS'1999\t1999\tCD\tB-NP\tO' +p72461 +aS',\t,\t,\tO\tO' +p72462 +aS'she\tshe\tPRP\tB-NP\tO' +p72463 +aS'was\tbe\tVBD\tB-VP\tO' +p72464 +aS'able\table\tJJ\tB-ADJP\tO' +p72465 +aS'to\tto\tTO\tB-VP\tO' +p72466 +aS'swallow\tswallow\tVB\tI-VP\tO' +p72467 +aS'without\twithout\tIN\tB-PP\tO' +p72468 +aS'difficulty\tdifficulty\tNN\tB-NP\tO' +p72469 +aS',\t,\t,\tO\tO' +p72470 +aS'urinate\turinate\tVBP\tB-VP\tO' +p72471 +aS'without\twithout\tIN\tB-PP\tO' +p72472 +aS'difficulty\tdifficulty\tNN\tB-NP\tO' +p72473 +aS'(\t(\t(\tO\tO' +p72474 +aS'although\talthough\tIN\tB-SBAR\tO' +p72475 +aS'bowel\tbowel\tNN\tB-NP\tO' +p72476 +aS'movements\tmovement\tNNS\tI-NP\tO' +p72477 +aS'have\thave\tVBP\tB-VP\tO' +p72478 +aS'been\tbe\tVBN\tI-VP\tO' +p72479 +aS'problematic\tproblematic\tJJ\tB-ADJP\tO' +p72480 +aS')\t)\t)\tO\tO' +p72481 +aS'.\t.\t.\tO\tO' +p72482 +asS'The patient has a long-standing history of spontaneous emesis due to overwhelming stress or excitement .' +p72483 +(lp72484 +S'The\tThe\tDT\tB-NP\tO' +p72485 +aS'patient\tpatient\tNN\tI-NP\tO' +p72486 +aS'has\thave\tVBZ\tB-VP\tO' +p72487 +aS'a\ta\tDT\tB-NP\tO' +p72488 +aS'long-standing\tlong-standing\tJJ\tI-NP\tO' +p72489 +aS'history\thistory\tNN\tI-NP\tO' +p72490 +aS'of\tof\tIN\tB-PP\tO' +p72491 +aS'spontaneous\tspontaneous\tJJ\tB-NP\tO' +p72492 +aS'emesis\temesis\tNN\tI-NP\tO' +p72493 +aS'due\tdue\tJJ\tB-PP\tO' +p72494 +aS'to\tto\tTO\tB-PP\tO' +p72495 +aS'overwhelming\toverwhelming\tJJ\tB-NP\tO' +p72496 +aS'stress\tstress\tNN\tI-NP\tO' +p72497 +aS'or\tor\tCC\tI-NP\tO' +p72498 +aS'excitement\texcitement\tNN\tI-NP\tO' +p72499 +aS'.\t.\t.\tO\tO' +p72500 +asS'This is a 55 - year-old Caucasian speaking male who is a smoker and has a family history of coronary artery disease , as well as a personal history of hypertension , who experienced multiple episodes of 10/10 substernal chest pain radiating down his left arm last night with his daily activities .' +p72501 +(lp72502 +S'This\tThis\tDT\tB-NP\tO' +p72503 +aS'is\tbe\tVBZ\tB-VP\tO' +p72504 +aS'a\ta\tDT\tB-NP\tO' +p72505 +aS'55\t55\tCD\tI-NP\tO' +p72506 +aS'-\t-\tHYPH\tI-NP\tO' +p72507 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p72508 +aS'Caucasian\tCaucasian\tJJ\tI-NP\tO' +p72509 +aS'speaking\tspeaking\tNN\tI-NP\tO' +p72510 +aS'male\tmale\tNN\tI-NP\tO' +p72511 +aS'who\twho\tWP\tB-NP\tO' +p72512 +aS'is\tbe\tVBZ\tB-VP\tO' +p72513 +aS'a\ta\tDT\tB-NP\tO' +p72514 +aS'smoker\tsmoker\tNN\tI-NP\tO' +p72515 +aS'and\tand\tCC\tO\tO' +p72516 +aS'has\thave\tVBZ\tB-VP\tO' +p72517 +aS'a\ta\tDT\tB-NP\tO' +p72518 +aS'family\tfamily\tNN\tI-NP\tO' +p72519 +aS'history\thistory\tNN\tI-NP\tO' +p72520 +aS'of\tof\tIN\tB-PP\tO' +p72521 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p72522 +aS'artery\tartery\tNN\tI-NP\tO' +p72523 +aS'disease\tdisease\tNN\tI-NP\tO' +p72524 +aS',\t,\t,\tO\tO' +p72525 +aS'as\tas\tRB\tB-CONJP\tO' +p72526 +aS'well\twell\tRB\tI-CONJP\tO' +p72527 +aS'as\tas\tIN\tI-CONJP\tO' +p72528 +aS'a\ta\tDT\tB-NP\tO' +p72529 +aS'personal\tpersonal\tJJ\tI-NP\tO' +p72530 +aS'history\thistory\tNN\tI-NP\tO' +p72531 +aS'of\tof\tIN\tB-PP\tO' +p72532 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p72533 +aS',\t,\t,\tO\tO' +p72534 +aS'who\twho\tWP\tB-NP\tO' +p72535 +aS'experienced\texperience\tVBD\tB-VP\tO' +p72536 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p72537 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p72538 +aS'of\tof\tIN\tB-PP\tO' +p72539 +aS'10/10\t10/10\tCD\tB-NP\tO' +p72540 +aS'substernal\tsubsternal\tJJ\tI-NP\tO' +p72541 +aS'chest\tchest\tNN\tI-NP\tO' +p72542 +aS'pain\tpain\tNN\tI-NP\tO' +p72543 +aS'radiating\tradiate\tVBG\tB-VP\tO' +p72544 +aS'down\tdown\tRP\tB-PRT\tO' +p72545 +aS'his\this\tPRP$\tB-NP\tO' +p72546 +aS'left\tleft\tJJ\tI-NP\tO' +p72547 +aS'arm\tarm\tNN\tI-NP\tO' +p72548 +aS'last\tlast\tJJ\tB-NP\tO' +p72549 +aS'night\tnight\tNN\tI-NP\tO' +p72550 +aS'with\twith\tIN\tB-PP\tO' +p72551 +aS'his\this\tPRP$\tB-NP\tO' +p72552 +aS'daily\tdaily\tJJ\tI-NP\tO' +p72553 +aS'activities\tactivity\tNNS\tI-NP\tO' +p72554 +aS'.\t.\t.\tO\tO' +p72555 +asS'Her discharge weight is 1477 gm .' +p72556 +(lp72557 +S'Her\tHer\tPRP$\tB-NP\tO' +p72558 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p72559 +aS'weight\tweight\tNN\tI-NP\tO' +p72560 +aS'is\tbe\tVBZ\tB-VP\tO' +p72561 +aS'1477\t1477\tCD\tB-NP\tO' +p72562 +aS'gm\tgm\tNN\tI-NP\tO' +p72563 +aS'.\t.\t.\tO\tO' +p72564 +asS'Question peripheral vertigo , takes Meclizine p.r.n.' +p72565 +(lp72566 +S'Question\tQuestion\tNN\tB-NP\tO' +p72567 +aS'peripheral\tperipheral\tJJ\tI-NP\tO' +p72568 +aS'vertigo\tvertigo\tNN\tI-NP\tO' +p72569 +aS',\t,\t,\tO\tO' +p72570 +aS'takes\ttake\tVBZ\tB-VP\tO' +p72571 +aS'Meclizine\tMeclizine\tNN\tB-NP\tO' +p72572 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p72573 +asS'Major Surgical or Invasive Procedure : s/p right hip ORIF' +p72574 +(lp72575 +S'Major\tMajor\tJJ\tB-NP\tO' +p72576 +aS'Surgical\tSurgical\tJJ\tI-NP\tO' +p72577 +aS'or\tor\tCC\tI-NP\tO' +p72578 +aS'Invasive\tInvasive\tJJ\tI-NP\tO' +p72579 +aS'Procedure\tProcedure\tNN\tI-NP\tO' +p72580 +aS':\t:\t:\tO\tO' +p72581 +aS's/p\ts/p\tVB\tB-VP\tO' +p72582 +aS'right\tright\tJJ\tB-NP\tB-protein' +p72583 +aS'hip\thip\tNN\tI-NP\tI-protein' +p72584 +aS'ORIF\tORIF\tNN\tI-NP\tI-protein' +p72585 +asS'Lives with wife .' +p72586 +(lp72587 +S'Lives\tLife\tNNS\tB-NP\tO' +p72588 +aS'with\twith\tIN\tB-PP\tO' +p72589 +aS'wife\twife\tNN\tB-NP\tO' +p72590 +aS'.\t.\t.\tO\tO' +p72591 +asS'The patient was to follow up in several days time with Dr. Chain of the Plastics Clinic .' +p72592 +(lp72593 +S'The\tThe\tDT\tB-NP\tO' +p72594 +aS'patient\tpatient\tNN\tI-NP\tO' +p72595 +aS'was\tbe\tVBD\tB-VP\tO' +p72596 +aS'to\tto\tTO\tB-VP\tO' +p72597 +aS'follow\tfollow\tVB\tI-VP\tO' +p72598 +aS'up\tup\tRP\tB-PRT\tO' +p72599 +aS'in\tin\tIN\tB-PP\tO' +p72600 +aS'several\tseveral\tJJ\tB-NP\tO' +p72601 +aS'days\tday\tNNS\tI-NP\tO' +p72602 +aS'time\ttime\tNN\tI-NP\tO' +p72603 +aS'with\twith\tIN\tB-PP\tO' +p72604 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p72605 +aS'Chain\tChain\tNNP\tI-NP\tO' +p72606 +aS'of\tof\tIN\tB-PP\tO' +p72607 +aS'the\tthe\tDT\tB-NP\tO' +p72608 +aS'Plastics\tPlastic\tNNPS\tI-NP\tO' +p72609 +aS'Clinic\tClinic\tNNP\tI-NP\tO' +p72610 +aS'.\t.\t.\tO\tO' +p72611 +asS'VT s/p cardiac cath , stent and amp ; amio loading' +p72612 +(lp72613 +S'VT\tVT\tNN\tB-NP\tO' +p72614 +aS's/p\ts/p\tNN\tI-NP\tO' +p72615 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p72616 +aS'cath\tcath\tNN\tI-NP\tO' +p72617 +aS',\t,\t,\tI-NP\tO' +p72618 +aS'stent\tstent\tNN\tI-NP\tO' +p72619 +aS'and\tand\tCC\tI-NP\tO' +p72620 +aS'amp\tamp\tNN\tI-NP\tO' +p72621 +aS';\t;\t:\tO\tO' +p72622 +aS'amio\tamio\tNN\tB-NP\tO' +p72623 +aS'loading\tloading\tNN\tI-NP\tO' +p72624 +asS'She has pleuritic chest pain which she has had since she arrested during her admission here and had CPR .' +p72625 +(lp72626 +S'She\tShe\tPRP\tB-NP\tO' +p72627 +aS'has\thave\tVBZ\tB-VP\tO' +p72628 +aS'pleuritic\tpleuritic\tJJ\tB-NP\tB-protein' +p72629 +aS'chest\tchest\tNN\tI-NP\tI-protein' +p72630 +aS'pain\tpain\tNN\tI-NP\tI-protein' +p72631 +aS'which\twhich\tWDT\tB-NP\tO' +p72632 +aS'she\tshe\tPRP\tB-NP\tO' +p72633 +aS'has\thave\tVBZ\tB-VP\tO' +p72634 +aS'had\thave\tVBN\tI-VP\tO' +p72635 +aS'since\tsince\tIN\tB-SBAR\tO' +p72636 +aS'she\tshe\tPRP\tB-NP\tO' +p72637 +aS'arrested\tarrest\tVBD\tB-VP\tO' +p72638 +aS'during\tduring\tIN\tB-PP\tO' +p72639 +aS'her\ther\tPRP$\tB-NP\tO' +p72640 +aS'admission\tadmission\tNN\tI-NP\tO' +p72641 +aS'here\there\tRB\tB-ADVP\tO' +p72642 +aS'and\tand\tCC\tO\tO' +p72643 +aS'had\thave\tVBD\tB-VP\tO' +p72644 +aS'CPR\tCPR\tNN\tB-NP\tB-protein' +p72645 +aS'.\t.\t.\tO\tO' +p72646 +asS'She was discharged on 10/15/2004 at 01:52 pm in good condition .' +p72647 +(lp72648 +S'She\tShe\tPRP\tB-NP\tO' +p72649 +aS'was\tbe\tVBD\tB-VP\tO' +p72650 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p72651 +aS'on\ton\tIN\tB-PP\tO' +p72652 +aS'10/15/2004\t10/15/2004\tCD\tB-NP\tO' +p72653 +aS'at\tat\tIN\tB-PP\tO' +p72654 +aS'01:52\t01:52\tCD\tB-NP\tO' +p72655 +aS'pm\tpm\tNN\tI-NP\tO' +p72656 +aS'in\tin\tIN\tB-PP\tO' +p72657 +aS'good\tgood\tJJ\tB-NP\tO' +p72658 +aS'condition\tcondition\tNN\tI-NP\tO' +p72659 +aS'.\t.\t.\tO\tO' +p72660 +asS'He lives with his wife who is his primary care giver .' +p72661 +(lp72662 +S'He\tHe\tPRP\tB-NP\tO' +p72663 +aS'lives\tlive\tVBZ\tB-VP\tO' +p72664 +aS'with\twith\tIN\tB-PP\tO' +p72665 +aS'his\this\tPRP$\tB-NP\tO' +p72666 +aS'wife\twife\tNN\tI-NP\tO' +p72667 +aS'who\twho\tWP\tB-NP\tO' +p72668 +aS'is\tbe\tVBZ\tB-VP\tO' +p72669 +aS'his\this\tPRP$\tB-NP\tO' +p72670 +aS'primary\tprimary\tJJ\tI-NP\tO' +p72671 +aS'care\tcare\tNN\tI-NP\tO' +p72672 +aS'giver\tgiver\tNN\tI-NP\tO' +p72673 +aS'.\t.\t.\tO\tO' +p72674 +asS'The pain was intermittent through the day and then at 4:00 p.m. increased and was also associated with nausea and diaphoresis .' +p72675 +(lp72676 +S'The\tThe\tDT\tB-NP\tO' +p72677 +aS'pain\tpain\tNN\tI-NP\tO' +p72678 +aS'was\tbe\tVBD\tB-VP\tO' +p72679 +aS'intermittent\tintermittent\tJJ\tB-ADJP\tO' +p72680 +aS'through\tthrough\tIN\tB-PP\tO' +p72681 +aS'the\tthe\tDT\tB-NP\tO' +p72682 +aS'day\tday\tNN\tI-NP\tO' +p72683 +aS'and\tand\tCC\tO\tO' +p72684 +aS'then\tthen\tRB\tB-ADVP\tO' +p72685 +aS'at\tat\tIN\tB-PP\tO' +p72686 +aS'4:00\t4:00\tCD\tB-NP\tO' +p72687 +aS'p.m.\tp.m.\tNN\tI-NP\tO' +p72688 +aS'increased\tincrease\tVBD\tB-VP\tO' +p72689 +aS'and\tand\tCC\tO\tO' +p72690 +aS'was\tbe\tVBD\tB-VP\tO' +p72691 +aS'also\talso\tRB\tI-VP\tO' +p72692 +aS'associated\tassociate\tVBN\tI-VP\tO' +p72693 +aS'with\twith\tIN\tB-PP\tO' +p72694 +aS'nausea\tnausea\tNN\tB-NP\tO' +p72695 +aS'and\tand\tCC\tI-NP\tO' +p72696 +aS'diaphoresis\tdiaphoresis\tNN\tI-NP\tO' +p72697 +aS'.\t.\t.\tO\tO' +p72698 +asS'9) Spontaneous dislocation of left hip in 2014' +p72699 +(lp72700 +S'9)\t9)\tLS\tB-NP\tO' +p72701 +aS'Spontaneous\tSpontaneous\tJJ\tI-NP\tO' +p72702 +aS'dislocation\tdislocation\tNN\tI-NP\tO' +p72703 +aS'of\tof\tIN\tB-PP\tO' +p72704 +aS'left\tleft\tJJ\tB-NP\tO' +p72705 +aS'hip\thip\tNN\tI-NP\tO' +p72706 +aS'in\tin\tIN\tB-PP\tO' +p72707 +aS'2014\t2014\tCD\tB-NP\tO' +p72708 +asS'Augmentin 875 mg twice a day for 10 days .' +p72709 +(lp72710 +S'Augmentin\tAugmentin\tIN\tB-PP\tO' +p72711 +aS'875\t875\tCD\tB-NP\tO' +p72712 +aS'mg\tmg\tNN\tI-NP\tO' +p72713 +aS'twice\ttwice\tRB\tB-NP\tO' +p72714 +aS'a\ta\tDT\tI-NP\tO' +p72715 +aS'day\tday\tNN\tI-NP\tO' +p72716 +aS'for\tfor\tIN\tB-PP\tO' +p72717 +aS'10\t10\tCD\tB-NP\tO' +p72718 +aS'days\tday\tNNS\tI-NP\tO' +p72719 +aS'.\t.\t.\tO\tO' +p72720 +asS'Mr. Knueppel had an emergent cricothyroidotomy followed by a formal tracheostomy at the outside hospital .' +p72721 +(lp72722 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p72723 +aS'Knueppel\tKnueppel\tNNP\tI-NP\tO' +p72724 +aS'had\thave\tVBD\tB-VP\tO' +p72725 +aS'an\tan\tDT\tB-NP\tO' +p72726 +aS'emergent\temergent\tJJ\tI-NP\tO' +p72727 +aS'cricothyroidotomy\tcricothyroidotomy\tNN\tI-NP\tO' +p72728 +aS'followed\tfollow\tVBN\tB-VP\tO' +p72729 +aS'by\tby\tIN\tB-PP\tO' +p72730 +aS'a\ta\tDT\tB-NP\tO' +p72731 +aS'formal\tformal\tJJ\tI-NP\tO' +p72732 +aS'tracheostomy\ttracheostomy\tNN\tI-NP\tO' +p72733 +aS'at\tat\tIN\tB-PP\tO' +p72734 +aS'the\tthe\tDT\tB-NP\tO' +p72735 +aS'outside\toutside\tJJ\tI-NP\tO' +p72736 +aS'hospital\thospital\tNN\tI-NP\tO' +p72737 +aS'.\t.\t.\tO\tO' +p72738 +asS'She has had multiple hospitalizations and has never been intubated .' +p72739 +(lp72740 +S'She\tShe\tPRP\tB-NP\tO' +p72741 +aS'has\thave\tVBZ\tB-VP\tO' +p72742 +aS'had\thave\tVBN\tI-VP\tO' +p72743 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p72744 +aS'hospitalizations\thospitalization\tNNS\tI-NP\tO' +p72745 +aS'and\tand\tCC\tO\tO' +p72746 +aS'has\thave\tVBZ\tB-VP\tO' +p72747 +aS'never\tnever\tRB\tI-VP\tO' +p72748 +aS'been\tbe\tVBN\tI-VP\tO' +p72749 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p72750 +aS'.\t.\t.\tO\tO' +p72751 +asS'EKG showed sinus brady at 16 , normal axis , normal intervals , no STT wave abnormalities .' +p72752 +(lp72753 +S'EKG\tEKG\tNN\tB-NP\tB-protein' +p72754 +aS'showed\tshow\tVBD\tB-VP\tO' +p72755 +aS'sinus\tsinus\tNN\tB-NP\tO' +p72756 +aS'brady\tbrady\tNN\tI-NP\tO' +p72757 +aS'at\tat\tIN\tB-PP\tO' +p72758 +aS'16\t16\tCD\tB-NP\tO' +p72759 +aS',\t,\t,\tO\tO' +p72760 +aS'normal\tnormal\tJJ\tB-NP\tO' +p72761 +aS'axis\taxis\tNN\tI-NP\tO' +p72762 +aS',\t,\t,\tO\tO' +p72763 +aS'normal\tnormal\tJJ\tB-NP\tO' +p72764 +aS'intervals\tinterval\tNNS\tI-NP\tO' +p72765 +aS',\t,\t,\tO\tO' +p72766 +aS'no\tno\tDT\tB-NP\tO' +p72767 +aS'STT\tSTT\tNN\tI-NP\tO' +p72768 +aS'wave\twave\tNN\tI-NP\tO' +p72769 +aS'abnormalities\tabnormality\tNNS\tI-NP\tO' +p72770 +aS'.\t.\t.\tO\tO' +p72771 +asS'Valium was given at 9/7/93 , 00:02 .' +p72772 +(lp72773 +S'Valium\tValium\tNN\tB-NP\tO' +p72774 +aS'was\tbe\tVBD\tB-VP\tO' +p72775 +aS'given\tgive\tVBN\tI-VP\tO' +p72776 +aS'at\tat\tIN\tB-PP\tO' +p72777 +aS'9/7/93\t9/7/93\tCD\tB-NP\tO' +p72778 +aS',\t,\t,\tI-NP\tO' +p72779 +aS'00:02\t00:02\tCD\tI-NP\tO' +p72780 +aS'.\t.\t.\tO\tO' +p72781 +asS'cervical spondylosis , tylenol for pain .' +p72782 +(lp72783 +S'cervical\tcervical\tJJ\tB-NP\tO' +p72784 +aS'spondylosis\tspondylosis\tNN\tI-NP\tO' +p72785 +aS',\t,\t,\tO\tO' +p72786 +aS'tylenol\ttylenol\tNN\tB-NP\tO' +p72787 +aS'for\tfor\tIN\tB-PP\tO' +p72788 +aS'pain\tpain\tNN\tB-NP\tO' +p72789 +aS'.\t.\t.\tO\tO' +p72790 +asS'Dr. Iola Alexander in 2 to 3 weeks .' +p72791 +(lp72792 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p72793 +aS'Iola\tIola\tNNP\tI-NP\tO' +p72794 +aS'Alexander\tAlexander\tNNP\tI-NP\tO' +p72795 +aS'in\tin\tIN\tB-PP\tO' +p72796 +aS'2\t2\tCD\tB-NP\tO' +p72797 +aS'to\tto\tTO\tI-NP\tO' +p72798 +aS'3\t3\tCD\tI-NP\tO' +p72799 +aS'weeks\tweek\tNNS\tI-NP\tO' +p72800 +aS'.\t.\t.\tO\tO' +p72801 +asS'Nose-no sinus discharge , no hemorrhage .' +p72802 +(lp72803 +S'Nose-no\tNose-no\tJJ\tB-NP\tO' +p72804 +aS'sinus\tsinus\tNN\tI-NP\tO' +p72805 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p72806 +aS',\t,\t,\tO\tO' +p72807 +aS'no\tno\tDT\tB-NP\tO' +p72808 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p72809 +aS'.\t.\t.\tO\tO' +p72810 +asS'He had normal cervical vertebral arteries .' +p72811 +(lp72812 +S'He\tHe\tPRP\tB-NP\tO' +p72813 +aS'had\thave\tVBD\tB-VP\tO' +p72814 +aS'normal\tnormal\tJJ\tB-NP\tO' +p72815 +aS'cervical\tcervical\tJJ\tI-NP\tO' +p72816 +aS'vertebral\tvertebral\tJJ\tI-NP\tO' +p72817 +aS'arteries\tartery\tNNS\tI-NP\tO' +p72818 +aS'.\t.\t.\tO\tO' +p72819 +asS'Abnormal Pap Test , history of' +p72820 +(lp72821 +S'Abnormal\tAbnormal\tJJ\tB-NP\tO' +p72822 +aS'Pap\tPap\tNN\tI-NP\tO' +p72823 +aS'Test\tTest\tNN\tI-NP\tO' +p72824 +aS',\t,\t,\tO\tO' +p72825 +aS'history\thistory\tNN\tB-NP\tO' +p72826 +aS'of\tof\tIN\tB-PP\tO' +p72827 +asS'There was an S4 .' +p72828 +(lp72829 +S'There\tThere\tEX\tB-NP\tO' +p72830 +aS'was\tbe\tVBD\tB-VP\tO' +p72831 +aS'an\tan\tDT\tB-NP\tO' +p72832 +aS'S4\tS4\tNN\tI-NP\tB-protein' +p72833 +aS'.\t.\t.\tO\tO' +p72834 +asS'The liver laceration was stable , no sign of rupture or further complication , did not required surgical managment .' +p72835 +(lp72836 +S'The\tThe\tDT\tB-NP\tO' +p72837 +aS'liver\tliver\tNN\tI-NP\tO' +p72838 +aS'laceration\tlaceration\tNN\tI-NP\tO' +p72839 +aS'was\tbe\tVBD\tB-VP\tO' +p72840 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p72841 +aS',\t,\t,\tO\tO' +p72842 +aS'no\tno\tDT\tB-NP\tO' +p72843 +aS'sign\tsign\tNN\tI-NP\tO' +p72844 +aS'of\tof\tIN\tB-PP\tO' +p72845 +aS'rupture\trupture\tNN\tB-NP\tO' +p72846 +aS'or\tor\tCC\tO\tO' +p72847 +aS'further\tfurther\tJJ\tB-NP\tO' +p72848 +aS'complication\tcomplication\tNN\tI-NP\tO' +p72849 +aS',\t,\t,\tO\tO' +p72850 +aS'did\tdo\tVBD\tB-VP\tO' +p72851 +aS'not\tnot\tRB\tI-VP\tO' +p72852 +aS'required\trequire\tVBN\tI-VP\tO' +p72853 +aS'surgical\tsurgical\tJJ\tB-NP\tO' +p72854 +aS'managment\tmanagment\tNN\tI-NP\tO' +p72855 +aS'.\t.\t.\tO\tO' +p72856 +asS'He was eventually transferred to the floor , where he remained meta-stable .' +p72857 +(lp72858 +S'He\tHe\tPRP\tB-NP\tO' +p72859 +aS'was\tbe\tVBD\tB-VP\tO' +p72860 +aS'eventually\teventually\tRB\tI-VP\tO' +p72861 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p72862 +aS'to\tto\tTO\tB-PP\tO' +p72863 +aS'the\tthe\tDT\tB-NP\tO' +p72864 +aS'floor\tfloor\tNN\tI-NP\tO' +p72865 +aS',\t,\t,\tO\tO' +p72866 +aS'where\twhere\tWRB\tB-ADVP\tO' +p72867 +aS'he\the\tPRP\tB-NP\tO' +p72868 +aS'remained\tremain\tVBD\tB-VP\tO' +p72869 +aS'meta-stable\tmeta-stable\tJJ\tB-ADJP\tO' +p72870 +aS'.\t.\t.\tO\tO' +p72871 +asS'2. He is on peripheral IV of total fluids 150 ml / kg / day of 10% dextrose with 2 mEq of sodium chloride per 100 ml and 1 mEq of potassium chloride per 100 ml .' +p72872 +(lp72873 +S'2.\t2.\tLS\tB-LST\tO' +p72874 +aS'He\tHe\tPRP\tB-NP\tO' +p72875 +aS'is\tbe\tVBZ\tB-VP\tO' +p72876 +aS'on\ton\tIN\tB-PP\tO' +p72877 +aS'peripheral\tperipheral\tJJ\tB-NP\tO' +p72878 +aS'IV\tIV\tCD\tI-NP\tO' +p72879 +aS'of\tof\tIN\tB-PP\tO' +p72880 +aS'total\ttotal\tJJ\tB-NP\tO' +p72881 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p72882 +aS'150\t150\tCD\tB-NP\tO' +p72883 +aS'ml\tml\tNN\tI-NP\tO' +p72884 +aS'/\t/\tSYM\tB-NP\tO' +p72885 +aS'kg\tkg\tNN\tI-NP\tO' +p72886 +aS'/\t/\tSYM\tB-NP\tO' +p72887 +aS'day\tday\tNN\tI-NP\tO' +p72888 +aS'of\tof\tIN\tB-PP\tO' +p72889 +aS'10%\t10%\tCD\tB-NP\tO' +p72890 +aS'dextrose\tdextrose\tNN\tI-NP\tO' +p72891 +aS'with\twith\tIN\tB-PP\tO' +p72892 +aS'2\t2\tCD\tB-NP\tO' +p72893 +aS'mEq\tmEq\tNN\tI-NP\tO' +p72894 +aS'of\tof\tIN\tB-PP\tO' +p72895 +aS'sodium\tsodium\tNN\tB-NP\tO' +p72896 +aS'chloride\tchloride\tNN\tI-NP\tO' +p72897 +aS'per\tper\tIN\tB-PP\tO' +p72898 +aS'100\t100\tCD\tB-NP\tO' +p72899 +aS'ml\tml\tNN\tI-NP\tO' +p72900 +aS'and\tand\tCC\tO\tO' +p72901 +aS'1\t1\tCD\tB-NP\tO' +p72902 +aS'mEq\tmEq\tNN\tI-NP\tO' +p72903 +aS'of\tof\tIN\tB-PP\tO' +p72904 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p72905 +aS'chloride\tchloride\tNN\tI-NP\tO' +p72906 +aS'per\tper\tIN\tB-PP\tO' +p72907 +aS'100\t100\tCD\tB-NP\tO' +p72908 +aS'ml\tml\tNN\tI-NP\tO' +p72909 +aS'.\t.\t.\tO\tO' +p72910 +asS'Overall left ventricular systolic function is normal ( LVEF > 55% ).' +p72911 +(lp72912 +S'Overall\tOverall\tRB\tB-ADVP\tO' +p72913 +aS'left\tleave\tVBD\tB-VP\tO' +p72914 +aS'ventricular\tventricular\tJJ\tB-NP\tO' +p72915 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p72916 +aS'function\tfunction\tNN\tI-NP\tO' +p72917 +aS'is\tbe\tVBZ\tB-VP\tO' +p72918 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p72919 +aS'(\t(\t(\tO\tO' +p72920 +aS'LVEF\tLVEF\tNN\tB-NP\tB-protein' +p72921 +aS'>\t>\tSYM\tB-NP\tO' +p72922 +aS'55%\t55%\tCD\tI-NP\tO' +p72923 +aS').\t).\t)\tO\tO' +p72924 +asS'Followup will be with Dr. Guabenfranda Day in his office .' +p72925 +(lp72926 +S'Followup\tFollowup\tNNP\tB-NP\tO' +p72927 +aS'will\twill\tMD\tB-VP\tO' +p72928 +aS'be\tbe\tVB\tI-VP\tO' +p72929 +aS'with\twith\tIN\tB-PP\tO' +p72930 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p72931 +aS'Guabenfranda\tGuabenfranda\tNNP\tI-NP\tO' +p72932 +aS'Day\tDay\tNNP\tI-NP\tO' +p72933 +aS'in\tin\tIN\tB-PP\tO' +p72934 +aS'his\this\tPRP$\tB-NP\tO' +p72935 +aS'office\toffice\tNN\tI-NP\tO' +p72936 +aS'.\t.\t.\tO\tO' +p72937 +asS'#. FEN : check lytes , most recently normal .' +p72938 +(lp72939 +S'#.\t#.\tRB\tB-ADVP\tO' +p72940 +aS'FEN\tFEN\tNNP\tB-NP\tO' +p72941 +aS':\t:\t:\tO\tO' +p72942 +aS'check\tcheck\tVB\tB-VP\tO' +p72943 +aS'lytes\tlyte\tNNS\tB-NP\tO' +p72944 +aS',\t,\t,\tO\tO' +p72945 +aS'most\tmost\tRBS\tB-ADVP\tO' +p72946 +aS'recently\trecently\tRB\tI-ADVP\tO' +p72947 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p72948 +aS'.\t.\t.\tO\tO' +p72949 +asS'Assumed to be secondary to trauma when moving patient into ambulance .' +p72950 +(lp72951 +S'Assumed\tAssume\tVBN\tB-VP\tO' +p72952 +aS'to\tto\tTO\tI-VP\tO' +p72953 +aS'be\tbe\tVB\tI-VP\tO' +p72954 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p72955 +aS'to\tto\tTO\tB-PP\tO' +p72956 +aS'trauma\ttrauma\tNN\tB-NP\tO' +p72957 +aS'when\twhen\tWRB\tB-ADVP\tO' +p72958 +aS'moving\tmove\tVBG\tB-VP\tO' +p72959 +aS'patient\tpatient\tNN\tB-NP\tO' +p72960 +aS'into\tinto\tIN\tB-PP\tO' +p72961 +aS'ambulance\tambulance\tNN\tB-NP\tO' +p72962 +aS'.\t.\t.\tO\tO' +p72963 +asS'You were admitted to the hospital for a pulmonary embolism .' +p72964 +(lp72965 +S'You\tYou\tPRP\tB-NP\tO' +p72966 +aS'were\tbe\tVBD\tB-VP\tO' +p72967 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p72968 +aS'to\tto\tTO\tB-PP\tO' +p72969 +aS'the\tthe\tDT\tB-NP\tO' +p72970 +aS'hospital\thospital\tNN\tI-NP\tO' +p72971 +aS'for\tfor\tIN\tB-PP\tO' +p72972 +aS'a\ta\tDT\tB-NP\tO' +p72973 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p72974 +aS'embolism\tembolism\tNN\tI-NP\tO' +p72975 +aS'.\t.\t.\tO\tO' +p72976 +asS'Given the significant amount of bleeding , baby was started prophylactically on phototherapy .' +p72977 +(lp72978 +S'Given\tGive\tVBN\tB-PP\tO' +p72979 +aS'the\tthe\tDT\tB-NP\tO' +p72980 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p72981 +aS'amount\tamount\tNN\tI-NP\tO' +p72982 +aS'of\tof\tIN\tB-PP\tO' +p72983 +aS'bleeding\tbleeding\tNN\tB-NP\tO' +p72984 +aS',\t,\t,\tO\tO' +p72985 +aS'baby\tbaby\tNN\tB-NP\tO' +p72986 +aS'was\tbe\tVBD\tB-VP\tO' +p72987 +aS'started\tstart\tVBN\tI-VP\tO' +p72988 +aS'prophylactically\tprophylactically\tRB\tB-ADVP\tO' +p72989 +aS'on\ton\tIN\tB-PP\tO' +p72990 +aS'phototherapy\tphototherapy\tNN\tB-NP\tO' +p72991 +aS'.\t.\t.\tO\tO' +p72992 +asS'She has reported that she has had upper respiratory symptoms times several days with increasing dyspnea on exertion and shortness of breath , eventually at rest with marked wheezing .' +p72993 +(lp72994 +S'She\tShe\tPRP\tB-NP\tO' +p72995 +aS'has\thave\tVBZ\tB-VP\tO' +p72996 +aS'reported\treport\tVBN\tI-VP\tO' +p72997 +aS'that\tthat\tIN\tB-SBAR\tO' +p72998 +aS'she\tshe\tPRP\tB-NP\tO' +p72999 +aS'has\thave\tVBZ\tB-VP\tO' +p73000 +aS'had\thave\tVBN\tI-VP\tO' +p73001 +aS'upper\tupper\tJJ\tB-NP\tO' +p73002 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p73003 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p73004 +aS'times\ttime\tNNS\tI-NP\tO' +p73005 +aS'several\tseveral\tJJ\tB-NP\tO' +p73006 +aS'days\tday\tNNS\tI-NP\tO' +p73007 +aS'with\twith\tIN\tB-PP\tO' +p73008 +aS'increasing\tincrease\tVBG\tB-NP\tO' +p73009 +aS'dyspnea\tdyspnea\tNN\tI-NP\tO' +p73010 +aS'on\ton\tIN\tB-PP\tO' +p73011 +aS'exertion\texertion\tNN\tB-NP\tO' +p73012 +aS'and\tand\tCC\tI-NP\tO' +p73013 +aS'shortness\tshortness\tNN\tI-NP\tO' +p73014 +aS'of\tof\tIN\tB-PP\tO' +p73015 +aS'breath\tbreath\tNN\tB-NP\tO' +p73016 +aS',\t,\t,\tO\tO' +p73017 +aS'eventually\teventually\tRB\tB-ADVP\tO' +p73018 +aS'at\tat\tIN\tB-PP\tO' +p73019 +aS'rest\trest\tNN\tB-NP\tO' +p73020 +aS'with\twith\tIN\tB-PP\tO' +p73021 +aS'marked\tmarked\tJJ\tB-NP\tO' +p73022 +aS'wheezing\twheezing\tNN\tI-NP\tO' +p73023 +aS'.\t.\t.\tO\tO' +p73024 +asS'On postop day number four she had passed flatus and was feeling much better .' +p73025 +(lp73026 +S'On\tOn\tIN\tB-PP\tO' +p73027 +aS'postop\tpostop\tJJ\tB-NP\tO' +p73028 +aS'day\tday\tNN\tI-NP\tO' +p73029 +aS'number\tnumber\tNN\tI-NP\tO' +p73030 +aS'four\tfour\tCD\tB-NP\tO' +p73031 +aS'she\tshe\tPRP\tB-NP\tO' +p73032 +aS'had\thave\tVBD\tB-VP\tO' +p73033 +aS'passed\tpass\tVBN\tI-VP\tO' +p73034 +aS'flatus\tflatus\tNN\tB-NP\tO' +p73035 +aS'and\tand\tCC\tO\tO' +p73036 +aS'was\tbe\tVBD\tB-VP\tO' +p73037 +aS'feeling\tfeel\tVBG\tI-VP\tO' +p73038 +aS'much\tmuch\tRB\tB-ADVP\tO' +p73039 +aS'better\twell\tRBR\tI-ADVP\tO' +p73040 +aS'.\t.\t.\tO\tO' +p73041 +asS'Previously he had not taken any of his medicines and smoked heavily on the outside and not kept any of his appointments .' +p73042 +(lp73043 +S'Previously\tPreviously\tRB\tB-ADVP\tO' +p73044 +aS'he\the\tPRP\tB-NP\tO' +p73045 +aS'had\thave\tVBD\tB-VP\tO' +p73046 +aS'not\tnot\tRB\tI-VP\tO' +p73047 +aS'taken\ttake\tVBN\tI-VP\tO' +p73048 +aS'any\tany\tDT\tB-NP\tO' +p73049 +aS'of\tof\tIN\tB-PP\tO' +p73050 +aS'his\this\tPRP$\tB-NP\tO' +p73051 +aS'medicines\tmedicine\tNNS\tI-NP\tO' +p73052 +aS'and\tand\tCC\tO\tO' +p73053 +aS'smoked\tsmoke\tVBD\tB-VP\tO' +p73054 +aS'heavily\theavily\tRB\tB-ADVP\tO' +p73055 +aS'on\ton\tIN\tB-PP\tO' +p73056 +aS'the\tthe\tDT\tB-NP\tO' +p73057 +aS'outside\toutside\tJJ\tI-NP\tO' +p73058 +aS'and\tand\tCC\tO\tO' +p73059 +aS'not\tnot\tRB\tB-VP\tO' +p73060 +aS'kept\tkept\tVB\tI-VP\tO' +p73061 +aS'any\tany\tDT\tB-NP\tO' +p73062 +aS'of\tof\tIN\tB-PP\tO' +p73063 +aS'his\this\tPRP$\tB-NP\tO' +p73064 +aS'appointments\tappointment\tNNS\tI-NP\tO' +p73065 +aS'.\t.\t.\tO\tO' +p73066 +asS'This is a 55 - year-old male with critical aortic stenosis who was referred to Dr. Brenda Hummer for discussion for surgical options to free this condition .' +p73067 +(lp73068 +S'This\tThis\tDT\tB-NP\tO' +p73069 +aS'is\tbe\tVBZ\tB-VP\tO' +p73070 +aS'a\ta\tDT\tB-NP\tO' +p73071 +aS'55\t55\tCD\tI-NP\tO' +p73072 +aS'-\t-\tHYPH\tI-NP\tO' +p73073 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p73074 +aS'male\tmale\tNN\tI-NP\tO' +p73075 +aS'with\twith\tIN\tB-PP\tO' +p73076 +aS'critical\tcritical\tJJ\tB-NP\tO' +p73077 +aS'aortic\taortic\tJJ\tI-NP\tO' +p73078 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p73079 +aS'who\twho\tWP\tB-NP\tO' +p73080 +aS'was\tbe\tVBD\tB-VP\tO' +p73081 +aS'referred\trefer\tVBN\tI-VP\tO' +p73082 +aS'to\tto\tTO\tB-PP\tO' +p73083 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p73084 +aS'Brenda\tBrenda\tNNP\tI-NP\tO' +p73085 +aS'Hummer\tHummer\tNNP\tI-NP\tO' +p73086 +aS'for\tfor\tIN\tB-PP\tO' +p73087 +aS'discussion\tdiscussion\tNN\tB-NP\tO' +p73088 +aS'for\tfor\tIN\tB-PP\tO' +p73089 +aS'surgical\tsurgical\tJJ\tB-NP\tO' +p73090 +aS'options\toption\tNNS\tI-NP\tO' +p73091 +aS'to\tto\tTO\tB-VP\tO' +p73092 +aS'free\tfree\tVB\tI-VP\tO' +p73093 +aS'this\tthis\tDT\tB-NP\tO' +p73094 +aS'condition\tcondition\tNN\tI-NP\tO' +p73095 +aS'.\t.\t.\tO\tO' +p73096 +asS'The rhythm revealed sinus tachycardia with no palpable or measurable blood pressure .' +p73097 +(lp73098 +S'The\tThe\tDT\tB-NP\tO' +p73099 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p73100 +aS'revealed\treveal\tVBD\tB-VP\tO' +p73101 +aS'sinus\tsinus\tNN\tB-NP\tO' +p73102 +aS'tachycardia\ttachycardia\tNN\tI-NP\tO' +p73103 +aS'with\twith\tIN\tB-PP\tO' +p73104 +aS'no\tno\tDT\tB-NP\tO' +p73105 +aS'palpable\tpalpable\tJJ\tI-NP\tO' +p73106 +aS'or\tor\tCC\tI-NP\tO' +p73107 +aS'measurable\tmeasurable\tJJ\tI-NP\tO' +p73108 +aS'blood\tblood\tNN\tI-NP\tO' +p73109 +aS'pressure\tpressure\tNN\tI-NP\tO' +p73110 +aS'.\t.\t.\tO\tO' +p73111 +asS'He was pan-cultured on 06-26 for continued fevers .' +p73112 +(lp73113 +S'He\tHe\tPRP\tB-NP\tO' +p73114 +aS'was\tbe\tVBD\tB-VP\tO' +p73115 +aS'pan-cultured\tpan-culture\tVBN\tI-VP\tO' +p73116 +aS'on\ton\tIN\tB-PP\tO' +p73117 +aS'06-26\t06-26\tCD\tB-NP\tO' +p73118 +aS'for\tfor\tIN\tB-PP\tO' +p73119 +aS'continued\tcontinue\tVBN\tB-NP\tO' +p73120 +aS'fevers\tfever\tNNS\tI-NP\tO' +p73121 +aS'.\t.\t.\tO\tO' +p73122 +asS'12-20 satting initially ~ 90% on 40% face mask .' +p73123 +(lp73124 +S'12-20\t12-20\tCD\tB-NP\tO' +p73125 +aS'satting\tsatte\tVBG\tB-VP\tO' +p73126 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p73127 +aS'~\t~\tIN\tB-PP\tO' +p73128 +aS'90%\t90%\tCD\tB-NP\tO' +p73129 +aS'on\ton\tIN\tB-PP\tO' +p73130 +aS'40%\t40%\tCD\tB-NP\tO' +p73131 +aS'face\tface\tNN\tI-NP\tO' +p73132 +aS'mask\tmask\tNN\tI-NP\tO' +p73133 +aS'.\t.\t.\tO\tO' +p73134 +asS'Evidence of anemia with being pale , but anicteric , no oral lesions .' +p73135 +(lp73136 +S'Evidence\tEvidence\tNN\tB-NP\tO' +p73137 +aS'of\tof\tIN\tB-PP\tO' +p73138 +aS'anemia\tanemia\tNN\tB-NP\tO' +p73139 +aS'with\twith\tIN\tB-PP\tO' +p73140 +aS'being\tbe\tVBG\tB-VP\tO' +p73141 +aS'pale\tpale\tJJ\tB-ADJP\tO' +p73142 +aS',\t,\t,\tO\tO' +p73143 +aS'but\tbut\tCC\tO\tO' +p73144 +aS'anicteric\tanicteric\tJJ\tB-ADJP\tO' +p73145 +aS',\t,\t,\tO\tO' +p73146 +aS'no\tno\tDT\tB-NP\tO' +p73147 +aS'oral\toral\tJJ\tI-NP\tO' +p73148 +aS'lesions\tlesion\tNNS\tI-NP\tO' +p73149 +aS'.\t.\t.\tO\tO' +p73150 +asS'6 ) Glucophage 500 mg p.o. q. day .' +p73151 +(lp73152 +S'6\t6\tCD\tB-NP\tO' +p73153 +aS')\t)\t)\tO\tO' +p73154 +aS'Glucophage\tGlucophage\tNN\tB-NP\tO' +p73155 +aS'500\t500\tCD\tI-NP\tO' +p73156 +aS'mg\tmg\tNN\tI-NP\tO' +p73157 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p73158 +aS'q.\tq.\tNN\tI-NP\tO' +p73159 +aS'day\tday\tNN\tI-NP\tO' +p73160 +aS'.\t.\t.\tO\tO' +p73161 +asS'normal pulses , no clubbing , cyanosis or edema .' +p73162 +(lp73163 +S'normal\tnormal\tJJ\tB-NP\tO' +p73164 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p73165 +aS',\t,\t,\tO\tO' +p73166 +aS'no\tno\tDT\tB-NP\tO' +p73167 +aS'clubbing\tclubbing\tNN\tI-NP\tO' +p73168 +aS',\t,\t,\tI-NP\tO' +p73169 +aS'cyanosis\tcyanosis\tNN\tI-NP\tO' +p73170 +aS'or\tor\tCC\tI-NP\tO' +p73171 +aS'edema\tedema\tNN\tI-NP\tO' +p73172 +aS'.\t.\t.\tO\tO' +p73173 +asS'The pericardial fluid bag was removed without any difficulty with the decision to monitor the patient overnight and repeat the echocardiogram prior to discharge .' +p73174 +(lp73175 +S'The\tThe\tDT\tB-NP\tO' +p73176 +aS'pericardial\tpericardial\tJJ\tI-NP\tO' +p73177 +aS'fluid\tfluid\tNN\tI-NP\tO' +p73178 +aS'bag\tbag\tNN\tI-NP\tO' +p73179 +aS'was\tbe\tVBD\tB-VP\tO' +p73180 +aS'removed\tremove\tVBN\tI-VP\tO' +p73181 +aS'without\twithout\tIN\tB-PP\tO' +p73182 +aS'any\tany\tDT\tB-NP\tO' +p73183 +aS'difficulty\tdifficulty\tNN\tI-NP\tO' +p73184 +aS'with\twith\tIN\tB-PP\tO' +p73185 +aS'the\tthe\tDT\tB-NP\tO' +p73186 +aS'decision\tdecision\tNN\tI-NP\tO' +p73187 +aS'to\tto\tTO\tB-VP\tO' +p73188 +aS'monitor\tmonitor\tVB\tI-VP\tO' +p73189 +aS'the\tthe\tDT\tB-NP\tO' +p73190 +aS'patient\tpatient\tNN\tI-NP\tO' +p73191 +aS'overnight\tovernight\tRB\tB-ADVP\tO' +p73192 +aS'and\tand\tCC\tO\tO' +p73193 +aS'repeat\trepeat\tVB\tB-VP\tO' +p73194 +aS'the\tthe\tDT\tB-NP\tO' +p73195 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p73196 +aS'prior\tprior\tRB\tB-ADVP\tO' +p73197 +aS'to\tto\tTO\tB-VP\tO' +p73198 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p73199 +aS'.\t.\t.\tO\tO' +p73200 +asS'Ophthalmology , eyes examined most recently on 05-30 revealing immaturity of the retinal vessels , but no ROP as of yet .' +p73201 +(lp73202 +S'Ophthalmology\tOphthalmology\tNN\tB-NP\tO' +p73203 +aS',\t,\t,\tO\tO' +p73204 +aS'eyes\teye\tNNS\tB-NP\tO' +p73205 +aS'examined\texamine\tVBN\tB-VP\tO' +p73206 +aS'most\tmost\tRBS\tB-ADVP\tO' +p73207 +aS'recently\trecently\tRB\tI-ADVP\tO' +p73208 +aS'on\ton\tIN\tB-PP\tO' +p73209 +aS'05-30\t05-30\tCD\tB-NP\tO' +p73210 +aS'revealing\treveal\tVBG\tI-NP\tO' +p73211 +aS'immaturity\timmaturity\tNN\tI-NP\tO' +p73212 +aS'of\tof\tIN\tB-PP\tO' +p73213 +aS'the\tthe\tDT\tB-NP\tO' +p73214 +aS'retinal\tretinal\tJJ\tI-NP\tO' +p73215 +aS'vessels\tvessel\tNNS\tI-NP\tO' +p73216 +aS',\t,\t,\tO\tO' +p73217 +aS'but\tbut\tCC\tO\tO' +p73218 +aS'no\tno\tDT\tB-NP\tO' +p73219 +aS'ROP\tROP\tNN\tI-NP\tB-protein' +p73220 +aS'as\tas\tIN\tB-PP\tO' +p73221 +aS'of\tof\tIN\tB-PP\tO' +p73222 +aS'yet\tyet\tRB\tB-NP\tO' +p73223 +aS'.\t.\t.\tO\tO' +p73224 +asS'The fluid was sent for amylase , which came back 53,230 .' +p73225 +(lp73226 +S'The\tThe\tDT\tB-NP\tO' +p73227 +aS'fluid\tfluid\tNN\tI-NP\tO' +p73228 +aS'was\tbe\tVBD\tB-VP\tO' +p73229 +aS'sent\tsend\tVBN\tI-VP\tO' +p73230 +aS'for\tfor\tIN\tB-PP\tO' +p73231 +aS'amylase\tamylase\tNN\tB-NP\tB-protein' +p73232 +aS',\t,\t,\tO\tO' +p73233 +aS'which\twhich\tWDT\tB-NP\tO' +p73234 +aS'came\tcome\tVBD\tB-VP\tO' +p73235 +aS'back\tback\tRB\tB-ADVP\tO' +p73236 +aS'53,230\t53,230\tCD\tB-NP\tO' +p73237 +aS'.\t.\t.\tO\tO' +p73238 +asS'She was initially started on Bactrim , but this was stopped as she was afebrile .' +p73239 +(lp73240 +S'She\tShe\tPRP\tB-NP\tO' +p73241 +aS'was\tbe\tVBD\tB-VP\tO' +p73242 +aS'initially\tinitially\tRB\tI-VP\tO' +p73243 +aS'started\tstart\tVBN\tI-VP\tO' +p73244 +aS'on\ton\tIN\tB-PP\tO' +p73245 +aS'Bactrim\tBactrim\tNNP\tB-NP\tO' +p73246 +aS',\t,\t,\tO\tO' +p73247 +aS'but\tbut\tCC\tO\tO' +p73248 +aS'this\tthis\tDT\tB-NP\tO' +p73249 +aS'was\tbe\tVBD\tB-VP\tO' +p73250 +aS'stopped\tstop\tVBN\tI-VP\tO' +p73251 +aS'as\tas\tIN\tB-SBAR\tO' +p73252 +aS'she\tshe\tPRP\tB-NP\tO' +p73253 +aS'was\tbe\tVBD\tB-VP\tO' +p73254 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p73255 +aS'.\t.\t.\tO\tO' +p73256 +asS'Her hematocrit was 31.4 on 6/29 with a PT of 18.2' +p73257 +(lp73258 +S'Her\tHer\tPRP$\tB-NP\tO' +p73259 +aS'hematocrit\thematocrit\tNN\tI-NP\tB-protein' +p73260 +aS'was\tbe\tVBD\tB-VP\tI-protein' +p73261 +aS'31.4\t31.4\tCD\tB-NP\tI-protein' +p73262 +aS'on\ton\tIN\tB-PP\tO' +p73263 +aS'6/29\t6/29\tCD\tB-NP\tO' +p73264 +aS'with\twith\tIN\tB-PP\tO' +p73265 +aS'a\ta\tDT\tB-NP\tO' +p73266 +aS'PT\tPT\tNN\tI-NP\tO' +p73267 +aS'of\tof\tIN\tB-PP\tO' +p73268 +aS'18.2\t18.2\tCD\tB-NP\tO' +p73269 +asS"The patient was to follow up with his PCP A. L. . Taylor in 7 to 10 days , and the patient was to call Dr. Thibodeau , CMED CSRU doctor to follow up in 2 weeks ' time ." +p73270 +(lp73271 +S'The\tThe\tDT\tB-NP\tO' +p73272 +aS'patient\tpatient\tNN\tI-NP\tO' +p73273 +aS'was\tbe\tVBD\tB-VP\tO' +p73274 +aS'to\tto\tTO\tB-VP\tO' +p73275 +aS'follow\tfollow\tVB\tI-VP\tO' +p73276 +aS'up\tup\tRP\tB-PRT\tO' +p73277 +aS'with\twith\tIN\tB-PP\tO' +p73278 +aS'his\this\tPRP$\tB-NP\tO' +p73279 +aS'PCP\tPCP\tNN\tI-NP\tB-protein' +p73280 +aS'A.\tA.\tNNP\tI-NP\tI-protein' +p73281 +aS'L.\tL.\tNNP\tI-NP\tI-protein' +p73282 +aS'.\t.\t.\tI-NP\tO' +p73283 +aS'Taylor\tTaylor\tNNP\tI-NP\tO' +p73284 +aS'in\tin\tIN\tB-PP\tO' +p73285 +aS'7\t7\tCD\tB-NP\tO' +p73286 +aS'to\tto\tTO\tI-NP\tO' +p73287 +aS'10\t10\tCD\tI-NP\tO' +p73288 +aS'days\tday\tNNS\tI-NP\tO' +p73289 +aS',\t,\t,\tO\tO' +p73290 +aS'and\tand\tCC\tO\tO' +p73291 +aS'the\tthe\tDT\tB-NP\tO' +p73292 +aS'patient\tpatient\tNN\tI-NP\tO' +p73293 +aS'was\tbe\tVBD\tB-VP\tO' +p73294 +aS'to\tto\tTO\tB-VP\tO' +p73295 +aS'call\tcall\tVB\tI-VP\tO' +p73296 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p73297 +aS'Thibodeau\tThibodeau\tNNP\tI-NP\tO' +p73298 +aS',\t,\t,\tO\tO' +p73299 +aS'CMED\tCMED\tNNP\tB-NP\tO' +p73300 +aS'CSRU\tCSRU\tNNP\tI-NP\tO' +p73301 +aS'doctor\tdoctor\tNN\tI-NP\tO' +p73302 +aS'to\tto\tTO\tB-VP\tO' +p73303 +aS'follow\tfollow\tVB\tI-VP\tO' +p73304 +aS'up\tup\tRP\tB-PRT\tO' +p73305 +aS'in\tin\tIN\tB-PP\tO' +p73306 +aS'2\t2\tCD\tB-NP\tO' +p73307 +aS'weeks\tweek\tNNS\tI-NP\tO' +p73308 +aS"'\t'\tPOS\tB-NP\tO" +p73309 +aS'time\ttime\tNN\tI-NP\tO' +p73310 +aS'.\t.\t.\tO\tO' +p73311 +asS'The patient was admitted to Team Four for cardiac monitoring and ruling out for MI .' +p73312 +(lp73313 +S'The\tThe\tDT\tB-NP\tO' +p73314 +aS'patient\tpatient\tNN\tI-NP\tO' +p73315 +aS'was\tbe\tVBD\tB-VP\tO' +p73316 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p73317 +aS'to\tto\tTO\tB-PP\tO' +p73318 +aS'Team\tTeam\tNN\tB-NP\tO' +p73319 +aS'Four\tFour\tCD\tI-NP\tO' +p73320 +aS'for\tfor\tIN\tB-PP\tO' +p73321 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p73322 +aS'monitoring\tmonitoring\tNN\tI-NP\tO' +p73323 +aS'and\tand\tCC\tO\tO' +p73324 +aS'ruling\trule\tVBG\tB-VP\tO' +p73325 +aS'out\tout\tRP\tB-PRT\tO' +p73326 +aS'for\tfor\tIN\tB-PP\tO' +p73327 +aS'MI\tMI\tNN\tB-NP\tO' +p73328 +aS'.\t.\t.\tO\tO' +p73329 +asS'On admission revealed a middle aged man in no distress .' +p73330 +(lp73331 +S'On\tOn\tIN\tB-PP\tO' +p73332 +aS'admission\tadmission\tNN\tB-NP\tO' +p73333 +aS'revealed\treveal\tVBD\tB-VP\tO' +p73334 +aS'a\ta\tDT\tB-NP\tO' +p73335 +aS'middle\tmiddle\tJJ\tI-NP\tO' +p73336 +aS'aged\taged\tJJ\tI-NP\tO' +p73337 +aS'man\tman\tNN\tI-NP\tO' +p73338 +aS'in\tin\tIN\tB-PP\tO' +p73339 +aS'no\tno\tDT\tB-NP\tO' +p73340 +aS'distress\tdistress\tNN\tI-NP\tO' +p73341 +aS'.\t.\t.\tO\tO' +p73342 +asS'He was given IVF without an adequate response in his pressures .' +p73343 +(lp73344 +S'He\tHe\tPRP\tB-NP\tO' +p73345 +aS'was\tbe\tVBD\tB-VP\tO' +p73346 +aS'given\tgive\tVBN\tI-VP\tO' +p73347 +aS'IVF\tIVF\tNN\tB-NP\tB-protein' +p73348 +aS'without\twithout\tIN\tB-PP\tO' +p73349 +aS'an\tan\tDT\tB-NP\tO' +p73350 +aS'adequate\tadequate\tJJ\tI-NP\tO' +p73351 +aS'response\tresponse\tNN\tI-NP\tO' +p73352 +aS'in\tin\tIN\tB-PP\tO' +p73353 +aS'his\this\tPRP$\tB-NP\tO' +p73354 +aS'pressures\tpressure\tNNS\tI-NP\tO' +p73355 +aS'.\t.\t.\tO\tO' +p73356 +asS'Return to the ER for high fevers , vomiting , uncontrolled pains or other concerns as needed .' +p73357 +(lp73358 +S'Return\tReturn\tNN\tB-NP\tO' +p73359 +aS'to\tto\tTO\tB-PP\tO' +p73360 +aS'the\tthe\tDT\tB-NP\tO' +p73361 +aS'ER\tER\tNN\tI-NP\tB-protein' +p73362 +aS'for\tfor\tIN\tB-PP\tO' +p73363 +aS'high\thigh\tJJ\tB-NP\tO' +p73364 +aS'fevers\tfever\tNNS\tI-NP\tO' +p73365 +aS',\t,\t,\tO\tO' +p73366 +aS'vomiting\tvomit\tVBG\tB-VP\tO' +p73367 +aS',\t,\t,\tO\tO' +p73368 +aS'uncontrolled\tuncontrolled\tJJ\tB-NP\tO' +p73369 +aS'pains\tpain\tNNS\tI-NP\tO' +p73370 +aS'or\tor\tCC\tO\tO' +p73371 +aS'other\tother\tJJ\tB-NP\tO' +p73372 +aS'concerns\tconcern\tNNS\tI-NP\tO' +p73373 +aS'as\tas\tIN\tB-SBAR\tO' +p73374 +aS'needed\tneed\tVBN\tB-VP\tO' +p73375 +aS'.\t.\t.\tO\tO' +p73376 +asS'Anal tone is reduced .' +p73377 +(lp73378 +S'Anal\tAnal\tJJ\tB-NP\tO' +p73379 +aS'tone\ttone\tNN\tI-NP\tO' +p73380 +aS'is\tbe\tVBZ\tB-VP\tO' +p73381 +aS'reduced\treduce\tVBN\tI-VP\tO' +p73382 +aS'.\t.\t.\tO\tO' +p73383 +asS'On the night of admission , the patient experienced post catheterization hypotension which required intravenous fluids and dopamine .' +p73384 +(lp73385 +S'On\tOn\tIN\tB-PP\tO' +p73386 +aS'the\tthe\tDT\tB-NP\tO' +p73387 +aS'night\tnight\tNN\tI-NP\tO' +p73388 +aS'of\tof\tIN\tB-PP\tO' +p73389 +aS'admission\tadmission\tNN\tB-NP\tO' +p73390 +aS',\t,\t,\tO\tO' +p73391 +aS'the\tthe\tDT\tB-NP\tO' +p73392 +aS'patient\tpatient\tNN\tI-NP\tO' +p73393 +aS'experienced\texperience\tVBD\tB-VP\tO' +p73394 +aS'post\tpost\tNN\tB-NP\tO' +p73395 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p73396 +aS'hypotension\thypotension\tNN\tI-NP\tO' +p73397 +aS'which\twhich\tWDT\tB-NP\tO' +p73398 +aS'required\trequire\tVBD\tB-VP\tO' +p73399 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p73400 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p73401 +aS'and\tand\tCC\tI-NP\tO' +p73402 +aS'dopamine\tdopamine\tNN\tI-NP\tO' +p73403 +aS'.\t.\t.\tO\tO' +p73404 +asS"Since then the patient 's oxygenation has been improving and today , 10-17 , she is requiring .5 liters of keep her saturations above 94 ." +p73405 +(lp73406 +S'Since\tSince\tIN\tB-PP\tO' +p73407 +aS'then\tthen\tRB\tB-ADVP\tO' +p73408 +aS'the\tthe\tDT\tB-NP\tO' +p73409 +aS'patient\tpatient\tNN\tI-NP\tO' +p73410 +aS"'s\t's\tPOS\tB-NP\tO" +p73411 +aS'oxygenation\toxygenation\tNN\tI-NP\tO' +p73412 +aS'has\thave\tVBZ\tB-VP\tO' +p73413 +aS'been\tbe\tVBN\tI-VP\tO' +p73414 +aS'improving\timprove\tVBG\tI-VP\tO' +p73415 +aS'and\tand\tCC\tO\tO' +p73416 +aS'today\ttoday\tNN\tB-NP\tO' +p73417 +aS',\t,\t,\tO\tO' +p73418 +aS'10-17\t10-17\tCD\tB-NP\tO' +p73419 +aS',\t,\t,\tO\tO' +p73420 +aS'she\tshe\tPRP\tB-NP\tO' +p73421 +aS'is\tbe\tVBZ\tB-VP\tO' +p73422 +aS'requiring\trequire\tVBG\tI-VP\tO' +p73423 +aS'.5\t.5\tCD\tB-NP\tO' +p73424 +aS'liters\tliter\tNNS\tI-NP\tO' +p73425 +aS'of\tof\tIN\tB-PP\tO' +p73426 +aS'keep\tkeep\tVB\tB-VP\tO' +p73427 +aS'her\ther\tPRP$\tB-NP\tO' +p73428 +aS'saturations\tsaturation\tNNS\tI-NP\tO' +p73429 +aS'above\tabove\tIN\tB-PP\tO' +p73430 +aS'94\t94\tCD\tB-NP\tO' +p73431 +aS'.\t.\t.\tO\tO' +p73432 +asS'Unable to assess .' +p73433 +(lp73434 +S'Unable\tUnable\tJJ\tB-ADJP\tO' +p73435 +aS'to\tto\tTO\tB-VP\tO' +p73436 +aS'assess\tassess\tVB\tI-VP\tO' +p73437 +aS'.\t.\t.\tO\tO' +p73438 +asS'Signed electronically by : DR. Evelyn Paulk on : Flora 2016-06-16 2:06 PM' +p73439 +(lp73440 +S'Signed\tSign\tVBN\tB-VP\tO' +p73441 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p73442 +aS'by\tby\tIN\tB-PP\tO' +p73443 +aS':\t:\t:\tO\tO' +p73444 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p73445 +aS'Evelyn\tEvelyn\tNNP\tI-NP\tO' +p73446 +aS'Paulk\tPaulk\tNNP\tI-NP\tO' +p73447 +aS'on\ton\tIN\tB-PP\tO' +p73448 +aS':\t:\t:\tO\tO' +p73449 +aS'Flora\tFlora\tNNP\tB-NP\tO' +p73450 +aS'2016-06-16\t2016-06-16\tCD\tB-NP\tO' +p73451 +aS'2:06\t2:06\tCD\tI-NP\tO' +p73452 +aS'PM\tPM\tNN\tI-NP\tO' +p73453 +asS'SSE and digital exam deferred CERVIX digital exam deferred at time of admission OS NORMAL see above ADNEXAE NORMAL non-palp d / t advanced gest UTERUS Gravid , vtx .' +p73454 +(lp73455 +S'SSE\tSSE\tNN\tB-NP\tO' +p73456 +aS'and\tand\tCC\tI-NP\tO' +p73457 +aS'digital\tdigital\tJJ\tI-NP\tO' +p73458 +aS'exam\texam\tNN\tI-NP\tO' +p73459 +aS'deferred\tdefer\tVBD\tB-VP\tO' +p73460 +aS'CERVIX\tCERVIX\tNN\tB-NP\tO' +p73461 +aS'digital\tdigital\tJJ\tI-NP\tO' +p73462 +aS'exam\texam\tNN\tI-NP\tO' +p73463 +aS'deferred\tdefer\tVBN\tB-VP\tO' +p73464 +aS'at\tat\tIN\tB-PP\tO' +p73465 +aS'time\ttime\tNN\tB-NP\tO' +p73466 +aS'of\tof\tIN\tB-PP\tO' +p73467 +aS'admission\tadmission\tNN\tB-NP\tO' +p73468 +aS'OS\tOS\tNN\tI-NP\tO' +p73469 +aS'NORMAL\tNORMAL\tNN\tI-NP\tO' +p73470 +aS'see\tsee\tVBP\tB-VP\tO' +p73471 +aS'above\tabove\tIN\tB-PP\tO' +p73472 +aS'ADNEXAE\tADNEXAE\tNN\tB-NP\tO' +p73473 +aS'NORMAL\tNORMAL\tNN\tI-NP\tO' +p73474 +aS'non-palp\tnon-palp\tJJ\tI-NP\tO' +p73475 +aS'd\td\tNN\tI-NP\tO' +p73476 +aS'/\t/\tSYM\tB-NP\tO' +p73477 +aS't\tt\tNN\tI-NP\tO' +p73478 +aS'advanced\tadvance\tVBD\tB-VP\tO' +p73479 +aS'gest\tg\tJJS\tB-NP\tO' +p73480 +aS'UTERUS\tUTERUS\tNNP\tI-NP\tO' +p73481 +aS'Gravid\tGravid\tNNP\tI-NP\tO' +p73482 +aS',\t,\t,\tO\tO' +p73483 +aS'vtx\tvtx\tNN\tB-NP\tO' +p73484 +aS'.\t.\t.\tO\tO' +p73485 +asS'He was noted to have an episode of desaturation related to feeding with desaturations in the 70 percent .' +p73486 +(lp73487 +S'He\tHe\tPRP\tB-NP\tO' +p73488 +aS'was\tbe\tVBD\tB-VP\tO' +p73489 +aS'noted\tnote\tVBN\tI-VP\tO' +p73490 +aS'to\tto\tTO\tI-VP\tO' +p73491 +aS'have\thave\tVB\tI-VP\tO' +p73492 +aS'an\tan\tDT\tB-NP\tO' +p73493 +aS'episode\tepisode\tNN\tI-NP\tO' +p73494 +aS'of\tof\tIN\tB-PP\tO' +p73495 +aS'desaturation\tdesaturation\tNN\tB-NP\tO' +p73496 +aS'related\trelate\tVBN\tB-VP\tO' +p73497 +aS'to\tto\tTO\tB-PP\tO' +p73498 +aS'feeding\tfeeding\tNN\tB-NP\tO' +p73499 +aS'with\twith\tIN\tB-PP\tO' +p73500 +aS'desaturations\tdesaturation\tNNS\tB-NP\tO' +p73501 +aS'in\tin\tIN\tB-PP\tO' +p73502 +aS'the\tthe\tDT\tB-NP\tO' +p73503 +aS'70\t70\tCD\tI-NP\tO' +p73504 +aS'percent\tpercent\tNN\tI-NP\tO' +p73505 +aS'.\t.\t.\tO\tO' +p73506 +asS'5) Chronically low platelet count .' +p73507 +(lp73508 +S'5)\t5)\tLS\tB-NP\tO' +p73509 +aS'Chronically\tChronically\tRB\tI-NP\tO' +p73510 +aS'low\tlow\tJJ\tI-NP\tO' +p73511 +aS'platelet\tplatelet\tNN\tI-NP\tO' +p73512 +aS'count\tcount\tNN\tI-NP\tO' +p73513 +aS'.\t.\t.\tO\tO' +p73514 +asS'Quit smoking 30 years ago after smoking 1ppd .' +p73515 +(lp73516 +S'Quit\tQuit\tNNP\tB-NP\tO' +p73517 +aS'smoking\tsmoke\tVBG\tB-VP\tO' +p73518 +aS'30\t30\tCD\tB-NP\tO' +p73519 +aS'years\tyear\tNNS\tI-NP\tO' +p73520 +aS'ago\tago\tRB\tB-ADVP\tO' +p73521 +aS'after\tafter\tIN\tB-PP\tO' +p73522 +aS'smoking\tsmoke\tVBG\tB-VP\tO' +p73523 +aS'1ppd\t1ppd\tNN\tB-NP\tO' +p73524 +aS'.\t.\t.\tO\tO' +p73525 +asS'History of congestive heart failure , diagnosed approximately eight years ago .' +p73526 +(lp73527 +S'History\tHistory\tNN\tB-NP\tO' +p73528 +aS'of\tof\tIN\tB-PP\tO' +p73529 +aS'congestive\tcongestive\tJJ\tB-NP\tO' +p73530 +aS'heart\theart\tNN\tI-NP\tO' +p73531 +aS'failure\tfailure\tNN\tI-NP\tO' +p73532 +aS',\t,\t,\tO\tO' +p73533 +aS'diagnosed\tdiagnose\tVBD\tB-VP\tO' +p73534 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p73535 +aS'eight\teight\tCD\tI-NP\tO' +p73536 +aS'years\tyear\tNNS\tI-NP\tO' +p73537 +aS'ago\tago\tRB\tB-ADVP\tO' +p73538 +aS'.\t.\t.\tO\tO' +p73539 +asS'She had no Lachmann or anterior drawer , she did have a mild effusion .' +p73540 +(lp73541 +S'She\tShe\tPRP\tB-NP\tO' +p73542 +aS'had\thave\tVBD\tB-VP\tO' +p73543 +aS'no\tno\tDT\tB-NP\tO' +p73544 +aS'Lachmann\tLachmann\tNN\tI-NP\tO' +p73545 +aS'or\tor\tCC\tO\tO' +p73546 +aS'anterior\tanterior\tJJ\tB-NP\tO' +p73547 +aS'drawer\tdrawer\tNN\tI-NP\tO' +p73548 +aS',\t,\t,\tO\tO' +p73549 +aS'she\tshe\tPRP\tB-NP\tO' +p73550 +aS'did\tdo\tVBD\tB-VP\tO' +p73551 +aS'have\thave\tVB\tI-VP\tO' +p73552 +aS'a\ta\tDT\tB-NP\tO' +p73553 +aS'mild\tmild\tJJ\tI-NP\tO' +p73554 +aS'effusion\teffusion\tNN\tI-NP\tO' +p73555 +aS'.\t.\t.\tO\tO' +p73556 +asS'Extremities reveals a 2+ femoral and pedal pulses bilaterally .' +p73557 +(lp73558 +S'Extremities\tExtremity\tNNS\tB-NP\tO' +p73559 +aS'reveals\treveal\tVBZ\tB-VP\tO' +p73560 +aS'a\ta\tDT\tB-NP\tO' +p73561 +aS'2+\t2+\tJJ\tI-NP\tO' +p73562 +aS'femoral\tfemoral\tJJ\tI-NP\tO' +p73563 +aS'and\tand\tCC\tI-NP\tO' +p73564 +aS'pedal\tpedal\tJJ\tI-NP\tO' +p73565 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p73566 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p73567 +aS'.\t.\t.\tO\tO' +p73568 +asS'While walking , she kept bumping into object on her left side .' +p73569 +(lp73570 +S'While\tWhile\tIN\tB-SBAR\tO' +p73571 +aS'walking\twalk\tVBG\tB-VP\tO' +p73572 +aS',\t,\t,\tO\tO' +p73573 +aS'she\tshe\tPRP\tB-NP\tO' +p73574 +aS'kept\tkeep\tVBD\tB-VP\tO' +p73575 +aS'bumping\tbump\tVBG\tI-VP\tO' +p73576 +aS'into\tinto\tIN\tB-PP\tO' +p73577 +aS'object\tobject\tNN\tB-NP\tO' +p73578 +aS'on\ton\tIN\tB-PP\tO' +p73579 +aS'her\ther\tPRP$\tB-NP\tO' +p73580 +aS'left\tleft\tJJ\tI-NP\tO' +p73581 +aS'side\tside\tNN\tI-NP\tO' +p73582 +aS'.\t.\t.\tO\tO' +p73583 +asS'69yoM with OA having workup for knee replacements found to be in Afib , had stress test that was positive followed by cardiac catheterization which revealed severe 3VD .' +p73584 +(lp73585 +S'69yoM\t69yoM\tNN\tB-NP\tO' +p73586 +aS'with\twith\tIN\tB-PP\tO' +p73587 +aS'OA\tOA\tNN\tB-NP\tO' +p73588 +aS'having\thave\tVBG\tB-VP\tO' +p73589 +aS'workup\tworkup\tNN\tB-NP\tO' +p73590 +aS'for\tfor\tIN\tB-PP\tO' +p73591 +aS'knee\tknee\tNN\tB-NP\tO' +p73592 +aS'replacements\treplacement\tNNS\tI-NP\tO' +p73593 +aS'found\tfind\tVBN\tB-VP\tO' +p73594 +aS'to\tto\tTO\tI-VP\tO' +p73595 +aS'be\tbe\tVB\tI-VP\tO' +p73596 +aS'in\tin\tIN\tB-PP\tO' +p73597 +aS'Afib\tAfib\tNNP\tB-NP\tO' +p73598 +aS',\t,\t,\tO\tO' +p73599 +aS'had\thave\tVBD\tB-VP\tO' +p73600 +aS'stress\tstress\tNN\tB-NP\tO' +p73601 +aS'test\ttest\tNN\tI-NP\tO' +p73602 +aS'that\tthat\tWDT\tB-NP\tO' +p73603 +aS'was\tbe\tVBD\tB-VP\tO' +p73604 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p73605 +aS'followed\tfollow\tVBN\tB-VP\tO' +p73606 +aS'by\tby\tIN\tB-PP\tO' +p73607 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p73608 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p73609 +aS'which\twhich\tWDT\tB-NP\tO' +p73610 +aS'revealed\treveal\tVBD\tB-VP\tO' +p73611 +aS'severe\tsevere\tJJ\tB-NP\tO' +p73612 +aS'3VD\t3VD\tNN\tI-NP\tO' +p73613 +aS'.\t.\t.\tO\tO' +p73614 +asS'Cardiovascular exam has a normal S1 and S2 without murmurs .' +p73615 +(lp73616 +S'Cardiovascular\tCardiovascular\tJJ\tB-NP\tO' +p73617 +aS'exam\texam\tNN\tI-NP\tO' +p73618 +aS'has\thave\tVBZ\tB-VP\tO' +p73619 +aS'a\ta\tDT\tB-NP\tO' +p73620 +aS'normal\tnormal\tJJ\tI-NP\tO' +p73621 +aS'S1\tS1\tNN\tI-NP\tB-protein' +p73622 +aS'and\tand\tCC\tO\tO' +p73623 +aS'S2\tS2\tNN\tB-NP\tB-protein' +p73624 +aS'without\twithout\tIN\tB-PP\tO' +p73625 +aS'murmurs\tmurmur\tNNS\tB-NP\tO' +p73626 +aS'.\t.\t.\tO\tO' +p73627 +asS'10. Pantoprazole Sodium 40 mg Tablet , Delayed Release ( E.C. ) Sig : One ( 1 ) Tablet , Delayed Release ( E.C. ) PO Q24H ( every 24 hours ) .' +p73628 +(lp73629 +S'10.\t10.\tLS\tB-NP\tO' +p73630 +aS'Pantoprazole\tPantoprazole\tNN\tI-NP\tO' +p73631 +aS'Sodium\tSodium\tNN\tI-NP\tO' +p73632 +aS'40\t40\tCD\tI-NP\tO' +p73633 +aS'mg\tmg\tNN\tI-NP\tO' +p73634 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p73635 +aS',\t,\t,\tO\tO' +p73636 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p73637 +aS'Release\tRelease\tNNP\tI-NP\tO' +p73638 +aS'(\t(\t(\tO\tO' +p73639 +aS'E.C.\tE.C.\tNNP\tB-NP\tO' +p73640 +aS')\t)\t)\tO\tO' +p73641 +aS'Sig\tSig\tNNP\tB-NP\tO' +p73642 +aS':\t:\t:\tO\tO' +p73643 +aS'One\tOne\tCD\tB-NP\tO' +p73644 +aS'(\t(\t(\tO\tO' +p73645 +aS'1\t1\tCD\tB-NP\tO' +p73646 +aS')\t)\t)\tO\tO' +p73647 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p73648 +aS',\t,\t,\tO\tO' +p73649 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p73650 +aS'Release\tRelease\tNNP\tI-NP\tO' +p73651 +aS'(\t(\t(\tO\tO' +p73652 +aS'E.C.\tE.C.\tNNP\tO\tO' +p73653 +aS')\t)\t)\tO\tO' +p73654 +aS'PO\tPO\tNN\tB-NP\tO' +p73655 +aS'Q24H\tQ24H\tNN\tI-NP\tO' +p73656 +aS'(\t(\t(\tO\tO' +p73657 +aS'every\tevery\tDT\tB-NP\tO' +p73658 +aS'24\t24\tCD\tI-NP\tO' +p73659 +aS'hours\thour\tNNS\tI-NP\tO' +p73660 +aS')\t)\t)\tO\tO' +p73661 +aS'.\t.\t.\tO\tO' +p73662 +asS'1. Mild pulmonary edema .' +p73663 +(lp73664 +S'1.\t1.\tLS\tB-NP\tO' +p73665 +aS'Mild\tMild\tNNP\tI-NP\tO' +p73666 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p73667 +aS'edema\tedema\tNN\tI-NP\tO' +p73668 +aS'.\t.\t.\tO\tO' +p73669 +asS'The patient has had hypernatremia .' +p73670 +(lp73671 +S'The\tThe\tDT\tB-NP\tO' +p73672 +aS'patient\tpatient\tNN\tI-NP\tO' +p73673 +aS'has\thave\tVBZ\tB-VP\tO' +p73674 +aS'had\thave\tVBN\tI-VP\tO' +p73675 +aS'hypernatremia\thypernatremia\tNN\tB-NP\tO' +p73676 +aS'.\t.\t.\tO\tO' +p73677 +asS"The patient 's right anterior tibial wound was noted to be clean , dry , and intact with sutures intact and no erythema or purulence noted ." +p73678 +(lp73679 +S'The\tThe\tDT\tB-NP\tO' +p73680 +aS'patient\tpatient\tNN\tI-NP\tO' +p73681 +aS"'s\t's\tPOS\tB-NP\tO" +p73682 +aS'right\tright\tJJ\tI-NP\tO' +p73683 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p73684 +aS'tibial\ttibial\tJJ\tI-NP\tO' +p73685 +aS'wound\twound\tNN\tI-NP\tO' +p73686 +aS'was\tbe\tVBD\tB-VP\tO' +p73687 +aS'noted\tnote\tVBN\tI-VP\tO' +p73688 +aS'to\tto\tTO\tI-VP\tO' +p73689 +aS'be\tbe\tVB\tI-VP\tO' +p73690 +aS'clean\tclean\tJJ\tB-ADJP\tO' +p73691 +aS',\t,\t,\tO\tO' +p73692 +aS'dry\tdry\tJJ\tB-ADJP\tO' +p73693 +aS',\t,\t,\tO\tO' +p73694 +aS'and\tand\tCC\tO\tO' +p73695 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p73696 +aS'with\twith\tIN\tB-PP\tO' +p73697 +aS'sutures\tsuture\tNNS\tB-NP\tO' +p73698 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p73699 +aS'and\tand\tCC\tO\tO' +p73700 +aS'no\tno\tDT\tB-NP\tO' +p73701 +aS'erythema\terythema\tNN\tI-NP\tO' +p73702 +aS'or\tor\tCC\tI-NP\tO' +p73703 +aS'purulence\tpurulence\tNN\tI-NP\tO' +p73704 +aS'noted\tnote\tVBD\tB-VP\tO' +p73705 +aS'.\t.\t.\tO\tO' +p73706 +asS'This report was created by Vengloan , Asha 12/19/2000 06:15 PM' +p73707 +(lp73708 +S'This\tThis\tDT\tB-NP\tO' +p73709 +aS'report\treport\tNN\tI-NP\tO' +p73710 +aS'was\tbe\tVBD\tB-VP\tO' +p73711 +aS'created\tcreate\tVBN\tI-VP\tO' +p73712 +aS'by\tby\tIN\tB-PP\tO' +p73713 +aS'Vengloan\tVengloan\tNNP\tB-NP\tO' +p73714 +aS',\t,\t,\tO\tO' +p73715 +aS'Asha\tAsha\tNNP\tB-NP\tO' +p73716 +aS'12/19/2000\t12/19/2000\tCD\tB-NP\tO' +p73717 +aS'06:15\t06:15\tCD\tI-NP\tO' +p73718 +aS'PM\tPM\tNN\tI-NP\tO' +p73719 +asS'Neck was supple with full range of motion .' +p73720 +(lp73721 +S'Neck\tNeck\tNN\tB-NP\tO' +p73722 +aS'was\tbe\tVBD\tB-VP\tO' +p73723 +aS'supple\tsupple\tNN\tB-NP\tO' +p73724 +aS'with\twith\tIN\tB-PP\tO' +p73725 +aS'full\tfull\tJJ\tB-NP\tO' +p73726 +aS'range\trange\tNN\tI-NP\tO' +p73727 +aS'of\tof\tIN\tB-PP\tO' +p73728 +aS'motion\tmotion\tNN\tB-NP\tO' +p73729 +aS'.\t.\t.\tO\tO' +p73730 +asS'Hematocrit on admission was 53.7 .' +p73731 +(lp73732 +S'Hematocrit\tHematocrit\tNN\tB-NP\tO' +p73733 +aS'on\ton\tIN\tB-PP\tO' +p73734 +aS'admission\tadmission\tNN\tB-NP\tO' +p73735 +aS'was\tbe\tVBD\tB-VP\tO' +p73736 +aS'53.7\t53.7\tCD\tB-NP\tO' +p73737 +aS'.\t.\t.\tO\tO' +p73738 +asS'Currently she is comfortable with morphine and Ativan prn.' +p73739 +(lp73740 +S'Currently\tCurrently\tRB\tB-ADVP\tO' +p73741 +aS'she\tshe\tPRP\tB-NP\tO' +p73742 +aS'is\tbe\tVBZ\tB-VP\tO' +p73743 +aS'comfortable\tcomfortable\tJJ\tB-ADJP\tO' +p73744 +aS'with\twith\tIN\tB-PP\tO' +p73745 +aS'morphine\tmorphine\tNN\tB-NP\tO' +p73746 +aS'and\tand\tCC\tO\tO' +p73747 +aS'Ativan\tAtivan\tNNP\tB-NP\tO' +p73748 +aS'prn.\tprn.\tNN\tI-NP\tO' +p73749 +asS'NAD skin/HEENT unremarkable neck supple , murmur radiates bilat. to carotids' +p73750 +(lp73751 +S'NAD\tNAD\tNN\tB-NP\tO' +p73752 +aS'skin/HEENT\tskin/HEENT\tNN\tI-NP\tO' +p73753 +aS'unremarkable\tunremarkable\tJJ\tI-NP\tO' +p73754 +aS'neck\tneck\tNN\tI-NP\tO' +p73755 +aS'supple\tsupple\tNN\tI-NP\tO' +p73756 +aS',\t,\t,\tO\tO' +p73757 +aS'murmur\tmurmur\tNN\tB-NP\tO' +p73758 +aS'radiates\tradiate\tVBZ\tB-VP\tO' +p73759 +aS'bilat.\tbilat.\tNN\tB-NP\tO' +p73760 +aS'to\tto\tTO\tB-PP\tO' +p73761 +aS'carotids\tcarotid\tNNS\tB-NP\tO' +p73762 +asS'On admission , showed a gentleman in no acute distress ; afebrile .' +p73763 +(lp73764 +S'On\tOn\tIN\tB-PP\tO' +p73765 +aS'admission\tadmission\tNN\tB-NP\tO' +p73766 +aS',\t,\t,\tO\tO' +p73767 +aS'showed\tshow\tVBD\tB-VP\tO' +p73768 +aS'a\ta\tDT\tB-NP\tO' +p73769 +aS'gentleman\tgentleman\tNN\tI-NP\tO' +p73770 +aS'in\tin\tIN\tB-PP\tO' +p73771 +aS'no\tno\tDT\tB-NP\tO' +p73772 +aS'acute\tacute\tJJ\tI-NP\tO' +p73773 +aS'distress\tdistress\tNN\tI-NP\tO' +p73774 +aS';\t;\t:\tO\tO' +p73775 +aS'afebrile\tafebrile\tRB\tB-ADVP\tO' +p73776 +aS'.\t.\t.\tO\tO' +p73777 +asS'In addition , the patient received a five day course of intravenous IgG to improve infection control .' +p73778 +(lp73779 +S'In\tIn\tIN\tB-PP\tO' +p73780 +aS'addition\taddition\tNN\tB-NP\tO' +p73781 +aS',\t,\t,\tO\tO' +p73782 +aS'the\tthe\tDT\tB-NP\tO' +p73783 +aS'patient\tpatient\tNN\tI-NP\tO' +p73784 +aS'received\treceive\tVBD\tB-VP\tO' +p73785 +aS'a\ta\tDT\tB-NP\tO' +p73786 +aS'five\tfive\tCD\tI-NP\tO' +p73787 +aS'day\tday\tNN\tI-NP\tO' +p73788 +aS'course\tcourse\tNN\tI-NP\tO' +p73789 +aS'of\tof\tIN\tB-PP\tO' +p73790 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p73791 +aS'IgG\tIgG\tNN\tI-NP\tB-protein' +p73792 +aS'to\tto\tTO\tB-VP\tO' +p73793 +aS'improve\timprove\tVB\tI-VP\tO' +p73794 +aS'infection\tinfection\tNN\tB-NP\tO' +p73795 +aS'control\tcontrol\tNN\tI-NP\tO' +p73796 +aS'.\t.\t.\tO\tO' +p73797 +asS'Patient states she was unable to take her usual insulin regimen because she was vomiting .' +p73798 +(lp73799 +S'Patient\tPatient\tNN\tB-NP\tO' +p73800 +aS'states\tstate\tNNS\tI-NP\tO' +p73801 +aS'she\tshe\tPRP\tB-NP\tO' +p73802 +aS'was\tbe\tVBD\tB-VP\tO' +p73803 +aS'unable\tunable\tJJ\tB-ADJP\tO' +p73804 +aS'to\tto\tTO\tB-VP\tO' +p73805 +aS'take\ttake\tVB\tI-VP\tO' +p73806 +aS'her\ther\tPRP$\tB-NP\tO' +p73807 +aS'usual\tusual\tJJ\tI-NP\tO' +p73808 +aS'insulin\tinsulin\tNN\tI-NP\tO' +p73809 +aS'regimen\tregimen\tNN\tI-NP\tO' +p73810 +aS'because\tbecause\tIN\tB-SBAR\tO' +p73811 +aS'she\tshe\tPRP\tB-NP\tO' +p73812 +aS'was\tbe\tVBD\tB-VP\tO' +p73813 +aS'vomiting\tvomit\tVBG\tI-VP\tO' +p73814 +aS'.\t.\t.\tO\tO' +p73815 +asS'She is status post myocardial infarction in April of this year and subsequently underwent coronary artery bypass surgery .' +p73816 +(lp73817 +S'She\tShe\tPRP\tB-NP\tO' +p73818 +aS'is\tbe\tVBZ\tB-VP\tO' +p73819 +aS'status\tstatus\tJJ\tB-ADJP\tO' +p73820 +aS'post\tpost\tIN\tB-PP\tO' +p73821 +aS'myocardial\tmyocardial\tJJ\tB-NP\tO' +p73822 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p73823 +aS'in\tin\tIN\tB-PP\tO' +p73824 +aS'April\tApril\tNNP\tB-NP\tO' +p73825 +aS'of\tof\tIN\tB-PP\tO' +p73826 +aS'this\tthis\tDT\tB-NP\tO' +p73827 +aS'year\tyear\tNN\tI-NP\tO' +p73828 +aS'and\tand\tCC\tO\tO' +p73829 +aS'subsequently\tsubsequently\tRB\tB-VP\tO' +p73830 +aS'underwent\tundergo\tVBD\tI-VP\tO' +p73831 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p73832 +aS'artery\tartery\tNN\tI-NP\tO' +p73833 +aS'bypass\tbypass\tIN\tB-PP\tO' +p73834 +aS'surgery\tsurgery\tNN\tB-NP\tO' +p73835 +aS'.\t.\t.\tO\tO' +p73836 +asS'His primary pediatric care provider will be Dr. Schrader at Deaconess-Nashoba Hospital .' +p73837 +(lp73838 +S'His\tHis\tPRP$\tB-NP\tO' +p73839 +aS'primary\tprimary\tJJ\tI-NP\tO' +p73840 +aS'pediatric\tpediatric\tJJ\tI-NP\tO' +p73841 +aS'care\tcare\tNN\tI-NP\tO' +p73842 +aS'provider\tprovider\tNN\tI-NP\tO' +p73843 +aS'will\twill\tMD\tB-VP\tO' +p73844 +aS'be\tbe\tVB\tI-VP\tO' +p73845 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p73846 +aS'Schrader\tSchrader\tNNP\tI-NP\tO' +p73847 +aS'at\tat\tIN\tB-PP\tO' +p73848 +aS'Deaconess-Nashoba\tDeaconess-Nashoba\tNNP\tB-NP\tO' +p73849 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p73850 +aS'.\t.\t.\tO\tO' +p73851 +asS'He presented on 2016-11-21 for resection .' +p73852 +(lp73853 +S'He\tHe\tPRP\tB-NP\tO' +p73854 +aS'presented\tpresent\tVBD\tB-VP\tO' +p73855 +aS'on\ton\tIN\tB-PP\tO' +p73856 +aS'2016-11-21\t2016-11-21\tCD\tB-NP\tO' +p73857 +aS'for\tfor\tIN\tB-PP\tO' +p73858 +aS'resection\tresection\tNN\tB-NP\tO' +p73859 +aS'.\t.\t.\tO\tO' +p73860 +asS'Dermatology and plastic surgery were consulted who felt that symptoms were due to trauma ; it was not felt that patient had compartment syndrome .' +p73861 +(lp73862 +S'Dermatology\tDermatology\tNN\tB-NP\tO' +p73863 +aS'and\tand\tCC\tI-NP\tO' +p73864 +aS'plastic\tplastic\tNN\tI-NP\tO' +p73865 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p73866 +aS'were\tbe\tVBD\tB-VP\tO' +p73867 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p73868 +aS'who\twho\tWP\tB-NP\tO' +p73869 +aS'felt\tfeel\tVBD\tB-VP\tO' +p73870 +aS'that\tthat\tIN\tB-SBAR\tO' +p73871 +aS'symptoms\tsymptom\tNNS\tB-NP\tO' +p73872 +aS'were\tbe\tVBD\tB-VP\tO' +p73873 +aS'due\tdue\tIN\tB-PP\tO' +p73874 +aS'to\tto\tTO\tB-PP\tO' +p73875 +aS'trauma\ttrauma\tNN\tB-NP\tO' +p73876 +aS';\t;\t:\tO\tO' +p73877 +aS'it\tit\tPRP\tB-NP\tO' +p73878 +aS'was\tbe\tVBD\tB-VP\tO' +p73879 +aS'not\tnot\tRB\tI-VP\tO' +p73880 +aS'felt\tfeel\tVBN\tI-VP\tO' +p73881 +aS'that\tthat\tIN\tB-SBAR\tO' +p73882 +aS'patient\tpatient\tNN\tB-NP\tO' +p73883 +aS'had\thave\tVBD\tB-VP\tO' +p73884 +aS'compartment\tcompartment\tNN\tB-NP\tO' +p73885 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p73886 +aS'.\t.\t.\tO\tO' +p73887 +asS'Her lungs were clear to auscultation anteriorly .' +p73888 +(lp73889 +S'Her\tHer\tPRP$\tB-NP\tO' +p73890 +aS'lungs\tlung\tNNS\tI-NP\tO' +p73891 +aS'were\tbe\tVBD\tB-VP\tO' +p73892 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p73893 +aS'to\tto\tTO\tB-PP\tO' +p73894 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p73895 +aS'anteriorly\tanteriorly\tRB\tB-ADVP\tO' +p73896 +aS'.\t.\t.\tO\tO' +p73897 +asS'Occasionally required Haldol / ativan at night for agitation .' +p73898 +(lp73899 +S'Occasionally\tOccasionally\tRB\tB-NP\tO' +p73900 +aS'required\trequire\tVBN\tI-NP\tO' +p73901 +aS'Haldol\tHaldol\tNN\tI-NP\tO' +p73902 +aS'/\t/\tSYM\tO\tO' +p73903 +aS'ativan\tativan\tNN\tB-NP\tO' +p73904 +aS'at\tat\tIN\tB-PP\tO' +p73905 +aS'night\tnight\tNN\tB-NP\tO' +p73906 +aS'for\tfor\tIN\tB-PP\tO' +p73907 +aS'agitation\tagitation\tNN\tB-NP\tO' +p73908 +aS'.\t.\t.\tO\tO' +p73909 +asS'This tube drained only a small amount of fluid and it was likely that the effusion was made to look more severe in the presence of left hemidiaphragm elevation .' +p73910 +(lp73911 +S'This\tThis\tDT\tB-NP\tO' +p73912 +aS'tube\ttube\tNN\tI-NP\tO' +p73913 +aS'drained\tdrain\tVBD\tB-VP\tO' +p73914 +aS'only\tonly\tRB\tB-NP\tO' +p73915 +aS'a\ta\tDT\tI-NP\tO' +p73916 +aS'small\tsmall\tJJ\tI-NP\tO' +p73917 +aS'amount\tamount\tNN\tI-NP\tO' +p73918 +aS'of\tof\tIN\tB-PP\tO' +p73919 +aS'fluid\tfluid\tNN\tB-NP\tO' +p73920 +aS'and\tand\tCC\tO\tO' +p73921 +aS'it\tit\tPRP\tB-NP\tO' +p73922 +aS'was\tbe\tVBD\tB-VP\tO' +p73923 +aS'likely\tlikely\tJJ\tB-ADJP\tO' +p73924 +aS'that\tthat\tIN\tB-SBAR\tO' +p73925 +aS'the\tthe\tDT\tB-NP\tO' +p73926 +aS'effusion\teffusion\tNN\tI-NP\tO' +p73927 +aS'was\tbe\tVBD\tB-VP\tO' +p73928 +aS'made\tmake\tVBN\tI-VP\tO' +p73929 +aS'to\tto\tTO\tB-VP\tO' +p73930 +aS'look\tlook\tVB\tI-VP\tO' +p73931 +aS'more\tmore\tRBR\tB-ADJP\tO' +p73932 +aS'severe\tsevere\tJJ\tI-ADJP\tO' +p73933 +aS'in\tin\tIN\tB-PP\tO' +p73934 +aS'the\tthe\tDT\tB-NP\tO' +p73935 +aS'presence\tpresence\tNN\tI-NP\tO' +p73936 +aS'of\tof\tIN\tB-PP\tO' +p73937 +aS'left\tleft\tJJ\tB-NP\tO' +p73938 +aS'hemidiaphragm\themidiaphragm\tNN\tI-NP\tO' +p73939 +aS'elevation\televation\tNN\tI-NP\tO' +p73940 +aS'.\t.\t.\tO\tO' +p73941 +asS'The patient had no home medications .' +p73942 +(lp73943 +S'The\tThe\tDT\tB-NP\tO' +p73944 +aS'patient\tpatient\tNN\tI-NP\tO' +p73945 +aS'had\thave\tVBD\tB-VP\tO' +p73946 +aS'no\tno\tDT\tB-NP\tO' +p73947 +aS'home\thome\tNN\tI-NP\tO' +p73948 +aS'medications\tmedication\tNNS\tI-NP\tO' +p73949 +aS'.\t.\t.\tO\tO' +p73950 +asS'Extraocular movements were full with normal smooth pursuit to the left .' +p73951 +(lp73952 +S'Extraocular\tExtraocular\tJJ\tB-NP\tO' +p73953 +aS'movements\tmovement\tNNS\tI-NP\tO' +p73954 +aS'were\tbe\tVBD\tB-VP\tO' +p73955 +aS'full\tfull\tJJ\tB-ADJP\tO' +p73956 +aS'with\twith\tIN\tB-PP\tO' +p73957 +aS'normal\tnormal\tJJ\tB-NP\tO' +p73958 +aS'smooth\tsmooth\tJJ\tI-NP\tO' +p73959 +aS'pursuit\tpursuit\tNN\tI-NP\tO' +p73960 +aS'to\tto\tTO\tB-PP\tO' +p73961 +aS'the\tthe\tDT\tB-NP\tO' +p73962 +aS'left\tleft\tNN\tI-NP\tO' +p73963 +aS'.\t.\t.\tO\tO' +p73964 +asS'He remained hemodynmically stable throughout his hospitalization and did not have an oxygen requirement upon discharge .' +p73965 +(lp73966 +S'He\tHe\tPRP\tB-NP\tO' +p73967 +aS'remained\tremain\tVBD\tB-VP\tO' +p73968 +aS'hemodynmically\themodynmically\tRB\tB-ADJP\tO' +p73969 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p73970 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p73971 +aS'his\this\tPRP$\tB-NP\tO' +p73972 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p73973 +aS'and\tand\tCC\tO\tO' +p73974 +aS'did\tdo\tVBD\tB-VP\tO' +p73975 +aS'not\tnot\tRB\tI-VP\tO' +p73976 +aS'have\thave\tVB\tI-VP\tO' +p73977 +aS'an\tan\tDT\tB-NP\tO' +p73978 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p73979 +aS'requirement\trequirement\tNN\tI-NP\tO' +p73980 +aS'upon\tupon\tIN\tB-PP\tO' +p73981 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p73982 +aS'.\t.\t.\tO\tO' +p73983 +asS'Post thoracotomy syndrome .' +p73984 +(lp73985 +S'Post\tPost\tJJ\tB-NP\tO' +p73986 +aS'thoracotomy\tthoracotomy\tNN\tI-NP\tO' +p73987 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p73988 +aS'.\t.\t.\tO\tO' +p73989 +asS'She received an amiodarone bolus of 150 mg intravenously and was continued on an amiodarone drip while CMED CSRU-flighted to Boston Regional Medical Centerr where she underwent a catheterization .' +p73990 +(lp73991 +S'She\tShe\tPRP\tB-NP\tO' +p73992 +aS'received\treceive\tVBD\tB-VP\tO' +p73993 +aS'an\tan\tDT\tB-NP\tO' +p73994 +aS'amiodarone\tamiodarone\tNN\tI-NP\tO' +p73995 +aS'bolus\tbolus\tNN\tI-NP\tO' +p73996 +aS'of\tof\tIN\tB-PP\tO' +p73997 +aS'150\t150\tCD\tB-NP\tO' +p73998 +aS'mg\tmg\tNN\tI-NP\tO' +p73999 +aS'intravenously\tintravenously\tRB\tB-ADVP\tO' +p74000 +aS'and\tand\tCC\tO\tO' +p74001 +aS'was\tbe\tVBD\tB-VP\tO' +p74002 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p74003 +aS'on\ton\tIN\tB-PP\tO' +p74004 +aS'an\tan\tDT\tB-NP\tO' +p74005 +aS'amiodarone\tamiodarone\tNN\tI-NP\tO' +p74006 +aS'drip\tdrip\tNN\tI-NP\tO' +p74007 +aS'while\twhile\tIN\tB-SBAR\tO' +p74008 +aS'CMED\tCMED\tVBN\tB-VP\tO' +p74009 +aS'CSRU-flighted\tCSRU-flighted\tJJ\tB-ADJP\tO' +p74010 +aS'to\tto\tTO\tB-PP\tO' +p74011 +aS'Boston\tBoston\tNNP\tB-NP\tO' +p74012 +aS'Regional\tRegional\tNNP\tI-NP\tO' +p74013 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p74014 +aS'Centerr\tCenterr\tNNP\tI-NP\tO' +p74015 +aS'where\twhere\tWRB\tB-ADVP\tO' +p74016 +aS'she\tshe\tPRP\tB-NP\tO' +p74017 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p74018 +aS'a\ta\tDT\tB-NP\tO' +p74019 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p74020 +aS'.\t.\t.\tO\tO' +p74021 +asS'The tap was negative for malignant cells .' +p74022 +(lp74023 +S'The\tThe\tDT\tB-NP\tO' +p74024 +aS'tap\ttap\tNN\tI-NP\tB-protein' +p74025 +aS'was\tbe\tVBD\tB-VP\tO' +p74026 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p74027 +aS'for\tfor\tIN\tB-PP\tO' +p74028 +aS'malignant\tmalignant\tJJ\tB-NP\tB-cell_type' +p74029 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p74030 +aS'.\t.\t.\tO\tO' +p74031 +asS'Moderate pulmonary hypertension , PA pressure 48/24 , 1+ mitral regurgitation , severe aortic stenosis with an LVEDP of 19 and an ejection fraction of 43% .' +p74032 +(lp74033 +S'Moderate\tModerate\tJJ\tB-NP\tO' +p74034 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p74035 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p74036 +aS',\t,\t,\tO\tO' +p74037 +aS'PA\tPA\tNN\tB-NP\tB-protein' +p74038 +aS'pressure\tpressure\tNN\tI-NP\tI-protein' +p74039 +aS'48/24\t48/24\tCD\tI-NP\tI-protein' +p74040 +aS',\t,\t,\tO\tO' +p74041 +aS'1+\t1+\tJJ\tB-NP\tO' +p74042 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p74043 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p74044 +aS',\t,\t,\tO\tO' +p74045 +aS'severe\tsevere\tJJ\tB-NP\tO' +p74046 +aS'aortic\taortic\tJJ\tI-NP\tO' +p74047 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p74048 +aS'with\twith\tIN\tB-PP\tO' +p74049 +aS'an\tan\tDT\tB-NP\tO' +p74050 +aS'LVEDP\tLVEDP\tNN\tI-NP\tB-protein' +p74051 +aS'of\tof\tIN\tB-PP\tO' +p74052 +aS'19\t19\tCD\tB-NP\tO' +p74053 +aS'and\tand\tCC\tO\tO' +p74054 +aS'an\tan\tDT\tB-NP\tO' +p74055 +aS'ejection\tejection\tNN\tI-NP\tO' +p74056 +aS'fraction\tfraction\tNN\tI-NP\tO' +p74057 +aS'of\tof\tIN\tB-PP\tO' +p74058 +aS'43%\t43%\tCD\tB-NP\tO' +p74059 +aS'.\t.\t.\tO\tO' +p74060 +asS'D1 was mildly diseased diffusely .' +p74061 +(lp74062 +S'D1\tD1\tNN\tB-NP\tO' +p74063 +aS'was\tbe\tVBD\tB-VP\tO' +p74064 +aS'mildly\tmildly\tRB\tI-VP\tO' +p74065 +aS'diseased\tdisease\tVBN\tI-VP\tO' +p74066 +aS'diffusely\tdiffusely\tRB\tB-ADVP\tO' +p74067 +aS'.\t.\t.\tO\tO' +p74068 +asS'4. K-Dur 10 milliequivalents po qd' +p74069 +(lp74070 +S'4.\t4.\tLS\tB-LST\tO' +p74071 +aS'K-Dur\tK-Dur\tNNP\tB-NP\tO' +p74072 +aS'10\t10\tCD\tI-NP\tO' +p74073 +aS'milliequivalents\tmilliequivalent\tNNS\tI-NP\tO' +p74074 +aS'po\tpo\tVBP\tB-VP\tO' +p74075 +aS'qd\tqd\tNN\tB-NP\tO' +p74076 +asS'He is a retired school teacher by profession .' +p74077 +(lp74078 +S'He\tHe\tPRP\tB-NP\tB-DNA' +p74079 +aS'is\tbe\tVBZ\tB-VP\tO' +p74080 +aS'a\ta\tDT\tB-NP\tO' +p74081 +aS'retired\tretired\tJJ\tI-NP\tO' +p74082 +aS'school\tschool\tNN\tI-NP\tO' +p74083 +aS'teacher\tteacher\tNN\tI-NP\tO' +p74084 +aS'by\tby\tIN\tB-PP\tO' +p74085 +aS'profession\tprofession\tNN\tB-NP\tO' +p74086 +aS'.\t.\t.\tO\tO' +p74087 +asS'She was taken to the The Hospital for Orthopedics Emergency Room where she was assessed as having asthma .' +p74088 +(lp74089 +S'She\tShe\tPRP\tB-NP\tO' +p74090 +aS'was\tbe\tVBD\tB-VP\tO' +p74091 +aS'taken\ttake\tVBN\tI-VP\tO' +p74092 +aS'to\tto\tTO\tB-PP\tO' +p74093 +aS'the\tthe\tDT\tB-NP\tO' +p74094 +aS'The\tThe\tNNP\tI-NP\tO' +p74095 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p74096 +aS'for\tfor\tIN\tB-PP\tO' +p74097 +aS'Orthopedics\tOrthopedics\tNNP\tB-NP\tO' +p74098 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p74099 +aS'Room\tRoom\tNNP\tI-NP\tO' +p74100 +aS'where\twhere\tWRB\tB-ADVP\tO' +p74101 +aS'she\tshe\tPRP\tB-NP\tO' +p74102 +aS'was\tbe\tVBD\tB-VP\tO' +p74103 +aS'assessed\tassess\tVBN\tI-VP\tO' +p74104 +aS'as\tas\tIN\tB-PP\tO' +p74105 +aS'having\thave\tVBG\tB-VP\tO' +p74106 +aS'asthma\tasthma\tNN\tB-NP\tO' +p74107 +aS'.\t.\t.\tO\tO' +p74108 +asS'Plans to follow up with outpatient MRA to rule out ischemic causes of post prandial pain , as well as HIDA with CK challenge to evaluate for biliary dyskinesia without stasis .' +p74109 +(lp74110 +S'Plans\tPlan\tNNS\tB-NP\tO' +p74111 +aS'to\tto\tTO\tB-VP\tO' +p74112 +aS'follow\tfollow\tVB\tI-VP\tO' +p74113 +aS'up\tup\tRP\tB-PRT\tO' +p74114 +aS'with\twith\tIN\tB-PP\tO' +p74115 +aS'outpatient\toutpatient\tNN\tB-NP\tO' +p74116 +aS'MRA\tMRA\tNN\tI-NP\tO' +p74117 +aS'to\tto\tTO\tB-VP\tO' +p74118 +aS'rule\trule\tVB\tI-VP\tO' +p74119 +aS'out\tout\tRP\tB-PRT\tO' +p74120 +aS'ischemic\tischemic\tJJ\tB-NP\tO' +p74121 +aS'causes\tcause\tNNS\tI-NP\tO' +p74122 +aS'of\tof\tIN\tB-PP\tO' +p74123 +aS'post\tpost\tNN\tB-NP\tB-protein' +p74124 +aS'prandial\tprandial\tJJ\tI-NP\tI-protein' +p74125 +aS'pain\tpain\tNN\tI-NP\tI-protein' +p74126 +aS',\t,\t,\tO\tO' +p74127 +aS'as\tas\tRB\tB-CONJP\tO' +p74128 +aS'well\twell\tRB\tI-CONJP\tO' +p74129 +aS'as\tas\tIN\tI-CONJP\tO' +p74130 +aS'HIDA\tHIDA\tNN\tB-NP\tB-protein' +p74131 +aS'with\twith\tIN\tB-PP\tO' +p74132 +aS'CK\tCK\tNN\tB-NP\tO' +p74133 +aS'challenge\tchallenge\tNN\tI-NP\tO' +p74134 +aS'to\tto\tTO\tB-VP\tO' +p74135 +aS'evaluate\tevaluate\tVB\tI-VP\tO' +p74136 +aS'for\tfor\tIN\tB-PP\tO' +p74137 +aS'biliary\tbiliary\tJJ\tB-NP\tO' +p74138 +aS'dyskinesia\tdyskinesia\tNN\tI-NP\tO' +p74139 +aS'without\twithout\tIN\tB-PP\tO' +p74140 +aS'stasis\tstasis\tNN\tB-NP\tO' +p74141 +aS'.\t.\t.\tO\tO' +p74142 +asS'Significant for recently diagnosed pancreatic cancer .' +p74143 +(lp74144 +S'Significant\tSignificant\tJJ\tB-ADJP\tO' +p74145 +aS'for\tfor\tIN\tB-PP\tO' +p74146 +aS'recently\trecently\tRB\tB-NP\tO' +p74147 +aS'diagnosed\tdiagnose\tVBN\tI-NP\tO' +p74148 +aS'pancreatic\tpancreatic\tJJ\tI-NP\tO' +p74149 +aS'cancer\tcancer\tNN\tI-NP\tO' +p74150 +aS'.\t.\t.\tO\tO' +p74151 +asS'3. Status post right cerebrovascular accident in 2009 with residual left-sided weakness .' +p74152 +(lp74153 +S'3.\t3.\tLS\tB-LST\tO' +p74154 +aS'Status\tStatus\tNNP\tB-NP\tO' +p74155 +aS'post\tpost\tIN\tB-PP\tO' +p74156 +aS'right\tright\tJJ\tB-NP\tO' +p74157 +aS'cerebrovascular\tcerebrovascular\tJJ\tI-NP\tO' +p74158 +aS'accident\taccident\tNN\tI-NP\tO' +p74159 +aS'in\tin\tIN\tB-PP\tO' +p74160 +aS'2009\t2009\tCD\tB-NP\tO' +p74161 +aS'with\twith\tIN\tB-PP\tO' +p74162 +aS'residual\tresidual\tJJ\tB-NP\tO' +p74163 +aS'left-sided\tleft-sided\tJJ\tI-NP\tO' +p74164 +aS'weakness\tweakness\tNN\tI-NP\tO' +p74165 +aS'.\t.\t.\tO\tO' +p74166 +asS'Works as a police oficer , married , denies smoking , etoh .' +p74167 +(lp74168 +S'Works\tWork\tNNS\tB-NP\tO' +p74169 +aS'as\tas\tIN\tB-PP\tO' +p74170 +aS'a\ta\tDT\tB-NP\tO' +p74171 +aS'police\tpolice\tNN\tI-NP\tO' +p74172 +aS'oficer\toficer\tNN\tI-NP\tO' +p74173 +aS',\t,\t,\tO\tO' +p74174 +aS'married\tmarry\tVBN\tB-VP\tO' +p74175 +aS',\t,\t,\tO\tO' +p74176 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p74177 +aS'smoking\tsmoking\tNN\tB-NP\tO' +p74178 +aS',\t,\t,\tO\tO' +p74179 +aS'etoh\tetoh\tNN\tB-NP\tO' +p74180 +aS'.\t.\t.\tO\tO' +p74181 +asS'The patient has multiple AIDS illnesses including MAI who has multiple admissions for pseudomonas pneumonia .' +p74182 +(lp74183 +S'The\tThe\tDT\tB-NP\tO' +p74184 +aS'patient\tpatient\tNN\tI-NP\tO' +p74185 +aS'has\thave\tVBZ\tB-VP\tO' +p74186 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p74187 +aS'AIDS\tAIDS\tNN\tI-NP\tO' +p74188 +aS'illnesses\tillness\tNNS\tI-NP\tO' +p74189 +aS'including\tinclude\tVBG\tB-PP\tO' +p74190 +aS'MAI\tMAI\tNN\tB-NP\tB-protein' +p74191 +aS'who\twho\tWP\tB-NP\tO' +p74192 +aS'has\thave\tVBZ\tB-VP\tO' +p74193 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p74194 +aS'admissions\tadmission\tNNS\tI-NP\tO' +p74195 +aS'for\tfor\tIN\tB-PP\tO' +p74196 +aS'pseudomonas\tpseudomonas\tNN\tB-NP\tO' +p74197 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p74198 +aS'.\t.\t.\tO\tO' +p74199 +asS'Her levofloxacin was continued .' +p74200 +(lp74201 +S'Her\tHer\tPRP$\tB-NP\tO' +p74202 +aS'levofloxacin\tlevofloxacin\tNN\tI-NP\tO' +p74203 +aS'was\tbe\tVBD\tB-VP\tO' +p74204 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p74205 +aS'.\t.\t.\tO\tO' +p74206 +asS'Mild stenosis of the proximal right internal carotid artery .' +p74207 +(lp74208 +S'Mild\tMild\tJJ\tB-NP\tO' +p74209 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p74210 +aS'of\tof\tIN\tB-PP\tO' +p74211 +aS'the\tthe\tDT\tB-NP\tO' +p74212 +aS'proximal\tproximal\tJJ\tI-NP\tO' +p74213 +aS'right\tright\tJJ\tI-NP\tO' +p74214 +aS'internal\tinternal\tJJ\tI-NP\tO' +p74215 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p74216 +aS'artery\tartery\tNN\tI-NP\tO' +p74217 +aS'.\t.\t.\tO\tO' +p74218 +asS'Postoperatively , the patient continued to have a coagulopathy requiring re-exploration on postoperatively day 2 , with findings only of hematoma and no active bleeding .' +p74219 +(lp74220 +S'Postoperatively\tPostoperatively\tRB\tB-ADVP\tO' +p74221 +aS',\t,\t,\tO\tO' +p74222 +aS'the\tthe\tDT\tB-NP\tO' +p74223 +aS'patient\tpatient\tNN\tI-NP\tO' +p74224 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p74225 +aS'to\tto\tTO\tI-VP\tO' +p74226 +aS'have\thave\tVB\tI-VP\tO' +p74227 +aS'a\ta\tDT\tB-NP\tO' +p74228 +aS'coagulopathy\tcoagulopathy\tNN\tI-NP\tO' +p74229 +aS'requiring\trequire\tVBG\tB-VP\tO' +p74230 +aS're-exploration\tre-exploration\tNN\tB-NP\tO' +p74231 +aS'on\ton\tIN\tB-PP\tO' +p74232 +aS'postoperatively\tpostoperatively\tRB\tB-NP\tO' +p74233 +aS'day\tday\tNN\tI-NP\tO' +p74234 +aS'2\t2\tCD\tI-NP\tO' +p74235 +aS',\t,\t,\tO\tO' +p74236 +aS'with\twith\tIN\tB-PP\tO' +p74237 +aS'findings\tfinding\tNNS\tB-NP\tO' +p74238 +aS'only\tonly\tRB\tB-ADVP\tO' +p74239 +aS'of\tof\tIN\tB-PP\tO' +p74240 +aS'hematoma\thematoma\tNN\tB-NP\tO' +p74241 +aS'and\tand\tCC\tO\tO' +p74242 +aS'no\tno\tDT\tB-NP\tO' +p74243 +aS'active\tactive\tJJ\tI-NP\tO' +p74244 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p74245 +aS'.\t.\t.\tO\tO' +p74246 +asS'Mother thought the baby just did not look right .' +p74247 +(lp74248 +S'Mother\tMother\tNNP\tB-NP\tO' +p74249 +aS'thought\tthink\tVBD\tB-VP\tO' +p74250 +aS'the\tthe\tDT\tB-NP\tO' +p74251 +aS'baby\tbaby\tNN\tI-NP\tO' +p74252 +aS'just\tjust\tRB\tB-ADVP\tO' +p74253 +aS'did\tdo\tVBD\tB-VP\tO' +p74254 +aS'not\tnot\tRB\tI-VP\tO' +p74255 +aS'look\tlook\tVB\tI-VP\tO' +p74256 +aS'right\tright\tRB\tB-ADVP\tO' +p74257 +aS'.\t.\t.\tO\tO' +p74258 +asS'OP clear .' +p74259 +(lp74260 +S'OP\tOP\tNN\tB-NP\tO' +p74261 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p74262 +aS'.\t.\t.\tO\tO' +p74263 +asS'Influenza A .' +p74264 +(lp74265 +S'Influenza\tInfluenza\tNNP\tB-NP\tO' +p74266 +aS'A\tA\tNNP\tI-NP\tO' +p74267 +aS'.\t.\t.\tO\tO' +p74268 +asS'Motor exam showed greater than 4+ strength bilateral upper extremities and psoas unable to lift off bed .' +p74269 +(lp74270 +S'Motor\tMotor\tNN\tB-NP\tO' +p74271 +aS'exam\texam\tNN\tI-NP\tO' +p74272 +aS'showed\tshow\tVBD\tB-VP\tO' +p74273 +aS'greater\tgreat\tJJR\tB-ADJP\tO' +p74274 +aS'than\tthan\tIN\tB-PP\tO' +p74275 +aS'4+\t4+\tJJ\tB-NP\tO' +p74276 +aS'strength\tstrength\tNN\tI-NP\tO' +p74277 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p74278 +aS'upper\tupper\tJJ\tI-NP\tO' +p74279 +aS'extremities\textremity\tNNS\tI-NP\tO' +p74280 +aS'and\tand\tCC\tI-NP\tO' +p74281 +aS'psoas\tpsoa\tNNS\tI-NP\tO' +p74282 +aS'unable\tunable\tJJ\tB-ADJP\tO' +p74283 +aS'to\tto\tTO\tB-VP\tO' +p74284 +aS'lift\tlift\tVB\tI-VP\tO' +p74285 +aS'off\toff\tRP\tB-PRT\tO' +p74286 +aS'bed\tbed\tNN\tB-NP\tO' +p74287 +aS'.\t.\t.\tO\tO' +p74288 +asS'MRI of the head demonstrated a small vessel disease and was likely an old right cerebellar infarct .' +p74289 +(lp74290 +S'MRI\tMRI\tNN\tB-NP\tO' +p74291 +aS'of\tof\tIN\tB-PP\tO' +p74292 +aS'the\tthe\tDT\tB-NP\tO' +p74293 +aS'head\thead\tNN\tI-NP\tO' +p74294 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p74295 +aS'a\ta\tDT\tB-NP\tO' +p74296 +aS'small\tsmall\tJJ\tI-NP\tO' +p74297 +aS'vessel\tvessel\tNN\tI-NP\tO' +p74298 +aS'disease\tdisease\tNN\tI-NP\tO' +p74299 +aS'and\tand\tCC\tO\tO' +p74300 +aS'was\tbe\tVBD\tB-VP\tO' +p74301 +aS'likely\tlikely\tRB\tB-ADJP\tO' +p74302 +aS'an\tan\tDT\tB-NP\tO' +p74303 +aS'old\told\tJJ\tI-NP\tO' +p74304 +aS'right\tright\tJJ\tI-NP\tO' +p74305 +aS'cerebellar\tcerebellar\tJJ\tI-NP\tO' +p74306 +aS'infarct\tinfarct\tNN\tI-NP\tO' +p74307 +aS'.\t.\t.\tO\tO' +p74308 +asS'Fortunately , no evidence of baratroma was ever discerned .' +p74309 +(lp74310 +S'Fortunately\tFortunately\tRB\tB-ADVP\tO' +p74311 +aS',\t,\t,\tO\tO' +p74312 +aS'no\tno\tDT\tB-NP\tO' +p74313 +aS'evidence\tevidence\tNN\tI-NP\tO' +p74314 +aS'of\tof\tIN\tB-PP\tO' +p74315 +aS'baratroma\tbaratroma\tNN\tB-NP\tO' +p74316 +aS'was\tbe\tVBD\tB-VP\tO' +p74317 +aS'ever\tever\tRB\tI-VP\tO' +p74318 +aS'discerned\tdiscern\tVBN\tI-VP\tO' +p74319 +aS'.\t.\t.\tO\tO' +p74320 +asS'Throughout this time , she had normal vital signs with a normal O2 saturation .' +p74321 +(lp74322 +S'Throughout\tThroughout\tIN\tB-PP\tO' +p74323 +aS'this\tthis\tDT\tB-NP\tO' +p74324 +aS'time\ttime\tNN\tI-NP\tO' +p74325 +aS',\t,\t,\tO\tO' +p74326 +aS'she\tshe\tPRP\tB-NP\tO' +p74327 +aS'had\thave\tVBD\tB-VP\tO' +p74328 +aS'normal\tnormal\tJJ\tB-NP\tO' +p74329 +aS'vital\tvital\tJJ\tI-NP\tO' +p74330 +aS'signs\tsign\tNNS\tI-NP\tO' +p74331 +aS'with\twith\tIN\tB-PP\tO' +p74332 +aS'a\ta\tDT\tB-NP\tO' +p74333 +aS'normal\tnormal\tJJ\tI-NP\tO' +p74334 +aS'O2\tO2\tNN\tI-NP\tO' +p74335 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p74336 +aS'.\t.\t.\tO\tO' +p74337 +asS'bowel sounds present , soft , nontender , nondistended , guaiac negative , no hepatosplenomegaly .' +p74338 +(lp74339 +S'bowel\tbowel\tNN\tB-NP\tO' +p74340 +aS'sounds\tsound\tVBZ\tB-VP\tO' +p74341 +aS'present\tpresent\tJJ\tB-NP\tO' +p74342 +aS',\t,\t,\tI-NP\tO' +p74343 +aS'soft\tsoft\tJJ\tI-NP\tO' +p74344 +aS',\t,\t,\tI-NP\tO' +p74345 +aS'nontender\tnontender\tJJ\tI-NP\tO' +p74346 +aS',\t,\t,\tI-NP\tO' +p74347 +aS'nondistended\tnondistended\tJJ\tI-NP\tO' +p74348 +aS',\t,\t,\tI-NP\tO' +p74349 +aS'guaiac\tguaiac\tJJ\tI-NP\tO' +p74350 +aS'negative\tnegative\tJJ\tI-NP\tO' +p74351 +aS',\t,\t,\tO\tO' +p74352 +aS'no\tno\tDT\tB-NP\tO' +p74353 +aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tI-NP\tO' +p74354 +aS'.\t.\t.\tO\tO' +p74355 +asS'Abdominal CT was negative except for right hydronephrosis with mild right hydroureter .' +p74356 +(lp74357 +S'Abdominal\tAbdominal\tJJ\tB-NP\tO' +p74358 +aS'CT\tCT\tNN\tI-NP\tO' +p74359 +aS'was\tbe\tVBD\tB-VP\tO' +p74360 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p74361 +aS'except\texcept\tIN\tB-PP\tO' +p74362 +aS'for\tfor\tIN\tB-PP\tO' +p74363 +aS'right\tright\tJJ\tB-NP\tO' +p74364 +aS'hydronephrosis\thydronephrosis\tNN\tI-NP\tO' +p74365 +aS'with\twith\tIN\tB-PP\tO' +p74366 +aS'mild\tmild\tJJ\tB-NP\tO' +p74367 +aS'right\tright\tJJ\tI-NP\tO' +p74368 +aS'hydroureter\thydroureter\tNN\tI-NP\tO' +p74369 +aS'.\t.\t.\tO\tO' +p74370 +asS'No history of cigarette smoking .' +p74371 +(lp74372 +S'No\tNo\tDT\tB-NP\tO' +p74373 +aS'history\thistory\tNN\tI-NP\tO' +p74374 +aS'of\tof\tIN\tB-PP\tO' +p74375 +aS'cigarette\tcigarette\tNN\tB-NP\tO' +p74376 +aS'smoking\tsmoking\tNN\tI-NP\tO' +p74377 +aS'.\t.\t.\tO\tO' +p74378 +asS'3. Zolpidem Tartrate 5 mg Tablet Sig : 1-2 Tablets PO HS ( at bedtime ).' +p74379 +(lp74380 +S'3.\t3.\tLS\tB-LST\tO' +p74381 +aS'Zolpidem\tZolpidem\tNN\tB-NP\tO' +p74382 +aS'Tartrate\tTartrate\tVB\tB-VP\tO' +p74383 +aS'5\t5\tCD\tB-NP\tO' +p74384 +aS'mg\tmg\tNN\tI-NP\tO' +p74385 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p74386 +aS'Sig\tSig\tNNP\tI-NP\tO' +p74387 +aS':\t:\t:\tO\tO' +p74388 +aS'1-2\t1-2\tCD\tB-NP\tO' +p74389 +aS'Tablets\tTablet\tNNS\tI-NP\tO' +p74390 +aS'PO\tPO\tNN\tI-NP\tO' +p74391 +aS'HS\tHS\tNN\tI-NP\tO' +p74392 +aS'(\t(\t(\tO\tO' +p74393 +aS'at\tat\tIN\tB-PP\tO' +p74394 +aS'bedtime\tbedtime\tNN\tB-NP\tO' +p74395 +aS').\t).\t.\tO\tO' +p74396 +asS'Hematocrit was 40 , white count was 21 , and platelet count of 723,000 .' +p74397 +(lp74398 +S'Hematocrit\tHematocrit\tNN\tB-NP\tO' +p74399 +aS'was\tbe\tVBD\tB-VP\tO' +p74400 +aS'40\t40\tCD\tB-NP\tO' +p74401 +aS',\t,\t,\tO\tO' +p74402 +aS'white\twhite\tJJ\tB-NP\tO' +p74403 +aS'count\tcount\tNN\tI-NP\tO' +p74404 +aS'was\tbe\tVBD\tB-VP\tO' +p74405 +aS'21\t21\tCD\tB-NP\tO' +p74406 +aS',\t,\t,\tO\tO' +p74407 +aS'and\tand\tCC\tO\tO' +p74408 +aS'platelet\tplatelet\tNN\tB-NP\tO' +p74409 +aS'count\tcount\tNN\tI-NP\tO' +p74410 +aS'of\tof\tIN\tB-PP\tO' +p74411 +aS'723,000\t723,000\tCD\tB-NP\tO' +p74412 +aS'.\t.\t.\tO\tO' +p74413 +asS'Her alkaline phosphatase is 77 , white blood count 12.5 , hematocrit 42.6 , platelet count 268 .' +p74414 +(lp74415 +S'Her\tHer\tPRP$\tB-NP\tO' +p74416 +aS'alkaline\talkaline\tNN\tI-NP\tB-protein' +p74417 +aS'phosphatase\tphosphatase\tNN\tI-NP\tI-protein' +p74418 +aS'is\tbe\tVBZ\tB-VP\tO' +p74419 +aS'77\t77\tCD\tB-NP\tO' +p74420 +aS',\t,\t,\tO\tO' +p74421 +aS'white\twhite\tJJ\tB-NP\tO' +p74422 +aS'blood\tblood\tNN\tI-NP\tO' +p74423 +aS'count\tcount\tNN\tI-NP\tO' +p74424 +aS'12.5\t12.5\tCD\tI-NP\tO' +p74425 +aS',\t,\t,\tO\tO' +p74426 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p74427 +aS'42.6\t42.6\tCD\tI-NP\tI-protein' +p74428 +aS',\t,\t,\tO\tO' +p74429 +aS'platelet\tplatelet\tNN\tB-NP\tB-protein' +p74430 +aS'count\tcount\tNN\tI-NP\tI-protein' +p74431 +aS'268\t268\tCD\tI-NP\tI-protein' +p74432 +aS'.\t.\t.\tO\tO' +p74433 +asS'Pupils were 4 mm reactive to 2 mm bilaterally .' +p74434 +(lp74435 +S'Pupils\tPupil\tNNS\tB-NP\tO' +p74436 +aS'were\tbe\tVBD\tB-VP\tO' +p74437 +aS'4\t4\tCD\tB-NP\tO' +p74438 +aS'mm\tmm\tNN\tI-NP\tO' +p74439 +aS'reactive\treactive\tJJ\tB-ADJP\tO' +p74440 +aS'to\tto\tTO\tB-PP\tO' +p74441 +aS'2\t2\tCD\tB-NP\tO' +p74442 +aS'mm\tmm\tNN\tI-NP\tO' +p74443 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p74444 +aS'.\t.\t.\tO\tO' +p74445 +asS'1. A 35-1/7 week gestation .' +p74446 +(lp74447 +S'1.\t1.\tLS\tB-LST\tO' +p74448 +aS'A\tA\tDT\tB-NP\tO' +p74449 +aS'35-1/7\t35-1/7\tCD\tI-NP\tO' +p74450 +aS'week\tweek\tNN\tI-NP\tO' +p74451 +aS'gestation\tgestation\tNN\tI-NP\tO' +p74452 +aS'.\t.\t.\tO\tO' +p74453 +asS'The patient 's past surgical history is notable for the removal of a thyroid nodule in February 1989 .' +p74454 +(lp74455 +S'The\tThe\tDT\tB-NP\tO' +p74456 +aS'patient\tpatient\tNN\tI-NP\tO' +p74457 +aS''s\t'\tNNS\tI-NP\tO' +p74458 +aS'past\tpast\tIN\tB-PP\tO' +p74459 +aS'surgical\tsurgical\tJJ\tB-NP\tO' +p74460 +aS'history\thistory\tNN\tI-NP\tO' +p74461 +aS'is\tbe\tVBZ\tB-VP\tO' +p74462 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p74463 +aS'for\tfor\tIN\tB-PP\tO' +p74464 +aS'the\tthe\tDT\tB-NP\tO' +p74465 +aS'removal\tremoval\tNN\tI-NP\tO' +p74466 +aS'of\tof\tIN\tB-PP\tO' +p74467 +aS'a\ta\tDT\tB-NP\tO' +p74468 +aS'thyroid\tthyroid\tJJ\tI-NP\tO' +p74469 +aS'nodule\tnodule\tNN\tI-NP\tO' +p74470 +aS'in\tin\tIN\tB-PP\tO' +p74471 +aS'February\tFebruary\tNNP\tB-NP\tO' +p74472 +aS'1989\t1989\tCD\tI-NP\tO' +p74473 +aS'.\t.\t.\tO\tO' +p74474 +asS'Three days ago began to develop black stools .' +p74475 +(lp74476 +S'Three\tThree\tCD\tB-NP\tO' +p74477 +aS'days\tday\tNNS\tI-NP\tO' +p74478 +aS'ago\tago\tRB\tB-ADVP\tO' +p74479 +aS'began\tbegin\tVBD\tB-VP\tO' +p74480 +aS'to\tto\tTO\tI-VP\tO' +p74481 +aS'develop\tdevelop\tVB\tI-VP\tO' +p74482 +aS'black\tblack\tJJ\tB-NP\tO' +p74483 +aS'stools\tstool\tNNS\tI-NP\tO' +p74484 +aS'.\t.\t.\tO\tO' +p74485 +asS'1. Coumadin 2 mg once daily ( stopped recently due to risk of GI bleed )' +p74486 +(lp74487 +S'1.\t1.\tLS\tB-NP\tO' +p74488 +aS'Coumadin\tCoumadin\tNN\tI-NP\tO' +p74489 +aS'2\t2\tCD\tI-NP\tO' +p74490 +aS'mg\tmg\tNN\tI-NP\tO' +p74491 +aS'once\tonce\tRB\tO\tO' +p74492 +aS'daily\tdaily\tRB\tB-ADVP\tO' +p74493 +aS'(\t(\t(\tO\tO' +p74494 +aS'stopped\tstop\tVBD\tB-VP\tO' +p74495 +aS'recently\trecently\tRB\tB-ADVP\tO' +p74496 +aS'due\tdue\tJJ\tB-ADJP\tO' +p74497 +aS'to\tto\tTO\tB-PP\tO' +p74498 +aS'risk\trisk\tNN\tB-NP\tO' +p74499 +aS'of\tof\tIN\tB-PP\tO' +p74500 +aS'GI\tGI\tNN\tB-NP\tO' +p74501 +aS'bleed\tbleed\tNN\tI-NP\tO' +p74502 +aS')\t)\t)\tO\tO' +p74503 +asS'Documentation is in her medical chart .' +p74504 +(lp74505 +S'Documentation\tDocumentation\tNN\tB-NP\tO' +p74506 +aS'is\tbe\tVBZ\tB-VP\tO' +p74507 +aS'in\tin\tIN\tB-PP\tO' +p74508 +aS'her\ther\tPRP$\tB-NP\tO' +p74509 +aS'medical\tmedical\tJJ\tI-NP\tO' +p74510 +aS'chart\tchart\tNN\tI-NP\tO' +p74511 +aS'.\t.\t.\tO\tO' +p74512 +asS'Chest CT .' +p74513 +(lp74514 +S'Chest\tCh\tJJS\tB-NP\tO' +p74515 +aS'CT\tCT\tNN\tI-NP\tB-protein' +p74516 +aS'.\t.\t.\tO\tO' +p74517 +asS'FAMILY HISTORY : Not significant for coronary artery disease .' +p74518 +(lp74519 +S'FAMILY\tFAMILY\tNN\tB-NP\tO' +p74520 +aS'HISTORY\tHISTORY\tNN\tI-NP\tO' +p74521 +aS':\t:\t:\tO\tO' +p74522 +aS'Not\tNot\tRB\tB-ADJP\tO' +p74523 +aS'significant\tsignificant\tJJ\tI-ADJP\tO' +p74524 +aS'for\tfor\tIN\tB-PP\tO' +p74525 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p74526 +aS'artery\tartery\tNN\tI-NP\tO' +p74527 +aS'disease\tdisease\tNN\tI-NP\tO' +p74528 +aS'.\t.\t.\tO\tO' +p74529 +asS'He was extubated by POD #1 .' +p74530 +(lp74531 +S'He\tHe\tPRP\tB-NP\tO' +p74532 +aS'was\tbe\tVBD\tB-VP\tO' +p74533 +aS'extubated\textubate\tVBN\tI-VP\tO' +p74534 +aS'by\tby\tIN\tB-PP\tO' +p74535 +aS'POD\tPOD\tNN\tB-NP\tB-protein' +p74536 +aS'#1\t#1\tNN\tI-NP\tI-protein' +p74537 +aS'.\t.\t.\tO\tO' +p74538 +asS'With the pressure support at 7 , she became tachypneic and had to be brought back up to 10 .' +p74539 +(lp74540 +S'With\tWith\tIN\tB-PP\tO' +p74541 +aS'the\tthe\tDT\tB-NP\tO' +p74542 +aS'pressure\tpressure\tNN\tI-NP\tO' +p74543 +aS'support\tsupport\tNN\tI-NP\tO' +p74544 +aS'at\tat\tIN\tB-PP\tO' +p74545 +aS'7\t7\tCD\tB-NP\tO' +p74546 +aS',\t,\t,\tO\tO' +p74547 +aS'she\tshe\tPRP\tB-NP\tO' +p74548 +aS'became\tbecome\tVBD\tB-VP\tO' +p74549 +aS'tachypneic\ttachypneic\tJJ\tB-ADJP\tO' +p74550 +aS'and\tand\tCC\tO\tO' +p74551 +aS'had\thave\tVBD\tB-VP\tO' +p74552 +aS'to\tto\tTO\tI-VP\tO' +p74553 +aS'be\tbe\tVB\tI-VP\tO' +p74554 +aS'brought\tbring\tVBN\tI-VP\tO' +p74555 +aS'back\tback\tRB\tB-ADVP\tO' +p74556 +aS'up\tup\tIN\tB-PP\tO' +p74557 +aS'to\tto\tTO\tB-PP\tO' +p74558 +aS'10\t10\tCD\tB-NP\tO' +p74559 +aS'.\t.\t.\tO\tO' +p74560 +asS'She tolerated these meds with SBP s in the high 90 s to 100 s and was therefore discharged on this regimen .' +p74561 +(lp74562 +S'She\tShe\tPRP\tB-NP\tO' +p74563 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p74564 +aS'these\tthese\tDT\tB-NP\tO' +p74565 +aS'meds\tmed\tNNS\tI-NP\tO' +p74566 +aS'with\twith\tIN\tB-PP\tO' +p74567 +aS'SBP\tSBP\tNN\tB-NP\tB-protein' +p74568 +aS's\ts\tNNS\tI-NP\tI-protein' +p74569 +aS'in\tin\tIN\tB-PP\tO' +p74570 +aS'the\tthe\tDT\tB-NP\tO' +p74571 +aS'high\thigh\tJJ\tI-NP\tO' +p74572 +aS'90\t90\tCD\tI-NP\tO' +p74573 +aS's\ts\tNN\tI-NP\tO' +p74574 +aS'to\tto\tTO\tB-PP\tO' +p74575 +aS'100\t100\tCD\tB-NP\tO' +p74576 +aS's\ts\tNN\tI-NP\tO' +p74577 +aS'and\tand\tCC\tO\tO' +p74578 +aS'was\tbe\tVBD\tB-VP\tO' +p74579 +aS'therefore\ttherefore\tRB\tI-VP\tO' +p74580 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p74581 +aS'on\ton\tIN\tB-PP\tO' +p74582 +aS'this\tthis\tDT\tB-NP\tO' +p74583 +aS'regimen\tregimen\tNN\tI-NP\tO' +p74584 +aS'.\t.\t.\tO\tO' +p74585 +asS'Erica and basic cystic protein stains are still pending .' +p74586 +(lp74587 +S'Erica\tErica\tNNP\tB-NP\tO' +p74588 +aS'and\tand\tCC\tO\tO' +p74589 +aS'basic\tbasic\tJJ\tB-NP\tO' +p74590 +aS'cystic\tcystic\tJJ\tI-NP\tO' +p74591 +aS'protein\tprotein\tNN\tI-NP\tO' +p74592 +aS'stains\tstain\tNNS\tI-NP\tO' +p74593 +aS'are\tbe\tVBP\tB-VP\tO' +p74594 +aS'still\tstill\tRB\tI-VP\tO' +p74595 +aS'pending\tpende\tVBG\tI-VP\tO' +p74596 +aS'.\t.\t.\tO\tO' +p74597 +asS'The patient is discharged to the Encharlea Il Medical Center .' +p74598 +(lp74599 +S'The\tThe\tDT\tB-NP\tO' +p74600 +aS'patient\tpatient\tNN\tI-NP\tO' +p74601 +aS'is\tbe\tVBZ\tB-VP\tO' +p74602 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p74603 +aS'to\tto\tTO\tB-PP\tO' +p74604 +aS'the\tthe\tDT\tB-NP\tO' +p74605 +aS'Encharlea\tEncharlea\tNNP\tI-NP\tO' +p74606 +aS'Il\tIl\tNNP\tI-NP\tO' +p74607 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p74608 +aS'Center\tCenter\tNNP\tI-NP\tO' +p74609 +aS'.\t.\t.\tO\tO' +p74610 +asS"The patient 's INR was noted to be 2.3 ." +p74611 +(lp74612 +S'The\tThe\tDT\tB-NP\tO' +p74613 +aS'patient\tpatient\tNN\tI-NP\tO' +p74614 +aS"'s\t's\tPOS\tB-NP\tO" +p74615 +aS'INR\tINR\tNN\tI-NP\tB-protein' +p74616 +aS'was\tbe\tVBD\tB-VP\tO' +p74617 +aS'noted\tnote\tVBN\tI-VP\tO' +p74618 +aS'to\tto\tTO\tI-VP\tO' +p74619 +aS'be\tbe\tVB\tI-VP\tO' +p74620 +aS'2.3\t2.3\tCD\tB-NP\tO' +p74621 +aS'.\t.\t.\tO\tO' +p74622 +asS'Urology was notified about the clots and occasional blood tinged urine but they did not make any further recommendations .' +p74623 +(lp74624 +S'Urology\tUrology\tNN\tB-NP\tO' +p74625 +aS'was\tbe\tVBD\tB-VP\tO' +p74626 +aS'notified\tnotify\tVBN\tI-VP\tO' +p74627 +aS'about\tabout\tIN\tB-PP\tO' +p74628 +aS'the\tthe\tDT\tB-NP\tO' +p74629 +aS'clots\tclot\tNNS\tI-NP\tO' +p74630 +aS'and\tand\tCC\tO\tO' +p74631 +aS'occasional\toccasional\tJJ\tB-NP\tO' +p74632 +aS'blood\tblood\tNN\tI-NP\tO' +p74633 +aS'tinged\ttinge\tVBD\tB-VP\tO' +p74634 +aS'urine\turine\tNN\tB-NP\tO' +p74635 +aS'but\tbut\tCC\tO\tO' +p74636 +aS'they\tthey\tPRP\tB-NP\tO' +p74637 +aS'did\tdo\tVBD\tB-VP\tO' +p74638 +aS'not\tnot\tRB\tI-VP\tO' +p74639 +aS'make\tmake\tVB\tI-VP\tO' +p74640 +aS'any\tany\tDT\tB-NP\tO' +p74641 +aS'further\tfurther\tJJ\tI-NP\tO' +p74642 +aS'recommendations\trecommendation\tNNS\tI-NP\tO' +p74643 +aS'.\t.\t.\tO\tO' +p74644 +asS'10 ) Metamucil one packet p.o. q. day .' +p74645 +(lp74646 +S'10\t10\tCD\tB-NP\tO' +p74647 +aS')\t)\t)\tO\tO' +p74648 +aS'Metamucil\tMetamucil\tNNP\tB-NP\tO' +p74649 +aS'one\tone\tCD\tI-NP\tO' +p74650 +aS'packet\tpacket\tNN\tI-NP\tO' +p74651 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p74652 +aS'q.\tq.\tNN\tI-NP\tO' +p74653 +aS'day\tday\tNN\tI-NP\tO' +p74654 +aS'.\t.\t.\tO\tO' +p74655 +asS'REturn to the ER or call your doctor if you develop fevers , notice pus from the incision , develop surrounding redness , have abdominal pain , have vomiting where you can 't keep anything down or develop any symptoms that concern you .' +p74656 +(lp74657 +S'REturn\tREturn\tNN\tB-NP\tO' +p74658 +aS'to\tto\tTO\tB-PP\tO' +p74659 +aS'the\tthe\tDT\tB-NP\tO' +p74660 +aS'ER\tER\tNN\tI-NP\tB-protein' +p74661 +aS'or\tor\tCC\tO\tO' +p74662 +aS'call\tcall\tVB\tB-VP\tO' +p74663 +aS'your\tyour\tPRP$\tB-NP\tO' +p74664 +aS'doctor\tdoctor\tNN\tI-NP\tO' +p74665 +aS'if\tif\tIN\tB-SBAR\tO' +p74666 +aS'you\tyou\tPRP\tB-NP\tO' +p74667 +aS'develop\tdevelop\tVBP\tB-VP\tO' +p74668 +aS'fevers\tfever\tNNS\tB-NP\tO' +p74669 +aS',\t,\t,\tO\tO' +p74670 +aS'notice\tnotice\tNN\tB-NP\tO' +p74671 +aS'pus\tpus\tNN\tI-NP\tO' +p74672 +aS'from\tfrom\tIN\tB-PP\tO' +p74673 +aS'the\tthe\tDT\tB-NP\tO' +p74674 +aS'incision\tincision\tNN\tI-NP\tO' +p74675 +aS',\t,\t,\tO\tO' +p74676 +aS'develop\tdevelop\tVBP\tB-VP\tO' +p74677 +aS'surrounding\tsurround\tVBG\tI-VP\tO' +p74678 +aS'redness\tredness\tNN\tB-NP\tO' +p74679 +aS',\t,\t,\tO\tO' +p74680 +aS'have\thave\tVBP\tB-VP\tO' +p74681 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p74682 +aS'pain\tpain\tNN\tI-NP\tO' +p74683 +aS',\t,\t,\tO\tO' +p74684 +aS'have\thave\tVBP\tB-VP\tO' +p74685 +aS'vomiting\tvomit\tVBG\tI-VP\tO' +p74686 +aS'where\twhere\tWRB\tB-ADVP\tO' +p74687 +aS'you\tyou\tPRP\tB-NP\tO' +p74688 +aS'can\tcan\tMD\tB-VP\tO' +p74689 +aS''t\t't\tVB\tI-VP\tO' +p74690 +aS'keep\tkeep\tVB\tI-VP\tO' +p74691 +aS'anything\tanything\tNN\tB-NP\tO' +p74692 +aS'down\tdown\tRB\tB-ADVP\tO' +p74693 +aS'or\tor\tCC\tO\tO' +p74694 +aS'develop\tdevelop\tVB\tB-VP\tO' +p74695 +aS'any\tany\tDT\tB-NP\tO' +p74696 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p74697 +aS'that\tthat\tWDT\tB-NP\tO' +p74698 +aS'concern\tconcern\tVBP\tB-VP\tO' +p74699 +aS'you\tyou\tPRP\tB-NP\tO' +p74700 +aS'.\t.\t.\tO\tO' +p74701 +asS'7. Question tendonitis with left biceps pain .' +p74702 +(lp74703 +S'7.\t7.\tLS\tB-NP\tO' +p74704 +aS'Question\tQuestion\tNN\tI-NP\tO' +p74705 +aS'tendonitis\ttendonitis\tNN\tI-NP\tO' +p74706 +aS'with\twith\tIN\tB-PP\tO' +p74707 +aS'left\tleft\tJJ\tB-NP\tB-protein' +p74708 +aS'biceps\tbicep\tNNS\tI-NP\tI-protein' +p74709 +aS'pain\tpain\tNN\tI-NP\tI-protein' +p74710 +aS'.\t.\t.\tO\tO' +p74711 +asS'Mother presented on day of delivery with preterm labor , cervical dilation , therefore delivered by repeat cesarean section .' +p74712 +(lp74713 +S'Mother\tMother\tNNP\tB-NP\tO' +p74714 +aS'presented\tpresent\tVBD\tB-VP\tO' +p74715 +aS'on\ton\tIN\tB-PP\tO' +p74716 +aS'day\tday\tNN\tB-NP\tO' +p74717 +aS'of\tof\tIN\tB-PP\tO' +p74718 +aS'delivery\tdelivery\tNN\tB-NP\tO' +p74719 +aS'with\twith\tIN\tB-PP\tO' +p74720 +aS'preterm\tpreterm\tJJ\tB-NP\tO' +p74721 +aS'labor\tlabor\tNN\tI-NP\tO' +p74722 +aS',\t,\t,\tO\tO' +p74723 +aS'cervical\tcervical\tJJ\tB-NP\tO' +p74724 +aS'dilation\tdilation\tNN\tI-NP\tO' +p74725 +aS',\t,\t,\tO\tO' +p74726 +aS'therefore\ttherefore\tRB\tB-VP\tO' +p74727 +aS'delivered\tdeliver\tVBN\tI-VP\tO' +p74728 +aS'by\tby\tIN\tB-PP\tO' +p74729 +aS'repeat\trepeat\tNN\tB-NP\tO' +p74730 +aS'cesarean\tcesarean\tJJ\tI-NP\tO' +p74731 +aS'section\tsection\tNN\tI-NP\tO' +p74732 +aS'.\t.\t.\tO\tO' +p74733 +asS'Signed electronically by : DR. Margarita Martin on : TUE 2012-06-05 8:08 AM' +p74734 +(lp74735 +S'Signed\tSign\tVBN\tB-VP\tO' +p74736 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p74737 +aS'by\tby\tIN\tB-PP\tO' +p74738 +aS':\t:\t:\tO\tO' +p74739 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p74740 +aS'Margarita\tMargarita\tNNP\tI-NP\tO' +p74741 +aS'Martin\tMartin\tNNP\tI-NP\tO' +p74742 +aS'on\ton\tIN\tB-PP\tO' +p74743 +aS':\t:\t:\tO\tO' +p74744 +aS'TUE\tTUE\tNN\tB-NP\tO' +p74745 +aS'2012-06-05\t2012-06-05\tCD\tI-NP\tO' +p74746 +aS'8:08\t8:08\tCD\tI-NP\tO' +p74747 +aS'AM\tAM\tNN\tI-NP\tO' +p74748 +asS'He has been somewhat noncompliant with his diet ( eating Pringle 's in the room ) .' +p74749 +(lp74750 +S'He\tHe\tPRP\tB-NP\tO' +p74751 +aS'has\thave\tVBZ\tB-VP\tO' +p74752 +aS'been\tbe\tVBN\tI-VP\tO' +p74753 +aS'somewhat\tsomewhat\tRB\tB-ADJP\tO' +p74754 +aS'noncompliant\tnoncompliant\tJJ\tI-ADJP\tO' +p74755 +aS'with\twith\tIN\tB-PP\tO' +p74756 +aS'his\this\tPRP$\tB-NP\tO' +p74757 +aS'diet\tdiet\tNN\tI-NP\tO' +p74758 +aS'(\t(\t(\tO\tO' +p74759 +aS'eating\teat\tVBG\tB-VP\tO' +p74760 +aS'Pringle\tPringle\tNNP\tB-NP\tO' +p74761 +aS''s\t'\tNNS\tI-NP\tO' +p74762 +aS'in\tin\tIN\tB-PP\tO' +p74763 +aS'the\tthe\tDT\tB-NP\tO' +p74764 +aS'room\troom\tNN\tI-NP\tO' +p74765 +aS')\t)\t)\tO\tO' +p74766 +aS'.\t.\t.\tO\tO' +p74767 +asS'Her ophthalmologist is aware of transfer .' +p74768 +(lp74769 +S'Her\tHer\tPRP$\tB-NP\tO' +p74770 +aS'ophthalmologist\tophthalmologist\tNN\tI-NP\tO' +p74771 +aS'is\tbe\tVBZ\tB-VP\tO' +p74772 +aS'aware\taware\tJJ\tB-ADJP\tO' +p74773 +aS'of\tof\tIN\tB-PP\tO' +p74774 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p74775 +aS'.\t.\t.\tO\tO' +p74776 +asS'Percocet and morphine sulfate for pain .' +p74777 +(lp74778 +S'Percocet\tPercocet\tNN\tB-NP\tO' +p74779 +aS'and\tand\tCC\tI-NP\tO' +p74780 +aS'morphine\tmorphine\tNN\tI-NP\tO' +p74781 +aS'sulfate\tsulfate\tNN\tI-NP\tO' +p74782 +aS'for\tfor\tIN\tB-PP\tO' +p74783 +aS'pain\tpain\tNN\tB-NP\tO' +p74784 +aS'.\t.\t.\tO\tO' +p74785 +asS'She had a pneumonia of 31 , calcium was 7.5 , phosphorous 3.0 , magnesium 1.3 .' +p74786 +(lp74787 +S'She\tShe\tPRP\tB-NP\tO' +p74788 +aS'had\thave\tVBD\tB-VP\tO' +p74789 +aS'a\ta\tDT\tB-NP\tO' +p74790 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p74791 +aS'of\tof\tIN\tB-PP\tO' +p74792 +aS'31\t31\tCD\tB-NP\tO' +p74793 +aS',\t,\t,\tO\tO' +p74794 +aS'calcium\tcalcium\tNN\tB-NP\tO' +p74795 +aS'was\tbe\tVBD\tB-VP\tO' +p74796 +aS'7.5\t7.5\tCD\tB-NP\tO' +p74797 +aS',\t,\t,\tO\tO' +p74798 +aS'phosphorous\tphosphorous\tJJ\tB-NP\tO' +p74799 +aS'3.0\t3.0\tCD\tI-NP\tO' +p74800 +aS',\t,\t,\tO\tO' +p74801 +aS'magnesium\tmagnesium\tNN\tB-NP\tO' +p74802 +aS'1.3\t1.3\tCD\tI-NP\tO' +p74803 +aS'.\t.\t.\tO\tO' +p74804 +asS'gas , upset stomach .' +p74805 +(lp74806 +S'gas\tgas\tNN\tB-NP\tB-DNA' +p74807 +aS',\t,\t,\tO\tO' +p74808 +aS'upset\tupset\tJJ\tB-NP\tO' +p74809 +aS'stomach\tstomach\tNN\tI-NP\tO' +p74810 +aS'.\t.\t.\tO\tO' +p74811 +asS'The pericardial drain was removed without any difficulty .' +p74812 +(lp74813 +S'The\tThe\tDT\tB-NP\tO' +p74814 +aS'pericardial\tpericardial\tJJ\tI-NP\tO' +p74815 +aS'drain\tdrain\tNN\tI-NP\tO' +p74816 +aS'was\tbe\tVBD\tB-VP\tO' +p74817 +aS'removed\tremove\tVBN\tI-VP\tO' +p74818 +aS'without\twithout\tIN\tB-PP\tO' +p74819 +aS'any\tany\tDT\tB-NP\tO' +p74820 +aS'difficulty\tdifficulty\tNN\tI-NP\tO' +p74821 +aS'.\t.\t.\tO\tO' +p74822 +asS'Should there be any wound erythema or drainage , please contact Dr. Uph 's office immediately .' +p74823 +(lp74824 +S'Should\tShould\tMD\tB-VP\tO' +p74825 +aS'there\tthere\tRB\tI-VP\tO' +p74826 +aS'be\tbe\tVB\tI-VP\tO' +p74827 +aS'any\tany\tDT\tB-NP\tO' +p74828 +aS'wound\twound\tNN\tI-NP\tO' +p74829 +aS'erythema\terythema\tNN\tI-NP\tO' +p74830 +aS'or\tor\tCC\tI-NP\tO' +p74831 +aS'drainage\tdrainage\tNN\tI-NP\tO' +p74832 +aS',\t,\t,\tO\tO' +p74833 +aS'please\tplease\tNN\tB-NP\tO' +p74834 +aS'contact\tcontact\tNN\tI-NP\tO' +p74835 +aS'Dr.\tDr.\tNNP\tI-NP\tO' +p74836 +aS'Uph\tUph\tNNP\tI-NP\tO' +p74837 +aS''s\t'\tNNS\tI-NP\tO' +p74838 +aS'office\toffice\tNN\tI-NP\tO' +p74839 +aS'immediately\timmediately\tRB\tB-ADVP\tO' +p74840 +aS'.\t.\t.\tO\tO' +p74841 +asS'Her hematocrit at the time of admission was 45.4 , platelets were 360,000 .' +p74842 +(lp74843 +S'Her\tHer\tPRP$\tB-NP\tO' +p74844 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p74845 +aS'at\tat\tIN\tB-PP\tO' +p74846 +aS'the\tthe\tDT\tB-NP\tO' +p74847 +aS'time\ttime\tNN\tI-NP\tO' +p74848 +aS'of\tof\tIN\tB-PP\tO' +p74849 +aS'admission\tadmission\tNN\tB-NP\tO' +p74850 +aS'was\tbe\tVBD\tB-VP\tO' +p74851 +aS'45.4\t45.4\tCD\tB-NP\tO' +p74852 +aS',\t,\t,\tO\tO' +p74853 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p74854 +aS'were\tbe\tVBD\tB-VP\tO' +p74855 +aS'360,000\t360,000\tCD\tB-NP\tO' +p74856 +aS'.\t.\t.\tO\tO' +p74857 +asS'GI was consulted for an EGD , however , while she was in the Endoscopy Suite , as mentioned above , she had a hypotensive episode , which responded to some fluid boluses .' +p74858 +(lp74859 +S'GI\tGI\tNN\tB-NP\tO' +p74860 +aS'was\tbe\tVBD\tB-VP\tO' +p74861 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p74862 +aS'for\tfor\tIN\tB-PP\tO' +p74863 +aS'an\tan\tDT\tB-NP\tO' +p74864 +aS'EGD\tEGD\tNN\tI-NP\tB-protein' +p74865 +aS',\t,\t,\tO\tO' +p74866 +aS'however\thowever\tRB\tB-ADVP\tO' +p74867 +aS',\t,\t,\tO\tO' +p74868 +aS'while\twhile\tIN\tB-SBAR\tO' +p74869 +aS'she\tshe\tPRP\tB-NP\tO' +p74870 +aS'was\tbe\tVBD\tB-VP\tO' +p74871 +aS'in\tin\tIN\tB-PP\tO' +p74872 +aS'the\tthe\tDT\tB-NP\tO' +p74873 +aS'Endoscopy\tEndoscopy\tNNP\tI-NP\tO' +p74874 +aS'Suite\tSuite\tNNP\tI-NP\tO' +p74875 +aS',\t,\t,\tO\tO' +p74876 +aS'as\tas\tIN\tB-SBAR\tO' +p74877 +aS'mentioned\tmention\tVBN\tB-VP\tO' +p74878 +aS'above\tabove\tRB\tB-ADVP\tO' +p74879 +aS',\t,\t,\tO\tO' +p74880 +aS'she\tshe\tPRP\tB-NP\tO' +p74881 +aS'had\thave\tVBD\tB-VP\tO' +p74882 +aS'a\ta\tDT\tB-NP\tO' +p74883 +aS'hypotensive\thypotensive\tJJ\tI-NP\tO' +p74884 +aS'episode\tepisode\tNN\tI-NP\tO' +p74885 +aS',\t,\t,\tO\tO' +p74886 +aS'which\twhich\tWDT\tB-NP\tO' +p74887 +aS'responded\trespond\tVBD\tB-VP\tO' +p74888 +aS'to\tto\tTO\tB-PP\tO' +p74889 +aS'some\tsome\tDT\tB-NP\tO' +p74890 +aS'fluid\tfluid\tNN\tI-NP\tO' +p74891 +aS'boluses\tbolus\tNNS\tI-NP\tO' +p74892 +aS'.\t.\t.\tO\tO' +p74893 +asS'Cesarean section was performed under spinal anesthesia .' +p74894 +(lp74895 +S'Cesarean\tCesarean\tJJ\tB-NP\tO' +p74896 +aS'section\tsection\tNN\tI-NP\tO' +p74897 +aS'was\tbe\tVBD\tB-VP\tO' +p74898 +aS'performed\tperform\tVBN\tI-VP\tO' +p74899 +aS'under\tunder\tIN\tB-PP\tO' +p74900 +aS'spinal\tspinal\tJJ\tB-NP\tO' +p74901 +aS'anesthesia\tanesthesia\tNN\tI-NP\tO' +p74902 +aS'.\t.\t.\tO\tO' +p74903 +asS'In addition , Mr. Douglass is given Trazodone to help him sleep at night .' +p74904 +(lp74905 +S'In\tIn\tIN\tB-PP\tO' +p74906 +aS'addition\taddition\tNN\tB-NP\tO' +p74907 +aS',\t,\t,\tO\tO' +p74908 +aS'Mr.\tMr.\tNNP\tB-NP\tO' +p74909 +aS'Douglass\tDouglass\tNNP\tI-NP\tO' +p74910 +aS'is\tbe\tVBZ\tB-VP\tO' +p74911 +aS'given\tgive\tVBN\tI-VP\tO' +p74912 +aS'Trazodone\tTrazodone\tNN\tB-NP\tO' +p74913 +aS'to\tto\tTO\tB-VP\tO' +p74914 +aS'help\thelp\tVB\tI-VP\tO' +p74915 +aS'him\thim\tPRP\tB-NP\tO' +p74916 +aS'sleep\tsleep\tVB\tB-VP\tO' +p74917 +aS'at\tat\tIN\tB-PP\tO' +p74918 +aS'night\tnight\tNN\tB-NP\tO' +p74919 +aS'.\t.\t.\tO\tO' +p74920 +asS'Cranial nerves II - XII were intact .' +p74921 +(lp74922 +S'Cranial\tCranial\tNNP\tB-NP\tO' +p74923 +aS'nerves\tnerve\tVBZ\tB-VP\tO' +p74924 +aS'II\tII\tCD\tB-NP\tO' +p74925 +aS'-\t-\tHYPH\tI-NP\tO' +p74926 +aS'XII\tXII\tCD\tI-NP\tB-DNA' +p74927 +aS'were\tbe\tVBD\tB-VP\tO' +p74928 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p74929 +aS'.\t.\t.\tO\tO' +p74930 +asS'He underwent neurovascular doppler studies which showed no significant change in either common carotid or in the left common internal ophthalmic system .' +p74931 +(lp74932 +S'He\tHe\tPRP\tB-NP\tO' +p74933 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p74934 +aS'neurovascular\tneurovascular\tJJ\tB-NP\tO' +p74935 +aS'doppler\tdoppler\tNN\tI-NP\tO' +p74936 +aS'studies\tstudy\tNNS\tI-NP\tO' +p74937 +aS'which\twhich\tWDT\tB-NP\tO' +p74938 +aS'showed\tshow\tVBD\tB-VP\tO' +p74939 +aS'no\tno\tDT\tB-NP\tO' +p74940 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p74941 +aS'change\tchange\tNN\tI-NP\tO' +p74942 +aS'in\tin\tIN\tB-PP\tO' +p74943 +aS'either\teither\tCC\tB-NP\tO' +p74944 +aS'common\tcommon\tJJ\tI-NP\tO' +p74945 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p74946 +aS'or\tor\tCC\tB-PP\tO' +p74947 +aS'in\tin\tIN\tB-PP\tO' +p74948 +aS'the\tthe\tDT\tB-NP\tO' +p74949 +aS'left\tleft\tJJ\tI-NP\tO' +p74950 +aS'common\tcommon\tJJ\tI-NP\tO' +p74951 +aS'internal\tinternal\tJJ\tI-NP\tO' +p74952 +aS'ophthalmic\tophthalmic\tJJ\tI-NP\tO' +p74953 +aS'system\tsystem\tNN\tI-NP\tO' +p74954 +aS'.\t.\t.\tO\tO' +p74955 +asS'9. Degenerative joint disease .' +p74956 +(lp74957 +S'9.\t9.\tLS\tB-NP\tO' +p74958 +aS'Degenerative\tDegenerative\tJJ\tI-NP\tO' +p74959 +aS'joint\tjoint\tNN\tI-NP\tO' +p74960 +aS'disease\tdisease\tNN\tI-NP\tO' +p74961 +aS'.\t.\t.\tO\tO' +p74962 +asS'He had occasional ventricular extopyon telemetry but no further recurrence of ventricular tachycardia .' +p74963 +(lp74964 +S'He\tHe\tPRP\tB-NP\tO' +p74965 +aS'had\thave\tVBD\tB-VP\tO' +p74966 +aS'occasional\toccasional\tJJ\tB-NP\tO' +p74967 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p74968 +aS'extopyon\textopyon\tNN\tI-NP\tO' +p74969 +aS'telemetry\ttelemetry\tNN\tI-NP\tO' +p74970 +aS'but\tbut\tCC\tO\tO' +p74971 +aS'no\tno\tDT\tB-NP\tO' +p74972 +aS'further\tfurther\tJJ\tI-NP\tO' +p74973 +aS'recurrence\trecurrence\tNN\tI-NP\tO' +p74974 +aS'of\tof\tIN\tB-PP\tO' +p74975 +aS'ventricular\tventricular\tJJ\tB-NP\tO' +p74976 +aS'tachycardia\ttachycardia\tNN\tI-NP\tO' +p74977 +aS'.\t.\t.\tO\tO' +p74978 +asS'They were minimally reactive .' +p74979 +(lp74980 +S'They\tThey\tPRP\tB-NP\tO' +p74981 +aS'were\tbe\tVBD\tB-VP\tO' +p74982 +aS'minimally\tminimally\tRB\tB-ADJP\tO' +p74983 +aS'reactive\treactive\tJJ\tI-ADJP\tO' +p74984 +aS'.\t.\t.\tO\tO' +p74985 +asS'His anticoagulation status had to be monitored very closely due to his history of deep venous thrombosis and pulmonary embolus as well as atrial fibrillation , but he could not be placed on a high amount of anticoagulation because of the new intraparenchymal bleed .' +p74986 +(lp74987 +S'His\tHis\tPRP$\tB-NP\tO' +p74988 +aS'anticoagulation\tanticoagulation\tNN\tI-NP\tO' +p74989 +aS'status\tstatus\tNN\tI-NP\tO' +p74990 +aS'had\thave\tVBD\tB-VP\tO' +p74991 +aS'to\tto\tTO\tI-VP\tO' +p74992 +aS'be\tbe\tVB\tI-VP\tO' +p74993 +aS'monitored\tmonitor\tVBN\tI-VP\tO' +p74994 +aS'very\tvery\tRB\tB-ADJP\tO' +p74995 +aS'closely\tclosely\tRB\tI-ADJP\tO' +p74996 +aS'due\tdue\tJJ\tI-ADJP\tO' +p74997 +aS'to\tto\tTO\tB-PP\tO' +p74998 +aS'his\this\tPRP$\tB-NP\tO' +p74999 +aS'history\thistory\tNN\tI-NP\tO' +p75000 +aS'of\tof\tIN\tB-PP\tO' +p75001 +aS'deep\tdeep\tJJ\tB-NP\tO' +p75002 +aS'venous\tvenous\tJJ\tI-NP\tO' +p75003 +aS'thrombosis\tthrombosis\tNN\tI-NP\tO' +p75004 +aS'and\tand\tCC\tO\tO' +p75005 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p75006 +aS'embolus\tembolus\tNN\tI-NP\tO' +p75007 +aS'as\tas\tRB\tB-CONJP\tO' +p75008 +aS'well\twell\tRB\tI-CONJP\tO' +p75009 +aS'as\tas\tIN\tI-CONJP\tO' +p75010 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p75011 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p75012 +aS',\t,\t,\tO\tO' +p75013 +aS'but\tbut\tCC\tO\tO' +p75014 +aS'he\the\tPRP\tB-NP\tO' +p75015 +aS'could\tcould\tMD\tB-VP\tO' +p75016 +aS'not\tnot\tRB\tI-VP\tO' +p75017 +aS'be\tbe\tVB\tI-VP\tO' +p75018 +aS'placed\tplace\tVBN\tI-VP\tO' +p75019 +aS'on\ton\tIN\tB-PP\tO' +p75020 +aS'a\ta\tDT\tB-NP\tO' +p75021 +aS'high\thigh\tJJ\tI-NP\tO' +p75022 +aS'amount\tamount\tNN\tI-NP\tO' +p75023 +aS'of\tof\tIN\tB-PP\tO' +p75024 +aS'anticoagulation\tanticoagulation\tNN\tB-NP\tO' +p75025 +aS'because\tbecause\tIN\tB-PP\tO' +p75026 +aS'of\tof\tIN\tI-PP\tO' +p75027 +aS'the\tthe\tDT\tB-NP\tO' +p75028 +aS'new\tnew\tJJ\tI-NP\tO' +p75029 +aS'intraparenchymal\tintraparenchymal\tJJ\tI-NP\tO' +p75030 +aS'bleed\tbleed\tNN\tI-NP\tO' +p75031 +aS'.\t.\t.\tO\tO' +p75032 +asS'Of note , a NGT by Xray was not in correct position ? lungs -> possibly used for medication administration this AM .' +p75033 +(lp75034 +S'Of\tOf\tIN\tB-PP\tO' +p75035 +aS'note\tnote\tNN\tB-NP\tO' +p75036 +aS',\t,\t,\tO\tO' +p75037 +aS'a\ta\tDT\tB-NP\tO' +p75038 +aS'NGT\tNGT\tNN\tI-NP\tB-protein' +p75039 +aS'by\tby\tIN\tB-PP\tO' +p75040 +aS'Xray\tXray\tNN\tB-NP\tO' +p75041 +aS'was\tbe\tVBD\tB-VP\tO' +p75042 +aS'not\tnot\tRB\tO\tO' +p75043 +aS'in\tin\tIN\tB-PP\tO' +p75044 +aS'correct\tcorrect\tJJ\tB-NP\tO' +p75045 +aS'position\tposition\tNN\tI-NP\tO' +p75046 +aS'?\t?\t.\tO\tO' +p75047 +aS'lungs\tlung\tNNS\tB-NP\tO' +p75048 +aS'->\t->\tSYM\tO\tO' +p75049 +aS'possibly\tpossibly\tRB\tB-VP\tO' +p75050 +aS'used\tuse\tVBN\tI-VP\tO' +p75051 +aS'for\tfor\tIN\tB-PP\tO' +p75052 +aS'medication\tmedication\tNN\tB-NP\tO' +p75053 +aS'administration\tadministration\tNN\tI-NP\tO' +p75054 +aS'this\tthis\tDT\tB-NP\tO' +p75055 +aS'AM\tAM\tNN\tI-NP\tO' +p75056 +aS'.\t.\t.\tO\tO' +p75057 +asS'The patient was referred from an outside hospital with a chief complaint of increasing shortness of breath and tires easily with exertion .' +p75058 +(lp75059 +S'The\tThe\tDT\tB-NP\tO' +p75060 +aS'patient\tpatient\tNN\tI-NP\tO' +p75061 +aS'was\tbe\tVBD\tB-VP\tO' +p75062 +aS'referred\trefer\tVBN\tI-VP\tO' +p75063 +aS'from\tfrom\tIN\tB-PP\tO' +p75064 +aS'an\tan\tDT\tB-NP\tO' +p75065 +aS'outside\toutside\tJJ\tI-NP\tO' +p75066 +aS'hospital\thospital\tNN\tI-NP\tO' +p75067 +aS'with\twith\tIN\tB-PP\tO' +p75068 +aS'a\ta\tDT\tB-NP\tO' +p75069 +aS'chief\tchief\tJJ\tI-NP\tO' +p75070 +aS'complaint\tcomplaint\tNN\tI-NP\tO' +p75071 +aS'of\tof\tIN\tB-PP\tO' +p75072 +aS'increasing\tincrease\tVBG\tB-VP\tO' +p75073 +aS'shortness\tshortness\tNN\tB-NP\tO' +p75074 +aS'of\tof\tIN\tB-PP\tO' +p75075 +aS'breath\tbreath\tNN\tB-NP\tO' +p75076 +aS'and\tand\tCC\tO\tO' +p75077 +aS'tires\ttire\tVBZ\tB-VP\tO' +p75078 +aS'easily\teasily\tRB\tB-ADVP\tO' +p75079 +aS'with\twith\tIN\tB-PP\tO' +p75080 +aS'exertion\texertion\tNN\tB-NP\tO' +p75081 +aS'.\t.\t.\tO\tO' +p75082 +asS'Had Chest CT to r / o dissection ( due to back pain ) which was neg.' +p75083 +(lp75084 +S'Had\tHad\tNNP\tB-NP\tO' +p75085 +aS'Chest\tChest\tNNP\tI-NP\tO' +p75086 +aS'CT\tCT\tNN\tI-NP\tO' +p75087 +aS'to\tto\tTO\tB-PP\tO' +p75088 +aS'r\tr\tNN\tB-NP\tO' +p75089 +aS'/\t/\tSYM\tO\tO' +p75090 +aS'o\to\tNN\tB-NP\tO' +p75091 +aS'dissection\tdissection\tNN\tI-NP\tO' +p75092 +aS'(\t(\t(\tO\tO' +p75093 +aS'due\tdue\tJJ\tB-ADJP\tO' +p75094 +aS'to\tto\tTO\tB-VP\tO' +p75095 +aS'back\tback\tVB\tI-VP\tO' +p75096 +aS'pain\tpain\tNN\tB-NP\tO' +p75097 +aS')\t)\t)\tO\tO' +p75098 +aS'which\twhich\tWDT\tB-NP\tO' +p75099 +aS'was\tbe\tVBD\tB-VP\tO' +p75100 +aS'neg.\tneg.\tRB\tB-ADVP\tO' +p75101 +asS'The patient 's extremity examination was notable for erythema of the right calf with a small ulcer with a relatively clean base .' +p75102 +(lp75103 +S'The\tThe\tDT\tB-NP\tO' +p75104 +aS'patient\tpatient\tNN\tI-NP\tO' +p75105 +aS''s\t'\tNNS\tI-NP\tO' +p75106 +aS'extremity\textremity\tNN\tI-NP\tO' +p75107 +aS'examination\texamination\tNN\tI-NP\tO' +p75108 +aS'was\tbe\tVBD\tB-VP\tO' +p75109 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p75110 +aS'for\tfor\tIN\tB-PP\tO' +p75111 +aS'erythema\terythema\tNN\tB-NP\tO' +p75112 +aS'of\tof\tIN\tB-PP\tO' +p75113 +aS'the\tthe\tDT\tB-NP\tO' +p75114 +aS'right\tright\tJJ\tI-NP\tO' +p75115 +aS'calf\tcalf\tNN\tI-NP\tO' +p75116 +aS'with\twith\tIN\tB-PP\tO' +p75117 +aS'a\ta\tDT\tB-NP\tO' +p75118 +aS'small\tsmall\tJJ\tI-NP\tO' +p75119 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p75120 +aS'with\twith\tIN\tB-PP\tO' +p75121 +aS'a\ta\tDT\tB-NP\tO' +p75122 +aS'relatively\trelatively\tRB\tI-NP\tO' +p75123 +aS'clean\tclean\tJJ\tI-NP\tO' +p75124 +aS'base\tbase\tNN\tI-NP\tO' +p75125 +aS'.\t.\t.\tO\tO' +p75126 +asS'Dilaudid 2mg PO x 1 Flexeril 10 mg x 1' +p75127 +(lp75128 +S'Dilaudid\tDilaudid\tNNP\tB-NP\tO' +p75129 +aS'2mg\t2mg\tCD\tI-NP\tO' +p75130 +aS'PO\tPO\tNNP\tI-NP\tO' +p75131 +aS'x\tx\tCC\tO\tO' +p75132 +aS'1\t1\tCD\tB-NP\tO' +p75133 +aS'Flexeril\tFlexeril\tNNP\tI-NP\tO' +p75134 +aS'10\t10\tCD\tI-NP\tO' +p75135 +aS'mg\tmg\tNN\tI-NP\tO' +p75136 +aS'x\tx\tSYM\tI-NP\tO' +p75137 +aS'1\t1\tCD\tI-NP\tO' +p75138 +asS'Sensory - intact light touch , temperature , and vibration overall .' +p75139 +(lp75140 +S'Sensory\tSensory\tJJ\tB-NP\tO' +p75141 +aS'-\t-\tHYPH\tI-NP\tO' +p75142 +aS'intact\tintact\tJJ\tI-NP\tO' +p75143 +aS'light\tlight\tNN\tI-NP\tO' +p75144 +aS'touch\ttouch\tNN\tI-NP\tO' +p75145 +aS',\t,\t,\tO\tO' +p75146 +aS'temperature\ttemperature\tNN\tB-NP\tO' +p75147 +aS',\t,\t,\tO\tO' +p75148 +aS'and\tand\tCC\tO\tO' +p75149 +aS'vibration\tvibration\tNN\tB-NP\tO' +p75150 +aS'overall\toverall\tRB\tB-ADVP\tO' +p75151 +aS'.\t.\t.\tO\tO' +p75152 +asS'Diverticular bleed requiring colostomy on May 96 .' +p75153 +(lp75154 +S'Diverticular\tDiverticular\tJJ\tB-NP\tO' +p75155 +aS'bleed\tbleed\tNN\tI-NP\tO' +p75156 +aS'requiring\trequire\tVBG\tB-VP\tO' +p75157 +aS'colostomy\tcolostomy\tNN\tB-NP\tO' +p75158 +aS'on\ton\tIN\tB-PP\tO' +p75159 +aS'May\tMay\tNNP\tB-NP\tO' +p75160 +aS'96\t96\tCD\tI-NP\tO' +p75161 +aS'.\t.\t.\tO\tO' +p75162 +asS'She lives in Tobey Hospital with her mom .' +p75163 +(lp75164 +S'She\tShe\tPRP\tB-NP\tO' +p75165 +aS'lives\tlive\tVBZ\tB-VP\tO' +p75166 +aS'in\tin\tIN\tB-PP\tO' +p75167 +aS'Tobey\tTobey\tNNP\tB-NP\tO' +p75168 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p75169 +aS'with\twith\tIN\tB-PP\tO' +p75170 +aS'her\ther\tPRP$\tB-NP\tO' +p75171 +aS'mom\tmom\tNN\tI-NP\tO' +p75172 +aS'.\t.\t.\tO\tO' +p75173 +asS'HE is a lifelong non-smoker .' +p75174 +(lp75175 +S'HE\tHE\tNN\tB-NP\tO' +p75176 +aS'is\tbe\tVBZ\tB-VP\tO' +p75177 +aS'a\ta\tDT\tB-NP\tO' +p75178 +aS'lifelong\tlifelong\tNN\tI-NP\tO' +p75179 +aS'non-smoker\tnon-smoker\tJJ\tB-ADJP\tO' +p75180 +aS'.\t.\t.\tO\tO' +p75181 +asS"1. Metastatic renal cell carcinoma , diagnosed in 2018-03-21 , status post left radical nephrectomy at St. Margaret's Center for Women & Infants in 03/2006 ." +p75182 +(lp75183 +S'1.\t1.\tLS\tB-NP\tO' +p75184 +aS'Metastatic\tMetastatic\tJJ\tI-NP\tO' +p75185 +aS'renal\trenal\tJJ\tI-NP\tO' +p75186 +aS'cell\tcell\tNN\tI-NP\tO' +p75187 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p75188 +aS',\t,\t,\tO\tO' +p75189 +aS'diagnosed\tdiagnose\tVBN\tB-VP\tO' +p75190 +aS'in\tin\tIN\tB-PP\tO' +p75191 +aS'2018-03-21\t2018-03-21\tCD\tB-NP\tO' +p75192 +aS',\t,\t,\tO\tO' +p75193 +aS'status\tstatus\tNN\tB-NP\tO' +p75194 +aS'post\tpost\tNN\tI-NP\tO' +p75195 +aS'left\tleave\tVBD\tB-VP\tO' +p75196 +aS'radical\tradical\tJJ\tB-NP\tO' +p75197 +aS'nephrectomy\tnephrectomy\tNN\tI-NP\tO' +p75198 +aS'at\tat\tIN\tB-PP\tO' +p75199 +aS'St.\tSt.\tNNP\tB-NP\tO' +p75200 +aS"Margaret's\tMargaret's\tNNP\tI-NP\tO" +p75201 +aS'Center\tCenter\tNNP\tI-NP\tO' +p75202 +aS'for\tfor\tIN\tB-PP\tO' +p75203 +aS'Women\tWomen\tNNP\tB-NP\tO' +p75204 +aS'&\t&\tCC\tI-NP\tO' +p75205 +aS'Infants\tInfant\tNNPS\tI-NP\tO' +p75206 +aS'in\tin\tIN\tB-PP\tO' +p75207 +aS'03/2006\t03/2006\tCD\tB-NP\tO' +p75208 +aS'.\t.\t.\tO\tO' +p75209 +asS'Right sided chest pain by several hours .' +p75210 +(lp75211 +S'Right\tRight\tRB\tB-ADVP\tO' +p75212 +aS'sided\tside\tVBD\tB-VP\tO' +p75213 +aS'chest\tchest\tNN\tB-NP\tO' +p75214 +aS'pain\tpain\tNN\tI-NP\tO' +p75215 +aS'by\tby\tIN\tB-PP\tO' +p75216 +aS'several\tseveral\tJJ\tB-NP\tO' +p75217 +aS'hours\thour\tNNS\tI-NP\tO' +p75218 +aS'.\t.\t.\tO\tO' +p75219 +asS'She has also been having diarrhea since November and her other complaints of admission include confusion , nausea and vomiting .' +p75220 +(lp75221 +S'She\tShe\tPRP\tB-NP\tO' +p75222 +aS'has\thave\tVBZ\tB-VP\tO' +p75223 +aS'also\talso\tRB\tI-VP\tO' +p75224 +aS'been\tbe\tVBN\tI-VP\tO' +p75225 +aS'having\thave\tVBG\tI-VP\tO' +p75226 +aS'diarrhea\tdiarrhea\tNN\tB-NP\tO' +p75227 +aS'since\tsince\tIN\tB-PP\tO' +p75228 +aS'November\tNovember\tNNP\tB-NP\tO' +p75229 +aS'and\tand\tCC\tO\tO' +p75230 +aS'her\ther\tPRP$\tB-NP\tO' +p75231 +aS'other\tother\tJJ\tI-NP\tO' +p75232 +aS'complaints\tcomplaint\tNNS\tI-NP\tO' +p75233 +aS'of\tof\tIN\tB-PP\tO' +p75234 +aS'admission\tadmission\tNN\tB-NP\tO' +p75235 +aS'include\tinclude\tVBP\tB-VP\tO' +p75236 +aS'confusion\tconfusion\tNN\tB-NP\tO' +p75237 +aS',\t,\t,\tI-NP\tO' +p75238 +aS'nausea\tnausea\tNN\tI-NP\tO' +p75239 +aS'and\tand\tCC\tI-NP\tO' +p75240 +aS'vomiting\tvomiting\tNN\tI-NP\tO' +p75241 +aS'.\t.\t.\tO\tO' +p75242 +asS'There is no murmurs .' +p75243 +(lp75244 +S'There\tThere\tEX\tB-NP\tO' +p75245 +aS'is\tbe\tVBZ\tB-VP\tO' +p75246 +aS'no\tno\tDT\tB-NP\tO' +p75247 +aS'murmurs\tmurmur\tNNS\tI-NP\tO' +p75248 +aS'.\t.\t.\tO\tO' +p75249 +asS'He was admitted to the Short Stay Unit , given Ancef and Gentamicin per the team for antibiotic prophylaxis and observed overnight .' +p75250 +(lp75251 +S'He\tHe\tPRP\tB-NP\tO' +p75252 +aS'was\tbe\tVBD\tB-VP\tO' +p75253 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p75254 +aS'to\tto\tTO\tB-PP\tO' +p75255 +aS'the\tthe\tDT\tB-NP\tO' +p75256 +aS'Short\tShort\tNNP\tI-NP\tO' +p75257 +aS'Stay\tStay\tNNP\tI-NP\tO' +p75258 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p75259 +aS',\t,\t,\tO\tO' +p75260 +aS'given\tgive\tVBN\tB-PP\tO' +p75261 +aS'Ancef\tAncef\tNN\tB-NP\tO' +p75262 +aS'and\tand\tCC\tI-NP\tO' +p75263 +aS'Gentamicin\tGentamicin\tNN\tI-NP\tO' +p75264 +aS'per\tper\tIN\tB-PP\tO' +p75265 +aS'the\tthe\tDT\tB-NP\tO' +p75266 +aS'team\tteam\tNN\tI-NP\tO' +p75267 +aS'for\tfor\tIN\tB-PP\tO' +p75268 +aS'antibiotic\tantibiotic\tJJ\tB-NP\tO' +p75269 +aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' +p75270 +aS'and\tand\tCC\tO\tO' +p75271 +aS'observed\tobserve\tVBN\tB-VP\tO' +p75272 +aS'overnight\tovernight\tRB\tB-ADVP\tO' +p75273 +aS'.\t.\t.\tO\tO' +p75274 +asS'The patient lives with her husband , and they have no children .' +p75275 +(lp75276 +S'The\tThe\tDT\tB-NP\tO' +p75277 +aS'patient\tpatient\tNN\tI-NP\tO' +p75278 +aS'lives\tlive\tVBZ\tB-VP\tO' +p75279 +aS'with\twith\tIN\tB-PP\tO' +p75280 +aS'her\ther\tPRP$\tB-NP\tO' +p75281 +aS'husband\thusband\tNN\tI-NP\tO' +p75282 +aS',\t,\t,\tO\tO' +p75283 +aS'and\tand\tCC\tO\tO' +p75284 +aS'they\tthey\tPRP\tB-NP\tO' +p75285 +aS'have\thave\tVBP\tB-VP\tO' +p75286 +aS'no\tno\tDT\tB-NP\tO' +p75287 +aS'children\tchild\tNNS\tI-NP\tO' +p75288 +aS'.\t.\t.\tO\tO' +p75289 +asS'However , much more likely explanation is progressive infection of Acanthamoeba with new neurologic involvement .' +p75290 +(lp75291 +S'However\tHowever\tRB\tB-ADVP\tO' +p75292 +aS',\t,\t,\tO\tO' +p75293 +aS'much\tmuch\tRB\tB-NP\tO' +p75294 +aS'more\tmore\tRBR\tI-NP\tO' +p75295 +aS'likely\tlikely\tJJ\tI-NP\tO' +p75296 +aS'explanation\texplanation\tNN\tI-NP\tO' +p75297 +aS'is\tbe\tVBZ\tB-VP\tO' +p75298 +aS'progressive\tprogressive\tJJ\tB-NP\tO' +p75299 +aS'infection\tinfection\tNN\tI-NP\tO' +p75300 +aS'of\tof\tIN\tB-PP\tO' +p75301 +aS'Acanthamoeba\tAcanthamoeba\tNN\tB-NP\tO' +p75302 +aS'with\twith\tIN\tB-PP\tO' +p75303 +aS'new\tnew\tJJ\tB-NP\tO' +p75304 +aS'neurologic\tneurologic\tJJ\tI-NP\tO' +p75305 +aS'involvement\tinvolvement\tNN\tI-NP\tO' +p75306 +aS'.\t.\t.\tO\tO' +p75307 +asS'He underwent a left bronchoscopy and lower lobectomy of the left side .' +p75308 +(lp75309 +S'He\tHe\tPRP\tB-NP\tO' +p75310 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p75311 +aS'a\ta\tDT\tB-NP\tO' +p75312 +aS'left\tleft\tJJ\tI-NP\tO' +p75313 +aS'bronchoscopy\tbronchoscopy\tNN\tI-NP\tO' +p75314 +aS'and\tand\tCC\tO\tO' +p75315 +aS'lower\tlow\tJJR\tB-NP\tO' +p75316 +aS'lobectomy\tlobectomy\tNN\tI-NP\tO' +p75317 +aS'of\tof\tIN\tB-PP\tO' +p75318 +aS'the\tthe\tDT\tB-NP\tO' +p75319 +aS'left\tleft\tJJ\tI-NP\tO' +p75320 +aS'side\tside\tNN\tI-NP\tO' +p75321 +aS'.\t.\t.\tO\tO' +p75322 +asS'Back pain .' +p75323 +(lp75324 +S'Back\tBack\tRB\tB-NP\tO' +p75325 +aS'pain\tpain\tNN\tI-NP\tO' +p75326 +aS'.\t.\t.\tO\tO' +p75327 +asS'Other medical problems include hypothyroidism , hypercholesterolemia , hypertension and neuropathy from Taxol .' +p75328 +(lp75329 +S'Other\tOther\tJJ\tB-NP\tO' +p75330 +aS'medical\tmedical\tJJ\tI-NP\tO' +p75331 +aS'problems\tproblem\tNNS\tI-NP\tO' +p75332 +aS'include\tinclude\tVBP\tB-VP\tO' +p75333 +aS'hypothyroidism\thypothyroidism\tNN\tB-NP\tO' +p75334 +aS',\t,\t,\tO\tO' +p75335 +aS'hypercholesterolemia\thypercholesterolemia\tNN\tB-NP\tO' +p75336 +aS',\t,\t,\tO\tO' +p75337 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p75338 +aS'and\tand\tCC\tO\tO' +p75339 +aS'neuropathy\tneuropathy\tNN\tB-NP\tO' +p75340 +aS'from\tfrom\tIN\tB-PP\tO' +p75341 +aS'Taxol\tTaxol\tNN\tB-NP\tO' +p75342 +aS'.\t.\t.\tO\tO' +p75343 +asS'loratidine 10 mg daily .' +p75344 +(lp75345 +S'loratidine\tloratidine\tNN\tB-NP\tO' +p75346 +aS'10\t10\tCD\tI-NP\tO' +p75347 +aS'mg\tmg\tNN\tI-NP\tO' +p75348 +aS'daily\tdaily\tRB\tB-ADVP\tO' +p75349 +aS'.\t.\t.\tO\tO' +p75350 +asS'Scalp laceration should be kept clean and dry for five days following discharge after which point the patient may once wash her hair .' +p75351 +(lp75352 +S'Scalp\tScalp\tNN\tB-NP\tO' +p75353 +aS'laceration\tlaceration\tNN\tI-NP\tO' +p75354 +aS'should\tshould\tMD\tB-VP\tO' +p75355 +aS'be\tbe\tVB\tI-VP\tO' +p75356 +aS'kept\tkeep\tVBN\tI-VP\tO' +p75357 +aS'clean\tclean\tJJ\tB-ADJP\tO' +p75358 +aS'and\tand\tCC\tI-ADJP\tO' +p75359 +aS'dry\tdry\tJJ\tI-ADJP\tO' +p75360 +aS'for\tfor\tIN\tB-PP\tO' +p75361 +aS'five\tfive\tCD\tB-NP\tO' +p75362 +aS'days\tday\tNNS\tI-NP\tO' +p75363 +aS'following\tfollow\tVBG\tB-PP\tO' +p75364 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p75365 +aS'after\tafter\tIN\tB-PP\tO' +p75366 +aS'which\twhich\tWDT\tB-NP\tO' +p75367 +aS'point\tpoint\tNN\tB-VP\tO' +p75368 +aS'the\tthe\tDT\tB-NP\tO' +p75369 +aS'patient\tpatient\tNN\tI-NP\tO' +p75370 +aS'may\tmay\tMD\tB-VP\tO' +p75371 +aS'once\tonce\tRB\tI-VP\tO' +p75372 +aS'wash\twash\tVB\tI-VP\tO' +p75373 +aS'her\ther\tPRP$\tB-NP\tO' +p75374 +aS'hair\thair\tNN\tI-NP\tO' +p75375 +aS'.\t.\t.\tO\tO' +p75376 +asS'Abdomen was gravid .' +p75377 +(lp75378 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p75379 +aS'was\tbe\tVBD\tB-VP\tO' +p75380 +aS'gravid\tgravid\tNN\tB-NP\tO' +p75381 +aS'.\t.\t.\tO\tO' +p75382 +asS'include a blood pressure of 174/84 , respirations 14 , pulse 89 , temperature 98.9 , O2 sat 98% .' +p75383 +(lp75384 +S'include\tinclude\tVBP\tB-VP\tO' +p75385 +aS'a\ta\tDT\tB-NP\tO' +p75386 +aS'blood\tblood\tNN\tI-NP\tO' +p75387 +aS'pressure\tpressure\tNN\tI-NP\tO' +p75388 +aS'of\tof\tIN\tB-PP\tO' +p75389 +aS'174/84\t174/84\tCD\tB-NP\tO' +p75390 +aS',\t,\t,\tO\tO' +p75391 +aS'respirations\trespiration\tNNS\tB-NP\tO' +p75392 +aS'14\t14\tCD\tB-NP\tO' +p75393 +aS',\t,\t,\tO\tO' +p75394 +aS'pulse\tpulse\tNN\tB-NP\tO' +p75395 +aS'89\t89\tCD\tI-NP\tO' +p75396 +aS',\t,\t,\tO\tO' +p75397 +aS'temperature\ttemperature\tNN\tB-NP\tO' +p75398 +aS'98.9\t98.9\tCD\tI-NP\tO' +p75399 +aS',\t,\t,\tO\tO' +p75400 +aS'O2\tO2\tNN\tB-NP\tO' +p75401 +aS'sat\tsit\tVBD\tB-VP\tO' +p75402 +aS'98%\t98%\tCD\tB-NP\tO' +p75403 +aS'.\t.\t.\tO\tO' +p75404 +asS'The patient is married with no children .' +p75405 +(lp75406 +S'The\tThe\tDT\tB-NP\tO' +p75407 +aS'patient\tpatient\tNN\tI-NP\tO' +p75408 +aS'is\tbe\tVBZ\tB-VP\tO' +p75409 +aS'married\tmarry\tVBN\tI-VP\tO' +p75410 +aS'with\twith\tIN\tB-PP\tO' +p75411 +aS'no\tno\tDT\tB-NP\tO' +p75412 +aS'children\tchild\tNNS\tI-NP\tO' +p75413 +aS'.\t.\t.\tO\tO' +p75414 +asS'Bronchodilators as needed .' +p75415 +(lp75416 +S'Bronchodilators\tBronchodilator\tNNS\tB-NP\tO' +p75417 +aS'as\tas\tIN\tB-PP\tO' +p75418 +aS'needed\tneed\tVBN\tB-VP\tO' +p75419 +aS'.\t.\t.\tO\tO' +p75420 +asS'There were also runs of ventricular tachycardia which generated into ventricular fibrillation that was refractory to multiple cardioversions .' +p75421 +(lp75422 +S'There\tThere\tEX\tB-NP\tO' +p75423 +aS'were\tbe\tVBD\tB-VP\tO' +p75424 +aS'also\talso\tRB\tB-ADVP\tO' +p75425 +aS'runs\trun\tNNS\tB-NP\tO' +p75426 +aS'of\tof\tIN\tB-PP\tO' +p75427 +aS'ventricular\tventricular\tJJ\tB-NP\tO' +p75428 +aS'tachycardia\ttachycardia\tNN\tI-NP\tO' +p75429 +aS'which\twhich\tWDT\tB-NP\tO' +p75430 +aS'generated\tgenerate\tVBD\tB-VP\tO' +p75431 +aS'into\tinto\tIN\tB-PP\tO' +p75432 +aS'ventricular\tventricular\tJJ\tB-NP\tO' +p75433 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p75434 +aS'that\tthat\tWDT\tB-NP\tO' +p75435 +aS'was\tbe\tVBD\tB-VP\tO' +p75436 +aS'refractory\trefractory\tJJ\tB-ADJP\tO' +p75437 +aS'to\tto\tTO\tB-PP\tO' +p75438 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p75439 +aS'cardioversions\tcardioversion\tNNS\tI-NP\tO' +p75440 +aS'.\t.\t.\tO\tO' +p75441 +asS'Her ABG at the time was 7.24 , 91 , and 38 .' +p75442 +(lp75443 +S'Her\tHer\tPRP$\tB-NP\tO' +p75444 +aS'ABG\tABG\tNN\tI-NP\tO' +p75445 +aS'at\tat\tIN\tB-PP\tO' +p75446 +aS'the\tthe\tDT\tB-NP\tO' +p75447 +aS'time\ttime\tNN\tI-NP\tO' +p75448 +aS'was\tbe\tVBD\tB-VP\tO' +p75449 +aS'7.24\t7.24\tCD\tB-NP\tO' +p75450 +aS',\t,\t,\tI-NP\tO' +p75451 +aS'91\t91\tCD\tI-NP\tO' +p75452 +aS',\t,\t,\tO\tO' +p75453 +aS'and\tand\tCC\tO\tO' +p75454 +aS'38\t38\tCD\tB-NP\tO' +p75455 +aS'.\t.\t.\tO\tO' +p75456 +asS'The patient had an ileostomy performed and had had her first course of chemotherapy and later debulking operation by Dr. Median .' +p75457 +(lp75458 +S'The\tThe\tDT\tB-NP\tO' +p75459 +aS'patient\tpatient\tNN\tI-NP\tO' +p75460 +aS'had\thave\tVBD\tB-VP\tO' +p75461 +aS'an\tan\tDT\tB-NP\tO' +p75462 +aS'ileostomy\tileostomy\tNN\tI-NP\tO' +p75463 +aS'performed\tperform\tVBD\tB-VP\tO' +p75464 +aS'and\tand\tCC\tO\tO' +p75465 +aS'had\thave\tVBD\tB-VP\tO' +p75466 +aS'had\thave\tVBN\tI-VP\tO' +p75467 +aS'her\ther\tPRP$\tB-NP\tO' +p75468 +aS'first\tfirst\tJJ\tI-NP\tO' +p75469 +aS'course\tcourse\tNN\tI-NP\tO' +p75470 +aS'of\tof\tIN\tB-PP\tO' +p75471 +aS'chemotherapy\tchemotherapy\tNN\tB-NP\tO' +p75472 +aS'and\tand\tCC\tO\tO' +p75473 +aS'later\tlater\tRB\tB-VP\tO' +p75474 +aS'debulking\tdebulke\tVBG\tI-VP\tO' +p75475 +aS'operation\toperation\tNN\tB-NP\tO' +p75476 +aS'by\tby\tIN\tB-PP\tO' +p75477 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p75478 +aS'Median\tMedian\tNNP\tI-NP\tO' +p75479 +aS'.\t.\t.\tO\tO' +p75480 +asS'On physical examination on admission , the blood pressure was 146/80 , weight 146 , temperature 98.6 , and pulse of 92 .' +p75481 +(lp75482 +S'On\tOn\tIN\tB-PP\tO' +p75483 +aS'physical\tphysical\tJJ\tB-NP\tO' +p75484 +aS'examination\texamination\tNN\tI-NP\tO' +p75485 +aS'on\ton\tIN\tB-PP\tO' +p75486 +aS'admission\tadmission\tNN\tB-NP\tO' +p75487 +aS',\t,\t,\tO\tO' +p75488 +aS'the\tthe\tDT\tB-NP\tO' +p75489 +aS'blood\tblood\tNN\tI-NP\tO' +p75490 +aS'pressure\tpressure\tNN\tI-NP\tO' +p75491 +aS'was\tbe\tVBD\tB-VP\tO' +p75492 +aS'146/80\t146/80\tCD\tB-NP\tO' +p75493 +aS',\t,\t,\tO\tO' +p75494 +aS'weight\tweight\tNN\tB-NP\tO' +p75495 +aS'146\t146\tCD\tI-NP\tO' +p75496 +aS',\t,\t,\tO\tO' +p75497 +aS'temperature\ttemperature\tNN\tB-NP\tB-protein' +p75498 +aS'98.6\t98.6\tCD\tI-NP\tI-protein' +p75499 +aS',\t,\t,\tO\tO' +p75500 +aS'and\tand\tCC\tO\tO' +p75501 +aS'pulse\tpulse\tNN\tB-NP\tO' +p75502 +aS'of\tof\tIN\tB-PP\tO' +p75503 +aS'92\t92\tCD\tB-NP\tO' +p75504 +aS'.\t.\t.\tO\tO' +p75505 +asS'F / U with Neurology , pain service to schedule an appt .' +p75506 +(lp75507 +S'F\tF\tNN\tB-NP\tO' +p75508 +aS'/\t/\tSYM\tI-NP\tO' +p75509 +aS'U\tU\tNN\tI-NP\tO' +p75510 +aS'with\twith\tIN\tB-PP\tO' +p75511 +aS'Neurology\tNeurology\tNNP\tB-NP\tO' +p75512 +aS',\t,\t,\tO\tO' +p75513 +aS'pain\tpain\tNN\tB-NP\tO' +p75514 +aS'service\tservice\tNN\tI-NP\tO' +p75515 +aS'to\tto\tTO\tB-VP\tO' +p75516 +aS'schedule\tschedule\tVB\tI-VP\tO' +p75517 +aS'an\tan\tDT\tB-NP\tO' +p75518 +aS'appt\tappt\tNN\tI-NP\tO' +p75519 +aS'.\t.\t.\tO\tO' +p75520 +asS'A lucency and irregularity of the glenoid , possibly representing a fracture , was also seen , and a CT scan was therefore obtained in order to evaluate this area .' +p75521 +(lp75522 +S'A\tA\tDT\tB-NP\tO' +p75523 +aS'lucency\tlucency\tNN\tI-NP\tO' +p75524 +aS'and\tand\tCC\tI-NP\tO' +p75525 +aS'irregularity\tirregularity\tNN\tI-NP\tO' +p75526 +aS'of\tof\tIN\tB-PP\tO' +p75527 +aS'the\tthe\tDT\tB-NP\tO' +p75528 +aS'glenoid\tglenoid\tNN\tI-NP\tO' +p75529 +aS',\t,\t,\tO\tO' +p75530 +aS'possibly\tpossibly\tRB\tB-ADVP\tO' +p75531 +aS'representing\trepresent\tVBG\tB-VP\tO' +p75532 +aS'a\ta\tDT\tB-NP\tO' +p75533 +aS'fracture\tfracture\tNN\tI-NP\tO' +p75534 +aS',\t,\t,\tO\tO' +p75535 +aS'was\tbe\tVBD\tB-VP\tO' +p75536 +aS'also\talso\tRB\tI-VP\tO' +p75537 +aS'seen\tsee\tVBN\tI-VP\tO' +p75538 +aS',\t,\t,\tO\tO' +p75539 +aS'and\tand\tCC\tO\tO' +p75540 +aS'a\ta\tDT\tB-NP\tO' +p75541 +aS'CT\tCT\tNN\tI-NP\tO' +p75542 +aS'scan\tscan\tNN\tI-NP\tO' +p75543 +aS'was\tbe\tVBD\tB-VP\tO' +p75544 +aS'therefore\ttherefore\tRB\tI-VP\tO' +p75545 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p75546 +aS'in\tin\tIN\tB-SBAR\tO' +p75547 +aS'order\torder\tNN\tO\tO' +p75548 +aS'to\tto\tTO\tB-VP\tO' +p75549 +aS'evaluate\tevaluate\tVB\tI-VP\tO' +p75550 +aS'this\tthis\tDT\tB-NP\tO' +p75551 +aS'area\tarea\tNN\tI-NP\tO' +p75552 +aS'.\t.\t.\tO\tO' +p75553 +asS'7. Iron supplementation 150 mg p.o. q.d.' +p75554 +(lp75555 +S'7.\t7.\tLS\tB-NP\tO' +p75556 +aS'Iron\tIron\tNN\tI-NP\tO' +p75557 +aS'supplementation\tsupplementation\tNN\tI-NP\tO' +p75558 +aS'150\t150\tCD\tI-NP\tO' +p75559 +aS'mg\tmg\tNN\tI-NP\tO' +p75560 +aS'p.o.\tp.o.\tFW\tB-ADVP\tO' +p75561 +aS'q.d.\tq.d.\tFW\tI-ADVP\tO' +p75562 +asS'Cardiothoracic Surgery consultation was obtained and the patient was taken to the Operating Room on 2010-03-12 for coronary artery bypass grafting times two ; LIMA to the LAD , saphenous vein graft to the diagonal artery .' +p75563 +(lp75564 +S'Cardiothoracic\tCardiothoracic\tNNP\tB-NP\tO' +p75565 +aS'Surgery\tSurgery\tNNP\tI-NP\tO' +p75566 +aS'consultation\tconsultation\tNN\tI-NP\tO' +p75567 +aS'was\tbe\tVBD\tB-VP\tO' +p75568 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p75569 +aS'and\tand\tCC\tO\tO' +p75570 +aS'the\tthe\tDT\tB-NP\tO' +p75571 +aS'patient\tpatient\tNN\tI-NP\tO' +p75572 +aS'was\tbe\tVBD\tB-VP\tO' +p75573 +aS'taken\ttake\tVBN\tI-VP\tO' +p75574 +aS'to\tto\tTO\tB-PP\tO' +p75575 +aS'the\tthe\tDT\tB-NP\tO' +p75576 +aS'Operating\tOperating\tNNP\tI-NP\tO' +p75577 +aS'Room\tRoom\tNNP\tI-NP\tO' +p75578 +aS'on\ton\tIN\tB-PP\tO' +p75579 +aS'2010-03-12\t2010-03-12\tCD\tB-NP\tO' +p75580 +aS'for\tfor\tIN\tB-PP\tO' +p75581 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p75582 +aS'artery\tartery\tNN\tI-NP\tO' +p75583 +aS'bypass\tbypass\tIN\tB-PP\tO' +p75584 +aS'grafting\tgraft\tVBG\tB-VP\tO' +p75585 +aS'times\ttime\tNNS\tB-NP\tO' +p75586 +aS'two\ttwo\tCD\tB-NP\tO' +p75587 +aS';\t;\t:\tO\tO' +p75588 +aS'LIMA\tLIMA\tNN\tB-NP\tO' +p75589 +aS'to\tto\tTO\tB-PP\tO' +p75590 +aS'the\tthe\tDT\tB-NP\tO' +p75591 +aS'LAD\tLAD\tNN\tI-NP\tO' +p75592 +aS',\t,\t,\tO\tO' +p75593 +aS'saphenous\tsaphenous\tJJ\tB-NP\tO' +p75594 +aS'vein\tvein\tNN\tI-NP\tO' +p75595 +aS'graft\tgraft\tNN\tI-NP\tO' +p75596 +aS'to\tto\tTO\tB-PP\tO' +p75597 +aS'the\tthe\tDT\tB-NP\tO' +p75598 +aS'diagonal\tdiagonal\tJJ\tI-NP\tO' +p75599 +aS'artery\tartery\tNN\tI-NP\tO' +p75600 +aS'.\t.\t.\tO\tO' +p75601 +asS'His pupils were equal , round , and reactive .' +p75602 +(lp75603 +S'His\tHis\tPRP$\tB-NP\tO' +p75604 +aS'pupils\tpupil\tNNS\tI-NP\tO' +p75605 +aS'were\tbe\tVBD\tB-VP\tO' +p75606 +aS'equal\tequal\tJJ\tB-ADJP\tO' +p75607 +aS',\t,\t,\tO\tO' +p75608 +aS'round\tround\tJJ\tB-ADJP\tO' +p75609 +aS',\t,\t,\tO\tO' +p75610 +aS'and\tand\tCC\tO\tO' +p75611 +aS'reactive\treactive\tJJ\tB-ADJP\tO' +p75612 +aS'.\t.\t.\tO\tO' +p75613 +asS'Hepatitis C cirrhosis .' +p75614 +(lp75615 +S'Hepatitis\tHepatitis\tNN\tB-NP\tO' +p75616 +aS'C\tC\tNN\tI-NP\tO' +p75617 +aS'cirrhosis\tcirrhosis\tNN\tI-NP\tO' +p75618 +aS'.\t.\t.\tO\tO' +p75619 +asS'The abdomen was soft and nontender with no hepatosplenomegaly .' +p75620 +(lp75621 +S'The\tThe\tDT\tB-NP\tO' +p75622 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p75623 +aS'was\tbe\tVBD\tB-VP\tO' +p75624 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p75625 +aS'and\tand\tCC\tI-ADJP\tO' +p75626 +aS'nontender\tnontender\tJJ\tI-ADJP\tO' +p75627 +aS'with\twith\tIN\tB-PP\tO' +p75628 +aS'no\tno\tDT\tB-NP\tO' +p75629 +aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tI-NP\tO' +p75630 +aS'.\t.\t.\tO\tO' +p75631 +asS'Sodium 134 , ALT 18 , AST 27 , LDH 221 , white count 2.05 , hematocrit 23 , platelet count 137,000 .' +p75632 +(lp75633 +S'Sodium\tSodium\tNN\tB-NP\tB-protein' +p75634 +aS'134\t134\tCD\tI-NP\tI-protein' +p75635 +aS',\t,\t,\tO\tO' +p75636 +aS'ALT\tALT\tNN\tB-NP\tB-DNA' +p75637 +aS'18\t18\tCD\tI-NP\tI-DNA' +p75638 +aS',\t,\t,\tO\tO' +p75639 +aS'AST\tAST\tNN\tB-NP\tO' +p75640 +aS'27\t27\tCD\tI-NP\tO' +p75641 +aS',\t,\t,\tO\tO' +p75642 +aS'LDH\tLDH\tNN\tB-NP\tB-protein' +p75643 +aS'221\t221\tCD\tI-NP\tI-protein' +p75644 +aS',\t,\t,\tO\tO' +p75645 +aS'white\twhite\tJJ\tB-NP\tO' +p75646 +aS'count\tcount\tNN\tI-NP\tO' +p75647 +aS'2.05\t2.05\tCD\tI-NP\tO' +p75648 +aS',\t,\t,\tO\tO' +p75649 +aS'hematocrit\thematocrit\tNN\tB-NP\tO' +p75650 +aS'23\t23\tCD\tI-NP\tO' +p75651 +aS',\t,\t,\tO\tO' +p75652 +aS'platelet\tplatelet\tNN\tB-NP\tO' +p75653 +aS'count\tcount\tNN\tI-NP\tO' +p75654 +aS'137,000\t137,000\tCD\tI-NP\tO' +p75655 +aS'.\t.\t.\tO\tO' +p75656 +asS'She had a double lumen PICC place .' +p75657 +(lp75658 +S'She\tShe\tPRP\tB-NP\tO' +p75659 +aS'had\thave\tVBD\tB-VP\tO' +p75660 +aS'a\ta\tDT\tB-NP\tO' +p75661 +aS'double\tdouble\tJJ\tI-NP\tO' +p75662 +aS'lumen\tlumen\tNN\tI-NP\tO' +p75663 +aS'PICC\tPICC\tNN\tI-NP\tO' +p75664 +aS'place\tplace\tNN\tI-NP\tO' +p75665 +aS'.\t.\t.\tO\tO' +p75666 +asS'She progressed beautifully with physical therapy and occupational therapy and was able to ambulate with assistance .' +p75667 +(lp75668 +S'She\tShe\tPRP\tB-NP\tO' +p75669 +aS'progressed\tprogress\tVBD\tB-VP\tO' +p75670 +aS'beautifully\tbeautifully\tRB\tB-ADVP\tO' +p75671 +aS'with\twith\tIN\tB-PP\tO' +p75672 +aS'physical\tphysical\tJJ\tB-NP\tO' +p75673 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p75674 +aS'and\tand\tCC\tO\tO' +p75675 +aS'occupational\toccupational\tJJ\tB-NP\tO' +p75676 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p75677 +aS'and\tand\tCC\tO\tO' +p75678 +aS'was\tbe\tVBD\tB-VP\tO' +p75679 +aS'able\table\tJJ\tB-ADJP\tO' +p75680 +aS'to\tto\tTO\tB-VP\tO' +p75681 +aS'ambulate\tambulate\tVB\tI-VP\tO' +p75682 +aS'with\twith\tIN\tB-PP\tO' +p75683 +aS'assistance\tassistance\tNN\tB-NP\tO' +p75684 +aS'.\t.\t.\tO\tO' +p75685 +asS'1. HIV .' +p75686 +(lp75687 +S'1.\t1.\tLS\tB-NP\tO' +p75688 +aS'HIV\tHIV\tNN\tI-NP\tO' +p75689 +aS'.\t.\t.\tO\tO' +p75690 +asS'He also tried Amicar and continued on low dose Prednisone .' +p75691 +(lp75692 +S'He\tHe\tPRP\tB-NP\tO' +p75693 +aS'also\talso\tRB\tB-ADVP\tO' +p75694 +aS'tried\ttry\tVBD\tB-VP\tO' +p75695 +aS'Amicar\tAmicar\tNN\tB-NP\tO' +p75696 +aS'and\tand\tCC\tO\tO' +p75697 +aS'continued\tcontinue\tVBN\tB-VP\tO' +p75698 +aS'on\ton\tIN\tB-PP\tO' +p75699 +aS'low\tlow\tJJ\tB-NP\tO' +p75700 +aS'dose\tdose\tNN\tI-NP\tO' +p75701 +aS'Prednisone\tPrednisone\tNN\tI-NP\tO' +p75702 +aS'.\t.\t.\tO\tO' +p75703 +asS'2. Anemia .' +p75704 +(lp75705 +S'2.\t2.\tLS\tB-LST\tO' +p75706 +aS'Anemia\tAnemia\tNNP\tB-NP\tO' +p75707 +aS'.\t.\t.\tO\tO' +p75708 +asS'Rare crackles on the right base , otherwise clear to auscultation bilaterally .' +p75709 +(lp75710 +S'Rare\tRare\tNN\tB-NP\tO' +p75711 +aS'crackles\tcrackle\tNNS\tI-NP\tO' +p75712 +aS'on\ton\tIN\tB-PP\tO' +p75713 +aS'the\tthe\tDT\tB-NP\tO' +p75714 +aS'right\tright\tJJ\tI-NP\tO' +p75715 +aS'base\tbase\tNN\tI-NP\tO' +p75716 +aS',\t,\t,\tO\tO' +p75717 +aS'otherwise\totherwise\tRB\tB-ADJP\tO' +p75718 +aS'clear\tclear\tJJ\tI-ADJP\tO' +p75719 +aS'to\tto\tTO\tB-PP\tO' +p75720 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p75721 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p75722 +aS'.\t.\t.\tO\tO' +p75723 +asS'The patient transitioned to Lovenox on 12/09/03 after a Cardiology consult indicated increased survival with Lovenox therapy .' +p75724 +(lp75725 +S'The\tThe\tDT\tB-NP\tO' +p75726 +aS'patient\tpatient\tNN\tI-NP\tO' +p75727 +aS'transitioned\ttransitione\tVBN\tB-VP\tO' +p75728 +aS'to\tto\tTO\tB-PP\tO' +p75729 +aS'Lovenox\tLovenox\tNNP\tB-NP\tO' +p75730 +aS'on\ton\tIN\tB-PP\tO' +p75731 +aS'12/09/03\t12/09/03\tCD\tB-NP\tO' +p75732 +aS'after\tafter\tIN\tB-PP\tO' +p75733 +aS'a\ta\tDT\tB-NP\tO' +p75734 +aS'Cardiology\tCardiology\tNNP\tI-NP\tO' +p75735 +aS'consult\tconsult\tNN\tI-NP\tO' +p75736 +aS'indicated\tindicate\tVBD\tB-VP\tO' +p75737 +aS'increased\tincrease\tVBN\tB-NP\tO' +p75738 +aS'survival\tsurvival\tNN\tI-NP\tO' +p75739 +aS'with\twith\tIN\tB-PP\tO' +p75740 +aS'Lovenox\tLovenox\tNN\tB-NP\tO' +p75741 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p75742 +aS'.\t.\t.\tO\tO' +p75743 +asS'Progressed adequately with physical / occupational therapy , however was noted to develop an early bilateral upper extermity contracture at the elbows and wrists .' +p75744 +(lp75745 +S'Progressed\tProgress\tVBN\tB-VP\tO' +p75746 +aS'adequately\tadequately\tRB\tB-ADVP\tO' +p75747 +aS'with\twith\tIN\tB-PP\tO' +p75748 +aS'physical\tphysical\tJJ\tB-NP\tO' +p75749 +aS'/\t/\tSYM\tI-NP\tO' +p75750 +aS'occupational\toccupational\tJJ\tI-NP\tO' +p75751 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p75752 +aS',\t,\t,\tO\tO' +p75753 +aS'however\thowever\tRB\tB-ADVP\tO' +p75754 +aS'was\tbe\tVBD\tB-VP\tO' +p75755 +aS'noted\tnote\tVBN\tI-VP\tO' +p75756 +aS'to\tto\tTO\tI-VP\tO' +p75757 +aS'develop\tdevelop\tVB\tI-VP\tO' +p75758 +aS'an\tan\tDT\tB-NP\tO' +p75759 +aS'early\tearly\tJJ\tI-NP\tO' +p75760 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p75761 +aS'upper\tupper\tJJ\tI-NP\tO' +p75762 +aS'extermity\textermity\tNN\tI-NP\tO' +p75763 +aS'contracture\tcontracture\tNN\tI-NP\tO' +p75764 +aS'at\tat\tIN\tB-PP\tO' +p75765 +aS'the\tthe\tDT\tB-NP\tO' +p75766 +aS'elbows\telbow\tNNS\tI-NP\tO' +p75767 +aS'and\tand\tCC\tI-NP\tO' +p75768 +aS'wrists\twrist\tNNS\tI-NP\tO' +p75769 +aS'.\t.\t.\tO\tO' +p75770 +asS'Breunlinke is a 70-year-old patient of Dr. Brendniungand Asilbekote in California .' +p75771 +(lp75772 +S'Breunlinke\tBreunlinke\tNNP\tB-NP\tO' +p75773 +aS'is\tbe\tVBZ\tB-VP\tO' +p75774 +aS'a\ta\tDT\tB-NP\tO' +p75775 +aS'70-year-old\t70-year-old\tJJ\tI-NP\tO' +p75776 +aS'patient\tpatient\tNN\tI-NP\tO' +p75777 +aS'of\tof\tIN\tB-PP\tO' +p75778 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p75779 +aS'Brendniungand\tBrendniungand\tNNP\tI-NP\tO' +p75780 +aS'Asilbekote\tAsilbekote\tNNP\tI-NP\tO' +p75781 +aS'in\tin\tIN\tB-PP\tO' +p75782 +aS'California\tCalifornia\tNNP\tB-NP\tO' +p75783 +aS'.\t.\t.\tO\tO' +p75784 +asS'He had a coronary artery bypass graft times three as mentioned above .' +p75785 +(lp75786 +S'He\tHe\tPRP\tB-NP\tO' +p75787 +aS'had\thave\tVBD\tB-VP\tO' +p75788 +aS'a\ta\tDT\tB-NP\tO' +p75789 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p75790 +aS'artery\tartery\tNN\tI-NP\tO' +p75791 +aS'bypass\tbypass\tIN\tB-PP\tO' +p75792 +aS'graft\tgraft\tNN\tB-NP\tO' +p75793 +aS'times\ttime\tNNS\tI-NP\tO' +p75794 +aS'three\tthree\tCD\tB-NP\tO' +p75795 +aS'as\tas\tIN\tB-SBAR\tO' +p75796 +aS'mentioned\tmention\tVBN\tB-VP\tO' +p75797 +aS'above\tabove\tRB\tB-ADVP\tO' +p75798 +aS'.\t.\t.\tO\tO' +p75799 +asS'Your patient was admitted under the care of SHUFFCUCH , SEYSHARMSE N with a preliminary diagnosis of VERTEBRAL FRACTURES .' +p75800 +(lp75801 +S'Your\tYour\tPRP$\tB-NP\tO' +p75802 +aS'patient\tpatient\tNN\tI-NP\tO' +p75803 +aS'was\tbe\tVBD\tB-VP\tO' +p75804 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p75805 +aS'under\tunder\tIN\tB-PP\tO' +p75806 +aS'the\tthe\tDT\tB-NP\tO' +p75807 +aS'care\tcare\tNN\tI-NP\tO' +p75808 +aS'of\tof\tIN\tB-PP\tO' +p75809 +aS'SHUFFCUCH\tSHUFFCUCH\tNNP\tB-NP\tO' +p75810 +aS',\t,\t,\tO\tO' +p75811 +aS'SEYSHARMSE\tSEYSHARMSE\tNNP\tB-NP\tO' +p75812 +aS'N\tN\tNNP\tI-NP\tO' +p75813 +aS'with\twith\tIN\tB-PP\tO' +p75814 +aS'a\ta\tDT\tB-NP\tO' +p75815 +aS'preliminary\tpreliminary\tJJ\tI-NP\tO' +p75816 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p75817 +aS'of\tof\tIN\tB-PP\tO' +p75818 +aS'VERTEBRAL\tVERTEBRAL\tNNP\tB-NP\tO' +p75819 +aS'FRACTURES\tFRACTURES\tNNP\tI-NP\tO' +p75820 +aS'.\t.\t.\tO\tO' +p75821 +asS'The patient has had multiple previous admissions for cardiac and pulmonary disease .' +p75822 +(lp75823 +S'The\tThe\tDT\tB-NP\tO' +p75824 +aS'patient\tpatient\tNN\tI-NP\tO' +p75825 +aS'has\thave\tVBZ\tB-VP\tO' +p75826 +aS'had\thave\tVBN\tI-VP\tO' +p75827 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p75828 +aS'previous\tprevious\tJJ\tI-NP\tO' +p75829 +aS'admissions\tadmission\tNNS\tI-NP\tO' +p75830 +aS'for\tfor\tIN\tB-PP\tO' +p75831 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p75832 +aS'and\tand\tCC\tI-NP\tO' +p75833 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p75834 +aS'disease\tdisease\tNN\tI-NP\tO' +p75835 +aS'.\t.\t.\tO\tO' +p75836 +asS'He recently came out as bisexual to his wife .' +p75837 +(lp75838 +S'He\tHe\tPRP\tB-NP\tO' +p75839 +aS'recently\trecently\tRB\tB-ADVP\tO' +p75840 +aS'came\tcome\tVBD\tB-VP\tO' +p75841 +aS'out\tout\tIN\tB-PP\tO' +p75842 +aS'as\tas\tRB\tB-ADJP\tO' +p75843 +aS'bisexual\tbisexual\tJJ\tI-ADJP\tO' +p75844 +aS'to\tto\tTO\tB-PP\tO' +p75845 +aS'his\this\tPRP$\tB-NP\tO' +p75846 +aS'wife\twife\tNN\tI-NP\tO' +p75847 +aS'.\t.\t.\tO\tO' +p75848 +asS'The patient has a Foley catheter in and when the penile skin is very well healed his Foley catheter may be removed .' +p75849 +(lp75850 +S'The\tThe\tDT\tB-NP\tO' +p75851 +aS'patient\tpatient\tNN\tI-NP\tO' +p75852 +aS'has\thave\tVBZ\tB-VP\tO' +p75853 +aS'a\ta\tDT\tB-NP\tO' +p75854 +aS'Foley\tFoley\tNNP\tI-NP\tO' +p75855 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p75856 +aS'in\tin\tIN\tB-PP\tO' +p75857 +aS'and\tand\tCC\tO\tO' +p75858 +aS'when\twhen\tWRB\tB-ADVP\tO' +p75859 +aS'the\tthe\tDT\tB-NP\tO' +p75860 +aS'penile\tpenile\tJJ\tI-NP\tO' +p75861 +aS'skin\tskin\tNN\tI-NP\tO' +p75862 +aS'is\tbe\tVBZ\tB-VP\tO' +p75863 +aS'very\tvery\tRB\tB-ADVP\tO' +p75864 +aS'well\twell\tRB\tI-ADVP\tO' +p75865 +aS'healed\theal\tVBD\tB-VP\tO' +p75866 +aS'his\this\tPRP$\tB-NP\tO' +p75867 +aS'Foley\tFoley\tNNP\tI-NP\tO' +p75868 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p75869 +aS'may\tmay\tMD\tB-VP\tO' +p75870 +aS'be\tbe\tVB\tI-VP\tO' +p75871 +aS'removed\tremove\tVBN\tI-VP\tO' +p75872 +aS'.\t.\t.\tO\tO' +p75873 +asS'4. Oxycodone - Acetaminophen 5-325 mg Tablet Sig : 1-2 Tablets PO every 4-6 hours as needed for pain .' +p75874 +(lp75875 +S'4.\t4.\tLS\tB-NP\tO' +p75876 +aS'Oxycodone\tOxycodone\tNN\tI-NP\tO' +p75877 +aS'-\t-\tHYPH\tO\tO' +p75878 +aS'Acetaminophen\tAcetaminophen\tNN\tB-NP\tO' +p75879 +aS'5-325\t5-325\tCD\tI-NP\tO' +p75880 +aS'mg\tmg\tNN\tI-NP\tO' +p75881 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p75882 +aS'Sig\tSig\tNNP\tI-NP\tO' +p75883 +aS':\t:\t:\tO\tO' +p75884 +aS'1-2\t1-2\tCD\tB-NP\tO' +p75885 +aS'Tablets\tTablet\tNNS\tI-NP\tO' +p75886 +aS'PO\tPO\tNN\tI-NP\tO' +p75887 +aS'every\tevery\tDT\tB-NP\tO' +p75888 +aS'4-6\t4-6\tCD\tI-NP\tO' +p75889 +aS'hours\thour\tNNS\tI-NP\tO' +p75890 +aS'as\tas\tIN\tB-SBAR\tO' +p75891 +aS'needed\tneed\tVBN\tB-VP\tO' +p75892 +aS'for\tfor\tIN\tB-PP\tO' +p75893 +aS'pain\tpain\tNN\tB-NP\tO' +p75894 +aS'.\t.\t.\tO\tO' +p75895 +asS'She denies any recent nausea , but had an episode of vomiting last week .' +p75896 +(lp75897 +S'She\tShe\tPRP\tB-NP\tO' +p75898 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p75899 +aS'any\tany\tDT\tB-NP\tO' +p75900 +aS'recent\trecent\tJJ\tI-NP\tO' +p75901 +aS'nausea\tnausea\tNN\tI-NP\tO' +p75902 +aS',\t,\t,\tO\tO' +p75903 +aS'but\tbut\tCC\tO\tO' +p75904 +aS'had\thave\tVBD\tB-VP\tO' +p75905 +aS'an\tan\tDT\tB-NP\tO' +p75906 +aS'episode\tepisode\tNN\tI-NP\tO' +p75907 +aS'of\tof\tIN\tB-PP\tO' +p75908 +aS'vomiting\tvomit\tVBG\tB-VP\tO' +p75909 +aS'last\tlast\tJJ\tB-NP\tO' +p75910 +aS'week\tweek\tNN\tI-NP\tO' +p75911 +aS'.\t.\t.\tO\tO' +p75912 +asS'Docusate Sodium 100 mg Capsule Sig : One ( 1 ) Capsule PO BID ( 2 times a day ) .' +p75913 +(lp75914 +S'Docusate\tDocusate\tNNP\tB-NP\tO' +p75915 +aS'Sodium\tSodium\tNNP\tI-NP\tO' +p75916 +aS'100\t100\tCD\tI-NP\tO' +p75917 +aS'mg\tmg\tNN\tI-NP\tO' +p75918 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p75919 +aS'Sig\tSig\tNNP\tI-NP\tO' +p75920 +aS':\t:\t:\tO\tO' +p75921 +aS'One\tOne\tCD\tB-NP\tO' +p75922 +aS'(\t(\t(\tO\tO' +p75923 +aS'1\t1\tCD\tB-NP\tO' +p75924 +aS')\t)\t)\tO\tO' +p75925 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p75926 +aS'PO\tPO\tNNP\tI-NP\tO' +p75927 +aS'BID\tBID\tNNP\tI-NP\tO' +p75928 +aS'(\t(\t(\tO\tO' +p75929 +aS'2\t2\tCD\tB-NP\tO' +p75930 +aS'times\ttime\tNNS\tI-NP\tO' +p75931 +aS'a\ta\tDT\tB-NP\tO' +p75932 +aS'day\tday\tNN\tI-NP\tO' +p75933 +aS')\t)\t)\tO\tO' +p75934 +aS'.\t.\t.\tO\tO' +p75935 +asS'Despite aggressive blood product repletion patient poorly responsive 02-12 alloimmunization .' +p75936 +(lp75937 +S'Despite\tDespite\tIN\tB-PP\tO' +p75938 +aS'aggressive\taggressive\tJJ\tB-NP\tO' +p75939 +aS'blood\tblood\tNN\tI-NP\tO' +p75940 +aS'product\tproduct\tNN\tI-NP\tO' +p75941 +aS'repletion\trepletion\tNN\tI-NP\tO' +p75942 +aS'patient\tpatient\tNN\tI-NP\tO' +p75943 +aS'poorly\tpoorly\tRB\tB-NP\tO' +p75944 +aS'responsive\tresponsive\tJJ\tI-NP\tO' +p75945 +aS'02-12\t02-12\tCD\tI-NP\tO' +p75946 +aS'alloimmunization\talloimmunization\tNN\tI-NP\tO' +p75947 +aS'.\t.\t.\tO\tO' +p75948 +asS'If so , he considers the possibility that this could be opened .' +p75949 +(lp75950 +S'If\tIf\tIN\tB-SBAR\tO' +p75951 +aS'so\tso\tRB\tB-ADVP\tO' +p75952 +aS',\t,\t,\tO\tO' +p75953 +aS'he\the\tPRP\tB-NP\tO' +p75954 +aS'considers\tconsider\tVBZ\tB-VP\tO' +p75955 +aS'the\tthe\tDT\tB-NP\tO' +p75956 +aS'possibility\tpossibility\tNN\tI-NP\tO' +p75957 +aS'that\tthat\tIN\tB-SBAR\tO' +p75958 +aS'this\tthis\tDT\tB-NP\tO' +p75959 +aS'could\tcould\tMD\tB-VP\tO' +p75960 +aS'be\tbe\tVB\tI-VP\tO' +p75961 +aS'opened\topen\tVBN\tI-VP\tO' +p75962 +aS'.\t.\t.\tO\tO' +p75963 +asS'3) Tylenol # 3 tablets rather than Percocet , 1-2 tablets p.o. q.4-6h. p.r.n. pain .' +p75964 +(lp75965 +S'3)\t3)\tLS\tB-NP\tO' +p75966 +aS'Tylenol\tTylenol\tNN\tI-NP\tO' +p75967 +aS'#\t#\t#\tB-NP\tO' +p75968 +aS'3\t3\tCD\tI-NP\tO' +p75969 +aS'tablets\ttablet\tNNS\tI-NP\tO' +p75970 +aS'rather\trather\tRB\tB-PP\tO' +p75971 +aS'than\tthan\tIN\tI-PP\tO' +p75972 +aS'Percocet\tPercocet\tNNP\tB-NP\tO' +p75973 +aS',\t,\t,\tO\tO' +p75974 +aS'1-2\t1-2\tCD\tB-NP\tO' +p75975 +aS'tablets\ttablet\tNNS\tI-NP\tO' +p75976 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p75977 +aS'q.4-6h.\tq.4-6h.\tNN\tI-NP\tO' +p75978 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p75979 +aS'pain\tpain\tNN\tI-NP\tO' +p75980 +aS'.\t.\t.\tO\tO' +p75981 +asS'5. Triamcinolone Acetonide 0.1 % Cream Sig : One ( 1 ) Appl Topical BID ( 2 times a day ).' +p75982 +(lp75983 +S'5.\t5.\tLS\tB-NP\tO' +p75984 +aS'Triamcinolone\tTriamcinolone\tNN\tI-NP\tO' +p75985 +aS'Acetonide\tAcetonide\tNN\tI-NP\tO' +p75986 +aS'0.1\t0.1\tCD\tB-NP\tO' +p75987 +aS'%\t%\tNN\tI-NP\tO' +p75988 +aS'Cream\tCream\tNNP\tI-NP\tO' +p75989 +aS'Sig\tSig\tNNP\tI-NP\tO' +p75990 +aS':\t:\t:\tO\tO' +p75991 +aS'One\tOne\tCD\tB-NP\tO' +p75992 +aS'(\t(\t(\tO\tO' +p75993 +aS'1\t1\tCD\tB-NP\tO' +p75994 +aS')\t)\t)\tO\tO' +p75995 +aS'Appl\tAppl\tNNP\tB-NP\tO' +p75996 +aS'Topical\tTopical\tJJ\tI-NP\tO' +p75997 +aS'BID\tBID\tNN\tI-NP\tO' +p75998 +aS'(\t(\t(\tO\tO' +p75999 +aS'2\t2\tCD\tB-NP\tO' +p76000 +aS'times\ttime\tNNS\tI-NP\tO' +p76001 +aS'a\ta\tDT\tB-NP\tO' +p76002 +aS'day\tday\tNN\tI-NP\tO' +p76003 +aS').\t).\t.\tO\tO' +p76004 +asS'Urinalysis was unremarkable .' +p76005 +(lp76006 +S'Urinalysis\tUrinalysis\tNN\tB-NP\tO' +p76007 +aS'was\tbe\tVBD\tB-VP\tO' +p76008 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p76009 +aS'.\t.\t.\tO\tO' +p76010 +asS'Zoloft 100 mg 1 per day , 2 TABS' +p76011 +(lp76012 +S'Zoloft\tZoloft\tNNP\tB-NP\tO' +p76013 +aS'100\t100\tCD\tI-NP\tO' +p76014 +aS'mg\tmg\tNN\tI-NP\tO' +p76015 +aS'1\t1\tCD\tI-NP\tO' +p76016 +aS'per\tper\tIN\tB-PP\tO' +p76017 +aS'day\tday\tNN\tB-NP\tO' +p76018 +aS',\t,\t,\tO\tO' +p76019 +aS'2\t2\tCD\tB-NP\tO' +p76020 +aS'TABS\tTABS\tNN\tI-NP\tB-protein' +p76021 +asS'Per the patient 's wishes , she was transferred to the Windgo Hospital for chemotherapy .' +p76022 +(lp76023 +S'Per\tPer\tIN\tB-PP\tO' +p76024 +aS'the\tthe\tDT\tB-NP\tO' +p76025 +aS'patient\tpatient\tNN\tI-NP\tO' +p76026 +aS''s\t'\tNNS\tI-NP\tO' +p76027 +aS'wishes\twish\tVBZ\tB-VP\tO' +p76028 +aS',\t,\t,\tO\tO' +p76029 +aS'she\tshe\tPRP\tB-NP\tO' +p76030 +aS'was\tbe\tVBD\tB-VP\tO' +p76031 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p76032 +aS'to\tto\tTO\tB-PP\tO' +p76033 +aS'the\tthe\tDT\tB-NP\tO' +p76034 +aS'Windgo\tWindgo\tNNP\tI-NP\tO' +p76035 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p76036 +aS'for\tfor\tIN\tB-PP\tO' +p76037 +aS'chemotherapy\tchemotherapy\tNN\tB-NP\tO' +p76038 +aS'.\t.\t.\tO\tO' +p76039 +asS'BP 230/170 on presentation , most likely from chronic HTN exacerbated by cocaine use .' +p76040 +(lp76041 +S'BP\tBP\tNN\tB-NP\tO' +p76042 +aS'230/170\t230/170\tCD\tI-NP\tO' +p76043 +aS'on\ton\tIN\tB-PP\tO' +p76044 +aS'presentation\tpresentation\tNN\tB-NP\tO' +p76045 +aS',\t,\t,\tO\tO' +p76046 +aS'most\tmost\tRBS\tB-ADVP\tO' +p76047 +aS'likely\tlikely\tRB\tI-ADVP\tO' +p76048 +aS'from\tfrom\tIN\tB-PP\tO' +p76049 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p76050 +aS'HTN\tHTN\tNN\tI-NP\tO' +p76051 +aS'exacerbated\texacerbate\tVBN\tB-VP\tO' +p76052 +aS'by\tby\tIN\tB-PP\tO' +p76053 +aS'cocaine\tcocaine\tNN\tB-NP\tO' +p76054 +aS'use\tuse\tNN\tI-NP\tO' +p76055 +aS'.\t.\t.\tO\tO' +p76056 +asS'Currently his only yeast source is urine .' +p76057 +(lp76058 +S'Currently\tCurrently\tRB\tB-ADVP\tO' +p76059 +aS'his\this\tPRP$\tB-NP\tO' +p76060 +aS'only\tonly\tJJ\tI-NP\tO' +p76061 +aS'yeast\tyeast\tNN\tI-NP\tO' +p76062 +aS'source\tsource\tNN\tI-NP\tO' +p76063 +aS'is\tbe\tVBZ\tB-VP\tO' +p76064 +aS'urine\turine\tNN\tB-NP\tO' +p76065 +aS'.\t.\t.\tO\tO' +p76066 +asS"The patient 's pediatrician is Wellesley House and is Dr . Shaw ." +p76067 +(lp76068 +S'The\tThe\tDT\tB-NP\tO' +p76069 +aS'patient\tpatient\tNN\tI-NP\tO' +p76070 +aS"'s\t's\tPOS\tB-NP\tO" +p76071 +aS'pediatrician\tpediatrician\tNN\tI-NP\tO' +p76072 +aS'is\tbe\tVBZ\tB-VP\tO' +p76073 +aS'Wellesley\tWellesley\tNNP\tB-NP\tO' +p76074 +aS'House\tHouse\tNNP\tI-NP\tO' +p76075 +aS'and\tand\tCC\tO\tO' +p76076 +aS'is\tbe\tVBZ\tB-VP\tO' +p76077 +aS'Dr\tDr\tNNP\tB-NP\tO' +p76078 +aS'.\t.\t.\tI-NP\tO' +p76079 +aS'Shaw\tShaw\tNNP\tI-NP\tO' +p76080 +aS'.\t.\t.\tO\tO' +p76081 +asS'The patient was discharged to home with instructions to return to the hospital on Monday , 2012-03-12 , for follow-up and laboratory checks .' +p76082 +(lp76083 +S'The\tThe\tDT\tB-NP\tO' +p76084 +aS'patient\tpatient\tNN\tI-NP\tO' +p76085 +aS'was\tbe\tVBD\tB-VP\tO' +p76086 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p76087 +aS'to\tto\tTO\tB-PP\tO' +p76088 +aS'home\thome\tNN\tB-NP\tO' +p76089 +aS'with\twith\tIN\tB-PP\tO' +p76090 +aS'instructions\tinstruction\tNNS\tB-NP\tO' +p76091 +aS'to\tto\tTO\tB-VP\tO' +p76092 +aS'return\treturn\tVB\tI-VP\tO' +p76093 +aS'to\tto\tTO\tB-PP\tO' +p76094 +aS'the\tthe\tDT\tB-NP\tO' +p76095 +aS'hospital\thospital\tNN\tI-NP\tO' +p76096 +aS'on\ton\tIN\tB-PP\tO' +p76097 +aS'Monday\tMonday\tNNP\tB-NP\tO' +p76098 +aS',\t,\t,\tO\tO' +p76099 +aS'2012-03-12\t2012-03-12\tCD\tB-NP\tO' +p76100 +aS',\t,\t,\tO\tO' +p76101 +aS'for\tfor\tIN\tB-PP\tO' +p76102 +aS'follow-up\tfollow-up\tNN\tB-NP\tO' +p76103 +aS'and\tand\tCC\tI-NP\tO' +p76104 +aS'laboratory\tlaboratory\tNN\tI-NP\tO' +p76105 +aS'checks\tcheck\tNNS\tI-NP\tO' +p76106 +aS'.\t.\t.\tO\tO' +p76107 +asS'REPEAT HEAD CT 03-30 : no significant change from above .' +p76108 +(lp76109 +S'REPEAT\tREPEAT\tNN\tB-NP\tO' +p76110 +aS'HEAD\tHEAD\tNN\tI-NP\tO' +p76111 +aS'CT\tCT\tNN\tI-NP\tO' +p76112 +aS'03-30\t03-30\tCD\tI-NP\tO' +p76113 +aS':\t:\t:\tO\tO' +p76114 +aS'no\tno\tDT\tB-NP\tO' +p76115 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p76116 +aS'change\tchange\tNN\tI-NP\tO' +p76117 +aS'from\tfrom\tIN\tB-PP\tO' +p76118 +aS'above\tabove\tRB\tB-ADVP\tO' +p76119 +aS'.\t.\t.\tO\tO' +p76120 +asS'She was evaluated .' +p76121 +(lp76122 +S'She\tShe\tPRP\tB-NP\tO' +p76123 +aS'was\tbe\tVBD\tB-VP\tO' +p76124 +aS'evaluated\tevaluate\tVBN\tI-VP\tO' +p76125 +aS'.\t.\t.\tO\tO' +p76126 +asS'His discharge weight is 3025 gm , and has been stable for past 2 days .' +p76127 +(lp76128 +S'His\tHis\tPRP$\tB-NP\tO' +p76129 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p76130 +aS'weight\tweight\tNN\tI-NP\tO' +p76131 +aS'is\tbe\tVBZ\tB-VP\tO' +p76132 +aS'3025\t3025\tCD\tB-NP\tO' +p76133 +aS'gm\tgm\tNN\tI-NP\tO' +p76134 +aS',\t,\t,\tO\tO' +p76135 +aS'and\tand\tCC\tO\tO' +p76136 +aS'has\thave\tVBZ\tB-VP\tO' +p76137 +aS'been\tbe\tVBN\tI-VP\tO' +p76138 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p76139 +aS'for\tfor\tIN\tB-PP\tO' +p76140 +aS'past\tpast\tJJ\tB-NP\tO' +p76141 +aS'2\t2\tCD\tI-NP\tO' +p76142 +aS'days\tday\tNNS\tI-NP\tO' +p76143 +aS'.\t.\t.\tO\tO' +p76144 +asS'Hearing screen was performed with automated auditory brainstem responses and was normal on 2014-11-24 .' +p76145 +(lp76146 +S'Hearing\tHear\tVBG\tB-NP\tO' +p76147 +aS'screen\tscreen\tNN\tI-NP\tO' +p76148 +aS'was\tbe\tVBD\tB-VP\tO' +p76149 +aS'performed\tperform\tVBN\tI-VP\tO' +p76150 +aS'with\twith\tIN\tB-PP\tO' +p76151 +aS'automated\tautomate\tVBN\tB-NP\tO' +p76152 +aS'auditory\tauditory\tJJ\tI-NP\tO' +p76153 +aS'brainstem\tbrainstem\tNN\tI-NP\tO' +p76154 +aS'responses\tresponse\tNNS\tI-NP\tO' +p76155 +aS'and\tand\tCC\tO\tO' +p76156 +aS'was\tbe\tVBD\tB-VP\tO' +p76157 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p76158 +aS'on\ton\tIN\tB-PP\tO' +p76159 +aS'2014-11-24\t2014-11-24\tCD\tB-NP\tO' +p76160 +aS'.\t.\t.\tO\tO' +p76161 +asS'RIGHT MIDDLE CEREBRAL ARTERY INFARCT .' +p76162 +(lp76163 +S'RIGHT\tRIGHT\tNN\tB-NP\tO' +p76164 +aS'MIDDLE\tMIDDLE\tNN\tI-NP\tO' +p76165 +aS'CEREBRAL\tCEREBRAL\tNN\tI-NP\tO' +p76166 +aS'ARTERY\tARTERY\tNN\tI-NP\tO' +p76167 +aS'INFARCT\tINFARCT\tNN\tI-NP\tO' +p76168 +aS'.\t.\t.\tO\tO' +p76169 +asS'It was also planned to undergo a right heart catheterization with a vasodilation trial by the catheterization laboratory .' +p76170 +(lp76171 +S'It\tIt\tPRP\tB-NP\tO' +p76172 +aS'was\tbe\tVBD\tB-VP\tO' +p76173 +aS'also\talso\tRB\tI-VP\tO' +p76174 +aS'planned\tplan\tVBN\tI-VP\tO' +p76175 +aS'to\tto\tTO\tI-VP\tO' +p76176 +aS'undergo\tundergo\tVB\tI-VP\tO' +p76177 +aS'a\ta\tDT\tB-NP\tO' +p76178 +aS'right\tright\tJJ\tI-NP\tO' +p76179 +aS'heart\theart\tNN\tI-NP\tO' +p76180 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p76181 +aS'with\twith\tIN\tB-PP\tO' +p76182 +aS'a\ta\tDT\tB-NP\tO' +p76183 +aS'vasodilation\tvasodilation\tNN\tI-NP\tO' +p76184 +aS'trial\ttrial\tNN\tI-NP\tO' +p76185 +aS'by\tby\tIN\tB-PP\tO' +p76186 +aS'the\tthe\tDT\tB-NP\tO' +p76187 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p76188 +aS'laboratory\tlaboratory\tNN\tI-NP\tO' +p76189 +aS'.\t.\t.\tO\tO' +p76190 +asS'He was transferred to Gobay Hos Memorial Hospital where chest x-ray showed left lower lobe infiltrate and cardiac enzymes were elevated with a CK of 297 , MB fraction of 38 and troponin of 12 .' +p76191 +(lp76192 +S'He\tHe\tPRP\tB-NP\tO' +p76193 +aS'was\tbe\tVBD\tB-VP\tO' +p76194 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p76195 +aS'to\tto\tTO\tB-PP\tO' +p76196 +aS'Gobay\tGobay\tNNP\tB-NP\tO' +p76197 +aS'Hos\tHos\tNNP\tI-NP\tO' +p76198 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p76199 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p76200 +aS'where\twhere\tWRB\tB-ADVP\tO' +p76201 +aS'chest\tchest\tNN\tB-NP\tO' +p76202 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p76203 +aS'showed\tshow\tVBD\tB-VP\tO' +p76204 +aS'left\tleft\tRB\tB-NP\tO' +p76205 +aS'lower\tlow\tJJR\tI-NP\tO' +p76206 +aS'lobe\tlobe\tNN\tI-NP\tO' +p76207 +aS'infiltrate\tinfiltrate\tNN\tI-NP\tO' +p76208 +aS'and\tand\tCC\tO\tO' +p76209 +aS'cardiac\tcardiac\tJJ\tB-NP\tB-protein' +p76210 +aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' +p76211 +aS'were\tbe\tVBD\tB-VP\tO' +p76212 +aS'elevated\televate\tVBN\tI-VP\tO' +p76213 +aS'with\twith\tIN\tB-PP\tO' +p76214 +aS'a\ta\tDT\tB-NP\tO' +p76215 +aS'CK\tCK\tNN\tI-NP\tO' +p76216 +aS'of\tof\tIN\tB-PP\tO' +p76217 +aS'297\t297\tCD\tB-NP\tO' +p76218 +aS',\t,\t,\tO\tO' +p76219 +aS'MB\tMB\tNN\tB-NP\tO' +p76220 +aS'fraction\tfraction\tNN\tI-NP\tO' +p76221 +aS'of\tof\tIN\tB-PP\tO' +p76222 +aS'38\t38\tCD\tB-NP\tO' +p76223 +aS'and\tand\tCC\tO\tO' +p76224 +aS'troponin\ttroponin\tNN\tB-NP\tO' +p76225 +aS'of\tof\tIN\tB-PP\tO' +p76226 +aS'12\t12\tCD\tB-NP\tO' +p76227 +aS'.\t.\t.\tO\tO' +p76228 +asS'The pt. is married , independent in ADLS , lives with wife in a retirement community .' +p76229 +(lp76230 +S'The\tThe\tDT\tB-NP\tO' +p76231 +aS'pt.\tpt.\tNN\tI-NP\tO' +p76232 +aS'is\tbe\tVBZ\tB-VP\tO' +p76233 +aS'married\tmarried\tJJ\tB-ADJP\tO' +p76234 +aS',\t,\t,\tO\tO' +p76235 +aS'independent\tindependent\tJJ\tB-ADJP\tO' +p76236 +aS'in\tin\tIN\tB-PP\tO' +p76237 +aS'ADLS\tADLS\tNN\tB-NP\tO' +p76238 +aS',\t,\t,\tO\tO' +p76239 +aS'lives\tlive\tVBZ\tB-VP\tO' +p76240 +aS'with\twith\tIN\tB-PP\tO' +p76241 +aS'wife\twife\tNN\tB-NP\tO' +p76242 +aS'in\tin\tIN\tB-PP\tO' +p76243 +aS'a\ta\tDT\tB-NP\tO' +p76244 +aS'retirement\tretirement\tNN\tI-NP\tO' +p76245 +aS'community\tcommunity\tNN\tI-NP\tO' +p76246 +aS'.\t.\t.\tO\tO' +p76247 +asS'HEENT exam atraumatic , no oral lesions .' +p76248 +(lp76249 +S'HEENT\tHEENT\tNN\tB-NP\tO' +p76250 +aS'exam\texam\tNN\tI-NP\tO' +p76251 +aS'atraumatic\tatraumatic\tJJ\tB-ADJP\tO' +p76252 +aS',\t,\t,\tO\tO' +p76253 +aS'no\tno\tDT\tB-NP\tO' +p76254 +aS'oral\toral\tJJ\tI-NP\tO' +p76255 +aS'lesions\tlesion\tNNS\tI-NP\tO' +p76256 +aS'.\t.\t.\tO\tO' +p76257 +asS'The patient woke up as usual on May 8 , 1995 .' +p76258 +(lp76259 +S'The\tThe\tDT\tB-NP\tO' +p76260 +aS'patient\tpatient\tNN\tI-NP\tO' +p76261 +aS'woke\twake\tVBD\tB-VP\tO' +p76262 +aS'up\tup\tRP\tB-PRT\tO' +p76263 +aS'as\tas\tRB\tB-PP\tO' +p76264 +aS'usual\tusual\tJJ\tB-ADJP\tO' +p76265 +aS'on\ton\tIN\tB-PP\tO' +p76266 +aS'May\tMay\tNNP\tB-NP\tO' +p76267 +aS'8\t8\tCD\tI-NP\tO' +p76268 +aS',\t,\t,\tI-NP\tO' +p76269 +aS'1995\t1995\tCD\tI-NP\tO' +p76270 +aS'.\t.\t.\tO\tO' +p76271 +asS'Tonsillectomy in 1947 , removal of a renal calculus in 1979 , cholecystectomy in 1986 .' +p76272 +(lp76273 +S'Tonsillectomy\tTonsillectomy\tNN\tB-NP\tO' +p76274 +aS'in\tin\tIN\tB-PP\tO' +p76275 +aS'1947\t1947\tCD\tB-NP\tO' +p76276 +aS',\t,\t,\tO\tO' +p76277 +aS'removal\tremoval\tNN\tB-NP\tO' +p76278 +aS'of\tof\tIN\tB-PP\tO' +p76279 +aS'a\ta\tDT\tB-NP\tO' +p76280 +aS'renal\trenal\tJJ\tI-NP\tO' +p76281 +aS'calculus\tcalculus\tNN\tI-NP\tO' +p76282 +aS'in\tin\tIN\tB-PP\tO' +p76283 +aS'1979\t1979\tCD\tB-NP\tO' +p76284 +aS',\t,\t,\tO\tO' +p76285 +aS'cholecystectomy\tcholecystectomy\tNN\tB-NP\tO' +p76286 +aS'in\tin\tIN\tB-PP\tO' +p76287 +aS'1986\t1986\tCD\tB-NP\tO' +p76288 +aS'.\t.\t.\tO\tO' +p76289 +asS'On December 12 the patient underwent surgery , including a re-do aortic valve replacement with # 25 St. Jude and re-do coronary artery bypass grafting times one ; saphenous vein graft to the posterior descending artery as a veno-venous jump graft .' +p76290 +(lp76291 +S'On\tOn\tIN\tB-PP\tO' +p76292 +aS'December\tDecember\tNNP\tB-NP\tO' +p76293 +aS'12\t12\tCD\tI-NP\tO' +p76294 +aS'the\tthe\tDT\tB-NP\tO' +p76295 +aS'patient\tpatient\tNN\tI-NP\tO' +p76296 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p76297 +aS'surgery\tsurgery\tNN\tB-NP\tO' +p76298 +aS',\t,\t,\tO\tO' +p76299 +aS'including\tinclude\tVBG\tB-PP\tO' +p76300 +aS'a\ta\tDT\tB-NP\tO' +p76301 +aS're-do\tre-do\tJJ\tI-NP\tO' +p76302 +aS'aortic\taortic\tJJ\tI-NP\tO' +p76303 +aS'valve\tvalve\tNN\tI-NP\tO' +p76304 +aS'replacement\treplacement\tNN\tI-NP\tO' +p76305 +aS'with\twith\tIN\tB-PP\tO' +p76306 +aS'#\t#\t#\tB-NP\tO' +p76307 +aS'25\t25\tCD\tI-NP\tO' +p76308 +aS'St.\tSt.\tNNP\tI-NP\tO' +p76309 +aS'Jude\tJude\tNNP\tI-NP\tO' +p76310 +aS'and\tand\tCC\tO\tO' +p76311 +aS're-do\tre-do\tJJ\tB-NP\tO' +p76312 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p76313 +aS'artery\tartery\tNN\tI-NP\tO' +p76314 +aS'bypass\tbypass\tIN\tB-PP\tO' +p76315 +aS'grafting\tgraft\tVBG\tB-VP\tO' +p76316 +aS'times\ttime\tNNS\tB-NP\tO' +p76317 +aS'one\tone\tCD\tB-NP\tO' +p76318 +aS';\t;\t:\tO\tO' +p76319 +aS'saphenous\tsaphenous\tJJ\tB-NP\tO' +p76320 +aS'vein\tvein\tNN\tI-NP\tO' +p76321 +aS'graft\tgraft\tNN\tI-NP\tO' +p76322 +aS'to\tto\tTO\tB-PP\tO' +p76323 +aS'the\tthe\tDT\tB-NP\tO' +p76324 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p76325 +aS'descending\tdescend\tVBG\tI-NP\tO' +p76326 +aS'artery\tartery\tNN\tI-NP\tO' +p76327 +aS'as\tas\tIN\tB-PP\tO' +p76328 +aS'a\ta\tDT\tB-NP\tO' +p76329 +aS'veno-venous\tveno-venous\tJJ\tI-NP\tO' +p76330 +aS'jump\tjump\tNN\tI-NP\tO' +p76331 +aS'graft\tgraft\tNN\tI-NP\tO' +p76332 +aS'.\t.\t.\tO\tO' +p76333 +asS"The patient 's initial postoperative course was relatively uneventful ." +p76334 +(lp76335 +S'The\tThe\tDT\tB-NP\tO' +p76336 +aS'patient\tpatient\tNN\tI-NP\tO' +p76337 +aS"'s\t's\tPOS\tB-NP\tO" +p76338 +aS'initial\tinitial\tJJ\tI-NP\tO' +p76339 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p76340 +aS'course\tcourse\tNN\tI-NP\tO' +p76341 +aS'was\tbe\tVBD\tB-VP\tO' +p76342 +aS'relatively\trelatively\tRB\tB-ADJP\tO' +p76343 +aS'uneventful\tuneventful\tJJ\tI-ADJP\tO' +p76344 +aS'.\t.\t.\tO\tO' +p76345 +asS'Mr. Mass was initially anticoagulated for his left ventricular aneurysm .' +p76346 +(lp76347 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p76348 +aS'Mass\tMass\tNNP\tI-NP\tO' +p76349 +aS'was\tbe\tVBD\tB-VP\tO' +p76350 +aS'initially\tinitially\tRB\tI-VP\tO' +p76351 +aS'anticoagulated\tanticoagulate\tVBN\tI-VP\tO' +p76352 +aS'for\tfor\tIN\tB-PP\tO' +p76353 +aS'his\this\tPRP$\tB-NP\tO' +p76354 +aS'left\tleft\tJJ\tI-NP\tO' +p76355 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p76356 +aS'aneurysm\taneurysm\tNN\tI-NP\tO' +p76357 +aS'.\t.\t.\tO\tO' +p76358 +asS'The postoperative course was complicated by atrial fibrillation with transfer to the Cardiac Step-Down Unit .' +p76359 +(lp76360 +S'The\tThe\tDT\tB-NP\tO' +p76361 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p76362 +aS'course\tcourse\tNN\tI-NP\tO' +p76363 +aS'was\tbe\tVBD\tB-VP\tO' +p76364 +aS'complicated\tcomplicate\tVBN\tI-VP\tO' +p76365 +aS'by\tby\tIN\tB-PP\tO' +p76366 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p76367 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p76368 +aS'with\twith\tIN\tB-PP\tO' +p76369 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p76370 +aS'to\tto\tTO\tB-PP\tO' +p76371 +aS'the\tthe\tDT\tB-NP\tO' +p76372 +aS'Cardiac\tCardiac\tNNP\tI-NP\tO' +p76373 +aS'Step-Down\tStep-Down\tNNP\tI-NP\tO' +p76374 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p76375 +aS'.\t.\t.\tO\tO' +p76376 +asS'She also reports positional chest pain , which is worse with lying down and relieved with sitting up .' +p76377 +(lp76378 +S'She\tShe\tPRP\tB-NP\tO' +p76379 +aS'also\talso\tRB\tB-ADVP\tO' +p76380 +aS'reports\treport\tVBZ\tB-VP\tO' +p76381 +aS'positional\tpositional\tJJ\tB-NP\tO' +p76382 +aS'chest\tchest\tNN\tI-NP\tO' +p76383 +aS'pain\tpain\tNN\tI-NP\tO' +p76384 +aS',\t,\t,\tO\tO' +p76385 +aS'which\twhich\tWDT\tB-NP\tO' +p76386 +aS'is\tbe\tVBZ\tB-VP\tO' +p76387 +aS'worse\tworse\tJJR\tB-ADJP\tO' +p76388 +aS'with\twith\tIN\tB-PP\tO' +p76389 +aS'lying\tlie\tVBG\tB-VP\tO' +p76390 +aS'down\tdown\tRP\tB-PRT\tO' +p76391 +aS'and\tand\tCC\tO\tO' +p76392 +aS'relieved\trelieve\tVBN\tB-VP\tO' +p76393 +aS'with\twith\tIN\tB-PP\tO' +p76394 +aS'sitting\tsit\tVBG\tB-VP\tO' +p76395 +aS'up\tup\tRP\tB-PRT\tO' +p76396 +aS'.\t.\t.\tO\tO' +p76397 +asS'6. Lipitor .' +p76398 +(lp76399 +S'6.\t6.\tLS\tB-LST\tO' +p76400 +aS'Lipitor\tLipitor\tNNP\tB-NP\tO' +p76401 +aS'.\t.\t.\tO\tO' +p76402 +asS'She reports an occasional nonproductive cough that she has had "for years" and feels that she has been experiencing alternating chills and feeling hot .' +p76403 +(lp76404 +S'She\tShe\tPRP\tB-NP\tO' +p76405 +aS'reports\treport\tVBZ\tB-VP\tO' +p76406 +aS'an\tan\tDT\tB-NP\tO' +p76407 +aS'occasional\toccasional\tJJ\tI-NP\tO' +p76408 +aS'nonproductive\tnonproductive\tJJ\tI-NP\tO' +p76409 +aS'cough\tcough\tNN\tI-NP\tO' +p76410 +aS'that\tthat\tIN\tB-NP\tO' +p76411 +aS'she\tshe\tPRP\tB-NP\tO' +p76412 +aS'has\thave\tVBZ\tB-VP\tO' +p76413 +aS'had\thave\tVBN\tI-VP\tO' +p76414 +aS'"for\t"for\tIN\tB-PP\tO' +p76415 +aS'years"\tyears"\tNN\tB-NP\tO' +p76416 +aS'and\tand\tCC\tI-NP\tO' +p76417 +aS'feels\tfeel\tNNS\tI-NP\tO' +p76418 +aS'that\tthat\tIN\tB-SBAR\tO' +p76419 +aS'she\tshe\tPRP\tB-NP\tO' +p76420 +aS'has\thave\tVBZ\tB-VP\tO' +p76421 +aS'been\tbe\tVBN\tI-VP\tO' +p76422 +aS'experiencing\texperience\tVBG\tI-VP\tO' +p76423 +aS'alternating\talternate\tVBG\tB-NP\tO' +p76424 +aS'chills\tchill\tNNS\tI-NP\tO' +p76425 +aS'and\tand\tCC\tO\tO' +p76426 +aS'feeling\tfeel\tVBG\tB-VP\tO' +p76427 +aS'hot\thot\tJJ\tB-ADJP\tO' +p76428 +aS'.\t.\t.\tO\tO' +p76429 +asS'He had his prothrombin time reversed with Vitamin K 2 mgs on admission subcutaneously as well as two units of fresh frozen plasma given in the emergency room .' +p76430 +(lp76431 +S'He\tHe\tPRP\tB-NP\tO' +p76432 +aS'had\thave\tVBD\tB-VP\tO' +p76433 +aS'his\this\tPRP$\tB-NP\tO' +p76434 +aS'prothrombin\tprothrombin\tNN\tI-NP\tO' +p76435 +aS'time\ttime\tNN\tI-NP\tO' +p76436 +aS'reversed\treverse\tVBN\tB-VP\tO' +p76437 +aS'with\twith\tIN\tB-PP\tO' +p76438 +aS'Vitamin\tVitamin\tNN\tB-NP\tO' +p76439 +aS'K\tK\tNN\tI-NP\tO' +p76440 +aS'2\t2\tCD\tB-NP\tO' +p76441 +aS'mgs\tmg\tNNS\tI-NP\tO' +p76442 +aS'on\ton\tIN\tB-PP\tO' +p76443 +aS'admission\tadmission\tNN\tB-NP\tO' +p76444 +aS'subcutaneously\tsubcutaneously\tRB\tO\tO' +p76445 +aS'as\tas\tRB\tB-CONJP\tO' +p76446 +aS'well\twell\tRB\tI-CONJP\tO' +p76447 +aS'as\tas\tIN\tI-CONJP\tO' +p76448 +aS'two\ttwo\tCD\tB-NP\tO' +p76449 +aS'units\tunit\tNNS\tI-NP\tO' +p76450 +aS'of\tof\tIN\tB-PP\tO' +p76451 +aS'fresh\tfresh\tJJ\tB-NP\tO' +p76452 +aS'frozen\tfrozen\tJJ\tI-NP\tO' +p76453 +aS'plasma\tplasma\tNN\tI-NP\tO' +p76454 +aS'given\tgive\tVBN\tB-VP\tO' +p76455 +aS'in\tin\tIN\tB-PP\tO' +p76456 +aS'the\tthe\tDT\tB-NP\tO' +p76457 +aS'emergency\temergency\tNN\tI-NP\tO' +p76458 +aS'room\troom\tNN\tI-NP\tO' +p76459 +aS'.\t.\t.\tO\tO' +p76460 +asS'Os trigonum is visualized .' +p76461 +(lp76462 +S'Os\tO\tNNS\tB-NP\tO' +p76463 +aS'trigonum\ttrigonum\tNN\tI-NP\tO' +p76464 +aS'is\tbe\tVBZ\tB-VP\tO' +p76465 +aS'visualized\tvisualize\tVBN\tI-VP\tO' +p76466 +aS'.\t.\t.\tO\tO' +p76467 +asS'4. Protonix 40 milligrams po q day .' +p76468 +(lp76469 +S'4.\t4.\tLS\tB-LST\tO' +p76470 +aS'Protonix\tProtonix\tNNP\tB-NP\tO' +p76471 +aS'40\t40\tCD\tI-NP\tO' +p76472 +aS'milligrams\tmilligram\tNNS\tI-NP\tO' +p76473 +aS'po\tpo\tVBP\tB-VP\tO' +p76474 +aS'q\tq\tNN\tB-NP\tO' +p76475 +aS'day\tday\tNN\tI-NP\tO' +p76476 +aS'.\t.\t.\tO\tO' +p76477 +asS'He lives with his wife and works as a drug representative for Carvedilol .' +p76478 +(lp76479 +S'He\tHe\tPRP\tB-NP\tO' +p76480 +aS'lives\tlive\tVBZ\tB-VP\tO' +p76481 +aS'with\twith\tIN\tB-PP\tO' +p76482 +aS'his\this\tPRP$\tB-NP\tO' +p76483 +aS'wife\twife\tNN\tI-NP\tO' +p76484 +aS'and\tand\tCC\tO\tO' +p76485 +aS'works\twork\tVBZ\tB-VP\tO' +p76486 +aS'as\tas\tIN\tB-PP\tO' +p76487 +aS'a\ta\tDT\tB-NP\tO' +p76488 +aS'drug\tdrug\tNN\tI-NP\tO' +p76489 +aS'representative\trepresentative\tNN\tI-NP\tO' +p76490 +aS'for\tfor\tIN\tB-PP\tO' +p76491 +aS'Carvedilol\tCarvedilol\tNN\tB-NP\tO' +p76492 +aS'.\t.\t.\tO\tO' +p76493 +asS'Abdomen soft , no hepatosplenomegaly , quiet bowel sounds , 3 vessel cord .' +p76494 +(lp76495 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p76496 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p76497 +aS',\t,\t,\tO\tO' +p76498 +aS'no\tno\tDT\tB-NP\tO' +p76499 +aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tI-NP\tO' +p76500 +aS',\t,\t,\tO\tO' +p76501 +aS'quiet\tquiet\tJJ\tB-NP\tO' +p76502 +aS'bowel\tbowel\tNN\tI-NP\tO' +p76503 +aS'sounds\tsound\tNNS\tI-NP\tO' +p76504 +aS',\t,\t,\tO\tO' +p76505 +aS'3\t3\tCD\tB-NP\tO' +p76506 +aS'vessel\tvessel\tNN\tI-NP\tO' +p76507 +aS'cord\tcord\tNN\tI-NP\tO' +p76508 +aS'.\t.\t.\tO\tO' +p76509 +asS'Mild ( 1+ ) mitral regurgitation is seen .' +p76510 +(lp76511 +S'Mild\tMild\tNNP\tB-NP\tO' +p76512 +aS'(\t(\t(\tO\tO' +p76513 +aS'1+\t1+\tJJ\tB-ADJP\tO' +p76514 +aS')\t)\t)\tO\tO' +p76515 +aS'mitral\tmitral\tJJ\tB-NP\tO' +p76516 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p76517 +aS'is\tbe\tVBZ\tB-VP\tO' +p76518 +aS'seen\tsee\tVBN\tI-VP\tO' +p76519 +aS'.\t.\t.\tO\tO' +p76520 +asS'Likely due to CHF exacerbation , with diuresis of over 36 L during his admission .' +p76521 +(lp76522 +S'Likely\tLikely\tRB\tB-ADVP\tO' +p76523 +aS'due\tdue\tIN\tB-PP\tO' +p76524 +aS'to\tto\tTO\tB-PP\tO' +p76525 +aS'CHF\tCHF\tNN\tB-NP\tO' +p76526 +aS'exacerbation\texacerbation\tNN\tI-NP\tO' +p76527 +aS',\t,\t,\tO\tO' +p76528 +aS'with\twith\tIN\tB-PP\tO' +p76529 +aS'diuresis\tdiuresis\tNN\tB-NP\tO' +p76530 +aS'of\tof\tIN\tB-PP\tO' +p76531 +aS'over\tover\tIN\tB-NP\tO' +p76532 +aS'36\t36\tCD\tI-NP\tO' +p76533 +aS'L\tL\tNN\tI-NP\tO' +p76534 +aS'during\tduring\tIN\tB-PP\tO' +p76535 +aS'his\this\tPRP$\tB-NP\tO' +p76536 +aS'admission\tadmission\tNN\tI-NP\tO' +p76537 +aS'.\t.\t.\tO\tO' +p76538 +asS'After this he was anticoagulated with heparin drip .' +p76539 +(lp76540 +S'After\tAfter\tIN\tB-PP\tO' +p76541 +aS'this\tthis\tDT\tB-NP\tO' +p76542 +aS'he\the\tPRP\tB-NP\tO' +p76543 +aS'was\tbe\tVBD\tB-VP\tO' +p76544 +aS'anticoagulated\tanticoagulate\tVBN\tI-VP\tO' +p76545 +aS'with\twith\tIN\tB-PP\tO' +p76546 +aS'heparin\theparin\tNN\tB-NP\tO' +p76547 +aS'drip\tdrip\tNN\tI-NP\tO' +p76548 +aS'.\t.\t.\tO\tO' +p76549 +asS'small wedge-shaped visual field defect in right eye , suggesting retinal lesion .' +p76550 +(lp76551 +S'small\tsmall\tJJ\tB-NP\tO' +p76552 +aS'wedge-shaped\twedge-shaped\tJJ\tI-NP\tO' +p76553 +aS'visual\tvisual\tJJ\tI-NP\tO' +p76554 +aS'field\tfield\tNN\tI-NP\tO' +p76555 +aS'defect\tdefect\tNN\tI-NP\tO' +p76556 +aS'in\tin\tIN\tB-PP\tO' +p76557 +aS'right\tright\tJJ\tB-NP\tO' +p76558 +aS'eye\teye\tNN\tI-NP\tO' +p76559 +aS',\t,\t,\tO\tO' +p76560 +aS'suggesting\tsuggest\tVBG\tB-VP\tO' +p76561 +aS'retinal\tretinal\tJJ\tB-NP\tO' +p76562 +aS'lesion\tlesion\tNN\tI-NP\tO' +p76563 +aS'.\t.\t.\tO\tO' +p76564 +asS'A cardiac catheterization was deferred until the renal issue could be resolved .' +p76565 +(lp76566 +S'A\tA\tDT\tB-NP\tO' +p76567 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p76568 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p76569 +aS'was\tbe\tVBD\tB-VP\tO' +p76570 +aS'deferred\tdefer\tVBN\tI-VP\tO' +p76571 +aS'until\tuntil\tIN\tB-PP\tO' +p76572 +aS'the\tthe\tDT\tB-NP\tO' +p76573 +aS'renal\trenal\tJJ\tI-NP\tO' +p76574 +aS'issue\tissue\tNN\tI-NP\tO' +p76575 +aS'could\tcould\tMD\tB-VP\tO' +p76576 +aS'be\tbe\tVB\tI-VP\tO' +p76577 +aS'resolved\tresolve\tVBN\tI-VP\tO' +p76578 +aS'.\t.\t.\tO\tO' +p76579 +asS'He has no h/o ETOH/IVDA but quit tob 15 years ago .' +p76580 +(lp76581 +S'He\tHe\tPRP\tB-NP\tO' +p76582 +aS'has\thave\tVBZ\tB-VP\tO' +p76583 +aS'no\tno\tDT\tB-NP\tO' +p76584 +aS'h/o\th/o\tNN\tI-NP\tO' +p76585 +aS'ETOH/IVDA\tETOH/IVDA\tNN\tI-NP\tO' +p76586 +aS'but\tbut\tCC\tO\tO' +p76587 +aS'quit\tquit\tVBD\tB-VP\tO' +p76588 +aS'tob\ttob\tNN\tB-NP\tO' +p76589 +aS'15\t15\tCD\tB-NP\tO' +p76590 +aS'years\tyear\tNNS\tI-NP\tO' +p76591 +aS'ago\tago\tRB\tB-ADVP\tO' +p76592 +aS'.\t.\t.\tO\tO' +p76593 +asS'6. right cheek basal cell carcinoma ,' +p76594 +(lp76595 +S'6.\t6.\tLS\tB-NP\tO' +p76596 +aS'right\tright\tJJ\tI-NP\tO' +p76597 +aS'cheek\tcheek\tNN\tI-NP\tO' +p76598 +aS'basal\tbasal\tJJ\tI-NP\tO' +p76599 +aS'cell\tcell\tNN\tI-NP\tO' +p76600 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p76601 +aS',\t,\t,\tO\tO' +p76602 +asS'She was discharged to home .' +p76603 +(lp76604 +S'She\tShe\tPRP\tB-NP\tO' +p76605 +aS'was\tbe\tVBD\tB-VP\tO' +p76606 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p76607 +aS'to\tto\tTO\tB-PP\tO' +p76608 +aS'home\thome\tNN\tB-NP\tO' +p76609 +aS'.\t.\t.\tO\tO' +p76610 +asS'- If any abdominal pain , fever or dizziness , go to the Emergency Room' +p76611 +(lp76612 +S'-\t-\tHYPH\tO\tB-protein' +p76613 +aS'If\tIf\tIN\tB-SBAR\tI-protein' +p76614 +aS'any\tany\tDT\tB-NP\tI-protein' +p76615 +aS'abdominal\tabdominal\tJJ\tI-NP\tI-protein' +p76616 +aS'pain\tpain\tNN\tI-NP\tI-protein' +p76617 +aS',\t,\t,\tI-NP\tO' +p76618 +aS'fever\tfever\tNN\tI-NP\tO' +p76619 +aS'or\tor\tCC\tI-NP\tO' +p76620 +aS'dizziness\tdizziness\tNN\tI-NP\tO' +p76621 +aS',\t,\t,\tO\tO' +p76622 +aS'go\tgo\tVB\tB-VP\tO' +p76623 +aS'to\tto\tTO\tB-PP\tO' +p76624 +aS'the\tthe\tDT\tB-NP\tO' +p76625 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p76626 +aS'Room\tRoom\tNNP\tI-NP\tO' +p76627 +asS'PORTIONS OF THE SMALL BOWEL WERE RESECTED .' +p76628 +(lp76629 +S'PORTIONS\tPORTIONS\tNNS\tB-NP\tO' +p76630 +aS'OF\tOF\tIN\tB-PP\tO' +p76631 +aS'THE\tTHE\tDT\tB-NP\tO' +p76632 +aS'SMALL\tSMALL\tNNP\tI-NP\tO' +p76633 +aS'BOWEL\tBOWEL\tNNP\tI-NP\tO' +p76634 +aS'WERE\tWERE\tNNP\tI-NP\tO' +p76635 +aS'RESECTED\tRESECTED\tNNP\tI-NP\tO' +p76636 +aS'.\t.\t.\tO\tO' +p76637 +asS'ETT - MIBI 5/27/05 - normal , no e / o ischemia .' +p76638 +(lp76639 +S'ETT\tETT\tNN\tB-NP\tB-protein' +p76640 +aS'-\t-\tHYPH\tO\tO' +p76641 +aS'MIBI\tMIBI\tNN\tB-NP\tB-DNA' +p76642 +aS'5/27/05\t5/27/05\tCD\tI-NP\tI-DNA' +p76643 +aS'-\t-\tHYPH\tB-VP\tO' +p76644 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p76645 +aS',\t,\t,\tO\tO' +p76646 +aS'no\tno\tDT\tB-NP\tO' +p76647 +aS'e\te\tNN\tI-NP\tO' +p76648 +aS'/\t/\tSYM\tB-NP\tO' +p76649 +aS'o\to\tNN\tI-NP\tO' +p76650 +aS'ischemia\tischemia\tNN\tI-NP\tO' +p76651 +aS'.\t.\t.\tO\tO' +p76652 +asS'The patient had a PCA and several other medications have been discontinued .' +p76653 +(lp76654 +S'The\tThe\tDT\tB-NP\tO' +p76655 +aS'patient\tpatient\tNN\tI-NP\tO' +p76656 +aS'had\thave\tVBD\tB-VP\tO' +p76657 +aS'a\ta\tDT\tB-NP\tO' +p76658 +aS'PCA\tPCA\tNN\tI-NP\tB-protein' +p76659 +aS'and\tand\tCC\tO\tO' +p76660 +aS'several\tseveral\tJJ\tB-NP\tO' +p76661 +aS'other\tother\tJJ\tI-NP\tO' +p76662 +aS'medications\tmedication\tNNS\tI-NP\tO' +p76663 +aS'have\thave\tVBP\tB-VP\tO' +p76664 +aS'been\tbe\tVBN\tI-VP\tO' +p76665 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p76666 +aS'.\t.\t.\tO\tO' +p76667 +asS'EXTREM NORMAL SKIN NORMAL NODES NORMAL VULVA NORMAL VAGINA Leaking copious amounts clear fluid .' +p76668 +(lp76669 +S'EXTREM\tEXTREM\tNNP\tB-NP\tO' +p76670 +aS'NORMAL\tNORMAL\tNNP\tI-NP\tO' +p76671 +aS'SKIN\tSKIN\tNNP\tI-NP\tO' +p76672 +aS'NORMAL\tNORMAL\tNNP\tI-NP\tO' +p76673 +aS'NODES\tNODES\tNNP\tI-NP\tO' +p76674 +aS'NORMAL\tNORMAL\tNNP\tI-NP\tO' +p76675 +aS'VULVA\tVULVA\tNNP\tI-NP\tO' +p76676 +aS'NORMAL\tNORMAL\tNNP\tI-NP\tO' +p76677 +aS'VAGINA\tVAGINA\tNNP\tI-NP\tO' +p76678 +aS'Leaking\tLeak\tVBG\tB-VP\tO' +p76679 +aS'copious\tcopious\tJJ\tB-NP\tO' +p76680 +aS'amounts\tamount\tNNS\tI-NP\tO' +p76681 +aS'clear\tclear\tJJ\tB-NP\tO' +p76682 +aS'fluid\tfluid\tNN\tI-NP\tO' +p76683 +aS'.\t.\t.\tO\tO' +p76684 +asS'EGD , colonoscopy and tagged scan results as above .' +p76685 +(lp76686 +S'EGD\tEGD\tNN\tB-NP\tB-protein' +p76687 +aS',\t,\t,\tI-NP\tO' +p76688 +aS'colonoscopy\tcolonoscopy\tNN\tI-NP\tO' +p76689 +aS'and\tand\tCC\tO\tO' +p76690 +aS'tagged\ttag\tVBN\tB-NP\tO' +p76691 +aS'scan\tscan\tNN\tI-NP\tO' +p76692 +aS'results\tresult\tNNS\tI-NP\tO' +p76693 +aS'as\tas\tIN\tB-PP\tO' +p76694 +aS'above\tabove\tRB\tI-PP\tO' +p76695 +aS'.\t.\t.\tO\tO' +p76696 +asS'Change in mental status .' +p76697 +(lp76698 +S'Change\tChange\tNN\tB-NP\tO' +p76699 +aS'in\tin\tIN\tB-PP\tO' +p76700 +aS'mental\tmental\tJJ\tB-NP\tO' +p76701 +aS'status\tstatus\tNN\tI-NP\tO' +p76702 +aS'.\t.\t.\tO\tO' +p76703 +asS'The LV contractile function was normal .' +p76704 +(lp76705 +S'The\tThe\tDT\tB-NP\tO' +p76706 +aS'LV\tLV\tNN\tI-NP\tO' +p76707 +aS'contractile\tcontractile\tJJ\tI-NP\tO' +p76708 +aS'function\tfunction\tNN\tI-NP\tO' +p76709 +aS'was\tbe\tVBD\tB-VP\tO' +p76710 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p76711 +aS'.\t.\t.\tO\tO' +p76712 +asS'I will give doses and administration information in his list of discharge medications .' +p76713 +(lp76714 +S'I\tI\tPRP\tB-NP\tO' +p76715 +aS'will\twill\tMD\tB-VP\tO' +p76716 +aS'give\tgive\tVB\tI-VP\tO' +p76717 +aS'doses\tdose\tNNS\tB-NP\tO' +p76718 +aS'and\tand\tCC\tO\tO' +p76719 +aS'administration\tadministration\tNN\tB-NP\tO' +p76720 +aS'information\tinformation\tNN\tI-NP\tO' +p76721 +aS'in\tin\tIN\tB-PP\tO' +p76722 +aS'his\this\tPRP$\tB-NP\tO' +p76723 +aS'list\tlist\tNN\tI-NP\tO' +p76724 +aS'of\tof\tIN\tB-PP\tO' +p76725 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p76726 +aS'medications\tmedication\tNNS\tI-NP\tO' +p76727 +aS'.\t.\t.\tO\tO' +p76728 +asS'History of anal warts and rectal abscesses and fistula .' +p76729 +(lp76730 +S'History\tHistory\tNN\tB-NP\tO' +p76731 +aS'of\tof\tIN\tB-PP\tO' +p76732 +aS'anal\tanal\tJJ\tB-NP\tO' +p76733 +aS'warts\twart\tNNS\tI-NP\tO' +p76734 +aS'and\tand\tCC\tO\tO' +p76735 +aS'rectal\trectal\tJJ\tB-NP\tO' +p76736 +aS'abscesses\tabscess\tNNS\tI-NP\tO' +p76737 +aS'and\tand\tCC\tI-NP\tO' +p76738 +aS'fistula\tfistula\tNN\tI-NP\tO' +p76739 +aS'.\t.\t.\tO\tO' +p76740 +asS'The cardiac examination was unremarkable without murmurs .' +p76741 +(lp76742 +S'The\tThe\tDT\tB-NP\tO' +p76743 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p76744 +aS'examination\texamination\tNN\tI-NP\tO' +p76745 +aS'was\tbe\tVBD\tB-VP\tO' +p76746 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p76747 +aS'without\twithout\tIN\tB-PP\tO' +p76748 +aS'murmurs\tmurmur\tNNS\tB-NP\tO' +p76749 +aS'.\t.\t.\tO\tO' +p76750 +asS'She underwent cadaveric pancreas transplantation without complication .' +p76751 +(lp76752 +S'She\tShe\tPRP\tB-NP\tO' +p76753 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p76754 +aS'cadaveric\tcadaveric\tJJ\tB-NP\tO' +p76755 +aS'pancreas\tpancreas\tNN\tI-NP\tO' +p76756 +aS'transplantation\ttransplantation\tNN\tI-NP\tO' +p76757 +aS'without\twithout\tIN\tB-PP\tO' +p76758 +aS'complication\tcomplication\tNN\tB-NP\tO' +p76759 +aS'.\t.\t.\tO\tO' +p76760 +asS'insulin dependent gestational diabetic , prior C / S , RSAP' +p76761 +(lp76762 +S'insulin\tinsulin\tNN\tB-NP\tB-protein' +p76763 +aS'dependent\tdependent\tJJ\tI-NP\tO' +p76764 +aS'gestational\tgestational\tJJ\tI-NP\tO' +p76765 +aS'diabetic\tdiabetic\tJJ\tI-NP\tO' +p76766 +aS',\t,\t,\tI-NP\tO' +p76767 +aS'prior\tprior\tJJ\tI-NP\tO' +p76768 +aS'C\tC\tNN\tI-NP\tO' +p76769 +aS'/\t/\tSYM\tB-VP\tO' +p76770 +aS'S\tS\tNN\tB-NP\tO' +p76771 +aS',\t,\t,\tO\tO' +p76772 +aS'RSAP\tRSAP\tNN\tB-NP\tB-protein' +p76773 +asS'Further work-up of his neurologic conditions were planned as an outpatient .' +p76774 +(lp76775 +S'Further\tFurther\tJJ\tB-NP\tO' +p76776 +aS'work-up\twork-up\tNN\tI-NP\tO' +p76777 +aS'of\tof\tIN\tB-PP\tO' +p76778 +aS'his\this\tPRP$\tB-NP\tO' +p76779 +aS'neurologic\tneurologic\tJJ\tI-NP\tO' +p76780 +aS'conditions\tcondition\tNNS\tI-NP\tO' +p76781 +aS'were\tbe\tVBD\tB-VP\tO' +p76782 +aS'planned\tplan\tVBN\tI-VP\tO' +p76783 +aS'as\tas\tIN\tB-PP\tO' +p76784 +aS'an\tan\tDT\tB-NP\tO' +p76785 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p76786 +aS'.\t.\t.\tO\tO' +p76787 +asS'Pregnancy complicated by gestational diabetes mellitus , then possible preterm labor .' +p76788 +(lp76789 +S'Pregnancy\tPregnancy\tNN\tB-NP\tO' +p76790 +aS'complicated\tcomplicate\tVBN\tB-VP\tO' +p76791 +aS'by\tby\tIN\tB-PP\tO' +p76792 +aS'gestational\tgestational\tJJ\tB-NP\tO' +p76793 +aS'diabetes\tdiabetes\tNN\tI-NP\tO' +p76794 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p76795 +aS',\t,\t,\tO\tO' +p76796 +aS'then\tthen\tRB\tB-ADVP\tO' +p76797 +aS'possible\tpossible\tJJ\tB-NP\tO' +p76798 +aS'preterm\tpreterm\tJJ\tI-NP\tO' +p76799 +aS'labor\tlabor\tNN\tI-NP\tO' +p76800 +aS'.\t.\t.\tO\tO' +p76801 +asS"POD# 15/6 , she resumed TF 's and TPN was tapered again ." +p76802 +(lp76803 +S'POD#\tPOD#\tNN\tB-NP\tB-protein' +p76804 +aS'15/6\t15/6\tCD\tI-NP\tI-protein' +p76805 +aS',\t,\t,\tO\tO' +p76806 +aS'she\tshe\tPRP\tB-NP\tO' +p76807 +aS'resumed\tresume\tVBD\tB-VP\tO' +p76808 +aS'TF\tTF\tNN\tB-NP\tB-protein' +p76809 +aS"'s\t's\tPOS\tB-NP\tO" +p76810 +aS'and\tand\tCC\tO\tO' +p76811 +aS'TPN\tTPN\tNN\tB-NP\tB-protein' +p76812 +aS'was\tbe\tVBD\tB-VP\tO' +p76813 +aS'tapered\ttaper\tVBN\tI-VP\tO' +p76814 +aS'again\tagain\tRB\tB-ADVP\tO' +p76815 +aS'.\t.\t.\tO\tO' +p76816 +asS'On 04/07 they took the patient back to the IR suite and placed a second catheter .' +p76817 +(lp76818 +S'On\tOn\tIN\tB-PP\tO' +p76819 +aS'04/07\t04/07\tCD\tB-NP\tO' +p76820 +aS'they\tthey\tPRP\tB-NP\tO' +p76821 +aS'took\ttake\tVBD\tB-VP\tO' +p76822 +aS'the\tthe\tDT\tB-NP\tO' +p76823 +aS'patient\tpatient\tNN\tI-NP\tO' +p76824 +aS'back\tback\tRB\tB-ADVP\tO' +p76825 +aS'to\tto\tTO\tB-PP\tO' +p76826 +aS'the\tthe\tDT\tB-NP\tO' +p76827 +aS'IR\tIR\tNN\tI-NP\tO' +p76828 +aS'suite\tsuite\tNN\tI-NP\tO' +p76829 +aS'and\tand\tCC\tO\tO' +p76830 +aS'placed\tplace\tVBD\tB-VP\tO' +p76831 +aS'a\ta\tDT\tB-NP\tO' +p76832 +aS'second\tsecond\tJJ\tI-NP\tO' +p76833 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p76834 +aS'.\t.\t.\tO\tO' +p76835 +asS'At the rehabilitation center the patient developed shortness of breath .' +p76836 +(lp76837 +S'At\tAt\tIN\tB-PP\tO' +p76838 +aS'the\tthe\tDT\tB-NP\tO' +p76839 +aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' +p76840 +aS'center\tcenter\tNN\tI-NP\tO' +p76841 +aS'the\tthe\tDT\tB-NP\tO' +p76842 +aS'patient\tpatient\tNN\tI-NP\tO' +p76843 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p76844 +aS'shortness\tshortness\tNN\tB-NP\tO' +p76845 +aS'of\tof\tIN\tB-PP\tO' +p76846 +aS'breath\tbreath\tNN\tB-NP\tO' +p76847 +aS'.\t.\t.\tO\tO' +p76848 +asS'Patient was stable without evidence of CHF on chest x-ray .' +p76849 +(lp76850 +S'Patient\tPatient\tNN\tB-NP\tO' +p76851 +aS'was\tbe\tVBD\tB-VP\tO' +p76852 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p76853 +aS'without\twithout\tIN\tB-PP\tO' +p76854 +aS'evidence\tevidence\tNN\tB-NP\tO' +p76855 +aS'of\tof\tIN\tB-PP\tO' +p76856 +aS'CHF\tCHF\tNN\tB-NP\tB-protein' +p76857 +aS'on\ton\tIN\tB-PP\tO' +p76858 +aS'chest\tchest\tNN\tB-NP\tO' +p76859 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p76860 +aS'.\t.\t.\tO\tO' +p76861 +asS'The patient presented with a chief complaint of SOB , FEVER .' +p76862 +(lp76863 +S'The\tThe\tDT\tB-NP\tO' +p76864 +aS'patient\tpatient\tNN\tI-NP\tO' +p76865 +aS'presented\tpresent\tVBD\tB-VP\tO' +p76866 +aS'with\twith\tIN\tB-PP\tO' +p76867 +aS'a\ta\tDT\tB-NP\tO' +p76868 +aS'chief\tchief\tJJ\tI-NP\tO' +p76869 +aS'complaint\tcomplaint\tNN\tI-NP\tO' +p76870 +aS'of\tof\tIN\tB-PP\tO' +p76871 +aS'SOB\tSOB\tNN\tB-NP\tB-protein' +p76872 +aS',\t,\t,\tO\tO' +p76873 +aS'FEVER\tFEVER\tNN\tB-NP\tO' +p76874 +aS'.\t.\t.\tO\tO' +p76875 +asS'The light reflex was slightly slow but equal and intact direct and indirectly .' +p76876 +(lp76877 +S'The\tThe\tDT\tB-NP\tO' +p76878 +aS'light\tlight\tJJ\tI-NP\tO' +p76879 +aS'reflex\treflex\tNN\tI-NP\tO' +p76880 +aS'was\tbe\tVBD\tB-VP\tO' +p76881 +aS'slightly\tslightly\tRB\tB-ADJP\tO' +p76882 +aS'slow\tslow\tJJ\tB-NP\tO' +p76883 +aS'but\tbut\tCC\tI-NP\tO' +p76884 +aS'equal\tequal\tJJ\tI-NP\tO' +p76885 +aS'and\tand\tCC\tI-NP\tO' +p76886 +aS'intact\tintact\tJJ\tI-NP\tO' +p76887 +aS'direct\tdirect\tJJ\tI-NP\tO' +p76888 +aS'and\tand\tCC\tI-NP\tO' +p76889 +aS'indirectly\tindirectly\tRB\tI-NP\tO' +p76890 +aS'.\t.\t.\tO\tO' +p76891 +asS'On the day of discharge the patient 's dressing was taken down completely and evaluation of the derma graft was made .' +p76892 +(lp76893 +S'On\tOn\tIN\tB-PP\tO' +p76894 +aS'the\tthe\tDT\tB-NP\tO' +p76895 +aS'day\tday\tNN\tI-NP\tO' +p76896 +aS'of\tof\tIN\tB-PP\tO' +p76897 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p76898 +aS'the\tthe\tDT\tB-NP\tO' +p76899 +aS'patient\tpatient\tNN\tI-NP\tO' +p76900 +aS''s\t'\tNNS\tI-NP\tO' +p76901 +aS'dressing\tdress\tVBG\tB-VP\tO' +p76902 +aS'was\tbe\tVBD\tB-VP\tO' +p76903 +aS'taken\ttake\tVBN\tI-VP\tO' +p76904 +aS'down\tdown\tRP\tB-PRT\tO' +p76905 +aS'completely\tcompletely\tRB\tB-ADVP\tO' +p76906 +aS'and\tand\tCC\tO\tO' +p76907 +aS'evaluation\tevaluation\tNN\tB-NP\tO' +p76908 +aS'of\tof\tIN\tB-PP\tO' +p76909 +aS'the\tthe\tDT\tB-NP\tO' +p76910 +aS'derma\tderma\tNN\tI-NP\tO' +p76911 +aS'graft\tgraft\tNN\tI-NP\tO' +p76912 +aS'was\tbe\tVBD\tB-VP\tO' +p76913 +aS'made\tmake\tVBN\tI-VP\tO' +p76914 +aS'.\t.\t.\tO\tO' +p76915 +asS'She was therefore transferred to the Retelk County Medical Center for further care .' +p76916 +(lp76917 +S'She\tShe\tPRP\tB-NP\tO' +p76918 +aS'was\tbe\tVBD\tB-VP\tO' +p76919 +aS'therefore\ttherefore\tRB\tI-VP\tO' +p76920 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p76921 +aS'to\tto\tTO\tB-PP\tO' +p76922 +aS'the\tthe\tDT\tB-NP\tO' +p76923 +aS'Retelk\tRetelk\tNNP\tI-NP\tO' +p76924 +aS'County\tCounty\tNNP\tI-NP\tO' +p76925 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p76926 +aS'Center\tCenter\tNNP\tI-NP\tO' +p76927 +aS'for\tfor\tIN\tB-PP\tO' +p76928 +aS'further\tfurther\tJJ\tB-NP\tO' +p76929 +aS'care\tcare\tNN\tI-NP\tO' +p76930 +aS'.\t.\t.\tO\tO' +p76931 +asS'This is a 64-year-old female with a history of hypertension , hypercholesterolemia , diabetes mellitus , and dilated cardiomyopathy ( with a transthoracic echocardiogram in 2016-01-13 showing an ejection fraction of 40% , posterior and inferior apical akinesis , and large left ventricular thrombus ).' +p76932 +(lp76933 +S'This\tThis\tDT\tB-NP\tO' +p76934 +aS'is\tbe\tVBZ\tB-VP\tO' +p76935 +aS'a\ta\tDT\tB-NP\tO' +p76936 +aS'64-year-old\t64-year-old\tJJ\tI-NP\tO' +p76937 +aS'female\tfemale\tNN\tI-NP\tO' +p76938 +aS'with\twith\tIN\tB-PP\tO' +p76939 +aS'a\ta\tDT\tB-NP\tO' +p76940 +aS'history\thistory\tNN\tI-NP\tO' +p76941 +aS'of\tof\tIN\tB-PP\tO' +p76942 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p76943 +aS',\t,\t,\tO\tO' +p76944 +aS'hypercholesterolemia\thypercholesterolemia\tNN\tB-NP\tO' +p76945 +aS',\t,\t,\tO\tO' +p76946 +aS'diabetes\tdiabetes\tNN\tB-NP\tO' +p76947 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p76948 +aS',\t,\t,\tO\tO' +p76949 +aS'and\tand\tCC\tO\tO' +p76950 +aS'dilated\tdilate\tVBN\tB-NP\tO' +p76951 +aS'cardiomyopathy\tcardiomyopathy\tNN\tI-NP\tO' +p76952 +aS'(\t(\t(\tO\tO' +p76953 +aS'with\twith\tIN\tB-PP\tO' +p76954 +aS'a\ta\tDT\tB-NP\tO' +p76955 +aS'transthoracic\ttransthoracic\tJJ\tI-NP\tO' +p76956 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p76957 +aS'in\tin\tIN\tB-PP\tO' +p76958 +aS'2016-01-13\t2016-01-13\tCD\tB-NP\tO' +p76959 +aS'showing\tshow\tVBG\tB-VP\tO' +p76960 +aS'an\tan\tDT\tB-NP\tO' +p76961 +aS'ejection\tejection\tNN\tI-NP\tO' +p76962 +aS'fraction\tfraction\tNN\tI-NP\tO' +p76963 +aS'of\tof\tIN\tB-PP\tO' +p76964 +aS'40%\t40%\tJJ\tB-NP\tO' +p76965 +aS',\t,\t,\tI-NP\tO' +p76966 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p76967 +aS'and\tand\tCC\tI-NP\tO' +p76968 +aS'inferior\tinferior\tJJ\tI-NP\tO' +p76969 +aS'apical\tapical\tJJ\tI-NP\tO' +p76970 +aS'akinesis\takinesis\tNN\tI-NP\tO' +p76971 +aS',\t,\t,\tO\tO' +p76972 +aS'and\tand\tCC\tO\tO' +p76973 +aS'large\tlarge\tJJ\tB-NP\tO' +p76974 +aS'left\tleft\tJJ\tI-NP\tO' +p76975 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p76976 +aS'thrombus\tthrombus\tNN\tI-NP\tO' +p76977 +aS').\t).\t.\tO\tO' +p76978 +asS'The patient lives with her husband and she has three children .' +p76979 +(lp76980 +S'The\tThe\tDT\tB-NP\tO' +p76981 +aS'patient\tpatient\tNN\tI-NP\tO' +p76982 +aS'lives\tlive\tVBZ\tB-VP\tO' +p76983 +aS'with\twith\tIN\tB-PP\tO' +p76984 +aS'her\ther\tPRP$\tB-NP\tO' +p76985 +aS'husband\thusband\tNN\tI-NP\tO' +p76986 +aS'and\tand\tCC\tO\tO' +p76987 +aS'she\tshe\tPRP\tB-NP\tO' +p76988 +aS'has\thave\tVBZ\tB-VP\tO' +p76989 +aS'three\tthree\tCD\tB-NP\tO' +p76990 +aS'children\tchild\tNNS\tI-NP\tO' +p76991 +aS'.\t.\t.\tO\tO' +p76992 +asS'Right parietal occipital temporal tumor .' +p76993 +(lp76994 +S'Right\tRight\tRB\tB-NP\tO' +p76995 +aS'parietal\tparietal\tJJ\tI-NP\tO' +p76996 +aS'occipital\toccipital\tNN\tI-NP\tO' +p76997 +aS'temporal\ttemporal\tJJ\tI-NP\tO' +p76998 +aS'tumor\ttumor\tNN\tI-NP\tO' +p76999 +aS'.\t.\t.\tO\tO' +p77000 +asS'She will have AH for support .' +p77001 +(lp77002 +S'She\tShe\tPRP\tB-NP\tO' +p77003 +aS'will\twill\tMD\tB-VP\tO' +p77004 +aS'have\thave\tVB\tI-VP\tO' +p77005 +aS'AH\tAH\tNN\tB-NP\tO' +p77006 +aS'for\tfor\tIN\tB-PP\tO' +p77007 +aS'support\tsupport\tNN\tB-NP\tO' +p77008 +aS'.\t.\t.\tO\tO' +p77009 +asS'1. Ascorbic Acid 500 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ) .' +p77010 +(lp77011 +S'1.\t1.\tLS\tB-NP\tO' +p77012 +aS'Ascorbic\tAscorbic\tNNP\tI-NP\tO' +p77013 +aS'Acid\tAcid\tNNP\tI-NP\tO' +p77014 +aS'500\t500\tCD\tI-NP\tO' +p77015 +aS'mg\tmg\tNN\tI-NP\tO' +p77016 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p77017 +aS'Sig\tSig\tNNP\tI-NP\tO' +p77018 +aS':\t:\t:\tO\tO' +p77019 +aS'One\tOne\tCD\tB-NP\tO' +p77020 +aS'(\t(\t(\tO\tO' +p77021 +aS'1\t1\tCD\tB-NP\tO' +p77022 +aS')\t)\t)\tO\tO' +p77023 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p77024 +aS'PO\tPO\tNN\tI-NP\tO' +p77025 +aS'BID\tBID\tNN\tI-NP\tO' +p77026 +aS'(\t(\t(\tO\tO' +p77027 +aS'2\t2\tCD\tB-NP\tO' +p77028 +aS'times\ttime\tNNS\tI-NP\tO' +p77029 +aS'a\ta\tDT\tB-NP\tO' +p77030 +aS'day\tday\tNN\tI-NP\tO' +p77031 +aS')\t)\t)\tO\tO' +p77032 +aS'.\t.\t.\tO\tO' +p77033 +asS'Pt had HIDA scan which was negative for obstruction , and CT was unremarkable .' +p77034 +(lp77035 +S'Pt\tPt\tNN\tB-NP\tO' +p77036 +aS'had\thave\tVBD\tB-VP\tO' +p77037 +aS'HIDA\tHIDA\tNN\tB-NP\tO' +p77038 +aS'scan\tscan\tNN\tI-NP\tO' +p77039 +aS'which\twhich\tWDT\tB-NP\tO' +p77040 +aS'was\tbe\tVBD\tB-VP\tO' +p77041 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p77042 +aS'for\tfor\tIN\tB-PP\tO' +p77043 +aS'obstruction\tobstruction\tNN\tB-NP\tO' +p77044 +aS',\t,\t,\tO\tO' +p77045 +aS'and\tand\tCC\tO\tO' +p77046 +aS'CT\tCT\tNN\tB-NP\tB-protein' +p77047 +aS'was\tbe\tVBD\tB-VP\tO' +p77048 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p77049 +aS'.\t.\t.\tO\tO' +p77050 +asS'Transferred to Mediplex Rehab Hospital for further work up .' +p77051 +(lp77052 +S'Transferred\tTransfer\tVBN\tB-VP\tO' +p77053 +aS'to\tto\tTO\tB-PP\tO' +p77054 +aS'Mediplex\tMediplex\tNNP\tB-NP\tO' +p77055 +aS'Rehab\tRehab\tNNP\tI-NP\tO' +p77056 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p77057 +aS'for\tfor\tIN\tB-PP\tO' +p77058 +aS'further\tfurther\tJJ\tB-NP\tO' +p77059 +aS'work\twork\tNN\tI-NP\tO' +p77060 +aS'up\tup\tRP\tB-PRT\tO' +p77061 +aS'.\t.\t.\tO\tO' +p77062 +asS'crackles at both bases , kyphotic , no costovertebral angle tenderness .' +p77063 +(lp77064 +S'crackles\tcrackle\tNNS\tB-NP\tO' +p77065 +aS'at\tat\tIN\tB-PP\tO' +p77066 +aS'both\tboth\tDT\tB-NP\tO' +p77067 +aS'bases\tbase\tNNS\tI-NP\tO' +p77068 +aS',\t,\t,\tO\tO' +p77069 +aS'kyphotic\tkyphotic\tJJ\tB-ADJP\tO' +p77070 +aS',\t,\t,\tO\tO' +p77071 +aS'no\tno\tDT\tB-NP\tO' +p77072 +aS'costovertebral\tcostovertebral\tJJ\tI-NP\tO' +p77073 +aS'angle\tangle\tNN\tI-NP\tO' +p77074 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p77075 +aS'.\t.\t.\tO\tO' +p77076 +asS'The procedure was performed by Dr. Streeter and assisted by Dr . .....................' +p77077 +(lp77078 +S'The\tThe\tDT\tB-NP\tO' +p77079 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p77080 +aS'was\tbe\tVBD\tB-VP\tO' +p77081 +aS'performed\tperform\tVBN\tI-VP\tO' +p77082 +aS'by\tby\tIN\tB-PP\tO' +p77083 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p77084 +aS'Streeter\tStreeter\tNNP\tI-NP\tO' +p77085 +aS'and\tand\tCC\tO\tO' +p77086 +aS'assisted\tassist\tVBN\tB-VP\tO' +p77087 +aS'by\tby\tIN\tB-PP\tO' +p77088 +aS'Dr\tDr\tNNP\tB-NP\tO' +p77089 +aS'.\t.\t.\tO\tO' +p77090 +aS'.....................\t.....................\t:\tO\tO' +p77091 +asS'A patent right internal mammary artery to the left anterior descending artery and diagonal was noted , and a patent saphenous vein graft to the posterior descending artery was present .' +p77092 +(lp77093 +S'A\tA\tDT\tB-NP\tO' +p77094 +aS'patent\tpatent\tNN\tI-NP\tO' +p77095 +aS'right\tright\tJJ\tI-NP\tO' +p77096 +aS'internal\tinternal\tJJ\tI-NP\tO' +p77097 +aS'mammary\tmammary\tJJ\tI-NP\tO' +p77098 +aS'artery\tartery\tNN\tI-NP\tO' +p77099 +aS'to\tto\tTO\tB-PP\tO' +p77100 +aS'the\tthe\tDT\tB-NP\tO' +p77101 +aS'left\tleft\tJJ\tI-NP\tO' +p77102 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p77103 +aS'descending\tdescend\tVBG\tI-NP\tO' +p77104 +aS'artery\tartery\tNN\tI-NP\tO' +p77105 +aS'and\tand\tCC\tI-NP\tO' +p77106 +aS'diagonal\tdiagonal\tNN\tI-NP\tO' +p77107 +aS'was\tbe\tVBD\tB-VP\tO' +p77108 +aS'noted\tnote\tVBN\tI-VP\tO' +p77109 +aS',\t,\t,\tO\tO' +p77110 +aS'and\tand\tCC\tO\tO' +p77111 +aS'a\ta\tDT\tB-NP\tO' +p77112 +aS'patent\tpatent\tNN\tI-NP\tO' +p77113 +aS'saphenous\tsaphenous\tJJ\tI-NP\tO' +p77114 +aS'vein\tvein\tNN\tI-NP\tO' +p77115 +aS'graft\tgraft\tNN\tI-NP\tO' +p77116 +aS'to\tto\tTO\tB-PP\tO' +p77117 +aS'the\tthe\tDT\tB-NP\tO' +p77118 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p77119 +aS'descending\tdescend\tVBG\tI-NP\tO' +p77120 +aS'artery\tartery\tNN\tI-NP\tO' +p77121 +aS'was\tbe\tVBD\tB-VP\tO' +p77122 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p77123 +aS'.\t.\t.\tO\tO' +p77124 +asS'Right lower extremity necrosing fascitis history of prostate cancer s/p TURP glaucoma' +p77125 +(lp77126 +S'Right\tRight\tRB\tB-NP\tO' +p77127 +aS'lower\tlow\tJJR\tI-NP\tO' +p77128 +aS'extremity\textremity\tNN\tI-NP\tO' +p77129 +aS'necrosing\tnecrose\tVBG\tB-VP\tO' +p77130 +aS'fascitis\tfascitis\tNN\tB-NP\tO' +p77131 +aS'history\thistory\tNN\tI-NP\tO' +p77132 +aS'of\tof\tIN\tB-PP\tO' +p77133 +aS'prostate\tprostate\tNN\tB-NP\tO' +p77134 +aS'cancer\tcancer\tNN\tI-NP\tO' +p77135 +aS's/p\ts/p\tNN\tI-NP\tO' +p77136 +aS'TURP\tTURP\tNN\tI-NP\tO' +p77137 +aS'glaucoma\tglaucoma\tNN\tI-NP\tO' +p77138 +asS'She was discharged to the PACU in stable condition .' +p77139 +(lp77140 +S'She\tShe\tPRP\tB-NP\tO' +p77141 +aS'was\tbe\tVBD\tB-VP\tO' +p77142 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p77143 +aS'to\tto\tTO\tB-PP\tO' +p77144 +aS'the\tthe\tDT\tB-NP\tO' +p77145 +aS'PACU\tPACU\tNN\tI-NP\tB-DNA' +p77146 +aS'in\tin\tIN\tB-PP\tO' +p77147 +aS'stable\tstable\tJJ\tB-NP\tO' +p77148 +aS'condition\tcondition\tNN\tI-NP\tO' +p77149 +aS'.\t.\t.\tO\tO' +p77150 +asS'Increased flow again .' +p77151 +(lp77152 +S'Increased\tIncrease\tVBN\tB-NP\tO' +p77153 +aS'flow\tflow\tNN\tI-NP\tO' +p77154 +aS'again\tagain\tRB\tB-ADVP\tO' +p77155 +aS'.\t.\t.\tO\tO' +p77156 +asS'14. Epogen 40,000 unit / mL Solution Sig : One ( 1 ) ml Injection once a week .' +p77157 +(lp77158 +S'14.\t14.\tLS\tB-NP\tO' +p77159 +aS'Epogen\tEpogen\tNN\tI-NP\tB-protein' +p77160 +aS'40,000\t40,000\tCD\tI-NP\tI-protein' +p77161 +aS'unit\tunit\tNN\tI-NP\tI-protein' +p77162 +aS'/\t/\tSYM\tB-NP\tO' +p77163 +aS'mL\tmL\tNN\tI-NP\tO' +p77164 +aS'Solution\tSolution\tNNP\tI-NP\tO' +p77165 +aS'Sig\tSig\tNNP\tI-NP\tO' +p77166 +aS':\t:\t:\tO\tO' +p77167 +aS'One\tOne\tCD\tB-NP\tO' +p77168 +aS'(\t(\t(\tO\tO' +p77169 +aS'1\t1\tCD\tB-NP\tO' +p77170 +aS')\t)\t)\tO\tO' +p77171 +aS'ml\tml\tNN\tB-NP\tO' +p77172 +aS'Injection\tInjection\tNN\tI-NP\tO' +p77173 +aS'once\tonce\tRB\tO\tO' +p77174 +aS'a\ta\tDT\tB-NP\tO' +p77175 +aS'week\tweek\tNN\tI-NP\tO' +p77176 +aS'.\t.\t.\tO\tO' +p77177 +asS'She did receive intravenous K-Phos for a low phosphorous of 1.5 .' +p77178 +(lp77179 +S'She\tShe\tPRP\tB-NP\tO' +p77180 +aS'did\tdo\tVBD\tB-VP\tO' +p77181 +aS'receive\treceive\tVB\tI-VP\tO' +p77182 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p77183 +aS'K-Phos\tK-Phos\tNNP\tI-NP\tO' +p77184 +aS'for\tfor\tIN\tB-PP\tO' +p77185 +aS'a\ta\tDT\tB-NP\tO' +p77186 +aS'low\tlow\tJJ\tI-NP\tO' +p77187 +aS'phosphorous\tphosphorous\tNN\tI-NP\tO' +p77188 +aS'of\tof\tIN\tB-PP\tO' +p77189 +aS'1.5\t1.5\tCD\tB-NP\tO' +p77190 +aS'.\t.\t.\tO\tO' +p77191 +asS'SENSORY : Hearing screen has not yet been performed but should be done prior to discharge .' +p77192 +(lp77193 +S'SENSORY\tSENSORY\tNN\tB-NP\tO' +p77194 +aS':\t:\t:\tO\tO' +p77195 +aS'Hearing\tHear\tVBG\tB-VP\tO' +p77196 +aS'screen\tscreen\tNN\tB-NP\tO' +p77197 +aS'has\thave\tVBZ\tB-VP\tO' +p77198 +aS'not\tnot\tRB\tI-VP\tO' +p77199 +aS'yet\tyet\tRB\tI-VP\tO' +p77200 +aS'been\tbe\tVBN\tI-VP\tO' +p77201 +aS'performed\tperform\tVBN\tI-VP\tO' +p77202 +aS'but\tbut\tCC\tO\tO' +p77203 +aS'should\tshould\tMD\tB-VP\tO' +p77204 +aS'be\tbe\tVB\tI-VP\tO' +p77205 +aS'done\tdo\tVBN\tI-VP\tO' +p77206 +aS'prior\tprior\tRB\tB-ADVP\tO' +p77207 +aS'to\tto\tTO\tB-VP\tO' +p77208 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p77209 +aS'.\t.\t.\tO\tO' +p77210 +asS'Raymond required some intermittent blow-by oxygen for the first two hours of birth .' +p77211 +(lp77212 +S'Raymond\tRaymond\tNN\tB-NP\tO' +p77213 +aS'required\trequire\tVBD\tB-VP\tO' +p77214 +aS'some\tsome\tDT\tB-NP\tO' +p77215 +aS'intermittent\tintermittent\tJJ\tI-NP\tO' +p77216 +aS'blow-by\tblow-by\tJJ\tI-NP\tO' +p77217 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p77218 +aS'for\tfor\tIN\tB-PP\tO' +p77219 +aS'the\tthe\tDT\tB-NP\tO' +p77220 +aS'first\tfirst\tJJ\tI-NP\tO' +p77221 +aS'two\ttwo\tCD\tI-NP\tO' +p77222 +aS'hours\thour\tNNS\tI-NP\tO' +p77223 +aS'of\tof\tIN\tB-PP\tO' +p77224 +aS'birth\tbirth\tNN\tB-NP\tO' +p77225 +aS'.\t.\t.\tO\tO' +p77226 +asS'A lumbar puncture was obtained which showed normal pressure and no cells .' +p77227 +(lp77228 +S'A\tA\tDT\tB-NP\tO' +p77229 +aS'lumbar\tlumbar\tNN\tI-NP\tO' +p77230 +aS'puncture\tpuncture\tNN\tI-NP\tO' +p77231 +aS'was\tbe\tVBD\tB-VP\tO' +p77232 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p77233 +aS'which\twhich\tWDT\tB-NP\tO' +p77234 +aS'showed\tshow\tVBD\tB-VP\tO' +p77235 +aS'normal\tnormal\tJJ\tB-NP\tO' +p77236 +aS'pressure\tpressure\tNN\tI-NP\tO' +p77237 +aS'and\tand\tCC\tO\tO' +p77238 +aS'no\tno\tDT\tB-NP\tO' +p77239 +aS'cells\tcell\tNNS\tI-NP\tO' +p77240 +aS'.\t.\t.\tO\tO' +p77241 +asS'2016-09-30 non-ST-elevation myocardial infarction , 100% RCA , three stents , 50% mid LAD .' +p77242 +(lp77243 +S'2016-09-30\t2016-09-30\tCD\tB-NP\tO' +p77244 +aS'non-ST-elevation\tnon-ST-elevation\tJJ\tI-NP\tO' +p77245 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p77246 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p77247 +aS',\t,\t,\tO\tO' +p77248 +aS'100%\t100%\tCD\tB-NP\tO' +p77249 +aS'RCA\tRCA\tNNP\tI-NP\tO' +p77250 +aS',\t,\t,\tO\tO' +p77251 +aS'three\tthree\tCD\tB-NP\tO' +p77252 +aS'stents\tstent\tNNS\tI-NP\tO' +p77253 +aS',\t,\t,\tO\tO' +p77254 +aS'50%\t50%\tCD\tB-NP\tO' +p77255 +aS'mid\tmid\tJJ\tI-NP\tO' +p77256 +aS'LAD\tLAD\tNN\tI-NP\tO' +p77257 +aS'.\t.\t.\tO\tO' +p77258 +asS'No left ventricular thrombus is seen .' +p77259 +(lp77260 +S'No\tNo\tDT\tB-NP\tO' +p77261 +aS'left\tleft\tJJ\tI-NP\tO' +p77262 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p77263 +aS'thrombus\tthrombus\tNN\tI-NP\tO' +p77264 +aS'is\tbe\tVBZ\tB-VP\tO' +p77265 +aS'seen\tsee\tVBN\tI-VP\tO' +p77266 +aS'.\t.\t.\tO\tO' +p77267 +asS'The patient is completely pacer-dependent , being epicardially paced at 70 .' +p77268 +(lp77269 +S'The\tThe\tDT\tB-NP\tO' +p77270 +aS'patient\tpatient\tNN\tI-NP\tO' +p77271 +aS'is\tbe\tVBZ\tB-VP\tO' +p77272 +aS'completely\tcompletely\tRB\tB-ADJP\tO' +p77273 +aS'pacer-dependent\tpacer-dependent\tJJ\tI-ADJP\tO' +p77274 +aS',\t,\t,\tO\tO' +p77275 +aS'being\tbe\tVBG\tB-VP\tO' +p77276 +aS'epicardially\tepicardially\tRB\tI-VP\tO' +p77277 +aS'paced\tpace\tVBN\tI-VP\tO' +p77278 +aS'at\tat\tIN\tB-PP\tO' +p77279 +aS'70\t70\tCD\tB-NP\tO' +p77280 +aS'.\t.\t.\tO\tO' +p77281 +asS'She complained of a sore throat which was likely the etiology of her atypical chest complaints .' +p77282 +(lp77283 +S'She\tShe\tPRP\tB-NP\tO' +p77284 +aS'complained\tcomplain\tVBD\tB-VP\tO' +p77285 +aS'of\tof\tIN\tB-PP\tO' +p77286 +aS'a\ta\tDT\tB-NP\tO' +p77287 +aS'sore\tsore\tJJ\tI-NP\tO' +p77288 +aS'throat\tthroat\tNN\tI-NP\tO' +p77289 +aS'which\twhich\tWDT\tB-NP\tO' +p77290 +aS'was\tbe\tVBD\tB-VP\tO' +p77291 +aS'likely\tlikely\tRB\tB-ADJP\tO' +p77292 +aS'the\tthe\tDT\tB-NP\tO' +p77293 +aS'etiology\tetiology\tNN\tI-NP\tO' +p77294 +aS'of\tof\tIN\tB-PP\tO' +p77295 +aS'her\ther\tPRP$\tB-NP\tO' +p77296 +aS'atypical\tatypical\tJJ\tI-NP\tO' +p77297 +aS'chest\tchest\tNN\tI-NP\tO' +p77298 +aS'complaints\tcomplaint\tNNS\tI-NP\tO' +p77299 +aS'.\t.\t.\tO\tO' +p77300 +asS'4. Humalog and Regular insulin subcutaneously .' +p77301 +(lp77302 +S'4.\t4.\tLS\tB-NP\tO' +p77303 +aS'Humalog\tHumalog\tNN\tI-NP\tO' +p77304 +aS'and\tand\tCC\tO\tO' +p77305 +aS'Regular\tRegular\tJJ\tB-NP\tB-protein' +p77306 +aS'insulin\tinsulin\tNN\tI-NP\tI-protein' +p77307 +aS'subcutaneously\tsubcutaneously\tRB\tB-ADVP\tO' +p77308 +aS'.\t.\t.\tO\tO' +p77309 +asS"The patient 's wife was notified ." +p77310 +(lp77311 +S'The\tThe\tDT\tB-NP\tO' +p77312 +aS'patient\tpatient\tNN\tI-NP\tO' +p77313 +aS"'s\t's\tPOS\tB-NP\tO" +p77314 +aS'wife\twife\tNN\tI-NP\tO' +p77315 +aS'was\tbe\tVBD\tB-VP\tO' +p77316 +aS'notified\tnotify\tVBN\tI-VP\tO' +p77317 +aS'.\t.\t.\tO\tO' +p77318 +asS'1. 7-cm diameter right neck mass , with direct invasion of the subglottic , cervical and proximal thoracic trachea .' +p77319 +(lp77320 +S'1.\t1.\tLS\tB-NP\tO' +p77321 +aS'7-cm\t7-cm\tNN\tI-NP\tO' +p77322 +aS'diameter\tdiameter\tNN\tI-NP\tO' +p77323 +aS'right\tright\tJJ\tI-NP\tO' +p77324 +aS'neck\tneck\tNN\tI-NP\tO' +p77325 +aS'mass\tmass\tNN\tI-NP\tO' +p77326 +aS',\t,\t,\tO\tO' +p77327 +aS'with\twith\tIN\tB-PP\tO' +p77328 +aS'direct\tdirect\tJJ\tB-NP\tO' +p77329 +aS'invasion\tinvasion\tNN\tI-NP\tO' +p77330 +aS'of\tof\tIN\tB-PP\tO' +p77331 +aS'the\tthe\tDT\tB-NP\tO' +p77332 +aS'subglottic\tsubglottic\tJJ\tI-NP\tO' +p77333 +aS',\t,\t,\tI-NP\tO' +p77334 +aS'cervical\tcervical\tJJ\tI-NP\tO' +p77335 +aS'and\tand\tCC\tI-NP\tO' +p77336 +aS'proximal\tproximal\tJJ\tI-NP\tO' +p77337 +aS'thoracic\tthoracic\tJJ\tI-NP\tO' +p77338 +aS'trachea\ttrachea\tNN\tI-NP\tO' +p77339 +aS'.\t.\t.\tO\tO' +p77340 +asS'The infant has had two spontaneous desaturations which quickly self-resolved on day of life one .' +p77341 +(lp77342 +S'The\tThe\tDT\tB-NP\tO' +p77343 +aS'infant\tinfant\tNN\tI-NP\tO' +p77344 +aS'has\thave\tVBZ\tB-VP\tO' +p77345 +aS'had\thave\tVBD\tI-VP\tO' +p77346 +aS'two\ttwo\tCD\tB-NP\tO' +p77347 +aS'spontaneous\tspontaneous\tJJ\tI-NP\tO' +p77348 +aS'desaturations\tdesaturation\tNNS\tI-NP\tO' +p77349 +aS'which\twhich\tWDT\tB-NP\tO' +p77350 +aS'quickly\tquickly\tRB\tB-ADVP\tO' +p77351 +aS'self-resolved\tself-resolve\tVBD\tB-VP\tO' +p77352 +aS'on\ton\tIN\tB-PP\tO' +p77353 +aS'day\tday\tNN\tB-NP\tO' +p77354 +aS'of\tof\tIN\tB-PP\tO' +p77355 +aS'life\tlife\tNN\tB-NP\tO' +p77356 +aS'one\tone\tCD\tI-NP\tO' +p77357 +aS'.\t.\t.\tO\tO' +p77358 +asS'When she was taking clear liquids , her pain medication was switched to p.o. pain regimen with good affect .' +p77359 +(lp77360 +S'When\tWhen\tWRB\tB-ADVP\tO' +p77361 +aS'she\tshe\tPRP\tB-NP\tO' +p77362 +aS'was\tbe\tVBD\tB-VP\tO' +p77363 +aS'taking\ttake\tVBG\tI-VP\tO' +p77364 +aS'clear\tclear\tJJ\tB-NP\tO' +p77365 +aS'liquids\tliquid\tNNS\tI-NP\tO' +p77366 +aS',\t,\t,\tO\tO' +p77367 +aS'her\ther\tPRP$\tB-NP\tO' +p77368 +aS'pain\tpain\tNN\tI-NP\tO' +p77369 +aS'medication\tmedication\tNN\tI-NP\tO' +p77370 +aS'was\tbe\tVBD\tB-VP\tO' +p77371 +aS'switched\tswitch\tVBN\tI-VP\tO' +p77372 +aS'to\tto\tTO\tI-VP\tO' +p77373 +aS'p.o.\tp.o.\tVB\tI-VP\tO' +p77374 +aS'pain\tpain\tNN\tB-NP\tO' +p77375 +aS'regimen\tregimen\tNN\tI-NP\tO' +p77376 +aS'with\twith\tIN\tB-PP\tO' +p77377 +aS'good\tgood\tJJ\tB-NP\tO' +p77378 +aS'affect\taffect\tNN\tI-NP\tO' +p77379 +aS'.\t.\t.\tO\tO' +p77380 +asS'Pulmonary clear to auscultation anteriorly .' +p77381 +(lp77382 +S'Pulmonary\tPulmonary\tJJ\tB-NP\tO' +p77383 +aS'clear\tclear\tJJ\tI-NP\tO' +p77384 +aS'to\tto\tTO\tB-PP\tO' +p77385 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p77386 +aS'anteriorly\tanteriorly\tRB\tB-ADVP\tO' +p77387 +aS'.\t.\t.\tO\tO' +p77388 +asS'He was continued on a proton pump inhibitor and on iron sulfate and vitamin C .' +p77389 +(lp77390 +S'He\tHe\tPRP\tB-NP\tO' +p77391 +aS'was\tbe\tVBD\tB-VP\tO' +p77392 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p77393 +aS'on\ton\tIN\tB-PP\tO' +p77394 +aS'a\ta\tDT\tB-NP\tO' +p77395 +aS'proton\tproton\tNN\tI-NP\tO' +p77396 +aS'pump\tpump\tNN\tI-NP\tO' +p77397 +aS'inhibitor\tinhibitor\tNN\tI-NP\tO' +p77398 +aS'and\tand\tCC\tB-PP\tO' +p77399 +aS'on\ton\tIN\tB-PP\tO' +p77400 +aS'iron\tiron\tNN\tB-NP\tO' +p77401 +aS'sulfate\tsulfate\tNN\tI-NP\tO' +p77402 +aS'and\tand\tCC\tO\tO' +p77403 +aS'vitamin\tvitamin\tNN\tB-NP\tO' +p77404 +aS'C\tC\tNN\tI-NP\tO' +p77405 +aS'.\t.\t.\tO\tO' +p77406 +asS'Atrial fibrillation , occasional V-paced , rate 74 .' +p77407 +(lp77408 +S'Atrial\tAtrial\tJJ\tB-NP\tO' +p77409 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p77410 +aS',\t,\t,\tO\tO' +p77411 +aS'occasional\toccasional\tJJ\tB-NP\tO' +p77412 +aS'V-paced\tV-paced\tJJ\tI-NP\tO' +p77413 +aS',\t,\t,\tI-NP\tO' +p77414 +aS'rate\trate\tNN\tI-NP\tO' +p77415 +aS'74\t74\tCD\tI-NP\tO' +p77416 +aS'.\t.\t.\tO\tO' +p77417 +asS'Head CT negative .' +p77418 +(lp77419 +S'Head\tHead\tJJ\tB-NP\tO' +p77420 +aS'CT\tCT\tNN\tI-NP\tO' +p77421 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p77422 +aS'.\t.\t.\tO\tO' +p77423 +asS'CN - Pupil 3 to 2 mm reactive bilaterally .' +p77424 +(lp77425 +S'CN\tCN\tNN\tB-NP\tB-protein' +p77426 +aS'-\t-\tHYPH\tO\tO' +p77427 +aS'Pupil\tPupil\tNN\tB-NP\tB-protein' +p77428 +aS'3\t3\tCD\tI-NP\tI-protein' +p77429 +aS'to\tto\tTO\tI-NP\tO' +p77430 +aS'2\t2\tCD\tI-NP\tO' +p77431 +aS'mm\tmm\tNN\tI-NP\tO' +p77432 +aS'reactive\treactive\tJJ\tB-ADJP\tO' +p77433 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p77434 +aS'.\t.\t.\tO\tO' +p77435 +asS'SON RHALT , SUBINTERN .' +p77436 +(lp77437 +S'SON\tSON\tNNP\tB-NP\tO' +p77438 +aS'RHALT\tRHALT\tNNP\tI-NP\tO' +p77439 +aS',\t,\t,\tO\tO' +p77440 +aS'SUBINTERN\tSUBINTERN\tNNP\tB-NP\tO' +p77441 +aS'.\t.\t.\tO\tO' +p77442 +asS'The patient was admitted and underwent celiac and superior mesenteric artery angiography which demonstrated a patent celiac and superior mesenteric artery with normal branching pattern .' +p77443 +(lp77444 +S'The\tThe\tDT\tB-NP\tO' +p77445 +aS'patient\tpatient\tNN\tI-NP\tO' +p77446 +aS'was\tbe\tVBD\tB-VP\tO' +p77447 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p77448 +aS'and\tand\tCC\tO\tO' +p77449 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p77450 +aS'celiac\tceliac\tJJ\tB-NP\tO' +p77451 +aS'and\tand\tCC\tI-NP\tO' +p77452 +aS'superior\tsuperior\tJJ\tI-NP\tO' +p77453 +aS'mesenteric\tmesenteric\tJJ\tI-NP\tO' +p77454 +aS'artery\tartery\tNN\tI-NP\tO' +p77455 +aS'angiography\tangiography\tNN\tI-NP\tO' +p77456 +aS'which\twhich\tWDT\tB-NP\tO' +p77457 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p77458 +aS'a\ta\tDT\tB-NP\tO' +p77459 +aS'patent\tpatent\tNN\tI-NP\tO' +p77460 +aS'celiac\tceliac\tNN\tI-NP\tO' +p77461 +aS'and\tand\tCC\tO\tO' +p77462 +aS'superior\tsuperior\tJJ\tB-NP\tO' +p77463 +aS'mesenteric\tmesenteric\tJJ\tI-NP\tO' +p77464 +aS'artery\tartery\tNN\tI-NP\tO' +p77465 +aS'with\twith\tIN\tB-PP\tO' +p77466 +aS'normal\tnormal\tJJ\tB-NP\tO' +p77467 +aS'branching\tbranching\tNN\tI-NP\tO' +p77468 +aS'pattern\tpattern\tNN\tI-NP\tO' +p77469 +aS'.\t.\t.\tO\tO' +p77470 +asS'He has a remote tobacco history and reports occasional alcohol use .' +p77471 +(lp77472 +S'He\tHe\tPRP\tB-NP\tO' +p77473 +aS'has\thave\tVBZ\tB-VP\tO' +p77474 +aS'a\ta\tDT\tB-NP\tO' +p77475 +aS'remote\tremote\tJJ\tI-NP\tO' +p77476 +aS'tobacco\ttobacco\tNN\tI-NP\tO' +p77477 +aS'history\thistory\tNN\tI-NP\tO' +p77478 +aS'and\tand\tCC\tO\tO' +p77479 +aS'reports\treport\tVBZ\tB-VP\tO' +p77480 +aS'occasional\toccasional\tJJ\tB-NP\tO' +p77481 +aS'alcohol\talcohol\tNN\tI-NP\tO' +p77482 +aS'use\tuse\tNN\tI-NP\tO' +p77483 +aS'.\t.\t.\tO\tO' +p77484 +asS'Bone marrow biopsy was not attempted .' +p77485 +(lp77486 +S'Bone\tBone\tNN\tB-NP\tO' +p77487 +aS'marrow\tmarrow\tNN\tI-NP\tO' +p77488 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p77489 +aS'was\tbe\tVBD\tB-VP\tO' +p77490 +aS'not\tnot\tRB\tI-VP\tO' +p77491 +aS'attempted\tattempt\tVBN\tI-VP\tO' +p77492 +aS'.\t.\t.\tO\tO' +p77493 +asS'Appointment to be scheduled by mom .' +p77494 +(lp77495 +S'Appointment\tAppointment\tNN\tB-NP\tO' +p77496 +aS'to\tto\tTO\tB-VP\tO' +p77497 +aS'be\tbe\tVB\tI-VP\tO' +p77498 +aS'scheduled\tschedule\tVBN\tI-VP\tO' +p77499 +aS'by\tby\tIN\tB-PP\tO' +p77500 +aS'mom\tmom\tNN\tB-NP\tO' +p77501 +aS'.\t.\t.\tO\tO' +p77502 +asS'She was discharged from there on Coumadin therapy .' +p77503 +(lp77504 +S'She\tShe\tPRP\tB-NP\tO' +p77505 +aS'was\tbe\tVBD\tB-VP\tO' +p77506 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p77507 +aS'from\tfrom\tIN\tB-PP\tO' +p77508 +aS'there\tthere\tRB\tB-NP\tO' +p77509 +aS'on\ton\tIN\tB-PP\tO' +p77510 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p77511 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p77512 +aS'.\t.\t.\tO\tO' +p77513 +asS'Do not drive for 4 weeks .' +p77514 +(lp77515 +S'Do\tDo\tVBP\tB-VP\tO' +p77516 +aS'not\tnot\tRB\tI-VP\tO' +p77517 +aS'drive\tdrive\tVB\tI-VP\tO' +p77518 +aS'for\tfor\tIN\tB-PP\tO' +p77519 +aS'4\t4\tCD\tB-NP\tO' +p77520 +aS'weeks\tweek\tNNS\tI-NP\tO' +p77521 +aS'.\t.\t.\tO\tO' +p77522 +asS'7. No vegetation / mass is seen on the pulmonic valve .' +p77523 +(lp77524 +S'7.\t7.\tLS\tB-LST\tO' +p77525 +aS'No\tNo\tDT\tB-NP\tO' +p77526 +aS'vegetation\tvegetation\tNN\tI-NP\tO' +p77527 +aS'/\t/\tSYM\tB-NP\tO' +p77528 +aS'mass\tmass\tNN\tI-NP\tO' +p77529 +aS'is\tbe\tVBZ\tB-VP\tO' +p77530 +aS'seen\tsee\tVBN\tI-VP\tO' +p77531 +aS'on\ton\tIN\tB-PP\tO' +p77532 +aS'the\tthe\tDT\tB-NP\tO' +p77533 +aS'pulmonic\tpulmonic\tJJ\tI-NP\tO' +p77534 +aS'valve\tvalve\tNN\tI-NP\tO' +p77535 +aS'.\t.\t.\tO\tO' +p77536 +asS'She started on iron and vitamin E supplements on day of life 25 and continues on that at this time of transfer .' +p77537 +(lp77538 +S'She\tShe\tPRP\tB-NP\tO' +p77539 +aS'started\tstart\tVBD\tB-VP\tO' +p77540 +aS'on\ton\tIN\tB-PP\tO' +p77541 +aS'iron\tiron\tNN\tB-NP\tO' +p77542 +aS'and\tand\tCC\tI-NP\tO' +p77543 +aS'vitamin\tvitamin\tNN\tI-NP\tO' +p77544 +aS'E\tE\tNN\tI-NP\tO' +p77545 +aS'supplements\tsupplement\tNNS\tI-NP\tO' +p77546 +aS'on\ton\tIN\tB-PP\tO' +p77547 +aS'day\tday\tNN\tB-NP\tO' +p77548 +aS'of\tof\tIN\tB-PP\tO' +p77549 +aS'life\tlife\tNN\tB-NP\tO' +p77550 +aS'25\t25\tCD\tI-NP\tO' +p77551 +aS'and\tand\tCC\tO\tO' +p77552 +aS'continues\tcontinue\tVBZ\tB-VP\tO' +p77553 +aS'on\ton\tIN\tB-PP\tO' +p77554 +aS'that\tthat\tDT\tB-NP\tO' +p77555 +aS'at\tat\tIN\tB-PP\tO' +p77556 +aS'this\tthis\tDT\tB-NP\tO' +p77557 +aS'time\ttime\tNN\tI-NP\tO' +p77558 +aS'of\tof\tIN\tB-PP\tO' +p77559 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p77560 +aS'.\t.\t.\tO\tO' +p77561 +asS'The patient is an 87-year-old male with stage D prostate was cancer , was admitted for fluid hydration on the 10th of March .' +p77562 +(lp77563 +S'The\tThe\tDT\tB-NP\tO' +p77564 +aS'patient\tpatient\tNN\tI-NP\tO' +p77565 +aS'is\tbe\tVBZ\tB-VP\tO' +p77566 +aS'an\tan\tDT\tB-NP\tO' +p77567 +aS'87-year-old\t87-year-old\tJJ\tI-NP\tO' +p77568 +aS'male\tmale\tNN\tI-NP\tO' +p77569 +aS'with\twith\tIN\tB-PP\tO' +p77570 +aS'stage\tstage\tNN\tB-NP\tO' +p77571 +aS'D\tD\tNN\tI-NP\tO' +p77572 +aS'prostate\tprostate\tNN\tI-NP\tO' +p77573 +aS'was\tbe\tVBD\tB-VP\tO' +p77574 +aS'cancer\tcancer\tNN\tB-NP\tO' +p77575 +aS',\t,\t,\tO\tO' +p77576 +aS'was\tbe\tVBD\tB-VP\tO' +p77577 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p77578 +aS'for\tfor\tIN\tB-PP\tO' +p77579 +aS'fluid\tfluid\tNN\tB-NP\tO' +p77580 +aS'hydration\thydration\tNN\tI-NP\tO' +p77581 +aS'on\ton\tIN\tB-PP\tO' +p77582 +aS'the\tthe\tDT\tB-NP\tO' +p77583 +aS'10th\t10th\tCD\tI-NP\tO' +p77584 +aS'of\tof\tIN\tB-PP\tO' +p77585 +aS'March\tMarch\tNNP\tB-NP\tO' +p77586 +aS'.\t.\t.\tO\tO' +p77587 +asS'The patient has a 50 pack year history of tobacco and quit 10 years ago ; also , a history of ethanol abuse .' +p77588 +(lp77589 +S'The\tThe\tDT\tB-NP\tO' +p77590 +aS'patient\tpatient\tNN\tI-NP\tO' +p77591 +aS'has\thave\tVBZ\tB-VP\tO' +p77592 +aS'a\ta\tDT\tB-NP\tO' +p77593 +aS'50\t50\tCD\tI-NP\tO' +p77594 +aS'pack\tpack\tNN\tI-NP\tO' +p77595 +aS'year\tyear\tNN\tI-NP\tO' +p77596 +aS'history\thistory\tNN\tI-NP\tO' +p77597 +aS'of\tof\tIN\tB-PP\tO' +p77598 +aS'tobacco\ttobacco\tNN\tB-NP\tO' +p77599 +aS'and\tand\tCC\tO\tO' +p77600 +aS'quit\tquit\tVB\tB-VP\tO' +p77601 +aS'10\t10\tCD\tB-NP\tO' +p77602 +aS'years\tyear\tNNS\tI-NP\tO' +p77603 +aS'ago\tago\tRB\tB-ADVP\tO' +p77604 +aS';\t;\t:\tO\tO' +p77605 +aS'also\talso\tRB\tB-ADVP\tO' +p77606 +aS',\t,\t,\tO\tO' +p77607 +aS'a\ta\tDT\tB-NP\tO' +p77608 +aS'history\thistory\tNN\tI-NP\tO' +p77609 +aS'of\tof\tIN\tB-PP\tO' +p77610 +aS'ethanol\tethanol\tNN\tB-NP\tO' +p77611 +aS'abuse\tabuse\tNN\tI-NP\tO' +p77612 +aS'.\t.\t.\tO\tO' +p77613 +asS'Follow up as scheduled with Dr. Fyfechird .' +p77614 +(lp77615 +S'Follow\tFollow\tVB\tB-VP\tO' +p77616 +aS'up\tup\tRP\tB-PRT\tO' +p77617 +aS'as\tas\tIN\tB-SBAR\tO' +p77618 +aS'scheduled\tschedule\tVBN\tB-VP\tO' +p77619 +aS'with\twith\tIN\tB-PP\tO' +p77620 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p77621 +aS'Fyfechird\tFyfechird\tNNP\tI-NP\tO' +p77622 +aS'.\t.\t.\tO\tO' +p77623 +asS'Denies cough , shortness of breath , chest pain , nausea , vomiting , diarrhea , dysuria , neck stiffness , new skin lesions , worsening red petechiae , or increasing sinus symptoms .' +p77624 +(lp77625 +S'Denies\tDeny\tNNS\tB-NP\tO' +p77626 +aS'cough\tcough\tNN\tI-NP\tO' +p77627 +aS',\t,\t,\tO\tO' +p77628 +aS'shortness\tshortness\tNN\tB-NP\tO' +p77629 +aS'of\tof\tIN\tB-PP\tO' +p77630 +aS'breath\tbreath\tNN\tB-NP\tO' +p77631 +aS',\t,\t,\tO\tO' +p77632 +aS'chest\tchest\tNN\tB-NP\tO' +p77633 +aS'pain\tpain\tNN\tI-NP\tO' +p77634 +aS',\t,\t,\tO\tO' +p77635 +aS'nausea\tnausea\tNN\tB-NP\tO' +p77636 +aS',\t,\t,\tO\tO' +p77637 +aS'vomiting\tvomiting\tNN\tB-NP\tO' +p77638 +aS',\t,\t,\tO\tO' +p77639 +aS'diarrhea\tdiarrhea\tNN\tB-NP\tO' +p77640 +aS',\t,\t,\tO\tO' +p77641 +aS'dysuria\tdysuria\tNN\tB-NP\tO' +p77642 +aS',\t,\t,\tO\tO' +p77643 +aS'neck\tneck\tNN\tB-NP\tO' +p77644 +aS'stiffness\tstiffness\tNN\tI-NP\tO' +p77645 +aS',\t,\t,\tO\tO' +p77646 +aS'new\tnew\tJJ\tB-NP\tO' +p77647 +aS'skin\tskin\tNN\tI-NP\tO' +p77648 +aS'lesions\tlesion\tNNS\tI-NP\tO' +p77649 +aS',\t,\t,\tO\tO' +p77650 +aS'worsening\tworsen\tVBG\tB-VP\tO' +p77651 +aS'red\tred\tJJ\tB-NP\tO' +p77652 +aS'petechiae\tpetechiae\tNNS\tI-NP\tO' +p77653 +aS',\t,\t,\tO\tO' +p77654 +aS'or\tor\tCC\tO\tO' +p77655 +aS'increasing\tincrease\tVBG\tB-VP\tO' +p77656 +aS'sinus\tsinus\tNN\tB-NP\tO' +p77657 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p77658 +aS'.\t.\t.\tO\tO' +p77659 +asS'Signed electronically by : DR. Carlos Warner on : TUE 2011-09-27 3:42 PM' +p77660 +(lp77661 +S'Signed\tSign\tVBN\tB-VP\tO' +p77662 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p77663 +aS'by\tby\tIN\tB-PP\tO' +p77664 +aS':\t:\t:\tO\tO' +p77665 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p77666 +aS'Carlos\tCarlos\tNNP\tI-NP\tO' +p77667 +aS'Warner\tWarner\tNNP\tI-NP\tO' +p77668 +aS'on\ton\tIN\tB-PP\tO' +p77669 +aS':\t:\t:\tO\tO' +p77670 +aS'TUE\tTUE\tNN\tB-NP\tO' +p77671 +aS'2011-09-27\t2011-09-27\tCD\tI-NP\tO' +p77672 +aS'3:42\t3:42\tCD\tI-NP\tO' +p77673 +aS'PM\tPM\tNN\tI-NP\tO' +p77674 +asS'3. Zinc Sulfate 220 mg Capsule Sig : One ( 1 ) Capsule PO DAILY ( Daily ) .' +p77675 +(lp77676 +S'3.\t3.\tLS\tB-NP\tO' +p77677 +aS'Zinc\tZinc\tNN\tI-NP\tO' +p77678 +aS'Sulfate\tSulfate\tNN\tI-NP\tO' +p77679 +aS'220\t220\tCD\tI-NP\tO' +p77680 +aS'mg\tmg\tNN\tI-NP\tO' +p77681 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p77682 +aS'Sig\tSig\tNNP\tI-NP\tO' +p77683 +aS':\t:\t:\tO\tO' +p77684 +aS'One\tOne\tCD\tB-NP\tO' +p77685 +aS'(\t(\t(\tO\tO' +p77686 +aS'1\t1\tCD\tB-NP\tO' +p77687 +aS')\t)\t)\tO\tO' +p77688 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p77689 +aS'PO\tPO\tNNP\tI-NP\tO' +p77690 +aS'DAILY\tDAILY\tNNP\tI-NP\tO' +p77691 +aS'(\t(\t(\tO\tO' +p77692 +aS'Daily\tDaily\tNNP\tB-NP\tO' +p77693 +aS')\t)\t)\tO\tO' +p77694 +aS'.\t.\t.\tO\tO' +p77695 +asS'1. Atrial fibrillation secondary to hyperthyroidism , initially diagnosed in 2005 .' +p77696 +(lp77697 +S'1.\t1.\tLS\tB-NP\tO' +p77698 +aS'Atrial\tAtrial\tJJ\tI-NP\tO' +p77699 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p77700 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p77701 +aS'to\tto\tTO\tB-PP\tO' +p77702 +aS'hyperthyroidism\thyperthyroidism\tNN\tB-NP\tO' +p77703 +aS',\t,\t,\tO\tO' +p77704 +aS'initially\tinitially\tRB\tB-VP\tO' +p77705 +aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' +p77706 +aS'in\tin\tIN\tB-PP\tO' +p77707 +aS'2005\t2005\tCD\tB-NP\tO' +p77708 +aS'.\t.\t.\tO\tO' +p77709 +asS'EKG - technically poor tracing with what appears to be normal sinus rhythm with very small P waves , there are Q-waves in leads V1 and V2 , as well as in V3 .' +p77710 +(lp77711 +S'EKG\tEKG\tNN\tB-NP\tB-protein' +p77712 +aS'-\t-\tHYPH\tB-ADJP\tO' +p77713 +aS'technically\ttechnically\tRB\tB-NP\tO' +p77714 +aS'poor\tpoor\tJJ\tI-NP\tO' +p77715 +aS'tracing\ttracing\tNN\tI-NP\tO' +p77716 +aS'with\twith\tIN\tB-PP\tO' +p77717 +aS'what\twhat\tWP\tB-NP\tO' +p77718 +aS'appears\tappear\tVBZ\tB-VP\tO' +p77719 +aS'to\tto\tTO\tI-VP\tO' +p77720 +aS'be\tbe\tVB\tI-VP\tO' +p77721 +aS'normal\tnormal\tJJ\tB-NP\tO' +p77722 +aS'sinus\tsinus\tNN\tI-NP\tO' +p77723 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p77724 +aS'with\twith\tIN\tB-PP\tO' +p77725 +aS'very\tvery\tRB\tB-NP\tO' +p77726 +aS'small\tsmall\tJJ\tI-NP\tO' +p77727 +aS'P\tP\tNN\tI-NP\tO' +p77728 +aS'waves\twave\tNNS\tI-NP\tO' +p77729 +aS',\t,\t,\tO\tO' +p77730 +aS'there\tthere\tEX\tB-NP\tO' +p77731 +aS'are\tbe\tVBP\tB-VP\tO' +p77732 +aS'Q-waves\tQ-wave\tNNS\tB-NP\tO' +p77733 +aS'in\tin\tIN\tB-PP\tO' +p77734 +aS'leads\tlead\tNNS\tB-NP\tO' +p77735 +aS'V1\tV1\tNN\tI-NP\tO' +p77736 +aS'and\tand\tCC\tI-NP\tO' +p77737 +aS'V2\tV2\tNN\tI-NP\tB-protein' +p77738 +aS',\t,\t,\tO\tO' +p77739 +aS'as\tas\tRB\tB-CONJP\tO' +p77740 +aS'well\twell\tRB\tI-CONJP\tO' +p77741 +aS'as\tas\tIN\tI-CONJP\tO' +p77742 +aS'in\tin\tIN\tB-PP\tO' +p77743 +aS'V3\tV3\tNN\tB-NP\tO' +p77744 +aS'.\t.\t.\tO\tO' +p77745 +asS'6. Tylenol .' +p77746 +(lp77747 +S'6.\t6.\tLS\tB-NP\tO' +p77748 +aS'Tylenol\tTylenol\tNN\tI-NP\tO' +p77749 +aS'.\t.\t.\tO\tO' +p77750 +asS'7. Albuterol nebulizer solution one nebulizer q. four hours .' +p77751 +(lp77752 +S'7.\t7.\tLS\tB-NP\tO' +p77753 +aS'Albuterol\tAlbuterol\tNN\tI-NP\tO' +p77754 +aS'nebulizer\tnebulizer\tNN\tI-NP\tO' +p77755 +aS'solution\tsolution\tNN\tI-NP\tO' +p77756 +aS'one\tone\tCD\tB-NP\tO' +p77757 +aS'nebulizer\tnebulizer\tNN\tI-NP\tO' +p77758 +aS'q.\tq.\tNN\tI-NP\tO' +p77759 +aS'four\tfour\tCD\tB-NP\tO' +p77760 +aS'hours\thour\tNNS\tI-NP\tO' +p77761 +aS'.\t.\t.\tO\tO' +p77762 +asS'3 ) RENAL FAILURE REQUIRING CHRONIC DIALYSIS .' +p77763 +(lp77764 +S'3\t3\tLS\tB-LST\tO' +p77765 +aS')\t)\t)\tO\tO' +p77766 +aS'RENAL\tRENAL\tNN\tB-NP\tO' +p77767 +aS'FAILURE\tFAILURE\tNN\tI-NP\tO' +p77768 +aS'REQUIRING\tREQUIRING\tNN\tI-NP\tO' +p77769 +aS'CHRONIC\tCHRONIC\tNN\tI-NP\tO' +p77770 +aS'DIALYSIS\tDIALYSIS\tNN\tI-NP\tO' +p77771 +aS'.\t.\t.\tO\tO' +p77772 +asS'The lumbar drain was d/ced on 06-14 .' +p77773 +(lp77774 +S'The\tThe\tDT\tB-NP\tO' +p77775 +aS'lumbar\tlumbar\tNN\tI-NP\tO' +p77776 +aS'drain\tdrain\tNN\tI-NP\tO' +p77777 +aS'was\tbe\tVBD\tB-VP\tO' +p77778 +aS'd/ced\td/ce\tVBN\tI-VP\tO' +p77779 +aS'on\ton\tIN\tB-PP\tO' +p77780 +aS'06-14\t06-14\tCD\tB-NP\tO' +p77781 +aS'.\t.\t.\tO\tO' +p77782 +asS'2. Follow up with pediatrician at SCCHC on Tuesday 2018-05-15 .' +p77783 +(lp77784 +S'2.\t2.\tLS\tB-LST\tO' +p77785 +aS'Follow\tFollow\tNNP\tB-NP\tO' +p77786 +aS'up\tup\tRP\tB-PRT\tO' +p77787 +aS'with\twith\tIN\tB-PP\tO' +p77788 +aS'pediatrician\tpediatrician\tNN\tB-NP\tO' +p77789 +aS'at\tat\tIN\tB-PP\tO' +p77790 +aS'SCCHC\tSCCHC\tNN\tB-NP\tB-protein' +p77791 +aS'on\ton\tIN\tB-PP\tO' +p77792 +aS'Tuesday\tTuesday\tNNP\tB-NP\tO' +p77793 +aS'2018-05-15\t2018-05-15\tCD\tI-NP\tO' +p77794 +aS'.\t.\t.\tO\tO' +p77795 +asS'The patient quit smoking 30 years ago .' +p77796 +(lp77797 +S'The\tThe\tDT\tB-NP\tO' +p77798 +aS'patient\tpatient\tNN\tI-NP\tO' +p77799 +aS'quit\tquit\tVBD\tB-VP\tO' +p77800 +aS'smoking\tsmoke\tVBG\tI-VP\tO' +p77801 +aS'30\t30\tCD\tB-NP\tO' +p77802 +aS'years\tyear\tNNS\tI-NP\tO' +p77803 +aS'ago\tago\tRB\tB-ADVP\tO' +p77804 +aS'.\t.\t.\tO\tO' +p77805 +asS'His reflexes were brisk in his patellas bilaterally , and he had upgoing toes bilaterally .' +p77806 +(lp77807 +S'His\tHis\tPRP$\tB-NP\tO' +p77808 +aS'reflexes\treflex\tNNS\tI-NP\tO' +p77809 +aS'were\tbe\tVBD\tB-VP\tO' +p77810 +aS'brisk\tbrisk\tJJ\tB-ADJP\tO' +p77811 +aS'in\tin\tIN\tB-PP\tO' +p77812 +aS'his\this\tPRP$\tB-NP\tO' +p77813 +aS'patellas\tpatella\tNNS\tI-NP\tO' +p77814 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p77815 +aS',\t,\t,\tO\tO' +p77816 +aS'and\tand\tCC\tO\tO' +p77817 +aS'he\the\tPRP\tB-NP\tO' +p77818 +aS'had\thave\tVBD\tB-VP\tO' +p77819 +aS'upgoing\tupgoe\tVBG\tI-VP\tO' +p77820 +aS'toes\ttoe\tNNS\tB-NP\tO' +p77821 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p77822 +aS'.\t.\t.\tO\tO' +p77823 +asS'I have instructed him to see his PCP if it does not improve in a few days or if he develops fevers .' +p77824 +(lp77825 +S'I\tI\tPRP\tB-NP\tO' +p77826 +aS'have\thave\tVBP\tB-VP\tO' +p77827 +aS'instructed\tinstruct\tVBN\tI-VP\tO' +p77828 +aS'him\thim\tPRP\tB-NP\tO' +p77829 +aS'to\tto\tTO\tB-VP\tO' +p77830 +aS'see\tsee\tVB\tI-VP\tO' +p77831 +aS'his\this\tPRP$\tB-NP\tO' +p77832 +aS'PCP\tPCP\tNN\tI-NP\tB-protein' +p77833 +aS'if\tif\tIN\tB-SBAR\tO' +p77834 +aS'it\tit\tPRP\tB-NP\tO' +p77835 +aS'does\tdo\tVBZ\tB-VP\tO' +p77836 +aS'not\tnot\tRB\tI-VP\tO' +p77837 +aS'improve\timprove\tVB\tI-VP\tO' +p77838 +aS'in\tin\tIN\tB-PP\tO' +p77839 +aS'a\ta\tDT\tB-NP\tO' +p77840 +aS'few\tfew\tJJ\tI-NP\tO' +p77841 +aS'days\tday\tNNS\tI-NP\tO' +p77842 +aS'or\tor\tCC\tO\tO' +p77843 +aS'if\tif\tIN\tB-SBAR\tO' +p77844 +aS'he\the\tPRP\tB-NP\tO' +p77845 +aS'develops\tdevelop\tVBZ\tB-VP\tO' +p77846 +aS'fevers\tfever\tNNS\tB-NP\tO' +p77847 +aS'.\t.\t.\tO\tO' +p77848 +asS'A repeat head ultrasound is recommended in one month .' +p77849 +(lp77850 +S'A\tA\tDT\tB-NP\tO' +p77851 +aS'repeat\trepeat\tNN\tI-NP\tO' +p77852 +aS'head\thead\tNN\tI-NP\tO' +p77853 +aS'ultrasound\tultrasound\tNN\tI-NP\tO' +p77854 +aS'is\tbe\tVBZ\tB-VP\tO' +p77855 +aS'recommended\trecommend\tVBN\tI-VP\tO' +p77856 +aS'in\tin\tIN\tB-PP\tO' +p77857 +aS'one\tone\tCD\tB-NP\tO' +p77858 +aS'month\tmonth\tNN\tI-NP\tO' +p77859 +aS'.\t.\t.\tO\tO' +p77860 +asS'Anterior apex akinesis , inferior apex akinesis , and apex akinesis .' +p77861 +(lp77862 +S'Anterior\tAnterior\tJJ\tB-NP\tO' +p77863 +aS'apex\tapex\tNN\tI-NP\tO' +p77864 +aS'akinesis\takinesis\tNN\tI-NP\tO' +p77865 +aS',\t,\t,\tO\tO' +p77866 +aS'inferior\tinferior\tJJ\tB-NP\tO' +p77867 +aS'apex\tapex\tNN\tI-NP\tO' +p77868 +aS'akinesis\takinesis\tNN\tI-NP\tO' +p77869 +aS',\t,\t,\tO\tO' +p77870 +aS'and\tand\tCC\tO\tO' +p77871 +aS'apex\tapex\tNN\tB-NP\tO' +p77872 +aS'akinesis\takinesis\tNN\tI-NP\tO' +p77873 +aS'.\t.\t.\tO\tO' +p77874 +asS'She was continued on salmeterol and Flovent .' +p77875 +(lp77876 +S'She\tShe\tPRP\tB-NP\tO' +p77877 +aS'was\tbe\tVBD\tB-VP\tO' +p77878 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p77879 +aS'on\ton\tIN\tB-PP\tO' +p77880 +aS'salmeterol\tsalmeterol\tNN\tB-NP\tO' +p77881 +aS'and\tand\tCC\tI-NP\tO' +p77882 +aS'Flovent\tFlovent\tNN\tI-NP\tO' +p77883 +aS'.\t.\t.\tO\tO' +p77884 +asS'His B12 level was 418 and normal .' +p77885 +(lp77886 +S'His\tHis\tPRP$\tB-NP\tO' +p77887 +aS'B12\tB12\tNN\tI-NP\tB-protein' +p77888 +aS'level\tlevel\tNN\tI-NP\tO' +p77889 +aS'was\tbe\tVBD\tB-VP\tO' +p77890 +aS'418\t418\tCD\tB-NP\tO' +p77891 +aS'and\tand\tCC\tO\tO' +p77892 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p77893 +aS'.\t.\t.\tO\tO' +p77894 +asS'She noted increasing abdominal pain two days prior to admission , which became more severe on the day prior to admission .' +p77895 +(lp77896 +S'She\tShe\tPRP\tB-NP\tO' +p77897 +aS'noted\tnote\tVBD\tB-VP\tO' +p77898 +aS'increasing\tincrease\tVBG\tI-VP\tO' +p77899 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p77900 +aS'pain\tpain\tNN\tI-NP\tO' +p77901 +aS'two\ttwo\tCD\tB-NP\tO' +p77902 +aS'days\tday\tNNS\tI-NP\tO' +p77903 +aS'prior\tprior\tRB\tB-ADVP\tO' +p77904 +aS'to\tto\tTO\tB-PP\tO' +p77905 +aS'admission\tadmission\tNN\tB-NP\tO' +p77906 +aS',\t,\t,\tO\tO' +p77907 +aS'which\twhich\tWDT\tB-NP\tO' +p77908 +aS'became\tbecome\tVBD\tB-VP\tO' +p77909 +aS'more\tmore\tRBR\tB-ADJP\tO' +p77910 +aS'severe\tsevere\tJJ\tI-ADJP\tO' +p77911 +aS'on\ton\tIN\tB-PP\tO' +p77912 +aS'the\tthe\tDT\tB-NP\tO' +p77913 +aS'day\tday\tNN\tI-NP\tO' +p77914 +aS'prior\tprior\tRB\tB-ADVP\tO' +p77915 +aS'to\tto\tTO\tB-PP\tO' +p77916 +aS'admission\tadmission\tNN\tB-NP\tO' +p77917 +aS'.\t.\t.\tO\tO' +p77918 +asS'No intracranial hemorrhage or CT evidence of acute infarction .' +p77919 +(lp77920 +S'No\tNo\tDT\tB-NP\tO' +p77921 +aS'intracranial\tintracranial\tJJ\tI-NP\tO' +p77922 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p77923 +aS'or\tor\tCC\tI-NP\tO' +p77924 +aS'CT\tCT\tNN\tI-NP\tO' +p77925 +aS'evidence\tevidence\tNN\tI-NP\tO' +p77926 +aS'of\tof\tIN\tB-PP\tO' +p77927 +aS'acute\tacute\tJJ\tB-NP\tO' +p77928 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p77929 +aS'.\t.\t.\tO\tO' +p77930 +asS'She had a calcium of 10.3 , a phosphorus of 4.8 and alkaline phosphatase of 440 .' +p77931 +(lp77932 +S'She\tShe\tPRP\tB-NP\tO' +p77933 +aS'had\thave\tVBD\tB-VP\tO' +p77934 +aS'a\ta\tDT\tB-NP\tO' +p77935 +aS'calcium\tcalcium\tNN\tI-NP\tO' +p77936 +aS'of\tof\tIN\tB-PP\tO' +p77937 +aS'10.3\t10.3\tCD\tB-NP\tO' +p77938 +aS',\t,\t,\tO\tO' +p77939 +aS'a\ta\tDT\tB-NP\tO' +p77940 +aS'phosphorus\tphosphorus\tNN\tI-NP\tO' +p77941 +aS'of\tof\tIN\tB-PP\tO' +p77942 +aS'4.8\t4.8\tCD\tB-NP\tO' +p77943 +aS'and\tand\tCC\tO\tO' +p77944 +aS'alkaline\talkaline\tNN\tB-NP\tB-protein' +p77945 +aS'phosphatase\tphosphatase\tNN\tI-NP\tI-protein' +p77946 +aS'of\tof\tIN\tB-PP\tO' +p77947 +aS'440\t440\tCD\tB-NP\tO' +p77948 +aS'.\t.\t.\tO\tO' +p77949 +asS'The family reported one episode of vomiting at home .' +p77950 +(lp77951 +S'The\tThe\tDT\tB-NP\tO' +p77952 +aS'family\tfamily\tNN\tI-NP\tO' +p77953 +aS'reported\treport\tVBD\tB-VP\tO' +p77954 +aS'one\tone\tCD\tB-NP\tO' +p77955 +aS'episode\tepisode\tNN\tI-NP\tO' +p77956 +aS'of\tof\tIN\tB-PP\tO' +p77957 +aS'vomiting\tvomit\tVBG\tB-VP\tO' +p77958 +aS'at\tat\tIN\tB-PP\tO' +p77959 +aS'home\thome\tNN\tB-NP\tO' +p77960 +aS'.\t.\t.\tO\tO' +p77961 +asS'She did complain of a left frontal headache .' +p77962 +(lp77963 +S'She\tShe\tPRP\tB-NP\tO' +p77964 +aS'did\tdo\tVBD\tB-VP\tO' +p77965 +aS'complain\tcomplain\tNN\tB-NP\tO' +p77966 +aS'of\tof\tIN\tB-PP\tO' +p77967 +aS'a\ta\tDT\tB-NP\tO' +p77968 +aS'left\tleft\tJJ\tI-NP\tO' +p77969 +aS'frontal\tfrontal\tJJ\tI-NP\tO' +p77970 +aS'headache\theadache\tNN\tI-NP\tO' +p77971 +aS'.\t.\t.\tO\tO' +p77972 +asS'Please see your PCP in follow up .' +p77973 +(lp77974 +S'Please\tPlease\tVB\tB-VP\tO' +p77975 +aS'see\tsee\tVB\tI-VP\tO' +p77976 +aS'your\tyour\tPRP$\tB-NP\tO' +p77977 +aS'PCP\tPCP\tNN\tI-NP\tB-protein' +p77978 +aS'in\tin\tIN\tB-PP\tO' +p77979 +aS'follow\tfollow\tVB\tB-VP\tO' +p77980 +aS'up\tup\tIN\tB-PRT\tO' +p77981 +aS'.\t.\t.\tO\tO' +p77982 +asS'7. Colace 100 mg po bid' +p77983 +(lp77984 +S'7.\t7.\tCD\tB-NP\tO' +p77985 +aS'Colace\tColace\tNNP\tI-NP\tO' +p77986 +aS'100\t100\tCD\tI-NP\tO' +p77987 +aS'mg\tmg\tNN\tI-NP\tO' +p77988 +aS'po\tpo\tNN\tI-NP\tO' +p77989 +aS'bid\tbid\tNN\tI-NP\tO' +p77990 +asS'Within the past year , these symptoms have progressively gotten worse , to encompass also her feet .' +p77991 +(lp77992 +S'Within\tWithin\tIN\tB-PP\tO' +p77993 +aS'the\tthe\tDT\tB-NP\tO' +p77994 +aS'past\tpast\tJJ\tI-NP\tO' +p77995 +aS'year\tyear\tNN\tI-NP\tO' +p77996 +aS',\t,\t,\tO\tO' +p77997 +aS'these\tthese\tDT\tB-NP\tO' +p77998 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p77999 +aS'have\thave\tVBP\tB-VP\tO' +p78000 +aS'progressively\tprogressively\tRB\tI-VP\tO' +p78001 +aS'gotten\tget\tVBN\tI-VP\tO' +p78002 +aS'worse\tworse\tJJR\tB-ADJP\tO' +p78003 +aS',\t,\t,\tO\tO' +p78004 +aS'to\tto\tTO\tB-VP\tO' +p78005 +aS'encompass\tencompass\tVB\tI-VP\tO' +p78006 +aS'also\talso\tRB\tB-ADVP\tO' +p78007 +aS'her\ther\tPRP$\tB-NP\tO' +p78008 +aS'feet\tfoot\tNNS\tI-NP\tO' +p78009 +aS'.\t.\t.\tO\tO' +p78010 +asS'His nasogastric tube was discontinued and he was begun on clear liquids and subsequently advanced to a regular diet without difficulty .' +p78011 +(lp78012 +S'His\tHis\tPRP$\tB-NP\tO' +p78013 +aS'nasogastric\tnasogastric\tJJ\tI-NP\tO' +p78014 +aS'tube\ttube\tNN\tI-NP\tO' +p78015 +aS'was\tbe\tVBD\tB-VP\tO' +p78016 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p78017 +aS'and\tand\tCC\tO\tO' +p78018 +aS'he\the\tPRP\tB-NP\tO' +p78019 +aS'was\tbe\tVBD\tB-VP\tO' +p78020 +aS'begun\tbegin\tVBN\tI-VP\tO' +p78021 +aS'on\ton\tIN\tB-PP\tO' +p78022 +aS'clear\tclear\tJJ\tB-NP\tO' +p78023 +aS'liquids\tliquid\tNNS\tI-NP\tO' +p78024 +aS'and\tand\tCC\tO\tO' +p78025 +aS'subsequently\tsubsequently\tRB\tB-VP\tO' +p78026 +aS'advanced\tadvance\tVBN\tI-VP\tO' +p78027 +aS'to\tto\tTO\tB-PP\tO' +p78028 +aS'a\ta\tDT\tB-NP\tO' +p78029 +aS'regular\tregular\tJJ\tI-NP\tO' +p78030 +aS'diet\tdiet\tNN\tI-NP\tO' +p78031 +aS'without\twithout\tIN\tB-PP\tO' +p78032 +aS'difficulty\tdifficulty\tNN\tB-NP\tO' +p78033 +aS'.\t.\t.\tO\tO' +p78034 +asS'This lowered with IV nitroglycerin .' +p78035 +(lp78036 +S'This\tThis\tDT\tB-NP\tO' +p78037 +aS'lowered\tlower\tVBD\tB-VP\tO' +p78038 +aS'with\twith\tIN\tB-PP\tO' +p78039 +aS'IV\tIV\tCD\tB-NP\tO' +p78040 +aS'nitroglycerin\tnitroglycerin\tNN\tI-NP\tO' +p78041 +aS'.\t.\t.\tO\tO' +p78042 +asS'Primary c / s for breech' +p78043 +(lp78044 +S'Primary\tPrimary\tJJ\tB-NP\tO' +p78045 +aS'c\tc\tNN\tI-NP\tO' +p78046 +aS'/\t/\tSYM\tI-NP\tO' +p78047 +aS's\ts\tNN\tI-NP\tO' +p78048 +aS'for\tfor\tIN\tB-PP\tO' +p78049 +aS'breech\tbreech\tNN\tB-NP\tO' +p78050 +asS'4) h/o DVT - cont heparin , previously on enoxaparin x10 days at treatment dose , followed by prophylactic dose .' +p78051 +(lp78052 +S'4)\t4)\tLS\tB-NP\tO' +p78053 +aS'h/o\th/o\tNN\tI-NP\tO' +p78054 +aS'DVT\tDVT\tNN\tI-NP\tO' +p78055 +aS'-\t-\tHYPH\tB-NP\tO' +p78056 +aS'cont\tcont\tNN\tI-NP\tO' +p78057 +aS'heparin\theparin\tNN\tI-NP\tO' +p78058 +aS',\t,\t,\tO\tO' +p78059 +aS'previously\tpreviously\tRB\tB-ADVP\tO' +p78060 +aS'on\ton\tIN\tB-PP\tO' +p78061 +aS'enoxaparin\tenoxaparin\tNN\tB-NP\tO' +p78062 +aS'x10\tx10\tCD\tB-NP\tO' +p78063 +aS'days\tday\tNNS\tI-NP\tO' +p78064 +aS'at\tat\tIN\tB-PP\tO' +p78065 +aS'treatment\ttreatment\tNN\tB-NP\tO' +p78066 +aS'dose\tdose\tNN\tI-NP\tO' +p78067 +aS',\t,\t,\tO\tO' +p78068 +aS'followed\tfollow\tVBN\tB-VP\tO' +p78069 +aS'by\tby\tIN\tB-PP\tO' +p78070 +aS'prophylactic\tprophylactic\tJJ\tB-NP\tO' +p78071 +aS'dose\tdose\tNN\tI-NP\tO' +p78072 +aS'.\t.\t.\tO\tO' +p78073 +asS'There is no fistula seen .' +p78074 +(lp78075 +S'There\tThere\tEX\tB-NP\tO' +p78076 +aS'is\tbe\tVBZ\tB-VP\tO' +p78077 +aS'no\tno\tDT\tB-NP\tO' +p78078 +aS'fistula\tfistula\tNN\tI-NP\tO' +p78079 +aS'seen\tsee\tVBN\tB-VP\tO' +p78080 +aS'.\t.\t.\tO\tO' +p78081 +asS'She has mild swelling in both lower extremities .' +p78082 +(lp78083 +S'She\tShe\tPRP\tB-NP\tO' +p78084 +aS'has\thave\tVBZ\tB-VP\tO' +p78085 +aS'mild\tmild\tJJ\tB-NP\tO' +p78086 +aS'swelling\tswelling\tNN\tI-NP\tO' +p78087 +aS'in\tin\tIN\tB-PP\tO' +p78088 +aS'both\tboth\tCC\tB-NP\tO' +p78089 +aS'lower\tlow\tJJR\tI-NP\tO' +p78090 +aS'extremities\textremity\tNNS\tI-NP\tO' +p78091 +aS'.\t.\t.\tO\tO' +p78092 +asS'Since the hematocrit of the patient was stable and outside records from 2015-03-28 mentioned a mass in the right pelvis , the patient was discharged .' +p78093 +(lp78094 +S'Since\tSince\tIN\tB-SBAR\tO' +p78095 +aS'the\tthe\tDT\tB-NP\tO' +p78096 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p78097 +aS'of\tof\tIN\tB-PP\tO' +p78098 +aS'the\tthe\tDT\tB-NP\tO' +p78099 +aS'patient\tpatient\tNN\tI-NP\tO' +p78100 +aS'was\tbe\tVBD\tB-VP\tO' +p78101 +aS'stable\tstable\tJJ\tB-NP\tO' +p78102 +aS'and\tand\tCC\tI-NP\tO' +p78103 +aS'outside\toutside\tJJ\tI-NP\tO' +p78104 +aS'records\trecord\tNNS\tI-NP\tO' +p78105 +aS'from\tfrom\tIN\tB-PP\tO' +p78106 +aS'2015-03-28\t2015-03-28\tCD\tB-NP\tO' +p78107 +aS'mentioned\tmention\tVBD\tB-VP\tO' +p78108 +aS'a\ta\tDT\tB-NP\tO' +p78109 +aS'mass\tmass\tNN\tI-NP\tO' +p78110 +aS'in\tin\tIN\tB-PP\tO' +p78111 +aS'the\tthe\tDT\tB-NP\tO' +p78112 +aS'right\tright\tJJ\tI-NP\tO' +p78113 +aS'pelvis\tpelvis\tNN\tI-NP\tO' +p78114 +aS',\t,\t,\tO\tO' +p78115 +aS'the\tthe\tDT\tB-NP\tO' +p78116 +aS'patient\tpatient\tNN\tI-NP\tO' +p78117 +aS'was\tbe\tVBD\tB-VP\tO' +p78118 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p78119 +aS'.\t.\t.\tO\tO' +p78120 +asS'Unclear if hazy lesions significant or if this was cocaine induced vasospasm .' +p78121 +(lp78122 +S'Unclear\tUnclear\tJJ\tB-ADJP\tO' +p78123 +aS'if\tif\tIN\tB-SBAR\tO' +p78124 +aS'hazy\thazy\tJJ\tB-NP\tO' +p78125 +aS'lesions\tlesion\tNNS\tI-NP\tO' +p78126 +aS'significant\tsignificant\tJJ\tB-ADJP\tO' +p78127 +aS'or\tor\tCC\tO\tO' +p78128 +aS'if\tif\tIN\tB-SBAR\tO' +p78129 +aS'this\tthis\tDT\tB-NP\tO' +p78130 +aS'was\tbe\tVBD\tB-VP\tO' +p78131 +aS'cocaine\tcocaine\tNN\tB-NP\tO' +p78132 +aS'induced\tinduced\tJJ\tI-NP\tO' +p78133 +aS'vasospasm\tvasospasm\tNN\tI-NP\tO' +p78134 +aS'.\t.\t.\tO\tO' +p78135 +asS'On 9/22/00 , she underwent a cervical mediastinoscopy .' +p78136 +(lp78137 +S'On\tOn\tIN\tB-PP\tO' +p78138 +aS'9/22/00\t9/22/00\tCD\tB-NP\tO' +p78139 +aS',\t,\t,\tO\tO' +p78140 +aS'she\tshe\tPRP\tB-NP\tO' +p78141 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p78142 +aS'a\ta\tDT\tB-NP\tO' +p78143 +aS'cervical\tcervical\tJJ\tI-NP\tO' +p78144 +aS'mediastinoscopy\tmediastinoscopy\tNN\tI-NP\tO' +p78145 +aS'.\t.\t.\tO\tO' +p78146 +asS'CV : RRR , nl s1 s2 , no m/g/r' +p78147 +(lp78148 +S'CV\tCV\tNN\tB-NP\tO' +p78149 +aS':\t:\t:\tO\tO' +p78150 +aS'RRR\tRRR\tNN\tB-NP\tB-protein' +p78151 +aS',\t,\t,\tO\tO' +p78152 +aS'nl\tnl\tNN\tB-NP\tB-protein' +p78153 +aS's1\ts1\tNN\tI-NP\tI-protein' +p78154 +aS's2\ts2\tNN\tI-NP\tI-protein' +p78155 +aS',\t,\t,\tO\tO' +p78156 +aS'no\tno\tDT\tB-NP\tO' +p78157 +aS'm/g/r\tm/g/r\tNN\tI-NP\tO' +p78158 +asS'Given his recent MRSA pneumonia , he will be treated with 2 week course of Vanc / Levo / Flagyl .' +p78159 +(lp78160 +S'Given\tGive\tVBN\tB-VP\tO' +p78161 +aS'his\this\tPRP$\tB-NP\tO' +p78162 +aS'recent\trecent\tJJ\tI-NP\tO' +p78163 +aS'MRSA\tMRSA\tNN\tI-NP\tO' +p78164 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p78165 +aS',\t,\t,\tO\tO' +p78166 +aS'he\the\tPRP\tB-NP\tO' +p78167 +aS'will\twill\tMD\tB-VP\tO' +p78168 +aS'be\tbe\tVB\tI-VP\tO' +p78169 +aS'treated\ttreat\tVBN\tI-VP\tO' +p78170 +aS'with\twith\tIN\tB-PP\tO' +p78171 +aS'2\t2\tCD\tB-NP\tO' +p78172 +aS'week\tweek\tNN\tI-NP\tO' +p78173 +aS'course\tcourse\tNN\tI-NP\tO' +p78174 +aS'of\tof\tIN\tB-PP\tO' +p78175 +aS'Vanc\tVanc\tNN\tB-NP\tO' +p78176 +aS'/\t/\tSYM\tI-NP\tO' +p78177 +aS'Levo\tLevo\tNN\tI-NP\tB-protein' +p78178 +aS'/\t/\tSYM\tB-NP\tO' +p78179 +aS'Flagyl\tFlagyl\tNN\tI-NP\tO' +p78180 +aS'.\t.\t.\tO\tO' +p78181 +asS'4. Multivitamin Capsule Sig : One ( 1 ) Cap PO DAILY ( Daily ) .' +p78182 +(lp78183 +S'4.\t4.\tLS\tB-LST\tO' +p78184 +aS'Multivitamin\tMultivitamin\tNNP\tB-NP\tO' +p78185 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p78186 +aS'Sig\tSig\tNNP\tI-NP\tO' +p78187 +aS':\t:\t:\tO\tO' +p78188 +aS'One\tOne\tCD\tB-NP\tO' +p78189 +aS'(\t(\t(\tO\tO' +p78190 +aS'1\t1\tCD\tB-NP\tO' +p78191 +aS')\t)\t)\tO\tO' +p78192 +aS'Cap\tCap\tNN\tB-NP\tO' +p78193 +aS'PO\tPO\tNN\tI-NP\tO' +p78194 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p78195 +aS'(\t(\t(\tO\tO' +p78196 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p78197 +aS')\t)\t)\tO\tO' +p78198 +aS'.\t.\t.\tO\tO' +p78199 +asS'General : well developed male in no acute distress' +p78200 +(lp78201 +S'General\tGeneral\tNNP\tB-NP\tO' +p78202 +aS':\t:\t:\tO\tO' +p78203 +aS'well\twell\tRB\tB-NP\tO' +p78204 +aS'developed\tdevelop\tVBN\tI-NP\tO' +p78205 +aS'male\tmale\tNN\tI-NP\tO' +p78206 +aS'in\tin\tIN\tB-PP\tO' +p78207 +aS'no\tno\tDT\tB-NP\tO' +p78208 +aS'acute\tacute\tJJ\tI-NP\tO' +p78209 +aS'distress\tdistress\tNN\tI-NP\tO' +p78210 +asS'She had a recent pregnancy with a five month stay at Erich Lindemann Mental Health Center .' +p78211 +(lp78212 +S'She\tShe\tPRP\tB-NP\tO' +p78213 +aS'had\thave\tVBD\tB-VP\tO' +p78214 +aS'a\ta\tDT\tB-NP\tO' +p78215 +aS'recent\trecent\tJJ\tI-NP\tO' +p78216 +aS'pregnancy\tpregnancy\tNN\tI-NP\tO' +p78217 +aS'with\twith\tIN\tB-PP\tO' +p78218 +aS'a\ta\tDT\tB-NP\tO' +p78219 +aS'five\tfive\tCD\tI-NP\tO' +p78220 +aS'month\tmonth\tNN\tI-NP\tO' +p78221 +aS'stay\tstay\tNN\tI-NP\tO' +p78222 +aS'at\tat\tIN\tB-PP\tO' +p78223 +aS'Erich\tErich\tNNP\tB-NP\tO' +p78224 +aS'Lindemann\tLindemann\tNNP\tI-NP\tO' +p78225 +aS'Mental\tMental\tNNP\tI-NP\tO' +p78226 +aS'Health\tHealth\tNNP\tI-NP\tO' +p78227 +aS'Center\tCenter\tNNP\tI-NP\tO' +p78228 +aS'.\t.\t.\tO\tO' +p78229 +asS'A hearing screening has not been performed , will need prior to discharge home .' +p78230 +(lp78231 +S'A\tA\tDT\tB-NP\tO' +p78232 +aS'hearing\thearing\tNN\tI-NP\tO' +p78233 +aS'screening\tscreening\tNN\tI-NP\tO' +p78234 +aS'has\thave\tVBZ\tB-VP\tO' +p78235 +aS'not\tnot\tRB\tI-VP\tO' +p78236 +aS'been\tbe\tVBN\tI-VP\tO' +p78237 +aS'performed\tperform\tVBN\tI-VP\tO' +p78238 +aS',\t,\t,\tO\tO' +p78239 +aS'will\twill\tMD\tB-VP\tO' +p78240 +aS'need\tneed\tVB\tI-VP\tO' +p78241 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p78242 +aS'to\tto\tTO\tB-VP\tO' +p78243 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p78244 +aS'home\thome\tNN\tB-NP\tO' +p78245 +aS'.\t.\t.\tO\tO' +p78246 +asS'Anxiety neurosis for which she has received shock therapy in the past .' +p78247 +(lp78248 +S'Anxiety\tAnxiety\tNN\tB-NP\tO' +p78249 +aS'neurosis\tneurosis\tNN\tI-NP\tO' +p78250 +aS'for\tfor\tIN\tB-PP\tO' +p78251 +aS'which\twhich\tWDT\tB-NP\tO' +p78252 +aS'she\tshe\tPRP\tB-NP\tO' +p78253 +aS'has\thave\tVBZ\tB-VP\tO' +p78254 +aS'received\treceive\tVBN\tI-VP\tO' +p78255 +aS'shock\tshock\tNN\tB-NP\tO' +p78256 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p78257 +aS'in\tin\tIN\tB-PP\tO' +p78258 +aS'the\tthe\tDT\tB-NP\tO' +p78259 +aS'past\tpast\tNN\tI-NP\tO' +p78260 +aS'.\t.\t.\tO\tO' +p78261 +asS'On 4-24 , the patient was seen again at Sondi Memorial when he experienced at home a fall , no loss of consciousness , positive substernal chest pain , pleuritic pain , shortness of breath and cough .' +p78262 +(lp78263 +S'On\tOn\tIN\tB-PP\tO' +p78264 +aS'4-24\t4-24\tCD\tB-NP\tO' +p78265 +aS',\t,\t,\tO\tO' +p78266 +aS'the\tthe\tDT\tB-NP\tO' +p78267 +aS'patient\tpatient\tNN\tI-NP\tO' +p78268 +aS'was\tbe\tVBD\tB-VP\tO' +p78269 +aS'seen\tsee\tVBN\tI-VP\tO' +p78270 +aS'again\tagain\tRB\tB-ADVP\tO' +p78271 +aS'at\tat\tIN\tB-PP\tO' +p78272 +aS'Sondi\tSondi\tNNP\tB-NP\tO' +p78273 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p78274 +aS'when\twhen\tWRB\tB-ADVP\tO' +p78275 +aS'he\the\tPRP\tB-NP\tO' +p78276 +aS'experienced\texperience\tVBD\tB-VP\tO' +p78277 +aS'at\tat\tIN\tB-PP\tO' +p78278 +aS'home\thome\tNN\tB-NP\tO' +p78279 +aS'a\ta\tDT\tB-NP\tO' +p78280 +aS'fall\tfall\tNN\tI-NP\tO' +p78281 +aS',\t,\t,\tO\tO' +p78282 +aS'no\tno\tDT\tB-NP\tO' +p78283 +aS'loss\tloss\tNN\tI-NP\tO' +p78284 +aS'of\tof\tIN\tB-PP\tO' +p78285 +aS'consciousness\tconsciousness\tNN\tB-NP\tO' +p78286 +aS',\t,\t,\tO\tO' +p78287 +aS'positive\tpositive\tJJ\tB-NP\tB-protein' +p78288 +aS'substernal\tsubsternal\tJJ\tI-NP\tI-protein' +p78289 +aS'chest\tchest\tNN\tI-NP\tI-protein' +p78290 +aS'pain\tpain\tNN\tI-NP\tI-protein' +p78291 +aS',\t,\t,\tO\tO' +p78292 +aS'pleuritic\tpleuritic\tJJ\tB-NP\tO' +p78293 +aS'pain\tpain\tNN\tI-NP\tO' +p78294 +aS',\t,\t,\tO\tO' +p78295 +aS'shortness\tshortness\tNN\tB-NP\tO' +p78296 +aS'of\tof\tIN\tB-PP\tO' +p78297 +aS'breath\tbreath\tNN\tB-NP\tO' +p78298 +aS'and\tand\tCC\tI-NP\tO' +p78299 +aS'cough\tcough\tNN\tI-NP\tO' +p78300 +aS'.\t.\t.\tO\tO' +p78301 +asS'The aortic valve leaflets were mildly thickened .' +p78302 +(lp78303 +S'The\tThe\tDT\tB-NP\tO' +p78304 +aS'aortic\taortic\tJJ\tI-NP\tB-cell_type' +p78305 +aS'valve\tvalve\tNN\tI-NP\tI-cell_type' +p78306 +aS'leaflets\tleaflet\tNNS\tI-NP\tI-cell_type' +p78307 +aS'were\tbe\tVBD\tB-VP\tO' +p78308 +aS'mildly\tmildly\tRB\tI-VP\tO' +p78309 +aS'thickened\tthicken\tVBN\tI-VP\tO' +p78310 +aS'.\t.\t.\tO\tO' +p78311 +asS'4. Status post apnea of prematurity .' +p78312 +(lp78313 +S'4.\t4.\tLS\tB-NP\tO' +p78314 +aS'Status\tStatus\tNNP\tI-NP\tO' +p78315 +aS'post\tpost\tNN\tI-NP\tO' +p78316 +aS'apnea\tapnea\tNN\tI-NP\tO' +p78317 +aS'of\tof\tIN\tB-PP\tO' +p78318 +aS'prematurity\tprematurity\tNN\tB-NP\tO' +p78319 +aS'.\t.\t.\tO\tO' +p78320 +asS'He was moving the right arm and leg spontaneously , though less than before .' +p78321 +(lp78322 +S'He\tHe\tPRP\tB-NP\tO' +p78323 +aS'was\tbe\tVBD\tB-VP\tO' +p78324 +aS'moving\tmove\tVBG\tI-VP\tO' +p78325 +aS'the\tthe\tDT\tB-NP\tO' +p78326 +aS'right\tright\tJJ\tI-NP\tO' +p78327 +aS'arm\tarm\tNN\tI-NP\tO' +p78328 +aS'and\tand\tCC\tI-NP\tO' +p78329 +aS'leg\tleg\tNN\tI-NP\tO' +p78330 +aS'spontaneously\tspontaneously\tRB\tB-ADVP\tO' +p78331 +aS',\t,\t,\tO\tO' +p78332 +aS'though\tthough\tIN\tB-SBAR\tO' +p78333 +aS'less\tless\tJJR\tB-ADJP\tO' +p78334 +aS'than\tthan\tIN\tB-PP\tO' +p78335 +aS'before\tbefore\tRB\tB-ADVP\tO' +p78336 +aS'.\t.\t.\tO\tO' +p78337 +asS'1. Inferior myocardial infarction and right ventricular infarction .' +p78338 +(lp78339 +S'1.\t1.\tLS\tB-NP\tO' +p78340 +aS'Inferior\tInferior\tJJ\tI-NP\tO' +p78341 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p78342 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p78343 +aS'and\tand\tCC\tO\tO' +p78344 +aS'right\tright\tJJ\tB-NP\tO' +p78345 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p78346 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p78347 +aS'.\t.\t.\tO\tO' +p78348 +asS'OB history notable for infertility treated with Clomid .' +p78349 +(lp78350 +S'OB\tOB\tNN\tB-NP\tO' +p78351 +aS'history\thistory\tNN\tI-NP\tO' +p78352 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p78353 +aS'for\tfor\tIN\tB-PP\tO' +p78354 +aS'infertility\tinfertility\tNN\tB-NP\tO' +p78355 +aS'treated\ttreat\tVBN\tB-VP\tO' +p78356 +aS'with\twith\tIN\tB-PP\tO' +p78357 +aS'Clomid\tClomid\tNN\tB-NP\tO' +p78358 +aS'.\t.\t.\tO\tO' +p78359 +asS'If problems with speech or weakness worsen , go immediately to an emergency room for evaluation .' +p78360 +(lp78361 +S'If\tIf\tIN\tB-SBAR\tO' +p78362 +aS'problems\tproblem\tNNS\tB-NP\tO' +p78363 +aS'with\twith\tIN\tB-PP\tO' +p78364 +aS'speech\tspeech\tNN\tB-NP\tO' +p78365 +aS'or\tor\tCC\tI-NP\tO' +p78366 +aS'weakness\tweakness\tNN\tI-NP\tO' +p78367 +aS'worsen\tworsen\tNNS\tI-NP\tO' +p78368 +aS',\t,\t,\tO\tO' +p78369 +aS'go\tgo\tVB\tB-VP\tO' +p78370 +aS'immediately\timmediately\tRB\tB-ADVP\tO' +p78371 +aS'to\tto\tTO\tB-PP\tO' +p78372 +aS'an\tan\tDT\tB-NP\tO' +p78373 +aS'emergency\temergency\tNN\tI-NP\tO' +p78374 +aS'room\troom\tNN\tI-NP\tO' +p78375 +aS'for\tfor\tIN\tB-PP\tO' +p78376 +aS'evaluation\tevaluation\tNN\tB-NP\tO' +p78377 +aS'.\t.\t.\tO\tO' +p78378 +asS'21. Metoprolol Succinate 25 mg Tablet Sustained Release 24HR Sig : One ( 1 ) Tablet Sustained Release 24HR PO DAILY ( Daily ) .' +p78379 +(lp78380 +S'21.\t21.\tLS\tB-NP\tO' +p78381 +aS'Metoprolol\tMetoprolol\tNN\tI-NP\tO' +p78382 +aS'Succinate\tSuccinate\tNN\tI-NP\tO' +p78383 +aS'25\t25\tCD\tI-NP\tO' +p78384 +aS'mg\tmg\tNN\tI-NP\tO' +p78385 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p78386 +aS'Sustained\tSustained\tNNP\tI-NP\tO' +p78387 +aS'Release\tRelease\tNNP\tI-NP\tO' +p78388 +aS'24HR\t24HR\tNN\tI-NP\tO' +p78389 +aS'Sig\tSig\tNNP\tI-NP\tO' +p78390 +aS':\t:\t:\tO\tO' +p78391 +aS'One\tOne\tCD\tB-NP\tO' +p78392 +aS'(\t(\t(\tO\tO' +p78393 +aS'1\t1\tCD\tB-NP\tO' +p78394 +aS')\t)\t)\tO\tO' +p78395 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p78396 +aS'Sustained\tSustain\tVBD\tB-VP\tO' +p78397 +aS'Release\tRelease\tNN\tB-NP\tO' +p78398 +aS'24HR\t24HR\tNN\tI-NP\tO' +p78399 +aS'PO\tPO\tNN\tI-NP\tO' +p78400 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p78401 +aS'(\t(\t(\tO\tO' +p78402 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p78403 +aS')\t)\t)\tO\tO' +p78404 +aS'.\t.\t.\tO\tO' +p78405 +asS'Trivial mitral regurgitation is present .' +p78406 +(lp78407 +S'Trivial\tTrivial\tJJ\tB-NP\tO' +p78408 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p78409 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p78410 +aS'is\tbe\tVBZ\tB-VP\tO' +p78411 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p78412 +aS'.\t.\t.\tO\tO' +p78413 +asS'The patient 's attending physician , Dr. Erm Neidwierst , was notified as well .' +p78414 +(lp78415 +S'The\tThe\tDT\tB-NP\tO' +p78416 +aS'patient\tpatient\tNN\tI-NP\tO' +p78417 +aS''s\t'\tNNS\tI-NP\tO' +p78418 +aS'attending\tattend\tVBG\tB-VP\tO' +p78419 +aS'physician\tphysician\tNN\tB-NP\tO' +p78420 +aS',\t,\t,\tO\tO' +p78421 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p78422 +aS'Erm\tErm\tNNP\tI-NP\tO' +p78423 +aS'Neidwierst\tNeidwierst\tNNP\tI-NP\tO' +p78424 +aS',\t,\t,\tO\tO' +p78425 +aS'was\tbe\tVBD\tB-VP\tO' +p78426 +aS'notified\tnotify\tVBN\tI-VP\tO' +p78427 +aS'as\tas\tRB\tB-ADVP\tO' +p78428 +aS'well\twell\tRB\tI-ADVP\tO' +p78429 +aS'.\t.\t.\tO\tO' +p78430 +asS'Abdomen was soft and nontender , nondistended , with positive bowel sounds .' +p78431 +(lp78432 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p78433 +aS'was\tbe\tVBD\tB-VP\tO' +p78434 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p78435 +aS'and\tand\tCC\tI-ADJP\tO' +p78436 +aS'nontender\tnontender\tJJ\tI-ADJP\tO' +p78437 +aS',\t,\t,\tO\tO' +p78438 +aS'nondistended\tnondistended\tJJ\tB-ADJP\tO' +p78439 +aS',\t,\t,\tO\tO' +p78440 +aS'with\twith\tIN\tB-PP\tO' +p78441 +aS'positive\tpositive\tJJ\tB-NP\tO' +p78442 +aS'bowel\tbowel\tNN\tI-NP\tO' +p78443 +aS'sounds\tsound\tNNS\tI-NP\tO' +p78444 +aS'.\t.\t.\tO\tO' +p78445 +asS'After that , the patient had no major problems with his lungs .' +p78446 +(lp78447 +S'After\tAfter\tIN\tB-PP\tO' +p78448 +aS'that\tthat\tDT\tB-NP\tO' +p78449 +aS',\t,\t,\tO\tO' +p78450 +aS'the\tthe\tDT\tB-NP\tO' +p78451 +aS'patient\tpatient\tNN\tI-NP\tO' +p78452 +aS'had\thave\tVBD\tB-VP\tO' +p78453 +aS'no\tno\tDT\tB-NP\tO' +p78454 +aS'major\tmajor\tJJ\tI-NP\tO' +p78455 +aS'problems\tproblem\tNNS\tI-NP\tO' +p78456 +aS'with\twith\tIN\tB-PP\tO' +p78457 +aS'his\this\tPRP$\tB-NP\tO' +p78458 +aS'lungs\tlung\tNNS\tI-NP\tO' +p78459 +aS'.\t.\t.\tO\tO' +p78460 +asS'68 yo female trasnferred in from Catholic CMED CSRU. Ctr. with periprosthetic aortic valve stenosis and aortic valve thrombus .' +p78461 +(lp78462 +S'68\t68\tCD\tB-NP\tO' +p78463 +aS'yo\tyo\tNN\tI-NP\tO' +p78464 +aS'female\tfemale\tJJ\tI-NP\tO' +p78465 +aS'trasnferred\ttrasnferre\tVBN\tB-VP\tO' +p78466 +aS'in\tin\tIN\tB-PP\tO' +p78467 +aS'from\tfrom\tIN\tB-PP\tO' +p78468 +aS'Catholic\tCatholic\tNNP\tB-NP\tO' +p78469 +aS'CMED\tCMED\tNNP\tI-NP\tO' +p78470 +aS'CSRU.\tCSRU.\tNNP\tI-NP\tO' +p78471 +aS'Ctr.\tCtr.\tNNP\tI-NP\tO' +p78472 +aS'with\twith\tIN\tB-PP\tO' +p78473 +aS'periprosthetic\tperiprosthetic\tJJ\tB-NP\tO' +p78474 +aS'aortic\taortic\tJJ\tI-NP\tO' +p78475 +aS'valve\tvalve\tNN\tI-NP\tO' +p78476 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p78477 +aS'and\tand\tCC\tO\tO' +p78478 +aS'aortic\taortic\tJJ\tB-NP\tO' +p78479 +aS'valve\tvalve\tNN\tI-NP\tO' +p78480 +aS'thrombus\tthrombus\tNN\tI-NP\tO' +p78481 +aS'.\t.\t.\tO\tO' +p78482 +asS'She tolerated the surgery well .' +p78483 +(lp78484 +S'She\tShe\tPRP\tB-NP\tO' +p78485 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p78486 +aS'the\tthe\tDT\tB-NP\tO' +p78487 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p78488 +aS'well\twell\tRB\tB-ADVP\tO' +p78489 +aS'.\t.\t.\tO\tO' +p78490 +asS'The rectal examination was trace guaiac positive .' +p78491 +(lp78492 +S'The\tThe\tDT\tB-NP\tO' +p78493 +aS'rectal\trectal\tJJ\tI-NP\tO' +p78494 +aS'examination\texamination\tNN\tI-NP\tO' +p78495 +aS'was\tbe\tVBD\tB-VP\tO' +p78496 +aS'trace\ttrace\tNN\tB-NP\tO' +p78497 +aS'guaiac\tguaiac\tNN\tI-NP\tO' +p78498 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p78499 +aS'.\t.\t.\tO\tO' +p78500 +asS'A sphincterotomy wss done to drain the sludge from the central common duct .' +p78501 +(lp78502 +S'A\tA\tDT\tB-NP\tO' +p78503 +aS'sphincterotomy\tsphincterotomy\tNN\tI-NP\tO' +p78504 +aS'wss\twss\tNN\tI-NP\tO' +p78505 +aS'done\tdo\tVBN\tB-VP\tO' +p78506 +aS'to\tto\tTO\tI-VP\tO' +p78507 +aS'drain\tdrain\tVB\tI-VP\tO' +p78508 +aS'the\tthe\tDT\tB-NP\tO' +p78509 +aS'sludge\tsludge\tNN\tI-NP\tO' +p78510 +aS'from\tfrom\tIN\tB-PP\tO' +p78511 +aS'the\tthe\tDT\tB-NP\tO' +p78512 +aS'central\tcentral\tJJ\tI-NP\tO' +p78513 +aS'common\tcommon\tJJ\tI-NP\tO' +p78514 +aS'duct\tduct\tNN\tI-NP\tO' +p78515 +aS'.\t.\t.\tO\tO' +p78516 +asS'Amiodarone 400 mg tid was continued as well .' +p78517 +(lp78518 +S'Amiodarone\tAmiodarone\tNN\tB-NP\tO' +p78519 +aS'400\t400\tCD\tI-NP\tO' +p78520 +aS'mg\tmg\tNN\tI-NP\tO' +p78521 +aS'tid\ttid\tNN\tI-NP\tO' +p78522 +aS'was\tbe\tVBD\tB-VP\tO' +p78523 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p78524 +aS'as\tas\tRB\tB-ADVP\tO' +p78525 +aS'well\twell\tRB\tI-ADVP\tO' +p78526 +aS'.\t.\t.\tO\tO' +p78527 +asS'The procedure team was called to consider doing a left thoracentesis , but she was declined because it was felt that her effusions were transudative , secondary to CHF , and it was recommended to treat CHF .' +p78528 +(lp78529 +S'The\tThe\tDT\tB-NP\tO' +p78530 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p78531 +aS'team\tteam\tNN\tI-NP\tO' +p78532 +aS'was\tbe\tVBD\tB-VP\tO' +p78533 +aS'called\tcall\tVBN\tI-VP\tO' +p78534 +aS'to\tto\tTO\tB-VP\tO' +p78535 +aS'consider\tconsider\tVB\tI-VP\tO' +p78536 +aS'doing\tdo\tVBG\tI-VP\tO' +p78537 +aS'a\ta\tDT\tB-NP\tO' +p78538 +aS'left\tleft\tJJ\tI-NP\tO' +p78539 +aS'thoracentesis\tthoracentesis\tNN\tI-NP\tO' +p78540 +aS',\t,\t,\tO\tO' +p78541 +aS'but\tbut\tCC\tO\tO' +p78542 +aS'she\tshe\tPRP\tB-NP\tO' +p78543 +aS'was\tbe\tVBD\tB-VP\tO' +p78544 +aS'declined\tdecline\tVBN\tI-VP\tO' +p78545 +aS'because\tbecause\tIN\tB-SBAR\tO' +p78546 +aS'it\tit\tPRP\tB-NP\tO' +p78547 +aS'was\tbe\tVBD\tB-VP\tO' +p78548 +aS'felt\tfeel\tVBN\tI-VP\tO' +p78549 +aS'that\tthat\tIN\tB-SBAR\tO' +p78550 +aS'her\ther\tPRP$\tB-NP\tO' +p78551 +aS'effusions\teffusion\tNNS\tI-NP\tO' +p78552 +aS'were\tbe\tVBD\tB-VP\tO' +p78553 +aS'transudative\ttransudative\tJJ\tB-ADJP\tO' +p78554 +aS',\t,\t,\tO\tO' +p78555 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p78556 +aS'to\tto\tTO\tB-PP\tO' +p78557 +aS'CHF\tCHF\tNN\tB-NP\tB-protein' +p78558 +aS',\t,\t,\tO\tO' +p78559 +aS'and\tand\tCC\tO\tO' +p78560 +aS'it\tit\tPRP\tB-NP\tO' +p78561 +aS'was\tbe\tVBD\tB-VP\tO' +p78562 +aS'recommended\trecommend\tVBN\tI-VP\tO' +p78563 +aS'to\tto\tTO\tI-VP\tO' +p78564 +aS'treat\ttreat\tVB\tI-VP\tO' +p78565 +aS'CHF\tCHF\tNN\tB-NP\tB-protein' +p78566 +aS'.\t.\t.\tO\tO' +p78567 +asS'Abdomen is soft , non-tender , with no organomegaly or masses .' +p78568 +(lp78569 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p78570 +aS'is\tbe\tVBZ\tB-VP\tO' +p78571 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p78572 +aS',\t,\t,\tO\tO' +p78573 +aS'non-tender\tnon-tender\tJJ\tB-ADJP\tO' +p78574 +aS',\t,\t,\tO\tO' +p78575 +aS'with\twith\tIN\tB-PP\tO' +p78576 +aS'no\tno\tDT\tB-NP\tO' +p78577 +aS'organomegaly\torganomegaly\tNN\tI-NP\tO' +p78578 +aS'or\tor\tCC\tI-NP\tO' +p78579 +aS'masses\tmass\tNNS\tI-NP\tO' +p78580 +aS'.\t.\t.\tO\tO' +p78581 +asS"## Hx of DVT in RLE '93 - on coumadin for a couple years and then ASA until a couple months ago" +p78582 +(lp78583 +S'##\t##\t#\tB-NP\tO' +p78584 +aS'Hx\tHx\tNN\tI-NP\tO' +p78585 +aS'of\tof\tIN\tB-PP\tO' +p78586 +aS'DVT\tDVT\tNN\tB-NP\tB-protein' +p78587 +aS'in\tin\tIN\tB-PP\tO' +p78588 +aS'RLE\tRLE\tNN\tB-NP\tB-protein' +p78589 +aS"'93\t'93\tCD\tI-NP\tI-protein" +p78590 +aS'-\t-\tHYPH\tB-ADVP\tO' +p78591 +aS'on\ton\tIN\tB-PP\tO' +p78592 +aS'coumadin\tcoumadin\tNN\tB-NP\tO' +p78593 +aS'for\tfor\tIN\tB-PP\tO' +p78594 +aS'a\ta\tDT\tB-NP\tO' +p78595 +aS'couple\tcouple\tNN\tI-NP\tO' +p78596 +aS'years\tyear\tNNS\tI-NP\tO' +p78597 +aS'and\tand\tCC\tO\tO' +p78598 +aS'then\tthen\tRB\tB-ADVP\tO' +p78599 +aS'ASA\tASA\tNN\tB-NP\tO' +p78600 +aS'until\tuntil\tIN\tB-SBAR\tO' +p78601 +aS'a\ta\tDT\tB-NP\tO' +p78602 +aS'couple\tcouple\tNN\tI-NP\tO' +p78603 +aS'months\tmonth\tNNS\tI-NP\tO' +p78604 +aS'ago\tago\tIN\tB-ADVP\tO' +p78605 +asS'No tobacco , alcohol or drugs .' +p78606 +(lp78607 +S'No\tNo\tDT\tB-NP\tO' +p78608 +aS'tobacco\ttobacco\tNN\tI-NP\tO' +p78609 +aS',\t,\t,\tI-NP\tO' +p78610 +aS'alcohol\talcohol\tNN\tI-NP\tO' +p78611 +aS'or\tor\tCC\tI-NP\tO' +p78612 +aS'drugs\tdrug\tNNS\tI-NP\tO' +p78613 +aS'.\t.\t.\tO\tO' +p78614 +asS'Cardiac size is unchanged .' +p78615 +(lp78616 +S'Cardiac\tCardiac\tJJ\tB-NP\tO' +p78617 +aS'size\tsize\tNN\tI-NP\tO' +p78618 +aS'is\tbe\tVBZ\tB-VP\tO' +p78619 +aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' +p78620 +aS'.\t.\t.\tO\tO' +p78621 +asS'Decreased vibration in feet and ankles bilaterally , some in knees ; proprioception decreased in his feet bilaterally .' +p78622 +(lp78623 +S'Decreased\tDecrease\tVBN\tB-NP\tO' +p78624 +aS'vibration\tvibration\tNN\tI-NP\tO' +p78625 +aS'in\tin\tIN\tB-PP\tO' +p78626 +aS'feet\tfoot\tNNS\tB-NP\tO' +p78627 +aS'and\tand\tCC\tI-NP\tO' +p78628 +aS'ankles\tankle\tNNS\tI-NP\tO' +p78629 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p78630 +aS',\t,\t,\tO\tO' +p78631 +aS'some\tsome\tDT\tB-NP\tO' +p78632 +aS'in\tin\tIN\tB-PP\tO' +p78633 +aS'knees\tknee\tNNS\tB-NP\tO' +p78634 +aS';\t;\t:\tO\tO' +p78635 +aS'proprioception\tproprioception\tNN\tB-NP\tO' +p78636 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p78637 +aS'in\tin\tIN\tB-PP\tO' +p78638 +aS'his\this\tPRP$\tB-NP\tO' +p78639 +aS'feet\tfoot\tNNS\tI-NP\tO' +p78640 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p78641 +aS'.\t.\t.\tO\tO' +p78642 +asS'Oriented to place and person , not date 1996 .' +p78643 +(lp78644 +S'Oriented\tOrient\tVBN\tB-VP\tO' +p78645 +aS'to\tto\tTO\tB-PP\tO' +p78646 +aS'place\tplace\tNN\tB-NP\tO' +p78647 +aS'and\tand\tCC\tI-NP\tO' +p78648 +aS'person\tperson\tNN\tI-NP\tO' +p78649 +aS',\t,\t,\tB-NP\tO' +p78650 +aS'not\tnot\tRB\tI-NP\tO' +p78651 +aS'date\tdate\tNN\tB-NP\tO' +p78652 +aS'1996\t1996\tCD\tI-NP\tO' +p78653 +aS'.\t.\t.\tO\tO' +p78654 +asS'On 12-08 , the Hickman catheter was placed in preparation of Flolan administration .' +p78655 +(lp78656 +S'On\tOn\tIN\tB-PP\tO' +p78657 +aS'12-08\t12-08\tCD\tB-NP\tO' +p78658 +aS',\t,\t,\tO\tO' +p78659 +aS'the\tthe\tDT\tB-NP\tO' +p78660 +aS'Hickman\tHickman\tNNP\tI-NP\tO' +p78661 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p78662 +aS'was\tbe\tVBD\tB-VP\tO' +p78663 +aS'placed\tplace\tVBN\tI-VP\tO' +p78664 +aS'in\tin\tIN\tB-PP\tO' +p78665 +aS'preparation\tpreparation\tNN\tB-NP\tO' +p78666 +aS'of\tof\tIN\tB-PP\tO' +p78667 +aS'Flolan\tFlolan\tNNP\tB-NP\tO' +p78668 +aS'administration\tadministration\tNN\tI-NP\tO' +p78669 +aS'.\t.\t.\tO\tO' +p78670 +asS'At the same time the patient continued to be stable on his antihypertensive regimen .' +p78671 +(lp78672 +S'At\tAt\tIN\tB-PP\tO' +p78673 +aS'the\tthe\tDT\tB-NP\tO' +p78674 +aS'same\tsame\tJJ\tI-NP\tO' +p78675 +aS'time\ttime\tNN\tI-NP\tO' +p78676 +aS'the\tthe\tDT\tB-NP\tO' +p78677 +aS'patient\tpatient\tNN\tI-NP\tO' +p78678 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p78679 +aS'to\tto\tTO\tI-VP\tO' +p78680 +aS'be\tbe\tVB\tI-VP\tO' +p78681 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p78682 +aS'on\ton\tIN\tB-PP\tO' +p78683 +aS'his\this\tPRP$\tB-NP\tO' +p78684 +aS'antihypertensive\tantihypertensive\tJJ\tI-NP\tO' +p78685 +aS'regimen\tregimen\tNN\tI-NP\tO' +p78686 +aS'.\t.\t.\tO\tO' +p78687 +asS'1. Vascular catheter tip terminates in proximal right atrium .' +p78688 +(lp78689 +S'1.\t1.\tLS\tB-NP\tO' +p78690 +aS'Vascular\tVascular\tJJ\tI-NP\tB-protein' +p78691 +aS'catheter\tcatheter\tNN\tI-NP\tI-protein' +p78692 +aS'tip\ttip\tNN\tI-NP\tI-protein' +p78693 +aS'terminates\tterminate\tVBZ\tB-VP\tO' +p78694 +aS'in\tin\tIN\tB-PP\tO' +p78695 +aS'proximal\tproximal\tJJ\tB-NP\tO' +p78696 +aS'right\tright\tJJ\tI-NP\tO' +p78697 +aS'atrium\tatrium\tNN\tI-NP\tO' +p78698 +aS'.\t.\t.\tO\tO' +p78699 +asS'You may resume your regular diet as tolerated .' +p78700 +(lp78701 +S'You\tYou\tPRP\tB-NP\tB-protein' +p78702 +aS'may\tmay\tMD\tB-VP\tO' +p78703 +aS'resume\tresume\tVB\tI-VP\tO' +p78704 +aS'your\tyour\tPRP$\tB-NP\tO' +p78705 +aS'regular\tregular\tJJ\tI-NP\tO' +p78706 +aS'diet\tdiet\tNN\tI-NP\tO' +p78707 +aS'as\tas\tIN\tB-SBAR\tO' +p78708 +aS'tolerated\ttolerate\tVBN\tB-VP\tO' +p78709 +aS'.\t.\t.\tO\tO' +p78710 +asS'Her steroids were tapered and Pulmonary was consulted who recommended a CT scan of the chest to evaluate the lung parenchyma , induce sputum for CBC , arterial blood gas , continuing of the beta agonist inhalers , and trial of steroid inhalers .' +p78711 +(lp78712 +S'Her\tHer\tPRP$\tB-NP\tO' +p78713 +aS'steroids\tsteroid\tNNS\tI-NP\tO' +p78714 +aS'were\tbe\tVBD\tB-VP\tO' +p78715 +aS'tapered\ttaper\tVBN\tI-VP\tO' +p78716 +aS'and\tand\tCC\tO\tO' +p78717 +aS'Pulmonary\tPulmonary\tNNP\tB-NP\tO' +p78718 +aS'was\tbe\tVBD\tB-VP\tO' +p78719 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p78720 +aS'who\twho\tWP\tB-NP\tO' +p78721 +aS'recommended\trecommend\tVBD\tB-VP\tO' +p78722 +aS'a\ta\tDT\tB-NP\tO' +p78723 +aS'CT\tCT\tNN\tI-NP\tO' +p78724 +aS'scan\tscan\tNN\tI-NP\tO' +p78725 +aS'of\tof\tIN\tB-PP\tO' +p78726 +aS'the\tthe\tDT\tB-NP\tO' +p78727 +aS'chest\tchest\tNN\tI-NP\tO' +p78728 +aS'to\tto\tTO\tB-VP\tO' +p78729 +aS'evaluate\tevaluate\tVB\tI-VP\tO' +p78730 +aS'the\tthe\tDT\tB-NP\tO' +p78731 +aS'lung\tlung\tNN\tI-NP\tO' +p78732 +aS'parenchyma\tparenchyma\tNN\tI-NP\tO' +p78733 +aS',\t,\t,\tO\tO' +p78734 +aS'induce\tinduce\tVBP\tB-VP\tO' +p78735 +aS'sputum\tsputum\tNN\tB-NP\tO' +p78736 +aS'for\tfor\tIN\tB-PP\tO' +p78737 +aS'CBC\tCBC\tNN\tB-NP\tB-protein' +p78738 +aS',\t,\t,\tO\tO' +p78739 +aS'arterial\tarterial\tJJ\tB-NP\tO' +p78740 +aS'blood\tblood\tNN\tI-NP\tO' +p78741 +aS'gas\tgas\tNN\tI-NP\tO' +p78742 +aS',\t,\t,\tO\tO' +p78743 +aS'continuing\tcontinue\tVBG\tB-VP\tO' +p78744 +aS'of\tof\tIN\tB-PP\tO' +p78745 +aS'the\tthe\tDT\tB-NP\tO' +p78746 +aS'beta\tbeta\tNN\tI-NP\tO' +p78747 +aS'agonist\tagonist\tNN\tI-NP\tO' +p78748 +aS'inhalers\tinhaler\tNNS\tI-NP\tO' +p78749 +aS',\t,\t,\tO\tO' +p78750 +aS'and\tand\tCC\tO\tO' +p78751 +aS'trial\ttrial\tNN\tB-NP\tO' +p78752 +aS'of\tof\tIN\tB-PP\tO' +p78753 +aS'steroid\tsteroid\tNN\tB-NP\tO' +p78754 +aS'inhalers\tinhaler\tNNS\tI-NP\tO' +p78755 +aS'.\t.\t.\tO\tO' +p78756 +asS'Albuterol .' +p78757 +(lp78758 +S'Albuterol\tAlbuterol\tNN\tB-NP\tO' +p78759 +aS'.\t.\t.\tO\tO' +p78760 +asS'He was reported to have had a myocardial infarction in the past ( EKG positive for ischemia , exercise tolerance test positive , cardiac catheterization positive , the patient is now status posta three-vessel coronary artery bypass graft in 1987 ) .' +p78761 +(lp78762 +S'He\tHe\tPRP\tB-NP\tO' +p78763 +aS'was\tbe\tVBD\tB-VP\tO' +p78764 +aS'reported\treport\tVBN\tI-VP\tO' +p78765 +aS'to\tto\tTO\tI-VP\tO' +p78766 +aS'have\thave\tVB\tI-VP\tO' +p78767 +aS'had\thave\tVBN\tI-VP\tO' +p78768 +aS'a\ta\tDT\tB-NP\tO' +p78769 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p78770 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p78771 +aS'in\tin\tIN\tB-PP\tO' +p78772 +aS'the\tthe\tDT\tB-NP\tO' +p78773 +aS'past\tpast\tNN\tI-NP\tO' +p78774 +aS'(\t(\t(\tO\tO' +p78775 +aS'EKG\tEKG\tNN\tB-NP\tO' +p78776 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p78777 +aS'for\tfor\tIN\tB-PP\tO' +p78778 +aS'ischemia\tischemia\tNN\tB-NP\tO' +p78779 +aS',\t,\t,\tO\tO' +p78780 +aS'exercise\texercise\tNN\tB-NP\tO' +p78781 +aS'tolerance\ttolerance\tNN\tI-NP\tO' +p78782 +aS'test\ttest\tNN\tI-NP\tO' +p78783 +aS'positive\tpositive\tJJ\tB-NP\tO' +p78784 +aS',\t,\t,\tI-NP\tO' +p78785 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p78786 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p78787 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p78788 +aS',\t,\t,\tO\tO' +p78789 +aS'the\tthe\tDT\tB-NP\tO' +p78790 +aS'patient\tpatient\tNN\tI-NP\tO' +p78791 +aS'is\tbe\tVBZ\tB-VP\tO' +p78792 +aS'now\tnow\tRB\tB-ADVP\tO' +p78793 +aS'status\tstatus\tNN\tB-NP\tO' +p78794 +aS'posta\tposta\tJJ\tI-NP\tO' +p78795 +aS'three-vessel\tthree-vessel\tJJ\tI-NP\tO' +p78796 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p78797 +aS'artery\tartery\tNN\tI-NP\tO' +p78798 +aS'bypass\tbypass\tIN\tB-PP\tO' +p78799 +aS'graft\tgraft\tNN\tB-NP\tO' +p78800 +aS'in\tin\tIN\tB-PP\tO' +p78801 +aS'1987\t1987\tCD\tB-NP\tO' +p78802 +aS')\t)\t)\tO\tO' +p78803 +aS'.\t.\t.\tO\tO' +p78804 +asS'Return to the emergency room if you develop fevers , chills , severe headaches , visual disturbances , nause , vomiting and / or any other symptoms that are concerning to you .' +p78805 +(lp78806 +S'Return\tReturn\tNN\tB-NP\tO' +p78807 +aS'to\tto\tTO\tB-PP\tO' +p78808 +aS'the\tthe\tDT\tB-NP\tO' +p78809 +aS'emergency\temergency\tNN\tI-NP\tO' +p78810 +aS'room\troom\tNN\tI-NP\tO' +p78811 +aS'if\tif\tIN\tB-SBAR\tO' +p78812 +aS'you\tyou\tPRP\tB-NP\tO' +p78813 +aS'develop\tdevelop\tVBP\tB-VP\tO' +p78814 +aS'fevers\tfever\tNNS\tB-NP\tO' +p78815 +aS',\t,\t,\tO\tO' +p78816 +aS'chills\tchill\tNNS\tB-NP\tO' +p78817 +aS',\t,\t,\tO\tO' +p78818 +aS'severe\tsevere\tJJ\tB-NP\tO' +p78819 +aS'headaches\theadache\tNNS\tI-NP\tO' +p78820 +aS',\t,\t,\tO\tO' +p78821 +aS'visual\tvisual\tJJ\tB-NP\tO' +p78822 +aS'disturbances\tdisturbance\tNNS\tI-NP\tO' +p78823 +aS',\t,\t,\tO\tO' +p78824 +aS'nause\tnause\tNN\tB-NP\tO' +p78825 +aS',\t,\t,\tO\tO' +p78826 +aS'vomiting\tvomit\tVBG\tB-VP\tO' +p78827 +aS'and\tand\tCC\tO\tO' +p78828 +aS'/\t/\tSYM\tB-NP\tO' +p78829 +aS'or\tor\tCC\tO\tO' +p78830 +aS'any\tany\tDT\tB-NP\tO' +p78831 +aS'other\tother\tJJ\tI-NP\tO' +p78832 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p78833 +aS'that\tthat\tWDT\tB-NP\tO' +p78834 +aS'are\tbe\tVBP\tB-VP\tO' +p78835 +aS'concerning\tconcern\tVBG\tI-VP\tO' +p78836 +aS'to\tto\tTO\tB-PP\tO' +p78837 +aS'you\tyou\tPRP\tB-NP\tO' +p78838 +aS'.\t.\t.\tO\tO' +p78839 +asS'ESR was greater than 140 .' +p78840 +(lp78841 +S'ESR\tESR\tNN\tB-NP\tB-protein' +p78842 +aS'was\tbe\tVBD\tB-VP\tO' +p78843 +aS'greater\tgreat\tJJR\tB-ADJP\tO' +p78844 +aS'than\tthan\tIN\tB-PP\tO' +p78845 +aS'140\t140\tCD\tB-NP\tO' +p78846 +aS'.\t.\t.\tO\tO' +p78847 +asS'oropharynx benign , poor dental health' +p78848 +(lp78849 +S'oropharynx\toropharynx\tNN\tB-NP\tO' +p78850 +aS'benign\tbenign\tJJ\tI-NP\tO' +p78851 +aS',\t,\t,\tI-NP\tO' +p78852 +aS'poor\tpoor\tJJ\tI-NP\tO' +p78853 +aS'dental\tdental\tJJ\tI-NP\tO' +p78854 +aS'health\thealth\tNN\tI-NP\tO' +p78855 +asS'The patient was initially admitted to the medical service for optimization prior to his coronary artery bypass graft .' +p78856 +(lp78857 +S'The\tThe\tDT\tB-NP\tO' +p78858 +aS'patient\tpatient\tNN\tI-NP\tO' +p78859 +aS'was\tbe\tVBD\tB-VP\tO' +p78860 +aS'initially\tinitially\tRB\tI-VP\tO' +p78861 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p78862 +aS'to\tto\tTO\tB-PP\tO' +p78863 +aS'the\tthe\tDT\tB-NP\tO' +p78864 +aS'medical\tmedical\tJJ\tI-NP\tO' +p78865 +aS'service\tservice\tNN\tI-NP\tO' +p78866 +aS'for\tfor\tIN\tB-PP\tO' +p78867 +aS'optimization\toptimization\tNN\tB-NP\tO' +p78868 +aS'prior\tprior\tJJ\tB-ADVP\tO' +p78869 +aS'to\tto\tTO\tB-PP\tO' +p78870 +aS'his\this\tPRP$\tB-NP\tO' +p78871 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p78872 +aS'artery\tartery\tNN\tI-NP\tO' +p78873 +aS'bypass\tbypass\tIN\tB-PP\tO' +p78874 +aS'graft\tgraft\tNN\tB-NP\tO' +p78875 +aS'.\t.\t.\tO\tO' +p78876 +asS'They have declined a post-mortem examination .' +p78877 +(lp78878 +S'They\tThey\tPRP\tB-NP\tO' +p78879 +aS'have\thave\tVBP\tB-VP\tO' +p78880 +aS'declined\tdecline\tVBN\tI-VP\tO' +p78881 +aS'a\ta\tDT\tB-NP\tO' +p78882 +aS'post-mortem\tpost-mortem\tJJ\tI-NP\tO' +p78883 +aS'examination\texamination\tNN\tI-NP\tO' +p78884 +aS'.\t.\t.\tO\tO' +p78885 +asS'He has passed meconium stool and is voiding with each diaper change .' +p78886 +(lp78887 +S'He\tHe\tPRP\tB-NP\tO' +p78888 +aS'has\thave\tVBZ\tB-VP\tO' +p78889 +aS'passed\tpass\tVBN\tI-VP\tO' +p78890 +aS'meconium\tmeconium\tNN\tB-NP\tO' +p78891 +aS'stool\tstool\tNN\tI-NP\tO' +p78892 +aS'and\tand\tCC\tO\tO' +p78893 +aS'is\tbe\tVBZ\tB-VP\tO' +p78894 +aS'voiding\tvoid\tVBG\tI-VP\tO' +p78895 +aS'with\twith\tIN\tB-PP\tO' +p78896 +aS'each\teach\tDT\tB-NP\tO' +p78897 +aS'diaper\tdiaper\tNN\tI-NP\tO' +p78898 +aS'change\tchange\tNN\tI-NP\tO' +p78899 +aS'.\t.\t.\tO\tO' +p78900 +asS'The rest of her labs were unremarkable .' +p78901 +(lp78902 +S'The\tThe\tDT\tB-NP\tO' +p78903 +aS'rest\trest\tNN\tI-NP\tO' +p78904 +aS'of\tof\tIN\tB-PP\tO' +p78905 +aS'her\ther\tPRP$\tB-NP\tO' +p78906 +aS'labs\tlab\tNNS\tI-NP\tO' +p78907 +aS'were\tbe\tVBD\tB-VP\tO' +p78908 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p78909 +aS'.\t.\t.\tO\tO' +p78910 +asS'Right lower extremity vein harvest site has a moderate amount of ecchymosis at the very distal portion of the incision at the ankle .' +p78911 +(lp78912 +S'Right\tRight\tRB\tB-NP\tO' +p78913 +aS'lower\tlow\tJJR\tI-NP\tO' +p78914 +aS'extremity\textremity\tNN\tI-NP\tB-DNA' +p78915 +aS'vein\tvein\tNN\tI-NP\tI-DNA' +p78916 +aS'harvest\tharvest\tNN\tI-NP\tI-DNA' +p78917 +aS'site\tsite\tNN\tI-NP\tI-DNA' +p78918 +aS'has\thave\tVBZ\tB-VP\tO' +p78919 +aS'a\ta\tDT\tB-NP\tO' +p78920 +aS'moderate\tmoderate\tJJ\tI-NP\tO' +p78921 +aS'amount\tamount\tNN\tI-NP\tO' +p78922 +aS'of\tof\tIN\tB-PP\tO' +p78923 +aS'ecchymosis\tecchymosis\tNN\tB-NP\tO' +p78924 +aS'at\tat\tIN\tB-PP\tO' +p78925 +aS'the\tthe\tDT\tB-NP\tO' +p78926 +aS'very\tvery\tRB\tI-NP\tO' +p78927 +aS'distal\tdistal\tJJ\tI-NP\tO' +p78928 +aS'portion\tportion\tNN\tI-NP\tO' +p78929 +aS'of\tof\tIN\tB-PP\tO' +p78930 +aS'the\tthe\tDT\tB-NP\tO' +p78931 +aS'incision\tincision\tNN\tI-NP\tO' +p78932 +aS'at\tat\tIN\tB-PP\tO' +p78933 +aS'the\tthe\tDT\tB-NP\tO' +p78934 +aS'ankle\tankle\tNN\tI-NP\tO' +p78935 +aS'.\t.\t.\tO\tO' +p78936 +asS'Slightly cool , 3-4+ edema bilaterally .' +p78937 +(lp78938 +S'Slightly\tSlightly\tRB\tB-NP\tO' +p78939 +aS'cool\tcool\tJJ\tI-NP\tO' +p78940 +aS',\t,\t,\tI-NP\tO' +p78941 +aS'3-4+\t3-4+\tJJ\tI-NP\tO' +p78942 +aS'edema\tedema\tNN\tI-NP\tO' +p78943 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p78944 +aS'.\t.\t.\tO\tO' +p78945 +asS'7. Chronic anemia .' +p78946 +(lp78947 +S'7.\t7.\tLS\tB-NP\tO' +p78948 +aS'Chronic\tChronic\tJJ\tI-NP\tO' +p78949 +aS'anemia\tanemia\tNN\tI-NP\tO' +p78950 +aS'.\t.\t.\tO\tO' +p78951 +asS'Lungs clear .' +p78952 +(lp78953 +S'Lungs\tLung\tNNS\tB-NP\tO' +p78954 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p78955 +aS'.\t.\t.\tO\tO' +p78956 +asS'Rupture of membranes at time of delivery .' +p78957 +(lp78958 +S'Rupture\tRupture\tNN\tB-NP\tO' +p78959 +aS'of\tof\tIN\tB-PP\tO' +p78960 +aS'membranes\tmembrane\tNNS\tB-NP\tO' +p78961 +aS'at\tat\tIN\tB-PP\tO' +p78962 +aS'time\ttime\tNN\tB-NP\tO' +p78963 +aS'of\tof\tIN\tB-PP\tO' +p78964 +aS'delivery\tdelivery\tNN\tB-NP\tO' +p78965 +aS'.\t.\t.\tO\tO' +p78966 +asS'Hyponatremia .' +p78967 +(lp78968 +S'Hyponatremia\tHyponatremia\tNN\tB-NP\tO' +p78969 +aS'.\t.\t.\tO\tO' +p78970 +asS'She also developed Klebsiella UTI after the second cycle of high dose chemotherapy .' +p78971 +(lp78972 +S'She\tShe\tPRP\tB-NP\tO' +p78973 +aS'also\talso\tRB\tB-ADVP\tO' +p78974 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p78975 +aS'Klebsiella\tKlebsiella\tNNP\tB-NP\tO' +p78976 +aS'UTI\tUTI\tNNP\tI-NP\tO' +p78977 +aS'after\tafter\tIN\tB-PP\tO' +p78978 +aS'the\tthe\tDT\tB-NP\tO' +p78979 +aS'second\tsecond\tJJ\tI-NP\tO' +p78980 +aS'cycle\tcycle\tNN\tI-NP\tO' +p78981 +aS'of\tof\tIN\tB-PP\tO' +p78982 +aS'high\thigh\tJJ\tB-NP\tO' +p78983 +aS'dose\tdose\tNN\tI-NP\tO' +p78984 +aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' +p78985 +aS'.\t.\t.\tO\tO' +p78986 +asS'This was sensitive to Clindamycin , Erythromycin , penicillin S and Vancomycin .' +p78987 +(lp78988 +S'This\tThis\tDT\tB-NP\tO' +p78989 +aS'was\tbe\tVBD\tB-VP\tO' +p78990 +aS'sensitive\tsensitive\tJJ\tB-ADJP\tO' +p78991 +aS'to\tto\tTO\tB-PP\tO' +p78992 +aS'Clindamycin\tClindamycin\tNN\tB-NP\tO' +p78993 +aS',\t,\t,\tO\tO' +p78994 +aS'Erythromycin\tErythromycin\tNN\tB-NP\tO' +p78995 +aS',\t,\t,\tO\tO' +p78996 +aS'penicillin\tpenicillin\tNN\tB-NP\tO' +p78997 +aS'S\tS\tNN\tI-NP\tO' +p78998 +aS'and\tand\tCC\tI-NP\tO' +p78999 +aS'Vancomycin\tVancomycin\tNN\tI-NP\tO' +p79000 +aS'.\t.\t.\tO\tO' +p79001 +asS'Extremities revealed trace lower extremity edema , right greater than left , 2+ dorsalis pedis and posterior tibialis pulses .' +p79002 +(lp79003 +S'Extremities\tExtremity\tNNS\tB-NP\tO' +p79004 +aS'revealed\treveal\tVBD\tB-VP\tO' +p79005 +aS'trace\ttrace\tNN\tB-NP\tO' +p79006 +aS'lower\tlow\tJJR\tI-NP\tO' +p79007 +aS'extremity\textremity\tNN\tI-NP\tO' +p79008 +aS'edema\tedema\tNN\tI-NP\tO' +p79009 +aS',\t,\t,\tO\tO' +p79010 +aS'right\tright\tRB\tB-ADVP\tO' +p79011 +aS'greater\tgreat\tJJR\tI-ADVP\tO' +p79012 +aS'than\tthan\tIN\tB-PP\tO' +p79013 +aS'left\tleft\tJJ\tB-NP\tO' +p79014 +aS',\t,\t,\tI-NP\tO' +p79015 +aS'2+\t2+\tJJ\tI-NP\tO' +p79016 +aS'dorsalis\tdorsalis\tNN\tI-NP\tO' +p79017 +aS'pedis\tpedis\tNN\tI-NP\tO' +p79018 +aS'and\tand\tCC\tO\tO' +p79019 +aS'posterior\tposterior\tJJ\tB-NP\tO' +p79020 +aS'tibialis\ttibialis\tNN\tI-NP\tO' +p79021 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p79022 +aS'.\t.\t.\tO\tO' +p79023 +asS'She had no prior significant cardiac history and presented to her local medical doctor 's office with an episode of severe retrosternal chest pain .' +p79024 +(lp79025 +S'She\tShe\tPRP\tB-NP\tO' +p79026 +aS'had\thave\tVBD\tB-VP\tO' +p79027 +aS'no\tno\tDT\tB-NP\tO' +p79028 +aS'prior\tprior\tJJ\tI-NP\tO' +p79029 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p79030 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p79031 +aS'history\thistory\tNN\tI-NP\tO' +p79032 +aS'and\tand\tCC\tO\tO' +p79033 +aS'presented\tpresent\tVBN\tB-VP\tO' +p79034 +aS'to\tto\tTO\tB-PP\tO' +p79035 +aS'her\ther\tPRP$\tB-NP\tO' +p79036 +aS'local\tlocal\tJJ\tI-NP\tO' +p79037 +aS'medical\tmedical\tJJ\tI-NP\tO' +p79038 +aS'doctor\tdoctor\tNN\tI-NP\tO' +p79039 +aS''s\t'\tNNS\tI-NP\tO' +p79040 +aS'office\toffice\tNN\tI-NP\tO' +p79041 +aS'with\twith\tIN\tB-PP\tO' +p79042 +aS'an\tan\tDT\tB-NP\tO' +p79043 +aS'episode\tepisode\tNN\tI-NP\tO' +p79044 +aS'of\tof\tIN\tB-PP\tO' +p79045 +aS'severe\tsevere\tJJ\tB-NP\tO' +p79046 +aS'retrosternal\tretrosternal\tJJ\tI-NP\tO' +p79047 +aS'chest\tchest\tNN\tI-NP\tO' +p79048 +aS'pain\tpain\tNN\tI-NP\tO' +p79049 +aS'.\t.\t.\tO\tO' +p79050 +asS'standing pre-meal novolog .' +p79051 +(lp79052 +S'standing\tstand\tVBG\tB-VP\tO' +p79053 +aS'pre-meal\tpre-meal\tJJ\tB-NP\tO' +p79054 +aS'novolog\tnovolog\tNN\tI-NP\tO' +p79055 +aS'.\t.\t.\tO\tO' +p79056 +asS'White blood cell count was 40,000 with left shift .' +p79057 +(lp79058 +S'White\tWhite\tJJ\tB-NP\tO' +p79059 +aS'blood\tblood\tNN\tI-NP\tO' +p79060 +aS'cell\tcell\tNN\tI-NP\tO' +p79061 +aS'count\tcount\tNN\tI-NP\tO' +p79062 +aS'was\tbe\tVBD\tB-VP\tO' +p79063 +aS'40,000\t40,000\tCD\tB-NP\tO' +p79064 +aS'with\twith\tIN\tB-PP\tO' +p79065 +aS'left\tleft\tJJ\tB-NP\tO' +p79066 +aS'shift\tshift\tNN\tI-NP\tO' +p79067 +aS'.\t.\t.\tO\tO' +p79068 +asS'her O2 requirement by discharge was 96% on room air with no SOB .' +p79069 +(lp79070 +S'her\ther\tPRP$\tB-NP\tO' +p79071 +aS'O2\tO2\tNN\tI-NP\tO' +p79072 +aS'requirement\trequirement\tNN\tI-NP\tO' +p79073 +aS'by\tby\tIN\tB-PP\tO' +p79074 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p79075 +aS'was\tbe\tVBD\tB-VP\tO' +p79076 +aS'96%\t96%\tCD\tB-NP\tO' +p79077 +aS'on\ton\tIN\tB-PP\tO' +p79078 +aS'room\troom\tNN\tB-NP\tO' +p79079 +aS'air\tair\tNN\tI-NP\tO' +p79080 +aS'with\twith\tIN\tB-PP\tO' +p79081 +aS'no\tno\tDT\tB-NP\tO' +p79082 +aS'SOB\tSOB\tNN\tI-NP\tB-protein' +p79083 +aS'.\t.\t.\tO\tO' +p79084 +asS'5. Chronic constipation from laxative abuse .' +p79085 +(lp79086 +S'5.\t5.\tLS\tB-NP\tO' +p79087 +aS'Chronic\tChronic\tJJ\tI-NP\tO' +p79088 +aS'constipation\tconstipation\tNN\tI-NP\tO' +p79089 +aS'from\tfrom\tIN\tB-PP\tO' +p79090 +aS'laxative\tlaxative\tJJ\tB-NP\tO' +p79091 +aS'abuse\tabuse\tNN\tI-NP\tO' +p79092 +aS'.\t.\t.\tO\tO' +p79093 +asS'The aortic root is mildly dilated .' +p79094 +(lp79095 +S'The\tThe\tDT\tB-NP\tO' +p79096 +aS'aortic\taortic\tJJ\tI-NP\tO' +p79097 +aS'root\troot\tNN\tI-NP\tO' +p79098 +aS'is\tbe\tVBZ\tB-VP\tO' +p79099 +aS'mildly\tmildly\tRB\tI-VP\tO' +p79100 +aS'dilated\tdilate\tVBN\tI-VP\tO' +p79101 +aS'.\t.\t.\tO\tO' +p79102 +asS'9. Minoxidil 10 mg twice a day .' +p79103 +(lp79104 +S'9.\t9.\tCD\tB-NP\tO' +p79105 +aS'Minoxidil\tMinoxidil\tNN\tI-NP\tO' +p79106 +aS'10\t10\tCD\tB-NP\tO' +p79107 +aS'mg\tmg\tNN\tI-NP\tO' +p79108 +aS'twice\ttwice\tRB\tB-NP\tO' +p79109 +aS'a\ta\tDT\tI-NP\tO' +p79110 +aS'day\tday\tNN\tI-NP\tO' +p79111 +aS'.\t.\t.\tO\tO' +p79112 +asS'regular rate and rhythm , jugular venous pressure was normal , no carotid bruit was noted ; murmur , rub , gallop , click and ectopy were absent .' +p79113 +(lp79114 +S'regular\tregular\tJJ\tB-NP\tO' +p79115 +aS'rate\trate\tNN\tI-NP\tO' +p79116 +aS'and\tand\tCC\tI-NP\tO' +p79117 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p79118 +aS',\t,\t,\tO\tO' +p79119 +aS'jugular\tjugular\tJJ\tB-NP\tO' +p79120 +aS'venous\tvenous\tJJ\tI-NP\tO' +p79121 +aS'pressure\tpressure\tNN\tI-NP\tO' +p79122 +aS'was\tbe\tVBD\tB-VP\tO' +p79123 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p79124 +aS',\t,\t,\tO\tO' +p79125 +aS'no\tno\tDT\tB-NP\tO' +p79126 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p79127 +aS'bruit\tbruit\tNN\tI-NP\tO' +p79128 +aS'was\tbe\tVBD\tB-VP\tO' +p79129 +aS'noted\tnote\tVBN\tI-VP\tO' +p79130 +aS';\t;\t:\tO\tO' +p79131 +aS'murmur\tmurmur\tNN\tB-NP\tO' +p79132 +aS',\t,\t,\tI-NP\tO' +p79133 +aS'rub\trub\tNN\tI-NP\tB-protein' +p79134 +aS',\t,\t,\tI-NP\tO' +p79135 +aS'gallop\tgallop\tNN\tI-NP\tO' +p79136 +aS',\t,\t,\tI-NP\tO' +p79137 +aS'click\tclick\tNN\tI-NP\tO' +p79138 +aS'and\tand\tCC\tI-NP\tO' +p79139 +aS'ectopy\tectopy\tNN\tI-NP\tO' +p79140 +aS'were\tbe\tVBD\tB-VP\tO' +p79141 +aS'absent\tabsent\tJJ\tB-ADJP\tO' +p79142 +aS'.\t.\t.\tO\tO' +p79143 +asS'Mild degree of instability at level C3-C4 as described .' +p79144 +(lp79145 +S'Mild\tMild\tJJ\tB-NP\tO' +p79146 +aS'degree\tdegree\tNN\tI-NP\tO' +p79147 +aS'of\tof\tIN\tB-PP\tO' +p79148 +aS'instability\tinstability\tNN\tB-NP\tO' +p79149 +aS'at\tat\tIN\tB-PP\tO' +p79150 +aS'level\tlevel\tNN\tB-NP\tO' +p79151 +aS'C3-C4\tC3-C4\tNN\tI-NP\tO' +p79152 +aS'as\tas\tIN\tB-SBAR\tO' +p79153 +aS'described\tdescribe\tVBN\tB-VP\tO' +p79154 +aS'.\t.\t.\tO\tO' +p79155 +asS'The patient was referred to for Vascular consultation because of the ulcerations and pain and scheduled for a lower' +p79156 +(lp79157 +S'The\tThe\tDT\tB-NP\tO' +p79158 +aS'patient\tpatient\tNN\tI-NP\tO' +p79159 +aS'was\tbe\tVBD\tB-VP\tO' +p79160 +aS'referred\trefer\tVBN\tI-VP\tO' +p79161 +aS'to\tto\tTO\tB-PP\tO' +p79162 +aS'for\tfor\tIN\tB-PP\tO' +p79163 +aS'Vascular\tVascular\tJJ\tB-NP\tO' +p79164 +aS'consultation\tconsultation\tNN\tI-NP\tO' +p79165 +aS'because\tbecause\tIN\tB-PP\tO' +p79166 +aS'of\tof\tIN\tI-PP\tO' +p79167 +aS'the\tthe\tDT\tB-NP\tO' +p79168 +aS'ulcerations\tulceration\tNNS\tI-NP\tO' +p79169 +aS'and\tand\tCC\tI-NP\tO' +p79170 +aS'pain\tpain\tNN\tI-NP\tO' +p79171 +aS'and\tand\tCC\tO\tO' +p79172 +aS'scheduled\tschedule\tVBN\tB-VP\tO' +p79173 +aS'for\tfor\tIN\tB-PP\tO' +p79174 +aS'a\ta\tDT\tB-NP\tO' +p79175 +aS'lower\tlow\tJJR\tI-NP\tO' +p79176 +asS'A cachectic white female .' +p79177 +(lp79178 +S'A\tA\tDT\tB-NP\tO' +p79179 +aS'cachectic\tcachectic\tJJ\tI-NP\tO' +p79180 +aS'white\twhite\tJJ\tI-NP\tO' +p79181 +aS'female\tfemale\tNN\tI-NP\tO' +p79182 +aS'.\t.\t.\tO\tO' +p79183 +asS'normocephalic , atraumatic , anicteric .' +p79184 +(lp79185 +S'normocephalic\tnormocephalic\tJJ\tB-NP\tO' +p79186 +aS',\t,\t,\tI-NP\tO' +p79187 +aS'atraumatic\tatraumatic\tJJ\tI-NP\tO' +p79188 +aS',\t,\t,\tI-NP\tO' +p79189 +aS'anicteric\tanicteric\tJJ\tI-NP\tO' +p79190 +aS'.\t.\t.\tO\tO' +p79191 +asS'Doppler : Full doppler and color doppler' +p79192 +(lp79193 +S'Doppler\tDoppler\tNNP\tB-NP\tO' +p79194 +aS':\t:\t:\tO\tO' +p79195 +aS'Full\tFull\tJJ\tB-NP\tO' +p79196 +aS'doppler\tdoppler\tNN\tI-NP\tO' +p79197 +aS'and\tand\tCC\tI-NP\tO' +p79198 +aS'color\tcolor\tNN\tI-NP\tO' +p79199 +aS'doppler\tdoppler\tNN\tI-NP\tO' +p79200 +asS'nuchal cord , x 1- reduced prior to delivery .' +p79201 +(lp79202 +S'nuchal\tnuchal\tJJ\tB-NP\tO' +p79203 +aS'cord\tcord\tNN\tI-NP\tO' +p79204 +aS',\t,\t,\tO\tO' +p79205 +aS'x\tx\tNN\tB-NP\tO' +p79206 +aS'1-\t1-\tNN\tI-NP\tO' +p79207 +aS'reduced\treduce\tVBD\tB-VP\tO' +p79208 +aS'prior\tprior\tRB\tB-ADVP\tO' +p79209 +aS'to\tto\tTO\tB-PP\tO' +p79210 +aS'delivery\tdelivery\tNN\tB-NP\tO' +p79211 +aS'.\t.\t.\tO\tO' +p79212 +asS'There was severe diffuse peritonitis with intense inflammation , infection , and patchy necrosis of peritoneal surfaces and of the distal pancreas .' +p79213 +(lp79214 +S'There\tThere\tEX\tB-NP\tO' +p79215 +aS'was\tbe\tVBD\tB-VP\tO' +p79216 +aS'severe\tsevere\tJJ\tB-NP\tO' +p79217 +aS'diffuse\tdiffuse\tJJ\tI-NP\tO' +p79218 +aS'peritonitis\tperitonitis\tNN\tI-NP\tO' +p79219 +aS'with\twith\tIN\tB-PP\tO' +p79220 +aS'intense\tintense\tJJ\tB-NP\tO' +p79221 +aS'inflammation\tinflammation\tNN\tI-NP\tO' +p79222 +aS',\t,\t,\tO\tO' +p79223 +aS'infection\tinfection\tNN\tB-NP\tO' +p79224 +aS',\t,\t,\tO\tO' +p79225 +aS'and\tand\tCC\tO\tO' +p79226 +aS'patchy\tpatchy\tJJ\tB-NP\tO' +p79227 +aS'necrosis\tnecrosis\tNN\tI-NP\tO' +p79228 +aS'of\tof\tIN\tB-PP\tO' +p79229 +aS'peritoneal\tperitoneal\tJJ\tB-NP\tO' +p79230 +aS'surfaces\tsurface\tNNS\tI-NP\tO' +p79231 +aS'and\tand\tCC\tB-PP\tO' +p79232 +aS'of\tof\tIN\tB-PP\tO' +p79233 +aS'the\tthe\tDT\tB-NP\tO' +p79234 +aS'distal\tdistal\tJJ\tI-NP\tO' +p79235 +aS'pancreas\tpancreas\tNN\tI-NP\tO' +p79236 +aS'.\t.\t.\tO\tO' +p79237 +asS'Temperature 99.2 .' +p79238 +(lp79239 +S'Temperature\tTemperature\tNN\tB-NP\tO' +p79240 +aS'99.2\t99.2\tCD\tI-NP\tO' +p79241 +aS'.\t.\t.\tO\tO' +p79242 +asS'No further infectious course was identified and the fevers may have been due to underlying malignant process .' +p79243 +(lp79244 +S'No\tNo\tDT\tB-NP\tO' +p79245 +aS'further\tfurther\tJJ\tI-NP\tO' +p79246 +aS'infectious\tinfectious\tJJ\tI-NP\tO' +p79247 +aS'course\tcourse\tNN\tI-NP\tO' +p79248 +aS'was\tbe\tVBD\tB-VP\tO' +p79249 +aS'identified\tidentify\tVBN\tI-VP\tO' +p79250 +aS'and\tand\tCC\tO\tO' +p79251 +aS'the\tthe\tDT\tB-NP\tO' +p79252 +aS'fevers\tfever\tNNS\tI-NP\tO' +p79253 +aS'may\tmay\tMD\tB-VP\tO' +p79254 +aS'have\thave\tVB\tI-VP\tO' +p79255 +aS'been\tbe\tVBN\tI-VP\tO' +p79256 +aS'due\tdue\tJJ\tB-ADJP\tO' +p79257 +aS'to\tto\tTO\tB-PP\tO' +p79258 +aS'underlying\tunderlie\tVBG\tB-VP\tO' +p79259 +aS'malignant\tmalignant\tJJ\tB-NP\tO' +p79260 +aS'process\tprocess\tNN\tI-NP\tO' +p79261 +aS'.\t.\t.\tO\tO' +p79262 +asS'She is active at baseline , participating in cardiac rehab for 2 hrs / week and running up and down stairs at home without CP / SOB .' +p79263 +(lp79264 +S'She\tShe\tPRP\tB-NP\tO' +p79265 +aS'is\tbe\tVBZ\tB-VP\tO' +p79266 +aS'active\tactive\tJJ\tB-ADJP\tO' +p79267 +aS'at\tat\tIN\tB-PP\tO' +p79268 +aS'baseline\tbaseline\tNN\tB-NP\tO' +p79269 +aS',\t,\t,\tO\tO' +p79270 +aS'participating\tparticipate\tVBG\tB-VP\tO' +p79271 +aS'in\tin\tIN\tB-PP\tO' +p79272 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p79273 +aS'rehab\trehab\tNN\tI-NP\tO' +p79274 +aS'for\tfor\tIN\tB-PP\tO' +p79275 +aS'2\t2\tCD\tB-NP\tO' +p79276 +aS'hrs\thr\tNNS\tI-NP\tO' +p79277 +aS'/\t/\tSYM\tB-NP\tO' +p79278 +aS'week\tweek\tNN\tI-NP\tO' +p79279 +aS'and\tand\tCC\tO\tO' +p79280 +aS'running\trun\tVBG\tB-VP\tO' +p79281 +aS'up\tup\tRB\tB-ADVP\tO' +p79282 +aS'and\tand\tCC\tI-ADVP\tO' +p79283 +aS'down\tdown\tRB\tI-ADVP\tO' +p79284 +aS'stairs\tstair\tNNS\tB-NP\tO' +p79285 +aS'at\tat\tIN\tB-PP\tO' +p79286 +aS'home\thome\tNN\tB-NP\tO' +p79287 +aS'without\twithout\tIN\tB-PP\tO' +p79288 +aS'CP\tCP\tNN\tB-NP\tB-protein' +p79289 +aS'/\t/\tSYM\tB-NP\tI-protein' +p79290 +aS'SOB\tSOB\tNN\tI-NP\tI-protein' +p79291 +aS'.\t.\t.\tO\tO' +p79292 +asS'Continue Sliding scale insulin as needed .' +p79293 +(lp79294 +S'Continue\tContinue\tIN\tB-PP\tO' +p79295 +aS'Sliding\tSlide\tVBG\tB-VP\tO' +p79296 +aS'scale\tscale\tNN\tB-NP\tO' +p79297 +aS'insulin\tinsulin\tNN\tI-NP\tO' +p79298 +aS'as\tas\tIN\tB-SBAR\tO' +p79299 +aS'needed\tneed\tVBN\tB-VP\tO' +p79300 +aS'.\t.\t.\tO\tO' +p79301 +asS'Residual deficits include right side facial droop from previous stroke and moderately severe dysarthria and anterior aphasia with word finding difficulties .' +p79302 +(lp79303 +S'Residual\tResidual\tJJ\tB-NP\tO' +p79304 +aS'deficits\tdeficit\tNNS\tI-NP\tO' +p79305 +aS'include\tinclude\tVBP\tB-VP\tO' +p79306 +aS'right\tright\tJJ\tB-NP\tO' +p79307 +aS'side\tside\tNN\tI-NP\tO' +p79308 +aS'facial\tfacial\tJJ\tI-NP\tO' +p79309 +aS'droop\tdroop\tNN\tI-NP\tO' +p79310 +aS'from\tfrom\tIN\tB-PP\tO' +p79311 +aS'previous\tprevious\tJJ\tB-NP\tO' +p79312 +aS'stroke\tstroke\tNN\tI-NP\tO' +p79313 +aS'and\tand\tCC\tO\tO' +p79314 +aS'moderately\tmoderately\tRB\tB-NP\tO' +p79315 +aS'severe\tsevere\tJJ\tI-NP\tO' +p79316 +aS'dysarthria\tdysarthria\tNN\tI-NP\tO' +p79317 +aS'and\tand\tCC\tO\tO' +p79318 +aS'anterior\tanterior\tJJ\tB-NP\tO' +p79319 +aS'aphasia\taphasia\tNN\tI-NP\tO' +p79320 +aS'with\twith\tIN\tB-PP\tO' +p79321 +aS'word\tword\tNN\tB-NP\tO' +p79322 +aS'finding\tfind\tVBG\tB-VP\tO' +p79323 +aS'difficulties\tdifficulty\tNNS\tB-NP\tO' +p79324 +aS'.\t.\t.\tO\tO' +p79325 +asS'SHE WILL FOLLOW UP WITH DR. Karen IN 1 WEEK .' +p79326 +(lp79327 +S'SHE\tSHE\tNNP\tB-NP\tO' +p79328 +aS'WILL\tWILL\tNNP\tI-NP\tO' +p79329 +aS'FOLLOW\tFOLLOW\tNNP\tI-NP\tO' +p79330 +aS'UP\tUP\tNNP\tI-NP\tO' +p79331 +aS'WITH\tWITH\tNNP\tI-NP\tO' +p79332 +aS'DR.\tDR.\tNNP\tI-NP\tO' +p79333 +aS'Karen\tKaren\tNNP\tI-NP\tO' +p79334 +aS'IN\tIN\tNNP\tI-NP\tO' +p79335 +aS'1\t1\tCD\tI-NP\tO' +p79336 +aS'WEEK\tWEEK\tNN\tI-NP\tO' +p79337 +aS'.\t.\t.\tO\tO' +p79338 +asS"The patient 's epicardial pacing wires were removed without incident and the patient was cleared for discharge to home ." +p79339 +(lp79340 +S'The\tThe\tDT\tB-NP\tO' +p79341 +aS'patient\tpatient\tNN\tI-NP\tO' +p79342 +aS"'s\t's\tPOS\tB-NP\tO" +p79343 +aS'epicardial\tepicardial\tJJ\tI-NP\tO' +p79344 +aS'pacing\tpacing\tNN\tI-NP\tO' +p79345 +aS'wires\twire\tNNS\tI-NP\tO' +p79346 +aS'were\tbe\tVBD\tB-VP\tO' +p79347 +aS'removed\tremove\tVBN\tI-VP\tO' +p79348 +aS'without\twithout\tIN\tB-PP\tO' +p79349 +aS'incident\tincident\tNN\tB-NP\tO' +p79350 +aS'and\tand\tCC\tO\tO' +p79351 +aS'the\tthe\tDT\tB-NP\tO' +p79352 +aS'patient\tpatient\tNN\tI-NP\tO' +p79353 +aS'was\tbe\tVBD\tB-VP\tO' +p79354 +aS'cleared\tclear\tVBN\tI-VP\tO' +p79355 +aS'for\tfor\tIN\tB-PP\tO' +p79356 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p79357 +aS'to\tto\tTO\tB-PP\tO' +p79358 +aS'home\thome\tNN\tB-NP\tO' +p79359 +aS'.\t.\t.\tO\tO' +p79360 +asS'Abdomen : soft , nontender , normoactive bowel sounds' +p79361 +(lp79362 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p79363 +aS':\t:\t:\tO\tO' +p79364 +aS'soft\tsoft\tJJ\tB-NP\tO' +p79365 +aS',\t,\t,\tI-NP\tO' +p79366 +aS'nontender\tnontender\tJJ\tI-NP\tO' +p79367 +aS',\t,\t,\tI-NP\tO' +p79368 +aS'normoactive\tnormoactive\tJJ\tI-NP\tO' +p79369 +aS'bowel\tbowel\tNN\tI-NP\tO' +p79370 +aS'sounds\tsound\tNNS\tI-NP\tO' +p79371 +asS'Medications : Resume your home medications .' +p79372 +(lp79373 +S'Medications\tMedication\tNNS\tB-NP\tO' +p79374 +aS':\t:\t:\tO\tO' +p79375 +aS'Resume\tResume\tVB\tB-VP\tO' +p79376 +aS'your\tyour\tPRP$\tB-NP\tO' +p79377 +aS'home\thome\tNN\tI-NP\tO' +p79378 +aS'medications\tmedication\tNNS\tI-NP\tO' +p79379 +aS'.\t.\t.\tO\tO' +p79380 +asS'01-23 PORT line removal .' +p79381 +(lp79382 +S'01-23\t01-23\tCD\tB-NP\tO' +p79383 +aS'PORT\tPORT\tNN\tI-NP\tO' +p79384 +aS'line\tline\tNN\tI-NP\tO' +p79385 +aS'removal\tremoval\tNN\tI-NP\tO' +p79386 +aS'.\t.\t.\tO\tO' +p79387 +asS'Last nutrition labs were on 06-20 with AP of 208 , Ca 10.8 , and Phos 7.4.' +p79388 +(lp79389 +S'Last\tLast\tJJ\tB-NP\tB-protein' +p79390 +aS'nutrition\tnutrition\tNN\tI-NP\tI-protein' +p79391 +aS'labs\tlab\tNNS\tI-NP\tI-protein' +p79392 +aS'were\tbe\tVBD\tB-VP\tO' +p79393 +aS'on\ton\tIN\tB-PP\tO' +p79394 +aS'06-20\t06-20\tCD\tB-NP\tO' +p79395 +aS'with\twith\tIN\tB-PP\tO' +p79396 +aS'AP\tAP\tNN\tB-NP\tO' +p79397 +aS'of\tof\tIN\tB-PP\tO' +p79398 +aS'208\t208\tCD\tB-NP\tO' +p79399 +aS',\t,\t,\tO\tO' +p79400 +aS'Ca\tCa\tNNP\tB-NP\tO' +p79401 +aS'10.8\t10.8\tCD\tI-NP\tO' +p79402 +aS',\t,\t,\tO\tO' +p79403 +aS'and\tand\tCC\tO\tO' +p79404 +aS'Phos\tPhos\tNNP\tB-NP\tO' +p79405 +aS'7.4.\t7.4.\tCD\tI-NP\tO' +p79406 +asS'He had plasmapheresis on 08-11 , followed by 10 mg IVIG .' +p79407 +(lp79408 +S'He\tHe\tPRP\tB-NP\tO' +p79409 +aS'had\thave\tVBD\tB-VP\tO' +p79410 +aS'plasmapheresis\tplasmapheresis\tNN\tB-NP\tO' +p79411 +aS'on\ton\tIN\tB-PP\tO' +p79412 +aS'08-11\t08-11\tNN\tB-NP\tO' +p79413 +aS',\t,\t,\tO\tO' +p79414 +aS'followed\tfollow\tVBN\tB-VP\tO' +p79415 +aS'by\tby\tIN\tB-PP\tO' +p79416 +aS'10\t10\tCD\tB-NP\tO' +p79417 +aS'mg\tmg\tNN\tI-NP\tO' +p79418 +aS'IVIG\tIVIG\tNN\tI-NP\tO' +p79419 +aS'.\t.\t.\tO\tO' +p79420 +asS'He has two sisters , one with diabetes , and six brothers , one with diabetes .' +p79421 +(lp79422 +S'He\tHe\tPRP\tB-NP\tO' +p79423 +aS'has\thave\tVBZ\tB-VP\tO' +p79424 +aS'two\ttwo\tCD\tB-NP\tO' +p79425 +aS'sisters\tsister\tNNS\tI-NP\tO' +p79426 +aS',\t,\t,\tO\tO' +p79427 +aS'one\tone\tCD\tB-NP\tO' +p79428 +aS'with\twith\tIN\tB-PP\tO' +p79429 +aS'diabetes\tdiabetes\tNN\tB-NP\tO' +p79430 +aS',\t,\t,\tO\tO' +p79431 +aS'and\tand\tCC\tO\tO' +p79432 +aS'six\tsix\tCD\tB-NP\tO' +p79433 +aS'brothers\tbrother\tNNS\tI-NP\tO' +p79434 +aS',\t,\t,\tO\tO' +p79435 +aS'one\tone\tCD\tB-NP\tO' +p79436 +aS'with\twith\tIN\tB-PP\tO' +p79437 +aS'diabetes\tdiabetes\tNN\tB-NP\tO' +p79438 +aS'.\t.\t.\tO\tO' +p79439 +asS'She is also a little dry .' +p79440 +(lp79441 +S'She\tShe\tPRP\tB-NP\tO' +p79442 +aS'is\tbe\tVBZ\tB-VP\tO' +p79443 +aS'also\talso\tRB\tB-ADVP\tO' +p79444 +aS'a\ta\tDT\tB-NP\tO' +p79445 +aS'little\tlittle\tJJ\tI-NP\tO' +p79446 +aS'dry\tdry\tNN\tI-NP\tO' +p79447 +aS'.\t.\t.\tO\tO' +p79448 +asS'2. Left renal stones without evidence of hydronephrosis .' +p79449 +(lp79450 +S'2.\t2.\tLS\tB-LST\tO' +p79451 +aS'Left\tLeave\tVBD\tB-VP\tO' +p79452 +aS'renal\trenal\tJJ\tB-NP\tO' +p79453 +aS'stones\tstone\tNNS\tI-NP\tO' +p79454 +aS'without\twithout\tIN\tB-PP\tO' +p79455 +aS'evidence\tevidence\tNN\tB-NP\tO' +p79456 +aS'of\tof\tIN\tB-PP\tO' +p79457 +aS'hydronephrosis\thydronephrosis\tNN\tB-NP\tO' +p79458 +aS'.\t.\t.\tO\tO' +p79459 +asS'Her husband died of lung cancer .' +p79460 +(lp79461 +S'Her\tHer\tPRP$\tB-NP\tO' +p79462 +aS'husband\thusband\tNN\tI-NP\tO' +p79463 +aS'died\tdie\tVBD\tB-VP\tO' +p79464 +aS'of\tof\tIN\tB-PP\tO' +p79465 +aS'lung\tlung\tNN\tB-NP\tO' +p79466 +aS'cancer\tcancer\tNN\tI-NP\tO' +p79467 +aS'.\t.\t.\tO\tO' +p79468 +asS'Soft , nondistended , nontender .' +p79469 +(lp79470 +S'Soft\tSoft\tRB\tB-ADVP\tO' +p79471 +aS',\t,\t,\tO\tO' +p79472 +aS'nondistended\tnondistended\tJJ\tB-NP\tO' +p79473 +aS',\t,\t,\tI-NP\tO' +p79474 +aS'nontender\tnontender\tJJ\tI-NP\tO' +p79475 +aS'.\t.\t.\tO\tO' +p79476 +asS'On 03-27 , pt was noted to have depressed mental status off all sedating medications ; mental status improved over the course of the day .' +p79477 +(lp79478 +S'On\tOn\tIN\tB-PP\tO' +p79479 +aS'03-27\t03-27\tCD\tB-NP\tO' +p79480 +aS',\t,\t,\tO\tO' +p79481 +aS'pt\tpt\tNN\tB-NP\tO' +p79482 +aS'was\tbe\tVBD\tB-VP\tO' +p79483 +aS'noted\tnote\tVBN\tI-VP\tO' +p79484 +aS'to\tto\tTO\tI-VP\tO' +p79485 +aS'have\thave\tVB\tI-VP\tO' +p79486 +aS'depressed\tdepress\tVBN\tI-VP\tO' +p79487 +aS'mental\tmental\tJJ\tB-NP\tO' +p79488 +aS'status\tstatus\tNN\tI-NP\tO' +p79489 +aS'off\toff\tIN\tB-PP\tO' +p79490 +aS'all\tall\tDT\tB-NP\tO' +p79491 +aS'sedating\tsedate\tVBG\tI-NP\tO' +p79492 +aS'medications\tmedication\tNNS\tI-NP\tO' +p79493 +aS';\t;\t:\tO\tO' +p79494 +aS'mental\tmental\tJJ\tB-NP\tO' +p79495 +aS'status\tstatus\tNN\tI-NP\tO' +p79496 +aS'improved\timprove\tVBD\tB-VP\tO' +p79497 +aS'over\tover\tIN\tB-PP\tO' +p79498 +aS'the\tthe\tDT\tB-NP\tO' +p79499 +aS'course\tcourse\tNN\tI-NP\tO' +p79500 +aS'of\tof\tIN\tB-PP\tO' +p79501 +aS'the\tthe\tDT\tB-NP\tO' +p79502 +aS'day\tday\tNN\tI-NP\tO' +p79503 +aS'.\t.\t.\tO\tO' +p79504 +asS'Pt now breathing more comfortably .' +p79505 +(lp79506 +S'Pt\tPt\tNN\tB-NP\tO' +p79507 +aS'now\tnow\tRB\tB-VP\tO' +p79508 +aS'breathing\tbreathe\tVBG\tI-VP\tO' +p79509 +aS'more\tmore\tRBR\tB-ADVP\tO' +p79510 +aS'comfortably\tcomfortably\tRB\tI-ADVP\tO' +p79511 +aS'.\t.\t.\tO\tO' +p79512 +asS'CT scan of the head showed no hemorrhage or edema .' +p79513 +(lp79514 +S'CT\tCT\tNN\tB-NP\tO' +p79515 +aS'scan\tscan\tNN\tI-NP\tO' +p79516 +aS'of\tof\tIN\tB-PP\tO' +p79517 +aS'the\tthe\tDT\tB-NP\tO' +p79518 +aS'head\thead\tNN\tI-NP\tO' +p79519 +aS'showed\tshow\tVBD\tB-VP\tO' +p79520 +aS'no\tno\tDT\tB-NP\tO' +p79521 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p79522 +aS'or\tor\tCC\tI-NP\tO' +p79523 +aS'edema\tedema\tNN\tI-NP\tO' +p79524 +aS'.\t.\t.\tO\tO' +p79525 +asS'After catheter placement , the patient was started on sips .' +p79526 +(lp79527 +S'After\tAfter\tIN\tB-PP\tO' +p79528 +aS'catheter\tcatheter\tNN\tB-NP\tO' +p79529 +aS'placement\tplacement\tNN\tI-NP\tO' +p79530 +aS',\t,\t,\tO\tO' +p79531 +aS'the\tthe\tDT\tB-NP\tO' +p79532 +aS'patient\tpatient\tNN\tI-NP\tO' +p79533 +aS'was\tbe\tVBD\tB-VP\tO' +p79534 +aS'started\tstart\tVBN\tI-VP\tO' +p79535 +aS'on\ton\tIN\tB-PP\tO' +p79536 +aS'sips\tsip\tNNS\tB-NP\tO' +p79537 +aS'.\t.\t.\tO\tO' +p79538 +asS'The patient had INR of 3.2 that came back on date of discharge .' +p79539 +(lp79540 +S'The\tThe\tDT\tB-NP\tO' +p79541 +aS'patient\tpatient\tNN\tI-NP\tO' +p79542 +aS'had\thave\tVBD\tB-VP\tO' +p79543 +aS'INR\tINR\tNN\tB-NP\tB-protein' +p79544 +aS'of\tof\tIN\tB-PP\tO' +p79545 +aS'3.2\t3.2\tCD\tB-NP\tO' +p79546 +aS'that\tthat\tWDT\tB-NP\tO' +p79547 +aS'came\tcome\tVBD\tB-VP\tO' +p79548 +aS'back\tback\tRB\tB-ADVP\tO' +p79549 +aS'on\ton\tIN\tB-PP\tO' +p79550 +aS'date\tdate\tNN\tB-NP\tO' +p79551 +aS'of\tof\tIN\tB-PP\tO' +p79552 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p79553 +aS'.\t.\t.\tO\tO' +p79554 +asS'Blood pressure 132/48 .' +p79555 +(lp79556 +S'Blood\tBlood\tNN\tB-NP\tO' +p79557 +aS'pressure\tpressure\tNN\tI-NP\tO' +p79558 +aS'132/48\t132/48\tCD\tI-NP\tO' +p79559 +aS'.\t.\t.\tO\tO' +p79560 +asS'The aortic prosthesis leaflets appear to move normally .' +p79561 +(lp79562 +S'The\tThe\tDT\tB-NP\tO' +p79563 +aS'aortic\taortic\tJJ\tI-NP\tO' +p79564 +aS'prosthesis\tprosthesis\tNN\tI-NP\tO' +p79565 +aS'leaflets\tleaflet\tNNS\tI-NP\tO' +p79566 +aS'appear\tappear\tVBP\tB-VP\tO' +p79567 +aS'to\tto\tTO\tI-VP\tO' +p79568 +aS'move\tmove\tVB\tI-VP\tO' +p79569 +aS'normally\tnormally\tRB\tB-ADVP\tO' +p79570 +aS'.\t.\t.\tO\tO' +p79571 +asS'She was eventually extubated without incident .' +p79572 +(lp79573 +S'She\tShe\tPRP\tB-NP\tO' +p79574 +aS'was\tbe\tVBD\tB-VP\tO' +p79575 +aS'eventually\teventually\tRB\tI-VP\tO' +p79576 +aS'extubated\textubate\tVBN\tI-VP\tO' +p79577 +aS'without\twithout\tIN\tB-PP\tO' +p79578 +aS'incident\tincident\tNN\tB-NP\tO' +p79579 +aS'.\t.\t.\tO\tO' +p79580 +asS'Otherwise , her postoperative course was uneventful with gradual resolution of the passage of blood per rectum .' +p79581 +(lp79582 +S'Otherwise\tOtherwise\tRB\tB-ADVP\tO' +p79583 +aS',\t,\t,\tO\tO' +p79584 +aS'her\ther\tPRP$\tB-NP\tO' +p79585 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p79586 +aS'course\tcourse\tNN\tI-NP\tO' +p79587 +aS'was\tbe\tVBD\tB-VP\tO' +p79588 +aS'uneventful\tuneventful\tJJ\tB-ADJP\tO' +p79589 +aS'with\twith\tIN\tB-PP\tO' +p79590 +aS'gradual\tgradual\tJJ\tB-NP\tO' +p79591 +aS'resolution\tresolution\tNN\tI-NP\tO' +p79592 +aS'of\tof\tIN\tB-PP\tO' +p79593 +aS'the\tthe\tDT\tB-NP\tO' +p79594 +aS'passage\tpassage\tNN\tI-NP\tO' +p79595 +aS'of\tof\tIN\tB-PP\tO' +p79596 +aS'blood\tblood\tNN\tB-NP\tO' +p79597 +aS'per\tper\tIN\tB-PP\tO' +p79598 +aS'rectum\trectum\tNN\tB-NP\tO' +p79599 +aS'.\t.\t.\tO\tO' +p79600 +asS'Positive suck , positive grasp .' +p79601 +(lp79602 +S'Positive\tPositive\tJJ\tB-NP\tO' +p79603 +aS'suck\tsuck\tNN\tI-NP\tO' +p79604 +aS',\t,\t,\tO\tO' +p79605 +aS'positive\tpositive\tJJ\tB-NP\tO' +p79606 +aS'grasp\tgrasp\tNN\tI-NP\tO' +p79607 +aS'.\t.\t.\tO\tO' +p79608 +asS'Return to the hospital if you notice bleeding or any other symptoms of concern to you .' +p79609 +(lp79610 +S'Return\tReturn\tNN\tB-NP\tO' +p79611 +aS'to\tto\tTO\tB-PP\tO' +p79612 +aS'the\tthe\tDT\tB-NP\tO' +p79613 +aS'hospital\thospital\tNN\tI-NP\tO' +p79614 +aS'if\tif\tIN\tB-SBAR\tO' +p79615 +aS'you\tyou\tPRP\tB-NP\tO' +p79616 +aS'notice\tnotice\tVBP\tB-VP\tO' +p79617 +aS'bleeding\tbleed\tVBG\tI-VP\tO' +p79618 +aS'or\tor\tCC\tO\tO' +p79619 +aS'any\tany\tDT\tB-NP\tO' +p79620 +aS'other\tother\tJJ\tI-NP\tO' +p79621 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p79622 +aS'of\tof\tIN\tB-PP\tO' +p79623 +aS'concern\tconcern\tNN\tB-NP\tO' +p79624 +aS'to\tto\tTO\tB-PP\tO' +p79625 +aS'you\tyou\tPRP\tB-NP\tO' +p79626 +aS'.\t.\t.\tO\tO' +p79627 +asS'Her outside course in more detail:' +p79628 +(lp79629 +S'Her\tHer\tPRP$\tB-NP\tO' +p79630 +aS'outside\toutside\tJJ\tI-NP\tO' +p79631 +aS'course\tcourse\tNN\tI-NP\tO' +p79632 +aS'in\tin\tIN\tB-PP\tO' +p79633 +aS'more\tmore\tRBR\tB-ADJP\tO' +p79634 +aS'detail:\tdetail:\tJJ\tI-ADJP\tO' +p79635 +asS'5. Salmeterol one to two puffs b.i.d.' +p79636 +(lp79637 +S'5.\t5.\tLS\tB-LST\tO' +p79638 +aS'Salmeterol\tSalmeterol\tNNP\tB-NP\tO' +p79639 +aS'one\tone\tCD\tI-NP\tO' +p79640 +aS'to\tto\tTO\tB-PP\tO' +p79641 +aS'two\ttwo\tCD\tB-NP\tO' +p79642 +aS'puffs\tpuff\tNNS\tI-NP\tO' +p79643 +aS'b.i.d.\tb.i.d.\tRB\tB-ADVP\tO' +p79644 +asS'This is her goal .' +p79645 +(lp79646 +S'This\tThis\tDT\tB-NP\tO' +p79647 +aS'is\tbe\tVBZ\tB-VP\tO' +p79648 +aS'her\ther\tPRP$\tB-NP\tO' +p79649 +aS'goal\tgoal\tNN\tI-NP\tO' +p79650 +aS'.\t.\t.\tO\tO' +p79651 +asS'Ambulates at baseline .' +p79652 +(lp79653 +S'Ambulates\tAmbulate\tNNS\tB-NP\tO' +p79654 +aS'at\tat\tIN\tB-PP\tO' +p79655 +aS'baseline\tbaseline\tNN\tB-NP\tO' +p79656 +aS'.\t.\t.\tO\tO' +p79657 +asS'call your PCP to schedule your GI follow up date' +p79658 +(lp79659 +S'call\tcall\tVB\tB-VP\tO' +p79660 +aS'your\tyour\tPRP$\tB-NP\tO' +p79661 +aS'PCP\tPCP\tNN\tI-NP\tO' +p79662 +aS'to\tto\tTO\tB-VP\tO' +p79663 +aS'schedule\tschedule\tVB\tI-VP\tO' +p79664 +aS'your\tyour\tPRP$\tB-NP\tO' +p79665 +aS'GI\tGI\tNN\tI-NP\tO' +p79666 +aS'follow\tfollow\tVB\tB-VP\tO' +p79667 +aS'up\tup\tRP\tB-PRT\tO' +p79668 +aS'date\tdate\tNN\tB-NP\tO' +p79669 +asS'Thus they were discontinued .' +p79670 +(lp79671 +S'Thus\tThus\tRB\tB-ADVP\tO' +p79672 +aS'they\tthey\tPRP\tB-NP\tO' +p79673 +aS'were\tbe\tVBD\tB-VP\tO' +p79674 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p79675 +aS'.\t.\t.\tO\tO' +p79676 +asS'Her electrolytes were within normal limits .' +p79677 +(lp79678 +S'Her\tHer\tPRP$\tB-NP\tO' +p79679 +aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' +p79680 +aS'were\tbe\tVBD\tB-VP\tO' +p79681 +aS'within\twithin\tIN\tB-PP\tO' +p79682 +aS'normal\tnormal\tJJ\tB-NP\tO' +p79683 +aS'limits\tlimit\tNNS\tI-NP\tO' +p79684 +aS'.\t.\t.\tO\tO' +p79685 +asS'He was found awake at the scene , complaining of abdominal pain .' +p79686 +(lp79687 +S'He\tHe\tPRP\tB-NP\tO' +p79688 +aS'was\tbe\tVBD\tB-VP\tO' +p79689 +aS'found\tfind\tVBN\tI-VP\tO' +p79690 +aS'awake\tawake\tRB\tB-ADVP\tO' +p79691 +aS'at\tat\tIN\tB-PP\tO' +p79692 +aS'the\tthe\tDT\tB-NP\tO' +p79693 +aS'scene\tscene\tNN\tI-NP\tO' +p79694 +aS',\t,\t,\tO\tO' +p79695 +aS'complaining\tcomplain\tVBG\tB-VP\tO' +p79696 +aS'of\tof\tIN\tB-PP\tO' +p79697 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p79698 +aS'pain\tpain\tNN\tI-NP\tO' +p79699 +aS'.\t.\t.\tO\tO' +p79700 +asS'Ear/Nose/Throat recommended not considering this an airway problem unless she was stridorous while awake .' +p79701 +(lp79702 +S'Ear/Nose/Throat\tEar/Nose/Throat\tNNP\tB-NP\tO' +p79703 +aS'recommended\trecommend\tVBD\tB-VP\tO' +p79704 +aS'not\tnot\tRB\tI-VP\tO' +p79705 +aS'considering\tconsider\tVBG\tI-VP\tO' +p79706 +aS'this\tthis\tDT\tB-NP\tO' +p79707 +aS'an\tan\tDT\tI-NP\tO' +p79708 +aS'airway\tairway\tNN\tI-NP\tO' +p79709 +aS'problem\tproblem\tNN\tI-NP\tO' +p79710 +aS'unless\tunless\tIN\tB-SBAR\tO' +p79711 +aS'she\tshe\tPRP\tB-NP\tO' +p79712 +aS'was\tbe\tVBD\tB-VP\tO' +p79713 +aS'stridorous\tstridorous\tJJ\tB-ADJP\tO' +p79714 +aS'while\twhile\tIN\tB-SBAR\tO' +p79715 +aS'awake\tawake\tNN\tB-NP\tO' +p79716 +aS'.\t.\t.\tO\tO' +p79717 +asS'Pupils 3 mm reactive .' +p79718 +(lp79719 +S'Pupils\tPupil\tNNS\tB-NP\tO' +p79720 +aS'3\t3\tCD\tB-NP\tO' +p79721 +aS'mm\tmm\tNN\tI-NP\tO' +p79722 +aS'reactive\treactive\tJJ\tB-ADJP\tO' +p79723 +aS'.\t.\t.\tO\tO' +p79724 +asS'He was sent home with LDAMC services to help with his medications as well as oxygen education .' +p79725 +(lp79726 +S'He\tHe\tPRP\tB-NP\tO' +p79727 +aS'was\tbe\tVBD\tB-VP\tO' +p79728 +aS'sent\tsend\tVBN\tI-VP\tO' +p79729 +aS'home\thome\tNN\tB-ADVP\tO' +p79730 +aS'with\twith\tIN\tB-PP\tO' +p79731 +aS'LDAMC\tLDAMC\tNN\tB-NP\tO' +p79732 +aS'services\tservice\tNNS\tI-NP\tO' +p79733 +aS'to\tto\tTO\tB-VP\tO' +p79734 +aS'help\thelp\tVB\tI-VP\tO' +p79735 +aS'with\twith\tIN\tB-PP\tO' +p79736 +aS'his\this\tPRP$\tB-NP\tO' +p79737 +aS'medications\tmedication\tNNS\tI-NP\tO' +p79738 +aS'as\tas\tRB\tB-CONJP\tO' +p79739 +aS'well\twell\tRB\tI-CONJP\tO' +p79740 +aS'as\tas\tIN\tI-CONJP\tO' +p79741 +aS'oxygen\toxygen\tNN\tB-NP\tO' +p79742 +aS'education\teducation\tNN\tI-NP\tO' +p79743 +aS'.\t.\t.\tO\tO' +p79744 +asS'The patient also reports no known drug allergy .' +p79745 +(lp79746 +S'The\tThe\tDT\tB-NP\tO' +p79747 +aS'patient\tpatient\tNN\tI-NP\tO' +p79748 +aS'also\talso\tRB\tB-ADVP\tO' +p79749 +aS'reports\treport\tVBZ\tB-VP\tO' +p79750 +aS'no\tno\tDT\tB-NP\tO' +p79751 +aS'known\tknow\tVBN\tI-NP\tO' +p79752 +aS'drug\tdrug\tNN\tI-NP\tO' +p79753 +aS'allergy\tallergy\tNN\tI-NP\tO' +p79754 +aS'.\t.\t.\tO\tO' +p79755 +asS'HEENT : Neck Supple , right CMED CCU ecchymotic and edematous , c-collor in place .' +p79756 +(lp79757 +S'HEENT\tHEENT\tNN\tB-NP\tO' +p79758 +aS':\t:\t:\tO\tO' +p79759 +aS'Neck\tNeck\tNNP\tB-NP\tO' +p79760 +aS'Supple\tSupple\tNNP\tI-NP\tO' +p79761 +aS',\t,\t,\tO\tO' +p79762 +aS'right\tright\tJJ\tB-NP\tO' +p79763 +aS'CMED\tCMED\tNN\tI-NP\tO' +p79764 +aS'CCU\tCCU\tNN\tI-NP\tO' +p79765 +aS'ecchymotic\tecchymotic\tJJ\tB-ADJP\tO' +p79766 +aS'and\tand\tCC\tI-ADJP\tO' +p79767 +aS'edematous\tedematous\tJJ\tI-ADJP\tO' +p79768 +aS',\t,\t,\tO\tO' +p79769 +aS'c-collor\tc-collor\tNN\tB-NP\tO' +p79770 +aS'in\tin\tIN\tB-PP\tO' +p79771 +aS'place\tplace\tNN\tB-NP\tO' +p79772 +aS'.\t.\t.\tO\tO' +p79773 +asS'We would like for her to remain on the oxygen as well .' +p79774 +(lp79775 +S'We\tWe\tPRP\tB-NP\tO' +p79776 +aS'would\twould\tMD\tB-VP\tO' +p79777 +aS'like\tlike\tVB\tI-VP\tO' +p79778 +aS'for\tfor\tIN\tB-SBAR\tO' +p79779 +aS'her\ther\tPRP\tB-NP\tO' +p79780 +aS'to\tto\tTO\tB-VP\tO' +p79781 +aS'remain\tremain\tVB\tI-VP\tO' +p79782 +aS'on\ton\tIN\tB-PP\tO' +p79783 +aS'the\tthe\tDT\tB-NP\tO' +p79784 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p79785 +aS'as\tas\tRB\tB-ADVP\tO' +p79786 +aS'well\twell\tRB\tI-ADVP\tO' +p79787 +aS'.\t.\t.\tO\tO' +p79788 +asS'Tranferred to CMED CCU for further management while on labetolol gtt .' +p79789 +(lp79790 +S'Tranferred\tTranferre\tVBN\tB-VP\tO' +p79791 +aS'to\tto\tTO\tB-PP\tO' +p79792 +aS'CMED\tCMED\tVBN\tB-NP\tO' +p79793 +aS'CCU\tCCU\tNN\tI-NP\tO' +p79794 +aS'for\tfor\tIN\tB-PP\tO' +p79795 +aS'further\tfurther\tJJ\tB-NP\tO' +p79796 +aS'management\tmanagement\tNN\tI-NP\tO' +p79797 +aS'while\twhile\tIN\tB-SBAR\tO' +p79798 +aS'on\ton\tIN\tB-PP\tO' +p79799 +aS'labetolol\tlabetolol\tNN\tB-NP\tO' +p79800 +aS'gtt\tgtt\tNN\tI-NP\tO' +p79801 +aS'.\t.\t.\tO\tO' +p79802 +asS'The head , eyes , ears , nose , throat examination shows that she is normocephalic , atraumatic , extra ocular movements are intact , pupils equal , round , reactive to light and accommodation , and the oropharynx was clear , neck was supple without lymphadenopathy , either axillary or supraclavicular .' +p79803 +(lp79804 +S'The\tThe\tDT\tB-NP\tO' +p79805 +aS'head\thead\tNN\tI-NP\tO' +p79806 +aS',\t,\t,\tO\tO' +p79807 +aS'eyes\teye\tNNS\tB-NP\tO' +p79808 +aS',\t,\t,\tO\tO' +p79809 +aS'ears\tear\tNNS\tB-NP\tO' +p79810 +aS',\t,\t,\tO\tO' +p79811 +aS'nose\tnose\tNN\tB-NP\tO' +p79812 +aS',\t,\t,\tO\tO' +p79813 +aS'throat\tthroat\tNN\tB-NP\tO' +p79814 +aS'examination\texamination\tNN\tI-NP\tO' +p79815 +aS'shows\tshow\tVBZ\tB-VP\tO' +p79816 +aS'that\tthat\tIN\tB-SBAR\tO' +p79817 +aS'she\tshe\tPRP\tB-NP\tO' +p79818 +aS'is\tbe\tVBZ\tB-VP\tO' +p79819 +aS'normocephalic\tnormocephalic\tJJ\tB-NP\tO' +p79820 +aS',\t,\t,\tI-NP\tO' +p79821 +aS'atraumatic\tatraumatic\tJJ\tI-NP\tO' +p79822 +aS',\t,\t,\tI-NP\tO' +p79823 +aS'extra\textra\tJJ\tI-NP\tO' +p79824 +aS'ocular\tocular\tJJ\tI-NP\tO' +p79825 +aS'movements\tmovement\tNNS\tI-NP\tO' +p79826 +aS'are\tbe\tVBP\tB-VP\tO' +p79827 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p79828 +aS',\t,\t,\tO\tO' +p79829 +aS'pupils\tpupil\tNNS\tB-NP\tO' +p79830 +aS'equal\tequal\tJJ\tB-NP\tO' +p79831 +aS',\t,\t,\tI-NP\tO' +p79832 +aS'round\tround\tJJ\tI-NP\tO' +p79833 +aS',\t,\t,\tI-NP\tO' +p79834 +aS'reactive\treactive\tJJ\tI-NP\tO' +p79835 +aS'to\tto\tTO\tB-PP\tO' +p79836 +aS'light\tlight\tNN\tB-NP\tO' +p79837 +aS'and\tand\tCC\tI-NP\tO' +p79838 +aS'accommodation\taccommodation\tNN\tI-NP\tO' +p79839 +aS',\t,\t,\tO\tO' +p79840 +aS'and\tand\tCC\tO\tO' +p79841 +aS'the\tthe\tDT\tB-NP\tO' +p79842 +aS'oropharynx\toropharynx\tNN\tI-NP\tO' +p79843 +aS'was\tbe\tVBD\tB-VP\tO' +p79844 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p79845 +aS',\t,\t,\tO\tO' +p79846 +aS'neck\tneck\tNN\tB-NP\tO' +p79847 +aS'was\tbe\tVBD\tB-VP\tO' +p79848 +aS'supple\tsupple\tNN\tB-NP\tO' +p79849 +aS'without\twithout\tIN\tB-PP\tO' +p79850 +aS'lymphadenopathy\tlymphadenopathy\tNN\tB-NP\tO' +p79851 +aS',\t,\t,\tO\tO' +p79852 +aS'either\teither\tCC\tO\tO' +p79853 +aS'axillary\taxillary\tJJ\tB-ADJP\tO' +p79854 +aS'or\tor\tCC\tI-ADJP\tO' +p79855 +aS'supraclavicular\tsupraclavicular\tJJ\tI-ADJP\tO' +p79856 +aS'.\t.\t.\tO\tO' +p79857 +asS'During the course of his hospitalization , he became increasingly lethargic .' +p79858 +(lp79859 +S'During\tDuring\tIN\tB-PP\tO' +p79860 +aS'the\tthe\tDT\tB-NP\tO' +p79861 +aS'course\tcourse\tNN\tI-NP\tO' +p79862 +aS'of\tof\tIN\tB-PP\tO' +p79863 +aS'his\this\tPRP$\tB-NP\tO' +p79864 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p79865 +aS',\t,\t,\tO\tO' +p79866 +aS'he\the\tPRP\tB-NP\tO' +p79867 +aS'became\tbecome\tVBD\tB-VP\tO' +p79868 +aS'increasingly\tincreasingly\tRB\tB-ADJP\tO' +p79869 +aS'lethargic\tlethargic\tJJ\tI-ADJP\tO' +p79870 +aS'.\t.\t.\tO\tO' +p79871 +asS'Heparin and nitroglycerin drip were started with 10 mg of IV Retavase half dose .' +p79872 +(lp79873 +S'Heparin\tHeparin\tNN\tB-NP\tO' +p79874 +aS'and\tand\tCC\tI-NP\tO' +p79875 +aS'nitroglycerin\tnitroglycerin\tNN\tI-NP\tO' +p79876 +aS'drip\tdrip\tNN\tI-NP\tO' +p79877 +aS'were\tbe\tVBD\tB-VP\tO' +p79878 +aS'started\tstart\tVBN\tI-VP\tO' +p79879 +aS'with\twith\tIN\tB-PP\tO' +p79880 +aS'10\t10\tCD\tB-NP\tO' +p79881 +aS'mg\tmg\tNN\tI-NP\tO' +p79882 +aS'of\tof\tIN\tB-PP\tO' +p79883 +aS'IV\tIV\tCD\tB-NP\tO' +p79884 +aS'Retavase\tRetavase\tNN\tI-NP\tO' +p79885 +aS'half\thalf\tNN\tI-NP\tO' +p79886 +aS'dose\tdose\tNN\tI-NP\tO' +p79887 +aS'.\t.\t.\tO\tO' +p79888 +asS'No cervical , supraclavicular or axillary adenopathy .' +p79889 +(lp79890 +S'No\tNo\tDT\tB-NP\tO' +p79891 +aS'cervical\tcervical\tJJ\tI-NP\tO' +p79892 +aS',\t,\t,\tI-NP\tO' +p79893 +aS'supraclavicular\tsupraclavicular\tJJ\tI-NP\tO' +p79894 +aS'or\tor\tCC\tI-NP\tO' +p79895 +aS'axillary\taxillary\tJJ\tI-NP\tO' +p79896 +aS'adenopathy\tadenopathy\tNN\tI-NP\tO' +p79897 +aS'.\t.\t.\tO\tO' +p79898 +asS'On July 15 , 1992 , a liver became available , and the patient underwent hepatectomy and orthotopic liver transplant .' +p79899 +(lp79900 +S'On\tOn\tIN\tB-PP\tO' +p79901 +aS'July\tJuly\tNNP\tB-NP\tO' +p79902 +aS'15\t15\tCD\tI-NP\tO' +p79903 +aS',\t,\t,\tI-NP\tO' +p79904 +aS'1992\t1992\tCD\tI-NP\tO' +p79905 +aS',\t,\t,\tO\tO' +p79906 +aS'a\ta\tDT\tB-NP\tO' +p79907 +aS'liver\tliver\tNN\tI-NP\tO' +p79908 +aS'became\tbecome\tVBD\tB-VP\tO' +p79909 +aS'available\tavailable\tJJ\tB-ADJP\tO' +p79910 +aS',\t,\t,\tO\tO' +p79911 +aS'and\tand\tCC\tO\tO' +p79912 +aS'the\tthe\tDT\tB-NP\tO' +p79913 +aS'patient\tpatient\tNN\tI-NP\tO' +p79914 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p79915 +aS'hepatectomy\thepatectomy\tNN\tB-NP\tO' +p79916 +aS'and\tand\tCC\tO\tO' +p79917 +aS'orthotopic\torthotopic\tJJ\tB-NP\tO' +p79918 +aS'liver\tliver\tNN\tI-NP\tO' +p79919 +aS'transplant\ttransplant\tNN\tI-NP\tO' +p79920 +aS'.\t.\t.\tO\tO' +p79921 +asS'An ultrasound of the right upper quadrant did not reveal any cholelithiasis or cholecystitis , however , an irregular hepatic contour was seen which is suggestive of underlying chronic liver disease .' +p79922 +(lp79923 +S'An\tAn\tDT\tB-NP\tO' +p79924 +aS'ultrasound\tultrasound\tNN\tI-NP\tO' +p79925 +aS'of\tof\tIN\tB-PP\tO' +p79926 +aS'the\tthe\tDT\tB-NP\tO' +p79927 +aS'right\tright\tJJ\tI-NP\tO' +p79928 +aS'upper\tupper\tJJ\tI-NP\tO' +p79929 +aS'quadrant\tquadrant\tNN\tI-NP\tO' +p79930 +aS'did\tdo\tVBD\tB-VP\tO' +p79931 +aS'not\tnot\tRB\tI-VP\tO' +p79932 +aS'reveal\treveal\tVB\tI-VP\tO' +p79933 +aS'any\tany\tDT\tB-NP\tO' +p79934 +aS'cholelithiasis\tcholelithiasis\tNN\tI-NP\tO' +p79935 +aS'or\tor\tCC\tI-NP\tO' +p79936 +aS'cholecystitis\tcholecystitis\tNN\tI-NP\tO' +p79937 +aS',\t,\t,\tO\tO' +p79938 +aS'however\thowever\tRB\tB-ADVP\tO' +p79939 +aS',\t,\t,\tO\tO' +p79940 +aS'an\tan\tDT\tB-NP\tO' +p79941 +aS'irregular\tirregular\tJJ\tI-NP\tO' +p79942 +aS'hepatic\thepatic\tJJ\tI-NP\tO' +p79943 +aS'contour\tcontour\tNN\tI-NP\tO' +p79944 +aS'was\tbe\tVBD\tB-VP\tO' +p79945 +aS'seen\tsee\tVBN\tI-VP\tO' +p79946 +aS'which\twhich\tWDT\tB-NP\tO' +p79947 +aS'is\tbe\tVBZ\tB-VP\tO' +p79948 +aS'suggestive\tsuggestive\tJJ\tB-ADJP\tO' +p79949 +aS'of\tof\tIN\tB-PP\tO' +p79950 +aS'underlying\tunderlie\tVBG\tB-VP\tO' +p79951 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p79952 +aS'liver\tliver\tNN\tI-NP\tO' +p79953 +aS'disease\tdisease\tNN\tI-NP\tO' +p79954 +aS'.\t.\t.\tO\tO' +p79955 +asS'Patient spontaneously stablized and output of CT became more serous .' +p79956 +(lp79957 +S'Patient\tPatient\tNN\tB-NP\tO' +p79958 +aS'spontaneously\tspontaneously\tRB\tB-VP\tO' +p79959 +aS'stablized\tstablize\tVBN\tI-VP\tO' +p79960 +aS'and\tand\tCC\tO\tO' +p79961 +aS'output\toutput\tNN\tB-NP\tO' +p79962 +aS'of\tof\tIN\tB-PP\tO' +p79963 +aS'CT\tCT\tNN\tB-NP\tB-protein' +p79964 +aS'became\tbecome\tVBD\tB-VP\tO' +p79965 +aS'more\tmore\tRBR\tB-ADJP\tO' +p79966 +aS'serous\tserous\tJJ\tI-ADJP\tO' +p79967 +aS'.\t.\t.\tO\tO' +p79968 +asS'Dr. Janetta Burmaster , phone number ( 262 ) 892 0330 , fax 491-6171 .' +p79969 +(lp79970 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p79971 +aS'Janetta\tJanetta\tNNP\tI-NP\tO' +p79972 +aS'Burmaster\tBurmaster\tNNP\tI-NP\tO' +p79973 +aS',\t,\t,\tO\tO' +p79974 +aS'phone\tphone\tNN\tB-NP\tB-protein' +p79975 +aS'number\tnumber\tNN\tI-NP\tI-protein' +p79976 +aS'(\t(\t(\tO\tI-protein' +p79977 +aS'262\t262\tCD\tB-NP\tI-protein' +p79978 +aS')\t)\t)\tO\tI-protein' +p79979 +aS'892\t892\tCD\tB-NP\tI-protein' +p79980 +aS'0330\t0330\tCD\tI-NP\tI-protein' +p79981 +aS',\t,\t,\tO\tO' +p79982 +aS'fax\tfax\tNN\tB-NP\tO' +p79983 +aS'491-6171\t491-6171\tCD\tI-NP\tO' +p79984 +aS'.\t.\t.\tO\tO' +p79985 +asS'The pregnancy was complicated by twin gestation and by polyhydramnios with apparent duodenal atresia and nuchal' +p79986 +(lp79987 +S'The\tThe\tDT\tB-NP\tO' +p79988 +aS'pregnancy\tpregnancy\tNN\tI-NP\tO' +p79989 +aS'was\tbe\tVBD\tB-VP\tO' +p79990 +aS'complicated\tcomplicate\tVBN\tI-VP\tO' +p79991 +aS'by\tby\tIN\tB-PP\tO' +p79992 +aS'twin\ttwin\tNN\tB-NP\tO' +p79993 +aS'gestation\tgestation\tNN\tI-NP\tO' +p79994 +aS'and\tand\tCC\tB-PP\tO' +p79995 +aS'by\tby\tIN\tB-PP\tO' +p79996 +aS'polyhydramnios\tpolyhydramnio\tNNS\tB-NP\tO' +p79997 +aS'with\twith\tIN\tB-PP\tO' +p79998 +aS'apparent\tapparent\tJJ\tB-NP\tO' +p79999 +aS'duodenal\tduodenal\tJJ\tI-NP\tO' +p80000 +aS'atresia\tatresia\tNN\tI-NP\tO' +p80001 +aS'and\tand\tCC\tO\tO' +p80002 +aS'nuchal\tnuchal\tJJ\tB-ADJP\tO' +p80003 +asS'Tumor invasive of pleura and rib .' +p80004 +(lp80005 +S'Tumor\tTumor\tNN\tB-NP\tO' +p80006 +aS'invasive\tinvasive\tJJ\tB-ADJP\tO' +p80007 +aS'of\tof\tIN\tB-PP\tO' +p80008 +aS'pleura\tpleura\tNN\tB-NP\tO' +p80009 +aS'and\tand\tCC\tI-NP\tO' +p80010 +aS'rib\trib\tNN\tI-NP\tB-protein' +p80011 +aS'.\t.\t.\tO\tO' +p80012 +asS'On Thursday - 2014-02-06 - the patient did have two episodes of chest discomfort ; for which he was given nitroglycerin and those resolved .' +p80013 +(lp80014 +S'On\tOn\tIN\tB-PP\tO' +p80015 +aS'Thursday\tThursday\tNNP\tB-NP\tO' +p80016 +aS'-\t-\tHYPH\tB-NP\tO' +p80017 +aS'2014-02-06\t2014-02-06\tCD\tI-NP\tO' +p80018 +aS'-\t-\tHYPH\tO\tO' +p80019 +aS'the\tthe\tDT\tB-NP\tO' +p80020 +aS'patient\tpatient\tNN\tI-NP\tO' +p80021 +aS'did\tdo\tVBD\tB-VP\tO' +p80022 +aS'have\thave\tVB\tI-VP\tO' +p80023 +aS'two\ttwo\tCD\tB-NP\tO' +p80024 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p80025 +aS'of\tof\tIN\tB-PP\tO' +p80026 +aS'chest\tchest\tNN\tB-NP\tO' +p80027 +aS'discomfort\tdiscomfort\tNN\tI-NP\tO' +p80028 +aS';\t;\t:\tO\tO' +p80029 +aS'for\tfor\tIN\tB-PP\tO' +p80030 +aS'which\twhich\tWDT\tB-NP\tO' +p80031 +aS'he\the\tPRP\tB-NP\tO' +p80032 +aS'was\tbe\tVBD\tB-VP\tO' +p80033 +aS'given\tgive\tVBN\tI-VP\tO' +p80034 +aS'nitroglycerin\tnitroglycerin\tNN\tB-NP\tO' +p80035 +aS'and\tand\tCC\tO\tO' +p80036 +aS'those\tthose\tDT\tB-NP\tO' +p80037 +aS'resolved\tresolve\tVBN\tB-VP\tO' +p80038 +aS'.\t.\t.\tO\tO' +p80039 +asS'He was kept on antibiotics until 06-17 .' +p80040 +(lp80041 +S'He\tHe\tPRP\tB-NP\tO' +p80042 +aS'was\tbe\tVBD\tB-VP\tO' +p80043 +aS'kept\tkeep\tVBN\tI-VP\tO' +p80044 +aS'on\ton\tIN\tB-PP\tO' +p80045 +aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' +p80046 +aS'until\tuntil\tIN\tB-PP\tO' +p80047 +aS'06-17\t06-17\tCD\tB-NP\tO' +p80048 +aS'.\t.\t.\tO\tO' +p80049 +asS'Neck : supple , no LAD , no JVD' +p80050 +(lp80051 +S'Neck\tNeck\tNN\tB-NP\tO' +p80052 +aS':\t:\t:\tO\tO' +p80053 +aS'supple\tsupple\tNN\tB-NP\tO' +p80054 +aS',\t,\t,\tO\tO' +p80055 +aS'no\tno\tDT\tB-NP\tO' +p80056 +aS'LAD\tLAD\tNN\tI-NP\tB-protein' +p80057 +aS',\t,\t,\tO\tO' +p80058 +aS'no\tno\tDT\tB-NP\tO' +p80059 +aS'JVD\tJVD\tNN\tI-NP\tB-protein' +p80060 +asS'The patient was continued on an insulin drip for his diabetes mellitus but continued to improve .' +p80061 +(lp80062 +S'The\tThe\tDT\tB-NP\tO' +p80063 +aS'patient\tpatient\tNN\tI-NP\tO' +p80064 +aS'was\tbe\tVBD\tB-VP\tO' +p80065 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p80066 +aS'on\ton\tIN\tB-PP\tO' +p80067 +aS'an\tan\tDT\tB-NP\tO' +p80068 +aS'insulin\tinsulin\tNN\tI-NP\tO' +p80069 +aS'drip\tdrip\tNN\tI-NP\tO' +p80070 +aS'for\tfor\tIN\tB-PP\tO' +p80071 +aS'his\this\tPRP$\tB-NP\tO' +p80072 +aS'diabetes\tdiabetes\tNN\tI-NP\tO' +p80073 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p80074 +aS'but\tbut\tCC\tO\tO' +p80075 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p80076 +aS'to\tto\tTO\tI-VP\tO' +p80077 +aS'improve\timprove\tVB\tI-VP\tO' +p80078 +aS'.\t.\t.\tO\tO' +p80079 +asS'RIGHT OCCIPITAL HEMORRHAGIC STROKE .' +p80080 +(lp80081 +S'RIGHT\tRIGHT\tNN\tB-NP\tO' +p80082 +aS'OCCIPITAL\tOCCIPITAL\tNN\tI-NP\tO' +p80083 +aS'HEMORRHAGIC\tHEMORRHAGIC\tNN\tI-NP\tO' +p80084 +aS'STROKE\tSTROKE\tNN\tI-NP\tO' +p80085 +aS'.\t.\t.\tO\tO' +p80086 +asS'This was held in the ICU and she was given diluadid prn for pain control .' +p80087 +(lp80088 +S'This\tThis\tDT\tB-NP\tO' +p80089 +aS'was\tbe\tVBD\tB-VP\tO' +p80090 +aS'held\thold\tVBN\tI-VP\tO' +p80091 +aS'in\tin\tIN\tB-PP\tO' +p80092 +aS'the\tthe\tDT\tB-NP\tO' +p80093 +aS'ICU\tICU\tNN\tI-NP\tB-DNA' +p80094 +aS'and\tand\tCC\tO\tO' +p80095 +aS'she\tshe\tPRP\tB-NP\tO' +p80096 +aS'was\tbe\tVBD\tB-VP\tO' +p80097 +aS'given\tgive\tVBN\tI-VP\tO' +p80098 +aS'diluadid\tdiluadid\tJJ\tB-NP\tO' +p80099 +aS'prn\tprn\tNN\tI-NP\tO' +p80100 +aS'for\tfor\tIN\tB-PP\tO' +p80101 +aS'pain\tpain\tNN\tB-NP\tO' +p80102 +aS'control\tcontrol\tNN\tI-NP\tO' +p80103 +aS'.\t.\t.\tO\tO' +p80104 +asS'He was seen by physical therapy and cleared .' +p80105 +(lp80106 +S'He\tHe\tPRP\tB-NP\tO' +p80107 +aS'was\tbe\tVBD\tB-VP\tO' +p80108 +aS'seen\tsee\tVBN\tI-VP\tO' +p80109 +aS'by\tby\tIN\tB-PP\tO' +p80110 +aS'physical\tphysical\tJJ\tB-NP\tO' +p80111 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p80112 +aS'and\tand\tCC\tO\tO' +p80113 +aS'cleared\tclear\tVBN\tB-VP\tO' +p80114 +aS'.\t.\t.\tO\tO' +p80115 +asS'She had good pulses bilaterally .' +p80116 +(lp80117 +S'She\tShe\tPRP\tB-NP\tO' +p80118 +aS'had\thave\tVBD\tB-VP\tO' +p80119 +aS'good\tgood\tJJ\tB-NP\tO' +p80120 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p80121 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p80122 +aS'.\t.\t.\tO\tO' +p80123 +asS'Serax 20 mg. po. qhs .' +p80124 +(lp80125 +S'Serax\tSerax\tNN\tB-NP\tO' +p80126 +aS'20\t20\tCD\tI-NP\tO' +p80127 +aS'mg.\tmg.\tNN\tI-NP\tO' +p80128 +aS'po.\tpo.\tNN\tI-NP\tO' +p80129 +aS'qhs\tqh\tNNS\tI-NP\tO' +p80130 +aS'.\t.\t.\tO\tO' +p80131 +asS'On admission , white blood cell count 7.3 , 73 percent neutrophils , 15 percent bands , 6 percent lymphocytes , hematocrit 30.4 , platelet count 228,000 .' +p80132 +(lp80133 +S'On\tOn\tIN\tB-PP\tO' +p80134 +aS'admission\tadmission\tNN\tB-NP\tO' +p80135 +aS',\t,\t,\tO\tO' +p80136 +aS'white\twhite\tJJ\tB-NP\tO' +p80137 +aS'blood\tblood\tNN\tI-NP\tO' +p80138 +aS'cell\tcell\tNN\tI-NP\tO' +p80139 +aS'count\tcount\tNN\tI-NP\tO' +p80140 +aS'7.3\t7.3\tCD\tI-NP\tO' +p80141 +aS',\t,\t,\tI-NP\tO' +p80142 +aS'73\t73\tCD\tI-NP\tO' +p80143 +aS'percent\tpercent\tNN\tI-NP\tO' +p80144 +aS'neutrophils\tneutrophil\tNNS\tI-NP\tO' +p80145 +aS',\t,\t,\tO\tO' +p80146 +aS'15\t15\tCD\tB-NP\tO' +p80147 +aS'percent\tpercent\tNN\tI-NP\tO' +p80148 +aS'bands\tband\tNNS\tI-NP\tO' +p80149 +aS',\t,\t,\tO\tO' +p80150 +aS'6\t6\tCD\tB-NP\tO' +p80151 +aS'percent\tpercent\tNN\tI-NP\tO' +p80152 +aS'lymphocytes\tlymphocyte\tNNS\tI-NP\tO' +p80153 +aS',\t,\t,\tO\tO' +p80154 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p80155 +aS'30.4\t30.4\tCD\tI-NP\tI-protein' +p80156 +aS',\t,\t,\tO\tO' +p80157 +aS'platelet\tplatelet\tNN\tB-NP\tB-protein' +p80158 +aS'count\tcount\tNN\tI-NP\tI-protein' +p80159 +aS'228,000\t228,000\tCD\tI-NP\tI-protein' +p80160 +aS'.\t.\t.\tO\tO' +p80161 +asS"Patient 's mother died of stroke at the age of 54 ." +p80162 +(lp80163 +S'Patient\tPatient\tNN\tB-NP\tO' +p80164 +aS"'s\t's\tPOS\tB-NP\tO" +p80165 +aS'mother\tmother\tNN\tI-NP\tO' +p80166 +aS'died\tdie\tVBD\tB-VP\tO' +p80167 +aS'of\tof\tIN\tB-PP\tO' +p80168 +aS'stroke\tstroke\tNN\tB-NP\tO' +p80169 +aS'at\tat\tIN\tB-PP\tO' +p80170 +aS'the\tthe\tDT\tB-NP\tO' +p80171 +aS'age\tage\tNN\tI-NP\tO' +p80172 +aS'of\tof\tIN\tB-PP\tO' +p80173 +aS'54\t54\tCD\tB-NP\tO' +p80174 +aS'.\t.\t.\tO\tO' +p80175 +asS'Water Deficit 2.5 L .' +p80176 +(lp80177 +S'Water\tWater\tNNP\tB-NP\tO' +p80178 +aS'Deficit\tDeficit\tNNP\tI-NP\tO' +p80179 +aS'2.5\t2.5\tCD\tI-NP\tO' +p80180 +aS'L\tL\tNN\tI-NP\tO' +p80181 +aS'.\t.\t.\tO\tO' +p80182 +asS'PAIN IS DIFFUSED , 06-05 OUT OF 10 IN INTENSITY , AND HAS NOT IMPROVED OVERNIGHT .' +p80183 +(lp80184 +S'PAIN\tPAIN\tNN\tB-NP\tB-protein' +p80185 +aS'IS\tIS\tNN\tI-NP\tO' +p80186 +aS'DIFFUSED\tDIFFUSED\tNN\tI-NP\tO' +p80187 +aS',\t,\t,\tO\tO' +p80188 +aS'06-05\t06-05\tCD\tB-NP\tO' +p80189 +aS'OUT\tOUT\tNN\tI-NP\tO' +p80190 +aS'OF\tOF\tIN\tB-PP\tO' +p80191 +aS'10\t10\tCD\tB-NP\tO' +p80192 +aS'IN\tIN\tIN\tB-PP\tO' +p80193 +aS'INTENSITY\tINTENSITY\tNNP\tB-NP\tO' +p80194 +aS',\t,\t,\tO\tO' +p80195 +aS'AND\tAND\tCC\tO\tO' +p80196 +aS'HAS\tHAS\tVBZ\tB-VP\tO' +p80197 +aS'NOT\tNOT\tNN\tB-NP\tO' +p80198 +aS'IMPROVED\tIMPROVED\tNN\tI-NP\tO' +p80199 +aS'OVERNIGHT\tOVERNIGHT\tNN\tI-NP\tO' +p80200 +aS'.\t.\t.\tO\tO' +p80201 +asS'She denies any pleural chest pain .' +p80202 +(lp80203 +S'She\tShe\tPRP\tB-NP\tO' +p80204 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p80205 +aS'any\tany\tDT\tB-NP\tO' +p80206 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p80207 +aS'chest\tchest\tNN\tI-NP\tO' +p80208 +aS'pain\tpain\tNN\tI-NP\tO' +p80209 +aS'.\t.\t.\tO\tO' +p80210 +asS'ABGs showed a pO2 of 79 , pH 7.44 , pO2 33 .' +p80211 +(lp80212 +S'ABGs\tABG\tNNS\tB-NP\tO' +p80213 +aS'showed\tshow\tVBD\tB-VP\tO' +p80214 +aS'a\ta\tDT\tB-NP\tO' +p80215 +aS'pO2\tpO2\tNN\tI-NP\tO' +p80216 +aS'of\tof\tIN\tB-PP\tO' +p80217 +aS'79\t79\tCD\tB-NP\tO' +p80218 +aS',\t,\t,\tO\tO' +p80219 +aS'pH\tpH\tNN\tB-NP\tO' +p80220 +aS'7.44\t7.44\tCD\tI-NP\tO' +p80221 +aS',\t,\t,\tO\tO' +p80222 +aS'pO2\tpO2\tNN\tB-NP\tO' +p80223 +aS'33\t33\tCD\tI-NP\tO' +p80224 +aS'.\t.\t.\tO\tO' +p80225 +asS'The patient was admitted to the Neurology Intensive Care Unit for intensive monitoring due to his frail condition .' +p80226 +(lp80227 +S'The\tThe\tDT\tB-NP\tO' +p80228 +aS'patient\tpatient\tNN\tI-NP\tO' +p80229 +aS'was\tbe\tVBD\tB-VP\tO' +p80230 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p80231 +aS'to\tto\tTO\tB-PP\tO' +p80232 +aS'the\tthe\tDT\tB-NP\tO' +p80233 +aS'Neurology\tNeurology\tNNP\tI-NP\tO' +p80234 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p80235 +aS'Care\tCare\tNNP\tI-NP\tO' +p80236 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p80237 +aS'for\tfor\tIN\tB-PP\tO' +p80238 +aS'intensive\tintensive\tJJ\tB-NP\tO' +p80239 +aS'monitoring\tmonitoring\tNN\tI-NP\tO' +p80240 +aS'due\tdue\tIN\tB-PP\tO' +p80241 +aS'to\tto\tTO\tB-PP\tO' +p80242 +aS'his\this\tPRP$\tB-NP\tO' +p80243 +aS'frail\tfrail\tNN\tI-NP\tO' +p80244 +aS'condition\tcondition\tNN\tI-NP\tO' +p80245 +aS'.\t.\t.\tO\tO' +p80246 +asS'After being transferred from the interventional radiology table to the stretcher , one of his lateral percutaneous drains had been pulled out inadvertently .' +p80247 +(lp80248 +S'After\tAfter\tIN\tB-PP\tO' +p80249 +aS'being\tbe\tVBG\tB-VP\tO' +p80250 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p80251 +aS'from\tfrom\tIN\tB-PP\tO' +p80252 +aS'the\tthe\tDT\tB-NP\tO' +p80253 +aS'interventional\tinterventional\tJJ\tI-NP\tO' +p80254 +aS'radiology\tradiology\tNN\tI-NP\tO' +p80255 +aS'table\ttable\tNN\tI-NP\tO' +p80256 +aS'to\tto\tTO\tB-PP\tO' +p80257 +aS'the\tthe\tDT\tB-NP\tO' +p80258 +aS'stretcher\tstretcher\tNN\tI-NP\tO' +p80259 +aS',\t,\t,\tO\tO' +p80260 +aS'one\tone\tCD\tB-NP\tO' +p80261 +aS'of\tof\tIN\tB-PP\tO' +p80262 +aS'his\this\tPRP$\tB-NP\tO' +p80263 +aS'lateral\tlateral\tJJ\tI-NP\tO' +p80264 +aS'percutaneous\tpercutaneous\tJJ\tI-NP\tO' +p80265 +aS'drains\tdrain\tNNS\tI-NP\tO' +p80266 +aS'had\thave\tVBD\tB-VP\tO' +p80267 +aS'been\tbe\tVBN\tI-VP\tO' +p80268 +aS'pulled\tpull\tVBN\tI-VP\tO' +p80269 +aS'out\tout\tRP\tB-PRT\tO' +p80270 +aS'inadvertently\tinadvertently\tRB\tB-ADVP\tO' +p80271 +aS'.\t.\t.\tO\tO' +p80272 +asS'Examination of the sternal wound showed an opened area in the mid region of the wound with serosanguineous drainage and a scant amount of thick , yellow pus .' +p80273 +(lp80274 +S'Examination\tExamination\tNN\tB-NP\tO' +p80275 +aS'of\tof\tIN\tB-PP\tO' +p80276 +aS'the\tthe\tDT\tB-NP\tO' +p80277 +aS'sternal\tsternal\tJJ\tI-NP\tO' +p80278 +aS'wound\twound\tNN\tI-NP\tO' +p80279 +aS'showed\tshow\tVBD\tB-VP\tO' +p80280 +aS'an\tan\tDT\tB-NP\tO' +p80281 +aS'opened\topened\tJJ\tI-NP\tO' +p80282 +aS'area\tarea\tNN\tI-NP\tO' +p80283 +aS'in\tin\tIN\tB-PP\tO' +p80284 +aS'the\tthe\tDT\tB-NP\tO' +p80285 +aS'mid\tmid\tJJ\tI-NP\tB-DNA' +p80286 +aS'region\tregion\tNN\tI-NP\tI-DNA' +p80287 +aS'of\tof\tIN\tB-PP\tO' +p80288 +aS'the\tthe\tDT\tB-NP\tO' +p80289 +aS'wound\twound\tNN\tI-NP\tO' +p80290 +aS'with\twith\tIN\tB-PP\tO' +p80291 +aS'serosanguineous\tserosanguineous\tJJ\tB-NP\tO' +p80292 +aS'drainage\tdrainage\tNN\tI-NP\tO' +p80293 +aS'and\tand\tCC\tO\tO' +p80294 +aS'a\ta\tDT\tB-NP\tO' +p80295 +aS'scant\tscant\tJJ\tI-NP\tO' +p80296 +aS'amount\tamount\tNN\tI-NP\tO' +p80297 +aS'of\tof\tIN\tB-PP\tO' +p80298 +aS'thick\tthick\tJJ\tB-NP\tO' +p80299 +aS',\t,\t,\tI-NP\tO' +p80300 +aS'yellow\tyellow\tJJ\tI-NP\tO' +p80301 +aS'pus\tpus\tNN\tI-NP\tO' +p80302 +aS'.\t.\t.\tO\tO' +p80303 +asS'The patient had an episode of nausea on the morning of 11/16/04 associated with some cough , apparent emesis .' +p80304 +(lp80305 +S'The\tThe\tDT\tB-NP\tO' +p80306 +aS'patient\tpatient\tNN\tI-NP\tO' +p80307 +aS'had\thave\tVBD\tB-VP\tO' +p80308 +aS'an\tan\tDT\tB-NP\tO' +p80309 +aS'episode\tepisode\tNN\tI-NP\tO' +p80310 +aS'of\tof\tIN\tB-PP\tO' +p80311 +aS'nausea\tnausea\tNN\tB-NP\tO' +p80312 +aS'on\ton\tIN\tB-PP\tO' +p80313 +aS'the\tthe\tDT\tB-NP\tO' +p80314 +aS'morning\tmorning\tNN\tI-NP\tO' +p80315 +aS'of\tof\tIN\tB-PP\tO' +p80316 +aS'11/16/04\t11/16/04\tCD\tB-NP\tO' +p80317 +aS'associated\tassociate\tVBN\tB-VP\tO' +p80318 +aS'with\twith\tIN\tB-PP\tO' +p80319 +aS'some\tsome\tDT\tB-NP\tO' +p80320 +aS'cough\tcough\tNN\tI-NP\tO' +p80321 +aS',\t,\t,\tO\tO' +p80322 +aS'apparent\tapparent\tJJ\tB-NP\tO' +p80323 +aS'emesis\temesis\tNN\tI-NP\tO' +p80324 +aS'.\t.\t.\tO\tO' +p80325 +asS'Has a h/o HIT .' +p80326 +(lp80327 +S'Has\tHas\tIN\tB-PP\tO' +p80328 +aS'a\ta\tDT\tB-NP\tO' +p80329 +aS'h/o\th/o\tNN\tI-NP\tB-DNA' +p80330 +aS'HIT\tHIT\tNN\tI-NP\tI-DNA' +p80331 +aS'.\t.\t.\tO\tO' +p80332 +asS'Quit smoking 23 years ago , occasional ETOH , denies illicit drug use .' +p80333 +(lp80334 +S'Quit\tQuit\tNNP\tB-NP\tO' +p80335 +aS'smoking\tsmoke\tVBG\tB-VP\tO' +p80336 +aS'23\t23\tCD\tB-NP\tO' +p80337 +aS'years\tyear\tNNS\tI-NP\tO' +p80338 +aS'ago\tago\tRB\tB-ADVP\tO' +p80339 +aS',\t,\t,\tO\tO' +p80340 +aS'occasional\toccasional\tJJ\tB-NP\tO' +p80341 +aS'ETOH\tETOH\tNN\tI-NP\tO' +p80342 +aS',\t,\t,\tO\tO' +p80343 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p80344 +aS'illicit\tillicit\tJJ\tB-NP\tO' +p80345 +aS'drug\tdrug\tNN\tI-NP\tO' +p80346 +aS'use\tuse\tNN\tI-NP\tO' +p80347 +aS'.\t.\t.\tO\tO' +p80348 +asS'2) Patchy left retrocardiac opacity which may be due to patchy atelectasis , aspiration , or early pneumonia .' +p80349 +(lp80350 +S'2)\t2)\tLS\tB-LST\tO' +p80351 +aS'Patchy\tPatchy\tNNP\tB-NP\tO' +p80352 +aS'left\tleave\tVBD\tB-VP\tO' +p80353 +aS'retrocardiac\tretrocardiac\tJJ\tB-NP\tO' +p80354 +aS'opacity\topacity\tNN\tI-NP\tO' +p80355 +aS'which\twhich\tWDT\tB-NP\tO' +p80356 +aS'may\tmay\tMD\tB-VP\tO' +p80357 +aS'be\tbe\tVB\tI-VP\tO' +p80358 +aS'due\tdue\tJJ\tB-ADVP\tO' +p80359 +aS'to\tto\tTO\tB-PP\tO' +p80360 +aS'patchy\tpatchy\tJJ\tB-NP\tO' +p80361 +aS'atelectasis\tatelectasis\tNN\tI-NP\tO' +p80362 +aS',\t,\t,\tO\tO' +p80363 +aS'aspiration\taspiration\tNN\tB-NP\tO' +p80364 +aS',\t,\t,\tO\tO' +p80365 +aS'or\tor\tCC\tO\tO' +p80366 +aS'early\tearly\tJJ\tB-NP\tO' +p80367 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p80368 +aS'.\t.\t.\tO\tO' +p80369 +asS'She was ambulating without difficulties .' +p80370 +(lp80371 +S'She\tShe\tPRP\tB-NP\tO' +p80372 +aS'was\tbe\tVBD\tB-VP\tO' +p80373 +aS'ambulating\tambulate\tVBG\tI-VP\tO' +p80374 +aS'without\twithout\tIN\tB-PP\tO' +p80375 +aS'difficulties\tdifficulty\tNNS\tB-NP\tO' +p80376 +aS'.\t.\t.\tO\tO' +p80377 +asS'1. Lisinopril 5 mg p.o. q. day .' +p80378 +(lp80379 +S'1.\t1.\tLS\tB-LST\tO' +p80380 +aS'Lisinopril\tLisinopril\tNNP\tB-NP\tO' +p80381 +aS'5\t5\tCD\tI-NP\tO' +p80382 +aS'mg\tmg\tNN\tI-NP\tO' +p80383 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p80384 +aS'q.\tq.\tNN\tI-NP\tO' +p80385 +aS'day\tday\tNN\tI-NP\tO' +p80386 +aS'.\t.\t.\tO\tO' +p80387 +asS'House diet .' +p80388 +(lp80389 +S'House\tHouse\tNNP\tB-NP\tO' +p80390 +aS'diet\tdiet\tNN\tI-NP\tO' +p80391 +aS'.\t.\t.\tO\tO' +p80392 +asS'Slight irregularity of the origin of the right vertebral artery may be atherosclerotic in nature .' +p80393 +(lp80394 +S'Slight\tSlight\tJJ\tB-NP\tO' +p80395 +aS'irregularity\tirregularity\tNN\tI-NP\tO' +p80396 +aS'of\tof\tIN\tB-PP\tO' +p80397 +aS'the\tthe\tDT\tB-NP\tO' +p80398 +aS'origin\torigin\tNN\tI-NP\tO' +p80399 +aS'of\tof\tIN\tB-PP\tO' +p80400 +aS'the\tthe\tDT\tB-NP\tO' +p80401 +aS'right\tright\tJJ\tI-NP\tO' +p80402 +aS'vertebral\tvertebral\tJJ\tI-NP\tO' +p80403 +aS'artery\tartery\tNN\tI-NP\tO' +p80404 +aS'may\tmay\tMD\tB-VP\tO' +p80405 +aS'be\tbe\tVB\tI-VP\tO' +p80406 +aS'atherosclerotic\tatherosclerotic\tJJ\tB-ADJP\tO' +p80407 +aS'in\tin\tIN\tB-PP\tO' +p80408 +aS'nature\tnature\tNN\tB-NP\tO' +p80409 +aS'.\t.\t.\tO\tO' +p80410 +asS'Of note , he had a negative stress test in 2012-07-03 .' +p80411 +(lp80412 +S'Of\tOf\tIN\tB-PP\tO' +p80413 +aS'note\tnote\tNN\tB-NP\tO' +p80414 +aS',\t,\t,\tO\tO' +p80415 +aS'he\the\tPRP\tB-NP\tO' +p80416 +aS'had\thave\tVBD\tB-VP\tO' +p80417 +aS'a\ta\tDT\tB-NP\tO' +p80418 +aS'negative\tnegative\tJJ\tI-NP\tO' +p80419 +aS'stress\tstress\tNN\tI-NP\tO' +p80420 +aS'test\ttest\tNN\tI-NP\tO' +p80421 +aS'in\tin\tIN\tB-PP\tO' +p80422 +aS'2012-07-03\t2012-07-03\tCD\tB-NP\tO' +p80423 +aS'.\t.\t.\tO\tO' +p80424 +asS'The patient did not tolerate antiemetics well and it was subsequently decided to avoid phenothiazides secondary to jitteryness and restless legs .' +p80425 +(lp80426 +S'The\tThe\tDT\tB-NP\tO' +p80427 +aS'patient\tpatient\tNN\tI-NP\tO' +p80428 +aS'did\tdo\tVBD\tB-VP\tO' +p80429 +aS'not\tnot\tRB\tI-VP\tO' +p80430 +aS'tolerate\ttolerate\tVB\tI-VP\tO' +p80431 +aS'antiemetics\tantiemetic\tNNS\tB-NP\tO' +p80432 +aS'well\twell\tRB\tB-ADVP\tO' +p80433 +aS'and\tand\tCC\tO\tO' +p80434 +aS'it\tit\tPRP\tB-NP\tO' +p80435 +aS'was\tbe\tVBD\tB-VP\tO' +p80436 +aS'subsequently\tsubsequently\tRB\tI-VP\tO' +p80437 +aS'decided\tdecide\tVBN\tI-VP\tO' +p80438 +aS'to\tto\tTO\tI-VP\tO' +p80439 +aS'avoid\tavoid\tVB\tI-VP\tO' +p80440 +aS'phenothiazides\tphenothiazide\tNNS\tB-NP\tO' +p80441 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p80442 +aS'to\tto\tTO\tB-PP\tO' +p80443 +aS'jitteryness\tjitteryness\tNN\tB-NP\tO' +p80444 +aS'and\tand\tCC\tO\tO' +p80445 +aS'restless\trestless\tJJ\tB-NP\tO' +p80446 +aS'legs\tleg\tNNS\tI-NP\tO' +p80447 +aS'.\t.\t.\tO\tO' +p80448 +asS'Echocardiogram showed moderate anterior pericardial effusion of approximately 600 cc with diastolic indications of the right ventricle and low velocity paradox .' +p80449 +(lp80450 +S'Echocardiogram\tEchocardiogram\tNN\tB-NP\tO' +p80451 +aS'showed\tshow\tVBD\tB-VP\tO' +p80452 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p80453 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p80454 +aS'pericardial\tpericardial\tJJ\tI-NP\tO' +p80455 +aS'effusion\teffusion\tNN\tI-NP\tO' +p80456 +aS'of\tof\tIN\tB-PP\tO' +p80457 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p80458 +aS'600\t600\tCD\tI-NP\tO' +p80459 +aS'cc\tcc\tNN\tI-NP\tO' +p80460 +aS'with\twith\tIN\tB-PP\tO' +p80461 +aS'diastolic\tdiastolic\tJJ\tB-NP\tO' +p80462 +aS'indications\tindication\tNNS\tI-NP\tO' +p80463 +aS'of\tof\tIN\tB-PP\tO' +p80464 +aS'the\tthe\tDT\tB-NP\tO' +p80465 +aS'right\tright\tJJ\tI-NP\tO' +p80466 +aS'ventricle\tventricle\tNN\tI-NP\tO' +p80467 +aS'and\tand\tCC\tO\tO' +p80468 +aS'low\tlow\tJJ\tB-NP\tO' +p80469 +aS'velocity\tvelocity\tNN\tI-NP\tO' +p80470 +aS'paradox\tparadox\tNN\tI-NP\tO' +p80471 +aS'.\t.\t.\tO\tO' +p80472 +asS'3. Fluticasone 2 puffs inhaled twice per day .' +p80473 +(lp80474 +S'3.\t3.\tLS\tB-NP\tO' +p80475 +aS'Fluticasone\tFluticasone\tNN\tI-NP\tB-protein' +p80476 +aS'2\t2\tCD\tB-NP\tI-protein' +p80477 +aS'puffs\tpuff\tNNS\tI-NP\tI-protein' +p80478 +aS'inhaled\tinhale\tVBD\tB-VP\tO' +p80479 +aS'twice\ttwice\tRB\tB-ADVP\tO' +p80480 +aS'per\tper\tIN\tB-PP\tO' +p80481 +aS'day\tday\tNN\tB-NP\tO' +p80482 +aS'.\t.\t.\tO\tO' +p80483 +asS'Distal neurovascular status was intact .' +p80484 +(lp80485 +S'Distal\tDistal\tJJ\tB-NP\tO' +p80486 +aS'neurovascular\tneurovascular\tJJ\tI-NP\tO' +p80487 +aS'status\tstatus\tNN\tI-NP\tO' +p80488 +aS'was\tbe\tVBD\tB-VP\tO' +p80489 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p80490 +aS'.\t.\t.\tO\tO' +p80491 +asS'1. Digoxin .125 mg qod , .25 mg qod .' +p80492 +(lp80493 +S'1.\t1.\tLS\tB-LST\tO' +p80494 +aS'Digoxin\tDigoxin\tNN\tB-NP\tO' +p80495 +aS'.125\t.125\tCD\tI-NP\tO' +p80496 +aS'mg\tmg\tNN\tI-NP\tO' +p80497 +aS'qod\tqod\tNN\tI-NP\tO' +p80498 +aS',\t,\t,\tO\tO' +p80499 +aS'.25\t.25\tCD\tB-NP\tO' +p80500 +aS'mg\tmg\tNN\tI-NP\tO' +p80501 +aS'qod\tqod\tNN\tI-NP\tO' +p80502 +aS'.\t.\t.\tO\tO' +p80503 +asS'Tone is normal , moving all limbs symmetrically , irritable with palpation of the scalp .' +p80504 +(lp80505 +S'Tone\tTone\tNN\tB-NP\tO' +p80506 +aS'is\tbe\tVBZ\tB-VP\tO' +p80507 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p80508 +aS',\t,\t,\tO\tO' +p80509 +aS'moving\tmove\tVBG\tB-VP\tO' +p80510 +aS'all\tall\tDT\tB-NP\tO' +p80511 +aS'limbs\tlimb\tNNS\tI-NP\tO' +p80512 +aS'symmetrically\tsymmetrically\tRB\tB-ADVP\tO' +p80513 +aS',\t,\t,\tO\tO' +p80514 +aS'irritable\tirritable\tJJ\tB-ADJP\tO' +p80515 +aS'with\twith\tIN\tB-PP\tO' +p80516 +aS'palpation\tpalpation\tNN\tB-NP\tO' +p80517 +aS'of\tof\tIN\tB-PP\tO' +p80518 +aS'the\tthe\tDT\tB-NP\tO' +p80519 +aS'scalp\tscalp\tNN\tI-NP\tO' +p80520 +aS'.\t.\t.\tO\tO' +p80521 +asS'The patient was transferred back from the Intensive Care Unit on 2013-09-13 , and upon arriving on the floor , he continued to do well .' +p80522 +(lp80523 +S'The\tThe\tDT\tB-NP\tO' +p80524 +aS'patient\tpatient\tNN\tI-NP\tO' +p80525 +aS'was\tbe\tVBD\tB-VP\tO' +p80526 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p80527 +aS'back\tback\tRB\tB-ADVP\tO' +p80528 +aS'from\tfrom\tIN\tB-PP\tO' +p80529 +aS'the\tthe\tDT\tB-NP\tO' +p80530 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p80531 +aS'Care\tCare\tNNP\tI-NP\tO' +p80532 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p80533 +aS'on\ton\tIN\tB-PP\tO' +p80534 +aS'2013-09-13\t2013-09-13\tCD\tB-NP\tO' +p80535 +aS',\t,\t,\tO\tO' +p80536 +aS'and\tand\tCC\tO\tO' +p80537 +aS'upon\tupon\tIN\tB-PP\tO' +p80538 +aS'arriving\tarrive\tVBG\tB-VP\tO' +p80539 +aS'on\ton\tIN\tB-PP\tO' +p80540 +aS'the\tthe\tDT\tB-NP\tO' +p80541 +aS'floor\tfloor\tNN\tI-NP\tO' +p80542 +aS',\t,\t,\tO\tO' +p80543 +aS'he\the\tPRP\tB-NP\tO' +p80544 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p80545 +aS'to\tto\tTO\tI-VP\tO' +p80546 +aS'do\tdo\tVB\tI-VP\tO' +p80547 +aS'well\twell\tRB\tB-ADVP\tO' +p80548 +aS'.\t.\t.\tO\tO' +p80549 +asS'Dictated By : Tracy C Rea , M.D.' +p80550 +(lp80551 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p80552 +aS'By\tBy\tIN\tB-PP\tO' +p80553 +aS':\t:\t:\tO\tO' +p80554 +aS'Tracy\tTracy\tNNP\tB-NP\tO' +p80555 +aS'C\tC\tNNP\tI-NP\tO' +p80556 +aS'Rea\tRea\tNNP\tI-NP\tO' +p80557 +aS',\t,\t,\tO\tO' +p80558 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p80559 +asS'Sedated .' +p80560 +(lp80561 +S'Sedated\tSedate\tVBN\tB-VP\tO' +p80562 +aS'.\t.\t.\tO\tO' +p80563 +asS'TLC , TIB and blood culture were all negative .' +p80564 +(lp80565 +S'TLC\tTLC\tNN\tB-NP\tO' +p80566 +aS',\t,\t,\tI-NP\tO' +p80567 +aS'TIB\tTIB\tNN\tI-NP\tB-protein' +p80568 +aS'and\tand\tCC\tI-NP\tO' +p80569 +aS'blood\tblood\tNN\tI-NP\tO' +p80570 +aS'culture\tculture\tNN\tI-NP\tO' +p80571 +aS'were\tbe\tVBD\tB-VP\tO' +p80572 +aS'all\tall\tDT\tO\tO' +p80573 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p80574 +aS'.\t.\t.\tO\tO' +p80575 +asS'The patient lives in Hou with wife and daughter .' +p80576 +(lp80577 +S'The\tThe\tDT\tB-NP\tO' +p80578 +aS'patient\tpatient\tNN\tI-NP\tO' +p80579 +aS'lives\tlive\tVBZ\tB-VP\tO' +p80580 +aS'in\tin\tIN\tB-PP\tO' +p80581 +aS'Hou\tHou\tNN\tB-NP\tO' +p80582 +aS'with\twith\tIN\tB-PP\tO' +p80583 +aS'wife\twife\tNN\tB-NP\tO' +p80584 +aS'and\tand\tCC\tI-NP\tO' +p80585 +aS'daughter\tdaughter\tNN\tI-NP\tO' +p80586 +aS'.\t.\t.\tO\tO' +p80587 +asS'He underwent an uncomplicated laparoscopic cholecystectomy .' +p80588 +(lp80589 +S'He\tHe\tPRP\tB-NP\tO' +p80590 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p80591 +aS'an\tan\tDT\tB-NP\tO' +p80592 +aS'uncomplicated\tuncomplicated\tJJ\tI-NP\tO' +p80593 +aS'laparoscopic\tlaparoscopic\tJJ\tI-NP\tO' +p80594 +aS'cholecystectomy\tcholecystectomy\tNN\tI-NP\tO' +p80595 +aS'.\t.\t.\tO\tO' +p80596 +asS'The patient was advised to follow-up with Dr. Edwards in clinic in one week .' +p80597 +(lp80598 +S'The\tThe\tDT\tB-NP\tO' +p80599 +aS'patient\tpatient\tNN\tI-NP\tO' +p80600 +aS'was\tbe\tVBD\tB-VP\tO' +p80601 +aS'advised\tadvise\tVBN\tI-VP\tO' +p80602 +aS'to\tto\tTO\tI-VP\tO' +p80603 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p80604 +aS'with\twith\tIN\tB-PP\tO' +p80605 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p80606 +aS'Edwards\tEdwards\tNNP\tI-NP\tO' +p80607 +aS'in\tin\tIN\tB-PP\tO' +p80608 +aS'clinic\tclinic\tNN\tB-NP\tO' +p80609 +aS'in\tin\tIN\tB-PP\tO' +p80610 +aS'one\tone\tCD\tB-NP\tO' +p80611 +aS'week\tweek\tNN\tI-NP\tO' +p80612 +aS'.\t.\t.\tO\tO' +p80613 +asS'He had radiation following the resection and was doing well on monthly Temodar until 2012-04-23 when he had a marked change in behavior , his balance was off , speech slurred , and he had difficulty using the computer .' +p80614 +(lp80615 +S'He\tHe\tPRP\tB-NP\tO' +p80616 +aS'had\thave\tVBD\tB-VP\tO' +p80617 +aS'radiation\tradiation\tNN\tB-NP\tO' +p80618 +aS'following\tfollow\tVBG\tB-PP\tO' +p80619 +aS'the\tthe\tDT\tB-NP\tO' +p80620 +aS'resection\tresection\tNN\tI-NP\tO' +p80621 +aS'and\tand\tCC\tO\tO' +p80622 +aS'was\tbe\tVBD\tB-VP\tO' +p80623 +aS'doing\tdo\tVBG\tI-VP\tO' +p80624 +aS'well\twell\tRB\tB-ADVP\tO' +p80625 +aS'on\ton\tIN\tB-PP\tO' +p80626 +aS'monthly\tmonthly\tJJ\tB-NP\tO' +p80627 +aS'Temodar\tTemodar\tNN\tI-NP\tO' +p80628 +aS'until\tuntil\tIN\tB-PP\tO' +p80629 +aS'2012-04-23\t2012-04-23\tCD\tB-NP\tO' +p80630 +aS'when\twhen\tWRB\tB-ADVP\tO' +p80631 +aS'he\the\tPRP\tB-NP\tO' +p80632 +aS'had\thave\tVBD\tB-VP\tO' +p80633 +aS'a\ta\tDT\tB-NP\tO' +p80634 +aS'marked\tmarked\tJJ\tI-NP\tO' +p80635 +aS'change\tchange\tNN\tI-NP\tO' +p80636 +aS'in\tin\tIN\tB-PP\tO' +p80637 +aS'behavior\tbehavior\tNN\tB-NP\tO' +p80638 +aS',\t,\t,\tO\tO' +p80639 +aS'his\this\tPRP$\tB-NP\tO' +p80640 +aS'balance\tbalance\tNN\tI-NP\tO' +p80641 +aS'was\tbe\tVBD\tB-VP\tO' +p80642 +aS'off\toff\tRB\tB-ADVP\tO' +p80643 +aS',\t,\t,\tO\tO' +p80644 +aS'speech\tspeech\tNN\tB-NP\tO' +p80645 +aS'slurred\tslur\tVBD\tB-VP\tO' +p80646 +aS',\t,\t,\tO\tO' +p80647 +aS'and\tand\tCC\tO\tO' +p80648 +aS'he\the\tPRP\tB-NP\tO' +p80649 +aS'had\thave\tVBD\tB-VP\tO' +p80650 +aS'difficulty\tdifficulty\tNN\tB-NP\tO' +p80651 +aS'using\tuse\tVBG\tB-VP\tO' +p80652 +aS'the\tthe\tDT\tB-NP\tO' +p80653 +aS'computer\tcomputer\tNN\tI-NP\tO' +p80654 +aS'.\t.\t.\tO\tO' +p80655 +asS'14. Amiodarone 200 mg Tablet Sig : Two ( 2 ) Tablet PO BID ( 2 times a day ) for 7 days .' +p80656 +(lp80657 +S'14.\t14.\tCD\tB-NP\tO' +p80658 +aS'Amiodarone\tAmiodarone\tNN\tI-NP\tO' +p80659 +aS'200\t200\tCD\tB-NP\tO' +p80660 +aS'mg\tmg\tNN\tI-NP\tO' +p80661 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p80662 +aS'Sig\tSig\tNNP\tI-NP\tO' +p80663 +aS':\t:\t:\tO\tO' +p80664 +aS'Two\tTwo\tCD\tB-NP\tO' +p80665 +aS'(\t(\t(\tO\tO' +p80666 +aS'2\t2\tCD\tO\tO' +p80667 +aS')\t)\t)\tO\tO' +p80668 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p80669 +aS'PO\tPO\tNN\tI-NP\tO' +p80670 +aS'BID\tBID\tNN\tI-NP\tO' +p80671 +aS'(\t(\t(\tO\tO' +p80672 +aS'2\t2\tCD\tB-NP\tO' +p80673 +aS'times\ttime\tNNS\tI-NP\tO' +p80674 +aS'a\ta\tDT\tB-NP\tO' +p80675 +aS'day\tday\tNN\tI-NP\tO' +p80676 +aS')\t)\t)\tO\tO' +p80677 +aS'for\tfor\tIN\tB-PP\tO' +p80678 +aS'7\t7\tCD\tB-NP\tO' +p80679 +aS'days\tday\tNNS\tI-NP\tO' +p80680 +aS'.\t.\t.\tO\tO' +p80681 +asS'At the time of discharge , the patient 's mental status is back to its baseline .' +p80682 +(lp80683 +S'At\tAt\tIN\tB-PP\tO' +p80684 +aS'the\tthe\tDT\tB-NP\tO' +p80685 +aS'time\ttime\tNN\tI-NP\tO' +p80686 +aS'of\tof\tIN\tB-PP\tO' +p80687 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p80688 +aS',\t,\t,\tO\tO' +p80689 +aS'the\tthe\tDT\tB-NP\tO' +p80690 +aS'patient\tpatient\tNN\tI-NP\tO' +p80691 +aS''s\t'\tNNS\tI-NP\tO' +p80692 +aS'mental\tmental\tJJ\tB-NP\tO' +p80693 +aS'status\tstatus\tNN\tI-NP\tO' +p80694 +aS'is\tbe\tVBZ\tB-VP\tO' +p80695 +aS'back\tback\tRB\tB-ADVP\tO' +p80696 +aS'to\tto\tTO\tB-PP\tO' +p80697 +aS'its\tits\tPRP$\tB-NP\tO' +p80698 +aS'baseline\tbaseline\tNN\tI-NP\tO' +p80699 +aS'.\t.\t.\tO\tO' +p80700 +asS'Throat is clear .' +p80701 +(lp80702 +S'Throat\tThroat\tNN\tB-NP\tO' +p80703 +aS'is\tbe\tVBZ\tB-VP\tO' +p80704 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p80705 +aS'.\t.\t.\tO\tO' +p80706 +asS'Past Medical History : diabetes type 1 since age 24 after pancreatic trauma' +p80707 +(lp80708 +S'Past\tPast\tNNP\tB-NP\tO' +p80709 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p80710 +aS'History\tHistory\tNNP\tI-NP\tO' +p80711 +aS':\t:\t:\tO\tO' +p80712 +aS'diabetes\tdiabetes\tNN\tB-NP\tO' +p80713 +aS'type\ttype\tNN\tI-NP\tO' +p80714 +aS'1\t1\tCD\tI-NP\tO' +p80715 +aS'since\tsince\tIN\tB-SBAR\tO' +p80716 +aS'age\tage\tNN\tB-NP\tO' +p80717 +aS'24\t24\tCD\tI-NP\tO' +p80718 +aS'after\tafter\tIN\tB-PP\tO' +p80719 +aS'pancreatic\tpancreatic\tJJ\tB-NP\tO' +p80720 +aS'trauma\ttrauma\tNN\tI-NP\tO' +p80721 +asS'Metastatic carcinoma was present in 3 of 3 lymph nodes .' +p80722 +(lp80723 +S'Metastatic\tMetastatic\tJJ\tB-NP\tO' +p80724 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p80725 +aS'was\tbe\tVBD\tB-VP\tO' +p80726 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p80727 +aS'in\tin\tIN\tB-PP\tO' +p80728 +aS'3\t3\tCD\tB-NP\tO' +p80729 +aS'of\tof\tIN\tB-PP\tO' +p80730 +aS'3\t3\tCD\tB-NP\tO' +p80731 +aS'lymph\tlymph\tNN\tI-NP\tO' +p80732 +aS'nodes\tnode\tNNS\tI-NP\tO' +p80733 +aS'.\t.\t.\tO\tO' +p80734 +asS'There is no evidence of abscess .' +p80735 +(lp80736 +S'There\tThere\tEX\tB-NP\tO' +p80737 +aS'is\tbe\tVBZ\tB-VP\tO' +p80738 +aS'no\tno\tDT\tB-NP\tO' +p80739 +aS'evidence\tevidence\tNN\tI-NP\tO' +p80740 +aS'of\tof\tIN\tB-PP\tO' +p80741 +aS'abscess\tabscess\tNN\tB-NP\tO' +p80742 +aS'.\t.\t.\tO\tO' +p80743 +asS'She is not a smoker .' +p80744 +(lp80745 +S'She\tShe\tPRP\tB-NP\tO' +p80746 +aS'is\tbe\tVBZ\tB-VP\tO' +p80747 +aS'not\tnot\tRB\tO\tO' +p80748 +aS'a\ta\tDT\tB-NP\tO' +p80749 +aS'smoker\tsmoker\tNN\tI-NP\tO' +p80750 +aS'.\t.\t.\tO\tO' +p80751 +asS'In the Deborah VS on arrival were T : 97.5 ; BP : 90/65 ; HR : 82 ; RR : 16 ; 94 on RA .' +p80752 +(lp80753 +S'In\tIn\tIN\tB-PP\tO' +p80754 +aS'the\tthe\tDT\tB-NP\tO' +p80755 +aS'Deborah\tDeborah\tNNP\tI-NP\tO' +p80756 +aS'VS\tVS\tNNP\tI-NP\tO' +p80757 +aS'on\ton\tIN\tB-PP\tO' +p80758 +aS'arrival\tarrival\tNN\tB-NP\tO' +p80759 +aS'were\tbe\tVBD\tB-VP\tO' +p80760 +aS'T\tT\tNN\tB-NP\tO' +p80761 +aS':\t:\t:\tO\tO' +p80762 +aS'97.5\t97.5\tCD\tB-NP\tO' +p80763 +aS';\t;\t:\tO\tO' +p80764 +aS'BP\tBP\tNN\tB-NP\tO' +p80765 +aS':\t:\t:\tO\tO' +p80766 +aS'90/65\t90/65\tCD\tB-NP\tO' +p80767 +aS';\t;\t:\tO\tO' +p80768 +aS'HR\tHR\tNN\tB-NP\tO' +p80769 +aS':\t:\t:\tO\tO' +p80770 +aS'82\t82\tCD\tB-NP\tO' +p80771 +aS';\t;\t:\tO\tO' +p80772 +aS'RR\tRR\tNN\tB-NP\tO' +p80773 +aS':\t:\t:\tO\tO' +p80774 +aS'16\t16\tCD\tB-NP\tO' +p80775 +aS';\t;\t:\tO\tO' +p80776 +aS'94\t94\tCD\tB-NP\tO' +p80777 +aS'on\ton\tIN\tB-PP\tO' +p80778 +aS'RA\tRA\tNN\tB-NP\tB-protein' +p80779 +aS'.\t.\t.\tO\tO' +p80780 +asS'# h/o DVT - patient with head bleed which is contraindication to anti-coagulation .' +p80781 +(lp80782 +S'#\t#\t#\tB-NP\tO' +p80783 +aS'h/o\th/o\tNN\tI-NP\tO' +p80784 +aS'DVT\tDVT\tNN\tI-NP\tO' +p80785 +aS'-\t-\tHYPH\tB-NP\tO' +p80786 +aS'patient\tpatient\tNN\tI-NP\tO' +p80787 +aS'with\twith\tIN\tB-PP\tO' +p80788 +aS'head\thead\tNN\tB-NP\tO' +p80789 +aS'bleed\tbleed\tNN\tI-NP\tO' +p80790 +aS'which\twhich\tWDT\tB-NP\tO' +p80791 +aS'is\tbe\tVBZ\tB-VP\tO' +p80792 +aS'contraindication\tcontraindication\tNN\tB-NP\tO' +p80793 +aS'to\tto\tTO\tB-PP\tO' +p80794 +aS'anti-coagulation\tanti-coagulation\tNN\tB-NP\tO' +p80795 +aS'.\t.\t.\tO\tO' +p80796 +asS'At the time of transfer the patient was stable and needed only physical and occupational therapy .' +p80797 +(lp80798 +S'At\tAt\tIN\tB-PP\tO' +p80799 +aS'the\tthe\tDT\tB-NP\tO' +p80800 +aS'time\ttime\tNN\tI-NP\tO' +p80801 +aS'of\tof\tIN\tB-PP\tO' +p80802 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p80803 +aS'the\tthe\tDT\tB-NP\tO' +p80804 +aS'patient\tpatient\tNN\tI-NP\tO' +p80805 +aS'was\tbe\tVBD\tB-VP\tO' +p80806 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p80807 +aS'and\tand\tCC\tO\tO' +p80808 +aS'needed\tneed\tVBN\tB-VP\tO' +p80809 +aS'only\tonly\tRB\tB-NP\tO' +p80810 +aS'physical\tphysical\tJJ\tI-NP\tO' +p80811 +aS'and\tand\tCC\tI-NP\tO' +p80812 +aS'occupational\toccupational\tJJ\tI-NP\tO' +p80813 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p80814 +aS'.\t.\t.\tO\tO' +p80815 +asS'Flovent inhaler , 220 mcg bid .' +p80816 +(lp80817 +S'Flovent\tFlovent\tNNP\tB-NP\tO' +p80818 +aS'inhaler\tinhaler\tNN\tI-NP\tO' +p80819 +aS',\t,\t,\tO\tO' +p80820 +aS'220\t220\tCD\tB-NP\tO' +p80821 +aS'mcg\tmcg\tNN\tI-NP\tO' +p80822 +aS'bid\tbid\tNN\tI-NP\tO' +p80823 +aS'.\t.\t.\tO\tO' +p80824 +asS'11 year old brother,6 year old sister , healthy .' +p80825 +(lp80826 +S'11\t11\tCD\tB-NP\tO' +p80827 +aS'year\tyear\tNN\tI-NP\tO' +p80828 +aS'old\told\tJJ\tI-NP\tO' +p80829 +aS'brother,6\tbrother,6\tNN\tI-NP\tO' +p80830 +aS'year\tyear\tNN\tI-NP\tO' +p80831 +aS'old\told\tJJ\tI-NP\tO' +p80832 +aS'sister\tsister\tNN\tI-NP\tO' +p80833 +aS',\t,\t,\tO\tO' +p80834 +aS'healthy\thealthy\tJJ\tB-ADJP\tO' +p80835 +aS'.\t.\t.\tO\tO' +p80836 +asS'Approximately one week ago , he was admitted to the Fairm of Ijordcompmac Hospital for chemotherapy with DTIC and Tamoxifen .' +p80837 +(lp80838 +S'Approximately\tApproximately\tRB\tB-NP\tO' +p80839 +aS'one\tone\tCD\tI-NP\tO' +p80840 +aS'week\tweek\tNN\tI-NP\tO' +p80841 +aS'ago\tago\tRB\tB-ADVP\tO' +p80842 +aS',\t,\t,\tO\tO' +p80843 +aS'he\the\tPRP\tB-NP\tO' +p80844 +aS'was\tbe\tVBD\tB-VP\tO' +p80845 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p80846 +aS'to\tto\tTO\tB-PP\tO' +p80847 +aS'the\tthe\tDT\tB-NP\tO' +p80848 +aS'Fairm\tFairm\tNNP\tI-NP\tO' +p80849 +aS'of\tof\tIN\tB-PP\tO' +p80850 +aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' +p80851 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p80852 +aS'for\tfor\tIN\tB-PP\tO' +p80853 +aS'chemotherapy\tchemotherapy\tNN\tB-NP\tO' +p80854 +aS'with\twith\tIN\tB-PP\tO' +p80855 +aS'DTIC\tDTIC\tNN\tB-NP\tO' +p80856 +aS'and\tand\tCC\tI-NP\tO' +p80857 +aS'Tamoxifen\tTamoxifen\tNN\tI-NP\tO' +p80858 +aS'.\t.\t.\tO\tO' +p80859 +asS'2) Please do not take coumadin .' +p80860 +(lp80861 +S'2)\t2)\tLS\tB-NP\tO' +p80862 +aS'Please\tPlease\tNN\tI-NP\tB-protein' +p80863 +aS'do\tdo\tVB\tB-VP\tO' +p80864 +aS'not\tnot\tRB\tI-VP\tO' +p80865 +aS'take\ttake\tVB\tI-VP\tO' +p80866 +aS'coumadin\tcoumadin\tNN\tB-NP\tO' +p80867 +aS'.\t.\t.\tO\tO' +p80868 +asS'He is a retired elementary school principal and now works in Johnson management .' +p80869 +(lp80870 +S'He\tHe\tPRP\tB-NP\tB-DNA' +p80871 +aS'is\tbe\tVBZ\tB-VP\tO' +p80872 +aS'a\ta\tDT\tB-NP\tO' +p80873 +aS'retired\tretired\tJJ\tI-NP\tO' +p80874 +aS'elementary\telementary\tJJ\tI-NP\tO' +p80875 +aS'school\tschool\tNN\tI-NP\tO' +p80876 +aS'principal\tprincipal\tNN\tI-NP\tO' +p80877 +aS'and\tand\tCC\tO\tO' +p80878 +aS'now\tnow\tRB\tB-VP\tO' +p80879 +aS'works\twork\tVBZ\tI-VP\tO' +p80880 +aS'in\tin\tIN\tB-PP\tO' +p80881 +aS'Johnson\tJohnson\tNNP\tB-NP\tO' +p80882 +aS'management\tmanagement\tNN\tI-NP\tO' +p80883 +aS'.\t.\t.\tO\tO' +p80884 +asS'His GCS was reported as 3 on arrival to the Emergency Department .' +p80885 +(lp80886 +S'His\tHis\tPRP$\tB-NP\tO' +p80887 +aS'GCS\tGCS\tNNS\tI-NP\tO' +p80888 +aS'was\tbe\tVBD\tB-VP\tO' +p80889 +aS'reported\treport\tVBN\tI-VP\tO' +p80890 +aS'as\tas\tIN\tB-PP\tO' +p80891 +aS'3\t3\tCD\tB-NP\tO' +p80892 +aS'on\ton\tIN\tB-PP\tO' +p80893 +aS'arrival\tarrival\tNN\tB-NP\tO' +p80894 +aS'to\tto\tTO\tB-PP\tO' +p80895 +aS'the\tthe\tDT\tB-NP\tO' +p80896 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p80897 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p80898 +aS'.\t.\t.\tO\tO' +p80899 +asS'The patient had a bypass time of one hour and fifty minutes with good urine output and pre-bypass cardiac output of 4.0 , post-chest closure 5.3 , arrived to the Surgical Intensive Care Unit on Nipride , Lidocaine of 1 and Fentanyl/ Versed of 10 .' +p80900 +(lp80901 +S'The\tThe\tDT\tB-NP\tO' +p80902 +aS'patient\tpatient\tNN\tI-NP\tO' +p80903 +aS'had\thave\tVBD\tB-VP\tO' +p80904 +aS'a\ta\tDT\tB-NP\tO' +p80905 +aS'bypass\tbypass\tNN\tI-NP\tO' +p80906 +aS'time\ttime\tNN\tI-NP\tO' +p80907 +aS'of\tof\tIN\tB-PP\tO' +p80908 +aS'one\tone\tCD\tB-NP\tO' +p80909 +aS'hour\thour\tNN\tI-NP\tO' +p80910 +aS'and\tand\tCC\tO\tO' +p80911 +aS'fifty\tfifty\tJJ\tB-NP\tO' +p80912 +aS'minutes\tminute\tNNS\tI-NP\tO' +p80913 +aS'with\twith\tIN\tB-PP\tO' +p80914 +aS'good\tgood\tJJ\tB-NP\tO' +p80915 +aS'urine\turine\tNN\tI-NP\tO' +p80916 +aS'output\toutput\tNN\tI-NP\tO' +p80917 +aS'and\tand\tCC\tO\tO' +p80918 +aS'pre-bypass\tpre-bypass\tJJ\tB-NP\tO' +p80919 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p80920 +aS'output\toutput\tNN\tI-NP\tO' +p80921 +aS'of\tof\tIN\tB-PP\tO' +p80922 +aS'4.0\t4.0\tCD\tB-NP\tO' +p80923 +aS',\t,\t,\tO\tO' +p80924 +aS'post-chest\tpost-chest\tJJ\tB-NP\tO' +p80925 +aS'closure\tclosure\tNN\tI-NP\tO' +p80926 +aS'5.3\t5.3\tCD\tI-NP\tO' +p80927 +aS',\t,\t,\tO\tO' +p80928 +aS'arrived\tarrive\tVBD\tB-VP\tO' +p80929 +aS'to\tto\tTO\tB-PP\tO' +p80930 +aS'the\tthe\tDT\tB-NP\tO' +p80931 +aS'Surgical\tSurgical\tNNP\tI-NP\tO' +p80932 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p80933 +aS'Care\tCare\tNNP\tI-NP\tO' +p80934 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p80935 +aS'on\ton\tIN\tB-PP\tO' +p80936 +aS'Nipride\tNipride\tNNP\tB-NP\tO' +p80937 +aS',\t,\t,\tO\tO' +p80938 +aS'Lidocaine\tLidocaine\tNNP\tB-NP\tO' +p80939 +aS'of\tof\tIN\tB-PP\tO' +p80940 +aS'1\t1\tCD\tB-NP\tO' +p80941 +aS'and\tand\tCC\tO\tO' +p80942 +aS'Fentanyl/\tFentanyl/\tNNP\tB-NP\tO' +p80943 +aS'Versed\tVersed\tNNP\tI-NP\tO' +p80944 +aS'of\tof\tIN\tB-PP\tO' +p80945 +aS'10\t10\tCD\tB-NP\tO' +p80946 +aS'.\t.\t.\tO\tO' +p80947 +asS'GBS negative .' +p80948 +(lp80949 +S'GBS\tGBS\tNN\tB-NP\tB-protein' +p80950 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p80951 +aS'.\t.\t.\tO\tO' +p80952 +asS'Please take all medications as instructed .' +p80953 +(lp80954 +S'Please\tPlease\tVB\tB-VP\tO' +p80955 +aS'take\ttake\tVB\tI-VP\tO' +p80956 +aS'all\tall\tDT\tB-NP\tO' +p80957 +aS'medications\tmedication\tNNS\tI-NP\tO' +p80958 +aS'as\tas\tIN\tB-SBAR\tO' +p80959 +aS'instructed\tinstruct\tVBN\tB-VP\tO' +p80960 +aS'.\t.\t.\tO\tO' +p80961 +asS'The results of this study indicated that this structure at the head of his pancreas is most likely a forming pseudocyst ; however , the suspicion of malignancy is still possible and the patient underwent an ultrasound guided biopsy of this mass on 2011-01-20 .' +p80962 +(lp80963 +S'The\tThe\tDT\tB-NP\tO' +p80964 +aS'results\tresult\tNNS\tI-NP\tO' +p80965 +aS'of\tof\tIN\tB-PP\tO' +p80966 +aS'this\tthis\tDT\tB-NP\tO' +p80967 +aS'study\tstudy\tNN\tI-NP\tO' +p80968 +aS'indicated\tindicate\tVBD\tB-VP\tO' +p80969 +aS'that\tthat\tIN\tB-SBAR\tO' +p80970 +aS'this\tthis\tDT\tB-NP\tO' +p80971 +aS'structure\tstructure\tNN\tI-NP\tO' +p80972 +aS'at\tat\tIN\tB-PP\tO' +p80973 +aS'the\tthe\tDT\tB-NP\tO' +p80974 +aS'head\thead\tNN\tI-NP\tO' +p80975 +aS'of\tof\tIN\tB-PP\tO' +p80976 +aS'his\this\tPRP$\tB-NP\tO' +p80977 +aS'pancreas\tpancreas\tNN\tI-NP\tO' +p80978 +aS'is\tbe\tVBZ\tB-VP\tO' +p80979 +aS'most\tmost\tRBS\tB-ADVP\tO' +p80980 +aS'likely\tlikely\tRB\tI-ADVP\tO' +p80981 +aS'a\ta\tDT\tB-NP\tO' +p80982 +aS'forming\tform\tVBG\tI-NP\tO' +p80983 +aS'pseudocyst\tpseudocyst\tNN\tI-NP\tO' +p80984 +aS';\t;\t:\tO\tO' +p80985 +aS'however\thowever\tRB\tB-ADVP\tO' +p80986 +aS',\t,\t,\tO\tO' +p80987 +aS'the\tthe\tDT\tB-NP\tO' +p80988 +aS'suspicion\tsuspicion\tNN\tI-NP\tO' +p80989 +aS'of\tof\tIN\tB-PP\tO' +p80990 +aS'malignancy\tmalignancy\tNN\tB-NP\tO' +p80991 +aS'is\tbe\tVBZ\tB-VP\tO' +p80992 +aS'still\tstill\tRB\tB-ADVP\tO' +p80993 +aS'possible\tpossible\tJJ\tB-ADJP\tO' +p80994 +aS'and\tand\tCC\tO\tO' +p80995 +aS'the\tthe\tDT\tB-NP\tO' +p80996 +aS'patient\tpatient\tNN\tI-NP\tO' +p80997 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p80998 +aS'an\tan\tDT\tB-NP\tO' +p80999 +aS'ultrasound\tultrasound\tJJ\tI-NP\tO' +p81000 +aS'guided\tguide\tVBN\tI-NP\tO' +p81001 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p81002 +aS'of\tof\tIN\tB-PP\tO' +p81003 +aS'this\tthis\tDT\tB-NP\tO' +p81004 +aS'mass\tmass\tNN\tI-NP\tO' +p81005 +aS'on\ton\tIN\tB-PP\tO' +p81006 +aS'2011-01-20\t2011-01-20\tCD\tB-NP\tO' +p81007 +aS'.\t.\t.\tO\tO' +p81008 +asS'Immediately prior to transfer to Worcester State Hospital , she went into ventricular fibrillation arrest at 12:30 p.m. , at which time she was intubated and defibrillated back to sinus rhythm after five shocks .' +p81009 +(lp81010 +S'Immediately\tImmediately\tRB\tB-ADJP\tO' +p81011 +aS'prior\tprior\tJJ\tI-ADJP\tO' +p81012 +aS'to\tto\tTO\tB-VP\tO' +p81013 +aS'transfer\ttransfer\tVB\tI-VP\tO' +p81014 +aS'to\tto\tTO\tB-PP\tO' +p81015 +aS'Worcester\tWorcester\tNNP\tB-NP\tO' +p81016 +aS'State\tState\tNNP\tI-NP\tO' +p81017 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p81018 +aS',\t,\t,\tO\tO' +p81019 +aS'she\tshe\tPRP\tB-NP\tO' +p81020 +aS'went\tgo\tVBD\tB-VP\tO' +p81021 +aS'into\tinto\tIN\tB-PP\tO' +p81022 +aS'ventricular\tventricular\tJJ\tB-NP\tO' +p81023 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p81024 +aS'arrest\tarrest\tNN\tI-NP\tO' +p81025 +aS'at\tat\tIN\tB-PP\tO' +p81026 +aS'12:30\t12:30\tCD\tB-NP\tO' +p81027 +aS'p.m.\tp.m.\tNN\tI-NP\tO' +p81028 +aS',\t,\t,\tO\tO' +p81029 +aS'at\tat\tIN\tB-PP\tO' +p81030 +aS'which\twhich\tWDT\tB-NP\tO' +p81031 +aS'time\ttime\tNN\tI-NP\tO' +p81032 +aS'she\tshe\tPRP\tB-NP\tO' +p81033 +aS'was\tbe\tVBD\tB-VP\tO' +p81034 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p81035 +aS'and\tand\tCC\tO\tO' +p81036 +aS'defibrillated\tdefibrillate\tVBN\tB-VP\tO' +p81037 +aS'back\tback\tRB\tB-ADVP\tO' +p81038 +aS'to\tto\tTO\tB-PP\tO' +p81039 +aS'sinus\tsinus\tNN\tB-NP\tO' +p81040 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p81041 +aS'after\tafter\tIN\tB-PP\tO' +p81042 +aS'five\tfive\tCD\tB-NP\tO' +p81043 +aS'shocks\tshock\tNNS\tI-NP\tO' +p81044 +aS'.\t.\t.\tO\tO' +p81045 +asS'Neck - no lymphadenopathy ; no carotid bruits ; jugular venous pressure not elevated ; no goiter .' +p81046 +(lp81047 +S'Neck\tNeck\tNN\tB-NP\tO' +p81048 +aS'-\t-\tHYPH\tB-VP\tO' +p81049 +aS'no\tno\tDT\tB-NP\tO' +p81050 +aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' +p81051 +aS';\t;\t:\tO\tO' +p81052 +aS'no\tno\tDT\tB-NP\tO' +p81053 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p81054 +aS'bruits\tbruit\tNNS\tI-NP\tO' +p81055 +aS';\t;\t:\tO\tO' +p81056 +aS'jugular\tjugular\tJJ\tB-NP\tO' +p81057 +aS'venous\tvenous\tJJ\tI-NP\tO' +p81058 +aS'pressure\tpressure\tNN\tI-NP\tO' +p81059 +aS'not\tnot\tRB\tB-VP\tO' +p81060 +aS'elevated\televate\tVBN\tI-VP\tO' +p81061 +aS';\t;\t:\tO\tO' +p81062 +aS'no\tno\tDT\tB-NP\tO' +p81063 +aS'goiter\tgoiter\tNN\tI-NP\tO' +p81064 +aS'.\t.\t.\tO\tO' +p81065 +asS'The patient had a routine postoperative course in the Surgical Intensive Care Unit with a postoperative BUN and creatinine of 11 and 1.2 with good urine output of over 100 an hour and patient received two units of packed red blood cells , fresh frozen plasma and platelets for increasing chest tube drainage .' +p81066 +(lp81067 +S'The\tThe\tDT\tB-NP\tO' +p81068 +aS'patient\tpatient\tNN\tI-NP\tO' +p81069 +aS'had\thave\tVBD\tB-VP\tO' +p81070 +aS'a\ta\tDT\tB-NP\tO' +p81071 +aS'routine\troutine\tJJ\tI-NP\tO' +p81072 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p81073 +aS'course\tcourse\tNN\tI-NP\tO' +p81074 +aS'in\tin\tIN\tB-PP\tO' +p81075 +aS'the\tthe\tDT\tB-NP\tO' +p81076 +aS'Surgical\tSurgical\tNNP\tI-NP\tO' +p81077 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p81078 +aS'Care\tCare\tNNP\tI-NP\tO' +p81079 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p81080 +aS'with\twith\tIN\tB-PP\tO' +p81081 +aS'a\ta\tDT\tB-NP\tO' +p81082 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p81083 +aS'BUN\tBUN\tNN\tI-NP\tO' +p81084 +aS'and\tand\tCC\tI-NP\tO' +p81085 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p81086 +aS'of\tof\tIN\tB-PP\tO' +p81087 +aS'11\t11\tCD\tB-NP\tO' +p81088 +aS'and\tand\tCC\tI-NP\tO' +p81089 +aS'1.2\t1.2\tCD\tI-NP\tO' +p81090 +aS'with\twith\tIN\tB-PP\tO' +p81091 +aS'good\tgood\tJJ\tB-NP\tO' +p81092 +aS'urine\turine\tNN\tI-NP\tO' +p81093 +aS'output\toutput\tNN\tI-NP\tO' +p81094 +aS'of\tof\tIN\tB-PP\tO' +p81095 +aS'over\tover\tIN\tB-NP\tO' +p81096 +aS'100\t100\tCD\tI-NP\tO' +p81097 +aS'an\tan\tDT\tB-NP\tO' +p81098 +aS'hour\thour\tNN\tI-NP\tO' +p81099 +aS'and\tand\tCC\tI-NP\tO' +p81100 +aS'patient\tpatient\tNN\tI-NP\tO' +p81101 +aS'received\treceive\tVBD\tB-VP\tO' +p81102 +aS'two\ttwo\tCD\tB-NP\tO' +p81103 +aS'units\tunit\tNNS\tI-NP\tO' +p81104 +aS'of\tof\tIN\tB-PP\tO' +p81105 +aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' +p81106 +aS'red\tred\tJJ\tI-NP\tI-cell_type' +p81107 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p81108 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p81109 +aS',\t,\t,\tO\tO' +p81110 +aS'fresh\tfresh\tJJ\tB-NP\tO' +p81111 +aS'frozen\tfreeze\tVBN\tI-NP\tO' +p81112 +aS'plasma\tplasma\tNN\tI-NP\tO' +p81113 +aS'and\tand\tCC\tI-NP\tO' +p81114 +aS'platelets\tplatelet\tNNS\tI-NP\tB-cell_type' +p81115 +aS'for\tfor\tIN\tB-PP\tO' +p81116 +aS'increasing\tincrease\tVBG\tB-VP\tO' +p81117 +aS'chest\tchest\tNN\tB-NP\tO' +p81118 +aS'tube\ttube\tNN\tI-NP\tO' +p81119 +aS'drainage\tdrainage\tNN\tI-NP\tO' +p81120 +aS'.\t.\t.\tO\tO' +p81121 +asS'The patient was then started on 40 mg of Prednisone q. day .' +p81122 +(lp81123 +S'The\tThe\tDT\tB-NP\tO' +p81124 +aS'patient\tpatient\tNN\tI-NP\tO' +p81125 +aS'was\tbe\tVBD\tB-VP\tO' +p81126 +aS'then\tthen\tRB\tI-VP\tO' +p81127 +aS'started\tstart\tVBN\tI-VP\tO' +p81128 +aS'on\ton\tIN\tB-PP\tO' +p81129 +aS'40\t40\tCD\tB-NP\tO' +p81130 +aS'mg\tmg\tNN\tI-NP\tO' +p81131 +aS'of\tof\tIN\tB-PP\tO' +p81132 +aS'Prednisone\tPrednisone\tNN\tB-NP\tO' +p81133 +aS'q.\tq.\tNN\tI-NP\tO' +p81134 +aS'day\tday\tNN\tI-NP\tO' +p81135 +aS'.\t.\t.\tO\tO' +p81136 +asS'His birth weight was 3285 gm .' +p81137 +(lp81138 +S'His\tHis\tPRP$\tB-NP\tO' +p81139 +aS'birth\tbirth\tNN\tI-NP\tO' +p81140 +aS'weight\tweight\tNN\tI-NP\tO' +p81141 +aS'was\tbe\tVBD\tB-VP\tO' +p81142 +aS'3285\t3285\tCD\tB-NP\tO' +p81143 +aS'gm\tgm\tNN\tI-NP\tO' +p81144 +aS'.\t.\t.\tO\tO' +p81145 +asS'Femoral pulses present .' +p81146 +(lp81147 +S'Femoral\tFemoral\tJJ\tB-NP\tO' +p81148 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p81149 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p81150 +aS'.\t.\t.\tO\tO' +p81151 +asS'Patient has follow-up with Dr. Merkel and with his private medical doctor .' +p81152 +(lp81153 +S'Patient\tPatient\tNN\tB-NP\tO' +p81154 +aS'has\thave\tVBZ\tB-VP\tO' +p81155 +aS'follow-up\tfollow-up\tNN\tB-NP\tO' +p81156 +aS'with\twith\tIN\tB-PP\tO' +p81157 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p81158 +aS'Merkel\tMerkel\tNNP\tI-NP\tO' +p81159 +aS'and\tand\tCC\tB-PP\tO' +p81160 +aS'with\twith\tIN\tB-PP\tO' +p81161 +aS'his\this\tPRP$\tB-NP\tO' +p81162 +aS'private\tprivate\tJJ\tI-NP\tO' +p81163 +aS'medical\tmedical\tJJ\tI-NP\tO' +p81164 +aS'doctor\tdoctor\tNN\tI-NP\tO' +p81165 +aS'.\t.\t.\tO\tO' +p81166 +asS'4. Tetracycline which she was taking for her acne .' +p81167 +(lp81168 +S'4.\t4.\tLS\tB-NP\tO' +p81169 +aS'Tetracycline\tTetracycline\tNN\tI-NP\tO' +p81170 +aS'which\twhich\tWDT\tB-NP\tO' +p81171 +aS'she\tshe\tPRP\tB-NP\tO' +p81172 +aS'was\tbe\tVBD\tB-VP\tO' +p81173 +aS'taking\ttake\tVBG\tI-VP\tO' +p81174 +aS'for\tfor\tIN\tB-PP\tO' +p81175 +aS'her\ther\tPRP$\tB-NP\tO' +p81176 +aS'acne\tacne\tNN\tI-NP\tO' +p81177 +aS'.\t.\t.\tO\tO' +p81178 +asS'15. Florinef Acetate 0.1 mg p.o. q.d.' +p81179 +(lp81180 +S'15.\t15.\tLS\tB-NP\tO' +p81181 +aS'Florinef\tFlorinef\tNN\tI-NP\tO' +p81182 +aS'Acetate\tAcetate\tNN\tI-NP\tO' +p81183 +aS'0.1\t0.1\tCD\tI-NP\tO' +p81184 +aS'mg\tmg\tNN\tI-NP\tO' +p81185 +aS'p.o.\tp.o.\tFW\tB-ADVP\tO' +p81186 +aS'q.d.\tq.d.\tFW\tI-ADVP\tO' +p81187 +asS'In September of 1993 , an abdominal and pelvic computerized tomography scan was negative and in June of 1993 , she had a negative bone scan .' +p81188 +(lp81189 +S'In\tIn\tIN\tB-PP\tO' +p81190 +aS'September\tSeptember\tNNP\tB-NP\tO' +p81191 +aS'of\tof\tIN\tB-PP\tO' +p81192 +aS'1993\t1993\tCD\tB-NP\tO' +p81193 +aS',\t,\t,\tO\tO' +p81194 +aS'an\tan\tDT\tB-NP\tO' +p81195 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p81196 +aS'and\tand\tCC\tI-NP\tO' +p81197 +aS'pelvic\tpelvic\tJJ\tI-NP\tO' +p81198 +aS'computerized\tcomputerized\tJJ\tI-NP\tO' +p81199 +aS'tomography\ttomography\tNN\tI-NP\tO' +p81200 +aS'scan\tscan\tNN\tI-NP\tO' +p81201 +aS'was\tbe\tVBD\tB-VP\tO' +p81202 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p81203 +aS'and\tand\tCC\tO\tO' +p81204 +aS'in\tin\tIN\tB-PP\tO' +p81205 +aS'June\tJune\tNNP\tB-NP\tO' +p81206 +aS'of\tof\tIN\tB-PP\tO' +p81207 +aS'1993\t1993\tCD\tB-NP\tO' +p81208 +aS',\t,\t,\tO\tO' +p81209 +aS'she\tshe\tPRP\tB-NP\tO' +p81210 +aS'had\thave\tVBD\tB-VP\tO' +p81211 +aS'a\ta\tDT\tB-NP\tO' +p81212 +aS'negative\tnegative\tJJ\tI-NP\tO' +p81213 +aS'bone\tbone\tNN\tI-NP\tO' +p81214 +aS'scan\tscan\tNN\tI-NP\tO' +p81215 +aS'.\t.\t.\tO\tO' +p81216 +asS'4. Colace 100 mg po bid .' +p81217 +(lp81218 +S'4.\t4.\tLS\tB-NP\tO' +p81219 +aS'Colace\tColace\tNNP\tI-NP\tO' +p81220 +aS'100\t100\tCD\tI-NP\tO' +p81221 +aS'mg\tmg\tNN\tI-NP\tO' +p81222 +aS'po\tpo\tNN\tI-NP\tO' +p81223 +aS'bid\tbid\tNN\tI-NP\tO' +p81224 +aS'.\t.\t.\tO\tO' +p81225 +asS'Pulmonary felt this was consistent also with lymphangitic spread and they did not feel that a bronchoscopy would be of any assistance at this time .' +p81226 +(lp81227 +S'Pulmonary\tPulmonary\tNNP\tB-NP\tO' +p81228 +aS'felt\tfeel\tVBD\tB-VP\tO' +p81229 +aS'this\tthis\tDT\tB-NP\tO' +p81230 +aS'was\tbe\tVBD\tB-VP\tO' +p81231 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p81232 +aS'also\talso\tRB\tB-ADVP\tO' +p81233 +aS'with\twith\tIN\tB-PP\tO' +p81234 +aS'lymphangitic\tlymphangitic\tJJ\tB-NP\tO' +p81235 +aS'spread\tspread\tNN\tI-NP\tO' +p81236 +aS'and\tand\tCC\tO\tO' +p81237 +aS'they\tthey\tPRP\tB-NP\tO' +p81238 +aS'did\tdo\tVBD\tB-VP\tO' +p81239 +aS'not\tnot\tRB\tI-VP\tO' +p81240 +aS'feel\tfeel\tVB\tI-VP\tO' +p81241 +aS'that\tthat\tIN\tB-SBAR\tO' +p81242 +aS'a\ta\tDT\tB-NP\tO' +p81243 +aS'bronchoscopy\tbronchoscopy\tNN\tI-NP\tO' +p81244 +aS'would\twould\tMD\tB-VP\tO' +p81245 +aS'be\tbe\tVB\tI-VP\tO' +p81246 +aS'of\tof\tIN\tB-PP\tO' +p81247 +aS'any\tany\tDT\tB-NP\tO' +p81248 +aS'assistance\tassistance\tNN\tI-NP\tO' +p81249 +aS'at\tat\tIN\tB-PP\tO' +p81250 +aS'this\tthis\tDT\tB-NP\tO' +p81251 +aS'time\ttime\tNN\tI-NP\tO' +p81252 +aS'.\t.\t.\tO\tO' +p81253 +asS"1 ) aortic insufficiency ; 2 ) Parkinson 's Disease ; 3 ) a history of colon carcinoma ; 4 ) congestive heart failure ." +p81254 +(lp81255 +S'1\t1\tLS\tB-LST\tO' +p81256 +aS')\t)\t)\tO\tO' +p81257 +aS'aortic\taortic\tJJ\tB-NP\tO' +p81258 +aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' +p81259 +aS';\t;\t:\tO\tO' +p81260 +aS'2\t2\tLS\tB-LST\tO' +p81261 +aS')\t)\t)\tO\tO' +p81262 +aS'Parkinson\tParkinson\tNNP\tB-NP\tO' +p81263 +aS"'s\t's\tPOS\tB-NP\tO" +p81264 +aS'Disease\tDisease\tNN\tI-NP\tO' +p81265 +aS';\t;\t:\tO\tO' +p81266 +aS'3\t3\tLS\tB-LST\tO' +p81267 +aS')\t)\t)\tO\tO' +p81268 +aS'a\ta\tDT\tB-NP\tO' +p81269 +aS'history\thistory\tNN\tI-NP\tO' +p81270 +aS'of\tof\tIN\tB-PP\tO' +p81271 +aS'colon\tcolon\tNN\tB-NP\tO' +p81272 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p81273 +aS';\t;\t:\tO\tO' +p81274 +aS'4\t4\tLS\tB-LST\tO' +p81275 +aS')\t)\t)\tO\tO' +p81276 +aS'congestive\tcongestive\tJJ\tB-NP\tO' +p81277 +aS'heart\theart\tNN\tI-NP\tO' +p81278 +aS'failure\tfailure\tNN\tI-NP\tO' +p81279 +aS'.\t.\t.\tO\tO' +p81280 +asS"Per pt 's son , she is bedbound at baseline due to her multiple LE femur fractures ." +p81281 +(lp81282 +S'Per\tPer\tNNP\tB-NP\tO' +p81283 +aS'pt\tpt\tNN\tI-NP\tO' +p81284 +aS"'s\t's\tPOS\tB-NP\tO" +p81285 +aS'son\tson\tNN\tI-NP\tO' +p81286 +aS',\t,\t,\tO\tO' +p81287 +aS'she\tshe\tPRP\tB-NP\tO' +p81288 +aS'is\tbe\tVBZ\tB-VP\tO' +p81289 +aS'bedbound\tbedbound\tVBN\tI-VP\tO' +p81290 +aS'at\tat\tIN\tB-PP\tO' +p81291 +aS'baseline\tbaseline\tNN\tB-NP\tO' +p81292 +aS'due\tdue\tJJ\tB-ADJP\tO' +p81293 +aS'to\tto\tTO\tB-PP\tO' +p81294 +aS'her\ther\tPRP$\tB-NP\tO' +p81295 +aS'multiple\tmultiple\tJJ\tI-NP\tO' +p81296 +aS'LE\tLE\tNN\tI-NP\tO' +p81297 +aS'femur\tfemur\tNN\tI-NP\tO' +p81298 +aS'fractures\tfracture\tNNS\tI-NP\tO' +p81299 +aS'.\t.\t.\tO\tO' +p81300 +asS'No murmur .' +p81301 +(lp81302 +S'No\tNo\tDT\tB-NP\tO' +p81303 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p81304 +aS'.\t.\t.\tO\tO' +p81305 +asS'He has one sister and one brother who are alive and well .' +p81306 +(lp81307 +S'He\tHe\tPRP\tB-NP\tO' +p81308 +aS'has\thave\tVBZ\tB-VP\tO' +p81309 +aS'one\tone\tCD\tB-NP\tO' +p81310 +aS'sister\tsister\tNN\tI-NP\tO' +p81311 +aS'and\tand\tCC\tO\tO' +p81312 +aS'one\tone\tCD\tB-NP\tO' +p81313 +aS'brother\tbrother\tNN\tI-NP\tO' +p81314 +aS'who\twho\tWP\tB-NP\tO' +p81315 +aS'are\tbe\tVBP\tB-VP\tO' +p81316 +aS'alive\talive\tJJ\tB-ADJP\tO' +p81317 +aS'and\tand\tCC\tO\tO' +p81318 +aS'well\twell\tRB\tB-ADVP\tO' +p81319 +aS'.\t.\t.\tO\tO' +p81320 +asS'Lyme capture was pending and at the time of discharge .' +p81321 +(lp81322 +S'Lyme\tLyme\tNN\tB-NP\tO' +p81323 +aS'capture\tcapture\tNN\tI-NP\tO' +p81324 +aS'was\tbe\tVBD\tB-VP\tO' +p81325 +aS'pending\tpende\tVBG\tB-ADJP\tO' +p81326 +aS'and\tand\tCC\tO\tO' +p81327 +aS'at\tat\tIN\tB-PP\tO' +p81328 +aS'the\tthe\tDT\tB-NP\tO' +p81329 +aS'time\ttime\tNN\tI-NP\tO' +p81330 +aS'of\tof\tIN\tB-PP\tO' +p81331 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p81332 +aS'.\t.\t.\tO\tO' +p81333 +asS'The remainder of the bowel loops are fluid filled , and nondilated .' +p81334 +(lp81335 +S'The\tThe\tDT\tB-NP\tO' +p81336 +aS'remainder\tremainder\tNN\tI-NP\tO' +p81337 +aS'of\tof\tIN\tB-PP\tO' +p81338 +aS'the\tthe\tDT\tB-NP\tO' +p81339 +aS'bowel\tbowel\tNN\tI-NP\tO' +p81340 +aS'loops\tloop\tNNS\tI-NP\tO' +p81341 +aS'are\tbe\tVBP\tB-VP\tO' +p81342 +aS'fluid\tfluid\tNN\tB-NP\tO' +p81343 +aS'filled\tfill\tVBN\tB-VP\tO' +p81344 +aS',\t,\t,\tO\tO' +p81345 +aS'and\tand\tCC\tO\tO' +p81346 +aS'nondilated\tnondilated\tJJ\tB-ADJP\tO' +p81347 +aS'.\t.\t.\tO\tO' +p81348 +asS'Cardiac enzymes were cycled in setting of rapid AF and were flat .' +p81349 +(lp81350 +S'Cardiac\tCardiac\tJJ\tB-NP\tB-protein' +p81351 +aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' +p81352 +aS'were\tbe\tVBD\tB-VP\tO' +p81353 +aS'cycled\tcycle\tVBN\tI-VP\tO' +p81354 +aS'in\tin\tIN\tB-PP\tO' +p81355 +aS'setting\tsetting\tNN\tB-NP\tO' +p81356 +aS'of\tof\tIN\tB-PP\tO' +p81357 +aS'rapid\trapid\tJJ\tB-NP\tO' +p81358 +aS'AF\tAF\tNN\tI-NP\tO' +p81359 +aS'and\tand\tCC\tO\tO' +p81360 +aS'were\tbe\tVBD\tB-VP\tO' +p81361 +aS'flat\tflat\tJJ\tB-ADJP\tO' +p81362 +aS'.\t.\t.\tO\tO' +p81363 +asS'Calcium 9.2 , magnesium 1.8 , and phosphorus 4.2 .' +p81364 +(lp81365 +S'Calcium\tCalcium\tNN\tB-NP\tO' +p81366 +aS'9.2\t9.2\tCD\tI-NP\tO' +p81367 +aS',\t,\t,\tO\tO' +p81368 +aS'magnesium\tmagnesium\tNN\tB-NP\tO' +p81369 +aS'1.8\t1.8\tCD\tI-NP\tO' +p81370 +aS',\t,\t,\tO\tO' +p81371 +aS'and\tand\tCC\tO\tO' +p81372 +aS'phosphorus\tphosphorus\tNN\tB-NP\tB-protein' +p81373 +aS'4.2\t4.2\tCD\tI-NP\tI-protein' +p81374 +aS'.\t.\t.\tO\tO' +p81375 +asS'Of note , he underwent radiofrequency ablation of two small liver nodules , one in segment VI and the other in the caudate lobe .' +p81376 +(lp81377 +S'Of\tOf\tIN\tB-PP\tO' +p81378 +aS'note\tnote\tNN\tB-NP\tO' +p81379 +aS',\t,\t,\tO\tO' +p81380 +aS'he\the\tPRP\tB-NP\tO' +p81381 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p81382 +aS'radiofrequency\tradiofrequency\tNN\tB-NP\tO' +p81383 +aS'ablation\tablation\tNN\tI-NP\tO' +p81384 +aS'of\tof\tIN\tB-PP\tO' +p81385 +aS'two\ttwo\tCD\tB-NP\tO' +p81386 +aS'small\tsmall\tJJ\tI-NP\tO' +p81387 +aS'liver\tliver\tNN\tI-NP\tO' +p81388 +aS'nodules\tnodule\tNNS\tI-NP\tO' +p81389 +aS',\t,\t,\tO\tO' +p81390 +aS'one\tone\tCD\tB-NP\tO' +p81391 +aS'in\tin\tIN\tB-PP\tO' +p81392 +aS'segment\tsegment\tNN\tB-NP\tO' +p81393 +aS'VI\tVI\tNN\tI-NP\tO' +p81394 +aS'and\tand\tCC\tO\tO' +p81395 +aS'the\tthe\tDT\tB-NP\tO' +p81396 +aS'other\tother\tJJ\tI-NP\tO' +p81397 +aS'in\tin\tIN\tB-PP\tO' +p81398 +aS'the\tthe\tDT\tB-NP\tO' +p81399 +aS'caudate\tcaudate\tJJ\tI-NP\tO' +p81400 +aS'lobe\tlobe\tNN\tI-NP\tO' +p81401 +aS'.\t.\t.\tO\tO' +p81402 +asS'Home with parents .' +p81403 +(lp81404 +S'Home\tHome\tNN\tB-NP\tO' +p81405 +aS'with\twith\tIN\tB-PP\tO' +p81406 +aS'parents\tparent\tNNS\tB-NP\tO' +p81407 +aS'.\t.\t.\tO\tO' +p81408 +asS'NEGATIVE BY EIA .' +p81409 +(lp81410 +S'NEGATIVE\tNEGATIVE\tNNP\tB-NP\tO' +p81411 +aS'BY\tBY\tNNP\tI-NP\tO' +p81412 +aS'EIA\tEIA\tNNP\tI-NP\tO' +p81413 +aS'.\t.\t.\tO\tO' +p81414 +asS'She recalled the entire event .' +p81415 +(lp81416 +S'She\tShe\tPRP\tB-NP\tO' +p81417 +aS'recalled\trecall\tVBD\tB-VP\tO' +p81418 +aS'the\tthe\tDT\tB-NP\tO' +p81419 +aS'entire\tentire\tJJ\tI-NP\tO' +p81420 +aS'event\tevent\tNN\tI-NP\tO' +p81421 +aS'.\t.\t.\tO\tO' +p81422 +asS'Plavix 75mg daily aspirin 81mg daily' +p81423 +(lp81424 +S'Plavix\tPlavix\tNNP\tB-NP\tO' +p81425 +aS'75mg\t75mg\tPOS\tB-NP\tO' +p81426 +aS'daily\tdaily\tJJ\tI-NP\tO' +p81427 +aS'aspirin\taspirin\tNN\tI-NP\tO' +p81428 +aS'81mg\t81mg\tNN\tI-NP\tO' +p81429 +aS'daily\tdaily\tJJ\tB-ADJP\tO' +p81430 +asS'1) HIV positive with a CD4 count of 74 .' +p81431 +(lp81432 +S'1)\t1)\tLS\tB-NP\tO' +p81433 +aS'HIV\tHIV\tNN\tI-NP\tO' +p81434 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p81435 +aS'with\twith\tIN\tB-PP\tO' +p81436 +aS'a\ta\tDT\tB-NP\tO' +p81437 +aS'CD4\tCD4\tNN\tI-NP\tB-protein' +p81438 +aS'count\tcount\tNN\tI-NP\tO' +p81439 +aS'of\tof\tIN\tB-PP\tO' +p81440 +aS'74\t74\tCD\tB-NP\tO' +p81441 +aS'.\t.\t.\tO\tO' +p81442 +asS'Currently AAOx3 .' +p81443 +(lp81444 +S'Currently\tCurrently\tRB\tB-NP\tO' +p81445 +aS'AAOx3\tAAOx3\tNN\tI-NP\tO' +p81446 +aS'.\t.\t.\tO\tO' +p81447 +asS'He had three days of antibiotics remaining at the time of discharge .' +p81448 +(lp81449 +S'He\tHe\tPRP\tB-NP\tO' +p81450 +aS'had\thave\tVBD\tB-VP\tO' +p81451 +aS'three\tthree\tCD\tB-NP\tO' +p81452 +aS'days\tday\tNNS\tI-NP\tO' +p81453 +aS'of\tof\tIN\tB-PP\tO' +p81454 +aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' +p81455 +aS'remaining\tremain\tVBG\tB-VP\tO' +p81456 +aS'at\tat\tIN\tB-PP\tO' +p81457 +aS'the\tthe\tDT\tB-NP\tO' +p81458 +aS'time\ttime\tNN\tI-NP\tO' +p81459 +aS'of\tof\tIN\tB-PP\tO' +p81460 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p81461 +aS'.\t.\t.\tO\tO' +p81462 +asS'Her foley was removed and she voided without problems .' +p81463 +(lp81464 +S'Her\tHer\tPRP$\tB-NP\tO' +p81465 +aS'foley\tfoley\tNN\tI-NP\tO' +p81466 +aS'was\tbe\tVBD\tB-VP\tO' +p81467 +aS'removed\tremove\tVBN\tI-VP\tO' +p81468 +aS'and\tand\tCC\tO\tO' +p81469 +aS'she\tshe\tPRP\tB-NP\tO' +p81470 +aS'voided\tvoid\tVBD\tB-VP\tO' +p81471 +aS'without\twithout\tIN\tB-PP\tO' +p81472 +aS'problems\tproblem\tNNS\tB-NP\tO' +p81473 +aS'.\t.\t.\tO\tO' +p81474 +asS'If you have fevers > 101.5 F , vomiting , or increased redness , swelling , or discharge from your incision , call your MD or go to the nearest ER .' +p81475 +(lp81476 +S'If\tIf\tIN\tB-SBAR\tO' +p81477 +aS'you\tyou\tPRP\tB-NP\tO' +p81478 +aS'have\thave\tVBP\tB-VP\tO' +p81479 +aS'fevers\tfever\tNNS\tB-NP\tO' +p81480 +aS'>\t>\tCC\tO\tO' +p81481 +aS'101.5\t101.5\tCD\tB-NP\tO' +p81482 +aS'F\tF\tNN\tI-NP\tO' +p81483 +aS',\t,\t,\tO\tO' +p81484 +aS'vomiting\tvomiting\tNN\tB-NP\tO' +p81485 +aS',\t,\t,\tO\tO' +p81486 +aS'or\tor\tCC\tO\tO' +p81487 +aS'increased\tincrease\tVBN\tB-NP\tO' +p81488 +aS'redness\tredness\tNN\tI-NP\tO' +p81489 +aS',\t,\t,\tO\tO' +p81490 +aS'swelling\tswelling\tNN\tB-NP\tO' +p81491 +aS',\t,\t,\tO\tO' +p81492 +aS'or\tor\tCC\tO\tO' +p81493 +aS'discharge\tdischarge\tVB\tB-VP\tO' +p81494 +aS'from\tfrom\tIN\tB-PP\tO' +p81495 +aS'your\tyour\tPRP$\tB-NP\tO' +p81496 +aS'incision\tincision\tNN\tI-NP\tO' +p81497 +aS',\t,\t,\tO\tO' +p81498 +aS'call\tcall\tVB\tB-VP\tO' +p81499 +aS'your\tyour\tPRP$\tB-NP\tO' +p81500 +aS'MD\tMD\tNN\tI-NP\tO' +p81501 +aS'or\tor\tCC\tO\tO' +p81502 +aS'go\tgo\tVB\tB-VP\tO' +p81503 +aS'to\tto\tTO\tB-PP\tO' +p81504 +aS'the\tthe\tDT\tB-NP\tO' +p81505 +aS'nearest\tnear\tJJS\tI-NP\tO' +p81506 +aS'ER\tER\tNN\tI-NP\tB-protein' +p81507 +aS'.\t.\t.\tO\tO' +p81508 +asS'The patient was aggressively treated with fluid resuscitation and pressors for his septic physiology .' +p81509 +(lp81510 +S'The\tThe\tDT\tB-NP\tO' +p81511 +aS'patient\tpatient\tNN\tI-NP\tO' +p81512 +aS'was\tbe\tVBD\tB-VP\tO' +p81513 +aS'aggressively\taggressively\tRB\tI-VP\tO' +p81514 +aS'treated\ttreat\tVBN\tI-VP\tO' +p81515 +aS'with\twith\tIN\tB-PP\tO' +p81516 +aS'fluid\tfluid\tNN\tB-NP\tO' +p81517 +aS'resuscitation\tresuscitation\tNN\tI-NP\tO' +p81518 +aS'and\tand\tCC\tO\tO' +p81519 +aS'pressors\tpressor\tNNS\tB-NP\tO' +p81520 +aS'for\tfor\tIN\tB-PP\tO' +p81521 +aS'his\this\tPRP$\tB-NP\tO' +p81522 +aS'septic\tseptic\tJJ\tI-NP\tO' +p81523 +aS'physiology\tphysiology\tNN\tI-NP\tO' +p81524 +aS'.\t.\t.\tO\tO' +p81525 +asS'Birth weight 1455 grams ( 50th percentile ), head circumference 29.25 cm ( 50th percentile ), length 41.5 cm ( 50th percentile ).' +p81526 +(lp81527 +S'Birth\tBirth\tNN\tB-NP\tO' +p81528 +aS'weight\tweight\tNN\tI-NP\tO' +p81529 +aS'1455\t1455\tCD\tB-NP\tO' +p81530 +aS'grams\tgram\tNNS\tI-NP\tO' +p81531 +aS'(\t(\t(\tO\tO' +p81532 +aS'50th\t50th\tJJ\tB-NP\tO' +p81533 +aS'percentile\tpercentile\tNN\tI-NP\tO' +p81534 +aS'),\t),\tVBD\tB-VP\tO' +p81535 +aS'head\thead\tNN\tB-NP\tO' +p81536 +aS'circumference\tcircumference\tNN\tI-NP\tO' +p81537 +aS'29.25\t29.25\tCD\tB-NP\tO' +p81538 +aS'cm\tcm\tNN\tI-NP\tO' +p81539 +aS'(\t(\t(\tO\tO' +p81540 +aS'50th\t50th\tJJ\tB-NP\tO' +p81541 +aS'percentile\tpercentile\tNN\tI-NP\tO' +p81542 +aS'),\t),\tIN\tB-PP\tO' +p81543 +aS'length\tlength\tNN\tB-NP\tO' +p81544 +aS'41.5\t41.5\tCD\tI-NP\tO' +p81545 +aS'cm\tcm\tNN\tI-NP\tO' +p81546 +aS'(\t(\t(\tO\tO' +p81547 +aS'50th\t50th\tJJ\tB-NP\tO' +p81548 +aS'percentile\tpercentile\tNN\tI-NP\tO' +p81549 +aS').\t).\t.\tO\tO' +p81550 +asS'Cardiovascular regular rate and rhythm with a 1-2/6 holosystolic murmur .' +p81551 +(lp81552 +S'Cardiovascular\tCardiovascular\tJJ\tB-NP\tO' +p81553 +aS'regular\tregular\tJJ\tI-NP\tO' +p81554 +aS'rate\trate\tNN\tI-NP\tO' +p81555 +aS'and\tand\tCC\tI-NP\tO' +p81556 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p81557 +aS'with\twith\tIN\tB-PP\tO' +p81558 +aS'a\ta\tDT\tB-NP\tO' +p81559 +aS'1-2/6\t1-2/6\tCD\tI-NP\tO' +p81560 +aS'holosystolic\tholosystolic\tJJ\tI-NP\tO' +p81561 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p81562 +aS'.\t.\t.\tO\tO' +p81563 +asS'He has been on Decadron since 08/94 .' +p81564 +(lp81565 +S'He\tHe\tPRP\tB-NP\tO' +p81566 +aS'has\thave\tVBZ\tB-VP\tO' +p81567 +aS'been\tbe\tVBN\tI-VP\tO' +p81568 +aS'on\ton\tIN\tB-PP\tO' +p81569 +aS'Decadron\tDecadron\tNNP\tB-NP\tO' +p81570 +aS'since\tsince\tIN\tB-PP\tO' +p81571 +aS'08/94\t08/94\tCD\tB-NP\tO' +p81572 +aS'.\t.\t.\tO\tO' +p81573 +asS'There was spontaneous onset of labor progressing through vacuum assisted vaginal delivery under epidural anesthesia .' +p81574 +(lp81575 +S'There\tThere\tEX\tB-NP\tO' +p81576 +aS'was\tbe\tVBD\tB-VP\tO' +p81577 +aS'spontaneous\tspontaneous\tJJ\tB-NP\tO' +p81578 +aS'onset\tonset\tNN\tI-NP\tO' +p81579 +aS'of\tof\tIN\tB-PP\tO' +p81580 +aS'labor\tlabor\tNN\tB-NP\tO' +p81581 +aS'progressing\tprogress\tVBG\tB-VP\tO' +p81582 +aS'through\tthrough\tIN\tB-PP\tO' +p81583 +aS'vacuum\tvacuum\tNN\tB-NP\tO' +p81584 +aS'assisted\tassist\tVBD\tB-VP\tO' +p81585 +aS'vaginal\tvaginal\tJJ\tB-NP\tO' +p81586 +aS'delivery\tdelivery\tNN\tI-NP\tO' +p81587 +aS'under\tunder\tIN\tB-PP\tO' +p81588 +aS'epidural\tepidural\tJJ\tB-NP\tO' +p81589 +aS'anesthesia\tanesthesia\tNN\tI-NP\tO' +p81590 +aS'.\t.\t.\tO\tO' +p81591 +asS"Dr. Valerio office was notified about the patient 's discharge plans and status ." +p81592 +(lp81593 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p81594 +aS'Valerio\tValerio\tNNP\tI-NP\tO' +p81595 +aS'office\toffice\tNN\tI-NP\tO' +p81596 +aS'was\tbe\tVBD\tB-VP\tO' +p81597 +aS'notified\tnotify\tVBN\tI-VP\tO' +p81598 +aS'about\tabout\tIN\tB-PP\tO' +p81599 +aS'the\tthe\tDT\tB-NP\tO' +p81600 +aS'patient\tpatient\tNN\tI-NP\tO' +p81601 +aS"'s\t's\tPOS\tB-NP\tO" +p81602 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p81603 +aS'plans\tplan\tNNS\tI-NP\tO' +p81604 +aS'and\tand\tCC\tI-NP\tO' +p81605 +aS'status\tstatus\tNN\tI-NP\tO' +p81606 +aS'.\t.\t.\tO\tO' +p81607 +asS'On discussion with Dr Leigh and Dr White from GI - they recommended that she follow with Dr. Taylor for consideration of argon photocoagulation as out-patient .' +p81608 +(lp81609 +S'On\tOn\tIN\tB-PP\tO' +p81610 +aS'discussion\tdiscussion\tNN\tB-NP\tO' +p81611 +aS'with\twith\tIN\tB-PP\tO' +p81612 +aS'Dr\tDr\tNNP\tB-NP\tO' +p81613 +aS'Leigh\tLeigh\tNNP\tI-NP\tO' +p81614 +aS'and\tand\tCC\tO\tO' +p81615 +aS'Dr\tDr\tNNP\tB-NP\tO' +p81616 +aS'White\tWhite\tNNP\tI-NP\tO' +p81617 +aS'from\tfrom\tIN\tB-PP\tO' +p81618 +aS'GI\tGI\tNNP\tB-NP\tO' +p81619 +aS'-\t-\tHYPH\tB-ADVP\tO' +p81620 +aS'they\tthey\tPRP\tB-NP\tO' +p81621 +aS'recommended\trecommend\tVBD\tB-VP\tO' +p81622 +aS'that\tthat\tIN\tB-SBAR\tO' +p81623 +aS'she\tshe\tPRP\tB-NP\tO' +p81624 +aS'follow\tfollow\tVBP\tB-VP\tO' +p81625 +aS'with\twith\tIN\tB-PP\tO' +p81626 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p81627 +aS'Taylor\tTaylor\tNNP\tI-NP\tO' +p81628 +aS'for\tfor\tIN\tB-PP\tO' +p81629 +aS'consideration\tconsideration\tNN\tB-NP\tO' +p81630 +aS'of\tof\tIN\tB-PP\tO' +p81631 +aS'argon\targon\tNN\tB-NP\tO' +p81632 +aS'photocoagulation\tphotocoagulation\tNN\tI-NP\tO' +p81633 +aS'as\tas\tIN\tB-PP\tO' +p81634 +aS'out-patient\tout-patient\tJJ\tB-ADJP\tO' +p81635 +aS'.\t.\t.\tO\tO' +p81636 +asS'On 05-25 she underwent catheterization and subsequent stenting of the left renal artery .' +p81637 +(lp81638 +S'On\tOn\tIN\tB-PP\tO' +p81639 +aS'05-25\t05-25\tCD\tB-NP\tO' +p81640 +aS'she\tshe\tPRP\tB-NP\tO' +p81641 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p81642 +aS'catheterization\tcatheterization\tNN\tB-NP\tO' +p81643 +aS'and\tand\tCC\tO\tO' +p81644 +aS'subsequent\tsubsequent\tJJ\tB-NP\tO' +p81645 +aS'stenting\tstenting\tNN\tI-NP\tO' +p81646 +aS'of\tof\tIN\tB-PP\tO' +p81647 +aS'the\tthe\tDT\tB-NP\tO' +p81648 +aS'left\tleft\tJJ\tI-NP\tO' +p81649 +aS'renal\trenal\tJJ\tI-NP\tO' +p81650 +aS'artery\tartery\tNN\tI-NP\tO' +p81651 +aS'.\t.\t.\tO\tO' +p81652 +asS'A chest X-ray was performed secondary to the patient 's coarse breath sounds , however , the chest X-ray was clear except for a small amount of atelectasis .' +p81653 +(lp81654 +S'A\tA\tDT\tB-NP\tO' +p81655 +aS'chest\tchest\tNN\tI-NP\tO' +p81656 +aS'X-ray\tX-ray\tNN\tI-NP\tO' +p81657 +aS'was\tbe\tVBD\tB-VP\tO' +p81658 +aS'performed\tperform\tVBN\tI-VP\tO' +p81659 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p81660 +aS'to\tto\tTO\tB-PP\tO' +p81661 +aS'the\tthe\tDT\tB-NP\tO' +p81662 +aS'patient\tpatient\tNN\tI-NP\tO' +p81663 +aS''s\t'\tNNS\tI-NP\tO' +p81664 +aS'coarse\tcoarse\tNN\tI-NP\tO' +p81665 +aS'breath\tbreath\tNN\tI-NP\tO' +p81666 +aS'sounds\tsound\tNNS\tI-NP\tO' +p81667 +aS',\t,\t,\tO\tO' +p81668 +aS'however\thowever\tRB\tB-ADVP\tO' +p81669 +aS',\t,\t,\tO\tO' +p81670 +aS'the\tthe\tDT\tB-NP\tO' +p81671 +aS'chest\tchest\tNN\tI-NP\tO' +p81672 +aS'X-ray\tX-ray\tNN\tI-NP\tO' +p81673 +aS'was\tbe\tVBD\tB-VP\tO' +p81674 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p81675 +aS'except\texcept\tIN\tB-PP\tO' +p81676 +aS'for\tfor\tIN\tB-PP\tO' +p81677 +aS'a\ta\tDT\tB-NP\tO' +p81678 +aS'small\tsmall\tJJ\tI-NP\tO' +p81679 +aS'amount\tamount\tNN\tI-NP\tO' +p81680 +aS'of\tof\tIN\tB-PP\tO' +p81681 +aS'atelectasis\tatelectasis\tNN\tB-NP\tO' +p81682 +aS'.\t.\t.\tO\tO' +p81683 +asS'8. Tofranil .' +p81684 +(lp81685 +S'8.\t8.\tCD\tB-NP\tO' +p81686 +aS'Tofranil\tTofranil\tNNP\tI-NP\tO' +p81687 +aS'.\t.\t.\tO\tO' +p81688 +asS'Adrenal insufficiency .' +p81689 +(lp81690 +S'Adrenal\tAdrenal\tJJ\tB-NP\tO' +p81691 +aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' +p81692 +aS'.\t.\t.\tO\tO' +p81693 +asS'in general , the patient is minimally responsive woman in no acute distress .' +p81694 +(lp81695 +S'in\tin\tIN\tB-PP\tO' +p81696 +aS'general\tgeneral\tJJ\tB-ADJP\tO' +p81697 +aS',\t,\t,\tO\tO' +p81698 +aS'the\tthe\tDT\tB-NP\tO' +p81699 +aS'patient\tpatient\tNN\tI-NP\tO' +p81700 +aS'is\tbe\tVBZ\tB-VP\tO' +p81701 +aS'minimally\tminimally\tRB\tB-NP\tO' +p81702 +aS'responsive\tresponsive\tJJ\tI-NP\tO' +p81703 +aS'woman\twoman\tNN\tI-NP\tO' +p81704 +aS'in\tin\tIN\tB-PP\tO' +p81705 +aS'no\tno\tDT\tB-NP\tO' +p81706 +aS'acute\tacute\tJJ\tI-NP\tO' +p81707 +aS'distress\tdistress\tNN\tI-NP\tO' +p81708 +aS'.\t.\t.\tO\tO' +p81709 +asS'He was placed on posterior hip dislocation precautions and was out of bed with physical therapy and occupational therapy .' +p81710 +(lp81711 +S'He\tHe\tPRP\tB-NP\tO' +p81712 +aS'was\tbe\tVBD\tB-VP\tO' +p81713 +aS'placed\tplace\tVBN\tI-VP\tO' +p81714 +aS'on\ton\tIN\tB-PP\tO' +p81715 +aS'posterior\tposterior\tJJ\tB-NP\tO' +p81716 +aS'hip\thip\tNN\tI-NP\tO' +p81717 +aS'dislocation\tdislocation\tNN\tI-NP\tO' +p81718 +aS'precautions\tprecaution\tNNS\tI-NP\tO' +p81719 +aS'and\tand\tCC\tO\tO' +p81720 +aS'was\tbe\tVBD\tB-VP\tO' +p81721 +aS'out\tout\tIN\tB-PP\tO' +p81722 +aS'of\tof\tIN\tB-PP\tO' +p81723 +aS'bed\tbed\tNN\tB-NP\tO' +p81724 +aS'with\twith\tIN\tB-PP\tO' +p81725 +aS'physical\tphysical\tJJ\tB-NP\tO' +p81726 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p81727 +aS'and\tand\tCC\tO\tO' +p81728 +aS'occupational\toccupational\tJJ\tB-NP\tO' +p81729 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p81730 +aS'.\t.\t.\tO\tO' +p81731 +asS'Intermitent delirium throughout admission .' +p81732 +(lp81733 +S'Intermitent\tIntermitent\tJJ\tB-NP\tO' +p81734 +aS'delirium\tdelirium\tNN\tI-NP\tO' +p81735 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p81736 +aS'admission\tadmission\tNN\tB-NP\tO' +p81737 +aS'.\t.\t.\tO\tO' +p81738 +asS'These were supported with blood products and Hematology was consulted .' +p81739 +(lp81740 +S'These\tThese\tDT\tB-NP\tO' +p81741 +aS'were\tbe\tVBD\tB-VP\tO' +p81742 +aS'supported\tsupport\tVBN\tI-VP\tO' +p81743 +aS'with\twith\tIN\tB-PP\tO' +p81744 +aS'blood\tblood\tNN\tB-NP\tO' +p81745 +aS'products\tproduct\tNNS\tI-NP\tO' +p81746 +aS'and\tand\tCC\tI-NP\tO' +p81747 +aS'Hematology\tHematology\tNN\tI-NP\tO' +p81748 +aS'was\tbe\tVBD\tB-VP\tO' +p81749 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p81750 +aS'.\t.\t.\tO\tO' +p81751 +asS'Fractional excretion of sodium was less than 1% suggesting a prerenal etiology .' +p81752 +(lp81753 +S'Fractional\tFractional\tJJ\tB-NP\tO' +p81754 +aS'excretion\texcretion\tNN\tI-NP\tO' +p81755 +aS'of\tof\tIN\tB-PP\tO' +p81756 +aS'sodium\tsodium\tNN\tB-NP\tO' +p81757 +aS'was\tbe\tVBD\tB-VP\tO' +p81758 +aS'less\tless\tJJR\tB-ADJP\tO' +p81759 +aS'than\tthan\tIN\tB-PP\tO' +p81760 +aS'1%\t1%\tCD\tB-NP\tO' +p81761 +aS'suggesting\tsuggest\tVBG\tB-VP\tO' +p81762 +aS'a\ta\tDT\tB-NP\tO' +p81763 +aS'prerenal\tprerenal\tJJ\tI-NP\tO' +p81764 +aS'etiology\tetiology\tNN\tI-NP\tO' +p81765 +aS'.\t.\t.\tO\tO' +p81766 +asS'Significant for vaginal deliveries times four .' +p81767 +(lp81768 +S'Significant\tSignificant\tJJ\tB-ADJP\tO' +p81769 +aS'for\tfor\tIN\tB-PP\tO' +p81770 +aS'vaginal\tvaginal\tJJ\tB-NP\tO' +p81771 +aS'deliveries\tdelivery\tNNS\tI-NP\tO' +p81772 +aS'times\ttime\tNNS\tI-NP\tO' +p81773 +aS'four\tfour\tCD\tI-NP\tO' +p81774 +aS'.\t.\t.\tO\tO' +p81775 +asS'Irene FIELD SCREENING Where : Pembroke Hospital' +p81776 +(lp81777 +S'Irene\tIrene\tNN\tB-NP\tO' +p81778 +aS'FIELD\tFIELD\tNN\tI-NP\tO' +p81779 +aS'SCREENING\tSCREENING\tNN\tI-NP\tO' +p81780 +aS'Where\tWhere\tWRB\tB-ADVP\tO' +p81781 +aS':\t:\t:\tO\tO' +p81782 +aS'Pembroke\tPembroke\tNNP\tB-NP\tO' +p81783 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p81784 +asS'She was extubated to room air at 13 hours of age .' +p81785 +(lp81786 +S'She\tShe\tPRP\tB-NP\tO' +p81787 +aS'was\tbe\tVBD\tB-VP\tO' +p81788 +aS'extubated\textubate\tVBN\tI-VP\tO' +p81789 +aS'to\tto\tTO\tB-PP\tO' +p81790 +aS'room\troom\tNN\tB-NP\tO' +p81791 +aS'air\tair\tNN\tI-NP\tO' +p81792 +aS'at\tat\tIN\tB-PP\tO' +p81793 +aS'13\t13\tCD\tB-NP\tO' +p81794 +aS'hours\thour\tNNS\tI-NP\tO' +p81795 +aS'of\tof\tIN\tB-PP\tO' +p81796 +aS'age\tage\tNN\tB-NP\tO' +p81797 +aS'.\t.\t.\tO\tO' +p81798 +asS'Advanced Maternal Age ; Depression , history of ; Hepatitis C Antibody Positive ; Polyneuropathy , history of ; Problems With Abuse , history of ; Rh Nonsensitization ; Stopped Smoking This Pregnancy , history of' +p81799 +(lp81800 +S'Advanced\tAdvanced\tNNP\tB-NP\tO' +p81801 +aS'Maternal\tMaternal\tNNP\tI-NP\tO' +p81802 +aS'Age\tAge\tNNP\tI-NP\tO' +p81803 +aS';\t;\t:\tO\tO' +p81804 +aS'Depression\tDepression\tNN\tB-NP\tO' +p81805 +aS',\t,\t,\tO\tO' +p81806 +aS'history\thistory\tNN\tB-NP\tO' +p81807 +aS'of\tof\tIN\tB-PP\tO' +p81808 +aS';\t;\t:\tO\tO' +p81809 +aS'Hepatitis\tHepatitis\tNN\tB-NP\tB-protein' +p81810 +aS'C\tC\tNN\tI-NP\tI-protein' +p81811 +aS'Antibody\tAntibody\tNN\tI-NP\tI-protein' +p81812 +aS'Positive\tPositive\tJJ\tB-ADJP\tO' +p81813 +aS';\t;\t:\tO\tO' +p81814 +aS'Polyneuropathy\tPolyneuropathy\tNN\tB-NP\tO' +p81815 +aS',\t,\t,\tO\tO' +p81816 +aS'history\thistory\tNN\tB-NP\tO' +p81817 +aS'of\tof\tIN\tB-PP\tO' +p81818 +aS';\t;\t:\tO\tO' +p81819 +aS'Problems\tProblem\tNNS\tB-NP\tO' +p81820 +aS'With\tWith\tIN\tB-PP\tO' +p81821 +aS'Abuse\tAbuse\tNN\tB-NP\tO' +p81822 +aS',\t,\t,\tO\tO' +p81823 +aS'history\thistory\tNN\tB-NP\tO' +p81824 +aS'of\tof\tIN\tB-PP\tO' +p81825 +aS';\t;\t:\tO\tO' +p81826 +aS'Rh\tRh\tNN\tB-NP\tO' +p81827 +aS'Nonsensitization\tNonsensitization\tNN\tI-NP\tO' +p81828 +aS';\t;\t:\tO\tO' +p81829 +aS'Stopped\tStop\tVBD\tB-VP\tO' +p81830 +aS'Smoking\tSmoke\tVBG\tI-VP\tO' +p81831 +aS'This\tThis\tDT\tB-NP\tO' +p81832 +aS'Pregnancy\tPregnancy\tNN\tI-NP\tO' +p81833 +aS',\t,\t,\tO\tO' +p81834 +aS'history\thistory\tNN\tB-NP\tO' +p81835 +aS'of\tof\tIN\tB-PP\tO' +p81836 +asS'There is also critical anemia secondary to the subgaleal hemorrhage .' +p81837 +(lp81838 +S'There\tThere\tEX\tB-NP\tO' +p81839 +aS'is\tbe\tVBZ\tB-VP\tO' +p81840 +aS'also\talso\tRB\tB-ADVP\tO' +p81841 +aS'critical\tcritical\tJJ\tB-NP\tO' +p81842 +aS'anemia\tanemia\tNN\tI-NP\tO' +p81843 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p81844 +aS'to\tto\tTO\tB-PP\tO' +p81845 +aS'the\tthe\tDT\tB-NP\tO' +p81846 +aS'subgaleal\tsubgaleal\tJJ\tI-NP\tO' +p81847 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p81848 +aS'.\t.\t.\tO\tO' +p81849 +asS'In summary , the patient is a 49 year old woman with metastatic breast cell CA , status post chemotherapy with CMSAP and PVSC and XRT who presented with fever , four days of diarrhea , nausea and vomiting and had been on Keflex for an erythema on her left chest wall .' +p81850 +(lp81851 +S'In\tIn\tIN\tB-PP\tO' +p81852 +aS'summary\tsummary\tNN\tB-NP\tO' +p81853 +aS',\t,\t,\tO\tO' +p81854 +aS'the\tthe\tDT\tB-NP\tO' +p81855 +aS'patient\tpatient\tNN\tI-NP\tO' +p81856 +aS'is\tbe\tVBZ\tB-VP\tO' +p81857 +aS'a\ta\tDT\tB-NP\tO' +p81858 +aS'49\t49\tCD\tI-NP\tO' +p81859 +aS'year\tyear\tNN\tI-NP\tO' +p81860 +aS'old\told\tJJ\tI-NP\tO' +p81861 +aS'woman\twoman\tNN\tI-NP\tO' +p81862 +aS'with\twith\tIN\tB-PP\tO' +p81863 +aS'metastatic\tmetastatic\tJJ\tB-NP\tO' +p81864 +aS'breast\tbreast\tNN\tI-NP\tO' +p81865 +aS'cell\tcell\tNN\tI-NP\tO' +p81866 +aS'CA\tCA\tNN\tI-NP\tO' +p81867 +aS',\t,\t,\tO\tO' +p81868 +aS'status\tstatus\tNN\tB-NP\tO' +p81869 +aS'post\tpost\tNN\tI-NP\tO' +p81870 +aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' +p81871 +aS'with\twith\tIN\tB-PP\tO' +p81872 +aS'CMSAP\tCMSAP\tNN\tB-NP\tB-protein' +p81873 +aS'and\tand\tCC\tI-NP\tO' +p81874 +aS'PVSC\tPVSC\tNN\tI-NP\tB-protein' +p81875 +aS'and\tand\tCC\tI-NP\tO' +p81876 +aS'XRT\tXRT\tNN\tI-NP\tB-protein' +p81877 +aS'who\twho\tWP\tB-NP\tO' +p81878 +aS'presented\tpresent\tVBD\tB-VP\tO' +p81879 +aS'with\twith\tIN\tB-PP\tO' +p81880 +aS'fever\tfever\tNN\tB-NP\tO' +p81881 +aS',\t,\t,\tO\tO' +p81882 +aS'four\tfour\tCD\tB-NP\tO' +p81883 +aS'days\tday\tNNS\tI-NP\tO' +p81884 +aS'of\tof\tIN\tB-PP\tO' +p81885 +aS'diarrhea\tdiarrhea\tNN\tB-NP\tO' +p81886 +aS',\t,\t,\tI-NP\tO' +p81887 +aS'nausea\tnausea\tNN\tI-NP\tO' +p81888 +aS'and\tand\tCC\tI-NP\tO' +p81889 +aS'vomiting\tvomiting\tNN\tI-NP\tO' +p81890 +aS'and\tand\tCC\tO\tO' +p81891 +aS'had\thave\tVBD\tB-VP\tO' +p81892 +aS'been\tbe\tVBN\tI-VP\tO' +p81893 +aS'on\ton\tIN\tB-PP\tO' +p81894 +aS'Keflex\tKeflex\tNNP\tB-NP\tO' +p81895 +aS'for\tfor\tIN\tB-PP\tO' +p81896 +aS'an\tan\tDT\tB-NP\tO' +p81897 +aS'erythema\terythema\tNN\tI-NP\tO' +p81898 +aS'on\ton\tIN\tB-PP\tO' +p81899 +aS'her\ther\tPRP$\tB-NP\tO' +p81900 +aS'left\tleft\tJJ\tI-NP\tO' +p81901 +aS'chest\tchest\tNN\tI-NP\tO' +p81902 +aS'wall\twall\tNN\tI-NP\tO' +p81903 +aS'.\t.\t.\tO\tO' +p81904 +asS'No respiratory distress .' +p81905 +(lp81906 +S'No\tNo\tDT\tB-NP\tO' +p81907 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p81908 +aS'distress\tdistress\tNN\tI-NP\tO' +p81909 +aS'.\t.\t.\tO\tO' +p81910 +asS'The patient is a 47 year old white male with a history of emphysema who presents for admission with a diagnosis of broncho-alveolar carcinoma and is scheduled for flexible bronchoscopy , mediastinoscopy and thoracotomy with questionable pneumonectomy by Dr. An on 12-4-93 .' +p81911 +(lp81912 +S'The\tThe\tDT\tB-NP\tO' +p81913 +aS'patient\tpatient\tNN\tI-NP\tO' +p81914 +aS'is\tbe\tVBZ\tB-VP\tO' +p81915 +aS'a\ta\tDT\tB-NP\tO' +p81916 +aS'47\t47\tCD\tI-NP\tO' +p81917 +aS'year\tyear\tNN\tI-NP\tO' +p81918 +aS'old\told\tJJ\tI-NP\tO' +p81919 +aS'white\twhite\tJJ\tI-NP\tO' +p81920 +aS'male\tmale\tNN\tI-NP\tO' +p81921 +aS'with\twith\tIN\tB-PP\tO' +p81922 +aS'a\ta\tDT\tB-NP\tO' +p81923 +aS'history\thistory\tNN\tI-NP\tO' +p81924 +aS'of\tof\tIN\tB-PP\tO' +p81925 +aS'emphysema\temphysema\tNN\tB-NP\tO' +p81926 +aS'who\twho\tWP\tB-NP\tO' +p81927 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p81928 +aS'for\tfor\tIN\tB-PP\tO' +p81929 +aS'admission\tadmission\tNN\tB-NP\tO' +p81930 +aS'with\twith\tIN\tB-PP\tO' +p81931 +aS'a\ta\tDT\tB-NP\tO' +p81932 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p81933 +aS'of\tof\tIN\tB-PP\tO' +p81934 +aS'broncho-alveolar\tbroncho-alveolar\tJJ\tB-NP\tO' +p81935 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p81936 +aS'and\tand\tCC\tO\tO' +p81937 +aS'is\tbe\tVBZ\tB-VP\tO' +p81938 +aS'scheduled\tschedule\tVBN\tI-VP\tO' +p81939 +aS'for\tfor\tIN\tB-PP\tO' +p81940 +aS'flexible\tflexible\tJJ\tB-NP\tO' +p81941 +aS'bronchoscopy\tbronchoscopy\tNN\tI-NP\tO' +p81942 +aS',\t,\t,\tO\tO' +p81943 +aS'mediastinoscopy\tmediastinoscopy\tNN\tB-NP\tO' +p81944 +aS'and\tand\tCC\tO\tO' +p81945 +aS'thoracotomy\tthoracotomy\tNN\tB-NP\tO' +p81946 +aS'with\twith\tIN\tB-PP\tO' +p81947 +aS'questionable\tquestionable\tJJ\tB-NP\tO' +p81948 +aS'pneumonectomy\tpneumonectomy\tNN\tI-NP\tO' +p81949 +aS'by\tby\tIN\tB-PP\tO' +p81950 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p81951 +aS'An\tAn\tNNP\tI-NP\tO' +p81952 +aS'on\ton\tIN\tB-PP\tO' +p81953 +aS'12-4-93\t12-4-93\tCD\tB-NP\tO' +p81954 +aS'.\t.\t.\tO\tO' +p81955 +asS'This took place in 1983 .' +p81956 +(lp81957 +S'This\tThis\tDT\tB-NP\tO' +p81958 +aS'took\ttake\tVBD\tB-VP\tO' +p81959 +aS'place\tplace\tNN\tB-NP\tO' +p81960 +aS'in\tin\tIN\tB-PP\tO' +p81961 +aS'1983\t1983\tCD\tB-NP\tO' +p81962 +aS'.\t.\t.\tO\tO' +p81963 +asS'The patient walked with her feet externally rotated with a wide based gait with shuffling short steps with a tendency to fall back and she was unable to walk without assist .' +p81964 +(lp81965 +S'The\tThe\tDT\tB-NP\tO' +p81966 +aS'patient\tpatient\tNN\tI-NP\tO' +p81967 +aS'walked\twalk\tVBD\tB-VP\tO' +p81968 +aS'with\twith\tIN\tB-PP\tO' +p81969 +aS'her\ther\tPRP$\tB-NP\tO' +p81970 +aS'feet\tfoot\tNNS\tI-NP\tO' +p81971 +aS'externally\texternally\tRB\tB-VP\tO' +p81972 +aS'rotated\trotate\tVBN\tI-VP\tO' +p81973 +aS'with\twith\tIN\tB-PP\tO' +p81974 +aS'a\ta\tDT\tB-NP\tO' +p81975 +aS'wide\twide\tJJ\tI-NP\tO' +p81976 +aS'based\tbase\tVBN\tI-NP\tO' +p81977 +aS'gait\tgait\tNN\tI-NP\tO' +p81978 +aS'with\twith\tIN\tB-PP\tO' +p81979 +aS'shuffling\tshuffle\tVBG\tB-VP\tO' +p81980 +aS'short\tshort\tJJ\tB-NP\tO' +p81981 +aS'steps\tstep\tNNS\tI-NP\tO' +p81982 +aS'with\twith\tIN\tB-PP\tO' +p81983 +aS'a\ta\tDT\tB-NP\tO' +p81984 +aS'tendency\ttendency\tNN\tI-NP\tO' +p81985 +aS'to\tto\tTO\tB-VP\tO' +p81986 +aS'fall\tfall\tVB\tI-VP\tO' +p81987 +aS'back\tback\tRB\tB-ADVP\tO' +p81988 +aS'and\tand\tCC\tO\tO' +p81989 +aS'she\tshe\tPRP\tB-NP\tO' +p81990 +aS'was\tbe\tVBD\tB-VP\tO' +p81991 +aS'unable\tunable\tJJ\tB-ADJP\tO' +p81992 +aS'to\tto\tTO\tB-VP\tO' +p81993 +aS'walk\twalk\tVB\tI-VP\tO' +p81994 +aS'without\twithout\tIN\tB-PP\tO' +p81995 +aS'assist\tassist\tNN\tB-NP\tO' +p81996 +aS'.\t.\t.\tO\tO' +p81997 +asS'We are scheduling you for a needle biopsy by interventional radiology for some time in the next week .' +p81998 +(lp81999 +S'We\tWe\tPRP\tB-NP\tO' +p82000 +aS'are\tbe\tVBP\tB-VP\tO' +p82001 +aS'scheduling\tschedule\tVBG\tI-VP\tO' +p82002 +aS'you\tyou\tPRP\tB-NP\tO' +p82003 +aS'for\tfor\tIN\tB-PP\tO' +p82004 +aS'a\ta\tDT\tB-NP\tO' +p82005 +aS'needle\tneedle\tNN\tI-NP\tO' +p82006 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p82007 +aS'by\tby\tIN\tB-PP\tO' +p82008 +aS'interventional\tinterventional\tJJ\tB-NP\tO' +p82009 +aS'radiology\tradiology\tNN\tI-NP\tO' +p82010 +aS'for\tfor\tIN\tB-PP\tO' +p82011 +aS'some\tsome\tDT\tB-NP\tO' +p82012 +aS'time\ttime\tNN\tI-NP\tO' +p82013 +aS'in\tin\tIN\tB-PP\tO' +p82014 +aS'the\tthe\tDT\tB-NP\tO' +p82015 +aS'next\tnext\tJJ\tI-NP\tO' +p82016 +aS'week\tweek\tNN\tI-NP\tO' +p82017 +aS'.\t.\t.\tO\tO' +p82018 +asS'Examination was guaiac negative with good rectal tone .' +p82019 +(lp82020 +S'Examination\tExamination\tNN\tB-NP\tO' +p82021 +aS'was\tbe\tVBD\tB-VP\tO' +p82022 +aS'guaiac\tguaiac\tJJ\tB-ADJP\tO' +p82023 +aS'negative\tnegative\tJJ\tI-ADJP\tO' +p82024 +aS'with\twith\tIN\tB-PP\tO' +p82025 +aS'good\tgood\tJJ\tB-NP\tO' +p82026 +aS'rectal\trectal\tJJ\tI-NP\tO' +p82027 +aS'tone\ttone\tNN\tI-NP\tO' +p82028 +aS'.\t.\t.\tO\tO' +p82029 +asS'2. Breech presentation .' +p82030 +(lp82031 +S'2.\t2.\tLS\tB-LST\tO' +p82032 +aS'Breech\tBreech\tNNP\tB-NP\tO' +p82033 +aS'presentation\tpresentation\tNN\tI-NP\tO' +p82034 +aS'.\t.\t.\tO\tO' +p82035 +asS'There was no free air and no bowel wall thickening .' +p82036 +(lp82037 +S'There\tThere\tEX\tB-NP\tO' +p82038 +aS'was\tbe\tVBD\tB-VP\tO' +p82039 +aS'no\tno\tDT\tB-NP\tO' +p82040 +aS'free\tfree\tJJ\tI-NP\tO' +p82041 +aS'air\tair\tNN\tI-NP\tO' +p82042 +aS'and\tand\tCC\tO\tO' +p82043 +aS'no\tno\tDT\tB-NP\tO' +p82044 +aS'bowel\tbowel\tNN\tI-NP\tO' +p82045 +aS'wall\twall\tNN\tI-NP\tO' +p82046 +aS'thickening\tthickening\tNN\tI-NP\tO' +p82047 +aS'.\t.\t.\tO\tO' +p82048 +asS'Upper extremities are very brisk bilaterally and symmetrical 3+. There is positive tremor reflex on the left and absent on the right .' +p82049 +(lp82050 +S'Upper\tUpper\tNNP\tB-NP\tO' +p82051 +aS'extremities\textremity\tNNS\tI-NP\tO' +p82052 +aS'are\tbe\tVBP\tB-VP\tO' +p82053 +aS'very\tvery\tRB\tB-ADJP\tO' +p82054 +aS'brisk\tbrisk\tJJ\tI-ADJP\tO' +p82055 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p82056 +aS'and\tand\tCC\tO\tO' +p82057 +aS'symmetrical\tsymmetrical\tJJ\tB-NP\tO' +p82058 +aS'3+.\t3+.\tCD\tI-NP\tO' +p82059 +aS'There\tThere\tEX\tB-NP\tO' +p82060 +aS'is\tbe\tVBZ\tB-VP\tO' +p82061 +aS'positive\tpositive\tJJ\tB-NP\tO' +p82062 +aS'tremor\ttremor\tNN\tI-NP\tO' +p82063 +aS'reflex\treflex\tNN\tI-NP\tO' +p82064 +aS'on\ton\tIN\tB-PP\tO' +p82065 +aS'the\tthe\tDT\tB-NP\tO' +p82066 +aS'left\tleft\tJJ\tI-NP\tO' +p82067 +aS'and\tand\tCC\tI-NP\tO' +p82068 +aS'absent\tabsent\tJJ\tI-NP\tO' +p82069 +aS'on\ton\tIN\tB-PP\tO' +p82070 +aS'the\tthe\tDT\tB-NP\tO' +p82071 +aS'right\tright\tNN\tI-NP\tO' +p82072 +aS'.\t.\t.\tO\tO' +p82073 +asS'He has a half-pack per day smoking history and drinks approximately three to four alcoholic beverages per day .' +p82074 +(lp82075 +S'He\tHe\tPRP\tB-NP\tO' +p82076 +aS'has\thave\tVBZ\tB-VP\tO' +p82077 +aS'a\ta\tDT\tB-NP\tO' +p82078 +aS'half-pack\thalf-pack\tNN\tI-NP\tO' +p82079 +aS'per\tper\tIN\tB-PP\tO' +p82080 +aS'day\tday\tNN\tB-NP\tO' +p82081 +aS'smoking\tsmoking\tNN\tI-NP\tO' +p82082 +aS'history\thistory\tNN\tI-NP\tO' +p82083 +aS'and\tand\tCC\tO\tO' +p82084 +aS'drinks\tdrink\tVBZ\tB-VP\tO' +p82085 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p82086 +aS'three\tthree\tCD\tI-NP\tO' +p82087 +aS'to\tto\tTO\tI-NP\tO' +p82088 +aS'four\tfour\tCD\tI-NP\tO' +p82089 +aS'alcoholic\talcoholic\tJJ\tI-NP\tO' +p82090 +aS'beverages\tbeverage\tNNS\tI-NP\tO' +p82091 +aS'per\tper\tIN\tB-PP\tO' +p82092 +aS'day\tday\tNN\tB-NP\tO' +p82093 +aS'.\t.\t.\tO\tO' +p82094 +asS'Pupils fixed at 7 mm bilaterally .' +p82095 +(lp82096 +S'Pupils\tPupil\tNNS\tB-NP\tO' +p82097 +aS'fixed\tfix\tVBN\tB-VP\tO' +p82098 +aS'at\tat\tIN\tB-PP\tO' +p82099 +aS'7\t7\tCD\tB-NP\tO' +p82100 +aS'mm\tmm\tNN\tI-NP\tO' +p82101 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p82102 +aS'.\t.\t.\tO\tO' +p82103 +asS'Patient was last admitted to Padrugmoff Hospital with a hematocrit of 24.5 , and was asymptomatic prior to admission .' +p82104 +(lp82105 +S'Patient\tPatient\tNN\tB-NP\tO' +p82106 +aS'was\tbe\tVBD\tB-VP\tO' +p82107 +aS'last\tlast\tJJ\tB-ADJP\tO' +p82108 +aS'admitted\tadmit\tVBN\tB-VP\tO' +p82109 +aS'to\tto\tTO\tB-PP\tO' +p82110 +aS'Padrugmoff\tPadrugmoff\tNNP\tB-NP\tO' +p82111 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p82112 +aS'with\twith\tIN\tB-PP\tO' +p82113 +aS'a\ta\tDT\tB-NP\tO' +p82114 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p82115 +aS'of\tof\tIN\tB-PP\tO' +p82116 +aS'24.5\t24.5\tCD\tB-NP\tO' +p82117 +aS',\t,\t,\tO\tO' +p82118 +aS'and\tand\tCC\tO\tO' +p82119 +aS'was\tbe\tVBD\tB-VP\tO' +p82120 +aS'asymptomatic\tasymptomatic\tJJ\tB-ADJP\tO' +p82121 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p82122 +aS'to\tto\tTO\tB-PP\tO' +p82123 +aS'admission\tadmission\tNN\tB-NP\tO' +p82124 +aS'.\t.\t.\tO\tO' +p82125 +asS'Cervical carcinoma ; bilateral ureteral obstruction secondary to the cancer .' +p82126 +(lp82127 +S'Cervical\tCervical\tJJ\tB-NP\tO' +p82128 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p82129 +aS';\t;\t:\tO\tO' +p82130 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p82131 +aS'ureteral\tureteral\tJJ\tI-NP\tO' +p82132 +aS'obstruction\tobstruction\tNN\tI-NP\tO' +p82133 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p82134 +aS'to\tto\tTO\tB-PP\tO' +p82135 +aS'the\tthe\tDT\tB-NP\tO' +p82136 +aS'cancer\tcancer\tNN\tI-NP\tO' +p82137 +aS'.\t.\t.\tO\tO' +p82138 +asS'Mr. Lockley was admitted with respiratory failure , thought to be related to mucus plugging as well as a pseudomonal pneumonia .' +p82139 +(lp82140 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p82141 +aS'Lockley\tLockley\tNNP\tI-NP\tO' +p82142 +aS'was\tbe\tVBD\tB-VP\tO' +p82143 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p82144 +aS'with\twith\tIN\tB-PP\tO' +p82145 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p82146 +aS'failure\tfailure\tNN\tI-NP\tO' +p82147 +aS',\t,\t,\tO\tO' +p82148 +aS'thought\tthink\tVBN\tB-VP\tO' +p82149 +aS'to\tto\tTO\tI-VP\tO' +p82150 +aS'be\tbe\tVB\tI-VP\tO' +p82151 +aS'related\trelate\tVBN\tI-VP\tO' +p82152 +aS'to\tto\tTO\tB-PP\tO' +p82153 +aS'mucus\tmucus\tNN\tB-NP\tO' +p82154 +aS'plugging\tplug\tVBG\tB-VP\tO' +p82155 +aS'as\tas\tRB\tB-CONJP\tO' +p82156 +aS'well\twell\tRB\tI-CONJP\tO' +p82157 +aS'as\tas\tIN\tI-CONJP\tO' +p82158 +aS'a\ta\tDT\tB-NP\tO' +p82159 +aS'pseudomonal\tpseudomonal\tJJ\tI-NP\tO' +p82160 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p82161 +aS'.\t.\t.\tO\tO' +p82162 +asS'The following day , she remained in bed through essentially all of the day due to malaise with no specific deficits being noted .' +p82163 +(lp82164 +S'The\tThe\tDT\tB-NP\tO' +p82165 +aS'following\tfollow\tVBG\tI-NP\tO' +p82166 +aS'day\tday\tNN\tI-NP\tO' +p82167 +aS',\t,\t,\tO\tO' +p82168 +aS'she\tshe\tPRP\tB-NP\tO' +p82169 +aS'remained\tremain\tVBD\tB-VP\tO' +p82170 +aS'in\tin\tIN\tB-PP\tO' +p82171 +aS'bed\tbed\tNN\tB-NP\tO' +p82172 +aS'through\tthrough\tIN\tB-PP\tO' +p82173 +aS'essentially\tessentially\tRB\tB-NP\tO' +p82174 +aS'all\tall\tDT\tI-NP\tO' +p82175 +aS'of\tof\tIN\tB-PP\tO' +p82176 +aS'the\tthe\tDT\tB-NP\tO' +p82177 +aS'day\tday\tNN\tI-NP\tO' +p82178 +aS'due\tdue\tJJ\tB-ADJP\tO' +p82179 +aS'to\tto\tTO\tB-VP\tO' +p82180 +aS'malaise\tmalaise\tVB\tI-VP\tO' +p82181 +aS'with\twith\tIN\tB-PP\tO' +p82182 +aS'no\tno\tDT\tB-NP\tO' +p82183 +aS'specific\tspecific\tJJ\tI-NP\tO' +p82184 +aS'deficits\tdeficit\tNNS\tI-NP\tO' +p82185 +aS'being\tbe\tVBG\tB-VP\tO' +p82186 +aS'noted\tnote\tVBN\tI-VP\tO' +p82187 +aS'.\t.\t.\tO\tO' +p82188 +asS'Denies use of AA/NA . Smokes 1ppd .' +p82189 +(lp82190 +S'Denies\tDeny\tNNS\tB-NP\tO' +p82191 +aS'use\tuse\tNN\tI-NP\tO' +p82192 +aS'of\tof\tIN\tB-PP\tO' +p82193 +aS'AA/NA\tAA/NA\tNN\tB-NP\tB-protein' +p82194 +aS'.\t.\t.\tO\tO' +p82195 +aS'Smokes\tSmokes\tNNP\tB-NP\tO' +p82196 +aS'1ppd\t1ppd\tNN\tI-NP\tO' +p82197 +aS'.\t.\t.\tO\tO' +p82198 +asS'That night he reportedly stopped breathing and was unresponsive .' +p82199 +(lp82200 +S'That\tThat\tDT\tB-NP\tO' +p82201 +aS'night\tnight\tNN\tI-NP\tO' +p82202 +aS'he\the\tPRP\tB-NP\tO' +p82203 +aS'reportedly\treportedly\tRB\tB-ADVP\tO' +p82204 +aS'stopped\tstop\tVBD\tB-VP\tO' +p82205 +aS'breathing\tbreathing\tNN\tB-NP\tO' +p82206 +aS'and\tand\tCC\tO\tO' +p82207 +aS'was\tbe\tVBD\tB-VP\tO' +p82208 +aS'unresponsive\tunresponsive\tJJ\tB-ADJP\tO' +p82209 +aS'.\t.\t.\tO\tO' +p82210 +asS'Was most likely due to multiple drugs administered during the episode including Demerol .' +p82211 +(lp82212 +S'Was\tBe\tVBD\tB-VP\tO' +p82213 +aS'most\tmost\tRBS\tB-ADVP\tO' +p82214 +aS'likely\tlikely\tRB\tI-ADVP\tO' +p82215 +aS'due\tdue\tJJ\tB-PP\tO' +p82216 +aS'to\tto\tTO\tB-PP\tO' +p82217 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p82218 +aS'drugs\tdrug\tNNS\tI-NP\tO' +p82219 +aS'administered\tadminister\tVBN\tB-VP\tO' +p82220 +aS'during\tduring\tIN\tB-PP\tO' +p82221 +aS'the\tthe\tDT\tB-NP\tO' +p82222 +aS'episode\tepisode\tNN\tI-NP\tO' +p82223 +aS'including\tinclude\tVBG\tB-PP\tO' +p82224 +aS'Demerol\tDemerol\tNN\tB-NP\tO' +p82225 +aS'.\t.\t.\tO\tO' +p82226 +asS'soft , obese with mild epigastric and right upper quadrant tenderness .' +p82227 +(lp82228 +S'soft\tsoft\tJJ\tB-ADVP\tO' +p82229 +aS',\t,\t,\tO\tO' +p82230 +aS'obese\tobese\tJJ\tB-ADJP\tO' +p82231 +aS'with\twith\tIN\tB-PP\tO' +p82232 +aS'mild\tmild\tJJ\tB-NP\tO' +p82233 +aS'epigastric\tepigastric\tJJ\tI-NP\tO' +p82234 +aS'and\tand\tCC\tI-NP\tO' +p82235 +aS'right\tright\tJJ\tI-NP\tO' +p82236 +aS'upper\tupper\tJJ\tI-NP\tO' +p82237 +aS'quadrant\tquadrant\tJJ\tI-NP\tO' +p82238 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p82239 +aS'.\t.\t.\tO\tO' +p82240 +asS'Per refferal notes , he went to hemodyalisis today in the morning .' +p82241 +(lp82242 +S'Per\tPer\tIN\tB-PP\tO' +p82243 +aS'refferal\trefferal\tJJ\tB-NP\tO' +p82244 +aS'notes\tnote\tNNS\tI-NP\tO' +p82245 +aS',\t,\t,\tO\tO' +p82246 +aS'he\the\tPRP\tB-NP\tO' +p82247 +aS'went\tgo\tVBD\tB-VP\tO' +p82248 +aS'to\tto\tTO\tB-PP\tO' +p82249 +aS'hemodyalisis\themodyalisis\tNN\tB-NP\tO' +p82250 +aS'today\ttoday\tNN\tB-NP\tO' +p82251 +aS'in\tin\tIN\tB-PP\tO' +p82252 +aS'the\tthe\tDT\tB-NP\tO' +p82253 +aS'morning\tmorning\tNN\tI-NP\tO' +p82254 +aS'.\t.\t.\tO\tO' +p82255 +asS'She was voiding without difficulty .' +p82256 +(lp82257 +S'She\tShe\tPRP\tB-NP\tO' +p82258 +aS'was\tbe\tVBD\tB-VP\tO' +p82259 +aS'voiding\tvoid\tVBG\tI-VP\tO' +p82260 +aS'without\twithout\tIN\tB-PP\tO' +p82261 +aS'difficulty\tdifficulty\tNN\tB-NP\tO' +p82262 +aS'.\t.\t.\tO\tO' +p82263 +asS'Disp :* 40 Tablet (s)* Refills :* 0 *' +p82264 +(lp82265 +S'Disp\tDisp\tNN\tB-NP\tO' +p82266 +aS':*\t:*\tSYM\tI-NP\tO' +p82267 +aS'40\t40\tCD\tI-NP\tO' +p82268 +aS'Tablet\tTablet\tNN\tI-NP\tO' +p82269 +aS'(s)*\t(s)*\tSYM\tB-NP\tO' +p82270 +aS'Refills\tRefill\tNNPS\tI-NP\tO' +p82271 +aS':*\t:*\tSYM\tI-NP\tO' +p82272 +aS'0\t0\tCD\tI-NP\tO' +p82273 +aS'*\t*\tSYM\tB-NP\tO' +p82274 +asS'3.2 on 2013-05-08 , and was further elevated to 3.6 on 2013-05-09 .' +p82275 +(lp82276 +S'3.2\t3.2\tCD\tB-NP\tO' +p82277 +aS'on\ton\tIN\tB-PP\tO' +p82278 +aS'2013-05-08\t2013-05-08\tCD\tB-NP\tO' +p82279 +aS',\t,\t,\tO\tO' +p82280 +aS'and\tand\tCC\tO\tO' +p82281 +aS'was\tbe\tVBD\tB-VP\tO' +p82282 +aS'further\tfurther\tRBR\tI-VP\tO' +p82283 +aS'elevated\televate\tVBN\tI-VP\tO' +p82284 +aS'to\tto\tTO\tB-PP\tO' +p82285 +aS'3.6\t3.6\tCD\tB-NP\tO' +p82286 +aS'on\ton\tIN\tB-PP\tO' +p82287 +aS'2013-05-09\t2013-05-09\tCD\tB-NP\tO' +p82288 +aS'.\t.\t.\tO\tO' +p82289 +asS'The patient is a 42 year old with recurrent biliary colic .' +p82290 +(lp82291 +S'The\tThe\tDT\tB-NP\tO' +p82292 +aS'patient\tpatient\tNN\tI-NP\tO' +p82293 +aS'is\tbe\tVBZ\tB-VP\tO' +p82294 +aS'a\ta\tDT\tB-NP\tO' +p82295 +aS'42\t42\tCD\tI-NP\tO' +p82296 +aS'year\tyear\tNN\tI-NP\tO' +p82297 +aS'old\told\tJJ\tB-ADJP\tO' +p82298 +aS'with\twith\tIN\tB-PP\tO' +p82299 +aS'recurrent\trecurrent\tJJ\tB-NP\tO' +p82300 +aS'biliary\tbiliary\tJJ\tI-NP\tO' +p82301 +aS'colic\tcolic\tNN\tI-NP\tO' +p82302 +aS'.\t.\t.\tO\tO' +p82303 +asS'Wound cultures remained negative at that time .' +p82304 +(lp82305 +S'Wound\tWound\tJJ\tB-NP\tB-cell_line' +p82306 +aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' +p82307 +aS'remained\tremain\tVBD\tB-VP\tO' +p82308 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p82309 +aS'at\tat\tIN\tB-PP\tO' +p82310 +aS'that\tthat\tDT\tB-NP\tO' +p82311 +aS'time\ttime\tNN\tI-NP\tO' +p82312 +aS'.\t.\t.\tO\tO' +p82313 +asS'Mr. Morton was admitted to the TSICU .' +p82314 +(lp82315 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p82316 +aS'Morton\tMorton\tNNP\tI-NP\tO' +p82317 +aS'was\tbe\tVBD\tB-VP\tO' +p82318 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p82319 +aS'to\tto\tTO\tB-PP\tO' +p82320 +aS'the\tthe\tDT\tB-NP\tO' +p82321 +aS'TSICU\tTSICU\tNN\tI-NP\tB-DNA' +p82322 +aS'.\t.\t.\tO\tO' +p82323 +asS'The patient 's past cardiac history is significant for an anterior myocardial infarction in September of 1993 and a non-Q wave myocardial infarction in February of 1993 .' +p82324 +(lp82325 +S'The\tThe\tDT\tB-NP\tO' +p82326 +aS'patient\tpatient\tNN\tI-NP\tO' +p82327 +aS''s\t'\tNNS\tI-NP\tO' +p82328 +aS'past\tpast\tIN\tB-PP\tO' +p82329 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p82330 +aS'history\thistory\tNN\tI-NP\tO' +p82331 +aS'is\tbe\tVBZ\tB-VP\tO' +p82332 +aS'significant\tsignificant\tJJ\tB-ADJP\tO' +p82333 +aS'for\tfor\tIN\tB-PP\tO' +p82334 +aS'an\tan\tDT\tB-NP\tO' +p82335 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p82336 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p82337 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p82338 +aS'in\tin\tIN\tB-PP\tO' +p82339 +aS'September\tSeptember\tNNP\tB-NP\tO' +p82340 +aS'of\tof\tIN\tB-PP\tO' +p82341 +aS'1993\t1993\tCD\tB-NP\tO' +p82342 +aS'and\tand\tCC\tO\tO' +p82343 +aS'a\ta\tDT\tB-NP\tO' +p82344 +aS'non-Q\tnon-Q\tJJ\tI-NP\tO' +p82345 +aS'wave\twave\tNN\tI-NP\tO' +p82346 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p82347 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p82348 +aS'in\tin\tIN\tB-PP\tO' +p82349 +aS'February\tFebruary\tNNP\tB-NP\tO' +p82350 +aS'of\tof\tIN\tB-PP\tO' +p82351 +aS'1993\t1993\tCD\tB-NP\tO' +p82352 +aS'.\t.\t.\tO\tO' +p82353 +asS'Dr. Navarrete has been e-mailed and his secretary contacted for as soon as possible appointment for XRT follow up .' +p82354 +(lp82355 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p82356 +aS'Navarrete\tNavarrete\tNNP\tI-NP\tO' +p82357 +aS'has\thave\tVBZ\tB-VP\tO' +p82358 +aS'been\tbe\tVBN\tI-VP\tO' +p82359 +aS'e-mailed\te-mailed\tJJ\tB-ADJP\tO' +p82360 +aS'and\tand\tCC\tO\tO' +p82361 +aS'his\this\tPRP$\tB-NP\tO' +p82362 +aS'secretary\tsecretary\tNN\tI-NP\tO' +p82363 +aS'contacted\tcontact\tVBD\tB-VP\tO' +p82364 +aS'for\tfor\tIN\tB-PP\tO' +p82365 +aS'as\tas\tRB\tB-ADVP\tO' +p82366 +aS'soon\tsoon\tRB\tI-ADVP\tO' +p82367 +aS'as\tas\tIN\tB-PP\tO' +p82368 +aS'possible\tpossible\tJJ\tB-NP\tO' +p82369 +aS'appointment\tappointment\tNN\tI-NP\tO' +p82370 +aS'for\tfor\tIN\tB-PP\tO' +p82371 +aS'XRT\tXRT\tNN\tB-NP\tB-protein' +p82372 +aS'follow\tfollow\tVBP\tB-VP\tO' +p82373 +aS'up\tup\tRP\tB-PRT\tO' +p82374 +aS'.\t.\t.\tO\tO' +p82375 +asS'Given guaiac positive stools and her history of gastrointestinal bleed in addition to use of steroids for chronic obstructive pulmonary disease exacerbation , the gastroenterology consult service was contacted .' +p82376 +(lp82377 +S'Given\tGive\tVBN\tB-PP\tO' +p82378 +aS'guaiac\tguaiac\tJJ\tB-NP\tO' +p82379 +aS'positive\tpositive\tJJ\tI-NP\tO' +p82380 +aS'stools\tstool\tNNS\tI-NP\tO' +p82381 +aS'and\tand\tCC\tO\tO' +p82382 +aS'her\ther\tPRP$\tB-NP\tO' +p82383 +aS'history\thistory\tNN\tI-NP\tO' +p82384 +aS'of\tof\tIN\tB-PP\tO' +p82385 +aS'gastrointestinal\tgastrointestinal\tJJ\tB-NP\tO' +p82386 +aS'bleed\tbleed\tNN\tI-NP\tO' +p82387 +aS'in\tin\tIN\tB-PP\tO' +p82388 +aS'addition\taddition\tNN\tB-NP\tO' +p82389 +aS'to\tto\tTO\tB-PP\tO' +p82390 +aS'use\tuse\tNN\tB-NP\tO' +p82391 +aS'of\tof\tIN\tB-PP\tO' +p82392 +aS'steroids\tsteroid\tNNS\tB-NP\tO' +p82393 +aS'for\tfor\tIN\tB-PP\tO' +p82394 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p82395 +aS'obstructive\tobstructive\tJJ\tI-NP\tO' +p82396 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p82397 +aS'disease\tdisease\tNN\tI-NP\tO' +p82398 +aS'exacerbation\texacerbation\tNN\tI-NP\tO' +p82399 +aS',\t,\t,\tO\tO' +p82400 +aS'the\tthe\tDT\tB-NP\tO' +p82401 +aS'gastroenterology\tgastroenterology\tNN\tI-NP\tO' +p82402 +aS'consult\tconsult\tNN\tI-NP\tO' +p82403 +aS'service\tservice\tNN\tI-NP\tO' +p82404 +aS'was\tbe\tVBD\tB-VP\tO' +p82405 +aS'contacted\tcontact\tVBN\tI-VP\tO' +p82406 +aS'.\t.\t.\tO\tO' +p82407 +asS'Mitral Valve - E/A Ratio : 1.10' +p82408 +(lp82409 +S'Mitral\tMitral\tNNP\tB-NP\tO' +p82410 +aS'Valve\tValve\tNNP\tI-NP\tO' +p82411 +aS'-\t-\tHYPH\tB-NP\tO' +p82412 +aS'E/A\tE/A\tNNP\tI-NP\tO' +p82413 +aS'Ratio\tRatio\tNNP\tI-NP\tO' +p82414 +aS':\t:\t:\tO\tO' +p82415 +aS'1.10\t1.10\tCD\tB-NP\tO' +p82416 +asS'His Intensive Care Unit stay was unremarkable .' +p82417 +(lp82418 +S'His\tHis\tPRP$\tB-NP\tO' +p82419 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p82420 +aS'Care\tCare\tNNP\tI-NP\tO' +p82421 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p82422 +aS'stay\tstay\tNN\tI-NP\tO' +p82423 +aS'was\tbe\tVBD\tB-VP\tO' +p82424 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p82425 +aS'.\t.\t.\tO\tO' +p82426 +asS'He was also put on Lopressor 150 mg twice a day .' +p82427 +(lp82428 +S'He\tHe\tPRP\tB-NP\tO' +p82429 +aS'was\tbe\tVBD\tB-VP\tO' +p82430 +aS'also\talso\tRB\tI-VP\tO' +p82431 +aS'put\tput\tVBN\tI-VP\tO' +p82432 +aS'on\ton\tIN\tB-PP\tO' +p82433 +aS'Lopressor\tLopressor\tNN\tB-NP\tO' +p82434 +aS'150\t150\tCD\tI-NP\tO' +p82435 +aS'mg\tmg\tNN\tI-NP\tO' +p82436 +aS'twice\ttwice\tRB\tB-NP\tO' +p82437 +aS'a\ta\tDT\tI-NP\tO' +p82438 +aS'day\tday\tNN\tI-NP\tO' +p82439 +aS'.\t.\t.\tO\tO' +p82440 +asS'Dr. Trial was subsequently consulted on 5/5 for surgical intervention .' +p82441 +(lp82442 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p82443 +aS'Trial\tTrial\tNNP\tI-NP\tO' +p82444 +aS'was\tbe\tVBD\tB-VP\tO' +p82445 +aS'subsequently\tsubsequently\tRB\tI-VP\tO' +p82446 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p82447 +aS'on\ton\tIN\tB-PP\tO' +p82448 +aS'5/5\t5/5\tCD\tB-NP\tO' +p82449 +aS'for\tfor\tIN\tB-PP\tO' +p82450 +aS'surgical\tsurgical\tJJ\tB-NP\tO' +p82451 +aS'intervention\tintervention\tNN\tI-NP\tO' +p82452 +aS'.\t.\t.\tO\tO' +p82453 +asS'Status post cholecystectomy and appendectomy .' +p82454 +(lp82455 +S'Status\tStatus\tNNP\tB-NP\tO' +p82456 +aS'post\tpost\tNN\tI-NP\tO' +p82457 +aS'cholecystectomy\tcholecystectomy\tNN\tI-NP\tO' +p82458 +aS'and\tand\tCC\tI-NP\tO' +p82459 +aS'appendectomy\tappendectomy\tNN\tI-NP\tO' +p82460 +aS'.\t.\t.\tO\tO' +p82461 +asS'7.43/24/69 w/ lactate 1.3 ( down from 1.4 on the prior day ) .' +p82462 +(lp82463 +S'7.43/24/69\t7.43/24/69\tCD\tB-NP\tO' +p82464 +aS'w/\tw/\tSYM\tI-NP\tO' +p82465 +aS'lactate\tlactate\tNN\tI-NP\tO' +p82466 +aS'1.3\t1.3\tCD\tI-NP\tO' +p82467 +aS'(\t(\t(\tO\tO' +p82468 +aS'down\tdown\tRB\tB-ADVP\tO' +p82469 +aS'from\tfrom\tIN\tB-PP\tO' +p82470 +aS'1.4\t1.4\tCD\tB-NP\tO' +p82471 +aS'on\ton\tIN\tB-PP\tO' +p82472 +aS'the\tthe\tDT\tB-NP\tO' +p82473 +aS'prior\tprior\tJJ\tI-NP\tO' +p82474 +aS'day\tday\tNN\tI-NP\tO' +p82475 +aS')\t)\t)\tO\tO' +p82476 +aS'.\t.\t.\tO\tO' +p82477 +asS'Stable vitals , depressed .' +p82478 +(lp82479 +S'Stable\tStable\tJJ\tB-NP\tO' +p82480 +aS'vitals\tvital\tNNS\tI-NP\tO' +p82481 +aS',\t,\t,\tO\tO' +p82482 +aS'depressed\tdepress\tVBD\tB-VP\tO' +p82483 +aS'.\t.\t.\tO\tO' +p82484 +asS'Over the next several days his sodium levels were followed and by 5/12/05 his plasma sodium was back to 136 .' +p82485 +(lp82486 +S'Over\tOver\tIN\tB-PP\tO' +p82487 +aS'the\tthe\tDT\tB-NP\tO' +p82488 +aS'next\tnext\tJJ\tI-NP\tO' +p82489 +aS'several\tseveral\tJJ\tI-NP\tO' +p82490 +aS'days\tday\tNNS\tI-NP\tO' +p82491 +aS'his\this\tPRP$\tB-NP\tO' +p82492 +aS'sodium\tsodium\tNN\tI-NP\tO' +p82493 +aS'levels\tlevel\tNNS\tI-NP\tO' +p82494 +aS'were\tbe\tVBD\tB-VP\tO' +p82495 +aS'followed\tfollow\tVBN\tI-VP\tO' +p82496 +aS'and\tand\tCC\tO\tO' +p82497 +aS'by\tby\tIN\tB-PP\tO' +p82498 +aS'5/12/05\t5/12/05\tCD\tB-NP\tO' +p82499 +aS'his\this\tPRP$\tB-NP\tO' +p82500 +aS'plasma\tplasma\tNN\tI-NP\tO' +p82501 +aS'sodium\tsodium\tNN\tI-NP\tO' +p82502 +aS'was\tbe\tVBD\tB-VP\tO' +p82503 +aS'back\tback\tRB\tB-ADVP\tO' +p82504 +aS'to\tto\tTO\tB-PP\tO' +p82505 +aS'136\t136\tCD\tB-NP\tO' +p82506 +aS'.\t.\t.\tO\tO' +p82507 +asS'This was documented in the computer , confirmed with Cardiology attending and fellow , and conveyed to the CCU staff , who were informed she may need to go for transfer ( which was subsequently cancelled ).' +p82508 +(lp82509 +S'This\tThis\tDT\tB-NP\tO' +p82510 +aS'was\tbe\tVBD\tB-VP\tO' +p82511 +aS'documented\tdocument\tVBN\tI-VP\tO' +p82512 +aS'in\tin\tIN\tB-PP\tO' +p82513 +aS'the\tthe\tDT\tB-NP\tO' +p82514 +aS'computer\tcomputer\tNN\tI-NP\tO' +p82515 +aS',\t,\t,\tO\tO' +p82516 +aS'confirmed\tconfirm\tVBN\tB-VP\tO' +p82517 +aS'with\twith\tIN\tB-PP\tO' +p82518 +aS'Cardiology\tCardiology\tNNP\tB-NP\tO' +p82519 +aS'attending\tattend\tVBG\tB-VP\tO' +p82520 +aS'and\tand\tCC\tO\tO' +p82521 +aS'fellow\tfellow\tNN\tB-NP\tO' +p82522 +aS',\t,\t,\tO\tO' +p82523 +aS'and\tand\tCC\tO\tO' +p82524 +aS'conveyed\tconvey\tVBD\tB-VP\tO' +p82525 +aS'to\tto\tTO\tB-PP\tO' +p82526 +aS'the\tthe\tDT\tB-NP\tO' +p82527 +aS'CCU\tCCU\tNN\tI-NP\tB-protein' +p82528 +aS'staff\tstaff\tNN\tI-NP\tI-protein' +p82529 +aS',\t,\t,\tO\tO' +p82530 +aS'who\twho\tWP\tB-NP\tO' +p82531 +aS'were\tbe\tVBD\tB-VP\tO' +p82532 +aS'informed\tinform\tVBN\tI-VP\tO' +p82533 +aS'she\tshe\tPRP\tB-NP\tO' +p82534 +aS'may\tmay\tMD\tB-VP\tO' +p82535 +aS'need\tneed\tVB\tI-VP\tO' +p82536 +aS'to\tto\tTO\tI-VP\tO' +p82537 +aS'go\tgo\tVB\tI-VP\tO' +p82538 +aS'for\tfor\tIN\tB-PP\tO' +p82539 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p82540 +aS'(\t(\t(\tO\tO' +p82541 +aS'which\twhich\tWDT\tB-NP\tO' +p82542 +aS'was\tbe\tVBD\tB-VP\tO' +p82543 +aS'subsequently\tsubsequently\tRB\tI-VP\tO' +p82544 +aS'cancelled\tcancel\tVBN\tI-VP\tO' +p82545 +aS').\t).\t.\tO\tO' +p82546 +asS'CVP on admission was 1 cm of water .' +p82547 +(lp82548 +S'CVP\tCVP\tNN\tB-NP\tB-protein' +p82549 +aS'on\ton\tIN\tB-PP\tO' +p82550 +aS'admission\tadmission\tNN\tB-NP\tO' +p82551 +aS'was\tbe\tVBD\tB-VP\tO' +p82552 +aS'1\t1\tCD\tB-NP\tO' +p82553 +aS'cm\tcm\tNN\tI-NP\tO' +p82554 +aS'of\tof\tIN\tB-PP\tO' +p82555 +aS'water\twater\tNN\tB-NP\tO' +p82556 +aS'.\t.\t.\tO\tO' +p82557 +asS'The patient received Coumadin , 10 mg. , on the evening following the procedure , and is discharged the next day .' +p82558 +(lp82559 +S'The\tThe\tDT\tB-NP\tO' +p82560 +aS'patient\tpatient\tNN\tI-NP\tO' +p82561 +aS'received\treceive\tVBD\tB-VP\tO' +p82562 +aS'Coumadin\tCoumadin\tNNP\tB-NP\tO' +p82563 +aS',\t,\t,\tO\tO' +p82564 +aS'10\t10\tCD\tB-NP\tO' +p82565 +aS'mg.\tmg.\tNN\tI-NP\tO' +p82566 +aS',\t,\t,\tO\tO' +p82567 +aS'on\ton\tIN\tB-PP\tO' +p82568 +aS'the\tthe\tDT\tB-NP\tO' +p82569 +aS'evening\tevening\tNN\tI-NP\tO' +p82570 +aS'following\tfollow\tVBG\tB-PP\tO' +p82571 +aS'the\tthe\tDT\tB-NP\tO' +p82572 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p82573 +aS',\t,\t,\tO\tO' +p82574 +aS'and\tand\tCC\tO\tO' +p82575 +aS'is\tbe\tVBZ\tB-VP\tO' +p82576 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p82577 +aS'the\tthe\tDT\tB-NP\tO' +p82578 +aS'next\tnext\tJJ\tI-NP\tO' +p82579 +aS'day\tday\tNN\tI-NP\tO' +p82580 +aS'.\t.\t.\tO\tO' +p82581 +asS'The patient was treated with CMSAP , which is Cytoxan , Methotrexate , Leukovoranrescue , 5-FU , Adriamycin and Prednisone for four cycles .' +p82582 +(lp82583 +S'The\tThe\tDT\tB-NP\tO' +p82584 +aS'patient\tpatient\tNN\tI-NP\tO' +p82585 +aS'was\tbe\tVBD\tB-VP\tO' +p82586 +aS'treated\ttreat\tVBN\tI-VP\tO' +p82587 +aS'with\twith\tIN\tB-PP\tO' +p82588 +aS'CMSAP\tCMSAP\tNN\tB-NP\tB-protein' +p82589 +aS',\t,\t,\tO\tO' +p82590 +aS'which\twhich\tWDT\tB-NP\tO' +p82591 +aS'is\tbe\tVBZ\tB-VP\tO' +p82592 +aS'Cytoxan\tCytoxan\tNN\tB-NP\tO' +p82593 +aS',\t,\t,\tO\tO' +p82594 +aS'Methotrexate\tMethotrexate\tNN\tB-NP\tO' +p82595 +aS',\t,\t,\tO\tO' +p82596 +aS'Leukovoranrescue\tLeukovoranrescue\tNN\tB-NP\tO' +p82597 +aS',\t,\t,\tO\tO' +p82598 +aS'5-FU\t5-FU\tNN\tB-NP\tO' +p82599 +aS',\t,\t,\tO\tO' +p82600 +aS'Adriamycin\tAdriamycin\tNN\tB-NP\tO' +p82601 +aS'and\tand\tCC\tI-NP\tO' +p82602 +aS'Prednisone\tPrednisone\tNN\tI-NP\tO' +p82603 +aS'for\tfor\tIN\tB-PP\tO' +p82604 +aS'four\tfour\tCD\tB-NP\tO' +p82605 +aS'cycles\tcycle\tNNS\tI-NP\tO' +p82606 +aS'.\t.\t.\tO\tO' +p82607 +asS'The patient is an 82 year-old right handed gentleman who has a past medical history of hypertension and tobacco use presented to the emergency room with acute change in mental status .' +p82608 +(lp82609 +S'The\tThe\tDT\tB-NP\tO' +p82610 +aS'patient\tpatient\tNN\tI-NP\tO' +p82611 +aS'is\tbe\tVBZ\tB-VP\tO' +p82612 +aS'an\tan\tDT\tB-NP\tO' +p82613 +aS'82\t82\tCD\tI-NP\tO' +p82614 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p82615 +aS'right\tright\tJJ\tI-NP\tO' +p82616 +aS'handed\thanded\tJJ\tI-NP\tO' +p82617 +aS'gentleman\tgentleman\tNN\tI-NP\tO' +p82618 +aS'who\twho\tWP\tB-NP\tO' +p82619 +aS'has\thave\tVBZ\tB-VP\tO' +p82620 +aS'a\ta\tDT\tB-NP\tO' +p82621 +aS'past\tpast\tJJ\tI-NP\tO' +p82622 +aS'medical\tmedical\tJJ\tI-NP\tO' +p82623 +aS'history\thistory\tNN\tI-NP\tO' +p82624 +aS'of\tof\tIN\tB-PP\tO' +p82625 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p82626 +aS'and\tand\tCC\tI-NP\tO' +p82627 +aS'tobacco\ttobacco\tNN\tI-NP\tO' +p82628 +aS'use\tuse\tNN\tI-NP\tO' +p82629 +aS'presented\tpresent\tVBN\tB-VP\tO' +p82630 +aS'to\tto\tTO\tB-PP\tO' +p82631 +aS'the\tthe\tDT\tB-NP\tO' +p82632 +aS'emergency\temergency\tNN\tI-NP\tO' +p82633 +aS'room\troom\tNN\tI-NP\tO' +p82634 +aS'with\twith\tIN\tB-PP\tO' +p82635 +aS'acute\tacute\tJJ\tB-NP\tO' +p82636 +aS'change\tchange\tNN\tI-NP\tO' +p82637 +aS'in\tin\tIN\tB-PP\tO' +p82638 +aS'mental\tmental\tJJ\tB-NP\tO' +p82639 +aS'status\tstatus\tNN\tI-NP\tO' +p82640 +aS'.\t.\t.\tO\tO' +p82641 +asS'There were new air space opacifications in the left apex and the right lower lobe .' +p82642 +(lp82643 +S'There\tThere\tEX\tB-NP\tO' +p82644 +aS'were\tbe\tVBD\tB-VP\tO' +p82645 +aS'new\tnew\tJJ\tB-NP\tO' +p82646 +aS'air\tair\tNN\tI-NP\tO' +p82647 +aS'space\tspace\tNN\tI-NP\tO' +p82648 +aS'opacifications\topacification\tNNS\tI-NP\tO' +p82649 +aS'in\tin\tIN\tB-PP\tO' +p82650 +aS'the\tthe\tDT\tB-NP\tO' +p82651 +aS'left\tleft\tJJ\tI-NP\tO' +p82652 +aS'apex\tapex\tNN\tI-NP\tO' +p82653 +aS'and\tand\tCC\tO\tO' +p82654 +aS'the\tthe\tDT\tB-NP\tO' +p82655 +aS'right\tright\tRB\tI-NP\tO' +p82656 +aS'lower\tlow\tJJR\tI-NP\tO' +p82657 +aS'lobe\tlobe\tNN\tI-NP\tO' +p82658 +aS'.\t.\t.\tO\tO' +p82659 +asS'No lymphadenopathy was noted in the neck , there was a question of right axillary lymphadenopathy .' +p82660 +(lp82661 +S'No\tNo\tDT\tB-NP\tO' +p82662 +aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' +p82663 +aS'was\tbe\tVBD\tB-VP\tO' +p82664 +aS'noted\tnote\tVBN\tI-VP\tO' +p82665 +aS'in\tin\tIN\tB-PP\tO' +p82666 +aS'the\tthe\tDT\tB-NP\tO' +p82667 +aS'neck\tneck\tNN\tI-NP\tO' +p82668 +aS',\t,\t,\tO\tO' +p82669 +aS'there\tthere\tEX\tB-NP\tO' +p82670 +aS'was\tbe\tVBD\tB-VP\tO' +p82671 +aS'a\ta\tDT\tB-NP\tO' +p82672 +aS'question\tquestion\tNN\tI-NP\tO' +p82673 +aS'of\tof\tIN\tB-PP\tO' +p82674 +aS'right\tright\tJJ\tB-NP\tO' +p82675 +aS'axillary\taxillary\tJJ\tI-NP\tO' +p82676 +aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' +p82677 +aS'.\t.\t.\tO\tO' +p82678 +asS'Bibasilar atelectasis is unchanged .' +p82679 +(lp82680 +S'Bibasilar\tBibasilar\tJJ\tB-NP\tO' +p82681 +aS'atelectasis\tatelectasis\tNN\tI-NP\tO' +p82682 +aS'is\tbe\tVBZ\tB-VP\tO' +p82683 +aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' +p82684 +aS'.\t.\t.\tO\tO' +p82685 +asS'Pt was treated with labetalol gtt in CMED CCU which was weaned off on 01-20 .' +p82686 +(lp82687 +S'Pt\tPt\tNN\tB-NP\tO' +p82688 +aS'was\tbe\tVBD\tB-VP\tO' +p82689 +aS'treated\ttreat\tVBN\tI-VP\tO' +p82690 +aS'with\twith\tIN\tB-PP\tO' +p82691 +aS'labetalol\tlabetalol\tNN\tB-NP\tO' +p82692 +aS'gtt\tgtt\tNN\tI-NP\tO' +p82693 +aS'in\tin\tIN\tB-PP\tO' +p82694 +aS'CMED\tCMED\tVBN\tB-NP\tO' +p82695 +aS'CCU\tCCU\tNN\tI-NP\tO' +p82696 +aS'which\twhich\tWDT\tB-NP\tO' +p82697 +aS'was\tbe\tVBD\tB-VP\tO' +p82698 +aS'weaned\twean\tVBN\tI-VP\tO' +p82699 +aS'off\toff\tRP\tB-PRT\tO' +p82700 +aS'on\ton\tIN\tB-PP\tO' +p82701 +aS'01-20\t01-20\tCD\tB-NP\tO' +p82702 +aS'.\t.\t.\tO\tO' +p82703 +asS'15. Benadryl as needed .' +p82704 +(lp82705 +S'15.\t15.\tLS\tB-NP\tO' +p82706 +aS'Benadryl\tBenadryl\tNN\tI-NP\tO' +p82707 +aS'as\tas\tIN\tB-SBAR\tO' +p82708 +aS'needed\tneed\tVBN\tB-VP\tO' +p82709 +aS'.\t.\t.\tO\tO' +p82710 +asS'The patient was subsequently scheduled for a mechanical aortic valve replacement procedure with aortic replacement on 2010-06-07 .' +p82711 +(lp82712 +S'The\tThe\tDT\tB-NP\tO' +p82713 +aS'patient\tpatient\tNN\tI-NP\tO' +p82714 +aS'was\tbe\tVBD\tB-VP\tO' +p82715 +aS'subsequently\tsubsequently\tRB\tI-VP\tO' +p82716 +aS'scheduled\tschedule\tVBN\tI-VP\tO' +p82717 +aS'for\tfor\tIN\tB-PP\tO' +p82718 +aS'a\ta\tDT\tB-NP\tO' +p82719 +aS'mechanical\tmechanical\tJJ\tI-NP\tO' +p82720 +aS'aortic\taortic\tJJ\tI-NP\tO' +p82721 +aS'valve\tvalve\tNN\tI-NP\tO' +p82722 +aS'replacement\treplacement\tNN\tI-NP\tO' +p82723 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p82724 +aS'with\twith\tIN\tB-PP\tO' +p82725 +aS'aortic\taortic\tJJ\tB-NP\tO' +p82726 +aS'replacement\treplacement\tNN\tI-NP\tO' +p82727 +aS'on\ton\tIN\tB-PP\tO' +p82728 +aS'2010-06-07\t2010-06-07\tCD\tB-NP\tO' +p82729 +aS'.\t.\t.\tO\tO' +p82730 +asS'Abdominal examination was soft , non-tender , non-distended , positive bowel sounds , no hepatosplenomegaly , no abdominal tenderness .' +p82731 +(lp82732 +S'Abdominal\tAbdominal\tJJ\tB-NP\tO' +p82733 +aS'examination\texamination\tNN\tI-NP\tO' +p82734 +aS'was\tbe\tVBD\tB-VP\tO' +p82735 +aS'soft\tsoft\tJJ\tB-NP\tO' +p82736 +aS',\t,\t,\tI-NP\tO' +p82737 +aS'non-tender\tnon-tender\tJJ\tI-NP\tO' +p82738 +aS',\t,\t,\tI-NP\tO' +p82739 +aS'non-distended\tnon-distended\tJJ\tI-NP\tO' +p82740 +aS',\t,\t,\tI-NP\tO' +p82741 +aS'positive\tpositive\tJJ\tI-NP\tO' +p82742 +aS'bowel\tbowel\tNN\tI-NP\tO' +p82743 +aS'sounds\tsound\tNNS\tI-NP\tO' +p82744 +aS',\t,\t,\tO\tO' +p82745 +aS'no\tno\tDT\tB-NP\tO' +p82746 +aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tI-NP\tO' +p82747 +aS',\t,\t,\tO\tO' +p82748 +aS'no\tno\tDT\tB-NP\tO' +p82749 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p82750 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p82751 +aS'.\t.\t.\tO\tO' +p82752 +asS'A needle biopsy of the right thyroid nodule showed papillary thyroid carcinoma .' +p82753 +(lp82754 +S'A\tA\tDT\tB-NP\tO' +p82755 +aS'needle\tneedle\tNN\tI-NP\tO' +p82756 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p82757 +aS'of\tof\tIN\tB-PP\tO' +p82758 +aS'the\tthe\tDT\tB-NP\tO' +p82759 +aS'right\tright\tJJ\tI-NP\tO' +p82760 +aS'thyroid\tthyroid\tNN\tI-NP\tO' +p82761 +aS'nodule\tnodule\tNN\tI-NP\tO' +p82762 +aS'showed\tshow\tVBD\tB-VP\tO' +p82763 +aS'papillary\tpapillary\tJJ\tB-NP\tO' +p82764 +aS'thyroid\tthyroid\tNN\tI-NP\tO' +p82765 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p82766 +aS'.\t.\t.\tO\tO' +p82767 +asS'The patient responded to aggressive resuscitation and was hemodynamically stable .' +p82768 +(lp82769 +S'The\tThe\tDT\tB-NP\tO' +p82770 +aS'patient\tpatient\tNN\tI-NP\tO' +p82771 +aS'responded\trespond\tVBD\tB-VP\tO' +p82772 +aS'to\tto\tTO\tB-PP\tO' +p82773 +aS'aggressive\taggressive\tJJ\tB-NP\tO' +p82774 +aS'resuscitation\tresuscitation\tNN\tI-NP\tO' +p82775 +aS'and\tand\tCC\tO\tO' +p82776 +aS'was\tbe\tVBD\tB-VP\tO' +p82777 +aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' +p82778 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p82779 +aS'.\t.\t.\tO\tO' +p82780 +asS'She originally had hypotension and a leukocytosis in the ER and was admitted to the CMED CCU .' +p82781 +(lp82782 +S'She\tShe\tPRP\tB-NP\tO' +p82783 +aS'originally\toriginally\tRB\tB-ADVP\tO' +p82784 +aS'had\thave\tVBD\tB-VP\tO' +p82785 +aS'hypotension\thypotension\tNN\tB-NP\tO' +p82786 +aS'and\tand\tCC\tO\tO' +p82787 +aS'a\ta\tDT\tB-NP\tO' +p82788 +aS'leukocytosis\tleukocytosis\tNN\tI-NP\tO' +p82789 +aS'in\tin\tIN\tB-PP\tO' +p82790 +aS'the\tthe\tDT\tB-NP\tO' +p82791 +aS'ER\tER\tNN\tI-NP\tB-protein' +p82792 +aS'and\tand\tCC\tO\tO' +p82793 +aS'was\tbe\tVBD\tB-VP\tO' +p82794 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p82795 +aS'to\tto\tTO\tB-PP\tO' +p82796 +aS'the\tthe\tDT\tB-NP\tO' +p82797 +aS'CMED\tCMED\tVBN\tI-NP\tO' +p82798 +aS'CCU\tCCU\tNN\tI-NP\tO' +p82799 +aS'.\t.\t.\tO\tO' +p82800 +asS'In general the patient is in no apparent distress .' +p82801 +(lp82802 +S'In\tIn\tIN\tB-PP\tO' +p82803 +aS'general\tgeneral\tJJ\tB-ADJP\tO' +p82804 +aS'the\tthe\tDT\tB-NP\tO' +p82805 +aS'patient\tpatient\tNN\tI-NP\tO' +p82806 +aS'is\tbe\tVBZ\tB-VP\tO' +p82807 +aS'in\tin\tIN\tB-PP\tO' +p82808 +aS'no\tno\tDT\tB-NP\tO' +p82809 +aS'apparent\tapparent\tJJ\tI-NP\tO' +p82810 +aS'distress\tdistress\tNN\tI-NP\tO' +p82811 +aS'.\t.\t.\tO\tO' +p82812 +asS'ASHEE SHOULTSNER , M.D. Dr. Lenni Factor No Verlmerver Medical Center Dr. Tomedankell Flowayles No Verlmerver Medical Center STAT' +p82813 +(lp82814 +S'ASHEE\tASHEE\tNNP\tB-NP\tO' +p82815 +aS'SHOULTSNER\tSHOULTSNER\tNNP\tI-NP\tO' +p82816 +aS',\t,\t,\tO\tO' +p82817 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p82818 +aS'Dr.\tDr.\tNNP\tI-NP\tO' +p82819 +aS'Lenni\tLenni\tNNP\tI-NP\tO' +p82820 +aS'Factor\tFactor\tNNP\tI-NP\tO' +p82821 +aS'No\tNo\tNNP\tI-NP\tO' +p82822 +aS'Verlmerver\tVerlmerver\tNNP\tI-NP\tO' +p82823 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p82824 +aS'Center\tCenter\tNNP\tI-NP\tO' +p82825 +aS'Dr.\tDr.\tNNP\tI-NP\tO' +p82826 +aS'Tomedankell\tTomedankell\tNNP\tI-NP\tO' +p82827 +aS'Flowayles\tFlowayles\tNNP\tI-NP\tO' +p82828 +aS'No\tNo\tNNP\tI-NP\tO' +p82829 +aS'Verlmerver\tVerlmerver\tNNP\tI-NP\tO' +p82830 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p82831 +aS'Center\tCenter\tNNP\tI-NP\tO' +p82832 +aS'STAT\tSTAT\tNN\tI-NP\tB-protein' +p82833 +asS"Per the pt 's daughter , the patient has had 2-3 episodes of asp pna in the last 2 months , for which he has received IV abx at the NH with apparent resolution of symptoms ." +p82834 +(lp82835 +S'Per\tPer\tIN\tB-PP\tO' +p82836 +aS'the\tthe\tDT\tB-NP\tO' +p82837 +aS'pt\tpt\tNN\tI-NP\tO' +p82838 +aS"'s\t's\tPOS\tB-NP\tO" +p82839 +aS'daughter\tdaughter\tNN\tI-NP\tO' +p82840 +aS',\t,\t,\tO\tO' +p82841 +aS'the\tthe\tDT\tB-NP\tO' +p82842 +aS'patient\tpatient\tNN\tI-NP\tO' +p82843 +aS'has\thave\tVBZ\tB-VP\tO' +p82844 +aS'had\thave\tVBN\tI-VP\tO' +p82845 +aS'2-3\t2-3\tCD\tB-NP\tO' +p82846 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p82847 +aS'of\tof\tIN\tB-PP\tO' +p82848 +aS'asp\tasp\tNN\tB-NP\tO' +p82849 +aS'pna\tpna\tNN\tI-NP\tO' +p82850 +aS'in\tin\tIN\tB-PP\tO' +p82851 +aS'the\tthe\tDT\tB-NP\tO' +p82852 +aS'last\tlast\tJJ\tI-NP\tO' +p82853 +aS'2\t2\tCD\tI-NP\tO' +p82854 +aS'months\tmonth\tNNS\tI-NP\tO' +p82855 +aS',\t,\t,\tO\tO' +p82856 +aS'for\tfor\tIN\tB-PP\tO' +p82857 +aS'which\twhich\tWDT\tB-NP\tO' +p82858 +aS'he\the\tPRP\tB-NP\tO' +p82859 +aS'has\thave\tVBZ\tB-VP\tO' +p82860 +aS'received\treceive\tVBN\tI-VP\tO' +p82861 +aS'IV\tIV\tCD\tB-NP\tO' +p82862 +aS'abx\tabx\tNN\tI-NP\tO' +p82863 +aS'at\tat\tIN\tB-PP\tO' +p82864 +aS'the\tthe\tDT\tB-NP\tO' +p82865 +aS'NH\tNH\tNN\tI-NP\tO' +p82866 +aS'with\twith\tIN\tB-PP\tO' +p82867 +aS'apparent\tapparent\tJJ\tB-NP\tO' +p82868 +aS'resolution\tresolution\tNN\tI-NP\tO' +p82869 +aS'of\tof\tIN\tB-PP\tO' +p82870 +aS'symptoms\tsymptom\tNNS\tB-NP\tO' +p82871 +aS'.\t.\t.\tO\tO' +p82872 +asS'He is on Amiodarone for post-op afib and this was continued this entire admission .' +p82873 +(lp82874 +S'He\tHe\tPRP\tB-NP\tO' +p82875 +aS'is\tbe\tVBZ\tB-VP\tO' +p82876 +aS'on\ton\tIN\tB-PP\tO' +p82877 +aS'Amiodarone\tAmiodarone\tNN\tB-NP\tO' +p82878 +aS'for\tfor\tIN\tB-PP\tO' +p82879 +aS'post-op\tpost-op\tJJ\tB-NP\tB-protein' +p82880 +aS'afib\tafib\tNN\tI-NP\tI-protein' +p82881 +aS'and\tand\tCC\tO\tO' +p82882 +aS'this\tthis\tDT\tB-NP\tO' +p82883 +aS'was\tbe\tVBD\tB-VP\tO' +p82884 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p82885 +aS'this\tthis\tDT\tB-NP\tO' +p82886 +aS'entire\tentire\tJJ\tI-NP\tO' +p82887 +aS'admission\tadmission\tNN\tI-NP\tO' +p82888 +aS'.\t.\t.\tO\tO' +p82889 +asS'Urine output was about 5 to 8 cc's per kilo per hour .' +p82890 +(lp82891 +S'Urine\tUrine\tNN\tB-NP\tO' +p82892 +aS'output\toutput\tNN\tI-NP\tO' +p82893 +aS'was\tbe\tVBD\tB-VP\tO' +p82894 +aS'about\tabout\tRB\tB-NP\tO' +p82895 +aS'5\t5\tCD\tI-NP\tO' +p82896 +aS'to\tto\tTO\tI-NP\tO' +p82897 +aS'8\t8\tCD\tI-NP\tO' +p82898 +aS'cc's\tcc'\tNNS\tI-NP\tO' +p82899 +aS'per\tper\tIN\tB-PP\tO' +p82900 +aS'kilo\tkilo\tNN\tB-NP\tO' +p82901 +aS'per\tper\tIN\tB-PP\tO' +p82902 +aS'hour\thour\tNN\tB-NP\tO' +p82903 +aS'.\t.\t.\tO\tO' +p82904 +asS'1. Breast cancer , status post lumpectomy .' +p82905 +(lp82906 +S'1.\t1.\tLS\tB-NP\tO' +p82907 +aS'Breast\tBreast\tNN\tI-NP\tO' +p82908 +aS'cancer\tcancer\tNN\tI-NP\tO' +p82909 +aS',\t,\t,\tO\tO' +p82910 +aS'status\tstatus\tNN\tB-NP\tO' +p82911 +aS'post\tpost\tNN\tI-NP\tO' +p82912 +aS'lumpectomy\tlumpectomy\tNN\tI-NP\tO' +p82913 +aS'.\t.\t.\tO\tO' +p82914 +asS'Significant for sodium 140 , potassium 3 , BUN 35 , creatinine 3.6 , liver function tests within normal limits , calcium 6.6 , albumin 2 , magnesium1.4 , PT 14 , white count 30.1 with 77 polys , 13 bands , 5 lymphs , and 5 monos .' +p82915 +(lp82916 +S'Significant\tSignificant\tJJ\tB-ADJP\tO' +p82917 +aS'for\tfor\tIN\tB-PP\tO' +p82918 +aS'sodium\tsodium\tNN\tB-NP\tO' +p82919 +aS'140\t140\tCD\tI-NP\tO' +p82920 +aS',\t,\t,\tO\tO' +p82921 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p82922 +aS'3\t3\tCD\tI-NP\tO' +p82923 +aS',\t,\t,\tO\tO' +p82924 +aS'BUN\tBUN\tNN\tB-NP\tB-DNA' +p82925 +aS'35\t35\tCD\tI-NP\tI-DNA' +p82926 +aS',\t,\t,\tO\tO' +p82927 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p82928 +aS'3.6\t3.6\tCD\tI-NP\tO' +p82929 +aS',\t,\t,\tO\tO' +p82930 +aS'liver\tliver\tNN\tB-NP\tO' +p82931 +aS'function\tfunction\tNN\tI-NP\tO' +p82932 +aS'tests\ttest\tNNS\tI-NP\tO' +p82933 +aS'within\twithin\tIN\tB-PP\tO' +p82934 +aS'normal\tnormal\tJJ\tB-NP\tO' +p82935 +aS'limits\tlimit\tNNS\tI-NP\tO' +p82936 +aS',\t,\t,\tO\tO' +p82937 +aS'calcium\tcalcium\tNN\tB-NP\tO' +p82938 +aS'6.6\t6.6\tCD\tI-NP\tO' +p82939 +aS',\t,\t,\tO\tO' +p82940 +aS'albumin\talbumin\tNN\tB-NP\tB-protein' +p82941 +aS'2\t2\tCD\tI-NP\tI-protein' +p82942 +aS',\t,\t,\tO\tO' +p82943 +aS'magnesium1.4\tmagnesium1.4\tNN\tB-NP\tO' +p82944 +aS',\t,\t,\tO\tO' +p82945 +aS'PT\tPT\tNN\tB-NP\tB-protein' +p82946 +aS'14\t14\tCD\tI-NP\tI-protein' +p82947 +aS',\t,\t,\tO\tO' +p82948 +aS'white\twhite\tJJ\tB-NP\tO' +p82949 +aS'count\tcount\tNN\tI-NP\tO' +p82950 +aS'30.1\t30.1\tCD\tI-NP\tO' +p82951 +aS'with\twith\tIN\tB-PP\tO' +p82952 +aS'77\t77\tCD\tB-NP\tO' +p82953 +aS'polys\tpoly\tNNS\tI-NP\tO' +p82954 +aS',\t,\t,\tO\tO' +p82955 +aS'13\t13\tCD\tB-NP\tO' +p82956 +aS'bands\tband\tNNS\tI-NP\tO' +p82957 +aS',\t,\t,\tO\tO' +p82958 +aS'5\t5\tCD\tB-NP\tO' +p82959 +aS'lymphs\tlymph\tNNS\tI-NP\tO' +p82960 +aS',\t,\t,\tO\tO' +p82961 +aS'and\tand\tCC\tO\tO' +p82962 +aS'5\t5\tCD\tB-NP\tO' +p82963 +aS'monos\tmono\tNNS\tI-NP\tO' +p82964 +aS'.\t.\t.\tO\tO' +p82965 +asS'He was given 4 units FFP in anticipation of ERCP the following day .' +p82966 +(lp82967 +S'He\tHe\tPRP\tB-NP\tO' +p82968 +aS'was\tbe\tVBD\tB-VP\tO' +p82969 +aS'given\tgive\tVBN\tI-VP\tO' +p82970 +aS'4\t4\tCD\tB-NP\tO' +p82971 +aS'units\tunit\tNNS\tI-NP\tO' +p82972 +aS'FFP\tFFP\tNN\tI-NP\tO' +p82973 +aS'in\tin\tIN\tB-PP\tO' +p82974 +aS'anticipation\tanticipation\tNN\tB-NP\tO' +p82975 +aS'of\tof\tIN\tB-PP\tO' +p82976 +aS'ERCP\tERCP\tNN\tB-NP\tO' +p82977 +aS'the\tthe\tDT\tB-NP\tO' +p82978 +aS'following\tfollow\tVBG\tI-NP\tO' +p82979 +aS'day\tday\tNN\tI-NP\tO' +p82980 +aS'.\t.\t.\tO\tO' +p82981 +asS'Exam was notable for a term infant with flat anterior fontanelle , pink color , normal facies , intact palate , mild retractions , good air entry , no murmurs .' +p82982 +(lp82983 +S'Exam\tExam\tNNP\tB-NP\tO' +p82984 +aS'was\tbe\tVBD\tB-VP\tO' +p82985 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p82986 +aS'for\tfor\tIN\tB-PP\tO' +p82987 +aS'a\ta\tDT\tB-NP\tO' +p82988 +aS'term\tterm\tNN\tI-NP\tO' +p82989 +aS'infant\tinfant\tNN\tI-NP\tO' +p82990 +aS'with\twith\tIN\tB-PP\tO' +p82991 +aS'flat\tflat\tJJ\tB-NP\tO' +p82992 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p82993 +aS'fontanelle\tfontanelle\tNN\tI-NP\tO' +p82994 +aS',\t,\t,\tO\tO' +p82995 +aS'pink\tpink\tJJ\tB-NP\tO' +p82996 +aS'color\tcolor\tNN\tI-NP\tO' +p82997 +aS',\t,\t,\tO\tO' +p82998 +aS'normal\tnormal\tJJ\tB-NP\tO' +p82999 +aS'facies\tfacy\tNNS\tI-NP\tO' +p83000 +aS',\t,\t,\tO\tO' +p83001 +aS'intact\tintact\tJJ\tB-NP\tO' +p83002 +aS'palate\tpalate\tNN\tI-NP\tO' +p83003 +aS',\t,\t,\tO\tO' +p83004 +aS'mild\tmild\tJJ\tB-NP\tO' +p83005 +aS'retractions\tretraction\tNNS\tI-NP\tO' +p83006 +aS',\t,\t,\tO\tO' +p83007 +aS'good\tgood\tJJ\tB-NP\tO' +p83008 +aS'air\tair\tNN\tI-NP\tO' +p83009 +aS'entry\tentry\tNN\tI-NP\tO' +p83010 +aS',\t,\t,\tO\tO' +p83011 +aS'no\tno\tDT\tB-NP\tO' +p83012 +aS'murmurs\tmurmur\tNNS\tI-NP\tO' +p83013 +aS'.\t.\t.\tO\tO' +p83014 +asS'normal sinus rhythm at 73 beats per minute .' +p83015 +(lp83016 +S'normal\tnormal\tJJ\tB-NP\tO' +p83017 +aS'sinus\tsinus\tNN\tI-NP\tO' +p83018 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p83019 +aS'at\tat\tIN\tB-PP\tO' +p83020 +aS'73\t73\tCD\tB-NP\tO' +p83021 +aS'beats\tbeat\tNNS\tI-NP\tO' +p83022 +aS'per\tper\tIN\tB-PP\tO' +p83023 +aS'minute\tminute\tNN\tB-NP\tO' +p83024 +aS'.\t.\t.\tO\tO' +p83025 +asS'The parents were updated throughout the admission and a family meeting was held on 2015-06-09 .' +p83026 +(lp83027 +S'The\tThe\tDT\tB-NP\tO' +p83028 +aS'parents\tparent\tNNS\tI-NP\tO' +p83029 +aS'were\tbe\tVBD\tB-VP\tO' +p83030 +aS'updated\tupdate\tVBN\tI-VP\tO' +p83031 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p83032 +aS'the\tthe\tDT\tB-NP\tO' +p83033 +aS'admission\tadmission\tNN\tI-NP\tO' +p83034 +aS'and\tand\tCC\tO\tO' +p83035 +aS'a\ta\tDT\tB-NP\tO' +p83036 +aS'family\tfamily\tNN\tI-NP\tO' +p83037 +aS'meeting\tmeeting\tNN\tI-NP\tO' +p83038 +aS'was\tbe\tVBD\tB-VP\tO' +p83039 +aS'held\thold\tVBN\tI-VP\tO' +p83040 +aS'on\ton\tIN\tB-PP\tO' +p83041 +aS'2015-06-09\t2015-06-09\tCD\tB-NP\tO' +p83042 +aS'.\t.\t.\tO\tO' +p83043 +asS'However , her creatinine has worsened up to 4.2 .' +p83044 +(lp83045 +S'However\tHowever\tRB\tB-ADVP\tO' +p83046 +aS',\t,\t,\tO\tO' +p83047 +aS'her\ther\tPRP$\tB-NP\tO' +p83048 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p83049 +aS'has\thave\tVBZ\tB-VP\tO' +p83050 +aS'worsened\tworsen\tVBN\tI-VP\tO' +p83051 +aS'up\tup\tIN\tB-NP\tO' +p83052 +aS'to\tto\tTO\tI-NP\tO' +p83053 +aS'4.2\t4.2\tCD\tB-NP\tO' +p83054 +aS'.\t.\t.\tO\tO' +p83055 +asS'She describes the pain as band-like / radiating to both sides but not the back .' +p83056 +(lp83057 +S'She\tShe\tPRP\tB-NP\tO' +p83058 +aS'describes\tdescribe\tVBZ\tB-VP\tO' +p83059 +aS'the\tthe\tDT\tB-NP\tO' +p83060 +aS'pain\tpain\tNN\tI-NP\tO' +p83061 +aS'as\tas\tIN\tB-PP\tO' +p83062 +aS'band-like\tband-like\tJJ\tB-NP\tO' +p83063 +aS'/\t/\tSYM\tI-NP\tO' +p83064 +aS'radiating\tradiating\tNN\tI-NP\tO' +p83065 +aS'to\tto\tTO\tB-PP\tO' +p83066 +aS'both\tboth\tDT\tB-NP\tO' +p83067 +aS'sides\tside\tNNS\tB-NP\tO' +p83068 +aS'but\tbut\tCC\tB-NP\tO' +p83069 +aS'not\tnot\tRB\tI-NP\tO' +p83070 +aS'the\tthe\tDT\tB-NP\tO' +p83071 +aS'back\tback\tNN\tI-NP\tO' +p83072 +aS'.\t.\t.\tO\tO' +p83073 +asS'Pulses were 2+ bilaterally .' +p83074 +(lp83075 +S'Pulses\tPulse\tNNS\tB-NP\tO' +p83076 +aS'were\tbe\tVBD\tB-VP\tO' +p83077 +aS'2+\t2+\tJJ\tB-ADJP\tO' +p83078 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p83079 +aS'.\t.\t.\tO\tO' +p83080 +asS'He had normal bowel movements and had GI prophylaxis throughout his stay .' +p83081 +(lp83082 +S'He\tHe\tPRP\tB-NP\tO' +p83083 +aS'had\thave\tVBD\tB-VP\tO' +p83084 +aS'normal\tnormal\tJJ\tB-NP\tO' +p83085 +aS'bowel\tbowel\tNN\tI-NP\tO' +p83086 +aS'movements\tmovement\tNNS\tI-NP\tO' +p83087 +aS'and\tand\tCC\tO\tO' +p83088 +aS'had\thave\tVBD\tB-VP\tO' +p83089 +aS'GI\tGI\tNN\tB-NP\tO' +p83090 +aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' +p83091 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p83092 +aS'his\this\tPRP$\tB-NP\tO' +p83093 +aS'stay\tstay\tNN\tI-NP\tO' +p83094 +aS'.\t.\t.\tO\tO' +p83095 +asS'The patient was in no acute distress , well developed .' +p83096 +(lp83097 +S'The\tThe\tDT\tB-NP\tO' +p83098 +aS'patient\tpatient\tNN\tI-NP\tO' +p83099 +aS'was\tbe\tVBD\tB-VP\tO' +p83100 +aS'in\tin\tIN\tB-PP\tO' +p83101 +aS'no\tno\tDT\tB-NP\tO' +p83102 +aS'acute\tacute\tJJ\tI-NP\tO' +p83103 +aS'distress\tdistress\tNN\tI-NP\tO' +p83104 +aS',\t,\t,\tO\tO' +p83105 +aS'well\twell\tRB\tB-VP\tO' +p83106 +aS'developed\tdevelop\tVBN\tI-VP\tO' +p83107 +aS'.\t.\t.\tO\tO' +p83108 +asS'A radical retropubic prostatectomy with bilateral lymph node dissection was done .' +p83109 +(lp83110 +S'A\tA\tDT\tB-NP\tO' +p83111 +aS'radical\tradical\tJJ\tI-NP\tO' +p83112 +aS'retropubic\tretropubic\tJJ\tI-NP\tO' +p83113 +aS'prostatectomy\tprostatectomy\tNN\tI-NP\tO' +p83114 +aS'with\twith\tIN\tB-PP\tO' +p83115 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p83116 +aS'lymph\tlymph\tNN\tI-NP\tO' +p83117 +aS'node\tnode\tNN\tI-NP\tO' +p83118 +aS'dissection\tdissection\tNN\tI-NP\tO' +p83119 +aS'was\tbe\tVBD\tB-VP\tO' +p83120 +aS'done\tdo\tVBN\tI-VP\tO' +p83121 +aS'.\t.\t.\tO\tO' +p83122 +asS'Louis follow up scheduled with psychiatry .' +p83123 +(lp83124 +S'Louis\tLouis\tNNP\tB-NP\tO' +p83125 +aS'follow\tfollow\tVB\tB-VP\tO' +p83126 +aS'up\tup\tRP\tB-PRT\tO' +p83127 +aS'scheduled\tschedule\tVBN\tB-VP\tO' +p83128 +aS'with\twith\tIN\tB-PP\tO' +p83129 +aS'psychiatry\tpsychiatry\tNN\tB-NP\tO' +p83130 +aS'.\t.\t.\tO\tO' +p83131 +asS'Peripheral smear revealed blasts of 62% .' +p83132 +(lp83133 +S'Peripheral\tPeripheral\tJJ\tB-NP\tB-cell_type' +p83134 +aS'smear\tsmear\tNN\tI-NP\tI-cell_type' +p83135 +aS'revealed\treveal\tVBD\tB-VP\tI-cell_type' +p83136 +aS'blasts\tblast\tNNS\tB-NP\tI-cell_type' +p83137 +aS'of\tof\tIN\tB-PP\tO' +p83138 +aS'62%\t62%\tCD\tB-NP\tO' +p83139 +aS'.\t.\t.\tO\tO' +p83140 +asS'Creatine kinase was 243 , with a MB of 9 , and a troponin of less than 0.3.' +p83141 +(lp83142 +S'Creatine\tCreatine\tNN\tB-NP\tB-protein' +p83143 +aS'kinase\tkinase\tNN\tI-NP\tI-protein' +p83144 +aS'was\tbe\tVBD\tB-VP\tO' +p83145 +aS'243\t243\tCD\tB-NP\tO' +p83146 +aS',\t,\t,\tO\tO' +p83147 +aS'with\twith\tIN\tB-PP\tO' +p83148 +aS'a\ta\tDT\tB-NP\tO' +p83149 +aS'MB\tMB\tNN\tI-NP\tO' +p83150 +aS'of\tof\tIN\tB-PP\tO' +p83151 +aS'9\t9\tCD\tB-NP\tO' +p83152 +aS',\t,\t,\tO\tO' +p83153 +aS'and\tand\tCC\tO\tO' +p83154 +aS'a\ta\tDT\tB-NP\tO' +p83155 +aS'troponin\ttroponin\tNN\tI-NP\tO' +p83156 +aS'of\tof\tIN\tB-PP\tO' +p83157 +aS'less\tless\tJJR\tB-NP\tO' +p83158 +aS'than\tthan\tIN\tI-NP\tO' +p83159 +aS'0.3.\t0.3.\tCD\tI-NP\tO' +p83160 +asS'There were no meatal blood .' +p83161 +(lp83162 +S'There\tThere\tEX\tB-NP\tO' +p83163 +aS'were\tbe\tVBD\tB-VP\tO' +p83164 +aS'no\tno\tDT\tB-NP\tO' +p83165 +aS'meatal\tmeatal\tJJ\tI-NP\tO' +p83166 +aS'blood\tblood\tNN\tI-NP\tO' +p83167 +aS'.\t.\t.\tO\tO' +p83168 +asS'Hyperbilirubinemia resolving .' +p83169 +(lp83170 +S'Hyperbilirubinemia\tHyperbilirubinemia\tNN\tB-NP\tO' +p83171 +aS'resolving\tresolve\tVBG\tB-VP\tO' +p83172 +aS'.\t.\t.\tO\tO' +p83173 +asS'His only cardiac risk factor includes hypertension .' +p83174 +(lp83175 +S'His\tHis\tPRP$\tB-NP\tO' +p83176 +aS'only\tonly\tJJ\tI-NP\tO' +p83177 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p83178 +aS'risk\trisk\tNN\tI-NP\tO' +p83179 +aS'factor\tfactor\tNN\tI-NP\tO' +p83180 +aS'includes\tinclude\tVBZ\tB-VP\tO' +p83181 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p83182 +aS'.\t.\t.\tO\tO' +p83183 +asS'Latest arterial blood gas with pH of 7.45 , pCO2 43 and pO2 155 on 100 percent oxygen via ventilator .' +p83184 +(lp83185 +S'Latest\tLate\tJJS\tB-NP\tO' +p83186 +aS'arterial\tarterial\tJJ\tI-NP\tO' +p83187 +aS'blood\tblood\tNN\tI-NP\tO' +p83188 +aS'gas\tgas\tNN\tI-NP\tO' +p83189 +aS'with\twith\tIN\tB-PP\tO' +p83190 +aS'pH\tpH\tNN\tB-NP\tO' +p83191 +aS'of\tof\tIN\tB-PP\tO' +p83192 +aS'7.45\t7.45\tCD\tB-NP\tO' +p83193 +aS',\t,\t,\tO\tO' +p83194 +aS'pCO2\tpCO2\tNN\tB-NP\tO' +p83195 +aS'43\t43\tCD\tI-NP\tO' +p83196 +aS'and\tand\tCC\tO\tO' +p83197 +aS'pO2\tpO2\tNN\tB-NP\tO' +p83198 +aS'155\t155\tCD\tI-NP\tO' +p83199 +aS'on\ton\tIN\tB-PP\tO' +p83200 +aS'100\t100\tCD\tB-NP\tO' +p83201 +aS'percent\tpercent\tNN\tI-NP\tO' +p83202 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p83203 +aS'via\tvia\tIN\tB-PP\tO' +p83204 +aS'ventilator\tventilator\tNN\tB-NP\tO' +p83205 +aS'.\t.\t.\tO\tO' +p83206 +asS'3. Potassium chloride 20 mEq p.o. q. day times seven days .' +p83207 +(lp83208 +S'3.\t3.\tLS\tB-NP\tO' +p83209 +aS'Potassium\tPotassium\tNN\tI-NP\tO' +p83210 +aS'chloride\tchloride\tNN\tI-NP\tO' +p83211 +aS'20\t20\tCD\tI-NP\tO' +p83212 +aS'mEq\tmEq\tNN\tI-NP\tO' +p83213 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p83214 +aS'q.\tq.\tNN\tI-NP\tO' +p83215 +aS'day\tday\tNN\tI-NP\tO' +p83216 +aS'times\ttime\tNNS\tI-NP\tO' +p83217 +aS'seven\tseven\tCD\tB-NP\tO' +p83218 +aS'days\tday\tNNS\tI-NP\tO' +p83219 +aS'.\t.\t.\tO\tO' +p83220 +asS'CORYNEBACTERIUM SPECIES ( DIPHTHEROIDS ) .' +p83221 +(lp83222 +S'CORYNEBACTERIUM\tCORYNEBACTERIUM\tNN\tB-NP\tO' +p83223 +aS'SPECIES\tSPECIES\tNN\tI-NP\tO' +p83224 +aS'(\t(\t(\tO\tO' +p83225 +aS'DIPHTHEROIDS\tDIPHTHEROIDS\tNN\tB-NP\tO' +p83226 +aS')\t)\t)\tO\tO' +p83227 +aS'.\t.\t.\tO\tO' +p83228 +asS'Arrangements will be made for radiation therapy to the right neck and right iliac crest .' +p83229 +(lp83230 +S'Arrangements\tArrangement\tNNS\tB-NP\tO' +p83231 +aS'will\twill\tMD\tB-VP\tO' +p83232 +aS'be\tbe\tVB\tI-VP\tO' +p83233 +aS'made\tmake\tVBN\tI-VP\tO' +p83234 +aS'for\tfor\tIN\tB-PP\tO' +p83235 +aS'radiation\tradiation\tNN\tB-NP\tO' +p83236 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p83237 +aS'to\tto\tTO\tB-PP\tO' +p83238 +aS'the\tthe\tDT\tB-NP\tO' +p83239 +aS'right\tright\tJJ\tI-NP\tO' +p83240 +aS'neck\tneck\tNN\tI-NP\tO' +p83241 +aS'and\tand\tCC\tI-NP\tO' +p83242 +aS'right\tright\tJJ\tI-NP\tO' +p83243 +aS'iliac\tiliac\tJJ\tI-NP\tO' +p83244 +aS'crest\tcrest\tNN\tI-NP\tO' +p83245 +aS'.\t.\t.\tO\tO' +p83246 +asS'He had multiple sources of infection including his sinuses , lungs , and multiple lines .' +p83247 +(lp83248 +S'He\tHe\tPRP\tB-NP\tO' +p83249 +aS'had\thave\tVBD\tB-VP\tO' +p83250 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p83251 +aS'sources\tsource\tNNS\tI-NP\tO' +p83252 +aS'of\tof\tIN\tB-PP\tO' +p83253 +aS'infection\tinfection\tNN\tB-NP\tO' +p83254 +aS'including\tinclude\tVBG\tB-PP\tO' +p83255 +aS'his\this\tPRP$\tB-NP\tO' +p83256 +aS'sinuses\tsinus\tNNS\tI-NP\tO' +p83257 +aS',\t,\t,\tO\tO' +p83258 +aS'lungs\tlung\tNNS\tB-NP\tO' +p83259 +aS',\t,\t,\tO\tO' +p83260 +aS'and\tand\tCC\tO\tO' +p83261 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p83262 +aS'lines\tline\tNNS\tI-NP\tO' +p83263 +aS'.\t.\t.\tO\tO' +p83264 +asS'His family was notified that he was doing worse and came in to visit him .' +p83265 +(lp83266 +S'His\tHis\tPRP$\tB-NP\tO' +p83267 +aS'family\tfamily\tNN\tI-NP\tO' +p83268 +aS'was\tbe\tVBD\tB-VP\tO' +p83269 +aS'notified\tnotify\tVBN\tI-VP\tO' +p83270 +aS'that\tthat\tIN\tB-SBAR\tO' +p83271 +aS'he\the\tPRP\tB-NP\tO' +p83272 +aS'was\tbe\tVBD\tB-VP\tO' +p83273 +aS'doing\tdo\tVBG\tI-VP\tO' +p83274 +aS'worse\tworse\tJJR\tB-ADJP\tO' +p83275 +aS'and\tand\tCC\tO\tO' +p83276 +aS'came\tcome\tVBD\tB-VP\tO' +p83277 +aS'in\tin\tRP\tB-PRT\tO' +p83278 +aS'to\tto\tTO\tB-VP\tO' +p83279 +aS'visit\tvisit\tVB\tI-VP\tO' +p83280 +aS'him\thim\tPRP\tB-NP\tO' +p83281 +aS'.\t.\t.\tO\tO' +p83282 +asS'Chest x-ray revealed early interstitial edema .' +p83283 +(lp83284 +S'Chest\tCh\tJJS\tB-NP\tO' +p83285 +aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' +p83286 +aS'revealed\treveal\tVBD\tB-VP\tO' +p83287 +aS'early\tearly\tJJ\tB-NP\tO' +p83288 +aS'interstitial\tinterstitial\tJJ\tI-NP\tO' +p83289 +aS'edema\tedema\tNN\tI-NP\tO' +p83290 +aS'.\t.\t.\tO\tO' +p83291 +asS'Flagyl .' +p83292 +(lp83293 +S'Flagyl\tFlagyl\tNN\tB-NP\tO' +p83294 +aS'.\t.\t.\tO\tO' +p83295 +asS'His mental status gradually improved from 03-23 to 03-24 .' +p83296 +(lp83297 +S'His\tHis\tPRP$\tB-NP\tO' +p83298 +aS'mental\tmental\tJJ\tI-NP\tO' +p83299 +aS'status\tstatus\tNN\tI-NP\tO' +p83300 +aS'gradually\tgradually\tRB\tB-ADVP\tO' +p83301 +aS'improved\timprove\tVBD\tB-VP\tO' +p83302 +aS'from\tfrom\tIN\tB-PP\tO' +p83303 +aS'03-23\t03-23\tCD\tB-NP\tO' +p83304 +aS'to\tto\tTO\tB-PP\tO' +p83305 +aS'03-24\t03-24\tCD\tB-NP\tO' +p83306 +aS'.\t.\t.\tO\tO' +p83307 +asS'Given the rapid extension of the subgaleal bleed , coagulopathy workup was initiated revealing an elevated PTT level of 77 as well as factor 8 level that was below detection in the presence of normal factors 5 , 9 , 10 , and 11 .' +p83308 +(lp83309 +S'Given\tGive\tVBN\tB-PP\tO' +p83310 +aS'the\tthe\tDT\tB-NP\tO' +p83311 +aS'rapid\trapid\tJJ\tI-NP\tO' +p83312 +aS'extension\textension\tNN\tI-NP\tO' +p83313 +aS'of\tof\tIN\tB-PP\tO' +p83314 +aS'the\tthe\tDT\tB-NP\tO' +p83315 +aS'subgaleal\tsubgaleal\tJJ\tI-NP\tO' +p83316 +aS'bleed\tbleed\tNN\tI-NP\tO' +p83317 +aS',\t,\t,\tO\tO' +p83318 +aS'coagulopathy\tcoagulopathy\tNN\tB-NP\tO' +p83319 +aS'workup\tworkup\tNN\tI-NP\tO' +p83320 +aS'was\tbe\tVBD\tB-VP\tO' +p83321 +aS'initiated\tinitiate\tVBN\tI-VP\tO' +p83322 +aS'revealing\treveal\tVBG\tI-VP\tO' +p83323 +aS'an\tan\tDT\tB-NP\tO' +p83324 +aS'elevated\televate\tVBN\tI-NP\tO' +p83325 +aS'PTT\tPTT\tNN\tI-NP\tO' +p83326 +aS'level\tlevel\tNN\tI-NP\tO' +p83327 +aS'of\tof\tIN\tB-PP\tO' +p83328 +aS'77\t77\tCD\tB-NP\tO' +p83329 +aS'as\tas\tRB\tI-NP\tO' +p83330 +aS'well\twell\tRB\tI-CONJP\tO' +p83331 +aS'as\tas\tIN\tI-CONJP\tO' +p83332 +aS'factor\tfactor\tNN\tB-NP\tO' +p83333 +aS'8\t8\tCD\tI-NP\tO' +p83334 +aS'level\tlevel\tNN\tI-NP\tO' +p83335 +aS'that\tthat\tWDT\tB-NP\tO' +p83336 +aS'was\tbe\tVBD\tB-VP\tO' +p83337 +aS'below\tbelow\tIN\tB-PP\tO' +p83338 +aS'detection\tdetection\tNN\tB-NP\tO' +p83339 +aS'in\tin\tIN\tB-PP\tO' +p83340 +aS'the\tthe\tDT\tB-NP\tO' +p83341 +aS'presence\tpresence\tNN\tI-NP\tO' +p83342 +aS'of\tof\tIN\tB-PP\tO' +p83343 +aS'normal\tnormal\tJJ\tB-NP\tO' +p83344 +aS'factors\tfactor\tNNS\tI-NP\tO' +p83345 +aS'5\t5\tCD\tB-NP\tO' +p83346 +aS',\t,\t,\tI-NP\tO' +p83347 +aS'9\t9\tCD\tI-NP\tO' +p83348 +aS',\t,\t,\tI-NP\tO' +p83349 +aS'10\t10\tCD\tI-NP\tO' +p83350 +aS',\t,\t,\tO\tO' +p83351 +aS'and\tand\tCC\tO\tO' +p83352 +aS'11\t11\tCD\tB-NP\tO' +p83353 +aS'.\t.\t.\tO\tO' +p83354 +asS'Per notes , pt denied SOB , CP , and abdominal pain prior to intubation .' +p83355 +(lp83356 +S'Per\tPer\tNNP\tB-NP\tO' +p83357 +aS'notes\tnote\tNNS\tI-NP\tO' +p83358 +aS',\t,\t,\tO\tO' +p83359 +aS'pt\tpt\tNN\tB-NP\tO' +p83360 +aS'denied\tdeny\tVBD\tB-VP\tO' +p83361 +aS'SOB\tSOB\tNN\tB-NP\tB-protein' +p83362 +aS',\t,\t,\tO\tO' +p83363 +aS'CP\tCP\tNN\tB-NP\tB-DNA' +p83364 +aS',\t,\t,\tO\tO' +p83365 +aS'and\tand\tCC\tO\tO' +p83366 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p83367 +aS'pain\tpain\tNN\tI-NP\tO' +p83368 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p83369 +aS'to\tto\tTO\tB-PP\tO' +p83370 +aS'intubation\tintubation\tNN\tB-NP\tO' +p83371 +aS'.\t.\t.\tO\tO' +p83372 +asS'Calcium was 7.6 .' +p83373 +(lp83374 +S'Calcium\tCalcium\tNN\tB-NP\tO' +p83375 +aS'was\tbe\tVBD\tB-VP\tO' +p83376 +aS'7.6\t7.6\tCD\tB-NP\tO' +p83377 +aS'.\t.\t.\tO\tO' +p83378 +asS'No lifting more than 10 lbs for at least 10 weeks from the date of surgery .' +p83379 +(lp83380 +S'No\tNo\tDT\tB-NP\tO' +p83381 +aS'lifting\tlift\tVBG\tB-VP\tO' +p83382 +aS'more\tmore\tJJR\tB-NP\tO' +p83383 +aS'than\tthan\tIN\tI-NP\tO' +p83384 +aS'10\t10\tCD\tI-NP\tO' +p83385 +aS'lbs\tlb\tNNS\tI-NP\tO' +p83386 +aS'for\tfor\tIN\tB-PP\tO' +p83387 +aS'at\tat\tIN\tB-NP\tO' +p83388 +aS'least\tleast\tJJS\tI-NP\tO' +p83389 +aS'10\t10\tCD\tI-NP\tO' +p83390 +aS'weeks\tweek\tNNS\tI-NP\tO' +p83391 +aS'from\tfrom\tIN\tB-PP\tO' +p83392 +aS'the\tthe\tDT\tB-NP\tO' +p83393 +aS'date\tdate\tNN\tI-NP\tO' +p83394 +aS'of\tof\tIN\tB-PP\tO' +p83395 +aS'surgery\tsurgery\tNN\tB-NP\tO' +p83396 +aS'.\t.\t.\tO\tO' +p83397 +asS'This former lesion was evident on MR dating back to 2014-08-15 , though is more prominent at this time , likely due to less motion degradation of the current scan .' +p83398 +(lp83399 +S'This\tThis\tDT\tB-NP\tO' +p83400 +aS'former\tformer\tJJ\tI-NP\tO' +p83401 +aS'lesion\tlesion\tNN\tI-NP\tO' +p83402 +aS'was\tbe\tVBD\tB-VP\tO' +p83403 +aS'evident\tevident\tJJ\tB-ADJP\tO' +p83404 +aS'on\ton\tIN\tB-PP\tO' +p83405 +aS'MR\tMR\tNN\tB-NP\tB-protein' +p83406 +aS'dating\tdate\tVBG\tB-VP\tO' +p83407 +aS'back\tback\tRB\tB-ADVP\tO' +p83408 +aS'to\tto\tTO\tB-PP\tO' +p83409 +aS'2014-08-15\t2014-08-15\tCD\tB-NP\tO' +p83410 +aS',\t,\t,\tO\tO' +p83411 +aS'though\tthough\tIN\tB-SBAR\tO' +p83412 +aS'is\tbe\tVBZ\tB-VP\tO' +p83413 +aS'more\tmore\tRBR\tB-ADJP\tO' +p83414 +aS'prominent\tprominent\tJJ\tI-ADJP\tO' +p83415 +aS'at\tat\tIN\tB-PP\tO' +p83416 +aS'this\tthis\tDT\tB-NP\tO' +p83417 +aS'time\ttime\tNN\tI-NP\tO' +p83418 +aS',\t,\t,\tO\tO' +p83419 +aS'likely\tlikely\tRB\tB-ADVP\tO' +p83420 +aS'due\tdue\tIN\tB-PP\tO' +p83421 +aS'to\tto\tTO\tB-PP\tO' +p83422 +aS'less\tless\tJJR\tB-NP\tO' +p83423 +aS'motion\tmotion\tNN\tI-NP\tO' +p83424 +aS'degradation\tdegradation\tNN\tI-NP\tO' +p83425 +aS'of\tof\tIN\tB-PP\tO' +p83426 +aS'the\tthe\tDT\tB-NP\tO' +p83427 +aS'current\tcurrent\tJJ\tI-NP\tO' +p83428 +aS'scan\tscan\tNN\tI-NP\tO' +p83429 +aS'.\t.\t.\tO\tO' +p83430 +asS'She reported nausea on pain medications .' +p83431 +(lp83432 +S'She\tShe\tPRP\tB-NP\tO' +p83433 +aS'reported\treport\tVBD\tB-VP\tO' +p83434 +aS'nausea\tnausea\tNN\tB-NP\tO' +p83435 +aS'on\ton\tIN\tB-PP\tO' +p83436 +aS'pain\tpain\tNN\tB-NP\tO' +p83437 +aS'medications\tmedication\tNNS\tI-NP\tO' +p83438 +aS'.\t.\t.\tO\tO' +p83439 +asS'1. Lopressor 25 mg po bid' +p83440 +(lp83441 +S'1.\t1.\tLS\tB-NP\tO' +p83442 +aS'Lopressor\tLopressor\tNN\tI-NP\tO' +p83443 +aS'25\t25\tCD\tI-NP\tO' +p83444 +aS'mg\tmg\tNN\tI-NP\tO' +p83445 +aS'po\tpo\tNN\tI-NP\tO' +p83446 +aS'bid\tbid\tNN\tI-NP\tO' +p83447 +asS'Ms. Shuffa is a 73-year-old Portuguese speaking woman who was transferred via Med Flight to Verg Medical Center .' +p83448 +(lp83449 +S'Ms.\tMs.\tNNP\tB-NP\tO' +p83450 +aS'Shuffa\tShuffa\tNNP\tI-NP\tO' +p83451 +aS'is\tbe\tVBZ\tB-VP\tO' +p83452 +aS'a\ta\tDT\tB-NP\tO' +p83453 +aS'73-year-old\t73-year-old\tJJ\tI-NP\tO' +p83454 +aS'Portuguese\tPortuguese\tNN\tI-NP\tO' +p83455 +aS'speaking\tspeak\tVBG\tB-VP\tO' +p83456 +aS'woman\twoman\tNN\tB-NP\tO' +p83457 +aS'who\twho\tWP\tB-NP\tO' +p83458 +aS'was\tbe\tVBD\tB-VP\tO' +p83459 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p83460 +aS'via\tvia\tIN\tB-PP\tO' +p83461 +aS'Med\tMed\tNNP\tB-NP\tO' +p83462 +aS'Flight\tFlight\tNNP\tI-NP\tO' +p83463 +aS'to\tto\tTO\tB-PP\tO' +p83464 +aS'Verg\tVerg\tNNP\tB-NP\tO' +p83465 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p83466 +aS'Center\tCenter\tNNP\tI-NP\tO' +p83467 +aS'.\t.\t.\tO\tO' +p83468 +asS'There was pitting edema of both lower extremities but no evidence of cellulitis of the left lower extremity .' +p83469 +(lp83470 +S'There\tThere\tEX\tB-NP\tO' +p83471 +aS'was\tbe\tVBD\tB-VP\tO' +p83472 +aS'pitting\tpit\tVBG\tI-VP\tO' +p83473 +aS'edema\tedema\tNN\tB-NP\tO' +p83474 +aS'of\tof\tIN\tB-PP\tO' +p83475 +aS'both\tboth\tDT\tB-NP\tO' +p83476 +aS'lower\tlow\tJJR\tI-NP\tO' +p83477 +aS'extremities\textremity\tNNS\tI-NP\tO' +p83478 +aS'but\tbut\tCC\tO\tO' +p83479 +aS'no\tno\tDT\tB-NP\tO' +p83480 +aS'evidence\tevidence\tNN\tI-NP\tO' +p83481 +aS'of\tof\tIN\tB-PP\tO' +p83482 +aS'cellulitis\tcellulitis\tNN\tB-NP\tO' +p83483 +aS'of\tof\tIN\tB-PP\tO' +p83484 +aS'the\tthe\tDT\tB-NP\tO' +p83485 +aS'left\tleft\tJJ\tI-NP\tO' +p83486 +aS'lower\tlow\tJJR\tI-NP\tO' +p83487 +aS'extremity\textremity\tNN\tI-NP\tO' +p83488 +aS'.\t.\t.\tO\tO' +p83489 +asS'Although the pt was w/o fever , he had chills .' +p83490 +(lp83491 +S'Although\tAlthough\tIN\tB-SBAR\tO' +p83492 +aS'the\tthe\tDT\tB-NP\tO' +p83493 +aS'pt\tpt\tNN\tI-NP\tO' +p83494 +aS'was\tbe\tVBD\tB-VP\tO' +p83495 +aS'w/o\tw/o\tNN\tB-NP\tO' +p83496 +aS'fever\tfever\tNN\tI-NP\tO' +p83497 +aS',\t,\t,\tO\tO' +p83498 +aS'he\the\tPRP\tB-NP\tO' +p83499 +aS'had\thave\tVBD\tB-VP\tO' +p83500 +aS'chills\tchill\tNNS\tB-NP\tO' +p83501 +aS'.\t.\t.\tO\tO' +p83502 +asS'Aspirin 325 mg PO q.day .' +p83503 +(lp83504 +S'Aspirin\tAspirin\tNN\tB-NP\tO' +p83505 +aS'325\t325\tCD\tI-NP\tO' +p83506 +aS'mg\tmg\tNN\tI-NP\tO' +p83507 +aS'PO\tPO\tNN\tI-NP\tO' +p83508 +aS'q.day\tq.day\tNN\tI-NP\tO' +p83509 +aS'.\t.\t.\tO\tO' +p83510 +asS'10. Metoprolol Tartrate 25 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ).' +p83511 +(lp83512 +S'10.\t10.\tLS\tB-NP\tO' +p83513 +aS'Metoprolol\tMetoprolol\tNN\tI-NP\tO' +p83514 +aS'Tartrate\tTartrate\tNN\tI-NP\tO' +p83515 +aS'25\t25\tCD\tI-NP\tO' +p83516 +aS'mg\tmg\tNN\tI-NP\tO' +p83517 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p83518 +aS'Sig\tSig\tNNP\tI-NP\tO' +p83519 +aS':\t:\t:\tO\tO' +p83520 +aS'One\tOne\tCD\tB-NP\tO' +p83521 +aS'(\t(\t(\tO\tO' +p83522 +aS'1\t1\tCD\tB-NP\tO' +p83523 +aS')\t)\t)\tO\tO' +p83524 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p83525 +aS'PO\tPO\tNN\tI-NP\tO' +p83526 +aS'BID\tBID\tNN\tI-NP\tO' +p83527 +aS'(\t(\t(\tO\tO' +p83528 +aS'2\t2\tCD\tB-NP\tO' +p83529 +aS'times\ttime\tNNS\tI-NP\tO' +p83530 +aS'a\ta\tDT\tB-NP\tO' +p83531 +aS'day\tday\tNN\tI-NP\tO' +p83532 +aS').\t).\t.\tO\tO' +p83533 +asS'Patient was started on heparin drip and bilateral lower extremeties were done which were negative for DVT .' +p83534 +(lp83535 +S'Patient\tPatient\tNN\tB-NP\tO' +p83536 +aS'was\tbe\tVBD\tB-VP\tO' +p83537 +aS'started\tstart\tVBN\tI-VP\tO' +p83538 +aS'on\ton\tIN\tB-PP\tO' +p83539 +aS'heparin\theparin\tNN\tB-NP\tO' +p83540 +aS'drip\tdrip\tNN\tI-NP\tO' +p83541 +aS'and\tand\tCC\tO\tO' +p83542 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p83543 +aS'lower\tlow\tJJR\tI-NP\tO' +p83544 +aS'extremeties\textremety\tNNS\tI-NP\tO' +p83545 +aS'were\tbe\tVBD\tB-VP\tO' +p83546 +aS'done\tdo\tVBN\tI-VP\tO' +p83547 +aS'which\twhich\tWDT\tB-NP\tO' +p83548 +aS'were\tbe\tVBD\tB-VP\tO' +p83549 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p83550 +aS'for\tfor\tIN\tB-PP\tO' +p83551 +aS'DVT\tDVT\tNN\tB-NP\tO' +p83552 +aS'.\t.\t.\tO\tO' +p83553 +asS'bilaterally .' +p83554 +(lp83555 +S'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p83556 +aS'.\t.\t.\tO\tO' +p83557 +asS'It was not associated with any nausea or vomiting .' +p83558 +(lp83559 +S'It\tIt\tPRP\tB-NP\tO' +p83560 +aS'was\tbe\tVBD\tB-VP\tO' +p83561 +aS'not\tnot\tRB\tI-VP\tO' +p83562 +aS'associated\tassociate\tVBN\tI-VP\tO' +p83563 +aS'with\twith\tIN\tB-PP\tO' +p83564 +aS'any\tany\tDT\tB-NP\tO' +p83565 +aS'nausea\tnausea\tNN\tI-NP\tO' +p83566 +aS'or\tor\tCC\tI-NP\tO' +p83567 +aS'vomiting\tvomiting\tNN\tI-NP\tO' +p83568 +aS'.\t.\t.\tO\tO' +p83569 +asS'As a result , she was maintained on her ativan , mirtazapine , risperidone , duloxetine .' +p83570 +(lp83571 +S'As\tAs\tIN\tB-PP\tO' +p83572 +aS'a\ta\tDT\tB-NP\tO' +p83573 +aS'result\tresult\tNN\tI-NP\tO' +p83574 +aS',\t,\t,\tO\tO' +p83575 +aS'she\tshe\tPRP\tB-NP\tO' +p83576 +aS'was\tbe\tVBD\tB-VP\tO' +p83577 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p83578 +aS'on\ton\tIN\tB-PP\tO' +p83579 +aS'her\ther\tPRP$\tB-NP\tO' +p83580 +aS'ativan\tativan\tNN\tI-NP\tO' +p83581 +aS',\t,\t,\tO\tO' +p83582 +aS'mirtazapine\tmirtazapine\tNN\tB-NP\tO' +p83583 +aS',\t,\t,\tO\tO' +p83584 +aS'risperidone\trisperidone\tNN\tB-NP\tO' +p83585 +aS',\t,\t,\tO\tO' +p83586 +aS'duloxetine\tduloxetine\tNN\tB-NP\tO' +p83587 +aS'.\t.\t.\tO\tO' +p83588 +asS'Seasonal allergies .' +p83589 +(lp83590 +S'Seasonal\tSeasonal\tJJ\tB-NP\tO' +p83591 +aS'allergies\tallergy\tNNS\tI-NP\tO' +p83592 +aS'.\t.\t.\tO\tO' +p83593 +asS'She recently retired as a clerical worker .' +p83594 +(lp83595 +S'She\tShe\tPRP\tB-NP\tO' +p83596 +aS'recently\trecently\tRB\tB-ADVP\tO' +p83597 +aS'retired\tretire\tVBD\tB-VP\tO' +p83598 +aS'as\tas\tIN\tB-PP\tO' +p83599 +aS'a\ta\tDT\tB-NP\tO' +p83600 +aS'clerical\tclerical\tJJ\tI-NP\tO' +p83601 +aS'worker\tworker\tNN\tI-NP\tO' +p83602 +aS'.\t.\t.\tO\tO' +p83603 +asS'Compared with the report of the prior study ( images unavailable for review ) of 2017-06-13 , there is no significant change .' +p83604 +(lp83605 +S'Compared\tCompare\tVBN\tB-PP\tO' +p83606 +aS'with\twith\tIN\tB-PP\tO' +p83607 +aS'the\tthe\tDT\tB-NP\tO' +p83608 +aS'report\treport\tNN\tI-NP\tO' +p83609 +aS'of\tof\tIN\tB-PP\tO' +p83610 +aS'the\tthe\tDT\tB-NP\tO' +p83611 +aS'prior\tprior\tJJ\tI-NP\tO' +p83612 +aS'study\tstudy\tNN\tI-NP\tO' +p83613 +aS'(\t(\t(\tO\tO' +p83614 +aS'images\timage\tNNS\tB-NP\tO' +p83615 +aS'unavailable\tunavailable\tJJ\tB-ADJP\tO' +p83616 +aS'for\tfor\tIN\tB-PP\tO' +p83617 +aS'review\treview\tNN\tB-NP\tO' +p83618 +aS')\t)\t)\tO\tO' +p83619 +aS'of\tof\tIN\tB-PP\tO' +p83620 +aS'2017-06-13\t2017-06-13\tCD\tB-NP\tO' +p83621 +aS',\t,\t,\tO\tO' +p83622 +aS'there\tthere\tEX\tB-NP\tO' +p83623 +aS'is\tbe\tVBZ\tB-VP\tO' +p83624 +aS'no\tno\tDT\tB-NP\tO' +p83625 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p83626 +aS'change\tchange\tNN\tI-NP\tO' +p83627 +aS'.\t.\t.\tO\tO' +p83628 +asS'Dr. Trial , Ertca Dirk , Dr. Lenni Brain' +p83629 +(lp83630 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p83631 +aS'Trial\tTrial\tNNP\tI-NP\tO' +p83632 +aS',\t,\t,\tO\tO' +p83633 +aS'Ertca\tErtca\tNNP\tB-NP\tO' +p83634 +aS'Dirk\tDirk\tNNP\tI-NP\tO' +p83635 +aS',\t,\t,\tO\tO' +p83636 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p83637 +aS'Lenni\tLenni\tNNP\tI-NP\tO' +p83638 +aS'Brain\tBrain\tNNP\tI-NP\tO' +p83639 +asS'Apparently , patient was in his usual state of health until two days prior to admission when he noted new onset of chest pain and arm pain , confined to his left side .' +p83640 +(lp83641 +S'Apparently\tApparently\tRB\tB-ADVP\tO' +p83642 +aS',\t,\t,\tO\tO' +p83643 +aS'patient\tpatient\tNN\tB-NP\tO' +p83644 +aS'was\tbe\tVBD\tB-VP\tO' +p83645 +aS'in\tin\tIN\tB-PP\tO' +p83646 +aS'his\this\tPRP$\tB-NP\tO' +p83647 +aS'usual\tusual\tJJ\tI-NP\tO' +p83648 +aS'state\tstate\tNN\tI-NP\tO' +p83649 +aS'of\tof\tIN\tB-PP\tO' +p83650 +aS'health\thealth\tNN\tB-NP\tO' +p83651 +aS'until\tuntil\tIN\tB-PP\tO' +p83652 +aS'two\ttwo\tCD\tB-NP\tO' +p83653 +aS'days\tday\tNNS\tI-NP\tO' +p83654 +aS'prior\tprior\tRB\tB-ADVP\tO' +p83655 +aS'to\tto\tTO\tB-PP\tO' +p83656 +aS'admission\tadmission\tNN\tB-NP\tO' +p83657 +aS'when\twhen\tWRB\tB-ADVP\tO' +p83658 +aS'he\the\tPRP\tB-NP\tO' +p83659 +aS'noted\tnote\tVBD\tB-VP\tO' +p83660 +aS'new\tnew\tJJ\tB-NP\tO' +p83661 +aS'onset\tonset\tNN\tI-NP\tO' +p83662 +aS'of\tof\tIN\tB-PP\tO' +p83663 +aS'chest\tchest\tNN\tB-NP\tO' +p83664 +aS'pain\tpain\tNN\tI-NP\tO' +p83665 +aS'and\tand\tCC\tO\tO' +p83666 +aS'arm\tarm\tNN\tB-NP\tO' +p83667 +aS'pain\tpain\tNN\tI-NP\tO' +p83668 +aS',\t,\t,\tO\tO' +p83669 +aS'confined\tconfine\tVBN\tB-VP\tO' +p83670 +aS'to\tto\tTO\tB-PP\tO' +p83671 +aS'his\this\tPRP$\tB-NP\tO' +p83672 +aS'left\tleft\tJJ\tI-NP\tO' +p83673 +aS'side\tside\tNN\tI-NP\tO' +p83674 +aS'.\t.\t.\tO\tO' +p83675 +asS'Rectal examination was notable for guiaiac positive maroon stool .' +p83676 +(lp83677 +S'Rectal\tRectal\tJJ\tB-NP\tO' +p83678 +aS'examination\texamination\tNN\tI-NP\tO' +p83679 +aS'was\tbe\tVBD\tB-VP\tO' +p83680 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p83681 +aS'for\tfor\tIN\tB-PP\tO' +p83682 +aS'guiaiac\tguiaiac\tJJ\tB-NP\tO' +p83683 +aS'positive\tpositive\tJJ\tI-NP\tO' +p83684 +aS'maroon\tmaroon\tNN\tI-NP\tO' +p83685 +aS'stool\tstool\tNN\tI-NP\tO' +p83686 +aS'.\t.\t.\tO\tO' +p83687 +asS'2017-02-04 and 2017-02-07 and 2017-02-11 : yeast' +p83688 +(lp83689 +S'2017-02-04\t2017-02-04\tCD\tB-NP\tO' +p83690 +aS'and\tand\tCC\tI-NP\tO' +p83691 +aS'2017-02-07\t2017-02-07\tCD\tI-NP\tO' +p83692 +aS'and\tand\tCC\tI-NP\tO' +p83693 +aS'2017-02-11\t2017-02-11\tCD\tI-NP\tO' +p83694 +aS':\t:\t:\tO\tO' +p83695 +aS'yeast\tyeast\tNN\tB-NP\tO' +p83696 +asS'Significant for vertebrobasilar insufficiency , bipolar mood disorder , and hypercholesterolemia , as well as some baseline renal insufficiency .' +p83697 +(lp83698 +S'Significant\tSignificant\tJJ\tB-ADJP\tO' +p83699 +aS'for\tfor\tIN\tB-PP\tO' +p83700 +aS'vertebrobasilar\tvertebrobasilar\tJJ\tB-NP\tO' +p83701 +aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' +p83702 +aS',\t,\t,\tO\tO' +p83703 +aS'bipolar\tbipolar\tJJ\tB-NP\tO' +p83704 +aS'mood\tmood\tNN\tI-NP\tO' +p83705 +aS'disorder\tdisorder\tNN\tI-NP\tO' +p83706 +aS',\t,\t,\tO\tO' +p83707 +aS'and\tand\tCC\tO\tO' +p83708 +aS'hypercholesterolemia\thypercholesterolemia\tNN\tB-NP\tO' +p83709 +aS',\t,\t,\tO\tO' +p83710 +aS'as\tas\tRB\tB-CONJP\tO' +p83711 +aS'well\twell\tRB\tI-CONJP\tO' +p83712 +aS'as\tas\tIN\tI-CONJP\tO' +p83713 +aS'some\tsome\tDT\tB-NP\tO' +p83714 +aS'baseline\tbaseline\tNN\tI-NP\tO' +p83715 +aS'renal\trenal\tJJ\tI-NP\tO' +p83716 +aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' +p83717 +aS'.\t.\t.\tO\tO' +p83718 +asS'He has remained normotensive throughout his CMED stay .' +p83719 +(lp83720 +S'He\tHe\tPRP\tB-NP\tO' +p83721 +aS'has\thave\tVBZ\tB-VP\tO' +p83722 +aS'remained\tremain\tVBN\tI-VP\tO' +p83723 +aS'normotensive\tnormotensive\tJJ\tB-ADJP\tO' +p83724 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p83725 +aS'his\this\tPRP$\tB-NP\tO' +p83726 +aS'CMED\tCMED\tJJ\tI-NP\tO' +p83727 +aS'stay\tstay\tNN\tI-NP\tO' +p83728 +aS'.\t.\t.\tO\tO' +p83729 +asS'Dictated By : Alice T. Mahoney , M.D.' +p83730 +(lp83731 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p83732 +aS'By\tBy\tIN\tB-PP\tO' +p83733 +aS':\t:\t:\tO\tO' +p83734 +aS'Alice\tAlice\tNNP\tB-NP\tO' +p83735 +aS'T.\tT.\tNNP\tI-NP\tO' +p83736 +aS'Mahoney\tMahoney\tNNP\tI-NP\tO' +p83737 +aS',\t,\t,\tO\tO' +p83738 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p83739 +asS'Telephone number is ( 261 ) 564-6894 .' +p83740 +(lp83741 +S'Telephone\tTelephone\tNN\tB-NP\tO' +p83742 +aS'number\tnumber\tNN\tI-NP\tO' +p83743 +aS'is\tbe\tVBZ\tB-VP\tO' +p83744 +aS'(\t(\t(\tO\tO' +p83745 +aS'261\t261\tCD\tB-NP\tO' +p83746 +aS')\t)\t)\tO\tO' +p83747 +aS'564-6894\t564-6894\tCD\tB-NP\tO' +p83748 +aS'.\t.\t.\tO\tO' +p83749 +asS'Eyes were closed .' +p83750 +(lp83751 +S'Eyes\tEye\tNNS\tB-NP\tO' +p83752 +aS'were\tbe\tVBD\tB-VP\tO' +p83753 +aS'closed\tclose\tVBN\tI-VP\tO' +p83754 +aS'.\t.\t.\tO\tO' +p83755 +asS'EMS was called and reported to arrive on scene within three minutes .' +p83756 +(lp83757 +S'EMS\tEMS\tNNS\tB-NP\tO' +p83758 +aS'was\tbe\tVBD\tB-VP\tO' +p83759 +aS'called\tcall\tVBN\tI-VP\tO' +p83760 +aS'and\tand\tCC\tO\tO' +p83761 +aS'reported\treport\tVBN\tB-VP\tO' +p83762 +aS'to\tto\tTO\tB-VP\tO' +p83763 +aS'arrive\tarrive\tVB\tI-VP\tO' +p83764 +aS'on\ton\tIN\tB-PP\tO' +p83765 +aS'scene\tscene\tNN\tB-NP\tO' +p83766 +aS'within\twithin\tIN\tB-PP\tO' +p83767 +aS'three\tthree\tCD\tB-NP\tO' +p83768 +aS'minutes\tminute\tNNS\tI-NP\tO' +p83769 +aS'.\t.\t.\tO\tO' +p83770 +asS'Patient was also seen by the Pulmonary service here and had pulmonary function tests done as part of a pretransplant workup .' +p83771 +(lp83772 +S'Patient\tPatient\tNN\tB-NP\tO' +p83773 +aS'was\tbe\tVBD\tB-VP\tO' +p83774 +aS'also\talso\tRB\tI-VP\tO' +p83775 +aS'seen\tsee\tVBN\tI-VP\tO' +p83776 +aS'by\tby\tIN\tB-PP\tO' +p83777 +aS'the\tthe\tDT\tB-NP\tO' +p83778 +aS'Pulmonary\tPulmonary\tJJ\tI-NP\tO' +p83779 +aS'service\tservice\tNN\tI-NP\tO' +p83780 +aS'here\there\tRB\tB-ADVP\tO' +p83781 +aS'and\tand\tCC\tO\tO' +p83782 +aS'had\thave\tVBD\tB-VP\tO' +p83783 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p83784 +aS'function\tfunction\tNN\tI-NP\tO' +p83785 +aS'tests\ttest\tNNS\tI-NP\tO' +p83786 +aS'done\tdo\tVBN\tB-VP\tO' +p83787 +aS'as\tas\tIN\tB-PP\tO' +p83788 +aS'part\tpart\tNN\tB-NP\tO' +p83789 +aS'of\tof\tIN\tB-PP\tO' +p83790 +aS'a\ta\tDT\tB-NP\tO' +p83791 +aS'pretransplant\tpretransplant\tNN\tI-NP\tO' +p83792 +aS'workup\tworkup\tNN\tI-NP\tO' +p83793 +aS'.\t.\t.\tO\tO' +p83794 +asS'The electrocardiogram demonstrated normal sinus rhythm with poor R wave progression , left atrial enlargement and T wave inversion in leads V 4 , 5 , and' +p83795 +(lp83796 +S'The\tThe\tDT\tB-NP\tO' +p83797 +aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' +p83798 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p83799 +aS'normal\tnormal\tJJ\tB-NP\tO' +p83800 +aS'sinus\tsinus\tNN\tI-NP\tO' +p83801 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p83802 +aS'with\twith\tIN\tB-PP\tO' +p83803 +aS'poor\tpoor\tJJ\tB-NP\tO' +p83804 +aS'R\tR\tNN\tI-NP\tO' +p83805 +aS'wave\twave\tNN\tI-NP\tO' +p83806 +aS'progression\tprogression\tNN\tI-NP\tO' +p83807 +aS',\t,\t,\tO\tO' +p83808 +aS'left\tleave\tVBD\tB-VP\tO' +p83809 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p83810 +aS'enlargement\tenlargement\tNN\tI-NP\tO' +p83811 +aS'and\tand\tCC\tO\tO' +p83812 +aS'T\tT\tNN\tB-NP\tO' +p83813 +aS'wave\twave\tVBP\tB-VP\tO' +p83814 +aS'inversion\tinversion\tNN\tB-NP\tO' +p83815 +aS'in\tin\tIN\tB-PP\tO' +p83816 +aS'leads\tlead\tNNS\tB-NP\tO' +p83817 +aS'V\tV\tNN\tI-NP\tO' +p83818 +aS'4\t4\tCD\tI-NP\tO' +p83819 +aS',\t,\t,\tI-NP\tO' +p83820 +aS'5\t5\tCD\tI-NP\tO' +p83821 +aS',\t,\t,\tO\tO' +p83822 +aS'and\tand\tCC\tO\tO' +p83823 +asS'Lanoxin , 0.25 mg po qd ; Lasix , 20 mg po qd .' +p83824 +(lp83825 +S'Lanoxin\tLanoxin\tNN\tB-NP\tO' +p83826 +aS',\t,\t,\tO\tO' +p83827 +aS'0.25\t0.25\tCD\tB-NP\tO' +p83828 +aS'mg\tmg\tNN\tI-NP\tO' +p83829 +aS'po\tpo\tNN\tI-NP\tO' +p83830 +aS'qd\tqd\tNN\tI-NP\tO' +p83831 +aS';\t;\t:\tO\tO' +p83832 +aS'Lasix\tLasix\tNN\tB-NP\tO' +p83833 +aS',\t,\t,\tO\tO' +p83834 +aS'20\t20\tCD\tB-NP\tO' +p83835 +aS'mg\tmg\tNN\tI-NP\tO' +p83836 +aS'po\tpo\tNN\tI-NP\tO' +p83837 +aS'qd\tqd\tNN\tI-NP\tO' +p83838 +aS'.\t.\t.\tO\tO' +p83839 +asS'The patient lives with two people in Cinglendda .' +p83840 +(lp83841 +S'The\tThe\tDT\tB-NP\tO' +p83842 +aS'patient\tpatient\tNN\tI-NP\tO' +p83843 +aS'lives\tlive\tVBZ\tB-VP\tO' +p83844 +aS'with\twith\tIN\tB-PP\tO' +p83845 +aS'two\ttwo\tCD\tB-NP\tO' +p83846 +aS'people\tpeople\tNNS\tI-NP\tO' +p83847 +aS'in\tin\tIN\tB-PP\tO' +p83848 +aS'Cinglendda\tCinglendda\tNNP\tB-NP\tO' +p83849 +aS'.\t.\t.\tO\tO' +p83850 +asS'The left lateral gaze , the left eye had 1 mm. of lateral sclera showing .' +p83851 +(lp83852 +S'The\tThe\tDT\tB-NP\tO' +p83853 +aS'left\tleft\tJJ\tI-NP\tO' +p83854 +aS'lateral\tlateral\tJJ\tI-NP\tO' +p83855 +aS'gaze\tgaze\tNN\tI-NP\tO' +p83856 +aS',\t,\t,\tO\tO' +p83857 +aS'the\tthe\tDT\tB-NP\tO' +p83858 +aS'left\tleft\tJJ\tI-NP\tO' +p83859 +aS'eye\teye\tNN\tI-NP\tO' +p83860 +aS'had\thave\tVBD\tB-VP\tO' +p83861 +aS'1\t1\tCD\tB-NP\tO' +p83862 +aS'mm.\tmm.\tNN\tI-NP\tO' +p83863 +aS'of\tof\tIN\tB-PP\tO' +p83864 +aS'lateral\tlateral\tJJ\tB-NP\tO' +p83865 +aS'sclera\tsclera\tNN\tI-NP\tO' +p83866 +aS'showing\tshow\tVBG\tB-VP\tO' +p83867 +aS'.\t.\t.\tO\tO' +p83868 +asS'He had gynecomastia .' +p83869 +(lp83870 +S'He\tHe\tPRP\tB-NP\tO' +p83871 +aS'had\thave\tVBD\tB-VP\tO' +p83872 +aS'gynecomastia\tgynecomastia\tNN\tB-NP\tO' +p83873 +aS'.\t.\t.\tO\tO' +p83874 +asS'On presentation , the patient was a young appearing Hispanic male in mild respiratory distress with a blood pressure of 140/90 , heart rate 120 , respirations 32 , and temperature 101 .' +p83875 +(lp83876 +S'On\tOn\tIN\tB-PP\tO' +p83877 +aS'presentation\tpresentation\tNN\tB-NP\tO' +p83878 +aS',\t,\t,\tO\tO' +p83879 +aS'the\tthe\tDT\tB-NP\tO' +p83880 +aS'patient\tpatient\tNN\tI-NP\tO' +p83881 +aS'was\tbe\tVBD\tB-VP\tO' +p83882 +aS'a\ta\tDT\tB-NP\tO' +p83883 +aS'young\tyoung\tJJ\tI-NP\tO' +p83884 +aS'appearing\tappear\tVBG\tI-NP\tO' +p83885 +aS'Hispanic\tHispanic\tJJ\tI-NP\tO' +p83886 +aS'male\tmale\tNN\tI-NP\tO' +p83887 +aS'in\tin\tIN\tB-PP\tO' +p83888 +aS'mild\tmild\tJJ\tB-NP\tO' +p83889 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p83890 +aS'distress\tdistress\tNN\tI-NP\tO' +p83891 +aS'with\twith\tIN\tB-PP\tO' +p83892 +aS'a\ta\tDT\tB-NP\tO' +p83893 +aS'blood\tblood\tNN\tI-NP\tO' +p83894 +aS'pressure\tpressure\tNN\tI-NP\tO' +p83895 +aS'of\tof\tIN\tB-PP\tO' +p83896 +aS'140/90\t140/90\tCD\tB-NP\tO' +p83897 +aS',\t,\t,\tO\tO' +p83898 +aS'heart\theart\tNN\tB-NP\tO' +p83899 +aS'rate\trate\tNN\tI-NP\tO' +p83900 +aS'120\t120\tCD\tI-NP\tO' +p83901 +aS',\t,\t,\tO\tO' +p83902 +aS'respirations\trespiration\tNNS\tB-NP\tO' +p83903 +aS'32\t32\tCD\tB-NP\tO' +p83904 +aS',\t,\t,\tO\tO' +p83905 +aS'and\tand\tCC\tO\tO' +p83906 +aS'temperature\ttemperature\tNN\tB-NP\tO' +p83907 +aS'101\t101\tCD\tI-NP\tO' +p83908 +aS'.\t.\t.\tO\tO' +p83909 +asS'BACK : No CVA tenderness .' +p83910 +(lp83911 +S'BACK\tBACK\tNN\tB-NP\tO' +p83912 +aS':\t:\t:\tO\tO' +p83913 +aS'No\tNo\tDT\tB-NP\tO' +p83914 +aS'CVA\tCVA\tNN\tI-NP\tO' +p83915 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p83916 +aS'.\t.\t.\tO\tO' +p83917 +asS'The patient is an 84 year old male , with a history of hypertension , who was discovered to have an asymptomatic 7 cm abdominal aortic aneurysm on CT scan obtained in the emergency room back in May .' +p83918 +(lp83919 +S'The\tThe\tDT\tB-NP\tO' +p83920 +aS'patient\tpatient\tNN\tI-NP\tO' +p83921 +aS'is\tbe\tVBZ\tB-VP\tO' +p83922 +aS'an\tan\tDT\tB-NP\tO' +p83923 +aS'84\t84\tCD\tI-NP\tO' +p83924 +aS'year\tyear\tNN\tI-NP\tO' +p83925 +aS'old\told\tJJ\tI-NP\tO' +p83926 +aS'male\tmale\tNN\tI-NP\tO' +p83927 +aS',\t,\t,\tO\tO' +p83928 +aS'with\twith\tIN\tB-PP\tO' +p83929 +aS'a\ta\tDT\tB-NP\tO' +p83930 +aS'history\thistory\tNN\tI-NP\tO' +p83931 +aS'of\tof\tIN\tB-PP\tO' +p83932 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p83933 +aS',\t,\t,\tO\tO' +p83934 +aS'who\twho\tWP\tB-NP\tO' +p83935 +aS'was\tbe\tVBD\tB-VP\tO' +p83936 +aS'discovered\tdiscover\tVBN\tI-VP\tO' +p83937 +aS'to\tto\tTO\tI-VP\tO' +p83938 +aS'have\thave\tVB\tI-VP\tO' +p83939 +aS'an\tan\tDT\tB-NP\tO' +p83940 +aS'asymptomatic\tasymptomatic\tJJ\tI-NP\tO' +p83941 +aS'7\t7\tCD\tI-NP\tO' +p83942 +aS'cm\tcm\tNN\tI-NP\tO' +p83943 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p83944 +aS'aortic\taortic\tJJ\tI-NP\tO' +p83945 +aS'aneurysm\taneurysm\tNN\tI-NP\tO' +p83946 +aS'on\ton\tIN\tB-PP\tO' +p83947 +aS'CT\tCT\tNN\tB-NP\tO' +p83948 +aS'scan\tscan\tNN\tI-NP\tO' +p83949 +aS'obtained\tobtain\tVBN\tB-VP\tO' +p83950 +aS'in\tin\tIN\tB-PP\tO' +p83951 +aS'the\tthe\tDT\tB-NP\tO' +p83952 +aS'emergency\temergency\tNN\tI-NP\tO' +p83953 +aS'room\troom\tNN\tI-NP\tO' +p83954 +aS'back\tback\tRB\tB-ADVP\tO' +p83955 +aS'in\tin\tIN\tB-PP\tO' +p83956 +aS'May\tMay\tNNP\tB-NP\tO' +p83957 +aS'.\t.\t.\tO\tO' +p83958 +asS'Mr. Liley was discharged in stable condition , ambulating and voiding independently , and with adequate pain control .' +p83959 +(lp83960 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p83961 +aS'Liley\tLiley\tNNP\tI-NP\tO' +p83962 +aS'was\tbe\tVBD\tB-VP\tO' +p83963 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p83964 +aS'in\tin\tIN\tB-PP\tO' +p83965 +aS'stable\tstable\tJJ\tB-NP\tO' +p83966 +aS'condition\tcondition\tNN\tI-NP\tO' +p83967 +aS',\t,\t,\tO\tO' +p83968 +aS'ambulating\tambulate\tVBG\tB-VP\tO' +p83969 +aS'and\tand\tCC\tI-VP\tO' +p83970 +aS'voiding\tvoid\tVBG\tI-VP\tO' +p83971 +aS'independently\tindependently\tRB\tB-ADVP\tO' +p83972 +aS',\t,\t,\tO\tO' +p83973 +aS'and\tand\tCC\tO\tO' +p83974 +aS'with\twith\tIN\tB-PP\tO' +p83975 +aS'adequate\tadequate\tJJ\tB-NP\tO' +p83976 +aS'pain\tpain\tNN\tI-NP\tO' +p83977 +aS'control\tcontrol\tNN\tI-NP\tO' +p83978 +aS'.\t.\t.\tO\tO' +p83979 +asS'His blood cultures and chest X-ray were negative .' +p83980 +(lp83981 +S'His\tHis\tPRP$\tB-NP\tO' +p83982 +aS'blood\tblood\tNN\tI-NP\tO' +p83983 +aS'cultures\tculture\tNNS\tI-NP\tO' +p83984 +aS'and\tand\tCC\tO\tO' +p83985 +aS'chest\tchest\tNN\tB-NP\tO' +p83986 +aS'X-ray\tX-ray\tNN\tI-NP\tO' +p83987 +aS'were\tbe\tVBD\tB-VP\tO' +p83988 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p83989 +aS'.\t.\t.\tO\tO' +p83990 +asS'Cardiology was aware of the patient .' +p83991 +(lp83992 +S'Cardiology\tCardiology\tNNP\tB-NP\tO' +p83993 +aS'was\tbe\tVBD\tB-VP\tO' +p83994 +aS'aware\taware\tJJ\tB-ADJP\tO' +p83995 +aS'of\tof\tIN\tB-PP\tO' +p83996 +aS'the\tthe\tDT\tB-NP\tO' +p83997 +aS'patient\tpatient\tNN\tI-NP\tO' +p83998 +aS'.\t.\t.\tO\tO' +p83999 +asS'The patient tolerated the procedure well and was transferred to the Post Anesthesia Care Unit and then to the floor in stable condition .' +p84000 +(lp84001 +S'The\tThe\tDT\tB-NP\tO' +p84002 +aS'patient\tpatient\tNN\tI-NP\tO' +p84003 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p84004 +aS'the\tthe\tDT\tB-NP\tO' +p84005 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p84006 +aS'well\twell\tRB\tB-ADVP\tO' +p84007 +aS'and\tand\tCC\tO\tO' +p84008 +aS'was\tbe\tVBD\tB-VP\tO' +p84009 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p84010 +aS'to\tto\tTO\tB-PP\tO' +p84011 +aS'the\tthe\tDT\tB-NP\tO' +p84012 +aS'Post\tPost\tNNP\tI-NP\tO' +p84013 +aS'Anesthesia\tAnesthesia\tNNP\tI-NP\tO' +p84014 +aS'Care\tCare\tNNP\tI-NP\tO' +p84015 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p84016 +aS'and\tand\tCC\tO\tO' +p84017 +aS'then\tthen\tRB\tB-ADVP\tO' +p84018 +aS'to\tto\tTO\tB-PP\tO' +p84019 +aS'the\tthe\tDT\tB-NP\tO' +p84020 +aS'floor\tfloor\tNN\tI-NP\tO' +p84021 +aS'in\tin\tIN\tB-PP\tO' +p84022 +aS'stable\tstable\tJJ\tB-NP\tO' +p84023 +aS'condition\tcondition\tNN\tI-NP\tO' +p84024 +aS'.\t.\t.\tO\tO' +p84025 +asS'The patient was started on total parenteral nutrition .' +p84026 +(lp84027 +S'The\tThe\tDT\tB-NP\tO' +p84028 +aS'patient\tpatient\tNN\tI-NP\tO' +p84029 +aS'was\tbe\tVBD\tB-VP\tO' +p84030 +aS'started\tstart\tVBN\tI-VP\tO' +p84031 +aS'on\ton\tIN\tB-PP\tO' +p84032 +aS'total\ttotal\tJJ\tB-NP\tO' +p84033 +aS'parenteral\tparenteral\tJJ\tI-NP\tO' +p84034 +aS'nutrition\tnutrition\tNN\tI-NP\tO' +p84035 +aS'.\t.\t.\tO\tO' +p84036 +asS'Abdominal exam revealed soft , nontender , and nondistended abdomen .' +p84037 +(lp84038 +S'Abdominal\tAbdominal\tJJ\tB-NP\tO' +p84039 +aS'exam\texam\tNN\tI-NP\tO' +p84040 +aS'revealed\treveal\tVBD\tB-VP\tO' +p84041 +aS'soft\tsoft\tJJ\tB-NP\tO' +p84042 +aS',\t,\t,\tI-NP\tO' +p84043 +aS'nontender\tnontender\tJJ\tI-NP\tO' +p84044 +aS',\t,\t,\tO\tO' +p84045 +aS'and\tand\tCC\tO\tO' +p84046 +aS'nondistended\tnondistended\tJJ\tB-NP\tO' +p84047 +aS'abdomen\tabdoman\tNNS\tI-NP\tO' +p84048 +aS'.\t.\t.\tO\tO' +p84049 +asS'The head , eyes , ears , nose and throat examination revealed no ocular abnormalities .' +p84050 +(lp84051 +S'The\tThe\tDT\tB-NP\tO' +p84052 +aS'head\thead\tNN\tI-NP\tO' +p84053 +aS',\t,\t,\tO\tO' +p84054 +aS'eyes\teye\tNNS\tB-NP\tO' +p84055 +aS',\t,\t,\tO\tO' +p84056 +aS'ears\tear\tNNS\tB-NP\tO' +p84057 +aS',\t,\t,\tO\tO' +p84058 +aS'nose\tnose\tNN\tB-NP\tO' +p84059 +aS'and\tand\tCC\tI-NP\tO' +p84060 +aS'throat\tthroat\tNN\tI-NP\tO' +p84061 +aS'examination\texamination\tNN\tI-NP\tO' +p84062 +aS'revealed\treveal\tVBD\tB-VP\tO' +p84063 +aS'no\tno\tDT\tB-NP\tO' +p84064 +aS'ocular\tocular\tJJ\tI-NP\tO' +p84065 +aS'abnormalities\tabnormality\tNNS\tI-NP\tO' +p84066 +aS'.\t.\t.\tO\tO' +p84067 +asS'Due to seizure activity , Dilantin was started .' +p84068 +(lp84069 +S'Due\tDue\tJJ\tB-ADJP\tO' +p84070 +aS'to\tto\tTO\tB-PP\tO' +p84071 +aS'seizure\tseizure\tNN\tB-NP\tO' +p84072 +aS'activity\tactivity\tNN\tI-NP\tO' +p84073 +aS',\t,\t,\tO\tO' +p84074 +aS'Dilantin\tDilantin\tNN\tB-NP\tB-protein' +p84075 +aS'was\tbe\tVBD\tB-VP\tO' +p84076 +aS'started\tstart\tVBN\tI-VP\tO' +p84077 +aS'.\t.\t.\tO\tO' +p84078 +asS'She had a 3 cm mobile gelatinous well-circumscribed mass in the right supraclavicular region .' +p84079 +(lp84080 +S'She\tShe\tPRP\tB-NP\tO' +p84081 +aS'had\thave\tVBD\tB-VP\tO' +p84082 +aS'a\ta\tDT\tB-NP\tO' +p84083 +aS'3\t3\tCD\tI-NP\tO' +p84084 +aS'cm\tcm\tNN\tI-NP\tO' +p84085 +aS'mobile\tmobile\tJJ\tI-NP\tO' +p84086 +aS'gelatinous\tgelatinous\tJJ\tI-NP\tO' +p84087 +aS'well-circumscribed\twell-circumscribed\tJJ\tI-NP\tO' +p84088 +aS'mass\tmass\tNN\tI-NP\tO' +p84089 +aS'in\tin\tIN\tB-PP\tO' +p84090 +aS'the\tthe\tDT\tB-NP\tO' +p84091 +aS'right\tright\tJJ\tI-NP\tB-DNA' +p84092 +aS'supraclavicular\tsupraclavicular\tJJ\tI-NP\tI-DNA' +p84093 +aS'region\tregion\tNN\tI-NP\tI-DNA' +p84094 +aS'.\t.\t.\tO\tO' +p84095 +asS'walk with assist per PT eval' +p84096 +(lp84097 +S'walk\twalk\tNN\tB-NP\tO' +p84098 +aS'with\twith\tIN\tB-PP\tO' +p84099 +aS'assist\tassist\tNN\tB-NP\tO' +p84100 +aS'per\tper\tIN\tB-PP\tO' +p84101 +aS'PT\tPT\tNN\tB-NP\tO' +p84102 +aS'eval\teval\tNN\tI-NP\tO' +p84103 +asS'The patient may be discharge Harry 02-08 pending observations for delirium tremens after discussion with primary care physician , Dr. Blue who knows the patient well .' +p84104 +(lp84105 +S'The\tThe\tDT\tB-NP\tO' +p84106 +aS'patient\tpatient\tNN\tI-NP\tO' +p84107 +aS'may\tmay\tMD\tB-VP\tO' +p84108 +aS'be\tbe\tVB\tI-VP\tO' +p84109 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p84110 +aS'Harry\tHarry\tNNP\tB-NP\tO' +p84111 +aS'02-08\t02-08\tCD\tI-NP\tO' +p84112 +aS'pending\tpende\tVBG\tI-NP\tO' +p84113 +aS'observations\tobservation\tNNS\tI-NP\tO' +p84114 +aS'for\tfor\tIN\tB-PP\tO' +p84115 +aS'delirium\tdelirium\tNN\tB-NP\tO' +p84116 +aS'tremens\ttremen\tNNS\tI-NP\tO' +p84117 +aS'after\tafter\tIN\tB-PP\tO' +p84118 +aS'discussion\tdiscussion\tNN\tB-NP\tO' +p84119 +aS'with\twith\tIN\tB-PP\tO' +p84120 +aS'primary\tprimary\tJJ\tB-NP\tO' +p84121 +aS'care\tcare\tNN\tI-NP\tO' +p84122 +aS'physician\tphysician\tNN\tI-NP\tO' +p84123 +aS',\t,\t,\tO\tO' +p84124 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p84125 +aS'Blue\tBlue\tNNP\tI-NP\tO' +p84126 +aS'who\twho\tWP\tB-NP\tO' +p84127 +aS'knows\tknow\tVBZ\tB-VP\tO' +p84128 +aS'the\tthe\tDT\tB-NP\tO' +p84129 +aS'patient\tpatient\tNN\tI-NP\tO' +p84130 +aS'well\twell\tRB\tB-ADVP\tO' +p84131 +aS'.\t.\t.\tO\tO' +p84132 +asS'He was a well-developed , well-nourished man who was breathing comfortably .' +p84133 +(lp84134 +S'He\tHe\tPRP\tB-NP\tO' +p84135 +aS'was\tbe\tVBD\tB-VP\tO' +p84136 +aS'a\ta\tDT\tB-NP\tO' +p84137 +aS'well-developed\twell-developed\tJJ\tI-NP\tO' +p84138 +aS',\t,\t,\tI-NP\tO' +p84139 +aS'well-nourished\twell-nourished\tJJ\tI-NP\tO' +p84140 +aS'man\tman\tNN\tI-NP\tO' +p84141 +aS'who\twho\tWP\tB-NP\tO' +p84142 +aS'was\tbe\tVBD\tB-VP\tO' +p84143 +aS'breathing\tbreathe\tVBG\tI-VP\tO' +p84144 +aS'comfortably\tcomfortably\tRB\tB-ADVP\tO' +p84145 +aS'.\t.\t.\tO\tO' +p84146 +asS'He is able to flex his right hip to 100 degrees .' +p84147 +(lp84148 +S'He\tHe\tPRP\tB-NP\tO' +p84149 +aS'is\tbe\tVBZ\tB-VP\tO' +p84150 +aS'able\table\tJJ\tB-ADJP\tO' +p84151 +aS'to\tto\tTO\tB-VP\tO' +p84152 +aS'flex\tflex\tVB\tI-VP\tO' +p84153 +aS'his\this\tPRP$\tB-NP\tO' +p84154 +aS'right\tright\tJJ\tI-NP\tO' +p84155 +aS'hip\thip\tNN\tI-NP\tO' +p84156 +aS'to\tto\tTO\tB-PP\tO' +p84157 +aS'100\t100\tCD\tB-NP\tO' +p84158 +aS'degrees\tdegree\tNNS\tI-NP\tO' +p84159 +aS'.\t.\t.\tO\tO' +p84160 +asS'No atrial septal defect is seen by 2D or color Doppler .' +p84161 +(lp84162 +S'No\tNo\tDT\tB-NP\tO' +p84163 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p84164 +aS'septal\tseptal\tJJ\tI-NP\tO' +p84165 +aS'defect\tdefect\tNN\tI-NP\tO' +p84166 +aS'is\tbe\tVBZ\tB-VP\tO' +p84167 +aS'seen\tsee\tVBN\tI-VP\tO' +p84168 +aS'by\tby\tIN\tB-PP\tO' +p84169 +aS'2D\t2D\tNN\tB-NP\tO' +p84170 +aS'or\tor\tCC\tI-NP\tO' +p84171 +aS'color\tcolor\tNN\tI-NP\tO' +p84172 +aS'Doppler\tDoppler\tNNP\tI-NP\tO' +p84173 +aS'.\t.\t.\tO\tO' +p84174 +asS'3. Coronary artery bypass grafting times two .' +p84175 +(lp84176 +S'3.\t3.\tLS\tB-NP\tO' +p84177 +aS'Coronary\tCoronary\tJJ\tI-NP\tO' +p84178 +aS'artery\tartery\tNN\tI-NP\tO' +p84179 +aS'bypass\tbypass\tIN\tB-PP\tO' +p84180 +aS'grafting\tgraft\tVBG\tB-VP\tO' +p84181 +aS'times\ttime\tNNS\tB-NP\tO' +p84182 +aS'two\ttwo\tCD\tB-NP\tO' +p84183 +aS'.\t.\t.\tO\tO' +p84184 +asS'The patient is now admitted for exploratory laparotomy .' +p84185 +(lp84186 +S'The\tThe\tDT\tB-NP\tO' +p84187 +aS'patient\tpatient\tNN\tI-NP\tO' +p84188 +aS'is\tbe\tVBZ\tB-VP\tO' +p84189 +aS'now\tnow\tRB\tI-VP\tO' +p84190 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p84191 +aS'for\tfor\tIN\tB-PP\tO' +p84192 +aS'exploratory\texploratory\tJJ\tB-NP\tO' +p84193 +aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' +p84194 +aS'.\t.\t.\tO\tO' +p84195 +asS'A trauma evaluation was negative and thus he was transferred to the Neurology Service .' +p84196 +(lp84197 +S'A\tA\tDT\tB-NP\tO' +p84198 +aS'trauma\ttrauma\tNN\tI-NP\tO' +p84199 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p84200 +aS'was\tbe\tVBD\tB-VP\tO' +p84201 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p84202 +aS'and\tand\tCC\tO\tO' +p84203 +aS'thus\tthus\tRB\tB-ADVP\tO' +p84204 +aS'he\the\tPRP\tB-NP\tO' +p84205 +aS'was\tbe\tVBD\tB-VP\tO' +p84206 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p84207 +aS'to\tto\tTO\tB-PP\tO' +p84208 +aS'the\tthe\tDT\tB-NP\tO' +p84209 +aS'Neurology\tNeurology\tNNP\tI-NP\tO' +p84210 +aS'Service\tService\tNNP\tI-NP\tO' +p84211 +aS'.\t.\t.\tO\tO' +p84212 +asS'Ejection fraction was noted to be 20% .' +p84213 +(lp84214 +S'Ejection\tEjection\tNN\tB-NP\tO' +p84215 +aS'fraction\tfraction\tNN\tI-NP\tO' +p84216 +aS'was\tbe\tVBD\tB-VP\tO' +p84217 +aS'noted\tnote\tVBN\tI-VP\tO' +p84218 +aS'to\tto\tTO\tI-VP\tO' +p84219 +aS'be\tbe\tVB\tI-VP\tO' +p84220 +aS'20%\t20%\tCD\tB-NP\tO' +p84221 +aS'.\t.\t.\tO\tO' +p84222 +asS'Chief Complaint: recent mild angina with exertion' +p84223 +(lp84224 +S'Chief\tChief\tJJ\tB-NP\tO' +p84225 +aS'Complaint:\tComplaint:\tNNP\tI-NP\tO' +p84226 +aS'recent\trecent\tJJ\tI-NP\tO' +p84227 +aS'mild\tmild\tJJ\tI-NP\tO' +p84228 +aS'angina\tangina\tNN\tI-NP\tO' +p84229 +aS'with\twith\tIN\tB-PP\tO' +p84230 +aS'exertion\texertion\tNN\tB-NP\tO' +p84231 +asS'8. Atorvastatin 10 mg po q day .' +p84232 +(lp84233 +S'8.\t8.\tCD\tB-NP\tO' +p84234 +aS'Atorvastatin\tAtorvastatin\tNN\tI-NP\tO' +p84235 +aS'10\t10\tCD\tB-NP\tO' +p84236 +aS'mg\tmg\tNN\tI-NP\tO' +p84237 +aS'po\tpo\tNN\tI-NP\tO' +p84238 +aS'q\tq\tNN\tI-NP\tO' +p84239 +aS'day\tday\tNN\tI-NP\tO' +p84240 +aS'.\t.\t.\tO\tO' +p84241 +asS'Ext : brace on L wrist , 2+ LE edema' +p84242 +(lp84243 +S'Ext\tExt\tNN\tB-NP\tO' +p84244 +aS':\t:\t:\tO\tO' +p84245 +aS'brace\tbrace\tNN\tB-NP\tO' +p84246 +aS'on\ton\tIN\tB-PP\tO' +p84247 +aS'L\tL\tNN\tB-NP\tO' +p84248 +aS'wrist\twrist\tNN\tI-NP\tO' +p84249 +aS',\t,\t,\tO\tO' +p84250 +aS'2+\t2+\tJJ\tB-NP\tO' +p84251 +aS'LE\tLE\tNN\tI-NP\tO' +p84252 +aS'edema\tedema\tNN\tI-NP\tO' +p84253 +asS'The lungs were clear , except for a few dry crackles bibasilarly .' +p84254 +(lp84255 +S'The\tThe\tDT\tB-NP\tO' +p84256 +aS'lungs\tlung\tNNS\tI-NP\tO' +p84257 +aS'were\tbe\tVBD\tB-VP\tO' +p84258 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p84259 +aS',\t,\t,\tO\tO' +p84260 +aS'except\texcept\tIN\tB-PP\tO' +p84261 +aS'for\tfor\tIN\tB-PP\tO' +p84262 +aS'a\ta\tDT\tB-NP\tO' +p84263 +aS'few\tfew\tJJ\tI-NP\tO' +p84264 +aS'dry\tdry\tJJ\tI-NP\tO' +p84265 +aS'crackles\tcrackle\tNNS\tI-NP\tO' +p84266 +aS'bibasilarly\tbibasilarly\tRB\tB-ADVP\tO' +p84267 +aS'.\t.\t.\tO\tO' +p84268 +asS'No changes on EKG but not in pain at time of EKG .' +p84269 +(lp84270 +S'No\tNo\tDT\tB-NP\tO' +p84271 +aS'changes\tchange\tNNS\tI-NP\tO' +p84272 +aS'on\ton\tIN\tB-PP\tO' +p84273 +aS'EKG\tEKG\tNN\tB-NP\tB-protein' +p84274 +aS'but\tbut\tCC\tB-PP\tO' +p84275 +aS'not\tnot\tRB\tB-PP\tO' +p84276 +aS'in\tin\tIN\tI-PP\tO' +p84277 +aS'pain\tpain\tNN\tB-NP\tO' +p84278 +aS'at\tat\tIN\tB-PP\tO' +p84279 +aS'time\ttime\tNN\tB-NP\tO' +p84280 +aS'of\tof\tIN\tB-PP\tO' +p84281 +aS'EKG\tEKG\tNN\tB-NP\tB-protein' +p84282 +aS'.\t.\t.\tO\tO' +p84283 +asS'Her echocardiogram curiously showed a normal left ventricular size and systolic function , a patent foramen ovale , with a trace right to left shunt , as determined by bubble study , trace MR was present .' +p84284 +(lp84285 +S'Her\tHer\tPRP$\tB-NP\tO' +p84286 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p84287 +aS'curiously\tcuriously\tRB\tB-VP\tO' +p84288 +aS'showed\tshow\tVBD\tI-VP\tO' +p84289 +aS'a\ta\tDT\tB-NP\tO' +p84290 +aS'normal\tnormal\tJJ\tI-NP\tO' +p84291 +aS'left\tleft\tJJ\tI-NP\tO' +p84292 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p84293 +aS'size\tsize\tNN\tI-NP\tO' +p84294 +aS'and\tand\tCC\tO\tO' +p84295 +aS'systolic\tsystolic\tJJ\tB-NP\tO' +p84296 +aS'function\tfunction\tNN\tI-NP\tO' +p84297 +aS',\t,\t,\tO\tO' +p84298 +aS'a\ta\tDT\tB-NP\tO' +p84299 +aS'patent\tpatent\tNN\tI-NP\tO' +p84300 +aS'foramen\tforaman\tNNS\tI-NP\tO' +p84301 +aS'ovale\tovale\tNN\tI-NP\tO' +p84302 +aS',\t,\t,\tO\tO' +p84303 +aS'with\twith\tIN\tB-PP\tO' +p84304 +aS'a\ta\tDT\tB-NP\tO' +p84305 +aS'trace\ttrace\tNN\tI-NP\tO' +p84306 +aS'right\tright\tNN\tI-NP\tO' +p84307 +aS'to\tto\tTO\tB-PP\tO' +p84308 +aS'left\tleft\tJJ\tB-NP\tO' +p84309 +aS'shunt\tshunt\tNN\tI-NP\tO' +p84310 +aS',\t,\t,\tO\tO' +p84311 +aS'as\tas\tIN\tB-SBAR\tO' +p84312 +aS'determined\tdetermine\tVBN\tB-VP\tO' +p84313 +aS'by\tby\tIN\tB-PP\tO' +p84314 +aS'bubble\tbubble\tNN\tB-NP\tO' +p84315 +aS'study\tstudy\tNN\tI-NP\tO' +p84316 +aS',\t,\t,\tO\tO' +p84317 +aS'trace\ttrace\tNN\tB-NP\tB-protein' +p84318 +aS'MR\tMR\tNN\tI-NP\tI-protein' +p84319 +aS'was\tbe\tVBD\tB-VP\tO' +p84320 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p84321 +aS'.\t.\t.\tO\tO' +p84322 +asS'1) s/p Fall - unlikely to be mechanical in nature .' +p84323 +(lp84324 +S'1)\t1)\tLS\tB-NP\tO' +p84325 +aS's/p\ts/p\tNN\tI-NP\tO' +p84326 +aS'Fall\tFall\tNN\tI-NP\tO' +p84327 +aS'-\t-\tHYPH\tB-VP\tO' +p84328 +aS'unlikely\tunlikely\tJJ\tB-ADJP\tO' +p84329 +aS'to\tto\tTO\tB-VP\tO' +p84330 +aS'be\tbe\tVB\tI-VP\tO' +p84331 +aS'mechanical\tmechanical\tJJ\tB-ADJP\tO' +p84332 +aS'in\tin\tIN\tB-PP\tO' +p84333 +aS'nature\tnature\tNN\tB-NP\tO' +p84334 +aS'.\t.\t.\tO\tO' +p84335 +asS'He underwent abdominal paracentesis approximately two times a week for therapeutic .' +p84336 +(lp84337 +S'He\tHe\tPRP\tB-NP\tO' +p84338 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p84339 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p84340 +aS'paracentesis\tparacentesis\tNN\tI-NP\tO' +p84341 +aS'approximately\tapproximately\tRB\tB-ADVP\tO' +p84342 +aS'two\ttwo\tCD\tB-NP\tO' +p84343 +aS'times\ttime\tNNS\tI-NP\tO' +p84344 +aS'a\ta\tDT\tB-NP\tO' +p84345 +aS'week\tweek\tNN\tI-NP\tO' +p84346 +aS'for\tfor\tIN\tB-PP\tO' +p84347 +aS'therapeutic\ttherapeutic\tJJ\tB-ADJP\tO' +p84348 +aS'.\t.\t.\tO\tO' +p84349 +asS'Extremities with no evidence of step-off , palpable pulses peripherally .' +p84350 +(lp84351 +S'Extremities\tExtremity\tNNS\tB-NP\tO' +p84352 +aS'with\twith\tIN\tB-PP\tO' +p84353 +aS'no\tno\tDT\tB-NP\tO' +p84354 +aS'evidence\tevidence\tNN\tI-NP\tO' +p84355 +aS'of\tof\tIN\tB-PP\tO' +p84356 +aS'step-off\tstep-off\tJJ\tB-NP\tO' +p84357 +aS',\t,\t,\tI-NP\tO' +p84358 +aS'palpable\tpalpable\tJJ\tI-NP\tO' +p84359 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p84360 +aS'peripherally\tperipherally\tRB\tB-ADVP\tO' +p84361 +aS'.\t.\t.\tO\tO' +p84362 +asS'This is a 59-year-old white male .' +p84363 +(lp84364 +S'This\tThis\tDT\tB-NP\tO' +p84365 +aS'is\tbe\tVBZ\tB-VP\tO' +p84366 +aS'a\ta\tDT\tB-NP\tO' +p84367 +aS'59-year-old\t59-year-old\tJJ\tI-NP\tO' +p84368 +aS'white\twhite\tJJ\tI-NP\tO' +p84369 +aS'male\tmale\tNN\tI-NP\tO' +p84370 +aS'.\t.\t.\tO\tO' +p84371 +asS'Abd - Mass in LLQ , nephrostomy with yellow clear output' +p84372 +(lp84373 +S'Abd\tAbd\tNNP\tB-NP\tO' +p84374 +aS'-\t-\tHYPH\tI-NP\tO' +p84375 +aS'Mass\tMass\tNNP\tI-NP\tO' +p84376 +aS'in\tin\tIN\tB-PP\tO' +p84377 +aS'LLQ\tLLQ\tNNP\tB-NP\tO' +p84378 +aS',\t,\t,\tO\tO' +p84379 +aS'nephrostomy\tnephrostomy\tNN\tB-NP\tO' +p84380 +aS'with\twith\tIN\tB-PP\tO' +p84381 +aS'yellow\tyellow\tJJ\tB-NP\tO' +p84382 +aS'clear\tclear\tJJ\tI-NP\tO' +p84383 +aS'output\toutput\tNN\tI-NP\tO' +p84384 +asS'Prior to transfer , patient dropped bp to 68/40s .' +p84385 +(lp84386 +S'Prior\tPrior\tRB\tB-ADVP\tO' +p84387 +aS'to\tto\tTO\tB-VP\tO' +p84388 +aS'transfer\ttransfer\tVB\tI-VP\tO' +p84389 +aS',\t,\t,\tO\tO' +p84390 +aS'patient\tpatient\tNN\tB-NP\tO' +p84391 +aS'dropped\tdrop\tVBD\tB-VP\tO' +p84392 +aS'bp\tbp\tNN\tB-NP\tO' +p84393 +aS'to\tto\tTO\tB-PP\tO' +p84394 +aS'68/40s\t68/40\tNNS\tB-NP\tO' +p84395 +aS'.\t.\t.\tO\tO' +p84396 +asS'3. Parkinson 's disease .' +p84397 +(lp84398 +S'3.\t3.\tLS\tB-NP\tO' +p84399 +aS'Parkinson\tParkinson\tNNP\tI-NP\tO' +p84400 +aS''s\t'\tNNS\tI-NP\tO' +p84401 +aS'disease\tdisease\tNN\tI-NP\tO' +p84402 +aS'.\t.\t.\tO\tO' +p84403 +asS'Normal .' +p84404 +(lp84405 +S'Normal\tNormal\tJJ\tB-ADJP\tO' +p84406 +aS'.\t.\t.\tO\tO' +p84407 +asS'MRI : There is a similar configuration of increased T2 signal in the periventricular white matter of both cerebral hemispheres , suggesting demyelinating disease .' +p84408 +(lp84409 +S'MRI\tMRI\tLS\tB-LST\tO' +p84410 +aS':\t:\t:\tO\tO' +p84411 +aS'There\tThere\tEX\tB-NP\tO' +p84412 +aS'is\tbe\tVBZ\tB-VP\tO' +p84413 +aS'a\ta\tDT\tB-NP\tO' +p84414 +aS'similar\tsimilar\tJJ\tI-NP\tO' +p84415 +aS'configuration\tconfiguration\tNN\tI-NP\tO' +p84416 +aS'of\tof\tIN\tB-PP\tO' +p84417 +aS'increased\tincrease\tVBN\tB-NP\tO' +p84418 +aS'T2\tT2\tNN\tI-NP\tO' +p84419 +aS'signal\tsignal\tNN\tI-NP\tO' +p84420 +aS'in\tin\tIN\tB-PP\tO' +p84421 +aS'the\tthe\tDT\tB-NP\tO' +p84422 +aS'periventricular\tperiventricular\tJJ\tI-NP\tO' +p84423 +aS'white\twhite\tJJ\tI-NP\tO' +p84424 +aS'matter\tmatter\tNN\tI-NP\tO' +p84425 +aS'of\tof\tIN\tB-PP\tO' +p84426 +aS'both\tboth\tDT\tB-NP\tO' +p84427 +aS'cerebral\tcerebral\tJJ\tI-NP\tO' +p84428 +aS'hemispheres\themisphere\tNNS\tI-NP\tO' +p84429 +aS',\t,\t,\tO\tO' +p84430 +aS'suggesting\tsuggest\tVBG\tB-VP\tO' +p84431 +aS'demyelinating\tdemyelinate\tVBG\tB-NP\tO' +p84432 +aS'disease\tdisease\tNN\tI-NP\tO' +p84433 +aS'.\t.\t.\tO\tO' +p84434 +asS'He also had a high CO and low SVR suggestive of sepsis , but he never had an elevated WBC and was afebrile during his entire hospital admission with negative blood , urine , wound , and pleural fluid cultures .' +p84435 +(lp84436 +S'He\tHe\tPRP\tB-NP\tO' +p84437 +aS'also\talso\tRB\tB-ADVP\tO' +p84438 +aS'had\thave\tVBD\tB-VP\tO' +p84439 +aS'a\ta\tDT\tB-NP\tO' +p84440 +aS'high\thigh\tJJ\tI-NP\tO' +p84441 +aS'CO\tCO\tNN\tI-NP\tO' +p84442 +aS'and\tand\tCC\tO\tO' +p84443 +aS'low\tlow\tJJ\tB-NP\tO' +p84444 +aS'SVR\tSVR\tNN\tI-NP\tO' +p84445 +aS'suggestive\tsuggestive\tJJ\tB-ADJP\tO' +p84446 +aS'of\tof\tIN\tB-PP\tO' +p84447 +aS'sepsis\tsepsis\tNN\tB-NP\tO' +p84448 +aS',\t,\t,\tO\tO' +p84449 +aS'but\tbut\tCC\tO\tO' +p84450 +aS'he\the\tPRP\tB-NP\tO' +p84451 +aS'never\tnever\tRB\tB-ADVP\tO' +p84452 +aS'had\thave\tVBD\tB-VP\tO' +p84453 +aS'an\tan\tDT\tB-NP\tO' +p84454 +aS'elevated\televated\tJJ\tI-NP\tO' +p84455 +aS'WBC\tWBC\tNNP\tI-NP\tO' +p84456 +aS'and\tand\tCC\tO\tO' +p84457 +aS'was\tbe\tVBD\tB-VP\tO' +p84458 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p84459 +aS'during\tduring\tIN\tB-PP\tO' +p84460 +aS'his\this\tPRP$\tB-NP\tO' +p84461 +aS'entire\tentire\tJJ\tI-NP\tO' +p84462 +aS'hospital\thospital\tNN\tI-NP\tO' +p84463 +aS'admission\tadmission\tNN\tI-NP\tO' +p84464 +aS'with\twith\tIN\tB-PP\tO' +p84465 +aS'negative\tnegative\tJJ\tB-NP\tO' +p84466 +aS'blood\tblood\tNN\tI-NP\tO' +p84467 +aS',\t,\t,\tO\tO' +p84468 +aS'urine\turine\tNN\tB-NP\tO' +p84469 +aS',\t,\t,\tO\tO' +p84470 +aS'wound\twound\tNN\tB-NP\tO' +p84471 +aS',\t,\t,\tO\tO' +p84472 +aS'and\tand\tCC\tO\tO' +p84473 +aS'pleural\tpleural\tJJ\tB-NP\tB-cell_line' +p84474 +aS'fluid\tfluid\tNN\tI-NP\tI-cell_line' +p84475 +aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' +p84476 +aS'.\t.\t.\tO\tO' +p84477 +asS'Electrolytes before departure for Fairm of Ijordcompmac Hospital was a sodium of 176 , potassium 2.5 , chloride 140 , bicarbonate 14 , calcium 7.2 , magnesium 2.7 .' +p84478 +(lp84479 +S'Electrolytes\tElectrolyte\tNNS\tB-NP\tO' +p84480 +aS'before\tbefore\tIN\tB-PP\tO' +p84481 +aS'departure\tdeparture\tNN\tB-NP\tO' +p84482 +aS'for\tfor\tIN\tB-PP\tO' +p84483 +aS'Fairm\tFairm\tNNP\tB-NP\tO' +p84484 +aS'of\tof\tIN\tB-PP\tO' +p84485 +aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' +p84486 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p84487 +aS'was\tbe\tVBD\tB-VP\tO' +p84488 +aS'a\ta\tDT\tB-NP\tO' +p84489 +aS'sodium\tsodium\tNN\tI-NP\tO' +p84490 +aS'of\tof\tIN\tB-PP\tO' +p84491 +aS'176\t176\tCD\tB-NP\tO' +p84492 +aS',\t,\t,\tO\tO' +p84493 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p84494 +aS'2.5\t2.5\tCD\tI-NP\tO' +p84495 +aS',\t,\t,\tO\tO' +p84496 +aS'chloride\tchloride\tNN\tB-NP\tO' +p84497 +aS'140\t140\tCD\tI-NP\tO' +p84498 +aS',\t,\t,\tO\tO' +p84499 +aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' +p84500 +aS'14\t14\tCD\tI-NP\tO' +p84501 +aS',\t,\t,\tO\tO' +p84502 +aS'calcium\tcalcium\tNN\tB-NP\tO' +p84503 +aS'7.2\t7.2\tCD\tI-NP\tO' +p84504 +aS',\t,\t,\tO\tO' +p84505 +aS'magnesium\tmagnesium\tNN\tB-NP\tO' +p84506 +aS'2.7\t2.7\tCD\tI-NP\tO' +p84507 +aS'.\t.\t.\tO\tO' +p84508 +asS'She has been under the care of Dr. Aalv Manual and was referred here for further therapy .' +p84509 +(lp84510 +S'She\tShe\tPRP\tB-NP\tO' +p84511 +aS'has\thave\tVBZ\tB-VP\tO' +p84512 +aS'been\tbe\tVBN\tI-VP\tO' +p84513 +aS'under\tunder\tIN\tB-PP\tO' +p84514 +aS'the\tthe\tDT\tB-NP\tO' +p84515 +aS'care\tcare\tNN\tI-NP\tO' +p84516 +aS'of\tof\tIN\tB-PP\tO' +p84517 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p84518 +aS'Aalv\tAalv\tNNP\tI-NP\tO' +p84519 +aS'Manual\tManual\tNNP\tI-NP\tO' +p84520 +aS'and\tand\tCC\tO\tO' +p84521 +aS'was\tbe\tVBD\tB-VP\tO' +p84522 +aS'referred\trefer\tVBN\tI-VP\tO' +p84523 +aS'here\there\tRB\tB-ADVP\tO' +p84524 +aS'for\tfor\tIN\tB-PP\tO' +p84525 +aS'further\tfurther\tJJ\tB-NP\tO' +p84526 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p84527 +aS'.\t.\t.\tO\tO' +p84528 +asS'Left proximal humerus fracture .' +p84529 +(lp84530 +S'Left\tLeave\tVBN\tB-NP\tO' +p84531 +aS'proximal\tproximal\tJJ\tI-NP\tO' +p84532 +aS'humerus\thumerus\tJJ\tI-NP\tO' +p84533 +aS'fracture\tfracture\tNN\tI-NP\tO' +p84534 +aS'.\t.\t.\tO\tO' +p84535 +asS'On postoperative day 1 , the patient was alert and oriented times 3 .' +p84536 +(lp84537 +S'On\tOn\tIN\tB-PP\tO' +p84538 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p84539 +aS'day\tday\tNN\tI-NP\tO' +p84540 +aS'1\t1\tCD\tI-NP\tO' +p84541 +aS',\t,\t,\tO\tO' +p84542 +aS'the\tthe\tDT\tB-NP\tO' +p84543 +aS'patient\tpatient\tNN\tI-NP\tO' +p84544 +aS'was\tbe\tVBD\tB-VP\tO' +p84545 +aS'alert\talert\tJJ\tB-ADJP\tO' +p84546 +aS'and\tand\tCC\tO\tO' +p84547 +aS'oriented\torient\tVBN\tB-VP\tO' +p84548 +aS'times\ttime\tNNS\tB-NP\tO' +p84549 +aS'3\t3\tCD\tI-NP\tO' +p84550 +aS'.\t.\t.\tO\tO' +p84551 +asS'Nonfluent speech with inability to repeat .' +p84552 +(lp84553 +S'Nonfluent\tNonfluent\tJJ\tB-NP\tO' +p84554 +aS'speech\tspeech\tNN\tI-NP\tO' +p84555 +aS'with\twith\tIN\tB-PP\tO' +p84556 +aS'inability\tinability\tNN\tB-NP\tO' +p84557 +aS'to\tto\tTO\tB-VP\tO' +p84558 +aS'repeat\trepeat\tVB\tI-VP\tO' +p84559 +aS'.\t.\t.\tO\tO' +p84560 +asS'Extremities were well perfused and warm .' +p84561 +(lp84562 +S'Extremities\tExtremity\tNNS\tB-NP\tO' +p84563 +aS'were\tbe\tVBD\tB-VP\tO' +p84564 +aS'well\twell\tRB\tI-VP\tO' +p84565 +aS'perfused\tperfuse\tVBN\tI-VP\tO' +p84566 +aS'and\tand\tCC\tO\tO' +p84567 +aS'warm\twarm\tJJ\tB-ADJP\tO' +p84568 +aS'.\t.\t.\tO\tO' +p84569 +asS'His examination was completely unremarkable .' +p84570 +(lp84571 +S'His\tHis\tPRP$\tB-NP\tO' +p84572 +aS'examination\texamination\tNN\tI-NP\tO' +p84573 +aS'was\tbe\tVBD\tB-VP\tO' +p84574 +aS'completely\tcompletely\tRB\tB-ADJP\tO' +p84575 +aS'unremarkable\tunremarkable\tJJ\tI-ADJP\tO' +p84576 +aS'.\t.\t.\tO\tO' +p84577 +asS'Neck is supple , full range of motion , no jugular venous distension or lymphadenopathy .' +p84578 +(lp84579 +S'Neck\tNeck\tNNP\tB-NP\tO' +p84580 +aS'is\tbe\tVBZ\tB-VP\tO' +p84581 +aS'supple\tsupple\tJJ\tB-NP\tO' +p84582 +aS',\t,\t,\tI-NP\tO' +p84583 +aS'full\tfull\tJJ\tI-NP\tO' +p84584 +aS'range\trange\tNN\tI-NP\tO' +p84585 +aS'of\tof\tIN\tB-PP\tO' +p84586 +aS'motion\tmotion\tNN\tB-NP\tO' +p84587 +aS',\t,\t,\tO\tO' +p84588 +aS'no\tno\tDT\tB-NP\tO' +p84589 +aS'jugular\tjugular\tJJ\tI-NP\tO' +p84590 +aS'venous\tvenous\tJJ\tI-NP\tO' +p84591 +aS'distension\tdistension\tNN\tI-NP\tO' +p84592 +aS'or\tor\tCC\tI-NP\tO' +p84593 +aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' +p84594 +aS'.\t.\t.\tO\tO' +p84595 +asS'The patient was pain free and doing well .' +p84596 +(lp84597 +S'The\tThe\tDT\tB-NP\tO' +p84598 +aS'patient\tpatient\tNN\tI-NP\tO' +p84599 +aS'was\tbe\tVBD\tB-VP\tO' +p84600 +aS'pain\tpain\tNN\tB-NP\tO' +p84601 +aS'free\tfree\tJJ\tB-ADJP\tO' +p84602 +aS'and\tand\tCC\tO\tO' +p84603 +aS'doing\tdo\tVBG\tB-VP\tO' +p84604 +aS'well\twell\tRB\tB-ADVP\tO' +p84605 +aS'.\t.\t.\tO\tO' +p84606 +asS'Tubal ligation .' +p84607 +(lp84608 +S'Tubal\tTubal\tJJ\tB-NP\tO' +p84609 +aS'ligation\tligation\tNN\tI-NP\tO' +p84610 +aS'.\t.\t.\tO\tO' +p84611 +asS'The fundi Belmont difficult to visualize but there is no evidence of papilledema .' +p84612 +(lp84613 +S'The\tThe\tDT\tB-NP\tO' +p84614 +aS'fundi\tfundi\tNN\tI-NP\tO' +p84615 +aS'Belmont\tBelmont\tNNP\tI-NP\tO' +p84616 +aS'difficult\tdifficult\tJJ\tB-ADJP\tO' +p84617 +aS'to\tto\tTO\tB-VP\tO' +p84618 +aS'visualize\tvisualize\tVB\tI-VP\tO' +p84619 +aS'but\tbut\tCC\tO\tO' +p84620 +aS'there\tthere\tEX\tB-NP\tO' +p84621 +aS'is\tbe\tVBZ\tB-VP\tO' +p84622 +aS'no\tno\tDT\tB-NP\tO' +p84623 +aS'evidence\tevidence\tNN\tI-NP\tO' +p84624 +aS'of\tof\tIN\tB-PP\tO' +p84625 +aS'papilledema\tpapilledema\tNN\tB-NP\tO' +p84626 +aS'.\t.\t.\tO\tO' +p84627 +asS'She was set up with a primary pulmonary hypertension support group , and home services were arranged to help her in the initiation of Flolan therapy .' +p84628 +(lp84629 +S'She\tShe\tPRP\tB-NP\tO' +p84630 +aS'was\tbe\tVBD\tB-VP\tO' +p84631 +aS'set\tset\tVBN\tI-VP\tO' +p84632 +aS'up\tup\tRP\tB-PRT\tO' +p84633 +aS'with\twith\tIN\tB-PP\tO' +p84634 +aS'a\ta\tDT\tB-NP\tO' +p84635 +aS'primary\tprimary\tJJ\tI-NP\tO' +p84636 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p84637 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p84638 +aS'support\tsupport\tNN\tI-NP\tO' +p84639 +aS'group\tgroup\tNN\tI-NP\tO' +p84640 +aS',\t,\t,\tO\tO' +p84641 +aS'and\tand\tCC\tO\tO' +p84642 +aS'home\thome\tNN\tB-NP\tO' +p84643 +aS'services\tservice\tNNS\tI-NP\tO' +p84644 +aS'were\tbe\tVBD\tB-VP\tO' +p84645 +aS'arranged\tarrange\tVBN\tI-VP\tO' +p84646 +aS'to\tto\tTO\tB-VP\tO' +p84647 +aS'help\thelp\tVB\tI-VP\tO' +p84648 +aS'her\ther\tPRP\tB-NP\tO' +p84649 +aS'in\tin\tIN\tB-PP\tO' +p84650 +aS'the\tthe\tDT\tB-NP\tO' +p84651 +aS'initiation\tinitiation\tNN\tI-NP\tO' +p84652 +aS'of\tof\tIN\tB-PP\tO' +p84653 +aS'Flolan\tFlolan\tNN\tB-NP\tO' +p84654 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p84655 +aS'.\t.\t.\tO\tO' +p84656 +asS'He was admitted to the trauma intensive care unit due to his tachycardia which was not resolved with pain medication .' +p84657 +(lp84658 +S'He\tHe\tPRP\tB-NP\tO' +p84659 +aS'was\tbe\tVBD\tB-VP\tO' +p84660 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p84661 +aS'to\tto\tTO\tB-PP\tO' +p84662 +aS'the\tthe\tDT\tB-NP\tO' +p84663 +aS'trauma\ttrauma\tNN\tI-NP\tB-DNA' +p84664 +aS'intensive\tintensive\tJJ\tI-NP\tI-DNA' +p84665 +aS'care\tcare\tNN\tI-NP\tI-DNA' +p84666 +aS'unit\tunit\tNN\tI-NP\tI-DNA' +p84667 +aS'due\tdue\tIN\tB-PP\tO' +p84668 +aS'to\tto\tTO\tB-PP\tO' +p84669 +aS'his\this\tPRP$\tB-NP\tO' +p84670 +aS'tachycardia\ttachycardia\tNN\tI-NP\tO' +p84671 +aS'which\twhich\tWDT\tB-NP\tO' +p84672 +aS'was\tbe\tVBD\tB-VP\tO' +p84673 +aS'not\tnot\tRB\tI-VP\tO' +p84674 +aS'resolved\tresolve\tVBN\tI-VP\tO' +p84675 +aS'with\twith\tIN\tB-PP\tO' +p84676 +aS'pain\tpain\tNN\tB-NP\tO' +p84677 +aS'medication\tmedication\tNN\tI-NP\tO' +p84678 +aS'.\t.\t.\tO\tO' +p84679 +asS'The patient was hyperphosphatemic secondary to overadministration of Neutra-Phos during his ICU stay .' +p84680 +(lp84681 +S'The\tThe\tDT\tB-NP\tO' +p84682 +aS'patient\tpatient\tNN\tI-NP\tO' +p84683 +aS'was\tbe\tVBD\tB-VP\tO' +p84684 +aS'hyperphosphatemic\thyperphosphatemic\tJJ\tB-ADJP\tO' +p84685 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p84686 +aS'to\tto\tTO\tB-PP\tO' +p84687 +aS'overadministration\toveradministration\tNN\tB-NP\tO' +p84688 +aS'of\tof\tIN\tB-PP\tO' +p84689 +aS'Neutra-Phos\tNeutra-Phos\tNNP\tB-NP\tO' +p84690 +aS'during\tduring\tIN\tB-PP\tO' +p84691 +aS'his\this\tPRP$\tB-NP\tO' +p84692 +aS'ICU\tICU\tNN\tI-NP\tO' +p84693 +aS'stay\tstay\tNN\tI-NP\tO' +p84694 +aS'.\t.\t.\tO\tO' +p84695 +asS'Chest x-ray on admission revealed a large left pleural effusion .' +p84696 +(lp84697 +S'Chest\tCh\tJJS\tB-NP\tO' +p84698 +aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' +p84699 +aS'on\ton\tIN\tB-PP\tO' +p84700 +aS'admission\tadmission\tNN\tB-NP\tO' +p84701 +aS'revealed\treveal\tVBD\tB-VP\tO' +p84702 +aS'a\ta\tDT\tB-NP\tO' +p84703 +aS'large\tlarge\tJJ\tI-NP\tO' +p84704 +aS'left\tleft\tJJ\tI-NP\tO' +p84705 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p84706 +aS'effusion\teffusion\tNN\tI-NP\tO' +p84707 +aS'.\t.\t.\tO\tO' +p84708 +asS'On 08/02/93 , an intra-aortic balloon pump was placed ; then , Dr. Thorebreutz took him to the operating room , where he had quadruple coronary artery bypass grafting .' +p84709 +(lp84710 +S'On\tOn\tIN\tB-PP\tO' +p84711 +aS'08/02/93\t08/02/93\tCD\tB-NP\tO' +p84712 +aS',\t,\t,\tO\tO' +p84713 +aS'an\tan\tDT\tB-NP\tO' +p84714 +aS'intra-aortic\tintra-aortic\tJJ\tI-NP\tO' +p84715 +aS'balloon\tballoon\tNN\tI-NP\tO' +p84716 +aS'pump\tpump\tNN\tI-NP\tO' +p84717 +aS'was\tbe\tVBD\tB-VP\tO' +p84718 +aS'placed\tplace\tVBN\tI-VP\tO' +p84719 +aS';\t;\t:\tO\tO' +p84720 +aS'then\tthen\tRB\tB-ADVP\tO' +p84721 +aS',\t,\t,\tO\tO' +p84722 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p84723 +aS'Thorebreutz\tThorebreutz\tNNP\tI-NP\tO' +p84724 +aS'took\ttake\tVBD\tB-VP\tO' +p84725 +aS'him\thim\tPRP\tB-NP\tO' +p84726 +aS'to\tto\tTO\tB-PP\tO' +p84727 +aS'the\tthe\tDT\tB-NP\tO' +p84728 +aS'operating\toperating\tNN\tI-NP\tO' +p84729 +aS'room\troom\tNN\tI-NP\tO' +p84730 +aS',\t,\t,\tO\tO' +p84731 +aS'where\twhere\tWRB\tB-ADVP\tO' +p84732 +aS'he\the\tPRP\tB-NP\tO' +p84733 +aS'had\thave\tVBD\tB-VP\tO' +p84734 +aS'quadruple\tquadruple\tJJ\tB-NP\tO' +p84735 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p84736 +aS'artery\tartery\tNN\tI-NP\tO' +p84737 +aS'bypass\tbypass\tIN\tB-PP\tO' +p84738 +aS'grafting\tgrafting\tNN\tB-NP\tO' +p84739 +aS'.\t.\t.\tO\tO' +p84740 +asS'Lower extremity pulses were intact without any edema .' +p84741 +(lp84742 +S'Lower\tLow\tJJR\tB-NP\tO' +p84743 +aS'extremity\textremity\tNN\tI-NP\tO' +p84744 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p84745 +aS'were\tbe\tVBD\tB-VP\tO' +p84746 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p84747 +aS'without\twithout\tIN\tB-PP\tO' +p84748 +aS'any\tany\tDT\tB-NP\tO' +p84749 +aS'edema\tedema\tNN\tI-NP\tO' +p84750 +aS'.\t.\t.\tO\tO' +p84751 +asS'Dictated By : Keith E. Shafer , M.D.' +p84752 +(lp84753 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p84754 +aS'By\tBy\tIN\tB-PP\tO' +p84755 +aS':\t:\t:\tO\tO' +p84756 +aS'Keith\tKeith\tNNP\tB-NP\tO' +p84757 +aS'E.\tE.\tNNP\tI-NP\tO' +p84758 +aS'Shafer\tShafer\tNNP\tI-NP\tO' +p84759 +aS',\t,\t,\tO\tO' +p84760 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p84761 +asS'Right-sided PICC line with its tip in the distal SVC .' +p84762 +(lp84763 +S'Right-sided\tRight-sided\tJJ\tB-NP\tO' +p84764 +aS'PICC\tPICC\tNN\tI-NP\tO' +p84765 +aS'line\tline\tNN\tI-NP\tO' +p84766 +aS'with\twith\tIN\tB-PP\tO' +p84767 +aS'its\tits\tPRP$\tB-NP\tO' +p84768 +aS'tip\ttip\tNN\tI-NP\tO' +p84769 +aS'in\tin\tIN\tB-PP\tO' +p84770 +aS'the\tthe\tDT\tB-NP\tO' +p84771 +aS'distal\tdistal\tJJ\tI-NP\tO' +p84772 +aS'SVC\tSVC\tNN\tI-NP\tO' +p84773 +aS'.\t.\t.\tO\tO' +p84774 +asS'3. Successful stenting of the proximal LAD .' +p84775 +(lp84776 +S'3.\t3.\tLS\tB-NP\tO' +p84777 +aS'Successful\tSuccessful\tJJ\tI-NP\tO' +p84778 +aS'stenting\tstenting\tNN\tI-NP\tO' +p84779 +aS'of\tof\tIN\tB-PP\tO' +p84780 +aS'the\tthe\tDT\tB-NP\tO' +p84781 +aS'proximal\tproximal\tJJ\tI-NP\tO' +p84782 +aS'LAD\tLAD\tNN\tI-NP\tO' +p84783 +aS'.\t.\t.\tO\tO' +p84784 +asS'Coronary artery disease status post myocardial infarction in 1990 , peptic ulcer disease and hypertension .' +p84785 +(lp84786 +S'Coronary\tCoronary\tJJ\tB-NP\tO' +p84787 +aS'artery\tartery\tNN\tI-NP\tO' +p84788 +aS'disease\tdisease\tNN\tI-NP\tO' +p84789 +aS'status\tstatus\tNN\tI-NP\tO' +p84790 +aS'post\tpost\tNN\tI-NP\tO' +p84791 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p84792 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p84793 +aS'in\tin\tIN\tB-PP\tO' +p84794 +aS'1990\t1990\tCD\tB-NP\tO' +p84795 +aS',\t,\t,\tO\tO' +p84796 +aS'peptic\tpeptic\tJJ\tB-NP\tO' +p84797 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p84798 +aS'disease\tdisease\tNN\tI-NP\tO' +p84799 +aS'and\tand\tCC\tO\tO' +p84800 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p84801 +aS'.\t.\t.\tO\tO' +p84802 +asS'He was admitted to the cardiac surgery service for an elected Bental procedure with homograft and coronary artery bypass graft .' +p84803 +(lp84804 +S'He\tHe\tPRP\tB-NP\tO' +p84805 +aS'was\tbe\tVBD\tB-VP\tO' +p84806 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p84807 +aS'to\tto\tTO\tB-PP\tO' +p84808 +aS'the\tthe\tDT\tB-NP\tO' +p84809 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p84810 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p84811 +aS'service\tservice\tNN\tI-NP\tO' +p84812 +aS'for\tfor\tIN\tB-PP\tO' +p84813 +aS'an\tan\tDT\tB-NP\tO' +p84814 +aS'elected\telect\tVBN\tI-NP\tO' +p84815 +aS'Bental\tBental\tJJ\tI-NP\tO' +p84816 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p84817 +aS'with\twith\tIN\tB-PP\tO' +p84818 +aS'homograft\thomograft\tNN\tB-NP\tO' +p84819 +aS'and\tand\tCC\tO\tO' +p84820 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p84821 +aS'artery\tartery\tNN\tI-NP\tO' +p84822 +aS'bypass\tbypass\tIN\tB-PP\tO' +p84823 +aS'graft\tgraft\tNN\tB-NP\tO' +p84824 +aS'.\t.\t.\tO\tO' +p84825 +asS'A workup done in DE is not available at the time of this dictation .' +p84826 +(lp84827 +S'A\tA\tDT\tB-NP\tO' +p84828 +aS'workup\tworkup\tNN\tI-NP\tO' +p84829 +aS'done\tdo\tVBN\tB-VP\tO' +p84830 +aS'in\tin\tIN\tB-PP\tO' +p84831 +aS'DE\tDE\tNN\tB-NP\tO' +p84832 +aS'is\tbe\tVBZ\tB-VP\tO' +p84833 +aS'not\tnot\tRB\tO\tO' +p84834 +aS'available\tavailable\tJJ\tB-ADJP\tO' +p84835 +aS'at\tat\tIN\tB-PP\tO' +p84836 +aS'the\tthe\tDT\tB-NP\tO' +p84837 +aS'time\ttime\tNN\tI-NP\tO' +p84838 +aS'of\tof\tIN\tB-PP\tO' +p84839 +aS'this\tthis\tDT\tB-NP\tO' +p84840 +aS'dictation\tdictation\tNN\tI-NP\tO' +p84841 +aS'.\t.\t.\tO\tO' +p84842 +asS'She did receive two units of packed red blood cells .' +p84843 +(lp84844 +S'She\tShe\tPRP\tB-NP\tO' +p84845 +aS'did\tdo\tVBD\tB-VP\tO' +p84846 +aS'receive\treceive\tVB\tI-VP\tO' +p84847 +aS'two\ttwo\tCD\tB-NP\tO' +p84848 +aS'units\tunit\tNNS\tI-NP\tO' +p84849 +aS'of\tof\tIN\tB-PP\tO' +p84850 +aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' +p84851 +aS'red\tred\tJJ\tI-NP\tI-cell_type' +p84852 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p84853 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p84854 +aS'.\t.\t.\tO\tO' +p84855 +asS'Patient is now discharged to Harl Wa Healthcare Network on April 29 , 1994 in stable condition .' +p84856 +(lp84857 +S'Patient\tPatient\tNN\tB-NP\tO' +p84858 +aS'is\tbe\tVBZ\tB-VP\tO' +p84859 +aS'now\tnow\tRB\tI-VP\tO' +p84860 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p84861 +aS'to\tto\tTO\tB-PP\tO' +p84862 +aS'Harl\tHarl\tNNP\tB-NP\tO' +p84863 +aS'Wa\tWa\tNNP\tI-NP\tO' +p84864 +aS'Healthcare\tHealthcare\tNNP\tI-NP\tO' +p84865 +aS'Network\tNetwork\tNNP\tI-NP\tO' +p84866 +aS'on\ton\tIN\tB-PP\tO' +p84867 +aS'April\tApril\tNNP\tB-NP\tO' +p84868 +aS'29\t29\tCD\tI-NP\tO' +p84869 +aS',\t,\t,\tI-NP\tO' +p84870 +aS'1994\t1994\tCD\tI-NP\tO' +p84871 +aS'in\tin\tIN\tB-PP\tO' +p84872 +aS'stable\tstable\tJJ\tB-NP\tO' +p84873 +aS'condition\tcondition\tNN\tI-NP\tO' +p84874 +aS'.\t.\t.\tO\tO' +p84875 +asS"Occupational Therapy was also in agreement with the patient 's disposition home with services ." +p84876 +(lp84877 +S'Occupational\tOccupational\tJJ\tB-NP\tO' +p84878 +aS'Therapy\tTherapy\tNN\tI-NP\tO' +p84879 +aS'was\tbe\tVBD\tB-VP\tO' +p84880 +aS'also\talso\tRB\tB-ADVP\tO' +p84881 +aS'in\tin\tIN\tB-PP\tO' +p84882 +aS'agreement\tagreement\tNN\tB-NP\tO' +p84883 +aS'with\twith\tIN\tB-PP\tO' +p84884 +aS'the\tthe\tDT\tB-NP\tO' +p84885 +aS'patient\tpatient\tNN\tI-NP\tO' +p84886 +aS"'s\t's\tPOS\tB-NP\tO" +p84887 +aS'disposition\tdisposition\tNN\tI-NP\tO' +p84888 +aS'home\thome\tNN\tI-NP\tO' +p84889 +aS'with\twith\tIN\tB-PP\tO' +p84890 +aS'services\tservice\tNNS\tB-NP\tO' +p84891 +aS'.\t.\t.\tO\tO' +p84892 +asS'His sclerae were anicteric .' +p84893 +(lp84894 +S'His\tHis\tPRP$\tB-NP\tO' +p84895 +aS'sclerae\tsclerae\tNNS\tI-NP\tO' +p84896 +aS'were\tbe\tVBD\tB-VP\tO' +p84897 +aS'anicteric\tanicteric\tJJ\tB-ADJP\tO' +p84898 +aS'.\t.\t.\tO\tO' +p84899 +asS'On 4-2-93 , she underwent a Persantine Thallium study .' +p84900 +(lp84901 +S'On\tOn\tIN\tB-PP\tO' +p84902 +aS'4-2-93\t4-2-93\tCD\tB-NP\tO' +p84903 +aS',\t,\t,\tO\tO' +p84904 +aS'she\tshe\tPRP\tB-NP\tO' +p84905 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p84906 +aS'a\ta\tDT\tB-NP\tO' +p84907 +aS'Persantine\tPersantine\tNNP\tI-NP\tO' +p84908 +aS'Thallium\tThallium\tNNP\tI-NP\tO' +p84909 +aS'study\tstudy\tNN\tI-NP\tO' +p84910 +aS'.\t.\t.\tO\tO' +p84911 +asS'White count was 14.4 , hematocrit was 36.2 , platelet count was 217 , sodium was 135 , potassium was 3.3 , chloride was 99 , bicarbonate was 25 , BUN was 40 , creatinine was 1.9 , glucose was 124 , urinalysis was negative , PT was 12.2 , PTT was 24.5 , calcium was 7.8 , phosphorus was 3.7 , albumin was 2.3 , total bilirubin was 1.3 , alkaline phosphatase was 202 , SGPT was 32 , SGOT was 64 , LDH was 998 , amylase was 150 .' +p84912 +(lp84913 +S'White\tWhite\tJJ\tB-NP\tO' +p84914 +aS'count\tcount\tNN\tI-NP\tO' +p84915 +aS'was\tbe\tVBD\tB-VP\tO' +p84916 +aS'14.4\t14.4\tCD\tB-NP\tO' +p84917 +aS',\t,\t,\tO\tO' +p84918 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p84919 +aS'was\tbe\tVBD\tB-VP\tI-protein' +p84920 +aS'36.2\t36.2\tCD\tB-NP\tI-protein' +p84921 +aS',\t,\t,\tO\tO' +p84922 +aS'platelet\tplatelet\tNN\tB-NP\tB-protein' +p84923 +aS'count\tcount\tNN\tI-NP\tI-protein' +p84924 +aS'was\tbe\tVBD\tB-VP\tI-protein' +p84925 +aS'217\t217\tCD\tB-NP\tI-protein' +p84926 +aS',\t,\t,\tO\tO' +p84927 +aS'sodium\tsodium\tNN\tB-NP\tO' +p84928 +aS'was\tbe\tVBD\tB-VP\tO' +p84929 +aS'135\t135\tCD\tB-NP\tO' +p84930 +aS',\t,\t,\tO\tO' +p84931 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p84932 +aS'was\tbe\tVBD\tB-VP\tO' +p84933 +aS'3.3\t3.3\tCD\tB-NP\tO' +p84934 +aS',\t,\t,\tO\tO' +p84935 +aS'chloride\tchloride\tNN\tB-NP\tO' +p84936 +aS'was\tbe\tVBD\tB-VP\tO' +p84937 +aS'99\t99\tCD\tB-NP\tO' +p84938 +aS',\t,\t,\tO\tO' +p84939 +aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' +p84940 +aS'was\tbe\tVBD\tB-VP\tO' +p84941 +aS'25\t25\tCD\tB-NP\tO' +p84942 +aS',\t,\t,\tO\tO' +p84943 +aS'BUN\tBUN\tNN\tB-NP\tB-protein' +p84944 +aS'was\tbe\tVBD\tB-VP\tO' +p84945 +aS'40\t40\tCD\tB-NP\tO' +p84946 +aS',\t,\t,\tO\tO' +p84947 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p84948 +aS'was\tbe\tVBD\tB-VP\tO' +p84949 +aS'1.9\t1.9\tCD\tB-NP\tO' +p84950 +aS',\t,\t,\tO\tO' +p84951 +aS'glucose\tglucose\tNN\tB-NP\tO' +p84952 +aS'was\tbe\tVBD\tB-VP\tO' +p84953 +aS'124\t124\tCD\tB-NP\tO' +p84954 +aS',\t,\t,\tO\tO' +p84955 +aS'urinalysis\turinalysis\tNN\tB-NP\tO' +p84956 +aS'was\tbe\tVBD\tB-VP\tO' +p84957 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p84958 +aS',\t,\t,\tO\tO' +p84959 +aS'PT\tPT\tNN\tB-NP\tB-protein' +p84960 +aS'was\tbe\tVBD\tB-VP\tI-protein' +p84961 +aS'12.2\t12.2\tCD\tB-NP\tI-protein' +p84962 +aS',\t,\t,\tO\tO' +p84963 +aS'PTT\tPTT\tNN\tB-NP\tB-protein' +p84964 +aS'was\tbe\tVBD\tB-VP\tI-protein' +p84965 +aS'24.5\t24.5\tCD\tB-NP\tI-protein' +p84966 +aS',\t,\t,\tO\tO' +p84967 +aS'calcium\tcalcium\tNN\tB-NP\tO' +p84968 +aS'was\tbe\tVBD\tB-VP\tO' +p84969 +aS'7.8\t7.8\tCD\tB-NP\tO' +p84970 +aS',\t,\t,\tO\tO' +p84971 +aS'phosphorus\tphosphorus\tNN\tB-NP\tO' +p84972 +aS'was\tbe\tVBD\tB-VP\tO' +p84973 +aS'3.7\t3.7\tCD\tB-NP\tO' +p84974 +aS',\t,\t,\tO\tO' +p84975 +aS'albumin\talbumin\tNN\tB-NP\tB-protein' +p84976 +aS'was\tbe\tVBD\tB-VP\tO' +p84977 +aS'2.3\t2.3\tCD\tB-NP\tO' +p84978 +aS',\t,\t,\tO\tO' +p84979 +aS'total\ttotal\tJJ\tB-NP\tO' +p84980 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p84981 +aS'was\tbe\tVBD\tB-VP\tO' +p84982 +aS'1.3\t1.3\tCD\tB-NP\tO' +p84983 +aS',\t,\t,\tO\tO' +p84984 +aS'alkaline\talkaline\tNN\tB-NP\tB-protein' +p84985 +aS'phosphatase\tphosphatase\tNN\tI-NP\tI-protein' +p84986 +aS'was\tbe\tVBD\tB-VP\tO' +p84987 +aS'202\t202\tCD\tB-NP\tO' +p84988 +aS',\t,\t,\tO\tO' +p84989 +aS'SGPT\tSGPT\tNN\tB-NP\tB-protein' +p84990 +aS'was\tbe\tVBD\tB-VP\tO' +p84991 +aS'32\t32\tCD\tB-NP\tO' +p84992 +aS',\t,\t,\tO\tO' +p84993 +aS'SGOT\tSGOT\tNN\tB-NP\tO' +p84994 +aS'was\tbe\tVBD\tB-VP\tO' +p84995 +aS'64\t64\tCD\tB-NP\tO' +p84996 +aS',\t,\t,\tO\tO' +p84997 +aS'LDH\tLDH\tNN\tB-NP\tB-protein' +p84998 +aS'was\tbe\tVBD\tB-VP\tO' +p84999 +aS'998\t998\tCD\tB-NP\tO' +p85000 +aS',\t,\t,\tO\tO' +p85001 +aS'amylase\tamylase\tNN\tB-NP\tB-protein' +p85002 +aS'was\tbe\tVBD\tB-VP\tO' +p85003 +aS'150\t150\tCD\tB-NP\tO' +p85004 +aS'.\t.\t.\tO\tO' +p85005 +asS'There is no need to followup these transaminases .' +p85006 +(lp85007 +S'There\tThere\tEX\tB-NP\tO' +p85008 +aS'is\tbe\tVBZ\tB-VP\tO' +p85009 +aS'no\tno\tDT\tB-NP\tO' +p85010 +aS'need\tneed\tNN\tI-NP\tO' +p85011 +aS'to\tto\tTO\tB-VP\tO' +p85012 +aS'followup\tfollowup\tVB\tI-VP\tO' +p85013 +aS'these\tthese\tDT\tB-NP\tO' +p85014 +aS'transaminases\ttransaminase\tNNS\tI-NP\tB-protein' +p85015 +aS'.\t.\t.\tO\tO' +p85016 +asS'He states that he only uses one pillow to sleep but admits to sleeping at about 30 degrees at rehab .' +p85017 +(lp85018 +S'He\tHe\tPRP\tB-NP\tO' +p85019 +aS'states\tstate\tVBZ\tB-VP\tO' +p85020 +aS'that\tthat\tIN\tB-SBAR\tO' +p85021 +aS'he\the\tPRP\tB-NP\tO' +p85022 +aS'only\tonly\tRB\tB-ADVP\tO' +p85023 +aS'uses\tuse\tVBZ\tB-VP\tO' +p85024 +aS'one\tone\tCD\tB-NP\tO' +p85025 +aS'pillow\tpillow\tNN\tI-NP\tO' +p85026 +aS'to\tto\tTO\tB-VP\tO' +p85027 +aS'sleep\tsleep\tVB\tI-VP\tO' +p85028 +aS'but\tbut\tCC\tO\tO' +p85029 +aS'admits\tadmit\tVBZ\tB-VP\tO' +p85030 +aS'to\tto\tTO\tB-PP\tO' +p85031 +aS'sleeping\tsleep\tVBG\tB-VP\tO' +p85032 +aS'at\tat\tIN\tB-PP\tO' +p85033 +aS'about\tabout\tIN\tB-NP\tO' +p85034 +aS'30\t30\tCD\tI-NP\tO' +p85035 +aS'degrees\tdegree\tNNS\tI-NP\tO' +p85036 +aS'at\tat\tIN\tB-PP\tO' +p85037 +aS'rehab\trehab\tNN\tB-NP\tO' +p85038 +aS'.\t.\t.\tO\tO' +p85039 +asS'His sputum showed many GPC which later grew Staph aureus .' +p85040 +(lp85041 +S'His\tHis\tPRP$\tB-NP\tO' +p85042 +aS'sputum\tsputum\tNN\tI-NP\tO' +p85043 +aS'showed\tshow\tVBD\tB-VP\tO' +p85044 +aS'many\tmany\tJJ\tB-NP\tO' +p85045 +aS'GPC\tGPC\tNN\tI-NP\tB-protein' +p85046 +aS'which\twhich\tWDT\tB-NP\tO' +p85047 +aS'later\tlater\tRB\tB-ADVP\tO' +p85048 +aS'grew\tgrow\tVBD\tB-VP\tO' +p85049 +aS'Staph\tStaph\tNNP\tB-NP\tO' +p85050 +aS'aureus\taureus\tNN\tI-NP\tO' +p85051 +aS'.\t.\t.\tO\tO' +p85052 +asS'5) Take Vitamin C with iron for one month then stop .' +p85053 +(lp85054 +S'5)\t5)\tLS\tB-NP\tO' +p85055 +aS'Take\tTake\tNN\tI-NP\tO' +p85056 +aS'Vitamin\tVitamin\tNN\tI-NP\tO' +p85057 +aS'C\tC\tNN\tI-NP\tO' +p85058 +aS'with\twith\tIN\tB-PP\tO' +p85059 +aS'iron\tiron\tNN\tB-NP\tO' +p85060 +aS'for\tfor\tIN\tB-PP\tO' +p85061 +aS'one\tone\tCD\tB-NP\tO' +p85062 +aS'month\tmonth\tNN\tI-NP\tO' +p85063 +aS'then\tthen\tRB\tB-ADVP\tO' +p85064 +aS'stop\tstop\tVB\tB-VP\tO' +p85065 +aS'.\t.\t.\tO\tO' +p85066 +asS'A chest x-ray shows left lower lobe consolidation .' +p85067 +(lp85068 +S'A\tA\tDT\tB-NP\tO' +p85069 +aS'chest\tch\tJJS\tI-NP\tO' +p85070 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p85071 +aS'shows\tshow\tNNS\tI-NP\tO' +p85072 +aS'left\tleave\tVBD\tB-VP\tO' +p85073 +aS'lower\tlow\tJJR\tB-NP\tO' +p85074 +aS'lobe\tlobe\tNN\tI-NP\tO' +p85075 +aS'consolidation\tconsolidation\tNN\tI-NP\tO' +p85076 +aS'.\t.\t.\tO\tO' +p85077 +asS'Supple , no lymphadenopathy , no jugular venous distention , no thyromegaly .' +p85078 +(lp85079 +S'Supple\tSupple\tNNP\tB-NP\tO' +p85080 +aS',\t,\t,\tO\tO' +p85081 +aS'no\tno\tDT\tB-NP\tO' +p85082 +aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' +p85083 +aS',\t,\t,\tO\tO' +p85084 +aS'no\tno\tDT\tB-NP\tO' +p85085 +aS'jugular\tjugular\tJJ\tI-NP\tO' +p85086 +aS'venous\tvenous\tJJ\tI-NP\tO' +p85087 +aS'distention\tdistention\tNN\tI-NP\tO' +p85088 +aS',\t,\t,\tO\tO' +p85089 +aS'no\tno\tDT\tB-NP\tO' +p85090 +aS'thyromegaly\tthyromegaly\tRB\tI-NP\tO' +p85091 +aS'.\t.\t.\tO\tO' +p85092 +asS'Mucomyst was also considered as a mucolytic component towards secretions .' +p85093 +(lp85094 +S'Mucomyst\tMucomyst\tNN\tB-NP\tO' +p85095 +aS'was\tbe\tVBD\tB-VP\tO' +p85096 +aS'also\talso\tRB\tI-VP\tO' +p85097 +aS'considered\tconsider\tVBN\tI-VP\tO' +p85098 +aS'as\tas\tIN\tB-PP\tO' +p85099 +aS'a\ta\tDT\tB-NP\tO' +p85100 +aS'mucolytic\tmucolytic\tJJ\tI-NP\tO' +p85101 +aS'component\tcomponent\tNN\tI-NP\tO' +p85102 +aS'towards\ttowards\tIN\tB-PP\tO' +p85103 +aS'secretions\tsecretion\tNNS\tB-NP\tO' +p85104 +aS'.\t.\t.\tO\tO' +p85105 +asS'Troponin I was 0.05 .' +p85106 +(lp85107 +S'Troponin\tTroponin\tNN\tB-NP\tB-protein' +p85108 +aS'I\tI\tPRP\tB-NP\tO' +p85109 +aS'was\tbe\tVBD\tB-VP\tO' +p85110 +aS'0.05\t0.05\tCD\tB-NP\tO' +p85111 +aS'.\t.\t.\tO\tO' +p85112 +asS'Radiation Oncology saw the patient while in the hospital and is to follow her over at Colning .' +p85113 +(lp85114 +S'Radiation\tRadiation\tNNP\tB-NP\tO' +p85115 +aS'Oncology\tOncology\tNNP\tI-NP\tO' +p85116 +aS'saw\tsee\tVBD\tB-VP\tO' +p85117 +aS'the\tthe\tDT\tB-NP\tO' +p85118 +aS'patient\tpatient\tNN\tI-NP\tO' +p85119 +aS'while\twhile\tIN\tB-SBAR\tO' +p85120 +aS'in\tin\tIN\tB-PP\tO' +p85121 +aS'the\tthe\tDT\tB-NP\tO' +p85122 +aS'hospital\thospital\tNN\tI-NP\tO' +p85123 +aS'and\tand\tCC\tO\tO' +p85124 +aS'is\tbe\tVBZ\tB-VP\tO' +p85125 +aS'to\tto\tTO\tI-VP\tO' +p85126 +aS'follow\tfollow\tVB\tI-VP\tO' +p85127 +aS'her\ther\tPRP$\tB-NP\tO' +p85128 +aS'over\tover\tNN\tI-NP\tO' +p85129 +aS'at\tat\tIN\tB-PP\tO' +p85130 +aS'Colning\tColning\tNNP\tB-NP\tO' +p85131 +aS'.\t.\t.\tO\tO' +p85132 +asS'Obese , unable to assess lymphadenopathy or jugular venous distention .' +p85133 +(lp85134 +S'Obese\tObese\tJJ\tB-ADVP\tO' +p85135 +aS',\t,\t,\tO\tO' +p85136 +aS'unable\tunable\tJJ\tB-ADJP\tO' +p85137 +aS'to\tto\tTO\tB-VP\tO' +p85138 +aS'assess\tassess\tVB\tI-VP\tO' +p85139 +aS'lymphadenopathy\tlymphadenopathy\tNN\tB-NP\tO' +p85140 +aS'or\tor\tCC\tO\tO' +p85141 +aS'jugular\tjugular\tJJ\tB-NP\tO' +p85142 +aS'venous\tvenous\tJJ\tI-NP\tO' +p85143 +aS'distention\tdistention\tNN\tI-NP\tO' +p85144 +aS'.\t.\t.\tO\tO' +p85145 +asS'Right coronary artery 100% mid-stenosis .' +p85146 +(lp85147 +S'Right\tRight\tRB\tB-NP\tO' +p85148 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p85149 +aS'artery\tartery\tNN\tI-NP\tO' +p85150 +aS'100%\t100%\tCD\tI-NP\tO' +p85151 +aS'mid-stenosis\tmid-stenosis\tNN\tI-NP\tO' +p85152 +aS'.\t.\t.\tO\tO' +p85153 +asS'Quadraceps 2+ on the left and 3+ on the right .' +p85154 +(lp85155 +S'Quadraceps\tQuadracep\tNNS\tB-NP\tO' +p85156 +aS'2+\t2+\tJJ\tB-ADJP\tO' +p85157 +aS'on\ton\tIN\tB-PP\tO' +p85158 +aS'the\tthe\tDT\tB-NP\tO' +p85159 +aS'left\tleft\tJJ\tI-NP\tO' +p85160 +aS'and\tand\tCC\tI-NP\tO' +p85161 +aS'3+\t3+\tJJ\tI-NP\tO' +p85162 +aS'on\ton\tIN\tB-PP\tO' +p85163 +aS'the\tthe\tDT\tB-NP\tO' +p85164 +aS'right\tright\tNN\tI-NP\tO' +p85165 +aS'.\t.\t.\tO\tO' +p85166 +asS'The case was discussed with Dr. Harold from the Falmouth Hospital .' +p85167 +(lp85168 +S'The\tThe\tDT\tB-NP\tO' +p85169 +aS'case\tcase\tNN\tI-NP\tO' +p85170 +aS'was\tbe\tVBD\tB-VP\tO' +p85171 +aS'discussed\tdiscuss\tVBN\tI-VP\tO' +p85172 +aS'with\twith\tIN\tB-PP\tO' +p85173 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p85174 +aS'Harold\tHarold\tNNP\tI-NP\tO' +p85175 +aS'from\tfrom\tIN\tB-PP\tO' +p85176 +aS'the\tthe\tDT\tB-NP\tO' +p85177 +aS'Falmouth\tFalmouth\tNNP\tI-NP\tO' +p85178 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p85179 +aS'.\t.\t.\tO\tO' +p85180 +asS'16. Nystatin 100,000 unit / mL Suspension Sig : Ten ( 10 ) ML PO QID ( 4 times a day ) for 7 days .' +p85181 +(lp85182 +S'16.\t16.\tLS\tB-NP\tO' +p85183 +aS'Nystatin\tNystatin\tNN\tI-NP\tB-protein' +p85184 +aS'100,000\t100,000\tCD\tI-NP\tI-protein' +p85185 +aS'unit\tunit\tNN\tI-NP\tI-protein' +p85186 +aS'/\t/\tSYM\tB-NP\tO' +p85187 +aS'mL\tmL\tNN\tI-NP\tO' +p85188 +aS'Suspension\tSuspension\tNNP\tI-NP\tO' +p85189 +aS'Sig\tSig\tNNP\tI-NP\tO' +p85190 +aS':\t:\t:\tO\tO' +p85191 +aS'Ten\tTen\tCD\tB-NP\tO' +p85192 +aS'(\t(\t(\tO\tO' +p85193 +aS'10\t10\tCD\tB-NP\tO' +p85194 +aS')\t)\t)\tO\tO' +p85195 +aS'ML\tML\tNN\tB-NP\tO' +p85196 +aS'PO\tPO\tNN\tI-NP\tO' +p85197 +aS'QID\tQID\tNN\tI-NP\tO' +p85198 +aS'(\t(\t(\tO\tO' +p85199 +aS'4\t4\tCD\tB-NP\tO' +p85200 +aS'times\ttime\tNNS\tI-NP\tO' +p85201 +aS'a\ta\tDT\tB-NP\tO' +p85202 +aS'day\tday\tNN\tI-NP\tO' +p85203 +aS')\t)\t)\tO\tO' +p85204 +aS'for\tfor\tIN\tB-PP\tO' +p85205 +aS'7\t7\tCD\tB-NP\tO' +p85206 +aS'days\tday\tNNS\tI-NP\tO' +p85207 +aS'.\t.\t.\tO\tO' +p85208 +asS'He was re-started on tube feeds .' +p85209 +(lp85210 +S'He\tHe\tPRP\tB-NP\tO' +p85211 +aS'was\tbe\tVBD\tB-VP\tO' +p85212 +aS're-started\tre-starte\tVBN\tI-VP\tO' +p85213 +aS'on\ton\tIN\tB-PP\tO' +p85214 +aS'tube\ttube\tNN\tB-NP\tO' +p85215 +aS'feeds\tfeed\tNNS\tI-NP\tO' +p85216 +aS'.\t.\t.\tO\tO' +p85217 +asS'Therefore we will continue rate control with metoprolol this can be titrated if needed , and aspirin and plavix for anti-coagulation .' +p85218 +(lp85219 +S'Therefore\tTherefore\tRB\tB-ADVP\tO' +p85220 +aS'we\twe\tPRP\tB-NP\tO' +p85221 +aS'will\twill\tMD\tB-VP\tO' +p85222 +aS'continue\tcontinue\tVB\tI-VP\tO' +p85223 +aS'rate\trate\tNN\tB-NP\tO' +p85224 +aS'control\tcontrol\tNN\tI-NP\tO' +p85225 +aS'with\twith\tIN\tB-PP\tO' +p85226 +aS'metoprolol\tmetoprolol\tNN\tB-NP\tO' +p85227 +aS'this\tthis\tDT\tB-NP\tO' +p85228 +aS'can\tcan\tMD\tB-VP\tO' +p85229 +aS'be\tbe\tVB\tI-VP\tO' +p85230 +aS'titrated\ttitrate\tVBN\tI-VP\tO' +p85231 +aS'if\tif\tIN\tB-SBAR\tO' +p85232 +aS'needed\tneed\tVBN\tB-VP\tO' +p85233 +aS',\t,\t,\tO\tO' +p85234 +aS'and\tand\tCC\tO\tO' +p85235 +aS'aspirin\taspirin\tNN\tB-NP\tO' +p85236 +aS'and\tand\tCC\tI-NP\tO' +p85237 +aS'plavix\tplavix\tNN\tI-NP\tO' +p85238 +aS'for\tfor\tIN\tB-PP\tO' +p85239 +aS'anti-coagulation\tanti-coagulation\tNN\tB-NP\tO' +p85240 +aS'.\t.\t.\tO\tO' +p85241 +asS'Her MEDICATIONS ON DISCHARGE included Lasix , 40 , b.i.d. , potassium , 20 mEq. , b.i.d. , iron , and folic acid replacement , and Coumadin .' +p85242 +(lp85243 +S'Her\tHer\tPRP$\tB-NP\tO' +p85244 +aS'MEDICATIONS\tMEDICATIONS\tNNS\tI-NP\tO' +p85245 +aS'ON\tON\tNN\tI-NP\tO' +p85246 +aS'DISCHARGE\tDISCHARGE\tNN\tI-NP\tO' +p85247 +aS'included\tinclude\tVBD\tB-VP\tO' +p85248 +aS'Lasix\tLasix\tNNP\tB-NP\tO' +p85249 +aS',\t,\t,\tO\tO' +p85250 +aS'40\t40\tCD\tB-NP\tO' +p85251 +aS',\t,\t,\tO\tO' +p85252 +aS'b.i.d.\tb.i.d.\tNN\tB-NP\tO' +p85253 +aS',\t,\t,\tO\tO' +p85254 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p85255 +aS',\t,\t,\tO\tO' +p85256 +aS'20\t20\tCD\tB-NP\tO' +p85257 +aS'mEq.\tmEq.\tNN\tI-NP\tO' +p85258 +aS',\t,\t,\tO\tO' +p85259 +aS'b.i.d.\tb.i.d.\tNN\tB-NP\tO' +p85260 +aS',\t,\t,\tO\tO' +p85261 +aS'iron\tiron\tNN\tB-NP\tO' +p85262 +aS',\t,\t,\tO\tO' +p85263 +aS'and\tand\tCC\tO\tO' +p85264 +aS'folic\tfolic\tJJ\tB-NP\tO' +p85265 +aS'acid\tacid\tNN\tI-NP\tO' +p85266 +aS'replacement\treplacement\tNN\tI-NP\tO' +p85267 +aS',\t,\t,\tO\tO' +p85268 +aS'and\tand\tCC\tO\tO' +p85269 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p85270 +aS'.\t.\t.\tO\tO' +p85271 +asS'>100,000 ORGANISMS/ML. .' +p85272 +(lp85273 +S'>100,000\t>100,000\tCD\tB-NP\tO' +p85274 +aS'ORGANISMS/ML.\tORGANISMS/ML.\tNNP\tI-NP\tO' +p85275 +aS'.\t.\t.\tO\tO' +p85276 +asS'2017-07-12 NSR , normal axis , likely V1 and V2 reversal , TWI in V2 , ? ST depr < 0.5 mm in II and V5/6 - repeat EKG without these changes .' +p85277 +(lp85278 +S'2017-07-12\t2017-07-12\tCD\tB-NP\tO' +p85279 +aS'NSR\tNSR\tNN\tI-NP\tB-protein' +p85280 +aS',\t,\t,\tO\tO' +p85281 +aS'normal\tnormal\tJJ\tB-NP\tO' +p85282 +aS'axis\taxis\tNN\tI-NP\tO' +p85283 +aS',\t,\t,\tO\tO' +p85284 +aS'likely\tlikely\tRB\tB-NP\tO' +p85285 +aS'V1\tV1\tNN\tI-NP\tO' +p85286 +aS'and\tand\tCC\tI-NP\tO' +p85287 +aS'V2\tV2\tNN\tI-NP\tB-protein' +p85288 +aS'reversal\treversal\tNN\tI-NP\tI-protein' +p85289 +aS',\t,\t,\tO\tO' +p85290 +aS'TWI\tTWI\tNN\tB-NP\tO' +p85291 +aS'in\tin\tIN\tB-PP\tO' +p85292 +aS'V2\tV2\tNN\tB-NP\tO' +p85293 +aS',\t,\t,\tO\tO' +p85294 +aS'?\t?\t.\tO\tO' +p85295 +aS'ST\tST\tJJ\tB-NP\tB-protein' +p85296 +aS'depr\tdepr\tNN\tI-NP\tI-protein' +p85297 +aS'<\t<\tSYM\tO\tO' +p85298 +aS'0.5\t0.5\tCD\tB-NP\tO' +p85299 +aS'mm\tmm\tNN\tI-NP\tO' +p85300 +aS'in\tin\tIN\tB-PP\tO' +p85301 +aS'II\tII\tCD\tB-NP\tO' +p85302 +aS'and\tand\tCC\tO\tO' +p85303 +aS'V5/6\tV5/6\tNN\tB-NP\tB-protein' +p85304 +aS'-\t-\tHYPH\tI-NP\tO' +p85305 +aS'repeat\trepeat\tNN\tI-NP\tO' +p85306 +aS'EKG\tEKG\tNN\tI-NP\tO' +p85307 +aS'without\twithout\tIN\tB-PP\tO' +p85308 +aS'these\tthese\tDT\tB-NP\tO' +p85309 +aS'changes\tchange\tNNS\tI-NP\tO' +p85310 +aS'.\t.\t.\tO\tO' +p85311 +asS'4. Osteoarthritis .' +p85312 +(lp85313 +S'4.\t4.\tLS\tB-NP\tO' +p85314 +aS'Osteoarthritis\tOsteoarthritis\tNN\tI-NP\tO' +p85315 +aS'.\t.\t.\tO\tO' +p85316 +asS'2. Viral gastroenteritis .' +p85317 +(lp85318 +S'2.\t2.\tLS\tB-NP\tO' +p85319 +aS'Viral\tViral\tJJ\tI-NP\tO' +p85320 +aS'gastroenteritis\tgastroenteritis\tNN\tI-NP\tO' +p85321 +aS'.\t.\t.\tO\tO' +p85322 +asS'He was draining pus from the wound site with subsequent relief of discomfort at the site .' +p85323 +(lp85324 +S'He\tHe\tPRP\tB-NP\tO' +p85325 +aS'was\tbe\tVBD\tB-VP\tO' +p85326 +aS'draining\tdrain\tVBG\tI-VP\tO' +p85327 +aS'pus\tpus\tNN\tB-NP\tO' +p85328 +aS'from\tfrom\tIN\tB-PP\tO' +p85329 +aS'the\tthe\tDT\tB-NP\tO' +p85330 +aS'wound\twound\tNN\tI-NP\tB-DNA' +p85331 +aS'site\tsite\tNN\tI-NP\tI-DNA' +p85332 +aS'with\twith\tIN\tB-PP\tO' +p85333 +aS'subsequent\tsubsequent\tJJ\tB-NP\tO' +p85334 +aS'relief\trelief\tNN\tI-NP\tO' +p85335 +aS'of\tof\tIN\tB-PP\tO' +p85336 +aS'discomfort\tdiscomfort\tNN\tB-NP\tO' +p85337 +aS'at\tat\tIN\tB-PP\tO' +p85338 +aS'the\tthe\tDT\tB-NP\tO' +p85339 +aS'site\tsite\tNN\tI-NP\tO' +p85340 +aS'.\t.\t.\tO\tO' +p85341 +asS'He did spike a fever and began Ancef and Gentamicin , although cultures never revealed a source for this .' +p85342 +(lp85343 +S'He\tHe\tPRP\tB-NP\tO' +p85344 +aS'did\tdo\tVBD\tB-VP\tO' +p85345 +aS'spike\tspike\tVB\tI-VP\tO' +p85346 +aS'a\ta\tDT\tB-NP\tO' +p85347 +aS'fever\tfever\tNN\tI-NP\tO' +p85348 +aS'and\tand\tCC\tO\tO' +p85349 +aS'began\tbegin\tVBD\tB-VP\tO' +p85350 +aS'Ancef\tAncef\tNN\tB-NP\tO' +p85351 +aS'and\tand\tCC\tI-NP\tO' +p85352 +aS'Gentamicin\tGentamicin\tNN\tI-NP\tO' +p85353 +aS',\t,\t,\tO\tO' +p85354 +aS'although\talthough\tIN\tB-SBAR\tO' +p85355 +aS'cultures\tculture\tNNS\tB-NP\tO' +p85356 +aS'never\tnever\tRB\tB-ADVP\tO' +p85357 +aS'revealed\treveal\tVBD\tB-VP\tO' +p85358 +aS'a\ta\tDT\tB-NP\tO' +p85359 +aS'source\tsource\tNN\tI-NP\tO' +p85360 +aS'for\tfor\tIN\tB-PP\tO' +p85361 +aS'this\tthis\tDT\tB-NP\tO' +p85362 +aS'.\t.\t.\tO\tO' +p85363 +asS'There were no complications during the procedure .' +p85364 +(lp85365 +S'There\tThere\tEX\tB-NP\tO' +p85366 +aS'were\tbe\tVBD\tB-VP\tO' +p85367 +aS'no\tno\tDT\tB-NP\tO' +p85368 +aS'complications\tcomplication\tNNS\tI-NP\tO' +p85369 +aS'during\tduring\tIN\tB-PP\tO' +p85370 +aS'the\tthe\tDT\tB-NP\tO' +p85371 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p85372 +aS'.\t.\t.\tO\tO' +p85373 +asS'The patient had a temperature of 98.4 , heart rate 72 , blood pressure 154/89 , respiratory rate 18 and oxygen saturation 90% in room air .' +p85374 +(lp85375 +S'The\tThe\tDT\tB-NP\tO' +p85376 +aS'patient\tpatient\tNN\tI-NP\tO' +p85377 +aS'had\thave\tVBD\tB-VP\tO' +p85378 +aS'a\ta\tDT\tB-NP\tO' +p85379 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p85380 +aS'of\tof\tIN\tB-PP\tO' +p85381 +aS'98.4\t98.4\tCD\tB-NP\tO' +p85382 +aS',\t,\t,\tO\tO' +p85383 +aS'heart\theart\tNN\tB-NP\tO' +p85384 +aS'rate\trate\tNN\tI-NP\tO' +p85385 +aS'72\t72\tCD\tI-NP\tO' +p85386 +aS',\t,\t,\tO\tO' +p85387 +aS'blood\tblood\tNN\tB-NP\tO' +p85388 +aS'pressure\tpressure\tNN\tI-NP\tO' +p85389 +aS'154/89\t154/89\tCD\tI-NP\tO' +p85390 +aS',\t,\t,\tO\tO' +p85391 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p85392 +aS'rate\trate\tNN\tI-NP\tO' +p85393 +aS'18\t18\tCD\tB-NP\tO' +p85394 +aS'and\tand\tCC\tI-NP\tO' +p85395 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p85396 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p85397 +aS'90%\t90%\tNN\tI-NP\tO' +p85398 +aS'in\tin\tIN\tB-PP\tO' +p85399 +aS'room\troom\tNN\tB-NP\tO' +p85400 +aS'air\tair\tNN\tI-NP\tO' +p85401 +aS'.\t.\t.\tO\tO' +p85402 +asS'There was no active bleeding noted at the surgical site on examination .' +p85403 +(lp85404 +S'There\tThere\tEX\tB-NP\tO' +p85405 +aS'was\tbe\tVBD\tB-VP\tO' +p85406 +aS'no\tno\tDT\tB-NP\tO' +p85407 +aS'active\tactive\tJJ\tI-NP\tO' +p85408 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p85409 +aS'noted\tnote\tVBN\tB-VP\tO' +p85410 +aS'at\tat\tIN\tB-PP\tO' +p85411 +aS'the\tthe\tDT\tB-NP\tO' +p85412 +aS'surgical\tsurgical\tJJ\tI-NP\tO' +p85413 +aS'site\tsite\tNN\tI-NP\tO' +p85414 +aS'on\ton\tIN\tB-PP\tO' +p85415 +aS'examination\texamination\tNN\tB-NP\tO' +p85416 +aS'.\t.\t.\tO\tO' +p85417 +asS'His chest tube had been discontinued .' +p85418 +(lp85419 +S'His\tHis\tPRP$\tB-NP\tO' +p85420 +aS'chest\tchest\tNN\tI-NP\tO' +p85421 +aS'tube\ttube\tNN\tI-NP\tO' +p85422 +aS'had\thave\tVBD\tB-VP\tO' +p85423 +aS'been\tbe\tVBN\tI-VP\tO' +p85424 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p85425 +aS'.\t.\t.\tO\tO' +p85426 +asS'9. Humalog sliding-scale q.a.m. and q.p.m.' +p85427 +(lp85428 +S'9.\t9.\tLS\tB-NP\tO' +p85429 +aS'Humalog\tHumalog\tNNP\tI-NP\tO' +p85430 +aS'sliding-scale\tsliding-scale\tJJ\tI-NP\tO' +p85431 +aS'q.a.m.\tq.a.m.\tNN\tI-NP\tO' +p85432 +aS'and\tand\tCC\tI-NP\tO' +p85433 +aS'q.p.m.\tq.p.m.\tNN\tI-NP\tO' +p85434 +asS'Positive gynecomastia .' +p85435 +(lp85436 +S'Positive\tPositive\tJJ\tB-NP\tO' +p85437 +aS'gynecomastia\tgynecomastia\tNN\tI-NP\tO' +p85438 +aS'.\t.\t.\tO\tO' +p85439 +asS'- moderate R sided macular degeneration' +p85440 +(lp85441 +S'-\t-\tHYPH\tB-NP\tO' +p85442 +aS'moderate\tmoderate\tJJ\tI-NP\tO' +p85443 +aS'R\tR\tNN\tI-NP\tO' +p85444 +aS'sided\tside\tVBD\tB-VP\tO' +p85445 +aS'macular\tmacular\tJJ\tB-NP\tO' +p85446 +aS'degeneration\tdegeneration\tNN\tI-NP\tO' +p85447 +asS'On 08-10 class I and II antibody levels were sent .' +p85448 +(lp85449 +S'On\tOn\tIN\tB-PP\tO' +p85450 +aS'08-10\t08-10\tCD\tB-NP\tO' +p85451 +aS'class\tclass\tNN\tI-NP\tO' +p85452 +aS'I\tI\tCD\tB-NP\tO' +p85453 +aS'and\tand\tCC\tI-NP\tO' +p85454 +aS'II\tII\tCD\tI-NP\tO' +p85455 +aS'antibody\tantibody\tNN\tI-NP\tO' +p85456 +aS'levels\tlevel\tNNS\tI-NP\tO' +p85457 +aS'were\tbe\tVBD\tB-VP\tO' +p85458 +aS'sent\tsend\tVBN\tI-VP\tO' +p85459 +aS'.\t.\t.\tO\tO' +p85460 +asS'He had a right bundle branch block .' +p85461 +(lp85462 +S'He\tHe\tPRP\tB-NP\tO' +p85463 +aS'had\thave\tVBD\tB-VP\tO' +p85464 +aS'a\ta\tDT\tB-NP\tO' +p85465 +aS'right\tright\tJJ\tI-NP\tO' +p85466 +aS'bundle\tbundle\tNN\tI-NP\tO' +p85467 +aS'branch\tbranch\tNN\tI-NP\tO' +p85468 +aS'block\tblock\tNN\tI-NP\tO' +p85469 +aS'.\t.\t.\tO\tO' +p85470 +asS'Specifically , there is no pneumothorax and no interval development of effusion .' +p85471 +(lp85472 +S'Specifically\tSpecifically\tRB\tB-ADVP\tO' +p85473 +aS',\t,\t,\tO\tO' +p85474 +aS'there\tthere\tEX\tB-NP\tO' +p85475 +aS'is\tbe\tVBZ\tB-VP\tO' +p85476 +aS'no\tno\tDT\tB-NP\tO' +p85477 +aS'pneumothorax\tpneumothorax\tNN\tI-NP\tO' +p85478 +aS'and\tand\tCC\tO\tO' +p85479 +aS'no\tno\tDT\tB-NP\tO' +p85480 +aS'interval\tinterval\tJJ\tI-NP\tO' +p85481 +aS'development\tdevelopment\tNN\tI-NP\tO' +p85482 +aS'of\tof\tIN\tB-PP\tO' +p85483 +aS'effusion\teffusion\tNN\tB-NP\tO' +p85484 +aS'.\t.\t.\tO\tO' +p85485 +asS'Sodium 140 , potassium 4.2 , chloride 105 , carbon dioxide 30 , BUN 24 , creatinine 1.0 .' +p85486 +(lp85487 +S'Sodium\tSodium\tNN\tB-NP\tB-protein' +p85488 +aS'140\t140\tCD\tI-NP\tI-protein' +p85489 +aS',\t,\t,\tO\tO' +p85490 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p85491 +aS'4.2\t4.2\tCD\tI-NP\tO' +p85492 +aS',\t,\t,\tO\tO' +p85493 +aS'chloride\tchloride\tNN\tB-NP\tO' +p85494 +aS'105\t105\tCD\tI-NP\tO' +p85495 +aS',\t,\t,\tO\tO' +p85496 +aS'carbon\tcarbon\tNN\tB-NP\tO' +p85497 +aS'dioxide\tdioxide\tNN\tI-NP\tO' +p85498 +aS'30\t30\tCD\tI-NP\tO' +p85499 +aS',\t,\t,\tO\tO' +p85500 +aS'BUN\tBUN\tNN\tB-NP\tB-DNA' +p85501 +aS'24\t24\tCD\tI-NP\tI-DNA' +p85502 +aS',\t,\t,\tO\tO' +p85503 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p85504 +aS'1.0\t1.0\tCD\tI-NP\tO' +p85505 +aS'.\t.\t.\tO\tO' +p85506 +asS'On arrival to the floor the patient was noted to have a lacy reticular rash of upper arms , which resolved over the next 48h .' +p85507 +(lp85508 +S'On\tOn\tIN\tB-PP\tO' +p85509 +aS'arrival\tarrival\tNN\tB-NP\tO' +p85510 +aS'to\tto\tTO\tB-PP\tO' +p85511 +aS'the\tthe\tDT\tB-NP\tO' +p85512 +aS'floor\tfloor\tNN\tI-NP\tO' +p85513 +aS'the\tthe\tDT\tB-NP\tO' +p85514 +aS'patient\tpatient\tNN\tI-NP\tO' +p85515 +aS'was\tbe\tVBD\tB-VP\tO' +p85516 +aS'noted\tnote\tVBN\tI-VP\tO' +p85517 +aS'to\tto\tTO\tI-VP\tO' +p85518 +aS'have\thave\tVB\tI-VP\tO' +p85519 +aS'a\ta\tDT\tB-NP\tO' +p85520 +aS'lacy\tlacy\tNN\tI-NP\tO' +p85521 +aS'reticular\treticular\tJJ\tI-NP\tO' +p85522 +aS'rash\trash\tNN\tI-NP\tO' +p85523 +aS'of\tof\tIN\tB-PP\tO' +p85524 +aS'upper\tupper\tJJ\tB-NP\tO' +p85525 +aS'arms\tarm\tNNS\tI-NP\tO' +p85526 +aS',\t,\t,\tO\tO' +p85527 +aS'which\twhich\tWDT\tB-NP\tO' +p85528 +aS'resolved\tresolve\tVBD\tB-VP\tO' +p85529 +aS'over\tover\tIN\tB-PP\tO' +p85530 +aS'the\tthe\tDT\tB-NP\tO' +p85531 +aS'next\tnext\tJJ\tI-NP\tO' +p85532 +aS'48h\t48h\tNN\tI-NP\tO' +p85533 +aS'.\t.\t.\tO\tO' +p85534 +asS'Invasive mucinous carcinoma with estrogen receptor positivity and HER2/NEU negative .' +p85535 +(lp85536 +S'Invasive\tInvasive\tJJ\tB-NP\tO' +p85537 +aS'mucinous\tmucinous\tJJ\tI-NP\tO' +p85538 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p85539 +aS'with\twith\tIN\tB-PP\tO' +p85540 +aS'estrogen\testrogen\tNN\tB-NP\tB-protein' +p85541 +aS'receptor\treceptor\tNN\tI-NP\tI-protein' +p85542 +aS'positivity\tpositivity\tNN\tI-NP\tO' +p85543 +aS'and\tand\tCC\tO\tO' +p85544 +aS'HER2/NEU\tHER2/NEU\tNN\tB-NP\tB-protein' +p85545 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p85546 +aS'.\t.\t.\tO\tO' +p85547 +asS'This report was created by MEEDHUANG , PADA 07/31/2004 12:59 PM' +p85548 +(lp85549 +S'This\tThis\tDT\tB-NP\tO' +p85550 +aS'report\treport\tNN\tI-NP\tO' +p85551 +aS'was\tbe\tVBD\tB-VP\tO' +p85552 +aS'created\tcreate\tVBN\tI-VP\tO' +p85553 +aS'by\tby\tIN\tB-PP\tO' +p85554 +aS'MEEDHUANG\tMEEDHUANG\tNNP\tB-NP\tO' +p85555 +aS',\t,\t,\tO\tO' +p85556 +aS'PADA\tPADA\tNNP\tB-NP\tO' +p85557 +aS'07/31/2004\t07/31/2004\tCD\tB-NP\tO' +p85558 +aS'12:59\t12:59\tCD\tI-NP\tO' +p85559 +aS'PM\tPM\tNN\tI-NP\tO' +p85560 +asS'Positive anterior cervical lymphadenopathy .' +p85561 +(lp85562 +S'Positive\tPositive\tJJ\tB-NP\tO' +p85563 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p85564 +aS'cervical\tcervical\tJJ\tI-NP\tO' +p85565 +aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' +p85566 +aS'.\t.\t.\tO\tO' +p85567 +asS'Her electrocardiogram showed a new right bundle branch block and left anterior hemiblock .' +p85568 +(lp85569 +S'Her\tHer\tPRP$\tB-NP\tO' +p85570 +aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' +p85571 +aS'showed\tshow\tVBD\tB-VP\tO' +p85572 +aS'a\ta\tDT\tB-NP\tO' +p85573 +aS'new\tnew\tJJ\tI-NP\tO' +p85574 +aS'right\tright\tJJ\tI-NP\tO' +p85575 +aS'bundle\tbundle\tNN\tI-NP\tO' +p85576 +aS'branch\tbranch\tNN\tI-NP\tO' +p85577 +aS'block\tblock\tNN\tI-NP\tO' +p85578 +aS'and\tand\tCC\tO\tO' +p85579 +aS'left\tleave\tVBD\tB-VP\tO' +p85580 +aS'anterior\tanterior\tJJ\tB-NP\tO' +p85581 +aS'hemiblock\themiblock\tNN\tI-NP\tO' +p85582 +aS'.\t.\t.\tO\tO' +p85583 +asS'Saujule Study is a 77-year-old woman with a history of obesity and hypertension who presents with increased shortness of breath x 5 days .' +p85584 +(lp85585 +S'Saujule\tSaujule\tNNP\tB-NP\tO' +p85586 +aS'Study\tStudy\tNNP\tI-NP\tO' +p85587 +aS'is\tbe\tVBZ\tB-VP\tO' +p85588 +aS'a\ta\tDT\tB-NP\tO' +p85589 +aS'77-year-old\t77-year-old\tJJ\tI-NP\tO' +p85590 +aS'woman\twoman\tNN\tI-NP\tO' +p85591 +aS'with\twith\tIN\tB-PP\tO' +p85592 +aS'a\ta\tDT\tB-NP\tO' +p85593 +aS'history\thistory\tNN\tI-NP\tO' +p85594 +aS'of\tof\tIN\tB-PP\tO' +p85595 +aS'obesity\tobesity\tNN\tB-NP\tO' +p85596 +aS'and\tand\tCC\tI-NP\tO' +p85597 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p85598 +aS'who\twho\tWP\tB-NP\tO' +p85599 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p85600 +aS'with\twith\tIN\tB-PP\tO' +p85601 +aS'increased\tincrease\tVBN\tB-NP\tO' +p85602 +aS'shortness\tshortness\tNN\tI-NP\tO' +p85603 +aS'of\tof\tIN\tB-PP\tO' +p85604 +aS'breath\tbreath\tNN\tB-NP\tO' +p85605 +aS'x\tx\tSYM\tO\tO' +p85606 +aS'5\t5\tCD\tB-NP\tO' +p85607 +aS'days\tday\tNNS\tI-NP\tO' +p85608 +aS'.\t.\t.\tO\tO' +p85609 +asS'32 y / o woman with h / o anxiety and depression and prior suicide attempt presents with TCA and celexa overdose , tremulous / light-headed , felt better post charcoal .' +p85610 +(lp85611 +S'32\t32\tCD\tB-NP\tO' +p85612 +aS'y\ty\tNN\tI-NP\tO' +p85613 +aS'/\t/\tSYM\tO\tO' +p85614 +aS'o\to\tNN\tB-NP\tO' +p85615 +aS'woman\twoman\tNN\tI-NP\tO' +p85616 +aS'with\twith\tIN\tB-PP\tO' +p85617 +aS'h\th\tNN\tB-NP\tO' +p85618 +aS'/\t/\tSYM\tO\tO' +p85619 +aS'o\to\tNN\tB-NP\tO' +p85620 +aS'anxiety\tanxiety\tNN\tI-NP\tO' +p85621 +aS'and\tand\tCC\tO\tO' +p85622 +aS'depression\tdepression\tNN\tB-NP\tO' +p85623 +aS'and\tand\tCC\tO\tO' +p85624 +aS'prior\tprior\tJJ\tB-NP\tO' +p85625 +aS'suicide\tsuicide\tNN\tI-NP\tO' +p85626 +aS'attempt\tattempt\tNN\tI-NP\tO' +p85627 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p85628 +aS'with\twith\tIN\tB-PP\tO' +p85629 +aS'TCA\tTCA\tNN\tB-NP\tB-protein' +p85630 +aS'and\tand\tCC\tI-NP\tO' +p85631 +aS'celexa\tcelexa\tNN\tI-NP\tO' +p85632 +aS'overdose\toverdose\tNN\tI-NP\tO' +p85633 +aS',\t,\t,\tO\tO' +p85634 +aS'tremulous\ttremulous\tJJ\tB-ADJP\tO' +p85635 +aS'/\t/\tSYM\tB-NP\tO' +p85636 +aS'light-headed\tlight-headed\tJJ\tB-ADJP\tO' +p85637 +aS',\t,\t,\tO\tO' +p85638 +aS'felt\tfeel\tVBD\tB-VP\tO' +p85639 +aS'better\tgood\tJJR\tB-NP\tO' +p85640 +aS'post\tpost\tNN\tI-NP\tO' +p85641 +aS'charcoal\tcharcoal\tNN\tI-NP\tO' +p85642 +aS'.\t.\t.\tO\tO' +p85643 +asS'There is some fluid or mucosal thickening in the ethmoid and sphenoid sinuses .' +p85644 +(lp85645 +S'There\tThere\tEX\tB-NP\tO' +p85646 +aS'is\tbe\tVBZ\tB-VP\tO' +p85647 +aS'some\tsome\tDT\tB-NP\tO' +p85648 +aS'fluid\tfluid\tJJ\tI-NP\tO' +p85649 +aS'or\tor\tCC\tI-NP\tO' +p85650 +aS'mucosal\tmucosal\tJJ\tI-NP\tO' +p85651 +aS'thickening\tthickening\tNN\tI-NP\tO' +p85652 +aS'in\tin\tIN\tB-PP\tO' +p85653 +aS'the\tthe\tDT\tB-NP\tO' +p85654 +aS'ethmoid\tethmoid\tJJ\tI-NP\tO' +p85655 +aS'and\tand\tCC\tI-NP\tO' +p85656 +aS'sphenoid\tsphenoid\tJJ\tI-NP\tO' +p85657 +aS'sinuses\tsinus\tNNS\tI-NP\tO' +p85658 +aS'.\t.\t.\tO\tO' +p85659 +asS'6. Immunizations received : Hepatitis B vaccine on 12-31 , 2006 .' +p85660 +(lp85661 +S'6.\t6.\tLS\tB-NP\tO' +p85662 +aS'Immunizations\tImmunization\tNNS\tI-NP\tO' +p85663 +aS'received\treceive\tVBD\tB-VP\tO' +p85664 +aS':\t:\t:\tO\tO' +p85665 +aS'Hepatitis\tHepatitis\tNN\tB-NP\tO' +p85666 +aS'B\tB\tNN\tI-NP\tO' +p85667 +aS'vaccine\tvaccine\tNN\tI-NP\tO' +p85668 +aS'on\ton\tIN\tB-PP\tO' +p85669 +aS'12-31\t12-31\tCD\tB-NP\tO' +p85670 +aS',\t,\t,\tI-NP\tO' +p85671 +aS'2006\t2006\tCD\tI-NP\tO' +p85672 +aS'.\t.\t.\tO\tO' +p85673 +asS'No intervention was done at that point .' +p85674 +(lp85675 +S'No\tNo\tDT\tB-NP\tO' +p85676 +aS'intervention\tintervention\tNN\tI-NP\tO' +p85677 +aS'was\tbe\tVBD\tB-VP\tO' +p85678 +aS'done\tdo\tVBN\tI-VP\tO' +p85679 +aS'at\tat\tIN\tB-PP\tO' +p85680 +aS'that\tthat\tDT\tB-NP\tO' +p85681 +aS'point\tpoint\tNN\tI-NP\tO' +p85682 +aS'.\t.\t.\tO\tO' +p85683 +asS'There were no major issues and he was discharged home on 5/20/00 .' +p85684 +(lp85685 +S'There\tThere\tEX\tB-NP\tO' +p85686 +aS'were\tbe\tVBD\tB-VP\tO' +p85687 +aS'no\tno\tDT\tB-NP\tO' +p85688 +aS'major\tmajor\tJJ\tI-NP\tO' +p85689 +aS'issues\tissue\tNNS\tI-NP\tO' +p85690 +aS'and\tand\tCC\tO\tO' +p85691 +aS'he\the\tPRP\tB-NP\tO' +p85692 +aS'was\tbe\tVBD\tB-VP\tO' +p85693 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p85694 +aS'home\thome\tNN\tB-ADVP\tO' +p85695 +aS'on\ton\tIN\tB-PP\tO' +p85696 +aS'5/20/00\t5/20/00\tCD\tB-NP\tO' +p85697 +aS'.\t.\t.\tO\tO' +p85698 +asS'No evidence for pulmonary embolism .' +p85699 +(lp85700 +S'No\tNo\tDT\tB-NP\tO' +p85701 +aS'evidence\tevidence\tNN\tI-NP\tO' +p85702 +aS'for\tfor\tIN\tB-PP\tO' +p85703 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p85704 +aS'embolism\tembolism\tNN\tI-NP\tO' +p85705 +aS'.\t.\t.\tO\tO' +p85706 +asS'Thrombocytopenic inducing drugs should be avoided if possible on this patient .' +p85707 +(lp85708 +S'Thrombocytopenic\tThrombocytopenic\tJJ\tB-NP\tO' +p85709 +aS'inducing\tinduce\tVBG\tI-NP\tO' +p85710 +aS'drugs\tdrug\tNNS\tI-NP\tO' +p85711 +aS'should\tshould\tMD\tB-VP\tO' +p85712 +aS'be\tbe\tVB\tI-VP\tO' +p85713 +aS'avoided\tavoid\tVBN\tI-VP\tO' +p85714 +aS'if\tif\tIN\tB-SBAR\tO' +p85715 +aS'possible\tpossible\tJJ\tB-ADJP\tO' +p85716 +aS'on\ton\tIN\tB-PP\tO' +p85717 +aS'this\tthis\tDT\tB-NP\tO' +p85718 +aS'patient\tpatient\tNN\tI-NP\tO' +p85719 +aS'.\t.\t.\tO\tO' +p85720 +asS'Neck was supple , no lymphadenopathy , no thyromegaly , no jugular venous distention , and no bruits .' +p85721 +(lp85722 +S'Neck\tNeck\tNN\tB-NP\tO' +p85723 +aS'was\tbe\tVBD\tB-VP\tO' +p85724 +aS'supple\tsupple\tNN\tB-NP\tO' +p85725 +aS',\t,\t,\tO\tO' +p85726 +aS'no\tno\tDT\tB-NP\tO' +p85727 +aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' +p85728 +aS',\t,\t,\tO\tO' +p85729 +aS'no\tno\tDT\tB-ADVP\tO' +p85730 +aS'thyromegaly\tthyromegaly\tRB\tI-ADVP\tO' +p85731 +aS',\t,\t,\tO\tO' +p85732 +aS'no\tno\tDT\tB-NP\tO' +p85733 +aS'jugular\tjugular\tJJ\tI-NP\tO' +p85734 +aS'venous\tvenous\tJJ\tI-NP\tO' +p85735 +aS'distention\tdistention\tNN\tI-NP\tO' +p85736 +aS',\t,\t,\tO\tO' +p85737 +aS'and\tand\tCC\tO\tO' +p85738 +aS'no\tno\tDT\tB-NP\tO' +p85739 +aS'bruits\tbruit\tNNS\tI-NP\tO' +p85740 +aS'.\t.\t.\tO\tO' +p85741 +asS'He was followed by the nutrition team throughout his admission and their recommendations were followed .' +p85742 +(lp85743 +S'He\tHe\tPRP\tB-NP\tO' +p85744 +aS'was\tbe\tVBD\tB-VP\tO' +p85745 +aS'followed\tfollow\tVBN\tI-VP\tO' +p85746 +aS'by\tby\tIN\tB-PP\tO' +p85747 +aS'the\tthe\tDT\tB-NP\tO' +p85748 +aS'nutrition\tnutrition\tNN\tI-NP\tO' +p85749 +aS'team\tteam\tNN\tI-NP\tO' +p85750 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p85751 +aS'his\this\tPRP$\tB-NP\tO' +p85752 +aS'admission\tadmission\tNN\tI-NP\tO' +p85753 +aS'and\tand\tCC\tO\tO' +p85754 +aS'their\ttheir\tPRP$\tB-NP\tO' +p85755 +aS'recommendations\trecommendation\tNNS\tI-NP\tO' +p85756 +aS'were\tbe\tVBD\tB-VP\tO' +p85757 +aS'followed\tfollow\tVBN\tI-VP\tO' +p85758 +aS'.\t.\t.\tO\tO' +p85759 +asS'On day # 2 the patient continued to diurese and this was maintained with the Lasix/ Mannitol infusion .' +p85760 +(lp85761 +S'On\tOn\tIN\tB-PP\tO' +p85762 +aS'day\tday\tNN\tB-NP\tO' +p85763 +aS'#\t#\t#\tB-NP\tO' +p85764 +aS'2\t2\tCD\tI-NP\tO' +p85765 +aS'the\tthe\tDT\tB-NP\tO' +p85766 +aS'patient\tpatient\tNN\tI-NP\tO' +p85767 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p85768 +aS'to\tto\tTO\tI-VP\tO' +p85769 +aS'diurese\tdiurese\tVB\tI-VP\tO' +p85770 +aS'and\tand\tCC\tO\tO' +p85771 +aS'this\tthis\tDT\tB-NP\tO' +p85772 +aS'was\tbe\tVBD\tB-VP\tO' +p85773 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p85774 +aS'with\twith\tIN\tB-PP\tO' +p85775 +aS'the\tthe\tDT\tB-NP\tO' +p85776 +aS'Lasix/\tLasix/\tNNP\tI-NP\tO' +p85777 +aS'Mannitol\tMannitol\tNNP\tI-NP\tO' +p85778 +aS'infusion\tinfusion\tNN\tI-NP\tO' +p85779 +aS'.\t.\t.\tO\tO' +p85780 +asS'23. Morphine Sulfate 2 mg / mL Syringe Sig : 02-19 Injection Q12H ( every 12 hours ) as needed .' +p85781 +(lp85782 +S'23.\t23.\tLS\tB-NP\tO' +p85783 +aS'Morphine\tMorphine\tNN\tI-NP\tO' +p85784 +aS'Sulfate\tSulfate\tNN\tI-NP\tO' +p85785 +aS'2\t2\tCD\tI-NP\tO' +p85786 +aS'mg\tmg\tNN\tI-NP\tO' +p85787 +aS'/\t/\tSYM\tB-NP\tO' +p85788 +aS'mL\tmL\tNN\tI-NP\tO' +p85789 +aS'Syringe\tSyringe\tNNP\tI-NP\tO' +p85790 +aS'Sig\tSig\tNNP\tI-NP\tO' +p85791 +aS':\t:\t:\tO\tO' +p85792 +aS'02-19\t02-19\tCD\tB-NP\tO' +p85793 +aS'Injection\tInjection\tNN\tI-NP\tO' +p85794 +aS'Q12H\tQ12H\tNN\tI-NP\tO' +p85795 +aS'(\t(\t(\tO\tO' +p85796 +aS'every\tevery\tDT\tB-NP\tO' +p85797 +aS'12\t12\tCD\tI-NP\tO' +p85798 +aS'hours\thour\tNNS\tI-NP\tO' +p85799 +aS')\t)\t)\tO\tO' +p85800 +aS'as\tas\tIN\tB-SBAR\tO' +p85801 +aS'needed\tneed\tVBN\tB-VP\tO' +p85802 +aS'.\t.\t.\tO\tO' +p85803 +asS'One aspirin a day .' +p85804 +(lp85805 +S'One\tOne\tCD\tB-NP\tO' +p85806 +aS'aspirin\taspirin\tNN\tI-NP\tO' +p85807 +aS'a\ta\tDT\tB-NP\tO' +p85808 +aS'day\tday\tNN\tI-NP\tO' +p85809 +aS'.\t.\t.\tO\tO' +p85810 +asS'Decrease tone , ruddy , warm , well perfused with peripheral IV in left hand .' +p85811 +(lp85812 +S'Decrease\tDecrease\tNNP\tB-NP\tO' +p85813 +aS'tone\ttone\tNN\tI-NP\tO' +p85814 +aS',\t,\t,\tO\tO' +p85815 +aS'ruddy\truddy\tNN\tB-NP\tO' +p85816 +aS',\t,\t,\tO\tO' +p85817 +aS'warm\twarm\tNN\tB-NP\tO' +p85818 +aS',\t,\t,\tO\tO' +p85819 +aS'well\twell\tRB\tB-VP\tO' +p85820 +aS'perfused\tperfuse\tVBN\tI-VP\tO' +p85821 +aS'with\twith\tIN\tB-PP\tO' +p85822 +aS'peripheral\tperipheral\tJJ\tB-NP\tO' +p85823 +aS'IV\tIV\tCD\tI-NP\tO' +p85824 +aS'in\tin\tIN\tB-PP\tO' +p85825 +aS'left\tleft\tJJ\tB-NP\tO' +p85826 +aS'hand\thand\tNN\tI-NP\tO' +p85827 +aS'.\t.\t.\tO\tO' +p85828 +asS"The patient 's mental status remained essentially clear throughout the entire postoperative period ." +p85829 +(lp85830 +S'The\tThe\tDT\tB-NP\tO' +p85831 +aS'patient\tpatient\tNN\tI-NP\tO' +p85832 +aS"'s\t's\tPOS\tB-NP\tO" +p85833 +aS'mental\tmental\tJJ\tI-NP\tO' +p85834 +aS'status\tstatus\tNN\tI-NP\tO' +p85835 +aS'remained\tremain\tVBD\tB-VP\tO' +p85836 +aS'essentially\tessentially\tRB\tB-ADJP\tO' +p85837 +aS'clear\tclear\tJJ\tI-ADJP\tO' +p85838 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p85839 +aS'the\tthe\tDT\tB-NP\tO' +p85840 +aS'entire\tentire\tJJ\tI-NP\tO' +p85841 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p85842 +aS'period\tperiod\tNN\tI-NP\tO' +p85843 +aS'.\t.\t.\tO\tO' +p85844 +asS'Take the pain medication as prescribed .' +p85845 +(lp85846 +S'Take\tTake\tVB\tB-VP\tO' +p85847 +aS'the\tthe\tDT\tB-NP\tO' +p85848 +aS'pain\tpain\tNN\tI-NP\tO' +p85849 +aS'medication\tmedication\tNN\tI-NP\tO' +p85850 +aS'as\tas\tIN\tB-SBAR\tO' +p85851 +aS'prescribed\tprescribe\tVBN\tB-VP\tO' +p85852 +aS'.\t.\t.\tO\tO' +p85853 +asS'Signed electronically by : DR. Victoria Cox on : FRI 2019-01-04 11:25 AM' +p85854 +(lp85855 +S'Signed\tSign\tVBN\tB-VP\tO' +p85856 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p85857 +aS'by\tby\tIN\tB-PP\tO' +p85858 +aS':\t:\t:\tO\tO' +p85859 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p85860 +aS'Victoria\tVictoria\tNNP\tI-NP\tO' +p85861 +aS'Cox\tCox\tNNP\tI-NP\tO' +p85862 +aS'on\ton\tIN\tB-PP\tO' +p85863 +aS':\t:\t:\tO\tO' +p85864 +aS'FRI\tFRI\tCD\tB-NP\tO' +p85865 +aS'2019-01-04\t2019-01-04\tCD\tI-NP\tO' +p85866 +aS'11:25\t11:25\tCD\tI-NP\tO' +p85867 +aS'AM\tAM\tNN\tI-NP\tO' +p85868 +asS'Patient was admitted for diagnosis and treatment of new fever .' +p85869 +(lp85870 +S'Patient\tPatient\tNN\tB-NP\tO' +p85871 +aS'was\tbe\tVBD\tB-VP\tO' +p85872 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p85873 +aS'for\tfor\tIN\tB-PP\tO' +p85874 +aS'diagnosis\tdiagnosis\tNN\tB-NP\tO' +p85875 +aS'and\tand\tCC\tI-NP\tO' +p85876 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p85877 +aS'of\tof\tIN\tB-PP\tO' +p85878 +aS'new\tnew\tJJ\tB-NP\tO' +p85879 +aS'fever\tfever\tNN\tI-NP\tO' +p85880 +aS'.\t.\t.\tO\tO' +p85881 +asS'2. Undesired adiposity .' +p85882 +(lp85883 +S'2.\t2.\tLS\tB-NP\tO' +p85884 +aS'Undesired\tUndesired\tJJ\tI-NP\tO' +p85885 +aS'adiposity\tadiposity\tNN\tI-NP\tO' +p85886 +aS'.\t.\t.\tO\tO' +p85887 +asS'Mr. Roach was kept sedated with propofol and was given Fentanyl and / or morphine boluses for pain .' +p85888 +(lp85889 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p85890 +aS'Roach\tRoach\tNNP\tI-NP\tO' +p85891 +aS'was\tbe\tVBD\tB-VP\tO' +p85892 +aS'kept\tkeep\tVBN\tI-VP\tO' +p85893 +aS'sedated\tsedate\tVBN\tI-VP\tO' +p85894 +aS'with\twith\tIN\tB-PP\tO' +p85895 +aS'propofol\tpropofol\tNN\tB-NP\tO' +p85896 +aS'and\tand\tCC\tO\tO' +p85897 +aS'was\tbe\tVBD\tB-VP\tO' +p85898 +aS'given\tgive\tVBN\tI-VP\tO' +p85899 +aS'Fentanyl\tFentanyl\tNN\tB-NP\tO' +p85900 +aS'and\tand\tCC\tO\tO' +p85901 +aS'/\t/\tSYM\tB-NP\tO' +p85902 +aS'or\tor\tCC\tO\tO' +p85903 +aS'morphine\tmorphine\tNN\tB-NP\tO' +p85904 +aS'boluses\tbolus\tNNS\tI-NP\tO' +p85905 +aS'for\tfor\tIN\tB-PP\tO' +p85906 +aS'pain\tpain\tNN\tB-NP\tO' +p85907 +aS'.\t.\t.\tO\tO' +p85908 +asS'Mr. State was dyspneic speaking in short sentences initially on high flow oxygen .' +p85909 +(lp85910 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p85911 +aS'State\tState\tNNP\tI-NP\tO' +p85912 +aS'was\tbe\tVBD\tB-VP\tO' +p85913 +aS'dyspneic\tdyspneic\tJJ\tB-NP\tO' +p85914 +aS'speaking\tspeaking\tNN\tI-NP\tO' +p85915 +aS'in\tin\tIN\tB-PP\tO' +p85916 +aS'short\tshort\tJJ\tB-NP\tO' +p85917 +aS'sentences\tsentence\tNNS\tI-NP\tO' +p85918 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p85919 +aS'on\ton\tIN\tB-PP\tO' +p85920 +aS'high\thigh\tJJ\tB-NP\tO' +p85921 +aS'flow\tflow\tNN\tI-NP\tO' +p85922 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p85923 +aS'.\t.\t.\tO\tO' +p85924 +asS'an magnetic resonance imaging study demonstrated calcification densities in the suprapatellar bursa region , also with hypertrophia of the synovium .' +p85925 +(lp85926 +S'an\tan\tDT\tB-NP\tO' +p85927 +aS'magnetic\tmagnetic\tJJ\tI-NP\tO' +p85928 +aS'resonance\tresonance\tNN\tI-NP\tO' +p85929 +aS'imaging\timaging\tNN\tI-NP\tO' +p85930 +aS'study\tstudy\tNN\tI-NP\tO' +p85931 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p85932 +aS'calcification\tcalcification\tNN\tB-NP\tO' +p85933 +aS'densities\tdensity\tNNS\tI-NP\tO' +p85934 +aS'in\tin\tIN\tB-PP\tO' +p85935 +aS'the\tthe\tDT\tB-NP\tO' +p85936 +aS'suprapatellar\tsuprapatellar\tJJ\tI-NP\tB-DNA' +p85937 +aS'bursa\tbursa\tNN\tI-NP\tI-DNA' +p85938 +aS'region\tregion\tNN\tI-NP\tI-DNA' +p85939 +aS',\t,\t,\tO\tO' +p85940 +aS'also\talso\tRB\tB-ADVP\tO' +p85941 +aS'with\twith\tIN\tB-PP\tO' +p85942 +aS'hypertrophia\thypertrophia\tNN\tB-NP\tO' +p85943 +aS'of\tof\tIN\tB-PP\tO' +p85944 +aS'the\tthe\tDT\tB-NP\tO' +p85945 +aS'synovium\tsynovium\tNN\tI-NP\tO' +p85946 +aS'.\t.\t.\tO\tO' +p85947 +asS'No heavy lifting or driving until follow up with Dr. Mullins .' +p85948 +(lp85949 +S'No\tNo\tDT\tB-NP\tO' +p85950 +aS'heavy\theavy\tJJ\tI-NP\tO' +p85951 +aS'lifting\tlifting\tNN\tI-NP\tO' +p85952 +aS'or\tor\tCC\tO\tO' +p85953 +aS'driving\tdrive\tVBG\tB-VP\tO' +p85954 +aS'until\tuntil\tIN\tB-SBAR\tO' +p85955 +aS'follow\tfollow\tVB\tB-VP\tO' +p85956 +aS'up\tup\tRP\tB-PRT\tO' +p85957 +aS'with\twith\tIN\tB-PP\tO' +p85958 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p85959 +aS'Mullins\tMullins\tNNP\tI-NP\tO' +p85960 +aS'.\t.\t.\tO\tO' +p85961 +asS'He was therefore treated with three cycles of fludarabine in combination with cytoxan .' +p85962 +(lp85963 +S'He\tHe\tPRP\tB-NP\tO' +p85964 +aS'was\tbe\tVBD\tB-VP\tO' +p85965 +aS'therefore\ttherefore\tRB\tI-VP\tO' +p85966 +aS'treated\ttreat\tVBN\tI-VP\tO' +p85967 +aS'with\twith\tIN\tB-PP\tO' +p85968 +aS'three\tthree\tCD\tB-NP\tO' +p85969 +aS'cycles\tcycle\tNNS\tI-NP\tO' +p85970 +aS'of\tof\tIN\tB-PP\tO' +p85971 +aS'fludarabine\tfludarabine\tNN\tB-NP\tO' +p85972 +aS'in\tin\tIN\tB-PP\tO' +p85973 +aS'combination\tcombination\tNN\tB-NP\tO' +p85974 +aS'with\twith\tIN\tB-PP\tO' +p85975 +aS'cytoxan\tcytoxan\tNN\tB-NP\tO' +p85976 +aS'.\t.\t.\tO\tO' +p85977 +asS'His companion states that they have been trying to wean him down at rehab .' +p85978 +(lp85979 +S'His\tHis\tPRP$\tB-NP\tO' +p85980 +aS'companion\tcompanion\tNN\tI-NP\tO' +p85981 +aS'states\tstate\tVBZ\tB-VP\tO' +p85982 +aS'that\tthat\tIN\tB-SBAR\tO' +p85983 +aS'they\tthey\tPRP\tB-NP\tO' +p85984 +aS'have\thave\tVBP\tB-VP\tO' +p85985 +aS'been\tbe\tVBN\tI-VP\tO' +p85986 +aS'trying\ttry\tVBG\tI-VP\tO' +p85987 +aS'to\tto\tTO\tI-VP\tO' +p85988 +aS'wean\twean\tVB\tI-VP\tO' +p85989 +aS'him\thim\tPRP\tB-NP\tO' +p85990 +aS'down\tdown\tRP\tB-PRT\tO' +p85991 +aS'at\tat\tIN\tB-PP\tO' +p85992 +aS'rehab\trehab\tNN\tB-NP\tO' +p85993 +aS'.\t.\t.\tO\tO' +p85994 +asS'The patient denies any nausea , vomiting , ataxia , motor deficits , speech deficits or sensory deficits .' +p85995 +(lp85996 +S'The\tThe\tDT\tB-NP\tO' +p85997 +aS'patient\tpatient\tNN\tI-NP\tO' +p85998 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p85999 +aS'any\tany\tDT\tB-NP\tO' +p86000 +aS'nausea\tnausea\tNN\tI-NP\tO' +p86001 +aS',\t,\t,\tO\tO' +p86002 +aS'vomiting\tvomiting\tNN\tB-NP\tO' +p86003 +aS',\t,\t,\tO\tO' +p86004 +aS'ataxia\tataxia\tNN\tB-NP\tO' +p86005 +aS',\t,\t,\tO\tO' +p86006 +aS'motor\tmotor\tNN\tB-NP\tO' +p86007 +aS'deficits\tdeficit\tNNS\tI-NP\tO' +p86008 +aS',\t,\t,\tO\tO' +p86009 +aS'speech\tspeech\tNN\tB-NP\tO' +p86010 +aS'deficits\tdeficit\tNNS\tI-NP\tO' +p86011 +aS'or\tor\tCC\tO\tO' +p86012 +aS'sensory\tsensory\tJJ\tB-NP\tO' +p86013 +aS'deficits\tdeficit\tNNS\tI-NP\tO' +p86014 +aS'.\t.\t.\tO\tO' +p86015 +asS'The patient has no history of chest pain; no history of myocardial infarction .' +p86016 +(lp86017 +S'The\tThe\tDT\tB-NP\tO' +p86018 +aS'patient\tpatient\tNN\tI-NP\tO' +p86019 +aS'has\thave\tVBZ\tB-VP\tO' +p86020 +aS'no\tno\tDT\tB-NP\tO' +p86021 +aS'history\thistory\tNN\tI-NP\tO' +p86022 +aS'of\tof\tIN\tB-PP\tO' +p86023 +aS'chest\tchest\tNN\tB-NP\tO' +p86024 +aS'pain;\tpain;\tNN\tI-NP\tO' +p86025 +aS'no\tno\tDT\tB-NP\tO' +p86026 +aS'history\thistory\tNN\tI-NP\tO' +p86027 +aS'of\tof\tIN\tB-PP\tO' +p86028 +aS'myocardial\tmyocardial\tJJ\tB-NP\tO' +p86029 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p86030 +aS'.\t.\t.\tO\tO' +p86031 +asS'There were no dose reductions for mucositis or myelosuppression .' +p86032 +(lp86033 +S'There\tThere\tEX\tB-NP\tO' +p86034 +aS'were\tbe\tVBD\tB-VP\tO' +p86035 +aS'no\tno\tDT\tB-NP\tO' +p86036 +aS'dose\tdose\tNN\tI-NP\tO' +p86037 +aS'reductions\treduction\tNNS\tI-NP\tO' +p86038 +aS'for\tfor\tIN\tB-PP\tO' +p86039 +aS'mucositis\tmucositis\tNN\tB-NP\tO' +p86040 +aS'or\tor\tCC\tI-NP\tO' +p86041 +aS'myelosuppression\tmyelosuppression\tNN\tI-NP\tO' +p86042 +aS'.\t.\t.\tO\tO' +p86043 +asS'When her pacemaker was in a sinus rhythm without a beta blocker , she had significant angina .' +p86044 +(lp86045 +S'When\tWhen\tWRB\tB-ADVP\tO' +p86046 +aS'her\ther\tPRP$\tB-NP\tO' +p86047 +aS'pacemaker\tpacemaker\tNN\tI-NP\tO' +p86048 +aS'was\tbe\tVBD\tB-VP\tO' +p86049 +aS'in\tin\tIN\tB-PP\tO' +p86050 +aS'a\ta\tDT\tB-NP\tO' +p86051 +aS'sinus\tsinus\tNN\tI-NP\tO' +p86052 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p86053 +aS'without\twithout\tIN\tB-PP\tO' +p86054 +aS'a\ta\tDT\tB-NP\tO' +p86055 +aS'beta\tbeta\tNN\tI-NP\tO' +p86056 +aS'blocker\tblocker\tNN\tI-NP\tO' +p86057 +aS',\t,\t,\tO\tO' +p86058 +aS'she\tshe\tPRP\tB-NP\tO' +p86059 +aS'had\thave\tVBD\tB-VP\tO' +p86060 +aS'significant\tsignificant\tJJ\tB-NP\tO' +p86061 +aS'angina\tangina\tNN\tI-NP\tO' +p86062 +aS'.\t.\t.\tO\tO' +p86063 +asS'Family declined valvuloplasty .' +p86064 +(lp86065 +S'Family\tFamily\tRB\tB-ADVP\tO' +p86066 +aS'declined\tdecline\tVBD\tB-VP\tO' +p86067 +aS'valvuloplasty\tvalvuloplasty\tJJ\tB-ADJP\tO' +p86068 +aS'.\t.\t.\tO\tO' +p86069 +asS'She was well at home until 8:30 p.m. on the day of admission , when she developed acute onset of right foot pain , which was worse with walking .' +p86070 +(lp86071 +S'She\tShe\tPRP\tB-NP\tO' +p86072 +aS'was\tbe\tVBD\tB-VP\tO' +p86073 +aS'well\twell\tRB\tB-ADVP\tO' +p86074 +aS'at\tat\tIN\tB-PP\tO' +p86075 +aS'home\thome\tNN\tB-NP\tO' +p86076 +aS'until\tuntil\tIN\tB-PP\tO' +p86077 +aS'8:30\t8:30\tCD\tB-NP\tO' +p86078 +aS'p.m.\tp.m.\tNN\tI-NP\tO' +p86079 +aS'on\ton\tIN\tB-PP\tO' +p86080 +aS'the\tthe\tDT\tB-NP\tO' +p86081 +aS'day\tday\tNN\tI-NP\tO' +p86082 +aS'of\tof\tIN\tB-PP\tO' +p86083 +aS'admission\tadmission\tNN\tB-NP\tO' +p86084 +aS',\t,\t,\tO\tO' +p86085 +aS'when\twhen\tWRB\tB-ADVP\tO' +p86086 +aS'she\tshe\tPRP\tB-NP\tO' +p86087 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p86088 +aS'acute\tacute\tJJ\tB-NP\tO' +p86089 +aS'onset\tonset\tNN\tI-NP\tO' +p86090 +aS'of\tof\tIN\tB-PP\tO' +p86091 +aS'right\tright\tJJ\tB-NP\tO' +p86092 +aS'foot\tfoot\tNN\tI-NP\tO' +p86093 +aS'pain\tpain\tNN\tI-NP\tO' +p86094 +aS',\t,\t,\tO\tO' +p86095 +aS'which\twhich\tWDT\tB-NP\tO' +p86096 +aS'was\tbe\tVBD\tB-VP\tO' +p86097 +aS'worse\tworse\tJJR\tB-ADJP\tO' +p86098 +aS'with\twith\tIN\tB-PP\tO' +p86099 +aS'walking\twalk\tVBG\tB-NP\tO' +p86100 +aS'.\t.\t.\tO\tO' +p86101 +asS'So , an epidural catheter was placed on 07/23/99 .' +p86102 +(lp86103 +S'So\tSo\tRB\tB-ADVP\tO' +p86104 +aS',\t,\t,\tO\tO' +p86105 +aS'an\tan\tDT\tB-NP\tO' +p86106 +aS'epidural\tepidural\tJJ\tI-NP\tO' +p86107 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p86108 +aS'was\tbe\tVBD\tB-VP\tO' +p86109 +aS'placed\tplace\tVBN\tI-VP\tO' +p86110 +aS'on\ton\tIN\tB-PP\tO' +p86111 +aS'07/23/99\t07/23/99\tCD\tB-NP\tO' +p86112 +aS'.\t.\t.\tO\tO' +p86113 +asS'No changes in the overall morphology of the brain are identified .' +p86114 +(lp86115 +S'No\tNo\tDT\tB-NP\tO' +p86116 +aS'changes\tchange\tNNS\tI-NP\tO' +p86117 +aS'in\tin\tIN\tB-PP\tO' +p86118 +aS'the\tthe\tDT\tB-NP\tO' +p86119 +aS'overall\toverall\tJJ\tI-NP\tO' +p86120 +aS'morphology\tmorphology\tNN\tI-NP\tO' +p86121 +aS'of\tof\tIN\tB-PP\tO' +p86122 +aS'the\tthe\tDT\tB-NP\tO' +p86123 +aS'brain\tbrain\tNN\tI-NP\tO' +p86124 +aS'are\tbe\tVBP\tB-VP\tO' +p86125 +aS'identified\tidentify\tVBN\tI-VP\tO' +p86126 +aS'.\t.\t.\tO\tO' +p86127 +asS'Cardiovascular revealed jugular venous distention not appreciated .' +p86128 +(lp86129 +S'Cardiovascular\tCardiovascular\tNNP\tB-NP\tO' +p86130 +aS'revealed\treveal\tVBD\tB-VP\tO' +p86131 +aS'jugular\tjugular\tJJ\tB-NP\tO' +p86132 +aS'venous\tvenous\tJJ\tI-NP\tO' +p86133 +aS'distention\tdistention\tNN\tI-NP\tO' +p86134 +aS'not\tnot\tRB\tB-VP\tO' +p86135 +aS'appreciated\tappreciate\tVBN\tI-VP\tO' +p86136 +aS'.\t.\t.\tO\tO' +p86137 +asS'In addition , he had slight shortness of breath but denies headache , change in vision , dizziness , nausea , vomiting , abdominal pain , change in bowel or urinary habits , or fevers , chills , and sweats .' +p86138 +(lp86139 +S'In\tIn\tIN\tB-PP\tO' +p86140 +aS'addition\taddition\tNN\tB-NP\tO' +p86141 +aS',\t,\t,\tO\tO' +p86142 +aS'he\the\tPRP\tB-NP\tO' +p86143 +aS'had\thave\tVBD\tB-VP\tO' +p86144 +aS'slight\tslight\tJJ\tB-NP\tO' +p86145 +aS'shortness\tshortness\tNN\tI-NP\tO' +p86146 +aS'of\tof\tIN\tB-PP\tO' +p86147 +aS'breath\tbreath\tNN\tB-NP\tO' +p86148 +aS'but\tbut\tCC\tO\tO' +p86149 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p86150 +aS'headache\theadache\tNN\tB-NP\tO' +p86151 +aS',\t,\t,\tO\tO' +p86152 +aS'change\tchange\tNN\tB-NP\tO' +p86153 +aS'in\tin\tIN\tB-PP\tO' +p86154 +aS'vision\tvision\tNN\tB-NP\tO' +p86155 +aS',\t,\t,\tO\tO' +p86156 +aS'dizziness\tdizziness\tNN\tB-NP\tO' +p86157 +aS',\t,\t,\tO\tO' +p86158 +aS'nausea\tnausea\tNN\tB-NP\tO' +p86159 +aS',\t,\t,\tO\tO' +p86160 +aS'vomiting\tvomit\tVBG\tB-VP\tO' +p86161 +aS',\t,\t,\tO\tO' +p86162 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p86163 +aS'pain\tpain\tNN\tI-NP\tO' +p86164 +aS',\t,\t,\tO\tO' +p86165 +aS'change\tchange\tNN\tB-NP\tO' +p86166 +aS'in\tin\tIN\tB-PP\tO' +p86167 +aS'bowel\tbowel\tNN\tB-NP\tO' +p86168 +aS'or\tor\tCC\tO\tO' +p86169 +aS'urinary\turinary\tJJ\tB-NP\tO' +p86170 +aS'habits\thabit\tNNS\tI-NP\tO' +p86171 +aS',\t,\t,\tO\tO' +p86172 +aS'or\tor\tCC\tO\tO' +p86173 +aS'fevers\tfever\tNNS\tB-NP\tO' +p86174 +aS',\t,\t,\tO\tO' +p86175 +aS'chills\tchill\tNNS\tB-NP\tO' +p86176 +aS',\t,\t,\tO\tO' +p86177 +aS'and\tand\tCC\tO\tO' +p86178 +aS'sweats\tsweat\tNNS\tB-NP\tO' +p86179 +aS'.\t.\t.\tO\tO' +p86180 +asS'The patient was told nothing could be done until he was referred to Dr. An .' +p86181 +(lp86182 +S'The\tThe\tDT\tB-NP\tO' +p86183 +aS'patient\tpatient\tNN\tI-NP\tO' +p86184 +aS'was\tbe\tVBD\tB-VP\tO' +p86185 +aS'told\ttell\tVBN\tI-VP\tO' +p86186 +aS'nothing\tnothing\tNN\tB-NP\tO' +p86187 +aS'could\tcould\tMD\tB-VP\tO' +p86188 +aS'be\tbe\tVB\tI-VP\tO' +p86189 +aS'done\tdo\tVBN\tI-VP\tO' +p86190 +aS'until\tuntil\tIN\tB-SBAR\tO' +p86191 +aS'he\the\tPRP\tB-NP\tO' +p86192 +aS'was\tbe\tVBD\tB-VP\tO' +p86193 +aS'referred\trefer\tVBN\tI-VP\tO' +p86194 +aS'to\tto\tTO\tB-PP\tO' +p86195 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p86196 +aS'An\tAn\tNNP\tI-NP\tO' +p86197 +aS'.\t.\t.\tO\tO' +p86198 +asS'The patient underwent TAH / BSO , partial omentectomy at CTMC in 10-90 .' +p86199 +(lp86200 +S'The\tThe\tDT\tB-NP\tO' +p86201 +aS'patient\tpatient\tNN\tI-NP\tO' +p86202 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p86203 +aS'TAH\tTAH\tNN\tB-NP\tB-protein' +p86204 +aS'/\t/\tSYM\tB-NP\tO' +p86205 +aS'BSO\tBSO\tNN\tI-NP\tO' +p86206 +aS',\t,\t,\tO\tO' +p86207 +aS'partial\tpartial\tJJ\tB-NP\tO' +p86208 +aS'omentectomy\tomentectomy\tNN\tI-NP\tO' +p86209 +aS'at\tat\tIN\tB-PP\tO' +p86210 +aS'CTMC\tCTMC\tNN\tB-NP\tB-protein' +p86211 +aS'in\tin\tIN\tB-PP\tO' +p86212 +aS'10-90\t10-90\tCD\tB-NP\tO' +p86213 +aS'.\t.\t.\tO\tO' +p86214 +asS'Mr. Pizano is a 75 y/o man who has a PMHx significant for Enterococcus mitral valve endocarditis which has been treated since 09-19 .' +p86215 +(lp86216 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p86217 +aS'Pizano\tPizano\tNNP\tI-NP\tO' +p86218 +aS'is\tbe\tVBZ\tB-VP\tO' +p86219 +aS'a\ta\tDT\tB-NP\tO' +p86220 +aS'75\t75\tCD\tI-NP\tO' +p86221 +aS'y/o\ty/o\tNN\tI-NP\tO' +p86222 +aS'man\tman\tNN\tI-NP\tO' +p86223 +aS'who\twho\tWP\tB-NP\tO' +p86224 +aS'has\thave\tVBZ\tB-VP\tO' +p86225 +aS'a\ta\tDT\tB-NP\tO' +p86226 +aS'PMHx\tPMHx\tNN\tI-NP\tO' +p86227 +aS'significant\tsignificant\tJJ\tB-ADJP\tO' +p86228 +aS'for\tfor\tIN\tB-PP\tO' +p86229 +aS'Enterococcus\tEnterococcus\tNNP\tB-NP\tO' +p86230 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p86231 +aS'valve\tvalve\tNN\tI-NP\tO' +p86232 +aS'endocarditis\tendocarditis\tNN\tI-NP\tO' +p86233 +aS'which\twhich\tWDT\tB-NP\tO' +p86234 +aS'has\thave\tVBZ\tB-VP\tO' +p86235 +aS'been\tbe\tVBN\tI-VP\tO' +p86236 +aS'treated\ttreat\tVBN\tI-VP\tO' +p86237 +aS'since\tsince\tIN\tB-PP\tO' +p86238 +aS'09-19\t09-19\tCD\tB-NP\tO' +p86239 +aS'.\t.\t.\tO\tO' +p86240 +asS'The patient was given printed instructions for dizziness ( English ) .' +p86241 +(lp86242 +S'The\tThe\tDT\tB-NP\tO' +p86243 +aS'patient\tpatient\tNN\tI-NP\tO' +p86244 +aS'was\tbe\tVBD\tB-VP\tO' +p86245 +aS'given\tgive\tVBN\tI-VP\tO' +p86246 +aS'printed\tprint\tVBN\tB-NP\tO' +p86247 +aS'instructions\tinstruction\tNNS\tI-NP\tO' +p86248 +aS'for\tfor\tIN\tB-PP\tO' +p86249 +aS'dizziness\tdizziness\tNN\tB-NP\tO' +p86250 +aS'(\t(\t(\tO\tO' +p86251 +aS'English\tEnglish\tNN\tB-NP\tO' +p86252 +aS')\t)\t)\tO\tO' +p86253 +aS'.\t.\t.\tO\tO' +p86254 +asS'14 ) Epogen 1,000 units subcutaneously three times per week .' +p86255 +(lp86256 +S'14\t14\tCD\tB-NP\tO' +p86257 +aS')\t)\t)\tO\tO' +p86258 +aS'Epogen\tEpogen\tNN\tB-NP\tO' +p86259 +aS'1,000\t1,000\tCD\tB-NP\tO' +p86260 +aS'units\tunit\tNNS\tI-NP\tO' +p86261 +aS'subcutaneously\tsubcutaneously\tRB\tB-ADVP\tO' +p86262 +aS'three\tthree\tCD\tB-NP\tO' +p86263 +aS'times\ttime\tNNS\tI-NP\tO' +p86264 +aS'per\tper\tIN\tB-PP\tO' +p86265 +aS'week\tweek\tNN\tB-NP\tO' +p86266 +aS'.\t.\t.\tO\tO' +p86267 +asS'She was saturating 100% on room air .' +p86268 +(lp86269 +S'She\tShe\tPRP\tB-NP\tO' +p86270 +aS'was\tbe\tVBD\tB-VP\tO' +p86271 +aS'saturating\tsaturate\tVBG\tI-VP\tO' +p86272 +aS'100%\t100%\tCD\tB-NP\tO' +p86273 +aS'on\ton\tIN\tB-PP\tO' +p86274 +aS'room\troom\tNN\tB-NP\tO' +p86275 +aS'air\tair\tNN\tI-NP\tO' +p86276 +aS'.\t.\t.\tO\tO' +p86277 +asS'The infant has not received any blood transfusions this hospitalization .' +p86278 +(lp86279 +S'The\tThe\tDT\tB-NP\tO' +p86280 +aS'infant\tinfant\tNN\tI-NP\tO' +p86281 +aS'has\thave\tVBZ\tB-VP\tO' +p86282 +aS'not\tnot\tRB\tI-VP\tO' +p86283 +aS'received\treceive\tVBN\tI-VP\tO' +p86284 +aS'any\tany\tDT\tB-NP\tO' +p86285 +aS'blood\tblood\tNN\tI-NP\tO' +p86286 +aS'transfusions\ttransfusion\tNNS\tI-NP\tO' +p86287 +aS'this\tthis\tDT\tB-NP\tO' +p86288 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p86289 +aS'.\t.\t.\tO\tO' +p86290 +asS'2 ) DIZZINESS .' +p86291 +(lp86292 +S'2\t2\tLS\tB-LST\tO' +p86293 +aS')\t)\t)\tO\tO' +p86294 +aS'DIZZINESS\tDIZZINESS\tNN\tB-NP\tO' +p86295 +aS'.\t.\t.\tO\tO' +p86296 +asS'Of note , this was at a decreased dose compared to that which he came in on , Coumadin 7.5 , mg , torsemide 100 q.d. , sucralfate , simvastatin , Diovan .' +p86297 +(lp86298 +S'Of\tOf\tIN\tB-PP\tO' +p86299 +aS'note\tnote\tNN\tB-NP\tO' +p86300 +aS',\t,\t,\tO\tO' +p86301 +aS'this\tthis\tDT\tB-NP\tO' +p86302 +aS'was\tbe\tVBD\tB-VP\tO' +p86303 +aS'at\tat\tIN\tB-PP\tO' +p86304 +aS'a\ta\tDT\tB-NP\tO' +p86305 +aS'decreased\tdecrease\tVBN\tI-NP\tO' +p86306 +aS'dose\tdose\tNN\tI-NP\tO' +p86307 +aS'compared\tcompare\tVBN\tB-VP\tO' +p86308 +aS'to\tto\tTO\tB-PP\tO' +p86309 +aS'that\tthat\tDT\tB-NP\tO' +p86310 +aS'which\twhich\tWDT\tB-NP\tO' +p86311 +aS'he\the\tPRP\tB-NP\tO' +p86312 +aS'came\tcome\tVBD\tB-VP\tO' +p86313 +aS'in\tin\tRP\tB-PRT\tO' +p86314 +aS'on\ton\tIN\tB-PP\tO' +p86315 +aS',\t,\t,\tO\tO' +p86316 +aS'Coumadin\tCoumadin\tNNP\tB-NP\tO' +p86317 +aS'7.5\t7.5\tCD\tI-NP\tO' +p86318 +aS',\t,\t,\tO\tO' +p86319 +aS'mg\tmg\tNN\tB-NP\tO' +p86320 +aS',\t,\t,\tO\tO' +p86321 +aS'torsemide\ttorsemide\tNN\tB-NP\tO' +p86322 +aS'100\t100\tCD\tI-NP\tO' +p86323 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p86324 +aS',\t,\t,\tO\tO' +p86325 +aS'sucralfate\tsucralfate\tNN\tB-NP\tO' +p86326 +aS',\t,\t,\tO\tO' +p86327 +aS'simvastatin\tsimvastatin\tNN\tB-NP\tO' +p86328 +aS',\t,\t,\tO\tO' +p86329 +aS'Diovan\tDiovan\tNNP\tB-NP\tO' +p86330 +aS'.\t.\t.\tO\tO' +p86331 +asS'5. Bile leak .' +p86332 +(lp86333 +S'5.\t5.\tLS\tB-NP\tO' +p86334 +aS'Bile\tBile\tNN\tI-NP\tO' +p86335 +aS'leak\tleak\tNN\tI-NP\tO' +p86336 +aS'.\t.\t.\tO\tO' +p86337 +asS"She began enteral feeds on day of life #2 advancing to mother 's breastmilk 30 with ProMod at 150 cc / kg / day ." +p86338 +(lp86339 +S'She\tShe\tPRP\tB-NP\tO' +p86340 +aS'began\tbegin\tVBD\tB-VP\tO' +p86341 +aS'enteral\tenteral\tJJ\tB-NP\tO' +p86342 +aS'feeds\tfeed\tNNS\tI-NP\tO' +p86343 +aS'on\ton\tIN\tB-PP\tO' +p86344 +aS'day\tday\tNN\tB-NP\tO' +p86345 +aS'of\tof\tIN\tB-PP\tO' +p86346 +aS'life\tlife\tNN\tB-NP\tO' +p86347 +aS'#2\t#2\tNN\tI-NP\tO' +p86348 +aS'advancing\tadvance\tVBG\tB-VP\tO' +p86349 +aS'to\tto\tTO\tB-PP\tO' +p86350 +aS'mother\tmother\tNN\tB-NP\tO' +p86351 +aS"'s\t's\tPOS\tB-NP\tO" +p86352 +aS'breastmilk\tbreastmilk\tNN\tI-NP\tO' +p86353 +aS'30\t30\tCD\tI-NP\tO' +p86354 +aS'with\twith\tIN\tB-PP\tO' +p86355 +aS'ProMod\tProMod\tNN\tB-NP\tO' +p86356 +aS'at\tat\tIN\tB-PP\tO' +p86357 +aS'150\t150\tCD\tB-NP\tO' +p86358 +aS'cc\tcc\tNN\tI-NP\tO' +p86359 +aS'/\t/\tSYM\tB-NP\tO' +p86360 +aS'kg\tkg\tNN\tI-NP\tO' +p86361 +aS'/\t/\tSYM\tB-NP\tO' +p86362 +aS'day\tday\tNN\tI-NP\tO' +p86363 +aS'.\t.\t.\tO\tO' +p86364 +asS'However he is able to swallow and tolerate po's .' +p86365 +(lp86366 +S'However\tHowever\tRB\tB-ADVP\tO' +p86367 +aS'he\the\tPRP\tB-NP\tO' +p86368 +aS'is\tbe\tVBZ\tB-VP\tO' +p86369 +aS'able\table\tJJ\tB-ADJP\tO' +p86370 +aS'to\tto\tTO\tB-VP\tO' +p86371 +aS'swallow\tswallow\tVB\tI-VP\tO' +p86372 +aS'and\tand\tCC\tI-VP\tO' +p86373 +aS'tolerate\ttolerate\tVB\tI-VP\tO' +p86374 +aS'po's\tpo'\tNNS\tB-NP\tO' +p86375 +aS'.\t.\t.\tO\tO' +p86376 +asS'This triplet #3 emerged with spontaneous respirations , and required blow-by oxygen in the delivery room .' +p86377 +(lp86378 +S'This\tThis\tDT\tB-NP\tO' +p86379 +aS'triplet\ttriplet\tJJ\tI-NP\tO' +p86380 +aS'#3\t#3\tNN\tI-NP\tO' +p86381 +aS'emerged\temerge\tVBD\tB-VP\tO' +p86382 +aS'with\twith\tIN\tB-PP\tO' +p86383 +aS'spontaneous\tspontaneous\tJJ\tB-NP\tO' +p86384 +aS'respirations\trespiration\tNNS\tI-NP\tO' +p86385 +aS',\t,\t,\tO\tO' +p86386 +aS'and\tand\tCC\tO\tO' +p86387 +aS'required\trequire\tVBD\tB-VP\tO' +p86388 +aS'blow-by\tblow-by\tJJ\tB-NP\tO' +p86389 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p86390 +aS'in\tin\tIN\tB-PP\tO' +p86391 +aS'the\tthe\tDT\tB-NP\tO' +p86392 +aS'delivery\tdelivery\tNN\tI-NP\tO' +p86393 +aS'room\troom\tNN\tI-NP\tO' +p86394 +aS'.\t.\t.\tO\tO' +p86395 +asS'It was a very high risk in very poor condition and a cachectic malnourished edematous individuals who have very high venous pressures and shortness of breath .' +p86396 +(lp86397 +S'It\tIt\tPRP\tB-NP\tO' +p86398 +aS'was\tbe\tVBD\tB-VP\tO' +p86399 +aS'a\ta\tDT\tB-NP\tO' +p86400 +aS'very\tvery\tRB\tI-NP\tO' +p86401 +aS'high\thigh\tJJ\tI-NP\tO' +p86402 +aS'risk\trisk\tNN\tI-NP\tO' +p86403 +aS'in\tin\tIN\tB-PP\tO' +p86404 +aS'very\tvery\tRB\tB-NP\tO' +p86405 +aS'poor\tpoor\tJJ\tI-NP\tO' +p86406 +aS'condition\tcondition\tNN\tI-NP\tO' +p86407 +aS'and\tand\tCC\tO\tO' +p86408 +aS'a\ta\tDT\tB-NP\tO' +p86409 +aS'cachectic\tcachectic\tJJ\tI-NP\tO' +p86410 +aS'malnourished\tmalnourished\tJJ\tI-NP\tO' +p86411 +aS'edematous\tedematous\tJJ\tI-NP\tO' +p86412 +aS'individuals\tindividual\tNNS\tI-NP\tO' +p86413 +aS'who\twho\tWP\tB-NP\tO' +p86414 +aS'have\thave\tVBP\tB-VP\tO' +p86415 +aS'very\tvery\tRB\tB-NP\tO' +p86416 +aS'high\thigh\tJJ\tI-NP\tO' +p86417 +aS'venous\tvenous\tJJ\tI-NP\tO' +p86418 +aS'pressures\tpressure\tNNS\tI-NP\tO' +p86419 +aS'and\tand\tCC\tO\tO' +p86420 +aS'shortness\tshortness\tNN\tB-NP\tO' +p86421 +aS'of\tof\tIN\tB-PP\tO' +p86422 +aS'breath\tbreath\tNN\tB-NP\tO' +p86423 +aS'.\t.\t.\tO\tO' +p86424 +asS'significant for a white blood count of 6.0 , hematocrit 35.9 , electrolytes within normal limits , BUN and creatinine of 13 and 0.8 , amylase of 56 .' +p86425 +(lp86426 +S'significant\tsignificant\tJJ\tB-ADJP\tO' +p86427 +aS'for\tfor\tIN\tB-PP\tO' +p86428 +aS'a\ta\tDT\tB-NP\tO' +p86429 +aS'white\twhite\tJJ\tI-NP\tO' +p86430 +aS'blood\tblood\tNN\tI-NP\tO' +p86431 +aS'count\tcount\tNN\tI-NP\tO' +p86432 +aS'of\tof\tIN\tB-PP\tO' +p86433 +aS'6.0\t6.0\tCD\tB-NP\tO' +p86434 +aS',\t,\t,\tO\tO' +p86435 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p86436 +aS'35.9\t35.9\tCD\tI-NP\tI-protein' +p86437 +aS',\t,\t,\tO\tO' +p86438 +aS'electrolytes\telectrolyte\tNNS\tB-NP\tO' +p86439 +aS'within\twithin\tIN\tB-PP\tO' +p86440 +aS'normal\tnormal\tJJ\tB-NP\tO' +p86441 +aS'limits\tlimit\tNNS\tI-NP\tO' +p86442 +aS',\t,\t,\tO\tO' +p86443 +aS'BUN\tBUN\tNN\tB-NP\tB-protein' +p86444 +aS'and\tand\tCC\tI-NP\tO' +p86445 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p86446 +aS'of\tof\tIN\tB-PP\tO' +p86447 +aS'13\t13\tCD\tB-NP\tO' +p86448 +aS'and\tand\tCC\tI-NP\tO' +p86449 +aS'0.8\t0.8\tCD\tI-NP\tO' +p86450 +aS',\t,\t,\tO\tO' +p86451 +aS'amylase\tamylase\tNN\tB-NP\tB-protein' +p86452 +aS'of\tof\tIN\tB-PP\tO' +p86453 +aS'56\t56\tCD\tB-NP\tO' +p86454 +aS'.\t.\t.\tO\tO' +p86455 +asS'They attributed it to polypharmacy , recent infection ( pneumonia ) and insomnia .' +p86456 +(lp86457 +S'They\tThey\tPRP\tB-NP\tO' +p86458 +aS'attributed\tattribute\tVBD\tB-VP\tO' +p86459 +aS'it\tit\tPRP\tB-NP\tO' +p86460 +aS'to\tto\tTO\tB-PP\tO' +p86461 +aS'polypharmacy\tpolypharmacy\tNN\tB-NP\tO' +p86462 +aS',\t,\t,\tO\tO' +p86463 +aS'recent\trecent\tJJ\tB-NP\tO' +p86464 +aS'infection\tinfection\tNN\tI-NP\tO' +p86465 +aS'(\t(\t(\tO\tO' +p86466 +aS'pneumonia\tpneumonia\tNN\tB-NP\tO' +p86467 +aS')\t)\t)\tO\tO' +p86468 +aS'and\tand\tCC\tO\tO' +p86469 +aS'insomnia\tinsomnia\tNN\tB-NP\tO' +p86470 +aS'.\t.\t.\tO\tO' +p86471 +asS'Call 415 9374 to schedule an appointment .' +p86472 +(lp86473 +S'Call\tCall\tVB\tB-NP\tO' +p86474 +aS'415\t415\tCD\tB-NP\tO' +p86475 +aS'9374\t9374\tCD\tI-NP\tO' +p86476 +aS'to\tto\tTO\tB-VP\tO' +p86477 +aS'schedule\tschedule\tVB\tI-VP\tO' +p86478 +aS'an\tan\tDT\tB-NP\tO' +p86479 +aS'appointment\tappointment\tNN\tI-NP\tO' +p86480 +aS'.\t.\t.\tO\tO' +p86481 +asS'Hematology / Infectious Disease .' +p86482 +(lp86483 +S'Hematology\tHematology\tNN\tB-NP\tO' +p86484 +aS'/\t/\tSYM\tI-NP\tO' +p86485 +aS'Infectious\tInfectious\tJJ\tI-NP\tO' +p86486 +aS'Disease\tDisease\tNN\tI-NP\tO' +p86487 +aS'.\t.\t.\tO\tO' +p86488 +asS'cont asa , statin , plavix , bblkr .' +p86489 +(lp86490 +S'cont\tcont\tJJ\tB-NP\tO' +p86491 +aS'asa\tasa\tNN\tI-NP\tO' +p86492 +aS',\t,\t,\tO\tO' +p86493 +aS'statin\tstatin\tNN\tB-NP\tO' +p86494 +aS',\t,\t,\tO\tO' +p86495 +aS'plavix\tplavix\tNN\tB-NP\tO' +p86496 +aS',\t,\t,\tO\tO' +p86497 +aS'bblkr\tbblkr\tNN\tB-NP\tO' +p86498 +aS'.\t.\t.\tO\tO' +p86499 +asS'The right arm shows moderate increased tone .' +p86500 +(lp86501 +S'The\tThe\tDT\tB-NP\tO' +p86502 +aS'right\tright\tJJ\tI-NP\tO' +p86503 +aS'arm\tarm\tNN\tI-NP\tO' +p86504 +aS'shows\tshow\tVBZ\tB-VP\tO' +p86505 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p86506 +aS'increased\tincrease\tVBN\tI-NP\tO' +p86507 +aS'tone\ttone\tNN\tI-NP\tO' +p86508 +aS'.\t.\t.\tO\tO' +p86509 +asS'Infant decreased to single phototherapy and phototherapy was discontinued on day of life six .' +p86510 +(lp86511 +S'Infant\tInfant\tNNP\tB-NP\tO' +p86512 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p86513 +aS'to\tto\tTO\tB-PP\tO' +p86514 +aS'single\tsingle\tJJ\tB-NP\tO' +p86515 +aS'phototherapy\tphototherapy\tNN\tI-NP\tO' +p86516 +aS'and\tand\tCC\tI-NP\tO' +p86517 +aS'phototherapy\tphototherapy\tNN\tI-NP\tO' +p86518 +aS'was\tbe\tVBD\tB-VP\tO' +p86519 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p86520 +aS'on\ton\tIN\tB-PP\tO' +p86521 +aS'day\tday\tNN\tB-NP\tO' +p86522 +aS'of\tof\tIN\tB-PP\tO' +p86523 +aS'life\tlife\tNN\tB-NP\tO' +p86524 +aS'six\tsix\tCD\tI-NP\tO' +p86525 +aS'.\t.\t.\tO\tO' +p86526 +asS'Neuro : Developed confusion during her first 5 days in the ICU .' +p86527 +(lp86528 +S'Neuro\tNeuro\tNNP\tB-NP\tO' +p86529 +aS':\t:\t:\tO\tO' +p86530 +aS'Developed\tDevelop\tVBN\tB-NP\tO' +p86531 +aS'confusion\tconfusion\tNN\tI-NP\tO' +p86532 +aS'during\tduring\tIN\tB-PP\tO' +p86533 +aS'her\ther\tPRP$\tB-NP\tO' +p86534 +aS'first\tfirst\tJJ\tI-NP\tO' +p86535 +aS'5\t5\tCD\tI-NP\tO' +p86536 +aS'days\tday\tNNS\tI-NP\tO' +p86537 +aS'in\tin\tIN\tB-PP\tO' +p86538 +aS'the\tthe\tDT\tB-NP\tO' +p86539 +aS'ICU\tICU\tNN\tI-NP\tB-DNA' +p86540 +aS'.\t.\t.\tO\tO' +p86541 +asS'Per OMR , h/o sporadic marijuana use .' +p86542 +(lp86543 +S'Per\tPer\tNNP\tB-NP\tO' +p86544 +aS'OMR\tOMR\tNNP\tI-NP\tO' +p86545 +aS',\t,\t,\tO\tO' +p86546 +aS'h/o\th/o\tJJ\tB-NP\tO' +p86547 +aS'sporadic\tsporadic\tJJ\tI-NP\tO' +p86548 +aS'marijuana\tmarijuana\tNN\tI-NP\tO' +p86549 +aS'use\tuse\tNN\tI-NP\tO' +p86550 +aS'.\t.\t.\tO\tO' +p86551 +asS'From a heme standpoint , he presented anemic and with an elevated PT INR .' +p86552 +(lp86553 +S'From\tFrom\tIN\tB-PP\tO' +p86554 +aS'a\ta\tDT\tB-NP\tO' +p86555 +aS'heme\theme\tNN\tI-NP\tO' +p86556 +aS'standpoint\tstandpoint\tNN\tI-NP\tO' +p86557 +aS',\t,\t,\tO\tO' +p86558 +aS'he\the\tPRP\tB-NP\tO' +p86559 +aS'presented\tpresent\tVBD\tB-VP\tO' +p86560 +aS'anemic\tanemic\tJJ\tB-ADJP\tO' +p86561 +aS'and\tand\tCC\tO\tO' +p86562 +aS'with\twith\tIN\tB-PP\tO' +p86563 +aS'an\tan\tDT\tB-NP\tO' +p86564 +aS'elevated\televated\tJJ\tI-NP\tO' +p86565 +aS'PT\tPT\tNN\tI-NP\tB-protein' +p86566 +aS'INR\tINR\tNN\tI-NP\tI-protein' +p86567 +aS'.\t.\t.\tO\tO' +p86568 +asS'She had no murmurs and no gallops .' +p86569 +(lp86570 +S'She\tShe\tPRP\tB-NP\tO' +p86571 +aS'had\thave\tVBD\tB-VP\tO' +p86572 +aS'no\tno\tDT\tB-NP\tO' +p86573 +aS'murmurs\tmurmur\tNNS\tI-NP\tO' +p86574 +aS'and\tand\tCC\tO\tO' +p86575 +aS'no\tno\tDT\tB-NP\tO' +p86576 +aS'gallops\tgallop\tNNS\tI-NP\tO' +p86577 +aS'.\t.\t.\tO\tO' +p86578 +asS'He went to Sondi Memorial where he ruled out for myocardial infarction and was found to have a left lower lobe infiltrate / pneumonia , started on cefuroxime .' +p86579 +(lp86580 +S'He\tHe\tPRP\tB-NP\tO' +p86581 +aS'went\tgo\tVBD\tB-VP\tO' +p86582 +aS'to\tto\tTO\tB-PP\tO' +p86583 +aS'Sondi\tSondi\tNNP\tB-NP\tO' +p86584 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p86585 +aS'where\twhere\tWRB\tB-ADVP\tO' +p86586 +aS'he\the\tPRP\tB-NP\tO' +p86587 +aS'ruled\trule\tVBD\tB-VP\tO' +p86588 +aS'out\tout\tRP\tB-PRT\tO' +p86589 +aS'for\tfor\tIN\tB-PP\tO' +p86590 +aS'myocardial\tmyocardial\tJJ\tB-NP\tO' +p86591 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p86592 +aS'and\tand\tCC\tO\tO' +p86593 +aS'was\tbe\tVBD\tB-VP\tO' +p86594 +aS'found\tfind\tVBN\tI-VP\tO' +p86595 +aS'to\tto\tTO\tI-VP\tO' +p86596 +aS'have\thave\tVB\tI-VP\tO' +p86597 +aS'a\ta\tDT\tB-NP\tO' +p86598 +aS'left\tleft\tJJ\tI-NP\tO' +p86599 +aS'lower\tlow\tJJR\tI-NP\tO' +p86600 +aS'lobe\tlobe\tNN\tI-NP\tO' +p86601 +aS'infiltrate\tinfiltrate\tNN\tI-NP\tO' +p86602 +aS'/\t/\tSYM\tB-NP\tO' +p86603 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p86604 +aS',\t,\t,\tO\tO' +p86605 +aS'started\tstart\tVBN\tB-VP\tO' +p86606 +aS'on\ton\tIN\tB-PP\tO' +p86607 +aS'cefuroxime\tcefuroxime\tNN\tB-NP\tO' +p86608 +aS'.\t.\t.\tO\tO' +p86609 +asS'LVEF >70% , LA 6.1 cm , no regional wall motion abnormality .' +p86610 +(lp86611 +S'LVEF\tLVEF\tNN\tB-NP\tB-protein' +p86612 +aS'>70%\t>70%\tNN\tI-NP\tI-protein' +p86613 +aS',\t,\t,\tO\tO' +p86614 +aS'LA\tLA\tNN\tB-NP\tO' +p86615 +aS'6.1\t6.1\tCD\tI-NP\tO' +p86616 +aS'cm\tcm\tNN\tI-NP\tO' +p86617 +aS',\t,\t,\tO\tO' +p86618 +aS'no\tno\tDT\tB-NP\tO' +p86619 +aS'regional\tregional\tJJ\tI-NP\tO' +p86620 +aS'wall\twall\tNN\tI-NP\tO' +p86621 +aS'motion\tmotion\tNN\tI-NP\tO' +p86622 +aS'abnormality\tabnormality\tNN\tI-NP\tO' +p86623 +aS'.\t.\t.\tO\tO' +p86624 +asS'He fell 15-20 feet onto concrete , denies any loss of consiousness .' +p86625 +(lp86626 +S'He\tHe\tPRP\tB-NP\tO' +p86627 +aS'fell\tfall\tVBD\tB-VP\tO' +p86628 +aS'15-20\t15-20\tCD\tB-NP\tO' +p86629 +aS'feet\tfoot\tNNS\tI-NP\tO' +p86630 +aS'onto\tonto\tIN\tB-PP\tO' +p86631 +aS'concrete\tconcrete\tNN\tB-NP\tO' +p86632 +aS',\t,\t,\tO\tO' +p86633 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p86634 +aS'any\tany\tDT\tB-NP\tO' +p86635 +aS'loss\tloss\tNN\tI-NP\tO' +p86636 +aS'of\tof\tIN\tB-PP\tO' +p86637 +aS'consiousness\tconsiousness\tNN\tB-NP\tO' +p86638 +aS'.\t.\t.\tO\tO' +p86639 +asS'She had no temperature spikes in greater then 24 hours at the time of discharge .' +p86640 +(lp86641 +S'She\tShe\tPRP\tB-NP\tO' +p86642 +aS'had\thave\tVBD\tB-VP\tO' +p86643 +aS'no\tno\tDT\tB-NP\tO' +p86644 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p86645 +aS'spikes\tspike\tVBZ\tB-VP\tO' +p86646 +aS'in\tin\tIN\tB-PP\tO' +p86647 +aS'greater\tgreat\tJJR\tB-NP\tO' +p86648 +aS'then\tthen\tRB\tI-NP\tO' +p86649 +aS'24\t24\tCD\tI-NP\tO' +p86650 +aS'hours\thour\tNNS\tI-NP\tO' +p86651 +aS'at\tat\tIN\tB-PP\tO' +p86652 +aS'the\tthe\tDT\tB-NP\tO' +p86653 +aS'time\ttime\tNN\tI-NP\tO' +p86654 +aS'of\tof\tIN\tB-PP\tO' +p86655 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p86656 +aS'.\t.\t.\tO\tO' +p86657 +asS'At this point she had an elevated CA 125 at 440 and came to Dr. Chabechird for further consultation .' +p86658 +(lp86659 +S'At\tAt\tIN\tB-PP\tO' +p86660 +aS'this\tthis\tDT\tB-NP\tO' +p86661 +aS'point\tpoint\tNN\tI-NP\tO' +p86662 +aS'she\tshe\tPRP\tB-NP\tO' +p86663 +aS'had\thave\tVBD\tB-VP\tO' +p86664 +aS'an\tan\tDT\tB-NP\tO' +p86665 +aS'elevated\televated\tJJ\tI-NP\tO' +p86666 +aS'CA\tCA\tNN\tI-NP\tO' +p86667 +aS'125\t125\tCD\tI-NP\tO' +p86668 +aS'at\tat\tIN\tB-PP\tO' +p86669 +aS'440\t440\tCD\tB-NP\tO' +p86670 +aS'and\tand\tCC\tO\tO' +p86671 +aS'came\tcome\tVBD\tB-VP\tO' +p86672 +aS'to\tto\tTO\tB-PP\tO' +p86673 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p86674 +aS'Chabechird\tChabechird\tNNP\tI-NP\tO' +p86675 +aS'for\tfor\tIN\tB-PP\tO' +p86676 +aS'further\tfurther\tJJ\tB-NP\tO' +p86677 +aS'consultation\tconsultation\tNN\tI-NP\tO' +p86678 +aS'.\t.\t.\tO\tO' +p86679 +asS'This is a gentleman who is intubated , comfortable , with minimal sedation .' +p86680 +(lp86681 +S'This\tThis\tDT\tB-NP\tO' +p86682 +aS'is\tbe\tVBZ\tB-VP\tO' +p86683 +aS'a\ta\tDT\tB-NP\tO' +p86684 +aS'gentleman\tgentleman\tNN\tI-NP\tO' +p86685 +aS'who\twho\tWP\tB-NP\tO' +p86686 +aS'is\tbe\tVBZ\tB-VP\tO' +p86687 +aS'intubated\tintubated\tJJ\tB-ADJP\tO' +p86688 +aS',\t,\t,\tO\tO' +p86689 +aS'comfortable\tcomfortable\tJJ\tB-ADJP\tO' +p86690 +aS',\t,\t,\tO\tO' +p86691 +aS'with\twith\tIN\tB-PP\tO' +p86692 +aS'minimal\tminimal\tJJ\tB-NP\tO' +p86693 +aS'sedation\tsedation\tNN\tI-NP\tO' +p86694 +aS'.\t.\t.\tO\tO' +p86695 +asS'1. Menthol - Cetylpyridinium lozenges 1 as needed .' +p86696 +(lp86697 +S'1.\t1.\tLS\tB-NP\tO' +p86698 +aS'Menthol\tMenthol\tNN\tI-NP\tO' +p86699 +aS'-\t-\tHYPH\tO\tO' +p86700 +aS'Cetylpyridinium\tCetylpyridinium\tNN\tB-NP\tO' +p86701 +aS'lozenges\tlozenge\tNNS\tI-NP\tO' +p86702 +aS'1\t1\tCD\tB-NP\tO' +p86703 +aS'as\tas\tIN\tB-SBAR\tO' +p86704 +aS'needed\tneed\tVBN\tB-VP\tO' +p86705 +aS'.\t.\t.\tO\tO' +p86706 +asS'Hypothyroidism .' +p86707 +(lp86708 +S'Hypothyroidism\tHypothyroidism\tNN\tB-NP\tO' +p86709 +aS'.\t.\t.\tO\tO' +p86710 +asS'5. ID .' +p86711 +(lp86712 +S'5.\t5.\tLS\tB-NP\tO' +p86713 +aS'ID\tID\tNN\tI-NP\tO' +p86714 +aS'.\t.\t.\tO\tO' +p86715 +asS'The bleeding has stopped and you have remained hemodynamically stable and your hematocrit is stable , but you are at risk of bleeding from this source again with anticoagulation .' +p86716 +(lp86717 +S'The\tThe\tDT\tB-NP\tO' +p86718 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p86719 +aS'has\thave\tVBZ\tB-VP\tO' +p86720 +aS'stopped\tstop\tVBN\tI-VP\tO' +p86721 +aS'and\tand\tCC\tO\tO' +p86722 +aS'you\tyou\tPRP\tB-NP\tO' +p86723 +aS'have\thave\tVBP\tB-VP\tO' +p86724 +aS'remained\tremain\tVBN\tI-VP\tO' +p86725 +aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' +p86726 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p86727 +aS'and\tand\tCC\tO\tO' +p86728 +aS'your\tyour\tPRP$\tB-NP\tO' +p86729 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p86730 +aS'is\tbe\tVBZ\tB-VP\tO' +p86731 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p86732 +aS',\t,\t,\tO\tO' +p86733 +aS'but\tbut\tCC\tO\tO' +p86734 +aS'you\tyou\tPRP\tB-NP\tO' +p86735 +aS'are\tbe\tVBP\tB-VP\tO' +p86736 +aS'at\tat\tIN\tB-PP\tO' +p86737 +aS'risk\trisk\tNN\tB-NP\tO' +p86738 +aS'of\tof\tIN\tB-PP\tO' +p86739 +aS'bleeding\tbleed\tVBG\tB-VP\tO' +p86740 +aS'from\tfrom\tIN\tB-PP\tO' +p86741 +aS'this\tthis\tDT\tB-NP\tO' +p86742 +aS'source\tsource\tNN\tI-NP\tO' +p86743 +aS'again\tagain\tRB\tB-ADVP\tO' +p86744 +aS'with\twith\tIN\tB-PP\tO' +p86745 +aS'anticoagulation\tanticoagulation\tNN\tB-NP\tO' +p86746 +aS'.\t.\t.\tO\tO' +p86747 +asS'4. Lasix 20 mg q.d. times two weeks .' +p86748 +(lp86749 +S'4.\t4.\tLS\tB-NP\tO' +p86750 +aS'Lasix\tLasix\tNNP\tI-NP\tO' +p86751 +aS'20\t20\tCD\tI-NP\tO' +p86752 +aS'mg\tmg\tNN\tI-NP\tO' +p86753 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p86754 +aS'times\ttime\tNNS\tI-NP\tO' +p86755 +aS'two\ttwo\tCD\tB-NP\tO' +p86756 +aS'weeks\tweek\tNNS\tI-NP\tO' +p86757 +aS'.\t.\t.\tO\tO' +p86758 +asS'Mitral stenosis , tricuspid regurgitation , heart failure , chronic atrial fibrillation , chronic ventricular ectopy , chronic obstructive pulmonary disease .' +p86759 +(lp86760 +S'Mitral\tMitral\tJJ\tB-NP\tO' +p86761 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p86762 +aS',\t,\t,\tO\tO' +p86763 +aS'tricuspid\ttricuspid\tJJ\tB-NP\tO' +p86764 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p86765 +aS',\t,\t,\tO\tO' +p86766 +aS'heart\theart\tNN\tB-NP\tO' +p86767 +aS'failure\tfailure\tNN\tI-NP\tO' +p86768 +aS',\t,\t,\tO\tO' +p86769 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p86770 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p86771 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p86772 +aS',\t,\t,\tO\tO' +p86773 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p86774 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p86775 +aS'ectopy\tectopy\tNN\tI-NP\tO' +p86776 +aS',\t,\t,\tO\tO' +p86777 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p86778 +aS'obstructive\tobstructive\tJJ\tI-NP\tO' +p86779 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p86780 +aS'disease\tdisease\tNN\tI-NP\tO' +p86781 +aS'.\t.\t.\tO\tO' +p86782 +asS'The patient could not undergo an MRI due to his pacer .' +p86783 +(lp86784 +S'The\tThe\tDT\tB-NP\tO' +p86785 +aS'patient\tpatient\tNN\tI-NP\tO' +p86786 +aS'could\tcould\tMD\tB-VP\tO' +p86787 +aS'not\tnot\tRB\tI-VP\tO' +p86788 +aS'undergo\tundergo\tVB\tI-VP\tO' +p86789 +aS'an\tan\tDT\tB-NP\tO' +p86790 +aS'MRI\tMRI\tNN\tI-NP\tO' +p86791 +aS'due\tdue\tJJ\tB-ADJP\tO' +p86792 +aS'to\tto\tTO\tB-PP\tO' +p86793 +aS'his\this\tPRP$\tB-NP\tO' +p86794 +aS'pacer\tpacer\tNN\tI-NP\tO' +p86795 +aS'.\t.\t.\tO\tO' +p86796 +asS'The electrocardiogram is otherwise , unchanged and continues to Weymouth voltage in the limb leads and non-specific ST-T wave abnormalities .' +p86797 +(lp86798 +S'The\tThe\tDT\tB-NP\tO' +p86799 +aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' +p86800 +aS'is\tbe\tVBZ\tB-VP\tO' +p86801 +aS'otherwise\totherwise\tRB\tB-ADVP\tO' +p86802 +aS',\t,\t,\tO\tO' +p86803 +aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' +p86804 +aS'and\tand\tCC\tO\tO' +p86805 +aS'continues\tcontinue\tVBZ\tB-VP\tO' +p86806 +aS'to\tto\tTO\tB-PP\tO' +p86807 +aS'Weymouth\tWeymouth\tNNP\tB-NP\tO' +p86808 +aS'voltage\tvoltage\tNN\tI-NP\tO' +p86809 +aS'in\tin\tIN\tB-PP\tO' +p86810 +aS'the\tthe\tDT\tB-NP\tO' +p86811 +aS'limb\tlimb\tNN\tI-NP\tO' +p86812 +aS'leads\tlead\tVBZ\tB-VP\tO' +p86813 +aS'and\tand\tCC\tO\tO' +p86814 +aS'non-specific\tnon-specific\tJJ\tB-NP\tO' +p86815 +aS'ST-T\tST-T\tNN\tI-NP\tO' +p86816 +aS'wave\twave\tNN\tI-NP\tO' +p86817 +aS'abnormalities\tabnormality\tNNS\tI-NP\tO' +p86818 +aS'.\t.\t.\tO\tO' +p86819 +asS'The patient was in her usual state of health until about three weeks prior to admission when she began to notice increased weakness and bruising .' +p86820 +(lp86821 +S'The\tThe\tDT\tB-NP\tO' +p86822 +aS'patient\tpatient\tNN\tI-NP\tO' +p86823 +aS'was\tbe\tVBD\tB-VP\tO' +p86824 +aS'in\tin\tIN\tB-PP\tO' +p86825 +aS'her\ther\tPRP$\tB-NP\tO' +p86826 +aS'usual\tusual\tJJ\tI-NP\tO' +p86827 +aS'state\tstate\tNN\tI-NP\tO' +p86828 +aS'of\tof\tIN\tB-PP\tO' +p86829 +aS'health\thealth\tNN\tB-NP\tO' +p86830 +aS'until\tuntil\tIN\tB-SBAR\tO' +p86831 +aS'about\tabout\tIN\tB-NP\tO' +p86832 +aS'three\tthree\tCD\tI-NP\tO' +p86833 +aS'weeks\tweek\tNNS\tI-NP\tO' +p86834 +aS'prior\tprior\tRB\tB-ADVP\tO' +p86835 +aS'to\tto\tTO\tB-PP\tO' +p86836 +aS'admission\tadmission\tNN\tB-NP\tO' +p86837 +aS'when\twhen\tWRB\tB-ADVP\tO' +p86838 +aS'she\tshe\tPRP\tB-NP\tO' +p86839 +aS'began\tbegin\tVBD\tB-VP\tO' +p86840 +aS'to\tto\tTO\tI-VP\tO' +p86841 +aS'notice\tnotice\tVB\tI-VP\tO' +p86842 +aS'increased\tincrease\tVBN\tB-NP\tO' +p86843 +aS'weakness\tweakness\tNN\tI-NP\tO' +p86844 +aS'and\tand\tCC\tI-NP\tO' +p86845 +aS'bruising\tbruising\tNN\tI-NP\tO' +p86846 +aS'.\t.\t.\tO\tO' +p86847 +asS'Hypotension - On the night of 10-16 , the patient was diuresed with 20 mg of intravenous Lasix .' +p86848 +(lp86849 +S'Hypotension\tHypotension\tNN\tB-NP\tO' +p86850 +aS'-\t-\tHYPH\tB-ADJP\tO' +p86851 +aS'On\tOn\tIN\tB-PP\tO' +p86852 +aS'the\tthe\tDT\tB-NP\tO' +p86853 +aS'night\tnight\tNN\tI-NP\tO' +p86854 +aS'of\tof\tIN\tB-PP\tO' +p86855 +aS'10-16\t10-16\tCD\tB-NP\tO' +p86856 +aS',\t,\t,\tO\tO' +p86857 +aS'the\tthe\tDT\tB-NP\tO' +p86858 +aS'patient\tpatient\tNN\tI-NP\tO' +p86859 +aS'was\tbe\tVBD\tB-VP\tO' +p86860 +aS'diuresed\tdiurese\tVBN\tI-VP\tO' +p86861 +aS'with\twith\tIN\tB-PP\tO' +p86862 +aS'20\t20\tCD\tB-NP\tO' +p86863 +aS'mg\tmg\tNN\tI-NP\tO' +p86864 +aS'of\tof\tIN\tB-PP\tO' +p86865 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p86866 +aS'Lasix\tLasix\tNNP\tI-NP\tO' +p86867 +aS'.\t.\t.\tO\tO' +p86868 +asS'15-20 pky h/o smoking , quit 15 yrs ago' +p86869 +(lp86870 +S'15-20\t15-20\tCD\tB-NP\tO' +p86871 +aS'pky\tpky\tJJ\tI-NP\tO' +p86872 +aS'h/o\th/o\tNN\tI-NP\tO' +p86873 +aS'smoking\tsmoking\tNN\tI-NP\tO' +p86874 +aS',\t,\t,\tO\tO' +p86875 +aS'quit\tquit\tVBD\tB-VP\tO' +p86876 +aS'15\t15\tCD\tB-NP\tO' +p86877 +aS'yrs\tyr\tNNS\tI-NP\tO' +p86878 +aS'ago\tago\tIN\tB-ADVP\tO' +p86879 +asS'The abdomen is soft , nontender , nondistended .' +p86880 +(lp86881 +S'The\tThe\tDT\tB-NP\tO' +p86882 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p86883 +aS'is\tbe\tVBZ\tB-VP\tO' +p86884 +aS'soft\tsoft\tJJ\tB-NP\tO' +p86885 +aS',\t,\t,\tI-NP\tO' +p86886 +aS'nontender\tnontender\tJJ\tI-NP\tO' +p86887 +aS',\t,\t,\tI-NP\tO' +p86888 +aS'nondistended\tnondistended\tJJ\tI-NP\tO' +p86889 +aS'.\t.\t.\tO\tO' +p86890 +asS'The cardiopulmonary bypass time was one hour and 49 minutes .' +p86891 +(lp86892 +S'The\tThe\tDT\tB-NP\tO' +p86893 +aS'cardiopulmonary\tcardiopulmonary\tJJ\tI-NP\tO' +p86894 +aS'bypass\tbypass\tNN\tI-NP\tO' +p86895 +aS'time\ttime\tNN\tI-NP\tO' +p86896 +aS'was\tbe\tVBD\tB-VP\tO' +p86897 +aS'one\tone\tCD\tB-NP\tO' +p86898 +aS'hour\thour\tNN\tI-NP\tO' +p86899 +aS'and\tand\tCC\tO\tO' +p86900 +aS'49\t49\tCD\tB-NP\tO' +p86901 +aS'minutes\tminute\tNNS\tI-NP\tO' +p86902 +aS'.\t.\t.\tO\tO' +p86903 +asS'Urachal duct remnant .' +p86904 +(lp86905 +S'Urachal\tUrachal\tJJ\tB-NP\tO' +p86906 +aS'duct\tduct\tNN\tI-NP\tO' +p86907 +aS'remnant\tremnant\tNN\tI-NP\tO' +p86908 +aS'.\t.\t.\tO\tO' +p86909 +asS'She visits her daughter once a week .' +p86910 +(lp86911 +S'She\tShe\tPRP\tB-NP\tO' +p86912 +aS'visits\tvisit\tVBZ\tB-VP\tO' +p86913 +aS'her\ther\tPRP$\tB-NP\tO' +p86914 +aS'daughter\tdaughter\tNN\tI-NP\tO' +p86915 +aS'once\tonce\tIN\tB-SBAR\tO' +p86916 +aS'a\ta\tDT\tB-NP\tO' +p86917 +aS'week\tweek\tNN\tI-NP\tO' +p86918 +aS'.\t.\t.\tO\tO' +p86919 +asS'Examination showed regular rate and rhythm with no S3 or S4 heard and a grade II/VI holosystolic murmur loudest at the left sternal border .' +p86920 +(lp86921 +S'Examination\tExamination\tNN\tB-NP\tO' +p86922 +aS'showed\tshow\tVBD\tB-VP\tO' +p86923 +aS'regular\tregular\tJJ\tB-NP\tO' +p86924 +aS'rate\trate\tNN\tI-NP\tO' +p86925 +aS'and\tand\tCC\tO\tO' +p86926 +aS'rhythm\trhythm\tNN\tB-NP\tO' +p86927 +aS'with\twith\tIN\tB-PP\tO' +p86928 +aS'no\tno\tDT\tB-NP\tO' +p86929 +aS'S3\tS3\tNN\tI-NP\tB-protein' +p86930 +aS'or\tor\tCC\tI-NP\tO' +p86931 +aS'S4\tS4\tNN\tI-NP\tO' +p86932 +aS'heard\theard\tNN\tI-NP\tO' +p86933 +aS'and\tand\tCC\tO\tO' +p86934 +aS'a\ta\tDT\tB-NP\tO' +p86935 +aS'grade\tgrade\tNN\tI-NP\tO' +p86936 +aS'II/VI\tII/VI\tNN\tI-NP\tO' +p86937 +aS'holosystolic\tholosystolic\tJJ\tI-NP\tO' +p86938 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p86939 +aS'loudest\tloud\tJJS\tB-ADJP\tO' +p86940 +aS'at\tat\tIN\tB-PP\tO' +p86941 +aS'the\tthe\tDT\tB-NP\tO' +p86942 +aS'left\tleft\tJJ\tI-NP\tO' +p86943 +aS'sternal\tsternal\tJJ\tI-NP\tO' +p86944 +aS'border\tborder\tNN\tI-NP\tO' +p86945 +aS'.\t.\t.\tO\tO' +p86946 +asS'The patient is fully paced .' +p86947 +(lp86948 +S'The\tThe\tDT\tB-NP\tO' +p86949 +aS'patient\tpatient\tNN\tI-NP\tO' +p86950 +aS'is\tbe\tVBZ\tB-VP\tO' +p86951 +aS'fully\tfully\tRB\tI-VP\tO' +p86952 +aS'paced\tpace\tVBN\tI-VP\tO' +p86953 +aS'.\t.\t.\tO\tO' +p86954 +asS'Specifically , there was no decrease in the initial gain that she achieved after directional atherectomy .' +p86955 +(lp86956 +S'Specifically\tSpecifically\tRB\tB-ADVP\tO' +p86957 +aS',\t,\t,\tO\tO' +p86958 +aS'there\tthere\tEX\tB-NP\tO' +p86959 +aS'was\tbe\tVBD\tB-VP\tO' +p86960 +aS'no\tno\tDT\tB-NP\tO' +p86961 +aS'decrease\tdecrease\tNN\tI-NP\tO' +p86962 +aS'in\tin\tIN\tB-PP\tO' +p86963 +aS'the\tthe\tDT\tB-NP\tO' +p86964 +aS'initial\tinitial\tJJ\tI-NP\tO' +p86965 +aS'gain\tgain\tNN\tI-NP\tO' +p86966 +aS'that\tthat\tIN\tB-SBAR\tO' +p86967 +aS'she\tshe\tPRP\tB-NP\tO' +p86968 +aS'achieved\tachieve\tVBD\tB-VP\tO' +p86969 +aS'after\tafter\tIN\tB-PP\tO' +p86970 +aS'directional\tdirectional\tJJ\tB-NP\tO' +p86971 +aS'atherectomy\tatherectomy\tNN\tI-NP\tO' +p86972 +aS'.\t.\t.\tO\tO' +p86973 +asS'The patient was continued on antibiotics for possible pneumonia .' +p86974 +(lp86975 +S'The\tThe\tDT\tB-NP\tO' +p86976 +aS'patient\tpatient\tNN\tI-NP\tO' +p86977 +aS'was\tbe\tVBD\tB-VP\tO' +p86978 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p86979 +aS'on\ton\tIN\tB-PP\tO' +p86980 +aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' +p86981 +aS'for\tfor\tIN\tB-PP\tO' +p86982 +aS'possible\tpossible\tJJ\tB-NP\tO' +p86983 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p86984 +aS'.\t.\t.\tO\tO' +p86985 +asS'The patient 's course was subsequently characterized by recurrent pneumonias , possibly due to aspiration , and by hemodynamic instability .' +p86986 +(lp86987 +S'The\tThe\tDT\tB-NP\tO' +p86988 +aS'patient\tpatient\tNN\tI-NP\tO' +p86989 +aS''s\t'\tNNS\tI-NP\tO' +p86990 +aS'course\tcourse\tNN\tI-NP\tO' +p86991 +aS'was\tbe\tVBD\tB-VP\tO' +p86992 +aS'subsequently\tsubsequently\tRB\tI-VP\tO' +p86993 +aS'characterized\tcharacterize\tVBN\tI-VP\tO' +p86994 +aS'by\tby\tIN\tB-PP\tO' +p86995 +aS'recurrent\trecurrent\tJJ\tB-NP\tO' +p86996 +aS'pneumonias\tpneumonia\tNNS\tI-NP\tO' +p86997 +aS',\t,\t,\tO\tO' +p86998 +aS'possibly\tpossibly\tRB\tB-ADVP\tO' +p86999 +aS'due\tdue\tIN\tB-PP\tO' +p87000 +aS'to\tto\tTO\tB-PP\tO' +p87001 +aS'aspiration\taspiration\tNN\tB-NP\tO' +p87002 +aS',\t,\t,\tO\tO' +p87003 +aS'and\tand\tCC\tO\tO' +p87004 +aS'by\tby\tIN\tB-PP\tO' +p87005 +aS'hemodynamic\themodynamic\tJJ\tB-NP\tO' +p87006 +aS'instability\tinstability\tNN\tI-NP\tO' +p87007 +aS'.\t.\t.\tO\tO' +p87008 +asS'Evaluated by orthopedic spine surgeons with recommendations for soft c-collar for comfort .' +p87009 +(lp87010 +S'Evaluated\tEvaluate\tVBN\tB-VP\tO' +p87011 +aS'by\tby\tIN\tB-PP\tO' +p87012 +aS'orthopedic\torthopedic\tJJ\tB-NP\tO' +p87013 +aS'spine\tspine\tNN\tI-NP\tO' +p87014 +aS'surgeons\tsurgeon\tNNS\tI-NP\tO' +p87015 +aS'with\twith\tIN\tB-PP\tO' +p87016 +aS'recommendations\trecommendation\tNNS\tB-NP\tO' +p87017 +aS'for\tfor\tIN\tB-PP\tO' +p87018 +aS'soft\tsoft\tJJ\tB-NP\tO' +p87019 +aS'c-collar\tc-collar\tNN\tI-NP\tO' +p87020 +aS'for\tfor\tIN\tB-PP\tO' +p87021 +aS'comfort\tcomfort\tNN\tB-NP\tO' +p87022 +aS'.\t.\t.\tO\tO' +p87023 +asS'The upper ribs are intact .' +p87024 +(lp87025 +S'The\tThe\tDT\tB-NP\tO' +p87026 +aS'upper\tupper\tJJ\tI-NP\tO' +p87027 +aS'ribs\trib\tNNS\tI-NP\tO' +p87028 +aS'are\tbe\tVBP\tB-VP\tO' +p87029 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p87030 +aS'.\t.\t.\tO\tO' +p87031 +asS'primary AV block .' +p87032 +(lp87033 +S'primary\tprimary\tJJ\tB-NP\tO' +p87034 +aS'AV\tAV\tNN\tI-NP\tO' +p87035 +aS'block\tblock\tNN\tI-NP\tO' +p87036 +aS'.\t.\t.\tO\tO' +p87037 +asS'Colace 100 mg po bid , Albuterol inhalers two puffs inhaled qid prn wheezing and asthma symptoms .' +p87038 +(lp87039 +S'Colace\tColace\tNNP\tB-NP\tO' +p87040 +aS'100\t100\tCD\tI-NP\tO' +p87041 +aS'mg\tmg\tNN\tI-NP\tO' +p87042 +aS'po\tpo\tNN\tI-NP\tO' +p87043 +aS'bid\tbid\tNN\tI-NP\tO' +p87044 +aS',\t,\t,\tO\tO' +p87045 +aS'Albuterol\tAlbuterol\tNNP\tB-NP\tO' +p87046 +aS'inhalers\tinhaler\tVBZ\tB-VP\tO' +p87047 +aS'two\ttwo\tCD\tB-NP\tO' +p87048 +aS'puffs\tpuff\tNNS\tI-NP\tO' +p87049 +aS'inhaled\tinhale\tVBD\tB-VP\tO' +p87050 +aS'qid\tqid\tNN\tB-NP\tO' +p87051 +aS'prn\tprn\tNN\tI-NP\tO' +p87052 +aS'wheezing\twheezing\tNN\tI-NP\tO' +p87053 +aS'and\tand\tCC\tI-NP\tO' +p87054 +aS'asthma\tasthma\tNN\tI-NP\tO' +p87055 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p87056 +aS'.\t.\t.\tO\tO' +p87057 +asS'The fundal AVMs are a potential site of bleeding although do not explain the extent of bleeding .' +p87058 +(lp87059 +S'The\tThe\tDT\tB-NP\tO' +p87060 +aS'fundal\tfundal\tJJ\tI-NP\tO' +p87061 +aS'AVMs\tAVM\tNNS\tI-NP\tO' +p87062 +aS'are\tbe\tVBP\tB-VP\tO' +p87063 +aS'a\ta\tDT\tB-NP\tO' +p87064 +aS'potential\tpotential\tJJ\tI-NP\tO' +p87065 +aS'site\tsite\tNN\tI-NP\tO' +p87066 +aS'of\tof\tIN\tB-PP\tO' +p87067 +aS'bleeding\tbleed\tVBG\tB-NP\tO' +p87068 +aS'although\talthough\tIN\tB-SBAR\tO' +p87069 +aS'do\tdo\tVBP\tB-VP\tO' +p87070 +aS'not\tnot\tRB\tI-VP\tO' +p87071 +aS'explain\texplain\tVB\tI-VP\tO' +p87072 +aS'the\tthe\tDT\tB-NP\tO' +p87073 +aS'extent\textent\tNN\tI-NP\tO' +p87074 +aS'of\tof\tIN\tB-PP\tO' +p87075 +aS'bleeding\tbleed\tVBG\tB-NP\tO' +p87076 +aS'.\t.\t.\tO\tO' +p87077 +asS'He was quickly weaned to 3L O2 via NC , O2 sats 100% .' +p87078 +(lp87079 +S'He\tHe\tPRP\tB-NP\tO' +p87080 +aS'was\tbe\tVBD\tB-VP\tO' +p87081 +aS'quickly\tquickly\tRB\tI-VP\tO' +p87082 +aS'weaned\twean\tVBN\tI-VP\tO' +p87083 +aS'to\tto\tTO\tB-PP\tO' +p87084 +aS'3L\t3L\tNN\tB-NP\tB-protein' +p87085 +aS'O2\tO2\tNN\tI-NP\tI-protein' +p87086 +aS'via\tvia\tIN\tB-PP\tO' +p87087 +aS'NC\tNC\tNN\tB-NP\tO' +p87088 +aS',\t,\t,\tO\tO' +p87089 +aS'O2\tO2\tNN\tB-NP\tO' +p87090 +aS'sats\tsat\tNNS\tI-NP\tO' +p87091 +aS'100%\t100%\tCD\tB-NP\tO' +p87092 +aS'.\t.\t.\tO\tO' +p87093 +asS'X-ray revealed mild respiratory distress syndrome .' +p87094 +(lp87095 +S'X-ray\tX-ray\tNN\tB-NP\tO' +p87096 +aS'revealed\treveal\tVBD\tB-VP\tO' +p87097 +aS'mild\tmild\tJJ\tB-NP\tO' +p87098 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p87099 +aS'distress\tdistress\tNN\tI-NP\tO' +p87100 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p87101 +aS'.\t.\t.\tO\tO' +p87102 +asS'Subsequently extubated and his respiratory Sx are now improved .' +p87103 +(lp87104 +S'Subsequently\tSubsequently\tRB\tB-ADJP\tO' +p87105 +aS'extubated\textubate\tVBN\tI-ADJP\tO' +p87106 +aS'and\tand\tCC\tO\tO' +p87107 +aS'his\this\tPRP$\tB-NP\tO' +p87108 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p87109 +aS'Sx\tSx\tNN\tI-NP\tO' +p87110 +aS'are\tbe\tVBP\tB-VP\tO' +p87111 +aS'now\tnow\tRB\tI-VP\tO' +p87112 +aS'improved\timprove\tVBN\tI-VP\tO' +p87113 +aS'.\t.\t.\tO\tO' +p87114 +asS'Mr. Reese Jones the procedure well .' +p87115 +(lp87116 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p87117 +aS'Reese\tReese\tNNP\tI-NP\tO' +p87118 +aS'Jones\tJones\tNNP\tI-NP\tO' +p87119 +aS'the\tthe\tDT\tB-NP\tO' +p87120 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p87121 +aS'well\twell\tRB\tB-ADVP\tO' +p87122 +aS'.\t.\t.\tO\tO' +p87123 +asS'She used the pill for five years in the past .' +p87124 +(lp87125 +S'She\tShe\tPRP\tB-NP\tO' +p87126 +aS'used\tuse\tVBD\tB-VP\tO' +p87127 +aS'the\tthe\tDT\tB-NP\tO' +p87128 +aS'pill\tpill\tNN\tI-NP\tO' +p87129 +aS'for\tfor\tIN\tB-PP\tO' +p87130 +aS'five\tfive\tCD\tB-NP\tO' +p87131 +aS'years\tyear\tNNS\tI-NP\tO' +p87132 +aS'in\tin\tIN\tB-PP\tO' +p87133 +aS'the\tthe\tDT\tB-NP\tO' +p87134 +aS'past\tpast\tNN\tI-NP\tO' +p87135 +aS'.\t.\t.\tO\tO' +p87136 +asS'Penicillin for which she reports a rash and dyspepsia when taking uncoated aspirin .' +p87137 +(lp87138 +S'Penicillin\tPenicillin\tNN\tB-NP\tO' +p87139 +aS'for\tfor\tIN\tB-PP\tO' +p87140 +aS'which\twhich\tWDT\tB-NP\tO' +p87141 +aS'she\tshe\tPRP\tB-NP\tO' +p87142 +aS'reports\treport\tVBZ\tB-VP\tO' +p87143 +aS'a\ta\tDT\tB-NP\tO' +p87144 +aS'rash\trash\tNN\tI-NP\tO' +p87145 +aS'and\tand\tCC\tI-NP\tO' +p87146 +aS'dyspepsia\tdyspepsia\tNN\tI-NP\tO' +p87147 +aS'when\twhen\tWRB\tB-ADVP\tO' +p87148 +aS'taking\ttake\tVBG\tB-VP\tO' +p87149 +aS'uncoated\tuncoated\tJJ\tB-NP\tO' +p87150 +aS'aspirin\taspirin\tNN\tI-NP\tO' +p87151 +aS'.\t.\t.\tO\tO' +p87152 +asS'This is a term infant with significant subgaleal hematoma with apparent extension over the past six hours .' +p87153 +(lp87154 +S'This\tThis\tDT\tB-NP\tO' +p87155 +aS'is\tbe\tVBZ\tB-VP\tO' +p87156 +aS'a\ta\tDT\tB-NP\tO' +p87157 +aS'term\tterm\tNN\tI-NP\tO' +p87158 +aS'infant\tinfant\tNN\tI-NP\tO' +p87159 +aS'with\twith\tIN\tB-PP\tO' +p87160 +aS'significant\tsignificant\tJJ\tB-NP\tO' +p87161 +aS'subgaleal\tsubgaleal\tJJ\tI-NP\tO' +p87162 +aS'hematoma\thematoma\tNN\tI-NP\tO' +p87163 +aS'with\twith\tIN\tB-PP\tO' +p87164 +aS'apparent\tapparent\tJJ\tB-NP\tO' +p87165 +aS'extension\textension\tNN\tI-NP\tO' +p87166 +aS'over\tover\tIN\tB-PP\tO' +p87167 +aS'the\tthe\tDT\tB-NP\tO' +p87168 +aS'past\tpast\tJJ\tI-NP\tO' +p87169 +aS'six\tsix\tCD\tI-NP\tO' +p87170 +aS'hours\thour\tNNS\tI-NP\tO' +p87171 +aS'.\t.\t.\tO\tO' +p87172 +asS'11-Coma .' +p87173 +(lp87174 +S'11-Coma\t11-Coma\tNN\tB-NP\tO' +p87175 +aS'.\t.\t.\tO\tO' +p87176 +asS'Delivery by cesarean section secondary to twin B breech presentation .' +p87177 +(lp87178 +S'Delivery\tDelivery\tNN\tB-NP\tO' +p87179 +aS'by\tby\tIN\tB-PP\tO' +p87180 +aS'cesarean\tcesarean\tJJ\tB-NP\tO' +p87181 +aS'section\tsection\tNN\tI-NP\tO' +p87182 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p87183 +aS'to\tto\tTO\tB-VP\tO' +p87184 +aS'twin\ttwin\tVB\tI-VP\tO' +p87185 +aS'B\tB\tNN\tB-NP\tO' +p87186 +aS'breech\tbreech\tNN\tI-NP\tO' +p87187 +aS'presentation\tpresentation\tNN\tI-NP\tO' +p87188 +aS'.\t.\t.\tO\tO' +p87189 +asS'14. Isosorbide Dinitrate 20 mg Tablet Sig : One ( 1 ) Tablet PO TID ( 3 times a day ).' +p87190 +(lp87191 +S'14.\t14.\tLS\tB-NP\tO' +p87192 +aS'Isosorbide\tIsosorbide\tNN\tI-NP\tO' +p87193 +aS'Dinitrate\tDinitrate\tVBP\tB-VP\tO' +p87194 +aS'20\t20\tCD\tB-NP\tO' +p87195 +aS'mg\tmg\tNN\tI-NP\tO' +p87196 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p87197 +aS'Sig\tSig\tNNP\tI-NP\tO' +p87198 +aS':\t:\t:\tO\tO' +p87199 +aS'One\tOne\tCD\tB-NP\tO' +p87200 +aS'(\t(\t(\tO\tO' +p87201 +aS'1\t1\tCD\tB-NP\tO' +p87202 +aS')\t)\t)\tO\tO' +p87203 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p87204 +aS'PO\tPO\tNN\tI-NP\tO' +p87205 +aS'TID\tTID\tNN\tI-NP\tO' +p87206 +aS'(\t(\t(\tO\tO' +p87207 +aS'3\t3\tCD\tB-NP\tO' +p87208 +aS'times\ttime\tNNS\tI-NP\tO' +p87209 +aS'a\ta\tDT\tB-NP\tO' +p87210 +aS'day\tday\tNN\tI-NP\tO' +p87211 +aS').\t).\t.\tO\tO' +p87212 +asS'3. Tendinosis of the posterior tibialis and peroneus brevis tendons .' +p87213 +(lp87214 +S'3.\t3.\tLS\tB-NP\tO' +p87215 +aS'Tendinosis\tTendinosis\tNN\tI-NP\tO' +p87216 +aS'of\tof\tIN\tB-PP\tO' +p87217 +aS'the\tthe\tDT\tB-NP\tO' +p87218 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p87219 +aS'tibialis\ttibialis\tNN\tI-NP\tO' +p87220 +aS'and\tand\tCC\tI-NP\tO' +p87221 +aS'peroneus\tperoneus\tNN\tI-NP\tO' +p87222 +aS'brevis\tbrevis\tNN\tI-NP\tO' +p87223 +aS'tendons\ttendon\tNNS\tI-NP\tO' +p87224 +aS'.\t.\t.\tO\tO' +p87225 +asS'Over the last several days , we have been giving her approximately 500 cc to 1000 cc of free water through her NG tube .' +p87226 +(lp87227 +S'Over\tOver\tIN\tB-PP\tO' +p87228 +aS'the\tthe\tDT\tB-NP\tO' +p87229 +aS'last\tlast\tJJ\tI-NP\tO' +p87230 +aS'several\tseveral\tJJ\tI-NP\tO' +p87231 +aS'days\tday\tNNS\tI-NP\tO' +p87232 +aS',\t,\t,\tO\tO' +p87233 +aS'we\twe\tPRP\tB-NP\tO' +p87234 +aS'have\thave\tVBP\tB-VP\tO' +p87235 +aS'been\tbe\tVBN\tI-VP\tO' +p87236 +aS'giving\tgive\tVBG\tI-VP\tO' +p87237 +aS'her\ther\tPRP\tB-NP\tO' +p87238 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p87239 +aS'500\t500\tCD\tI-NP\tO' +p87240 +aS'cc\tcc\tNN\tI-NP\tO' +p87241 +aS'to\tto\tTO\tB-PP\tO' +p87242 +aS'1000\t1000\tCD\tB-NP\tO' +p87243 +aS'cc\tcc\tNN\tI-NP\tO' +p87244 +aS'of\tof\tIN\tB-PP\tO' +p87245 +aS'free\tfree\tJJ\tB-NP\tO' +p87246 +aS'water\twater\tNN\tI-NP\tO' +p87247 +aS'through\tthrough\tIN\tB-PP\tO' +p87248 +aS'her\ther\tPRP$\tB-NP\tO' +p87249 +aS'NG\tNG\tNN\tI-NP\tO' +p87250 +aS'tube\ttube\tNN\tI-NP\tO' +p87251 +aS'.\t.\t.\tO\tO' +p87252 +asS'Back revealed no costovertebral angle tenderness .' +p87253 +(lp87254 +S'Back\tBack\tRB\tB-ADVP\tO' +p87255 +aS'revealed\treveal\tVBD\tB-VP\tO' +p87256 +aS'no\tno\tDT\tB-NP\tO' +p87257 +aS'costovertebral\tcostovertebral\tJJ\tI-NP\tO' +p87258 +aS'angle\tangle\tNN\tI-NP\tO' +p87259 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p87260 +aS'.\t.\t.\tO\tO' +p87261 +asS'Abdomen is soft , nontender , nondistended , no masses , positive bowel sounds .' +p87262 +(lp87263 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p87264 +aS'is\tbe\tVBZ\tB-VP\tO' +p87265 +aS'soft\tsoft\tJJ\tB-NP\tO' +p87266 +aS',\t,\t,\tI-NP\tO' +p87267 +aS'nontender\tnontender\tJJ\tI-NP\tO' +p87268 +aS',\t,\t,\tI-NP\tO' +p87269 +aS'nondistended\tnondistended\tJJ\tI-NP\tO' +p87270 +aS',\t,\t,\tO\tO' +p87271 +aS'no\tno\tDT\tB-NP\tO' +p87272 +aS'masses\tmass\tNNS\tI-NP\tO' +p87273 +aS',\t,\t,\tO\tO' +p87274 +aS'positive\tpositive\tJJ\tB-NP\tO' +p87275 +aS'bowel\tbowel\tNN\tI-NP\tO' +p87276 +aS'sounds\tsound\tNNS\tI-NP\tO' +p87277 +aS'.\t.\t.\tO\tO' +p87278 +asS'The patient continued to do well and the decision was made to discharge him .' +p87279 +(lp87280 +S'The\tThe\tDT\tB-NP\tO' +p87281 +aS'patient\tpatient\tNN\tI-NP\tO' +p87282 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p87283 +aS'to\tto\tTO\tI-VP\tO' +p87284 +aS'do\tdo\tVB\tI-VP\tO' +p87285 +aS'well\twell\tRB\tB-ADVP\tO' +p87286 +aS'and\tand\tCC\tO\tO' +p87287 +aS'the\tthe\tDT\tB-NP\tO' +p87288 +aS'decision\tdecision\tNN\tI-NP\tO' +p87289 +aS'was\tbe\tVBD\tB-VP\tO' +p87290 +aS'made\tmake\tVBN\tI-VP\tO' +p87291 +aS'to\tto\tTO\tB-VP\tO' +p87292 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p87293 +aS'him\thim\tPRP\tB-NP\tO' +p87294 +aS'.\t.\t.\tO\tO' +p87295 +asS'Humalog 100 U / ml 1 as directed pump' +p87296 +(lp87297 +S'Humalog\tHumalog\tNN\tB-NP\tO' +p87298 +aS'100\t100\tCD\tI-NP\tO' +p87299 +aS'U\tU\tNN\tI-NP\tO' +p87300 +aS'/\t/\tSYM\tB-NP\tO' +p87301 +aS'ml\tml\tNN\tB-NP\tO' +p87302 +aS'1\t1\tCD\tI-NP\tO' +p87303 +aS'as\tas\tIN\tB-PP\tO' +p87304 +aS'directed\tdirect\tVBN\tB-NP\tO' +p87305 +aS'pump\tpump\tNN\tI-NP\tO' +p87306 +asS'Because of expected long term antibiotic administration , a PICC line was placed and the patient was prepared for transfer back to Fo Hospital .' +p87307 +(lp87308 +S'Because\tBecause\tIN\tB-PP\tO' +p87309 +aS'of\tof\tIN\tI-PP\tO' +p87310 +aS'expected\texpect\tVBN\tB-NP\tO' +p87311 +aS'long\tlong\tJJ\tI-NP\tO' +p87312 +aS'term\tterm\tNN\tI-NP\tO' +p87313 +aS'antibiotic\tantibiotic\tJJ\tI-NP\tO' +p87314 +aS'administration\tadministration\tNN\tI-NP\tO' +p87315 +aS',\t,\t,\tO\tO' +p87316 +aS'a\ta\tDT\tB-NP\tO' +p87317 +aS'PICC\tPICC\tNN\tI-NP\tB-cell_line' +p87318 +aS'line\tline\tNN\tI-NP\tI-cell_line' +p87319 +aS'was\tbe\tVBD\tB-VP\tO' +p87320 +aS'placed\tplace\tVBN\tI-VP\tO' +p87321 +aS'and\tand\tCC\tO\tO' +p87322 +aS'the\tthe\tDT\tB-NP\tO' +p87323 +aS'patient\tpatient\tNN\tI-NP\tO' +p87324 +aS'was\tbe\tVBD\tB-VP\tO' +p87325 +aS'prepared\tprepare\tVBN\tI-VP\tO' +p87326 +aS'for\tfor\tIN\tB-PP\tO' +p87327 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p87328 +aS'back\tback\tRB\tB-ADVP\tO' +p87329 +aS'to\tto\tTO\tB-PP\tO' +p87330 +aS'Fo\tFo\tNNP\tB-NP\tO' +p87331 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p87332 +aS'.\t.\t.\tO\tO' +p87333 +asS'The patient 's prednisone was increased to 60 mg q.d. as the patient was diagnosed with an arthritis flare .' +p87334 +(lp87335 +S'The\tThe\tDT\tB-NP\tO' +p87336 +aS'patient\tpatient\tNN\tI-NP\tO' +p87337 +aS''s\t'\tNNS\tI-NP\tO' +p87338 +aS'prednisone\tprednisone\tNN\tI-NP\tO' +p87339 +aS'was\tbe\tVBD\tB-VP\tO' +p87340 +aS'increased\tincrease\tVBN\tI-VP\tO' +p87341 +aS'to\tto\tTO\tB-PP\tO' +p87342 +aS'60\t60\tCD\tB-NP\tO' +p87343 +aS'mg\tmg\tNN\tI-NP\tO' +p87344 +aS'q.d.\tq.d.\tRB\tB-ADVP\tO' +p87345 +aS'as\tas\tIN\tB-PP\tO' +p87346 +aS'the\tthe\tDT\tB-NP\tO' +p87347 +aS'patient\tpatient\tNN\tI-NP\tO' +p87348 +aS'was\tbe\tVBD\tB-VP\tO' +p87349 +aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' +p87350 +aS'with\twith\tIN\tB-PP\tO' +p87351 +aS'an\tan\tDT\tB-NP\tO' +p87352 +aS'arthritis\tarthritis\tNN\tI-NP\tB-DNA' +p87353 +aS'flare\tflare\tNN\tI-NP\tI-DNA' +p87354 +aS'.\t.\t.\tO\tO' +p87355 +asS'Dictated By : Maria A Singler , M.D.' +p87356 +(lp87357 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p87358 +aS'By\tBy\tIN\tB-PP\tO' +p87359 +aS':\t:\t:\tO\tO' +p87360 +aS'Maria\tMaria\tNNP\tB-NP\tO' +p87361 +aS'A\tA\tNNP\tI-NP\tO' +p87362 +aS'Singler\tSingler\tNNP\tI-NP\tO' +p87363 +aS',\t,\t,\tO\tO' +p87364 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p87365 +asS'Pupils minimally reactive .' +p87366 +(lp87367 +S'Pupils\tPupil\tNNS\tB-NP\tO' +p87368 +aS'minimally\tminimally\tRB\tB-ADJP\tO' +p87369 +aS'reactive\treactive\tJJ\tI-ADJP\tO' +p87370 +aS'.\t.\t.\tO\tO' +p87371 +asS'arterial catheterization on 10/14/96 , head CT scan on 10/14/96' +p87372 +(lp87373 +S'arterial\tarterial\tJJ\tB-NP\tO' +p87374 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p87375 +aS'on\ton\tIN\tB-PP\tO' +p87376 +aS'10/14/96\t10/14/96\tCD\tB-NP\tO' +p87377 +aS',\t,\t,\tO\tO' +p87378 +aS'head\thead\tNN\tB-NP\tO' +p87379 +aS'CT\tCT\tNN\tI-NP\tO' +p87380 +aS'scan\tscan\tNN\tI-NP\tO' +p87381 +aS'on\ton\tIN\tB-PP\tO' +p87382 +aS'10/14/96\t10/14/96\tCD\tB-NP\tO' +p87383 +asS'The infant is now receiving breast milk with Nutramigen powder concentrate to 24 calorie .' +p87384 +(lp87385 +S'The\tThe\tDT\tB-NP\tO' +p87386 +aS'infant\tinfant\tNN\tI-NP\tO' +p87387 +aS'is\tbe\tVBZ\tB-VP\tO' +p87388 +aS'now\tnow\tRB\tI-VP\tO' +p87389 +aS'receiving\treceive\tVBG\tI-VP\tO' +p87390 +aS'breast\tbreast\tNN\tB-NP\tO' +p87391 +aS'milk\tmilk\tNN\tI-NP\tO' +p87392 +aS'with\twith\tIN\tB-PP\tO' +p87393 +aS'Nutramigen\tNutramigen\tNN\tB-NP\tO' +p87394 +aS'powder\tpowder\tNN\tI-NP\tO' +p87395 +aS'concentrate\tconcentrate\tNN\tI-NP\tO' +p87396 +aS'to\tto\tTO\tB-PP\tO' +p87397 +aS'24\t24\tCD\tB-NP\tO' +p87398 +aS'calorie\tcalorie\tNN\tI-NP\tO' +p87399 +aS'.\t.\t.\tO\tO' +p87400 +asS'He experienced low grade fevers .' +p87401 +(lp87402 +S'He\tHe\tPRP\tB-NP\tO' +p87403 +aS'experienced\texperience\tVBD\tB-VP\tO' +p87404 +aS'low\tlow\tJJ\tB-NP\tO' +p87405 +aS'grade\tgrade\tNN\tI-NP\tO' +p87406 +aS'fevers\tfever\tNNS\tI-NP\tO' +p87407 +aS'.\t.\t.\tO\tO' +p87408 +asS'Digoxin 0.125 mg q.d. , Lasix 80 mg q.a.m. and 40 mg q.p.m. aspirin 1 q.d. , and Vanceril three puffs b.i.d.' +p87409 +(lp87410 +S'Digoxin\tDigoxin\tNN\tB-NP\tO' +p87411 +aS'0.125\t0.125\tCD\tI-NP\tO' +p87412 +aS'mg\tmg\tNN\tI-NP\tO' +p87413 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p87414 +aS',\t,\t,\tO\tO' +p87415 +aS'Lasix\tLasix\tNNP\tB-NP\tO' +p87416 +aS'80\t80\tCD\tI-NP\tO' +p87417 +aS'mg\tmg\tNN\tI-NP\tO' +p87418 +aS'q.a.m.\tq.a.m.\tNN\tI-NP\tO' +p87419 +aS'and\tand\tCC\tI-NP\tO' +p87420 +aS'40\t40\tCD\tI-NP\tO' +p87421 +aS'mg\tmg\tNN\tI-NP\tO' +p87422 +aS'q.p.m.\tq.p.m.\tNN\tI-NP\tO' +p87423 +aS'aspirin\taspirin\tNN\tI-NP\tO' +p87424 +aS'1\t1\tCD\tI-NP\tO' +p87425 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p87426 +aS',\t,\t,\tO\tO' +p87427 +aS'and\tand\tCC\tO\tO' +p87428 +aS'Vanceril\tVanceril\tNNP\tB-NP\tO' +p87429 +aS'three\tthree\tCD\tB-NP\tO' +p87430 +aS'puffs\tpuff\tNNS\tI-NP\tO' +p87431 +aS'b.i.d.\tb.i.d.\tRB\tB-ADVP\tO' +p87432 +asS'The possibility of a cardiac origin was evaluated by echocardiogram and Holter monitor .' +p87433 +(lp87434 +S'The\tThe\tDT\tB-NP\tO' +p87435 +aS'possibility\tpossibility\tNN\tI-NP\tO' +p87436 +aS'of\tof\tIN\tB-PP\tO' +p87437 +aS'a\ta\tDT\tB-NP\tO' +p87438 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p87439 +aS'origin\torigin\tNN\tI-NP\tO' +p87440 +aS'was\tbe\tVBD\tB-VP\tO' +p87441 +aS'evaluated\tevaluate\tVBN\tI-VP\tO' +p87442 +aS'by\tby\tIN\tB-PP\tO' +p87443 +aS'echocardiogram\techocardiogram\tNN\tB-NP\tO' +p87444 +aS'and\tand\tCC\tI-NP\tO' +p87445 +aS'Holter\tHolter\tNN\tI-NP\tO' +p87446 +aS'monitor\tmonitor\tNN\tI-NP\tO' +p87447 +aS'.\t.\t.\tO\tO' +p87448 +asS'On 02/11/91 , the patient again appeared more comfortable this time with 50% facemask but then required more oxygen , dropped his O2 saturations , and was intubated on 02/11/91 .' +p87449 +(lp87450 +S'On\tOn\tIN\tB-PP\tO' +p87451 +aS'02/11/91\t02/11/91\tCD\tB-NP\tO' +p87452 +aS',\t,\t,\tO\tO' +p87453 +aS'the\tthe\tDT\tB-NP\tO' +p87454 +aS'patient\tpatient\tNN\tI-NP\tO' +p87455 +aS'again\tagain\tRB\tB-ADVP\tO' +p87456 +aS'appeared\tappear\tVBD\tB-VP\tO' +p87457 +aS'more\tmore\tRBR\tB-ADJP\tO' +p87458 +aS'comfortable\tcomfortable\tJJ\tI-ADJP\tO' +p87459 +aS'this\tthis\tDT\tB-NP\tO' +p87460 +aS'time\ttime\tNN\tI-NP\tO' +p87461 +aS'with\twith\tIN\tB-PP\tO' +p87462 +aS'50%\t50%\tCD\tB-NP\tO' +p87463 +aS'facemask\tfacemask\tNN\tI-NP\tO' +p87464 +aS'but\tbut\tCC\tO\tO' +p87465 +aS'then\tthen\tRB\tB-ADVP\tO' +p87466 +aS'required\trequire\tVBD\tB-VP\tO' +p87467 +aS'more\tmore\tJJR\tB-NP\tO' +p87468 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p87469 +aS',\t,\t,\tO\tO' +p87470 +aS'dropped\tdrop\tVBD\tB-VP\tO' +p87471 +aS'his\this\tPRP$\tB-NP\tO' +p87472 +aS'O2\tO2\tNN\tI-NP\tO' +p87473 +aS'saturations\tsaturation\tNNS\tI-NP\tO' +p87474 +aS',\t,\t,\tO\tO' +p87475 +aS'and\tand\tCC\tO\tO' +p87476 +aS'was\tbe\tVBD\tB-VP\tO' +p87477 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p87478 +aS'on\ton\tIN\tB-PP\tO' +p87479 +aS'02/11/91\t02/11/91\tCD\tB-NP\tO' +p87480 +aS'.\t.\t.\tO\tO' +p87481 +asS'This had to be performed by IR because the pocket was too deep to access from the bedside .' +p87482 +(lp87483 +S'This\tThis\tDT\tB-NP\tO' +p87484 +aS'had\thave\tVBD\tB-VP\tO' +p87485 +aS'to\tto\tTO\tI-VP\tO' +p87486 +aS'be\tbe\tVB\tI-VP\tO' +p87487 +aS'performed\tperform\tVBN\tI-VP\tO' +p87488 +aS'by\tby\tIN\tB-PP\tO' +p87489 +aS'IR\tIR\tNN\tB-NP\tB-protein' +p87490 +aS'because\tbecause\tIN\tB-SBAR\tO' +p87491 +aS'the\tthe\tDT\tB-NP\tO' +p87492 +aS'pocket\tpocket\tNN\tI-NP\tO' +p87493 +aS'was\tbe\tVBD\tB-VP\tO' +p87494 +aS'too\ttoo\tRB\tB-ADJP\tO' +p87495 +aS'deep\tdeep\tJJ\tI-ADJP\tO' +p87496 +aS'to\tto\tTO\tB-VP\tO' +p87497 +aS'access\taccess\tVB\tI-VP\tO' +p87498 +aS'from\tfrom\tIN\tB-PP\tO' +p87499 +aS'the\tthe\tDT\tB-NP\tO' +p87500 +aS'bedside\tbedside\tNN\tI-NP\tO' +p87501 +aS'.\t.\t.\tO\tO' +p87502 +asS'She denied having any weakness , numbness , or pain .' +p87503 +(lp87504 +S'She\tShe\tPRP\tB-NP\tO' +p87505 +aS'denied\tdeny\tVBD\tB-VP\tO' +p87506 +aS'having\thave\tVBG\tI-VP\tO' +p87507 +aS'any\tany\tDT\tB-NP\tO' +p87508 +aS'weakness\tweakness\tNN\tI-NP\tO' +p87509 +aS',\t,\t,\tO\tO' +p87510 +aS'numbness\tnumbness\tNN\tB-NP\tO' +p87511 +aS',\t,\t,\tO\tO' +p87512 +aS'or\tor\tCC\tO\tO' +p87513 +aS'pain\tpain\tNN\tB-NP\tO' +p87514 +aS'.\t.\t.\tO\tO' +p87515 +asS'Then during the Intensive Care Unit stay , the CVP remained between 7 to 8 after volume resuscitation .' +p87516 +(lp87517 +S'Then\tThen\tRB\tB-ADVP\tO' +p87518 +aS'during\tduring\tIN\tB-PP\tO' +p87519 +aS'the\tthe\tDT\tB-NP\tO' +p87520 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p87521 +aS'Care\tCare\tNNP\tI-NP\tO' +p87522 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p87523 +aS'stay\tstay\tNN\tI-NP\tO' +p87524 +aS',\t,\t,\tO\tO' +p87525 +aS'the\tthe\tDT\tB-NP\tO' +p87526 +aS'CVP\tCVP\tNN\tI-NP\tB-protein' +p87527 +aS'remained\tremain\tVBD\tB-VP\tO' +p87528 +aS'between\tbetween\tIN\tB-PP\tO' +p87529 +aS'7\t7\tCD\tB-NP\tO' +p87530 +aS'to\tto\tTO\tB-PP\tO' +p87531 +aS'8\t8\tCD\tB-NP\tO' +p87532 +aS'after\tafter\tIN\tB-SBAR\tO' +p87533 +aS'volume\tvolume\tNN\tB-NP\tO' +p87534 +aS'resuscitation\tresuscitation\tNN\tI-NP\tO' +p87535 +aS'.\t.\t.\tO\tO' +p87536 +asS'3. Lymphedema .' +p87537 +(lp87538 +S'3.\t3.\tLS\tB-LST\tO' +p87539 +aS'Lymphedema\tLymphedema\tNNP\tB-NP\tO' +p87540 +aS'.\t.\t.\tO\tO' +p87541 +asS'Neurontin , Keppra , Lamictal , decadron , multivitamin , Murray , Calcium' +p87542 +(lp87543 +S'Neurontin\tNeurontin\tNNP\tB-NP\tO' +p87544 +aS',\t,\t,\tO\tO' +p87545 +aS'Keppra\tKeppra\tNNP\tB-NP\tO' +p87546 +aS',\t,\t,\tO\tO' +p87547 +aS'Lamictal\tLamictal\tNNP\tB-NP\tO' +p87548 +aS',\t,\t,\tO\tO' +p87549 +aS'decadron\tdecadron\tNN\tB-NP\tO' +p87550 +aS',\t,\t,\tO\tO' +p87551 +aS'multivitamin\tmultivitamin\tNN\tB-NP\tO' +p87552 +aS',\t,\t,\tO\tO' +p87553 +aS'Murray\tMurray\tNNP\tB-NP\tO' +p87554 +aS',\t,\t,\tO\tO' +p87555 +aS'Calcium\tCalcium\tNNP\tB-NP\tO' +p87556 +asS'The patient presented with a chief complaint of RLQ PAIN .' +p87557 +(lp87558 +S'The\tThe\tDT\tB-NP\tO' +p87559 +aS'patient\tpatient\tNN\tI-NP\tO' +p87560 +aS'presented\tpresent\tVBD\tB-VP\tO' +p87561 +aS'with\twith\tIN\tB-PP\tO' +p87562 +aS'a\ta\tDT\tB-NP\tO' +p87563 +aS'chief\tchief\tJJ\tI-NP\tO' +p87564 +aS'complaint\tcomplaint\tNN\tI-NP\tO' +p87565 +aS'of\tof\tIN\tB-PP\tO' +p87566 +aS'RLQ\tRLQ\tNN\tB-NP\tB-protein' +p87567 +aS'PAIN\tPAIN\tNN\tI-NP\tI-protein' +p87568 +aS'.\t.\t.\tO\tO' +p87569 +asS'Sensation is intact bilaterally .' +p87570 +(lp87571 +S'Sensation\tSensation\tNN\tB-NP\tO' +p87572 +aS'is\tbe\tVBZ\tB-VP\tO' +p87573 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p87574 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p87575 +aS'.\t.\t.\tO\tO' +p87576 +asS'It was thought to be induced by frequent flying to California .' +p87577 +(lp87578 +S'It\tIt\tPRP\tB-NP\tO' +p87579 +aS'was\tbe\tVBD\tB-VP\tO' +p87580 +aS'thought\tthink\tVBN\tI-VP\tO' +p87581 +aS'to\tto\tTO\tI-VP\tO' +p87582 +aS'be\tbe\tVB\tI-VP\tO' +p87583 +aS'induced\tinduce\tVBN\tI-VP\tO' +p87584 +aS'by\tby\tIN\tB-PP\tO' +p87585 +aS'frequent\tfrequent\tJJ\tB-NP\tO' +p87586 +aS'flying\tfly\tVBG\tB-VP\tO' +p87587 +aS'to\tto\tTO\tB-PP\tO' +p87588 +aS'California\tCalifornia\tNNP\tB-NP\tO' +p87589 +aS'.\t.\t.\tO\tO' +p87590 +asS'Call 449-059-6882 if you have any questions .' +p87591 +(lp87592 +S'Call\tCall\tVB\tB-NP\tO' +p87593 +aS'449-059-6882\t449-059-6882\tCD\tB-NP\tO' +p87594 +aS'if\tif\tIN\tB-SBAR\tO' +p87595 +aS'you\tyou\tPRP\tB-NP\tO' +p87596 +aS'have\thave\tVBP\tB-VP\tO' +p87597 +aS'any\tany\tDT\tB-NP\tO' +p87598 +aS'questions\tquestion\tNNS\tI-NP\tO' +p87599 +aS'.\t.\t.\tO\tO' +p87600 +asS'Head and neck examination was benign .' +p87601 +(lp87602 +S'Head\tHead\tNN\tB-NP\tO' +p87603 +aS'and\tand\tCC\tI-NP\tO' +p87604 +aS'neck\tneck\tNN\tI-NP\tO' +p87605 +aS'examination\texamination\tNN\tI-NP\tO' +p87606 +aS'was\tbe\tVBD\tB-VP\tO' +p87607 +aS'benign\tbenign\tJJ\tB-ADJP\tO' +p87608 +aS'.\t.\t.\tO\tO' +p87609 +asS'She was discharged on 11/01/2004 at 12:00 pm in good condition .' +p87610 +(lp87611 +S'She\tShe\tPRP\tB-NP\tO' +p87612 +aS'was\tbe\tVBD\tB-VP\tO' +p87613 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p87614 +aS'on\ton\tIN\tB-PP\tO' +p87615 +aS'11/01/2004\t11/01/2004\tCD\tB-NP\tO' +p87616 +aS'at\tat\tIN\tB-PP\tO' +p87617 +aS'12:00\t12:00\tCD\tB-NP\tO' +p87618 +aS'pm\tpm\tNN\tI-NP\tO' +p87619 +aS'in\tin\tIN\tB-PP\tO' +p87620 +aS'good\tgood\tJJ\tB-NP\tO' +p87621 +aS'condition\tcondition\tNN\tI-NP\tO' +p87622 +aS'.\t.\t.\tO\tO' +p87623 +asS'SGOT of 80 .' +p87624 +(lp87625 +S'SGOT\tSGOT\tNN\tB-NP\tO' +p87626 +aS'of\tof\tIN\tB-PP\tO' +p87627 +aS'80\t80\tCD\tB-NP\tO' +p87628 +aS'.\t.\t.\tO\tO' +p87629 +asS'He is a former professor at Montana .' +p87630 +(lp87631 +S'He\tHe\tPRP\tB-NP\tB-DNA' +p87632 +aS'is\tbe\tVBZ\tB-VP\tO' +p87633 +aS'a\ta\tDT\tB-NP\tO' +p87634 +aS'former\tformer\tJJ\tI-NP\tO' +p87635 +aS'professor\tprofessor\tNN\tI-NP\tO' +p87636 +aS'at\tat\tIN\tB-PP\tO' +p87637 +aS'Montana\tMontana\tNNP\tB-NP\tO' +p87638 +aS'.\t.\t.\tO\tO' +p87639 +asS'There was no evidence of edema .' +p87640 +(lp87641 +S'There\tThere\tEX\tB-NP\tO' +p87642 +aS'was\tbe\tVBD\tB-VP\tO' +p87643 +aS'no\tno\tDT\tB-NP\tO' +p87644 +aS'evidence\tevidence\tNN\tI-NP\tO' +p87645 +aS'of\tof\tIN\tB-PP\tO' +p87646 +aS'edema\tedema\tNN\tB-NP\tO' +p87647 +aS'.\t.\t.\tO\tO' +p87648 +asS'This operation was performed for two months of increased rest pain .' +p87649 +(lp87650 +S'This\tThis\tDT\tB-NP\tO' +p87651 +aS'operation\toperation\tNN\tI-NP\tO' +p87652 +aS'was\tbe\tVBD\tB-VP\tO' +p87653 +aS'performed\tperform\tVBN\tI-VP\tO' +p87654 +aS'for\tfor\tIN\tB-PP\tO' +p87655 +aS'two\ttwo\tCD\tB-NP\tO' +p87656 +aS'months\tmonth\tNNS\tI-NP\tO' +p87657 +aS'of\tof\tIN\tB-PP\tO' +p87658 +aS'increased\tincrease\tVBN\tB-NP\tO' +p87659 +aS'rest\trest\tNN\tI-NP\tO' +p87660 +aS'pain\tpain\tNN\tI-NP\tO' +p87661 +aS'.\t.\t.\tO\tO' +p87662 +asS'1. Familial cavernous hemangiomas , status post a subacute pontine hemorrhage .' +p87663 +(lp87664 +S'1.\t1.\tLS\tB-NP\tO' +p87665 +aS'Familial\tFamilial\tJJ\tI-NP\tO' +p87666 +aS'cavernous\tcavernous\tJJ\tI-NP\tO' +p87667 +aS'hemangiomas\themangioma\tNNS\tI-NP\tO' +p87668 +aS',\t,\t,\tO\tO' +p87669 +aS'status\tstatus\tNN\tB-NP\tO' +p87670 +aS'post\tpost\tVBD\tB-VP\tO' +p87671 +aS'a\ta\tDT\tB-NP\tO' +p87672 +aS'subacute\tsubacute\tJJ\tI-NP\tO' +p87673 +aS'pontine\tpontine\tNN\tI-NP\tO' +p87674 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p87675 +aS'.\t.\t.\tO\tO' +p87676 +asS'absomen soft , tender to palpation over RUQ , but no guarding or rebound' +p87677 +(lp87678 +S'absomen\tabsoman\tNNS\tB-NP\tO' +p87679 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p87680 +aS',\t,\t,\tO\tO' +p87681 +aS'tender\ttender\tNN\tB-NP\tO' +p87682 +aS'to\tto\tTO\tB-PP\tO' +p87683 +aS'palpation\tpalpation\tNN\tB-NP\tO' +p87684 +aS'over\tover\tIN\tB-PP\tO' +p87685 +aS'RUQ\tRUQ\tNN\tB-NP\tB-protein' +p87686 +aS',\t,\t,\tO\tO' +p87687 +aS'but\tbut\tCC\tO\tO' +p87688 +aS'no\tno\tDT\tB-NP\tO' +p87689 +aS'guarding\tguarding\tNN\tI-NP\tO' +p87690 +aS'or\tor\tCC\tO\tO' +p87691 +aS'rebound\trebound\tVB\tB-VP\tO' +p87692 +asS'sodium 141 , potassium 3.5 , chloride 107 , bicarbonates 23.8 , BUN 23 , creatinine 1.1 , glucose 165 , PO2 377 , PCO2 32 , PH 7.50 , asomus 298 , toxic screen negative , white blood cell count 11.1 , hematocrit 39.6 , platelet count 137 , prothrombin time 25.2 , INR 4.3 , partial thromboplastin time 34.7 , urinalysis 1+ albumin, 0-5 high link caths , cervical spine negative , pelvis negative , lumbar spine ; negative , thoracic spine negative .' +p87693 +(lp87694 +S'sodium\tsodium\tNN\tB-NP\tO' +p87695 +aS'141\t141\tCD\tI-NP\tO' +p87696 +aS',\t,\t,\tO\tO' +p87697 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p87698 +aS'3.5\t3.5\tCD\tI-NP\tO' +p87699 +aS',\t,\t,\tO\tO' +p87700 +aS'chloride\tchloride\tNN\tB-NP\tO' +p87701 +aS'107\t107\tCD\tI-NP\tO' +p87702 +aS',\t,\t,\tO\tO' +p87703 +aS'bicarbonates\tbicarbonate\tVBZ\tB-VP\tO' +p87704 +aS'23.8\t23.8\tCD\tB-NP\tO' +p87705 +aS',\t,\t,\tO\tO' +p87706 +aS'BUN\tBUN\tNN\tB-NP\tB-DNA' +p87707 +aS'23\t23\tCD\tI-NP\tI-DNA' +p87708 +aS',\t,\t,\tO\tO' +p87709 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p87710 +aS'1.1\t1.1\tCD\tI-NP\tO' +p87711 +aS',\t,\t,\tO\tO' +p87712 +aS'glucose\tglucose\tNN\tB-NP\tO' +p87713 +aS'165\t165\tCD\tI-NP\tO' +p87714 +aS',\t,\t,\tO\tO' +p87715 +aS'PO2\tPO2\tNN\tB-NP\tO' +p87716 +aS'377\t377\tCD\tI-NP\tO' +p87717 +aS',\t,\t,\tO\tO' +p87718 +aS'PCO2\tPCO2\tNN\tB-NP\tB-DNA' +p87719 +aS'32\t32\tCD\tI-NP\tI-DNA' +p87720 +aS',\t,\t,\tO\tO' +p87721 +aS'PH\tPH\tNN\tB-NP\tO' +p87722 +aS'7.50\t7.50\tCD\tI-NP\tO' +p87723 +aS',\t,\t,\tO\tO' +p87724 +aS'asomus\tasomus\tNN\tB-NP\tO' +p87725 +aS'298\t298\tCD\tI-NP\tO' +p87726 +aS',\t,\t,\tO\tO' +p87727 +aS'toxic\ttoxic\tJJ\tB-NP\tO' +p87728 +aS'screen\tscreen\tNN\tI-NP\tO' +p87729 +aS'negative\tnegative\tJJ\tB-NP\tO' +p87730 +aS',\t,\t,\tI-NP\tO' +p87731 +aS'white\twhite\tJJ\tI-NP\tO' +p87732 +aS'blood\tblood\tNN\tI-NP\tO' +p87733 +aS'cell\tcell\tNN\tI-NP\tO' +p87734 +aS'count\tcount\tNN\tI-NP\tO' +p87735 +aS'11.1\t11.1\tNN\tI-NP\tO' +p87736 +aS',\t,\t,\tO\tO' +p87737 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p87738 +aS'39.6\t39.6\tCD\tI-NP\tI-protein' +p87739 +aS',\t,\t,\tO\tO' +p87740 +aS'platelet\tplatelet\tNN\tB-NP\tB-protein' +p87741 +aS'count\tcount\tNN\tI-NP\tI-protein' +p87742 +aS'137\t137\tCD\tI-NP\tI-protein' +p87743 +aS',\t,\t,\tO\tO' +p87744 +aS'prothrombin\tprothrombin\tNN\tB-NP\tB-protein' +p87745 +aS'time\ttime\tNN\tI-NP\tI-protein' +p87746 +aS'25.2\t25.2\tCD\tB-NP\tI-protein' +p87747 +aS',\t,\t,\tO\tO' +p87748 +aS'INR\tINR\tNN\tB-NP\tB-protein' +p87749 +aS'4.3\t4.3\tCD\tI-NP\tI-protein' +p87750 +aS',\t,\t,\tO\tO' +p87751 +aS'partial\tpartial\tJJ\tB-NP\tO' +p87752 +aS'thromboplastin\tthromboplastin\tNN\tI-NP\tO' +p87753 +aS'time\ttime\tNN\tI-NP\tO' +p87754 +aS'34.7\t34.7\tCD\tB-NP\tO' +p87755 +aS',\t,\t,\tO\tO' +p87756 +aS'urinalysis\turinalysis\tNN\tB-NP\tO' +p87757 +aS'1+\t1+\tCD\tI-NP\tO' +p87758 +aS'albumin,\talbumin,\tIN\tB-NP\tO' +p87759 +aS'0-5\t0-5\tCD\tI-NP\tO' +p87760 +aS'high\thigh\tJJ\tI-NP\tO' +p87761 +aS'link\tlink\tNN\tI-NP\tO' +p87762 +aS'caths\tcath\tNNS\tI-NP\tO' +p87763 +aS',\t,\t,\tO\tO' +p87764 +aS'cervical\tcervical\tJJ\tB-NP\tO' +p87765 +aS'spine\tspine\tNN\tI-NP\tO' +p87766 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p87767 +aS',\t,\t,\tO\tO' +p87768 +aS'pelvis\tpelvis\tNN\tB-NP\tO' +p87769 +aS'negative\tnegative\tJJ\tI-NP\tO' +p87770 +aS',\t,\t,\tI-NP\tO' +p87771 +aS'lumbar\tlumbar\tJJ\tI-NP\tO' +p87772 +aS'spine\tspine\tNN\tI-NP\tO' +p87773 +aS';\t;\t:\tO\tO' +p87774 +aS'negative\tnegative\tJJ\tB-NP\tO' +p87775 +aS',\t,\t,\tI-NP\tO' +p87776 +aS'thoracic\tthoracic\tJJ\tI-NP\tO' +p87777 +aS'spine\tspine\tNN\tI-NP\tO' +p87778 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p87779 +aS'.\t.\t.\tO\tO' +p87780 +asS'She responded well to fluid bolusing .' +p87781 +(lp87782 +S'She\tShe\tPRP\tB-NP\tO' +p87783 +aS'responded\trespond\tVBD\tB-VP\tO' +p87784 +aS'well\twell\tRB\tB-ADVP\tO' +p87785 +aS'to\tto\tTO\tB-PP\tO' +p87786 +aS'fluid\tfluid\tNN\tB-NP\tO' +p87787 +aS'bolusing\tbolusing\tNN\tI-NP\tO' +p87788 +aS'.\t.\t.\tO\tO' +p87789 +asS'His pleural chest tubes were removed .' +p87790 +(lp87791 +S'His\tHis\tPRP$\tB-NP\tO' +p87792 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p87793 +aS'chest\tchest\tNN\tI-NP\tO' +p87794 +aS'tubes\ttube\tNNS\tI-NP\tO' +p87795 +aS'were\tbe\tVBD\tB-VP\tO' +p87796 +aS'removed\tremove\tVBN\tI-VP\tO' +p87797 +aS'.\t.\t.\tO\tO' +p87798 +asS'Lives in Danvers with wife , denies Timothy or alcohol .' +p87799 +(lp87800 +S'Lives\tLife\tNNS\tB-NP\tO' +p87801 +aS'in\tin\tIN\tB-PP\tO' +p87802 +aS'Danvers\tDanver\tNNS\tB-NP\tO' +p87803 +aS'with\twith\tIN\tB-PP\tO' +p87804 +aS'wife\twife\tNN\tB-NP\tO' +p87805 +aS',\t,\t,\tO\tO' +p87806 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p87807 +aS'Timothy\tTimothy\tNNP\tB-NP\tO' +p87808 +aS'or\tor\tCC\tO\tO' +p87809 +aS'alcohol\talcohol\tNN\tB-NP\tO' +p87810 +aS'.\t.\t.\tO\tO' +p87811 +asS'Intubated for airway protection ( ABG 7.39/26.5/73.6 ) and placed on levophed .' +p87812 +(lp87813 +S'Intubated\tIntubate\tVBN\tB-VP\tO' +p87814 +aS'for\tfor\tIN\tB-PP\tO' +p87815 +aS'airway\tairway\tNN\tB-NP\tO' +p87816 +aS'protection\tprotection\tNN\tI-NP\tO' +p87817 +aS'(\t(\t(\tO\tO' +p87818 +aS'ABG\tABG\tNN\tB-NP\tO' +p87819 +aS'7.39/26.5/73.6\t7.39/26.5/73.6\tCD\tI-NP\tO' +p87820 +aS')\t)\t)\tO\tO' +p87821 +aS'and\tand\tCC\tO\tO' +p87822 +aS'placed\tplace\tVBN\tB-VP\tO' +p87823 +aS'on\ton\tIN\tB-PP\tO' +p87824 +aS'levophed\tlevophe\tVBN\tB-VP\tO' +p87825 +aS'.\t.\t.\tO\tO' +p87826 +asS'No history of smoking and ethanol use .' +p87827 +(lp87828 +S'No\tNo\tDT\tB-NP\tO' +p87829 +aS'history\thistory\tNN\tI-NP\tO' +p87830 +aS'of\tof\tIN\tB-PP\tO' +p87831 +aS'smoking\tsmoking\tNN\tB-NP\tO' +p87832 +aS'and\tand\tCC\tI-NP\tO' +p87833 +aS'ethanol\tethanol\tNN\tI-NP\tO' +p87834 +aS'use\tuse\tNN\tI-NP\tO' +p87835 +aS'.\t.\t.\tO\tO' +p87836 +asS'Infant has not had any issues with sepsis this hospitalization .' +p87837 +(lp87838 +S'Infant\tInfant\tNNP\tB-NP\tO' +p87839 +aS'has\thave\tVBZ\tB-VP\tO' +p87840 +aS'not\tnot\tRB\tI-VP\tO' +p87841 +aS'had\thave\tVBN\tI-VP\tO' +p87842 +aS'any\tany\tDT\tB-NP\tO' +p87843 +aS'issues\tissue\tNNS\tI-NP\tO' +p87844 +aS'with\twith\tIN\tB-PP\tO' +p87845 +aS'sepsis\tsepsis\tNN\tB-NP\tO' +p87846 +aS'this\tthis\tDT\tB-NP\tO' +p87847 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p87848 +aS'.\t.\t.\tO\tO' +p87849 +asS'Pt is currently satting 90s on 1 L NC while sitting in a chair but needs more O2 when supine .' +p87850 +(lp87851 +S'Pt\tPt\tNN\tB-NP\tO' +p87852 +aS'is\tbe\tVBZ\tB-VP\tO' +p87853 +aS'currently\tcurrently\tRB\tI-VP\tO' +p87854 +aS'satting\tsatte\tVBG\tI-VP\tO' +p87855 +aS'90s\t90\tNNS\tB-NP\tO' +p87856 +aS'on\ton\tIN\tB-PP\tO' +p87857 +aS'1\t1\tCD\tB-NP\tO' +p87858 +aS'L\tL\tNN\tI-NP\tO' +p87859 +aS'NC\tNC\tNN\tI-NP\tO' +p87860 +aS'while\twhile\tIN\tB-SBAR\tO' +p87861 +aS'sitting\tsit\tVBG\tB-VP\tO' +p87862 +aS'in\tin\tIN\tB-PP\tO' +p87863 +aS'a\ta\tDT\tB-NP\tO' +p87864 +aS'chair\tchair\tNN\tI-NP\tO' +p87865 +aS'but\tbut\tCC\tO\tO' +p87866 +aS'needs\tneed\tVBZ\tB-VP\tO' +p87867 +aS'more\tmore\tJJR\tB-NP\tO' +p87868 +aS'O2\tO2\tNN\tI-NP\tB-protein' +p87869 +aS'when\twhen\tWRB\tB-ADVP\tO' +p87870 +aS'supine\tsupine\tNN\tB-NP\tO' +p87871 +aS'.\t.\t.\tO\tO' +p87872 +asS'Upon extrication from the vehicle , he was intubated and transported to the Emergency Room .' +p87873 +(lp87874 +S'Upon\tUpon\tIN\tB-PP\tO' +p87875 +aS'extrication\textrication\tNN\tB-NP\tO' +p87876 +aS'from\tfrom\tIN\tB-PP\tO' +p87877 +aS'the\tthe\tDT\tB-NP\tO' +p87878 +aS'vehicle\tvehicle\tNN\tI-NP\tO' +p87879 +aS',\t,\t,\tO\tO' +p87880 +aS'he\the\tPRP\tB-NP\tO' +p87881 +aS'was\tbe\tVBD\tB-VP\tO' +p87882 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p87883 +aS'and\tand\tCC\tO\tO' +p87884 +aS'transported\ttransport\tVBN\tB-VP\tO' +p87885 +aS'to\tto\tTO\tB-PP\tO' +p87886 +aS'the\tthe\tDT\tB-NP\tO' +p87887 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p87888 +aS'Room\tRoom\tNNP\tI-NP\tO' +p87889 +aS'.\t.\t.\tO\tO' +p87890 +asS'This report was created by Meedner , Shaza 12/07/2004 10:59 PM' +p87891 +(lp87892 +S'This\tThis\tDT\tB-NP\tO' +p87893 +aS'report\treport\tNN\tI-NP\tO' +p87894 +aS'was\tbe\tVBD\tB-VP\tO' +p87895 +aS'created\tcreate\tVBN\tI-VP\tO' +p87896 +aS'by\tby\tIN\tB-PP\tO' +p87897 +aS'Meedner\tMeedner\tNNP\tB-NP\tO' +p87898 +aS',\t,\t,\tO\tO' +p87899 +aS'Shaza\tShaza\tNNP\tB-NP\tO' +p87900 +aS'12/07/2004\t12/07/2004\tCD\tB-NP\tO' +p87901 +aS'10:59\t10:59\tCD\tI-NP\tO' +p87902 +aS'PM\tPM\tNN\tI-NP\tO' +p87903 +asS'Hypercarbia would result and increase in cerebral perfusion , paralysis was initiated to decrease genesis of carbon dioxide secreted during shivering .' +p87904 +(lp87905 +S'Hypercarbia\tHypercarbia\tNNP\tB-NP\tO' +p87906 +aS'would\twould\tMD\tB-VP\tO' +p87907 +aS'result\tresult\tVB\tI-VP\tO' +p87908 +aS'and\tand\tCC\tO\tO' +p87909 +aS'increase\tincrease\tVB\tB-VP\tO' +p87910 +aS'in\tin\tIN\tB-PP\tO' +p87911 +aS'cerebral\tcerebral\tJJ\tB-NP\tO' +p87912 +aS'perfusion\tperfusion\tNN\tI-NP\tO' +p87913 +aS',\t,\t,\tO\tO' +p87914 +aS'paralysis\tparalysis\tNN\tB-NP\tO' +p87915 +aS'was\tbe\tVBD\tB-VP\tO' +p87916 +aS'initiated\tinitiate\tVBN\tI-VP\tO' +p87917 +aS'to\tto\tTO\tI-VP\tO' +p87918 +aS'decrease\tdecrease\tVB\tI-VP\tO' +p87919 +aS'genesis\tgenesis\tNN\tB-NP\tO' +p87920 +aS'of\tof\tIN\tB-PP\tO' +p87921 +aS'carbon\tcarbon\tNN\tB-NP\tO' +p87922 +aS'dioxide\tdioxide\tNN\tI-NP\tO' +p87923 +aS'secreted\tsecrete\tVBN\tB-VP\tO' +p87924 +aS'during\tduring\tIN\tB-PP\tO' +p87925 +aS'shivering\tshivering\tNN\tB-NP\tO' +p87926 +aS'.\t.\t.\tO\tO' +p87927 +asS'She was thus started on a Protocol of high dose chemotherapy with GCSF and peripheral stem cell support .' +p87928 +(lp87929 +S'She\tShe\tPRP\tB-NP\tO' +p87930 +aS'was\tbe\tVBD\tB-VP\tO' +p87931 +aS'thus\tthus\tRB\tI-VP\tO' +p87932 +aS'started\tstart\tVBN\tI-VP\tO' +p87933 +aS'on\ton\tIN\tB-PP\tO' +p87934 +aS'a\ta\tDT\tB-NP\tO' +p87935 +aS'Protocol\tProtocol\tNN\tI-NP\tO' +p87936 +aS'of\tof\tIN\tB-PP\tO' +p87937 +aS'high\thigh\tJJ\tB-NP\tO' +p87938 +aS'dose\tdose\tNN\tI-NP\tO' +p87939 +aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' +p87940 +aS'with\twith\tIN\tB-PP\tO' +p87941 +aS'GCSF\tGCSF\tNN\tB-NP\tB-protein' +p87942 +aS'and\tand\tCC\tI-NP\tO' +p87943 +aS'peripheral\tperipheral\tJJ\tI-NP\tO' +p87944 +aS'stem\tstem\tNN\tI-NP\tO' +p87945 +aS'cell\tcell\tNN\tI-NP\tO' +p87946 +aS'support\tsupport\tNN\tI-NP\tO' +p87947 +aS'.\t.\t.\tO\tO' +p87948 +asS'She was also given morphine 2 mg x3 , 4 mg IV x2 , dolasetron 12.5 mg x2 and ativan 1 mg IV x1 .' +p87949 +(lp87950 +S'She\tShe\tPRP\tB-NP\tO' +p87951 +aS'was\tbe\tVBD\tB-VP\tO' +p87952 +aS'also\talso\tRB\tI-VP\tO' +p87953 +aS'given\tgive\tVBN\tI-VP\tO' +p87954 +aS'morphine\tmorphine\tNN\tB-NP\tO' +p87955 +aS'2\t2\tCD\tI-NP\tO' +p87956 +aS'mg\tmg\tNN\tI-NP\tO' +p87957 +aS'x3\tx3\tCD\tB-NP\tO' +p87958 +aS',\t,\t,\tI-NP\tO' +p87959 +aS'4\t4\tCD\tI-NP\tO' +p87960 +aS'mg\tmg\tNN\tI-NP\tO' +p87961 +aS'IV\tIV\tCD\tB-NP\tO' +p87962 +aS'x2\tx2\tNN\tI-NP\tO' +p87963 +aS',\t,\t,\tO\tO' +p87964 +aS'dolasetron\tdolasetron\tNN\tB-NP\tO' +p87965 +aS'12.5\t12.5\tCD\tI-NP\tO' +p87966 +aS'mg\tmg\tNN\tI-NP\tO' +p87967 +aS'x2\tx2\tNN\tI-NP\tO' +p87968 +aS'and\tand\tCC\tO\tO' +p87969 +aS'ativan\tativan\tNN\tB-NP\tO' +p87970 +aS'1\t1\tCD\tI-NP\tO' +p87971 +aS'mg\tmg\tNN\tI-NP\tO' +p87972 +aS'IV\tIV\tCD\tB-NP\tO' +p87973 +aS'x1\tx1\tNN\tI-NP\tO' +p87974 +aS'.\t.\t.\tO\tO' +p87975 +asS'It was found that he had elevated troponins and likely an ischemic event on the 07-02 .' +p87976 +(lp87977 +S'It\tIt\tPRP\tB-NP\tO' +p87978 +aS'was\tbe\tVBD\tB-VP\tO' +p87979 +aS'found\tfind\tVBN\tI-VP\tO' +p87980 +aS'that\tthat\tIN\tB-SBAR\tO' +p87981 +aS'he\the\tPRP\tB-NP\tO' +p87982 +aS'had\thave\tVBD\tB-VP\tO' +p87983 +aS'elevated\televate\tVBN\tI-VP\tO' +p87984 +aS'troponins\ttroponin\tNNS\tB-NP\tO' +p87985 +aS'and\tand\tCC\tO\tO' +p87986 +aS'likely\tlikely\tRB\tB-NP\tO' +p87987 +aS'an\tan\tDT\tI-NP\tO' +p87988 +aS'ischemic\tischemic\tJJ\tI-NP\tO' +p87989 +aS'event\tevent\tNN\tI-NP\tO' +p87990 +aS'on\ton\tIN\tB-PP\tO' +p87991 +aS'the\tthe\tDT\tB-NP\tO' +p87992 +aS'07-02\t07-02\tCD\tI-NP\tO' +p87993 +aS'.\t.\t.\tO\tO' +p87994 +asS'Denied suicidal ideation .' +p87995 +(lp87996 +S'Denied\tDeny\tVBN\tB-NP\tO' +p87997 +aS'suicidal\tsuicidal\tJJ\tI-NP\tO' +p87998 +aS'ideation\tideation\tNN\tI-NP\tO' +p87999 +aS'.\t.\t.\tO\tO' +p88000 +asS'The patient had an echo on 2017-09-04 with the results above in detail .' +p88001 +(lp88002 +S'The\tThe\tDT\tB-NP\tO' +p88003 +aS'patient\tpatient\tNN\tI-NP\tO' +p88004 +aS'had\thave\tVBD\tB-VP\tO' +p88005 +aS'an\tan\tDT\tB-NP\tO' +p88006 +aS'echo\techo\tNN\tI-NP\tO' +p88007 +aS'on\ton\tIN\tB-PP\tO' +p88008 +aS'2017-09-04\t2017-09-04\tCD\tB-NP\tO' +p88009 +aS'with\twith\tIN\tB-PP\tO' +p88010 +aS'the\tthe\tDT\tB-NP\tO' +p88011 +aS'results\tresult\tNNS\tI-NP\tO' +p88012 +aS'above\tabove\tIN\tB-PP\tO' +p88013 +aS'in\tin\tIN\tB-PP\tO' +p88014 +aS'detail\tdetail\tNN\tB-NP\tO' +p88015 +aS'.\t.\t.\tO\tO' +p88016 +asS'On 9/7/93 at 4:00 a.m. , albumin bolus 5% 10 cc's per kilo was given , a total of 120 cc's , electrolytes were sodium 155 , potassium 3.1 .' +p88017 +(lp88018 +S'On\tOn\tIN\tB-PP\tO' +p88019 +aS'9/7/93\t9/7/93\tCD\tB-NP\tO' +p88020 +aS'at\tat\tIN\tB-PP\tO' +p88021 +aS'4:00\t4:00\tCD\tB-NP\tO' +p88022 +aS'a.m.\ta.m.\tNN\tI-NP\tO' +p88023 +aS',\t,\t,\tO\tO' +p88024 +aS'albumin\talbumin\tNN\tB-NP\tB-protein' +p88025 +aS'bolus\tbolus\tNN\tI-NP\tI-protein' +p88026 +aS'5%\t5%\tNN\tI-NP\tI-protein' +p88027 +aS'10\t10\tCD\tB-NP\tI-protein' +p88028 +aS'cc's\tcc'\tNNS\tI-NP\tI-protein' +p88029 +aS'per\tper\tIN\tB-PP\tI-protein' +p88030 +aS'kilo\tkilo\tNN\tB-NP\tI-protein' +p88031 +aS'was\tbe\tVBD\tB-VP\tO' +p88032 +aS'given\tgive\tVBN\tI-VP\tO' +p88033 +aS',\t,\t,\tO\tO' +p88034 +aS'a\ta\tDT\tB-NP\tO' +p88035 +aS'total\ttotal\tNN\tI-NP\tO' +p88036 +aS'of\tof\tIN\tB-PP\tO' +p88037 +aS'120\t120\tCD\tB-NP\tO' +p88038 +aS'cc's\tcc'\tNNS\tI-NP\tO' +p88039 +aS',\t,\t,\tO\tO' +p88040 +aS'electrolytes\telectrolyte\tNNS\tB-NP\tO' +p88041 +aS'were\tbe\tVBD\tB-VP\tO' +p88042 +aS'sodium\tsodium\tNN\tB-NP\tO' +p88043 +aS'155\t155\tCD\tI-NP\tO' +p88044 +aS',\t,\t,\tO\tO' +p88045 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p88046 +aS'3.1\t3.1\tCD\tI-NP\tO' +p88047 +aS'.\t.\t.\tO\tO' +p88048 +asS'In early November he started dialysis after a PermCath was placed .' +p88049 +(lp88050 +S'In\tIn\tIN\tB-PP\tO' +p88051 +aS'early\tearly\tJJ\tB-NP\tO' +p88052 +aS'November\tNovember\tNNP\tI-NP\tO' +p88053 +aS'he\the\tPRP\tB-NP\tO' +p88054 +aS'started\tstart\tVBD\tB-VP\tO' +p88055 +aS'dialysis\tdialysis\tNN\tB-NP\tO' +p88056 +aS'after\tafter\tIN\tB-PP\tO' +p88057 +aS'a\ta\tDT\tB-NP\tO' +p88058 +aS'PermCath\tPermCath\tNN\tI-NP\tO' +p88059 +aS'was\tbe\tVBD\tB-VP\tO' +p88060 +aS'placed\tplace\tVBN\tI-VP\tO' +p88061 +aS'.\t.\t.\tO\tO' +p88062 +asS'14. Metronidazole 500 mg Tablet Sig : One ( 1 ) Tablet PO TID ( 3 times a day ) for 6 days : Last day 2017-07-25 .' +p88063 +(lp88064 +S'14.\t14.\tLS\tB-NP\tO' +p88065 +aS'Metronidazole\tMetronidazole\tNN\tI-NP\tO' +p88066 +aS'500\t500\tCD\tI-NP\tO' +p88067 +aS'mg\tmg\tNN\tI-NP\tO' +p88068 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p88069 +aS'Sig\tSig\tNNP\tI-NP\tO' +p88070 +aS':\t:\t:\tO\tO' +p88071 +aS'One\tOne\tCD\tB-NP\tO' +p88072 +aS'(\t(\t(\tO\tO' +p88073 +aS'1\t1\tCD\tB-NP\tO' +p88074 +aS')\t)\t)\tO\tO' +p88075 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p88076 +aS'PO\tPO\tNN\tI-NP\tO' +p88077 +aS'TID\tTID\tNN\tI-NP\tO' +p88078 +aS'(\t(\t(\tO\tO' +p88079 +aS'3\t3\tCD\tB-NP\tO' +p88080 +aS'times\ttime\tNNS\tI-NP\tO' +p88081 +aS'a\ta\tDT\tB-NP\tO' +p88082 +aS'day\tday\tNN\tI-NP\tO' +p88083 +aS')\t)\t)\tO\tO' +p88084 +aS'for\tfor\tIN\tB-PP\tO' +p88085 +aS'6\t6\tCD\tB-NP\tO' +p88086 +aS'days\tday\tNNS\tI-NP\tO' +p88087 +aS':\t:\t:\tO\tO' +p88088 +aS'Last\tLast\tJJ\tB-NP\tO' +p88089 +aS'day\tday\tNN\tI-NP\tO' +p88090 +aS'2017-07-25\t2017-07-25\tCD\tI-NP\tO' +p88091 +aS'.\t.\t.\tO\tO' +p88092 +asS'Sodium 139 , K 4.8 , chloride 109 , CO2 31 , BUN 33 , creatinine 2.2 , blood sugar 164 .' +p88093 +(lp88094 +S'Sodium\tSodium\tNN\tB-NP\tB-protein' +p88095 +aS'139\t139\tCD\tI-NP\tI-protein' +p88096 +aS',\t,\t,\tO\tO' +p88097 +aS'K\tK\tNN\tB-NP\tB-cell_line' +p88098 +aS'4.8\t4.8\tNN\tI-NP\tI-cell_line' +p88099 +aS',\t,\t,\tO\tO' +p88100 +aS'chloride\tchloride\tNN\tB-NP\tO' +p88101 +aS'109\t109\tCD\tI-NP\tO' +p88102 +aS',\t,\t,\tO\tO' +p88103 +aS'CO2\tCO2\tNN\tB-NP\tO' +p88104 +aS'31\t31\tCD\tI-NP\tO' +p88105 +aS',\t,\t,\tO\tO' +p88106 +aS'BUN\tBUN\tNN\tB-NP\tB-DNA' +p88107 +aS'33\t33\tCD\tI-NP\tI-DNA' +p88108 +aS',\t,\t,\tO\tO' +p88109 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p88110 +aS'2.2\t2.2\tCD\tI-NP\tO' +p88111 +aS',\t,\t,\tO\tO' +p88112 +aS'blood\tblood\tNN\tB-NP\tO' +p88113 +aS'sugar\tsugar\tNN\tI-NP\tO' +p88114 +aS'164\t164\tCD\tI-NP\tO' +p88115 +aS'.\t.\t.\tO\tO' +p88116 +asS'PT was consulted .' +p88117 +(lp88118 +S'PT\tPT\tNN\tB-NP\tO' +p88119 +aS'was\tbe\tVBD\tB-VP\tO' +p88120 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p88121 +aS'.\t.\t.\tO\tO' +p88122 +asS'2. CHOLECYSTITIS .' +p88123 +(lp88124 +S'2.\t2.\tLS\tB-NP\tO' +p88125 +aS'CHOLECYSTITIS\tCHOLECYSTITIS\tNN\tI-NP\tO' +p88126 +aS'.\t.\t.\tO\tO' +p88127 +asS'He was alert and oriented times 3 and with slightly pressured speech .' +p88128 +(lp88129 +S'He\tHe\tPRP\tB-NP\tO' +p88130 +aS'was\tbe\tVBD\tB-VP\tO' +p88131 +aS'alert\talert\tJJ\tB-ADJP\tO' +p88132 +aS'and\tand\tCC\tO\tO' +p88133 +aS'oriented\torient\tVBN\tB-VP\tO' +p88134 +aS'times\ttime\tNNS\tB-NP\tO' +p88135 +aS'3\t3\tCD\tI-NP\tO' +p88136 +aS'and\tand\tCC\tO\tO' +p88137 +aS'with\twith\tIN\tB-PP\tO' +p88138 +aS'slightly\tslightly\tRB\tB-NP\tO' +p88139 +aS'pressured\tpressured\tJJ\tI-NP\tO' +p88140 +aS'speech\tspeech\tNN\tI-NP\tO' +p88141 +aS'.\t.\t.\tO\tO' +p88142 +asS'Continue inhalers as prescribed .' +p88143 +(lp88144 +S'Continue\tContinue\tJJ\tB-NP\tO' +p88145 +aS'inhalers\tinhaler\tNNS\tI-NP\tO' +p88146 +aS'as\tas\tIN\tB-SBAR\tO' +p88147 +aS'prescribed\tprescribe\tVBN\tB-VP\tO' +p88148 +aS'.\t.\t.\tO\tO' +p88149 +asS'The pain is often severely and increasing at night especially when he is lying on the right side .' +p88150 +(lp88151 +S'The\tThe\tDT\tB-NP\tO' +p88152 +aS'pain\tpain\tNN\tI-NP\tO' +p88153 +aS'is\tbe\tVBZ\tB-VP\tO' +p88154 +aS'often\toften\tRB\tB-ADVP\tO' +p88155 +aS'severely\tseverely\tRB\tB-ADVP\tO' +p88156 +aS'and\tand\tCC\tO\tO' +p88157 +aS'increasing\tincrease\tVBG\tB-VP\tO' +p88158 +aS'at\tat\tIN\tB-PP\tO' +p88159 +aS'night\tnight\tNN\tB-NP\tO' +p88160 +aS'especially\tespecially\tRB\tB-ADVP\tO' +p88161 +aS'when\twhen\tWRB\tB-ADVP\tO' +p88162 +aS'he\the\tPRP\tB-NP\tO' +p88163 +aS'is\tbe\tVBZ\tB-VP\tO' +p88164 +aS'lying\tlie\tVBG\tI-VP\tO' +p88165 +aS'on\ton\tIN\tB-PP\tO' +p88166 +aS'the\tthe\tDT\tB-NP\tO' +p88167 +aS'right\tright\tJJ\tI-NP\tO' +p88168 +aS'side\tside\tNN\tI-NP\tO' +p88169 +aS'.\t.\t.\tO\tO' +p88170 +asS'There is no family history of coronary artery disease .' +p88171 +(lp88172 +S'There\tThere\tEX\tB-NP\tO' +p88173 +aS'is\tbe\tVBZ\tB-VP\tO' +p88174 +aS'no\tno\tDT\tB-NP\tO' +p88175 +aS'family\tfamily\tNN\tI-NP\tO' +p88176 +aS'history\thistory\tNN\tI-NP\tO' +p88177 +aS'of\tof\tIN\tB-PP\tO' +p88178 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p88179 +aS'artery\tartery\tNN\tI-NP\tO' +p88180 +aS'disease\tdisease\tNN\tI-NP\tO' +p88181 +aS'.\t.\t.\tO\tO' +p88182 +asS'10. Hypertension .' +p88183 +(lp88184 +S'10.\t10.\tLS\tB-NP\tO' +p88185 +aS'Hypertension\tHypertension\tNN\tI-NP\tO' +p88186 +aS'.\t.\t.\tO\tO' +p88187 +asS'He has been maintained on single Timlin therapy with Sutent 50 mg daily as of 2018-12-21 and has completed nearly 6 cycles .' +p88188 +(lp88189 +S'He\tHe\tPRP\tB-NP\tO' +p88190 +aS'has\thave\tVBZ\tB-VP\tO' +p88191 +aS'been\tbe\tVBN\tI-VP\tO' +p88192 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p88193 +aS'on\ton\tIN\tB-PP\tO' +p88194 +aS'single\tsingle\tJJ\tB-NP\tO' +p88195 +aS'Timlin\tTimlin\tNN\tI-NP\tO' +p88196 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p88197 +aS'with\twith\tIN\tB-PP\tO' +p88198 +aS'Sutent\tSutent\tJJ\tB-NP\tO' +p88199 +aS'50\t50\tCD\tI-NP\tO' +p88200 +aS'mg\tmg\tNN\tI-NP\tO' +p88201 +aS'daily\tdaily\tRB\tB-ADVP\tO' +p88202 +aS'as\tas\tIN\tB-PP\tO' +p88203 +aS'of\tof\tIN\tB-PP\tO' +p88204 +aS'2018-12-21\t2018-12-21\tCD\tB-NP\tO' +p88205 +aS'and\tand\tCC\tO\tO' +p88206 +aS'has\thave\tVBZ\tB-VP\tO' +p88207 +aS'completed\tcomplete\tVBN\tI-VP\tO' +p88208 +aS'nearly\tnearly\tRB\tB-NP\tO' +p88209 +aS'6\t6\tCD\tI-NP\tO' +p88210 +aS'cycles\tcycle\tNNS\tI-NP\tO' +p88211 +aS'.\t.\t.\tO\tO' +p88212 +asS'1 - Fill Rx for antibiotics today and take until finished even if neck pain subsides x 14 days' +p88213 +(lp88214 +S'1\t1\tCD\tB-NP\tO' +p88215 +aS'-\t-\tHYPH\tI-NP\tO' +p88216 +aS'Fill\tFill\tNN\tI-NP\tO' +p88217 +aS'Rx\tRx\tNN\tI-NP\tO' +p88218 +aS'for\tfor\tIN\tB-PP\tO' +p88219 +aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' +p88220 +aS'today\ttoday\tNN\tB-NP\tO' +p88221 +aS'and\tand\tCC\tO\tO' +p88222 +aS'take\ttake\tVB\tB-VP\tO' +p88223 +aS'until\tuntil\tIN\tB-SBAR\tO' +p88224 +aS'finished\tfinish\tVBN\tB-VP\tO' +p88225 +aS'even\teven\tRB\tB-SBAR\tO' +p88226 +aS'if\tif\tIN\tI-SBAR\tO' +p88227 +aS'neck\tneck\tNN\tB-NP\tO' +p88228 +aS'pain\tpain\tNN\tI-NP\tO' +p88229 +aS'subsides\tsubside\tNNS\tI-NP\tO' +p88230 +aS'x\tx\tSYM\tO\tO' +p88231 +aS'14\t14\tCD\tB-NP\tO' +p88232 +aS'days\tday\tNNS\tI-NP\tO' +p88233 +asS'His hemoglobin A1C levels actually came back within normal limits , however , the wide excursions of his sugars were consistent with possible diabetes .' +p88234 +(lp88235 +S'His\tHis\tPRP$\tB-NP\tO' +p88236 +aS'hemoglobin\themoglobin\tNN\tI-NP\tB-protein' +p88237 +aS'A1C\tA1C\tNN\tI-NP\tO' +p88238 +aS'levels\tlevel\tNNS\tI-NP\tO' +p88239 +aS'actually\tactually\tRB\tB-ADVP\tO' +p88240 +aS'came\tcome\tVBD\tB-VP\tO' +p88241 +aS'back\tback\tRB\tB-ADVP\tO' +p88242 +aS'within\twithin\tIN\tB-PP\tO' +p88243 +aS'normal\tnormal\tJJ\tB-NP\tO' +p88244 +aS'limits\tlimit\tNNS\tI-NP\tO' +p88245 +aS',\t,\t,\tO\tO' +p88246 +aS'however\thowever\tRB\tB-ADVP\tO' +p88247 +aS',\t,\t,\tO\tO' +p88248 +aS'the\tthe\tDT\tB-NP\tO' +p88249 +aS'wide\twide\tJJ\tI-NP\tO' +p88250 +aS'excursions\texcursion\tNNS\tI-NP\tO' +p88251 +aS'of\tof\tIN\tB-PP\tO' +p88252 +aS'his\this\tPRP$\tB-NP\tO' +p88253 +aS'sugars\tsugar\tNNS\tI-NP\tO' +p88254 +aS'were\tbe\tVBD\tB-VP\tO' +p88255 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p88256 +aS'with\twith\tIN\tB-PP\tO' +p88257 +aS'possible\tpossible\tJJ\tB-NP\tO' +p88258 +aS'diabetes\tdiabete\tNNS\tI-NP\tO' +p88259 +aS'.\t.\t.\tO\tO' +p88260 +asS'1. Partial vertebrectomy of L3 and L4 .' +p88261 +(lp88262 +S'1.\t1.\tLS\tB-NP\tO' +p88263 +aS'Partial\tPartial\tJJ\tI-NP\tO' +p88264 +aS'vertebrectomy\tvertebrectomy\tNN\tI-NP\tO' +p88265 +aS'of\tof\tIN\tB-PP\tO' +p88266 +aS'L3\tL3\tNN\tB-NP\tB-DNA' +p88267 +aS'and\tand\tCC\tI-NP\tO' +p88268 +aS'L4\tL4\tNN\tI-NP\tB-DNA' +p88269 +aS'.\t.\t.\tO\tO' +p88270 +asS'Lasix 40 mg q. Day .' +p88271 +(lp88272 +S'Lasix\tLasix\tNNP\tB-NP\tO' +p88273 +aS'40\t40\tCD\tI-NP\tO' +p88274 +aS'mg\tmg\tNN\tI-NP\tO' +p88275 +aS'q.\tq.\tNNP\tI-NP\tO' +p88276 +aS'Day\tDay\tNNP\tI-NP\tO' +p88277 +aS'.\t.\t.\tO\tO' +p88278 +asS'A 2/6 systolic murmur at the upper sternal border .' +p88279 +(lp88280 +S'A\tA\tDT\tB-NP\tO' +p88281 +aS'2/6\t2/6\tCD\tI-NP\tO' +p88282 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p88283 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p88284 +aS'at\tat\tIN\tB-PP\tO' +p88285 +aS'the\tthe\tDT\tB-NP\tO' +p88286 +aS'upper\tupper\tJJ\tI-NP\tO' +p88287 +aS'sternal\tsternal\tJJ\tI-NP\tO' +p88288 +aS'border\tborder\tNN\tI-NP\tO' +p88289 +aS'.\t.\t.\tO\tO' +p88290 +asS'3. Car seat screening - Passed .' +p88291 +(lp88292 +S'3.\t3.\tLS\tB-NP\tO' +p88293 +aS'Car\tCar\tNN\tI-NP\tB-protein' +p88294 +aS'seat\tseat\tNN\tI-NP\tO' +p88295 +aS'screening\tscreening\tNN\tI-NP\tO' +p88296 +aS'-\t-\tHYPH\tO\tO' +p88297 +aS'Passed\tPass\tVBN\tB-VP\tO' +p88298 +aS'.\t.\t.\tO\tO' +p88299 +asS'The patient 's shortness of breath and wheezing continued but without change .' +p88300 +(lp88301 +S'The\tThe\tDT\tB-NP\tO' +p88302 +aS'patient\tpatient\tNN\tI-NP\tO' +p88303 +aS''s\t'\tNNS\tI-NP\tO' +p88304 +aS'shortness\tshortness\tNN\tI-NP\tO' +p88305 +aS'of\tof\tIN\tB-PP\tO' +p88306 +aS'breath\tbreath\tNN\tB-NP\tO' +p88307 +aS'and\tand\tCC\tO\tO' +p88308 +aS'wheezing\twheeze\tVBG\tB-VP\tO' +p88309 +aS'continued\tcontinue\tVBN\tB-VP\tO' +p88310 +aS'but\tbut\tCC\tB-PP\tO' +p88311 +aS'without\twithout\tIN\tB-PP\tO' +p88312 +aS'change\tchange\tNN\tB-NP\tO' +p88313 +aS'.\t.\t.\tO\tO' +p88314 +asS'Metoprolol 50 mg PO bid , Isordil 20 mg PO tid , enteric coated aspirin 1 PO qd .' +p88315 +(lp88316 +S'Metoprolol\tMetoprolol\tNN\tB-NP\tO' +p88317 +aS'50\t50\tCD\tI-NP\tO' +p88318 +aS'mg\tmg\tNN\tI-NP\tO' +p88319 +aS'PO\tPO\tNN\tI-NP\tO' +p88320 +aS'bid\tbid\tNN\tI-NP\tO' +p88321 +aS',\t,\t,\tO\tO' +p88322 +aS'Isordil\tIsordil\tNN\tB-NP\tO' +p88323 +aS'20\t20\tCD\tI-NP\tO' +p88324 +aS'mg\tmg\tNN\tI-NP\tO' +p88325 +aS'PO\tPO\tNN\tI-NP\tO' +p88326 +aS'tid\ttid\tNN\tI-NP\tO' +p88327 +aS',\t,\t,\tO\tO' +p88328 +aS'enteric\tenteric\tJJ\tB-NP\tO' +p88329 +aS'coated\tcoated\tJJ\tI-NP\tO' +p88330 +aS'aspirin\taspirin\tNN\tI-NP\tO' +p88331 +aS'1\t1\tCD\tI-NP\tO' +p88332 +aS'PO\tPO\tNN\tI-NP\tO' +p88333 +aS'qd\tqd\tNN\tI-NP\tO' +p88334 +aS'.\t.\t.\tO\tO' +p88335 +asS'Patient should be kept euvolemic once peripheral edema resolves ( may use lasix to decrease edema ).' +p88336 +(lp88337 +S'Patient\tPatient\tNN\tB-NP\tO' +p88338 +aS'should\tshould\tMD\tB-VP\tO' +p88339 +aS'be\tbe\tVB\tI-VP\tO' +p88340 +aS'kept\tkeep\tVBN\tI-VP\tO' +p88341 +aS'euvolemic\teuvolemic\tJJ\tB-NP\tO' +p88342 +aS'once\tonce\tRB\tI-NP\tO' +p88343 +aS'peripheral\tperipheral\tJJ\tI-NP\tO' +p88344 +aS'edema\tedema\tNN\tI-NP\tO' +p88345 +aS'resolves\tresolve\tNNS\tI-NP\tO' +p88346 +aS'(\t(\t(\tO\tO' +p88347 +aS'may\tmay\tMD\tB-VP\tO' +p88348 +aS'use\tuse\tVB\tI-VP\tO' +p88349 +aS'lasix\tlasix\tNN\tB-NP\tO' +p88350 +aS'to\tto\tTO\tB-VP\tO' +p88351 +aS'decrease\tdecrease\tVB\tI-VP\tO' +p88352 +aS'edema\tedema\tNN\tB-NP\tO' +p88353 +aS').\t).\t.\tO\tO' +p88354 +asS'Heart exam was regular rate and rhythm , tachycardic , with a flat jugular venous pressure .' +p88355 +(lp88356 +S'Heart\tHeart\tNN\tB-NP\tO' +p88357 +aS'exam\texam\tNN\tI-NP\tO' +p88358 +aS'was\tbe\tVBD\tB-VP\tO' +p88359 +aS'regular\tregular\tJJ\tB-NP\tO' +p88360 +aS'rate\trate\tNN\tI-NP\tO' +p88361 +aS'and\tand\tCC\tI-NP\tO' +p88362 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p88363 +aS',\t,\t,\tO\tO' +p88364 +aS'tachycardic\ttachycardic\tJJ\tB-ADJP\tO' +p88365 +aS',\t,\t,\tO\tO' +p88366 +aS'with\twith\tIN\tB-PP\tO' +p88367 +aS'a\ta\tDT\tB-NP\tO' +p88368 +aS'flat\tflat\tJJ\tI-NP\tO' +p88369 +aS'jugular\tjugular\tJJ\tI-NP\tO' +p88370 +aS'venous\tvenous\tJJ\tI-NP\tO' +p88371 +aS'pressure\tpressure\tNN\tI-NP\tO' +p88372 +aS'.\t.\t.\tO\tO' +p88373 +asS'14. Glargine Sig : Twenty Two ( 22 ) units at bedtime .' +p88374 +(lp88375 +S'14.\t14.\tLS\tB-NP\tO' +p88376 +aS'Glargine\tGlargine\tNNP\tI-NP\tO' +p88377 +aS'Sig\tSig\tNNP\tI-NP\tO' +p88378 +aS':\t:\t:\tO\tO' +p88379 +aS'Twenty\tTwenty\tCD\tB-NP\tO' +p88380 +aS'Two\tTwo\tCD\tI-NP\tO' +p88381 +aS'(\t(\t(\tO\tO' +p88382 +aS'22\t22\tCD\tB-NP\tO' +p88383 +aS')\t)\t)\tO\tO' +p88384 +aS'units\tunit\tNNS\tB-NP\tO' +p88385 +aS'at\tat\tIN\tB-PP\tO' +p88386 +aS'bedtime\tbedtime\tNN\tB-NP\tO' +p88387 +aS'.\t.\t.\tO\tO' +p88388 +asS'White count 6 and hematocrit 41.5 .' +p88389 +(lp88390 +S'White\tWhite\tJJ\tB-NP\tO' +p88391 +aS'count\tcount\tNN\tI-NP\tO' +p88392 +aS'6\t6\tCD\tI-NP\tO' +p88393 +aS'and\tand\tCC\tO\tO' +p88394 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p88395 +aS'41.5\t41.5\tCD\tI-NP\tI-protein' +p88396 +aS'.\t.\t.\tO\tO' +p88397 +asS'There is no evidence of obstruction on AXR .' +p88398 +(lp88399 +S'There\tThere\tEX\tB-NP\tO' +p88400 +aS'is\tbe\tVBZ\tB-VP\tO' +p88401 +aS'no\tno\tDT\tB-NP\tO' +p88402 +aS'evidence\tevidence\tNN\tI-NP\tO' +p88403 +aS'of\tof\tIN\tB-PP\tO' +p88404 +aS'obstruction\tobstruction\tNN\tB-NP\tO' +p88405 +aS'on\ton\tIN\tB-PP\tO' +p88406 +aS'AXR\tAXR\tNN\tB-NP\tB-protein' +p88407 +aS'.\t.\t.\tO\tO' +p88408 +asS'After discussion with her private physician , Dr. Joasscchird , tel. 090-249-6079 , at Va Sit Namar Healthcare and Dr. Acrookesjo at Do Of Hospital , the patient was judged to be fit for discharge and she was sent home with AH and physical therapy .' +p88409 +(lp88410 +S'After\tAfter\tIN\tB-PP\tO' +p88411 +aS'discussion\tdiscussion\tNN\tB-NP\tO' +p88412 +aS'with\twith\tIN\tB-PP\tO' +p88413 +aS'her\ther\tPRP$\tB-NP\tO' +p88414 +aS'private\tprivate\tJJ\tI-NP\tO' +p88415 +aS'physician\tphysician\tNN\tI-NP\tO' +p88416 +aS',\t,\t,\tO\tO' +p88417 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p88418 +aS'Joasscchird\tJoasscchird\tNNP\tI-NP\tO' +p88419 +aS',\t,\t,\tO\tO' +p88420 +aS'tel.\ttel.\tNN\tB-NP\tO' +p88421 +aS'090-249-6079\t090-249-6079\tCD\tI-NP\tO' +p88422 +aS',\t,\t,\tO\tO' +p88423 +aS'at\tat\tIN\tB-PP\tO' +p88424 +aS'Va\tVa\tNNP\tB-NP\tO' +p88425 +aS'Sit\tSit\tNNP\tI-NP\tO' +p88426 +aS'Namar\tNamar\tNNP\tI-NP\tO' +p88427 +aS'Healthcare\tHealthcare\tNNP\tI-NP\tO' +p88428 +aS'and\tand\tCC\tO\tO' +p88429 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p88430 +aS'Acrookesjo\tAcrookesjo\tNNP\tI-NP\tO' +p88431 +aS'at\tat\tIN\tB-PP\tO' +p88432 +aS'Do\tDo\tNNP\tB-NP\tO' +p88433 +aS'Of\tOf\tNNP\tI-NP\tO' +p88434 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p88435 +aS',\t,\t,\tO\tO' +p88436 +aS'the\tthe\tDT\tB-NP\tO' +p88437 +aS'patient\tpatient\tNN\tI-NP\tO' +p88438 +aS'was\tbe\tVBD\tB-VP\tO' +p88439 +aS'judged\tjudge\tVBN\tI-VP\tO' +p88440 +aS'to\tto\tTO\tI-VP\tO' +p88441 +aS'be\tbe\tVB\tI-VP\tO' +p88442 +aS'fit\tfit\tVBN\tI-VP\tO' +p88443 +aS'for\tfor\tIN\tB-PP\tO' +p88444 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p88445 +aS'and\tand\tCC\tO\tO' +p88446 +aS'she\tshe\tPRP\tB-NP\tO' +p88447 +aS'was\tbe\tVBD\tB-VP\tO' +p88448 +aS'sent\tsend\tVBN\tI-VP\tO' +p88449 +aS'home\thome\tNN\tB-ADVP\tO' +p88450 +aS'with\twith\tIN\tB-PP\tO' +p88451 +aS'AH\tAH\tNN\tB-NP\tO' +p88452 +aS'and\tand\tCC\tO\tO' +p88453 +aS'physical\tphysical\tJJ\tB-NP\tO' +p88454 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p88455 +aS'.\t.\t.\tO\tO' +p88456 +asS'Bilirubin 0.4 .' +p88457 +(lp88458 +S'Bilirubin\tBilirubin\tNN\tB-NP\tO' +p88459 +aS'0.4\t0.4\tCD\tI-NP\tO' +p88460 +aS'.\t.\t.\tO\tO' +p88461 +asS'Mannitol and Dilantin were continued .' +p88462 +(lp88463 +S'Mannitol\tMannitol\tNN\tB-NP\tO' +p88464 +aS'and\tand\tCC\tI-NP\tO' +p88465 +aS'Dilantin\tDilantin\tNN\tI-NP\tB-protein' +p88466 +aS'were\tbe\tVBD\tB-VP\tO' +p88467 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p88468 +aS'.\t.\t.\tO\tO' +p88469 +asS'The patient is a 52 - year-old female with no known history of cardiac disease presenting with dyspnea on exertion and chest tightness , who was admitted for evaluation and management of her symptoms .' +p88470 +(lp88471 +S'The\tThe\tDT\tB-NP\tO' +p88472 +aS'patient\tpatient\tNN\tI-NP\tO' +p88473 +aS'is\tbe\tVBZ\tB-VP\tO' +p88474 +aS'a\ta\tDT\tB-NP\tO' +p88475 +aS'52\t52\tCD\tI-NP\tO' +p88476 +aS'-\t-\tHYPH\tI-NP\tO' +p88477 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p88478 +aS'female\tfemale\tNN\tI-NP\tO' +p88479 +aS'with\twith\tIN\tB-PP\tO' +p88480 +aS'no\tno\tDT\tB-NP\tO' +p88481 +aS'known\tknow\tVBN\tI-NP\tO' +p88482 +aS'history\thistory\tNN\tI-NP\tO' +p88483 +aS'of\tof\tIN\tB-PP\tO' +p88484 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p88485 +aS'disease\tdisease\tNN\tI-NP\tO' +p88486 +aS'presenting\tpresent\tVBG\tB-VP\tO' +p88487 +aS'with\twith\tIN\tB-PP\tO' +p88488 +aS'dyspnea\tdyspnea\tNN\tB-NP\tO' +p88489 +aS'on\ton\tIN\tB-PP\tO' +p88490 +aS'exertion\texertion\tNN\tB-NP\tO' +p88491 +aS'and\tand\tCC\tI-NP\tO' +p88492 +aS'chest\tchest\tNN\tI-NP\tO' +p88493 +aS'tightness\ttightness\tNN\tI-NP\tO' +p88494 +aS',\t,\t,\tO\tO' +p88495 +aS'who\twho\tWP\tB-NP\tO' +p88496 +aS'was\tbe\tVBD\tB-VP\tO' +p88497 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p88498 +aS'for\tfor\tIN\tB-PP\tO' +p88499 +aS'evaluation\tevaluation\tNN\tB-NP\tO' +p88500 +aS'and\tand\tCC\tI-NP\tO' +p88501 +aS'management\tmanagement\tNN\tI-NP\tO' +p88502 +aS'of\tof\tIN\tB-PP\tO' +p88503 +aS'her\ther\tPRP$\tB-NP\tO' +p88504 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p88505 +aS'.\t.\t.\tO\tO' +p88506 +asS'Trace movement of the right elbow and 4-strength of the right wrist and hand .' +p88507 +(lp88508 +S'Trace\tTrace\tNN\tB-NP\tO' +p88509 +aS'movement\tmovement\tNN\tI-NP\tO' +p88510 +aS'of\tof\tIN\tB-PP\tO' +p88511 +aS'the\tthe\tDT\tB-NP\tO' +p88512 +aS'right\tright\tJJ\tI-NP\tO' +p88513 +aS'elbow\telbow\tNN\tI-NP\tO' +p88514 +aS'and\tand\tCC\tI-NP\tO' +p88515 +aS'4-strength\t4-strength\tNN\tI-NP\tO' +p88516 +aS'of\tof\tIN\tB-PP\tO' +p88517 +aS'the\tthe\tDT\tB-NP\tO' +p88518 +aS'right\tright\tJJ\tI-NP\tO' +p88519 +aS'wrist\twrist\tNN\tI-NP\tO' +p88520 +aS'and\tand\tCC\tI-NP\tO' +p88521 +aS'hand\thand\tNN\tI-NP\tO' +p88522 +aS'.\t.\t.\tO\tO' +p88523 +asS'1+ TR .' +p88524 +(lp88525 +S'1+\t1+\tJJ\tB-NP\tO' +p88526 +aS'TR\tTR\tNN\tI-NP\tO' +p88527 +aS'.\t.\t.\tO\tO' +p88528 +asS'The patient 's urinalysis was normal .' +p88529 +(lp88530 +S'The\tThe\tDT\tB-NP\tO' +p88531 +aS'patient\tpatient\tNN\tI-NP\tO' +p88532 +aS''s\t'\tNNS\tI-NP\tO' +p88533 +aS'urinalysis\turinalysis\tNN\tI-NP\tO' +p88534 +aS'was\tbe\tVBD\tB-VP\tO' +p88535 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p88536 +aS'.\t.\t.\tO\tO' +p88537 +asS'This was further complicated by hypocalcemia which resulted in mild electrocardiographic abnormalities .' +p88538 +(lp88539 +S'This\tThis\tDT\tB-NP\tO' +p88540 +aS'was\tbe\tVBD\tB-VP\tO' +p88541 +aS'further\tfurther\tRB\tI-VP\tO' +p88542 +aS'complicated\tcomplicate\tVBN\tI-VP\tO' +p88543 +aS'by\tby\tIN\tB-PP\tO' +p88544 +aS'hypocalcemia\thypocalcemia\tNN\tB-NP\tO' +p88545 +aS'which\twhich\tWDT\tB-NP\tO' +p88546 +aS'resulted\tresult\tVBD\tB-VP\tO' +p88547 +aS'in\tin\tIN\tB-PP\tO' +p88548 +aS'mild\tmild\tJJ\tB-NP\tO' +p88549 +aS'electrocardiographic\telectrocardiographic\tJJ\tI-NP\tO' +p88550 +aS'abnormalities\tabnormality\tNNS\tI-NP\tO' +p88551 +aS'.\t.\t.\tO\tO' +p88552 +asS'LP was done and had no changes to suggest a different etiology ( ie negative cytology and negative immunophenotyping ).' +p88553 +(lp88554 +S'LP\tLP\tNN\tB-NP\tO' +p88555 +aS'was\tbe\tVBD\tB-VP\tO' +p88556 +aS'done\tdo\tVBN\tI-VP\tO' +p88557 +aS'and\tand\tCC\tO\tO' +p88558 +aS'had\thave\tVBD\tB-VP\tO' +p88559 +aS'no\tno\tDT\tB-NP\tO' +p88560 +aS'changes\tchange\tNNS\tI-NP\tO' +p88561 +aS'to\tto\tTO\tB-VP\tO' +p88562 +aS'suggest\tsuggest\tVB\tI-VP\tO' +p88563 +aS'a\ta\tDT\tB-NP\tO' +p88564 +aS'different\tdifferent\tJJ\tI-NP\tO' +p88565 +aS'etiology\tetiology\tNN\tI-NP\tO' +p88566 +aS'(\t(\t(\tO\tO' +p88567 +aS'ie\tie\tNN\tB-NP\tO' +p88568 +aS'negative\tnegative\tJJ\tI-NP\tO' +p88569 +aS'cytology\tcytology\tNN\tI-NP\tO' +p88570 +aS'and\tand\tCC\tI-NP\tO' +p88571 +aS'negative\tnegative\tJJ\tI-NP\tO' +p88572 +aS'immunophenotyping\timmunophenotyping\tNN\tI-NP\tO' +p88573 +aS').\t).\t.\tO\tO' +p88574 +asS'2015-10-27 Open reduction and internal fixation of right tib/fib fractures' +p88575 +(lp88576 +S'2015-10-27\t2015-10-27\tCD\tB-NP\tO' +p88577 +aS'Open\tOpen\tJJ\tI-NP\tO' +p88578 +aS'reduction\treduction\tNN\tI-NP\tO' +p88579 +aS'and\tand\tCC\tO\tO' +p88580 +aS'internal\tinternal\tJJ\tB-NP\tO' +p88581 +aS'fixation\tfixation\tNN\tI-NP\tO' +p88582 +aS'of\tof\tIN\tB-PP\tO' +p88583 +aS'right\tright\tJJ\tB-NP\tO' +p88584 +aS'tib/fib\ttib/fib\tNN\tI-NP\tO' +p88585 +aS'fractures\tfracture\tNNS\tI-NP\tO' +p88586 +asS'While in the PACU , Anesthesia was called because the patient became dyspneic and tachypneic and his SAO2 dropped to 89% .' +p88587 +(lp88588 +S'While\tWhile\tIN\tB-SBAR\tO' +p88589 +aS'in\tin\tIN\tB-PP\tO' +p88590 +aS'the\tthe\tDT\tB-NP\tO' +p88591 +aS'PACU\tPACU\tNNP\tI-NP\tO' +p88592 +aS',\t,\t,\tO\tO' +p88593 +aS'Anesthesia\tAnesthesia\tNNP\tB-NP\tO' +p88594 +aS'was\tbe\tVBD\tB-VP\tO' +p88595 +aS'called\tcall\tVBN\tI-VP\tO' +p88596 +aS'because\tbecause\tIN\tB-SBAR\tO' +p88597 +aS'the\tthe\tDT\tB-NP\tO' +p88598 +aS'patient\tpatient\tNN\tI-NP\tO' +p88599 +aS'became\tbecome\tVBD\tB-VP\tO' +p88600 +aS'dyspneic\tdyspneic\tJJ\tB-ADJP\tO' +p88601 +aS'and\tand\tCC\tI-ADJP\tO' +p88602 +aS'tachypneic\ttachypneic\tJJ\tI-ADJP\tO' +p88603 +aS'and\tand\tCC\tO\tO' +p88604 +aS'his\this\tPRP$\tB-NP\tO' +p88605 +aS'SAO2\tSAO2\tNN\tI-NP\tB-protein' +p88606 +aS'dropped\tdrop\tVBD\tB-VP\tO' +p88607 +aS'to\tto\tTO\tB-PP\tO' +p88608 +aS'89%\t89%\tCD\tB-NP\tO' +p88609 +aS'.\t.\t.\tO\tO' +p88610 +asS'The plan is to give her folic acid , but not iron .' +p88611 +(lp88612 +S'The\tThe\tDT\tB-NP\tO' +p88613 +aS'plan\tplan\tNN\tI-NP\tO' +p88614 +aS'is\tbe\tVBZ\tB-VP\tO' +p88615 +aS'to\tto\tTO\tB-VP\tO' +p88616 +aS'give\tgive\tVB\tI-VP\tO' +p88617 +aS'her\ther\tPRP$\tB-NP\tO' +p88618 +aS'folic\tfolic\tJJ\tI-NP\tO' +p88619 +aS'acid\tacid\tNN\tI-NP\tO' +p88620 +aS',\t,\t,\tB-NP\tO' +p88621 +aS'but\tbut\tCC\tI-NP\tO' +p88622 +aS'not\tnot\tRB\tI-NP\tO' +p88623 +aS'iron\tiron\tNN\tB-NP\tO' +p88624 +aS'.\t.\t.\tO\tO' +p88625 +asS'Patient developed chest pain the night prior to admission .' +p88626 +(lp88627 +S'Patient\tPatient\tNN\tB-NP\tO' +p88628 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p88629 +aS'chest\tchest\tNN\tB-NP\tO' +p88630 +aS'pain\tpain\tNN\tI-NP\tO' +p88631 +aS'the\tthe\tDT\tB-NP\tO' +p88632 +aS'night\tnight\tNN\tI-NP\tO' +p88633 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p88634 +aS'to\tto\tTO\tB-PP\tO' +p88635 +aS'admission\tadmission\tNN\tB-NP\tO' +p88636 +aS'.\t.\t.\tO\tO' +p88637 +asS'The contact may be reached at ( 754 ) 791 7976 .' +p88638 +(lp88639 +S'The\tThe\tDT\tB-NP\tO' +p88640 +aS'contact\tcontact\tNN\tI-NP\tO' +p88641 +aS'may\tmay\tMD\tB-VP\tO' +p88642 +aS'be\tbe\tVB\tI-VP\tO' +p88643 +aS'reached\treach\tVBN\tI-VP\tO' +p88644 +aS'at\tat\tIN\tB-PP\tO' +p88645 +aS'(\t(\t(\tO\tO' +p88646 +aS'754\t754\tCD\tB-NP\tO' +p88647 +aS')\t)\t)\tO\tO' +p88648 +aS'791\t791\tCD\tB-NP\tO' +p88649 +aS'7976\t7976\tCD\tI-NP\tO' +p88650 +aS'.\t.\t.\tO\tO' +p88651 +asS'Your atenolol has increased to 50 mg a day .' +p88652 +(lp88653 +S'Your\tYour\tPRP$\tB-NP\tO' +p88654 +aS'atenolol\tatenolol\tNN\tI-NP\tO' +p88655 +aS'has\thave\tVBZ\tB-VP\tO' +p88656 +aS'increased\tincrease\tVBN\tI-VP\tO' +p88657 +aS'to\tto\tTO\tB-PP\tO' +p88658 +aS'50\t50\tCD\tB-NP\tO' +p88659 +aS'mg\tmg\tNN\tI-NP\tO' +p88660 +aS'a\ta\tDT\tB-NP\tO' +p88661 +aS'day\tday\tNN\tI-NP\tO' +p88662 +aS'.\t.\t.\tO\tO' +p88663 +asS'He stated that he had difficulty rising from a chair .' +p88664 +(lp88665 +S'He\tHe\tPRP\tB-NP\tO' +p88666 +aS'stated\tstate\tVBD\tB-VP\tO' +p88667 +aS'that\tthat\tIN\tB-SBAR\tO' +p88668 +aS'he\the\tPRP\tB-NP\tO' +p88669 +aS'had\thave\tVBD\tB-VP\tO' +p88670 +aS'difficulty\tdifficulty\tNN\tB-NP\tO' +p88671 +aS'rising\trise\tVBG\tB-VP\tO' +p88672 +aS'from\tfrom\tIN\tB-PP\tO' +p88673 +aS'a\ta\tDT\tB-NP\tO' +p88674 +aS'chair\tchair\tNN\tI-NP\tO' +p88675 +aS'.\t.\t.\tO\tO' +p88676 +asS'However , the study was limited due to inadequate po contrast intake by the patient ; it did show a question of a cecal cystic lesion verse normal loop of bowel .' +p88677 +(lp88678 +S'However\tHowever\tRB\tB-ADVP\tO' +p88679 +aS',\t,\t,\tO\tO' +p88680 +aS'the\tthe\tDT\tB-NP\tO' +p88681 +aS'study\tstudy\tNN\tI-NP\tO' +p88682 +aS'was\tbe\tVBD\tB-VP\tO' +p88683 +aS'limited\tlimit\tVBN\tI-VP\tO' +p88684 +aS'due\tdue\tJJ\tB-ADJP\tO' +p88685 +aS'to\tto\tTO\tB-PP\tO' +p88686 +aS'inadequate\tinadequate\tJJ\tB-NP\tO' +p88687 +aS'po\tpo\tNN\tI-NP\tO' +p88688 +aS'contrast\tcontrast\tNN\tI-NP\tO' +p88689 +aS'intake\tintake\tNN\tI-NP\tO' +p88690 +aS'by\tby\tIN\tB-PP\tO' +p88691 +aS'the\tthe\tDT\tB-NP\tO' +p88692 +aS'patient\tpatient\tNN\tI-NP\tO' +p88693 +aS';\t;\t:\tO\tO' +p88694 +aS'it\tit\tPRP\tB-NP\tO' +p88695 +aS'did\tdo\tVBD\tB-VP\tO' +p88696 +aS'show\tshow\tVB\tI-VP\tO' +p88697 +aS'a\ta\tDT\tB-NP\tO' +p88698 +aS'question\tquestion\tNN\tI-NP\tO' +p88699 +aS'of\tof\tIN\tB-PP\tO' +p88700 +aS'a\ta\tDT\tB-NP\tO' +p88701 +aS'cecal\tcecal\tJJ\tI-NP\tO' +p88702 +aS'cystic\tcystic\tJJ\tI-NP\tO' +p88703 +aS'lesion\tlesion\tNN\tI-NP\tO' +p88704 +aS'verse\tverse\tJJ\tI-NP\tO' +p88705 +aS'normal\tnormal\tJJ\tI-NP\tO' +p88706 +aS'loop\tloop\tNN\tI-NP\tO' +p88707 +aS'of\tof\tIN\tB-PP\tO' +p88708 +aS'bowel\tbowel\tNN\tB-NP\tO' +p88709 +aS'.\t.\t.\tO\tO' +p88710 +asS'In the ER , he received 3 sublingual nitroglycerins and 1 mg of Dilaudid .' +p88711 +(lp88712 +S'In\tIn\tIN\tB-PP\tO' +p88713 +aS'the\tthe\tDT\tB-NP\tO' +p88714 +aS'ER\tER\tNN\tI-NP\tB-protein' +p88715 +aS',\t,\t,\tO\tO' +p88716 +aS'he\the\tPRP\tB-NP\tO' +p88717 +aS'received\treceive\tVBD\tB-VP\tO' +p88718 +aS'3\t3\tCD\tB-NP\tO' +p88719 +aS'sublingual\tsublingual\tJJ\tI-NP\tO' +p88720 +aS'nitroglycerins\tnitroglycerin\tNNS\tI-NP\tO' +p88721 +aS'and\tand\tCC\tO\tO' +p88722 +aS'1\t1\tCD\tB-NP\tO' +p88723 +aS'mg\tmg\tNN\tI-NP\tO' +p88724 +aS'of\tof\tIN\tB-PP\tO' +p88725 +aS'Dilaudid\tDilaudid\tNNP\tB-NP\tO' +p88726 +aS'.\t.\t.\tO\tO' +p88727 +asS'Within minutes the patient showed decreased right sided weakness and improved from a global aphasia to an anterior aphasia picture .' +p88728 +(lp88729 +S'Within\tWithin\tIN\tB-PP\tO' +p88730 +aS'minutes\tminute\tNNS\tB-NP\tO' +p88731 +aS'the\tthe\tDT\tB-NP\tO' +p88732 +aS'patient\tpatient\tNN\tI-NP\tO' +p88733 +aS'showed\tshow\tVBD\tB-VP\tO' +p88734 +aS'decreased\tdecrease\tVBN\tB-NP\tO' +p88735 +aS'right\tright\tJJ\tI-NP\tO' +p88736 +aS'sided\tsided\tJJ\tI-NP\tO' +p88737 +aS'weakness\tweakness\tNN\tI-NP\tO' +p88738 +aS'and\tand\tCC\tO\tO' +p88739 +aS'improved\timprove\tVBN\tB-VP\tO' +p88740 +aS'from\tfrom\tIN\tB-PP\tO' +p88741 +aS'a\ta\tDT\tB-NP\tO' +p88742 +aS'global\tglobal\tJJ\tI-NP\tO' +p88743 +aS'aphasia\taphasia\tNN\tI-NP\tO' +p88744 +aS'to\tto\tTO\tB-PP\tO' +p88745 +aS'an\tan\tDT\tB-NP\tO' +p88746 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p88747 +aS'aphasia\taphasia\tNN\tI-NP\tO' +p88748 +aS'picture\tpicture\tNN\tI-NP\tO' +p88749 +aS'.\t.\t.\tO\tO' +p88750 +asS'In Monica , pt received charcoal , 500 mg IV levofloxacin , 500 mg IV metronidazole for presumed aspiration pna .' +p88751 +(lp88752 +S'In\tIn\tIN\tB-PP\tO' +p88753 +aS'Monica\tMonica\tNNP\tB-NP\tO' +p88754 +aS',\t,\t,\tO\tO' +p88755 +aS'pt\tpt\tNN\tB-NP\tO' +p88756 +aS'received\treceive\tVBD\tB-VP\tO' +p88757 +aS'charcoal\tcharcoal\tNN\tB-NP\tO' +p88758 +aS',\t,\t,\tO\tO' +p88759 +aS'500\t500\tCD\tB-NP\tO' +p88760 +aS'mg\tmg\tNN\tI-NP\tO' +p88761 +aS'IV\tIV\tCD\tB-NP\tO' +p88762 +aS'levofloxacin\tlevofloxacin\tNN\tI-NP\tO' +p88763 +aS',\t,\t,\tO\tO' +p88764 +aS'500\t500\tCD\tB-NP\tO' +p88765 +aS'mg\tmg\tNN\tI-NP\tO' +p88766 +aS'IV\tIV\tCD\tB-NP\tO' +p88767 +aS'metronidazole\tmetronidazole\tNN\tI-NP\tO' +p88768 +aS'for\tfor\tIN\tB-PP\tO' +p88769 +aS'presumed\tpresume\tVBN\tB-NP\tO' +p88770 +aS'aspiration\taspiration\tNN\tI-NP\tO' +p88771 +aS'pna\tpna\tNN\tI-NP\tO' +p88772 +aS'.\t.\t.\tO\tO' +p88773 +asS'The patient developed two pneumonias with two separate organisms .' +p88774 +(lp88775 +S'The\tThe\tDT\tB-NP\tO' +p88776 +aS'patient\tpatient\tNN\tI-NP\tO' +p88777 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p88778 +aS'two\ttwo\tCD\tB-NP\tO' +p88779 +aS'pneumonias\tpneumonia\tNNS\tI-NP\tO' +p88780 +aS'with\twith\tIN\tB-PP\tO' +p88781 +aS'two\ttwo\tCD\tB-NP\tO' +p88782 +aS'separate\tseparate\tJJ\tI-NP\tO' +p88783 +aS'organisms\torganism\tNNS\tI-NP\tO' +p88784 +aS'.\t.\t.\tO\tO' +p88785 +asS'Notable for Down 's syndrome , Altzheimer 's disease secondary to Down 's syndrome diagnosed in 1998 , status post multiple falls , no heart disease , ankle surgery and an abnormal EEG .' +p88786 +(lp88787 +S'Notable\tNotable\tJJ\tB-ADJP\tO' +p88788 +aS'for\tfor\tIN\tB-PP\tO' +p88789 +aS'Down\tDown\tNN\tB-NP\tO' +p88790 +aS''s\t'\tNNS\tI-NP\tO' +p88791 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p88792 +aS',\t,\t,\tO\tO' +p88793 +aS'Altzheimer\tAltzheimer\tNNP\tB-NP\tO' +p88794 +aS''s\t'\tNNS\tI-NP\tO' +p88795 +aS'disease\tdisease\tNN\tI-NP\tO' +p88796 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p88797 +aS'to\tto\tTO\tB-PP\tO' +p88798 +aS'Down\tDown\tJJ\tB-NP\tO' +p88799 +aS''s\t'\tNNS\tI-NP\tO' +p88800 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p88801 +aS'diagnosed\tdiagnose\tVBN\tB-VP\tO' +p88802 +aS'in\tin\tIN\tB-PP\tO' +p88803 +aS'1998\t1998\tCD\tB-NP\tO' +p88804 +aS',\t,\t,\tO\tO' +p88805 +aS'status\tstatus\tNN\tB-NP\tO' +p88806 +aS'post\tpost\tVBD\tB-VP\tO' +p88807 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p88808 +aS'falls\tfall\tNNS\tI-NP\tO' +p88809 +aS',\t,\t,\tO\tO' +p88810 +aS'no\tno\tDT\tB-NP\tO' +p88811 +aS'heart\theart\tNN\tI-NP\tO' +p88812 +aS'disease\tdisease\tNN\tI-NP\tO' +p88813 +aS',\t,\t,\tO\tO' +p88814 +aS'ankle\tankle\tNN\tB-NP\tO' +p88815 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p88816 +aS'and\tand\tCC\tO\tO' +p88817 +aS'an\tan\tDT\tB-NP\tO' +p88818 +aS'abnormal\tabnormal\tJJ\tI-NP\tO' +p88819 +aS'EEG\tEEG\tNN\tI-NP\tO' +p88820 +aS'.\t.\t.\tO\tO' +p88821 +asS'These results were all negative .' +p88822 +(lp88823 +S'These\tThese\tDT\tB-NP\tO' +p88824 +aS'results\tresult\tNNS\tI-NP\tO' +p88825 +aS'were\tbe\tVBD\tB-VP\tO' +p88826 +aS'all\tall\tDT\tO\tO' +p88827 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p88828 +aS'.\t.\t.\tO\tO' +p88829 +asS'No abdominal or urinary complaints .' +p88830 +(lp88831 +S'No\tNo\tDT\tB-NP\tO' +p88832 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p88833 +aS'or\tor\tCC\tI-NP\tO' +p88834 +aS'urinary\turinary\tJJ\tI-NP\tO' +p88835 +aS'complaints\tcomplaint\tNNS\tI-NP\tO' +p88836 +aS'.\t.\t.\tO\tO' +p88837 +asS'Calcium Acetate 667 mg PO TID' +p88838 +(lp88839 +S'Calcium\tCalcium\tNN\tB-NP\tO' +p88840 +aS'Acetate\tAcetate\tNN\tI-NP\tO' +p88841 +aS'667\t667\tCD\tI-NP\tO' +p88842 +aS'mg\tmg\tNN\tI-NP\tO' +p88843 +aS'PO\tPO\tNN\tI-NP\tO' +p88844 +aS'TID\tTID\tNN\tI-NP\tO' +p88845 +asS'Patient was loaded with Quinidine and then started on a maintenance dose .' +p88846 +(lp88847 +S'Patient\tPatient\tNN\tB-NP\tO' +p88848 +aS'was\tbe\tVBD\tB-VP\tO' +p88849 +aS'loaded\tload\tVBN\tI-VP\tO' +p88850 +aS'with\twith\tIN\tB-PP\tO' +p88851 +aS'Quinidine\tQuinidine\tNN\tB-NP\tO' +p88852 +aS'and\tand\tCC\tO\tO' +p88853 +aS'then\tthen\tRB\tB-VP\tO' +p88854 +aS'started\tstart\tVBD\tI-VP\tO' +p88855 +aS'on\ton\tIN\tB-PP\tO' +p88856 +aS'a\ta\tDT\tB-NP\tO' +p88857 +aS'maintenance\tmaintenance\tNN\tI-NP\tO' +p88858 +aS'dose\tdose\tNN\tI-NP\tO' +p88859 +aS'.\t.\t.\tO\tO' +p88860 +asS'There is Doppler evidence of tricuspid insufficiency and right atrial dilatation .' +p88861 +(lp88862 +S'There\tThere\tEX\tB-NP\tO' +p88863 +aS'is\tbe\tVBZ\tB-VP\tO' +p88864 +aS'Doppler\tDoppler\tNNP\tB-NP\tO' +p88865 +aS'evidence\tevidence\tNN\tI-NP\tO' +p88866 +aS'of\tof\tIN\tB-PP\tO' +p88867 +aS'tricuspid\ttricuspid\tJJ\tB-NP\tO' +p88868 +aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' +p88869 +aS'and\tand\tCC\tO\tO' +p88870 +aS'right\tright\tJJ\tB-NP\tO' +p88871 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p88872 +aS'dilatation\tdilatation\tNN\tI-NP\tO' +p88873 +aS'.\t.\t.\tO\tO' +p88874 +asS'The patient presented with a chief complaint of HEMATURIA .' +p88875 +(lp88876 +S'The\tThe\tDT\tB-NP\tO' +p88877 +aS'patient\tpatient\tNN\tI-NP\tO' +p88878 +aS'presented\tpresent\tVBD\tB-VP\tO' +p88879 +aS'with\twith\tIN\tB-PP\tO' +p88880 +aS'a\ta\tDT\tB-NP\tO' +p88881 +aS'chief\tchief\tJJ\tI-NP\tO' +p88882 +aS'complaint\tcomplaint\tNN\tI-NP\tO' +p88883 +aS'of\tof\tIN\tB-PP\tO' +p88884 +aS'HEMATURIA\tHEMATURIA\tNN\tB-NP\tB-protein' +p88885 +aS'.\t.\t.\tO\tO' +p88886 +asS'Family History : father and mother with CAD' +p88887 +(lp88888 +S'Family\tFamily\tRB\tB-NP\tO' +p88889 +aS'History\tHistory\tNN\tI-NP\tO' +p88890 +aS':\t:\t:\tO\tO' +p88891 +aS'father\tfather\tNN\tB-NP\tO' +p88892 +aS'and\tand\tCC\tI-NP\tO' +p88893 +aS'mother\tmother\tNN\tI-NP\tO' +p88894 +aS'with\twith\tIN\tB-PP\tO' +p88895 +aS'CAD\tCAD\tNN\tB-NP\tO' +p88896 +asS'There was a left arm pronator .' +p88897 +(lp88898 +S'There\tThere\tEX\tB-NP\tO' +p88899 +aS'was\tbe\tVBD\tB-VP\tO' +p88900 +aS'a\ta\tDT\tB-NP\tO' +p88901 +aS'left\tleft\tJJ\tI-NP\tB-protein' +p88902 +aS'arm\tarm\tNN\tI-NP\tI-protein' +p88903 +aS'pronator\tpronator\tNN\tI-NP\tI-protein' +p88904 +aS'.\t.\t.\tO\tO' +p88905 +asS'Ocean Spray q.i.d. to nares prn nasal dryness .' +p88906 +(lp88907 +S'Ocean\tOcean\tNNP\tB-NP\tO' +p88908 +aS'Spray\tSpray\tNNP\tI-NP\tO' +p88909 +aS'q.i.d.\tq.i.d.\tNNP\tI-NP\tO' +p88910 +aS'to\tto\tTO\tB-PP\tO' +p88911 +aS'nares\tnare\tNNS\tB-NP\tO' +p88912 +aS'prn\tprn\tVBP\tB-VP\tO' +p88913 +aS'nasal\tnasal\tJJ\tB-NP\tO' +p88914 +aS'dryness\tdryness\tNN\tI-NP\tO' +p88915 +aS'.\t.\t.\tO\tO' +p88916 +asS'Triamterene/hydrochlorothiazide 37.5/25 mg one tablet by mouth once daily and lorazepam 1 mg three times daily as needed ( for anxiety ) .' +p88917 +(lp88918 +S'Triamterene/hydrochlorothiazide\tTriamterene/hydrochlorothiazide\tNN\tB-NP\tO' +p88919 +aS'37.5/25\t37.5/25\tCD\tI-NP\tO' +p88920 +aS'mg\tmg\tNN\tI-NP\tO' +p88921 +aS'one\tone\tCD\tB-NP\tO' +p88922 +aS'tablet\ttablet\tNN\tI-NP\tO' +p88923 +aS'by\tby\tIN\tB-PP\tO' +p88924 +aS'mouth\tmouth\tNN\tB-NP\tO' +p88925 +aS'once\tonce\tRB\tB-ADVP\tO' +p88926 +aS'daily\tdaily\tRB\tI-ADVP\tO' +p88927 +aS'and\tand\tCC\tO\tO' +p88928 +aS'lorazepam\tlorazepam\tNN\tB-NP\tO' +p88929 +aS'1\t1\tCD\tI-NP\tO' +p88930 +aS'mg\tmg\tNN\tI-NP\tO' +p88931 +aS'three\tthree\tCD\tB-NP\tO' +p88932 +aS'times\ttime\tNNS\tI-NP\tO' +p88933 +aS'daily\tdaily\tRB\tI-NP\tO' +p88934 +aS'as\tas\tIN\tB-SBAR\tO' +p88935 +aS'needed\tneed\tVBN\tB-VP\tO' +p88936 +aS'(\t(\t(\tO\tO' +p88937 +aS'for\tfor\tIN\tB-PP\tO' +p88938 +aS'anxiety\tanxiety\tNN\tB-NP\tO' +p88939 +aS')\t)\t)\tO\tO' +p88940 +aS'.\t.\t.\tO\tO' +p88941 +asS'3. Fluids , electrolytes and nutrition - Birthweight was 1400 gm , 25th percentile .' +p88942 +(lp88943 +S'3.\t3.\tLS\tB-NP\tO' +p88944 +aS'Fluids\tFluid\tNNS\tI-NP\tO' +p88945 +aS',\t,\t,\tO\tO' +p88946 +aS'electrolytes\telectrolyte\tNNS\tB-NP\tO' +p88947 +aS'and\tand\tCC\tO\tO' +p88948 +aS'nutrition\tnutrition\tNN\tB-NP\tO' +p88949 +aS'-\t-\tHYPH\tI-NP\tO' +p88950 +aS'Birthweight\tBirthweight\tNN\tB-NP\tO' +p88951 +aS'was\tbe\tVBD\tB-VP\tO' +p88952 +aS'1400\t1400\tCD\tB-NP\tO' +p88953 +aS'gm\tgm\tNN\tI-NP\tO' +p88954 +aS',\t,\t,\tO\tO' +p88955 +aS'25th\t25th\tJJ\tB-NP\tO' +p88956 +aS'percentile\tpercentile\tNN\tI-NP\tO' +p88957 +aS'.\t.\t.\tO\tO' +p88958 +asS'There is a small amount of blood layering in both lateral ventricles , and this has decreased since the previous study .' +p88959 +(lp88960 +S'There\tThere\tEX\tB-NP\tO' +p88961 +aS'is\tbe\tVBZ\tB-VP\tO' +p88962 +aS'a\ta\tDT\tB-NP\tO' +p88963 +aS'small\tsmall\tJJ\tI-NP\tO' +p88964 +aS'amount\tamount\tNN\tI-NP\tO' +p88965 +aS'of\tof\tIN\tB-PP\tO' +p88966 +aS'blood\tblood\tNN\tB-NP\tO' +p88967 +aS'layering\tlayering\tNN\tI-NP\tO' +p88968 +aS'in\tin\tIN\tB-PP\tO' +p88969 +aS'both\tboth\tCC\tB-NP\tO' +p88970 +aS'lateral\tlateral\tJJ\tI-NP\tO' +p88971 +aS'ventricles\tventricle\tNNS\tI-NP\tO' +p88972 +aS',\t,\t,\tO\tO' +p88973 +aS'and\tand\tCC\tO\tO' +p88974 +aS'this\tthis\tDT\tB-NP\tO' +p88975 +aS'has\thave\tVBZ\tB-VP\tO' +p88976 +aS'decreased\tdecrease\tVBN\tI-VP\tO' +p88977 +aS'since\tsince\tIN\tB-PP\tO' +p88978 +aS'the\tthe\tDT\tB-NP\tO' +p88979 +aS'previous\tprevious\tJJ\tI-NP\tO' +p88980 +aS'study\tstudy\tNN\tI-NP\tO' +p88981 +aS'.\t.\t.\tO\tO' +p88982 +asS'no lesions .' +p88983 +(lp88984 +S'no\tno\tDT\tB-NP\tO' +p88985 +aS'lesions\tlesion\tNNS\tI-NP\tO' +p88986 +aS'.\t.\t.\tO\tO' +p88987 +asS'3. Left ventricular aneurysm .' +p88988 +(lp88989 +S'3.\t3.\tLS\tB-NP\tO' +p88990 +aS'Left\tLeft\tJJ\tI-NP\tO' +p88991 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p88992 +aS'aneurysm\taneurysm\tNN\tI-NP\tO' +p88993 +aS'.\t.\t.\tO\tO' +p88994 +asS'5) Please attend all appointments as listed below .' +p88995 +(lp88996 +S'5)\t5)\tLS\tB-NP\tO' +p88997 +aS'Please\tPlease\tNN\tI-NP\tB-protein' +p88998 +aS'attend\tattend\tVB\tB-VP\tO' +p88999 +aS'all\tall\tDT\tB-NP\tO' +p89000 +aS'appointments\tappointment\tNNS\tI-NP\tO' +p89001 +aS'as\tas\tIN\tB-SBAR\tO' +p89002 +aS'listed\tlist\tVBN\tB-VP\tO' +p89003 +aS'below\tbelow\tIN\tB-PP\tO' +p89004 +aS'.\t.\t.\tO\tO' +p89005 +asS'His chest X-ray ruled out acute cardiopulmonary process .' +p89006 +(lp89007 +S'His\tHis\tPRP$\tB-NP\tO' +p89008 +aS'chest\tchest\tNN\tI-NP\tO' +p89009 +aS'X-ray\tX-ray\tNN\tI-NP\tO' +p89010 +aS'ruled\trule\tVBD\tB-VP\tO' +p89011 +aS'out\tout\tRP\tB-PRT\tO' +p89012 +aS'acute\tacute\tJJ\tB-NP\tO' +p89013 +aS'cardiopulmonary\tcardiopulmonary\tJJ\tI-NP\tO' +p89014 +aS'process\tprocess\tNN\tI-NP\tO' +p89015 +aS'.\t.\t.\tO\tO' +p89016 +asS'Activity : No heavy lifting of items 12-08 pounds until the follow up appointment with your doctor .' +p89017 +(lp89018 +S'Activity\tActivity\tNN\tB-NP\tO' +p89019 +aS':\t:\t:\tO\tO' +p89020 +aS'No\tNo\tDT\tB-NP\tO' +p89021 +aS'heavy\theavy\tJJ\tI-NP\tO' +p89022 +aS'lifting\tlifting\tNN\tI-NP\tO' +p89023 +aS'of\tof\tIN\tB-PP\tO' +p89024 +aS'items\titem\tNNS\tB-NP\tO' +p89025 +aS'12-08\t12-08\tCD\tB-NP\tO' +p89026 +aS'pounds\tpound\tNNS\tI-NP\tO' +p89027 +aS'until\tuntil\tIN\tB-PP\tO' +p89028 +aS'the\tthe\tDT\tB-NP\tO' +p89029 +aS'follow\tfollow\tNN\tI-NP\tO' +p89030 +aS'up\tup\tRP\tB-PRT\tO' +p89031 +aS'appointment\tappointment\tNN\tB-NP\tO' +p89032 +aS'with\twith\tIN\tB-PP\tO' +p89033 +aS'your\tyour\tPRP$\tB-NP\tO' +p89034 +aS'doctor\tdoctor\tNN\tI-NP\tO' +p89035 +aS'.\t.\t.\tO\tO' +p89036 +asS'Extremities show no edema .' +p89037 +(lp89038 +S'Extremities\tExtremity\tNNS\tB-NP\tO' +p89039 +aS'show\tshow\tVBP\tB-VP\tO' +p89040 +aS'no\tno\tDT\tB-NP\tO' +p89041 +aS'edema\tedema\tNN\tI-NP\tO' +p89042 +aS'.\t.\t.\tO\tO' +p89043 +asS'Social History : lives with partner' +p89044 +(lp89045 +S'Social\tSocial\tNNP\tB-NP\tO' +p89046 +aS'History\tHistory\tNNP\tI-NP\tO' +p89047 +aS':\t:\t:\tO\tO' +p89048 +aS'lives\tlife\tNNS\tB-NP\tO' +p89049 +aS'with\twith\tIN\tB-PP\tO' +p89050 +aS'partner\tpartner\tNN\tB-NP\tO' +p89051 +asS'This patient is a 5 year old white female with a history of type I renal tubular acidosis on nephrocalcinosis who was admitted to Noughwell Entanbon Health of Washington on 9/5/93 at 21:16 hours with a 2-3 day history of chills , fevers , cough , vomiting and weakness ( unable to walk ) .' +p89052 +(lp89053 +S'This\tThis\tDT\tB-NP\tO' +p89054 +aS'patient\tpatient\tNN\tI-NP\tO' +p89055 +aS'is\tbe\tVBZ\tB-VP\tO' +p89056 +aS'a\ta\tDT\tB-NP\tO' +p89057 +aS'5\t5\tCD\tI-NP\tO' +p89058 +aS'year\tyear\tNN\tI-NP\tO' +p89059 +aS'old\told\tJJ\tI-NP\tO' +p89060 +aS'white\twhite\tJJ\tI-NP\tO' +p89061 +aS'female\tfemale\tNN\tI-NP\tO' +p89062 +aS'with\twith\tIN\tB-PP\tO' +p89063 +aS'a\ta\tDT\tB-NP\tO' +p89064 +aS'history\thistory\tNN\tI-NP\tO' +p89065 +aS'of\tof\tIN\tB-PP\tO' +p89066 +aS'type\ttype\tNN\tB-NP\tO' +p89067 +aS'I\tI\tCD\tI-NP\tO' +p89068 +aS'renal\trenal\tJJ\tI-NP\tO' +p89069 +aS'tubular\ttubular\tJJ\tI-NP\tO' +p89070 +aS'acidosis\tacidosis\tNN\tI-NP\tO' +p89071 +aS'on\ton\tIN\tB-PP\tO' +p89072 +aS'nephrocalcinosis\tnephrocalcinosis\tNN\tB-NP\tO' +p89073 +aS'who\twho\tWP\tB-NP\tO' +p89074 +aS'was\tbe\tVBD\tB-VP\tO' +p89075 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p89076 +aS'to\tto\tTO\tB-PP\tO' +p89077 +aS'Noughwell\tNoughwell\tNNP\tB-NP\tO' +p89078 +aS'Entanbon\tEntanbon\tNNP\tI-NP\tO' +p89079 +aS'Health\tHealth\tNNP\tI-NP\tO' +p89080 +aS'of\tof\tIN\tB-PP\tO' +p89081 +aS'Washington\tWashington\tNNP\tB-NP\tO' +p89082 +aS'on\ton\tIN\tB-PP\tO' +p89083 +aS'9/5/93\t9/5/93\tCD\tB-NP\tO' +p89084 +aS'at\tat\tIN\tB-PP\tO' +p89085 +aS'21:16\t21:16\tCD\tB-NP\tO' +p89086 +aS'hours\thour\tNNS\tI-NP\tO' +p89087 +aS'with\twith\tIN\tB-PP\tO' +p89088 +aS'a\ta\tDT\tB-NP\tO' +p89089 +aS'2-3\t2-3\tNN\tI-NP\tO' +p89090 +aS'day\tday\tNN\tI-NP\tO' +p89091 +aS'history\thistory\tNN\tI-NP\tO' +p89092 +aS'of\tof\tIN\tB-PP\tO' +p89093 +aS'chills\tchill\tNNS\tB-NP\tO' +p89094 +aS',\t,\t,\tO\tO' +p89095 +aS'fevers\tfever\tNNS\tB-NP\tO' +p89096 +aS',\t,\t,\tO\tO' +p89097 +aS'cough\tcough\tNN\tB-NP\tO' +p89098 +aS',\t,\t,\tO\tO' +p89099 +aS'vomiting\tvomiting\tNN\tB-NP\tO' +p89100 +aS'and\tand\tCC\tO\tO' +p89101 +aS'weakness\tweakness\tNN\tB-NP\tO' +p89102 +aS'(\t(\t(\tO\tO' +p89103 +aS'unable\tunable\tJJ\tB-ADJP\tO' +p89104 +aS'to\tto\tTO\tB-VP\tO' +p89105 +aS'walk\twalk\tVB\tI-VP\tO' +p89106 +aS')\t)\t)\tO\tO' +p89107 +aS'.\t.\t.\tO\tO' +p89108 +asS'She is asked to call with any fevers , chills , increasing weakness or numbness or any bowel and bladder disruption .' +p89109 +(lp89110 +S'She\tShe\tPRP\tB-NP\tO' +p89111 +aS'is\tbe\tVBZ\tB-VP\tO' +p89112 +aS'asked\task\tVBN\tI-VP\tO' +p89113 +aS'to\tto\tTO\tB-VP\tO' +p89114 +aS'call\tcall\tVB\tI-VP\tO' +p89115 +aS'with\twith\tIN\tB-PP\tO' +p89116 +aS'any\tany\tDT\tB-NP\tO' +p89117 +aS'fevers\tfever\tNNS\tI-NP\tO' +p89118 +aS',\t,\t,\tO\tO' +p89119 +aS'chills\tchill\tNNS\tB-NP\tO' +p89120 +aS',\t,\t,\tO\tO' +p89121 +aS'increasing\tincrease\tVBG\tB-VP\tO' +p89122 +aS'weakness\tweakness\tNN\tB-NP\tO' +p89123 +aS'or\tor\tCC\tI-NP\tO' +p89124 +aS'numbness\tnumbness\tNN\tI-NP\tO' +p89125 +aS'or\tor\tCC\tO\tO' +p89126 +aS'any\tany\tDT\tB-NP\tO' +p89127 +aS'bowel\tbowel\tNN\tI-NP\tO' +p89128 +aS'and\tand\tCC\tI-NP\tO' +p89129 +aS'bladder\tbladder\tNN\tI-NP\tO' +p89130 +aS'disruption\tdisruption\tNN\tI-NP\tO' +p89131 +aS'.\t.\t.\tO\tO' +p89132 +asS'Brought in from assisted living facility .' +p89133 +(lp89134 +S'Brought\tBring\tVBN\tB-VP\tO' +p89135 +aS'in\tin\tIN\tB-PP\tO' +p89136 +aS'from\tfrom\tIN\tB-PP\tO' +p89137 +aS'assisted\tassist\tVBN\tB-NP\tO' +p89138 +aS'living\tlive\tVBG\tI-NP\tO' +p89139 +aS'facility\tfacility\tNN\tI-NP\tO' +p89140 +aS'.\t.\t.\tO\tO' +p89141 +asS'She required periodic repletion of her potassium .' +p89142 +(lp89143 +S'She\tShe\tPRP\tB-NP\tO' +p89144 +aS'required\trequire\tVBD\tB-VP\tO' +p89145 +aS'periodic\tperiodic\tJJ\tB-NP\tO' +p89146 +aS'repletion\trepletion\tNN\tI-NP\tO' +p89147 +aS'of\tof\tIN\tB-PP\tO' +p89148 +aS'her\ther\tPRP$\tB-NP\tO' +p89149 +aS'potassium\tpotassium\tNN\tI-NP\tO' +p89150 +aS'.\t.\t.\tO\tO' +p89151 +asS'She will follow up with her psychiatrist , Dr. Freiermchird ( Sone Memorial Hospital ) on a regular basis , and she can follow up with the Neurology Service on a p.r.n. basis if needed .' +p89152 +(lp89153 +S'She\tShe\tPRP\tB-NP\tO' +p89154 +aS'will\twill\tMD\tB-VP\tO' +p89155 +aS'follow\tfollow\tVB\tI-VP\tO' +p89156 +aS'up\tup\tRP\tB-PRT\tO' +p89157 +aS'with\twith\tIN\tB-PP\tO' +p89158 +aS'her\ther\tPRP$\tB-NP\tO' +p89159 +aS'psychiatrist\tpsychiatrist\tNN\tI-NP\tO' +p89160 +aS',\t,\t,\tO\tO' +p89161 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p89162 +aS'Freiermchird\tFreiermchird\tNNP\tI-NP\tO' +p89163 +aS'(\t(\t(\tO\tO' +p89164 +aS'Sone\tSone\tNNP\tB-NP\tO' +p89165 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p89166 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p89167 +aS')\t)\t)\tO\tO' +p89168 +aS'on\ton\tIN\tB-PP\tO' +p89169 +aS'a\ta\tDT\tB-NP\tO' +p89170 +aS'regular\tregular\tJJ\tI-NP\tO' +p89171 +aS'basis\tbasis\tNN\tI-NP\tO' +p89172 +aS',\t,\t,\tO\tO' +p89173 +aS'and\tand\tCC\tO\tO' +p89174 +aS'she\tshe\tPRP\tB-NP\tO' +p89175 +aS'can\tcan\tMD\tB-VP\tO' +p89176 +aS'follow\tfollow\tVB\tI-VP\tO' +p89177 +aS'up\tup\tRP\tB-PRT\tO' +p89178 +aS'with\twith\tIN\tB-PP\tO' +p89179 +aS'the\tthe\tDT\tB-NP\tO' +p89180 +aS'Neurology\tNeurology\tNNP\tI-NP\tO' +p89181 +aS'Service\tService\tNNP\tI-NP\tO' +p89182 +aS'on\ton\tIN\tB-PP\tO' +p89183 +aS'a\ta\tDT\tB-NP\tO' +p89184 +aS'p.r.n.\tp.r.n.\tJJ\tI-NP\tO' +p89185 +aS'basis\tbasis\tNN\tI-NP\tO' +p89186 +aS'if\tif\tIN\tB-SBAR\tO' +p89187 +aS'needed\tneed\tVBN\tB-VP\tO' +p89188 +aS'.\t.\t.\tO\tO' +p89189 +asS"Pt 's hypertensive urgency was resolved upon admission to the medical floor ." +p89190 +(lp89191 +S'Pt\tPt\tNN\tB-NP\tO' +p89192 +aS"'s\t's\tPOS\tB-NP\tO" +p89193 +aS'hypertensive\thypertensive\tJJ\tI-NP\tO' +p89194 +aS'urgency\turgency\tNN\tI-NP\tO' +p89195 +aS'was\tbe\tVBD\tB-VP\tO' +p89196 +aS'resolved\tresolve\tVBN\tI-VP\tO' +p89197 +aS'upon\tupon\tIN\tB-PP\tO' +p89198 +aS'admission\tadmission\tNN\tB-NP\tO' +p89199 +aS'to\tto\tTO\tB-PP\tO' +p89200 +aS'the\tthe\tDT\tB-NP\tO' +p89201 +aS'medical\tmedical\tJJ\tI-NP\tO' +p89202 +aS'floor\tfloor\tNN\tI-NP\tO' +p89203 +aS'.\t.\t.\tO\tO' +p89204 +asS"Phototherapy was discontinued on 2018-05-14 , and a rebound bilirubin will be checked in the pediatrician 's office ." +p89205 +(lp89206 +S'Phototherapy\tPhototherapy\tNN\tB-NP\tO' +p89207 +aS'was\tbe\tVBD\tB-VP\tO' +p89208 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p89209 +aS'on\ton\tIN\tB-PP\tO' +p89210 +aS'2018-05-14\t2018-05-14\tCD\tB-NP\tO' +p89211 +aS',\t,\t,\tO\tO' +p89212 +aS'and\tand\tCC\tO\tO' +p89213 +aS'a\ta\tDT\tB-NP\tO' +p89214 +aS'rebound\trebound\tJJ\tI-NP\tO' +p89215 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p89216 +aS'will\twill\tMD\tB-VP\tO' +p89217 +aS'be\tbe\tVB\tI-VP\tO' +p89218 +aS'checked\tcheck\tVBN\tI-VP\tO' +p89219 +aS'in\tin\tIN\tB-PP\tO' +p89220 +aS'the\tthe\tDT\tB-NP\tO' +p89221 +aS'pediatrician\tpediatrician\tNN\tI-NP\tO' +p89222 +aS"'s\t's\tPOS\tB-NP\tO" +p89223 +aS'office\toffice\tNN\tI-NP\tO' +p89224 +aS'.\t.\t.\tO\tO' +p89225 +asS'Bronchoscopy at that time showed an endobronchial tumor of the right upper lobe bronchus and it was felt to be unresectable .' +p89226 +(lp89227 +S'Bronchoscopy\tBronchoscopy\tNN\tB-NP\tO' +p89228 +aS'at\tat\tIN\tB-PP\tO' +p89229 +aS'that\tthat\tDT\tB-NP\tO' +p89230 +aS'time\ttime\tNN\tI-NP\tO' +p89231 +aS'showed\tshow\tVBD\tB-VP\tO' +p89232 +aS'an\tan\tDT\tB-NP\tO' +p89233 +aS'endobronchial\tendobronchial\tJJ\tI-NP\tO' +p89234 +aS'tumor\ttumor\tNN\tI-NP\tO' +p89235 +aS'of\tof\tIN\tB-PP\tO' +p89236 +aS'the\tthe\tDT\tB-NP\tO' +p89237 +aS'right\tright\tJJ\tI-NP\tO' +p89238 +aS'upper\tupper\tJJ\tI-NP\tO' +p89239 +aS'lobe\tlobe\tNN\tI-NP\tO' +p89240 +aS'bronchus\tbronchus\tNN\tI-NP\tO' +p89241 +aS'and\tand\tCC\tO\tO' +p89242 +aS'it\tit\tPRP\tB-NP\tO' +p89243 +aS'was\tbe\tVBD\tB-VP\tO' +p89244 +aS'felt\tfeel\tVBN\tI-VP\tO' +p89245 +aS'to\tto\tTO\tI-VP\tO' +p89246 +aS'be\tbe\tVB\tI-VP\tO' +p89247 +aS'unresectable\tunresectable\tJJ\tB-ADJP\tO' +p89248 +aS'.\t.\t.\tO\tO' +p89249 +asS'The colonoscopy showed two polyps and also a region in the transverse colon that was biopsied .' +p89250 +(lp89251 +S'The\tThe\tDT\tB-NP\tO' +p89252 +aS'colonoscopy\tcolonoscopy\tNN\tI-NP\tO' +p89253 +aS'showed\tshow\tVBD\tB-VP\tO' +p89254 +aS'two\ttwo\tCD\tB-NP\tO' +p89255 +aS'polyps\tpolyp\tNNS\tI-NP\tO' +p89256 +aS'and\tand\tCC\tO\tO' +p89257 +aS'also\talso\tRB\tB-ADVP\tO' +p89258 +aS'a\ta\tDT\tB-NP\tO' +p89259 +aS'region\tregion\tNN\tI-NP\tO' +p89260 +aS'in\tin\tIN\tB-PP\tO' +p89261 +aS'the\tthe\tDT\tB-NP\tO' +p89262 +aS'transverse\ttransverse\tJJ\tI-NP\tO' +p89263 +aS'colon\tcolon\tNN\tI-NP\tO' +p89264 +aS'that\tthat\tWDT\tB-NP\tO' +p89265 +aS'was\tbe\tVBD\tB-VP\tO' +p89266 +aS'biopsied\tbiopsie\tVBN\tI-VP\tO' +p89267 +aS'.\t.\t.\tO\tO' +p89268 +asS'The patient is discharged home with home rehabilitation .' +p89269 +(lp89270 +S'The\tThe\tDT\tB-NP\tO' +p89271 +aS'patient\tpatient\tNN\tI-NP\tO' +p89272 +aS'is\tbe\tVBZ\tB-VP\tO' +p89273 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p89274 +aS'home\thome\tNN\tB-ADVP\tO' +p89275 +aS'with\twith\tIN\tB-PP\tO' +p89276 +aS'home\thome\tNN\tB-NP\tO' +p89277 +aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' +p89278 +aS'.\t.\t.\tO\tO' +p89279 +asS'Her extraocular motions were full .' +p89280 +(lp89281 +S'Her\tHer\tPRP$\tB-NP\tO' +p89282 +aS'extraocular\textraocular\tJJ\tI-NP\tO' +p89283 +aS'motions\tmotion\tNNS\tI-NP\tO' +p89284 +aS'were\tbe\tVBD\tB-VP\tO' +p89285 +aS'full\tfull\tJJ\tB-ADJP\tO' +p89286 +aS'.\t.\t.\tO\tO' +p89287 +asS'Keep follow-up medical appointments with Dr Trosgaugh .' +p89288 +(lp89289 +S'Keep\tKeep\tVB\tB-VP\tO' +p89290 +aS'follow-up\tfollow-up\tJJ\tB-NP\tO' +p89291 +aS'medical\tmedical\tJJ\tI-NP\tO' +p89292 +aS'appointments\tappointment\tNNS\tI-NP\tO' +p89293 +aS'with\twith\tIN\tB-PP\tO' +p89294 +aS'Dr\tDr\tNNP\tB-NP\tO' +p89295 +aS'Trosgaugh\tTrosgaugh\tNNP\tI-NP\tO' +p89296 +aS'.\t.\t.\tO\tO' +p89297 +asS'he had to have it replaced , however , because his head incision began to leak again .' +p89298 +(lp89299 +S'he\the\tPRP\tB-NP\tO' +p89300 +aS'had\thave\tVBD\tB-VP\tO' +p89301 +aS'to\tto\tTO\tI-VP\tO' +p89302 +aS'have\thave\tVB\tI-VP\tO' +p89303 +aS'it\tit\tPRP\tB-NP\tO' +p89304 +aS'replaced\treplace\tVBN\tB-VP\tO' +p89305 +aS',\t,\t,\tO\tO' +p89306 +aS'however\thowever\tRB\tB-ADVP\tO' +p89307 +aS',\t,\t,\tO\tO' +p89308 +aS'because\tbecause\tIN\tB-SBAR\tO' +p89309 +aS'his\this\tPRP$\tB-NP\tO' +p89310 +aS'head\thead\tNN\tI-NP\tO' +p89311 +aS'incision\tincision\tNN\tI-NP\tO' +p89312 +aS'began\tbegin\tVBD\tB-VP\tO' +p89313 +aS'to\tto\tTO\tI-VP\tO' +p89314 +aS'leak\tleak\tVB\tI-VP\tO' +p89315 +aS'again\tagain\tRB\tB-ADVP\tO' +p89316 +aS'.\t.\t.\tO\tO' +p89317 +asS'He was on pain medication and he was also on Percocet , but now he can manage without the Percocet .' +p89318 +(lp89319 +S'He\tHe\tPRP\tB-NP\tO' +p89320 +aS'was\tbe\tVBD\tB-VP\tO' +p89321 +aS'on\ton\tIN\tB-PP\tO' +p89322 +aS'pain\tpain\tNN\tB-NP\tO' +p89323 +aS'medication\tmedication\tNN\tI-NP\tO' +p89324 +aS'and\tand\tCC\tO\tO' +p89325 +aS'he\the\tPRP\tB-NP\tO' +p89326 +aS'was\tbe\tVBD\tB-VP\tO' +p89327 +aS'also\talso\tRB\tB-ADVP\tO' +p89328 +aS'on\ton\tIN\tB-PP\tO' +p89329 +aS'Percocet\tPercocet\tNNP\tB-NP\tO' +p89330 +aS',\t,\t,\tO\tO' +p89331 +aS'but\tbut\tCC\tO\tO' +p89332 +aS'now\tnow\tRB\tB-ADVP\tO' +p89333 +aS'he\the\tPRP\tB-NP\tO' +p89334 +aS'can\tcan\tMD\tB-VP\tO' +p89335 +aS'manage\tmanage\tVB\tI-VP\tO' +p89336 +aS'without\twithout\tIN\tB-PP\tO' +p89337 +aS'the\tthe\tDT\tB-NP\tO' +p89338 +aS'Percocet\tPercocet\tNNP\tI-NP\tO' +p89339 +aS'.\t.\t.\tO\tO' +p89340 +asS'EGD attempted but pt unable to tolerate .' +p89341 +(lp89342 +S'EGD\tEGD\tNN\tB-NP\tB-protein' +p89343 +aS'attempted\tattempt\tVBD\tB-VP\tO' +p89344 +aS'but\tbut\tCC\tI-VP\tO' +p89345 +aS'pt\tpt\tVBD\tI-VP\tO' +p89346 +aS'unable\tunable\tJJ\tB-ADJP\tO' +p89347 +aS'to\tto\tTO\tB-VP\tO' +p89348 +aS'tolerate\ttolerate\tVB\tI-VP\tO' +p89349 +aS'.\t.\t.\tO\tO' +p89350 +asS'A fluid collection external to the fascia consistent with site of erythema .' +p89351 +(lp89352 +S'A\tA\tDT\tB-NP\tO' +p89353 +aS'fluid\tfluid\tNN\tI-NP\tO' +p89354 +aS'collection\tcollection\tNN\tI-NP\tO' +p89355 +aS'external\texternal\tJJ\tB-ADJP\tO' +p89356 +aS'to\tto\tTO\tB-PP\tO' +p89357 +aS'the\tthe\tDT\tB-NP\tO' +p89358 +aS'fascia\tfascia\tNN\tI-NP\tO' +p89359 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p89360 +aS'with\twith\tIN\tB-PP\tO' +p89361 +aS'site\tsite\tNN\tB-NP\tO' +p89362 +aS'of\tof\tIN\tB-PP\tO' +p89363 +aS'erythema\terythema\tNN\tB-NP\tO' +p89364 +aS'.\t.\t.\tO\tO' +p89365 +asS'The patient did not notice change of vision in the background .' +p89366 +(lp89367 +S'The\tThe\tDT\tB-NP\tO' +p89368 +aS'patient\tpatient\tNN\tI-NP\tO' +p89369 +aS'did\tdo\tVBD\tB-VP\tO' +p89370 +aS'not\tnot\tRB\tI-VP\tO' +p89371 +aS'notice\tnotice\tVB\tI-VP\tO' +p89372 +aS'change\tchange\tNN\tB-NP\tO' +p89373 +aS'of\tof\tIN\tB-PP\tO' +p89374 +aS'vision\tvision\tNN\tB-NP\tO' +p89375 +aS'in\tin\tIN\tB-PP\tO' +p89376 +aS'the\tthe\tDT\tB-NP\tO' +p89377 +aS'background\tbackground\tNN\tI-NP\tO' +p89378 +aS'.\t.\t.\tO\tO' +p89379 +asS'3. Diabetes .' +p89380 +(lp89381 +S'3.\t3.\tLS\tB-NP\tO' +p89382 +aS'Diabetes\tDiabetes\tNN\tI-NP\tO' +p89383 +aS'.\t.\t.\tO\tO' +p89384 +asS'Neck was supple without masses or defects .' +p89385 +(lp89386 +S'Neck\tNeck\tNN\tB-NP\tO' +p89387 +aS'was\tbe\tVBD\tB-VP\tO' +p89388 +aS'supple\tsupple\tNN\tB-NP\tO' +p89389 +aS'without\twithout\tIN\tB-PP\tO' +p89390 +aS'masses\tmass\tNNS\tB-NP\tO' +p89391 +aS'or\tor\tCC\tI-NP\tO' +p89392 +aS'defects\tdefect\tNNS\tI-NP\tO' +p89393 +aS'.\t.\t.\tO\tO' +p89394 +asS'Psychiatry was consulted .' +p89395 +(lp89396 +S'Psychiatry\tPsychiatry\tNN\tB-NP\tO' +p89397 +aS'was\tbe\tVBD\tB-VP\tO' +p89398 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p89399 +aS'.\t.\t.\tO\tO' +p89400 +asS'This CT scan , done also on 10/10/97 , again showed the severely comminuted fracture of the proximal left humerus .' +p89401 +(lp89402 +S'This\tThis\tDT\tB-NP\tO' +p89403 +aS'CT\tCT\tNN\tI-NP\tO' +p89404 +aS'scan\tscan\tNN\tI-NP\tO' +p89405 +aS',\t,\t,\tO\tO' +p89406 +aS'done\tdo\tVBN\tB-VP\tO' +p89407 +aS'also\talso\tRB\tB-ADVP\tO' +p89408 +aS'on\ton\tIN\tB-PP\tO' +p89409 +aS'10/10/97\t10/10/97\tCD\tB-NP\tO' +p89410 +aS',\t,\t,\tO\tO' +p89411 +aS'again\tagain\tRB\tB-ADVP\tO' +p89412 +aS'showed\tshow\tVBD\tB-VP\tO' +p89413 +aS'the\tthe\tDT\tB-NP\tO' +p89414 +aS'severely\tseverely\tRB\tI-NP\tO' +p89415 +aS'comminuted\tcomminute\tVBN\tI-NP\tO' +p89416 +aS'fracture\tfracture\tNN\tI-NP\tO' +p89417 +aS'of\tof\tIN\tB-PP\tO' +p89418 +aS'the\tthe\tDT\tB-NP\tO' +p89419 +aS'proximal\tproximal\tJJ\tI-NP\tO' +p89420 +aS'left\tleft\tJJ\tI-NP\tO' +p89421 +aS'humerus\thumerus\tNN\tI-NP\tO' +p89422 +aS'.\t.\t.\tO\tO' +p89423 +asS'Patient remained afebrile .' +p89424 +(lp89425 +S'Patient\tPatient\tNN\tB-NP\tO' +p89426 +aS'remained\tremain\tVBD\tB-VP\tO' +p89427 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p89428 +aS'.\t.\t.\tO\tO' +p89429 +asS'Despite all these measures , his bleeding was never totally controlled .' +p89430 +(lp89431 +S'Despite\tDespite\tIN\tB-PP\tO' +p89432 +aS'all\tall\tPDT\tB-NP\tO' +p89433 +aS'these\tthese\tDT\tI-NP\tO' +p89434 +aS'measures\tmeasure\tNNS\tI-NP\tO' +p89435 +aS',\t,\t,\tO\tO' +p89436 +aS'his\this\tPRP$\tB-NP\tO' +p89437 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p89438 +aS'was\tbe\tVBD\tB-VP\tO' +p89439 +aS'never\tnever\tRB\tI-VP\tO' +p89440 +aS'totally\ttotally\tRB\tI-VP\tO' +p89441 +aS'controlled\tcontrol\tVBN\tI-VP\tO' +p89442 +aS'.\t.\t.\tO\tO' +p89443 +asS'The abdomen was non-tender , nondistended , no hepatomegaly , normal bowel sounds .' +p89444 +(lp89445 +S'The\tThe\tDT\tB-NP\tO' +p89446 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p89447 +aS'was\tbe\tVBD\tB-VP\tO' +p89448 +aS'non-tender\tnon-tender\tJJ\tB-ADJP\tO' +p89449 +aS',\t,\t,\tO\tO' +p89450 +aS'nondistended\tnondistended\tJJ\tB-ADJP\tO' +p89451 +aS',\t,\t,\tO\tO' +p89452 +aS'no\tno\tDT\tB-NP\tO' +p89453 +aS'hepatomegaly\thepatomegaly\tNN\tI-NP\tO' +p89454 +aS',\t,\t,\tO\tO' +p89455 +aS'normal\tnormal\tJJ\tB-NP\tO' +p89456 +aS'bowel\tbowel\tNN\tI-NP\tO' +p89457 +aS'sounds\tsound\tNNS\tI-NP\tO' +p89458 +aS'.\t.\t.\tO\tO' +p89459 +asS'The patient is a 47 - year-old male with a past medical history of coronary artery disease , status post 2-vessel percutaneous transluminal coronary angioplasty in 2005 , 3-vessel percutaneous transluminal coronary angioplasty in 2009 , hypertension , new onset type 2 diabetes , and hypercholesterolemia who presents with the sudden onset of substernal chest pain status post exercise .' +p89460 +(lp89461 +S'The\tThe\tDT\tB-NP\tO' +p89462 +aS'patient\tpatient\tNN\tI-NP\tO' +p89463 +aS'is\tbe\tVBZ\tB-VP\tO' +p89464 +aS'a\ta\tDT\tB-NP\tO' +p89465 +aS'47\t47\tCD\tI-NP\tO' +p89466 +aS'-\t-\tHYPH\tI-NP\tO' +p89467 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p89468 +aS'male\tmale\tNN\tI-NP\tO' +p89469 +aS'with\twith\tIN\tB-PP\tO' +p89470 +aS'a\ta\tDT\tB-NP\tO' +p89471 +aS'past\tpast\tJJ\tI-NP\tO' +p89472 +aS'medical\tmedical\tJJ\tI-NP\tO' +p89473 +aS'history\thistory\tNN\tI-NP\tO' +p89474 +aS'of\tof\tIN\tB-PP\tO' +p89475 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p89476 +aS'artery\tartery\tNN\tI-NP\tO' +p89477 +aS'disease\tdisease\tNN\tI-NP\tO' +p89478 +aS',\t,\t,\tO\tO' +p89479 +aS'status\tstatus\tNN\tB-NP\tO' +p89480 +aS'post\tpost\tVBD\tB-VP\tO' +p89481 +aS'2-vessel\t2-vessel\tJJ\tB-NP\tO' +p89482 +aS'percutaneous\tpercutaneous\tJJ\tI-NP\tO' +p89483 +aS'transluminal\ttransluminal\tJJ\tI-NP\tO' +p89484 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p89485 +aS'angioplasty\tangioplasty\tNN\tI-NP\tO' +p89486 +aS'in\tin\tIN\tB-PP\tO' +p89487 +aS'2005\t2005\tCD\tB-NP\tO' +p89488 +aS',\t,\t,\tO\tO' +p89489 +aS'3-vessel\t3-vessel\tJJ\tB-NP\tO' +p89490 +aS'percutaneous\tpercutaneous\tJJ\tI-NP\tO' +p89491 +aS'transluminal\ttransluminal\tJJ\tI-NP\tO' +p89492 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p89493 +aS'angioplasty\tangioplasty\tNN\tI-NP\tO' +p89494 +aS'in\tin\tIN\tB-PP\tO' +p89495 +aS'2009\t2009\tCD\tB-NP\tO' +p89496 +aS',\t,\t,\tO\tO' +p89497 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p89498 +aS',\t,\t,\tO\tO' +p89499 +aS'new\tnew\tJJ\tB-NP\tO' +p89500 +aS'onset\tonset\tNN\tI-NP\tO' +p89501 +aS'type\ttype\tNN\tI-NP\tO' +p89502 +aS'2\t2\tCD\tB-NP\tO' +p89503 +aS'diabetes\tdiabete\tNNS\tI-NP\tO' +p89504 +aS',\t,\t,\tO\tO' +p89505 +aS'and\tand\tCC\tO\tO' +p89506 +aS'hypercholesterolemia\thypercholesterolemia\tNN\tB-NP\tO' +p89507 +aS'who\twho\tWP\tB-NP\tO' +p89508 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p89509 +aS'with\twith\tIN\tB-PP\tO' +p89510 +aS'the\tthe\tDT\tB-NP\tO' +p89511 +aS'sudden\tsudden\tJJ\tI-NP\tO' +p89512 +aS'onset\tonset\tNN\tI-NP\tO' +p89513 +aS'of\tof\tIN\tB-PP\tO' +p89514 +aS'substernal\tsubsternal\tJJ\tB-NP\tO' +p89515 +aS'chest\tchest\tNN\tI-NP\tO' +p89516 +aS'pain\tpain\tNN\tI-NP\tO' +p89517 +aS'status\tstatus\tNN\tI-NP\tO' +p89518 +aS'post\tpost\tNN\tI-NP\tO' +p89519 +aS'exercise\texercise\tNN\tI-NP\tO' +p89520 +aS'.\t.\t.\tO\tO' +p89521 +asS'Guaiac all stools , check iron studies .' +p89522 +(lp89523 +S'Guaiac\tGuaiac\tJJ\tB-NP\tO' +p89524 +aS'all\tall\tDT\tI-NP\tO' +p89525 +aS'stools\tstool\tNNS\tI-NP\tO' +p89526 +aS',\t,\t,\tO\tO' +p89527 +aS'check\tcheck\tNN\tB-NP\tO' +p89528 +aS'iron\tiron\tNN\tI-NP\tO' +p89529 +aS'studies\tstudy\tNNS\tI-NP\tO' +p89530 +aS'.\t.\t.\tO\tO' +p89531 +asS'A c.difficile test is negative on prelim read , however very low suspicion given no recent antibiotic use .' +p89532 +(lp89533 +S'A\tA\tDT\tB-NP\tO' +p89534 +aS'c.difficile\tc.difficile\tJJ\tI-NP\tO' +p89535 +aS'test\ttest\tNN\tI-NP\tO' +p89536 +aS'is\tbe\tVBZ\tB-VP\tO' +p89537 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p89538 +aS'on\ton\tIN\tB-PP\tO' +p89539 +aS'prelim\tprelim\tJJ\tB-NP\tO' +p89540 +aS'read\tread\tNN\tI-NP\tO' +p89541 +aS',\t,\t,\tO\tO' +p89542 +aS'however\thowever\tRB\tB-NP\tO' +p89543 +aS'very\tvery\tRB\tI-NP\tO' +p89544 +aS'low\tlow\tJJ\tI-NP\tO' +p89545 +aS'suspicion\tsuspicion\tNN\tI-NP\tO' +p89546 +aS'given\tgive\tVBN\tB-VP\tO' +p89547 +aS'no\tno\tDT\tB-NP\tO' +p89548 +aS'recent\trecent\tJJ\tI-NP\tO' +p89549 +aS'antibiotic\tantibiotic\tJJ\tI-NP\tO' +p89550 +aS'use\tuse\tNN\tI-NP\tO' +p89551 +aS'.\t.\t.\tO\tO' +p89552 +asS'5. Simvastatin 40 mg Tablet Sig : One ( 1 ) Tablet PO once a day .' +p89553 +(lp89554 +S'5.\t5.\tLS\tB-NP\tO' +p89555 +aS'Simvastatin\tSimvastatin\tNN\tI-NP\tO' +p89556 +aS'40\t40\tCD\tI-NP\tO' +p89557 +aS'mg\tmg\tNN\tI-NP\tO' +p89558 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p89559 +aS'Sig\tSig\tNNP\tI-NP\tO' +p89560 +aS':\t:\t:\tO\tO' +p89561 +aS'One\tOne\tCD\tB-NP\tO' +p89562 +aS'(\t(\t(\tO\tO' +p89563 +aS'1\t1\tCD\tB-NP\tO' +p89564 +aS')\t)\t)\tO\tO' +p89565 +aS'Tablet\tTablet\tNN\tB-NP\tB-protein' +p89566 +aS'PO\tPO\tNN\tI-NP\tI-protein' +p89567 +aS'once\tonce\tRB\tO\tO' +p89568 +aS'a\ta\tDT\tB-NP\tO' +p89569 +aS'day\tday\tNN\tI-NP\tO' +p89570 +aS'.\t.\t.\tO\tO' +p89571 +asS'The patient ambulating three to four times per day and able to get out of bed using a walker .' +p89572 +(lp89573 +S'The\tThe\tDT\tB-NP\tO' +p89574 +aS'patient\tpatient\tNN\tI-NP\tO' +p89575 +aS'ambulating\tambulate\tVBG\tB-VP\tO' +p89576 +aS'three\tthree\tCD\tB-NP\tO' +p89577 +aS'to\tto\tTO\tI-NP\tO' +p89578 +aS'four\tfour\tCD\tI-NP\tO' +p89579 +aS'times\ttime\tNNS\tI-NP\tO' +p89580 +aS'per\tper\tIN\tB-PP\tO' +p89581 +aS'day\tday\tNN\tB-NP\tO' +p89582 +aS'and\tand\tCC\tO\tO' +p89583 +aS'able\table\tJJ\tB-ADJP\tO' +p89584 +aS'to\tto\tTO\tB-VP\tO' +p89585 +aS'get\tget\tVB\tI-VP\tO' +p89586 +aS'out\tout\tIN\tB-PP\tO' +p89587 +aS'of\tof\tIN\tB-PP\tO' +p89588 +aS'bed\tbed\tNN\tB-NP\tO' +p89589 +aS'using\tuse\tVBG\tB-VP\tO' +p89590 +aS'a\ta\tDT\tB-NP\tO' +p89591 +aS'walker\twalker\tNN\tI-NP\tO' +p89592 +aS'.\t.\t.\tO\tO' +p89593 +asS'Therefore , she was discharged on 2014-08-09 in good condition .' +p89594 +(lp89595 +S'Therefore\tTherefore\tRB\tB-ADVP\tO' +p89596 +aS',\t,\t,\tO\tO' +p89597 +aS'she\tshe\tPRP\tB-NP\tO' +p89598 +aS'was\tbe\tVBD\tB-VP\tO' +p89599 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p89600 +aS'on\ton\tIN\tB-PP\tO' +p89601 +aS'2014-08-09\t2014-08-09\tCD\tB-NP\tO' +p89602 +aS'in\tin\tIN\tB-PP\tO' +p89603 +aS'good\tgood\tJJ\tB-NP\tO' +p89604 +aS'condition\tcondition\tNN\tI-NP\tO' +p89605 +aS'.\t.\t.\tO\tO' +p89606 +asS'Surgical left pupil .' +p89607 +(lp89608 +S'Surgical\tSurgical\tJJ\tB-NP\tO' +p89609 +aS'left\tleft\tJJ\tI-NP\tO' +p89610 +aS'pupil\tpupil\tNN\tI-NP\tO' +p89611 +aS'.\t.\t.\tO\tO' +p89612 +asS'This 78-year-old woman had stage IIIB carcinoma of the cervix and she has known periaortic and splenic metastases .' +p89613 +(lp89614 +S'This\tThis\tDT\tB-NP\tO' +p89615 +aS'78-year-old\t78-year-old\tJJ\tI-NP\tO' +p89616 +aS'woman\twoman\tNN\tI-NP\tO' +p89617 +aS'had\thave\tVBD\tB-VP\tO' +p89618 +aS'stage\tstage\tNN\tB-NP\tO' +p89619 +aS'IIIB\tIIIB\tNN\tI-NP\tO' +p89620 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p89621 +aS'of\tof\tIN\tB-PP\tO' +p89622 +aS'the\tthe\tDT\tB-NP\tO' +p89623 +aS'cervix\tcervix\tNN\tI-NP\tO' +p89624 +aS'and\tand\tCC\tO\tO' +p89625 +aS'she\tshe\tPRP\tB-NP\tO' +p89626 +aS'has\thave\tVBZ\tB-VP\tO' +p89627 +aS'known\tknow\tVBN\tI-VP\tO' +p89628 +aS'periaortic\tperiaortic\tJJ\tB-NP\tO' +p89629 +aS'and\tand\tCC\tI-NP\tO' +p89630 +aS'splenic\tsplenic\tJJ\tI-NP\tB-protein' +p89631 +aS'metastases\tmetastasis\tNNS\tI-NP\tI-protein' +p89632 +aS'.\t.\t.\tO\tO' +p89633 +asS'8. Acetaminophen 325 mg Tablet Sig : 1-2 Tablets PO Q4-6H ( every 4 to 6 hours ) as needed .' +p89634 +(lp89635 +S'8.\t8.\tCD\tB-NP\tO' +p89636 +aS'Acetaminophen\tAcetaminophen\tNN\tI-NP\tO' +p89637 +aS'325\t325\tCD\tB-NP\tO' +p89638 +aS'mg\tmg\tNN\tI-NP\tO' +p89639 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p89640 +aS'Sig\tSig\tNNP\tI-NP\tO' +p89641 +aS':\t:\t:\tO\tO' +p89642 +aS'1-2\t1-2\tCD\tB-NP\tO' +p89643 +aS'Tablets\tTablet\tNNS\tI-NP\tO' +p89644 +aS'PO\tPO\tNN\tI-NP\tO' +p89645 +aS'Q4-6H\tQ4-6H\tNN\tI-NP\tO' +p89646 +aS'(\t(\t(\tO\tO' +p89647 +aS'every\tevery\tDT\tB-NP\tO' +p89648 +aS'4\t4\tCD\tI-NP\tO' +p89649 +aS'to\tto\tTO\tI-NP\tO' +p89650 +aS'6\t6\tCD\tI-NP\tO' +p89651 +aS'hours\thour\tNNS\tI-NP\tO' +p89652 +aS')\t)\t)\tO\tO' +p89653 +aS'as\tas\tIN\tB-SBAR\tO' +p89654 +aS'needed\tneed\tVBN\tB-VP\tO' +p89655 +aS'.\t.\t.\tO\tO' +p89656 +asS'The family has been notified and autopsy consent has been obtained .' +p89657 +(lp89658 +S'The\tThe\tDT\tB-NP\tO' +p89659 +aS'family\tfamily\tNN\tI-NP\tO' +p89660 +aS'has\thave\tVBZ\tB-VP\tO' +p89661 +aS'been\tbe\tVBN\tI-VP\tO' +p89662 +aS'notified\tnotify\tVBN\tI-VP\tO' +p89663 +aS'and\tand\tCC\tO\tO' +p89664 +aS'autopsy\tautopsy\tNN\tB-NP\tO' +p89665 +aS'consent\tconsent\tNN\tI-NP\tO' +p89666 +aS'has\thave\tVBZ\tB-VP\tO' +p89667 +aS'been\tbe\tVBN\tI-VP\tO' +p89668 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p89669 +aS'.\t.\t.\tO\tO' +p89670 +asS'The electrocardiogram revealed normal sinus rhythm at 85 with a prolonged QT at 0.572 .' +p89671 +(lp89672 +S'The\tThe\tDT\tB-NP\tO' +p89673 +aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' +p89674 +aS'revealed\treveal\tVBD\tB-VP\tO' +p89675 +aS'normal\tnormal\tJJ\tB-NP\tO' +p89676 +aS'sinus\tsinus\tNN\tI-NP\tO' +p89677 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p89678 +aS'at\tat\tIN\tB-PP\tO' +p89679 +aS'85\t85\tCD\tB-NP\tO' +p89680 +aS'with\twith\tIN\tB-PP\tO' +p89681 +aS'a\ta\tDT\tB-NP\tO' +p89682 +aS'prolonged\tprolonged\tJJ\tI-NP\tO' +p89683 +aS'QT\tQT\tNN\tI-NP\tO' +p89684 +aS'at\tat\tIN\tB-PP\tO' +p89685 +aS'0.572\t0.572\tCD\tB-NP\tO' +p89686 +aS'.\t.\t.\tO\tO' +p89687 +asS'Lopressor 25 mg PO b.i.d. , Cardizem 30 mg po q.i.d. , Zantac 150 mg po qd , Isordil 60 mg po q a.m. , 60 mg po q noon , 30 mg po q p.m. and 30 mg po q hs , Glipizide po 5 mg q a.m.' +p89688 +(lp89689 +S'Lopressor\tLopressor\tNN\tB-NP\tO' +p89690 +aS'25\t25\tCD\tI-NP\tO' +p89691 +aS'mg\tmg\tNN\tI-NP\tO' +p89692 +aS'PO\tPO\tNN\tI-NP\tO' +p89693 +aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' +p89694 +aS',\t,\t,\tO\tO' +p89695 +aS'Cardizem\tCardizem\tNNP\tB-NP\tO' +p89696 +aS'30\t30\tCD\tI-NP\tO' +p89697 +aS'mg\tmg\tNN\tI-NP\tO' +p89698 +aS'po\tpo\tNN\tI-NP\tO' +p89699 +aS'q.i.d.\tq.i.d.\tNN\tI-NP\tO' +p89700 +aS',\t,\t,\tO\tO' +p89701 +aS'Zantac\tZantac\tNN\tB-NP\tO' +p89702 +aS'150\t150\tCD\tI-NP\tO' +p89703 +aS'mg\tmg\tNN\tI-NP\tO' +p89704 +aS'po\tpo\tNN\tI-NP\tO' +p89705 +aS'qd\tqd\tNN\tI-NP\tO' +p89706 +aS',\t,\t,\tO\tO' +p89707 +aS'Isordil\tIsordil\tNN\tB-NP\tO' +p89708 +aS'60\t60\tCD\tI-NP\tO' +p89709 +aS'mg\tmg\tNN\tI-NP\tO' +p89710 +aS'po\tpo\tNN\tI-NP\tO' +p89711 +aS'q\tq\tNN\tI-NP\tO' +p89712 +aS'a.m.\ta.m.\tRB\tB-ADVP\tO' +p89713 +aS',\t,\t,\tO\tO' +p89714 +aS'60\t60\tCD\tB-NP\tO' +p89715 +aS'mg\tmg\tNN\tI-NP\tO' +p89716 +aS'po\tpo\tNN\tI-NP\tO' +p89717 +aS'q\tq\tNN\tI-NP\tO' +p89718 +aS'noon\tnoon\tNN\tI-NP\tO' +p89719 +aS',\t,\t,\tO\tO' +p89720 +aS'30\t30\tCD\tB-NP\tO' +p89721 +aS'mg\tmg\tNN\tI-NP\tO' +p89722 +aS'po\tpo\tNN\tI-NP\tO' +p89723 +aS'q\tq\tNN\tI-NP\tO' +p89724 +aS'p.m.\tp.m.\tNN\tI-NP\tO' +p89725 +aS'and\tand\tCC\tO\tO' +p89726 +aS'30\t30\tCD\tB-NP\tO' +p89727 +aS'mg\tmg\tNN\tI-NP\tO' +p89728 +aS'po\tpo\tNN\tI-NP\tO' +p89729 +aS'q\tq\tNN\tI-NP\tO' +p89730 +aS'hs\th\tNNS\tI-NP\tO' +p89731 +aS',\t,\t,\tO\tO' +p89732 +aS'Glipizide\tGlipizide\tNNP\tB-NP\tO' +p89733 +aS'po\tpo\tVBP\tB-VP\tO' +p89734 +aS'5\t5\tCD\tB-NP\tO' +p89735 +aS'mg\tmg\tNN\tI-NP\tO' +p89736 +aS'q\tq\tNN\tI-NP\tO' +p89737 +aS'a.m.\ta.m.\tRB\tB-ADVP\tO' +p89738 +asS'She was noted to have mild cataracts , possibly due to chronic steroids , as well as a subtle temporal disc pallor OD , possibly due to previous episode of optic neuritis .' +p89739 +(lp89740 +S'She\tShe\tPRP\tB-NP\tO' +p89741 +aS'was\tbe\tVBD\tB-VP\tO' +p89742 +aS'noted\tnote\tVBN\tI-VP\tO' +p89743 +aS'to\tto\tTO\tI-VP\tO' +p89744 +aS'have\thave\tVB\tI-VP\tO' +p89745 +aS'mild\tmild\tJJ\tB-NP\tO' +p89746 +aS'cataracts\tcataract\tNNS\tI-NP\tO' +p89747 +aS',\t,\t,\tO\tO' +p89748 +aS'possibly\tpossibly\tRB\tB-ADVP\tO' +p89749 +aS'due\tdue\tJJ\tB-PP\tO' +p89750 +aS'to\tto\tTO\tB-PP\tO' +p89751 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p89752 +aS'steroids\tsteroid\tNNS\tI-NP\tO' +p89753 +aS',\t,\t,\tO\tO' +p89754 +aS'as\tas\tRB\tB-CONJP\tO' +p89755 +aS'well\twell\tRB\tI-CONJP\tO' +p89756 +aS'as\tas\tIN\tI-CONJP\tO' +p89757 +aS'a\ta\tDT\tB-NP\tO' +p89758 +aS'subtle\tsubtle\tJJ\tI-NP\tO' +p89759 +aS'temporal\ttemporal\tJJ\tI-NP\tO' +p89760 +aS'disc\tdisc\tNN\tI-NP\tO' +p89761 +aS'pallor\tpallor\tNN\tI-NP\tO' +p89762 +aS'OD\tOD\tNN\tI-NP\tO' +p89763 +aS',\t,\t,\tO\tO' +p89764 +aS'possibly\tpossibly\tRB\tB-ADVP\tO' +p89765 +aS'due\tdue\tJJ\tB-PP\tO' +p89766 +aS'to\tto\tTO\tB-PP\tO' +p89767 +aS'previous\tprevious\tJJ\tB-NP\tO' +p89768 +aS'episode\tepisode\tNN\tI-NP\tO' +p89769 +aS'of\tof\tIN\tB-PP\tO' +p89770 +aS'optic\toptic\tJJ\tB-NP\tO' +p89771 +aS'neuritis\tneuritis\tNN\tI-NP\tO' +p89772 +aS'.\t.\t.\tO\tO' +p89773 +asS"The patient 's sternal incision had a superior edge that was dehisced with evidence for stay sutures and some superficial closure sutures exposed ." +p89774 +(lp89775 +S'The\tThe\tDT\tB-NP\tO' +p89776 +aS'patient\tpatient\tNN\tI-NP\tO' +p89777 +aS"'s\t's\tPOS\tB-NP\tO" +p89778 +aS'sternal\tsternal\tJJ\tI-NP\tO' +p89779 +aS'incision\tincision\tNN\tI-NP\tO' +p89780 +aS'had\thave\tVBD\tB-VP\tO' +p89781 +aS'a\ta\tDT\tB-NP\tO' +p89782 +aS'superior\tsuperior\tJJ\tI-NP\tO' +p89783 +aS'edge\tedge\tNN\tI-NP\tO' +p89784 +aS'that\tthat\tWDT\tB-NP\tO' +p89785 +aS'was\tbe\tVBD\tB-VP\tO' +p89786 +aS'dehisced\tdehisce\tVBN\tI-VP\tO' +p89787 +aS'with\twith\tIN\tB-PP\tO' +p89788 +aS'evidence\tevidence\tNN\tB-NP\tO' +p89789 +aS'for\tfor\tIN\tB-PP\tO' +p89790 +aS'stay\tstay\tNN\tB-NP\tO' +p89791 +aS'sutures\tsuture\tNNS\tI-NP\tO' +p89792 +aS'and\tand\tCC\tO\tO' +p89793 +aS'some\tsome\tDT\tB-NP\tO' +p89794 +aS'superficial\tsuperficial\tJJ\tI-NP\tO' +p89795 +aS'closure\tclosure\tNN\tI-NP\tO' +p89796 +aS'sutures\tsuture\tNNS\tI-NP\tO' +p89797 +aS'exposed\texpose\tVBN\tB-VP\tO' +p89798 +aS'.\t.\t.\tO\tO' +p89799 +asS'Transferred to CCU for further management and observation .' +p89800 +(lp89801 +S'Transferred\tTransfer\tVBN\tB-VP\tO' +p89802 +aS'to\tto\tTO\tB-PP\tO' +p89803 +aS'CCU\tCCU\tNN\tB-NP\tB-protein' +p89804 +aS'for\tfor\tIN\tB-PP\tO' +p89805 +aS'further\tfurther\tJJ\tB-NP\tO' +p89806 +aS'management\tmanagement\tNN\tI-NP\tO' +p89807 +aS'and\tand\tCC\tI-NP\tO' +p89808 +aS'observation\tobservation\tNN\tI-NP\tO' +p89809 +aS'.\t.\t.\tO\tO' +p89810 +asS'Neuro - Sedated .' +p89811 +(lp89812 +S'Neuro\tNeuro\tNN\tB-NP\tO' +p89813 +aS'-\t-\tHYPH\tO\tO' +p89814 +aS'Sedated\tSedate\tVBN\tB-VP\tO' +p89815 +aS'.\t.\t.\tO\tO' +p89816 +asS'Strength was 5/5 on the right side , 4/5 on the left side .' +p89817 +(lp89818 +S'Strength\tStrength\tNN\tB-NP\tO' +p89819 +aS'was\tbe\tVBD\tB-VP\tO' +p89820 +aS'5/5\t5/5\tCD\tB-NP\tO' +p89821 +aS'on\ton\tIN\tB-PP\tO' +p89822 +aS'the\tthe\tDT\tB-NP\tO' +p89823 +aS'right\tright\tJJ\tI-NP\tO' +p89824 +aS'side\tside\tNN\tI-NP\tO' +p89825 +aS',\t,\t,\tO\tO' +p89826 +aS'4/5\t4/5\tCD\tB-NP\tO' +p89827 +aS'on\ton\tIN\tB-PP\tO' +p89828 +aS'the\tthe\tDT\tB-NP\tO' +p89829 +aS'left\tleft\tJJ\tI-NP\tO' +p89830 +aS'side\tside\tNN\tI-NP\tO' +p89831 +aS'.\t.\t.\tO\tO' +p89832 +asS'Please follow up with Dr. Parker in cardiology ( ( 216 ) 660-0019 ) on 10-17 at 4:45 PM' +p89833 +(lp89834 +S'Please\tPlease\tVB\tB-VP\tO' +p89835 +aS'follow\tfollow\tVB\tI-VP\tO' +p89836 +aS'up\tup\tRP\tB-PRT\tO' +p89837 +aS'with\twith\tIN\tB-PP\tO' +p89838 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p89839 +aS'Parker\tParker\tNNP\tI-NP\tO' +p89840 +aS'in\tin\tIN\tB-PP\tO' +p89841 +aS'cardiology\tcardiology\tNN\tB-NP\tO' +p89842 +aS'(\t(\t(\tO\tO' +p89843 +aS'(\t(\t(\tO\tO' +p89844 +aS'216\t216\tCD\tB-NP\tO' +p89845 +aS')\t)\t)\tO\tO' +p89846 +aS'660-0019\t660-0019\tCD\tB-NP\tO' +p89847 +aS')\t)\t)\tO\tO' +p89848 +aS'on\ton\tIN\tB-PP\tO' +p89849 +aS'10-17\t10-17\tCD\tB-NP\tO' +p89850 +aS'at\tat\tIN\tB-PP\tO' +p89851 +aS'4:45\t4:45\tCD\tB-NP\tO' +p89852 +aS'PM\tPM\tNN\tI-NP\tO' +p89853 +asS'No history of previous episodes was noted .' +p89854 +(lp89855 +S'No\tNo\tDT\tB-NP\tO' +p89856 +aS'history\thistory\tNN\tI-NP\tO' +p89857 +aS'of\tof\tIN\tB-PP\tO' +p89858 +aS'previous\tprevious\tJJ\tB-NP\tO' +p89859 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p89860 +aS'was\tbe\tVBD\tB-VP\tO' +p89861 +aS'noted\tnote\tVBN\tI-VP\tO' +p89862 +aS'.\t.\t.\tO\tO' +p89863 +asS'It was felt that the patient had synovial chondromatosis and would benefit from an open synovectomy and debridement .' +p89864 +(lp89865 +S'It\tIt\tPRP\tB-NP\tO' +p89866 +aS'was\tbe\tVBD\tB-VP\tO' +p89867 +aS'felt\tfeel\tVBN\tI-VP\tO' +p89868 +aS'that\tthat\tIN\tB-SBAR\tO' +p89869 +aS'the\tthe\tDT\tB-NP\tO' +p89870 +aS'patient\tpatient\tNN\tI-NP\tO' +p89871 +aS'had\thave\tVBD\tB-VP\tO' +p89872 +aS'synovial\tsynovial\tJJ\tB-NP\tO' +p89873 +aS'chondromatosis\tchondromatosis\tNN\tI-NP\tO' +p89874 +aS'and\tand\tCC\tO\tO' +p89875 +aS'would\twould\tMD\tB-VP\tO' +p89876 +aS'benefit\tbenefit\tVB\tI-VP\tO' +p89877 +aS'from\tfrom\tIN\tB-PP\tO' +p89878 +aS'an\tan\tDT\tB-NP\tO' +p89879 +aS'open\topen\tJJ\tI-NP\tO' +p89880 +aS'synovectomy\tsynovectomy\tNN\tI-NP\tO' +p89881 +aS'and\tand\tCC\tI-NP\tO' +p89882 +aS'debridement\tdebridement\tNN\tI-NP\tO' +p89883 +aS'.\t.\t.\tO\tO' +p89884 +asS'MS : not following commands , withdraws to noxious stimuli , making incomprehensible vocalizations' +p89885 +(lp89886 +S'MS\tMS\tNN\tB-NP\tO' +p89887 +aS':\t:\t:\tO\tO' +p89888 +aS'not\tnot\tRB\tO\tO' +p89889 +aS'following\tfollow\tVBG\tB-VP\tO' +p89890 +aS'commands\tcommand\tNNS\tB-NP\tO' +p89891 +aS',\t,\t,\tO\tO' +p89892 +aS'withdraws\twithdraw\tNNS\tB-NP\tO' +p89893 +aS'to\tto\tTO\tB-PP\tO' +p89894 +aS'noxious\tnoxious\tJJ\tB-NP\tO' +p89895 +aS'stimuli\tstimulus\tNNS\tI-NP\tO' +p89896 +aS',\t,\t,\tO\tO' +p89897 +aS'making\tmake\tVBG\tB-VP\tO' +p89898 +aS'incomprehensible\tincomprehensible\tJJ\tB-NP\tO' +p89899 +aS'vocalizations\tvocalization\tNNS\tI-NP\tO' +p89900 +asS'The patient denies shortness of breath , chest pain , orthopnea , no dysuria , hematuria , no visual changes , no rashes , no blurry vision .' +p89901 +(lp89902 +S'The\tThe\tDT\tB-NP\tO' +p89903 +aS'patient\tpatient\tNN\tI-NP\tO' +p89904 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p89905 +aS'shortness\tshortness\tNN\tB-NP\tO' +p89906 +aS'of\tof\tIN\tB-PP\tO' +p89907 +aS'breath\tbreath\tNN\tB-NP\tO' +p89908 +aS',\t,\t,\tO\tO' +p89909 +aS'chest\tchest\tNN\tB-NP\tO' +p89910 +aS'pain\tpain\tNN\tI-NP\tO' +p89911 +aS',\t,\t,\tO\tO' +p89912 +aS'orthopnea\torthopnea\tNN\tB-NP\tO' +p89913 +aS',\t,\t,\tO\tO' +p89914 +aS'no\tno\tDT\tB-NP\tO' +p89915 +aS'dysuria\tdysuria\tNN\tI-NP\tO' +p89916 +aS',\t,\t,\tO\tO' +p89917 +aS'hematuria\thematuria\tNN\tB-NP\tO' +p89918 +aS',\t,\t,\tO\tO' +p89919 +aS'no\tno\tDT\tB-NP\tO' +p89920 +aS'visual\tvisual\tJJ\tI-NP\tO' +p89921 +aS'changes\tchange\tNNS\tI-NP\tO' +p89922 +aS',\t,\t,\tO\tO' +p89923 +aS'no\tno\tDT\tB-NP\tO' +p89924 +aS'rashes\trash\tNNS\tI-NP\tO' +p89925 +aS',\t,\t,\tO\tO' +p89926 +aS'no\tno\tDT\tB-NP\tO' +p89927 +aS'blurry\tblurry\tJJ\tI-NP\tO' +p89928 +aS'vision\tvision\tNN\tI-NP\tO' +p89929 +aS'.\t.\t.\tO\tO' +p89930 +asS'8. orthostatic hypotension , on midodrine' +p89931 +(lp89932 +S'8.\t8.\tCD\tB-NP\tO' +p89933 +aS'orthostatic\torthostatic\tJJ\tI-NP\tO' +p89934 +aS'hypotension\thypotension\tNN\tI-NP\tO' +p89935 +aS',\t,\t,\tO\tO' +p89936 +aS'on\ton\tIN\tB-PP\tO' +p89937 +aS'midodrine\tmidodrine\tNN\tB-NP\tO' +p89938 +asS'No focal masses is seen .' +p89939 +(lp89940 +S'No\tNo\tDT\tB-NP\tO' +p89941 +aS'focal\tfocal\tJJ\tI-NP\tO' +p89942 +aS'masses\tmass\tNNS\tI-NP\tO' +p89943 +aS'is\tbe\tVBZ\tB-VP\tO' +p89944 +aS'seen\tsee\tVBN\tI-VP\tO' +p89945 +aS'.\t.\t.\tO\tO' +p89946 +asS'Rhythm was maintained at normal sinus , monitored on telemetry without ectopy .' +p89947 +(lp89948 +S'Rhythm\tRhythm\tNN\tB-NP\tO' +p89949 +aS'was\tbe\tVBD\tB-VP\tO' +p89950 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p89951 +aS'at\tat\tIN\tB-PP\tO' +p89952 +aS'normal\tnormal\tJJ\tB-NP\tO' +p89953 +aS'sinus\tsinus\tNN\tI-NP\tO' +p89954 +aS',\t,\t,\tO\tO' +p89955 +aS'monitored\tmonitor\tVBN\tB-VP\tO' +p89956 +aS'on\ton\tIN\tB-PP\tO' +p89957 +aS'telemetry\ttelemetry\tNN\tB-NP\tO' +p89958 +aS'without\twithout\tIN\tB-PP\tO' +p89959 +aS'ectopy\tectopy\tNN\tB-NP\tO' +p89960 +aS'.\t.\t.\tO\tO' +p89961 +asS'The patient is a 28 - year-old , gravida 3 , para 1 , at approximately 27 weeks gestation , who was admitted on 2014-05-12 due to increasing symptoms of congestive heart failure .' +p89962 +(lp89963 +S'The\tThe\tDT\tB-NP\tO' +p89964 +aS'patient\tpatient\tNN\tI-NP\tO' +p89965 +aS'is\tbe\tVBZ\tB-VP\tO' +p89966 +aS'a\ta\tDT\tB-NP\tO' +p89967 +aS'28\t28\tCD\tI-NP\tO' +p89968 +aS'-\t-\tHYPH\tI-NP\tO' +p89969 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p89970 +aS',\t,\t,\tO\tO' +p89971 +aS'gravida\tgravida\tNN\tB-NP\tB-protein' +p89972 +aS'3\t3\tCD\tI-NP\tI-protein' +p89973 +aS',\t,\t,\tO\tO' +p89974 +aS'para\tpara\tNN\tB-NP\tO' +p89975 +aS'1\t1\tCD\tI-NP\tO' +p89976 +aS',\t,\t,\tO\tO' +p89977 +aS'at\tat\tIN\tB-PP\tO' +p89978 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p89979 +aS'27\t27\tCD\tI-NP\tO' +p89980 +aS'weeks\tweek\tNNS\tI-NP\tO' +p89981 +aS'gestation\tgestation\tNN\tI-NP\tO' +p89982 +aS',\t,\t,\tO\tO' +p89983 +aS'who\twho\tWP\tB-NP\tO' +p89984 +aS'was\tbe\tVBD\tB-VP\tO' +p89985 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p89986 +aS'on\ton\tIN\tB-PP\tO' +p89987 +aS'2014-05-12\t2014-05-12\tCD\tB-NP\tO' +p89988 +aS'due\tdue\tJJ\tB-ADJP\tO' +p89989 +aS'to\tto\tTO\tB-PP\tO' +p89990 +aS'increasing\tincrease\tVBG\tB-NP\tO' +p89991 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p89992 +aS'of\tof\tIN\tB-PP\tO' +p89993 +aS'congestive\tcongestive\tJJ\tB-NP\tO' +p89994 +aS'heart\theart\tNN\tI-NP\tO' +p89995 +aS'failure\tfailure\tNN\tI-NP\tO' +p89996 +aS'.\t.\t.\tO\tO' +p89997 +asS'On 2013-05-25 , a liver became available for transplant to the patient .' +p89998 +(lp89999 +S'On\tOn\tIN\tB-PP\tO' +p90000 +aS'2013-05-25\t2013-05-25\tCD\tB-NP\tO' +p90001 +aS',\t,\t,\tO\tO' +p90002 +aS'a\ta\tDT\tB-NP\tO' +p90003 +aS'liver\tliver\tNN\tI-NP\tO' +p90004 +aS'became\tbecome\tVBD\tB-VP\tO' +p90005 +aS'available\tavailable\tJJ\tB-ADJP\tO' +p90006 +aS'for\tfor\tIN\tB-PP\tO' +p90007 +aS'transplant\ttransplant\tNN\tB-NP\tO' +p90008 +aS'to\tto\tTO\tB-PP\tO' +p90009 +aS'the\tthe\tDT\tB-NP\tO' +p90010 +aS'patient\tpatient\tNN\tI-NP\tO' +p90011 +aS'.\t.\t.\tO\tO' +p90012 +asS'She was extubated on the third postoperative day , and was initially slightly agitated and confused , largely due to an Intensive Care Unit psychosis .' +p90013 +(lp90014 +S'She\tShe\tPRP\tB-NP\tO' +p90015 +aS'was\tbe\tVBD\tB-VP\tO' +p90016 +aS'extubated\textubate\tVBN\tI-VP\tO' +p90017 +aS'on\ton\tIN\tB-PP\tO' +p90018 +aS'the\tthe\tDT\tB-NP\tO' +p90019 +aS'third\tthird\tJJ\tI-NP\tO' +p90020 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p90021 +aS'day\tday\tNN\tI-NP\tO' +p90022 +aS',\t,\t,\tO\tO' +p90023 +aS'and\tand\tCC\tO\tO' +p90024 +aS'was\tbe\tVBD\tB-VP\tO' +p90025 +aS'initially\tinitially\tRB\tI-VP\tO' +p90026 +aS'slightly\tslightly\tRB\tI-VP\tO' +p90027 +aS'agitated\tagitate\tVBN\tI-VP\tO' +p90028 +aS'and\tand\tCC\tI-VP\tO' +p90029 +aS'confused\tconfuse\tVBN\tI-VP\tO' +p90030 +aS',\t,\t,\tO\tO' +p90031 +aS'largely\tlargely\tRB\tB-ADVP\tO' +p90032 +aS'due\tdue\tJJ\tB-PP\tO' +p90033 +aS'to\tto\tTO\tB-PP\tO' +p90034 +aS'an\tan\tDT\tB-NP\tO' +p90035 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p90036 +aS'Care\tCare\tNNP\tI-NP\tO' +p90037 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p90038 +aS'psychosis\tpsychosis\tNN\tI-NP\tO' +p90039 +aS'.\t.\t.\tO\tO' +p90040 +asS'FLUIDS , ELECTROLYTES AND NUTRITION : The infant was started on IV fluids on admission to the CMED .' +p90041 +(lp90042 +S'FLUIDS\tFLUIDS\tNN\tB-NP\tO' +p90043 +aS',\t,\t,\tI-NP\tO' +p90044 +aS'ELECTROLYTES\tELECTROLYTES\tNN\tI-NP\tO' +p90045 +aS'AND\tAND\tCC\tI-NP\tO' +p90046 +aS'NUTRITION\tNUTRITION\tNN\tI-NP\tO' +p90047 +aS':\t:\t:\tO\tO' +p90048 +aS'The\tThe\tDT\tB-NP\tO' +p90049 +aS'infant\tinfant\tNN\tI-NP\tO' +p90050 +aS'was\tbe\tVBD\tB-VP\tO' +p90051 +aS'started\tstart\tVBN\tI-VP\tO' +p90052 +aS'on\ton\tIN\tB-PP\tO' +p90053 +aS'IV\tIV\tCD\tB-NP\tO' +p90054 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p90055 +aS'on\ton\tIN\tB-PP\tO' +p90056 +aS'admission\tadmission\tNN\tB-NP\tO' +p90057 +aS'to\tto\tTO\tB-PP\tO' +p90058 +aS'the\tthe\tDT\tB-NP\tO' +p90059 +aS'CMED\tCMED\tNN\tI-NP\tO' +p90060 +aS'.\t.\t.\tO\tO' +p90061 +asS'Dictated By : Gina C.K. Brantner , M.D.' +p90062 +(lp90063 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p90064 +aS'By\tBy\tIN\tB-PP\tO' +p90065 +aS':\t:\t:\tO\tO' +p90066 +aS'Gina\tGina\tNNP\tB-NP\tO' +p90067 +aS'C.K.\tC.K.\tNNP\tI-NP\tO' +p90068 +aS'Brantner\tBrantner\tNNP\tI-NP\tO' +p90069 +aS',\t,\t,\tO\tO' +p90070 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p90071 +asS"The patient 's development of atrial fibrillation was believed to be secondary to infection and structural heart disease ." +p90072 +(lp90073 +S'The\tThe\tDT\tB-NP\tO' +p90074 +aS'patient\tpatient\tNN\tI-NP\tO' +p90075 +aS"'s\t's\tPOS\tB-NP\tO" +p90076 +aS'development\tdevelopment\tNN\tI-NP\tO' +p90077 +aS'of\tof\tIN\tB-PP\tO' +p90078 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p90079 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p90080 +aS'was\tbe\tVBD\tB-VP\tO' +p90081 +aS'believed\tbelieve\tVBN\tI-VP\tO' +p90082 +aS'to\tto\tTO\tI-VP\tO' +p90083 +aS'be\tbe\tVB\tI-VP\tO' +p90084 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p90085 +aS'to\tto\tTO\tB-PP\tO' +p90086 +aS'infection\tinfection\tNN\tB-NP\tO' +p90087 +aS'and\tand\tCC\tO\tO' +p90088 +aS'structural\tstructural\tJJ\tB-NP\tO' +p90089 +aS'heart\theart\tNN\tI-NP\tO' +p90090 +aS'disease\tdisease\tNN\tI-NP\tO' +p90091 +aS'.\t.\t.\tO\tO' +p90092 +asS'4. Hemorrhoids .' +p90093 +(lp90094 +S'4.\t4.\tLS\tB-NP\tO' +p90095 +aS'Hemorrhoids\tHemorrhoid\tNNS\tI-NP\tO' +p90096 +aS'.\t.\t.\tO\tO' +p90097 +asS'The family was called and came in to see the patient .' +p90098 +(lp90099 +S'The\tThe\tDT\tB-NP\tO' +p90100 +aS'family\tfamily\tNN\tI-NP\tO' +p90101 +aS'was\tbe\tVBD\tB-VP\tO' +p90102 +aS'called\tcall\tVBN\tI-VP\tO' +p90103 +aS'and\tand\tCC\tO\tO' +p90104 +aS'came\tcome\tVBD\tB-VP\tO' +p90105 +aS'in\tin\tRP\tB-PRT\tO' +p90106 +aS'to\tto\tTO\tB-VP\tO' +p90107 +aS'see\tsee\tVB\tI-VP\tO' +p90108 +aS'the\tthe\tDT\tB-NP\tO' +p90109 +aS'patient\tpatient\tNN\tI-NP\tO' +p90110 +aS'.\t.\t.\tO\tO' +p90111 +asS'She ambulates with walker and a cane secondary to osteoarthritis .' +p90112 +(lp90113 +S'She\tShe\tPRP\tB-NP\tO' +p90114 +aS'ambulates\tambulate\tVBZ\tB-VP\tO' +p90115 +aS'with\twith\tIN\tB-PP\tO' +p90116 +aS'walker\twalker\tNN\tB-NP\tO' +p90117 +aS'and\tand\tCC\tO\tO' +p90118 +aS'a\ta\tDT\tB-NP\tO' +p90119 +aS'cane\tcane\tNN\tI-NP\tO' +p90120 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p90121 +aS'to\tto\tTO\tB-PP\tO' +p90122 +aS'osteoarthritis\tosteoarthritis\tNN\tB-NP\tO' +p90123 +aS'.\t.\t.\tO\tO' +p90124 +asS'White blood cell count 8.8 , hematocrit 29.7 , platelets 367 , sodium 139 , potassium 4.7 , chloride 102 , CO2 27 , BUN 17 , creatinine 1.1 , glucose 95 .' +p90125 +(lp90126 +S'White\tWhite\tJJ\tB-NP\tO' +p90127 +aS'blood\tblood\tNN\tI-NP\tO' +p90128 +aS'cell\tcell\tNN\tI-NP\tO' +p90129 +aS'count\tcount\tNN\tI-NP\tO' +p90130 +aS'8.8\t8.8\tCD\tB-NP\tO' +p90131 +aS',\t,\t,\tO\tO' +p90132 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p90133 +aS'29.7\t29.7\tCD\tI-NP\tI-protein' +p90134 +aS',\t,\t,\tO\tO' +p90135 +aS'platelets\tplatelet\tNNS\tB-NP\tB-protein' +p90136 +aS'367\t367\tCD\tB-NP\tI-protein' +p90137 +aS',\t,\t,\tO\tO' +p90138 +aS'sodium\tsodium\tNN\tB-NP\tO' +p90139 +aS'139\t139\tCD\tI-NP\tO' +p90140 +aS',\t,\t,\tO\tO' +p90141 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p90142 +aS'4.7\t4.7\tCD\tI-NP\tO' +p90143 +aS',\t,\t,\tO\tO' +p90144 +aS'chloride\tchloride\tNN\tB-NP\tO' +p90145 +aS'102\t102\tCD\tI-NP\tO' +p90146 +aS',\t,\t,\tO\tO' +p90147 +aS'CO2\tCO2\tNN\tB-NP\tO' +p90148 +aS'27\t27\tCD\tI-NP\tO' +p90149 +aS',\t,\t,\tO\tO' +p90150 +aS'BUN\tBUN\tNN\tB-NP\tB-DNA' +p90151 +aS'17\t17\tCD\tI-NP\tI-DNA' +p90152 +aS',\t,\t,\tO\tO' +p90153 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p90154 +aS'1.1\t1.1\tCD\tI-NP\tO' +p90155 +aS',\t,\t,\tO\tO' +p90156 +aS'glucose\tglucose\tNN\tB-NP\tO' +p90157 +aS'95\t95\tCD\tI-NP\tO' +p90158 +aS'.\t.\t.\tO\tO' +p90159 +asS'The patient also reports that he has had " yellowish eyes , some shaking and his breath smelled more like ammonia over the past 3 days ."' +p90160 +(lp90161 +S'The\tThe\tDT\tB-NP\tO' +p90162 +aS'patient\tpatient\tNN\tI-NP\tO' +p90163 +aS'also\talso\tRB\tB-ADVP\tO' +p90164 +aS'reports\treport\tVBZ\tB-VP\tO' +p90165 +aS'that\tthat\tIN\tB-SBAR\tO' +p90166 +aS'he\the\tPRP\tB-NP\tO' +p90167 +aS'has\thave\tVBZ\tB-VP\tO' +p90168 +aS'had\thave\tVBN\tI-VP\tO' +p90169 +aS'"\t"\t``\tB-NP\tO' +p90170 +aS'yellowish\tyellowish\tJJ\tI-NP\tO' +p90171 +aS'eyes\teye\tNNS\tI-NP\tO' +p90172 +aS',\t,\t,\tO\tO' +p90173 +aS'some\tsome\tDT\tB-NP\tO' +p90174 +aS'shaking\tshaking\tNN\tI-NP\tO' +p90175 +aS'and\tand\tCC\tO\tO' +p90176 +aS'his\this\tPRP$\tB-NP\tO' +p90177 +aS'breath\tbreath\tNN\tI-NP\tO' +p90178 +aS'smelled\tsmell\tVBD\tB-VP\tO' +p90179 +aS'more\tmore\tJJR\tB-ADVP\tO' +p90180 +aS'like\tlike\tIN\tB-PP\tO' +p90181 +aS'ammonia\tammonia\tNN\tB-NP\tO' +p90182 +aS'over\tover\tIN\tB-PP\tO' +p90183 +aS'the\tthe\tDT\tB-NP\tO' +p90184 +aS'past\tpast\tJJ\tI-NP\tO' +p90185 +aS'3\t3\tCD\tI-NP\tO' +p90186 +aS'days\tday\tNNS\tI-NP\tO' +p90187 +aS'."\t."\t.\tO\tO' +p90188 +asS'150 cc / kg / day of breast milk 22 calories or premature Enfamil 22 calories per ounce .' +p90189 +(lp90190 +S'150\t150\tCD\tB-NP\tO' +p90191 +aS'cc\tcc\tNN\tI-NP\tO' +p90192 +aS'/\t/\tSYM\tB-NP\tO' +p90193 +aS'kg\tkg\tNN\tI-NP\tO' +p90194 +aS'/\t/\tSYM\tB-NP\tO' +p90195 +aS'day\tday\tNN\tI-NP\tO' +p90196 +aS'of\tof\tIN\tB-PP\tO' +p90197 +aS'breast\tbreast\tNN\tB-NP\tO' +p90198 +aS'milk\tmilk\tNN\tI-NP\tO' +p90199 +aS'22\t22\tCD\tB-NP\tO' +p90200 +aS'calories\tcalorie\tNNS\tI-NP\tO' +p90201 +aS'or\tor\tCC\tO\tO' +p90202 +aS'premature\tpremature\tJJ\tB-NP\tO' +p90203 +aS'Enfamil\tEnfamil\tNN\tI-NP\tO' +p90204 +aS'22\t22\tCD\tB-NP\tO' +p90205 +aS'calories\tcalorie\tNNS\tI-NP\tO' +p90206 +aS'per\tper\tIN\tB-PP\tO' +p90207 +aS'ounce\tounce\tNN\tB-NP\tO' +p90208 +aS'.\t.\t.\tO\tO' +p90209 +asS'Most likely her waxing and waning mental status and hypercarbia/hypoxia compounded by infection of pneumonia and UTI .' +p90210 +(lp90211 +S'Most\tMost\tRBS\tB-ADVP\tO' +p90212 +aS'likely\tlikely\tRB\tI-ADVP\tO' +p90213 +aS'her\ther\tPRP$\tB-NP\tO' +p90214 +aS'waxing\twax\tVBG\tI-NP\tO' +p90215 +aS'and\tand\tCC\tI-NP\tO' +p90216 +aS'waning\twan\tVBG\tI-NP\tO' +p90217 +aS'mental\tmental\tJJ\tI-NP\tO' +p90218 +aS'status\tstatus\tNN\tI-NP\tO' +p90219 +aS'and\tand\tCC\tI-NP\tO' +p90220 +aS'hypercarbia/hypoxia\thypercarbia/hypoxia\tNN\tI-NP\tO' +p90221 +aS'compounded\tcompound\tVBN\tB-VP\tO' +p90222 +aS'by\tby\tIN\tB-PP\tO' +p90223 +aS'infection\tinfection\tNN\tB-NP\tO' +p90224 +aS'of\tof\tIN\tB-PP\tO' +p90225 +aS'pneumonia\tpneumonia\tNN\tB-NP\tO' +p90226 +aS'and\tand\tCC\tI-NP\tO' +p90227 +aS'UTI\tUTI\tNN\tI-NP\tO' +p90228 +aS'.\t.\t.\tO\tO' +p90229 +asS'Given that the stroke occurred while taking aspirin and plavix , and given the severe akinesis of the left ventricle , we decided to initiate anticoagulation with warfarin to help prevent future strokes .' +p90230 +(lp90231 +S'Given\tGive\tVBN\tB-VP\tO' +p90232 +aS'that\tthat\tIN\tB-SBAR\tO' +p90233 +aS'the\tthe\tDT\tB-NP\tO' +p90234 +aS'stroke\tstroke\tNN\tI-NP\tO' +p90235 +aS'occurred\toccur\tVBD\tB-VP\tO' +p90236 +aS'while\twhile\tIN\tB-SBAR\tO' +p90237 +aS'taking\ttake\tVBG\tB-VP\tO' +p90238 +aS'aspirin\taspirin\tNN\tB-NP\tO' +p90239 +aS'and\tand\tCC\tI-NP\tO' +p90240 +aS'plavix\tplavix\tNN\tI-NP\tO' +p90241 +aS',\t,\t,\tO\tO' +p90242 +aS'and\tand\tCC\tO\tO' +p90243 +aS'given\tgive\tVBN\tB-PP\tO' +p90244 +aS'the\tthe\tDT\tB-NP\tO' +p90245 +aS'severe\tsevere\tJJ\tI-NP\tO' +p90246 +aS'akinesis\takinesis\tNN\tI-NP\tO' +p90247 +aS'of\tof\tIN\tB-PP\tO' +p90248 +aS'the\tthe\tDT\tB-NP\tO' +p90249 +aS'left\tleft\tJJ\tI-NP\tO' +p90250 +aS'ventricle\tventricle\tNN\tI-NP\tO' +p90251 +aS',\t,\t,\tO\tO' +p90252 +aS'we\twe\tPRP\tB-NP\tO' +p90253 +aS'decided\tdecide\tVBD\tB-VP\tO' +p90254 +aS'to\tto\tTO\tI-VP\tO' +p90255 +aS'initiate\tinitiate\tVB\tI-VP\tO' +p90256 +aS'anticoagulation\tanticoagulation\tNN\tB-NP\tO' +p90257 +aS'with\twith\tIN\tB-PP\tO' +p90258 +aS'warfarin\twarfarin\tNN\tB-NP\tO' +p90259 +aS'to\tto\tTO\tB-VP\tO' +p90260 +aS'help\thelp\tVB\tI-VP\tO' +p90261 +aS'prevent\tprevent\tVB\tI-VP\tO' +p90262 +aS'future\tfuture\tJJ\tB-NP\tO' +p90263 +aS'strokes\tstroke\tNNS\tI-NP\tO' +p90264 +aS'.\t.\t.\tO\tO' +p90265 +asS'He was taken to an outside hospital at the time at which time it was found that his hematocrit was 21 , blood pressure 90/60 , and his INR was 3.3 .' +p90266 +(lp90267 +S'He\tHe\tPRP\tB-NP\tO' +p90268 +aS'was\tbe\tVBD\tB-VP\tO' +p90269 +aS'taken\ttake\tVBN\tI-VP\tO' +p90270 +aS'to\tto\tTO\tB-PP\tO' +p90271 +aS'an\tan\tDT\tB-NP\tO' +p90272 +aS'outside\toutside\tJJ\tI-NP\tO' +p90273 +aS'hospital\thospital\tNN\tI-NP\tO' +p90274 +aS'at\tat\tIN\tB-PP\tO' +p90275 +aS'the\tthe\tDT\tB-NP\tO' +p90276 +aS'time\ttime\tNN\tI-NP\tO' +p90277 +aS'at\tat\tIN\tB-PP\tO' +p90278 +aS'which\twhich\tWDT\tB-NP\tO' +p90279 +aS'time\ttime\tNN\tI-NP\tO' +p90280 +aS'it\tit\tPRP\tB-NP\tO' +p90281 +aS'was\tbe\tVBD\tB-VP\tO' +p90282 +aS'found\tfind\tVBN\tI-VP\tO' +p90283 +aS'that\tthat\tIN\tB-SBAR\tO' +p90284 +aS'his\this\tPRP$\tB-NP\tO' +p90285 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p90286 +aS'was\tbe\tVBD\tB-VP\tO' +p90287 +aS'21\t21\tCD\tB-NP\tO' +p90288 +aS',\t,\t,\tO\tO' +p90289 +aS'blood\tblood\tNN\tB-NP\tO' +p90290 +aS'pressure\tpressure\tNN\tI-NP\tO' +p90291 +aS'90/60\t90/60\tCD\tI-NP\tO' +p90292 +aS',\t,\t,\tO\tO' +p90293 +aS'and\tand\tCC\tO\tO' +p90294 +aS'his\this\tPRP$\tB-NP\tO' +p90295 +aS'INR\tINR\tNN\tI-NP\tB-protein' +p90296 +aS'was\tbe\tVBD\tB-VP\tO' +p90297 +aS'3.3\t3.3\tCD\tB-NP\tO' +p90298 +aS'.\t.\t.\tO\tO' +p90299 +asS'9) benign prostatic hypertrophy status post TURP surgery in 1982 .' +p90300 +(lp90301 +S'9)\t9)\tLS\tB-NP\tO' +p90302 +aS'benign\tbenign\tJJ\tI-NP\tO' +p90303 +aS'prostatic\tprostatic\tJJ\tI-NP\tO' +p90304 +aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' +p90305 +aS'status\tstatus\tNN\tI-NP\tO' +p90306 +aS'post\tpost\tNN\tI-NP\tO' +p90307 +aS'TURP\tTURP\tNN\tI-NP\tO' +p90308 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p90309 +aS'in\tin\tIN\tB-PP\tO' +p90310 +aS'1982\t1982\tCD\tB-NP\tO' +p90311 +aS'.\t.\t.\tO\tO' +p90312 +asS'She was treated with bed rest and prn terbutaline .' +p90313 +(lp90314 +S'She\tShe\tPRP\tB-NP\tO' +p90315 +aS'was\tbe\tVBD\tB-VP\tO' +p90316 +aS'treated\ttreat\tVBN\tI-VP\tO' +p90317 +aS'with\twith\tIN\tB-PP\tO' +p90318 +aS'bed\tbed\tNN\tB-NP\tO' +p90319 +aS'rest\trest\tNN\tI-NP\tO' +p90320 +aS'and\tand\tCC\tO\tO' +p90321 +aS'prn\tprn\tNN\tB-NP\tO' +p90322 +aS'terbutaline\tterbutaline\tNN\tI-NP\tO' +p90323 +aS'.\t.\t.\tO\tO' +p90324 +asS'MRI/MRA showed new temporal lesions , but it is unclear if these are the cause or effect of her seizures .' +p90325 +(lp90326 +S'MRI/MRA\tMRI/MRA\tNN\tB-NP\tO' +p90327 +aS'showed\tshow\tVBD\tB-VP\tO' +p90328 +aS'new\tnew\tJJ\tB-NP\tO' +p90329 +aS'temporal\ttemporal\tJJ\tI-NP\tO' +p90330 +aS'lesions\tlesion\tNNS\tI-NP\tO' +p90331 +aS',\t,\t,\tO\tO' +p90332 +aS'but\tbut\tCC\tO\tO' +p90333 +aS'it\tit\tPRP\tB-NP\tO' +p90334 +aS'is\tbe\tVBZ\tB-VP\tO' +p90335 +aS'unclear\tunclear\tJJ\tB-ADJP\tO' +p90336 +aS'if\tif\tIN\tB-SBAR\tO' +p90337 +aS'these\tthese\tDT\tB-NP\tO' +p90338 +aS'are\tbe\tVBP\tB-VP\tO' +p90339 +aS'the\tthe\tDT\tB-NP\tO' +p90340 +aS'cause\tcause\tNN\tI-NP\tO' +p90341 +aS'or\tor\tCC\tI-NP\tO' +p90342 +aS'effect\teffect\tNN\tI-NP\tO' +p90343 +aS'of\tof\tIN\tB-PP\tO' +p90344 +aS'her\ther\tPRP$\tB-NP\tO' +p90345 +aS'seizures\tseizure\tNNS\tI-NP\tO' +p90346 +aS'.\t.\t.\tO\tO' +p90347 +asS'Subsequent chest x-ray showed right main stem intubation with left lung collapse which had corrected with withdrawal of the endotracheal tube .' +p90348 +(lp90349 +S'Subsequent\tSubsequent\tJJ\tB-NP\tO' +p90350 +aS'chest\tchest\tNN\tI-NP\tO' +p90351 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p90352 +aS'showed\tshow\tVBD\tB-VP\tO' +p90353 +aS'right\tright\tJJ\tB-NP\tO' +p90354 +aS'main\tmain\tJJ\tI-NP\tO' +p90355 +aS'stem\tstem\tNN\tI-NP\tO' +p90356 +aS'intubation\tintubation\tNN\tI-NP\tO' +p90357 +aS'with\twith\tIN\tB-PP\tO' +p90358 +aS'left\tleft\tJJ\tB-NP\tO' +p90359 +aS'lung\tlung\tNN\tI-NP\tO' +p90360 +aS'collapse\tcollapse\tNN\tI-NP\tO' +p90361 +aS'which\twhich\tWDT\tB-NP\tO' +p90362 +aS'had\thave\tVBD\tB-VP\tO' +p90363 +aS'corrected\tcorrect\tVBN\tI-VP\tO' +p90364 +aS'with\twith\tIN\tB-PP\tO' +p90365 +aS'withdrawal\twithdrawal\tNN\tB-NP\tO' +p90366 +aS'of\tof\tIN\tB-PP\tO' +p90367 +aS'the\tthe\tDT\tB-NP\tO' +p90368 +aS'endotracheal\tendotracheal\tJJ\tI-NP\tO' +p90369 +aS'tube\ttube\tNN\tI-NP\tO' +p90370 +aS'.\t.\t.\tO\tO' +p90371 +asS'He required medical paralysis for this .' +p90372 +(lp90373 +S'He\tHe\tPRP\tB-NP\tO' +p90374 +aS'required\trequire\tVBD\tB-VP\tO' +p90375 +aS'medical\tmedical\tJJ\tB-NP\tO' +p90376 +aS'paralysis\tparalysis\tNN\tI-NP\tO' +p90377 +aS'for\tfor\tIN\tB-PP\tO' +p90378 +aS'this\tthis\tDT\tB-NP\tO' +p90379 +aS'.\t.\t.\tO\tO' +p90380 +asS'The patient is to follow-up with Dr. Prus and she should call for an appointment .' +p90381 +(lp90382 +S'The\tThe\tDT\tB-NP\tO' +p90383 +aS'patient\tpatient\tNN\tI-NP\tO' +p90384 +aS'is\tbe\tVBZ\tB-VP\tO' +p90385 +aS'to\tto\tTO\tB-VP\tO' +p90386 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p90387 +aS'with\twith\tIN\tB-PP\tO' +p90388 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p90389 +aS'Prus\tPrus\tNNP\tI-NP\tO' +p90390 +aS'and\tand\tCC\tO\tO' +p90391 +aS'she\tshe\tPRP\tB-NP\tO' +p90392 +aS'should\tshould\tMD\tB-VP\tO' +p90393 +aS'call\tcall\tVB\tI-VP\tO' +p90394 +aS'for\tfor\tIN\tB-PP\tO' +p90395 +aS'an\tan\tDT\tB-NP\tO' +p90396 +aS'appointment\tappointment\tNN\tI-NP\tO' +p90397 +aS'.\t.\t.\tO\tO' +p90398 +asS'06-07 after tracheobronchoplasty / tracheostomy and pigtail catheter placement for pleural effusions .' +p90399 +(lp90400 +S'06-07\t06-07\tCD\tB-NP\tO' +p90401 +aS'after\tafter\tIN\tB-PP\tO' +p90402 +aS'tracheobronchoplasty\ttracheobronchoplasty\tNN\tB-NP\tO' +p90403 +aS'/\t/\tSYM\tO\tO' +p90404 +aS'tracheostomy\ttracheostomy\tNN\tB-NP\tO' +p90405 +aS'and\tand\tCC\tI-NP\tO' +p90406 +aS'pigtail\tpigtail\tNN\tI-NP\tO' +p90407 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p90408 +aS'placement\tplacement\tNN\tI-NP\tO' +p90409 +aS'for\tfor\tIN\tB-PP\tO' +p90410 +aS'pleural\tpleural\tJJ\tB-NP\tO' +p90411 +aS'effusions\teffusion\tNNS\tI-NP\tO' +p90412 +aS'.\t.\t.\tO\tO' +p90413 +asS'His weight on discharge was 4055 .' +p90414 +(lp90415 +S'His\tHis\tPRP$\tB-NP\tO' +p90416 +aS'weight\tweight\tNN\tI-NP\tO' +p90417 +aS'on\ton\tIN\tB-PP\tO' +p90418 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p90419 +aS'was\tbe\tVBD\tB-VP\tO' +p90420 +aS'4055\t4055\tCD\tB-NP\tO' +p90421 +aS'.\t.\t.\tO\tO' +p90422 +asS'On physical exam , she is a healthy-appearing female with a normal voice and no exophthalmos .' +p90423 +(lp90424 +S'On\tOn\tIN\tB-PP\tO' +p90425 +aS'physical\tphysical\tJJ\tB-NP\tO' +p90426 +aS'exam\texam\tNN\tI-NP\tO' +p90427 +aS',\t,\t,\tO\tO' +p90428 +aS'she\tshe\tPRP\tB-NP\tO' +p90429 +aS'is\tbe\tVBZ\tB-VP\tO' +p90430 +aS'a\ta\tDT\tB-NP\tO' +p90431 +aS'healthy-appearing\thealthy-appearing\tJJ\tI-NP\tO' +p90432 +aS'female\tfemale\tNN\tI-NP\tO' +p90433 +aS'with\twith\tIN\tB-PP\tO' +p90434 +aS'a\ta\tDT\tB-NP\tO' +p90435 +aS'normal\tnormal\tJJ\tI-NP\tO' +p90436 +aS'voice\tvoice\tNN\tI-NP\tO' +p90437 +aS'and\tand\tCC\tO\tO' +p90438 +aS'no\tno\tDT\tB-NP\tO' +p90439 +aS'exophthalmos\texophthalmo\tNNS\tI-NP\tO' +p90440 +aS'.\t.\t.\tO\tO' +p90441 +asS'MMM .' +p90442 +(lp90443 +S'MMM\tMMM\tNN\tB-NP\tO' +p90444 +aS'.\t.\t.\tO\tO' +p90445 +asS'Expected prolonged extubation course given COPD history , as with colon CA resection surgery .' +p90446 +(lp90447 +S'Expected\tExpect\tVBN\tB-NP\tO' +p90448 +aS'prolonged\tprolonged\tJJ\tI-NP\tO' +p90449 +aS'extubation\textubation\tNN\tI-NP\tO' +p90450 +aS'course\tcourse\tNN\tI-NP\tO' +p90451 +aS'given\tgive\tVBN\tB-VP\tO' +p90452 +aS'COPD\tCOPD\tNN\tB-NP\tO' +p90453 +aS'history\thistory\tNN\tI-NP\tO' +p90454 +aS',\t,\t,\tO\tO' +p90455 +aS'as\tas\tIN\tB-PP\tO' +p90456 +aS'with\twith\tIN\tB-PP\tO' +p90457 +aS'colon\tcolon\tNN\tB-NP\tO' +p90458 +aS'CA\tCA\tNN\tI-NP\tO' +p90459 +aS'resection\tresection\tNN\tI-NP\tO' +p90460 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p90461 +aS'.\t.\t.\tO\tO' +p90462 +asS'Dependent atelectasis is present within the visualized portions of the lung apices .' +p90463 +(lp90464 +S'Dependent\tDependent\tJJ\tB-NP\tO' +p90465 +aS'atelectasis\tatelectasis\tNN\tI-NP\tO' +p90466 +aS'is\tbe\tVBZ\tB-VP\tO' +p90467 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p90468 +aS'within\twithin\tIN\tB-PP\tO' +p90469 +aS'the\tthe\tDT\tB-NP\tO' +p90470 +aS'visualized\tvisualize\tVBN\tI-NP\tO' +p90471 +aS'portions\tportion\tNNS\tI-NP\tO' +p90472 +aS'of\tof\tIN\tB-PP\tO' +p90473 +aS'the\tthe\tDT\tB-NP\tO' +p90474 +aS'lung\tlung\tNN\tI-NP\tO' +p90475 +aS'apices\tapex\tNNS\tI-NP\tO' +p90476 +aS'.\t.\t.\tO\tO' +p90477 +asS'12. Fluconazole 200 mg Tablet Sig : Two ( 2 ) Tablet PO Q24H ( every 24 hours ) for 7 days .' +p90478 +(lp90479 +S'12.\t12.\tCD\tB-NP\tO' +p90480 +aS'Fluconazole\tFluconazole\tNN\tI-NP\tO' +p90481 +aS'200\t200\tCD\tB-NP\tO' +p90482 +aS'mg\tmg\tNN\tI-NP\tO' +p90483 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p90484 +aS'Sig\tSig\tNNP\tI-NP\tO' +p90485 +aS':\t:\t:\tO\tO' +p90486 +aS'Two\tTwo\tCD\tB-NP\tO' +p90487 +aS'(\t(\t(\tO\tO' +p90488 +aS'2\t2\tCD\tO\tO' +p90489 +aS')\t)\t)\tO\tO' +p90490 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p90491 +aS'PO\tPO\tNN\tI-NP\tO' +p90492 +aS'Q24H\tQ24H\tNN\tI-NP\tO' +p90493 +aS'(\t(\t(\tO\tO' +p90494 +aS'every\tevery\tDT\tB-NP\tO' +p90495 +aS'24\t24\tCD\tI-NP\tO' +p90496 +aS'hours\thour\tNNS\tI-NP\tO' +p90497 +aS')\t)\t)\tO\tO' +p90498 +aS'for\tfor\tIN\tB-PP\tO' +p90499 +aS'7\t7\tCD\tB-NP\tO' +p90500 +aS'days\tday\tNNS\tI-NP\tO' +p90501 +aS'.\t.\t.\tO\tO' +p90502 +asS'The patient is a 61 - year-old white male with a history of coronary artery disease , status post 5-vessel coronary artery bypass graft on 2009-09-11 , who presents for elective right heart catheterization and pericardiocentesis .' +p90503 +(lp90504 +S'The\tThe\tDT\tB-NP\tO' +p90505 +aS'patient\tpatient\tNN\tI-NP\tO' +p90506 +aS'is\tbe\tVBZ\tB-VP\tO' +p90507 +aS'a\ta\tDT\tB-NP\tO' +p90508 +aS'61\t61\tCD\tI-NP\tO' +p90509 +aS'-\t-\tHYPH\tI-NP\tO' +p90510 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p90511 +aS'white\twhite\tJJ\tI-NP\tO' +p90512 +aS'male\tmale\tNN\tI-NP\tO' +p90513 +aS'with\twith\tIN\tB-PP\tO' +p90514 +aS'a\ta\tDT\tB-NP\tO' +p90515 +aS'history\thistory\tNN\tI-NP\tO' +p90516 +aS'of\tof\tIN\tB-PP\tO' +p90517 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p90518 +aS'artery\tartery\tNN\tI-NP\tO' +p90519 +aS'disease\tdisease\tNN\tI-NP\tO' +p90520 +aS',\t,\t,\tO\tO' +p90521 +aS'status\tstatus\tNN\tB-NP\tO' +p90522 +aS'post\tpost\tVBD\tB-VP\tO' +p90523 +aS'5-vessel\t5-vessel\tJJ\tB-NP\tO' +p90524 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p90525 +aS'artery\tartery\tNN\tI-NP\tO' +p90526 +aS'bypass\tbypass\tIN\tB-PP\tO' +p90527 +aS'graft\tgraft\tNN\tB-NP\tO' +p90528 +aS'on\ton\tIN\tB-PP\tO' +p90529 +aS'2009-09-11\t2009-09-11\tCD\tB-NP\tO' +p90530 +aS',\t,\t,\tO\tO' +p90531 +aS'who\twho\tWP\tB-NP\tO' +p90532 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p90533 +aS'for\tfor\tIN\tB-PP\tO' +p90534 +aS'elective\telective\tJJ\tB-NP\tO' +p90535 +aS'right\tright\tJJ\tI-NP\tO' +p90536 +aS'heart\theart\tNN\tI-NP\tO' +p90537 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p90538 +aS'and\tand\tCC\tI-NP\tO' +p90539 +aS'pericardiocentesis\tpericardiocentesis\tNN\tI-NP\tO' +p90540 +aS'.\t.\t.\tO\tO' +p90541 +asS'The patient was continued on Lopressor and captopril throughout his hospital course , and changed to' +p90542 +(lp90543 +S'The\tThe\tDT\tB-NP\tO' +p90544 +aS'patient\tpatient\tNN\tI-NP\tO' +p90545 +aS'was\tbe\tVBD\tB-VP\tO' +p90546 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p90547 +aS'on\ton\tIN\tB-PP\tO' +p90548 +aS'Lopressor\tLopressor\tNN\tB-NP\tO' +p90549 +aS'and\tand\tCC\tI-NP\tO' +p90550 +aS'captopril\tcaptopril\tNN\tI-NP\tO' +p90551 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p90552 +aS'his\this\tPRP$\tB-NP\tO' +p90553 +aS'hospital\thospital\tNN\tI-NP\tO' +p90554 +aS'course\tcourse\tNN\tI-NP\tO' +p90555 +aS',\t,\t,\tO\tO' +p90556 +aS'and\tand\tCC\tO\tO' +p90557 +aS'changed\tchange\tVBD\tB-VP\tO' +p90558 +aS'to\tto\tTO\tB-PP\tO' +p90559 +asS'CMED : A+Ox3 , mood " great ," affect approp , speech stuttering , linear TP , no SI or HI' +p90560 +(lp90561 +S'CMED\tCMED\tVBN\tB-VP\tO' +p90562 +aS':\t:\t:\tO\tO' +p90563 +aS'A+Ox3\tA+Ox3\tNN\tB-NP\tB-protein' +p90564 +aS',\t,\t,\tO\tO' +p90565 +aS'mood\tmood\tNN\tB-NP\tO' +p90566 +aS'"\t"\t``\tO\tO' +p90567 +aS'great\tgreat\tJJ\tB-NP\tO' +p90568 +aS',"\t,"\t,\tI-NP\tO' +p90569 +aS'affect\taffect\tJJ\tI-NP\tO' +p90570 +aS'approp\tapprop\tNN\tI-NP\tO' +p90571 +aS',\t,\t,\tO\tO' +p90572 +aS'speech\tspeech\tNN\tB-NP\tO' +p90573 +aS'stuttering\tstuttering\tNN\tI-NP\tO' +p90574 +aS',\t,\t,\tO\tO' +p90575 +aS'linear\tlinear\tJJ\tB-NP\tO' +p90576 +aS'TP\tTP\tNN\tI-NP\tO' +p90577 +aS',\t,\t,\tO\tO' +p90578 +aS'no\tno\tDT\tB-NP\tO' +p90579 +aS'SI\tSI\tNN\tI-NP\tO' +p90580 +aS'or\tor\tCC\tI-NP\tO' +p90581 +aS'HI\tHI\tNN\tI-NP\tO' +p90582 +asS'The patient did have some tachycardia postoperatively ; however , her hematocrit remained stable .' +p90583 +(lp90584 +S'The\tThe\tDT\tB-NP\tO' +p90585 +aS'patient\tpatient\tNN\tI-NP\tO' +p90586 +aS'did\tdo\tVBD\tB-VP\tO' +p90587 +aS'have\thave\tVB\tI-VP\tO' +p90588 +aS'some\tsome\tDT\tB-NP\tO' +p90589 +aS'tachycardia\ttachycardia\tNN\tI-NP\tO' +p90590 +aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' +p90591 +aS';\t;\t:\tO\tO' +p90592 +aS'however\thowever\tRB\tB-ADVP\tO' +p90593 +aS',\t,\t,\tO\tO' +p90594 +aS'her\ther\tPRP$\tB-NP\tO' +p90595 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p90596 +aS'remained\tremain\tVBD\tB-VP\tO' +p90597 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p90598 +aS'.\t.\t.\tO\tO' +p90599 +asS'However , he did not keep any of these appointments .' +p90600 +(lp90601 +S'However\tHowever\tRB\tB-ADVP\tO' +p90602 +aS',\t,\t,\tO\tO' +p90603 +aS'he\the\tPRP\tB-NP\tO' +p90604 +aS'did\tdo\tVBD\tB-VP\tO' +p90605 +aS'not\tnot\tRB\tI-VP\tO' +p90606 +aS'keep\tkeep\tVB\tI-VP\tO' +p90607 +aS'any\tany\tDT\tB-NP\tO' +p90608 +aS'of\tof\tIN\tB-PP\tO' +p90609 +aS'these\tthese\tDT\tB-NP\tO' +p90610 +aS'appointments\tappointment\tNNS\tI-NP\tO' +p90611 +aS'.\t.\t.\tO\tO' +p90612 +asS'Heart ranges 130 s to 160 s.' +p90613 +(lp90614 +S'Heart\tHeart\tNNP\tB-NP\tO' +p90615 +aS'ranges\trange\tVBZ\tB-VP\tO' +p90616 +aS'130\t130\tCD\tB-NP\tO' +p90617 +aS's\ts\tNN\tI-NP\tO' +p90618 +aS'to\tto\tTO\tB-PP\tO' +p90619 +aS'160\t160\tCD\tB-NP\tO' +p90620 +aS's.\ts.\tNNS\tI-NP\tO' +p90621 +asS'The patient is missing many teeth .' +p90622 +(lp90623 +S'The\tThe\tDT\tB-NP\tO' +p90624 +aS'patient\tpatient\tNN\tI-NP\tO' +p90625 +aS'is\tbe\tVBZ\tB-VP\tO' +p90626 +aS'missing\tmiss\tVBG\tI-VP\tO' +p90627 +aS'many\tmany\tJJ\tB-NP\tO' +p90628 +aS'teeth\ttooth\tNNS\tI-NP\tO' +p90629 +aS'.\t.\t.\tO\tO' +p90630 +asS'Coronary angiography revealed left main , left circumflex and RCA normal and left LAD with 99% midstenosis .' +p90631 +(lp90632 +S'Coronary\tCoronary\tJJ\tB-NP\tO' +p90633 +aS'angiography\tangiography\tNN\tI-NP\tO' +p90634 +aS'revealed\treveal\tVBD\tB-VP\tO' +p90635 +aS'left\tleft\tRB\tB-NP\tO' +p90636 +aS'main\tmain\tJJ\tI-NP\tO' +p90637 +aS',\t,\t,\tI-NP\tO' +p90638 +aS'left\tleft\tJJ\tI-NP\tO' +p90639 +aS'circumflex\tcircumflex\tNN\tI-NP\tO' +p90640 +aS'and\tand\tCC\tI-NP\tO' +p90641 +aS'RCA\tRCA\tNN\tI-NP\tO' +p90642 +aS'normal\tnormal\tJJ\tI-NP\tO' +p90643 +aS'and\tand\tCC\tI-NP\tO' +p90644 +aS'left\tleft\tJJ\tI-NP\tO' +p90645 +aS'LAD\tLAD\tNN\tI-NP\tO' +p90646 +aS'with\twith\tIN\tB-PP\tO' +p90647 +aS'99%\t99%\tCD\tB-NP\tO' +p90648 +aS'midstenosis\tmidstenosis\tNN\tI-NP\tO' +p90649 +aS'.\t.\t.\tO\tO' +p90650 +asS'No EEG correlate was established for the facial twitching .' +p90651 +(lp90652 +S'No\tNo\tDT\tB-NP\tO' +p90653 +aS'EEG\tEEG\tNN\tI-NP\tO' +p90654 +aS'correlate\tcorrelate\tNN\tI-NP\tO' +p90655 +aS'was\tbe\tVBD\tB-VP\tO' +p90656 +aS'established\testablish\tVBN\tI-VP\tO' +p90657 +aS'for\tfor\tIN\tB-PP\tO' +p90658 +aS'the\tthe\tDT\tB-NP\tO' +p90659 +aS'facial\tfacial\tJJ\tI-NP\tO' +p90660 +aS'twitching\ttwitching\tNN\tI-NP\tO' +p90661 +aS'.\t.\t.\tO\tO' +p90662 +asS'The patient is to follow-up with Dr. Class six weeks from the date of surgery .' +p90663 +(lp90664 +S'The\tThe\tDT\tB-NP\tO' +p90665 +aS'patient\tpatient\tNN\tI-NP\tO' +p90666 +aS'is\tbe\tVBZ\tB-VP\tO' +p90667 +aS'to\tto\tTO\tB-VP\tO' +p90668 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p90669 +aS'with\twith\tIN\tB-PP\tO' +p90670 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p90671 +aS'Class\tClass\tNNP\tI-NP\tO' +p90672 +aS'six\tsix\tCD\tB-NP\tO' +p90673 +aS'weeks\tweek\tNNS\tI-NP\tO' +p90674 +aS'from\tfrom\tIN\tB-PP\tO' +p90675 +aS'the\tthe\tDT\tB-NP\tO' +p90676 +aS'date\tdate\tNN\tI-NP\tO' +p90677 +aS'of\tof\tIN\tB-PP\tO' +p90678 +aS'surgery\tsurgery\tNN\tB-NP\tO' +p90679 +aS'.\t.\t.\tO\tO' +p90680 +asS'The patient otherwise continued to be hemodynamically stable making good progress .' +p90681 +(lp90682 +S'The\tThe\tDT\tB-NP\tO' +p90683 +aS'patient\tpatient\tNN\tI-NP\tO' +p90684 +aS'otherwise\totherwise\tRB\tB-ADVP\tO' +p90685 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p90686 +aS'to\tto\tTO\tI-VP\tO' +p90687 +aS'be\tbe\tVB\tI-VP\tO' +p90688 +aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' +p90689 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p90690 +aS'making\tmake\tVBG\tB-VP\tO' +p90691 +aS'good\tgood\tJJ\tB-NP\tO' +p90692 +aS'progress\tprogress\tNN\tI-NP\tO' +p90693 +aS'.\t.\t.\tO\tO' +p90694 +asS'The vancomycin and Levaquin were discontinued after approximately four days in the hospital .' +p90695 +(lp90696 +S'The\tThe\tDT\tB-NP\tO' +p90697 +aS'vancomycin\tvancomycin\tNN\tI-NP\tO' +p90698 +aS'and\tand\tCC\tI-NP\tO' +p90699 +aS'Levaquin\tLevaquin\tNN\tI-NP\tO' +p90700 +aS'were\tbe\tVBD\tB-VP\tO' +p90701 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p90702 +aS'after\tafter\tIN\tB-PP\tO' +p90703 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p90704 +aS'four\tfour\tCD\tI-NP\tO' +p90705 +aS'days\tday\tNNS\tI-NP\tO' +p90706 +aS'in\tin\tIN\tB-PP\tO' +p90707 +aS'the\tthe\tDT\tB-NP\tO' +p90708 +aS'hospital\thospital\tNN\tI-NP\tO' +p90709 +aS'.\t.\t.\tO\tO' +p90710 +asS'Also , his white blood cell count was found to rise to 32.0 ; this was most likely due to a secondary infection of his foot and Zosyn was started .' +p90711 +(lp90712 +S'Also\tAlso\tRB\tB-ADVP\tO' +p90713 +aS',\t,\t,\tO\tO' +p90714 +aS'his\this\tPRP$\tB-NP\tO' +p90715 +aS'white\twhite\tJJ\tI-NP\tO' +p90716 +aS'blood\tblood\tNN\tI-NP\tO' +p90717 +aS'cell\tcell\tNN\tI-NP\tO' +p90718 +aS'count\tcount\tNN\tI-NP\tO' +p90719 +aS'was\tbe\tVBD\tB-VP\tO' +p90720 +aS'found\tfind\tVBN\tI-VP\tO' +p90721 +aS'to\tto\tTO\tI-VP\tO' +p90722 +aS'rise\trise\tVB\tI-VP\tO' +p90723 +aS'to\tto\tTO\tB-PP\tO' +p90724 +aS'32.0\t32.0\tCD\tB-NP\tO' +p90725 +aS';\t;\t:\tO\tO' +p90726 +aS'this\tthis\tDT\tB-NP\tO' +p90727 +aS'was\tbe\tVBD\tB-VP\tO' +p90728 +aS'most\tmost\tRBS\tB-ADVP\tO' +p90729 +aS'likely\tlikely\tRB\tI-ADVP\tO' +p90730 +aS'due\tdue\tIN\tB-PP\tO' +p90731 +aS'to\tto\tTO\tB-PP\tO' +p90732 +aS'a\ta\tDT\tB-NP\tO' +p90733 +aS'secondary\tsecondary\tJJ\tI-NP\tO' +p90734 +aS'infection\tinfection\tNN\tI-NP\tO' +p90735 +aS'of\tof\tIN\tB-PP\tO' +p90736 +aS'his\this\tPRP$\tB-NP\tO' +p90737 +aS'foot\tfoot\tNN\tI-NP\tO' +p90738 +aS'and\tand\tCC\tI-NP\tO' +p90739 +aS'Zosyn\tZosyn\tNN\tI-NP\tO' +p90740 +aS'was\tbe\tVBD\tB-VP\tO' +p90741 +aS'started\tstart\tVBN\tI-VP\tO' +p90742 +aS'.\t.\t.\tO\tO' +p90743 +asS'Mucosa dry .' +p90744 +(lp90745 +S'Mucosa\tMucosa\tNNP\tB-NP\tO' +p90746 +aS'dry\tdry\tJJ\tI-NP\tO' +p90747 +aS'.\t.\t.\tO\tO' +p90748 +asS'7 ) Atrovent inhaler 4 puffs q.i.d.' +p90749 +(lp90750 +S'7\t7\tCD\tB-NP\tO' +p90751 +aS')\t)\t)\tO\tO' +p90752 +aS'Atrovent\tAtrovent\tNNP\tB-NP\tO' +p90753 +aS'inhaler\tinhaler\tNN\tI-NP\tO' +p90754 +aS'4\t4\tCD\tB-NP\tO' +p90755 +aS'puffs\tpuff\tNNS\tI-NP\tO' +p90756 +aS'q.i.d.\tq.i.d.\tRB\tB-ADVP\tO' +p90757 +asS'At dialysis on day of admission , she related these symptoms for the first time and had a bloody bowel movement .' +p90758 +(lp90759 +S'At\tAt\tIN\tB-PP\tO' +p90760 +aS'dialysis\tdialysis\tNN\tB-NP\tO' +p90761 +aS'on\ton\tIN\tB-PP\tO' +p90762 +aS'day\tday\tNN\tB-NP\tO' +p90763 +aS'of\tof\tIN\tB-PP\tO' +p90764 +aS'admission\tadmission\tNN\tB-NP\tO' +p90765 +aS',\t,\t,\tO\tO' +p90766 +aS'she\tshe\tPRP\tB-NP\tO' +p90767 +aS'related\trelate\tVBD\tB-VP\tO' +p90768 +aS'these\tthese\tDT\tB-NP\tO' +p90769 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p90770 +aS'for\tfor\tIN\tB-PP\tO' +p90771 +aS'the\tthe\tDT\tB-NP\tO' +p90772 +aS'first\tfirst\tJJ\tI-NP\tO' +p90773 +aS'time\ttime\tNN\tI-NP\tO' +p90774 +aS'and\tand\tCC\tO\tO' +p90775 +aS'had\thave\tVBD\tB-VP\tO' +p90776 +aS'a\ta\tDT\tB-NP\tO' +p90777 +aS'bloody\tbloody\tJJ\tI-NP\tO' +p90778 +aS'bowel\tbowel\tNN\tI-NP\tO' +p90779 +aS'movement\tmovement\tNN\tI-NP\tO' +p90780 +aS'.\t.\t.\tO\tO' +p90781 +asS'Subsequently , she was transfered to the psychiatric Mary Lane Hospital in Boston Medical Center 4 for further psychiatric w/u .' +p90782 +(lp90783 +S'Subsequently\tSubsequently\tRB\tB-ADVP\tO' +p90784 +aS',\t,\t,\tO\tO' +p90785 +aS'she\tshe\tPRP\tB-NP\tO' +p90786 +aS'was\tbe\tVBD\tB-VP\tO' +p90787 +aS'transfered\ttransfer\tVBN\tI-VP\tO' +p90788 +aS'to\tto\tTO\tB-PP\tO' +p90789 +aS'the\tthe\tDT\tB-NP\tO' +p90790 +aS'psychiatric\tpsychiatric\tJJ\tI-NP\tO' +p90791 +aS'Mary\tMary\tNNP\tI-NP\tO' +p90792 +aS'Lane\tLane\tNNP\tI-NP\tO' +p90793 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p90794 +aS'in\tin\tIN\tB-PP\tO' +p90795 +aS'Boston\tBoston\tNNP\tB-NP\tO' +p90796 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p90797 +aS'Center\tCenter\tNNP\tI-NP\tO' +p90798 +aS'4\t4\tCD\tI-NP\tO' +p90799 +aS'for\tfor\tIN\tB-PP\tO' +p90800 +aS'further\tfurther\tJJ\tB-NP\tO' +p90801 +aS'psychiatric\tpsychiatric\tJJ\tI-NP\tO' +p90802 +aS'w/u\tw/u\tNN\tI-NP\tO' +p90803 +aS'.\t.\t.\tO\tO' +p90804 +asS'Opacified and sclerotic left mastoid air cells are noted .' +p90805 +(lp90806 +S'Opacified\tOpacifie\tVBN\tB-NP\tO' +p90807 +aS'and\tand\tCC\tI-NP\tO' +p90808 +aS'sclerotic\tsclerotic\tJJ\tI-NP\tO' +p90809 +aS'left\tleft\tJJ\tI-NP\tO' +p90810 +aS'mastoid\tmastoid\tJJ\tI-NP\tO' +p90811 +aS'air\tair\tNN\tI-NP\tO' +p90812 +aS'cells\tcell\tNNS\tI-NP\tO' +p90813 +aS'are\tbe\tVBP\tB-VP\tO' +p90814 +aS'noted\tnote\tVBN\tI-VP\tO' +p90815 +aS'.\t.\t.\tO\tO' +p90816 +asS'Sent to Hahnemann General Hospital for evaluation emergently .' +p90817 +(lp90818 +S'Sent\tSent\tJJ\tB-ADJP\tO' +p90819 +aS'to\tto\tTO\tB-PP\tO' +p90820 +aS'Hahnemann\tHahnemann\tNNP\tB-NP\tO' +p90821 +aS'General\tGeneral\tNNP\tI-NP\tO' +p90822 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p90823 +aS'for\tfor\tIN\tB-PP\tO' +p90824 +aS'evaluation\tevaluation\tNN\tB-NP\tO' +p90825 +aS'emergently\temergently\tRB\tB-ADVP\tO' +p90826 +aS'.\t.\t.\tO\tO' +p90827 +asS'The patient is a hair stylist .' +p90828 +(lp90829 +S'The\tThe\tDT\tB-NP\tO' +p90830 +aS'patient\tpatient\tNN\tI-NP\tO' +p90831 +aS'is\tbe\tVBZ\tB-VP\tO' +p90832 +aS'a\ta\tDT\tB-NP\tO' +p90833 +aS'hair\thair\tNN\tI-NP\tO' +p90834 +aS'stylist\tstylist\tNN\tI-NP\tO' +p90835 +aS'.\t.\t.\tO\tO' +p90836 +asS'There was no definite clonic activity .' +p90837 +(lp90838 +S'There\tThere\tEX\tB-NP\tO' +p90839 +aS'was\tbe\tVBD\tB-VP\tO' +p90840 +aS'no\tno\tDT\tB-NP\tO' +p90841 +aS'definite\tdefinite\tJJ\tI-NP\tO' +p90842 +aS'clonic\tclonic\tJJ\tI-NP\tO' +p90843 +aS'activity\tactivity\tNN\tI-NP\tO' +p90844 +aS'.\t.\t.\tO\tO' +p90845 +asS'8. Prednisone 10 mg q. day .' +p90846 +(lp90847 +S'8.\t8.\tCD\tB-NP\tO' +p90848 +aS'Prednisone\tPrednisone\tNN\tI-NP\tO' +p90849 +aS'10\t10\tCD\tB-NP\tO' +p90850 +aS'mg\tmg\tNN\tI-NP\tO' +p90851 +aS'q.\tq.\tNN\tI-NP\tO' +p90852 +aS'day\tday\tNN\tI-NP\tO' +p90853 +aS'.\t.\t.\tO\tO' +p90854 +asS'Cardiovascular revealed she was tachycardic with a regular first heart sound and second heart sound .' +p90855 +(lp90856 +S'Cardiovascular\tCardiovascular\tNNP\tB-NP\tO' +p90857 +aS'revealed\treveal\tVBD\tB-VP\tO' +p90858 +aS'she\tshe\tPRP\tB-NP\tO' +p90859 +aS'was\tbe\tVBD\tB-VP\tO' +p90860 +aS'tachycardic\ttachycardic\tJJ\tB-ADJP\tO' +p90861 +aS'with\twith\tIN\tB-PP\tO' +p90862 +aS'a\ta\tDT\tB-NP\tO' +p90863 +aS'regular\tregular\tJJ\tI-NP\tO' +p90864 +aS'first\tfirst\tJJ\tI-NP\tO' +p90865 +aS'heart\theart\tNN\tI-NP\tO' +p90866 +aS'sound\tsound\tNN\tI-NP\tO' +p90867 +aS'and\tand\tCC\tO\tO' +p90868 +aS'second\tsecond\tJJ\tB-NP\tO' +p90869 +aS'heart\theart\tNN\tI-NP\tO' +p90870 +aS'sound\tsound\tNN\tI-NP\tO' +p90871 +aS'.\t.\t.\tO\tO' +p90872 +asS'The patient needs to have his blood drawn the day after discharge to check a potassium and magnesium which he has been wasting secondary to Amphotericine .' +p90873 +(lp90874 +S'The\tThe\tDT\tB-NP\tO' +p90875 +aS'patient\tpatient\tNN\tI-NP\tO' +p90876 +aS'needs\tneed\tVBZ\tB-VP\tO' +p90877 +aS'to\tto\tTO\tI-VP\tO' +p90878 +aS'have\thave\tVB\tI-VP\tO' +p90879 +aS'his\this\tPRP$\tB-NP\tO' +p90880 +aS'blood\tblood\tNN\tI-NP\tO' +p90881 +aS'drawn\tdraw\tVBN\tB-VP\tO' +p90882 +aS'the\tthe\tDT\tB-NP\tO' +p90883 +aS'day\tday\tNN\tI-NP\tO' +p90884 +aS'after\tafter\tIN\tB-SBAR\tO' +p90885 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p90886 +aS'to\tto\tTO\tB-VP\tO' +p90887 +aS'check\tcheck\tVB\tI-VP\tO' +p90888 +aS'a\ta\tDT\tB-NP\tO' +p90889 +aS'potassium\tpotassium\tNN\tI-NP\tO' +p90890 +aS'and\tand\tCC\tI-NP\tO' +p90891 +aS'magnesium\tmagnesium\tNN\tI-NP\tO' +p90892 +aS'which\twhich\tWDT\tB-NP\tO' +p90893 +aS'he\the\tPRP\tB-NP\tO' +p90894 +aS'has\thave\tVBZ\tB-VP\tO' +p90895 +aS'been\tbe\tVBN\tI-VP\tO' +p90896 +aS'wasting\twaste\tVBG\tI-VP\tO' +p90897 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p90898 +aS'to\tto\tTO\tB-PP\tO' +p90899 +aS'Amphotericine\tAmphotericine\tNN\tB-NP\tO' +p90900 +aS'.\t.\t.\tO\tO' +p90901 +asS'She was therefore taken to the Operating Room on 6/26 and underwent a left total knee arthroplasty losing 200 cc of blood in the procedure with two drains left in which were removed on the first postoperative day .' +p90902 +(lp90903 +S'She\tShe\tPRP\tB-NP\tO' +p90904 +aS'was\tbe\tVBD\tB-VP\tO' +p90905 +aS'therefore\ttherefore\tRB\tI-VP\tO' +p90906 +aS'taken\ttake\tVBN\tI-VP\tO' +p90907 +aS'to\tto\tTO\tB-PP\tO' +p90908 +aS'the\tthe\tDT\tB-NP\tO' +p90909 +aS'Operating\tOperating\tNNP\tI-NP\tO' +p90910 +aS'Room\tRoom\tNNP\tI-NP\tO' +p90911 +aS'on\ton\tIN\tB-PP\tO' +p90912 +aS'6/26\t6/26\tCD\tB-NP\tO' +p90913 +aS'and\tand\tCC\tO\tO' +p90914 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p90915 +aS'a\ta\tDT\tB-NP\tO' +p90916 +aS'left\tleft\tJJ\tI-NP\tO' +p90917 +aS'total\ttotal\tJJ\tI-NP\tO' +p90918 +aS'knee\tknee\tNN\tI-NP\tO' +p90919 +aS'arthroplasty\tarthroplasty\tJJ\tB-VP\tO' +p90920 +aS'losing\tlose\tVBG\tI-VP\tO' +p90921 +aS'200\t200\tCD\tB-NP\tO' +p90922 +aS'cc\tcc\tNN\tI-NP\tO' +p90923 +aS'of\tof\tIN\tB-PP\tO' +p90924 +aS'blood\tblood\tNN\tB-NP\tO' +p90925 +aS'in\tin\tIN\tB-PP\tO' +p90926 +aS'the\tthe\tDT\tB-NP\tO' +p90927 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p90928 +aS'with\twith\tIN\tB-PP\tO' +p90929 +aS'two\ttwo\tCD\tB-NP\tO' +p90930 +aS'drains\tdrain\tNNS\tI-NP\tO' +p90931 +aS'left\tleave\tVBN\tB-VP\tO' +p90932 +aS'in\tin\tIN\tB-PP\tO' +p90933 +aS'which\twhich\tWDT\tB-NP\tO' +p90934 +aS'were\tbe\tVBD\tB-VP\tO' +p90935 +aS'removed\tremove\tVBN\tI-VP\tO' +p90936 +aS'on\ton\tIN\tB-PP\tO' +p90937 +aS'the\tthe\tDT\tB-NP\tO' +p90938 +aS'first\tfirst\tJJ\tI-NP\tO' +p90939 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p90940 +aS'day\tday\tNN\tI-NP\tO' +p90941 +aS'.\t.\t.\tO\tO' +p90942 +asS'161-180 mg / dL 7 Units' +p90943 +(lp90944 +S'161-180\t161-180\tCD\tB-NP\tO' +p90945 +aS'mg\tmg\tNN\tI-NP\tO' +p90946 +aS'/\t/\tSYM\tB-NP\tO' +p90947 +aS'dL\tdL\tNN\tI-NP\tO' +p90948 +aS'7\t7\tCD\tB-NP\tO' +p90949 +aS'Units\tUnit\tNNS\tI-NP\tO' +p90950 +asS'This is primarily right-sided , facial movement clinically and did not appear to involve the forehead or CMED CSRU .' +p90951 +(lp90952 +S'This\tThis\tDT\tB-NP\tO' +p90953 +aS'is\tbe\tVBZ\tB-VP\tO' +p90954 +aS'primarily\tprimarily\tRB\tB-NP\tO' +p90955 +aS'right-sided\tright-sided\tJJ\tI-NP\tO' +p90956 +aS',\t,\t,\tI-NP\tO' +p90957 +aS'facial\tfacial\tJJ\tI-NP\tO' +p90958 +aS'movement\tmovement\tNN\tI-NP\tO' +p90959 +aS'clinically\tclinically\tRB\tB-ADVP\tO' +p90960 +aS'and\tand\tCC\tO\tO' +p90961 +aS'did\tdo\tVBD\tB-VP\tO' +p90962 +aS'not\tnot\tRB\tI-VP\tO' +p90963 +aS'appear\tappear\tVB\tI-VP\tO' +p90964 +aS'to\tto\tTO\tI-VP\tO' +p90965 +aS'involve\tinvolve\tVB\tI-VP\tO' +p90966 +aS'the\tthe\tDT\tB-NP\tO' +p90967 +aS'forehead\tforehead\tNN\tI-NP\tO' +p90968 +aS'or\tor\tCC\tO\tO' +p90969 +aS'CMED\tCMED\tNNP\tB-NP\tO' +p90970 +aS'CSRU\tCSRU\tNNP\tI-NP\tO' +p90971 +aS'.\t.\t.\tO\tO' +p90972 +asS'White blood cell count 16.9 , hematocrit 32.2 , platelet count 418 , sodium 131 , potassium 3.4 , chloride 102 , bicarbonate 21.4 , BUN27 , creatinine 1.4 , glucose 150 .' +p90973 +(lp90974 +S'White\tWhite\tJJ\tB-NP\tO' +p90975 +aS'blood\tblood\tNN\tI-NP\tO' +p90976 +aS'cell\tcell\tNN\tI-NP\tO' +p90977 +aS'count\tcount\tNN\tI-NP\tO' +p90978 +aS'16.9\t16.9\tCD\tB-NP\tO' +p90979 +aS',\t,\t,\tO\tO' +p90980 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p90981 +aS'32.2\t32.2\tCD\tI-NP\tI-protein' +p90982 +aS',\t,\t,\tO\tO' +p90983 +aS'platelet\tplatelet\tNN\tB-NP\tB-protein' +p90984 +aS'count\tcount\tNN\tI-NP\tI-protein' +p90985 +aS'418\t418\tCD\tI-NP\tI-protein' +p90986 +aS',\t,\t,\tO\tO' +p90987 +aS'sodium\tsodium\tNN\tB-NP\tO' +p90988 +aS'131\t131\tCD\tI-NP\tO' +p90989 +aS',\t,\t,\tO\tO' +p90990 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p90991 +aS'3.4\t3.4\tCD\tI-NP\tO' +p90992 +aS',\t,\t,\tO\tO' +p90993 +aS'chloride\tchloride\tNN\tB-NP\tO' +p90994 +aS'102\t102\tCD\tI-NP\tO' +p90995 +aS',\t,\t,\tO\tO' +p90996 +aS'bicarbonate\tbicarbonate\tNN\tB-NP\tB-protein' +p90997 +aS'21.4\t21.4\tCD\tI-NP\tI-protein' +p90998 +aS',\t,\t,\tO\tO' +p90999 +aS'BUN27\tBUN27\tNN\tB-NP\tB-protein' +p91000 +aS',\t,\t,\tO\tO' +p91001 +aS'creatinine\tcreatinine\tNN\tB-NP\tB-protein' +p91002 +aS'1.4\t1.4\tCD\tI-NP\tI-protein' +p91003 +aS',\t,\t,\tO\tO' +p91004 +aS'glucose\tglucose\tNN\tB-NP\tO' +p91005 +aS'150\t150\tCD\tI-NP\tO' +p91006 +aS'.\t.\t.\tO\tO' +p91007 +asS'A beta blocker was started with Metoprolol initially at 25 mg PO bid and eventually increased to 50 mg PO bid .' +p91008 +(lp91009 +S'A\tA\tDT\tB-NP\tO' +p91010 +aS'beta\tbeta\tSYM\tI-NP\tO' +p91011 +aS'blocker\tblocker\tNN\tI-NP\tO' +p91012 +aS'was\tbe\tVBD\tB-VP\tO' +p91013 +aS'started\tstart\tVBN\tI-VP\tO' +p91014 +aS'with\twith\tIN\tB-PP\tO' +p91015 +aS'Metoprolol\tMetoprolol\tNN\tB-NP\tO' +p91016 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p91017 +aS'at\tat\tIN\tB-PP\tO' +p91018 +aS'25\t25\tCD\tB-NP\tO' +p91019 +aS'mg\tmg\tNN\tI-NP\tO' +p91020 +aS'PO\tPO\tNN\tI-NP\tO' +p91021 +aS'bid\tbid\tNN\tI-NP\tO' +p91022 +aS'and\tand\tCC\tO\tO' +p91023 +aS'eventually\teventually\tRB\tB-VP\tO' +p91024 +aS'increased\tincrease\tVBD\tI-VP\tO' +p91025 +aS'to\tto\tTO\tB-PP\tO' +p91026 +aS'50\t50\tCD\tB-NP\tO' +p91027 +aS'mg\tmg\tNN\tI-NP\tO' +p91028 +aS'PO\tPO\tNN\tI-NP\tO' +p91029 +aS'bid\tbid\tNN\tI-NP\tO' +p91030 +aS'.\t.\t.\tO\tO' +p91031 +asS'There are bilateral moderate pleural effusions , both of which have increased in size since the previous study .' +p91032 +(lp91033 +S'There\tThere\tEX\tB-NP\tO' +p91034 +aS'are\tbe\tVBP\tB-VP\tO' +p91035 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p91036 +aS'moderate\tmoderate\tJJ\tI-NP\tO' +p91037 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p91038 +aS'effusions\teffusion\tNNS\tI-NP\tO' +p91039 +aS',\t,\t,\tO\tO' +p91040 +aS'both\tboth\tDT\tB-NP\tO' +p91041 +aS'of\tof\tIN\tB-PP\tO' +p91042 +aS'which\twhich\tWDT\tB-NP\tO' +p91043 +aS'have\thave\tVBP\tB-VP\tO' +p91044 +aS'increased\tincrease\tVBN\tI-VP\tO' +p91045 +aS'in\tin\tIN\tB-PP\tO' +p91046 +aS'size\tsize\tNN\tB-NP\tO' +p91047 +aS'since\tsince\tIN\tB-PP\tO' +p91048 +aS'the\tthe\tDT\tB-NP\tO' +p91049 +aS'previous\tprevious\tJJ\tI-NP\tO' +p91050 +aS'study\tstudy\tNN\tI-NP\tO' +p91051 +aS'.\t.\t.\tO\tO' +p91052 +asS'After an extended stay for hemodynamic monitoring and pressor support to maintain his perfusion .' +p91053 +(lp91054 +S'After\tAfter\tIN\tB-PP\tO' +p91055 +aS'an\tan\tDT\tB-NP\tO' +p91056 +aS'extended\textend\tVBN\tI-NP\tO' +p91057 +aS'stay\tstay\tNN\tI-NP\tO' +p91058 +aS'for\tfor\tIN\tB-PP\tO' +p91059 +aS'hemodynamic\themodynamic\tJJ\tB-NP\tO' +p91060 +aS'monitoring\tmonitoring\tNN\tI-NP\tO' +p91061 +aS'and\tand\tCC\tI-NP\tO' +p91062 +aS'pressor\tpressor\tNN\tI-NP\tO' +p91063 +aS'support\tsupport\tVBP\tB-VP\tO' +p91064 +aS'to\tto\tTO\tI-VP\tO' +p91065 +aS'maintain\tmaintain\tVB\tI-VP\tO' +p91066 +aS'his\this\tPRP$\tB-NP\tO' +p91067 +aS'perfusion\tperfusion\tNN\tI-NP\tO' +p91068 +aS'.\t.\t.\tO\tO' +p91069 +asS'The incision from buttontoe amputation of the left foot healing well , without any further complications .' +p91070 +(lp91071 +S'The\tThe\tDT\tB-NP\tO' +p91072 +aS'incision\tincision\tNN\tI-NP\tO' +p91073 +aS'from\tfrom\tIN\tB-PP\tO' +p91074 +aS'buttontoe\tbuttontoe\tNN\tB-NP\tO' +p91075 +aS'amputation\tamputation\tNN\tI-NP\tO' +p91076 +aS'of\tof\tIN\tB-PP\tO' +p91077 +aS'the\tthe\tDT\tB-NP\tO' +p91078 +aS'left\tleft\tJJ\tI-NP\tO' +p91079 +aS'foot\tfoot\tNN\tI-NP\tO' +p91080 +aS'healing\theal\tVBG\tB-VP\tO' +p91081 +aS'well\twell\tRB\tB-ADVP\tO' +p91082 +aS',\t,\t,\tO\tO' +p91083 +aS'without\twithout\tIN\tB-PP\tO' +p91084 +aS'any\tany\tDT\tB-NP\tO' +p91085 +aS'further\tfurther\tJJ\tI-NP\tO' +p91086 +aS'complications\tcomplication\tNNS\tI-NP\tO' +p91087 +aS'.\t.\t.\tO\tO' +p91088 +asS'Unable to assess reflexes due to the knee deformities .' +p91089 +(lp91090 +S'Unable\tUnable\tJJ\tB-ADJP\tO' +p91091 +aS'to\tto\tTO\tB-VP\tO' +p91092 +aS'assess\tassess\tVB\tI-VP\tO' +p91093 +aS'reflexes\treflex\tNNS\tB-NP\tO' +p91094 +aS'due\tdue\tJJ\tB-ADJP\tO' +p91095 +aS'to\tto\tTO\tB-PP\tO' +p91096 +aS'the\tthe\tDT\tB-NP\tO' +p91097 +aS'knee\tknee\tNN\tI-NP\tO' +p91098 +aS'deformities\tdeformity\tNNS\tI-NP\tO' +p91099 +aS'.\t.\t.\tO\tO' +p91100 +asS'Her PT on the day of discharge was 13.2 and she was started on Coumadin 2.5 mg po q d as mentioned .' +p91101 +(lp91102 +S'Her\tHer\tPRP$\tB-NP\tO' +p91103 +aS'PT\tPT\tNN\tI-NP\tO' +p91104 +aS'on\ton\tIN\tB-PP\tO' +p91105 +aS'the\tthe\tDT\tB-NP\tO' +p91106 +aS'day\tday\tNN\tI-NP\tO' +p91107 +aS'of\tof\tIN\tB-PP\tO' +p91108 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p91109 +aS'was\tbe\tVBD\tB-VP\tO' +p91110 +aS'13.2\t13.2\tCD\tB-NP\tO' +p91111 +aS'and\tand\tCC\tO\tO' +p91112 +aS'she\tshe\tPRP\tB-NP\tO' +p91113 +aS'was\tbe\tVBD\tB-VP\tO' +p91114 +aS'started\tstart\tVBN\tI-VP\tO' +p91115 +aS'on\ton\tIN\tB-PP\tO' +p91116 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p91117 +aS'2.5\t2.5\tCD\tI-NP\tO' +p91118 +aS'mg\tmg\tNN\tI-NP\tO' +p91119 +aS'po\tpo\tNN\tI-NP\tO' +p91120 +aS'q\tq\tNN\tI-NP\tO' +p91121 +aS'd\td\tNN\tI-NP\tO' +p91122 +aS'as\tas\tIN\tB-SBAR\tO' +p91123 +aS'mentioned\tmention\tVBN\tB-VP\tO' +p91124 +aS'.\t.\t.\tO\tO' +p91125 +asS'Therefore , he does have a thrombocytopenic reaction to Heparin .' +p91126 +(lp91127 +S'Therefore\tTherefore\tRB\tB-ADVP\tO' +p91128 +aS',\t,\t,\tO\tO' +p91129 +aS'he\the\tPRP\tB-NP\tO' +p91130 +aS'does\tdo\tVBZ\tB-VP\tO' +p91131 +aS'have\thave\tVB\tI-VP\tO' +p91132 +aS'a\ta\tDT\tB-NP\tO' +p91133 +aS'thrombocytopenic\tthrombocytopenic\tJJ\tI-NP\tO' +p91134 +aS'reaction\treaction\tNN\tI-NP\tO' +p91135 +aS'to\tto\tTO\tB-PP\tO' +p91136 +aS'Heparin\tHeparin\tNN\tB-NP\tO' +p91137 +aS'.\t.\t.\tO\tO' +p91138 +asS'Patient 's mother was informed by Dr. Vessels .' +p91139 +(lp91140 +S'Patient\tPatient\tNN\tB-NP\tO' +p91141 +aS''s\t'\tNNS\tI-NP\tO' +p91142 +aS'mother\tmother\tNN\tI-NP\tO' +p91143 +aS'was\tbe\tVBD\tB-VP\tO' +p91144 +aS'informed\tinform\tVBN\tI-VP\tO' +p91145 +aS'by\tby\tIN\tB-PP\tO' +p91146 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p91147 +aS'Vessels\tVessels\tNNP\tI-NP\tO' +p91148 +aS'.\t.\t.\tO\tO' +p91149 +asS'A computerized tomography scan was performed which showed a central recurrence and biopsy of this lesion was positive .' +p91150 +(lp91151 +S'A\tA\tDT\tB-NP\tO' +p91152 +aS'computerized\tcomputerized\tJJ\tI-NP\tO' +p91153 +aS'tomography\ttomography\tNN\tI-NP\tO' +p91154 +aS'scan\tscan\tNN\tI-NP\tO' +p91155 +aS'was\tbe\tVBD\tB-VP\tO' +p91156 +aS'performed\tperform\tVBN\tI-VP\tO' +p91157 +aS'which\twhich\tWDT\tB-NP\tO' +p91158 +aS'showed\tshow\tVBD\tB-VP\tO' +p91159 +aS'a\ta\tDT\tB-NP\tO' +p91160 +aS'central\tcentral\tJJ\tI-NP\tO' +p91161 +aS'recurrence\trecurrence\tNN\tI-NP\tO' +p91162 +aS'and\tand\tCC\tI-NP\tO' +p91163 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p91164 +aS'of\tof\tIN\tB-PP\tO' +p91165 +aS'this\tthis\tDT\tB-NP\tO' +p91166 +aS'lesion\tlesion\tNN\tI-NP\tO' +p91167 +aS'was\tbe\tVBD\tB-VP\tO' +p91168 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p91169 +aS'.\t.\t.\tO\tO' +p91170 +asS'On admission included Naprosyn .' +p91171 +(lp91172 +S'On\tOn\tIN\tB-PP\tO' +p91173 +aS'admission\tadmission\tNN\tB-NP\tO' +p91174 +aS'included\tinclude\tVBD\tB-VP\tO' +p91175 +aS'Naprosyn\tNaprosyn\tNNP\tB-NP\tO' +p91176 +aS'.\t.\t.\tO\tO' +p91177 +asS'At 1:15 PM on 10/06/94 , the patient was found unresponsive with no heart sounds , carotid pulse , respiratory excursions , or pupillary reactions .' +p91178 +(lp91179 +S'At\tAt\tIN\tB-PP\tO' +p91180 +aS'1:15\t1:15\tCD\tB-NP\tO' +p91181 +aS'PM\tPM\tNN\tI-NP\tO' +p91182 +aS'on\ton\tIN\tB-PP\tO' +p91183 +aS'10/06/94\t10/06/94\tCD\tB-NP\tO' +p91184 +aS',\t,\t,\tO\tO' +p91185 +aS'the\tthe\tDT\tB-NP\tO' +p91186 +aS'patient\tpatient\tNN\tI-NP\tO' +p91187 +aS'was\tbe\tVBD\tB-VP\tO' +p91188 +aS'found\tfind\tVBN\tI-VP\tO' +p91189 +aS'unresponsive\tunresponsive\tJJ\tB-ADJP\tO' +p91190 +aS'with\twith\tIN\tB-PP\tO' +p91191 +aS'no\tno\tDT\tB-NP\tO' +p91192 +aS'heart\theart\tNN\tI-NP\tO' +p91193 +aS'sounds\tsound\tVBZ\tB-VP\tO' +p91194 +aS',\t,\t,\tO\tO' +p91195 +aS'carotid\tcarotid\tNN\tB-NP\tO' +p91196 +aS'pulse\tpulse\tNN\tI-NP\tO' +p91197 +aS',\t,\t,\tO\tO' +p91198 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p91199 +aS'excursions\texcursion\tNNS\tI-NP\tO' +p91200 +aS',\t,\t,\tO\tO' +p91201 +aS'or\tor\tCC\tO\tO' +p91202 +aS'pupillary\tpupillary\tJJ\tB-NP\tO' +p91203 +aS'reactions\treaction\tNNS\tI-NP\tO' +p91204 +aS'.\t.\t.\tO\tO' +p91205 +asS'pulm : no BS 01-15 way up bilat , no consolidation' +p91206 +(lp91207 +S'pulm\tpulm\tNN\tB-NP\tO' +p91208 +aS':\t:\t:\tO\tO' +p91209 +aS'no\tno\tDT\tB-NP\tO' +p91210 +aS'BS\tBS\tNN\tI-NP\tO' +p91211 +aS'01-15\t01-15\tCD\tI-NP\tO' +p91212 +aS'way\tway\tNN\tI-NP\tO' +p91213 +aS'up\tup\tIN\tB-PP\tO' +p91214 +aS'bilat\tbilat\tNN\tB-NP\tO' +p91215 +aS',\t,\t,\tO\tO' +p91216 +aS'no\tno\tDT\tB-NP\tO' +p91217 +aS'consolidation\tconsolidation\tNN\tI-NP\tO' +p91218 +asS'There was no active bleeding at the time .' +p91219 +(lp91220 +S'There\tThere\tEX\tB-NP\tO' +p91221 +aS'was\tbe\tVBD\tB-VP\tO' +p91222 +aS'no\tno\tDT\tB-NP\tO' +p91223 +aS'active\tactive\tJJ\tI-NP\tO' +p91224 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p91225 +aS'at\tat\tIN\tB-PP\tO' +p91226 +aS'the\tthe\tDT\tB-NP\tO' +p91227 +aS'time\ttime\tNN\tI-NP\tO' +p91228 +aS'.\t.\t.\tO\tO' +p91229 +asS'10 ) Diltiazem 240 mg p.o. q. day .' +p91230 +(lp91231 +S'10\t10\tCD\tB-NP\tO' +p91232 +aS')\t)\t)\tO\tO' +p91233 +aS'Diltiazem\tDiltiazem\tNNP\tB-NP\tO' +p91234 +aS'240\t240\tCD\tI-NP\tO' +p91235 +aS'mg\tmg\tNN\tI-NP\tO' +p91236 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p91237 +aS'q.\tq.\tNN\tI-NP\tO' +p91238 +aS'day\tday\tNN\tI-NP\tO' +p91239 +aS'.\t.\t.\tO\tO' +p91240 +asS'He did not show any episodes of bradycardia throughout the remainder of his hospital course .' +p91241 +(lp91242 +S'He\tHe\tPRP\tB-NP\tO' +p91243 +aS'did\tdo\tVBD\tB-VP\tO' +p91244 +aS'not\tnot\tRB\tI-VP\tO' +p91245 +aS'show\tshow\tVB\tI-VP\tO' +p91246 +aS'any\tany\tDT\tB-NP\tO' +p91247 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p91248 +aS'of\tof\tIN\tB-PP\tO' +p91249 +aS'bradycardia\tbradycardia\tNN\tB-NP\tO' +p91250 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p91251 +aS'the\tthe\tDT\tB-NP\tO' +p91252 +aS'remainder\tremainder\tNN\tI-NP\tO' +p91253 +aS'of\tof\tIN\tB-PP\tO' +p91254 +aS'his\this\tPRP$\tB-NP\tO' +p91255 +aS'hospital\thospital\tNN\tI-NP\tO' +p91256 +aS'course\tcourse\tNN\tI-NP\tO' +p91257 +aS'.\t.\t.\tO\tO' +p91258 +asS'The patient will also call clinical nurse specialist , Sandra Rose at ( 968 ) 347-9868 for further referral to addiction services .' +p91259 +(lp91260 +S'The\tThe\tDT\tB-NP\tO' +p91261 +aS'patient\tpatient\tNN\tI-NP\tO' +p91262 +aS'will\twill\tMD\tB-VP\tO' +p91263 +aS'also\talso\tRB\tI-VP\tO' +p91264 +aS'call\tcall\tVB\tI-VP\tO' +p91265 +aS'clinical\tclinical\tJJ\tB-NP\tO' +p91266 +aS'nurse\tnurse\tNN\tI-NP\tO' +p91267 +aS'specialist\tspecialist\tNN\tI-NP\tO' +p91268 +aS',\t,\t,\tO\tO' +p91269 +aS'Sandra\tSandra\tNNP\tB-NP\tO' +p91270 +aS'Rose\tRose\tNNP\tI-NP\tO' +p91271 +aS'at\tat\tIN\tB-PP\tO' +p91272 +aS'(\t(\t(\tO\tO' +p91273 +aS'968\t968\tCD\tB-NP\tO' +p91274 +aS')\t)\t)\tO\tO' +p91275 +aS'347-9868\t347-9868\tCD\tB-NP\tO' +p91276 +aS'for\tfor\tIN\tB-PP\tO' +p91277 +aS'further\tfurther\tJJ\tB-NP\tO' +p91278 +aS'referral\treferral\tNN\tI-NP\tO' +p91279 +aS'to\tto\tTO\tB-PP\tO' +p91280 +aS'addiction\taddiction\tNN\tB-NP\tO' +p91281 +aS'services\tservice\tNNS\tI-NP\tO' +p91282 +aS'.\t.\t.\tO\tO' +p91283 +asS'The spleen was within normal limits .' +p91284 +(lp91285 +S'The\tThe\tDT\tB-NP\tO' +p91286 +aS'spleen\tspleen\tNN\tI-NP\tO' +p91287 +aS'was\tbe\tVBD\tB-VP\tO' +p91288 +aS'within\twithin\tIN\tB-PP\tO' +p91289 +aS'normal\tnormal\tJJ\tB-NP\tO' +p91290 +aS'limits\tlimit\tNNS\tI-NP\tO' +p91291 +aS'.\t.\t.\tO\tO' +p91292 +asS'Unclear etiology headache over the three days prior to admission in association with fever was concerning for a CNS etiology .' +p91293 +(lp91294 +S'Unclear\tUnclear\tJJ\tB-NP\tO' +p91295 +aS'etiology\tetiology\tNN\tI-NP\tO' +p91296 +aS'headache\theadache\tNN\tI-NP\tO' +p91297 +aS'over\tover\tIN\tB-PP\tO' +p91298 +aS'the\tthe\tDT\tB-NP\tO' +p91299 +aS'three\tthree\tCD\tI-NP\tO' +p91300 +aS'days\tday\tNNS\tI-NP\tO' +p91301 +aS'prior\tprior\tRB\tB-ADVP\tO' +p91302 +aS'to\tto\tTO\tB-PP\tO' +p91303 +aS'admission\tadmission\tNN\tB-NP\tO' +p91304 +aS'in\tin\tIN\tB-PP\tO' +p91305 +aS'association\tassociation\tNN\tB-NP\tO' +p91306 +aS'with\twith\tIN\tB-PP\tO' +p91307 +aS'fever\tfever\tNN\tB-NP\tO' +p91308 +aS'was\tbe\tVBD\tB-VP\tO' +p91309 +aS'concerning\tconcern\tVBG\tI-VP\tO' +p91310 +aS'for\tfor\tIN\tB-PP\tO' +p91311 +aS'a\ta\tDT\tB-NP\tO' +p91312 +aS'CNS\tCNS\tNN\tI-NP\tB-protein' +p91313 +aS'etiology\tetiology\tNN\tI-NP\tO' +p91314 +aS'.\t.\t.\tO\tO' +p91315 +asS'1. Hiatal hernia .' +p91316 +(lp91317 +S'1.\t1.\tLS\tB-NP\tO' +p91318 +aS'Hiatal\tHiatal\tJJ\tI-NP\tO' +p91319 +aS'hernia\thernia\tNN\tI-NP\tO' +p91320 +aS'.\t.\t.\tO\tO' +p91321 +asS'Bronchoscopy and mediastinoscopy revealed an unresectable mediastinal tumor with the left tracheobronchial angle node positive for cancer , and the right paratracheal node positive for anthracosis .' +p91322 +(lp91323 +S'Bronchoscopy\tBronchoscopy\tNN\tB-NP\tO' +p91324 +aS'and\tand\tCC\tI-NP\tO' +p91325 +aS'mediastinoscopy\tmediastinoscopy\tNN\tI-NP\tO' +p91326 +aS'revealed\treveal\tVBD\tB-VP\tO' +p91327 +aS'an\tan\tDT\tB-NP\tO' +p91328 +aS'unresectable\tunresectable\tJJ\tI-NP\tO' +p91329 +aS'mediastinal\tmediastinal\tJJ\tI-NP\tO' +p91330 +aS'tumor\ttumor\tNN\tI-NP\tO' +p91331 +aS'with\twith\tIN\tB-PP\tO' +p91332 +aS'the\tthe\tDT\tB-NP\tO' +p91333 +aS'left\tleft\tJJ\tI-NP\tO' +p91334 +aS'tracheobronchial\ttracheobronchial\tJJ\tI-NP\tO' +p91335 +aS'angle\tangle\tNN\tI-NP\tO' +p91336 +aS'node\tnode\tNN\tI-NP\tO' +p91337 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p91338 +aS'for\tfor\tIN\tB-PP\tO' +p91339 +aS'cancer\tcancer\tNN\tB-NP\tO' +p91340 +aS',\t,\t,\tO\tO' +p91341 +aS'and\tand\tCC\tO\tO' +p91342 +aS'the\tthe\tDT\tB-NP\tO' +p91343 +aS'right\tright\tJJ\tI-NP\tO' +p91344 +aS'paratracheal\tparatracheal\tJJ\tI-NP\tO' +p91345 +aS'node\tnode\tNN\tI-NP\tO' +p91346 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p91347 +aS'for\tfor\tIN\tB-PP\tO' +p91348 +aS'anthracosis\tanthracosis\tNN\tB-NP\tO' +p91349 +aS'.\t.\t.\tO\tO' +p91350 +asS'Assessment was continued with laboratory studies which showed the patient to have a white blood cell count of 9 , hematocrit 39 , and platelets 470 .' +p91351 +(lp91352 +S'Assessment\tAssessment\tNN\tB-NP\tO' +p91353 +aS'was\tbe\tVBD\tB-VP\tO' +p91354 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p91355 +aS'with\twith\tIN\tB-PP\tO' +p91356 +aS'laboratory\tlaboratory\tNN\tB-NP\tO' +p91357 +aS'studies\tstudy\tNNS\tI-NP\tO' +p91358 +aS'which\twhich\tWDT\tB-NP\tO' +p91359 +aS'showed\tshow\tVBD\tB-VP\tO' +p91360 +aS'the\tthe\tDT\tB-NP\tO' +p91361 +aS'patient\tpatient\tNN\tI-NP\tO' +p91362 +aS'to\tto\tTO\tB-VP\tO' +p91363 +aS'have\thave\tVB\tI-VP\tO' +p91364 +aS'a\ta\tDT\tB-NP\tO' +p91365 +aS'white\twhite\tJJ\tI-NP\tO' +p91366 +aS'blood\tblood\tNN\tI-NP\tO' +p91367 +aS'cell\tcell\tNN\tI-NP\tO' +p91368 +aS'count\tcount\tNN\tI-NP\tO' +p91369 +aS'of\tof\tIN\tB-PP\tO' +p91370 +aS'9\t9\tCD\tB-NP\tO' +p91371 +aS',\t,\t,\tO\tO' +p91372 +aS'hematocrit\thematocrit\tNN\tB-NP\tO' +p91373 +aS'39\t39\tCD\tI-NP\tO' +p91374 +aS',\t,\t,\tO\tO' +p91375 +aS'and\tand\tCC\tO\tO' +p91376 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p91377 +aS'470\t470\tCD\tB-NP\tO' +p91378 +aS'.\t.\t.\tO\tO' +p91379 +asS'If you have continued fevers , worsening abdominal pain , discharge or other worrisome symptoms , please return to the emergency department .' +p91380 +(lp91381 +S'If\tIf\tIN\tB-SBAR\tO' +p91382 +aS'you\tyou\tPRP\tB-NP\tO' +p91383 +aS'have\thave\tVBP\tB-VP\tO' +p91384 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p91385 +aS'fevers\tfever\tNNS\tB-NP\tO' +p91386 +aS',\t,\t,\tO\tO' +p91387 +aS'worsening\tworsen\tVBG\tB-VP\tO' +p91388 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p91389 +aS'pain\tpain\tNN\tI-NP\tO' +p91390 +aS',\t,\t,\tO\tO' +p91391 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p91392 +aS'or\tor\tCC\tO\tO' +p91393 +aS'other\tother\tJJ\tB-NP\tO' +p91394 +aS'worrisome\tworrisome\tJJ\tI-NP\tO' +p91395 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p91396 +aS',\t,\t,\tO\tO' +p91397 +aS'please\tplease\tVB\tB-VP\tO' +p91398 +aS'return\treturn\tNN\tB-NP\tO' +p91399 +aS'to\tto\tTO\tB-PP\tO' +p91400 +aS'the\tthe\tDT\tB-NP\tO' +p91401 +aS'emergency\temergency\tNN\tI-NP\tO' +p91402 +aS'department\tdepartment\tNN\tI-NP\tO' +p91403 +aS'.\t.\t.\tO\tO' +p91404 +asS'pt with two episodes of hypoglycemia ( FSBS 22 and 27 ), etiology unclear , pt followed by Strickland , who recommend no changes to current insulin regimen .' +p91405 +(lp91406 +S'pt\tpt\tNN\tB-NP\tO' +p91407 +aS'with\twith\tIN\tB-PP\tO' +p91408 +aS'two\ttwo\tCD\tB-NP\tO' +p91409 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p91410 +aS'of\tof\tIN\tB-PP\tO' +p91411 +aS'hypoglycemia\thypoglycemia\tNN\tB-NP\tO' +p91412 +aS'(\t(\t(\tO\tO' +p91413 +aS'FSBS\tFSBS\tNN\tB-NP\tB-DNA' +p91414 +aS'22\t22\tCD\tI-NP\tI-DNA' +p91415 +aS'and\tand\tCC\tI-NP\tO' +p91416 +aS'27\t27\tCD\tI-NP\tO' +p91417 +aS'),\t),\t)\tI-NP\tO' +p91418 +aS'etiology\tetiology\tNN\tI-NP\tO' +p91419 +aS'unclear\tunclear\tJJ\tB-ADJP\tO' +p91420 +aS',\t,\t,\tO\tO' +p91421 +aS'pt\tpt\tNN\tB-NP\tO' +p91422 +aS'followed\tfollow\tVBN\tB-VP\tO' +p91423 +aS'by\tby\tIN\tB-PP\tO' +p91424 +aS'Strickland\tStrickland\tNNP\tB-NP\tO' +p91425 +aS',\t,\t,\tO\tO' +p91426 +aS'who\twho\tWP\tB-NP\tO' +p91427 +aS'recommend\trecommend\tVBP\tB-VP\tO' +p91428 +aS'no\tno\tDT\tB-NP\tO' +p91429 +aS'changes\tchange\tNNS\tI-NP\tO' +p91430 +aS'to\tto\tTO\tB-PP\tO' +p91431 +aS'current\tcurrent\tJJ\tB-NP\tO' +p91432 +aS'insulin\tinsulin\tNN\tI-NP\tO' +p91433 +aS'regimen\tregimen\tNN\tI-NP\tO' +p91434 +aS'.\t.\t.\tO\tO' +p91435 +asS'He also had some mild to moderate disease at the OM1 noted at that time .' +p91436 +(lp91437 +S'He\tHe\tPRP\tB-NP\tO' +p91438 +aS'also\talso\tRB\tB-ADVP\tO' +p91439 +aS'had\thave\tVBD\tB-VP\tO' +p91440 +aS'some\tsome\tDT\tB-NP\tO' +p91441 +aS'mild\tmild\tJJ\tI-NP\tO' +p91442 +aS'to\tto\tTO\tB-PP\tO' +p91443 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p91444 +aS'disease\tdisease\tNN\tI-NP\tO' +p91445 +aS'at\tat\tIN\tB-PP\tO' +p91446 +aS'the\tthe\tDT\tB-NP\tO' +p91447 +aS'OM1\tOM1\tNN\tI-NP\tB-DNA' +p91448 +aS'noted\tnote\tVBN\tB-VP\tO' +p91449 +aS'at\tat\tIN\tB-PP\tO' +p91450 +aS'that\tthat\tDT\tB-NP\tO' +p91451 +aS'time\ttime\tNN\tI-NP\tO' +p91452 +aS'.\t.\t.\tO\tO' +p91453 +asS'She is to continue taking medications as prescribed .' +p91454 +(lp91455 +S'She\tShe\tPRP\tB-NP\tO' +p91456 +aS'is\tbe\tVBZ\tB-VP\tO' +p91457 +aS'to\tto\tTO\tI-VP\tO' +p91458 +aS'continue\tcontinue\tVB\tI-VP\tO' +p91459 +aS'taking\ttake\tVBG\tI-VP\tO' +p91460 +aS'medications\tmedication\tNNS\tB-NP\tO' +p91461 +aS'as\tas\tIN\tB-SBAR\tO' +p91462 +aS'prescribed\tprescribe\tVBN\tB-VP\tO' +p91463 +aS'.\t.\t.\tO\tO' +p91464 +asS'There is no erythema and sternum is stable .' +p91465 +(lp91466 +S'There\tThere\tEX\tB-NP\tO' +p91467 +aS'is\tbe\tVBZ\tB-VP\tO' +p91468 +aS'no\tno\tDT\tB-NP\tO' +p91469 +aS'erythema\terythema\tNN\tI-NP\tO' +p91470 +aS'and\tand\tCC\tI-NP\tO' +p91471 +aS'sternum\tsternum\tNN\tI-NP\tO' +p91472 +aS'is\tbe\tVBZ\tB-VP\tO' +p91473 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p91474 +aS'.\t.\t.\tO\tO' +p91475 +asS'The neck had a full range of motion , no lymphadenopathy .' +p91476 +(lp91477 +S'The\tThe\tDT\tB-NP\tO' +p91478 +aS'neck\tneck\tNN\tI-NP\tO' +p91479 +aS'had\thave\tVBD\tB-VP\tO' +p91480 +aS'a\ta\tDT\tB-NP\tO' +p91481 +aS'full\tfull\tJJ\tI-NP\tO' +p91482 +aS'range\trange\tNN\tI-NP\tO' +p91483 +aS'of\tof\tIN\tB-PP\tO' +p91484 +aS'motion\tmotion\tNN\tB-NP\tO' +p91485 +aS',\t,\t,\tO\tO' +p91486 +aS'no\tno\tDT\tB-NP\tO' +p91487 +aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' +p91488 +aS'.\t.\t.\tO\tO' +p91489 +asS'Each episode lasted approximately 15 minutes in duration and resolved on their own .' +p91490 +(lp91491 +S'Each\tEach\tDT\tB-NP\tO' +p91492 +aS'episode\tepisode\tNN\tI-NP\tO' +p91493 +aS'lasted\tlast\tVBD\tB-VP\tO' +p91494 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p91495 +aS'15\t15\tCD\tI-NP\tO' +p91496 +aS'minutes\tminute\tNNS\tI-NP\tO' +p91497 +aS'in\tin\tIN\tB-PP\tO' +p91498 +aS'duration\tduration\tNN\tB-NP\tO' +p91499 +aS'and\tand\tCC\tO\tO' +p91500 +aS'resolved\tresolve\tVBN\tB-VP\tO' +p91501 +aS'on\ton\tIN\tB-PP\tO' +p91502 +aS'their\ttheir\tPRP$\tB-NP\tO' +p91503 +aS'own\town\tJJ\tI-NP\tO' +p91504 +aS'.\t.\t.\tO\tO' +p91505 +asS'He was extubated during postoperative day #1 .' +p91506 +(lp91507 +S'He\tHe\tPRP\tB-NP\tO' +p91508 +aS'was\tbe\tVBD\tB-VP\tO' +p91509 +aS'extubated\textubate\tVBN\tI-VP\tO' +p91510 +aS'during\tduring\tIN\tB-PP\tO' +p91511 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p91512 +aS'day\tday\tNN\tI-NP\tO' +p91513 +aS'#1\t#1\tNN\tI-NP\tO' +p91514 +aS'.\t.\t.\tO\tO' +p91515 +asS'You came in with hypertensive emergency .' +p91516 +(lp91517 +S'You\tYou\tPRP\tB-NP\tO' +p91518 +aS'came\tcome\tVBD\tB-VP\tO' +p91519 +aS'in\tin\tRP\tB-PRT\tO' +p91520 +aS'with\twith\tIN\tB-PP\tO' +p91521 +aS'hypertensive\thypertensive\tJJ\tB-NP\tO' +p91522 +aS'emergency\temergency\tNN\tI-NP\tO' +p91523 +aS'.\t.\t.\tO\tO' +p91524 +asS'Please see the operation notes for details about the surgeries .' +p91525 +(lp91526 +S'Please\tPlease\tVB\tB-VP\tO' +p91527 +aS'see\tsee\tVB\tI-VP\tO' +p91528 +aS'the\tthe\tDT\tB-NP\tO' +p91529 +aS'operation\toperation\tNN\tI-NP\tO' +p91530 +aS'notes\tnote\tNNS\tI-NP\tO' +p91531 +aS'for\tfor\tIN\tB-PP\tO' +p91532 +aS'details\tdetail\tNNS\tB-NP\tO' +p91533 +aS'about\tabout\tIN\tB-PP\tO' +p91534 +aS'the\tthe\tDT\tB-NP\tO' +p91535 +aS'surgeries\tsurgery\tNNS\tI-NP\tO' +p91536 +aS'.\t.\t.\tO\tO' +p91537 +asS'At the time of discharge , cytopathology specimens had been negative , and surgical pathology specimens were still pending .' +p91538 +(lp91539 +S'At\tAt\tIN\tB-PP\tO' +p91540 +aS'the\tthe\tDT\tB-NP\tO' +p91541 +aS'time\ttime\tNN\tI-NP\tO' +p91542 +aS'of\tof\tIN\tB-PP\tO' +p91543 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p91544 +aS',\t,\t,\tO\tO' +p91545 +aS'cytopathology\tcytopathology\tNN\tB-NP\tO' +p91546 +aS'specimens\tspecimen\tNNS\tI-NP\tO' +p91547 +aS'had\thave\tVBD\tB-VP\tO' +p91548 +aS'been\tbe\tVBN\tI-VP\tO' +p91549 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p91550 +aS',\t,\t,\tO\tO' +p91551 +aS'and\tand\tCC\tO\tO' +p91552 +aS'surgical\tsurgical\tJJ\tB-NP\tO' +p91553 +aS'pathology\tpathology\tNN\tI-NP\tO' +p91554 +aS'specimens\tspecimen\tNNS\tI-NP\tO' +p91555 +aS'were\tbe\tVBD\tB-VP\tO' +p91556 +aS'still\tstill\tRB\tI-VP\tO' +p91557 +aS'pending\tpende\tVBG\tI-VP\tO' +p91558 +aS'.\t.\t.\tO\tO' +p91559 +asS'- CXR no focal consolidation or edema , old biapical scarring ABG 7.34/79/74 U / A negative' +p91560 +(lp91561 +S'-\t-\tHYPH\tB-NP\tO' +p91562 +aS'CXR\tCXR\tNN\tI-NP\tB-protein' +p91563 +aS'no\tno\tDT\tB-NP\tO' +p91564 +aS'focal\tfocal\tJJ\tI-NP\tO' +p91565 +aS'consolidation\tconsolidation\tNN\tI-NP\tO' +p91566 +aS'or\tor\tCC\tI-NP\tO' +p91567 +aS'edema\tedema\tNN\tI-NP\tO' +p91568 +aS',\t,\t,\tO\tO' +p91569 +aS'old\told\tJJ\tB-NP\tO' +p91570 +aS'biapical\tbiapical\tJJ\tI-NP\tO' +p91571 +aS'scarring\tscar\tVBG\tI-NP\tO' +p91572 +aS'ABG\tABG\tNN\tI-NP\tO' +p91573 +aS'7.34/79/74\t7.34/79/74\tCD\tI-NP\tO' +p91574 +aS'U\tU\tNN\tI-NP\tO' +p91575 +aS'/\t/\tSYM\tB-NP\tO' +p91576 +aS'A\tA\tNN\tI-NP\tO' +p91577 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p91578 +asS'TECHNIQUE : Axial noncontrast CT scans of the brain were obtained .' +p91579 +(lp91580 +S'TECHNIQUE\tTECHNIQUE\tNN\tB-NP\tO' +p91581 +aS':\t:\t:\tO\tO' +p91582 +aS'Axial\tAxial\tJJ\tB-NP\tO' +p91583 +aS'noncontrast\tnoncontrast\tJJ\tI-NP\tO' +p91584 +aS'CT\tCT\tNN\tI-NP\tO' +p91585 +aS'scans\tscan\tNNS\tI-NP\tO' +p91586 +aS'of\tof\tIN\tB-PP\tO' +p91587 +aS'the\tthe\tDT\tB-NP\tO' +p91588 +aS'brain\tbrain\tNN\tI-NP\tO' +p91589 +aS'were\tbe\tVBD\tB-VP\tO' +p91590 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p91591 +aS'.\t.\t.\tO\tO' +p91592 +asS'Her neck showed no JVD , there was a slow carotid upstroke bilaterally , there were bilateral carotid bruits versus transmitted murmur .' +p91593 +(lp91594 +S'Her\tHer\tPRP$\tB-NP\tO' +p91595 +aS'neck\tneck\tNN\tI-NP\tO' +p91596 +aS'showed\tshow\tVBD\tB-VP\tO' +p91597 +aS'no\tno\tDT\tB-NP\tO' +p91598 +aS'JVD\tJVD\tNN\tI-NP\tB-protein' +p91599 +aS',\t,\t,\tO\tO' +p91600 +aS'there\tthere\tEX\tB-NP\tO' +p91601 +aS'was\tbe\tVBD\tB-VP\tO' +p91602 +aS'a\ta\tDT\tB-NP\tO' +p91603 +aS'slow\tslow\tJJ\tI-NP\tO' +p91604 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p91605 +aS'upstroke\tupstroke\tRB\tB-ADVP\tO' +p91606 +aS'bilaterally\tbilaterally\tRB\tI-ADVP\tO' +p91607 +aS',\t,\t,\tO\tO' +p91608 +aS'there\tthere\tEX\tB-NP\tO' +p91609 +aS'were\tbe\tVBD\tB-VP\tO' +p91610 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p91611 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p91612 +aS'bruits\tbruit\tNNS\tI-NP\tO' +p91613 +aS'versus\tversus\tCC\tO\tO' +p91614 +aS'transmitted\ttransmit\tVBN\tB-NP\tO' +p91615 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p91616 +aS'.\t.\t.\tO\tO' +p91617 +asS'Her INR is 2.3 .' +p91618 +(lp91619 +S'Her\tHer\tPRP$\tB-NP\tO' +p91620 +aS'INR\tINR\tNN\tI-NP\tB-protein' +p91621 +aS'is\tbe\tVBZ\tB-VP\tO' +p91622 +aS'2.3\t2.3\tCD\tB-NP\tO' +p91623 +aS'.\t.\t.\tO\tO' +p91624 +asS'4 ) Status post appendectomy .' +p91625 +(lp91626 +S'4\t4\tLS\tB-LST\tO' +p91627 +aS')\t)\t)\tO\tO' +p91628 +aS'Status\tStatus\tNN\tB-NP\tO' +p91629 +aS'post\tpost\tNN\tI-NP\tO' +p91630 +aS'appendectomy\tappendectomy\tNN\tI-NP\tO' +p91631 +aS'.\t.\t.\tO\tO' +p91632 +asS'No spontaneous echo contrast is seen in the body of the left atrium .' +p91633 +(lp91634 +S'No\tNo\tDT\tB-NP\tO' +p91635 +aS'spontaneous\tspontaneous\tJJ\tI-NP\tO' +p91636 +aS'echo\techo\tJJ\tI-NP\tO' +p91637 +aS'contrast\tcontrast\tNN\tI-NP\tO' +p91638 +aS'is\tbe\tVBZ\tB-VP\tO' +p91639 +aS'seen\tsee\tVBN\tI-VP\tO' +p91640 +aS'in\tin\tIN\tB-PP\tO' +p91641 +aS'the\tthe\tDT\tB-NP\tO' +p91642 +aS'body\tbody\tNN\tI-NP\tO' +p91643 +aS'of\tof\tIN\tB-PP\tO' +p91644 +aS'the\tthe\tDT\tB-NP\tO' +p91645 +aS'left\tleft\tJJ\tI-NP\tO' +p91646 +aS'atrium\tatrium\tNN\tI-NP\tO' +p91647 +aS'.\t.\t.\tO\tO' +p91648 +asS'The patient is a 58 - year-old man with history of IDDM , PVD , status post toe amputations , diabetic neuropathy , and retinopathy recently admitted to McLean Hospital from 2017-01-13 , through 2017-01-18 , with a diagnosis of right heel diabetic ulcer with MSSA osteomyelitis of the calcaneus , MSSA bacteremia , acute interstitial nephritis secondary to oxacillin , and RLL pna .' +p91649 +(lp91650 +S'The\tThe\tDT\tB-NP\tO' +p91651 +aS'patient\tpatient\tNN\tI-NP\tO' +p91652 +aS'is\tbe\tVBZ\tB-VP\tO' +p91653 +aS'a\ta\tDT\tB-NP\tO' +p91654 +aS'58\t58\tCD\tI-NP\tO' +p91655 +aS'-\t-\tHYPH\tI-NP\tO' +p91656 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p91657 +aS'man\tman\tNN\tI-NP\tO' +p91658 +aS'with\twith\tIN\tB-PP\tO' +p91659 +aS'history\thistory\tNN\tB-NP\tO' +p91660 +aS'of\tof\tIN\tB-PP\tO' +p91661 +aS'IDDM\tIDDM\tNN\tB-NP\tO' +p91662 +aS',\t,\t,\tO\tO' +p91663 +aS'PVD\tPVD\tNN\tB-NP\tB-protein' +p91664 +aS',\t,\t,\tO\tO' +p91665 +aS'status\tstatus\tNN\tB-NP\tO' +p91666 +aS'post\tpost\tNN\tI-NP\tO' +p91667 +aS'toe\ttoe\tNN\tI-NP\tO' +p91668 +aS'amputations\tamputation\tNNS\tI-NP\tO' +p91669 +aS',\t,\t,\tO\tO' +p91670 +aS'diabetic\tdiabetic\tJJ\tB-NP\tO' +p91671 +aS'neuropathy\tneuropathy\tNN\tI-NP\tO' +p91672 +aS',\t,\t,\tO\tO' +p91673 +aS'and\tand\tCC\tO\tO' +p91674 +aS'retinopathy\tretinopathy\tNN\tB-NP\tO' +p91675 +aS'recently\trecently\tRB\tB-ADVP\tO' +p91676 +aS'admitted\tadmit\tVBD\tB-VP\tO' +p91677 +aS'to\tto\tTO\tB-PP\tO' +p91678 +aS'McLean\tMcLean\tNNP\tB-NP\tO' +p91679 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p91680 +aS'from\tfrom\tIN\tB-PP\tO' +p91681 +aS'2017-01-13\t2017-01-13\tCD\tB-NP\tO' +p91682 +aS',\t,\t,\tO\tO' +p91683 +aS'through\tthrough\tIN\tB-PP\tO' +p91684 +aS'2017-01-18\t2017-01-18\tCD\tB-NP\tO' +p91685 +aS',\t,\t,\tO\tO' +p91686 +aS'with\twith\tIN\tB-PP\tO' +p91687 +aS'a\ta\tDT\tB-NP\tO' +p91688 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p91689 +aS'of\tof\tIN\tB-PP\tO' +p91690 +aS'right\tright\tJJ\tB-NP\tO' +p91691 +aS'heel\theel\tNN\tI-NP\tO' +p91692 +aS'diabetic\tdiabetic\tJJ\tI-NP\tO' +p91693 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p91694 +aS'with\twith\tIN\tB-PP\tO' +p91695 +aS'MSSA\tMSSA\tNN\tB-NP\tO' +p91696 +aS'osteomyelitis\tosteomyelitis\tNN\tI-NP\tO' +p91697 +aS'of\tof\tIN\tB-PP\tO' +p91698 +aS'the\tthe\tDT\tB-NP\tO' +p91699 +aS'calcaneus\tcalcaneus\tNN\tI-NP\tO' +p91700 +aS',\t,\t,\tO\tO' +p91701 +aS'MSSA\tMSSA\tNN\tB-NP\tO' +p91702 +aS'bacteremia\tbacteremia\tNN\tI-NP\tO' +p91703 +aS',\t,\t,\tO\tO' +p91704 +aS'acute\tacute\tJJ\tB-NP\tO' +p91705 +aS'interstitial\tinterstitial\tJJ\tI-NP\tO' +p91706 +aS'nephritis\tnephritis\tNN\tI-NP\tO' +p91707 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p91708 +aS'to\tto\tTO\tB-PP\tO' +p91709 +aS'oxacillin\toxacillin\tNN\tB-NP\tO' +p91710 +aS',\t,\t,\tO\tO' +p91711 +aS'and\tand\tCC\tO\tO' +p91712 +aS'RLL\tRLL\tNN\tB-NP\tO' +p91713 +aS'pna\tpna\tNN\tI-NP\tO' +p91714 +aS'.\t.\t.\tO\tO' +p91715 +asS'Pnuemonia - Possible aspiration .' +p91716 +(lp91717 +S'Pnuemonia\tPnuemonia\tNN\tB-NP\tO' +p91718 +aS'-\t-\tHYPH\tI-NP\tO' +p91719 +aS'Possible\tPossible\tJJ\tI-NP\tO' +p91720 +aS'aspiration\taspiration\tNN\tI-NP\tO' +p91721 +aS'.\t.\t.\tO\tO' +p91722 +asS'Reports that he has suffered from anxiety since childhood and needed to drop out of college .' +p91723 +(lp91724 +S'Reports\tReport\tNNS\tB-NP\tO' +p91725 +aS'that\tthat\tIN\tB-SBAR\tO' +p91726 +aS'he\the\tPRP\tB-NP\tO' +p91727 +aS'has\thave\tVBZ\tB-VP\tO' +p91728 +aS'suffered\tsuffer\tVBN\tI-VP\tO' +p91729 +aS'from\tfrom\tIN\tB-PP\tO' +p91730 +aS'anxiety\tanxiety\tNN\tB-NP\tO' +p91731 +aS'since\tsince\tIN\tB-PP\tO' +p91732 +aS'childhood\tchildhood\tNN\tB-NP\tO' +p91733 +aS'and\tand\tCC\tO\tO' +p91734 +aS'needed\tneed\tVBN\tB-VP\tO' +p91735 +aS'to\tto\tTO\tB-VP\tO' +p91736 +aS'drop\tdrop\tVB\tI-VP\tO' +p91737 +aS'out\tout\tIN\tB-PP\tO' +p91738 +aS'of\tof\tIN\tB-PP\tO' +p91739 +aS'college\tcollege\tNN\tB-NP\tO' +p91740 +aS'.\t.\t.\tO\tO' +p91741 +asS'The patient was generally in excellent health with a past medical history significant only for noninsulin dependent diabetes mellitus who was presented with painless jaundice x2 days .' +p91742 +(lp91743 +S'The\tThe\tDT\tB-NP\tO' +p91744 +aS'patient\tpatient\tNN\tI-NP\tO' +p91745 +aS'was\tbe\tVBD\tB-VP\tO' +p91746 +aS'generally\tgenerally\tRB\tB-ADVP\tO' +p91747 +aS'in\tin\tIN\tB-PP\tO' +p91748 +aS'excellent\texcellent\tJJ\tB-NP\tO' +p91749 +aS'health\thealth\tNN\tI-NP\tO' +p91750 +aS'with\twith\tIN\tB-PP\tO' +p91751 +aS'a\ta\tDT\tB-NP\tO' +p91752 +aS'past\tpast\tJJ\tI-NP\tO' +p91753 +aS'medical\tmedical\tJJ\tI-NP\tO' +p91754 +aS'history\thistory\tNN\tI-NP\tO' +p91755 +aS'significant\tsignificant\tJJ\tB-ADJP\tO' +p91756 +aS'only\tonly\tRB\tB-ADVP\tO' +p91757 +aS'for\tfor\tIN\tB-PP\tO' +p91758 +aS'noninsulin\tnoninsulin\tNN\tB-NP\tB-protein' +p91759 +aS'dependent\tdependent\tJJ\tI-NP\tO' +p91760 +aS'diabetes\tdiabete\tNNS\tI-NP\tO' +p91761 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p91762 +aS'who\twho\tWP\tB-NP\tO' +p91763 +aS'was\tbe\tVBD\tB-VP\tO' +p91764 +aS'presented\tpresent\tVBN\tI-VP\tO' +p91765 +aS'with\twith\tIN\tB-PP\tO' +p91766 +aS'painless\tpainless\tJJ\tB-NP\tO' +p91767 +aS'jaundice\tjaundice\tNN\tI-NP\tO' +p91768 +aS'x2\tx2\tNN\tI-NP\tO' +p91769 +aS'days\tday\tNNS\tI-NP\tO' +p91770 +aS'.\t.\t.\tO\tO' +p91771 +asS'The patient had an initial troponin bump on admission which was most likely secondary to CHF exacerbation .' +p91772 +(lp91773 +S'The\tThe\tDT\tB-NP\tO' +p91774 +aS'patient\tpatient\tNN\tI-NP\tO' +p91775 +aS'had\thave\tVBD\tB-VP\tO' +p91776 +aS'an\tan\tDT\tB-NP\tO' +p91777 +aS'initial\tinitial\tJJ\tI-NP\tO' +p91778 +aS'troponin\ttroponin\tNN\tI-NP\tO' +p91779 +aS'bump\tbump\tNN\tI-NP\tO' +p91780 +aS'on\ton\tIN\tB-PP\tO' +p91781 +aS'admission\tadmission\tNN\tB-NP\tO' +p91782 +aS'which\twhich\tWDT\tB-NP\tO' +p91783 +aS'was\tbe\tVBD\tB-VP\tO' +p91784 +aS'most\tmost\tRBS\tB-ADVP\tO' +p91785 +aS'likely\tlikely\tRB\tI-ADVP\tO' +p91786 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p91787 +aS'to\tto\tTO\tB-PP\tO' +p91788 +aS'CHF\tCHF\tNN\tB-NP\tO' +p91789 +aS'exacerbation\texacerbation\tNN\tI-NP\tO' +p91790 +aS'.\t.\t.\tO\tO' +p91791 +asS'Stable , satting 98% on 1L via NC , sitting up in a chair' +p91792 +(lp91793 +S'Stable\tStable\tJJ\tB-ADJP\tO' +p91794 +aS',\t,\t,\tO\tO' +p91795 +aS'satting\tsatte\tVBG\tB-VP\tO' +p91796 +aS'98%\t98%\tNN\tB-NP\tO' +p91797 +aS'on\ton\tIN\tB-PP\tO' +p91798 +aS'1L\t1L\tNN\tB-NP\tO' +p91799 +aS'via\tvia\tIN\tB-PP\tO' +p91800 +aS'NC\tNC\tNN\tB-NP\tO' +p91801 +aS',\t,\t,\tO\tO' +p91802 +aS'sitting\tsit\tVBG\tB-VP\tO' +p91803 +aS'up\tup\tRP\tB-PRT\tO' +p91804 +aS'in\tin\tIN\tB-PP\tO' +p91805 +aS'a\ta\tDT\tB-NP\tO' +p91806 +aS'chair\tchair\tNN\tI-NP\tO' +p91807 +asS'2) Recent PCP .' +p91808 +(lp91809 +S'2)\t2)\tLS\tB-NP\tO' +p91810 +aS'Recent\tRecent\tJJ\tI-NP\tO' +p91811 +aS'PCP\tPCP\tNN\tI-NP\tO' +p91812 +aS'.\t.\t.\tO\tO' +p91813 +asS'No evidence of extension into the foramina transversaria .' +p91814 +(lp91815 +S'No\tNo\tDT\tB-NP\tO' +p91816 +aS'evidence\tevidence\tNN\tI-NP\tO' +p91817 +aS'of\tof\tIN\tB-PP\tO' +p91818 +aS'extension\textension\tNN\tB-NP\tO' +p91819 +aS'into\tinto\tIN\tB-PP\tO' +p91820 +aS'the\tthe\tDT\tB-NP\tO' +p91821 +aS'foramina\tforamina\tNN\tI-NP\tO' +p91822 +aS'transversaria\ttransversaria\tNN\tI-NP\tO' +p91823 +aS'.\t.\t.\tO\tO' +p91824 +asS'Patient tolerated procedure on 2018-03-05 and was transferred to' +p91825 +(lp91826 +S'Patient\tPatient\tNN\tB-NP\tO' +p91827 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p91828 +aS'procedure\tprocedure\tNN\tB-NP\tO' +p91829 +aS'on\ton\tIN\tB-PP\tO' +p91830 +aS'2018-03-05\t2018-03-05\tCD\tB-NP\tO' +p91831 +aS'and\tand\tCC\tO\tO' +p91832 +aS'was\tbe\tVBD\tB-VP\tO' +p91833 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p91834 +aS'to\tto\tTO\tB-PP\tO' +p91835 +asS'9. Bacitracin Zinc 500 unit / g Ointment Sig : One ( 1 ) Appl Topical BID ( 2 times a day ) .' +p91836 +(lp91837 +S'9.\t9.\tLS\tB-NP\tO' +p91838 +aS'Bacitracin\tBacitracin\tNN\tI-NP\tB-protein' +p91839 +aS'Zinc\tZinc\tNN\tI-NP\tI-protein' +p91840 +aS'500\t500\tCD\tI-NP\tI-protein' +p91841 +aS'unit\tunit\tNN\tI-NP\tI-protein' +p91842 +aS'/\t/\tSYM\tB-NP\tO' +p91843 +aS'g\tg\tNN\tI-NP\tO' +p91844 +aS'Ointment\tOintment\tNNP\tI-NP\tO' +p91845 +aS'Sig\tSig\tNNP\tI-NP\tO' +p91846 +aS':\t:\t:\tO\tO' +p91847 +aS'One\tOne\tCD\tB-NP\tO' +p91848 +aS'(\t(\t(\tO\tO' +p91849 +aS'1\t1\tCD\tB-NP\tO' +p91850 +aS')\t)\t)\tO\tO' +p91851 +aS'Appl\tAppl\tNNP\tB-NP\tO' +p91852 +aS'Topical\tTopical\tJJ\tI-NP\tO' +p91853 +aS'BID\tBID\tNN\tI-NP\tO' +p91854 +aS'(\t(\t(\tO\tO' +p91855 +aS'2\t2\tCD\tB-NP\tO' +p91856 +aS'times\ttime\tNNS\tI-NP\tO' +p91857 +aS'a\ta\tDT\tB-NP\tO' +p91858 +aS'day\tday\tNN\tI-NP\tO' +p91859 +aS')\t)\t)\tO\tO' +p91860 +aS'.\t.\t.\tO\tO' +p91861 +asS'6. Norvasc 5 mg twice a day .' +p91862 +(lp91863 +S'6.\t6.\tCD\tB-NP\tO' +p91864 +aS'Norvasc\tNorvasc\tCC\tI-NP\tO' +p91865 +aS'5\t5\tCD\tI-NP\tO' +p91866 +aS'mg\tmg\tNN\tI-NP\tO' +p91867 +aS'twice\ttwice\tRB\tB-NP\tO' +p91868 +aS'a\ta\tDT\tI-NP\tO' +p91869 +aS'day\tday\tNN\tI-NP\tO' +p91870 +aS'.\t.\t.\tO\tO' +p91871 +asS'State newborn screen was sent on 2015-11-12 .' +p91872 +(lp91873 +S'State\tState\tNN\tB-NP\tO' +p91874 +aS'newborn\tnewborn\tJJ\tI-NP\tO' +p91875 +aS'screen\tscreen\tNN\tI-NP\tO' +p91876 +aS'was\tbe\tVBD\tB-VP\tO' +p91877 +aS'sent\tsend\tVBN\tI-VP\tO' +p91878 +aS'on\ton\tIN\tB-PP\tO' +p91879 +aS'2015-11-12\t2015-11-12\tCD\tB-NP\tO' +p91880 +aS'.\t.\t.\tO\tO' +p91881 +asS'Plastic Surgery was consulted Dr. Ca Shuff who saw the patient and decided that the patient is not a surgical candidate at this point .' +p91882 +(lp91883 +S'Plastic\tPlastic\tNNP\tB-NP\tO' +p91884 +aS'Surgery\tSurgery\tNNP\tI-NP\tO' +p91885 +aS'was\tbe\tVBD\tB-VP\tO' +p91886 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p91887 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p91888 +aS'Ca\tCa\tNNP\tI-NP\tO' +p91889 +aS'Shuff\tShuff\tNNP\tI-NP\tO' +p91890 +aS'who\twho\tWP\tB-NP\tO' +p91891 +aS'saw\tsee\tVBD\tB-VP\tO' +p91892 +aS'the\tthe\tDT\tB-NP\tO' +p91893 +aS'patient\tpatient\tNN\tI-NP\tO' +p91894 +aS'and\tand\tCC\tO\tO' +p91895 +aS'decided\tdecide\tVBD\tB-VP\tO' +p91896 +aS'that\tthat\tIN\tB-SBAR\tO' +p91897 +aS'the\tthe\tDT\tB-NP\tO' +p91898 +aS'patient\tpatient\tNN\tI-NP\tO' +p91899 +aS'is\tbe\tVBZ\tB-VP\tO' +p91900 +aS'not\tnot\tRB\tO\tO' +p91901 +aS'a\ta\tDT\tB-NP\tO' +p91902 +aS'surgical\tsurgical\tJJ\tI-NP\tO' +p91903 +aS'candidate\tcandidate\tNN\tI-NP\tO' +p91904 +aS'at\tat\tIN\tB-PP\tO' +p91905 +aS'this\tthis\tDT\tB-NP\tO' +p91906 +aS'point\tpoint\tNN\tI-NP\tO' +p91907 +aS'.\t.\t.\tO\tO' +p91908 +asS'Re-exploration for bleeding .' +p91909 +(lp91910 +S'Re-exploration\tRe-exploration\tNN\tB-NP\tO' +p91911 +aS'for\tfor\tIN\tB-PP\tO' +p91912 +aS'bleeding\tbleed\tVBG\tB-NP\tO' +p91913 +aS'.\t.\t.\tO\tO' +p91914 +asS'Despite this , his chest x-ray continued to show severe pulmonary edema and the clinical picture correlated .' +p91915 +(lp91916 +S'Despite\tDespite\tIN\tB-PP\tO' +p91917 +aS'this\tthis\tDT\tB-NP\tO' +p91918 +aS',\t,\t,\tO\tO' +p91919 +aS'his\this\tPRP$\tB-NP\tB-DNA' +p91920 +aS'chest\tch\tJJS\tI-NP\tO' +p91921 +aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' +p91922 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p91923 +aS'to\tto\tTO\tI-VP\tO' +p91924 +aS'show\tshow\tVB\tI-VP\tO' +p91925 +aS'severe\tsevere\tJJ\tB-NP\tO' +p91926 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p91927 +aS'edema\tedema\tNN\tI-NP\tO' +p91928 +aS'and\tand\tCC\tO\tO' +p91929 +aS'the\tthe\tDT\tB-NP\tO' +p91930 +aS'clinical\tclinical\tJJ\tI-NP\tO' +p91931 +aS'picture\tpicture\tNN\tI-NP\tO' +p91932 +aS'correlated\tcorrelate\tVBD\tB-VP\tO' +p91933 +aS'.\t.\t.\tO\tO' +p91934 +asS'Attending : Ronald B Tekautz , M.D.' +p91935 +(lp91936 +S'Attending\tAttend\tVBG\tB-VP\tO' +p91937 +aS':\t:\t:\tO\tO' +p91938 +aS'Ronald\tRonald\tNNP\tB-NP\tO' +p91939 +aS'B\tB\tNNP\tI-NP\tO' +p91940 +aS'Tekautz\tTekautz\tNNP\tI-NP\tO' +p91941 +aS',\t,\t,\tO\tO' +p91942 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p91943 +asS'She neurologically , she had a nonfocal neurologic examination .' +p91944 +(lp91945 +S'She\tShe\tPRP\tB-NP\tO' +p91946 +aS'neurologically\tneurologically\tRB\tB-ADVP\tO' +p91947 +aS',\t,\t,\tO\tO' +p91948 +aS'she\tshe\tPRP\tB-NP\tO' +p91949 +aS'had\thave\tVBD\tB-VP\tO' +p91950 +aS'a\ta\tDT\tB-NP\tO' +p91951 +aS'nonfocal\tnonfocal\tJJ\tI-NP\tO' +p91952 +aS'neurologic\tneurologic\tJJ\tI-NP\tO' +p91953 +aS'examination\texamination\tNN\tI-NP\tO' +p91954 +aS'.\t.\t.\tO\tO' +p91955 +asS'The patient has gradually taken to bed with decreasing activity .' +p91956 +(lp91957 +S'The\tThe\tDT\tB-NP\tO' +p91958 +aS'patient\tpatient\tNN\tI-NP\tO' +p91959 +aS'has\thave\tVBZ\tB-VP\tO' +p91960 +aS'gradually\tgradually\tRB\tI-VP\tO' +p91961 +aS'taken\ttake\tVBN\tI-VP\tO' +p91962 +aS'to\tto\tTO\tB-PP\tO' +p91963 +aS'bed\tbed\tNN\tB-NP\tO' +p91964 +aS'with\twith\tIN\tB-PP\tO' +p91965 +aS'decreasing\tdecrease\tVBG\tB-VP\tO' +p91966 +aS'activity\tactivity\tNN\tB-NP\tO' +p91967 +aS'.\t.\t.\tO\tO' +p91968 +asS'Decision was made in conjunction with the family and Dr. Caslighlourdes to terminate artificial respiratory support .' +p91969 +(lp91970 +S'Decision\tDecision\tNN\tB-NP\tO' +p91971 +aS'was\tbe\tVBD\tB-VP\tO' +p91972 +aS'made\tmake\tVBN\tI-VP\tO' +p91973 +aS'in\tin\tIN\tB-PP\tO' +p91974 +aS'conjunction\tconjunction\tNN\tB-NP\tO' +p91975 +aS'with\twith\tIN\tB-PP\tO' +p91976 +aS'the\tthe\tDT\tB-NP\tO' +p91977 +aS'family\tfamily\tNN\tI-NP\tO' +p91978 +aS'and\tand\tCC\tO\tO' +p91979 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p91980 +aS'Caslighlourdes\tCaslighlourdes\tNNP\tI-NP\tO' +p91981 +aS'to\tto\tTO\tB-VP\tO' +p91982 +aS'terminate\tterminate\tVB\tI-VP\tO' +p91983 +aS'artificial\tartificial\tJJ\tB-NP\tO' +p91984 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p91985 +aS'support\tsupport\tNN\tI-NP\tO' +p91986 +aS'.\t.\t.\tO\tO' +p91987 +asS'The patient had been taking his usual medications and using his nasal oxygen at home .' +p91988 +(lp91989 +S'The\tThe\tDT\tB-NP\tO' +p91990 +aS'patient\tpatient\tNN\tI-NP\tO' +p91991 +aS'had\thave\tVBD\tB-VP\tO' +p91992 +aS'been\tbe\tVBN\tI-VP\tO' +p91993 +aS'taking\ttake\tVBG\tI-VP\tO' +p91994 +aS'his\this\tPRP$\tB-NP\tO' +p91995 +aS'usual\tusual\tJJ\tI-NP\tO' +p91996 +aS'medications\tmedication\tNNS\tI-NP\tO' +p91997 +aS'and\tand\tCC\tO\tO' +p91998 +aS'using\tuse\tVBG\tB-VP\tO' +p91999 +aS'his\this\tPRP$\tB-NP\tO' +p92000 +aS'nasal\tnasal\tJJ\tI-NP\tO' +p92001 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p92002 +aS'at\tat\tIN\tB-PP\tO' +p92003 +aS'home\thome\tNN\tB-NP\tO' +p92004 +aS'.\t.\t.\tO\tO' +p92005 +asS'She underwent a resection for stage I in 10/95 and treated with XRT .' +p92006 +(lp92007 +S'She\tShe\tPRP\tB-NP\tO' +p92008 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p92009 +aS'a\ta\tDT\tB-NP\tO' +p92010 +aS'resection\tresection\tNN\tI-NP\tO' +p92011 +aS'for\tfor\tIN\tB-PP\tO' +p92012 +aS'stage\tstage\tNN\tB-NP\tO' +p92013 +aS'I\tI\tCD\tI-NP\tO' +p92014 +aS'in\tin\tIN\tB-PP\tO' +p92015 +aS'10/95\t10/95\tCD\tB-NP\tO' +p92016 +aS'and\tand\tCC\tO\tO' +p92017 +aS'treated\ttreat\tVBN\tB-VP\tO' +p92018 +aS'with\twith\tIN\tB-PP\tO' +p92019 +aS'XRT\tXRT\tNN\tB-NP\tB-protein' +p92020 +aS'.\t.\t.\tO\tO' +p92021 +asS'She underwent autotransplantation of the right upper parathyroid gland , as well as repair of a right posterior membranous tracheotomy .' +p92022 +(lp92023 +S'She\tShe\tPRP\tB-NP\tO' +p92024 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p92025 +aS'autotransplantation\tautotransplantation\tNN\tB-NP\tO' +p92026 +aS'of\tof\tIN\tB-PP\tO' +p92027 +aS'the\tthe\tDT\tB-NP\tO' +p92028 +aS'right\tright\tJJ\tI-NP\tO' +p92029 +aS'upper\tupper\tJJ\tI-NP\tO' +p92030 +aS'parathyroid\tparathyroid\tJJ\tI-NP\tO' +p92031 +aS'gland\tgland\tNN\tI-NP\tO' +p92032 +aS',\t,\t,\tO\tO' +p92033 +aS'as\tas\tRB\tB-CONJP\tO' +p92034 +aS'well\twell\tRB\tI-CONJP\tO' +p92035 +aS'as\tas\tIN\tI-CONJP\tO' +p92036 +aS'repair\trepair\tNN\tB-NP\tO' +p92037 +aS'of\tof\tIN\tB-PP\tO' +p92038 +aS'a\ta\tDT\tB-NP\tO' +p92039 +aS'right\tright\tJJ\tI-NP\tO' +p92040 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p92041 +aS'membranous\tmembranous\tJJ\tI-NP\tO' +p92042 +aS'tracheotomy\ttracheotomy\tNN\tI-NP\tO' +p92043 +aS'.\t.\t.\tO\tO' +p92044 +asS'She was transferred to Charles River Hospital and was treated with magnesium sulfate and betamethasone .' +p92045 +(lp92046 +S'She\tShe\tPRP\tB-NP\tO' +p92047 +aS'was\tbe\tVBD\tB-VP\tO' +p92048 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p92049 +aS'to\tto\tTO\tB-PP\tO' +p92050 +aS'Charles\tCharles\tNNP\tB-NP\tO' +p92051 +aS'River\tRiver\tNNP\tI-NP\tO' +p92052 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p92053 +aS'and\tand\tCC\tO\tO' +p92054 +aS'was\tbe\tVBD\tB-VP\tO' +p92055 +aS'treated\ttreat\tVBN\tI-VP\tO' +p92056 +aS'with\twith\tIN\tB-PP\tO' +p92057 +aS'magnesium\tmagnesium\tNN\tB-NP\tO' +p92058 +aS'sulfate\tsulfate\tNN\tI-NP\tO' +p92059 +aS'and\tand\tCC\tI-NP\tO' +p92060 +aS'betamethasone\tbetamethasone\tNN\tI-NP\tO' +p92061 +aS'.\t.\t.\tO\tO' +p92062 +asS'He states that his pain has been of seven to eight durations , and rated as moderate to severe ( 7/10 ) .' +p92063 +(lp92064 +S'He\tHe\tPRP\tB-NP\tO' +p92065 +aS'states\tstate\tVBZ\tB-VP\tO' +p92066 +aS'that\tthat\tIN\tB-SBAR\tO' +p92067 +aS'his\this\tPRP$\tB-NP\tO' +p92068 +aS'pain\tpain\tNN\tI-NP\tO' +p92069 +aS'has\thave\tVBZ\tB-VP\tO' +p92070 +aS'been\tbe\tVBN\tI-VP\tO' +p92071 +aS'of\tof\tIN\tB-PP\tO' +p92072 +aS'seven\tseven\tCD\tB-NP\tO' +p92073 +aS'to\tto\tTO\tI-NP\tO' +p92074 +aS'eight\teight\tCD\tI-NP\tO' +p92075 +aS'durations\tduration\tNNS\tI-NP\tO' +p92076 +aS',\t,\t,\tO\tO' +p92077 +aS'and\tand\tCC\tO\tO' +p92078 +aS'rated\trat\tVBN\tB-VP\tO' +p92079 +aS'as\tas\tIN\tB-PP\tO' +p92080 +aS'moderate\tmoderate\tJJ\tB-ADJP\tO' +p92081 +aS'to\tto\tTO\tB-PP\tO' +p92082 +aS'severe\tsevere\tJJ\tB-ADJP\tO' +p92083 +aS'(\t(\t(\tO\tO' +p92084 +aS'7/10\t7/10\tCD\tB-NP\tO' +p92085 +aS')\t)\t)\tO\tO' +p92086 +aS'.\t.\t.\tO\tO' +p92087 +asS'Demerol , Percodan .' +p92088 +(lp92089 +S'Demerol\tDemerol\tNNP\tB-NP\tO' +p92090 +aS',\t,\t,\tO\tO' +p92091 +aS'Percodan\tPercodan\tNNP\tB-NP\tO' +p92092 +aS'.\t.\t.\tO\tO' +p92093 +asS'S2 narrowly physiologically split with accentuation of P2 .' +p92094 +(lp92095 +S'S2\tS2\tNN\tB-NP\tB-protein' +p92096 +aS'narrowly\tnarrowly\tRB\tB-VP\tO' +p92097 +aS'physiologically\tphysiologically\tRB\tI-VP\tO' +p92098 +aS'split\tsplit\tVBN\tI-VP\tO' +p92099 +aS'with\twith\tIN\tB-PP\tO' +p92100 +aS'accentuation\taccentuation\tNN\tB-NP\tO' +p92101 +aS'of\tof\tIN\tB-PP\tO' +p92102 +aS'P2\tP2\tNN\tB-NP\tB-DNA' +p92103 +aS'.\t.\t.\tO\tO' +p92104 +asS'1+ edema bilaterally .' +p92105 +(lp92106 +S'1+\t1+\tJJ\tB-NP\tO' +p92107 +aS'edema\tedema\tNN\tI-NP\tO' +p92108 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p92109 +aS'.\t.\t.\tO\tO' +p92110 +asS'There is much scarring surrounding his larynx .' +p92111 +(lp92112 +S'There\tThere\tEX\tB-NP\tO' +p92113 +aS'is\tbe\tVBZ\tB-VP\tO' +p92114 +aS'much\tmuch\tRB\tI-VP\tO' +p92115 +aS'scarring\tscar\tVBG\tI-VP\tO' +p92116 +aS'surrounding\tsurround\tVBG\tI-VP\tO' +p92117 +aS'his\this\tPRP$\tB-NP\tO' +p92118 +aS'larynx\tlarynx\tNN\tI-NP\tO' +p92119 +aS'.\t.\t.\tO\tO' +p92120 +asS'He maintained a normal sinus rhythm without atrial or ventricular arrhythmias .' +p92121 +(lp92122 +S'He\tHe\tPRP\tB-NP\tO' +p92123 +aS'maintained\tmaintain\tVBD\tB-VP\tO' +p92124 +aS'a\ta\tDT\tB-NP\tO' +p92125 +aS'normal\tnormal\tJJ\tI-NP\tO' +p92126 +aS'sinus\tsinus\tNN\tI-NP\tO' +p92127 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p92128 +aS'without\twithout\tIN\tB-PP\tO' +p92129 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p92130 +aS'or\tor\tCC\tI-NP\tO' +p92131 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p92132 +aS'arrhythmias\tarrhythmia\tNNS\tI-NP\tO' +p92133 +aS'.\t.\t.\tO\tO' +p92134 +asS'She had a successful endoscopic retrograde cholangiopancreatography , which showed a bile leak at the duct of Luschka .' +p92135 +(lp92136 +S'She\tShe\tPRP\tB-NP\tO' +p92137 +aS'had\thave\tVBD\tB-VP\tO' +p92138 +aS'a\ta\tDT\tB-NP\tO' +p92139 +aS'successful\tsuccessful\tJJ\tI-NP\tO' +p92140 +aS'endoscopic\tendoscopic\tJJ\tI-NP\tO' +p92141 +aS'retrograde\tretrograde\tJJ\tI-NP\tO' +p92142 +aS'cholangiopancreatography\tcholangiopancreatography\tNN\tI-NP\tO' +p92143 +aS',\t,\t,\tO\tO' +p92144 +aS'which\twhich\tWDT\tB-NP\tO' +p92145 +aS'showed\tshow\tVBD\tB-VP\tO' +p92146 +aS'a\ta\tDT\tB-NP\tO' +p92147 +aS'bile\tbile\tNN\tI-NP\tO' +p92148 +aS'leak\tleak\tNN\tI-NP\tO' +p92149 +aS'at\tat\tIN\tB-PP\tO' +p92150 +aS'the\tthe\tDT\tB-NP\tO' +p92151 +aS'duct\tduct\tNN\tI-NP\tO' +p92152 +aS'of\tof\tIN\tB-PP\tO' +p92153 +aS'Luschka\tLuschka\tNNP\tB-NP\tO' +p92154 +aS'.\t.\t.\tO\tO' +p92155 +asS'She is to follow up Heart Failure and Cardiology in one week as well .' +p92156 +(lp92157 +S'She\tShe\tPRP\tB-NP\tO' +p92158 +aS'is\tbe\tVBZ\tB-VP\tO' +p92159 +aS'to\tto\tTO\tB-VP\tO' +p92160 +aS'follow\tfollow\tVB\tI-VP\tO' +p92161 +aS'up\tup\tRP\tB-PRT\tO' +p92162 +aS'Heart\tHeart\tNNP\tB-NP\tO' +p92163 +aS'Failure\tFailure\tNNP\tI-NP\tO' +p92164 +aS'and\tand\tCC\tO\tO' +p92165 +aS'Cardiology\tCardiology\tNNP\tB-NP\tO' +p92166 +aS'in\tin\tIN\tB-PP\tO' +p92167 +aS'one\tone\tCD\tB-NP\tO' +p92168 +aS'week\tweek\tNN\tI-NP\tO' +p92169 +aS'as\tas\tRB\tB-ADVP\tO' +p92170 +aS'well\twell\tRB\tI-ADVP\tO' +p92171 +aS'.\t.\t.\tO\tO' +p92172 +asS'11. Senna 8.6 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ) as needed .' +p92173 +(lp92174 +S'11.\t11.\tLS\tB-LST\tO' +p92175 +aS'Senna\tSenna\tNNP\tB-NP\tO' +p92176 +aS'8.6\t8.6\tCD\tI-NP\tO' +p92177 +aS'mg\tmg\tNN\tI-NP\tO' +p92178 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p92179 +aS'Sig\tSig\tNNP\tI-NP\tO' +p92180 +aS':\t:\t:\tO\tO' +p92181 +aS'One\tOne\tCD\tB-NP\tO' +p92182 +aS'(\t(\t(\tO\tO' +p92183 +aS'1\t1\tCD\tB-NP\tO' +p92184 +aS')\t)\t)\tO\tO' +p92185 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p92186 +aS'PO\tPO\tNN\tI-NP\tO' +p92187 +aS'BID\tBID\tNN\tI-NP\tO' +p92188 +aS'(\t(\t(\tO\tO' +p92189 +aS'2\t2\tCD\tB-NP\tO' +p92190 +aS'times\ttime\tNNS\tI-NP\tO' +p92191 +aS'a\ta\tDT\tB-NP\tO' +p92192 +aS'day\tday\tNN\tI-NP\tO' +p92193 +aS')\t)\t)\tO\tO' +p92194 +aS'as\tas\tIN\tB-SBAR\tO' +p92195 +aS'needed\tneed\tVBN\tB-VP\tO' +p92196 +aS'.\t.\t.\tO\tO' +p92197 +asS"Plan is to receive hepatitis B in the pediatrician 's office , once he reaches a weight of 2 kg ." +p92198 +(lp92199 +S'Plan\tPlan\tNN\tB-NP\tO' +p92200 +aS'is\tbe\tVBZ\tB-VP\tO' +p92201 +aS'to\tto\tTO\tB-VP\tO' +p92202 +aS'receive\treceive\tVB\tI-VP\tO' +p92203 +aS'hepatitis\thepatitis\tNN\tB-NP\tB-protein' +p92204 +aS'B\tB\tNN\tI-NP\tI-protein' +p92205 +aS'in\tin\tIN\tB-PP\tO' +p92206 +aS'the\tthe\tDT\tB-NP\tO' +p92207 +aS'pediatrician\tpediatrician\tNN\tI-NP\tO' +p92208 +aS"'s\t's\tPOS\tB-NP\tO" +p92209 +aS'office\toffice\tNN\tI-NP\tO' +p92210 +aS',\t,\t,\tO\tO' +p92211 +aS'once\tonce\tIN\tB-SBAR\tO' +p92212 +aS'he\the\tPRP\tB-NP\tO' +p92213 +aS'reaches\treach\tVBZ\tB-VP\tO' +p92214 +aS'a\ta\tDT\tB-NP\tO' +p92215 +aS'weight\tweight\tNN\tI-NP\tO' +p92216 +aS'of\tof\tIN\tB-PP\tO' +p92217 +aS'2\t2\tCD\tB-NP\tO' +p92218 +aS'kg\tkg\tNN\tI-NP\tO' +p92219 +aS'.\t.\t.\tO\tO' +p92220 +asS"3. After ten units of packed red blood cells and four units of fresh frozen plasma transfusions , the patient 's hematocrit remained stable at above 30 ." +p92221 +(lp92222 +S'3.\t3.\tLS\tB-LST\tO' +p92223 +aS'After\tAfter\tIN\tB-PP\tO' +p92224 +aS'ten\tten\tCD\tB-NP\tO' +p92225 +aS'units\tunit\tNNS\tI-NP\tO' +p92226 +aS'of\tof\tIN\tB-PP\tO' +p92227 +aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' +p92228 +aS'red\tred\tJJ\tI-NP\tI-cell_type' +p92229 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p92230 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p92231 +aS'and\tand\tCC\tO\tO' +p92232 +aS'four\tfour\tCD\tB-NP\tO' +p92233 +aS'units\tunit\tNNS\tI-NP\tO' +p92234 +aS'of\tof\tIN\tB-PP\tO' +p92235 +aS'fresh\tfresh\tJJ\tB-NP\tO' +p92236 +aS'frozen\tfrozen\tJJ\tI-NP\tO' +p92237 +aS'plasma\tplasma\tNN\tI-NP\tO' +p92238 +aS'transfusions\ttransfusion\tNNS\tI-NP\tO' +p92239 +aS',\t,\t,\tO\tO' +p92240 +aS'the\tthe\tDT\tB-NP\tO' +p92241 +aS'patient\tpatient\tNN\tI-NP\tO' +p92242 +aS"'s\t's\tPOS\tB-NP\tO" +p92243 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p92244 +aS'remained\tremain\tVBD\tB-VP\tO' +p92245 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p92246 +aS'at\tat\tIN\tB-PP\tO' +p92247 +aS'above\tabove\tIN\tB-PP\tO' +p92248 +aS'30\t30\tCD\tB-NP\tO' +p92249 +aS'.\t.\t.\tO\tO' +p92250 +asS'Small bilateral pleural effusions with compressive atelectasis .' +p92251 +(lp92252 +S'Small\tSmall\tJJ\tB-NP\tO' +p92253 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p92254 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p92255 +aS'effusions\teffusion\tNNS\tI-NP\tO' +p92256 +aS'with\twith\tIN\tB-PP\tO' +p92257 +aS'compressive\tcompressive\tJJ\tB-NP\tO' +p92258 +aS'atelectasis\tatelectasis\tNN\tI-NP\tO' +p92259 +aS'.\t.\t.\tO\tO' +p92260 +asS'He was transferred to Medicine the morning of 2010-08-30 , for continued medical management post surgery .' +p92261 +(lp92262 +S'He\tHe\tPRP\tB-NP\tO' +p92263 +aS'was\tbe\tVBD\tB-VP\tO' +p92264 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p92265 +aS'to\tto\tTO\tI-VP\tO' +p92266 +aS'Medicine\tMedicine\tVB\tI-VP\tO' +p92267 +aS'the\tthe\tDT\tB-NP\tO' +p92268 +aS'morning\tmorning\tNN\tI-NP\tO' +p92269 +aS'of\tof\tIN\tB-PP\tO' +p92270 +aS'2010-08-30\t2010-08-30\tCD\tB-NP\tO' +p92271 +aS',\t,\t,\tO\tO' +p92272 +aS'for\tfor\tIN\tB-PP\tO' +p92273 +aS'continued\tcontinue\tVBN\tB-NP\tO' +p92274 +aS'medical\tmedical\tJJ\tI-NP\tO' +p92275 +aS'management\tmanagement\tNN\tI-NP\tO' +p92276 +aS'post\tpost\tNN\tI-NP\tO' +p92277 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p92278 +aS'.\t.\t.\tO\tO' +p92279 +asS'He continued to progress until two weeks prior to admission when he was found in the bathtub , unsteady and fell trying to steady himself .' +p92280 +(lp92281 +S'He\tHe\tPRP\tB-NP\tO' +p92282 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p92283 +aS'to\tto\tTO\tI-VP\tO' +p92284 +aS'progress\tprogress\tVB\tI-VP\tO' +p92285 +aS'until\tuntil\tIN\tB-PP\tO' +p92286 +aS'two\ttwo\tCD\tB-NP\tO' +p92287 +aS'weeks\tweek\tNNS\tI-NP\tO' +p92288 +aS'prior\tprior\tRB\tB-ADVP\tO' +p92289 +aS'to\tto\tTO\tB-PP\tO' +p92290 +aS'admission\tadmission\tNN\tB-NP\tO' +p92291 +aS'when\twhen\tWRB\tB-ADVP\tO' +p92292 +aS'he\the\tPRP\tB-NP\tO' +p92293 +aS'was\tbe\tVBD\tB-VP\tO' +p92294 +aS'found\tfind\tVBN\tI-VP\tO' +p92295 +aS'in\tin\tIN\tB-PP\tO' +p92296 +aS'the\tthe\tDT\tB-NP\tO' +p92297 +aS'bathtub\tbathtub\tNN\tI-NP\tO' +p92298 +aS',\t,\t,\tO\tO' +p92299 +aS'unsteady\tunsteady\tJJ\tB-ADJP\tO' +p92300 +aS'and\tand\tCC\tO\tO' +p92301 +aS'fell\tfall\tVBD\tB-VP\tO' +p92302 +aS'trying\ttry\tVBG\tI-VP\tO' +p92303 +aS'to\tto\tTO\tI-VP\tO' +p92304 +aS'steady\tsteady\tVB\tI-VP\tO' +p92305 +aS'himself\thimself\tPRP\tB-NP\tO' +p92306 +aS'.\t.\t.\tO\tO' +p92307 +asS'Please use ice to sore areas for the next few days .' +p92308 +(lp92309 +S'Please\tPlease\tVB\tB-VP\tO' +p92310 +aS'use\tuse\tNN\tB-NP\tO' +p92311 +aS'ice\tice\tNN\tI-NP\tO' +p92312 +aS'to\tto\tTO\tB-VP\tO' +p92313 +aS'sore\tsore\tVB\tI-VP\tO' +p92314 +aS'areas\tarea\tNNS\tB-NP\tO' +p92315 +aS'for\tfor\tIN\tB-PP\tO' +p92316 +aS'the\tthe\tDT\tB-NP\tO' +p92317 +aS'next\tnext\tJJ\tI-NP\tO' +p92318 +aS'few\tfew\tJJ\tI-NP\tO' +p92319 +aS'days\tday\tNNS\tI-NP\tO' +p92320 +aS'.\t.\t.\tO\tO' +p92321 +asS'Oropharynx , lips , teeth and gums were without lesions and without evidence of mucositis .' +p92322 +(lp92323 +S'Oropharynx\tOropharynx\tNNP\tB-NP\tO' +p92324 +aS',\t,\t,\tO\tO' +p92325 +aS'lips\tlip\tNNS\tB-NP\tO' +p92326 +aS',\t,\t,\tI-NP\tO' +p92327 +aS'teeth\ttooth\tNNS\tI-NP\tO' +p92328 +aS'and\tand\tCC\tI-NP\tO' +p92329 +aS'gums\tgum\tNNS\tI-NP\tO' +p92330 +aS'were\tbe\tVBD\tB-VP\tO' +p92331 +aS'without\twithout\tIN\tB-PP\tO' +p92332 +aS'lesions\tlesion\tNNS\tB-NP\tO' +p92333 +aS'and\tand\tCC\tB-PP\tO' +p92334 +aS'without\twithout\tIN\tB-PP\tO' +p92335 +aS'evidence\tevidence\tNN\tB-NP\tO' +p92336 +aS'of\tof\tIN\tB-PP\tO' +p92337 +aS'mucositis\tmucositis\tNN\tB-NP\tO' +p92338 +aS'.\t.\t.\tO\tO' +p92339 +asS'He had a heart rate of 85 to 87 , breathing at 17 to 23 , satting 100% on room air .' +p92340 +(lp92341 +S'He\tHe\tPRP\tB-NP\tO' +p92342 +aS'had\thave\tVBD\tB-VP\tO' +p92343 +aS'a\ta\tDT\tB-NP\tO' +p92344 +aS'heart\theart\tNN\tI-NP\tO' +p92345 +aS'rate\trate\tNN\tI-NP\tO' +p92346 +aS'of\tof\tIN\tB-PP\tO' +p92347 +aS'85\t85\tCD\tB-NP\tO' +p92348 +aS'to\tto\tTO\tB-PP\tO' +p92349 +aS'87\t87\tCD\tB-NP\tO' +p92350 +aS',\t,\t,\tO\tO' +p92351 +aS'breathing\tbreathe\tVBG\tB-VP\tO' +p92352 +aS'at\tat\tIN\tB-PP\tO' +p92353 +aS'17\t17\tCD\tB-NP\tO' +p92354 +aS'to\tto\tTO\tB-PP\tO' +p92355 +aS'23\t23\tCD\tB-NP\tO' +p92356 +aS',\t,\t,\tO\tO' +p92357 +aS'satting\tsatte\tVBG\tB-VP\tO' +p92358 +aS'100%\t100%\tNN\tB-NP\tO' +p92359 +aS'on\ton\tIN\tB-PP\tO' +p92360 +aS'room\troom\tNN\tB-NP\tO' +p92361 +aS'air\tair\tNN\tI-NP\tO' +p92362 +aS'.\t.\t.\tO\tO' +p92363 +asS'Cranial nerves II-XII were grossly intact .' +p92364 +(lp92365 +S'Cranial\tCranial\tJJ\tB-NP\tO' +p92366 +aS'nerves\tnerve\tNNS\tI-NP\tO' +p92367 +aS'II-XII\tII-XII\tNN\tI-NP\tB-protein' +p92368 +aS'were\tbe\tVBD\tB-VP\tO' +p92369 +aS'grossly\tgrossly\tRB\tB-ADJP\tO' +p92370 +aS'intact\tintact\tJJ\tI-ADJP\tO' +p92371 +aS'.\t.\t.\tO\tO' +p92372 +asS'In May 1994 she received her first course of thiotepa and Velban and Methotrexate , which required some red cell transfusions .' +p92373 +(lp92374 +S'In\tIn\tIN\tB-PP\tO' +p92375 +aS'May\tMay\tNNP\tB-NP\tO' +p92376 +aS'1994\t1994\tCD\tI-NP\tO' +p92377 +aS'she\tshe\tPRP\tB-NP\tO' +p92378 +aS'received\treceive\tVBD\tB-VP\tO' +p92379 +aS'her\ther\tPRP$\tB-NP\tO' +p92380 +aS'first\tfirst\tJJ\tI-NP\tO' +p92381 +aS'course\tcourse\tNN\tI-NP\tO' +p92382 +aS'of\tof\tIN\tB-PP\tO' +p92383 +aS'thiotepa\tthiotepa\tNN\tB-NP\tO' +p92384 +aS'and\tand\tCC\tO\tO' +p92385 +aS'Velban\tVelban\tNNP\tB-NP\tO' +p92386 +aS'and\tand\tCC\tI-NP\tO' +p92387 +aS'Methotrexate\tMethotrexate\tNNP\tI-NP\tO' +p92388 +aS',\t,\t,\tO\tO' +p92389 +aS'which\twhich\tWDT\tB-NP\tO' +p92390 +aS'required\trequire\tVBD\tB-VP\tO' +p92391 +aS'some\tsome\tDT\tB-NP\tO' +p92392 +aS'red\tred\tJJ\tI-NP\tO' +p92393 +aS'cell\tcell\tNN\tI-NP\tO' +p92394 +aS'transfusions\ttransfusion\tNNS\tI-NP\tO' +p92395 +aS'.\t.\t.\tO\tO' +p92396 +asS'Sodium was 139 , potassium was 6.1 , chloride was 102 , bicarbonate was 18 , blood urea nitrogen was 100 , creatinine was 2.3 , and blood glucose was 189 .' +p92397 +(lp92398 +S'Sodium\tSodium\tNN\tB-NP\tO' +p92399 +aS'was\tbe\tVBD\tB-VP\tO' +p92400 +aS'139\t139\tCD\tB-NP\tO' +p92401 +aS',\t,\t,\tO\tO' +p92402 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p92403 +aS'was\tbe\tVBD\tB-VP\tO' +p92404 +aS'6.1\t6.1\tCD\tB-NP\tO' +p92405 +aS',\t,\t,\tO\tO' +p92406 +aS'chloride\tchloride\tNN\tB-NP\tO' +p92407 +aS'was\tbe\tVBD\tB-VP\tO' +p92408 +aS'102\t102\tCD\tB-NP\tO' +p92409 +aS',\t,\t,\tO\tO' +p92410 +aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' +p92411 +aS'was\tbe\tVBD\tB-VP\tO' +p92412 +aS'18\t18\tCD\tB-NP\tO' +p92413 +aS',\t,\t,\tO\tO' +p92414 +aS'blood\tblood\tNN\tB-NP\tO' +p92415 +aS'urea\turea\tNN\tI-NP\tO' +p92416 +aS'nitrogen\tnitrogen\tNN\tI-NP\tO' +p92417 +aS'was\tbe\tVBD\tB-VP\tO' +p92418 +aS'100\t100\tCD\tB-NP\tO' +p92419 +aS',\t,\t,\tO\tO' +p92420 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p92421 +aS'was\tbe\tVBD\tB-VP\tO' +p92422 +aS'2.3\t2.3\tCD\tB-NP\tO' +p92423 +aS',\t,\t,\tO\tO' +p92424 +aS'and\tand\tCC\tO\tO' +p92425 +aS'blood\tblood\tNN\tB-NP\tO' +p92426 +aS'glucose\tglucose\tNN\tI-NP\tO' +p92427 +aS'was\tbe\tVBD\tB-VP\tO' +p92428 +aS'189\t189\tCD\tB-NP\tO' +p92429 +aS'.\t.\t.\tO\tO' +p92430 +asS'She is euthyroid .' +p92431 +(lp92432 +S'She\tShe\tPRP\tB-NP\tO' +p92433 +aS'is\tbe\tVBZ\tB-VP\tO' +p92434 +aS'euthyroid\teuthyroid\tJJ\tB-ADJP\tO' +p92435 +aS'.\t.\t.\tO\tO' +p92436 +asS'He had 5 out of 5 strength diffusely , normal deep tendon reflexes and normal sensation .' +p92437 +(lp92438 +S'He\tHe\tPRP\tB-NP\tB-protein' +p92439 +aS'had\thave\tVBD\tB-VP\tI-protein' +p92440 +aS'5\t5\tCD\tB-NP\tI-protein' +p92441 +aS'out\tout\tIN\tB-PP\tO' +p92442 +aS'of\tof\tIN\tB-PP\tO' +p92443 +aS'5\t5\tCD\tB-NP\tO' +p92444 +aS'strength\tstrength\tNN\tI-NP\tO' +p92445 +aS'diffusely\tdiffusely\tRB\tB-ADVP\tO' +p92446 +aS',\t,\t,\tO\tO' +p92447 +aS'normal\tnormal\tJJ\tB-NP\tO' +p92448 +aS'deep\tdeep\tJJ\tI-NP\tO' +p92449 +aS'tendon\ttendon\tNN\tI-NP\tO' +p92450 +aS'reflexes\treflex\tNNS\tI-NP\tO' +p92451 +aS'and\tand\tCC\tO\tO' +p92452 +aS'normal\tnormal\tJJ\tB-NP\tO' +p92453 +aS'sensation\tsensation\tNN\tI-NP\tO' +p92454 +aS'.\t.\t.\tO\tO' +p92455 +asS'9. Oxycodone 5 mg Tablet Sig : One ( 1 ) Tablet PO Q4-6H ( every 4 to 6 hours ) as needed .' +p92456 +(lp92457 +S'9.\t9.\tCD\tB-NP\tO' +p92458 +aS'Oxycodone\tOxycodone\tNN\tI-NP\tO' +p92459 +aS'5\t5\tCD\tB-NP\tO' +p92460 +aS'mg\tmg\tNN\tI-NP\tO' +p92461 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p92462 +aS'Sig\tSig\tNNP\tI-NP\tO' +p92463 +aS':\t:\t:\tO\tO' +p92464 +aS'One\tOne\tCD\tB-NP\tO' +p92465 +aS'(\t(\t(\tO\tO' +p92466 +aS'1\t1\tCD\tB-NP\tO' +p92467 +aS')\t)\t)\tO\tO' +p92468 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p92469 +aS'PO\tPO\tNN\tI-NP\tO' +p92470 +aS'Q4-6H\tQ4-6H\tNN\tI-NP\tO' +p92471 +aS'(\t(\t(\tO\tO' +p92472 +aS'every\tevery\tDT\tB-NP\tO' +p92473 +aS'4\t4\tCD\tI-NP\tO' +p92474 +aS'to\tto\tTO\tI-NP\tO' +p92475 +aS'6\t6\tCD\tI-NP\tO' +p92476 +aS'hours\thour\tNNS\tI-NP\tO' +p92477 +aS')\t)\t)\tO\tO' +p92478 +aS'as\tas\tIN\tB-SBAR\tO' +p92479 +aS'needed\tneed\tVBN\tB-VP\tO' +p92480 +aS'.\t.\t.\tO\tO' +p92481 +asS'1. Right nephrectomy .' +p92482 +(lp92483 +S'1.\t1.\tLS\tB-NP\tO' +p92484 +aS'Right\tRight\tNN\tI-NP\tO' +p92485 +aS'nephrectomy\tnephrectomy\tNN\tI-NP\tO' +p92486 +aS'.\t.\t.\tO\tO' +p92487 +asS'It is also very important that you abstain from cocaine use .' +p92488 +(lp92489 +S'It\tIt\tPRP\tB-NP\tO' +p92490 +aS'is\tbe\tVBZ\tB-VP\tO' +p92491 +aS'also\talso\tRB\tB-ADVP\tO' +p92492 +aS'very\tvery\tRB\tB-ADJP\tO' +p92493 +aS'important\timportant\tJJ\tI-ADJP\tO' +p92494 +aS'that\tthat\tIN\tB-SBAR\tO' +p92495 +aS'you\tyou\tPRP\tB-NP\tO' +p92496 +aS'abstain\tabstain\tVBP\tB-VP\tO' +p92497 +aS'from\tfrom\tIN\tB-PP\tO' +p92498 +aS'cocaine\tcocaine\tNN\tB-NP\tO' +p92499 +aS'use\tuse\tNN\tI-NP\tO' +p92500 +aS'.\t.\t.\tO\tO' +p92501 +asS'The electrocardiogram showed normal sinus rhythm at a rate of 80 with intraventricular conduction delay and poor R wave progression .' +p92502 +(lp92503 +S'The\tThe\tDT\tB-NP\tO' +p92504 +aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' +p92505 +aS'showed\tshow\tVBD\tB-VP\tO' +p92506 +aS'normal\tnormal\tJJ\tB-NP\tO' +p92507 +aS'sinus\tsinus\tNN\tI-NP\tO' +p92508 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p92509 +aS'at\tat\tIN\tB-PP\tO' +p92510 +aS'a\ta\tDT\tB-NP\tO' +p92511 +aS'rate\trate\tNN\tI-NP\tO' +p92512 +aS'of\tof\tIN\tB-PP\tO' +p92513 +aS'80\t80\tCD\tB-NP\tO' +p92514 +aS'with\twith\tIN\tB-PP\tO' +p92515 +aS'intraventricular\tintraventricular\tJJ\tB-NP\tO' +p92516 +aS'conduction\tconduction\tNN\tI-NP\tO' +p92517 +aS'delay\tdelay\tNN\tI-NP\tO' +p92518 +aS'and\tand\tCC\tO\tO' +p92519 +aS'poor\tpoor\tJJ\tB-NP\tO' +p92520 +aS'R\tR\tNN\tI-NP\tO' +p92521 +aS'wave\twave\tNN\tI-NP\tO' +p92522 +aS'progression\tprogression\tNN\tI-NP\tO' +p92523 +aS'.\t.\t.\tO\tO' +p92524 +asS'No masses or thrombi are seen in the left ventricle .' +p92525 +(lp92526 +S'No\tNo\tDT\tB-NP\tO' +p92527 +aS'masses\tmass\tNNS\tI-NP\tO' +p92528 +aS'or\tor\tCC\tI-NP\tO' +p92529 +aS'thrombi\tthrombus\tNNS\tI-NP\tO' +p92530 +aS'are\tbe\tVBP\tB-VP\tO' +p92531 +aS'seen\tsee\tVBN\tI-VP\tO' +p92532 +aS'in\tin\tIN\tB-PP\tO' +p92533 +aS'the\tthe\tDT\tB-NP\tO' +p92534 +aS'left\tleft\tJJ\tI-NP\tO' +p92535 +aS'ventricle\tventricle\tNN\tI-NP\tO' +p92536 +aS'.\t.\t.\tO\tO' +p92537 +asS'This has been followed by the Vascular Surgery Service here at the Ingree and Ot of Weamanshy Medical Center .' +p92538 +(lp92539 +S'This\tThis\tDT\tB-NP\tO' +p92540 +aS'has\thave\tVBZ\tB-VP\tO' +p92541 +aS'been\tbe\tVBN\tI-VP\tO' +p92542 +aS'followed\tfollow\tVBN\tI-VP\tO' +p92543 +aS'by\tby\tIN\tB-PP\tO' +p92544 +aS'the\tthe\tDT\tB-NP\tO' +p92545 +aS'Vascular\tVascular\tNNP\tI-NP\tO' +p92546 +aS'Surgery\tSurgery\tNNP\tI-NP\tO' +p92547 +aS'Service\tService\tNNP\tI-NP\tO' +p92548 +aS'here\there\tRB\tB-ADVP\tO' +p92549 +aS'at\tat\tIN\tB-PP\tO' +p92550 +aS'the\tthe\tDT\tB-NP\tO' +p92551 +aS'Ingree\tIngree\tNNP\tI-NP\tO' +p92552 +aS'and\tand\tCC\tI-NP\tO' +p92553 +aS'Ot\tOt\tNNP\tI-NP\tO' +p92554 +aS'of\tof\tIN\tB-PP\tO' +p92555 +aS'Weamanshy\tWeamanshy\tNNP\tB-NP\tO' +p92556 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p92557 +aS'Center\tCenter\tNNP\tI-NP\tO' +p92558 +aS'.\t.\t.\tO\tO' +p92559 +asS'10. Bisacodyl 5 mg Tablet , Delayed Release ( E.C. ) Sig : Two ( 2 ) Tablet , Delayed Release ( E.C. ) PO DAILY ( Daily ) as needed .' +p92560 +(lp92561 +S'10.\t10.\tCD\tB-NP\tO' +p92562 +aS'Bisacodyl\tBisacodyl\tNN\tI-NP\tO' +p92563 +aS'5\t5\tCD\tB-NP\tO' +p92564 +aS'mg\tmg\tNN\tI-NP\tO' +p92565 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p92566 +aS',\t,\t,\tO\tO' +p92567 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p92568 +aS'Release\tRelease\tNNP\tI-NP\tO' +p92569 +aS'(\t(\t(\tO\tO' +p92570 +aS'E.C.\tE.C.\tNNP\tB-NP\tO' +p92571 +aS')\t)\t)\tO\tO' +p92572 +aS'Sig\tSig\tNNP\tB-NP\tO' +p92573 +aS':\t:\t:\tO\tO' +p92574 +aS'Two\tTwo\tCD\tB-NP\tO' +p92575 +aS'(\t(\t(\tO\tO' +p92576 +aS'2\t2\tCD\tB-NP\tO' +p92577 +aS')\t)\t)\tO\tO' +p92578 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p92579 +aS',\t,\t,\tO\tO' +p92580 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p92581 +aS'Release\tRelease\tNNP\tI-NP\tO' +p92582 +aS'(\t(\t(\tO\tO' +p92583 +aS'E.C.\tE.C.\tNNP\tO\tO' +p92584 +aS')\t)\t)\tO\tO' +p92585 +aS'PO\tPO\tNN\tB-NP\tO' +p92586 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p92587 +aS'(\t(\t(\tO\tO' +p92588 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p92589 +aS')\t)\t)\tO\tO' +p92590 +aS'as\tas\tIN\tB-SBAR\tO' +p92591 +aS'needed\tneed\tVBN\tB-VP\tO' +p92592 +aS'.\t.\t.\tO\tO' +p92593 +asS'Bilateral tonsillar hypertrophy .' +p92594 +(lp92595 +S'Bilateral\tBilateral\tJJ\tB-NP\tO' +p92596 +aS'tonsillar\ttonsillar\tJJ\tI-NP\tO' +p92597 +aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' +p92598 +aS'.\t.\t.\tO\tO' +p92599 +asS'Tunnled catheter tip 01-08 - ngtd' +p92600 +(lp92601 +S'Tunnled\tTunnle\tVBN\tB-NP\tO' +p92602 +aS'catheter\tcatheter\tNN\tI-NP\tB-protein' +p92603 +aS'tip\ttip\tNN\tI-NP\tI-protein' +p92604 +aS'01-08\t01-08\tCD\tI-NP\tI-protein' +p92605 +aS'-\t-\tHYPH\tI-NP\tO' +p92606 +aS'ngtd\tngtd\tNN\tI-NP\tO' +p92607 +asS'The patient is a 32-year-old white female with history of diabetes type 1 and migraines who presented with complaints of nausea , diarrhea and vomiting for 24 hours .' +p92608 +(lp92609 +S'The\tThe\tDT\tB-NP\tO' +p92610 +aS'patient\tpatient\tNN\tI-NP\tO' +p92611 +aS'is\tbe\tVBZ\tB-VP\tO' +p92612 +aS'a\ta\tDT\tB-NP\tO' +p92613 +aS'32-year-old\t32-year-old\tJJ\tI-NP\tO' +p92614 +aS'white\twhite\tJJ\tI-NP\tO' +p92615 +aS'female\tfemale\tNN\tI-NP\tO' +p92616 +aS'with\twith\tIN\tB-PP\tO' +p92617 +aS'history\thistory\tNN\tB-NP\tO' +p92618 +aS'of\tof\tIN\tB-PP\tO' +p92619 +aS'diabetes\tdiabetes\tNN\tB-NP\tO' +p92620 +aS'type\ttype\tNN\tI-NP\tO' +p92621 +aS'1\t1\tCD\tI-NP\tO' +p92622 +aS'and\tand\tCC\tO\tO' +p92623 +aS'migraines\tmigraine\tNNS\tB-NP\tO' +p92624 +aS'who\twho\tWP\tB-NP\tO' +p92625 +aS'presented\tpresent\tVBD\tB-VP\tO' +p92626 +aS'with\twith\tIN\tB-PP\tO' +p92627 +aS'complaints\tcomplaint\tNNS\tB-NP\tO' +p92628 +aS'of\tof\tIN\tB-PP\tO' +p92629 +aS'nausea\tnausea\tNN\tB-NP\tO' +p92630 +aS',\t,\t,\tO\tO' +p92631 +aS'diarrhea\tdiarrhea\tNN\tB-NP\tO' +p92632 +aS'and\tand\tCC\tO\tO' +p92633 +aS'vomiting\tvomit\tVBG\tB-VP\tO' +p92634 +aS'for\tfor\tIN\tB-PP\tO' +p92635 +aS'24\t24\tCD\tB-NP\tO' +p92636 +aS'hours\thour\tNNS\tI-NP\tO' +p92637 +aS'.\t.\t.\tO\tO' +p92638 +asS'Innumerable smaller fracture fragments were interposed between the fracture fragment and the distal humeral shaft .' +p92639 +(lp92640 +S'Innumerable\tInnumerable\tJJ\tB-NP\tO' +p92641 +aS'smaller\tsmall\tJJR\tI-NP\tO' +p92642 +aS'fracture\tfracture\tNN\tI-NP\tB-DNA' +p92643 +aS'fragments\tfragment\tNNS\tI-NP\tI-DNA' +p92644 +aS'were\tbe\tVBD\tB-VP\tO' +p92645 +aS'interposed\tinterpose\tVBN\tI-VP\tO' +p92646 +aS'between\tbetween\tIN\tB-PP\tO' +p92647 +aS'the\tthe\tDT\tB-NP\tO' +p92648 +aS'fracture\tfracture\tNN\tI-NP\tB-DNA' +p92649 +aS'fragment\tfragment\tNN\tI-NP\tI-DNA' +p92650 +aS'and\tand\tCC\tO\tO' +p92651 +aS'the\tthe\tDT\tB-NP\tO' +p92652 +aS'distal\tdistal\tJJ\tI-NP\tO' +p92653 +aS'humeral\thumeral\tJJ\tI-NP\tO' +p92654 +aS'shaft\tshaft\tNN\tI-NP\tO' +p92655 +aS'.\t.\t.\tO\tO' +p92656 +asS'Colonoscopy .' +p92657 +(lp92658 +S'Colonoscopy\tColonoscopy\tNNP\tB-NP\tO' +p92659 +aS'.\t.\t.\tO\tO' +p92660 +asS'Due to progressing labor and presentation of twins , delivery was by Cesarean section .' +p92661 +(lp92662 +S'Due\tDue\tJJ\tB-ADJP\tO' +p92663 +aS'to\tto\tTO\tB-PP\tO' +p92664 +aS'progressing\tprogress\tVBG\tB-VP\tO' +p92665 +aS'labor\tlabor\tNN\tB-NP\tO' +p92666 +aS'and\tand\tCC\tO\tO' +p92667 +aS'presentation\tpresentation\tNN\tB-NP\tO' +p92668 +aS'of\tof\tIN\tB-PP\tO' +p92669 +aS'twins\ttwin\tNNS\tB-NP\tO' +p92670 +aS',\t,\t,\tO\tO' +p92671 +aS'delivery\tdelivery\tNN\tB-NP\tO' +p92672 +aS'was\tbe\tVBD\tB-VP\tO' +p92673 +aS'by\tby\tIN\tB-PP\tO' +p92674 +aS'Cesarean\tCesarean\tJJ\tB-NP\tO' +p92675 +aS'section\tsection\tNN\tI-NP\tO' +p92676 +aS'.\t.\t.\tO\tO' +p92677 +asS"The patient 's family refused coronary artery catheterization ." +p92678 +(lp92679 +S'The\tThe\tDT\tB-NP\tO' +p92680 +aS'patient\tpatient\tNN\tI-NP\tO' +p92681 +aS"'s\t's\tPOS\tB-NP\tO" +p92682 +aS'family\tfamily\tNN\tI-NP\tO' +p92683 +aS'refused\trefuse\tVBD\tB-VP\tO' +p92684 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p92685 +aS'artery\tartery\tNN\tI-NP\tO' +p92686 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p92687 +aS'.\t.\t.\tO\tO' +p92688 +asS'Please continue Dilantin as directed for seizure prophylaxis .' +p92689 +(lp92690 +S'Please\tPlease\tVB\tB-VP\tO' +p92691 +aS'continue\tcontinue\tVB\tI-VP\tO' +p92692 +aS'Dilantin\tDilantin\tNN\tB-NP\tB-protein' +p92693 +aS'as\tas\tIN\tB-SBAR\tO' +p92694 +aS'directed\tdirect\tVBN\tB-VP\tO' +p92695 +aS'for\tfor\tIN\tB-PP\tO' +p92696 +aS'seizure\tseizure\tNN\tB-NP\tO' +p92697 +aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' +p92698 +aS'.\t.\t.\tO\tO' +p92699 +asS'Creatine kinase at 11 a.m. was 83 , at 5 p.m. was 3021 .' +p92700 +(lp92701 +S'Creatine\tCreatine\tNN\tB-NP\tB-protein' +p92702 +aS'kinase\tkinase\tNN\tI-NP\tI-protein' +p92703 +aS'at\tat\tIN\tB-PP\tO' +p92704 +aS'11\t11\tCD\tB-NP\tO' +p92705 +aS'a.m.\ta.m.\tNN\tI-NP\tO' +p92706 +aS'was\tbe\tVBD\tB-VP\tO' +p92707 +aS'83\t83\tCD\tB-NP\tO' +p92708 +aS',\t,\t,\tO\tO' +p92709 +aS'at\tat\tIN\tB-PP\tO' +p92710 +aS'5\t5\tCD\tB-NP\tO' +p92711 +aS'p.m.\tp.m.\tNN\tI-NP\tO' +p92712 +aS'was\tbe\tVBD\tB-VP\tO' +p92713 +aS'3021\t3021\tCD\tB-NP\tO' +p92714 +aS'.\t.\t.\tO\tO' +p92715 +asS'Pulses 2+ .' +p92716 +(lp92717 +S'Pulses\tPulse\tNNS\tB-NP\tO' +p92718 +aS'2+\t2+\tJJ\tB-ADJP\tO' +p92719 +aS'.\t.\t.\tO\tO' +p92720 +asS'Baby Mary Stead initially presented with significant subgaleal bleed as well as a small subdural hemorrhage .' +p92721 +(lp92722 +S'Baby\tBaby\tNNP\tB-NP\tO' +p92723 +aS'Mary\tMary\tNNP\tI-NP\tO' +p92724 +aS'Stead\tStead\tNNP\tI-NP\tO' +p92725 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p92726 +aS'presented\tpresent\tVBD\tB-VP\tO' +p92727 +aS'with\twith\tIN\tB-PP\tO' +p92728 +aS'significant\tsignificant\tJJ\tB-NP\tO' +p92729 +aS'subgaleal\tsubgaleal\tJJ\tI-NP\tO' +p92730 +aS'bleed\tbleed\tNN\tI-NP\tO' +p92731 +aS'as\tas\tRB\tB-CONJP\tO' +p92732 +aS'well\twell\tRB\tI-CONJP\tO' +p92733 +aS'as\tas\tIN\tI-CONJP\tO' +p92734 +aS'a\ta\tDT\tB-NP\tO' +p92735 +aS'small\tsmall\tJJ\tI-NP\tO' +p92736 +aS'subdural\tsubdural\tJJ\tI-NP\tO' +p92737 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p92738 +aS'.\t.\t.\tO\tO' +p92739 +asS'The patient subsequently developed diffuse abdominal pain , nausea , vomiting , and decreased p.o. intake .' +p92740 +(lp92741 +S'The\tThe\tDT\tB-NP\tO' +p92742 +aS'patient\tpatient\tNN\tI-NP\tO' +p92743 +aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' +p92744 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p92745 +aS'diffuse\tdiffuse\tJJ\tB-NP\tO' +p92746 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p92747 +aS'pain\tpain\tNN\tI-NP\tO' +p92748 +aS',\t,\t,\tO\tO' +p92749 +aS'nausea\tnausea\tNN\tB-NP\tO' +p92750 +aS',\t,\t,\tO\tO' +p92751 +aS'vomiting\tvomiting\tNN\tB-NP\tO' +p92752 +aS',\t,\t,\tO\tO' +p92753 +aS'and\tand\tCC\tO\tO' +p92754 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p92755 +aS'p.o.\tp.o.\tFW\tB-NP\tO' +p92756 +aS'intake\tintake\tNN\tI-NP\tO' +p92757 +aS'.\t.\t.\tO\tO' +p92758 +asS'In summary , patient is a 53 - year-old female with multiple medical problems and history of depression with intentional overdose of barbiturates , opiates , Tylenol , and beta blocker .' +p92759 +(lp92760 +S'In\tIn\tIN\tB-PP\tO' +p92761 +aS'summary\tsummary\tNN\tB-NP\tO' +p92762 +aS',\t,\t,\tO\tO' +p92763 +aS'patient\tpatient\tNN\tB-NP\tO' +p92764 +aS'is\tbe\tVBZ\tB-VP\tO' +p92765 +aS'a\ta\tDT\tB-NP\tO' +p92766 +aS'53\t53\tCD\tI-NP\tO' +p92767 +aS'-\t-\tHYPH\tI-NP\tO' +p92768 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p92769 +aS'female\tfemale\tNN\tI-NP\tO' +p92770 +aS'with\twith\tIN\tB-PP\tO' +p92771 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p92772 +aS'medical\tmedical\tJJ\tI-NP\tO' +p92773 +aS'problems\tproblem\tNNS\tI-NP\tO' +p92774 +aS'and\tand\tCC\tO\tO' +p92775 +aS'history\thistory\tNN\tB-NP\tO' +p92776 +aS'of\tof\tIN\tB-PP\tO' +p92777 +aS'depression\tdepression\tNN\tB-NP\tO' +p92778 +aS'with\twith\tIN\tB-PP\tO' +p92779 +aS'intentional\tintentional\tJJ\tB-NP\tO' +p92780 +aS'overdose\toverdose\tNN\tI-NP\tO' +p92781 +aS'of\tof\tIN\tB-PP\tO' +p92782 +aS'barbiturates\tbarbiturate\tNNS\tB-NP\tO' +p92783 +aS',\t,\t,\tO\tO' +p92784 +aS'opiates\topiate\tNNS\tB-NP\tO' +p92785 +aS',\t,\t,\tO\tO' +p92786 +aS'Tylenol\tTylenol\tNN\tB-NP\tO' +p92787 +aS',\t,\t,\tO\tO' +p92788 +aS'and\tand\tCC\tO\tO' +p92789 +aS'beta\tbeta\tNN\tB-NP\tO' +p92790 +aS'blocker\tblocker\tNN\tI-NP\tO' +p92791 +aS'.\t.\t.\tO\tO' +p92792 +asS'She required intubation for mild to moderate congestive heart failure , treated with diuretics , intravenous nitroglycerin and heparin .' +p92793 +(lp92794 +S'She\tShe\tPRP\tB-NP\tO' +p92795 +aS'required\trequire\tVBD\tB-VP\tO' +p92796 +aS'intubation\tintubation\tNN\tB-NP\tO' +p92797 +aS'for\tfor\tIN\tB-PP\tO' +p92798 +aS'mild\tmild\tJJ\tB-ADJP\tO' +p92799 +aS'to\tto\tTO\tB-PP\tO' +p92800 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p92801 +aS'congestive\tcongestive\tJJ\tI-NP\tO' +p92802 +aS'heart\theart\tNN\tI-NP\tO' +p92803 +aS'failure\tfailure\tNN\tI-NP\tO' +p92804 +aS',\t,\t,\tO\tO' +p92805 +aS'treated\ttreat\tVBN\tB-VP\tO' +p92806 +aS'with\twith\tIN\tB-PP\tO' +p92807 +aS'diuretics\tdiuretic\tNNS\tB-NP\tO' +p92808 +aS',\t,\t,\tO\tO' +p92809 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p92810 +aS'nitroglycerin\tnitroglycerin\tNN\tI-NP\tO' +p92811 +aS'and\tand\tCC\tI-NP\tO' +p92812 +aS'heparin\theparin\tNN\tI-NP\tO' +p92813 +aS'.\t.\t.\tO\tO' +p92814 +asS'The patient was initially maintained on intravenous fluids only and when his respiratory distress resolved he was transitioned to enteral feeds .' +p92815 +(lp92816 +S'The\tThe\tDT\tB-NP\tO' +p92817 +aS'patient\tpatient\tNN\tI-NP\tO' +p92818 +aS'was\tbe\tVBD\tB-VP\tO' +p92819 +aS'initially\tinitially\tRB\tI-VP\tO' +p92820 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p92821 +aS'on\ton\tIN\tB-PP\tO' +p92822 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p92823 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p92824 +aS'only\tonly\tRB\tB-ADVP\tO' +p92825 +aS'and\tand\tCC\tO\tO' +p92826 +aS'when\twhen\tWRB\tB-ADVP\tO' +p92827 +aS'his\this\tPRP$\tB-NP\tO' +p92828 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p92829 +aS'distress\tdistress\tNN\tI-NP\tO' +p92830 +aS'resolved\tresolve\tVBD\tB-VP\tO' +p92831 +aS'he\the\tPRP\tB-NP\tO' +p92832 +aS'was\tbe\tVBD\tB-VP\tO' +p92833 +aS'transitioned\ttransitione\tVBN\tI-VP\tO' +p92834 +aS'to\tto\tTO\tB-PP\tO' +p92835 +aS'enteral\tenteral\tJJ\tB-NP\tO' +p92836 +aS'feeds\tfeed\tNNS\tI-NP\tO' +p92837 +aS'.\t.\t.\tO\tO' +p92838 +asS'She was afebrile and her vital signs were stable .' +p92839 +(lp92840 +S'She\tShe\tPRP\tB-NP\tO' +p92841 +aS'was\tbe\tVBD\tB-VP\tO' +p92842 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p92843 +aS'and\tand\tCC\tO\tO' +p92844 +aS'her\ther\tPRP$\tB-NP\tO' +p92845 +aS'vital\tvital\tJJ\tI-NP\tO' +p92846 +aS'signs\tsign\tNNS\tI-NP\tO' +p92847 +aS'were\tbe\tVBD\tB-VP\tO' +p92848 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p92849 +aS'.\t.\t.\tO\tO' +p92850 +asS'Face is stable .' +p92851 +(lp92852 +S'Face\tFace\tNNP\tB-NP\tO' +p92853 +aS'is\tbe\tVBZ\tB-VP\tO' +p92854 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p92855 +aS'.\t.\t.\tO\tO' +p92856 +asS'coumadin held on 01-22 for PORT removal , and restarted on 01-24 .' +p92857 +(lp92858 +S'coumadin\tcoumadin\tNN\tB-NP\tO' +p92859 +aS'held\thold\tVBN\tB-VP\tO' +p92860 +aS'on\ton\tIN\tB-PP\tO' +p92861 +aS'01-22\t01-22\tNN\tB-NP\tO' +p92862 +aS'for\tfor\tIN\tB-PP\tO' +p92863 +aS'PORT\tPORT\tNN\tB-NP\tO' +p92864 +aS'removal\tremoval\tNN\tI-NP\tO' +p92865 +aS',\t,\t,\tO\tO' +p92866 +aS'and\tand\tCC\tO\tO' +p92867 +aS'restarted\trestart\tVBD\tB-VP\tO' +p92868 +aS'on\ton\tIN\tB-PP\tO' +p92869 +aS'01-24\t01-24\tCD\tB-NP\tO' +p92870 +aS'.\t.\t.\tO\tO' +p92871 +asS'Serial arterial blood gases were followed after an arterial line was placed .' +p92872 +(lp92873 +S'Serial\tSerial\tJJ\tB-NP\tB-protein' +p92874 +aS'arterial\tarterial\tJJ\tI-NP\tI-protein' +p92875 +aS'blood\tblood\tNN\tI-NP\tI-protein' +p92876 +aS'gases\tgas\tNNS\tI-NP\tI-protein' +p92877 +aS'were\tbe\tVBD\tB-VP\tO' +p92878 +aS'followed\tfollow\tVBN\tI-VP\tO' +p92879 +aS'after\tafter\tIN\tB-PP\tO' +p92880 +aS'an\tan\tDT\tB-NP\tO' +p92881 +aS'arterial\tarterial\tJJ\tI-NP\tO' +p92882 +aS'line\tline\tNN\tI-NP\tO' +p92883 +aS'was\tbe\tVBD\tB-VP\tO' +p92884 +aS'placed\tplace\tVBN\tI-VP\tO' +p92885 +aS'.\t.\t.\tO\tO' +p92886 +asS'immunotyping negative .' +p92887 +(lp92888 +S'immunotyping\timmunotyping\tNN\tB-NP\tO' +p92889 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p92890 +aS'.\t.\t.\tO\tO' +p92891 +asS'Telephone No. : ( 309 ) 642-6861 fax ( 515 ) 568-6798 .' +p92892 +(lp92893 +S'Telephone\tTelephone\tNN\tB-NP\tO' +p92894 +aS'No.\tNo.\tNN\tI-NP\tO' +p92895 +aS':\t:\t:\tO\tO' +p92896 +aS'(\t(\t(\tO\tO' +p92897 +aS'309\t309\tCD\tB-NP\tO' +p92898 +aS')\t)\t)\tO\tO' +p92899 +aS'642-6861\t642-6861\tCD\tB-NP\tO' +p92900 +aS'fax\tfax\tNN\tI-NP\tO' +p92901 +aS'(\t(\t(\tO\tO' +p92902 +aS'515\t515\tCD\tB-NP\tO' +p92903 +aS')\t)\t)\tO\tO' +p92904 +aS'568-6798\t568-6798\tCD\tB-NP\tO' +p92905 +aS'.\t.\t.\tO\tO' +p92906 +asS'Signed electronically by : DR. Tracey Mccourtney on : MON 2014-05-05 10:26 PM' +p92907 +(lp92908 +S'Signed\tSign\tVBN\tB-VP\tO' +p92909 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p92910 +aS'by\tby\tIN\tB-PP\tO' +p92911 +aS':\t:\t:\tO\tO' +p92912 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p92913 +aS'Tracey\tTracey\tNNP\tI-NP\tO' +p92914 +aS'Mccourtney\tMccourtney\tNNP\tI-NP\tO' +p92915 +aS'on\ton\tIN\tB-PP\tO' +p92916 +aS':\t:\t:\tO\tO' +p92917 +aS'MON\tMON\tNN\tB-NP\tO' +p92918 +aS'2014-05-05\t2014-05-05\tCD\tI-NP\tO' +p92919 +aS'10:26\t10:26\tCD\tI-NP\tO' +p92920 +aS'PM\tPM\tNN\tI-NP\tO' +p92921 +asS'No maternal fever .' +p92922 +(lp92923 +S'No\tNo\tDT\tB-NP\tO' +p92924 +aS'maternal\tmaternal\tJJ\tI-NP\tO' +p92925 +aS'fever\tfever\tNN\tI-NP\tO' +p92926 +aS'.\t.\t.\tO\tO' +p92927 +asS'He was most recently discharged from Oaksgekesser/ Memorial Hospital on 03/06/99 and was then transferred to Linghs County Medical Center from which he was discharged on 03/20/99 .' +p92928 +(lp92929 +S'He\tHe\tPRP\tB-NP\tO' +p92930 +aS'was\tbe\tVBD\tB-VP\tO' +p92931 +aS'most\tmost\tRBS\tI-VP\tO' +p92932 +aS'recently\trecently\tRB\tI-VP\tO' +p92933 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p92934 +aS'from\tfrom\tIN\tB-PP\tO' +p92935 +aS'Oaksgekesser/\tOaksgekesser/\tNNP\tB-NP\tO' +p92936 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p92937 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p92938 +aS'on\ton\tIN\tB-PP\tO' +p92939 +aS'03/06/99\t03/06/99\tCD\tB-NP\tO' +p92940 +aS'and\tand\tCC\tO\tO' +p92941 +aS'was\tbe\tVBD\tB-VP\tO' +p92942 +aS'then\tthen\tRB\tI-VP\tO' +p92943 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p92944 +aS'to\tto\tTO\tB-PP\tO' +p92945 +aS'Linghs\tLinghs\tNNP\tB-NP\tO' +p92946 +aS'County\tCounty\tNNP\tI-NP\tO' +p92947 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p92948 +aS'Center\tCenter\tNNP\tI-NP\tO' +p92949 +aS'from\tfrom\tIN\tB-PP\tO' +p92950 +aS'which\twhich\tWDT\tB-NP\tO' +p92951 +aS'he\the\tPRP\tB-NP\tO' +p92952 +aS'was\tbe\tVBD\tB-VP\tO' +p92953 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p92954 +aS'on\ton\tIN\tB-PP\tO' +p92955 +aS'03/20/99\t03/20/99\tCD\tB-NP\tO' +p92956 +aS'.\t.\t.\tO\tO' +p92957 +asS'There is no evidence of subarachnoid hemorrhage or acute major vascular territorial infarction .' +p92958 +(lp92959 +S'There\tThere\tEX\tB-NP\tO' +p92960 +aS'is\tbe\tVBZ\tB-VP\tO' +p92961 +aS'no\tno\tDT\tB-NP\tO' +p92962 +aS'evidence\tevidence\tNN\tI-NP\tO' +p92963 +aS'of\tof\tIN\tB-PP\tO' +p92964 +aS'subarachnoid\tsubarachnoid\tJJ\tB-NP\tO' +p92965 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p92966 +aS'or\tor\tCC\tO\tO' +p92967 +aS'acute\tacute\tJJ\tB-NP\tO' +p92968 +aS'major\tmajor\tJJ\tI-NP\tO' +p92969 +aS'vascular\tvascular\tJJ\tI-NP\tO' +p92970 +aS'territorial\tterritorial\tNN\tI-NP\tO' +p92971 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p92972 +aS'.\t.\t.\tO\tO' +p92973 +asS'The patient remembers the presidents as Carter-Bush-Regan-Truman-Roosevelt .' +p92974 +(lp92975 +S'The\tThe\tDT\tB-NP\tO' +p92976 +aS'patient\tpatient\tNN\tI-NP\tO' +p92977 +aS'remembers\tremember\tVBZ\tB-VP\tO' +p92978 +aS'the\tthe\tDT\tB-NP\tO' +p92979 +aS'presidents\tpresident\tNNS\tI-NP\tO' +p92980 +aS'as\tas\tIN\tB-PP\tO' +p92981 +aS'Carter-Bush-Regan-Truman-Roosevelt\tCarter-Bush-Regan-Truman-Roosevelt\tNNP\tB-NP\tO' +p92982 +aS'.\t.\t.\tO\tO' +p92983 +asS'The patient is a 30 and 08-01 week gestation female , triplet number two , delivered by cesarean section due to progressive preterm labor and triplet gestation .' +p92984 +(lp92985 +S'The\tThe\tDT\tB-NP\tO' +p92986 +aS'patient\tpatient\tNN\tI-NP\tO' +p92987 +aS'is\tbe\tVBZ\tB-VP\tO' +p92988 +aS'a\ta\tDT\tB-NP\tO' +p92989 +aS'30\t30\tCD\tI-NP\tO' +p92990 +aS'and\tand\tCC\tI-NP\tO' +p92991 +aS'08-01\t08-01\tCD\tI-NP\tO' +p92992 +aS'week\tweek\tNN\tI-NP\tO' +p92993 +aS'gestation\tgestation\tNN\tI-NP\tO' +p92994 +aS'female\tfemale\tNN\tI-NP\tO' +p92995 +aS',\t,\t,\tO\tO' +p92996 +aS'triplet\ttriplet\tJJ\tB-NP\tO' +p92997 +aS'number\tnumber\tNN\tI-NP\tO' +p92998 +aS'two\ttwo\tCD\tB-NP\tO' +p92999 +aS',\t,\t,\tO\tO' +p93000 +aS'delivered\tdeliver\tVBN\tB-VP\tO' +p93001 +aS'by\tby\tIN\tB-PP\tO' +p93002 +aS'cesarean\tcesarean\tJJ\tB-NP\tO' +p93003 +aS'section\tsection\tNN\tI-NP\tO' +p93004 +aS'due\tdue\tJJ\tB-PP\tO' +p93005 +aS'to\tto\tTO\tB-PP\tO' +p93006 +aS'progressive\tprogressive\tJJ\tB-NP\tO' +p93007 +aS'preterm\tpreterm\tJJ\tI-NP\tO' +p93008 +aS'labor\tlabor\tNN\tI-NP\tO' +p93009 +aS'and\tand\tCC\tO\tO' +p93010 +aS'triplet\ttriplet\tVB\tB-VP\tO' +p93011 +aS'gestation\tgestation\tNN\tB-NP\tO' +p93012 +aS'.\t.\t.\tO\tO' +p93013 +asS"He was transfused 3 units pRBC 's near the end of his hospitalization and had an appropriate bump ." +p93014 +(lp93015 +S'He\tHe\tPRP\tB-NP\tO' +p93016 +aS'was\tbe\tVBD\tB-VP\tO' +p93017 +aS'transfused\ttransfuse\tVBN\tI-VP\tO' +p93018 +aS'3\t3\tCD\tB-NP\tO' +p93019 +aS'units\tunit\tNNS\tI-NP\tO' +p93020 +aS'pRBC\tpRBC\tNN\tI-NP\tO' +p93021 +aS"'s\t's\tPOS\tB-NP\tO" +p93022 +aS'near\tnear\tIN\tB-PP\tO' +p93023 +aS'the\tthe\tDT\tB-NP\tO' +p93024 +aS'end\tend\tNN\tI-NP\tO' +p93025 +aS'of\tof\tIN\tB-PP\tO' +p93026 +aS'his\this\tPRP$\tB-NP\tO' +p93027 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p93028 +aS'and\tand\tCC\tO\tO' +p93029 +aS'had\thave\tVBD\tB-VP\tO' +p93030 +aS'an\tan\tDT\tB-NP\tO' +p93031 +aS'appropriate\tappropriate\tJJ\tI-NP\tO' +p93032 +aS'bump\tbump\tNN\tI-NP\tO' +p93033 +aS'.\t.\t.\tO\tO' +p93034 +asS'The patient denied any tobacco or alcohol history .' +p93035 +(lp93036 +S'The\tThe\tDT\tB-NP\tO' +p93037 +aS'patient\tpatient\tNN\tI-NP\tO' +p93038 +aS'denied\tdeny\tVBD\tB-VP\tO' +p93039 +aS'any\tany\tDT\tB-NP\tO' +p93040 +aS'tobacco\ttobacco\tNN\tI-NP\tO' +p93041 +aS'or\tor\tCC\tI-NP\tO' +p93042 +aS'alcohol\talcohol\tNN\tI-NP\tO' +p93043 +aS'history\thistory\tNN\tI-NP\tO' +p93044 +aS'.\t.\t.\tO\tO' +p93045 +asS'You were treated with blood thinners .' +p93046 +(lp93047 +S'You\tYou\tPRP\tB-NP\tO' +p93048 +aS'were\tbe\tVBD\tB-VP\tO' +p93049 +aS'treated\ttreat\tVBN\tI-VP\tO' +p93050 +aS'with\twith\tIN\tB-PP\tO' +p93051 +aS'blood\tblood\tNN\tB-NP\tO' +p93052 +aS'thinners\tthinner\tNNS\tI-NP\tO' +p93053 +aS'.\t.\t.\tO\tO' +p93054 +asS'Should this become available , an addendum will be issued to this report following the comparison with the outside examination .' +p93055 +(lp93056 +S'Should\tShould\tMD\tO\tO' +p93057 +aS'this\tthis\tDT\tB-NP\tO' +p93058 +aS'become\tbecome\tVB\tB-VP\tO' +p93059 +aS'available\tavailable\tJJ\tB-ADJP\tO' +p93060 +aS',\t,\t,\tO\tO' +p93061 +aS'an\tan\tDT\tB-NP\tO' +p93062 +aS'addendum\taddendum\tNN\tI-NP\tO' +p93063 +aS'will\twill\tMD\tB-VP\tO' +p93064 +aS'be\tbe\tVB\tI-VP\tO' +p93065 +aS'issued\tissue\tVBN\tI-VP\tO' +p93066 +aS'to\tto\tTO\tB-PP\tO' +p93067 +aS'this\tthis\tDT\tB-NP\tO' +p93068 +aS'report\treport\tNN\tI-NP\tO' +p93069 +aS'following\tfollow\tVBG\tB-PP\tO' +p93070 +aS'the\tthe\tDT\tB-NP\tO' +p93071 +aS'comparison\tcomparison\tNN\tI-NP\tO' +p93072 +aS'with\twith\tIN\tB-PP\tO' +p93073 +aS'the\tthe\tDT\tB-NP\tO' +p93074 +aS'outside\toutside\tJJ\tI-NP\tO' +p93075 +aS'examination\texamination\tNN\tI-NP\tO' +p93076 +aS'.\t.\t.\tO\tO' +p93077 +asS'The patient remained gravely ill throughout his hospital stay and had multiple meetings were held with his family with his son being his next of kin .' +p93078 +(lp93079 +S'The\tThe\tDT\tB-NP\tO' +p93080 +aS'patient\tpatient\tNN\tI-NP\tO' +p93081 +aS'remained\tremain\tVBD\tB-VP\tO' +p93082 +aS'gravely\tgravely\tRB\tB-ADJP\tO' +p93083 +aS'ill\till\tRB\tI-ADJP\tO' +p93084 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p93085 +aS'his\this\tPRP$\tB-NP\tO' +p93086 +aS'hospital\thospital\tNN\tI-NP\tO' +p93087 +aS'stay\tstay\tNN\tI-NP\tO' +p93088 +aS'and\tand\tCC\tO\tO' +p93089 +aS'had\thave\tVBD\tB-VP\tO' +p93090 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p93091 +aS'meetings\tmeeting\tNNS\tI-NP\tO' +p93092 +aS'were\tbe\tVBD\tB-VP\tO' +p93093 +aS'held\thold\tVBN\tI-VP\tO' +p93094 +aS'with\twith\tIN\tB-PP\tO' +p93095 +aS'his\this\tPRP$\tB-NP\tO' +p93096 +aS'family\tfamily\tNN\tI-NP\tO' +p93097 +aS'with\twith\tIN\tB-PP\tO' +p93098 +aS'his\this\tPRP$\tB-NP\tO' +p93099 +aS'son\tson\tNN\tI-NP\tO' +p93100 +aS'being\tbe\tVBG\tB-VP\tO' +p93101 +aS'his\this\tPRP$\tB-NP\tO' +p93102 +aS'next\tnext\tNN\tI-NP\tO' +p93103 +aS'of\tof\tIN\tB-PP\tO' +p93104 +aS'kin\tkin\tNN\tB-NP\tO' +p93105 +aS'.\t.\t.\tO\tO' +p93106 +asS'FINDINGS : There is a linear nondepressed right temporal calvarial fracture extending into the mastoid process .' +p93107 +(lp93108 +S'FINDINGS\tFINDINGS\tNNS\tB-NP\tO' +p93109 +aS':\t:\t:\tO\tO' +p93110 +aS'There\tThere\tEX\tB-NP\tO' +p93111 +aS'is\tbe\tVBZ\tB-VP\tO' +p93112 +aS'a\ta\tDT\tB-NP\tO' +p93113 +aS'linear\tlinear\tJJ\tI-NP\tO' +p93114 +aS'nondepressed\tnondepressed\tJJ\tI-NP\tO' +p93115 +aS'right\tright\tJJ\tI-NP\tO' +p93116 +aS'temporal\ttemporal\tJJ\tI-NP\tO' +p93117 +aS'calvarial\tcalvarial\tJJ\tI-NP\tO' +p93118 +aS'fracture\tfracture\tNN\tI-NP\tO' +p93119 +aS'extending\textend\tVBG\tB-VP\tO' +p93120 +aS'into\tinto\tIN\tB-PP\tO' +p93121 +aS'the\tthe\tDT\tB-NP\tO' +p93122 +aS'mastoid\tmastoid\tJJ\tI-NP\tO' +p93123 +aS'process\tprocess\tNN\tI-NP\tO' +p93124 +aS'.\t.\t.\tO\tO' +p93125 +asS'Do not drive for 1 month .' +p93126 +(lp93127 +S'Do\tDo\tVBP\tB-VP\tO' +p93128 +aS'not\tnot\tRB\tI-VP\tO' +p93129 +aS'drive\tdrive\tVB\tI-VP\tO' +p93130 +aS'for\tfor\tIN\tB-PP\tO' +p93131 +aS'1\t1\tCD\tB-NP\tO' +p93132 +aS'month\tmonth\tNN\tI-NP\tO' +p93133 +aS'.\t.\t.\tO\tO' +p93134 +asS'She will be discharged to home with followup with Dr. Wilson in two weeks with a repeat head CT .' +p93135 +(lp93136 +S'She\tShe\tPRP\tB-NP\tO' +p93137 +aS'will\twill\tMD\tB-VP\tO' +p93138 +aS'be\tbe\tVB\tI-VP\tO' +p93139 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p93140 +aS'to\tto\tTO\tB-PP\tO' +p93141 +aS'home\thome\tNN\tB-NP\tO' +p93142 +aS'with\twith\tIN\tB-PP\tO' +p93143 +aS'followup\tfollowup\tNN\tB-NP\tO' +p93144 +aS'with\twith\tIN\tB-PP\tO' +p93145 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p93146 +aS'Wilson\tWilson\tNNP\tI-NP\tO' +p93147 +aS'in\tin\tIN\tB-PP\tO' +p93148 +aS'two\ttwo\tCD\tB-NP\tO' +p93149 +aS'weeks\tweek\tNNS\tI-NP\tO' +p93150 +aS'with\twith\tIN\tB-PP\tO' +p93151 +aS'a\ta\tDT\tB-NP\tO' +p93152 +aS'repeat\trepeat\tNN\tI-NP\tO' +p93153 +aS'head\thead\tNN\tI-NP\tO' +p93154 +aS'CT\tCT\tNN\tI-NP\tO' +p93155 +aS'.\t.\t.\tO\tO' +p93156 +asS'She was also on Fluconazole for some oral thrush which was inadvertently continued for a total of thirty days .' +p93157 +(lp93158 +S'She\tShe\tPRP\tB-NP\tO' +p93159 +aS'was\tbe\tVBD\tB-VP\tO' +p93160 +aS'also\talso\tRB\tB-ADVP\tO' +p93161 +aS'on\ton\tIN\tB-PP\tO' +p93162 +aS'Fluconazole\tFluconazole\tNN\tB-NP\tO' +p93163 +aS'for\tfor\tIN\tB-PP\tO' +p93164 +aS'some\tsome\tDT\tB-NP\tO' +p93165 +aS'oral\toral\tJJ\tI-NP\tO' +p93166 +aS'thrush\tthrush\tNN\tI-NP\tO' +p93167 +aS'which\twhich\tWDT\tB-NP\tO' +p93168 +aS'was\tbe\tVBD\tB-VP\tO' +p93169 +aS'inadvertently\tinadvertently\tRB\tI-VP\tO' +p93170 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p93171 +aS'for\tfor\tIN\tB-PP\tO' +p93172 +aS'a\ta\tDT\tB-NP\tO' +p93173 +aS'total\ttotal\tNN\tI-NP\tO' +p93174 +aS'of\tof\tIN\tB-PP\tO' +p93175 +aS'thirty\tthirty\tCD\tB-NP\tO' +p93176 +aS'days\tday\tNNS\tI-NP\tO' +p93177 +aS'.\t.\t.\tO\tO' +p93178 +asS'In addition , his albumin today is 2.5 .' +p93179 +(lp93180 +S'In\tIn\tIN\tB-PP\tO' +p93181 +aS'addition\taddition\tNN\tB-NP\tO' +p93182 +aS',\t,\t,\tO\tO' +p93183 +aS'his\this\tPRP$\tB-NP\tO' +p93184 +aS'albumin\talbumin\tNN\tI-NP\tO' +p93185 +aS'today\ttoday\tNN\tB-NP\tO' +p93186 +aS'is\tbe\tVBZ\tB-VP\tO' +p93187 +aS'2.5\t2.5\tCD\tB-NP\tO' +p93188 +aS'.\t.\t.\tO\tO' +p93189 +asS'Later on op day sedation was weaned , she awoke neurologically intact and was extubated .' +p93190 +(lp93191 +S'Later\tLater\tRB\tB-ADVP\tO' +p93192 +aS'on\ton\tIN\tB-PP\tO' +p93193 +aS'op\top\tNN\tB-NP\tO' +p93194 +aS'day\tday\tNN\tI-NP\tO' +p93195 +aS'sedation\tsedation\tNN\tI-NP\tO' +p93196 +aS'was\tbe\tVBD\tB-VP\tO' +p93197 +aS'weaned\twean\tVBN\tI-VP\tO' +p93198 +aS',\t,\t,\tO\tO' +p93199 +aS'she\tshe\tPRP\tB-NP\tO' +p93200 +aS'awoke\tawake\tVBD\tB-VP\tO' +p93201 +aS'neurologically\tneurologically\tRB\tB-ADJP\tO' +p93202 +aS'intact\tintact\tJJ\tI-ADJP\tO' +p93203 +aS'and\tand\tCC\tO\tO' +p93204 +aS'was\tbe\tVBD\tB-VP\tO' +p93205 +aS'extubated\textubate\tVBN\tI-VP\tO' +p93206 +aS'.\t.\t.\tO\tO' +p93207 +asS'He denies any visual symptoms or cortical-type symptoms .' +p93208 +(lp93209 +S'He\tHe\tPRP\tB-NP\tO' +p93210 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p93211 +aS'any\tany\tDT\tB-NP\tO' +p93212 +aS'visual\tvisual\tJJ\tI-NP\tO' +p93213 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p93214 +aS'or\tor\tCC\tO\tO' +p93215 +aS'cortical-type\tcortical-type\tJJ\tB-NP\tO' +p93216 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p93217 +aS'.\t.\t.\tO\tO' +p93218 +asS'In Monica : vitals : T 98.8 P 98 BP 136/68 R 29 Sat 98% RAPt had NG lavage which evantually cleared up , also was transfused 1U PRBC , GI consult called , also got zofran and iv protonix .' +p93219 +(lp93220 +S'In\tIn\tIN\tB-PP\tO' +p93221 +aS'Monica\tMonica\tNNP\tB-NP\tO' +p93222 +aS':\t:\t:\tO\tO' +p93223 +aS'vitals\tvital\tNNS\tB-NP\tO' +p93224 +aS':\t:\t:\tO\tO' +p93225 +aS'T\tT\tNN\tB-NP\tO' +p93226 +aS'98.8\t98.8\tCD\tB-NP\tO' +p93227 +aS'P\tP\tNN\tI-NP\tB-protein' +p93228 +aS'98\t98\tCD\tB-NP\tI-protein' +p93229 +aS'BP\tBP\tNN\tI-NP\tI-protein' +p93230 +aS'136/68\t136/68\tCD\tB-NP\tI-protein' +p93231 +aS'R\tR\tNN\tI-NP\tI-protein' +p93232 +aS'29\t29\tCD\tB-NP\tI-protein' +p93233 +aS'Sat\tSat\tNNP\tI-NP\tI-protein' +p93234 +aS'98%\t98%\tCD\tI-NP\tI-protein' +p93235 +aS'RAPt\tRAPt\tNNP\tI-NP\tO' +p93236 +aS'had\thave\tVBD\tB-VP\tO' +p93237 +aS'NG\tNG\tNN\tB-NP\tO' +p93238 +aS'lavage\tlavage\tNN\tI-NP\tO' +p93239 +aS'which\twhich\tWDT\tB-NP\tO' +p93240 +aS'evantually\tevantually\tRB\tB-ADVP\tO' +p93241 +aS'cleared\tclear\tVBD\tB-VP\tO' +p93242 +aS'up\tup\tRP\tB-PRT\tO' +p93243 +aS',\t,\t,\tO\tO' +p93244 +aS'also\talso\tRB\tB-ADVP\tO' +p93245 +aS'was\tbe\tVBD\tB-VP\tO' +p93246 +aS'transfused\ttransfuse\tVBN\tI-VP\tO' +p93247 +aS'1U\t1U\tNN\tB-NP\tO' +p93248 +aS'PRBC\tPRBC\tNN\tI-NP\tO' +p93249 +aS',\t,\t,\tO\tO' +p93250 +aS'GI\tGI\tNN\tB-NP\tO' +p93251 +aS'consult\tconsult\tNN\tI-NP\tO' +p93252 +aS'called\tcall\tVBN\tB-VP\tO' +p93253 +aS',\t,\t,\tO\tO' +p93254 +aS'also\talso\tRB\tB-ADVP\tO' +p93255 +aS'got\tget\tVBD\tB-VP\tO' +p93256 +aS'zofran\tzofran\tNN\tB-NP\tO' +p93257 +aS'and\tand\tCC\tI-NP\tO' +p93258 +aS'iv\tiv\tNN\tI-NP\tO' +p93259 +aS'protonix\tprotonix\tNN\tI-NP\tO' +p93260 +aS'.\t.\t.\tO\tO' +p93261 +asS'A chest X-Ray demonstrated some pulmonary edema .' +p93262 +(lp93263 +S'A\tA\tDT\tB-NP\tO' +p93264 +aS'chest\tchest\tNN\tI-NP\tO' +p93265 +aS'X-Ray\tX-Ray\tNN\tI-NP\tO' +p93266 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p93267 +aS'some\tsome\tDT\tB-NP\tO' +p93268 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p93269 +aS'edema\tedema\tNN\tI-NP\tO' +p93270 +aS'.\t.\t.\tO\tO' +p93271 +asS'hyperparathyroidism .' +p93272 +(lp93273 +S'hyperparathyroidism\thyperparathyroidism\tNN\tB-NP\tO' +p93274 +aS'.\t.\t.\tO\tO' +p93275 +asS'Oxycontin 10 mg PO q.day .' +p93276 +(lp93277 +S'Oxycontin\tOxycontin\tNN\tB-NP\tO' +p93278 +aS'10\t10\tCD\tI-NP\tO' +p93279 +aS'mg\tmg\tNN\tI-NP\tO' +p93280 +aS'PO\tPO\tNN\tI-NP\tO' +p93281 +aS'q.day\tq.day\tNN\tI-NP\tO' +p93282 +aS'.\t.\t.\tO\tO' +p93283 +asS'The patient has a history of baseline dementia which was confounded by delerium in the face of metabolic abnormalities .' +p93284 +(lp93285 +S'The\tThe\tDT\tB-NP\tO' +p93286 +aS'patient\tpatient\tNN\tI-NP\tO' +p93287 +aS'has\thave\tVBZ\tB-VP\tO' +p93288 +aS'a\ta\tDT\tB-NP\tO' +p93289 +aS'history\thistory\tNN\tI-NP\tO' +p93290 +aS'of\tof\tIN\tB-PP\tO' +p93291 +aS'baseline\tbaseline\tNN\tB-NP\tO' +p93292 +aS'dementia\tdementia\tNN\tI-NP\tO' +p93293 +aS'which\twhich\tWDT\tB-NP\tO' +p93294 +aS'was\tbe\tVBD\tB-VP\tO' +p93295 +aS'confounded\tconfound\tVBN\tI-VP\tO' +p93296 +aS'by\tby\tIN\tB-PP\tO' +p93297 +aS'delerium\tdelerium\tNN\tB-NP\tO' +p93298 +aS'in\tin\tIN\tB-PP\tO' +p93299 +aS'the\tthe\tDT\tB-NP\tO' +p93300 +aS'face\tface\tNN\tI-NP\tO' +p93301 +aS'of\tof\tIN\tB-PP\tO' +p93302 +aS'metabolic\tmetabolic\tJJ\tB-NP\tO' +p93303 +aS'abnormalities\tabnormality\tNNS\tI-NP\tO' +p93304 +aS'.\t.\t.\tO\tO' +p93305 +asS'Pt. failed multiple attempts to void on his own .' +p93306 +(lp93307 +S'Pt.\tPt.\tNNP\tB-NP\tO' +p93308 +aS'failed\tfail\tVBD\tB-VP\tO' +p93309 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p93310 +aS'attempts\tattempt\tNNS\tI-NP\tO' +p93311 +aS'to\tto\tTO\tB-VP\tO' +p93312 +aS'void\tvoid\tVB\tI-VP\tO' +p93313 +aS'on\ton\tIN\tB-PP\tO' +p93314 +aS'his\this\tPRP$\tB-NP\tO' +p93315 +aS'own\town\tJJ\tI-NP\tO' +p93316 +aS'.\t.\t.\tO\tO' +p93317 +asS'Chest x-ray shows right middle lobe , right lower lobe , and left lower lobe infiltrates .' +p93318 +(lp93319 +S'Chest\tCh\tJJS\tB-NP\tO' +p93320 +aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' +p93321 +aS'shows\tshow\tVBZ\tB-VP\tO' +p93322 +aS'right\tright\tJJ\tB-NP\tO' +p93323 +aS'middle\tmiddle\tJJ\tI-NP\tO' +p93324 +aS'lobe\tlobe\tNN\tI-NP\tO' +p93325 +aS',\t,\t,\tO\tO' +p93326 +aS'right\tright\tRB\tB-NP\tO' +p93327 +aS'lower\tlow\tJJR\tI-NP\tO' +p93328 +aS'lobe\tlobe\tNN\tI-NP\tO' +p93329 +aS',\t,\t,\tO\tO' +p93330 +aS'and\tand\tCC\tO\tO' +p93331 +aS'left\tleave\tVBD\tB-VP\tO' +p93332 +aS'lower\tlow\tJJR\tB-NP\tO' +p93333 +aS'lobe\tlobe\tNN\tI-NP\tO' +p93334 +aS'infiltrates\tinfiltrate\tNNS\tI-NP\tO' +p93335 +aS'.\t.\t.\tO\tO' +p93336 +asS'DP and PT pulses are 2+ bilaterally .' +p93337 +(lp93338 +S'DP\tDP\tNN\tB-NP\tO' +p93339 +aS'and\tand\tCC\tI-NP\tO' +p93340 +aS'PT\tPT\tNN\tI-NP\tO' +p93341 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p93342 +aS'are\tbe\tVBP\tB-VP\tO' +p93343 +aS'2+\t2+\tJJ\tB-ADJP\tO' +p93344 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p93345 +aS'.\t.\t.\tO\tO' +p93346 +asS'7. ___________ 30 q day .' +p93347 +(lp93348 +S'7.\t7.\tCD\tB-NP\tO' +p93349 +aS'___________\t___________\tHYPH\tI-NP\tO' +p93350 +aS'30\t30\tCD\tI-NP\tO' +p93351 +aS'q\tq\tNN\tI-NP\tO' +p93352 +aS'day\tday\tNN\tI-NP\tO' +p93353 +aS'.\t.\t.\tO\tO' +p93354 +asS'The pt subsequently developed severe hypoxia with hypotension .' +p93355 +(lp93356 +S'The\tThe\tDT\tB-NP\tO' +p93357 +aS'pt\tpt\tNN\tI-NP\tO' +p93358 +aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' +p93359 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p93360 +aS'severe\tsevere\tJJ\tB-NP\tO' +p93361 +aS'hypoxia\thypoxia\tNN\tI-NP\tO' +p93362 +aS'with\twith\tIN\tB-PP\tO' +p93363 +aS'hypotension\thypotension\tNN\tB-NP\tO' +p93364 +aS'.\t.\t.\tO\tO' +p93365 +asS'POD#5 she c/o difficulty voiding , pt was straight cathed after bladder scan was obtained and revealed > 600 ccs urine .' +p93366 +(lp93367 +S'POD#5\tPOD#5\tNN\tB-NP\tB-protein' +p93368 +aS'she\tshe\tPRP\tB-NP\tO' +p93369 +aS'c/o\tc/o\tVBD\tB-VP\tO' +p93370 +aS'difficulty\tdifficulty\tNN\tB-NP\tO' +p93371 +aS'voiding\tvoiding\tNN\tI-NP\tO' +p93372 +aS',\t,\t,\tO\tO' +p93373 +aS'pt\tpt\tNN\tB-NP\tO' +p93374 +aS'was\tbe\tVBD\tB-VP\tO' +p93375 +aS'straight\tstraight\tRB\tI-VP\tO' +p93376 +aS'cathed\tcathe\tVBN\tI-VP\tO' +p93377 +aS'after\tafter\tIN\tB-PP\tO' +p93378 +aS'bladder\tbladder\tNN\tB-NP\tO' +p93379 +aS'scan\tscan\tNN\tI-NP\tO' +p93380 +aS'was\tbe\tVBD\tB-VP\tO' +p93381 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p93382 +aS'and\tand\tCC\tO\tO' +p93383 +aS'revealed\treveal\tVBD\tB-VP\tO' +p93384 +aS'>\t>\tSYM\tB-NP\tO' +p93385 +aS'600\t600\tCD\tI-NP\tO' +p93386 +aS'ccs\tcc\tNNS\tI-NP\tO' +p93387 +aS'urine\turine\tNN\tI-NP\tO' +p93388 +aS'.\t.\t.\tO\tO' +p93389 +asS'Prenatal screens - blood type O positive , antibody screen negative , hepatitis B surface antigen negative , RPR nonreactive , rubella immune .' +p93390 +(lp93391 +S'Prenatal\tPrenatal\tJJ\tB-NP\tO' +p93392 +aS'screens\tscreen\tNNS\tI-NP\tO' +p93393 +aS'-\t-\tHYPH\tB-NP\tO' +p93394 +aS'blood\tblood\tNN\tI-NP\tO' +p93395 +aS'type\ttype\tNN\tI-NP\tO' +p93396 +aS'O\tO\tNN\tI-NP\tO' +p93397 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p93398 +aS',\t,\t,\tO\tO' +p93399 +aS'antibody\tantibody\tNN\tB-NP\tO' +p93400 +aS'screen\tscreen\tRB\tB-ADJP\tO' +p93401 +aS'negative\tnegative\tJJ\tI-ADJP\tO' +p93402 +aS',\t,\t,\tO\tO' +p93403 +aS'hepatitis\thepatitis\tNN\tB-NP\tB-protein' +p93404 +aS'B\tB\tNN\tI-NP\tI-protein' +p93405 +aS'surface\tsurface\tNN\tI-NP\tI-protein' +p93406 +aS'antigen\tantigen\tNN\tI-NP\tI-protein' +p93407 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p93408 +aS',\t,\t,\tO\tO' +p93409 +aS'RPR\tRPR\tNN\tB-NP\tB-protein' +p93410 +aS'nonreactive\tnonreactive\tJJ\tB-ADJP\tO' +p93411 +aS',\t,\t,\tO\tO' +p93412 +aS'rubella\trubella\tNN\tB-NP\tO' +p93413 +aS'immune\timmune\tJJ\tB-ADJP\tO' +p93414 +aS'.\t.\t.\tO\tO' +p93415 +asS'Clear to auscultation .' +p93416 +(lp93417 +S'Clear\tClear\tJJ\tB-ADJP\tO' +p93418 +aS'to\tto\tTO\tB-PP\tO' +p93419 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p93420 +aS'.\t.\t.\tO\tO' +p93421 +asS'The patient thereafter had a benign convalescence , and was discharged on the 5th postoperative day .' +p93422 +(lp93423 +S'The\tThe\tDT\tB-NP\tO' +p93424 +aS'patient\tpatient\tNN\tI-NP\tO' +p93425 +aS'thereafter\tthereafter\tRB\tB-ADVP\tO' +p93426 +aS'had\thave\tVBD\tB-VP\tO' +p93427 +aS'a\ta\tDT\tB-NP\tO' +p93428 +aS'benign\tbenign\tJJ\tI-NP\tO' +p93429 +aS'convalescence\tconvalescence\tNN\tI-NP\tO' +p93430 +aS',\t,\t,\tO\tO' +p93431 +aS'and\tand\tCC\tO\tO' +p93432 +aS'was\tbe\tVBD\tB-VP\tO' +p93433 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p93434 +aS'on\ton\tIN\tB-PP\tO' +p93435 +aS'the\tthe\tDT\tB-NP\tO' +p93436 +aS'5th\t5th\tJJ\tI-NP\tO' +p93437 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p93438 +aS'day\tday\tNN\tI-NP\tO' +p93439 +aS'.\t.\t.\tO\tO' +p93440 +asS"Upon discontinuation of the Milrinone the patient 's SV02 had dropped significantly in the low 50 s." +p93441 +(lp93442 +S'Upon\tUpon\tIN\tB-PP\tO' +p93443 +aS'discontinuation\tdiscontinuation\tNN\tB-NP\tO' +p93444 +aS'of\tof\tIN\tB-PP\tO' +p93445 +aS'the\tthe\tDT\tB-NP\tO' +p93446 +aS'Milrinone\tMilrinone\tNN\tI-NP\tO' +p93447 +aS'the\tthe\tDT\tB-NP\tO' +p93448 +aS'patient\tpatient\tNN\tI-NP\tO' +p93449 +aS"'s\t's\tPOS\tB-NP\tO" +p93450 +aS'SV02\tSV02\tNN\tI-NP\tO' +p93451 +aS'had\thave\tVBD\tB-VP\tO' +p93452 +aS'dropped\tdrop\tVBN\tI-VP\tO' +p93453 +aS'significantly\tsignificantly\tRB\tB-ADVP\tO' +p93454 +aS'in\tin\tIN\tB-PP\tO' +p93455 +aS'the\tthe\tDT\tB-NP\tO' +p93456 +aS'low\tlow\tJJ\tI-NP\tO' +p93457 +aS'50\t50\tCD\tI-NP\tO' +p93458 +aS's.\ts.\tNNS\tI-NP\tO' +p93459 +asS'He was treated broadly with amp , levo and Flagyl .' +p93460 +(lp93461 +S'He\tHe\tPRP\tB-NP\tO' +p93462 +aS'was\tbe\tVBD\tB-VP\tO' +p93463 +aS'treated\ttreat\tVBN\tI-VP\tO' +p93464 +aS'broadly\tbroadly\tRB\tB-ADVP\tO' +p93465 +aS'with\twith\tIN\tB-PP\tO' +p93466 +aS'amp\tamp\tNN\tB-NP\tO' +p93467 +aS',\t,\t,\tI-NP\tO' +p93468 +aS'levo\tlevo\tNN\tI-NP\tO' +p93469 +aS'and\tand\tCC\tI-NP\tO' +p93470 +aS'Flagyl\tFlagyl\tNN\tI-NP\tO' +p93471 +aS'.\t.\t.\tO\tO' +p93472 +asS'Therefore she was made NPO and given aggressive intravenous hydration .' +p93473 +(lp93474 +S'Therefore\tTherefore\tRB\tB-ADVP\tO' +p93475 +aS'she\tshe\tPRP\tB-NP\tO' +p93476 +aS'was\tbe\tVBD\tB-VP\tO' +p93477 +aS'made\tmake\tVBN\tI-VP\tO' +p93478 +aS'NPO\tNPO\tNN\tB-NP\tB-protein' +p93479 +aS'and\tand\tCC\tO\tO' +p93480 +aS'given\tgive\tVBN\tB-VP\tO' +p93481 +aS'aggressive\taggressive\tJJ\tB-NP\tO' +p93482 +aS'intravenous\tintravenous\tJJ\tI-NP\tO' +p93483 +aS'hydration\thydration\tNN\tI-NP\tO' +p93484 +aS'.\t.\t.\tO\tO' +p93485 +asS'This is to notify you that your patient , DOUETNOUNBREUNKOLL , STENRESLYSE arrived in the Emergency Department at Ro Woodma Healthcare on 10/16/2005 10:38 AM .' +p93486 +(lp93487 +S'This\tThis\tDT\tB-NP\tO' +p93488 +aS'is\tbe\tVBZ\tB-VP\tO' +p93489 +aS'to\tto\tTO\tB-VP\tO' +p93490 +aS'notify\tnotify\tVB\tI-VP\tO' +p93491 +aS'you\tyou\tPRP\tB-NP\tO' +p93492 +aS'that\tthat\tIN\tB-SBAR\tO' +p93493 +aS'your\tyour\tPRP$\tB-NP\tO' +p93494 +aS'patient\tpatient\tNN\tI-NP\tO' +p93495 +aS',\t,\t,\tO\tO' +p93496 +aS'DOUETNOUNBREUNKOLL\tDOUETNOUNBREUNKOLL\tNN\tB-NP\tO' +p93497 +aS',\t,\t,\tO\tO' +p93498 +aS'STENRESLYSE\tSTENRESLYSE\tNN\tB-NP\tO' +p93499 +aS'arrived\tarrive\tVBD\tB-VP\tO' +p93500 +aS'in\tin\tIN\tB-PP\tO' +p93501 +aS'the\tthe\tDT\tB-NP\tO' +p93502 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p93503 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p93504 +aS'at\tat\tIN\tB-PP\tO' +p93505 +aS'Ro\tRo\tNNP\tB-NP\tO' +p93506 +aS'Woodma\tWoodma\tNNP\tI-NP\tO' +p93507 +aS'Healthcare\tHealthcare\tNNP\tI-NP\tO' +p93508 +aS'on\ton\tIN\tB-PP\tO' +p93509 +aS'10/16/2005\t10/16/2005\tCD\tB-NP\tO' +p93510 +aS'10:38\t10:38\tCD\tI-NP\tO' +p93511 +aS'AM\tAM\tNN\tI-NP\tO' +p93512 +aS'.\t.\t.\tO\tO' +p93513 +asS'She was ready for discharge on postoperative day # 6 .' +p93514 +(lp93515 +S'She\tShe\tPRP\tB-NP\tO' +p93516 +aS'was\tbe\tVBD\tB-VP\tO' +p93517 +aS'ready\tready\tJJ\tB-ADJP\tO' +p93518 +aS'for\tfor\tIN\tB-PP\tO' +p93519 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p93520 +aS'on\ton\tIN\tB-PP\tO' +p93521 +aS'postoperative\tpostoperative\tJJ\tB-NP\tB-protein' +p93522 +aS'day\tday\tNN\tI-NP\tI-protein' +p93523 +aS'#\t#\t#\tB-NP\tI-protein' +p93524 +aS'6\t6\tCD\tI-NP\tI-protein' +p93525 +aS'.\t.\t.\tO\tO' +p93526 +asS'Follow up CT scan showed worsening of her hydrocephalus and she had a ventriculostomy placed in the Intensive Care Unit .' +p93527 +(lp93528 +S'Follow\tFollow\tVB\tB-VP\tO' +p93529 +aS'up\tup\tRP\tB-PRT\tO' +p93530 +aS'CT\tCT\tNN\tB-NP\tO' +p93531 +aS'scan\tscan\tNN\tI-NP\tO' +p93532 +aS'showed\tshow\tVBD\tB-VP\tO' +p93533 +aS'worsening\tworsen\tVBG\tI-VP\tO' +p93534 +aS'of\tof\tIN\tB-PP\tO' +p93535 +aS'her\ther\tPRP$\tB-NP\tO' +p93536 +aS'hydrocephalus\thydrocephalus\tNN\tI-NP\tO' +p93537 +aS'and\tand\tCC\tO\tO' +p93538 +aS'she\tshe\tPRP\tB-NP\tO' +p93539 +aS'had\thave\tVBD\tB-VP\tO' +p93540 +aS'a\ta\tDT\tB-NP\tO' +p93541 +aS'ventriculostomy\tventriculostomy\tNN\tI-NP\tO' +p93542 +aS'placed\tplace\tVBN\tB-VP\tO' +p93543 +aS'in\tin\tIN\tB-PP\tO' +p93544 +aS'the\tthe\tDT\tB-NP\tO' +p93545 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p93546 +aS'Care\tCare\tNNP\tI-NP\tO' +p93547 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p93548 +aS'.\t.\t.\tO\tO' +p93549 +asS'Improving liver enzyme elevation .' +p93550 +(lp93551 +S'Improving\tImprove\tVBG\tB-VP\tO' +p93552 +aS'liver\tliver\tNN\tB-NP\tO' +p93553 +aS'enzyme\tenzyme\tNN\tI-NP\tO' +p93554 +aS'elevation\televation\tNN\tI-NP\tO' +p93555 +aS'.\t.\t.\tO\tO' +p93556 +asS'lives in assisted living .' +p93557 +(lp93558 +S'lives\tlife\tNNS\tB-NP\tO' +p93559 +aS'in\tin\tIN\tB-PP\tO' +p93560 +aS'assisted\tassisted\tJJ\tB-NP\tO' +p93561 +aS'living\tliving\tNN\tI-NP\tO' +p93562 +aS'.\t.\t.\tO\tO' +p93563 +asS'Follow up recommended in eight months .' +p93564 +(lp93565 +S'Follow\tFollow\tVB\tB-VP\tO' +p93566 +aS'up\tup\tRP\tB-PRT\tO' +p93567 +aS'recommended\trecommend\tVBN\tB-VP\tO' +p93568 +aS'in\tin\tIN\tB-PP\tO' +p93569 +aS'eight\teight\tCD\tB-NP\tO' +p93570 +aS'months\tmonth\tNNS\tI-NP\tO' +p93571 +aS'.\t.\t.\tO\tO' +p93572 +asS'The erythematous region is retreating and the wound cleaned .' +p93573 +(lp93574 +S'The\tThe\tDT\tB-NP\tO' +p93575 +aS'erythematous\terythematous\tJJ\tI-NP\tB-DNA' +p93576 +aS'region\tregion\tNN\tI-NP\tI-DNA' +p93577 +aS'is\tbe\tVBZ\tB-VP\tO' +p93578 +aS'retreating\tretreat\tVBG\tI-VP\tO' +p93579 +aS'and\tand\tCC\tO\tO' +p93580 +aS'the\tthe\tDT\tB-NP\tO' +p93581 +aS'wound\twound\tNN\tI-NP\tO' +p93582 +aS'cleaned\tclean\tVBN\tB-VP\tO' +p93583 +aS'.\t.\t.\tO\tO' +p93584 +asS'Dictated By : Lena D. Mannie , M.D.' +p93585 +(lp93586 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p93587 +aS'By\tBy\tIN\tB-PP\tO' +p93588 +aS':\t:\t:\tO\tO' +p93589 +aS'Lena\tLena\tNNP\tB-NP\tO' +p93590 +aS'D.\tD.\tNNP\tI-NP\tO' +p93591 +aS'Mannie\tMannie\tNNP\tI-NP\tO' +p93592 +aS',\t,\t,\tO\tO' +p93593 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p93594 +asS'Attending : Antonio I Staples , M.D.' +p93595 +(lp93596 +S'Attending\tAttend\tVBG\tB-VP\tO' +p93597 +aS':\t:\t:\tO\tO' +p93598 +aS'Antonio\tAntonio\tNNP\tB-NP\tO' +p93599 +aS'I\tI\tNNP\tI-NP\tO' +p93600 +aS'Staples\tStaples\tNNP\tI-NP\tO' +p93601 +aS',\t,\t,\tO\tO' +p93602 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p93603 +asS'MRI showed a large heterogenous enhancing right parietal mass lesion with a possible ependymal spread .' +p93604 +(lp93605 +S'MRI\tMRI\tNN\tB-NP\tO' +p93606 +aS'showed\tshow\tVBD\tB-VP\tO' +p93607 +aS'a\ta\tDT\tB-NP\tO' +p93608 +aS'large\tlarge\tJJ\tI-NP\tO' +p93609 +aS'heterogenous\theterogenous\tJJ\tI-NP\tO' +p93610 +aS'enhancing\tenhance\tVBG\tI-NP\tO' +p93611 +aS'right\tright\tJJ\tI-NP\tO' +p93612 +aS'parietal\tparietal\tJJ\tI-NP\tO' +p93613 +aS'mass\tmass\tNN\tI-NP\tO' +p93614 +aS'lesion\tlesion\tNN\tI-NP\tO' +p93615 +aS'with\twith\tIN\tB-PP\tO' +p93616 +aS'a\ta\tDT\tB-NP\tO' +p93617 +aS'possible\tpossible\tJJ\tI-NP\tO' +p93618 +aS'ependymal\tependymal\tJJ\tI-NP\tO' +p93619 +aS'spread\tspread\tNN\tI-NP\tO' +p93620 +aS'.\t.\t.\tO\tO' +p93621 +asS'His cervical spine was cleared .' +p93622 +(lp93623 +S'His\tHis\tPRP$\tB-NP\tO' +p93624 +aS'cervical\tcervical\tJJ\tI-NP\tO' +p93625 +aS'spine\tspine\tNN\tI-NP\tO' +p93626 +aS'was\tbe\tVBD\tB-VP\tO' +p93627 +aS'cleared\tclear\tVBN\tI-VP\tO' +p93628 +aS'.\t.\t.\tO\tO' +p93629 +asS'Skin - intact with diaper .' +p93630 +(lp93631 +S'Skin\tSkin\tNN\tB-NP\tB-protein' +p93632 +aS'-\t-\tHYPH\tO\tO' +p93633 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p93634 +aS'with\twith\tIN\tB-PP\tO' +p93635 +aS'diaper\tdiaper\tNN\tB-NP\tO' +p93636 +aS'.\t.\t.\tO\tO' +p93637 +asS'He has gained 30 lb since the tubefeed was initiated ( 70 lb to 100 lb ) during this admission .' +p93638 +(lp93639 +S'He\tHe\tPRP\tB-NP\tO' +p93640 +aS'has\thave\tVBZ\tB-VP\tO' +p93641 +aS'gained\tgain\tVBN\tI-VP\tB-protein' +p93642 +aS'30\t30\tCD\tB-NP\tI-protein' +p93643 +aS'lb\tlb\tNN\tI-NP\tI-protein' +p93644 +aS'since\tsince\tIN\tB-PP\tO' +p93645 +aS'the\tthe\tDT\tB-NP\tO' +p93646 +aS'tubefeed\ttubefeed\tNN\tI-NP\tO' +p93647 +aS'was\tbe\tVBD\tB-VP\tO' +p93648 +aS'initiated\tinitiate\tVBN\tI-VP\tO' +p93649 +aS'(\t(\t(\tO\tO' +p93650 +aS'70\t70\tCD\tB-NP\tO' +p93651 +aS'lb\tlb\tNN\tI-NP\tO' +p93652 +aS'to\tto\tTO\tB-PP\tO' +p93653 +aS'100\t100\tCD\tB-NP\tO' +p93654 +aS'lb\tlb\tNN\tI-NP\tO' +p93655 +aS')\t)\t)\tO\tO' +p93656 +aS'during\tduring\tIN\tB-PP\tO' +p93657 +aS'this\tthis\tDT\tB-NP\tO' +p93658 +aS'admission\tadmission\tNN\tI-NP\tO' +p93659 +aS'.\t.\t.\tO\tO' +p93660 +asS'5. Celexa 10 mg daily .' +p93661 +(lp93662 +S'5.\t5.\tLS\tB-LST\tO' +p93663 +aS'Celexa\tCelexa\tNNP\tB-NP\tO' +p93664 +aS'10\t10\tCD\tI-NP\tO' +p93665 +aS'mg\tmg\tNN\tI-NP\tO' +p93666 +aS'daily\tdaily\tRB\tB-ADVP\tO' +p93667 +aS'.\t.\t.\tO\tO' +p93668 +asS'His wound was intact with no evidence of infection .' +p93669 +(lp93670 +S'His\tHis\tPRP$\tB-NP\tO' +p93671 +aS'wound\twound\tNN\tI-NP\tO' +p93672 +aS'was\tbe\tVBD\tB-VP\tO' +p93673 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p93674 +aS'with\twith\tIN\tB-PP\tO' +p93675 +aS'no\tno\tDT\tB-NP\tO' +p93676 +aS'evidence\tevidence\tNN\tI-NP\tO' +p93677 +aS'of\tof\tIN\tB-PP\tO' +p93678 +aS'infection\tinfection\tNN\tB-NP\tO' +p93679 +aS'.\t.\t.\tO\tO' +p93680 +asS"At this time , an additional 2 units of packed RBC 's were transfused ." +p93681 +(lp93682 +S'At\tAt\tIN\tB-PP\tO' +p93683 +aS'this\tthis\tDT\tB-NP\tO' +p93684 +aS'time\ttime\tNN\tI-NP\tO' +p93685 +aS',\t,\t,\tO\tO' +p93686 +aS'an\tan\tDT\tB-NP\tO' +p93687 +aS'additional\tadditional\tJJ\tI-NP\tO' +p93688 +aS'2\t2\tCD\tI-NP\tO' +p93689 +aS'units\tunit\tNNS\tI-NP\tO' +p93690 +aS'of\tof\tIN\tB-PP\tO' +p93691 +aS'packed\tpacked\tJJ\tB-NP\tO' +p93692 +aS'RBC\tRBC\tNN\tI-NP\tO' +p93693 +aS"'s\t's\tPOS\tB-NP\tO" +p93694 +aS'were\tbe\tVBD\tB-VP\tO' +p93695 +aS'transfused\ttransfuse\tVBN\tI-VP\tO' +p93696 +aS'.\t.\t.\tO\tO' +p93697 +asS'MEDICATIONS ON ADMISSION were Hydrea .' +p93698 +(lp93699 +S'MEDICATIONS\tMEDICATIONS\tNNS\tB-NP\tO' +p93700 +aS'ON\tON\tNN\tI-NP\tO' +p93701 +aS'ADMISSION\tADMISSION\tNN\tI-NP\tO' +p93702 +aS'were\tbe\tVBD\tB-VP\tO' +p93703 +aS'Hydrea\tHydrea\tNNP\tB-NP\tO' +p93704 +aS'.\t.\t.\tO\tO' +p93705 +asS'4. Ranitidine HCl 150 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ) .' +p93706 +(lp93707 +S'4.\t4.\tLS\tB-NP\tO' +p93708 +aS'Ranitidine\tRanitidine\tNN\tI-NP\tB-protein' +p93709 +aS'HCl\tHCl\tNN\tI-NP\tI-protein' +p93710 +aS'150\t150\tCD\tI-NP\tI-protein' +p93711 +aS'mg\tmg\tNN\tI-NP\tI-protein' +p93712 +aS'Tablet\tTablet\tNNP\tI-NP\tI-protein' +p93713 +aS'Sig\tSig\tNNP\tI-NP\tI-protein' +p93714 +aS':\t:\t:\tO\tO' +p93715 +aS'One\tOne\tCD\tB-NP\tO' +p93716 +aS'(\t(\t(\tO\tO' +p93717 +aS'1\t1\tCD\tB-NP\tO' +p93718 +aS')\t)\t)\tO\tO' +p93719 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p93720 +aS'PO\tPO\tNN\tI-NP\tO' +p93721 +aS'BID\tBID\tNN\tI-NP\tO' +p93722 +aS'(\t(\t(\tO\tO' +p93723 +aS'2\t2\tCD\tB-NP\tO' +p93724 +aS'times\ttime\tNNS\tI-NP\tO' +p93725 +aS'a\ta\tDT\tB-NP\tO' +p93726 +aS'day\tday\tNN\tI-NP\tO' +p93727 +aS')\t)\t)\tO\tO' +p93728 +aS'.\t.\t.\tO\tO' +p93729 +asS'1. HYPONATREMIA , 1-13-94 .' +p93730 +(lp93731 +S'1.\t1.\tLS\tB-NP\tO' +p93732 +aS'HYPONATREMIA\tHYPONATREMIA\tNN\tI-NP\tO' +p93733 +aS',\t,\t,\tO\tO' +p93734 +aS'1-13-94\t1-13-94\tCD\tB-NP\tO' +p93735 +aS'.\t.\t.\tO\tO' +p93736 +asS'7 ) Arava 20 mg p.o. q. day .' +p93737 +(lp93738 +S'7\t7\tCD\tB-NP\tO' +p93739 +aS')\t)\t)\tO\tO' +p93740 +aS'Arava\tArava\tVBP\tB-VP\tO' +p93741 +aS'20\t20\tCD\tB-NP\tO' +p93742 +aS'mg\tmg\tNN\tI-NP\tO' +p93743 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p93744 +aS'q.\tq.\tNN\tI-NP\tO' +p93745 +aS'day\tday\tNN\tI-NP\tO' +p93746 +aS'.\t.\t.\tO\tO' +p93747 +asS'Intubated for airway protection .' +p93748 +(lp93749 +S'Intubated\tIntubate\tVBN\tB-VP\tO' +p93750 +aS'for\tfor\tIN\tB-PP\tO' +p93751 +aS'airway\tairway\tNN\tB-NP\tO' +p93752 +aS'protection\tprotection\tNN\tI-NP\tO' +p93753 +aS'.\t.\t.\tO\tO' +p93754 +asS'3. Car Seat Position Screening has not been performed .' +p93755 +(lp93756 +S'3.\t3.\tLS\tB-LST\tO' +p93757 +aS'Car\tCar\tNNP\tB-NP\tB-protein' +p93758 +aS'Seat\tSeat\tNNP\tI-NP\tO' +p93759 +aS'Position\tPosition\tNNP\tI-NP\tO' +p93760 +aS'Screening\tScreening\tNNP\tI-NP\tO' +p93761 +aS'has\thave\tVBZ\tB-VP\tO' +p93762 +aS'not\tnot\tRB\tI-VP\tO' +p93763 +aS'been\tbe\tVBN\tI-VP\tO' +p93764 +aS'performed\tperform\tVBN\tI-VP\tO' +p93765 +aS'.\t.\t.\tO\tO' +p93766 +asS'Discharge Diagnosis : see dc summary' +p93767 +(lp93768 +S'Discharge\tDischarge\tNNP\tB-NP\tO' +p93769 +aS'Diagnosis\tDiagnosis\tNNP\tI-NP\tO' +p93770 +aS':\t:\t:\tO\tO' +p93771 +aS'see\tsee\tVB\tB-VP\tO' +p93772 +aS'dc\tdc\tNN\tB-NP\tO' +p93773 +aS'summary\tsummary\tNN\tI-NP\tO' +p93774 +asS'The patient did not experience improvement in her symptoms and was readmitted on 06-11 with continued dyspnea and fevers .' +p93775 +(lp93776 +S'The\tThe\tDT\tB-NP\tO' +p93777 +aS'patient\tpatient\tNN\tI-NP\tO' +p93778 +aS'did\tdo\tVBD\tB-VP\tO' +p93779 +aS'not\tnot\tRB\tI-VP\tO' +p93780 +aS'experience\texperience\tVB\tI-VP\tO' +p93781 +aS'improvement\timprovement\tNN\tB-NP\tO' +p93782 +aS'in\tin\tIN\tB-PP\tO' +p93783 +aS'her\ther\tPRP$\tB-NP\tO' +p93784 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p93785 +aS'and\tand\tCC\tO\tO' +p93786 +aS'was\tbe\tVBD\tB-VP\tO' +p93787 +aS'readmitted\treadmitte\tVBN\tI-VP\tO' +p93788 +aS'on\ton\tIN\tB-PP\tO' +p93789 +aS'06-11\t06-11\tNN\tB-NP\tO' +p93790 +aS'with\twith\tIN\tB-PP\tO' +p93791 +aS'continued\tcontinue\tVBN\tB-NP\tO' +p93792 +aS'dyspnea\tdyspnea\tNN\tI-NP\tO' +p93793 +aS'and\tand\tCC\tI-NP\tO' +p93794 +aS'fevers\tfever\tNNS\tI-NP\tO' +p93795 +aS'.\t.\t.\tO\tO' +p93796 +asS'His head , eyes , ears , nose , throat is clear .' +p93797 +(lp93798 +S'His\tHis\tPRP$\tB-NP\tO' +p93799 +aS'head\thead\tNN\tI-NP\tO' +p93800 +aS',\t,\t,\tO\tO' +p93801 +aS'eyes\teye\tNNS\tB-NP\tO' +p93802 +aS',\t,\t,\tO\tO' +p93803 +aS'ears\tear\tNNS\tB-NP\tO' +p93804 +aS',\t,\t,\tO\tO' +p93805 +aS'nose\tnose\tNN\tB-NP\tO' +p93806 +aS',\t,\t,\tO\tO' +p93807 +aS'throat\tthroat\tNN\tB-NP\tO' +p93808 +aS'is\tbe\tVBZ\tB-VP\tO' +p93809 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p93810 +aS'.\t.\t.\tO\tO' +p93811 +asS"The patient 's blood cultures at outside hospital grew out Streptococcus sanguis-gordonii on 01-18 ." +p93812 +(lp93813 +S'The\tThe\tDT\tB-NP\tO' +p93814 +aS'patient\tpatient\tNN\tI-NP\tO' +p93815 +aS"'s\t's\tPOS\tB-NP\tO" +p93816 +aS'blood\tblood\tNN\tI-NP\tO' +p93817 +aS'cultures\tculture\tNNS\tI-NP\tO' +p93818 +aS'at\tat\tIN\tB-PP\tO' +p93819 +aS'outside\toutside\tJJ\tB-NP\tO' +p93820 +aS'hospital\thospital\tNN\tI-NP\tO' +p93821 +aS'grew\tgrow\tVBD\tB-VP\tO' +p93822 +aS'out\tout\tRP\tB-PRT\tO' +p93823 +aS'Streptococcus\tStreptococcus\tNNP\tB-NP\tO' +p93824 +aS'sanguis-gordonii\tsanguis-gordonii\tNNP\tI-NP\tO' +p93825 +aS'on\ton\tIN\tB-PP\tO' +p93826 +aS'01-18\t01-18\tCD\tB-NP\tO' +p93827 +aS'.\t.\t.\tO\tO' +p93828 +asS'Following enzymes to rule out unstable angina ( no EKG changes ) .' +p93829 +(lp93830 +S'Following\tFollow\tVBG\tB-VP\tO' +p93831 +aS'enzymes\tenzyme\tNNS\tB-NP\tB-protein' +p93832 +aS'to\tto\tTO\tB-VP\tO' +p93833 +aS'rule\trule\tVB\tI-VP\tO' +p93834 +aS'out\tout\tRP\tB-PRT\tO' +p93835 +aS'unstable\tunstable\tJJ\tB-NP\tO' +p93836 +aS'angina\tangina\tNN\tI-NP\tO' +p93837 +aS'(\t(\t(\tO\tO' +p93838 +aS'no\tno\tDT\tB-NP\tO' +p93839 +aS'EKG\tEKG\tNN\tI-NP\tO' +p93840 +aS'changes\tchange\tNNS\tI-NP\tO' +p93841 +aS')\t)\t)\tO\tO' +p93842 +aS'.\t.\t.\tO\tO' +p93843 +asS'The patient is now widowed .' +p93844 +(lp93845 +S'The\tThe\tDT\tB-NP\tO' +p93846 +aS'patient\tpatient\tNN\tI-NP\tO' +p93847 +aS'is\tbe\tVBZ\tB-VP\tO' +p93848 +aS'now\tnow\tRB\tI-VP\tO' +p93849 +aS'widowed\twidow\tVBN\tI-VP\tO' +p93850 +aS'.\t.\t.\tO\tO' +p93851 +asS'Therefore , a stat cesarean section was performed .' +p93852 +(lp93853 +S'Therefore\tTherefore\tRB\tB-ADVP\tO' +p93854 +aS',\t,\t,\tO\tO' +p93855 +aS'a\ta\tDT\tB-NP\tO' +p93856 +aS'stat\tstat\tNN\tI-NP\tO' +p93857 +aS'cesarean\tcesarean\tJJ\tI-NP\tO' +p93858 +aS'section\tsection\tNN\tI-NP\tO' +p93859 +aS'was\tbe\tVBD\tB-VP\tO' +p93860 +aS'performed\tperform\tVBN\tI-VP\tO' +p93861 +aS'.\t.\t.\tO\tO' +p93862 +asS'1. Indomethacin 25 mg p.o. t.i.d. for seven days.' +p93863 +(lp93864 +S'1.\t1.\tLS\tB-NP\tO' +p93865 +aS'Indomethacin\tIndomethacin\tNN\tI-NP\tO' +p93866 +aS'25\t25\tCD\tI-NP\tO' +p93867 +aS'mg\tmg\tNN\tI-NP\tO' +p93868 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p93869 +aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' +p93870 +aS'for\tfor\tIN\tB-PP\tO' +p93871 +aS'seven\tseven\tCD\tB-NP\tO' +p93872 +aS'days.\tdays.\tNNS\tI-NP\tO' +p93873 +asS'0-60 mg / dL 01-20 amp D50' +p93874 +(lp93875 +S'0-60\t0-60\tCD\tB-NP\tO' +p93876 +aS'mg\tmg\tNN\tI-NP\tO' +p93877 +aS'/\t/\tSYM\tB-NP\tO' +p93878 +aS'dL\tdL\tNN\tB-NP\tO' +p93879 +aS'01-20\t01-20\tCD\tI-NP\tO' +p93880 +aS'amp\tamp\tNN\tI-NP\tO' +p93881 +aS'D50\tD50\tNN\tI-NP\tO' +p93882 +asS'For antibiotic coverage of her pneumonia , she was started on Levaquin , ceftriaxone , and vancomycin .' +p93883 +(lp93884 +S'For\tFor\tIN\tB-PP\tO' +p93885 +aS'antibiotic\tantibiotic\tJJ\tB-NP\tO' +p93886 +aS'coverage\tcoverage\tNN\tI-NP\tO' +p93887 +aS'of\tof\tIN\tB-PP\tO' +p93888 +aS'her\ther\tPRP$\tB-NP\tO' +p93889 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p93890 +aS',\t,\t,\tO\tO' +p93891 +aS'she\tshe\tPRP\tB-NP\tO' +p93892 +aS'was\tbe\tVBD\tB-VP\tO' +p93893 +aS'started\tstart\tVBN\tI-VP\tO' +p93894 +aS'on\ton\tIN\tB-PP\tO' +p93895 +aS'Levaquin\tLevaquin\tNN\tB-NP\tO' +p93896 +aS',\t,\t,\tO\tO' +p93897 +aS'ceftriaxone\tceftriaxone\tNN\tB-NP\tO' +p93898 +aS',\t,\t,\tO\tO' +p93899 +aS'and\tand\tCC\tO\tO' +p93900 +aS'vancomycin\tvancomycin\tNN\tB-NP\tO' +p93901 +aS'.\t.\t.\tO\tO' +p93902 +asS'6. Protonix .' +p93903 +(lp93904 +S'6.\t6.\tLS\tB-LST\tO' +p93905 +aS'Protonix\tProtonix\tNNP\tB-NP\tO' +p93906 +aS'.\t.\t.\tO\tO' +p93907 +asS'At that time he was stabilized from a cardiac perspective .' +p93908 +(lp93909 +S'At\tAt\tIN\tB-PP\tO' +p93910 +aS'that\tthat\tDT\tB-NP\tO' +p93911 +aS'time\ttime\tNN\tI-NP\tO' +p93912 +aS'he\the\tPRP\tB-NP\tO' +p93913 +aS'was\tbe\tVBD\tB-VP\tO' +p93914 +aS'stabilized\tstabilize\tVBN\tI-VP\tO' +p93915 +aS'from\tfrom\tIN\tB-PP\tO' +p93916 +aS'a\ta\tDT\tB-NP\tO' +p93917 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p93918 +aS'perspective\tperspective\tNN\tI-NP\tO' +p93919 +aS'.\t.\t.\tO\tO' +p93920 +asS'1. Neurontin .' +p93921 +(lp93922 +S'1.\t1.\tLS\tB-NP\tO' +p93923 +aS'Neurontin\tNeurontin\tNN\tI-NP\tB-protein' +p93924 +aS'.\t.\t.\tO\tO' +p93925 +asS'WBC of 8.3 ; hematocrit of 30.6 ; platelets 69 ; sodium 132 ; 3.9 , 102 , 22 , serum creatinine of 13 and 1.1 .' +p93926 +(lp93927 +S'WBC\tWBC\tNN\tB-NP\tO' +p93928 +aS'of\tof\tIN\tB-PP\tO' +p93929 +aS'8.3\t8.3\tCD\tB-NP\tO' +p93930 +aS';\t;\t:\tO\tO' +p93931 +aS'hematocrit\thematocrit\tNN\tB-NP\tO' +p93932 +aS'of\tof\tIN\tB-PP\tO' +p93933 +aS'30.6\t30.6\tCD\tB-NP\tO' +p93934 +aS';\t;\t:\tO\tO' +p93935 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p93936 +aS'69\t69\tCD\tB-NP\tO' +p93937 +aS';\t;\t:\tO\tO' +p93938 +aS'sodium\tsodium\tNN\tB-NP\tO' +p93939 +aS'132\t132\tCD\tI-NP\tO' +p93940 +aS';\t;\t:\tO\tO' +p93941 +aS'3.9\t3.9\tCD\tB-NP\tO' +p93942 +aS',\t,\t,\tI-NP\tO' +p93943 +aS'102\t102\tCD\tI-NP\tO' +p93944 +aS',\t,\t,\tI-NP\tO' +p93945 +aS'22\t22\tCD\tI-NP\tO' +p93946 +aS',\t,\t,\tO\tO' +p93947 +aS'serum\tserum\tNN\tB-NP\tO' +p93948 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p93949 +aS'of\tof\tIN\tB-PP\tO' +p93950 +aS'13\t13\tCD\tB-NP\tO' +p93951 +aS'and\tand\tCC\tI-NP\tO' +p93952 +aS'1.1\t1.1\tCD\tI-NP\tO' +p93953 +aS'.\t.\t.\tO\tO' +p93954 +asS'Coordination was normal with good finger to nose , gait was not tested .' +p93955 +(lp93956 +S'Coordination\tCoordination\tNN\tB-NP\tO' +p93957 +aS'was\tbe\tVBD\tB-VP\tO' +p93958 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p93959 +aS'with\twith\tIN\tB-PP\tO' +p93960 +aS'good\tgood\tJJ\tB-NP\tO' +p93961 +aS'finger\tfinger\tNN\tI-NP\tO' +p93962 +aS'to\tto\tTO\tB-PP\tO' +p93963 +aS'nose\tnose\tNN\tB-NP\tO' +p93964 +aS',\t,\t,\tO\tO' +p93965 +aS'gait\tgait\tNN\tB-NP\tO' +p93966 +aS'was\tbe\tVBD\tB-VP\tO' +p93967 +aS'not\tnot\tRB\tI-VP\tO' +p93968 +aS'tested\ttest\tVBN\tI-VP\tO' +p93969 +aS'.\t.\t.\tO\tO' +p93970 +asS'Patient mental status improved slightly .' +p93971 +(lp93972 +S'Patient\tPatient\tNN\tB-NP\tO' +p93973 +aS'mental\tmental\tJJ\tI-NP\tO' +p93974 +aS'status\tstatus\tNN\tI-NP\tO' +p93975 +aS'improved\timprove\tVBD\tB-VP\tO' +p93976 +aS'slightly\tslightly\tRB\tB-ADVP\tO' +p93977 +aS'.\t.\t.\tO\tO' +p93978 +asS'Osteoporosis .' +p93979 +(lp93980 +S'Osteoporosis\tOsteoporosis\tNN\tB-NP\tO' +p93981 +aS'.\t.\t.\tO\tO' +p93982 +asS'Insulin , Celexa , Protonix , Ambien and Pancreas .' +p93983 +(lp93984 +S'Insulin\tInsulin\tNNP\tB-NP\tO' +p93985 +aS',\t,\t,\tO\tO' +p93986 +aS'Celexa\tCelexa\tNNP\tB-NP\tO' +p93987 +aS',\t,\t,\tO\tO' +p93988 +aS'Protonix\tProtonix\tNNP\tB-NP\tO' +p93989 +aS',\t,\t,\tO\tO' +p93990 +aS'Ambien\tAmbien\tNNP\tB-NP\tO' +p93991 +aS'and\tand\tCC\tO\tO' +p93992 +aS'Pancreas\tPancreas\tNNP\tB-NP\tO' +p93993 +aS'.\t.\t.\tO\tO' +p93994 +asS'The patient was to make an appointment with Dr. Nicholson within one to two months after discharge for removal of the stent .' +p93995 +(lp93996 +S'The\tThe\tDT\tB-NP\tO' +p93997 +aS'patient\tpatient\tNN\tI-NP\tO' +p93998 +aS'was\tbe\tVBD\tB-VP\tO' +p93999 +aS'to\tto\tTO\tB-VP\tO' +p94000 +aS'make\tmake\tVB\tI-VP\tO' +p94001 +aS'an\tan\tDT\tB-NP\tO' +p94002 +aS'appointment\tappointment\tNN\tI-NP\tO' +p94003 +aS'with\twith\tIN\tB-PP\tO' +p94004 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p94005 +aS'Nicholson\tNicholson\tNNP\tI-NP\tO' +p94006 +aS'within\twithin\tIN\tB-PP\tO' +p94007 +aS'one\tone\tCD\tB-NP\tO' +p94008 +aS'to\tto\tTO\tI-NP\tO' +p94009 +aS'two\ttwo\tCD\tI-NP\tO' +p94010 +aS'months\tmonth\tNNS\tI-NP\tO' +p94011 +aS'after\tafter\tIN\tB-PP\tO' +p94012 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p94013 +aS'for\tfor\tIN\tB-PP\tO' +p94014 +aS'removal\tremoval\tNN\tB-NP\tO' +p94015 +aS'of\tof\tIN\tB-PP\tO' +p94016 +aS'the\tthe\tDT\tB-NP\tO' +p94017 +aS'stent\tstent\tNN\tI-NP\tO' +p94018 +aS'.\t.\t.\tO\tO' +p94019 +asS'Granrivern Call is a 79-year-old right handed white male with a history of questionable progressive supranuclear palsy , atrial fibrillation , deep venous thrombosis , and pulmonary embolus who presents with a change in mental status and a fall at home .' +p94020 +(lp94021 +S'Granrivern\tGranrivern\tNNP\tB-NP\tO' +p94022 +aS'Call\tCall\tNNP\tI-NP\tO' +p94023 +aS'is\tbe\tVBZ\tB-VP\tO' +p94024 +aS'a\ta\tDT\tB-NP\tO' +p94025 +aS'79-year-old\t79-year-old\tJJ\tI-NP\tO' +p94026 +aS'right\tright\tJJ\tI-NP\tO' +p94027 +aS'handed\thanded\tJJ\tI-NP\tO' +p94028 +aS'white\twhite\tJJ\tI-NP\tO' +p94029 +aS'male\tmale\tNN\tI-NP\tO' +p94030 +aS'with\twith\tIN\tB-PP\tO' +p94031 +aS'a\ta\tDT\tB-NP\tO' +p94032 +aS'history\thistory\tNN\tI-NP\tO' +p94033 +aS'of\tof\tIN\tB-PP\tO' +p94034 +aS'questionable\tquestionable\tJJ\tB-NP\tO' +p94035 +aS'progressive\tprogressive\tJJ\tI-NP\tO' +p94036 +aS'supranuclear\tsupranuclear\tJJ\tI-NP\tO' +p94037 +aS'palsy\tpalsy\tNN\tI-NP\tO' +p94038 +aS',\t,\t,\tO\tO' +p94039 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p94040 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p94041 +aS',\t,\t,\tO\tO' +p94042 +aS'deep\tdeep\tJJ\tB-NP\tO' +p94043 +aS'venous\tvenous\tJJ\tI-NP\tO' +p94044 +aS'thrombosis\tthrombosis\tNN\tI-NP\tO' +p94045 +aS',\t,\t,\tO\tO' +p94046 +aS'and\tand\tCC\tO\tO' +p94047 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p94048 +aS'embolus\tembolus\tNN\tI-NP\tO' +p94049 +aS'who\twho\tWP\tB-NP\tO' +p94050 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p94051 +aS'with\twith\tIN\tB-PP\tO' +p94052 +aS'a\ta\tDT\tB-NP\tO' +p94053 +aS'change\tchange\tNN\tI-NP\tO' +p94054 +aS'in\tin\tIN\tB-PP\tO' +p94055 +aS'mental\tmental\tJJ\tB-NP\tO' +p94056 +aS'status\tstatus\tNN\tI-NP\tO' +p94057 +aS'and\tand\tCC\tO\tO' +p94058 +aS'a\ta\tDT\tB-NP\tO' +p94059 +aS'fall\tfall\tNN\tI-NP\tO' +p94060 +aS'at\tat\tIN\tB-PP\tO' +p94061 +aS'home\thome\tNN\tB-NP\tO' +p94062 +aS'.\t.\t.\tO\tO' +p94063 +asS'The HEENT exam revealed the extra ocular movements intact .' +p94064 +(lp94065 +S'The\tThe\tDT\tB-NP\tO' +p94066 +aS'HEENT\tHEENT\tNN\tI-NP\tO' +p94067 +aS'exam\texam\tNN\tI-NP\tO' +p94068 +aS'revealed\treveal\tVBD\tB-VP\tO' +p94069 +aS'the\tthe\tDT\tB-NP\tO' +p94070 +aS'extra\textra\tJJ\tI-NP\tO' +p94071 +aS'ocular\tocular\tJJ\tI-NP\tO' +p94072 +aS'movements\tmovement\tNNS\tI-NP\tO' +p94073 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p94074 +aS'.\t.\t.\tO\tO' +p94075 +asS'Vital signs , stable .' +p94076 +(lp94077 +S'Vital\tVital\tJJ\tB-NP\tO' +p94078 +aS'signs\tsign\tNNS\tI-NP\tO' +p94079 +aS',\t,\t,\tO\tO' +p94080 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p94081 +aS'.\t.\t.\tO\tO' +p94082 +asS'No resting LVOT gradient .' +p94083 +(lp94084 +S'No\tNo\tDT\tB-NP\tO' +p94085 +aS'resting\trest\tVBG\tI-NP\tO' +p94086 +aS'LVOT\tLVOT\tNN\tI-NP\tO' +p94087 +aS'gradient\tgradient\tNN\tI-NP\tO' +p94088 +aS'.\t.\t.\tO\tO' +p94089 +asS'4. History of orthostasis with tilt table testing done in the past .' +p94090 +(lp94091 +S'4.\t4.\tLS\tB-NP\tO' +p94092 +aS'History\tHistory\tNN\tI-NP\tO' +p94093 +aS'of\tof\tIN\tB-PP\tO' +p94094 +aS'orthostasis\torthostasis\tNN\tB-NP\tO' +p94095 +aS'with\twith\tIN\tB-PP\tO' +p94096 +aS'tilt\ttilt\tNN\tB-NP\tO' +p94097 +aS'table\ttable\tNN\tI-NP\tO' +p94098 +aS'testing\ttesting\tNN\tI-NP\tO' +p94099 +aS'done\tdo\tVBN\tB-VP\tO' +p94100 +aS'in\tin\tIN\tB-PP\tO' +p94101 +aS'the\tthe\tDT\tB-NP\tO' +p94102 +aS'past\tpast\tNN\tI-NP\tO' +p94103 +aS'.\t.\t.\tO\tO' +p94104 +asS'Repeat exam one month later showed a firm left-sided lobe .' +p94105 +(lp94106 +S'Repeat\tRepeat\tNN\tB-NP\tO' +p94107 +aS'exam\texam\tNN\tI-NP\tO' +p94108 +aS'one\tone\tCD\tB-NP\tO' +p94109 +aS'month\tmonth\tNN\tI-NP\tO' +p94110 +aS'later\tlater\tRB\tB-ADVP\tO' +p94111 +aS'showed\tshow\tVBD\tB-VP\tO' +p94112 +aS'a\ta\tDT\tB-NP\tO' +p94113 +aS'firm\tfirm\tJJ\tI-NP\tO' +p94114 +aS'left-sided\tleft-sided\tJJ\tI-NP\tO' +p94115 +aS'lobe\tlobe\tNN\tI-NP\tO' +p94116 +aS'.\t.\t.\tO\tO' +p94117 +asS"The Parrack Diabetes Center was consulted to help manage the patient 's hyperglycemia ." +p94118 +(lp94119 +S'The\tThe\tDT\tB-NP\tO' +p94120 +aS'Parrack\tParrack\tNNP\tI-NP\tO' +p94121 +aS'Diabetes\tDiabetes\tNNP\tI-NP\tO' +p94122 +aS'Center\tCenter\tNNP\tI-NP\tO' +p94123 +aS'was\tbe\tVBD\tB-VP\tO' +p94124 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p94125 +aS'to\tto\tTO\tI-VP\tO' +p94126 +aS'help\thelp\tVB\tI-VP\tO' +p94127 +aS'manage\tmanage\tVB\tI-VP\tO' +p94128 +aS'the\tthe\tDT\tB-NP\tO' +p94129 +aS'patient\tpatient\tNN\tI-NP\tO' +p94130 +aS"'s\t's\tPOS\tB-NP\tO" +p94131 +aS'hyperglycemia\thyperglycemia\tNN\tI-NP\tO' +p94132 +aS'.\t.\t.\tO\tO' +p94133 +asS'Restrictive lung disease .' +p94134 +(lp94135 +S'Restrictive\tRestrictive\tJJ\tB-NP\tO' +p94136 +aS'lung\tlung\tNN\tI-NP\tO' +p94137 +aS'disease\tdisease\tNN\tI-NP\tO' +p94138 +aS'.\t.\t.\tO\tO' +p94139 +asS'Suboptimal image quality - poor echo windows .' +p94140 +(lp94141 +S'Suboptimal\tSuboptimal\tJJ\tB-NP\tO' +p94142 +aS'image\timage\tNN\tI-NP\tO' +p94143 +aS'quality\tquality\tNN\tI-NP\tO' +p94144 +aS'-\t-\tHYPH\tB-NP\tO' +p94145 +aS'poor\tpoor\tJJ\tI-NP\tO' +p94146 +aS'echo\techo\tNN\tI-NP\tO' +p94147 +aS'windows\twindow\tNNS\tI-NP\tO' +p94148 +aS'.\t.\t.\tO\tO' +p94149 +asS'Reflexes were diffuse 3+ , toes upgoing bilaterally .' +p94150 +(lp94151 +S'Reflexes\tReflex\tNNS\tB-NP\tO' +p94152 +aS'were\tbe\tVBD\tB-VP\tO' +p94153 +aS'diffuse\tdiffuse\tJJ\tB-ADJP\tO' +p94154 +aS'3+\t3+\tJJ\tI-ADJP\tO' +p94155 +aS',\t,\t,\tO\tO' +p94156 +aS'toes\ttoe\tNNS\tB-NP\tO' +p94157 +aS'upgoing\tupgoe\tVBG\tB-VP\tO' +p94158 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p94159 +aS'.\t.\t.\tO\tO' +p94160 +asS'The patient also notes he has had hoarseness for the last two to three weeks .' +p94161 +(lp94162 +S'The\tThe\tDT\tB-NP\tO' +p94163 +aS'patient\tpatient\tNN\tI-NP\tO' +p94164 +aS'also\talso\tRB\tB-ADVP\tO' +p94165 +aS'notes\tnote\tVBZ\tB-VP\tO' +p94166 +aS'he\the\tPRP\tB-NP\tO' +p94167 +aS'has\thave\tVBZ\tB-VP\tO' +p94168 +aS'had\thave\tVBN\tI-VP\tO' +p94169 +aS'hoarseness\thoarseness\tNN\tB-NP\tO' +p94170 +aS'for\tfor\tIN\tB-PP\tO' +p94171 +aS'the\tthe\tDT\tB-NP\tO' +p94172 +aS'last\tlast\tJJ\tI-NP\tO' +p94173 +aS'two\ttwo\tCD\tI-NP\tO' +p94174 +aS'to\tto\tTO\tI-NP\tO' +p94175 +aS'three\tthree\tCD\tI-NP\tO' +p94176 +aS'weeks\tweek\tNNS\tI-NP\tO' +p94177 +aS'.\t.\t.\tO\tO' +p94178 +asS'He did consistently have more movement on the left side of his body than on the right , but he gradually became more awake and alert and communicative and his endotracheal tube was removed on the second day of admission .' +p94179 +(lp94180 +S'He\tHe\tPRP\tB-NP\tO' +p94181 +aS'did\tdo\tVBD\tB-VP\tO' +p94182 +aS'consistently\tconsistently\tRB\tI-VP\tO' +p94183 +aS'have\thave\tVB\tI-VP\tO' +p94184 +aS'more\tmore\tJJR\tB-NP\tO' +p94185 +aS'movement\tmovement\tNN\tI-NP\tO' +p94186 +aS'on\ton\tIN\tB-PP\tO' +p94187 +aS'the\tthe\tDT\tB-NP\tO' +p94188 +aS'left\tleft\tJJ\tI-NP\tO' +p94189 +aS'side\tside\tNN\tI-NP\tO' +p94190 +aS'of\tof\tIN\tB-PP\tO' +p94191 +aS'his\this\tPRP$\tB-NP\tO' +p94192 +aS'body\tbody\tNN\tI-NP\tO' +p94193 +aS'than\tthan\tIN\tB-PP\tO' +p94194 +aS'on\ton\tIN\tB-PP\tO' +p94195 +aS'the\tthe\tDT\tB-NP\tO' +p94196 +aS'right\tright\tNN\tI-NP\tO' +p94197 +aS',\t,\t,\tO\tO' +p94198 +aS'but\tbut\tCC\tO\tO' +p94199 +aS'he\the\tPRP\tB-NP\tO' +p94200 +aS'gradually\tgradually\tRB\tB-ADVP\tO' +p94201 +aS'became\tbecome\tVBD\tB-VP\tO' +p94202 +aS'more\tmore\tRBR\tB-ADJP\tO' +p94203 +aS'awake\tawake\tJJ\tI-ADJP\tO' +p94204 +aS'and\tand\tCC\tI-ADJP\tO' +p94205 +aS'alert\talert\tJJ\tI-ADJP\tO' +p94206 +aS'and\tand\tCC\tI-ADJP\tO' +p94207 +aS'communicative\tcommunicative\tJJ\tI-ADJP\tO' +p94208 +aS'and\tand\tCC\tO\tO' +p94209 +aS'his\this\tPRP$\tB-NP\tO' +p94210 +aS'endotracheal\tendotracheal\tJJ\tI-NP\tO' +p94211 +aS'tube\ttube\tNN\tI-NP\tO' +p94212 +aS'was\tbe\tVBD\tB-VP\tO' +p94213 +aS'removed\tremove\tVBN\tI-VP\tO' +p94214 +aS'on\ton\tIN\tB-PP\tO' +p94215 +aS'the\tthe\tDT\tB-NP\tO' +p94216 +aS'second\tsecond\tJJ\tI-NP\tO' +p94217 +aS'day\tday\tNN\tI-NP\tO' +p94218 +aS'of\tof\tIN\tB-PP\tO' +p94219 +aS'admission\tadmission\tNN\tB-NP\tO' +p94220 +aS'.\t.\t.\tO\tO' +p94221 +asS'Birth weight was 1515 grams .' +p94222 +(lp94223 +S'Birth\tBirth\tNN\tB-NP\tO' +p94224 +aS'weight\tweight\tNN\tI-NP\tO' +p94225 +aS'was\tbe\tVBD\tB-VP\tO' +p94226 +aS'1515\t1515\tCD\tB-NP\tO' +p94227 +aS'grams\tgram\tNNS\tI-NP\tO' +p94228 +aS'.\t.\t.\tO\tO' +p94229 +asS'When NGT tube was pulled out , it was noted to have respiratory-like secretions .' +p94230 +(lp94231 +S'When\tWhen\tWRB\tB-ADVP\tO' +p94232 +aS'NGT\tNGT\tNN\tB-NP\tO' +p94233 +aS'tube\ttube\tNN\tI-NP\tO' +p94234 +aS'was\tbe\tVBD\tB-VP\tO' +p94235 +aS'pulled\tpull\tVBN\tI-VP\tO' +p94236 +aS'out\tout\tRP\tB-PRT\tO' +p94237 +aS',\t,\t,\tO\tO' +p94238 +aS'it\tit\tPRP\tB-NP\tO' +p94239 +aS'was\tbe\tVBD\tB-VP\tO' +p94240 +aS'noted\tnote\tVBN\tI-VP\tO' +p94241 +aS'to\tto\tTO\tI-VP\tO' +p94242 +aS'have\thave\tVB\tI-VP\tO' +p94243 +aS'respiratory-like\trespiratory-like\tJJ\tB-NP\tO' +p94244 +aS'secretions\tsecretion\tNNS\tI-NP\tO' +p94245 +aS'.\t.\t.\tO\tO' +p94246 +asS'No hematomas were noted , but a soft right femoral bruit was heard .' +p94247 +(lp94248 +S'No\tNo\tDT\tB-NP\tO' +p94249 +aS'hematomas\thematoma\tNNS\tI-NP\tO' +p94250 +aS'were\tbe\tVBD\tB-VP\tO' +p94251 +aS'noted\tnote\tVBN\tI-VP\tO' +p94252 +aS',\t,\t,\tO\tO' +p94253 +aS'but\tbut\tCC\tO\tO' +p94254 +aS'a\ta\tDT\tB-NP\tO' +p94255 +aS'soft\tsoft\tJJ\tI-NP\tO' +p94256 +aS'right\tright\tJJ\tI-NP\tO' +p94257 +aS'femoral\tfemoral\tJJ\tI-NP\tO' +p94258 +aS'bruit\tbruit\tNN\tI-NP\tO' +p94259 +aS'was\tbe\tVBD\tB-VP\tO' +p94260 +aS'heard\thear\tVBN\tI-VP\tO' +p94261 +aS'.\t.\t.\tO\tO' +p94262 +asS'The patient 's Diltiazem was stopped due to her increased blood pressure and was started on Labetalol which was gradually titrated up to a target blood pressure of 160-170 systolic in her right arm .' +p94263 +(lp94264 +S'The\tThe\tDT\tB-NP\tO' +p94265 +aS'patient\tpatient\tNN\tI-NP\tO' +p94266 +aS''s\t'\tNNS\tI-NP\tO' +p94267 +aS'Diltiazem\tDiltiazem\tNN\tI-NP\tO' +p94268 +aS'was\tbe\tVBD\tB-VP\tO' +p94269 +aS'stopped\tstop\tVBN\tI-VP\tO' +p94270 +aS'due\tdue\tJJ\tB-ADJP\tO' +p94271 +aS'to\tto\tTO\tB-PP\tO' +p94272 +aS'her\ther\tPRP$\tB-NP\tO' +p94273 +aS'increased\tincrease\tVBN\tI-NP\tO' +p94274 +aS'blood\tblood\tNN\tI-NP\tO' +p94275 +aS'pressure\tpressure\tNN\tI-NP\tO' +p94276 +aS'and\tand\tCC\tO\tO' +p94277 +aS'was\tbe\tVBD\tB-VP\tO' +p94278 +aS'started\tstart\tVBN\tI-VP\tO' +p94279 +aS'on\ton\tIN\tB-PP\tO' +p94280 +aS'Labetalol\tLabetalol\tNN\tB-NP\tO' +p94281 +aS'which\twhich\tWDT\tB-NP\tO' +p94282 +aS'was\tbe\tVBD\tB-VP\tO' +p94283 +aS'gradually\tgradually\tRB\tI-VP\tO' +p94284 +aS'titrated\ttitrate\tVBN\tI-VP\tO' +p94285 +aS'up\tup\tRP\tB-PRT\tO' +p94286 +aS'to\tto\tTO\tB-PP\tO' +p94287 +aS'a\ta\tDT\tB-NP\tO' +p94288 +aS'target\ttarget\tNN\tI-NP\tO' +p94289 +aS'blood\tblood\tNN\tI-NP\tO' +p94290 +aS'pressure\tpressure\tNN\tI-NP\tO' +p94291 +aS'of\tof\tIN\tB-PP\tO' +p94292 +aS'160-170\t160-170\tCD\tB-NP\tO' +p94293 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p94294 +aS'in\tin\tIN\tB-PP\tO' +p94295 +aS'her\ther\tPRP$\tB-NP\tO' +p94296 +aS'right\tright\tJJ\tI-NP\tO' +p94297 +aS'arm\tarm\tNN\tI-NP\tO' +p94298 +aS'.\t.\t.\tO\tO' +p94299 +asS'1. RECTAL CARCINOMA , STATUS POST PARTIAL COLECTOMY .' +p94300 +(lp94301 +S'1.\t1.\tLS\tB-NP\tO' +p94302 +aS'RECTAL\tRECTAL\tNN\tI-NP\tO' +p94303 +aS'CARCINOMA\tCARCINOMA\tNN\tI-NP\tO' +p94304 +aS',\t,\t,\tO\tO' +p94305 +aS'STATUS\tSTATUS\tNNP\tB-NP\tO' +p94306 +aS'POST\tPOST\tNNP\tI-NP\tO' +p94307 +aS'PARTIAL\tPARTIAL\tNNP\tI-NP\tO' +p94308 +aS'COLECTOMY\tCOLECTOMY\tNNP\tI-NP\tO' +p94309 +aS'.\t.\t.\tO\tO' +p94310 +asS'On POD7 it was decided that the pt was stable and ready for discharge to rehabilitation .' +p94311 +(lp94312 +S'On\tOn\tIN\tB-PP\tO' +p94313 +aS'POD7\tPOD7\tNN\tB-NP\tB-protein' +p94314 +aS'it\tit\tPRP\tB-NP\tO' +p94315 +aS'was\tbe\tVBD\tB-VP\tO' +p94316 +aS'decided\tdecide\tVBN\tI-VP\tO' +p94317 +aS'that\tthat\tIN\tB-SBAR\tO' +p94318 +aS'the\tthe\tDT\tB-NP\tO' +p94319 +aS'pt\tpt\tNN\tI-NP\tO' +p94320 +aS'was\tbe\tVBD\tB-VP\tO' +p94321 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p94322 +aS'and\tand\tCC\tI-ADJP\tO' +p94323 +aS'ready\tready\tJJ\tI-ADJP\tO' +p94324 +aS'for\tfor\tIN\tB-PP\tO' +p94325 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p94326 +aS'to\tto\tTO\tB-PP\tO' +p94327 +aS'rehabilitation\trehabilitation\tNN\tB-NP\tO' +p94328 +aS'.\t.\t.\tO\tO' +p94329 +asS'Once on the floor patient stable .' +p94330 +(lp94331 +S'Once\tOnce\tRB\tO\tO' +p94332 +aS'on\ton\tIN\tB-PP\tO' +p94333 +aS'the\tthe\tDT\tB-NP\tO' +p94334 +aS'floor\tfloor\tNN\tI-NP\tO' +p94335 +aS'patient\tpatient\tNN\tI-NP\tO' +p94336 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p94337 +aS'.\t.\t.\tO\tO' +p94338 +asS'7. Neurology - Normal head ultrasound on 2009-01-08 .' +p94339 +(lp94340 +S'7.\t7.\tCD\tB-NP\tO' +p94341 +aS'Neurology\tNeurology\tNNP\tI-NP\tO' +p94342 +aS'-\t-\tHYPH\tI-NP\tO' +p94343 +aS'Normal\tNormal\tJJ\tI-NP\tO' +p94344 +aS'head\thead\tNN\tI-NP\tO' +p94345 +aS'ultrasound\tultrasound\tNN\tI-NP\tO' +p94346 +aS'on\ton\tIN\tB-PP\tO' +p94347 +aS'2009-01-08\t2009-01-08\tCD\tB-NP\tO' +p94348 +aS'.\t.\t.\tO\tO' +p94349 +asS'The results were negative for Micro , most likely diagnosis as per review of pathology is organizing pneumonia with possible diagnosis of BOOP and chronic inhalational injury was a possibility .' +p94350 +(lp94351 +S'The\tThe\tDT\tB-NP\tO' +p94352 +aS'results\tresult\tNNS\tI-NP\tO' +p94353 +aS'were\tbe\tVBD\tB-VP\tO' +p94354 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p94355 +aS'for\tfor\tIN\tB-PP\tO' +p94356 +aS'Micro\tMicro\tNNP\tB-NP\tO' +p94357 +aS',\t,\t,\tO\tO' +p94358 +aS'most\tmost\tRBS\tB-NP\tO' +p94359 +aS'likely\tlikely\tJJ\tI-NP\tO' +p94360 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p94361 +aS'as\tas\tIN\tB-PP\tO' +p94362 +aS'per\tper\tIN\tB-PP\tO' +p94363 +aS'review\treview\tNN\tB-NP\tO' +p94364 +aS'of\tof\tIN\tB-PP\tO' +p94365 +aS'pathology\tpathology\tNN\tB-NP\tO' +p94366 +aS'is\tbe\tVBZ\tB-VP\tO' +p94367 +aS'organizing\torganize\tVBG\tI-VP\tO' +p94368 +aS'pneumonia\tpneumonia\tNN\tB-NP\tO' +p94369 +aS'with\twith\tIN\tB-PP\tO' +p94370 +aS'possible\tpossible\tJJ\tB-NP\tO' +p94371 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p94372 +aS'of\tof\tIN\tB-PP\tO' +p94373 +aS'BOOP\tBOOP\tNN\tB-NP\tB-protein' +p94374 +aS'and\tand\tCC\tO\tO' +p94375 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p94376 +aS'inhalational\tinhalational\tJJ\tI-NP\tO' +p94377 +aS'injury\tinjury\tNN\tI-NP\tO' +p94378 +aS'was\tbe\tVBD\tB-VP\tO' +p94379 +aS'a\ta\tDT\tB-NP\tO' +p94380 +aS'possibility\tpossibility\tNN\tI-NP\tO' +p94381 +aS'.\t.\t.\tO\tO' +p94382 +asS'At the time of discharge , she was oxygenating well on room air .' +p94383 +(lp94384 +S'At\tAt\tIN\tB-PP\tO' +p94385 +aS'the\tthe\tDT\tB-NP\tO' +p94386 +aS'time\ttime\tNN\tI-NP\tO' +p94387 +aS'of\tof\tIN\tB-PP\tO' +p94388 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p94389 +aS',\t,\t,\tO\tO' +p94390 +aS'she\tshe\tPRP\tB-NP\tO' +p94391 +aS'was\tbe\tVBD\tB-VP\tO' +p94392 +aS'oxygenating\toxygenate\tVBG\tI-VP\tO' +p94393 +aS'well\twell\tRB\tB-ADVP\tO' +p94394 +aS'on\ton\tIN\tB-PP\tO' +p94395 +aS'room\troom\tNN\tB-NP\tO' +p94396 +aS'air\tair\tNN\tI-NP\tO' +p94397 +aS'.\t.\t.\tO\tO' +p94398 +asS'She was discharged on 07-02 and represented that day with continued nause , vomiting , and fever .' +p94399 +(lp94400 +S'She\tShe\tPRP\tB-NP\tO' +p94401 +aS'was\tbe\tVBD\tB-VP\tO' +p94402 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p94403 +aS'on\ton\tIN\tB-PP\tO' +p94404 +aS'07-02\t07-02\tCD\tB-NP\tO' +p94405 +aS'and\tand\tCC\tO\tO' +p94406 +aS'represented\trepresent\tVBD\tB-VP\tO' +p94407 +aS'that\tthat\tDT\tB-NP\tO' +p94408 +aS'day\tday\tNN\tI-NP\tO' +p94409 +aS'with\twith\tIN\tB-PP\tO' +p94410 +aS'continued\tcontinue\tVBN\tB-NP\tO' +p94411 +aS'nause\tnause\tNN\tI-NP\tO' +p94412 +aS',\t,\t,\tO\tO' +p94413 +aS'vomiting\tvomiting\tNN\tB-NP\tO' +p94414 +aS',\t,\t,\tO\tO' +p94415 +aS'and\tand\tCC\tO\tO' +p94416 +aS'fever\tfever\tNN\tB-NP\tO' +p94417 +aS'.\t.\t.\tO\tO' +p94418 +asS'6. Tylenol 650 mg p.o. q.4-6h. p.r.n. for fever or pain .' +p94419 +(lp94420 +S'6.\t6.\tLS\tB-LST\tO' +p94421 +aS'Tylenol\tTylenol\tNN\tB-NP\tO' +p94422 +aS'650\t650\tCD\tI-NP\tO' +p94423 +aS'mg\tmg\tNN\tI-NP\tO' +p94424 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p94425 +aS'q.4-6h.\tq.4-6h.\tNN\tI-NP\tO' +p94426 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p94427 +aS'for\tfor\tIN\tB-PP\tO' +p94428 +aS'fever\tfever\tNN\tB-NP\tO' +p94429 +aS'or\tor\tCC\tI-NP\tO' +p94430 +aS'pain\tpain\tNN\tI-NP\tO' +p94431 +aS'.\t.\t.\tO\tO' +p94432 +asS'Follow up with Dr. Knowlton in 1-2 weeks , (246) 828-4417' +p94433 +(lp94434 +S'Follow\tFollow\tVB\tB-VP\tO' +p94435 +aS'up\tup\tRP\tB-PRT\tO' +p94436 +aS'with\twith\tIN\tB-PP\tO' +p94437 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p94438 +aS'Knowlton\tKnowlton\tNNP\tI-NP\tO' +p94439 +aS'in\tin\tIN\tB-PP\tO' +p94440 +aS'1-2\t1-2\tCD\tB-NP\tO' +p94441 +aS'weeks\tweek\tNNS\tI-NP\tO' +p94442 +aS',\t,\t,\tO\tO' +p94443 +aS'(246)\t(246)\tLS\tB-LST\tO' +p94444 +aS'828-4417\t828-4417\tCD\tB-NP\tO' +p94445 +asS'Her rate was well controlled on Digoxin .' +p94446 +(lp94447 +S'Her\tHer\tPRP$\tB-NP\tO' +p94448 +aS'rate\trate\tNN\tI-NP\tO' +p94449 +aS'was\tbe\tVBD\tB-VP\tO' +p94450 +aS'well\twell\tRB\tI-VP\tO' +p94451 +aS'controlled\tcontrol\tVBN\tI-VP\tO' +p94452 +aS'on\ton\tIN\tB-PP\tO' +p94453 +aS'Digoxin\tDigoxin\tNN\tB-NP\tO' +p94454 +aS'.\t.\t.\tO\tO' +p94455 +asS'Dictated By : Ellen V Wise , M.D.' +p94456 +(lp94457 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p94458 +aS'By\tBy\tIN\tB-PP\tO' +p94459 +aS':\t:\t:\tO\tO' +p94460 +aS'Ellen\tEllen\tNNP\tB-NP\tO' +p94461 +aS'V\tV\tNNP\tI-NP\tO' +p94462 +aS'Wise\tWise\tNNP\tI-NP\tO' +p94463 +aS',\t,\t,\tO\tO' +p94464 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p94465 +asS'ID consult obtained which recommended removal of PORT , which was taken out on 01-23 .' +p94466 +(lp94467 +S'ID\tID\tNN\tB-NP\tO' +p94468 +aS'consult\tconsult\tNN\tI-NP\tO' +p94469 +aS'obtained\tobtain\tVBN\tB-VP\tO' +p94470 +aS'which\twhich\tWDT\tB-NP\tO' +p94471 +aS'recommended\trecommend\tVBD\tB-VP\tO' +p94472 +aS'removal\tremoval\tNN\tB-NP\tO' +p94473 +aS'of\tof\tIN\tB-PP\tO' +p94474 +aS'PORT\tPORT\tNN\tB-NP\tB-protein' +p94475 +aS',\t,\t,\tO\tO' +p94476 +aS'which\twhich\tWDT\tB-NP\tO' +p94477 +aS'was\tbe\tVBD\tB-VP\tO' +p94478 +aS'taken\ttake\tVBN\tI-VP\tO' +p94479 +aS'out\tout\tRB\tB-ADVP\tO' +p94480 +aS'on\ton\tIN\tB-PP\tO' +p94481 +aS'01-23\t01-23\tCD\tB-NP\tO' +p94482 +aS'.\t.\t.\tO\tO' +p94483 +asS'1. Neuro .' +p94484 +(lp94485 +S'1.\t1.\tLS\tB-LST\tO' +p94486 +aS'Neuro\tNeuro\tNNP\tB-NP\tO' +p94487 +aS'.\t.\t.\tO\tO' +p94488 +asS'He developed erythema around the wound on Wednesday and was seen by Dr. Para , who started Keflex and obtained a CT scan which demonstrated a fluid collection at the site of erythema .' +p94489 +(lp94490 +S'He\tHe\tPRP\tB-NP\tO' +p94491 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p94492 +aS'erythema\terythema\tNN\tB-NP\tO' +p94493 +aS'around\taround\tIN\tB-PP\tO' +p94494 +aS'the\tthe\tDT\tB-NP\tO' +p94495 +aS'wound\twound\tNN\tI-NP\tO' +p94496 +aS'on\ton\tIN\tB-PP\tO' +p94497 +aS'Wednesday\tWednesday\tNNP\tB-NP\tO' +p94498 +aS'and\tand\tCC\tO\tO' +p94499 +aS'was\tbe\tVBD\tB-VP\tO' +p94500 +aS'seen\tsee\tVBN\tI-VP\tO' +p94501 +aS'by\tby\tIN\tB-PP\tO' +p94502 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p94503 +aS'Para\tPara\tNNP\tI-NP\tO' +p94504 +aS',\t,\t,\tO\tO' +p94505 +aS'who\twho\tWP\tB-NP\tO' +p94506 +aS'started\tstart\tVBD\tB-VP\tO' +p94507 +aS'Keflex\tKeflex\tNNP\tB-NP\tO' +p94508 +aS'and\tand\tCC\tO\tO' +p94509 +aS'obtained\tobtain\tVBD\tB-VP\tO' +p94510 +aS'a\ta\tDT\tB-NP\tO' +p94511 +aS'CT\tCT\tNN\tI-NP\tO' +p94512 +aS'scan\tscan\tNN\tI-NP\tO' +p94513 +aS'which\twhich\tWDT\tB-NP\tO' +p94514 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p94515 +aS'a\ta\tDT\tB-NP\tO' +p94516 +aS'fluid\tfluid\tNN\tI-NP\tO' +p94517 +aS'collection\tcollection\tNN\tI-NP\tO' +p94518 +aS'at\tat\tIN\tB-PP\tO' +p94519 +aS'the\tthe\tDT\tB-NP\tO' +p94520 +aS'site\tsite\tNN\tI-NP\tO' +p94521 +aS'of\tof\tIN\tB-PP\tO' +p94522 +aS'erythema\terythema\tNN\tB-NP\tO' +p94523 +aS'.\t.\t.\tO\tO' +p94524 +asS'Hydralazine 10 mgs PO t.i.d. , Digoxin 0.125 mgs PO q.d. , thiamine 100 mgs PO q.d. , multi-vitamin 1 tab. PO q.d. , Peri - Colace 100 mgs PO t.i.d. , folate 1 mg PO q.d. , Norvasc 2.5 mgs PO q.HS , Ritalin 10 mgs PO b.i.d. , Trazodone 25 mgs PO q.HS , Nafcillin 2 gramsIV q.4H which wil conclude at the end of the day on 1/16/98 , Atroventnebulizer PRN , Albuterol nebulizer PRN , Tylenol 650 mgs PO q.4H PRN pain .' +p94525 +(lp94526 +S'Hydralazine\tHydralazine\tNN\tB-NP\tO' +p94527 +aS'10\t10\tCD\tI-NP\tO' +p94528 +aS'mgs\tmg\tNNS\tI-NP\tO' +p94529 +aS'PO\tPO\tNN\tI-NP\tO' +p94530 +aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' +p94531 +aS',\t,\t,\tO\tO' +p94532 +aS'Digoxin\tDigoxin\tNN\tB-NP\tO' +p94533 +aS'0.125\t0.125\tCD\tI-NP\tO' +p94534 +aS'mgs\tmg\tNNS\tI-NP\tO' +p94535 +aS'PO\tPO\tNN\tI-NP\tO' +p94536 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p94537 +aS',\t,\t,\tO\tO' +p94538 +aS'thiamine\tthiamine\tNN\tB-NP\tO' +p94539 +aS'100\t100\tCD\tI-NP\tO' +p94540 +aS'mgs\tmg\tNNS\tI-NP\tO' +p94541 +aS'PO\tPO\tNN\tI-NP\tO' +p94542 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p94543 +aS',\t,\t,\tO\tO' +p94544 +aS'multi-vitamin\tmulti-vitamin\tNN\tB-NP\tO' +p94545 +aS'1\t1\tCD\tI-NP\tO' +p94546 +aS'tab.\ttab.\tNN\tI-NP\tO' +p94547 +aS'PO\tPO\tNN\tI-NP\tO' +p94548 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p94549 +aS',\t,\t,\tO\tO' +p94550 +aS'Peri\tPeri\tNNP\tB-NP\tO' +p94551 +aS'-\t-\tHYPH\tO\tO' +p94552 +aS'Colace\tColace\tNNP\tB-NP\tO' +p94553 +aS'100\t100\tCD\tI-NP\tO' +p94554 +aS'mgs\tmg\tNNS\tI-NP\tO' +p94555 +aS'PO\tPO\tNN\tI-NP\tO' +p94556 +aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' +p94557 +aS',\t,\t,\tO\tO' +p94558 +aS'folate\tfolate\tVB\tB-VP\tO' +p94559 +aS'1\t1\tCD\tB-NP\tO' +p94560 +aS'mg\tmg\tNN\tI-NP\tO' +p94561 +aS'PO\tPO\tNN\tI-NP\tO' +p94562 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p94563 +aS',\t,\t,\tO\tO' +p94564 +aS'Norvasc\tNorvasc\tNNP\tB-NP\tO' +p94565 +aS'2.5\t2.5\tCD\tI-NP\tO' +p94566 +aS'mgs\tmg\tNNS\tI-NP\tO' +p94567 +aS'PO\tPO\tNN\tI-NP\tO' +p94568 +aS'q.HS\tq.HS\tNN\tI-NP\tO' +p94569 +aS',\t,\t,\tO\tO' +p94570 +aS'Ritalin\tRitalin\tNN\tB-NP\tO' +p94571 +aS'10\t10\tCD\tI-NP\tO' +p94572 +aS'mgs\tmg\tNNS\tI-NP\tO' +p94573 +aS'PO\tPO\tNN\tI-NP\tO' +p94574 +aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' +p94575 +aS',\t,\t,\tO\tO' +p94576 +aS'Trazodone\tTrazodone\tNNP\tB-NP\tO' +p94577 +aS'25\t25\tCD\tI-NP\tO' +p94578 +aS'mgs\tmg\tNNS\tI-NP\tO' +p94579 +aS'PO\tPO\tNN\tI-NP\tO' +p94580 +aS'q.HS\tq.HS\tNN\tI-NP\tO' +p94581 +aS',\t,\t,\tO\tO' +p94582 +aS'Nafcillin\tNafcillin\tNN\tB-NP\tO' +p94583 +aS'2\t2\tCD\tI-NP\tO' +p94584 +aS'gramsIV\tgramsIV\tNN\tI-NP\tO' +p94585 +aS'q.4H\tq.4H\tNN\tI-NP\tO' +p94586 +aS'which\twhich\tWDT\tB-NP\tO' +p94587 +aS'wil\twil\tNN\tI-NP\tO' +p94588 +aS'conclude\tconclude\tVBP\tB-VP\tO' +p94589 +aS'at\tat\tIN\tB-PP\tO' +p94590 +aS'the\tthe\tDT\tB-NP\tO' +p94591 +aS'end\tend\tNN\tI-NP\tO' +p94592 +aS'of\tof\tIN\tB-PP\tO' +p94593 +aS'the\tthe\tDT\tB-NP\tO' +p94594 +aS'day\tday\tNN\tI-NP\tO' +p94595 +aS'on\ton\tIN\tB-PP\tO' +p94596 +aS'1/16/98\t1/16/98\tCD\tB-NP\tO' +p94597 +aS',\t,\t,\tO\tO' +p94598 +aS'Atroventnebulizer\tAtroventnebulizer\tNNP\tB-NP\tO' +p94599 +aS'PRN\tPRN\tNNP\tI-NP\tO' +p94600 +aS',\t,\t,\tO\tO' +p94601 +aS'Albuterol\tAlbuterol\tNNP\tB-NP\tO' +p94602 +aS'nebulizer\tnebulizer\tNNP\tI-NP\tO' +p94603 +aS'PRN\tPRN\tNNP\tI-NP\tO' +p94604 +aS',\t,\t,\tO\tO' +p94605 +aS'Tylenol\tTylenol\tNNP\tB-NP\tO' +p94606 +aS'650\t650\tCD\tI-NP\tO' +p94607 +aS'mgs\tmg\tNNS\tI-NP\tO' +p94608 +aS'PO\tPO\tNN\tI-NP\tO' +p94609 +aS'q.4H\tq.4H\tNN\tI-NP\tO' +p94610 +aS'PRN\tPRN\tNN\tI-NP\tO' +p94611 +aS'pain\tpain\tNN\tI-NP\tO' +p94612 +aS'.\t.\t.\tO\tO' +p94613 +asS'Mr. Pohl is a 53 - year-old male with history of alcohol use and hypertension .' +p94614 +(lp94615 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p94616 +aS'Pohl\tPohl\tNNP\tI-NP\tO' +p94617 +aS'is\tbe\tVBZ\tB-VP\tO' +p94618 +aS'a\ta\tDT\tB-NP\tO' +p94619 +aS'53\t53\tCD\tI-NP\tO' +p94620 +aS'-\t-\tHYPH\tI-NP\tO' +p94621 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p94622 +aS'male\tmale\tNN\tI-NP\tO' +p94623 +aS'with\twith\tIN\tB-PP\tO' +p94624 +aS'history\thistory\tNN\tB-NP\tO' +p94625 +aS'of\tof\tIN\tB-PP\tO' +p94626 +aS'alcohol\talcohol\tNN\tB-NP\tO' +p94627 +aS'use\tuse\tNN\tI-NP\tO' +p94628 +aS'and\tand\tCC\tI-NP\tO' +p94629 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p94630 +aS'.\t.\t.\tO\tO' +p94631 +asS'PAD DRY -- DO NOT SCRUB WOUND .' +p94632 +(lp94633 +S'PAD\tPAD\tNN\tB-NP\tO' +p94634 +aS'DRY\tDRY\tNN\tI-NP\tO' +p94635 +aS'--\t--\t:\tO\tO' +p94636 +aS'DO\tDO\tNN\tB-NP\tO' +p94637 +aS'NOT\tNOT\tNN\tI-NP\tO' +p94638 +aS'SCRUB\tSCRUB\tNN\tI-NP\tO' +p94639 +aS'WOUND\tWOUND\tNN\tI-NP\tO' +p94640 +aS'.\t.\t.\tO\tO' +p94641 +asS'The patient was admitted and placed in isolation on neutropenic precautions .' +p94642 +(lp94643 +S'The\tThe\tDT\tB-NP\tO' +p94644 +aS'patient\tpatient\tNN\tI-NP\tO' +p94645 +aS'was\tbe\tVBD\tB-VP\tO' +p94646 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p94647 +aS'and\tand\tCC\tO\tO' +p94648 +aS'placed\tplace\tVBN\tB-VP\tO' +p94649 +aS'in\tin\tIN\tB-PP\tO' +p94650 +aS'isolation\tisolation\tNN\tB-NP\tO' +p94651 +aS'on\ton\tIN\tB-PP\tO' +p94652 +aS'neutropenic\tneutropenic\tJJ\tB-NP\tO' +p94653 +aS'precautions\tprecaution\tNNS\tI-NP\tO' +p94654 +aS'.\t.\t.\tO\tO' +p94655 +asS'patient had difficulty with tandem gait and fell forward while standing on his his toes .' +p94656 +(lp94657 +S'patient\tpatient\tNN\tB-NP\tO' +p94658 +aS'had\thave\tVBD\tB-VP\tO' +p94659 +aS'difficulty\tdifficulty\tNN\tB-NP\tO' +p94660 +aS'with\twith\tIN\tB-PP\tO' +p94661 +aS'tandem\ttandem\tJJ\tB-NP\tO' +p94662 +aS'gait\tgait\tNN\tI-NP\tO' +p94663 +aS'and\tand\tCC\tO\tO' +p94664 +aS'fell\tfall\tVBD\tB-VP\tO' +p94665 +aS'forward\tforward\tRB\tB-ADVP\tO' +p94666 +aS'while\twhile\tIN\tB-SBAR\tO' +p94667 +aS'standing\tstand\tVBG\tB-VP\tO' +p94668 +aS'on\ton\tIN\tB-PP\tO' +p94669 +aS'his\this\tPRP$\tB-NP\tB-DNA' +p94670 +aS'his\this\tPRP$\tI-NP\tO' +p94671 +aS'toes\ttoe\tNNS\tI-NP\tO' +p94672 +aS'.\t.\t.\tO\tO' +p94673 +asS'3. Potassium chloride 20 mEq b.i.d.' +p94674 +(lp94675 +S'3.\t3.\tLS\tB-NP\tO' +p94676 +aS'Potassium\tPotassium\tNN\tI-NP\tO' +p94677 +aS'chloride\tchloride\tNN\tI-NP\tO' +p94678 +aS'20\t20\tCD\tI-NP\tO' +p94679 +aS'mEq\tmEq\tNN\tI-NP\tO' +p94680 +aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' +p94681 +asS'She is a former tobacco user and takes no illicit drugs .' +p94682 +(lp94683 +S'She\tShe\tPRP\tB-NP\tO' +p94684 +aS'is\tbe\tVBZ\tB-VP\tO' +p94685 +aS'a\ta\tDT\tB-NP\tO' +p94686 +aS'former\tformer\tJJ\tI-NP\tO' +p94687 +aS'tobacco\ttobacco\tNN\tI-NP\tO' +p94688 +aS'user\tuser\tNN\tI-NP\tO' +p94689 +aS'and\tand\tCC\tO\tO' +p94690 +aS'takes\ttake\tVBZ\tB-VP\tO' +p94691 +aS'no\tno\tDT\tB-NP\tO' +p94692 +aS'illicit\tillicit\tJJ\tI-NP\tO' +p94693 +aS'drugs\tdrug\tNNS\tI-NP\tO' +p94694 +aS'.\t.\t.\tO\tO' +p94695 +asS'Chest CT done at the outside hospital showed no gallstones .' +p94696 +(lp94697 +S'Chest\tCh\tJJS\tB-NP\tO' +p94698 +aS'CT\tCT\tNN\tI-NP\tB-protein' +p94699 +aS'done\tdo\tVBN\tB-VP\tO' +p94700 +aS'at\tat\tIN\tB-PP\tO' +p94701 +aS'the\tthe\tDT\tB-NP\tO' +p94702 +aS'outside\toutside\tJJ\tI-NP\tO' +p94703 +aS'hospital\thospital\tNN\tI-NP\tO' +p94704 +aS'showed\tshow\tVBD\tB-VP\tO' +p94705 +aS'no\tno\tDT\tB-NP\tO' +p94706 +aS'gallstones\tgallstone\tNNS\tI-NP\tO' +p94707 +aS'.\t.\t.\tO\tO' +p94708 +asS'The patient was started on Clindamycin intravenous and Cefuroxime intravenous with clearing of his fever but persistence of cough , choking , and intermittently many coarse rales in his base with no clearing by x-ray .' +p94709 +(lp94710 +S'The\tThe\tDT\tB-NP\tO' +p94711 +aS'patient\tpatient\tNN\tI-NP\tO' +p94712 +aS'was\tbe\tVBD\tB-VP\tO' +p94713 +aS'started\tstart\tVBN\tI-VP\tO' +p94714 +aS'on\ton\tIN\tB-PP\tO' +p94715 +aS'Clindamycin\tClindamycin\tNN\tB-NP\tO' +p94716 +aS'intravenous\tintravenous\tJJ\tI-NP\tO' +p94717 +aS'and\tand\tCC\tO\tO' +p94718 +aS'Cefuroxime\tCefuroxime\tNN\tB-NP\tO' +p94719 +aS'intravenous\tintravenous\tJJ\tB-ADJP\tO' +p94720 +aS'with\twith\tIN\tB-PP\tO' +p94721 +aS'clearing\tclear\tVBG\tB-VP\tO' +p94722 +aS'of\tof\tIN\tB-PP\tO' +p94723 +aS'his\this\tPRP$\tB-NP\tO' +p94724 +aS'fever\tfever\tNN\tI-NP\tO' +p94725 +aS'but\tbut\tCC\tI-NP\tO' +p94726 +aS'persistence\tpersistence\tNN\tI-NP\tO' +p94727 +aS'of\tof\tIN\tB-PP\tO' +p94728 +aS'cough\tcough\tNN\tB-NP\tO' +p94729 +aS',\t,\t,\tO\tO' +p94730 +aS'choking\tchoking\tNN\tB-NP\tO' +p94731 +aS',\t,\t,\tO\tO' +p94732 +aS'and\tand\tCC\tO\tO' +p94733 +aS'intermittently\tintermittently\tRB\tB-NP\tO' +p94734 +aS'many\tmany\tJJ\tI-NP\tO' +p94735 +aS'coarse\tcoarse\tNN\tI-NP\tO' +p94736 +aS'rales\trale\tNNS\tI-NP\tO' +p94737 +aS'in\tin\tIN\tB-PP\tO' +p94738 +aS'his\this\tPRP$\tB-NP\tO' +p94739 +aS'base\tbase\tNN\tI-NP\tO' +p94740 +aS'with\twith\tIN\tB-PP\tO' +p94741 +aS'no\tno\tDT\tB-NP\tO' +p94742 +aS'clearing\tclearing\tNN\tI-NP\tO' +p94743 +aS'by\tby\tIN\tB-PP\tO' +p94744 +aS'x-ray\tx-ray\tNN\tB-NP\tO' +p94745 +aS'.\t.\t.\tO\tO' +p94746 +asS'Course complicated by sub arachnoid hemorrhages and intraparenchymal bleeds as well as potential hypotensive brain injury with poor prognosis per neurology .' +p94747 +(lp94748 +S'Course\tCourse\tNN\tB-NP\tO' +p94749 +aS'complicated\tcomplicate\tVBN\tB-VP\tO' +p94750 +aS'by\tby\tIN\tB-PP\tO' +p94751 +aS'sub\tsub\tNN\tB-NP\tO' +p94752 +aS'arachnoid\tarachnoid\tNN\tI-NP\tO' +p94753 +aS'hemorrhages\themorrhage\tNNS\tI-NP\tO' +p94754 +aS'and\tand\tCC\tO\tO' +p94755 +aS'intraparenchymal\tintraparenchymal\tJJ\tB-NP\tO' +p94756 +aS'bleeds\tbleed\tNNS\tI-NP\tO' +p94757 +aS'as\tas\tRB\tB-CONJP\tO' +p94758 +aS'well\twell\tRB\tI-CONJP\tO' +p94759 +aS'as\tas\tIN\tI-CONJP\tO' +p94760 +aS'potential\tpotential\tJJ\tB-NP\tO' +p94761 +aS'hypotensive\thypotensive\tJJ\tI-NP\tO' +p94762 +aS'brain\tbrain\tNN\tI-NP\tO' +p94763 +aS'injury\tinjury\tNN\tI-NP\tO' +p94764 +aS'with\twith\tIN\tB-PP\tO' +p94765 +aS'poor\tpoor\tJJ\tB-NP\tO' +p94766 +aS'prognosis\tprognosis\tNN\tI-NP\tO' +p94767 +aS'per\tper\tIN\tB-PP\tO' +p94768 +aS'neurology\tneurology\tNN\tB-NP\tO' +p94769 +aS'.\t.\t.\tO\tO' +p94770 +asS'The portable chest X-ray showed clear lungs , slight enlarged heart , and a mildly elevated hemidiaphragm .' +p94771 +(lp94772 +S'The\tThe\tDT\tB-NP\tO' +p94773 +aS'portable\tportable\tJJ\tI-NP\tO' +p94774 +aS'chest\tchest\tNN\tI-NP\tO' +p94775 +aS'X-ray\tX-ray\tNN\tI-NP\tO' +p94776 +aS'showed\tshow\tVBD\tB-VP\tO' +p94777 +aS'clear\tclear\tJJ\tB-NP\tO' +p94778 +aS'lungs\tlung\tNNS\tI-NP\tO' +p94779 +aS',\t,\t,\tO\tO' +p94780 +aS'slight\tslight\tJJ\tB-NP\tO' +p94781 +aS'enlarged\tenlarged\tJJ\tI-NP\tO' +p94782 +aS'heart\theart\tNN\tI-NP\tO' +p94783 +aS',\t,\t,\tO\tO' +p94784 +aS'and\tand\tCC\tO\tO' +p94785 +aS'a\ta\tDT\tB-NP\tO' +p94786 +aS'mildly\tmildly\tRB\tI-NP\tO' +p94787 +aS'elevated\televated\tJJ\tI-NP\tO' +p94788 +aS'hemidiaphragm\themidiaphragm\tNN\tI-NP\tO' +p94789 +aS'.\t.\t.\tO\tO' +p94790 +asS'This was secondary to polycystic kidneydisease , which was noted since age 12 .' +p94791 +(lp94792 +S'This\tThis\tDT\tB-NP\tO' +p94793 +aS'was\tbe\tVBD\tB-VP\tO' +p94794 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p94795 +aS'to\tto\tTO\tB-PP\tO' +p94796 +aS'polycystic\tpolycystic\tJJ\tB-NP\tO' +p94797 +aS'kidneydisease\tkidneydisease\tNN\tI-NP\tO' +p94798 +aS',\t,\t,\tO\tO' +p94799 +aS'which\twhich\tWDT\tB-NP\tO' +p94800 +aS'was\tbe\tVBD\tB-VP\tO' +p94801 +aS'noted\tnote\tVBN\tI-VP\tO' +p94802 +aS'since\tsince\tIN\tB-PP\tO' +p94803 +aS'age\tage\tNN\tB-NP\tO' +p94804 +aS'12\t12\tCD\tI-NP\tO' +p94805 +aS'.\t.\t.\tO\tO' +p94806 +asS'He drinks two glasses of wine per day and denies any use of illicit substances .' +p94807 +(lp94808 +S'He\tHe\tPRP\tB-NP\tO' +p94809 +aS'drinks\tdrink\tVBZ\tB-VP\tO' +p94810 +aS'two\ttwo\tCD\tB-NP\tO' +p94811 +aS'glasses\tglass\tNNS\tI-NP\tO' +p94812 +aS'of\tof\tIN\tB-PP\tO' +p94813 +aS'wine\twine\tNN\tB-NP\tO' +p94814 +aS'per\tper\tIN\tB-PP\tO' +p94815 +aS'day\tday\tNN\tB-NP\tO' +p94816 +aS'and\tand\tCC\tO\tO' +p94817 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p94818 +aS'any\tany\tDT\tB-NP\tO' +p94819 +aS'use\tuse\tNN\tI-NP\tO' +p94820 +aS'of\tof\tIN\tB-PP\tO' +p94821 +aS'illicit\tillicit\tJJ\tB-NP\tO' +p94822 +aS'substances\tsubstance\tNNS\tI-NP\tO' +p94823 +aS'.\t.\t.\tO\tO' +p94824 +asS'5. Dilaudid 4 mg Tablet Sig : One ( 1 ) Tablet PO q3-4hr prn .' +p94825 +(lp94826 +S'5.\t5.\tLS\tB-LST\tO' +p94827 +aS'Dilaudid\tDilaudid\tVBD\tB-VP\tO' +p94828 +aS'4\t4\tCD\tB-NP\tO' +p94829 +aS'mg\tmg\tNN\tI-NP\tO' +p94830 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p94831 +aS'Sig\tSig\tNNP\tI-NP\tO' +p94832 +aS':\t:\t:\tO\tO' +p94833 +aS'One\tOne\tCD\tB-NP\tO' +p94834 +aS'(\t(\t(\tO\tO' +p94835 +aS'1\t1\tCD\tB-NP\tO' +p94836 +aS')\t)\t)\tO\tO' +p94837 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p94838 +aS'PO\tPO\tNN\tI-NP\tO' +p94839 +aS'q3-4hr\tq3-4hr\tNN\tI-NP\tO' +p94840 +aS'prn\tprn\tNN\tI-NP\tO' +p94841 +aS'.\t.\t.\tO\tO' +p94842 +asS'On 1/18/96 , she had an acute change in mental status and underwent an emergent head CT scan which showed a massive subarachnoid hemorrhage with bleeding in the subarachnoid space , and throughout the ventricles .' +p94843 +(lp94844 +S'On\tOn\tIN\tB-PP\tO' +p94845 +aS'1/18/96\t1/18/96\tCD\tB-NP\tO' +p94846 +aS',\t,\t,\tO\tO' +p94847 +aS'she\tshe\tPRP\tB-NP\tO' +p94848 +aS'had\thave\tVBD\tB-VP\tO' +p94849 +aS'an\tan\tDT\tB-NP\tO' +p94850 +aS'acute\tacute\tJJ\tI-NP\tO' +p94851 +aS'change\tchange\tNN\tI-NP\tO' +p94852 +aS'in\tin\tIN\tB-PP\tO' +p94853 +aS'mental\tmental\tJJ\tB-NP\tO' +p94854 +aS'status\tstatus\tNN\tI-NP\tO' +p94855 +aS'and\tand\tCC\tO\tO' +p94856 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p94857 +aS'an\tan\tDT\tB-NP\tO' +p94858 +aS'emergent\temergent\tJJ\tI-NP\tO' +p94859 +aS'head\thead\tNN\tI-NP\tO' +p94860 +aS'CT\tCT\tNN\tI-NP\tO' +p94861 +aS'scan\tscan\tNN\tI-NP\tO' +p94862 +aS'which\twhich\tWDT\tB-NP\tO' +p94863 +aS'showed\tshow\tVBD\tB-VP\tO' +p94864 +aS'a\ta\tDT\tB-NP\tO' +p94865 +aS'massive\tmassive\tJJ\tI-NP\tO' +p94866 +aS'subarachnoid\tsubarachnoid\tJJ\tI-NP\tO' +p94867 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p94868 +aS'with\twith\tIN\tB-PP\tO' +p94869 +aS'bleeding\tbleed\tVBG\tB-VP\tO' +p94870 +aS'in\tin\tIN\tB-PP\tO' +p94871 +aS'the\tthe\tDT\tB-NP\tO' +p94872 +aS'subarachnoid\tsubarachnoid\tJJ\tI-NP\tO' +p94873 +aS'space\tspace\tNN\tI-NP\tO' +p94874 +aS',\t,\t,\tO\tO' +p94875 +aS'and\tand\tCC\tO\tO' +p94876 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p94877 +aS'the\tthe\tDT\tB-NP\tO' +p94878 +aS'ventricles\tventricle\tNNS\tI-NP\tO' +p94879 +aS'.\t.\t.\tO\tO' +p94880 +asS'She feels like "everything is falling out."' +p94881 +(lp94882 +S'She\tShe\tPRP\tB-NP\tO' +p94883 +aS'feels\tfeel\tVBZ\tB-VP\tO' +p94884 +aS'like\tlike\tIN\tB-PP\tO' +p94885 +aS'"everything\t"everything\tNN\tB-NP\tO' +p94886 +aS'is\tbe\tVBZ\tB-VP\tO' +p94887 +aS'falling\tfall\tVBG\tI-VP\tO' +p94888 +aS'out."\tout."\tRP\tB-PRT\tO' +p94889 +asS'Patient felt well , tolerating POs .' +p94890 +(lp94891 +S'Patient\tPatient\tNN\tB-NP\tO' +p94892 +aS'felt\tfeel\tVBD\tB-VP\tO' +p94893 +aS'well\twell\tRB\tB-ADVP\tO' +p94894 +aS',\t,\t,\tO\tO' +p94895 +aS'tolerating\ttolerate\tVBG\tB-VP\tO' +p94896 +aS'POs\tPO\tNNS\tB-NP\tB-protein' +p94897 +aS'.\t.\t.\tO\tO' +p94898 +asS'Physical examination revealed that the vital signs were stable .' +p94899 +(lp94900 +S'Physical\tPhysical\tJJ\tB-NP\tO' +p94901 +aS'examination\texamination\tNN\tI-NP\tO' +p94902 +aS'revealed\treveal\tVBD\tB-VP\tO' +p94903 +aS'that\tthat\tIN\tB-SBAR\tO' +p94904 +aS'the\tthe\tDT\tB-NP\tO' +p94905 +aS'vital\tvital\tJJ\tI-NP\tO' +p94906 +aS'signs\tsign\tNNS\tI-NP\tO' +p94907 +aS'were\tbe\tVBD\tB-VP\tO' +p94908 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p94909 +aS'.\t.\t.\tO\tO' +p94910 +asS'She was recently hospitalised from 02-23 / 03-04 for abdominal discomfort at which time she underwent paracentesis that ruled out SBP and relieved her abdominal pain .' +p94911 +(lp94912 +S'She\tShe\tPRP\tB-NP\tO' +p94913 +aS'was\tbe\tVBD\tB-VP\tO' +p94914 +aS'recently\trecently\tRB\tI-VP\tO' +p94915 +aS'hospitalised\thospitalise\tVBN\tI-VP\tO' +p94916 +aS'from\tfrom\tIN\tB-PP\tO' +p94917 +aS'02-23\t02-23\tCD\tB-NP\tO' +p94918 +aS'/\t/\tSYM\tI-NP\tO' +p94919 +aS'03-04\t03-04\tCD\tI-NP\tO' +p94920 +aS'for\tfor\tIN\tB-PP\tO' +p94921 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p94922 +aS'discomfort\tdiscomfort\tNN\tI-NP\tO' +p94923 +aS'at\tat\tIN\tB-PP\tO' +p94924 +aS'which\twhich\tWDT\tB-NP\tO' +p94925 +aS'time\ttime\tNN\tI-NP\tO' +p94926 +aS'she\tshe\tPRP\tB-NP\tO' +p94927 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p94928 +aS'paracentesis\tparacentesis\tNN\tB-NP\tO' +p94929 +aS'that\tthat\tWDT\tB-NP\tO' +p94930 +aS'ruled\trule\tVBD\tB-VP\tO' +p94931 +aS'out\tout\tRP\tB-PRT\tO' +p94932 +aS'SBP\tSBP\tNN\tB-NP\tB-protein' +p94933 +aS'and\tand\tCC\tO\tO' +p94934 +aS'relieved\trelieve\tVBD\tB-VP\tO' +p94935 +aS'her\ther\tPRP$\tB-NP\tO' +p94936 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p94937 +aS'pain\tpain\tNN\tI-NP\tO' +p94938 +aS'.\t.\t.\tO\tO' +p94939 +asS'The patient had an abdominal CT earlier in her Intensive Care Unit course , which was essentially negative for an intraabdominal pathology .' +p94940 +(lp94941 +S'The\tThe\tDT\tB-NP\tO' +p94942 +aS'patient\tpatient\tNN\tI-NP\tO' +p94943 +aS'had\thave\tVBD\tB-VP\tO' +p94944 +aS'an\tan\tDT\tB-NP\tO' +p94945 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p94946 +aS'CT\tCT\tNN\tI-NP\tO' +p94947 +aS'earlier\tearlier\tRBR\tB-ADVP\tO' +p94948 +aS'in\tin\tIN\tB-PP\tO' +p94949 +aS'her\ther\tPRP$\tB-NP\tO' +p94950 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p94951 +aS'Care\tCare\tNNP\tI-NP\tO' +p94952 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p94953 +aS'course\tcourse\tNN\tI-NP\tO' +p94954 +aS',\t,\t,\tO\tO' +p94955 +aS'which\twhich\tWDT\tB-NP\tO' +p94956 +aS'was\tbe\tVBD\tB-VP\tO' +p94957 +aS'essentially\tessentially\tRB\tB-ADJP\tO' +p94958 +aS'negative\tnegative\tJJ\tI-ADJP\tO' +p94959 +aS'for\tfor\tIN\tB-PP\tO' +p94960 +aS'an\tan\tDT\tB-NP\tO' +p94961 +aS'intraabdominal\tintraabdominal\tJJ\tI-NP\tO' +p94962 +aS'pathology\tpathology\tNN\tI-NP\tO' +p94963 +aS'.\t.\t.\tO\tO' +p94964 +asS'1. Type I diabetes diagnosed at age 27 .' +p94965 +(lp94966 +S'1.\t1.\tLS\tB-NP\tO' +p94967 +aS'Type\tType\tNN\tI-NP\tO' +p94968 +aS'I\tI\tCD\tB-NP\tO' +p94969 +aS'diabetes\tdiabete\tNNS\tI-NP\tO' +p94970 +aS'diagnosed\tdiagnose\tVBN\tB-VP\tO' +p94971 +aS'at\tat\tIN\tB-PP\tO' +p94972 +aS'age\tage\tNN\tB-NP\tO' +p94973 +aS'27\t27\tCD\tI-NP\tO' +p94974 +aS'.\t.\t.\tO\tO' +p94975 +asS'If this is still problematic , pt may also need a sphincterotomy .' +p94976 +(lp94977 +S'If\tIf\tIN\tB-SBAR\tO' +p94978 +aS'this\tthis\tDT\tB-NP\tO' +p94979 +aS'is\tbe\tVBZ\tB-VP\tO' +p94980 +aS'still\tstill\tRB\tB-ADVP\tO' +p94981 +aS'problematic\tproblematic\tJJ\tB-ADJP\tO' +p94982 +aS',\t,\t,\tO\tO' +p94983 +aS'pt\tpt\tNN\tB-NP\tO' +p94984 +aS'may\tmay\tMD\tB-VP\tO' +p94985 +aS'also\talso\tRB\tI-VP\tO' +p94986 +aS'need\tneed\tVB\tI-VP\tO' +p94987 +aS'a\ta\tDT\tB-NP\tO' +p94988 +aS'sphincterotomy\tsphincterotomy\tNN\tI-NP\tO' +p94989 +aS'.\t.\t.\tO\tO' +p94990 +asS'EKG showed an ectopic low atrial P and they thought she was still stable without evidence of tamponade .' +p94991 +(lp94992 +S'EKG\tEKG\tNN\tB-NP\tB-protein' +p94993 +aS'showed\tshow\tVBD\tB-VP\tO' +p94994 +aS'an\tan\tDT\tB-NP\tO' +p94995 +aS'ectopic\tectopic\tJJ\tI-NP\tO' +p94996 +aS'low\tlow\tJJ\tI-NP\tO' +p94997 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p94998 +aS'P\tP\tNN\tI-NP\tO' +p94999 +aS'and\tand\tCC\tO\tO' +p95000 +aS'they\tthey\tPRP\tB-NP\tO' +p95001 +aS'thought\tthink\tVBD\tB-VP\tO' +p95002 +aS'she\tshe\tPRP\tB-NP\tO' +p95003 +aS'was\tbe\tVBD\tB-VP\tO' +p95004 +aS'still\tstill\tRB\tB-ADVP\tO' +p95005 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p95006 +aS'without\twithout\tIN\tB-PP\tO' +p95007 +aS'evidence\tevidence\tNN\tB-NP\tO' +p95008 +aS'of\tof\tIN\tB-PP\tO' +p95009 +aS'tamponade\ttamponade\tNN\tB-NP\tO' +p95010 +aS'.\t.\t.\tO\tO' +p95011 +asS'Mental status improved after binasal cannula oxygen applied , at which time she localized right upper quadrant pain .' +p95012 +(lp95013 +S'Mental\tMental\tJJ\tB-NP\tO' +p95014 +aS'status\tstatus\tNN\tI-NP\tO' +p95015 +aS'improved\timprove\tVBN\tB-VP\tO' +p95016 +aS'after\tafter\tIN\tB-PP\tO' +p95017 +aS'binasal\tbinasal\tJJ\tB-NP\tO' +p95018 +aS'cannula\tcannula\tNN\tI-NP\tO' +p95019 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p95020 +aS'applied\tapply\tVBD\tB-VP\tO' +p95021 +aS',\t,\t,\tO\tO' +p95022 +aS'at\tat\tIN\tB-PP\tO' +p95023 +aS'which\twhich\tWDT\tB-NP\tO' +p95024 +aS'time\ttime\tNN\tI-NP\tO' +p95025 +aS'she\tshe\tPRP\tB-NP\tO' +p95026 +aS'localized\tlocalize\tVBD\tB-VP\tO' +p95027 +aS'right\tright\tJJ\tB-NP\tO' +p95028 +aS'upper\tupper\tJJ\tI-NP\tO' +p95029 +aS'quadrant\tquadrant\tJJ\tI-NP\tO' +p95030 +aS'pain\tpain\tNN\tI-NP\tO' +p95031 +aS'.\t.\t.\tO\tO' +p95032 +asS'Ovarian cancer .' +p95033 +(lp95034 +S'Ovarian\tOvarian\tJJ\tB-NP\tO' +p95035 +aS'cancer\tcancer\tNN\tI-NP\tO' +p95036 +aS'.\t.\t.\tO\tO' +p95037 +asS'Hypercapture near end of stay was negative .' +p95038 +(lp95039 +S'Hypercapture\tHypercapture\tNN\tB-NP\tO' +p95040 +aS'near\tnear\tIN\tB-PP\tO' +p95041 +aS'end\tend\tNN\tB-NP\tO' +p95042 +aS'of\tof\tIN\tB-PP\tO' +p95043 +aS'stay\tstay\tNN\tB-NP\tO' +p95044 +aS'was\tbe\tVBD\tB-VP\tO' +p95045 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p95046 +aS'.\t.\t.\tO\tO' +p95047 +asS'The right ventricular free wall is hypertrophied .' +p95048 +(lp95049 +S'The\tThe\tDT\tB-NP\tO' +p95050 +aS'right\tright\tJJ\tI-NP\tO' +p95051 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p95052 +aS'free\tfree\tJJ\tI-NP\tO' +p95053 +aS'wall\twall\tNN\tI-NP\tO' +p95054 +aS'is\tbe\tVBZ\tB-VP\tO' +p95055 +aS'hypertrophied\thypertrophy\tVBN\tI-VP\tO' +p95056 +aS'.\t.\t.\tO\tO' +p95057 +asS'The genitourinary exam showed normal penis with normal testicles which were nontender .' +p95058 +(lp95059 +S'The\tThe\tDT\tB-NP\tO' +p95060 +aS'genitourinary\tgenitourinary\tJJ\tI-NP\tO' +p95061 +aS'exam\texam\tNN\tI-NP\tO' +p95062 +aS'showed\tshow\tVBD\tB-VP\tO' +p95063 +aS'normal\tnormal\tJJ\tB-NP\tO' +p95064 +aS'penis\tpenis\tNN\tI-NP\tO' +p95065 +aS'with\twith\tIN\tB-PP\tO' +p95066 +aS'normal\tnormal\tJJ\tB-NP\tO' +p95067 +aS'testicles\ttesticle\tNNS\tI-NP\tO' +p95068 +aS'which\twhich\tWDT\tB-NP\tO' +p95069 +aS'were\tbe\tVBD\tB-VP\tO' +p95070 +aS'nontender\tnontender\tJJ\tB-ADJP\tO' +p95071 +aS'.\t.\t.\tO\tO' +p95072 +asS'She was DNR/DNI on admission .' +p95073 +(lp95074 +S'She\tShe\tPRP\tB-NP\tO' +p95075 +aS'was\tbe\tVBD\tB-VP\tO' +p95076 +aS'DNR/DNI\tDNR/DNI\tNN\tB-NP\tO' +p95077 +aS'on\ton\tIN\tB-PP\tO' +p95078 +aS'admission\tadmission\tNN\tB-NP\tO' +p95079 +aS'.\t.\t.\tO\tO' +p95080 +asS'Due to his worsening blood glucose , he was started on insulin .' +p95081 +(lp95082 +S'Due\tDue\tJJ\tB-PP\tO' +p95083 +aS'to\tto\tTO\tB-PP\tO' +p95084 +aS'his\this\tPRP$\tB-NP\tB-DNA' +p95085 +aS'worsening\tworsen\tVBG\tI-NP\tO' +p95086 +aS'blood\tblood\tNN\tI-NP\tO' +p95087 +aS'glucose\tglucose\tNN\tI-NP\tO' +p95088 +aS',\t,\t,\tO\tO' +p95089 +aS'he\the\tPRP\tB-NP\tO' +p95090 +aS'was\tbe\tVBD\tB-VP\tO' +p95091 +aS'started\tstart\tVBN\tI-VP\tO' +p95092 +aS'on\ton\tIN\tB-PP\tO' +p95093 +aS'insulin\tinsulin\tNN\tB-NP\tB-protein' +p95094 +aS'.\t.\t.\tO\tO' +p95095 +asS'FAMILY HISTORY : Father died of metastatic colon cancer .' +p95096 +(lp95097 +S'FAMILY\tFAMILY\tNN\tB-NP\tO' +p95098 +aS'HISTORY\tHISTORY\tNN\tI-NP\tO' +p95099 +aS':\t:\t:\tO\tO' +p95100 +aS'Father\tFather\tNNP\tB-NP\tO' +p95101 +aS'died\tdie\tVBD\tB-VP\tO' +p95102 +aS'of\tof\tIN\tB-PP\tO' +p95103 +aS'metastatic\tmetastatic\tJJ\tB-NP\tO' +p95104 +aS'colon\tcolon\tNN\tI-NP\tO' +p95105 +aS'cancer\tcancer\tNN\tI-NP\tO' +p95106 +aS'.\t.\t.\tO\tO' +p95107 +asS'Initially , the patient did well in the Intensive Care Unit , mentally alert , and oriented , however , he continued to be coagulopathic and was requiring large amounts of blood and FFP transfusions , with a resultant pulmonary edema .' +p95108 +(lp95109 +S'Initially\tInitially\tRB\tB-ADVP\tO' +p95110 +aS',\t,\t,\tO\tO' +p95111 +aS'the\tthe\tDT\tB-NP\tO' +p95112 +aS'patient\tpatient\tNN\tI-NP\tO' +p95113 +aS'did\tdo\tVBD\tB-VP\tO' +p95114 +aS'well\twell\tRB\tB-ADVP\tO' +p95115 +aS'in\tin\tIN\tB-PP\tO' +p95116 +aS'the\tthe\tDT\tB-NP\tO' +p95117 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p95118 +aS'Care\tCare\tNNP\tI-NP\tO' +p95119 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p95120 +aS',\t,\t,\tO\tO' +p95121 +aS'mentally\tmentally\tRB\tB-ADJP\tO' +p95122 +aS'alert\talert\tJJ\tI-ADJP\tO' +p95123 +aS',\t,\t,\tO\tO' +p95124 +aS'and\tand\tCC\tO\tO' +p95125 +aS'oriented\torient\tVBN\tB-VP\tO' +p95126 +aS',\t,\t,\tO\tO' +p95127 +aS'however\thowever\tRB\tB-ADVP\tO' +p95128 +aS',\t,\t,\tO\tO' +p95129 +aS'he\the\tPRP\tB-NP\tO' +p95130 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p95131 +aS'to\tto\tTO\tI-VP\tO' +p95132 +aS'be\tbe\tVB\tI-VP\tO' +p95133 +aS'coagulopathic\tcoagulopathic\tJJ\tB-ADJP\tO' +p95134 +aS'and\tand\tCC\tO\tO' +p95135 +aS'was\tbe\tVBD\tB-VP\tO' +p95136 +aS'requiring\trequire\tVBG\tI-VP\tO' +p95137 +aS'large\tlarge\tJJ\tB-NP\tO' +p95138 +aS'amounts\tamount\tNNS\tI-NP\tO' +p95139 +aS'of\tof\tIN\tB-PP\tO' +p95140 +aS'blood\tblood\tNN\tB-NP\tO' +p95141 +aS'and\tand\tCC\tI-NP\tO' +p95142 +aS'FFP\tFFP\tNN\tI-NP\tO' +p95143 +aS'transfusions\ttransfusion\tNNS\tI-NP\tO' +p95144 +aS',\t,\t,\tO\tO' +p95145 +aS'with\twith\tIN\tB-PP\tO' +p95146 +aS'a\ta\tDT\tB-NP\tO' +p95147 +aS'resultant\tresultant\tJJ\tI-NP\tO' +p95148 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p95149 +aS'edema\tedema\tNN\tI-NP\tO' +p95150 +aS'.\t.\t.\tO\tO' +p95151 +asS'This was determined by head CT , head MRI , head MRA , carotid noninvasive studies , transcranial Dopplers .' +p95152 +(lp95153 +S'This\tThis\tDT\tB-NP\tO' +p95154 +aS'was\tbe\tVBD\tB-VP\tO' +p95155 +aS'determined\tdetermine\tVBN\tI-VP\tO' +p95156 +aS'by\tby\tIN\tB-PP\tO' +p95157 +aS'head\thead\tNN\tB-NP\tO' +p95158 +aS'CT\tCT\tNN\tI-NP\tO' +p95159 +aS',\t,\t,\tO\tO' +p95160 +aS'head\thead\tNN\tB-NP\tO' +p95161 +aS'MRI\tMRI\tNN\tI-NP\tO' +p95162 +aS',\t,\t,\tO\tO' +p95163 +aS'head\thead\tNN\tB-NP\tO' +p95164 +aS'MRA\tMRA\tNN\tI-NP\tO' +p95165 +aS',\t,\t,\tO\tO' +p95166 +aS'carotid\tcarotid\tVBD\tB-VP\tO' +p95167 +aS'noninvasive\tnoninvasive\tJJ\tB-NP\tO' +p95168 +aS'studies\tstudy\tNNS\tI-NP\tO' +p95169 +aS',\t,\t,\tO\tO' +p95170 +aS'transcranial\ttranscranial\tJJ\tB-NP\tO' +p95171 +aS'Dopplers\tDoppler\tNNS\tI-NP\tO' +p95172 +aS'.\t.\t.\tO\tO' +p95173 +asS'4. Oxycodone 5 mg Tablet Sig : One ( 1 ) Tablet PO Q4H ( every 4 hours ) as needed for pain .' +p95174 +(lp95175 +S'4.\t4.\tLS\tB-NP\tO' +p95176 +aS'Oxycodone\tOxycodone\tNN\tI-NP\tO' +p95177 +aS'5\t5\tCD\tI-NP\tO' +p95178 +aS'mg\tmg\tNN\tI-NP\tO' +p95179 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p95180 +aS'Sig\tSig\tNNP\tI-NP\tO' +p95181 +aS':\t:\t:\tO\tO' +p95182 +aS'One\tOne\tCD\tB-NP\tO' +p95183 +aS'(\t(\t(\tO\tO' +p95184 +aS'1\t1\tCD\tB-NP\tO' +p95185 +aS')\t)\t)\tO\tO' +p95186 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p95187 +aS'PO\tPO\tNN\tI-NP\tO' +p95188 +aS'Q4H\tQ4H\tNN\tI-NP\tO' +p95189 +aS'(\t(\t(\tO\tO' +p95190 +aS'every\tevery\tDT\tB-NP\tO' +p95191 +aS'4\t4\tCD\tI-NP\tO' +p95192 +aS'hours\thour\tNNS\tI-NP\tO' +p95193 +aS')\t)\t)\tO\tO' +p95194 +aS'as\tas\tIN\tB-SBAR\tO' +p95195 +aS'needed\tneed\tVBN\tB-VP\tO' +p95196 +aS'for\tfor\tIN\tB-PP\tO' +p95197 +aS'pain\tpain\tNN\tB-NP\tO' +p95198 +aS'.\t.\t.\tO\tO' +p95199 +asS'Her heart rate was 71 .' +p95200 +(lp95201 +S'Her\tHer\tPRP$\tB-NP\tO' +p95202 +aS'heart\theart\tNN\tI-NP\tO' +p95203 +aS'rate\trate\tNN\tI-NP\tO' +p95204 +aS'was\tbe\tVBD\tB-VP\tO' +p95205 +aS'71\t71\tCD\tB-NP\tO' +p95206 +aS'.\t.\t.\tO\tO' +p95207 +asS'On this head CT without contrast , the evaluation is limited .' +p95208 +(lp95209 +S'On\tOn\tIN\tB-PP\tO' +p95210 +aS'this\tthis\tDT\tB-NP\tO' +p95211 +aS'head\thead\tNN\tI-NP\tO' +p95212 +aS'CT\tCT\tNN\tI-NP\tO' +p95213 +aS'without\twithout\tIN\tB-PP\tO' +p95214 +aS'contrast\tcontrast\tNN\tB-NP\tO' +p95215 +aS',\t,\t,\tO\tO' +p95216 +aS'the\tthe\tDT\tB-NP\tO' +p95217 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p95218 +aS'is\tbe\tVBZ\tB-VP\tO' +p95219 +aS'limited\tlimit\tVBN\tB-ADJP\tO' +p95220 +aS'.\t.\t.\tO\tO' +p95221 +asS'Stewart sign was negative .' +p95222 +(lp95223 +S'Stewart\tStewart\tNN\tB-NP\tO' +p95224 +aS'sign\tsign\tNN\tI-NP\tO' +p95225 +aS'was\tbe\tVBD\tB-VP\tO' +p95226 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p95227 +aS'.\t.\t.\tO\tO' +p95228 +asS'BP 120/80 , temp 96 , pulse 78 , respiratory rate 18 .' +p95229 +(lp95230 +S'BP\tBP\tNN\tB-NP\tO' +p95231 +aS'120/80\t120/80\tCD\tI-NP\tO' +p95232 +aS',\t,\t,\tO\tO' +p95233 +aS'temp\ttemp\tNN\tB-NP\tO' +p95234 +aS'96\t96\tCD\tI-NP\tO' +p95235 +aS',\t,\t,\tO\tO' +p95236 +aS'pulse\tpulse\tNN\tB-NP\tO' +p95237 +aS'78\t78\tCD\tI-NP\tO' +p95238 +aS',\t,\t,\tO\tO' +p95239 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p95240 +aS'rate\trate\tNN\tI-NP\tO' +p95241 +aS'18\t18\tCD\tI-NP\tO' +p95242 +aS'.\t.\t.\tO\tO' +p95243 +asS'Hematocrit on admission was 41 .' +p95244 +(lp95245 +S'Hematocrit\tHematocrit\tNN\tB-NP\tO' +p95246 +aS'on\ton\tIN\tB-PP\tO' +p95247 +aS'admission\tadmission\tNN\tB-NP\tO' +p95248 +aS'was\tbe\tVBD\tB-VP\tO' +p95249 +aS'41\t41\tCD\tB-NP\tO' +p95250 +aS'.\t.\t.\tO\tO' +p95251 +asS'Hepatitis viral load was 76,500 .' +p95252 +(lp95253 +S'Hepatitis\tHepatitis\tNN\tB-NP\tO' +p95254 +aS'viral\tviral\tJJ\tI-NP\tO' +p95255 +aS'load\tload\tNN\tI-NP\tO' +p95256 +aS'was\tbe\tVBD\tB-VP\tO' +p95257 +aS'76,500\t76,500\tCD\tB-NP\tO' +p95258 +aS'.\t.\t.\tO\tO' +p95259 +asS'She had a cardiac catheterization which revealed 3-vessel disease with normal left main , mid left anterior descending artery 60% , diffuse 90% mid distal stenosis at the origin of the diagonal , serial 70% and 90% left circumflex lesions , and 90% first obtuse marginal , and mid right coronary artery 60% .' +p95260 +(lp95261 +S'She\tShe\tPRP\tB-NP\tO' +p95262 +aS'had\thave\tVBD\tB-VP\tO' +p95263 +aS'a\ta\tDT\tB-NP\tO' +p95264 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p95265 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p95266 +aS'which\twhich\tWDT\tB-NP\tO' +p95267 +aS'revealed\treveal\tVBD\tB-VP\tO' +p95268 +aS'3-vessel\t3-vessel\tJJ\tB-NP\tO' +p95269 +aS'disease\tdisease\tNN\tI-NP\tO' +p95270 +aS'with\twith\tIN\tB-PP\tO' +p95271 +aS'normal\tnormal\tJJ\tB-NP\tO' +p95272 +aS'left\tleft\tJJ\tI-NP\tO' +p95273 +aS'main\tmain\tNN\tI-NP\tO' +p95274 +aS',\t,\t,\tO\tO' +p95275 +aS'mid\tmid\tNN\tB-NP\tB-protein' +p95276 +aS'left\tleave\tVBD\tB-VP\tI-protein' +p95277 +aS'anterior\tanterior\tRB\tI-VP\tI-protein' +p95278 +aS'descending\tdescend\tVBG\tI-VP\tI-protein' +p95279 +aS'artery\tartery\tNN\tB-NP\tI-protein' +p95280 +aS'60%\t60%\tCD\tI-NP\tI-protein' +p95281 +aS',\t,\t,\tO\tO' +p95282 +aS'diffuse\tdiffuse\tJJ\tB-NP\tO' +p95283 +aS'90%\t90%\tCD\tI-NP\tO' +p95284 +aS'mid\tmid\tJJ\tI-NP\tO' +p95285 +aS'distal\tdistal\tJJ\tI-NP\tO' +p95286 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p95287 +aS'at\tat\tIN\tB-PP\tO' +p95288 +aS'the\tthe\tDT\tB-NP\tO' +p95289 +aS'origin\torigin\tNN\tI-NP\tO' +p95290 +aS'of\tof\tIN\tB-PP\tO' +p95291 +aS'the\tthe\tDT\tB-NP\tO' +p95292 +aS'diagonal\tdiagonal\tJJ\tI-NP\tO' +p95293 +aS',\t,\t,\tI-NP\tO' +p95294 +aS'serial\tserial\tJJ\tI-NP\tB-protein' +p95295 +aS'70%\t70%\tCD\tI-NP\tI-protein' +p95296 +aS'and\tand\tCC\tI-NP\tO' +p95297 +aS'90%\t90%\tCD\tI-NP\tO' +p95298 +aS'left\tleft\tJJ\tI-NP\tO' +p95299 +aS'circumflex\tcircumflex\tNN\tI-NP\tO' +p95300 +aS'lesions\tlesion\tNNS\tI-NP\tO' +p95301 +aS',\t,\t,\tO\tO' +p95302 +aS'and\tand\tCC\tO\tO' +p95303 +aS'90%\t90%\tCD\tB-NP\tO' +p95304 +aS'first\tfirst\tJJ\tI-NP\tO' +p95305 +aS'obtuse\tobtuse\tNN\tI-NP\tO' +p95306 +aS'marginal\tmarginal\tJJ\tB-ADJP\tO' +p95307 +aS',\t,\t,\tO\tO' +p95308 +aS'and\tand\tCC\tO\tO' +p95309 +aS'mid\tmid\tJJ\tB-NP\tO' +p95310 +aS'right\tright\tJJ\tI-NP\tO' +p95311 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p95312 +aS'artery\tartery\tNN\tI-NP\tO' +p95313 +aS'60%\t60%\tNN\tI-NP\tO' +p95314 +aS'.\t.\t.\tO\tO' +p95315 +asS'Head CT w / o bleed .' +p95316 +(lp95317 +S'Head\tHead\tJJ\tB-NP\tO' +p95318 +aS'CT\tCT\tNN\tI-NP\tO' +p95319 +aS'w\tw\tNN\tI-NP\tO' +p95320 +aS'/\t/\tSYM\tB-NP\tO' +p95321 +aS'o\to\tNN\tI-NP\tO' +p95322 +aS'bleed\tbleed\tNN\tI-NP\tO' +p95323 +aS'.\t.\t.\tO\tO' +p95324 +asS'TriCor 145 mg p.o. every day .' +p95325 +(lp95326 +S'TriCor\tTriCor\tNN\tB-NP\tO' +p95327 +aS'145\t145\tCD\tI-NP\tO' +p95328 +aS'mg\tmg\tNN\tI-NP\tO' +p95329 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p95330 +aS'every\tevery\tDT\tB-NP\tO' +p95331 +aS'day\tday\tNN\tI-NP\tO' +p95332 +aS'.\t.\t.\tO\tO' +p95333 +asS'Call the doctor or go to the emergency room with increased seizure frequency , unresponsiveness , new weakness or numbness , or any other concerning symptoms .' +p95334 +(lp95335 +S'Call\tCall\tVB\tB-VP\tO' +p95336 +aS'the\tthe\tDT\tB-NP\tO' +p95337 +aS'doctor\tdoctor\tNN\tI-NP\tO' +p95338 +aS'or\tor\tCC\tO\tO' +p95339 +aS'go\tgo\tVB\tB-VP\tO' +p95340 +aS'to\tto\tTO\tB-PP\tO' +p95341 +aS'the\tthe\tDT\tB-NP\tO' +p95342 +aS'emergency\temergency\tNN\tI-NP\tO' +p95343 +aS'room\troom\tNN\tI-NP\tO' +p95344 +aS'with\twith\tIN\tB-PP\tO' +p95345 +aS'increased\tincrease\tVBN\tB-NP\tO' +p95346 +aS'seizure\tseizure\tNN\tI-NP\tO' +p95347 +aS'frequency\tfrequency\tNN\tI-NP\tO' +p95348 +aS',\t,\t,\tO\tO' +p95349 +aS'unresponsiveness\tunresponsiveness\tNN\tB-NP\tO' +p95350 +aS',\t,\t,\tO\tO' +p95351 +aS'new\tnew\tJJ\tB-NP\tO' +p95352 +aS'weakness\tweakness\tNN\tI-NP\tO' +p95353 +aS'or\tor\tCC\tI-NP\tO' +p95354 +aS'numbness\tnumbness\tNN\tI-NP\tO' +p95355 +aS',\t,\t,\tO\tO' +p95356 +aS'or\tor\tCC\tO\tO' +p95357 +aS'any\tany\tDT\tB-NP\tO' +p95358 +aS'other\tother\tJJ\tI-NP\tO' +p95359 +aS'concerning\tconcern\tVBG\tI-NP\tO' +p95360 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p95361 +aS'.\t.\t.\tO\tO' +p95362 +asS'She has known iron deficiency .' +p95363 +(lp95364 +S'She\tShe\tPRP\tB-NP\tO' +p95365 +aS'has\thave\tVBZ\tB-VP\tO' +p95366 +aS'known\tknow\tVBN\tI-VP\tO' +p95367 +aS'iron\tiron\tNN\tB-NP\tO' +p95368 +aS'deficiency\tdeficiency\tNN\tI-NP\tO' +p95369 +aS'.\t.\t.\tO\tO' +p95370 +asS'Most recent bilirubin on 2013-07-29 total of 4.2 , direct .4 .' +p95371 +(lp95372 +S'Most\tMost\tRBS\tB-NP\tO' +p95373 +aS'recent\trecent\tJJ\tI-NP\tO' +p95374 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p95375 +aS'on\ton\tIN\tB-PP\tO' +p95376 +aS'2013-07-29\t2013-07-29\tCD\tB-NP\tO' +p95377 +aS'total\ttotal\tNN\tI-NP\tO' +p95378 +aS'of\tof\tIN\tB-PP\tO' +p95379 +aS'4.2\t4.2\tCD\tB-NP\tO' +p95380 +aS',\t,\t,\tO\tO' +p95381 +aS'direct\tdirect\tJJ\tB-NP\tO' +p95382 +aS'.4\t.4\tNN\tI-NP\tO' +p95383 +aS'.\t.\t.\tO\tO' +p95384 +asS'2. Percocet .' +p95385 +(lp95386 +S'2.\t2.\tLS\tB-LST\tO' +p95387 +aS'Percocet\tPercocet\tNNP\tB-NP\tO' +p95388 +aS'.\t.\t.\tO\tO' +p95389 +asS'There was normal axis .' +p95390 +(lp95391 +S'There\tThere\tEX\tB-NP\tO' +p95392 +aS'was\tbe\tVBD\tB-VP\tO' +p95393 +aS'normal\tnormal\tJJ\tB-NP\tO' +p95394 +aS'axis\taxis\tNN\tI-NP\tO' +p95395 +aS'.\t.\t.\tO\tO' +p95396 +asS'The patient will see his PCP in one to two weeks .' +p95397 +(lp95398 +S'The\tThe\tDT\tB-NP\tO' +p95399 +aS'patient\tpatient\tNN\tI-NP\tO' +p95400 +aS'will\twill\tMD\tB-VP\tO' +p95401 +aS'see\tsee\tVB\tI-VP\tO' +p95402 +aS'his\this\tPRP$\tB-NP\tO' +p95403 +aS'PCP\tPCP\tNN\tI-NP\tB-protein' +p95404 +aS'in\tin\tIN\tB-PP\tO' +p95405 +aS'one\tone\tCD\tB-NP\tO' +p95406 +aS'to\tto\tTO\tI-NP\tO' +p95407 +aS'two\ttwo\tCD\tI-NP\tO' +p95408 +aS'weeks\tweek\tNNS\tI-NP\tO' +p95409 +aS'.\t.\t.\tO\tO' +p95410 +asS'diabetes mellitus , peripheral neuropathy , rectal carcinoma , premature ventricular contractions , right hemidiaphragmatic paralysis .' +p95411 +(lp95412 +S'diabetes\tdiabetes\tNN\tB-NP\tO' +p95413 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p95414 +aS',\t,\t,\tO\tO' +p95415 +aS'peripheral\tperipheral\tJJ\tB-NP\tO' +p95416 +aS'neuropathy\tneuropathy\tNN\tI-NP\tO' +p95417 +aS',\t,\t,\tO\tO' +p95418 +aS'rectal\trectal\tJJ\tB-NP\tO' +p95419 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p95420 +aS',\t,\t,\tO\tO' +p95421 +aS'premature\tpremature\tJJ\tB-NP\tO' +p95422 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p95423 +aS'contractions\tcontraction\tNNS\tI-NP\tO' +p95424 +aS',\t,\t,\tO\tO' +p95425 +aS'right\tright\tJJ\tB-NP\tO' +p95426 +aS'hemidiaphragmatic\themidiaphragmatic\tJJ\tI-NP\tO' +p95427 +aS'paralysis\tparalysis\tNN\tI-NP\tO' +p95428 +aS'.\t.\t.\tO\tO' +p95429 +asS'No displaced fracture is demonstrated .' +p95430 +(lp95431 +S'No\tNo\tDT\tB-NP\tO' +p95432 +aS'displaced\tdisplaced\tJJ\tI-NP\tO' +p95433 +aS'fracture\tfracture\tNN\tI-NP\tO' +p95434 +aS'is\tbe\tVBZ\tB-VP\tO' +p95435 +aS'demonstrated\tdemonstrate\tVBN\tI-VP\tO' +p95436 +aS'.\t.\t.\tO\tO' +p95437 +asS'2. Lipitor 20 milligrams po q HS .' +p95438 +(lp95439 +S'2.\t2.\tLS\tB-NP\tO' +p95440 +aS'Lipitor\tLipitor\tNNP\tI-NP\tO' +p95441 +aS'20\t20\tCD\tI-NP\tO' +p95442 +aS'milligrams\tmilligram\tNNS\tI-NP\tO' +p95443 +aS'po\tpo\tVBP\tB-VP\tO' +p95444 +aS'q\tq\tNN\tB-NP\tO' +p95445 +aS'HS\tHS\tNN\tI-NP\tO' +p95446 +aS'.\t.\t.\tO\tO' +p95447 +asS'History of herpes simplex virus , last outbreak in 2000 .' +p95448 +(lp95449 +S'History\tHistory\tNN\tB-NP\tO' +p95450 +aS'of\tof\tIN\tB-PP\tO' +p95451 +aS'herpes\therpes\tNN\tB-NP\tO' +p95452 +aS'simplex\tsimplex\tNN\tI-NP\tO' +p95453 +aS'virus\tvirus\tNN\tI-NP\tO' +p95454 +aS',\t,\t,\tO\tO' +p95455 +aS'last\tlast\tJJ\tB-NP\tO' +p95456 +aS'outbreak\toutbreak\tNN\tI-NP\tO' +p95457 +aS'in\tin\tIN\tB-PP\tO' +p95458 +aS'2000\t2000\tCD\tB-NP\tO' +p95459 +aS'.\t.\t.\tO\tO' +p95460 +asS'At one point , he had to be on an insulin drip .' +p95461 +(lp95462 +S'At\tAt\tIN\tB-PP\tO' +p95463 +aS'one\tone\tCD\tB-NP\tO' +p95464 +aS'point\tpoint\tNN\tI-NP\tO' +p95465 +aS',\t,\t,\tO\tO' +p95466 +aS'he\the\tPRP\tB-NP\tO' +p95467 +aS'had\thave\tVBD\tB-VP\tO' +p95468 +aS'to\tto\tTO\tI-VP\tO' +p95469 +aS'be\tbe\tVB\tI-VP\tO' +p95470 +aS'on\ton\tIN\tB-PP\tO' +p95471 +aS'an\tan\tDT\tB-NP\tO' +p95472 +aS'insulin\tinsulin\tNN\tI-NP\tO' +p95473 +aS'drip\tdrip\tNN\tI-NP\tO' +p95474 +aS'.\t.\t.\tO\tO' +p95475 +asS'His heart had a regular rate and rhythm with no murmur , rub or gallop .' +p95476 +(lp95477 +S'His\tHis\tPRP$\tB-NP\tO' +p95478 +aS'heart\theart\tNN\tI-NP\tO' +p95479 +aS'had\thave\tVBD\tB-VP\tO' +p95480 +aS'a\ta\tDT\tB-NP\tO' +p95481 +aS'regular\tregular\tJJ\tI-NP\tO' +p95482 +aS'rate\trate\tNN\tI-NP\tO' +p95483 +aS'and\tand\tCC\tO\tO' +p95484 +aS'rhythm\trhythm\tNN\tB-NP\tO' +p95485 +aS'with\twith\tIN\tB-PP\tO' +p95486 +aS'no\tno\tDT\tB-NP\tO' +p95487 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p95488 +aS',\t,\t,\tI-NP\tO' +p95489 +aS'rub\trub\tNN\tI-NP\tO' +p95490 +aS'or\tor\tCC\tI-NP\tO' +p95491 +aS'gallop\tgallop\tNN\tI-NP\tO' +p95492 +aS'.\t.\t.\tO\tO' +p95493 +asS'He was in chronic atrial fibrillation and his vital signs were otherwise stable .' +p95494 +(lp95495 +S'He\tHe\tPRP\tB-NP\tO' +p95496 +aS'was\tbe\tVBD\tB-VP\tO' +p95497 +aS'in\tin\tIN\tB-PP\tO' +p95498 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p95499 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p95500 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p95501 +aS'and\tand\tCC\tO\tO' +p95502 +aS'his\this\tPRP$\tB-NP\tO' +p95503 +aS'vital\tvital\tJJ\tI-NP\tO' +p95504 +aS'signs\tsign\tNNS\tI-NP\tO' +p95505 +aS'were\tbe\tVBD\tB-VP\tO' +p95506 +aS'otherwise\totherwise\tRB\tB-ADJP\tO' +p95507 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p95508 +aS'.\t.\t.\tO\tO' +p95509 +asS'Drainage of the pancreatic necrosis was also done .' +p95510 +(lp95511 +S'Drainage\tDrainage\tNN\tB-NP\tO' +p95512 +aS'of\tof\tIN\tB-PP\tO' +p95513 +aS'the\tthe\tDT\tB-NP\tO' +p95514 +aS'pancreatic\tpancreatic\tJJ\tI-NP\tO' +p95515 +aS'necrosis\tnecrosis\tNN\tI-NP\tO' +p95516 +aS'was\tbe\tVBD\tB-VP\tO' +p95517 +aS'also\talso\tRB\tI-VP\tO' +p95518 +aS'done\tdo\tVBN\tI-VP\tO' +p95519 +aS'.\t.\t.\tO\tO' +p95520 +asS'The extremities were non tender without edema .' +p95521 +(lp95522 +S'The\tThe\tDT\tB-NP\tO' +p95523 +aS'extremities\textremity\tNNS\tI-NP\tO' +p95524 +aS'were\tbe\tVBD\tB-VP\tO' +p95525 +aS'non\tnon\tJJ\tB-NP\tO' +p95526 +aS'tender\ttender\tNN\tI-NP\tO' +p95527 +aS'without\twithout\tIN\tB-PP\tO' +p95528 +aS'edema\tedema\tNN\tB-NP\tO' +p95529 +aS'.\t.\t.\tO\tO' +p95530 +asS'He denies diaphoresis or nausea .' +p95531 +(lp95532 +S'He\tHe\tPRP\tB-NP\tO' +p95533 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p95534 +aS'diaphoresis\tdiaphoresis\tNN\tB-NP\tO' +p95535 +aS'or\tor\tCC\tI-NP\tO' +p95536 +aS'nausea\tnausea\tNN\tI-NP\tO' +p95537 +aS'.\t.\t.\tO\tO' +p95538 +asS'She is G 2 , P 2 with spontaneous vaginal deliveries .' +p95539 +(lp95540 +S'She\tShe\tPRP\tB-NP\tO' +p95541 +aS'is\tbe\tVBZ\tB-VP\tO' +p95542 +aS'G\tG\tNN\tB-NP\tO' +p95543 +aS'2\t2\tCD\tI-NP\tO' +p95544 +aS',\t,\t,\tO\tO' +p95545 +aS'P\tP\tNN\tB-NP\tB-protein' +p95546 +aS'2\t2\tCD\tI-NP\tI-protein' +p95547 +aS'with\twith\tIN\tB-PP\tO' +p95548 +aS'spontaneous\tspontaneous\tJJ\tB-NP\tO' +p95549 +aS'vaginal\tvaginal\tJJ\tI-NP\tO' +p95550 +aS'deliveries\tdelivery\tNNS\tI-NP\tO' +p95551 +aS'.\t.\t.\tO\tO' +p95552 +asS'Then again on Sunday , 3 days PTA , again from sitting to standing heard his knee CMED CCU .' +p95553 +(lp95554 +S'Then\tThen\tRB\tB-ADVP\tO' +p95555 +aS'again\tagain\tRB\tI-ADVP\tO' +p95556 +aS'on\ton\tIN\tB-PP\tO' +p95557 +aS'Sunday\tSunday\tNNP\tB-NP\tO' +p95558 +aS',\t,\t,\tO\tO' +p95559 +aS'3\t3\tCD\tB-NP\tO' +p95560 +aS'days\tday\tNNS\tI-NP\tO' +p95561 +aS'PTA\tPTA\tNN\tI-NP\tB-protein' +p95562 +aS',\t,\t,\tO\tO' +p95563 +aS'again\tagain\tRB\tB-ADVP\tO' +p95564 +aS'from\tfrom\tIN\tB-PP\tO' +p95565 +aS'sitting\tsit\tVBG\tB-VP\tO' +p95566 +aS'to\tto\tTO\tB-PP\tO' +p95567 +aS'standing\tstand\tVBG\tB-VP\tO' +p95568 +aS'heard\thear\tVBN\tI-VP\tO' +p95569 +aS'his\this\tPRP$\tB-NP\tO' +p95570 +aS'knee\tknee\tNN\tI-NP\tO' +p95571 +aS'CMED\tCMED\tNN\tI-NP\tO' +p95572 +aS'CCU\tCCU\tNN\tI-NP\tO' +p95573 +aS'.\t.\t.\tO\tO' +p95574 +asS'The patient was subsequently medically management after this hospitalization and has done very well .' +p95575 +(lp95576 +S'The\tThe\tDT\tB-NP\tO' +p95577 +aS'patient\tpatient\tNN\tI-NP\tO' +p95578 +aS'was\tbe\tVBD\tB-VP\tO' +p95579 +aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' +p95580 +aS'medically\tmedically\tRB\tB-NP\tO' +p95581 +aS'management\tmanagement\tNN\tI-NP\tO' +p95582 +aS'after\tafter\tIN\tB-PP\tO' +p95583 +aS'this\tthis\tDT\tB-NP\tO' +p95584 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p95585 +aS'and\tand\tCC\tO\tO' +p95586 +aS'has\thave\tVBZ\tB-VP\tO' +p95587 +aS'done\tdo\tVBN\tI-VP\tO' +p95588 +aS'very\tvery\tRB\tB-ADVP\tO' +p95589 +aS'well\twell\tRB\tI-ADVP\tO' +p95590 +aS'.\t.\t.\tO\tO' +p95591 +asS'A CT of her head demonstrated intraparenchymal and extraaxial blood ( mostly subarachnoid ) in bilateral cerebral hemispheres , right greater than left , in a pattern indicating contrecoup injury .' +p95592 +(lp95593 +S'A\tA\tDT\tB-NP\tO' +p95594 +aS'CT\tCT\tNN\tI-NP\tO' +p95595 +aS'of\tof\tIN\tB-PP\tO' +p95596 +aS'her\ther\tPRP$\tB-NP\tO' +p95597 +aS'head\thead\tNN\tI-NP\tO' +p95598 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p95599 +aS'intraparenchymal\tintraparenchymal\tJJ\tB-NP\tO' +p95600 +aS'and\tand\tCC\tI-NP\tO' +p95601 +aS'extraaxial\textraaxial\tJJ\tI-NP\tO' +p95602 +aS'blood\tblood\tNN\tI-NP\tO' +p95603 +aS'(\t(\t(\tO\tO' +p95604 +aS'mostly\tmostly\tRB\tB-ADJP\tO' +p95605 +aS'subarachnoid\tsubarachnoid\tJJ\tI-ADJP\tO' +p95606 +aS')\t)\t)\tO\tO' +p95607 +aS'in\tin\tIN\tB-PP\tO' +p95608 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p95609 +aS'cerebral\tcerebral\tJJ\tI-NP\tO' +p95610 +aS'hemispheres\themisphere\tNNS\tI-NP\tO' +p95611 +aS',\t,\t,\tO\tO' +p95612 +aS'right\tright\tRB\tB-ADVP\tO' +p95613 +aS'greater\tgreat\tJJR\tI-ADVP\tO' +p95614 +aS'than\tthan\tIN\tB-PP\tO' +p95615 +aS'left\tleft\tJJ\tB-ADJP\tO' +p95616 +aS',\t,\t,\tO\tO' +p95617 +aS'in\tin\tIN\tB-PP\tO' +p95618 +aS'a\ta\tDT\tB-NP\tO' +p95619 +aS'pattern\tpattern\tNN\tI-NP\tO' +p95620 +aS'indicating\tindicate\tVBG\tB-VP\tO' +p95621 +aS'contrecoup\tcontrecoup\tNN\tB-NP\tO' +p95622 +aS'injury\tinjury\tNN\tI-NP\tO' +p95623 +aS'.\t.\t.\tO\tO' +p95624 +asS'House / Low chol / low sat. fat' +p95625 +(lp95626 +S'House\tHouse\tNNP\tB-NP\tO' +p95627 +aS'/\t/\tSYM\tI-NP\tO' +p95628 +aS'Low\tLow\tJJ\tI-NP\tO' +p95629 +aS'chol\tchol\tNN\tI-NP\tO' +p95630 +aS'/\t/\tSYM\tB-NP\tO' +p95631 +aS'low\tlow\tJJ\tI-NP\tO' +p95632 +aS'sat.\tsat.\tNN\tI-NP\tO' +p95633 +aS'fat\tfat\tNN\tI-NP\tO' +p95634 +asS'A repeat angiogram performed a year later showed marked progression of coronary allograft disease .' +p95635 +(lp95636 +S'A\tA\tDT\tB-NP\tO' +p95637 +aS'repeat\trepeat\tNN\tI-NP\tO' +p95638 +aS'angiogram\tangiogram\tNN\tI-NP\tO' +p95639 +aS'performed\tperform\tVBD\tB-VP\tO' +p95640 +aS'a\ta\tDT\tB-NP\tO' +p95641 +aS'year\tyear\tNN\tI-NP\tO' +p95642 +aS'later\tlater\tRB\tB-ADVP\tO' +p95643 +aS'showed\tshow\tVBD\tB-VP\tO' +p95644 +aS'marked\tmarked\tJJ\tB-NP\tO' +p95645 +aS'progression\tprogression\tNN\tI-NP\tO' +p95646 +aS'of\tof\tIN\tB-PP\tO' +p95647 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p95648 +aS'allograft\tallograft\tNN\tI-NP\tO' +p95649 +aS'disease\tdisease\tNN\tI-NP\tO' +p95650 +aS'.\t.\t.\tO\tO' +p95651 +asS'She was transferred to the unit overnight to assess volume which was noted to be optimal .' +p95652 +(lp95653 +S'She\tShe\tPRP\tB-NP\tO' +p95654 +aS'was\tbe\tVBD\tB-VP\tO' +p95655 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p95656 +aS'to\tto\tTO\tB-PP\tO' +p95657 +aS'the\tthe\tDT\tB-NP\tO' +p95658 +aS'unit\tunit\tNN\tI-NP\tO' +p95659 +aS'overnight\tovernight\tRB\tB-ADVP\tO' +p95660 +aS'to\tto\tTO\tB-VP\tO' +p95661 +aS'assess\tassess\tVB\tI-VP\tO' +p95662 +aS'volume\tvolume\tNN\tB-NP\tO' +p95663 +aS'which\twhich\tWDT\tB-NP\tO' +p95664 +aS'was\tbe\tVBD\tB-VP\tO' +p95665 +aS'noted\tnote\tVBN\tI-VP\tO' +p95666 +aS'to\tto\tTO\tI-VP\tO' +p95667 +aS'be\tbe\tVB\tI-VP\tO' +p95668 +aS'optimal\toptimal\tJJ\tB-ADJP\tO' +p95669 +aS'.\t.\t.\tO\tO' +p95670 +asS'Bibasilar subsegmental atelectasis together with bilateral pleural effusions appear relatively unchanged .' +p95671 +(lp95672 +S'Bibasilar\tBibasilar\tJJ\tB-NP\tO' +p95673 +aS'subsegmental\tsubsegmental\tJJ\tI-NP\tO' +p95674 +aS'atelectasis\tatelectasis\tNN\tI-NP\tO' +p95675 +aS'together\ttogether\tRB\tB-ADVP\tO' +p95676 +aS'with\twith\tIN\tB-PP\tO' +p95677 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p95678 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p95679 +aS'effusions\teffusion\tNNS\tI-NP\tO' +p95680 +aS'appear\tappear\tVBP\tB-VP\tO' +p95681 +aS'relatively\trelatively\tRB\tB-ADJP\tO' +p95682 +aS'unchanged\tunchanged\tJJ\tI-ADJP\tO' +p95683 +aS'.\t.\t.\tO\tO' +p95684 +asS'An ultrasound was done to R / O cholestasis or cholangitis .' +p95685 +(lp95686 +S'An\tAn\tDT\tB-NP\tO' +p95687 +aS'ultrasound\tultrasound\tNN\tI-NP\tO' +p95688 +aS'was\tbe\tVBD\tB-VP\tO' +p95689 +aS'done\tdo\tVBN\tI-VP\tO' +p95690 +aS'to\tto\tTO\tB-PP\tO' +p95691 +aS'R\tR\tNN\tB-NP\tB-protein' +p95692 +aS'/\t/\tSYM\tB-NP\tO' +p95693 +aS'O\tO\tNN\tI-NP\tO' +p95694 +aS'cholestasis\tcholestasis\tNN\tI-NP\tO' +p95695 +aS'or\tor\tCC\tI-NP\tO' +p95696 +aS'cholangitis\tcholangitis\tNN\tI-NP\tO' +p95697 +aS'.\t.\t.\tO\tO' +p95698 +asS'She denies any alcohol , tobacco , or other drugs .' +p95699 +(lp95700 +S'She\tShe\tPRP\tB-NP\tO' +p95701 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p95702 +aS'any\tany\tDT\tB-NP\tO' +p95703 +aS'alcohol\talcohol\tNN\tI-NP\tO' +p95704 +aS',\t,\t,\tO\tO' +p95705 +aS'tobacco\ttobacco\tNN\tB-NP\tO' +p95706 +aS',\t,\t,\tO\tO' +p95707 +aS'or\tor\tCC\tO\tO' +p95708 +aS'other\tother\tJJ\tB-NP\tO' +p95709 +aS'drugs\tdrug\tNNS\tI-NP\tO' +p95710 +aS'.\t.\t.\tO\tO' +p95711 +asS'UVC remained in place through day of life six and was utilized to administer parenteral nutrition .' +p95712 +(lp95713 +S'UVC\tUVC\tNN\tB-NP\tO' +p95714 +aS'remained\tremain\tVBD\tB-VP\tO' +p95715 +aS'in\tin\tIN\tB-PP\tO' +p95716 +aS'place\tplace\tNN\tB-NP\tO' +p95717 +aS'through\tthrough\tIN\tB-PP\tO' +p95718 +aS'day\tday\tNN\tB-NP\tO' +p95719 +aS'of\tof\tIN\tB-PP\tO' +p95720 +aS'life\tlife\tNN\tB-NP\tO' +p95721 +aS'six\tsix\tCD\tI-NP\tO' +p95722 +aS'and\tand\tCC\tO\tO' +p95723 +aS'was\tbe\tVBD\tB-VP\tO' +p95724 +aS'utilized\tutilize\tVBN\tI-VP\tO' +p95725 +aS'to\tto\tTO\tI-VP\tO' +p95726 +aS'administer\tadminister\tVB\tI-VP\tO' +p95727 +aS'parenteral\tparenteral\tJJ\tB-NP\tO' +p95728 +aS'nutrition\tnutrition\tNN\tI-NP\tO' +p95729 +aS'.\t.\t.\tO\tO' +p95730 +asS'The patient grew out coagulase negative staphylococcus from the femoral lines which were placed during his profound hypertension .' +p95731 +(lp95732 +S'The\tThe\tDT\tB-NP\tO' +p95733 +aS'patient\tpatient\tNN\tI-NP\tO' +p95734 +aS'grew\tgrow\tVBD\tB-VP\tO' +p95735 +aS'out\tout\tRP\tB-PRT\tO' +p95736 +aS'coagulase\tcoagulase\tNN\tB-NP\tO' +p95737 +aS'negative\tnegative\tJJ\tI-NP\tO' +p95738 +aS'staphylococcus\tstaphylococcus\tNN\tI-NP\tO' +p95739 +aS'from\tfrom\tIN\tB-PP\tO' +p95740 +aS'the\tthe\tDT\tB-NP\tO' +p95741 +aS'femoral\tfemoral\tJJ\tI-NP\tB-cell_line' +p95742 +aS'lines\tline\tNNS\tI-NP\tI-cell_line' +p95743 +aS'which\twhich\tWDT\tB-NP\tO' +p95744 +aS'were\tbe\tVBD\tB-VP\tO' +p95745 +aS'placed\tplace\tVBN\tI-VP\tO' +p95746 +aS'during\tduring\tIN\tB-PP\tO' +p95747 +aS'his\this\tPRP$\tB-NP\tO' +p95748 +aS'profound\tprofound\tJJ\tI-NP\tO' +p95749 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p95750 +aS'.\t.\t.\tO\tO' +p95751 +asS'O2 95% on 3L NC mixed Quinn 82% genrl : in nad , resting comfortably heent : perrla ( 4->3 mm ) bilaterally , blind in right visual field , eomi , dry mm , ? thrush neck : no bruits cv : rrr , no m/r/g , faint s1/s2 pulm : cta bilaterally abd : midline scar ( from urostomy ) , nabs , soft , appears distended but patient denies , ostomy RLQ c/d/i , NT to palpation back : right flank urostomy tube , c/d/i , nt to palpation extr : no Gardner neuro : a , ox3 , wiggles toes bilaterally , unable to lift LE , 06-12 grip bilaterally w/ UE , decrease sensation to soft touch in left' +p95752 +(lp95753 +S'O2\tO2\tNN\tB-NP\tO' +p95754 +aS'95%\t95%\tNN\tI-NP\tO' +p95755 +aS'on\ton\tIN\tB-PP\tO' +p95756 +aS'3L\t3L\tNN\tB-NP\tO' +p95757 +aS'NC\tNC\tNN\tI-NP\tO' +p95758 +aS'mixed\tmix\tVBN\tB-VP\tO' +p95759 +aS'Quinn\tQuinn\tNNP\tB-NP\tO' +p95760 +aS'82%\t82%\tCD\tI-NP\tO' +p95761 +aS'genrl\tgenrl\tNN\tI-NP\tO' +p95762 +aS':\t:\t:\tO\tO' +p95763 +aS'in\tin\tIN\tB-PP\tO' +p95764 +aS'nad\tnad\tNN\tB-NP\tO' +p95765 +aS',\t,\t,\tO\tO' +p95766 +aS'resting\trest\tVBG\tB-VP\tO' +p95767 +aS'comfortably\tcomfortably\tRB\tB-ADJP\tO' +p95768 +aS'heent\theent\tJJ\tI-ADJP\tO' +p95769 +aS':\t:\t:\tO\tO' +p95770 +aS'perrla\tperrla\tNN\tB-NP\tO' +p95771 +aS'(\t(\t(\tO\tO' +p95772 +aS'4->3\t4->3\tCD\tB-NP\tO' +p95773 +aS'mm\tmm\tNN\tI-NP\tO' +p95774 +aS')\t)\t)\tO\tO' +p95775 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p95776 +aS',\t,\t,\tO\tO' +p95777 +aS'blind\tblind\tJJ\tB-ADJP\tO' +p95778 +aS'in\tin\tIN\tB-PP\tO' +p95779 +aS'right\tright\tJJ\tB-NP\tO' +p95780 +aS'visual\tvisual\tJJ\tI-NP\tO' +p95781 +aS'field\tfield\tNN\tI-NP\tO' +p95782 +aS',\t,\t,\tO\tO' +p95783 +aS'eomi\teomi\tNN\tB-NP\tO' +p95784 +aS',\t,\t,\tO\tO' +p95785 +aS'dry\tdry\tJJ\tB-NP\tO' +p95786 +aS'mm\tmm\tNN\tI-NP\tO' +p95787 +aS',\t,\t,\tO\tO' +p95788 +aS'?\t?\t.\tO\tO' +p95789 +aS'thrush\tthrush\tJJ\tB-NP\tO' +p95790 +aS'neck\tneck\tNN\tI-NP\tO' +p95791 +aS':\t:\t:\tO\tO' +p95792 +aS'no\tno\tDT\tB-NP\tO' +p95793 +aS'bruits\tbruit\tNNS\tI-NP\tO' +p95794 +aS'cv\tcv\tNN\tI-NP\tO' +p95795 +aS':\t:\t:\tO\tO' +p95796 +aS'rrr\trrr\tNN\tB-NP\tO' +p95797 +aS',\t,\t,\tO\tO' +p95798 +aS'no\tno\tDT\tB-NP\tO' +p95799 +aS'm/r/g\tm/r/g\tNN\tI-NP\tO' +p95800 +aS',\t,\t,\tO\tO' +p95801 +aS'faint\tfaint\tJJ\tB-NP\tO' +p95802 +aS's1/s2\ts1/s2\tNN\tI-NP\tO' +p95803 +aS'pulm\tpulm\tNN\tI-NP\tO' +p95804 +aS':\t:\t:\tO\tO' +p95805 +aS'cta\tcta\tNN\tB-NP\tO' +p95806 +aS'bilaterally\tbilaterally\tRB\tB-NP\tO' +p95807 +aS'abd\tabd\tNN\tI-NP\tO' +p95808 +aS':\t:\t:\tO\tO' +p95809 +aS'midline\tmidline\tNN\tB-NP\tO' +p95810 +aS'scar\tscar\tNN\tI-NP\tO' +p95811 +aS'(\t(\t(\tO\tO' +p95812 +aS'from\tfrom\tIN\tB-PP\tO' +p95813 +aS'urostomy\turostomy\tNN\tB-NP\tO' +p95814 +aS')\t)\t)\tO\tO' +p95815 +aS',\t,\t,\tO\tO' +p95816 +aS'nabs\tnab\tNNS\tB-NP\tO' +p95817 +aS',\t,\t,\tO\tO' +p95818 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p95819 +aS',\t,\t,\tO\tO' +p95820 +aS'appears\tappear\tVBZ\tB-VP\tO' +p95821 +aS'distended\tdistended\tJJ\tB-NP\tO' +p95822 +aS'but\tbut\tCC\tI-NP\tO' +p95823 +aS'patient\tpatient\tNN\tI-NP\tO' +p95824 +aS'denies\tdeny\tNNS\tI-NP\tO' +p95825 +aS',\t,\t,\tO\tO' +p95826 +aS'ostomy\tostomy\tNN\tB-NP\tO' +p95827 +aS'RLQ\tRLQ\tNN\tI-NP\tO' +p95828 +aS'c/d/i\tc/d/i\tNN\tI-NP\tO' +p95829 +aS',\t,\t,\tO\tO' +p95830 +aS'NT\tNT\tNN\tB-NP\tO' +p95831 +aS'to\tto\tTO\tB-PP\tO' +p95832 +aS'palpation\tpalpation\tNN\tB-NP\tO' +p95833 +aS'back\tback\tRB\tB-ADVP\tO' +p95834 +aS':\t:\t:\tO\tO' +p95835 +aS'right\tright\tJJ\tB-NP\tO' +p95836 +aS'flank\tflank\tNN\tI-NP\tO' +p95837 +aS'urostomy\turostomy\tNN\tI-NP\tO' +p95838 +aS'tube\ttube\tNN\tI-NP\tO' +p95839 +aS',\t,\t,\tO\tO' +p95840 +aS'c/d/i\tc/d/i\tNN\tB-NP\tO' +p95841 +aS',\t,\t,\tO\tO' +p95842 +aS'nt\tnt\tNN\tB-NP\tO' +p95843 +aS'to\tto\tTO\tB-PP\tO' +p95844 +aS'palpation\tpalpation\tNN\tB-NP\tO' +p95845 +aS'extr\textr\tNN\tI-NP\tO' +p95846 +aS':\t:\t:\tO\tO' +p95847 +aS'no\tno\tDT\tB-NP\tO' +p95848 +aS'Gardner\tGardner\tNN\tI-NP\tO' +p95849 +aS'neuro\tneuro\tNN\tI-NP\tO' +p95850 +aS':\t:\t:\tO\tO' +p95851 +aS'a\ta\tNN\tB-NP\tO' +p95852 +aS',\t,\t,\tO\tO' +p95853 +aS'ox3\tox3\tNN\tB-NP\tB-protein' +p95854 +aS',\t,\t,\tO\tO' +p95855 +aS'wiggles\twiggle\tVBZ\tB-VP\tO' +p95856 +aS'toes\ttoe\tNNS\tB-NP\tO' +p95857 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p95858 +aS',\t,\t,\tO\tO' +p95859 +aS'unable\tunable\tJJ\tB-ADJP\tO' +p95860 +aS'to\tto\tTO\tB-VP\tO' +p95861 +aS'lift\tlift\tVB\tI-VP\tO' +p95862 +aS'LE\tLE\tNN\tB-NP\tO' +p95863 +aS',\t,\t,\tO\tO' +p95864 +aS'06-12\t06-12\tCD\tB-NP\tO' +p95865 +aS'grip\tgrip\tNN\tI-NP\tO' +p95866 +aS'bilaterally\tbilaterally\tRB\tB-NP\tO' +p95867 +aS'w/\tw/\tJJ\tI-NP\tO' +p95868 +aS'UE\tUE\tNNP\tI-NP\tO' +p95869 +aS',\t,\t,\tO\tO' +p95870 +aS'decrease\tdecrease\tVB\tB-VP\tO' +p95871 +aS'sensation\tsensation\tNN\tB-NP\tO' +p95872 +aS'to\tto\tTO\tB-PP\tO' +p95873 +aS'soft\tsoft\tJJ\tB-NP\tO' +p95874 +aS'touch\ttouch\tNN\tI-NP\tO' +p95875 +aS'in\tin\tIN\tB-PP\tO' +p95876 +aS'left\tleft\tJJ\tB-NP\tO' +p95877 +asS'Last Hct was 30.6 on 06-20 with a reticulocyte count of 6.5%.' +p95878 +(lp95879 +S'Last\tLast\tJJ\tB-NP\tO' +p95880 +aS'Hct\tHct\tNN\tI-NP\tO' +p95881 +aS'was\tbe\tVBD\tB-VP\tO' +p95882 +aS'30.6\t30.6\tCD\tB-NP\tO' +p95883 +aS'on\ton\tIN\tB-PP\tO' +p95884 +aS'06-20\t06-20\tCD\tB-NP\tO' +p95885 +aS'with\twith\tIN\tB-PP\tO' +p95886 +aS'a\ta\tDT\tB-NP\tO' +p95887 +aS'reticulocyte\treticulocyte\tNN\tI-NP\tO' +p95888 +aS'count\tcount\tNN\tI-NP\tO' +p95889 +aS'of\tof\tIN\tB-PP\tO' +p95890 +aS'6.5%.\t6.5%.\tCD\tB-NP\tO' +p95891 +asS'Mr. Cordano was admitted on 2009-08-17 for a replacement of transhepatic biliary drainage catheter .' +p95892 +(lp95893 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p95894 +aS'Cordano\tCordano\tNNP\tI-NP\tO' +p95895 +aS'was\tbe\tVBD\tB-VP\tO' +p95896 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p95897 +aS'on\ton\tIN\tB-PP\tO' +p95898 +aS'2009-08-17\t2009-08-17\tCD\tB-NP\tO' +p95899 +aS'for\tfor\tIN\tB-PP\tO' +p95900 +aS'a\ta\tDT\tB-NP\tO' +p95901 +aS'replacement\treplacement\tNN\tI-NP\tO' +p95902 +aS'of\tof\tIN\tB-PP\tO' +p95903 +aS'transhepatic\ttranshepatic\tJJ\tB-NP\tO' +p95904 +aS'biliary\tbiliary\tJJ\tI-NP\tO' +p95905 +aS'drainage\tdrainage\tNN\tI-NP\tO' +p95906 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p95907 +aS'.\t.\t.\tO\tO' +p95908 +asS'She was placed on pressure support , which improved her saturations and decreased her hypercarbia .' +p95909 +(lp95910 +S'She\tShe\tPRP\tB-NP\tO' +p95911 +aS'was\tbe\tVBD\tB-VP\tO' +p95912 +aS'placed\tplace\tVBN\tI-VP\tO' +p95913 +aS'on\ton\tIN\tB-PP\tO' +p95914 +aS'pressure\tpressure\tNN\tB-NP\tO' +p95915 +aS'support\tsupport\tNN\tI-NP\tO' +p95916 +aS',\t,\t,\tO\tO' +p95917 +aS'which\twhich\tWDT\tB-NP\tO' +p95918 +aS'improved\timprove\tVBD\tB-VP\tO' +p95919 +aS'her\ther\tPRP$\tB-NP\tO' +p95920 +aS'saturations\tsaturation\tNNS\tI-NP\tO' +p95921 +aS'and\tand\tCC\tO\tO' +p95922 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p95923 +aS'her\ther\tPRP$\tB-NP\tO' +p95924 +aS'hypercarbia\thypercarbia\tNN\tI-NP\tO' +p95925 +aS'.\t.\t.\tO\tO' +p95926 +asS'On the ward she continued a gentle diuresis as well as Solu-Medrol therapy .' +p95927 +(lp95928 +S'On\tOn\tIN\tB-PP\tO' +p95929 +aS'the\tthe\tDT\tB-NP\tO' +p95930 +aS'ward\tward\tNN\tI-NP\tO' +p95931 +aS'she\tshe\tPRP\tB-NP\tO' +p95932 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p95933 +aS'a\ta\tDT\tB-NP\tO' +p95934 +aS'gentle\tgentle\tJJ\tI-NP\tO' +p95935 +aS'diuresis\tdiuresis\tNN\tI-NP\tO' +p95936 +aS'as\tas\tRB\tB-CONJP\tO' +p95937 +aS'well\twell\tRB\tI-CONJP\tO' +p95938 +aS'as\tas\tIN\tI-CONJP\tO' +p95939 +aS'Solu-Medrol\tSolu-Medrol\tNN\tB-NP\tO' +p95940 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p95941 +aS'.\t.\t.\tO\tO' +p95942 +asS'A/P - 83yo F with valvular disorder , AF , and h/o CAD a/w hypercarbic respiratory failure .' +p95943 +(lp95944 +S'A/P\tA/P\tNN\tB-NP\tO' +p95945 +aS'-\t-\tHYPH\tI-NP\tO' +p95946 +aS'83yo\t83yo\tNN\tI-NP\tO' +p95947 +aS'F\tF\tNN\tI-NP\tO' +p95948 +aS'with\twith\tIN\tB-PP\tO' +p95949 +aS'valvular\tvalvular\tJJ\tB-NP\tO' +p95950 +aS'disorder\tdisorder\tNN\tI-NP\tO' +p95951 +aS',\t,\t,\tO\tO' +p95952 +aS'AF\tAF\tNN\tB-NP\tO' +p95953 +aS',\t,\t,\tO\tO' +p95954 +aS'and\tand\tCC\tO\tO' +p95955 +aS'h/o\th/o\tNN\tB-NP\tO' +p95956 +aS'CAD\tCAD\tNN\tI-NP\tO' +p95957 +aS'a/w\ta/w\tNN\tI-NP\tO' +p95958 +aS'hypercarbic\thypercarbic\tJJ\tI-NP\tO' +p95959 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p95960 +aS'failure\tfailure\tNN\tI-NP\tO' +p95961 +aS'.\t.\t.\tO\tO' +p95962 +asS'4. Docusate Sodium 100 mg Capsule Sig : One ( 1 ) Capsule PO BID ( 2 times a day ) as needed : constipation .' +p95963 +(lp95964 +S'4.\t4.\tLS\tB-NP\tO' +p95965 +aS'Docusate\tDocusate\tNN\tI-NP\tO' +p95966 +aS'Sodium\tSodium\tNN\tI-NP\tO' +p95967 +aS'100\t100\tCD\tI-NP\tO' +p95968 +aS'mg\tmg\tNN\tI-NP\tO' +p95969 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p95970 +aS'Sig\tSig\tNNP\tI-NP\tO' +p95971 +aS':\t:\t:\tO\tO' +p95972 +aS'One\tOne\tCD\tB-NP\tO' +p95973 +aS'(\t(\t(\tO\tO' +p95974 +aS'1\t1\tCD\tB-NP\tO' +p95975 +aS')\t)\t)\tO\tO' +p95976 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p95977 +aS'PO\tPO\tNNP\tI-NP\tO' +p95978 +aS'BID\tBID\tNNP\tI-NP\tO' +p95979 +aS'(\t(\t(\tO\tO' +p95980 +aS'2\t2\tCD\tB-NP\tO' +p95981 +aS'times\ttime\tNNS\tI-NP\tO' +p95982 +aS'a\ta\tDT\tB-NP\tO' +p95983 +aS'day\tday\tNN\tI-NP\tO' +p95984 +aS')\t)\t)\tO\tO' +p95985 +aS'as\tas\tIN\tB-SBAR\tO' +p95986 +aS'needed\tneed\tVBN\tB-VP\tO' +p95987 +aS':\t:\t:\tO\tO' +p95988 +aS'constipation\tconstipation\tNN\tB-NP\tO' +p95989 +aS'.\t.\t.\tO\tO' +p95990 +asS'4. Status post right carotid endarterectomy on 2014-02-13 .' +p95991 +(lp95992 +S'4.\t4.\tLS\tB-LST\tO' +p95993 +aS'Status\tStatus\tNNP\tB-NP\tO' +p95994 +aS'post\tpost\tIN\tB-PP\tO' +p95995 +aS'right\tright\tJJ\tB-NP\tO' +p95996 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p95997 +aS'endarterectomy\tendarterectomy\tNN\tI-NP\tO' +p95998 +aS'on\ton\tIN\tB-PP\tO' +p95999 +aS'2014-02-13\t2014-02-13\tCD\tB-NP\tO' +p96000 +aS'.\t.\t.\tO\tO' +p96001 +asS'Abdomen : Soft and nontender and nondistended , normal active bowel sounds and no bruits .' +p96002 +(lp96003 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p96004 +aS':\t:\t:\tO\tO' +p96005 +aS'Soft\tSoft\tJJ\tB-NP\tO' +p96006 +aS'and\tand\tCC\tI-NP\tO' +p96007 +aS'nontender\tnontender\tJJ\tI-NP\tO' +p96008 +aS'and\tand\tCC\tI-NP\tO' +p96009 +aS'nondistended\tnondistended\tJJ\tI-NP\tO' +p96010 +aS',\t,\t,\tI-NP\tO' +p96011 +aS'normal\tnormal\tJJ\tI-NP\tO' +p96012 +aS'active\tactive\tJJ\tI-NP\tO' +p96013 +aS'bowel\tbowel\tNN\tI-NP\tO' +p96014 +aS'sounds\tsound\tNNS\tI-NP\tO' +p96015 +aS'and\tand\tCC\tO\tO' +p96016 +aS'no\tno\tDT\tB-NP\tO' +p96017 +aS'bruits\tbruit\tNNS\tI-NP\tO' +p96018 +aS'.\t.\t.\tO\tO' +p96019 +asS'The patient is stable without an oxygen requirement .' +p96020 +(lp96021 +S'The\tThe\tDT\tB-NP\tO' +p96022 +aS'patient\tpatient\tNN\tI-NP\tO' +p96023 +aS'is\tbe\tVBZ\tB-VP\tO' +p96024 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p96025 +aS'without\twithout\tIN\tB-PP\tO' +p96026 +aS'an\tan\tDT\tB-NP\tO' +p96027 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p96028 +aS'requirement\trequirement\tNN\tI-NP\tO' +p96029 +aS'.\t.\t.\tO\tO' +p96030 +asS'6) Lactulose 30 milliliters p.o. q.2h. p.r.n. constipation .' +p96031 +(lp96032 +S'6)\t6)\tCD\tB-NP\tO' +p96033 +aS'Lactulose\tLactulose\tNN\tI-NP\tO' +p96034 +aS'30\t30\tCD\tB-NP\tO' +p96035 +aS'milliliters\tmilliliter\tNNS\tI-NP\tO' +p96036 +aS'p.o.\tp.o.\tFW\tB-NP\tO' +p96037 +aS'q.2h.\tq.2h.\tNN\tI-NP\tO' +p96038 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p96039 +aS'constipation\tconstipation\tNN\tI-NP\tO' +p96040 +aS'.\t.\t.\tO\tO' +p96041 +asS'Chest ( PA and lateral ) on 2/25/00 - Lungs were clear .' +p96042 +(lp96043 +S'Chest\tChest\tNNP\tB-NP\tO' +p96044 +aS'(\t(\t(\tO\tO' +p96045 +aS'PA\tPA\tNN\tB-NP\tO' +p96046 +aS'and\tand\tCC\tO\tO' +p96047 +aS'lateral\tlateral\tJJ\tB-ADJP\tO' +p96048 +aS')\t)\t)\tO\tO' +p96049 +aS'on\ton\tIN\tB-PP\tO' +p96050 +aS'2/25/00\t2/25/00\tCD\tB-NP\tO' +p96051 +aS'-\t-\tHYPH\tI-NP\tO' +p96052 +aS'Lungs\tLung\tNNS\tI-NP\tO' +p96053 +aS'were\tbe\tVBD\tB-VP\tO' +p96054 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p96055 +aS'.\t.\t.\tO\tO' +p96056 +asS'Provider : Annie A. Payne , M.D. Where : Pembroke Hospital' +p96057 +(lp96058 +S'Provider\tProvider\tNN\tB-NP\tO' +p96059 +aS':\t:\t:\tO\tO' +p96060 +aS'Annie\tAnnie\tNNP\tB-NP\tO' +p96061 +aS'A.\tA.\tNNP\tI-NP\tO' +p96062 +aS'Payne\tPayne\tNNP\tI-NP\tO' +p96063 +aS',\t,\t,\tO\tO' +p96064 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p96065 +aS'Where\tWhere\tNNP\tI-NP\tO' +p96066 +aS':\t:\t:\tO\tO' +p96067 +aS'Pembroke\tPembroke\tNNP\tB-NP\tO' +p96068 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p96069 +asS'She is status post left knee replacement and status post multiple prior surgeries and reconstruction of the knee .' +p96070 +(lp96071 +S'She\tShe\tPRP\tB-NP\tO' +p96072 +aS'is\tbe\tVBZ\tB-VP\tO' +p96073 +aS'status\tstatus\tNN\tB-NP\tO' +p96074 +aS'post\tpost\tNN\tI-NP\tO' +p96075 +aS'left\tleave\tVBD\tB-VP\tO' +p96076 +aS'knee\tknee\tNN\tB-NP\tO' +p96077 +aS'replacement\treplacement\tNN\tI-NP\tO' +p96078 +aS'and\tand\tCC\tO\tO' +p96079 +aS'status\tstatus\tNN\tB-NP\tO' +p96080 +aS'post\tpost\tVBP\tB-VP\tO' +p96081 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p96082 +aS'prior\tprior\tJJ\tI-NP\tO' +p96083 +aS'surgeries\tsurgery\tNNS\tI-NP\tO' +p96084 +aS'and\tand\tCC\tO\tO' +p96085 +aS'reconstruction\treconstruction\tNN\tB-NP\tO' +p96086 +aS'of\tof\tIN\tB-PP\tO' +p96087 +aS'the\tthe\tDT\tB-NP\tO' +p96088 +aS'knee\tknee\tNN\tI-NP\tO' +p96089 +aS'.\t.\t.\tO\tO' +p96090 +asS'The extremities had no clubbing , cyanosis or edema .' +p96091 +(lp96092 +S'The\tThe\tDT\tB-NP\tO' +p96093 +aS'extremities\textremity\tNNS\tI-NP\tO' +p96094 +aS'had\thave\tVBD\tB-VP\tO' +p96095 +aS'no\tno\tDT\tB-NP\tO' +p96096 +aS'clubbing\tclubbing\tNN\tI-NP\tO' +p96097 +aS',\t,\t,\tI-NP\tO' +p96098 +aS'cyanosis\tcyanosis\tNN\tI-NP\tO' +p96099 +aS'or\tor\tCC\tI-NP\tO' +p96100 +aS'edema\tedema\tNN\tI-NP\tO' +p96101 +aS'.\t.\t.\tO\tO' +p96102 +asS'He was admitted on 06/07/00 for a matched , unrelated donor bone marrow transplant .' +p96103 +(lp96104 +S'He\tHe\tPRP\tB-NP\tO' +p96105 +aS'was\tbe\tVBD\tB-VP\tO' +p96106 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p96107 +aS'on\ton\tIN\tB-PP\tO' +p96108 +aS'06/07/00\t06/07/00\tCD\tB-NP\tO' +p96109 +aS'for\tfor\tIN\tB-PP\tO' +p96110 +aS'a\ta\tDT\tB-NP\tO' +p96111 +aS'matched\tmatched\tJJ\tI-NP\tO' +p96112 +aS',\t,\t,\tI-NP\tO' +p96113 +aS'unrelated\tunrelated\tJJ\tI-NP\tO' +p96114 +aS'donor\tdonor\tNN\tI-NP\tO' +p96115 +aS'bone\tbone\tNN\tI-NP\tO' +p96116 +aS'marrow\tmarrow\tNN\tI-NP\tO' +p96117 +aS'transplant\ttransplant\tNN\tI-NP\tO' +p96118 +aS'.\t.\t.\tO\tO' +p96119 +asS'His PCP had recently started ciprofloxacin for a UTI .' +p96120 +(lp96121 +S'His\tHis\tPRP$\tB-NP\tO' +p96122 +aS'PCP\tPCP\tNN\tI-NP\tB-protein' +p96123 +aS'had\thave\tVBD\tB-VP\tO' +p96124 +aS'recently\trecently\tRB\tI-VP\tO' +p96125 +aS'started\tstart\tVBN\tI-VP\tO' +p96126 +aS'ciprofloxacin\tciprofloxacin\tNN\tB-NP\tO' +p96127 +aS'for\tfor\tIN\tB-PP\tO' +p96128 +aS'a\ta\tDT\tB-NP\tO' +p96129 +aS'UTI\tUTI\tNN\tI-NP\tB-DNA' +p96130 +aS'.\t.\t.\tO\tO' +p96131 +asS'12. Aspirin 81 mg Tablet , Delayed Release ( E.C. ) Sig : One ( 1 ) Tablet , Delayed Release ( E.C. ) PO DAILY ( Daily ) .' +p96132 +(lp96133 +S'12.\t12.\tCD\tB-NP\tO' +p96134 +aS'Aspirin\tAspirin\tNN\tI-NP\tO' +p96135 +aS'81\t81\tCD\tB-NP\tO' +p96136 +aS'mg\tmg\tNN\tI-NP\tO' +p96137 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p96138 +aS',\t,\t,\tO\tO' +p96139 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p96140 +aS'Release\tRelease\tNNP\tI-NP\tO' +p96141 +aS'(\t(\t(\tO\tO' +p96142 +aS'E.C.\tE.C.\tNNP\tB-NP\tO' +p96143 +aS')\t)\t)\tO\tO' +p96144 +aS'Sig\tSig\tNNP\tB-NP\tO' +p96145 +aS':\t:\t:\tO\tO' +p96146 +aS'One\tOne\tCD\tB-NP\tO' +p96147 +aS'(\t(\t(\tO\tO' +p96148 +aS'1\t1\tCD\tB-NP\tO' +p96149 +aS')\t)\t)\tO\tO' +p96150 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p96151 +aS',\t,\t,\tO\tO' +p96152 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p96153 +aS'Release\tRelease\tNNP\tI-NP\tO' +p96154 +aS'(\t(\t(\tO\tO' +p96155 +aS'E.C.\tE.C.\tNNP\tO\tO' +p96156 +aS')\t)\t)\tO\tO' +p96157 +aS'PO\tPO\tNN\tB-NP\tO' +p96158 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p96159 +aS'(\t(\t(\tO\tO' +p96160 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p96161 +aS')\t)\t)\tO\tO' +p96162 +aS'.\t.\t.\tO\tO' +p96163 +asS'Fax number ( 317 ) 497-7408 .' +p96164 +(lp96165 +S'Fax\tFax\tNN\tB-NP\tB-protein' +p96166 +aS'number\tnumber\tNN\tI-NP\tO' +p96167 +aS'(\t(\t(\tO\tO' +p96168 +aS'317\t317\tCD\tB-NP\tO' +p96169 +aS')\t)\t)\tO\tO' +p96170 +aS'497-7408\t497-7408\tCD\tB-NP\tO' +p96171 +aS'.\t.\t.\tO\tO' +p96172 +asS'+ incontinence over the past 2 weeks .' +p96173 +(lp96174 +S'+\t+\tSYM\tB-NP\tO' +p96175 +aS'incontinence\tincontinence\tNN\tI-NP\tO' +p96176 +aS'over\tover\tIN\tB-PP\tO' +p96177 +aS'the\tthe\tDT\tB-NP\tO' +p96178 +aS'past\tpast\tJJ\tI-NP\tB-protein' +p96179 +aS'2\t2\tCD\tI-NP\tI-protein' +p96180 +aS'weeks\tweek\tNNS\tI-NP\tI-protein' +p96181 +aS'.\t.\t.\tO\tO' +p96182 +asS'5) Hypertension .' +p96183 +(lp96184 +S'5)\t5)\tLS\tB-NP\tO' +p96185 +aS'Hypertension\tHypertension\tNN\tI-NP\tO' +p96186 +aS'.\t.\t.\tO\tO' +p96187 +asS'No lesions or rashes .' +p96188 +(lp96189 +S'No\tNo\tDT\tB-NP\tO' +p96190 +aS'lesions\tlesion\tNNS\tI-NP\tO' +p96191 +aS'or\tor\tCC\tI-NP\tO' +p96192 +aS'rashes\trash\tNNS\tI-NP\tO' +p96193 +aS'.\t.\t.\tO\tO' +p96194 +asS'MEDICATIONS ON ADMISSION : He takes Imodium and Lomotil while on Sutent for diarrhea .' +p96195 +(lp96196 +S'MEDICATIONS\tMEDICATIONS\tNNS\tB-NP\tO' +p96197 +aS'ON\tON\tNN\tI-NP\tO' +p96198 +aS'ADMISSION\tADMISSION\tNN\tI-NP\tO' +p96199 +aS':\t:\t:\tO\tO' +p96200 +aS'He\tHe\tPRP\tB-NP\tO' +p96201 +aS'takes\ttake\tVBZ\tB-VP\tO' +p96202 +aS'Imodium\tImodium\tNNP\tB-NP\tO' +p96203 +aS'and\tand\tCC\tI-NP\tO' +p96204 +aS'Lomotil\tLomotil\tNNP\tI-NP\tO' +p96205 +aS'while\twhile\tIN\tB-SBAR\tO' +p96206 +aS'on\ton\tIN\tB-PP\tO' +p96207 +aS'Sutent\tSutent\tNNP\tB-NP\tO' +p96208 +aS'for\tfor\tIN\tB-PP\tO' +p96209 +aS'diarrhea\tdiarrhea\tNN\tB-NP\tO' +p96210 +aS'.\t.\t.\tO\tO' +p96211 +asS'261-280 mg / dL 17 Units' +p96212 +(lp96213 +S'261-280\t261-280\tCD\tB-NP\tO' +p96214 +aS'mg\tmg\tNN\tI-NP\tO' +p96215 +aS'/\t/\tSYM\tB-NP\tO' +p96216 +aS'dL\tdL\tNN\tI-NP\tO' +p96217 +aS'17\t17\tCD\tB-NP\tO' +p96218 +aS'Units\tUnit\tNNS\tI-NP\tO' +p96219 +asS'Amylase 143 .' +p96220 +(lp96221 +S'Amylase\tAmylase\tNN\tB-NP\tB-protein' +p96222 +aS'143\t143\tCD\tI-NP\tI-protein' +p96223 +aS'.\t.\t.\tO\tO' +p96224 +asS'Disp :* 60 Packet (s)* Refills :* 2 *' +p96225 +(lp96226 +S'Disp\tDisp\tNN\tB-NP\tO' +p96227 +aS':*\t:*\tSYM\tI-NP\tO' +p96228 +aS'60\t60\tCD\tI-NP\tO' +p96229 +aS'Packet\tPacket\tNN\tI-NP\tO' +p96230 +aS'(s)*\t(s)*\tSYM\tB-NP\tO' +p96231 +aS'Refills\tRefill\tNNPS\tI-NP\tO' +p96232 +aS':*\t:*\tSYM\tB-NP\tO' +p96233 +aS'2\t2\tCD\tB-NP\tO' +p96234 +aS'*\t*\tSYM\tB-NP\tO' +p96235 +asS'The collection is largest at its most proximal extent , measuring 1.4 x 0.7 cm in the transverse dimension .' +p96236 +(lp96237 +S'The\tThe\tDT\tB-NP\tO' +p96238 +aS'collection\tcollection\tNN\tI-NP\tO' +p96239 +aS'is\tbe\tVBZ\tB-VP\tO' +p96240 +aS'largest\tlarge\tJJS\tB-ADJP\tO' +p96241 +aS'at\tat\tIN\tB-PP\tO' +p96242 +aS'its\tits\tPRP$\tB-NP\tO' +p96243 +aS'most\tmost\tRBS\tI-NP\tO' +p96244 +aS'proximal\tproximal\tJJ\tI-NP\tO' +p96245 +aS'extent\textent\tNN\tI-NP\tO' +p96246 +aS',\t,\t,\tO\tO' +p96247 +aS'measuring\tmeasure\tVBG\tB-VP\tO' +p96248 +aS'1.4\t1.4\tCD\tB-NP\tO' +p96249 +aS'x\tx\tSYM\tO\tO' +p96250 +aS'0.7\t0.7\tCD\tB-NP\tO' +p96251 +aS'cm\tcm\tNN\tI-NP\tO' +p96252 +aS'in\tin\tIN\tB-PP\tO' +p96253 +aS'the\tthe\tDT\tB-NP\tO' +p96254 +aS'transverse\ttransverse\tJJ\tI-NP\tO' +p96255 +aS'dimension\tdimension\tNN\tI-NP\tO' +p96256 +aS'.\t.\t.\tO\tO' +p96257 +asS'Notable for no tobacco , no alcohol .' +p96258 +(lp96259 +S'Notable\tNotable\tJJ\tB-ADJP\tO' +p96260 +aS'for\tfor\tIN\tB-PP\tO' +p96261 +aS'no\tno\tDT\tB-NP\tO' +p96262 +aS'tobacco\ttobacco\tNN\tI-NP\tO' +p96263 +aS',\t,\t,\tO\tO' +p96264 +aS'no\tno\tDT\tB-NP\tO' +p96265 +aS'alcohol\talcohol\tNN\tI-NP\tO' +p96266 +aS'.\t.\t.\tO\tO' +p96267 +asS'14-087 , the patient had a signal-averaged EKG .' +p96268 +(lp96269 +S'14-087\t14-087\tCD\tB-NP\tO' +p96270 +aS',\t,\t,\tO\tO' +p96271 +aS'the\tthe\tDT\tB-NP\tO' +p96272 +aS'patient\tpatient\tNN\tI-NP\tO' +p96273 +aS'had\thave\tVBD\tB-VP\tO' +p96274 +aS'a\ta\tDT\tB-NP\tO' +p96275 +aS'signal-averaged\tsignal-averaged\tJJ\tI-NP\tO' +p96276 +aS'EKG\tEKG\tNN\tI-NP\tO' +p96277 +aS'.\t.\t.\tO\tO' +p96278 +asS'Apgars were 6 and 9 .' +p96279 +(lp96280 +S'Apgars\tApgar\tNNS\tB-NP\tO' +p96281 +aS'were\tbe\tVBD\tB-VP\tO' +p96282 +aS'6\t6\tCD\tB-NP\tO' +p96283 +aS'and\tand\tCC\tI-NP\tO' +p96284 +aS'9\t9\tCD\tI-NP\tO' +p96285 +aS'.\t.\t.\tO\tO' +p96286 +asS'Please follow up with gynecology - you will need to have your uterine bleeding evaluted' +p96287 +(lp96288 +S'Please\tPlease\tVB\tB-VP\tO' +p96289 +aS'follow\tfollow\tVB\tI-VP\tO' +p96290 +aS'up\tup\tRP\tB-PRT\tO' +p96291 +aS'with\twith\tIN\tB-PP\tO' +p96292 +aS'gynecology\tgynecology\tNN\tB-NP\tO' +p96293 +aS'-\t-\tHYPH\tO\tO' +p96294 +aS'you\tyou\tPRP\tB-NP\tO' +p96295 +aS'will\twill\tMD\tB-VP\tO' +p96296 +aS'need\tneed\tVB\tI-VP\tO' +p96297 +aS'to\tto\tTO\tI-VP\tO' +p96298 +aS'have\thave\tVB\tI-VP\tO' +p96299 +aS'your\tyour\tPRP$\tB-NP\tO' +p96300 +aS'uterine\tuterine\tJJ\tI-NP\tO' +p96301 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p96302 +aS'evaluted\tevalute\tVBD\tB-VP\tO' +p96303 +asS'Dictated By : Joe J. T. Gochenour , M.D.' +p96304 +(lp96305 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p96306 +aS'By\tBy\tIN\tB-PP\tO' +p96307 +aS':\t:\t:\tO\tO' +p96308 +aS'Joe\tJoe\tNNP\tB-NP\tO' +p96309 +aS'J.\tJ.\tNNP\tI-NP\tO' +p96310 +aS'T.\tT.\tNNP\tI-NP\tO' +p96311 +aS'Gochenour\tGochenour\tNNP\tI-NP\tO' +p96312 +aS',\t,\t,\tO\tO' +p96313 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p96314 +asS'Also please follow up with urology regarding management of your kidney stones .' +p96315 +(lp96316 +S'Also\tAlso\tRB\tB-ADVP\tO' +p96317 +aS'please\tplease\tVB\tB-VP\tO' +p96318 +aS'follow\tfollow\tVB\tI-VP\tO' +p96319 +aS'up\tup\tRP\tB-PRT\tO' +p96320 +aS'with\twith\tIN\tB-PP\tO' +p96321 +aS'urology\turology\tNN\tB-NP\tO' +p96322 +aS'regarding\tregard\tVBG\tB-VP\tO' +p96323 +aS'management\tmanagement\tNN\tB-NP\tO' +p96324 +aS'of\tof\tIN\tB-PP\tO' +p96325 +aS'your\tyour\tPRP$\tB-NP\tO' +p96326 +aS'kidney\tkidney\tNN\tI-NP\tO' +p96327 +aS'stones\tstone\tNNS\tI-NP\tO' +p96328 +aS'.\t.\t.\tO\tO' +p96329 +asS'Please follow up in 1 week .' +p96330 +(lp96331 +S'Please\tPlease\tVB\tB-VP\tO' +p96332 +aS'follow\tfollow\tVB\tI-VP\tO' +p96333 +aS'up\tup\tRP\tB-PRT\tO' +p96334 +aS'in\tin\tIN\tB-PP\tO' +p96335 +aS'1\t1\tCD\tB-NP\tO' +p96336 +aS'week\tweek\tNN\tI-NP\tO' +p96337 +aS'.\t.\t.\tO\tO' +p96338 +asS'Head CT repeated on 03-30 was unchanged , and the patient remained stable with only very suble focal exam findings ( very mild right pronator drift ) as well as his persistently poor memory related to dementia .' +p96339 +(lp96340 +S'Head\tHead\tJJ\tB-NP\tO' +p96341 +aS'CT\tCT\tNN\tI-NP\tO' +p96342 +aS'repeated\trepeat\tVBN\tB-VP\tO' +p96343 +aS'on\ton\tIN\tB-PP\tO' +p96344 +aS'03-30\t03-30\tCD\tB-NP\tO' +p96345 +aS'was\tbe\tVBD\tB-VP\tO' +p96346 +aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' +p96347 +aS',\t,\t,\tO\tO' +p96348 +aS'and\tand\tCC\tO\tO' +p96349 +aS'the\tthe\tDT\tB-NP\tO' +p96350 +aS'patient\tpatient\tNN\tI-NP\tO' +p96351 +aS'remained\tremain\tVBD\tB-VP\tO' +p96352 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p96353 +aS'with\twith\tIN\tB-PP\tO' +p96354 +aS'only\tonly\tRB\tB-NP\tO' +p96355 +aS'very\tvery\tRB\tI-NP\tO' +p96356 +aS'suble\tsuble\tJJ\tI-NP\tO' +p96357 +aS'focal\tfocal\tJJ\tI-NP\tO' +p96358 +aS'exam\texam\tNN\tI-NP\tO' +p96359 +aS'findings\tfinding\tNNS\tI-NP\tO' +p96360 +aS'(\t(\t(\tO\tO' +p96361 +aS'very\tvery\tRB\tB-NP\tO' +p96362 +aS'mild\tmild\tJJ\tI-NP\tO' +p96363 +aS'right\tright\tJJ\tI-NP\tO' +p96364 +aS'pronator\tpronator\tNN\tI-NP\tO' +p96365 +aS'drift\tdrift\tNN\tI-NP\tO' +p96366 +aS')\t)\t)\tO\tO' +p96367 +aS'as\tas\tRB\tB-CONJP\tO' +p96368 +aS'well\twell\tRB\tI-CONJP\tO' +p96369 +aS'as\tas\tIN\tI-CONJP\tO' +p96370 +aS'his\this\tPRP$\tB-NP\tB-DNA' +p96371 +aS'persistently\tpersistently\tRB\tI-NP\tO' +p96372 +aS'poor\tpoor\tJJ\tI-NP\tO' +p96373 +aS'memory\tmemory\tNN\tI-NP\tO' +p96374 +aS'related\trelate\tVBN\tB-VP\tO' +p96375 +aS'to\tto\tTO\tB-PP\tO' +p96376 +aS'dementia\tdementia\tNN\tB-NP\tO' +p96377 +aS'.\t.\t.\tO\tO' +p96378 +asS'Thyroid stimulation hormone 1.9 .' +p96379 +(lp96380 +S'Thyroid\tThyroid\tJJ\tB-NP\tB-protein' +p96381 +aS'stimulation\tstimulation\tNN\tI-NP\tI-protein' +p96382 +aS'hormone\thormone\tNN\tI-NP\tI-protein' +p96383 +aS'1.9\t1.9\tCD\tI-NP\tI-protein' +p96384 +aS'.\t.\t.\tO\tO' +p96385 +asS'1. Morphine prn .' +p96386 +(lp96387 +S'1.\t1.\tLS\tB-NP\tO' +p96388 +aS'Morphine\tMorphine\tNN\tI-NP\tO' +p96389 +aS'prn\tprn\tNN\tI-NP\tO' +p96390 +aS'.\t.\t.\tO\tO' +p96391 +asS'There was a larger area of susceptibility artifact in the left temporal lobe , right frontal lobe , and the splenius of the corpus collasum .' +p96392 +(lp96393 +S'There\tThere\tEX\tB-NP\tO' +p96394 +aS'was\tbe\tVBD\tB-VP\tO' +p96395 +aS'a\ta\tDT\tB-NP\tO' +p96396 +aS'larger\tlarge\tJJR\tI-NP\tO' +p96397 +aS'area\tarea\tNN\tI-NP\tO' +p96398 +aS'of\tof\tIN\tB-PP\tO' +p96399 +aS'susceptibility\tsusceptibility\tNN\tB-NP\tO' +p96400 +aS'artifact\tartifact\tNN\tI-NP\tO' +p96401 +aS'in\tin\tIN\tB-PP\tO' +p96402 +aS'the\tthe\tDT\tB-NP\tO' +p96403 +aS'left\tleft\tJJ\tI-NP\tO' +p96404 +aS'temporal\ttemporal\tJJ\tI-NP\tO' +p96405 +aS'lobe\tlobe\tNN\tI-NP\tO' +p96406 +aS',\t,\t,\tO\tO' +p96407 +aS'right\tright\tJJ\tB-NP\tO' +p96408 +aS'frontal\tfrontal\tJJ\tI-NP\tO' +p96409 +aS'lobe\tlobe\tNN\tI-NP\tO' +p96410 +aS',\t,\t,\tO\tO' +p96411 +aS'and\tand\tCC\tO\tO' +p96412 +aS'the\tthe\tDT\tB-NP\tO' +p96413 +aS'splenius\tsplenius\tNN\tI-NP\tO' +p96414 +aS'of\tof\tIN\tB-PP\tO' +p96415 +aS'the\tthe\tDT\tB-NP\tO' +p96416 +aS'corpus\tcorpus\tNN\tI-NP\tO' +p96417 +aS'collasum\tcollasum\tNN\tI-NP\tO' +p96418 +aS'.\t.\t.\tO\tO' +p96419 +asS'Clinic in three to four weeks .' +p96420 +(lp96421 +S'Clinic\tClinic\tJJ\tB-ADJP\tO' +p96422 +aS'in\tin\tIN\tB-PP\tO' +p96423 +aS'three\tthree\tCD\tB-NP\tO' +p96424 +aS'to\tto\tTO\tI-NP\tO' +p96425 +aS'four\tfour\tCD\tI-NP\tO' +p96426 +aS'weeks\tweek\tNNS\tI-NP\tO' +p96427 +aS'.\t.\t.\tO\tO' +p96428 +asS'There is no evidence of CHF .' +p96429 +(lp96430 +S'There\tThere\tEX\tB-NP\tO' +p96431 +aS'is\tbe\tVBZ\tB-VP\tO' +p96432 +aS'no\tno\tDT\tB-NP\tO' +p96433 +aS'evidence\tevidence\tNN\tI-NP\tO' +p96434 +aS'of\tof\tIN\tB-PP\tO' +p96435 +aS'CHF\tCHF\tNN\tB-NP\tB-protein' +p96436 +aS'.\t.\t.\tO\tO' +p96437 +asS'Mother was admitted in labor .' +p96438 +(lp96439 +S'Mother\tMother\tDT\tB-NP\tO' +p96440 +aS'was\tbe\tVBD\tB-VP\tO' +p96441 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p96442 +aS'in\tin\tIN\tB-PP\tO' +p96443 +aS'labor\tlabor\tNN\tB-NP\tO' +p96444 +aS'.\t.\t.\tO\tO' +p96445 +asS'The patient was seen in consultation with the physical therapy service initially for routine rehabilitation after a total hip replacement .' +p96446 +(lp96447 +S'The\tThe\tDT\tB-NP\tO' +p96448 +aS'patient\tpatient\tNN\tI-NP\tO' +p96449 +aS'was\tbe\tVBD\tB-VP\tO' +p96450 +aS'seen\tsee\tVBN\tI-VP\tO' +p96451 +aS'in\tin\tIN\tB-PP\tO' +p96452 +aS'consultation\tconsultation\tNN\tB-NP\tO' +p96453 +aS'with\twith\tIN\tB-PP\tO' +p96454 +aS'the\tthe\tDT\tB-NP\tO' +p96455 +aS'physical\tphysical\tJJ\tI-NP\tO' +p96456 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p96457 +aS'service\tservice\tNN\tI-NP\tO' +p96458 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p96459 +aS'for\tfor\tIN\tB-PP\tO' +p96460 +aS'routine\troutine\tJJ\tB-NP\tO' +p96461 +aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' +p96462 +aS'after\tafter\tIN\tB-PP\tO' +p96463 +aS'a\ta\tDT\tB-NP\tO' +p96464 +aS'total\ttotal\tJJ\tI-NP\tO' +p96465 +aS'hip\thip\tNN\tI-NP\tO' +p96466 +aS'replacement\treplacement\tNN\tI-NP\tO' +p96467 +aS'.\t.\t.\tO\tO' +p96468 +asS'The patient should follow-up with Dr. Halcomb in six weeks time .' +p96469 +(lp96470 +S'The\tThe\tDT\tB-NP\tO' +p96471 +aS'patient\tpatient\tNN\tI-NP\tO' +p96472 +aS'should\tshould\tMD\tB-VP\tO' +p96473 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p96474 +aS'with\twith\tIN\tB-PP\tO' +p96475 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p96476 +aS'Halcomb\tHalcomb\tNNP\tI-NP\tO' +p96477 +aS'in\tin\tIN\tB-PP\tO' +p96478 +aS'six\tsix\tCD\tB-NP\tO' +p96479 +aS'weeks\tweek\tNNS\tI-NP\tO' +p96480 +aS'time\ttime\tNN\tI-NP\tO' +p96481 +aS'.\t.\t.\tO\tO' +p96482 +asS'At approximately 7:50 a.m. , house officer was called to the room for blood pressure of 70/40 with falling oxygen saturations .' +p96483 +(lp96484 +S'At\tAt\tIN\tB-PP\tO' +p96485 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p96486 +aS'7:50\t7:50\tCD\tI-NP\tO' +p96487 +aS'a.m.\ta.m.\tNN\tI-NP\tO' +p96488 +aS',\t,\t,\tO\tO' +p96489 +aS'house\thouse\tNN\tB-NP\tO' +p96490 +aS'officer\tofficer\tNN\tI-NP\tO' +p96491 +aS'was\tbe\tVBD\tB-VP\tO' +p96492 +aS'called\tcall\tVBN\tI-VP\tO' +p96493 +aS'to\tto\tTO\tB-PP\tO' +p96494 +aS'the\tthe\tDT\tB-NP\tO' +p96495 +aS'room\troom\tNN\tI-NP\tO' +p96496 +aS'for\tfor\tIN\tB-PP\tO' +p96497 +aS'blood\tblood\tNN\tB-NP\tO' +p96498 +aS'pressure\tpressure\tNN\tI-NP\tO' +p96499 +aS'of\tof\tIN\tB-PP\tO' +p96500 +aS'70/40\t70/40\tCD\tB-NP\tO' +p96501 +aS'with\twith\tIN\tB-PP\tO' +p96502 +aS'falling\tfall\tVBG\tB-NP\tO' +p96503 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p96504 +aS'saturations\tsaturation\tNNS\tI-NP\tO' +p96505 +aS'.\t.\t.\tO\tO' +p96506 +asS'The mother is a 31 - year-old Gravida 5 , para 1 , now 4 woman with estimated date of delivery 2013-09-12 .' +p96507 +(lp96508 +S'The\tThe\tDT\tB-NP\tO' +p96509 +aS'mother\tmother\tNN\tI-NP\tO' +p96510 +aS'is\tbe\tVBZ\tB-VP\tO' +p96511 +aS'a\ta\tDT\tB-NP\tO' +p96512 +aS'31\t31\tCD\tI-NP\tO' +p96513 +aS'-\t-\tHYPH\tI-NP\tO' +p96514 +aS'year-old\tyear-old\tJJ\tI-NP\tB-protein' +p96515 +aS'Gravida\tGravida\tNNP\tI-NP\tI-protein' +p96516 +aS'5\t5\tCD\tI-NP\tI-protein' +p96517 +aS',\t,\t,\tO\tO' +p96518 +aS'para\tpara\tNN\tB-NP\tO' +p96519 +aS'1\t1\tCD\tI-NP\tO' +p96520 +aS',\t,\t,\tO\tO' +p96521 +aS'now\tnow\tRB\tB-ADVP\tO' +p96522 +aS'4\t4\tCD\tB-NP\tO' +p96523 +aS'woman\twoman\tNN\tI-NP\tO' +p96524 +aS'with\twith\tIN\tB-PP\tO' +p96525 +aS'estimated\testimate\tVBN\tB-NP\tO' +p96526 +aS'date\tdate\tNN\tI-NP\tO' +p96527 +aS'of\tof\tIN\tB-PP\tO' +p96528 +aS'delivery\tdelivery\tNN\tB-NP\tO' +p96529 +aS'2013-09-12\t2013-09-12\tCD\tI-NP\tO' +p96530 +aS'.\t.\t.\tO\tO' +p96531 +asS'He remained stable with his vital signs and lab data within normal limits .' +p96532 +(lp96533 +S'He\tHe\tPRP\tB-NP\tO' +p96534 +aS'remained\tremain\tVBD\tB-VP\tO' +p96535 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p96536 +aS'with\twith\tIN\tB-PP\tO' +p96537 +aS'his\this\tPRP$\tB-NP\tO' +p96538 +aS'vital\tvital\tJJ\tI-NP\tO' +p96539 +aS'signs\tsign\tNNS\tI-NP\tO' +p96540 +aS'and\tand\tCC\tO\tO' +p96541 +aS'lab\tlab\tNN\tB-NP\tO' +p96542 +aS'data\tdatum\tNNS\tI-NP\tO' +p96543 +aS'within\twithin\tIN\tB-PP\tO' +p96544 +aS'normal\tnormal\tJJ\tB-NP\tO' +p96545 +aS'limits\tlimit\tNNS\tI-NP\tO' +p96546 +aS'.\t.\t.\tO\tO' +p96547 +asS'Abdomen non-distended , positive bowel sounds , soft , non-tender , no hepatosplenomegaly or masses .' +p96548 +(lp96549 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p96550 +aS'non-distended\tnon-distended\tJJ\tI-NP\tO' +p96551 +aS',\t,\t,\tI-NP\tO' +p96552 +aS'positive\tpositive\tJJ\tI-NP\tO' +p96553 +aS'bowel\tbowel\tNN\tI-NP\tO' +p96554 +aS'sounds\tsound\tNNS\tI-NP\tO' +p96555 +aS',\t,\t,\tO\tO' +p96556 +aS'soft\tsoft\tJJ\tB-NP\tO' +p96557 +aS',\t,\t,\tI-NP\tO' +p96558 +aS'non-tender\tnon-tender\tJJ\tI-NP\tO' +p96559 +aS',\t,\t,\tO\tO' +p96560 +aS'no\tno\tDT\tB-NP\tO' +p96561 +aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tI-NP\tO' +p96562 +aS'or\tor\tCC\tI-NP\tO' +p96563 +aS'masses\tmass\tNNS\tI-NP\tO' +p96564 +aS'.\t.\t.\tO\tO' +p96565 +asS'1. One vessel coronary artery disease .' +p96566 +(lp96567 +S'1.\t1.\tLS\tB-LST\tO' +p96568 +aS'One\tOne\tCD\tB-NP\tO' +p96569 +aS'vessel\tvessel\tNN\tI-NP\tO' +p96570 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p96571 +aS'artery\tartery\tNN\tI-NP\tO' +p96572 +aS'disease\tdisease\tNN\tI-NP\tO' +p96573 +aS'.\t.\t.\tO\tO' +p96574 +asS'Again , his intracranial pressure and neurologic examination remained the same , and conservative treatment was opted for .' +p96575 +(lp96576 +S'Again\tAgain\tRB\tB-ADVP\tO' +p96577 +aS',\t,\t,\tO\tO' +p96578 +aS'his\this\tPRP$\tB-NP\tO' +p96579 +aS'intracranial\tintracranial\tJJ\tI-NP\tO' +p96580 +aS'pressure\tpressure\tNN\tI-NP\tO' +p96581 +aS'and\tand\tCC\tO\tO' +p96582 +aS'neurologic\tneurologic\tJJ\tB-NP\tO' +p96583 +aS'examination\texamination\tNN\tI-NP\tO' +p96584 +aS'remained\tremain\tVBD\tB-VP\tO' +p96585 +aS'the\tthe\tDT\tB-NP\tO' +p96586 +aS'same\tsame\tJJ\tI-NP\tO' +p96587 +aS',\t,\t,\tO\tO' +p96588 +aS'and\tand\tCC\tO\tO' +p96589 +aS'conservative\tconservative\tJJ\tB-NP\tO' +p96590 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p96591 +aS'was\tbe\tVBD\tB-VP\tO' +p96592 +aS'opted\topte\tVBN\tI-VP\tO' +p96593 +aS'for\tfor\tIN\tB-PP\tO' +p96594 +aS'.\t.\t.\tO\tO' +p96595 +asS'Normal female genitalia .' +p96596 +(lp96597 +S'Normal\tNormal\tJJ\tB-NP\tO' +p96598 +aS'female\tfemale\tJJ\tI-NP\tO' +p96599 +aS'genitalia\tgenitalia\tNNS\tI-NP\tO' +p96600 +aS'.\t.\t.\tO\tO' +p96601 +asS'The patient will be discharged to home in stable condition with a follow up appointment with Dr. Sterp .' +p96602 +(lp96603 +S'The\tThe\tDT\tB-NP\tO' +p96604 +aS'patient\tpatient\tNN\tI-NP\tO' +p96605 +aS'will\twill\tMD\tB-VP\tO' +p96606 +aS'be\tbe\tVB\tI-VP\tO' +p96607 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p96608 +aS'to\tto\tTO\tB-PP\tO' +p96609 +aS'home\thome\tNN\tB-NP\tO' +p96610 +aS'in\tin\tIN\tB-PP\tO' +p96611 +aS'stable\tstable\tJJ\tB-NP\tO' +p96612 +aS'condition\tcondition\tNN\tI-NP\tO' +p96613 +aS'with\twith\tIN\tB-PP\tO' +p96614 +aS'a\ta\tDT\tB-NP\tO' +p96615 +aS'follow\tfollow\tNN\tI-NP\tO' +p96616 +aS'up\tup\tRP\tB-PRT\tO' +p96617 +aS'appointment\tappointment\tNN\tB-NP\tO' +p96618 +aS'with\twith\tIN\tB-PP\tO' +p96619 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p96620 +aS'Sterp\tSterp\tNNP\tI-NP\tO' +p96621 +aS'.\t.\t.\tO\tO' +p96622 +asS'He has been placed on Oxycodone 10 mg. po. q3hours as needed for pain .' +p96623 +(lp96624 +S'He\tHe\tPRP\tB-NP\tO' +p96625 +aS'has\thave\tVBZ\tB-VP\tO' +p96626 +aS'been\tbe\tVBN\tI-VP\tO' +p96627 +aS'placed\tplace\tVBN\tI-VP\tO' +p96628 +aS'on\ton\tIN\tB-PP\tO' +p96629 +aS'Oxycodone\tOxycodone\tNN\tB-NP\tO' +p96630 +aS'10\t10\tCD\tI-NP\tO' +p96631 +aS'mg.\tmg.\tNN\tI-NP\tO' +p96632 +aS'po.\tpo.\tNN\tI-NP\tO' +p96633 +aS'q3hours\tq3hour\tNNS\tI-NP\tO' +p96634 +aS'as\tas\tIN\tB-SBAR\tO' +p96635 +aS'needed\tneed\tVBN\tB-VP\tO' +p96636 +aS'for\tfor\tIN\tB-PP\tO' +p96637 +aS'pain\tpain\tNN\tB-NP\tO' +p96638 +aS'.\t.\t.\tO\tO' +p96639 +asS'Angiography performed on October 31 , 1999 , showed normal vascular distribution of the head and neck with no recurrence of arteriovenous malformation .' +p96640 +(lp96641 +S'Angiography\tAngiography\tNN\tB-NP\tO' +p96642 +aS'performed\tperform\tVBN\tB-VP\tO' +p96643 +aS'on\ton\tIN\tB-PP\tO' +p96644 +aS'October\tOctober\tNNP\tB-NP\tO' +p96645 +aS'31\t31\tCD\tI-NP\tO' +p96646 +aS',\t,\t,\tI-NP\tO' +p96647 +aS'1999\t1999\tCD\tI-NP\tO' +p96648 +aS',\t,\t,\tO\tO' +p96649 +aS'showed\tshow\tVBD\tB-VP\tO' +p96650 +aS'normal\tnormal\tJJ\tB-NP\tO' +p96651 +aS'vascular\tvascular\tJJ\tI-NP\tO' +p96652 +aS'distribution\tdistribution\tNN\tI-NP\tO' +p96653 +aS'of\tof\tIN\tB-PP\tO' +p96654 +aS'the\tthe\tDT\tB-NP\tO' +p96655 +aS'head\thead\tNN\tI-NP\tO' +p96656 +aS'and\tand\tCC\tI-NP\tO' +p96657 +aS'neck\tneck\tNN\tI-NP\tO' +p96658 +aS'with\twith\tIN\tB-PP\tO' +p96659 +aS'no\tno\tDT\tB-NP\tO' +p96660 +aS'recurrence\trecurrence\tNN\tI-NP\tO' +p96661 +aS'of\tof\tIN\tB-PP\tO' +p96662 +aS'arteriovenous\tarteriovenous\tJJ\tB-NP\tO' +p96663 +aS'malformation\tmalformation\tNN\tI-NP\tO' +p96664 +aS'.\t.\t.\tO\tO' +p96665 +asS'Disp :* 30 Tablet Sustained Release 24 hr (s)* Refills :* 2 *' +p96666 +(lp96667 +S'Disp\tDisp\tNN\tB-NP\tO' +p96668 +aS':*\t:*\tSYM\tI-NP\tO' +p96669 +aS'30\t30\tCD\tI-NP\tO' +p96670 +aS'Tablet\tTablet\tNN\tI-NP\tO' +p96671 +aS'Sustained\tSustain\tVBD\tB-VP\tO' +p96672 +aS'Release\tRelease\tNN\tB-NP\tO' +p96673 +aS'24\t24\tCD\tI-NP\tO' +p96674 +aS'hr\thr\tNN\tI-NP\tO' +p96675 +aS'(s)*\t(s)*\tSYM\tB-NP\tO' +p96676 +aS'Refills\tRefill\tNNPS\tI-NP\tO' +p96677 +aS':*\t:*\tSYM\tI-NP\tO' +p96678 +aS'2\t2\tCD\tI-NP\tO' +p96679 +aS'*\t*\tSYM\tB-NP\tO' +p96680 +asS'The patient was afebrile , vital signs were stable .' +p96681 +(lp96682 +S'The\tThe\tDT\tB-NP\tO' +p96683 +aS'patient\tpatient\tNN\tI-NP\tO' +p96684 +aS'was\tbe\tVBD\tB-VP\tO' +p96685 +aS'afebrile\tafebrile\tJJ\tB-NP\tO' +p96686 +aS',\t,\t,\tI-NP\tO' +p96687 +aS'vital\tvital\tJJ\tI-NP\tO' +p96688 +aS'signs\tsign\tNNS\tI-NP\tO' +p96689 +aS'were\tbe\tVBD\tB-VP\tO' +p96690 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p96691 +aS'.\t.\t.\tO\tO' +p96692 +asS'5. Lantoprost 0.005 ophthalmic solution one drop O.U. q.h.s.' +p96693 +(lp96694 +S'5.\t5.\tLS\tB-NP\tO' +p96695 +aS'Lantoprost\tLantoprost\tNN\tI-NP\tO' +p96696 +aS'0.005\t0.005\tCD\tI-NP\tO' +p96697 +aS'ophthalmic\tophthalmic\tJJ\tI-NP\tO' +p96698 +aS'solution\tsolution\tNN\tI-NP\tO' +p96699 +aS'one\tone\tCD\tB-NP\tO' +p96700 +aS'drop\tdrop\tNN\tI-NP\tO' +p96701 +aS'O.U.\tO.U.\tNNP\tB-NP\tO' +p96702 +aS'q.h.s.\tq.h.s.\t.\tO\tO' +p96703 +asS'Security was notified who then arrived to the room and helped to place the patient in four-point' +p96704 +(lp96705 +S'Security\tSecurity\tNN\tB-NP\tO' +p96706 +aS'was\tbe\tVBD\tB-VP\tO' +p96707 +aS'notified\tnotify\tVBN\tI-VP\tO' +p96708 +aS'who\twho\tWP\tB-NP\tO' +p96709 +aS'then\tthen\tRB\tB-ADVP\tO' +p96710 +aS'arrived\tarrive\tVBD\tB-VP\tO' +p96711 +aS'to\tto\tTO\tB-PP\tO' +p96712 +aS'the\tthe\tDT\tB-NP\tO' +p96713 +aS'room\troom\tNN\tI-NP\tO' +p96714 +aS'and\tand\tCC\tO\tO' +p96715 +aS'helped\thelp\tVBN\tB-VP\tO' +p96716 +aS'to\tto\tTO\tI-VP\tO' +p96717 +aS'place\tplace\tVB\tI-VP\tO' +p96718 +aS'the\tthe\tDT\tB-NP\tO' +p96719 +aS'patient\tpatient\tNN\tI-NP\tO' +p96720 +aS'in\tin\tIN\tB-PP\tO' +p96721 +aS'four-point\tfour-point\tJJ\tB-NP\tO' +p96722 +asS'36 yo G3P2 at 38+5 weeks GA presented to L&D for elective induction of labor .' +p96723 +(lp96724 +S'36\t36\tCD\tB-NP\tO' +p96725 +aS'yo\tyo\tNN\tI-NP\tO' +p96726 +aS'G3P2\tG3P2\tNN\tI-NP\tO' +p96727 +aS'at\tat\tIN\tB-PP\tO' +p96728 +aS'38+5\t38+5\tCD\tB-NP\tO' +p96729 +aS'weeks\tweek\tNNS\tI-NP\tO' +p96730 +aS'GA\tGA\tNN\tI-NP\tO' +p96731 +aS'presented\tpresent\tVBN\tB-VP\tO' +p96732 +aS'to\tto\tTO\tB-PP\tO' +p96733 +aS'L&D\tL&D\tNN\tB-NP\tO' +p96734 +aS'for\tfor\tIN\tB-PP\tO' +p96735 +aS'elective\telective\tJJ\tB-NP\tO' +p96736 +aS'induction\tinduction\tNN\tI-NP\tO' +p96737 +aS'of\tof\tIN\tB-PP\tO' +p96738 +aS'labor\tlabor\tNN\tB-NP\tO' +p96739 +aS'.\t.\t.\tO\tO' +p96740 +asS'A head MRI on 2012-04-24 revealed increasing tumor infiltration with increased edema and mass effect .' +p96741 +(lp96742 +S'A\tA\tDT\tB-NP\tO' +p96743 +aS'head\thead\tNN\tI-NP\tO' +p96744 +aS'MRI\tMRI\tNN\tI-NP\tO' +p96745 +aS'on\ton\tIN\tB-PP\tO' +p96746 +aS'2012-04-24\t2012-04-24\tCD\tB-NP\tO' +p96747 +aS'revealed\treveal\tVBD\tB-VP\tO' +p96748 +aS'increasing\tincrease\tVBG\tI-VP\tO' +p96749 +aS'tumor\ttumor\tNN\tB-NP\tO' +p96750 +aS'infiltration\tinfiltration\tNN\tI-NP\tO' +p96751 +aS'with\twith\tIN\tB-PP\tO' +p96752 +aS'increased\tincrease\tVBN\tB-NP\tO' +p96753 +aS'edema\tedema\tNN\tI-NP\tO' +p96754 +aS'and\tand\tCC\tI-NP\tO' +p96755 +aS'mass\tmass\tNN\tI-NP\tO' +p96756 +aS'effect\teffect\tNN\tI-NP\tO' +p96757 +aS'.\t.\t.\tO\tO' +p96758 +asS'Her CXR prior to discharge showed mild pulm edema and thus was given 40 of lasix prior to going to rehab .' +p96759 +(lp96760 +S'Her\tHer\tPRP$\tB-NP\tO' +p96761 +aS'CXR\tCXR\tNN\tI-NP\tB-protein' +p96762 +aS'prior\tprior\tRB\tB-ADVP\tO' +p96763 +aS'to\tto\tTO\tB-VP\tO' +p96764 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p96765 +aS'showed\tshow\tVBD\tB-VP\tO' +p96766 +aS'mild\tmild\tJJ\tB-NP\tO' +p96767 +aS'pulm\tpulm\tNN\tI-NP\tO' +p96768 +aS'edema\tedema\tNN\tI-NP\tO' +p96769 +aS'and\tand\tCC\tO\tO' +p96770 +aS'thus\tthus\tRB\tB-ADVP\tO' +p96771 +aS'was\tbe\tVBD\tB-VP\tO' +p96772 +aS'given\tgive\tVBN\tI-VP\tO' +p96773 +aS'40\t40\tCD\tB-NP\tO' +p96774 +aS'of\tof\tIN\tB-PP\tO' +p96775 +aS'lasix\tlasix\tNN\tB-NP\tO' +p96776 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p96777 +aS'to\tto\tTO\tB-PP\tO' +p96778 +aS'going\tgo\tVBG\tB-VP\tO' +p96779 +aS'to\tto\tTO\tI-VP\tO' +p96780 +aS'rehab\trehab\tVB\tI-VP\tO' +p96781 +aS'.\t.\t.\tO\tO' +p96782 +asS'67 y/o F w/ hx poliomyelitis , breast CA stable on tamoxifen , vent dependent in an iron lung admitted w/ 1 day hx of abdominal pain .' +p96783 +(lp96784 +S'67\t67\tCD\tB-NP\tO' +p96785 +aS'y/o\ty/o\tNN\tI-NP\tO' +p96786 +aS'F\tF\tNN\tI-NP\tO' +p96787 +aS'w/\tw/\tNN\tI-NP\tO' +p96788 +aS'hx\thx\tNN\tI-NP\tO' +p96789 +aS'poliomyelitis\tpoliomyelitis\tNN\tI-NP\tO' +p96790 +aS',\t,\t,\tO\tO' +p96791 +aS'breast\tbreast\tNN\tB-NP\tO' +p96792 +aS'CA\tCA\tNN\tI-NP\tO' +p96793 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p96794 +aS'on\ton\tIN\tB-PP\tO' +p96795 +aS'tamoxifen\ttamoxifen\tNN\tB-NP\tO' +p96796 +aS',\t,\t,\tO\tO' +p96797 +aS'vent\tvent\tNN\tB-NP\tO' +p96798 +aS'dependent\tdependent\tJJ\tB-ADJP\tO' +p96799 +aS'in\tin\tIN\tB-PP\tO' +p96800 +aS'an\tan\tDT\tB-NP\tO' +p96801 +aS'iron\tiron\tNN\tI-NP\tO' +p96802 +aS'lung\tlung\tNN\tI-NP\tO' +p96803 +aS'admitted\tadmit\tVBD\tB-VP\tO' +p96804 +aS'w/\tw/\tSYM\tB-NP\tO' +p96805 +aS'1\t1\tCD\tI-NP\tO' +p96806 +aS'day\tday\tNN\tI-NP\tO' +p96807 +aS'hx\thx\tNN\tI-NP\tO' +p96808 +aS'of\tof\tIN\tB-PP\tO' +p96809 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p96810 +aS'pain\tpain\tNN\tI-NP\tO' +p96811 +aS'.\t.\t.\tO\tO' +p96812 +asS'The patient will also wear a back brace at all times while out of bed .' +p96813 +(lp96814 +S'The\tThe\tDT\tB-NP\tO' +p96815 +aS'patient\tpatient\tNN\tI-NP\tO' +p96816 +aS'will\twill\tMD\tB-VP\tO' +p96817 +aS'also\talso\tRB\tI-VP\tO' +p96818 +aS'wear\twear\tVB\tI-VP\tO' +p96819 +aS'a\ta\tDT\tB-NP\tO' +p96820 +aS'back\tback\tJJ\tI-NP\tO' +p96821 +aS'brace\tbrace\tNN\tI-NP\tO' +p96822 +aS'at\tat\tIN\tB-PP\tO' +p96823 +aS'all\tall\tDT\tB-NP\tO' +p96824 +aS'times\ttime\tNNS\tI-NP\tO' +p96825 +aS'while\twhile\tIN\tB-SBAR\tO' +p96826 +aS'out\tout\tIN\tB-PP\tO' +p96827 +aS'of\tof\tIN\tB-PP\tO' +p96828 +aS'bed\tbed\tNN\tB-NP\tO' +p96829 +aS'.\t.\t.\tO\tO' +p96830 +asS'3. Clopidogrel Bisulfate 75 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' +p96831 +(lp96832 +S'3.\t3.\tLS\tB-NP\tO' +p96833 +aS'Clopidogrel\tClopidogrel\tNN\tI-NP\tO' +p96834 +aS'Bisulfate\tBisulfate\tNN\tI-NP\tO' +p96835 +aS'75\t75\tCD\tI-NP\tO' +p96836 +aS'mg\tmg\tNN\tI-NP\tO' +p96837 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p96838 +aS'Sig\tSig\tNNP\tI-NP\tO' +p96839 +aS':\t:\t:\tO\tO' +p96840 +aS'One\tOne\tCD\tB-NP\tO' +p96841 +aS'(\t(\t(\tO\tO' +p96842 +aS'1\t1\tCD\tB-NP\tO' +p96843 +aS')\t)\t)\tO\tO' +p96844 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p96845 +aS'PO\tPO\tNN\tI-NP\tO' +p96846 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p96847 +aS'(\t(\t(\tO\tO' +p96848 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p96849 +aS')\t)\t)\tO\tO' +p96850 +aS'.\t.\t.\tO\tO' +p96851 +asS'Positive vaginal tag .' +p96852 +(lp96853 +S'Positive\tPositive\tJJ\tB-NP\tO' +p96854 +aS'vaginal\tvaginal\tJJ\tI-NP\tO' +p96855 +aS'tag\ttag\tNN\tI-NP\tO' +p96856 +aS'.\t.\t.\tO\tO' +p96857 +asS'Moderate to severe 3+ mitral regurgitation and 3+ tricuspid regurgitation along with moderate pulmonary early systolic hypertension .' +p96858 +(lp96859 +S'Moderate\tModerate\tJJ\tB-ADJP\tO' +p96860 +aS'to\tto\tTO\tB-PP\tO' +p96861 +aS'severe\tsevere\tJJ\tB-NP\tO' +p96862 +aS'3+\t3+\tJJ\tI-NP\tO' +p96863 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p96864 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p96865 +aS'and\tand\tCC\tO\tO' +p96866 +aS'3+\t3+\tJJ\tB-NP\tO' +p96867 +aS'tricuspid\ttricuspid\tJJ\tI-NP\tO' +p96868 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p96869 +aS'along\talong\tIN\tB-PP\tO' +p96870 +aS'with\twith\tIN\tB-PP\tO' +p96871 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p96872 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p96873 +aS'early\tearly\tJJ\tI-NP\tO' +p96874 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p96875 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p96876 +aS'.\t.\t.\tO\tO' +p96877 +asS'The remainder of the hospital course will be dictated by the covering intern .' +p96878 +(lp96879 +S'The\tThe\tDT\tB-NP\tO' +p96880 +aS'remainder\tremainder\tNN\tI-NP\tO' +p96881 +aS'of\tof\tIN\tB-PP\tO' +p96882 +aS'the\tthe\tDT\tB-NP\tO' +p96883 +aS'hospital\thospital\tNN\tI-NP\tO' +p96884 +aS'course\tcourse\tNN\tI-NP\tO' +p96885 +aS'will\twill\tMD\tB-VP\tO' +p96886 +aS'be\tbe\tVB\tI-VP\tO' +p96887 +aS'dictated\tdictate\tVBN\tI-VP\tO' +p96888 +aS'by\tby\tIN\tB-PP\tO' +p96889 +aS'the\tthe\tDT\tB-NP\tO' +p96890 +aS'covering\tcover\tVBG\tI-NP\tO' +p96891 +aS'intern\tintern\tNN\tI-NP\tO' +p96892 +aS'.\t.\t.\tO\tO' +p96893 +asS'Dictated By : Rose D. Bordelon , M.D.' +p96894 +(lp96895 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p96896 +aS'By\tBy\tIN\tB-PP\tO' +p96897 +aS':\t:\t:\tO\tO' +p96898 +aS'Rose\tRose\tNNP\tB-NP\tO' +p96899 +aS'D.\tD.\tNNP\tI-NP\tO' +p96900 +aS'Bordelon\tBordelon\tNNP\tI-NP\tO' +p96901 +aS',\t,\t,\tO\tO' +p96902 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p96903 +asS'On the evening of postoperative day number zero , the patient had decreased urine output and was placed on a Lasix drip for diuresis .' +p96904 +(lp96905 +S'On\tOn\tIN\tB-PP\tO' +p96906 +aS'the\tthe\tDT\tB-NP\tO' +p96907 +aS'evening\tevening\tNN\tI-NP\tO' +p96908 +aS'of\tof\tIN\tB-PP\tO' +p96909 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p96910 +aS'day\tday\tNN\tI-NP\tO' +p96911 +aS'number\tnumber\tNN\tI-NP\tO' +p96912 +aS'zero\tzero\tCD\tI-NP\tO' +p96913 +aS',\t,\t,\tO\tO' +p96914 +aS'the\tthe\tDT\tB-NP\tO' +p96915 +aS'patient\tpatient\tNN\tI-NP\tO' +p96916 +aS'had\thave\tVBD\tB-VP\tO' +p96917 +aS'decreased\tdecrease\tVBN\tI-VP\tO' +p96918 +aS'urine\turine\tNN\tB-NP\tO' +p96919 +aS'output\toutput\tNN\tI-NP\tO' +p96920 +aS'and\tand\tCC\tO\tO' +p96921 +aS'was\tbe\tVBD\tB-VP\tO' +p96922 +aS'placed\tplace\tVBN\tI-VP\tO' +p96923 +aS'on\ton\tIN\tB-PP\tO' +p96924 +aS'a\ta\tDT\tB-NP\tO' +p96925 +aS'Lasix\tLasix\tNNP\tI-NP\tO' +p96926 +aS'drip\tdrip\tNN\tI-NP\tO' +p96927 +aS'for\tfor\tIN\tB-PP\tO' +p96928 +aS'diuresis\tdiuresis\tNN\tB-NP\tO' +p96929 +aS'.\t.\t.\tO\tO' +p96930 +asS'The patient was admitted to Dr. Shatermivaet S Brain on 4/28/93 with a history of papillary carcinoma of the thyroid with bone involvement and possible lung involvement .' +p96931 +(lp96932 +S'The\tThe\tDT\tB-NP\tO' +p96933 +aS'patient\tpatient\tNN\tI-NP\tO' +p96934 +aS'was\tbe\tVBD\tB-VP\tO' +p96935 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p96936 +aS'to\tto\tTO\tB-PP\tO' +p96937 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p96938 +aS'Shatermivaet\tShatermivaet\tNNP\tI-NP\tO' +p96939 +aS'S\tS\tNNP\tI-NP\tO' +p96940 +aS'Brain\tBrain\tNNP\tI-NP\tO' +p96941 +aS'on\ton\tIN\tB-PP\tO' +p96942 +aS'4/28/93\t4/28/93\tCD\tB-NP\tO' +p96943 +aS'with\twith\tIN\tB-PP\tO' +p96944 +aS'a\ta\tDT\tB-NP\tO' +p96945 +aS'history\thistory\tNN\tI-NP\tO' +p96946 +aS'of\tof\tIN\tB-PP\tO' +p96947 +aS'papillary\tpapillary\tJJ\tB-NP\tO' +p96948 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p96949 +aS'of\tof\tIN\tB-PP\tO' +p96950 +aS'the\tthe\tDT\tB-NP\tO' +p96951 +aS'thyroid\tthyroid\tNN\tI-NP\tO' +p96952 +aS'with\twith\tIN\tB-PP\tO' +p96953 +aS'bone\tbone\tNN\tB-NP\tO' +p96954 +aS'involvement\tinvolvement\tNN\tI-NP\tO' +p96955 +aS'and\tand\tCC\tO\tO' +p96956 +aS'possible\tpossible\tJJ\tB-NP\tO' +p96957 +aS'lung\tlung\tNN\tI-NP\tO' +p96958 +aS'involvement\tinvolvement\tNN\tI-NP\tO' +p96959 +aS'.\t.\t.\tO\tO' +p96960 +asS'Was discharged on 11/16/2003 in stable condition with the last recorded hematocrit of 31.3 .' +p96961 +(lp96962 +S'Was\tBe\tVBD\tB-VP\tO' +p96963 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p96964 +aS'on\ton\tIN\tB-PP\tO' +p96965 +aS'11/16/2003\t11/16/2003\tCD\tB-NP\tO' +p96966 +aS'in\tin\tIN\tB-PP\tO' +p96967 +aS'stable\tstable\tJJ\tB-NP\tO' +p96968 +aS'condition\tcondition\tNN\tI-NP\tO' +p96969 +aS'with\twith\tIN\tB-PP\tO' +p96970 +aS'the\tthe\tDT\tB-NP\tO' +p96971 +aS'last\tlast\tJJ\tI-NP\tO' +p96972 +aS'recorded\trecord\tVBN\tI-NP\tO' +p96973 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p96974 +aS'of\tof\tIN\tB-PP\tO' +p96975 +aS'31.3\t31.3\tCD\tB-NP\tO' +p96976 +aS'.\t.\t.\tO\tO' +p96977 +asS'ET tube in standard placement .' +p96978 +(lp96979 +S'ET\tET\tNN\tB-NP\tO' +p96980 +aS'tube\ttube\tNN\tI-NP\tO' +p96981 +aS'in\tin\tIN\tB-PP\tO' +p96982 +aS'standard\tstandard\tJJ\tB-NP\tO' +p96983 +aS'placement\tplacement\tNN\tI-NP\tO' +p96984 +aS'.\t.\t.\tO\tO' +p96985 +asS'3) with chronic lung disease .' +p96986 +(lp96987 +S'3)\t3)\tLS\tB-LST\tO' +p96988 +aS'with\twith\tIN\tB-PP\tO' +p96989 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p96990 +aS'lung\tlung\tNN\tI-NP\tO' +p96991 +aS'disease\tdisease\tNN\tI-NP\tO' +p96992 +aS'.\t.\t.\tO\tO' +p96993 +asS'1. ETOH intoxication .' +p96994 +(lp96995 +S'1.\t1.\tLS\tB-NP\tO' +p96996 +aS'ETOH\tETOH\tNN\tI-NP\tO' +p96997 +aS'intoxication\tintoxication\tNN\tI-NP\tO' +p96998 +aS'.\t.\t.\tO\tO' +p96999 +asS'He son also notes that she appeared to be working hard to breath .' +p97000 +(lp97001 +S'He\tHe\tPRP\tB-NP\tO' +p97002 +aS'son\tson\tNN\tI-NP\tO' +p97003 +aS'also\talso\tRB\tB-ADVP\tO' +p97004 +aS'notes\tnote\tVBZ\tB-VP\tO' +p97005 +aS'that\tthat\tIN\tB-SBAR\tO' +p97006 +aS'she\tshe\tPRP\tB-NP\tO' +p97007 +aS'appeared\tappear\tVBD\tB-VP\tO' +p97008 +aS'to\tto\tTO\tI-VP\tO' +p97009 +aS'be\tbe\tVB\tI-VP\tO' +p97010 +aS'working\twork\tVBG\tI-VP\tO' +p97011 +aS'hard\thard\tRB\tB-ADVP\tO' +p97012 +aS'to\tto\tTO\tB-PP\tO' +p97013 +aS'breath\tbreath\tNN\tB-NP\tO' +p97014 +aS'.\t.\t.\tO\tO' +p97015 +asS'He did have runs of nonsustained ventricular tachycardia , which were clinically stable .' +p97016 +(lp97017 +S'He\tHe\tPRP\tB-NP\tO' +p97018 +aS'did\tdo\tVBD\tB-VP\tO' +p97019 +aS'have\thave\tVB\tI-VP\tO' +p97020 +aS'runs\trun\tNNS\tB-NP\tO' +p97021 +aS'of\tof\tIN\tB-PP\tO' +p97022 +aS'nonsustained\tnonsustained\tJJ\tB-NP\tO' +p97023 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p97024 +aS'tachycardia\ttachycardia\tNN\tI-NP\tO' +p97025 +aS',\t,\t,\tO\tO' +p97026 +aS'which\twhich\tWDT\tB-NP\tO' +p97027 +aS'were\tbe\tVBD\tB-VP\tO' +p97028 +aS'clinically\tclinically\tRB\tB-ADJP\tO' +p97029 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p97030 +aS'.\t.\t.\tO\tO' +p97031 +asS'The next morning , the patient felt dizzy and went to his private medical doctor at Eifro Medical Center , and was found to have elevated bilirubins , alkaline phosphatase , and transaminases .' +p97032 +(lp97033 +S'The\tThe\tDT\tB-NP\tO' +p97034 +aS'next\tnext\tJJ\tI-NP\tO' +p97035 +aS'morning\tmorning\tNN\tI-NP\tO' +p97036 +aS',\t,\t,\tO\tO' +p97037 +aS'the\tthe\tDT\tB-NP\tO' +p97038 +aS'patient\tpatient\tNN\tI-NP\tO' +p97039 +aS'felt\tfeel\tVBD\tB-VP\tO' +p97040 +aS'dizzy\tdizzy\tJJ\tB-ADJP\tO' +p97041 +aS'and\tand\tCC\tO\tO' +p97042 +aS'went\tgo\tVBD\tB-VP\tO' +p97043 +aS'to\tto\tTO\tB-PP\tO' +p97044 +aS'his\this\tPRP$\tB-NP\tO' +p97045 +aS'private\tprivate\tJJ\tI-NP\tO' +p97046 +aS'medical\tmedical\tJJ\tI-NP\tO' +p97047 +aS'doctor\tdoctor\tNN\tI-NP\tO' +p97048 +aS'at\tat\tIN\tB-PP\tO' +p97049 +aS'Eifro\tEifro\tNNP\tB-NP\tO' +p97050 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p97051 +aS'Center\tCenter\tNNP\tI-NP\tO' +p97052 +aS',\t,\t,\tO\tO' +p97053 +aS'and\tand\tCC\tO\tO' +p97054 +aS'was\tbe\tVBD\tB-VP\tO' +p97055 +aS'found\tfind\tVBN\tI-VP\tO' +p97056 +aS'to\tto\tTO\tI-VP\tO' +p97057 +aS'have\thave\tVB\tI-VP\tO' +p97058 +aS'elevated\televate\tVBN\tI-VP\tO' +p97059 +aS'bilirubins\tbilirubin\tNNS\tB-NP\tO' +p97060 +aS',\t,\t,\tO\tO' +p97061 +aS'alkaline\talkaline\tNN\tB-NP\tB-protein' +p97062 +aS'phosphatase\tphosphatase\tNN\tI-NP\tI-protein' +p97063 +aS',\t,\t,\tO\tO' +p97064 +aS'and\tand\tCC\tO\tO' +p97065 +aS'transaminases\ttransaminase\tNNS\tB-NP\tB-protein' +p97066 +aS'.\t.\t.\tO\tO' +p97067 +asS'He had a transient episode of headache and disorientation at that time .' +p97068 +(lp97069 +S'He\tHe\tPRP\tB-NP\tO' +p97070 +aS'had\thave\tVBD\tB-VP\tO' +p97071 +aS'a\ta\tDT\tB-NP\tO' +p97072 +aS'transient\ttransient\tJJ\tI-NP\tO' +p97073 +aS'episode\tepisode\tNN\tI-NP\tO' +p97074 +aS'of\tof\tIN\tB-PP\tO' +p97075 +aS'headache\theadache\tNN\tB-NP\tO' +p97076 +aS'and\tand\tCC\tI-NP\tO' +p97077 +aS'disorientation\tdisorientation\tNN\tI-NP\tO' +p97078 +aS'at\tat\tIN\tB-PP\tO' +p97079 +aS'that\tthat\tDT\tB-NP\tO' +p97080 +aS'time\ttime\tNN\tI-NP\tO' +p97081 +aS'.\t.\t.\tO\tO' +p97082 +asS'The patient is a 52 year old female with gravida 3 para 3 who presents with complains of abdominal pain and enlarged ovary by ultrasound .' +p97083 +(lp97084 +S'The\tThe\tDT\tB-NP\tO' +p97085 +aS'patient\tpatient\tNN\tI-NP\tO' +p97086 +aS'is\tbe\tVBZ\tB-VP\tO' +p97087 +aS'a\ta\tDT\tB-NP\tO' +p97088 +aS'52\t52\tCD\tI-NP\tO' +p97089 +aS'year\tyear\tNN\tI-NP\tO' +p97090 +aS'old\told\tJJ\tI-NP\tO' +p97091 +aS'female\tfemale\tNN\tI-NP\tO' +p97092 +aS'with\twith\tIN\tB-PP\tO' +p97093 +aS'gravida\tgravida\tNN\tB-NP\tB-protein' +p97094 +aS'3\t3\tCD\tI-NP\tI-protein' +p97095 +aS'para\tpara\tNN\tI-NP\tI-protein' +p97096 +aS'3\t3\tCD\tI-NP\tI-protein' +p97097 +aS'who\twho\tWP\tB-NP\tO' +p97098 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p97099 +aS'with\twith\tIN\tB-PP\tO' +p97100 +aS'complains\tcomplain\tNNS\tB-NP\tO' +p97101 +aS'of\tof\tIN\tB-PP\tO' +p97102 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p97103 +aS'pain\tpain\tNN\tI-NP\tO' +p97104 +aS'and\tand\tCC\tO\tO' +p97105 +aS'enlarged\tenlarge\tVBD\tB-VP\tO' +p97106 +aS'ovary\tovary\tNN\tB-NP\tO' +p97107 +aS'by\tby\tIN\tB-PP\tO' +p97108 +aS'ultrasound\tultrasound\tNN\tB-NP\tO' +p97109 +aS'.\t.\t.\tO\tO' +p97110 +asS'LAD and LCX were stented , but PLB could not be crossed by guidewire ( were collaterals ) .' +p97111 +(lp97112 +S'LAD\tLAD\tNN\tB-NP\tO' +p97113 +aS'and\tand\tCC\tI-NP\tO' +p97114 +aS'LCX\tLCX\tNN\tI-NP\tB-protein' +p97115 +aS'were\tbe\tVBD\tB-VP\tO' +p97116 +aS'stented\tstente\tVBN\tI-VP\tO' +p97117 +aS',\t,\t,\tO\tO' +p97118 +aS'but\tbut\tCC\tO\tO' +p97119 +aS'PLB\tPLB\tNN\tB-NP\tB-protein' +p97120 +aS'could\tcould\tMD\tB-VP\tO' +p97121 +aS'not\tnot\tRB\tI-VP\tO' +p97122 +aS'be\tbe\tVB\tI-VP\tO' +p97123 +aS'crossed\tcross\tVBN\tI-VP\tO' +p97124 +aS'by\tby\tIN\tB-PP\tO' +p97125 +aS'guidewire\tguidewire\tNN\tB-NP\tO' +p97126 +aS'(\t(\t(\tO\tO' +p97127 +aS'were\tbe\tVBD\tB-VP\tO' +p97128 +aS'collaterals\tcollateral\tNNS\tB-NP\tO' +p97129 +aS')\t)\t)\tO\tO' +p97130 +aS'.\t.\t.\tO\tO' +p97131 +asS'Mother with colonic polyps .' +p97132 +(lp97133 +S'Mother\tMother\tDT\tB-NP\tO' +p97134 +aS'with\twith\tIN\tB-PP\tO' +p97135 +aS'colonic\tcolonic\tJJ\tB-NP\tO' +p97136 +aS'polyps\tpolyp\tNNS\tI-NP\tO' +p97137 +aS'.\t.\t.\tO\tO' +p97138 +asS'Once consent and preoperative evaluation was complete , he was taken to the operating room .' +p97139 +(lp97140 +S'Once\tOnce\tIN\tB-PP\tO' +p97141 +aS'consent\tconsent\tNN\tB-NP\tO' +p97142 +aS'and\tand\tCC\tO\tO' +p97143 +aS'preoperative\tpreoperative\tJJ\tB-NP\tO' +p97144 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p97145 +aS'was\tbe\tVBD\tB-VP\tO' +p97146 +aS'complete\tcomplete\tJJ\tB-ADJP\tO' +p97147 +aS',\t,\t,\tO\tO' +p97148 +aS'he\the\tPRP\tB-NP\tO' +p97149 +aS'was\tbe\tVBD\tB-VP\tO' +p97150 +aS'taken\ttake\tVBN\tI-VP\tO' +p97151 +aS'to\tto\tTO\tB-PP\tO' +p97152 +aS'the\tthe\tDT\tB-NP\tO' +p97153 +aS'operating\toperating\tNN\tI-NP\tO' +p97154 +aS'room\troom\tNN\tI-NP\tO' +p97155 +aS'.\t.\t.\tO\tO' +p97156 +asS'- Hydroxyzine HCl 25 mg Tablet PO Q4-6H PRN for itching' +p97157 +(lp97158 +S'-\t-\tHYPH\tB-NP\tO' +p97159 +aS'Hydroxyzine\tHydroxyzine\tNN\tI-NP\tO' +p97160 +aS'HCl\tHCl\tNN\tI-NP\tO' +p97161 +aS'25\t25\tCD\tI-NP\tO' +p97162 +aS'mg\tmg\tNN\tI-NP\tO' +p97163 +aS'Tablet\tTablet\tNN\tI-NP\tO' +p97164 +aS'PO\tPO\tNN\tI-NP\tO' +p97165 +aS'Q4-6H\tQ4-6H\tNN\tI-NP\tO' +p97166 +aS'PRN\tPRN\tNN\tI-NP\tO' +p97167 +aS'for\tfor\tIN\tB-PP\tO' +p97168 +aS'itching\titch\tVBG\tB-VP\tO' +p97169 +asS'In 1991 he presented with congestive heart failure and he underwent porcine aortic valve replacement .' +p97170 +(lp97171 +S'In\tIn\tIN\tB-PP\tO' +p97172 +aS'1991\t1991\tCD\tB-NP\tO' +p97173 +aS'he\the\tPRP\tB-NP\tO' +p97174 +aS'presented\tpresent\tVBD\tB-VP\tO' +p97175 +aS'with\twith\tIN\tB-PP\tO' +p97176 +aS'congestive\tcongestive\tJJ\tB-NP\tO' +p97177 +aS'heart\theart\tNN\tI-NP\tO' +p97178 +aS'failure\tfailure\tNN\tI-NP\tO' +p97179 +aS'and\tand\tCC\tO\tO' +p97180 +aS'he\the\tPRP\tB-NP\tO' +p97181 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p97182 +aS'porcine\tporcine\tJJ\tB-NP\tO' +p97183 +aS'aortic\taortic\tJJ\tI-NP\tO' +p97184 +aS'valve\tvalve\tNN\tI-NP\tO' +p97185 +aS'replacement\treplacement\tNN\tI-NP\tO' +p97186 +aS'.\t.\t.\tO\tO' +p97187 +asS'The patient developed a large hematoma requiring surgical drainage .' +p97188 +(lp97189 +S'The\tThe\tDT\tB-NP\tO' +p97190 +aS'patient\tpatient\tNN\tI-NP\tO' +p97191 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p97192 +aS'a\ta\tDT\tB-NP\tO' +p97193 +aS'large\tlarge\tJJ\tI-NP\tO' +p97194 +aS'hematoma\thematoma\tNN\tI-NP\tO' +p97195 +aS'requiring\trequire\tVBG\tB-VP\tO' +p97196 +aS'surgical\tsurgical\tJJ\tB-NP\tO' +p97197 +aS'drainage\tdrainage\tNN\tI-NP\tO' +p97198 +aS'.\t.\t.\tO\tO' +p97199 +asS'His cardiomyopathy work up entailed a negative ANA , negative SPEP , UPEP and Benz-Jones proteins , normal ferritin , thyroid stimulating hormone and a recent work up for possible bimomatous associated myasthenia gravis that was negative .' +p97200 +(lp97201 +S'His\tHis\tPRP$\tB-NP\tO' +p97202 +aS'cardiomyopathy\tcardiomyopathy\tNN\tI-NP\tO' +p97203 +aS'work\twork\tNN\tI-NP\tO' +p97204 +aS'up\tup\tRB\tB-ADVP\tO' +p97205 +aS'entailed\tentail\tVBD\tB-VP\tO' +p97206 +aS'a\ta\tDT\tB-NP\tO' +p97207 +aS'negative\tnegative\tJJ\tI-NP\tO' +p97208 +aS'ANA\tANA\tNN\tI-NP\tO' +p97209 +aS',\t,\t,\tO\tO' +p97210 +aS'negative\tnegative\tJJ\tB-NP\tO' +p97211 +aS'SPEP\tSPEP\tNN\tI-NP\tO' +p97212 +aS',\t,\t,\tO\tO' +p97213 +aS'UPEP\tUPEP\tNN\tB-NP\tB-DNA' +p97214 +aS'and\tand\tCC\tO\tO' +p97215 +aS'Benz-Jones\tBenz-Jones\tJJ\tB-NP\tB-protein' +p97216 +aS'proteins\tprotein\tNNS\tI-NP\tI-protein' +p97217 +aS',\t,\t,\tO\tO' +p97218 +aS'normal\tnormal\tJJ\tB-NP\tO' +p97219 +aS'ferritin\tferritin\tNN\tI-NP\tO' +p97220 +aS',\t,\t,\tO\tO' +p97221 +aS'thyroid\tthyroid\tNN\tB-NP\tO' +p97222 +aS'stimulating\tstimulate\tVBG\tB-VP\tO' +p97223 +aS'hormone\thormone\tNN\tB-NP\tO' +p97224 +aS'and\tand\tCC\tO\tO' +p97225 +aS'a\ta\tDT\tB-NP\tO' +p97226 +aS'recent\trecent\tJJ\tI-NP\tO' +p97227 +aS'work\twork\tNN\tI-NP\tO' +p97228 +aS'up\tup\tRP\tB-PP\tO' +p97229 +aS'for\tfor\tIN\tB-PP\tO' +p97230 +aS'possible\tpossible\tJJ\tB-NP\tO' +p97231 +aS'bimomatous\tbimomatous\tJJ\tI-NP\tO' +p97232 +aS'associated\tassociate\tVBN\tI-NP\tO' +p97233 +aS'myasthenia\tmyasthenia\tNN\tI-NP\tO' +p97234 +aS'gravis\tgravis\tNN\tI-NP\tO' +p97235 +aS'that\tthat\tWDT\tB-NP\tO' +p97236 +aS'was\tbe\tVBD\tB-VP\tO' +p97237 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p97238 +aS'.\t.\t.\tO\tO' +p97239 +asS'Pulmonary examination revealed lungs clear to auscultation bilaterally .' +p97240 +(lp97241 +S'Pulmonary\tPulmonary\tJJ\tB-NP\tO' +p97242 +aS'examination\texamination\tNN\tI-NP\tO' +p97243 +aS'revealed\treveal\tVBD\tB-VP\tO' +p97244 +aS'lungs\tlung\tNNS\tB-NP\tO' +p97245 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p97246 +aS'to\tto\tTO\tB-PP\tO' +p97247 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p97248 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p97249 +aS'.\t.\t.\tO\tO' +p97250 +asS'By postoperative day #5 she was ambulating at level IV , was tolerating po , was able to void and felt comfortable to go to rehab .' +p97251 +(lp97252 +S'By\tBy\tIN\tB-PP\tO' +p97253 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p97254 +aS'day\tday\tNN\tI-NP\tO' +p97255 +aS'#5\t#5\tCD\tI-NP\tO' +p97256 +aS'she\tshe\tPRP\tB-NP\tO' +p97257 +aS'was\tbe\tVBD\tB-VP\tO' +p97258 +aS'ambulating\tambulate\tVBG\tI-VP\tO' +p97259 +aS'at\tat\tIN\tB-PP\tO' +p97260 +aS'level\tlevel\tNN\tB-NP\tO' +p97261 +aS'IV\tIV\tCD\tI-NP\tO' +p97262 +aS',\t,\t,\tO\tO' +p97263 +aS'was\tbe\tVBD\tB-VP\tO' +p97264 +aS'tolerating\ttolerate\tVBG\tI-VP\tO' +p97265 +aS'po\tpo\tNN\tB-NP\tO' +p97266 +aS',\t,\t,\tO\tO' +p97267 +aS'was\tbe\tVBD\tB-VP\tO' +p97268 +aS'able\table\tJJ\tB-ADJP\tO' +p97269 +aS'to\tto\tTO\tB-PP\tO' +p97270 +aS'void\tvoid\tNN\tB-NP\tO' +p97271 +aS'and\tand\tCC\tO\tO' +p97272 +aS'felt\tfeel\tVBD\tB-VP\tO' +p97273 +aS'comfortable\tcomfortable\tJJ\tB-ADJP\tO' +p97274 +aS'to\tto\tTO\tB-VP\tO' +p97275 +aS'go\tgo\tVB\tI-VP\tO' +p97276 +aS'to\tto\tTO\tI-VP\tO' +p97277 +aS'rehab\trehab\tVB\tI-VP\tO' +p97278 +aS'.\t.\t.\tO\tO' +p97279 +asS'8. Protonix 40 mg p.o. q day .' +p97280 +(lp97281 +S'8.\t8.\tCD\tB-NP\tO' +p97282 +aS'Protonix\tProtonix\tNNP\tI-NP\tO' +p97283 +aS'40\t40\tCD\tI-NP\tO' +p97284 +aS'mg\tmg\tNN\tI-NP\tO' +p97285 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p97286 +aS'q\tq\tNN\tI-NP\tO' +p97287 +aS'day\tday\tNN\tI-NP\tO' +p97288 +aS'.\t.\t.\tO\tO' +p97289 +asS'She has been on total parenteral nutrition and has been nothing by mouth since then .' +p97290 +(lp97291 +S'She\tShe\tPRP\tB-NP\tO' +p97292 +aS'has\thave\tVBZ\tB-VP\tO' +p97293 +aS'been\tbe\tVBN\tI-VP\tO' +p97294 +aS'on\ton\tIN\tB-PP\tO' +p97295 +aS'total\ttotal\tJJ\tB-NP\tO' +p97296 +aS'parenteral\tparenteral\tJJ\tI-NP\tO' +p97297 +aS'nutrition\tnutrition\tNN\tI-NP\tO' +p97298 +aS'and\tand\tCC\tO\tO' +p97299 +aS'has\thave\tVBZ\tB-VP\tO' +p97300 +aS'been\tbe\tVBN\tI-VP\tO' +p97301 +aS'nothing\tnothing\tNN\tB-NP\tO' +p97302 +aS'by\tby\tIN\tB-PP\tO' +p97303 +aS'mouth\tmouth\tNN\tB-NP\tO' +p97304 +aS'since\tsince\tIN\tB-PP\tO' +p97305 +aS'then\tthen\tRB\tB-NP\tO' +p97306 +aS'.\t.\t.\tO\tO' +p97307 +asS'Idiosyncratic reaction to cyclosporine was considered as cause for cerebritis , and cyclosporine was discontinued .' +p97308 +(lp97309 +S'Idiosyncratic\tIdiosyncratic\tJJ\tB-NP\tO' +p97310 +aS'reaction\treaction\tNN\tI-NP\tO' +p97311 +aS'to\tto\tTO\tB-PP\tO' +p97312 +aS'cyclosporine\tcyclosporine\tNN\tB-NP\tO' +p97313 +aS'was\tbe\tVBD\tB-VP\tO' +p97314 +aS'considered\tconsider\tVBN\tI-VP\tO' +p97315 +aS'as\tas\tIN\tB-PP\tO' +p97316 +aS'cause\tcause\tNN\tB-NP\tO' +p97317 +aS'for\tfor\tIN\tB-PP\tO' +p97318 +aS'cerebritis\tcerebritis\tNN\tB-NP\tO' +p97319 +aS',\t,\t,\tO\tO' +p97320 +aS'and\tand\tCC\tO\tO' +p97321 +aS'cyclosporine\tcyclosporine\tNN\tB-NP\tO' +p97322 +aS'was\tbe\tVBD\tB-VP\tO' +p97323 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p97324 +aS'.\t.\t.\tO\tO' +p97325 +asS'The patient was managed with Vasotec , Nifedipine and Clonidine with blood pressure under good control at the time of discharge , average 125 systolic , 70 diastolic , heart rate of 72 .' +p97326 +(lp97327 +S'The\tThe\tDT\tB-NP\tO' +p97328 +aS'patient\tpatient\tNN\tI-NP\tO' +p97329 +aS'was\tbe\tVBD\tB-VP\tO' +p97330 +aS'managed\tmanage\tVBN\tI-VP\tO' +p97331 +aS'with\twith\tIN\tB-PP\tO' +p97332 +aS'Vasotec\tVasotec\tNNP\tB-NP\tO' +p97333 +aS',\t,\t,\tO\tO' +p97334 +aS'Nifedipine\tNifedipine\tNN\tB-NP\tO' +p97335 +aS'and\tand\tCC\tI-NP\tO' +p97336 +aS'Clonidine\tClonidine\tNN\tI-NP\tO' +p97337 +aS'with\twith\tIN\tB-PP\tO' +p97338 +aS'blood\tblood\tNN\tB-NP\tO' +p97339 +aS'pressure\tpressure\tNN\tI-NP\tO' +p97340 +aS'under\tunder\tIN\tB-PP\tO' +p97341 +aS'good\tgood\tJJ\tB-NP\tO' +p97342 +aS'control\tcontrol\tNN\tI-NP\tO' +p97343 +aS'at\tat\tIN\tB-PP\tO' +p97344 +aS'the\tthe\tDT\tB-NP\tO' +p97345 +aS'time\ttime\tNN\tI-NP\tO' +p97346 +aS'of\tof\tIN\tB-PP\tO' +p97347 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p97348 +aS',\t,\t,\tO\tO' +p97349 +aS'average\taverage\tNN\tB-NP\tO' +p97350 +aS'125\t125\tCD\tI-NP\tO' +p97351 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p97352 +aS',\t,\t,\tO\tO' +p97353 +aS'70\t70\tCD\tB-NP\tO' +p97354 +aS'diastolic\tdiastolic\tJJ\tI-NP\tO' +p97355 +aS',\t,\t,\tI-NP\tO' +p97356 +aS'heart\theart\tNN\tI-NP\tO' +p97357 +aS'rate\trate\tNN\tI-NP\tO' +p97358 +aS'of\tof\tIN\tB-PP\tO' +p97359 +aS'72\t72\tCD\tB-NP\tO' +p97360 +aS'.\t.\t.\tO\tO' +p97361 +asS'The patient was admitted to the Oncology Service on Founder 's 7 and received intravenous chemotherapy with a 72 hour continuous infusion of 5-FU , Vinblastine on day 1 and day 3 , and Cisplatinum on day 1 .' +p97362 +(lp97363 +S'The\tThe\tDT\tB-NP\tO' +p97364 +aS'patient\tpatient\tNN\tI-NP\tO' +p97365 +aS'was\tbe\tVBD\tB-VP\tO' +p97366 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p97367 +aS'to\tto\tTO\tB-PP\tO' +p97368 +aS'the\tthe\tDT\tB-NP\tO' +p97369 +aS'Oncology\tOncology\tNNP\tI-NP\tO' +p97370 +aS'Service\tService\tNNP\tI-NP\tO' +p97371 +aS'on\ton\tIN\tB-PP\tO' +p97372 +aS'Founder\tFounder\tNNP\tB-NP\tO' +p97373 +aS''s\t'\tNNS\tI-NP\tO' +p97374 +aS'7\t7\tCD\tB-NP\tO' +p97375 +aS'and\tand\tCC\tO\tO' +p97376 +aS'received\treceive\tVBD\tB-VP\tO' +p97377 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p97378 +aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' +p97379 +aS'with\twith\tIN\tB-PP\tO' +p97380 +aS'a\ta\tDT\tB-NP\tO' +p97381 +aS'72\t72\tCD\tI-NP\tO' +p97382 +aS'hour\thour\tNN\tI-NP\tO' +p97383 +aS'continuous\tcontinuous\tJJ\tI-NP\tO' +p97384 +aS'infusion\tinfusion\tNN\tI-NP\tO' +p97385 +aS'of\tof\tIN\tB-PP\tO' +p97386 +aS'5-FU\t5-FU\tNN\tB-NP\tO' +p97387 +aS',\t,\t,\tO\tO' +p97388 +aS'Vinblastine\tVinblastine\tNN\tB-NP\tO' +p97389 +aS'on\ton\tIN\tB-PP\tO' +p97390 +aS'day\tday\tNN\tB-NP\tO' +p97391 +aS'1\t1\tCD\tI-NP\tO' +p97392 +aS'and\tand\tCC\tO\tO' +p97393 +aS'day\tday\tNN\tB-NP\tO' +p97394 +aS'3\t3\tCD\tI-NP\tO' +p97395 +aS',\t,\t,\tO\tO' +p97396 +aS'and\tand\tCC\tO\tO' +p97397 +aS'Cisplatinum\tCisplatinum\tNN\tB-NP\tO' +p97398 +aS'on\ton\tIN\tB-PP\tO' +p97399 +aS'day\tday\tNN\tB-NP\tO' +p97400 +aS'1\t1\tCD\tI-NP\tO' +p97401 +aS'.\t.\t.\tO\tO' +p97402 +asS'78 year old female with history of HTN , a.fib presenting with ureteral stone , hydronephrosis , and urosepsis .' +p97403 +(lp97404 +S'78\t78\tCD\tB-NP\tO' +p97405 +aS'year\tyear\tNN\tI-NP\tO' +p97406 +aS'old\told\tJJ\tI-NP\tO' +p97407 +aS'female\tfemale\tNN\tI-NP\tO' +p97408 +aS'with\twith\tIN\tB-PP\tO' +p97409 +aS'history\thistory\tNN\tB-NP\tO' +p97410 +aS'of\tof\tIN\tB-PP\tO' +p97411 +aS'HTN\tHTN\tNN\tB-NP\tB-protein' +p97412 +aS',\t,\t,\tO\tO' +p97413 +aS'a.fib\ta.fib\tNN\tB-NP\tO' +p97414 +aS'presenting\tpresent\tVBG\tB-VP\tO' +p97415 +aS'with\twith\tIN\tB-PP\tO' +p97416 +aS'ureteral\tureteral\tJJ\tB-NP\tO' +p97417 +aS'stone\tstone\tNN\tI-NP\tO' +p97418 +aS',\t,\t,\tO\tO' +p97419 +aS'hydronephrosis\thydronephrosis\tNN\tB-NP\tO' +p97420 +aS',\t,\t,\tO\tO' +p97421 +aS'and\tand\tCC\tO\tO' +p97422 +aS'urosepsis\turosepsis\tNN\tB-NP\tO' +p97423 +aS'.\t.\t.\tO\tO' +p97424 +asS'A pericardiocentesis was attempted with no yield of pericardial fluid .' +p97425 +(lp97426 +S'A\tA\tDT\tB-NP\tO' +p97427 +aS'pericardiocentesis\tpericardiocentesis\tNN\tI-NP\tO' +p97428 +aS'was\tbe\tVBD\tB-VP\tO' +p97429 +aS'attempted\tattempt\tVBN\tI-VP\tO' +p97430 +aS'with\twith\tIN\tB-PP\tO' +p97431 +aS'no\tno\tDT\tB-NP\tO' +p97432 +aS'yield\tyield\tNN\tI-NP\tO' +p97433 +aS'of\tof\tIN\tB-PP\tO' +p97434 +aS'pericardial\tpericardial\tJJ\tB-NP\tO' +p97435 +aS'fluid\tfluid\tNN\tI-NP\tO' +p97436 +aS'.\t.\t.\tO\tO' +p97437 +asS'2. RIGHT HYDRONEPHROSIS ON CT SCAN .' +p97438 +(lp97439 +S'2.\t2.\tLS\tB-NP\tO' +p97440 +aS'RIGHT\tRIGHT\tNN\tI-NP\tO' +p97441 +aS'HYDRONEPHROSIS\tHYDRONEPHROSIS\tNN\tI-NP\tO' +p97442 +aS'ON\tON\tNN\tI-NP\tO' +p97443 +aS'CT\tCT\tNN\tI-NP\tO' +p97444 +aS'SCAN\tSCAN\tNN\tI-NP\tO' +p97445 +aS'.\t.\t.\tO\tO' +p97446 +asS'The condition on discharge is good .' +p97447 +(lp97448 +S'The\tThe\tDT\tB-NP\tO' +p97449 +aS'condition\tcondition\tNN\tI-NP\tO' +p97450 +aS'on\ton\tIN\tB-PP\tO' +p97451 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p97452 +aS'is\tbe\tVBZ\tB-VP\tO' +p97453 +aS'good\tgood\tJJ\tB-ADJP\tO' +p97454 +aS'.\t.\t.\tO\tO' +p97455 +asS'Mother with lung cancer .' +p97456 +(lp97457 +S'Mother\tMother\tDT\tB-NP\tO' +p97458 +aS'with\twith\tIN\tB-PP\tO' +p97459 +aS'lung\tlung\tNN\tB-NP\tO' +p97460 +aS'cancer\tcancer\tNN\tI-NP\tO' +p97461 +aS'.\t.\t.\tO\tO' +p97462 +asS'There is a somewhat wedge-shaped opacity at the right lung base which could represent aspiration or pneumonia .' +p97463 +(lp97464 +S'There\tThere\tEX\tB-NP\tO' +p97465 +aS'is\tbe\tVBZ\tB-VP\tO' +p97466 +aS'a\ta\tDT\tB-NP\tO' +p97467 +aS'somewhat\tsomewhat\tRB\tI-NP\tO' +p97468 +aS'wedge-shaped\twedge-shaped\tJJ\tI-NP\tO' +p97469 +aS'opacity\topacity\tNN\tI-NP\tO' +p97470 +aS'at\tat\tIN\tB-PP\tO' +p97471 +aS'the\tthe\tDT\tB-NP\tO' +p97472 +aS'right\tright\tJJ\tI-NP\tO' +p97473 +aS'lung\tlung\tNN\tI-NP\tO' +p97474 +aS'base\tbase\tNN\tI-NP\tO' +p97475 +aS'which\twhich\tWDT\tB-NP\tO' +p97476 +aS'could\tcould\tMD\tB-VP\tO' +p97477 +aS'represent\trepresent\tVB\tI-VP\tO' +p97478 +aS'aspiration\taspiration\tNN\tB-NP\tO' +p97479 +aS'or\tor\tCC\tI-NP\tO' +p97480 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p97481 +aS'.\t.\t.\tO\tO' +p97482 +asS'The patient suffered a fall at home with her initial event .' +p97483 +(lp97484 +S'The\tThe\tDT\tB-NP\tO' +p97485 +aS'patient\tpatient\tNN\tI-NP\tO' +p97486 +aS'suffered\tsuffer\tVBD\tB-VP\tO' +p97487 +aS'a\ta\tDT\tB-NP\tO' +p97488 +aS'fall\tfall\tNN\tI-NP\tO' +p97489 +aS'at\tat\tIN\tB-PP\tO' +p97490 +aS'home\thome\tNN\tB-NP\tO' +p97491 +aS'with\twith\tIN\tB-PP\tO' +p97492 +aS'her\ther\tPRP$\tB-NP\tO' +p97493 +aS'initial\tinitial\tJJ\tI-NP\tO' +p97494 +aS'event\tevent\tNN\tI-NP\tO' +p97495 +aS'.\t.\t.\tO\tO' +p97496 +asS'Seventh nerve weakness on the right in a central pattern is present .' +p97497 +(lp97498 +S'Seventh\tSeventh\tJJ\tB-NP\tO' +p97499 +aS'nerve\tnerve\tNN\tI-NP\tO' +p97500 +aS'weakness\tweakness\tNN\tI-NP\tO' +p97501 +aS'on\ton\tIN\tB-PP\tO' +p97502 +aS'the\tthe\tDT\tB-NP\tO' +p97503 +aS'right\tright\tNN\tI-NP\tO' +p97504 +aS'in\tin\tIN\tB-PP\tO' +p97505 +aS'a\ta\tDT\tB-NP\tO' +p97506 +aS'central\tcentral\tJJ\tI-NP\tO' +p97507 +aS'pattern\tpattern\tNN\tI-NP\tO' +p97508 +aS'is\tbe\tVBZ\tB-VP\tO' +p97509 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p97510 +aS'.\t.\t.\tO\tO' +p97511 +asS'There was no other noted disease .' +p97512 +(lp97513 +S'There\tThere\tEX\tB-NP\tO' +p97514 +aS'was\tbe\tVBD\tB-VP\tO' +p97515 +aS'no\tno\tDT\tB-NP\tO' +p97516 +aS'other\tother\tJJ\tI-NP\tO' +p97517 +aS'noted\tnote\tVBN\tI-NP\tO' +p97518 +aS'disease\tdisease\tNN\tI-NP\tO' +p97519 +aS'.\t.\t.\tO\tO' +p97520 +asS'1. Augmentin 500 mg p.o. three times a day times ten days .' +p97521 +(lp97522 +S'1.\t1.\tLS\tB-LST\tO' +p97523 +aS'Augmentin\tAugmentin\tNNP\tB-NP\tO' +p97524 +aS'500\t500\tCD\tI-NP\tO' +p97525 +aS'mg\tmg\tNN\tI-NP\tO' +p97526 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p97527 +aS'three\tthree\tCD\tB-NP\tO' +p97528 +aS'times\ttime\tNNS\tI-NP\tO' +p97529 +aS'a\ta\tDT\tB-NP\tO' +p97530 +aS'day\tday\tNN\tI-NP\tO' +p97531 +aS'times\ttime\tVBZ\tB-VP\tO' +p97532 +aS'ten\tten\tCD\tB-NP\tO' +p97533 +aS'days\tday\tNNS\tI-NP\tO' +p97534 +aS'.\t.\t.\tO\tO' +p97535 +asS"Over the past one month prior to admission , the patient 's wife has noticed a marked decrease in p.o. intake and also noted a weight loss of approximately ten pounds in the preceding two weeks ." +p97536 +(lp97537 +S'Over\tOver\tIN\tB-PP\tO' +p97538 +aS'the\tthe\tDT\tB-NP\tO' +p97539 +aS'past\tpast\tJJ\tI-NP\tO' +p97540 +aS'one\tone\tCD\tI-NP\tO' +p97541 +aS'month\tmonth\tNN\tI-NP\tO' +p97542 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p97543 +aS'to\tto\tTO\tB-PP\tO' +p97544 +aS'admission\tadmission\tNN\tB-NP\tO' +p97545 +aS',\t,\t,\tO\tO' +p97546 +aS'the\tthe\tDT\tB-NP\tO' +p97547 +aS'patient\tpatient\tNN\tI-NP\tO' +p97548 +aS"'s\t's\tPOS\tB-NP\tO" +p97549 +aS'wife\twife\tNN\tI-NP\tO' +p97550 +aS'has\thave\tVBZ\tB-VP\tO' +p97551 +aS'noticed\tnotice\tVBN\tI-VP\tO' +p97552 +aS'a\ta\tDT\tB-NP\tO' +p97553 +aS'marked\tmarked\tJJ\tI-NP\tO' +p97554 +aS'decrease\tdecrease\tNN\tI-NP\tO' +p97555 +aS'in\tin\tIN\tB-PP\tO' +p97556 +aS'p.o.\tp.o.\tFW\tB-NP\tO' +p97557 +aS'intake\tintake\tFW\tI-NP\tO' +p97558 +aS'and\tand\tCC\tO\tO' +p97559 +aS'also\talso\tRB\tB-VP\tO' +p97560 +aS'noted\tnote\tVBD\tI-VP\tO' +p97561 +aS'a\ta\tDT\tB-NP\tO' +p97562 +aS'weight\tweight\tNN\tI-NP\tO' +p97563 +aS'loss\tloss\tNN\tI-NP\tO' +p97564 +aS'of\tof\tIN\tB-PP\tO' +p97565 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p97566 +aS'ten\tten\tCD\tI-NP\tO' +p97567 +aS'pounds\tpound\tNNS\tI-NP\tO' +p97568 +aS'in\tin\tIN\tB-PP\tO' +p97569 +aS'the\tthe\tDT\tB-NP\tO' +p97570 +aS'preceding\tprecede\tVBG\tI-NP\tO' +p97571 +aS'two\ttwo\tCD\tI-NP\tO' +p97572 +aS'weeks\tweek\tNNS\tI-NP\tO' +p97573 +aS'.\t.\t.\tO\tO' +p97574 +asS'The patient tolerated a regular diet on postoperative day number thirteen from his reoperative coronary artery bypass graft .' +p97575 +(lp97576 +S'The\tThe\tDT\tB-NP\tO' +p97577 +aS'patient\tpatient\tNN\tI-NP\tO' +p97578 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p97579 +aS'a\ta\tDT\tB-NP\tO' +p97580 +aS'regular\tregular\tJJ\tI-NP\tO' +p97581 +aS'diet\tdiet\tNN\tI-NP\tO' +p97582 +aS'on\ton\tIN\tB-PP\tO' +p97583 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p97584 +aS'day\tday\tNN\tI-NP\tO' +p97585 +aS'number\tnumber\tNN\tI-NP\tO' +p97586 +aS'thirteen\tthirteen\tCD\tI-NP\tO' +p97587 +aS'from\tfrom\tIN\tB-PP\tO' +p97588 +aS'his\this\tPRP$\tB-NP\tO' +p97589 +aS'reoperative\treoperative\tJJ\tI-NP\tO' +p97590 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p97591 +aS'artery\tartery\tNN\tI-NP\tO' +p97592 +aS'bypass\tbypass\tIN\tB-PP\tO' +p97593 +aS'graft\tgraft\tNN\tB-NP\tO' +p97594 +aS'.\t.\t.\tO\tO' +p97595 +asS'12. Vancomycin in Dextrose 1 g / 200 mL Piggyback Sig : One ( 1 ) Intravenous QHD ( each hemodialysis ): 2 week course to be given at dialysis , last day 2019-02-05 .' +p97596 +(lp97597 +S'12.\t12.\tLS\tB-NP\tO' +p97598 +aS'Vancomycin\tVancomycin\tNN\tI-NP\tO' +p97599 +aS'in\tin\tIN\tB-PP\tO' +p97600 +aS'Dextrose\tDextrose\tNN\tB-NP\tO' +p97601 +aS'1\t1\tCD\tI-NP\tO' +p97602 +aS'g\tg\tNN\tI-NP\tO' +p97603 +aS'/\t/\tSYM\tO\tO' +p97604 +aS'200\t200\tCD\tB-NP\tO' +p97605 +aS'mL\tmL\tNN\tI-NP\tO' +p97606 +aS'Piggyback\tPiggyback\tNNP\tI-NP\tO' +p97607 +aS'Sig\tSig\tNNP\tI-NP\tO' +p97608 +aS':\t:\t:\tO\tO' +p97609 +aS'One\tOne\tCD\tB-NP\tO' +p97610 +aS'(\t(\t(\tO\tO' +p97611 +aS'1\t1\tCD\tB-NP\tO' +p97612 +aS')\t)\t)\tO\tO' +p97613 +aS'Intravenous\tIntravenous\tJJ\tB-NP\tO' +p97614 +aS'QHD\tQHD\tNN\tI-NP\tO' +p97615 +aS'(\t(\t(\tO\tO' +p97616 +aS'each\teach\tDT\tB-NP\tO' +p97617 +aS'hemodialysis\themodialysis\tNN\tI-NP\tO' +p97618 +aS'):\t):\tVBD\tB-VP\tO' +p97619 +aS'2\t2\tCD\tB-NP\tO' +p97620 +aS'week\tweek\tNN\tI-NP\tO' +p97621 +aS'course\tcourse\tNN\tI-NP\tO' +p97622 +aS'to\tto\tTO\tB-VP\tO' +p97623 +aS'be\tbe\tVB\tI-VP\tO' +p97624 +aS'given\tgive\tVBN\tI-VP\tO' +p97625 +aS'at\tat\tIN\tB-PP\tO' +p97626 +aS'dialysis\tdialysis\tNN\tB-NP\tO' +p97627 +aS',\t,\t,\tO\tO' +p97628 +aS'last\tlast\tJJ\tB-NP\tO' +p97629 +aS'day\tday\tNN\tI-NP\tO' +p97630 +aS'2019-02-05\t2019-02-05\tCD\tI-NP\tO' +p97631 +aS'.\t.\t.\tO\tO' +p97632 +asS'Date / Time : 2017-06-13 at 15:47' +p97633 +(lp97634 +S'Date\tDate\tNN\tB-NP\tO' +p97635 +aS'/\t/\tSYM\tI-NP\tO' +p97636 +aS'Time\tTime\tNN\tI-NP\tO' +p97637 +aS':\t:\t:\tO\tO' +p97638 +aS'2017-06-13\t2017-06-13\tCD\tB-NP\tO' +p97639 +aS'at\tat\tIN\tB-PP\tO' +p97640 +aS'15:47\t15:47\tCD\tB-NP\tO' +p97641 +asS'The patient was asystolic but regained a perfusing rhythm after 2 mg of Epinephrine and 2 mg of Atropine .' +p97642 +(lp97643 +S'The\tThe\tDT\tB-NP\tO' +p97644 +aS'patient\tpatient\tNN\tI-NP\tO' +p97645 +aS'was\tbe\tVBD\tB-VP\tO' +p97646 +aS'asystolic\tasystolic\tJJ\tB-ADJP\tO' +p97647 +aS'but\tbut\tCC\tO\tO' +p97648 +aS'regained\tregain\tVBD\tB-VP\tO' +p97649 +aS'a\ta\tDT\tB-NP\tO' +p97650 +aS'perfusing\tperfuse\tVBG\tI-NP\tO' +p97651 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p97652 +aS'after\tafter\tIN\tB-PP\tO' +p97653 +aS'2\t2\tCD\tB-NP\tO' +p97654 +aS'mg\tmg\tNN\tI-NP\tO' +p97655 +aS'of\tof\tIN\tB-PP\tO' +p97656 +aS'Epinephrine\tEpinephrine\tNN\tB-NP\tO' +p97657 +aS'and\tand\tCC\tO\tO' +p97658 +aS'2\t2\tCD\tB-NP\tO' +p97659 +aS'mg\tmg\tNN\tI-NP\tO' +p97660 +aS'of\tof\tIN\tB-PP\tO' +p97661 +aS'Atropine\tAtropine\tNN\tB-NP\tO' +p97662 +aS'.\t.\t.\tO\tO' +p97663 +asS'On 08-10 , his am Hct was 21.9 , hence , he received 1 unit pRBC .' +p97664 +(lp97665 +S'On\tOn\tIN\tB-PP\tO' +p97666 +aS'08-10\t08-10\tCD\tB-NP\tO' +p97667 +aS',\t,\t,\tO\tO' +p97668 +aS'his\this\tPRP$\tB-NP\tO' +p97669 +aS'am\tam\tNN\tI-NP\tO' +p97670 +aS'Hct\tHct\tNN\tI-NP\tO' +p97671 +aS'was\tbe\tVBD\tB-VP\tO' +p97672 +aS'21.9\t21.9\tCD\tB-NP\tO' +p97673 +aS',\t,\t,\tO\tO' +p97674 +aS'hence\thence\tRB\tB-ADVP\tO' +p97675 +aS',\t,\t,\tO\tO' +p97676 +aS'he\the\tPRP\tB-NP\tO' +p97677 +aS'received\treceive\tVBD\tB-VP\tO' +p97678 +aS'1\t1\tCD\tB-NP\tO' +p97679 +aS'unit\tunit\tNN\tI-NP\tO' +p97680 +aS'pRBC\tpRBC\tNN\tI-NP\tO' +p97681 +aS'.\t.\t.\tO\tO' +p97682 +asS'The prothrombin time is 27.7 , partial thromboplastin time is greater than 100 .' +p97683 +(lp97684 +S'The\tThe\tDT\tB-NP\tO' +p97685 +aS'prothrombin\tprothrombin\tNN\tI-NP\tO' +p97686 +aS'time\ttime\tNN\tI-NP\tO' +p97687 +aS'is\tbe\tVBZ\tB-VP\tO' +p97688 +aS'27.7\t27.7\tCD\tB-NP\tO' +p97689 +aS',\t,\t,\tO\tO' +p97690 +aS'partial\tpartial\tJJ\tB-NP\tO' +p97691 +aS'thromboplastin\tthromboplastin\tNN\tI-NP\tO' +p97692 +aS'time\ttime\tNN\tI-NP\tO' +p97693 +aS'is\tbe\tVBZ\tB-VP\tO' +p97694 +aS'greater\tgreat\tJJR\tB-ADJP\tO' +p97695 +aS'than\tthan\tIN\tB-PP\tO' +p97696 +aS'100\t100\tCD\tB-NP\tO' +p97697 +aS'.\t.\t.\tO\tO' +p97698 +asS'If you need additional information please call 418-196-2156 .' +p97699 +(lp97700 +S'If\tIf\tIN\tB-SBAR\tO' +p97701 +aS'you\tyou\tPRP\tB-NP\tO' +p97702 +aS'need\tneed\tVBP\tB-VP\tO' +p97703 +aS'additional\tadditional\tJJ\tB-NP\tO' +p97704 +aS'information\tinformation\tNN\tI-NP\tO' +p97705 +aS'please\tplease\tNN\tI-NP\tO' +p97706 +aS'call\tcall\tNN\tI-NP\tO' +p97707 +aS'418-196-2156\t418-196-2156\tCD\tI-NP\tO' +p97708 +aS'.\t.\t.\tO\tO' +p97709 +asS'She has no history of liver disease , hepatitis .' +p97710 +(lp97711 +S'She\tShe\tPRP\tB-NP\tO' +p97712 +aS'has\thave\tVBZ\tB-VP\tO' +p97713 +aS'no\tno\tDT\tB-NP\tO' +p97714 +aS'history\thistory\tNN\tI-NP\tO' +p97715 +aS'of\tof\tIN\tB-PP\tO' +p97716 +aS'liver\tliver\tNN\tB-NP\tO' +p97717 +aS'disease\tdisease\tNN\tI-NP\tO' +p97718 +aS',\t,\t,\tO\tO' +p97719 +aS'hepatitis\thepatitis\tNN\tB-NP\tO' +p97720 +aS'.\t.\t.\tO\tO' +p97721 +asS'She will continue on her Prednisone for one month as above for the bronchiolitis obliterans organizing pneumonia with a very slow taper .' +p97722 +(lp97723 +S'She\tShe\tPRP\tB-NP\tO' +p97724 +aS'will\twill\tMD\tB-VP\tO' +p97725 +aS'continue\tcontinue\tVB\tI-VP\tO' +p97726 +aS'on\ton\tIN\tB-PP\tO' +p97727 +aS'her\ther\tPRP$\tB-NP\tO' +p97728 +aS'Prednisone\tPrednisone\tNN\tI-NP\tO' +p97729 +aS'for\tfor\tIN\tB-PP\tO' +p97730 +aS'one\tone\tCD\tB-NP\tO' +p97731 +aS'month\tmonth\tNN\tI-NP\tO' +p97732 +aS'as\tas\tIN\tB-PP\tO' +p97733 +aS'above\tabove\tIN\tB-PP\tO' +p97734 +aS'for\tfor\tIN\tB-PP\tO' +p97735 +aS'the\tthe\tDT\tB-NP\tO' +p97736 +aS'bronchiolitis\tbronchiolitis\tNN\tI-NP\tO' +p97737 +aS'obliterans\tobliteran\tNNS\tI-NP\tO' +p97738 +aS'organizing\torganize\tVBG\tB-VP\tO' +p97739 +aS'pneumonia\tpneumonia\tNN\tB-NP\tO' +p97740 +aS'with\twith\tIN\tB-PP\tO' +p97741 +aS'a\ta\tDT\tB-NP\tO' +p97742 +aS'very\tvery\tRB\tI-NP\tO' +p97743 +aS'slow\tslow\tJJ\tI-NP\tO' +p97744 +aS'taper\ttaper\tNN\tI-NP\tO' +p97745 +aS'.\t.\t.\tO\tO' +p97746 +asS'11. Lipitor 20 mg p.o. q. day .' +p97747 +(lp97748 +S'11.\t11.\tCD\tB-NP\tO' +p97749 +aS'Lipitor\tLipitor\tNN\tI-NP\tO' +p97750 +aS'20\t20\tCD\tB-NP\tO' +p97751 +aS'mg\tmg\tNN\tI-NP\tO' +p97752 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p97753 +aS'q.\tq.\tNN\tI-NP\tO' +p97754 +aS'day\tday\tNN\tI-NP\tO' +p97755 +aS'.\t.\t.\tO\tO' +p97756 +asS'1 - be sure to finish all antibiotic even if pain subsides adn inflammation goes down .' +p97757 +(lp97758 +S'1\t1\tCD\tB-NP\tO' +p97759 +aS'-\t-\tHYPH\tO\tO' +p97760 +aS'be\tbe\tVB\tB-VP\tO' +p97761 +aS'sure\tsure\tJJ\tB-ADJP\tO' +p97762 +aS'to\tto\tTO\tB-VP\tO' +p97763 +aS'finish\tfinish\tVB\tI-VP\tO' +p97764 +aS'all\tall\tDT\tB-NP\tO' +p97765 +aS'antibiotic\tantibiotic\tJJ\tI-NP\tO' +p97766 +aS'even\teven\tRB\tB-SBAR\tO' +p97767 +aS'if\tif\tIN\tI-SBAR\tO' +p97768 +aS'pain\tpain\tNN\tB-NP\tO' +p97769 +aS'subsides\tsubside\tNNS\tI-NP\tO' +p97770 +aS'adn\tadn\tVBP\tB-VP\tO' +p97771 +aS'inflammation\tinflammation\tNN\tB-NP\tO' +p97772 +aS'goes\tgo\tVBZ\tB-VP\tO' +p97773 +aS'down\tdown\tRB\tB-ADVP\tO' +p97774 +aS'.\t.\t.\tO\tO' +p97775 +asS'The orthopedics spine service saw her and put her in a C-collar .' +p97776 +(lp97777 +S'The\tThe\tDT\tB-NP\tO' +p97778 +aS'orthopedics\torthopedic\tNNS\tI-NP\tO' +p97779 +aS'spine\tspine\tNN\tI-NP\tO' +p97780 +aS'service\tservice\tNN\tI-NP\tO' +p97781 +aS'saw\tsee\tVBD\tB-VP\tO' +p97782 +aS'her\ther\tPRP\tB-NP\tO' +p97783 +aS'and\tand\tCC\tO\tO' +p97784 +aS'put\tput\tVBD\tB-VP\tO' +p97785 +aS'her\ther\tPRP\tB-NP\tO' +p97786 +aS'in\tin\tIN\tB-PP\tO' +p97787 +aS'a\ta\tDT\tB-NP\tO' +p97788 +aS'C-collar\tC-collar\tNN\tI-NP\tB-protein' +p97789 +aS'.\t.\t.\tO\tO' +p97790 +asS'68M with multiple vascular risk factors presents with acute onset right-sided hemiparesis and dysarthria , aphasia concerning for acute left MCA infarct .' +p97791 +(lp97792 +S'68M\t68M\tNN\tB-NP\tO' +p97793 +aS'with\twith\tIN\tB-PP\tO' +p97794 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p97795 +aS'vascular\tvascular\tJJ\tI-NP\tB-protein' +p97796 +aS'risk\trisk\tNN\tI-NP\tI-protein' +p97797 +aS'factors\tfactor\tNNS\tI-NP\tI-protein' +p97798 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p97799 +aS'with\twith\tIN\tB-PP\tO' +p97800 +aS'acute\tacute\tJJ\tB-NP\tO' +p97801 +aS'onset\tonset\tNN\tI-NP\tO' +p97802 +aS'right-sided\tright-sided\tJJ\tI-NP\tO' +p97803 +aS'hemiparesis\themiparesis\tNN\tI-NP\tO' +p97804 +aS'and\tand\tCC\tI-NP\tO' +p97805 +aS'dysarthria\tdysarthria\tNN\tI-NP\tO' +p97806 +aS',\t,\t,\tO\tO' +p97807 +aS'aphasia\taphasia\tNN\tB-NP\tO' +p97808 +aS'concerning\tconcern\tVBG\tB-VP\tO' +p97809 +aS'for\tfor\tIN\tB-PP\tO' +p97810 +aS'acute\tacute\tJJ\tB-NP\tO' +p97811 +aS'left\tleft\tJJ\tI-NP\tO' +p97812 +aS'MCA\tMCA\tNNP\tI-NP\tO' +p97813 +aS'infarct\tinfarct\tNN\tI-NP\tO' +p97814 +aS'.\t.\t.\tO\tO' +p97815 +asS'Once the patient sat up , her sats improved and her airway was no longer obstructed .' +p97816 +(lp97817 +S'Once\tOnce\tRB\tO\tO' +p97818 +aS'the\tthe\tDT\tB-NP\tO' +p97819 +aS'patient\tpatient\tNN\tI-NP\tO' +p97820 +aS'sat\tsit\tVBD\tB-VP\tO' +p97821 +aS'up\tup\tIN\tB-PRT\tO' +p97822 +aS',\t,\t,\tO\tO' +p97823 +aS'her\ther\tPRP$\tB-NP\tO' +p97824 +aS'sats\tsat\tNNS\tI-NP\tO' +p97825 +aS'improved\timprove\tVBN\tB-VP\tO' +p97826 +aS'and\tand\tCC\tO\tO' +p97827 +aS'her\ther\tPRP$\tB-NP\tO' +p97828 +aS'airway\tairway\tNN\tI-NP\tO' +p97829 +aS'was\tbe\tVBD\tB-VP\tO' +p97830 +aS'no\tno\tRB\tB-ADVP\tO' +p97831 +aS'longer\tlonger\tRBR\tI-ADVP\tO' +p97832 +aS'obstructed\tobstruct\tVBN\tB-ADJP\tO' +p97833 +aS'.\t.\t.\tO\tO' +p97834 +asS'4. State newborn screens have been sent per protocol , most recently on 01-11 , and have been within normal limits .' +p97835 +(lp97836 +S'4.\t4.\tLS\tB-NP\tO' +p97837 +aS'State\tState\tNN\tI-NP\tO' +p97838 +aS'newborn\tnewborn\tJJ\tI-NP\tO' +p97839 +aS'screens\tscreen\tNNS\tI-NP\tO' +p97840 +aS'have\thave\tVBP\tB-VP\tO' +p97841 +aS'been\tbe\tVBN\tI-VP\tO' +p97842 +aS'sent\tsend\tVBN\tI-VP\tO' +p97843 +aS'per\tper\tIN\tB-PP\tO' +p97844 +aS'protocol\tprotocol\tNN\tB-NP\tO' +p97845 +aS',\t,\t,\tO\tO' +p97846 +aS'most\tmost\tRBS\tB-ADVP\tO' +p97847 +aS'recently\trecently\tRB\tI-ADVP\tO' +p97848 +aS'on\ton\tIN\tB-PP\tO' +p97849 +aS'01-11\t01-11\tNN\tB-NP\tO' +p97850 +aS',\t,\t,\tO\tO' +p97851 +aS'and\tand\tCC\tO\tO' +p97852 +aS'have\thave\tVBP\tB-VP\tO' +p97853 +aS'been\tbe\tVBN\tI-VP\tO' +p97854 +aS'within\twithin\tIN\tB-PP\tO' +p97855 +aS'normal\tnormal\tJJ\tB-NP\tO' +p97856 +aS'limits\tlimit\tNNS\tI-NP\tO' +p97857 +aS'.\t.\t.\tO\tO' +p97858 +asS'TAH-BSO .' +p97859 +(lp97860 +S'TAH-BSO\tTAH-BSO\tNN\tB-NP\tB-protein' +p97861 +aS'.\t.\t.\tO\tO' +p97862 +asS'Red reflex was difficult to appreciate bilaterally .' +p97863 +(lp97864 +S'Red\tRed\tJJ\tB-NP\tO' +p97865 +aS'reflex\treflex\tNN\tI-NP\tO' +p97866 +aS'was\tbe\tVBD\tB-VP\tO' +p97867 +aS'difficult\tdifficult\tJJ\tB-ADJP\tO' +p97868 +aS'to\tto\tTO\tB-VP\tO' +p97869 +aS'appreciate\tappreciate\tVB\tI-VP\tO' +p97870 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p97871 +aS'.\t.\t.\tO\tO' +p97872 +asS'She then had 6L of non-bloody ascitic fluid removed without complication .' +p97873 +(lp97874 +S'She\tShe\tPRP\tB-NP\tO' +p97875 +aS'then\tthen\tRB\tB-ADVP\tO' +p97876 +aS'had\thave\tVBD\tB-VP\tO' +p97877 +aS'6L\t6L\tNN\tB-NP\tO' +p97878 +aS'of\tof\tIN\tB-PP\tO' +p97879 +aS'non-bloody\tnon-bloody\tJJ\tB-NP\tO' +p97880 +aS'ascitic\tascitic\tJJ\tI-NP\tO' +p97881 +aS'fluid\tfluid\tNN\tI-NP\tO' +p97882 +aS'removed\tremove\tVBN\tB-VP\tO' +p97883 +aS'without\twithout\tIN\tB-PP\tO' +p97884 +aS'complication\tcomplication\tNN\tB-NP\tO' +p97885 +aS'.\t.\t.\tO\tO' +p97886 +asS'Neck CT neg for abcess .' +p97887 +(lp97888 +S'Neck\tNeck\tNN\tB-NP\tO' +p97889 +aS'CT\tCT\tNN\tI-NP\tO' +p97890 +aS'neg\tneg\tNN\tI-NP\tO' +p97891 +aS'for\tfor\tIN\tB-PP\tO' +p97892 +aS'abcess\tabcess\tNN\tB-NP\tO' +p97893 +aS'.\t.\t.\tO\tO' +p97894 +asS"The pregnancy was unremarkable until 2015-06-01 when the mother presented to Shriner 's Hospital for Crippled Children for increased blood pressure and proteinuria ." +p97895 +(lp97896 +S'The\tThe\tDT\tB-NP\tO' +p97897 +aS'pregnancy\tpregnancy\tNN\tI-NP\tO' +p97898 +aS'was\tbe\tVBD\tB-VP\tO' +p97899 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p97900 +aS'until\tuntil\tIN\tB-PP\tO' +p97901 +aS'2015-06-01\t2015-06-01\tCD\tB-NP\tO' +p97902 +aS'when\twhen\tWRB\tB-ADVP\tO' +p97903 +aS'the\tthe\tDT\tB-NP\tO' +p97904 +aS'mother\tmother\tNN\tI-NP\tO' +p97905 +aS'presented\tpresent\tVBN\tB-VP\tO' +p97906 +aS'to\tto\tTO\tB-PP\tO' +p97907 +aS'Shriner\tShriner\tNNP\tB-NP\tO' +p97908 +aS"'s\t's\tPOS\tB-NP\tO" +p97909 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p97910 +aS'for\tfor\tIN\tB-PP\tO' +p97911 +aS'Crippled\tCrippled\tNNP\tB-NP\tO' +p97912 +aS'Children\tChildren\tNNP\tI-NP\tO' +p97913 +aS'for\tfor\tIN\tB-PP\tO' +p97914 +aS'increased\tincrease\tVBN\tB-NP\tO' +p97915 +aS'blood\tblood\tNN\tI-NP\tO' +p97916 +aS'pressure\tpressure\tNN\tI-NP\tO' +p97917 +aS'and\tand\tCC\tI-NP\tO' +p97918 +aS'proteinuria\tproteinuria\tNN\tI-NP\tO' +p97919 +aS'.\t.\t.\tO\tO' +p97920 +asS'The patient was admitted to the Short Stay Unit for further evaluation .' +p97921 +(lp97922 +S'The\tThe\tDT\tB-NP\tO' +p97923 +aS'patient\tpatient\tNN\tI-NP\tO' +p97924 +aS'was\tbe\tVBD\tB-VP\tO' +p97925 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p97926 +aS'to\tto\tTO\tB-PP\tO' +p97927 +aS'the\tthe\tDT\tB-NP\tO' +p97928 +aS'Short\tShort\tNNP\tI-NP\tO' +p97929 +aS'Stay\tStay\tNNP\tI-NP\tO' +p97930 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p97931 +aS'for\tfor\tIN\tB-PP\tO' +p97932 +aS'further\tfurther\tJJ\tB-NP\tO' +p97933 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p97934 +aS'.\t.\t.\tO\tO' +p97935 +asS'He has had no change in pain in the last few months .' +p97936 +(lp97937 +S'He\tHe\tPRP\tB-NP\tO' +p97938 +aS'has\thave\tVBZ\tB-VP\tO' +p97939 +aS'had\thave\tVBN\tI-VP\tO' +p97940 +aS'no\tno\tDT\tB-NP\tO' +p97941 +aS'change\tchange\tNN\tI-NP\tO' +p97942 +aS'in\tin\tIN\tB-PP\tO' +p97943 +aS'pain\tpain\tNN\tB-NP\tO' +p97944 +aS'in\tin\tIN\tB-PP\tO' +p97945 +aS'the\tthe\tDT\tB-NP\tO' +p97946 +aS'last\tlast\tJJ\tI-NP\tO' +p97947 +aS'few\tfew\tJJ\tI-NP\tO' +p97948 +aS'months\tmonth\tNNS\tI-NP\tO' +p97949 +aS'.\t.\t.\tO\tO' +p97950 +asS'The patient was admitted to the hospital on 2015-06-10 and taken to the operating room on 2015-06-11 where coronary artery bypass graft times four was performed .' +p97951 +(lp97952 +S'The\tThe\tDT\tB-NP\tO' +p97953 +aS'patient\tpatient\tNN\tI-NP\tO' +p97954 +aS'was\tbe\tVBD\tB-VP\tO' +p97955 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p97956 +aS'to\tto\tTO\tB-PP\tO' +p97957 +aS'the\tthe\tDT\tB-NP\tO' +p97958 +aS'hospital\thospital\tNN\tI-NP\tO' +p97959 +aS'on\ton\tIN\tB-PP\tO' +p97960 +aS'2015-06-10\t2015-06-10\tCD\tB-NP\tO' +p97961 +aS'and\tand\tCC\tO\tO' +p97962 +aS'taken\ttake\tVBN\tB-VP\tO' +p97963 +aS'to\tto\tTO\tB-PP\tO' +p97964 +aS'the\tthe\tDT\tB-NP\tO' +p97965 +aS'operating\toperating\tNN\tI-NP\tO' +p97966 +aS'room\troom\tNN\tI-NP\tO' +p97967 +aS'on\ton\tIN\tB-PP\tO' +p97968 +aS'2015-06-11\t2015-06-11\tCD\tB-NP\tO' +p97969 +aS'where\twhere\tWRB\tB-ADVP\tO' +p97970 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p97971 +aS'artery\tartery\tNN\tI-NP\tO' +p97972 +aS'bypass\tbypass\tIN\tB-PP\tO' +p97973 +aS'graft\tgraft\tNN\tB-NP\tO' +p97974 +aS'times\ttime\tNNS\tI-NP\tO' +p97975 +aS'four\tfour\tCD\tB-NP\tO' +p97976 +aS'was\tbe\tVBD\tB-VP\tO' +p97977 +aS'performed\tperform\tVBN\tI-VP\tO' +p97978 +aS'.\t.\t.\tO\tO' +p97979 +asS"Should the patient 's p.o. intake drop to below 500 , the patient should be hydrated at 75 cc/hour ." +p97980 +(lp97981 +S'Should\tShould\tMD\tO\tO' +p97982 +aS'the\tthe\tDT\tB-NP\tO' +p97983 +aS'patient\tpatient\tNN\tI-NP\tO' +p97984 +aS"'s\t's\tPOS\tB-NP\tO" +p97985 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p97986 +aS'intake\tintake\tFW\tI-NP\tO' +p97987 +aS'drop\tdrop\tNN\tI-NP\tO' +p97988 +aS'to\tto\tTO\tB-PP\tO' +p97989 +aS'below\tbelow\tIN\tB-PP\tO' +p97990 +aS'500\t500\tCD\tB-NP\tO' +p97991 +aS',\t,\t,\tO\tO' +p97992 +aS'the\tthe\tDT\tB-NP\tO' +p97993 +aS'patient\tpatient\tNN\tI-NP\tO' +p97994 +aS'should\tshould\tMD\tB-VP\tO' +p97995 +aS'be\tbe\tVB\tI-VP\tO' +p97996 +aS'hydrated\thydrate\tVBN\tI-VP\tO' +p97997 +aS'at\tat\tIN\tB-PP\tO' +p97998 +aS'75\t75\tCD\tB-NP\tO' +p97999 +aS'cc/hour\tcc/hour\tNN\tI-NP\tO' +p98000 +aS'.\t.\t.\tO\tO' +p98001 +asS'MYASTHENIA GRAVIS .' +p98002 +(lp98003 +S'MYASTHENIA\tMYASTHENIA\tNN\tB-NP\tO' +p98004 +aS'GRAVIS\tGRAVIS\tNN\tI-NP\tO' +p98005 +aS'.\t.\t.\tO\tO' +p98006 +asS'1. Gabapentin 100 mg po t.i.d. for paresthesias .' +p98007 +(lp98008 +S'1.\t1.\tLS\tB-NP\tO' +p98009 +aS'Gabapentin\tGabapentin\tNN\tI-NP\tO' +p98010 +aS'100\t100\tCD\tI-NP\tO' +p98011 +aS'mg\tmg\tNN\tI-NP\tO' +p98012 +aS'po\tpo\tNN\tI-NP\tO' +p98013 +aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' +p98014 +aS'for\tfor\tIN\tB-PP\tO' +p98015 +aS'paresthesias\tparesthesia\tNNS\tB-NP\tO' +p98016 +aS'.\t.\t.\tO\tO' +p98017 +asS'The patient was discharged to home in satisfactory condition with home oxygen .' +p98018 +(lp98019 +S'The\tThe\tDT\tB-NP\tO' +p98020 +aS'patient\tpatient\tNN\tI-NP\tO' +p98021 +aS'was\tbe\tVBD\tB-VP\tO' +p98022 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p98023 +aS'to\tto\tTO\tB-PP\tO' +p98024 +aS'home\thome\tNN\tB-NP\tO' +p98025 +aS'in\tin\tIN\tB-PP\tO' +p98026 +aS'satisfactory\tsatisfactory\tJJ\tB-NP\tO' +p98027 +aS'condition\tcondition\tNN\tI-NP\tO' +p98028 +aS'with\twith\tIN\tB-PP\tO' +p98029 +aS'home\thome\tNN\tB-NP\tO' +p98030 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p98031 +aS'.\t.\t.\tO\tO' +p98032 +asS'39 year old male w/ h/o low back pain on chronic narcotics presents after being found unresponsive at home .' +p98033 +(lp98034 +S'39\t39\tCD\tB-NP\tO' +p98035 +aS'year\tyear\tNN\tI-NP\tO' +p98036 +aS'old\told\tJJ\tI-NP\tO' +p98037 +aS'male\tmale\tJJ\tI-NP\tO' +p98038 +aS'w/\tw/\tNN\tI-NP\tO' +p98039 +aS'h/o\th/o\tNN\tI-NP\tO' +p98040 +aS'low\tlow\tJJ\tI-NP\tO' +p98041 +aS'back\tback\tJJ\tI-NP\tO' +p98042 +aS'pain\tpain\tNN\tI-NP\tO' +p98043 +aS'on\ton\tIN\tB-PP\tO' +p98044 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p98045 +aS'narcotics\tnarcotic\tNNS\tI-NP\tO' +p98046 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p98047 +aS'after\tafter\tIN\tB-PP\tO' +p98048 +aS'being\tbe\tVBG\tB-VP\tO' +p98049 +aS'found\tfind\tVBN\tI-VP\tO' +p98050 +aS'unresponsive\tunresponsive\tJJ\tB-ADJP\tO' +p98051 +aS'at\tat\tIN\tB-PP\tO' +p98052 +aS'home\thome\tNN\tB-NP\tO' +p98053 +aS'.\t.\t.\tO\tO' +p98054 +asS'On examination , Belmont Coma Scale was 6T ; blood pressure was 120 / palpable with a heart rate of 122 .' +p98055 +(lp98056 +S'On\tOn\tIN\tB-PP\tO' +p98057 +aS'examination\texamination\tNN\tB-NP\tO' +p98058 +aS',\t,\t,\tO\tO' +p98059 +aS'Belmont\tBelmont\tNNP\tB-NP\tO' +p98060 +aS'Coma\tComa\tNNP\tI-NP\tO' +p98061 +aS'Scale\tScale\tNNP\tI-NP\tO' +p98062 +aS'was\tbe\tVBD\tB-VP\tO' +p98063 +aS'6T\t6T\tNN\tB-NP\tO' +p98064 +aS';\t;\t:\tO\tO' +p98065 +aS'blood\tblood\tNN\tB-NP\tO' +p98066 +aS'pressure\tpressure\tNN\tI-NP\tO' +p98067 +aS'was\tbe\tVBD\tB-VP\tO' +p98068 +aS'120\t120\tCD\tB-NP\tO' +p98069 +aS'/\t/\tSYM\tB-ADJP\tO' +p98070 +aS'palpable\tpalpable\tJJ\tI-ADJP\tO' +p98071 +aS'with\twith\tIN\tB-PP\tO' +p98072 +aS'a\ta\tDT\tB-NP\tO' +p98073 +aS'heart\theart\tNN\tI-NP\tO' +p98074 +aS'rate\trate\tNN\tI-NP\tO' +p98075 +aS'of\tof\tIN\tB-PP\tO' +p98076 +aS'122\t122\tCD\tB-NP\tO' +p98077 +aS'.\t.\t.\tO\tO' +p98078 +asS'Intubation for airway protection tunneled line change over wire 2019-01-08' +p98079 +(lp98080 +S'Intubation\tIntubation\tNN\tB-NP\tO' +p98081 +aS'for\tfor\tIN\tB-PP\tO' +p98082 +aS'airway\tairway\tNN\tB-NP\tO' +p98083 +aS'protection\tprotection\tNN\tI-NP\tO' +p98084 +aS'tunneled\ttunnel\tVBD\tB-VP\tO' +p98085 +aS'line\tline\tNN\tB-NP\tO' +p98086 +aS'change\tchange\tNN\tI-NP\tO' +p98087 +aS'over\tover\tIN\tB-PP\tO' +p98088 +aS'wire\twire\tNN\tB-NP\tO' +p98089 +aS'2019-01-08\t2019-01-08\tCD\tI-NP\tO' +p98090 +asS'Moves all 4 extremities .' +p98091 +(lp98092 +S'Moves\tMove\tVBZ\tB-VP\tO' +p98093 +aS'all\tall\tDT\tB-NP\tO' +p98094 +aS'4\t4\tCD\tI-NP\tO' +p98095 +aS'extremities\textremity\tNNS\tI-NP\tO' +p98096 +aS'.\t.\t.\tO\tO' +p98097 +asS'Regarding her aortic ascending aneurysm , Cardiothoracic Surgery was consulted regarding further workup .' +p98098 +(lp98099 +S'Regarding\tRegard\tVBG\tB-VP\tO' +p98100 +aS'her\ther\tPRP$\tB-NP\tO' +p98101 +aS'aortic\taortic\tJJ\tI-NP\tO' +p98102 +aS'ascending\tascend\tVBG\tI-NP\tO' +p98103 +aS'aneurysm\taneurysm\tNN\tI-NP\tO' +p98104 +aS',\t,\t,\tO\tO' +p98105 +aS'Cardiothoracic\tCardiothoracic\tNNP\tB-NP\tO' +p98106 +aS'Surgery\tSurgery\tNNP\tI-NP\tO' +p98107 +aS'was\tbe\tVBD\tB-VP\tO' +p98108 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p98109 +aS'regarding\tregard\tVBG\tB-PP\tO' +p98110 +aS'further\tfurther\tJJ\tB-NP\tO' +p98111 +aS'workup\tworkup\tNN\tI-NP\tO' +p98112 +aS'.\t.\t.\tO\tO' +p98113 +asS'Probable chronic infarct in the right occipital cortex .' +p98114 +(lp98115 +S'Probable\tProbable\tJJ\tB-NP\tO' +p98116 +aS'chronic\tchronic\tJJ\tI-NP\tO' +p98117 +aS'infarct\tinfarct\tNN\tI-NP\tO' +p98118 +aS'in\tin\tIN\tB-PP\tO' +p98119 +aS'the\tthe\tDT\tB-NP\tO' +p98120 +aS'right\tright\tJJ\tI-NP\tO' +p98121 +aS'occipital\toccipital\tNN\tI-NP\tO' +p98122 +aS'cortex\tcortex\tNN\tI-NP\tO' +p98123 +aS'.\t.\t.\tO\tO' +p98124 +asS'He is eating and ambulating w/o difficulties .' +p98125 +(lp98126 +S'He\tHe\tPRP\tB-NP\tO' +p98127 +aS'is\tbe\tVBZ\tB-VP\tO' +p98128 +aS'eating\teat\tVBG\tI-VP\tO' +p98129 +aS'and\tand\tCC\tI-VP\tO' +p98130 +aS'ambulating\tambulate\tVBG\tI-VP\tO' +p98131 +aS'w/o\tw/o\tNN\tB-NP\tO' +p98132 +aS'difficulties\tdifficulty\tNNS\tI-NP\tO' +p98133 +aS'.\t.\t.\tO\tO' +p98134 +asS'The patient denied blurry vision , headache , nausea , vomiting , paresthesias , pain in mental status , confusion or seizures .' +p98135 +(lp98136 +S'The\tThe\tDT\tB-NP\tO' +p98137 +aS'patient\tpatient\tNN\tI-NP\tO' +p98138 +aS'denied\tdeny\tVBD\tB-VP\tO' +p98139 +aS'blurry\tblurry\tJJ\tB-NP\tO' +p98140 +aS'vision\tvision\tNN\tI-NP\tO' +p98141 +aS',\t,\t,\tO\tO' +p98142 +aS'headache\theadache\tNN\tB-NP\tO' +p98143 +aS',\t,\t,\tO\tO' +p98144 +aS'nausea\tnausea\tNN\tB-NP\tO' +p98145 +aS',\t,\t,\tO\tO' +p98146 +aS'vomiting\tvomiting\tNN\tB-NP\tO' +p98147 +aS',\t,\t,\tO\tO' +p98148 +aS'paresthesias\tparesthesias\tNN\tB-NP\tO' +p98149 +aS',\t,\t,\tO\tO' +p98150 +aS'pain\tpain\tNN\tB-NP\tO' +p98151 +aS'in\tin\tIN\tB-PP\tO' +p98152 +aS'mental\tmental\tJJ\tB-NP\tO' +p98153 +aS'status\tstatus\tNN\tI-NP\tO' +p98154 +aS',\t,\t,\tO\tO' +p98155 +aS'confusion\tconfusion\tNN\tB-NP\tO' +p98156 +aS'or\tor\tCC\tI-NP\tO' +p98157 +aS'seizures\tseizure\tNNS\tI-NP\tO' +p98158 +aS'.\t.\t.\tO\tO' +p98159 +asS'THe patient will need a follow up ultrasound to further evaluate these incidental findings seen on imaging upon admission .' +p98160 +(lp98161 +S'THe\tTHe\tNN\tB-NP\tO' +p98162 +aS'patient\tpatient\tNN\tI-NP\tO' +p98163 +aS'will\twill\tMD\tB-VP\tO' +p98164 +aS'need\tneed\tVB\tI-VP\tO' +p98165 +aS'a\ta\tDT\tB-NP\tO' +p98166 +aS'follow\tfollow\tVB\tB-VP\tO' +p98167 +aS'up\tup\tRP\tB-PRT\tO' +p98168 +aS'ultrasound\tultrasound\tNN\tB-NP\tO' +p98169 +aS'to\tto\tTO\tB-VP\tO' +p98170 +aS'further\tfurther\tRB\tI-VP\tO' +p98171 +aS'evaluate\tevaluate\tVB\tI-VP\tO' +p98172 +aS'these\tthese\tDT\tB-NP\tO' +p98173 +aS'incidental\tincidental\tJJ\tI-NP\tO' +p98174 +aS'findings\tfinding\tNNS\tI-NP\tO' +p98175 +aS'seen\tsee\tVBN\tB-VP\tO' +p98176 +aS'on\ton\tIN\tB-PP\tO' +p98177 +aS'imaging\timaging\tNN\tB-NP\tO' +p98178 +aS'upon\tupon\tIN\tB-PP\tO' +p98179 +aS'admission\tadmission\tNN\tB-NP\tO' +p98180 +aS'.\t.\t.\tO\tO' +p98181 +asS'left hip 110 degrees of flexion , 0 degrees of extension , 30 degrees of abduction , 45 degrees of adduction , 10 degrees of internal rotation and flexion , 45 degrees of external rotation and flexion .' +p98182 +(lp98183 +S'left\tleft\tJJ\tB-NP\tO' +p98184 +aS'hip\thip\tNN\tI-NP\tO' +p98185 +aS'110\t110\tCD\tB-NP\tO' +p98186 +aS'degrees\tdegree\tNNS\tI-NP\tO' +p98187 +aS'of\tof\tIN\tB-PP\tO' +p98188 +aS'flexion\tflexion\tNN\tB-NP\tO' +p98189 +aS',\t,\t,\tO\tO' +p98190 +aS'0\t0\tCD\tB-NP\tO' +p98191 +aS'degrees\tdegree\tNNS\tI-NP\tO' +p98192 +aS'of\tof\tIN\tB-PP\tO' +p98193 +aS'extension\textension\tNN\tB-NP\tO' +p98194 +aS',\t,\t,\tO\tO' +p98195 +aS'30\t30\tCD\tB-NP\tO' +p98196 +aS'degrees\tdegree\tNNS\tI-NP\tO' +p98197 +aS'of\tof\tIN\tB-PP\tO' +p98198 +aS'abduction\tabduction\tNN\tB-NP\tO' +p98199 +aS',\t,\t,\tO\tO' +p98200 +aS'45\t45\tCD\tB-NP\tO' +p98201 +aS'degrees\tdegree\tNNS\tI-NP\tO' +p98202 +aS'of\tof\tIN\tB-PP\tO' +p98203 +aS'adduction\tadduction\tNN\tB-NP\tO' +p98204 +aS',\t,\t,\tO\tO' +p98205 +aS'10\t10\tCD\tB-NP\tO' +p98206 +aS'degrees\tdegree\tNNS\tI-NP\tO' +p98207 +aS'of\tof\tIN\tB-PP\tO' +p98208 +aS'internal\tinternal\tJJ\tB-NP\tO' +p98209 +aS'rotation\trotation\tNN\tI-NP\tO' +p98210 +aS'and\tand\tCC\tI-NP\tO' +p98211 +aS'flexion\tflexion\tNN\tI-NP\tO' +p98212 +aS',\t,\t,\tO\tO' +p98213 +aS'45\t45\tCD\tB-NP\tO' +p98214 +aS'degrees\tdegree\tNNS\tI-NP\tO' +p98215 +aS'of\tof\tIN\tB-PP\tO' +p98216 +aS'external\texternal\tJJ\tB-NP\tO' +p98217 +aS'rotation\trotation\tNN\tI-NP\tO' +p98218 +aS'and\tand\tCC\tI-NP\tO' +p98219 +aS'flexion\tflexion\tNN\tI-NP\tO' +p98220 +aS'.\t.\t.\tO\tO' +p98221 +asS'She also has a history of endometriosis that is symptomatic .' +p98222 +(lp98223 +S'She\tShe\tPRP\tB-NP\tO' +p98224 +aS'also\talso\tRB\tB-ADVP\tO' +p98225 +aS'has\thave\tVBZ\tB-VP\tO' +p98226 +aS'a\ta\tDT\tB-NP\tO' +p98227 +aS'history\thistory\tNN\tI-NP\tO' +p98228 +aS'of\tof\tIN\tB-PP\tO' +p98229 +aS'endometriosis\tendometriosis\tNN\tB-NP\tO' +p98230 +aS'that\tthat\tWDT\tB-NP\tO' +p98231 +aS'is\tbe\tVBZ\tB-VP\tO' +p98232 +aS'symptomatic\tsymptomatic\tJJ\tB-ADJP\tO' +p98233 +aS'.\t.\t.\tO\tO' +p98234 +asS'In November , 2001 , he progressed to leukemic phase , received Rituxan and CVP .' +p98235 +(lp98236 +S'In\tIn\tIN\tB-PP\tO' +p98237 +aS'November\tNovember\tNNP\tB-NP\tO' +p98238 +aS',\t,\t,\tO\tO' +p98239 +aS'2001\t2001\tCD\tB-NP\tO' +p98240 +aS',\t,\t,\tO\tO' +p98241 +aS'he\the\tPRP\tB-NP\tO' +p98242 +aS'progressed\tprogress\tVBD\tB-VP\tO' +p98243 +aS'to\tto\tTO\tB-PP\tO' +p98244 +aS'leukemic\tleukemic\tJJ\tB-NP\tO' +p98245 +aS'phase\tphase\tNN\tI-NP\tO' +p98246 +aS',\t,\t,\tO\tO' +p98247 +aS'received\treceive\tVBD\tB-VP\tO' +p98248 +aS'Rituxan\tRituxan\tNN\tB-NP\tO' +p98249 +aS'and\tand\tCC\tI-NP\tO' +p98250 +aS'CVP\tCVP\tNN\tI-NP\tB-protein' +p98251 +aS'.\t.\t.\tO\tO' +p98252 +asS'She had no evidence of asterixis .' +p98253 +(lp98254 +S'She\tShe\tPRP\tB-NP\tO' +p98255 +aS'had\thave\tVBD\tB-VP\tO' +p98256 +aS'no\tno\tDT\tB-NP\tO' +p98257 +aS'evidence\tevidence\tNN\tI-NP\tO' +p98258 +aS'of\tof\tIN\tB-PP\tO' +p98259 +aS'asterixis\tasterixis\tNN\tB-NP\tO' +p98260 +aS'.\t.\t.\tO\tO' +p98261 +asS'The endotracheal tube was left in place .' +p98262 +(lp98263 +S'The\tThe\tDT\tB-NP\tO' +p98264 +aS'endotracheal\tendotracheal\tJJ\tI-NP\tO' +p98265 +aS'tube\ttube\tNN\tI-NP\tO' +p98266 +aS'was\tbe\tVBD\tB-VP\tO' +p98267 +aS'left\tleave\tVBN\tI-VP\tO' +p98268 +aS'in\tin\tIN\tB-PP\tO' +p98269 +aS'place\tplace\tNN\tB-NP\tO' +p98270 +aS'.\t.\t.\tO\tO' +p98271 +asS'The chest pain was considered mild but persistent with episodes lasting twenty minutes .' +p98272 +(lp98273 +S'The\tThe\tDT\tB-NP\tO' +p98274 +aS'chest\tchest\tNN\tI-NP\tO' +p98275 +aS'pain\tpain\tNN\tI-NP\tO' +p98276 +aS'was\tbe\tVBD\tB-VP\tO' +p98277 +aS'considered\tconsider\tVBN\tI-VP\tO' +p98278 +aS'mild\tmild\tJJ\tB-ADJP\tO' +p98279 +aS'but\tbut\tCC\tI-ADJP\tO' +p98280 +aS'persistent\tpersistent\tJJ\tI-ADJP\tO' +p98281 +aS'with\twith\tIN\tB-PP\tO' +p98282 +aS'episodes\tepisode\tNNS\tB-NP\tO' +p98283 +aS'lasting\tlast\tVBG\tB-VP\tO' +p98284 +aS'twenty\ttwenty\tCD\tB-NP\tO' +p98285 +aS'minutes\tminute\tNNS\tI-NP\tO' +p98286 +aS'.\t.\t.\tO\tO' +p98287 +asS'The patient is instructed not to undergo any heavy lifting until seen in clinic .' +p98288 +(lp98289 +S'The\tThe\tDT\tB-NP\tO' +p98290 +aS'patient\tpatient\tNN\tI-NP\tO' +p98291 +aS'is\tbe\tVBZ\tB-VP\tO' +p98292 +aS'instructed\tinstruct\tVBN\tI-VP\tO' +p98293 +aS'not\tnot\tRB\tO\tO' +p98294 +aS'to\tto\tTO\tB-VP\tO' +p98295 +aS'undergo\tundergo\tVB\tI-VP\tO' +p98296 +aS'any\tany\tDT\tB-NP\tO' +p98297 +aS'heavy\theavy\tJJ\tI-NP\tO' +p98298 +aS'lifting\tlifting\tNN\tI-NP\tO' +p98299 +aS'until\tuntil\tIN\tB-SBAR\tO' +p98300 +aS'seen\tsee\tVBN\tB-VP\tO' +p98301 +aS'in\tin\tIN\tB-PP\tO' +p98302 +aS'clinic\tclinic\tNN\tB-NP\tO' +p98303 +aS'.\t.\t.\tO\tO' +p98304 +asS'SBP < 100 or HR < 55' +p98305 +(lp98306 +S'SBP\tSBP\tNN\tB-NP\tB-protein' +p98307 +aS'<\t<\tCC\tO\tO' +p98308 +aS'100\t100\tCD\tB-NP\tO' +p98309 +aS'or\tor\tCC\tO\tO' +p98310 +aS'HR\tHR\tNN\tB-NP\tO' +p98311 +aS'<\t<\tCC\tO\tO' +p98312 +aS'55\t55\tCD\tB-NP\tO' +p98313 +asS'There was no pupillary defect .' +p98314 +(lp98315 +S'There\tThere\tEX\tB-NP\tO' +p98316 +aS'was\tbe\tVBD\tB-VP\tO' +p98317 +aS'no\tno\tDT\tB-NP\tO' +p98318 +aS'pupillary\tpupillary\tJJ\tI-NP\tO' +p98319 +aS'defect\tdefect\tNN\tI-NP\tO' +p98320 +aS'.\t.\t.\tO\tO' +p98321 +asS'The patient acquired intermittent transfusions for pancytopenia .' +p98322 +(lp98323 +S'The\tThe\tDT\tB-NP\tO' +p98324 +aS'patient\tpatient\tNN\tI-NP\tO' +p98325 +aS'acquired\tacquire\tVBD\tB-VP\tO' +p98326 +aS'intermittent\tintermittent\tJJ\tB-NP\tO' +p98327 +aS'transfusions\ttransfusion\tNNS\tI-NP\tO' +p98328 +aS'for\tfor\tIN\tB-PP\tO' +p98329 +aS'pancytopenia\tpancytopenia\tNN\tB-NP\tO' +p98330 +aS'.\t.\t.\tO\tO' +p98331 +asS'Diffuse interstitial process / consolidation .' +p98332 +(lp98333 +S'Diffuse\tDiffuse\tNN\tB-NP\tO' +p98334 +aS'interstitial\tinterstitial\tJJ\tI-NP\tO' +p98335 +aS'process\tprocess\tNN\tI-NP\tO' +p98336 +aS'/\t/\tSYM\tB-NP\tO' +p98337 +aS'consolidation\tconsolidation\tNN\tI-NP\tO' +p98338 +aS'.\t.\t.\tO\tO' +p98339 +asS"This is the baby 's discharge feedings and he is p.o. ad lib with a minimum of 130 ml/kg/day , the patient has taken on an average greater than 150 ml/kg/day ad lib over each of the past 5 days ." +p98340 +(lp98341 +S'This\tThis\tDT\tB-NP\tO' +p98342 +aS'is\tbe\tVBZ\tB-VP\tO' +p98343 +aS'the\tthe\tDT\tB-NP\tO' +p98344 +aS'baby\tbaby\tNN\tI-NP\tO' +p98345 +aS"'s\t's\tPOS\tB-NP\tO" +p98346 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p98347 +aS'feedings\tfeeding\tNNS\tI-NP\tO' +p98348 +aS'and\tand\tCC\tO\tO' +p98349 +aS'he\the\tPRP\tB-NP\tO' +p98350 +aS'is\tbe\tVBZ\tB-VP\tO' +p98351 +aS'p.o.\tp.o.\tJJ\tB-NP\tO' +p98352 +aS'ad\tad\tNN\tI-NP\tO' +p98353 +aS'lib\tlib\tNN\tI-NP\tO' +p98354 +aS'with\twith\tIN\tB-PP\tO' +p98355 +aS'a\ta\tDT\tB-NP\tO' +p98356 +aS'minimum\tminimum\tNN\tI-NP\tO' +p98357 +aS'of\tof\tIN\tB-PP\tO' +p98358 +aS'130\t130\tCD\tB-NP\tO' +p98359 +aS'ml/kg/day\tml/kg/day\tNN\tI-NP\tO' +p98360 +aS',\t,\t,\tO\tO' +p98361 +aS'the\tthe\tDT\tB-NP\tO' +p98362 +aS'patient\tpatient\tNN\tI-NP\tO' +p98363 +aS'has\thave\tVBZ\tB-VP\tO' +p98364 +aS'taken\ttake\tVBN\tI-VP\tO' +p98365 +aS'on\ton\tRP\tB-PRT\tO' +p98366 +aS'an\tan\tDT\tB-NP\tO' +p98367 +aS'average\taverage\tNN\tI-NP\tO' +p98368 +aS'greater\tgreat\tJJR\tB-NP\tO' +p98369 +aS'than\tthan\tIN\tI-NP\tO' +p98370 +aS'150\t150\tCD\tI-NP\tO' +p98371 +aS'ml/kg/day\tml/kg/day\tNN\tI-NP\tO' +p98372 +aS'ad\tad\tNN\tI-NP\tO' +p98373 +aS'lib\tlib\tNN\tI-NP\tO' +p98374 +aS'over\tover\tIN\tB-PP\tO' +p98375 +aS'each\teach\tDT\tB-NP\tO' +p98376 +aS'of\tof\tIN\tB-PP\tO' +p98377 +aS'the\tthe\tDT\tB-NP\tO' +p98378 +aS'past\tpast\tJJ\tI-NP\tO' +p98379 +aS'5\t5\tCD\tI-NP\tO' +p98380 +aS'days\tday\tNNS\tI-NP\tO' +p98381 +aS'.\t.\t.\tO\tO' +p98382 +asS'There was a large focus of subacute blood products in the mid to low pons suggesting recent hemorrhage into a cavernous angioma .' +p98383 +(lp98384 +S'There\tThere\tEX\tB-NP\tO' +p98385 +aS'was\tbe\tVBD\tB-VP\tO' +p98386 +aS'a\ta\tDT\tB-NP\tO' +p98387 +aS'large\tlarge\tJJ\tI-NP\tO' +p98388 +aS'focus\tfocus\tNN\tI-NP\tO' +p98389 +aS'of\tof\tIN\tB-PP\tO' +p98390 +aS'subacute\tsubacute\tJJ\tB-NP\tB-protein' +p98391 +aS'blood\tblood\tNN\tI-NP\tI-protein' +p98392 +aS'products\tproduct\tNNS\tI-NP\tI-protein' +p98393 +aS'in\tin\tIN\tB-PP\tO' +p98394 +aS'the\tthe\tDT\tB-NP\tO' +p98395 +aS'mid\tmid\tNN\tI-NP\tO' +p98396 +aS'to\tto\tTO\tB-PP\tO' +p98397 +aS'low\tlow\tJJ\tB-NP\tO' +p98398 +aS'pons\tpon\tNNS\tI-NP\tO' +p98399 +aS'suggesting\tsuggest\tVBG\tB-VP\tO' +p98400 +aS'recent\trecent\tJJ\tB-NP\tO' +p98401 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p98402 +aS'into\tinto\tIN\tB-PP\tO' +p98403 +aS'a\ta\tDT\tB-NP\tO' +p98404 +aS'cavernous\tcavernous\tJJ\tI-NP\tO' +p98405 +aS'angioma\tangioma\tNN\tI-NP\tO' +p98406 +aS'.\t.\t.\tO\tO' +p98407 +asS'Femoral pulses normal , S1 , S2 were normal .' +p98408 +(lp98409 +S'Femoral\tFemoral\tJJ\tB-NP\tO' +p98410 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p98411 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p98412 +aS',\t,\t,\tO\tO' +p98413 +aS'S1\tS1\tNN\tB-NP\tB-protein' +p98414 +aS',\t,\t,\tO\tO' +p98415 +aS'S2\tS2\tNN\tB-NP\tB-protein' +p98416 +aS'were\tbe\tVBD\tB-VP\tO' +p98417 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p98418 +aS'.\t.\t.\tO\tO' +p98419 +asS'She denies chest pain , orthopnea , paroxysmal nocturnal dyspnea .' +p98420 +(lp98421 +S'She\tShe\tPRP\tB-NP\tO' +p98422 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p98423 +aS'chest\tch\tJJS\tB-NP\tO' +p98424 +aS'pain\tpain\tNN\tI-NP\tO' +p98425 +aS',\t,\t,\tO\tO' +p98426 +aS'orthopnea\torthopnea\tNN\tB-NP\tO' +p98427 +aS',\t,\t,\tO\tO' +p98428 +aS'paroxysmal\tparoxysmal\tJJ\tB-NP\tO' +p98429 +aS'nocturnal\tnocturnal\tJJ\tI-NP\tO' +p98430 +aS'dyspnea\tdyspnea\tNN\tI-NP\tO' +p98431 +aS'.\t.\t.\tO\tO' +p98432 +asS'He has a recent history of dyspnea on exertion on exertional chest pain which has increased over the last several weeks and is relieved by sublingual nitroglycerin .' +p98433 +(lp98434 +S'He\tHe\tPRP\tB-NP\tO' +p98435 +aS'has\thave\tVBZ\tB-VP\tO' +p98436 +aS'a\ta\tDT\tB-NP\tO' +p98437 +aS'recent\trecent\tJJ\tI-NP\tO' +p98438 +aS'history\thistory\tNN\tI-NP\tO' +p98439 +aS'of\tof\tIN\tB-PP\tO' +p98440 +aS'dyspnea\tdyspnea\tNN\tB-NP\tO' +p98441 +aS'on\ton\tIN\tB-PP\tO' +p98442 +aS'exertion\texertion\tNN\tB-NP\tO' +p98443 +aS'on\ton\tIN\tB-PP\tO' +p98444 +aS'exertional\texertional\tJJ\tB-NP\tO' +p98445 +aS'chest\tchest\tNN\tI-NP\tO' +p98446 +aS'pain\tpain\tNN\tI-NP\tO' +p98447 +aS'which\twhich\tWDT\tB-NP\tO' +p98448 +aS'has\thave\tVBZ\tB-VP\tO' +p98449 +aS'increased\tincrease\tVBN\tI-VP\tO' +p98450 +aS'over\tover\tIN\tB-PP\tO' +p98451 +aS'the\tthe\tDT\tB-NP\tO' +p98452 +aS'last\tlast\tJJ\tI-NP\tO' +p98453 +aS'several\tseveral\tJJ\tI-NP\tO' +p98454 +aS'weeks\tweek\tNNS\tI-NP\tO' +p98455 +aS'and\tand\tCC\tO\tO' +p98456 +aS'is\tbe\tVBZ\tB-VP\tO' +p98457 +aS'relieved\trelieve\tVBN\tI-VP\tO' +p98458 +aS'by\tby\tIN\tB-PP\tO' +p98459 +aS'sublingual\tsublingual\tJJ\tB-NP\tO' +p98460 +aS'nitroglycerin\tnitroglycerin\tNN\tI-NP\tO' +p98461 +aS'.\t.\t.\tO\tO' +p98462 +asS'Recommendations on antibiotics were made by infectious disease team , who was consulted .' +p98463 +(lp98464 +S'Recommendations\tRecommendation\tNNS\tB-NP\tO' +p98465 +aS'on\ton\tIN\tB-PP\tO' +p98466 +aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' +p98467 +aS'were\tbe\tVBD\tB-VP\tO' +p98468 +aS'made\tmake\tVBN\tI-VP\tO' +p98469 +aS'by\tby\tIN\tB-PP\tO' +p98470 +aS'infectious\tinfectious\tJJ\tB-NP\tO' +p98471 +aS'disease\tdisease\tNN\tI-NP\tO' +p98472 +aS'team\tteam\tNN\tI-NP\tO' +p98473 +aS',\t,\t,\tO\tO' +p98474 +aS'who\twho\tWP\tB-NP\tO' +p98475 +aS'was\tbe\tVBD\tB-VP\tO' +p98476 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p98477 +aS'.\t.\t.\tO\tO' +p98478 +asS'2. Heparin 5000 units subcutaneously twice a day .' +p98479 +(lp98480 +S'2.\t2.\tLS\tB-NP\tO' +p98481 +aS'Heparin\tHeparin\tNN\tI-NP\tB-protein' +p98482 +aS'5000\t5000\tCD\tB-NP\tI-protein' +p98483 +aS'units\tunit\tNNS\tI-NP\tI-protein' +p98484 +aS'subcutaneously\tsubcutaneously\tRB\tB-NP\tO' +p98485 +aS'twice\ttwice\tRB\tI-NP\tO' +p98486 +aS'a\ta\tDT\tI-NP\tO' +p98487 +aS'day\tday\tNN\tI-NP\tO' +p98488 +aS'.\t.\t.\tO\tO' +p98489 +asS'He was afebrile with a temperature of 99.1 .' +p98490 +(lp98491 +S'He\tHe\tPRP\tB-NP\tO' +p98492 +aS'was\tbe\tVBD\tB-VP\tO' +p98493 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p98494 +aS'with\twith\tIN\tB-PP\tO' +p98495 +aS'a\ta\tDT\tB-NP\tO' +p98496 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p98497 +aS'of\tof\tIN\tB-PP\tO' +p98498 +aS'99.1\t99.1\tCD\tB-NP\tO' +p98499 +aS'.\t.\t.\tO\tO' +p98500 +asS'He was discharged home on post-op day six with antibiotics and appropriate meds .' +p98501 +(lp98502 +S'He\tHe\tPRP\tB-NP\tO' +p98503 +aS'was\tbe\tVBD\tB-VP\tO' +p98504 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p98505 +aS'home\thome\tNN\tB-ADVP\tO' +p98506 +aS'on\ton\tIN\tB-PP\tO' +p98507 +aS'post-op\tpost-op\tJJ\tB-NP\tO' +p98508 +aS'day\tday\tNN\tI-NP\tO' +p98509 +aS'six\tsix\tCD\tI-NP\tO' +p98510 +aS'with\twith\tIN\tB-PP\tO' +p98511 +aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' +p98512 +aS'and\tand\tCC\tO\tO' +p98513 +aS'appropriate\tappropriate\tJJ\tB-NP\tO' +p98514 +aS'meds\tmed\tNNS\tI-NP\tO' +p98515 +aS'.\t.\t.\tO\tO' +p98516 +asS'He was found on physical exam to have an asymmetric prostate with prominence on the left and a question of a nodule .' +p98517 +(lp98518 +S'He\tHe\tPRP\tB-NP\tO' +p98519 +aS'was\tbe\tVBD\tB-VP\tO' +p98520 +aS'found\tfind\tVBN\tI-VP\tO' +p98521 +aS'on\ton\tIN\tB-PP\tO' +p98522 +aS'physical\tphysical\tJJ\tB-NP\tO' +p98523 +aS'exam\texam\tNN\tI-NP\tO' +p98524 +aS'to\tto\tTO\tB-VP\tO' +p98525 +aS'have\thave\tVB\tI-VP\tO' +p98526 +aS'an\tan\tDT\tB-NP\tO' +p98527 +aS'asymmetric\tasymmetric\tJJ\tI-NP\tO' +p98528 +aS'prostate\tprostate\tNN\tI-NP\tO' +p98529 +aS'with\twith\tIN\tB-PP\tO' +p98530 +aS'prominence\tprominence\tNN\tB-NP\tO' +p98531 +aS'on\ton\tIN\tB-PP\tO' +p98532 +aS'the\tthe\tDT\tB-NP\tO' +p98533 +aS'left\tleft\tJJ\tI-NP\tO' +p98534 +aS'and\tand\tCC\tO\tO' +p98535 +aS'a\ta\tDT\tB-NP\tO' +p98536 +aS'question\tquestion\tNN\tI-NP\tO' +p98537 +aS'of\tof\tIN\tB-PP\tO' +p98538 +aS'a\ta\tDT\tB-NP\tO' +p98539 +aS'nodule\tnodule\tNN\tI-NP\tO' +p98540 +aS'.\t.\t.\tO\tO' +p98541 +asS'Rate 28 .' +p98542 +(lp98543 +S'Rate\tRate\tNN\tB-NP\tO' +p98544 +aS'28\t28\tCD\tI-NP\tO' +p98545 +aS'.\t.\t.\tO\tO' +p98546 +asS'The infant is on breast milk with Enfamil Powder to provide 24 calories per ounce and on an ad lib feeding schedule .' +p98547 +(lp98548 +S'The\tThe\tDT\tB-NP\tO' +p98549 +aS'infant\tinfant\tNN\tI-NP\tO' +p98550 +aS'is\tbe\tVBZ\tB-VP\tO' +p98551 +aS'on\ton\tIN\tB-PP\tO' +p98552 +aS'breast\tbreast\tNN\tB-NP\tO' +p98553 +aS'milk\tmilk\tNN\tI-NP\tO' +p98554 +aS'with\twith\tIN\tB-PP\tO' +p98555 +aS'Enfamil\tEnfamil\tNNP\tB-NP\tO' +p98556 +aS'Powder\tPowder\tNNP\tI-NP\tO' +p98557 +aS'to\tto\tTO\tB-VP\tO' +p98558 +aS'provide\tprovide\tVB\tI-VP\tO' +p98559 +aS'24\t24\tCD\tB-NP\tO' +p98560 +aS'calories\tcalorie\tNNS\tI-NP\tO' +p98561 +aS'per\tper\tIN\tB-PP\tO' +p98562 +aS'ounce\tounce\tNN\tB-NP\tO' +p98563 +aS'and\tand\tCC\tB-PP\tO' +p98564 +aS'on\ton\tIN\tB-PP\tO' +p98565 +aS'an\tan\tDT\tB-NP\tO' +p98566 +aS'ad\tad\tNN\tI-NP\tO' +p98567 +aS'lib\tlib\tNN\tI-NP\tO' +p98568 +aS'feeding\tfeeding\tNN\tI-NP\tO' +p98569 +aS'schedule\tschedule\tNN\tI-NP\tO' +p98570 +aS'.\t.\t.\tO\tO' +p98571 +asS'Do not appear infected .' +p98572 +(lp98573 +S'Do\tDo\tVBP\tB-VP\tO' +p98574 +aS'not\tnot\tRB\tI-VP\tO' +p98575 +aS'appear\tappear\tVB\tI-VP\tO' +p98576 +aS'infected\tinfect\tVBN\tI-VP\tO' +p98577 +aS'.\t.\t.\tO\tO' +p98578 +asS'EMS gave her valium 5 mg pr at the facility and brought her to Barnstable County Hospital .' +p98579 +(lp98580 +S'EMS\tEMS\tNNP\tB-NP\tO' +p98581 +aS'gave\tgive\tVBD\tB-VP\tO' +p98582 +aS'her\ther\tPRP$\tB-NP\tO' +p98583 +aS'valium\tvalium\tNN\tI-NP\tB-protein' +p98584 +aS'5\t5\tCD\tI-NP\tI-protein' +p98585 +aS'mg\tmg\tNN\tI-NP\tI-protein' +p98586 +aS'pr\tpr\tNN\tI-NP\tI-protein' +p98587 +aS'at\tat\tIN\tB-PP\tO' +p98588 +aS'the\tthe\tDT\tB-NP\tO' +p98589 +aS'facility\tfacility\tNN\tI-NP\tO' +p98590 +aS'and\tand\tCC\tO\tO' +p98591 +aS'brought\tbring\tVBD\tB-VP\tO' +p98592 +aS'her\ther\tPRP\tB-NP\tO' +p98593 +aS'to\tto\tTO\tB-PP\tO' +p98594 +aS'Barnstable\tBarnstable\tNNP\tB-NP\tO' +p98595 +aS'County\tCounty\tNNP\tI-NP\tO' +p98596 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p98597 +aS'.\t.\t.\tO\tO' +p98598 +asS'Workup was unremarkable and he was cleared for surgery .' +p98599 +(lp98600 +S'Workup\tWorkup\tNNP\tB-NP\tO' +p98601 +aS'was\tbe\tVBD\tB-VP\tO' +p98602 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p98603 +aS'and\tand\tCC\tO\tO' +p98604 +aS'he\the\tPRP\tB-NP\tO' +p98605 +aS'was\tbe\tVBD\tB-VP\tO' +p98606 +aS'cleared\tclear\tVBN\tI-VP\tO' +p98607 +aS'for\tfor\tIN\tB-PP\tO' +p98608 +aS'surgery\tsurgery\tNN\tB-NP\tO' +p98609 +aS'.\t.\t.\tO\tO' +p98610 +asS'Chief Complaint : syncope and hypotension on Heywood Memorial Hospital 4' +p98611 +(lp98612 +S'Chief\tChief\tNNP\tB-NP\tO' +p98613 +aS'Complaint\tComplaint\tNNP\tI-NP\tO' +p98614 +aS':\t:\t:\tO\tO' +p98615 +aS'syncope\tsyncope\tNN\tB-NP\tO' +p98616 +aS'and\tand\tCC\tI-NP\tO' +p98617 +aS'hypotension\thypotension\tNN\tI-NP\tO' +p98618 +aS'on\ton\tIN\tB-PP\tO' +p98619 +aS'Heywood\tHeywood\tNNP\tB-NP\tO' +p98620 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p98621 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p98622 +aS'4\t4\tCD\tI-NP\tO' +p98623 +asS'The patient was somnolent , breathing comfortably , occasionally coughing .' +p98624 +(lp98625 +S'The\tThe\tDT\tB-NP\tO' +p98626 +aS'patient\tpatient\tNN\tI-NP\tO' +p98627 +aS'was\tbe\tVBD\tB-VP\tO' +p98628 +aS'somnolent\tsomnolent\tJJ\tB-ADJP\tO' +p98629 +aS',\t,\t,\tO\tO' +p98630 +aS'breathing\tbreathing\tNN\tB-NP\tO' +p98631 +aS'comfortably\tcomfortably\tRB\tB-ADVP\tO' +p98632 +aS',\t,\t,\tO\tO' +p98633 +aS'occasionally\toccasionally\tRB\tB-ADVP\tO' +p98634 +aS'coughing\tcough\tVBG\tB-VP\tO' +p98635 +aS'.\t.\t.\tO\tO' +p98636 +asS'2) Metastatic RCC : Sutent was held on admission in light of acute infection .' +p98637 +(lp98638 +S'2)\t2)\tLS\tB-NP\tO' +p98639 +aS'Metastatic\tMetastatic\tJJ\tI-NP\tO' +p98640 +aS'RCC\tRCC\tNN\tI-NP\tO' +p98641 +aS':\t:\t:\tO\tO' +p98642 +aS'Sutent\tSutent\tNN\tB-NP\tO' +p98643 +aS'was\tbe\tVBD\tB-VP\tO' +p98644 +aS'held\thold\tVBN\tI-VP\tO' +p98645 +aS'on\ton\tIN\tB-PP\tO' +p98646 +aS'admission\tadmission\tNN\tB-NP\tO' +p98647 +aS'in\tin\tIN\tB-PP\tO' +p98648 +aS'light\tlight\tNN\tB-NP\tO' +p98649 +aS'of\tof\tIN\tB-PP\tO' +p98650 +aS'acute\tacute\tJJ\tB-NP\tO' +p98651 +aS'infection\tinfection\tNN\tI-NP\tO' +p98652 +aS'.\t.\t.\tO\tO' +p98653 +asS'Please take medications as instructed .' +p98654 +(lp98655 +S'Please\tPlease\tVB\tB-VP\tO' +p98656 +aS'take\ttake\tVB\tI-VP\tO' +p98657 +aS'medications\tmedication\tNNS\tB-NP\tO' +p98658 +aS'as\tas\tIN\tB-SBAR\tO' +p98659 +aS'instructed\tinstruct\tVBN\tB-VP\tO' +p98660 +aS'.\t.\t.\tO\tO' +p98661 +asS'She also had a K of 6.0 and given 30 of Kayexalate , 5 of Haldol , 2 mg of Ativan given for' +p98662 +(lp98663 +S'She\tShe\tPRP\tB-NP\tO' +p98664 +aS'also\talso\tRB\tB-ADVP\tO' +p98665 +aS'had\thave\tVBD\tB-VP\tO' +p98666 +aS'a\ta\tDT\tB-NP\tO' +p98667 +aS'K\tK\tNN\tI-NP\tO' +p98668 +aS'of\tof\tIN\tB-PP\tO' +p98669 +aS'6.0\t6.0\tCD\tB-NP\tO' +p98670 +aS'and\tand\tCC\tO\tO' +p98671 +aS'given\tgive\tVBN\tB-VP\tO' +p98672 +aS'30\t30\tCD\tB-NP\tO' +p98673 +aS'of\tof\tIN\tB-PP\tO' +p98674 +aS'Kayexalate\tKayexalate\tNNP\tB-NP\tO' +p98675 +aS',\t,\t,\tO\tO' +p98676 +aS'5\t5\tCD\tB-NP\tO' +p98677 +aS'of\tof\tIN\tB-PP\tO' +p98678 +aS'Haldol\tHaldol\tNN\tB-NP\tO' +p98679 +aS',\t,\t,\tO\tO' +p98680 +aS'2\t2\tCD\tB-NP\tO' +p98681 +aS'mg\tmg\tNN\tI-NP\tO' +p98682 +aS'of\tof\tIN\tB-PP\tO' +p98683 +aS'Ativan\tAtivan\tNNP\tB-NP\tO' +p98684 +aS'given\tgive\tVBN\tB-VP\tO' +p98685 +aS'for\tfor\tIN\tB-PP\tO' +p98686 +asS'In the CCU , she was put on milrinone with good results .' +p98687 +(lp98688 +S'In\tIn\tIN\tB-PP\tO' +p98689 +aS'the\tthe\tDT\tB-NP\tO' +p98690 +aS'CCU\tCCU\tNN\tI-NP\tB-DNA' +p98691 +aS',\t,\t,\tO\tO' +p98692 +aS'she\tshe\tPRP\tB-NP\tO' +p98693 +aS'was\tbe\tVBD\tB-VP\tO' +p98694 +aS'put\tput\tVBN\tI-VP\tO' +p98695 +aS'on\ton\tIN\tB-PP\tO' +p98696 +aS'milrinone\tmilrinone\tNN\tB-NP\tO' +p98697 +aS'with\twith\tIN\tB-PP\tO' +p98698 +aS'good\tgood\tJJ\tB-NP\tO' +p98699 +aS'results\tresult\tNNS\tI-NP\tO' +p98700 +aS'.\t.\t.\tO\tO' +p98701 +asS'She was discharged from the hospital on 11/28/02 to a short term rehabilitation facility .' +p98702 +(lp98703 +S'She\tShe\tPRP\tB-NP\tO' +p98704 +aS'was\tbe\tVBD\tB-VP\tO' +p98705 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p98706 +aS'from\tfrom\tIN\tB-PP\tO' +p98707 +aS'the\tthe\tDT\tB-NP\tO' +p98708 +aS'hospital\thospital\tNN\tI-NP\tO' +p98709 +aS'on\ton\tIN\tB-PP\tO' +p98710 +aS'11/28/02\t11/28/02\tCD\tB-NP\tO' +p98711 +aS'to\tto\tTO\tB-PP\tO' +p98712 +aS'a\ta\tDT\tB-NP\tO' +p98713 +aS'short\tshort\tJJ\tI-NP\tO' +p98714 +aS'term\tterm\tNN\tI-NP\tO' +p98715 +aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' +p98716 +aS'facility\tfacility\tNN\tI-NP\tO' +p98717 +aS'.\t.\t.\tO\tO' +p98718 +asS'On sensory exam there was a mild diminution of light touch , pinprick , position , and vibration sense in the left side .' +p98719 +(lp98720 +S'On\tOn\tIN\tB-PP\tO' +p98721 +aS'sensory\tsensory\tJJ\tB-NP\tO' +p98722 +aS'exam\texam\tNN\tI-NP\tO' +p98723 +aS'there\tthere\tEX\tB-NP\tO' +p98724 +aS'was\tbe\tVBD\tB-VP\tO' +p98725 +aS'a\ta\tDT\tB-NP\tO' +p98726 +aS'mild\tmild\tJJ\tI-NP\tO' +p98727 +aS'diminution\tdiminution\tNN\tI-NP\tO' +p98728 +aS'of\tof\tIN\tB-PP\tO' +p98729 +aS'light\tlight\tJJ\tB-NP\tO' +p98730 +aS'touch\ttouch\tNN\tI-NP\tO' +p98731 +aS',\t,\t,\tO\tO' +p98732 +aS'pinprick\tpinprick\tNN\tB-NP\tO' +p98733 +aS',\t,\t,\tO\tO' +p98734 +aS'position\tposition\tNN\tB-NP\tO' +p98735 +aS',\t,\t,\tO\tO' +p98736 +aS'and\tand\tCC\tO\tO' +p98737 +aS'vibration\tvibration\tNN\tB-NP\tO' +p98738 +aS'sense\tsense\tNN\tI-NP\tO' +p98739 +aS'in\tin\tIN\tB-PP\tO' +p98740 +aS'the\tthe\tDT\tB-NP\tO' +p98741 +aS'left\tleft\tJJ\tI-NP\tO' +p98742 +aS'side\tside\tNN\tI-NP\tO' +p98743 +aS'.\t.\t.\tO\tO' +p98744 +asS'Infant will follow-up with primary pediatrician within 2 days of discharge , and will see Dr. Dale Merkel of Pediatric Cardiology in Dr. John C. Corrigan Mental Health Center on 2017-07-07 at 1:30 pm .' +p98745 +(lp98746 +S'Infant\tInfant\tNNP\tB-NP\tO' +p98747 +aS'will\twill\tMD\tB-VP\tO' +p98748 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p98749 +aS'with\twith\tIN\tB-PP\tO' +p98750 +aS'primary\tprimary\tJJ\tB-NP\tO' +p98751 +aS'pediatrician\tpediatrician\tNN\tI-NP\tO' +p98752 +aS'within\twithin\tIN\tB-PP\tO' +p98753 +aS'2\t2\tCD\tB-NP\tO' +p98754 +aS'days\tday\tNNS\tI-NP\tO' +p98755 +aS'of\tof\tIN\tB-PP\tO' +p98756 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p98757 +aS',\t,\t,\tO\tO' +p98758 +aS'and\tand\tCC\tO\tO' +p98759 +aS'will\twill\tMD\tB-VP\tO' +p98760 +aS'see\tsee\tVB\tI-VP\tO' +p98761 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p98762 +aS'Dale\tDale\tNNP\tI-NP\tO' +p98763 +aS'Merkel\tMerkel\tNNP\tI-NP\tO' +p98764 +aS'of\tof\tIN\tB-PP\tO' +p98765 +aS'Pediatric\tPediatric\tNNP\tB-NP\tO' +p98766 +aS'Cardiology\tCardiology\tNNP\tI-NP\tO' +p98767 +aS'in\tin\tIN\tB-PP\tO' +p98768 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p98769 +aS'John\tJohn\tNNP\tI-NP\tO' +p98770 +aS'C.\tC.\tNNP\tI-NP\tO' +p98771 +aS'Corrigan\tCorrigan\tNNP\tI-NP\tO' +p98772 +aS'Mental\tMental\tNNP\tI-NP\tO' +p98773 +aS'Health\tHealth\tNNP\tI-NP\tO' +p98774 +aS'Center\tCenter\tNNP\tI-NP\tO' +p98775 +aS'on\ton\tIN\tB-PP\tO' +p98776 +aS'2017-07-07\t2017-07-07\tCD\tB-NP\tO' +p98777 +aS'at\tat\tIN\tB-PP\tO' +p98778 +aS'1:30\t1:30\tCD\tB-NP\tO' +p98779 +aS'pm\tpm\tNN\tI-NP\tO' +p98780 +aS'.\t.\t.\tO\tO' +p98781 +asS'ECG is AV paced but prior shower R on T VPB c monomorphic VT then overdrive paced .' +p98782 +(lp98783 +S'ECG\tECG\tNN\tB-NP\tB-protein' +p98784 +aS'is\tbe\tVBZ\tB-VP\tO' +p98785 +aS'AV\tAV\tNN\tB-NP\tO' +p98786 +aS'paced\tpaced\tJJ\tI-NP\tO' +p98787 +aS'but\tbut\tCC\tI-NP\tO' +p98788 +aS'prior\tprior\tJJ\tI-NP\tO' +p98789 +aS'shower\tshower\tNN\tI-NP\tO' +p98790 +aS'R\tR\tNN\tI-NP\tO' +p98791 +aS'on\ton\tIN\tB-PP\tO' +p98792 +aS'T\tT\tNN\tB-NP\tB-protein' +p98793 +aS'VPB\tVPB\tNN\tI-NP\tI-protein' +p98794 +aS'c\tc\tNN\tI-NP\tI-protein' +p98795 +aS'monomorphic\tmonomorphic\tJJ\tI-NP\tO' +p98796 +aS'VT\tVT\tNN\tI-NP\tO' +p98797 +aS'then\tthen\tRB\tB-ADVP\tO' +p98798 +aS'overdrive\toverdrive\tRB\tB-VP\tO' +p98799 +aS'paced\tpace\tVBN\tI-VP\tO' +p98800 +aS'.\t.\t.\tO\tO' +p98801 +asS'They felt that his mental status would improve as his health improved .' +p98802 +(lp98803 +S'They\tThey\tPRP\tB-NP\tO' +p98804 +aS'felt\tfeel\tVBD\tB-VP\tO' +p98805 +aS'that\tthat\tIN\tB-SBAR\tO' +p98806 +aS'his\this\tPRP$\tB-NP\tO' +p98807 +aS'mental\tmental\tJJ\tI-NP\tO' +p98808 +aS'status\tstatus\tNN\tI-NP\tO' +p98809 +aS'would\twould\tMD\tB-VP\tO' +p98810 +aS'improve\timprove\tVB\tI-VP\tO' +p98811 +aS'as\tas\tIN\tB-PP\tO' +p98812 +aS'his\this\tPRP$\tB-NP\tO' +p98813 +aS'health\thealth\tNN\tI-NP\tO' +p98814 +aS'improved\timprove\tVBD\tB-VP\tO' +p98815 +aS'.\t.\t.\tO\tO' +p98816 +asS'Lasix 20 mg twice a day times seven days .' +p98817 +(lp98818 +S'Lasix\tLasix\tRB\tB-NP\tO' +p98819 +aS'20\t20\tCD\tI-NP\tO' +p98820 +aS'mg\tmg\tNN\tI-NP\tO' +p98821 +aS'twice\ttwice\tRB\tB-NP\tO' +p98822 +aS'a\ta\tDT\tI-NP\tO' +p98823 +aS'day\tday\tNN\tI-NP\tO' +p98824 +aS'times\ttime\tVBZ\tB-VP\tO' +p98825 +aS'seven\tseven\tCD\tB-NP\tO' +p98826 +aS'days\tday\tNNS\tI-NP\tO' +p98827 +aS'.\t.\t.\tO\tO' +p98828 +asS'The patient was started on three grams of sodium , 3x a day with fluid restriction .' +p98829 +(lp98830 +S'The\tThe\tDT\tB-NP\tO' +p98831 +aS'patient\tpatient\tNN\tI-NP\tO' +p98832 +aS'was\tbe\tVBD\tB-VP\tO' +p98833 +aS'started\tstart\tVBN\tI-VP\tO' +p98834 +aS'on\ton\tIN\tB-PP\tO' +p98835 +aS'three\tthree\tCD\tB-NP\tO' +p98836 +aS'grams\tgram\tNNS\tI-NP\tO' +p98837 +aS'of\tof\tIN\tB-PP\tO' +p98838 +aS'sodium\tsodium\tNN\tB-NP\tO' +p98839 +aS',\t,\t,\tO\tO' +p98840 +aS'3x\t3x\tCD\tB-NP\tO' +p98841 +aS'a\ta\tDT\tB-NP\tO' +p98842 +aS'day\tday\tNN\tI-NP\tO' +p98843 +aS'with\twith\tIN\tB-PP\tO' +p98844 +aS'fluid\tfluid\tNN\tB-NP\tO' +p98845 +aS'restriction\trestriction\tNN\tI-NP\tO' +p98846 +aS'.\t.\t.\tO\tO' +p98847 +asS'No other issues .' +p98848 +(lp98849 +S'No\tNo\tDT\tB-NP\tO' +p98850 +aS'other\tother\tJJ\tI-NP\tO' +p98851 +aS'issues\tissue\tNNS\tI-NP\tO' +p98852 +aS'.\t.\t.\tO\tO' +p98853 +asS'Strong coronary artery disease .' +p98854 +(lp98855 +S'Strong\tStrong\tJJ\tB-NP\tO' +p98856 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p98857 +aS'artery\tartery\tNN\tI-NP\tO' +p98858 +aS'disease\tdisease\tNN\tI-NP\tO' +p98859 +aS'.\t.\t.\tO\tO' +p98860 +asS'Medicine was also consulted at that time for high blood pressure and for the biceps pain .' +p98861 +(lp98862 +S'Medicine\tMedicine\tNN\tB-NP\tO' +p98863 +aS'was\tbe\tVBD\tB-VP\tO' +p98864 +aS'also\talso\tRB\tI-VP\tO' +p98865 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p98866 +aS'at\tat\tIN\tB-PP\tO' +p98867 +aS'that\tthat\tDT\tB-NP\tO' +p98868 +aS'time\ttime\tNN\tI-NP\tO' +p98869 +aS'for\tfor\tIN\tB-PP\tO' +p98870 +aS'high\thigh\tJJ\tB-NP\tO' +p98871 +aS'blood\tblood\tNN\tI-NP\tO' +p98872 +aS'pressure\tpressure\tNN\tI-NP\tO' +p98873 +aS'and\tand\tCC\tB-PP\tO' +p98874 +aS'for\tfor\tIN\tB-PP\tO' +p98875 +aS'the\tthe\tDT\tB-NP\tO' +p98876 +aS'biceps\tbicep\tNNS\tI-NP\tO' +p98877 +aS'pain\tpain\tNN\tI-NP\tO' +p98878 +aS'.\t.\t.\tO\tO' +p98879 +asS'It will be called in to Dr. Hamasaki office and he will call you to see how to change your coumadin .' +p98880 +(lp98881 +S'It\tIt\tPRP\tB-NP\tO' +p98882 +aS'will\twill\tMD\tB-VP\tO' +p98883 +aS'be\tbe\tVB\tI-VP\tO' +p98884 +aS'called\tcall\tVBN\tI-VP\tO' +p98885 +aS'in\tin\tRP\tB-PRT\tO' +p98886 +aS'to\tto\tTO\tB-PP\tO' +p98887 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p98888 +aS'Hamasaki\tHamasaki\tNNP\tI-NP\tO' +p98889 +aS'office\toffice\tNN\tI-NP\tO' +p98890 +aS'and\tand\tCC\tO\tO' +p98891 +aS'he\the\tPRP\tB-NP\tO' +p98892 +aS'will\twill\tMD\tB-VP\tO' +p98893 +aS'call\tcall\tVB\tI-VP\tO' +p98894 +aS'you\tyou\tPRP\tB-NP\tO' +p98895 +aS'to\tto\tTO\tB-VP\tO' +p98896 +aS'see\tsee\tVB\tI-VP\tO' +p98897 +aS'how\thow\tWRB\tB-ADVP\tO' +p98898 +aS'to\tto\tTO\tB-VP\tO' +p98899 +aS'change\tchange\tVB\tI-VP\tO' +p98900 +aS'your\tyour\tPRP$\tB-NP\tO' +p98901 +aS'coumadin\tcoumadin\tNN\tI-NP\tO' +p98902 +aS'.\t.\t.\tO\tO' +p98903 +asS'Over the 24 hours of in house hospitalization , he did not have any further neurologic activity and was able to ambulate without assistance prior to discharge .' +p98904 +(lp98905 +S'Over\tOver\tIN\tB-PP\tO' +p98906 +aS'the\tthe\tDT\tB-NP\tO' +p98907 +aS'24\t24\tCD\tI-NP\tO' +p98908 +aS'hours\thour\tNNS\tI-NP\tO' +p98909 +aS'of\tof\tIN\tB-PP\tO' +p98910 +aS'in\tin\tIN\tB-PP\tO' +p98911 +aS'house\thouse\tNN\tB-NP\tO' +p98912 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p98913 +aS',\t,\t,\tO\tO' +p98914 +aS'he\the\tPRP\tB-NP\tO' +p98915 +aS'did\tdo\tVBD\tB-VP\tO' +p98916 +aS'not\tnot\tRB\tI-VP\tO' +p98917 +aS'have\thave\tVB\tI-VP\tO' +p98918 +aS'any\tany\tDT\tB-NP\tO' +p98919 +aS'further\tfurther\tJJ\tI-NP\tO' +p98920 +aS'neurologic\tneurologic\tJJ\tI-NP\tO' +p98921 +aS'activity\tactivity\tNN\tI-NP\tO' +p98922 +aS'and\tand\tCC\tO\tO' +p98923 +aS'was\tbe\tVBD\tB-VP\tO' +p98924 +aS'able\table\tJJ\tB-ADJP\tO' +p98925 +aS'to\tto\tTO\tB-VP\tO' +p98926 +aS'ambulate\tambulate\tVB\tI-VP\tO' +p98927 +aS'without\twithout\tIN\tB-PP\tO' +p98928 +aS'assistance\tassistance\tNN\tB-NP\tO' +p98929 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p98930 +aS'to\tto\tTO\tB-VP\tO' +p98931 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p98932 +aS'.\t.\t.\tO\tO' +p98933 +asS'Also a drug reaction is in the ddx but unlikely as rash started at rehab prior to receiving drugs here .' +p98934 +(lp98935 +S'Also\tAlso\tRB\tB-ADVP\tO' +p98936 +aS'a\ta\tDT\tB-NP\tO' +p98937 +aS'drug\tdrug\tNN\tI-NP\tO' +p98938 +aS'reaction\treaction\tNN\tI-NP\tO' +p98939 +aS'is\tbe\tVBZ\tB-VP\tO' +p98940 +aS'in\tin\tIN\tB-PP\tO' +p98941 +aS'the\tthe\tDT\tB-NP\tO' +p98942 +aS'ddx\tddx\tNN\tI-NP\tO' +p98943 +aS'but\tbut\tCC\tO\tO' +p98944 +aS'unlikely\tunlikely\tJJ\tB-ADJP\tO' +p98945 +aS'as\tas\tIN\tB-SBAR\tO' +p98946 +aS'rash\trash\tNN\tB-NP\tO' +p98947 +aS'started\tstart\tVBN\tB-VP\tO' +p98948 +aS'at\tat\tIN\tB-PP\tO' +p98949 +aS'rehab\trehab\tNN\tB-NP\tO' +p98950 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p98951 +aS'to\tto\tTO\tB-PP\tO' +p98952 +aS'receiving\treceive\tVBG\tB-VP\tO' +p98953 +aS'drugs\tdrug\tNNS\tB-NP\tO' +p98954 +aS'here\there\tRB\tB-ADVP\tO' +p98955 +aS'.\t.\t.\tO\tO' +p98956 +asS'Her postop course was uneventful until one day prior to admission when she developed abdominal pain .' +p98957 +(lp98958 +S'Her\tHer\tPRP$\tB-NP\tO' +p98959 +aS'postop\tpostop\tJJ\tI-NP\tO' +p98960 +aS'course\tcourse\tNN\tI-NP\tO' +p98961 +aS'was\tbe\tVBD\tB-VP\tO' +p98962 +aS'uneventful\tuneventful\tJJ\tB-ADJP\tO' +p98963 +aS'until\tuntil\tIN\tB-SBAR\tO' +p98964 +aS'one\tone\tCD\tB-NP\tO' +p98965 +aS'day\tday\tNN\tI-NP\tO' +p98966 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p98967 +aS'to\tto\tTO\tB-PP\tO' +p98968 +aS'admission\tadmission\tNN\tB-NP\tO' +p98969 +aS'when\twhen\tWRB\tB-ADVP\tO' +p98970 +aS'she\tshe\tPRP\tB-NP\tB-protein' +p98971 +aS'developed\tdevelop\tVBD\tB-VP\tI-protein' +p98972 +aS'abdominal\tabdominal\tJJ\tB-NP\tI-protein' +p98973 +aS'pain\tpain\tNN\tI-NP\tI-protein' +p98974 +aS'.\t.\t.\tO\tO' +p98975 +asS'The patient was admitted to Saint Vincent Hospital on 2017-04-26 and underwent a coronary artery bypass graft times four with left internal mammary artery to left anterior descending , saphenous vein graft to right coronary artery , saphenous vein graft to PDA and saphenous vein graft to obtuse marginal with Dr. Rota .' +p98976 +(lp98977 +S'The\tThe\tDT\tB-NP\tO' +p98978 +aS'patient\tpatient\tNN\tI-NP\tO' +p98979 +aS'was\tbe\tVBD\tB-VP\tO' +p98980 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p98981 +aS'to\tto\tTO\tB-PP\tO' +p98982 +aS'Saint\tSaint\tNNP\tB-NP\tO' +p98983 +aS'Vincent\tVincent\tNNP\tI-NP\tO' +p98984 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p98985 +aS'on\ton\tIN\tB-PP\tO' +p98986 +aS'2017-04-26\t2017-04-26\tCD\tB-NP\tO' +p98987 +aS'and\tand\tCC\tO\tO' +p98988 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p98989 +aS'a\ta\tDT\tB-NP\tO' +p98990 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p98991 +aS'artery\tartery\tNN\tI-NP\tO' +p98992 +aS'bypass\tbypass\tIN\tB-PP\tO' +p98993 +aS'graft\tgraft\tNN\tB-NP\tO' +p98994 +aS'times\ttime\tNNS\tI-NP\tO' +p98995 +aS'four\tfour\tCD\tB-NP\tO' +p98996 +aS'with\twith\tIN\tB-PP\tO' +p98997 +aS'left\tleft\tJJ\tB-NP\tO' +p98998 +aS'internal\tinternal\tJJ\tI-NP\tO' +p98999 +aS'mammary\tmammary\tJJ\tI-NP\tO' +p99000 +aS'artery\tartery\tNN\tI-NP\tO' +p99001 +aS'to\tto\tTO\tB-VP\tO' +p99002 +aS'left\tleft\tVB\tI-VP\tO' +p99003 +aS'anterior\tanterior\tJJ\tB-NP\tO' +p99004 +aS'descending\tdescend\tVBG\tI-NP\tO' +p99005 +aS',\t,\t,\tO\tO' +p99006 +aS'saphenous\tsaphenous\tJJ\tB-NP\tO' +p99007 +aS'vein\tvein\tNN\tI-NP\tO' +p99008 +aS'graft\tgraft\tNN\tI-NP\tO' +p99009 +aS'to\tto\tTO\tB-PP\tO' +p99010 +aS'right\tright\tJJ\tB-NP\tO' +p99011 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p99012 +aS'artery\tartery\tNN\tI-NP\tO' +p99013 +aS',\t,\t,\tO\tO' +p99014 +aS'saphenous\tsaphenous\tJJ\tB-NP\tO' +p99015 +aS'vein\tvein\tNN\tI-NP\tO' +p99016 +aS'graft\tgraft\tNN\tI-NP\tO' +p99017 +aS'to\tto\tTO\tB-PP\tO' +p99018 +aS'PDA\tPDA\tNN\tB-NP\tB-protein' +p99019 +aS'and\tand\tCC\tO\tO' +p99020 +aS'saphenous\tsaphenous\tJJ\tB-NP\tO' +p99021 +aS'vein\tvein\tNN\tI-NP\tO' +p99022 +aS'graft\tgraft\tNN\tI-NP\tO' +p99023 +aS'to\tto\tTO\tB-VP\tO' +p99024 +aS'obtuse\tobtuse\tVB\tI-VP\tO' +p99025 +aS'marginal\tmarginal\tJJ\tB-ADJP\tO' +p99026 +aS'with\twith\tIN\tB-PP\tO' +p99027 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p99028 +aS'Rota\tRota\tNNP\tI-NP\tO' +p99029 +aS'.\t.\t.\tO\tO' +p99030 +asS'Dry gangrene of toes bilaterally w/ necrosis of the heels and posterior calf .' +p99031 +(lp99032 +S'Dry\tDry\tNN\tB-NP\tO' +p99033 +aS'gangrene\tgangrene\tNN\tI-NP\tO' +p99034 +aS'of\tof\tIN\tB-PP\tO' +p99035 +aS'toes\ttoe\tNNS\tB-NP\tO' +p99036 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p99037 +aS'w/\tw/\tVBP\tB-VP\tO' +p99038 +aS'necrosis\tnecrosis\tNN\tB-NP\tO' +p99039 +aS'of\tof\tIN\tB-PP\tO' +p99040 +aS'the\tthe\tDT\tB-NP\tO' +p99041 +aS'heels\theel\tNNS\tI-NP\tO' +p99042 +aS'and\tand\tCC\tO\tO' +p99043 +aS'posterior\tposterior\tJJ\tB-NP\tO' +p99044 +aS'calf\tcalf\tNN\tI-NP\tO' +p99045 +aS'.\t.\t.\tO\tO' +p99046 +asS'The drainage catheter was left in a pseudocyst .' +p99047 +(lp99048 +S'The\tThe\tDT\tB-NP\tO' +p99049 +aS'drainage\tdrainage\tNN\tI-NP\tO' +p99050 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p99051 +aS'was\tbe\tVBD\tB-VP\tO' +p99052 +aS'left\tleave\tVBN\tI-VP\tO' +p99053 +aS'in\tin\tIN\tB-PP\tO' +p99054 +aS'a\ta\tDT\tB-NP\tO' +p99055 +aS'pseudocyst\tpseudocyst\tNN\tI-NP\tO' +p99056 +aS'.\t.\t.\tO\tO' +p99057 +asS'9 ) Isosorbide dinitrate unclear dose .' +p99058 +(lp99059 +S'9\t9\tCD\tB-NP\tO' +p99060 +aS')\t)\t)\tO\tO' +p99061 +aS'Isosorbide\tIsosorbide\tNN\tB-NP\tO' +p99062 +aS'dinitrate\tdinitrate\tNN\tI-NP\tO' +p99063 +aS'unclear\tunclear\tJJ\tI-NP\tO' +p99064 +aS'dose\tdose\tNN\tI-NP\tO' +p99065 +aS'.\t.\t.\tO\tO' +p99066 +asS'Back MRI was negative .' +p99067 +(lp99068 +S'Back\tBack\tRB\tB-NP\tO' +p99069 +aS'MRI\tMRI\tNN\tI-NP\tO' +p99070 +aS'was\tbe\tVBD\tB-VP\tO' +p99071 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p99072 +aS'.\t.\t.\tO\tO' +p99073 +asS"The patient 's blood pressure remained stable on hospital day #2 through hospital day #3 status post IV hydration with systolic blood pressures in the 120 's to 130 's." +p99074 +(lp99075 +S'The\tThe\tDT\tB-NP\tO' +p99076 +aS'patient\tpatient\tNN\tI-NP\tO' +p99077 +aS"'s\t's\tPOS\tB-NP\tO" +p99078 +aS'blood\tblood\tNN\tI-NP\tO' +p99079 +aS'pressure\tpressure\tNN\tI-NP\tO' +p99080 +aS'remained\tremain\tVBD\tB-VP\tO' +p99081 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p99082 +aS'on\ton\tIN\tB-PP\tO' +p99083 +aS'hospital\thospital\tNN\tB-NP\tO' +p99084 +aS'day\tday\tNN\tI-NP\tO' +p99085 +aS'#2\t#2\tCD\tB-NP\tO' +p99086 +aS'through\tthrough\tIN\tB-PP\tO' +p99087 +aS'hospital\thospital\tNN\tB-NP\tO' +p99088 +aS'day\tday\tNN\tI-NP\tO' +p99089 +aS'#3\t#3\tCD\tI-NP\tO' +p99090 +aS'status\tstatus\tNN\tI-NP\tO' +p99091 +aS'post\tpost\tNN\tI-NP\tO' +p99092 +aS'IV\tIV\tCD\tI-NP\tO' +p99093 +aS'hydration\thydration\tNN\tI-NP\tO' +p99094 +aS'with\twith\tIN\tB-PP\tO' +p99095 +aS'systolic\tsystolic\tJJ\tB-NP\tO' +p99096 +aS'blood\tblood\tNN\tI-NP\tO' +p99097 +aS'pressures\tpressure\tNNS\tI-NP\tO' +p99098 +aS'in\tin\tIN\tB-PP\tO' +p99099 +aS'the\tthe\tDT\tB-NP\tO' +p99100 +aS'120\t120\tCD\tI-NP\tO' +p99101 +aS"'s\t's\tPOS\tB-NP\tO" +p99102 +aS'to\tto\tTO\tB-PP\tO' +p99103 +aS'130\t130\tCD\tB-NP\tO' +p99104 +aS"'s.\t's.\tPOS\tB-NP\tO" +p99105 +asS'O2 saturation on three liters was 96% .' +p99106 +(lp99107 +S'O2\tO2\tNN\tB-NP\tO' +p99108 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p99109 +aS'on\ton\tIN\tB-PP\tO' +p99110 +aS'three\tthree\tCD\tB-NP\tO' +p99111 +aS'liters\tliter\tNNS\tI-NP\tO' +p99112 +aS'was\tbe\tVBD\tB-VP\tO' +p99113 +aS'96%\t96%\tCD\tB-NP\tO' +p99114 +aS'.\t.\t.\tO\tO' +p99115 +asS'She also experienced increased hoarseness over the preceding months , which was due to left vocal cord paralysis .' +p99116 +(lp99117 +S'She\tShe\tPRP\tB-NP\tO' +p99118 +aS'also\talso\tRB\tB-ADVP\tO' +p99119 +aS'experienced\texperience\tVBD\tB-VP\tO' +p99120 +aS'increased\tincrease\tVBN\tB-NP\tO' +p99121 +aS'hoarseness\thoarseness\tNN\tI-NP\tO' +p99122 +aS'over\tover\tIN\tB-PP\tO' +p99123 +aS'the\tthe\tDT\tB-NP\tO' +p99124 +aS'preceding\tprecede\tVBG\tI-NP\tO' +p99125 +aS'months\tmonth\tNNS\tI-NP\tO' +p99126 +aS',\t,\t,\tO\tO' +p99127 +aS'which\twhich\tWDT\tB-NP\tO' +p99128 +aS'was\tbe\tVBD\tB-VP\tO' +p99129 +aS'due\tdue\tJJ\tB-ADJP\tO' +p99130 +aS'to\tto\tTO\tB-VP\tO' +p99131 +aS'left\tleft\tVB\tI-VP\tO' +p99132 +aS'vocal\tvocal\tJJ\tB-NP\tO' +p99133 +aS'cord\tcord\tNN\tI-NP\tO' +p99134 +aS'paralysis\tparalysis\tNN\tI-NP\tO' +p99135 +aS'.\t.\t.\tO\tO' +p99136 +asS'Serologies include blood type O negative , antibody negative , RPR nonreactive .' +p99137 +(lp99138 +S'Serologies\tSerology\tNNS\tB-NP\tO' +p99139 +aS'include\tinclude\tVBP\tB-VP\tO' +p99140 +aS'blood\tblood\tNN\tB-NP\tO' +p99141 +aS'type\ttype\tNN\tI-NP\tO' +p99142 +aS'O\tO\tNN\tI-NP\tO' +p99143 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p99144 +aS',\t,\t,\tO\tO' +p99145 +aS'antibody\tantibody\tNN\tB-NP\tO' +p99146 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p99147 +aS',\t,\t,\tO\tO' +p99148 +aS'RPR\tRPR\tNN\tB-NP\tB-protein' +p99149 +aS'nonreactive\tnonreactive\tJJ\tB-ADJP\tO' +p99150 +aS'.\t.\t.\tO\tO' +p99151 +asS'A Neonatology consultation was obtained during the course of the hospitalization .' +p99152 +(lp99153 +S'A\tA\tDT\tB-NP\tO' +p99154 +aS'Neonatology\tNeonatology\tNNP\tI-NP\tO' +p99155 +aS'consultation\tconsultation\tNN\tI-NP\tO' +p99156 +aS'was\tbe\tVBD\tB-VP\tO' +p99157 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p99158 +aS'during\tduring\tIN\tB-PP\tO' +p99159 +aS'the\tthe\tDT\tB-NP\tO' +p99160 +aS'course\tcourse\tNN\tI-NP\tO' +p99161 +aS'of\tof\tIN\tB-PP\tO' +p99162 +aS'the\tthe\tDT\tB-NP\tO' +p99163 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p99164 +aS'.\t.\t.\tO\tO' +p99165 +asS'There is mild symmetric left ventricular hypertrophy .' +p99166 +(lp99167 +S'There\tThere\tEX\tB-NP\tO' +p99168 +aS'is\tbe\tVBZ\tB-VP\tO' +p99169 +aS'mild\tmild\tJJ\tB-NP\tO' +p99170 +aS'symmetric\tsymmetric\tJJ\tI-NP\tO' +p99171 +aS'left\tleft\tJJ\tI-NP\tO' +p99172 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p99173 +aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' +p99174 +aS'.\t.\t.\tO\tO' +p99175 +asS'Attending : Michael A.E. Adkins , M.D.' +p99176 +(lp99177 +S'Attending\tAttend\tVBG\tB-VP\tO' +p99178 +aS':\t:\t:\tO\tO' +p99179 +aS'Michael\tMichael\tNNP\tB-NP\tO' +p99180 +aS'A.E.\tA.E.\tNNP\tI-NP\tO' +p99181 +aS'Adkins\tAdkins\tNNP\tI-NP\tO' +p99182 +aS',\t,\t,\tO\tO' +p99183 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p99184 +asS'An electrocardiogram showed no evidence of QT prolongation prior to discharge , and pulmonary function tests will be performed before the patient goes home today .' +p99185 +(lp99186 +S'An\tAn\tDT\tB-NP\tO' +p99187 +aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' +p99188 +aS'showed\tshow\tVBD\tB-VP\tO' +p99189 +aS'no\tno\tDT\tB-NP\tO' +p99190 +aS'evidence\tevidence\tNN\tI-NP\tO' +p99191 +aS'of\tof\tIN\tB-PP\tO' +p99192 +aS'QT\tQT\tNN\tB-NP\tO' +p99193 +aS'prolongation\tprolongation\tNN\tI-NP\tO' +p99194 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p99195 +aS'to\tto\tTO\tB-VP\tO' +p99196 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p99197 +aS',\t,\t,\tO\tO' +p99198 +aS'and\tand\tCC\tO\tO' +p99199 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p99200 +aS'function\tfunction\tNN\tI-NP\tO' +p99201 +aS'tests\ttest\tNNS\tI-NP\tO' +p99202 +aS'will\twill\tMD\tB-VP\tO' +p99203 +aS'be\tbe\tVB\tI-VP\tO' +p99204 +aS'performed\tperform\tVBN\tI-VP\tO' +p99205 +aS'before\tbefore\tIN\tB-PP\tO' +p99206 +aS'the\tthe\tDT\tB-NP\tO' +p99207 +aS'patient\tpatient\tNN\tI-NP\tO' +p99208 +aS'goes\tgo\tVBZ\tB-VP\tO' +p99209 +aS'home\thome\tNN\tB-ADVP\tO' +p99210 +aS'today\ttoday\tNN\tB-NP\tO' +p99211 +aS'.\t.\t.\tO\tO' +p99212 +asS'Condition on discharge was good ..' +p99213 +(lp99214 +S'Condition\tCondition\tNN\tB-NP\tO' +p99215 +aS'on\ton\tIN\tB-PP\tO' +p99216 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p99217 +aS'was\tbe\tVBD\tB-VP\tO' +p99218 +aS'good\tgood\tJJ\tB-ADJP\tO' +p99219 +aS'..\t..\t.\tO\tO' +p99220 +asS'RESP : CTABL , no crackles , no wheezing or rhonchi' +p99221 +(lp99222 +S'RESP\tRESP\tNN\tB-NP\tO' +p99223 +aS':\t:\t:\tO\tO' +p99224 +aS'CTABL\tCTABL\tNN\tB-NP\tB-protein' +p99225 +aS',\t,\t,\tO\tO' +p99226 +aS'no\tno\tDT\tB-NP\tO' +p99227 +aS'crackles\tcrackle\tNNS\tI-NP\tO' +p99228 +aS',\t,\t,\tO\tO' +p99229 +aS'no\tno\tDT\tB-NP\tO' +p99230 +aS'wheezing\twheezing\tNN\tI-NP\tO' +p99231 +aS'or\tor\tCC\tI-NP\tO' +p99232 +aS'rhonchi\trhonchus\tNNS\tI-NP\tO' +p99233 +asS'HEMOGLOBLIN FRACTIONS ( COOXIMETRY ) Hgb calcHCT O2 Sat COHgb MetHgb' +p99234 +(lp99235 +S'HEMOGLOBLIN\tHEMOGLOBLIN\tNN\tB-NP\tO' +p99236 +aS'FRACTIONS\tFRACTIONS\tNNS\tI-NP\tO' +p99237 +aS'(\t(\t(\tO\tO' +p99238 +aS'COOXIMETRY\tCOOXIMETRY\tNN\tB-NP\tO' +p99239 +aS')\t)\t)\tO\tO' +p99240 +aS'Hgb\tHgb\tNN\tB-NP\tO' +p99241 +aS'calcHCT\tcalcHCT\tNN\tI-NP\tO' +p99242 +aS'O2\tO2\tNN\tI-NP\tO' +p99243 +aS'Sat\tSat\tNNP\tI-NP\tO' +p99244 +aS'COHgb\tCOHgb\tNNP\tI-NP\tO' +p99245 +aS'MetHgb\tMetHgb\tNNP\tI-NP\tO' +p99246 +asS'Dilt drip was discontinued and metoprolol titrated up .' +p99247 +(lp99248 +S'Dilt\tDilt\tJJ\tB-NP\tO' +p99249 +aS'drip\tdrip\tNN\tI-NP\tO' +p99250 +aS'was\tbe\tVBD\tB-VP\tO' +p99251 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p99252 +aS'and\tand\tCC\tO\tO' +p99253 +aS'metoprolol\tmetoprolol\tNN\tB-NP\tO' +p99254 +aS'titrated\ttitrate\tVBN\tB-VP\tO' +p99255 +aS'up\tup\tRP\tB-PRT\tO' +p99256 +aS'.\t.\t.\tO\tO' +p99257 +asS'Clear fluid .' +p99258 +(lp99259 +S'Clear\tClear\tJJ\tB-NP\tO' +p99260 +aS'fluid\tfluid\tNN\tI-NP\tO' +p99261 +aS'.\t.\t.\tO\tO' +p99262 +asS'5. Heparin drip on transfer .' +p99263 +(lp99264 +S'5.\t5.\tLS\tB-NP\tO' +p99265 +aS'Heparin\tHeparin\tNN\tI-NP\tB-protein' +p99266 +aS'drip\tdrip\tNN\tI-NP\tI-protein' +p99267 +aS'on\ton\tIN\tB-PP\tO' +p99268 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p99269 +aS'.\t.\t.\tO\tO' +p99270 +asS'His neck was supple ; he had no jugular venous distention .' +p99271 +(lp99272 +S'His\tHis\tPRP$\tB-NP\tO' +p99273 +aS'neck\tneck\tNN\tI-NP\tO' +p99274 +aS'was\tbe\tVBD\tB-VP\tO' +p99275 +aS'supple\tsupple\tNN\tB-NP\tO' +p99276 +aS';\t;\t:\tO\tO' +p99277 +aS'he\the\tPRP\tB-NP\tO' +p99278 +aS'had\thave\tVBD\tB-VP\tO' +p99279 +aS'no\tno\tDT\tB-NP\tO' +p99280 +aS'jugular\tjugular\tJJ\tI-NP\tO' +p99281 +aS'venous\tvenous\tJJ\tI-NP\tO' +p99282 +aS'distention\tdistention\tNN\tI-NP\tO' +p99283 +aS'.\t.\t.\tO\tO' +p99284 +asS'The deep tendon reflexes are 2+ and symmetrical throughout .' +p99285 +(lp99286 +S'The\tThe\tDT\tB-NP\tO' +p99287 +aS'deep\tdeep\tJJ\tI-NP\tO' +p99288 +aS'tendon\ttendon\tNN\tI-NP\tO' +p99289 +aS'reflexes\treflex\tNNS\tI-NP\tO' +p99290 +aS'are\tbe\tVBP\tB-VP\tO' +p99291 +aS'2+\t2+\tJJ\tB-NP\tO' +p99292 +aS'and\tand\tCC\tI-NP\tO' +p99293 +aS'symmetrical\tsymmetrical\tJJ\tI-NP\tO' +p99294 +aS'throughout\tthroughout\tNN\tI-NP\tO' +p99295 +aS'.\t.\t.\tO\tO' +p99296 +asS'He was treated with a variety of anti-emetics , most recently Granisetron , with only mild success .' +p99297 +(lp99298 +S'He\tHe\tPRP\tB-NP\tO' +p99299 +aS'was\tbe\tVBD\tB-VP\tO' +p99300 +aS'treated\ttreat\tVBN\tI-VP\tO' +p99301 +aS'with\twith\tIN\tB-PP\tO' +p99302 +aS'a\ta\tDT\tB-NP\tO' +p99303 +aS'variety\tvariety\tNN\tI-NP\tO' +p99304 +aS'of\tof\tIN\tB-PP\tO' +p99305 +aS'anti-emetics\tanti-emetic\tNNS\tB-NP\tO' +p99306 +aS',\t,\t,\tO\tO' +p99307 +aS'most\tmost\tRBS\tB-ADVP\tO' +p99308 +aS'recently\trecently\tRB\tI-ADVP\tO' +p99309 +aS'Granisetron\tGranisetron\tNNP\tB-NP\tO' +p99310 +aS',\t,\t,\tO\tO' +p99311 +aS'with\twith\tIN\tB-PP\tO' +p99312 +aS'only\tonly\tRB\tB-NP\tO' +p99313 +aS'mild\tmild\tJJ\tI-NP\tO' +p99314 +aS'success\tsuccess\tNN\tI-NP\tO' +p99315 +aS'.\t.\t.\tO\tO' +p99316 +asS'chest x-ray clear .' +p99317 +(lp99318 +S'chest\tch\tJJS\tB-NP\tO' +p99319 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p99320 +aS'clear\tclear\tJJ\tI-NP\tO' +p99321 +aS'.\t.\t.\tO\tO' +p99322 +asS'Dictated By : Melissa U Sangi , M.D.' +p99323 +(lp99324 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p99325 +aS'By\tBy\tIN\tB-PP\tO' +p99326 +aS':\t:\t:\tO\tO' +p99327 +aS'Melissa\tMelissa\tNNP\tB-NP\tO' +p99328 +aS'U\tU\tNNP\tI-NP\tO' +p99329 +aS'Sangi\tSangi\tNNP\tI-NP\tO' +p99330 +aS',\t,\t,\tO\tO' +p99331 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p99332 +asS'The left femur was grossly deformed with a pinhole opening in the lateral thigh .' +p99333 +(lp99334 +S'The\tThe\tDT\tB-NP\tO' +p99335 +aS'left\tleft\tJJ\tI-NP\tO' +p99336 +aS'femur\tfemur\tNN\tI-NP\tO' +p99337 +aS'was\tbe\tVBD\tB-VP\tO' +p99338 +aS'grossly\tgrossly\tRB\tI-VP\tO' +p99339 +aS'deformed\tdeform\tVBN\tI-VP\tO' +p99340 +aS'with\twith\tIN\tB-PP\tO' +p99341 +aS'a\ta\tDT\tB-NP\tO' +p99342 +aS'pinhole\tpinhole\tNN\tI-NP\tO' +p99343 +aS'opening\topening\tNN\tI-NP\tO' +p99344 +aS'in\tin\tIN\tB-PP\tO' +p99345 +aS'the\tthe\tDT\tB-NP\tO' +p99346 +aS'lateral\tlateral\tJJ\tI-NP\tO' +p99347 +aS'thigh\tthigh\tNN\tI-NP\tO' +p99348 +aS'.\t.\t.\tO\tO' +p99349 +asS'5. Morphine 15 mg Tablet Sig : One ( 1 ) Tablet PO Q4-6H ( every 4 to 6 hours ) as needed for Pain .' +p99350 +(lp99351 +S'5.\t5.\tLS\tB-LST\tO' +p99352 +aS'Morphine\tMorphine\tNNP\tB-NP\tO' +p99353 +aS'15\t15\tCD\tI-NP\tO' +p99354 +aS'mg\tmg\tNN\tI-NP\tO' +p99355 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p99356 +aS'Sig\tSig\tNNP\tI-NP\tO' +p99357 +aS':\t:\t:\tO\tO' +p99358 +aS'One\tOne\tCD\tB-NP\tO' +p99359 +aS'(\t(\t(\tO\tO' +p99360 +aS'1\t1\tCD\tB-NP\tO' +p99361 +aS')\t)\t)\tO\tO' +p99362 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p99363 +aS'PO\tPO\tNN\tI-NP\tO' +p99364 +aS'Q4-6H\tQ4-6H\tNN\tI-NP\tO' +p99365 +aS'(\t(\t(\tO\tO' +p99366 +aS'every\tevery\tDT\tB-NP\tO' +p99367 +aS'4\t4\tCD\tI-NP\tO' +p99368 +aS'to\tto\tTO\tI-NP\tO' +p99369 +aS'6\t6\tCD\tI-NP\tO' +p99370 +aS'hours\thour\tNNS\tI-NP\tO' +p99371 +aS')\t)\t)\tO\tO' +p99372 +aS'as\tas\tIN\tB-SBAR\tO' +p99373 +aS'needed\tneed\tVBN\tB-VP\tO' +p99374 +aS'for\tfor\tIN\tB-PP\tO' +p99375 +aS'Pain\tPain\tNNP\tB-NP\tO' +p99376 +aS'.\t.\t.\tO\tO' +p99377 +asS'By 06-28 , however , the patient had been off of neo-synephrine , but at this time as mentioned above the patient was deemed to be CMO per discussion with physicians and her husband / health care proxy .' +p99378 +(lp99379 +S'By\tBy\tIN\tB-PP\tO' +p99380 +aS'06-28\t06-28\tCD\tB-NP\tO' +p99381 +aS',\t,\t,\tO\tO' +p99382 +aS'however\thowever\tRB\tB-ADVP\tO' +p99383 +aS',\t,\t,\tO\tO' +p99384 +aS'the\tthe\tDT\tB-NP\tO' +p99385 +aS'patient\tpatient\tNN\tI-NP\tO' +p99386 +aS'had\thave\tVBD\tB-VP\tO' +p99387 +aS'been\tbe\tVBN\tI-VP\tO' +p99388 +aS'off\toff\tRB\tB-ADVP\tO' +p99389 +aS'of\tof\tIN\tB-PP\tO' +p99390 +aS'neo-synephrine\tneo-synephrine\tNN\tB-NP\tO' +p99391 +aS',\t,\t,\tO\tO' +p99392 +aS'but\tbut\tCC\tO\tO' +p99393 +aS'at\tat\tIN\tB-PP\tO' +p99394 +aS'this\tthis\tDT\tB-NP\tO' +p99395 +aS'time\ttime\tNN\tI-NP\tO' +p99396 +aS'as\tas\tIN\tB-SBAR\tO' +p99397 +aS'mentioned\tmention\tVBN\tB-VP\tO' +p99398 +aS'above\tabove\tIN\tB-PP\tO' +p99399 +aS'the\tthe\tDT\tB-NP\tO' +p99400 +aS'patient\tpatient\tNN\tI-NP\tO' +p99401 +aS'was\tbe\tVBD\tB-VP\tO' +p99402 +aS'deemed\tdeem\tVBN\tI-VP\tO' +p99403 +aS'to\tto\tTO\tI-VP\tO' +p99404 +aS'be\tbe\tVB\tI-VP\tO' +p99405 +aS'CMO\tCMO\tNN\tB-NP\tB-protein' +p99406 +aS'per\tper\tIN\tB-PP\tO' +p99407 +aS'discussion\tdiscussion\tNN\tB-NP\tO' +p99408 +aS'with\twith\tIN\tB-PP\tO' +p99409 +aS'physicians\tphysician\tNNS\tB-NP\tO' +p99410 +aS'and\tand\tCC\tO\tO' +p99411 +aS'her\ther\tPRP$\tB-NP\tO' +p99412 +aS'husband\thusband\tNN\tI-NP\tO' +p99413 +aS'/\t/\tSYM\tB-NP\tO' +p99414 +aS'health\thealth\tNN\tI-NP\tO' +p99415 +aS'care\tcare\tNN\tI-NP\tO' +p99416 +aS'proxy\tproxy\tNN\tI-NP\tO' +p99417 +aS'.\t.\t.\tO\tO' +p99418 +asS'The patient has no known drug allergies .' +p99419 +(lp99420 +S'The\tThe\tDT\tB-NP\tO' +p99421 +aS'patient\tpatient\tNN\tI-NP\tO' +p99422 +aS'has\thave\tVBZ\tB-VP\tO' +p99423 +aS'no\tno\tDT\tB-NP\tO' +p99424 +aS'known\tknow\tVBN\tI-NP\tO' +p99425 +aS'drug\tdrug\tNN\tI-NP\tO' +p99426 +aS'allergies\tallergy\tNNS\tI-NP\tO' +p99427 +aS'.\t.\t.\tO\tO' +p99428 +asS'1. Acetaminophen 325 mg Tablet Sig : 1-2 Tablets PO Q4-6H ( every 4 to 6 hours ) as needed .' +p99429 +(lp99430 +S'1.\t1.\tLS\tB-NP\tO' +p99431 +aS'Acetaminophen\tAcetaminophen\tNN\tI-NP\tO' +p99432 +aS'325\t325\tCD\tI-NP\tO' +p99433 +aS'mg\tmg\tNN\tI-NP\tO' +p99434 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p99435 +aS'Sig\tSig\tNNP\tI-NP\tO' +p99436 +aS':\t:\t:\tO\tO' +p99437 +aS'1-2\t1-2\tCD\tB-NP\tO' +p99438 +aS'Tablets\tTablet\tNNS\tI-NP\tO' +p99439 +aS'PO\tPO\tNN\tI-NP\tO' +p99440 +aS'Q4-6H\tQ4-6H\tNN\tI-NP\tO' +p99441 +aS'(\t(\t(\tO\tO' +p99442 +aS'every\tevery\tDT\tB-NP\tO' +p99443 +aS'4\t4\tCD\tI-NP\tO' +p99444 +aS'to\tto\tTO\tI-NP\tO' +p99445 +aS'6\t6\tCD\tI-NP\tO' +p99446 +aS'hours\thour\tNNS\tI-NP\tO' +p99447 +aS')\t)\t)\tO\tO' +p99448 +aS'as\tas\tIN\tB-SBAR\tO' +p99449 +aS'needed\tneed\tVBN\tB-VP\tO' +p99450 +aS'.\t.\t.\tO\tO' +p99451 +asS'His gastrointestinal bleeding issues were investigated with an upper endoscopy which revealed multiple superficial gastric ulcerations consistent with an non-steroidal anti-inflammatory drugs gastropathy .' +p99452 +(lp99453 +S'His\tHis\tPRP$\tB-NP\tO' +p99454 +aS'gastrointestinal\tgastrointestinal\tJJ\tI-NP\tO' +p99455 +aS'bleeding\tbleed\tVBG\tI-NP\tO' +p99456 +aS'issues\tissue\tNNS\tI-NP\tO' +p99457 +aS'were\tbe\tVBD\tB-VP\tO' +p99458 +aS'investigated\tinvestigate\tVBN\tI-VP\tO' +p99459 +aS'with\twith\tIN\tB-PP\tO' +p99460 +aS'an\tan\tDT\tB-NP\tO' +p99461 +aS'upper\tupper\tJJ\tI-NP\tO' +p99462 +aS'endoscopy\tendoscopy\tNN\tI-NP\tO' +p99463 +aS'which\twhich\tWDT\tB-NP\tO' +p99464 +aS'revealed\treveal\tVBD\tB-VP\tO' +p99465 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p99466 +aS'superficial\tsuperficial\tJJ\tI-NP\tO' +p99467 +aS'gastric\tgastric\tJJ\tI-NP\tO' +p99468 +aS'ulcerations\tulceration\tNNS\tI-NP\tO' +p99469 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p99470 +aS'with\twith\tIN\tB-PP\tO' +p99471 +aS'an\tan\tDT\tB-NP\tO' +p99472 +aS'non-steroidal\tnon-steroidal\tJJ\tI-NP\tO' +p99473 +aS'anti-inflammatory\tanti-inflammatory\tJJ\tI-NP\tO' +p99474 +aS'drugs\tdrug\tNNS\tI-NP\tO' +p99475 +aS'gastropathy\tgastropathy\tNN\tI-NP\tO' +p99476 +aS'.\t.\t.\tO\tO' +p99477 +asS'2. Potassium Chloride 10 mEq Capsule , Sustained Release Sig : Two ( 2 ) Capsule , Sustained Release PO once a day for 5 days .' +p99478 +(lp99479 +S'2.\t2.\tLS\tB-NP\tO' +p99480 +aS'Potassium\tPotassium\tNN\tI-NP\tO' +p99481 +aS'Chloride\tChloride\tNN\tI-NP\tO' +p99482 +aS'10\t10\tCD\tI-NP\tO' +p99483 +aS'mEq\tmEq\tNN\tI-NP\tO' +p99484 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p99485 +aS',\t,\t,\tO\tO' +p99486 +aS'Sustained\tSustained\tNNP\tB-NP\tO' +p99487 +aS'Release\tRelease\tNNP\tI-NP\tO' +p99488 +aS'Sig\tSig\tNNP\tI-NP\tB-protein' +p99489 +aS':\t:\t:\tO\tO' +p99490 +aS'Two\tTwo\tCD\tB-NP\tO' +p99491 +aS'(\t(\t(\tO\tO' +p99492 +aS'2\t2\tCD\tB-NP\tO' +p99493 +aS')\t)\t)\tO\tO' +p99494 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p99495 +aS',\t,\t,\tO\tO' +p99496 +aS'Sustained\tSustained\tNNP\tB-NP\tO' +p99497 +aS'Release\tRelease\tNNP\tI-NP\tO' +p99498 +aS'PO\tPO\tNNP\tI-NP\tO' +p99499 +aS'once\tonce\tRB\tB-ADVP\tO' +p99500 +aS'a\ta\tDT\tB-NP\tO' +p99501 +aS'day\tday\tNN\tI-NP\tO' +p99502 +aS'for\tfor\tIN\tB-PP\tO' +p99503 +aS'5\t5\tCD\tB-NP\tO' +p99504 +aS'days\tday\tNNS\tI-NP\tO' +p99505 +aS'.\t.\t.\tO\tO' +p99506 +asS'There was some thrombosis of the left internal jugular vein as well .' +p99507 +(lp99508 +S'There\tThere\tEX\tB-NP\tO' +p99509 +aS'was\tbe\tVBD\tB-VP\tO' +p99510 +aS'some\tsome\tDT\tB-NP\tO' +p99511 +aS'thrombosis\tthrombosis\tNN\tI-NP\tO' +p99512 +aS'of\tof\tIN\tB-PP\tO' +p99513 +aS'the\tthe\tDT\tB-NP\tO' +p99514 +aS'left\tleft\tJJ\tI-NP\tO' +p99515 +aS'internal\tinternal\tJJ\tI-NP\tO' +p99516 +aS'jugular\tjugular\tJJ\tI-NP\tO' +p99517 +aS'vein\tvein\tNN\tI-NP\tO' +p99518 +aS'as\tas\tRB\tB-ADVP\tO' +p99519 +aS'well\twell\tRB\tI-ADVP\tO' +p99520 +aS'.\t.\t.\tO\tO' +p99521 +asS'He was brought to Providence Behavioral Health Hospital where he was found to have positive urine cocaine , EKG with new 2-7392 W. Second Cr. elevations in the anterior leads ( v2-5 ) and some ST depressions in II , III , AvF .' +p99522 +(lp99523 +S'He\tHe\tPRP\tB-NP\tO' +p99524 +aS'was\tbe\tVBD\tB-VP\tO' +p99525 +aS'brought\tbring\tVBN\tI-VP\tO' +p99526 +aS'to\tto\tTO\tB-PP\tO' +p99527 +aS'Providence\tProvidence\tNNP\tB-NP\tO' +p99528 +aS'Behavioral\tBehavioral\tNNP\tI-NP\tO' +p99529 +aS'Health\tHealth\tNNP\tI-NP\tO' +p99530 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p99531 +aS'where\twhere\tWRB\tB-ADVP\tO' +p99532 +aS'he\the\tPRP\tB-NP\tO' +p99533 +aS'was\tbe\tVBD\tB-VP\tO' +p99534 +aS'found\tfind\tVBN\tI-VP\tO' +p99535 +aS'to\tto\tTO\tI-VP\tO' +p99536 +aS'have\thave\tVB\tI-VP\tO' +p99537 +aS'positive\tpositive\tJJ\tB-NP\tO' +p99538 +aS'urine\turine\tNN\tI-NP\tO' +p99539 +aS'cocaine\tcocaine\tNN\tI-NP\tO' +p99540 +aS',\t,\t,\tO\tO' +p99541 +aS'EKG\tEKG\tNN\tB-NP\tB-protein' +p99542 +aS'with\twith\tIN\tB-PP\tO' +p99543 +aS'new\tnew\tJJ\tB-NP\tO' +p99544 +aS'2-7392\t2-7392\tCD\tI-NP\tO' +p99545 +aS'W.\tW.\tNNP\tI-NP\tO' +p99546 +aS'Second\tSecond\tNNP\tI-NP\tO' +p99547 +aS'Cr.\tCr.\tNNP\tI-NP\tO' +p99548 +aS'elevations\televation\tNNS\tI-NP\tO' +p99549 +aS'in\tin\tIN\tB-PP\tO' +p99550 +aS'the\tthe\tDT\tB-NP\tO' +p99551 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p99552 +aS'leads\tlead\tNNS\tI-NP\tO' +p99553 +aS'(\t(\t(\tO\tO' +p99554 +aS'v2-5\tv2-5\tNN\tB-NP\tB-protein' +p99555 +aS')\t)\t)\tO\tO' +p99556 +aS'and\tand\tCC\tO\tO' +p99557 +aS'some\tsome\tDT\tB-NP\tO' +p99558 +aS'ST\tST\tJJ\tI-NP\tO' +p99559 +aS'depressions\tdepression\tNNS\tI-NP\tO' +p99560 +aS'in\tin\tIN\tB-PP\tO' +p99561 +aS'II\tII\tCD\tB-NP\tO' +p99562 +aS',\t,\t,\tI-NP\tO' +p99563 +aS'III\tIII\tCD\tI-NP\tO' +p99564 +aS',\t,\t,\tO\tO' +p99565 +aS'AvF\tAvF\tNNP\tB-NP\tO' +p99566 +aS'.\t.\t.\tO\tO' +p99567 +asS'13. Dexamethasone 4 mg po q6 hours .' +p99568 +(lp99569 +S'13.\t13.\tLS\tB-LST\tO' +p99570 +aS'Dexamethasone\tDexamethasone\tNN\tB-NP\tO' +p99571 +aS'4\t4\tCD\tI-NP\tO' +p99572 +aS'mg\tmg\tNN\tI-NP\tO' +p99573 +aS'po\tpo\tNN\tI-NP\tO' +p99574 +aS'q6\tq6\tNN\tI-NP\tO' +p99575 +aS'hours\thour\tNNS\tI-NP\tO' +p99576 +aS'.\t.\t.\tO\tO' +p99577 +asS'On postoperative day two , she had an electroencephalogram which showed no evidence of seizure activity but some generalized slowing .' +p99578 +(lp99579 +S'On\tOn\tIN\tB-PP\tO' +p99580 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p99581 +aS'day\tday\tNN\tI-NP\tO' +p99582 +aS'two\ttwo\tCD\tB-NP\tO' +p99583 +aS',\t,\t,\tO\tO' +p99584 +aS'she\tshe\tPRP\tB-NP\tO' +p99585 +aS'had\thave\tVBD\tB-VP\tO' +p99586 +aS'an\tan\tDT\tB-NP\tO' +p99587 +aS'electroencephalogram\telectroencephalogram\tNN\tI-NP\tO' +p99588 +aS'which\twhich\tWDT\tB-NP\tO' +p99589 +aS'showed\tshow\tVBD\tB-VP\tO' +p99590 +aS'no\tno\tDT\tB-NP\tO' +p99591 +aS'evidence\tevidence\tNN\tI-NP\tO' +p99592 +aS'of\tof\tIN\tB-PP\tO' +p99593 +aS'seizure\tseizure\tNN\tB-NP\tO' +p99594 +aS'activity\tactivity\tNN\tI-NP\tO' +p99595 +aS'but\tbut\tCC\tO\tO' +p99596 +aS'some\tsome\tDT\tB-NP\tO' +p99597 +aS'generalized\tgeneralize\tVBN\tI-NP\tO' +p99598 +aS'slowing\tslowing\tNN\tI-NP\tO' +p99599 +aS'.\t.\t.\tO\tO' +p99600 +asS'He was slowly weaned from his ventilator and was able to be extubated .' +p99601 +(lp99602 +S'He\tHe\tPRP\tB-NP\tO' +p99603 +aS'was\tbe\tVBD\tB-VP\tO' +p99604 +aS'slowly\tslowly\tRB\tI-VP\tO' +p99605 +aS'weaned\twean\tVBN\tI-VP\tO' +p99606 +aS'from\tfrom\tIN\tB-PP\tO' +p99607 +aS'his\this\tPRP$\tB-NP\tO' +p99608 +aS'ventilator\tventilator\tNN\tI-NP\tO' +p99609 +aS'and\tand\tCC\tO\tO' +p99610 +aS'was\tbe\tVBD\tB-VP\tO' +p99611 +aS'able\table\tJJ\tB-ADJP\tO' +p99612 +aS'to\tto\tTO\tB-VP\tO' +p99613 +aS'be\tbe\tVB\tI-VP\tO' +p99614 +aS'extubated\textubate\tVBN\tI-VP\tO' +p99615 +aS'.\t.\t.\tO\tO' +p99616 +asS'A/P : 48yo man with h/o HCV , bipolar DO , h/o suicide attempts , a/w overdose of Inderal , Klonopin , Geodon , s/T Jackson stay with intubation for airway protection , with question of L retrocardiac infiltrate , now doing well .' +p99617 +(lp99618 +S'A/P\tA/P\tNN\tB-NP\tO' +p99619 +aS':\t:\t:\tO\tO' +p99620 +aS'48yo\t48yo\tLS\tB-LST\tO' +p99621 +aS'man\tman\tNN\tB-NP\tO' +p99622 +aS'with\twith\tIN\tB-PP\tO' +p99623 +aS'h/o\th/o\tNN\tB-NP\tO' +p99624 +aS'HCV\tHCV\tNN\tI-NP\tO' +p99625 +aS',\t,\t,\tO\tO' +p99626 +aS'bipolar\tbipolar\tJJ\tB-NP\tO' +p99627 +aS'DO\tDO\tNN\tI-NP\tO' +p99628 +aS',\t,\t,\tO\tO' +p99629 +aS'h/o\th/o\tNN\tB-NP\tO' +p99630 +aS'suicide\tsuicide\tNN\tI-NP\tO' +p99631 +aS'attempts\tattempt\tNNS\tI-NP\tO' +p99632 +aS',\t,\t,\tO\tO' +p99633 +aS'a/w\ta/w\tNN\tB-NP\tO' +p99634 +aS'overdose\toverdose\tNN\tI-NP\tO' +p99635 +aS'of\tof\tIN\tB-PP\tO' +p99636 +aS'Inderal\tInderal\tNNP\tB-NP\tO' +p99637 +aS',\t,\t,\tO\tO' +p99638 +aS'Klonopin\tKlonopin\tNNP\tB-NP\tO' +p99639 +aS',\t,\t,\tO\tO' +p99640 +aS'Geodon\tGeodon\tNNP\tB-NP\tO' +p99641 +aS',\t,\t,\tO\tO' +p99642 +aS's/T\ts/T\tNNP\tB-NP\tO' +p99643 +aS'Jackson\tJackson\tNNP\tI-NP\tO' +p99644 +aS'stay\tstay\tNN\tI-NP\tO' +p99645 +aS'with\twith\tIN\tB-PP\tO' +p99646 +aS'intubation\tintubation\tNN\tB-NP\tO' +p99647 +aS'for\tfor\tIN\tB-PP\tO' +p99648 +aS'airway\tairway\tNN\tB-NP\tO' +p99649 +aS'protection\tprotection\tNN\tI-NP\tO' +p99650 +aS',\t,\t,\tO\tO' +p99651 +aS'with\twith\tIN\tB-PP\tO' +p99652 +aS'question\tquestion\tNN\tB-NP\tO' +p99653 +aS'of\tof\tIN\tB-PP\tO' +p99654 +aS'L\tL\tNN\tB-NP\tB-protein' +p99655 +aS'retrocardiac\tretrocardiac\tJJ\tI-NP\tI-protein' +p99656 +aS'infiltrate\tinfiltrate\tNN\tI-NP\tI-protein' +p99657 +aS',\t,\t,\tO\tO' +p99658 +aS'now\tnow\tRB\tB-ADVP\tO' +p99659 +aS'doing\tdo\tVBG\tB-VP\tO' +p99660 +aS'well\twell\tRB\tB-ADVP\tO' +p99661 +aS'.\t.\t.\tO\tO' +p99662 +asS'The left ventricular cavity is moderately dilated .' +p99663 +(lp99664 +S'The\tThe\tDT\tB-NP\tO' +p99665 +aS'left\tleft\tJJ\tI-NP\tO' +p99666 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p99667 +aS'cavity\tcavity\tNN\tI-NP\tO' +p99668 +aS'is\tbe\tVBZ\tB-VP\tO' +p99669 +aS'moderately\tmoderately\tRB\tI-VP\tO' +p99670 +aS'dilated\tdilate\tVBN\tI-VP\tO' +p99671 +aS'.\t.\t.\tO\tO' +p99672 +asS'There was no rebound ; no Munos sign .' +p99673 +(lp99674 +S'There\tThere\tEX\tB-NP\tO' +p99675 +aS'was\tbe\tVBD\tB-VP\tO' +p99676 +aS'no\tno\tDT\tB-NP\tO' +p99677 +aS'rebound\trebound\tNN\tI-NP\tO' +p99678 +aS';\t;\t:\tO\tO' +p99679 +aS'no\tno\tDT\tB-NP\tO' +p99680 +aS'Munos\tMunos\tNNP\tI-NP\tO' +p99681 +aS'sign\tsign\tNN\tI-NP\tO' +p99682 +aS'.\t.\t.\tO\tO' +p99683 +asS'She then underwent a CT scan which showed no evidence of volvulus .' +p99684 +(lp99685 +S'She\tShe\tPRP\tB-NP\tO' +p99686 +aS'then\tthen\tRB\tB-ADVP\tO' +p99687 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p99688 +aS'a\ta\tDT\tB-NP\tO' +p99689 +aS'CT\tCT\tNN\tI-NP\tO' +p99690 +aS'scan\tscan\tNN\tI-NP\tO' +p99691 +aS'which\twhich\tWDT\tB-NP\tO' +p99692 +aS'showed\tshow\tVBD\tB-VP\tO' +p99693 +aS'no\tno\tDT\tB-NP\tO' +p99694 +aS'evidence\tevidence\tNN\tI-NP\tO' +p99695 +aS'of\tof\tIN\tB-PP\tO' +p99696 +aS'volvulus\tvolvulus\tNN\tB-NP\tO' +p99697 +aS'.\t.\t.\tO\tO' +p99698 +asS'The patient was discharged on postoperative day seven and arrangements were made to have physical therapy perform a home safety evaluation for the patient , to which he agreed .' +p99699 +(lp99700 +S'The\tThe\tDT\tB-NP\tO' +p99701 +aS'patient\tpatient\tNN\tI-NP\tO' +p99702 +aS'was\tbe\tVBD\tB-VP\tO' +p99703 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p99704 +aS'on\ton\tIN\tB-PP\tO' +p99705 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p99706 +aS'day\tday\tNN\tI-NP\tO' +p99707 +aS'seven\tseven\tCD\tI-NP\tO' +p99708 +aS'and\tand\tCC\tO\tO' +p99709 +aS'arrangements\tarrangement\tNNS\tB-NP\tO' +p99710 +aS'were\tbe\tVBD\tB-VP\tO' +p99711 +aS'made\tmake\tVBN\tI-VP\tO' +p99712 +aS'to\tto\tTO\tI-VP\tO' +p99713 +aS'have\thave\tVB\tI-VP\tO' +p99714 +aS'physical\tphysical\tJJ\tB-NP\tO' +p99715 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p99716 +aS'perform\tperform\tVBP\tB-VP\tO' +p99717 +aS'a\ta\tDT\tB-NP\tO' +p99718 +aS'home\thome\tNN\tI-NP\tO' +p99719 +aS'safety\tsafety\tNN\tI-NP\tO' +p99720 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p99721 +aS'for\tfor\tIN\tB-PP\tO' +p99722 +aS'the\tthe\tDT\tB-NP\tO' +p99723 +aS'patient\tpatient\tNN\tI-NP\tO' +p99724 +aS',\t,\t,\tO\tO' +p99725 +aS'to\tto\tTO\tB-PP\tO' +p99726 +aS'which\twhich\tWDT\tB-NP\tO' +p99727 +aS'he\the\tPRP\tB-NP\tO' +p99728 +aS'agreed\tagree\tVBD\tB-VP\tO' +p99729 +aS'.\t.\t.\tO\tO' +p99730 +asS'This pregnancy was achieved with in Bartley fertilization .' +p99731 +(lp99732 +S'This\tThis\tDT\tB-NP\tO' +p99733 +aS'pregnancy\tpregnancy\tNN\tI-NP\tO' +p99734 +aS'was\tbe\tVBD\tB-VP\tO' +p99735 +aS'achieved\tachieve\tVBN\tI-VP\tO' +p99736 +aS'with\twith\tIN\tB-PP\tO' +p99737 +aS'in\tin\tIN\tB-PP\tO' +p99738 +aS'Bartley\tBartley\tNNP\tB-NP\tO' +p99739 +aS'fertilization\tfertilization\tNN\tI-NP\tO' +p99740 +aS'.\t.\t.\tO\tO' +p99741 +asS'The patient has no chest pain when walking slowly and can walk approximately 1.5 miles .' +p99742 +(lp99743 +S'The\tThe\tDT\tB-NP\tO' +p99744 +aS'patient\tpatient\tNN\tI-NP\tO' +p99745 +aS'has\thave\tVBZ\tB-VP\tO' +p99746 +aS'no\tno\tDT\tB-NP\tO' +p99747 +aS'chest\tchest\tNN\tI-NP\tO' +p99748 +aS'pain\tpain\tNN\tI-NP\tO' +p99749 +aS'when\twhen\tWRB\tB-ADVP\tO' +p99750 +aS'walking\twalk\tVBG\tB-VP\tO' +p99751 +aS'slowly\tslowly\tRB\tB-ADVP\tO' +p99752 +aS'and\tand\tCC\tO\tO' +p99753 +aS'can\tcan\tMD\tB-VP\tO' +p99754 +aS'walk\twalk\tVB\tI-VP\tO' +p99755 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p99756 +aS'1.5\t1.5\tCD\tI-NP\tO' +p99757 +aS'miles\tmile\tNNS\tI-NP\tO' +p99758 +aS'.\t.\t.\tO\tO' +p99759 +asS'Cellcept was discontinued in the setting of infection , but attempts to decrease prednisone or cyclosporine were unsuccessful .' +p99760 +(lp99761 +S'Cellcept\tCellcept\tNN\tB-NP\tO' +p99762 +aS'was\tbe\tVBD\tB-VP\tO' +p99763 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p99764 +aS'in\tin\tIN\tB-PP\tO' +p99765 +aS'the\tthe\tDT\tB-NP\tO' +p99766 +aS'setting\tsetting\tNN\tI-NP\tO' +p99767 +aS'of\tof\tIN\tB-PP\tO' +p99768 +aS'infection\tinfection\tNN\tB-NP\tO' +p99769 +aS',\t,\t,\tO\tO' +p99770 +aS'but\tbut\tCC\tO\tO' +p99771 +aS'attempts\tattempt\tVBZ\tB-VP\tO' +p99772 +aS'to\tto\tTO\tI-VP\tO' +p99773 +aS'decrease\tdecrease\tVB\tI-VP\tO' +p99774 +aS'prednisone\tprednisone\tNN\tB-NP\tO' +p99775 +aS'or\tor\tCC\tI-NP\tO' +p99776 +aS'cyclosporine\tcyclosporine\tNN\tI-NP\tO' +p99777 +aS'were\tbe\tVBD\tB-VP\tO' +p99778 +aS'unsuccessful\tunsuccessful\tJJ\tB-ADJP\tO' +p99779 +aS'.\t.\t.\tO\tO' +p99780 +asS'An echocardiogram was performed , which showed completely normal left ventricular systolic function with an ejection fraction calculated at .74 .' +p99781 +(lp99782 +S'An\tAn\tDT\tB-NP\tO' +p99783 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p99784 +aS'was\tbe\tVBD\tB-VP\tO' +p99785 +aS'performed\tperform\tVBN\tI-VP\tO' +p99786 +aS',\t,\t,\tO\tO' +p99787 +aS'which\twhich\tWDT\tB-NP\tO' +p99788 +aS'showed\tshow\tVBD\tB-VP\tO' +p99789 +aS'completely\tcompletely\tRB\tB-NP\tO' +p99790 +aS'normal\tnormal\tJJ\tI-NP\tO' +p99791 +aS'left\tleft\tJJ\tI-NP\tO' +p99792 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p99793 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p99794 +aS'function\tfunction\tNN\tI-NP\tO' +p99795 +aS'with\twith\tIN\tB-PP\tO' +p99796 +aS'an\tan\tDT\tB-NP\tO' +p99797 +aS'ejection\tejection\tNN\tI-NP\tO' +p99798 +aS'fraction\tfraction\tNN\tI-NP\tO' +p99799 +aS'calculated\tcalculate\tVBN\tB-VP\tO' +p99800 +aS'at\tat\tIN\tB-PP\tO' +p99801 +aS'.74\t.74\tNN\tB-NP\tO' +p99802 +aS'.\t.\t.\tO\tO' +p99803 +asS'all : no known drug allergies' +p99804 +(lp99805 +S'all\tall\tDT\tB-NP\tO' +p99806 +aS':\t:\t:\tO\tO' +p99807 +aS'no\tno\tDT\tB-NP\tO' +p99808 +aS'known\tknow\tVBN\tI-NP\tO' +p99809 +aS'drug\tdrug\tNN\tI-NP\tO' +p99810 +aS'allergies\tallergy\tNNS\tI-NP\tO' +p99811 +asS'PERRLA .' +p99812 +(lp99813 +S'PERRLA\tPERRLA\tNN\tB-NP\tO' +p99814 +aS'.\t.\t.\tO\tO' +p99815 +asS'He was transferred back to the Surgical Intensive Care Unit where he was aggressively diuresed as well as his rate was controlled and chest Physical Therapy and nebulizer treatments were done .' +p99816 +(lp99817 +S'He\tHe\tPRP\tB-NP\tO' +p99818 +aS'was\tbe\tVBD\tB-VP\tO' +p99819 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p99820 +aS'back\tback\tRB\tB-ADVP\tO' +p99821 +aS'to\tto\tTO\tB-PP\tO' +p99822 +aS'the\tthe\tDT\tB-NP\tO' +p99823 +aS'Surgical\tSurgical\tNNP\tI-NP\tO' +p99824 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p99825 +aS'Care\tCare\tNNP\tI-NP\tO' +p99826 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p99827 +aS'where\twhere\tWRB\tB-ADVP\tO' +p99828 +aS'he\the\tPRP\tB-NP\tO' +p99829 +aS'was\tbe\tVBD\tB-VP\tO' +p99830 +aS'aggressively\taggressively\tRB\tI-VP\tO' +p99831 +aS'diuresed\tdiurese\tVBN\tI-VP\tO' +p99832 +aS'as\tas\tRB\tB-CONJP\tO' +p99833 +aS'well\twell\tRB\tI-CONJP\tO' +p99834 +aS'as\tas\tIN\tI-CONJP\tO' +p99835 +aS'his\this\tPRP$\tB-NP\tO' +p99836 +aS'rate\trate\tNN\tI-NP\tO' +p99837 +aS'was\tbe\tVBD\tB-VP\tO' +p99838 +aS'controlled\tcontrol\tVBN\tI-VP\tO' +p99839 +aS'and\tand\tCC\tO\tO' +p99840 +aS'chest\tch\tJJS\tB-NP\tO' +p99841 +aS'Physical\tPhysical\tJJ\tI-NP\tO' +p99842 +aS'Therapy\tTherapy\tNN\tI-NP\tO' +p99843 +aS'and\tand\tCC\tI-NP\tO' +p99844 +aS'nebulizer\tnebulizer\tNN\tI-NP\tO' +p99845 +aS'treatments\ttreatment\tNNS\tI-NP\tO' +p99846 +aS'were\tbe\tVBD\tB-VP\tO' +p99847 +aS'done\tdo\tVBN\tI-VP\tO' +p99848 +aS'.\t.\t.\tO\tO' +p99849 +asS'2) Paroxysmal atrial fibrillation .' +p99850 +(lp99851 +S'2)\t2)\tLS\tB-NP\tO' +p99852 +aS'Paroxysmal\tParoxysmal\tJJ\tI-NP\tO' +p99853 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p99854 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p99855 +aS'.\t.\t.\tO\tO' +p99856 +asS'The patient was discharged to home on Amiodarone 200 mg daily on 12/29/96 .' +p99857 +(lp99858 +S'The\tThe\tDT\tB-NP\tO' +p99859 +aS'patient\tpatient\tNN\tI-NP\tO' +p99860 +aS'was\tbe\tVBD\tB-VP\tO' +p99861 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p99862 +aS'to\tto\tTO\tB-PP\tO' +p99863 +aS'home\thome\tNN\tB-NP\tO' +p99864 +aS'on\ton\tIN\tB-PP\tO' +p99865 +aS'Amiodarone\tAmiodarone\tNN\tB-NP\tO' +p99866 +aS'200\t200\tCD\tI-NP\tO' +p99867 +aS'mg\tmg\tNN\tI-NP\tO' +p99868 +aS'daily\tdaily\tRB\tB-ADVP\tO' +p99869 +aS'on\ton\tIN\tB-PP\tO' +p99870 +aS'12/29/96\t12/29/96\tCD\tB-NP\tO' +p99871 +aS'.\t.\t.\tO\tO' +p99872 +asS'It was guaiac negative .' +p99873 +(lp99874 +S'It\tIt\tPRP\tB-NP\tO' +p99875 +aS'was\tbe\tVBD\tB-VP\tO' +p99876 +aS'guaiac\tguaiac\tNN\tB-NP\tO' +p99877 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p99878 +aS'.\t.\t.\tO\tO' +p99879 +asS'EBL during delivery was 300 cc .' +p99880 +(lp99881 +S'EBL\tEBL\tNN\tB-NP\tB-protein' +p99882 +aS'during\tduring\tIN\tB-PP\tO' +p99883 +aS'delivery\tdelivery\tNN\tB-NP\tO' +p99884 +aS'was\tbe\tVBD\tB-VP\tO' +p99885 +aS'300\t300\tCD\tB-NP\tO' +p99886 +aS'cc\tcc\tNN\tI-NP\tO' +p99887 +aS'.\t.\t.\tO\tO' +p99888 +asS'After a approximate 3 liter total diuresis the right atrial pressure was 5 , pulmonary capillary wedge pressure 14 , pulmonary vacuolar resistance 353 and the cardiac output depressed at 2.95 liters per minute , or a cardiac index of 1.7 liters per minute .' +p99889 +(lp99890 +S'After\tAfter\tIN\tB-PP\tO' +p99891 +aS'a\ta\tDT\tB-NP\tO' +p99892 +aS'approximate\tapproximate\tJJ\tI-NP\tO' +p99893 +aS'3\t3\tCD\tI-NP\tO' +p99894 +aS'liter\tliter\tNN\tI-NP\tO' +p99895 +aS'total\ttotal\tJJ\tI-NP\tO' +p99896 +aS'diuresis\tdiuresis\tNN\tI-NP\tO' +p99897 +aS'the\tthe\tDT\tB-NP\tO' +p99898 +aS'right\tright\tJJ\tI-NP\tO' +p99899 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p99900 +aS'pressure\tpressure\tNN\tI-NP\tO' +p99901 +aS'was\tbe\tVBD\tB-VP\tO' +p99902 +aS'5\t5\tCD\tB-NP\tO' +p99903 +aS',\t,\t,\tO\tO' +p99904 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p99905 +aS'capillary\tcapillary\tJJ\tI-NP\tO' +p99906 +aS'wedge\twedge\tNN\tI-NP\tO' +p99907 +aS'pressure\tpressure\tNN\tI-NP\tO' +p99908 +aS'14\t14\tCD\tI-NP\tO' +p99909 +aS',\t,\t,\tO\tO' +p99910 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p99911 +aS'vacuolar\tvacuolar\tJJ\tI-NP\tO' +p99912 +aS'resistance\tresistance\tNN\tI-NP\tO' +p99913 +aS'353\t353\tCD\tI-NP\tO' +p99914 +aS'and\tand\tCC\tO\tO' +p99915 +aS'the\tthe\tDT\tB-NP\tO' +p99916 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p99917 +aS'output\toutput\tNN\tI-NP\tO' +p99918 +aS'depressed\tdepress\tVBD\tB-VP\tO' +p99919 +aS'at\tat\tIN\tB-PP\tO' +p99920 +aS'2.95\t2.95\tCD\tB-NP\tO' +p99921 +aS'liters\tliter\tNNS\tI-NP\tO' +p99922 +aS'per\tper\tIN\tB-PP\tO' +p99923 +aS'minute\tminute\tNN\tB-NP\tO' +p99924 +aS',\t,\t,\tO\tO' +p99925 +aS'or\tor\tCC\tO\tO' +p99926 +aS'a\ta\tDT\tB-NP\tO' +p99927 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p99928 +aS'index\tindex\tNN\tI-NP\tO' +p99929 +aS'of\tof\tIN\tB-PP\tO' +p99930 +aS'1.7\t1.7\tCD\tB-NP\tO' +p99931 +aS'liters\tliter\tNNS\tI-NP\tO' +p99932 +aS'per\tper\tIN\tB-PP\tO' +p99933 +aS'minute\tminute\tNN\tB-NP\tO' +p99934 +aS'.\t.\t.\tO\tO' +p99935 +asS'The patient is a 66 year old Portuguese speaking gentleman with a history of hypertension , diabetes mellitus , increasing cholesterol , and history of tobacco use , who is status post myocardial infarction in September of 1993 and February of 1993 , who presented with new onset of left chest pain and arm pain for two days .' +p99936 +(lp99937 +S'The\tThe\tDT\tB-NP\tO' +p99938 +aS'patient\tpatient\tNN\tI-NP\tO' +p99939 +aS'is\tbe\tVBZ\tB-VP\tO' +p99940 +aS'a\ta\tDT\tB-NP\tO' +p99941 +aS'66\t66\tCD\tI-NP\tO' +p99942 +aS'year\tyear\tNN\tI-NP\tO' +p99943 +aS'old\told\tJJ\tI-NP\tO' +p99944 +aS'Portuguese\tPortuguese\tNN\tI-NP\tO' +p99945 +aS'speaking\tspeak\tVBG\tB-VP\tO' +p99946 +aS'gentleman\tgentleman\tNN\tB-NP\tO' +p99947 +aS'with\twith\tIN\tB-PP\tO' +p99948 +aS'a\ta\tDT\tB-NP\tO' +p99949 +aS'history\thistory\tNN\tI-NP\tO' +p99950 +aS'of\tof\tIN\tB-PP\tO' +p99951 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p99952 +aS',\t,\t,\tO\tO' +p99953 +aS'diabetes\tdiabetes\tNN\tB-NP\tO' +p99954 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p99955 +aS',\t,\t,\tO\tO' +p99956 +aS'increasing\tincrease\tVBG\tB-VP\tO' +p99957 +aS'cholesterol\tcholesterol\tNN\tB-NP\tO' +p99958 +aS',\t,\t,\tO\tO' +p99959 +aS'and\tand\tCC\tO\tO' +p99960 +aS'history\thistory\tNN\tB-NP\tO' +p99961 +aS'of\tof\tIN\tB-PP\tO' +p99962 +aS'tobacco\ttobacco\tNN\tB-NP\tO' +p99963 +aS'use\tuse\tNN\tI-NP\tO' +p99964 +aS',\t,\t,\tO\tO' +p99965 +aS'who\twho\tWP\tB-NP\tO' +p99966 +aS'is\tbe\tVBZ\tB-VP\tO' +p99967 +aS'status\tstatus\tNN\tB-NP\tO' +p99968 +aS'post\tpost\tNN\tI-NP\tO' +p99969 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p99970 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p99971 +aS'in\tin\tIN\tB-PP\tO' +p99972 +aS'September\tSeptember\tNNP\tB-NP\tO' +p99973 +aS'of\tof\tIN\tB-PP\tO' +p99974 +aS'1993\t1993\tCD\tB-NP\tO' +p99975 +aS'and\tand\tCC\tO\tO' +p99976 +aS'February\tFebruary\tNNP\tB-NP\tO' +p99977 +aS'of\tof\tIN\tB-PP\tO' +p99978 +aS'1993\t1993\tCD\tB-NP\tO' +p99979 +aS',\t,\t,\tO\tO' +p99980 +aS'who\twho\tWP\tB-NP\tO' +p99981 +aS'presented\tpresent\tVBD\tB-VP\tO' +p99982 +aS'with\twith\tIN\tB-PP\tO' +p99983 +aS'new\tnew\tJJ\tB-NP\tO' +p99984 +aS'onset\tonset\tNN\tI-NP\tO' +p99985 +aS'of\tof\tIN\tB-PP\tO' +p99986 +aS'left\tleft\tJJ\tB-NP\tO' +p99987 +aS'chest\tchest\tNN\tI-NP\tO' +p99988 +aS'pain\tpain\tNN\tI-NP\tO' +p99989 +aS'and\tand\tCC\tO\tO' +p99990 +aS'arm\tarm\tNN\tB-NP\tO' +p99991 +aS'pain\tpain\tNN\tI-NP\tO' +p99992 +aS'for\tfor\tIN\tB-PP\tO' +p99993 +aS'two\ttwo\tCD\tB-NP\tO' +p99994 +aS'days\tday\tNNS\tI-NP\tO' +p99995 +aS'.\t.\t.\tO\tO' +p99996 +asS'Electrolytes were measured on day of life 2 and were stable at that time .' +p99997 +(lp99998 +S'Electrolytes\tElectrolyte\tNNS\tB-NP\tO' +p99999 +aS'were\tbe\tVBD\tB-VP\tO' +p100000 +aS'measured\tmeasure\tVBN\tI-VP\tO' +p100001 +aS'on\ton\tIN\tB-PP\tO' +p100002 +aS'day\tday\tNN\tB-NP\tO' +p100003 +aS'of\tof\tIN\tB-PP\tO' +p100004 +aS'life\tlife\tNN\tB-NP\tB-protein' +p100005 +aS'2\t2\tCD\tI-NP\tI-protein' +p100006 +aS'and\tand\tCC\tO\tO' +p100007 +aS'were\tbe\tVBD\tB-VP\tO' +p100008 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p100009 +aS'at\tat\tIN\tB-PP\tO' +p100010 +aS'that\tthat\tDT\tB-NP\tO' +p100011 +aS'time\ttime\tNN\tI-NP\tO' +p100012 +aS'.\t.\t.\tO\tO' +p100013 +asS'The patient has a history of MI in 1989 , no angina before or after .' +p100014 +(lp100015 +S'The\tThe\tDT\tB-NP\tO' +p100016 +aS'patient\tpatient\tNN\tI-NP\tO' +p100017 +aS'has\thave\tVBZ\tB-VP\tO' +p100018 +aS'a\ta\tDT\tB-NP\tO' +p100019 +aS'history\thistory\tNN\tI-NP\tO' +p100020 +aS'of\tof\tIN\tB-PP\tO' +p100021 +aS'MI\tMI\tNN\tB-NP\tB-protein' +p100022 +aS'in\tin\tIN\tB-PP\tO' +p100023 +aS'1989\t1989\tCD\tB-NP\tO' +p100024 +aS',\t,\t,\tO\tO' +p100025 +aS'no\tno\tDT\tB-NP\tO' +p100026 +aS'angina\tangina\tNN\tI-NP\tO' +p100027 +aS'before\tbefore\tIN\tB-PP\tO' +p100028 +aS'or\tor\tCC\tI-PP\tO' +p100029 +aS'after\tafter\tIN\tI-PP\tO' +p100030 +aS'.\t.\t.\tO\tO' +p100031 +asS'Includes a history of atrial fibrillation with good heart rate control on Digoxin .' +p100032 +(lp100033 +S'Includes\tInclude\tVBZ\tB-VP\tO' +p100034 +aS'a\ta\tDT\tB-NP\tO' +p100035 +aS'history\thistory\tNN\tI-NP\tO' +p100036 +aS'of\tof\tIN\tB-PP\tO' +p100037 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p100038 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p100039 +aS'with\twith\tIN\tB-PP\tO' +p100040 +aS'good\tgood\tJJ\tB-NP\tO' +p100041 +aS'heart\theart\tNN\tI-NP\tO' +p100042 +aS'rate\trate\tNN\tI-NP\tO' +p100043 +aS'control\tcontrol\tNN\tI-NP\tO' +p100044 +aS'on\ton\tIN\tB-PP\tO' +p100045 +aS'Digoxin\tDigoxin\tNN\tB-NP\tO' +p100046 +aS'.\t.\t.\tO\tO' +p100047 +asS'He needs to seek medical attention if he develops fever , chills , nausea , vomiting , worsening pain , worsening wound , or any other concerning symptoms .' +p100048 +(lp100049 +S'He\tHe\tPRP\tB-NP\tO' +p100050 +aS'needs\tneed\tVBZ\tB-VP\tO' +p100051 +aS'to\tto\tTO\tI-VP\tO' +p100052 +aS'seek\tseek\tVB\tI-VP\tO' +p100053 +aS'medical\tmedical\tJJ\tB-NP\tO' +p100054 +aS'attention\tattention\tNN\tI-NP\tO' +p100055 +aS'if\tif\tIN\tB-SBAR\tO' +p100056 +aS'he\the\tPRP\tB-NP\tO' +p100057 +aS'develops\tdevelop\tVBZ\tB-VP\tO' +p100058 +aS'fever\tfever\tRB\tB-ADVP\tO' +p100059 +aS',\t,\t,\tO\tO' +p100060 +aS'chills\tchill\tNNS\tB-NP\tO' +p100061 +aS',\t,\t,\tO\tO' +p100062 +aS'nausea\tnausea\tNN\tB-NP\tO' +p100063 +aS',\t,\t,\tO\tO' +p100064 +aS'vomiting\tvomit\tVBG\tB-VP\tO' +p100065 +aS',\t,\t,\tO\tO' +p100066 +aS'worsening\tworsen\tVBG\tB-VP\tO' +p100067 +aS'pain\tpain\tNN\tB-NP\tO' +p100068 +aS',\t,\t,\tO\tO' +p100069 +aS'worsening\tworsen\tVBG\tB-VP\tO' +p100070 +aS'wound\twound\tNN\tB-NP\tO' +p100071 +aS',\t,\t,\tO\tO' +p100072 +aS'or\tor\tCC\tO\tO' +p100073 +aS'any\tany\tDT\tB-NP\tO' +p100074 +aS'other\tother\tJJ\tI-NP\tO' +p100075 +aS'concerning\tconcern\tVBG\tI-NP\tO' +p100076 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p100077 +aS'.\t.\t.\tO\tO' +p100078 +asS'Her induced sputum was negative and BOL was done and also negative .' +p100079 +(lp100080 +S'Her\tHer\tPRP$\tB-NP\tB-protein' +p100081 +aS'induced\tinduce\tVBN\tI-NP\tO' +p100082 +aS'sputum\tsputum\tNN\tI-NP\tO' +p100083 +aS'was\tbe\tVBD\tB-VP\tO' +p100084 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p100085 +aS'and\tand\tCC\tO\tO' +p100086 +aS'BOL\tBOL\tNN\tB-NP\tO' +p100087 +aS'was\tbe\tVBD\tB-VP\tO' +p100088 +aS'done\tdo\tVBN\tI-VP\tO' +p100089 +aS'and\tand\tCC\tO\tO' +p100090 +aS'also\talso\tRB\tB-ADVP\tO' +p100091 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p100092 +aS'.\t.\t.\tO\tO' +p100093 +asS'11. Warfarin 2 mg Tablet Sig : One ( 1 ) Tablet PO HS ( at bedtime ) : Titrate dose to Goal INR 03-15 .' +p100094 +(lp100095 +S'11.\t11.\tCD\tB-NP\tO' +p100096 +aS'Warfarin\tWarfarin\tNN\tI-NP\tO' +p100097 +aS'2\t2\tCD\tB-NP\tO' +p100098 +aS'mg\tmg\tNN\tI-NP\tO' +p100099 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p100100 +aS'Sig\tSig\tNNP\tI-NP\tO' +p100101 +aS':\t:\t:\tO\tO' +p100102 +aS'One\tOne\tCD\tB-NP\tO' +p100103 +aS'(\t(\t(\tO\tO' +p100104 +aS'1\t1\tCD\tB-NP\tO' +p100105 +aS')\t)\t)\tO\tO' +p100106 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p100107 +aS'PO\tPO\tNN\tI-NP\tO' +p100108 +aS'HS\tHS\tNN\tI-NP\tO' +p100109 +aS'(\t(\t(\tO\tO' +p100110 +aS'at\tat\tIN\tB-PP\tO' +p100111 +aS'bedtime\tbedtime\tNN\tB-NP\tO' +p100112 +aS')\t)\t)\tO\tO' +p100113 +aS':\t:\t:\tO\tO' +p100114 +aS'Titrate\tTitrate\tNN\tB-NP\tO' +p100115 +aS'dose\tdose\tNN\tI-NP\tO' +p100116 +aS'to\tto\tTO\tB-PP\tO' +p100117 +aS'Goal\tGoal\tNN\tB-NP\tO' +p100118 +aS'INR\tINR\tNN\tI-NP\tO' +p100119 +aS'03-15\t03-15\tCD\tI-NP\tO' +p100120 +aS'.\t.\t.\tO\tO' +p100121 +asS'Cyst was drained and pt was sent home with Duracef .' +p100122 +(lp100123 +S'Cyst\tCyst\tNN\tB-NP\tO' +p100124 +aS'was\tbe\tVBD\tB-VP\tO' +p100125 +aS'drained\tdrain\tVBN\tI-VP\tO' +p100126 +aS'and\tand\tCC\tO\tO' +p100127 +aS'pt\tpt\tNN\tB-NP\tO' +p100128 +aS'was\tbe\tVBD\tB-VP\tO' +p100129 +aS'sent\tsend\tVBN\tI-VP\tO' +p100130 +aS'home\thome\tNN\tB-ADVP\tO' +p100131 +aS'with\twith\tIN\tB-PP\tO' +p100132 +aS'Duracef\tDuracef\tNN\tB-NP\tO' +p100133 +aS'.\t.\t.\tO\tO' +p100134 +asS'Status post laparotomy for an ovarian cyst in 1988 .' +p100135 +(lp100136 +S'Status\tStatus\tNNP\tB-NP\tO' +p100137 +aS'post\tpost\tNN\tI-NP\tO' +p100138 +aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' +p100139 +aS'for\tfor\tIN\tB-PP\tO' +p100140 +aS'an\tan\tDT\tB-NP\tO' +p100141 +aS'ovarian\tovarian\tJJ\tI-NP\tO' +p100142 +aS'cyst\tcyst\tNN\tI-NP\tO' +p100143 +aS'in\tin\tIN\tB-PP\tO' +p100144 +aS'1988\t1988\tCD\tB-NP\tO' +p100145 +aS'.\t.\t.\tO\tO' +p100146 +asS'Breath sounds , clear and equal , without retractions , respiratory rate 30 s to 60 s.' +p100147 +(lp100148 +S'Breath\tBreath\tNN\tB-NP\tO' +p100149 +aS'sounds\tsound\tNNS\tI-NP\tO' +p100150 +aS',\t,\t,\tO\tO' +p100151 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p100152 +aS'and\tand\tCC\tI-ADJP\tO' +p100153 +aS'equal\tequal\tJJ\tI-ADJP\tO' +p100154 +aS',\t,\t,\tO\tO' +p100155 +aS'without\twithout\tIN\tB-PP\tO' +p100156 +aS'retractions\tretraction\tNNS\tB-NP\tO' +p100157 +aS',\t,\t,\tO\tO' +p100158 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p100159 +aS'rate\trate\tNN\tI-NP\tO' +p100160 +aS'30\t30\tCD\tI-NP\tO' +p100161 +aS's\ts\tNN\tI-NP\tO' +p100162 +aS'to\tto\tTO\tB-PP\tO' +p100163 +aS'60\t60\tCD\tB-NP\tO' +p100164 +aS's.\ts.\tNNS\tI-NP\tO' +p100165 +asS'Eyes were deviated to the left .' +p100166 +(lp100167 +S'Eyes\tEye\tNNS\tB-NP\tO' +p100168 +aS'were\tbe\tVBD\tB-VP\tO' +p100169 +aS'deviated\tdeviate\tVBN\tI-VP\tO' +p100170 +aS'to\tto\tTO\tB-PP\tO' +p100171 +aS'the\tthe\tDT\tB-NP\tO' +p100172 +aS'left\tleft\tNN\tI-NP\tO' +p100173 +aS'.\t.\t.\tO\tO' +p100174 +asS'Sodium 133 , potassium 4.8 , chloride' +p100175 +(lp100176 +S'Sodium\tSodium\tNN\tB-NP\tB-protein' +p100177 +aS'133\t133\tCD\tI-NP\tI-protein' +p100178 +aS',\t,\t,\tO\tO' +p100179 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p100180 +aS'4.8\t4.8\tCD\tI-NP\tO' +p100181 +aS',\t,\t,\tO\tO' +p100182 +aS'chloride\tchloride\tNN\tB-NP\tO' +p100183 +asS'The bladder is unremarkable .' +p100184 +(lp100185 +S'The\tThe\tDT\tB-NP\tO' +p100186 +aS'bladder\tbladder\tNN\tI-NP\tO' +p100187 +aS'is\tbe\tVBZ\tB-VP\tO' +p100188 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p100189 +aS'.\t.\t.\tO\tO' +p100190 +asS'Patient had no further cardiac issues at this time .' +p100191 +(lp100192 +S'Patient\tPatient\tNN\tB-NP\tO' +p100193 +aS'had\thave\tVBD\tB-VP\tO' +p100194 +aS'no\tno\tDT\tB-NP\tO' +p100195 +aS'further\tfurther\tJJ\tI-NP\tO' +p100196 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p100197 +aS'issues\tissue\tNNS\tI-NP\tO' +p100198 +aS'at\tat\tIN\tB-PP\tO' +p100199 +aS'this\tthis\tDT\tB-NP\tO' +p100200 +aS'time\ttime\tNN\tI-NP\tO' +p100201 +aS'.\t.\t.\tO\tO' +p100202 +asS'Shower daily and wash incisions with soap and water .' +p100203 +(lp100204 +S'Shower\tShower\tRBR\tB-NP\tO' +p100205 +aS'daily\tdaily\tJJ\tI-NP\tO' +p100206 +aS'and\tand\tCC\tI-NP\tO' +p100207 +aS'wash\twash\tNN\tI-NP\tO' +p100208 +aS'incisions\tincision\tNNS\tI-NP\tO' +p100209 +aS'with\twith\tIN\tB-PP\tO' +p100210 +aS'soap\tsoap\tNN\tB-NP\tO' +p100211 +aS'and\tand\tCC\tI-NP\tO' +p100212 +aS'water\twater\tNN\tI-NP\tO' +p100213 +aS'.\t.\t.\tO\tO' +p100214 +asS'He denies orthopnea , edema , paroxysmal nocturnal dyspnea , diaphoresis , claudication .' +p100215 +(lp100216 +S'He\tHe\tPRP\tB-NP\tO' +p100217 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p100218 +aS'orthopnea\torthopnea\tNN\tB-NP\tO' +p100219 +aS',\t,\t,\tO\tO' +p100220 +aS'edema\tedema\tNN\tB-NP\tO' +p100221 +aS',\t,\t,\tO\tO' +p100222 +aS'paroxysmal\tparoxysmal\tJJ\tB-NP\tO' +p100223 +aS'nocturnal\tnocturnal\tJJ\tI-NP\tO' +p100224 +aS'dyspnea\tdyspnea\tNN\tI-NP\tO' +p100225 +aS',\t,\t,\tO\tO' +p100226 +aS'diaphoresis\tdiaphoresis\tNN\tB-NP\tO' +p100227 +aS',\t,\t,\tO\tO' +p100228 +aS'claudication\tclaudication\tNN\tB-NP\tO' +p100229 +aS'.\t.\t.\tO\tO' +p100230 +asS'He also began to wean off the ventilator .' +p100231 +(lp100232 +S'He\tHe\tPRP\tB-NP\tO' +p100233 +aS'also\talso\tRB\tB-ADVP\tO' +p100234 +aS'began\tbegin\tVBD\tB-VP\tO' +p100235 +aS'to\tto\tTO\tI-VP\tO' +p100236 +aS'wean\twean\tVB\tI-VP\tO' +p100237 +aS'off\toff\tRP\tB-PRT\tO' +p100238 +aS'the\tthe\tDT\tB-NP\tO' +p100239 +aS'ventilator\tventilator\tNN\tI-NP\tO' +p100240 +aS'.\t.\t.\tO\tO' +p100241 +asS'Plan for patient regarding cardiac , unlike hypotension of cardiac origin .' +p100242 +(lp100243 +S'Plan\tPlan\tNN\tB-NP\tO' +p100244 +aS'for\tfor\tIN\tB-PP\tO' +p100245 +aS'patient\tpatient\tNN\tB-NP\tO' +p100246 +aS'regarding\tregard\tVBG\tB-VP\tO' +p100247 +aS'cardiac\tcardiac\tNN\tB-NP\tO' +p100248 +aS',\t,\t,\tO\tO' +p100249 +aS'unlike\tunlike\tIN\tB-PP\tO' +p100250 +aS'hypotension\thypotension\tNN\tB-NP\tO' +p100251 +aS'of\tof\tIN\tB-PP\tO' +p100252 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p100253 +aS'origin\torigin\tNN\tI-NP\tO' +p100254 +aS'.\t.\t.\tO\tO' +p100255 +asS'His electrolytes were repleted and the patient was discharged home on 2009-05-06 after tolerating a level V .' +p100256 +(lp100257 +S'His\tHis\tPRP$\tB-NP\tO' +p100258 +aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' +p100259 +aS'were\tbe\tVBD\tB-VP\tO' +p100260 +aS'repleted\treplete\tVBN\tI-VP\tO' +p100261 +aS'and\tand\tCC\tO\tO' +p100262 +aS'the\tthe\tDT\tB-NP\tO' +p100263 +aS'patient\tpatient\tNN\tI-NP\tO' +p100264 +aS'was\tbe\tVBD\tB-VP\tO' +p100265 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p100266 +aS'home\thome\tNN\tB-ADVP\tO' +p100267 +aS'on\ton\tIN\tB-PP\tO' +p100268 +aS'2009-05-06\t2009-05-06\tCD\tB-NP\tO' +p100269 +aS'after\tafter\tIN\tB-PP\tO' +p100270 +aS'tolerating\ttolerate\tVBG\tB-VP\tO' +p100271 +aS'a\ta\tDT\tB-NP\tO' +p100272 +aS'level\tlevel\tNN\tI-NP\tO' +p100273 +aS'V\tV\tNN\tI-NP\tO' +p100274 +aS'.\t.\t.\tO\tO' +p100275 +asS"The patient 's neurologic exam ( performed after sedation removed >48 hours ) revealed intact brainstem function without evidence of higher cortical activity ." +p100276 +(lp100277 +S'The\tThe\tDT\tB-NP\tO' +p100278 +aS'patient\tpatient\tNN\tI-NP\tO' +p100279 +aS"'s\t's\tPOS\tB-NP\tO" +p100280 +aS'neurologic\tneurologic\tJJ\tI-NP\tO' +p100281 +aS'exam\texam\tNN\tI-NP\tO' +p100282 +aS'(\t(\t(\tO\tO' +p100283 +aS'performed\tperform\tVBN\tB-VP\tO' +p100284 +aS'after\tafter\tIN\tB-SBAR\tO' +p100285 +aS'sedation\tsedation\tNN\tB-NP\tO' +p100286 +aS'removed\tremove\tVBD\tB-VP\tO' +p100287 +aS'>48\t>48\tCD\tB-NP\tO' +p100288 +aS'hours\thour\tNNS\tI-NP\tO' +p100289 +aS')\t)\t)\tO\tO' +p100290 +aS'revealed\treveal\tVBD\tB-VP\tO' +p100291 +aS'intact\tintact\tJJ\tB-NP\tO' +p100292 +aS'brainstem\tbrainstem\tNN\tI-NP\tO' +p100293 +aS'function\tfunction\tNN\tI-NP\tO' +p100294 +aS'without\twithout\tIN\tB-PP\tO' +p100295 +aS'evidence\tevidence\tNN\tB-NP\tO' +p100296 +aS'of\tof\tIN\tB-PP\tO' +p100297 +aS'higher\thigh\tJJR\tB-NP\tO' +p100298 +aS'cortical\tcortical\tJJ\tI-NP\tO' +p100299 +aS'activity\tactivity\tNN\tI-NP\tO' +p100300 +aS'.\t.\t.\tO\tO' +p100301 +asS'Chest x-ray - low lung volumes , bibasilar opacities , no evidence of heart failure .' +p100302 +(lp100303 +S'Chest\tCh\tJJS\tB-NP\tO' +p100304 +aS'x-ray\tx-ray\tAFX\tI-NP\tB-DNA' +p100305 +aS'-\t-\tHYPH\tI-NP\tO' +p100306 +aS'low\tlow\tJJ\tI-NP\tO' +p100307 +aS'lung\tlung\tNN\tI-NP\tO' +p100308 +aS'volumes\tvolume\tNNS\tI-NP\tO' +p100309 +aS',\t,\t,\tO\tO' +p100310 +aS'bibasilar\tbibasilar\tJJ\tB-NP\tO' +p100311 +aS'opacities\topacity\tNNS\tI-NP\tO' +p100312 +aS',\t,\t,\tO\tO' +p100313 +aS'no\tno\tDT\tB-NP\tO' +p100314 +aS'evidence\tevidence\tNN\tI-NP\tO' +p100315 +aS'of\tof\tIN\tB-PP\tO' +p100316 +aS'heart\theart\tNN\tB-NP\tO' +p100317 +aS'failure\tfailure\tNN\tI-NP\tO' +p100318 +aS'.\t.\t.\tO\tO' +p100319 +asS'lasix alt 40 mg and 20 mg qday' +p100320 +(lp100321 +S'lasix\tlasix\tCD\tB-NP\tO' +p100322 +aS'alt\talt\tIN\tI-NP\tO' +p100323 +aS'40\t40\tCD\tI-NP\tO' +p100324 +aS'mg\tmg\tNN\tI-NP\tO' +p100325 +aS'and\tand\tCC\tI-NP\tO' +p100326 +aS'20\t20\tCD\tI-NP\tO' +p100327 +aS'mg\tmg\tNN\tI-NP\tO' +p100328 +aS'qday\tqday\tNN\tI-NP\tO' +p100329 +asS'On the second day that the rash had been noted , Derm was asked to see again , felt c/w hypersensitivity , bactrim was switched to pentamidine , and lamictal was held .' +p100330 +(lp100331 +S'On\tOn\tIN\tB-PP\tO' +p100332 +aS'the\tthe\tDT\tB-NP\tO' +p100333 +aS'second\tsecond\tJJ\tI-NP\tO' +p100334 +aS'day\tday\tNN\tI-NP\tO' +p100335 +aS'that\tthat\tIN\tB-SBAR\tO' +p100336 +aS'the\tthe\tDT\tB-NP\tO' +p100337 +aS'rash\trash\tNN\tI-NP\tO' +p100338 +aS'had\thave\tVBD\tB-VP\tO' +p100339 +aS'been\tbe\tVBN\tI-VP\tO' +p100340 +aS'noted\tnote\tVBN\tI-VP\tO' +p100341 +aS',\t,\t,\tO\tO' +p100342 +aS'Derm\tDerm\tNN\tB-NP\tO' +p100343 +aS'was\tbe\tVBD\tB-VP\tO' +p100344 +aS'asked\task\tVBN\tI-VP\tO' +p100345 +aS'to\tto\tTO\tI-VP\tO' +p100346 +aS'see\tsee\tVB\tI-VP\tO' +p100347 +aS'again\tagain\tRB\tB-ADVP\tO' +p100348 +aS',\t,\t,\tO\tO' +p100349 +aS'felt\tfeel\tVBD\tB-VP\tO' +p100350 +aS'c/w\tc/w\tNN\tB-NP\tO' +p100351 +aS'hypersensitivity\thypersensitivity\tNN\tI-NP\tO' +p100352 +aS',\t,\t,\tO\tO' +p100353 +aS'bactrim\tbactrim\tNN\tB-NP\tO' +p100354 +aS'was\tbe\tVBD\tB-VP\tO' +p100355 +aS'switched\tswitch\tVBN\tI-VP\tO' +p100356 +aS'to\tto\tTO\tB-PP\tO' +p100357 +aS'pentamidine\tpentamidine\tNN\tB-NP\tO' +p100358 +aS',\t,\t,\tO\tO' +p100359 +aS'and\tand\tCC\tO\tO' +p100360 +aS'lamictal\tlamictal\tJJ\tB-NP\tO' +p100361 +aS'was\tbe\tVBD\tB-VP\tO' +p100362 +aS'held\thold\tVBN\tI-VP\tO' +p100363 +aS'.\t.\t.\tO\tO' +p100364 +asS'Followup Instructions : patient passed away' +p100365 +(lp100366 +S'Followup\tFollowup\tNN\tB-NP\tO' +p100367 +aS'Instructions\tInstruction\tNNS\tI-NP\tO' +p100368 +aS':\t:\t:\tO\tO' +p100369 +aS'patient\tpatient\tNN\tB-NP\tO' +p100370 +aS'passed\tpass\tVBD\tB-VP\tO' +p100371 +aS'away\taway\tRB\tB-ADVP\tO' +p100372 +asS'The baby has been appropriate for gestational age with normal newborn reflexes .' +p100373 +(lp100374 +S'The\tThe\tDT\tB-NP\tO' +p100375 +aS'baby\tbaby\tNN\tI-NP\tO' +p100376 +aS'has\thave\tVBZ\tB-VP\tO' +p100377 +aS'been\tbe\tVBN\tI-VP\tO' +p100378 +aS'appropriate\tappropriate\tJJ\tB-ADJP\tO' +p100379 +aS'for\tfor\tIN\tB-PP\tO' +p100380 +aS'gestational\tgestational\tJJ\tB-NP\tO' +p100381 +aS'age\tage\tNN\tI-NP\tO' +p100382 +aS'with\twith\tIN\tB-PP\tO' +p100383 +aS'normal\tnormal\tJJ\tB-NP\tO' +p100384 +aS'newborn\tnewborn\tJJ\tI-NP\tO' +p100385 +aS'reflexes\treflex\tNNS\tI-NP\tO' +p100386 +aS'.\t.\t.\tO\tO' +p100387 +asS'While the patient was in restraints , gentle hydration was initiated since p.o. intake was not adequate .' +p100388 +(lp100389 +S'While\tWhile\tIN\tB-SBAR\tO' +p100390 +aS'the\tthe\tDT\tB-NP\tO' +p100391 +aS'patient\tpatient\tNN\tI-NP\tO' +p100392 +aS'was\tbe\tVBD\tB-VP\tO' +p100393 +aS'in\tin\tIN\tB-PP\tO' +p100394 +aS'restraints\trestraint\tNNS\tB-NP\tO' +p100395 +aS',\t,\t,\tO\tO' +p100396 +aS'gentle\tgentle\tJJ\tB-NP\tO' +p100397 +aS'hydration\thydration\tNN\tI-NP\tO' +p100398 +aS'was\tbe\tVBD\tB-VP\tO' +p100399 +aS'initiated\tinitiate\tVBN\tI-VP\tO' +p100400 +aS'since\tsince\tIN\tB-PP\tO' +p100401 +aS'p.o.\tp.o.\tFW\tB-NP\tO' +p100402 +aS'intake\tintake\tNN\tI-NP\tO' +p100403 +aS'was\tbe\tVBD\tB-VP\tO' +p100404 +aS'not\tnot\tRB\tO\tO' +p100405 +aS'adequate\tadequate\tJJ\tB-ADJP\tO' +p100406 +aS'.\t.\t.\tO\tO' +p100407 +asS'ALT 141 , AST 40 , alk phos 108 , and a total bili of 1.0. Total protein was 5.7 , albumin 2.5 and globulin 3.2 .' +p100408 +(lp100409 +S'ALT\tALT\tNN\tB-NP\tB-protein' +p100410 +aS'141\t141\tCD\tI-NP\tI-protein' +p100411 +aS',\t,\t,\tO\tO' +p100412 +aS'AST\tAST\tNNP\tB-NP\tO' +p100413 +aS'40\t40\tCD\tI-NP\tO' +p100414 +aS',\t,\t,\tO\tO' +p100415 +aS'alk\talk\tNN\tB-NP\tO' +p100416 +aS'phos\tpho\tNNS\tI-NP\tO' +p100417 +aS'108\t108\tCD\tB-NP\tO' +p100418 +aS',\t,\t,\tO\tO' +p100419 +aS'and\tand\tCC\tO\tO' +p100420 +aS'a\ta\tDT\tB-NP\tO' +p100421 +aS'total\ttotal\tJJ\tI-NP\tO' +p100422 +aS'bili\tbili\tNN\tI-NP\tO' +p100423 +aS'of\tof\tIN\tB-PP\tO' +p100424 +aS'1.0.\t1.0.\tCD\tB-NP\tO' +p100425 +aS'Total\tTotal\tJJ\tI-NP\tO' +p100426 +aS'protein\tprotein\tNN\tI-NP\tO' +p100427 +aS'was\tbe\tVBD\tB-VP\tO' +p100428 +aS'5.7\t5.7\tCD\tB-NP\tO' +p100429 +aS',\t,\t,\tO\tO' +p100430 +aS'albumin\talbumin\tNN\tB-NP\tO' +p100431 +aS'2.5\t2.5\tCD\tI-NP\tO' +p100432 +aS'and\tand\tCC\tO\tO' +p100433 +aS'globulin\tglobulin\tNN\tB-NP\tB-protein' +p100434 +aS'3.2\t3.2\tCD\tI-NP\tI-protein' +p100435 +aS'.\t.\t.\tO\tO' +p100436 +asS'1. Follow-up with Dr. Williams on Tuesday , 09-07 , at noon .' +p100437 +(lp100438 +S'1.\t1.\tLS\tB-NP\tO' +p100439 +aS'Follow-up\tFollow-up\tNN\tI-NP\tO' +p100440 +aS'with\twith\tIN\tB-PP\tO' +p100441 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p100442 +aS'Williams\tWilliams\tNNP\tI-NP\tO' +p100443 +aS'on\ton\tIN\tB-PP\tO' +p100444 +aS'Tuesday\tTuesday\tNNP\tB-NP\tO' +p100445 +aS',\t,\t,\tO\tO' +p100446 +aS'09-07\t09-07\tCD\tB-NP\tO' +p100447 +aS',\t,\t,\tO\tO' +p100448 +aS'at\tat\tIN\tB-PP\tO' +p100449 +aS'noon\tnoon\tNN\tB-NP\tO' +p100450 +aS'.\t.\t.\tO\tO' +p100451 +asS'#. Afib/SSS : She was A-paced , pacer placed 05-08 in DDDR mode , complicated by PTX requiring chest tube which resolved and tube was removed during admit for pacer , no evidence of PTX on most recent CXR .' +p100452 +(lp100453 +S'#.\t#.\tNNP\tB-NP\tO' +p100454 +aS'Afib/SSS\tAfib/SSS\tNNPS\tI-NP\tO' +p100455 +aS':\t:\t:\tO\tO' +p100456 +aS'She\tShe\tPRP\tB-NP\tO' +p100457 +aS'was\tbe\tVBD\tB-VP\tO' +p100458 +aS'A-paced\tA-paced\tJJ\tB-ADJP\tO' +p100459 +aS',\t,\t,\tO\tO' +p100460 +aS'pacer\tpacer\tNN\tB-NP\tO' +p100461 +aS'placed\tplace\tVBD\tB-VP\tO' +p100462 +aS'05-08\t05-08\tCD\tB-NP\tO' +p100463 +aS'in\tin\tIN\tB-PP\tO' +p100464 +aS'DDDR\tDDDR\tNN\tB-NP\tO' +p100465 +aS'mode\tmode\tNN\tI-NP\tO' +p100466 +aS',\t,\t,\tO\tO' +p100467 +aS'complicated\tcomplicate\tVBN\tB-VP\tO' +p100468 +aS'by\tby\tIN\tB-PP\tO' +p100469 +aS'PTX\tPTX\tNN\tB-NP\tB-protein' +p100470 +aS'requiring\trequire\tVBG\tB-VP\tO' +p100471 +aS'chest\tchest\tNN\tB-NP\tO' +p100472 +aS'tube\ttube\tNN\tI-NP\tO' +p100473 +aS'which\twhich\tWDT\tB-NP\tO' +p100474 +aS'resolved\tresolve\tVBD\tB-VP\tO' +p100475 +aS'and\tand\tCC\tO\tO' +p100476 +aS'tube\ttube\tNN\tB-NP\tO' +p100477 +aS'was\tbe\tVBD\tB-VP\tO' +p100478 +aS'removed\tremove\tVBN\tI-VP\tO' +p100479 +aS'during\tduring\tIN\tB-PP\tO' +p100480 +aS'admit\tadmit\tNN\tB-NP\tO' +p100481 +aS'for\tfor\tIN\tB-PP\tO' +p100482 +aS'pacer\tpacer\tNN\tB-NP\tO' +p100483 +aS',\t,\t,\tO\tO' +p100484 +aS'no\tno\tDT\tB-NP\tO' +p100485 +aS'evidence\tevidence\tNN\tI-NP\tO' +p100486 +aS'of\tof\tIN\tB-PP\tO' +p100487 +aS'PTX\tPTX\tNN\tB-NP\tB-protein' +p100488 +aS'on\ton\tIN\tB-PP\tO' +p100489 +aS'most\tmost\tJJS\tB-NP\tO' +p100490 +aS'recent\trecent\tJJ\tI-NP\tO' +p100491 +aS'CXR\tCXR\tNN\tI-NP\tB-protein' +p100492 +aS'.\t.\t.\tO\tO' +p100493 +asS'5. CellCept 1 gm po bid .' +p100494 +(lp100495 +S'5.\t5.\tLS\tB-LST\tO' +p100496 +aS'CellCept\tCellCept\tNN\tB-NP\tO' +p100497 +aS'1\t1\tCD\tI-NP\tO' +p100498 +aS'gm\tgm\tNN\tI-NP\tO' +p100499 +aS'po\tpo\tNN\tI-NP\tO' +p100500 +aS'bid\tbid\tNN\tI-NP\tO' +p100501 +aS'.\t.\t.\tO\tO' +p100502 +asS'A CT abdomen was performed which did not demonstrate any retroperitoneal bleed .' +p100503 +(lp100504 +S'A\tA\tDT\tB-NP\tO' +p100505 +aS'CT\tCT\tNN\tI-NP\tO' +p100506 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p100507 +aS'was\tbe\tVBD\tB-VP\tO' +p100508 +aS'performed\tperform\tVBN\tI-VP\tO' +p100509 +aS'which\twhich\tWDT\tB-NP\tO' +p100510 +aS'did\tdo\tVBD\tB-VP\tO' +p100511 +aS'not\tnot\tRB\tI-VP\tO' +p100512 +aS'demonstrate\tdemonstrate\tVB\tI-VP\tO' +p100513 +aS'any\tany\tDT\tB-NP\tO' +p100514 +aS'retroperitoneal\tretroperitoneal\tJJ\tI-NP\tO' +p100515 +aS'bleed\tbleed\tNN\tI-NP\tO' +p100516 +aS'.\t.\t.\tO\tO' +p100517 +asS'Mr. Morton continued to be followed by Infectious Disease , whose recommendations were to complete a 01-28 week course of Penicillin G and Clindamycin after the foot was completely debrided and the skin flaps completed .' +p100518 +(lp100519 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p100520 +aS'Morton\tMorton\tNNP\tI-NP\tO' +p100521 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p100522 +aS'to\tto\tTO\tI-VP\tO' +p100523 +aS'be\tbe\tVB\tI-VP\tO' +p100524 +aS'followed\tfollow\tVBN\tI-VP\tO' +p100525 +aS'by\tby\tIN\tB-PP\tO' +p100526 +aS'Infectious\tInfectious\tJJ\tB-NP\tO' +p100527 +aS'Disease\tDisease\tNN\tI-NP\tO' +p100528 +aS',\t,\t,\tO\tO' +p100529 +aS'whose\twhose\tWP$\tB-NP\tO' +p100530 +aS'recommendations\trecommendation\tNNS\tI-NP\tO' +p100531 +aS'were\tbe\tVBD\tB-VP\tO' +p100532 +aS'to\tto\tTO\tI-VP\tO' +p100533 +aS'complete\tcomplete\tVB\tI-VP\tO' +p100534 +aS'a\ta\tDT\tB-NP\tO' +p100535 +aS'01-28\t01-28\tJJ\tI-NP\tO' +p100536 +aS'week\tweek\tNN\tI-NP\tO' +p100537 +aS'course\tcourse\tNN\tI-NP\tO' +p100538 +aS'of\tof\tIN\tB-PP\tO' +p100539 +aS'Penicillin\tPenicillin\tNNP\tB-NP\tO' +p100540 +aS'G\tG\tNNP\tI-NP\tO' +p100541 +aS'and\tand\tCC\tO\tO' +p100542 +aS'Clindamycin\tClindamycin\tNNP\tB-NP\tO' +p100543 +aS'after\tafter\tIN\tB-PP\tO' +p100544 +aS'the\tthe\tDT\tB-NP\tO' +p100545 +aS'foot\tfoot\tNN\tI-NP\tO' +p100546 +aS'was\tbe\tVBD\tB-VP\tO' +p100547 +aS'completely\tcompletely\tRB\tI-VP\tO' +p100548 +aS'debrided\tdebride\tVBN\tI-VP\tO' +p100549 +aS'and\tand\tCC\tO\tO' +p100550 +aS'the\tthe\tDT\tB-NP\tO' +p100551 +aS'skin\tskin\tNN\tI-NP\tO' +p100552 +aS'flaps\tflap\tNNS\tI-NP\tO' +p100553 +aS'completed\tcomplete\tVBN\tB-VP\tO' +p100554 +aS'.\t.\t.\tO\tO' +p100555 +asS'1. status post mitral valve replacement in 1988 .' +p100556 +(lp100557 +S'1.\t1.\tLS\tB-NP\tO' +p100558 +aS'status\tstatus\tNN\tI-NP\tO' +p100559 +aS'post\tpost\tNN\tI-NP\tO' +p100560 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p100561 +aS'valve\tvalve\tNN\tI-NP\tO' +p100562 +aS'replacement\treplacement\tNN\tI-NP\tO' +p100563 +aS'in\tin\tIN\tB-PP\tO' +p100564 +aS'1988\t1988\tCD\tB-NP\tO' +p100565 +aS'.\t.\t.\tO\tO' +p100566 +asS'MRI was suboptimal due to motion artifact and LP was unremarkable .' +p100567 +(lp100568 +S'MRI\tMRI\tNN\tB-NP\tB-protein' +p100569 +aS'was\tbe\tVBD\tB-VP\tO' +p100570 +aS'suboptimal\tsuboptimal\tJJ\tB-ADJP\tO' +p100571 +aS'due\tdue\tJJ\tB-PP\tO' +p100572 +aS'to\tto\tTO\tB-PP\tO' +p100573 +aS'motion\tmotion\tNN\tB-NP\tO' +p100574 +aS'artifact\tartifact\tNN\tI-NP\tO' +p100575 +aS'and\tand\tCC\tO\tO' +p100576 +aS'LP\tLP\tNN\tB-NP\tO' +p100577 +aS'was\tbe\tVBD\tB-VP\tO' +p100578 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p100579 +aS'.\t.\t.\tO\tO' +p100580 +asS'At the time of discharge , the patient was tolerating a Flolan dose of 5 nanograms per kilogram per minute .' +p100581 +(lp100582 +S'At\tAt\tIN\tB-PP\tO' +p100583 +aS'the\tthe\tDT\tB-NP\tO' +p100584 +aS'time\ttime\tNN\tI-NP\tO' +p100585 +aS'of\tof\tIN\tB-PP\tO' +p100586 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p100587 +aS',\t,\t,\tO\tO' +p100588 +aS'the\tthe\tDT\tB-NP\tO' +p100589 +aS'patient\tpatient\tNN\tI-NP\tO' +p100590 +aS'was\tbe\tVBD\tB-VP\tO' +p100591 +aS'tolerating\ttolerate\tVBG\tI-VP\tO' +p100592 +aS'a\ta\tDT\tB-NP\tO' +p100593 +aS'Flolan\tFlolan\tNNP\tI-NP\tO' +p100594 +aS'dose\tdose\tNN\tI-NP\tO' +p100595 +aS'of\tof\tIN\tB-PP\tO' +p100596 +aS'5\t5\tCD\tB-NP\tO' +p100597 +aS'nanograms\tnanogram\tNNS\tI-NP\tO' +p100598 +aS'per\tper\tIN\tB-PP\tO' +p100599 +aS'kilogram\tkilogram\tNN\tB-NP\tO' +p100600 +aS'per\tper\tIN\tB-PP\tO' +p100601 +aS'minute\tminute\tNN\tB-NP\tO' +p100602 +aS'.\t.\t.\tO\tO' +p100603 +asS'3. Nitroglycerin paste 1 inch q. 6 hours .' +p100604 +(lp100605 +S'3.\t3.\tLS\tB-NP\tO' +p100606 +aS'Nitroglycerin\tNitroglycerin\tNN\tI-NP\tB-protein' +p100607 +aS'paste\tpaste\tNN\tI-NP\tI-protein' +p100608 +aS'1\t1\tCD\tI-NP\tI-protein' +p100609 +aS'inch\tinch\tNN\tI-NP\tI-protein' +p100610 +aS'q.\tq.\tNN\tI-NP\tI-protein' +p100611 +aS'6\t6\tCD\tB-NP\tI-protein' +p100612 +aS'hours\thour\tNNS\tI-NP\tI-protein' +p100613 +aS'.\t.\t.\tO\tO' +p100614 +asS'OTHER DIAGNOSIS ; Conditions , Infections , Complications , affecting Treatment / Stay VT , CAD s / p MI ischemic cardiomyopathy bilateral knee replacement' +p100615 +(lp100616 +S'OTHER\tOTHER\tNN\tB-NP\tO' +p100617 +aS'DIAGNOSIS\tDIAGNOSIS\tNN\tI-NP\tO' +p100618 +aS';\t;\t:\tO\tO' +p100619 +aS'Conditions\tCondition\tNNS\tB-NP\tO' +p100620 +aS',\t,\t,\tO\tO' +p100621 +aS'Infections\tInfection\tNNS\tB-NP\tO' +p100622 +aS',\t,\t,\tO\tO' +p100623 +aS'Complications\tComplication\tNNS\tB-NP\tO' +p100624 +aS',\t,\t,\tO\tO' +p100625 +aS'affecting\taffect\tVBG\tB-VP\tO' +p100626 +aS'Treatment\tTreatment\tNN\tB-NP\tO' +p100627 +aS'/\t/\tSYM\tB-NP\tO' +p100628 +aS'Stay\tStay\tNN\tI-NP\tO' +p100629 +aS'VT\tVT\tNN\tI-NP\tO' +p100630 +aS',\t,\t,\tO\tO' +p100631 +aS'CAD\tCAD\tNN\tB-NP\tO' +p100632 +aS's\ts\tNN\tI-NP\tO' +p100633 +aS'/\t/\tSYM\tB-NP\tO' +p100634 +aS'p\tp\tNN\tI-NP\tO' +p100635 +aS'MI\tMI\tNN\tI-NP\tO' +p100636 +aS'ischemic\tischemic\tJJ\tI-NP\tO' +p100637 +aS'cardiomyopathy\tcardiomyopathy\tNN\tI-NP\tO' +p100638 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p100639 +aS'knee\tknee\tNN\tI-NP\tO' +p100640 +aS'replacement\treplacement\tNN\tI-NP\tO' +p100641 +asS'Attending : Cayla R Turner , M.D.' +p100642 +(lp100643 +S'Attending\tAttend\tVBG\tB-VP\tO' +p100644 +aS':\t:\t:\tO\tO' +p100645 +aS'Cayla\tCayla\tNNP\tB-NP\tO' +p100646 +aS'R\tR\tNNP\tI-NP\tO' +p100647 +aS'Turner\tTurner\tNNP\tI-NP\tO' +p100648 +aS',\t,\t,\tO\tO' +p100649 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p100650 +asS'Her symptoms resolved with rest .' +p100651 +(lp100652 +S'Her\tHer\tPRP$\tB-NP\tO' +p100653 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p100654 +aS'resolved\tresolve\tVBN\tB-VP\tO' +p100655 +aS'with\twith\tIN\tB-PP\tO' +p100656 +aS'rest\trest\tNN\tB-NP\tO' +p100657 +aS'.\t.\t.\tO\tO' +p100658 +asS'This allowed continuous monitoring of intracranial pressure .' +p100659 +(lp100660 +S'This\tThis\tDT\tB-NP\tO' +p100661 +aS'allowed\tallow\tVBN\tI-NP\tO' +p100662 +aS'continuous\tcontinuous\tJJ\tI-NP\tO' +p100663 +aS'monitoring\tmonitoring\tNN\tI-NP\tO' +p100664 +aS'of\tof\tIN\tB-PP\tO' +p100665 +aS'intracranial\tintracranial\tJJ\tB-NP\tO' +p100666 +aS'pressure\tpressure\tNN\tI-NP\tO' +p100667 +aS'.\t.\t.\tO\tO' +p100668 +asS'The patient also hada history of arrhythmia , found approximately ten years ago , unknown what type .' +p100669 +(lp100670 +S'The\tThe\tDT\tB-NP\tO' +p100671 +aS'patient\tpatient\tNN\tI-NP\tO' +p100672 +aS'also\talso\tRB\tB-ADVP\tO' +p100673 +aS'hada\thada\tVBD\tB-VP\tO' +p100674 +aS'history\thistory\tNN\tB-NP\tO' +p100675 +aS'of\tof\tIN\tB-PP\tO' +p100676 +aS'arrhythmia\tarrhythmia\tNN\tB-NP\tO' +p100677 +aS',\t,\t,\tO\tO' +p100678 +aS'found\tfind\tVBD\tB-VP\tO' +p100679 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p100680 +aS'ten\tten\tCD\tI-NP\tO' +p100681 +aS'years\tyear\tNNS\tI-NP\tO' +p100682 +aS'ago\tago\tRB\tB-ADVP\tO' +p100683 +aS',\t,\t,\tO\tO' +p100684 +aS'unknown\tunknown\tJJ\tB-NP\tO' +p100685 +aS'what\twhat\tWP\tI-NP\tO' +p100686 +aS'type\ttype\tNN\tI-NP\tO' +p100687 +aS'.\t.\t.\tO\tO' +p100688 +asS'He was admitted to the CMED CCU for further management .' +p100689 +(lp100690 +S'He\tHe\tPRP\tB-NP\tO' +p100691 +aS'was\tbe\tVBD\tB-VP\tO' +p100692 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p100693 +aS'to\tto\tTO\tB-PP\tO' +p100694 +aS'the\tthe\tDT\tB-NP\tO' +p100695 +aS'CMED\tCMED\tVBN\tI-NP\tO' +p100696 +aS'CCU\tCCU\tNN\tI-NP\tO' +p100697 +aS'for\tfor\tIN\tB-PP\tO' +p100698 +aS'further\tfurther\tJJ\tB-NP\tO' +p100699 +aS'management\tmanagement\tNN\tI-NP\tO' +p100700 +aS'.\t.\t.\tO\tO' +p100701 +asS'There were no intra-abdominal fluid collections , which required any drainage .' +p100702 +(lp100703 +S'There\tThere\tEX\tB-NP\tO' +p100704 +aS'were\tbe\tVBD\tB-VP\tO' +p100705 +aS'no\tno\tDT\tB-NP\tO' +p100706 +aS'intra-abdominal\tintra-abdominal\tJJ\tI-NP\tO' +p100707 +aS'fluid\tfluid\tNN\tI-NP\tO' +p100708 +aS'collections\tcollection\tNNS\tI-NP\tO' +p100709 +aS',\t,\t,\tO\tO' +p100710 +aS'which\twhich\tWDT\tB-NP\tO' +p100711 +aS'required\trequire\tVBD\tB-VP\tO' +p100712 +aS'any\tany\tDT\tB-NP\tO' +p100713 +aS'drainage\tdrainage\tNN\tI-NP\tO' +p100714 +aS'.\t.\t.\tO\tO' +p100715 +asS'COMPARISON : None .' +p100716 +(lp100717 +S'COMPARISON\tCOMPARISON\tNN\tB-NP\tO' +p100718 +aS':\t:\t:\tO\tO' +p100719 +aS'None\tNone\tNN\tB-NP\tO' +p100720 +aS'.\t.\t.\tO\tO' +p100721 +asS'At that time , he also began radiation therapy to his lumbosacral spine .' +p100722 +(lp100723 +S'At\tAt\tIN\tB-PP\tO' +p100724 +aS'that\tthat\tDT\tB-NP\tO' +p100725 +aS'time\ttime\tNN\tI-NP\tO' +p100726 +aS',\t,\t,\tO\tO' +p100727 +aS'he\the\tPRP\tB-NP\tO' +p100728 +aS'also\talso\tRB\tB-ADVP\tO' +p100729 +aS'began\tbegin\tVBD\tB-VP\tO' +p100730 +aS'radiation\tradiation\tNN\tB-NP\tO' +p100731 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p100732 +aS'to\tto\tTO\tB-PP\tO' +p100733 +aS'his\this\tPRP$\tB-NP\tO' +p100734 +aS'lumbosacral\tlumbosacral\tJJ\tI-NP\tO' +p100735 +aS'spine\tspine\tNN\tI-NP\tO' +p100736 +aS'.\t.\t.\tO\tO' +p100737 +asS'Extreme damage was reported to the vehicle by first responders .' +p100738 +(lp100739 +S'Extreme\tExtreme\tJJ\tB-NP\tO' +p100740 +aS'damage\tdamage\tNN\tI-NP\tO' +p100741 +aS'was\tbe\tVBD\tB-VP\tO' +p100742 +aS'reported\treport\tVBN\tI-VP\tO' +p100743 +aS'to\tto\tTO\tB-PP\tO' +p100744 +aS'the\tthe\tDT\tB-NP\tO' +p100745 +aS'vehicle\tvehicle\tNN\tI-NP\tO' +p100746 +aS'by\tby\tIN\tB-PP\tO' +p100747 +aS'first\tfirst\tJJ\tB-NP\tO' +p100748 +aS'responders\tresponder\tNNS\tI-NP\tO' +p100749 +aS'.\t.\t.\tO\tO' +p100750 +asS'This was felt to be consistent with thrombotic thrombocytopenic purpura and on June 20 , 1998 , she was started on daily plasma exchange which continued through July 27 , 1999 .' +p100751 +(lp100752 +S'This\tThis\tDT\tB-NP\tO' +p100753 +aS'was\tbe\tVBD\tB-VP\tO' +p100754 +aS'felt\tfeel\tVBN\tI-VP\tO' +p100755 +aS'to\tto\tTO\tI-VP\tO' +p100756 +aS'be\tbe\tVB\tI-VP\tO' +p100757 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p100758 +aS'with\twith\tIN\tB-PP\tO' +p100759 +aS'thrombotic\tthrombotic\tJJ\tB-NP\tB-protein' +p100760 +aS'thrombocytopenic\tthrombocytopenic\tJJ\tI-NP\tI-protein' +p100761 +aS'purpura\tpurpura\tNN\tI-NP\tI-protein' +p100762 +aS'and\tand\tCC\tB-PP\tO' +p100763 +aS'on\ton\tIN\tB-PP\tO' +p100764 +aS'June\tJune\tNNP\tB-NP\tO' +p100765 +aS'20\t20\tCD\tI-NP\tO' +p100766 +aS',\t,\t,\tI-NP\tO' +p100767 +aS'1998\t1998\tCD\tI-NP\tO' +p100768 +aS',\t,\t,\tO\tO' +p100769 +aS'she\tshe\tPRP\tB-NP\tO' +p100770 +aS'was\tbe\tVBD\tB-VP\tO' +p100771 +aS'started\tstart\tVBN\tI-VP\tO' +p100772 +aS'on\ton\tIN\tB-PP\tO' +p100773 +aS'daily\tdaily\tJJ\tB-NP\tO' +p100774 +aS'plasma\tplasma\tNN\tI-NP\tO' +p100775 +aS'exchange\texchange\tNN\tI-NP\tO' +p100776 +aS'which\twhich\tWDT\tB-NP\tO' +p100777 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p100778 +aS'through\tthrough\tIN\tB-PP\tO' +p100779 +aS'July\tJuly\tNNP\tB-NP\tO' +p100780 +aS'27\t27\tCD\tI-NP\tO' +p100781 +aS',\t,\t,\tI-NP\tO' +p100782 +aS'1999\t1999\tCD\tI-NP\tO' +p100783 +aS'.\t.\t.\tO\tO' +p100784 +asS'This was followed by an abdominal CT which showed an enlarged spleen , a lytic lesion on the right iliac bone and a benign renal cyst .' +p100785 +(lp100786 +S'This\tThis\tDT\tB-NP\tO' +p100787 +aS'was\tbe\tVBD\tB-VP\tO' +p100788 +aS'followed\tfollow\tVBN\tI-VP\tO' +p100789 +aS'by\tby\tIN\tB-PP\tO' +p100790 +aS'an\tan\tDT\tB-NP\tO' +p100791 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p100792 +aS'CT\tCT\tNN\tI-NP\tO' +p100793 +aS'which\twhich\tWDT\tB-NP\tO' +p100794 +aS'showed\tshow\tVBD\tB-VP\tO' +p100795 +aS'an\tan\tDT\tB-NP\tO' +p100796 +aS'enlarged\tenlarged\tJJ\tI-NP\tO' +p100797 +aS'spleen\tspleen\tNN\tI-NP\tO' +p100798 +aS',\t,\t,\tO\tO' +p100799 +aS'a\ta\tDT\tB-NP\tO' +p100800 +aS'lytic\tlytic\tJJ\tI-NP\tO' +p100801 +aS'lesion\tlesion\tNN\tI-NP\tO' +p100802 +aS'on\ton\tIN\tB-PP\tO' +p100803 +aS'the\tthe\tDT\tB-NP\tO' +p100804 +aS'right\tright\tJJ\tI-NP\tO' +p100805 +aS'iliac\tiliac\tJJ\tI-NP\tO' +p100806 +aS'bone\tbone\tNN\tI-NP\tO' +p100807 +aS'and\tand\tCC\tO\tO' +p100808 +aS'a\ta\tDT\tB-NP\tO' +p100809 +aS'benign\tbenign\tJJ\tI-NP\tO' +p100810 +aS'renal\trenal\tJJ\tI-NP\tO' +p100811 +aS'cyst\tcyst\tNN\tI-NP\tO' +p100812 +aS'.\t.\t.\tO\tO' +p100813 +asS'On post-op day one chest tubes were removed and beta blockers and diuretics were initiated .' +p100814 +(lp100815 +S'On\tOn\tIN\tB-PP\tO' +p100816 +aS'post-op\tpost-op\tJJ\tB-NP\tO' +p100817 +aS'day\tday\tNN\tI-NP\tO' +p100818 +aS'one\tone\tCD\tB-NP\tO' +p100819 +aS'chest\tchest\tNN\tI-NP\tO' +p100820 +aS'tubes\ttube\tNNS\tI-NP\tO' +p100821 +aS'were\tbe\tVBD\tB-VP\tO' +p100822 +aS'removed\tremove\tVBN\tI-VP\tO' +p100823 +aS'and\tand\tCC\tO\tO' +p100824 +aS'beta\tbeta\tNN\tB-NP\tO' +p100825 +aS'blockers\tblocker\tNNS\tI-NP\tO' +p100826 +aS'and\tand\tCC\tI-NP\tO' +p100827 +aS'diuretics\tdiuretic\tNNS\tI-NP\tO' +p100828 +aS'were\tbe\tVBD\tB-VP\tO' +p100829 +aS'initiated\tinitiate\tVBN\tI-VP\tO' +p100830 +aS'.\t.\t.\tO\tO' +p100831 +asS'He was fed with a bottle occasionally by his dad and had a vigorous suck and was noted to have some discoordination of his suck while breathing at the initial onset of feeding time .' +p100832 +(lp100833 +S'He\tHe\tPRP\tB-NP\tO' +p100834 +aS'was\tbe\tVBD\tB-VP\tO' +p100835 +aS'fed\tfeed\tVBN\tI-VP\tO' +p100836 +aS'with\twith\tIN\tB-PP\tO' +p100837 +aS'a\ta\tDT\tB-NP\tO' +p100838 +aS'bottle\tbottle\tNN\tI-NP\tO' +p100839 +aS'occasionally\toccasionally\tRB\tB-ADVP\tO' +p100840 +aS'by\tby\tIN\tB-PP\tO' +p100841 +aS'his\this\tPRP$\tB-NP\tO' +p100842 +aS'dad\tdad\tNN\tI-NP\tO' +p100843 +aS'and\tand\tCC\tO\tO' +p100844 +aS'had\thave\tVBD\tB-VP\tO' +p100845 +aS'a\ta\tDT\tB-NP\tO' +p100846 +aS'vigorous\tvigorous\tJJ\tI-NP\tO' +p100847 +aS'suck\tsuck\tNN\tI-NP\tO' +p100848 +aS'and\tand\tCC\tO\tO' +p100849 +aS'was\tbe\tVBD\tB-VP\tO' +p100850 +aS'noted\tnote\tVBN\tI-VP\tO' +p100851 +aS'to\tto\tTO\tI-VP\tO' +p100852 +aS'have\thave\tVB\tI-VP\tO' +p100853 +aS'some\tsome\tDT\tB-NP\tO' +p100854 +aS'discoordination\tdiscoordination\tNN\tI-NP\tO' +p100855 +aS'of\tof\tIN\tB-PP\tO' +p100856 +aS'his\this\tPRP$\tB-NP\tO' +p100857 +aS'suck\tsuck\tNN\tI-NP\tO' +p100858 +aS'while\twhile\tIN\tB-SBAR\tO' +p100859 +aS'breathing\tbreathing\tNN\tB-NP\tO' +p100860 +aS'at\tat\tIN\tB-PP\tO' +p100861 +aS'the\tthe\tDT\tB-NP\tO' +p100862 +aS'initial\tinitial\tJJ\tI-NP\tO' +p100863 +aS'onset\tonset\tNN\tI-NP\tO' +p100864 +aS'of\tof\tIN\tB-PP\tO' +p100865 +aS'feeding\tfeeding\tNN\tB-NP\tO' +p100866 +aS'time\ttime\tNN\tI-NP\tO' +p100867 +aS'.\t.\t.\tO\tO' +p100868 +asS'A small polyp was found in the fundus which stigmata of old bleeding ; an Endoclip was applied to this .' +p100869 +(lp100870 +S'A\tA\tDT\tB-NP\tO' +p100871 +aS'small\tsmall\tJJ\tI-NP\tO' +p100872 +aS'polyp\tpolyp\tNN\tI-NP\tO' +p100873 +aS'was\tbe\tVBD\tB-VP\tO' +p100874 +aS'found\tfind\tVBN\tI-VP\tO' +p100875 +aS'in\tin\tIN\tB-PP\tO' +p100876 +aS'the\tthe\tDT\tB-NP\tO' +p100877 +aS'fundus\tfundus\tNN\tI-NP\tO' +p100878 +aS'which\twhich\tWDT\tB-NP\tO' +p100879 +aS'stigmata\tstigma\tNNS\tI-NP\tO' +p100880 +aS'of\tof\tIN\tB-PP\tO' +p100881 +aS'old\told\tJJ\tB-NP\tO' +p100882 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p100883 +aS';\t;\t:\tO\tO' +p100884 +aS'an\tan\tDT\tB-NP\tO' +p100885 +aS'Endoclip\tEndoclip\tNNP\tI-NP\tO' +p100886 +aS'was\tbe\tVBD\tB-VP\tO' +p100887 +aS'applied\tapply\tVBN\tI-VP\tO' +p100888 +aS'to\tto\tTO\tB-PP\tO' +p100889 +aS'this\tthis\tDT\tB-NP\tO' +p100890 +aS'.\t.\t.\tO\tO' +p100891 +asS'Vancomycin , Flagyl , and Aztreonam were given for gram negative Coccobacilli ( later identified as Bacteroides ) that had grown in his blood cultures and gram negative rods ( Enterobacter ) in his peritoneal fluid .' +p100892 +(lp100893 +S'Vancomycin\tVancomycin\tNN\tB-NP\tO' +p100894 +aS',\t,\t,\tO\tO' +p100895 +aS'Flagyl\tFlagyl\tNN\tB-NP\tO' +p100896 +aS',\t,\t,\tO\tO' +p100897 +aS'and\tand\tCC\tO\tO' +p100898 +aS'Aztreonam\tAztreonam\tNN\tB-NP\tO' +p100899 +aS'were\tbe\tVBD\tB-VP\tO' +p100900 +aS'given\tgive\tVBN\tI-VP\tO' +p100901 +aS'for\tfor\tIN\tB-PP\tO' +p100902 +aS'gram\tgram\tNN\tB-NP\tO' +p100903 +aS'negative\tnegative\tJJ\tI-NP\tO' +p100904 +aS'Coccobacilli\tCoccobacilli\tNNP\tI-NP\tO' +p100905 +aS'(\t(\t(\tO\tO' +p100906 +aS'later\tlater\tRB\tB-VP\tO' +p100907 +aS'identified\tidentify\tVBN\tI-VP\tO' +p100908 +aS'as\tas\tIN\tB-PP\tO' +p100909 +aS'Bacteroides\tBacteroide\tNNS\tB-NP\tO' +p100910 +aS')\t)\t)\tO\tO' +p100911 +aS'that\tthat\tWDT\tB-NP\tO' +p100912 +aS'had\thave\tVBD\tB-VP\tO' +p100913 +aS'grown\tgrow\tVBN\tI-VP\tO' +p100914 +aS'in\tin\tIN\tB-PP\tO' +p100915 +aS'his\this\tPRP$\tB-NP\tB-cell_line' +p100916 +aS'blood\tblood\tNN\tI-NP\tI-cell_line' +p100917 +aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' +p100918 +aS'and\tand\tCC\tO\tO' +p100919 +aS'gram\tgram\tNN\tB-NP\tO' +p100920 +aS'negative\tnegative\tJJ\tI-NP\tO' +p100921 +aS'rods\trod\tNNS\tI-NP\tO' +p100922 +aS'(\t(\t(\tO\tO' +p100923 +aS'Enterobacter\tEnterobacter\tNN\tB-NP\tO' +p100924 +aS')\t)\t)\tO\tO' +p100925 +aS'in\tin\tIN\tB-PP\tO' +p100926 +aS'his\this\tPRP$\tB-NP\tO' +p100927 +aS'peritoneal\tperitoneal\tJJ\tI-NP\tO' +p100928 +aS'fluid\tfluid\tNN\tI-NP\tO' +p100929 +aS'.\t.\t.\tO\tO' +p100930 +asS'Her left pupil was 7 mm reacting to 5 mm .' +p100931 +(lp100932 +S'Her\tHer\tPRP$\tB-NP\tO' +p100933 +aS'left\tleft\tJJ\tI-NP\tO' +p100934 +aS'pupil\tpupil\tNN\tI-NP\tO' +p100935 +aS'was\tbe\tVBD\tB-VP\tO' +p100936 +aS'7\t7\tCD\tB-NP\tO' +p100937 +aS'mm\tmm\tNN\tI-NP\tO' +p100938 +aS'reacting\treact\tVBG\tB-VP\tO' +p100939 +aS'to\tto\tTO\tB-PP\tO' +p100940 +aS'5\t5\tCD\tB-NP\tO' +p100941 +aS'mm\tmm\tNN\tI-NP\tO' +p100942 +aS'.\t.\t.\tO\tO' +p100943 +asS'The tongue was midline and uvula was midline as well .' +p100944 +(lp100945 +S'The\tThe\tDT\tB-NP\tO' +p100946 +aS'tongue\ttongue\tNN\tI-NP\tO' +p100947 +aS'was\tbe\tVBD\tB-VP\tO' +p100948 +aS'midline\tmidline\tNN\tB-NP\tO' +p100949 +aS'and\tand\tCC\tI-NP\tO' +p100950 +aS'uvula\tuvula\tNN\tI-NP\tO' +p100951 +aS'was\tbe\tVBD\tB-VP\tO' +p100952 +aS'midline\tmidline\tNN\tB-NP\tO' +p100953 +aS'as\tas\tRB\tB-ADVP\tO' +p100954 +aS'well\twell\tRB\tI-ADVP\tO' +p100955 +aS'.\t.\t.\tO\tO' +p100956 +asS'Right not palpable , left absent' +p100957 +(lp100958 +S'Right\tRight\tRB\tB-ADVP\tO' +p100959 +aS'not\tnot\tRB\tO\tO' +p100960 +aS'palpable\tpalpable\tJJ\tB-ADJP\tO' +p100961 +aS',\t,\t,\tO\tO' +p100962 +aS'left\tleave\tVBD\tB-VP\tO' +p100963 +aS'absent\tabsent\tJJ\tB-NP\tO' +p100964 +asS'She was initially maintained on D5W , which was increased to D10W as the patient was persistently borderline hypoglycemic while on insulin drip .' +p100965 +(lp100966 +S'She\tShe\tPRP\tB-NP\tO' +p100967 +aS'was\tbe\tVBD\tB-VP\tO' +p100968 +aS'initially\tinitially\tRB\tI-VP\tO' +p100969 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p100970 +aS'on\ton\tIN\tB-PP\tO' +p100971 +aS'D5W\tD5W\tNN\tB-NP\tB-protein' +p100972 +aS',\t,\t,\tO\tO' +p100973 +aS'which\twhich\tWDT\tB-NP\tO' +p100974 +aS'was\tbe\tVBD\tB-VP\tO' +p100975 +aS'increased\tincrease\tVBN\tI-VP\tO' +p100976 +aS'to\tto\tTO\tB-PP\tO' +p100977 +aS'D10W\tD10W\tNN\tB-NP\tB-protein' +p100978 +aS'as\tas\tIN\tB-PP\tO' +p100979 +aS'the\tthe\tDT\tB-NP\tO' +p100980 +aS'patient\tpatient\tNN\tI-NP\tO' +p100981 +aS'was\tbe\tVBD\tB-VP\tO' +p100982 +aS'persistently\tpersistently\tRB\tB-ADVP\tO' +p100983 +aS'borderline\tborderline\tJJ\tB-NP\tO' +p100984 +aS'hypoglycemic\thypoglycemic\tJJ\tI-NP\tO' +p100985 +aS'while\twhile\tNN\tI-NP\tO' +p100986 +aS'on\ton\tIN\tB-PP\tO' +p100987 +aS'insulin\tinsulin\tNN\tB-NP\tB-protein' +p100988 +aS'drip\tdrip\tNN\tI-NP\tI-protein' +p100989 +aS'.\t.\t.\tO\tO' +p100990 +asS'The tone is markedly increased in bot legs with left greater than right .' +p100991 +(lp100992 +S'The\tThe\tDT\tB-NP\tO' +p100993 +aS'tone\ttone\tNN\tI-NP\tO' +p100994 +aS'is\tbe\tVBZ\tB-VP\tO' +p100995 +aS'markedly\tmarkedly\tRB\tI-VP\tO' +p100996 +aS'increased\tincrease\tVBN\tI-VP\tO' +p100997 +aS'in\tin\tIN\tB-PP\tO' +p100998 +aS'bot\tbot\tNN\tB-NP\tO' +p100999 +aS'legs\tleg\tNNS\tI-NP\tO' +p101000 +aS'with\twith\tIN\tB-PP\tO' +p101001 +aS'left\tleave\tVBN\tB-VP\tO' +p101002 +aS'greater\tgreat\tJJR\tB-ADJP\tO' +p101003 +aS'than\tthan\tIN\tB-PP\tO' +p101004 +aS'right\tright\tJJ\tB-ADJP\tO' +p101005 +aS'.\t.\t.\tO\tO' +p101006 +asS'TETRACYCLINE .' +p101007 +(lp101008 +S'TETRACYCLINE\tTETRACYCLINE\tNN\tB-NP\tO' +p101009 +aS'.\t.\t.\tO\tO' +p101010 +asS'Her blood pressure at the time of this incident was in the range of 200/120 .' +p101011 +(lp101012 +S'Her\tHer\tPRP$\tB-NP\tO' +p101013 +aS'blood\tblood\tNN\tI-NP\tO' +p101014 +aS'pressure\tpressure\tNN\tI-NP\tO' +p101015 +aS'at\tat\tIN\tB-PP\tO' +p101016 +aS'the\tthe\tDT\tB-NP\tO' +p101017 +aS'time\ttime\tNN\tI-NP\tO' +p101018 +aS'of\tof\tIN\tB-PP\tO' +p101019 +aS'this\tthis\tDT\tB-NP\tO' +p101020 +aS'incident\tincident\tNN\tI-NP\tO' +p101021 +aS'was\tbe\tVBD\tB-VP\tO' +p101022 +aS'in\tin\tIN\tB-PP\tO' +p101023 +aS'the\tthe\tDT\tB-NP\tO' +p101024 +aS'range\trange\tNN\tI-NP\tO' +p101025 +aS'of\tof\tIN\tB-PP\tO' +p101026 +aS'200/120\t200/120\tCD\tB-NP\tO' +p101027 +aS'.\t.\t.\tO\tO' +p101028 +asS'On 10/3/01 , the patient had a repeat head and neck CT , which showed a right parotitis and left submandibular lymphadenopathy with some necrosis .' +p101029 +(lp101030 +S'On\tOn\tIN\tB-PP\tO' +p101031 +aS'10/3/01\t10/3/01\tCD\tB-NP\tO' +p101032 +aS',\t,\t,\tO\tO' +p101033 +aS'the\tthe\tDT\tB-NP\tO' +p101034 +aS'patient\tpatient\tNN\tI-NP\tO' +p101035 +aS'had\thave\tVBD\tB-VP\tO' +p101036 +aS'a\ta\tDT\tB-NP\tO' +p101037 +aS'repeat\trepeat\tNN\tI-NP\tO' +p101038 +aS'head\thead\tNN\tI-NP\tO' +p101039 +aS'and\tand\tCC\tO\tO' +p101040 +aS'neck\tneck\tNN\tB-NP\tO' +p101041 +aS'CT\tCT\tNN\tI-NP\tO' +p101042 +aS',\t,\t,\tO\tO' +p101043 +aS'which\twhich\tWDT\tB-NP\tO' +p101044 +aS'showed\tshow\tVBD\tB-VP\tO' +p101045 +aS'a\ta\tDT\tB-NP\tO' +p101046 +aS'right\tright\tJJ\tI-NP\tO' +p101047 +aS'parotitis\tparotitis\tNN\tI-NP\tO' +p101048 +aS'and\tand\tCC\tO\tO' +p101049 +aS'left\tleave\tVBD\tB-VP\tO' +p101050 +aS'submandibular\tsubmandibular\tJJ\tB-NP\tO' +p101051 +aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' +p101052 +aS'with\twith\tIN\tB-PP\tO' +p101053 +aS'some\tsome\tDT\tB-NP\tO' +p101054 +aS'necrosis\tnecrosis\tNN\tI-NP\tO' +p101055 +aS'.\t.\t.\tO\tO' +p101056 +asS'PE T97.5 P59 BP ( l ) 180/86 ( r ) 186/98 RR20 98% 2L .' +p101057 +(lp101058 +S'PE\tPE\tNN\tB-NP\tB-protein' +p101059 +aS'T97.5\tT97.5\tNN\tI-NP\tI-protein' +p101060 +aS'P59\tP59\tNN\tI-NP\tI-protein' +p101061 +aS'BP\tBP\tNN\tI-NP\tI-protein' +p101062 +aS'(\t(\t(\tO\tI-protein' +p101063 +aS'l\tl\tNN\tB-NP\tI-protein' +p101064 +aS')\t)\t)\tO\tI-protein' +p101065 +aS'180/86\t180/86\tCD\tB-NP\tI-protein' +p101066 +aS'(\t(\t(\tO\tO' +p101067 +aS'r\tr\tNN\tB-NP\tO' +p101068 +aS')\t)\t)\tO\tO' +p101069 +aS'186/98\t186/98\tCD\tB-NP\tO' +p101070 +aS'RR20\tRR20\tNN\tI-NP\tO' +p101071 +aS'98%\t98%\tNN\tI-NP\tO' +p101072 +aS'2L\t2L\tNN\tI-NP\tO' +p101073 +aS'.\t.\t.\tO\tO' +p101074 +asS'He continued to manifest occasional premature ventricular contractions , but these were unchanged from preoperatively and the patient otherwise did well .' +p101075 +(lp101076 +S'He\tHe\tPRP\tB-NP\tO' +p101077 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p101078 +aS'to\tto\tTO\tI-VP\tO' +p101079 +aS'manifest\tmanifest\tVB\tI-VP\tO' +p101080 +aS'occasional\toccasional\tJJ\tB-NP\tO' +p101081 +aS'premature\tpremature\tJJ\tI-NP\tO' +p101082 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p101083 +aS'contractions\tcontraction\tNNS\tI-NP\tO' +p101084 +aS',\t,\t,\tO\tO' +p101085 +aS'but\tbut\tCC\tO\tO' +p101086 +aS'these\tthese\tDT\tB-NP\tO' +p101087 +aS'were\tbe\tVBD\tB-VP\tO' +p101088 +aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' +p101089 +aS'from\tfrom\tIN\tB-PP\tO' +p101090 +aS'preoperatively\tpreoperatively\tRB\tB-NP\tO' +p101091 +aS'and\tand\tCC\tO\tO' +p101092 +aS'the\tthe\tDT\tB-NP\tO' +p101093 +aS'patient\tpatient\tNN\tI-NP\tO' +p101094 +aS'otherwise\totherwise\tRB\tB-ADVP\tO' +p101095 +aS'did\tdo\tVBD\tB-VP\tO' +p101096 +aS'well\twell\tRB\tB-ADVP\tO' +p101097 +aS'.\t.\t.\tO\tO' +p101098 +asS'Infant was advanced to maximum caloric density of breast milk or premature Enfamil 26 calories per ounce with ProMod by day of life 11 .' +p101099 +(lp101100 +S'Infant\tInfant\tNN\tB-NP\tO' +p101101 +aS'was\tbe\tVBD\tB-VP\tO' +p101102 +aS'advanced\tadvance\tVBN\tI-VP\tO' +p101103 +aS'to\tto\tTO\tB-PP\tO' +p101104 +aS'maximum\tmaximum\tJJ\tB-NP\tO' +p101105 +aS'caloric\tcaloric\tJJ\tI-NP\tO' +p101106 +aS'density\tdensity\tNN\tI-NP\tO' +p101107 +aS'of\tof\tIN\tB-PP\tO' +p101108 +aS'breast\tbreast\tNN\tB-NP\tO' +p101109 +aS'milk\tmilk\tNN\tI-NP\tO' +p101110 +aS'or\tor\tCC\tO\tO' +p101111 +aS'premature\tpremature\tJJ\tB-NP\tO' +p101112 +aS'Enfamil\tEnfamil\tNN\tI-NP\tO' +p101113 +aS'26\t26\tCD\tB-NP\tO' +p101114 +aS'calories\tcalorie\tNNS\tI-NP\tO' +p101115 +aS'per\tper\tIN\tB-PP\tO' +p101116 +aS'ounce\tounce\tNN\tB-NP\tO' +p101117 +aS'with\twith\tIN\tB-PP\tO' +p101118 +aS'ProMod\tProMod\tNN\tB-NP\tO' +p101119 +aS'by\tby\tIN\tB-PP\tO' +p101120 +aS'day\tday\tNN\tB-NP\tO' +p101121 +aS'of\tof\tIN\tB-PP\tO' +p101122 +aS'life\tlife\tNN\tB-NP\tB-protein' +p101123 +aS'11\t11\tCD\tI-NP\tI-protein' +p101124 +aS'.\t.\t.\tO\tO' +p101125 +asS'The patient will follow up with his oncologist .' +p101126 +(lp101127 +S'The\tThe\tDT\tB-NP\tO' +p101128 +aS'patient\tpatient\tNN\tI-NP\tO' +p101129 +aS'will\twill\tMD\tB-VP\tO' +p101130 +aS'follow\tfollow\tVB\tI-VP\tO' +p101131 +aS'up\tup\tRP\tB-PRT\tO' +p101132 +aS'with\twith\tIN\tB-PP\tO' +p101133 +aS'his\this\tPRP$\tB-NP\tO' +p101134 +aS'oncologist\toncologist\tNN\tI-NP\tO' +p101135 +aS'.\t.\t.\tO\tO' +p101136 +asS'Because of poor compliance with the gait examination it was very difficult to assess changing gait post lumbar puncture .' +p101137 +(lp101138 +S'Because\tBecause\tIN\tB-PP\tO' +p101139 +aS'of\tof\tIN\tI-PP\tO' +p101140 +aS'poor\tpoor\tJJ\tB-NP\tO' +p101141 +aS'compliance\tcompliance\tNN\tI-NP\tO' +p101142 +aS'with\twith\tIN\tB-PP\tO' +p101143 +aS'the\tthe\tDT\tB-NP\tO' +p101144 +aS'gait\tgait\tNN\tI-NP\tO' +p101145 +aS'examination\texamination\tNN\tI-NP\tO' +p101146 +aS'it\tit\tPRP\tB-NP\tO' +p101147 +aS'was\tbe\tVBD\tB-VP\tO' +p101148 +aS'very\tvery\tRB\tB-ADJP\tO' +p101149 +aS'difficult\tdifficult\tJJ\tI-ADJP\tO' +p101150 +aS'to\tto\tTO\tB-VP\tO' +p101151 +aS'assess\tassess\tVB\tI-VP\tO' +p101152 +aS'changing\tchange\tVBG\tB-NP\tO' +p101153 +aS'gait\tgait\tNN\tI-NP\tO' +p101154 +aS'post\tpost\tNN\tI-NP\tO' +p101155 +aS'lumbar\tlumbar\tNN\tI-NP\tO' +p101156 +aS'puncture\tpuncture\tNN\tI-NP\tO' +p101157 +aS'.\t.\t.\tO\tO' +p101158 +asS'PRINCIPAL DISCHARGE DIAGNOSIS ; Responsible After Study for Causing Admission ) pp' +p101159 +(lp101160 +S'PRINCIPAL\tPRINCIPAL\tJJ\tB-NP\tO' +p101161 +aS'DISCHARGE\tDISCHARGE\tNN\tI-NP\tO' +p101162 +aS'DIAGNOSIS\tDIAGNOSIS\tNN\tI-NP\tO' +p101163 +aS';\t;\t:\tO\tO' +p101164 +aS'Responsible\tResponsible\tJJ\tB-ADJP\tO' +p101165 +aS'After\tAfter\tIN\tB-PP\tO' +p101166 +aS'Study\tStudy\tNN\tB-NP\tO' +p101167 +aS'for\tfor\tIN\tB-PP\tO' +p101168 +aS'Causing\tCause\tVBG\tB-VP\tO' +p101169 +aS'Admission\tAdmission\tNN\tB-NP\tO' +p101170 +aS')\t)\t)\tO\tO' +p101171 +aS'pp\tpp\tNN\tB-NP\tO' +p101172 +asS'2. Moderately elevated right and left sided filling pressures .' +p101173 +(lp101174 +S'2.\t2.\tLS\tB-NP\tO' +p101175 +aS'Moderately\tModerately\tRB\tI-NP\tO' +p101176 +aS'elevated\televated\tJJ\tI-NP\tO' +p101177 +aS'right\tright\tJJ\tI-NP\tO' +p101178 +aS'and\tand\tCC\tI-NP\tO' +p101179 +aS'left\tleft\tJJ\tI-NP\tO' +p101180 +aS'sided\tside\tVBD\tB-VP\tO' +p101181 +aS'filling\tfill\tVBG\tB-NP\tO' +p101182 +aS'pressures\tpressure\tNNS\tI-NP\tO' +p101183 +aS'.\t.\t.\tO\tO' +p101184 +asS'14. Zocor 60 mg q. day .' +p101185 +(lp101186 +S'14.\t14.\tCD\tB-NP\tO' +p101187 +aS'Zocor\tZocor\tNNP\tI-NP\tO' +p101188 +aS'60\t60\tCD\tI-NP\tO' +p101189 +aS'mg\tmg\tNN\tI-NP\tO' +p101190 +aS'q.\tq.\tNN\tI-NP\tO' +p101191 +aS'day\tday\tNN\tI-NP\tO' +p101192 +aS'.\t.\t.\tO\tO' +p101193 +asS'The heart rate was 53 to 106 .' +p101194 +(lp101195 +S'The\tThe\tDT\tB-NP\tO' +p101196 +aS'heart\theart\tNN\tI-NP\tO' +p101197 +aS'rate\trate\tNN\tI-NP\tO' +p101198 +aS'was\tbe\tVBD\tB-VP\tO' +p101199 +aS'53\t53\tCD\tB-NP\tO' +p101200 +aS'to\tto\tTO\tB-PP\tO' +p101201 +aS'106\t106\tCD\tB-NP\tO' +p101202 +aS'.\t.\t.\tO\tO' +p101203 +asS'She was later continued on Ceftazidine and Clindamycin for possible gram negative infection and also for possible post obstructive picture that she would be at risk for given her pulmonary anatomy .' +p101204 +(lp101205 +S'She\tShe\tPRP\tB-NP\tO' +p101206 +aS'was\tbe\tVBD\tB-VP\tO' +p101207 +aS'later\tlater\tRB\tI-VP\tO' +p101208 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p101209 +aS'on\ton\tIN\tB-PP\tO' +p101210 +aS'Ceftazidine\tCeftazidine\tNN\tB-NP\tO' +p101211 +aS'and\tand\tCC\tI-NP\tO' +p101212 +aS'Clindamycin\tClindamycin\tNN\tI-NP\tO' +p101213 +aS'for\tfor\tIN\tB-PP\tO' +p101214 +aS'possible\tpossible\tJJ\tB-NP\tO' +p101215 +aS'gram\tgram\tNN\tI-NP\tO' +p101216 +aS'negative\tnegative\tJJ\tI-NP\tO' +p101217 +aS'infection\tinfection\tNN\tI-NP\tO' +p101218 +aS'and\tand\tCC\tO\tO' +p101219 +aS'also\talso\tRB\tB-ADVP\tO' +p101220 +aS'for\tfor\tIN\tB-PP\tO' +p101221 +aS'possible\tpossible\tJJ\tB-NP\tO' +p101222 +aS'post\tpost\tNN\tI-NP\tO' +p101223 +aS'obstructive\tobstructive\tJJ\tI-NP\tO' +p101224 +aS'picture\tpicture\tNN\tI-NP\tO' +p101225 +aS'that\tthat\tIN\tB-SBAR\tO' +p101226 +aS'she\tshe\tPRP\tB-NP\tO' +p101227 +aS'would\twould\tMD\tB-VP\tO' +p101228 +aS'be\tbe\tVB\tI-VP\tO' +p101229 +aS'at\tat\tIN\tB-PP\tO' +p101230 +aS'risk\trisk\tNN\tB-NP\tO' +p101231 +aS'for\tfor\tIN\tB-PP\tO' +p101232 +aS'given\tgive\tVBN\tB-PP\tO' +p101233 +aS'her\ther\tPRP$\tB-NP\tO' +p101234 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p101235 +aS'anatomy\tanatomy\tNN\tI-NP\tO' +p101236 +aS'.\t.\t.\tO\tO' +p101237 +asS'Sodium 139 ; potassium 4.1 ; BUN 15 ; creatinine 1.1 ; magnesium 1.6 ; SGPT 19 ; SGOT 20 ; alkaline phosphatase 66 ; total bilirubin 0.6 ; direct bilirubin 0.2 ; total cholesterol 234 ; triglycerides 274 ; HDL 44 ; LDL 135 ; hemoglobin A1c 6.7 ; white cell count 6.1 ; hematocrit 36.4 ; platelet count 201 .' +p101238 +(lp101239 +S'Sodium\tSodium\tNN\tB-NP\tO' +p101240 +aS'139\t139\tCD\tI-NP\tO' +p101241 +aS';\t;\t:\tO\tO' +p101242 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p101243 +aS'4.1\t4.1\tCD\tI-NP\tO' +p101244 +aS';\t;\t:\tO\tO' +p101245 +aS'BUN\tBUN\tNNP\tB-NP\tO' +p101246 +aS'15\t15\tCD\tI-NP\tO' +p101247 +aS';\t;\t:\tO\tO' +p101248 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p101249 +aS'1.1\t1.1\tCD\tI-NP\tO' +p101250 +aS';\t;\t:\tO\tO' +p101251 +aS'magnesium\tmagnesium\tNN\tB-NP\tO' +p101252 +aS'1.6\t1.6\tCD\tI-NP\tO' +p101253 +aS';\t;\t:\tO\tO' +p101254 +aS'SGPT\tSGPT\tNN\tB-NP\tO' +p101255 +aS'19\t19\tCD\tI-NP\tO' +p101256 +aS';\t;\t:\tO\tO' +p101257 +aS'SGOT\tSGOT\tNN\tB-NP\tO' +p101258 +aS'20\t20\tCD\tI-NP\tO' +p101259 +aS';\t;\t:\tO\tO' +p101260 +aS'alkaline\talkaline\tNN\tB-NP\tO' +p101261 +aS'phosphatase\tphosphatase\tNN\tI-NP\tO' +p101262 +aS'66\t66\tCD\tI-NP\tO' +p101263 +aS';\t;\t:\tO\tO' +p101264 +aS'total\ttotal\tJJ\tB-NP\tO' +p101265 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p101266 +aS'0.6\t0.6\tCD\tI-NP\tO' +p101267 +aS';\t;\t:\tO\tO' +p101268 +aS'direct\tdirect\tJJ\tB-NP\tO' +p101269 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p101270 +aS'0.2\t0.2\tCD\tI-NP\tO' +p101271 +aS';\t;\t:\tO\tO' +p101272 +aS'total\ttotal\tJJ\tB-NP\tO' +p101273 +aS'cholesterol\tcholesterol\tNN\tI-NP\tO' +p101274 +aS'234\t234\tCD\tI-NP\tO' +p101275 +aS';\t;\t:\tO\tO' +p101276 +aS'triglycerides\ttriglyceride\tNNS\tB-NP\tO' +p101277 +aS'274\t274\tCD\tB-NP\tO' +p101278 +aS';\t;\t:\tO\tO' +p101279 +aS'HDL\tHDL\tNN\tB-NP\tO' +p101280 +aS'44\t44\tCD\tI-NP\tO' +p101281 +aS';\t;\t:\tO\tO' +p101282 +aS'LDL\tLDL\tNN\tB-NP\tB-protein' +p101283 +aS'135\t135\tCD\tI-NP\tI-protein' +p101284 +aS';\t;\t:\tO\tO' +p101285 +aS'hemoglobin\themoglobin\tNN\tB-NP\tB-protein' +p101286 +aS'A1c\tA1c\tNN\tI-NP\tO' +p101287 +aS'6.7\t6.7\tCD\tI-NP\tO' +p101288 +aS';\t;\t:\tO\tO' +p101289 +aS'white\twhite\tJJ\tB-NP\tO' +p101290 +aS'cell\tcell\tNN\tI-NP\tO' +p101291 +aS'count\tcount\tNN\tI-NP\tO' +p101292 +aS'6.1\t6.1\tCD\tI-NP\tO' +p101293 +aS';\t;\t:\tO\tO' +p101294 +aS'hematocrit\thematocrit\tNN\tB-NP\tO' +p101295 +aS'36.4\t36.4\tCD\tI-NP\tO' +p101296 +aS';\t;\t:\tO\tO' +p101297 +aS'platelet\tplatelet\tNN\tB-NP\tO' +p101298 +aS'count\tcount\tNN\tI-NP\tO' +p101299 +aS'201\t201\tCD\tI-NP\tO' +p101300 +aS'.\t.\t.\tO\tO' +p101301 +asS'The patient was found to have 5057 E. Sixth Blvd. elevations in I , aVL , and V1 through V2 and ST depressions in II , III , and aVF .' +p101302 +(lp101303 +S'The\tThe\tDT\tB-NP\tO' +p101304 +aS'patient\tpatient\tNN\tI-NP\tO' +p101305 +aS'was\tbe\tVBD\tB-VP\tO' +p101306 +aS'found\tfind\tVBN\tI-VP\tO' +p101307 +aS'to\tto\tTO\tI-VP\tO' +p101308 +aS'have\thave\tVB\tI-VP\tO' +p101309 +aS'5057\t5057\tCD\tB-NP\tO' +p101310 +aS'E.\tE.\tNNP\tI-NP\tO' +p101311 +aS'Sixth\tSixth\tNNP\tI-NP\tO' +p101312 +aS'Blvd.\tBlvd.\tNNP\tI-NP\tO' +p101313 +aS'elevations\televation\tNNS\tI-NP\tO' +p101314 +aS'in\tin\tIN\tB-PP\tO' +p101315 +aS'I\tI\tNN\tB-NP\tO' +p101316 +aS',\t,\t,\tO\tO' +p101317 +aS'aVL\taVL\tNN\tB-NP\tO' +p101318 +aS',\t,\t,\tO\tO' +p101319 +aS'and\tand\tCC\tO\tO' +p101320 +aS'V1\tV1\tNN\tB-NP\tB-protein' +p101321 +aS'through\tthrough\tIN\tB-PP\tO' +p101322 +aS'V2\tV2\tNN\tB-NP\tB-protein' +p101323 +aS'and\tand\tCC\tI-NP\tO' +p101324 +aS'ST\tST\tNN\tI-NP\tO' +p101325 +aS'depressions\tdepression\tNNS\tI-NP\tO' +p101326 +aS'in\tin\tIN\tB-PP\tO' +p101327 +aS'II\tII\tCD\tB-NP\tO' +p101328 +aS',\t,\t,\tI-NP\tO' +p101329 +aS'III\tIII\tCD\tI-NP\tO' +p101330 +aS',\t,\t,\tO\tO' +p101331 +aS'and\tand\tCC\tO\tO' +p101332 +aS'aVF\taVF\tNN\tB-NP\tB-protein' +p101333 +aS'.\t.\t.\tO\tO' +p101334 +asS'He was closely followed from his admission through to his discharge by the renal service for his transplant issues .' +p101335 +(lp101336 +S'He\tHe\tPRP\tB-NP\tO' +p101337 +aS'was\tbe\tVBD\tB-VP\tO' +p101338 +aS'closely\tclosely\tRB\tI-VP\tO' +p101339 +aS'followed\tfollow\tVBN\tI-VP\tO' +p101340 +aS'from\tfrom\tIN\tB-PP\tO' +p101341 +aS'his\this\tPRP$\tB-NP\tO' +p101342 +aS'admission\tadmission\tNN\tI-NP\tO' +p101343 +aS'through\tthrough\tIN\tB-PP\tO' +p101344 +aS'to\tto\tTO\tB-PP\tO' +p101345 +aS'his\this\tPRP$\tB-NP\tO' +p101346 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p101347 +aS'by\tby\tIN\tB-PP\tO' +p101348 +aS'the\tthe\tDT\tB-NP\tO' +p101349 +aS'renal\trenal\tJJ\tI-NP\tO' +p101350 +aS'service\tservice\tNN\tI-NP\tO' +p101351 +aS'for\tfor\tIN\tB-PP\tO' +p101352 +aS'his\this\tPRP$\tB-NP\tO' +p101353 +aS'transplant\ttransplant\tNN\tI-NP\tO' +p101354 +aS'issues\tissue\tNNS\tI-NP\tO' +p101355 +aS'.\t.\t.\tO\tO' +p101356 +asS'7. Neurology - Normal neurologic examination .' +p101357 +(lp101358 +S'7.\t7.\tCD\tB-NP\tO' +p101359 +aS'Neurology\tNeurology\tNNP\tI-NP\tO' +p101360 +aS'-\t-\tHYPH\tI-NP\tO' +p101361 +aS'Normal\tNormal\tJJ\tI-NP\tO' +p101362 +aS'neurologic\tneurologic\tJJ\tI-NP\tO' +p101363 +aS'examination\texamination\tNN\tI-NP\tO' +p101364 +aS'.\t.\t.\tO\tO' +p101365 +asS'He had a bedside transthoracic echocardiogram done in the Cardiac Catheterization laboratory without evidence of an effusion .' +p101366 +(lp101367 +S'He\tHe\tPRP\tB-NP\tO' +p101368 +aS'had\thave\tVBD\tB-VP\tO' +p101369 +aS'a\ta\tDT\tB-NP\tO' +p101370 +aS'bedside\tbedside\tNN\tI-NP\tO' +p101371 +aS'transthoracic\ttransthoracic\tJJ\tI-NP\tO' +p101372 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p101373 +aS'done\tdo\tVBN\tB-VP\tO' +p101374 +aS'in\tin\tIN\tB-PP\tO' +p101375 +aS'the\tthe\tDT\tB-NP\tO' +p101376 +aS'Cardiac\tCardiac\tJJ\tI-NP\tO' +p101377 +aS'Catheterization\tCatheterization\tNN\tI-NP\tO' +p101378 +aS'laboratory\tlaboratory\tNN\tI-NP\tO' +p101379 +aS'without\twithout\tIN\tB-PP\tO' +p101380 +aS'evidence\tevidence\tNN\tB-NP\tO' +p101381 +aS'of\tof\tIN\tB-PP\tO' +p101382 +aS'an\tan\tDT\tB-NP\tO' +p101383 +aS'effusion\teffusion\tNN\tI-NP\tO' +p101384 +aS'.\t.\t.\tO\tO' +p101385 +asS"UPON ADMISSION , THE PATIENT WAS PRE-OP 'D AND MADE NPO / IVF ." +p101386 +(lp101387 +S'UPON\tUPON\tNN\tB-NP\tO' +p101388 +aS'ADMISSION\tADMISSION\tNN\tI-NP\tO' +p101389 +aS',\t,\t,\tO\tO' +p101390 +aS'THE\tTHE\tDT\tB-NP\tO' +p101391 +aS'PATIENT\tPATIENT\tNN\tI-NP\tO' +p101392 +aS'WAS\tWAS\tNN\tI-NP\tO' +p101393 +aS'PRE-OP\tPRE-OP\tNN\tI-NP\tO' +p101394 +aS"'D\t'D\tNN\tI-NP\tO" +p101395 +aS'AND\tAND\tCC\tI-NP\tO' +p101396 +aS'MADE\tMADE\tNN\tI-NP\tB-protein' +p101397 +aS'NPO\tNPO\tNN\tI-NP\tI-protein' +p101398 +aS'/\t/\tSYM\tB-NP\tO' +p101399 +aS'IVF\tIVF\tNN\tI-NP\tB-protein' +p101400 +aS'.\t.\t.\tO\tO' +p101401 +asS'The neck is without adenopathy .' +p101402 +(lp101403 +S'The\tThe\tDT\tB-NP\tO' +p101404 +aS'neck\tneck\tNN\tI-NP\tO' +p101405 +aS'is\tbe\tVBZ\tB-VP\tO' +p101406 +aS'without\twithout\tIN\tB-PP\tO' +p101407 +aS'adenopathy\tadenopathy\tNN\tB-NP\tO' +p101408 +aS'.\t.\t.\tO\tO' +p101409 +asS'Her ambulation and mobilization increased gradually and by the time of discharge she was walking in the halls without assistance .' +p101410 +(lp101411 +S'Her\tHer\tPRP$\tB-NP\tO' +p101412 +aS'ambulation\tambulation\tNN\tI-NP\tO' +p101413 +aS'and\tand\tCC\tI-NP\tO' +p101414 +aS'mobilization\tmobilization\tNN\tI-NP\tO' +p101415 +aS'increased\tincrease\tVBD\tB-VP\tO' +p101416 +aS'gradually\tgradually\tRB\tB-ADVP\tO' +p101417 +aS'and\tand\tCC\tO\tO' +p101418 +aS'by\tby\tIN\tB-PP\tO' +p101419 +aS'the\tthe\tDT\tB-NP\tO' +p101420 +aS'time\ttime\tNN\tI-NP\tO' +p101421 +aS'of\tof\tIN\tB-PP\tO' +p101422 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p101423 +aS'she\tshe\tPRP\tB-NP\tO' +p101424 +aS'was\tbe\tVBD\tB-VP\tO' +p101425 +aS'walking\twalk\tVBG\tI-VP\tO' +p101426 +aS'in\tin\tIN\tB-PP\tO' +p101427 +aS'the\tthe\tDT\tB-NP\tO' +p101428 +aS'halls\thall\tNNS\tI-NP\tO' +p101429 +aS'without\twithout\tIN\tB-PP\tO' +p101430 +aS'assistance\tassistance\tNN\tB-NP\tO' +p101431 +aS'.\t.\t.\tO\tO' +p101432 +asS"9. Warfarin 5 mg p.o. q.d. times four days , after which point the patient 's dosage schedule is to be coordinated by his PCP , Dr. Jerold Esqueda ." +p101433 +(lp101434 +S'9.\t9.\tCD\tB-NP\tO' +p101435 +aS'Warfarin\tWarfarin\tNNP\tI-NP\tO' +p101436 +aS'5\t5\tCD\tI-NP\tO' +p101437 +aS'mg\tmg\tNN\tI-NP\tO' +p101438 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p101439 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p101440 +aS'times\ttime\tNNS\tI-NP\tO' +p101441 +aS'four\tfour\tCD\tB-NP\tO' +p101442 +aS'days\tday\tNNS\tI-NP\tO' +p101443 +aS',\t,\t,\tO\tO' +p101444 +aS'after\tafter\tIN\tB-PP\tO' +p101445 +aS'which\twhich\tWDT\tB-NP\tO' +p101446 +aS'point\tpoint\tNN\tI-NP\tO' +p101447 +aS'the\tthe\tDT\tB-NP\tO' +p101448 +aS'patient\tpatient\tNN\tI-NP\tO' +p101449 +aS"'s\t's\tPOS\tB-NP\tO" +p101450 +aS'dosage\tdosage\tNN\tI-NP\tO' +p101451 +aS'schedule\tschedule\tNN\tI-NP\tO' +p101452 +aS'is\tbe\tVBZ\tB-VP\tO' +p101453 +aS'to\tto\tTO\tB-VP\tO' +p101454 +aS'be\tbe\tVB\tI-VP\tO' +p101455 +aS'coordinated\tcoordinate\tVBN\tI-VP\tO' +p101456 +aS'by\tby\tIN\tB-PP\tO' +p101457 +aS'his\this\tPRP$\tB-NP\tO' +p101458 +aS'PCP\tPCP\tNN\tI-NP\tB-DNA' +p101459 +aS',\t,\t,\tO\tO' +p101460 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p101461 +aS'Jerold\tJerold\tNNP\tI-NP\tO' +p101462 +aS'Esqueda\tEsqueda\tNNP\tI-NP\tO' +p101463 +aS'.\t.\t.\tO\tO' +p101464 +asS'13. Prednisone taper for 3 days .' +p101465 +(lp101466 +S'13.\t13.\tLS\tB-NP\tO' +p101467 +aS'Prednisone\tPrednisone\tNN\tI-NP\tO' +p101468 +aS'taper\ttaper\tNN\tI-NP\tO' +p101469 +aS'for\tfor\tIN\tB-PP\tO' +p101470 +aS'3\t3\tCD\tB-NP\tO' +p101471 +aS'days\tday\tNNS\tI-NP\tO' +p101472 +aS'.\t.\t.\tO\tO' +p101473 +asS'Hypertension , possible peptic ulcer disease 1959 , history of left ankle and knee fractures , 1980 .' +p101474 +(lp101475 +S'Hypertension\tHypertension\tNN\tB-NP\tO' +p101476 +aS',\t,\t,\tO\tO' +p101477 +aS'possible\tpossible\tJJ\tB-NP\tO' +p101478 +aS'peptic\tpeptic\tJJ\tI-NP\tO' +p101479 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p101480 +aS'disease\tdisease\tNN\tI-NP\tO' +p101481 +aS'1959\t1959\tCD\tB-NP\tO' +p101482 +aS',\t,\t,\tO\tO' +p101483 +aS'history\thistory\tNN\tB-NP\tO' +p101484 +aS'of\tof\tIN\tB-PP\tO' +p101485 +aS'left\tleft\tJJ\tB-NP\tO' +p101486 +aS'ankle\tankle\tNN\tI-NP\tO' +p101487 +aS'and\tand\tCC\tI-NP\tO' +p101488 +aS'knee\tknee\tNN\tI-NP\tO' +p101489 +aS'fractures\tfracture\tNNS\tI-NP\tO' +p101490 +aS',\t,\t,\tO\tO' +p101491 +aS'1980\t1980\tCD\tB-NP\tO' +p101492 +aS'.\t.\t.\tO\tO' +p101493 +asS'Coronary artery disease with MI in 1989 .' +p101494 +(lp101495 +S'Coronary\tCoronary\tJJ\tB-NP\tO' +p101496 +aS'artery\tartery\tNN\tI-NP\tO' +p101497 +aS'disease\tdisease\tNN\tI-NP\tO' +p101498 +aS'with\twith\tIN\tB-PP\tO' +p101499 +aS'MI\tMI\tNN\tB-NP\tO' +p101500 +aS'in\tin\tIN\tB-PP\tO' +p101501 +aS'1989\t1989\tCD\tB-NP\tO' +p101502 +aS'.\t.\t.\tO\tO' +p101503 +asS'syndrome ( Cr 3.3 at its worst ) which resolved prior to her discharge .' +p101504 +(lp101505 +S'syndrome\tsyndrome\tNN\tB-NP\tO' +p101506 +aS'(\t(\t(\tO\tO' +p101507 +aS'Cr\tCr\tNN\tB-NP\tO' +p101508 +aS'3.3\t3.3\tCD\tI-NP\tO' +p101509 +aS'at\tat\tIN\tB-PP\tO' +p101510 +aS'its\tits\tPRP$\tB-NP\tO' +p101511 +aS'worst\tworst\tJJS\tI-NP\tO' +p101512 +aS')\t)\t)\tO\tO' +p101513 +aS'which\twhich\tWDT\tB-NP\tO' +p101514 +aS'resolved\tresolve\tVBD\tB-VP\tO' +p101515 +aS'prior\tprior\tRB\tB-ADVP\tO' +p101516 +aS'to\tto\tTO\tB-PP\tO' +p101517 +aS'her\ther\tPRP$\tB-NP\tO' +p101518 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p101519 +aS'.\t.\t.\tO\tO' +p101520 +asS'On detailed review of systems , she admitted to one episode of urinary incontinence .' +p101521 +(lp101522 +S'On\tOn\tIN\tB-PP\tO' +p101523 +aS'detailed\tdetail\tVBN\tB-NP\tO' +p101524 +aS'review\treview\tNN\tI-NP\tO' +p101525 +aS'of\tof\tIN\tB-PP\tO' +p101526 +aS'systems\tsystem\tNNS\tB-NP\tO' +p101527 +aS',\t,\t,\tO\tO' +p101528 +aS'she\tshe\tPRP\tB-NP\tO' +p101529 +aS'admitted\tadmit\tVBD\tB-VP\tO' +p101530 +aS'to\tto\tTO\tB-PP\tO' +p101531 +aS'one\tone\tCD\tB-NP\tO' +p101532 +aS'episode\tepisode\tNN\tI-NP\tO' +p101533 +aS'of\tof\tIN\tB-PP\tO' +p101534 +aS'urinary\turinary\tJJ\tB-NP\tO' +p101535 +aS'incontinence\tincontinence\tNN\tI-NP\tO' +p101536 +aS'.\t.\t.\tO\tO' +p101537 +asS'2. llame a la clinica the Wake Valley Hospital 442/961-2446 , si tiene que cambiar la cita .' +p101538 +(lp101539 +S'2.\t2.\tLS\tB-LST\tO' +p101540 +aS'llame\tllame\t:\tO\tO' +p101541 +aS'a\ta\tDT\tB-NP\tO' +p101542 +aS'la\tla\tNN\tI-NP\tO' +p101543 +aS'clinica\tclinica\tNN\tI-NP\tO' +p101544 +aS'the\tthe\tDT\tB-NP\tO' +p101545 +aS'Wake\tWake\tNNP\tI-NP\tO' +p101546 +aS'Valley\tValley\tNNP\tI-NP\tO' +p101547 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p101548 +aS'442/961-2446\t442/961-2446\tCD\tI-NP\tO' +p101549 +aS',\t,\t,\tO\tO' +p101550 +aS'si\tsi\tNN\tB-NP\tO' +p101551 +aS'tiene\ttiene\tNN\tI-NP\tO' +p101552 +aS'que\tque\tNN\tI-NP\tO' +p101553 +aS'cambiar\tcambiar\tNN\tI-NP\tO' +p101554 +aS'la\tla\tNN\tI-NP\tO' +p101555 +aS'cita\tcita\tNN\tI-NP\tO' +p101556 +aS'.\t.\t.\tO\tO' +p101557 +asS'Major Surgical or Invasive Procedure : none this admission' +p101558 +(lp101559 +S'Major\tMajor\tJJ\tB-NP\tO' +p101560 +aS'Surgical\tSurgical\tJJ\tI-NP\tO' +p101561 +aS'or\tor\tCC\tI-NP\tO' +p101562 +aS'Invasive\tInvasive\tJJ\tI-NP\tO' +p101563 +aS'Procedure\tProcedure\tNN\tI-NP\tO' +p101564 +aS':\t:\t:\tO\tO' +p101565 +aS'none\tnone\tNN\tB-NP\tO' +p101566 +aS'this\tthis\tDT\tB-NP\tO' +p101567 +aS'admission\tadmission\tNN\tI-NP\tO' +p101568 +asS'Motor examination showed full power on the right arm and leg , could barely flex fingers of the left hand , pulls left arm medially only .' +p101569 +(lp101570 +S'Motor\tMotor\tNN\tB-NP\tO' +p101571 +aS'examination\texamination\tNN\tI-NP\tO' +p101572 +aS'showed\tshow\tVBD\tB-VP\tO' +p101573 +aS'full\tfull\tJJ\tB-NP\tO' +p101574 +aS'power\tpower\tNN\tI-NP\tO' +p101575 +aS'on\ton\tIN\tB-PP\tO' +p101576 +aS'the\tthe\tDT\tB-NP\tO' +p101577 +aS'right\tright\tJJ\tI-NP\tO' +p101578 +aS'arm\tarm\tNN\tI-NP\tO' +p101579 +aS'and\tand\tCC\tI-NP\tO' +p101580 +aS'leg\tleg\tNN\tI-NP\tO' +p101581 +aS',\t,\t,\tO\tO' +p101582 +aS'could\tcould\tMD\tB-VP\tO' +p101583 +aS'barely\tbarely\tRB\tI-VP\tO' +p101584 +aS'flex\tflex\tVB\tI-VP\tO' +p101585 +aS'fingers\tfinger\tNNS\tB-NP\tO' +p101586 +aS'of\tof\tIN\tB-PP\tO' +p101587 +aS'the\tthe\tDT\tB-NP\tO' +p101588 +aS'left\tleft\tJJ\tI-NP\tO' +p101589 +aS'hand\thand\tNN\tI-NP\tO' +p101590 +aS',\t,\t,\tO\tO' +p101591 +aS'pulls\tpull\tNNS\tB-NP\tO' +p101592 +aS'left\tleave\tVBD\tB-VP\tO' +p101593 +aS'arm\tarm\tNN\tB-NP\tO' +p101594 +aS'medially\tmedially\tRB\tB-ADVP\tO' +p101595 +aS'only\tonly\tRB\tB-ADVP\tO' +p101596 +aS'.\t.\t.\tO\tO' +p101597 +asS'2. Avandia 4 mg p.o. q. day .' +p101598 +(lp101599 +S'2.\t2.\tLS\tB-LST\tO' +p101600 +aS'Avandia\tAvandia\tNNP\tB-NP\tO' +p101601 +aS'4\t4\tCD\tI-NP\tO' +p101602 +aS'mg\tmg\tNN\tI-NP\tO' +p101603 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p101604 +aS'q.\tq.\tNN\tI-NP\tO' +p101605 +aS'day\tday\tNN\tI-NP\tO' +p101606 +aS'.\t.\t.\tO\tO' +p101607 +asS'The vein was divided and suture ligated .' +p101608 +(lp101609 +S'The\tThe\tDT\tB-NP\tO' +p101610 +aS'vein\tvein\tNN\tI-NP\tO' +p101611 +aS'was\tbe\tVBD\tB-VP\tO' +p101612 +aS'divided\tdivide\tVBN\tI-VP\tO' +p101613 +aS'and\tand\tCC\tO\tO' +p101614 +aS'suture\tsuture\tJJ\tB-VP\tO' +p101615 +aS'ligated\tligate\tVBN\tI-VP\tO' +p101616 +aS'.\t.\t.\tO\tO' +p101617 +asS'HEENT - Pupils were miotic , measuring 2 mm but responsive to light .' +p101618 +(lp101619 +S'HEENT\tHEENT\tNN\tB-NP\tB-protein' +p101620 +aS'-\t-\tHYPH\tI-NP\tO' +p101621 +aS'Pupils\tPupil\tNNS\tI-NP\tB-cell_type' +p101622 +aS'were\tbe\tVBD\tB-VP\tO' +p101623 +aS'miotic\tmiotic\tJJ\tB-ADJP\tO' +p101624 +aS',\t,\t,\tO\tO' +p101625 +aS'measuring\tmeasure\tVBG\tB-VP\tO' +p101626 +aS'2\t2\tCD\tB-NP\tO' +p101627 +aS'mm\tmm\tNN\tI-NP\tO' +p101628 +aS'but\tbut\tCC\tO\tO' +p101629 +aS'responsive\tresponsive\tJJ\tB-ADJP\tO' +p101630 +aS'to\tto\tTO\tB-PP\tO' +p101631 +aS'light\tlight\tNN\tB-NP\tO' +p101632 +aS'.\t.\t.\tO\tO' +p101633 +asS'Abdomen distended , mild tenderness on the left , bowel sounds present , nohepatosplenomegaly .' +p101634 +(lp101635 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p101636 +aS'distended\tdistended\tJJ\tI-NP\tO' +p101637 +aS',\t,\t,\tI-NP\tO' +p101638 +aS'mild\tmild\tJJ\tI-NP\tO' +p101639 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p101640 +aS'on\ton\tIN\tB-PP\tO' +p101641 +aS'the\tthe\tDT\tB-NP\tO' +p101642 +aS'left\tleft\tNN\tI-NP\tO' +p101643 +aS',\t,\t,\tO\tO' +p101644 +aS'bowel\tbowel\tNN\tB-NP\tO' +p101645 +aS'sounds\tsound\tVBZ\tB-VP\tO' +p101646 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p101647 +aS',\t,\t,\tO\tO' +p101648 +aS'nohepatosplenomegaly\tnohepatosplenomegaly\tRB\tB-ADVP\tO' +p101649 +aS'.\t.\t.\tO\tO' +p101650 +asS'The MRI showed infarct of the cerebellar hemispheres bilaterally , the right occipital lobe , the right thalamus and bilateral pons .' +p101651 +(lp101652 +S'The\tThe\tDT\tB-NP\tO' +p101653 +aS'MRI\tMRI\tNN\tI-NP\tB-protein' +p101654 +aS'showed\tshow\tVBD\tB-VP\tO' +p101655 +aS'infarct\tinfarct\tNN\tB-NP\tO' +p101656 +aS'of\tof\tIN\tB-PP\tO' +p101657 +aS'the\tthe\tDT\tB-NP\tO' +p101658 +aS'cerebellar\tcerebellar\tJJ\tI-NP\tO' +p101659 +aS'hemispheres\themisphere\tVBZ\tB-VP\tO' +p101660 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p101661 +aS',\t,\t,\tO\tO' +p101662 +aS'the\tthe\tDT\tB-NP\tO' +p101663 +aS'right\tright\tJJ\tI-NP\tO' +p101664 +aS'occipital\toccipital\tNN\tI-NP\tO' +p101665 +aS'lobe\tlobe\tNN\tI-NP\tO' +p101666 +aS',\t,\t,\tO\tO' +p101667 +aS'the\tthe\tDT\tB-NP\tO' +p101668 +aS'right\tright\tJJ\tI-NP\tO' +p101669 +aS'thalamus\tthalamus\tNN\tI-NP\tO' +p101670 +aS'and\tand\tCC\tO\tO' +p101671 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p101672 +aS'pons\tpon\tNNS\tI-NP\tO' +p101673 +aS'.\t.\t.\tO\tO' +p101674 +asS'The patient was admitted to Vencor Hospital .' +p101675 +(lp101676 +S'The\tThe\tDT\tB-NP\tO' +p101677 +aS'patient\tpatient\tNN\tI-NP\tO' +p101678 +aS'was\tbe\tVBD\tB-VP\tO' +p101679 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p101680 +aS'to\tto\tTO\tB-PP\tO' +p101681 +aS'Vencor\tVencor\tNNP\tB-NP\tO' +p101682 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p101683 +aS'.\t.\t.\tO\tO' +p101684 +asS'Evidence for cellulitis on her legs , likely due to distention from edema and poor perfusion .' +p101685 +(lp101686 +S'Evidence\tEvidence\tNN\tB-NP\tO' +p101687 +aS'for\tfor\tIN\tB-PP\tO' +p101688 +aS'cellulitis\tcellulitis\tNN\tB-NP\tO' +p101689 +aS'on\ton\tIN\tB-PP\tO' +p101690 +aS'her\ther\tPRP$\tB-NP\tO' +p101691 +aS'legs\tleg\tNNS\tI-NP\tO' +p101692 +aS',\t,\t,\tO\tO' +p101693 +aS'likely\tlikely\tRB\tB-ADJP\tO' +p101694 +aS'due\tdue\tIN\tB-PP\tO' +p101695 +aS'to\tto\tTO\tB-VP\tO' +p101696 +aS'distention\tdistention\tVB\tI-VP\tO' +p101697 +aS'from\tfrom\tIN\tB-PP\tO' +p101698 +aS'edema\tedema\tNN\tB-NP\tO' +p101699 +aS'and\tand\tCC\tO\tO' +p101700 +aS'poor\tpoor\tJJ\tB-NP\tO' +p101701 +aS'perfusion\tperfusion\tNN\tI-NP\tO' +p101702 +aS'.\t.\t.\tO\tO' +p101703 +asS'Major Surgical or Invasive Procedure : none' +p101704 +(lp101705 +S'Major\tMajor\tJJ\tB-NP\tO' +p101706 +aS'Surgical\tSurgical\tJJ\tI-NP\tO' +p101707 +aS'or\tor\tCC\tI-NP\tO' +p101708 +aS'Invasive\tInvasive\tJJ\tI-NP\tO' +p101709 +aS'Procedure\tProcedure\tNN\tI-NP\tO' +p101710 +aS':\t:\t:\tO\tO' +p101711 +aS'none\tnone\tNN\tB-NP\tO' +p101712 +asS'On admission , the CBC revealed a white count of 7.4 , hematocrit 39.7 , and platelets of 217,000 .' +p101713 +(lp101714 +S'On\tOn\tIN\tB-PP\tO' +p101715 +aS'admission\tadmission\tNN\tB-NP\tO' +p101716 +aS',\t,\t,\tO\tO' +p101717 +aS'the\tthe\tDT\tB-NP\tO' +p101718 +aS'CBC\tCBC\tNNP\tI-NP\tO' +p101719 +aS'revealed\treveal\tVBD\tB-VP\tO' +p101720 +aS'a\ta\tDT\tB-NP\tO' +p101721 +aS'white\twhite\tJJ\tI-NP\tO' +p101722 +aS'count\tcount\tNN\tI-NP\tO' +p101723 +aS'of\tof\tIN\tB-PP\tO' +p101724 +aS'7.4\t7.4\tCD\tB-NP\tO' +p101725 +aS',\t,\t,\tO\tO' +p101726 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p101727 +aS'39.7\t39.7\tCD\tI-NP\tI-protein' +p101728 +aS',\t,\t,\tO\tO' +p101729 +aS'and\tand\tCC\tO\tO' +p101730 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p101731 +aS'of\tof\tIN\tB-PP\tO' +p101732 +aS'217,000\t217,000\tCD\tB-NP\tO' +p101733 +aS'.\t.\t.\tO\tO' +p101734 +asS'Pt states he has been receiving chemotherapy up until 1 week ago .' +p101735 +(lp101736 +S'Pt\tPt\tNN\tB-NP\tO' +p101737 +aS'states\tstate\tVBZ\tB-VP\tO' +p101738 +aS'he\the\tPRP\tB-NP\tO' +p101739 +aS'has\thave\tVBZ\tB-VP\tO' +p101740 +aS'been\tbe\tVBN\tI-VP\tO' +p101741 +aS'receiving\treceive\tVBG\tI-VP\tO' +p101742 +aS'chemotherapy\tchemotherapy\tNN\tB-NP\tO' +p101743 +aS'up\tup\tRP\tB-PRT\tO' +p101744 +aS'until\tuntil\tIN\tB-PP\tO' +p101745 +aS'1\t1\tCD\tB-NP\tO' +p101746 +aS'week\tweek\tNN\tI-NP\tO' +p101747 +aS'ago\tago\tRB\tB-ADVP\tO' +p101748 +aS'.\t.\t.\tO\tO' +p101749 +asS'She is pink and well perfused .' +p101750 +(lp101751 +S'She\tShe\tPRP\tB-NP\tO' +p101752 +aS'is\tbe\tVBZ\tB-VP\tO' +p101753 +aS'pink\tpink\tJJ\tB-ADJP\tO' +p101754 +aS'and\tand\tCC\tO\tO' +p101755 +aS'well\twell\tRB\tB-ADJP\tO' +p101756 +aS'perfused\tperfuse\tVBN\tI-ADJP\tO' +p101757 +aS'.\t.\t.\tO\tO' +p101758 +asS'Zoloft 50 mg PO QD , Lactulose 15 g PO BID , Synthroid 0.15 mg PO QD , Prilosec 20 mg PO BID .' +p101759 +(lp101760 +S'Zoloft\tZoloft\tNNP\tB-NP\tO' +p101761 +aS'50\t50\tCD\tI-NP\tO' +p101762 +aS'mg\tmg\tNN\tI-NP\tO' +p101763 +aS'PO\tPO\tNNP\tI-NP\tO' +p101764 +aS'QD\tQD\tNNP\tI-NP\tO' +p101765 +aS',\t,\t,\tO\tO' +p101766 +aS'Lactulose\tLactulose\tNNP\tB-NP\tO' +p101767 +aS'15\t15\tCD\tI-NP\tO' +p101768 +aS'g\tg\tNN\tI-NP\tO' +p101769 +aS'PO\tPO\tNN\tI-NP\tO' +p101770 +aS'BID\tBID\tNN\tI-NP\tO' +p101771 +aS',\t,\t,\tO\tO' +p101772 +aS'Synthroid\tSynthroid\tJJ\tB-NP\tO' +p101773 +aS'0.15\t0.15\tCD\tI-NP\tO' +p101774 +aS'mg\tmg\tNN\tI-NP\tO' +p101775 +aS'PO\tPO\tNNP\tI-NP\tO' +p101776 +aS'QD\tQD\tNNP\tI-NP\tO' +p101777 +aS',\t,\t,\tO\tO' +p101778 +aS'Prilosec\tPrilosec\tNNP\tB-NP\tO' +p101779 +aS'20\t20\tCD\tI-NP\tO' +p101780 +aS'mg\tmg\tNN\tI-NP\tO' +p101781 +aS'PO\tPO\tNN\tI-NP\tO' +p101782 +aS'BID\tBID\tNN\tI-NP\tO' +p101783 +aS'.\t.\t.\tO\tO' +p101784 +asS'The patient reports no masses in her neck .' +p101785 +(lp101786 +S'The\tThe\tDT\tB-NP\tO' +p101787 +aS'patient\tpatient\tNN\tI-NP\tO' +p101788 +aS'reports\treport\tVBZ\tB-VP\tO' +p101789 +aS'no\tno\tDT\tB-NP\tO' +p101790 +aS'masses\tmass\tNNS\tI-NP\tO' +p101791 +aS'in\tin\tIN\tB-PP\tO' +p101792 +aS'her\ther\tPRP$\tB-NP\tO' +p101793 +aS'neck\tneck\tNN\tI-NP\tO' +p101794 +aS'.\t.\t.\tO\tO' +p101795 +asS'Normal introitus , normal appearing cervix , a small , mobile uterus .' +p101796 +(lp101797 +S'Normal\tNormal\tJJ\tB-NP\tO' +p101798 +aS'introitus\tintroitus\tNN\tI-NP\tO' +p101799 +aS',\t,\t,\tO\tO' +p101800 +aS'normal\tnormal\tJJ\tB-NP\tO' +p101801 +aS'appearing\tappear\tVBG\tI-NP\tO' +p101802 +aS'cervix\tcervix\tNN\tI-NP\tO' +p101803 +aS',\t,\t,\tO\tO' +p101804 +aS'a\ta\tDT\tB-NP\tO' +p101805 +aS'small\tsmall\tJJ\tI-NP\tO' +p101806 +aS',\t,\t,\tI-NP\tO' +p101807 +aS'mobile\tmobile\tJJ\tI-NP\tO' +p101808 +aS'uterus\tuterus\tNN\tI-NP\tO' +p101809 +aS'.\t.\t.\tO\tO' +p101810 +asS'Per daughter , pt was in her USOH until two days prior to admission when she was noted to have a superficial ulcerations on her foot with erythema .' +p101811 +(lp101812 +S'Per\tPer\tNNP\tB-NP\tO' +p101813 +aS'daughter\tdaughter\tNN\tI-NP\tO' +p101814 +aS',\t,\t,\tO\tO' +p101815 +aS'pt\tpt\tNN\tB-NP\tO' +p101816 +aS'was\tbe\tVBD\tB-VP\tO' +p101817 +aS'in\tin\tIN\tB-PP\tO' +p101818 +aS'her\ther\tPRP$\tB-NP\tO' +p101819 +aS'USOH\tUSOH\tNN\tI-NP\tB-protein' +p101820 +aS'until\tuntil\tIN\tB-PP\tO' +p101821 +aS'two\ttwo\tCD\tB-NP\tO' +p101822 +aS'days\tday\tNNS\tI-NP\tO' +p101823 +aS'prior\tprior\tRB\tB-ADVP\tO' +p101824 +aS'to\tto\tTO\tB-PP\tO' +p101825 +aS'admission\tadmission\tNN\tB-NP\tO' +p101826 +aS'when\twhen\tWRB\tB-ADVP\tO' +p101827 +aS'she\tshe\tPRP\tB-NP\tO' +p101828 +aS'was\tbe\tVBD\tB-VP\tO' +p101829 +aS'noted\tnote\tVBN\tI-VP\tO' +p101830 +aS'to\tto\tTO\tI-VP\tO' +p101831 +aS'have\thave\tVB\tI-VP\tO' +p101832 +aS'a\ta\tDT\tB-NP\tO' +p101833 +aS'superficial\tsuperficial\tJJ\tI-NP\tO' +p101834 +aS'ulcerations\tulceration\tNNS\tI-NP\tO' +p101835 +aS'on\ton\tIN\tB-PP\tO' +p101836 +aS'her\ther\tPRP$\tB-NP\tO' +p101837 +aS'foot\tfoot\tNN\tI-NP\tO' +p101838 +aS'with\twith\tIN\tB-PP\tO' +p101839 +aS'erythema\terythema\tNN\tB-NP\tO' +p101840 +aS'.\t.\t.\tO\tO' +p101841 +asS'The patient also had several episodes of fungal cystitis with Torulopsis glabrata , going from his urine .' +p101842 +(lp101843 +S'The\tThe\tDT\tB-NP\tO' +p101844 +aS'patient\tpatient\tNN\tI-NP\tO' +p101845 +aS'also\talso\tRB\tB-ADVP\tO' +p101846 +aS'had\thave\tVBD\tB-VP\tO' +p101847 +aS'several\tseveral\tJJ\tB-NP\tO' +p101848 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p101849 +aS'of\tof\tIN\tB-PP\tO' +p101850 +aS'fungal\tfungal\tJJ\tB-NP\tO' +p101851 +aS'cystitis\tcystitis\tNN\tI-NP\tO' +p101852 +aS'with\twith\tIN\tB-PP\tO' +p101853 +aS'Torulopsis\tTorulopsis\tNNP\tB-NP\tO' +p101854 +aS'glabrata\tglabrata\tNNS\tI-NP\tO' +p101855 +aS',\t,\t,\tO\tO' +p101856 +aS'going\tgo\tVBG\tB-VP\tO' +p101857 +aS'from\tfrom\tIN\tB-PP\tO' +p101858 +aS'his\this\tPRP$\tB-NP\tO' +p101859 +aS'urine\turine\tNN\tI-NP\tO' +p101860 +aS'.\t.\t.\tO\tO' +p101861 +asS'She tolerated the procedure well and returned to CC6 post-procedure .' +p101862 +(lp101863 +S'She\tShe\tPRP\tB-NP\tO' +p101864 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p101865 +aS'the\tthe\tDT\tB-NP\tO' +p101866 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p101867 +aS'well\twell\tRB\tB-ADVP\tO' +p101868 +aS'and\tand\tCC\tO\tO' +p101869 +aS'returned\treturn\tVBD\tB-VP\tO' +p101870 +aS'to\tto\tTO\tB-PP\tO' +p101871 +aS'CC6\tCC6\tNN\tB-NP\tB-protein' +p101872 +aS'post-procedure\tpost-procedure\tJJ\tB-ADJP\tO' +p101873 +aS'.\t.\t.\tO\tO' +p101874 +asS'Deep venous thrombosis of right lower extremity .' +p101875 +(lp101876 +S'Deep\tDeep\tJJ\tB-NP\tO' +p101877 +aS'venous\tvenous\tJJ\tI-NP\tO' +p101878 +aS'thrombosis\tthrombosis\tNN\tI-NP\tO' +p101879 +aS'of\tof\tIN\tB-PP\tO' +p101880 +aS'right\tright\tJJ\tB-NP\tO' +p101881 +aS'lower\tlow\tJJR\tI-NP\tO' +p101882 +aS'extremity\textremity\tNN\tI-NP\tO' +p101883 +aS'.\t.\t.\tO\tO' +p101884 +asS'Cocaine use has been associated with an increased risk of heart attacks , stroke and death .' +p101885 +(lp101886 +S'Cocaine\tCocaine\tNN\tB-NP\tO' +p101887 +aS'use\tuse\tNN\tI-NP\tO' +p101888 +aS'has\thave\tVBZ\tB-VP\tO' +p101889 +aS'been\tbe\tVBN\tI-VP\tO' +p101890 +aS'associated\tassociate\tVBN\tI-VP\tO' +p101891 +aS'with\twith\tIN\tB-PP\tO' +p101892 +aS'an\tan\tDT\tB-NP\tO' +p101893 +aS'increased\tincrease\tVBN\tI-NP\tO' +p101894 +aS'risk\trisk\tNN\tI-NP\tO' +p101895 +aS'of\tof\tIN\tB-PP\tO' +p101896 +aS'heart\theart\tNN\tB-NP\tO' +p101897 +aS'attacks\tattack\tNNS\tI-NP\tO' +p101898 +aS',\t,\t,\tO\tO' +p101899 +aS'stroke\tstroke\tNN\tB-NP\tO' +p101900 +aS'and\tand\tCC\tI-NP\tO' +p101901 +aS'death\tdeath\tNN\tI-NP\tO' +p101902 +aS'.\t.\t.\tO\tO' +p101903 +asS'Motor : moving right hand rhythmically with occasional right face twitching as well .' +p101904 +(lp101905 +S'Motor\tMotor\tNN\tB-NP\tO' +p101906 +aS':\t:\t:\tO\tO' +p101907 +aS'moving\tmove\tVBG\tB-VP\tO' +p101908 +aS'right\tright\tJJ\tB-NP\tO' +p101909 +aS'hand\thand\tNN\tI-NP\tO' +p101910 +aS'rhythmically\trhythmically\tRB\tB-ADVP\tO' +p101911 +aS'with\twith\tIN\tB-PP\tO' +p101912 +aS'occasional\toccasional\tJJ\tB-NP\tO' +p101913 +aS'right\tright\tJJ\tI-NP\tO' +p101914 +aS'face\tface\tNN\tI-NP\tO' +p101915 +aS'twitching\ttwitch\tVBG\tB-VP\tO' +p101916 +aS'as\tas\tRB\tB-ADVP\tO' +p101917 +aS'well\twell\tRB\tI-ADVP\tO' +p101918 +aS'.\t.\t.\tO\tO' +p101919 +asS'Followed her examination .' +p101920 +(lp101921 +S'Followed\tFollow\tVBD\tB-VP\tO' +p101922 +aS'her\ther\tPRP$\tB-NP\tO' +p101923 +aS'examination\texamination\tNN\tI-NP\tO' +p101924 +aS'.\t.\t.\tO\tO' +p101925 +asS'Sensation was intact to light touch and pin prick bilaterally .' +p101926 +(lp101927 +S'Sensation\tSensation\tNN\tB-NP\tO' +p101928 +aS'was\tbe\tVBD\tB-VP\tO' +p101929 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p101930 +aS'to\tto\tTO\tB-PP\tO' +p101931 +aS'light\tlight\tJJ\tB-NP\tO' +p101932 +aS'touch\ttouch\tNN\tI-NP\tO' +p101933 +aS'and\tand\tCC\tI-NP\tO' +p101934 +aS'pin\tpin\tNN\tI-NP\tO' +p101935 +aS'prick\tprick\tNN\tI-NP\tO' +p101936 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p101937 +aS'.\t.\t.\tO\tO' +p101938 +asS'A second 9 mm cystic lesion is seen in the head of the pancreas .' +p101939 +(lp101940 +S'A\tA\tDT\tB-NP\tO' +p101941 +aS'second\tsecond\tJJ\tI-NP\tO' +p101942 +aS'9\t9\tCD\tI-NP\tO' +p101943 +aS'mm\tmm\tNN\tI-NP\tO' +p101944 +aS'cystic\tcystic\tJJ\tI-NP\tO' +p101945 +aS'lesion\tlesion\tNN\tI-NP\tO' +p101946 +aS'is\tbe\tVBZ\tB-VP\tO' +p101947 +aS'seen\tsee\tVBN\tI-VP\tO' +p101948 +aS'in\tin\tIN\tB-PP\tO' +p101949 +aS'the\tthe\tDT\tB-NP\tO' +p101950 +aS'head\thead\tNN\tI-NP\tO' +p101951 +aS'of\tof\tIN\tB-PP\tO' +p101952 +aS'the\tthe\tDT\tB-NP\tO' +p101953 +aS'pancreas\tpancreas\tNN\tI-NP\tO' +p101954 +aS'.\t.\t.\tO\tO' +p101955 +asS'As her BP remained stable she did not receiving any standing fluids but was be bolused as appropriate for a MAP < 60 or CVP < 8 with careful monitoring of pulmonary status .' +p101956 +(lp101957 +S'As\tAs\tIN\tB-SBAR\tO' +p101958 +aS'her\ther\tPRP$\tB-NP\tO' +p101959 +aS'BP\tBP\tNN\tI-NP\tO' +p101960 +aS'remained\tremain\tVBD\tB-VP\tO' +p101961 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p101962 +aS'she\tshe\tPRP\tB-NP\tO' +p101963 +aS'did\tdo\tVBD\tB-VP\tO' +p101964 +aS'not\tnot\tRB\tI-VP\tO' +p101965 +aS'receiving\treceive\tVBG\tI-VP\tO' +p101966 +aS'any\tany\tDT\tB-NP\tO' +p101967 +aS'standing\tstand\tVBG\tI-NP\tO' +p101968 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p101969 +aS'but\tbut\tCC\tO\tO' +p101970 +aS'was\tbe\tVBD\tB-VP\tO' +p101971 +aS'be\tbe\tVB\tI-VP\tO' +p101972 +aS'bolused\tboluse\tVBN\tI-VP\tO' +p101973 +aS'as\tas\tIN\tB-PP\tO' +p101974 +aS'appropriate\tappropriate\tJJ\tB-ADJP\tO' +p101975 +aS'for\tfor\tIN\tB-PP\tO' +p101976 +aS'a\ta\tDT\tB-NP\tO' +p101977 +aS'MAP\tMAP\tNN\tI-NP\tB-protein' +p101978 +aS'<\t<\tJJR\tB-NP\tO' +p101979 +aS'60\t60\tCD\tI-NP\tO' +p101980 +aS'or\tor\tCC\tO\tO' +p101981 +aS'CVP\tCVP\tNN\tB-NP\tB-protein' +p101982 +aS'<\t<\tSYM\tO\tI-protein' +p101983 +aS'8\t8\tCD\tB-NP\tI-protein' +p101984 +aS'with\twith\tIN\tB-PP\tO' +p101985 +aS'careful\tcareful\tJJ\tB-NP\tO' +p101986 +aS'monitoring\tmonitoring\tNN\tI-NP\tO' +p101987 +aS'of\tof\tIN\tB-PP\tO' +p101988 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p101989 +aS'status\tstatus\tNN\tI-NP\tO' +p101990 +aS'.\t.\t.\tO\tO' +p101991 +asS'The patient is an 83-year-old female who presents for surgical evaluation for her hyperparathyroidism .' +p101992 +(lp101993 +S'The\tThe\tDT\tB-NP\tO' +p101994 +aS'patient\tpatient\tNN\tI-NP\tO' +p101995 +aS'is\tbe\tVBZ\tB-VP\tO' +p101996 +aS'an\tan\tDT\tB-NP\tO' +p101997 +aS'83-year-old\t83-year-old\tJJ\tI-NP\tO' +p101998 +aS'female\tfemale\tNN\tI-NP\tO' +p101999 +aS'who\twho\tWP\tB-NP\tO' +p102000 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p102001 +aS'for\tfor\tIN\tB-PP\tO' +p102002 +aS'surgical\tsurgical\tJJ\tB-NP\tO' +p102003 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p102004 +aS'for\tfor\tIN\tB-PP\tO' +p102005 +aS'her\ther\tPRP$\tB-NP\tO' +p102006 +aS'hyperparathyroidism\thyperparathyroidism\tNN\tI-NP\tO' +p102007 +aS'.\t.\t.\tO\tO' +p102008 +asS'- possible opacity on CXR - along w/ leukocytosis .' +p102009 +(lp102010 +S'-\t-\tHYPH\tB-NP\tO' +p102011 +aS'possible\tpossible\tJJ\tI-NP\tO' +p102012 +aS'opacity\topacity\tNN\tI-NP\tO' +p102013 +aS'on\ton\tIN\tB-PP\tO' +p102014 +aS'CXR\tCXR\tNN\tB-NP\tB-protein' +p102015 +aS'-\t-\tHYPH\tB-ADVP\tO' +p102016 +aS'along\talong\tIN\tB-PP\tO' +p102017 +aS'w/\tw/\tNN\tB-NP\tO' +p102018 +aS'leukocytosis\tleukocytosis\tNN\tI-NP\tO' +p102019 +aS'.\t.\t.\tO\tO' +p102020 +asS'Primary closure of wound .' +p102021 +(lp102022 +S'Primary\tPrimary\tJJ\tB-NP\tO' +p102023 +aS'closure\tclosure\tNN\tI-NP\tO' +p102024 +aS'of\tof\tIN\tB-PP\tO' +p102025 +aS'wound\twound\tNN\tB-NP\tO' +p102026 +aS'.\t.\t.\tO\tO' +p102027 +asS'She has no current legal issues .' +p102028 +(lp102029 +S'She\tShe\tPRP\tB-NP\tO' +p102030 +aS'has\thave\tVBZ\tB-VP\tO' +p102031 +aS'no\tno\tDT\tB-NP\tO' +p102032 +aS'current\tcurrent\tJJ\tI-NP\tO' +p102033 +aS'legal\tlegal\tJJ\tI-NP\tO' +p102034 +aS'issues\tissue\tNNS\tI-NP\tO' +p102035 +aS'.\t.\t.\tO\tO' +p102036 +asS'Neuro : A&Ox3 , MAE , non-focal' +p102037 +(lp102038 +S'Neuro\tNeuro\tNNP\tB-NP\tO' +p102039 +aS':\t:\t:\tO\tO' +p102040 +aS'A&Ox3\tA&Ox3\tNN\tB-NP\tB-protein' +p102041 +aS',\t,\t,\tO\tO' +p102042 +aS'MAE\tMAE\tNN\tB-NP\tB-protein' +p102043 +aS',\t,\t,\tO\tO' +p102044 +aS'non-focal\tnon-focal\tJJ\tB-ADJP\tO' +p102045 +asS'Soft , mildly obese with Pfannenstiel scar visualized .' +p102046 +(lp102047 +S'Soft\tSoft\tRB\tB-ADVP\tO' +p102048 +aS',\t,\t,\tO\tO' +p102049 +aS'mildly\tmildly\tRB\tB-ADJP\tO' +p102050 +aS'obese\tobese\tJJ\tI-ADJP\tO' +p102051 +aS'with\twith\tIN\tB-PP\tO' +p102052 +aS'Pfannenstiel\tPfannenstiel\tNN\tB-NP\tO' +p102053 +aS'scar\tscar\tNN\tI-NP\tO' +p102054 +aS'visualized\tvisualize\tVBN\tB-VP\tO' +p102055 +aS'.\t.\t.\tO\tO' +p102056 +asS'She continued to have pulmonary wheezing , unknown origin , without history of asthma .' +p102057 +(lp102058 +S'She\tShe\tPRP\tB-NP\tO' +p102059 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p102060 +aS'to\tto\tTO\tI-VP\tO' +p102061 +aS'have\thave\tVB\tI-VP\tO' +p102062 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p102063 +aS'wheezing\twheezing\tNN\tI-NP\tO' +p102064 +aS',\t,\t,\tO\tO' +p102065 +aS'unknown\tunknown\tJJ\tB-NP\tO' +p102066 +aS'origin\torigin\tNN\tI-NP\tO' +p102067 +aS',\t,\t,\tO\tO' +p102068 +aS'without\twithout\tIN\tB-PP\tO' +p102069 +aS'history\thistory\tNN\tB-NP\tO' +p102070 +aS'of\tof\tIN\tB-PP\tO' +p102071 +aS'asthma\tasthma\tNN\tB-NP\tO' +p102072 +aS'.\t.\t.\tO\tO' +p102073 +asS'After one hour his eyes were midline and he remained unresponsive .' +p102074 +(lp102075 +S'After\tAfter\tIN\tB-PP\tO' +p102076 +aS'one\tone\tCD\tB-NP\tO' +p102077 +aS'hour\thour\tNN\tI-NP\tO' +p102078 +aS'his\this\tPRP$\tB-NP\tO' +p102079 +aS'eyes\teye\tNNS\tI-NP\tO' +p102080 +aS'were\tbe\tVBD\tB-VP\tO' +p102081 +aS'midline\tmidline\tNN\tB-NP\tO' +p102082 +aS'and\tand\tCC\tO\tO' +p102083 +aS'he\the\tPRP\tB-NP\tO' +p102084 +aS'remained\tremain\tVBD\tB-VP\tO' +p102085 +aS'unresponsive\tunresponsive\tJJ\tB-ADJP\tO' +p102086 +aS'.\t.\t.\tO\tO' +p102087 +asS'He was covered with a Insulin drip while unstable' +p102088 +(lp102089 +S'He\tHe\tPRP\tB-NP\tO' +p102090 +aS'was\tbe\tVBD\tB-VP\tO' +p102091 +aS'covered\tcover\tVBN\tI-VP\tO' +p102092 +aS'with\twith\tIN\tB-PP\tO' +p102093 +aS'a\ta\tDT\tB-NP\tO' +p102094 +aS'Insulin\tInsulin\tNN\tI-NP\tB-protein' +p102095 +aS'drip\tdrip\tNN\tI-NP\tI-protein' +p102096 +aS'while\twhile\tIN\tB-SBAR\tO' +p102097 +aS'unstable\tunstable\tJJ\tB-NP\tO' +p102098 +asS'Her lipids were checked with a total cholesterol of 110 , triglycerides 59 , HDL32 , LDL 64 .' +p102099 +(lp102100 +S'Her\tHer\tPRP$\tB-NP\tO' +p102101 +aS'lipids\tlipid\tNNS\tI-NP\tO' +p102102 +aS'were\tbe\tVBD\tB-VP\tO' +p102103 +aS'checked\tcheck\tVBN\tI-VP\tO' +p102104 +aS'with\twith\tIN\tB-PP\tO' +p102105 +aS'a\ta\tDT\tB-NP\tO' +p102106 +aS'total\ttotal\tJJ\tI-NP\tO' +p102107 +aS'cholesterol\tcholesterol\tNN\tI-NP\tO' +p102108 +aS'of\tof\tIN\tB-PP\tO' +p102109 +aS'110\t110\tCD\tB-NP\tO' +p102110 +aS',\t,\t,\tO\tO' +p102111 +aS'triglycerides\ttriglyceride\tNNS\tB-NP\tO' +p102112 +aS'59\t59\tCD\tB-NP\tO' +p102113 +aS',\t,\t,\tO\tO' +p102114 +aS'HDL32\tHDL32\tNN\tB-NP\tB-protein' +p102115 +aS',\t,\t,\tO\tO' +p102116 +aS'LDL\tLDL\tNN\tB-NP\tB-protein' +p102117 +aS'64\t64\tCD\tI-NP\tI-protein' +p102118 +aS'.\t.\t.\tO\tO' +p102119 +asS'His ejection fraction however appeared preserved at 73% with mild inferior wall hypokinesis .' +p102120 +(lp102121 +S'His\tHis\tPRP$\tB-NP\tO' +p102122 +aS'ejection\tejection\tNN\tI-NP\tO' +p102123 +aS'fraction\tfraction\tNN\tI-NP\tO' +p102124 +aS'however\thowever\tRB\tB-ADVP\tO' +p102125 +aS'appeared\tappear\tVBD\tB-VP\tO' +p102126 +aS'preserved\tpreserve\tVBN\tI-VP\tO' +p102127 +aS'at\tat\tIN\tB-PP\tO' +p102128 +aS'73%\t73%\tCD\tB-NP\tO' +p102129 +aS'with\twith\tIN\tB-PP\tO' +p102130 +aS'mild\tmild\tJJ\tB-NP\tO' +p102131 +aS'inferior\tinferior\tJJ\tI-NP\tO' +p102132 +aS'wall\twall\tNN\tI-NP\tO' +p102133 +aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' +p102134 +aS'.\t.\t.\tO\tO' +p102135 +asS'He demonstrated several asymptomatic electrolyte deficiecies ; these were likely due to inadequate absorption following his surgery and he responded well to repletion .' +p102136 +(lp102137 +S'He\tHe\tPRP\tB-NP\tO' +p102138 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p102139 +aS'several\tseveral\tJJ\tB-NP\tO' +p102140 +aS'asymptomatic\tasymptomatic\tJJ\tI-NP\tO' +p102141 +aS'electrolyte\telectrolyte\tNN\tI-NP\tO' +p102142 +aS'deficiecies\tdeficiecy\tNNS\tI-NP\tO' +p102143 +aS';\t;\t:\tO\tO' +p102144 +aS'these\tthese\tDT\tB-NP\tO' +p102145 +aS'were\tbe\tVBD\tB-VP\tO' +p102146 +aS'likely\tlikely\tRB\tB-ADJP\tO' +p102147 +aS'due\tdue\tJJ\tI-ADJP\tO' +p102148 +aS'to\tto\tTO\tB-PP\tO' +p102149 +aS'inadequate\tinadequate\tJJ\tB-NP\tO' +p102150 +aS'absorption\tabsorption\tNN\tI-NP\tO' +p102151 +aS'following\tfollow\tVBG\tB-PP\tO' +p102152 +aS'his\this\tPRP$\tB-NP\tO' +p102153 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p102154 +aS'and\tand\tCC\tO\tO' +p102155 +aS'he\the\tPRP\tB-NP\tO' +p102156 +aS'responded\trespond\tVBD\tB-VP\tO' +p102157 +aS'well\twell\tRB\tB-ADVP\tO' +p102158 +aS'to\tto\tTO\tB-PP\tO' +p102159 +aS'repletion\trepletion\tNN\tB-NP\tO' +p102160 +aS'.\t.\t.\tO\tO' +p102161 +asS'No focal wall motion abnormalities .' +p102162 +(lp102163 +S'No\tNo\tDT\tB-NP\tO' +p102164 +aS'focal\tfocal\tJJ\tI-NP\tO' +p102165 +aS'wall\twall\tNN\tI-NP\tO' +p102166 +aS'motion\tmotion\tNN\tI-NP\tO' +p102167 +aS'abnormalities\tabnormality\tNNS\tI-NP\tO' +p102168 +aS'.\t.\t.\tO\tO' +p102169 +asS'Postoperatively , the patient had some abdominal bloating with evidence of subcutaneous emphysema over the abdomen .' +p102170 +(lp102171 +S'Postoperatively\tPostoperatively\tRB\tB-ADVP\tO' +p102172 +aS',\t,\t,\tO\tO' +p102173 +aS'the\tthe\tDT\tB-NP\tO' +p102174 +aS'patient\tpatient\tNN\tI-NP\tO' +p102175 +aS'had\thave\tVBD\tB-VP\tO' +p102176 +aS'some\tsome\tDT\tB-NP\tO' +p102177 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p102178 +aS'bloating\tbloating\tNN\tI-NP\tO' +p102179 +aS'with\twith\tIN\tB-PP\tO' +p102180 +aS'evidence\tevidence\tNN\tB-NP\tO' +p102181 +aS'of\tof\tIN\tB-PP\tO' +p102182 +aS'subcutaneous\tsubcutaneous\tJJ\tB-NP\tO' +p102183 +aS'emphysema\temphysema\tNN\tI-NP\tO' +p102184 +aS'over\tover\tIN\tB-PP\tO' +p102185 +aS'the\tthe\tDT\tB-NP\tO' +p102186 +aS'abdomen\tabdoman\tNNS\tI-NP\tO' +p102187 +aS'.\t.\t.\tO\tO' +p102188 +asS'Seen by Urology who did not change stents given severe coagulopathy and worsening renal function .' +p102189 +(lp102190 +S'Seen\tSeen\tNNP\tB-NP\tO' +p102191 +aS'by\tby\tIN\tB-PP\tO' +p102192 +aS'Urology\tUrology\tNNP\tB-NP\tO' +p102193 +aS'who\twho\tWP\tB-NP\tO' +p102194 +aS'did\tdo\tVBD\tB-VP\tO' +p102195 +aS'not\tnot\tRB\tI-VP\tO' +p102196 +aS'change\tchange\tVB\tI-VP\tO' +p102197 +aS'stents\tstent\tNNS\tB-NP\tO' +p102198 +aS'given\tgive\tVBN\tB-PP\tO' +p102199 +aS'severe\tsevere\tJJ\tB-NP\tO' +p102200 +aS'coagulopathy\tcoagulopathy\tNN\tI-NP\tO' +p102201 +aS'and\tand\tCC\tO\tO' +p102202 +aS'worsening\tworsen\tVBG\tB-VP\tO' +p102203 +aS'renal\trenal\tJJ\tB-NP\tO' +p102204 +aS'function\tfunction\tNN\tI-NP\tO' +p102205 +aS'.\t.\t.\tO\tO' +p102206 +asS'Also in the Intensive Care Unit , O2 saturation was closely monitored .' +p102207 +(lp102208 +S'Also\tAlso\tRB\tB-ADVP\tO' +p102209 +aS'in\tin\tIN\tB-PP\tO' +p102210 +aS'the\tthe\tDT\tB-NP\tO' +p102211 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p102212 +aS'Care\tCare\tNNP\tI-NP\tO' +p102213 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p102214 +aS',\t,\t,\tO\tO' +p102215 +aS'O2\tO2\tNN\tB-NP\tO' +p102216 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p102217 +aS'was\tbe\tVBD\tB-VP\tO' +p102218 +aS'closely\tclosely\tRB\tI-VP\tO' +p102219 +aS'monitored\tmonitor\tVBN\tI-VP\tO' +p102220 +aS'.\t.\t.\tO\tO' +p102221 +asS'Back was without CVA tenderness .' +p102222 +(lp102223 +S'Back\tBack\tNN\tB-NP\tO' +p102224 +aS'was\tbe\tVBD\tB-VP\tO' +p102225 +aS'without\twithout\tIN\tB-PP\tO' +p102226 +aS'CVA\tCVA\tNN\tB-NP\tO' +p102227 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p102228 +aS'.\t.\t.\tO\tO' +p102229 +asS'- Nitroglycerin 0.3 mg Tablet PRN' +p102230 +(lp102231 +S'-\t-\tHYPH\tB-NP\tO' +p102232 +aS'Nitroglycerin\tNitroglycerin\tNN\tI-NP\tO' +p102233 +aS'0.3\t0.3\tCD\tI-NP\tO' +p102234 +aS'mg\tmg\tNN\tI-NP\tO' +p102235 +aS'Tablet\tTablet\tNN\tI-NP\tO' +p102236 +aS'PRN\tPRN\tNN\tI-NP\tO' +p102237 +asS'He was transfered to the step down unit and had his lumbar drain slowly weaned .' +p102238 +(lp102239 +S'He\tHe\tPRP\tB-NP\tO' +p102240 +aS'was\tbe\tVBD\tB-VP\tO' +p102241 +aS'transfered\ttransfer\tVBN\tI-VP\tO' +p102242 +aS'to\tto\tTO\tB-PP\tO' +p102243 +aS'the\tthe\tDT\tB-NP\tO' +p102244 +aS'step\tstep\tNN\tI-NP\tO' +p102245 +aS'down\tdown\tRP\tB-PRT\tO' +p102246 +aS'unit\tunit\tNN\tB-NP\tO' +p102247 +aS'and\tand\tCC\tO\tO' +p102248 +aS'had\thave\tVBD\tB-VP\tO' +p102249 +aS'his\this\tPRP$\tB-NP\tO' +p102250 +aS'lumbar\tlumbar\tNN\tI-NP\tO' +p102251 +aS'drain\tdrain\tNN\tI-NP\tO' +p102252 +aS'slowly\tslowly\tRB\tB-ADVP\tO' +p102253 +aS'weaned\twean\tVBD\tB-VP\tO' +p102254 +aS'.\t.\t.\tO\tO' +p102255 +asS'His lungs are clear to auscultation bilaterally .' +p102256 +(lp102257 +S'His\tHis\tPRP$\tB-NP\tO' +p102258 +aS'lungs\tlung\tNNS\tI-NP\tO' +p102259 +aS'are\tbe\tVBP\tB-VP\tO' +p102260 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p102261 +aS'to\tto\tTO\tB-PP\tO' +p102262 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p102263 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p102264 +aS'.\t.\t.\tO\tO' +p102265 +asS'She was able to oxygenate originally .' +p102266 +(lp102267 +S'She\tShe\tPRP\tB-NP\tO' +p102268 +aS'was\tbe\tVBD\tB-VP\tO' +p102269 +aS'able\table\tJJ\tB-ADJP\tO' +p102270 +aS'to\tto\tTO\tB-VP\tO' +p102271 +aS'oxygenate\toxygenate\tVB\tI-VP\tO' +p102272 +aS'originally\toriginally\tRB\tB-ADVP\tO' +p102273 +aS'.\t.\t.\tO\tO' +p102274 +asS'The patient was transferred to Nimaconwood Valley Hospital for management of her cancer and termination of the pregnancy .' +p102275 +(lp102276 +S'The\tThe\tDT\tB-NP\tO' +p102277 +aS'patient\tpatient\tNN\tI-NP\tO' +p102278 +aS'was\tbe\tVBD\tB-VP\tO' +p102279 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p102280 +aS'to\tto\tTO\tB-PP\tO' +p102281 +aS'Nimaconwood\tNimaconwood\tNNP\tB-NP\tO' +p102282 +aS'Valley\tValley\tNNP\tI-NP\tO' +p102283 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p102284 +aS'for\tfor\tIN\tB-PP\tO' +p102285 +aS'management\tmanagement\tNN\tB-NP\tO' +p102286 +aS'of\tof\tIN\tB-PP\tO' +p102287 +aS'her\ther\tPRP$\tB-NP\tO' +p102288 +aS'cancer\tcancer\tNN\tI-NP\tO' +p102289 +aS'and\tand\tCC\tI-NP\tO' +p102290 +aS'termination\ttermination\tNN\tI-NP\tO' +p102291 +aS'of\tof\tIN\tB-PP\tO' +p102292 +aS'the\tthe\tDT\tB-NP\tO' +p102293 +aS'pregnancy\tpregnancy\tNN\tI-NP\tO' +p102294 +aS'.\t.\t.\tO\tO' +p102295 +asS'8. Nystatin swish and swallow 5 cc t.i.d.' +p102296 +(lp102297 +S'8.\t8.\tCD\tB-NP\tO' +p102298 +aS'Nystatin\tNystatin\tNN\tI-NP\tO' +p102299 +aS'swish\tswish\tVB\tB-VP\tO' +p102300 +aS'and\tand\tCC\tI-VP\tO' +p102301 +aS'swallow\tswallow\tVB\tI-VP\tO' +p102302 +aS'5\t5\tCD\tB-NP\tO' +p102303 +aS'cc\tcc\tNN\tI-NP\tO' +p102304 +aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' +p102305 +asS'At 3 a.m. on the day of admission , she became much worse and after several days of increasing her meter-dosed inhaler use , she call Emergency Medical Services which assessed her as having heart failure with elevated jugular venous distention and rales .' +p102306 +(lp102307 +S'At\tAt\tIN\tB-PP\tO' +p102308 +aS'3\t3\tCD\tB-NP\tO' +p102309 +aS'a.m.\ta.m.\tNN\tI-NP\tO' +p102310 +aS'on\ton\tIN\tB-PP\tO' +p102311 +aS'the\tthe\tDT\tB-NP\tO' +p102312 +aS'day\tday\tNN\tI-NP\tO' +p102313 +aS'of\tof\tIN\tB-PP\tO' +p102314 +aS'admission\tadmission\tNN\tB-NP\tO' +p102315 +aS',\t,\t,\tO\tO' +p102316 +aS'she\tshe\tPRP\tB-NP\tO' +p102317 +aS'became\tbecome\tVBD\tB-VP\tO' +p102318 +aS'much\tmuch\tRB\tB-ADJP\tO' +p102319 +aS'worse\tworse\tJJR\tI-ADJP\tO' +p102320 +aS'and\tand\tCC\tO\tO' +p102321 +aS'after\tafter\tIN\tB-PP\tO' +p102322 +aS'several\tseveral\tJJ\tB-NP\tO' +p102323 +aS'days\tday\tNNS\tI-NP\tO' +p102324 +aS'of\tof\tIN\tB-PP\tO' +p102325 +aS'increasing\tincrease\tVBG\tB-VP\tO' +p102326 +aS'her\ther\tPRP$\tB-NP\tO' +p102327 +aS'meter-dosed\tmeter-dosed\tJJ\tI-NP\tO' +p102328 +aS'inhaler\tinhaler\tNN\tI-NP\tO' +p102329 +aS'use\tuse\tNN\tI-NP\tO' +p102330 +aS',\t,\t,\tO\tO' +p102331 +aS'she\tshe\tPRP\tB-NP\tO' +p102332 +aS'call\tcall\tVBP\tB-VP\tO' +p102333 +aS'Emergency\tEmergency\tNNP\tB-NP\tO' +p102334 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p102335 +aS'Services\tService\tNNPS\tI-NP\tO' +p102336 +aS'which\twhich\tWDT\tB-NP\tO' +p102337 +aS'assessed\tassess\tVBD\tB-VP\tO' +p102338 +aS'her\ther\tPRP\tB-NP\tO' +p102339 +aS'as\tas\tIN\tB-PP\tO' +p102340 +aS'having\thave\tVBG\tB-VP\tO' +p102341 +aS'heart\theart\tNN\tB-NP\tO' +p102342 +aS'failure\tfailure\tNN\tI-NP\tO' +p102343 +aS'with\twith\tIN\tB-PP\tO' +p102344 +aS'elevated\televated\tJJ\tB-NP\tO' +p102345 +aS'jugular\tjugular\tJJ\tI-NP\tO' +p102346 +aS'venous\tvenous\tJJ\tI-NP\tO' +p102347 +aS'distention\tdistention\tNN\tI-NP\tO' +p102348 +aS'and\tand\tCC\tI-NP\tO' +p102349 +aS'rales\trale\tNNS\tI-NP\tO' +p102350 +aS'.\t.\t.\tO\tO' +p102351 +asS'Father died of colon cancer .' +p102352 +(lp102353 +S'Father\tFather\tNNP\tB-NP\tO' +p102354 +aS'died\tdie\tVBD\tB-VP\tO' +p102355 +aS'of\tof\tIN\tB-PP\tO' +p102356 +aS'colon\tcolon\tNN\tB-NP\tO' +p102357 +aS'cancer\tcancer\tNN\tI-NP\tO' +p102358 +aS'.\t.\t.\tO\tO' +p102359 +asS'Over the next two days , the patient had an uneventful hospitalization .' +p102360 +(lp102361 +S'Over\tOver\tIN\tB-PP\tO' +p102362 +aS'the\tthe\tDT\tB-NP\tO' +p102363 +aS'next\tnext\tJJ\tI-NP\tO' +p102364 +aS'two\ttwo\tCD\tI-NP\tO' +p102365 +aS'days\tday\tNNS\tI-NP\tO' +p102366 +aS',\t,\t,\tO\tO' +p102367 +aS'the\tthe\tDT\tB-NP\tO' +p102368 +aS'patient\tpatient\tNN\tI-NP\tO' +p102369 +aS'had\thave\tVBD\tB-VP\tO' +p102370 +aS'an\tan\tDT\tB-NP\tO' +p102371 +aS'uneventful\tuneventful\tJJ\tI-NP\tO' +p102372 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p102373 +aS'.\t.\t.\tO\tO' +p102374 +asS'She continued to improve with a slight hoarseness in her voice that was expected .' +p102375 +(lp102376 +S'She\tShe\tPRP\tB-NP\tO' +p102377 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p102378 +aS'to\tto\tTO\tI-VP\tO' +p102379 +aS'improve\timprove\tVB\tI-VP\tO' +p102380 +aS'with\twith\tIN\tB-PP\tO' +p102381 +aS'a\ta\tDT\tB-NP\tO' +p102382 +aS'slight\tslight\tJJ\tI-NP\tO' +p102383 +aS'hoarseness\thoarseness\tNN\tI-NP\tO' +p102384 +aS'in\tin\tIN\tB-PP\tO' +p102385 +aS'her\ther\tPRP$\tB-NP\tO' +p102386 +aS'voice\tvoice\tNN\tI-NP\tO' +p102387 +aS'that\tthat\tWDT\tB-NP\tO' +p102388 +aS'was\tbe\tVBD\tB-VP\tO' +p102389 +aS'expected\texpect\tVBN\tI-VP\tO' +p102390 +aS'.\t.\t.\tO\tO' +p102391 +asS'Post-infarction unstable angina pectoris .' +p102392 +(lp102393 +S'Post-infarction\tPost-infarction\tJJ\tB-NP\tO' +p102394 +aS'unstable\tunstable\tJJ\tI-NP\tO' +p102395 +aS'angina\tangina\tNN\tI-NP\tO' +p102396 +aS'pectoris\tpectoris\tNN\tI-NP\tO' +p102397 +aS'.\t.\t.\tO\tO' +p102398 +asS'SIMVASTATIN and NIACIN , VIT .' +p102399 +(lp102400 +S'SIMVASTATIN\tSIMVASTATIN\tNN\tB-NP\tB-protein' +p102401 +aS'and\tand\tCC\tI-NP\tO' +p102402 +aS'NIACIN\tNIACIN\tNN\tI-NP\tB-protein' +p102403 +aS',\t,\t,\tO\tO' +p102404 +aS'VIT\tVIT\tNN\tB-NP\tB-protein' +p102405 +aS'.\t.\t.\tO\tO' +p102406 +asS'Channel 1 was negative , 2 was neutral , 3 was neutral , 4 was positive .' +p102407 +(lp102408 +S'Channel\tChannel\tNNP\tB-NP\tO' +p102409 +aS'1\t1\tCD\tI-NP\tO' +p102410 +aS'was\tbe\tVBD\tB-VP\tO' +p102411 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p102412 +aS',\t,\t,\tO\tO' +p102413 +aS'2\t2\tCD\tB-NP\tO' +p102414 +aS'was\tbe\tVBD\tB-VP\tO' +p102415 +aS'neutral\tneutral\tJJ\tB-ADJP\tO' +p102416 +aS',\t,\t,\tO\tO' +p102417 +aS'3\t3\tCD\tB-NP\tO' +p102418 +aS'was\tbe\tVBD\tB-VP\tO' +p102419 +aS'neutral\tneutral\tJJ\tB-ADJP\tO' +p102420 +aS',\t,\t,\tO\tO' +p102421 +aS'4\t4\tCD\tB-NP\tO' +p102422 +aS'was\tbe\tVBD\tB-VP\tO' +p102423 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p102424 +aS'.\t.\t.\tO\tO' +p102425 +asS'The skin exam revealed changes consistent with vitiligo .' +p102426 +(lp102427 +S'The\tThe\tDT\tB-NP\tO' +p102428 +aS'skin\tskin\tNN\tI-NP\tO' +p102429 +aS'exam\texam\tNN\tI-NP\tO' +p102430 +aS'revealed\treveal\tVBD\tB-VP\tO' +p102431 +aS'changes\tchange\tNNS\tB-NP\tO' +p102432 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p102433 +aS'with\twith\tIN\tB-PP\tO' +p102434 +aS'vitiligo\tvitiligo\tNN\tB-NP\tO' +p102435 +aS'.\t.\t.\tO\tO' +p102436 +asS'3. Hydrochlorothiazide question of dosage .' +p102437 +(lp102438 +S'3.\t3.\tLS\tB-NP\tO' +p102439 +aS'Hydrochlorothiazide\tHydrochlorothiazide\tNN\tI-NP\tO' +p102440 +aS'question\tquestion\tNN\tI-NP\tO' +p102441 +aS'of\tof\tIN\tB-PP\tO' +p102442 +aS'dosage\tdosage\tNN\tB-NP\tO' +p102443 +aS'.\t.\t.\tO\tO' +p102444 +asS"The patient 's portocath was removed ." +p102445 +(lp102446 +S'The\tThe\tDT\tB-NP\tO' +p102447 +aS'patient\tpatient\tNN\tI-NP\tO' +p102448 +aS"'s\t's\tPOS\tB-NP\tO" +p102449 +aS'portocath\tportocath\tNN\tI-NP\tO' +p102450 +aS'was\tbe\tVBD\tB-VP\tO' +p102451 +aS'removed\tremove\tVBN\tI-VP\tO' +p102452 +aS'.\t.\t.\tO\tO' +p102453 +asS'At discharge the patient was on clonazepam 1 mg tid , seroquel 300 BID and neurontin 600 QAM , 1200 QPM and 1200 QHS .' +p102454 +(lp102455 +S'At\tAt\tIN\tB-PP\tO' +p102456 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p102457 +aS'the\tthe\tDT\tB-NP\tO' +p102458 +aS'patient\tpatient\tNN\tI-NP\tO' +p102459 +aS'was\tbe\tVBD\tB-VP\tO' +p102460 +aS'on\ton\tIN\tB-PP\tO' +p102461 +aS'clonazepam\tclonazepam\tNN\tB-NP\tO' +p102462 +aS'1\t1\tCD\tI-NP\tO' +p102463 +aS'mg\tmg\tNN\tI-NP\tO' +p102464 +aS'tid\ttid\tNN\tI-NP\tO' +p102465 +aS',\t,\t,\tO\tO' +p102466 +aS'seroquel\tseroquel\tNN\tB-NP\tO' +p102467 +aS'300\t300\tCD\tI-NP\tO' +p102468 +aS'BID\tBID\tNN\tI-NP\tO' +p102469 +aS'and\tand\tCC\tI-NP\tO' +p102470 +aS'neurontin\tneurontin\tNN\tI-NP\tB-protein' +p102471 +aS'600\t600\tCD\tI-NP\tI-protein' +p102472 +aS'QAM\tQAM\tNN\tI-NP\tI-protein' +p102473 +aS',\t,\t,\tO\tO' +p102474 +aS'1200\t1200\tCD\tB-NP\tO' +p102475 +aS'QPM\tQPM\tNNP\tI-NP\tO' +p102476 +aS'and\tand\tCC\tO\tO' +p102477 +aS'1200\t1200\tCD\tB-NP\tO' +p102478 +aS'QHS\tQHS\tNN\tI-NP\tO' +p102479 +aS'.\t.\t.\tO\tO' +p102480 +asS'Coags 12.2 , 24.8 , and 1.0 .' +p102481 +(lp102482 +S'Coags\tCoag\tNNS\tB-NP\tO' +p102483 +aS'12.2\t12.2\tCD\tI-NP\tO' +p102484 +aS',\t,\t,\tI-NP\tO' +p102485 +aS'24.8\t24.8\tCD\tI-NP\tO' +p102486 +aS',\t,\t,\tO\tO' +p102487 +aS'and\tand\tCC\tO\tO' +p102488 +aS'1.0\t1.0\tCD\tB-NP\tO' +p102489 +aS'.\t.\t.\tO\tO' +p102490 +asS'Per ERCP fellow , plan is for patient to return in four weeks to see Dr. Suzanne Davis , at which time he will likely have repeat cholangiogram and removal of stent and stone .' +p102491 +(lp102492 +S'Per\tPer\tNN\tB-NP\tO' +p102493 +aS'ERCP\tERCP\tNN\tI-NP\tO' +p102494 +aS'fellow\tfellow\tNN\tI-NP\tO' +p102495 +aS',\t,\t,\tO\tO' +p102496 +aS'plan\tplan\tNN\tB-NP\tO' +p102497 +aS'is\tbe\tVBZ\tB-VP\tO' +p102498 +aS'for\tfor\tIN\tB-PP\tO' +p102499 +aS'patient\tpatient\tNN\tB-NP\tO' +p102500 +aS'to\tto\tTO\tB-VP\tO' +p102501 +aS'return\treturn\tVB\tI-VP\tO' +p102502 +aS'in\tin\tIN\tB-PP\tO' +p102503 +aS'four\tfour\tCD\tB-NP\tO' +p102504 +aS'weeks\tweek\tNNS\tI-NP\tO' +p102505 +aS'to\tto\tTO\tB-VP\tO' +p102506 +aS'see\tsee\tVB\tI-VP\tO' +p102507 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p102508 +aS'Suzanne\tSuzanne\tNNP\tI-NP\tO' +p102509 +aS'Davis\tDavis\tNNP\tI-NP\tO' +p102510 +aS',\t,\t,\tO\tO' +p102511 +aS'at\tat\tIN\tB-PP\tO' +p102512 +aS'which\twhich\tWDT\tB-NP\tO' +p102513 +aS'time\ttime\tNN\tI-NP\tO' +p102514 +aS'he\the\tPRP\tB-NP\tO' +p102515 +aS'will\twill\tMD\tB-VP\tO' +p102516 +aS'likely\tlikely\tRB\tI-VP\tO' +p102517 +aS'have\thave\tVB\tI-VP\tO' +p102518 +aS'repeat\trepeat\tNN\tB-NP\tO' +p102519 +aS'cholangiogram\tcholangiogram\tNN\tI-NP\tO' +p102520 +aS'and\tand\tCC\tI-NP\tO' +p102521 +aS'removal\tremoval\tNN\tI-NP\tO' +p102522 +aS'of\tof\tIN\tB-PP\tO' +p102523 +aS'stent\tstent\tNN\tB-NP\tO' +p102524 +aS'and\tand\tCC\tI-NP\tO' +p102525 +aS'stone\tstone\tNN\tI-NP\tO' +p102526 +aS'.\t.\t.\tO\tO' +p102527 +asS'The patient was maintained on tube feedings and the ventilator .' +p102528 +(lp102529 +S'The\tThe\tDT\tB-NP\tO' +p102530 +aS'patient\tpatient\tNN\tI-NP\tO' +p102531 +aS'was\tbe\tVBD\tB-VP\tO' +p102532 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p102533 +aS'on\ton\tIN\tB-PP\tO' +p102534 +aS'tube\ttube\tNN\tB-NP\tO' +p102535 +aS'feedings\tfeeding\tNNS\tI-NP\tO' +p102536 +aS'and\tand\tCC\tO\tO' +p102537 +aS'the\tthe\tDT\tB-NP\tO' +p102538 +aS'ventilator\tventilator\tNN\tI-NP\tO' +p102539 +aS'.\t.\t.\tO\tO' +p102540 +asS'Pt remained intubated until 2017-02-14 .' +p102541 +(lp102542 +S'Pt\tPt\tNN\tB-NP\tO' +p102543 +aS'remained\tremain\tVBD\tB-VP\tO' +p102544 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p102545 +aS'until\tuntil\tIN\tB-PP\tO' +p102546 +aS'2017-02-14\t2017-02-14\tCD\tB-NP\tO' +p102547 +aS'.\t.\t.\tO\tO' +p102548 +asS'They were taken off two at a time .' +p102549 +(lp102550 +S'They\tThey\tPRP\tB-NP\tO' +p102551 +aS'were\tbe\tVBD\tB-VP\tO' +p102552 +aS'taken\ttake\tVBN\tI-VP\tO' +p102553 +aS'off\toff\tRP\tB-PRT\tO' +p102554 +aS'two\ttwo\tCD\tB-NP\tO' +p102555 +aS'at\tat\tIN\tB-PP\tO' +p102556 +aS'a\ta\tDT\tB-NP\tO' +p102557 +aS'time\ttime\tNN\tI-NP\tO' +p102558 +aS'.\t.\t.\tO\tO' +p102559 +asS'2. Diphenhydramine HCl 25 mg Capsule Sig : One ( 1 ) Capsule PO Q6H ( every 6 hours ) as needed .' +p102560 +(lp102561 +S'2.\t2.\tLS\tB-NP\tO' +p102562 +aS'Diphenhydramine\tDiphenhydramine\tNN\tI-NP\tO' +p102563 +aS'HCl\tHCl\tNN\tI-NP\tO' +p102564 +aS'25\t25\tCD\tI-NP\tO' +p102565 +aS'mg\tmg\tNN\tI-NP\tO' +p102566 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p102567 +aS'Sig\tSig\tNNP\tI-NP\tO' +p102568 +aS':\t:\t:\tO\tO' +p102569 +aS'One\tOne\tCD\tB-NP\tO' +p102570 +aS'(\t(\t(\tO\tO' +p102571 +aS'1\t1\tCD\tB-NP\tO' +p102572 +aS')\t)\t)\tO\tO' +p102573 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p102574 +aS'PO\tPO\tNN\tI-NP\tO' +p102575 +aS'Q6H\tQ6H\tNN\tI-NP\tO' +p102576 +aS'(\t(\t(\tO\tO' +p102577 +aS'every\tevery\tDT\tB-NP\tO' +p102578 +aS'6\t6\tCD\tI-NP\tO' +p102579 +aS'hours\thour\tNNS\tI-NP\tO' +p102580 +aS')\t)\t)\tO\tO' +p102581 +aS'as\tas\tIN\tB-SBAR\tO' +p102582 +aS'needed\tneed\tVBN\tB-VP\tO' +p102583 +aS'.\t.\t.\tO\tO' +p102584 +asS'The patient will also be followed by Dr. Margmimaui Gelineau , his primary care physician at Ochtuheihugh Put University Medical Center within one week after discharge .' +p102585 +(lp102586 +S'The\tThe\tDT\tB-NP\tO' +p102587 +aS'patient\tpatient\tNN\tI-NP\tO' +p102588 +aS'will\twill\tMD\tB-VP\tO' +p102589 +aS'also\talso\tRB\tI-VP\tO' +p102590 +aS'be\tbe\tVB\tI-VP\tO' +p102591 +aS'followed\tfollow\tVBN\tI-VP\tO' +p102592 +aS'by\tby\tIN\tB-PP\tO' +p102593 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p102594 +aS'Margmimaui\tMargmimaui\tNNP\tI-NP\tO' +p102595 +aS'Gelineau\tGelineau\tNNP\tI-NP\tO' +p102596 +aS',\t,\t,\tO\tO' +p102597 +aS'his\this\tPRP$\tB-NP\tO' +p102598 +aS'primary\tprimary\tJJ\tI-NP\tO' +p102599 +aS'care\tcare\tNN\tI-NP\tO' +p102600 +aS'physician\tphysician\tNN\tI-NP\tO' +p102601 +aS'at\tat\tIN\tB-PP\tO' +p102602 +aS'Ochtuheihugh\tOchtuheihugh\tNNP\tB-NP\tO' +p102603 +aS'Put\tPut\tNNP\tI-NP\tO' +p102604 +aS'University\tUniversity\tNNP\tI-NP\tO' +p102605 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p102606 +aS'Center\tCenter\tNNP\tI-NP\tO' +p102607 +aS'within\twithin\tIN\tB-PP\tO' +p102608 +aS'one\tone\tCD\tB-NP\tO' +p102609 +aS'week\tweek\tNN\tI-NP\tO' +p102610 +aS'after\tafter\tIN\tB-PP\tO' +p102611 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p102612 +aS'.\t.\t.\tO\tO' +p102613 +asS'16. Glipizide 5 mg Tablet Sig : One ( 1 ) Tablet PO once a day .' +p102614 +(lp102615 +S'16.\t16.\tCD\tB-NP\tO' +p102616 +aS'Glipizide\tGlipizide\tNN\tI-NP\tO' +p102617 +aS'5\t5\tCD\tB-NP\tO' +p102618 +aS'mg\tmg\tNN\tI-NP\tO' +p102619 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p102620 +aS'Sig\tSig\tNNP\tI-NP\tO' +p102621 +aS':\t:\t:\tO\tO' +p102622 +aS'One\tOne\tCD\tB-NP\tO' +p102623 +aS'(\t(\t(\tO\tO' +p102624 +aS'1\t1\tCD\tB-NP\tO' +p102625 +aS')\t)\t)\tO\tO' +p102626 +aS'Tablet\tTablet\tNN\tB-NP\tB-protein' +p102627 +aS'PO\tPO\tNN\tI-NP\tI-protein' +p102628 +aS'once\tonce\tRB\tO\tO' +p102629 +aS'a\ta\tDT\tB-NP\tO' +p102630 +aS'day\tday\tNN\tI-NP\tO' +p102631 +aS'.\t.\t.\tO\tO' +p102632 +asS'Once bleed ing stopped , advanced diet to soft-mechanical .' +p102633 +(lp102634 +S'Once\tOnce\tRB\tO\tO' +p102635 +aS'bleed\tbleed\tNN\tB-NP\tO' +p102636 +aS'ing\ting\tNN\tI-NP\tO' +p102637 +aS'stopped\tstop\tVBD\tB-VP\tO' +p102638 +aS',\t,\t,\tO\tO' +p102639 +aS'advanced\tadvance\tVBD\tB-VP\tO' +p102640 +aS'diet\tdiet\tNN\tB-NP\tO' +p102641 +aS'to\tto\tTO\tB-PP\tO' +p102642 +aS'soft-mechanical\tsoft-mechanical\tJJ\tB-NP\tO' +p102643 +aS'.\t.\t.\tO\tO' +p102644 +asS'SENSORY : Hearing screen was performed with automated auditory brain stem responses and the results was the infant passing in both ears .' +p102645 +(lp102646 +S'SENSORY\tSENSORY\tNN\tB-NP\tO' +p102647 +aS':\t:\t:\tO\tO' +p102648 +aS'Hearing\tHear\tVBG\tB-VP\tO' +p102649 +aS'screen\tscreen\tNN\tB-NP\tO' +p102650 +aS'was\tbe\tVBD\tB-VP\tO' +p102651 +aS'performed\tperform\tVBN\tI-VP\tO' +p102652 +aS'with\twith\tIN\tB-PP\tO' +p102653 +aS'automated\tautomate\tVBN\tB-NP\tO' +p102654 +aS'auditory\tauditory\tJJ\tI-NP\tO' +p102655 +aS'brain\tbrain\tNN\tI-NP\tO' +p102656 +aS'stem\tstem\tNN\tI-NP\tO' +p102657 +aS'responses\tresponse\tNNS\tI-NP\tO' +p102658 +aS'and\tand\tCC\tO\tO' +p102659 +aS'the\tthe\tDT\tB-NP\tO' +p102660 +aS'results\tresult\tNNS\tI-NP\tO' +p102661 +aS'was\tbe\tVBD\tB-VP\tO' +p102662 +aS'the\tthe\tDT\tB-NP\tO' +p102663 +aS'infant\tinfant\tJJ\tI-NP\tO' +p102664 +aS'passing\tpassing\tNN\tI-NP\tO' +p102665 +aS'in\tin\tIN\tB-PP\tO' +p102666 +aS'both\tboth\tDT\tB-NP\tO' +p102667 +aS'ears\tear\tNNS\tI-NP\tO' +p102668 +aS'.\t.\t.\tO\tO' +p102669 +asS'Gastroenterology was consulted and they recommended Protonix and felt it was due to peptic ulcer disease .' +p102670 +(lp102671 +S'Gastroenterology\tGastroenterology\tNN\tB-NP\tO' +p102672 +aS'was\tbe\tVBD\tB-VP\tO' +p102673 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p102674 +aS'and\tand\tCC\tO\tO' +p102675 +aS'they\tthey\tPRP\tB-NP\tO' +p102676 +aS'recommended\trecommend\tVBD\tB-VP\tO' +p102677 +aS'Protonix\tProtonix\tNNP\tB-NP\tO' +p102678 +aS'and\tand\tCC\tO\tO' +p102679 +aS'felt\tfeel\tVBD\tB-VP\tO' +p102680 +aS'it\tit\tPRP\tB-NP\tO' +p102681 +aS'was\tbe\tVBD\tB-VP\tO' +p102682 +aS'due\tdue\tJJ\tB-ADJP\tO' +p102683 +aS'to\tto\tTO\tB-PP\tO' +p102684 +aS'peptic\tpeptic\tJJ\tB-NP\tO' +p102685 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p102686 +aS'disease\tdisease\tNN\tI-NP\tO' +p102687 +aS'.\t.\t.\tO\tO' +p102688 +asS'No varicosities noted .' +p102689 +(lp102690 +S'No\tNo\tDT\tB-NP\tO' +p102691 +aS'varicosities\tvaricosity\tNNS\tI-NP\tO' +p102692 +aS'noted\tnote\tVBD\tB-VP\tO' +p102693 +aS'.\t.\t.\tO\tO' +p102694 +asS"She improved and was tolerating PO 's without difficulty after passing a swallow study ." +p102695 +(lp102696 +S'She\tShe\tPRP\tB-NP\tO' +p102697 +aS'improved\timprove\tVBD\tB-VP\tO' +p102698 +aS'and\tand\tCC\tO\tO' +p102699 +aS'was\tbe\tVBD\tB-VP\tO' +p102700 +aS'tolerating\ttolerate\tVBG\tI-VP\tO' +p102701 +aS'PO\tPO\tNNP\tB-NP\tO' +p102702 +aS"'s\t's\tPOS\tB-NP\tO" +p102703 +aS'without\twithout\tIN\tB-PP\tO' +p102704 +aS'difficulty\tdifficulty\tNN\tB-NP\tO' +p102705 +aS'after\tafter\tIN\tB-PP\tO' +p102706 +aS'passing\tpass\tVBG\tB-VP\tO' +p102707 +aS'a\ta\tDT\tB-NP\tO' +p102708 +aS'swallow\tswallow\tJJ\tI-NP\tO' +p102709 +aS'study\tstudy\tNN\tI-NP\tO' +p102710 +aS'.\t.\t.\tO\tO' +p102711 +asS'6. History of atrioseptal defect .' +p102712 +(lp102713 +S'6.\t6.\tLS\tB-NP\tO' +p102714 +aS'History\tHistory\tNN\tI-NP\tO' +p102715 +aS'of\tof\tIN\tB-PP\tO' +p102716 +aS'atrioseptal\tatrioseptal\tJJ\tB-NP\tO' +p102717 +aS'defect\tdefect\tNN\tI-NP\tO' +p102718 +aS'.\t.\t.\tO\tO' +p102719 +asS'Hearing screening was performed with automated auditory brain stem responses .' +p102720 +(lp102721 +S'Hearing\tHear\tVBG\tB-NP\tO' +p102722 +aS'screening\tscreening\tNN\tI-NP\tO' +p102723 +aS'was\tbe\tVBD\tB-VP\tO' +p102724 +aS'performed\tperform\tVBN\tI-VP\tO' +p102725 +aS'with\twith\tIN\tB-PP\tO' +p102726 +aS'automated\tautomate\tVBN\tB-NP\tO' +p102727 +aS'auditory\tauditory\tJJ\tI-NP\tO' +p102728 +aS'brain\tbrain\tNN\tI-NP\tO' +p102729 +aS'stem\tstem\tNN\tI-NP\tO' +p102730 +aS'responses\tresponse\tNNS\tI-NP\tO' +p102731 +aS'.\t.\t.\tO\tO' +p102732 +asS'She did well on minimal vent settings but it was decided to delay extubating the patient until the morning of 6/2 .' +p102733 +(lp102734 +S'She\tShe\tPRP\tB-NP\tO' +p102735 +aS'did\tdo\tVBD\tB-VP\tO' +p102736 +aS'well\twell\tRB\tB-ADVP\tO' +p102737 +aS'on\ton\tIN\tB-PP\tO' +p102738 +aS'minimal\tminimal\tJJ\tB-NP\tO' +p102739 +aS'vent\tvent\tNN\tI-NP\tO' +p102740 +aS'settings\tsetting\tNNS\tI-NP\tO' +p102741 +aS'but\tbut\tCC\tO\tO' +p102742 +aS'it\tit\tPRP\tB-NP\tO' +p102743 +aS'was\tbe\tVBD\tB-VP\tO' +p102744 +aS'decided\tdecide\tVBN\tI-VP\tO' +p102745 +aS'to\tto\tTO\tI-VP\tO' +p102746 +aS'delay\tdelay\tVB\tI-VP\tO' +p102747 +aS'extubating\textubate\tVBG\tI-VP\tO' +p102748 +aS'the\tthe\tDT\tB-NP\tO' +p102749 +aS'patient\tpatient\tNN\tI-NP\tO' +p102750 +aS'until\tuntil\tIN\tB-SBAR\tO' +p102751 +aS'the\tthe\tDT\tB-NP\tO' +p102752 +aS'morning\tmorning\tNN\tI-NP\tO' +p102753 +aS'of\tof\tIN\tB-PP\tO' +p102754 +aS'6/2\t6/2\tCD\tB-NP\tO' +p102755 +aS'.\t.\t.\tO\tO' +p102756 +asS'Urinalysis was negative .' +p102757 +(lp102758 +S'Urinalysis\tUrinalysis\tNN\tB-NP\tO' +p102759 +aS'was\tbe\tVBD\tB-VP\tO' +p102760 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p102761 +aS'.\t.\t.\tO\tO' +p102762 +asS'O2 saturation 96% on room air .' +p102763 +(lp102764 +S'O2\tO2\tNN\tB-NP\tO' +p102765 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p102766 +aS'96%\t96%\tNN\tI-NP\tO' +p102767 +aS'on\ton\tIN\tB-PP\tO' +p102768 +aS'room\troom\tNN\tB-NP\tO' +p102769 +aS'air\tair\tNN\tI-NP\tO' +p102770 +aS'.\t.\t.\tO\tO' +p102771 +asS'He had no episodes of arrhythmia on Telemetry .' +p102772 +(lp102773 +S'He\tHe\tPRP\tB-NP\tO' +p102774 +aS'had\thave\tVBD\tB-VP\tO' +p102775 +aS'no\tno\tDT\tB-NP\tO' +p102776 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p102777 +aS'of\tof\tIN\tB-PP\tO' +p102778 +aS'arrhythmia\tarrhythmia\tNN\tB-NP\tO' +p102779 +aS'on\ton\tIN\tB-PP\tO' +p102780 +aS'Telemetry\tTelemetry\tNNP\tB-NP\tO' +p102781 +aS'.\t.\t.\tO\tO' +p102782 +asS'I think his breathing was as good as to be expected with the amount of severe chronic obstructive pulmonary disease he had .' +p102783 +(lp102784 +S'I\tI\tPRP\tB-NP\tO' +p102785 +aS'think\tthink\tVBP\tB-VP\tO' +p102786 +aS'his\this\tPRP$\tB-NP\tO' +p102787 +aS'breathing\tbreathing\tNN\tI-NP\tO' +p102788 +aS'was\tbe\tVBD\tB-VP\tO' +p102789 +aS'as\tas\tRB\tB-ADJP\tO' +p102790 +aS'good\tgood\tJJ\tI-ADJP\tO' +p102791 +aS'as\tas\tIN\tB-SBAR\tO' +p102792 +aS'to\tto\tTO\tB-VP\tO' +p102793 +aS'be\tbe\tVB\tI-VP\tO' +p102794 +aS'expected\texpect\tVBN\tI-VP\tO' +p102795 +aS'with\twith\tIN\tB-PP\tO' +p102796 +aS'the\tthe\tDT\tB-NP\tO' +p102797 +aS'amount\tamount\tNN\tI-NP\tO' +p102798 +aS'of\tof\tIN\tB-PP\tO' +p102799 +aS'severe\tsevere\tJJ\tB-NP\tO' +p102800 +aS'chronic\tchronic\tJJ\tI-NP\tO' +p102801 +aS'obstructive\tobstructive\tJJ\tI-NP\tO' +p102802 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p102803 +aS'disease\tdisease\tNN\tI-NP\tO' +p102804 +aS'he\the\tPRP\tB-NP\tO' +p102805 +aS'had\thave\tVBD\tB-VP\tO' +p102806 +aS'.\t.\t.\tO\tO' +p102807 +asS'Gag was present weakly .' +p102808 +(lp102809 +S'Gag\tGag\tNN\tB-NP\tB-protein' +p102810 +aS'was\tbe\tVBD\tB-VP\tO' +p102811 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p102812 +aS'weakly\tweakly\tRB\tB-ADVP\tO' +p102813 +aS'.\t.\t.\tO\tO' +p102814 +asS'A lung biopsy was performed on 4/30/93 without definitive results .' +p102815 +(lp102816 +S'A\tA\tDT\tB-NP\tO' +p102817 +aS'lung\tlung\tNN\tI-NP\tO' +p102818 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p102819 +aS'was\tbe\tVBD\tB-VP\tO' +p102820 +aS'performed\tperform\tVBN\tI-VP\tO' +p102821 +aS'on\ton\tIN\tB-PP\tO' +p102822 +aS'4/30/93\t4/30/93\tCD\tB-NP\tO' +p102823 +aS'without\twithout\tIN\tB-PP\tO' +p102824 +aS'definitive\tdefinitive\tJJ\tB-NP\tO' +p102825 +aS'results\tresult\tNNS\tI-NP\tO' +p102826 +aS'.\t.\t.\tO\tO' +p102827 +asS'She was kept on a similar immunosuppressive regimen as with her kidney transplant .' +p102828 +(lp102829 +S'She\tShe\tPRP\tB-NP\tO' +p102830 +aS'was\tbe\tVBD\tB-VP\tO' +p102831 +aS'kept\tkeep\tVBN\tI-VP\tO' +p102832 +aS'on\ton\tIN\tB-PP\tO' +p102833 +aS'a\ta\tDT\tB-NP\tO' +p102834 +aS'similar\tsimilar\tJJ\tI-NP\tO' +p102835 +aS'immunosuppressive\timmunosuppressive\tJJ\tI-NP\tO' +p102836 +aS'regimen\tregimen\tNN\tI-NP\tO' +p102837 +aS'as\tas\tIN\tB-PP\tO' +p102838 +aS'with\twith\tIN\tB-PP\tO' +p102839 +aS'her\ther\tPRP$\tB-NP\tO' +p102840 +aS'kidney\tkidney\tNN\tI-NP\tO' +p102841 +aS'transplant\ttransplant\tNN\tI-NP\tO' +p102842 +aS'.\t.\t.\tO\tO' +p102843 +asS'reveals a well healed incision in the left side , there are no axillary lymph nodes palpable on both sides .' +p102844 +(lp102845 +S'reveals\treveal\tVBZ\tB-VP\tO' +p102846 +aS'a\ta\tDT\tB-NP\tO' +p102847 +aS'well\twell\tRB\tI-NP\tO' +p102848 +aS'healed\theal\tVBN\tI-NP\tO' +p102849 +aS'incision\tincision\tNN\tI-NP\tO' +p102850 +aS'in\tin\tIN\tB-PP\tO' +p102851 +aS'the\tthe\tDT\tB-NP\tO' +p102852 +aS'left\tleft\tJJ\tI-NP\tO' +p102853 +aS'side\tside\tNN\tI-NP\tO' +p102854 +aS',\t,\t,\tO\tO' +p102855 +aS'there\tthere\tEX\tB-NP\tO' +p102856 +aS'are\tbe\tVBP\tB-VP\tO' +p102857 +aS'no\tno\tDT\tB-NP\tO' +p102858 +aS'axillary\taxillary\tJJ\tI-NP\tO' +p102859 +aS'lymph\tlymph\tNN\tI-NP\tO' +p102860 +aS'nodes\tnode\tNNS\tI-NP\tO' +p102861 +aS'palpable\tpalpable\tJJ\tB-ADJP\tO' +p102862 +aS'on\ton\tIN\tB-PP\tO' +p102863 +aS'both\tboth\tDT\tB-NP\tO' +p102864 +aS'sides\tside\tNNS\tI-NP\tO' +p102865 +aS'.\t.\t.\tO\tO' +p102866 +asS'Extremities - without cyanosis or edema .' +p102867 +(lp102868 +S'Extremities\tExtremity\tNNS\tB-NP\tO' +p102869 +aS'-\t-\t:\tO\tO' +p102870 +aS'without\twithout\tIN\tB-PP\tO' +p102871 +aS'cyanosis\tcyanosis\tNN\tB-NP\tO' +p102872 +aS'or\tor\tCC\tI-NP\tO' +p102873 +aS'edema\tedema\tNN\tI-NP\tO' +p102874 +aS'.\t.\t.\tO\tO' +p102875 +asS'Head was atraumatic and normocephalic with pupils equal , round , and reactive to light .' +p102876 +(lp102877 +S'Head\tHead\tNNP\tB-NP\tO' +p102878 +aS'was\tbe\tVBD\tB-VP\tO' +p102879 +aS'atraumatic\tatraumatic\tJJ\tB-ADJP\tO' +p102880 +aS'and\tand\tCC\tI-ADJP\tO' +p102881 +aS'normocephalic\tnormocephalic\tJJ\tI-ADJP\tO' +p102882 +aS'with\twith\tIN\tB-PP\tO' +p102883 +aS'pupils\tpupil\tNNS\tB-NP\tO' +p102884 +aS'equal\tequal\tJJ\tB-VP\tO' +p102885 +aS',\t,\t,\tO\tO' +p102886 +aS'round\tround\tJJ\tB-ADJP\tO' +p102887 +aS',\t,\t,\tO\tO' +p102888 +aS'and\tand\tCC\tO\tO' +p102889 +aS'reactive\treactive\tJJ\tB-ADJP\tO' +p102890 +aS'to\tto\tTO\tB-PP\tO' +p102891 +aS'light\tlight\tNN\tB-NP\tO' +p102892 +aS'.\t.\t.\tO\tO' +p102893 +asS'He is a non-smoker and drinks rare alcohol .' +p102894 +(lp102895 +S'He\tHe\tPRP\tB-NP\tB-DNA' +p102896 +aS'is\tbe\tVBZ\tB-VP\tO' +p102897 +aS'a\ta\tDT\tB-NP\tO' +p102898 +aS'non-smoker\tnon-smoker\tJJ\tI-NP\tO' +p102899 +aS'and\tand\tCC\tO\tO' +p102900 +aS'drinks\tdrink\tVBZ\tB-VP\tO' +p102901 +aS'rare\trare\tJJ\tB-NP\tO' +p102902 +aS'alcohol\talcohol\tNN\tI-NP\tO' +p102903 +aS'.\t.\t.\tO\tO' +p102904 +asS'Narcotics can cause constipation .' +p102905 +(lp102906 +S'Narcotics\tNarcotic\tNNS\tB-NP\tO' +p102907 +aS'can\tcan\tMD\tB-VP\tO' +p102908 +aS'cause\tcause\tVB\tI-VP\tO' +p102909 +aS'constipation\tconstipation\tNN\tB-NP\tO' +p102910 +aS'.\t.\t.\tO\tO' +p102911 +asS'Baby Daniel Holman was born at 39 and 3/7 weeks gestation ( EDC 2015-04-25 ).' +p102912 +(lp102913 +S'Baby\tBaby\tNNP\tB-NP\tO' +p102914 +aS'Daniel\tDaniel\tNNP\tI-NP\tO' +p102915 +aS'Holman\tHolman\tNNP\tI-NP\tO' +p102916 +aS'was\tbe\tVBD\tB-VP\tO' +p102917 +aS'born\tbear\tVBN\tI-VP\tO' +p102918 +aS'at\tat\tIN\tB-PP\tO' +p102919 +aS'39\t39\tCD\tB-NP\tO' +p102920 +aS'and\tand\tCC\tI-NP\tO' +p102921 +aS'3/7\t3/7\tCD\tI-NP\tO' +p102922 +aS'weeks\tweek\tNNS\tI-NP\tO' +p102923 +aS'gestation\tgestation\tNN\tI-NP\tO' +p102924 +aS'(\t(\t(\tO\tO' +p102925 +aS'EDC\tEDC\tNN\tB-NP\tO' +p102926 +aS'2015-04-25\t2015-04-25\tCD\tI-NP\tO' +p102927 +aS').\t).\t.\tO\tO' +p102928 +asS'The patient has a history of excessive alcohol use .' +p102929 +(lp102930 +S'The\tThe\tDT\tB-NP\tO' +p102931 +aS'patient\tpatient\tNN\tI-NP\tO' +p102932 +aS'has\thave\tVBZ\tB-VP\tO' +p102933 +aS'a\ta\tDT\tB-NP\tO' +p102934 +aS'history\thistory\tNN\tI-NP\tO' +p102935 +aS'of\tof\tIN\tB-PP\tO' +p102936 +aS'excessive\texcessive\tJJ\tB-NP\tO' +p102937 +aS'alcohol\talcohol\tNN\tI-NP\tO' +p102938 +aS'use\tuse\tNN\tI-NP\tO' +p102939 +aS'.\t.\t.\tO\tO' +p102940 +asS'The right lobe was within normal limits .' +p102941 +(lp102942 +S'The\tThe\tDT\tB-NP\tO' +p102943 +aS'right\tright\tJJ\tI-NP\tO' +p102944 +aS'lobe\tlobe\tNN\tI-NP\tO' +p102945 +aS'was\tbe\tVBD\tB-VP\tO' +p102946 +aS'within\twithin\tIN\tB-PP\tO' +p102947 +aS'normal\tnormal\tJJ\tB-NP\tO' +p102948 +aS'limits\tlimit\tNNS\tI-NP\tO' +p102949 +aS'.\t.\t.\tO\tO' +p102950 +asS'The nasogastric tube was removed on hsp day # 3 .' +p102951 +(lp102952 +S'The\tThe\tDT\tB-NP\tO' +p102953 +aS'nasogastric\tnasogastric\tJJ\tI-NP\tO' +p102954 +aS'tube\ttube\tNN\tI-NP\tO' +p102955 +aS'was\tbe\tVBD\tB-VP\tO' +p102956 +aS'removed\tremove\tVBN\tI-VP\tO' +p102957 +aS'on\ton\tIN\tB-PP\tO' +p102958 +aS'hsp\thsp\tNN\tB-NP\tB-DNA' +p102959 +aS'day\tday\tNN\tI-NP\tI-DNA' +p102960 +aS'#\t#\t#\tB-NP\tI-DNA' +p102961 +aS'3\t3\tCD\tI-NP\tI-DNA' +p102962 +aS'.\t.\t.\tO\tO' +p102963 +asS'L2 to L5 laminectomy , L2 through L5 posterior fusion with segmental instrumentation .' +p102964 +(lp102965 +S'L2\tL2\tNN\tB-NP\tB-DNA' +p102966 +aS'to\tto\tTO\tB-PP\tO' +p102967 +aS'L5\tL5\tNN\tB-NP\tB-DNA' +p102968 +aS'laminectomy\tlaminectomy\tNN\tI-NP\tO' +p102969 +aS',\t,\t,\tO\tO' +p102970 +aS'L2\tL2\tNN\tB-NP\tB-DNA' +p102971 +aS'through\tthrough\tIN\tB-PP\tO' +p102972 +aS'L5\tL5\tNN\tB-NP\tB-DNA' +p102973 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p102974 +aS'fusion\tfusion\tNN\tI-NP\tO' +p102975 +aS'with\twith\tIN\tB-PP\tO' +p102976 +aS'segmental\tsegmental\tJJ\tB-NP\tO' +p102977 +aS'instrumentation\tinstrumentation\tNN\tI-NP\tO' +p102978 +aS'.\t.\t.\tO\tO' +p102979 +asS'The patient had pulses distally , 1+ femorals , 1+ dorsalis pedis .' +p102980 +(lp102981 +S'The\tThe\tDT\tB-NP\tO' +p102982 +aS'patient\tpatient\tNN\tI-NP\tO' +p102983 +aS'had\thave\tVBD\tB-VP\tO' +p102984 +aS'pulses\tpulse\tNNS\tB-NP\tO' +p102985 +aS'distally\tdistally\tRB\tB-ADVP\tO' +p102986 +aS',\t,\t,\tO\tO' +p102987 +aS'1+\t1+\tJJ\tB-NP\tO' +p102988 +aS'femorals\tfemoral\tNNS\tI-NP\tO' +p102989 +aS',\t,\t,\tO\tO' +p102990 +aS'1+\t1+\tJJ\tB-NP\tO' +p102991 +aS'dorsalis\tdorsalis\tNN\tI-NP\tO' +p102992 +aS'pedis\tpedis\tNN\tI-NP\tO' +p102993 +aS'.\t.\t.\tO\tO' +p102994 +asS'His family reports that he had worked that day .' +p102995 +(lp102996 +S'His\tHis\tPRP$\tB-NP\tO' +p102997 +aS'family\tfamily\tNN\tI-NP\tO' +p102998 +aS'reports\treport\tVBZ\tB-VP\tO' +p102999 +aS'that\tthat\tIN\tB-SBAR\tO' +p103000 +aS'he\the\tPRP\tB-NP\tO' +p103001 +aS'had\thave\tVBD\tB-VP\tO' +p103002 +aS'worked\twork\tVBN\tI-VP\tO' +p103003 +aS'that\tthat\tDT\tB-NP\tO' +p103004 +aS'day\tday\tNN\tI-NP\tO' +p103005 +aS'.\t.\t.\tO\tO' +p103006 +asS'Visual fields were full .' +p103007 +(lp103008 +S'Visual\tVisual\tJJ\tB-NP\tO' +p103009 +aS'fields\tfield\tNNS\tI-NP\tO' +p103010 +aS'were\tbe\tVBD\tB-VP\tO' +p103011 +aS'full\tfull\tJJ\tB-ADJP\tO' +p103012 +aS'.\t.\t.\tO\tO' +p103013 +asS'Heparin i.v. drip at 400 units per hour , on her arrival .' +p103014 +(lp103015 +S'Heparin\tHeparin\tNN\tB-NP\tO' +p103016 +aS'i.v.\ti.v.\tJJ\tI-NP\tO' +p103017 +aS'drip\tdrip\tNN\tI-NP\tO' +p103018 +aS'at\tat\tIN\tB-PP\tO' +p103019 +aS'400\t400\tCD\tB-NP\tB-DNA' +p103020 +aS'units\tunit\tNNS\tI-NP\tI-DNA' +p103021 +aS'per\tper\tIN\tB-PP\tO' +p103022 +aS'hour\thour\tNN\tB-NP\tO' +p103023 +aS',\t,\t,\tO\tO' +p103024 +aS'on\ton\tIN\tB-PP\tO' +p103025 +aS'her\ther\tPRP$\tB-NP\tO' +p103026 +aS'arrival\tarrival\tNN\tI-NP\tO' +p103027 +aS'.\t.\t.\tO\tO' +p103028 +asS'Neuro : no asterixis , CN II-XII intact , 5/5 strength throughout , sensation to LT intact throughout , gait deferred' +p103029 +(lp103030 +S'Neuro\tNeuro\tNN\tB-NP\tO' +p103031 +aS':\t:\t:\tO\tO' +p103032 +aS'no\tno\tDT\tB-NP\tO' +p103033 +aS'asterixis\tasterixis\tNN\tI-NP\tO' +p103034 +aS',\t,\t,\tO\tO' +p103035 +aS'CN\tCN\tNN\tB-NP\tB-protein' +p103036 +aS'II-XII\tII-XII\tNN\tI-NP\tI-protein' +p103037 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p103038 +aS',\t,\t,\tO\tO' +p103039 +aS'5/5\t5/5\tCD\tB-NP\tO' +p103040 +aS'strength\tstrength\tNN\tI-NP\tO' +p103041 +aS'throughout\tthroughout\tIN\tB-ADVP\tO' +p103042 +aS',\t,\t,\tO\tO' +p103043 +aS'sensation\tsensation\tNN\tB-NP\tO' +p103044 +aS'to\tto\tTO\tB-PP\tO' +p103045 +aS'LT\tLT\tNN\tB-NP\tB-protein' +p103046 +aS'intact\tintact\tJJ\tI-NP\tO' +p103047 +aS'throughout\tthroughout\tNN\tI-NP\tO' +p103048 +aS',\t,\t,\tO\tO' +p103049 +aS'gait\tgait\tNN\tB-NP\tO' +p103050 +aS'deferred\tdefer\tVBD\tB-VP\tO' +p103051 +asS'At 9/7/93 , 1:00 a.m. , intravenous fluids rate was decreased to 50 cc's per hour , total fluids given during the first 24 hours were 140 to 150 cc's per kilo per day .' +p103052 +(lp103053 +S'At\tAt\tIN\tB-PP\tO' +p103054 +aS'9/7/93\t9/7/93\tCD\tB-NP\tO' +p103055 +aS',\t,\t,\tO\tO' +p103056 +aS'1:00\t1:00\tCD\tB-NP\tO' +p103057 +aS'a.m.\ta.m.\tRB\tB-ADVP\tO' +p103058 +aS',\t,\t,\tO\tO' +p103059 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p103060 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p103061 +aS'rate\trate\tNN\tI-NP\tO' +p103062 +aS'was\tbe\tVBD\tB-VP\tO' +p103063 +aS'decreased\tdecrease\tVBN\tI-VP\tO' +p103064 +aS'to\tto\tTO\tB-PP\tO' +p103065 +aS'50\t50\tCD\tB-NP\tO' +p103066 +aS'cc's\tcc'\tNNS\tI-NP\tO' +p103067 +aS'per\tper\tIN\tB-PP\tO' +p103068 +aS'hour\thour\tNN\tB-NP\tO' +p103069 +aS',\t,\t,\tO\tO' +p103070 +aS'total\ttotal\tJJ\tB-NP\tO' +p103071 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p103072 +aS'given\tgive\tVBN\tB-VP\tO' +p103073 +aS'during\tduring\tIN\tB-PP\tO' +p103074 +aS'the\tthe\tDT\tB-NP\tO' +p103075 +aS'first\tfirst\tJJ\tI-NP\tO' +p103076 +aS'24\t24\tCD\tI-NP\tO' +p103077 +aS'hours\thour\tNNS\tI-NP\tO' +p103078 +aS'were\tbe\tVBD\tB-VP\tO' +p103079 +aS'140\t140\tCD\tB-NP\tO' +p103080 +aS'to\tto\tTO\tB-PP\tO' +p103081 +aS'150\t150\tCD\tB-NP\tO' +p103082 +aS'cc's\tcc'\tNNS\tI-NP\tO' +p103083 +aS'per\tper\tIN\tB-PP\tO' +p103084 +aS'kilo\tkilo\tNN\tB-NP\tO' +p103085 +aS'per\tper\tIN\tB-PP\tO' +p103086 +aS'day\tday\tNN\tB-NP\tO' +p103087 +aS'.\t.\t.\tO\tO' +p103088 +asS'Non-contributory .' +p103089 +(lp103090 +S'Non-contributory\tNon-contributory\tJJ\tB-ADJP\tO' +p103091 +aS'.\t.\t.\tO\tO' +p103092 +asS'Right arm neurovascularly intact .' +p103093 +(lp103094 +S'Right\tRight\tRB\tB-ADVP\tO' +p103095 +aS'arm\tarm\tNN\tI-ADVP\tO' +p103096 +aS'neurovascularly\tneurovascularly\tRB\tB-ADJP\tO' +p103097 +aS'intact\tintact\tJJ\tI-ADJP\tO' +p103098 +aS'.\t.\t.\tO\tO' +p103099 +asS'3. ECG changes - Patient had an episode of chest pain during her hospital stay that was both right and left sided with no radiation and no associated symptoms .' +p103100 +(lp103101 +S'3.\t3.\tLS\tB-NP\tO' +p103102 +aS'ECG\tECG\tNN\tI-NP\tO' +p103103 +aS'changes\tchange\tNNS\tI-NP\tO' +p103104 +aS'-\t-\t:\tO\tO' +p103105 +aS'Patient\tPatient\tNN\tB-NP\tO' +p103106 +aS'had\thave\tVBD\tB-VP\tO' +p103107 +aS'an\tan\tDT\tB-NP\tO' +p103108 +aS'episode\tepisode\tNN\tI-NP\tO' +p103109 +aS'of\tof\tIN\tB-PP\tO' +p103110 +aS'chest\tchest\tNN\tB-NP\tO' +p103111 +aS'pain\tpain\tNN\tI-NP\tO' +p103112 +aS'during\tduring\tIN\tB-PP\tO' +p103113 +aS'her\ther\tPRP$\tB-NP\tO' +p103114 +aS'hospital\thospital\tNN\tI-NP\tO' +p103115 +aS'stay\tstay\tNN\tI-NP\tO' +p103116 +aS'that\tthat\tWDT\tB-NP\tO' +p103117 +aS'was\tbe\tVBD\tB-VP\tO' +p103118 +aS'both\tboth\tCC\tO\tO' +p103119 +aS'right\tright\tJJ\tB-ADJP\tO' +p103120 +aS'and\tand\tCC\tI-ADJP\tO' +p103121 +aS'left\tleft\tJJ\tI-ADJP\tO' +p103122 +aS'sided\tside\tVBN\tB-VP\tO' +p103123 +aS'with\twith\tIN\tB-PP\tO' +p103124 +aS'no\tno\tDT\tB-NP\tO' +p103125 +aS'radiation\tradiation\tNN\tI-NP\tO' +p103126 +aS'and\tand\tCC\tO\tO' +p103127 +aS'no\tno\tDT\tB-NP\tO' +p103128 +aS'associated\tassociated\tJJ\tI-NP\tO' +p103129 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p103130 +aS'.\t.\t.\tO\tO' +p103131 +asS'A repeat CT scan showed no change .' +p103132 +(lp103133 +S'A\tA\tDT\tB-NP\tO' +p103134 +aS'repeat\trepeat\tNN\tI-NP\tO' +p103135 +aS'CT\tCT\tNN\tI-NP\tO' +p103136 +aS'scan\tscan\tNN\tI-NP\tO' +p103137 +aS'showed\tshow\tVBD\tB-VP\tO' +p103138 +aS'no\tno\tDT\tB-NP\tO' +p103139 +aS'change\tchange\tNN\tI-NP\tO' +p103140 +aS'.\t.\t.\tO\tO' +p103141 +asS'Pt received oxacillin during his prior hospitalization and had AIN from this medication .' +p103142 +(lp103143 +S'Pt\tPt\tNN\tB-NP\tB-protein' +p103144 +aS'received\treceive\tVBD\tB-VP\tI-protein' +p103145 +aS'oxacillin\toxacillin\tNN\tB-NP\tI-protein' +p103146 +aS'during\tduring\tIN\tB-PP\tO' +p103147 +aS'his\this\tPRP$\tB-NP\tO' +p103148 +aS'prior\tprior\tJJ\tI-NP\tO' +p103149 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p103150 +aS'and\tand\tCC\tO\tO' +p103151 +aS'had\thave\tVBD\tB-VP\tO' +p103152 +aS'AIN\tAIN\tNN\tB-NP\tB-protein' +p103153 +aS'from\tfrom\tIN\tB-PP\tO' +p103154 +aS'this\tthis\tDT\tB-NP\tO' +p103155 +aS'medication\tmedication\tNN\tI-NP\tO' +p103156 +aS'.\t.\t.\tO\tO' +p103157 +asS'The oxygen consumption was assumed .' +p103158 +(lp103159 +S'The\tThe\tDT\tB-NP\tO' +p103160 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p103161 +aS'consumption\tconsumption\tNN\tI-NP\tO' +p103162 +aS'was\tbe\tVBD\tB-VP\tO' +p103163 +aS'assumed\tassume\tVBN\tI-VP\tO' +p103164 +aS'.\t.\t.\tO\tO' +p103165 +asS'Her activity level is as tolerated .' +p103166 +(lp103167 +S'Her\tHer\tPRP$\tB-NP\tB-protein' +p103168 +aS'activity\tactivity\tNN\tI-NP\tO' +p103169 +aS'level\tlevel\tNN\tI-NP\tO' +p103170 +aS'is\tbe\tVBZ\tB-VP\tO' +p103171 +aS'as\tas\tRB\tB-ADJP\tO' +p103172 +aS'tolerated\ttolerate\tVBN\tI-ADJP\tO' +p103173 +aS'.\t.\t.\tO\tO' +p103174 +asS'In addition , she would follow up with her primary care physician within one to two weeks following discharge .' +p103175 +(lp103176 +S'In\tIn\tIN\tB-PP\tO' +p103177 +aS'addition\taddition\tNN\tB-NP\tO' +p103178 +aS',\t,\t,\tO\tO' +p103179 +aS'she\tshe\tPRP\tB-NP\tO' +p103180 +aS'would\twould\tMD\tB-VP\tO' +p103181 +aS'follow\tfollow\tVB\tI-VP\tO' +p103182 +aS'up\tup\tRP\tB-PRT\tO' +p103183 +aS'with\twith\tIN\tB-PP\tO' +p103184 +aS'her\ther\tPRP$\tB-NP\tO' +p103185 +aS'primary\tprimary\tJJ\tI-NP\tO' +p103186 +aS'care\tcare\tNN\tI-NP\tO' +p103187 +aS'physician\tphysician\tNN\tI-NP\tO' +p103188 +aS'within\twithin\tIN\tB-PP\tO' +p103189 +aS'one\tone\tCD\tB-NP\tO' +p103190 +aS'to\tto\tTO\tI-NP\tO' +p103191 +aS'two\ttwo\tCD\tI-NP\tO' +p103192 +aS'weeks\tweek\tNNS\tI-NP\tO' +p103193 +aS'following\tfollow\tVBG\tB-PP\tO' +p103194 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p103195 +aS'.\t.\t.\tO\tO' +p103196 +asS'7) hyponatremia - also hyponatremic on transfer , resolved w/ ivf .' +p103197 +(lp103198 +S'7)\t7)\tLS\tB-NP\tO' +p103199 +aS'hyponatremia\thyponatremia\tNN\tI-NP\tO' +p103200 +aS'-\t-\tHYPH\tB-VP\tO' +p103201 +aS'also\talso\tRB\tB-ADVP\tO' +p103202 +aS'hyponatremic\thyponatremic\tJJ\tB-ADJP\tO' +p103203 +aS'on\ton\tIN\tB-PP\tO' +p103204 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p103205 +aS',\t,\t,\tO\tO' +p103206 +aS'resolved\tresolve\tVBD\tB-VP\tO' +p103207 +aS'w/\tw/\tNN\tB-NP\tO' +p103208 +aS'ivf\tivf\tNN\tI-NP\tO' +p103209 +aS'.\t.\t.\tO\tO' +p103210 +asS'Further complicating this was his profound liver failure with rising ammonias and hepatic encephalopathy .' +p103211 +(lp103212 +S'Further\tFurther\tRB\tB-ADVP\tO' +p103213 +aS'complicating\tcomplicate\tVBG\tB-VP\tO' +p103214 +aS'this\tthis\tDT\tB-NP\tO' +p103215 +aS'was\tbe\tVBD\tB-VP\tO' +p103216 +aS'his\this\tPRP$\tB-NP\tO' +p103217 +aS'profound\tprofound\tJJ\tI-NP\tO' +p103218 +aS'liver\tliver\tNN\tI-NP\tO' +p103219 +aS'failure\tfailure\tNN\tI-NP\tO' +p103220 +aS'with\twith\tIN\tB-PP\tO' +p103221 +aS'rising\trise\tVBG\tB-NP\tO' +p103222 +aS'ammonias\tammonia\tNNS\tI-NP\tO' +p103223 +aS'and\tand\tCC\tO\tO' +p103224 +aS'hepatic\thepatic\tJJ\tB-NP\tO' +p103225 +aS'encephalopathy\tencephalopathy\tNN\tI-NP\tO' +p103226 +aS'.\t.\t.\tO\tO' +p103227 +asS'The patient is asked to see a physician immediately or go to the nearest emergency room if any bleeding , wound infection , fever greater than 100.8 , intractable nausea and vomiting , headache , dizziness , numbness , pain or weakness occurs .' +p103228 +(lp103229 +S'The\tThe\tDT\tB-NP\tO' +p103230 +aS'patient\tpatient\tNN\tI-NP\tO' +p103231 +aS'is\tbe\tVBZ\tB-VP\tO' +p103232 +aS'asked\task\tVBN\tI-VP\tO' +p103233 +aS'to\tto\tTO\tB-VP\tO' +p103234 +aS'see\tsee\tVB\tI-VP\tO' +p103235 +aS'a\ta\tDT\tB-NP\tO' +p103236 +aS'physician\tphysician\tNN\tI-NP\tO' +p103237 +aS'immediately\timmediately\tRB\tB-ADVP\tO' +p103238 +aS'or\tor\tCC\tO\tO' +p103239 +aS'go\tgo\tVB\tB-VP\tO' +p103240 +aS'to\tto\tTO\tB-PP\tO' +p103241 +aS'the\tthe\tDT\tB-NP\tO' +p103242 +aS'nearest\tnear\tJJS\tI-NP\tO' +p103243 +aS'emergency\temergency\tNN\tI-NP\tO' +p103244 +aS'room\troom\tNN\tI-NP\tO' +p103245 +aS'if\tif\tIN\tB-SBAR\tO' +p103246 +aS'any\tany\tDT\tB-NP\tO' +p103247 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p103248 +aS',\t,\t,\tO\tO' +p103249 +aS'wound\twound\tNN\tB-NP\tO' +p103250 +aS'infection\tinfection\tNN\tI-NP\tO' +p103251 +aS',\t,\t,\tO\tO' +p103252 +aS'fever\tfever\tRB\tB-ADJP\tO' +p103253 +aS'greater\tgreat\tJJR\tI-ADJP\tO' +p103254 +aS'than\tthan\tIN\tB-PP\tO' +p103255 +aS'100.8\t100.8\tCD\tB-NP\tO' +p103256 +aS',\t,\t,\tO\tO' +p103257 +aS'intractable\tintractable\tJJ\tB-NP\tO' +p103258 +aS'nausea\tnausea\tNN\tI-NP\tO' +p103259 +aS'and\tand\tCC\tI-NP\tO' +p103260 +aS'vomiting\tvomiting\tNN\tI-NP\tO' +p103261 +aS',\t,\t,\tO\tO' +p103262 +aS'headache\theadache\tNN\tB-NP\tO' +p103263 +aS',\t,\t,\tO\tO' +p103264 +aS'dizziness\tdizziness\tNN\tB-NP\tO' +p103265 +aS',\t,\t,\tO\tO' +p103266 +aS'numbness\tnumbness\tNN\tB-NP\tO' +p103267 +aS',\t,\t,\tO\tO' +p103268 +aS'pain\tpain\tNN\tB-NP\tO' +p103269 +aS'or\tor\tCC\tI-NP\tO' +p103270 +aS'weakness\tweakness\tNN\tI-NP\tO' +p103271 +aS'occurs\toccur\tVBZ\tB-VP\tO' +p103272 +aS'.\t.\t.\tO\tO' +p103273 +asS"On admission , the patient 's birth weight was 1.705 kilograms , which is 50th percentile ." +p103274 +(lp103275 +S'On\tOn\tIN\tB-PP\tO' +p103276 +aS'admission\tadmission\tNN\tB-NP\tO' +p103277 +aS',\t,\t,\tO\tO' +p103278 +aS'the\tthe\tDT\tB-NP\tO' +p103279 +aS'patient\tpatient\tNN\tI-NP\tO' +p103280 +aS"'s\t's\tPOS\tB-NP\tO" +p103281 +aS'birth\tbirth\tNN\tI-NP\tO' +p103282 +aS'weight\tweight\tNN\tI-NP\tO' +p103283 +aS'was\tbe\tVBD\tB-VP\tO' +p103284 +aS'1.705\t1.705\tCD\tB-NP\tO' +p103285 +aS'kilograms\tkilogram\tNNS\tI-NP\tO' +p103286 +aS',\t,\t,\tO\tO' +p103287 +aS'which\twhich\tWDT\tB-NP\tO' +p103288 +aS'is\tbe\tVBZ\tB-VP\tO' +p103289 +aS'50th\t50th\tJJ\tB-NP\tO' +p103290 +aS'percentile\tpercentile\tNN\tI-NP\tO' +p103291 +aS'.\t.\t.\tO\tO' +p103292 +asS'Discharge Instructions : see dc summary' +p103293 +(lp103294 +S'Discharge\tDischarge\tNNP\tB-NP\tO' +p103295 +aS'Instructions\tInstruction\tNNPS\tI-NP\tO' +p103296 +aS':\t:\t:\tO\tO' +p103297 +aS'see\tsee\tVB\tB-VP\tO' +p103298 +aS'dc\tdc\tNN\tB-NP\tO' +p103299 +aS'summary\tsummary\tNN\tI-NP\tO' +p103300 +asS'Abdomen is soft and obese , nontender .' +p103301 +(lp103302 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p103303 +aS'is\tbe\tVBZ\tB-VP\tO' +p103304 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p103305 +aS'and\tand\tCC\tI-ADJP\tO' +p103306 +aS'obese\tobese\tJJ\tI-ADJP\tO' +p103307 +aS',\t,\t,\tO\tO' +p103308 +aS'nontender\tnontender\tJJ\tB-ADJP\tO' +p103309 +aS'.\t.\t.\tO\tO' +p103310 +asS'His amylase on admission there was 1,961 .' +p103311 +(lp103312 +S'His\tHis\tPRP$\tB-NP\tO' +p103313 +aS'amylase\tamylase\tNN\tI-NP\tB-protein' +p103314 +aS'on\ton\tIN\tB-PP\tO' +p103315 +aS'admission\tadmission\tNN\tB-NP\tO' +p103316 +aS'there\tthere\tEX\tB-NP\tO' +p103317 +aS'was\tbe\tVBD\tB-VP\tO' +p103318 +aS'1,961\t1,961\tCD\tB-NP\tO' +p103319 +aS'.\t.\t.\tO\tO' +p103320 +asS'Foley removed on POD #2 and had scattered rales with temp 101.2 .' +p103321 +(lp103322 +S'Foley\tFoley\tNNP\tB-NP\tO' +p103323 +aS'removed\tremove\tVBD\tB-VP\tO' +p103324 +aS'on\ton\tIN\tB-PP\tO' +p103325 +aS'POD\tPOD\tNN\tB-NP\tB-protein' +p103326 +aS'#2\t#2\tNN\tI-NP\tI-protein' +p103327 +aS'and\tand\tCC\tO\tO' +p103328 +aS'had\thave\tVBD\tB-VP\tO' +p103329 +aS'scattered\tscatter\tVBN\tI-VP\tO' +p103330 +aS'rales\trale\tNNS\tB-NP\tO' +p103331 +aS'with\twith\tIN\tB-PP\tO' +p103332 +aS'temp\ttemp\tNN\tB-NP\tO' +p103333 +aS'101.2\t101.2\tCD\tI-NP\tO' +p103334 +aS'.\t.\t.\tO\tO' +p103335 +asS'Alert and oriented times 3 .' +p103336 +(lp103337 +S'Alert\tAlert\tNNP\tB-NP\tO' +p103338 +aS'and\tand\tCC\tO\tO' +p103339 +aS'oriented\torient\tVBN\tB-VP\tO' +p103340 +aS'times\ttime\tNNS\tB-NP\tO' +p103341 +aS'3\t3\tCD\tI-NP\tO' +p103342 +aS'.\t.\t.\tO\tO' +p103343 +asS'The right groin revealed intra-aortic balloon pump site and pulmonary artery catheterization site were clean , dry and intact without tenderness .' +p103344 +(lp103345 +S'The\tThe\tDT\tB-NP\tO' +p103346 +aS'right\tright\tJJ\tI-NP\tB-DNA' +p103347 +aS'groin\tgroin\tNN\tI-NP\tI-DNA' +p103348 +aS'revealed\treveal\tVBD\tB-VP\tI-DNA' +p103349 +aS'intra-aortic\tintra-aortic\tJJ\tB-NP\tI-DNA' +p103350 +aS'balloon\tballoon\tNN\tI-NP\tI-DNA' +p103351 +aS'pump\tpump\tNN\tI-NP\tI-DNA' +p103352 +aS'site\tsite\tNN\tI-NP\tI-DNA' +p103353 +aS'and\tand\tCC\tO\tO' +p103354 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p103355 +aS'artery\tartery\tNN\tI-NP\tO' +p103356 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p103357 +aS'site\tsite\tNN\tI-NP\tO' +p103358 +aS'were\tbe\tVBD\tB-VP\tO' +p103359 +aS'clean\tclean\tJJ\tB-NP\tO' +p103360 +aS',\t,\t,\tI-NP\tO' +p103361 +aS'dry\tdry\tJJ\tI-NP\tO' +p103362 +aS'and\tand\tCC\tI-NP\tO' +p103363 +aS'intact\tintact\tJJ\tI-NP\tO' +p103364 +aS'without\twithout\tIN\tB-PP\tO' +p103365 +aS'tenderness\ttenderness\tNN\tB-NP\tO' +p103366 +aS'.\t.\t.\tO\tO' +p103367 +asS'The patient does not recollect what her reaction to penicillin was .' +p103368 +(lp103369 +S'The\tThe\tDT\tB-NP\tO' +p103370 +aS'patient\tpatient\tNN\tI-NP\tO' +p103371 +aS'does\tdo\tVBZ\tB-VP\tO' +p103372 +aS'not\tnot\tRB\tI-VP\tO' +p103373 +aS'recollect\trecollect\tVB\tI-VP\tO' +p103374 +aS'what\twhat\tWP\tB-NP\tO' +p103375 +aS'her\ther\tPRP$\tB-NP\tO' +p103376 +aS'reaction\treaction\tNN\tI-NP\tO' +p103377 +aS'to\tto\tTO\tB-PP\tO' +p103378 +aS'penicillin\tpenicillin\tNN\tB-NP\tO' +p103379 +aS'was\tbe\tVBD\tB-VP\tO' +p103380 +aS'.\t.\t.\tO\tO' +p103381 +asS'Ddx : cardiac ischemia ( no ischemic EKG changes noted ), seizure w/ post-ictal state , CVA ( head CT neg ).' +p103382 +(lp103383 +S'Ddx\tDdx\tNN\tB-NP\tB-protein' +p103384 +aS':\t:\t:\tO\tO' +p103385 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p103386 +aS'ischemia\tischemia\tNN\tI-NP\tO' +p103387 +aS'(\t(\t(\tO\tO' +p103388 +aS'no\tno\tDT\tB-NP\tO' +p103389 +aS'ischemic\tischemic\tJJ\tI-NP\tO' +p103390 +aS'EKG\tEKG\tNN\tI-NP\tO' +p103391 +aS'changes\tchange\tNNS\tI-NP\tO' +p103392 +aS'noted\tnote\tVBD\tB-VP\tO' +p103393 +aS'),\t),\t)\tO\tO' +p103394 +aS'seizure\tseizure\tNN\tB-NP\tO' +p103395 +aS'w/\tw/\tNN\tI-NP\tO' +p103396 +aS'post-ictal\tpost-ictal\tJJ\tI-NP\tO' +p103397 +aS'state\tstate\tNN\tI-NP\tO' +p103398 +aS',\t,\t,\tO\tO' +p103399 +aS'CVA\tCVA\tNN\tB-NP\tB-protein' +p103400 +aS'(\t(\t(\tO\tO' +p103401 +aS'head\thead\tNN\tB-NP\tO' +p103402 +aS'CT\tCT\tNN\tI-NP\tO' +p103403 +aS'neg\tneg\tNN\tI-NP\tO' +p103404 +aS').\t).\t.\tO\tO' +p103405 +asS'7. Ascorbic Acid 500 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ) : Take for one month then stop .' +p103406 +(lp103407 +S'7.\t7.\tCD\tB-NP\tO' +p103408 +aS'Ascorbic\tAscorbic\tNNP\tI-NP\tO' +p103409 +aS'Acid\tAcid\tNNP\tI-NP\tO' +p103410 +aS'500\t500\tCD\tI-NP\tO' +p103411 +aS'mg\tmg\tNN\tI-NP\tO' +p103412 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p103413 +aS'Sig\tSig\tNNP\tI-NP\tO' +p103414 +aS':\t:\t:\tO\tO' +p103415 +aS'One\tOne\tCD\tB-NP\tO' +p103416 +aS'(\t(\t(\tO\tO' +p103417 +aS'1\t1\tCD\tB-NP\tO' +p103418 +aS')\t)\t)\tO\tO' +p103419 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p103420 +aS'PO\tPO\tNN\tI-NP\tO' +p103421 +aS'BID\tBID\tNN\tI-NP\tO' +p103422 +aS'(\t(\t(\tO\tO' +p103423 +aS'2\t2\tCD\tB-NP\tO' +p103424 +aS'times\ttime\tNNS\tI-NP\tO' +p103425 +aS'a\ta\tDT\tB-NP\tO' +p103426 +aS'day\tday\tNN\tI-NP\tO' +p103427 +aS')\t)\t)\tO\tO' +p103428 +aS':\t:\t:\tO\tO' +p103429 +aS'Take\tTake\tVB\tB-VP\tO' +p103430 +aS'for\tfor\tIN\tB-PP\tO' +p103431 +aS'one\tone\tCD\tB-NP\tO' +p103432 +aS'month\tmonth\tNN\tI-NP\tO' +p103433 +aS'then\tthen\tRB\tB-ADVP\tO' +p103434 +aS'stop\tstop\tVB\tB-VP\tO' +p103435 +aS'.\t.\t.\tO\tO' +p103436 +asS'- appreciate CMED consult ; patient to be discharged to inpatient CMED facility once stable' +p103437 +(lp103438 +S'-\t-\tHYPH\tB-NP\tO' +p103439 +aS'appreciate\tappreciate\tJJ\tI-NP\tO' +p103440 +aS'CMED\tCMED\tVBN\tI-NP\tO' +p103441 +aS'consult\tconsult\tNN\tI-NP\tO' +p103442 +aS';\t;\t:\tO\tO' +p103443 +aS'patient\tpatient\tNN\tB-NP\tO' +p103444 +aS'to\tto\tTO\tB-VP\tO' +p103445 +aS'be\tbe\tVB\tI-VP\tO' +p103446 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p103447 +aS'to\tto\tTO\tB-PP\tO' +p103448 +aS'inpatient\tinpatient\tNN\tB-NP\tO' +p103449 +aS'CMED\tCMED\tNN\tI-NP\tO' +p103450 +aS'facility\tfacility\tNN\tI-NP\tO' +p103451 +aS'once\tonce\tRB\tB-ADVP\tO' +p103452 +aS'stable\tstable\tJJ\tB-NP\tO' +p103453 +asS'Units 181-200 mg / dL 9 Units 201-220 mg / dL 11 Units 221-240 mg / dL 13 Units 241-260 mg / dL 15 Units 261-280 mg / dL 17 Units 281-300 mg / dL 19 Units 301-320 mg / dL 21 Units > 320 mg / dL Notify M.D.' +p103454 +(lp103455 +S'Units\tUnit\tNNS\tB-NP\tO' +p103456 +aS'181-200\t181-200\tCD\tB-NP\tO' +p103457 +aS'mg\tmg\tNN\tI-NP\tO' +p103458 +aS'/\t/\tSYM\tB-NP\tO' +p103459 +aS'dL\tdL\tNN\tB-NP\tO' +p103460 +aS'9\t9\tCD\tI-NP\tO' +p103461 +aS'Units\tUnit\tVBZ\tB-VP\tO' +p103462 +aS'201-220\t201-220\tCD\tB-NP\tO' +p103463 +aS'mg\tmg\tNN\tI-NP\tO' +p103464 +aS'/\t/\tSYM\tB-NP\tO' +p103465 +aS'dL\tdL\tNN\tB-NP\tO' +p103466 +aS'11\t11\tCD\tI-NP\tO' +p103467 +aS'Units\tUnit\tVBZ\tB-VP\tO' +p103468 +aS'221-240\t221-240\tCD\tB-NP\tO' +p103469 +aS'mg\tmg\tNN\tI-NP\tO' +p103470 +aS'/\t/\tSYM\tO\tO' +p103471 +aS'dL\tdL\tNN\tB-NP\tO' +p103472 +aS'13\t13\tCD\tI-NP\tO' +p103473 +aS'Units\tUnit\tVBZ\tB-VP\tO' +p103474 +aS'241-260\t241-260\tCD\tB-NP\tO' +p103475 +aS'mg\tmg\tNN\tI-NP\tO' +p103476 +aS'/\t/\tSYM\tB-NP\tO' +p103477 +aS'dL\tdL\tNN\tB-NP\tO' +p103478 +aS'15\t15\tCD\tI-NP\tO' +p103479 +aS'Units\tUnit\tVBZ\tB-VP\tO' +p103480 +aS'261-280\t261-280\tCD\tB-NP\tO' +p103481 +aS'mg\tmg\tNN\tI-NP\tO' +p103482 +aS'/\t/\tSYM\tB-NP\tO' +p103483 +aS'dL\tdL\tNN\tB-NP\tO' +p103484 +aS'17\t17\tCD\tI-NP\tO' +p103485 +aS'Units\tUnit\tVBZ\tB-VP\tO' +p103486 +aS'281-300\t281-300\tCD\tB-NP\tO' +p103487 +aS'mg\tmg\tNN\tI-NP\tO' +p103488 +aS'/\t/\tSYM\tB-NP\tO' +p103489 +aS'dL\tdL\tNN\tB-NP\tO' +p103490 +aS'19\t19\tCD\tI-NP\tO' +p103491 +aS'Units\tUnit\tVBZ\tB-VP\tO' +p103492 +aS'301-320\t301-320\tCD\tB-NP\tO' +p103493 +aS'mg\tmg\tNN\tI-NP\tO' +p103494 +aS'/\t/\tSYM\tB-NP\tO' +p103495 +aS'dL\tdL\tNN\tI-NP\tO' +p103496 +aS'21\t21\tCD\tB-NP\tO' +p103497 +aS'Units\tUnit\tNNS\tI-NP\tO' +p103498 +aS'>\t>\tSYM\tB-NP\tO' +p103499 +aS'320\t320\tCD\tB-NP\tO' +p103500 +aS'mg\tmg\tNN\tI-NP\tO' +p103501 +aS'/\t/\tSYM\tB-NP\tO' +p103502 +aS'dL\tdL\tNN\tI-NP\tO' +p103503 +aS'Notify\tNotify\tNNP\tI-NP\tO' +p103504 +aS'M.D.\tM.D.\tNNP\tI-NP\tO' +p103505 +asS'Regular rate and rhythm with no murmurs .' +p103506 +(lp103507 +S'Regular\tRegular\tJJ\tB-NP\tO' +p103508 +aS'rate\trate\tNN\tI-NP\tO' +p103509 +aS'and\tand\tCC\tI-NP\tO' +p103510 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p103511 +aS'with\twith\tIN\tB-PP\tO' +p103512 +aS'no\tno\tDT\tB-NP\tO' +p103513 +aS'murmurs\tmurmur\tNNS\tI-NP\tO' +p103514 +aS'.\t.\t.\tO\tO' +p103515 +asS'At this time , she was given Vancomycin 1 g IV x1 .' +p103516 +(lp103517 +S'At\tAt\tIN\tB-PP\tO' +p103518 +aS'this\tthis\tDT\tB-NP\tO' +p103519 +aS'time\ttime\tNN\tI-NP\tO' +p103520 +aS',\t,\t,\tO\tO' +p103521 +aS'she\tshe\tPRP\tB-NP\tO' +p103522 +aS'was\tbe\tVBD\tB-VP\tO' +p103523 +aS'given\tgive\tVBN\tI-VP\tO' +p103524 +aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' +p103525 +aS'1\t1\tCD\tI-NP\tO' +p103526 +aS'g\tg\tNN\tI-NP\tO' +p103527 +aS'IV\tIV\tCD\tB-NP\tO' +p103528 +aS'x1\tx1\tNN\tI-NP\tO' +p103529 +aS'.\t.\t.\tO\tO' +p103530 +asS'Skin was pink and well-perfused .' +p103531 +(lp103532 +S'Skin\tSkin\tNNP\tB-NP\tO' +p103533 +aS'was\tbe\tVBD\tB-VP\tO' +p103534 +aS'pink\tpink\tJJ\tB-ADJP\tO' +p103535 +aS'and\tand\tCC\tI-ADJP\tO' +p103536 +aS'well-perfused\twell-perfused\tJJ\tI-ADJP\tO' +p103537 +aS'.\t.\t.\tO\tO' +p103538 +asS'Tracheostomy tube in good position .' +p103539 +(lp103540 +S'Tracheostomy\tTracheostomy\tNN\tB-NP\tO' +p103541 +aS'tube\ttube\tNN\tI-NP\tO' +p103542 +aS'in\tin\tIN\tB-PP\tO' +p103543 +aS'good\tgood\tJJ\tB-NP\tO' +p103544 +aS'position\tposition\tNN\tI-NP\tO' +p103545 +aS'.\t.\t.\tO\tO' +p103546 +asS'Auditory hearing screening was performed with automated auditory brain stem responses , and the infant passed both ears on his previous admission .' +p103547 +(lp103548 +S'Auditory\tAuditory\tJJ\tB-NP\tO' +p103549 +aS'hearing\thearing\tNN\tI-NP\tO' +p103550 +aS'screening\tscreening\tNN\tI-NP\tO' +p103551 +aS'was\tbe\tVBD\tB-VP\tO' +p103552 +aS'performed\tperform\tVBN\tI-VP\tO' +p103553 +aS'with\twith\tIN\tB-PP\tO' +p103554 +aS'automated\tautomate\tVBN\tB-NP\tO' +p103555 +aS'auditory\tauditory\tJJ\tI-NP\tO' +p103556 +aS'brain\tbrain\tNN\tI-NP\tO' +p103557 +aS'stem\tstem\tNN\tI-NP\tO' +p103558 +aS'responses\tresponse\tNNS\tI-NP\tO' +p103559 +aS',\t,\t,\tO\tO' +p103560 +aS'and\tand\tCC\tO\tO' +p103561 +aS'the\tthe\tDT\tB-NP\tO' +p103562 +aS'infant\tinfant\tNN\tI-NP\tO' +p103563 +aS'passed\tpass\tVBD\tB-VP\tO' +p103564 +aS'both\tboth\tDT\tB-NP\tO' +p103565 +aS'ears\tear\tNNS\tI-NP\tO' +p103566 +aS'on\ton\tIN\tB-PP\tO' +p103567 +aS'his\this\tPRP$\tB-NP\tO' +p103568 +aS'previous\tprevious\tJJ\tI-NP\tO' +p103569 +aS'admission\tadmission\tNN\tI-NP\tO' +p103570 +aS'.\t.\t.\tO\tO' +p103571 +asS'chorioamnionitis .' +p103572 +(lp103573 +S'chorioamnionitis\tchorioamnionitis\tNN\tB-NP\tO' +p103574 +aS'.\t.\t.\tO\tO' +p103575 +asS'The patient did well after his coronary artery bypass graft .' +p103576 +(lp103577 +S'The\tThe\tDT\tB-NP\tO' +p103578 +aS'patient\tpatient\tNN\tI-NP\tO' +p103579 +aS'did\tdo\tVBD\tB-VP\tO' +p103580 +aS'well\twell\tRB\tB-ADVP\tO' +p103581 +aS'after\tafter\tIN\tB-PP\tO' +p103582 +aS'his\this\tPRP$\tB-NP\tO' +p103583 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p103584 +aS'artery\tartery\tNN\tI-NP\tO' +p103585 +aS'bypass\tbypass\tIN\tB-PP\tO' +p103586 +aS'graft\tgraft\tNN\tB-NP\tO' +p103587 +aS'.\t.\t.\tO\tO' +p103588 +asS'CAD : on asa , b blocker , ace .' +p103589 +(lp103590 +S'CAD\tCAD\tNN\tB-NP\tO' +p103591 +aS':\t:\t:\tO\tO' +p103592 +aS'on\ton\tIN\tB-PP\tO' +p103593 +aS'asa\tasa\tNN\tB-NP\tO' +p103594 +aS',\t,\t,\tO\tO' +p103595 +aS'b\tb\tNN\tB-NP\tO' +p103596 +aS'blocker\tblocker\tNN\tI-NP\tO' +p103597 +aS',\t,\t,\tO\tO' +p103598 +aS'ace\tace\tNN\tB-NP\tO' +p103599 +aS'.\t.\t.\tO\tO' +p103600 +asS'The patient is a 52-year-old right handed male with a many year history of bilateral shoulder pain , right greater than left .' +p103601 +(lp103602 +S'The\tThe\tDT\tB-NP\tO' +p103603 +aS'patient\tpatient\tNN\tI-NP\tO' +p103604 +aS'is\tbe\tVBZ\tB-VP\tO' +p103605 +aS'a\ta\tDT\tB-NP\tO' +p103606 +aS'52-year-old\t52-year-old\tJJ\tI-NP\tO' +p103607 +aS'right\tright\tJJ\tI-NP\tO' +p103608 +aS'handed\thand\tVBN\tB-VP\tO' +p103609 +aS'male\tmale\tJJ\tB-ADJP\tO' +p103610 +aS'with\twith\tIN\tB-PP\tO' +p103611 +aS'a\ta\tDT\tB-NP\tO' +p103612 +aS'many\tmany\tJJ\tI-NP\tO' +p103613 +aS'year\tyear\tNN\tI-NP\tO' +p103614 +aS'history\thistory\tNN\tI-NP\tO' +p103615 +aS'of\tof\tIN\tB-PP\tO' +p103616 +aS'bilateral\tbilateral\tJJ\tB-NP\tB-protein' +p103617 +aS'shoulder\tshoulder\tNN\tI-NP\tI-protein' +p103618 +aS'pain\tpain\tNN\tI-NP\tI-protein' +p103619 +aS',\t,\t,\tO\tO' +p103620 +aS'right\tright\tRB\tB-ADVP\tO' +p103621 +aS'greater\tgreat\tJJR\tI-ADVP\tO' +p103622 +aS'than\tthan\tIN\tB-PP\tO' +p103623 +aS'left\tleft\tJJ\tB-ADJP\tO' +p103624 +aS'.\t.\t.\tO\tO' +p103625 +asS'Increased ambulation with assistance and daily pulmonary physical therapy .' +p103626 +(lp103627 +S'Increased\tIncrease\tVBN\tB-NP\tO' +p103628 +aS'ambulation\tambulation\tNN\tI-NP\tO' +p103629 +aS'with\twith\tIN\tB-PP\tO' +p103630 +aS'assistance\tassistance\tNN\tB-NP\tO' +p103631 +aS'and\tand\tCC\tO\tO' +p103632 +aS'daily\tdaily\tJJ\tB-NP\tO' +p103633 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p103634 +aS'physical\tphysical\tJJ\tI-NP\tO' +p103635 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p103636 +aS'.\t.\t.\tO\tO' +p103637 +asS'Urine cx is pending .' +p103638 +(lp103639 +S'Urine\tUrine\tNN\tB-NP\tO' +p103640 +aS'cx\tcx\tNN\tI-NP\tO' +p103641 +aS'is\tbe\tVBZ\tB-VP\tO' +p103642 +aS'pending\tpende\tVBG\tB-ADJP\tO' +p103643 +aS'.\t.\t.\tO\tO' +p103644 +asS'He denies any fevers , chills , recent infections , chest pain , orthopnea , nausea , vomiting , diarrhea , hematemesis , melena , or hematochezia .' +p103645 +(lp103646 +S'He\tHe\tPRP\tB-NP\tO' +p103647 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p103648 +aS'any\tany\tDT\tB-NP\tO' +p103649 +aS'fevers\tfever\tNNS\tI-NP\tO' +p103650 +aS',\t,\t,\tO\tO' +p103651 +aS'chills\tchill\tNNS\tB-NP\tO' +p103652 +aS',\t,\t,\tO\tO' +p103653 +aS'recent\trecent\tJJ\tB-NP\tO' +p103654 +aS'infections\tinfection\tNNS\tI-NP\tO' +p103655 +aS',\t,\t,\tO\tO' +p103656 +aS'chest\tchest\tNN\tB-NP\tO' +p103657 +aS'pain\tpain\tNN\tI-NP\tO' +p103658 +aS',\t,\t,\tO\tO' +p103659 +aS'orthopnea\torthopnea\tNN\tB-NP\tO' +p103660 +aS',\t,\t,\tO\tO' +p103661 +aS'nausea\tnausea\tNN\tB-NP\tO' +p103662 +aS',\t,\t,\tO\tO' +p103663 +aS'vomiting\tvomiting\tNN\tB-NP\tO' +p103664 +aS',\t,\t,\tO\tO' +p103665 +aS'diarrhea\tdiarrhea\tNN\tB-NP\tO' +p103666 +aS',\t,\t,\tO\tO' +p103667 +aS'hematemesis\thematemesis\tNN\tB-NP\tO' +p103668 +aS',\t,\t,\tO\tO' +p103669 +aS'melena\tmelena\tNN\tB-NP\tO' +p103670 +aS',\t,\t,\tO\tO' +p103671 +aS'or\tor\tCC\tO\tO' +p103672 +aS'hematochezia\thematochezia\tNN\tB-NP\tO' +p103673 +aS'.\t.\t.\tO\tO' +p103674 +asS'MEDICATIONS ON ADMISSION TO CORONARY CARE 0408398 .' +p103675 +(lp103676 +S'MEDICATIONS\tMEDICATIONS\tNNS\tB-NP\tO' +p103677 +aS'ON\tON\tVBP\tB-VP\tO' +p103678 +aS'ADMISSION\tADMISSION\tNN\tB-NP\tO' +p103679 +aS'TO\tTO\tTO\tB-PP\tO' +p103680 +aS'CORONARY\tCORONARY\tNN\tB-NP\tO' +p103681 +aS'CARE\tCARE\tNN\tI-NP\tO' +p103682 +aS'0408398\t0408398\tCD\tI-NP\tO' +p103683 +aS'.\t.\t.\tO\tO' +p103684 +asS'She ate a normal breakfast of cereal and milk .' +p103685 +(lp103686 +S'She\tShe\tPRP\tB-NP\tO' +p103687 +aS'ate\teat\tVBD\tB-VP\tO' +p103688 +aS'a\ta\tDT\tB-NP\tO' +p103689 +aS'normal\tnormal\tJJ\tI-NP\tO' +p103690 +aS'breakfast\tbreakfast\tNN\tI-NP\tO' +p103691 +aS'of\tof\tIN\tB-PP\tO' +p103692 +aS'cereal\tcereal\tNN\tB-NP\tO' +p103693 +aS'and\tand\tCC\tI-NP\tO' +p103694 +aS'milk\tmilk\tNN\tI-NP\tO' +p103695 +aS'.\t.\t.\tO\tO' +p103696 +asS"Following evaluation and treatment , the patient 's disposition at the end of the visit was ADMITTED AS AN INPATIENT TO BRI HEALTH ." +p103697 +(lp103698 +S'Following\tFollow\tVBG\tB-PP\tO' +p103699 +aS'evaluation\tevaluation\tNN\tB-NP\tO' +p103700 +aS'and\tand\tCC\tI-NP\tO' +p103701 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p103702 +aS',\t,\t,\tO\tO' +p103703 +aS'the\tthe\tDT\tB-NP\tO' +p103704 +aS'patient\tpatient\tNN\tI-NP\tO' +p103705 +aS"'s\t's\tPOS\tB-NP\tO" +p103706 +aS'disposition\tdisposition\tNN\tI-NP\tO' +p103707 +aS'at\tat\tIN\tB-PP\tO' +p103708 +aS'the\tthe\tDT\tB-NP\tO' +p103709 +aS'end\tend\tNN\tI-NP\tO' +p103710 +aS'of\tof\tIN\tB-PP\tO' +p103711 +aS'the\tthe\tDT\tB-NP\tO' +p103712 +aS'visit\tvisit\tNN\tI-NP\tO' +p103713 +aS'was\tbe\tVBD\tB-VP\tO' +p103714 +aS'ADMITTED\tADMITTED\tVBN\tI-VP\tO' +p103715 +aS'AS\tAS\tNNP\tB-NP\tO' +p103716 +aS'AN\tAN\tNNP\tI-NP\tO' +p103717 +aS'INPATIENT\tINPATIENT\tNNP\tI-NP\tO' +p103718 +aS'TO\tTO\tNNP\tI-NP\tO' +p103719 +aS'BRI\tBRI\tNNP\tI-NP\tO' +p103720 +aS'HEALTH\tHEALTH\tNNP\tI-NP\tO' +p103721 +aS'.\t.\t.\tO\tO' +p103722 +asS'A right upper quadrant ultrasound was performed that showed no hepatic or biliary pathology likely due to acute phase stress changes given the fact that she had no clinical symptoms .' +p103723 +(lp103724 +S'A\tA\tDT\tB-NP\tO' +p103725 +aS'right\tright\tJJ\tI-NP\tO' +p103726 +aS'upper\tupper\tJJ\tI-NP\tO' +p103727 +aS'quadrant\tquadrant\tJJ\tI-NP\tO' +p103728 +aS'ultrasound\tultrasound\tNN\tI-NP\tO' +p103729 +aS'was\tbe\tVBD\tB-VP\tO' +p103730 +aS'performed\tperform\tVBN\tI-VP\tO' +p103731 +aS'that\tthat\tWDT\tB-NP\tO' +p103732 +aS'showed\tshow\tVBD\tB-VP\tO' +p103733 +aS'no\tno\tDT\tB-NP\tO' +p103734 +aS'hepatic\thepatic\tJJ\tI-NP\tO' +p103735 +aS'or\tor\tCC\tI-NP\tO' +p103736 +aS'biliary\tbiliary\tJJ\tI-NP\tO' +p103737 +aS'pathology\tpathology\tNN\tI-NP\tO' +p103738 +aS'likely\tlikely\tRB\tB-ADJP\tO' +p103739 +aS'due\tdue\tIN\tB-PP\tO' +p103740 +aS'to\tto\tTO\tB-PP\tO' +p103741 +aS'acute\tacute\tJJ\tB-NP\tO' +p103742 +aS'phase\tphase\tNN\tI-NP\tO' +p103743 +aS'stress\tstress\tNN\tI-NP\tO' +p103744 +aS'changes\tchange\tNNS\tI-NP\tO' +p103745 +aS'given\tgive\tVBN\tB-VP\tO' +p103746 +aS'the\tthe\tDT\tB-NP\tO' +p103747 +aS'fact\tfact\tNN\tI-NP\tO' +p103748 +aS'that\tthat\tIN\tB-SBAR\tO' +p103749 +aS'she\tshe\tPRP\tB-NP\tO' +p103750 +aS'had\thave\tVBD\tB-VP\tO' +p103751 +aS'no\tno\tDT\tB-NP\tO' +p103752 +aS'clinical\tclinical\tJJ\tI-NP\tO' +p103753 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p103754 +aS'.\t.\t.\tO\tO' +p103755 +asS'Does have increased effusion although loculated .' +p103756 +(lp103757 +S'Does\tDoe\tNNS\tB-NP\tO' +p103758 +aS'have\thave\tVBP\tB-VP\tO' +p103759 +aS'increased\tincrease\tVBN\tI-VP\tO' +p103760 +aS'effusion\teffusion\tNN\tB-NP\tO' +p103761 +aS'although\talthough\tIN\tB-SBAR\tO' +p103762 +aS'loculated\tloculate\tVBN\tB-VP\tO' +p103763 +aS'.\t.\t.\tO\tO' +p103764 +asS'4. Ipratropium Bromide 0.02 % Solution Sig : One ( 1 ) Inhalation Q4H ( every 4 hours ) .' +p103765 +(lp103766 +S'4.\t4.\tLS\tB-NP\tO' +p103767 +aS'Ipratropium\tIpratropium\tNN\tI-NP\tO' +p103768 +aS'Bromide\tBromide\tNN\tI-NP\tO' +p103769 +aS'0.02\t0.02\tCD\tB-NP\tO' +p103770 +aS'%\t%\tNN\tI-NP\tO' +p103771 +aS'Solution\tSolution\tNNP\tI-NP\tO' +p103772 +aS'Sig\tSig\tNNP\tI-NP\tO' +p103773 +aS':\t:\t:\tO\tO' +p103774 +aS'One\tOne\tCD\tB-NP\tO' +p103775 +aS'(\t(\t(\tO\tO' +p103776 +aS'1\t1\tCD\tB-NP\tO' +p103777 +aS')\t)\t)\tO\tO' +p103778 +aS'Inhalation\tInhalation\tNN\tB-NP\tO' +p103779 +aS'Q4H\tQ4H\tNN\tI-NP\tO' +p103780 +aS'(\t(\t(\tO\tO' +p103781 +aS'every\tevery\tDT\tB-NP\tO' +p103782 +aS'4\t4\tCD\tI-NP\tO' +p103783 +aS'hours\thour\tNNS\tI-NP\tO' +p103784 +aS')\t)\t)\tO\tO' +p103785 +aS'.\t.\t.\tO\tO' +p103786 +asS'Included Wellbutrin , Imitrex , Tylenol , Humalog sliding scale and NPH insulin two units in the morning , 7 units at noon and 13 units at bedtime .' +p103787 +(lp103788 +S'Included\tIncluded\tNNP\tB-NP\tO' +p103789 +aS'Wellbutrin\tWellbutrin\tNNP\tI-NP\tO' +p103790 +aS',\t,\t,\tO\tO' +p103791 +aS'Imitrex\tImitrex\tNNP\tB-NP\tO' +p103792 +aS',\t,\t,\tO\tO' +p103793 +aS'Tylenol\tTylenol\tNNP\tB-NP\tO' +p103794 +aS',\t,\t,\tO\tO' +p103795 +aS'Humalog\tHumalog\tNNP\tB-NP\tO' +p103796 +aS'sliding\tslide\tVBG\tB-VP\tO' +p103797 +aS'scale\tscale\tNN\tB-NP\tO' +p103798 +aS'and\tand\tCC\tI-NP\tO' +p103799 +aS'NPH\tNPH\tNN\tI-NP\tB-protein' +p103800 +aS'insulin\tinsulin\tNN\tI-NP\tI-protein' +p103801 +aS'two\ttwo\tCD\tB-NP\tI-protein' +p103802 +aS'units\tunit\tNNS\tI-NP\tI-protein' +p103803 +aS'in\tin\tIN\tB-PP\tO' +p103804 +aS'the\tthe\tDT\tB-NP\tO' +p103805 +aS'morning\tmorning\tNN\tI-NP\tO' +p103806 +aS',\t,\t,\tO\tO' +p103807 +aS'7\t7\tCD\tB-NP\tO' +p103808 +aS'units\tunit\tNNS\tI-NP\tO' +p103809 +aS'at\tat\tIN\tB-PP\tO' +p103810 +aS'noon\tnoon\tNN\tB-NP\tO' +p103811 +aS'and\tand\tCC\tO\tO' +p103812 +aS'13\t13\tCD\tB-NP\tO' +p103813 +aS'units\tunit\tNNS\tI-NP\tO' +p103814 +aS'at\tat\tIN\tB-PP\tO' +p103815 +aS'bedtime\tbedtime\tNN\tB-NP\tO' +p103816 +aS'.\t.\t.\tO\tO' +p103817 +asS'Subcutaneous edema is noted in the lower abdomen and pelvis .' +p103818 +(lp103819 +S'Subcutaneous\tSubcutaneous\tJJ\tB-NP\tO' +p103820 +aS'edema\tedema\tNN\tI-NP\tO' +p103821 +aS'is\tbe\tVBZ\tB-VP\tO' +p103822 +aS'noted\tnote\tVBN\tI-VP\tO' +p103823 +aS'in\tin\tIN\tB-PP\tO' +p103824 +aS'the\tthe\tDT\tB-NP\tO' +p103825 +aS'lower\tlow\tJJR\tI-NP\tO' +p103826 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p103827 +aS'and\tand\tCC\tI-NP\tO' +p103828 +aS'pelvis\tpelvis\tNN\tI-NP\tO' +p103829 +aS'.\t.\t.\tO\tO' +p103830 +asS'He also denies any chest pain .' +p103831 +(lp103832 +S'He\tHe\tPRP\tB-NP\tO' +p103833 +aS'also\talso\tRB\tB-ADVP\tO' +p103834 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p103835 +aS'any\tany\tDT\tB-NP\tO' +p103836 +aS'chest\tch\tJJS\tI-NP\tO' +p103837 +aS'pain\tpain\tNN\tI-NP\tO' +p103838 +aS'.\t.\t.\tO\tO' +p103839 +asS'Cambridge Health Alliance social worker was involved with this family .' +p103840 +(lp103841 +S'Cambridge\tCambridge\tNNP\tB-NP\tO' +p103842 +aS'Health\tHealth\tNNP\tI-NP\tO' +p103843 +aS'Alliance\tAlliance\tNNP\tI-NP\tO' +p103844 +aS'social\tsocial\tJJ\tI-NP\tO' +p103845 +aS'worker\tworker\tNN\tI-NP\tO' +p103846 +aS'was\tbe\tVBD\tB-VP\tO' +p103847 +aS'involved\tinvolve\tVBN\tI-VP\tO' +p103848 +aS'with\twith\tIN\tB-PP\tO' +p103849 +aS'this\tthis\tDT\tB-NP\tO' +p103850 +aS'family\tfamily\tNN\tI-NP\tO' +p103851 +aS'.\t.\t.\tO\tO' +p103852 +asS'Heart : regular rate and rhythm , no murmur , normal S1 and S2 , pulses 2 +.' +p103853 +(lp103854 +S'Heart\tHeart\tNN\tB-NP\tO' +p103855 +aS':\t:\t:\tO\tO' +p103856 +aS'regular\tregular\tJJ\tB-NP\tO' +p103857 +aS'rate\trate\tNN\tI-NP\tO' +p103858 +aS'and\tand\tCC\tI-NP\tO' +p103859 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p103860 +aS',\t,\t,\tO\tO' +p103861 +aS'no\tno\tDT\tB-NP\tO' +p103862 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p103863 +aS',\t,\t,\tO\tO' +p103864 +aS'normal\tnormal\tJJ\tB-NP\tO' +p103865 +aS'S1\tS1\tNN\tI-NP\tB-protein' +p103866 +aS'and\tand\tCC\tO\tO' +p103867 +aS'S2\tS2\tNN\tB-NP\tB-protein' +p103868 +aS',\t,\t,\tO\tO' +p103869 +aS'pulses\tpulse\tVBZ\tB-VP\tO' +p103870 +aS'2\t2\tCD\tB-NP\tO' +p103871 +aS'+.\t+.\t.\tO\tO' +p103872 +asS'He relates using large doses of Cocaine and Heroin early in the morning on the day of admission .' +p103873 +(lp103874 +S'He\tHe\tPRP\tB-NP\tO' +p103875 +aS'relates\trelate\tVBZ\tB-VP\tO' +p103876 +aS'using\tuse\tVBG\tI-VP\tO' +p103877 +aS'large\tlarge\tJJ\tB-NP\tO' +p103878 +aS'doses\tdose\tNNS\tI-NP\tO' +p103879 +aS'of\tof\tIN\tB-PP\tO' +p103880 +aS'Cocaine\tCocaine\tNNP\tB-NP\tO' +p103881 +aS'and\tand\tCC\tI-NP\tO' +p103882 +aS'Heroin\tHeroin\tNNP\tI-NP\tO' +p103883 +aS'early\tearly\tRB\tB-ADVP\tO' +p103884 +aS'in\tin\tIN\tB-PP\tO' +p103885 +aS'the\tthe\tDT\tB-NP\tO' +p103886 +aS'morning\tmorning\tNN\tI-NP\tO' +p103887 +aS'on\ton\tIN\tB-PP\tO' +p103888 +aS'the\tthe\tDT\tB-NP\tO' +p103889 +aS'day\tday\tNN\tI-NP\tO' +p103890 +aS'of\tof\tIN\tB-PP\tO' +p103891 +aS'admission\tadmission\tNN\tB-NP\tO' +p103892 +aS'.\t.\t.\tO\tO' +p103893 +asS'She was referred to the Emergency Department .' +p103894 +(lp103895 +S'She\tShe\tPRP\tB-NP\tO' +p103896 +aS'was\tbe\tVBD\tB-VP\tO' +p103897 +aS'referred\trefer\tVBN\tI-VP\tO' +p103898 +aS'to\tto\tTO\tB-PP\tO' +p103899 +aS'the\tthe\tDT\tB-NP\tO' +p103900 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p103901 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p103902 +aS'.\t.\t.\tO\tO' +p103903 +asS'In summary pt had off pump CABGx4 with LIMA-LAD , SVG OM-Y graft - Diag , SVG-PDA .' +p103904 +(lp103905 +S'In\tIn\tIN\tB-PP\tO' +p103906 +aS'summary\tsummary\tNN\tB-NP\tO' +p103907 +aS'pt\tpt\tNN\tI-NP\tO' +p103908 +aS'had\thave\tVBD\tB-VP\tO' +p103909 +aS'off\toff\tRP\tB-PRT\tO' +p103910 +aS'pump\tpump\tNN\tB-NP\tB-protein' +p103911 +aS'CABGx4\tCABGx4\tNN\tI-NP\tI-protein' +p103912 +aS'with\twith\tIN\tB-PP\tO' +p103913 +aS'LIMA-LAD\tLIMA-LAD\tNN\tB-NP\tO' +p103914 +aS',\t,\t,\tO\tO' +p103915 +aS'SVG\tSVG\tNN\tB-NP\tO' +p103916 +aS'OM-Y\tOM-Y\tNN\tI-NP\tO' +p103917 +aS'graft\tgraft\tNN\tI-NP\tO' +p103918 +aS'-\t-\tHYPH\tB-NP\tO' +p103919 +aS'Diag\tDiag\tNN\tI-NP\tO' +p103920 +aS',\t,\t,\tO\tO' +p103921 +aS'SVG-PDA\tSVG-PDA\tNN\tB-NP\tB-protein' +p103922 +aS'.\t.\t.\tO\tO' +p103923 +asS'Throughout this time , her creatinine continued to drop , and there was no apparent deleterious effect on her transplant from this episode .' +p103924 +(lp103925 +S'Throughout\tThroughout\tIN\tB-PP\tO' +p103926 +aS'this\tthis\tDT\tB-NP\tO' +p103927 +aS'time\ttime\tNN\tI-NP\tO' +p103928 +aS',\t,\t,\tO\tO' +p103929 +aS'her\ther\tPRP$\tB-NP\tO' +p103930 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p103931 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p103932 +aS'to\tto\tTO\tI-VP\tO' +p103933 +aS'drop\tdrop\tVB\tI-VP\tO' +p103934 +aS',\t,\t,\tO\tO' +p103935 +aS'and\tand\tCC\tO\tO' +p103936 +aS'there\tthere\tEX\tB-NP\tO' +p103937 +aS'was\tbe\tVBD\tB-VP\tO' +p103938 +aS'no\tno\tDT\tB-NP\tO' +p103939 +aS'apparent\tapparent\tJJ\tI-NP\tO' +p103940 +aS'deleterious\tdeleterious\tJJ\tI-NP\tO' +p103941 +aS'effect\teffect\tNN\tI-NP\tO' +p103942 +aS'on\ton\tIN\tB-PP\tO' +p103943 +aS'her\ther\tPRP$\tB-NP\tO' +p103944 +aS'transplant\ttransplant\tNN\tI-NP\tO' +p103945 +aS'from\tfrom\tIN\tB-PP\tO' +p103946 +aS'this\tthis\tDT\tB-NP\tO' +p103947 +aS'episode\tepisode\tNN\tI-NP\tO' +p103948 +aS'.\t.\t.\tO\tO' +p103949 +asS'No other known family hx .' +p103950 +(lp103951 +S'No\tNo\tDT\tB-NP\tO' +p103952 +aS'other\tother\tJJ\tI-NP\tO' +p103953 +aS'known\tknow\tVBN\tI-NP\tO' +p103954 +aS'family\tfamily\tNN\tI-NP\tO' +p103955 +aS'hx\thx\tNN\tI-NP\tO' +p103956 +aS'.\t.\t.\tO\tO' +p103957 +asS'1. Enteric-coated aspirin .' +p103958 +(lp103959 +S'1.\t1.\tLS\tB-NP\tO' +p103960 +aS'Enteric-coated\tEnteric-coated\tJJ\tI-NP\tO' +p103961 +aS'aspirin\taspirin\tNN\tI-NP\tO' +p103962 +aS'.\t.\t.\tO\tO' +p103963 +asS'2. The left ventricular wall thicknesses are normal .' +p103964 +(lp103965 +S'2.\t2.\tLS\tB-LST\tO' +p103966 +aS'The\tThe\tDT\tB-NP\tO' +p103967 +aS'left\tleft\tJJ\tI-NP\tO' +p103968 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p103969 +aS'wall\twall\tNN\tI-NP\tO' +p103970 +aS'thicknesses\tthickness\tNNS\tI-NP\tO' +p103971 +aS'are\tbe\tVBP\tB-VP\tO' +p103972 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p103973 +aS'.\t.\t.\tO\tO' +p103974 +asS'Initially maintained NPO .' +p103975 +(lp103976 +S'Initially\tInitially\tRB\tB-NP\tO' +p103977 +aS'maintained\tmaintain\tVBN\tI-NP\tO' +p103978 +aS'NPO\tNPO\tNN\tI-NP\tB-protein' +p103979 +aS'.\t.\t.\tO\tO' +p103980 +asS'The patient became constipated ; this resolved with laxatives .' +p103981 +(lp103982 +S'The\tThe\tDT\tB-NP\tO' +p103983 +aS'patient\tpatient\tNN\tI-NP\tO' +p103984 +aS'became\tbecome\tVBD\tB-VP\tO' +p103985 +aS'constipated\tconstipate\tVBN\tB-ADJP\tO' +p103986 +aS';\t;\t:\tO\tO' +p103987 +aS'this\tthis\tDT\tB-NP\tO' +p103988 +aS'resolved\tresolve\tVBN\tB-VP\tO' +p103989 +aS'with\twith\tIN\tB-PP\tO' +p103990 +aS'laxatives\tlaxative\tNNS\tB-NP\tO' +p103991 +aS'.\t.\t.\tO\tO' +p103992 +asS'Gen : lying in strecther , NAD , shaking om bilateral lower extremities .' +p103993 +(lp103994 +S'Gen\tGen\tNN\tB-NP\tO' +p103995 +aS':\t:\t:\tO\tO' +p103996 +aS'lying\tlie\tVBG\tB-VP\tO' +p103997 +aS'in\tin\tIN\tB-PP\tO' +p103998 +aS'strecther\tstrecther\tNN\tB-NP\tO' +p103999 +aS',\t,\t,\tO\tO' +p104000 +aS'NAD\tNAD\tNN\tB-NP\tO' +p104001 +aS',\t,\t,\tO\tO' +p104002 +aS'shaking\tshake\tVBG\tB-VP\tO' +p104003 +aS'om\tom\tIN\tB-PP\tO' +p104004 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p104005 +aS'lower\tlow\tJJR\tI-NP\tO' +p104006 +aS'extremities\textremity\tNNS\tI-NP\tO' +p104007 +aS'.\t.\t.\tO\tO' +p104008 +asS'2) Digoxin 0.125 mg p.o. q. AM .' +p104009 +(lp104010 +S'2)\t2)\tLS\tB-LST\tO' +p104011 +aS'Digoxin\tDigoxin\tNN\tB-NP\tO' +p104012 +aS'0.125\t0.125\tCD\tI-NP\tO' +p104013 +aS'mg\tmg\tNN\tI-NP\tO' +p104014 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p104015 +aS'q.\tq.\tVBG\tB-VP\tO' +p104016 +aS'AM\tAM\tNN\tB-NP\tO' +p104017 +aS'.\t.\t.\tO\tO' +p104018 +asS'It started at rest .' +p104019 +(lp104020 +S'It\tIt\tPRP\tB-NP\tO' +p104021 +aS'started\tstart\tVBD\tB-VP\tO' +p104022 +aS'at\tat\tIN\tB-PP\tO' +p104023 +aS'rest\trest\tNN\tB-NP\tO' +p104024 +aS'.\t.\t.\tO\tO' +p104025 +asS'Chest x-ray showed cariogenic pulmonary edema and he was faring poorly .' +p104026 +(lp104027 +S'Chest\tCh\tJJS\tB-NP\tO' +p104028 +aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' +p104029 +aS'showed\tshow\tVBD\tB-VP\tO' +p104030 +aS'cariogenic\tcariogenic\tJJ\tB-NP\tO' +p104031 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p104032 +aS'edema\tedema\tNN\tI-NP\tO' +p104033 +aS'and\tand\tCC\tO\tO' +p104034 +aS'he\the\tPRP\tB-NP\tO' +p104035 +aS'was\tbe\tVBD\tB-VP\tO' +p104036 +aS'faring\tfare\tVBG\tI-VP\tO' +p104037 +aS'poorly\tpoorly\tRB\tB-ADVP\tO' +p104038 +aS'.\t.\t.\tO\tO' +p104039 +asS'On 07-18 , as his mental status improved , he did well at the bed side swall evaluation .' +p104040 +(lp104041 +S'On\tOn\tIN\tB-PP\tO' +p104042 +aS'07-18\t07-18\tCD\tB-NP\tO' +p104043 +aS',\t,\t,\tO\tO' +p104044 +aS'as\tas\tIN\tB-SBAR\tO' +p104045 +aS'his\this\tPRP$\tB-NP\tO' +p104046 +aS'mental\tmental\tJJ\tI-NP\tO' +p104047 +aS'status\tstatus\tNN\tI-NP\tO' +p104048 +aS'improved\timprove\tVBD\tB-VP\tO' +p104049 +aS',\t,\t,\tO\tO' +p104050 +aS'he\the\tPRP\tB-NP\tO' +p104051 +aS'did\tdo\tVBD\tB-VP\tO' +p104052 +aS'well\twell\tRB\tB-ADVP\tO' +p104053 +aS'at\tat\tIN\tB-PP\tO' +p104054 +aS'the\tthe\tDT\tB-NP\tO' +p104055 +aS'bed\tbed\tNN\tI-NP\tO' +p104056 +aS'side\tside\tNN\tI-NP\tO' +p104057 +aS'swall\tswall\tNN\tI-NP\tO' +p104058 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p104059 +aS'.\t.\t.\tO\tO' +p104060 +asS'The patient was noted to be slightly hyponatremic over the past few days , with sodiums in the 128-132 range , but this was secondary to elevated glucose fingerstick blood sugars .' +p104061 +(lp104062 +S'The\tThe\tDT\tB-NP\tO' +p104063 +aS'patient\tpatient\tNN\tI-NP\tO' +p104064 +aS'was\tbe\tVBD\tB-VP\tO' +p104065 +aS'noted\tnote\tVBN\tI-VP\tO' +p104066 +aS'to\tto\tTO\tI-VP\tO' +p104067 +aS'be\tbe\tVB\tI-VP\tO' +p104068 +aS'slightly\tslightly\tRB\tB-ADJP\tO' +p104069 +aS'hyponatremic\thyponatremic\tJJ\tI-ADJP\tO' +p104070 +aS'over\tover\tIN\tB-PP\tO' +p104071 +aS'the\tthe\tDT\tB-NP\tO' +p104072 +aS'past\tpast\tJJ\tI-NP\tO' +p104073 +aS'few\tfew\tJJ\tI-NP\tO' +p104074 +aS'days\tday\tNNS\tI-NP\tO' +p104075 +aS',\t,\t,\tO\tO' +p104076 +aS'with\twith\tIN\tB-PP\tO' +p104077 +aS'sodiums\tsodium\tNNS\tB-NP\tO' +p104078 +aS'in\tin\tIN\tB-PP\tO' +p104079 +aS'the\tthe\tDT\tB-NP\tO' +p104080 +aS'128-132\t128-132\tCD\tI-NP\tO' +p104081 +aS'range\trange\tNN\tI-NP\tO' +p104082 +aS',\t,\t,\tO\tO' +p104083 +aS'but\tbut\tCC\tO\tO' +p104084 +aS'this\tthis\tDT\tB-NP\tO' +p104085 +aS'was\tbe\tVBD\tB-VP\tO' +p104086 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p104087 +aS'to\tto\tTO\tB-PP\tO' +p104088 +aS'elevated\televate\tVBN\tB-NP\tO' +p104089 +aS'glucose\tglucose\tNN\tI-NP\tB-protein' +p104090 +aS'fingerstick\tfingerstick\tNN\tI-NP\tI-protein' +p104091 +aS'blood\tblood\tNN\tI-NP\tI-protein' +p104092 +aS'sugars\tsugar\tNNS\tI-NP\tI-protein' +p104093 +aS'.\t.\t.\tO\tO' +p104094 +asS'If you have chest pain , shortness of breath , diahrrea or fevers please contact your PCP .' +p104095 +(lp104096 +S'If\tIf\tIN\tB-SBAR\tO' +p104097 +aS'you\tyou\tPRP\tB-NP\tO' +p104098 +aS'have\thave\tVBP\tB-VP\tO' +p104099 +aS'chest\tchest\tNN\tB-NP\tO' +p104100 +aS'pain\tpain\tNN\tI-NP\tO' +p104101 +aS',\t,\t,\tO\tO' +p104102 +aS'shortness\tshortness\tNN\tB-NP\tO' +p104103 +aS'of\tof\tIN\tB-PP\tO' +p104104 +aS'breath\tbreath\tNN\tB-NP\tO' +p104105 +aS',\t,\t,\tI-NP\tO' +p104106 +aS'diahrrea\tdiahrrea\tNN\tI-NP\tO' +p104107 +aS'or\tor\tCC\tI-NP\tO' +p104108 +aS'fevers\tfever\tNNS\tI-NP\tO' +p104109 +aS'please\tplease\tVB\tB-VP\tO' +p104110 +aS'contact\tcontact\tNN\tB-NP\tO' +p104111 +aS'your\tyour\tPRP$\tB-NP\tO' +p104112 +aS'PCP\tPCP\tNN\tI-NP\tB-protein' +p104113 +aS'.\t.\t.\tO\tO' +p104114 +asS'She was originally intubated for airway protection , and it is felt she could likely be weaned from the ventilator although she would be extremely high risk for aspiration .' +p104115 +(lp104116 +S'She\tShe\tPRP\tB-NP\tO' +p104117 +aS'was\tbe\tVBD\tB-VP\tO' +p104118 +aS'originally\toriginally\tRB\tI-VP\tO' +p104119 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p104120 +aS'for\tfor\tIN\tB-PP\tO' +p104121 +aS'airway\tairway\tNN\tB-NP\tO' +p104122 +aS'protection\tprotection\tNN\tI-NP\tO' +p104123 +aS',\t,\t,\tO\tO' +p104124 +aS'and\tand\tCC\tO\tO' +p104125 +aS'it\tit\tPRP\tB-NP\tO' +p104126 +aS'is\tbe\tVBZ\tB-VP\tO' +p104127 +aS'felt\tfeel\tVBN\tI-VP\tO' +p104128 +aS'she\tshe\tPRP\tB-NP\tO' +p104129 +aS'could\tcould\tMD\tB-VP\tO' +p104130 +aS'likely\tlikely\tRB\tI-VP\tO' +p104131 +aS'be\tbe\tVB\tI-VP\tO' +p104132 +aS'weaned\twean\tVBN\tI-VP\tO' +p104133 +aS'from\tfrom\tIN\tB-PP\tO' +p104134 +aS'the\tthe\tDT\tB-NP\tO' +p104135 +aS'ventilator\tventilator\tNN\tI-NP\tO' +p104136 +aS'although\talthough\tIN\tB-SBAR\tO' +p104137 +aS'she\tshe\tPRP\tB-NP\tO' +p104138 +aS'would\twould\tMD\tB-VP\tO' +p104139 +aS'be\tbe\tVB\tI-VP\tO' +p104140 +aS'extremely\textremely\tRB\tB-NP\tO' +p104141 +aS'high\thigh\tJJ\tI-NP\tO' +p104142 +aS'risk\trisk\tNN\tI-NP\tO' +p104143 +aS'for\tfor\tIN\tB-PP\tO' +p104144 +aS'aspiration\taspiration\tNN\tB-NP\tO' +p104145 +aS'.\t.\t.\tO\tO' +p104146 +asS'Postoperatively the patient was transferred out of the Intensive Care Unit to the burn floor where he received dressing changes p.r.n.' +p104147 +(lp104148 +S'Postoperatively\tPostoperatively\tRB\tB-ADVP\tO' +p104149 +aS'the\tthe\tDT\tB-NP\tO' +p104150 +aS'patient\tpatient\tNN\tI-NP\tO' +p104151 +aS'was\tbe\tVBD\tB-VP\tO' +p104152 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p104153 +aS'out\tout\tIN\tB-PP\tO' +p104154 +aS'of\tof\tIN\tB-PP\tO' +p104155 +aS'the\tthe\tDT\tB-NP\tO' +p104156 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p104157 +aS'Care\tCare\tNNP\tI-NP\tO' +p104158 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p104159 +aS'to\tto\tTO\tB-PP\tO' +p104160 +aS'the\tthe\tDT\tB-NP\tO' +p104161 +aS'burn\tburn\tNN\tI-NP\tO' +p104162 +aS'floor\tfloor\tNN\tI-NP\tO' +p104163 +aS'where\twhere\tWRB\tB-ADVP\tO' +p104164 +aS'he\the\tPRP\tB-NP\tO' +p104165 +aS'received\treceive\tVBD\tB-VP\tO' +p104166 +aS'dressing\tdress\tVBG\tB-VP\tO' +p104167 +aS'changes\tchange\tNNS\tB-NP\tO' +p104168 +aS'p.r.n.\tp.r.n.\tRB\tB-ADVP\tO' +p104169 +asS'TSH was within normal limits as was B12 and folate .' +p104170 +(lp104171 +S'TSH\tTSH\tNN\tB-NP\tO' +p104172 +aS'was\tbe\tVBD\tB-VP\tO' +p104173 +aS'within\twithin\tIN\tB-PP\tO' +p104174 +aS'normal\tnormal\tJJ\tB-NP\tO' +p104175 +aS'limits\tlimit\tNNS\tI-NP\tO' +p104176 +aS'as\tas\tIN\tB-SBAR\tO' +p104177 +aS'was\tbe\tVBD\tB-VP\tO' +p104178 +aS'B12\tB12\tNN\tB-NP\tB-protein' +p104179 +aS'and\tand\tCC\tI-NP\tO' +p104180 +aS'folate\tfolate\tNN\tI-NP\tO' +p104181 +aS'.\t.\t.\tO\tO' +p104182 +asS'Melonson de la Donnelly MD 08-301' +p104183 +(lp104184 +S'Melonson\tMelonson\tNNP\tB-NP\tO' +p104185 +aS'de\tde\tNNP\tI-NP\tO' +p104186 +aS'la\tla\tNNP\tI-NP\tO' +p104187 +aS'Donnelly\tDonnelly\tNNP\tI-NP\tO' +p104188 +aS'MD\tMD\tNNP\tI-NP\tO' +p104189 +aS'08-301\t08-301\tCD\tI-NP\tO' +p104190 +asS'Despite intravenous fluids , intravenous epinephrine , and multiple attempts at defibrillation , the patient was unable to be resuscitated .' +p104191 +(lp104192 +S'Despite\tDespite\tIN\tB-PP\tO' +p104193 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p104194 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p104195 +aS',\t,\t,\tO\tO' +p104196 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p104197 +aS'epinephrine\tepinephrine\tNN\tI-NP\tO' +p104198 +aS',\t,\t,\tO\tO' +p104199 +aS'and\tand\tCC\tO\tO' +p104200 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p104201 +aS'attempts\tattempt\tNNS\tI-NP\tO' +p104202 +aS'at\tat\tIN\tB-PP\tO' +p104203 +aS'defibrillation\tdefibrillation\tNN\tB-NP\tO' +p104204 +aS',\t,\t,\tO\tO' +p104205 +aS'the\tthe\tDT\tB-NP\tO' +p104206 +aS'patient\tpatient\tNN\tI-NP\tO' +p104207 +aS'was\tbe\tVBD\tB-VP\tO' +p104208 +aS'unable\tunable\tJJ\tB-ADJP\tO' +p104209 +aS'to\tto\tTO\tB-VP\tO' +p104210 +aS'be\tbe\tVB\tI-VP\tO' +p104211 +aS'resuscitated\tresuscitate\tVBN\tI-VP\tO' +p104212 +aS'.\t.\t.\tO\tO' +p104213 +asS'He has preserved LV systolic function with mild TR and AR and LAE without abscess .' +p104214 +(lp104215 +S'He\tHe\tPRP\tB-NP\tO' +p104216 +aS'has\thave\tVBZ\tB-VP\tO' +p104217 +aS'preserved\tpreserve\tVBN\tI-VP\tO' +p104218 +aS'LV\tLV\tNN\tB-NP\tO' +p104219 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p104220 +aS'function\tfunction\tNN\tI-NP\tO' +p104221 +aS'with\twith\tIN\tB-PP\tO' +p104222 +aS'mild\tmild\tJJ\tB-NP\tO' +p104223 +aS'TR\tTR\tNN\tI-NP\tO' +p104224 +aS'and\tand\tCC\tI-NP\tO' +p104225 +aS'AR\tAR\tNN\tI-NP\tB-protein' +p104226 +aS'and\tand\tCC\tI-NP\tO' +p104227 +aS'LAE\tLAE\tNN\tI-NP\tB-protein' +p104228 +aS'without\twithout\tIN\tB-PP\tO' +p104229 +aS'abscess\tabscess\tNN\tB-NP\tO' +p104230 +aS'.\t.\t.\tO\tO' +p104231 +asS'You must continue to take plavix .' +p104232 +(lp104233 +S'You\tYou\tPRP\tB-NP\tB-protein' +p104234 +aS'must\tmust\tMD\tB-VP\tO' +p104235 +aS'continue\tcontinue\tVB\tI-VP\tO' +p104236 +aS'to\tto\tTO\tI-VP\tO' +p104237 +aS'take\ttake\tVB\tI-VP\tO' +p104238 +aS'plavix\tplavix\tNN\tB-NP\tO' +p104239 +aS'.\t.\t.\tO\tO' +p104240 +asS'Cine left ventriculogram revealed a dilated left ventricle with an area of anterolateral , apical , and septal akinesis .' +p104241 +(lp104242 +S'Cine\tCine\tNN\tB-NP\tO' +p104243 +aS'left\tleft\tJJ\tI-NP\tO' +p104244 +aS'ventriculogram\tventriculogram\tNN\tI-NP\tO' +p104245 +aS'revealed\treveal\tVBD\tB-VP\tO' +p104246 +aS'a\ta\tDT\tB-NP\tO' +p104247 +aS'dilated\tdilated\tJJ\tI-NP\tO' +p104248 +aS'left\tleft\tJJ\tI-NP\tO' +p104249 +aS'ventricle\tventricle\tNN\tI-NP\tO' +p104250 +aS'with\twith\tIN\tB-PP\tO' +p104251 +aS'an\tan\tDT\tB-NP\tO' +p104252 +aS'area\tarea\tNN\tI-NP\tO' +p104253 +aS'of\tof\tIN\tB-PP\tO' +p104254 +aS'anterolateral\tanterolateral\tJJ\tB-NP\tO' +p104255 +aS',\t,\t,\tI-NP\tO' +p104256 +aS'apical\tapical\tJJ\tI-NP\tO' +p104257 +aS',\t,\t,\tO\tO' +p104258 +aS'and\tand\tCC\tO\tO' +p104259 +aS'septal\tseptal\tJJ\tB-NP\tO' +p104260 +aS'akinesis\takinesis\tNN\tI-NP\tO' +p104261 +aS'.\t.\t.\tO\tO' +p104262 +asS'4. Cardiomegaly .' +p104263 +(lp104264 +S'4.\t4.\tLS\tB-LST\tO' +p104265 +aS'Cardiomegaly\tCardiomegaly\tNNP\tB-NP\tO' +p104266 +aS'.\t.\t.\tO\tO' +p104267 +asS'This was considered her culprit lesion .' +p104268 +(lp104269 +S'This\tThis\tDT\tB-NP\tO' +p104270 +aS'was\tbe\tVBD\tB-VP\tO' +p104271 +aS'considered\tconsider\tVBN\tI-VP\tO' +p104272 +aS'her\ther\tPRP$\tB-NP\tO' +p104273 +aS'culprit\tculprit\tNN\tI-NP\tO' +p104274 +aS'lesion\tlesion\tNN\tI-NP\tO' +p104275 +aS'.\t.\t.\tO\tO' +p104276 +asS'Estrogen receptor was 0% by ERICA .' +p104277 +(lp104278 +S'Estrogen\tEstrogen\tNN\tB-NP\tB-protein' +p104279 +aS'receptor\treceptor\tNN\tI-NP\tI-protein' +p104280 +aS'was\tbe\tVBD\tB-VP\tO' +p104281 +aS'0%\t0%\tVBN\tI-VP\tO' +p104282 +aS'by\tby\tIN\tB-PP\tO' +p104283 +aS'ERICA\tERICA\tNN\tB-NP\tB-protein' +p104284 +aS'.\t.\t.\tO\tO' +p104285 +asS'The EEG showed transient sharp waves in the left front , left occipital and right parietal regions .' +p104286 +(lp104287 +S'The\tThe\tDT\tB-NP\tO' +p104288 +aS'EEG\tEEG\tNN\tI-NP\tB-protein' +p104289 +aS'showed\tshow\tVBD\tB-VP\tO' +p104290 +aS'transient\ttransient\tJJ\tB-NP\tO' +p104291 +aS'sharp\tsharp\tJJ\tI-NP\tO' +p104292 +aS'waves\twave\tNNS\tI-NP\tO' +p104293 +aS'in\tin\tIN\tB-PP\tO' +p104294 +aS'the\tthe\tDT\tB-NP\tO' +p104295 +aS'left\tleft\tJJ\tI-NP\tO' +p104296 +aS'front\tfront\tNN\tI-NP\tO' +p104297 +aS',\t,\t,\tO\tO' +p104298 +aS'left\tleave\tVBD\tB-VP\tO' +p104299 +aS'occipital\toccipital\tNN\tB-NP\tO' +p104300 +aS'and\tand\tCC\tO\tO' +p104301 +aS'right\tright\tJJ\tB-NP\tO' +p104302 +aS'parietal\tparietal\tJJ\tI-NP\tO' +p104303 +aS'regions\tregion\tNNS\tI-NP\tO' +p104304 +aS'.\t.\t.\tO\tO' +p104305 +asS'INDICATION : Fracture . Assess for alignment .' +p104306 +(lp104307 +S'INDICATION\tINDICATION\tNN\tB-NP\tO' +p104308 +aS':\t:\t:\tO\tO' +p104309 +aS'Fracture\tFracture\tNNP\tB-NP\tO' +p104310 +aS'.\t.\t.\tI-NP\tO' +p104311 +aS'Assess\tAssess\tNNP\tI-NP\tO' +p104312 +aS'for\tfor\tIN\tB-PP\tO' +p104313 +aS'alignment\talignment\tNN\tB-NP\tO' +p104314 +aS'.\t.\t.\tO\tO' +p104315 +asS'Mom on Medicaid , recovered alcoholic .' +p104316 +(lp104317 +S'Mom\tMom\tNNP\tB-NP\tO' +p104318 +aS'on\ton\tIN\tB-PP\tO' +p104319 +aS'Medicaid\tMedicaid\tNNP\tB-NP\tO' +p104320 +aS',\t,\t,\tO\tO' +p104321 +aS'recovered\trecover\tVBD\tB-VP\tO' +p104322 +aS'alcoholic\talcoholic\tJJ\tB-ADJP\tO' +p104323 +aS'.\t.\t.\tO\tO' +p104324 +asS'She is currently on a decadron taper after it was increased several months ago secondary to increasing ocular symptoms .' +p104325 +(lp104326 +S'She\tShe\tPRP\tB-NP\tO' +p104327 +aS'is\tbe\tVBZ\tB-VP\tO' +p104328 +aS'currently\tcurrently\tRB\tB-ADVP\tO' +p104329 +aS'on\ton\tIN\tB-PP\tO' +p104330 +aS'a\ta\tDT\tB-NP\tO' +p104331 +aS'decadron\tdecadron\tNN\tI-NP\tO' +p104332 +aS'taper\ttaper\tNN\tI-NP\tO' +p104333 +aS'after\tafter\tIN\tB-SBAR\tO' +p104334 +aS'it\tit\tPRP\tB-NP\tO' +p104335 +aS'was\tbe\tVBD\tB-VP\tO' +p104336 +aS'increased\tincrease\tVBN\tI-VP\tO' +p104337 +aS'several\tseveral\tJJ\tB-NP\tO' +p104338 +aS'months\tmonth\tNNS\tI-NP\tO' +p104339 +aS'ago\tago\tRB\tB-ADJP\tO' +p104340 +aS'secondary\tsecondary\tJJ\tI-ADJP\tO' +p104341 +aS'to\tto\tTO\tB-PP\tO' +p104342 +aS'increasing\tincrease\tVBG\tB-VP\tO' +p104343 +aS'ocular\tocular\tJJ\tB-NP\tO' +p104344 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p104345 +aS'.\t.\t.\tO\tO' +p104346 +asS'Her sister reports that the medication dose had been changed to 200 mg qam and 100 mg qpm in Theresa , and a review of her Union Hospital - North Shore Medical Center records indicates that this may have occurred in an urgent care appointment secondary to slurred speech and a recent fall and a non-trough level of 15.9 .' +p104347 +(lp104348 +S'Her\tHer\tPRP$\tB-NP\tO' +p104349 +aS'sister\tsister\tNN\tI-NP\tO' +p104350 +aS'reports\treport\tVBZ\tB-VP\tO' +p104351 +aS'that\tthat\tIN\tB-SBAR\tO' +p104352 +aS'the\tthe\tDT\tB-NP\tO' +p104353 +aS'medication\tmedication\tNN\tI-NP\tO' +p104354 +aS'dose\tdose\tNN\tI-NP\tO' +p104355 +aS'had\thave\tVBD\tB-VP\tO' +p104356 +aS'been\tbe\tVBN\tI-VP\tO' +p104357 +aS'changed\tchange\tVBN\tI-VP\tO' +p104358 +aS'to\tto\tTO\tB-PP\tO' +p104359 +aS'200\t200\tCD\tB-NP\tO' +p104360 +aS'mg\tmg\tNN\tI-NP\tO' +p104361 +aS'qam\tqam\tNN\tI-NP\tO' +p104362 +aS'and\tand\tCC\tO\tO' +p104363 +aS'100\t100\tCD\tB-NP\tO' +p104364 +aS'mg\tmg\tNN\tI-NP\tO' +p104365 +aS'qpm\tqpm\tNN\tI-NP\tO' +p104366 +aS'in\tin\tIN\tB-PP\tO' +p104367 +aS'Theresa\tTheresa\tNNP\tB-NP\tO' +p104368 +aS',\t,\t,\tO\tO' +p104369 +aS'and\tand\tCC\tO\tO' +p104370 +aS'a\ta\tDT\tB-NP\tO' +p104371 +aS'review\treview\tNN\tI-NP\tO' +p104372 +aS'of\tof\tIN\tB-PP\tO' +p104373 +aS'her\ther\tPRP$\tB-NP\tO' +p104374 +aS'Union\tUnion\tNNP\tI-NP\tO' +p104375 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p104376 +aS'-\t-\tHYPH\tI-NP\tO' +p104377 +aS'North\tNorth\tNNP\tI-NP\tO' +p104378 +aS'Shore\tShore\tNNP\tI-NP\tO' +p104379 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p104380 +aS'Center\tCenter\tNNP\tI-NP\tO' +p104381 +aS'records\trecord\tNNS\tI-NP\tO' +p104382 +aS'indicates\tindicate\tVBZ\tB-VP\tO' +p104383 +aS'that\tthat\tIN\tB-SBAR\tO' +p104384 +aS'this\tthis\tDT\tB-NP\tO' +p104385 +aS'may\tmay\tMD\tB-VP\tO' +p104386 +aS'have\thave\tVB\tI-VP\tO' +p104387 +aS'occurred\toccur\tVBD\tI-VP\tO' +p104388 +aS'in\tin\tIN\tB-PP\tO' +p104389 +aS'an\tan\tDT\tB-NP\tO' +p104390 +aS'urgent\turgent\tJJ\tI-NP\tO' +p104391 +aS'care\tcare\tNN\tI-NP\tO' +p104392 +aS'appointment\tappointment\tNN\tI-NP\tO' +p104393 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p104394 +aS'to\tto\tTO\tB-PP\tO' +p104395 +aS'slurred\tslur\tVBN\tB-NP\tO' +p104396 +aS'speech\tspeech\tNN\tI-NP\tO' +p104397 +aS'and\tand\tCC\tO\tO' +p104398 +aS'a\ta\tDT\tB-NP\tO' +p104399 +aS'recent\trecent\tJJ\tI-NP\tO' +p104400 +aS'fall\tfall\tNN\tI-NP\tO' +p104401 +aS'and\tand\tCC\tO\tO' +p104402 +aS'a\ta\tDT\tB-NP\tO' +p104403 +aS'non-trough\tnon-trough\tJJ\tI-NP\tO' +p104404 +aS'level\tlevel\tNN\tI-NP\tO' +p104405 +aS'of\tof\tIN\tB-PP\tO' +p104406 +aS'15.9\t15.9\tCD\tB-NP\tO' +p104407 +aS'.\t.\t.\tO\tO' +p104408 +asS'Zantac .' +p104409 +(lp104410 +S'Zantac\tZantac\tNN\tB-NP\tO' +p104411 +aS'.\t.\t.\tO\tO' +p104412 +asS'Compared with the prior study ( images reviewed ) of 2017-09-04 , there is probably no significant change .' +p104413 +(lp104414 +S'Compared\tCompare\tVBN\tB-PP\tO' +p104415 +aS'with\twith\tIN\tB-PP\tO' +p104416 +aS'the\tthe\tDT\tB-NP\tO' +p104417 +aS'prior\tprior\tJJ\tI-NP\tO' +p104418 +aS'study\tstudy\tNN\tI-NP\tO' +p104419 +aS'(\t(\t(\tO\tO' +p104420 +aS'images\timage\tNNS\tB-NP\tO' +p104421 +aS'reviewed\treview\tVBN\tB-VP\tO' +p104422 +aS')\t)\t)\tO\tO' +p104423 +aS'of\tof\tIN\tB-PP\tO' +p104424 +aS'2017-09-04\t2017-09-04\tCD\tB-NP\tO' +p104425 +aS',\t,\t,\tO\tO' +p104426 +aS'there\tthere\tEX\tB-NP\tO' +p104427 +aS'is\tbe\tVBZ\tB-VP\tO' +p104428 +aS'probably\tprobably\tRB\tB-ADVP\tO' +p104429 +aS'no\tno\tDT\tB-NP\tO' +p104430 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p104431 +aS'change\tchange\tNN\tI-NP\tO' +p104432 +aS'.\t.\t.\tO\tO' +p104433 +asS'The patient was kept nothing by mouth with intravenous fluids , bed rest , every 4-hour hematocrit checks , and serial abdominal examinations .' +p104434 +(lp104435 +S'The\tThe\tDT\tB-NP\tO' +p104436 +aS'patient\tpatient\tNN\tI-NP\tO' +p104437 +aS'was\tbe\tVBD\tB-VP\tO' +p104438 +aS'kept\tkeep\tVBN\tI-VP\tO' +p104439 +aS'nothing\tnothing\tNN\tB-NP\tO' +p104440 +aS'by\tby\tIN\tB-PP\tO' +p104441 +aS'mouth\tmouth\tNN\tB-NP\tO' +p104442 +aS'with\twith\tIN\tB-PP\tO' +p104443 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p104444 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p104445 +aS',\t,\t,\tO\tO' +p104446 +aS'bed\tbed\tNN\tB-NP\tO' +p104447 +aS'rest\trest\tNN\tI-NP\tO' +p104448 +aS',\t,\t,\tO\tO' +p104449 +aS'every\tevery\tDT\tB-NP\tO' +p104450 +aS'4-hour\t4-hour\tJJ\tI-NP\tO' +p104451 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p104452 +aS'checks\tcheck\tNNS\tI-NP\tO' +p104453 +aS',\t,\t,\tO\tO' +p104454 +aS'and\tand\tCC\tO\tO' +p104455 +aS'serial\tserial\tJJ\tB-NP\tO' +p104456 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p104457 +aS'examinations\texamination\tNNS\tI-NP\tO' +p104458 +aS'.\t.\t.\tO\tO' +p104459 +asS'The patient was admitted to a telemetry bed and started on heparin .' +p104460 +(lp104461 +S'The\tThe\tDT\tB-NP\tO' +p104462 +aS'patient\tpatient\tNN\tI-NP\tO' +p104463 +aS'was\tbe\tVBD\tB-VP\tO' +p104464 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p104465 +aS'to\tto\tTO\tB-PP\tO' +p104466 +aS'a\ta\tDT\tB-NP\tO' +p104467 +aS'telemetry\ttelemetry\tNN\tI-NP\tO' +p104468 +aS'bed\tbed\tNN\tI-NP\tO' +p104469 +aS'and\tand\tCC\tO\tO' +p104470 +aS'started\tstart\tVBN\tB-VP\tO' +p104471 +aS'on\ton\tIN\tB-PP\tO' +p104472 +aS'heparin\theparin\tNN\tB-NP\tO' +p104473 +aS'.\t.\t.\tO\tO' +p104474 +asS'Left message with answering service or PCP office' +p104475 +(lp104476 +S'Left\tLeft\tJJ\tB-NP\tO' +p104477 +aS'message\tmessage\tNN\tI-NP\tO' +p104478 +aS'with\twith\tIN\tB-PP\tO' +p104479 +aS'answering\tanswer\tVBG\tB-NP\tO' +p104480 +aS'service\tservice\tNN\tI-NP\tO' +p104481 +aS'or\tor\tCC\tI-NP\tO' +p104482 +aS'PCP\tPCP\tNN\tI-NP\tO' +p104483 +aS'office\toffice\tNN\tI-NP\tO' +p104484 +asS'On admission , the patient was started on high dose proton pump inhibitors for prophylaxis .' +p104485 +(lp104486 +S'On\tOn\tIN\tB-PP\tO' +p104487 +aS'admission\tadmission\tNN\tB-NP\tO' +p104488 +aS',\t,\t,\tO\tO' +p104489 +aS'the\tthe\tDT\tB-NP\tO' +p104490 +aS'patient\tpatient\tNN\tI-NP\tO' +p104491 +aS'was\tbe\tVBD\tB-VP\tO' +p104492 +aS'started\tstart\tVBN\tI-VP\tO' +p104493 +aS'on\ton\tIN\tB-PP\tO' +p104494 +aS'high\thigh\tJJ\tB-NP\tO' +p104495 +aS'dose\tdose\tNN\tI-NP\tO' +p104496 +aS'proton\tproton\tNN\tI-NP\tO' +p104497 +aS'pump\tpump\tNN\tI-NP\tO' +p104498 +aS'inhibitors\tinhibitor\tNNS\tI-NP\tO' +p104499 +aS'for\tfor\tIN\tB-PP\tO' +p104500 +aS'prophylaxis\tprophylaxis\tNN\tB-NP\tO' +p104501 +aS'.\t.\t.\tO\tO' +p104502 +asS'The head , eyes , ears , nose , throat exam was normocephalic , with trauma as described , pupils were 2 mm bilaterally which were minimally reactive , fundi was not seen , conjunctivae without erythema , sclerae anicteric , positive corneal reflexes noted .' +p104503 +(lp104504 +S'The\tThe\tDT\tB-NP\tO' +p104505 +aS'head\thead\tNN\tI-NP\tO' +p104506 +aS',\t,\t,\tO\tO' +p104507 +aS'eyes\teye\tNNS\tB-NP\tO' +p104508 +aS',\t,\t,\tO\tO' +p104509 +aS'ears\tear\tNNS\tB-NP\tO' +p104510 +aS',\t,\t,\tO\tO' +p104511 +aS'nose\tnose\tNN\tB-NP\tO' +p104512 +aS',\t,\t,\tO\tO' +p104513 +aS'throat\tthroat\tDT\tB-NP\tO' +p104514 +aS'exam\texam\tNN\tI-NP\tO' +p104515 +aS'was\tbe\tVBD\tB-VP\tO' +p104516 +aS'normocephalic\tnormocephalic\tJJ\tB-ADJP\tO' +p104517 +aS',\t,\t,\tO\tO' +p104518 +aS'with\twith\tIN\tB-PP\tO' +p104519 +aS'trauma\ttrauma\tNN\tB-NP\tO' +p104520 +aS'as\tas\tIN\tB-SBAR\tO' +p104521 +aS'described\tdescribe\tVBN\tB-VP\tO' +p104522 +aS',\t,\t,\tO\tO' +p104523 +aS'pupils\tpupil\tNNS\tB-NP\tO' +p104524 +aS'were\tbe\tVBD\tB-VP\tO' +p104525 +aS'2\t2\tCD\tB-NP\tO' +p104526 +aS'mm\tmm\tNN\tI-NP\tO' +p104527 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p104528 +aS'which\twhich\tWDT\tB-NP\tO' +p104529 +aS'were\tbe\tVBD\tB-VP\tO' +p104530 +aS'minimally\tminimally\tRB\tB-ADJP\tO' +p104531 +aS'reactive\treactive\tJJ\tI-ADJP\tO' +p104532 +aS',\t,\t,\tO\tO' +p104533 +aS'fundi\tfundi\tNN\tB-NP\tO' +p104534 +aS'was\tbe\tVBD\tB-VP\tO' +p104535 +aS'not\tnot\tRB\tI-VP\tO' +p104536 +aS'seen\tsee\tVBN\tI-VP\tO' +p104537 +aS',\t,\t,\tO\tO' +p104538 +aS'conjunctivae\tconjunctivae\tVBP\tB-VP\tO' +p104539 +aS'without\twithout\tIN\tB-PP\tO' +p104540 +aS'erythema\terythema\tNN\tB-NP\tO' +p104541 +aS',\t,\t,\tO\tO' +p104542 +aS'sclerae\tsclerae\tVBP\tB-VP\tO' +p104543 +aS'anicteric\tanicteric\tJJ\tB-NP\tO' +p104544 +aS',\t,\t,\tI-NP\tO' +p104545 +aS'positive\tpositive\tJJ\tI-NP\tO' +p104546 +aS'corneal\tcorneal\tJJ\tI-NP\tO' +p104547 +aS'reflexes\treflex\tNNS\tI-NP\tO' +p104548 +aS'noted\tnote\tVBD\tB-VP\tO' +p104549 +aS'.\t.\t.\tO\tO' +p104550 +asS'He was sent to the floor from the cardiac surgery recovery unit on postoperative day number seven .' +p104551 +(lp104552 +S'He\tHe\tPRP\tB-NP\tO' +p104553 +aS'was\tbe\tVBD\tB-VP\tO' +p104554 +aS'sent\tsend\tVBN\tI-VP\tO' +p104555 +aS'to\tto\tTO\tB-PP\tO' +p104556 +aS'the\tthe\tDT\tB-NP\tO' +p104557 +aS'floor\tfloor\tNN\tI-NP\tO' +p104558 +aS'from\tfrom\tIN\tB-PP\tO' +p104559 +aS'the\tthe\tDT\tB-NP\tO' +p104560 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p104561 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p104562 +aS'recovery\trecovery\tNN\tI-NP\tO' +p104563 +aS'unit\tunit\tNN\tI-NP\tO' +p104564 +aS'on\ton\tIN\tB-PP\tO' +p104565 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p104566 +aS'day\tday\tNN\tI-NP\tO' +p104567 +aS'number\tnumber\tNN\tI-NP\tO' +p104568 +aS'seven\tseven\tCD\tI-NP\tO' +p104569 +aS'.\t.\t.\tO\tO' +p104570 +asS'The patient was out of bed , doing fine , and tolerating a regular diet on 7/10/98 .' +p104571 +(lp104572 +S'The\tThe\tDT\tB-NP\tO' +p104573 +aS'patient\tpatient\tNN\tI-NP\tO' +p104574 +aS'was\tbe\tVBD\tB-VP\tO' +p104575 +aS'out\tout\tIN\tB-PP\tO' +p104576 +aS'of\tof\tIN\tB-PP\tO' +p104577 +aS'bed\tbed\tNN\tB-NP\tO' +p104578 +aS',\t,\t,\tO\tO' +p104579 +aS'doing\tdo\tVBG\tB-VP\tO' +p104580 +aS'fine\tfine\tJJ\tB-ADJP\tO' +p104581 +aS',\t,\t,\tO\tO' +p104582 +aS'and\tand\tCC\tO\tO' +p104583 +aS'tolerating\ttolerate\tVBG\tB-VP\tO' +p104584 +aS'a\ta\tDT\tB-NP\tO' +p104585 +aS'regular\tregular\tJJ\tI-NP\tO' +p104586 +aS'diet\tdiet\tNN\tI-NP\tO' +p104587 +aS'on\ton\tIN\tB-PP\tO' +p104588 +aS'7/10/98\t7/10/98\tCD\tB-NP\tO' +p104589 +aS'.\t.\t.\tO\tO' +p104590 +asS'supple , no bruits .' +p104591 +(lp104592 +S'supple\tsupple\tNN\tB-NP\tO' +p104593 +aS',\t,\t,\tO\tO' +p104594 +aS'no\tno\tDT\tB-NP\tO' +p104595 +aS'bruits\tbruit\tNNS\tI-NP\tO' +p104596 +aS'.\t.\t.\tO\tO' +p104597 +asS'The morning of 5/17 , her pulsus parodoxicus was 12 .' +p104598 +(lp104599 +S'The\tThe\tDT\tB-NP\tO' +p104600 +aS'morning\tmorning\tNN\tI-NP\tO' +p104601 +aS'of\tof\tIN\tB-PP\tO' +p104602 +aS'5/17\t5/17\tCD\tB-NP\tO' +p104603 +aS',\t,\t,\tO\tO' +p104604 +aS'her\ther\tPRP$\tB-NP\tO' +p104605 +aS'pulsus\tpulsus\tNN\tI-NP\tO' +p104606 +aS'parodoxicus\tparodoxicus\tNN\tI-NP\tO' +p104607 +aS'was\tbe\tVBD\tB-VP\tO' +p104608 +aS'12\t12\tCD\tB-NP\tO' +p104609 +aS'.\t.\t.\tO\tO' +p104610 +asS'RUQ U/s demonstrated multiple small gallstones with sludges without evidence of pericholecystic fluid or significant dilatation of the gallbladder .' +p104611 +(lp104612 +S'RUQ\tRUQ\tNN\tB-NP\tB-protein' +p104613 +aS'U/s\tU/\tNNS\tI-NP\tI-protein' +p104614 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p104615 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p104616 +aS'small\tsmall\tJJ\tI-NP\tO' +p104617 +aS'gallstones\tgallstone\tNNS\tI-NP\tO' +p104618 +aS'with\twith\tIN\tB-PP\tO' +p104619 +aS'sludges\tsludge\tNNS\tB-NP\tO' +p104620 +aS'without\twithout\tIN\tB-PP\tO' +p104621 +aS'evidence\tevidence\tNN\tB-NP\tO' +p104622 +aS'of\tof\tIN\tB-PP\tO' +p104623 +aS'pericholecystic\tpericholecystic\tJJ\tB-NP\tO' +p104624 +aS'fluid\tfluid\tNN\tI-NP\tO' +p104625 +aS'or\tor\tCC\tO\tO' +p104626 +aS'significant\tsignificant\tJJ\tB-NP\tO' +p104627 +aS'dilatation\tdilatation\tNN\tI-NP\tO' +p104628 +aS'of\tof\tIN\tB-PP\tO' +p104629 +aS'the\tthe\tDT\tB-NP\tO' +p104630 +aS'gallbladder\tgallbladder\tNN\tI-NP\tO' +p104631 +aS'.\t.\t.\tO\tO' +p104632 +asS"4. Addison 's- The patient is on basal prednisone / fludrocortisone ." +p104633 +(lp104634 +S'4.\t4.\tLS\tB-NP\tO' +p104635 +aS'Addison\tAddison\tNN\tI-NP\tO' +p104636 +aS"'s-\t's-\tPOS\tB-NP\tO" +p104637 +aS'The\tThe\tDT\tI-NP\tO' +p104638 +aS'patient\tpatient\tNN\tI-NP\tO' +p104639 +aS'is\tbe\tVBZ\tB-VP\tO' +p104640 +aS'on\ton\tIN\tB-PP\tO' +p104641 +aS'basal\tbasal\tJJ\tB-NP\tO' +p104642 +aS'prednisone\tprednisone\tNN\tI-NP\tO' +p104643 +aS'/\t/\tSYM\tB-NP\tO' +p104644 +aS'fludrocortisone\tfludrocortisone\tNN\tI-NP\tO' +p104645 +aS'.\t.\t.\tO\tO' +p104646 +asS'His preoperative investigations with coronary angiogram showed normal coronary arteries .' +p104647 +(lp104648 +S'His\tHis\tPRP$\tB-NP\tO' +p104649 +aS'preoperative\tpreoperative\tJJ\tI-NP\tO' +p104650 +aS'investigations\tinvestigation\tNNS\tI-NP\tO' +p104651 +aS'with\twith\tIN\tB-PP\tO' +p104652 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p104653 +aS'angiogram\tangiogram\tNN\tI-NP\tO' +p104654 +aS'showed\tshow\tVBD\tB-VP\tO' +p104655 +aS'normal\tnormal\tJJ\tB-NP\tO' +p104656 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p104657 +aS'arteries\tartery\tNNS\tI-NP\tO' +p104658 +aS'.\t.\t.\tO\tO' +p104659 +asS'Enlargement of the right hilus could represent adenopathy .' +p104660 +(lp104661 +S'Enlargement\tEnlargement\tNN\tB-NP\tO' +p104662 +aS'of\tof\tIN\tB-PP\tO' +p104663 +aS'the\tthe\tDT\tB-NP\tO' +p104664 +aS'right\tright\tJJ\tI-NP\tO' +p104665 +aS'hilus\thilus\tNN\tI-NP\tO' +p104666 +aS'could\tcould\tMD\tB-VP\tO' +p104667 +aS'represent\trepresent\tVB\tI-VP\tO' +p104668 +aS'adenopathy\tadenopathy\tNN\tB-NP\tO' +p104669 +aS'.\t.\t.\tO\tO' +p104670 +asS'Hematocrit stable .' +p104671 +(lp104672 +S'Hematocrit\tHematocrit\tNN\tB-NP\tO' +p104673 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p104674 +aS'.\t.\t.\tO\tO' +p104675 +asS'He had a repeat TEE on 02-19 which revealed 4 + MR .' +p104676 +(lp104677 +S'He\tHe\tPRP\tB-NP\tO' +p104678 +aS'had\thave\tVBD\tB-VP\tO' +p104679 +aS'a\ta\tDT\tB-NP\tO' +p104680 +aS'repeat\trepeat\tNN\tI-NP\tO' +p104681 +aS'TEE\tTEE\tNN\tI-NP\tO' +p104682 +aS'on\ton\tIN\tB-PP\tO' +p104683 +aS'02-19\t02-19\tCD\tB-NP\tO' +p104684 +aS'which\twhich\tWDT\tB-NP\tO' +p104685 +aS'revealed\treveal\tVBD\tB-VP\tO' +p104686 +aS'4\t4\tCD\tB-NP\tO' +p104687 +aS'+\t+\tSYM\tI-NP\tO' +p104688 +aS'MR\tMR\tNN\tI-NP\tB-protein' +p104689 +aS'.\t.\t.\tO\tO' +p104690 +asS'Father and mother died in their eighties of heart disease .' +p104691 +(lp104692 +S'Father\tFather\tNN\tB-NP\tO' +p104693 +aS'and\tand\tCC\tI-NP\tO' +p104694 +aS'mother\tmother\tNN\tI-NP\tO' +p104695 +aS'died\tdie\tVBD\tB-VP\tO' +p104696 +aS'in\tin\tIN\tB-PP\tO' +p104697 +aS'their\ttheir\tPRP$\tB-NP\tO' +p104698 +aS'eighties\teighty\tNNS\tI-NP\tO' +p104699 +aS'of\tof\tIN\tB-PP\tO' +p104700 +aS'heart\theart\tNN\tB-NP\tO' +p104701 +aS'disease\tdisease\tNN\tI-NP\tO' +p104702 +aS'.\t.\t.\tO\tO' +p104703 +asS'Inferior wall myocardial infarction , ventricular fibrillation arrest , congestive heart failure , paroxysmal atrial tachycardia , coronary artery disease , psychosis .' +p104704 +(lp104705 +S'Inferior\tInferior\tJJ\tB-NP\tO' +p104706 +aS'wall\twall\tNN\tI-NP\tO' +p104707 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p104708 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p104709 +aS',\t,\t,\tO\tO' +p104710 +aS'ventricular\tventricular\tJJ\tB-NP\tO' +p104711 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p104712 +aS'arrest\tarrest\tNN\tI-NP\tO' +p104713 +aS',\t,\t,\tO\tO' +p104714 +aS'congestive\tcongestive\tJJ\tB-NP\tO' +p104715 +aS'heart\theart\tNN\tI-NP\tO' +p104716 +aS'failure\tfailure\tNN\tI-NP\tO' +p104717 +aS',\t,\t,\tO\tO' +p104718 +aS'paroxysmal\tparoxysmal\tJJ\tB-NP\tO' +p104719 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p104720 +aS'tachycardia\ttachycardia\tNN\tI-NP\tO' +p104721 +aS',\t,\t,\tO\tO' +p104722 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p104723 +aS'artery\tartery\tNN\tI-NP\tO' +p104724 +aS'disease\tdisease\tNN\tI-NP\tO' +p104725 +aS',\t,\t,\tO\tO' +p104726 +aS'psychosis\tpsychosis\tNN\tB-NP\tO' +p104727 +aS'.\t.\t.\tO\tO' +p104728 +asS'On 2010-07-01 , the patient was discharged from the hospital with instructions for follow up care on return to the United Kingdom .' +p104729 +(lp104730 +S'On\tOn\tIN\tB-PP\tO' +p104731 +aS'2010-07-01\t2010-07-01\tCD\tB-NP\tO' +p104732 +aS',\t,\t,\tO\tO' +p104733 +aS'the\tthe\tDT\tB-NP\tO' +p104734 +aS'patient\tpatient\tNN\tI-NP\tO' +p104735 +aS'was\tbe\tVBD\tB-VP\tO' +p104736 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p104737 +aS'from\tfrom\tIN\tB-PP\tO' +p104738 +aS'the\tthe\tDT\tB-NP\tO' +p104739 +aS'hospital\thospital\tNN\tI-NP\tO' +p104740 +aS'with\twith\tIN\tB-PP\tO' +p104741 +aS'instructions\tinstruction\tNNS\tB-NP\tO' +p104742 +aS'for\tfor\tIN\tB-PP\tO' +p104743 +aS'follow\tfollow\tNN\tB-NP\tO' +p104744 +aS'up\tup\tRP\tB-PRT\tO' +p104745 +aS'care\tcare\tNN\tB-NP\tO' +p104746 +aS'on\ton\tIN\tB-PP\tO' +p104747 +aS'return\treturn\tNN\tB-NP\tO' +p104748 +aS'to\tto\tTO\tB-PP\tO' +p104749 +aS'the\tthe\tDT\tB-NP\tO' +p104750 +aS'United\tUnited\tNNP\tI-NP\tO' +p104751 +aS'Kingdom\tKingdom\tNNP\tI-NP\tO' +p104752 +aS'.\t.\t.\tO\tO' +p104753 +asS'Surgery was notified and pressure was applied ; however , it did not stop oozing .' +p104754 +(lp104755 +S'Surgery\tSurgery\tNN\tB-NP\tO' +p104756 +aS'was\tbe\tVBD\tB-VP\tO' +p104757 +aS'notified\tnotify\tVBN\tI-VP\tO' +p104758 +aS'and\tand\tCC\tO\tO' +p104759 +aS'pressure\tpressure\tNN\tB-NP\tO' +p104760 +aS'was\tbe\tVBD\tB-VP\tO' +p104761 +aS'applied\tapply\tVBN\tI-VP\tO' +p104762 +aS';\t;\t:\tO\tO' +p104763 +aS'however\thowever\tRB\tB-ADVP\tO' +p104764 +aS',\t,\t,\tO\tO' +p104765 +aS'it\tit\tPRP\tB-NP\tO' +p104766 +aS'did\tdo\tVBD\tB-VP\tO' +p104767 +aS'not\tnot\tRB\tI-VP\tO' +p104768 +aS'stop\tstop\tVB\tI-VP\tO' +p104769 +aS'oozing\tooze\tVBG\tI-VP\tO' +p104770 +aS'.\t.\t.\tO\tO' +p104771 +asS'3. Chronic renal insufficiency .' +p104772 +(lp104773 +S'3.\t3.\tLS\tB-NP\tO' +p104774 +aS'Chronic\tChronic\tJJ\tI-NP\tO' +p104775 +aS'renal\trenal\tJJ\tI-NP\tO' +p104776 +aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' +p104777 +aS'.\t.\t.\tO\tO' +p104778 +asS'Non focal and age appropriate .' +p104779 +(lp104780 +S'Non\tNon\tJJ\tB-NP\tO' +p104781 +aS'focal\tfocal\tJJ\tI-NP\tO' +p104782 +aS'and\tand\tCC\tI-NP\tO' +p104783 +aS'age\tage\tNN\tI-NP\tO' +p104784 +aS'appropriate\tappropriate\tJJ\tB-ADJP\tO' +p104785 +aS'.\t.\t.\tO\tO' +p104786 +asS'She had a head CT prior to discharge that showed resolution of the subarachnoid hemorrhage .' +p104787 +(lp104788 +S'She\tShe\tPRP\tB-NP\tO' +p104789 +aS'had\thave\tVBD\tB-VP\tO' +p104790 +aS'a\ta\tDT\tB-NP\tO' +p104791 +aS'head\thead\tNN\tI-NP\tO' +p104792 +aS'CT\tCT\tNN\tI-NP\tO' +p104793 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p104794 +aS'to\tto\tTO\tB-VP\tO' +p104795 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p104796 +aS'that\tthat\tWDT\tB-NP\tO' +p104797 +aS'showed\tshow\tVBD\tB-VP\tO' +p104798 +aS'resolution\tresolution\tNN\tB-NP\tO' +p104799 +aS'of\tof\tIN\tB-PP\tO' +p104800 +aS'the\tthe\tDT\tB-NP\tO' +p104801 +aS'subarachnoid\tsubarachnoid\tJJ\tI-NP\tO' +p104802 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p104803 +aS'.\t.\t.\tO\tO' +p104804 +asS'She had no loss of consciousness .' +p104805 +(lp104806 +S'She\tShe\tPRP\tB-NP\tO' +p104807 +aS'had\thave\tVBD\tB-VP\tO' +p104808 +aS'no\tno\tDT\tB-NP\tO' +p104809 +aS'loss\tloss\tNN\tI-NP\tO' +p104810 +aS'of\tof\tIN\tB-PP\tO' +p104811 +aS'consciousness\tconsciousness\tNN\tB-NP\tO' +p104812 +aS'.\t.\t.\tO\tO' +p104813 +asS'The left clavicle was noted to have continued ecchymosis decreased from prior examination with a minor stepoff and mild tenderness to palpation decreased from prior examinations .' +p104814 +(lp104815 +S'The\tThe\tDT\tB-NP\tO' +p104816 +aS'left\tleft\tJJ\tI-NP\tO' +p104817 +aS'clavicle\tclavicle\tNN\tI-NP\tO' +p104818 +aS'was\tbe\tVBD\tB-VP\tO' +p104819 +aS'noted\tnote\tVBN\tI-VP\tO' +p104820 +aS'to\tto\tTO\tI-VP\tO' +p104821 +aS'have\thave\tVB\tI-VP\tO' +p104822 +aS'continued\tcontinue\tVBN\tB-NP\tO' +p104823 +aS'ecchymosis\tecchymosis\tNN\tI-NP\tO' +p104824 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p104825 +aS'from\tfrom\tIN\tB-PP\tO' +p104826 +aS'prior\tprior\tJJ\tB-NP\tO' +p104827 +aS'examination\texamination\tNN\tI-NP\tO' +p104828 +aS'with\twith\tIN\tB-PP\tO' +p104829 +aS'a\ta\tDT\tB-NP\tO' +p104830 +aS'minor\tminor\tJJ\tI-NP\tO' +p104831 +aS'stepoff\tstepoff\tNN\tI-NP\tO' +p104832 +aS'and\tand\tCC\tO\tO' +p104833 +aS'mild\tmild\tJJ\tB-NP\tO' +p104834 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p104835 +aS'to\tto\tTO\tB-PP\tO' +p104836 +aS'palpation\tpalpation\tNN\tB-NP\tO' +p104837 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p104838 +aS'from\tfrom\tIN\tB-PP\tO' +p104839 +aS'prior\tprior\tJJ\tB-NP\tO' +p104840 +aS'examinations\texamination\tNNS\tI-NP\tO' +p104841 +aS'.\t.\t.\tO\tO' +p104842 +asS"The baby 's neurologic examination is appropriate for corrected gestational age which is 33 and 6/7 weeks on day of transfer ." +p104843 +(lp104844 +S'The\tThe\tDT\tB-NP\tO' +p104845 +aS'baby\tbaby\tNN\tI-NP\tO' +p104846 +aS"'s\t's\tPOS\tB-NP\tO" +p104847 +aS'neurologic\tneurologic\tJJ\tI-NP\tO' +p104848 +aS'examination\texamination\tNN\tI-NP\tO' +p104849 +aS'is\tbe\tVBZ\tB-VP\tO' +p104850 +aS'appropriate\tappropriate\tJJ\tB-ADJP\tO' +p104851 +aS'for\tfor\tIN\tB-PP\tO' +p104852 +aS'corrected\tcorrect\tVBN\tB-NP\tO' +p104853 +aS'gestational\tgestational\tJJ\tI-NP\tO' +p104854 +aS'age\tage\tNN\tI-NP\tO' +p104855 +aS'which\twhich\tWDT\tB-NP\tO' +p104856 +aS'is\tbe\tVBZ\tB-VP\tO' +p104857 +aS'33\t33\tCD\tB-NP\tO' +p104858 +aS'and\tand\tCC\tI-NP\tO' +p104859 +aS'6/7\t6/7\tCD\tI-NP\tO' +p104860 +aS'weeks\tweek\tNNS\tI-NP\tO' +p104861 +aS'on\ton\tIN\tB-PP\tO' +p104862 +aS'day\tday\tNN\tB-NP\tO' +p104863 +aS'of\tof\tIN\tB-PP\tO' +p104864 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p104865 +aS'.\t.\t.\tO\tO' +p104866 +asS'He was seen by CMED CSRU in the emergency room and the exam was consistent with supraglottitis .' +p104867 +(lp104868 +S'He\tHe\tPRP\tB-NP\tO' +p104869 +aS'was\tbe\tVBD\tB-VP\tO' +p104870 +aS'seen\tsee\tVBN\tI-VP\tO' +p104871 +aS'by\tby\tIN\tB-PP\tO' +p104872 +aS'CMED\tCMED\tNNP\tB-NP\tO' +p104873 +aS'CSRU\tCSRU\tNNP\tI-NP\tO' +p104874 +aS'in\tin\tIN\tB-PP\tO' +p104875 +aS'the\tthe\tDT\tB-NP\tO' +p104876 +aS'emergency\temergency\tNN\tI-NP\tO' +p104877 +aS'room\troom\tNN\tI-NP\tO' +p104878 +aS'and\tand\tCC\tO\tO' +p104879 +aS'the\tthe\tDT\tB-NP\tO' +p104880 +aS'exam\texam\tNN\tI-NP\tO' +p104881 +aS'was\tbe\tVBD\tB-VP\tO' +p104882 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p104883 +aS'with\twith\tIN\tB-PP\tO' +p104884 +aS'supraglottitis\tsupraglottitis\tNN\tB-NP\tO' +p104885 +aS'.\t.\t.\tO\tO' +p104886 +asS'The patient was oxygenating well on her home O2 dose of 2 liters per minute .' +p104887 +(lp104888 +S'The\tThe\tDT\tB-NP\tO' +p104889 +aS'patient\tpatient\tNN\tI-NP\tO' +p104890 +aS'was\tbe\tVBD\tB-VP\tO' +p104891 +aS'oxygenating\toxygenate\tVBG\tI-VP\tO' +p104892 +aS'well\twell\tRB\tB-ADVP\tO' +p104893 +aS'on\ton\tIN\tB-PP\tO' +p104894 +aS'her\ther\tPRP$\tB-NP\tO' +p104895 +aS'home\thome\tNN\tI-NP\tO' +p104896 +aS'O2\tO2\tNN\tI-NP\tO' +p104897 +aS'dose\tdose\tNN\tI-NP\tO' +p104898 +aS'of\tof\tIN\tB-PP\tO' +p104899 +aS'2\t2\tCD\tB-NP\tO' +p104900 +aS'liters\tliter\tNNS\tI-NP\tO' +p104901 +aS'per\tper\tIN\tB-PP\tO' +p104902 +aS'minute\tminute\tNN\tB-NP\tO' +p104903 +aS'.\t.\t.\tO\tO' +p104904 +asS'After the G-CSF , the absolute neutrophil count was greater than 8000 .' +p104905 +(lp104906 +S'After\tAfter\tIN\tB-PP\tO' +p104907 +aS'the\tthe\tDT\tB-NP\tO' +p104908 +aS'G-CSF\tG-CSF\tNN\tI-NP\tB-protein' +p104909 +aS',\t,\t,\tO\tO' +p104910 +aS'the\tthe\tDT\tB-NP\tO' +p104911 +aS'absolute\tabsolute\tJJ\tI-NP\tO' +p104912 +aS'neutrophil\tneutrophil\tNN\tI-NP\tO' +p104913 +aS'count\tcount\tNN\tI-NP\tO' +p104914 +aS'was\tbe\tVBD\tB-VP\tO' +p104915 +aS'greater\tgreat\tJJR\tB-ADJP\tO' +p104916 +aS'than\tthan\tIN\tB-PP\tO' +p104917 +aS'8000\t8000\tCD\tB-NP\tO' +p104918 +aS'.\t.\t.\tO\tO' +p104919 +asS'Extremities are warm , noncyanotic , minimal peripheral edema .' +p104920 +(lp104921 +S'Extremities\tExtremity\tNNS\tB-NP\tO' +p104922 +aS'are\tbe\tVBP\tB-VP\tO' +p104923 +aS'warm\twarm\tJJ\tB-NP\tO' +p104924 +aS',\t,\t,\tI-NP\tO' +p104925 +aS'noncyanotic\tnoncyanotic\tJJ\tI-NP\tO' +p104926 +aS',\t,\t,\tI-NP\tO' +p104927 +aS'minimal\tminimal\tJJ\tI-NP\tO' +p104928 +aS'peripheral\tperipheral\tJJ\tI-NP\tO' +p104929 +aS'edema\tedema\tNN\tI-NP\tO' +p104930 +aS'.\t.\t.\tO\tO' +p104931 +asS'insulin dependent diabetes mellitus for fifteen years .' +p104932 +(lp104933 +S'insulin\tinsulin\tNN\tB-NP\tB-protein' +p104934 +aS'dependent\tdependent\tJJ\tI-NP\tO' +p104935 +aS'diabetes\tdiabetes\tNN\tI-NP\tO' +p104936 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p104937 +aS'for\tfor\tIN\tB-PP\tO' +p104938 +aS'fifteen\tfifteen\tCD\tB-NP\tO' +p104939 +aS'years\tyear\tNNS\tI-NP\tO' +p104940 +aS'.\t.\t.\tO\tO' +p104941 +asS'The abdomen was benign , flat , nontender , nondistended , no hepatosplenomegaly .' +p104942 +(lp104943 +S'The\tThe\tDT\tB-NP\tO' +p104944 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p104945 +aS'was\tbe\tVBD\tB-VP\tO' +p104946 +aS'benign\tbenign\tJJ\tB-NP\tO' +p104947 +aS',\t,\t,\tI-NP\tO' +p104948 +aS'flat\tflat\tJJ\tI-NP\tO' +p104949 +aS',\t,\t,\tI-NP\tO' +p104950 +aS'nontender\tnontender\tJJ\tI-NP\tO' +p104951 +aS',\t,\t,\tI-NP\tO' +p104952 +aS'nondistended\tnondistended\tJJ\tI-NP\tO' +p104953 +aS',\t,\t,\tO\tO' +p104954 +aS'no\tno\tDT\tB-NP\tO' +p104955 +aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tI-NP\tO' +p104956 +aS'.\t.\t.\tO\tO' +p104957 +asS'Patient was in bigeminy during the course of her hospital stay , and did have frequent runs of ectopy as noted on telemetry .' +p104958 +(lp104959 +S'Patient\tPatient\tNN\tB-NP\tO' +p104960 +aS'was\tbe\tVBD\tB-VP\tO' +p104961 +aS'in\tin\tIN\tB-PP\tO' +p104962 +aS'bigeminy\tbigeminy\tJJ\tB-ADJP\tO' +p104963 +aS'during\tduring\tIN\tB-PP\tO' +p104964 +aS'the\tthe\tDT\tB-NP\tO' +p104965 +aS'course\tcourse\tNN\tI-NP\tO' +p104966 +aS'of\tof\tIN\tB-PP\tO' +p104967 +aS'her\ther\tPRP$\tB-NP\tO' +p104968 +aS'hospital\thospital\tNN\tI-NP\tO' +p104969 +aS'stay\tstay\tNN\tI-NP\tO' +p104970 +aS',\t,\t,\tO\tO' +p104971 +aS'and\tand\tCC\tO\tO' +p104972 +aS'did\tdo\tVBD\tB-VP\tO' +p104973 +aS'have\thave\tVB\tI-VP\tO' +p104974 +aS'frequent\tfrequent\tJJ\tB-NP\tO' +p104975 +aS'runs\trun\tNNS\tI-NP\tO' +p104976 +aS'of\tof\tIN\tB-PP\tO' +p104977 +aS'ectopy\tectopy\tNN\tB-NP\tO' +p104978 +aS'as\tas\tIN\tB-SBAR\tO' +p104979 +aS'noted\tnote\tVBN\tB-VP\tO' +p104980 +aS'on\ton\tIN\tB-PP\tO' +p104981 +aS'telemetry\ttelemetry\tNN\tB-NP\tO' +p104982 +aS'.\t.\t.\tO\tO' +p104983 +asS'1. Left transverse mid shaft radial fracture with ulnar displacement status post left radial open reduction and internal fixation .' +p104984 +(lp104985 +S'1.\t1.\tLS\tB-LST\tO' +p104986 +aS'Left\tLeave\tVBD\tB-VP\tO' +p104987 +aS'transverse\ttransverse\tJJ\tB-NP\tO' +p104988 +aS'mid\tmid\tJJ\tI-NP\tO' +p104989 +aS'shaft\tshaft\tNN\tI-NP\tO' +p104990 +aS'radial\tradial\tNN\tI-NP\tO' +p104991 +aS'fracture\tfracture\tNN\tI-NP\tO' +p104992 +aS'with\twith\tIN\tB-PP\tO' +p104993 +aS'ulnar\tulnar\tJJ\tB-NP\tO' +p104994 +aS'displacement\tdisplacement\tNN\tI-NP\tO' +p104995 +aS'status\tstatus\tNN\tI-NP\tO' +p104996 +aS'post\tpost\tNN\tI-NP\tO' +p104997 +aS'left\tleave\tVBD\tB-VP\tO' +p104998 +aS'radial\tradial\tJJ\tB-NP\tO' +p104999 +aS'open\topen\tJJ\tI-NP\tO' +p105000 +aS'reduction\treduction\tNN\tI-NP\tO' +p105001 +aS'and\tand\tCC\tO\tO' +p105002 +aS'internal\tinternal\tJJ\tB-NP\tO' +p105003 +aS'fixation\tfixation\tNN\tI-NP\tO' +p105004 +aS'.\t.\t.\tO\tO' +p105005 +asS'MRI was performed and showed new lesions vs sz effects in the left temporal lobe .' +p105006 +(lp105007 +S'MRI\tMRI\tNN\tB-NP\tB-protein' +p105008 +aS'was\tbe\tVBD\tB-VP\tO' +p105009 +aS'performed\tperform\tVBN\tI-VP\tO' +p105010 +aS'and\tand\tCC\tO\tO' +p105011 +aS'showed\tshow\tVBD\tB-VP\tO' +p105012 +aS'new\tnew\tJJ\tB-NP\tO' +p105013 +aS'lesions\tlesion\tNNS\tI-NP\tO' +p105014 +aS'vs\tvs\tIN\tB-PP\tO' +p105015 +aS'sz\tsz\tNN\tB-NP\tO' +p105016 +aS'effects\teffect\tNNS\tI-NP\tO' +p105017 +aS'in\tin\tIN\tB-PP\tO' +p105018 +aS'the\tthe\tDT\tB-NP\tO' +p105019 +aS'left\tleft\tJJ\tI-NP\tO' +p105020 +aS'temporal\ttemporal\tJJ\tI-NP\tO' +p105021 +aS'lobe\tlobe\tNN\tI-NP\tO' +p105022 +aS'.\t.\t.\tO\tO' +p105023 +asS'The patient was continued on TPN over the past couple days .' +p105024 +(lp105025 +S'The\tThe\tDT\tB-NP\tO' +p105026 +aS'patient\tpatient\tNN\tI-NP\tO' +p105027 +aS'was\tbe\tVBD\tB-VP\tO' +p105028 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p105029 +aS'on\ton\tIN\tB-PP\tO' +p105030 +aS'TPN\tTPN\tNN\tB-NP\tB-protein' +p105031 +aS'over\tover\tIN\tB-PP\tO' +p105032 +aS'the\tthe\tDT\tB-NP\tO' +p105033 +aS'past\tpast\tJJ\tI-NP\tO' +p105034 +aS'couple\tcouple\tNN\tI-NP\tO' +p105035 +aS'days\tday\tNNS\tI-NP\tO' +p105036 +aS'.\t.\t.\tO\tO' +p105037 +asS'She had a head ultrasound on 2013-05-02 , that was completely within normal limits .' +p105038 +(lp105039 +S'She\tShe\tPRP\tB-NP\tO' +p105040 +aS'had\thave\tVBD\tB-VP\tO' +p105041 +aS'a\ta\tDT\tB-NP\tO' +p105042 +aS'head\thead\tNN\tI-NP\tO' +p105043 +aS'ultrasound\tultrasound\tNN\tI-NP\tO' +p105044 +aS'on\ton\tIN\tB-PP\tO' +p105045 +aS'2013-05-02\t2013-05-02\tCD\tB-NP\tO' +p105046 +aS',\t,\t,\tO\tO' +p105047 +aS'that\tthat\tDT\tB-NP\tO' +p105048 +aS'was\tbe\tVBD\tB-VP\tO' +p105049 +aS'completely\tcompletely\tRB\tB-ADVP\tO' +p105050 +aS'within\twithin\tIN\tB-PP\tO' +p105051 +aS'normal\tnormal\tJJ\tB-NP\tO' +p105052 +aS'limits\tlimit\tNNS\tI-NP\tO' +p105053 +aS'.\t.\t.\tO\tO' +p105054 +asS'The patient remained stable during the rest of the hospitalization .' +p105055 +(lp105056 +S'The\tThe\tDT\tB-NP\tO' +p105057 +aS'patient\tpatient\tNN\tI-NP\tO' +p105058 +aS'remained\tremain\tVBD\tB-VP\tO' +p105059 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p105060 +aS'during\tduring\tIN\tB-PP\tO' +p105061 +aS'the\tthe\tDT\tB-NP\tO' +p105062 +aS'rest\trest\tNN\tI-NP\tO' +p105063 +aS'of\tof\tIN\tB-PP\tO' +p105064 +aS'the\tthe\tDT\tB-NP\tO' +p105065 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p105066 +aS'.\t.\t.\tO\tO' +p105067 +asS'Dry mucous membranes and myotic pupils .' +p105068 +(lp105069 +S'Dry\tDry\tJJ\tB-NP\tO' +p105070 +aS'mucous\tmucous\tJJ\tI-NP\tO' +p105071 +aS'membranes\tmembrane\tNNS\tI-NP\tO' +p105072 +aS'and\tand\tCC\tO\tO' +p105073 +aS'myotic\tmyotic\tJJ\tB-NP\tO' +p105074 +aS'pupils\tpupil\tNNS\tI-NP\tO' +p105075 +aS'.\t.\t.\tO\tO' +p105076 +asS'He appeared to be doing well and was transferred to the SDU on this day .' +p105077 +(lp105078 +S'He\tHe\tPRP\tB-NP\tO' +p105079 +aS'appeared\tappear\tVBD\tB-VP\tO' +p105080 +aS'to\tto\tTO\tI-VP\tO' +p105081 +aS'be\tbe\tVB\tI-VP\tO' +p105082 +aS'doing\tdo\tVBG\tI-VP\tO' +p105083 +aS'well\twell\tRB\tB-ADVP\tO' +p105084 +aS'and\tand\tCC\tO\tO' +p105085 +aS'was\tbe\tVBD\tB-VP\tO' +p105086 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p105087 +aS'to\tto\tTO\tB-PP\tO' +p105088 +aS'the\tthe\tDT\tB-NP\tO' +p105089 +aS'SDU\tSDU\tNN\tI-NP\tO' +p105090 +aS'on\ton\tIN\tB-PP\tO' +p105091 +aS'this\tthis\tDT\tB-NP\tO' +p105092 +aS'day\tday\tNN\tI-NP\tO' +p105093 +aS'.\t.\t.\tO\tO' +p105094 +asS'He is to ambulate with crutches or a walker and be on posterior hip dislocation precautions for three months following the date of surgery .' +p105095 +(lp105096 +S'He\tHe\tPRP\tB-NP\tO' +p105097 +aS'is\tbe\tVBZ\tB-VP\tO' +p105098 +aS'to\tto\tTO\tB-VP\tO' +p105099 +aS'ambulate\tambulate\tVB\tI-VP\tO' +p105100 +aS'with\twith\tIN\tB-PP\tO' +p105101 +aS'crutches\tcrutch\tNNS\tB-NP\tO' +p105102 +aS'or\tor\tCC\tO\tO' +p105103 +aS'a\ta\tDT\tB-NP\tO' +p105104 +aS'walker\twalker\tNN\tI-NP\tO' +p105105 +aS'and\tand\tCC\tO\tO' +p105106 +aS'be\tbe\tVB\tB-VP\tO' +p105107 +aS'on\ton\tIN\tB-PP\tO' +p105108 +aS'posterior\tposterior\tJJ\tB-NP\tO' +p105109 +aS'hip\thip\tNN\tI-NP\tO' +p105110 +aS'dislocation\tdislocation\tNN\tI-NP\tO' +p105111 +aS'precautions\tprecaution\tNNS\tI-NP\tO' +p105112 +aS'for\tfor\tIN\tB-PP\tO' +p105113 +aS'three\tthree\tCD\tB-NP\tO' +p105114 +aS'months\tmonth\tNNS\tI-NP\tO' +p105115 +aS'following\tfollow\tVBG\tB-PP\tO' +p105116 +aS'the\tthe\tDT\tB-NP\tO' +p105117 +aS'date\tdate\tNN\tI-NP\tO' +p105118 +aS'of\tof\tIN\tB-PP\tO' +p105119 +aS'surgery\tsurgery\tNN\tB-NP\tO' +p105120 +aS'.\t.\t.\tO\tO' +p105121 +asS'75 y / o F with h / o COPD c / b frequent exacerbations p / w typical flare symptoms .' +p105122 +(lp105123 +S'75\t75\tCD\tB-NP\tO' +p105124 +aS'y\ty\tNN\tI-NP\tO' +p105125 +aS'/\t/\tSYM\tB-NP\tO' +p105126 +aS'o\to\tNN\tI-NP\tB-protein' +p105127 +aS'F\tF\tNN\tI-NP\tI-protein' +p105128 +aS'with\twith\tIN\tB-PP\tO' +p105129 +aS'h\th\tNN\tB-NP\tO' +p105130 +aS'/\t/\tSYM\tI-NP\tO' +p105131 +aS'o\to\tNN\tI-NP\tO' +p105132 +aS'COPD\tCOPD\tNN\tI-NP\tO' +p105133 +aS'c\tc\tNN\tI-NP\tO' +p105134 +aS'/\t/\tSYM\tB-NP\tO' +p105135 +aS'b\tb\tNN\tI-NP\tO' +p105136 +aS'frequent\tfrequent\tJJ\tI-NP\tO' +p105137 +aS'exacerbations\texacerbation\tNNS\tI-NP\tO' +p105138 +aS'p\tp\tNN\tI-NP\tO' +p105139 +aS'/\t/\tSYM\tB-NP\tO' +p105140 +aS'w\tw\tNN\tI-NP\tO' +p105141 +aS'typical\ttypical\tJJ\tI-NP\tO' +p105142 +aS'flare\tflare\tNN\tI-NP\tO' +p105143 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p105144 +aS'.\t.\t.\tO\tO' +p105145 +asS'She had been depressed for some time but her loved ones were very surprised at her attempt .' +p105146 +(lp105147 +S'She\tShe\tPRP\tB-NP\tO' +p105148 +aS'had\thave\tVBD\tB-VP\tO' +p105149 +aS'been\tbe\tVBN\tI-VP\tO' +p105150 +aS'depressed\tdepress\tVBN\tI-VP\tO' +p105151 +aS'for\tfor\tIN\tB-PP\tO' +p105152 +aS'some\tsome\tDT\tB-NP\tO' +p105153 +aS'time\ttime\tNN\tI-NP\tO' +p105154 +aS'but\tbut\tCC\tO\tO' +p105155 +aS'her\ther\tPRP$\tB-NP\tO' +p105156 +aS'loved\tloved\tJJ\tI-NP\tO' +p105157 +aS'ones\tone\tNNS\tI-NP\tO' +p105158 +aS'were\tbe\tVBD\tB-VP\tO' +p105159 +aS'very\tvery\tRB\tB-ADJP\tO' +p105160 +aS'surprised\tsurprise\tVBN\tI-ADJP\tO' +p105161 +aS'at\tat\tIN\tB-PP\tO' +p105162 +aS'her\ther\tPRP$\tB-NP\tO' +p105163 +aS'attempt\tattempt\tNN\tI-NP\tO' +p105164 +aS'.\t.\t.\tO\tO' +p105165 +asS'She experienced no respiratory difficulty during the hospital stay .' +p105166 +(lp105167 +S'She\tShe\tPRP\tB-NP\tO' +p105168 +aS'experienced\texperience\tVBD\tB-VP\tO' +p105169 +aS'no\tno\tDT\tB-NP\tO' +p105170 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p105171 +aS'difficulty\tdifficulty\tNN\tI-NP\tO' +p105172 +aS'during\tduring\tIN\tB-PP\tO' +p105173 +aS'the\tthe\tDT\tB-NP\tO' +p105174 +aS'hospital\thospital\tNN\tI-NP\tO' +p105175 +aS'stay\tstay\tNN\tI-NP\tO' +p105176 +aS'.\t.\t.\tO\tO' +p105177 +asS'The patient tolerated the nasogastric tube well .' +p105178 +(lp105179 +S'The\tThe\tDT\tB-NP\tO' +p105180 +aS'patient\tpatient\tNN\tI-NP\tO' +p105181 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p105182 +aS'the\tthe\tDT\tB-NP\tO' +p105183 +aS'nasogastric\tnasogastric\tJJ\tI-NP\tO' +p105184 +aS'tube\ttube\tNN\tI-NP\tO' +p105185 +aS'well\twell\tRB\tB-ADVP\tO' +p105186 +aS'.\t.\t.\tO\tO' +p105187 +asS'Rectal normal tone , guaiac positive brown stool , no perirectal lesions or erythema .' +p105188 +(lp105189 +S'Rectal\tRectal\tJJ\tB-NP\tO' +p105190 +aS'normal\tnormal\tJJ\tI-NP\tO' +p105191 +aS'tone\ttone\tNN\tI-NP\tO' +p105192 +aS',\t,\t,\tO\tO' +p105193 +aS'guaiac\tguaiac\tJJ\tB-NP\tO' +p105194 +aS'positive\tpositive\tJJ\tI-NP\tO' +p105195 +aS'brown\tbrown\tJJ\tI-NP\tO' +p105196 +aS'stool\tstool\tNN\tI-NP\tO' +p105197 +aS',\t,\t,\tO\tO' +p105198 +aS'no\tno\tDT\tB-NP\tO' +p105199 +aS'perirectal\tperirectal\tJJ\tI-NP\tO' +p105200 +aS'lesions\tlesion\tNNS\tI-NP\tO' +p105201 +aS'or\tor\tCC\tI-NP\tO' +p105202 +aS'erythema\terythema\tNN\tI-NP\tO' +p105203 +aS'.\t.\t.\tO\tO' +p105204 +asS'He completed a five-day course of IV ig .' +p105205 +(lp105206 +S'He\tHe\tPRP\tB-NP\tO' +p105207 +aS'completed\tcomplete\tVBD\tB-VP\tO' +p105208 +aS'a\ta\tDT\tB-NP\tO' +p105209 +aS'five-day\tfive-day\tJJ\tI-NP\tO' +p105210 +aS'course\tcourse\tNN\tI-NP\tO' +p105211 +aS'of\tof\tIN\tB-PP\tO' +p105212 +aS'IV\tIV\tCD\tB-NP\tO' +p105213 +aS'ig\tig\tNN\tI-NP\tO' +p105214 +aS'.\t.\t.\tO\tO' +p105215 +asS'In general the patient was in no acute distress , afebrile , vital signs stable .' +p105216 +(lp105217 +S'In\tIn\tIN\tB-PP\tO' +p105218 +aS'general\tgeneral\tJJ\tB-ADJP\tO' +p105219 +aS'the\tthe\tDT\tB-NP\tO' +p105220 +aS'patient\tpatient\tNN\tI-NP\tO' +p105221 +aS'was\tbe\tVBD\tB-VP\tO' +p105222 +aS'in\tin\tIN\tB-PP\tO' +p105223 +aS'no\tno\tDT\tB-NP\tO' +p105224 +aS'acute\tacute\tJJ\tI-NP\tO' +p105225 +aS'distress\tdistress\tNN\tI-NP\tO' +p105226 +aS',\t,\t,\tO\tO' +p105227 +aS'afebrile\tafebrile\tJJ\tB-NP\tO' +p105228 +aS',\t,\t,\tI-NP\tO' +p105229 +aS'vital\tvital\tJJ\tI-NP\tO' +p105230 +aS'signs\tsign\tNNS\tI-NP\tO' +p105231 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p105232 +aS'.\t.\t.\tO\tO' +p105233 +asS'Dictated By : Roy C Ali , M.D.' +p105234 +(lp105235 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p105236 +aS'By\tBy\tIN\tB-PP\tO' +p105237 +aS':\t:\t:\tO\tO' +p105238 +aS'Roy\tRoy\tNNP\tB-NP\tO' +p105239 +aS'C\tC\tNNP\tI-NP\tO' +p105240 +aS'Ali\tAli\tNNP\tI-NP\tO' +p105241 +aS',\t,\t,\tO\tO' +p105242 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p105243 +asS'But upon further radiology attending Stoughton , there was a small bilateral occipital subdural hemorrhage noted .' +p105244 +(lp105245 +S'But\tBut\tCC\tO\tO' +p105246 +aS'upon\tupon\tIN\tB-PP\tO' +p105247 +aS'further\tfurther\tJJ\tB-NP\tO' +p105248 +aS'radiology\tradiology\tNN\tI-NP\tO' +p105249 +aS'attending\tattend\tVBG\tB-VP\tO' +p105250 +aS'Stoughton\tStoughton\tNNP\tB-NP\tO' +p105251 +aS',\t,\t,\tO\tO' +p105252 +aS'there\tthere\tEX\tB-NP\tO' +p105253 +aS'was\tbe\tVBD\tB-VP\tO' +p105254 +aS'a\ta\tDT\tB-NP\tO' +p105255 +aS'small\tsmall\tJJ\tI-NP\tO' +p105256 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p105257 +aS'occipital\toccipital\tNN\tI-NP\tO' +p105258 +aS'subdural\tsubdural\tJJ\tI-NP\tO' +p105259 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p105260 +aS'noted\tnote\tVBD\tB-VP\tO' +p105261 +aS'.\t.\t.\tO\tO' +p105262 +asS'Further he had massive muscle necrosis and hepatic failure .' +p105263 +(lp105264 +S'Further\tFurther\tRB\tB-ADVP\tO' +p105265 +aS'he\the\tPRP\tB-NP\tO' +p105266 +aS'had\thave\tVBD\tB-VP\tO' +p105267 +aS'massive\tmassive\tJJ\tB-NP\tO' +p105268 +aS'muscle\tmuscle\tNN\tI-NP\tO' +p105269 +aS'necrosis\tnecrosis\tNN\tI-NP\tO' +p105270 +aS'and\tand\tCC\tO\tO' +p105271 +aS'hepatic\thepatic\tJJ\tB-NP\tO' +p105272 +aS'failure\tfailure\tNN\tI-NP\tO' +p105273 +aS'.\t.\t.\tO\tO' +p105274 +asS'Pink flap with good refill .' +p105275 +(lp105276 +S'Pink\tPink\tNNP\tB-NP\tO' +p105277 +aS'flap\tflap\tNN\tI-NP\tO' +p105278 +aS'with\twith\tIN\tB-PP\tO' +p105279 +aS'good\tgood\tJJ\tB-NP\tO' +p105280 +aS'refill\trefill\tNN\tI-NP\tO' +p105281 +aS'.\t.\t.\tO\tO' +p105282 +asS'He occasionally gets agitated .' +p105283 +(lp105284 +S'He\tHe\tPRP\tB-NP\tO' +p105285 +aS'occasionally\toccasionally\tRB\tB-ADVP\tO' +p105286 +aS'gets\tget\tVBZ\tB-VP\tO' +p105287 +aS'agitated\tagitate\tVBN\tI-VP\tO' +p105288 +aS'.\t.\t.\tO\tO' +p105289 +asS'This will need to be monitored closely .' +p105290 +(lp105291 +S'This\tThis\tDT\tB-NP\tO' +p105292 +aS'will\twill\tMD\tB-VP\tO' +p105293 +aS'need\tneed\tVB\tI-VP\tO' +p105294 +aS'to\tto\tTO\tI-VP\tO' +p105295 +aS'be\tbe\tVB\tI-VP\tO' +p105296 +aS'monitored\tmonitor\tVBN\tI-VP\tO' +p105297 +aS'closely\tclosely\tRB\tB-ADVP\tO' +p105298 +aS'.\t.\t.\tO\tO' +p105299 +asS'The patient 's admission chest x-ray revealed no infiltrate , no congestive heart failure .' +p105300 +(lp105301 +S'The\tThe\tDT\tB-NP\tO' +p105302 +aS'patient\tpatient\tNN\tI-NP\tO' +p105303 +aS''s\t'\tNNS\tI-NP\tO' +p105304 +aS'admission\tadmission\tNN\tI-NP\tO' +p105305 +aS'chest\tchest\tNN\tI-NP\tO' +p105306 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p105307 +aS'revealed\treveal\tVBD\tB-VP\tO' +p105308 +aS'no\tno\tDT\tB-NP\tO' +p105309 +aS'infiltrate\tinfiltrate\tNN\tI-NP\tO' +p105310 +aS',\t,\t,\tO\tO' +p105311 +aS'no\tno\tDT\tB-NP\tO' +p105312 +aS'congestive\tcongestive\tJJ\tI-NP\tO' +p105313 +aS'heart\theart\tNN\tI-NP\tO' +p105314 +aS'failure\tfailure\tNN\tI-NP\tO' +p105315 +aS'.\t.\t.\tO\tO' +p105316 +asS'Darvocet .' +p105317 +(lp105318 +S'Darvocet\tDarvocet\tNN\tB-NP\tO' +p105319 +aS'.\t.\t.\tO\tO' +p105320 +asS'Likely related to underlying malignancy as well as prerenal component given improvement with gentle hydration .' +p105321 +(lp105322 +S'Likely\tLikely\tRB\tB-ADJP\tO' +p105323 +aS'related\trelated\tJJ\tI-ADJP\tO' +p105324 +aS'to\tto\tTO\tB-PP\tO' +p105325 +aS'underlying\tunderlie\tVBG\tB-VP\tO' +p105326 +aS'malignancy\tmalignancy\tNN\tB-NP\tO' +p105327 +aS'as\tas\tRB\tB-CONJP\tO' +p105328 +aS'well\twell\tRB\tI-CONJP\tO' +p105329 +aS'as\tas\tIN\tI-CONJP\tO' +p105330 +aS'prerenal\tprerenal\tJJ\tB-NP\tO' +p105331 +aS'component\tcomponent\tNN\tI-NP\tO' +p105332 +aS'given\tgive\tVBN\tB-PP\tO' +p105333 +aS'improvement\timprovement\tNN\tB-NP\tO' +p105334 +aS'with\twith\tIN\tB-PP\tO' +p105335 +aS'gentle\tgentle\tJJ\tB-NP\tO' +p105336 +aS'hydration\thydration\tNN\tI-NP\tO' +p105337 +aS'.\t.\t.\tO\tO' +p105338 +asS'Disp :* 12 Tablet (s)* Refills :* 0 *' +p105339 +(lp105340 +S'Disp\tDisp\tNN\tB-NP\tO' +p105341 +aS':*\t:*\tSYM\tI-NP\tO' +p105342 +aS'12\t12\tCD\tI-NP\tO' +p105343 +aS'Tablet\tTablet\tNN\tI-NP\tO' +p105344 +aS'(s)*\t(s)*\tSYM\tB-NP\tO' +p105345 +aS'Refills\tRefill\tNNPS\tI-NP\tO' +p105346 +aS':*\t:*\tSYM\tI-NP\tO' +p105347 +aS'0\t0\tCD\tI-NP\tO' +p105348 +aS'*\t*\tSYM\tB-NP\tO' +p105349 +asS'6. Multivitamin one p.o. q. day times one month .' +p105350 +(lp105351 +S'6.\t6.\tLS\tB-NP\tO' +p105352 +aS'Multivitamin\tMultivitamin\tNN\tI-NP\tO' +p105353 +aS'one\tone\tCD\tB-NP\tO' +p105354 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p105355 +aS'q.\tq.\tNN\tI-NP\tO' +p105356 +aS'day\tday\tNN\tI-NP\tO' +p105357 +aS'times\ttime\tVBZ\tB-VP\tO' +p105358 +aS'one\tone\tCD\tB-NP\tO' +p105359 +aS'month\tmonth\tNN\tI-NP\tO' +p105360 +aS'.\t.\t.\tO\tO' +p105361 +asS'Continuing throughout his course he had multiple infectious disease issues .' +p105362 +(lp105363 +S'Continuing\tContinue\tVBG\tB-VP\tO' +p105364 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p105365 +aS'his\this\tPRP$\tB-NP\tO' +p105366 +aS'course\tcourse\tNN\tI-NP\tO' +p105367 +aS'he\the\tPRP\tB-NP\tO' +p105368 +aS'had\thave\tVBD\tB-VP\tO' +p105369 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p105370 +aS'infectious\tinfectious\tJJ\tI-NP\tO' +p105371 +aS'disease\tdisease\tNN\tI-NP\tO' +p105372 +aS'issues\tissue\tNNS\tI-NP\tO' +p105373 +aS'.\t.\t.\tO\tO' +p105374 +asS'She has not used any anti retroviral therapy since then , because of pancytopenia and vomiting on DDI .' +p105375 +(lp105376 +S'She\tShe\tPRP\tB-NP\tO' +p105377 +aS'has\thave\tVBZ\tB-VP\tO' +p105378 +aS'not\tnot\tRB\tI-VP\tO' +p105379 +aS'used\tuse\tVBN\tI-VP\tO' +p105380 +aS'any\tany\tDT\tB-NP\tO' +p105381 +aS'anti\tanti\tJJ\tI-NP\tO' +p105382 +aS'retroviral\tretroviral\tJJ\tI-NP\tO' +p105383 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p105384 +aS'since\tsince\tIN\tB-PP\tO' +p105385 +aS'then\tthen\tRB\tB-NP\tO' +p105386 +aS',\t,\t,\tO\tO' +p105387 +aS'because\tbecause\tIN\tB-PP\tO' +p105388 +aS'of\tof\tIN\tI-PP\tO' +p105389 +aS'pancytopenia\tpancytopenia\tNN\tB-NP\tO' +p105390 +aS'and\tand\tCC\tI-NP\tO' +p105391 +aS'vomiting\tvomiting\tNN\tI-NP\tO' +p105392 +aS'on\ton\tIN\tB-PP\tO' +p105393 +aS'DDI\tDDI\tNNP\tB-NP\tO' +p105394 +aS'.\t.\t.\tO\tO' +p105395 +asS'The patient was admitted to the hospital and on 2016-04-06 the patient underwent coronary artery bypass grafting x 4 with left internal mammary artery to the left anterior descending coronary artery , saphenous vein graft to the diagonal , saphenous vein graft to obtuse marginal , saphenous vein graft to right coronary artery , posterior descending coronary artery .' +p105396 +(lp105397 +S'The\tThe\tDT\tB-NP\tO' +p105398 +aS'patient\tpatient\tNN\tI-NP\tO' +p105399 +aS'was\tbe\tVBD\tB-VP\tO' +p105400 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p105401 +aS'to\tto\tTO\tB-PP\tO' +p105402 +aS'the\tthe\tDT\tB-NP\tO' +p105403 +aS'hospital\thospital\tNN\tI-NP\tO' +p105404 +aS'and\tand\tCC\tB-PP\tO' +p105405 +aS'on\ton\tIN\tB-PP\tO' +p105406 +aS'2016-04-06\t2016-04-06\tCD\tB-NP\tO' +p105407 +aS'the\tthe\tDT\tB-NP\tO' +p105408 +aS'patient\tpatient\tNN\tI-NP\tO' +p105409 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p105410 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p105411 +aS'artery\tartery\tNN\tI-NP\tO' +p105412 +aS'bypass\tbypass\tIN\tB-PP\tO' +p105413 +aS'grafting\tgraft\tVBG\tB-VP\tO' +p105414 +aS'x\tx\tNN\tB-NP\tB-DNA' +p105415 +aS'4\t4\tCD\tI-NP\tI-DNA' +p105416 +aS'with\twith\tIN\tB-PP\tO' +p105417 +aS'left\tleft\tJJ\tB-NP\tO' +p105418 +aS'internal\tinternal\tJJ\tI-NP\tO' +p105419 +aS'mammary\tmammary\tJJ\tI-NP\tO' +p105420 +aS'artery\tartery\tNN\tI-NP\tO' +p105421 +aS'to\tto\tTO\tB-PP\tO' +p105422 +aS'the\tthe\tDT\tB-NP\tO' +p105423 +aS'left\tleft\tJJ\tI-NP\tO' +p105424 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p105425 +aS'descending\tdescend\tVBG\tI-NP\tO' +p105426 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p105427 +aS'artery\tartery\tNN\tI-NP\tO' +p105428 +aS',\t,\t,\tO\tO' +p105429 +aS'saphenous\tsaphenous\tJJ\tB-NP\tO' +p105430 +aS'vein\tvein\tNN\tI-NP\tO' +p105431 +aS'graft\tgraft\tNN\tI-NP\tO' +p105432 +aS'to\tto\tTO\tB-PP\tO' +p105433 +aS'the\tthe\tDT\tB-NP\tO' +p105434 +aS'diagonal\tdiagonal\tJJ\tI-NP\tO' +p105435 +aS',\t,\t,\tI-NP\tO' +p105436 +aS'saphenous\tsaphenous\tJJ\tI-NP\tO' +p105437 +aS'vein\tvein\tNN\tI-NP\tO' +p105438 +aS'graft\tgraft\tNN\tI-NP\tO' +p105439 +aS'to\tto\tTO\tB-VP\tO' +p105440 +aS'obtuse\tobtuse\tVB\tI-VP\tO' +p105441 +aS'marginal\tmarginal\tJJ\tB-NP\tO' +p105442 +aS',\t,\t,\tI-NP\tO' +p105443 +aS'saphenous\tsaphenous\tJJ\tI-NP\tO' +p105444 +aS'vein\tvein\tNN\tI-NP\tO' +p105445 +aS'graft\tgraft\tNN\tI-NP\tO' +p105446 +aS'to\tto\tTO\tB-PP\tO' +p105447 +aS'right\tright\tJJ\tB-NP\tO' +p105448 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p105449 +aS'artery\tartery\tNN\tI-NP\tO' +p105450 +aS',\t,\t,\tO\tO' +p105451 +aS'posterior\tposterior\tJJ\tB-ADJP\tO' +p105452 +aS'descending\tdescend\tVBG\tB-VP\tO' +p105453 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p105454 +aS'artery\tartery\tNN\tI-NP\tO' +p105455 +aS'.\t.\t.\tO\tO' +p105456 +asS'On the morning of admission the patient had a markedly improved lung examination with increased air movement in the left base .' +p105457 +(lp105458 +S'On\tOn\tIN\tB-PP\tO' +p105459 +aS'the\tthe\tDT\tB-NP\tO' +p105460 +aS'morning\tmorning\tNN\tI-NP\tO' +p105461 +aS'of\tof\tIN\tB-PP\tO' +p105462 +aS'admission\tadmission\tNN\tB-NP\tO' +p105463 +aS'the\tthe\tDT\tB-NP\tO' +p105464 +aS'patient\tpatient\tNN\tI-NP\tO' +p105465 +aS'had\thave\tVBD\tB-VP\tO' +p105466 +aS'a\ta\tDT\tB-NP\tO' +p105467 +aS'markedly\tmarkedly\tRB\tI-NP\tO' +p105468 +aS'improved\timprove\tVBN\tI-NP\tO' +p105469 +aS'lung\tlung\tNN\tI-NP\tO' +p105470 +aS'examination\texamination\tNN\tI-NP\tO' +p105471 +aS'with\twith\tIN\tB-PP\tO' +p105472 +aS'increased\tincrease\tVBN\tB-NP\tO' +p105473 +aS'air\tair\tNN\tI-NP\tO' +p105474 +aS'movement\tmovement\tNN\tI-NP\tO' +p105475 +aS'in\tin\tIN\tB-PP\tO' +p105476 +aS'the\tthe\tDT\tB-NP\tO' +p105477 +aS'left\tleft\tJJ\tI-NP\tO' +p105478 +aS'base\tbase\tNN\tI-NP\tO' +p105479 +aS'.\t.\t.\tO\tO' +p105480 +asS'She also has no gross blood per rectum and her hct is stable .' +p105481 +(lp105482 +S'She\tShe\tPRP\tB-NP\tO' +p105483 +aS'also\talso\tRB\tB-ADVP\tO' +p105484 +aS'has\thave\tVBZ\tB-VP\tO' +p105485 +aS'no\tno\tDT\tB-NP\tO' +p105486 +aS'gross\tgross\tJJ\tI-NP\tO' +p105487 +aS'blood\tblood\tNN\tI-NP\tO' +p105488 +aS'per\tper\tIN\tB-PP\tO' +p105489 +aS'rectum\trectum\tNN\tB-NP\tO' +p105490 +aS'and\tand\tCC\tO\tO' +p105491 +aS'her\ther\tPRP$\tB-NP\tO' +p105492 +aS'hct\thct\tNN\tI-NP\tO' +p105493 +aS'is\tbe\tVBZ\tB-VP\tO' +p105494 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p105495 +aS'.\t.\t.\tO\tO' +p105496 +asS'Make follow-up appointment with Dr. Jo in 1-2 weeks .' +p105497 +(lp105498 +S'Make\tMake\tVB\tB-VP\tO' +p105499 +aS'follow-up\tfollow-up\tJJ\tB-NP\tO' +p105500 +aS'appointment\tappointment\tNN\tI-NP\tO' +p105501 +aS'with\twith\tIN\tB-PP\tO' +p105502 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p105503 +aS'Jo\tJo\tNNP\tI-NP\tO' +p105504 +aS'in\tin\tIN\tB-PP\tO' +p105505 +aS'1-2\t1-2\tCD\tB-NP\tO' +p105506 +aS'weeks\tweek\tNNS\tI-NP\tO' +p105507 +aS'.\t.\t.\tO\tO' +p105508 +asS'2. History of multiple urinary tract infections .' +p105509 +(lp105510 +S'2.\t2.\tLS\tB-NP\tO' +p105511 +aS'History\tHistory\tNN\tI-NP\tO' +p105512 +aS'of\tof\tIN\tB-PP\tO' +p105513 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p105514 +aS'urinary\turinary\tJJ\tI-NP\tO' +p105515 +aS'tract\ttract\tNN\tI-NP\tO' +p105516 +aS'infections\tinfection\tNNS\tI-NP\tO' +p105517 +aS'.\t.\t.\tO\tO' +p105518 +asS'In addition the patient was started on Verapamil since his heart rate had remained mildly tachycardiac in the low 100s .' +p105519 +(lp105520 +S'In\tIn\tIN\tB-PP\tO' +p105521 +aS'addition\taddition\tNN\tB-NP\tO' +p105522 +aS'the\tthe\tDT\tB-NP\tO' +p105523 +aS'patient\tpatient\tNN\tI-NP\tO' +p105524 +aS'was\tbe\tVBD\tB-VP\tO' +p105525 +aS'started\tstart\tVBN\tI-VP\tO' +p105526 +aS'on\ton\tIN\tB-PP\tO' +p105527 +aS'Verapamil\tVerapamil\tNN\tB-NP\tO' +p105528 +aS'since\tsince\tIN\tB-PP\tO' +p105529 +aS'his\this\tPRP$\tB-NP\tO' +p105530 +aS'heart\theart\tNN\tI-NP\tO' +p105531 +aS'rate\trate\tNN\tI-NP\tO' +p105532 +aS'had\thave\tVBD\tB-VP\tO' +p105533 +aS'remained\tremain\tVBN\tI-VP\tO' +p105534 +aS'mildly\tmildly\tRB\tB-ADJP\tO' +p105535 +aS'tachycardiac\ttachycardiac\tJJ\tI-ADJP\tO' +p105536 +aS'in\tin\tIN\tB-PP\tO' +p105537 +aS'the\tthe\tDT\tB-NP\tO' +p105538 +aS'low\tlow\tJJ\tI-NP\tO' +p105539 +aS'100s\t100\tNNS\tI-NP\tO' +p105540 +aS'.\t.\t.\tO\tO' +p105541 +asS'No orthopnea .' +p105542 +(lp105543 +S'No\tNo\tDT\tB-NP\tO' +p105544 +aS'orthopnea\torthopnea\tNN\tI-NP\tO' +p105545 +aS'.\t.\t.\tO\tO' +p105546 +asS'07-07 the patient was taken for colonoscopy and found to have a normal colon to cecum .' +p105547 +(lp105548 +S'07-07\t07-07\tCD\tB-NP\tO' +p105549 +aS'the\tthe\tDT\tB-NP\tO' +p105550 +aS'patient\tpatient\tNN\tI-NP\tO' +p105551 +aS'was\tbe\tVBD\tB-VP\tO' +p105552 +aS'taken\ttake\tVBN\tI-VP\tO' +p105553 +aS'for\tfor\tIN\tB-PP\tO' +p105554 +aS'colonoscopy\tcolonoscopy\tNN\tB-NP\tO' +p105555 +aS'and\tand\tCC\tO\tO' +p105556 +aS'found\tfind\tVBN\tB-VP\tO' +p105557 +aS'to\tto\tTO\tI-VP\tO' +p105558 +aS'have\thave\tVB\tI-VP\tO' +p105559 +aS'a\ta\tDT\tB-NP\tO' +p105560 +aS'normal\tnormal\tJJ\tI-NP\tO' +p105561 +aS'colon\tcolon\tNN\tI-NP\tO' +p105562 +aS'to\tto\tTO\tB-PP\tO' +p105563 +aS'cecum\tcecum\tNN\tB-NP\tO' +p105564 +aS'.\t.\t.\tO\tO' +p105565 +asS'1. Mitral valve regurgitation .' +p105566 +(lp105567 +S'1.\t1.\tLS\tB-NP\tO' +p105568 +aS'Mitral\tMitral\tJJ\tI-NP\tO' +p105569 +aS'valve\tvalve\tNN\tI-NP\tO' +p105570 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p105571 +aS'.\t.\t.\tO\tO' +p105572 +asS'10. Psoriasis .' +p105573 +(lp105574 +S'10.\t10.\tLS\tB-NP\tO' +p105575 +aS'Psoriasis\tPsoriasis\tNN\tI-NP\tO' +p105576 +aS'.\t.\t.\tO\tO' +p105577 +asS'2. Mitral regurgitation is unchanged from before .' +p105578 +(lp105579 +S'2.\t2.\tLS\tB-NP\tO' +p105580 +aS'Mitral\tMitral\tJJ\tI-NP\tO' +p105581 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p105582 +aS'is\tbe\tVBZ\tB-VP\tO' +p105583 +aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' +p105584 +aS'from\tfrom\tIN\tB-PP\tO' +p105585 +aS'before\tbefore\tRB\tB-ADVP\tO' +p105586 +aS'.\t.\t.\tO\tO' +p105587 +asS'Right lower extremity incision with Steri-Strips , open to air , clean and dry .' +p105588 +(lp105589 +S'Right\tRight\tRB\tB-NP\tO' +p105590 +aS'lower\tlow\tJJR\tI-NP\tO' +p105591 +aS'extremity\textremity\tNN\tI-NP\tO' +p105592 +aS'incision\tincision\tNN\tI-NP\tO' +p105593 +aS'with\twith\tIN\tB-PP\tO' +p105594 +aS'Steri-Strips\tSteri-Strips\tNNP\tB-NP\tO' +p105595 +aS',\t,\t,\tO\tO' +p105596 +aS'open\topen\tJJ\tB-ADJP\tO' +p105597 +aS'to\tto\tTO\tB-PP\tO' +p105598 +aS'air\tair\tNN\tB-NP\tO' +p105599 +aS',\t,\t,\tO\tO' +p105600 +aS'clean\tclean\tJJ\tB-ADJP\tO' +p105601 +aS'and\tand\tCC\tI-ADJP\tO' +p105602 +aS'dry\tdry\tJJ\tI-ADJP\tO' +p105603 +aS'.\t.\t.\tO\tO' +p105604 +asS'Aortic valve replacement in 11/96 with a St. Jude valve and chronic Coumadin therapy ; breast biopsy negative in 1984 ; appendectomy age 15 ; tonsillectomy and adenoidectomy age 6 ; hysterotomy age 30 ; C-section age 37 due to placenta previa .' +p105605 +(lp105606 +S'Aortic\tAortic\tJJ\tB-NP\tO' +p105607 +aS'valve\tvalve\tNN\tI-NP\tO' +p105608 +aS'replacement\treplacement\tNN\tI-NP\tO' +p105609 +aS'in\tin\tIN\tB-PP\tO' +p105610 +aS'11/96\t11/96\tCD\tB-NP\tO' +p105611 +aS'with\twith\tIN\tB-PP\tO' +p105612 +aS'a\ta\tDT\tB-NP\tO' +p105613 +aS'St.\tSt.\tNNP\tI-NP\tO' +p105614 +aS'Jude\tJude\tNNP\tI-NP\tO' +p105615 +aS'valve\tvalve\tNN\tI-NP\tO' +p105616 +aS'and\tand\tCC\tO\tO' +p105617 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p105618 +aS'Coumadin\tCoumadin\tNN\tI-NP\tO' +p105619 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p105620 +aS';\t;\t:\tO\tO' +p105621 +aS'breast\tbreast\tNN\tB-NP\tO' +p105622 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p105623 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p105624 +aS'in\tin\tIN\tB-PP\tO' +p105625 +aS'1984\t1984\tCD\tB-NP\tO' +p105626 +aS';\t;\t:\tO\tO' +p105627 +aS'appendectomy\tappendectomy\tNN\tB-NP\tO' +p105628 +aS'age\tage\tNN\tI-NP\tO' +p105629 +aS'15\t15\tCD\tI-NP\tO' +p105630 +aS';\t;\t:\tO\tO' +p105631 +aS'tonsillectomy\ttonsillectomy\tNN\tB-NP\tO' +p105632 +aS'and\tand\tCC\tI-NP\tO' +p105633 +aS'adenoidectomy\tadenoidectomy\tNN\tI-NP\tO' +p105634 +aS'age\tage\tNN\tI-NP\tO' +p105635 +aS'6\t6\tCD\tI-NP\tO' +p105636 +aS';\t;\t:\tO\tO' +p105637 +aS'hysterotomy\thysterotomy\tNN\tB-NP\tO' +p105638 +aS'age\tage\tNN\tI-NP\tO' +p105639 +aS'30\t30\tCD\tI-NP\tO' +p105640 +aS';\t;\t:\tO\tO' +p105641 +aS'C-section\tC-section\tNN\tB-NP\tO' +p105642 +aS'age\tage\tNN\tI-NP\tO' +p105643 +aS'37\t37\tCD\tI-NP\tO' +p105644 +aS'due\tdue\tJJ\tB-ADJP\tO' +p105645 +aS'to\tto\tTO\tB-PP\tO' +p105646 +aS'placenta\tplacenta\tNN\tB-NP\tO' +p105647 +aS'previa\tprevia\tNN\tI-NP\tO' +p105648 +aS'.\t.\t.\tO\tO' +p105649 +asS'His lungs were clear to auscultation bilaterally Anteriorly and laterally .' +p105650 +(lp105651 +S'His\tHis\tPRP$\tB-NP\tO' +p105652 +aS'lungs\tlung\tNNS\tI-NP\tO' +p105653 +aS'were\tbe\tVBD\tB-VP\tO' +p105654 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p105655 +aS'to\tto\tTO\tB-PP\tO' +p105656 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p105657 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p105658 +aS'Anteriorly\tAnteriorly\tRB\tI-ADVP\tO' +p105659 +aS'and\tand\tCC\tI-ADVP\tO' +p105660 +aS'laterally\tlaterally\tRB\tI-ADVP\tO' +p105661 +aS'.\t.\t.\tO\tO' +p105662 +asS'The patient was transferred to Sturdy Memorial where he underwent catheterization .' +p105663 +(lp105664 +S'The\tThe\tDT\tB-NP\tO' +p105665 +aS'patient\tpatient\tNN\tI-NP\tO' +p105666 +aS'was\tbe\tVBD\tB-VP\tO' +p105667 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p105668 +aS'to\tto\tTO\tB-PP\tO' +p105669 +aS'Sturdy\tSturdy\tNNP\tB-NP\tO' +p105670 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p105671 +aS'where\twhere\tWRB\tB-ADVP\tO' +p105672 +aS'he\the\tPRP\tB-NP\tO' +p105673 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p105674 +aS'catheterization\tcatheterization\tNN\tB-NP\tO' +p105675 +aS'.\t.\t.\tO\tO' +p105676 +asS'The patient ambulated with pain on the left lower extremity secondary to the left pubic rami fractures .' +p105677 +(lp105678 +S'The\tThe\tDT\tB-NP\tO' +p105679 +aS'patient\tpatient\tNN\tI-NP\tO' +p105680 +aS'ambulated\tambulate\tVBN\tB-VP\tO' +p105681 +aS'with\twith\tIN\tB-PP\tO' +p105682 +aS'pain\tpain\tNN\tB-NP\tO' +p105683 +aS'on\ton\tIN\tB-PP\tO' +p105684 +aS'the\tthe\tDT\tB-NP\tO' +p105685 +aS'left\tleft\tJJ\tI-NP\tO' +p105686 +aS'lower\tlow\tJJR\tI-NP\tO' +p105687 +aS'extremity\textremity\tNN\tI-NP\tO' +p105688 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p105689 +aS'to\tto\tTO\tB-PP\tO' +p105690 +aS'the\tthe\tDT\tB-NP\tO' +p105691 +aS'left\tleft\tJJ\tI-NP\tO' +p105692 +aS'pubic\tpubic\tJJ\tI-NP\tO' +p105693 +aS'rami\trami\tNN\tI-NP\tO' +p105694 +aS'fractures\tfracture\tNNS\tI-NP\tO' +p105695 +aS'.\t.\t.\tO\tO' +p105696 +asS'The mitral valve leaflets are structurally normal .' +p105697 +(lp105698 +S'The\tThe\tDT\tB-NP\tO' +p105699 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p105700 +aS'valve\tvalve\tNN\tI-NP\tO' +p105701 +aS'leaflets\tleaflet\tNNS\tI-NP\tO' +p105702 +aS'are\tbe\tVBP\tB-VP\tO' +p105703 +aS'structurally\tstructurally\tRB\tB-ADJP\tO' +p105704 +aS'normal\tnormal\tJJ\tI-ADJP\tO' +p105705 +aS'.\t.\t.\tO\tO' +p105706 +asS'1. Prematurity at 31-6/7 weeks gestation .' +p105707 +(lp105708 +S'1.\t1.\tLS\tB-NP\tO' +p105709 +aS'Prematurity\tPrematurity\tNN\tI-NP\tO' +p105710 +aS'at\tat\tIN\tB-PP\tO' +p105711 +aS'31-6/7\t31-6/7\tCD\tB-NP\tO' +p105712 +aS'weeks\tweek\tNNS\tI-NP\tO' +p105713 +aS'gestation\tgestation\tNN\tI-NP\tO' +p105714 +aS'.\t.\t.\tO\tO' +p105715 +asS'Her white blood cell count was 12.8 , with a normal differential .' +p105716 +(lp105717 +S'Her\tHer\tPRP$\tB-NP\tO' +p105718 +aS'white\twhite\tJJ\tI-NP\tO' +p105719 +aS'blood\tblood\tNN\tI-NP\tO' +p105720 +aS'cell\tcell\tNN\tI-NP\tO' +p105721 +aS'count\tcount\tNN\tI-NP\tO' +p105722 +aS'was\tbe\tVBD\tB-VP\tO' +p105723 +aS'12.8\t12.8\tCD\tB-NP\tO' +p105724 +aS',\t,\t,\tO\tO' +p105725 +aS'with\twith\tIN\tB-PP\tO' +p105726 +aS'a\ta\tDT\tB-NP\tO' +p105727 +aS'normal\tnormal\tJJ\tI-NP\tO' +p105728 +aS'differential\tdifferential\tNN\tI-NP\tO' +p105729 +aS'.\t.\t.\tO\tO' +p105730 +asS'There were no complications .' +p105731 +(lp105732 +S'There\tThere\tEX\tB-NP\tO' +p105733 +aS'were\tbe\tVBD\tB-VP\tO' +p105734 +aS'no\tno\tDT\tB-NP\tO' +p105735 +aS'complications\tcomplication\tNNS\tI-NP\tO' +p105736 +aS'.\t.\t.\tO\tO' +p105737 +asS'His PMI was two finger breath width in the fifth intercostal space lateral to the midclavicular line .' +p105738 +(lp105739 +S'His\tHis\tPRP$\tB-NP\tO' +p105740 +aS'PMI\tPMI\tNN\tI-NP\tB-protein' +p105741 +aS'was\tbe\tVBD\tB-VP\tO' +p105742 +aS'two\ttwo\tCD\tB-NP\tO' +p105743 +aS'finger\tfinger\tNN\tI-NP\tO' +p105744 +aS'breath\tbreath\tNN\tI-NP\tO' +p105745 +aS'width\twidth\tNN\tI-NP\tO' +p105746 +aS'in\tin\tIN\tB-PP\tO' +p105747 +aS'the\tthe\tDT\tB-NP\tO' +p105748 +aS'fifth\tfifth\tJJ\tI-NP\tO' +p105749 +aS'intercostal\tintercostal\tJJ\tI-NP\tO' +p105750 +aS'space\tspace\tNN\tI-NP\tO' +p105751 +aS'lateral\tlateral\tJJ\tB-ADJP\tO' +p105752 +aS'to\tto\tTO\tB-PP\tO' +p105753 +aS'the\tthe\tDT\tB-NP\tO' +p105754 +aS'midclavicular\tmidclavicular\tJJ\tI-NP\tB-cell_line' +p105755 +aS'line\tline\tNN\tI-NP\tI-cell_line' +p105756 +aS'.\t.\t.\tO\tO' +p105757 +asS'HEENT was significant for swelling of the scalp tissue in generalized distribution with ecchymosis extending from the occiput to the posterior auricular area and dorsal aspect of the neck to the mid cervical level .' +p105758 +(lp105759 +S'HEENT\tHEENT\tNN\tB-NP\tB-protein' +p105760 +aS'was\tbe\tVBD\tB-VP\tO' +p105761 +aS'significant\tsignificant\tJJ\tB-ADJP\tO' +p105762 +aS'for\tfor\tIN\tB-PP\tO' +p105763 +aS'swelling\tswell\tVBG\tB-NP\tO' +p105764 +aS'of\tof\tIN\tB-PP\tO' +p105765 +aS'the\tthe\tDT\tB-NP\tO' +p105766 +aS'scalp\tscalp\tNN\tI-NP\tO' +p105767 +aS'tissue\ttissue\tNN\tI-NP\tO' +p105768 +aS'in\tin\tIN\tB-PP\tO' +p105769 +aS'generalized\tgeneralize\tVBN\tB-NP\tO' +p105770 +aS'distribution\tdistribution\tNN\tI-NP\tO' +p105771 +aS'with\twith\tIN\tB-PP\tO' +p105772 +aS'ecchymosis\tecchymosis\tNN\tB-NP\tO' +p105773 +aS'extending\textend\tVBG\tB-VP\tO' +p105774 +aS'from\tfrom\tIN\tB-PP\tO' +p105775 +aS'the\tthe\tDT\tB-NP\tO' +p105776 +aS'occiput\tocciput\tNN\tI-NP\tO' +p105777 +aS'to\tto\tTO\tB-PP\tO' +p105778 +aS'the\tthe\tDT\tB-NP\tO' +p105779 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p105780 +aS'auricular\tauricular\tJJ\tI-NP\tO' +p105781 +aS'area\tarea\tNN\tI-NP\tO' +p105782 +aS'and\tand\tCC\tO\tO' +p105783 +aS'dorsal\tdorsal\tJJ\tB-NP\tO' +p105784 +aS'aspect\taspect\tNN\tI-NP\tO' +p105785 +aS'of\tof\tIN\tB-PP\tO' +p105786 +aS'the\tthe\tDT\tB-NP\tO' +p105787 +aS'neck\tneck\tNN\tI-NP\tO' +p105788 +aS'to\tto\tTO\tB-PP\tO' +p105789 +aS'the\tthe\tDT\tB-NP\tO' +p105790 +aS'mid\tmid\tJJ\tI-NP\tO' +p105791 +aS'cervical\tcervical\tJJ\tI-NP\tO' +p105792 +aS'level\tlevel\tNN\tI-NP\tO' +p105793 +aS'.\t.\t.\tO\tO' +p105794 +asS'7. Chronic diarrhea with multiple admissions for dehydration with most recent one on 2011-02-26 .' +p105795 +(lp105796 +S'7.\t7.\tLS\tB-NP\tO' +p105797 +aS'Chronic\tChronic\tJJ\tI-NP\tO' +p105798 +aS'diarrhea\tdiarrhea\tNN\tI-NP\tO' +p105799 +aS'with\twith\tIN\tB-PP\tO' +p105800 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p105801 +aS'admissions\tadmission\tNNS\tI-NP\tO' +p105802 +aS'for\tfor\tIN\tB-PP\tO' +p105803 +aS'dehydration\tdehydration\tNN\tB-NP\tO' +p105804 +aS'with\twith\tIN\tB-PP\tO' +p105805 +aS'most\tmost\tJJS\tB-NP\tO' +p105806 +aS'recent\trecent\tJJ\tI-NP\tO' +p105807 +aS'one\tone\tCD\tI-NP\tO' +p105808 +aS'on\ton\tIN\tB-PP\tO' +p105809 +aS'2011-02-26\t2011-02-26\tCD\tB-NP\tO' +p105810 +aS'.\t.\t.\tO\tO' +p105811 +asS'Some type of cardiac arrhythmia , diagnosed approximately ten years ago .' +p105812 +(lp105813 +S'Some\tSome\tDT\tB-NP\tO' +p105814 +aS'type\ttype\tNN\tI-NP\tO' +p105815 +aS'of\tof\tIN\tB-PP\tO' +p105816 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p105817 +aS'arrhythmia\tarrhythmia\tNN\tI-NP\tO' +p105818 +aS',\t,\t,\tO\tO' +p105819 +aS'diagnosed\tdiagnose\tVBD\tB-VP\tO' +p105820 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p105821 +aS'ten\tten\tCD\tI-NP\tO' +p105822 +aS'years\tyear\tNNS\tI-NP\tO' +p105823 +aS'ago\tago\tRB\tB-ADVP\tO' +p105824 +aS'.\t.\t.\tO\tO' +p105825 +asS'3. Acetaminophen 500 mg Tablet Sig : Two ( 2 ) Tablet PO BID ( 2 times a day ) as needed for headache .' +p105826 +(lp105827 +S'3.\t3.\tLS\tB-NP\tO' +p105828 +aS'Acetaminophen\tAcetaminophen\tNN\tI-NP\tO' +p105829 +aS'500\t500\tCD\tI-NP\tO' +p105830 +aS'mg\tmg\tNN\tI-NP\tO' +p105831 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p105832 +aS'Sig\tSig\tNNP\tI-NP\tO' +p105833 +aS':\t:\t:\tO\tO' +p105834 +aS'Two\tTwo\tCD\tB-NP\tO' +p105835 +aS'(\t(\t(\tO\tO' +p105836 +aS'2\t2\tCD\tO\tO' +p105837 +aS')\t)\t)\tO\tO' +p105838 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p105839 +aS'PO\tPO\tNN\tI-NP\tO' +p105840 +aS'BID\tBID\tNN\tI-NP\tO' +p105841 +aS'(\t(\t(\tO\tO' +p105842 +aS'2\t2\tCD\tB-NP\tO' +p105843 +aS'times\ttime\tNNS\tI-NP\tO' +p105844 +aS'a\ta\tDT\tB-NP\tO' +p105845 +aS'day\tday\tNN\tI-NP\tO' +p105846 +aS')\t)\t)\tO\tO' +p105847 +aS'as\tas\tIN\tB-SBAR\tO' +p105848 +aS'needed\tneed\tVBN\tB-VP\tO' +p105849 +aS'for\tfor\tIN\tB-PP\tO' +p105850 +aS'headache\theadache\tNN\tB-NP\tO' +p105851 +aS'.\t.\t.\tO\tO' +p105852 +asS'Attending : Louie A. Keith , M.D.' +p105853 +(lp105854 +S'Attending\tAttend\tVBG\tB-VP\tO' +p105855 +aS':\t:\t:\tO\tO' +p105856 +aS'Louie\tLouie\tNNP\tB-NP\tO' +p105857 +aS'A.\tA.\tNNP\tI-NP\tO' +p105858 +aS'Keith\tKeith\tNNP\tI-NP\tO' +p105859 +aS',\t,\t,\tO\tO' +p105860 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p105861 +asS'His dry weight is 70.4 kg .' +p105862 +(lp105863 +S'His\tHis\tPRP$\tB-NP\tO' +p105864 +aS'dry\tdry\tJJ\tI-NP\tO' +p105865 +aS'weight\tweight\tNN\tI-NP\tO' +p105866 +aS'is\tbe\tVBZ\tB-VP\tO' +p105867 +aS'70.4\t70.4\tCD\tB-NP\tO' +p105868 +aS'kg\tkg\tNN\tI-NP\tO' +p105869 +aS'.\t.\t.\tO\tO' +p105870 +asS'Compared to the previous tracing of 2017-10-12 multiple abnormalities as previously noted persist without major change .' +p105871 +(lp105872 +S'Compared\tCompare\tVBN\tB-PP\tO' +p105873 +aS'to\tto\tTO\tB-PP\tO' +p105874 +aS'the\tthe\tDT\tB-NP\tO' +p105875 +aS'previous\tprevious\tJJ\tI-NP\tO' +p105876 +aS'tracing\ttracing\tNN\tI-NP\tO' +p105877 +aS'of\tof\tIN\tB-PP\tO' +p105878 +aS'2017-10-12\t2017-10-12\tCD\tB-NP\tO' +p105879 +aS'multiple\tmultiple\tJJ\tI-NP\tO' +p105880 +aS'abnormalities\tabnormality\tNNS\tI-NP\tO' +p105881 +aS'as\tas\tIN\tB-PP\tO' +p105882 +aS'previously\tpreviously\tRB\tB-NP\tO' +p105883 +aS'noted\tnote\tVBN\tI-NP\tO' +p105884 +aS'persist\tpersist\tNN\tI-NP\tO' +p105885 +aS'without\twithout\tIN\tB-PP\tO' +p105886 +aS'major\tmajor\tJJ\tB-NP\tO' +p105887 +aS'change\tchange\tNN\tI-NP\tO' +p105888 +aS'.\t.\t.\tO\tO' +p105889 +asS'LEFT RENAL MASS .' +p105890 +(lp105891 +S'LEFT\tLEFT\tNN\tB-NP\tO' +p105892 +aS'RENAL\tRENAL\tNN\tI-NP\tO' +p105893 +aS'MASS\tMASS\tNN\tI-NP\tO' +p105894 +aS'.\t.\t.\tO\tO' +p105895 +asS'Despite this , she continued to worsen and became febrile .' +p105896 +(lp105897 +S'Despite\tDespite\tIN\tB-PP\tO' +p105898 +aS'this\tthis\tDT\tB-NP\tO' +p105899 +aS',\t,\t,\tO\tO' +p105900 +aS'she\tshe\tPRP\tB-NP\tO' +p105901 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p105902 +aS'to\tto\tTO\tI-VP\tO' +p105903 +aS'worsen\tworsen\tVB\tI-VP\tO' +p105904 +aS'and\tand\tCC\tO\tO' +p105905 +aS'became\tbecome\tVBD\tB-VP\tO' +p105906 +aS'febrile\tfebrile\tNN\tB-NP\tO' +p105907 +aS'.\t.\t.\tO\tO' +p105908 +asS'The patient may resume a Heart Healthy Diet .' +p105909 +(lp105910 +S'The\tThe\tDT\tB-NP\tO' +p105911 +aS'patient\tpatient\tNN\tI-NP\tO' +p105912 +aS'may\tmay\tMD\tB-VP\tO' +p105913 +aS'resume\tresume\tVB\tI-VP\tO' +p105914 +aS'a\ta\tDT\tB-NP\tO' +p105915 +aS'Heart\tHeart\tNNP\tI-NP\tO' +p105916 +aS'Healthy\tHealthy\tNNP\tI-NP\tO' +p105917 +aS'Diet\tDiet\tNNP\tI-NP\tO' +p105918 +aS'.\t.\t.\tO\tO' +p105919 +asS'No definite tamponade physiology .' +p105920 +(lp105921 +S'No\tNo\tDT\tB-NP\tO' +p105922 +aS'definite\tdefinite\tJJ\tI-NP\tO' +p105923 +aS'tamponade\ttamponade\tNN\tI-NP\tO' +p105924 +aS'physiology\tphysiology\tNN\tI-NP\tO' +p105925 +aS'.\t.\t.\tO\tO' +p105926 +asS'05-12- Urine culture : no growth ( final )' +p105927 +(lp105928 +S'05-12-\t05-12-\tCD\tB-NP\tO' +p105929 +aS'Urine\tUrine\tNNP\tI-NP\tO' +p105930 +aS'culture\tculture\tNN\tI-NP\tO' +p105931 +aS':\t:\t:\tO\tO' +p105932 +aS'no\tno\tDT\tB-NP\tO' +p105933 +aS'growth\tgrowth\tNN\tI-NP\tO' +p105934 +aS'(\t(\t(\tO\tO' +p105935 +aS'final\tfinal\tJJ\tB-ADJP\tO' +p105936 +aS')\t)\t)\tO\tO' +p105937 +asS'The patient is allergic to Hydralazine , codeine , ace inhibitors , Nifedipine and Percocet .' +p105938 +(lp105939 +S'The\tThe\tDT\tB-NP\tO' +p105940 +aS'patient\tpatient\tNN\tI-NP\tO' +p105941 +aS'is\tbe\tVBZ\tB-VP\tO' +p105942 +aS'allergic\tallergic\tJJ\tB-ADJP\tO' +p105943 +aS'to\tto\tTO\tB-PP\tO' +p105944 +aS'Hydralazine\tHydralazine\tNN\tB-NP\tO' +p105945 +aS',\t,\t,\tO\tO' +p105946 +aS'codeine\tcodeine\tNN\tB-NP\tO' +p105947 +aS',\t,\t,\tO\tO' +p105948 +aS'ace\tace\tNN\tB-NP\tO' +p105949 +aS'inhibitors\tinhibitor\tNNS\tI-NP\tO' +p105950 +aS',\t,\t,\tO\tO' +p105951 +aS'Nifedipine\tNifedipine\tNNP\tB-NP\tO' +p105952 +aS'and\tand\tCC\tI-NP\tO' +p105953 +aS'Percocet\tPercocet\tNNP\tI-NP\tO' +p105954 +aS'.\t.\t.\tO\tO' +p105955 +asS'Patient 's problem started four years ago when she first experienced a pushing forward of her uterus .' +p105956 +(lp105957 +S'Patient\tPatient\tNN\tB-NP\tO' +p105958 +aS''s\t'\tNNS\tI-NP\tO' +p105959 +aS'problem\tproblem\tNN\tI-NP\tO' +p105960 +aS'started\tstart\tVBD\tB-VP\tO' +p105961 +aS'four\tfour\tCD\tB-NP\tO' +p105962 +aS'years\tyear\tNNS\tI-NP\tO' +p105963 +aS'ago\tago\tRB\tB-ADVP\tO' +p105964 +aS'when\twhen\tWRB\tB-ADVP\tO' +p105965 +aS'she\tshe\tPRP\tB-NP\tO' +p105966 +aS'first\tfirst\tRB\tB-ADVP\tO' +p105967 +aS'experienced\texperience\tVBD\tB-VP\tO' +p105968 +aS'a\ta\tDT\tB-NP\tO' +p105969 +aS'pushing\tpush\tVBG\tI-NP\tO' +p105970 +aS'forward\tforward\tRB\tB-ADVP\tO' +p105971 +aS'of\tof\tIN\tB-PP\tO' +p105972 +aS'her\ther\tPRP$\tB-NP\tO' +p105973 +aS'uterus\tuterus\tNN\tI-NP\tO' +p105974 +aS'.\t.\t.\tO\tO' +p105975 +asS'This resolved that same day .' +p105976 +(lp105977 +S'This\tThis\tDT\tB-NP\tO' +p105978 +aS'resolved\tresolve\tVBD\tB-VP\tO' +p105979 +aS'that\tthat\tIN\tB-SBAR\tO' +p105980 +aS'same\tsame\tJJ\tB-NP\tO' +p105981 +aS'day\tday\tNN\tI-NP\tO' +p105982 +aS'.\t.\t.\tO\tO' +p105983 +asS'Neck : No Donna , normal thyroid contour' +p105984 +(lp105985 +S'Neck\tNeck\tNN\tB-NP\tO' +p105986 +aS':\t:\t:\tO\tO' +p105987 +aS'No\tNo\tNNP\tB-NP\tO' +p105988 +aS'Donna\tDonna\tNNP\tI-NP\tO' +p105989 +aS',\t,\t,\tO\tO' +p105990 +aS'normal\tnormal\tJJ\tB-NP\tO' +p105991 +aS'thyroid\tthyroid\tNN\tI-NP\tO' +p105992 +aS'contour\tcontour\tNN\tI-NP\tO' +p105993 +asS'There is no erythema .' +p105994 +(lp105995 +S'There\tThere\tEX\tB-NP\tO' +p105996 +aS'is\tbe\tVBZ\tB-VP\tO' +p105997 +aS'no\tno\tDT\tB-NP\tO' +p105998 +aS'erythema\terythema\tNN\tI-NP\tO' +p105999 +aS'.\t.\t.\tO\tO' +p106000 +asS'V4 through V6 .' +p106001 +(lp106002 +S'V4\tV4\tNN\tB-NP\tO' +p106003 +aS'through\tthrough\tIN\tB-PP\tO' +p106004 +aS'V6\tV6\tNN\tB-NP\tB-protein' +p106005 +aS'.\t.\t.\tO\tO' +p106006 +asS'No driving for 6 weeks .' +p106007 +(lp106008 +S'No\tNo\tDT\tB-NP\tO' +p106009 +aS'driving\tdriving\tNN\tI-NP\tO' +p106010 +aS'for\tfor\tIN\tB-PP\tO' +p106011 +aS'6\t6\tCD\tB-NP\tO' +p106012 +aS'weeks\tweek\tNNS\tI-NP\tO' +p106013 +aS'.\t.\t.\tO\tO' +p106014 +asS'Abdomen soft , non distended , nontender .' +p106015 +(lp106016 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p106017 +aS'soft\tsoft\tJJ\tI-NP\tO' +p106018 +aS',\t,\t,\tI-NP\tO' +p106019 +aS'non\tnon\tJJ\tI-NP\tO' +p106020 +aS'distended\tdistend\tVBN\tI-NP\tO' +p106021 +aS',\t,\t,\tI-NP\tO' +p106022 +aS'nontender\tnontender\tNN\tI-NP\tO' +p106023 +aS'.\t.\t.\tO\tO' +p106024 +asS'No new hemorrhage is observed .' +p106025 +(lp106026 +S'No\tNo\tDT\tB-NP\tO' +p106027 +aS'new\tnew\tJJ\tI-NP\tO' +p106028 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p106029 +aS'is\tbe\tVBZ\tB-VP\tO' +p106030 +aS'observed\tobserve\tVBN\tI-VP\tO' +p106031 +aS'.\t.\t.\tO\tO' +p106032 +asS'With the history of DVT , we plan Coumadin and check her coags .' +p106033 +(lp106034 +S'With\tWith\tIN\tB-PP\tO' +p106035 +aS'the\tthe\tDT\tB-NP\tO' +p106036 +aS'history\thistory\tNN\tI-NP\tO' +p106037 +aS'of\tof\tIN\tB-PP\tO' +p106038 +aS'DVT\tDVT\tNN\tB-NP\tO' +p106039 +aS',\t,\t,\tO\tO' +p106040 +aS'we\twe\tPRP\tB-NP\tO' +p106041 +aS'plan\tplan\tVBP\tB-VP\tO' +p106042 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p106043 +aS'and\tand\tCC\tO\tO' +p106044 +aS'check\tcheck\tVB\tB-VP\tO' +p106045 +aS'her\ther\tPRP$\tB-NP\tO' +p106046 +aS'coags\tcoag\tNNS\tI-NP\tO' +p106047 +aS'.\t.\t.\tO\tO' +p106048 +asS'16. Olanzapine 5 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) as needed for confusion .' +p106049 +(lp106050 +S'16.\t16.\tCD\tB-NP\tO' +p106051 +aS'Olanzapine\tOlanzapine\tNN\tI-NP\tO' +p106052 +aS'5\t5\tCD\tB-NP\tO' +p106053 +aS'mg\tmg\tNN\tI-NP\tO' +p106054 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p106055 +aS'Sig\tSig\tNNP\tI-NP\tO' +p106056 +aS':\t:\t:\tO\tO' +p106057 +aS'One\tOne\tCD\tB-NP\tO' +p106058 +aS'(\t(\t(\tO\tO' +p106059 +aS'1\t1\tCD\tB-NP\tO' +p106060 +aS')\t)\t)\tO\tO' +p106061 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p106062 +aS'PO\tPO\tNN\tI-NP\tO' +p106063 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p106064 +aS'(\t(\t(\tO\tO' +p106065 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p106066 +aS')\t)\t)\tO\tO' +p106067 +aS'as\tas\tIN\tB-SBAR\tO' +p106068 +aS'needed\tneed\tVBN\tB-VP\tO' +p106069 +aS'for\tfor\tIN\tB-PP\tO' +p106070 +aS'confusion\tconfusion\tNN\tB-NP\tO' +p106071 +aS'.\t.\t.\tO\tO' +p106072 +asS'The lung apices are clear without pneumothorax .' +p106073 +(lp106074 +S'The\tThe\tDT\tB-NP\tO' +p106075 +aS'lung\tlung\tNN\tI-NP\tO' +p106076 +aS'apices\tapex\tNNS\tI-NP\tO' +p106077 +aS'are\tbe\tVBP\tB-VP\tO' +p106078 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p106079 +aS'without\twithout\tIN\tB-PP\tO' +p106080 +aS'pneumothorax\tpneumothorax\tNN\tB-NP\tO' +p106081 +aS'.\t.\t.\tO\tO' +p106082 +asS'This infant emerged with Apgars of 8 at one minute and 8 at five minutes .' +p106083 +(lp106084 +S'This\tThis\tDT\tB-NP\tO' +p106085 +aS'infant\tinfant\tNN\tI-NP\tO' +p106086 +aS'emerged\temerge\tVBD\tB-VP\tO' +p106087 +aS'with\twith\tIN\tB-PP\tO' +p106088 +aS'Apgars\tApgar\tNNS\tB-NP\tO' +p106089 +aS'of\tof\tIN\tB-PP\tO' +p106090 +aS'8\t8\tCD\tB-NP\tO' +p106091 +aS'at\tat\tIN\tB-PP\tO' +p106092 +aS'one\tone\tCD\tB-NP\tO' +p106093 +aS'minute\tminute\tNN\tI-NP\tO' +p106094 +aS'and\tand\tCC\tO\tO' +p106095 +aS'8\t8\tCD\tB-NP\tO' +p106096 +aS'at\tat\tIN\tB-PP\tO' +p106097 +aS'five\tfive\tCD\tB-NP\tO' +p106098 +aS'minutes\tminute\tNNS\tI-NP\tO' +p106099 +aS'.\t.\t.\tO\tO' +p106100 +asS'Social hx : came to the States 10 yrs ago with his wife .' +p106101 +(lp106102 +S'Social\tSocial\tJJ\tB-NP\tO' +p106103 +aS'hx\thx\tNN\tI-NP\tO' +p106104 +aS':\t:\t:\tO\tO' +p106105 +aS'came\tcome\tVBD\tB-VP\tO' +p106106 +aS'to\tto\tTO\tB-PP\tO' +p106107 +aS'the\tthe\tDT\tB-NP\tO' +p106108 +aS'States\tState\tNNPS\tI-NP\tB-protein' +p106109 +aS'10\t10\tCD\tI-NP\tI-protein' +p106110 +aS'yrs\tyr\tNNS\tI-NP\tI-protein' +p106111 +aS'ago\tago\tRB\tB-ADVP\tO' +p106112 +aS'with\twith\tIN\tB-PP\tO' +p106113 +aS'his\this\tPRP$\tB-NP\tO' +p106114 +aS'wife\twife\tNN\tI-NP\tO' +p106115 +aS'.\t.\t.\tO\tO' +p106116 +asS'Sensory exam was not remarkable , cerebellar exam was not possible .' +p106117 +(lp106118 +S'Sensory\tSensory\tJJ\tB-NP\tO' +p106119 +aS'exam\texam\tNN\tI-NP\tO' +p106120 +aS'was\tbe\tVBD\tB-VP\tO' +p106121 +aS'not\tnot\tRB\tO\tO' +p106122 +aS'remarkable\tremarkable\tJJ\tB-NP\tO' +p106123 +aS',\t,\t,\tI-NP\tO' +p106124 +aS'cerebellar\tcerebellar\tJJ\tI-NP\tO' +p106125 +aS'exam\texam\tNN\tI-NP\tO' +p106126 +aS'was\tbe\tVBD\tB-VP\tO' +p106127 +aS'not\tnot\tRB\tO\tO' +p106128 +aS'possible\tpossible\tJJ\tB-ADJP\tO' +p106129 +aS'.\t.\t.\tO\tO' +p106130 +asS'2. Metoprolol 37.5 mg p.o. twice a day .' +p106131 +(lp106132 +S'2.\t2.\tLS\tB-NP\tO' +p106133 +aS'Metoprolol\tMetoprolol\tNN\tI-NP\tO' +p106134 +aS'37.5\t37.5\tCD\tI-NP\tO' +p106135 +aS'mg\tmg\tNN\tI-NP\tO' +p106136 +aS'p.o.\tp.o.\tRB\tB-NP\tO' +p106137 +aS'twice\ttwice\tRB\tI-NP\tO' +p106138 +aS'a\ta\tDT\tI-NP\tO' +p106139 +aS'day\tday\tNN\tI-NP\tO' +p106140 +aS'.\t.\t.\tO\tO' +p106141 +asS'The patient was in her usual state of health until four days prior to admission when she had a cholecystectomy .' +p106142 +(lp106143 +S'The\tThe\tDT\tB-NP\tO' +p106144 +aS'patient\tpatient\tNN\tI-NP\tO' +p106145 +aS'was\tbe\tVBD\tB-VP\tO' +p106146 +aS'in\tin\tIN\tB-PP\tO' +p106147 +aS'her\ther\tPRP$\tB-NP\tO' +p106148 +aS'usual\tusual\tJJ\tI-NP\tO' +p106149 +aS'state\tstate\tNN\tI-NP\tO' +p106150 +aS'of\tof\tIN\tB-PP\tO' +p106151 +aS'health\thealth\tNN\tB-NP\tO' +p106152 +aS'until\tuntil\tIN\tB-PP\tO' +p106153 +aS'four\tfour\tCD\tB-NP\tO' +p106154 +aS'days\tday\tNNS\tI-NP\tO' +p106155 +aS'prior\tprior\tRB\tB-ADVP\tO' +p106156 +aS'to\tto\tTO\tB-PP\tO' +p106157 +aS'admission\tadmission\tNN\tB-NP\tO' +p106158 +aS'when\twhen\tWRB\tB-ADVP\tO' +p106159 +aS'she\tshe\tPRP\tB-NP\tO' +p106160 +aS'had\thave\tVBD\tB-VP\tO' +p106161 +aS'a\ta\tDT\tB-NP\tO' +p106162 +aS'cholecystectomy\tcholecystectomy\tNN\tI-NP\tO' +p106163 +aS'.\t.\t.\tO\tO' +p106164 +asS'3. Small amount of ascites , somewhat increased anterior to the liver .' +p106165 +(lp106166 +S'3.\t3.\tLS\tB-NP\tO' +p106167 +aS'Small\tSmall\tJJ\tI-NP\tO' +p106168 +aS'amount\tamount\tNN\tI-NP\tO' +p106169 +aS'of\tof\tIN\tB-PP\tO' +p106170 +aS'ascites\tascite\tNNS\tB-NP\tO' +p106171 +aS',\t,\t,\tO\tO' +p106172 +aS'somewhat\tsomewhat\tRB\tB-ADVP\tO' +p106173 +aS'increased\tincrease\tVBD\tB-VP\tO' +p106174 +aS'anterior\tanterior\tRB\tB-ADVP\tO' +p106175 +aS'to\tto\tTO\tB-PP\tO' +p106176 +aS'the\tthe\tDT\tB-NP\tO' +p106177 +aS'liver\tliver\tNN\tI-NP\tO' +p106178 +aS'.\t.\t.\tO\tO' +p106179 +asS'2. Open fracture of the femur .' +p106180 +(lp106181 +S'2.\t2.\tLS\tB-NP\tO' +p106182 +aS'Open\tOpen\tNN\tI-NP\tO' +p106183 +aS'fracture\tfracture\tNN\tI-NP\tO' +p106184 +aS'of\tof\tIN\tB-PP\tO' +p106185 +aS'the\tthe\tDT\tB-NP\tO' +p106186 +aS'femur\tfemur\tNN\tI-NP\tO' +p106187 +aS'.\t.\t.\tO\tO' +p106188 +asS'7. Plavix 75 milligrams po q day times three months .' +p106189 +(lp106190 +S'7.\t7.\tCD\tB-NP\tO' +p106191 +aS'Plavix\tPlavix\tNN\tI-NP\tO' +p106192 +aS'75\t75\tCD\tB-NP\tO' +p106193 +aS'milligrams\tmilligram\tNNS\tI-NP\tO' +p106194 +aS'po\tpo\tVBP\tB-VP\tO' +p106195 +aS'q\tq\tNN\tB-NP\tO' +p106196 +aS'day\tday\tNN\tI-NP\tO' +p106197 +aS'times\ttime\tNNS\tI-NP\tO' +p106198 +aS'three\tthree\tCD\tB-NP\tO' +p106199 +aS'months\tmonth\tNNS\tI-NP\tO' +p106200 +aS'.\t.\t.\tO\tO' +p106201 +asS'Vaginal Delivery With Second Degree Laceration' +p106202 +(lp106203 +S'Vaginal\tVaginal\tNNP\tB-NP\tO' +p106204 +aS'Delivery\tDelivery\tNNP\tI-NP\tO' +p106205 +aS'With\tWith\tIN\tB-PP\tO' +p106206 +aS'Second\tSecond\tNNP\tB-NP\tO' +p106207 +aS'Degree\tDegree\tNNP\tI-NP\tO' +p106208 +aS'Laceration\tLaceration\tNNP\tI-NP\tO' +p106209 +asS'Dictated By : Pamela F. Williams , M.D.' +p106210 +(lp106211 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p106212 +aS'By\tBy\tIN\tB-PP\tO' +p106213 +aS':\t:\t:\tO\tO' +p106214 +aS'Pamela\tPamela\tNNP\tB-NP\tO' +p106215 +aS'F.\tF.\tNNP\tI-NP\tO' +p106216 +aS'Williams\tWilliams\tNNP\tI-NP\tO' +p106217 +aS',\t,\t,\tO\tO' +p106218 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p106219 +asS'Blunting of left CPA likely effusion .' +p106220 +(lp106221 +S'Blunting\tBlunting\tNN\tB-NP\tO' +p106222 +aS'of\tof\tIN\tB-PP\tO' +p106223 +aS'left\tleft\tJJ\tB-NP\tO' +p106224 +aS'CPA\tCPA\tNN\tI-NP\tO' +p106225 +aS'likely\tlikely\tJJ\tI-NP\tO' +p106226 +aS'effusion\teffusion\tNN\tI-NP\tO' +p106227 +aS'.\t.\t.\tO\tO' +p106228 +asS'The patient is on Ciprofloxacin .' +p106229 +(lp106230 +S'The\tThe\tDT\tB-NP\tO' +p106231 +aS'patient\tpatient\tNN\tI-NP\tO' +p106232 +aS'is\tbe\tVBZ\tB-VP\tO' +p106233 +aS'on\ton\tIN\tB-PP\tO' +p106234 +aS'Ciprofloxacin\tCiprofloxacin\tNN\tB-NP\tO' +p106235 +aS'.\t.\t.\tO\tO' +p106236 +asS'Appropriate follow up appointments are recommended as well as prescriptions .' +p106237 +(lp106238 +S'Appropriate\tAppropriate\tJJ\tB-NP\tO' +p106239 +aS'follow\tfollow\tNN\tI-NP\tO' +p106240 +aS'up\tup\tRP\tB-PRT\tO' +p106241 +aS'appointments\tappointment\tNNS\tB-NP\tO' +p106242 +aS'are\tbe\tVBP\tB-VP\tO' +p106243 +aS'recommended\trecommend\tVBN\tI-VP\tO' +p106244 +aS'as\tas\tRB\tB-CONJP\tO' +p106245 +aS'well\twell\tRB\tI-CONJP\tO' +p106246 +aS'as\tas\tIN\tI-CONJP\tO' +p106247 +aS'prescriptions\tprescription\tNNS\tB-NP\tO' +p106248 +aS'.\t.\t.\tO\tO' +p106249 +asS'Postoperatively , the patient did extremely well .' +p106250 +(lp106251 +S'Postoperatively\tPostoperatively\tRB\tB-ADVP\tO' +p106252 +aS',\t,\t,\tO\tO' +p106253 +aS'the\tthe\tDT\tB-NP\tO' +p106254 +aS'patient\tpatient\tNN\tI-NP\tO' +p106255 +aS'did\tdo\tVBD\tB-VP\tO' +p106256 +aS'extremely\textremely\tRB\tB-ADVP\tO' +p106257 +aS'well\twell\tRB\tI-ADVP\tO' +p106258 +aS'.\t.\t.\tO\tO' +p106259 +asS'Mr. Jackson is a 63-year-old male with squamous cell carcinoma of the floor of mouth ( stage T2 N0 ) that was biopsied by his dentist .' +p106260 +(lp106261 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p106262 +aS'Jackson\tJackson\tNNP\tI-NP\tO' +p106263 +aS'is\tbe\tVBZ\tB-VP\tO' +p106264 +aS'a\ta\tDT\tB-NP\tO' +p106265 +aS'63-year-old\t63-year-old\tJJ\tI-NP\tO' +p106266 +aS'male\tmale\tNN\tI-NP\tO' +p106267 +aS'with\twith\tIN\tB-PP\tO' +p106268 +aS'squamous\tsquamous\tJJ\tB-NP\tO' +p106269 +aS'cell\tcell\tNN\tI-NP\tO' +p106270 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p106271 +aS'of\tof\tIN\tB-PP\tO' +p106272 +aS'the\tthe\tDT\tB-NP\tO' +p106273 +aS'floor\tfloor\tNN\tI-NP\tO' +p106274 +aS'of\tof\tIN\tB-PP\tO' +p106275 +aS'mouth\tmouth\tNN\tB-NP\tO' +p106276 +aS'(\t(\t(\tO\tO' +p106277 +aS'stage\tstage\tNN\tB-NP\tO' +p106278 +aS'T2\tT2\tNN\tI-NP\tO' +p106279 +aS'N0\tN0\tNN\tI-NP\tO' +p106280 +aS')\t)\t)\tO\tO' +p106281 +aS'that\tthat\tWDT\tB-NP\tO' +p106282 +aS'was\tbe\tVBD\tB-VP\tO' +p106283 +aS'biopsied\tbiopsie\tVBN\tI-VP\tO' +p106284 +aS'by\tby\tIN\tB-PP\tO' +p106285 +aS'his\this\tPRP$\tB-NP\tO' +p106286 +aS'dentist\tdentist\tNN\tI-NP\tO' +p106287 +aS'.\t.\t.\tO\tO' +p106288 +asS'On the right side , 2+ femoral , popliteal , DP , PT , and radial ; on the left side , 2+ femoral , popliteal , DP , PT , and radial .' +p106289 +(lp106290 +S'On\tOn\tIN\tB-PP\tO' +p106291 +aS'the\tthe\tDT\tB-NP\tO' +p106292 +aS'right\tright\tJJ\tI-NP\tO' +p106293 +aS'side\tside\tNN\tI-NP\tO' +p106294 +aS',\t,\t,\tO\tO' +p106295 +aS'2+\t2+\tJJ\tB-NP\tO' +p106296 +aS'femoral\tfemoral\tJJ\tI-NP\tO' +p106297 +aS',\t,\t,\tI-NP\tO' +p106298 +aS'popliteal\tpopliteal\tNN\tI-NP\tO' +p106299 +aS',\t,\t,\tO\tO' +p106300 +aS'DP\tDP\tNN\tB-NP\tO' +p106301 +aS',\t,\t,\tO\tO' +p106302 +aS'PT\tPT\tNN\tB-NP\tO' +p106303 +aS',\t,\t,\tO\tO' +p106304 +aS'and\tand\tCC\tO\tO' +p106305 +aS'radial\tradial\tNN\tB-NP\tO' +p106306 +aS';\t;\t:\tO\tO' +p106307 +aS'on\ton\tIN\tB-PP\tO' +p106308 +aS'the\tthe\tDT\tB-NP\tO' +p106309 +aS'left\tleft\tJJ\tI-NP\tO' +p106310 +aS'side\tside\tNN\tI-NP\tO' +p106311 +aS',\t,\t,\tO\tO' +p106312 +aS'2+\t2+\tJJ\tB-NP\tO' +p106313 +aS'femoral\tfemoral\tJJ\tI-NP\tO' +p106314 +aS',\t,\t,\tI-NP\tO' +p106315 +aS'popliteal\tpopliteal\tNN\tI-NP\tO' +p106316 +aS',\t,\t,\tO\tO' +p106317 +aS'DP\tDP\tNN\tB-NP\tO' +p106318 +aS',\t,\t,\tO\tO' +p106319 +aS'PT\tPT\tNN\tB-NP\tO' +p106320 +aS',\t,\t,\tO\tO' +p106321 +aS'and\tand\tCC\tO\tO' +p106322 +aS'radial\tradial\tNN\tB-NP\tO' +p106323 +aS'.\t.\t.\tO\tO' +p106324 +asS'Creatinine initially presented at 1.3 .' +p106325 +(lp106326 +S'Creatinine\tCreatinine\tNN\tB-NP\tO' +p106327 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p106328 +aS'presented\tpresent\tVBD\tB-VP\tO' +p106329 +aS'at\tat\tIN\tB-PP\tO' +p106330 +aS'1.3\t1.3\tCD\tB-NP\tO' +p106331 +aS'.\t.\t.\tO\tO' +p106332 +asS'Pump : With trace of lower extremity edema .' +p106333 +(lp106334 +S'Pump\tPump\tNN\tB-NP\tO' +p106335 +aS':\t:\t:\tO\tO' +p106336 +aS'With\tWith\tIN\tB-PP\tO' +p106337 +aS'trace\ttrace\tNN\tB-NP\tO' +p106338 +aS'of\tof\tIN\tB-PP\tO' +p106339 +aS'lower\tlow\tJJR\tB-NP\tO' +p106340 +aS'extremity\textremity\tNN\tI-NP\tO' +p106341 +aS'edema\tedema\tNN\tI-NP\tO' +p106342 +aS'.\t.\t.\tO\tO' +p106343 +asS'ongoing grade III rash , involving the hands and feet in addition proteinuria secondary to the Avastin .' +p106344 +(lp106345 +S'ongoing\tongoing\tJJ\tB-NP\tO' +p106346 +aS'grade\tgrade\tNN\tI-NP\tO' +p106347 +aS'III\tIII\tCD\tI-NP\tO' +p106348 +aS'rash\trash\tNN\tI-NP\tO' +p106349 +aS',\t,\t,\tO\tO' +p106350 +aS'involving\tinvolve\tVBG\tB-VP\tO' +p106351 +aS'the\tthe\tDT\tB-NP\tO' +p106352 +aS'hands\thand\tNNS\tI-NP\tO' +p106353 +aS'and\tand\tCC\tI-NP\tO' +p106354 +aS'feet\tfoot\tNNS\tI-NP\tO' +p106355 +aS'in\tin\tIN\tB-PP\tO' +p106356 +aS'addition\taddition\tNN\tB-NP\tO' +p106357 +aS'proteinuria\tproteinuria\tNN\tI-NP\tO' +p106358 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p106359 +aS'to\tto\tTO\tB-PP\tO' +p106360 +aS'the\tthe\tDT\tB-NP\tO' +p106361 +aS'Avastin\tAvastin\tNNP\tI-NP\tO' +p106362 +aS'.\t.\t.\tO\tO' +p106363 +asS'She notes that she has had this pain since Thursday , and that it becomes much worse within 15 min of consuming a meal .' +p106364 +(lp106365 +S'She\tShe\tPRP\tB-NP\tO' +p106366 +aS'notes\tnote\tVBZ\tB-VP\tO' +p106367 +aS'that\tthat\tIN\tB-SBAR\tO' +p106368 +aS'she\tshe\tPRP\tB-NP\tO' +p106369 +aS'has\thave\tVBZ\tB-VP\tO' +p106370 +aS'had\thave\tVBN\tI-VP\tO' +p106371 +aS'this\tthis\tDT\tB-NP\tO' +p106372 +aS'pain\tpain\tNN\tI-NP\tO' +p106373 +aS'since\tsince\tIN\tB-PP\tO' +p106374 +aS'Thursday\tThursday\tNNP\tB-NP\tO' +p106375 +aS',\t,\t,\tO\tO' +p106376 +aS'and\tand\tCC\tO\tO' +p106377 +aS'that\tthat\tIN\tB-SBAR\tO' +p106378 +aS'it\tit\tPRP\tB-NP\tO' +p106379 +aS'becomes\tbecome\tVBZ\tB-VP\tO' +p106380 +aS'much\tmuch\tRB\tB-ADJP\tO' +p106381 +aS'worse\tworse\tJJR\tI-ADJP\tO' +p106382 +aS'within\twithin\tIN\tB-PP\tO' +p106383 +aS'15\t15\tCD\tB-NP\tO' +p106384 +aS'min\tmin\tNN\tI-NP\tO' +p106385 +aS'of\tof\tIN\tB-PP\tO' +p106386 +aS'consuming\tconsume\tVBG\tB-VP\tO' +p106387 +aS'a\ta\tDT\tB-NP\tO' +p106388 +aS'meal\tmeal\tNN\tI-NP\tO' +p106389 +aS'.\t.\t.\tO\tO' +p106390 +asS'PAST MEDICAL HISTORY : Breast cancer diagnosed in 2010 , Stage I , status post left lumpectomy , on 2012-05-08 , and repeat surgery with sentinel node dissection on 2012-06-05 .' +p106391 +(lp106392 +S'PAST\tPAST\tNNP\tB-NP\tO' +p106393 +aS'MEDICAL\tMEDICAL\tNNP\tI-NP\tO' +p106394 +aS'HISTORY\tHISTORY\tNNP\tI-NP\tO' +p106395 +aS':\t:\t:\tO\tO' +p106396 +aS'Breast\tBreast\tNN\tB-NP\tO' +p106397 +aS'cancer\tcancer\tNN\tI-NP\tO' +p106398 +aS'diagnosed\tdiagnose\tVBN\tB-VP\tO' +p106399 +aS'in\tin\tIN\tB-PP\tO' +p106400 +aS'2010\t2010\tCD\tB-NP\tO' +p106401 +aS',\t,\t,\tO\tO' +p106402 +aS'Stage\tStage\tNN\tB-NP\tB-protein' +p106403 +aS'I\tI\tCD\tI-NP\tI-protein' +p106404 +aS',\t,\t,\tO\tO' +p106405 +aS'status\tstatus\tNN\tB-NP\tO' +p106406 +aS'post\tpost\tNN\tI-NP\tO' +p106407 +aS'left\tleave\tVBD\tB-VP\tO' +p106408 +aS'lumpectomy\tlumpectomy\tNN\tB-NP\tO' +p106409 +aS',\t,\t,\tO\tO' +p106410 +aS'on\ton\tIN\tB-PP\tO' +p106411 +aS'2012-05-08\t2012-05-08\tCD\tB-NP\tO' +p106412 +aS',\t,\t,\tO\tO' +p106413 +aS'and\tand\tCC\tO\tO' +p106414 +aS'repeat\trepeat\tNN\tB-NP\tO' +p106415 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p106416 +aS'with\twith\tIN\tB-PP\tO' +p106417 +aS'sentinel\tsentinel\tNN\tB-NP\tO' +p106418 +aS'node\tnode\tNN\tI-NP\tO' +p106419 +aS'dissection\tdissection\tNN\tI-NP\tO' +p106420 +aS'on\ton\tIN\tB-PP\tO' +p106421 +aS'2012-06-05\t2012-06-05\tCD\tB-NP\tO' +p106422 +aS'.\t.\t.\tO\tO' +p106423 +asS'12. Acetaminophen 325 mg to 650 mg p.o. q.four to six hours p.r.n.' +p106424 +(lp106425 +S'12.\t12.\tCD\tB-NP\tO' +p106426 +aS'Acetaminophen\tAcetaminophen\tNN\tI-NP\tO' +p106427 +aS'325\t325\tCD\tB-NP\tO' +p106428 +aS'mg\tmg\tNN\tI-NP\tO' +p106429 +aS'to\tto\tTO\tB-PP\tO' +p106430 +aS'650\t650\tCD\tB-NP\tO' +p106431 +aS'mg\tmg\tNN\tI-NP\tO' +p106432 +aS'p.o.\tp.o.\tRB\tB-NP\tO' +p106433 +aS'q.four\tq.four\tCD\tI-NP\tO' +p106434 +aS'to\tto\tTO\tI-NP\tO' +p106435 +aS'six\tsix\tCD\tI-NP\tO' +p106436 +aS'hours\thour\tNNS\tI-NP\tO' +p106437 +aS'p.r.n.\tp.r.n.\tRB\tB-ADVP\tO' +p106438 +asS'A complete blood count had a white blood cell count of 13,800 with 17% polys , 0% bands .' +p106439 +(lp106440 +S'A\tA\tDT\tB-NP\tO' +p106441 +aS'complete\tcomplete\tJJ\tI-NP\tO' +p106442 +aS'blood\tblood\tNN\tI-NP\tO' +p106443 +aS'count\tcount\tNN\tI-NP\tO' +p106444 +aS'had\thave\tVBD\tB-VP\tO' +p106445 +aS'a\ta\tDT\tB-NP\tO' +p106446 +aS'white\twhite\tJJ\tI-NP\tO' +p106447 +aS'blood\tblood\tNN\tI-NP\tO' +p106448 +aS'cell\tcell\tNN\tI-NP\tO' +p106449 +aS'count\tcount\tNN\tI-NP\tO' +p106450 +aS'of\tof\tIN\tB-PP\tO' +p106451 +aS'13,800\t13,800\tCD\tB-NP\tO' +p106452 +aS'with\twith\tIN\tB-PP\tO' +p106453 +aS'17%\t17%\tNN\tB-NP\tO' +p106454 +aS'polys\tpoly\tNNS\tI-NP\tO' +p106455 +aS',\t,\t,\tO\tO' +p106456 +aS'0%\t0%\tCD\tB-NP\tO' +p106457 +aS'bands\tband\tNNS\tI-NP\tO' +p106458 +aS'.\t.\t.\tO\tO' +p106459 +asS'She had some mental status changes with confusion and hallucinations on 06/18 originating from narcotics versus decreased pO2 .' +p106460 +(lp106461 +S'She\tShe\tPRP\tB-NP\tO' +p106462 +aS'had\thave\tVBD\tB-VP\tO' +p106463 +aS'some\tsome\tDT\tB-NP\tO' +p106464 +aS'mental\tmental\tJJ\tI-NP\tO' +p106465 +aS'status\tstatus\tNN\tI-NP\tO' +p106466 +aS'changes\tchange\tNNS\tI-NP\tO' +p106467 +aS'with\twith\tIN\tB-PP\tO' +p106468 +aS'confusion\tconfusion\tNN\tB-NP\tO' +p106469 +aS'and\tand\tCC\tI-NP\tO' +p106470 +aS'hallucinations\thallucination\tNNS\tI-NP\tO' +p106471 +aS'on\ton\tIN\tB-PP\tO' +p106472 +aS'06/18\t06/18\tCD\tB-NP\tO' +p106473 +aS'originating\toriginate\tVBG\tB-VP\tO' +p106474 +aS'from\tfrom\tIN\tB-PP\tO' +p106475 +aS'narcotics\tnarcotic\tNNS\tB-NP\tO' +p106476 +aS'versus\tversus\tIN\tB-PP\tO' +p106477 +aS'decreased\tdecrease\tVBN\tB-NP\tO' +p106478 +aS'pO2\tpO2\tNN\tI-NP\tO' +p106479 +aS'.\t.\t.\tO\tO' +p106480 +asS'6. Captopril 25 mg po tid .' +p106481 +(lp106482 +S'6.\t6.\tCD\tB-NP\tO' +p106483 +aS'Captopril\tCaptopril\tNNP\tI-NP\tO' +p106484 +aS'25\t25\tCD\tI-NP\tO' +p106485 +aS'mg\tmg\tNN\tI-NP\tO' +p106486 +aS'po\tpo\tNN\tI-NP\tO' +p106487 +aS'tid\ttid\tNN\tI-NP\tO' +p106488 +aS'.\t.\t.\tO\tO' +p106489 +asS'Half pack per day of tobacco times 20 years , alcohol about two 24 ounce beers per week .' +p106490 +(lp106491 +S'Half\tHalf\tNN\tB-NP\tO' +p106492 +aS'pack\tpack\tNN\tI-NP\tO' +p106493 +aS'per\tper\tIN\tB-PP\tO' +p106494 +aS'day\tday\tNN\tB-NP\tO' +p106495 +aS'of\tof\tIN\tB-PP\tO' +p106496 +aS'tobacco\ttobacco\tNN\tB-NP\tO' +p106497 +aS'times\ttime\tNNS\tI-NP\tO' +p106498 +aS'20\t20\tCD\tB-NP\tO' +p106499 +aS'years\tyear\tNNS\tI-NP\tO' +p106500 +aS',\t,\t,\tO\tO' +p106501 +aS'alcohol\talcohol\tNN\tB-NP\tO' +p106502 +aS'about\tabout\tIN\tB-PP\tO' +p106503 +aS'two\ttwo\tCD\tB-NP\tO' +p106504 +aS'24\t24\tCD\tI-NP\tO' +p106505 +aS'ounce\tounce\tNN\tI-NP\tO' +p106506 +aS'beers\tbeer\tNNS\tI-NP\tO' +p106507 +aS'per\tper\tIN\tB-PP\tO' +p106508 +aS'week\tweek\tNN\tB-NP\tO' +p106509 +aS'.\t.\t.\tO\tO' +p106510 +asS'He does complain of cold symptoms times one week .' +p106511 +(lp106512 +S'He\tHe\tPRP\tB-NP\tO' +p106513 +aS'does\tdo\tVBZ\tB-VP\tO' +p106514 +aS'complain\tcomplain\tVB\tI-VP\tO' +p106515 +aS'of\tof\tIN\tB-PP\tO' +p106516 +aS'cold\tcold\tJJ\tB-NP\tO' +p106517 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p106518 +aS'times\ttime\tNNS\tI-NP\tO' +p106519 +aS'one\tone\tCD\tB-NP\tO' +p106520 +aS'week\tweek\tNN\tI-NP\tO' +p106521 +aS'.\t.\t.\tO\tO' +p106522 +asS'The patient was admitted for a new pericardial effusion which was felt most likely to be secondary to metastatic cervical cancer .' +p106523 +(lp106524 +S'The\tThe\tDT\tB-NP\tO' +p106525 +aS'patient\tpatient\tNN\tI-NP\tO' +p106526 +aS'was\tbe\tVBD\tB-VP\tO' +p106527 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p106528 +aS'for\tfor\tIN\tB-PP\tO' +p106529 +aS'a\ta\tDT\tB-NP\tO' +p106530 +aS'new\tnew\tJJ\tI-NP\tO' +p106531 +aS'pericardial\tpericardial\tJJ\tI-NP\tO' +p106532 +aS'effusion\teffusion\tNN\tI-NP\tO' +p106533 +aS'which\twhich\tWDT\tB-NP\tO' +p106534 +aS'was\tbe\tVBD\tB-VP\tO' +p106535 +aS'felt\tfeel\tVBN\tI-VP\tO' +p106536 +aS'most\tmost\tRBS\tB-ADJP\tO' +p106537 +aS'likely\tlikely\tJJ\tI-ADJP\tO' +p106538 +aS'to\tto\tTO\tB-VP\tO' +p106539 +aS'be\tbe\tVB\tI-VP\tO' +p106540 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p106541 +aS'to\tto\tTO\tB-PP\tO' +p106542 +aS'metastatic\tmetastatic\tJJ\tB-NP\tO' +p106543 +aS'cervical\tcervical\tJJ\tI-NP\tO' +p106544 +aS'cancer\tcancer\tNN\tI-NP\tO' +p106545 +aS'.\t.\t.\tO\tO' +p106546 +asS'Reflexes were 2+ bilaterally with down going toes .' +p106547 +(lp106548 +S'Reflexes\tReflex\tNNS\tB-NP\tO' +p106549 +aS'were\tbe\tVBD\tB-VP\tO' +p106550 +aS'2+\t2+\tJJ\tB-ADJP\tO' +p106551 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p106552 +aS'with\twith\tIN\tB-PP\tO' +p106553 +aS'down\tdown\tRB\tB-ADVP\tO' +p106554 +aS'going\tgo\tVBG\tB-VP\tO' +p106555 +aS'toes\ttoe\tNNS\tB-NP\tO' +p106556 +aS'.\t.\t.\tO\tO' +p106557 +asS'Primary pediatrician recommended within three days of discharge .' +p106558 +(lp106559 +S'Primary\tPrimary\tJJ\tB-NP\tO' +p106560 +aS'pediatrician\tpediatrician\tNN\tI-NP\tO' +p106561 +aS'recommended\trecommend\tVBD\tB-VP\tO' +p106562 +aS'within\twithin\tIN\tB-PP\tO' +p106563 +aS'three\tthree\tCD\tB-NP\tO' +p106564 +aS'days\tday\tNNS\tI-NP\tO' +p106565 +aS'of\tof\tIN\tB-PP\tO' +p106566 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p106567 +aS'.\t.\t.\tO\tO' +p106568 +asS'Sulfasalazine , prednisone 20 mg q.d. , Naprosyn 500 mg t.i.d. , Zestril 10 mg q.d. , Lopressor 50 mg b.i.d. and iron supplementation .' +p106569 +(lp106570 +S'Sulfasalazine\tSulfasalazine\tNN\tB-NP\tO' +p106571 +aS',\t,\t,\tO\tO' +p106572 +aS'prednisone\tprednisone\tNN\tB-NP\tO' +p106573 +aS'20\t20\tCD\tI-NP\tO' +p106574 +aS'mg\tmg\tNN\tI-NP\tO' +p106575 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p106576 +aS',\t,\t,\tO\tO' +p106577 +aS'Naprosyn\tNaprosyn\tNNP\tB-NP\tO' +p106578 +aS'500\t500\tCD\tI-NP\tO' +p106579 +aS'mg\tmg\tNN\tI-NP\tO' +p106580 +aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' +p106581 +aS',\t,\t,\tO\tO' +p106582 +aS'Zestril\tZestril\tNNP\tB-NP\tO' +p106583 +aS'10\t10\tCD\tI-NP\tO' +p106584 +aS'mg\tmg\tNN\tI-NP\tO' +p106585 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p106586 +aS',\t,\t,\tO\tO' +p106587 +aS'Lopressor\tLopressor\tNNP\tB-NP\tO' +p106588 +aS'50\t50\tCD\tI-NP\tO' +p106589 +aS'mg\tmg\tNN\tI-NP\tO' +p106590 +aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' +p106591 +aS'and\tand\tCC\tO\tO' +p106592 +aS'iron\tiron\tNN\tB-NP\tO' +p106593 +aS'supplementation\tsupplementation\tNN\tI-NP\tO' +p106594 +aS'.\t.\t.\tO\tO' +p106595 +asS'CONDITION ON DISCHARGE : Stable .' +p106596 +(lp106597 +S'CONDITION\tCONDITION\tNN\tB-NP\tO' +p106598 +aS'ON\tON\tNN\tI-NP\tO' +p106599 +aS'DISCHARGE\tDISCHARGE\tNN\tI-NP\tO' +p106600 +aS':\t:\t:\tO\tO' +p106601 +aS'Stable\tStable\tJJ\tB-ADJP\tO' +p106602 +aS'.\t.\t.\tO\tO' +p106603 +asS'No masses or viscera was felt .' +p106604 +(lp106605 +S'No\tNo\tDT\tB-NP\tO' +p106606 +aS'masses\tmass\tNNS\tI-NP\tO' +p106607 +aS'or\tor\tCC\tI-NP\tO' +p106608 +aS'viscera\tviscera\tNN\tI-NP\tO' +p106609 +aS'was\tbe\tVBD\tB-VP\tO' +p106610 +aS'felt\tfeel\tVBN\tI-VP\tO' +p106611 +aS'.\t.\t.\tO\tO' +p106612 +asS'This study was compared to the prior study of 2017-06-01 .' +p106613 +(lp106614 +S'This\tThis\tDT\tB-NP\tO' +p106615 +aS'study\tstudy\tNN\tI-NP\tO' +p106616 +aS'was\tbe\tVBD\tB-VP\tO' +p106617 +aS'compared\tcompare\tVBN\tI-VP\tO' +p106618 +aS'to\tto\tTO\tB-PP\tO' +p106619 +aS'the\tthe\tDT\tB-NP\tO' +p106620 +aS'prior\tprior\tJJ\tI-NP\tO' +p106621 +aS'study\tstudy\tNN\tI-NP\tO' +p106622 +aS'of\tof\tIN\tB-PP\tO' +p106623 +aS'2017-06-01\t2017-06-01\tCD\tB-NP\tO' +p106624 +aS'.\t.\t.\tO\tO' +p106625 +asS'It was decided at that time that the patient could be discharged in follow-up with Vascular Surgery for revascularization and Podiatry thereafter .' +p106626 +(lp106627 +S'It\tIt\tPRP\tB-NP\tO' +p106628 +aS'was\tbe\tVBD\tB-VP\tO' +p106629 +aS'decided\tdecide\tVBN\tI-VP\tO' +p106630 +aS'at\tat\tIN\tB-PP\tO' +p106631 +aS'that\tthat\tDT\tB-NP\tO' +p106632 +aS'time\ttime\tNN\tI-NP\tO' +p106633 +aS'that\tthat\tIN\tB-ADVP\tO' +p106634 +aS'the\tthe\tDT\tB-NP\tO' +p106635 +aS'patient\tpatient\tNN\tI-NP\tO' +p106636 +aS'could\tcould\tMD\tB-VP\tO' +p106637 +aS'be\tbe\tVB\tI-VP\tO' +p106638 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p106639 +aS'in\tin\tIN\tB-PP\tO' +p106640 +aS'follow-up\tfollow-up\tNN\tB-NP\tO' +p106641 +aS'with\twith\tIN\tB-PP\tO' +p106642 +aS'Vascular\tVascular\tJJ\tB-NP\tO' +p106643 +aS'Surgery\tSurgery\tNN\tI-NP\tO' +p106644 +aS'for\tfor\tIN\tB-PP\tO' +p106645 +aS'revascularization\trevascularization\tNN\tB-NP\tO' +p106646 +aS'and\tand\tCC\tI-NP\tO' +p106647 +aS'Podiatry\tPodiatry\tNN\tI-NP\tO' +p106648 +aS'thereafter\tthereafter\tRB\tB-ADVP\tO' +p106649 +aS'.\t.\t.\tO\tO' +p106650 +asS'She was started on Levofloxacin but the patient became hypotensive at that point with blood pressure of 70/45 and received a normal saline bolus to boost her blood pressure to 99/60 ; however the patient was admitted to the Medical Intensive Care Unit for overnight observation because of her somnolence and hypotension .' +p106651 +(lp106652 +S'She\tShe\tPRP\tB-NP\tO' +p106653 +aS'was\tbe\tVBD\tB-VP\tO' +p106654 +aS'started\tstart\tVBN\tI-VP\tO' +p106655 +aS'on\ton\tIN\tB-PP\tO' +p106656 +aS'Levofloxacin\tLevofloxacin\tNN\tB-NP\tO' +p106657 +aS'but\tbut\tCC\tO\tO' +p106658 +aS'the\tthe\tDT\tB-NP\tO' +p106659 +aS'patient\tpatient\tNN\tI-NP\tO' +p106660 +aS'became\tbecome\tVBD\tB-VP\tO' +p106661 +aS'hypotensive\thypotensive\tJJ\tB-ADJP\tO' +p106662 +aS'at\tat\tIN\tB-PP\tO' +p106663 +aS'that\tthat\tDT\tB-NP\tO' +p106664 +aS'point\tpoint\tNN\tI-NP\tO' +p106665 +aS'with\twith\tIN\tB-PP\tO' +p106666 +aS'blood\tblood\tNN\tB-NP\tO' +p106667 +aS'pressure\tpressure\tNN\tI-NP\tO' +p106668 +aS'of\tof\tIN\tB-PP\tO' +p106669 +aS'70/45\t70/45\tCD\tB-NP\tO' +p106670 +aS'and\tand\tCC\tO\tO' +p106671 +aS'received\treceive\tVBD\tB-VP\tO' +p106672 +aS'a\ta\tDT\tB-NP\tO' +p106673 +aS'normal\tnormal\tJJ\tI-NP\tO' +p106674 +aS'saline\tsaline\tNN\tI-NP\tO' +p106675 +aS'bolus\tbolus\tNN\tI-NP\tO' +p106676 +aS'to\tto\tTO\tB-VP\tO' +p106677 +aS'boost\tboost\tVB\tI-VP\tO' +p106678 +aS'her\ther\tPRP$\tB-NP\tO' +p106679 +aS'blood\tblood\tNN\tI-NP\tO' +p106680 +aS'pressure\tpressure\tNN\tI-NP\tO' +p106681 +aS'to\tto\tTO\tB-PP\tO' +p106682 +aS'99/60\t99/60\tCD\tB-NP\tO' +p106683 +aS';\t;\t:\tO\tO' +p106684 +aS'however\thowever\tRB\tB-ADVP\tO' +p106685 +aS'the\tthe\tDT\tB-NP\tO' +p106686 +aS'patient\tpatient\tNN\tI-NP\tO' +p106687 +aS'was\tbe\tVBD\tB-VP\tO' +p106688 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p106689 +aS'to\tto\tTO\tB-PP\tO' +p106690 +aS'the\tthe\tDT\tB-NP\tO' +p106691 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p106692 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p106693 +aS'Care\tCare\tNNP\tI-NP\tO' +p106694 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p106695 +aS'for\tfor\tIN\tB-PP\tO' +p106696 +aS'overnight\tovernight\tJJ\tB-NP\tO' +p106697 +aS'observation\tobservation\tNN\tI-NP\tO' +p106698 +aS'because\tbecause\tIN\tB-PP\tO' +p106699 +aS'of\tof\tIN\tI-PP\tO' +p106700 +aS'her\ther\tPRP$\tB-NP\tO' +p106701 +aS'somnolence\tsomnolence\tNN\tI-NP\tO' +p106702 +aS'and\tand\tCC\tI-NP\tO' +p106703 +aS'hypotension\thypotension\tNN\tI-NP\tO' +p106704 +aS'.\t.\t.\tO\tO' +p106705 +asS'The neurological examination on discharge was no movement in the hand on the left or arm .' +p106706 +(lp106707 +S'The\tThe\tDT\tB-NP\tO' +p106708 +aS'neurological\tneurological\tJJ\tI-NP\tO' +p106709 +aS'examination\texamination\tNN\tI-NP\tO' +p106710 +aS'on\ton\tIN\tB-PP\tO' +p106711 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p106712 +aS'was\tbe\tVBD\tB-VP\tO' +p106713 +aS'no\tno\tDT\tB-NP\tO' +p106714 +aS'movement\tmovement\tNN\tI-NP\tO' +p106715 +aS'in\tin\tIN\tB-PP\tO' +p106716 +aS'the\tthe\tDT\tB-NP\tO' +p106717 +aS'hand\thand\tNN\tI-NP\tO' +p106718 +aS'on\ton\tIN\tB-PP\tO' +p106719 +aS'the\tthe\tDT\tB-NP\tO' +p106720 +aS'left\tleft\tJJ\tI-NP\tO' +p106721 +aS'or\tor\tCC\tI-NP\tO' +p106722 +aS'arm\tarm\tNN\tI-NP\tO' +p106723 +aS'.\t.\t.\tO\tO' +p106724 +asS'Once she was extubated , she was nauseated with emesis .' +p106725 +(lp106726 +S'Once\tOnce\tRB\tO\tO' +p106727 +aS'she\tshe\tPRP\tB-NP\tO' +p106728 +aS'was\tbe\tVBD\tB-VP\tO' +p106729 +aS'extubated\textubate\tVBN\tI-VP\tO' +p106730 +aS',\t,\t,\tO\tO' +p106731 +aS'she\tshe\tPRP\tB-NP\tO' +p106732 +aS'was\tbe\tVBD\tB-VP\tO' +p106733 +aS'nauseated\tnauseate\tVBN\tI-VP\tO' +p106734 +aS'with\twith\tIN\tB-PP\tO' +p106735 +aS'emesis\temesis\tNN\tB-NP\tO' +p106736 +aS'.\t.\t.\tO\tO' +p106737 +asS'nuchal cord , times two .' +p106738 +(lp106739 +S'nuchal\tnuchal\tJJ\tB-NP\tO' +p106740 +aS'cord\tcord\tNN\tI-NP\tO' +p106741 +aS',\t,\t,\tO\tO' +p106742 +aS'times\ttime\tNNS\tB-NP\tO' +p106743 +aS'two\ttwo\tCD\tB-NP\tO' +p106744 +aS'.\t.\t.\tO\tO' +p106745 +asS'The patient was instructed to be vigilant for any fevers or chills .' +p106746 +(lp106747 +S'The\tThe\tDT\tB-NP\tO' +p106748 +aS'patient\tpatient\tNN\tI-NP\tO' +p106749 +aS'was\tbe\tVBD\tB-VP\tO' +p106750 +aS'instructed\tinstruct\tVBN\tI-VP\tO' +p106751 +aS'to\tto\tTO\tI-VP\tO' +p106752 +aS'be\tbe\tVB\tI-VP\tO' +p106753 +aS'vigilant\tvigilant\tJJ\tB-ADJP\tO' +p106754 +aS'for\tfor\tIN\tB-PP\tO' +p106755 +aS'any\tany\tDT\tB-NP\tO' +p106756 +aS'fevers\tfever\tNNS\tI-NP\tO' +p106757 +aS'or\tor\tCC\tI-NP\tO' +p106758 +aS'chills\tchill\tNNS\tI-NP\tO' +p106759 +aS'.\t.\t.\tO\tO' +p106760 +asS'The abdomen was soft and nontender with no masses , no organomegaly .' +p106761 +(lp106762 +S'The\tThe\tDT\tB-NP\tO' +p106763 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p106764 +aS'was\tbe\tVBD\tB-VP\tO' +p106765 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p106766 +aS'and\tand\tCC\tI-ADJP\tO' +p106767 +aS'nontender\tnontender\tJJ\tI-ADJP\tO' +p106768 +aS'with\twith\tIN\tB-PP\tO' +p106769 +aS'no\tno\tDT\tB-NP\tO' +p106770 +aS'masses\tmass\tNNS\tI-NP\tO' +p106771 +aS',\t,\t,\tO\tO' +p106772 +aS'no\tno\tDT\tB-NP\tO' +p106773 +aS'organomegaly\torganomegaly\tNN\tI-NP\tO' +p106774 +aS'.\t.\t.\tO\tO' +p106775 +asS'Subsequently she was extubated on 06-28 .' +p106776 +(lp106777 +S'Subsequently\tSubsequently\tRB\tB-ADVP\tO' +p106778 +aS'she\tshe\tPRP\tB-NP\tO' +p106779 +aS'was\tbe\tVBD\tB-VP\tO' +p106780 +aS'extubated\textubate\tVBN\tI-VP\tO' +p106781 +aS'on\ton\tIN\tB-PP\tO' +p106782 +aS'06-28\t06-28\tCD\tB-NP\tO' +p106783 +aS'.\t.\t.\tO\tO' +p106784 +asS'2. Motrin as needed .' +p106785 +(lp106786 +S'2.\t2.\tLS\tB-NP\tO' +p106787 +aS'Motrin\tMotrin\tNN\tI-NP\tO' +p106788 +aS'as\tas\tIN\tB-SBAR\tO' +p106789 +aS'needed\tneed\tVBN\tB-VP\tO' +p106790 +aS'.\t.\t.\tO\tO' +p106791 +asS'The patient is intubated .' +p106792 +(lp106793 +S'The\tThe\tDT\tB-NP\tO' +p106794 +aS'patient\tpatient\tNN\tI-NP\tO' +p106795 +aS'is\tbe\tVBZ\tB-VP\tO' +p106796 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p106797 +aS'.\t.\t.\tO\tO' +p106798 +asS'POD#7 she was discharged to rehab in stable condition .' +p106799 +(lp106800 +S'POD#7\tPOD#7\tNN\tB-NP\tB-protein' +p106801 +aS'she\tshe\tPRP\tB-NP\tO' +p106802 +aS'was\tbe\tVBD\tB-VP\tO' +p106803 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p106804 +aS'to\tto\tTO\tI-VP\tO' +p106805 +aS'rehab\trehab\tVB\tI-VP\tO' +p106806 +aS'in\tin\tIN\tB-PP\tO' +p106807 +aS'stable\tstable\tJJ\tB-NP\tO' +p106808 +aS'condition\tcondition\tNN\tI-NP\tO' +p106809 +aS'.\t.\t.\tO\tO' +p106810 +asS'Please follow up with Albano , as direct by them , a few days after discharge from the hospital ( ( 371 ) 400 5776 .' +p106811 +(lp106812 +S'Please\tPlease\tVB\tB-VP\tO' +p106813 +aS'follow\tfollow\tVB\tI-VP\tO' +p106814 +aS'up\tup\tRP\tB-PRT\tO' +p106815 +aS'with\twith\tIN\tB-PP\tO' +p106816 +aS'Albano\tAlbano\tNNP\tB-NP\tO' +p106817 +aS',\t,\t,\tO\tO' +p106818 +aS'as\tas\tIN\tB-PP\tO' +p106819 +aS'direct\tdirect\tJJ\tB-ADJP\tO' +p106820 +aS'by\tby\tIN\tB-PP\tO' +p106821 +aS'them\tthem\tPRP\tB-NP\tO' +p106822 +aS',\t,\t,\tO\tO' +p106823 +aS'a\ta\tDT\tB-NP\tO' +p106824 +aS'few\tfew\tJJ\tI-NP\tO' +p106825 +aS'days\tday\tNNS\tI-NP\tO' +p106826 +aS'after\tafter\tIN\tB-PP\tO' +p106827 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p106828 +aS'from\tfrom\tIN\tB-PP\tO' +p106829 +aS'the\tthe\tDT\tB-NP\tO' +p106830 +aS'hospital\thospital\tNN\tI-NP\tO' +p106831 +aS'(\t(\t(\tO\tO' +p106832 +aS'(\t(\t(\tO\tO' +p106833 +aS'371\t371\tCD\tB-NP\tO' +p106834 +aS')\t)\t)\tO\tO' +p106835 +aS'400\t400\tCD\tB-NP\tO' +p106836 +aS'5776\t5776\tCD\tI-NP\tO' +p106837 +aS'.\t.\t.\tO\tO' +p106838 +asS'History of kidney mass .' +p106839 +(lp106840 +S'History\tHistory\tNN\tB-NP\tO' +p106841 +aS'of\tof\tIN\tB-PP\tO' +p106842 +aS'kidney\tkidney\tNN\tB-NP\tO' +p106843 +aS'mass\tmass\tNN\tI-NP\tO' +p106844 +aS'.\t.\t.\tO\tO' +p106845 +asS'The patient was admitted to Vascular Surgery Service as a same day admission , and taken to the operating room for an uncomplicated endovascular repair of his abdominal aortic aneurysm , and Anurx modular bifurcated graft was placed , and both common femoral arteries were repaired in the usual fashion .' +p106846 +(lp106847 +S'The\tThe\tDT\tB-NP\tO' +p106848 +aS'patient\tpatient\tNN\tI-NP\tO' +p106849 +aS'was\tbe\tVBD\tB-VP\tO' +p106850 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p106851 +aS'to\tto\tTO\tB-PP\tO' +p106852 +aS'Vascular\tVascular\tNNP\tB-NP\tO' +p106853 +aS'Surgery\tSurgery\tNNP\tI-NP\tO' +p106854 +aS'Service\tService\tNNP\tI-NP\tO' +p106855 +aS'as\tas\tIN\tB-PP\tO' +p106856 +aS'a\ta\tDT\tB-NP\tO' +p106857 +aS'same\tsame\tJJ\tI-NP\tO' +p106858 +aS'day\tday\tNN\tI-NP\tO' +p106859 +aS'admission\tadmission\tNN\tI-NP\tO' +p106860 +aS',\t,\t,\tO\tO' +p106861 +aS'and\tand\tCC\tO\tO' +p106862 +aS'taken\ttake\tVBN\tB-VP\tO' +p106863 +aS'to\tto\tTO\tB-PP\tO' +p106864 +aS'the\tthe\tDT\tB-NP\tO' +p106865 +aS'operating\toperating\tNN\tI-NP\tO' +p106866 +aS'room\troom\tNN\tI-NP\tO' +p106867 +aS'for\tfor\tIN\tB-PP\tO' +p106868 +aS'an\tan\tDT\tB-NP\tO' +p106869 +aS'uncomplicated\tuncomplicated\tJJ\tI-NP\tO' +p106870 +aS'endovascular\tendovascular\tJJ\tI-NP\tO' +p106871 +aS'repair\trepair\tNN\tI-NP\tO' +p106872 +aS'of\tof\tIN\tB-PP\tO' +p106873 +aS'his\this\tPRP$\tB-NP\tO' +p106874 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p106875 +aS'aortic\taortic\tJJ\tI-NP\tO' +p106876 +aS'aneurysm\taneurysm\tNN\tI-NP\tO' +p106877 +aS',\t,\t,\tO\tO' +p106878 +aS'and\tand\tCC\tO\tO' +p106879 +aS'Anurx\tAnurx\tNN\tB-NP\tO' +p106880 +aS'modular\tmodular\tJJ\tI-NP\tO' +p106881 +aS'bifurcated\tbifurcate\tVBN\tI-NP\tO' +p106882 +aS'graft\tgraft\tNN\tI-NP\tO' +p106883 +aS'was\tbe\tVBD\tB-VP\tO' +p106884 +aS'placed\tplace\tVBN\tI-VP\tO' +p106885 +aS',\t,\t,\tO\tO' +p106886 +aS'and\tand\tCC\tO\tO' +p106887 +aS'both\tboth\tDT\tB-NP\tO' +p106888 +aS'common\tcommon\tJJ\tI-NP\tO' +p106889 +aS'femoral\tfemoral\tJJ\tI-NP\tO' +p106890 +aS'arteries\tartery\tNNS\tI-NP\tO' +p106891 +aS'were\tbe\tVBD\tB-VP\tO' +p106892 +aS'repaired\trepair\tVBN\tI-VP\tO' +p106893 +aS'in\tin\tIN\tB-PP\tO' +p106894 +aS'the\tthe\tDT\tB-NP\tO' +p106895 +aS'usual\tusual\tJJ\tI-NP\tO' +p106896 +aS'fashion\tfashion\tNN\tI-NP\tO' +p106897 +aS'.\t.\t.\tO\tO' +p106898 +asS'The cardiac index was preserved at 3.0 L / min / m2 .' +p106899 +(lp106900 +S'The\tThe\tDT\tB-NP\tO' +p106901 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p106902 +aS'index\tindex\tNN\tI-NP\tO' +p106903 +aS'was\tbe\tVBD\tB-VP\tO' +p106904 +aS'preserved\tpreserve\tVBN\tI-VP\tO' +p106905 +aS'at\tat\tIN\tB-PP\tO' +p106906 +aS'3.0\t3.0\tCD\tB-NP\tO' +p106907 +aS'L\tL\tNN\tI-NP\tO' +p106908 +aS'/\t/\tSYM\tB-NP\tO' +p106909 +aS'min\tmin\tNN\tI-NP\tO' +p106910 +aS'/\t/\tSYM\tI-NP\tO' +p106911 +aS'm2\tm2\tNN\tI-NP\tO' +p106912 +aS'.\t.\t.\tO\tO' +p106913 +asS'He was admitted , taken to the operating room where he underwent L5-S1 right hemilaminectomy and discectomy .' +p106914 +(lp106915 +S'He\tHe\tPRP\tB-NP\tO' +p106916 +aS'was\tbe\tVBD\tB-VP\tO' +p106917 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p106918 +aS',\t,\t,\tO\tO' +p106919 +aS'taken\ttake\tVBN\tB-VP\tO' +p106920 +aS'to\tto\tTO\tB-PP\tO' +p106921 +aS'the\tthe\tDT\tB-NP\tO' +p106922 +aS'operating\toperating\tNN\tI-NP\tO' +p106923 +aS'room\troom\tNN\tI-NP\tO' +p106924 +aS'where\twhere\tWRB\tB-ADVP\tO' +p106925 +aS'he\the\tPRP\tB-NP\tO' +p106926 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p106927 +aS'L5-S1\tL5-S1\tNN\tB-NP\tO' +p106928 +aS'right\tright\tJJ\tI-NP\tO' +p106929 +aS'hemilaminectomy\themilaminectomy\tNN\tI-NP\tO' +p106930 +aS'and\tand\tCC\tI-NP\tO' +p106931 +aS'discectomy\tdiscectomy\tNN\tI-NP\tO' +p106932 +aS'.\t.\t.\tO\tO' +p106933 +asS'The patient is allergic to penicillin , develops a rash .' +p106934 +(lp106935 +S'The\tThe\tDT\tB-NP\tO' +p106936 +aS'patient\tpatient\tNN\tI-NP\tO' +p106937 +aS'is\tbe\tVBZ\tB-VP\tO' +p106938 +aS'allergic\tallergic\tJJ\tB-ADJP\tO' +p106939 +aS'to\tto\tTO\tB-PP\tO' +p106940 +aS'penicillin\tpenicillin\tNN\tB-NP\tB-protein' +p106941 +aS',\t,\t,\tO\tO' +p106942 +aS'develops\tdevelop\tVBZ\tB-VP\tO' +p106943 +aS'a\ta\tDT\tB-NP\tO' +p106944 +aS'rash\trash\tNN\tI-NP\tO' +p106945 +aS'.\t.\t.\tO\tO' +p106946 +asS'He denies auditory , visual or tactile hallucinations .' +p106947 +(lp106948 +S'He\tHe\tPRP\tB-NP\tO' +p106949 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p106950 +aS'auditory\tauditory\tJJ\tB-NP\tO' +p106951 +aS',\t,\t,\tI-NP\tO' +p106952 +aS'visual\tvisual\tJJ\tI-NP\tO' +p106953 +aS'or\tor\tCC\tI-NP\tO' +p106954 +aS'tactile\ttactile\tJJ\tI-NP\tO' +p106955 +aS'hallucinations\thallucination\tNNS\tI-NP\tO' +p106956 +aS'.\t.\t.\tO\tO' +p106957 +asS'The patient was alert and oriented x3 .' +p106958 +(lp106959 +S'The\tThe\tDT\tB-NP\tO' +p106960 +aS'patient\tpatient\tNN\tI-NP\tO' +p106961 +aS'was\tbe\tVBD\tB-VP\tO' +p106962 +aS'alert\talert\tJJ\tB-ADJP\tO' +p106963 +aS'and\tand\tCC\tO\tO' +p106964 +aS'oriented\torient\tVBN\tB-VP\tO' +p106965 +aS'x3\tx3\tNN\tB-NP\tO' +p106966 +aS'.\t.\t.\tO\tO' +p106967 +asS'We continued her albuterol / atrovent nebs , diuresis with IV lasix drip and boluses .' +p106968 +(lp106969 +S'We\tWe\tPRP\tB-NP\tO' +p106970 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p106971 +aS'her\ther\tPRP$\tB-NP\tO' +p106972 +aS'albuterol\talbuterol\tNN\tI-NP\tO' +p106973 +aS'/\t/\tSYM\tB-VP\tO' +p106974 +aS'atrovent\tatrovent\tNN\tB-NP\tO' +p106975 +aS'nebs\tneb\tNNS\tI-NP\tO' +p106976 +aS',\t,\t,\tO\tO' +p106977 +aS'diuresis\tdiuresis\tNN\tB-NP\tO' +p106978 +aS'with\twith\tIN\tB-PP\tO' +p106979 +aS'IV\tIV\tCD\tB-NP\tO' +p106980 +aS'lasix\tlasix\tCD\tI-NP\tO' +p106981 +aS'drip\tdrip\tNN\tI-NP\tO' +p106982 +aS'and\tand\tCC\tI-NP\tO' +p106983 +aS'boluses\tbolus\tNNS\tI-NP\tO' +p106984 +aS'.\t.\t.\tO\tO' +p106985 +asS'He was weaned from his vasoactive drips and transferred to the floor on POD #2 .' +p106986 +(lp106987 +S'He\tHe\tPRP\tB-NP\tO' +p106988 +aS'was\tbe\tVBD\tB-VP\tO' +p106989 +aS'weaned\twean\tVBN\tI-VP\tO' +p106990 +aS'from\tfrom\tIN\tB-PP\tO' +p106991 +aS'his\this\tPRP$\tB-NP\tO' +p106992 +aS'vasoactive\tvasoactive\tJJ\tI-NP\tO' +p106993 +aS'drips\tdrip\tNNS\tI-NP\tO' +p106994 +aS'and\tand\tCC\tO\tO' +p106995 +aS'transferred\ttransfer\tVBN\tB-VP\tO' +p106996 +aS'to\tto\tTO\tB-PP\tO' +p106997 +aS'the\tthe\tDT\tB-NP\tO' +p106998 +aS'floor\tfloor\tNN\tI-NP\tO' +p106999 +aS'on\ton\tIN\tB-PP\tO' +p107000 +aS'POD\tPOD\tNN\tB-NP\tB-protein' +p107001 +aS'#2\t#2\tNN\tI-NP\tI-protein' +p107002 +aS'.\t.\t.\tO\tO' +p107003 +asS'He has no bleeding or clotting problems .' +p107004 +(lp107005 +S'He\tHe\tPRP\tB-NP\tO' +p107006 +aS'has\thave\tVBZ\tB-VP\tO' +p107007 +aS'no\tno\tDT\tB-NP\tO' +p107008 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p107009 +aS'or\tor\tCC\tI-NP\tO' +p107010 +aS'clotting\tclotting\tNN\tI-NP\tO' +p107011 +aS'problems\tproblem\tNNS\tI-NP\tO' +p107012 +aS'.\t.\t.\tO\tO' +p107013 +asS'Post procedure pt remained intubated on ARDSnet protocol .' +p107014 +(lp107015 +S'Post\tPost\tJJ\tB-NP\tO' +p107016 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p107017 +aS'pt\tpt\tNN\tI-NP\tO' +p107018 +aS'remained\tremain\tVBD\tB-VP\tO' +p107019 +aS'intubated\tintubated\tJJ\tB-ADJP\tO' +p107020 +aS'on\ton\tIN\tB-PP\tO' +p107021 +aS'ARDSnet\tARDSnet\tNNP\tB-NP\tO' +p107022 +aS'protocol\tprotocol\tNN\tI-NP\tO' +p107023 +aS'.\t.\t.\tO\tO' +p107024 +asS'There was apparent loss of consciousness at the scene and significant deformity of the anterior portion of the motorvehicle with positive starring of the windshield .' +p107025 +(lp107026 +S'There\tThere\tEX\tB-NP\tO' +p107027 +aS'was\tbe\tVBD\tB-VP\tO' +p107028 +aS'apparent\tapparent\tJJ\tB-NP\tO' +p107029 +aS'loss\tloss\tNN\tI-NP\tO' +p107030 +aS'of\tof\tIN\tB-PP\tO' +p107031 +aS'consciousness\tconsciousness\tNN\tB-NP\tO' +p107032 +aS'at\tat\tIN\tB-PP\tO' +p107033 +aS'the\tthe\tDT\tB-NP\tO' +p107034 +aS'scene\tscene\tNN\tI-NP\tO' +p107035 +aS'and\tand\tCC\tO\tO' +p107036 +aS'significant\tsignificant\tJJ\tB-NP\tO' +p107037 +aS'deformity\tdeformity\tNN\tI-NP\tO' +p107038 +aS'of\tof\tIN\tB-PP\tO' +p107039 +aS'the\tthe\tDT\tB-NP\tO' +p107040 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p107041 +aS'portion\tportion\tNN\tI-NP\tO' +p107042 +aS'of\tof\tIN\tB-PP\tO' +p107043 +aS'the\tthe\tDT\tB-NP\tO' +p107044 +aS'motorvehicle\tmotorvehicle\tNN\tI-NP\tO' +p107045 +aS'with\twith\tIN\tB-PP\tO' +p107046 +aS'positive\tpositive\tJJ\tB-NP\tO' +p107047 +aS'starring\tstarring\tNN\tI-NP\tO' +p107048 +aS'of\tof\tIN\tB-PP\tO' +p107049 +aS'the\tthe\tDT\tB-NP\tO' +p107050 +aS'windshield\twindshield\tNN\tI-NP\tO' +p107051 +aS'.\t.\t.\tO\tO' +p107052 +asS'Abdomen soft , mildly distended , nontender , positive bowel sounds .' +p107053 +(lp107054 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p107055 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p107056 +aS',\t,\t,\tB-NP\tO' +p107057 +aS'mildly\tmildly\tRB\tI-NP\tO' +p107058 +aS'distended\tdistended\tJJ\tI-NP\tO' +p107059 +aS',\t,\t,\tI-NP\tO' +p107060 +aS'nontender\tnontender\tJJ\tI-NP\tO' +p107061 +aS',\t,\t,\tI-NP\tO' +p107062 +aS'positive\tpositive\tJJ\tI-NP\tO' +p107063 +aS'bowel\tbowel\tNN\tI-NP\tO' +p107064 +aS'sounds\tsound\tNNS\tI-NP\tO' +p107065 +aS'.\t.\t.\tO\tO' +p107066 +asS'Soft , bowel sounds present , tenderness present in epigastrium to moderate palpation .' +p107067 +(lp107068 +S'Soft\tSoft\tRB\tB-ADVP\tO' +p107069 +aS',\t,\t,\tO\tO' +p107070 +aS'bowel\tbowel\tNN\tB-NP\tO' +p107071 +aS'sounds\tsound\tVBZ\tB-VP\tO' +p107072 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p107073 +aS',\t,\t,\tO\tO' +p107074 +aS'tenderness\ttenderness\tNN\tB-NP\tO' +p107075 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p107076 +aS'in\tin\tIN\tB-PP\tO' +p107077 +aS'epigastrium\tepigastrium\tNN\tB-NP\tO' +p107078 +aS'to\tto\tTO\tB-PP\tO' +p107079 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p107080 +aS'palpation\tpalpation\tNN\tI-NP\tO' +p107081 +aS'.\t.\t.\tO\tO' +p107082 +asS'Despite episodes of somnolence the first night which were presumably due to having spent the entire night in the Emergency Department , she never became more hypercarbic , and her PCO2 trended to 48 by the time the arterial line was discontinued .' +p107083 +(lp107084 +S'Despite\tDespite\tIN\tB-PP\tO' +p107085 +aS'episodes\tepisode\tNNS\tB-NP\tO' +p107086 +aS'of\tof\tIN\tB-PP\tO' +p107087 +aS'somnolence\tsomnolence\tNN\tB-NP\tO' +p107088 +aS'the\tthe\tDT\tB-NP\tO' +p107089 +aS'first\tfirst\tJJ\tI-NP\tO' +p107090 +aS'night\tnight\tNN\tI-NP\tO' +p107091 +aS'which\twhich\tWDT\tB-NP\tO' +p107092 +aS'were\tbe\tVBD\tB-VP\tO' +p107093 +aS'presumably\tpresumably\tRB\tB-ADJP\tO' +p107094 +aS'due\tdue\tJJ\tI-ADJP\tO' +p107095 +aS'to\tto\tTO\tB-PP\tO' +p107096 +aS'having\thave\tVBG\tB-VP\tO' +p107097 +aS'spent\tspend\tVBN\tI-VP\tO' +p107098 +aS'the\tthe\tDT\tB-NP\tO' +p107099 +aS'entire\tentire\tJJ\tI-NP\tO' +p107100 +aS'night\tnight\tNN\tI-NP\tO' +p107101 +aS'in\tin\tIN\tB-PP\tO' +p107102 +aS'the\tthe\tDT\tB-NP\tO' +p107103 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p107104 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p107105 +aS',\t,\t,\tO\tO' +p107106 +aS'she\tshe\tPRP\tB-NP\tO' +p107107 +aS'never\tnever\tRB\tB-ADVP\tO' +p107108 +aS'became\tbecome\tVBD\tB-VP\tO' +p107109 +aS'more\tmore\tRBR\tB-ADJP\tO' +p107110 +aS'hypercarbic\thypercarbic\tJJ\tI-ADJP\tO' +p107111 +aS',\t,\t,\tO\tO' +p107112 +aS'and\tand\tCC\tO\tO' +p107113 +aS'her\ther\tPRP$\tB-NP\tO' +p107114 +aS'PCO2\tPCO2\tNN\tI-NP\tB-protein' +p107115 +aS'trended\ttrend\tVBD\tB-VP\tO' +p107116 +aS'to\tto\tTO\tB-PP\tO' +p107117 +aS'48\t48\tCD\tB-NP\tO' +p107118 +aS'by\tby\tIN\tB-PP\tO' +p107119 +aS'the\tthe\tDT\tB-NP\tO' +p107120 +aS'time\ttime\tNN\tI-NP\tO' +p107121 +aS'the\tthe\tDT\tB-NP\tO' +p107122 +aS'arterial\tarterial\tJJ\tI-NP\tO' +p107123 +aS'line\tline\tNN\tI-NP\tO' +p107124 +aS'was\tbe\tVBD\tB-VP\tO' +p107125 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p107126 +aS'.\t.\t.\tO\tO' +p107127 +asS'Her electrocardiogram showed no specific ST changes , but there was some loss of her R wave progression laterally .' +p107128 +(lp107129 +S'Her\tHer\tPRP$\tB-NP\tO' +p107130 +aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' +p107131 +aS'showed\tshow\tVBD\tB-VP\tO' +p107132 +aS'no\tno\tDT\tB-NP\tO' +p107133 +aS'specific\tspecific\tJJ\tI-NP\tO' +p107134 +aS'ST\tST\tNN\tI-NP\tO' +p107135 +aS'changes\tchange\tNNS\tI-NP\tO' +p107136 +aS',\t,\t,\tO\tO' +p107137 +aS'but\tbut\tCC\tO\tO' +p107138 +aS'there\tthere\tEX\tB-NP\tO' +p107139 +aS'was\tbe\tVBD\tB-VP\tO' +p107140 +aS'some\tsome\tDT\tB-NP\tO' +p107141 +aS'loss\tloss\tNN\tI-NP\tO' +p107142 +aS'of\tof\tIN\tB-PP\tO' +p107143 +aS'her\ther\tPRP$\tB-NP\tO' +p107144 +aS'R\tR\tNN\tI-NP\tO' +p107145 +aS'wave\twave\tNN\tI-NP\tO' +p107146 +aS'progression\tprogression\tNN\tI-NP\tO' +p107147 +aS'laterally\tlaterally\tRB\tB-ADVP\tO' +p107148 +aS'.\t.\t.\tO\tO' +p107149 +asS'Recent weight loss associated with the pneumonia .' +p107150 +(lp107151 +S'Recent\tRecent\tJJ\tB-NP\tO' +p107152 +aS'weight\tweight\tNN\tI-NP\tO' +p107153 +aS'loss\tloss\tNN\tI-NP\tO' +p107154 +aS'associated\tassociate\tVBN\tB-VP\tO' +p107155 +aS'with\twith\tIN\tB-PP\tO' +p107156 +aS'the\tthe\tDT\tB-NP\tO' +p107157 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p107158 +aS'.\t.\t.\tO\tO' +p107159 +asS"She was then started on Heparin with transition to Coumadin ( goal INR of 2-3 secondary to h/o bilateral DVT 's)." +p107160 +(lp107161 +S'She\tShe\tPRP\tB-NP\tO' +p107162 +aS'was\tbe\tVBD\tB-VP\tO' +p107163 +aS'then\tthen\tRB\tI-VP\tO' +p107164 +aS'started\tstart\tVBN\tI-VP\tO' +p107165 +aS'on\ton\tIN\tB-PP\tO' +p107166 +aS'Heparin\tHeparin\tNN\tB-NP\tO' +p107167 +aS'with\twith\tIN\tB-PP\tO' +p107168 +aS'transition\ttransition\tNN\tB-NP\tO' +p107169 +aS'to\tto\tTO\tB-PP\tO' +p107170 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p107171 +aS'(\t(\t(\tO\tO' +p107172 +aS'goal\tgoal\tNN\tB-NP\tO' +p107173 +aS'INR\tINR\tNN\tI-NP\tO' +p107174 +aS'of\tof\tIN\tB-PP\tO' +p107175 +aS'2-3\t2-3\tNN\tB-NP\tO' +p107176 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p107177 +aS'to\tto\tTO\tB-VP\tO' +p107178 +aS'h/o\th/o\tVB\tI-VP\tO' +p107179 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p107180 +aS'DVT\tDVT\tNN\tI-NP\tO' +p107181 +aS"'s).\t's).\tPOS\tB-NP\tO" +p107182 +asS'She was treated with magnesium sulfate .' +p107183 +(lp107184 +S'She\tShe\tPRP\tB-NP\tO' +p107185 +aS'was\tbe\tVBD\tB-VP\tO' +p107186 +aS'treated\ttreat\tVBN\tI-VP\tO' +p107187 +aS'with\twith\tIN\tB-PP\tO' +p107188 +aS'magnesium\tmagnesium\tNN\tB-NP\tO' +p107189 +aS'sulfate\tsulfate\tNN\tI-NP\tO' +p107190 +aS'.\t.\t.\tO\tO' +p107191 +asS'4-Septic shock .' +p107192 +(lp107193 +S'4-Septic\t4-Septic\tJJ\tB-NP\tO' +p107194 +aS'shock\tshock\tNN\tI-NP\tO' +p107195 +aS'.\t.\t.\tO\tO' +p107196 +asS'Currently the patient is short of breath without chest pain or dysphagia .' +p107197 +(lp107198 +S'Currently\tCurrently\tRB\tB-ADVP\tO' +p107199 +aS'the\tthe\tDT\tB-NP\tO' +p107200 +aS'patient\tpatient\tNN\tI-NP\tO' +p107201 +aS'is\tbe\tVBZ\tB-VP\tO' +p107202 +aS'short\tshort\tJJ\tB-ADJP\tO' +p107203 +aS'of\tof\tIN\tB-PP\tO' +p107204 +aS'breath\tbreath\tNN\tB-NP\tO' +p107205 +aS'without\twithout\tIN\tB-PP\tO' +p107206 +aS'chest\tchest\tNN\tB-NP\tO' +p107207 +aS'pain\tpain\tNN\tI-NP\tO' +p107208 +aS'or\tor\tCC\tI-NP\tO' +p107209 +aS'dysphagia\tdysphagia\tNN\tI-NP\tO' +p107210 +aS'.\t.\t.\tO\tO' +p107211 +asS'3. Pramipexole 0.125 mg Tablet Sig : One ( 1 ) Tablet PO TID ( 3 times a day ) .' +p107212 +(lp107213 +S'3.\t3.\tLS\tB-NP\tO' +p107214 +aS'Pramipexole\tPramipexole\tNN\tI-NP\tO' +p107215 +aS'0.125\t0.125\tCD\tI-NP\tO' +p107216 +aS'mg\tmg\tNN\tI-NP\tO' +p107217 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p107218 +aS'Sig\tSig\tNNP\tI-NP\tO' +p107219 +aS':\t:\t:\tO\tO' +p107220 +aS'One\tOne\tCD\tB-NP\tO' +p107221 +aS'(\t(\t(\tO\tO' +p107222 +aS'1\t1\tCD\tB-NP\tO' +p107223 +aS')\t)\t)\tO\tO' +p107224 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p107225 +aS'PO\tPO\tNN\tI-NP\tO' +p107226 +aS'TID\tTID\tNN\tI-NP\tO' +p107227 +aS'(\t(\t(\tO\tO' +p107228 +aS'3\t3\tCD\tB-NP\tO' +p107229 +aS'times\ttime\tNNS\tI-NP\tO' +p107230 +aS'a\ta\tDT\tB-NP\tO' +p107231 +aS'day\tday\tNN\tI-NP\tO' +p107232 +aS')\t)\t)\tO\tO' +p107233 +aS'.\t.\t.\tO\tO' +p107234 +asS'Her heart revealed a regular rate and rhythm with a faint second heart sound and second heart sound .' +p107235 +(lp107236 +S'Her\tHer\tPRP$\tB-NP\tO' +p107237 +aS'heart\theart\tNN\tI-NP\tO' +p107238 +aS'revealed\treveal\tVBD\tB-VP\tO' +p107239 +aS'a\ta\tDT\tB-NP\tO' +p107240 +aS'regular\tregular\tJJ\tI-NP\tO' +p107241 +aS'rate\trate\tNN\tI-NP\tO' +p107242 +aS'and\tand\tCC\tI-NP\tO' +p107243 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p107244 +aS'with\twith\tIN\tB-PP\tO' +p107245 +aS'a\ta\tDT\tB-NP\tO' +p107246 +aS'faint\tfaint\tJJ\tI-NP\tO' +p107247 +aS'second\tsecond\tJJ\tI-NP\tO' +p107248 +aS'heart\theart\tNN\tI-NP\tO' +p107249 +aS'sound\tsound\tNN\tI-NP\tO' +p107250 +aS'and\tand\tCC\tO\tO' +p107251 +aS'second\tsecond\tJJ\tB-NP\tO' +p107252 +aS'heart\theart\tNN\tI-NP\tO' +p107253 +aS'sound\tsound\tNN\tI-NP\tO' +p107254 +aS'.\t.\t.\tO\tO' +p107255 +asS'Liver transplant .' +p107256 +(lp107257 +S'Liver\tLiver\tNN\tB-NP\tO' +p107258 +aS'transplant\ttransplant\tNN\tI-NP\tO' +p107259 +aS'.\t.\t.\tO\tO' +p107260 +asS'Neck was supple , bilateral bruits , although possibly radiating from cardiac base .' +p107261 +(lp107262 +S'Neck\tNeck\tNN\tB-NP\tO' +p107263 +aS'was\tbe\tVBD\tB-VP\tO' +p107264 +aS'supple\tsupple\tJJ\tB-NP\tO' +p107265 +aS',\t,\t,\tI-NP\tO' +p107266 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p107267 +aS'bruits\tbruit\tNNS\tI-NP\tO' +p107268 +aS',\t,\t,\tO\tO' +p107269 +aS'although\talthough\tIN\tB-SBAR\tO' +p107270 +aS'possibly\tpossibly\tRB\tB-ADVP\tO' +p107271 +aS'radiating\tradiate\tVBG\tB-VP\tO' +p107272 +aS'from\tfrom\tIN\tB-PP\tO' +p107273 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p107274 +aS'base\tbase\tNN\tI-NP\tO' +p107275 +aS'.\t.\t.\tO\tO' +p107276 +asS'On postoperative day #1 in the evening , the patient was noted to go into atrial fibrillation , for which he was controlled and started on amiodarone , after which he converted again to normal sinus rhythm .' +p107277 +(lp107278 +S'On\tOn\tIN\tB-PP\tO' +p107279 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p107280 +aS'day\tday\tNN\tI-NP\tO' +p107281 +aS'#1\t#1\tNN\tI-NP\tO' +p107282 +aS'in\tin\tIN\tB-PP\tO' +p107283 +aS'the\tthe\tDT\tB-NP\tO' +p107284 +aS'evening\tevening\tNN\tI-NP\tO' +p107285 +aS',\t,\t,\tO\tO' +p107286 +aS'the\tthe\tDT\tB-NP\tO' +p107287 +aS'patient\tpatient\tNN\tI-NP\tO' +p107288 +aS'was\tbe\tVBD\tB-VP\tO' +p107289 +aS'noted\tnote\tVBN\tI-VP\tO' +p107290 +aS'to\tto\tTO\tB-VP\tO' +p107291 +aS'go\tgo\tVB\tI-VP\tO' +p107292 +aS'into\tinto\tIN\tB-PP\tO' +p107293 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p107294 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p107295 +aS',\t,\t,\tO\tO' +p107296 +aS'for\tfor\tIN\tB-PP\tO' +p107297 +aS'which\twhich\tWDT\tB-NP\tO' +p107298 +aS'he\the\tPRP\tB-NP\tO' +p107299 +aS'was\tbe\tVBD\tB-VP\tO' +p107300 +aS'controlled\tcontrol\tVBN\tI-VP\tO' +p107301 +aS'and\tand\tCC\tO\tO' +p107302 +aS'started\tstart\tVBN\tB-VP\tO' +p107303 +aS'on\ton\tIN\tB-PP\tO' +p107304 +aS'amiodarone\tamiodarone\tNN\tB-NP\tO' +p107305 +aS',\t,\t,\tO\tO' +p107306 +aS'after\tafter\tIN\tB-PP\tO' +p107307 +aS'which\twhich\tWDT\tB-NP\tO' +p107308 +aS'he\the\tPRP\tB-NP\tO' +p107309 +aS'converted\tconvert\tVBD\tB-VP\tO' +p107310 +aS'again\tagain\tRB\tB-ADVP\tO' +p107311 +aS'to\tto\tTO\tB-PP\tO' +p107312 +aS'normal\tnormal\tJJ\tB-NP\tO' +p107313 +aS'sinus\tsinus\tNN\tI-NP\tO' +p107314 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p107315 +aS'.\t.\t.\tO\tO' +p107316 +asS'7. Lopressor 25 mg twice a day .' +p107317 +(lp107318 +S'7.\t7.\tCD\tB-NP\tO' +p107319 +aS'Lopressor\tLopressor\tNN\tI-NP\tO' +p107320 +aS'25\t25\tCD\tB-NP\tO' +p107321 +aS'mg\tmg\tNN\tI-NP\tO' +p107322 +aS'twice\ttwice\tRB\tB-NP\tO' +p107323 +aS'a\ta\tDT\tI-NP\tO' +p107324 +aS'day\tday\tNN\tI-NP\tO' +p107325 +aS'.\t.\t.\tO\tO' +p107326 +asS'He was a well developed , well nourished white male .' +p107327 +(lp107328 +S'He\tHe\tPRP\tB-NP\tO' +p107329 +aS'was\tbe\tVBD\tB-VP\tO' +p107330 +aS'a\ta\tDT\tB-NP\tO' +p107331 +aS'well\twell\tRB\tI-NP\tO' +p107332 +aS'developed\tdevelop\tVBN\tI-NP\tO' +p107333 +aS',\t,\t,\tO\tO' +p107334 +aS'well\twell\tRB\tB-ADVP\tO' +p107335 +aS'nourished\tnourish\tVBD\tB-VP\tO' +p107336 +aS'white\twhite\tJJ\tB-NP\tO' +p107337 +aS'male\tmale\tNN\tI-NP\tO' +p107338 +aS'.\t.\t.\tO\tO' +p107339 +asS'Echo : The left atrium is mildly dilated .' +p107340 +(lp107341 +S'Echo\tEcho\tNN\tB-NP\tO' +p107342 +aS':\t:\t:\tO\tO' +p107343 +aS'The\tThe\tDT\tB-NP\tO' +p107344 +aS'left\tleft\tJJ\tI-NP\tO' +p107345 +aS'atrium\tatrium\tNN\tI-NP\tO' +p107346 +aS'is\tbe\tVBZ\tB-VP\tO' +p107347 +aS'mildly\tmildly\tRB\tI-VP\tO' +p107348 +aS'dilated\tdilate\tVBN\tI-VP\tO' +p107349 +aS'.\t.\t.\tO\tO' +p107350 +asS'Doppler revealed no hemodynamically significant lesions bilaterally .' +p107351 +(lp107352 +S'Doppler\tDoppler\tNNP\tB-NP\tO' +p107353 +aS'revealed\treveal\tVBD\tB-VP\tO' +p107354 +aS'no\tno\tDT\tB-NP\tO' +p107355 +aS'hemodynamically\themodynamically\tRB\tI-NP\tO' +p107356 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p107357 +aS'lesions\tlesion\tNNS\tI-NP\tO' +p107358 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p107359 +aS'.\t.\t.\tO\tO' +p107360 +asS'Testes were descended bilaterally .' +p107361 +(lp107362 +S'Testes\tTestis\tNNS\tB-NP\tO' +p107363 +aS'were\tbe\tVBD\tB-VP\tO' +p107364 +aS'descended\tdescend\tVBN\tI-VP\tO' +p107365 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p107366 +aS'.\t.\t.\tO\tO' +p107367 +asS'The patient was breathing comfortably in room air .' +p107368 +(lp107369 +S'The\tThe\tDT\tB-NP\tO' +p107370 +aS'patient\tpatient\tNN\tI-NP\tO' +p107371 +aS'was\tbe\tVBD\tB-VP\tO' +p107372 +aS'breathing\tbreathe\tVBG\tI-VP\tO' +p107373 +aS'comfortably\tcomfortably\tRB\tB-ADVP\tO' +p107374 +aS'in\tin\tIN\tB-PP\tO' +p107375 +aS'room\troom\tNN\tB-NP\tO' +p107376 +aS'air\tair\tNN\tI-NP\tO' +p107377 +aS'.\t.\t.\tO\tO' +p107378 +asS'Heart regular rate and rhythm , his lungs were clear .' +p107379 +(lp107380 +S'Heart\tHeart\tNN\tB-NP\tO' +p107381 +aS'regular\tregular\tJJ\tI-NP\tO' +p107382 +aS'rate\trate\tNN\tI-NP\tO' +p107383 +aS'and\tand\tCC\tI-NP\tO' +p107384 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p107385 +aS',\t,\t,\tO\tO' +p107386 +aS'his\this\tPRP$\tB-NP\tO' +p107387 +aS'lungs\tlung\tNNS\tI-NP\tO' +p107388 +aS'were\tbe\tVBD\tB-VP\tO' +p107389 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p107390 +aS'.\t.\t.\tO\tO' +p107391 +asS'8. Social : in police custody , with 24 hr guard , handcuffed to bed' +p107392 +(lp107393 +S'8.\t8.\tCD\tB-NP\tO' +p107394 +aS'Social\tSocial\tNNP\tI-NP\tO' +p107395 +aS':\t:\t:\tO\tO' +p107396 +aS'in\tin\tIN\tB-PP\tO' +p107397 +aS'police\tpolice\tNN\tB-NP\tO' +p107398 +aS'custody\tcustody\tNN\tI-NP\tO' +p107399 +aS',\t,\t,\tO\tO' +p107400 +aS'with\twith\tIN\tB-PP\tO' +p107401 +aS'24\t24\tCD\tB-NP\tO' +p107402 +aS'hr\thr\tNN\tI-NP\tO' +p107403 +aS'guard\tguard\tNN\tI-NP\tO' +p107404 +aS',\t,\t,\tO\tO' +p107405 +aS'handcuffed\thandcuff\tVBN\tB-VP\tO' +p107406 +aS'to\tto\tTO\tB-PP\tO' +p107407 +aS'bed\tbed\tNN\tB-NP\tO' +p107408 +asS'RENAL & GLUCOSE Glucose UreaN Creat Na K Cl HCO3 AnGap' +p107409 +(lp107410 +S'RENAL\tRENAL\tNNP\tB-NP\tO' +p107411 +aS'&\t&\tCC\tI-NP\tO' +p107412 +aS'GLUCOSE\tGLUCOSE\tNNP\tI-NP\tO' +p107413 +aS'Glucose\tGlucose\tNNP\tI-NP\tO' +p107414 +aS'UreaN\tUreaN\tNNP\tI-NP\tO' +p107415 +aS'Creat\tCreat\tNNP\tI-NP\tO' +p107416 +aS'Na\tNa\tNNP\tI-NP\tO' +p107417 +aS'K\tK\tNNP\tI-NP\tO' +p107418 +aS'Cl\tCl\tNNP\tI-NP\tO' +p107419 +aS'HCO3\tHCO3\tNNP\tI-NP\tO' +p107420 +aS'AnGap\tAnGap\tNNP\tI-NP\tO' +p107421 +asS'it is possible that he has had a muscle strain or other musculoskeletal cause .' +p107422 +(lp107423 +S'it\tit\tPRP\tB-NP\tO' +p107424 +aS'is\tbe\tVBZ\tB-VP\tO' +p107425 +aS'possible\tpossible\tJJ\tB-ADJP\tO' +p107426 +aS'that\tthat\tIN\tB-SBAR\tO' +p107427 +aS'he\the\tPRP\tB-NP\tO' +p107428 +aS'has\thave\tVBZ\tB-VP\tO' +p107429 +aS'had\thave\tVBN\tI-VP\tO' +p107430 +aS'a\ta\tDT\tB-NP\tO' +p107431 +aS'muscle\tmuscle\tNN\tI-NP\tO' +p107432 +aS'strain\tstrain\tNN\tI-NP\tO' +p107433 +aS'or\tor\tCC\tO\tO' +p107434 +aS'other\tother\tJJ\tB-NP\tO' +p107435 +aS'musculoskeletal\tmusculoskeletal\tJJ\tI-NP\tO' +p107436 +aS'cause\tcause\tNN\tI-NP\tO' +p107437 +aS'.\t.\t.\tO\tO' +p107438 +asS'Ventricular bigeminy was also seen .' +p107439 +(lp107440 +S'Ventricular\tVentricular\tJJ\tB-NP\tO' +p107441 +aS'bigeminy\tbigeminy\tNN\tI-NP\tO' +p107442 +aS'was\tbe\tVBD\tB-VP\tO' +p107443 +aS'also\talso\tRB\tI-VP\tO' +p107444 +aS'seen\tsee\tVBN\tI-VP\tO' +p107445 +aS'.\t.\t.\tO\tO' +p107446 +asS'Pt reports that he noticed a right neck mass last October .' +p107447 +(lp107448 +S'Pt\tPt\tNN\tB-NP\tO' +p107449 +aS'reports\treport\tVBZ\tB-VP\tO' +p107450 +aS'that\tthat\tIN\tB-SBAR\tO' +p107451 +aS'he\the\tPRP\tB-NP\tO' +p107452 +aS'noticed\tnotice\tVBD\tB-VP\tO' +p107453 +aS'a\ta\tDT\tB-NP\tO' +p107454 +aS'right\tright\tJJ\tI-NP\tO' +p107455 +aS'neck\tneck\tNN\tI-NP\tO' +p107456 +aS'mass\tmass\tNN\tI-NP\tO' +p107457 +aS'last\tlast\tJJ\tB-NP\tO' +p107458 +aS'October\tOctober\tNNP\tI-NP\tO' +p107459 +aS'.\t.\t.\tO\tO' +p107460 +asS'The right pleural effusion slowly re-accumulated after tap but resolved after continued diuresis .' +p107461 +(lp107462 +S'The\tThe\tDT\tB-NP\tO' +p107463 +aS'right\tright\tJJ\tI-NP\tO' +p107464 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p107465 +aS'effusion\teffusion\tNN\tI-NP\tO' +p107466 +aS'slowly\tslowly\tRB\tB-ADJP\tO' +p107467 +aS're-accumulated\tre-accumulated\tJJ\tI-ADJP\tO' +p107468 +aS'after\tafter\tIN\tB-PP\tO' +p107469 +aS'tap\ttap\tNN\tB-NP\tB-protein' +p107470 +aS'but\tbut\tCC\tO\tO' +p107471 +aS'resolved\tresolve\tVBD\tB-VP\tO' +p107472 +aS'after\tafter\tIN\tB-PP\tO' +p107473 +aS'continued\tcontinued\tJJ\tB-NP\tO' +p107474 +aS'diuresis\tdiuresis\tNN\tI-NP\tO' +p107475 +aS'.\t.\t.\tO\tO' +p107476 +asS'The patient presented with a chief complaint of AF-RESOLVED .' +p107477 +(lp107478 +S'The\tThe\tDT\tB-NP\tO' +p107479 +aS'patient\tpatient\tNN\tI-NP\tO' +p107480 +aS'presented\tpresent\tVBD\tB-VP\tO' +p107481 +aS'with\twith\tIN\tB-PP\tO' +p107482 +aS'a\ta\tDT\tB-NP\tO' +p107483 +aS'chief\tchief\tJJ\tI-NP\tO' +p107484 +aS'complaint\tcomplaint\tNN\tI-NP\tO' +p107485 +aS'of\tof\tIN\tB-PP\tO' +p107486 +aS'AF-RESOLVED\tAF-RESOLVED\tNN\tB-NP\tO' +p107487 +aS'.\t.\t.\tO\tO' +p107488 +asS'It was their recommendation to continue Ace inhibitors , to continue daily weights , to switch the patient to a long acting beta-blocker and to enroll the patient in postoperative cardiac rehabilitation as well as to make sure the patient was on statin drugs .' +p107489 +(lp107490 +S'It\tIt\tPRP\tB-NP\tO' +p107491 +aS'was\tbe\tVBD\tB-VP\tO' +p107492 +aS'their\ttheir\tPRP$\tB-NP\tO' +p107493 +aS'recommendation\trecommendation\tNN\tI-NP\tO' +p107494 +aS'to\tto\tTO\tB-VP\tO' +p107495 +aS'continue\tcontinue\tVB\tI-VP\tO' +p107496 +aS'Ace\tAce\tNNP\tB-NP\tO' +p107497 +aS'inhibitors\tinhibitor\tNNS\tI-NP\tO' +p107498 +aS',\t,\t,\tO\tO' +p107499 +aS'to\tto\tTO\tB-VP\tO' +p107500 +aS'continue\tcontinue\tVB\tI-VP\tO' +p107501 +aS'daily\tdaily\tJJ\tB-NP\tO' +p107502 +aS'weights\tweight\tNNS\tI-NP\tO' +p107503 +aS',\t,\t,\tO\tO' +p107504 +aS'to\tto\tTO\tB-VP\tO' +p107505 +aS'switch\tswitch\tVB\tI-VP\tO' +p107506 +aS'the\tthe\tDT\tB-NP\tO' +p107507 +aS'patient\tpatient\tNN\tI-NP\tO' +p107508 +aS'to\tto\tTO\tB-PP\tO' +p107509 +aS'a\ta\tDT\tB-NP\tO' +p107510 +aS'long\tlong\tJJ\tI-NP\tO' +p107511 +aS'acting\tact\tVBG\tI-NP\tO' +p107512 +aS'beta-blocker\tbeta-blocker\tNN\tI-NP\tO' +p107513 +aS'and\tand\tCC\tO\tO' +p107514 +aS'to\tto\tTO\tB-VP\tO' +p107515 +aS'enroll\tenroll\tVB\tI-VP\tO' +p107516 +aS'the\tthe\tDT\tB-NP\tO' +p107517 +aS'patient\tpatient\tNN\tI-NP\tO' +p107518 +aS'in\tin\tIN\tB-PP\tO' +p107519 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p107520 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p107521 +aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' +p107522 +aS'as\tas\tRB\tB-CONJP\tO' +p107523 +aS'well\twell\tRB\tI-CONJP\tO' +p107524 +aS'as\tas\tIN\tI-CONJP\tO' +p107525 +aS'to\tto\tTO\tB-VP\tO' +p107526 +aS'make\tmake\tVB\tI-VP\tO' +p107527 +aS'sure\tsure\tJJ\tB-ADJP\tO' +p107528 +aS'the\tthe\tDT\tB-NP\tO' +p107529 +aS'patient\tpatient\tNN\tI-NP\tO' +p107530 +aS'was\tbe\tVBD\tB-VP\tO' +p107531 +aS'on\ton\tIN\tB-PP\tO' +p107532 +aS'statin\tstatin\tNN\tB-NP\tO' +p107533 +aS'drugs\tdrug\tNNS\tI-NP\tO' +p107534 +aS'.\t.\t.\tO\tO' +p107535 +asS'His SGPT on admission was 2,520 with a peak at 7,680 on hospital day two .' +p107536 +(lp107537 +S'His\tHis\tPRP$\tB-NP\tO' +p107538 +aS'SGPT\tSGPT\tNN\tI-NP\tB-protein' +p107539 +aS'on\ton\tIN\tB-PP\tO' +p107540 +aS'admission\tadmission\tNN\tB-NP\tO' +p107541 +aS'was\tbe\tVBD\tB-VP\tO' +p107542 +aS'2,520\t2,520\tCD\tB-NP\tO' +p107543 +aS'with\twith\tIN\tB-PP\tO' +p107544 +aS'a\ta\tDT\tB-NP\tO' +p107545 +aS'peak\tpeak\tNN\tI-NP\tO' +p107546 +aS'at\tat\tIN\tB-PP\tO' +p107547 +aS'7,680\t7,680\tCD\tB-NP\tO' +p107548 +aS'on\ton\tIN\tB-PP\tO' +p107549 +aS'hospital\thospital\tNN\tB-NP\tO' +p107550 +aS'day\tday\tNN\tI-NP\tO' +p107551 +aS'two\ttwo\tCD\tI-NP\tO' +p107552 +aS'.\t.\t.\tO\tO' +p107553 +asS'3. The right ventricular cavity is dilated .' +p107554 +(lp107555 +S'3.\t3.\tLS\tB-LST\tO' +p107556 +aS'The\tThe\tDT\tB-NP\tO' +p107557 +aS'right\tright\tJJ\tI-NP\tO' +p107558 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p107559 +aS'cavity\tcavity\tNN\tI-NP\tO' +p107560 +aS'is\tbe\tVBZ\tB-VP\tO' +p107561 +aS'dilated\tdilate\tVBN\tI-VP\tO' +p107562 +aS'.\t.\t.\tO\tO' +p107563 +asS'Treated aspiration pneumonia .' +p107564 +(lp107565 +S'Treated\tTreat\tVBN\tB-NP\tO' +p107566 +aS'aspiration\taspiration\tNN\tI-NP\tO' +p107567 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p107568 +aS'.\t.\t.\tO\tO' +p107569 +asS'There was no evidence of infection .' +p107570 +(lp107571 +S'There\tThere\tEX\tB-NP\tO' +p107572 +aS'was\tbe\tVBD\tB-VP\tO' +p107573 +aS'no\tno\tDT\tB-NP\tO' +p107574 +aS'evidence\tevidence\tNN\tI-NP\tO' +p107575 +aS'of\tof\tIN\tB-PP\tO' +p107576 +aS'infection\tinfection\tNN\tB-NP\tO' +p107577 +aS'.\t.\t.\tO\tO' +p107578 +asS'He denies a history of aspiration events or choking with food intake .' +p107579 +(lp107580 +S'He\tHe\tPRP\tB-NP\tO' +p107581 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p107582 +aS'a\ta\tDT\tB-NP\tO' +p107583 +aS'history\thistory\tNN\tI-NP\tO' +p107584 +aS'of\tof\tIN\tB-PP\tO' +p107585 +aS'aspiration\taspiration\tNN\tB-NP\tO' +p107586 +aS'events\tevent\tNNS\tI-NP\tO' +p107587 +aS'or\tor\tCC\tO\tO' +p107588 +aS'choking\tchoke\tVBG\tB-VP\tO' +p107589 +aS'with\twith\tIN\tB-PP\tO' +p107590 +aS'food\tfood\tNN\tB-NP\tO' +p107591 +aS'intake\tintake\tNN\tI-NP\tO' +p107592 +aS'.\t.\t.\tO\tO' +p107593 +asS'You may remove your dressings 2 days after your surgery if they were not removed in the hospital .' +p107594 +(lp107595 +S'You\tYou\tPRP\tB-NP\tB-protein' +p107596 +aS'may\tmay\tMD\tB-VP\tO' +p107597 +aS'remove\tremove\tVB\tI-VP\tO' +p107598 +aS'your\tyour\tPRP$\tB-NP\tO' +p107599 +aS'dressings\tdressing\tNNS\tI-NP\tO' +p107600 +aS'2\t2\tCD\tB-NP\tO' +p107601 +aS'days\tday\tNNS\tI-NP\tO' +p107602 +aS'after\tafter\tIN\tB-PP\tO' +p107603 +aS'your\tyour\tPRP$\tB-NP\tO' +p107604 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p107605 +aS'if\tif\tIN\tB-SBAR\tO' +p107606 +aS'they\tthey\tPRP\tB-NP\tO' +p107607 +aS'were\tbe\tVBD\tB-VP\tO' +p107608 +aS'not\tnot\tRB\tI-VP\tO' +p107609 +aS'removed\tremove\tVBN\tI-VP\tO' +p107610 +aS'in\tin\tIN\tB-PP\tO' +p107611 +aS'the\tthe\tDT\tB-NP\tO' +p107612 +aS'hospital\thospital\tNN\tI-NP\tO' +p107613 +aS'.\t.\t.\tO\tO' +p107614 +asS'A barium swallow prior to admission showed the presence of a tracheoesophageal fistula with entrance into the right mainstem bronchus below the carina .' +p107615 +(lp107616 +S'A\tA\tDT\tB-NP\tO' +p107617 +aS'barium\tbarium\tNN\tI-NP\tO' +p107618 +aS'swallow\tswallow\tVB\tB-VP\tO' +p107619 +aS'prior\tprior\tRB\tB-ADVP\tO' +p107620 +aS'to\tto\tTO\tB-PP\tO' +p107621 +aS'admission\tadmission\tNN\tB-NP\tO' +p107622 +aS'showed\tshow\tVBD\tB-VP\tO' +p107623 +aS'the\tthe\tDT\tB-NP\tO' +p107624 +aS'presence\tpresence\tNN\tI-NP\tO' +p107625 +aS'of\tof\tIN\tB-PP\tO' +p107626 +aS'a\ta\tDT\tB-NP\tO' +p107627 +aS'tracheoesophageal\ttracheoesophageal\tJJ\tI-NP\tO' +p107628 +aS'fistula\tfistula\tNN\tI-NP\tO' +p107629 +aS'with\twith\tIN\tB-PP\tO' +p107630 +aS'entrance\tentrance\tNN\tB-NP\tO' +p107631 +aS'into\tinto\tIN\tB-PP\tO' +p107632 +aS'the\tthe\tDT\tB-NP\tO' +p107633 +aS'right\tright\tJJ\tI-NP\tO' +p107634 +aS'mainstem\tmainstem\tNN\tI-NP\tO' +p107635 +aS'bronchus\tbronchus\tRB\tB-ADVP\tO' +p107636 +aS'below\tbelow\tIN\tB-PP\tO' +p107637 +aS'the\tthe\tDT\tB-NP\tO' +p107638 +aS'carina\tcarina\tNN\tI-NP\tO' +p107639 +aS'.\t.\t.\tO\tO' +p107640 +asS'Nebulizers as needed , weaning from ventilation .' +p107641 +(lp107642 +S'Nebulizers\tNebulizer\tNNS\tB-NP\tO' +p107643 +aS'as\tas\tIN\tB-SBAR\tO' +p107644 +aS'needed\tneed\tVBN\tB-VP\tO' +p107645 +aS',\t,\t,\tO\tO' +p107646 +aS'weaning\twean\tVBG\tB-VP\tO' +p107647 +aS'from\tfrom\tIN\tB-PP\tO' +p107648 +aS'ventilation\tventilation\tNN\tB-NP\tO' +p107649 +aS'.\t.\t.\tO\tO' +p107650 +asS'The visual fields were intact .' +p107651 +(lp107652 +S'The\tThe\tDT\tB-NP\tO' +p107653 +aS'visual\tvisual\tJJ\tI-NP\tO' +p107654 +aS'fields\tfield\tNNS\tI-NP\tO' +p107655 +aS'were\tbe\tVBD\tB-VP\tO' +p107656 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p107657 +aS'.\t.\t.\tO\tO' +p107658 +asS'She is to contact Dr. Warm 's office to schedule a follow up appointment .' +p107659 +(lp107660 +S'She\tShe\tPRP\tB-NP\tO' +p107661 +aS'is\tbe\tVBZ\tB-VP\tO' +p107662 +aS'to\tto\tTO\tB-VP\tO' +p107663 +aS'contact\tcontact\tVB\tI-VP\tO' +p107664 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p107665 +aS'Warm\tWarm\tNNP\tI-NP\tO' +p107666 +aS''s\t'\tNNS\tI-NP\tO' +p107667 +aS'office\toffice\tNN\tI-NP\tO' +p107668 +aS'to\tto\tTO\tB-VP\tO' +p107669 +aS'schedule\tschedule\tVB\tI-VP\tO' +p107670 +aS'a\ta\tDT\tO\tO' +p107671 +aS'follow\tfollow\tVB\tB-VP\tO' +p107672 +aS'up\tup\tRP\tB-PRT\tO' +p107673 +aS'appointment\tappointment\tNN\tB-NP\tO' +p107674 +aS'.\t.\t.\tO\tO' +p107675 +asS'His bypass time was 105 minutes with a cross clamp time of 87 minutes .' +p107676 +(lp107677 +S'His\tHis\tPRP$\tB-NP\tO' +p107678 +aS'bypass\tbypass\tNN\tI-NP\tO' +p107679 +aS'time\ttime\tNN\tI-NP\tO' +p107680 +aS'was\tbe\tVBD\tB-VP\tO' +p107681 +aS'105\t105\tCD\tB-NP\tO' +p107682 +aS'minutes\tminute\tNNS\tI-NP\tO' +p107683 +aS'with\twith\tIN\tB-PP\tO' +p107684 +aS'a\ta\tDT\tB-NP\tO' +p107685 +aS'cross\tcross\tJJ\tI-NP\tO' +p107686 +aS'clamp\tclamp\tNN\tI-NP\tO' +p107687 +aS'time\ttime\tNN\tI-NP\tO' +p107688 +aS'of\tof\tIN\tB-PP\tO' +p107689 +aS'87\t87\tCD\tB-NP\tO' +p107690 +aS'minutes\tminute\tNNS\tI-NP\tO' +p107691 +aS'.\t.\t.\tO\tO' +p107692 +asS'The patient had a PICC line placed and will continue a 8 week course of antibiotics .' +p107693 +(lp107694 +S'The\tThe\tDT\tB-NP\tO' +p107695 +aS'patient\tpatient\tNN\tI-NP\tO' +p107696 +aS'had\thave\tVBD\tB-VP\tO' +p107697 +aS'a\ta\tDT\tB-NP\tO' +p107698 +aS'PICC\tPICC\tNN\tI-NP\tB-cell_line' +p107699 +aS'line\tline\tNN\tI-NP\tI-cell_line' +p107700 +aS'placed\tplace\tVBN\tB-VP\tO' +p107701 +aS'and\tand\tCC\tO\tO' +p107702 +aS'will\twill\tMD\tB-VP\tO' +p107703 +aS'continue\tcontinue\tVB\tI-VP\tO' +p107704 +aS'a\ta\tDT\tB-NP\tO' +p107705 +aS'8\t8\tCD\tI-NP\tO' +p107706 +aS'week\tweek\tNN\tI-NP\tO' +p107707 +aS'course\tcourse\tNN\tI-NP\tO' +p107708 +aS'of\tof\tIN\tB-PP\tO' +p107709 +aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' +p107710 +aS'.\t.\t.\tO\tO' +p107711 +asS'Note that the liver enzymes were normal on admission , at which time she was taking all of the above cholesterol medicines .' +p107712 +(lp107713 +S'Note\tNote\tVB\tB-VP\tO' +p107714 +aS'that\tthat\tIN\tB-SBAR\tO' +p107715 +aS'the\tthe\tDT\tB-NP\tO' +p107716 +aS'liver\tliver\tNN\tI-NP\tB-protein' +p107717 +aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' +p107718 +aS'were\tbe\tVBD\tB-VP\tO' +p107719 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p107720 +aS'on\ton\tIN\tB-PP\tO' +p107721 +aS'admission\tadmission\tNN\tB-NP\tO' +p107722 +aS',\t,\t,\tO\tO' +p107723 +aS'at\tat\tIN\tB-PP\tO' +p107724 +aS'which\twhich\tWDT\tB-NP\tO' +p107725 +aS'time\ttime\tNN\tI-NP\tO' +p107726 +aS'she\tshe\tPRP\tB-NP\tO' +p107727 +aS'was\tbe\tVBD\tB-VP\tO' +p107728 +aS'taking\ttake\tVBG\tI-VP\tO' +p107729 +aS'all\tall\tDT\tB-NP\tO' +p107730 +aS'of\tof\tIN\tB-PP\tO' +p107731 +aS'the\tthe\tDT\tB-NP\tO' +p107732 +aS'above\tabove\tJJ\tI-NP\tO' +p107733 +aS'cholesterol\tcholesterol\tNN\tI-NP\tO' +p107734 +aS'medicines\tmedicine\tNNS\tI-NP\tO' +p107735 +aS'.\t.\t.\tO\tO' +p107736 +asS'Repeat cardiac catheterization showed re-stenosis of proximal left anterior descending that had been percutaneous transluminal coronary angioplastied and a lesion in the first obtuse marginal and a moderate to severe left circumflex lesion after the third obtuse marginal .' +p107737 +(lp107738 +S'Repeat\tRepeat\tNN\tB-NP\tO' +p107739 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p107740 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p107741 +aS'showed\tshow\tVBD\tB-VP\tO' +p107742 +aS're-stenosis\tre-stenosis\tNN\tB-NP\tO' +p107743 +aS'of\tof\tIN\tB-PP\tO' +p107744 +aS'proximal\tproximal\tJJ\tB-NP\tO' +p107745 +aS'left\tleft\tJJ\tI-NP\tO' +p107746 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p107747 +aS'descending\tdescending\tNN\tI-NP\tO' +p107748 +aS'that\tthat\tWDT\tB-NP\tO' +p107749 +aS'had\thave\tVBD\tB-VP\tO' +p107750 +aS'been\tbe\tVBN\tI-VP\tO' +p107751 +aS'percutaneous\tpercutaneous\tJJ\tB-NP\tO' +p107752 +aS'transluminal\ttransluminal\tJJ\tI-NP\tO' +p107753 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p107754 +aS'angioplastied\tangioplastied\tNN\tI-NP\tO' +p107755 +aS'and\tand\tCC\tO\tO' +p107756 +aS'a\ta\tDT\tB-NP\tO' +p107757 +aS'lesion\tlesion\tNN\tI-NP\tO' +p107758 +aS'in\tin\tIN\tB-PP\tO' +p107759 +aS'the\tthe\tDT\tB-NP\tO' +p107760 +aS'first\tfirst\tJJ\tI-NP\tO' +p107761 +aS'obtuse\tobtuse\tNN\tI-NP\tO' +p107762 +aS'marginal\tmarginal\tJJ\tB-ADJP\tO' +p107763 +aS'and\tand\tCC\tO\tO' +p107764 +aS'a\ta\tDT\tB-NP\tO' +p107765 +aS'moderate\tmoderate\tJJ\tI-NP\tO' +p107766 +aS'to\tto\tTO\tB-PP\tO' +p107767 +aS'severe\tsevere\tJJ\tB-NP\tO' +p107768 +aS'left\tleft\tJJ\tI-NP\tO' +p107769 +aS'circumflex\tcircumflex\tNN\tI-NP\tO' +p107770 +aS'lesion\tlesion\tNN\tI-NP\tO' +p107771 +aS'after\tafter\tIN\tB-PP\tO' +p107772 +aS'the\tthe\tDT\tB-NP\tO' +p107773 +aS'third\tthird\tJJ\tI-NP\tO' +p107774 +aS'obtuse\tobtuse\tNN\tI-NP\tO' +p107775 +aS'marginal\tmarginal\tJJ\tB-ADJP\tO' +p107776 +aS'.\t.\t.\tO\tO' +p107777 +asS'5. Hydrochlorothiazide , 25 mg PO daily .' +p107778 +(lp107779 +S'5.\t5.\tLS\tB-NP\tO' +p107780 +aS'Hydrochlorothiazide\tHydrochlorothiazide\tNN\tI-NP\tO' +p107781 +aS',\t,\t,\tO\tO' +p107782 +aS'25\t25\tCD\tB-NP\tO' +p107783 +aS'mg\tmg\tNN\tI-NP\tO' +p107784 +aS'PO\tPO\tNN\tI-NP\tO' +p107785 +aS'daily\tdaily\tRB\tB-ADVP\tO' +p107786 +aS'.\t.\t.\tO\tO' +p107787 +asS'As he becomes progressively more somnolent , this will likely need to be switched to IV pain medications only .' +p107788 +(lp107789 +S'As\tAs\tIN\tB-SBAR\tO' +p107790 +aS'he\the\tPRP\tB-NP\tO' +p107791 +aS'becomes\tbecome\tVBZ\tB-VP\tO' +p107792 +aS'progressively\tprogressively\tRB\tB-ADJP\tO' +p107793 +aS'more\tmore\tRBR\tI-ADJP\tO' +p107794 +aS'somnolent\tsomnolent\tJJ\tI-ADJP\tO' +p107795 +aS',\t,\t,\tO\tO' +p107796 +aS'this\tthis\tDT\tB-NP\tO' +p107797 +aS'will\twill\tMD\tB-VP\tO' +p107798 +aS'likely\tlikely\tRB\tI-VP\tO' +p107799 +aS'need\tneed\tVB\tI-VP\tO' +p107800 +aS'to\tto\tTO\tI-VP\tO' +p107801 +aS'be\tbe\tVB\tI-VP\tO' +p107802 +aS'switched\tswitch\tVBN\tI-VP\tO' +p107803 +aS'to\tto\tTO\tB-PP\tO' +p107804 +aS'IV\tIV\tCD\tB-NP\tO' +p107805 +aS'pain\tpain\tNN\tI-NP\tO' +p107806 +aS'medications\tmedication\tNNS\tI-NP\tO' +p107807 +aS'only\tonly\tRB\tB-ADVP\tO' +p107808 +aS'.\t.\t.\tO\tO' +p107809 +asS'6) ATRIAL FIBRILLATION .' +p107810 +(lp107811 +S'6)\t6)\tLS\tB-NP\tO' +p107812 +aS'ATRIAL\tATRIAL\tNN\tI-NP\tO' +p107813 +aS'FIBRILLATION\tFIBRILLATION\tNN\tI-NP\tO' +p107814 +aS'.\t.\t.\tO\tO' +p107815 +asS'Abdomen soft and there was wound erythema with three areas of dehiscence draining foul-smelling , purulent fluid .' +p107816 +(lp107817 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p107818 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p107819 +aS'and\tand\tCC\tO\tO' +p107820 +aS'there\tthere\tEX\tB-NP\tO' +p107821 +aS'was\tbe\tVBD\tB-VP\tO' +p107822 +aS'wound\twound\tNN\tB-NP\tO' +p107823 +aS'erythema\terythema\tNN\tI-NP\tO' +p107824 +aS'with\twith\tIN\tB-PP\tO' +p107825 +aS'three\tthree\tCD\tB-NP\tO' +p107826 +aS'areas\tarea\tNNS\tI-NP\tO' +p107827 +aS'of\tof\tIN\tB-PP\tO' +p107828 +aS'dehiscence\tdehiscence\tNN\tB-NP\tO' +p107829 +aS'draining\tdrain\tVBG\tB-VP\tO' +p107830 +aS'foul-smelling\tfoul-smelling\tJJ\tB-NP\tO' +p107831 +aS',\t,\t,\tI-NP\tO' +p107832 +aS'purulent\tpurulent\tJJ\tI-NP\tO' +p107833 +aS'fluid\tfluid\tNN\tI-NP\tO' +p107834 +aS'.\t.\t.\tO\tO' +p107835 +asS'2. Born between 32 and 35 weeks with plans for daycare during respiratory syncytial virus season , with a smoker in the household or with preschool siblings ; or' +p107836 +(lp107837 +S'2.\t2.\tLS\tB-NP\tO' +p107838 +aS'Born\tBorn\tNN\tI-NP\tO' +p107839 +aS'between\tbetween\tIN\tB-PP\tO' +p107840 +aS'32\t32\tCD\tB-NP\tO' +p107841 +aS'and\tand\tCC\tI-NP\tO' +p107842 +aS'35\t35\tCD\tI-NP\tO' +p107843 +aS'weeks\tweek\tNNS\tI-NP\tO' +p107844 +aS'with\twith\tIN\tB-PP\tO' +p107845 +aS'plans\tplan\tNNS\tB-NP\tO' +p107846 +aS'for\tfor\tIN\tB-PP\tO' +p107847 +aS'daycare\tdaycare\tNN\tB-NP\tO' +p107848 +aS'during\tduring\tIN\tB-PP\tO' +p107849 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p107850 +aS'syncytial\tsyncytial\tJJ\tI-NP\tO' +p107851 +aS'virus\tvirus\tNN\tI-NP\tO' +p107852 +aS'season\tseason\tNN\tI-NP\tO' +p107853 +aS',\t,\t,\tO\tO' +p107854 +aS'with\twith\tIN\tB-PP\tO' +p107855 +aS'a\ta\tDT\tB-NP\tO' +p107856 +aS'smoker\tsmoker\tNN\tI-NP\tO' +p107857 +aS'in\tin\tIN\tB-PP\tO' +p107858 +aS'the\tthe\tDT\tB-NP\tO' +p107859 +aS'household\thousehold\tNN\tI-NP\tO' +p107860 +aS'or\tor\tCC\tB-PP\tO' +p107861 +aS'with\twith\tIN\tB-PP\tO' +p107862 +aS'preschool\tpreschool\tNN\tB-NP\tO' +p107863 +aS'siblings\tsibling\tNNS\tI-NP\tO' +p107864 +aS';\t;\t:\tO\tO' +p107865 +aS'or\tor\tCC\tO\tO' +p107866 +asS'4. Triamterene/Hydrochlorothiazide 37.5/25 mg p.o. daily .' +p107867 +(lp107868 +S'4.\t4.\tLS\tB-NP\tO' +p107869 +aS'Triamterene/Hydrochlorothiazide\tTriamterene/Hydrochlorothiazide\tNN\tI-NP\tO' +p107870 +aS'37.5/25\t37.5/25\tCD\tI-NP\tO' +p107871 +aS'mg\tmg\tNN\tI-NP\tO' +p107872 +aS'p.o.\tp.o.\tRB\tB-ADVP\tO' +p107873 +aS'daily\tdaily\tRB\tI-ADVP\tO' +p107874 +aS'.\t.\t.\tO\tO' +p107875 +asS'The patient transfused 1 unit on 10/19/97 for a hematocrit of 27.9 .' +p107876 +(lp107877 +S'The\tThe\tDT\tB-NP\tO' +p107878 +aS'patient\tpatient\tNN\tI-NP\tO' +p107879 +aS'transfused\ttransfuse\tVBD\tB-VP\tO' +p107880 +aS'1\t1\tCD\tB-NP\tO' +p107881 +aS'unit\tunit\tNN\tI-NP\tO' +p107882 +aS'on\ton\tIN\tB-PP\tO' +p107883 +aS'10/19/97\t10/19/97\tCD\tB-NP\tO' +p107884 +aS'for\tfor\tIN\tB-PP\tO' +p107885 +aS'a\ta\tDT\tB-NP\tO' +p107886 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p107887 +aS'of\tof\tIN\tB-PP\tO' +p107888 +aS'27.9\t27.9\tCD\tB-NP\tO' +p107889 +aS'.\t.\t.\tO\tO' +p107890 +asS'Palate and tongue moved normally in the midline .' +p107891 +(lp107892 +S'Palate\tPalate\tNN\tB-NP\tO' +p107893 +aS'and\tand\tCC\tI-NP\tO' +p107894 +aS'tongue\ttongue\tNN\tI-NP\tO' +p107895 +aS'moved\tmove\tVBD\tB-VP\tO' +p107896 +aS'normally\tnormally\tRB\tB-ADVP\tO' +p107897 +aS'in\tin\tIN\tB-PP\tO' +p107898 +aS'the\tthe\tDT\tB-NP\tO' +p107899 +aS'midline\tmidline\tNN\tI-NP\tO' +p107900 +aS'.\t.\t.\tO\tO' +p107901 +asS'The situation of the patient was extensively discussed with the parents , and the attending physician from Neurology , Dr. Breunkote , and the attending physician from Pediatric Intensive Care Unit , Dr. Boormcose , and the decision was finally made with the family and attendings to disconnect the patient from the mechanical ventilation due to severe neurological injury and poor prognosis .' +p107902 +(lp107903 +S'The\tThe\tDT\tB-NP\tO' +p107904 +aS'situation\tsituation\tNN\tI-NP\tO' +p107905 +aS'of\tof\tIN\tB-PP\tO' +p107906 +aS'the\tthe\tDT\tB-NP\tO' +p107907 +aS'patient\tpatient\tNN\tI-NP\tO' +p107908 +aS'was\tbe\tVBD\tB-VP\tO' +p107909 +aS'extensively\textensively\tRB\tI-VP\tO' +p107910 +aS'discussed\tdiscuss\tVBN\tI-VP\tO' +p107911 +aS'with\twith\tIN\tB-PP\tO' +p107912 +aS'the\tthe\tDT\tB-NP\tO' +p107913 +aS'parents\tparent\tNNS\tI-NP\tO' +p107914 +aS',\t,\t,\tO\tO' +p107915 +aS'and\tand\tCC\tO\tO' +p107916 +aS'the\tthe\tDT\tB-NP\tO' +p107917 +aS'attending\tattend\tVBG\tI-NP\tO' +p107918 +aS'physician\tphysician\tNN\tI-NP\tO' +p107919 +aS'from\tfrom\tIN\tB-PP\tO' +p107920 +aS'Neurology\tNeurology\tNNP\tB-NP\tO' +p107921 +aS',\t,\t,\tO\tO' +p107922 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p107923 +aS'Breunkote\tBreunkote\tNNP\tI-NP\tO' +p107924 +aS',\t,\t,\tO\tO' +p107925 +aS'and\tand\tCC\tO\tO' +p107926 +aS'the\tthe\tDT\tB-NP\tO' +p107927 +aS'attending\tattend\tVBG\tI-NP\tO' +p107928 +aS'physician\tphysician\tNN\tI-NP\tO' +p107929 +aS'from\tfrom\tIN\tB-PP\tO' +p107930 +aS'Pediatric\tPediatric\tNNP\tB-NP\tO' +p107931 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p107932 +aS'Care\tCare\tNNP\tI-NP\tO' +p107933 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p107934 +aS',\t,\t,\tO\tO' +p107935 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p107936 +aS'Boormcose\tBoormcose\tNNP\tI-NP\tO' +p107937 +aS',\t,\t,\tO\tO' +p107938 +aS'and\tand\tCC\tO\tO' +p107939 +aS'the\tthe\tDT\tB-NP\tO' +p107940 +aS'decision\tdecision\tNN\tI-NP\tO' +p107941 +aS'was\tbe\tVBD\tB-VP\tO' +p107942 +aS'finally\tfinally\tRB\tI-VP\tO' +p107943 +aS'made\tmake\tVBN\tI-VP\tO' +p107944 +aS'with\twith\tIN\tB-PP\tO' +p107945 +aS'the\tthe\tDT\tB-NP\tO' +p107946 +aS'family\tfamily\tNN\tI-NP\tO' +p107947 +aS'and\tand\tCC\tI-NP\tO' +p107948 +aS'attendings\tattending\tNNS\tI-NP\tO' +p107949 +aS'to\tto\tTO\tB-VP\tO' +p107950 +aS'disconnect\tdisconnect\tVB\tI-VP\tO' +p107951 +aS'the\tthe\tDT\tB-NP\tO' +p107952 +aS'patient\tpatient\tNN\tI-NP\tO' +p107953 +aS'from\tfrom\tIN\tB-PP\tO' +p107954 +aS'the\tthe\tDT\tB-NP\tO' +p107955 +aS'mechanical\tmechanical\tJJ\tI-NP\tO' +p107956 +aS'ventilation\tventilation\tNN\tI-NP\tO' +p107957 +aS'due\tdue\tJJ\tB-PP\tO' +p107958 +aS'to\tto\tTO\tB-PP\tO' +p107959 +aS'severe\tsevere\tJJ\tB-NP\tO' +p107960 +aS'neurological\tneurological\tJJ\tI-NP\tO' +p107961 +aS'injury\tinjury\tNN\tI-NP\tO' +p107962 +aS'and\tand\tCC\tO\tO' +p107963 +aS'poor\tpoor\tJJ\tB-NP\tO' +p107964 +aS'prognosis\tprognosis\tNN\tI-NP\tO' +p107965 +aS'.\t.\t.\tO\tO' +p107966 +asS'The patient was admitted to the Intensive Care Unit .' +p107967 +(lp107968 +S'The\tThe\tDT\tB-NP\tO' +p107969 +aS'patient\tpatient\tNN\tI-NP\tO' +p107970 +aS'was\tbe\tVBD\tB-VP\tO' +p107971 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p107972 +aS'to\tto\tTO\tB-PP\tO' +p107973 +aS'the\tthe\tDT\tB-NP\tO' +p107974 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p107975 +aS'Care\tCare\tNNP\tI-NP\tO' +p107976 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p107977 +aS'.\t.\t.\tO\tO' +p107978 +asS'Coronary Artery Bypass Graft x3 ( Left internal mammary -> left anterior descending , saphaneous vein graft -> obtuse marginal , saphaneous vein graft -> posterior descending artery ) 2018-10-25' +p107979 +(lp107980 +S'Coronary\tCoronary\tNNP\tB-NP\tO' +p107981 +aS'Artery\tArtery\tNNP\tI-NP\tO' +p107982 +aS'Bypass\tBypass\tNNP\tI-NP\tO' +p107983 +aS'Graft\tGraft\tNNP\tI-NP\tO' +p107984 +aS'x3\tx3\tNN\tI-NP\tO' +p107985 +aS'(\t(\t(\tO\tO' +p107986 +aS'Left\tLeave\tVBN\tB-VP\tO' +p107987 +aS'internal\tinternal\tJJ\tB-NP\tO' +p107988 +aS'mammary\tmammary\tJJ\tI-NP\tO' +p107989 +aS'->\t->\tNN\tI-NP\tO' +p107990 +aS'left\tleave\tVBD\tB-VP\tO' +p107991 +aS'anterior\tanterior\tJJ\tB-NP\tO' +p107992 +aS'descending\tdescend\tVBG\tI-NP\tO' +p107993 +aS',\t,\t,\tO\tO' +p107994 +aS'saphaneous\tsaphaneous\tJJ\tB-NP\tO' +p107995 +aS'vein\tvein\tNN\tI-NP\tO' +p107996 +aS'graft\tgraft\tNN\tI-NP\tO' +p107997 +aS'->\t->\tSYM\tB-NP\tO' +p107998 +aS'obtuse\tobtuse\tNN\tI-NP\tO' +p107999 +aS'marginal\tmarginal\tJJ\tI-NP\tO' +p108000 +aS',\t,\t,\tI-NP\tO' +p108001 +aS'saphaneous\tsaphaneous\tJJ\tI-NP\tO' +p108002 +aS'vein\tvein\tNN\tI-NP\tO' +p108003 +aS'graft\tgraft\tNN\tI-NP\tO' +p108004 +aS'->\t->\tSYM\tB-NP\tO' +p108005 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p108006 +aS'descending\tdescend\tVBG\tI-NP\tO' +p108007 +aS'artery\tartery\tNN\tI-NP\tO' +p108008 +aS')\t)\t)\tO\tO' +p108009 +aS'2018-10-25\t2018-10-25\tCD\tB-NP\tO' +p108010 +asS'She was transferred to the floor for further managment .' +p108011 +(lp108012 +S'She\tShe\tPRP\tB-NP\tO' +p108013 +aS'was\tbe\tVBD\tB-VP\tO' +p108014 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p108015 +aS'to\tto\tTO\tB-PP\tO' +p108016 +aS'the\tthe\tDT\tB-NP\tO' +p108017 +aS'floor\tfloor\tNN\tI-NP\tO' +p108018 +aS'for\tfor\tIN\tB-PP\tO' +p108019 +aS'further\tfurther\tJJ\tB-NP\tO' +p108020 +aS'managment\tmanagment\tNN\tI-NP\tO' +p108021 +aS'.\t.\t.\tO\tO' +p108022 +asS'She remained neurologically stable .' +p108023 +(lp108024 +S'She\tShe\tPRP\tB-NP\tO' +p108025 +aS'remained\tremain\tVBD\tB-VP\tO' +p108026 +aS'neurologically\tneurologically\tRB\tB-ADJP\tO' +p108027 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p108028 +aS'.\t.\t.\tO\tO' +p108029 +asS'Abdominal pelvic CT scan on 3/10/02 .' +p108030 +(lp108031 +S'Abdominal\tAbdominal\tJJ\tB-NP\tO' +p108032 +aS'pelvic\tpelvic\tJJ\tI-NP\tO' +p108033 +aS'CT\tCT\tNN\tI-NP\tO' +p108034 +aS'scan\tscan\tNN\tI-NP\tO' +p108035 +aS'on\ton\tIN\tB-PP\tO' +p108036 +aS'3/10/02\t3/10/02\tCD\tB-NP\tO' +p108037 +aS'.\t.\t.\tO\tO' +p108038 +asS'TECHNIQUE : Noncontrast cervical spine CT .' +p108039 +(lp108040 +S'TECHNIQUE\tTECHNIQUE\tNN\tB-NP\tO' +p108041 +aS':\t:\t:\tO\tO' +p108042 +aS'Noncontrast\tNoncontrast\tNN\tB-NP\tO' +p108043 +aS'cervical\tcervical\tJJ\tI-NP\tO' +p108044 +aS'spine\tspine\tNN\tI-NP\tO' +p108045 +aS'CT\tCT\tNN\tI-NP\tO' +p108046 +aS'.\t.\t.\tO\tO' +p108047 +asS'If you have fevers please contact your PCP or return to the emergency room .' +p108048 +(lp108049 +S'If\tIf\tIN\tB-SBAR\tO' +p108050 +aS'you\tyou\tPRP\tB-NP\tO' +p108051 +aS'have\thave\tVBP\tB-VP\tO' +p108052 +aS'fevers\tfever\tNNS\tB-NP\tO' +p108053 +aS'please\tplease\tVB\tB-VP\tO' +p108054 +aS'contact\tcontact\tNN\tB-NP\tO' +p108055 +aS'your\tyour\tPRP$\tB-NP\tO' +p108056 +aS'PCP\tPCP\tNN\tI-NP\tB-DNA' +p108057 +aS'or\tor\tCC\tO\tO' +p108058 +aS'return\treturn\tVB\tB-VP\tO' +p108059 +aS'to\tto\tTO\tB-PP\tO' +p108060 +aS'the\tthe\tDT\tB-NP\tO' +p108061 +aS'emergency\temergency\tNN\tI-NP\tO' +p108062 +aS'room\troom\tNN\tI-NP\tO' +p108063 +aS'.\t.\t.\tO\tO' +p108064 +asS'13. Inducible Vtach on EP study with AICD placement 11-01' +p108065 +(lp108066 +S'13.\t13.\tLS\tB-NP\tO' +p108067 +aS'Inducible\tInducible\tJJ\tI-NP\tO' +p108068 +aS'Vtach\tVtach\tNN\tI-NP\tO' +p108069 +aS'on\ton\tIN\tB-PP\tO' +p108070 +aS'EP\tEP\tNN\tB-NP\tO' +p108071 +aS'study\tstudy\tNN\tI-NP\tO' +p108072 +aS'with\twith\tIN\tB-PP\tO' +p108073 +aS'AICD\tAICD\tNN\tB-NP\tO' +p108074 +aS'placement\tplacement\tNN\tI-NP\tO' +p108075 +aS'11-01\t11-01\tCD\tI-NP\tO' +p108076 +asS'The patient had signs and symptoms develop of SBP , also with an elevated white count .' +p108077 +(lp108078 +S'The\tThe\tDT\tB-NP\tO' +p108079 +aS'patient\tpatient\tNN\tI-NP\tO' +p108080 +aS'had\thave\tVBD\tB-VP\tO' +p108081 +aS'signs\tsign\tNNS\tB-NP\tO' +p108082 +aS'and\tand\tCC\tI-NP\tO' +p108083 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p108084 +aS'develop\tdevelop\tVBP\tB-VP\tO' +p108085 +aS'of\tof\tIN\tB-PP\tO' +p108086 +aS'SBP\tSBP\tNN\tB-NP\tB-protein' +p108087 +aS',\t,\t,\tO\tO' +p108088 +aS'also\talso\tRB\tB-ADVP\tO' +p108089 +aS'with\twith\tIN\tB-PP\tO' +p108090 +aS'an\tan\tDT\tB-NP\tO' +p108091 +aS'elevated\televated\tJJ\tI-NP\tO' +p108092 +aS'white\twhite\tJJ\tI-NP\tO' +p108093 +aS'count\tcount\tNN\tI-NP\tO' +p108094 +aS'.\t.\t.\tO\tO' +p108095 +asS'Blood pressure up to 230 s systolic .' +p108096 +(lp108097 +S'Blood\tBlood\tNN\tB-NP\tO' +p108098 +aS'pressure\tpressure\tNN\tI-NP\tO' +p108099 +aS'up\tup\tIN\tB-NP\tO' +p108100 +aS'to\tto\tTO\tI-NP\tO' +p108101 +aS'230\t230\tCD\tI-NP\tO' +p108102 +aS's\ts\tNN\tI-NP\tO' +p108103 +aS'systolic\tsystolic\tJJ\tB-ADJP\tO' +p108104 +aS'.\t.\t.\tO\tO' +p108105 +asS'A pulmonary artery catheter was placed on hospital day four .' +p108106 +(lp108107 +S'A\tA\tDT\tB-NP\tO' +p108108 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p108109 +aS'artery\tartery\tNN\tI-NP\tO' +p108110 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p108111 +aS'was\tbe\tVBD\tB-VP\tO' +p108112 +aS'placed\tplace\tVBN\tI-VP\tO' +p108113 +aS'on\ton\tIN\tB-PP\tO' +p108114 +aS'hospital\thospital\tNN\tB-NP\tO' +p108115 +aS'day\tday\tNN\tI-NP\tO' +p108116 +aS'four\tfour\tCD\tI-NP\tO' +p108117 +aS'.\t.\t.\tO\tO' +p108118 +asS'Onset was an hour to 1 hour after meals , worse with greasy meals , lasting five minutes to two hours .' +p108119 +(lp108120 +S'Onset\tOnset\tNN\tB-NP\tO' +p108121 +aS'was\tbe\tVBD\tB-VP\tO' +p108122 +aS'an\tan\tDT\tB-NP\tO' +p108123 +aS'hour\thour\tNN\tI-NP\tO' +p108124 +aS'to\tto\tTO\tB-PP\tO' +p108125 +aS'1\t1\tCD\tB-NP\tO' +p108126 +aS'hour\thour\tNN\tI-NP\tO' +p108127 +aS'after\tafter\tIN\tB-PP\tO' +p108128 +aS'meals\tmeal\tNNS\tB-NP\tO' +p108129 +aS',\t,\t,\tO\tO' +p108130 +aS'worse\tworse\tVBP\tB-VP\tO' +p108131 +aS'with\twith\tIN\tB-PP\tO' +p108132 +aS'greasy\tgreasy\tJJ\tB-NP\tO' +p108133 +aS'meals\tmeal\tNNS\tI-NP\tO' +p108134 +aS',\t,\t,\tO\tO' +p108135 +aS'lasting\tlast\tVBG\tB-VP\tO' +p108136 +aS'five\tfive\tCD\tB-NP\tO' +p108137 +aS'minutes\tminute\tNNS\tI-NP\tO' +p108138 +aS'to\tto\tTO\tB-PP\tO' +p108139 +aS'two\ttwo\tCD\tB-NP\tO' +p108140 +aS'hours\thour\tNNS\tI-NP\tO' +p108141 +aS'.\t.\t.\tO\tO' +p108142 +asS'8. Dyspnea on exertion .' +p108143 +(lp108144 +S'8.\t8.\tLS\tB-NP\tO' +p108145 +aS'Dyspnea\tDyspnea\tNN\tI-NP\tO' +p108146 +aS'on\ton\tIN\tB-PP\tO' +p108147 +aS'exertion\texertion\tNN\tB-NP\tO' +p108148 +aS'.\t.\t.\tO\tO' +p108149 +asS'Heart regular rate and rhythm .' +p108150 +(lp108151 +S'Heart\tHeart\tNN\tB-NP\tO' +p108152 +aS'regular\tregular\tJJ\tI-NP\tO' +p108153 +aS'rate\trate\tNN\tI-NP\tO' +p108154 +aS'and\tand\tCC\tI-NP\tO' +p108155 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p108156 +aS'.\t.\t.\tO\tO' +p108157 +asS'VQ scan , lower extremities noninvasive Doppler studies and overnight oximetry saturation monitoring .' +p108158 +(lp108159 +S'VQ\tVQ\tNN\tB-NP\tO' +p108160 +aS'scan\tscan\tNN\tI-NP\tO' +p108161 +aS',\t,\t,\tO\tO' +p108162 +aS'lower\tlow\tJJR\tB-NP\tO' +p108163 +aS'extremities\textremity\tNNS\tI-NP\tO' +p108164 +aS'noninvasive\tnoninvasive\tJJ\tB-NP\tO' +p108165 +aS'Doppler\tDoppler\tNNP\tI-NP\tO' +p108166 +aS'studies\tstudy\tNNS\tI-NP\tO' +p108167 +aS'and\tand\tCC\tO\tO' +p108168 +aS'overnight\tovernight\tJJ\tB-NP\tO' +p108169 +aS'oximetry\toximetry\tNN\tI-NP\tO' +p108170 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p108171 +aS'monitoring\tmonitoring\tNN\tI-NP\tO' +p108172 +aS'.\t.\t.\tO\tO' +p108173 +asS'She is married and lives in an assisted living facility with her husband .' +p108174 +(lp108175 +S'She\tShe\tPRP\tB-NP\tO' +p108176 +aS'is\tbe\tVBZ\tB-VP\tO' +p108177 +aS'married\tmarried\tJJ\tB-ADJP\tO' +p108178 +aS'and\tand\tCC\tO\tO' +p108179 +aS'lives\tlife\tNNS\tB-NP\tO' +p108180 +aS'in\tin\tIN\tB-PP\tO' +p108181 +aS'an\tan\tDT\tB-NP\tO' +p108182 +aS'assisted\tassist\tVBN\tI-NP\tO' +p108183 +aS'living\tlive\tVBG\tI-NP\tO' +p108184 +aS'facility\tfacility\tNN\tI-NP\tO' +p108185 +aS'with\twith\tIN\tB-PP\tO' +p108186 +aS'her\ther\tPRP$\tB-NP\tO' +p108187 +aS'husband\thusband\tNN\tI-NP\tO' +p108188 +aS'.\t.\t.\tO\tO' +p108189 +asS'Her vital signs were stable with a temperature of 97.8 degrees , blood pressure was 104 to 121 over 50s .' +p108190 +(lp108191 +S'Her\tHer\tPRP$\tB-NP\tO' +p108192 +aS'vital\tvital\tJJ\tI-NP\tO' +p108193 +aS'signs\tsign\tNNS\tI-NP\tO' +p108194 +aS'were\tbe\tVBD\tB-VP\tO' +p108195 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p108196 +aS'with\twith\tIN\tB-PP\tO' +p108197 +aS'a\ta\tDT\tB-NP\tO' +p108198 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p108199 +aS'of\tof\tIN\tB-PP\tO' +p108200 +aS'97.8\t97.8\tCD\tB-NP\tO' +p108201 +aS'degrees\tdegree\tNNS\tI-NP\tO' +p108202 +aS',\t,\t,\tO\tO' +p108203 +aS'blood\tblood\tNN\tB-NP\tO' +p108204 +aS'pressure\tpressure\tNN\tI-NP\tO' +p108205 +aS'was\tbe\tVBD\tB-VP\tO' +p108206 +aS'104\t104\tCD\tB-NP\tO' +p108207 +aS'to\tto\tTO\tB-PP\tO' +p108208 +aS'121\t121\tCD\tB-NP\tO' +p108209 +aS'over\tover\tIN\tB-PP\tO' +p108210 +aS'50s\t50s\tCD\tB-NP\tO' +p108211 +aS'.\t.\t.\tO\tO' +p108212 +asS'I have explained to him that he may have developed some glucose intolerance and that , in the first instance , he should see his Primary Care Physician and attempt dietary control .' +p108213 +(lp108214 +S'I\tI\tPRP\tB-NP\tO' +p108215 +aS'have\thave\tVBP\tB-VP\tO' +p108216 +aS'explained\texplain\tVBN\tI-VP\tO' +p108217 +aS'to\tto\tTO\tB-PP\tO' +p108218 +aS'him\thim\tPRP\tB-NP\tO' +p108219 +aS'that\tthat\tIN\tB-SBAR\tO' +p108220 +aS'he\the\tPRP\tB-NP\tO' +p108221 +aS'may\tmay\tMD\tB-VP\tO' +p108222 +aS'have\thave\tVB\tI-VP\tO' +p108223 +aS'developed\tdevelop\tVBN\tI-VP\tO' +p108224 +aS'some\tsome\tDT\tB-NP\tO' +p108225 +aS'glucose\tglucose\tNN\tI-NP\tO' +p108226 +aS'intolerance\tintolerance\tNN\tI-NP\tO' +p108227 +aS'and\tand\tCC\tO\tO' +p108228 +aS'that\tthat\tIN\tB-SBAR\tO' +p108229 +aS',\t,\t,\tO\tO' +p108230 +aS'in\tin\tIN\tB-PP\tO' +p108231 +aS'the\tthe\tDT\tB-NP\tO' +p108232 +aS'first\tfirst\tJJ\tI-NP\tO' +p108233 +aS'instance\tinstance\tNN\tI-NP\tO' +p108234 +aS',\t,\t,\tO\tO' +p108235 +aS'he\the\tPRP\tB-NP\tO' +p108236 +aS'should\tshould\tMD\tB-VP\tO' +p108237 +aS'see\tsee\tVB\tI-VP\tO' +p108238 +aS'his\this\tPRP$\tB-NP\tO' +p108239 +aS'Primary\tPrimary\tNNP\tI-NP\tO' +p108240 +aS'Care\tCare\tNNP\tI-NP\tO' +p108241 +aS'Physician\tPhysician\tNNP\tI-NP\tO' +p108242 +aS'and\tand\tCC\tO\tO' +p108243 +aS'attempt\tattempt\tVB\tB-VP\tO' +p108244 +aS'dietary\tdietary\tJJ\tB-NP\tO' +p108245 +aS'control\tcontrol\tNN\tI-NP\tO' +p108246 +aS'.\t.\t.\tO\tO' +p108247 +asS'Acute myocardial infarction .' +p108248 +(lp108249 +S'Acute\tAcute\tJJ\tB-NP\tO' +p108250 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p108251 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p108252 +aS'.\t.\t.\tO\tO' +p108253 +asS'Dilantin 100 mgs po tid , Carafate 1 gram po qid , Digoxin 0.25 mgs po qd , Isordil 20 mgs po tid , Captopril 25 mgs po tid , Lopressor 50 mgs po bid , Colace 100 mgs po tid , and Coumadin 2 mgs po qhs .' +p108254 +(lp108255 +S'Dilantin\tDilantin\tNN\tB-NP\tO' +p108256 +aS'100\t100\tCD\tI-NP\tO' +p108257 +aS'mgs\tmg\tNNS\tI-NP\tO' +p108258 +aS'po\tpo\tNN\tI-NP\tO' +p108259 +aS'tid\ttid\tNN\tI-NP\tO' +p108260 +aS',\t,\t,\tO\tO' +p108261 +aS'Carafate\tCarafate\tNN\tB-NP\tO' +p108262 +aS'1\t1\tCD\tI-NP\tO' +p108263 +aS'gram\tgram\tNN\tI-NP\tO' +p108264 +aS'po\tpo\tNN\tI-NP\tO' +p108265 +aS'qid\tqid\tNN\tI-NP\tO' +p108266 +aS',\t,\t,\tO\tO' +p108267 +aS'Digoxin\tDigoxin\tNN\tB-NP\tO' +p108268 +aS'0.25\t0.25\tCD\tI-NP\tO' +p108269 +aS'mgs\tmg\tNNS\tI-NP\tO' +p108270 +aS'po\tpo\tNN\tI-NP\tO' +p108271 +aS'qd\tqd\tNN\tI-NP\tO' +p108272 +aS',\t,\t,\tO\tO' +p108273 +aS'Isordil\tIsordil\tNN\tB-NP\tO' +p108274 +aS'20\t20\tCD\tI-NP\tO' +p108275 +aS'mgs\tmg\tNNS\tI-NP\tO' +p108276 +aS'po\tpo\tNN\tI-NP\tO' +p108277 +aS'tid\ttid\tNN\tI-NP\tO' +p108278 +aS',\t,\t,\tO\tO' +p108279 +aS'Captopril\tCaptopril\tNNP\tB-NP\tO' +p108280 +aS'25\t25\tCD\tI-NP\tO' +p108281 +aS'mgs\tmg\tNNS\tI-NP\tO' +p108282 +aS'po\tpo\tNN\tI-NP\tO' +p108283 +aS'tid\ttid\tNN\tI-NP\tO' +p108284 +aS',\t,\t,\tO\tO' +p108285 +aS'Lopressor\tLopressor\tNN\tB-NP\tO' +p108286 +aS'50\t50\tCD\tB-NP\tO' +p108287 +aS'mgs\tmg\tNNS\tI-NP\tO' +p108288 +aS'po\tpo\tVBP\tB-VP\tO' +p108289 +aS'bid\tbid\tNN\tB-NP\tO' +p108290 +aS',\t,\t,\tO\tO' +p108291 +aS'Colace\tColace\tNNP\tB-NP\tO' +p108292 +aS'100\t100\tCD\tI-NP\tO' +p108293 +aS'mgs\tmg\tNNS\tI-NP\tO' +p108294 +aS'po\tpo\tNN\tI-NP\tO' +p108295 +aS'tid\ttid\tNN\tI-NP\tO' +p108296 +aS',\t,\t,\tO\tO' +p108297 +aS'and\tand\tCC\tO\tO' +p108298 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p108299 +aS'2\t2\tCD\tB-NP\tO' +p108300 +aS'mgs\tmg\tNNS\tI-NP\tO' +p108301 +aS'po\tpo\tNN\tB-NP\tO' +p108302 +aS'qhs\tqh\tNNS\tI-NP\tO' +p108303 +aS'.\t.\t.\tO\tO' +p108304 +asS'A cardiology consult was obtained for this episode of diaphoresis with tachycardia , as well as for an EKG being read as having anterolateral changes .' +p108305 +(lp108306 +S'A\tA\tDT\tB-NP\tO' +p108307 +aS'cardiology\tcardiology\tNN\tI-NP\tO' +p108308 +aS'consult\tconsult\tNN\tI-NP\tO' +p108309 +aS'was\tbe\tVBD\tB-VP\tO' +p108310 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p108311 +aS'for\tfor\tIN\tB-PP\tO' +p108312 +aS'this\tthis\tDT\tB-NP\tO' +p108313 +aS'episode\tepisode\tNN\tI-NP\tO' +p108314 +aS'of\tof\tIN\tB-PP\tO' +p108315 +aS'diaphoresis\tdiaphoresis\tNN\tB-NP\tO' +p108316 +aS'with\twith\tIN\tB-PP\tO' +p108317 +aS'tachycardia\ttachycardia\tNN\tB-NP\tO' +p108318 +aS',\t,\t,\tO\tO' +p108319 +aS'as\tas\tRB\tB-CONJP\tO' +p108320 +aS'well\twell\tRB\tI-CONJP\tO' +p108321 +aS'as\tas\tIN\tI-CONJP\tO' +p108322 +aS'for\tfor\tIN\tB-PP\tO' +p108323 +aS'an\tan\tDT\tB-NP\tO' +p108324 +aS'EKG\tEKG\tNN\tI-NP\tO' +p108325 +aS'being\tbe\tVBG\tB-VP\tO' +p108326 +aS'read\tread\tVBN\tI-VP\tO' +p108327 +aS'as\tas\tIN\tB-PP\tO' +p108328 +aS'having\thave\tVBG\tB-VP\tO' +p108329 +aS'anterolateral\tanterolateral\tJJ\tB-NP\tO' +p108330 +aS'changes\tchange\tNNS\tI-NP\tO' +p108331 +aS'.\t.\t.\tO\tO' +p108332 +asS'No response to voice , sternal rub .' +p108333 +(lp108334 +S'No\tNo\tDT\tB-NP\tO' +p108335 +aS'response\tresponse\tNN\tI-NP\tO' +p108336 +aS'to\tto\tTO\tB-PP\tO' +p108337 +aS'voice\tvoice\tNN\tB-NP\tO' +p108338 +aS',\t,\t,\tO\tO' +p108339 +aS'sternal\tsternal\tJJ\tB-NP\tO' +p108340 +aS'rub\trub\tNN\tI-NP\tO' +p108341 +aS'.\t.\t.\tO\tO' +p108342 +asS'The patient had no complaints of pain .' +p108343 +(lp108344 +S'The\tThe\tDT\tB-NP\tO' +p108345 +aS'patient\tpatient\tNN\tI-NP\tO' +p108346 +aS'had\thave\tVBD\tB-VP\tO' +p108347 +aS'no\tno\tDT\tB-NP\tO' +p108348 +aS'complaints\tcomplaint\tNNS\tI-NP\tO' +p108349 +aS'of\tof\tIN\tB-PP\tO' +p108350 +aS'pain\tpain\tNN\tB-NP\tO' +p108351 +aS'.\t.\t.\tO\tO' +p108352 +asS'No recent viral syndromes or URI s.' +p108353 +(lp108354 +S'No\tNo\tDT\tB-NP\tO' +p108355 +aS'recent\trecent\tJJ\tI-NP\tO' +p108356 +aS'viral\tviral\tJJ\tI-NP\tO' +p108357 +aS'syndromes\tsyndrome\tNNS\tI-NP\tO' +p108358 +aS'or\tor\tCC\tO\tO' +p108359 +aS'URI\tURI\tNN\tB-NP\tO' +p108360 +aS's.\ts.\tNN\tI-NP\tO' +p108361 +asS'Received 48 hours of Ampicillin and gentamicin for rule out sepsis .' +p108362 +(lp108363 +S'Received\tReceive\tVBN\tB-VP\tO' +p108364 +aS'48\t48\tCD\tB-NP\tO' +p108365 +aS'hours\thour\tNNS\tI-NP\tO' +p108366 +aS'of\tof\tIN\tB-PP\tO' +p108367 +aS'Ampicillin\tAmpicillin\tNN\tB-NP\tB-protein' +p108368 +aS'and\tand\tCC\tI-NP\tO' +p108369 +aS'gentamicin\tgentamicin\tNN\tI-NP\tO' +p108370 +aS'for\tfor\tIN\tB-PP\tO' +p108371 +aS'rule\trule\tNN\tB-NP\tO' +p108372 +aS'out\tout\tIN\tB-PP\tO' +p108373 +aS'sepsis\tsepsis\tNN\tB-NP\tO' +p108374 +aS'.\t.\t.\tO\tO' +p108375 +asS'She passed meconium .' +p108376 +(lp108377 +S'She\tShe\tPRP\tB-NP\tO' +p108378 +aS'passed\tpass\tVBD\tB-VP\tO' +p108379 +aS'meconium\tmeconium\tNN\tB-NP\tO' +p108380 +aS'.\t.\t.\tO\tO' +p108381 +asS'The patient was tapered to p.o. prednisone and tolerated Mestinon 30 mg q. 4h with 180 mg longacting at bedtime .' +p108382 +(lp108383 +S'The\tThe\tDT\tB-NP\tO' +p108384 +aS'patient\tpatient\tNN\tI-NP\tO' +p108385 +aS'was\tbe\tVBD\tB-VP\tO' +p108386 +aS'tapered\ttaper\tVBN\tI-VP\tO' +p108387 +aS'to\tto\tTO\tI-VP\tO' +p108388 +aS'p.o.\tp.o.\tVB\tI-VP\tO' +p108389 +aS'prednisone\tprednisone\tNN\tB-NP\tO' +p108390 +aS'and\tand\tCC\tO\tO' +p108391 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p108392 +aS'Mestinon\tMestinon\tNNP\tB-NP\tO' +p108393 +aS'30\t30\tCD\tI-NP\tO' +p108394 +aS'mg\tmg\tNN\tI-NP\tO' +p108395 +aS'q.\tq.\tRB\tB-NP\tO' +p108396 +aS'4h\t4h\tCD\tI-NP\tO' +p108397 +aS'with\twith\tIN\tB-PP\tO' +p108398 +aS'180\t180\tCD\tB-NP\tO' +p108399 +aS'mg\tmg\tNN\tI-NP\tO' +p108400 +aS'longacting\tlongacte\tVBG\tB-VP\tO' +p108401 +aS'at\tat\tIN\tB-PP\tO' +p108402 +aS'bedtime\tbedtime\tNN\tB-NP\tO' +p108403 +aS'.\t.\t.\tO\tO' +p108404 +asS'1+ femoral pulses .' +p108405 +(lp108406 +S'1+\t1+\tJJ\tB-NP\tO' +p108407 +aS'femoral\tfemoral\tJJ\tI-NP\tO' +p108408 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p108409 +aS'.\t.\t.\tO\tO' +p108410 +asS'Hips stable .' +p108411 +(lp108412 +S'Hips\tHip\tNNS\tB-NP\tO' +p108413 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p108414 +aS'.\t.\t.\tO\tO' +p108415 +asS'It was felt that his respiratory status has been maximally treated by then .' +p108416 +(lp108417 +S'It\tIt\tPRP\tB-NP\tO' +p108418 +aS'was\tbe\tVBD\tB-VP\tO' +p108419 +aS'felt\tfeel\tVBN\tI-VP\tO' +p108420 +aS'that\tthat\tIN\tB-SBAR\tO' +p108421 +aS'his\this\tPRP$\tB-NP\tO' +p108422 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p108423 +aS'status\tstatus\tNN\tI-NP\tO' +p108424 +aS'has\thave\tVBZ\tB-VP\tO' +p108425 +aS'been\tbe\tVBN\tI-VP\tO' +p108426 +aS'maximally\tmaximally\tRB\tI-VP\tO' +p108427 +aS'treated\ttreat\tVBN\tI-VP\tO' +p108428 +aS'by\tby\tIN\tB-PP\tO' +p108429 +aS'then\tthen\tRB\tB-ADVP\tO' +p108430 +aS'.\t.\t.\tO\tO' +p108431 +asS'Her hematocrit was measured at 23.5 , while her baseline hematocrit is in the low 30 s.' +p108432 +(lp108433 +S'Her\tHer\tPRP$\tB-NP\tO' +p108434 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p108435 +aS'was\tbe\tVBD\tB-VP\tO' +p108436 +aS'measured\tmeasure\tVBN\tI-VP\tO' +p108437 +aS'at\tat\tIN\tB-PP\tO' +p108438 +aS'23.5\t23.5\tCD\tB-NP\tO' +p108439 +aS',\t,\t,\tO\tO' +p108440 +aS'while\twhile\tIN\tB-SBAR\tO' +p108441 +aS'her\ther\tPRP$\tB-NP\tO' +p108442 +aS'baseline\tbaseline\tNN\tI-NP\tO' +p108443 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p108444 +aS'is\tbe\tVBZ\tB-VP\tO' +p108445 +aS'in\tin\tIN\tB-PP\tO' +p108446 +aS'the\tthe\tDT\tB-NP\tO' +p108447 +aS'low\tlow\tJJ\tI-NP\tO' +p108448 +aS'30\t30\tCD\tI-NP\tO' +p108449 +aS's.\ts.\tNNS\tI-NP\tO' +p108450 +asS'The patient is to followup with an orthopedist in the United Kingdom fourteen days following discharge at which point repeat x-rays of her left forearm should be obtained and her left forearm scalp and right lower leg sutures and staples may be removed .' +p108451 +(lp108452 +S'The\tThe\tDT\tB-NP\tO' +p108453 +aS'patient\tpatient\tNN\tI-NP\tO' +p108454 +aS'is\tbe\tVBZ\tB-VP\tO' +p108455 +aS'to\tto\tTO\tB-VP\tO' +p108456 +aS'followup\tfollowup\tVB\tI-VP\tO' +p108457 +aS'with\twith\tIN\tB-PP\tO' +p108458 +aS'an\tan\tDT\tB-NP\tO' +p108459 +aS'orthopedist\torthopedist\tNN\tI-NP\tO' +p108460 +aS'in\tin\tIN\tB-PP\tO' +p108461 +aS'the\tthe\tDT\tB-NP\tO' +p108462 +aS'United\tUnited\tNNP\tI-NP\tO' +p108463 +aS'Kingdom\tKingdom\tNNP\tI-NP\tO' +p108464 +aS'fourteen\tfourteen\tCD\tI-NP\tO' +p108465 +aS'days\tday\tNNS\tI-NP\tO' +p108466 +aS'following\tfollow\tVBG\tB-PP\tO' +p108467 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p108468 +aS'at\tat\tIN\tB-PP\tO' +p108469 +aS'which\twhich\tWDT\tB-NP\tO' +p108470 +aS'point\tpoint\tNN\tB-NP\tO' +p108471 +aS'repeat\trepeat\tNN\tI-NP\tO' +p108472 +aS'x-rays\tx-ray\tNNS\tI-NP\tO' +p108473 +aS'of\tof\tIN\tB-PP\tO' +p108474 +aS'her\ther\tPRP$\tB-NP\tO' +p108475 +aS'left\tleft\tJJ\tI-NP\tO' +p108476 +aS'forearm\tforearm\tNN\tI-NP\tO' +p108477 +aS'should\tshould\tMD\tB-VP\tO' +p108478 +aS'be\tbe\tVB\tI-VP\tO' +p108479 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p108480 +aS'and\tand\tCC\tO\tO' +p108481 +aS'her\ther\tPRP$\tB-NP\tO' +p108482 +aS'left\tleft\tJJ\tI-NP\tO' +p108483 +aS'forearm\tforearm\tNN\tI-NP\tO' +p108484 +aS'scalp\tscalp\tNN\tI-NP\tO' +p108485 +aS'and\tand\tCC\tO\tO' +p108486 +aS'right\tright\tRB\tB-NP\tO' +p108487 +aS'lower\tlow\tJJR\tI-NP\tO' +p108488 +aS'leg\tleg\tNN\tI-NP\tO' +p108489 +aS'sutures\tsuture\tNNS\tI-NP\tO' +p108490 +aS'and\tand\tCC\tI-NP\tO' +p108491 +aS'staples\tstaple\tNNS\tI-NP\tO' +p108492 +aS'may\tmay\tMD\tB-VP\tO' +p108493 +aS'be\tbe\tVB\tI-VP\tO' +p108494 +aS'removed\tremove\tVBN\tI-VP\tO' +p108495 +aS'.\t.\t.\tO\tO' +p108496 +asS'ABG 7.45/33/57 .' +p108497 +(lp108498 +S'ABG\tABG\tNN\tB-NP\tO' +p108499 +aS'7.45/33/57\t7.45/33/57\tCD\tI-NP\tO' +p108500 +aS'.\t.\t.\tO\tO' +p108501 +asS'Cozaar 25 mg 1 time per day' +p108502 +(lp108503 +S'Cozaar\tCozaar\tNN\tB-NP\tO' +p108504 +aS'25\t25\tCD\tI-NP\tO' +p108505 +aS'mg\tmg\tNN\tI-NP\tO' +p108506 +aS'1\t1\tCD\tB-NP\tO' +p108507 +aS'time\ttime\tNN\tI-NP\tO' +p108508 +aS'per\tper\tIN\tB-PP\tO' +p108509 +aS'day\tday\tNN\tB-NP\tO' +p108510 +asS'13. Clopidogrel Bisulfate 75 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' +p108511 +(lp108512 +S'13.\t13.\tLS\tB-NP\tO' +p108513 +aS'Clopidogrel\tClopidogrel\tNN\tI-NP\tO' +p108514 +aS'Bisulfate\tBisulfate\tNN\tI-NP\tO' +p108515 +aS'75\t75\tCD\tI-NP\tO' +p108516 +aS'mg\tmg\tNN\tI-NP\tO' +p108517 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p108518 +aS'Sig\tSig\tNNP\tI-NP\tO' +p108519 +aS':\t:\t:\tO\tO' +p108520 +aS'One\tOne\tCD\tB-NP\tO' +p108521 +aS'(\t(\t(\tO\tO' +p108522 +aS'1\t1\tCD\tB-NP\tO' +p108523 +aS')\t)\t)\tO\tO' +p108524 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p108525 +aS'PO\tPO\tNN\tI-NP\tO' +p108526 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p108527 +aS'(\t(\t(\tO\tO' +p108528 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p108529 +aS')\t)\t)\tO\tO' +p108530 +aS'.\t.\t.\tO\tO' +p108531 +asS'DNR / DNI .' +p108532 +(lp108533 +S'DNR\tDNR\tNN\tB-NP\tB-protein' +p108534 +aS'/\t/\tSYM\tI-NP\tO' +p108535 +aS'DNI\tDNI\tNN\tI-NP\tO' +p108536 +aS'.\t.\t.\tO\tO' +p108537 +asS'Family History : see dc summary' +p108538 +(lp108539 +S'Family\tFamily\tRB\tB-NP\tO' +p108540 +aS'History\tHistory\tNN\tI-NP\tO' +p108541 +aS':\t:\t:\tO\tO' +p108542 +aS'see\tsee\tVB\tB-VP\tO' +p108543 +aS'dc\tdc\tNN\tB-NP\tO' +p108544 +aS'summary\tsummary\tNN\tI-NP\tO' +p108545 +asS'She gets hives .' +p108546 +(lp108547 +S'She\tShe\tPRP\tB-NP\tO' +p108548 +aS'gets\tget\tVBZ\tB-VP\tO' +p108549 +aS'hives\thive\tNNS\tB-NP\tO' +p108550 +aS'.\t.\t.\tO\tO' +p108551 +asS'9. Heparin Sodium ( Porcine ) 5,000 unit / mL Solution Sig : One ( 1 ) Injection TID ( 3 times a day ) .' +p108552 +(lp108553 +S'9.\t9.\tLS\tB-NP\tO' +p108554 +aS'Heparin\tHeparin\tNN\tI-NP\tB-protein' +p108555 +aS'Sodium\tSodium\tNN\tI-NP\tI-protein' +p108556 +aS'(\t(\t(\tO\tI-protein' +p108557 +aS'Porcine\tPorcine\tNN\tB-NP\tI-protein' +p108558 +aS')\t)\t)\tO\tI-protein' +p108559 +aS'5,000\t5,000\tCD\tB-NP\tI-protein' +p108560 +aS'unit\tunit\tNN\tI-NP\tI-protein' +p108561 +aS'/\t/\tSYM\tB-NP\tO' +p108562 +aS'mL\tmL\tNN\tI-NP\tO' +p108563 +aS'Solution\tSolution\tNNP\tI-NP\tO' +p108564 +aS'Sig\tSig\tNNP\tI-NP\tO' +p108565 +aS':\t:\t:\tO\tO' +p108566 +aS'One\tOne\tCD\tB-NP\tO' +p108567 +aS'(\t(\t(\tO\tO' +p108568 +aS'1\t1\tCD\tB-NP\tO' +p108569 +aS')\t)\t)\tO\tO' +p108570 +aS'Injection\tInjection\tNN\tB-NP\tO' +p108571 +aS'TID\tTID\tNN\tI-NP\tO' +p108572 +aS'(\t(\t(\tO\tO' +p108573 +aS'3\t3\tCD\tB-NP\tO' +p108574 +aS'times\ttime\tNNS\tI-NP\tO' +p108575 +aS'a\ta\tDT\tB-NP\tO' +p108576 +aS'day\tday\tNN\tI-NP\tO' +p108577 +aS')\t)\t)\tO\tO' +p108578 +aS'.\t.\t.\tO\tO' +p108579 +asS'Apgar scores were 7 at one minute and 8 at 5 minutes .' +p108580 +(lp108581 +S'Apgar\tApgar\tNN\tB-NP\tO' +p108582 +aS'scores\tscore\tNNS\tI-NP\tO' +p108583 +aS'were\tbe\tVBD\tB-VP\tO' +p108584 +aS'7\t7\tCD\tB-NP\tO' +p108585 +aS'at\tat\tIN\tB-PP\tO' +p108586 +aS'one\tone\tCD\tB-NP\tO' +p108587 +aS'minute\tminute\tNN\tI-NP\tO' +p108588 +aS'and\tand\tCC\tO\tO' +p108589 +aS'8\t8\tCD\tB-NP\tO' +p108590 +aS'at\tat\tIN\tB-PP\tO' +p108591 +aS'5\t5\tCD\tB-NP\tO' +p108592 +aS'minutes\tminute\tNNS\tI-NP\tO' +p108593 +aS'.\t.\t.\tO\tO' +p108594 +asS'After the procedure the patient did well .' +p108595 +(lp108596 +S'After\tAfter\tIN\tB-PP\tO' +p108597 +aS'the\tthe\tDT\tB-NP\tO' +p108598 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p108599 +aS'the\tthe\tDT\tB-NP\tO' +p108600 +aS'patient\tpatient\tNN\tI-NP\tO' +p108601 +aS'did\tdo\tVBD\tB-VP\tO' +p108602 +aS'well\twell\tRB\tB-ADVP\tO' +p108603 +aS'.\t.\t.\tO\tO' +p108604 +asS'CT-guided aspiration 06-01 for pelvic abscess' +p108605 +(lp108606 +S'CT-guided\tCT-guided\tJJ\tB-NP\tO' +p108607 +aS'aspiration\taspiration\tNN\tI-NP\tO' +p108608 +aS'06-01\t06-01\tCD\tI-NP\tO' +p108609 +aS'for\tfor\tIN\tB-PP\tO' +p108610 +aS'pelvic\tpelvic\tJJ\tB-NP\tO' +p108611 +aS'abscess\tabscess\tNN\tI-NP\tO' +p108612 +asS'2. Tylenol No. 3 one to two tablets p.o. q.4h. p.r.n. for pain .' +p108613 +(lp108614 +S'2.\t2.\tLS\tB-NP\tO' +p108615 +aS'Tylenol\tTylenol\tNN\tI-NP\tO' +p108616 +aS'No.\tNo.\tNN\tI-NP\tO' +p108617 +aS'3\t3\tCD\tI-NP\tO' +p108618 +aS'one\tone\tCD\tI-NP\tO' +p108619 +aS'to\tto\tTO\tI-NP\tO' +p108620 +aS'two\ttwo\tCD\tI-NP\tO' +p108621 +aS'tablets\ttablet\tNNS\tI-NP\tO' +p108622 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p108623 +aS'q.4h.\tq.4h.\tNN\tI-NP\tO' +p108624 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p108625 +aS'for\tfor\tIN\tB-PP\tO' +p108626 +aS'pain\tpain\tNN\tB-NP\tO' +p108627 +aS'.\t.\t.\tO\tO' +p108628 +asS'She has two children .' +p108629 +(lp108630 +S'She\tShe\tPRP\tB-NP\tO' +p108631 +aS'has\thave\tVBZ\tB-VP\tO' +p108632 +aS'two\ttwo\tCD\tB-NP\tO' +p108633 +aS'children\tchild\tNNS\tI-NP\tO' +p108634 +aS'.\t.\t.\tO\tO' +p108635 +asS'Reglan 5 mg q 6h ,' +p108636 +(lp108637 +S'Reglan\tReglan\tNN\tB-NP\tO' +p108638 +aS'5\t5\tCD\tI-NP\tO' +p108639 +aS'mg\tmg\tNN\tI-NP\tO' +p108640 +aS'q\tq\tNN\tI-NP\tO' +p108641 +aS'6h\t6h\tNN\tI-NP\tO' +p108642 +aS',\t,\t,\tO\tO' +p108643 +asS'4. Zinc sulfate 220 mg p.o. q.d.' +p108644 +(lp108645 +S'4.\t4.\tLS\tB-NP\tO' +p108646 +aS'Zinc\tZinc\tNN\tI-NP\tO' +p108647 +aS'sulfate\tsulfate\tNN\tI-NP\tO' +p108648 +aS'220\t220\tCD\tI-NP\tO' +p108649 +aS'mg\tmg\tNN\tI-NP\tO' +p108650 +aS'p.o.\tp.o.\tFW\tB-ADVP\tO' +p108651 +aS'q.d.\tq.d.\tFW\tI-ADVP\tO' +p108652 +asS'He was shown to have rigors .' +p108653 +(lp108654 +S'He\tHe\tPRP\tB-NP\tO' +p108655 +aS'was\tbe\tVBD\tB-VP\tO' +p108656 +aS'shown\tshow\tVBN\tI-VP\tO' +p108657 +aS'to\tto\tTO\tI-VP\tO' +p108658 +aS'have\thave\tVB\tI-VP\tO' +p108659 +aS'rigors\trigor\tNNS\tB-NP\tO' +p108660 +aS'.\t.\t.\tO\tO' +p108661 +asS'Nifedipine ER 60 daily .' +p108662 +(lp108663 +S'Nifedipine\tNifedipine\tNN\tB-NP\tO' +p108664 +aS'ER\tER\tNN\tI-NP\tO' +p108665 +aS'60\t60\tCD\tI-NP\tO' +p108666 +aS'daily\tdaily\tRB\tB-ADVP\tO' +p108667 +aS'.\t.\t.\tO\tO' +p108668 +asS'10. Quetiapine 25 mg Tablet Sig : Two ( 2 ) Tablet PO DAILY ( Daily ) .' +p108669 +(lp108670 +S'10.\t10.\tCD\tB-NP\tO' +p108671 +aS'Quetiapine\tQuetiapine\tNNP\tI-NP\tO' +p108672 +aS'25\t25\tCD\tI-NP\tO' +p108673 +aS'mg\tmg\tNN\tI-NP\tO' +p108674 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p108675 +aS'Sig\tSig\tNNP\tI-NP\tO' +p108676 +aS':\t:\t:\tO\tO' +p108677 +aS'Two\tTwo\tCD\tB-NP\tO' +p108678 +aS'(\t(\t(\tO\tO' +p108679 +aS'2\t2\tCD\tO\tO' +p108680 +aS')\t)\t)\tO\tO' +p108681 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p108682 +aS'PO\tPO\tNN\tI-NP\tO' +p108683 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p108684 +aS'(\t(\t(\tO\tO' +p108685 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p108686 +aS')\t)\t)\tO\tO' +p108687 +aS'.\t.\t.\tO\tO' +p108688 +asS'No m,r,g .' +p108689 +(lp108690 +S'No\tNo\tDT\tB-NP\tO' +p108691 +aS'm,r,g\tm,r,g\tNN\tI-NP\tO' +p108692 +aS'.\t.\t.\tO\tO' +p108693 +asS'5. Cocaine use : last use this morning , no BB given this ; considered using CCB / phentolamine if chest pain recurs .' +p108694 +(lp108695 +S'5.\t5.\tLS\tB-NP\tO' +p108696 +aS'Cocaine\tCocaine\tNN\tI-NP\tO' +p108697 +aS'use\tuse\tNN\tI-NP\tO' +p108698 +aS':\t:\t:\tO\tO' +p108699 +aS'last\tlast\tJJ\tB-NP\tO' +p108700 +aS'use\tuse\tNN\tI-NP\tO' +p108701 +aS'this\tthis\tDT\tB-NP\tO' +p108702 +aS'morning\tmorning\tNN\tI-NP\tO' +p108703 +aS',\t,\t,\tO\tO' +p108704 +aS'no\tno\tDT\tB-NP\tO' +p108705 +aS'BB\tBB\tNN\tI-NP\tB-protein' +p108706 +aS'given\tgive\tVBN\tB-PP\tO' +p108707 +aS'this\tthis\tDT\tB-NP\tO' +p108708 +aS';\t;\t:\tO\tO' +p108709 +aS'considered\tconsider\tVBN\tB-VP\tO' +p108710 +aS'using\tuse\tVBG\tB-VP\tO' +p108711 +aS'CCB\tCCB\tNN\tB-NP\tB-protein' +p108712 +aS'/\t/\tSYM\tI-NP\tO' +p108713 +aS'phentolamine\tphentolamine\tNN\tI-NP\tO' +p108714 +aS'if\tif\tIN\tB-SBAR\tO' +p108715 +aS'chest\tchest\tNN\tB-NP\tO' +p108716 +aS'pain\tpain\tNN\tI-NP\tO' +p108717 +aS'recurs\trecur\tNNS\tI-NP\tO' +p108718 +aS'.\t.\t.\tO\tO' +p108719 +asS'2. Potassium Chloride 20 milliequivalents po bid .' +p108720 +(lp108721 +S'2.\t2.\tLS\tB-NP\tO' +p108722 +aS'Potassium\tPotassium\tNN\tI-NP\tO' +p108723 +aS'Chloride\tChloride\tNN\tI-NP\tO' +p108724 +aS'20\t20\tCD\tB-NP\tO' +p108725 +aS'milliequivalents\tmilliequivalent\tNNS\tI-NP\tO' +p108726 +aS'po\tpo\tNN\tI-NP\tO' +p108727 +aS'bid\tbid\tNN\tI-NP\tO' +p108728 +aS'.\t.\t.\tO\tO' +p108729 +asS'CT of the abdomen and pelvis showed dilated colon with a large amount of fluid .' +p108730 +(lp108731 +S'CT\tCT\tNN\tB-NP\tO' +p108732 +aS'of\tof\tIN\tB-PP\tO' +p108733 +aS'the\tthe\tDT\tB-NP\tO' +p108734 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p108735 +aS'and\tand\tCC\tI-NP\tO' +p108736 +aS'pelvis\tpelvis\tNN\tI-NP\tO' +p108737 +aS'showed\tshow\tVBD\tB-VP\tO' +p108738 +aS'dilated\tdilated\tJJ\tB-NP\tO' +p108739 +aS'colon\tcolon\tNN\tI-NP\tO' +p108740 +aS'with\twith\tIN\tB-PP\tO' +p108741 +aS'a\ta\tDT\tB-NP\tO' +p108742 +aS'large\tlarge\tJJ\tI-NP\tO' +p108743 +aS'amount\tamount\tNN\tI-NP\tO' +p108744 +aS'of\tof\tIN\tB-PP\tO' +p108745 +aS'fluid\tfluid\tNN\tB-NP\tO' +p108746 +aS'.\t.\t.\tO\tO' +p108747 +asS'NECK - No carotid bruits , with 2+ carotid pulses .' +p108748 +(lp108749 +S'NECK\tNECK\tNN\tB-NP\tB-protein' +p108750 +aS'-\t-\tHYPH\tO\tO' +p108751 +aS'No\tNo\tDT\tB-NP\tO' +p108752 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p108753 +aS'bruits\tbruit\tNNS\tI-NP\tO' +p108754 +aS',\t,\t,\tO\tO' +p108755 +aS'with\twith\tIN\tB-PP\tO' +p108756 +aS'2+\t2+\tJJ\tB-NP\tO' +p108757 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p108758 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p108759 +aS'.\t.\t.\tO\tO' +p108760 +asS'11. Procainamide 250 mg Capsule Sig : Three ( 3 ) Capsule PO Q6H ( every 6 hours ) : x 6 weeks .' +p108761 +(lp108762 +S'11.\t11.\tCD\tB-NP\tO' +p108763 +aS'Procainamide\tProcainamide\tNN\tI-NP\tO' +p108764 +aS'250\t250\tCD\tB-NP\tO' +p108765 +aS'mg\tmg\tNN\tI-NP\tO' +p108766 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p108767 +aS'Sig\tSig\tNNP\tI-NP\tO' +p108768 +aS':\t:\t:\tO\tO' +p108769 +aS'Three\tThree\tCD\tB-NP\tO' +p108770 +aS'(\t(\t(\tO\tO' +p108771 +aS'3\t3\tCD\tB-NP\tO' +p108772 +aS')\t)\t)\tO\tO' +p108773 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p108774 +aS'PO\tPO\tNN\tI-NP\tO' +p108775 +aS'Q6H\tQ6H\tNN\tI-NP\tO' +p108776 +aS'(\t(\t(\tO\tO' +p108777 +aS'every\tevery\tDT\tB-NP\tO' +p108778 +aS'6\t6\tCD\tI-NP\tO' +p108779 +aS'hours\thour\tNNS\tI-NP\tO' +p108780 +aS')\t)\t)\tO\tO' +p108781 +aS':\t:\t:\tO\tO' +p108782 +aS'x\tx\tNN\tB-NP\tO' +p108783 +aS'6\t6\tCD\tB-NP\tO' +p108784 +aS'weeks\tweek\tNNS\tI-NP\tO' +p108785 +aS'.\t.\t.\tO\tO' +p108786 +asS'On physical examination , she is a pleasant woman in no acute distress .' +p108787 +(lp108788 +S'On\tOn\tIN\tB-PP\tO' +p108789 +aS'physical\tphysical\tJJ\tB-NP\tO' +p108790 +aS'examination\texamination\tNN\tI-NP\tO' +p108791 +aS',\t,\t,\tO\tO' +p108792 +aS'she\tshe\tPRP\tB-NP\tO' +p108793 +aS'is\tbe\tVBZ\tB-VP\tO' +p108794 +aS'a\ta\tDT\tB-NP\tO' +p108795 +aS'pleasant\tpleasant\tJJ\tI-NP\tO' +p108796 +aS'woman\twoman\tNN\tI-NP\tO' +p108797 +aS'in\tin\tIN\tB-PP\tO' +p108798 +aS'no\tno\tDT\tB-NP\tO' +p108799 +aS'acute\tacute\tJJ\tI-NP\tO' +p108800 +aS'distress\tdistress\tNN\tI-NP\tO' +p108801 +aS'.\t.\t.\tO\tO' +p108802 +asS'The patient was sent for an MRI of the head , which raised the question of a right posterior cerebral artery aneurysm .' +p108803 +(lp108804 +S'The\tThe\tDT\tB-NP\tO' +p108805 +aS'patient\tpatient\tNN\tI-NP\tO' +p108806 +aS'was\tbe\tVBD\tB-VP\tO' +p108807 +aS'sent\tsend\tVBN\tI-VP\tO' +p108808 +aS'for\tfor\tIN\tB-PP\tO' +p108809 +aS'an\tan\tDT\tB-NP\tO' +p108810 +aS'MRI\tMRI\tNN\tI-NP\tB-protein' +p108811 +aS'of\tof\tIN\tB-PP\tO' +p108812 +aS'the\tthe\tDT\tB-NP\tO' +p108813 +aS'head\thead\tNN\tI-NP\tO' +p108814 +aS',\t,\t,\tO\tO' +p108815 +aS'which\twhich\tWDT\tB-NP\tO' +p108816 +aS'raised\traise\tVBD\tB-VP\tO' +p108817 +aS'the\tthe\tDT\tB-NP\tO' +p108818 +aS'question\tquestion\tNN\tI-NP\tO' +p108819 +aS'of\tof\tIN\tB-PP\tO' +p108820 +aS'a\ta\tDT\tB-NP\tO' +p108821 +aS'right\tright\tJJ\tI-NP\tO' +p108822 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p108823 +aS'cerebral\tcerebral\tJJ\tI-NP\tO' +p108824 +aS'artery\tartery\tNN\tI-NP\tO' +p108825 +aS'aneurysm\taneurysm\tNN\tI-NP\tO' +p108826 +aS'.\t.\t.\tO\tO' +p108827 +asS'His brother is mentally handicapped and might be sent away from his instate institution .' +p108828 +(lp108829 +S'His\tHis\tPRP$\tB-NP\tO' +p108830 +aS'brother\tbrother\tNN\tI-NP\tO' +p108831 +aS'is\tbe\tVBZ\tB-VP\tO' +p108832 +aS'mentally\tmentally\tRB\tI-VP\tO' +p108833 +aS'handicapped\thandicap\tVBN\tI-VP\tO' +p108834 +aS'and\tand\tCC\tO\tO' +p108835 +aS'might\tmight\tMD\tB-VP\tO' +p108836 +aS'be\tbe\tVB\tI-VP\tO' +p108837 +aS'sent\tsend\tVBN\tI-VP\tO' +p108838 +aS'away\taway\tRB\tB-ADVP\tO' +p108839 +aS'from\tfrom\tIN\tB-PP\tO' +p108840 +aS'his\this\tPRP$\tB-NP\tO' +p108841 +aS'instate\tinstate\tNN\tI-NP\tO' +p108842 +aS'institution\tinstitution\tNN\tI-NP\tO' +p108843 +aS'.\t.\t.\tO\tO' +p108844 +asS'Her friends check up on her .' +p108845 +(lp108846 +S'Her\tHer\tPRP$\tB-NP\tO' +p108847 +aS'friends\tfriend\tNNS\tI-NP\tO' +p108848 +aS'check\tcheck\tVBP\tB-VP\tO' +p108849 +aS'up\tup\tRP\tB-PRT\tO' +p108850 +aS'on\ton\tIN\tB-PP\tO' +p108851 +aS'her\ther\tPRP\tB-NP\tO' +p108852 +aS'.\t.\t.\tO\tO' +p108853 +asS'The patient is a former smoker ; he quit 50 years ago .' +p108854 +(lp108855 +S'The\tThe\tDT\tB-NP\tO' +p108856 +aS'patient\tpatient\tNN\tI-NP\tO' +p108857 +aS'is\tbe\tVBZ\tB-VP\tO' +p108858 +aS'a\ta\tDT\tB-NP\tO' +p108859 +aS'former\tformer\tJJ\tI-NP\tO' +p108860 +aS'smoker\tsmoker\tNN\tI-NP\tO' +p108861 +aS';\t;\t:\tO\tO' +p108862 +aS'he\the\tPRP\tB-NP\tO' +p108863 +aS'quit\tquit\tVBD\tB-VP\tO' +p108864 +aS'50\t50\tCD\tB-NP\tO' +p108865 +aS'years\tyear\tNNS\tI-NP\tO' +p108866 +aS'ago\tago\tRB\tB-ADVP\tO' +p108867 +aS'.\t.\t.\tO\tO' +p108868 +asS'MOST IMPORTANTLY , THE PATIENT MUST BE WATCH ONE-ON-ONE SO THAT SHE DOES NOT PICK AT HER WOUND .' +p108869 +(lp108870 +S'MOST\tMOST\tNNP\tB-NP\tO' +p108871 +aS'IMPORTANTLY\tIMPORTANTLY\tNNP\tI-NP\tO' +p108872 +aS',\t,\t,\tO\tO' +p108873 +aS'THE\tTHE\tDT\tB-NP\tO' +p108874 +aS'PATIENT\tPATIENT\tJJ\tI-NP\tO' +p108875 +aS'MUST\tMUST\tNN\tI-NP\tO' +p108876 +aS'BE\tBE\tNN\tI-NP\tO' +p108877 +aS'WATCH\tWATCH\tNN\tI-NP\tO' +p108878 +aS'ONE-ON-ONE\tONE-ON-ONE\tNN\tI-NP\tO' +p108879 +aS'SO\tSO\tNN\tI-NP\tO' +p108880 +aS'THAT\tTHAT\tNN\tI-NP\tO' +p108881 +aS'SHE\tSHE\tNN\tI-NP\tO' +p108882 +aS'DOES\tDOES\tVBZ\tB-VP\tO' +p108883 +aS'NOT\tNOT\tNN\tB-NP\tO' +p108884 +aS'PICK\tPICK\tNN\tI-NP\tO' +p108885 +aS'AT\tAT\tNN\tI-NP\tO' +p108886 +aS'HER\tHER\tNN\tI-NP\tO' +p108887 +aS'WOUND\tWOUND\tNN\tI-NP\tO' +p108888 +aS'.\t.\t.\tO\tO' +p108889 +asS'He has three children .' +p108890 +(lp108891 +S'He\tHe\tPRP\tB-NP\tO' +p108892 +aS'has\thave\tVBZ\tB-VP\tO' +p108893 +aS'three\tthree\tCD\tB-NP\tO' +p108894 +aS'children\tchild\tNNS\tI-NP\tO' +p108895 +aS'.\t.\t.\tO\tO' +p108896 +asS'She also developed what appeared to be urinary tract infection and was placed on PO Bactrim .' +p108897 +(lp108898 +S'She\tShe\tPRP\tB-NP\tO' +p108899 +aS'also\talso\tRB\tB-ADVP\tO' +p108900 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p108901 +aS'what\twhat\tWP\tB-NP\tO' +p108902 +aS'appeared\tappear\tVBD\tB-VP\tO' +p108903 +aS'to\tto\tTO\tI-VP\tO' +p108904 +aS'be\tbe\tVB\tI-VP\tO' +p108905 +aS'urinary\turinary\tJJ\tB-NP\tO' +p108906 +aS'tract\ttract\tNN\tI-NP\tO' +p108907 +aS'infection\tinfection\tNN\tI-NP\tO' +p108908 +aS'and\tand\tCC\tO\tO' +p108909 +aS'was\tbe\tVBD\tB-VP\tO' +p108910 +aS'placed\tplace\tVBN\tI-VP\tO' +p108911 +aS'on\ton\tIN\tB-PP\tO' +p108912 +aS'PO\tPO\tNNP\tB-NP\tO' +p108913 +aS'Bactrim\tBactrim\tNNP\tI-NP\tO' +p108914 +aS'.\t.\t.\tO\tO' +p108915 +asS'CONTRAINDICATIONS for IV CONTRAST : None .' +p108916 +(lp108917 +S'CONTRAINDICATIONS\tCONTRAINDICATIONS\tNNS\tB-NP\tO' +p108918 +aS'for\tfor\tIN\tB-PP\tO' +p108919 +aS'IV\tIV\tCD\tB-NP\tO' +p108920 +aS'CONTRAST\tCONTRAST\tNN\tI-NP\tO' +p108921 +aS':\t:\t:\tO\tO' +p108922 +aS'None\tNone\tNN\tB-NP\tO' +p108923 +aS'.\t.\t.\tO\tO' +p108924 +asS'The patient was ejected and his vehicle rolled over , possibly over him .' +p108925 +(lp108926 +S'The\tThe\tDT\tB-NP\tO' +p108927 +aS'patient\tpatient\tNN\tI-NP\tO' +p108928 +aS'was\tbe\tVBD\tB-VP\tO' +p108929 +aS'ejected\teject\tVBN\tI-VP\tO' +p108930 +aS'and\tand\tCC\tO\tO' +p108931 +aS'his\this\tPRP$\tB-NP\tO' +p108932 +aS'vehicle\tvehicle\tNN\tI-NP\tO' +p108933 +aS'rolled\troll\tVBD\tB-VP\tO' +p108934 +aS'over\tover\tRB\tB-ADVP\tO' +p108935 +aS',\t,\t,\tO\tO' +p108936 +aS'possibly\tpossibly\tRB\tB-ADVP\tO' +p108937 +aS'over\tover\tIN\tB-PP\tO' +p108938 +aS'him\thim\tPRP\tB-NP\tO' +p108939 +aS'.\t.\t.\tO\tO' +p108940 +asS'FINDINGS : Left chest tube remains in place with some density adjacent to the tip , but there is no significant interval change vs . prior .' +p108941 +(lp108942 +S'FINDINGS\tFINDINGS\tNNS\tB-NP\tO' +p108943 +aS':\t:\t:\tO\tO' +p108944 +aS'Left\tLeave\tVBN\tB-NP\tO' +p108945 +aS'chest\tchest\tNN\tI-NP\tO' +p108946 +aS'tube\ttube\tNN\tI-NP\tO' +p108947 +aS'remains\tremain\tVBZ\tB-VP\tO' +p108948 +aS'in\tin\tIN\tB-PP\tO' +p108949 +aS'place\tplace\tNN\tB-NP\tO' +p108950 +aS'with\twith\tIN\tB-PP\tO' +p108951 +aS'some\tsome\tDT\tB-NP\tO' +p108952 +aS'density\tdensity\tNN\tI-NP\tO' +p108953 +aS'adjacent\tadjacent\tJJ\tB-ADJP\tO' +p108954 +aS'to\tto\tTO\tB-PP\tO' +p108955 +aS'the\tthe\tDT\tB-NP\tO' +p108956 +aS'tip\ttip\tNN\tI-NP\tB-DNA' +p108957 +aS',\t,\t,\tO\tO' +p108958 +aS'but\tbut\tCC\tO\tO' +p108959 +aS'there\tthere\tEX\tB-NP\tO' +p108960 +aS'is\tbe\tVBZ\tB-VP\tO' +p108961 +aS'no\tno\tDT\tB-NP\tO' +p108962 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p108963 +aS'interval\tinterval\tNN\tI-NP\tO' +p108964 +aS'change\tchange\tNN\tI-NP\tO' +p108965 +aS'vs\tv\tNNS\tI-NP\tO' +p108966 +aS'.\t.\t.\tO\tO' +p108967 +aS'prior\tprior\tRB\tB-ADVP\tO' +p108968 +aS'.\t.\t.\tO\tO' +p108969 +asS'--- expect prolonged wean given previous history of prolonged wean s/p colonic resection' +p108970 +(lp108971 +S'---\t---\tSYM\tO\tO' +p108972 +aS'expect\texpect\tNN\tB-NP\tO' +p108973 +aS'prolonged\tprolong\tVBD\tB-VP\tO' +p108974 +aS'wean\twean\tJJ\tB-NP\tO' +p108975 +aS'given\tgive\tVBN\tI-NP\tO' +p108976 +aS'previous\tprevious\tJJ\tI-NP\tO' +p108977 +aS'history\thistory\tNN\tI-NP\tO' +p108978 +aS'of\tof\tIN\tB-PP\tO' +p108979 +aS'prolonged\tprolonged\tJJ\tB-NP\tO' +p108980 +aS'wean\twean\tJJ\tI-NP\tO' +p108981 +aS's/p\ts/p\tNN\tI-NP\tO' +p108982 +aS'colonic\tcolonic\tJJ\tI-NP\tO' +p108983 +aS'resection\tresection\tNN\tI-NP\tO' +p108984 +asS'Therefore , directional coronary atherectomy was performed with an excellent angiographic outcome , and a less than 10% residual narrowing .' +p108985 +(lp108986 +S'Therefore\tTherefore\tRB\tB-ADVP\tO' +p108987 +aS',\t,\t,\tO\tO' +p108988 +aS'directional\tdirectional\tJJ\tB-NP\tO' +p108989 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p108990 +aS'atherectomy\tatherectomy\tNN\tI-NP\tO' +p108991 +aS'was\tbe\tVBD\tB-VP\tO' +p108992 +aS'performed\tperform\tVBN\tI-VP\tO' +p108993 +aS'with\twith\tIN\tB-PP\tO' +p108994 +aS'an\tan\tDT\tB-NP\tO' +p108995 +aS'excellent\texcellent\tJJ\tI-NP\tO' +p108996 +aS'angiographic\tangiographic\tJJ\tI-NP\tO' +p108997 +aS'outcome\toutcome\tNN\tI-NP\tO' +p108998 +aS',\t,\t,\tO\tO' +p108999 +aS'and\tand\tCC\tO\tO' +p109000 +aS'a\ta\tDT\tB-NP\tO' +p109001 +aS'less\tless\tJJR\tI-NP\tO' +p109002 +aS'than\tthan\tIN\tI-NP\tO' +p109003 +aS'10%\t10%\tCD\tI-NP\tO' +p109004 +aS'residual\tresidual\tJJ\tI-NP\tO' +p109005 +aS'narrowing\tnarrowing\tNN\tI-NP\tO' +p109006 +aS'.\t.\t.\tO\tO' +p109007 +asS'On 3-27-93 , patient underwent cardiac catheterization , coronary and left ventricular angiography without complications .' +p109008 +(lp109009 +S'On\tOn\tIN\tB-PP\tO' +p109010 +aS'3-27-93\t3-27-93\tNN\tB-NP\tO' +p109011 +aS',\t,\t,\tO\tO' +p109012 +aS'patient\tpatient\tNN\tB-NP\tO' +p109013 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p109014 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p109015 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p109016 +aS',\t,\t,\tO\tO' +p109017 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p109018 +aS'and\tand\tCC\tI-NP\tO' +p109019 +aS'left\tleft\tJJ\tI-NP\tO' +p109020 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p109021 +aS'angiography\tangiography\tNN\tI-NP\tO' +p109022 +aS'without\twithout\tIN\tB-PP\tO' +p109023 +aS'complications\tcomplication\tNNS\tB-NP\tO' +p109024 +aS'.\t.\t.\tO\tO' +p109025 +asS"Pt 's triple lumen catheter was found to be growing coag neg staph . and PICC tip and sputum growing enterobacter cloacae ." +p109026 +(lp109027 +S'Pt\tPt\tNN\tB-NP\tO' +p109028 +aS"'s\t's\tPOS\tB-NP\tO" +p109029 +aS'triple\ttriple\tJJ\tI-NP\tO' +p109030 +aS'lumen\tlumen\tNN\tI-NP\tO' +p109031 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p109032 +aS'was\tbe\tVBD\tB-VP\tO' +p109033 +aS'found\tfind\tVBN\tI-VP\tO' +p109034 +aS'to\tto\tTO\tI-VP\tO' +p109035 +aS'be\tbe\tVB\tI-VP\tO' +p109036 +aS'growing\tgrow\tVBG\tI-VP\tO' +p109037 +aS'coag\tcoag\tNN\tB-NP\tO' +p109038 +aS'neg\tneg\tNN\tI-NP\tO' +p109039 +aS'staph\tstaph\tNN\tI-NP\tO' +p109040 +aS'.\t.\t.\tO\tO' +p109041 +aS'and\tand\tCC\tO\tO' +p109042 +aS'PICC\tPICC\tNN\tB-NP\tO' +p109043 +aS'tip\ttip\tNN\tI-NP\tO' +p109044 +aS'and\tand\tCC\tO\tO' +p109045 +aS'sputum\tsputum\tNN\tB-NP\tO' +p109046 +aS'growing\tgrow\tVBG\tB-VP\tO' +p109047 +aS'enterobacter\tenterobacter\tNN\tB-NP\tO' +p109048 +aS'cloacae\tcloaca\tNNS\tI-NP\tO' +p109049 +aS'.\t.\t.\tO\tO' +p109050 +asS'The patient was admitted for one cycle of Cytoxan and Cisplatin , and subsequently underwent debulking in June 1992 , as well as a total abdominal hysterectomy/ bilateral salpingo-oophorectomy , omentectomy , splenectomy , rectosigmoid resection with a take down of the ileostomy .' +p109051 +(lp109052 +S'The\tThe\tDT\tB-NP\tO' +p109053 +aS'patient\tpatient\tNN\tI-NP\tO' +p109054 +aS'was\tbe\tVBD\tB-VP\tO' +p109055 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p109056 +aS'for\tfor\tIN\tB-PP\tO' +p109057 +aS'one\tone\tCD\tB-NP\tO' +p109058 +aS'cycle\tcycle\tNN\tI-NP\tO' +p109059 +aS'of\tof\tIN\tB-PP\tO' +p109060 +aS'Cytoxan\tCytoxan\tNN\tB-NP\tO' +p109061 +aS'and\tand\tCC\tI-NP\tO' +p109062 +aS'Cisplatin\tCisplatin\tNN\tI-NP\tB-protein' +p109063 +aS',\t,\t,\tO\tO' +p109064 +aS'and\tand\tCC\tO\tO' +p109065 +aS'subsequently\tsubsequently\tRB\tB-VP\tO' +p109066 +aS'underwent\tundergo\tVBD\tI-VP\tO' +p109067 +aS'debulking\tdebulke\tVBG\tI-VP\tO' +p109068 +aS'in\tin\tIN\tB-PP\tO' +p109069 +aS'June\tJune\tNNP\tB-NP\tO' +p109070 +aS'1992\t1992\tCD\tI-NP\tO' +p109071 +aS',\t,\t,\tO\tO' +p109072 +aS'as\tas\tRB\tB-CONJP\tO' +p109073 +aS'well\twell\tRB\tI-CONJP\tO' +p109074 +aS'as\tas\tIN\tI-CONJP\tO' +p109075 +aS'a\ta\tDT\tB-NP\tO' +p109076 +aS'total\ttotal\tJJ\tI-NP\tO' +p109077 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p109078 +aS'hysterectomy/\thysterectomy/\tNN\tI-NP\tO' +p109079 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p109080 +aS'salpingo-oophorectomy\tsalpingo-oophorectomy\tNN\tI-NP\tO' +p109081 +aS',\t,\t,\tO\tO' +p109082 +aS'omentectomy\tomentectomy\tNN\tB-NP\tO' +p109083 +aS',\t,\t,\tO\tO' +p109084 +aS'splenectomy\tsplenectomy\tNN\tB-NP\tO' +p109085 +aS',\t,\t,\tO\tO' +p109086 +aS'rectosigmoid\trectosigmoid\tJJ\tB-NP\tO' +p109087 +aS'resection\tresection\tNN\tI-NP\tO' +p109088 +aS'with\twith\tIN\tB-PP\tO' +p109089 +aS'a\ta\tDT\tB-NP\tO' +p109090 +aS'take\ttake\tNN\tI-NP\tO' +p109091 +aS'down\tdown\tRP\tB-PRT\tO' +p109092 +aS'of\tof\tIN\tB-PP\tO' +p109093 +aS'the\tthe\tDT\tB-NP\tO' +p109094 +aS'ileostomy\tileostomy\tNN\tI-NP\tO' +p109095 +aS'.\t.\t.\tO\tO' +p109096 +asS'Magnesium was 2.2 .' +p109097 +(lp109098 +S'Magnesium\tMagnesium\tNNP\tB-NP\tO' +p109099 +aS'was\tbe\tVBD\tB-VP\tO' +p109100 +aS'2.2\t2.2\tCD\tB-NP\tO' +p109101 +aS'.\t.\t.\tO\tO' +p109102 +asS'No Neglect .' +p109103 +(lp109104 +S'No\tNo\tDT\tB-NP\tO' +p109105 +aS'Neglect\tNeglect\tNNP\tI-NP\tO' +p109106 +aS'.\t.\t.\tO\tO' +p109107 +asS'Prednisone 5 every other day , alternating with ten every other day .' +p109108 +(lp109109 +S'Prednisone\tPrednisone\tNN\tB-NP\tO' +p109110 +aS'5\t5\tCD\tI-NP\tO' +p109111 +aS'every\tevery\tDT\tB-NP\tO' +p109112 +aS'other\tother\tJJ\tI-NP\tO' +p109113 +aS'day\tday\tNN\tI-NP\tO' +p109114 +aS',\t,\t,\tO\tO' +p109115 +aS'alternating\talternate\tVBG\tB-VP\tO' +p109116 +aS'with\twith\tIN\tB-PP\tO' +p109117 +aS'ten\tten\tCD\tB-NP\tO' +p109118 +aS'every\tevery\tDT\tB-NP\tO' +p109119 +aS'other\tother\tJJ\tI-NP\tO' +p109120 +aS'day\tday\tNN\tI-NP\tO' +p109121 +aS'.\t.\t.\tO\tO' +p109122 +asS'Her laboratories at the time of transfer to Saint Vincent Hospital revealed white blood cell count was 11.5 , hematocrit was 42 on admission , platelets were 242 .' +p109123 +(lp109124 +S'Her\tHer\tPRP$\tB-NP\tO' +p109125 +aS'laboratories\tlaboratory\tNNS\tI-NP\tO' +p109126 +aS'at\tat\tIN\tB-PP\tO' +p109127 +aS'the\tthe\tDT\tB-NP\tO' +p109128 +aS'time\ttime\tNN\tI-NP\tO' +p109129 +aS'of\tof\tIN\tB-PP\tO' +p109130 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p109131 +aS'to\tto\tTO\tB-PP\tO' +p109132 +aS'Saint\tSaint\tNNP\tB-NP\tO' +p109133 +aS'Vincent\tVincent\tNNP\tI-NP\tO' +p109134 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p109135 +aS'revealed\treveal\tVBD\tB-VP\tO' +p109136 +aS'white\twhite\tJJ\tB-NP\tO' +p109137 +aS'blood\tblood\tNN\tI-NP\tO' +p109138 +aS'cell\tcell\tNN\tI-NP\tO' +p109139 +aS'count\tcount\tNN\tI-NP\tO' +p109140 +aS'was\tbe\tVBD\tB-VP\tO' +p109141 +aS'11.5\t11.5\tCD\tB-NP\tO' +p109142 +aS',\t,\t,\tO\tO' +p109143 +aS'hematocrit\thematocrit\tNN\tB-NP\tO' +p109144 +aS'was\tbe\tVBD\tB-VP\tO' +p109145 +aS'42\t42\tCD\tB-NP\tO' +p109146 +aS'on\ton\tIN\tB-PP\tO' +p109147 +aS'admission\tadmission\tNN\tB-NP\tO' +p109148 +aS',\t,\t,\tO\tO' +p109149 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p109150 +aS'were\tbe\tVBD\tB-VP\tO' +p109151 +aS'242\t242\tCD\tB-NP\tO' +p109152 +aS'.\t.\t.\tO\tO' +p109153 +asS'Sodium 139 , potassium 3.7 and BUN of 19 .' +p109154 +(lp109155 +S'Sodium\tSodium\tNN\tB-NP\tB-protein' +p109156 +aS'139\t139\tCD\tI-NP\tI-protein' +p109157 +aS',\t,\t,\tO\tO' +p109158 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p109159 +aS'3.7\t3.7\tCD\tI-NP\tO' +p109160 +aS'and\tand\tCC\tO\tO' +p109161 +aS'BUN\tBUN\tNN\tB-NP\tO' +p109162 +aS'of\tof\tIN\tB-PP\tO' +p109163 +aS'19\t19\tCD\tB-NP\tO' +p109164 +aS'.\t.\t.\tO\tO' +p109165 +asS'She will be d/c w/out her heparin as she is trending upwards with her INR and has no MR Paul Paquettec heart disease .' +p109166 +(lp109167 +S'She\tShe\tPRP\tB-NP\tO' +p109168 +aS'will\twill\tMD\tB-VP\tO' +p109169 +aS'be\tbe\tVB\tI-VP\tO' +p109170 +aS'd/c\td/c\tNN\tB-NP\tO' +p109171 +aS'w/out\tw/out\tIN\tB-PP\tO' +p109172 +aS'her\ther\tPRP$\tB-NP\tO' +p109173 +aS'heparin\theparin\tNN\tI-NP\tO' +p109174 +aS'as\tas\tIN\tB-SBAR\tO' +p109175 +aS'she\tshe\tPRP\tB-NP\tO' +p109176 +aS'is\tbe\tVBZ\tB-VP\tO' +p109177 +aS'trending\ttrend\tVBG\tI-VP\tO' +p109178 +aS'upwards\tupward\tNNS\tB-NP\tO' +p109179 +aS'with\twith\tIN\tB-PP\tO' +p109180 +aS'her\ther\tPRP$\tB-NP\tO' +p109181 +aS'INR\tINR\tNN\tI-NP\tB-protein' +p109182 +aS'and\tand\tCC\tO\tO' +p109183 +aS'has\thave\tVBZ\tB-VP\tO' +p109184 +aS'no\tno\tDT\tB-NP\tO' +p109185 +aS'MR\tMR\tNNP\tI-NP\tB-protein' +p109186 +aS'Paul\tPaul\tNNP\tI-NP\tO' +p109187 +aS'Paquettec\tPaquettec\tNNP\tI-NP\tO' +p109188 +aS'heart\theart\tNN\tI-NP\tO' +p109189 +aS'disease\tdisease\tNN\tI-NP\tO' +p109190 +aS'.\t.\t.\tO\tO' +p109191 +asS"The patient 's appetite improved significantly , and at the time of discharge the patient was on a regular diet with no tube feed supplements deemed necessary ." +p109192 +(lp109193 +S'The\tThe\tDT\tB-NP\tO' +p109194 +aS'patient\tpatient\tNN\tI-NP\tO' +p109195 +aS"'s\t's\tPOS\tB-NP\tO" +p109196 +aS'appetite\tappetite\tNN\tI-NP\tO' +p109197 +aS'improved\timprove\tVBD\tB-VP\tO' +p109198 +aS'significantly\tsignificantly\tRB\tB-ADVP\tO' +p109199 +aS',\t,\t,\tO\tO' +p109200 +aS'and\tand\tCC\tO\tO' +p109201 +aS'at\tat\tIN\tB-PP\tO' +p109202 +aS'the\tthe\tDT\tB-NP\tO' +p109203 +aS'time\ttime\tNN\tI-NP\tO' +p109204 +aS'of\tof\tIN\tB-PP\tO' +p109205 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p109206 +aS'the\tthe\tDT\tB-NP\tO' +p109207 +aS'patient\tpatient\tNN\tI-NP\tO' +p109208 +aS'was\tbe\tVBD\tB-VP\tO' +p109209 +aS'on\ton\tIN\tB-PP\tO' +p109210 +aS'a\ta\tDT\tB-NP\tO' +p109211 +aS'regular\tregular\tJJ\tI-NP\tO' +p109212 +aS'diet\tdiet\tNN\tI-NP\tO' +p109213 +aS'with\twith\tIN\tB-PP\tO' +p109214 +aS'no\tno\tDT\tB-NP\tO' +p109215 +aS'tube\ttube\tNN\tI-NP\tO' +p109216 +aS'feed\tfeed\tNN\tI-NP\tO' +p109217 +aS'supplements\tsupplement\tNNS\tI-NP\tO' +p109218 +aS'deemed\tdeem\tVBD\tB-VP\tO' +p109219 +aS'necessary\tnecessary\tJJ\tB-ADJP\tO' +p109220 +aS'.\t.\t.\tO\tO' +p109221 +asS'Left thyroid occult papillary carcinoma .' +p109222 +(lp109223 +S'Left\tLeave\tVBN\tB-NP\tO' +p109224 +aS'thyroid\tthyroid\tJJ\tI-NP\tO' +p109225 +aS'occult\toccult\tJJ\tI-NP\tO' +p109226 +aS'papillary\tpapillary\tJJ\tI-NP\tO' +p109227 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p109228 +aS'.\t.\t.\tO\tO' +p109229 +asS'Caffeine 12 mg pg q day. He has not had his 06-10 dose .' +p109230 +(lp109231 +S'Caffeine\tCaffeine\tNN\tB-NP\tO' +p109232 +aS'12\t12\tCD\tI-NP\tO' +p109233 +aS'mg\tmg\tNN\tI-NP\tO' +p109234 +aS'pg\tpg\tNN\tI-NP\tO' +p109235 +aS'q\tq\tNN\tI-NP\tO' +p109236 +aS'day.\tday.\tNN\tI-NP\tO' +p109237 +aS'He\tHe\tPRP\tB-NP\tO' +p109238 +aS'has\thave\tVBZ\tB-VP\tO' +p109239 +aS'not\tnot\tRB\tI-VP\tO' +p109240 +aS'had\thave\tVBN\tI-VP\tO' +p109241 +aS'his\this\tPRP$\tB-NP\tO' +p109242 +aS'06-10\t06-10\tCD\tI-NP\tO' +p109243 +aS'dose\tdose\tNN\tI-NP\tO' +p109244 +aS'.\t.\t.\tO\tO' +p109245 +asS'Increased tone x4 with LEs > UEs .' +p109246 +(lp109247 +S'Increased\tIncrease\tVBN\tB-NP\tO' +p109248 +aS'tone\ttone\tNN\tI-NP\tO' +p109249 +aS'x4\tx4\tNN\tI-NP\tO' +p109250 +aS'with\twith\tIN\tB-PP\tO' +p109251 +aS'LEs\tLE\tNNS\tB-NP\tO' +p109252 +aS'>\t>\tSYM\tB-NP\tO' +p109253 +aS'UEs\tUE\tNNS\tI-NP\tO' +p109254 +aS'.\t.\t.\tO\tO' +p109255 +asS'He is allergic to Motrin .' +p109256 +(lp109257 +S'He\tHe\tPRP\tB-NP\tO' +p109258 +aS'is\tbe\tVBZ\tB-VP\tO' +p109259 +aS'allergic\tallergic\tJJ\tB-ADJP\tO' +p109260 +aS'to\tto\tTO\tB-PP\tO' +p109261 +aS'Motrin\tMotrin\tNN\tB-NP\tO' +p109262 +aS'.\t.\t.\tO\tO' +p109263 +asS'The plan is to complete a full course of Imipenem and Tobramycin for his Pseudomonas cellulitis .' +p109264 +(lp109265 +S'The\tThe\tDT\tB-NP\tO' +p109266 +aS'plan\tplan\tNN\tI-NP\tO' +p109267 +aS'is\tbe\tVBZ\tB-VP\tO' +p109268 +aS'to\tto\tTO\tB-VP\tO' +p109269 +aS'complete\tcomplete\tVB\tI-VP\tO' +p109270 +aS'a\ta\tDT\tB-NP\tO' +p109271 +aS'full\tfull\tJJ\tI-NP\tO' +p109272 +aS'course\tcourse\tNN\tI-NP\tO' +p109273 +aS'of\tof\tIN\tB-PP\tO' +p109274 +aS'Imipenem\tImipenem\tNN\tB-NP\tO' +p109275 +aS'and\tand\tCC\tI-NP\tO' +p109276 +aS'Tobramycin\tTobramycin\tNN\tI-NP\tO' +p109277 +aS'for\tfor\tIN\tB-PP\tO' +p109278 +aS'his\this\tPRP$\tB-NP\tO' +p109279 +aS'Pseudomonas\tPseudomonas\tNNP\tI-NP\tO' +p109280 +aS'cellulitis\tcellulitis\tNN\tI-NP\tO' +p109281 +aS'.\t.\t.\tO\tO' +p109282 +asS'As described above .' +p109283 +(lp109284 +S'As\tAs\tIN\tB-SBAR\tO' +p109285 +aS'described\tdescribe\tVBN\tB-VP\tO' +p109286 +aS'above\tabove\tRB\tB-ADVP\tO' +p109287 +aS'.\t.\t.\tO\tO' +p109288 +asS'Sputum from 08-27 grew gram-negative rods , not yet speciated , and from 08-27 a bronchoalveolar lavage grew 1+ gram-negative rods and 4+ polymorphonuclear lymphocytes .' +p109289 +(lp109290 +S'Sputum\tSputum\tNNP\tB-NP\tO' +p109291 +aS'from\tfrom\tIN\tB-PP\tO' +p109292 +aS'08-27\t08-27\tCD\tB-NP\tO' +p109293 +aS'grew\tgrow\tVBD\tB-VP\tO' +p109294 +aS'gram-negative\tgram-negative\tJJ\tB-NP\tO' +p109295 +aS'rods\trod\tNNS\tI-NP\tO' +p109296 +aS',\t,\t,\tO\tO' +p109297 +aS'not\tnot\tRB\tB-VP\tO' +p109298 +aS'yet\tyet\tRB\tI-VP\tO' +p109299 +aS'speciated\tspeciate\tVBN\tI-VP\tO' +p109300 +aS',\t,\t,\tO\tO' +p109301 +aS'and\tand\tCC\tO\tO' +p109302 +aS'from\tfrom\tIN\tB-PP\tO' +p109303 +aS'08-27\t08-27\tCD\tB-NP\tO' +p109304 +aS'a\ta\tDT\tB-NP\tO' +p109305 +aS'bronchoalveolar\tbronchoalveolar\tJJ\tI-NP\tO' +p109306 +aS'lavage\tlavage\tNN\tI-NP\tO' +p109307 +aS'grew\tgrow\tVBD\tB-VP\tO' +p109308 +aS'1+\t1+\tJJ\tB-NP\tO' +p109309 +aS'gram-negative\tgram-negative\tJJ\tI-NP\tO' +p109310 +aS'rods\trod\tNNS\tI-NP\tO' +p109311 +aS'and\tand\tCC\tO\tO' +p109312 +aS'4+\t4+\tJJ\tB-NP\tO' +p109313 +aS'polymorphonuclear\tpolymorphonuclear\tJJ\tI-NP\tO' +p109314 +aS'lymphocytes\tlymphocyte\tNNS\tI-NP\tO' +p109315 +aS'.\t.\t.\tO\tO' +p109316 +asS'Given the patient had an out of hospital arrest , remained unresponsive despite hemodynamic stability , he was treated with induced hypothermia and with cold packs and a cooling blanket were placed with goals of reducing his core body temperature to 32 degrees Celsius for a period of twelve hours at which point he would be rewarmed over the subsequent six hours .' +p109317 +(lp109318 +S'Given\tGive\tVBN\tB-PP\tO' +p109319 +aS'the\tthe\tDT\tB-NP\tO' +p109320 +aS'patient\tpatient\tNN\tI-NP\tO' +p109321 +aS'had\thave\tVBD\tB-VP\tO' +p109322 +aS'an\tan\tDT\tO\tO' +p109323 +aS'out\tout\tIN\tB-PP\tO' +p109324 +aS'of\tof\tIN\tB-PP\tO' +p109325 +aS'hospital\thospital\tNN\tB-NP\tO' +p109326 +aS'arrest\tarrest\tNN\tI-NP\tO' +p109327 +aS',\t,\t,\tO\tO' +p109328 +aS'remained\tremain\tVBD\tB-VP\tO' +p109329 +aS'unresponsive\tunresponsive\tJJ\tB-ADJP\tO' +p109330 +aS'despite\tdespite\tIN\tB-PP\tO' +p109331 +aS'hemodynamic\themodynamic\tJJ\tB-NP\tO' +p109332 +aS'stability\tstability\tNN\tI-NP\tO' +p109333 +aS',\t,\t,\tO\tO' +p109334 +aS'he\the\tPRP\tB-NP\tO' +p109335 +aS'was\tbe\tVBD\tB-VP\tO' +p109336 +aS'treated\ttreat\tVBN\tI-VP\tO' +p109337 +aS'with\twith\tIN\tB-PP\tO' +p109338 +aS'induced\tinduce\tVBN\tB-NP\tO' +p109339 +aS'hypothermia\thypothermia\tNN\tI-NP\tO' +p109340 +aS'and\tand\tCC\tB-PP\tO' +p109341 +aS'with\twith\tIN\tB-PP\tO' +p109342 +aS'cold\tcold\tJJ\tB-NP\tO' +p109343 +aS'packs\tpack\tNNS\tI-NP\tO' +p109344 +aS'and\tand\tCC\tO\tO' +p109345 +aS'a\ta\tDT\tB-NP\tO' +p109346 +aS'cooling\tcooling\tNN\tI-NP\tO' +p109347 +aS'blanket\tblanket\tNN\tI-NP\tO' +p109348 +aS'were\tbe\tVBD\tB-VP\tO' +p109349 +aS'placed\tplace\tVBN\tI-VP\tO' +p109350 +aS'with\twith\tIN\tB-PP\tO' +p109351 +aS'goals\tgoal\tNNS\tB-NP\tO' +p109352 +aS'of\tof\tIN\tB-PP\tO' +p109353 +aS'reducing\treduce\tVBG\tB-VP\tO' +p109354 +aS'his\this\tPRP$\tB-NP\tO' +p109355 +aS'core\tcore\tNN\tI-NP\tO' +p109356 +aS'body\tbody\tNN\tI-NP\tO' +p109357 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p109358 +aS'to\tto\tTO\tB-PP\tO' +p109359 +aS'32\t32\tCD\tB-NP\tO' +p109360 +aS'degrees\tdegree\tNNS\tI-NP\tO' +p109361 +aS'Celsius\tCelsius\tNNP\tB-NP\tO' +p109362 +aS'for\tfor\tIN\tB-PP\tO' +p109363 +aS'a\ta\tDT\tB-NP\tO' +p109364 +aS'period\tperiod\tNN\tI-NP\tO' +p109365 +aS'of\tof\tIN\tB-PP\tO' +p109366 +aS'twelve\ttwelve\tCD\tB-NP\tO' +p109367 +aS'hours\thour\tNNS\tI-NP\tO' +p109368 +aS'at\tat\tIN\tB-PP\tO' +p109369 +aS'which\twhich\tWDT\tB-NP\tO' +p109370 +aS'point\tpoint\tNN\tI-NP\tO' +p109371 +aS'he\the\tPRP\tB-NP\tO' +p109372 +aS'would\twould\tMD\tB-VP\tO' +p109373 +aS'be\tbe\tVB\tI-VP\tO' +p109374 +aS'rewarmed\trewarme\tVBN\tI-VP\tO' +p109375 +aS'over\tover\tIN\tB-PP\tO' +p109376 +aS'the\tthe\tDT\tB-NP\tO' +p109377 +aS'subsequent\tsubsequent\tJJ\tI-NP\tO' +p109378 +aS'six\tsix\tCD\tI-NP\tO' +p109379 +aS'hours\thour\tNNS\tI-NP\tO' +p109380 +aS'.\t.\t.\tO\tO' +p109381 +asS'08/20/98 dual chamber pacemaker generator change ( CPI 1276 Meridian DR ) .' +p109382 +(lp109383 +S'08/20/98\t08/20/98\tCD\tB-NP\tO' +p109384 +aS'dual\tdual\tJJ\tI-NP\tO' +p109385 +aS'chamber\tchamber\tNN\tI-NP\tO' +p109386 +aS'pacemaker\tpacemaker\tNN\tI-NP\tO' +p109387 +aS'generator\tgenerator\tNN\tI-NP\tO' +p109388 +aS'change\tchange\tNN\tI-NP\tO' +p109389 +aS'(\t(\t(\tO\tO' +p109390 +aS'CPI\tCPI\tNN\tB-NP\tB-protein' +p109391 +aS'1276\t1276\tCD\tI-NP\tI-protein' +p109392 +aS'Meridian\tMeridian\tNNP\tI-NP\tI-protein' +p109393 +aS'DR\tDR\tNN\tI-NP\tI-protein' +p109394 +aS')\t)\t)\tO\tO' +p109395 +aS'.\t.\t.\tO\tO' +p109396 +asS'Neurologically ; he opens his eyes to voice .' +p109397 +(lp109398 +S'Neurologically\tNeurologically\tRB\tB-ADVP\tO' +p109399 +aS';\t;\t:\tO\tO' +p109400 +aS'he\the\tPRP\tB-NP\tO' +p109401 +aS'opens\topen\tVBZ\tB-VP\tO' +p109402 +aS'his\this\tPRP$\tB-NP\tO' +p109403 +aS'eyes\teye\tNNS\tI-NP\tO' +p109404 +aS'to\tto\tTO\tB-PP\tO' +p109405 +aS'voice\tvoice\tNN\tB-NP\tO' +p109406 +aS'.\t.\t.\tO\tO' +p109407 +asS'He will need follow up lytes drawn throughout the week .' +p109408 +(lp109409 +S'He\tHe\tPRP\tB-NP\tO' +p109410 +aS'will\twill\tMD\tB-VP\tO' +p109411 +aS'need\tneed\tVB\tI-VP\tO' +p109412 +aS'follow\tfollow\tVB\tI-VP\tO' +p109413 +aS'up\tup\tRP\tB-PRT\tO' +p109414 +aS'lytes\tlyte\tNNS\tB-NP\tO' +p109415 +aS'drawn\tdraw\tVBN\tB-VP\tO' +p109416 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p109417 +aS'the\tthe\tDT\tB-NP\tO' +p109418 +aS'week\tweek\tNN\tI-NP\tO' +p109419 +aS'.\t.\t.\tO\tO' +p109420 +asS'She continued to have fevers .' +p109421 +(lp109422 +S'She\tShe\tPRP\tB-NP\tO' +p109423 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p109424 +aS'to\tto\tTO\tI-VP\tO' +p109425 +aS'have\thave\tVB\tI-VP\tO' +p109426 +aS'fevers\tfever\tNNS\tB-NP\tO' +p109427 +aS'.\t.\t.\tO\tO' +p109428 +asS"Diabetes , Grave's disease , but no history of cardiopulmonary disease ." +p109429 +(lp109430 +S'Diabetes\tDiabetes\tNNP\tB-NP\tO' +p109431 +aS',\t,\t,\tO\tO' +p109432 +aS"Grave's\tGrave's\tNNP\tB-NP\tO" +p109433 +aS'disease\tdisease\tNN\tI-NP\tO' +p109434 +aS',\t,\t,\tO\tO' +p109435 +aS'but\tbut\tCC\tO\tO' +p109436 +aS'no\tno\tDT\tB-NP\tO' +p109437 +aS'history\thistory\tNN\tI-NP\tO' +p109438 +aS'of\tof\tIN\tB-PP\tO' +p109439 +aS'cardiopulmonary\tcardiopulmonary\tJJ\tB-NP\tO' +p109440 +aS'disease\tdisease\tNN\tI-NP\tO' +p109441 +aS'.\t.\t.\tO\tO' +p109442 +asS'1. Phenytoin 50 mg Tablet , Chewable Sig : Two ( 2 ) Tablet , Chewable PO three times a day for 1 months .' +p109443 +(lp109444 +S'1.\t1.\tLS\tB-NP\tO' +p109445 +aS'Phenytoin\tPhenytoin\tNN\tI-NP\tO' +p109446 +aS'50\t50\tCD\tB-NP\tO' +p109447 +aS'mg\tmg\tNN\tI-NP\tO' +p109448 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p109449 +aS',\t,\t,\tO\tO' +p109450 +aS'Chewable\tChewable\tNNP\tB-NP\tO' +p109451 +aS'Sig\tSig\tNNP\tI-NP\tO' +p109452 +aS':\t:\t:\tO\tO' +p109453 +aS'Two\tTwo\tCD\tB-NP\tO' +p109454 +aS'(\t(\t(\tO\tO' +p109455 +aS'2\t2\tCD\tB-NP\tO' +p109456 +aS')\t)\t)\tO\tO' +p109457 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p109458 +aS',\t,\t,\tO\tO' +p109459 +aS'Chewable\tChewable\tNNP\tB-NP\tO' +p109460 +aS'PO\tPO\tNNP\tI-NP\tO' +p109461 +aS'three\tthree\tCD\tB-NP\tO' +p109462 +aS'times\ttime\tNNS\tI-NP\tO' +p109463 +aS'a\ta\tDT\tB-NP\tO' +p109464 +aS'day\tday\tNN\tI-NP\tO' +p109465 +aS'for\tfor\tIN\tB-PP\tO' +p109466 +aS'1\t1\tCD\tB-NP\tO' +p109467 +aS'months\tmonth\tNNS\tI-NP\tO' +p109468 +aS'.\t.\t.\tO\tO' +p109469 +asS'The patient denies any history of diabetes .' +p109470 +(lp109471 +S'The\tThe\tDT\tB-NP\tO' +p109472 +aS'patient\tpatient\tNN\tI-NP\tO' +p109473 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p109474 +aS'any\tany\tDT\tB-NP\tO' +p109475 +aS'history\thistory\tNN\tI-NP\tO' +p109476 +aS'of\tof\tIN\tB-PP\tO' +p109477 +aS'diabetes\tdiabete\tNNS\tB-NP\tO' +p109478 +aS'.\t.\t.\tO\tO' +p109479 +asS'5. Hematology - The most recent hematocrit on day of life two was 45.8% .' +p109480 +(lp109481 +S'5.\t5.\tLS\tB-NP\tO' +p109482 +aS'Hematology\tHematology\tNN\tI-NP\tO' +p109483 +aS'-\t-\tHYPH\tO\tO' +p109484 +aS'The\tThe\tDT\tB-NP\tO' +p109485 +aS'most\tmost\tRBS\tI-NP\tO' +p109486 +aS'recent\trecent\tJJ\tI-NP\tO' +p109487 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p109488 +aS'on\ton\tIN\tB-PP\tO' +p109489 +aS'day\tday\tNN\tB-NP\tO' +p109490 +aS'of\tof\tIN\tB-PP\tO' +p109491 +aS'life\tlife\tNN\tB-NP\tO' +p109492 +aS'two\ttwo\tCD\tI-NP\tO' +p109493 +aS'was\tbe\tVBD\tB-VP\tO' +p109494 +aS'45.8%\t45.8%\tCD\tB-NP\tO' +p109495 +aS'.\t.\t.\tO\tO' +p109496 +asS'On 2/22/00 , the patient had fevers to 103.5 .' +p109497 +(lp109498 +S'On\tOn\tIN\tB-PP\tO' +p109499 +aS'2/22/00\t2/22/00\tCD\tB-NP\tO' +p109500 +aS',\t,\t,\tO\tO' +p109501 +aS'the\tthe\tDT\tB-NP\tO' +p109502 +aS'patient\tpatient\tNN\tI-NP\tO' +p109503 +aS'had\thave\tVBD\tB-VP\tO' +p109504 +aS'fevers\tfever\tNNS\tB-NP\tO' +p109505 +aS'to\tto\tTO\tB-PP\tO' +p109506 +aS'103.5\t103.5\tCD\tB-NP\tO' +p109507 +aS'.\t.\t.\tO\tO' +p109508 +asS'Later on op day he was weaned from sedation , awoke neurologically intact , and' +p109509 +(lp109510 +S'Later\tLater\tRB\tB-ADVP\tO' +p109511 +aS'on\ton\tIN\tB-PP\tO' +p109512 +aS'op\top\tNN\tB-NP\tO' +p109513 +aS'day\tday\tNN\tI-NP\tO' +p109514 +aS'he\the\tPRP\tB-NP\tO' +p109515 +aS'was\tbe\tVBD\tB-VP\tO' +p109516 +aS'weaned\twean\tVBN\tI-VP\tO' +p109517 +aS'from\tfrom\tIN\tB-PP\tO' +p109518 +aS'sedation\tsedation\tNN\tB-NP\tO' +p109519 +aS',\t,\t,\tO\tO' +p109520 +aS'awoke\tawake\tVBP\tB-VP\tO' +p109521 +aS'neurologically\tneurologically\tRB\tB-ADVP\tO' +p109522 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p109523 +aS',\t,\t,\tO\tO' +p109524 +aS'and\tand\tCC\tO\tO' +p109525 +asS'A bone scan revealed increased uptake in the left chest wall , left anterior ribs four to six , and increased uptake in the left and right lateral skull in the area of the parotids .' +p109526 +(lp109527 +S'A\tA\tDT\tB-NP\tO' +p109528 +aS'bone\tbone\tNN\tI-NP\tO' +p109529 +aS'scan\tscan\tNN\tI-NP\tO' +p109530 +aS'revealed\treveal\tVBD\tB-VP\tO' +p109531 +aS'increased\tincrease\tVBN\tB-NP\tO' +p109532 +aS'uptake\tuptake\tNN\tI-NP\tO' +p109533 +aS'in\tin\tIN\tB-PP\tO' +p109534 +aS'the\tthe\tDT\tB-NP\tO' +p109535 +aS'left\tleft\tJJ\tI-NP\tO' +p109536 +aS'chest\tchest\tNN\tI-NP\tO' +p109537 +aS'wall\twall\tNN\tI-NP\tO' +p109538 +aS',\t,\t,\tO\tO' +p109539 +aS'left\tleave\tVBD\tB-VP\tO' +p109540 +aS'anterior\tanterior\tJJ\tB-NP\tO' +p109541 +aS'ribs\trib\tNNS\tI-NP\tO' +p109542 +aS'four\tfour\tCD\tB-NP\tO' +p109543 +aS'to\tto\tTO\tB-PP\tO' +p109544 +aS'six\tsix\tCD\tB-NP\tO' +p109545 +aS',\t,\t,\tO\tO' +p109546 +aS'and\tand\tCC\tO\tO' +p109547 +aS'increased\tincrease\tVBN\tB-NP\tO' +p109548 +aS'uptake\tuptake\tNN\tI-NP\tO' +p109549 +aS'in\tin\tIN\tB-PP\tO' +p109550 +aS'the\tthe\tDT\tB-NP\tO' +p109551 +aS'left\tleft\tJJ\tI-NP\tO' +p109552 +aS'and\tand\tCC\tI-NP\tO' +p109553 +aS'right\tright\tJJ\tI-NP\tO' +p109554 +aS'lateral\tlateral\tJJ\tI-NP\tO' +p109555 +aS'skull\tskull\tNN\tI-NP\tO' +p109556 +aS'in\tin\tIN\tB-PP\tO' +p109557 +aS'the\tthe\tDT\tB-NP\tO' +p109558 +aS'area\tarea\tNN\tI-NP\tO' +p109559 +aS'of\tof\tIN\tB-PP\tO' +p109560 +aS'the\tthe\tDT\tB-NP\tO' +p109561 +aS'parotids\tparotid\tNNS\tI-NP\tO' +p109562 +aS'.\t.\t.\tO\tO' +p109563 +asS'A second episode occurred where the baby turned pale .' +p109564 +(lp109565 +S'A\tA\tDT\tB-NP\tO' +p109566 +aS'second\tsecond\tJJ\tI-NP\tO' +p109567 +aS'episode\tepisode\tNN\tI-NP\tO' +p109568 +aS'occurred\toccur\tVBD\tB-VP\tO' +p109569 +aS'where\twhere\tWRB\tB-ADVP\tO' +p109570 +aS'the\tthe\tDT\tB-NP\tO' +p109571 +aS'baby\tbaby\tNN\tI-NP\tO' +p109572 +aS'turned\tturn\tVBD\tB-VP\tO' +p109573 +aS'pale\tpale\tNN\tB-NP\tO' +p109574 +aS'.\t.\t.\tO\tO' +p109575 +asS'121-160 mg / dL 2 Units 0 Units 1 Units 0 Units' +p109576 +(lp109577 +S'121-160\t121-160\tCD\tB-NP\tO' +p109578 +aS'mg\tmg\tNN\tI-NP\tO' +p109579 +aS'/\t/\tSYM\tO\tO' +p109580 +aS'dL\tdL\tNN\tB-NP\tB-protein' +p109581 +aS'2\t2\tCD\tI-NP\tI-protein' +p109582 +aS'Units\tUnits\tNNP\tI-NP\tI-protein' +p109583 +aS'0\t0\tCD\tI-NP\tI-protein' +p109584 +aS'Units\tUnit\tNNS\tI-NP\tI-protein' +p109585 +aS'1\t1\tCD\tI-NP\tI-protein' +p109586 +aS'Units\tUnits\tNNP\tI-NP\tI-protein' +p109587 +aS'0\t0\tCD\tI-NP\tI-protein' +p109588 +aS'Units\tUnit\tNNS\tI-NP\tI-protein' +p109589 +asS'His edema was improving and was starting to tolerate p.o.' +p109590 +(lp109591 +S'His\tHis\tPRP$\tB-NP\tO' +p109592 +aS'edema\tedema\tNN\tI-NP\tO' +p109593 +aS'was\tbe\tVBD\tB-VP\tO' +p109594 +aS'improving\timprove\tVBG\tI-VP\tO' +p109595 +aS'and\tand\tCC\tO\tO' +p109596 +aS'was\tbe\tVBD\tB-VP\tO' +p109597 +aS'starting\tstart\tVBG\tI-VP\tO' +p109598 +aS'to\tto\tTO\tI-VP\tO' +p109599 +aS'tolerate\ttolerate\tVB\tI-VP\tO' +p109600 +aS'p.o.\tp.o.\tNN\tB-NP\tO' +p109601 +asS'Echocardiogram was checked to rule out CHF , showed LVH and trace TR , ejection fraction of 60% without any pulmonary hypertension .' +p109602 +(lp109603 +S'Echocardiogram\tEchocardiogram\tNN\tB-NP\tO' +p109604 +aS'was\tbe\tVBD\tB-VP\tO' +p109605 +aS'checked\tcheck\tVBN\tI-VP\tO' +p109606 +aS'to\tto\tTO\tI-VP\tO' +p109607 +aS'rule\trule\tVB\tI-VP\tO' +p109608 +aS'out\tout\tRP\tB-PRT\tO' +p109609 +aS'CHF\tCHF\tNN\tB-NP\tB-protein' +p109610 +aS',\t,\t,\tO\tO' +p109611 +aS'showed\tshow\tVBD\tB-VP\tO' +p109612 +aS'LVH\tLVH\tNN\tB-NP\tO' +p109613 +aS'and\tand\tCC\tI-NP\tO' +p109614 +aS'trace\ttrace\tNN\tI-NP\tB-protein' +p109615 +aS'TR\tTR\tNN\tI-NP\tI-protein' +p109616 +aS',\t,\t,\tO\tO' +p109617 +aS'ejection\tejection\tNN\tB-NP\tO' +p109618 +aS'fraction\tfraction\tNN\tI-NP\tO' +p109619 +aS'of\tof\tIN\tB-PP\tO' +p109620 +aS'60%\t60%\tNN\tB-NP\tO' +p109621 +aS'without\twithout\tIN\tB-PP\tO' +p109622 +aS'any\tany\tDT\tB-NP\tO' +p109623 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p109624 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p109625 +aS'.\t.\t.\tO\tO' +p109626 +asS'She was then transferred to The Hospital for Orthopedics for surgical intervention .' +p109627 +(lp109628 +S'She\tShe\tPRP\tB-NP\tO' +p109629 +aS'was\tbe\tVBD\tB-VP\tO' +p109630 +aS'then\tthen\tRB\tI-VP\tO' +p109631 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p109632 +aS'to\tto\tTO\tB-PP\tO' +p109633 +aS'The\tThe\tDT\tB-NP\tO' +p109634 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p109635 +aS'for\tfor\tIN\tB-PP\tO' +p109636 +aS'Orthopedics\tOrthopedics\tNNP\tB-NP\tO' +p109637 +aS'for\tfor\tIN\tB-PP\tO' +p109638 +aS'surgical\tsurgical\tJJ\tB-NP\tO' +p109639 +aS'intervention\tintervention\tNN\tI-NP\tO' +p109640 +aS'.\t.\t.\tO\tO' +p109641 +asS'SHE DID WELL IN THE ICU AND WAS SUBSEQUENTLY TRANSFERED TO THE FLOOR .' +p109642 +(lp109643 +S'SHE\tSHE\tNNP\tB-NP\tO' +p109644 +aS'DID\tDID\tNNP\tI-NP\tO' +p109645 +aS'WELL\tWELL\tNNP\tI-NP\tO' +p109646 +aS'IN\tIN\tIN\tB-PP\tO' +p109647 +aS'THE\tTHE\tDT\tB-NP\tO' +p109648 +aS'ICU\tICU\tNNP\tI-NP\tO' +p109649 +aS'AND\tAND\tCC\tI-NP\tO' +p109650 +aS'WAS\tWAS\tNNP\tI-NP\tO' +p109651 +aS'SUBSEQUENTLY\tSUBSEQUENTLY\tNNP\tI-NP\tO' +p109652 +aS'TRANSFERED\tTRANSFERED\tNNP\tI-NP\tO' +p109653 +aS'TO\tTO\tTO\tB-PP\tO' +p109654 +aS'THE\tTHE\tDT\tB-NP\tO' +p109655 +aS'FLOOR\tFLOOR\tNN\tI-NP\tB-protein' +p109656 +aS'.\t.\t.\tO\tO' +p109657 +asS'CMED was made aware , and they are actively involved in his care .' +p109658 +(lp109659 +S'CMED\tCMED\tVBN\tB-VP\tO' +p109660 +aS'was\tbe\tVBD\tB-VP\tO' +p109661 +aS'made\tmake\tVBN\tI-VP\tO' +p109662 +aS'aware\taware\tJJ\tB-ADJP\tO' +p109663 +aS',\t,\t,\tO\tO' +p109664 +aS'and\tand\tCC\tO\tO' +p109665 +aS'they\tthey\tPRP\tB-NP\tO' +p109666 +aS'are\tbe\tVBP\tB-VP\tO' +p109667 +aS'actively\tactively\tRB\tI-VP\tO' +p109668 +aS'involved\tinvolve\tVBN\tI-VP\tO' +p109669 +aS'in\tin\tIN\tB-PP\tO' +p109670 +aS'his\this\tPRP$\tB-NP\tO' +p109671 +aS'care\tcare\tNN\tI-NP\tO' +p109672 +aS'.\t.\t.\tO\tO' +p109673 +asS'She denies chest pain .' +p109674 +(lp109675 +S'She\tShe\tPRP\tB-NP\tO' +p109676 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p109677 +aS'chest\tchest\tNN\tB-NP\tO' +p109678 +aS'pain\tpain\tNN\tI-NP\tO' +p109679 +aS'.\t.\t.\tO\tO' +p109680 +asS'The patient remained afebrile when she transferred to the medicine service .' +p109681 +(lp109682 +S'The\tThe\tDT\tB-NP\tO' +p109683 +aS'patient\tpatient\tNN\tI-NP\tO' +p109684 +aS'remained\tremain\tVBD\tB-VP\tO' +p109685 +aS'afebrile\tafebrile\tRB\tB-ADVP\tO' +p109686 +aS'when\twhen\tWRB\tB-ADVP\tO' +p109687 +aS'she\tshe\tPRP\tB-NP\tO' +p109688 +aS'transferred\ttransfer\tVBD\tB-VP\tO' +p109689 +aS'to\tto\tTO\tB-PP\tO' +p109690 +aS'the\tthe\tDT\tB-NP\tO' +p109691 +aS'medicine\tmedicine\tNN\tI-NP\tO' +p109692 +aS'service\tservice\tNN\tI-NP\tO' +p109693 +aS'.\t.\t.\tO\tO' +p109694 +asS'3. Diovan 160 mg p.o. q. day .' +p109695 +(lp109696 +S'3.\t3.\tLS\tB-LST\tO' +p109697 +aS'Diovan\tDiovan\tNNP\tB-NP\tO' +p109698 +aS'160\t160\tCD\tI-NP\tO' +p109699 +aS'mg\tmg\tNN\tI-NP\tO' +p109700 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p109701 +aS'q.\tq.\tNN\tI-NP\tO' +p109702 +aS'day\tday\tNN\tI-NP\tO' +p109703 +aS'.\t.\t.\tO\tO' +p109704 +asS'On 06-02 his lumbar drain pulled out .' +p109705 +(lp109706 +S'On\tOn\tIN\tB-PP\tO' +p109707 +aS'06-02\t06-02\tCD\tB-NP\tO' +p109708 +aS'his\this\tPRP$\tB-NP\tO' +p109709 +aS'lumbar\tlumbar\tNN\tI-NP\tO' +p109710 +aS'drain\tdrain\tNN\tI-NP\tO' +p109711 +aS'pulled\tpull\tVBD\tB-VP\tO' +p109712 +aS'out\tout\tRP\tB-PRT\tO' +p109713 +aS'.\t.\t.\tO\tO' +p109714 +asS'The patient remained intubated in the Intensive Care Unit for twelve days prior to his death .' +p109715 +(lp109716 +S'The\tThe\tDT\tB-NP\tO' +p109717 +aS'patient\tpatient\tNN\tI-NP\tO' +p109718 +aS'remained\tremain\tVBD\tB-VP\tO' +p109719 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p109720 +aS'in\tin\tIN\tB-PP\tO' +p109721 +aS'the\tthe\tDT\tB-NP\tO' +p109722 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p109723 +aS'Care\tCare\tNNP\tI-NP\tO' +p109724 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p109725 +aS'for\tfor\tIN\tB-PP\tO' +p109726 +aS'twelve\ttwelve\tCD\tB-NP\tO' +p109727 +aS'days\tday\tNNS\tI-NP\tO' +p109728 +aS'prior\tprior\tRB\tB-ADVP\tO' +p109729 +aS'to\tto\tTO\tB-PP\tO' +p109730 +aS'his\this\tPRP$\tB-NP\tO' +p109731 +aS'death\tdeath\tNN\tI-NP\tO' +p109732 +aS'.\t.\t.\tO\tO' +p109733 +asS'He is presenting for revascularization .' +p109734 +(lp109735 +S'He\tHe\tPRP\tB-NP\tO' +p109736 +aS'is\tbe\tVBZ\tB-VP\tO' +p109737 +aS'presenting\tpresent\tVBG\tI-VP\tO' +p109738 +aS'for\tfor\tIN\tB-PP\tO' +p109739 +aS'revascularization\trevascularization\tNN\tB-NP\tO' +p109740 +aS'.\t.\t.\tO\tO' +p109741 +asS'Cerebellar examination revealed in intention tremor on the right side .' +p109742 +(lp109743 +S'Cerebellar\tCerebellar\tJJ\tB-NP\tO' +p109744 +aS'examination\texamination\tNN\tI-NP\tO' +p109745 +aS'revealed\treveal\tVBD\tB-VP\tO' +p109746 +aS'in\tin\tIN\tB-PP\tO' +p109747 +aS'intention\tintention\tNN\tB-NP\tO' +p109748 +aS'tremor\ttremor\tNN\tI-NP\tO' +p109749 +aS'on\ton\tIN\tB-PP\tO' +p109750 +aS'the\tthe\tDT\tB-NP\tO' +p109751 +aS'right\tright\tJJ\tI-NP\tO' +p109752 +aS'side\tside\tNN\tI-NP\tO' +p109753 +aS'.\t.\t.\tO\tO' +p109754 +asS'Disp :* 60 Tablet , Chewable (s)* Refills :* 2 *' +p109755 +(lp109756 +S'Disp\tDisp\tNN\tB-NP\tO' +p109757 +aS':*\t:*\tSYM\tI-NP\tO' +p109758 +aS'60\t60\tCD\tI-NP\tO' +p109759 +aS'Tablet\tTablet\tNN\tI-NP\tO' +p109760 +aS',\t,\t,\tO\tO' +p109761 +aS'Chewable\tChewable\tNNP\tB-NP\tO' +p109762 +aS'(s)*\t(s)*\tSYM\tI-NP\tO' +p109763 +aS'Refills\tRefill\tNNPS\tI-NP\tO' +p109764 +aS':*\t:*\tSYM\tB-NP\tO' +p109765 +aS'2\t2\tCD\tB-NP\tO' +p109766 +aS'*\t*\tSYM\tB-NP\tO' +p109767 +asS'examination revealed a patient who was alert and oriented X 3 , with short term recall of 2/3 objects at five minutes and fluent speech .' +p109768 +(lp109769 +S'examination\texamination\tNN\tB-NP\tO' +p109770 +aS'revealed\treveal\tVBD\tB-VP\tO' +p109771 +aS'a\ta\tDT\tB-NP\tO' +p109772 +aS'patient\tpatient\tNN\tI-NP\tO' +p109773 +aS'who\twho\tWP\tB-NP\tO' +p109774 +aS'was\tbe\tVBD\tB-VP\tO' +p109775 +aS'alert\talert\tJJ\tB-ADJP\tO' +p109776 +aS'and\tand\tCC\tO\tO' +p109777 +aS'oriented\torient\tVBN\tB-VP\tO' +p109778 +aS'X\tX\tNN\tB-NP\tB-DNA' +p109779 +aS'3\t3\tCD\tI-NP\tI-DNA' +p109780 +aS',\t,\t,\tO\tO' +p109781 +aS'with\twith\tIN\tB-PP\tO' +p109782 +aS'short\tshort\tJJ\tB-NP\tO' +p109783 +aS'term\tterm\tNN\tI-NP\tO' +p109784 +aS'recall\trecall\tNN\tI-NP\tO' +p109785 +aS'of\tof\tIN\tB-PP\tO' +p109786 +aS'2/3\t2/3\tCD\tB-NP\tO' +p109787 +aS'objects\tobject\tNNS\tI-NP\tO' +p109788 +aS'at\tat\tIN\tB-PP\tO' +p109789 +aS'five\tfive\tCD\tB-NP\tO' +p109790 +aS'minutes\tminute\tNNS\tI-NP\tO' +p109791 +aS'and\tand\tCC\tO\tO' +p109792 +aS'fluent\tfluent\tJJ\tB-NP\tO' +p109793 +aS'speech\tspeech\tNN\tI-NP\tO' +p109794 +aS'.\t.\t.\tO\tO' +p109795 +asS'Normal hip examination and age appropriate tone and reflexes .' +p109796 +(lp109797 +S'Normal\tNormal\tJJ\tB-NP\tO' +p109798 +aS'hip\thip\tNN\tI-NP\tO' +p109799 +aS'examination\texamination\tNN\tI-NP\tO' +p109800 +aS'and\tand\tCC\tO\tO' +p109801 +aS'age\tage\tNN\tB-NP\tO' +p109802 +aS'appropriate\tappropriate\tJJ\tI-NP\tO' +p109803 +aS'tone\ttone\tNN\tI-NP\tO' +p109804 +aS'and\tand\tCC\tI-NP\tO' +p109805 +aS'reflexes\treflex\tNNS\tI-NP\tO' +p109806 +aS'.\t.\t.\tO\tO' +p109807 +asS'She had a mildly widened right palpable fissure .' +p109808 +(lp109809 +S'She\tShe\tPRP\tB-NP\tO' +p109810 +aS'had\thave\tVBD\tB-VP\tO' +p109811 +aS'a\ta\tDT\tB-NP\tO' +p109812 +aS'mildly\tmildly\tRB\tI-NP\tO' +p109813 +aS'widened\twiden\tVBN\tI-NP\tO' +p109814 +aS'right\tright\tJJ\tI-NP\tO' +p109815 +aS'palpable\tpalpable\tJJ\tI-NP\tO' +p109816 +aS'fissure\tfissure\tNN\tI-NP\tO' +p109817 +aS'.\t.\t.\tO\tO' +p109818 +asS'A specimen was obtained by fine needle aspiration and the pathology of this was consistent with adenocarcinoma .' +p109819 +(lp109820 +S'A\tA\tDT\tB-NP\tO' +p109821 +aS'specimen\tspecimen\tNN\tI-NP\tO' +p109822 +aS'was\tbe\tVBD\tB-VP\tO' +p109823 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p109824 +aS'by\tby\tIN\tB-PP\tO' +p109825 +aS'fine\tfine\tJJ\tB-NP\tO' +p109826 +aS'needle\tneedle\tNN\tI-NP\tO' +p109827 +aS'aspiration\taspiration\tNN\tI-NP\tO' +p109828 +aS'and\tand\tCC\tO\tO' +p109829 +aS'the\tthe\tDT\tB-NP\tO' +p109830 +aS'pathology\tpathology\tNN\tI-NP\tO' +p109831 +aS'of\tof\tIN\tB-PP\tO' +p109832 +aS'this\tthis\tDT\tB-NP\tO' +p109833 +aS'was\tbe\tVBD\tB-VP\tO' +p109834 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p109835 +aS'with\twith\tIN\tB-PP\tO' +p109836 +aS'adenocarcinoma\tadenocarcinoma\tNN\tB-NP\tO' +p109837 +aS'.\t.\t.\tO\tO' +p109838 +asS'Femoral pulses present bilaterally .' +p109839 +(lp109840 +S'Femoral\tFemoral\tJJ\tB-NP\tO' +p109841 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p109842 +aS'present\tpresent\tVBP\tB-VP\tO' +p109843 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p109844 +aS'.\t.\t.\tO\tO' +p109845 +asS'Lives with his Carney Hospital mother and their three children .' +p109846 +(lp109847 +S'Lives\tLife\tNNS\tB-NP\tO' +p109848 +aS'with\twith\tIN\tB-PP\tO' +p109849 +aS'his\this\tPRP$\tB-NP\tO' +p109850 +aS'Carney\tCarney\tNNP\tI-NP\tO' +p109851 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p109852 +aS'mother\tmother\tNN\tI-NP\tO' +p109853 +aS'and\tand\tCC\tO\tO' +p109854 +aS'their\ttheir\tPRP$\tB-NP\tO' +p109855 +aS'three\tthree\tCD\tI-NP\tO' +p109856 +aS'children\tchild\tNNS\tI-NP\tO' +p109857 +aS'.\t.\t.\tO\tO' +p109858 +asS'Surgeon was Dr. Jude. Christopher Swinney .' +p109859 +(lp109860 +S'Surgeon\tSurgeon\tNNP\tB-NP\tO' +p109861 +aS'was\tbe\tVBD\tB-VP\tO' +p109862 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p109863 +aS'Jude.\tJude.\tNNP\tI-NP\tO' +p109864 +aS'Christopher\tChristopher\tNNP\tI-NP\tO' +p109865 +aS'Swinney\tSwinney\tNNP\tI-NP\tO' +p109866 +aS'.\t.\t.\tO\tO' +p109867 +asS'She worked daily with physical and occupational therapy .' +p109868 +(lp109869 +S'She\tShe\tPRP\tB-NP\tO' +p109870 +aS'worked\twork\tVBD\tB-VP\tO' +p109871 +aS'daily\tdaily\tRB\tB-ADVP\tO' +p109872 +aS'with\twith\tIN\tB-PP\tO' +p109873 +aS'physical\tphysical\tJJ\tB-NP\tO' +p109874 +aS'and\tand\tCC\tI-NP\tO' +p109875 +aS'occupational\toccupational\tJJ\tI-NP\tO' +p109876 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p109877 +aS'.\t.\t.\tO\tO' +p109878 +asS'She is status post several laparoscopies in the past with which she was diagnosed with endometriosis .' +p109879 +(lp109880 +S'She\tShe\tPRP\tB-NP\tO' +p109881 +aS'is\tbe\tVBZ\tB-VP\tO' +p109882 +aS'status\tstatus\tJJ\tB-ADJP\tO' +p109883 +aS'post\tpost\tIN\tB-PP\tO' +p109884 +aS'several\tseveral\tJJ\tB-NP\tO' +p109885 +aS'laparoscopies\tlaparoscopy\tNNS\tI-NP\tO' +p109886 +aS'in\tin\tIN\tB-PP\tO' +p109887 +aS'the\tthe\tDT\tB-NP\tO' +p109888 +aS'past\tpast\tNN\tI-NP\tO' +p109889 +aS'with\twith\tIN\tB-PP\tO' +p109890 +aS'which\twhich\tWDT\tB-NP\tO' +p109891 +aS'she\tshe\tPRP\tB-NP\tO' +p109892 +aS'was\tbe\tVBD\tB-VP\tO' +p109893 +aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' +p109894 +aS'with\twith\tIN\tB-PP\tO' +p109895 +aS'endometriosis\tendometriosis\tNN\tB-NP\tO' +p109896 +aS'.\t.\t.\tO\tO' +p109897 +asS'She was in her usual state of health until one and a half weeks prior to admission .' +p109898 +(lp109899 +S'She\tShe\tPRP\tB-NP\tO' +p109900 +aS'was\tbe\tVBD\tB-VP\tO' +p109901 +aS'in\tin\tIN\tB-PP\tO' +p109902 +aS'her\ther\tPRP$\tB-NP\tO' +p109903 +aS'usual\tusual\tJJ\tI-NP\tO' +p109904 +aS'state\tstate\tNN\tI-NP\tO' +p109905 +aS'of\tof\tIN\tB-PP\tO' +p109906 +aS'health\thealth\tNN\tB-NP\tO' +p109907 +aS'until\tuntil\tIN\tB-PP\tO' +p109908 +aS'one\tone\tCD\tB-NP\tO' +p109909 +aS'and\tand\tCC\tO\tO' +p109910 +aS'a\ta\tDT\tB-NP\tO' +p109911 +aS'half\thalf\tNN\tI-NP\tO' +p109912 +aS'weeks\tweek\tNNS\tI-NP\tO' +p109913 +aS'prior\tprior\tRB\tB-ADVP\tO' +p109914 +aS'to\tto\tTO\tB-PP\tO' +p109915 +aS'admission\tadmission\tNN\tB-NP\tO' +p109916 +aS'.\t.\t.\tO\tO' +p109917 +asS'The patient was admitted through same day surgery and taken to the operating room where Dr. Blinjesc , assisted by Dr. Zockbeathe , performed a diagnostic laparoscopy with peritoneal washings .' +p109918 +(lp109919 +S'The\tThe\tDT\tB-NP\tO' +p109920 +aS'patient\tpatient\tNN\tI-NP\tO' +p109921 +aS'was\tbe\tVBD\tB-VP\tO' +p109922 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p109923 +aS'through\tthrough\tIN\tB-PP\tO' +p109924 +aS'same\tsame\tJJ\tB-NP\tO' +p109925 +aS'day\tday\tNN\tI-NP\tO' +p109926 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p109927 +aS'and\tand\tCC\tO\tO' +p109928 +aS'taken\ttake\tVBN\tB-VP\tO' +p109929 +aS'to\tto\tTO\tB-PP\tO' +p109930 +aS'the\tthe\tDT\tB-NP\tO' +p109931 +aS'operating\toperating\tNN\tI-NP\tO' +p109932 +aS'room\troom\tNN\tI-NP\tO' +p109933 +aS'where\twhere\tWRB\tB-ADVP\tO' +p109934 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p109935 +aS'Blinjesc\tBlinjesc\tNNP\tI-NP\tO' +p109936 +aS',\t,\t,\tO\tO' +p109937 +aS'assisted\tassist\tVBN\tB-VP\tO' +p109938 +aS'by\tby\tIN\tB-PP\tO' +p109939 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p109940 +aS'Zockbeathe\tZockbeathe\tNNP\tI-NP\tO' +p109941 +aS',\t,\t,\tO\tO' +p109942 +aS'performed\tperform\tVBD\tB-VP\tO' +p109943 +aS'a\ta\tDT\tB-NP\tO' +p109944 +aS'diagnostic\tdiagnostic\tJJ\tI-NP\tO' +p109945 +aS'laparoscopy\tlaparoscopy\tNN\tI-NP\tO' +p109946 +aS'with\twith\tIN\tB-PP\tO' +p109947 +aS'peritoneal\tperitoneal\tJJ\tB-NP\tO' +p109948 +aS'washings\twashing\tNNS\tI-NP\tO' +p109949 +aS'.\t.\t.\tO\tO' +p109950 +asS'She was maintained on her levothyroxine .' +p109951 +(lp109952 +S'She\tShe\tPRP\tB-NP\tO' +p109953 +aS'was\tbe\tVBD\tB-VP\tO' +p109954 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p109955 +aS'on\ton\tIN\tB-PP\tO' +p109956 +aS'her\ther\tPRP$\tB-NP\tO' +p109957 +aS'levothyroxine\tlevothyroxine\tNN\tI-NP\tO' +p109958 +aS'.\t.\t.\tO\tO' +p109959 +asS'In September of 1992 , she underwent an exploratory laparotomy because of an increased level of CEA in her blood with the presence of a liver abnormality on computerized tomography scan .' +p109960 +(lp109961 +S'In\tIn\tIN\tB-PP\tO' +p109962 +aS'September\tSeptember\tNNP\tB-NP\tO' +p109963 +aS'of\tof\tIN\tB-PP\tO' +p109964 +aS'1992\t1992\tCD\tB-NP\tO' +p109965 +aS',\t,\t,\tO\tO' +p109966 +aS'she\tshe\tPRP\tB-NP\tO' +p109967 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p109968 +aS'an\tan\tDT\tB-NP\tO' +p109969 +aS'exploratory\texploratory\tJJ\tI-NP\tO' +p109970 +aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' +p109971 +aS'because\tbecause\tIN\tB-PP\tO' +p109972 +aS'of\tof\tIN\tI-PP\tO' +p109973 +aS'an\tan\tDT\tB-NP\tO' +p109974 +aS'increased\tincrease\tVBN\tI-NP\tO' +p109975 +aS'level\tlevel\tNN\tI-NP\tO' +p109976 +aS'of\tof\tIN\tB-PP\tO' +p109977 +aS'CEA\tCEA\tNN\tB-NP\tB-protein' +p109978 +aS'in\tin\tIN\tB-PP\tO' +p109979 +aS'her\ther\tPRP$\tB-NP\tO' +p109980 +aS'blood\tblood\tNN\tI-NP\tO' +p109981 +aS'with\twith\tIN\tB-PP\tO' +p109982 +aS'the\tthe\tDT\tB-NP\tO' +p109983 +aS'presence\tpresence\tNN\tI-NP\tO' +p109984 +aS'of\tof\tIN\tB-PP\tO' +p109985 +aS'a\ta\tDT\tB-NP\tO' +p109986 +aS'liver\tliver\tNN\tI-NP\tO' +p109987 +aS'abnormality\tabnormality\tNN\tI-NP\tO' +p109988 +aS'on\ton\tIN\tB-PP\tO' +p109989 +aS'computerized\tcomputerize\tVBN\tB-NP\tO' +p109990 +aS'tomography\ttomography\tNN\tI-NP\tO' +p109991 +aS'scan\tscan\tNN\tI-NP\tO' +p109992 +aS'.\t.\t.\tO\tO' +p109993 +asS'He will follow up with Dr. Javier as outpatient .' +p109994 +(lp109995 +S'He\tHe\tPRP\tB-NP\tO' +p109996 +aS'will\twill\tMD\tB-VP\tO' +p109997 +aS'follow\tfollow\tVB\tI-VP\tO' +p109998 +aS'up\tup\tRP\tB-PRT\tO' +p109999 +aS'with\twith\tIN\tB-PP\tO' +p110000 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p110001 +aS'Javier\tJavier\tNNP\tI-NP\tO' +p110002 +aS'as\tas\tIN\tB-PP\tO' +p110003 +aS'outpatient\toutpatient\tNN\tB-NP\tO' +p110004 +aS'.\t.\t.\tO\tO' +p110005 +asS'CTAB. nl s1s2 , reg , no m / r. no chest tenderness .' +p110006 +(lp110007 +S'CTAB.\tCTAB.\tNN\tB-NP\tB-protein' +p110008 +aS'nl\tnl\tNN\tI-NP\tI-protein' +p110009 +aS's1s2\ts1s2\tNN\tI-NP\tI-protein' +p110010 +aS',\t,\t,\tO\tO' +p110011 +aS'reg\treg\tNN\tB-NP\tO' +p110012 +aS',\t,\t,\tO\tO' +p110013 +aS'no\tno\tDT\tB-NP\tO' +p110014 +aS'm\tm\tNN\tI-NP\tO' +p110015 +aS'/\t/\tSYM\tB-NP\tO' +p110016 +aS'r.\tr.\tNN\tI-NP\tO' +p110017 +aS'no\tno\tDT\tB-NP\tO' +p110018 +aS'chest\tchest\tNN\tI-NP\tO' +p110019 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p110020 +aS'.\t.\t.\tO\tO' +p110021 +asS'Her IPs were full at 5/5 .' +p110022 +(lp110023 +S'Her\tHer\tPRP$\tB-NP\tO' +p110024 +aS'IPs\tIP\tNNS\tI-NP\tB-protein' +p110025 +aS'were\tbe\tVBD\tB-VP\tO' +p110026 +aS'full\tfull\tJJ\tB-ADJP\tO' +p110027 +aS'at\tat\tIN\tB-PP\tO' +p110028 +aS'5/5\t5/5\tCD\tB-NP\tO' +p110029 +aS'.\t.\t.\tO\tO' +p110030 +asS'5. Lansoprazole oral solution 30 mg per gastric tube q.d.' +p110031 +(lp110032 +S'5.\t5.\tLS\tB-NP\tO' +p110033 +aS'Lansoprazole\tLansoprazole\tNN\tI-NP\tO' +p110034 +aS'oral\toral\tJJ\tI-NP\tO' +p110035 +aS'solution\tsolution\tNN\tI-NP\tO' +p110036 +aS'30\t30\tCD\tI-NP\tO' +p110037 +aS'mg\tmg\tNN\tI-NP\tO' +p110038 +aS'per\tper\tIN\tB-PP\tO' +p110039 +aS'gastric\tgastric\tJJ\tB-NP\tO' +p110040 +aS'tube\ttube\tNN\tI-NP\tO' +p110041 +aS'q.d.\tq.d.\t.\tO\tO' +p110042 +asS'Ovarian mass .' +p110043 +(lp110044 +S'Ovarian\tOvarian\tJJ\tB-NP\tO' +p110045 +aS'mass\tmass\tNN\tI-NP\tO' +p110046 +aS'.\t.\t.\tO\tO' +p110047 +asS'She was transferred to the Sas General Hospital for further evaluation of some weakness in the setting of multiple medical problems .' +p110048 +(lp110049 +S'She\tShe\tPRP\tB-NP\tO' +p110050 +aS'was\tbe\tVBD\tB-VP\tO' +p110051 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p110052 +aS'to\tto\tTO\tB-PP\tO' +p110053 +aS'the\tthe\tDT\tB-NP\tO' +p110054 +aS'Sas\tSas\tNNP\tI-NP\tO' +p110055 +aS'General\tGeneral\tNNP\tI-NP\tO' +p110056 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p110057 +aS'for\tfor\tIN\tB-PP\tO' +p110058 +aS'further\tfurther\tJJ\tB-NP\tO' +p110059 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p110060 +aS'of\tof\tIN\tB-PP\tO' +p110061 +aS'some\tsome\tDT\tB-NP\tO' +p110062 +aS'weakness\tweakness\tNN\tI-NP\tO' +p110063 +aS'in\tin\tIN\tB-PP\tO' +p110064 +aS'the\tthe\tDT\tB-NP\tO' +p110065 +aS'setting\tsetting\tNN\tI-NP\tO' +p110066 +aS'of\tof\tIN\tB-PP\tO' +p110067 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p110068 +aS'medical\tmedical\tJJ\tI-NP\tO' +p110069 +aS'problems\tproblem\tNNS\tI-NP\tO' +p110070 +aS'.\t.\t.\tO\tO' +p110071 +asS'FH , HTN , tobacco .' +p110072 +(lp110073 +S'FH\tFH\tNN\tB-NP\tO' +p110074 +aS',\t,\t,\tO\tO' +p110075 +aS'HTN\tHTN\tNN\tB-NP\tB-protein' +p110076 +aS',\t,\t,\tO\tO' +p110077 +aS'tobacco\ttobacco\tNN\tB-NP\tO' +p110078 +aS'.\t.\t.\tO\tO' +p110079 +asS'Platelets were 9,000 , hemoglobin 9.5 , temperature was 100.4 .' +p110080 +(lp110081 +S'Platelets\tPlatelet\tNNS\tB-NP\tB-cell_type' +p110082 +aS'were\tbe\tVBD\tB-VP\tO' +p110083 +aS'9,000\t9,000\tCD\tB-NP\tO' +p110084 +aS',\t,\t,\tO\tO' +p110085 +aS'hemoglobin\themoglobin\tNN\tB-NP\tB-protein' +p110086 +aS'9.5\t9.5\tCD\tI-NP\tI-protein' +p110087 +aS',\t,\t,\tO\tO' +p110088 +aS'temperature\ttemperature\tNN\tB-NP\tO' +p110089 +aS'was\tbe\tVBD\tB-VP\tO' +p110090 +aS'100.4\t100.4\tCD\tB-NP\tO' +p110091 +aS'.\t.\t.\tO\tO' +p110092 +asS'Moist mucous membranes .' +p110093 +(lp110094 +S'Moist\tMoist\tJJ\tB-NP\tO' +p110095 +aS'mucous\tmucous\tJJ\tI-NP\tO' +p110096 +aS'membranes\tmembrane\tNNS\tI-NP\tO' +p110097 +aS'.\t.\t.\tO\tO' +p110098 +asS'She apparently did not have a cardiovascular component to her wheezing or shortness of breath ; however , she was to go home on Lasix 20 mg p.o. q.d. to help with lower extremity edema , as she experiences discomfort with this , and the team felt this may be a limiting factor with her prednisone compliance .' +p110099 +(lp110100 +S'She\tShe\tPRP\tB-NP\tO' +p110101 +aS'apparently\tapparently\tRB\tB-ADVP\tO' +p110102 +aS'did\tdo\tVBD\tB-VP\tO' +p110103 +aS'not\tnot\tRB\tI-VP\tO' +p110104 +aS'have\thave\tVB\tI-VP\tO' +p110105 +aS'a\ta\tDT\tB-NP\tO' +p110106 +aS'cardiovascular\tcardiovascular\tJJ\tI-NP\tO' +p110107 +aS'component\tcomponent\tNN\tI-NP\tO' +p110108 +aS'to\tto\tTO\tB-PP\tO' +p110109 +aS'her\ther\tPRP$\tB-NP\tO' +p110110 +aS'wheezing\twheezing\tNN\tI-NP\tO' +p110111 +aS'or\tor\tCC\tI-NP\tO' +p110112 +aS'shortness\tshortness\tNN\tI-NP\tO' +p110113 +aS'of\tof\tIN\tB-PP\tO' +p110114 +aS'breath\tbreath\tNN\tB-NP\tO' +p110115 +aS';\t;\t:\tO\tO' +p110116 +aS'however\thowever\tRB\tB-ADVP\tO' +p110117 +aS',\t,\t,\tO\tO' +p110118 +aS'she\tshe\tPRP\tB-NP\tO' +p110119 +aS'was\tbe\tVBD\tB-VP\tO' +p110120 +aS'to\tto\tTO\tB-VP\tO' +p110121 +aS'go\tgo\tVB\tI-VP\tO' +p110122 +aS'home\thome\tNN\tB-ADVP\tO' +p110123 +aS'on\ton\tIN\tB-PP\tO' +p110124 +aS'Lasix\tLasix\tNNP\tB-NP\tO' +p110125 +aS'20\t20\tCD\tI-NP\tO' +p110126 +aS'mg\tmg\tNN\tI-NP\tO' +p110127 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p110128 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p110129 +aS'to\tto\tTO\tB-VP\tO' +p110130 +aS'help\thelp\tVB\tI-VP\tO' +p110131 +aS'with\twith\tIN\tB-PP\tO' +p110132 +aS'lower\tlow\tJJR\tB-NP\tO' +p110133 +aS'extremity\textremity\tNN\tI-NP\tO' +p110134 +aS'edema\tedema\tNN\tI-NP\tO' +p110135 +aS',\t,\t,\tO\tO' +p110136 +aS'as\tas\tIN\tB-SBAR\tO' +p110137 +aS'she\tshe\tPRP\tB-NP\tO' +p110138 +aS'experiences\texperience\tVBZ\tB-VP\tO' +p110139 +aS'discomfort\tdiscomfort\tNN\tB-NP\tO' +p110140 +aS'with\twith\tIN\tB-PP\tO' +p110141 +aS'this\tthis\tDT\tB-NP\tO' +p110142 +aS',\t,\t,\tO\tO' +p110143 +aS'and\tand\tCC\tO\tO' +p110144 +aS'the\tthe\tDT\tB-NP\tO' +p110145 +aS'team\tteam\tNN\tI-NP\tO' +p110146 +aS'felt\tfeel\tVBD\tB-VP\tO' +p110147 +aS'this\tthis\tDT\tB-NP\tO' +p110148 +aS'may\tmay\tMD\tB-VP\tO' +p110149 +aS'be\tbe\tVB\tI-VP\tO' +p110150 +aS'a\ta\tDT\tB-NP\tO' +p110151 +aS'limiting\tlimit\tVBG\tI-NP\tB-protein' +p110152 +aS'factor\tfactor\tNN\tI-NP\tI-protein' +p110153 +aS'with\twith\tIN\tB-PP\tO' +p110154 +aS'her\ther\tPRP$\tB-NP\tO' +p110155 +aS'prednisone\tprednisone\tNN\tI-NP\tO' +p110156 +aS'compliance\tcompliance\tNN\tI-NP\tO' +p110157 +aS'.\t.\t.\tO\tO' +p110158 +asS'D and C showed grade II-III adenocarcinoma with squamous differentiation at Wellla Uxinny : mount Medical Center in Com St. , Tton , Arkansas 32167 .' +p110159 +(lp110160 +S'D\tD\tNN\tB-NP\tO' +p110161 +aS'and\tand\tCC\tI-NP\tO' +p110162 +aS'C\tC\tNN\tI-NP\tO' +p110163 +aS'showed\tshow\tVBD\tB-VP\tO' +p110164 +aS'grade\tgrade\tNN\tB-NP\tO' +p110165 +aS'II-III\tII-III\tJJ\tI-NP\tO' +p110166 +aS'adenocarcinoma\tadenocarcinoma\tNN\tI-NP\tO' +p110167 +aS'with\twith\tIN\tB-PP\tO' +p110168 +aS'squamous\tsquamous\tJJ\tB-NP\tO' +p110169 +aS'differentiation\tdifferentiation\tNN\tI-NP\tO' +p110170 +aS'at\tat\tIN\tB-PP\tO' +p110171 +aS'Wellla\tWellla\tNNP\tB-NP\tO' +p110172 +aS'Uxinny\tUxinny\tNNP\tI-NP\tO' +p110173 +aS':\t:\t:\tO\tO' +p110174 +aS'mount\tmount\tNNP\tB-NP\tO' +p110175 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p110176 +aS'Center\tCenter\tNNP\tI-NP\tO' +p110177 +aS'in\tin\tIN\tB-PP\tO' +p110178 +aS'Com\tCom\tNNP\tB-NP\tO' +p110179 +aS'St.\tSt.\tNNP\tI-NP\tO' +p110180 +aS',\t,\t,\tO\tO' +p110181 +aS'Tton\tTton\tNNP\tB-NP\tO' +p110182 +aS',\t,\t,\tO\tO' +p110183 +aS'Arkansas\tArkansas\tNNP\tB-NP\tO' +p110184 +aS'32167\t32167\tCD\tI-NP\tO' +p110185 +aS'.\t.\t.\tO\tO' +p110186 +asS'She was extubated on postoperative day number one and otherwise had an unremarkable postoperative course with the exception of her left upper extremity weakness .' +p110187 +(lp110188 +S'She\tShe\tPRP\tB-NP\tO' +p110189 +aS'was\tbe\tVBD\tB-VP\tO' +p110190 +aS'extubated\textubate\tVBN\tI-VP\tO' +p110191 +aS'on\ton\tIN\tB-PP\tO' +p110192 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p110193 +aS'day\tday\tNN\tI-NP\tO' +p110194 +aS'number\tnumber\tNN\tI-NP\tO' +p110195 +aS'one\tone\tCD\tB-NP\tO' +p110196 +aS'and\tand\tCC\tO\tO' +p110197 +aS'otherwise\totherwise\tRB\tB-VP\tO' +p110198 +aS'had\thave\tVBD\tI-VP\tO' +p110199 +aS'an\tan\tDT\tB-NP\tO' +p110200 +aS'unremarkable\tunremarkable\tJJ\tI-NP\tO' +p110201 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p110202 +aS'course\tcourse\tNN\tI-NP\tO' +p110203 +aS'with\twith\tIN\tB-PP\tO' +p110204 +aS'the\tthe\tDT\tB-NP\tO' +p110205 +aS'exception\texception\tNN\tI-NP\tO' +p110206 +aS'of\tof\tIN\tB-PP\tO' +p110207 +aS'her\ther\tPRP$\tB-NP\tO' +p110208 +aS'left\tleft\tJJ\tI-NP\tO' +p110209 +aS'upper\tupper\tJJ\tI-NP\tO' +p110210 +aS'extremity\textremity\tNN\tI-NP\tO' +p110211 +aS'weakness\tweakness\tNN\tI-NP\tO' +p110212 +aS'.\t.\t.\tO\tO' +p110213 +asS'The past six weeks , she has also been complaining of hot sensation and tingling sensation in the hands bilaterally .' +p110214 +(lp110215 +S'The\tThe\tDT\tB-NP\tO' +p110216 +aS'past\tpast\tJJ\tI-NP\tO' +p110217 +aS'six\tsix\tCD\tI-NP\tO' +p110218 +aS'weeks\tweek\tNNS\tI-NP\tO' +p110219 +aS',\t,\t,\tO\tO' +p110220 +aS'she\tshe\tPRP\tB-NP\tO' +p110221 +aS'has\thave\tVBZ\tB-VP\tO' +p110222 +aS'also\talso\tRB\tI-VP\tO' +p110223 +aS'been\tbe\tVBN\tI-VP\tO' +p110224 +aS'complaining\tcomplain\tVBG\tI-VP\tO' +p110225 +aS'of\tof\tIN\tB-PP\tO' +p110226 +aS'hot\thot\tJJ\tB-NP\tO' +p110227 +aS'sensation\tsensation\tNN\tI-NP\tO' +p110228 +aS'and\tand\tCC\tO\tO' +p110229 +aS'tingling\ttingle\tVBG\tB-VP\tO' +p110230 +aS'sensation\tsensation\tNN\tB-NP\tO' +p110231 +aS'in\tin\tIN\tB-PP\tO' +p110232 +aS'the\tthe\tDT\tB-NP\tO' +p110233 +aS'hands\thand\tNNS\tI-NP\tO' +p110234 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p110235 +aS'.\t.\t.\tO\tO' +p110236 +asS'The patient had positive blood and urine cultures on 01-05 for history of Methicillin resistant Staphylococcus aureus , which was pan sensitive .' +p110237 +(lp110238 +S'The\tThe\tDT\tB-NP\tO' +p110239 +aS'patient\tpatient\tNN\tI-NP\tO' +p110240 +aS'had\thave\tVBD\tB-VP\tO' +p110241 +aS'positive\tpositive\tJJ\tB-NP\tO' +p110242 +aS'blood\tblood\tNN\tI-NP\tO' +p110243 +aS'and\tand\tCC\tI-NP\tO' +p110244 +aS'urine\turine\tNN\tI-NP\tO' +p110245 +aS'cultures\tculture\tNNS\tI-NP\tO' +p110246 +aS'on\ton\tIN\tB-PP\tO' +p110247 +aS'01-05\t01-05\tCD\tB-NP\tO' +p110248 +aS'for\tfor\tIN\tB-PP\tO' +p110249 +aS'history\thistory\tNN\tB-NP\tO' +p110250 +aS'of\tof\tIN\tB-PP\tO' +p110251 +aS'Methicillin\tMethicillin\tNN\tB-NP\tO' +p110252 +aS'resistant\tresistant\tJJ\tI-NP\tO' +p110253 +aS'Staphylococcus\tStaphylococcus\tNNP\tI-NP\tO' +p110254 +aS'aureus\taureus\tNN\tI-NP\tO' +p110255 +aS',\t,\t,\tO\tO' +p110256 +aS'which\twhich\tWDT\tB-NP\tO' +p110257 +aS'was\tbe\tVBD\tB-VP\tO' +p110258 +aS'pan\tpan\tNN\tB-NP\tO' +p110259 +aS'sensitive\tsensitive\tJJ\tB-ADJP\tO' +p110260 +aS'.\t.\t.\tO\tO' +p110261 +asS'Hematocrit was 32.5 .' +p110262 +(lp110263 +S'Hematocrit\tHematocrit\tNN\tB-NP\tB-protein' +p110264 +aS'was\tbe\tVBD\tB-VP\tI-protein' +p110265 +aS'32.5\t32.5\tCD\tB-NP\tI-protein' +p110266 +aS'.\t.\t.\tO\tO' +p110267 +asS'Methicillin resistant Staphylococcus aureus pneumonia .' +p110268 +(lp110269 +S'Methicillin\tMethicillin\tNN\tB-NP\tO' +p110270 +aS'resistant\tresistant\tJJ\tI-NP\tO' +p110271 +aS'Staphylococcus\tStaphylococcus\tFW\tI-NP\tO' +p110272 +aS'aureus\taureus\tFW\tI-NP\tO' +p110273 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p110274 +aS'.\t.\t.\tO\tO' +p110275 +asS'HIV test was found to be negative .' +p110276 +(lp110277 +S'HIV\tHIV\tNN\tB-NP\tO' +p110278 +aS'test\ttest\tNN\tI-NP\tO' +p110279 +aS'was\tbe\tVBD\tB-VP\tO' +p110280 +aS'found\tfind\tVBN\tI-VP\tO' +p110281 +aS'to\tto\tTO\tI-VP\tO' +p110282 +aS'be\tbe\tVB\tI-VP\tO' +p110283 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p110284 +aS'.\t.\t.\tO\tO' +p110285 +asS'The patient , several days later 11/23 , underwent another dobutamine stress test .' +p110286 +(lp110287 +S'The\tThe\tDT\tB-NP\tO' +p110288 +aS'patient\tpatient\tNN\tI-NP\tO' +p110289 +aS',\t,\t,\tO\tO' +p110290 +aS'several\tseveral\tJJ\tB-NP\tO' +p110291 +aS'days\tday\tNNS\tI-NP\tO' +p110292 +aS'later\tlater\tRB\tB-ADVP\tO' +p110293 +aS'11/23\t11/23\tCD\tB-NP\tO' +p110294 +aS',\t,\t,\tO\tO' +p110295 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p110296 +aS'another\tanother\tDT\tB-NP\tO' +p110297 +aS'dobutamine\tdobutamine\tNN\tI-NP\tO' +p110298 +aS'stress\tstress\tNN\tI-NP\tO' +p110299 +aS'test\ttest\tNN\tI-NP\tO' +p110300 +aS'.\t.\t.\tO\tO' +p110301 +asS'NECK : no masses , supple' +p110302 +(lp110303 +S'NECK\tNECK\tNN\tB-NP\tO' +p110304 +aS':\t:\t:\tO\tO' +p110305 +aS'no\tno\tDT\tB-NP\tO' +p110306 +aS'masses\tmass\tNNS\tI-NP\tO' +p110307 +aS',\t,\t,\tO\tO' +p110308 +aS'supple\tsupple\tNN\tB-NP\tO' +p110309 +asS'The patient lives alone in Leschle Drive , Sonpo , and does not report a smoking or alcohol history .' +p110310 +(lp110311 +S'The\tThe\tDT\tB-NP\tO' +p110312 +aS'patient\tpatient\tNN\tI-NP\tO' +p110313 +aS'lives\tlive\tVBZ\tB-VP\tO' +p110314 +aS'alone\talone\tRB\tB-ADVP\tO' +p110315 +aS'in\tin\tIN\tB-PP\tO' +p110316 +aS'Leschle\tLeschle\tNNP\tB-NP\tO' +p110317 +aS'Drive\tDrive\tNNP\tI-NP\tO' +p110318 +aS',\t,\t,\tO\tO' +p110319 +aS'Sonpo\tSonpo\tNNP\tB-NP\tO' +p110320 +aS',\t,\t,\tO\tO' +p110321 +aS'and\tand\tCC\tO\tO' +p110322 +aS'does\tdo\tVBZ\tB-VP\tO' +p110323 +aS'not\tnot\tRB\tI-VP\tO' +p110324 +aS'report\treport\tVB\tI-VP\tO' +p110325 +aS'a\ta\tDT\tB-NP\tO' +p110326 +aS'smoking\tsmoking\tNN\tI-NP\tO' +p110327 +aS'or\tor\tCC\tI-NP\tO' +p110328 +aS'alcohol\talcohol\tNN\tI-NP\tO' +p110329 +aS'history\thistory\tNN\tI-NP\tO' +p110330 +aS'.\t.\t.\tO\tO' +p110331 +asS'He remained neurovascularly intact .' +p110332 +(lp110333 +S'He\tHe\tPRP\tB-NP\tO' +p110334 +aS'remained\tremain\tVBD\tB-VP\tO' +p110335 +aS'neurovascularly\tneurovascularly\tRB\tB-ADJP\tO' +p110336 +aS'intact\tintact\tJJ\tI-ADJP\tO' +p110337 +aS'.\t.\t.\tO\tO' +p110338 +asS'Overall left ventricular systolic function is normal ( LVEF 70% ).' +p110339 +(lp110340 +S'Overall\tOverall\tRB\tB-ADVP\tO' +p110341 +aS'left\tleave\tVBD\tB-VP\tO' +p110342 +aS'ventricular\tventricular\tJJ\tB-NP\tO' +p110343 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p110344 +aS'function\tfunction\tNN\tI-NP\tO' +p110345 +aS'is\tbe\tVBZ\tB-VP\tO' +p110346 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p110347 +aS'(\t(\t(\tO\tO' +p110348 +aS'LVEF\tLVEF\tNN\tB-NP\tB-protein' +p110349 +aS'70%\t70%\tCD\tI-NP\tI-protein' +p110350 +aS').\t).\t.\tO\tO' +p110351 +asS'She received a full three week course of Vancomycin and also received a three week course of Ceftazidime .' +p110352 +(lp110353 +S'She\tShe\tPRP\tB-NP\tO' +p110354 +aS'received\treceive\tVBD\tB-VP\tO' +p110355 +aS'a\ta\tDT\tB-NP\tO' +p110356 +aS'full\tfull\tJJ\tI-NP\tO' +p110357 +aS'three\tthree\tCD\tI-NP\tO' +p110358 +aS'week\tweek\tNN\tI-NP\tO' +p110359 +aS'course\tcourse\tNN\tI-NP\tO' +p110360 +aS'of\tof\tIN\tB-PP\tO' +p110361 +aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' +p110362 +aS'and\tand\tCC\tO\tO' +p110363 +aS'also\talso\tRB\tB-VP\tO' +p110364 +aS'received\treceive\tVBD\tI-VP\tO' +p110365 +aS'a\ta\tDT\tB-NP\tO' +p110366 +aS'three\tthree\tCD\tI-NP\tO' +p110367 +aS'week\tweek\tNN\tI-NP\tO' +p110368 +aS'course\tcourse\tNN\tI-NP\tO' +p110369 +aS'of\tof\tIN\tB-PP\tO' +p110370 +aS'Ceftazidime\tCeftazidime\tNN\tB-NP\tO' +p110371 +aS'.\t.\t.\tO\tO' +p110372 +asS'Namely , he was unresponsive .' +p110373 +(lp110374 +S'Namely\tNamely\tRB\tB-ADVP\tO' +p110375 +aS',\t,\t,\tO\tO' +p110376 +aS'he\the\tPRP\tB-NP\tO' +p110377 +aS'was\tbe\tVBD\tB-VP\tO' +p110378 +aS'unresponsive\tunresponsive\tJJ\tB-ADJP\tO' +p110379 +aS'.\t.\t.\tO\tO' +p110380 +asS'5. Central line culture positive for coagulase - negative Staphylococcus aureus , status post a 14 day treatment with vancomycin and removal of the line .' +p110381 +(lp110382 +S'5.\t5.\tLS\tB-NP\tO' +p110383 +aS'Central\tCentral\tJJ\tI-NP\tO' +p110384 +aS'line\tline\tNN\tI-NP\tO' +p110385 +aS'culture\tculture\tNN\tI-NP\tO' +p110386 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p110387 +aS'for\tfor\tIN\tB-PP\tO' +p110388 +aS'coagulase\tcoagulase\tNN\tB-NP\tB-protein' +p110389 +aS'-\t-\tHYPH\tI-NP\tO' +p110390 +aS'negative\tnegative\tJJ\tI-NP\tO' +p110391 +aS'Staphylococcus\tStaphylococcus\tNNP\tI-NP\tO' +p110392 +aS'aureus\taureus\tNN\tI-NP\tO' +p110393 +aS',\t,\t,\tO\tO' +p110394 +aS'status\tstatus\tNN\tB-NP\tO' +p110395 +aS'post\tpost\tVBD\tB-VP\tO' +p110396 +aS'a\ta\tDT\tB-NP\tO' +p110397 +aS'14\t14\tCD\tI-NP\tO' +p110398 +aS'day\tday\tNN\tI-NP\tO' +p110399 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p110400 +aS'with\twith\tIN\tB-PP\tO' +p110401 +aS'vancomycin\tvancomycin\tNN\tB-NP\tO' +p110402 +aS'and\tand\tCC\tI-NP\tO' +p110403 +aS'removal\tremoval\tNN\tI-NP\tO' +p110404 +aS'of\tof\tIN\tB-PP\tO' +p110405 +aS'the\tthe\tDT\tB-NP\tO' +p110406 +aS'line\tline\tNN\tI-NP\tO' +p110407 +aS'.\t.\t.\tO\tO' +p110408 +asS'The electrocardiogram revealed poor R wave progression and marked decrease in all volts .' +p110409 +(lp110410 +S'The\tThe\tDT\tB-NP\tO' +p110411 +aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' +p110412 +aS'revealed\treveal\tVBD\tB-VP\tO' +p110413 +aS'poor\tpoor\tJJ\tB-NP\tO' +p110414 +aS'R\tR\tNN\tI-NP\tO' +p110415 +aS'wave\twave\tNN\tI-NP\tO' +p110416 +aS'progression\tprogression\tNN\tI-NP\tO' +p110417 +aS'and\tand\tCC\tO\tO' +p110418 +aS'marked\tmarked\tJJ\tB-NP\tO' +p110419 +aS'decrease\tdecrease\tNN\tI-NP\tO' +p110420 +aS'in\tin\tIN\tB-PP\tO' +p110421 +aS'all\tall\tDT\tB-NP\tO' +p110422 +aS'volts\tvolt\tNNS\tI-NP\tO' +p110423 +aS'.\t.\t.\tO\tO' +p110424 +asS'13. Simvastatin 40 mg Tablet Sig : One ( 1 ) Tablet PO QHS ( once a day ( at bedtime ) ) .' +p110425 +(lp110426 +S'13.\t13.\tCD\tB-NP\tO' +p110427 +aS'Simvastatin\tSimvastatin\tNN\tI-NP\tO' +p110428 +aS'40\t40\tCD\tB-NP\tO' +p110429 +aS'mg\tmg\tNN\tI-NP\tO' +p110430 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p110431 +aS'Sig\tSig\tNNP\tI-NP\tO' +p110432 +aS':\t:\t:\tO\tO' +p110433 +aS'One\tOne\tCD\tB-NP\tO' +p110434 +aS'(\t(\t(\tO\tO' +p110435 +aS'1\t1\tCD\tB-NP\tO' +p110436 +aS')\t)\t)\tO\tO' +p110437 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p110438 +aS'PO\tPO\tNN\tI-NP\tO' +p110439 +aS'QHS\tQHS\tNN\tI-NP\tO' +p110440 +aS'(\t(\t(\tO\tO' +p110441 +aS'once\tonce\tRB\tB-ADVP\tO' +p110442 +aS'a\ta\tDT\tB-NP\tO' +p110443 +aS'day\tday\tNN\tI-NP\tO' +p110444 +aS'(\t(\t(\tO\tO' +p110445 +aS'at\tat\tIN\tB-PP\tO' +p110446 +aS'bedtime\tbedtime\tNN\tB-NP\tO' +p110447 +aS')\t)\t)\tO\tO' +p110448 +aS')\t)\t)\tO\tO' +p110449 +aS'.\t.\t.\tO\tO' +p110450 +asS'Calcium 11.8 .' +p110451 +(lp110452 +S'Calcium\tCalcium\tNN\tB-NP\tB-protein' +p110453 +aS'11.8\t11.8\tCD\tI-NP\tI-protein' +p110454 +aS'.\t.\t.\tO\tO' +p110455 +asS'GRAM POSITIVE COCCI .' +p110456 +(lp110457 +S'GRAM\tGRAM\tNN\tB-NP\tO' +p110458 +aS'POSITIVE\tPOSITIVE\tNN\tI-NP\tO' +p110459 +aS'COCCI\tCOCCI\tNN\tI-NP\tO' +p110460 +aS'.\t.\t.\tO\tO' +p110461 +asS'Normal male .' +p110462 +(lp110463 +S'Normal\tNormal\tJJ\tB-NP\tO' +p110464 +aS'male\tmale\tNN\tI-NP\tO' +p110465 +aS'.\t.\t.\tO\tO' +p110466 +asS'The patient reports a history of bloating and flatulence as well as increased fatigue .' +p110467 +(lp110468 +S'The\tThe\tDT\tB-NP\tO' +p110469 +aS'patient\tpatient\tNN\tI-NP\tO' +p110470 +aS'reports\treport\tVBZ\tB-VP\tO' +p110471 +aS'a\ta\tDT\tB-NP\tO' +p110472 +aS'history\thistory\tNN\tI-NP\tO' +p110473 +aS'of\tof\tIN\tB-PP\tO' +p110474 +aS'bloating\tbloat\tVBG\tB-NP\tO' +p110475 +aS'and\tand\tCC\tI-NP\tO' +p110476 +aS'flatulence\tflatulence\tNN\tI-NP\tO' +p110477 +aS'as\tas\tRB\tB-CONJP\tO' +p110478 +aS'well\twell\tRB\tI-CONJP\tO' +p110479 +aS'as\tas\tIN\tI-CONJP\tO' +p110480 +aS'increased\tincrease\tVBN\tB-NP\tO' +p110481 +aS'fatigue\tfatigue\tNN\tI-NP\tO' +p110482 +aS'.\t.\t.\tO\tO' +p110483 +asS'WORK DISABILITY AND PROBABLE DURATION , COMPLETE .' +p110484 +(lp110485 +S'WORK\tWORK\tNNP\tB-NP\tO' +p110486 +aS'DISABILITY\tDISABILITY\tNNP\tI-NP\tO' +p110487 +aS'AND\tAND\tCC\tO\tO' +p110488 +aS'PROBABLE\tPROBABLE\tNNP\tB-NP\tO' +p110489 +aS'DURATION\tDURATION\tNNP\tI-NP\tO' +p110490 +aS',\t,\t,\tO\tO' +p110491 +aS'COMPLETE\tCOMPLETE\tNNP\tB-NP\tO' +p110492 +aS'.\t.\t.\tO\tO' +p110493 +asS'He has not had a BM in 3 days now .' +p110494 +(lp110495 +S'He\tHe\tPRP\tB-NP\tO' +p110496 +aS'has\thave\tVBZ\tB-VP\tO' +p110497 +aS'not\tnot\tRB\tI-VP\tO' +p110498 +aS'had\thave\tVBN\tI-VP\tO' +p110499 +aS'a\ta\tDT\tB-NP\tO' +p110500 +aS'BM\tBM\tNN\tI-NP\tO' +p110501 +aS'in\tin\tIN\tB-PP\tO' +p110502 +aS'3\t3\tCD\tB-NP\tO' +p110503 +aS'days\tday\tNNS\tI-NP\tO' +p110504 +aS'now\tnow\tRB\tB-ADVP\tO' +p110505 +aS'.\t.\t.\tO\tO' +p110506 +asS'At most , her oxygen requirement was 4-5 liters and on the day prior to discharge , she was satting well on two liters of nasal cannula .' +p110507 +(lp110508 +S'At\tAt\tIN\tB-ADVP\tO' +p110509 +aS'most\tmost\tJJS\tI-ADVP\tO' +p110510 +aS',\t,\t,\tO\tO' +p110511 +aS'her\ther\tPRP$\tB-NP\tO' +p110512 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p110513 +aS'requirement\trequirement\tNN\tI-NP\tO' +p110514 +aS'was\tbe\tVBD\tB-VP\tO' +p110515 +aS'4-5\t4-5\tCD\tB-NP\tO' +p110516 +aS'liters\tliter\tNNS\tI-NP\tO' +p110517 +aS'and\tand\tCC\tB-PP\tO' +p110518 +aS'on\ton\tIN\tB-PP\tO' +p110519 +aS'the\tthe\tDT\tB-NP\tO' +p110520 +aS'day\tday\tNN\tI-NP\tO' +p110521 +aS'prior\tprior\tRB\tB-ADVP\tO' +p110522 +aS'to\tto\tTO\tB-VP\tO' +p110523 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p110524 +aS',\t,\t,\tO\tO' +p110525 +aS'she\tshe\tPRP\tB-NP\tO' +p110526 +aS'was\tbe\tVBD\tB-VP\tO' +p110527 +aS'satting\tsatte\tVBG\tI-VP\tO' +p110528 +aS'well\twell\tRB\tB-ADVP\tO' +p110529 +aS'on\ton\tIN\tB-PP\tO' +p110530 +aS'two\ttwo\tCD\tB-NP\tO' +p110531 +aS'liters\tliter\tNNS\tI-NP\tO' +p110532 +aS'of\tof\tIN\tB-PP\tO' +p110533 +aS'nasal\tnasal\tJJ\tB-NP\tO' +p110534 +aS'cannula\tcannula\tNN\tI-NP\tO' +p110535 +aS'.\t.\t.\tO\tO' +p110536 +asS'She ruled out for myocardial infarction with 3 negative enzymes .' +p110537 +(lp110538 +S'She\tShe\tPRP\tB-NP\tO' +p110539 +aS'ruled\trule\tVBD\tB-VP\tO' +p110540 +aS'out\tout\tRP\tB-PRT\tO' +p110541 +aS'for\tfor\tIN\tB-PP\tO' +p110542 +aS'myocardial\tmyocardial\tJJ\tB-NP\tO' +p110543 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p110544 +aS'with\twith\tIN\tB-PP\tO' +p110545 +aS'3\t3\tCD\tB-NP\tO' +p110546 +aS'negative\tnegative\tJJ\tI-NP\tO' +p110547 +aS'enzymes\tenzyme\tNNS\tI-NP\tO' +p110548 +aS'.\t.\t.\tO\tO' +p110549 +asS'10. Magnesium sulfate 2 gm in 100 ml of D5W IV as needed for repletion p.r.n.' +p110550 +(lp110551 +S'10.\t10.\tLS\tB-NP\tO' +p110552 +aS'Magnesium\tMagnesium\tNNP\tI-NP\tO' +p110553 +aS'sulfate\tsulfate\tNN\tI-NP\tO' +p110554 +aS'2\t2\tCD\tI-NP\tO' +p110555 +aS'gm\tgm\tNN\tI-NP\tO' +p110556 +aS'in\tin\tIN\tB-PP\tO' +p110557 +aS'100\t100\tCD\tB-NP\tO' +p110558 +aS'ml\tml\tNN\tI-NP\tO' +p110559 +aS'of\tof\tIN\tB-PP\tO' +p110560 +aS'D5W\tD5W\tNN\tB-NP\tB-protein' +p110561 +aS'IV\tIV\tCD\tI-NP\tI-protein' +p110562 +aS'as\tas\tIN\tB-SBAR\tO' +p110563 +aS'needed\tneed\tVBN\tB-VP\tO' +p110564 +aS'for\tfor\tIN\tB-PP\tO' +p110565 +aS'repletion\trepletion\tNN\tB-NP\tO' +p110566 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p110567 +asS'Dictated By : John KT Bolling , M.D.' +p110568 +(lp110569 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p110570 +aS'By\tBy\tIN\tB-PP\tO' +p110571 +aS':\t:\t:\tO\tO' +p110572 +aS'John\tJohn\tNNP\tB-NP\tO' +p110573 +aS'KT\tKT\tNNP\tI-NP\tO' +p110574 +aS'Bolling\tBolling\tNNP\tI-NP\tO' +p110575 +aS',\t,\t,\tO\tO' +p110576 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p110577 +asS'Cyclosporin levels were followed and his sugars were followed with a sliding scale .' +p110578 +(lp110579 +S'Cyclosporin\tCyclosporin\tNN\tB-NP\tO' +p110580 +aS'levels\tlevel\tNNS\tI-NP\tO' +p110581 +aS'were\tbe\tVBD\tB-VP\tO' +p110582 +aS'followed\tfollow\tVBN\tI-VP\tO' +p110583 +aS'and\tand\tCC\tO\tO' +p110584 +aS'his\this\tPRP$\tB-NP\tO' +p110585 +aS'sugars\tsugar\tNNS\tI-NP\tO' +p110586 +aS'were\tbe\tVBD\tB-VP\tO' +p110587 +aS'followed\tfollow\tVBN\tI-VP\tO' +p110588 +aS'with\twith\tIN\tB-PP\tO' +p110589 +aS'a\ta\tDT\tB-NP\tO' +p110590 +aS'sliding\tslide\tVBG\tI-NP\tO' +p110591 +aS'scale\tscale\tNN\tI-NP\tO' +p110592 +aS'.\t.\t.\tO\tO' +p110593 +asS'AST 29 , ALK 151 , total bilirubin 0.2 , total protein 7.2 , albumin 4.3 , globulins 2.9 , calcium 8.9 .' +p110594 +(lp110595 +S'AST\tAST\tNN\tB-NP\tO' +p110596 +aS'29\t29\tCD\tI-NP\tO' +p110597 +aS',\t,\t,\tO\tO' +p110598 +aS'ALK\tALK\tNN\tB-NP\tB-protein' +p110599 +aS'151\t151\tCD\tI-NP\tI-protein' +p110600 +aS',\t,\t,\tO\tO' +p110601 +aS'total\ttotal\tJJ\tB-NP\tO' +p110602 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p110603 +aS'0.2\t0.2\tCD\tI-NP\tO' +p110604 +aS',\t,\t,\tO\tO' +p110605 +aS'total\ttotal\tJJ\tB-NP\tO' +p110606 +aS'protein\tprotein\tNN\tI-NP\tO' +p110607 +aS'7.2\t7.2\tCD\tI-NP\tO' +p110608 +aS',\t,\t,\tO\tO' +p110609 +aS'albumin\talbumin\tNN\tB-NP\tB-protein' +p110610 +aS'4.3\t4.3\tCD\tI-NP\tI-protein' +p110611 +aS',\t,\t,\tO\tO' +p110612 +aS'globulins\tglobulin\tNNS\tB-NP\tO' +p110613 +aS'2.9\t2.9\tCD\tB-NP\tO' +p110614 +aS',\t,\t,\tO\tO' +p110615 +aS'calcium\tcalcium\tNN\tB-NP\tO' +p110616 +aS'8.9\t8.9\tCD\tI-NP\tO' +p110617 +aS'.\t.\t.\tO\tO' +p110618 +asS'Medications on admission were only aspirin p.r.n. and Timoptic solution 0.5% to the left eye twice a day .' +p110619 +(lp110620 +S'Medications\tMedication\tNNS\tB-NP\tO' +p110621 +aS'on\ton\tIN\tB-PP\tO' +p110622 +aS'admission\tadmission\tNN\tB-NP\tO' +p110623 +aS'were\tbe\tVBD\tB-VP\tO' +p110624 +aS'only\tonly\tRB\tB-NP\tO' +p110625 +aS'aspirin\taspirin\tNN\tI-NP\tO' +p110626 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p110627 +aS'and\tand\tCC\tO\tO' +p110628 +aS'Timoptic\tTimoptic\tJJ\tB-NP\tB-protein' +p110629 +aS'solution\tsolution\tNN\tI-NP\tI-protein' +p110630 +aS'0.5%\t0.5%\tCD\tI-NP\tI-protein' +p110631 +aS'to\tto\tTO\tB-PP\tO' +p110632 +aS'the\tthe\tDT\tB-NP\tO' +p110633 +aS'left\tleft\tJJ\tI-NP\tO' +p110634 +aS'eye\teye\tNN\tI-NP\tO' +p110635 +aS'twice\ttwice\tRB\tB-NP\tO' +p110636 +aS'a\ta\tDT\tI-NP\tO' +p110637 +aS'day\tday\tNN\tI-NP\tO' +p110638 +aS'.\t.\t.\tO\tO' +p110639 +asS'He was transferred to the floor on 2009-05-04 .' +p110640 +(lp110641 +S'He\tHe\tPRP\tB-NP\tO' +p110642 +aS'was\tbe\tVBD\tB-VP\tO' +p110643 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p110644 +aS'to\tto\tTO\tB-PP\tO' +p110645 +aS'the\tthe\tDT\tB-NP\tO' +p110646 +aS'floor\tfloor\tNN\tI-NP\tO' +p110647 +aS'on\ton\tIN\tB-PP\tO' +p110648 +aS'2009-05-04\t2009-05-04\tCD\tB-NP\tO' +p110649 +aS'.\t.\t.\tO\tO' +p110650 +asS'This did not normalize with administration of Isordil and the patient denied chest pain at this time .' +p110651 +(lp110652 +S'This\tThis\tDT\tB-NP\tO' +p110653 +aS'did\tdo\tVBD\tB-VP\tO' +p110654 +aS'not\tnot\tRB\tI-VP\tO' +p110655 +aS'normalize\tnormalize\tVB\tI-VP\tO' +p110656 +aS'with\twith\tIN\tB-PP\tO' +p110657 +aS'administration\tadministration\tNN\tB-NP\tO' +p110658 +aS'of\tof\tIN\tB-PP\tO' +p110659 +aS'Isordil\tIsordil\tNN\tB-NP\tO' +p110660 +aS'and\tand\tCC\tO\tO' +p110661 +aS'the\tthe\tDT\tB-NP\tO' +p110662 +aS'patient\tpatient\tNN\tI-NP\tO' +p110663 +aS'denied\tdeny\tVBD\tB-VP\tO' +p110664 +aS'chest\tchest\tNN\tB-NP\tO' +p110665 +aS'pain\tpain\tNN\tI-NP\tO' +p110666 +aS'at\tat\tIN\tB-PP\tO' +p110667 +aS'this\tthis\tDT\tB-NP\tO' +p110668 +aS'time\ttime\tNN\tI-NP\tO' +p110669 +aS'.\t.\t.\tO\tO' +p110670 +asS'# DVT - patient therapeutic on heparin .' +p110671 +(lp110672 +S'#\t#\t#\tB-NP\tO' +p110673 +aS'DVT\tDVT\tNN\tI-NP\tO' +p110674 +aS'-\t-\tHYPH\tB-NP\tO' +p110675 +aS'patient\tpatient\tNN\tI-NP\tO' +p110676 +aS'therapeutic\ttherapeutic\tJJ\tB-ADJP\tO' +p110677 +aS'on\ton\tIN\tB-PP\tO' +p110678 +aS'heparin\theparin\tNN\tB-NP\tO' +p110679 +aS'.\t.\t.\tO\tO' +p110680 +asS'ID consult was obtained and he was initially treated with azithromycin , itraconazole , and pentamidine , with progression of skin infection .' +p110681 +(lp110682 +S'ID\tID\tNN\tB-NP\tO' +p110683 +aS'consult\tconsult\tNN\tI-NP\tO' +p110684 +aS'was\tbe\tVBD\tB-VP\tO' +p110685 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p110686 +aS'and\tand\tCC\tO\tO' +p110687 +aS'he\the\tPRP\tB-NP\tO' +p110688 +aS'was\tbe\tVBD\tB-VP\tO' +p110689 +aS'initially\tinitially\tRB\tI-VP\tO' +p110690 +aS'treated\ttreat\tVBN\tI-VP\tO' +p110691 +aS'with\twith\tIN\tB-PP\tO' +p110692 +aS'azithromycin\tazithromycin\tNN\tB-NP\tO' +p110693 +aS',\t,\t,\tO\tO' +p110694 +aS'itraconazole\titraconazole\tNN\tB-NP\tO' +p110695 +aS',\t,\t,\tO\tO' +p110696 +aS'and\tand\tCC\tO\tO' +p110697 +aS'pentamidine\tpentamidine\tNN\tB-NP\tO' +p110698 +aS',\t,\t,\tO\tO' +p110699 +aS'with\twith\tIN\tB-PP\tO' +p110700 +aS'progression\tprogression\tNN\tB-NP\tO' +p110701 +aS'of\tof\tIN\tB-PP\tO' +p110702 +aS'skin\tskin\tNN\tB-NP\tO' +p110703 +aS'infection\tinfection\tNN\tI-NP\tO' +p110704 +aS'.\t.\t.\tO\tO' +p110705 +asS'She has on her right ankle anteriorly a four centimeter ulcer with necrotic base .' +p110706 +(lp110707 +S'She\tShe\tPRP\tB-NP\tO' +p110708 +aS'has\thave\tVBZ\tB-VP\tO' +p110709 +aS'on\ton\tIN\tB-PP\tO' +p110710 +aS'her\ther\tPRP$\tB-NP\tO' +p110711 +aS'right\tright\tJJ\tI-NP\tO' +p110712 +aS'ankle\tankle\tNN\tI-NP\tO' +p110713 +aS'anteriorly\tanteriorly\tRB\tB-ADVP\tO' +p110714 +aS'a\ta\tDT\tB-NP\tO' +p110715 +aS'four\tfour\tCD\tI-NP\tO' +p110716 +aS'centimeter\tcentimeter\tNN\tI-NP\tO' +p110717 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p110718 +aS'with\twith\tIN\tB-PP\tO' +p110719 +aS'necrotic\tnecrotic\tJJ\tB-NP\tO' +p110720 +aS'base\tbase\tNN\tI-NP\tO' +p110721 +aS'.\t.\t.\tO\tO' +p110722 +asS'Dr. Besti Kotebreun , Neurology Service Dr. Margmimaui Gelineau , Ochtuheihugh Put University Medical Center' +p110723 +(lp110724 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p110725 +aS'Besti\tBesti\tNNP\tI-NP\tO' +p110726 +aS'Kotebreun\tKotebreun\tNNP\tI-NP\tO' +p110727 +aS',\t,\t,\tO\tO' +p110728 +aS'Neurology\tNeurology\tNNP\tB-NP\tO' +p110729 +aS'Service\tService\tNNP\tI-NP\tO' +p110730 +aS'Dr.\tDr.\tNNP\tI-NP\tO' +p110731 +aS'Margmimaui\tMargmimaui\tNNP\tI-NP\tO' +p110732 +aS'Gelineau\tGelineau\tNNP\tI-NP\tO' +p110733 +aS',\t,\t,\tO\tO' +p110734 +aS'Ochtuheihugh\tOchtuheihugh\tNNP\tB-NP\tO' +p110735 +aS'Put\tPut\tNNP\tI-NP\tO' +p110736 +aS'University\tUniversity\tNNP\tI-NP\tO' +p110737 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p110738 +aS'Center\tCenter\tNNP\tI-NP\tO' +p110739 +asS'The patient is a 1,770 gram male infant born by stat cesarean section for fetal bradycardia at 30-6/7 weeks gestation to a 29-year-old gravida 3 , para 0 now 1 mother .' +p110740 +(lp110741 +S'The\tThe\tDT\tB-NP\tO' +p110742 +aS'patient\tpatient\tNN\tI-NP\tO' +p110743 +aS'is\tbe\tVBZ\tB-VP\tO' +p110744 +aS'a\ta\tDT\tB-NP\tO' +p110745 +aS'1,770\t1,770\tCD\tI-NP\tO' +p110746 +aS'gram\tgram\tNN\tI-NP\tO' +p110747 +aS'male\tmale\tJJ\tI-NP\tO' +p110748 +aS'infant\tinfant\tNN\tI-NP\tO' +p110749 +aS'born\tbear\tVBN\tB-VP\tO' +p110750 +aS'by\tby\tIN\tB-PP\tO' +p110751 +aS'stat\tstat\tNN\tB-NP\tO' +p110752 +aS'cesarean\tcesarean\tJJ\tI-NP\tO' +p110753 +aS'section\tsection\tNN\tI-NP\tO' +p110754 +aS'for\tfor\tIN\tB-PP\tO' +p110755 +aS'fetal\tfetal\tJJ\tB-NP\tO' +p110756 +aS'bradycardia\tbradycardia\tNN\tI-NP\tO' +p110757 +aS'at\tat\tIN\tB-PP\tO' +p110758 +aS'30-6/7\t30-6/7\tCD\tB-NP\tO' +p110759 +aS'weeks\tweek\tNNS\tI-NP\tO' +p110760 +aS'gestation\tgestation\tNN\tI-NP\tO' +p110761 +aS'to\tto\tTO\tB-PP\tO' +p110762 +aS'a\ta\tDT\tB-NP\tO' +p110763 +aS'29-year-old\t29-year-old\tJJ\tI-NP\tO' +p110764 +aS'gravida\tgravida\tNN\tI-NP\tO' +p110765 +aS'3\t3\tCD\tI-NP\tO' +p110766 +aS',\t,\t,\tO\tO' +p110767 +aS'para\tpara\tNN\tB-NP\tO' +p110768 +aS'0\t0\tCD\tI-NP\tO' +p110769 +aS'now\tnow\tRB\tB-ADVP\tO' +p110770 +aS'1\t1\tCD\tB-NP\tO' +p110771 +aS'mother\tmother\tNN\tI-NP\tO' +p110772 +aS'.\t.\t.\tO\tO' +p110773 +asS'At that time he received total body irradiation of 1400 cGy .' +p110774 +(lp110775 +S'At\tAt\tIN\tB-PP\tO' +p110776 +aS'that\tthat\tDT\tB-NP\tO' +p110777 +aS'time\ttime\tNN\tI-NP\tO' +p110778 +aS'he\the\tPRP\tB-NP\tO' +p110779 +aS'received\treceive\tVBD\tB-VP\tO' +p110780 +aS'total\ttotal\tJJ\tB-NP\tO' +p110781 +aS'body\tbody\tNN\tI-NP\tO' +p110782 +aS'irradiation\tirradiation\tNN\tI-NP\tO' +p110783 +aS'of\tof\tIN\tB-PP\tO' +p110784 +aS'1400\t1400\tCD\tB-NP\tO' +p110785 +aS'cGy\tcGy\tNN\tI-NP\tO' +p110786 +aS'.\t.\t.\tO\tO' +p110787 +asS'The patient was noted to have trace aortic regurgitation .' +p110788 +(lp110789 +S'The\tThe\tDT\tB-NP\tO' +p110790 +aS'patient\tpatient\tNN\tI-NP\tO' +p110791 +aS'was\tbe\tVBD\tB-VP\tO' +p110792 +aS'noted\tnote\tVBN\tI-VP\tO' +p110793 +aS'to\tto\tTO\tI-VP\tO' +p110794 +aS'have\thave\tVB\tI-VP\tO' +p110795 +aS'trace\ttrace\tNN\tB-NP\tO' +p110796 +aS'aortic\taortic\tJJ\tI-NP\tO' +p110797 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p110798 +aS'.\t.\t.\tO\tO' +p110799 +asS'Please r/o acute process .' +p110800 +(lp110801 +S'Please\tPlease\tVB\tB-VP\tO' +p110802 +aS'r/o\tr/o\tAFX\tB-NP\tO' +p110803 +aS'acute\tacute\tJJ\tI-NP\tO' +p110804 +aS'process\tprocess\tNN\tI-NP\tO' +p110805 +aS'.\t.\t.\tO\tO' +p110806 +asS'Therefore the focus of treatment was changed to controlling his rate .' +p110807 +(lp110808 +S'Therefore\tTherefore\tRB\tB-ADVP\tO' +p110809 +aS'the\tthe\tDT\tB-NP\tO' +p110810 +aS'focus\tfocus\tNN\tI-NP\tO' +p110811 +aS'of\tof\tIN\tB-PP\tO' +p110812 +aS'treatment\ttreatment\tNN\tB-NP\tO' +p110813 +aS'was\tbe\tVBD\tB-VP\tO' +p110814 +aS'changed\tchange\tVBN\tI-VP\tO' +p110815 +aS'to\tto\tTO\tB-PP\tO' +p110816 +aS'controlling\tcontrol\tVBG\tB-VP\tO' +p110817 +aS'his\this\tPRP$\tB-NP\tO' +p110818 +aS'rate\trate\tNN\tI-NP\tO' +p110819 +aS'.\t.\t.\tO\tO' +p110820 +asS'However , the issue that dominated the admission was his recent acute decline in mental status .' +p110821 +(lp110822 +S'However\tHowever\tRB\tB-ADVP\tO' +p110823 +aS',\t,\t,\tO\tO' +p110824 +aS'the\tthe\tDT\tB-NP\tO' +p110825 +aS'issue\tissue\tNN\tI-NP\tO' +p110826 +aS'that\tthat\tWDT\tB-NP\tO' +p110827 +aS'dominated\tdominate\tVBD\tB-VP\tO' +p110828 +aS'the\tthe\tDT\tB-NP\tO' +p110829 +aS'admission\tadmission\tNN\tI-NP\tO' +p110830 +aS'was\tbe\tVBD\tB-VP\tO' +p110831 +aS'his\this\tPRP$\tB-NP\tO' +p110832 +aS'recent\trecent\tJJ\tI-NP\tO' +p110833 +aS'acute\tacute\tJJ\tI-NP\tO' +p110834 +aS'decline\tdecline\tNN\tI-NP\tO' +p110835 +aS'in\tin\tIN\tB-PP\tO' +p110836 +aS'mental\tmental\tJJ\tB-NP\tO' +p110837 +aS'status\tstatus\tNN\tI-NP\tO' +p110838 +aS'.\t.\t.\tO\tO' +p110839 +asS'He was taken to Wayskemedcalltown Talmi and transferred to Heaonboburg Linpack Grant Medical Center with a computerized tomography scan showing a 1x2 thalamic capsular hemorrhage without superficial mass effect .' +p110840 +(lp110841 +S'He\tHe\tPRP\tB-NP\tO' +p110842 +aS'was\tbe\tVBD\tB-VP\tO' +p110843 +aS'taken\ttake\tVBN\tI-VP\tO' +p110844 +aS'to\tto\tTO\tB-PP\tO' +p110845 +aS'Wayskemedcalltown\tWayskemedcalltown\tNNP\tB-NP\tO' +p110846 +aS'Talmi\tTalmi\tNNP\tI-NP\tO' +p110847 +aS'and\tand\tCC\tO\tO' +p110848 +aS'transferred\ttransfer\tVBN\tB-VP\tO' +p110849 +aS'to\tto\tTO\tB-PP\tO' +p110850 +aS'Heaonboburg\tHeaonboburg\tNNP\tB-NP\tO' +p110851 +aS'Linpack\tLinpack\tNNP\tI-NP\tO' +p110852 +aS'Grant\tGrant\tNNP\tI-NP\tO' +p110853 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p110854 +aS'Center\tCenter\tNNP\tI-NP\tO' +p110855 +aS'with\twith\tIN\tB-PP\tO' +p110856 +aS'a\ta\tDT\tB-NP\tO' +p110857 +aS'computerized\tcomputerized\tJJ\tI-NP\tO' +p110858 +aS'tomography\ttomography\tNN\tI-NP\tO' +p110859 +aS'scan\tscan\tNN\tI-NP\tO' +p110860 +aS'showing\tshow\tVBG\tB-VP\tO' +p110861 +aS'a\ta\tDT\tB-NP\tO' +p110862 +aS'1x2\t1x2\tCD\tI-NP\tO' +p110863 +aS'thalamic\tthalamic\tJJ\tI-NP\tO' +p110864 +aS'capsular\tcapsular\tJJ\tI-NP\tO' +p110865 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p110866 +aS'without\twithout\tIN\tB-PP\tO' +p110867 +aS'superficial\tsuperficial\tJJ\tB-NP\tO' +p110868 +aS'mass\tmass\tNN\tI-NP\tO' +p110869 +aS'effect\teffect\tNN\tI-NP\tO' +p110870 +aS'.\t.\t.\tO\tO' +p110871 +asS'We decided to perform a therapeutic thoracentesis .' +p110872 +(lp110873 +S'We\tWe\tPRP\tB-NP\tO' +p110874 +aS'decided\tdecide\tVBD\tB-VP\tO' +p110875 +aS'to\tto\tTO\tI-VP\tO' +p110876 +aS'perform\tperform\tVB\tI-VP\tO' +p110877 +aS'a\ta\tDT\tB-NP\tO' +p110878 +aS'therapeutic\ttherapeutic\tJJ\tI-NP\tO' +p110879 +aS'thoracentesis\tthoracentesis\tNN\tI-NP\tO' +p110880 +aS'.\t.\t.\tO\tO' +p110881 +asS'The blood cultures at Linghs County Medical Center grew out Staph. aureus sensitive to methicillin .' +p110882 +(lp110883 +S'The\tThe\tDT\tB-NP\tO' +p110884 +aS'blood\tblood\tNN\tI-NP\tO' +p110885 +aS'cultures\tculture\tNNS\tI-NP\tO' +p110886 +aS'at\tat\tIN\tB-PP\tO' +p110887 +aS'Linghs\tLinghs\tNNP\tB-NP\tO' +p110888 +aS'County\tCounty\tNNP\tI-NP\tO' +p110889 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p110890 +aS'Center\tCenter\tNNP\tI-NP\tO' +p110891 +aS'grew\tgrow\tVBD\tB-VP\tO' +p110892 +aS'out\tout\tRP\tB-PRT\tO' +p110893 +aS'Staph.\tStaph.\tNNP\tB-NP\tO' +p110894 +aS'aureus\taureus\tNN\tI-NP\tO' +p110895 +aS'sensitive\tsensitive\tJJ\tB-ADJP\tO' +p110896 +aS'to\tto\tTO\tB-PP\tO' +p110897 +aS'methicillin\tmethicillin\tNN\tB-NP\tB-protein' +p110898 +aS'.\t.\t.\tO\tO' +p110899 +asS'Blood glucose was 116 .' +p110900 +(lp110901 +S'Blood\tBlood\tNN\tB-NP\tO' +p110902 +aS'glucose\tglucose\tNN\tI-NP\tO' +p110903 +aS'was\tbe\tVBD\tB-VP\tO' +p110904 +aS'116\t116\tCD\tB-NP\tO' +p110905 +aS'.\t.\t.\tO\tO' +p110906 +asS'Argatroban was started abd a HIT panel was sent , HIT panel was positive .' +p110907 +(lp110908 +S'Argatroban\tArgatroban\tNN\tB-NP\tO' +p110909 +aS'was\tbe\tVBD\tB-VP\tO' +p110910 +aS'started\tstart\tVBN\tI-VP\tO' +p110911 +aS'abd\tabd\tIN\tB-PP\tO' +p110912 +aS'a\ta\tDT\tB-NP\tO' +p110913 +aS'HIT\tHIT\tNN\tI-NP\tB-protein' +p110914 +aS'panel\tpanel\tNN\tI-NP\tI-protein' +p110915 +aS'was\tbe\tVBD\tB-VP\tO' +p110916 +aS'sent\tsend\tVBN\tI-VP\tO' +p110917 +aS',\t,\t,\tO\tO' +p110918 +aS'HIT\tHIT\tNN\tB-NP\tB-protein' +p110919 +aS'panel\tpanel\tNN\tI-NP\tI-protein' +p110920 +aS'was\tbe\tVBD\tB-VP\tO' +p110921 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p110922 +aS'.\t.\t.\tO\tO' +p110923 +asS'As noted .' +p110924 +(lp110925 +S'As\tAs\tIN\tB-SBAR\tO' +p110926 +aS'noted\tnote\tVBN\tB-VP\tO' +p110927 +aS'.\t.\t.\tO\tO' +p110928 +asS'Subsequent cardiac catheterization at Nantucket Cottage Hospital Hospital on 2014-04-16 was significant for severe two vessel coronary artery disease .' +p110929 +(lp110930 +S'Subsequent\tSubsequent\tJJ\tB-NP\tO' +p110931 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p110932 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p110933 +aS'at\tat\tIN\tB-PP\tO' +p110934 +aS'Nantucket\tNantucket\tNNP\tB-NP\tO' +p110935 +aS'Cottage\tCottage\tNNP\tI-NP\tO' +p110936 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p110937 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p110938 +aS'on\ton\tIN\tB-PP\tO' +p110939 +aS'2014-04-16\t2014-04-16\tCD\tB-NP\tO' +p110940 +aS'was\tbe\tVBD\tB-VP\tO' +p110941 +aS'significant\tsignificant\tJJ\tB-ADJP\tO' +p110942 +aS'for\tfor\tIN\tB-PP\tO' +p110943 +aS'severe\tsevere\tJJ\tB-NP\tO' +p110944 +aS'two\ttwo\tCD\tI-NP\tO' +p110945 +aS'vessel\tvessel\tNN\tI-NP\tO' +p110946 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p110947 +aS'artery\tartery\tNN\tI-NP\tO' +p110948 +aS'disease\tdisease\tNN\tI-NP\tO' +p110949 +aS'.\t.\t.\tO\tO' +p110950 +asS"The patient 's Lipitor was increased to 80 mg q.d." +p110951 +(lp110952 +S'The\tThe\tDT\tB-NP\tO' +p110953 +aS'patient\tpatient\tNN\tI-NP\tO' +p110954 +aS"'s\t's\tPOS\tB-NP\tO" +p110955 +aS'Lipitor\tLipitor\tNN\tI-NP\tO' +p110956 +aS'was\tbe\tVBD\tB-VP\tO' +p110957 +aS'increased\tincrease\tVBN\tI-VP\tO' +p110958 +aS'to\tto\tTO\tB-PP\tO' +p110959 +aS'80\t80\tCD\tB-NP\tO' +p110960 +aS'mg\tmg\tNN\tI-NP\tO' +p110961 +aS'q.d.\tq.d.\t.\tO\tO' +p110962 +asS'Diabeta , one QD .' +p110963 +(lp110964 +S'Diabeta\tDiabeta\tNN\tB-NP\tO' +p110965 +aS',\t,\t,\tO\tO' +p110966 +aS'one\tone\tCD\tB-NP\tO' +p110967 +aS'QD\tQD\tNN\tI-NP\tO' +p110968 +aS'.\t.\t.\tO\tO' +p110969 +asS'Upon calling the outside hospital , the urine was growing out Klebsiella , and patient was given a 10 day course of levofloxacin to cover both the pneumonia and UTI .' +p110970 +(lp110971 +S'Upon\tUpon\tIN\tB-PP\tO' +p110972 +aS'calling\tcall\tVBG\tB-VP\tO' +p110973 +aS'the\tthe\tDT\tB-NP\tO' +p110974 +aS'outside\toutside\tJJ\tI-NP\tO' +p110975 +aS'hospital\thospital\tNN\tI-NP\tO' +p110976 +aS',\t,\t,\tO\tO' +p110977 +aS'the\tthe\tDT\tB-NP\tO' +p110978 +aS'urine\turine\tNN\tI-NP\tO' +p110979 +aS'was\tbe\tVBD\tB-VP\tO' +p110980 +aS'growing\tgrow\tVBG\tI-VP\tO' +p110981 +aS'out\tout\tRP\tB-PRT\tO' +p110982 +aS'Klebsiella\tKlebsiella\tNNP\tB-NP\tO' +p110983 +aS',\t,\t,\tO\tO' +p110984 +aS'and\tand\tCC\tO\tO' +p110985 +aS'patient\tpatient\tNN\tB-NP\tO' +p110986 +aS'was\tbe\tVBD\tB-VP\tO' +p110987 +aS'given\tgive\tVBN\tI-VP\tO' +p110988 +aS'a\ta\tDT\tB-NP\tO' +p110989 +aS'10\t10\tCD\tI-NP\tO' +p110990 +aS'day\tday\tNN\tI-NP\tO' +p110991 +aS'course\tcourse\tNN\tI-NP\tO' +p110992 +aS'of\tof\tIN\tB-PP\tO' +p110993 +aS'levofloxacin\tlevofloxacin\tNN\tB-NP\tO' +p110994 +aS'to\tto\tTO\tB-VP\tO' +p110995 +aS'cover\tcover\tVB\tI-VP\tO' +p110996 +aS'both\tboth\tCC\tO\tO' +p110997 +aS'the\tthe\tDT\tB-NP\tO' +p110998 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p110999 +aS'and\tand\tCC\tI-NP\tO' +p111000 +aS'UTI\tUTI\tNN\tI-NP\tO' +p111001 +aS'.\t.\t.\tO\tO' +p111002 +asS'Therefore , her insurance company was contacted regarding the potential of Flolan as a treatment .' +p111003 +(lp111004 +S'Therefore\tTherefore\tRB\tB-ADVP\tO' +p111005 +aS',\t,\t,\tO\tO' +p111006 +aS'her\ther\tPRP$\tB-NP\tO' +p111007 +aS'insurance\tinsurance\tNN\tI-NP\tO' +p111008 +aS'company\tcompany\tNN\tI-NP\tO' +p111009 +aS'was\tbe\tVBD\tB-VP\tO' +p111010 +aS'contacted\tcontact\tVBN\tI-VP\tO' +p111011 +aS'regarding\tregard\tVBG\tI-VP\tO' +p111012 +aS'the\tthe\tDT\tB-NP\tO' +p111013 +aS'potential\tpotential\tNN\tI-NP\tO' +p111014 +aS'of\tof\tIN\tB-PP\tO' +p111015 +aS'Flolan\tFlolan\tNNP\tB-NP\tO' +p111016 +aS'as\tas\tIN\tB-PP\tO' +p111017 +aS'a\ta\tDT\tB-NP\tO' +p111018 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p111019 +aS'.\t.\t.\tO\tO' +p111020 +asS"The patient 's ICU course was uneventful ." +p111021 +(lp111022 +S'The\tThe\tDT\tB-NP\tO' +p111023 +aS'patient\tpatient\tNN\tI-NP\tO' +p111024 +aS"'s\t's\tPOS\tB-NP\tO" +p111025 +aS'ICU\tICU\tNN\tI-NP\tO' +p111026 +aS'course\tcourse\tNN\tI-NP\tO' +p111027 +aS'was\tbe\tVBD\tB-VP\tO' +p111028 +aS'uneventful\tuneventful\tJJ\tB-ADJP\tO' +p111029 +aS'.\t.\t.\tO\tO' +p111030 +asS"Has remained in room air since with comfortable work of breathing , respiratory rates in the 40 's to 70 's." +p111031 +(lp111032 +S'Has\tHas\tNNP\tB-NP\tO' +p111033 +aS'remained\tremain\tVBD\tB-VP\tO' +p111034 +aS'in\tin\tIN\tB-PP\tO' +p111035 +aS'room\troom\tNN\tB-NP\tO' +p111036 +aS'air\tair\tNN\tI-NP\tO' +p111037 +aS'since\tsince\tIN\tB-PP\tO' +p111038 +aS'with\twith\tIN\tB-PP\tO' +p111039 +aS'comfortable\tcomfortable\tJJ\tB-NP\tO' +p111040 +aS'work\twork\tNN\tI-NP\tO' +p111041 +aS'of\tof\tIN\tB-PP\tO' +p111042 +aS'breathing\tbreathing\tNN\tB-NP\tO' +p111043 +aS',\t,\t,\tO\tO' +p111044 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p111045 +aS'rates\trate\tNNS\tI-NP\tO' +p111046 +aS'in\tin\tIN\tB-PP\tO' +p111047 +aS'the\tthe\tDT\tB-NP\tO' +p111048 +aS'40\t40\tCD\tI-NP\tO' +p111049 +aS"'s\t's\tPOS\tB-NP\tO" +p111050 +aS'to\tto\tTO\tB-PP\tO' +p111051 +aS'70\t70\tCD\tB-NP\tO' +p111052 +aS"'s.\t's.\tPOS\tB-NP\tO" +p111053 +asS'The abdominal and pelvic CT scans showed no suspicious GI masses , no pancreatic mass ; a 2 cm ovarian cyst .' +p111054 +(lp111055 +S'The\tThe\tDT\tB-NP\tO' +p111056 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p111057 +aS'and\tand\tCC\tI-NP\tO' +p111058 +aS'pelvic\tpelvic\tJJ\tI-NP\tO' +p111059 +aS'CT\tCT\tNN\tI-NP\tO' +p111060 +aS'scans\tscan\tNNS\tI-NP\tO' +p111061 +aS'showed\tshow\tVBD\tB-VP\tO' +p111062 +aS'no\tno\tDT\tB-NP\tO' +p111063 +aS'suspicious\tsuspicious\tJJ\tI-NP\tO' +p111064 +aS'GI\tGI\tNN\tI-NP\tO' +p111065 +aS'masses\tmass\tNNS\tI-NP\tO' +p111066 +aS',\t,\t,\tO\tO' +p111067 +aS'no\tno\tDT\tB-NP\tO' +p111068 +aS'pancreatic\tpancreatic\tJJ\tI-NP\tO' +p111069 +aS'mass\tmass\tNN\tI-NP\tO' +p111070 +aS';\t;\t:\tO\tO' +p111071 +aS'a\ta\tDT\tB-NP\tO' +p111072 +aS'2\t2\tCD\tI-NP\tO' +p111073 +aS'cm\tcm\tNN\tI-NP\tO' +p111074 +aS'ovarian\tovarian\tJJ\tI-NP\tO' +p111075 +aS'cyst\tcyst\tNN\tI-NP\tO' +p111076 +aS'.\t.\t.\tO\tO' +p111077 +asS'She also began Nadolol 40 mg QD to reduce her portal hypertension .' +p111078 +(lp111079 +S'She\tShe\tPRP\tB-NP\tO' +p111080 +aS'also\talso\tRB\tB-ADVP\tO' +p111081 +aS'began\tbegin\tVBD\tB-VP\tO' +p111082 +aS'Nadolol\tNadolol\tNNP\tB-NP\tO' +p111083 +aS'40\t40\tCD\tI-NP\tO' +p111084 +aS'mg\tmg\tNN\tI-NP\tO' +p111085 +aS'QD\tQD\tNN\tI-NP\tO' +p111086 +aS'to\tto\tTO\tB-VP\tO' +p111087 +aS'reduce\treduce\tVB\tI-VP\tO' +p111088 +aS'her\ther\tPRP$\tB-NP\tO' +p111089 +aS'portal\tportal\tJJ\tI-NP\tO' +p111090 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p111091 +aS'.\t.\t.\tO\tO' +p111092 +asS'Coronary artery disease status post negative stress echo on 10-12 .' +p111093 +(lp111094 +S'Coronary\tCoronary\tJJ\tB-NP\tO' +p111095 +aS'artery\tartery\tNN\tI-NP\tO' +p111096 +aS'disease\tdisease\tNN\tI-NP\tO' +p111097 +aS'status\tstatus\tNN\tI-NP\tO' +p111098 +aS'post\tpost\tNN\tI-NP\tO' +p111099 +aS'negative\tnegative\tJJ\tI-NP\tO' +p111100 +aS'stress\tstress\tNN\tI-NP\tO' +p111101 +aS'echo\techo\tNN\tI-NP\tO' +p111102 +aS'on\ton\tIN\tB-PP\tO' +p111103 +aS'10-12\t10-12\tCD\tB-NP\tO' +p111104 +aS'.\t.\t.\tO\tO' +p111105 +asS'She was physically abused and severely neglected as a child and been sexually assaulted .' +p111106 +(lp111107 +S'She\tShe\tPRP\tB-NP\tO' +p111108 +aS'was\tbe\tVBD\tB-VP\tO' +p111109 +aS'physically\tphysically\tRB\tI-VP\tO' +p111110 +aS'abused\tabuse\tVBN\tI-VP\tO' +p111111 +aS'and\tand\tCC\tO\tO' +p111112 +aS'severely\tseverely\tRB\tB-VP\tO' +p111113 +aS'neglected\tneglect\tVBN\tI-VP\tO' +p111114 +aS'as\tas\tIN\tB-PP\tO' +p111115 +aS'a\ta\tDT\tB-NP\tO' +p111116 +aS'child\tchild\tNN\tI-NP\tO' +p111117 +aS'and\tand\tCC\tO\tO' +p111118 +aS'been\tbe\tVBN\tB-VP\tO' +p111119 +aS'sexually\tsexually\tRB\tI-VP\tO' +p111120 +aS'assaulted\tassault\tVBN\tI-VP\tO' +p111121 +aS'.\t.\t.\tO\tO' +p111122 +asS'Cranial nerves II through XII are intact , nonfocal , moving all extremities .' +p111123 +(lp111124 +S'Cranial\tCranial\tNNP\tB-NP\tO' +p111125 +aS'nerves\tnerve\tVBZ\tB-VP\tO' +p111126 +aS'II\tII\tCD\tB-NP\tO' +p111127 +aS'through\tthrough\tIN\tB-PP\tO' +p111128 +aS'XII\tXII\tNN\tB-NP\tB-DNA' +p111129 +aS'are\tbe\tVBP\tB-VP\tO' +p111130 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p111131 +aS',\t,\t,\tO\tO' +p111132 +aS'nonfocal\tnonfocal\tJJ\tB-ADJP\tO' +p111133 +aS',\t,\t,\tO\tO' +p111134 +aS'moving\tmove\tVBG\tB-VP\tO' +p111135 +aS'all\tall\tDT\tB-NP\tO' +p111136 +aS'extremities\textremity\tNNS\tI-NP\tO' +p111137 +aS'.\t.\t.\tO\tO' +p111138 +asS'He stated that this became worse over the last month until he was noted to be short of breath at rest .' +p111139 +(lp111140 +S'He\tHe\tPRP\tB-NP\tO' +p111141 +aS'stated\tstate\tVBD\tB-VP\tO' +p111142 +aS'that\tthat\tIN\tB-SBAR\tO' +p111143 +aS'this\tthis\tDT\tB-NP\tO' +p111144 +aS'became\tbecome\tVBD\tB-VP\tO' +p111145 +aS'worse\tworse\tJJR\tB-ADJP\tO' +p111146 +aS'over\tover\tIN\tB-PP\tO' +p111147 +aS'the\tthe\tDT\tB-NP\tO' +p111148 +aS'last\tlast\tJJ\tI-NP\tO' +p111149 +aS'month\tmonth\tNN\tI-NP\tO' +p111150 +aS'until\tuntil\tIN\tB-SBAR\tO' +p111151 +aS'he\the\tPRP\tB-NP\tO' +p111152 +aS'was\tbe\tVBD\tB-VP\tO' +p111153 +aS'noted\tnote\tVBN\tI-VP\tO' +p111154 +aS'to\tto\tTO\tI-VP\tO' +p111155 +aS'be\tbe\tVB\tI-VP\tO' +p111156 +aS'short\tshort\tJJ\tB-ADJP\tO' +p111157 +aS'of\tof\tIN\tB-PP\tO' +p111158 +aS'breath\tbreath\tNN\tB-NP\tO' +p111159 +aS'at\tat\tIN\tB-PP\tO' +p111160 +aS'rest\trest\tNN\tB-NP\tO' +p111161 +aS'.\t.\t.\tO\tO' +p111162 +asS'Lopressor 50 mg q.a.m. , 25 mg q.p.m. , and 25 mg q.h.s. , Synthroid 88 mcg q.d. , Norvasc 5 mg q.d. , Lescol 20 mg q.p.m. with meal , Coumadin is usually 4 mg p.o. 3x a week and 3 mg 4x a week ; Percocet 1-2 tabs q.4h. p.r.n. pain .' +p111163 +(lp111164 +S'Lopressor\tLopressor\tNN\tB-NP\tO' +p111165 +aS'50\t50\tCD\tI-NP\tO' +p111166 +aS'mg\tmg\tNN\tI-NP\tO' +p111167 +aS'q.a.m.\tq.a.m.\tNN\tI-NP\tO' +p111168 +aS',\t,\t,\tO\tO' +p111169 +aS'25\t25\tCD\tB-NP\tO' +p111170 +aS'mg\tmg\tNN\tI-NP\tO' +p111171 +aS'q.p.m.\tq.p.m.\tNN\tI-NP\tO' +p111172 +aS',\t,\t,\tO\tO' +p111173 +aS'and\tand\tCC\tO\tO' +p111174 +aS'25\t25\tCD\tB-NP\tO' +p111175 +aS'mg\tmg\tNN\tI-NP\tO' +p111176 +aS'q.h.s.\tq.h.s.\tNN\tI-NP\tO' +p111177 +aS',\t,\t,\tO\tO' +p111178 +aS'Synthroid\tSynthroid\tNNP\tB-NP\tO' +p111179 +aS'88\t88\tCD\tI-NP\tO' +p111180 +aS'mcg\tmcg\tNN\tI-NP\tO' +p111181 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p111182 +aS',\t,\t,\tO\tO' +p111183 +aS'Norvasc\tNorvasc\tNN\tB-NP\tO' +p111184 +aS'5\t5\tCD\tI-NP\tO' +p111185 +aS'mg\tmg\tNN\tI-NP\tO' +p111186 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p111187 +aS',\t,\t,\tO\tO' +p111188 +aS'Lescol\tLescol\tNNP\tB-NP\tO' +p111189 +aS'20\t20\tCD\tI-NP\tO' +p111190 +aS'mg\tmg\tNN\tI-NP\tO' +p111191 +aS'q.p.m.\tq.p.m.\tNN\tI-NP\tO' +p111192 +aS'with\twith\tIN\tB-PP\tO' +p111193 +aS'meal\tmeal\tNN\tB-NP\tO' +p111194 +aS',\t,\t,\tO\tO' +p111195 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p111196 +aS'is\tbe\tVBZ\tB-VP\tO' +p111197 +aS'usually\tusually\tRB\tB-ADVP\tO' +p111198 +aS'4\t4\tCD\tB-NP\tO' +p111199 +aS'mg\tmg\tNN\tI-NP\tO' +p111200 +aS'p.o.\tp.o.\tFW\tB-ADVP\tO' +p111201 +aS'3x\t3x\tFW\tI-ADVP\tO' +p111202 +aS'a\ta\tDT\tB-NP\tO' +p111203 +aS'week\tweek\tNN\tI-NP\tO' +p111204 +aS'and\tand\tCC\tO\tO' +p111205 +aS'3\t3\tCD\tB-NP\tO' +p111206 +aS'mg\tmg\tNN\tI-NP\tO' +p111207 +aS'4x\t4x\tCD\tB-NP\tO' +p111208 +aS'a\ta\tDT\tB-NP\tO' +p111209 +aS'week\tweek\tNN\tI-NP\tO' +p111210 +aS';\t;\t:\tO\tO' +p111211 +aS'Percocet\tPercocet\tNNP\tB-NP\tO' +p111212 +aS'1-2\t1-2\tCD\tB-NP\tO' +p111213 +aS'tabs\ttab\tNNS\tI-NP\tO' +p111214 +aS'q.4h.\tq.4h.\tNN\tI-NP\tO' +p111215 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p111216 +aS'pain\tpain\tNN\tI-NP\tO' +p111217 +aS'.\t.\t.\tO\tO' +p111218 +asS'See PT note for further assessment and discussion .' +p111219 +(lp111220 +S'See\tSee\tVB\tB-VP\tO' +p111221 +aS'PT\tPT\tNN\tB-NP\tO' +p111222 +aS'note\tnote\tNN\tI-NP\tO' +p111223 +aS'for\tfor\tIN\tB-PP\tO' +p111224 +aS'further\tfurther\tJJ\tB-NP\tO' +p111225 +aS'assessment\tassessment\tNN\tI-NP\tO' +p111226 +aS'and\tand\tCC\tI-NP\tO' +p111227 +aS'discussion\tdiscussion\tNN\tI-NP\tO' +p111228 +aS'.\t.\t.\tO\tO' +p111229 +asS'The Tobramycin and Imipenem were started on 11/25/94 .' +p111230 +(lp111231 +S'The\tThe\tDT\tB-NP\tO' +p111232 +aS'Tobramycin\tTobramycin\tNN\tI-NP\tO' +p111233 +aS'and\tand\tCC\tI-NP\tO' +p111234 +aS'Imipenem\tImipenem\tNN\tI-NP\tO' +p111235 +aS'were\tbe\tVBD\tB-VP\tO' +p111236 +aS'started\tstart\tVBN\tI-VP\tO' +p111237 +aS'on\ton\tIN\tB-PP\tO' +p111238 +aS'11/25/94\t11/25/94\tCD\tB-NP\tO' +p111239 +aS'.\t.\t.\tO\tO' +p111240 +asS'The sternocleidomastoid and the trapezius muscles were both intact .' +p111241 +(lp111242 +S'The\tThe\tDT\tB-NP\tO' +p111243 +aS'sternocleidomastoid\tsternocleidomastoid\tJJ\tI-NP\tO' +p111244 +aS'and\tand\tCC\tO\tO' +p111245 +aS'the\tthe\tDT\tB-NP\tO' +p111246 +aS'trapezius\ttrapezius\tNN\tI-NP\tO' +p111247 +aS'muscles\tmuscle\tNNS\tI-NP\tO' +p111248 +aS'were\tbe\tVBD\tB-VP\tO' +p111249 +aS'both\tboth\tDT\tO\tO' +p111250 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p111251 +aS'.\t.\t.\tO\tO' +p111252 +asS'Post-operatively she began on TF s, and the TPN was weaned down .' +p111253 +(lp111254 +S'Post-operatively\tPost-operatively\tRB\tB-ADVP\tO' +p111255 +aS'she\tshe\tPRP\tB-NP\tO' +p111256 +aS'began\tbegin\tVBD\tB-VP\tO' +p111257 +aS'on\ton\tIN\tB-PP\tO' +p111258 +aS'TF\tTF\tNN\tB-NP\tB-protein' +p111259 +aS's,\ts,\tNN\tI-NP\tO' +p111260 +aS'and\tand\tCC\tO\tO' +p111261 +aS'the\tthe\tDT\tB-NP\tO' +p111262 +aS'TPN\tTPN\tNN\tI-NP\tB-protein' +p111263 +aS'was\tbe\tVBD\tB-VP\tO' +p111264 +aS'weaned\twean\tVBN\tI-VP\tO' +p111265 +aS'down\tdown\tRB\tB-ADVP\tO' +p111266 +aS'.\t.\t.\tO\tO' +p111267 +asS'It was felt posthumously that her large pericardial effusion was most likely secondary to a complication of pacer placement , although this was not seen on imaging .' +p111268 +(lp111269 +S'It\tIt\tPRP\tB-NP\tO' +p111270 +aS'was\tbe\tVBD\tB-VP\tO' +p111271 +aS'felt\tfeel\tVBN\tI-VP\tO' +p111272 +aS'posthumously\tposthumously\tRB\tB-ADVP\tO' +p111273 +aS'that\tthat\tIN\tB-SBAR\tO' +p111274 +aS'her\ther\tPRP\tB-NP\tO' +p111275 +aS'large\tlarge\tJJ\tI-NP\tO' +p111276 +aS'pericardial\tpericardial\tJJ\tI-NP\tO' +p111277 +aS'effusion\teffusion\tNN\tI-NP\tO' +p111278 +aS'was\tbe\tVBD\tB-VP\tO' +p111279 +aS'most\tmost\tRBS\tB-ADJP\tO' +p111280 +aS'likely\tlikely\tRB\tI-ADJP\tO' +p111281 +aS'secondary\tsecondary\tJJ\tI-ADJP\tO' +p111282 +aS'to\tto\tTO\tB-PP\tO' +p111283 +aS'a\ta\tDT\tB-NP\tO' +p111284 +aS'complication\tcomplication\tNN\tI-NP\tO' +p111285 +aS'of\tof\tIN\tB-PP\tO' +p111286 +aS'pacer\tpacer\tNN\tB-NP\tO' +p111287 +aS'placement\tplacement\tNN\tI-NP\tO' +p111288 +aS',\t,\t,\tO\tO' +p111289 +aS'although\talthough\tIN\tB-SBAR\tO' +p111290 +aS'this\tthis\tDT\tB-NP\tO' +p111291 +aS'was\tbe\tVBD\tB-VP\tO' +p111292 +aS'not\tnot\tRB\tI-VP\tO' +p111293 +aS'seen\tsee\tVBN\tI-VP\tO' +p111294 +aS'on\ton\tIN\tB-PP\tO' +p111295 +aS'imaging\timaging\tNN\tB-NP\tO' +p111296 +aS'.\t.\t.\tO\tO' +p111297 +asS'Medications on Admission : see dc summary' +p111298 +(lp111299 +S'Medications\tMedication\tNNS\tB-NP\tO' +p111300 +aS'on\ton\tIN\tB-PP\tO' +p111301 +aS'Admission\tAdmission\tNN\tB-NP\tO' +p111302 +aS':\t:\t:\tO\tO' +p111303 +aS'see\tsee\tVB\tB-VP\tO' +p111304 +aS'dc\tdc\tNN\tB-NP\tO' +p111305 +aS'summary\tsummary\tNN\tI-NP\tO' +p111306 +asS'He was afebrile and his vital signs were stable .' +p111307 +(lp111308 +S'He\tHe\tPRP\tB-NP\tO' +p111309 +aS'was\tbe\tVBD\tB-VP\tO' +p111310 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p111311 +aS'and\tand\tCC\tO\tO' +p111312 +aS'his\this\tPRP$\tB-NP\tO' +p111313 +aS'vital\tvital\tJJ\tI-NP\tO' +p111314 +aS'signs\tsign\tNNS\tI-NP\tO' +p111315 +aS'were\tbe\tVBD\tB-VP\tO' +p111316 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p111317 +aS'.\t.\t.\tO\tO' +p111318 +asS'03-29 items ; Recall 03-29 at 5 min .' +p111319 +(lp111320 +S'03-29\t03-29\tCD\tB-NP\tO' +p111321 +aS'items\titem\tNNS\tI-NP\tO' +p111322 +aS';\t;\t:\tO\tO' +p111323 +aS'Recall\tRecall\tNN\tB-NP\tO' +p111324 +aS'03-29\t03-29\tCD\tI-NP\tO' +p111325 +aS'at\tat\tIN\tB-PP\tO' +p111326 +aS'5\t5\tCD\tB-NP\tO' +p111327 +aS'min\tmin\tNN\tI-NP\tO' +p111328 +aS'.\t.\t.\tO\tO' +p111329 +asS'Baby has been appropriate for gestational age .' +p111330 +(lp111331 +S'Baby\tBaby\tNNP\tB-NP\tO' +p111332 +aS'has\thave\tVBZ\tB-VP\tO' +p111333 +aS'been\tbe\tVBN\tI-VP\tO' +p111334 +aS'appropriate\tappropriate\tJJ\tB-ADJP\tO' +p111335 +aS'for\tfor\tIN\tB-PP\tO' +p111336 +aS'gestational\tgestational\tJJ\tB-NP\tO' +p111337 +aS'age\tage\tNN\tI-NP\tO' +p111338 +aS'.\t.\t.\tO\tO' +p111339 +asS'Once the patient was extubated , after the third surgery , the patient could not be weaned off 2 liters of nasal cannula and was to ______ to 20 breaths per minute despite nebulizer treatment .' +p111340 +(lp111341 +S'Once\tOnce\tRB\tO\tO' +p111342 +aS'the\tthe\tDT\tB-NP\tO' +p111343 +aS'patient\tpatient\tNN\tI-NP\tO' +p111344 +aS'was\tbe\tVBD\tB-VP\tO' +p111345 +aS'extubated\textubate\tVBN\tI-VP\tO' +p111346 +aS',\t,\t,\tO\tO' +p111347 +aS'after\tafter\tIN\tB-PP\tO' +p111348 +aS'the\tthe\tDT\tB-NP\tO' +p111349 +aS'third\tthird\tJJ\tI-NP\tO' +p111350 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p111351 +aS',\t,\t,\tO\tO' +p111352 +aS'the\tthe\tDT\tB-NP\tO' +p111353 +aS'patient\tpatient\tNN\tI-NP\tO' +p111354 +aS'could\tcould\tMD\tB-VP\tO' +p111355 +aS'not\tnot\tRB\tI-VP\tO' +p111356 +aS'be\tbe\tVB\tI-VP\tO' +p111357 +aS'weaned\twean\tVBN\tI-VP\tO' +p111358 +aS'off\toff\tRP\tB-PRT\tO' +p111359 +aS'2\t2\tCD\tB-NP\tO' +p111360 +aS'liters\tliter\tNNS\tI-NP\tO' +p111361 +aS'of\tof\tIN\tB-PP\tO' +p111362 +aS'nasal\tnasal\tJJ\tB-NP\tO' +p111363 +aS'cannula\tcannula\tNN\tI-NP\tO' +p111364 +aS'and\tand\tCC\tO\tO' +p111365 +aS'was\tbe\tVBD\tB-VP\tO' +p111366 +aS'to\tto\tTO\tI-VP\tO' +p111367 +aS'______\t______\tVB\tI-VP\tO' +p111368 +aS'to\tto\tTO\tB-PP\tO' +p111369 +aS'20\t20\tCD\tB-NP\tO' +p111370 +aS'breaths\tbreath\tNNS\tI-NP\tO' +p111371 +aS'per\tper\tIN\tB-PP\tO' +p111372 +aS'minute\tminute\tNN\tB-NP\tO' +p111373 +aS'despite\tdespite\tIN\tB-PP\tO' +p111374 +aS'nebulizer\tnebulizer\tNN\tB-NP\tO' +p111375 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p111376 +aS'.\t.\t.\tO\tO' +p111377 +asS'5. Sinus tachycardia .' +p111378 +(lp111379 +S'5.\t5.\tLS\tB-NP\tO' +p111380 +aS'Sinus\tSinus\tNNP\tI-NP\tO' +p111381 +aS'tachycardia\ttachycardia\tNN\tI-NP\tO' +p111382 +aS'.\t.\t.\tO\tO' +p111383 +asS'She lives alone though her family is in the area .' +p111384 +(lp111385 +S'She\tShe\tPRP\tB-NP\tO' +p111386 +aS'lives\tlive\tVBZ\tB-VP\tO' +p111387 +aS'alone\talone\tRB\tB-ADVP\tO' +p111388 +aS'though\tthough\tIN\tB-SBAR\tO' +p111389 +aS'her\ther\tPRP$\tB-NP\tB-protein' +p111390 +aS'family\tfamily\tNN\tI-NP\tI-protein' +p111391 +aS'is\tbe\tVBZ\tB-VP\tO' +p111392 +aS'in\tin\tIN\tB-PP\tO' +p111393 +aS'the\tthe\tDT\tB-NP\tO' +p111394 +aS'area\tarea\tNN\tI-NP\tO' +p111395 +aS'.\t.\t.\tO\tO' +p111396 +asS'On May 24 , 1998 , the patient had a CT scan of the chest which revealed diffuse alveolar infiltrates at the right base , mediastinal lymphadenopathy and bilateral pleural effusions .' +p111397 +(lp111398 +S'On\tOn\tIN\tB-PP\tO' +p111399 +aS'May\tMay\tNNP\tB-NP\tO' +p111400 +aS'24\t24\tCD\tI-NP\tO' +p111401 +aS',\t,\t,\tO\tO' +p111402 +aS'1998\t1998\tCD\tB-NP\tO' +p111403 +aS',\t,\t,\tO\tO' +p111404 +aS'the\tthe\tDT\tB-NP\tO' +p111405 +aS'patient\tpatient\tNN\tI-NP\tO' +p111406 +aS'had\thave\tVBD\tB-VP\tO' +p111407 +aS'a\ta\tDT\tB-NP\tO' +p111408 +aS'CT\tCT\tNN\tI-NP\tO' +p111409 +aS'scan\tscan\tNN\tI-NP\tO' +p111410 +aS'of\tof\tIN\tB-PP\tO' +p111411 +aS'the\tthe\tDT\tB-NP\tO' +p111412 +aS'chest\tchest\tNN\tI-NP\tO' +p111413 +aS'which\twhich\tWDT\tB-NP\tO' +p111414 +aS'revealed\treveal\tVBD\tB-VP\tO' +p111415 +aS'diffuse\tdiffuse\tJJ\tB-NP\tO' +p111416 +aS'alveolar\talveolar\tJJ\tI-NP\tO' +p111417 +aS'infiltrates\tinfiltrate\tNNS\tI-NP\tO' +p111418 +aS'at\tat\tIN\tB-PP\tO' +p111419 +aS'the\tthe\tDT\tB-NP\tO' +p111420 +aS'right\tright\tJJ\tI-NP\tO' +p111421 +aS'base\tbase\tNN\tI-NP\tO' +p111422 +aS',\t,\t,\tO\tO' +p111423 +aS'mediastinal\tmediastinal\tJJ\tB-NP\tO' +p111424 +aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' +p111425 +aS'and\tand\tCC\tO\tO' +p111426 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p111427 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p111428 +aS'effusions\teffusion\tNNS\tI-NP\tO' +p111429 +aS'.\t.\t.\tO\tO' +p111430 +asS'100% for now .' +p111431 +(lp111432 +S'100%\t100%\tCD\tB-NP\tO' +p111433 +aS'for\tfor\tIN\tB-PP\tO' +p111434 +aS'now\tnow\tRB\tB-NP\tO' +p111435 +aS'.\t.\t.\tO\tO' +p111436 +asS'No driving while taking pain medicine .' +p111437 +(lp111438 +S'No\tNo\tDT\tB-NP\tO' +p111439 +aS'driving\tdriving\tNN\tI-NP\tO' +p111440 +aS'while\twhile\tIN\tB-SBAR\tO' +p111441 +aS'taking\ttake\tVBG\tB-VP\tO' +p111442 +aS'pain\tpain\tNN\tB-NP\tO' +p111443 +aS'medicine\tmedicine\tNN\tI-NP\tO' +p111444 +aS'.\t.\t.\tO\tO' +p111445 +asS'Stable , good .' +p111446 +(lp111447 +S'Stable\tStable\tJJ\tB-NP\tO' +p111448 +aS',\t,\t,\tI-NP\tO' +p111449 +aS'good\tgood\tJJ\tI-NP\tO' +p111450 +aS'.\t.\t.\tO\tO' +p111451 +asS'He can also take oral food as directed below .' +p111452 +(lp111453 +S'He\tHe\tPRP\tB-NP\tO' +p111454 +aS'can\tcan\tMD\tB-VP\tO' +p111455 +aS'also\talso\tRB\tI-VP\tO' +p111456 +aS'take\ttake\tVB\tI-VP\tO' +p111457 +aS'oral\toral\tJJ\tB-NP\tO' +p111458 +aS'food\tfood\tNN\tI-NP\tO' +p111459 +aS'as\tas\tIN\tB-SBAR\tO' +p111460 +aS'directed\tdirect\tVBN\tB-VP\tO' +p111461 +aS'below\tbelow\tIN\tB-PP\tO' +p111462 +aS'.\t.\t.\tO\tO' +p111463 +asS'No other masses or thyromegaly noted .' +p111464 +(lp111465 +S'No\tNo\tDT\tB-NP\tO' +p111466 +aS'other\tother\tJJ\tI-NP\tO' +p111467 +aS'masses\tmass\tNNS\tI-NP\tO' +p111468 +aS'or\tor\tCC\tO\tO' +p111469 +aS'thyromegaly\tthyromegaly\tRB\tB-VP\tO' +p111470 +aS'noted\tnote\tVBN\tI-VP\tO' +p111471 +aS'.\t.\t.\tO\tO' +p111472 +asS'The patient was scheduled for an operative date on 2014-07-29 and over the next few days she was' +p111473 +(lp111474 +S'The\tThe\tDT\tB-NP\tO' +p111475 +aS'patient\tpatient\tNN\tI-NP\tO' +p111476 +aS'was\tbe\tVBD\tB-VP\tO' +p111477 +aS'scheduled\tschedule\tVBN\tI-VP\tO' +p111478 +aS'for\tfor\tIN\tB-PP\tO' +p111479 +aS'an\tan\tDT\tB-NP\tO' +p111480 +aS'operative\toperative\tJJ\tI-NP\tO' +p111481 +aS'date\tdate\tNN\tI-NP\tO' +p111482 +aS'on\ton\tIN\tB-PP\tO' +p111483 +aS'2014-07-29\t2014-07-29\tCD\tB-NP\tO' +p111484 +aS'and\tand\tCC\tO\tO' +p111485 +aS'over\tover\tIN\tB-PP\tO' +p111486 +aS'the\tthe\tDT\tB-NP\tO' +p111487 +aS'next\tnext\tJJ\tI-NP\tO' +p111488 +aS'few\tfew\tJJ\tI-NP\tO' +p111489 +aS'days\tday\tNNS\tI-NP\tO' +p111490 +aS'she\tshe\tPRP\tB-NP\tO' +p111491 +aS'was\tbe\tVBD\tB-VP\tO' +p111492 +asS'Evaluated by neurosurgery and deemed stable on 2014-10-22 .' +p111493 +(lp111494 +S'Evaluated\tEvaluate\tVBN\tB-VP\tO' +p111495 +aS'by\tby\tIN\tB-PP\tO' +p111496 +aS'neurosurgery\tneurosurgery\tNN\tB-NP\tO' +p111497 +aS'and\tand\tCC\tO\tO' +p111498 +aS'deemed\tdeem\tVBD\tB-VP\tO' +p111499 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p111500 +aS'on\ton\tIN\tB-PP\tO' +p111501 +aS'2014-10-22\t2014-10-22\tCD\tB-NP\tO' +p111502 +aS'.\t.\t.\tO\tO' +p111503 +asS'There was no urethritis , no balinitis , normal prostate , nontender .' +p111504 +(lp111505 +S'There\tThere\tEX\tB-NP\tO' +p111506 +aS'was\tbe\tVBD\tB-VP\tO' +p111507 +aS'no\tno\tDT\tB-NP\tO' +p111508 +aS'urethritis\turethritis\tNN\tI-NP\tO' +p111509 +aS',\t,\t,\tO\tO' +p111510 +aS'no\tno\tDT\tB-NP\tO' +p111511 +aS'balinitis\tbalinitis\tNN\tI-NP\tO' +p111512 +aS',\t,\t,\tO\tO' +p111513 +aS'normal\tnormal\tJJ\tB-NP\tO' +p111514 +aS'prostate\tprostate\tNN\tI-NP\tO' +p111515 +aS',\t,\t,\tO\tO' +p111516 +aS'nontender\tnontender\tNN\tB-NP\tO' +p111517 +aS'.\t.\t.\tO\tO' +p111518 +asS'Bronchial breathing over right hemithorax .' +p111519 +(lp111520 +S'Bronchial\tBronchial\tJJ\tB-NP\tO' +p111521 +aS'breathing\tbreathing\tNN\tI-NP\tO' +p111522 +aS'over\tover\tIN\tB-PP\tO' +p111523 +aS'right\tright\tJJ\tB-NP\tO' +p111524 +aS'hemithorax\themithorax\tNN\tI-NP\tO' +p111525 +aS'.\t.\t.\tO\tO' +p111526 +asS'It was found that she was in acute pulmonary edema and required transfer to the Surgical Intensive Care Unit .' +p111527 +(lp111528 +S'It\tIt\tPRP\tB-NP\tO' +p111529 +aS'was\tbe\tVBD\tB-VP\tO' +p111530 +aS'found\tfind\tVBN\tI-VP\tO' +p111531 +aS'that\tthat\tIN\tB-SBAR\tO' +p111532 +aS'she\tshe\tPRP\tB-NP\tO' +p111533 +aS'was\tbe\tVBD\tB-VP\tO' +p111534 +aS'in\tin\tIN\tB-PP\tO' +p111535 +aS'acute\tacute\tJJ\tB-NP\tO' +p111536 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p111537 +aS'edema\tedema\tNN\tI-NP\tO' +p111538 +aS'and\tand\tCC\tO\tO' +p111539 +aS'required\trequire\tVBD\tB-VP\tO' +p111540 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p111541 +aS'to\tto\tTO\tB-PP\tO' +p111542 +aS'the\tthe\tDT\tB-NP\tO' +p111543 +aS'Surgical\tSurgical\tNNP\tI-NP\tO' +p111544 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p111545 +aS'Care\tCare\tNNP\tI-NP\tO' +p111546 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p111547 +aS'.\t.\t.\tO\tO' +p111548 +asS'His carotids were two plus bilaterally without bruits .' +p111549 +(lp111550 +S'His\tHis\tPRP$\tB-NP\tO' +p111551 +aS'carotids\tcarotid\tNNS\tI-NP\tO' +p111552 +aS'were\tbe\tVBD\tB-VP\tO' +p111553 +aS'two\ttwo\tCD\tB-NP\tO' +p111554 +aS'plus\tplus\tCC\tI-NP\tO' +p111555 +aS'bilaterally\tbilaterally\tRB\tI-NP\tO' +p111556 +aS'without\twithout\tIN\tB-PP\tO' +p111557 +aS'bruits\tbruit\tNNS\tB-NP\tO' +p111558 +aS'.\t.\t.\tO\tO' +p111559 +asS'10. KCL 20 milliequivalents po q d times three days .' +p111560 +(lp111561 +S'10.\t10.\tCD\tB-NP\tO' +p111562 +aS'KCL\tKCL\tNN\tI-NP\tO' +p111563 +aS'20\t20\tCD\tB-NP\tO' +p111564 +aS'milliequivalents\tmilliequivalent\tNNS\tI-NP\tO' +p111565 +aS'po\tpo\tVBP\tB-VP\tO' +p111566 +aS'q\tq\tNN\tB-NP\tO' +p111567 +aS'd\td\tNN\tI-NP\tO' +p111568 +aS'times\ttime\tNNS\tI-NP\tO' +p111569 +aS'three\tthree\tCD\tB-NP\tO' +p111570 +aS'days\tday\tNNS\tI-NP\tO' +p111571 +aS'.\t.\t.\tO\tO' +p111572 +asS'Vasotec 5 mg PO b.i.d. , Isordil 10 mg PO q.i.d. , Ticlopidine 50 mg PO b.i.d. , Metoprolol 50 mg PO b.i.d. , Ciprofloxacin 500 mg PO q12h x seven days , nitroglycerin 0.3 mg sublingually prn chest pain .' +p111573 +(lp111574 +S'Vasotec\tVasotec\tNNP\tB-NP\tO' +p111575 +aS'5\t5\tCD\tI-NP\tO' +p111576 +aS'mg\tmg\tNN\tI-NP\tO' +p111577 +aS'PO\tPO\tNN\tI-NP\tO' +p111578 +aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' +p111579 +aS',\t,\t,\tO\tO' +p111580 +aS'Isordil\tIsordil\tNN\tB-NP\tO' +p111581 +aS'10\t10\tCD\tI-NP\tO' +p111582 +aS'mg\tmg\tNN\tI-NP\tO' +p111583 +aS'PO\tPO\tNN\tI-NP\tO' +p111584 +aS'q.i.d.\tq.i.d.\tNN\tI-NP\tO' +p111585 +aS',\t,\t,\tO\tO' +p111586 +aS'Ticlopidine\tTiclopidine\tNN\tB-NP\tO' +p111587 +aS'50\t50\tCD\tI-NP\tO' +p111588 +aS'mg\tmg\tNN\tI-NP\tO' +p111589 +aS'PO\tPO\tNN\tI-NP\tO' +p111590 +aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' +p111591 +aS',\t,\t,\tO\tO' +p111592 +aS'Metoprolol\tMetoprolol\tNN\tB-NP\tO' +p111593 +aS'50\t50\tCD\tI-NP\tO' +p111594 +aS'mg\tmg\tNN\tI-NP\tO' +p111595 +aS'PO\tPO\tNN\tI-NP\tO' +p111596 +aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' +p111597 +aS',\t,\t,\tO\tO' +p111598 +aS'Ciprofloxacin\tCiprofloxacin\tNN\tB-NP\tO' +p111599 +aS'500\t500\tCD\tI-NP\tO' +p111600 +aS'mg\tmg\tNN\tI-NP\tO' +p111601 +aS'PO\tPO\tNN\tI-NP\tO' +p111602 +aS'q12h\tq12h\tNN\tI-NP\tO' +p111603 +aS'x\tx\tSYM\tB-VP\tO' +p111604 +aS'seven\tseven\tCD\tB-NP\tO' +p111605 +aS'days\tday\tNNS\tI-NP\tO' +p111606 +aS',\t,\t,\tO\tO' +p111607 +aS'nitroglycerin\tnitroglycerin\tNN\tB-NP\tO' +p111608 +aS'0.3\t0.3\tCD\tI-NP\tO' +p111609 +aS'mg\tmg\tNN\tI-NP\tO' +p111610 +aS'sublingually\tsublingually\tRB\tB-ADVP\tO' +p111611 +aS'prn\tprn\tVBP\tB-VP\tO' +p111612 +aS'chest\tchest\tNN\tB-NP\tO' +p111613 +aS'pain\tpain\tNN\tI-NP\tO' +p111614 +aS'.\t.\t.\tO\tO' +p111615 +asS'2. Status post cardiac catheterization in 2011-11-19 which showed normal coronaries .' +p111616 +(lp111617 +S'2.\t2.\tLS\tB-LST\tO' +p111618 +aS'Status\tStatus\tNNP\tB-NP\tO' +p111619 +aS'post\tpost\tIN\tB-PP\tO' +p111620 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p111621 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p111622 +aS'in\tin\tIN\tB-PP\tO' +p111623 +aS'2011-11-19\t2011-11-19\tCD\tB-NP\tO' +p111624 +aS'which\twhich\tWDT\tB-NP\tO' +p111625 +aS'showed\tshow\tVBD\tB-VP\tO' +p111626 +aS'normal\tnormal\tJJ\tB-NP\tO' +p111627 +aS'coronaries\tcoronary\tNNS\tI-NP\tO' +p111628 +aS'.\t.\t.\tO\tO' +p111629 +asS'12. Status post TURP .' +p111630 +(lp111631 +S'12.\t12.\tLS\tB-NP\tO' +p111632 +aS'Status\tStatus\tNNP\tI-NP\tB-protein' +p111633 +aS'post\tpost\tNN\tI-NP\tI-protein' +p111634 +aS'TURP\tTURP\tNN\tI-NP\tI-protein' +p111635 +aS'.\t.\t.\tO\tO' +p111636 +asS'No oculocephalic reflex .' +p111637 +(lp111638 +S'No\tNo\tDT\tB-NP\tO' +p111639 +aS'oculocephalic\toculocephalic\tJJ\tI-NP\tO' +p111640 +aS'reflex\treflex\tNN\tI-NP\tO' +p111641 +aS'.\t.\t.\tO\tO' +p111642 +asS'EBL 3500 ; IVF 4000 ; UO 45 ; RBC 9U ; Plt 12 pack ; 1u Cryo ; 6U FFP .' +p111643 +(lp111644 +S'EBL\tEBL\tNN\tB-NP\tO' +p111645 +aS'3500\t3500\tCD\tI-NP\tO' +p111646 +aS';\t;\t:\tO\tO' +p111647 +aS'IVF\tIVF\tNN\tB-NP\tO' +p111648 +aS'4000\t4000\tCD\tI-NP\tO' +p111649 +aS';\t;\t:\tO\tO' +p111650 +aS'UO\tUO\tNN\tB-NP\tO' +p111651 +aS'45\t45\tCD\tI-NP\tO' +p111652 +aS';\t;\t:\tO\tO' +p111653 +aS'RBC\tRBC\tNN\tB-NP\tO' +p111654 +aS'9U\t9U\tNN\tI-NP\tO' +p111655 +aS';\t;\t:\tO\tO' +p111656 +aS'Plt\tPlt\tNN\tB-NP\tO' +p111657 +aS'12\t12\tCD\tI-NP\tO' +p111658 +aS'pack\tpack\tNN\tI-NP\tO' +p111659 +aS';\t;\t:\tO\tO' +p111660 +aS'1u\t1u\tCD\tB-NP\tO' +p111661 +aS'Cryo\tCryo\tNNP\tI-NP\tO' +p111662 +aS';\t;\t:\tO\tO' +p111663 +aS'6U\t6U\tNN\tB-NP\tO' +p111664 +aS'FFP\tFFP\tNN\tI-NP\tO' +p111665 +aS'.\t.\t.\tO\tO' +p111666 +asS'(1) ID - Pt received Clinda and Ancef in ED .' +p111667 +(lp111668 +S'(1)\t(1)\tLS\tB-NP\tO' +p111669 +aS'ID\tID\tNN\tI-NP\tB-protein' +p111670 +aS'-\t-\tHYPH\tO\tO' +p111671 +aS'Pt\tPt\tNN\tB-NP\tO' +p111672 +aS'received\treceive\tVBN\tB-VP\tO' +p111673 +aS'Clinda\tClinda\tNNP\tB-NP\tO' +p111674 +aS'and\tand\tCC\tI-NP\tO' +p111675 +aS'Ancef\tAncef\tNNP\tI-NP\tO' +p111676 +aS'in\tin\tIN\tB-PP\tO' +p111677 +aS'ED\tED\tNNP\tB-NP\tO' +p111678 +aS'.\t.\t.\tO\tO' +p111679 +asS"The patient 's BUN and creatinine were followed over the course of her hospital stay ." +p111680 +(lp111681 +S'The\tThe\tDT\tB-NP\tO' +p111682 +aS'patient\tpatient\tNN\tI-NP\tO' +p111683 +aS"'s\t's\tPOS\tB-NP\tO" +p111684 +aS'BUN\tBUN\tNN\tI-NP\tO' +p111685 +aS'and\tand\tCC\tI-NP\tO' +p111686 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p111687 +aS'were\tbe\tVBD\tB-VP\tO' +p111688 +aS'followed\tfollow\tVBN\tI-VP\tO' +p111689 +aS'over\tover\tIN\tB-PP\tO' +p111690 +aS'the\tthe\tDT\tB-NP\tO' +p111691 +aS'course\tcourse\tNN\tI-NP\tO' +p111692 +aS'of\tof\tIN\tB-PP\tO' +p111693 +aS'her\ther\tPRP$\tB-NP\tO' +p111694 +aS'hospital\thospital\tNN\tI-NP\tO' +p111695 +aS'stay\tstay\tNN\tI-NP\tO' +p111696 +aS'.\t.\t.\tO\tO' +p111697 +asS'POST-INFARCTION UNSTABLE ANGINA PECTORIS .' +p111698 +(lp111699 +S'POST-INFARCTION\tPOST-INFARCTION\tNNP\tB-NP\tO' +p111700 +aS'UNSTABLE\tUNSTABLE\tNNP\tI-NP\tO' +p111701 +aS'ANGINA\tANGINA\tNNP\tI-NP\tO' +p111702 +aS'PECTORIS\tPECTORIS\tNNP\tI-NP\tO' +p111703 +aS'.\t.\t.\tO\tO' +p111704 +asS'This is a 72-year-old male with a history of thymoma resected in 1996 , chronic obstructive pulmonary disease , hypothyroidism who was transferred from Gobay Hos Memorial Hospital for an myocardial infarction and cardiac catheterization .' +p111705 +(lp111706 +S'This\tThis\tDT\tB-NP\tO' +p111707 +aS'is\tbe\tVBZ\tB-VP\tO' +p111708 +aS'a\ta\tDT\tB-NP\tO' +p111709 +aS'72-year-old\t72-year-old\tJJ\tI-NP\tO' +p111710 +aS'male\tmale\tNN\tI-NP\tO' +p111711 +aS'with\twith\tIN\tB-PP\tO' +p111712 +aS'a\ta\tDT\tB-NP\tO' +p111713 +aS'history\thistory\tNN\tI-NP\tO' +p111714 +aS'of\tof\tIN\tB-PP\tO' +p111715 +aS'thymoma\tthymoma\tNN\tB-NP\tO' +p111716 +aS'resected\tresecte\tVBN\tB-VP\tO' +p111717 +aS'in\tin\tIN\tB-PP\tO' +p111718 +aS'1996\t1996\tCD\tB-NP\tO' +p111719 +aS',\t,\t,\tO\tO' +p111720 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p111721 +aS'obstructive\tobstructive\tJJ\tI-NP\tO' +p111722 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p111723 +aS'disease\tdisease\tNN\tI-NP\tO' +p111724 +aS',\t,\t,\tO\tO' +p111725 +aS'hypothyroidism\thypothyroidism\tNN\tB-NP\tO' +p111726 +aS'who\twho\tWP\tB-NP\tO' +p111727 +aS'was\tbe\tVBD\tB-VP\tO' +p111728 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p111729 +aS'from\tfrom\tIN\tB-PP\tO' +p111730 +aS'Gobay\tGobay\tNNP\tB-NP\tO' +p111731 +aS'Hos\tHos\tNNP\tI-NP\tO' +p111732 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p111733 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p111734 +aS'for\tfor\tIN\tB-PP\tO' +p111735 +aS'an\tan\tDT\tB-NP\tO' +p111736 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p111737 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p111738 +aS'and\tand\tCC\tO\tO' +p111739 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p111740 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p111741 +aS'.\t.\t.\tO\tO' +p111742 +asS'In addition , he received metoprolol q.4.h. , a regular insulin sliding scale , and adequate gastrointestinal prophylaxis with Protonix .' +p111743 +(lp111744 +S'In\tIn\tIN\tB-PP\tO' +p111745 +aS'addition\taddition\tNN\tB-NP\tO' +p111746 +aS',\t,\t,\tO\tO' +p111747 +aS'he\the\tPRP\tB-NP\tO' +p111748 +aS'received\treceive\tVBD\tB-VP\tO' +p111749 +aS'metoprolol\tmetoprolol\tNN\tB-NP\tO' +p111750 +aS'q.4.h.\tq.4.h.\tNN\tI-NP\tO' +p111751 +aS',\t,\t,\tO\tO' +p111752 +aS'a\ta\tDT\tB-NP\tO' +p111753 +aS'regular\tregular\tJJ\tI-NP\tO' +p111754 +aS'insulin\tinsulin\tNN\tI-NP\tO' +p111755 +aS'sliding\tslide\tVBG\tB-VP\tO' +p111756 +aS'scale\tscale\tNN\tB-NP\tO' +p111757 +aS',\t,\t,\tO\tO' +p111758 +aS'and\tand\tCC\tO\tO' +p111759 +aS'adequate\tadequate\tJJ\tB-NP\tO' +p111760 +aS'gastrointestinal\tgastrointestinal\tJJ\tI-NP\tO' +p111761 +aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' +p111762 +aS'with\twith\tIN\tB-PP\tO' +p111763 +aS'Protonix\tProtonix\tNNP\tB-NP\tO' +p111764 +aS'.\t.\t.\tO\tO' +p111765 +asS'She also had an EEG , which showed left sided slowing on preliminary read .' +p111766 +(lp111767 +S'She\tShe\tPRP\tB-NP\tO' +p111768 +aS'also\talso\tRB\tB-ADVP\tO' +p111769 +aS'had\thave\tVBD\tB-VP\tO' +p111770 +aS'an\tan\tDT\tB-NP\tO' +p111771 +aS'EEG\tEEG\tNN\tI-NP\tB-protein' +p111772 +aS',\t,\t,\tO\tO' +p111773 +aS'which\twhich\tWDT\tB-NP\tO' +p111774 +aS'showed\tshow\tVBD\tB-VP\tO' +p111775 +aS'left\tleft\tJJ\tB-NP\tO' +p111776 +aS'sided\tsided\tJJ\tI-NP\tO' +p111777 +aS'slowing\tslowing\tNN\tI-NP\tO' +p111778 +aS'on\ton\tIN\tB-PP\tO' +p111779 +aS'preliminary\tpreliminary\tJJ\tB-NP\tO' +p111780 +aS'read\tread\tNN\tI-NP\tO' +p111781 +aS'.\t.\t.\tO\tO' +p111782 +asS'NO NOCARDIA ISOLATED .' +p111783 +(lp111784 +S'NO\tNO\tNN\tB-NP\tO' +p111785 +aS'NOCARDIA\tNOCARDIA\tNN\tI-NP\tO' +p111786 +aS'ISOLATED\tISOLATED\tVBN\tB-VP\tO' +p111787 +aS'.\t.\t.\tO\tO' +p111788 +asS'FEV1 0.78 liters , vital capacity 2.12 liters , total lung capacity 5.51 liters , single breath DLCO 5.3 ( 25% predicted ) .' +p111789 +(lp111790 +S'FEV1\tFEV1\tNN\tB-NP\tO' +p111791 +aS'0.78\t0.78\tCD\tI-NP\tO' +p111792 +aS'liters\tliter\tNNS\tI-NP\tO' +p111793 +aS',\t,\t,\tO\tO' +p111794 +aS'vital\tvital\tJJ\tB-NP\tO' +p111795 +aS'capacity\tcapacity\tNN\tI-NP\tO' +p111796 +aS'2.12\t2.12\tCD\tB-NP\tO' +p111797 +aS'liters\tliter\tNNS\tI-NP\tO' +p111798 +aS',\t,\t,\tO\tO' +p111799 +aS'total\ttotal\tJJ\tB-NP\tO' +p111800 +aS'lung\tlung\tNN\tI-NP\tO' +p111801 +aS'capacity\tcapacity\tNN\tI-NP\tO' +p111802 +aS'5.51\t5.51\tCD\tB-NP\tO' +p111803 +aS'liters\tliter\tNNS\tI-NP\tO' +p111804 +aS',\t,\t,\tO\tO' +p111805 +aS'single\tsingle\tJJ\tB-NP\tO' +p111806 +aS'breath\tbreath\tNN\tI-NP\tO' +p111807 +aS'DLCO\tDLCO\tNN\tI-NP\tO' +p111808 +aS'5.3\t5.3\tCD\tI-NP\tO' +p111809 +aS'(\t(\t(\tO\tO' +p111810 +aS'25%\t25%\tCD\tB-NP\tO' +p111811 +aS'predicted\tpredict\tVBN\tB-VP\tO' +p111812 +aS')\t)\t)\tO\tO' +p111813 +aS'.\t.\t.\tO\tO' +p111814 +asS'He is status post recent left knee surgery , status post left carpal tunnel release .' +p111815 +(lp111816 +S'He\tHe\tPRP\tB-NP\tO' +p111817 +aS'is\tbe\tVBZ\tB-VP\tO' +p111818 +aS'status\tstatus\tNN\tB-NP\tO' +p111819 +aS'post\tpost\tIN\tB-PP\tO' +p111820 +aS'recent\trecent\tJJ\tB-NP\tO' +p111821 +aS'left\tleft\tJJ\tI-NP\tO' +p111822 +aS'knee\tknee\tNN\tI-NP\tO' +p111823 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p111824 +aS',\t,\t,\tO\tO' +p111825 +aS'status\tstatus\tNN\tB-NP\tO' +p111826 +aS'post\tpost\tNN\tI-NP\tO' +p111827 +aS'left\tleave\tVBD\tB-VP\tO' +p111828 +aS'carpal\tcarpal\tJJ\tB-NP\tO' +p111829 +aS'tunnel\ttunnel\tNN\tI-NP\tO' +p111830 +aS'release\trelease\tNN\tI-NP\tO' +p111831 +aS'.\t.\t.\tO\tO' +p111832 +asS'He was written for Haldol 1 mg p.o.b.i.d. p.r.n. to help with this problem .' +p111833 +(lp111834 +S'He\tHe\tPRP\tB-NP\tO' +p111835 +aS'was\tbe\tVBD\tB-VP\tO' +p111836 +aS'written\twrite\tVBN\tI-VP\tO' +p111837 +aS'for\tfor\tIN\tB-PP\tO' +p111838 +aS'Haldol\tHaldol\tNN\tB-NP\tO' +p111839 +aS'1\t1\tCD\tI-NP\tO' +p111840 +aS'mg\tmg\tNN\tI-NP\tO' +p111841 +aS'p.o.b.i.d.\tp.o.b.i.d.\tFW\tI-NP\tO' +p111842 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p111843 +aS'to\tto\tTO\tB-VP\tO' +p111844 +aS'help\thelp\tVB\tI-VP\tO' +p111845 +aS'with\twith\tIN\tB-PP\tO' +p111846 +aS'this\tthis\tDT\tB-NP\tO' +p111847 +aS'problem\tproblem\tNN\tI-NP\tO' +p111848 +aS'.\t.\t.\tO\tO' +p111849 +asS'A small gallstone was noted in the gallbladder neck .' +p111850 +(lp111851 +S'A\tA\tDT\tB-NP\tO' +p111852 +aS'small\tsmall\tJJ\tI-NP\tO' +p111853 +aS'gallstone\tgallstone\tNN\tI-NP\tO' +p111854 +aS'was\tbe\tVBD\tB-VP\tO' +p111855 +aS'noted\tnote\tVBN\tI-VP\tO' +p111856 +aS'in\tin\tIN\tB-PP\tO' +p111857 +aS'the\tthe\tDT\tB-NP\tO' +p111858 +aS'gallbladder\tgallbladder\tNN\tI-NP\tO' +p111859 +aS'neck\tneck\tNN\tI-NP\tO' +p111860 +aS'.\t.\t.\tO\tO' +p111861 +asS'No fourth heart sound or third heart sound .' +p111862 +(lp111863 +S'No\tNo\tDT\tB-NP\tO' +p111864 +aS'fourth\tfourth\tJJ\tI-NP\tO' +p111865 +aS'heart\theart\tNN\tI-NP\tO' +p111866 +aS'sound\tsound\tNN\tI-NP\tO' +p111867 +aS'or\tor\tCC\tO\tO' +p111868 +aS'third\tthird\tJJ\tB-NP\tO' +p111869 +aS'heart\theart\tNN\tI-NP\tO' +p111870 +aS'sound\tsound\tNN\tI-NP\tO' +p111871 +aS'.\t.\t.\tO\tO' +p111872 +asS'5. Prednisone 5 mg once daily .' +p111873 +(lp111874 +S'5.\t5.\tLS\tB-NP\tO' +p111875 +aS'Prednisone\tPrednisone\tNN\tI-NP\tO' +p111876 +aS'5\t5\tCD\tI-NP\tO' +p111877 +aS'mg\tmg\tNN\tI-NP\tO' +p111878 +aS'once\tonce\tRB\tB-ADVP\tO' +p111879 +aS'daily\tdaily\tRB\tI-ADVP\tO' +p111880 +aS'.\t.\t.\tO\tO' +p111881 +asS'ABG on arrival to the ICU was 7.29/56/75 .' +p111882 +(lp111883 +S'ABG\tABG\tNN\tB-NP\tO' +p111884 +aS'on\ton\tIN\tB-PP\tO' +p111885 +aS'arrival\tarrival\tNN\tB-NP\tO' +p111886 +aS'to\tto\tTO\tB-PP\tO' +p111887 +aS'the\tthe\tDT\tB-NP\tO' +p111888 +aS'ICU\tICU\tNN\tI-NP\tB-DNA' +p111889 +aS'was\tbe\tVBD\tB-VP\tO' +p111890 +aS'7.29/56/75\t7.29/56/75\tCD\tB-NP\tO' +p111891 +aS'.\t.\t.\tO\tO' +p111892 +asS'intravenous albumin for treatment of prerenal azotemia .' +p111893 +(lp111894 +S'intravenous\tintravenous\tJJ\tB-NP\tO' +p111895 +aS'albumin\talbumin\tNN\tI-NP\tO' +p111896 +aS'for\tfor\tIN\tB-PP\tO' +p111897 +aS'treatment\ttreatment\tNN\tB-NP\tO' +p111898 +aS'of\tof\tIN\tB-PP\tO' +p111899 +aS'prerenal\tprerenal\tJJ\tB-NP\tO' +p111900 +aS'azotemia\tazotemia\tNN\tI-NP\tO' +p111901 +aS'.\t.\t.\tO\tO' +p111902 +asS'NEUROLOGIC : Infant has been appropriate for gestational age .' +p111903 +(lp111904 +S'NEUROLOGIC\tNEUROLOGIC\tNN\tB-NP\tO' +p111905 +aS':\t:\t:\tO\tO' +p111906 +aS'Infant\tInfant\tNNP\tB-NP\tO' +p111907 +aS'has\thave\tVBZ\tB-VP\tO' +p111908 +aS'been\tbe\tVBN\tI-VP\tO' +p111909 +aS'appropriate\tappropriate\tJJ\tB-ADJP\tO' +p111910 +aS'for\tfor\tIN\tB-PP\tO' +p111911 +aS'gestational\tgestational\tJJ\tB-NP\tO' +p111912 +aS'age\tage\tNN\tI-NP\tO' +p111913 +aS'.\t.\t.\tO\tO' +p111914 +asS'Son died at 50 of diabetes and myocardial infarction .' +p111915 +(lp111916 +S'Son\tSon\tNNP\tB-NP\tO' +p111917 +aS'died\tdie\tVBD\tB-VP\tO' +p111918 +aS'at\tat\tIN\tB-PP\tO' +p111919 +aS'50\t50\tCD\tB-NP\tO' +p111920 +aS'of\tof\tIN\tB-PP\tO' +p111921 +aS'diabetes\tdiabetes\tNN\tB-NP\tO' +p111922 +aS'and\tand\tCC\tO\tO' +p111923 +aS'myocardial\tmyocardial\tJJ\tB-NP\tO' +p111924 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p111925 +aS'.\t.\t.\tO\tO' +p111926 +asS'1. Post pericardiotomy syndrome .' +p111927 +(lp111928 +S'1.\t1.\tLS\tB-NP\tO' +p111929 +aS'Post\tPost\tNN\tI-NP\tO' +p111930 +aS'pericardiotomy\tpericardiotomy\tNN\tI-NP\tO' +p111931 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p111932 +aS'.\t.\t.\tO\tO' +p111933 +asS'The aortic valve leaflets ( 3 ) appear structurally normal with good leaflet excursion and no aortic regurgitation .' +p111934 +(lp111935 +S'The\tThe\tDT\tB-NP\tO' +p111936 +aS'aortic\taortic\tJJ\tI-NP\tO' +p111937 +aS'valve\tvalve\tNN\tI-NP\tO' +p111938 +aS'leaflets\tleaflet\tNNS\tI-NP\tO' +p111939 +aS'(\t(\t(\tO\tO' +p111940 +aS'3\t3\tCD\tB-NP\tO' +p111941 +aS')\t)\t)\tO\tO' +p111942 +aS'appear\tappear\tVBP\tB-VP\tO' +p111943 +aS'structurally\tstructurally\tRB\tB-ADJP\tO' +p111944 +aS'normal\tnormal\tJJ\tI-ADJP\tO' +p111945 +aS'with\twith\tIN\tB-PP\tO' +p111946 +aS'good\tgood\tJJ\tB-NP\tO' +p111947 +aS'leaflet\tleaflet\tNN\tI-NP\tO' +p111948 +aS'excursion\texcursion\tNN\tI-NP\tO' +p111949 +aS'and\tand\tCC\tO\tO' +p111950 +aS'no\tno\tDT\tB-NP\tO' +p111951 +aS'aortic\taortic\tJJ\tI-NP\tO' +p111952 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p111953 +aS'.\t.\t.\tO\tO' +p111954 +asS'At the same time , the patient also developed distentions of the abdomen consistent with accumulation of ascitic fluid .' +p111955 +(lp111956 +S'At\tAt\tIN\tB-PP\tO' +p111957 +aS'the\tthe\tDT\tB-NP\tO' +p111958 +aS'same\tsame\tJJ\tI-NP\tO' +p111959 +aS'time\ttime\tNN\tI-NP\tO' +p111960 +aS',\t,\t,\tO\tO' +p111961 +aS'the\tthe\tDT\tB-NP\tO' +p111962 +aS'patient\tpatient\tNN\tI-NP\tO' +p111963 +aS'also\talso\tRB\tB-ADVP\tO' +p111964 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p111965 +aS'distentions\tdistention\tNNS\tB-NP\tO' +p111966 +aS'of\tof\tIN\tB-PP\tO' +p111967 +aS'the\tthe\tDT\tB-NP\tO' +p111968 +aS'abdomen\tabdoman\tNNS\tI-NP\tO' +p111969 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p111970 +aS'with\twith\tIN\tB-PP\tO' +p111971 +aS'accumulation\taccumulation\tNN\tB-NP\tO' +p111972 +aS'of\tof\tIN\tB-PP\tO' +p111973 +aS'ascitic\tascitic\tJJ\tB-NP\tO' +p111974 +aS'fluid\tfluid\tNN\tI-NP\tO' +p111975 +aS'.\t.\t.\tO\tO' +p111976 +asS'1. The patient has an appointment to initiate primary care , as she no longer had a primary care physician .' +p111977 +(lp111978 +S'1.\t1.\tLS\tB-LST\tO' +p111979 +aS'The\tThe\tDT\tB-NP\tO' +p111980 +aS'patient\tpatient\tNN\tI-NP\tO' +p111981 +aS'has\thave\tVBZ\tB-VP\tO' +p111982 +aS'an\tan\tDT\tB-NP\tO' +p111983 +aS'appointment\tappointment\tNN\tI-NP\tO' +p111984 +aS'to\tto\tTO\tB-VP\tO' +p111985 +aS'initiate\tinitiate\tVB\tI-VP\tO' +p111986 +aS'primary\tprimary\tJJ\tB-NP\tO' +p111987 +aS'care\tcare\tNN\tI-NP\tO' +p111988 +aS',\t,\t,\tO\tO' +p111989 +aS'as\tas\tIN\tB-SBAR\tO' +p111990 +aS'she\tshe\tPRP\tB-NP\tO' +p111991 +aS'no\tno\tRB\tB-ADVP\tO' +p111992 +aS'longer\tlonger\tRBR\tI-ADVP\tO' +p111993 +aS'had\thave\tVBD\tB-VP\tO' +p111994 +aS'a\ta\tDT\tB-NP\tO' +p111995 +aS'primary\tprimary\tJJ\tI-NP\tO' +p111996 +aS'care\tcare\tNN\tI-NP\tO' +p111997 +aS'physician\tphysician\tNN\tI-NP\tO' +p111998 +aS'.\t.\t.\tO\tO' +p111999 +asS'His stools have been brown to green .' +p112000 +(lp112001 +S'His\tHis\tPRP$\tB-NP\tO' +p112002 +aS'stools\tstool\tNNS\tI-NP\tO' +p112003 +aS'have\thave\tVBP\tB-VP\tO' +p112004 +aS'been\tbe\tVBN\tI-VP\tO' +p112005 +aS'brown\tbrown\tVBN\tI-VP\tO' +p112006 +aS'to\tto\tTO\tB-PP\tO' +p112007 +aS'green\tgreen\tJJ\tB-ADJP\tO' +p112008 +aS'.\t.\t.\tO\tO' +p112009 +asS'Patient remained cardiovascularly stable .' +p112010 +(lp112011 +S'Patient\tPatient\tNN\tB-NP\tO' +p112012 +aS'remained\tremain\tVBD\tB-VP\tO' +p112013 +aS'cardiovascularly\tcardiovascularly\tRB\tB-ADJP\tO' +p112014 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p112015 +aS'.\t.\t.\tO\tO' +p112016 +asS'Postoperative confusion , transient and resolved spontaneously .' +p112017 +(lp112018 +S'Postoperative\tPostoperative\tJJ\tB-NP\tO' +p112019 +aS'confusion\tconfusion\tNN\tI-NP\tO' +p112020 +aS',\t,\t,\tO\tO' +p112021 +aS'transient\ttransient\tJJ\tB-ADJP\tO' +p112022 +aS'and\tand\tCC\tO\tO' +p112023 +aS'resolved\tresolve\tVBN\tB-VP\tO' +p112024 +aS'spontaneously\tspontaneously\tRB\tB-ADVP\tO' +p112025 +aS'.\t.\t.\tO\tO' +p112026 +asS'Edematous .' +p112027 +(lp112028 +S'Edematous\tEdematous\tJJ\tB-ADJP\tO' +p112029 +aS'.\t.\t.\tO\tO' +p112030 +asS'Preterm labor with new onset of late decelerations and breech presentation .' +p112031 +(lp112032 +S'Preterm\tPreterm\tJJ\tB-NP\tO' +p112033 +aS'labor\tlabor\tNN\tI-NP\tO' +p112034 +aS'with\twith\tIN\tB-PP\tO' +p112035 +aS'new\tnew\tJJ\tB-NP\tO' +p112036 +aS'onset\tonset\tNN\tI-NP\tO' +p112037 +aS'of\tof\tIN\tB-PP\tO' +p112038 +aS'late\tlate\tJJ\tB-NP\tO' +p112039 +aS'decelerations\tdeceleration\tNNS\tI-NP\tO' +p112040 +aS'and\tand\tCC\tO\tO' +p112041 +aS'breech\tbreech\tNN\tB-NP\tO' +p112042 +aS'presentation\tpresentation\tNN\tI-NP\tO' +p112043 +aS'.\t.\t.\tO\tO' +p112044 +asS'1. Bactrim single strength 1 tablet po qd .' +p112045 +(lp112046 +S'1.\t1.\tLS\tB-NP\tO' +p112047 +aS'Bactrim\tBactrim\tNNP\tI-NP\tO' +p112048 +aS'single\tsingle\tJJ\tI-NP\tO' +p112049 +aS'strength\tstrength\tNN\tI-NP\tO' +p112050 +aS'1\t1\tCD\tI-NP\tO' +p112051 +aS'tablet\ttablet\tNN\tI-NP\tO' +p112052 +aS'po\tpo\tNN\tI-NP\tO' +p112053 +aS'qd\tqd\tNN\tI-NP\tO' +p112054 +aS'.\t.\t.\tO\tO' +p112055 +asS'His Dobbhoff tube was removed .' +p112056 +(lp112057 +S'His\tHis\tPRP$\tB-NP\tB-protein' +p112058 +aS'Dobbhoff\tDobbhoff\tNNP\tI-NP\tO' +p112059 +aS'tube\ttube\tNN\tI-NP\tO' +p112060 +aS'was\tbe\tVBD\tB-VP\tO' +p112061 +aS'removed\tremove\tVBN\tI-VP\tO' +p112062 +aS'.\t.\t.\tO\tO' +p112063 +asS'Sulfonamides / Penicillins / Tetracyclines / Azithromycin / Iodine / Shellfish / Ace Inhibitors / Ciprofloxacin' +p112064 +(lp112065 +S'Sulfonamides\tSulfonamide\tNNS\tB-NP\tO' +p112066 +aS'/\t/\tSYM\tB-NP\tB-protein' +p112067 +aS'Penicillins\tPenicillin\tNNPS\tI-NP\tI-protein' +p112068 +aS'/\t/\tSYM\tI-NP\tB-cell_line' +p112069 +aS'Tetracyclines\tTetracycline\tNNPS\tI-NP\tI-cell_line' +p112070 +aS'/\t/\tSYM\tI-NP\tO' +p112071 +aS'Azithromycin\tAzithromycin\tNN\tI-NP\tO' +p112072 +aS'/\t/\tSYM\tB-NP\tO' +p112073 +aS'Iodine\tIodine\tNN\tI-NP\tO' +p112074 +aS'/\t/\tSYM\tI-NP\tO' +p112075 +aS'Shellfish\tShellfish\tNN\tI-NP\tO' +p112076 +aS'/\t/\tSYM\tB-NP\tO' +p112077 +aS'Ace\tAce\tNN\tB-NP\tO' +p112078 +aS'Inhibitors\tInhibitor\tNNS\tI-NP\tO' +p112079 +aS'/\t/\tSYM\tO\tO' +p112080 +aS'Ciprofloxacin\tCiprofloxacin\tNN\tB-NP\tO' +p112081 +asS'Well appearing in no apparent distress .' +p112082 +(lp112083 +S'Well\tWell\tRB\tB-ADVP\tO' +p112084 +aS'appearing\tappear\tVBG\tB-VP\tO' +p112085 +aS'in\tin\tIN\tB-PP\tO' +p112086 +aS'no\tno\tDT\tB-NP\tO' +p112087 +aS'apparent\tapparent\tJJ\tI-NP\tO' +p112088 +aS'distress\tdistress\tNN\tI-NP\tO' +p112089 +aS'.\t.\t.\tO\tO' +p112090 +asS'Abdominal examination was benign .' +p112091 +(lp112092 +S'Abdominal\tAbdominal\tJJ\tB-NP\tO' +p112093 +aS'examination\texamination\tNN\tI-NP\tO' +p112094 +aS'was\tbe\tVBD\tB-VP\tO' +p112095 +aS'benign\tbenign\tJJ\tB-ADJP\tO' +p112096 +aS'.\t.\t.\tO\tO' +p112097 +asS'Incidentally , an aortogram during the catheterization revealed a Debakey class I aortic ascending aneurysm , and the patient had a pulmonary capillary wedge pressure of 20 at the time of catheterization .' +p112098 +(lp112099 +S'Incidentally\tIncidentally\tRB\tB-ADVP\tO' +p112100 +aS',\t,\t,\tO\tO' +p112101 +aS'an\tan\tDT\tB-NP\tO' +p112102 +aS'aortogram\taortogram\tNN\tI-NP\tO' +p112103 +aS'during\tduring\tIN\tB-PP\tO' +p112104 +aS'the\tthe\tDT\tB-NP\tO' +p112105 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p112106 +aS'revealed\treveal\tVBD\tB-VP\tO' +p112107 +aS'a\ta\tDT\tB-NP\tO' +p112108 +aS'Debakey\tDebakey\tNNP\tI-NP\tO' +p112109 +aS'class\tclass\tNN\tI-NP\tO' +p112110 +aS'I\tI\tCD\tI-NP\tO' +p112111 +aS'aortic\taortic\tJJ\tI-NP\tO' +p112112 +aS'ascending\tascend\tVBG\tI-NP\tO' +p112113 +aS'aneurysm\taneurysm\tNN\tI-NP\tO' +p112114 +aS',\t,\t,\tO\tO' +p112115 +aS'and\tand\tCC\tO\tO' +p112116 +aS'the\tthe\tDT\tB-NP\tO' +p112117 +aS'patient\tpatient\tNN\tI-NP\tO' +p112118 +aS'had\thave\tVBD\tB-VP\tO' +p112119 +aS'a\ta\tDT\tB-NP\tO' +p112120 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p112121 +aS'capillary\tcapillary\tJJ\tI-NP\tO' +p112122 +aS'wedge\twedge\tNN\tI-NP\tO' +p112123 +aS'pressure\tpressure\tNN\tI-NP\tO' +p112124 +aS'of\tof\tIN\tB-PP\tO' +p112125 +aS'20\t20\tCD\tB-NP\tO' +p112126 +aS'at\tat\tIN\tB-PP\tO' +p112127 +aS'the\tthe\tDT\tB-NP\tO' +p112128 +aS'time\ttime\tNN\tI-NP\tO' +p112129 +aS'of\tof\tIN\tB-PP\tO' +p112130 +aS'catheterization\tcatheterization\tNN\tB-NP\tO' +p112131 +aS'.\t.\t.\tO\tO' +p112132 +asS'Wash incisions with warm water and gentle soap .' +p112133 +(lp112134 +S'Wash\tWash\tJJ\tB-NP\tO' +p112135 +aS'incisions\tincision\tNNS\tI-NP\tO' +p112136 +aS'with\twith\tIN\tB-PP\tO' +p112137 +aS'warm\twarm\tJJ\tB-NP\tO' +p112138 +aS'water\twater\tNN\tI-NP\tO' +p112139 +aS'and\tand\tCC\tO\tO' +p112140 +aS'gentle\tgentle\tJJ\tB-NP\tO' +p112141 +aS'soap\tsoap\tNN\tI-NP\tO' +p112142 +aS'.\t.\t.\tO\tO' +p112143 +asS'When the patient became hypotensive and required intubation and pressors , his antibiotics were broadened , and he was put on stress-dose steroids .' +p112144 +(lp112145 +S'When\tWhen\tWRB\tB-ADVP\tO' +p112146 +aS'the\tthe\tDT\tB-NP\tO' +p112147 +aS'patient\tpatient\tNN\tI-NP\tO' +p112148 +aS'became\tbecome\tVBD\tB-VP\tO' +p112149 +aS'hypotensive\thypotensive\tJJ\tB-NP\tO' +p112150 +aS'and\tand\tCC\tI-NP\tO' +p112151 +aS'required\trequired\tJJ\tI-NP\tO' +p112152 +aS'intubation\tintubation\tNN\tI-NP\tO' +p112153 +aS'and\tand\tCC\tI-NP\tO' +p112154 +aS'pressors\tpressor\tNNS\tI-NP\tO' +p112155 +aS',\t,\t,\tO\tO' +p112156 +aS'his\this\tPRP$\tB-NP\tO' +p112157 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p112158 +aS'were\tbe\tVBD\tB-VP\tO' +p112159 +aS'broadened\tbroaden\tVBN\tI-VP\tO' +p112160 +aS',\t,\t,\tO\tO' +p112161 +aS'and\tand\tCC\tO\tO' +p112162 +aS'he\the\tPRP\tB-NP\tO' +p112163 +aS'was\tbe\tVBD\tB-VP\tO' +p112164 +aS'put\tput\tVBN\tI-VP\tO' +p112165 +aS'on\ton\tIN\tB-PP\tO' +p112166 +aS'stress-dose\tstress-dose\tJJ\tB-NP\tO' +p112167 +aS'steroids\tsteroid\tNNS\tI-NP\tO' +p112168 +aS'.\t.\t.\tO\tO' +p112169 +asS'OTHER DIAGNOSIS ; Conditions , Infections , Complications , affecting Treatment / Stay DM2 , s / p splenectomy , depression' +p112170 +(lp112171 +S'OTHER\tOTHER\tNN\tB-NP\tO' +p112172 +aS'DIAGNOSIS\tDIAGNOSIS\tNN\tI-NP\tO' +p112173 +aS';\t;\t:\tO\tO' +p112174 +aS'Conditions\tCondition\tNNS\tB-NP\tO' +p112175 +aS',\t,\t,\tO\tO' +p112176 +aS'Infections\tInfection\tNNS\tB-NP\tO' +p112177 +aS',\t,\t,\tO\tO' +p112178 +aS'Complications\tComplication\tNNS\tB-NP\tO' +p112179 +aS',\t,\t,\tO\tO' +p112180 +aS'affecting\taffect\tVBG\tB-VP\tO' +p112181 +aS'Treatment\tTreatment\tNN\tB-NP\tO' +p112182 +aS'/\t/\tSYM\tB-NP\tO' +p112183 +aS'Stay\tStay\tNN\tI-NP\tO' +p112184 +aS'DM2\tDM2\tNN\tI-NP\tO' +p112185 +aS',\t,\t,\tO\tO' +p112186 +aS's\ts\tNN\tB-NP\tO' +p112187 +aS'/\t/\tSYM\tI-NP\tO' +p112188 +aS'p\tp\tNN\tI-NP\tO' +p112189 +aS'splenectomy\tsplenectomy\tNN\tI-NP\tO' +p112190 +aS',\t,\t,\tO\tO' +p112191 +aS'depression\tdepression\tNN\tB-NP\tO' +p112192 +asS'5. Enteric Coated Aspirin 325 mg p.o. daily .' +p112193 +(lp112194 +S'5.\t5.\tLS\tB-NP\tO' +p112195 +aS'Enteric\tEnteric\tJJ\tI-NP\tO' +p112196 +aS'Coated\tCoated\tJJ\tI-NP\tO' +p112197 +aS'Aspirin\tAspirin\tNN\tI-NP\tO' +p112198 +aS'325\t325\tCD\tI-NP\tO' +p112199 +aS'mg\tmg\tNN\tI-NP\tO' +p112200 +aS'p.o.\tp.o.\tRB\tB-ADVP\tO' +p112201 +aS'daily\tdaily\tRB\tI-ADVP\tO' +p112202 +aS'.\t.\t.\tO\tO' +p112203 +asS'Electrocardiograms progressed to inverted T waves in V5 and V6 .' +p112204 +(lp112205 +S'Electrocardiograms\tElectrocardiogram\tNNS\tB-NP\tO' +p112206 +aS'progressed\tprogress\tVBD\tB-VP\tO' +p112207 +aS'to\tto\tTO\tB-PP\tO' +p112208 +aS'inverted\tinverted\tJJ\tB-NP\tO' +p112209 +aS'T\tT\tNN\tI-NP\tO' +p112210 +aS'waves\twave\tNNS\tI-NP\tO' +p112211 +aS'in\tin\tIN\tB-PP\tO' +p112212 +aS'V5\tV5\tNN\tB-NP\tO' +p112213 +aS'and\tand\tCC\tI-NP\tO' +p112214 +aS'V6\tV6\tNN\tI-NP\tB-protein' +p112215 +aS'.\t.\t.\tO\tO' +p112216 +asS'2. Aspirin 325 mg Tablet , Delayed Release ( E.C. ) Sig : One ( 1 ) Tablet , Delayed Release ( E.C. ) PO DAILY ( Daily ) .' +p112217 +(lp112218 +S'2.\t2.\tLS\tB-NP\tO' +p112219 +aS'Aspirin\tAspirin\tNN\tI-NP\tO' +p112220 +aS'325\t325\tCD\tB-NP\tO' +p112221 +aS'mg\tmg\tNN\tI-NP\tO' +p112222 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p112223 +aS',\t,\t,\tO\tO' +p112224 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p112225 +aS'Release\tRelease\tNNP\tI-NP\tO' +p112226 +aS'(\t(\t(\tO\tO' +p112227 +aS'E.C.\tE.C.\tNNP\tB-NP\tO' +p112228 +aS')\t)\t)\tO\tO' +p112229 +aS'Sig\tSig\tNNP\tB-NP\tO' +p112230 +aS':\t:\t:\tO\tO' +p112231 +aS'One\tOne\tCD\tB-NP\tO' +p112232 +aS'(\t(\t(\tO\tO' +p112233 +aS'1\t1\tCD\tB-NP\tO' +p112234 +aS')\t)\t)\tO\tO' +p112235 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p112236 +aS',\t,\t,\tO\tO' +p112237 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p112238 +aS'Release\tRelease\tNNP\tI-NP\tO' +p112239 +aS'(\t(\t(\tO\tO' +p112240 +aS'E.C.\tE.C.\tNNP\tO\tO' +p112241 +aS')\t)\t)\tO\tO' +p112242 +aS'PO\tPO\tNN\tB-NP\tO' +p112243 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p112244 +aS'(\t(\t(\tO\tO' +p112245 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p112246 +aS')\t)\t)\tO\tO' +p112247 +aS'.\t.\t.\tO\tO' +p112248 +asS'This pregnancy was complicated by a prenatal diagnosis of a congenital cystic adenomatoid malformation' +p112249 +(lp112250 +S'This\tThis\tDT\tB-NP\tO' +p112251 +aS'pregnancy\tpregnancy\tNN\tI-NP\tO' +p112252 +aS'was\tbe\tVBD\tB-VP\tO' +p112253 +aS'complicated\tcomplicate\tVBN\tI-VP\tO' +p112254 +aS'by\tby\tIN\tB-PP\tO' +p112255 +aS'a\ta\tDT\tB-NP\tO' +p112256 +aS'prenatal\tprenatal\tJJ\tI-NP\tO' +p112257 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p112258 +aS'of\tof\tIN\tB-PP\tO' +p112259 +aS'a\ta\tDT\tB-NP\tO' +p112260 +aS'congenital\tcongenital\tJJ\tI-NP\tO' +p112261 +aS'cystic\tcystic\tJJ\tI-NP\tO' +p112262 +aS'adenomatoid\tadenomatoid\tJJ\tI-NP\tO' +p112263 +aS'malformation\tmalformation\tNN\tI-NP\tO' +p112264 +asS'Post-operatively , he was slow to recover but did progressed nicely .' +p112265 +(lp112266 +S'Post-operatively\tPost-operatively\tRB\tB-ADVP\tO' +p112267 +aS',\t,\t,\tO\tO' +p112268 +aS'he\the\tPRP\tB-NP\tO' +p112269 +aS'was\tbe\tVBD\tB-VP\tO' +p112270 +aS'slow\tslow\tJJ\tB-ADJP\tO' +p112271 +aS'to\tto\tTO\tB-VP\tO' +p112272 +aS'recover\trecover\tVB\tI-VP\tO' +p112273 +aS'but\tbut\tCC\tO\tO' +p112274 +aS'did\tdo\tVBD\tB-VP\tO' +p112275 +aS'progressed\tprogress\tVBN\tI-VP\tO' +p112276 +aS'nicely\tnicely\tRB\tB-ADVP\tO' +p112277 +aS'.\t.\t.\tO\tO' +p112278 +asS'You are to return to the hospital immediately if you should experience any chest pain , shortness of breath , fevers or any other worrisome symptom .' +p112279 +(lp112280 +S'You\tYou\tPRP\tB-NP\tB-protein' +p112281 +aS'are\tbe\tVBP\tB-VP\tO' +p112282 +aS'to\tto\tTO\tI-VP\tO' +p112283 +aS'return\treturn\tVB\tI-VP\tO' +p112284 +aS'to\tto\tTO\tB-PP\tO' +p112285 +aS'the\tthe\tDT\tB-NP\tO' +p112286 +aS'hospital\thospital\tNN\tI-NP\tO' +p112287 +aS'immediately\timmediately\tRB\tB-ADVP\tO' +p112288 +aS'if\tif\tIN\tB-SBAR\tO' +p112289 +aS'you\tyou\tPRP\tB-NP\tO' +p112290 +aS'should\tshould\tMD\tB-VP\tO' +p112291 +aS'experience\texperience\tVB\tI-VP\tO' +p112292 +aS'any\tany\tDT\tB-NP\tO' +p112293 +aS'chest\tchest\tNN\tI-NP\tO' +p112294 +aS'pain\tpain\tNN\tI-NP\tO' +p112295 +aS',\t,\t,\tO\tO' +p112296 +aS'shortness\tshortness\tNN\tB-NP\tO' +p112297 +aS'of\tof\tIN\tB-PP\tO' +p112298 +aS'breath\tbreath\tNN\tB-NP\tO' +p112299 +aS',\t,\t,\tO\tO' +p112300 +aS'fevers\tfever\tNNS\tB-NP\tO' +p112301 +aS'or\tor\tCC\tO\tO' +p112302 +aS'any\tany\tDT\tB-NP\tO' +p112303 +aS'other\tother\tJJ\tI-NP\tO' +p112304 +aS'worrisome\tworrisome\tJJ\tI-NP\tO' +p112305 +aS'symptom\tsymptom\tNN\tI-NP\tO' +p112306 +aS'.\t.\t.\tO\tO' +p112307 +asS'Please increase zonegran dose by 50 every other week until it reaches 200 mg daily , with first dose change 10-12 to 150 mg daily and second dose change 10-26 to 200 mg daily .' +p112308 +(lp112309 +S'Please\tPlease\tNN\tB-NP\tB-protein' +p112310 +aS'increase\tincrease\tVBP\tB-VP\tO' +p112311 +aS'zonegran\tzonegran\tNN\tB-NP\tO' +p112312 +aS'dose\tdose\tNN\tI-NP\tO' +p112313 +aS'by\tby\tIN\tB-PP\tO' +p112314 +aS'50\t50\tCD\tB-NP\tO' +p112315 +aS'every\tevery\tDT\tB-NP\tO' +p112316 +aS'other\tother\tJJ\tI-NP\tO' +p112317 +aS'week\tweek\tNN\tI-NP\tO' +p112318 +aS'until\tuntil\tIN\tB-SBAR\tO' +p112319 +aS'it\tit\tPRP\tB-NP\tO' +p112320 +aS'reaches\treach\tVBZ\tB-VP\tO' +p112321 +aS'200\t200\tCD\tB-NP\tO' +p112322 +aS'mg\tmg\tNN\tI-NP\tO' +p112323 +aS'daily\tdaily\tRB\tB-ADVP\tO' +p112324 +aS',\t,\t,\tO\tO' +p112325 +aS'with\twith\tIN\tB-PP\tO' +p112326 +aS'first\tfirst\tJJ\tB-NP\tO' +p112327 +aS'dose\tdose\tNN\tI-NP\tO' +p112328 +aS'change\tchange\tNN\tI-NP\tO' +p112329 +aS'10-12\t10-12\tCD\tB-NP\tO' +p112330 +aS'to\tto\tTO\tI-NP\tO' +p112331 +aS'150\t150\tCD\tI-NP\tO' +p112332 +aS'mg\tmg\tNN\tI-NP\tO' +p112333 +aS'daily\tdaily\tJJ\tI-NP\tO' +p112334 +aS'and\tand\tCC\tI-NP\tO' +p112335 +aS'second\tsecond\tJJ\tI-NP\tO' +p112336 +aS'dose\tdose\tNN\tI-NP\tO' +p112337 +aS'change\tchange\tNN\tI-NP\tO' +p112338 +aS'10-26\t10-26\tCD\tB-NP\tO' +p112339 +aS'to\tto\tTO\tI-NP\tO' +p112340 +aS'200\t200\tCD\tI-NP\tO' +p112341 +aS'mg\tmg\tNN\tI-NP\tO' +p112342 +aS'daily\tdaily\tRB\tB-ADVP\tO' +p112343 +aS'.\t.\t.\tO\tO' +p112344 +asS'Regular rate and rhythm with no extra heart sounds and no murmurs .' +p112345 +(lp112346 +S'Regular\tRegular\tJJ\tB-NP\tO' +p112347 +aS'rate\trate\tNN\tI-NP\tO' +p112348 +aS'and\tand\tCC\tI-NP\tO' +p112349 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p112350 +aS'with\twith\tIN\tB-PP\tO' +p112351 +aS'no\tno\tDT\tB-NP\tO' +p112352 +aS'extra\textra\tJJ\tI-NP\tO' +p112353 +aS'heart\theart\tNN\tI-NP\tO' +p112354 +aS'sounds\tsound\tNNS\tI-NP\tO' +p112355 +aS'and\tand\tCC\tO\tO' +p112356 +aS'no\tno\tDT\tB-NP\tO' +p112357 +aS'murmurs\tmurmur\tNNS\tI-NP\tO' +p112358 +aS'.\t.\t.\tO\tO' +p112359 +asS'Over the next several days with the assisstance of the nursing staff and physical therapy the patients activity level was advanced , he was transitioned to all oral medications with the exception of his antibiotics .' +p112360 +(lp112361 +S'Over\tOver\tIN\tB-PP\tO' +p112362 +aS'the\tthe\tDT\tB-NP\tO' +p112363 +aS'next\tnext\tJJ\tI-NP\tO' +p112364 +aS'several\tseveral\tJJ\tI-NP\tO' +p112365 +aS'days\tday\tNNS\tI-NP\tO' +p112366 +aS'with\twith\tIN\tB-PP\tO' +p112367 +aS'the\tthe\tDT\tB-NP\tO' +p112368 +aS'assisstance\tassisstance\tNN\tI-NP\tO' +p112369 +aS'of\tof\tIN\tB-PP\tO' +p112370 +aS'the\tthe\tDT\tB-NP\tO' +p112371 +aS'nursing\tnursing\tNN\tI-NP\tO' +p112372 +aS'staff\tstaff\tNN\tI-NP\tO' +p112373 +aS'and\tand\tCC\tO\tO' +p112374 +aS'physical\tphysical\tJJ\tB-NP\tO' +p112375 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p112376 +aS'the\tthe\tDT\tB-NP\tO' +p112377 +aS'patients\tpatient\tNNS\tI-NP\tO' +p112378 +aS'activity\tactivity\tNN\tI-NP\tO' +p112379 +aS'level\tlevel\tNN\tI-NP\tO' +p112380 +aS'was\tbe\tVBD\tB-VP\tO' +p112381 +aS'advanced\tadvance\tVBN\tI-VP\tO' +p112382 +aS',\t,\t,\tO\tO' +p112383 +aS'he\the\tPRP\tB-NP\tO' +p112384 +aS'was\tbe\tVBD\tB-VP\tO' +p112385 +aS'transitioned\ttransitione\tVBN\tI-VP\tO' +p112386 +aS'to\tto\tTO\tB-PP\tO' +p112387 +aS'all\tall\tDT\tB-NP\tO' +p112388 +aS'oral\toral\tJJ\tI-NP\tO' +p112389 +aS'medications\tmedication\tNNS\tI-NP\tO' +p112390 +aS'with\twith\tIN\tB-PP\tO' +p112391 +aS'the\tthe\tDT\tB-NP\tO' +p112392 +aS'exception\texception\tNN\tI-NP\tO' +p112393 +aS'of\tof\tIN\tB-PP\tO' +p112394 +aS'his\this\tPRP$\tB-NP\tO' +p112395 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p112396 +aS'.\t.\t.\tO\tO' +p112397 +asS'161-200 mg / dL 3 Units 4 Units 2 Units 0 Units' +p112398 +(lp112399 +S'161-200\t161-200\tCD\tB-NP\tO' +p112400 +aS'mg\tmg\tNN\tI-NP\tO' +p112401 +aS'/\t/\tSYM\tB-NP\tO' +p112402 +aS'dL\tdL\tNN\tB-NP\tB-protein' +p112403 +aS'3\t3\tCD\tI-NP\tI-protein' +p112404 +aS'Units\tUnits\tNNP\tI-NP\tI-protein' +p112405 +aS'4\t4\tCD\tI-NP\tI-protein' +p112406 +aS'Units\tUnit\tNNS\tI-NP\tI-protein' +p112407 +aS'2\t2\tCD\tI-NP\tI-protein' +p112408 +aS'Units\tUnits\tNNP\tI-NP\tI-protein' +p112409 +aS'0\t0\tCD\tI-NP\tI-protein' +p112410 +aS'Units\tUnit\tNNS\tI-NP\tI-protein' +p112411 +asS'The past medical history is notable for lymphosarcoma in 1970 .' +p112412 +(lp112413 +S'The\tThe\tDT\tB-NP\tO' +p112414 +aS'past\tpast\tJJ\tI-NP\tO' +p112415 +aS'medical\tmedical\tJJ\tI-NP\tO' +p112416 +aS'history\thistory\tNN\tI-NP\tO' +p112417 +aS'is\tbe\tVBZ\tB-VP\tO' +p112418 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p112419 +aS'for\tfor\tIN\tB-PP\tO' +p112420 +aS'lymphosarcoma\tlymphosarcoma\tNN\tB-NP\tO' +p112421 +aS'in\tin\tIN\tB-PP\tO' +p112422 +aS'1970\t1970\tCD\tB-NP\tO' +p112423 +aS'.\t.\t.\tO\tO' +p112424 +asS'Conditions , Infections , Complications , affecting Treatment / Stay cellulitis' +p112425 +(lp112426 +S'Conditions\tCondition\tNNS\tB-NP\tO' +p112427 +aS',\t,\t,\tO\tO' +p112428 +aS'Infections\tInfection\tNNS\tB-NP\tO' +p112429 +aS',\t,\t,\tO\tO' +p112430 +aS'Complications\tComplication\tNNS\tB-NP\tO' +p112431 +aS',\t,\t,\tO\tO' +p112432 +aS'affecting\taffect\tVBG\tB-VP\tO' +p112433 +aS'Treatment\tTreatment\tNN\tB-NP\tO' +p112434 +aS'/\t/\tSYM\tO\tO' +p112435 +aS'Stay\tStay\tNN\tB-NP\tO' +p112436 +aS'cellulitis\tcellulitis\tNN\tI-NP\tO' +p112437 +asS'She had a white count of 9.3 , hematocrit of 37.7 , platelets of 293 .' +p112438 +(lp112439 +S'She\tShe\tPRP\tB-NP\tO' +p112440 +aS'had\thave\tVBD\tB-VP\tO' +p112441 +aS'a\ta\tDT\tB-NP\tO' +p112442 +aS'white\twhite\tJJ\tI-NP\tO' +p112443 +aS'count\tcount\tNN\tI-NP\tO' +p112444 +aS'of\tof\tIN\tB-PP\tO' +p112445 +aS'9.3\t9.3\tCD\tB-NP\tO' +p112446 +aS',\t,\t,\tO\tO' +p112447 +aS'hematocrit\thematocrit\tNN\tB-NP\tO' +p112448 +aS'of\tof\tIN\tB-PP\tO' +p112449 +aS'37.7\t37.7\tCD\tB-NP\tO' +p112450 +aS',\t,\t,\tO\tO' +p112451 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p112452 +aS'of\tof\tIN\tB-PP\tO' +p112453 +aS'293\t293\tCD\tB-NP\tO' +p112454 +aS'.\t.\t.\tO\tO' +p112455 +asS'1) 4+ alpha hemolytic Strep ,' +p112456 +(lp112457 +S'1)\t1)\tLS\tB-NP\tO' +p112458 +aS'4+\t4+\tJJ\tI-NP\tO' +p112459 +aS'alpha\talpha\tNN\tI-NP\tO' +p112460 +aS'hemolytic\themolytic\tJJ\tI-NP\tO' +p112461 +aS'Strep\tStrep\tNN\tI-NP\tO' +p112462 +aS',\t,\t,\tO\tO' +p112463 +asS'At the time of discharge , blood cultures from 12-02 and 12-03 have no growth to date .' +p112464 +(lp112465 +S'At\tAt\tIN\tB-PP\tO' +p112466 +aS'the\tthe\tDT\tB-NP\tO' +p112467 +aS'time\ttime\tNN\tI-NP\tO' +p112468 +aS'of\tof\tIN\tB-PP\tO' +p112469 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p112470 +aS',\t,\t,\tO\tO' +p112471 +aS'blood\tblood\tNN\tB-NP\tO' +p112472 +aS'cultures\tculture\tNNS\tI-NP\tO' +p112473 +aS'from\tfrom\tIN\tB-PP\tO' +p112474 +aS'12-02\t12-02\tCD\tB-NP\tO' +p112475 +aS'and\tand\tCC\tI-NP\tO' +p112476 +aS'12-03\t12-03\tCD\tI-NP\tO' +p112477 +aS'have\thave\tVBP\tB-VP\tO' +p112478 +aS'no\tno\tDT\tB-NP\tO' +p112479 +aS'growth\tgrowth\tNN\tI-NP\tO' +p112480 +aS'to\tto\tTO\tB-PP\tO' +p112481 +aS'date\tdate\tNN\tB-NP\tO' +p112482 +aS'.\t.\t.\tO\tO' +p112483 +asS'He was initially placed on Ceftriaxone , Levaquin , and Flagyl in the ICU but then changed to' +p112484 +(lp112485 +S'He\tHe\tPRP\tB-NP\tO' +p112486 +aS'was\tbe\tVBD\tB-VP\tO' +p112487 +aS'initially\tinitially\tRB\tI-VP\tO' +p112488 +aS'placed\tplace\tVBN\tI-VP\tO' +p112489 +aS'on\ton\tIN\tB-PP\tO' +p112490 +aS'Ceftriaxone\tCeftriaxone\tNN\tB-NP\tO' +p112491 +aS',\t,\t,\tO\tO' +p112492 +aS'Levaquin\tLevaquin\tNN\tB-NP\tO' +p112493 +aS',\t,\t,\tO\tO' +p112494 +aS'and\tand\tCC\tO\tO' +p112495 +aS'Flagyl\tFlagyl\tNN\tB-NP\tO' +p112496 +aS'in\tin\tIN\tB-PP\tO' +p112497 +aS'the\tthe\tDT\tB-NP\tO' +p112498 +aS'ICU\tICU\tNN\tI-NP\tB-protein' +p112499 +aS'but\tbut\tCC\tO\tO' +p112500 +aS'then\tthen\tRB\tB-ADVP\tO' +p112501 +aS'changed\tchange\tVBD\tB-VP\tO' +p112502 +aS'to\tto\tTO\tB-PP\tO' +p112503 +asS'He also states that he has had a dry and nonproductive cough for one month .' +p112504 +(lp112505 +S'He\tHe\tPRP\tB-NP\tO' +p112506 +aS'also\talso\tRB\tB-ADVP\tO' +p112507 +aS'states\tstate\tVBZ\tB-VP\tO' +p112508 +aS'that\tthat\tIN\tB-SBAR\tO' +p112509 +aS'he\the\tPRP\tB-NP\tO' +p112510 +aS'has\thave\tVBZ\tB-VP\tO' +p112511 +aS'had\thave\tVBN\tI-VP\tO' +p112512 +aS'a\ta\tDT\tB-NP\tO' +p112513 +aS'dry\tdry\tJJ\tI-NP\tO' +p112514 +aS'and\tand\tCC\tI-NP\tO' +p112515 +aS'nonproductive\tnonproductive\tJJ\tI-NP\tO' +p112516 +aS'cough\tcough\tNN\tI-NP\tO' +p112517 +aS'for\tfor\tIN\tB-PP\tO' +p112518 +aS'one\tone\tCD\tB-NP\tO' +p112519 +aS'month\tmonth\tNN\tI-NP\tO' +p112520 +aS'.\t.\t.\tO\tO' +p112521 +asS'Temperature 35.4 Celsius , blood pressure 116/63 , pulse 105 , respiratory rate 18 , oxygen saturation 98% on room air .' +p112522 +(lp112523 +S'Temperature\tTemperature\tNN\tB-NP\tO' +p112524 +aS'35.4\t35.4\tCD\tI-NP\tO' +p112525 +aS'Celsius\tCelsius\tNN\tI-NP\tO' +p112526 +aS',\t,\t,\tO\tO' +p112527 +aS'blood\tblood\tNN\tB-NP\tO' +p112528 +aS'pressure\tpressure\tNN\tI-NP\tO' +p112529 +aS'116/63\t116/63\tCD\tI-NP\tO' +p112530 +aS',\t,\t,\tO\tO' +p112531 +aS'pulse\tpulse\tNN\tB-NP\tO' +p112532 +aS'105\t105\tCD\tI-NP\tO' +p112533 +aS',\t,\t,\tO\tO' +p112534 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p112535 +aS'rate\trate\tNN\tI-NP\tO' +p112536 +aS'18\t18\tCD\tI-NP\tO' +p112537 +aS',\t,\t,\tO\tO' +p112538 +aS'oxygen\toxygen\tNN\tB-NP\tO' +p112539 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p112540 +aS'98%\t98%\tNN\tI-NP\tO' +p112541 +aS'on\ton\tIN\tB-PP\tO' +p112542 +aS'room\troom\tNN\tB-NP\tO' +p112543 +aS'air\tair\tNN\tI-NP\tO' +p112544 +aS'.\t.\t.\tO\tO' +p112545 +asS'Patient continued to be in A-fib. throughout the admission and was restarted on his Coumadin concurrently with heparin .' +p112546 +(lp112547 +S'Patient\tPatient\tNN\tB-NP\tO' +p112548 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p112549 +aS'to\tto\tTO\tI-VP\tO' +p112550 +aS'be\tbe\tVB\tI-VP\tO' +p112551 +aS'in\tin\tIN\tB-PP\tO' +p112552 +aS'A-fib.\tA-fib.\tNNP\tB-NP\tO' +p112553 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p112554 +aS'the\tthe\tDT\tB-NP\tO' +p112555 +aS'admission\tadmission\tNN\tI-NP\tO' +p112556 +aS'and\tand\tCC\tO\tO' +p112557 +aS'was\tbe\tVBD\tB-VP\tO' +p112558 +aS'restarted\trestart\tVBN\tI-VP\tO' +p112559 +aS'on\ton\tIN\tB-PP\tO' +p112560 +aS'his\this\tPRP$\tB-NP\tO' +p112561 +aS'Coumadin\tCoumadin\tNN\tI-NP\tO' +p112562 +aS'concurrently\tconcurrently\tRB\tB-ADVP\tO' +p112563 +aS'with\twith\tIN\tB-PP\tO' +p112564 +aS'heparin\theparin\tNN\tB-NP\tO' +p112565 +aS'.\t.\t.\tO\tO' +p112566 +asS'She then proceed to XRT with cisplatin which she was unable to tolerate this secondary to thrombocytopenia ( 40-50K ) .' +p112567 +(lp112568 +S'She\tShe\tPRP\tB-NP\tO' +p112569 +aS'then\tthen\tRB\tB-ADVP\tO' +p112570 +aS'proceed\tproceed\tVB\tB-VP\tO' +p112571 +aS'to\tto\tTO\tB-PP\tO' +p112572 +aS'XRT\tXRT\tNN\tB-NP\tO' +p112573 +aS'with\twith\tIN\tB-PP\tO' +p112574 +aS'cisplatin\tcisplatin\tNN\tB-NP\tO' +p112575 +aS'which\twhich\tWDT\tB-NP\tO' +p112576 +aS'she\tshe\tPRP\tB-NP\tO' +p112577 +aS'was\tbe\tVBD\tB-VP\tO' +p112578 +aS'unable\tunable\tJJ\tB-ADJP\tO' +p112579 +aS'to\tto\tTO\tB-VP\tO' +p112580 +aS'tolerate\ttolerate\tVB\tI-VP\tO' +p112581 +aS'this\tthis\tDT\tB-NP\tO' +p112582 +aS'secondary\tsecondary\tJJ\tI-NP\tO' +p112583 +aS'to\tto\tTO\tB-PP\tO' +p112584 +aS'thrombocytopenia\tthrombocytopenia\tNN\tB-NP\tO' +p112585 +aS'(\t(\t(\tO\tO' +p112586 +aS'40-50K\t40-50K\tNN\tB-NP\tB-protein' +p112587 +aS')\t)\t)\tO\tO' +p112588 +aS'.\t.\t.\tO\tO' +p112589 +asS'4. Clonazepam 1 mg Tablet Sig : One ( 1 ) Tablet PO TID ( 3 times a day ) .' +p112590 +(lp112591 +S'4.\t4.\tLS\tB-LST\tO' +p112592 +aS'Clonazepam\tClonazepam\tNN\tB-NP\tO' +p112593 +aS'1\t1\tCD\tI-NP\tO' +p112594 +aS'mg\tmg\tNN\tI-NP\tO' +p112595 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p112596 +aS'Sig\tSig\tNNP\tI-NP\tO' +p112597 +aS':\t:\t:\tO\tO' +p112598 +aS'One\tOne\tCD\tB-NP\tO' +p112599 +aS'(\t(\t(\tO\tO' +p112600 +aS'1\t1\tCD\tB-NP\tO' +p112601 +aS')\t)\t)\tO\tO' +p112602 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p112603 +aS'PO\tPO\tNN\tI-NP\tO' +p112604 +aS'TID\tTID\tNN\tI-NP\tO' +p112605 +aS'(\t(\t(\tO\tO' +p112606 +aS'3\t3\tCD\tB-NP\tO' +p112607 +aS'times\ttime\tNNS\tI-NP\tO' +p112608 +aS'a\ta\tDT\tB-NP\tO' +p112609 +aS'day\tday\tNN\tI-NP\tO' +p112610 +aS')\t)\t)\tO\tO' +p112611 +aS'.\t.\t.\tO\tO' +p112612 +asS'His respiratory status improved slowly , oxygen was weaned off , and he was discharged on course of Levaquin .' +p112613 +(lp112614 +S'His\tHis\tPRP$\tB-NP\tO' +p112615 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p112616 +aS'status\tstatus\tNN\tI-NP\tO' +p112617 +aS'improved\timprove\tVBD\tB-VP\tO' +p112618 +aS'slowly\tslowly\tRB\tB-ADVP\tO' +p112619 +aS',\t,\t,\tO\tO' +p112620 +aS'oxygen\toxygen\tNN\tB-NP\tO' +p112621 +aS'was\tbe\tVBD\tB-VP\tO' +p112622 +aS'weaned\twean\tVBN\tI-VP\tO' +p112623 +aS'off\toff\tRP\tB-PRT\tO' +p112624 +aS',\t,\t,\tO\tO' +p112625 +aS'and\tand\tCC\tO\tO' +p112626 +aS'he\the\tPRP\tB-NP\tO' +p112627 +aS'was\tbe\tVBD\tB-VP\tO' +p112628 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p112629 +aS'on\ton\tIN\tB-PP\tO' +p112630 +aS'course\tcourse\tNN\tB-NP\tO' +p112631 +aS'of\tof\tIN\tB-PP\tO' +p112632 +aS'Levaquin\tLevaquin\tNNP\tB-NP\tO' +p112633 +aS'.\t.\t.\tO\tO' +p112634 +asS'14. Plavix 75 mg p.o. q. day times 30 days .' +p112635 +(lp112636 +S'14.\t14.\tCD\tB-NP\tO' +p112637 +aS'Plavix\tPlavix\tNNP\tI-NP\tO' +p112638 +aS'75\t75\tCD\tI-NP\tO' +p112639 +aS'mg\tmg\tNN\tI-NP\tO' +p112640 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p112641 +aS'q.\tq.\tNN\tI-NP\tO' +p112642 +aS'day\tday\tNN\tI-NP\tO' +p112643 +aS'times\ttime\tNNS\tI-NP\tO' +p112644 +aS'30\t30\tCD\tB-NP\tO' +p112645 +aS'days\tday\tNNS\tI-NP\tO' +p112646 +aS'.\t.\t.\tO\tO' +p112647 +asS'They are not HLA matched .' +p112648 +(lp112649 +S'They\tThey\tPRP\tB-NP\tO' +p112650 +aS'are\tbe\tVBP\tB-VP\tO' +p112651 +aS'not\tnot\tRB\tO\tO' +p112652 +aS'HLA\tHLA\tNN\tB-NP\tO' +p112653 +aS'matched\tmatch\tVBD\tB-VP\tO' +p112654 +aS'.\t.\t.\tO\tO' +p112655 +asS'There are no active ongoing issues at this time .' +p112656 +(lp112657 +S'There\tThere\tEX\tB-NP\tO' +p112658 +aS'are\tbe\tVBP\tB-VP\tO' +p112659 +aS'no\tno\tDT\tB-NP\tO' +p112660 +aS'active\tactive\tJJ\tI-NP\tO' +p112661 +aS'ongoing\tongoing\tJJ\tI-NP\tO' +p112662 +aS'issues\tissue\tNNS\tI-NP\tO' +p112663 +aS'at\tat\tIN\tB-PP\tO' +p112664 +aS'this\tthis\tDT\tB-NP\tO' +p112665 +aS'time\ttime\tNN\tI-NP\tO' +p112666 +aS'.\t.\t.\tO\tO' +p112667 +asS'The patient also has hypothyroidism .' +p112668 +(lp112669 +S'The\tThe\tDT\tB-NP\tO' +p112670 +aS'patient\tpatient\tNN\tI-NP\tO' +p112671 +aS'also\talso\tRB\tB-ADVP\tO' +p112672 +aS'has\thave\tVBZ\tB-VP\tO' +p112673 +aS'hypothyroidism\thypothyroidism\tNN\tB-NP\tO' +p112674 +aS'.\t.\t.\tO\tO' +p112675 +asS'On post trauma day four , the patient remained hemodynamically stable with a stable hematocrit and a soft , nontender , and nondistended abdomen .' +p112676 +(lp112677 +S'On\tOn\tIN\tB-PP\tO' +p112678 +aS'post\tpost\tJJ\tB-NP\tO' +p112679 +aS'trauma\ttrauma\tNN\tI-NP\tO' +p112680 +aS'day\tday\tNN\tI-NP\tO' +p112681 +aS'four\tfour\tCD\tB-NP\tO' +p112682 +aS',\t,\t,\tO\tO' +p112683 +aS'the\tthe\tDT\tB-NP\tO' +p112684 +aS'patient\tpatient\tNN\tI-NP\tO' +p112685 +aS'remained\tremain\tVBD\tB-VP\tO' +p112686 +aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' +p112687 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p112688 +aS'with\twith\tIN\tB-PP\tO' +p112689 +aS'a\ta\tDT\tB-NP\tO' +p112690 +aS'stable\tstable\tJJ\tI-NP\tO' +p112691 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p112692 +aS'and\tand\tCC\tO\tO' +p112693 +aS'a\ta\tDT\tB-NP\tO' +p112694 +aS'soft\tsoft\tJJ\tI-NP\tO' +p112695 +aS',\t,\t,\tI-NP\tO' +p112696 +aS'nontender\tnontender\tJJ\tI-NP\tO' +p112697 +aS',\t,\t,\tO\tO' +p112698 +aS'and\tand\tCC\tO\tO' +p112699 +aS'nondistended\tnondistended\tJJ\tB-NP\tO' +p112700 +aS'abdomen\tabdoman\tNNS\tI-NP\tO' +p112701 +aS'.\t.\t.\tO\tO' +p112702 +asS'Initially , his pain was controlled with titrating up the Oxycontin .' +p112703 +(lp112704 +S'Initially\tInitially\tRB\tB-ADVP\tO' +p112705 +aS',\t,\t,\tO\tO' +p112706 +aS'his\this\tPRP$\tB-NP\tO' +p112707 +aS'pain\tpain\tNN\tI-NP\tO' +p112708 +aS'was\tbe\tVBD\tB-VP\tO' +p112709 +aS'controlled\tcontrol\tVBN\tI-VP\tO' +p112710 +aS'with\twith\tIN\tB-PP\tO' +p112711 +aS'titrating\ttitrate\tVBG\tB-VP\tO' +p112712 +aS'up\tup\tRP\tB-PRT\tO' +p112713 +aS'the\tthe\tDT\tB-NP\tO' +p112714 +aS'Oxycontin\tOxycontin\tNN\tI-NP\tB-protein' +p112715 +aS'.\t.\t.\tO\tO' +p112716 +asS'3. Discoid lateral meniscus .' +p112717 +(lp112718 +S'3.\t3.\tLS\tB-NP\tO' +p112719 +aS'Discoid\tDiscoid\tJJ\tI-NP\tO' +p112720 +aS'lateral\tlateral\tJJ\tI-NP\tO' +p112721 +aS'meniscus\tmeniscus\tNN\tI-NP\tO' +p112722 +aS'.\t.\t.\tO\tO' +p112723 +asS'His preoperative workup was completed and included a normal white count , hematocrit 42 .' +p112724 +(lp112725 +S'His\tHis\tPRP$\tB-NP\tO' +p112726 +aS'preoperative\tpreoperative\tJJ\tI-NP\tO' +p112727 +aS'workup\tworkup\tNN\tI-NP\tO' +p112728 +aS'was\tbe\tVBD\tB-VP\tO' +p112729 +aS'completed\tcomplete\tVBN\tI-VP\tO' +p112730 +aS'and\tand\tCC\tO\tO' +p112731 +aS'included\tinclude\tVBD\tB-VP\tO' +p112732 +aS'a\ta\tDT\tB-NP\tO' +p112733 +aS'normal\tnormal\tJJ\tI-NP\tO' +p112734 +aS'white\twhite\tJJ\tI-NP\tO' +p112735 +aS'count\tcount\tNN\tI-NP\tO' +p112736 +aS',\t,\t,\tO\tO' +p112737 +aS'hematocrit\thematocrit\tNN\tB-NP\tO' +p112738 +aS'42\t42\tCD\tI-NP\tO' +p112739 +aS'.\t.\t.\tO\tO' +p112740 +asS'On recommendation from endocrine , her fludrocortisone was decreased from 0.2 to 0.1 ( higher than required doses of fludrocort can cause these symptoms . ) .' +p112741 +(lp112742 +S'On\tOn\tIN\tB-PP\tO' +p112743 +aS'recommendation\trecommendation\tNN\tB-NP\tO' +p112744 +aS'from\tfrom\tIN\tB-PP\tO' +p112745 +aS'endocrine\tendocrine\tNN\tB-NP\tO' +p112746 +aS',\t,\t,\tO\tO' +p112747 +aS'her\ther\tPRP$\tB-NP\tO' +p112748 +aS'fludrocortisone\tfludrocortisone\tNN\tI-NP\tO' +p112749 +aS'was\tbe\tVBD\tB-VP\tO' +p112750 +aS'decreased\tdecrease\tVBN\tI-VP\tO' +p112751 +aS'from\tfrom\tIN\tB-PP\tO' +p112752 +aS'0.2\t0.2\tCD\tB-NP\tO' +p112753 +aS'to\tto\tTO\tB-PP\tO' +p112754 +aS'0.1\t0.1\tCD\tB-NP\tO' +p112755 +aS'(\t(\t(\tO\tO' +p112756 +aS'higher\thigh\tJJR\tB-ADJP\tO' +p112757 +aS'than\tthan\tIN\tB-PP\tO' +p112758 +aS'required\trequire\tVBN\tB-NP\tO' +p112759 +aS'doses\tdose\tNNS\tI-NP\tO' +p112760 +aS'of\tof\tIN\tB-PP\tO' +p112761 +aS'fludrocort\tfludrocort\tNN\tB-NP\tO' +p112762 +aS'can\tcan\tMD\tB-VP\tO' +p112763 +aS'cause\tcause\tVB\tI-VP\tO' +p112764 +aS'these\tthese\tDT\tB-NP\tO' +p112765 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p112766 +aS'.\t.\t.\tO\tO' +p112767 +aS')\t)\t)\tO\tO' +p112768 +aS'.\t.\t.\tO\tO' +p112769 +asS'Therefore , it was felt that the patient was most likely experiencing a primary pulmonary hypertension .' +p112770 +(lp112771 +S'Therefore\tTherefore\tRB\tB-ADVP\tO' +p112772 +aS',\t,\t,\tO\tO' +p112773 +aS'it\tit\tPRP\tB-NP\tO' +p112774 +aS'was\tbe\tVBD\tB-VP\tO' +p112775 +aS'felt\tfeel\tVBN\tI-VP\tO' +p112776 +aS'that\tthat\tIN\tB-SBAR\tO' +p112777 +aS'the\tthe\tDT\tB-NP\tO' +p112778 +aS'patient\tpatient\tNN\tI-NP\tO' +p112779 +aS'was\tbe\tVBD\tB-VP\tO' +p112780 +aS'most\tmost\tRBS\tI-VP\tO' +p112781 +aS'likely\tlikely\tRB\tI-VP\tO' +p112782 +aS'experiencing\texperience\tVBG\tI-VP\tO' +p112783 +aS'a\ta\tDT\tB-NP\tO' +p112784 +aS'primary\tprimary\tJJ\tI-NP\tO' +p112785 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p112786 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p112787 +aS'.\t.\t.\tO\tO' +p112788 +asS'Workup on admission included a chest x-ray negative for pneumonia , an MRI of the liver to investigate for focal lesion , with no evidence for abscess or focal lesion on report .' +p112789 +(lp112790 +S'Workup\tWorkup\tNN\tB-NP\tO' +p112791 +aS'on\ton\tIN\tB-PP\tO' +p112792 +aS'admission\tadmission\tNN\tB-NP\tO' +p112793 +aS'included\tinclude\tVBD\tB-VP\tO' +p112794 +aS'a\ta\tDT\tB-NP\tO' +p112795 +aS'chest\tchest\tNN\tI-NP\tO' +p112796 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p112797 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p112798 +aS'for\tfor\tIN\tB-PP\tO' +p112799 +aS'pneumonia\tpneumonia\tNN\tB-NP\tO' +p112800 +aS',\t,\t,\tO\tO' +p112801 +aS'an\tan\tDT\tB-NP\tO' +p112802 +aS'MRI\tMRI\tNN\tI-NP\tB-protein' +p112803 +aS'of\tof\tIN\tB-PP\tO' +p112804 +aS'the\tthe\tDT\tB-NP\tO' +p112805 +aS'liver\tliver\tNN\tI-NP\tO' +p112806 +aS'to\tto\tTO\tB-VP\tO' +p112807 +aS'investigate\tinvestigate\tVB\tI-VP\tO' +p112808 +aS'for\tfor\tIN\tB-PP\tO' +p112809 +aS'focal\tfocal\tJJ\tB-NP\tO' +p112810 +aS'lesion\tlesion\tNN\tI-NP\tO' +p112811 +aS',\t,\t,\tO\tO' +p112812 +aS'with\twith\tIN\tB-PP\tO' +p112813 +aS'no\tno\tDT\tB-NP\tO' +p112814 +aS'evidence\tevidence\tNN\tI-NP\tO' +p112815 +aS'for\tfor\tIN\tB-PP\tO' +p112816 +aS'abscess\tabscess\tNN\tB-NP\tO' +p112817 +aS'or\tor\tCC\tO\tO' +p112818 +aS'focal\tfocal\tJJ\tB-NP\tO' +p112819 +aS'lesion\tlesion\tNN\tI-NP\tO' +p112820 +aS'on\ton\tIN\tB-PP\tO' +p112821 +aS'report\treport\tNN\tB-NP\tO' +p112822 +aS'.\t.\t.\tO\tO' +p112823 +asS'Self discontinued Arimedex last month .' +p112824 +(lp112825 +S'Self\tSelf\tNNP\tB-NP\tO' +p112826 +aS'discontinued\tdiscontinue\tVBD\tB-VP\tO' +p112827 +aS'Arimedex\tArimedex\tNNP\tB-NP\tO' +p112828 +aS'last\tlast\tJJ\tB-NP\tO' +p112829 +aS'month\tmonth\tNN\tI-NP\tO' +p112830 +aS'.\t.\t.\tO\tO' +p112831 +asS'His lungs were clear to auscultation and percussion .' +p112832 +(lp112833 +S'His\tHis\tPRP$\tB-NP\tO' +p112834 +aS'lungs\tlung\tNNS\tI-NP\tO' +p112835 +aS'were\tbe\tVBD\tB-VP\tO' +p112836 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p112837 +aS'to\tto\tTO\tB-PP\tO' +p112838 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p112839 +aS'and\tand\tCC\tI-NP\tO' +p112840 +aS'percussion\tpercussion\tNN\tI-NP\tO' +p112841 +aS'.\t.\t.\tO\tO' +p112842 +asS'Vital signs stable on admission .' +p112843 +(lp112844 +S'Vital\tVital\tJJ\tB-NP\tO' +p112845 +aS'signs\tsign\tNNS\tI-NP\tO' +p112846 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p112847 +aS'on\ton\tIN\tB-PP\tO' +p112848 +aS'admission\tadmission\tNN\tB-NP\tO' +p112849 +aS'.\t.\t.\tO\tO' +p112850 +asS'ON 03-26 , his antibiotics were started as this most likely represent a transiet aspiration episode and not ARDS .' +p112851 +(lp112852 +S'ON\tON\tNN\tB-NP\tO' +p112853 +aS'03-26\t03-26\tCD\tI-NP\tO' +p112854 +aS',\t,\t,\tO\tO' +p112855 +aS'his\this\tPRP$\tB-NP\tO' +p112856 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p112857 +aS'were\tbe\tVBD\tB-VP\tO' +p112858 +aS'started\tstart\tVBN\tI-VP\tO' +p112859 +aS'as\tas\tIN\tB-PP\tO' +p112860 +aS'this\tthis\tDT\tB-NP\tO' +p112861 +aS'most\tmost\tRBS\tI-NP\tO' +p112862 +aS'likely\tlikely\tJJ\tI-NP\tO' +p112863 +aS'represent\trepresent\tVBP\tB-VP\tO' +p112864 +aS'a\ta\tDT\tB-NP\tO' +p112865 +aS'transiet\ttransiet\tJJ\tI-NP\tO' +p112866 +aS'aspiration\taspiration\tNN\tI-NP\tO' +p112867 +aS'episode\tepisode\tNN\tI-NP\tO' +p112868 +aS'and\tand\tCC\tB-NP\tO' +p112869 +aS'not\tnot\tRB\tI-NP\tO' +p112870 +aS'ARDS\tARDS\tNN\tB-NP\tO' +p112871 +aS'.\t.\t.\tO\tO' +p112872 +asS'On 08-06 , he received 2 units of pRBC and underwent plasmaphersis , followed by 10mg of IVIG .' +p112873 +(lp112874 +S'On\tOn\tIN\tB-PP\tO' +p112875 +aS'08-06\t08-06\tCD\tB-NP\tO' +p112876 +aS',\t,\t,\tO\tO' +p112877 +aS'he\the\tPRP\tB-NP\tO' +p112878 +aS'received\treceive\tVBD\tB-VP\tO' +p112879 +aS'2\t2\tCD\tB-NP\tO' +p112880 +aS'units\tunit\tNNS\tI-NP\tO' +p112881 +aS'of\tof\tIN\tB-PP\tO' +p112882 +aS'pRBC\tpRBC\tNN\tB-NP\tB-protein' +p112883 +aS'and\tand\tCC\tO\tO' +p112884 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p112885 +aS'plasmaphersis\tplasmaphersis\tNN\tB-NP\tO' +p112886 +aS',\t,\t,\tO\tO' +p112887 +aS'followed\tfollow\tVBN\tB-VP\tO' +p112888 +aS'by\tby\tIN\tB-PP\tO' +p112889 +aS'10mg\t10mg\tNN\tB-NP\tO' +p112890 +aS'of\tof\tIN\tB-PP\tO' +p112891 +aS'IVIG\tIVIG\tNN\tB-NP\tB-protein' +p112892 +aS'.\t.\t.\tO\tO' +p112893 +asS'Medically savvy - has spent much of her life in the hospital with her multiple medical problems .' +p112894 +(lp112895 +S'Medically\tMedically\tRB\tB-NP\tO' +p112896 +aS'savvy\tsavvy\tNN\tI-NP\tO' +p112897 +aS'-\t-\tHYPH\tB-ADJP\tO' +p112898 +aS'has\thave\tVBZ\tB-VP\tO' +p112899 +aS'spent\tspend\tVBN\tI-VP\tO' +p112900 +aS'much\tmuch\tRB\tB-NP\tO' +p112901 +aS'of\tof\tIN\tB-PP\tO' +p112902 +aS'her\ther\tPRP$\tB-NP\tO' +p112903 +aS'life\tlife\tNN\tI-NP\tO' +p112904 +aS'in\tin\tIN\tB-PP\tO' +p112905 +aS'the\tthe\tDT\tB-NP\tO' +p112906 +aS'hospital\thospital\tNN\tI-NP\tO' +p112907 +aS'with\twith\tIN\tB-PP\tO' +p112908 +aS'her\ther\tPRP$\tB-NP\tO' +p112909 +aS'multiple\tmultiple\tJJ\tI-NP\tO' +p112910 +aS'medical\tmedical\tJJ\tI-NP\tO' +p112911 +aS'problems\tproblem\tNNS\tI-NP\tO' +p112912 +aS'.\t.\t.\tO\tO' +p112913 +asS'This was a 55 - year-old gentleman with recently diagnosed abdominal carcinomatosis admitted with increased abdominal pain and poor oral intake .' +p112914 +(lp112915 +S'This\tThis\tDT\tB-NP\tO' +p112916 +aS'was\tbe\tVBD\tB-VP\tO' +p112917 +aS'a\ta\tDT\tB-NP\tO' +p112918 +aS'55\t55\tCD\tI-NP\tO' +p112919 +aS'-\t-\tHYPH\tI-NP\tO' +p112920 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p112921 +aS'gentleman\tgentleman\tNN\tI-NP\tO' +p112922 +aS'with\twith\tIN\tB-PP\tO' +p112923 +aS'recently\trecently\tRB\tB-NP\tO' +p112924 +aS'diagnosed\tdiagnose\tVBN\tI-NP\tO' +p112925 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p112926 +aS'carcinomatosis\tcarcinomatosis\tNN\tI-NP\tO' +p112927 +aS'admitted\tadmit\tVBN\tB-VP\tO' +p112928 +aS'with\twith\tIN\tB-PP\tO' +p112929 +aS'increased\tincrease\tVBN\tB-NP\tO' +p112930 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p112931 +aS'pain\tpain\tNN\tI-NP\tO' +p112932 +aS'and\tand\tCC\tO\tO' +p112933 +aS'poor\tpoor\tJJ\tB-NP\tO' +p112934 +aS'oral\toral\tJJ\tI-NP\tO' +p112935 +aS'intake\tintake\tNN\tI-NP\tO' +p112936 +aS'.\t.\t.\tO\tO' +p112937 +asS'He had some petechiae on his extremities , as well as in his mucosal membranes with some hemorrhagic bullae .' +p112938 +(lp112939 +S'He\tHe\tPRP\tB-NP\tO' +p112940 +aS'had\thave\tVBD\tB-VP\tO' +p112941 +aS'some\tsome\tDT\tB-NP\tO' +p112942 +aS'petechiae\tpetechiae\tNNS\tI-NP\tO' +p112943 +aS'on\ton\tIN\tB-PP\tO' +p112944 +aS'his\this\tPRP$\tB-NP\tO' +p112945 +aS'extremities\textremity\tNNS\tI-NP\tO' +p112946 +aS',\t,\t,\tO\tO' +p112947 +aS'as\tas\tRB\tB-CONJP\tO' +p112948 +aS'well\twell\tRB\tI-CONJP\tO' +p112949 +aS'as\tas\tIN\tI-CONJP\tO' +p112950 +aS'in\tin\tIN\tB-PP\tO' +p112951 +aS'his\this\tPRP$\tB-NP\tO' +p112952 +aS'mucosal\tmucosal\tJJ\tI-NP\tO' +p112953 +aS'membranes\tmembrane\tNNS\tI-NP\tO' +p112954 +aS'with\twith\tIN\tB-PP\tO' +p112955 +aS'some\tsome\tDT\tB-NP\tO' +p112956 +aS'hemorrhagic\themorrhagic\tJJ\tI-NP\tO' +p112957 +aS'bullae\tbullae\tNN\tI-NP\tO' +p112958 +aS'.\t.\t.\tO\tO' +p112959 +asS'She also took albuterol on a p.r.n. basis for her asthma .' +p112960 +(lp112961 +S'She\tShe\tPRP\tB-NP\tO' +p112962 +aS'also\talso\tRB\tB-ADVP\tO' +p112963 +aS'took\ttake\tVBD\tB-VP\tO' +p112964 +aS'albuterol\talbuterol\tNN\tB-NP\tO' +p112965 +aS'on\ton\tIN\tB-PP\tO' +p112966 +aS'a\ta\tDT\tB-NP\tO' +p112967 +aS'p.r.n.\tp.r.n.\tJJ\tI-NP\tO' +p112968 +aS'basis\tbasis\tNN\tI-NP\tO' +p112969 +aS'for\tfor\tIN\tB-PP\tO' +p112970 +aS'her\ther\tPRP$\tB-NP\tO' +p112971 +aS'asthma\tasthma\tNN\tI-NP\tO' +p112972 +aS'.\t.\t.\tO\tO' +p112973 +asS'Beverly was initially NPO and maintained on intravenous fluids .' +p112974 +(lp112975 +S'Beverly\tBeverly\tNNP\tB-NP\tO' +p112976 +aS'was\tbe\tVBD\tB-VP\tO' +p112977 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p112978 +aS'NPO\tNPO\tNN\tB-NP\tB-protein' +p112979 +aS'and\tand\tCC\tO\tO' +p112980 +aS'maintained\tmaintain\tVBN\tB-VP\tO' +p112981 +aS'on\ton\tIN\tB-PP\tO' +p112982 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p112983 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p112984 +aS'.\t.\t.\tO\tO' +p112985 +asS'Her HCT dropped and she recieved 1 unit PRBCs .' +p112986 +(lp112987 +S'Her\tHer\tPRP$\tB-NP\tO' +p112988 +aS'HCT\tHCT\tNN\tI-NP\tO' +p112989 +aS'dropped\tdrop\tVBD\tB-VP\tO' +p112990 +aS'and\tand\tCC\tO\tO' +p112991 +aS'she\tshe\tPRP\tB-NP\tB-cell_type' +p112992 +aS'recieved\trecieve\tVBD\tB-VP\tI-cell_type' +p112993 +aS'1\t1\tCD\tB-NP\tI-cell_type' +p112994 +aS'unit\tunit\tNN\tI-NP\tI-cell_type' +p112995 +aS'PRBCs\tPRBC\tNNS\tI-NP\tI-cell_type' +p112996 +aS'.\t.\t.\tO\tO' +p112997 +asS'Thromboembolus to the right profunda femoris , and right superficial femoral artery .' +p112998 +(lp112999 +S'Thromboembolus\tThromboembolus\tIN\tB-PP\tO' +p113000 +aS'to\tto\tTO\tB-PP\tO' +p113001 +aS'the\tthe\tDT\tB-NP\tO' +p113002 +aS'right\tright\tJJ\tI-NP\tO' +p113003 +aS'profunda\tprofunda\tNN\tI-NP\tO' +p113004 +aS'femoris\tfemoris\tNN\tI-NP\tO' +p113005 +aS',\t,\t,\tO\tO' +p113006 +aS'and\tand\tCC\tO\tO' +p113007 +aS'right\tright\tJJ\tB-NP\tO' +p113008 +aS'superficial\tsuperficial\tJJ\tI-NP\tO' +p113009 +aS'femoral\tfemoral\tJJ\tI-NP\tO' +p113010 +aS'artery\tartery\tNN\tI-NP\tO' +p113011 +aS'.\t.\t.\tO\tO' +p113012 +asS'We continued IV fluids at 100 cc per hour for one liter secondary to a concern for rhabdomyolysis plus kidney protective effects .' +p113013 +(lp113014 +S'We\tWe\tPRP\tB-NP\tO' +p113015 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p113016 +aS'IV\tIV\tCD\tB-NP\tO' +p113017 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p113018 +aS'at\tat\tIN\tB-PP\tO' +p113019 +aS'100\t100\tCD\tB-NP\tO' +p113020 +aS'cc\tcc\tNN\tI-NP\tO' +p113021 +aS'per\tper\tIN\tB-PP\tO' +p113022 +aS'hour\thour\tNN\tB-NP\tO' +p113023 +aS'for\tfor\tIN\tB-PP\tO' +p113024 +aS'one\tone\tCD\tB-NP\tO' +p113025 +aS'liter\tliter\tNN\tI-NP\tO' +p113026 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p113027 +aS'to\tto\tTO\tB-PP\tO' +p113028 +aS'a\ta\tDT\tB-NP\tO' +p113029 +aS'concern\tconcern\tNN\tI-NP\tO' +p113030 +aS'for\tfor\tIN\tB-PP\tO' +p113031 +aS'rhabdomyolysis\trhabdomyolysis\tNN\tB-NP\tO' +p113032 +aS'plus\tplus\tCC\tO\tO' +p113033 +aS'kidney\tkidney\tNN\tB-NP\tO' +p113034 +aS'protective\tprotective\tJJ\tI-NP\tO' +p113035 +aS'effects\teffect\tNNS\tI-NP\tO' +p113036 +aS'.\t.\t.\tO\tO' +p113037 +asS'You will need to continue to take special medications for these erosions .' +p113038 +(lp113039 +S'You\tYou\tPRP\tB-NP\tB-protein' +p113040 +aS'will\twill\tMD\tB-VP\tO' +p113041 +aS'need\tneed\tVB\tI-VP\tO' +p113042 +aS'to\tto\tTO\tI-VP\tO' +p113043 +aS'continue\tcontinue\tVB\tI-VP\tO' +p113044 +aS'to\tto\tTO\tI-VP\tO' +p113045 +aS'take\ttake\tVB\tI-VP\tO' +p113046 +aS'special\tspecial\tJJ\tB-NP\tO' +p113047 +aS'medications\tmedication\tNNS\tI-NP\tO' +p113048 +aS'for\tfor\tIN\tB-PP\tO' +p113049 +aS'these\tthese\tDT\tB-NP\tO' +p113050 +aS'erosions\terosion\tNNS\tI-NP\tO' +p113051 +aS'.\t.\t.\tO\tO' +p113052 +asS'Given the fact that the patient had significant apical akinesis , she was started on heparin with a transition to Coumadin for anticoagulation for stroke prevention in the setting of apical akinesis .' +p113053 +(lp113054 +S'Given\tGive\tVBN\tB-PP\tO' +p113055 +aS'the\tthe\tDT\tB-NP\tO' +p113056 +aS'fact\tfact\tNN\tI-NP\tO' +p113057 +aS'that\tthat\tIN\tB-SBAR\tO' +p113058 +aS'the\tthe\tDT\tB-NP\tO' +p113059 +aS'patient\tpatient\tNN\tI-NP\tO' +p113060 +aS'had\thave\tVBD\tB-VP\tO' +p113061 +aS'significant\tsignificant\tJJ\tB-NP\tO' +p113062 +aS'apical\tapical\tJJ\tI-NP\tO' +p113063 +aS'akinesis\takinesis\tNN\tI-NP\tO' +p113064 +aS',\t,\t,\tO\tO' +p113065 +aS'she\tshe\tPRP\tB-NP\tO' +p113066 +aS'was\tbe\tVBD\tB-VP\tO' +p113067 +aS'started\tstart\tVBN\tI-VP\tO' +p113068 +aS'on\ton\tIN\tB-PP\tO' +p113069 +aS'heparin\theparin\tNN\tB-NP\tO' +p113070 +aS'with\twith\tIN\tB-PP\tO' +p113071 +aS'a\ta\tDT\tB-NP\tO' +p113072 +aS'transition\ttransition\tNN\tI-NP\tO' +p113073 +aS'to\tto\tTO\tB-PP\tO' +p113074 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p113075 +aS'for\tfor\tIN\tB-PP\tO' +p113076 +aS'anticoagulation\tanticoagulation\tNN\tB-NP\tO' +p113077 +aS'for\tfor\tIN\tB-PP\tO' +p113078 +aS'stroke\tstroke\tNN\tB-NP\tO' +p113079 +aS'prevention\tprevention\tNN\tI-NP\tO' +p113080 +aS'in\tin\tIN\tB-PP\tO' +p113081 +aS'the\tthe\tDT\tB-NP\tO' +p113082 +aS'setting\tsetting\tNN\tI-NP\tO' +p113083 +aS'of\tof\tIN\tB-PP\tO' +p113084 +aS'apical\tapical\tJJ\tB-NP\tO' +p113085 +aS'akinesis\takinesis\tNN\tI-NP\tO' +p113086 +aS'.\t.\t.\tO\tO' +p113087 +asS'1. Docusate Sodium 100 mg Capsule Sig : One ( 1 ) Capsule PO TID ( 3 times a day ) as needed for Constipation .' +p113088 +(lp113089 +S'1.\t1.\tLS\tB-NP\tO' +p113090 +aS'Docusate\tDocusate\tNN\tI-NP\tO' +p113091 +aS'Sodium\tSodium\tNN\tI-NP\tO' +p113092 +aS'100\t100\tCD\tI-NP\tO' +p113093 +aS'mg\tmg\tNN\tI-NP\tO' +p113094 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p113095 +aS'Sig\tSig\tNNP\tI-NP\tO' +p113096 +aS':\t:\t:\tO\tO' +p113097 +aS'One\tOne\tCD\tB-NP\tO' +p113098 +aS'(\t(\t(\tO\tO' +p113099 +aS'1\t1\tCD\tB-NP\tO' +p113100 +aS')\t)\t)\tO\tO' +p113101 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p113102 +aS'PO\tPO\tNNP\tI-NP\tO' +p113103 +aS'TID\tTID\tNNP\tI-NP\tO' +p113104 +aS'(\t(\t(\tO\tO' +p113105 +aS'3\t3\tCD\tB-NP\tO' +p113106 +aS'times\ttime\tNNS\tI-NP\tO' +p113107 +aS'a\ta\tDT\tB-NP\tO' +p113108 +aS'day\tday\tNN\tI-NP\tO' +p113109 +aS')\t)\t)\tO\tO' +p113110 +aS'as\tas\tIN\tB-SBAR\tO' +p113111 +aS'needed\tneed\tVBN\tB-VP\tO' +p113112 +aS'for\tfor\tIN\tB-PP\tO' +p113113 +aS'Constipation\tConstipation\tNNP\tB-NP\tO' +p113114 +aS'.\t.\t.\tO\tO' +p113115 +asS'no stenosis ; no parenchymal lesions' +p113116 +(lp113117 +S'no\tno\tDT\tB-NP\tO' +p113118 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p113119 +aS';\t;\t:\tO\tO' +p113120 +aS'no\tno\tDT\tB-NP\tO' +p113121 +aS'parenchymal\tparenchymal\tJJ\tI-NP\tO' +p113122 +aS'lesions\tlesion\tNNS\tI-NP\tO' +p113123 +asS'She had 4+ edema to the knees bilaterally .' +p113124 +(lp113125 +S'She\tShe\tPRP\tB-NP\tO' +p113126 +aS'had\thave\tVBD\tB-VP\tO' +p113127 +aS'4+\t4+\tJJ\tB-NP\tO' +p113128 +aS'edema\tedema\tNN\tI-NP\tO' +p113129 +aS'to\tto\tTO\tB-PP\tO' +p113130 +aS'the\tthe\tDT\tB-NP\tO' +p113131 +aS'knees\tknee\tNNS\tI-NP\tO' +p113132 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p113133 +aS'.\t.\t.\tO\tO' +p113134 +asS'The major neurologic event of this hospital course was that the patient was slow to awake after his Propofol drip was discontinued .' +p113135 +(lp113136 +S'The\tThe\tDT\tB-NP\tO' +p113137 +aS'major\tmajor\tJJ\tI-NP\tO' +p113138 +aS'neurologic\tneurologic\tJJ\tI-NP\tO' +p113139 +aS'event\tevent\tNN\tI-NP\tO' +p113140 +aS'of\tof\tIN\tB-PP\tO' +p113141 +aS'this\tthis\tDT\tB-NP\tO' +p113142 +aS'hospital\thospital\tNN\tI-NP\tO' +p113143 +aS'course\tcourse\tNN\tI-NP\tO' +p113144 +aS'was\tbe\tVBD\tB-VP\tO' +p113145 +aS'that\tthat\tIN\tB-SBAR\tO' +p113146 +aS'the\tthe\tDT\tB-NP\tO' +p113147 +aS'patient\tpatient\tNN\tI-NP\tO' +p113148 +aS'was\tbe\tVBD\tB-VP\tO' +p113149 +aS'slow\tslow\tJJ\tB-ADJP\tO' +p113150 +aS'to\tto\tTO\tB-VP\tO' +p113151 +aS'awake\tawake\tVB\tI-VP\tO' +p113152 +aS'after\tafter\tIN\tB-PP\tO' +p113153 +aS'his\this\tPRP$\tB-NP\tO' +p113154 +aS'Propofol\tPropofol\tNN\tI-NP\tO' +p113155 +aS'drip\tdrip\tNN\tI-NP\tO' +p113156 +aS'was\tbe\tVBD\tB-VP\tO' +p113157 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p113158 +aS'.\t.\t.\tO\tO' +p113159 +asS'Unclear etiology , but likely aspiration event in Monica .' +p113160 +(lp113161 +S'Unclear\tUnclear\tJJ\tB-NP\tO' +p113162 +aS'etiology\tetiology\tNN\tI-NP\tO' +p113163 +aS',\t,\t,\tO\tO' +p113164 +aS'but\tbut\tCC\tO\tO' +p113165 +aS'likely\tlikely\tRB\tB-ADVP\tO' +p113166 +aS'aspiration\taspiration\tNN\tB-NP\tO' +p113167 +aS'event\tevent\tNN\tI-NP\tO' +p113168 +aS'in\tin\tIN\tB-PP\tO' +p113169 +aS'Monica\tMonica\tNNP\tB-NP\tO' +p113170 +aS'.\t.\t.\tO\tO' +p113171 +asS'17) DNR , but may intubate for reversible causes' +p113172 +(lp113173 +S'17)\t17)\tLS\tB-NP\tO' +p113174 +aS'DNR\tDNR\tNN\tI-NP\tB-protein' +p113175 +aS',\t,\t,\tO\tO' +p113176 +aS'but\tbut\tCC\tO\tO' +p113177 +aS'may\tmay\tMD\tB-VP\tO' +p113178 +aS'intubate\tintubate\tVB\tI-VP\tO' +p113179 +aS'for\tfor\tIN\tB-PP\tO' +p113180 +aS'reversible\treversible\tJJ\tB-NP\tO' +p113181 +aS'causes\tcause\tNNS\tI-NP\tO' +p113182 +asS'Folloowup is in one week with Dr. Ralekote .' +p113183 +(lp113184 +S'Folloowup\tFolloowup\tNNP\tB-NP\tO' +p113185 +aS'is\tbe\tVBZ\tB-VP\tO' +p113186 +aS'in\tin\tIN\tB-PP\tO' +p113187 +aS'one\tone\tCD\tB-NP\tO' +p113188 +aS'week\tweek\tNN\tI-NP\tO' +p113189 +aS'with\twith\tIN\tB-PP\tO' +p113190 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p113191 +aS'Ralekote\tRalekote\tNNP\tI-NP\tO' +p113192 +aS'.\t.\t.\tO\tO' +p113193 +asS'on abx , podiatry following , changed vac q3 days .' +p113194 +(lp113195 +S'on\ton\tIN\tB-PP\tO' +p113196 +aS'abx\tabx\tNN\tB-NP\tO' +p113197 +aS',\t,\t,\tO\tO' +p113198 +aS'podiatry\tpodiatry\tNN\tB-NP\tO' +p113199 +aS'following\tfollow\tVBG\tB-PP\tO' +p113200 +aS',\t,\t,\tO\tO' +p113201 +aS'changed\tchange\tVBD\tB-VP\tO' +p113202 +aS'vac\tvac\tNN\tB-NP\tO' +p113203 +aS'q3\tq3\tNN\tI-NP\tO' +p113204 +aS'days\tday\tNNS\tI-NP\tO' +p113205 +aS'.\t.\t.\tO\tO' +p113206 +asS'His blood sugars were in the 100s on discharge .' +p113207 +(lp113208 +S'His\tHis\tPRP$\tB-NP\tO' +p113209 +aS'blood\tblood\tNN\tI-NP\tO' +p113210 +aS'sugars\tsugar\tNNS\tI-NP\tO' +p113211 +aS'were\tbe\tVBD\tB-VP\tO' +p113212 +aS'in\tin\tIN\tB-PP\tO' +p113213 +aS'the\tthe\tDT\tB-NP\tO' +p113214 +aS'100s\t100\tNNS\tI-NP\tO' +p113215 +aS'on\ton\tIN\tB-PP\tO' +p113216 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p113217 +aS'.\t.\t.\tO\tO' +p113218 +asS'The aortic valve leaflets are mildly thickened .' +p113219 +(lp113220 +S'The\tThe\tDT\tB-NP\tO' +p113221 +aS'aortic\taortic\tJJ\tI-NP\tO' +p113222 +aS'valve\tvalve\tNN\tI-NP\tO' +p113223 +aS'leaflets\tleaflet\tNNS\tI-NP\tO' +p113224 +aS'are\tbe\tVBP\tB-VP\tO' +p113225 +aS'mildly\tmildly\tRB\tI-VP\tO' +p113226 +aS'thickened\tthicken\tVBN\tI-VP\tO' +p113227 +aS'.\t.\t.\tO\tO' +p113228 +asS'He was found to be at a large aspiration risk given his decreased mental status and the lack of presence of a gag reflex .' +p113229 +(lp113230 +S'He\tHe\tPRP\tB-NP\tO' +p113231 +aS'was\tbe\tVBD\tB-VP\tO' +p113232 +aS'found\tfind\tVBN\tI-VP\tO' +p113233 +aS'to\tto\tTO\tI-VP\tO' +p113234 +aS'be\tbe\tVB\tI-VP\tO' +p113235 +aS'at\tat\tIN\tB-PP\tO' +p113236 +aS'a\ta\tDT\tB-NP\tO' +p113237 +aS'large\tlarge\tJJ\tI-NP\tO' +p113238 +aS'aspiration\taspiration\tNN\tI-NP\tO' +p113239 +aS'risk\trisk\tNN\tI-NP\tO' +p113240 +aS'given\tgive\tVBN\tB-VP\tO' +p113241 +aS'his\this\tPRP$\tB-NP\tO' +p113242 +aS'decreased\tdecrease\tVBN\tI-NP\tO' +p113243 +aS'mental\tmental\tJJ\tI-NP\tO' +p113244 +aS'status\tstatus\tNN\tI-NP\tO' +p113245 +aS'and\tand\tCC\tO\tO' +p113246 +aS'the\tthe\tDT\tB-NP\tO' +p113247 +aS'lack\tlack\tNN\tI-NP\tO' +p113248 +aS'of\tof\tIN\tB-PP\tO' +p113249 +aS'presence\tpresence\tNN\tB-NP\tO' +p113250 +aS'of\tof\tIN\tB-PP\tO' +p113251 +aS'a\ta\tDT\tB-NP\tO' +p113252 +aS'gag\tgag\tNN\tI-NP\tO' +p113253 +aS'reflex\treflex\tNN\tI-NP\tO' +p113254 +aS'.\t.\t.\tO\tO' +p113255 +asS'His SBP s ranged 140 s- 170 s .' +p113256 +(lp113257 +S'His\tHis\tPRP$\tB-NP\tO' +p113258 +aS'SBP\tSBP\tNN\tI-NP\tB-protein' +p113259 +aS's\ts\tNNS\tI-NP\tI-protein' +p113260 +aS'ranged\trange\tVBD\tB-VP\tO' +p113261 +aS'140\t140\tCD\tB-NP\tO' +p113262 +aS's-\ts-\tJJ\tI-NP\tO' +p113263 +aS'170\t170\tCD\tI-NP\tO' +p113264 +aS's\ts\tNN\tI-NP\tO' +p113265 +aS'.\t.\t.\tO\tO' +p113266 +asS'5. Neurological : Wellesley has maintained a normal neurological examination .' +p113267 +(lp113268 +S'5.\t5.\tCD\tB-NP\tO' +p113269 +aS'Neurological\tNeurological\tNNP\tI-NP\tO' +p113270 +aS':\t:\t:\tO\tO' +p113271 +aS'Wellesley\tWellesley\tNNP\tB-NP\tO' +p113272 +aS'has\thave\tVBZ\tB-VP\tO' +p113273 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p113274 +aS'a\ta\tDT\tB-NP\tO' +p113275 +aS'normal\tnormal\tJJ\tI-NP\tO' +p113276 +aS'neurological\tneurological\tJJ\tI-NP\tO' +p113277 +aS'examination\texamination\tNN\tI-NP\tO' +p113278 +aS'.\t.\t.\tO\tO' +p113279 +asS'Her calcium was 8.5 , albumin 3.6 , and phosphate 4.5 .' +p113280 +(lp113281 +S'Her\tHer\tPRP$\tB-NP\tO' +p113282 +aS'calcium\tcalcium\tNN\tI-NP\tO' +p113283 +aS'was\tbe\tVBD\tB-VP\tO' +p113284 +aS'8.5\t8.5\tCD\tB-NP\tO' +p113285 +aS',\t,\t,\tO\tO' +p113286 +aS'albumin\talbumin\tNN\tB-NP\tB-protein' +p113287 +aS'3.6\t3.6\tCD\tI-NP\tI-protein' +p113288 +aS',\t,\t,\tO\tO' +p113289 +aS'and\tand\tCC\tO\tO' +p113290 +aS'phosphate\tphosphate\tNN\tB-NP\tB-protein' +p113291 +aS'4.5\t4.5\tCD\tI-NP\tI-protein' +p113292 +aS'.\t.\t.\tO\tO' +p113293 +asS'PEG in place , site without drainage .' +p113294 +(lp113295 +S'PEG\tPEG\tNN\tB-NP\tO' +p113296 +aS'in\tin\tIN\tB-PP\tO' +p113297 +aS'place\tplace\tNN\tB-NP\tO' +p113298 +aS',\t,\t,\tO\tO' +p113299 +aS'site\tsite\tNN\tB-NP\tO' +p113300 +aS'without\twithout\tIN\tB-PP\tO' +p113301 +aS'drainage\tdrainage\tNN\tB-NP\tO' +p113302 +aS'.\t.\t.\tO\tO' +p113303 +asS'She did well and was weaned from supplemental oxygen .' +p113304 +(lp113305 +S'She\tShe\tPRP\tB-NP\tO' +p113306 +aS'did\tdo\tVBD\tB-VP\tO' +p113307 +aS'well\twell\tRB\tB-ADVP\tO' +p113308 +aS'and\tand\tCC\tO\tO' +p113309 +aS'was\tbe\tVBD\tB-VP\tO' +p113310 +aS'weaned\twean\tVBN\tI-VP\tO' +p113311 +aS'from\tfrom\tIN\tB-PP\tO' +p113312 +aS'supplemental\tsupplemental\tJJ\tB-NP\tO' +p113313 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p113314 +aS'.\t.\t.\tO\tO' +p113315 +asS'He remained on Levophed , Milrinone and Neo-Synephrine drips and was hemodynamically stable .' +p113316 +(lp113317 +S'He\tHe\tPRP\tB-NP\tO' +p113318 +aS'remained\tremain\tVBD\tB-VP\tO' +p113319 +aS'on\ton\tIN\tB-PP\tO' +p113320 +aS'Levophed\tLevophed\tNNP\tB-NP\tO' +p113321 +aS',\t,\t,\tO\tO' +p113322 +aS'Milrinone\tMilrinone\tNNP\tB-NP\tO' +p113323 +aS'and\tand\tCC\tO\tO' +p113324 +aS'Neo-Synephrine\tNeo-Synephrine\tJJ\tB-NP\tO' +p113325 +aS'drips\tdrip\tNNS\tI-NP\tO' +p113326 +aS'and\tand\tCC\tO\tO' +p113327 +aS'was\tbe\tVBD\tB-VP\tO' +p113328 +aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' +p113329 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p113330 +aS'.\t.\t.\tO\tO' +p113331 +asS'Ctx q 6 ' .' +p113332 +(lp113333 +S'Ctx\tCtx\tNN\tB-NP\tB-protein' +p113334 +aS'q\tq\tNN\tI-NP\tO' +p113335 +aS'6\t6\tCD\tI-NP\tO' +p113336 +aS''\t'\tNN\tI-NP\tO' +p113337 +aS'.\t.\t.\tO\tO' +p113338 +asS'No signs of end-organ damage at present except for elevated creatinine , which is more likely a chronic problem .' +p113339 +(lp113340 +S'No\tNo\tDT\tB-NP\tO' +p113341 +aS'signs\tsign\tNNS\tI-NP\tO' +p113342 +aS'of\tof\tIN\tB-PP\tO' +p113343 +aS'end-organ\tend-organ\tJJ\tB-NP\tO' +p113344 +aS'damage\tdamage\tNN\tI-NP\tO' +p113345 +aS'at\tat\tIN\tB-PP\tO' +p113346 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p113347 +aS'except\texcept\tIN\tB-PP\tO' +p113348 +aS'for\tfor\tIN\tB-PP\tO' +p113349 +aS'elevated\televated\tJJ\tB-NP\tO' +p113350 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p113351 +aS',\t,\t,\tO\tO' +p113352 +aS'which\twhich\tWDT\tB-NP\tO' +p113353 +aS'is\tbe\tVBZ\tB-VP\tO' +p113354 +aS'more\tmore\tRBR\tB-ADVP\tO' +p113355 +aS'likely\tlikely\tRB\tI-ADVP\tO' +p113356 +aS'a\ta\tDT\tB-NP\tO' +p113357 +aS'chronic\tchronic\tJJ\tI-NP\tO' +p113358 +aS'problem\tproblem\tNN\tI-NP\tO' +p113359 +aS'.\t.\t.\tO\tO' +p113360 +asS'The patient is a 31-year-old right-handed female with right-sided greater than left-sided weakness and difficulty walking for several days .' +p113361 +(lp113362 +S'The\tThe\tDT\tB-NP\tO' +p113363 +aS'patient\tpatient\tNN\tI-NP\tO' +p113364 +aS'is\tbe\tVBZ\tB-VP\tO' +p113365 +aS'a\ta\tDT\tB-NP\tO' +p113366 +aS'31-year-old\t31-year-old\tJJ\tI-NP\tO' +p113367 +aS'right-handed\tright-handed\tJJ\tI-NP\tO' +p113368 +aS'female\tfemale\tNN\tI-NP\tO' +p113369 +aS'with\twith\tIN\tB-PP\tO' +p113370 +aS'right-sided\tright-sided\tJJ\tB-NP\tO' +p113371 +aS'greater\tgreat\tJJR\tI-NP\tO' +p113372 +aS'than\tthan\tIN\tB-PP\tO' +p113373 +aS'left-sided\tleft-sided\tJJ\tB-NP\tO' +p113374 +aS'weakness\tweakness\tNN\tI-NP\tO' +p113375 +aS'and\tand\tCC\tI-NP\tO' +p113376 +aS'difficulty\tdifficulty\tNN\tI-NP\tO' +p113377 +aS'walking\twalk\tVBG\tB-VP\tO' +p113378 +aS'for\tfor\tIN\tB-PP\tO' +p113379 +aS'several\tseveral\tJJ\tB-NP\tO' +p113380 +aS'days\tday\tNNS\tI-NP\tO' +p113381 +aS'.\t.\t.\tO\tO' +p113382 +asS'Mr. Morton is a 86 yo male transferred from Kindred Park View Specialty Hospital of Springfield-Sample .' +p113383 +(lp113384 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p113385 +aS'Morton\tMorton\tNNP\tI-NP\tO' +p113386 +aS'is\tbe\tVBZ\tB-VP\tO' +p113387 +aS'a\ta\tDT\tB-NP\tO' +p113388 +aS'86\t86\tCD\tI-NP\tO' +p113389 +aS'yo\tyo\tNN\tI-NP\tO' +p113390 +aS'male\tmale\tJJ\tI-NP\tO' +p113391 +aS'transferred\ttransfer\tVBN\tB-VP\tO' +p113392 +aS'from\tfrom\tIN\tB-PP\tO' +p113393 +aS'Kindred\tKindred\tNNP\tB-NP\tO' +p113394 +aS'Park\tPark\tNNP\tI-NP\tO' +p113395 +aS'View\tView\tNNP\tI-NP\tO' +p113396 +aS'Specialty\tSpecialty\tNNP\tI-NP\tO' +p113397 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p113398 +aS'of\tof\tIN\tB-PP\tO' +p113399 +aS'Springfield-Sample\tSpringfield-Sample\tNNP\tB-NP\tO' +p113400 +aS'.\t.\t.\tO\tO' +p113401 +asS'5. The infant received the hepatitis B vaccine on 2013-05-09 , and Synagis on 2013-05-11 .' +p113402 +(lp113403 +S'5.\t5.\tLS\tB-LST\tO' +p113404 +aS'The\tThe\tDT\tB-NP\tO' +p113405 +aS'infant\tinfant\tNN\tI-NP\tO' +p113406 +aS'received\treceive\tVBD\tB-VP\tO' +p113407 +aS'the\tthe\tDT\tB-NP\tO' +p113408 +aS'hepatitis\thepatitis\tNN\tI-NP\tO' +p113409 +aS'B\tB\tNN\tI-NP\tO' +p113410 +aS'vaccine\tvaccine\tNN\tI-NP\tO' +p113411 +aS'on\ton\tIN\tB-PP\tO' +p113412 +aS'2013-05-09\t2013-05-09\tCD\tB-NP\tO' +p113413 +aS',\t,\t,\tO\tO' +p113414 +aS'and\tand\tCC\tO\tO' +p113415 +aS'Synagis\tSynagis\tNNP\tB-NP\tO' +p113416 +aS'on\ton\tIN\tB-PP\tO' +p113417 +aS'2013-05-11\t2013-05-11\tCD\tB-NP\tO' +p113418 +aS'.\t.\t.\tO\tO' +p113419 +asS'Sodium 148 , potassium 3.4 , glucose 174 , P02 102 , PC02 115 , PH 7.11 on 40% 02 .' +p113420 +(lp113421 +S'Sodium\tSodium\tNN\tB-NP\tB-protein' +p113422 +aS'148\t148\tCD\tI-NP\tI-protein' +p113423 +aS',\t,\t,\tO\tO' +p113424 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p113425 +aS'3.4\t3.4\tCD\tI-NP\tO' +p113426 +aS',\t,\t,\tO\tO' +p113427 +aS'glucose\tglucose\tNN\tB-NP\tO' +p113428 +aS'174\t174\tCD\tI-NP\tO' +p113429 +aS',\t,\t,\tO\tO' +p113430 +aS'P02\tP02\tNN\tB-NP\tB-protein' +p113431 +aS'102\t102\tCD\tI-NP\tI-protein' +p113432 +aS',\t,\t,\tO\tO' +p113433 +aS'PC02\tPC02\tNN\tB-NP\tB-cell_line' +p113434 +aS'115\t115\tCD\tI-NP\tI-cell_line' +p113435 +aS',\t,\t,\tO\tO' +p113436 +aS'PH\tPH\tNN\tB-NP\tO' +p113437 +aS'7.11\t7.11\tCD\tI-NP\tO' +p113438 +aS'on\ton\tIN\tB-PP\tO' +p113439 +aS'40%\t40%\tCD\tB-NP\tO' +p113440 +aS'02\t02\tCD\tI-NP\tO' +p113441 +aS'.\t.\t.\tO\tO' +p113442 +asS'GNR Sepsis ; Steroid induced hyperglycemia ; Hydronephrosis ; SLE' +p113443 +(lp113444 +S'GNR\tGNR\tNNP\tB-NP\tO' +p113445 +aS'Sepsis\tSepsis\tNNP\tI-NP\tO' +p113446 +aS';\t;\t:\tO\tO' +p113447 +aS'Steroid\tSteroid\tNNP\tB-NP\tO' +p113448 +aS'induced\tinduce\tVBD\tB-VP\tO' +p113449 +aS'hyperglycemia\thyperglycemia\tNN\tB-NP\tO' +p113450 +aS';\t;\t:\tO\tO' +p113451 +aS'Hydronephrosis\tHydronephrosis\tNN\tB-NP\tO' +p113452 +aS';\t;\t:\tO\tO' +p113453 +aS'SLE\tSLE\tNN\tB-NP\tO' +p113454 +asS'Iron studies included a ferritin of 607 , an iron of 10 , and a TIBC of 239 .' +p113455 +(lp113456 +S'Iron\tIron\tNN\tB-NP\tO' +p113457 +aS'studies\tstudy\tNNS\tI-NP\tO' +p113458 +aS'included\tinclude\tVBD\tB-VP\tO' +p113459 +aS'a\ta\tDT\tB-NP\tO' +p113460 +aS'ferritin\tferritin\tNN\tI-NP\tB-protein' +p113461 +aS'of\tof\tIN\tB-PP\tO' +p113462 +aS'607\t607\tCD\tB-NP\tO' +p113463 +aS',\t,\t,\tO\tO' +p113464 +aS'an\tan\tDT\tB-NP\tO' +p113465 +aS'iron\tiron\tNN\tI-NP\tO' +p113466 +aS'of\tof\tIN\tB-PP\tO' +p113467 +aS'10\t10\tCD\tB-NP\tO' +p113468 +aS',\t,\t,\tO\tO' +p113469 +aS'and\tand\tCC\tO\tO' +p113470 +aS'a\ta\tDT\tB-NP\tO' +p113471 +aS'TIBC\tTIBC\tNN\tI-NP\tB-protein' +p113472 +aS'of\tof\tIN\tB-PP\tO' +p113473 +aS'239\t239\tCD\tB-NP\tO' +p113474 +aS'.\t.\t.\tO\tO' +p113475 +asS'Jugular venous pressure notable at the mid neck upright about 80 degree angles .' +p113476 +(lp113477 +S'Jugular\tJugular\tJJ\tB-NP\tO' +p113478 +aS'venous\tvenous\tJJ\tI-NP\tO' +p113479 +aS'pressure\tpressure\tNN\tI-NP\tO' +p113480 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p113481 +aS'at\tat\tIN\tB-PP\tO' +p113482 +aS'the\tthe\tDT\tB-NP\tO' +p113483 +aS'mid\tmid\tJJ\tI-NP\tO' +p113484 +aS'neck\tneck\tNN\tI-NP\tO' +p113485 +aS'upright\tupright\tNN\tI-NP\tO' +p113486 +aS'about\tabout\tIN\tB-NP\tO' +p113487 +aS'80\t80\tCD\tI-NP\tO' +p113488 +aS'degree\tdegree\tNN\tI-NP\tO' +p113489 +aS'angles\tangle\tNNS\tI-NP\tO' +p113490 +aS'.\t.\t.\tO\tO' +p113491 +asS'Signed electronically by : DR. Frank Z.K. Delgado on : Maxine 2017-07-27 3:37 PM' +p113492 +(lp113493 +S'Signed\tSign\tVBN\tB-VP\tO' +p113494 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p113495 +aS'by\tby\tIN\tB-PP\tO' +p113496 +aS':\t:\t:\tO\tO' +p113497 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p113498 +aS'Frank\tFrank\tNNP\tI-NP\tO' +p113499 +aS'Z.K.\tZ.K.\tNNP\tI-NP\tO' +p113500 +aS'Delgado\tDelgado\tNNP\tI-NP\tO' +p113501 +aS'on\ton\tIN\tB-PP\tO' +p113502 +aS':\t:\t:\tO\tO' +p113503 +aS'Maxine\tMaxine\tNN\tB-NP\tO' +p113504 +aS'2017-07-27\t2017-07-27\tCD\tI-NP\tO' +p113505 +aS'3:37\t3:37\tCD\tI-NP\tO' +p113506 +aS'PM\tPM\tNN\tI-NP\tO' +p113507 +asS'On the lateral view , surgical clips in the abdomen .' +p113508 +(lp113509 +S'On\tOn\tIN\tB-PP\tO' +p113510 +aS'the\tthe\tDT\tB-NP\tO' +p113511 +aS'lateral\tlateral\tJJ\tI-NP\tO' +p113512 +aS'view\tview\tNN\tI-NP\tO' +p113513 +aS',\t,\t,\tO\tO' +p113514 +aS'surgical\tsurgical\tJJ\tB-NP\tO' +p113515 +aS'clips\tclip\tNNS\tI-NP\tO' +p113516 +aS'in\tin\tIN\tB-PP\tO' +p113517 +aS'the\tthe\tDT\tB-NP\tO' +p113518 +aS'abdomen\tabdoman\tNNS\tI-NP\tO' +p113519 +aS'.\t.\t.\tO\tO' +p113520 +asS'This is a 58 - year-old woman who was transferred from Shaugnessy-Kaplan Rehab Hospital Hospital for cardiac catheterization .' +p113521 +(lp113522 +S'This\tThis\tDT\tB-NP\tO' +p113523 +aS'is\tbe\tVBZ\tB-VP\tO' +p113524 +aS'a\ta\tDT\tB-NP\tO' +p113525 +aS'58\t58\tCD\tI-NP\tO' +p113526 +aS'-\t-\tHYPH\tI-NP\tO' +p113527 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p113528 +aS'woman\twoman\tNN\tI-NP\tO' +p113529 +aS'who\twho\tWP\tB-NP\tO' +p113530 +aS'was\tbe\tVBD\tB-VP\tO' +p113531 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p113532 +aS'from\tfrom\tIN\tB-PP\tO' +p113533 +aS'Shaugnessy-Kaplan\tShaugnessy-Kaplan\tNNP\tB-NP\tO' +p113534 +aS'Rehab\tRehab\tNNP\tI-NP\tO' +p113535 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p113536 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p113537 +aS'for\tfor\tIN\tB-PP\tO' +p113538 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p113539 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p113540 +aS'.\t.\t.\tO\tO' +p113541 +asS'It was his impression that the patient 's hypertension was controlled on hydrochlorothiazide .' +p113542 +(lp113543 +S'It\tIt\tPRP\tB-NP\tO' +p113544 +aS'was\tbe\tVBD\tB-VP\tO' +p113545 +aS'his\this\tPRP$\tB-NP\tO' +p113546 +aS'impression\timpression\tNN\tI-NP\tO' +p113547 +aS'that\tthat\tIN\tB-SBAR\tO' +p113548 +aS'the\tthe\tDT\tB-NP\tO' +p113549 +aS'patient\tpatient\tNN\tI-NP\tO' +p113550 +aS''s\t'\tNNS\tI-NP\tO' +p113551 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p113552 +aS'was\tbe\tVBD\tB-VP\tO' +p113553 +aS'controlled\tcontrol\tVBN\tI-VP\tO' +p113554 +aS'on\ton\tIN\tB-PP\tO' +p113555 +aS'hydrochlorothiazide\thydrochlorothiazide\tNN\tB-NP\tO' +p113556 +aS'.\t.\t.\tO\tO' +p113557 +asS'Hearing was diminished for conversational speech .' +p113558 +(lp113559 +S'Hearing\tHearing\tNN\tB-NP\tO' +p113560 +aS'was\tbe\tVBD\tB-VP\tO' +p113561 +aS'diminished\tdiminish\tVBN\tI-VP\tO' +p113562 +aS'for\tfor\tIN\tB-PP\tO' +p113563 +aS'conversational\tconversational\tJJ\tB-NP\tO' +p113564 +aS'speech\tspeech\tNN\tI-NP\tO' +p113565 +aS'.\t.\t.\tO\tO' +p113566 +asS'Cardiac : RRR , no murmurs' +p113567 +(lp113568 +S'Cardiac\tCardiac\tJJ\tB-ADJP\tO' +p113569 +aS':\t:\t:\tO\tO' +p113570 +aS'RRR\tRRR\tNN\tB-NP\tB-protein' +p113571 +aS',\t,\t,\tO\tO' +p113572 +aS'no\tno\tDT\tB-NP\tO' +p113573 +aS'murmurs\tmurmur\tNNS\tI-NP\tO' +p113574 +asS'During his hospitalization , his intracranial pressure was monitored very closely and maintained to a level of less than 20 .' +p113575 +(lp113576 +S'During\tDuring\tIN\tB-PP\tO' +p113577 +aS'his\this\tPRP$\tB-NP\tO' +p113578 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p113579 +aS',\t,\t,\tO\tO' +p113580 +aS'his\this\tPRP$\tB-NP\tO' +p113581 +aS'intracranial\tintracranial\tJJ\tI-NP\tO' +p113582 +aS'pressure\tpressure\tNN\tI-NP\tO' +p113583 +aS'was\tbe\tVBD\tB-VP\tO' +p113584 +aS'monitored\tmonitor\tVBN\tI-VP\tO' +p113585 +aS'very\tvery\tRB\tB-ADVP\tO' +p113586 +aS'closely\tclosely\tRB\tI-ADVP\tO' +p113587 +aS'and\tand\tCC\tO\tO' +p113588 +aS'maintained\tmaintain\tVBD\tB-VP\tO' +p113589 +aS'to\tto\tTO\tB-PP\tO' +p113590 +aS'a\ta\tDT\tB-NP\tO' +p113591 +aS'level\tlevel\tNN\tI-NP\tO' +p113592 +aS'of\tof\tIN\tB-PP\tO' +p113593 +aS'less\tless\tJJR\tB-NP\tO' +p113594 +aS'than\tthan\tIN\tI-NP\tO' +p113595 +aS'20\t20\tCD\tI-NP\tO' +p113596 +aS'.\t.\t.\tO\tO' +p113597 +asS'1. Sarcoidosis since 2001 .' +p113598 +(lp113599 +S'1.\t1.\tLS\tB-NP\tO' +p113600 +aS'Sarcoidosis\tSarcoidosis\tNN\tI-NP\tO' +p113601 +aS'since\tsince\tIN\tB-PP\tO' +p113602 +aS'2001\t2001\tCD\tB-NP\tO' +p113603 +aS'.\t.\t.\tO\tO' +p113604 +asS"Baby is presently tolerating mother 's breastmilk with Enfamil powder to make 24 cal / oz at 130 cc / kg / day ." +p113605 +(lp113606 +S'Baby\tBaby\tNNP\tB-NP\tO' +p113607 +aS'is\tbe\tVBZ\tB-VP\tO' +p113608 +aS'presently\tpresently\tRB\tI-VP\tO' +p113609 +aS'tolerating\ttolerate\tVBG\tI-VP\tO' +p113610 +aS'mother\tmother\tNN\tB-NP\tO' +p113611 +aS"'s\t's\tPOS\tB-NP\tO" +p113612 +aS'breastmilk\tbreastmilk\tNN\tI-NP\tO' +p113613 +aS'with\twith\tIN\tB-PP\tO' +p113614 +aS'Enfamil\tEnfamil\tNN\tB-NP\tO' +p113615 +aS'powder\tpowder\tNN\tI-NP\tO' +p113616 +aS'to\tto\tTO\tB-VP\tO' +p113617 +aS'make\tmake\tVB\tI-VP\tO' +p113618 +aS'24\t24\tCD\tB-NP\tO' +p113619 +aS'cal\tcal\tJJ\tI-NP\tO' +p113620 +aS'/\t/\tSYM\tI-NP\tO' +p113621 +aS'oz\toz\tNN\tI-NP\tO' +p113622 +aS'at\tat\tIN\tB-PP\tO' +p113623 +aS'130\t130\tCD\tB-NP\tO' +p113624 +aS'cc\tcc\tNN\tI-NP\tO' +p113625 +aS'/\t/\tSYM\tB-NP\tO' +p113626 +aS'kg\tkg\tNN\tI-NP\tO' +p113627 +aS'/\t/\tSYM\tB-NP\tO' +p113628 +aS'day\tday\tNN\tI-NP\tO' +p113629 +aS'.\t.\t.\tO\tO' +p113630 +asS'19. Insulin Glargine 100 unit / mL Solution Sig : Four ( 4 ) units Subcutaneous at dinner time .' +p113631 +(lp113632 +S'19.\t19.\tLS\tB-NP\tO' +p113633 +aS'Insulin\tInsulin\tNN\tI-NP\tB-protein' +p113634 +aS'Glargine\tGlargine\tNN\tI-NP\tI-protein' +p113635 +aS'100\t100\tCD\tI-NP\tI-protein' +p113636 +aS'unit\tunit\tNN\tI-NP\tI-protein' +p113637 +aS'/\t/\tSYM\tB-NP\tO' +p113638 +aS'mL\tmL\tNN\tI-NP\tO' +p113639 +aS'Solution\tSolution\tNNP\tI-NP\tO' +p113640 +aS'Sig\tSig\tNNP\tI-NP\tO' +p113641 +aS':\t:\t:\tO\tO' +p113642 +aS'Four\tFour\tCD\tB-NP\tO' +p113643 +aS'(\t(\t(\tO\tO' +p113644 +aS'4\t4\tCD\tB-NP\tO' +p113645 +aS')\t)\t)\tO\tO' +p113646 +aS'units\tunit\tNNS\tB-NP\tO' +p113647 +aS'Subcutaneous\tSubcutaneous\tJJ\tB-ADJP\tO' +p113648 +aS'at\tat\tIN\tB-PP\tO' +p113649 +aS'dinner\tdinner\tNN\tB-NP\tO' +p113650 +aS'time\ttime\tNN\tI-NP\tO' +p113651 +aS'.\t.\t.\tO\tO' +p113652 +asS'In general , she was in no acute distress .' +p113653 +(lp113654 +S'In\tIn\tIN\tB-PP\tO' +p113655 +aS'general\tgeneral\tJJ\tB-ADJP\tO' +p113656 +aS',\t,\t,\tO\tO' +p113657 +aS'she\tshe\tPRP\tB-NP\tO' +p113658 +aS'was\tbe\tVBD\tB-VP\tO' +p113659 +aS'in\tin\tIN\tB-PP\tO' +p113660 +aS'no\tno\tDT\tB-NP\tO' +p113661 +aS'acute\tacute\tJJ\tI-NP\tO' +p113662 +aS'distress\tdistress\tNN\tI-NP\tO' +p113663 +aS'.\t.\t.\tO\tO' +p113664 +asS'AST was 175 , ALT 76 , LDH 454 .' +p113665 +(lp113666 +S'AST\tAST\tNN\tB-NP\tO' +p113667 +aS'was\tbe\tVBD\tB-VP\tO' +p113668 +aS'175\t175\tCD\tB-NP\tO' +p113669 +aS',\t,\t,\tO\tO' +p113670 +aS'ALT\tALT\tNN\tB-NP\tB-DNA' +p113671 +aS'76\t76\tCD\tI-NP\tI-DNA' +p113672 +aS',\t,\t,\tO\tO' +p113673 +aS'LDH\tLDH\tNN\tB-NP\tB-protein' +p113674 +aS'454\t454\tCD\tI-NP\tI-protein' +p113675 +aS'.\t.\t.\tO\tO' +p113676 +asS'Ms. Tlandkotesmitskote is a patient who came complaining of feeling dizzy and bumping into objects on her left side .' +p113677 +(lp113678 +S'Ms.\tMs.\tNNP\tB-NP\tO' +p113679 +aS'Tlandkotesmitskote\tTlandkotesmitskote\tNNP\tI-NP\tO' +p113680 +aS'is\tbe\tVBZ\tB-VP\tO' +p113681 +aS'a\ta\tDT\tB-NP\tO' +p113682 +aS'patient\tpatient\tNN\tI-NP\tO' +p113683 +aS'who\twho\tWP\tB-NP\tO' +p113684 +aS'came\tcome\tVBD\tB-VP\tO' +p113685 +aS'complaining\tcomplain\tVBG\tI-VP\tO' +p113686 +aS'of\tof\tIN\tB-PP\tO' +p113687 +aS'feeling\tfeeling\tNN\tB-NP\tO' +p113688 +aS'dizzy\tdizzy\tJJ\tB-ADJP\tO' +p113689 +aS'and\tand\tCC\tO\tO' +p113690 +aS'bumping\tbump\tVBG\tB-VP\tO' +p113691 +aS'into\tinto\tIN\tB-PP\tO' +p113692 +aS'objects\tobject\tNNS\tB-NP\tO' +p113693 +aS'on\ton\tIN\tB-PP\tO' +p113694 +aS'her\ther\tPRP$\tB-NP\tO' +p113695 +aS'left\tleft\tJJ\tI-NP\tO' +p113696 +aS'side\tside\tNN\tI-NP\tO' +p113697 +aS'.\t.\t.\tO\tO' +p113698 +asS'Disp : *50 Tablet( s )*' +p113699 +(lp113700 +S'Disp\tDisp\tNN\tB-NP\tO' +p113701 +aS':\t:\t:\tO\tO' +p113702 +aS'*50\t*50\tCD\tB-NP\tO' +p113703 +aS'Tablet(\tTablet(\t(\tI-NP\tO' +p113704 +aS's\ts\tNN\tI-NP\tO' +p113705 +aS')*\t)*\tSYM\tB-NP\tO' +p113706 +asS'She slept through the night , woke with persistent pain .' +p113707 +(lp113708 +S'She\tShe\tPRP\tB-NP\tO' +p113709 +aS'slept\tsleep\tVBD\tB-VP\tO' +p113710 +aS'through\tthrough\tIN\tB-PP\tO' +p113711 +aS'the\tthe\tDT\tB-NP\tO' +p113712 +aS'night\tnight\tNN\tI-NP\tO' +p113713 +aS',\t,\t,\tO\tO' +p113714 +aS'woke\twake\tVBP\tB-VP\tO' +p113715 +aS'with\twith\tIN\tB-PP\tO' +p113716 +aS'persistent\tpersistent\tJJ\tB-NP\tO' +p113717 +aS'pain\tpain\tNN\tI-NP\tO' +p113718 +aS'.\t.\t.\tO\tO' +p113719 +asS'Denies tobacco and ETOH .' +p113720 +(lp113721 +S'Denies\tDeny\tNNS\tB-NP\tO' +p113722 +aS'tobacco\ttobacco\tNN\tI-NP\tO' +p113723 +aS'and\tand\tCC\tI-NP\tO' +p113724 +aS'ETOH\tETOH\tNN\tI-NP\tB-protein' +p113725 +aS'.\t.\t.\tO\tO' +p113726 +asS'Blood pressure 120/70 , temperature 97.8 F , pulse 68 , respirations 22 , Sa02 on 2 L 94% .' +p113727 +(lp113728 +S'Blood\tBlood\tNN\tB-NP\tO' +p113729 +aS'pressure\tpressure\tNN\tI-NP\tO' +p113730 +aS'120/70\t120/70\tCD\tI-NP\tO' +p113731 +aS',\t,\t,\tO\tO' +p113732 +aS'temperature\ttemperature\tNN\tB-NP\tB-protein' +p113733 +aS'97.8\t97.8\tCD\tI-NP\tI-protein' +p113734 +aS'F\tF\tNN\tI-NP\tI-protein' +p113735 +aS',\t,\t,\tO\tO' +p113736 +aS'pulse\tpulse\tNN\tB-NP\tO' +p113737 +aS'68\t68\tCD\tI-NP\tO' +p113738 +aS',\t,\t,\tO\tO' +p113739 +aS'respirations\trespiration\tNNS\tB-NP\tO' +p113740 +aS'22\t22\tCD\tB-NP\tO' +p113741 +aS',\t,\t,\tO\tO' +p113742 +aS'Sa02\tSa02\tNN\tB-NP\tB-protein' +p113743 +aS'on\ton\tIN\tB-PP\tO' +p113744 +aS'2\t2\tCD\tB-NP\tO' +p113745 +aS'L\tL\tNN\tI-NP\tO' +p113746 +aS'94%\t94%\tNN\tI-NP\tO' +p113747 +aS'.\t.\t.\tO\tO' +p113748 +asS'He was medically managed for CHF and underwent a cardiac catheterization on 2014-03-06 .' +p113749 +(lp113750 +S'He\tHe\tPRP\tB-NP\tO' +p113751 +aS'was\tbe\tVBD\tB-VP\tO' +p113752 +aS'medically\tmedically\tRB\tI-VP\tO' +p113753 +aS'managed\tmanage\tVBN\tI-VP\tO' +p113754 +aS'for\tfor\tIN\tB-PP\tO' +p113755 +aS'CHF\tCHF\tNN\tB-NP\tB-protein' +p113756 +aS'and\tand\tCC\tO\tO' +p113757 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p113758 +aS'a\ta\tDT\tB-NP\tO' +p113759 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p113760 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p113761 +aS'on\ton\tIN\tB-PP\tO' +p113762 +aS'2014-03-06\t2014-03-06\tCD\tB-NP\tO' +p113763 +aS'.\t.\t.\tO\tO' +p113764 +asS'Positive for coronary artery disease .' +p113765 +(lp113766 +S'Positive\tPositive\tJJ\tB-ADJP\tO' +p113767 +aS'for\tfor\tIN\tB-PP\tO' +p113768 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p113769 +aS'artery\tartery\tNN\tI-NP\tO' +p113770 +aS'disease\tdisease\tNN\tI-NP\tO' +p113771 +aS'.\t.\t.\tO\tO' +p113772 +asS'Major stressors in his life include unstable job , brother is mentally handicapped , war .' +p113773 +(lp113774 +S'Major\tMajor\tJJ\tB-NP\tO' +p113775 +aS'stressors\tstressor\tNNS\tI-NP\tO' +p113776 +aS'in\tin\tIN\tB-PP\tO' +p113777 +aS'his\this\tPRP$\tB-NP\tO' +p113778 +aS'life\tlife\tNN\tI-NP\tO' +p113779 +aS'include\tinclude\tVBP\tB-VP\tO' +p113780 +aS'unstable\tunstable\tJJ\tB-NP\tO' +p113781 +aS'job\tjob\tNN\tI-NP\tO' +p113782 +aS',\t,\t,\tO\tO' +p113783 +aS'brother\tbrother\tNN\tB-NP\tO' +p113784 +aS'is\tbe\tVBZ\tB-VP\tO' +p113785 +aS'mentally\tmentally\tRB\tI-VP\tO' +p113786 +aS'handicapped\thandicap\tVBN\tI-VP\tO' +p113787 +aS',\t,\t,\tO\tO' +p113788 +aS'war\twar\tNN\tB-NP\tO' +p113789 +aS'.\t.\t.\tO\tO' +p113790 +asS'The patient became notably less anxious throughout hospital stay .' +p113791 +(lp113792 +S'The\tThe\tDT\tB-NP\tO' +p113793 +aS'patient\tpatient\tNN\tI-NP\tO' +p113794 +aS'became\tbecome\tVBD\tB-VP\tO' +p113795 +aS'notably\tnotably\tRB\tB-ADJP\tO' +p113796 +aS'less\tless\tRBR\tI-ADJP\tO' +p113797 +aS'anxious\tanxious\tJJ\tI-ADJP\tO' +p113798 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p113799 +aS'hospital\thospital\tNN\tB-NP\tO' +p113800 +aS'stay\tstay\tNN\tI-NP\tO' +p113801 +aS'.\t.\t.\tO\tO' +p113802 +asS'On October 15 , 1999 at 6 AM the patient was admitted to No Verlmerver Medical Center .' +p113803 +(lp113804 +S'On\tOn\tIN\tB-PP\tO' +p113805 +aS'October\tOctober\tNNP\tB-NP\tO' +p113806 +aS'15\t15\tCD\tI-NP\tO' +p113807 +aS',\t,\t,\tI-NP\tO' +p113808 +aS'1999\t1999\tCD\tI-NP\tO' +p113809 +aS'at\tat\tIN\tB-PP\tO' +p113810 +aS'6\t6\tCD\tB-NP\tO' +p113811 +aS'AM\tAM\tVBP\tB-VP\tO' +p113812 +aS'the\tthe\tDT\tB-NP\tO' +p113813 +aS'patient\tpatient\tNN\tI-NP\tO' +p113814 +aS'was\tbe\tVBD\tB-VP\tO' +p113815 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p113816 +aS'to\tto\tTO\tB-PP\tO' +p113817 +aS'No\tNo\tNNP\tB-NP\tO' +p113818 +aS'Verlmerver\tVerlmerver\tNNP\tI-NP\tO' +p113819 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p113820 +aS'Center\tCenter\tNNP\tI-NP\tO' +p113821 +aS'.\t.\t.\tO\tO' +p113822 +asS'The patient was advised to have a low fat / low cholesterol diet , was cleared by PT and advised to do cardiac rehabilitation .' +p113823 +(lp113824 +S'The\tThe\tDT\tB-NP\tO' +p113825 +aS'patient\tpatient\tNN\tI-NP\tO' +p113826 +aS'was\tbe\tVBD\tB-VP\tO' +p113827 +aS'advised\tadvise\tVBN\tI-VP\tO' +p113828 +aS'to\tto\tTO\tI-VP\tO' +p113829 +aS'have\thave\tVB\tI-VP\tO' +p113830 +aS'a\ta\tDT\tB-NP\tO' +p113831 +aS'low\tlow\tJJ\tI-NP\tO' +p113832 +aS'fat\tfat\tNN\tI-NP\tO' +p113833 +aS'/\t/\tSYM\tB-NP\tO' +p113834 +aS'low\tlow\tJJ\tI-NP\tO' +p113835 +aS'cholesterol\tcholesterol\tNN\tI-NP\tO' +p113836 +aS'diet\tdiet\tNN\tI-NP\tO' +p113837 +aS',\t,\t,\tO\tO' +p113838 +aS'was\tbe\tVBD\tB-VP\tO' +p113839 +aS'cleared\tclear\tVBN\tI-VP\tO' +p113840 +aS'by\tby\tIN\tB-PP\tO' +p113841 +aS'PT\tPT\tNN\tB-NP\tO' +p113842 +aS'and\tand\tCC\tO\tO' +p113843 +aS'advised\tadvise\tVBN\tB-VP\tO' +p113844 +aS'to\tto\tTO\tB-VP\tO' +p113845 +aS'do\tdo\tVB\tI-VP\tO' +p113846 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p113847 +aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' +p113848 +aS'.\t.\t.\tO\tO' +p113849 +asS"Repeat imaging revealed evidence of mild pulmonary congestion which was thought to account for the patient 's mild hypoxia ." +p113850 +(lp113851 +S'Repeat\tRepeat\tNN\tB-NP\tO' +p113852 +aS'imaging\timaging\tNN\tI-NP\tO' +p113853 +aS'revealed\treveal\tVBD\tB-VP\tO' +p113854 +aS'evidence\tevidence\tNN\tB-NP\tO' +p113855 +aS'of\tof\tIN\tB-PP\tO' +p113856 +aS'mild\tmild\tJJ\tB-NP\tO' +p113857 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p113858 +aS'congestion\tcongestion\tNN\tI-NP\tO' +p113859 +aS'which\twhich\tWDT\tB-NP\tO' +p113860 +aS'was\tbe\tVBD\tB-VP\tO' +p113861 +aS'thought\tthink\tVBN\tI-VP\tO' +p113862 +aS'to\tto\tTO\tI-VP\tO' +p113863 +aS'account\taccount\tVB\tI-VP\tO' +p113864 +aS'for\tfor\tIN\tB-PP\tO' +p113865 +aS'the\tthe\tDT\tB-NP\tO' +p113866 +aS'patient\tpatient\tNN\tI-NP\tO' +p113867 +aS"'s\t's\tPOS\tB-NP\tO" +p113868 +aS'mild\tmild\tJJ\tI-NP\tO' +p113869 +aS'hypoxia\thypoxia\tNN\tI-NP\tO' +p113870 +aS'.\t.\t.\tO\tO' +p113871 +asS'5. Oxycodone 5 mg Tablet Sig : One ( 1 ) Tablet PO Q4H ( every 4 hours ) as needed .' +p113872 +(lp113873 +S'5.\t5.\tLS\tB-NP\tO' +p113874 +aS'Oxycodone\tOxycodone\tNN\tI-NP\tO' +p113875 +aS'5\t5\tCD\tI-NP\tO' +p113876 +aS'mg\tmg\tNN\tI-NP\tO' +p113877 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p113878 +aS'Sig\tSig\tNNP\tI-NP\tO' +p113879 +aS':\t:\t:\tO\tO' +p113880 +aS'One\tOne\tCD\tB-NP\tO' +p113881 +aS'(\t(\t(\tO\tO' +p113882 +aS'1\t1\tCD\tB-NP\tO' +p113883 +aS')\t)\t)\tO\tO' +p113884 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p113885 +aS'PO\tPO\tNN\tI-NP\tO' +p113886 +aS'Q4H\tQ4H\tNN\tI-NP\tO' +p113887 +aS'(\t(\t(\tO\tO' +p113888 +aS'every\tevery\tDT\tB-NP\tO' +p113889 +aS'4\t4\tCD\tI-NP\tO' +p113890 +aS'hours\thour\tNNS\tI-NP\tO' +p113891 +aS')\t)\t)\tO\tO' +p113892 +aS'as\tas\tIN\tB-SBAR\tO' +p113893 +aS'needed\tneed\tVBN\tB-VP\tO' +p113894 +aS'.\t.\t.\tO\tO' +p113895 +asS'The speech was fluent and repetition was normal .' +p113896 +(lp113897 +S'The\tThe\tDT\tB-NP\tO' +p113898 +aS'speech\tspeech\tNN\tI-NP\tO' +p113899 +aS'was\tbe\tVBD\tB-VP\tO' +p113900 +aS'fluent\tfluent\tJJ\tB-ADJP\tO' +p113901 +aS'and\tand\tCC\tO\tO' +p113902 +aS'repetition\trepetition\tNN\tB-NP\tO' +p113903 +aS'was\tbe\tVBD\tB-VP\tO' +p113904 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p113905 +aS'.\t.\t.\tO\tO' +p113906 +asS'An abdominal wall hernia was also repaired .' +p113907 +(lp113908 +S'An\tAn\tDT\tB-NP\tO' +p113909 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p113910 +aS'wall\twall\tNN\tI-NP\tO' +p113911 +aS'hernia\thernia\tNN\tI-NP\tO' +p113912 +aS'was\tbe\tVBD\tB-VP\tO' +p113913 +aS'also\talso\tRB\tI-VP\tO' +p113914 +aS'repaired\trepair\tVBN\tI-VP\tO' +p113915 +aS'.\t.\t.\tO\tO' +p113916 +asS'She had a positive S4 .' +p113917 +(lp113918 +S'She\tShe\tPRP\tB-NP\tO' +p113919 +aS'had\thave\tVBD\tB-VP\tO' +p113920 +aS'a\ta\tDT\tB-NP\tO' +p113921 +aS'positive\tpositive\tJJ\tI-NP\tB-protein' +p113922 +aS'S4\tS4\tNN\tI-NP\tI-protein' +p113923 +aS'.\t.\t.\tO\tO' +p113924 +asS'There was decreased sensation to touch over the entire foot .' +p113925 +(lp113926 +S'There\tThere\tEX\tB-NP\tO' +p113927 +aS'was\tbe\tVBD\tB-VP\tO' +p113928 +aS'decreased\tdecrease\tVBN\tI-VP\tO' +p113929 +aS'sensation\tsensation\tNN\tB-NP\tO' +p113930 +aS'to\tto\tTO\tB-VP\tO' +p113931 +aS'touch\ttouch\tVB\tI-VP\tO' +p113932 +aS'over\tover\tIN\tB-PP\tO' +p113933 +aS'the\tthe\tDT\tB-NP\tO' +p113934 +aS'entire\tentire\tJJ\tI-NP\tO' +p113935 +aS'foot\tfoot\tNN\tI-NP\tO' +p113936 +aS'.\t.\t.\tO\tO' +p113937 +asS'May shower but no baths .' +p113938 +(lp113939 +S'May\tMay\tMD\tO\tO' +p113940 +aS'shower\tshower\tNN\tB-NP\tO' +p113941 +aS'but\tbut\tCC\tO\tO' +p113942 +aS'no\tno\tDT\tB-NP\tO' +p113943 +aS'baths\tbath\tNNS\tI-NP\tO' +p113944 +aS'.\t.\t.\tO\tO' +p113945 +asS'He was afebrile with stable vital signs and good urine output .' +p113946 +(lp113947 +S'He\tHe\tPRP\tB-NP\tO' +p113948 +aS'was\tbe\tVBD\tB-VP\tO' +p113949 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p113950 +aS'with\twith\tIN\tB-PP\tO' +p113951 +aS'stable\tstable\tJJ\tB-NP\tO' +p113952 +aS'vital\tvital\tJJ\tI-NP\tO' +p113953 +aS'signs\tsign\tNNS\tI-NP\tO' +p113954 +aS'and\tand\tCC\tO\tO' +p113955 +aS'good\tgood\tJJ\tB-NP\tO' +p113956 +aS'urine\turine\tNN\tI-NP\tO' +p113957 +aS'output\toutput\tNN\tI-NP\tO' +p113958 +aS'.\t.\t.\tO\tO' +p113959 +asS'Initial NIH stroke scale of 33 .' +p113960 +(lp113961 +S'Initial\tInitial\tJJ\tB-NP\tO' +p113962 +aS'NIH\tNIH\tNN\tI-NP\tO' +p113963 +aS'stroke\tstroke\tVBD\tB-VP\tO' +p113964 +aS'scale\tscale\tNN\tB-NP\tO' +p113965 +aS'of\tof\tIN\tB-PP\tO' +p113966 +aS'33\t33\tCD\tB-NP\tO' +p113967 +aS'.\t.\t.\tO\tO' +p113968 +asS'Mr. Villesatelkscurb is a fifty year old black gentleman with a long history of hepatitis C , believed to be contracted during transfusions in a previous trauma .' +p113969 +(lp113970 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p113971 +aS'Villesatelkscurb\tVillesatelkscurb\tNNP\tI-NP\tO' +p113972 +aS'is\tbe\tVBZ\tB-VP\tO' +p113973 +aS'a\ta\tDT\tB-NP\tO' +p113974 +aS'fifty\tfifty\tJJ\tI-NP\tO' +p113975 +aS'year\tyear\tNN\tI-NP\tO' +p113976 +aS'old\told\tJJ\tI-NP\tO' +p113977 +aS'black\tblack\tJJ\tI-NP\tO' +p113978 +aS'gentleman\tgentleman\tNN\tI-NP\tO' +p113979 +aS'with\twith\tIN\tB-PP\tO' +p113980 +aS'a\ta\tDT\tB-NP\tO' +p113981 +aS'long\tlong\tJJ\tI-NP\tO' +p113982 +aS'history\thistory\tNN\tI-NP\tO' +p113983 +aS'of\tof\tIN\tB-PP\tO' +p113984 +aS'hepatitis\thepatitis\tNN\tB-NP\tO' +p113985 +aS'C\tC\tNN\tI-NP\tO' +p113986 +aS',\t,\t,\tO\tO' +p113987 +aS'believed\tbelieve\tVBN\tB-VP\tO' +p113988 +aS'to\tto\tTO\tI-VP\tO' +p113989 +aS'be\tbe\tVB\tI-VP\tO' +p113990 +aS'contracted\tcontract\tVBN\tI-VP\tO' +p113991 +aS'during\tduring\tIN\tB-PP\tO' +p113992 +aS'transfusions\ttransfusion\tNNS\tB-NP\tO' +p113993 +aS'in\tin\tIN\tB-PP\tO' +p113994 +aS'a\ta\tDT\tB-NP\tO' +p113995 +aS'previous\tprevious\tJJ\tI-NP\tO' +p113996 +aS'trauma\ttrauma\tNN\tI-NP\tO' +p113997 +aS'.\t.\t.\tO\tO' +p113998 +asS'The UAC was left in place until day of life two and was removed after wean from dopamine .' +p113999 +(lp114000 +S'The\tThe\tDT\tB-NP\tO' +p114001 +aS'UAC\tUAC\tNNP\tI-NP\tO' +p114002 +aS'was\tbe\tVBD\tB-VP\tO' +p114003 +aS'left\tleave\tVBN\tI-VP\tO' +p114004 +aS'in\tin\tIN\tB-PP\tO' +p114005 +aS'place\tplace\tNN\tB-NP\tO' +p114006 +aS'until\tuntil\tIN\tB-PP\tO' +p114007 +aS'day\tday\tNN\tB-NP\tO' +p114008 +aS'of\tof\tIN\tB-PP\tO' +p114009 +aS'life\tlife\tNN\tB-NP\tO' +p114010 +aS'two\ttwo\tCD\tI-NP\tO' +p114011 +aS'and\tand\tCC\tO\tO' +p114012 +aS'was\tbe\tVBD\tB-VP\tO' +p114013 +aS'removed\tremove\tVBN\tI-VP\tO' +p114014 +aS'after\tafter\tIN\tB-PP\tO' +p114015 +aS'wean\twean\tJJ\tB-NP\tO' +p114016 +aS'from\tfrom\tIN\tB-PP\tO' +p114017 +aS'dopamine\tdopamine\tNN\tB-NP\tO' +p114018 +aS'.\t.\t.\tO\tO' +p114019 +asS'Heart rates 140 s to 150 s.' +p114020 +(lp114021 +S'Heart\tHeart\tNN\tB-NP\tO' +p114022 +aS'rates\trate\tNNS\tI-NP\tO' +p114023 +aS'140\t140\tCD\tB-NP\tO' +p114024 +aS's\ts\tNN\tI-NP\tO' +p114025 +aS'to\tto\tTO\tB-PP\tO' +p114026 +aS'150\t150\tCD\tB-NP\tO' +p114027 +aS's.\ts.\tNNS\tI-NP\tO' +p114028 +asS'His troponin was 20 and he had EKG changes .' +p114029 +(lp114030 +S'His\tHis\tPRP$\tB-NP\tO' +p114031 +aS'troponin\ttroponin\tNN\tI-NP\tO' +p114032 +aS'was\tbe\tVBD\tB-VP\tO' +p114033 +aS'20\t20\tCD\tB-NP\tO' +p114034 +aS'and\tand\tCC\tO\tO' +p114035 +aS'he\the\tPRP\tB-NP\tO' +p114036 +aS'had\thave\tVBD\tB-VP\tO' +p114037 +aS'EKG\tEKG\tNN\tB-NP\tO' +p114038 +aS'changes\tchange\tNNS\tI-NP\tO' +p114039 +aS'.\t.\t.\tO\tO' +p114040 +asS'# Recurrent ascites : On the medical floor , pt had a large volume paracentesis ( 6 liters ) followed by replacement with albumin .' +p114041 +(lp114042 +S'#\t#\t#\tB-NP\tO' +p114043 +aS'Recurrent\tRecurrent\tJJ\tI-NP\tO' +p114044 +aS'ascites\tascite\tNNS\tI-NP\tO' +p114045 +aS':\t:\t:\tO\tO' +p114046 +aS'On\tOn\tIN\tB-PP\tO' +p114047 +aS'the\tthe\tDT\tB-NP\tO' +p114048 +aS'medical\tmedical\tJJ\tI-NP\tO' +p114049 +aS'floor\tfloor\tNN\tI-NP\tO' +p114050 +aS',\t,\t,\tO\tO' +p114051 +aS'pt\tpt\tNN\tB-NP\tO' +p114052 +aS'had\thave\tVBD\tB-VP\tO' +p114053 +aS'a\ta\tDT\tB-NP\tO' +p114054 +aS'large\tlarge\tJJ\tI-NP\tO' +p114055 +aS'volume\tvolume\tNN\tI-NP\tO' +p114056 +aS'paracentesis\tparacentesis\tNN\tI-NP\tO' +p114057 +aS'(\t(\t(\tO\tO' +p114058 +aS'6\t6\tCD\tB-NP\tO' +p114059 +aS'liters\tliter\tNNS\tI-NP\tO' +p114060 +aS')\t)\t)\tO\tO' +p114061 +aS'followed\tfollow\tVBN\tB-VP\tO' +p114062 +aS'by\tby\tIN\tB-PP\tO' +p114063 +aS'replacement\treplacement\tNN\tB-NP\tO' +p114064 +aS'with\twith\tIN\tB-PP\tO' +p114065 +aS'albumin\talbumin\tNN\tB-NP\tB-protein' +p114066 +aS'.\t.\t.\tO\tO' +p114067 +asS'The patient presented to Bri Health in order to be evaluated for preoperative clearance .' +p114068 +(lp114069 +S'The\tThe\tDT\tB-NP\tO' +p114070 +aS'patient\tpatient\tNN\tI-NP\tO' +p114071 +aS'presented\tpresent\tVBN\tB-VP\tO' +p114072 +aS'to\tto\tTO\tB-PP\tO' +p114073 +aS'Bri\tBri\tNNP\tB-NP\tO' +p114074 +aS'Health\tHealth\tNNP\tI-NP\tO' +p114075 +aS'in\tin\tIN\tB-SBAR\tO' +p114076 +aS'order\torder\tNN\tO\tO' +p114077 +aS'to\tto\tTO\tB-VP\tO' +p114078 +aS'be\tbe\tVB\tI-VP\tO' +p114079 +aS'evaluated\tevaluate\tVBN\tI-VP\tO' +p114080 +aS'for\tfor\tIN\tB-PP\tO' +p114081 +aS'preoperative\tpreoperative\tJJ\tB-NP\tO' +p114082 +aS'clearance\tclearance\tNN\tI-NP\tO' +p114083 +aS'.\t.\t.\tO\tO' +p114084 +asS'Pulmonary edema .' +p114085 +(lp114086 +S'Pulmonary\tPulmonary\tJJ\tB-NP\tO' +p114087 +aS'edema\tedema\tNN\tI-NP\tO' +p114088 +aS'.\t.\t.\tO\tO' +p114089 +asS'During the course of hospitalization , the patient was followed by cardiac surgery , cardiology , infectious disease , allergy , and medicine , including GI teams .' +p114090 +(lp114091 +S'During\tDuring\tIN\tB-PP\tO' +p114092 +aS'the\tthe\tDT\tB-NP\tO' +p114093 +aS'course\tcourse\tNN\tI-NP\tO' +p114094 +aS'of\tof\tIN\tB-PP\tO' +p114095 +aS'hospitalization\thospitalization\tNN\tB-NP\tO' +p114096 +aS',\t,\t,\tO\tO' +p114097 +aS'the\tthe\tDT\tB-NP\tO' +p114098 +aS'patient\tpatient\tNN\tI-NP\tO' +p114099 +aS'was\tbe\tVBD\tB-VP\tO' +p114100 +aS'followed\tfollow\tVBN\tI-VP\tO' +p114101 +aS'by\tby\tIN\tB-PP\tO' +p114102 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p114103 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p114104 +aS',\t,\t,\tO\tO' +p114105 +aS'cardiology\tcardiology\tNN\tB-NP\tO' +p114106 +aS',\t,\t,\tO\tO' +p114107 +aS'infectious\tinfectious\tJJ\tB-NP\tO' +p114108 +aS'disease\tdisease\tNN\tI-NP\tO' +p114109 +aS',\t,\t,\tO\tO' +p114110 +aS'allergy\tallergy\tNN\tB-NP\tO' +p114111 +aS',\t,\t,\tO\tO' +p114112 +aS'and\tand\tCC\tO\tO' +p114113 +aS'medicine\tmedicine\tNN\tB-NP\tO' +p114114 +aS',\t,\t,\tO\tO' +p114115 +aS'including\tinclude\tVBG\tB-PP\tO' +p114116 +aS'GI\tGI\tNN\tB-NP\tB-protein' +p114117 +aS'teams\tteam\tNNS\tI-NP\tI-protein' +p114118 +aS'.\t.\t.\tO\tO' +p114119 +asS'Lungs - clear to percussion and auscultation on both sides .' +p114120 +(lp114121 +S'Lungs\tLung\tNNS\tB-NP\tO' +p114122 +aS'-\t-\tHYPH\tO\tO' +p114123 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p114124 +aS'to\tto\tTO\tB-PP\tO' +p114125 +aS'percussion\tpercussion\tNN\tB-NP\tO' +p114126 +aS'and\tand\tCC\tI-NP\tO' +p114127 +aS'auscultation\tauscultation\tNN\tI-NP\tO' +p114128 +aS'on\ton\tIN\tB-PP\tO' +p114129 +aS'both\tboth\tDT\tB-NP\tO' +p114130 +aS'sides\tside\tNNS\tI-NP\tO' +p114131 +aS'.\t.\t.\tO\tO' +p114132 +asS'A Swan was also placed .' +p114133 +(lp114134 +S'A\tA\tDT\tB-NP\tO' +p114135 +aS'Swan\tSwan\tNNP\tI-NP\tO' +p114136 +aS'was\tbe\tVBD\tB-VP\tO' +p114137 +aS'also\talso\tRB\tI-VP\tO' +p114138 +aS'placed\tplace\tVBN\tI-VP\tO' +p114139 +aS'.\t.\t.\tO\tO' +p114140 +asS'No acute distress .' +p114141 +(lp114142 +S'No\tNo\tDT\tB-NP\tO' +p114143 +aS'acute\tacute\tJJ\tI-NP\tO' +p114144 +aS'distress\tdistress\tNN\tI-NP\tO' +p114145 +aS'.\t.\t.\tO\tO' +p114146 +asS'He was initially started on broad spectrum antibiotics .' +p114147 +(lp114148 +S'He\tHe\tPRP\tB-NP\tO' +p114149 +aS'was\tbe\tVBD\tB-VP\tO' +p114150 +aS'initially\tinitially\tRB\tI-VP\tO' +p114151 +aS'started\tstart\tVBN\tI-VP\tO' +p114152 +aS'on\ton\tIN\tB-PP\tO' +p114153 +aS'broad\tbroad\tJJ\tB-NP\tO' +p114154 +aS'spectrum\tspectrum\tNN\tI-NP\tO' +p114155 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p114156 +aS'.\t.\t.\tO\tO' +p114157 +asS'She was transferred from the ICU back to the PP floor on 12-19 .' +p114158 +(lp114159 +S'She\tShe\tPRP\tB-NP\tO' +p114160 +aS'was\tbe\tVBD\tB-VP\tO' +p114161 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p114162 +aS'from\tfrom\tIN\tB-PP\tO' +p114163 +aS'the\tthe\tDT\tB-NP\tO' +p114164 +aS'ICU\tICU\tNN\tI-NP\tB-protein' +p114165 +aS'back\tback\tRB\tB-ADVP\tO' +p114166 +aS'to\tto\tTO\tB-PP\tO' +p114167 +aS'the\tthe\tDT\tB-NP\tO' +p114168 +aS'PP\tPP\tNN\tI-NP\tB-protein' +p114169 +aS'floor\tfloor\tNN\tI-NP\tI-protein' +p114170 +aS'on\ton\tIN\tB-PP\tO' +p114171 +aS'12-19\t12-19\tCD\tB-NP\tO' +p114172 +aS'.\t.\t.\tO\tO' +p114173 +asS'Heart regular .' +p114174 +(lp114175 +S'Heart\tHeart\tNN\tB-NP\tO' +p114176 +aS'regular\tregular\tJJ\tB-ADJP\tO' +p114177 +aS'.\t.\t.\tO\tO' +p114178 +asS'On admission include Cozaar 75 mg q.d. , Coumadin 2 mg/1 mg alternate days , Synthroid 175 mcg q.d. , Zoloft 50 mg q.d. , Zantac 150 mg b.i.d. , Diabeta 25 mg q.d. , Proctofoam 1% q.i.d. , Demerol 100 mg q 6 p.r.n. , OsCal 2 tabs t.i.d. , multivitamins and KCl supplements , Dulcolax 5 mg q.d. , Senokot 2 tabs q h.s. , Metamucil 1 tablespoon b.i.d. , Detrol 2 mg b.i.d. , Neurontin 200 mg t.i.d. , HydroDIURIL 12.5 mg q.d. , Valium 10 mg q 8 p.r.n. muscle spasm , Insulin by sliding scale and levofloxacin 500 mg q.d. beginning October 23 , 1999 .' +p114179 +(lp114180 +S'On\tOn\tIN\tB-PP\tO' +p114181 +aS'admission\tadmission\tNN\tB-NP\tO' +p114182 +aS'include\tinclude\tVBP\tB-VP\tO' +p114183 +aS'Cozaar\tCozaar\tNNP\tB-NP\tO' +p114184 +aS'75\t75\tCD\tI-NP\tO' +p114185 +aS'mg\tmg\tNN\tI-NP\tO' +p114186 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p114187 +aS',\t,\t,\tO\tO' +p114188 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p114189 +aS'2\t2\tCD\tI-NP\tO' +p114190 +aS'mg/1\tmg/1\tNN\tI-NP\tO' +p114191 +aS'mg\tmg\tNN\tI-NP\tO' +p114192 +aS'alternate\talternate\tJJ\tI-NP\tO' +p114193 +aS'days\tday\tNNS\tI-NP\tO' +p114194 +aS',\t,\t,\tO\tO' +p114195 +aS'Synthroid\tSynthroid\tJJ\tB-NP\tO' +p114196 +aS'175\t175\tCD\tI-NP\tO' +p114197 +aS'mcg\tmcg\tNN\tI-NP\tO' +p114198 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p114199 +aS',\t,\t,\tO\tO' +p114200 +aS'Zoloft\tZoloft\tNNP\tB-NP\tO' +p114201 +aS'50\t50\tCD\tI-NP\tO' +p114202 +aS'mg\tmg\tNN\tI-NP\tO' +p114203 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p114204 +aS',\t,\t,\tO\tO' +p114205 +aS'Zantac\tZantac\tNN\tB-NP\tO' +p114206 +aS'150\t150\tCD\tI-NP\tO' +p114207 +aS'mg\tmg\tNN\tI-NP\tO' +p114208 +aS'b.i.d.\tb.i.d.\tRB\tB-ADVP\tO' +p114209 +aS',\t,\t,\tO\tO' +p114210 +aS'Diabeta\tDiabeta\tNN\tB-NP\tO' +p114211 +aS'25\t25\tCD\tI-NP\tO' +p114212 +aS'mg\tmg\tNN\tI-NP\tO' +p114213 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p114214 +aS',\t,\t,\tO\tO' +p114215 +aS'Proctofoam\tProctofoam\tNNP\tB-NP\tO' +p114216 +aS'1%\t1%\tIN\tB-PP\tO' +p114217 +aS'q.i.d.\tq.i.d.\tNNP\tB-NP\tO' +p114218 +aS',\t,\t,\tO\tO' +p114219 +aS'Demerol\tDemerol\tNNP\tB-NP\tO' +p114220 +aS'100\t100\tCD\tI-NP\tO' +p114221 +aS'mg\tmg\tNN\tI-NP\tO' +p114222 +aS'q\tq\tNN\tI-NP\tO' +p114223 +aS'6\t6\tCD\tI-NP\tO' +p114224 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p114225 +aS',\t,\t,\tO\tO' +p114226 +aS'OsCal\tOsCal\tJJ\tB-NP\tB-protein' +p114227 +aS'2\t2\tCD\tI-NP\tI-protein' +p114228 +aS'tabs\ttab\tNNS\tI-NP\tI-protein' +p114229 +aS't.i.d.\tt.i.d.\tRB\tB-ADVP\tO' +p114230 +aS',\t,\t,\tO\tO' +p114231 +aS'multivitamins\tmultivitamin\tNNS\tB-NP\tO' +p114232 +aS'and\tand\tCC\tO\tO' +p114233 +aS'KCl\tKCl\tNN\tB-NP\tO' +p114234 +aS'supplements\tsupplement\tNNS\tI-NP\tO' +p114235 +aS',\t,\t,\tO\tO' +p114236 +aS'Dulcolax\tDulcolax\tNN\tB-NP\tO' +p114237 +aS'5\t5\tCD\tI-NP\tO' +p114238 +aS'mg\tmg\tNN\tI-NP\tO' +p114239 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p114240 +aS',\t,\t,\tO\tO' +p114241 +aS'Senokot\tSenokot\tNNP\tB-NP\tO' +p114242 +aS'2\t2\tCD\tI-NP\tO' +p114243 +aS'tabs\ttab\tNNS\tI-NP\tO' +p114244 +aS'q\tq\tNN\tI-NP\tO' +p114245 +aS'h.s.\th.s.\tNN\tI-NP\tO' +p114246 +aS',\t,\t,\tO\tO' +p114247 +aS'Metamucil\tMetamucil\tNNP\tB-NP\tO' +p114248 +aS'1\t1\tCD\tI-NP\tO' +p114249 +aS'tablespoon\ttablespoon\tNN\tI-NP\tO' +p114250 +aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' +p114251 +aS',\t,\t,\tO\tO' +p114252 +aS'Detrol\tDetrol\tNN\tB-NP\tO' +p114253 +aS'2\t2\tCD\tI-NP\tO' +p114254 +aS'mg\tmg\tNN\tI-NP\tO' +p114255 +aS'b.i.d.\tb.i.d.\tRB\tB-ADVP\tO' +p114256 +aS',\t,\t,\tO\tO' +p114257 +aS'Neurontin\tNeurontin\tNN\tB-NP\tB-protein' +p114258 +aS'200\t200\tCD\tI-NP\tI-protein' +p114259 +aS'mg\tmg\tNN\tI-NP\tI-protein' +p114260 +aS't.i.d.\tt.i.d.\tNN\tI-NP\tI-protein' +p114261 +aS',\t,\t,\tO\tO' +p114262 +aS'HydroDIURIL\tHydroDIURIL\tNN\tB-NP\tO' +p114263 +aS'12.5\t12.5\tCD\tI-NP\tO' +p114264 +aS'mg\tmg\tNN\tI-NP\tO' +p114265 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p114266 +aS',\t,\t,\tO\tO' +p114267 +aS'Valium\tValium\tNNP\tB-NP\tO' +p114268 +aS'10\t10\tCD\tI-NP\tO' +p114269 +aS'mg\tmg\tNN\tI-NP\tO' +p114270 +aS'q\tq\tNN\tI-NP\tO' +p114271 +aS'8\t8\tCD\tI-NP\tO' +p114272 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p114273 +aS'muscle\tmuscle\tNN\tI-NP\tO' +p114274 +aS'spasm\tspasm\tNN\tI-NP\tO' +p114275 +aS',\t,\t,\tO\tO' +p114276 +aS'Insulin\tInsulin\tNN\tB-NP\tB-protein' +p114277 +aS'by\tby\tIN\tB-PP\tO' +p114278 +aS'sliding\tslide\tVBG\tB-VP\tO' +p114279 +aS'scale\tscale\tNN\tB-NP\tO' +p114280 +aS'and\tand\tCC\tO\tO' +p114281 +aS'levofloxacin\tlevofloxacin\tNN\tB-NP\tO' +p114282 +aS'500\t500\tCD\tI-NP\tO' +p114283 +aS'mg\tmg\tNN\tI-NP\tO' +p114284 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p114285 +aS'beginning\tbegin\tVBG\tB-VP\tO' +p114286 +aS'October\tOctober\tNNP\tB-NP\tO' +p114287 +aS'23\t23\tCD\tI-NP\tO' +p114288 +aS',\t,\t,\tI-NP\tO' +p114289 +aS'1999\t1999\tCD\tI-NP\tO' +p114290 +aS'.\t.\t.\tO\tO' +p114291 +asS'6. Gangrene of his left second toe in 2010-06-06 followed by an amputation .' +p114292 +(lp114293 +S'6.\t6.\tLS\tB-NP\tO' +p114294 +aS'Gangrene\tGangrene\tNN\tI-NP\tO' +p114295 +aS'of\tof\tIN\tB-PP\tO' +p114296 +aS'his\this\tPRP$\tB-NP\tO' +p114297 +aS'left\tleft\tJJ\tI-NP\tO' +p114298 +aS'second\tsecond\tJJ\tI-NP\tO' +p114299 +aS'toe\ttoe\tNN\tI-NP\tO' +p114300 +aS'in\tin\tIN\tB-PP\tO' +p114301 +aS'2010-06-06\t2010-06-06\tCD\tB-NP\tO' +p114302 +aS'followed\tfollow\tVBN\tB-VP\tO' +p114303 +aS'by\tby\tIN\tB-PP\tO' +p114304 +aS'an\tan\tDT\tB-NP\tO' +p114305 +aS'amputation\tamputation\tNN\tI-NP\tO' +p114306 +aS'.\t.\t.\tO\tO' +p114307 +asS'She had increasing symptoms overtime , not controlled by conservative management .' +p114308 +(lp114309 +S'She\tShe\tPRP\tB-NP\tO' +p114310 +aS'had\thave\tVBD\tB-VP\tO' +p114311 +aS'increasing\tincrease\tVBG\tI-VP\tO' +p114312 +aS'symptoms\tsymptom\tNNS\tB-NP\tO' +p114313 +aS'overtime\tovertime\tRB\tB-ADVP\tO' +p114314 +aS',\t,\t,\tO\tO' +p114315 +aS'not\tnot\tRB\tB-VP\tO' +p114316 +aS'controlled\tcontrol\tVBN\tI-VP\tO' +p114317 +aS'by\tby\tIN\tB-PP\tO' +p114318 +aS'conservative\tconservative\tJJ\tB-NP\tO' +p114319 +aS'management\tmanagement\tNN\tI-NP\tO' +p114320 +aS'.\t.\t.\tO\tO' +p114321 +asS'Signed electronically by : DR. Timothy Clemons on : MON 2010-07-26 11:01 AM' +p114322 +(lp114323 +S'Signed\tSign\tVBN\tB-VP\tO' +p114324 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p114325 +aS'by\tby\tIN\tB-PP\tO' +p114326 +aS':\t:\t:\tO\tO' +p114327 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p114328 +aS'Timothy\tTimothy\tNNP\tI-NP\tO' +p114329 +aS'Clemons\tClemons\tNNP\tI-NP\tO' +p114330 +aS'on\ton\tIN\tB-PP\tO' +p114331 +aS':\t:\t:\tO\tO' +p114332 +aS'MON\tMON\tNN\tB-NP\tO' +p114333 +aS'2010-07-26\t2010-07-26\tCD\tI-NP\tO' +p114334 +aS'11:01\t11:01\tCD\tI-NP\tO' +p114335 +aS'AM\tAM\tNN\tI-NP\tO' +p114336 +asS'Head , eyes , ears , nose , and throat revealed oropharynx was moist .' +p114337 +(lp114338 +S'Head\tHead\tRB\tB-ADVP\tO' +p114339 +aS',\t,\t,\tO\tO' +p114340 +aS'eyes\teye\tNNS\tB-NP\tO' +p114341 +aS',\t,\t,\tO\tO' +p114342 +aS'ears\tear\tNNS\tB-NP\tO' +p114343 +aS',\t,\t,\tO\tO' +p114344 +aS'nose\tnose\tNN\tB-NP\tO' +p114345 +aS',\t,\t,\tO\tO' +p114346 +aS'and\tand\tCC\tO\tO' +p114347 +aS'throat\tthroat\tNN\tB-NP\tO' +p114348 +aS'revealed\treveal\tVBD\tB-VP\tO' +p114349 +aS'oropharynx\toropharynx\tNN\tB-NP\tO' +p114350 +aS'was\tbe\tVBD\tB-VP\tO' +p114351 +aS'moist\tmoist\tNN\tB-NP\tO' +p114352 +aS'.\t.\t.\tO\tO' +p114353 +asS'Foley catheter was removed .' +p114354 +(lp114355 +S'Foley\tFoley\tNNP\tB-NP\tO' +p114356 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p114357 +aS'was\tbe\tVBD\tB-VP\tO' +p114358 +aS'removed\tremove\tVBN\tI-VP\tO' +p114359 +aS'.\t.\t.\tO\tO' +p114360 +asS'3. ? Parkinsons vs. EPS side effects from risperdal' +p114361 +(lp114362 +S'3.\t3.\tLS\tB-LST\tO' +p114363 +aS'?\t?\t.\tO\tO' +p114364 +aS'Parkinsons\tParkinson\tNNPS\tB-NP\tO' +p114365 +aS'vs.\tvs.\tCC\tB-PP\tO' +p114366 +aS'EPS\tEPS\tNNP\tB-NP\tO' +p114367 +aS'side\tside\tNN\tI-NP\tO' +p114368 +aS'effects\teffect\tNNS\tI-NP\tO' +p114369 +aS'from\tfrom\tIN\tB-PP\tO' +p114370 +aS'risperdal\trisperdal\tJJ\tB-NP\tO' +p114371 +asS'Teaching has been completed on the care of the Boviak as well as administration of factor 8 .' +p114372 +(lp114373 +S'Teaching\tTeaching\tNN\tB-NP\tO' +p114374 +aS'has\thave\tVBZ\tB-VP\tO' +p114375 +aS'been\tbe\tVBN\tI-VP\tO' +p114376 +aS'completed\tcomplete\tVBN\tI-VP\tO' +p114377 +aS'on\ton\tIN\tB-PP\tO' +p114378 +aS'the\tthe\tDT\tB-NP\tO' +p114379 +aS'care\tcare\tNN\tI-NP\tO' +p114380 +aS'of\tof\tIN\tB-PP\tO' +p114381 +aS'the\tthe\tDT\tB-NP\tO' +p114382 +aS'Boviak\tBoviak\tNNP\tI-NP\tO' +p114383 +aS'as\tas\tRB\tB-CONJP\tO' +p114384 +aS'well\twell\tRB\tI-CONJP\tO' +p114385 +aS'as\tas\tIN\tI-CONJP\tO' +p114386 +aS'administration\tadministration\tNN\tB-NP\tO' +p114387 +aS'of\tof\tIN\tB-PP\tO' +p114388 +aS'factor\tfactor\tNN\tB-NP\tB-protein' +p114389 +aS'8\t8\tCD\tI-NP\tI-protein' +p114390 +aS'.\t.\t.\tO\tO' +p114391 +asS'7. Albuterol neb 2.5 mg every six hours , 30 minutes before Colistin .' +p114392 +(lp114393 +S'7.\t7.\tCD\tB-NP\tO' +p114394 +aS'Albuterol\tAlbuterol\tNNP\tI-NP\tO' +p114395 +aS'neb\tneb\tNN\tI-NP\tO' +p114396 +aS'2.5\t2.5\tCD\tI-NP\tO' +p114397 +aS'mg\tmg\tNN\tI-NP\tO' +p114398 +aS'every\tevery\tDT\tB-NP\tO' +p114399 +aS'six\tsix\tCD\tI-NP\tO' +p114400 +aS'hours\thour\tNNS\tI-NP\tO' +p114401 +aS',\t,\t,\tO\tO' +p114402 +aS'30\t30\tCD\tB-NP\tO' +p114403 +aS'minutes\tminute\tNNS\tI-NP\tO' +p114404 +aS'before\tbefore\tIN\tB-PP\tO' +p114405 +aS'Colistin\tColistin\tNNP\tB-NP\tO' +p114406 +aS'.\t.\t.\tO\tO' +p114407 +asS'The patient denied any orthopnea , shortness of breath , chest pain , paroxysmal nocturnal dyspnea or cough .' +p114408 +(lp114409 +S'The\tThe\tDT\tB-NP\tO' +p114410 +aS'patient\tpatient\tNN\tI-NP\tO' +p114411 +aS'denied\tdeny\tVBD\tB-VP\tO' +p114412 +aS'any\tany\tDT\tB-NP\tO' +p114413 +aS'orthopnea\torthopnea\tNN\tI-NP\tO' +p114414 +aS',\t,\t,\tO\tO' +p114415 +aS'shortness\tshortness\tNN\tB-NP\tO' +p114416 +aS'of\tof\tIN\tB-PP\tO' +p114417 +aS'breath\tbreath\tNN\tB-NP\tO' +p114418 +aS',\t,\t,\tO\tO' +p114419 +aS'chest\tchest\tNN\tB-NP\tO' +p114420 +aS'pain\tpain\tNN\tI-NP\tO' +p114421 +aS',\t,\t,\tO\tO' +p114422 +aS'paroxysmal\tparoxysmal\tJJ\tB-NP\tO' +p114423 +aS'nocturnal\tnocturnal\tJJ\tI-NP\tO' +p114424 +aS'dyspnea\tdyspnea\tNN\tI-NP\tO' +p114425 +aS'or\tor\tCC\tI-NP\tO' +p114426 +aS'cough\tcough\tNN\tI-NP\tO' +p114427 +aS'.\t.\t.\tO\tO' +p114428 +asS'Albuterol and Atrovent nebulizers were done .' +p114429 +(lp114430 +S'Albuterol\tAlbuterol\tNN\tB-NP\tO' +p114431 +aS'and\tand\tCC\tI-NP\tO' +p114432 +aS'Atrovent\tAtrovent\tNN\tI-NP\tO' +p114433 +aS'nebulizers\tnebulizer\tNNS\tI-NP\tO' +p114434 +aS'were\tbe\tVBD\tB-VP\tO' +p114435 +aS'done\tdo\tVBN\tI-VP\tO' +p114436 +aS'.\t.\t.\tO\tO' +p114437 +asS'Attending : Stephanie I Sept , M.D.' +p114438 +(lp114439 +S'Attending\tAttend\tVBG\tB-VP\tO' +p114440 +aS':\t:\t:\tO\tO' +p114441 +aS'Stephanie\tStephanie\tNNP\tB-NP\tO' +p114442 +aS'I\tI\tNNP\tI-NP\tO' +p114443 +aS'Sept\tSept\tNNP\tI-NP\tO' +p114444 +aS',\t,\t,\tO\tO' +p114445 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p114446 +asS'- culture if spikes .' +p114447 +(lp114448 +S'-\t-\tHYPH\tB-NP\tO' +p114449 +aS'culture\tculture\tNN\tI-NP\tO' +p114450 +aS'if\tif\tIN\tB-SBAR\tO' +p114451 +aS'spikes\tspike\tNNS\tB-NP\tO' +p114452 +aS'.\t.\t.\tO\tO' +p114453 +asS'Temperature 98.6 , 66 .' +p114454 +(lp114455 +S'Temperature\tTemperature\tNN\tB-NP\tO' +p114456 +aS'98.6\t98.6\tCD\tI-NP\tO' +p114457 +aS',\t,\t,\tI-NP\tO' +p114458 +aS'66\t66\tCD\tI-NP\tO' +p114459 +aS'.\t.\t.\tO\tO' +p114460 +asS'CABG surgery with two vessel bypass was done on 11/18/97 .' +p114461 +(lp114462 +S'CABG\tCABG\tNN\tB-NP\tO' +p114463 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p114464 +aS'with\twith\tIN\tB-PP\tO' +p114465 +aS'two\ttwo\tCD\tB-NP\tO' +p114466 +aS'vessel\tvessel\tNN\tI-NP\tO' +p114467 +aS'bypass\tbypass\tNN\tI-NP\tO' +p114468 +aS'was\tbe\tVBD\tB-VP\tO' +p114469 +aS'done\tdo\tVBN\tI-VP\tO' +p114470 +aS'on\ton\tIN\tB-PP\tO' +p114471 +aS'11/18/97\t11/18/97\tCD\tB-NP\tO' +p114472 +aS'.\t.\t.\tO\tO' +p114473 +asS'Gait was reported to be normal , as per the emergency room staff .' +p114474 +(lp114475 +S'Gait\tGait\tNN\tB-NP\tO' +p114476 +aS'was\tbe\tVBD\tB-VP\tO' +p114477 +aS'reported\treport\tVBN\tI-VP\tO' +p114478 +aS'to\tto\tTO\tI-VP\tO' +p114479 +aS'be\tbe\tVB\tI-VP\tO' +p114480 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p114481 +aS',\t,\t,\tO\tO' +p114482 +aS'as\tas\tIN\tB-PP\tO' +p114483 +aS'per\tper\tIN\tB-PP\tO' +p114484 +aS'the\tthe\tDT\tB-NP\tO' +p114485 +aS'emergency\temergency\tNN\tI-NP\tO' +p114486 +aS'room\troom\tNN\tI-NP\tO' +p114487 +aS'staff\tstaff\tNN\tI-NP\tO' +p114488 +aS'.\t.\t.\tO\tO' +p114489 +asS'9. Propranolol 10 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ) .' +p114490 +(lp114491 +S'9.\t9.\tCD\tB-NP\tO' +p114492 +aS'Propranolol\tPropranolol\tNN\tI-NP\tO' +p114493 +aS'10\t10\tCD\tB-NP\tO' +p114494 +aS'mg\tmg\tNN\tI-NP\tO' +p114495 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p114496 +aS'Sig\tSig\tNNP\tI-NP\tO' +p114497 +aS':\t:\t:\tO\tO' +p114498 +aS'One\tOne\tCD\tB-NP\tO' +p114499 +aS'(\t(\t(\tO\tO' +p114500 +aS'1\t1\tCD\tB-NP\tO' +p114501 +aS')\t)\t)\tO\tO' +p114502 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p114503 +aS'PO\tPO\tNN\tI-NP\tO' +p114504 +aS'BID\tBID\tNN\tI-NP\tO' +p114505 +aS'(\t(\t(\tO\tO' +p114506 +aS'2\t2\tCD\tB-NP\tO' +p114507 +aS'times\ttime\tNNS\tI-NP\tO' +p114508 +aS'a\ta\tDT\tB-NP\tO' +p114509 +aS'day\tday\tNN\tI-NP\tO' +p114510 +aS')\t)\t)\tO\tO' +p114511 +aS'.\t.\t.\tO\tO' +p114512 +asS'He has no known drug allergies .' +p114513 +(lp114514 +S'He\tHe\tPRP\tB-NP\tO' +p114515 +aS'has\thave\tVBZ\tB-VP\tO' +p114516 +aS'no\tno\tDT\tB-NP\tO' +p114517 +aS'known\tknow\tVBN\tI-NP\tO' +p114518 +aS'drug\tdrug\tNN\tI-NP\tO' +p114519 +aS'allergies\tallergy\tNNS\tI-NP\tO' +p114520 +aS'.\t.\t.\tO\tO' +p114521 +asS'Plavix 75 mg p.o. every day .' +p114522 +(lp114523 +S'Plavix\tPlavix\tNN\tB-NP\tO' +p114524 +aS'75\t75\tCD\tI-NP\tO' +p114525 +aS'mg\tmg\tNN\tI-NP\tO' +p114526 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p114527 +aS'every\tevery\tDT\tB-NP\tO' +p114528 +aS'day\tday\tNN\tI-NP\tO' +p114529 +aS'.\t.\t.\tO\tO' +p114530 +asS'The patient still had a PICC line at the time , although TPN was being held and calorie counts were done to evaluate the benefit of p.o. nutrition .' +p114531 +(lp114532 +S'The\tThe\tDT\tB-NP\tO' +p114533 +aS'patient\tpatient\tNN\tI-NP\tO' +p114534 +aS'still\tstill\tRB\tB-ADVP\tO' +p114535 +aS'had\thave\tVBD\tB-VP\tO' +p114536 +aS'a\ta\tDT\tB-NP\tO' +p114537 +aS'PICC\tPICC\tNN\tI-NP\tB-cell_line' +p114538 +aS'line\tline\tNN\tI-NP\tI-cell_line' +p114539 +aS'at\tat\tIN\tB-PP\tO' +p114540 +aS'the\tthe\tDT\tB-NP\tO' +p114541 +aS'time\ttime\tNN\tI-NP\tO' +p114542 +aS',\t,\t,\tO\tO' +p114543 +aS'although\talthough\tIN\tB-SBAR\tO' +p114544 +aS'TPN\tTPN\tNN\tB-NP\tB-protein' +p114545 +aS'was\tbe\tVBD\tB-VP\tO' +p114546 +aS'being\tbe\tVBG\tI-VP\tO' +p114547 +aS'held\thold\tVBN\tI-VP\tO' +p114548 +aS'and\tand\tCC\tO\tO' +p114549 +aS'calorie\tcalorie\tNN\tB-NP\tO' +p114550 +aS'counts\tcount\tNNS\tI-NP\tO' +p114551 +aS'were\tbe\tVBD\tB-VP\tO' +p114552 +aS'done\tdo\tVBN\tI-VP\tO' +p114553 +aS'to\tto\tTO\tB-VP\tO' +p114554 +aS'evaluate\tevaluate\tVB\tI-VP\tO' +p114555 +aS'the\tthe\tDT\tB-NP\tO' +p114556 +aS'benefit\tbenefit\tNN\tI-NP\tO' +p114557 +aS'of\tof\tIN\tB-PP\tO' +p114558 +aS'p.o.\tp.o.\tFW\tB-NP\tO' +p114559 +aS'nutrition\tnutrition\tNN\tI-NP\tO' +p114560 +aS'.\t.\t.\tO\tO' +p114561 +asS'His number is ( 532-803-1162 .' +p114562 +(lp114563 +S'His\tHis\tPRP$\tB-NP\tO' +p114564 +aS'number\tnumber\tNN\tI-NP\tO' +p114565 +aS'is\tbe\tVBZ\tB-VP\tO' +p114566 +aS'(\t(\t(\tO\tO' +p114567 +aS'532-803-1162\t532-803-1162\tCD\tB-NP\tO' +p114568 +aS'.\t.\t.\tO\tO' +p114569 +asS'Patient 's troponin bump was found to be likely to demand ischemia in the setting of his GI bleed , it was not felt that he was having acute coronary syndrome .' +p114570 +(lp114571 +S'Patient\tPatient\tNN\tB-NP\tO' +p114572 +aS''s\t'\tNNS\tI-NP\tO' +p114573 +aS'troponin\ttroponin\tNN\tI-NP\tO' +p114574 +aS'bump\tbump\tNN\tI-NP\tO' +p114575 +aS'was\tbe\tVBD\tB-VP\tO' +p114576 +aS'found\tfind\tVBN\tI-VP\tO' +p114577 +aS'to\tto\tTO\tI-VP\tO' +p114578 +aS'be\tbe\tVB\tI-VP\tO' +p114579 +aS'likely\tlikely\tJJ\tB-ADJP\tO' +p114580 +aS'to\tto\tTO\tB-VP\tO' +p114581 +aS'demand\tdemand\tVB\tI-VP\tO' +p114582 +aS'ischemia\tischemia\tNN\tB-NP\tO' +p114583 +aS'in\tin\tIN\tB-PP\tO' +p114584 +aS'the\tthe\tDT\tB-NP\tO' +p114585 +aS'setting\tsetting\tNN\tI-NP\tO' +p114586 +aS'of\tof\tIN\tB-PP\tO' +p114587 +aS'his\this\tPRP$\tB-NP\tO' +p114588 +aS'GI\tGI\tNN\tI-NP\tO' +p114589 +aS'bleed\tbleed\tNN\tI-NP\tO' +p114590 +aS',\t,\t,\tO\tO' +p114591 +aS'it\tit\tPRP\tB-NP\tO' +p114592 +aS'was\tbe\tVBD\tB-VP\tO' +p114593 +aS'not\tnot\tRB\tI-VP\tO' +p114594 +aS'felt\tfeel\tVBN\tI-VP\tO' +p114595 +aS'that\tthat\tIN\tB-SBAR\tO' +p114596 +aS'he\the\tPRP\tB-NP\tO' +p114597 +aS'was\tbe\tVBD\tB-VP\tO' +p114598 +aS'having\thave\tVBG\tI-VP\tO' +p114599 +aS'acute\tacute\tJJ\tB-NP\tO' +p114600 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p114601 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p114602 +aS'.\t.\t.\tO\tO' +p114603 +asS'There was no evidence while in the hospital .' +p114604 +(lp114605 +S'There\tThere\tEX\tB-NP\tO' +p114606 +aS'was\tbe\tVBD\tB-VP\tO' +p114607 +aS'no\tno\tDT\tB-NP\tO' +p114608 +aS'evidence\tevidence\tNN\tI-NP\tO' +p114609 +aS'while\twhile\tIN\tB-SBAR\tO' +p114610 +aS'in\tin\tIN\tB-PP\tO' +p114611 +aS'the\tthe\tDT\tB-NP\tO' +p114612 +aS'hospital\thospital\tNN\tI-NP\tO' +p114613 +aS'.\t.\t.\tO\tO' +p114614 +asS'She has had decreased appetite over the last few days in the context of increasing confusion .' +p114615 +(lp114616 +S'She\tShe\tPRP\tB-NP\tO' +p114617 +aS'has\thave\tVBZ\tB-VP\tO' +p114618 +aS'had\thave\tVBD\tI-VP\tO' +p114619 +aS'decreased\tdecrease\tVBN\tI-VP\tO' +p114620 +aS'appetite\tappetite\tNN\tB-NP\tO' +p114621 +aS'over\tover\tIN\tB-PP\tO' +p114622 +aS'the\tthe\tDT\tB-NP\tO' +p114623 +aS'last\tlast\tJJ\tI-NP\tO' +p114624 +aS'few\tfew\tJJ\tI-NP\tO' +p114625 +aS'days\tday\tNNS\tI-NP\tO' +p114626 +aS'in\tin\tIN\tB-PP\tO' +p114627 +aS'the\tthe\tDT\tB-NP\tO' +p114628 +aS'context\tcontext\tNN\tI-NP\tO' +p114629 +aS'of\tof\tIN\tB-PP\tO' +p114630 +aS'increasing\tincrease\tVBG\tB-VP\tO' +p114631 +aS'confusion\tconfusion\tNN\tB-NP\tO' +p114632 +aS'.\t.\t.\tO\tO' +p114633 +asS'Head , eyes , ears , nose and throat examination revealed mucous membranes that were moist .' +p114634 +(lp114635 +S'Head\tHead\tRB\tB-ADVP\tO' +p114636 +aS',\t,\t,\tO\tO' +p114637 +aS'eyes\teye\tNNS\tB-NP\tO' +p114638 +aS',\t,\t,\tI-NP\tO' +p114639 +aS'ears\tear\tNNS\tI-NP\tO' +p114640 +aS',\t,\t,\tI-NP\tO' +p114641 +aS'nose\tnose\tNN\tI-NP\tO' +p114642 +aS'and\tand\tCC\tI-NP\tO' +p114643 +aS'throat\tthroat\tNN\tI-NP\tO' +p114644 +aS'examination\texamination\tNN\tI-NP\tO' +p114645 +aS'revealed\treveal\tVBD\tB-VP\tO' +p114646 +aS'mucous\tmucous\tJJ\tB-NP\tO' +p114647 +aS'membranes\tmembrane\tNNS\tI-NP\tO' +p114648 +aS'that\tthat\tWDT\tB-NP\tO' +p114649 +aS'were\tbe\tVBD\tB-VP\tO' +p114650 +aS'moist\tmoist\tNN\tB-NP\tO' +p114651 +aS'.\t.\t.\tO\tO' +p114652 +asS'In addition , there was a T11 metastasis with cord compression .' +p114653 +(lp114654 +S'In\tIn\tIN\tB-PP\tO' +p114655 +aS'addition\taddition\tNN\tB-NP\tO' +p114656 +aS',\t,\t,\tO\tO' +p114657 +aS'there\tthere\tEX\tB-NP\tO' +p114658 +aS'was\tbe\tVBD\tB-VP\tO' +p114659 +aS'a\ta\tDT\tB-NP\tO' +p114660 +aS'T11\tT11\tNN\tI-NP\tO' +p114661 +aS'metastasis\tmetastasis\tNN\tI-NP\tO' +p114662 +aS'with\twith\tIN\tB-PP\tO' +p114663 +aS'cord\tcord\tNN\tB-NP\tO' +p114664 +aS'compression\tcompression\tNN\tI-NP\tO' +p114665 +aS'.\t.\t.\tO\tO' +p114666 +asS'Peggy Hammock is a full term baby boy born at 38 1/7 weeks by repeat cesarean section to a 34 year old gravida III , now para II mother .' +p114667 +(lp114668 +S'Peggy\tPeggy\tNNP\tB-NP\tO' +p114669 +aS'Hammock\tHammock\tNNP\tI-NP\tO' +p114670 +aS'is\tbe\tVBZ\tB-VP\tO' +p114671 +aS'a\ta\tDT\tB-NP\tO' +p114672 +aS'full\tfull\tJJ\tI-NP\tO' +p114673 +aS'term\tterm\tNN\tI-NP\tO' +p114674 +aS'baby\tbaby\tNN\tI-NP\tO' +p114675 +aS'boy\tboy\tNN\tI-NP\tO' +p114676 +aS'born\tbear\tVBN\tB-VP\tO' +p114677 +aS'at\tat\tIN\tB-PP\tO' +p114678 +aS'38\t38\tCD\tB-NP\tO' +p114679 +aS'1/7\t1/7\tCD\tI-NP\tO' +p114680 +aS'weeks\tweek\tNNS\tI-NP\tO' +p114681 +aS'by\tby\tIN\tB-PP\tO' +p114682 +aS'repeat\trepeat\tNN\tB-NP\tO' +p114683 +aS'cesarean\tcesarean\tJJ\tI-NP\tO' +p114684 +aS'section\tsection\tNN\tI-NP\tO' +p114685 +aS'to\tto\tTO\tB-PP\tO' +p114686 +aS'a\ta\tDT\tB-NP\tO' +p114687 +aS'34\t34\tCD\tI-NP\tO' +p114688 +aS'year\tyear\tNN\tI-NP\tO' +p114689 +aS'old\told\tJJ\tI-NP\tO' +p114690 +aS'gravida\tgravida\tNN\tI-NP\tO' +p114691 +aS'III\tIII\tCD\tI-NP\tO' +p114692 +aS',\t,\t,\tO\tO' +p114693 +aS'now\tnow\tRB\tB-ADJP\tO' +p114694 +aS'para\tpara\tJJ\tB-NP\tO' +p114695 +aS'II\tII\tCD\tI-NP\tO' +p114696 +aS'mother\tmother\tNN\tI-NP\tO' +p114697 +aS'.\t.\t.\tO\tO' +p114698 +asS'He has been getting short of breath with exertion times one month and also has occasional chest tightness .' +p114699 +(lp114700 +S'He\tHe\tPRP\tB-NP\tO' +p114701 +aS'has\thave\tVBZ\tB-VP\tO' +p114702 +aS'been\tbe\tVBN\tI-VP\tO' +p114703 +aS'getting\tget\tVBG\tI-VP\tO' +p114704 +aS'short\tshort\tJJ\tB-ADJP\tO' +p114705 +aS'of\tof\tIN\tB-PP\tO' +p114706 +aS'breath\tbreath\tNN\tB-NP\tO' +p114707 +aS'with\twith\tIN\tB-PP\tO' +p114708 +aS'exertion\texertion\tNN\tB-NP\tO' +p114709 +aS'times\ttime\tNNS\tI-NP\tO' +p114710 +aS'one\tone\tCD\tB-NP\tO' +p114711 +aS'month\tmonth\tNN\tI-NP\tO' +p114712 +aS'and\tand\tCC\tO\tO' +p114713 +aS'also\talso\tRB\tB-VP\tO' +p114714 +aS'has\thave\tVBZ\tI-VP\tO' +p114715 +aS'occasional\toccasional\tJJ\tB-NP\tO' +p114716 +aS'chest\tchest\tNN\tI-NP\tO' +p114717 +aS'tightness\ttightness\tNN\tI-NP\tO' +p114718 +aS'.\t.\t.\tO\tO' +p114719 +asS'Valproate level within range .' +p114720 +(lp114721 +S'Valproate\tValproate\tNN\tB-NP\tO' +p114722 +aS'level\tlevel\tNN\tI-NP\tO' +p114723 +aS'within\twithin\tIN\tB-PP\tO' +p114724 +aS'range\trange\tNN\tB-NP\tO' +p114725 +aS'.\t.\t.\tO\tO' +p114726 +asS'He denied any fevers , chills or night sweats .' +p114727 +(lp114728 +S'He\tHe\tPRP\tB-NP\tO' +p114729 +aS'denied\tdeny\tVBD\tB-VP\tO' +p114730 +aS'any\tany\tDT\tB-NP\tO' +p114731 +aS'fevers\tfever\tNNS\tI-NP\tO' +p114732 +aS',\t,\t,\tO\tO' +p114733 +aS'chills\tchill\tNNS\tB-NP\tO' +p114734 +aS'or\tor\tCC\tO\tO' +p114735 +aS'night\tnight\tNN\tB-NP\tO' +p114736 +aS'sweats\tsweat\tNNS\tI-NP\tO' +p114737 +aS'.\t.\t.\tO\tO' +p114738 +asS'The day of discharge is day #3 of 7 , after which antibiotics should be totally discontinued .' +p114739 +(lp114740 +S'The\tThe\tDT\tB-NP\tO' +p114741 +aS'day\tday\tNN\tI-NP\tO' +p114742 +aS'of\tof\tIN\tB-PP\tO' +p114743 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p114744 +aS'is\tbe\tVBZ\tB-VP\tO' +p114745 +aS'day\tday\tNN\tB-NP\tO' +p114746 +aS'#3\t#3\tCD\tI-NP\tO' +p114747 +aS'of\tof\tIN\tB-PP\tO' +p114748 +aS'7\t7\tCD\tB-NP\tO' +p114749 +aS',\t,\t,\tO\tO' +p114750 +aS'after\tafter\tIN\tB-PP\tO' +p114751 +aS'which\twhich\tWDT\tB-NP\tO' +p114752 +aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' +p114753 +aS'should\tshould\tMD\tB-VP\tO' +p114754 +aS'be\tbe\tVB\tI-VP\tO' +p114755 +aS'totally\ttotally\tRB\tI-VP\tO' +p114756 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p114757 +aS'.\t.\t.\tO\tO' +p114758 +asS'f / u with PCP and Dr. Pump as scheduled , return to ED with worsening sob or increased cough or sputum production' +p114759 +(lp114760 +S'f\tf\tNN\tB-NP\tO' +p114761 +aS'/\t/\tSYM\tI-NP\tO' +p114762 +aS'u\tu\tNN\tI-NP\tO' +p114763 +aS'with\twith\tIN\tB-PP\tO' +p114764 +aS'PCP\tPCP\tNN\tB-NP\tB-protein' +p114765 +aS'and\tand\tCC\tO\tO' +p114766 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p114767 +aS'Pump\tPump\tNNP\tI-NP\tO' +p114768 +aS'as\tas\tIN\tB-SBAR\tO' +p114769 +aS'scheduled\tschedule\tVBN\tB-VP\tO' +p114770 +aS',\t,\t,\tO\tO' +p114771 +aS'return\treturn\tVB\tB-VP\tO' +p114772 +aS'to\tto\tTO\tB-VP\tO' +p114773 +aS'ED\tED\tVBN\tI-VP\tO' +p114774 +aS'with\twith\tIN\tB-PP\tO' +p114775 +aS'worsening\tworsen\tVBG\tB-VP\tO' +p114776 +aS'sob\tsob\tNN\tB-NP\tO' +p114777 +aS'or\tor\tCC\tO\tO' +p114778 +aS'increased\tincrease\tVBD\tB-VP\tO' +p114779 +aS'cough\tcough\tNN\tB-NP\tO' +p114780 +aS'or\tor\tCC\tO\tO' +p114781 +aS'sputum\tsputum\tNN\tB-NP\tO' +p114782 +aS'production\tproduction\tNN\tI-NP\tO' +p114783 +asS'79F w/ a multiple medical problems including Sylvia ( EF20% ) , COPD ( on home O2 ) , found down at home , pulseless - CPR initiated w/conciousness regained on scene .' +p114784 +(lp114785 +S'79F\t79F\tNN\tB-NP\tO' +p114786 +aS'w/\tw/\tVBD\tB-VP\tO' +p114787 +aS'a\ta\tDT\tB-NP\tO' +p114788 +aS'multiple\tmultiple\tJJ\tI-NP\tO' +p114789 +aS'medical\tmedical\tJJ\tI-NP\tO' +p114790 +aS'problems\tproblem\tNNS\tI-NP\tO' +p114791 +aS'including\tinclude\tVBG\tB-PP\tO' +p114792 +aS'Sylvia\tSylvia\tNN\tB-NP\tO' +p114793 +aS'(\t(\t(\tO\tO' +p114794 +aS'EF20%\tEF20%\tNN\tB-NP\tB-protein' +p114795 +aS')\t)\t)\tO\tO' +p114796 +aS',\t,\t,\tO\tO' +p114797 +aS'COPD\tCOPD\tNN\tB-NP\tO' +p114798 +aS'(\t(\t(\tO\tO' +p114799 +aS'on\ton\tIN\tB-PP\tO' +p114800 +aS'home\thome\tNN\tB-NP\tO' +p114801 +aS'O2\tO2\tNN\tI-NP\tO' +p114802 +aS')\t)\t)\tO\tO' +p114803 +aS',\t,\t,\tO\tO' +p114804 +aS'found\tfind\tVBN\tB-VP\tO' +p114805 +aS'down\tdown\tRP\tB-PRT\tO' +p114806 +aS'at\tat\tIN\tB-PP\tO' +p114807 +aS'home\thome\tNN\tB-NP\tO' +p114808 +aS',\t,\t,\tO\tO' +p114809 +aS'pulseless\tpulseless\tJJ\tB-NP\tO' +p114810 +aS'-\t-\tHYPH\tI-NP\tO' +p114811 +aS'CPR\tCPR\tNN\tI-NP\tB-protein' +p114812 +aS'initiated\tinitiate\tVBN\tI-NP\tO' +p114813 +aS'w/conciousness\tw/conciousness\tNN\tI-NP\tO' +p114814 +aS'regained\tregain\tVBN\tB-VP\tO' +p114815 +aS'on\ton\tIN\tB-PP\tO' +p114816 +aS'scene\tscene\tNN\tB-NP\tO' +p114817 +aS'.\t.\t.\tO\tO' +p114818 +asS'5. Morphine .' +p114819 +(lp114820 +S'5.\t5.\tLS\tB-NP\tO' +p114821 +aS'Morphine\tMorphine\tNN\tI-NP\tO' +p114822 +aS'.\t.\t.\tO\tO' +p114823 +asS'Pulses +2 .' +p114824 +(lp114825 +S'Pulses\tPulse\tNNS\tB-NP\tB-protein' +p114826 +aS'+2\t+2\tCD\tB-NP\tI-protein' +p114827 +aS'.\t.\t.\tO\tO' +p114828 +asS'Dictated By : Shirley Y Waler , M.D.' +p114829 +(lp114830 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p114831 +aS'By\tBy\tIN\tB-PP\tO' +p114832 +aS':\t:\t:\tO\tO' +p114833 +aS'Shirley\tShirley\tNNP\tB-NP\tO' +p114834 +aS'Y\tY\tNNP\tI-NP\tO' +p114835 +aS'Waler\tWaler\tNNP\tI-NP\tO' +p114836 +aS',\t,\t,\tO\tO' +p114837 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p114838 +asS'His family was also involved in his care and orientation .' +p114839 +(lp114840 +S'His\tHis\tPRP$\tB-NP\tO' +p114841 +aS'family\tfamily\tNN\tI-NP\tO' +p114842 +aS'was\tbe\tVBD\tB-VP\tO' +p114843 +aS'also\talso\tRB\tI-VP\tO' +p114844 +aS'involved\tinvolve\tVBN\tI-VP\tO' +p114845 +aS'in\tin\tIN\tB-PP\tO' +p114846 +aS'his\this\tPRP$\tB-NP\tO' +p114847 +aS'care\tcare\tNN\tI-NP\tO' +p114848 +aS'and\tand\tCC\tI-NP\tO' +p114849 +aS'orientation\torientation\tNN\tI-NP\tO' +p114850 +aS'.\t.\t.\tO\tO' +p114851 +asS'He was born to a 38 - year-old gravida I , para 0 ( now 1 ) mother at 37 and 1/7 weeks .' +p114852 +(lp114853 +S'He\tHe\tPRP\tB-NP\tO' +p114854 +aS'was\tbe\tVBD\tB-VP\tO' +p114855 +aS'born\tbear\tVBN\tI-VP\tO' +p114856 +aS'to\tto\tTO\tB-PP\tO' +p114857 +aS'a\ta\tDT\tB-NP\tO' +p114858 +aS'38\t38\tCD\tI-NP\tO' +p114859 +aS'-\t-\tHYPH\tI-NP\tO' +p114860 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p114861 +aS'gravida\tgravida\tNN\tI-NP\tO' +p114862 +aS'I\tI\tNN\tI-NP\tO' +p114863 +aS',\t,\t,\tO\tO' +p114864 +aS'para\tpara\tNN\tB-NP\tO' +p114865 +aS'0\t0\tCD\tI-NP\tO' +p114866 +aS'(\t(\t(\tO\tO' +p114867 +aS'now\tnow\tRB\tB-ADVP\tO' +p114868 +aS'1\t1\tCD\tO\tO' +p114869 +aS')\t)\t)\tO\tO' +p114870 +aS'mother\tmother\tNN\tB-NP\tO' +p114871 +aS'at\tat\tIN\tB-PP\tO' +p114872 +aS'37\t37\tCD\tB-NP\tO' +p114873 +aS'and\tand\tCC\tI-NP\tO' +p114874 +aS'1/7\t1/7\tCD\tI-NP\tO' +p114875 +aS'weeks\tweek\tNNS\tI-NP\tO' +p114876 +aS'.\t.\t.\tO\tO' +p114877 +asS'No egophony .' +p114878 +(lp114879 +S'No\tNo\tDT\tB-NP\tO' +p114880 +aS'egophony\tegophony\tNN\tI-NP\tO' +p114881 +aS'.\t.\t.\tO\tO' +p114882 +asS'She had a normal exercise thallium test in 08/89 , per Ona Hospital .' +p114883 +(lp114884 +S'She\tShe\tPRP\tB-NP\tO' +p114885 +aS'had\thave\tVBD\tB-VP\tO' +p114886 +aS'a\ta\tDT\tB-NP\tO' +p114887 +aS'normal\tnormal\tJJ\tI-NP\tO' +p114888 +aS'exercise\texercise\tNN\tI-NP\tO' +p114889 +aS'thallium\tthallium\tNN\tI-NP\tO' +p114890 +aS'test\ttest\tNN\tI-NP\tO' +p114891 +aS'in\tin\tIN\tB-PP\tO' +p114892 +aS'08/89\t08/89\tCD\tB-NP\tO' +p114893 +aS',\t,\t,\tO\tO' +p114894 +aS'per\tper\tIN\tB-PP\tO' +p114895 +aS'Ona\tOna\tNNP\tB-NP\tO' +p114896 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p114897 +aS'.\t.\t.\tO\tO' +p114898 +asS"Cardiothoracic Surgery was consulted , and due to the patient 's acute illness , they wanted to re-evaluate after the patient was extubated ." +p114899 +(lp114900 +S'Cardiothoracic\tCardiothoracic\tNNP\tB-NP\tO' +p114901 +aS'Surgery\tSurgery\tNNP\tI-NP\tO' +p114902 +aS'was\tbe\tVBD\tB-VP\tO' +p114903 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p114904 +aS',\t,\t,\tO\tO' +p114905 +aS'and\tand\tCC\tO\tO' +p114906 +aS'due\tdue\tIN\tB-PP\tO' +p114907 +aS'to\tto\tTO\tB-PP\tO' +p114908 +aS'the\tthe\tDT\tB-NP\tO' +p114909 +aS'patient\tpatient\tNN\tI-NP\tO' +p114910 +aS"'s\t's\tPOS\tB-NP\tO" +p114911 +aS'acute\tacute\tJJ\tI-NP\tO' +p114912 +aS'illness\tillness\tNN\tI-NP\tO' +p114913 +aS',\t,\t,\tO\tO' +p114914 +aS'they\tthey\tPRP\tB-NP\tO' +p114915 +aS'wanted\twant\tVBD\tB-VP\tO' +p114916 +aS'to\tto\tTO\tI-VP\tO' +p114917 +aS're-evaluate\tre-evaluate\tVB\tI-VP\tO' +p114918 +aS'after\tafter\tIN\tB-PP\tO' +p114919 +aS'the\tthe\tDT\tB-NP\tO' +p114920 +aS'patient\tpatient\tNN\tI-NP\tO' +p114921 +aS'was\tbe\tVBD\tB-VP\tO' +p114922 +aS'extubated\textubate\tVBN\tI-VP\tO' +p114923 +aS'.\t.\t.\tO\tO' +p114924 +asS'Call for severe headache or any other problems .' +p114925 +(lp114926 +S'Call\tCall\tVB\tB-NP\tO' +p114927 +aS'for\tfor\tIN\tB-PP\tO' +p114928 +aS'severe\tsevere\tJJ\tB-NP\tO' +p114929 +aS'headache\theadache\tNN\tI-NP\tO' +p114930 +aS'or\tor\tCC\tO\tO' +p114931 +aS'any\tany\tDT\tB-NP\tO' +p114932 +aS'other\tother\tJJ\tI-NP\tO' +p114933 +aS'problems\tproblem\tNNS\tI-NP\tO' +p114934 +aS'.\t.\t.\tO\tO' +p114935 +asS'Disp :* 90 Capsule (s)* Refills :* 2 *' +p114936 +(lp114937 +S'Disp\tDisp\tNN\tB-NP\tO' +p114938 +aS':*\t:*\tSYM\tI-NP\tO' +p114939 +aS'90\t90\tCD\tI-NP\tO' +p114940 +aS'Capsule\tCapsule\tNN\tI-NP\tO' +p114941 +aS'(s)*\t(s)*\tSYM\tB-NP\tO' +p114942 +aS'Refills\tRefill\tNNPS\tI-NP\tO' +p114943 +aS':*\t:*\tSYM\tI-NP\tO' +p114944 +aS'2\t2\tCD\tI-NP\tO' +p114945 +aS'*\t*\tSYM\tB-NP\tO' +p114946 +asS'This will be further monitored by her primary care physician , Dr. Banks , who will adjust her Coumadin dose .' +p114947 +(lp114948 +S'This\tThis\tDT\tB-NP\tO' +p114949 +aS'will\twill\tMD\tB-VP\tO' +p114950 +aS'be\tbe\tVB\tI-VP\tO' +p114951 +aS'further\tfurther\tRBR\tB-ADJP\tO' +p114952 +aS'monitored\tmonitor\tVBN\tI-ADJP\tO' +p114953 +aS'by\tby\tIN\tB-PP\tO' +p114954 +aS'her\ther\tPRP$\tB-NP\tO' +p114955 +aS'primary\tprimary\tJJ\tI-NP\tO' +p114956 +aS'care\tcare\tNN\tI-NP\tO' +p114957 +aS'physician\tphysician\tNN\tI-NP\tO' +p114958 +aS',\t,\t,\tO\tO' +p114959 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p114960 +aS'Banks\tBanks\tNNP\tI-NP\tO' +p114961 +aS',\t,\t,\tO\tO' +p114962 +aS'who\twho\tWP\tB-NP\tO' +p114963 +aS'will\twill\tMD\tB-VP\tO' +p114964 +aS'adjust\tadjust\tVB\tI-VP\tO' +p114965 +aS'her\ther\tPRP$\tB-NP\tO' +p114966 +aS'Coumadin\tCoumadin\tNN\tI-NP\tO' +p114967 +aS'dose\tdose\tNN\tI-NP\tO' +p114968 +aS'.\t.\t.\tO\tO' +p114969 +asS'They did an ECG at Bridgewater State Hospital rehab which demonstarted new ST depressions in V1-V4 .' +p114970 +(lp114971 +S'They\tThey\tPRP\tB-NP\tO' +p114972 +aS'did\tdo\tVBD\tB-VP\tO' +p114973 +aS'an\tan\tDT\tB-NP\tO' +p114974 +aS'ECG\tECG\tNN\tI-NP\tO' +p114975 +aS'at\tat\tIN\tB-PP\tO' +p114976 +aS'Bridgewater\tBridgewater\tNNP\tB-NP\tO' +p114977 +aS'State\tState\tNNP\tI-NP\tO' +p114978 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p114979 +aS'rehab\trehab\tNN\tI-NP\tO' +p114980 +aS'which\twhich\tWDT\tB-NP\tO' +p114981 +aS'demonstarted\tdemonstarte\tVBD\tB-VP\tO' +p114982 +aS'new\tnew\tJJ\tB-NP\tO' +p114983 +aS'ST\tST\tJJ\tI-NP\tO' +p114984 +aS'depressions\tdepression\tNNS\tI-NP\tO' +p114985 +aS'in\tin\tIN\tB-PP\tO' +p114986 +aS'V1-V4\tV1-V4\tNN\tB-NP\tO' +p114987 +aS'.\t.\t.\tO\tO' +p114988 +asS'Initial examination revealed the patient had a heart rate in the 80s , with a blood pressure of 150/80s .' +p114989 +(lp114990 +S'Initial\tInitial\tJJ\tB-NP\tO' +p114991 +aS'examination\texamination\tNN\tI-NP\tO' +p114992 +aS'revealed\treveal\tVBD\tB-VP\tO' +p114993 +aS'the\tthe\tDT\tB-NP\tO' +p114994 +aS'patient\tpatient\tNN\tI-NP\tO' +p114995 +aS'had\thave\tVBD\tB-VP\tO' +p114996 +aS'a\ta\tDT\tB-NP\tO' +p114997 +aS'heart\theart\tNN\tI-NP\tO' +p114998 +aS'rate\trate\tNN\tI-NP\tO' +p114999 +aS'in\tin\tIN\tB-PP\tO' +p115000 +aS'the\tthe\tDT\tB-NP\tO' +p115001 +aS'80s\t80\tNNS\tI-NP\tO' +p115002 +aS',\t,\t,\tO\tO' +p115003 +aS'with\twith\tIN\tB-PP\tO' +p115004 +aS'a\ta\tDT\tB-NP\tO' +p115005 +aS'blood\tblood\tNN\tI-NP\tO' +p115006 +aS'pressure\tpressure\tNN\tI-NP\tO' +p115007 +aS'of\tof\tIN\tB-PP\tO' +p115008 +aS'150/80s\t150/80\tNNS\tB-NP\tB-DNA' +p115009 +aS'.\t.\t.\tO\tO' +p115010 +asS'No other areas of hemorrhage identified .' +p115011 +(lp115012 +S'No\tNo\tDT\tB-NP\tO' +p115013 +aS'other\tother\tJJ\tI-NP\tO' +p115014 +aS'areas\tarea\tNNS\tI-NP\tO' +p115015 +aS'of\tof\tIN\tB-PP\tO' +p115016 +aS'hemorrhage\themorrhage\tNN\tB-NP\tO' +p115017 +aS'identified\tidentify\tVBN\tB-VP\tO' +p115018 +aS'.\t.\t.\tO\tO' +p115019 +asS'No definite fracture of C1 is identified to correlate with the history of questioned C1 fracture from outside hospital .' +p115020 +(lp115021 +S'No\tNo\tDT\tB-NP\tO' +p115022 +aS'definite\tdefinite\tJJ\tI-NP\tO' +p115023 +aS'fracture\tfracture\tNN\tI-NP\tO' +p115024 +aS'of\tof\tIN\tB-PP\tO' +p115025 +aS'C1\tC1\tNN\tB-NP\tB-protein' +p115026 +aS'is\tbe\tVBZ\tB-VP\tO' +p115027 +aS'identified\tidentify\tVBN\tI-VP\tO' +p115028 +aS'to\tto\tTO\tI-VP\tO' +p115029 +aS'correlate\tcorrelate\tVB\tI-VP\tO' +p115030 +aS'with\twith\tIN\tB-PP\tO' +p115031 +aS'the\tthe\tDT\tB-NP\tO' +p115032 +aS'history\thistory\tNN\tI-NP\tO' +p115033 +aS'of\tof\tIN\tB-PP\tO' +p115034 +aS'questioned\tquestion\tVBN\tB-NP\tO' +p115035 +aS'C1\tC1\tNN\tI-NP\tO' +p115036 +aS'fracture\tfracture\tNN\tI-NP\tO' +p115037 +aS'from\tfrom\tIN\tB-PP\tO' +p115038 +aS'outside\toutside\tJJ\tB-NP\tO' +p115039 +aS'hospital\thospital\tNN\tI-NP\tO' +p115040 +aS'.\t.\t.\tO\tO' +p115041 +asS'However , due to the episode of bleeding on postoperative day # 2 , the Coumadin was held for two consecutive days , and then restarted on postoperative day # 4 .' +p115042 +(lp115043 +S'However\tHowever\tRB\tB-ADVP\tO' +p115044 +aS',\t,\t,\tO\tO' +p115045 +aS'due\tdue\tJJ\tB-PP\tO' +p115046 +aS'to\tto\tTO\tI-PP\tO' +p115047 +aS'the\tthe\tDT\tB-NP\tO' +p115048 +aS'episode\tepisode\tNN\tI-NP\tO' +p115049 +aS'of\tof\tIN\tB-PP\tO' +p115050 +aS'bleeding\tbleed\tVBG\tB-VP\tO' +p115051 +aS'on\ton\tIN\tB-PP\tO' +p115052 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p115053 +aS'day\tday\tNN\tI-NP\tO' +p115054 +aS'#\t#\t#\tB-NP\tO' +p115055 +aS'2\t2\tCD\tI-NP\tO' +p115056 +aS',\t,\t,\tO\tO' +p115057 +aS'the\tthe\tDT\tB-NP\tO' +p115058 +aS'Coumadin\tCoumadin\tNN\tI-NP\tO' +p115059 +aS'was\tbe\tVBD\tB-VP\tO' +p115060 +aS'held\thold\tVBN\tI-VP\tO' +p115061 +aS'for\tfor\tIN\tB-PP\tO' +p115062 +aS'two\ttwo\tCD\tB-NP\tO' +p115063 +aS'consecutive\tconsecutive\tJJ\tI-NP\tO' +p115064 +aS'days\tday\tNNS\tI-NP\tO' +p115065 +aS',\t,\t,\tO\tO' +p115066 +aS'and\tand\tCC\tO\tO' +p115067 +aS'then\tthen\tRB\tB-VP\tO' +p115068 +aS'restarted\trestart\tVBD\tI-VP\tO' +p115069 +aS'on\ton\tIN\tB-PP\tO' +p115070 +aS'postoperative\tpostoperative\tJJ\tB-NP\tB-protein' +p115071 +aS'day\tday\tNN\tI-NP\tI-protein' +p115072 +aS'#\t#\t#\tB-NP\tI-protein' +p115073 +aS'4\t4\tCD\tI-NP\tI-protein' +p115074 +aS'.\t.\t.\tO\tO' +p115075 +asS'Signed electronically by : DR. Freddy King on : WED 2012-05-23 9:05 AM' +p115076 +(lp115077 +S'Signed\tSign\tVBN\tB-VP\tO' +p115078 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p115079 +aS'by\tby\tIN\tB-PP\tO' +p115080 +aS':\t:\t:\tO\tO' +p115081 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p115082 +aS'Freddy\tFreddy\tNNP\tI-NP\tO' +p115083 +aS'King\tKing\tNNP\tI-NP\tO' +p115084 +aS'on\ton\tIN\tB-PP\tO' +p115085 +aS':\t:\t:\tO\tO' +p115086 +aS'WED\tWED\tVBD\tB-VP\tO' +p115087 +aS'2012-05-23\t2012-05-23\tCD\tB-NP\tO' +p115088 +aS'9:05\t9:05\tCD\tI-NP\tO' +p115089 +aS'AM\tAM\tNN\tI-NP\tO' +p115090 +asS'Multivitamins And Folate ( Fam Pren Forte )' +p115091 +(lp115092 +S'Multivitamins\tMultivitamin\tNNS\tB-NP\tO' +p115093 +aS'And\tAnd\tCC\tO\tO' +p115094 +aS'Folate\tFolate\tNNP\tB-NP\tO' +p115095 +aS'(\t(\t(\tO\tO' +p115096 +aS'Fam\tFam\tNNP\tB-NP\tO' +p115097 +aS'Pren\tPren\tNNP\tI-NP\tO' +p115098 +aS'Forte\tForte\tNNP\tI-NP\tO' +p115099 +aS')\t)\t)\tO\tO' +p115100 +asS'Pt now on IV Ceftriaxone ( was on levoflox since 05-24 however UA now floridly positive ( more so than UA at OSH ) so felt possibly levo-resistant .' +p115101 +(lp115102 +S'Pt\tPt\tNN\tB-NP\tO' +p115103 +aS'now\tnow\tRB\tB-ADVP\tO' +p115104 +aS'on\ton\tIN\tB-PP\tO' +p115105 +aS'IV\tIV\tCD\tB-NP\tO' +p115106 +aS'Ceftriaxone\tCeftriaxone\tNN\tI-NP\tO' +p115107 +aS'(\t(\t(\tO\tO' +p115108 +aS'was\tbe\tVBD\tB-VP\tO' +p115109 +aS'on\ton\tIN\tB-PP\tO' +p115110 +aS'levoflox\tlevoflox\tNN\tB-NP\tO' +p115111 +aS'since\tsince\tIN\tB-PP\tO' +p115112 +aS'05-24\t05-24\tCD\tB-NP\tO' +p115113 +aS'however\thowever\tRB\tI-NP\tO' +p115114 +aS'UA\tUA\tNNP\tI-NP\tO' +p115115 +aS'now\tnow\tRB\tB-ADVP\tO' +p115116 +aS'floridly\tfloridly\tRB\tB-ADJP\tO' +p115117 +aS'positive\tpositive\tJJ\tI-ADJP\tO' +p115118 +aS'(\t(\t(\tO\tO' +p115119 +aS'more\tmore\tRBR\tB-ADVP\tO' +p115120 +aS'so\tso\tRB\tI-ADVP\tO' +p115121 +aS'than\tthan\tIN\tB-PP\tO' +p115122 +aS'UA\tUA\tNN\tB-NP\tO' +p115123 +aS'at\tat\tIN\tB-PP\tO' +p115124 +aS'OSH\tOSH\tNN\tB-NP\tO' +p115125 +aS')\t)\t)\tO\tO' +p115126 +aS'so\tso\tRB\tB-ADVP\tO' +p115127 +aS'felt\tfeel\tVBD\tB-VP\tO' +p115128 +aS'possibly\tpossibly\tRB\tB-ADJP\tO' +p115129 +aS'levo-resistant\tlevo-resistant\tJJ\tI-ADJP\tO' +p115130 +aS'.\t.\t.\tO\tO' +p115131 +asS'The right upper extremity was flaccid and paresthetic .' +p115132 +(lp115133 +S'The\tThe\tDT\tB-NP\tO' +p115134 +aS'right\tright\tJJ\tI-NP\tO' +p115135 +aS'upper\tupper\tJJ\tI-NP\tO' +p115136 +aS'extremity\textremity\tNN\tI-NP\tO' +p115137 +aS'was\tbe\tVBD\tB-VP\tO' +p115138 +aS'flaccid\tflaccid\tJJ\tB-ADJP\tO' +p115139 +aS'and\tand\tCC\tI-ADJP\tO' +p115140 +aS'paresthetic\tparesthetic\tJJ\tI-ADJP\tO' +p115141 +aS'.\t.\t.\tO\tO' +p115142 +asS'5. Atorvastatin 80 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' +p115143 +(lp115144 +S'5.\t5.\tLS\tB-LST\tO' +p115145 +aS'Atorvastatin\tAtorvastatin\tNN\tB-NP\tO' +p115146 +aS'80\t80\tCD\tI-NP\tO' +p115147 +aS'mg\tmg\tNN\tI-NP\tO' +p115148 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p115149 +aS'Sig\tSig\tNNP\tI-NP\tO' +p115150 +aS':\t:\t:\tO\tO' +p115151 +aS'One\tOne\tCD\tB-NP\tO' +p115152 +aS'(\t(\t(\tO\tO' +p115153 +aS'1\t1\tCD\tB-NP\tO' +p115154 +aS')\t)\t)\tO\tO' +p115155 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p115156 +aS'PO\tPO\tNN\tI-NP\tO' +p115157 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p115158 +aS'(\t(\t(\tO\tO' +p115159 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p115160 +aS')\t)\t)\tO\tO' +p115161 +aS'.\t.\t.\tO\tO' +p115162 +asS'The percutaneous endoscopic gastrostomy was unsuccessful , and the procedure was converted to an open gastrostomy tube which then proceeded without complications .' +p115163 +(lp115164 +S'The\tThe\tDT\tB-NP\tO' +p115165 +aS'percutaneous\tpercutaneous\tJJ\tI-NP\tO' +p115166 +aS'endoscopic\tendoscopic\tJJ\tI-NP\tO' +p115167 +aS'gastrostomy\tgastrostomy\tNN\tI-NP\tO' +p115168 +aS'was\tbe\tVBD\tB-VP\tO' +p115169 +aS'unsuccessful\tunsuccessful\tJJ\tB-ADJP\tO' +p115170 +aS',\t,\t,\tO\tO' +p115171 +aS'and\tand\tCC\tO\tO' +p115172 +aS'the\tthe\tDT\tB-NP\tO' +p115173 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p115174 +aS'was\tbe\tVBD\tB-VP\tO' +p115175 +aS'converted\tconvert\tVBN\tI-VP\tO' +p115176 +aS'to\tto\tTO\tB-PP\tO' +p115177 +aS'an\tan\tDT\tB-NP\tO' +p115178 +aS'open\topen\tJJ\tI-NP\tO' +p115179 +aS'gastrostomy\tgastrostomy\tNN\tI-NP\tO' +p115180 +aS'tube\ttube\tNN\tI-NP\tO' +p115181 +aS'which\twhich\tWDT\tB-NP\tO' +p115182 +aS'then\tthen\tRB\tB-ADVP\tO' +p115183 +aS'proceeded\tproceed\tVBD\tB-VP\tO' +p115184 +aS'without\twithout\tIN\tB-PP\tO' +p115185 +aS'complications\tcomplication\tNNS\tB-NP\tO' +p115186 +aS'.\t.\t.\tO\tO' +p115187 +asS'Since she has seen Dr. Ollie , she has had at least two episodes of status epilepticus and one generalized seizure , as well as some less significant seizures which are characterized by left gaze preference and left sided tonic-clonic activity .' +p115188 +(lp115189 +S'Since\tSince\tIN\tB-SBAR\tO' +p115190 +aS'she\tshe\tPRP\tB-NP\tO' +p115191 +aS'has\thave\tVBZ\tB-VP\tO' +p115192 +aS'seen\tsee\tVBN\tI-VP\tO' +p115193 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p115194 +aS'Ollie\tOllie\tNNP\tI-NP\tO' +p115195 +aS',\t,\t,\tO\tO' +p115196 +aS'she\tshe\tPRP\tB-NP\tO' +p115197 +aS'has\thave\tVBZ\tB-VP\tO' +p115198 +aS'had\thave\tVBN\tI-VP\tO' +p115199 +aS'at\tat\tIN\tB-NP\tO' +p115200 +aS'least\tleast\tJJS\tI-NP\tO' +p115201 +aS'two\ttwo\tCD\tI-NP\tO' +p115202 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p115203 +aS'of\tof\tIN\tB-PP\tO' +p115204 +aS'status\tstatus\tNN\tB-NP\tO' +p115205 +aS'epilepticus\tepilepticus\tNN\tI-NP\tO' +p115206 +aS'and\tand\tCC\tO\tO' +p115207 +aS'one\tone\tCD\tB-NP\tO' +p115208 +aS'generalized\tgeneralize\tVBN\tI-NP\tO' +p115209 +aS'seizure\tseizure\tNN\tI-NP\tO' +p115210 +aS',\t,\t,\tO\tO' +p115211 +aS'as\tas\tRB\tB-CONJP\tO' +p115212 +aS'well\twell\tRB\tI-CONJP\tO' +p115213 +aS'as\tas\tIN\tI-CONJP\tO' +p115214 +aS'some\tsome\tDT\tB-NP\tO' +p115215 +aS'less\tless\tRBR\tI-NP\tO' +p115216 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p115217 +aS'seizures\tseizure\tNNS\tI-NP\tO' +p115218 +aS'which\twhich\tWDT\tB-NP\tO' +p115219 +aS'are\tbe\tVBP\tB-VP\tO' +p115220 +aS'characterized\tcharacterize\tVBN\tI-VP\tO' +p115221 +aS'by\tby\tIN\tB-PP\tO' +p115222 +aS'left\tleft\tJJ\tB-NP\tO' +p115223 +aS'gaze\tgaze\tNN\tI-NP\tO' +p115224 +aS'preference\tpreference\tNN\tI-NP\tO' +p115225 +aS'and\tand\tCC\tO\tO' +p115226 +aS'left\tleave\tVBD\tB-VP\tO' +p115227 +aS'sided\tsided\tJJ\tB-NP\tO' +p115228 +aS'tonic-clonic\ttonic-clonic\tJJ\tI-NP\tO' +p115229 +aS'activity\tactivity\tNN\tI-NP\tO' +p115230 +aS'.\t.\t.\tO\tO' +p115231 +asS'T maximum 98.6 , blood pressure 90s-130s / 80s-90s , heart rate 70s to 80s , respirations 18 , oxygen saturation 98% on room air .' +p115232 +(lp115233 +S'T\tT\tNN\tB-NP\tB-protein' +p115234 +aS'maximum\tmaximum\tNN\tI-NP\tI-protein' +p115235 +aS'98.6\t98.6\tCD\tI-NP\tI-protein' +p115236 +aS',\t,\t,\tO\tO' +p115237 +aS'blood\tblood\tNN\tB-NP\tO' +p115238 +aS'pressure\tpressure\tNN\tI-NP\tO' +p115239 +aS'90s-130s\t90s-130s\tCD\tI-NP\tO' +p115240 +aS'/\t/\tSYM\tI-NP\tO' +p115241 +aS'80s-90s\t80s-90s\tCD\tI-NP\tO' +p115242 +aS',\t,\t,\tO\tO' +p115243 +aS'heart\theart\tNN\tB-NP\tO' +p115244 +aS'rate\trate\tNN\tI-NP\tO' +p115245 +aS'70s\t70\tNNS\tI-NP\tO' +p115246 +aS'to\tto\tTO\tB-PP\tO' +p115247 +aS'80s\t80\tNNS\tB-NP\tO' +p115248 +aS',\t,\t,\tO\tO' +p115249 +aS'respirations\trespiration\tNNS\tB-NP\tO' +p115250 +aS'18\t18\tCD\tB-NP\tO' +p115251 +aS',\t,\t,\tO\tO' +p115252 +aS'oxygen\toxygen\tNN\tB-NP\tO' +p115253 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p115254 +aS'98%\t98%\tNN\tI-NP\tO' +p115255 +aS'on\ton\tIN\tB-PP\tO' +p115256 +aS'room\troom\tNN\tB-NP\tO' +p115257 +aS'air\tair\tNN\tI-NP\tO' +p115258 +aS'.\t.\t.\tO\tO' +p115259 +asS"The patient 's head wound laceration was noted to be clean and dry with intact staples ." +p115260 +(lp115261 +S'The\tThe\tDT\tB-NP\tO' +p115262 +aS'patient\tpatient\tNN\tI-NP\tO' +p115263 +aS"'s\t's\tPOS\tB-NP\tO" +p115264 +aS'head\thead\tNN\tI-NP\tO' +p115265 +aS'wound\twound\tNN\tI-NP\tO' +p115266 +aS'laceration\tlaceration\tNN\tI-NP\tO' +p115267 +aS'was\tbe\tVBD\tB-VP\tO' +p115268 +aS'noted\tnote\tVBN\tI-VP\tO' +p115269 +aS'to\tto\tTO\tI-VP\tO' +p115270 +aS'be\tbe\tVB\tI-VP\tO' +p115271 +aS'clean\tclean\tJJ\tB-ADJP\tO' +p115272 +aS'and\tand\tCC\tI-ADJP\tO' +p115273 +aS'dry\tdry\tJJ\tI-ADJP\tO' +p115274 +aS'with\twith\tIN\tB-PP\tO' +p115275 +aS'intact\tintact\tJJ\tB-NP\tO' +p115276 +aS'staples\tstaple\tNNS\tI-NP\tO' +p115277 +aS'.\t.\t.\tO\tO' +p115278 +asS'Acyclovir was started , also considering the varicella at 120 mg intravenously every 8 hours .' +p115279 +(lp115280 +S'Acyclovir\tAcyclovir\tNN\tB-NP\tO' +p115281 +aS'was\tbe\tVBD\tB-VP\tO' +p115282 +aS'started\tstart\tVBN\tI-VP\tO' +p115283 +aS',\t,\t,\tO\tO' +p115284 +aS'also\talso\tRB\tB-ADVP\tO' +p115285 +aS'considering\tconsider\tVBG\tB-VP\tO' +p115286 +aS'the\tthe\tDT\tB-NP\tO' +p115287 +aS'varicella\tvaricella\tNN\tI-NP\tO' +p115288 +aS'at\tat\tIN\tB-PP\tO' +p115289 +aS'120\t120\tCD\tB-NP\tO' +p115290 +aS'mg\tmg\tNN\tI-NP\tO' +p115291 +aS'intravenously\tintravenously\tRB\tB-NP\tO' +p115292 +aS'every\tevery\tDT\tI-NP\tO' +p115293 +aS'8\t8\tCD\tI-NP\tO' +p115294 +aS'hours\thour\tNNS\tI-NP\tO' +p115295 +aS'.\t.\t.\tO\tO' +p115296 +asS'This unsteady gait progressed , and then she subsequently started to develop a pins and needle feeling in the face , hands and feet bilaterally .' +p115297 +(lp115298 +S'This\tThis\tDT\tB-NP\tO' +p115299 +aS'unsteady\tunsteady\tJJ\tI-NP\tO' +p115300 +aS'gait\tgait\tNN\tI-NP\tO' +p115301 +aS'progressed\tprogress\tVBD\tB-VP\tO' +p115302 +aS',\t,\t,\tO\tO' +p115303 +aS'and\tand\tCC\tO\tO' +p115304 +aS'then\tthen\tRB\tO\tO' +p115305 +aS'she\tshe\tPRP\tB-NP\tO' +p115306 +aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' +p115307 +aS'started\tstart\tVBD\tB-VP\tO' +p115308 +aS'to\tto\tTO\tI-VP\tO' +p115309 +aS'develop\tdevelop\tVB\tI-VP\tO' +p115310 +aS'a\ta\tDT\tB-NP\tO' +p115311 +aS'pins\tpin\tNNS\tI-NP\tO' +p115312 +aS'and\tand\tCC\tI-NP\tO' +p115313 +aS'needle\tneedle\tNN\tI-NP\tO' +p115314 +aS'feeling\tfeeling\tNN\tI-NP\tO' +p115315 +aS'in\tin\tIN\tB-PP\tO' +p115316 +aS'the\tthe\tDT\tB-NP\tO' +p115317 +aS'face\tface\tNN\tI-NP\tO' +p115318 +aS',\t,\t,\tO\tO' +p115319 +aS'hands\thand\tNNS\tB-NP\tO' +p115320 +aS'and\tand\tCC\tI-NP\tO' +p115321 +aS'feet\tfoot\tNNS\tI-NP\tO' +p115322 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p115323 +aS'.\t.\t.\tO\tO' +p115324 +asS'He reports occasional alcohol use and no illicits .' +p115325 +(lp115326 +S'He\tHe\tPRP\tB-NP\tO' +p115327 +aS'reports\treport\tVBZ\tB-VP\tO' +p115328 +aS'occasional\toccasional\tJJ\tB-NP\tO' +p115329 +aS'alcohol\talcohol\tNN\tI-NP\tO' +p115330 +aS'use\tuse\tNN\tI-NP\tO' +p115331 +aS'and\tand\tCC\tO\tO' +p115332 +aS'no\tno\tDT\tB-NP\tO' +p115333 +aS'illicits\tillicit\tNNS\tI-NP\tO' +p115334 +aS'.\t.\t.\tO\tO' +p115335 +asS'1. Marked interval enlargement of the cardiac silhouette .' +p115336 +(lp115337 +S'1.\t1.\tLS\tB-LST\tO' +p115338 +aS'Marked\tMark\tVBD\tB-VP\tO' +p115339 +aS'interval\tinterval\tJJ\tB-NP\tO' +p115340 +aS'enlargement\tenlargement\tNN\tI-NP\tO' +p115341 +aS'of\tof\tIN\tB-PP\tO' +p115342 +aS'the\tthe\tDT\tB-NP\tO' +p115343 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p115344 +aS'silhouette\tsilhouette\tNN\tI-NP\tO' +p115345 +aS'.\t.\t.\tO\tO' +p115346 +asS'At discharge the patient was thought to be euvolemic , satting well on room air and without peripheral edema .' +p115347 +(lp115348 +S'At\tAt\tIN\tB-PP\tO' +p115349 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p115350 +aS'the\tthe\tDT\tB-NP\tO' +p115351 +aS'patient\tpatient\tNN\tI-NP\tO' +p115352 +aS'was\tbe\tVBD\tB-VP\tO' +p115353 +aS'thought\tthink\tVBN\tI-VP\tO' +p115354 +aS'to\tto\tTO\tI-VP\tO' +p115355 +aS'be\tbe\tVB\tI-VP\tO' +p115356 +aS'euvolemic\teuvolemic\tJJ\tB-ADJP\tO' +p115357 +aS',\t,\t,\tO\tO' +p115358 +aS'satting\tsatte\tVBG\tB-VP\tO' +p115359 +aS'well\twell\tRB\tB-ADVP\tO' +p115360 +aS'on\ton\tIN\tB-PP\tO' +p115361 +aS'room\troom\tNN\tB-NP\tO' +p115362 +aS'air\tair\tNN\tI-NP\tO' +p115363 +aS'and\tand\tCC\tB-PP\tO' +p115364 +aS'without\twithout\tIN\tB-PP\tO' +p115365 +aS'peripheral\tperipheral\tJJ\tB-NP\tO' +p115366 +aS'edema\tedema\tNN\tI-NP\tO' +p115367 +aS'.\t.\t.\tO\tO' +p115368 +asS'Anterior fontanel open and flat .' +p115369 +(lp115370 +S'Anterior\tAnterior\tJJ\tB-NP\tO' +p115371 +aS'fontanel\tfontanel\tNN\tI-NP\tO' +p115372 +aS'open\topen\tJJ\tB-ADJP\tO' +p115373 +aS'and\tand\tCC\tI-ADJP\tO' +p115374 +aS'flat\tflat\tJJ\tI-ADJP\tO' +p115375 +aS'.\t.\t.\tO\tO' +p115376 +asS'On the day of admission , when he fell , the patient was experiencing no chest pain , no shortness of breath , and had no loss of consciousness , no head trauma with fall .' +p115377 +(lp115378 +S'On\tOn\tIN\tB-PP\tO' +p115379 +aS'the\tthe\tDT\tB-NP\tO' +p115380 +aS'day\tday\tNN\tI-NP\tO' +p115381 +aS'of\tof\tIN\tB-PP\tO' +p115382 +aS'admission\tadmission\tNN\tB-NP\tO' +p115383 +aS',\t,\t,\tO\tO' +p115384 +aS'when\twhen\tWRB\tB-ADVP\tO' +p115385 +aS'he\the\tPRP\tB-NP\tO' +p115386 +aS'fell\tfall\tVBD\tB-VP\tO' +p115387 +aS',\t,\t,\tO\tO' +p115388 +aS'the\tthe\tDT\tB-NP\tO' +p115389 +aS'patient\tpatient\tNN\tI-NP\tO' +p115390 +aS'was\tbe\tVBD\tB-VP\tO' +p115391 +aS'experiencing\texperience\tVBG\tI-VP\tO' +p115392 +aS'no\tno\tDT\tB-NP\tO' +p115393 +aS'chest\tchest\tNN\tI-NP\tO' +p115394 +aS'pain\tpain\tNN\tI-NP\tO' +p115395 +aS',\t,\t,\tO\tO' +p115396 +aS'no\tno\tDT\tB-NP\tO' +p115397 +aS'shortness\tshortness\tNN\tI-NP\tO' +p115398 +aS'of\tof\tIN\tB-PP\tO' +p115399 +aS'breath\tbreath\tNN\tB-NP\tO' +p115400 +aS',\t,\t,\tO\tO' +p115401 +aS'and\tand\tCC\tO\tO' +p115402 +aS'had\thave\tVBD\tB-VP\tO' +p115403 +aS'no\tno\tDT\tB-NP\tO' +p115404 +aS'loss\tloss\tNN\tI-NP\tO' +p115405 +aS'of\tof\tIN\tB-PP\tO' +p115406 +aS'consciousness\tconsciousness\tNN\tB-NP\tO' +p115407 +aS',\t,\t,\tO\tO' +p115408 +aS'no\tno\tDT\tB-NP\tO' +p115409 +aS'head\thead\tNN\tI-NP\tO' +p115410 +aS'trauma\ttrauma\tNN\tI-NP\tO' +p115411 +aS'with\twith\tIN\tB-PP\tO' +p115412 +aS'fall\tfall\tNN\tB-NP\tO' +p115413 +aS'.\t.\t.\tO\tO' +p115414 +asS'She denies any vomiting , states that the episodes usually last about five minutes and are relieved with rest .' +p115415 +(lp115416 +S'She\tShe\tPRP\tB-NP\tO' +p115417 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p115418 +aS'any\tany\tDT\tB-NP\tO' +p115419 +aS'vomiting\tvomiting\tNN\tI-NP\tO' +p115420 +aS',\t,\t,\tO\tO' +p115421 +aS'states\tstate\tVBZ\tB-VP\tO' +p115422 +aS'that\tthat\tIN\tB-SBAR\tO' +p115423 +aS'the\tthe\tDT\tB-NP\tO' +p115424 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p115425 +aS'usually\tusually\tRB\tB-ADJP\tO' +p115426 +aS'last\tlast\tJJ\tI-ADJP\tO' +p115427 +aS'about\tabout\tIN\tB-PP\tO' +p115428 +aS'five\tfive\tCD\tB-NP\tO' +p115429 +aS'minutes\tminute\tNNS\tI-NP\tO' +p115430 +aS'and\tand\tCC\tO\tO' +p115431 +aS'are\tbe\tVBP\tB-VP\tO' +p115432 +aS'relieved\trelieve\tVBN\tI-VP\tO' +p115433 +aS'with\twith\tIN\tB-PP\tO' +p115434 +aS'rest\trest\tNN\tB-NP\tO' +p115435 +aS'.\t.\t.\tO\tO' +p115436 +asS'7. Levetiracetam 500 mg Tablet Sig : Three ( 3 ) Tablet PO BID ( 2 times a day ) .' +p115437 +(lp115438 +S'7.\t7.\tCD\tB-NP\tO' +p115439 +aS'Levetiracetam\tLevetiracetam\tNNP\tI-NP\tO' +p115440 +aS'500\t500\tCD\tI-NP\tO' +p115441 +aS'mg\tmg\tNN\tI-NP\tO' +p115442 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p115443 +aS'Sig\tSig\tNNP\tI-NP\tO' +p115444 +aS':\t:\t:\tO\tO' +p115445 +aS'Three\tThree\tCD\tB-NP\tO' +p115446 +aS'(\t(\t(\tO\tO' +p115447 +aS'3\t3\tCD\tB-NP\tO' +p115448 +aS')\t)\t)\tO\tO' +p115449 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p115450 +aS'PO\tPO\tNN\tI-NP\tO' +p115451 +aS'BID\tBID\tNN\tI-NP\tO' +p115452 +aS'(\t(\t(\tO\tO' +p115453 +aS'2\t2\tCD\tB-NP\tO' +p115454 +aS'times\ttime\tNNS\tI-NP\tO' +p115455 +aS'a\ta\tDT\tB-NP\tO' +p115456 +aS'day\tday\tNN\tI-NP\tO' +p115457 +aS')\t)\t)\tO\tO' +p115458 +aS'.\t.\t.\tO\tO' +p115459 +asS'tylenol PRN lisinopril 5 mg PO qd protonix 20 mg PO qd artifical tears bid metoprolol 25 mg PO bid' +p115460 +(lp115461 +S'tylenol\ttylenol\tNN\tB-NP\tB-protein' +p115462 +aS'PRN\tPRN\tNN\tI-NP\tI-protein' +p115463 +aS'lisinopril\tlisinopril\tNN\tI-NP\tI-protein' +p115464 +aS'5\t5\tCD\tI-NP\tI-protein' +p115465 +aS'mg\tmg\tNN\tI-NP\tI-protein' +p115466 +aS'PO\tPO\tNN\tI-NP\tI-protein' +p115467 +aS'qd\tqd\tNN\tI-NP\tI-protein' +p115468 +aS'protonix\tprotonix\tNN\tI-NP\tI-protein' +p115469 +aS'20\t20\tCD\tI-NP\tI-protein' +p115470 +aS'mg\tmg\tNN\tI-NP\tI-protein' +p115471 +aS'PO\tPO\tNN\tI-NP\tI-protein' +p115472 +aS'qd\tqd\tNN\tI-NP\tI-protein' +p115473 +aS'artifical\tartifical\tJJ\tI-NP\tI-protein' +p115474 +aS'tears\ttear\tNNS\tI-NP\tI-protein' +p115475 +aS'bid\tbid\tVBD\tB-VP\tO' +p115476 +aS'metoprolol\tmetoprolol\tNN\tB-NP\tO' +p115477 +aS'25\t25\tCD\tI-NP\tO' +p115478 +aS'mg\tmg\tNN\tI-NP\tO' +p115479 +aS'PO\tPO\tNN\tI-NP\tO' +p115480 +aS'bid\tbid\tNN\tI-NP\tO' +p115481 +asS'In the Deanna , her VS were Tc 97.2 , BP 146/25 , HR 70 , RR 27 , SaO2 95%/NRB .' +p115482 +(lp115483 +S'In\tIn\tIN\tB-PP\tO' +p115484 +aS'the\tthe\tDT\tB-NP\tO' +p115485 +aS'Deanna\tDeanna\tNNP\tI-NP\tO' +p115486 +aS',\t,\t,\tO\tO' +p115487 +aS'her\ther\tPRP$\tB-NP\tO' +p115488 +aS'VS\tVS\tNN\tI-NP\tO' +p115489 +aS'were\tbe\tVBD\tB-VP\tO' +p115490 +aS'Tc\tTc\tNN\tB-NP\tB-protein' +p115491 +aS'97.2\t97.2\tCD\tI-NP\tI-protein' +p115492 +aS',\t,\t,\tO\tO' +p115493 +aS'BP\tBP\tNN\tB-NP\tB-DNA' +p115494 +aS'146/25\t146/25\tCD\tI-NP\tI-DNA' +p115495 +aS',\t,\t,\tO\tO' +p115496 +aS'HR\tHR\tNN\tB-NP\tB-protein' +p115497 +aS'70\t70\tCD\tI-NP\tI-protein' +p115498 +aS',\t,\t,\tO\tO' +p115499 +aS'RR\tRR\tNN\tB-NP\tB-protein' +p115500 +aS'27\t27\tCD\tI-NP\tI-protein' +p115501 +aS',\t,\t,\tO\tO' +p115502 +aS'SaO2\tSaO2\tNN\tB-NP\tO' +p115503 +aS'95%/NRB\t95%/NRB\tNN\tI-NP\tO' +p115504 +aS'.\t.\t.\tO\tO' +p115505 +asS'Gen : sedated but A+O x3' +p115506 +(lp115507 +S'Gen\tGen\tNN\tB-NP\tO' +p115508 +aS':\t:\t:\tO\tO' +p115509 +aS'sedated\tsedate\tVBN\tB-VP\tO' +p115510 +aS'but\tbut\tCC\tO\tO' +p115511 +aS'A+O\tA+O\tNNP\tB-NP\tO' +p115512 +aS'x3\tx3\tCD\tI-NP\tO' +p115513 +asS'Discharge weight is 1.89 kg .' +p115514 +(lp115515 +S'Discharge\tDischarge\tNN\tB-NP\tO' +p115516 +aS'weight\tweight\tNN\tI-NP\tO' +p115517 +aS'is\tbe\tVBZ\tB-VP\tO' +p115518 +aS'1.89\t1.89\tCD\tB-NP\tO' +p115519 +aS'kg\tkg\tNN\tI-NP\tO' +p115520 +aS'.\t.\t.\tO\tO' +p115521 +asS"It was his family 's wish that he be made comfortable ." +p115522 +(lp115523 +S'It\tIt\tPRP\tB-NP\tO' +p115524 +aS'was\tbe\tVBD\tB-VP\tO' +p115525 +aS'his\this\tPRP$\tB-NP\tO' +p115526 +aS'family\tfamily\tNN\tI-NP\tO' +p115527 +aS"'s\t's\tPOS\tB-NP\tO" +p115528 +aS'wish\twish\tNN\tI-NP\tO' +p115529 +aS'that\tthat\tIN\tB-SBAR\tO' +p115530 +aS'he\the\tPRP\tB-NP\tO' +p115531 +aS'be\tbe\tVB\tB-VP\tO' +p115532 +aS'made\tmake\tVBN\tI-VP\tO' +p115533 +aS'comfortable\tcomfortable\tJJ\tB-ADJP\tO' +p115534 +aS'.\t.\t.\tO\tO' +p115535 +asS'His last recorded hematocrit on discharge was 31.3 .' +p115536 +(lp115537 +S'His\tHis\tPRP$\tB-NP\tO' +p115538 +aS'last\tlast\tJJ\tI-NP\tO' +p115539 +aS'recorded\trecorded\tJJ\tI-NP\tO' +p115540 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p115541 +aS'on\ton\tIN\tB-PP\tO' +p115542 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p115543 +aS'was\tbe\tVBD\tB-VP\tO' +p115544 +aS'31.3\t31.3\tCD\tB-NP\tO' +p115545 +aS'.\t.\t.\tO\tO' +p115546 +asS'1. Prostate cancer .' +p115547 +(lp115548 +S'1.\t1.\tLS\tB-NP\tO' +p115549 +aS'Prostate\tProstate\tNN\tI-NP\tO' +p115550 +aS'cancer\tcancer\tNN\tI-NP\tO' +p115551 +aS'.\t.\t.\tO\tO' +p115552 +asS'Continued on lasix , bblocker Robertson .' +p115553 +(lp115554 +S'Continued\tContinue\tVBN\tB-VP\tO' +p115555 +aS'on\ton\tIN\tB-PP\tO' +p115556 +aS'lasix\tlasix\tNN\tB-NP\tO' +p115557 +aS',\t,\t,\tO\tO' +p115558 +aS'bblocker\tbblocker\tNN\tB-NP\tO' +p115559 +aS'Robertson\tRobertson\tNNP\tI-NP\tO' +p115560 +aS'.\t.\t.\tO\tO' +p115561 +asS'Patient is an insulin dependent diabetic .' +p115562 +(lp115563 +S'Patient\tPatient\tNN\tB-NP\tO' +p115564 +aS'is\tbe\tVBZ\tB-VP\tO' +p115565 +aS'an\tan\tDT\tB-NP\tO' +p115566 +aS'insulin\tinsulin\tNN\tI-NP\tB-protein' +p115567 +aS'dependent\tdependent\tJJ\tI-NP\tO' +p115568 +aS'diabetic\tdiabetic\tNN\tI-NP\tO' +p115569 +aS'.\t.\t.\tO\tO' +p115570 +asS'She had her belly cleaned with Hibiclens one a day and once an adequate preoperative evaluation was performed , she was given a bowel prep on Monday afternoon and evening in preparation for an' +p115571 +(lp115572 +S'She\tShe\tPRP\tB-NP\tO' +p115573 +aS'had\thave\tVBD\tB-VP\tO' +p115574 +aS'her\ther\tPRP\tB-NP\tO' +p115575 +aS'belly\tbelly\tRB\tB-ADVP\tO' +p115576 +aS'cleaned\tclean\tVBD\tB-VP\tO' +p115577 +aS'with\twith\tIN\tB-PP\tO' +p115578 +aS'Hibiclens\tHibiclens\tNNP\tB-NP\tO' +p115579 +aS'one\tone\tCD\tI-NP\tO' +p115580 +aS'a\ta\tDT\tB-NP\tO' +p115581 +aS'day\tday\tNN\tI-NP\tO' +p115582 +aS'and\tand\tCC\tO\tO' +p115583 +aS'once\tonce\tRB\tB-ADVP\tO' +p115584 +aS'an\tan\tDT\tB-NP\tO' +p115585 +aS'adequate\tadequate\tJJ\tI-NP\tO' +p115586 +aS'preoperative\tpreoperative\tJJ\tI-NP\tO' +p115587 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p115588 +aS'was\tbe\tVBD\tB-VP\tO' +p115589 +aS'performed\tperform\tVBN\tI-VP\tO' +p115590 +aS',\t,\t,\tO\tO' +p115591 +aS'she\tshe\tPRP\tB-NP\tO' +p115592 +aS'was\tbe\tVBD\tB-VP\tO' +p115593 +aS'given\tgive\tVBN\tI-VP\tO' +p115594 +aS'a\ta\tDT\tB-NP\tO' +p115595 +aS'bowel\tbowel\tNN\tI-NP\tO' +p115596 +aS'prep\tprep\tNN\tI-NP\tO' +p115597 +aS'on\ton\tIN\tB-PP\tO' +p115598 +aS'Monday\tMonday\tNNP\tB-NP\tO' +p115599 +aS'afternoon\tafternoon\tNN\tI-NP\tO' +p115600 +aS'and\tand\tCC\tI-NP\tO' +p115601 +aS'evening\tevening\tNN\tI-NP\tO' +p115602 +aS'in\tin\tIN\tB-PP\tO' +p115603 +aS'preparation\tpreparation\tNN\tB-NP\tO' +p115604 +aS'for\tfor\tIN\tB-PP\tO' +p115605 +aS'an\tan\tDT\tB-NP\tO' +p115606 +asS'She had an INR of 1.5 on her Coumadin .' +p115607 +(lp115608 +S'She\tShe\tPRP\tB-NP\tO' +p115609 +aS'had\thave\tVBD\tB-VP\tO' +p115610 +aS'an\tan\tDT\tB-NP\tO' +p115611 +aS'INR\tINR\tNN\tI-NP\tB-protein' +p115612 +aS'of\tof\tIN\tB-PP\tO' +p115613 +aS'1.5\t1.5\tCD\tB-NP\tO' +p115614 +aS'on\ton\tIN\tB-PP\tO' +p115615 +aS'her\ther\tPRP$\tB-NP\tO' +p115616 +aS'Coumadin\tCoumadin\tNN\tI-NP\tO' +p115617 +aS'.\t.\t.\tO\tO' +p115618 +asS'The patient had no blood cultures to grow corynebacterium while hospitalized .' +p115619 +(lp115620 +S'The\tThe\tDT\tB-NP\tO' +p115621 +aS'patient\tpatient\tNN\tI-NP\tO' +p115622 +aS'had\thave\tVBD\tB-VP\tO' +p115623 +aS'no\tno\tDT\tB-NP\tO' +p115624 +aS'blood\tblood\tNN\tI-NP\tO' +p115625 +aS'cultures\tculture\tNNS\tI-NP\tO' +p115626 +aS'to\tto\tTO\tB-VP\tO' +p115627 +aS'grow\tgrow\tVB\tI-VP\tO' +p115628 +aS'corynebacterium\tcorynebacterium\tNN\tB-NP\tO' +p115629 +aS'while\twhile\tIN\tB-SBAR\tO' +p115630 +aS'hospitalized\thospitalize\tVBN\tB-VP\tO' +p115631 +aS'.\t.\t.\tO\tO' +p115632 +asS'Findings were called to Dr. Leanne Vazquez on the morning of 10-21 .' +p115633 +(lp115634 +S'Findings\tFinding\tNNS\tB-NP\tO' +p115635 +aS'were\tbe\tVBD\tB-VP\tO' +p115636 +aS'called\tcall\tVBN\tI-VP\tO' +p115637 +aS'to\tto\tTO\tB-PP\tO' +p115638 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p115639 +aS'Leanne\tLeanne\tNNP\tI-NP\tO' +p115640 +aS'Vazquez\tVazquez\tNNP\tI-NP\tO' +p115641 +aS'on\ton\tIN\tB-PP\tO' +p115642 +aS'the\tthe\tDT\tB-NP\tO' +p115643 +aS'morning\tmorning\tNN\tI-NP\tO' +p115644 +aS'of\tof\tIN\tB-PP\tO' +p115645 +aS'10-21\t10-21\tCD\tB-NP\tO' +p115646 +aS'.\t.\t.\tO\tO' +p115647 +asS'Neurological examination is non-focal .' +p115648 +(lp115649 +S'Neurological\tNeurological\tJJ\tB-NP\tO' +p115650 +aS'examination\texamination\tNN\tI-NP\tO' +p115651 +aS'is\tbe\tVBZ\tB-VP\tO' +p115652 +aS'non-focal\tnon-focal\tJJ\tB-ADJP\tO' +p115653 +aS'.\t.\t.\tO\tO' +p115654 +asS'Echo 10-25 : PRE-BYPASS : Left ventricular wall thicknesses are normal .' +p115655 +(lp115656 +S'Echo\tEcho\tNNP\tB-NP\tO' +p115657 +aS'10-25\t10-25\tCD\tI-NP\tO' +p115658 +aS':\t:\t:\tO\tO' +p115659 +aS'PRE-BYPASS\tPRE-BYPASS\tNN\tB-NP\tO' +p115660 +aS':\t:\t:\tO\tO' +p115661 +aS'Left\tLeft\tJJ\tB-NP\tO' +p115662 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p115663 +aS'wall\twall\tNN\tI-NP\tO' +p115664 +aS'thicknesses\tthickness\tNNS\tI-NP\tO' +p115665 +aS'are\tbe\tVBP\tB-VP\tO' +p115666 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p115667 +aS'.\t.\t.\tO\tO' +p115668 +asS'Hepatocellular carcinoma , and hepatitis C .' +p115669 +(lp115670 +S'Hepatocellular\tHepatocellular\tJJ\tB-NP\tO' +p115671 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p115672 +aS',\t,\t,\tO\tO' +p115673 +aS'and\tand\tCC\tO\tO' +p115674 +aS'hepatitis\thepatitis\tNN\tB-NP\tO' +p115675 +aS'C\tC\tNN\tI-NP\tO' +p115676 +aS'.\t.\t.\tO\tO' +p115677 +asS'9. Psychosocial .' +p115678 +(lp115679 +S'9.\t9.\tLS\tB-LST\tO' +p115680 +aS'Psychosocial\tPsychosocial\tNNP\tB-NP\tO' +p115681 +aS'.\t.\t.\tO\tO' +p115682 +asS'The patient was admitted in October of 1991 for urinary retention and acute renal failure and was treated with fluid rehydration and Foley catheter placement .' +p115683 +(lp115684 +S'The\tThe\tDT\tB-NP\tO' +p115685 +aS'patient\tpatient\tNN\tI-NP\tO' +p115686 +aS'was\tbe\tVBD\tB-VP\tO' +p115687 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p115688 +aS'in\tin\tIN\tB-PP\tO' +p115689 +aS'October\tOctober\tNNP\tB-NP\tO' +p115690 +aS'of\tof\tIN\tB-PP\tO' +p115691 +aS'1991\t1991\tCD\tB-NP\tO' +p115692 +aS'for\tfor\tIN\tB-PP\tO' +p115693 +aS'urinary\turinary\tJJ\tB-NP\tO' +p115694 +aS'retention\tretention\tNN\tI-NP\tO' +p115695 +aS'and\tand\tCC\tO\tO' +p115696 +aS'acute\tacute\tJJ\tB-NP\tO' +p115697 +aS'renal\trenal\tJJ\tI-NP\tO' +p115698 +aS'failure\tfailure\tNN\tI-NP\tO' +p115699 +aS'and\tand\tCC\tO\tO' +p115700 +aS'was\tbe\tVBD\tB-VP\tO' +p115701 +aS'treated\ttreat\tVBN\tI-VP\tO' +p115702 +aS'with\twith\tIN\tB-PP\tO' +p115703 +aS'fluid\tfluid\tNN\tB-NP\tO' +p115704 +aS'rehydration\trehydration\tNN\tI-NP\tO' +p115705 +aS'and\tand\tCC\tO\tO' +p115706 +aS'Foley\tFoley\tNNP\tB-NP\tO' +p115707 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p115708 +aS'placement\tplacement\tNN\tI-NP\tO' +p115709 +aS'.\t.\t.\tO\tO' +p115710 +asS'9. Alphagan 1 gtt in left eye three times a day .' +p115711 +(lp115712 +S'9.\t9.\tCD\tB-NP\tO' +p115713 +aS'Alphagan\tAlphagan\tNNP\tI-NP\tO' +p115714 +aS'1\t1\tCD\tI-NP\tO' +p115715 +aS'gtt\tgtt\tNN\tI-NP\tO' +p115716 +aS'in\tin\tIN\tB-PP\tO' +p115717 +aS'left\tleft\tJJ\tB-NP\tO' +p115718 +aS'eye\teye\tNN\tI-NP\tO' +p115719 +aS'three\tthree\tCD\tB-NP\tO' +p115720 +aS'times\ttime\tNNS\tI-NP\tO' +p115721 +aS'a\ta\tDT\tB-NP\tO' +p115722 +aS'day\tday\tNN\tI-NP\tO' +p115723 +aS'.\t.\t.\tO\tO' +p115724 +asS'1) AORTIC STENOSIS .' +p115725 +(lp115726 +S'1)\t1)\tLS\tB-NP\tO' +p115727 +aS'AORTIC\tAORTIC\tNN\tI-NP\tO' +p115728 +aS'STENOSIS\tSTENOSIS\tNN\tI-NP\tO' +p115729 +aS'.\t.\t.\tO\tO' +p115730 +asS'2. The patient was instructed to contact Dr. Ralph at ( 428 ) 678-6930 , who is covering for her primary care physician , Dr. Erika Witt , to adjust her dosages based on the INR levels .' +p115731 +(lp115732 +S'2.\t2.\tLS\tB-LST\tO' +p115733 +aS'The\tThe\tDT\tB-NP\tO' +p115734 +aS'patient\tpatient\tNN\tI-NP\tO' +p115735 +aS'was\tbe\tVBD\tB-VP\tO' +p115736 +aS'instructed\tinstruct\tVBN\tI-VP\tO' +p115737 +aS'to\tto\tTO\tI-VP\tO' +p115738 +aS'contact\tcontact\tVB\tI-VP\tO' +p115739 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p115740 +aS'Ralph\tRalph\tNNP\tI-NP\tO' +p115741 +aS'at\tat\tIN\tB-PP\tO' +p115742 +aS'(\t(\t(\tO\tO' +p115743 +aS'428\t428\tCD\tB-NP\tO' +p115744 +aS')\t)\t)\tO\tO' +p115745 +aS'678-6930\t678-6930\tCD\tB-NP\tO' +p115746 +aS',\t,\t,\tO\tO' +p115747 +aS'who\twho\tWP\tB-NP\tO' +p115748 +aS'is\tbe\tVBZ\tB-VP\tO' +p115749 +aS'covering\tcover\tVBG\tI-VP\tO' +p115750 +aS'for\tfor\tIN\tB-PP\tO' +p115751 +aS'her\ther\tPRP$\tB-NP\tO' +p115752 +aS'primary\tprimary\tJJ\tI-NP\tO' +p115753 +aS'care\tcare\tNN\tI-NP\tO' +p115754 +aS'physician\tphysician\tNN\tI-NP\tO' +p115755 +aS',\t,\t,\tO\tO' +p115756 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p115757 +aS'Erika\tErika\tNNP\tI-NP\tO' +p115758 +aS'Witt\tWitt\tNNP\tI-NP\tO' +p115759 +aS',\t,\t,\tO\tO' +p115760 +aS'to\tto\tTO\tB-VP\tO' +p115761 +aS'adjust\tadjust\tVB\tI-VP\tO' +p115762 +aS'her\ther\tPRP$\tB-NP\tO' +p115763 +aS'dosages\tdosage\tNNS\tI-NP\tO' +p115764 +aS'based\tbase\tVBN\tB-PP\tO' +p115765 +aS'on\ton\tIN\tB-PP\tO' +p115766 +aS'the\tthe\tDT\tB-NP\tO' +p115767 +aS'INR\tINR\tNN\tI-NP\tB-protein' +p115768 +aS'levels\tlevel\tNNS\tI-NP\tO' +p115769 +aS'.\t.\t.\tO\tO' +p115770 +asS'2+ pitting edema bilateral LE .' +p115771 +(lp115772 +S'2+\t2+\tJJ\tB-NP\tO' +p115773 +aS'pitting\tpitting\tNN\tI-NP\tO' +p115774 +aS'edema\tedema\tNN\tI-NP\tO' +p115775 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p115776 +aS'LE\tLE\tNN\tI-NP\tO' +p115777 +aS'.\t.\t.\tO\tO' +p115778 +asS'EKG during this episode was taken and showed sinus tachycardia ; however , serial enzymes were significant for CK peaking at 1075 , MB peaking at 114 and MB index peaking at 10.8 , consistent with myocardial damage .' +p115779 +(lp115780 +S'EKG\tEKG\tNN\tB-NP\tB-protein' +p115781 +aS'during\tduring\tIN\tB-PP\tO' +p115782 +aS'this\tthis\tDT\tB-NP\tO' +p115783 +aS'episode\tepisode\tNN\tI-NP\tO' +p115784 +aS'was\tbe\tVBD\tB-VP\tO' +p115785 +aS'taken\ttake\tVBN\tI-VP\tO' +p115786 +aS'and\tand\tCC\tO\tO' +p115787 +aS'showed\tshow\tVBD\tB-VP\tO' +p115788 +aS'sinus\tsinus\tNN\tB-NP\tO' +p115789 +aS'tachycardia\ttachycardia\tNN\tI-NP\tO' +p115790 +aS';\t;\t:\tO\tO' +p115791 +aS'however\thowever\tRB\tB-ADVP\tO' +p115792 +aS',\t,\t,\tO\tO' +p115793 +aS'serial\tserial\tJJ\tB-NP\tB-protein' +p115794 +aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' +p115795 +aS'were\tbe\tVBD\tB-VP\tO' +p115796 +aS'significant\tsignificant\tJJ\tB-ADJP\tO' +p115797 +aS'for\tfor\tIN\tB-PP\tO' +p115798 +aS'CK\tCK\tNN\tB-NP\tB-protein' +p115799 +aS'peaking\tpeak\tVBG\tB-VP\tO' +p115800 +aS'at\tat\tIN\tB-PP\tO' +p115801 +aS'1075\t1075\tCD\tB-NP\tO' +p115802 +aS',\t,\t,\tO\tO' +p115803 +aS'MB\tMB\tNN\tB-NP\tB-protein' +p115804 +aS'peaking\tpeak\tVBG\tB-VP\tO' +p115805 +aS'at\tat\tIN\tB-PP\tO' +p115806 +aS'114\t114\tCD\tB-NP\tO' +p115807 +aS'and\tand\tCC\tO\tO' +p115808 +aS'MB\tMB\tNN\tB-NP\tB-protein' +p115809 +aS'index\tindex\tNN\tI-NP\tI-protein' +p115810 +aS'peaking\tpeak\tVBG\tB-VP\tI-protein' +p115811 +aS'at\tat\tIN\tB-PP\tI-protein' +p115812 +aS'10.8\t10.8\tCD\tB-NP\tI-protein' +p115813 +aS',\t,\t,\tO\tO' +p115814 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p115815 +aS'with\twith\tIN\tB-PP\tO' +p115816 +aS'myocardial\tmyocardial\tJJ\tB-NP\tO' +p115817 +aS'damage\tdamage\tNN\tI-NP\tO' +p115818 +aS'.\t.\t.\tO\tO' +p115819 +asS'Patient was admitted and taken to the Operating Room the next day on 12/24/09 where patient underwent an abdominal aortic aneurysm repair .' +p115820 +(lp115821 +S'Patient\tPatient\tNN\tB-NP\tO' +p115822 +aS'was\tbe\tVBD\tB-VP\tO' +p115823 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p115824 +aS'and\tand\tCC\tO\tO' +p115825 +aS'taken\ttake\tVBN\tB-VP\tO' +p115826 +aS'to\tto\tTO\tB-PP\tO' +p115827 +aS'the\tthe\tDT\tB-NP\tO' +p115828 +aS'Operating\tOperating\tNNP\tI-NP\tO' +p115829 +aS'Room\tRoom\tNNP\tI-NP\tO' +p115830 +aS'the\tthe\tDT\tB-NP\tO' +p115831 +aS'next\tnext\tJJ\tI-NP\tO' +p115832 +aS'day\tday\tNN\tI-NP\tO' +p115833 +aS'on\ton\tIN\tB-PP\tO' +p115834 +aS'12/24/09\t12/24/09\tCD\tB-NP\tO' +p115835 +aS'where\twhere\tWRB\tB-ADVP\tO' +p115836 +aS'patient\tpatient\tNN\tB-NP\tO' +p115837 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p115838 +aS'an\tan\tDT\tB-NP\tO' +p115839 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p115840 +aS'aortic\taortic\tJJ\tI-NP\tO' +p115841 +aS'aneurysm\taneurysm\tNN\tI-NP\tO' +p115842 +aS'repair\trepair\tNN\tI-NP\tO' +p115843 +aS'.\t.\t.\tO\tO' +p115844 +asS'She is a former smoker , and drinks alcohol occasionally .' +p115845 +(lp115846 +S'She\tShe\tPRP\tB-NP\tO' +p115847 +aS'is\tbe\tVBZ\tB-VP\tO' +p115848 +aS'a\ta\tDT\tB-NP\tO' +p115849 +aS'former\tformer\tJJ\tI-NP\tO' +p115850 +aS'smoker\tsmoker\tNN\tI-NP\tO' +p115851 +aS',\t,\t,\tO\tO' +p115852 +aS'and\tand\tCC\tO\tO' +p115853 +aS'drinks\tdrink\tVBZ\tB-VP\tO' +p115854 +aS'alcohol\talcohol\tNN\tB-NP\tO' +p115855 +aS'occasionally\toccasionally\tRB\tB-ADVP\tO' +p115856 +aS'.\t.\t.\tO\tO' +p115857 +asS'Several subacute or chronic rib fractures are identified on the right .' +p115858 +(lp115859 +S'Several\tSeveral\tJJ\tB-NP\tO' +p115860 +aS'subacute\tsubacute\tJJ\tI-NP\tO' +p115861 +aS'or\tor\tCC\tI-NP\tO' +p115862 +aS'chronic\tchronic\tJJ\tI-NP\tO' +p115863 +aS'rib\trib\tNN\tI-NP\tO' +p115864 +aS'fractures\tfracture\tNNS\tI-NP\tO' +p115865 +aS'are\tbe\tVBP\tB-VP\tO' +p115866 +aS'identified\tidentify\tVBN\tI-VP\tO' +p115867 +aS'on\ton\tIN\tB-PP\tO' +p115868 +aS'the\tthe\tDT\tB-NP\tO' +p115869 +aS'right\tright\tNN\tI-NP\tO' +p115870 +aS'.\t.\t.\tO\tO' +p115871 +asS'Since that time , Jadiara has always been in room air without requiring supplemental oxygen .' +p115872 +(lp115873 +S'Since\tSince\tIN\tB-PP\tO' +p115874 +aS'that\tthat\tDT\tB-NP\tO' +p115875 +aS'time\ttime\tNN\tI-NP\tO' +p115876 +aS',\t,\t,\tO\tO' +p115877 +aS'Jadiara\tJadiara\tNNP\tB-NP\tO' +p115878 +aS'has\thave\tVBZ\tB-VP\tO' +p115879 +aS'always\talways\tRB\tI-VP\tO' +p115880 +aS'been\tbe\tVBN\tI-VP\tO' +p115881 +aS'in\tin\tIN\tB-PP\tO' +p115882 +aS'room\troom\tNN\tB-NP\tO' +p115883 +aS'air\tair\tNN\tI-NP\tO' +p115884 +aS'without\twithout\tIN\tB-PP\tO' +p115885 +aS'requiring\trequire\tVBG\tB-VP\tO' +p115886 +aS'supplemental\tsupplemental\tJJ\tB-NP\tO' +p115887 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p115888 +aS'.\t.\t.\tO\tO' +p115889 +asS'Ciprofloxacin was added on 2014-12-01 for synergy when surveillance cultures were found to be growing again GNR .' +p115890 +(lp115891 +S'Ciprofloxacin\tCiprofloxacin\tNN\tB-NP\tO' +p115892 +aS'was\tbe\tVBD\tB-VP\tO' +p115893 +aS'added\tadd\tVBN\tI-VP\tO' +p115894 +aS'on\ton\tIN\tB-PP\tO' +p115895 +aS'2014-12-01\t2014-12-01\tCD\tB-NP\tO' +p115896 +aS'for\tfor\tIN\tB-PP\tO' +p115897 +aS'synergy\tsynergy\tNN\tB-NP\tO' +p115898 +aS'when\twhen\tWRB\tB-ADVP\tO' +p115899 +aS'surveillance\tsurveillance\tNN\tB-NP\tO' +p115900 +aS'cultures\tculture\tNNS\tI-NP\tO' +p115901 +aS'were\tbe\tVBD\tB-VP\tO' +p115902 +aS'found\tfind\tVBN\tI-VP\tO' +p115903 +aS'to\tto\tTO\tI-VP\tO' +p115904 +aS'be\tbe\tVB\tI-VP\tO' +p115905 +aS'growing\tgrow\tVBG\tI-VP\tO' +p115906 +aS'again\tagain\tRB\tB-ADVP\tO' +p115907 +aS'GNR\tGNR\tNNP\tB-NP\tO' +p115908 +aS'.\t.\t.\tO\tO' +p115909 +asS'Labs were consistent with anemia of chronic disease .' +p115910 +(lp115911 +S'Labs\tLab\tNNS\tB-NP\tB-protein' +p115912 +aS'were\tbe\tVBD\tB-VP\tO' +p115913 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p115914 +aS'with\twith\tIN\tB-PP\tO' +p115915 +aS'anemia\tanemia\tNN\tB-NP\tO' +p115916 +aS'of\tof\tIN\tB-PP\tO' +p115917 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p115918 +aS'disease\tdisease\tNN\tI-NP\tO' +p115919 +aS'.\t.\t.\tO\tO' +p115920 +asS'Pt will compelete a 2 week course of vancomycin at hemodialysis , which has been arranged by renal service .' +p115921 +(lp115922 +S'Pt\tPt\tNN\tB-NP\tO' +p115923 +aS'will\twill\tMD\tB-VP\tO' +p115924 +aS'compelete\tcompelete\tVB\tI-VP\tO' +p115925 +aS'a\ta\tDT\tB-NP\tO' +p115926 +aS'2\t2\tCD\tI-NP\tO' +p115927 +aS'week\tweek\tNN\tI-NP\tO' +p115928 +aS'course\tcourse\tNN\tI-NP\tO' +p115929 +aS'of\tof\tIN\tB-PP\tO' +p115930 +aS'vancomycin\tvancomycin\tNN\tB-NP\tO' +p115931 +aS'at\tat\tIN\tB-PP\tO' +p115932 +aS'hemodialysis\themodialysis\tNN\tB-NP\tO' +p115933 +aS',\t,\t,\tO\tO' +p115934 +aS'which\twhich\tWDT\tB-NP\tO' +p115935 +aS'has\thave\tVBZ\tB-VP\tO' +p115936 +aS'been\tbe\tVBN\tI-VP\tO' +p115937 +aS'arranged\tarrange\tVBN\tI-VP\tO' +p115938 +aS'by\tby\tIN\tB-PP\tO' +p115939 +aS'renal\trenal\tJJ\tB-NP\tO' +p115940 +aS'service\tservice\tNN\tI-NP\tO' +p115941 +aS'.\t.\t.\tO\tO' +p115942 +asS'The echocardiogram showed a 44% ejection fraction with anterior akinesis and septal hypokinesis .' +p115943 +(lp115944 +S'The\tThe\tDT\tB-NP\tO' +p115945 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p115946 +aS'showed\tshow\tVBD\tB-VP\tO' +p115947 +aS'a\ta\tDT\tB-NP\tO' +p115948 +aS'44%\t44%\tNN\tI-NP\tO' +p115949 +aS'ejection\tejection\tNN\tI-NP\tO' +p115950 +aS'fraction\tfraction\tNN\tI-NP\tO' +p115951 +aS'with\twith\tIN\tB-PP\tO' +p115952 +aS'anterior\tanterior\tJJ\tB-NP\tO' +p115953 +aS'akinesis\takinesis\tNN\tI-NP\tO' +p115954 +aS'and\tand\tCC\tO\tO' +p115955 +aS'septal\tseptal\tJJ\tB-NP\tO' +p115956 +aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' +p115957 +aS'.\t.\t.\tO\tO' +p115958 +asS'edema .' +p115959 +(lp115960 +S'edema\tedema\tFW\tB-NP\tO' +p115961 +aS'.\t.\t.\tO\tO' +p115962 +asS'On the following day , hospital day number 3 , the patient was doing well .' +p115963 +(lp115964 +S'On\tOn\tIN\tB-PP\tO' +p115965 +aS'the\tthe\tDT\tB-NP\tO' +p115966 +aS'following\tfollow\tVBG\tI-NP\tO' +p115967 +aS'day\tday\tNN\tI-NP\tO' +p115968 +aS',\t,\t,\tO\tO' +p115969 +aS'hospital\thospital\tNN\tB-NP\tO' +p115970 +aS'day\tday\tNN\tI-NP\tO' +p115971 +aS'number\tnumber\tNN\tI-NP\tO' +p115972 +aS'3\t3\tCD\tI-NP\tO' +p115973 +aS',\t,\t,\tO\tO' +p115974 +aS'the\tthe\tDT\tB-NP\tO' +p115975 +aS'patient\tpatient\tNN\tI-NP\tO' +p115976 +aS'was\tbe\tVBD\tB-VP\tO' +p115977 +aS'doing\tdo\tVBG\tI-VP\tO' +p115978 +aS'well\twell\tRB\tB-ADVP\tO' +p115979 +aS'.\t.\t.\tO\tO' +p115980 +asS'Pt 's labs were checked , he was seen by Neurology , and he received a spine MRI which was negative .' +p115981 +(lp115982 +S'Pt\tPt\tNN\tB-NP\tB-protein' +p115983 +aS''s\t'\tNNS\tI-NP\tI-protein' +p115984 +aS'labs\tlab\tNNS\tI-NP\tI-protein' +p115985 +aS'were\tbe\tVBD\tB-VP\tO' +p115986 +aS'checked\tcheck\tVBN\tI-VP\tO' +p115987 +aS',\t,\t,\tO\tO' +p115988 +aS'he\the\tPRP\tB-NP\tO' +p115989 +aS'was\tbe\tVBD\tB-VP\tO' +p115990 +aS'seen\tsee\tVBN\tI-VP\tO' +p115991 +aS'by\tby\tIN\tB-PP\tO' +p115992 +aS'Neurology\tNeurology\tNNP\tB-NP\tO' +p115993 +aS',\t,\t,\tO\tO' +p115994 +aS'and\tand\tCC\tO\tO' +p115995 +aS'he\the\tPRP\tB-NP\tO' +p115996 +aS'received\treceive\tVBD\tB-VP\tO' +p115997 +aS'a\ta\tDT\tB-NP\tO' +p115998 +aS'spine\tspine\tNN\tI-NP\tO' +p115999 +aS'MRI\tMRI\tNN\tI-NP\tO' +p116000 +aS'which\twhich\tWDT\tB-NP\tO' +p116001 +aS'was\tbe\tVBD\tB-VP\tO' +p116002 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p116003 +aS'.\t.\t.\tO\tO' +p116004 +asS'Patient lives on Sauxdo Lo with her husband and denies alcohol and denies drug abuse .' +p116005 +(lp116006 +S'Patient\tPatient\tNN\tB-NP\tO' +p116007 +aS'lives\tlife\tNNS\tI-NP\tO' +p116008 +aS'on\ton\tIN\tB-PP\tO' +p116009 +aS'Sauxdo\tSauxdo\tNNP\tB-NP\tO' +p116010 +aS'Lo\tLo\tNNP\tI-NP\tO' +p116011 +aS'with\twith\tIN\tB-PP\tO' +p116012 +aS'her\ther\tPRP$\tB-NP\tO' +p116013 +aS'husband\thusband\tNN\tI-NP\tO' +p116014 +aS'and\tand\tCC\tO\tO' +p116015 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p116016 +aS'alcohol\talcohol\tNN\tB-NP\tO' +p116017 +aS'and\tand\tCC\tO\tO' +p116018 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p116019 +aS'drug\tdrug\tNN\tB-NP\tO' +p116020 +aS'abuse\tabuse\tNN\tI-NP\tO' +p116021 +aS'.\t.\t.\tO\tO' +p116022 +asS'In 10/92 , she had a CT scan which showed fatty infiltration of her liver diffusely with a 1 cm cyst in the right lobe of the liver .' +p116023 +(lp116024 +S'In\tIn\tIN\tB-PP\tO' +p116025 +aS'10/92\t10/92\tCD\tB-NP\tO' +p116026 +aS',\t,\t,\tO\tO' +p116027 +aS'she\tshe\tPRP\tB-NP\tO' +p116028 +aS'had\thave\tVBD\tB-VP\tO' +p116029 +aS'a\ta\tDT\tB-NP\tO' +p116030 +aS'CT\tCT\tNN\tI-NP\tO' +p116031 +aS'scan\tscan\tNN\tI-NP\tO' +p116032 +aS'which\twhich\tWDT\tB-NP\tO' +p116033 +aS'showed\tshow\tVBD\tB-VP\tO' +p116034 +aS'fatty\tfatty\tJJ\tB-NP\tO' +p116035 +aS'infiltration\tinfiltration\tNN\tI-NP\tO' +p116036 +aS'of\tof\tIN\tB-PP\tO' +p116037 +aS'her\ther\tPRP$\tB-NP\tO' +p116038 +aS'liver\tliver\tNN\tI-NP\tO' +p116039 +aS'diffusely\tdiffusely\tRB\tB-ADVP\tO' +p116040 +aS'with\twith\tIN\tB-PP\tO' +p116041 +aS'a\ta\tDT\tB-NP\tO' +p116042 +aS'1\t1\tCD\tI-NP\tO' +p116043 +aS'cm\tcm\tNN\tI-NP\tO' +p116044 +aS'cyst\tcyst\tNN\tI-NP\tO' +p116045 +aS'in\tin\tIN\tB-PP\tO' +p116046 +aS'the\tthe\tDT\tB-NP\tO' +p116047 +aS'right\tright\tJJ\tI-NP\tO' +p116048 +aS'lobe\tlobe\tNN\tI-NP\tO' +p116049 +aS'of\tof\tIN\tB-PP\tO' +p116050 +aS'the\tthe\tDT\tB-NP\tO' +p116051 +aS'liver\tliver\tNN\tI-NP\tO' +p116052 +aS'.\t.\t.\tO\tO' +p116053 +asS'4) hypersensitivity reaction - on 11-24 pt was noted to have developing rash of abdomen and anterior thighs .' +p116054 +(lp116055 +S'4)\t4)\tLS\tB-NP\tO' +p116056 +aS'hypersensitivity\thypersensitivity\tNN\tI-NP\tO' +p116057 +aS'reaction\treaction\tNN\tI-NP\tO' +p116058 +aS'-\t-\tHYPH\tB-ADVP\tO' +p116059 +aS'on\ton\tIN\tB-PP\tO' +p116060 +aS'11-24\t11-24\tCD\tB-NP\tO' +p116061 +aS'pt\tpt\tNN\tI-NP\tO' +p116062 +aS'was\tbe\tVBD\tB-VP\tO' +p116063 +aS'noted\tnote\tVBN\tI-VP\tO' +p116064 +aS'to\tto\tTO\tI-VP\tO' +p116065 +aS'have\thave\tVB\tI-VP\tO' +p116066 +aS'developing\tdevelop\tVBG\tI-VP\tO' +p116067 +aS'rash\trash\tNN\tB-NP\tO' +p116068 +aS'of\tof\tIN\tB-PP\tO' +p116069 +aS'abdomen\tabdomen\tNN\tB-NP\tO' +p116070 +aS'and\tand\tCC\tO\tO' +p116071 +aS'anterior\tanterior\tJJ\tB-NP\tO' +p116072 +aS'thighs\tthigh\tNNS\tI-NP\tO' +p116073 +aS'.\t.\t.\tO\tO' +p116074 +asS'2. Norvasc 10 mg p.o. q. day .' +p116075 +(lp116076 +S'2.\t2.\tLS\tB-LST\tO' +p116077 +aS'Norvasc\tNorvasc\tNNP\tB-NP\tO' +p116078 +aS'10\t10\tCD\tI-NP\tO' +p116079 +aS'mg\tmg\tNN\tI-NP\tO' +p116080 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p116081 +aS'q.\tq.\tNN\tI-NP\tO' +p116082 +aS'day\tday\tNN\tI-NP\tO' +p116083 +aS'.\t.\t.\tO\tO' +p116084 +asS'Interestingly enough , she also has Enterobacter cloacae growing out of her sputum .' +p116085 +(lp116086 +S'Interestingly\tInterestingly\tRB\tB-ADVP\tO' +p116087 +aS'enough\tenough\tRB\tI-ADVP\tO' +p116088 +aS',\t,\t,\tO\tO' +p116089 +aS'she\tshe\tPRP\tB-NP\tO' +p116090 +aS'also\talso\tRB\tB-ADVP\tO' +p116091 +aS'has\thave\tVBZ\tB-VP\tO' +p116092 +aS'Enterobacter\tEnterobacter\tNNP\tB-NP\tO' +p116093 +aS'cloacae\tcloaca\tNNS\tI-NP\tO' +p116094 +aS'growing\tgrow\tVBG\tB-VP\tO' +p116095 +aS'out\tout\tIN\tB-PP\tO' +p116096 +aS'of\tof\tIN\tB-PP\tO' +p116097 +aS'her\ther\tPRP$\tB-NP\tO' +p116098 +aS'sputum\tsputum\tNN\tI-NP\tO' +p116099 +aS'.\t.\t.\tO\tO' +p116100 +asS'SSS ( s/p pacer Michelle Matthew Mccaulley ) prostate cancer -dx 10 years ago; received monthly shots which were discontinued recently .' +p116101 +(lp116102 +S'SSS\tSSS\tNN\tB-NP\tO' +p116103 +aS'(\t(\t(\tO\tO' +p116104 +aS's/p\ts/p\tNN\tB-NP\tO' +p116105 +aS'pacer\tpacer\tNN\tI-NP\tO' +p116106 +aS'Michelle\tMichelle\tNNP\tI-NP\tO' +p116107 +aS'Matthew\tMatthew\tNNP\tI-NP\tO' +p116108 +aS'Mccaulley\tMccaulley\tNNP\tI-NP\tO' +p116109 +aS')\t)\t)\tO\tO' +p116110 +aS'prostate\tprostate\tNN\tB-NP\tO' +p116111 +aS'cancer\tcancer\tNN\tI-NP\tO' +p116112 +aS'-dx\t-dx\tNN\tI-NP\tO' +p116113 +aS'10\t10\tCD\tB-NP\tO' +p116114 +aS'years\tyear\tNNS\tI-NP\tO' +p116115 +aS'ago;\tago;\tIN\tB-ADVP\tO' +p116116 +aS'received\treceive\tVBN\tB-NP\tO' +p116117 +aS'monthly\tmonthly\tJJ\tI-NP\tO' +p116118 +aS'shots\tshot\tNNS\tI-NP\tO' +p116119 +aS'which\twhich\tWDT\tB-NP\tO' +p116120 +aS'were\tbe\tVBD\tB-VP\tO' +p116121 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p116122 +aS'recently\trecently\tRB\tB-ADVP\tO' +p116123 +aS'.\t.\t.\tO\tO' +p116124 +asS'Underwent treatment with Interferon 10 years ago .' +p116125 +(lp116126 +S'Underwent\tUnderwent\tJJ\tB-NP\tO' +p116127 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p116128 +aS'with\twith\tIN\tB-PP\tO' +p116129 +aS'Interferon\tInterferon\tNN\tB-NP\tB-protein' +p116130 +aS'10\t10\tCD\tB-NP\tI-protein' +p116131 +aS'years\tyear\tNNS\tI-NP\tI-protein' +p116132 +aS'ago\tago\tRB\tB-ADVP\tO' +p116133 +aS'.\t.\t.\tO\tO' +p116134 +asS'The patient has a history of bronchiectasis from a childhood pneumonia .' +p116135 +(lp116136 +S'The\tThe\tDT\tB-NP\tO' +p116137 +aS'patient\tpatient\tNN\tI-NP\tO' +p116138 +aS'has\thave\tVBZ\tB-VP\tO' +p116139 +aS'a\ta\tDT\tB-NP\tO' +p116140 +aS'history\thistory\tNN\tI-NP\tO' +p116141 +aS'of\tof\tIN\tB-PP\tO' +p116142 +aS'bronchiectasis\tbronchiectasis\tNN\tB-NP\tO' +p116143 +aS'from\tfrom\tIN\tB-PP\tO' +p116144 +aS'a\ta\tDT\tB-NP\tO' +p116145 +aS'childhood\tchildhood\tNN\tI-NP\tO' +p116146 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p116147 +aS'.\t.\t.\tO\tO' +p116148 +asS'Antihypertensive medications that the patient could not identify .' +p116149 +(lp116150 +S'Antihypertensive\tAntihypertensive\tJJ\tB-NP\tO' +p116151 +aS'medications\tmedication\tNNS\tI-NP\tO' +p116152 +aS'that\tthat\tIN\tB-SBAR\tO' +p116153 +aS'the\tthe\tDT\tB-NP\tO' +p116154 +aS'patient\tpatient\tNN\tI-NP\tO' +p116155 +aS'could\tcould\tMD\tB-VP\tO' +p116156 +aS'not\tnot\tRB\tI-VP\tO' +p116157 +aS'identify\tidentify\tVB\tI-VP\tO' +p116158 +aS'.\t.\t.\tO\tO' +p116159 +asS'The patient is to call 787-984-9608 if any fevers , chills , nausea and vomiting , abdominal pain , inability to take medications , inability to eat or drink .' +p116160 +(lp116161 +S'The\tThe\tDT\tB-NP\tO' +p116162 +aS'patient\tpatient\tNN\tI-NP\tO' +p116163 +aS'is\tbe\tVBZ\tB-VP\tO' +p116164 +aS'to\tto\tTO\tB-VP\tO' +p116165 +aS'call\tcall\tVB\tI-VP\tO' +p116166 +aS'787-984-9608\t787-984-9608\tCD\tB-NP\tO' +p116167 +aS'if\tif\tIN\tB-SBAR\tO' +p116168 +aS'any\tany\tDT\tB-NP\tO' +p116169 +aS'fevers\tfever\tNNS\tI-NP\tO' +p116170 +aS',\t,\t,\tI-NP\tO' +p116171 +aS'chills\tchill\tNNS\tI-NP\tO' +p116172 +aS',\t,\t,\tI-NP\tO' +p116173 +aS'nausea\tnausea\tNN\tI-NP\tO' +p116174 +aS'and\tand\tCC\tI-NP\tO' +p116175 +aS'vomiting\tvomiting\tNN\tI-NP\tO' +p116176 +aS',\t,\t,\tO\tO' +p116177 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p116178 +aS'pain\tpain\tNN\tI-NP\tO' +p116179 +aS',\t,\t,\tO\tO' +p116180 +aS'inability\tinability\tNN\tB-NP\tO' +p116181 +aS'to\tto\tTO\tB-VP\tO' +p116182 +aS'take\ttake\tVB\tI-VP\tO' +p116183 +aS'medications\tmedication\tNNS\tB-NP\tO' +p116184 +aS',\t,\t,\tO\tO' +p116185 +aS'inability\tinability\tNN\tB-NP\tO' +p116186 +aS'to\tto\tTO\tB-VP\tO' +p116187 +aS'eat\teat\tVB\tI-VP\tO' +p116188 +aS'or\tor\tCC\tI-VP\tO' +p116189 +aS'drink\tdrink\tVB\tI-VP\tO' +p116190 +aS'.\t.\t.\tO\tO' +p116191 +asS'The patient was transferred to the Gynecologic Oncology Service on 12/21/03 .' +p116192 +(lp116193 +S'The\tThe\tDT\tB-NP\tO' +p116194 +aS'patient\tpatient\tNN\tI-NP\tO' +p116195 +aS'was\tbe\tVBD\tB-VP\tO' +p116196 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p116197 +aS'to\tto\tTO\tB-PP\tO' +p116198 +aS'the\tthe\tDT\tB-NP\tO' +p116199 +aS'Gynecologic\tGynecologic\tNNP\tI-NP\tO' +p116200 +aS'Oncology\tOncology\tNNP\tI-NP\tO' +p116201 +aS'Service\tService\tNNP\tI-NP\tO' +p116202 +aS'on\ton\tIN\tB-PP\tO' +p116203 +aS'12/21/03\t12/21/03\tCD\tB-NP\tO' +p116204 +aS'.\t.\t.\tO\tO' +p116205 +asS'Extraocular movements intact with few beats of horizontal endgaze nystagmus .' +p116206 +(lp116207 +S'Extraocular\tExtraocular\tJJ\tB-NP\tO' +p116208 +aS'movements\tmovement\tNNS\tI-NP\tO' +p116209 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p116210 +aS'with\twith\tIN\tB-PP\tO' +p116211 +aS'few\tfew\tJJ\tB-NP\tO' +p116212 +aS'beats\tbeat\tNNS\tI-NP\tO' +p116213 +aS'of\tof\tIN\tB-PP\tO' +p116214 +aS'horizontal\thorizontal\tJJ\tB-NP\tO' +p116215 +aS'endgaze\tendgaze\tNN\tI-NP\tO' +p116216 +aS'nystagmus\tnystagmus\tNN\tI-NP\tO' +p116217 +aS'.\t.\t.\tO\tO' +p116218 +asS'The patient lives on Quelene with his wife .' +p116219 +(lp116220 +S'The\tThe\tDT\tB-NP\tO' +p116221 +aS'patient\tpatient\tNN\tI-NP\tO' +p116222 +aS'lives\tlive\tVBZ\tB-VP\tO' +p116223 +aS'on\ton\tIN\tB-PP\tO' +p116224 +aS'Quelene\tQuelene\tNN\tB-NP\tB-DNA' +p116225 +aS'with\twith\tIN\tB-PP\tO' +p116226 +aS'his\this\tPRP$\tB-NP\tO' +p116227 +aS'wife\twife\tNN\tI-NP\tO' +p116228 +aS'.\t.\t.\tO\tO' +p116229 +asS'Patient on the day of discharge was afebrile with a decreasing white count x48 hours .' +p116230 +(lp116231 +S'Patient\tPatient\tNN\tB-NP\tO' +p116232 +aS'on\ton\tIN\tB-PP\tO' +p116233 +aS'the\tthe\tDT\tB-NP\tO' +p116234 +aS'day\tday\tNN\tI-NP\tO' +p116235 +aS'of\tof\tIN\tB-PP\tO' +p116236 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p116237 +aS'was\tbe\tVBD\tB-VP\tO' +p116238 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p116239 +aS'with\twith\tIN\tB-PP\tO' +p116240 +aS'a\ta\tDT\tB-NP\tO' +p116241 +aS'decreasing\tdecrease\tVBG\tI-NP\tO' +p116242 +aS'white\twhite\tJJ\tI-NP\tO' +p116243 +aS'count\tcount\tNN\tI-NP\tO' +p116244 +aS'x48\tx48\tCD\tB-NP\tO' +p116245 +aS'hours\thour\tNNS\tI-NP\tO' +p116246 +aS'.\t.\t.\tO\tO' +p116247 +asS'A copy of this dc summary will be faxed to her PCP to ensure proper follow up .' +p116248 +(lp116249 +S'A\tA\tDT\tB-NP\tO' +p116250 +aS'copy\tcopy\tNN\tI-NP\tO' +p116251 +aS'of\tof\tIN\tB-PP\tO' +p116252 +aS'this\tthis\tDT\tB-NP\tO' +p116253 +aS'dc\tdc\tNN\tI-NP\tO' +p116254 +aS'summary\tsummary\tNN\tI-NP\tO' +p116255 +aS'will\twill\tMD\tB-VP\tO' +p116256 +aS'be\tbe\tVB\tI-VP\tO' +p116257 +aS'faxed\tfax\tVBN\tI-VP\tO' +p116258 +aS'to\tto\tTO\tB-PP\tO' +p116259 +aS'her\ther\tPRP$\tB-NP\tO' +p116260 +aS'PCP\tPCP\tNN\tI-NP\tO' +p116261 +aS'to\tto\tTO\tB-VP\tO' +p116262 +aS'ensure\tensure\tVB\tI-VP\tO' +p116263 +aS'proper\tproper\tJJ\tB-ADJP\tO' +p116264 +aS'follow\tfollow\tVB\tB-VP\tO' +p116265 +aS'up\tup\tIN\tB-PRT\tO' +p116266 +aS'.\t.\t.\tO\tO' +p116267 +asS'The electrocardiogram showed a short PR interval with no delta wave , clockwise rotation present .' +p116268 +(lp116269 +S'The\tThe\tDT\tB-NP\tO' +p116270 +aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' +p116271 +aS'showed\tshow\tVBD\tB-VP\tO' +p116272 +aS'a\ta\tDT\tB-NP\tO' +p116273 +aS'short\tshort\tJJ\tI-NP\tO' +p116274 +aS'PR\tPR\tNN\tI-NP\tB-protein' +p116275 +aS'interval\tinterval\tNN\tI-NP\tO' +p116276 +aS'with\twith\tIN\tB-PP\tO' +p116277 +aS'no\tno\tDT\tB-NP\tO' +p116278 +aS'delta\tdelta\tNN\tI-NP\tO' +p116279 +aS'wave\twave\tNN\tI-NP\tO' +p116280 +aS',\t,\t,\tO\tO' +p116281 +aS'clockwise\tclockwise\tJJ\tB-NP\tO' +p116282 +aS'rotation\trotation\tNN\tI-NP\tO' +p116283 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p116284 +aS'.\t.\t.\tO\tO' +p116285 +asS'Abd CT performed 09-01 showed multiple calcifications in the body and tail of the pancreas with a larger cystic lesion in the tail of the pancreas .' +p116286 +(lp116287 +S'Abd\tAbd\tNN\tB-NP\tO' +p116288 +aS'CT\tCT\tNN\tI-NP\tO' +p116289 +aS'performed\tperform\tVBD\tB-VP\tO' +p116290 +aS'09-01\t09-01\tCD\tB-NP\tO' +p116291 +aS'showed\tshow\tVBD\tB-VP\tO' +p116292 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p116293 +aS'calcifications\tcalcification\tNNS\tI-NP\tO' +p116294 +aS'in\tin\tIN\tB-PP\tO' +p116295 +aS'the\tthe\tDT\tB-NP\tO' +p116296 +aS'body\tbody\tNN\tI-NP\tO' +p116297 +aS'and\tand\tCC\tI-NP\tO' +p116298 +aS'tail\ttail\tNN\tI-NP\tO' +p116299 +aS'of\tof\tIN\tB-PP\tO' +p116300 +aS'the\tthe\tDT\tB-NP\tO' +p116301 +aS'pancreas\tpancreas\tNN\tI-NP\tO' +p116302 +aS'with\twith\tIN\tB-PP\tO' +p116303 +aS'a\ta\tDT\tB-NP\tO' +p116304 +aS'larger\tlarge\tJJR\tI-NP\tO' +p116305 +aS'cystic\tcystic\tJJ\tI-NP\tO' +p116306 +aS'lesion\tlesion\tNN\tI-NP\tO' +p116307 +aS'in\tin\tIN\tB-PP\tO' +p116308 +aS'the\tthe\tDT\tB-NP\tO' +p116309 +aS'tail\ttail\tNN\tI-NP\tO' +p116310 +aS'of\tof\tIN\tB-PP\tO' +p116311 +aS'the\tthe\tDT\tB-NP\tO' +p116312 +aS'pancreas\tpancreas\tNN\tI-NP\tO' +p116313 +aS'.\t.\t.\tO\tO' +p116314 +asS'He remained pressor dependent , as well as dependent upon mechanical ventilatory assistance .' +p116315 +(lp116316 +S'He\tHe\tPRP\tB-NP\tB-protein' +p116317 +aS'remained\tremain\tVBD\tB-VP\tI-protein' +p116318 +aS'pressor\tpressor\tNN\tB-NP\tI-protein' +p116319 +aS'dependent\tdependent\tJJ\tB-ADJP\tO' +p116320 +aS',\t,\t,\tO\tO' +p116321 +aS'as\tas\tRB\tB-CONJP\tO' +p116322 +aS'well\twell\tRB\tI-CONJP\tO' +p116323 +aS'as\tas\tIN\tI-CONJP\tO' +p116324 +aS'dependent\tdependent\tJJ\tB-ADVP\tO' +p116325 +aS'upon\tupon\tIN\tB-PP\tO' +p116326 +aS'mechanical\tmechanical\tJJ\tB-NP\tO' +p116327 +aS'ventilatory\tventilatory\tJJ\tI-NP\tO' +p116328 +aS'assistance\tassistance\tNN\tI-NP\tO' +p116329 +aS'.\t.\t.\tO\tO' +p116330 +asS'The patient had a smear there consistent with ALL .' +p116331 +(lp116332 +S'The\tThe\tDT\tB-NP\tO' +p116333 +aS'patient\tpatient\tNN\tI-NP\tO' +p116334 +aS'had\thave\tVBD\tB-VP\tO' +p116335 +aS'a\ta\tDT\tB-NP\tO' +p116336 +aS'smear\tsmear\tNN\tI-NP\tO' +p116337 +aS'there\tthere\tRB\tB-ADJP\tO' +p116338 +aS'consistent\tconsistent\tJJ\tI-ADJP\tO' +p116339 +aS'with\twith\tIN\tB-PP\tO' +p116340 +aS'ALL\tALL\tNN\tB-NP\tO' +p116341 +aS'.\t.\t.\tO\tO' +p116342 +asS'She did well overnight with minimal pain medication requirements .' +p116343 +(lp116344 +S'She\tShe\tPRP\tB-NP\tO' +p116345 +aS'did\tdo\tVBD\tB-VP\tO' +p116346 +aS'well\twell\tRB\tB-ADJP\tO' +p116347 +aS'overnight\tovernight\tJJ\tI-ADJP\tO' +p116348 +aS'with\twith\tIN\tB-PP\tO' +p116349 +aS'minimal\tminimal\tJJ\tB-NP\tO' +p116350 +aS'pain\tpain\tNN\tI-NP\tO' +p116351 +aS'medication\tmedication\tNN\tI-NP\tO' +p116352 +aS'requirements\trequirement\tNNS\tI-NP\tO' +p116353 +aS'.\t.\t.\tO\tO' +p116354 +asS'PT was 12.6 and PTT was 29 .' +p116355 +(lp116356 +S'PT\tPT\tNN\tB-NP\tO' +p116357 +aS'was\tbe\tVBD\tB-VP\tO' +p116358 +aS'12.6\t12.6\tCD\tB-NP\tO' +p116359 +aS'and\tand\tCC\tO\tO' +p116360 +aS'PTT\tPTT\tNN\tB-NP\tO' +p116361 +aS'was\tbe\tVBD\tB-VP\tO' +p116362 +aS'29\t29\tCD\tB-NP\tO' +p116363 +aS'.\t.\t.\tO\tO' +p116364 +asS'His HCT had dropped from 36.7 to 30.8 despite 2U PRBC and 3 U FFP .' +p116365 +(lp116366 +S'His\tHis\tPRP$\tB-NP\tO' +p116367 +aS'HCT\tHCT\tNN\tI-NP\tO' +p116368 +aS'had\thave\tVBD\tB-VP\tO' +p116369 +aS'dropped\tdrop\tVBN\tI-VP\tO' +p116370 +aS'from\tfrom\tIN\tB-PP\tO' +p116371 +aS'36.7\t36.7\tCD\tB-NP\tO' +p116372 +aS'to\tto\tTO\tB-PP\tO' +p116373 +aS'30.8\t30.8\tCD\tB-NP\tO' +p116374 +aS'despite\tdespite\tIN\tB-PP\tO' +p116375 +aS'2U\t2U\tNN\tB-NP\tO' +p116376 +aS'PRBC\tPRBC\tNN\tI-NP\tO' +p116377 +aS'and\tand\tCC\tO\tO' +p116378 +aS'3\t3\tCD\tB-NP\tO' +p116379 +aS'U\tU\tNN\tI-NP\tO' +p116380 +aS'FFP\tFFP\tNN\tI-NP\tO' +p116381 +aS'.\t.\t.\tO\tO' +p116382 +asS'Signed electronically by : DR. Patricia Noland on : SAT 2020-05-30 9:10 AM' +p116383 +(lp116384 +S'Signed\tSign\tVBN\tB-VP\tO' +p116385 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p116386 +aS'by\tby\tIN\tB-PP\tO' +p116387 +aS':\t:\t:\tO\tO' +p116388 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p116389 +aS'Patricia\tPatricia\tNNP\tI-NP\tO' +p116390 +aS'Noland\tNoland\tNNP\tI-NP\tO' +p116391 +aS'on\ton\tIN\tB-PP\tO' +p116392 +aS':\t:\t:\tO\tO' +p116393 +aS'SAT\tSAT\tNN\tB-NP\tO' +p116394 +aS'2020-05-30\t2020-05-30\tCD\tI-NP\tO' +p116395 +aS'9:10\t9:10\tCD\tI-NP\tO' +p116396 +aS'AM\tAM\tNN\tI-NP\tO' +p116397 +asS'She was noted to have bluish discoloration thought to perhaps be a bruise on her left lower quadrant .' +p116398 +(lp116399 +S'She\tShe\tPRP\tB-NP\tO' +p116400 +aS'was\tbe\tVBD\tB-VP\tO' +p116401 +aS'noted\tnote\tVBN\tI-VP\tO' +p116402 +aS'to\tto\tTO\tI-VP\tO' +p116403 +aS'have\thave\tVB\tI-VP\tO' +p116404 +aS'bluish\tbluish\tJJ\tB-NP\tO' +p116405 +aS'discoloration\tdiscoloration\tNN\tI-NP\tO' +p116406 +aS'thought\tthink\tVBN\tB-VP\tO' +p116407 +aS'to\tto\tTO\tI-VP\tO' +p116408 +aS'perhaps\tperhaps\tRB\tI-VP\tO' +p116409 +aS'be\tbe\tVB\tI-VP\tO' +p116410 +aS'a\ta\tDT\tB-NP\tO' +p116411 +aS'bruise\tbruise\tNN\tI-NP\tO' +p116412 +aS'on\ton\tIN\tB-PP\tO' +p116413 +aS'her\ther\tPRP\tB-NP\tO' +p116414 +aS'left\tleave\tVBD\tB-VP\tO' +p116415 +aS'lower\tlow\tJJR\tB-NP\tO' +p116416 +aS'quadrant\tquadrant\tNN\tI-NP\tO' +p116417 +aS'.\t.\t.\tO\tO' +p116418 +asS'He was seen and cleared by physical therapy .' +p116419 +(lp116420 +S'He\tHe\tPRP\tB-NP\tO' +p116421 +aS'was\tbe\tVBD\tB-VP\tO' +p116422 +aS'seen\tsee\tVBN\tI-VP\tO' +p116423 +aS'and\tand\tCC\tI-VP\tO' +p116424 +aS'cleared\tclear\tVBN\tI-VP\tO' +p116425 +aS'by\tby\tIN\tB-PP\tO' +p116426 +aS'physical\tphysical\tJJ\tB-NP\tO' +p116427 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p116428 +aS'.\t.\t.\tO\tO' +p116429 +asS'He was taken to an outside hospital and nasally intubated and then transferred to the Ph University Of Medical Center Emergency Room where he was orally intubated .' +p116430 +(lp116431 +S'He\tHe\tPRP\tB-NP\tO' +p116432 +aS'was\tbe\tVBD\tB-VP\tO' +p116433 +aS'taken\ttake\tVBN\tI-VP\tO' +p116434 +aS'to\tto\tTO\tB-PP\tO' +p116435 +aS'an\tan\tDT\tB-NP\tO' +p116436 +aS'outside\toutside\tJJ\tI-NP\tO' +p116437 +aS'hospital\thospital\tNN\tI-NP\tO' +p116438 +aS'and\tand\tCC\tO\tO' +p116439 +aS'nasally\tnasally\tRB\tB-VP\tO' +p116440 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p116441 +aS'and\tand\tCC\tO\tO' +p116442 +aS'then\tthen\tRB\tB-VP\tO' +p116443 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p116444 +aS'to\tto\tTO\tB-PP\tO' +p116445 +aS'the\tthe\tDT\tB-NP\tO' +p116446 +aS'Ph\tPh\tNNP\tI-NP\tO' +p116447 +aS'University\tUniversity\tNNP\tI-NP\tO' +p116448 +aS'Of\tOf\tNNP\tI-NP\tO' +p116449 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p116450 +aS'Center\tCenter\tNNP\tI-NP\tO' +p116451 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p116452 +aS'Room\tRoom\tNNP\tI-NP\tO' +p116453 +aS'where\twhere\tWRB\tB-ADVP\tO' +p116454 +aS'he\the\tPRP\tB-NP\tO' +p116455 +aS'was\tbe\tVBD\tB-VP\tO' +p116456 +aS'orally\torally\tRB\tI-VP\tO' +p116457 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p116458 +aS'.\t.\t.\tO\tO' +p116459 +asS'The patient was found to be in congestive heart failure and thought likely secondary to diastolic dysfunction secondary to hypertension .' +p116460 +(lp116461 +S'The\tThe\tDT\tB-NP\tO' +p116462 +aS'patient\tpatient\tNN\tI-NP\tO' +p116463 +aS'was\tbe\tVBD\tB-VP\tO' +p116464 +aS'found\tfind\tVBN\tI-VP\tO' +p116465 +aS'to\tto\tTO\tI-VP\tO' +p116466 +aS'be\tbe\tVB\tI-VP\tO' +p116467 +aS'in\tin\tIN\tB-PP\tO' +p116468 +aS'congestive\tcongestive\tJJ\tB-NP\tO' +p116469 +aS'heart\theart\tNN\tI-NP\tO' +p116470 +aS'failure\tfailure\tNN\tI-NP\tO' +p116471 +aS'and\tand\tCC\tO\tO' +p116472 +aS'thought\tthink\tVBD\tB-VP\tO' +p116473 +aS'likely\tlikely\tRB\tB-ADJP\tO' +p116474 +aS'secondary\tsecondary\tJJ\tI-ADJP\tO' +p116475 +aS'to\tto\tTO\tB-PP\tO' +p116476 +aS'diastolic\tdiastolic\tJJ\tB-NP\tO' +p116477 +aS'dysfunction\tdysfunction\tNN\tI-NP\tO' +p116478 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p116479 +aS'to\tto\tTO\tB-PP\tO' +p116480 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p116481 +aS'.\t.\t.\tO\tO' +p116482 +asS'Initially coumadin was increased , however given concern for infected line , general surgery was consulted who removed the line in the ICU .' +p116483 +(lp116484 +S'Initially\tInitially\tRB\tB-NP\tO' +p116485 +aS'coumadin\tcoumadin\tNN\tI-NP\tO' +p116486 +aS'was\tbe\tVBD\tB-VP\tO' +p116487 +aS'increased\tincrease\tVBN\tI-VP\tO' +p116488 +aS',\t,\t,\tO\tO' +p116489 +aS'however\thowever\tRB\tB-NP\tO' +p116490 +aS'given\tgive\tVBN\tI-NP\tO' +p116491 +aS'concern\tconcern\tNN\tI-NP\tO' +p116492 +aS'for\tfor\tIN\tB-PP\tO' +p116493 +aS'infected\tinfected\tJJ\tB-NP\tO' +p116494 +aS'line\tline\tNN\tI-NP\tO' +p116495 +aS',\t,\t,\tO\tO' +p116496 +aS'general\tgeneral\tJJ\tB-NP\tO' +p116497 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p116498 +aS'was\tbe\tVBD\tB-VP\tO' +p116499 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p116500 +aS'who\twho\tWP\tB-NP\tO' +p116501 +aS'removed\tremove\tVBD\tB-VP\tO' +p116502 +aS'the\tthe\tDT\tB-NP\tO' +p116503 +aS'line\tline\tNN\tI-NP\tO' +p116504 +aS'in\tin\tIN\tB-PP\tO' +p116505 +aS'the\tthe\tDT\tB-NP\tO' +p116506 +aS'ICU\tICU\tNN\tI-NP\tB-DNA' +p116507 +aS'.\t.\t.\tO\tO' +p116508 +asS'Chest clear to auscultation .' +p116509 +(lp116510 +S'Chest\tChest\tRBS\tB-ADJP\tO' +p116511 +aS'clear\tclear\tJJ\tI-ADJP\tO' +p116512 +aS'to\tto\tTO\tB-PP\tO' +p116513 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p116514 +aS'.\t.\t.\tO\tO' +p116515 +asS'Upon further review of CT and angiography results with Neuroradiology and Neurology service , it was decided that CT myelography was not indicated at this time .' +p116516 +(lp116517 +S'Upon\tUpon\tIN\tB-PP\tO' +p116518 +aS'further\tfar\tJJR\tB-NP\tO' +p116519 +aS'review\treview\tNN\tI-NP\tO' +p116520 +aS'of\tof\tIN\tB-PP\tO' +p116521 +aS'CT\tCT\tNN\tB-NP\tB-protein' +p116522 +aS'and\tand\tCC\tI-NP\tO' +p116523 +aS'angiography\tangiography\tNN\tI-NP\tO' +p116524 +aS'results\tresult\tNNS\tI-NP\tO' +p116525 +aS'with\twith\tIN\tB-PP\tO' +p116526 +aS'Neuroradiology\tNeuroradiology\tNNP\tB-NP\tO' +p116527 +aS'and\tand\tCC\tI-NP\tO' +p116528 +aS'Neurology\tNeurology\tNNP\tI-NP\tO' +p116529 +aS'service\tservice\tNN\tI-NP\tO' +p116530 +aS',\t,\t,\tO\tO' +p116531 +aS'it\tit\tPRP\tB-NP\tO' +p116532 +aS'was\tbe\tVBD\tB-VP\tO' +p116533 +aS'decided\tdecide\tVBN\tI-VP\tO' +p116534 +aS'that\tthat\tIN\tB-SBAR\tO' +p116535 +aS'CT\tCT\tNN\tB-NP\tO' +p116536 +aS'myelography\tmyelography\tNN\tI-NP\tO' +p116537 +aS'was\tbe\tVBD\tB-VP\tO' +p116538 +aS'not\tnot\tRB\tI-VP\tO' +p116539 +aS'indicated\tindicate\tVBN\tI-VP\tO' +p116540 +aS'at\tat\tIN\tB-PP\tO' +p116541 +aS'this\tthis\tDT\tB-NP\tO' +p116542 +aS'time\ttime\tNN\tI-NP\tO' +p116543 +aS'.\t.\t.\tO\tO' +p116544 +asS'She was admitted to Cambridge Hospital 2018-05-24 with ARF ( Cr 3.5 up from 0.9 ) and SOB .' +p116545 +(lp116546 +S'She\tShe\tPRP\tB-NP\tO' +p116547 +aS'was\tbe\tVBD\tB-VP\tO' +p116548 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p116549 +aS'to\tto\tTO\tB-PP\tO' +p116550 +aS'Cambridge\tCambridge\tNNP\tB-NP\tO' +p116551 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p116552 +aS'2018-05-24\t2018-05-24\tCD\tI-NP\tO' +p116553 +aS'with\twith\tIN\tB-PP\tO' +p116554 +aS'ARF\tARF\tNN\tB-NP\tB-protein' +p116555 +aS'(\t(\t(\tO\tO' +p116556 +aS'Cr\tCr\tNN\tB-NP\tO' +p116557 +aS'3.5\t3.5\tCD\tI-NP\tO' +p116558 +aS'up\tup\tRB\tB-ADVP\tO' +p116559 +aS'from\tfrom\tIN\tB-PP\tO' +p116560 +aS'0.9\t0.9\tCD\tB-NP\tO' +p116561 +aS')\t)\t)\tO\tO' +p116562 +aS'and\tand\tCC\tO\tO' +p116563 +aS'SOB\tSOB\tNN\tB-NP\tB-protein' +p116564 +aS'.\t.\t.\tO\tO' +p116565 +asS'The patient reports some nausea and epigastric pressure which is post-prandial .' +p116566 +(lp116567 +S'The\tThe\tDT\tB-NP\tO' +p116568 +aS'patient\tpatient\tNN\tI-NP\tO' +p116569 +aS'reports\treport\tVBZ\tB-VP\tO' +p116570 +aS'some\tsome\tDT\tB-NP\tO' +p116571 +aS'nausea\tnausea\tNN\tI-NP\tO' +p116572 +aS'and\tand\tCC\tO\tO' +p116573 +aS'epigastric\tepigastric\tJJ\tB-NP\tO' +p116574 +aS'pressure\tpressure\tNN\tI-NP\tO' +p116575 +aS'which\twhich\tWDT\tB-NP\tO' +p116576 +aS'is\tbe\tVBZ\tB-VP\tO' +p116577 +aS'post-prandial\tpost-prandial\tJJ\tB-ADJP\tO' +p116578 +aS'.\t.\t.\tO\tO' +p116579 +asS'EF 35-40% .' +p116580 +(lp116581 +S'EF\tEF\tNN\tB-NP\tO' +p116582 +aS'35-40%\t35-40%\tCD\tI-NP\tO' +p116583 +aS'.\t.\t.\tO\tO' +p116584 +asS'Liver function tests revealed an ALT of 31 , AST of 36 , alkaline phosphatase of 509 .' +p116585 +(lp116586 +S'Liver\tLiver\tNN\tB-NP\tO' +p116587 +aS'function\tfunction\tNN\tI-NP\tO' +p116588 +aS'tests\ttest\tNNS\tI-NP\tO' +p116589 +aS'revealed\treveal\tVBD\tB-VP\tO' +p116590 +aS'an\tan\tDT\tB-NP\tO' +p116591 +aS'ALT\tALT\tNN\tI-NP\tO' +p116592 +aS'of\tof\tIN\tB-PP\tO' +p116593 +aS'31\t31\tCD\tB-NP\tO' +p116594 +aS',\t,\t,\tO\tO' +p116595 +aS'AST\tAST\tNN\tB-NP\tO' +p116596 +aS'of\tof\tIN\tB-PP\tO' +p116597 +aS'36\t36\tCD\tB-NP\tO' +p116598 +aS',\t,\t,\tO\tO' +p116599 +aS'alkaline\talkaline\tJJ\tB-NP\tB-protein' +p116600 +aS'phosphatase\tphosphatase\tNN\tI-NP\tI-protein' +p116601 +aS'of\tof\tIN\tB-PP\tO' +p116602 +aS'509\t509\tCD\tB-NP\tO' +p116603 +aS'.\t.\t.\tO\tO' +p116604 +asS'Appointment setup for Tues. 05-13 at 10 am .' +p116605 +(lp116606 +S'Appointment\tAppointment\tNN\tB-NP\tO' +p116607 +aS'setup\tsetup\tNN\tI-NP\tO' +p116608 +aS'for\tfor\tIN\tB-PP\tO' +p116609 +aS'Tues.\tTues.\tNN\tB-NP\tO' +p116610 +aS'05-13\t05-13\tCD\tI-NP\tO' +p116611 +aS'at\tat\tIN\tB-PP\tO' +p116612 +aS'10\t10\tCD\tB-NP\tO' +p116613 +aS'am\tam\tNN\tI-NP\tO' +p116614 +aS'.\t.\t.\tO\tO' +p116615 +asS'7 ) Glucophage 500 mg p.o. q. day .' +p116616 +(lp116617 +S'7\t7\tCD\tB-NP\tO' +p116618 +aS')\t)\t)\tO\tO' +p116619 +aS'Glucophage\tGlucophage\tNN\tB-NP\tO' +p116620 +aS'500\t500\tCD\tI-NP\tO' +p116621 +aS'mg\tmg\tNN\tI-NP\tO' +p116622 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p116623 +aS'q.\tq.\tNN\tI-NP\tO' +p116624 +aS'day\tday\tNN\tI-NP\tO' +p116625 +aS'.\t.\t.\tO\tO' +p116626 +asS'On admission to the emergency room , the patient was somewhat argumentative and confused as well as uncooperative with procedures .' +p116627 +(lp116628 +S'On\tOn\tIN\tB-PP\tO' +p116629 +aS'admission\tadmission\tNN\tB-NP\tO' +p116630 +aS'to\tto\tTO\tB-PP\tO' +p116631 +aS'the\tthe\tDT\tB-NP\tO' +p116632 +aS'emergency\temergency\tNN\tI-NP\tO' +p116633 +aS'room\troom\tNN\tI-NP\tO' +p116634 +aS',\t,\t,\tO\tO' +p116635 +aS'the\tthe\tDT\tB-NP\tO' +p116636 +aS'patient\tpatient\tNN\tI-NP\tO' +p116637 +aS'was\tbe\tVBD\tB-VP\tO' +p116638 +aS'somewhat\tsomewhat\tRB\tB-ADJP\tO' +p116639 +aS'argumentative\targumentative\tJJ\tI-ADJP\tO' +p116640 +aS'and\tand\tCC\tO\tO' +p116641 +aS'confused\tconfuse\tVBD\tB-VP\tO' +p116642 +aS'as\tas\tRB\tB-CONJP\tO' +p116643 +aS'well\twell\tRB\tI-CONJP\tO' +p116644 +aS'as\tas\tIN\tI-CONJP\tO' +p116645 +aS'uncooperative\tuncooperative\tJJ\tB-ADJP\tO' +p116646 +aS'with\twith\tIN\tB-PP\tO' +p116647 +aS'procedures\tprocedure\tNNS\tB-NP\tO' +p116648 +aS'.\t.\t.\tO\tO' +p116649 +asS'Mr. Anders states that 2 weeks prior to his presentation he hurt his left knee .' +p116650 +(lp116651 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p116652 +aS'Anders\tAnders\tNNP\tI-NP\tO' +p116653 +aS'states\tstate\tVBZ\tB-VP\tO' +p116654 +aS'that\tthat\tIN\tB-SBAR\tO' +p116655 +aS'2\t2\tCD\tB-NP\tO' +p116656 +aS'weeks\tweek\tNNS\tI-NP\tO' +p116657 +aS'prior\tprior\tRB\tB-ADVP\tO' +p116658 +aS'to\tto\tTO\tB-PP\tO' +p116659 +aS'his\this\tPRP$\tB-NP\tO' +p116660 +aS'presentation\tpresentation\tNN\tI-NP\tO' +p116661 +aS'he\the\tPRP\tB-NP\tO' +p116662 +aS'hurt\thurt\tVBD\tB-VP\tO' +p116663 +aS'his\this\tPRP$\tB-NP\tO' +p116664 +aS'left\tleft\tJJ\tI-NP\tO' +p116665 +aS'knee\tknee\tNN\tI-NP\tO' +p116666 +aS'.\t.\t.\tO\tO' +p116667 +asS'Pupils are equal , round and reactive to light .' +p116668 +(lp116669 +S'Pupils\tPupil\tNNS\tB-NP\tO' +p116670 +aS'are\tbe\tVBP\tB-VP\tO' +p116671 +aS'equal\tequal\tJJ\tB-NP\tO' +p116672 +aS',\t,\t,\tI-NP\tO' +p116673 +aS'round\tround\tJJ\tI-NP\tO' +p116674 +aS'and\tand\tCC\tI-NP\tO' +p116675 +aS'reactive\treactive\tJJ\tI-NP\tO' +p116676 +aS'to\tto\tTO\tB-PP\tO' +p116677 +aS'light\tlight\tNN\tB-NP\tO' +p116678 +aS'.\t.\t.\tO\tO' +p116679 +asS'Microscopic anterior cervical diskectomy at C5-6 and fusion .' +p116680 +(lp116681 +S'Microscopic\tMicroscopic\tJJ\tB-NP\tO' +p116682 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p116683 +aS'cervical\tcervical\tJJ\tI-NP\tO' +p116684 +aS'diskectomy\tdiskectomy\tNN\tI-NP\tO' +p116685 +aS'at\tat\tIN\tB-PP\tO' +p116686 +aS'C5-6\tC5-6\tNN\tB-NP\tB-protein' +p116687 +aS'and\tand\tCC\tI-NP\tO' +p116688 +aS'fusion\tfusion\tNN\tI-NP\tO' +p116689 +aS'.\t.\t.\tO\tO' +p116690 +asS'specific gravity 125 , PH 6 .' +p116691 +(lp116692 +S'specific\tspecific\tJJ\tB-NP\tO' +p116693 +aS'gravity\tgravity\tNN\tI-NP\tO' +p116694 +aS'125\t125\tCD\tI-NP\tO' +p116695 +aS',\t,\t,\tO\tO' +p116696 +aS'PH\tPH\tNN\tB-NP\tB-protein' +p116697 +aS'6\t6\tCD\tI-NP\tI-protein' +p116698 +aS'.\t.\t.\tO\tO' +p116699 +asS'Temperature was 101.3 .' +p116700 +(lp116701 +S'Temperature\tTemperature\tNN\tB-NP\tO' +p116702 +aS'was\tbe\tVBD\tB-VP\tO' +p116703 +aS'101.3\t101.3\tCD\tB-NP\tO' +p116704 +aS'.\t.\t.\tO\tO' +p116705 +asS'She was normotensive and her hematocrit was stable at her baseline upon discharge .' +p116706 +(lp116707 +S'She\tShe\tPRP\tB-NP\tO' +p116708 +aS'was\tbe\tVBD\tB-VP\tO' +p116709 +aS'normotensive\tnormotensive\tJJ\tB-ADJP\tO' +p116710 +aS'and\tand\tCC\tO\tO' +p116711 +aS'her\ther\tPRP$\tB-NP\tO' +p116712 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p116713 +aS'was\tbe\tVBD\tB-VP\tO' +p116714 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p116715 +aS'at\tat\tIN\tB-PP\tO' +p116716 +aS'her\ther\tPRP$\tB-NP\tO' +p116717 +aS'baseline\tbaseline\tNN\tI-NP\tO' +p116718 +aS'upon\tupon\tIN\tB-PP\tO' +p116719 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p116720 +aS'.\t.\t.\tO\tO' +p116721 +asS'ET tube is in place .' +p116722 +(lp116723 +S'ET\tET\tNN\tB-NP\tO' +p116724 +aS'tube\ttube\tNN\tI-NP\tO' +p116725 +aS'is\tbe\tVBZ\tB-VP\tO' +p116726 +aS'in\tin\tIN\tB-PP\tO' +p116727 +aS'place\tplace\tNN\tB-NP\tO' +p116728 +aS'.\t.\t.\tO\tO' +p116729 +asS'The patient is admitted for preoperative and orthopedic evaluations .' +p116730 +(lp116731 +S'The\tThe\tDT\tB-NP\tO' +p116732 +aS'patient\tpatient\tNN\tI-NP\tO' +p116733 +aS'is\tbe\tVBZ\tB-VP\tO' +p116734 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p116735 +aS'for\tfor\tIN\tB-PP\tO' +p116736 +aS'preoperative\tpreoperative\tJJ\tB-NP\tO' +p116737 +aS'and\tand\tCC\tI-NP\tO' +p116738 +aS'orthopedic\torthopedic\tJJ\tI-NP\tO' +p116739 +aS'evaluations\tevaluation\tNNS\tI-NP\tO' +p116740 +aS'.\t.\t.\tO\tO' +p116741 +asS'After his blood pressure had stabilized , the patient was transferred to the Neurology Ward .' +p116742 +(lp116743 +S'After\tAfter\tIN\tB-PP\tO' +p116744 +aS'his\this\tPRP$\tB-NP\tO' +p116745 +aS'blood\tblood\tNN\tI-NP\tO' +p116746 +aS'pressure\tpressure\tNN\tI-NP\tO' +p116747 +aS'had\thave\tVBD\tB-VP\tO' +p116748 +aS'stabilized\tstabilize\tVBN\tI-VP\tO' +p116749 +aS',\t,\t,\tO\tO' +p116750 +aS'the\tthe\tDT\tB-NP\tO' +p116751 +aS'patient\tpatient\tNN\tI-NP\tO' +p116752 +aS'was\tbe\tVBD\tB-VP\tO' +p116753 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p116754 +aS'to\tto\tTO\tB-PP\tO' +p116755 +aS'the\tthe\tDT\tB-NP\tO' +p116756 +aS'Neurology\tNeurology\tNNP\tI-NP\tO' +p116757 +aS'Ward\tWard\tNNP\tI-NP\tO' +p116758 +aS'.\t.\t.\tO\tO' +p116759 +asS'Right groin status post catheterization showed no hematoma or bruit .' +p116760 +(lp116761 +S'Right\tRight\tNN\tB-NP\tO' +p116762 +aS'groin\tgroin\tNN\tI-NP\tO' +p116763 +aS'status\tstatus\tNN\tI-NP\tO' +p116764 +aS'post\tpost\tNN\tI-NP\tO' +p116765 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p116766 +aS'showed\tshow\tVBD\tB-VP\tO' +p116767 +aS'no\tno\tDT\tB-NP\tO' +p116768 +aS'hematoma\thematoma\tNN\tI-NP\tO' +p116769 +aS'or\tor\tCC\tI-NP\tO' +p116770 +aS'bruit\tbruit\tNN\tI-NP\tO' +p116771 +aS'.\t.\t.\tO\tO' +p116772 +asS'Abdomen was benign .' +p116773 +(lp116774 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p116775 +aS'was\tbe\tVBD\tB-VP\tO' +p116776 +aS'benign\tbenign\tJJ\tB-ADJP\tO' +p116777 +aS'.\t.\t.\tO\tO' +p116778 +asS'Lungs : CTA bilaterally .' +p116779 +(lp116780 +S'Lungs\tLung\tNNS\tB-NP\tO' +p116781 +aS':\t:\t:\tO\tO' +p116782 +aS'CTA\tCTA\tNN\tB-NP\tB-protein' +p116783 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p116784 +aS'.\t.\t.\tO\tO' +p116785 +asS'Follow medications on discharge instructions .' +p116786 +(lp116787 +S'Follow\tFollow\tJJ\tB-NP\tO' +p116788 +aS'medications\tmedication\tNNS\tI-NP\tO' +p116789 +aS'on\ton\tIN\tB-PP\tO' +p116790 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p116791 +aS'instructions\tinstruction\tNNS\tI-NP\tO' +p116792 +aS'.\t.\t.\tO\tO' +p116793 +asS'Baby Corine Stead is to be discharged home with parents with close Hematology VNA followup .' +p116794 +(lp116795 +S'Baby\tBaby\tNNP\tB-NP\tO' +p116796 +aS'Corine\tCorine\tNNP\tI-NP\tO' +p116797 +aS'Stead\tStead\tNNP\tI-NP\tO' +p116798 +aS'is\tbe\tVBZ\tB-VP\tO' +p116799 +aS'to\tto\tTO\tI-VP\tO' +p116800 +aS'be\tbe\tVB\tI-VP\tO' +p116801 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p116802 +aS'home\thome\tNN\tB-ADVP\tO' +p116803 +aS'with\twith\tIN\tB-PP\tO' +p116804 +aS'parents\tparent\tNNS\tB-NP\tO' +p116805 +aS'with\twith\tIN\tB-PP\tO' +p116806 +aS'close\tclose\tJJ\tB-NP\tO' +p116807 +aS'Hematology\tHematology\tNN\tI-NP\tO' +p116808 +aS'VNA\tVNA\tNN\tI-NP\tO' +p116809 +aS'followup\tfollowup\tNN\tI-NP\tO' +p116810 +aS'.\t.\t.\tO\tO' +p116811 +asS'The heart is markedly enlarged .' +p116812 +(lp116813 +S'The\tThe\tDT\tB-NP\tO' +p116814 +aS'heart\theart\tNN\tI-NP\tO' +p116815 +aS'is\tbe\tVBZ\tB-VP\tO' +p116816 +aS'markedly\tmarkedly\tRB\tI-VP\tO' +p116817 +aS'enlarged\tenlarge\tVBN\tI-VP\tO' +p116818 +aS'.\t.\t.\tO\tO' +p116819 +asS'Heart had regular rate and rhythm .' +p116820 +(lp116821 +S'Heart\tHeart\tNNP\tB-NP\tO' +p116822 +aS'had\thave\tVBD\tB-VP\tO' +p116823 +aS'regular\tregular\tJJ\tB-NP\tO' +p116824 +aS'rate\trate\tNN\tI-NP\tO' +p116825 +aS'and\tand\tCC\tI-NP\tO' +p116826 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p116827 +aS'.\t.\t.\tO\tO' +p116828 +asS'His tracheostomy was changed to a 6 cuffless Shiley on 2016-11-26 and sutures in place with a 3-0 silk .' +p116829 +(lp116830 +S'His\tHis\tPRP$\tB-NP\tO' +p116831 +aS'tracheostomy\ttracheostomy\tNN\tI-NP\tO' +p116832 +aS'was\tbe\tVBD\tB-VP\tO' +p116833 +aS'changed\tchange\tVBN\tI-VP\tO' +p116834 +aS'to\tto\tTO\tB-PP\tO' +p116835 +aS'a\ta\tDT\tB-NP\tO' +p116836 +aS'6\t6\tCD\tI-NP\tO' +p116837 +aS'cuffless\tcuffless\tJJ\tI-NP\tO' +p116838 +aS'Shiley\tShiley\tNNP\tI-NP\tO' +p116839 +aS'on\ton\tIN\tB-PP\tO' +p116840 +aS'2016-11-26\t2016-11-26\tCD\tB-NP\tO' +p116841 +aS'and\tand\tCC\tO\tO' +p116842 +aS'sutures\tsuture\tNNS\tB-NP\tO' +p116843 +aS'in\tin\tIN\tB-PP\tO' +p116844 +aS'place\tplace\tNN\tB-NP\tO' +p116845 +aS'with\twith\tIN\tB-PP\tO' +p116846 +aS'a\ta\tDT\tB-NP\tO' +p116847 +aS'3-0\t3-0\tCD\tI-NP\tO' +p116848 +aS'silk\tsilk\tNN\tI-NP\tO' +p116849 +aS'.\t.\t.\tO\tO' +p116850 +asS'At the time of transfer , she was NPO given her NG tube .' +p116851 +(lp116852 +S'At\tAt\tIN\tB-PP\tO' +p116853 +aS'the\tthe\tDT\tB-NP\tO' +p116854 +aS'time\ttime\tNN\tI-NP\tO' +p116855 +aS'of\tof\tIN\tB-PP\tO' +p116856 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p116857 +aS',\t,\t,\tO\tO' +p116858 +aS'she\tshe\tPRP\tB-NP\tO' +p116859 +aS'was\tbe\tVBD\tB-VP\tO' +p116860 +aS'NPO\tNPO\tNN\tB-NP\tB-protein' +p116861 +aS'given\tgive\tVBN\tB-PP\tO' +p116862 +aS'her\ther\tPRP$\tB-NP\tO' +p116863 +aS'NG\tNG\tNN\tI-NP\tO' +p116864 +aS'tube\ttube\tNN\tI-NP\tO' +p116865 +aS'.\t.\t.\tO\tO' +p116866 +asS'His admission weight was 3850 grams .' +p116867 +(lp116868 +S'His\tHis\tPRP$\tB-NP\tO' +p116869 +aS'admission\tadmission\tNN\tI-NP\tO' +p116870 +aS'weight\tweight\tNN\tI-NP\tO' +p116871 +aS'was\tbe\tVBD\tB-VP\tO' +p116872 +aS'3850\t3850\tCD\tB-NP\tO' +p116873 +aS'grams\tgram\tNNS\tI-NP\tO' +p116874 +aS'.\t.\t.\tO\tO' +p116875 +asS'There was no HDR .' +p116876 +(lp116877 +S'There\tThere\tEX\tB-NP\tO' +p116878 +aS'was\tbe\tVBD\tB-VP\tO' +p116879 +aS'no\tno\tDT\tB-NP\tO' +p116880 +aS'HDR\tHDR\tNN\tI-NP\tB-protein' +p116881 +aS'.\t.\t.\tO\tO' +p116882 +asS'3/6 crescendo decrescendo murmur at the right upper sternal border with radiation to the carotids .' +p116883 +(lp116884 +S'3/6\t3/6\tCD\tB-NP\tO' +p116885 +aS'crescendo\tcrescendo\tNN\tI-NP\tO' +p116886 +aS'decrescendo\tdecrescendo\tNN\tI-NP\tO' +p116887 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p116888 +aS'at\tat\tIN\tB-PP\tO' +p116889 +aS'the\tthe\tDT\tB-NP\tO' +p116890 +aS'right\tright\tJJ\tI-NP\tO' +p116891 +aS'upper\tupper\tJJ\tI-NP\tO' +p116892 +aS'sternal\tsternal\tJJ\tI-NP\tO' +p116893 +aS'border\tborder\tNN\tI-NP\tO' +p116894 +aS'with\twith\tIN\tB-PP\tO' +p116895 +aS'radiation\tradiation\tNN\tB-NP\tO' +p116896 +aS'to\tto\tTO\tB-PP\tO' +p116897 +aS'the\tthe\tDT\tB-NP\tO' +p116898 +aS'carotids\tcarotid\tNNS\tI-NP\tO' +p116899 +aS'.\t.\t.\tO\tO' +p116900 +asS'60 mg x 10 days ( already completed ) , 40 mg x 14 d ( already completed ) , 20 mg x 14 d ( now day 11-24 ) , 10 mg x 10 d , 5 mg x 10 d .' +p116901 +(lp116902 +S'60\t60\tCD\tB-NP\tO' +p116903 +aS'mg\tmg\tNN\tI-NP\tO' +p116904 +aS'x\tx\tSYM\tB-NP\tO' +p116905 +aS'10\t10\tCD\tB-NP\tO' +p116906 +aS'days\tday\tNNS\tI-NP\tO' +p116907 +aS'(\t(\t(\tO\tO' +p116908 +aS'already\talready\tRB\tB-VP\tO' +p116909 +aS'completed\tcomplete\tVBN\tI-VP\tO' +p116910 +aS')\t)\t)\tO\tO' +p116911 +aS',\t,\t,\tO\tO' +p116912 +aS'40\t40\tCD\tB-NP\tO' +p116913 +aS'mg\tmg\tNN\tI-NP\tO' +p116914 +aS'x\tx\tSYM\tB-NP\tO' +p116915 +aS'14\t14\tCD\tB-NP\tO' +p116916 +aS'd\td\tNN\tI-NP\tO' +p116917 +aS'(\t(\t(\tO\tO' +p116918 +aS'already\talready\tRB\tB-VP\tO' +p116919 +aS'completed\tcomplete\tVBN\tI-VP\tO' +p116920 +aS')\t)\t)\tO\tO' +p116921 +aS',\t,\t,\tO\tO' +p116922 +aS'20\t20\tCD\tB-NP\tO' +p116923 +aS'mg\tmg\tNN\tI-NP\tO' +p116924 +aS'x\tx\tSYM\tB-NP\tO' +p116925 +aS'14\t14\tCD\tB-NP\tO' +p116926 +aS'd\td\tNN\tI-NP\tO' +p116927 +aS'(\t(\t(\tO\tO' +p116928 +aS'now\tnow\tRB\tB-ADVP\tO' +p116929 +aS'day\tday\tNN\tB-NP\tO' +p116930 +aS'11-24\t11-24\tCD\tI-NP\tO' +p116931 +aS')\t)\t)\tO\tO' +p116932 +aS',\t,\t,\tO\tO' +p116933 +aS'10\t10\tCD\tB-NP\tO' +p116934 +aS'mg\tmg\tNN\tI-NP\tO' +p116935 +aS'x\tx\tSYM\tB-NP\tO' +p116936 +aS'10\t10\tCD\tB-NP\tO' +p116937 +aS'd\td\tNN\tI-NP\tO' +p116938 +aS',\t,\t,\tO\tO' +p116939 +aS'5\t5\tCD\tB-NP\tO' +p116940 +aS'mg\tmg\tNN\tI-NP\tO' +p116941 +aS'x\tx\tSYM\tB-NP\tO' +p116942 +aS'10\t10\tCD\tB-NP\tO' +p116943 +aS'd\td\tNN\tI-NP\tO' +p116944 +aS'.\t.\t.\tO\tO' +p116945 +asS'Hematocrit 44 , potassium 4.0 , BUN 23 , creatinine 1.2 , blood sugar 115 , Digoxin 1.4 .' +p116946 +(lp116947 +S'Hematocrit\tHematocrit\tNN\tB-NP\tB-protein' +p116948 +aS'44\t44\tCD\tI-NP\tI-protein' +p116949 +aS',\t,\t,\tO\tO' +p116950 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p116951 +aS'4.0\t4.0\tCD\tI-NP\tO' +p116952 +aS',\t,\t,\tO\tO' +p116953 +aS'BUN\tBUN\tNN\tB-NP\tB-DNA' +p116954 +aS'23\t23\tCD\tI-NP\tI-DNA' +p116955 +aS',\t,\t,\tO\tO' +p116956 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p116957 +aS'1.2\t1.2\tCD\tI-NP\tO' +p116958 +aS',\t,\t,\tO\tO' +p116959 +aS'blood\tblood\tNN\tB-NP\tO' +p116960 +aS'sugar\tsugar\tNN\tI-NP\tO' +p116961 +aS'115\t115\tCD\tI-NP\tO' +p116962 +aS',\t,\t,\tO\tO' +p116963 +aS'Digoxin\tDigoxin\tNN\tB-NP\tO' +p116964 +aS'1.4\t1.4\tCD\tI-NP\tO' +p116965 +aS'.\t.\t.\tO\tO' +p116966 +asS'An ECHO showed that she had preserved EF and no wall motion abnormalities .' +p116967 +(lp116968 +S'An\tAn\tDT\tB-NP\tO' +p116969 +aS'ECHO\tECHO\tNN\tI-NP\tB-protein' +p116970 +aS'showed\tshow\tVBD\tB-VP\tO' +p116971 +aS'that\tthat\tIN\tB-SBAR\tO' +p116972 +aS'she\tshe\tPRP\tB-NP\tO' +p116973 +aS'had\thave\tVBD\tB-VP\tO' +p116974 +aS'preserved\tpreserve\tVBN\tI-VP\tO' +p116975 +aS'EF\tEF\tNN\tB-NP\tO' +p116976 +aS'and\tand\tCC\tO\tO' +p116977 +aS'no\tno\tDT\tB-NP\tO' +p116978 +aS'wall\twall\tNN\tI-NP\tO' +p116979 +aS'motion\tmotion\tNN\tI-NP\tO' +p116980 +aS'abnormalities\tabnormality\tNNS\tI-NP\tO' +p116981 +aS'.\t.\t.\tO\tO' +p116982 +asS'He has a history of hypertension , diabetes , and high cholesterol .' +p116983 +(lp116984 +S'He\tHe\tPRP\tB-NP\tO' +p116985 +aS'has\thave\tVBZ\tB-VP\tO' +p116986 +aS'a\ta\tDT\tB-NP\tO' +p116987 +aS'history\thistory\tNN\tI-NP\tO' +p116988 +aS'of\tof\tIN\tB-PP\tO' +p116989 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p116990 +aS',\t,\t,\tO\tO' +p116991 +aS'diabetes\tdiabetes\tNN\tB-NP\tO' +p116992 +aS',\t,\t,\tO\tO' +p116993 +aS'and\tand\tCC\tO\tO' +p116994 +aS'high\thigh\tJJ\tB-NP\tO' +p116995 +aS'cholesterol\tcholesterol\tNN\tI-NP\tO' +p116996 +aS'.\t.\t.\tO\tO' +p116997 +asS'No issues .' +p116998 +(lp116999 +S'No\tNo\tDT\tB-NP\tO' +p117000 +aS'issues\tissue\tNNS\tI-NP\tO' +p117001 +aS'.\t.\t.\tO\tO' +p117002 +asS'Received hepatitis B vaccination on 05-16 .' +p117003 +(lp117004 +S'Received\tReceive\tVBN\tB-NP\tO' +p117005 +aS'hepatitis\thepatitis\tNN\tI-NP\tO' +p117006 +aS'B\tB\tNN\tI-NP\tO' +p117007 +aS'vaccination\tvaccination\tNN\tI-NP\tO' +p117008 +aS'on\ton\tIN\tB-PP\tO' +p117009 +aS'05-16\t05-16\tCD\tB-NP\tO' +p117010 +aS'.\t.\t.\tO\tO' +p117011 +asS"The patient 's postoperative course was uncomplicated and she was extubated on the first postoperative day ." +p117012 +(lp117013 +S'The\tThe\tDT\tB-NP\tO' +p117014 +aS'patient\tpatient\tNN\tI-NP\tO' +p117015 +aS"'s\t's\tPOS\tB-NP\tO" +p117016 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p117017 +aS'course\tcourse\tNN\tI-NP\tO' +p117018 +aS'was\tbe\tVBD\tB-VP\tO' +p117019 +aS'uncomplicated\tuncomplicated\tJJ\tB-ADJP\tO' +p117020 +aS'and\tand\tCC\tO\tO' +p117021 +aS'she\tshe\tPRP\tB-NP\tO' +p117022 +aS'was\tbe\tVBD\tB-VP\tO' +p117023 +aS'extubated\textubate\tVBN\tI-VP\tO' +p117024 +aS'on\ton\tIN\tB-PP\tO' +p117025 +aS'the\tthe\tDT\tB-NP\tO' +p117026 +aS'first\tfirst\tJJ\tI-NP\tO' +p117027 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p117028 +aS'day\tday\tNN\tI-NP\tO' +p117029 +aS'.\t.\t.\tO\tO' +p117030 +asS'Her post-operative course has been uncomplicated .' +p117031 +(lp117032 +S'Her\tHer\tPRP$\tB-NP\tO' +p117033 +aS'post-operative\tpost-operative\tJJ\tI-NP\tO' +p117034 +aS'course\tcourse\tNN\tI-NP\tO' +p117035 +aS'has\thave\tVBZ\tB-VP\tO' +p117036 +aS'been\tbe\tVBN\tI-VP\tO' +p117037 +aS'uncomplicated\tuncomplicate\tVBN\tI-VP\tO' +p117038 +aS'.\t.\t.\tO\tO' +p117039 +asS'The ideal blood sugar levels for Mr. Douglass in this postoperative period should be less than 140 .' +p117040 +(lp117041 +S'The\tThe\tDT\tB-NP\tO' +p117042 +aS'ideal\tideal\tJJ\tI-NP\tO' +p117043 +aS'blood\tblood\tNN\tI-NP\tO' +p117044 +aS'sugar\tsugar\tNN\tI-NP\tO' +p117045 +aS'levels\tlevel\tNNS\tI-NP\tO' +p117046 +aS'for\tfor\tIN\tB-PP\tO' +p117047 +aS'Mr.\tMr.\tNNP\tB-NP\tO' +p117048 +aS'Douglass\tDouglass\tNNP\tI-NP\tO' +p117049 +aS'in\tin\tIN\tB-PP\tO' +p117050 +aS'this\tthis\tDT\tB-NP\tO' +p117051 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p117052 +aS'period\tperiod\tNN\tI-NP\tO' +p117053 +aS'should\tshould\tMD\tB-VP\tO' +p117054 +aS'be\tbe\tVB\tI-VP\tO' +p117055 +aS'less\tless\tJJR\tB-ADJP\tO' +p117056 +aS'than\tthan\tIN\tB-PP\tO' +p117057 +aS'140\t140\tCD\tB-NP\tO' +p117058 +aS'.\t.\t.\tO\tO' +p117059 +asS'The systolic function was within normal limits .' +p117060 +(lp117061 +S'The\tThe\tDT\tB-NP\tO' +p117062 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p117063 +aS'function\tfunction\tNN\tI-NP\tO' +p117064 +aS'was\tbe\tVBD\tB-VP\tO' +p117065 +aS'within\twithin\tIN\tB-PP\tO' +p117066 +aS'normal\tnormal\tJJ\tB-NP\tO' +p117067 +aS'limits\tlimit\tNNS\tI-NP\tO' +p117068 +aS'.\t.\t.\tO\tO' +p117069 +asS'Dexamethasone suppression test negative with a cortisol level at 8 a.m. of 1.7 .' +p117070 +(lp117071 +S'Dexamethasone\tDexamethasone\tNN\tB-NP\tO' +p117072 +aS'suppression\tsuppression\tNN\tI-NP\tO' +p117073 +aS'test\ttest\tNN\tI-NP\tO' +p117074 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p117075 +aS'with\twith\tIN\tB-PP\tO' +p117076 +aS'a\ta\tDT\tB-NP\tO' +p117077 +aS'cortisol\tcortisol\tNN\tI-NP\tO' +p117078 +aS'level\tlevel\tNN\tI-NP\tO' +p117079 +aS'at\tat\tIN\tB-PP\tO' +p117080 +aS'8\t8\tCD\tB-NP\tO' +p117081 +aS'a.m.\ta.m.\tNN\tI-NP\tO' +p117082 +aS'of\tof\tIN\tB-PP\tO' +p117083 +aS'1.7\t1.7\tCD\tB-NP\tO' +p117084 +aS'.\t.\t.\tO\tO' +p117085 +asS'His underlying rhythm is atrial flutter ; it was unclear whether he had previously been cardioverted .' +p117086 +(lp117087 +S'His\tHis\tPRP$\tB-NP\tO' +p117088 +aS'underlying\tunderlying\tJJ\tI-NP\tO' +p117089 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p117090 +aS'is\tbe\tVBZ\tB-VP\tO' +p117091 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p117092 +aS'flutter\tflutter\tNN\tI-NP\tO' +p117093 +aS';\t;\t:\tO\tO' +p117094 +aS'it\tit\tPRP\tB-NP\tO' +p117095 +aS'was\tbe\tVBD\tB-VP\tO' +p117096 +aS'unclear\tunclear\tJJ\tB-ADJP\tO' +p117097 +aS'whether\twhether\tIN\tB-SBAR\tO' +p117098 +aS'he\the\tPRP\tB-NP\tO' +p117099 +aS'had\thave\tVBD\tB-VP\tO' +p117100 +aS'previously\tpreviously\tRB\tI-VP\tO' +p117101 +aS'been\tbe\tVBN\tI-VP\tO' +p117102 +aS'cardioverted\tcardioverte\tVBN\tI-VP\tO' +p117103 +aS'.\t.\t.\tO\tO' +p117104 +asS'He was transfused 4 units during that admission and discharged with a hematocrit of 34 on vitamin C and iron sulfate .' +p117105 +(lp117106 +S'He\tHe\tPRP\tB-NP\tO' +p117107 +aS'was\tbe\tVBD\tB-VP\tO' +p117108 +aS'transfused\ttransfuse\tVBN\tI-VP\tO' +p117109 +aS'4\t4\tCD\tB-NP\tO' +p117110 +aS'units\tunit\tNNS\tI-NP\tO' +p117111 +aS'during\tduring\tIN\tB-PP\tO' +p117112 +aS'that\tthat\tDT\tB-NP\tO' +p117113 +aS'admission\tadmission\tNN\tI-NP\tO' +p117114 +aS'and\tand\tCC\tO\tO' +p117115 +aS'discharged\tdischarge\tVBD\tB-VP\tO' +p117116 +aS'with\twith\tIN\tB-PP\tO' +p117117 +aS'a\ta\tDT\tB-NP\tO' +p117118 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p117119 +aS'of\tof\tIN\tB-PP\tO' +p117120 +aS'34\t34\tCD\tB-NP\tO' +p117121 +aS'on\ton\tIN\tB-PP\tO' +p117122 +aS'vitamin\tvitamin\tNN\tB-NP\tO' +p117123 +aS'C\tC\tNN\tI-NP\tO' +p117124 +aS'and\tand\tCC\tO\tO' +p117125 +aS'iron\tiron\tNN\tB-NP\tO' +p117126 +aS'sulfate\tsulfate\tNN\tI-NP\tO' +p117127 +aS'.\t.\t.\tO\tO' +p117128 +asS'She was oxygenating well on room air .' +p117129 +(lp117130 +S'She\tShe\tPRP\tB-NP\tO' +p117131 +aS'was\tbe\tVBD\tB-VP\tO' +p117132 +aS'oxygenating\toxygenate\tVBG\tI-VP\tO' +p117133 +aS'well\twell\tRB\tB-ADVP\tO' +p117134 +aS'on\ton\tIN\tB-PP\tO' +p117135 +aS'room\troom\tNN\tB-NP\tO' +p117136 +aS'air\tair\tNN\tI-NP\tO' +p117137 +aS'.\t.\t.\tO\tO' +p117138 +asS'Also of note , pulmonary edema was induced by dye and anxiety and treated with Lasix , Morphine , oxygen and nitroglycerin .' +p117139 +(lp117140 +S'Also\tAlso\tRB\tB-ADVP\tO' +p117141 +aS'of\tof\tIN\tB-PP\tO' +p117142 +aS'note\tnote\tNN\tB-NP\tO' +p117143 +aS',\t,\t,\tO\tO' +p117144 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p117145 +aS'edema\tedema\tNN\tI-NP\tO' +p117146 +aS'was\tbe\tVBD\tB-VP\tO' +p117147 +aS'induced\tinduce\tVBN\tI-VP\tO' +p117148 +aS'by\tby\tIN\tB-PP\tO' +p117149 +aS'dye\tdye\tNN\tB-NP\tO' +p117150 +aS'and\tand\tCC\tI-NP\tO' +p117151 +aS'anxiety\tanxiety\tNN\tI-NP\tO' +p117152 +aS'and\tand\tCC\tO\tO' +p117153 +aS'treated\ttreat\tVBN\tB-VP\tO' +p117154 +aS'with\twith\tIN\tB-PP\tO' +p117155 +aS'Lasix\tLasix\tNN\tB-NP\tO' +p117156 +aS',\t,\t,\tI-NP\tO' +p117157 +aS'Morphine\tMorphine\tNN\tI-NP\tO' +p117158 +aS',\t,\t,\tI-NP\tO' +p117159 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p117160 +aS'and\tand\tCC\tI-NP\tO' +p117161 +aS'nitroglycerin\tnitroglycerin\tNN\tI-NP\tO' +p117162 +aS'.\t.\t.\tO\tO' +p117163 +asS'Stable during his course on the surgical Beth Israel Deaconess Hospital-Needham .' +p117164 +(lp117165 +S'Stable\tStable\tJJ\tB-ADJP\tO' +p117166 +aS'during\tduring\tIN\tB-PP\tO' +p117167 +aS'his\this\tPRP$\tB-NP\tO' +p117168 +aS'course\tcourse\tNN\tI-NP\tO' +p117169 +aS'on\ton\tIN\tB-PP\tO' +p117170 +aS'the\tthe\tDT\tB-NP\tO' +p117171 +aS'surgical\tsurgical\tJJ\tI-NP\tO' +p117172 +aS'Beth\tBeth\tNNP\tI-NP\tO' +p117173 +aS'Israel\tIsrael\tNNP\tI-NP\tO' +p117174 +aS'Deaconess\tDeaconess\tNNP\tI-NP\tO' +p117175 +aS'Hospital-Needham\tHospital-Needham\tNNP\tI-NP\tO' +p117176 +aS'.\t.\t.\tO\tO' +p117177 +asS'Please call transplant office ( 789 ) 583 5023 if fevers , chills , nausea / vomiting , bleeding , decreased urine output , weight gain of 3 pounds in a day , abdominal pain or shortness of breath' +p117178 +(lp117179 +S'Please\tPlease\tVB\tB-VP\tO' +p117180 +aS'call\tcall\tVB\tI-VP\tO' +p117181 +aS'transplant\ttransplant\tNN\tB-NP\tB-protein' +p117182 +aS'office\toffice\tNN\tI-NP\tI-protein' +p117183 +aS'(\t(\t(\tO\tI-protein' +p117184 +aS'789\t789\tCD\tB-NP\tI-protein' +p117185 +aS')\t)\t)\tO\tI-protein' +p117186 +aS'583\t583\tCD\tB-NP\tI-protein' +p117187 +aS'5023\t5023\tCD\tI-NP\tI-protein' +p117188 +aS'if\tif\tIN\tB-SBAR\tI-protein' +p117189 +aS'fevers\tfever\tNNS\tB-NP\tI-protein' +p117190 +aS',\t,\t,\tO\tO' +p117191 +aS'chills\tchill\tNNS\tB-NP\tO' +p117192 +aS',\t,\t,\tO\tO' +p117193 +aS'nausea\tnausea\tNN\tB-NP\tO' +p117194 +aS'/\t/\tSYM\tI-NP\tO' +p117195 +aS'vomiting\tvomiting\tNN\tI-NP\tO' +p117196 +aS',\t,\t,\tO\tO' +p117197 +aS'bleeding\tbleeding\tNN\tB-NP\tO' +p117198 +aS',\t,\t,\tO\tO' +p117199 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p117200 +aS'urine\turine\tNN\tB-NP\tO' +p117201 +aS'output\toutput\tNN\tI-NP\tO' +p117202 +aS',\t,\t,\tO\tO' +p117203 +aS'weight\tweight\tNN\tB-NP\tO' +p117204 +aS'gain\tgain\tNN\tI-NP\tO' +p117205 +aS'of\tof\tIN\tB-PP\tO' +p117206 +aS'3\t3\tCD\tB-NP\tO' +p117207 +aS'pounds\tpound\tNNS\tI-NP\tO' +p117208 +aS'in\tin\tIN\tB-PP\tO' +p117209 +aS'a\ta\tDT\tB-NP\tO' +p117210 +aS'day\tday\tNN\tI-NP\tO' +p117211 +aS',\t,\t,\tO\tO' +p117212 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p117213 +aS'pain\tpain\tNN\tI-NP\tO' +p117214 +aS'or\tor\tCC\tI-NP\tO' +p117215 +aS'shortness\tshortness\tNN\tI-NP\tO' +p117216 +aS'of\tof\tIN\tB-PP\tO' +p117217 +aS'breath\tbreath\tNN\tB-NP\tO' +p117218 +asS'She denies tobacco and drug use and drinks ethanol socially .' +p117219 +(lp117220 +S'She\tShe\tPRP\tB-NP\tO' +p117221 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p117222 +aS'tobacco\ttobacco\tNN\tB-NP\tO' +p117223 +aS'and\tand\tCC\tI-NP\tO' +p117224 +aS'drug\tdrug\tNN\tI-NP\tO' +p117225 +aS'use\tuse\tNN\tI-NP\tO' +p117226 +aS'and\tand\tCC\tO\tO' +p117227 +aS'drinks\tdrink\tVBZ\tB-VP\tO' +p117228 +aS'ethanol\tethanol\tNN\tB-NP\tO' +p117229 +aS'socially\tsocially\tRB\tB-ADVP\tO' +p117230 +aS'.\t.\t.\tO\tO' +p117231 +asS'The patient presented for nephrectomy .' +p117232 +(lp117233 +S'The\tThe\tDT\tB-NP\tO' +p117234 +aS'patient\tpatient\tNN\tI-NP\tO' +p117235 +aS'presented\tpresent\tVBD\tB-VP\tO' +p117236 +aS'for\tfor\tIN\tB-PP\tO' +p117237 +aS'nephrectomy\tnephrectomy\tNN\tB-NP\tO' +p117238 +aS'.\t.\t.\tO\tO' +p117239 +asS'It is located at 2249 S. Lincoln Ave. in Nantucket Cottage Hospital the phone to the clinic is ( 451 ) 376-3200 .' +p117240 +(lp117241 +S'It\tIt\tPRP\tB-NP\tO' +p117242 +aS'is\tbe\tVBZ\tB-VP\tO' +p117243 +aS'located\tlocate\tVBN\tI-VP\tO' +p117244 +aS'at\tat\tIN\tB-PP\tO' +p117245 +aS'2249\t2249\tCD\tB-NP\tO' +p117246 +aS'S.\tS.\tNNP\tI-NP\tO' +p117247 +aS'Lincoln\tLincoln\tNNP\tI-NP\tO' +p117248 +aS'Ave.\tAve.\tNNP\tI-NP\tO' +p117249 +aS'in\tin\tIN\tB-PP\tO' +p117250 +aS'Nantucket\tNantucket\tNNP\tB-NP\tO' +p117251 +aS'Cottage\tCottage\tNNP\tI-NP\tO' +p117252 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p117253 +aS'the\tthe\tDT\tB-NP\tO' +p117254 +aS'phone\tphone\tNN\tI-NP\tO' +p117255 +aS'to\tto\tTO\tB-PP\tO' +p117256 +aS'the\tthe\tDT\tB-NP\tO' +p117257 +aS'clinic\tclinic\tNN\tI-NP\tO' +p117258 +aS'is\tbe\tVBZ\tB-VP\tO' +p117259 +aS'(\t(\t(\tO\tO' +p117260 +aS'451\t451\tCD\tB-NP\tO' +p117261 +aS')\t)\t)\tO\tO' +p117262 +aS'376-3200\t376-3200\tCD\tB-NP\tO' +p117263 +aS'.\t.\t.\tO\tO' +p117264 +asS'By postoperative day three she had return of normal bowel function and was able to tolerate a regular diet without any difficulty .' +p117265 +(lp117266 +S'By\tBy\tIN\tB-PP\tO' +p117267 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p117268 +aS'day\tday\tNN\tI-NP\tO' +p117269 +aS'three\tthree\tCD\tI-NP\tO' +p117270 +aS'she\tshe\tPRP\tB-NP\tO' +p117271 +aS'had\thave\tVBD\tB-VP\tO' +p117272 +aS'return\treturn\tNN\tB-NP\tO' +p117273 +aS'of\tof\tIN\tB-PP\tO' +p117274 +aS'normal\tnormal\tJJ\tB-NP\tO' +p117275 +aS'bowel\tbowel\tNN\tI-NP\tO' +p117276 +aS'function\tfunction\tNN\tI-NP\tO' +p117277 +aS'and\tand\tCC\tO\tO' +p117278 +aS'was\tbe\tVBD\tB-VP\tO' +p117279 +aS'able\table\tJJ\tB-ADJP\tO' +p117280 +aS'to\tto\tTO\tB-VP\tO' +p117281 +aS'tolerate\ttolerate\tVB\tI-VP\tO' +p117282 +aS'a\ta\tDT\tB-NP\tO' +p117283 +aS'regular\tregular\tJJ\tI-NP\tO' +p117284 +aS'diet\tdiet\tNN\tI-NP\tO' +p117285 +aS'without\twithout\tIN\tB-PP\tO' +p117286 +aS'any\tany\tDT\tB-NP\tO' +p117287 +aS'difficulty\tdifficulty\tNN\tI-NP\tO' +p117288 +aS'.\t.\t.\tO\tO' +p117289 +asS'His nitroglycerin patch did not help , and he only had slight relief with sublingual nitroglycerin times three .' +p117290 +(lp117291 +S'His\tHis\tPRP$\tB-NP\tO' +p117292 +aS'nitroglycerin\tnitroglycerin\tNN\tI-NP\tO' +p117293 +aS'patch\tpatch\tNN\tI-NP\tO' +p117294 +aS'did\tdo\tVBD\tB-VP\tO' +p117295 +aS'not\tnot\tRB\tI-VP\tO' +p117296 +aS'help\thelp\tVB\tI-VP\tO' +p117297 +aS',\t,\t,\tO\tO' +p117298 +aS'and\tand\tCC\tO\tO' +p117299 +aS'he\the\tPRP\tB-NP\tO' +p117300 +aS'only\tonly\tRB\tB-ADVP\tO' +p117301 +aS'had\thave\tVBD\tB-VP\tO' +p117302 +aS'slight\tslight\tJJ\tB-NP\tO' +p117303 +aS'relief\trelief\tNN\tI-NP\tO' +p117304 +aS'with\twith\tIN\tB-PP\tO' +p117305 +aS'sublingual\tsublingual\tJJ\tB-NP\tO' +p117306 +aS'nitroglycerin\tnitroglycerin\tNN\tI-NP\tO' +p117307 +aS'times\ttime\tNNS\tI-NP\tO' +p117308 +aS'three\tthree\tCD\tI-NP\tO' +p117309 +aS'.\t.\t.\tO\tO' +p117310 +asS'This was treated with wound care using Eucerin cream and also patient was treated with lidocaine jelly for pain control .' +p117311 +(lp117312 +S'This\tThis\tDT\tB-NP\tO' +p117313 +aS'was\tbe\tVBD\tB-VP\tO' +p117314 +aS'treated\ttreat\tVBN\tI-VP\tO' +p117315 +aS'with\twith\tIN\tB-PP\tO' +p117316 +aS'wound\twound\tNN\tB-NP\tO' +p117317 +aS'care\tcare\tNN\tI-NP\tO' +p117318 +aS'using\tuse\tVBG\tB-VP\tO' +p117319 +aS'Eucerin\tEucerin\tNN\tB-NP\tO' +p117320 +aS'cream\tcream\tNN\tI-NP\tO' +p117321 +aS'and\tand\tCC\tO\tO' +p117322 +aS'also\talso\tRB\tB-ADVP\tO' +p117323 +aS'patient\tpatient\tNN\tB-NP\tO' +p117324 +aS'was\tbe\tVBD\tB-VP\tO' +p117325 +aS'treated\ttreat\tVBN\tI-VP\tO' +p117326 +aS'with\twith\tIN\tB-PP\tO' +p117327 +aS'lidocaine\tlidocaine\tNN\tB-NP\tO' +p117328 +aS'jelly\tjelly\tRB\tB-ADVP\tO' +p117329 +aS'for\tfor\tIN\tB-PP\tO' +p117330 +aS'pain\tpain\tNN\tB-NP\tO' +p117331 +aS'control\tcontrol\tNN\tI-NP\tO' +p117332 +aS'.\t.\t.\tO\tO' +p117333 +asS'She required a 1:1 sitter .' +p117334 +(lp117335 +S'She\tShe\tPRP\tB-NP\tO' +p117336 +aS'required\trequire\tVBD\tB-VP\tO' +p117337 +aS'a\ta\tDT\tB-NP\tO' +p117338 +aS'1:1\t1:1\tCD\tI-NP\tO' +p117339 +aS'sitter\tsitter\tNN\tI-NP\tO' +p117340 +aS'.\t.\t.\tO\tO' +p117341 +asS'HEENT exam showed PERRLA , EOMI , oropharynx benign .' +p117342 +(lp117343 +S'HEENT\tHEENT\tNN\tB-NP\tO' +p117344 +aS'exam\texam\tNN\tI-NP\tO' +p117345 +aS'showed\tshow\tVBD\tB-VP\tO' +p117346 +aS'PERRLA\tPERRLA\tNN\tB-NP\tO' +p117347 +aS',\t,\t,\tO\tO' +p117348 +aS'EOMI\tEOMI\tNN\tB-NP\tB-protein' +p117349 +aS',\t,\t,\tO\tO' +p117350 +aS'oropharynx\toropharynx\tNN\tB-NP\tO' +p117351 +aS'benign\tbenign\tJJ\tB-ADJP\tO' +p117352 +aS'.\t.\t.\tO\tO' +p117353 +asS'MRI / MRA was performed with diffusion weighted images , showing subcortical white matter and basal ganglia infarcts , but preserved middle cerebral artery territory cortex .' +p117354 +(lp117355 +S'MRI\tMRI\tNN\tB-NP\tB-protein' +p117356 +aS'/\t/\tSYM\tI-NP\tO' +p117357 +aS'MRA\tMRA\tNN\tI-NP\tB-protein' +p117358 +aS'was\tbe\tVBD\tB-VP\tO' +p117359 +aS'performed\tperform\tVBN\tI-VP\tO' +p117360 +aS'with\twith\tIN\tB-PP\tO' +p117361 +aS'diffusion\tdiffusion\tNN\tB-NP\tO' +p117362 +aS'weighted\tweight\tVBD\tB-VP\tO' +p117363 +aS'images\timage\tNNS\tB-NP\tO' +p117364 +aS',\t,\t,\tO\tO' +p117365 +aS'showing\tshow\tVBG\tB-VP\tO' +p117366 +aS'subcortical\tsubcortical\tJJ\tB-NP\tO' +p117367 +aS'white\twhite\tJJ\tI-NP\tO' +p117368 +aS'matter\tmatter\tNN\tI-NP\tO' +p117369 +aS'and\tand\tCC\tO\tO' +p117370 +aS'basal\tbasal\tJJ\tB-NP\tO' +p117371 +aS'ganglia\tganglia\tNNS\tI-NP\tO' +p117372 +aS'infarcts\tinfarct\tNNS\tI-NP\tO' +p117373 +aS',\t,\t,\tO\tO' +p117374 +aS'but\tbut\tCC\tO\tO' +p117375 +aS'preserved\tpreserve\tVBD\tB-VP\tO' +p117376 +aS'middle\tmiddle\tJJ\tB-NP\tO' +p117377 +aS'cerebral\tcerebral\tJJ\tI-NP\tO' +p117378 +aS'artery\tartery\tNN\tI-NP\tO' +p117379 +aS'territory\tterritory\tNN\tI-NP\tO' +p117380 +aS'cortex\tcortex\tNN\tI-NP\tO' +p117381 +aS'.\t.\t.\tO\tO' +p117382 +asS'Anticoagulation was begun on the third postoperative day with Coumadin .' +p117383 +(lp117384 +S'Anticoagulation\tAnticoagulation\tNN\tB-NP\tO' +p117385 +aS'was\tbe\tVBD\tB-VP\tO' +p117386 +aS'begun\tbegin\tVBN\tI-VP\tO' +p117387 +aS'on\ton\tIN\tB-PP\tO' +p117388 +aS'the\tthe\tDT\tB-NP\tO' +p117389 +aS'third\tthird\tJJ\tI-NP\tO' +p117390 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p117391 +aS'day\tday\tNN\tI-NP\tO' +p117392 +aS'with\twith\tIN\tB-PP\tO' +p117393 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p117394 +aS'.\t.\t.\tO\tO' +p117395 +asS'There is no free fluid and no pelvic or inguinal lymphadenopathy .' +p117396 +(lp117397 +S'There\tThere\tEX\tB-NP\tO' +p117398 +aS'is\tbe\tVBZ\tB-VP\tO' +p117399 +aS'no\tno\tDT\tB-NP\tO' +p117400 +aS'free\tfree\tJJ\tI-NP\tO' +p117401 +aS'fluid\tfluid\tNN\tI-NP\tO' +p117402 +aS'and\tand\tCC\tO\tO' +p117403 +aS'no\tno\tDT\tB-NP\tO' +p117404 +aS'pelvic\tpelvic\tJJ\tI-NP\tO' +p117405 +aS'or\tor\tCC\tI-NP\tO' +p117406 +aS'inguinal\tinguinal\tJJ\tI-NP\tO' +p117407 +aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' +p117408 +aS'.\t.\t.\tO\tO' +p117409 +asS'Pulmonary : clear anteriorly .' +p117410 +(lp117411 +S'Pulmonary\tPulmonary\tJJ\tB-ADJP\tO' +p117412 +aS':\t:\t:\tO\tO' +p117413 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p117414 +aS'anteriorly\tanteriorly\tRB\tB-ADVP\tO' +p117415 +aS'.\t.\t.\tO\tO' +p117416 +asS'Once at Hahnemann General Hospital he received heparin and Integrilin .' +p117417 +(lp117418 +S'Once\tOnce\tRB\tO\tO' +p117419 +aS'at\tat\tIN\tB-PP\tO' +p117420 +aS'Hahnemann\tHahnemann\tNNP\tB-NP\tO' +p117421 +aS'General\tGeneral\tNNP\tI-NP\tO' +p117422 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p117423 +aS'he\the\tPRP\tB-NP\tO' +p117424 +aS'received\treceive\tVBD\tB-VP\tO' +p117425 +aS'heparin\theparin\tNN\tB-NP\tO' +p117426 +aS'and\tand\tCC\tI-NP\tO' +p117427 +aS'Integrilin\tIntegrilin\tNN\tI-NP\tB-protein' +p117428 +aS'.\t.\t.\tO\tO' +p117429 +asS"Although an initial DRE showed only clot , he later passed a large , bloody bowel movement , and his bp nadired to the low 90's but rested there only transiently and easily rebounded to the 130's-140's with fluid ; he then went to angiography for a tagged RBC scan where they found and embolized two vessels to the sigmoid colon ." +p117430 +(lp117431 +S'Although\tAlthough\tIN\tB-SBAR\tO' +p117432 +aS'an\tan\tDT\tB-NP\tO' +p117433 +aS'initial\tinitial\tJJ\tI-NP\tO' +p117434 +aS'DRE\tDRE\tNN\tI-NP\tO' +p117435 +aS'showed\tshow\tVBD\tB-VP\tO' +p117436 +aS'only\tonly\tRB\tB-NP\tO' +p117437 +aS'clot\tclot\tNN\tI-NP\tO' +p117438 +aS',\t,\t,\tO\tO' +p117439 +aS'he\the\tPRP\tB-NP\tO' +p117440 +aS'later\tlater\tRB\tB-ADVP\tO' +p117441 +aS'passed\tpass\tVBD\tB-VP\tO' +p117442 +aS'a\ta\tDT\tB-NP\tO' +p117443 +aS'large\tlarge\tJJ\tI-NP\tO' +p117444 +aS',\t,\t,\tI-NP\tO' +p117445 +aS'bloody\tbloody\tJJ\tI-NP\tO' +p117446 +aS'bowel\tbowel\tNN\tI-NP\tO' +p117447 +aS'movement\tmovement\tNN\tI-NP\tO' +p117448 +aS',\t,\t,\tO\tO' +p117449 +aS'and\tand\tCC\tO\tO' +p117450 +aS'his\this\tPRP$\tB-NP\tO' +p117451 +aS'bp\tbp\tNN\tI-NP\tO' +p117452 +aS'nadired\tnadire\tVBN\tB-VP\tO' +p117453 +aS'to\tto\tTO\tB-PP\tO' +p117454 +aS'the\tthe\tDT\tB-NP\tO' +p117455 +aS'low\tlow\tJJ\tI-NP\tO' +p117456 +aS"90's\t90'\tNNS\tI-NP\tO" +p117457 +aS'but\tbut\tCC\tO\tO' +p117458 +aS'rested\trest\tVBD\tB-VP\tO' +p117459 +aS'there\tthere\tEX\tB-NP\tO' +p117460 +aS'only\tonly\tRB\tB-ADVP\tO' +p117461 +aS'transiently\ttransiently\tRB\tI-ADVP\tO' +p117462 +aS'and\tand\tCC\tI-ADVP\tO' +p117463 +aS'easily\teasily\tRB\tB-VP\tO' +p117464 +aS'rebounded\trebound\tVBD\tI-VP\tO' +p117465 +aS'to\tto\tTO\tB-PP\tO' +p117466 +aS'the\tthe\tDT\tB-NP\tO' +p117467 +aS"130's-140's\t130's-140'\tNNS\tI-NP\tO" +p117468 +aS'with\twith\tIN\tB-PP\tO' +p117469 +aS'fluid\tfluid\tNN\tB-NP\tO' +p117470 +aS';\t;\t:\tO\tO' +p117471 +aS'he\the\tPRP\tB-NP\tO' +p117472 +aS'then\tthen\tRB\tB-ADVP\tO' +p117473 +aS'went\tgo\tVBD\tB-VP\tO' +p117474 +aS'to\tto\tTO\tB-PP\tO' +p117475 +aS'angiography\tangiography\tNN\tB-NP\tO' +p117476 +aS'for\tfor\tIN\tB-PP\tO' +p117477 +aS'a\ta\tDT\tB-NP\tO' +p117478 +aS'tagged\ttag\tVBN\tI-NP\tO' +p117479 +aS'RBC\tRBC\tNN\tI-NP\tO' +p117480 +aS'scan\tscan\tNN\tI-NP\tO' +p117481 +aS'where\twhere\tWRB\tB-ADVP\tO' +p117482 +aS'they\tthey\tPRP\tB-NP\tO' +p117483 +aS'found\tfind\tVBD\tB-VP\tO' +p117484 +aS'and\tand\tCC\tI-VP\tO' +p117485 +aS'embolized\tembolize\tVBD\tI-VP\tO' +p117486 +aS'two\ttwo\tCD\tB-NP\tO' +p117487 +aS'vessels\tvessel\tNNS\tI-NP\tO' +p117488 +aS'to\tto\tTO\tB-PP\tO' +p117489 +aS'the\tthe\tDT\tB-NP\tO' +p117490 +aS'sigmoid\tsigmoid\tJJ\tI-NP\tO' +p117491 +aS'colon\tcolon\tNN\tI-NP\tO' +p117492 +aS'.\t.\t.\tO\tO' +p117493 +asS'While in Oaksgekesser/ Memorial Hospital the patient was never able to get out of bed and walk independently .' +p117494 +(lp117495 +S'While\tWhile\tIN\tB-SBAR\tO' +p117496 +aS'in\tin\tIN\tB-PP\tO' +p117497 +aS'Oaksgekesser/\tOaksgekesser/\tNNP\tB-NP\tO' +p117498 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p117499 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p117500 +aS'the\tthe\tDT\tB-NP\tO' +p117501 +aS'patient\tpatient\tNN\tI-NP\tO' +p117502 +aS'was\tbe\tVBD\tB-VP\tO' +p117503 +aS'never\tnever\tRB\tB-ADVP\tO' +p117504 +aS'able\table\tJJ\tB-ADJP\tO' +p117505 +aS'to\tto\tTO\tB-VP\tO' +p117506 +aS'get\tget\tVB\tI-VP\tO' +p117507 +aS'out\tout\tIN\tB-PP\tO' +p117508 +aS'of\tof\tIN\tB-PP\tO' +p117509 +aS'bed\tbed\tNN\tB-NP\tO' +p117510 +aS'and\tand\tCC\tI-NP\tO' +p117511 +aS'walk\twalk\tNN\tI-NP\tO' +p117512 +aS'independently\tindependently\tRB\tB-ADVP\tO' +p117513 +aS'.\t.\t.\tO\tO' +p117514 +asS'Initial complete blood count with white blood cell count 14 , hemoglobin 21.6 , hematocrit 62.9 , 65 neutrophils , no bands , 28 lymphocytes .' +p117515 +(lp117516 +S'Initial\tInitial\tJJ\tB-NP\tO' +p117517 +aS'complete\tcomplete\tJJ\tI-NP\tO' +p117518 +aS'blood\tblood\tNN\tI-NP\tO' +p117519 +aS'count\tcount\tNN\tI-NP\tO' +p117520 +aS'with\twith\tIN\tB-PP\tO' +p117521 +aS'white\twhite\tJJ\tB-NP\tO' +p117522 +aS'blood\tblood\tNN\tI-NP\tO' +p117523 +aS'cell\tcell\tNN\tI-NP\tO' +p117524 +aS'count\tcount\tNN\tI-NP\tO' +p117525 +aS'14\t14\tCD\tB-NP\tO' +p117526 +aS',\t,\t,\tO\tO' +p117527 +aS'hemoglobin\themoglobin\tNN\tB-NP\tB-protein' +p117528 +aS'21.6\t21.6\tCD\tI-NP\tI-protein' +p117529 +aS',\t,\t,\tO\tO' +p117530 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p117531 +aS'62.9\t62.9\tCD\tI-NP\tI-protein' +p117532 +aS',\t,\t,\tO\tO' +p117533 +aS'65\t65\tCD\tB-NP\tO' +p117534 +aS'neutrophils\tneutrophil\tNNS\tI-NP\tB-cell_type' +p117535 +aS',\t,\t,\tO\tO' +p117536 +aS'no\tno\tDT\tB-NP\tO' +p117537 +aS'bands\tband\tNNS\tI-NP\tO' +p117538 +aS',\t,\t,\tO\tO' +p117539 +aS'28\t28\tCD\tB-NP\tO' +p117540 +aS'lymphocytes\tlymphocyte\tNNS\tI-NP\tO' +p117541 +aS'.\t.\t.\tO\tO' +p117542 +asS'His right lower extremity has ecchymosis related to a saphenectomy site .' +p117543 +(lp117544 +S'His\tHis\tPRP$\tB-NP\tO' +p117545 +aS'right\tright\tJJ\tI-NP\tO' +p117546 +aS'lower\tlow\tJJR\tI-NP\tO' +p117547 +aS'extremity\textremity\tNN\tI-NP\tO' +p117548 +aS'has\thave\tVBZ\tB-VP\tO' +p117549 +aS'ecchymosis\tecchymosis\tNN\tB-NP\tO' +p117550 +aS'related\trelated\tJJ\tB-ADJP\tO' +p117551 +aS'to\tto\tTO\tB-PP\tO' +p117552 +aS'a\ta\tDT\tB-NP\tO' +p117553 +aS'saphenectomy\tsaphenectomy\tNN\tI-NP\tB-DNA' +p117554 +aS'site\tsite\tNN\tI-NP\tI-DNA' +p117555 +aS'.\t.\t.\tO\tO' +p117556 +asS'Chief Complaint : progressing slowing of mentation and gait difficulties since a week ; evaluation for ICH' +p117557 +(lp117558 +S'Chief\tChief\tNNP\tB-NP\tO' +p117559 +aS'Complaint\tComplaint\tNNP\tI-NP\tO' +p117560 +aS':\t:\t:\tO\tO' +p117561 +aS'progressing\tprogress\tVBG\tB-VP\tO' +p117562 +aS'slowing\tslowing\tNN\tB-NP\tO' +p117563 +aS'of\tof\tIN\tB-PP\tO' +p117564 +aS'mentation\tmentation\tNN\tB-NP\tO' +p117565 +aS'and\tand\tCC\tO\tO' +p117566 +aS'gait\tgait\tVB\tB-VP\tO' +p117567 +aS'difficulties\tdifficulty\tNNS\tB-NP\tO' +p117568 +aS'since\tsince\tIN\tB-PP\tO' +p117569 +aS'a\ta\tDT\tB-NP\tO' +p117570 +aS'week\tweek\tNN\tI-NP\tO' +p117571 +aS';\t;\t:\tO\tO' +p117572 +aS'evaluation\tevaluation\tNN\tB-NP\tO' +p117573 +aS'for\tfor\tIN\tB-PP\tO' +p117574 +aS'ICH\tICH\tNN\tB-NP\tO' +p117575 +asS'7. Question of tendonitis .' +p117576 +(lp117577 +S'7.\t7.\tLS\tB-NP\tO' +p117578 +aS'Question\tQuestion\tNN\tI-NP\tO' +p117579 +aS'of\tof\tIN\tB-PP\tO' +p117580 +aS'tendonitis\ttendonitis\tNN\tB-NP\tO' +p117581 +aS'.\t.\t.\tO\tO' +p117582 +asS'KCl 20 mg p.o. q. day for one week .' +p117583 +(lp117584 +S'KCl\tKCl\tNN\tB-NP\tO' +p117585 +aS'20\t20\tCD\tI-NP\tO' +p117586 +aS'mg\tmg\tNN\tI-NP\tO' +p117587 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p117588 +aS'q.\tq.\tNN\tI-NP\tO' +p117589 +aS'day\tday\tNN\tI-NP\tO' +p117590 +aS'for\tfor\tIN\tB-PP\tO' +p117591 +aS'one\tone\tCD\tB-NP\tO' +p117592 +aS'week\tweek\tNN\tI-NP\tO' +p117593 +aS'.\t.\t.\tO\tO' +p117594 +asS'The patient is instructed not to drive .' +p117595 +(lp117596 +S'The\tThe\tDT\tB-NP\tO' +p117597 +aS'patient\tpatient\tNN\tI-NP\tO' +p117598 +aS'is\tbe\tVBZ\tB-VP\tO' +p117599 +aS'instructed\tinstruct\tVBN\tI-VP\tO' +p117600 +aS'not\tnot\tRB\tO\tO' +p117601 +aS'to\tto\tTO\tB-VP\tO' +p117602 +aS'drive\tdrive\tVB\tI-VP\tO' +p117603 +aS'.\t.\t.\tO\tO' +p117604 +asS'6. Camphor-Menthol 0.5-0.5 % Lotion Sig : One ( 1 ) Appl Topical TID ( 3 times a day ) as needed .' +p117605 +(lp117606 +S'6.\t6.\tCD\tB-NP\tO' +p117607 +aS'Camphor-Menthol\tCamphor-Menthol\tNN\tI-NP\tO' +p117608 +aS'0.5-0.5\t0.5-0.5\tCD\tB-NP\tO' +p117609 +aS'%\t%\tNN\tI-NP\tO' +p117610 +aS'Lotion\tLotion\tNNP\tI-NP\tO' +p117611 +aS'Sig\tSig\tNNP\tI-NP\tO' +p117612 +aS':\t:\t:\tO\tO' +p117613 +aS'One\tOne\tCD\tB-NP\tO' +p117614 +aS'(\t(\t(\tO\tO' +p117615 +aS'1\t1\tCD\tB-NP\tO' +p117616 +aS')\t)\t)\tO\tO' +p117617 +aS'Appl\tAppl\tNNP\tB-NP\tO' +p117618 +aS'Topical\tTopical\tJJ\tI-NP\tO' +p117619 +aS'TID\tTID\tNN\tI-NP\tO' +p117620 +aS'(\t(\t(\tO\tO' +p117621 +aS'3\t3\tCD\tB-NP\tO' +p117622 +aS'times\ttime\tNNS\tI-NP\tO' +p117623 +aS'a\ta\tDT\tB-NP\tO' +p117624 +aS'day\tday\tNN\tI-NP\tO' +p117625 +aS')\t)\t)\tO\tO' +p117626 +aS'as\tas\tIN\tB-SBAR\tO' +p117627 +aS'needed\tneed\tVBN\tB-VP\tO' +p117628 +aS'.\t.\t.\tO\tO' +p117629 +asS'There is opacification of the posterior nasal cavity and nasopharynx but an NG tube is present , and the patient is intubated .' +p117630 +(lp117631 +S'There\tThere\tEX\tB-NP\tO' +p117632 +aS'is\tbe\tVBZ\tB-VP\tO' +p117633 +aS'opacification\topacification\tNN\tB-NP\tO' +p117634 +aS'of\tof\tIN\tB-PP\tO' +p117635 +aS'the\tthe\tDT\tB-NP\tO' +p117636 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p117637 +aS'nasal\tnasal\tJJ\tI-NP\tO' +p117638 +aS'cavity\tcavity\tNN\tI-NP\tO' +p117639 +aS'and\tand\tCC\tI-NP\tO' +p117640 +aS'nasopharynx\tnasopharynx\tNN\tI-NP\tO' +p117641 +aS'but\tbut\tCC\tO\tO' +p117642 +aS'an\tan\tDT\tB-NP\tO' +p117643 +aS'NG\tNG\tNN\tI-NP\tO' +p117644 +aS'tube\ttube\tNN\tI-NP\tO' +p117645 +aS'is\tbe\tVBZ\tB-VP\tO' +p117646 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p117647 +aS',\t,\t,\tO\tO' +p117648 +aS'and\tand\tCC\tO\tO' +p117649 +aS'the\tthe\tDT\tB-NP\tO' +p117650 +aS'patient\tpatient\tNN\tI-NP\tO' +p117651 +aS'is\tbe\tVBZ\tB-VP\tO' +p117652 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p117653 +aS'.\t.\t.\tO\tO' +p117654 +asS'No lymphadenopathy is noted .' +p117655 +(lp117656 +S'No\tNo\tDT\tB-NP\tO' +p117657 +aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' +p117658 +aS'is\tbe\tVBZ\tB-VP\tO' +p117659 +aS'noted\tnote\tVBN\tI-VP\tO' +p117660 +aS'.\t.\t.\tO\tO' +p117661 +asS'She developed an ear ache , for which she saw her primary care physician , Evelyn was prescribed cortisone drops .' +p117662 +(lp117663 +S'She\tShe\tPRP\tB-NP\tO' +p117664 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p117665 +aS'an\tan\tDT\tB-NP\tO' +p117666 +aS'ear\tear\tJJ\tI-NP\tO' +p117667 +aS'ache\tache\tNN\tI-NP\tO' +p117668 +aS',\t,\t,\tO\tO' +p117669 +aS'for\tfor\tIN\tB-PP\tO' +p117670 +aS'which\twhich\tWDT\tB-NP\tO' +p117671 +aS'she\tshe\tPRP\tB-NP\tO' +p117672 +aS'saw\tsee\tVBD\tB-VP\tO' +p117673 +aS'her\ther\tPRP$\tB-NP\tO' +p117674 +aS'primary\tprimary\tJJ\tI-NP\tO' +p117675 +aS'care\tcare\tNN\tI-NP\tO' +p117676 +aS'physician\tphysician\tNN\tI-NP\tO' +p117677 +aS',\t,\t,\tO\tO' +p117678 +aS'Evelyn\tEvelyn\tNN\tB-NP\tO' +p117679 +aS'was\tbe\tVBD\tB-VP\tO' +p117680 +aS'prescribed\tprescribe\tVBN\tI-VP\tO' +p117681 +aS'cortisone\tcortisone\tNN\tB-NP\tO' +p117682 +aS'drops\tdrop\tNNS\tI-NP\tO' +p117683 +aS'.\t.\t.\tO\tO' +p117684 +asS'She had waxing and waning fevers .' +p117685 +(lp117686 +S'She\tShe\tPRP\tB-NP\tO' +p117687 +aS'had\thave\tVBD\tB-VP\tO' +p117688 +aS'waxing\twax\tVBG\tI-VP\tO' +p117689 +aS'and\tand\tCC\tI-VP\tO' +p117690 +aS'waning\twan\tVBG\tI-VP\tO' +p117691 +aS'fevers\tfever\tNNS\tB-NP\tO' +p117692 +aS'.\t.\t.\tO\tO' +p117693 +asS'A decision was made to proceed with surgical management for this finding .' +p117694 +(lp117695 +S'A\tA\tDT\tB-NP\tO' +p117696 +aS'decision\tdecision\tNN\tI-NP\tO' +p117697 +aS'was\tbe\tVBD\tB-VP\tO' +p117698 +aS'made\tmake\tVBN\tI-VP\tO' +p117699 +aS'to\tto\tTO\tB-VP\tO' +p117700 +aS'proceed\tproceed\tVB\tI-VP\tO' +p117701 +aS'with\twith\tIN\tB-PP\tO' +p117702 +aS'surgical\tsurgical\tJJ\tB-NP\tO' +p117703 +aS'management\tmanagement\tNN\tI-NP\tO' +p117704 +aS'for\tfor\tIN\tB-PP\tO' +p117705 +aS'this\tthis\tDT\tB-NP\tO' +p117706 +aS'finding\tfinding\tNN\tI-NP\tO' +p117707 +aS'.\t.\t.\tO\tO' +p117708 +asS'Genl : lying in bed , right hand moving rhythmically , NGT in place' +p117709 +(lp117710 +S'Genl\tGenl\tNN\tB-NP\tO' +p117711 +aS':\t:\t:\tO\tO' +p117712 +aS'lying\tlie\tVBG\tB-VP\tO' +p117713 +aS'in\tin\tIN\tB-PP\tO' +p117714 +aS'bed\tbed\tNN\tB-NP\tO' +p117715 +aS',\t,\t,\tO\tO' +p117716 +aS'right\tright\tJJ\tB-NP\tO' +p117717 +aS'hand\thand\tNN\tI-NP\tO' +p117718 +aS'moving\tmove\tVBG\tB-VP\tO' +p117719 +aS'rhythmically\trhythmically\tRB\tB-ADVP\tO' +p117720 +aS',\t,\t,\tO\tO' +p117721 +aS'NGT\tNGT\tNN\tB-NP\tB-protein' +p117722 +aS'in\tin\tIN\tB-PP\tO' +p117723 +aS'place\tplace\tNN\tB-NP\tO' +p117724 +asS'Disp :* 60 Capsule (s)* Refills :* 2 *' +p117725 +(lp117726 +S'Disp\tDisp\tNN\tB-NP\tO' +p117727 +aS':*\t:*\tSYM\tI-NP\tO' +p117728 +aS'60\t60\tCD\tI-NP\tO' +p117729 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p117730 +aS'(s)*\t(s)*\tSYM\tI-NP\tO' +p117731 +aS'Refills\tRefill\tNNPS\tI-NP\tO' +p117732 +aS':*\t:*\tSYM\tB-NP\tO' +p117733 +aS'2\t2\tCD\tB-NP\tO' +p117734 +aS'*\t*\tSYM\tB-NP\tO' +p117735 +asS'Patient was restarted on her beta blocker and .......- receptor blocker on hospital day two given that her creatinine had stabilized .' +p117736 +(lp117737 +S'Patient\tPatient\tNN\tB-NP\tO' +p117738 +aS'was\tbe\tVBD\tB-VP\tO' +p117739 +aS'restarted\trestart\tVBN\tI-VP\tO' +p117740 +aS'on\ton\tIN\tB-PP\tO' +p117741 +aS'her\ther\tPRP$\tB-NP\tO' +p117742 +aS'beta\tbeta\tNN\tI-NP\tO' +p117743 +aS'blocker\tblocker\tNN\tI-NP\tO' +p117744 +aS'and\tand\tCC\tI-NP\tO' +p117745 +aS'.......-\t.......-\tNN\tI-NP\tO' +p117746 +aS'receptor\treceptor\tNN\tI-NP\tO' +p117747 +aS'blocker\tblocker\tNN\tI-NP\tO' +p117748 +aS'on\ton\tIN\tB-PP\tO' +p117749 +aS'hospital\thospital\tNN\tB-NP\tO' +p117750 +aS'day\tday\tNN\tI-NP\tO' +p117751 +aS'two\ttwo\tCD\tB-NP\tO' +p117752 +aS'given\tgive\tVBN\tB-PP\tO' +p117753 +aS'that\tthat\tIN\tB-SBAR\tO' +p117754 +aS'her\ther\tPRP$\tB-NP\tO' +p117755 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p117756 +aS'had\thave\tVBD\tB-VP\tO' +p117757 +aS'stabilized\tstabilize\tVBN\tI-VP\tO' +p117758 +aS'.\t.\t.\tO\tO' +p117759 +asS'Started on levo / flagyl / ceftriaxone and lasix for sbp and questionable meningitis .' +p117760 +(lp117761 +S'Started\tStart\tVBN\tB-VP\tO' +p117762 +aS'on\ton\tIN\tB-PP\tO' +p117763 +aS'levo\tlevo\tNN\tB-NP\tO' +p117764 +aS'/\t/\tSYM\tI-NP\tO' +p117765 +aS'flagyl\tflagyl\tNN\tI-NP\tO' +p117766 +aS'/\t/\tSYM\tB-NP\tO' +p117767 +aS'ceftriaxone\tceftriaxone\tNN\tI-NP\tO' +p117768 +aS'and\tand\tCC\tI-NP\tO' +p117769 +aS'lasix\tlasix\tNN\tI-NP\tO' +p117770 +aS'for\tfor\tIN\tB-PP\tO' +p117771 +aS'sbp\tsbp\tNN\tB-NP\tO' +p117772 +aS'and\tand\tCC\tO\tO' +p117773 +aS'questionable\tquestionable\tJJ\tB-NP\tO' +p117774 +aS'meningitis\tmeningitis\tNN\tI-NP\tO' +p117775 +aS'.\t.\t.\tO\tO' +p117776 +asS'Right femur surgery approximately two years ago .' +p117777 +(lp117778 +S'Right\tRight\tRB\tB-NP\tO' +p117779 +aS'femur\tfemur\tNN\tI-NP\tO' +p117780 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p117781 +aS'approximately\tapproximately\tRB\tB-ADVP\tO' +p117782 +aS'two\ttwo\tCD\tB-NP\tO' +p117783 +aS'years\tyear\tNNS\tI-NP\tO' +p117784 +aS'ago\tago\tRB\tB-ADVP\tO' +p117785 +aS'.\t.\t.\tO\tO' +p117786 +asS'He was restarted on his home blood pressure regimen .' +p117787 +(lp117788 +S'He\tHe\tPRP\tB-NP\tO' +p117789 +aS'was\tbe\tVBD\tB-VP\tO' +p117790 +aS'restarted\trestart\tVBN\tI-VP\tO' +p117791 +aS'on\ton\tIN\tB-PP\tO' +p117792 +aS'his\this\tPRP$\tB-NP\tO' +p117793 +aS'home\thome\tNN\tI-NP\tO' +p117794 +aS'blood\tblood\tNN\tI-NP\tO' +p117795 +aS'pressure\tpressure\tNN\tI-NP\tO' +p117796 +aS'regimen\tregimen\tNN\tI-NP\tO' +p117797 +aS'.\t.\t.\tO\tO' +p117798 +asS'He was alert and oriented times three , moving all extremities .' +p117799 +(lp117800 +S'He\tHe\tPRP\tB-NP\tO' +p117801 +aS'was\tbe\tVBD\tB-VP\tO' +p117802 +aS'alert\talert\tJJ\tB-ADJP\tO' +p117803 +aS'and\tand\tCC\tO\tO' +p117804 +aS'oriented\torient\tVBN\tB-VP\tO' +p117805 +aS'times\ttime\tNNS\tB-NP\tO' +p117806 +aS'three\tthree\tCD\tB-NP\tO' +p117807 +aS',\t,\t,\tO\tO' +p117808 +aS'moving\tmove\tVBG\tB-VP\tO' +p117809 +aS'all\tall\tDT\tB-NP\tO' +p117810 +aS'extremities\textremity\tNNS\tI-NP\tO' +p117811 +aS'.\t.\t.\tO\tO' +p117812 +asS'Furthermore , he has had no complaints , including pain , while his lab values are normalizing .' +p117813 +(lp117814 +S'Furthermore\tFurthermore\tRB\tB-ADVP\tO' +p117815 +aS',\t,\t,\tO\tO' +p117816 +aS'he\the\tPRP\tB-NP\tO' +p117817 +aS'has\thave\tVBZ\tB-VP\tO' +p117818 +aS'had\thave\tVBN\tI-VP\tO' +p117819 +aS'no\tno\tDT\tB-NP\tO' +p117820 +aS'complaints\tcomplaint\tNNS\tI-NP\tO' +p117821 +aS',\t,\t,\tO\tO' +p117822 +aS'including\tinclude\tVBG\tB-PP\tO' +p117823 +aS'pain\tpain\tNN\tB-NP\tO' +p117824 +aS',\t,\t,\tO\tO' +p117825 +aS'while\twhile\tIN\tB-SBAR\tO' +p117826 +aS'his\this\tPRP$\tB-NP\tO' +p117827 +aS'lab\tlab\tNN\tI-NP\tO' +p117828 +aS'values\tvalue\tNNS\tI-NP\tO' +p117829 +aS'are\tbe\tVBP\tB-VP\tO' +p117830 +aS'normalizing\tnormalize\tVBG\tI-VP\tO' +p117831 +aS'.\t.\t.\tO\tO' +p117832 +asS'There was no edema elsewhere in her extremities , only the left arm .' +p117833 +(lp117834 +S'There\tThere\tEX\tB-NP\tO' +p117835 +aS'was\tbe\tVBD\tB-VP\tO' +p117836 +aS'no\tno\tDT\tB-NP\tO' +p117837 +aS'edema\tedema\tNN\tI-NP\tO' +p117838 +aS'elsewhere\telsewhere\tRB\tB-ADVP\tO' +p117839 +aS'in\tin\tIN\tB-PP\tO' +p117840 +aS'her\ther\tPRP$\tB-NP\tO' +p117841 +aS'extremities\textremity\tNNS\tI-NP\tO' +p117842 +aS',\t,\t,\tO\tO' +p117843 +aS'only\tonly\tRB\tB-NP\tO' +p117844 +aS'the\tthe\tDT\tI-NP\tO' +p117845 +aS'left\tleft\tJJ\tI-NP\tO' +p117846 +aS'arm\tarm\tNN\tI-NP\tO' +p117847 +aS'.\t.\t.\tO\tO' +p117848 +asS'She is taking po 's .' +p117849 +(lp117850 +S'She\tShe\tPRP\tB-NP\tO' +p117851 +aS'is\tbe\tVBZ\tB-VP\tO' +p117852 +aS'taking\ttake\tVBG\tI-VP\tO' +p117853 +aS'po\tpo\tNN\tB-NP\tO' +p117854 +aS''s\t'\tNNS\tI-NP\tO' +p117855 +aS'.\t.\t.\tO\tO' +p117856 +asS'his basline mental staus apparently responds with his head shaking , and also try to write sentences .' +p117857 +(lp117858 +S'his\this\tPRP$\tB-NP\tO' +p117859 +aS'basline\tbasline\tNN\tI-NP\tO' +p117860 +aS'mental\tmental\tJJ\tI-NP\tO' +p117861 +aS'staus\tstaus\tNN\tI-NP\tO' +p117862 +aS'apparently\tapparently\tRB\tB-ADVP\tO' +p117863 +aS'responds\trespond\tVBZ\tB-VP\tO' +p117864 +aS'with\twith\tIN\tB-PP\tO' +p117865 +aS'his\this\tPRP$\tB-NP\tO' +p117866 +aS'head\thead\tNN\tI-NP\tO' +p117867 +aS'shaking\tshake\tVBG\tB-VP\tO' +p117868 +aS',\t,\t,\tO\tO' +p117869 +aS'and\tand\tCC\tO\tO' +p117870 +aS'also\talso\tRB\tB-VP\tO' +p117871 +aS'try\ttry\tVBP\tI-VP\tO' +p117872 +aS'to\tto\tTO\tI-VP\tO' +p117873 +aS'write\twrite\tVB\tI-VP\tO' +p117874 +aS'sentences\tsentence\tNNS\tB-NP\tO' +p117875 +aS'.\t.\t.\tO\tO' +p117876 +asS'This is an 86-year-old female with a past medical history of diabetes and hypertension who presented to the Emergency Department with a two day history of shortness of breath and easy fatigability .' +p117877 +(lp117878 +S'This\tThis\tDT\tB-NP\tO' +p117879 +aS'is\tbe\tVBZ\tB-VP\tO' +p117880 +aS'an\tan\tDT\tB-NP\tO' +p117881 +aS'86-year-old\t86-year-old\tJJ\tI-NP\tO' +p117882 +aS'female\tfemale\tNN\tI-NP\tO' +p117883 +aS'with\twith\tIN\tB-PP\tO' +p117884 +aS'a\ta\tDT\tB-NP\tO' +p117885 +aS'past\tpast\tJJ\tI-NP\tO' +p117886 +aS'medical\tmedical\tJJ\tI-NP\tO' +p117887 +aS'history\thistory\tNN\tI-NP\tO' +p117888 +aS'of\tof\tIN\tB-PP\tO' +p117889 +aS'diabetes\tdiabetes\tNN\tB-NP\tO' +p117890 +aS'and\tand\tCC\tI-NP\tO' +p117891 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p117892 +aS'who\twho\tWP\tB-NP\tO' +p117893 +aS'presented\tpresent\tVBD\tB-VP\tO' +p117894 +aS'to\tto\tTO\tB-PP\tO' +p117895 +aS'the\tthe\tDT\tB-NP\tO' +p117896 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p117897 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p117898 +aS'with\twith\tIN\tB-PP\tO' +p117899 +aS'a\ta\tDT\tB-NP\tO' +p117900 +aS'two\ttwo\tCD\tI-NP\tO' +p117901 +aS'day\tday\tNN\tI-NP\tO' +p117902 +aS'history\thistory\tNN\tI-NP\tO' +p117903 +aS'of\tof\tIN\tB-PP\tO' +p117904 +aS'shortness\tshortness\tNN\tB-NP\tO' +p117905 +aS'of\tof\tIN\tB-PP\tO' +p117906 +aS'breath\tbreath\tNN\tB-NP\tO' +p117907 +aS'and\tand\tCC\tO\tO' +p117908 +aS'easy\teasy\tJJ\tB-NP\tO' +p117909 +aS'fatigability\tfatigability\tNN\tI-NP\tO' +p117910 +aS'.\t.\t.\tO\tO' +p117911 +asS'Patient denies etoh and tobacco use .' +p117912 +(lp117913 +S'Patient\tPatient\tNN\tB-NP\tO' +p117914 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p117915 +aS'etoh\tetoh\tNN\tB-NP\tO' +p117916 +aS'and\tand\tCC\tI-NP\tO' +p117917 +aS'tobacco\ttobacco\tNN\tI-NP\tO' +p117918 +aS'use\tuse\tNN\tI-NP\tO' +p117919 +aS'.\t.\t.\tO\tO' +p117920 +asS'There is moderate symmetric left ventricular hypertrophy with mild cavity dilation and severe global hypokinesis .' +p117921 +(lp117922 +S'There\tThere\tEX\tB-NP\tO' +p117923 +aS'is\tbe\tVBZ\tB-VP\tO' +p117924 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p117925 +aS'symmetric\tsymmetric\tJJ\tI-NP\tO' +p117926 +aS'left\tleft\tJJ\tI-NP\tO' +p117927 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p117928 +aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' +p117929 +aS'with\twith\tIN\tB-PP\tO' +p117930 +aS'mild\tmild\tJJ\tB-NP\tO' +p117931 +aS'cavity\tcavity\tNN\tI-NP\tO' +p117932 +aS'dilation\tdilation\tNN\tI-NP\tO' +p117933 +aS'and\tand\tCC\tO\tO' +p117934 +aS'severe\tsevere\tJJ\tB-NP\tO' +p117935 +aS'global\tglobal\tJJ\tI-NP\tO' +p117936 +aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' +p117937 +aS'.\t.\t.\tO\tO' +p117938 +asS'left internal mammary artery to anterior descending artery x 1 .' +p117939 +(lp117940 +S'left\tleft\tJJ\tB-NP\tO' +p117941 +aS'internal\tinternal\tJJ\tI-NP\tO' +p117942 +aS'mammary\tmammary\tJJ\tI-NP\tO' +p117943 +aS'artery\tartery\tNN\tI-NP\tO' +p117944 +aS'to\tto\tTO\tB-PP\tO' +p117945 +aS'anterior\tanterior\tJJ\tB-NP\tB-protein' +p117946 +aS'descending\tdescend\tVBG\tI-NP\tI-protein' +p117947 +aS'artery\tartery\tNN\tI-NP\tI-protein' +p117948 +aS'x\tx\tSYM\tB-NP\tI-protein' +p117949 +aS'1\t1\tCD\tI-NP\tI-protein' +p117950 +aS'.\t.\t.\tO\tO' +p117951 +asS'She was found to have normal bowel sounds .' +p117952 +(lp117953 +S'She\tShe\tPRP\tB-NP\tO' +p117954 +aS'was\tbe\tVBD\tB-VP\tO' +p117955 +aS'found\tfind\tVBN\tI-VP\tO' +p117956 +aS'to\tto\tTO\tI-VP\tO' +p117957 +aS'have\thave\tVB\tI-VP\tO' +p117958 +aS'normal\tnormal\tJJ\tB-NP\tO' +p117959 +aS'bowel\tbowel\tNN\tI-NP\tO' +p117960 +aS'sounds\tsound\tNNS\tI-NP\tO' +p117961 +aS'.\t.\t.\tO\tO' +p117962 +asS'Chest moderately aerated .' +p117963 +(lp117964 +S'Chest\tChest\tNNP\tB-NP\tO' +p117965 +aS'moderately\tmoderately\tRB\tB-VP\tO' +p117966 +aS'aerated\taerate\tVBN\tI-VP\tO' +p117967 +aS'.\t.\t.\tO\tO' +p117968 +asS'The patient was then transferred to the Medical Intensive Care Unit for induced hypothermia given his hemodynamic stability , ongoing unresponsiveness and recent out of hospital cardiac arrest .' +p117969 +(lp117970 +S'The\tThe\tDT\tB-NP\tO' +p117971 +aS'patient\tpatient\tNN\tI-NP\tO' +p117972 +aS'was\tbe\tVBD\tB-VP\tO' +p117973 +aS'then\tthen\tRB\tI-VP\tO' +p117974 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p117975 +aS'to\tto\tTO\tB-PP\tO' +p117976 +aS'the\tthe\tDT\tB-NP\tO' +p117977 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p117978 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p117979 +aS'Care\tCare\tNNP\tI-NP\tO' +p117980 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p117981 +aS'for\tfor\tIN\tB-PP\tO' +p117982 +aS'induced\tinduce\tVBN\tB-NP\tO' +p117983 +aS'hypothermia\thypothermia\tNN\tI-NP\tO' +p117984 +aS'given\tgive\tVBN\tB-VP\tO' +p117985 +aS'his\this\tPRP$\tB-NP\tO' +p117986 +aS'hemodynamic\themodynamic\tJJ\tI-NP\tO' +p117987 +aS'stability\tstability\tNN\tI-NP\tO' +p117988 +aS',\t,\t,\tO\tO' +p117989 +aS'ongoing\tongoing\tJJ\tB-NP\tO' +p117990 +aS'unresponsiveness\tunresponsiveness\tNN\tI-NP\tO' +p117991 +aS'and\tand\tCC\tO\tO' +p117992 +aS'recent\trecent\tJJ\tB-ADJP\tO' +p117993 +aS'out\tout\tIN\tB-PP\tO' +p117994 +aS'of\tof\tIN\tB-PP\tO' +p117995 +aS'hospital\thospital\tNN\tB-NP\tO' +p117996 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p117997 +aS'arrest\tarrest\tNN\tI-NP\tO' +p117998 +aS'.\t.\t.\tO\tO' +p117999 +asS'Hospital medical optimization and management following an aborted coronary artery bypass graft when a mobile aortic atheroma was noted .' +p118000 +(lp118001 +S'Hospital\tHospital\tNN\tB-NP\tO' +p118002 +aS'medical\tmedical\tJJ\tI-NP\tO' +p118003 +aS'optimization\toptimization\tNN\tI-NP\tO' +p118004 +aS'and\tand\tCC\tI-NP\tO' +p118005 +aS'management\tmanagement\tNN\tI-NP\tO' +p118006 +aS'following\tfollow\tVBG\tB-PP\tO' +p118007 +aS'an\tan\tDT\tB-NP\tO' +p118008 +aS'aborted\taborted\tJJ\tI-NP\tO' +p118009 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p118010 +aS'artery\tartery\tNN\tI-NP\tO' +p118011 +aS'bypass\tbypass\tNN\tI-NP\tO' +p118012 +aS'graft\tgraft\tNN\tI-NP\tO' +p118013 +aS'when\twhen\tWRB\tB-ADVP\tO' +p118014 +aS'a\ta\tDT\tB-NP\tO' +p118015 +aS'mobile\tmobile\tJJ\tI-NP\tO' +p118016 +aS'aortic\taortic\tJJ\tI-NP\tO' +p118017 +aS'atheroma\tatheroma\tNN\tI-NP\tO' +p118018 +aS'was\tbe\tVBD\tB-VP\tO' +p118019 +aS'noted\tnote\tVBN\tI-VP\tO' +p118020 +aS'.\t.\t.\tO\tO' +p118021 +asS'Ctropnt > 0.10 Ng / Ml Suggests Acute Mi' +p118022 +(lp118023 +S'Ctropnt\tCtropnt\tNN\tB-NP\tO' +p118024 +aS'>\t>\tSYM\tI-NP\tO' +p118025 +aS'0.10\t0.10\tCD\tI-NP\tO' +p118026 +aS'Ng\tNg\tNN\tI-NP\tO' +p118027 +aS'/\t/\tSYM\tB-NP\tO' +p118028 +aS'Ml\tMl\tNN\tI-NP\tO' +p118029 +aS'Suggests\tSuggest\tVBZ\tB-VP\tO' +p118030 +aS'Acute\tAcute\tNNP\tB-NP\tO' +p118031 +aS'Mi\tMi\tNNP\tI-NP\tO' +p118032 +asS'Please call the GI clinic and arrange to see Dr. Langton for an appointment : 232-2590 .' +p118033 +(lp118034 +S'Please\tPlease\tVB\tB-VP\tO' +p118035 +aS'call\tcall\tVB\tI-VP\tO' +p118036 +aS'the\tthe\tDT\tB-NP\tO' +p118037 +aS'GI\tGI\tNN\tI-NP\tO' +p118038 +aS'clinic\tclinic\tNN\tI-NP\tO' +p118039 +aS'and\tand\tCC\tO\tO' +p118040 +aS'arrange\tarrange\tNN\tB-NP\tO' +p118041 +aS'to\tto\tTO\tB-VP\tO' +p118042 +aS'see\tsee\tVB\tI-VP\tO' +p118043 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p118044 +aS'Langton\tLangton\tNNP\tI-NP\tO' +p118045 +aS'for\tfor\tIN\tB-PP\tO' +p118046 +aS'an\tan\tDT\tB-NP\tO' +p118047 +aS'appointment\tappointment\tNN\tI-NP\tO' +p118048 +aS':\t:\t:\tO\tO' +p118049 +aS'232-2590\t232-2590\tCD\tB-NP\tO' +p118050 +aS'.\t.\t.\tO\tO' +p118051 +asS'We suggest continuing increased salt intake in her diet and also continuing with the fluid restriction of free water intake to one liter per day .' +p118052 +(lp118053 +S'We\tWe\tPRP\tB-NP\tO' +p118054 +aS'suggest\tsuggest\tVBP\tB-VP\tO' +p118055 +aS'continuing\tcontinue\tVBG\tI-VP\tO' +p118056 +aS'increased\tincrease\tVBN\tB-NP\tO' +p118057 +aS'salt\tsalt\tNN\tI-NP\tO' +p118058 +aS'intake\tintake\tNN\tI-NP\tO' +p118059 +aS'in\tin\tIN\tB-PP\tO' +p118060 +aS'her\ther\tPRP$\tB-NP\tO' +p118061 +aS'diet\tdiet\tNN\tI-NP\tO' +p118062 +aS'and\tand\tCC\tO\tO' +p118063 +aS'also\talso\tRB\tB-ADVP\tO' +p118064 +aS'continuing\tcontinue\tVBG\tB-VP\tO' +p118065 +aS'with\twith\tIN\tB-PP\tO' +p118066 +aS'the\tthe\tDT\tB-NP\tO' +p118067 +aS'fluid\tfluid\tNN\tI-NP\tO' +p118068 +aS'restriction\trestriction\tNN\tI-NP\tO' +p118069 +aS'of\tof\tIN\tB-PP\tO' +p118070 +aS'free\tfree\tJJ\tB-NP\tO' +p118071 +aS'water\twater\tNN\tI-NP\tO' +p118072 +aS'intake\tintake\tNN\tI-NP\tO' +p118073 +aS'to\tto\tTO\tB-PP\tO' +p118074 +aS'one\tone\tCD\tB-NP\tO' +p118075 +aS'liter\tliter\tNN\tI-NP\tO' +p118076 +aS'per\tper\tIN\tB-PP\tO' +p118077 +aS'day\tday\tNN\tB-NP\tO' +p118078 +aS'.\t.\t.\tO\tO' +p118079 +asS'and it is noted there was nodularity in the common bile duct which is worrisome for cholangiocarcinoma .' +p118080 +(lp118081 +S'and\tand\tCC\tO\tO' +p118082 +aS'it\tit\tPRP\tB-NP\tO' +p118083 +aS'is\tbe\tVBZ\tB-VP\tO' +p118084 +aS'noted\tnote\tVBN\tI-VP\tO' +p118085 +aS'there\tthere\tEX\tB-NP\tO' +p118086 +aS'was\tbe\tVBD\tB-VP\tO' +p118087 +aS'nodularity\tnodularity\tNN\tB-NP\tO' +p118088 +aS'in\tin\tIN\tB-PP\tO' +p118089 +aS'the\tthe\tDT\tB-NP\tO' +p118090 +aS'common\tcommon\tJJ\tI-NP\tO' +p118091 +aS'bile\tbile\tNN\tI-NP\tO' +p118092 +aS'duct\tduct\tNN\tI-NP\tO' +p118093 +aS'which\twhich\tWDT\tB-NP\tO' +p118094 +aS'is\tbe\tVBZ\tB-VP\tO' +p118095 +aS'worrisome\tworrisome\tJJ\tB-ADJP\tO' +p118096 +aS'for\tfor\tIN\tB-PP\tO' +p118097 +aS'cholangiocarcinoma\tcholangiocarcinoma\tNN\tB-NP\tO' +p118098 +aS'.\t.\t.\tO\tO' +p118099 +asS'Anterior fontanel soft and flat. Head shape normal with mildly flattened on top consistent with breech positioning in utero .' +p118100 +(lp118101 +S'Anterior\tAnterior\tJJ\tB-NP\tO' +p118102 +aS'fontanel\tfontanel\tNN\tI-NP\tO' +p118103 +aS'soft\tsoft\tJJ\tI-NP\tO' +p118104 +aS'and\tand\tCC\tI-NP\tO' +p118105 +aS'flat.\tflat.\tJJ\tI-NP\tO' +p118106 +aS'Head\tHead\tNNP\tI-NP\tO' +p118107 +aS'shape\tshape\tNN\tI-NP\tO' +p118108 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p118109 +aS'with\twith\tIN\tB-PP\tO' +p118110 +aS'mildly\tmildly\tRB\tB-NP\tO' +p118111 +aS'flattened\tflatten\tVBN\tB-VP\tO' +p118112 +aS'on\ton\tIN\tB-PP\tO' +p118113 +aS'top\ttop\tJJ\tB-NP\tO' +p118114 +aS'consistent\tconsistent\tJJ\tI-NP\tO' +p118115 +aS'with\twith\tIN\tB-PP\tO' +p118116 +aS'breech\tbreech\tNN\tB-NP\tO' +p118117 +aS'positioning\tpositioning\tNN\tI-NP\tO' +p118118 +aS'in\tin\tIN\tB-PP\tO' +p118119 +aS'utero\tutero\tNN\tB-NP\tO' +p118120 +aS'.\t.\t.\tO\tO' +p118121 +asS'His blood pressure gradually fell , and he died early on July 30 , 1993 .' +p118122 +(lp118123 +S'His\tHis\tPRP$\tB-NP\tO' +p118124 +aS'blood\tblood\tNN\tI-NP\tO' +p118125 +aS'pressure\tpressure\tNN\tI-NP\tO' +p118126 +aS'gradually\tgradually\tRB\tB-ADVP\tO' +p118127 +aS'fell\tfall\tVBD\tB-VP\tO' +p118128 +aS',\t,\t,\tO\tO' +p118129 +aS'and\tand\tCC\tO\tO' +p118130 +aS'he\the\tPRP\tB-NP\tO' +p118131 +aS'died\tdie\tVBD\tB-VP\tO' +p118132 +aS'early\tearly\tRB\tB-ADVP\tO' +p118133 +aS'on\ton\tIN\tB-PP\tO' +p118134 +aS'July\tJuly\tNNP\tB-NP\tO' +p118135 +aS'30\t30\tCD\tI-NP\tO' +p118136 +aS',\t,\t,\tI-NP\tO' +p118137 +aS'1993\t1993\tCD\tI-NP\tO' +p118138 +aS'.\t.\t.\tO\tO' +p118139 +asS'Her blood pressure was 120/70 , pulse 60 and regular .' +p118140 +(lp118141 +S'Her\tHer\tPRP$\tB-NP\tO' +p118142 +aS'blood\tblood\tNN\tI-NP\tO' +p118143 +aS'pressure\tpressure\tNN\tI-NP\tO' +p118144 +aS'was\tbe\tVBD\tB-VP\tO' +p118145 +aS'120/70\t120/70\tCD\tB-NP\tO' +p118146 +aS',\t,\t,\tO\tO' +p118147 +aS'pulse\tpulse\tNN\tB-NP\tO' +p118148 +aS'60\t60\tCD\tI-NP\tO' +p118149 +aS'and\tand\tCC\tO\tO' +p118150 +aS'regular\tregular\tJJ\tB-ADJP\tO' +p118151 +aS'.\t.\t.\tO\tO' +p118152 +asS'Ferinsol 0.2 mL po qd .' +p118153 +(lp118154 +S'Ferinsol\tFerinsol\tNN\tB-NP\tO' +p118155 +aS'0.2\t0.2\tCD\tI-NP\tO' +p118156 +aS'mL\tmL\tNN\tI-NP\tO' +p118157 +aS'po\tpo\tNN\tI-NP\tO' +p118158 +aS'qd\tqd\tNN\tI-NP\tO' +p118159 +aS'.\t.\t.\tO\tO' +p118160 +asS'3. Multivitamin .' +p118161 +(lp118162 +S'3.\t3.\tLS\tB-NP\tO' +p118163 +aS'Multivitamin\tMultivitamin\tNN\tI-NP\tO' +p118164 +aS'.\t.\t.\tO\tO' +p118165 +asS'Bilateral cataracts ; neck appeared to be somewhat asymmetric thyroid with small nodule barely palpable on the left lobe with the thyroid , otherwise negative .' +p118166 +(lp118167 +S'Bilateral\tBilateral\tJJ\tB-NP\tO' +p118168 +aS'cataracts\tcataract\tNNS\tI-NP\tO' +p118169 +aS';\t;\t:\tO\tO' +p118170 +aS'neck\tneck\tNN\tB-NP\tO' +p118171 +aS'appeared\tappear\tVBD\tB-VP\tO' +p118172 +aS'to\tto\tTO\tI-VP\tO' +p118173 +aS'be\tbe\tVB\tI-VP\tO' +p118174 +aS'somewhat\tsomewhat\tRB\tB-NP\tO' +p118175 +aS'asymmetric\tasymmetric\tJJ\tI-NP\tO' +p118176 +aS'thyroid\tthyroid\tNN\tI-NP\tO' +p118177 +aS'with\twith\tIN\tB-PP\tO' +p118178 +aS'small\tsmall\tJJ\tB-NP\tO' +p118179 +aS'nodule\tnodule\tNN\tI-NP\tO' +p118180 +aS'barely\tbarely\tRB\tB-ADJP\tO' +p118181 +aS'palpable\tpalpable\tJJ\tI-ADJP\tO' +p118182 +aS'on\ton\tIN\tB-PP\tO' +p118183 +aS'the\tthe\tDT\tB-NP\tO' +p118184 +aS'left\tleft\tJJ\tI-NP\tO' +p118185 +aS'lobe\tlobe\tNN\tI-NP\tO' +p118186 +aS'with\twith\tIN\tB-PP\tO' +p118187 +aS'the\tthe\tDT\tB-NP\tO' +p118188 +aS'thyroid\tthyroid\tNN\tI-NP\tO' +p118189 +aS',\t,\t,\tO\tO' +p118190 +aS'otherwise\totherwise\tRB\tB-ADJP\tO' +p118191 +aS'negative\tnegative\tJJ\tI-ADJP\tO' +p118192 +aS'.\t.\t.\tO\tO' +p118193 +asS'However , these gradually resolved .' +p118194 +(lp118195 +S'However\tHowever\tRB\tB-ADVP\tO' +p118196 +aS',\t,\t,\tO\tO' +p118197 +aS'these\tthese\tDT\tB-NP\tO' +p118198 +aS'gradually\tgradually\tRB\tI-NP\tO' +p118199 +aS'resolved\tresolve\tVBN\tI-NP\tO' +p118200 +aS'.\t.\t.\tO\tO' +p118201 +asS'It is likely that these seizures began due to subtherapeutic dilantin levels on her new dose of 200 mg / 100 mg .' +p118202 +(lp118203 +S'It\tIt\tPRP\tB-NP\tO' +p118204 +aS'is\tbe\tVBZ\tB-VP\tO' +p118205 +aS'likely\tlikely\tJJ\tB-ADJP\tO' +p118206 +aS'that\tthat\tIN\tB-SBAR\tO' +p118207 +aS'these\tthese\tDT\tB-NP\tO' +p118208 +aS'seizures\tseizure\tNNS\tI-NP\tO' +p118209 +aS'began\tbegin\tVBD\tB-VP\tO' +p118210 +aS'due\tdue\tJJ\tB-ADJP\tO' +p118211 +aS'to\tto\tTO\tB-PP\tO' +p118212 +aS'subtherapeutic\tsubtherapeutic\tJJ\tB-NP\tO' +p118213 +aS'dilantin\tdilantin\tNN\tI-NP\tO' +p118214 +aS'levels\tlevel\tNNS\tI-NP\tO' +p118215 +aS'on\ton\tIN\tB-PP\tO' +p118216 +aS'her\ther\tPRP$\tB-NP\tO' +p118217 +aS'new\tnew\tJJ\tI-NP\tO' +p118218 +aS'dose\tdose\tNN\tI-NP\tO' +p118219 +aS'of\tof\tIN\tB-PP\tO' +p118220 +aS'200\t200\tCD\tB-NP\tO' +p118221 +aS'mg\tmg\tNN\tI-NP\tO' +p118222 +aS'/\t/\tSYM\tB-NP\tO' +p118223 +aS'100\t100\tCD\tB-NP\tO' +p118224 +aS'mg\tmg\tNN\tI-NP\tO' +p118225 +aS'.\t.\t.\tO\tO' +p118226 +asS'Urine culture twice grew 10-100,000 coag negative staph .' +p118227 +(lp118228 +S'Urine\tUrine\tNN\tB-NP\tO' +p118229 +aS'culture\tculture\tNN\tI-NP\tO' +p118230 +aS'twice\ttwice\tRB\tB-ADVP\tO' +p118231 +aS'grew\tgrow\tVBD\tB-VP\tO' +p118232 +aS'10-100,000\t10-100,000\tCD\tB-NP\tO' +p118233 +aS'coag\tcoag\tNN\tI-NP\tO' +p118234 +aS'negative\tnegative\tJJ\tI-NP\tO' +p118235 +aS'staph\tstaph\tNN\tI-NP\tO' +p118236 +aS'.\t.\t.\tO\tO' +p118237 +asS'PT was 13.2 .' +p118238 +(lp118239 +S'PT\tPT\tNN\tB-NP\tO' +p118240 +aS'was\tbe\tVBD\tB-VP\tO' +p118241 +aS'13.2\t13.2\tCD\tB-NP\tO' +p118242 +aS'.\t.\t.\tO\tO' +p118243 +asS'ACUTE MYOCARDIAL INFARCTION .' +p118244 +(lp118245 +S'ACUTE\tACUTE\tNN\tB-NP\tO' +p118246 +aS'MYOCARDIAL\tMYOCARDIAL\tNN\tI-NP\tO' +p118247 +aS'INFARCTION\tINFARCTION\tNN\tI-NP\tO' +p118248 +aS'.\t.\t.\tO\tO' +p118249 +asS'Femoral pulses +2 .' +p118250 +(lp118251 +S'Femoral\tFemoral\tJJ\tB-NP\tO' +p118252 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p118253 +aS'+2\t+2\tCD\tB-NP\tO' +p118254 +aS'.\t.\t.\tO\tO' +p118255 +asS'Arterial oxygen saturation was 85 percent .' +p118256 +(lp118257 +S'Arterial\tArterial\tJJ\tB-NP\tO' +p118258 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p118259 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p118260 +aS'was\tbe\tVBD\tB-VP\tO' +p118261 +aS'85\t85\tCD\tB-NP\tO' +p118262 +aS'percent\tpercent\tNN\tI-NP\tO' +p118263 +aS'.\t.\t.\tO\tO' +p118264 +asS'Signed electronically by : DR. Edward von der Torros on : WED 2018-06-20 2:58 PM' +p118265 +(lp118266 +S'Signed\tSign\tVBN\tB-VP\tO' +p118267 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p118268 +aS'by\tby\tIN\tB-PP\tO' +p118269 +aS':\t:\t:\tO\tO' +p118270 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p118271 +aS'Edward\tEdward\tNNP\tI-NP\tO' +p118272 +aS'von\tvon\tNNP\tI-NP\tO' +p118273 +aS'der\tder\tNNP\tI-NP\tO' +p118274 +aS'Torros\tTorros\tNNP\tI-NP\tO' +p118275 +aS'on\ton\tIN\tB-PP\tO' +p118276 +aS':\t:\t:\tO\tO' +p118277 +aS'WED\tWED\tVBD\tB-VP\tO' +p118278 +aS'2018-06-20\t2018-06-20\tCD\tB-NP\tO' +p118279 +aS'2:58\t2:58\tCD\tI-NP\tO' +p118280 +aS'PM\tPM\tNN\tI-NP\tO' +p118281 +asS'2. Coronary artery disease , status post anterior myocardial infarction , in 1993 .' +p118282 +(lp118283 +S'2.\t2.\tLS\tB-NP\tO' +p118284 +aS'Coronary\tCoronary\tJJ\tI-NP\tO' +p118285 +aS'artery\tartery\tNN\tI-NP\tO' +p118286 +aS'disease\tdisease\tNN\tI-NP\tO' +p118287 +aS',\t,\t,\tO\tO' +p118288 +aS'status\tstatus\tNN\tB-NP\tO' +p118289 +aS'post\tpost\tVBD\tB-VP\tO' +p118290 +aS'anterior\tanterior\tJJ\tB-NP\tO' +p118291 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p118292 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p118293 +aS',\t,\t,\tO\tO' +p118294 +aS'in\tin\tIN\tB-PP\tO' +p118295 +aS'1993\t1993\tCD\tB-NP\tO' +p118296 +aS'.\t.\t.\tO\tO' +p118297 +asS'A repeat ANA , rheumatoid factor and ANCA may be repeated as an outpatient .' +p118298 +(lp118299 +S'A\tA\tDT\tB-NP\tO' +p118300 +aS'repeat\trepeat\tNN\tI-NP\tO' +p118301 +aS'ANA\tANA\tNN\tI-NP\tO' +p118302 +aS',\t,\t,\tO\tO' +p118303 +aS'rheumatoid\trheumatoid\tJJ\tB-NP\tB-protein' +p118304 +aS'factor\tfactor\tNN\tI-NP\tI-protein' +p118305 +aS'and\tand\tCC\tI-NP\tO' +p118306 +aS'ANCA\tANCA\tNN\tI-NP\tB-protein' +p118307 +aS'may\tmay\tMD\tB-VP\tO' +p118308 +aS'be\tbe\tVB\tI-VP\tO' +p118309 +aS'repeated\trepeat\tVBN\tI-VP\tO' +p118310 +aS'as\tas\tIN\tB-PP\tO' +p118311 +aS'an\tan\tDT\tB-NP\tO' +p118312 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p118313 +aS'.\t.\t.\tO\tO' +p118314 +asS'Given this finding it was felt that the patient would certainly need long term intravenous antibiotics to include at least six weeks of Vancomycin and then subsequent Levofloxacin for the Citrobacter and Mycoplasma as well .' +p118315 +(lp118316 +S'Given\tGive\tVBN\tB-PP\tO' +p118317 +aS'this\tthis\tDT\tB-NP\tO' +p118318 +aS'finding\tfinding\tNN\tI-NP\tO' +p118319 +aS'it\tit\tPRP\tB-NP\tO' +p118320 +aS'was\tbe\tVBD\tB-VP\tO' +p118321 +aS'felt\tfeel\tVBN\tI-VP\tO' +p118322 +aS'that\tthat\tIN\tB-SBAR\tO' +p118323 +aS'the\tthe\tDT\tB-NP\tO' +p118324 +aS'patient\tpatient\tNN\tI-NP\tO' +p118325 +aS'would\twould\tMD\tB-VP\tO' +p118326 +aS'certainly\tcertainly\tRB\tI-VP\tO' +p118327 +aS'need\tneed\tVB\tI-VP\tO' +p118328 +aS'long\tlong\tJJ\tB-NP\tO' +p118329 +aS'term\tterm\tNN\tI-NP\tO' +p118330 +aS'intravenous\tintravenous\tJJ\tI-NP\tO' +p118331 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p118332 +aS'to\tto\tTO\tB-VP\tO' +p118333 +aS'include\tinclude\tVB\tI-VP\tO' +p118334 +aS'at\tat\tIN\tB-NP\tO' +p118335 +aS'least\tleast\tJJS\tI-NP\tO' +p118336 +aS'six\tsix\tCD\tI-NP\tO' +p118337 +aS'weeks\tweek\tNNS\tI-NP\tO' +p118338 +aS'of\tof\tIN\tB-PP\tO' +p118339 +aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' +p118340 +aS'and\tand\tCC\tO\tO' +p118341 +aS'then\tthen\tRB\tB-ADVP\tO' +p118342 +aS'subsequent\tsubsequent\tJJ\tB-NP\tO' +p118343 +aS'Levofloxacin\tLevofloxacin\tNN\tI-NP\tO' +p118344 +aS'for\tfor\tIN\tB-PP\tO' +p118345 +aS'the\tthe\tDT\tB-NP\tO' +p118346 +aS'Citrobacter\tCitrobacter\tNN\tI-NP\tO' +p118347 +aS'and\tand\tCC\tI-NP\tO' +p118348 +aS'Mycoplasma\tMycoplasma\tNN\tI-NP\tO' +p118349 +aS'as\tas\tRB\tB-ADVP\tO' +p118350 +aS'well\twell\tRB\tI-ADVP\tO' +p118351 +aS'.\t.\t.\tO\tO' +p118352 +asS'Neck : supple , no supraclavicular LAD , no JVD' +p118353 +(lp118354 +S'Neck\tNeck\tNN\tB-NP\tO' +p118355 +aS':\t:\t:\tO\tO' +p118356 +aS'supple\tsupple\tNN\tB-NP\tO' +p118357 +aS',\t,\t,\tO\tO' +p118358 +aS'no\tno\tDT\tB-NP\tO' +p118359 +aS'supraclavicular\tsupraclavicular\tJJ\tI-NP\tO' +p118360 +aS'LAD\tLAD\tNN\tI-NP\tO' +p118361 +aS',\t,\t,\tO\tO' +p118362 +aS'no\tno\tDT\tB-NP\tO' +p118363 +aS'JVD\tJVD\tNN\tI-NP\tB-protein' +p118364 +asS'Coronary artery disease , status post MI x2 , CABG x2 in 02/89 and 2/21 , history of arthritis , history of bilateral rotator cuff degeneration and tears , history of hypertension , history of hyperlipidemia .' +p118365 +(lp118366 +S'Coronary\tCoronary\tJJ\tB-NP\tO' +p118367 +aS'artery\tartery\tNN\tI-NP\tO' +p118368 +aS'disease\tdisease\tNN\tI-NP\tO' +p118369 +aS',\t,\t,\tO\tO' +p118370 +aS'status\tstatus\tNN\tB-NP\tB-protein' +p118371 +aS'post\tpost\tNN\tI-NP\tI-protein' +p118372 +aS'MI\tMI\tNN\tI-NP\tI-protein' +p118373 +aS'x2\tx2\tNN\tI-NP\tI-protein' +p118374 +aS',\t,\t,\tO\tO' +p118375 +aS'CABG\tCABG\tNN\tB-NP\tB-protein' +p118376 +aS'x2\tx2\tNN\tI-NP\tI-protein' +p118377 +aS'in\tin\tIN\tB-PP\tO' +p118378 +aS'02/89\t02/89\tCD\tB-NP\tO' +p118379 +aS'and\tand\tCC\tI-NP\tO' +p118380 +aS'2/21\t2/21\tCD\tI-NP\tO' +p118381 +aS',\t,\t,\tO\tO' +p118382 +aS'history\thistory\tNN\tB-NP\tO' +p118383 +aS'of\tof\tIN\tB-PP\tO' +p118384 +aS'arthritis\tarthritis\tNN\tB-NP\tO' +p118385 +aS',\t,\t,\tO\tO' +p118386 +aS'history\thistory\tNN\tB-NP\tO' +p118387 +aS'of\tof\tIN\tB-PP\tO' +p118388 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p118389 +aS'rotator\trotator\tNN\tI-NP\tO' +p118390 +aS'cuff\tcuff\tNN\tI-NP\tO' +p118391 +aS'degeneration\tdegeneration\tNN\tI-NP\tO' +p118392 +aS'and\tand\tCC\tI-NP\tO' +p118393 +aS'tears\ttear\tNNS\tI-NP\tO' +p118394 +aS',\t,\t,\tO\tO' +p118395 +aS'history\thistory\tNN\tB-NP\tO' +p118396 +aS'of\tof\tIN\tB-PP\tO' +p118397 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p118398 +aS',\t,\t,\tO\tO' +p118399 +aS'history\thistory\tNN\tB-NP\tO' +p118400 +aS'of\tof\tIN\tB-PP\tO' +p118401 +aS'hyperlipidemia\thyperlipidemia\tNN\tB-NP\tO' +p118402 +aS'.\t.\t.\tO\tO' +p118403 +asS'The patient reports that she will have revision of cataract surgery .' +p118404 +(lp118405 +S'The\tThe\tDT\tB-NP\tO' +p118406 +aS'patient\tpatient\tNN\tI-NP\tO' +p118407 +aS'reports\treport\tVBZ\tB-VP\tO' +p118408 +aS'that\tthat\tIN\tB-SBAR\tO' +p118409 +aS'she\tshe\tPRP\tB-NP\tO' +p118410 +aS'will\twill\tMD\tB-VP\tO' +p118411 +aS'have\thave\tVB\tI-VP\tO' +p118412 +aS'revision\trevision\tNN\tB-NP\tO' +p118413 +aS'of\tof\tIN\tB-PP\tO' +p118414 +aS'cataract\tcataract\tNN\tB-NP\tO' +p118415 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p118416 +aS'.\t.\t.\tO\tO' +p118417 +asS'Dr. Ko Kollciem , Retchard Healthcare to Dr. Wall' +p118418 +(lp118419 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p118420 +aS'Ko\tKo\tNNP\tI-NP\tO' +p118421 +aS'Kollciem\tKollciem\tNNP\tI-NP\tO' +p118422 +aS',\t,\t,\tO\tO' +p118423 +aS'Retchard\tRetchard\tNNP\tB-NP\tO' +p118424 +aS'Healthcare\tHealthcare\tNNP\tI-NP\tO' +p118425 +aS'to\tto\tTO\tB-PP\tO' +p118426 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p118427 +aS'Wall\tWall\tNNP\tI-NP\tO' +p118428 +asS'This area can be a leading point of obstruction .' +p118429 +(lp118430 +S'This\tThis\tDT\tB-NP\tO' +p118431 +aS'area\tarea\tNN\tI-NP\tO' +p118432 +aS'can\tcan\tMD\tB-VP\tO' +p118433 +aS'be\tbe\tVB\tI-VP\tO' +p118434 +aS'a\ta\tDT\tB-NP\tO' +p118435 +aS'leading\tlead\tVBG\tI-NP\tO' +p118436 +aS'point\tpoint\tNN\tI-NP\tO' +p118437 +aS'of\tof\tIN\tB-PP\tO' +p118438 +aS'obstruction\tobstruction\tNN\tB-NP\tO' +p118439 +aS'.\t.\t.\tO\tO' +p118440 +asS'Disp :* qs mL * Refills :* 2 *' +p118441 +(lp118442 +S'Disp\tDisp\tNN\tB-NP\tO' +p118443 +aS':*\t:*\tSYM\tI-NP\tO' +p118444 +aS'qs\tq\tNNS\tI-NP\tB-DNA' +p118445 +aS'mL\tmL\tNN\tI-NP\tI-DNA' +p118446 +aS'*\t*\tSYM\tB-NP\tI-DNA' +p118447 +aS'Refills\tRefill\tNNPS\tI-NP\tO' +p118448 +aS':*\t:*\tSYM\tI-NP\tO' +p118449 +aS'2\t2\tCD\tI-NP\tO' +p118450 +aS'*\t*\tSYM\tB-NP\tO' +p118451 +asS'He had a CABG review in 2/21 .' +p118452 +(lp118453 +S'He\tHe\tPRP\tB-NP\tO' +p118454 +aS'had\thave\tVBD\tB-VP\tO' +p118455 +aS'a\ta\tDT\tB-NP\tO' +p118456 +aS'CABG\tCABG\tNN\tI-NP\tO' +p118457 +aS'review\treview\tNN\tI-NP\tO' +p118458 +aS'in\tin\tIN\tB-PP\tO' +p118459 +aS'2/21\t2/21\tCD\tB-NP\tO' +p118460 +aS'.\t.\t.\tO\tO' +p118461 +asS'The patient was recently separated from her husband .' +p118462 +(lp118463 +S'The\tThe\tDT\tB-NP\tO' +p118464 +aS'patient\tpatient\tNN\tI-NP\tO' +p118465 +aS'was\tbe\tVBD\tB-VP\tO' +p118466 +aS'recently\trecently\tRB\tI-VP\tO' +p118467 +aS'separated\tseparate\tVBN\tI-VP\tO' +p118468 +aS'from\tfrom\tIN\tB-PP\tO' +p118469 +aS'her\ther\tPRP$\tB-NP\tO' +p118470 +aS'husband\thusband\tNN\tI-NP\tO' +p118471 +aS'.\t.\t.\tO\tO' +p118472 +asS'1. Grade 3 splenic laceration .' +p118473 +(lp118474 +S'1.\t1.\tLS\tB-LST\tO' +p118475 +aS'Grade\tGrade\tNN\tB-NP\tO' +p118476 +aS'3\t3\tCD\tI-NP\tO' +p118477 +aS'splenic\tsplenic\tJJ\tI-NP\tO' +p118478 +aS'laceration\tlaceration\tNN\tI-NP\tO' +p118479 +aS'.\t.\t.\tO\tO' +p118480 +asS'His wound was noted to be healing well and his colostomy functioning appropriately without significant difficulty .' +p118481 +(lp118482 +S'His\tHis\tPRP$\tB-NP\tO' +p118483 +aS'wound\twound\tNN\tI-NP\tO' +p118484 +aS'was\tbe\tVBD\tB-VP\tO' +p118485 +aS'noted\tnote\tVBN\tI-VP\tO' +p118486 +aS'to\tto\tTO\tI-VP\tO' +p118487 +aS'be\tbe\tVB\tI-VP\tO' +p118488 +aS'healing\theal\tVBG\tI-VP\tO' +p118489 +aS'well\twell\tRB\tB-ADVP\tO' +p118490 +aS'and\tand\tCC\tO\tO' +p118491 +aS'his\this\tPRP$\tB-NP\tO' +p118492 +aS'colostomy\tcolostomy\tNN\tI-NP\tO' +p118493 +aS'functioning\tfunction\tVBG\tB-VP\tO' +p118494 +aS'appropriately\tappropriately\tRB\tB-ADVP\tO' +p118495 +aS'without\twithout\tIN\tB-PP\tO' +p118496 +aS'significant\tsignificant\tJJ\tB-NP\tO' +p118497 +aS'difficulty\tdifficulty\tNN\tI-NP\tO' +p118498 +aS'.\t.\t.\tO\tO' +p118499 +asS'2. Colace 100 mg po tid .' +p118500 +(lp118501 +S'2.\t2.\tLS\tB-NP\tO' +p118502 +aS'Colace\tColace\tNNP\tI-NP\tO' +p118503 +aS'100\t100\tCD\tI-NP\tO' +p118504 +aS'mg\tmg\tNN\tI-NP\tO' +p118505 +aS'po\tpo\tNN\tI-NP\tO' +p118506 +aS'tid\ttid\tNN\tI-NP\tO' +p118507 +aS'.\t.\t.\tO\tO' +p118508 +asS'Normal sensation .' +p118509 +(lp118510 +S'Normal\tNormal\tJJ\tB-NP\tO' +p118511 +aS'sensation\tsensation\tNN\tI-NP\tO' +p118512 +aS'.\t.\t.\tO\tO' +p118513 +asS'soft ; nontender ; no palpable masses .' +p118514 +(lp118515 +S'soft\tsoft\tJJ\tB-ADJP\tO' +p118516 +aS';\t;\t:\tO\tO' +p118517 +aS'nontender\tnontender\tNN\tB-NP\tO' +p118518 +aS';\t;\t:\tO\tO' +p118519 +aS'no\tno\tDT\tB-NP\tO' +p118520 +aS'palpable\tpalpable\tJJ\tI-NP\tO' +p118521 +aS'masses\tmass\tNNS\tI-NP\tO' +p118522 +aS'.\t.\t.\tO\tO' +p118523 +asS'Ultimately her Intensive Care Unit course continued and she began to defervesce and her bacterial studies particulaly from BAL lavage were found to be negative .' +p118524 +(lp118525 +S'Ultimately\tUltimately\tRB\tB-ADVP\tO' +p118526 +aS'her\ther\tPRP$\tB-NP\tO' +p118527 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p118528 +aS'Care\tCare\tNNP\tI-NP\tO' +p118529 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p118530 +aS'course\tcourse\tNN\tI-NP\tO' +p118531 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p118532 +aS'and\tand\tCC\tO\tO' +p118533 +aS'she\tshe\tPRP\tB-NP\tO' +p118534 +aS'began\tbegin\tVBD\tB-VP\tO' +p118535 +aS'to\tto\tTO\tI-VP\tO' +p118536 +aS'defervesce\tdefervesce\tVB\tI-VP\tO' +p118537 +aS'and\tand\tCC\tO\tO' +p118538 +aS'her\ther\tPRP$\tB-NP\tO' +p118539 +aS'bacterial\tbacterial\tJJ\tI-NP\tO' +p118540 +aS'studies\tstudy\tNNS\tI-NP\tO' +p118541 +aS'particulaly\tparticulaly\tRB\tB-ADVP\tO' +p118542 +aS'from\tfrom\tIN\tB-PP\tO' +p118543 +aS'BAL\tBAL\tNN\tB-NP\tO' +p118544 +aS'lavage\tlavage\tNN\tI-NP\tO' +p118545 +aS'were\tbe\tVBD\tB-VP\tO' +p118546 +aS'found\tfind\tVBN\tI-VP\tO' +p118547 +aS'to\tto\tTO\tI-VP\tO' +p118548 +aS'be\tbe\tVB\tI-VP\tO' +p118549 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p118550 +aS'.\t.\t.\tO\tO' +p118551 +asS'She denies any family history of diabetes mellitus .' +p118552 +(lp118553 +S'She\tShe\tPRP\tB-NP\tO' +p118554 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p118555 +aS'any\tany\tDT\tB-NP\tO' +p118556 +aS'family\tfamily\tNN\tI-NP\tO' +p118557 +aS'history\thistory\tNN\tI-NP\tO' +p118558 +aS'of\tof\tIN\tB-PP\tO' +p118559 +aS'diabetes\tdiabetes\tNN\tB-NP\tO' +p118560 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p118561 +aS'.\t.\t.\tO\tO' +p118562 +asS'He was treated initially with Ceftazidime and gentamicin but there was a question about the organism 's susceptibility from lab studies done at the outside hospital .' +p118563 +(lp118564 +S'He\tHe\tPRP\tB-NP\tO' +p118565 +aS'was\tbe\tVBD\tB-VP\tO' +p118566 +aS'treated\ttreat\tVBN\tI-VP\tO' +p118567 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p118568 +aS'with\twith\tIN\tB-PP\tO' +p118569 +aS'Ceftazidime\tCeftazidime\tNN\tB-NP\tO' +p118570 +aS'and\tand\tCC\tI-NP\tO' +p118571 +aS'gentamicin\tgentamicin\tNN\tI-NP\tO' +p118572 +aS'but\tbut\tCC\tO\tO' +p118573 +aS'there\tthere\tEX\tB-NP\tO' +p118574 +aS'was\tbe\tVBD\tB-VP\tO' +p118575 +aS'a\ta\tDT\tB-NP\tO' +p118576 +aS'question\tquestion\tNN\tI-NP\tO' +p118577 +aS'about\tabout\tIN\tB-PP\tO' +p118578 +aS'the\tthe\tDT\tB-NP\tO' +p118579 +aS'organism\torganism\tNN\tI-NP\tO' +p118580 +aS''s\t'\tNNS\tI-NP\tO' +p118581 +aS'susceptibility\tsusceptibility\tNN\tI-NP\tO' +p118582 +aS'from\tfrom\tIN\tB-PP\tO' +p118583 +aS'lab\tlab\tNN\tB-NP\tO' +p118584 +aS'studies\tstudy\tNNS\tI-NP\tO' +p118585 +aS'done\tdo\tVBN\tB-VP\tO' +p118586 +aS'at\tat\tIN\tB-PP\tO' +p118587 +aS'the\tthe\tDT\tB-NP\tO' +p118588 +aS'outside\toutside\tJJ\tI-NP\tO' +p118589 +aS'hospital\thospital\tNN\tI-NP\tO' +p118590 +aS'.\t.\t.\tO\tO' +p118591 +asS'- Grandfather died of MI at age 75' +p118592 +(lp118593 +S'-\t-\tHYPH\tB-NP\tO' +p118594 +aS'Grandfather\tGrandfather\tNN\tI-NP\tO' +p118595 +aS'died\tdie\tVBD\tB-VP\tO' +p118596 +aS'of\tof\tIN\tB-PP\tO' +p118597 +aS'MI\tMI\tNN\tB-NP\tO' +p118598 +aS'at\tat\tIN\tB-PP\tO' +p118599 +aS'age\tage\tNN\tB-NP\tO' +p118600 +aS'75\t75\tCD\tI-NP\tO' +p118601 +asS'James is currently homeless .' +p118602 +(lp118603 +S'James\tJames\tNNP\tB-NP\tO' +p118604 +aS'is\tbe\tVBZ\tB-VP\tO' +p118605 +aS'currently\tcurrently\tRB\tB-ADJP\tO' +p118606 +aS'homeless\thomeless\tJJ\tI-ADJP\tO' +p118607 +aS'.\t.\t.\tO\tO' +p118608 +asS'There is also a well-healing tracheostomy scar .' +p118609 +(lp118610 +S'There\tThere\tEX\tB-NP\tO' +p118611 +aS'is\tbe\tVBZ\tB-VP\tO' +p118612 +aS'also\talso\tRB\tB-ADVP\tO' +p118613 +aS'a\ta\tDT\tB-NP\tO' +p118614 +aS'well-healing\twell-healing\tJJ\tI-NP\tO' +p118615 +aS'tracheostomy\ttracheostomy\tNN\tI-NP\tO' +p118616 +aS'scar\tscar\tNN\tI-NP\tO' +p118617 +aS'.\t.\t.\tO\tO' +p118618 +asS'The patient stopped smoking 10 years ago and works as a lawyer 20 hours per week .' +p118619 +(lp118620 +S'The\tThe\tDT\tB-NP\tO' +p118621 +aS'patient\tpatient\tNN\tI-NP\tO' +p118622 +aS'stopped\tstop\tVBD\tB-VP\tO' +p118623 +aS'smoking\tsmoke\tVBG\tI-VP\tO' +p118624 +aS'10\t10\tCD\tB-NP\tO' +p118625 +aS'years\tyear\tNNS\tI-NP\tO' +p118626 +aS'ago\tago\tRB\tB-ADVP\tO' +p118627 +aS'and\tand\tCC\tO\tO' +p118628 +aS'works\twork\tVBZ\tB-VP\tO' +p118629 +aS'as\tas\tIN\tB-PP\tO' +p118630 +aS'a\ta\tDT\tB-NP\tO' +p118631 +aS'lawyer\tlawyer\tNN\tI-NP\tB-protein' +p118632 +aS'20\t20\tCD\tB-NP\tI-protein' +p118633 +aS'hours\thour\tNNS\tI-NP\tI-protein' +p118634 +aS'per\tper\tIN\tB-PP\tI-protein' +p118635 +aS'week\tweek\tNN\tB-NP\tI-protein' +p118636 +aS'.\t.\t.\tO\tO' +p118637 +asS'Further attempts at resuscitation were unsuccessful and the patient was pronounced dead at 8:30 a.m.' +p118638 +(lp118639 +S'Further\tFurther\tJJ\tB-NP\tO' +p118640 +aS'attempts\tattempt\tNNS\tI-NP\tO' +p118641 +aS'at\tat\tIN\tB-PP\tO' +p118642 +aS'resuscitation\tresuscitation\tNN\tB-NP\tO' +p118643 +aS'were\tbe\tVBD\tB-VP\tO' +p118644 +aS'unsuccessful\tunsuccessful\tJJ\tB-ADJP\tO' +p118645 +aS'and\tand\tCC\tO\tO' +p118646 +aS'the\tthe\tDT\tB-NP\tO' +p118647 +aS'patient\tpatient\tNN\tI-NP\tO' +p118648 +aS'was\tbe\tVBD\tB-VP\tO' +p118649 +aS'pronounced\tpronounce\tVBN\tI-VP\tO' +p118650 +aS'dead\tdead\tJJ\tB-ADJP\tO' +p118651 +aS'at\tat\tIN\tB-PP\tO' +p118652 +aS'8:30\t8:30\tCD\tB-NP\tO' +p118653 +aS'a.m.\ta.m.\tNN\tI-NP\tO' +p118654 +asS'As stated before , the patient continued to ooze into her pleural space well after her definitive operation .' +p118655 +(lp118656 +S'As\tAs\tIN\tB-SBAR\tO' +p118657 +aS'stated\tstate\tVBN\tB-VP\tO' +p118658 +aS'before\tbefore\tRB\tB-ADVP\tO' +p118659 +aS',\t,\t,\tO\tO' +p118660 +aS'the\tthe\tDT\tB-NP\tO' +p118661 +aS'patient\tpatient\tNN\tI-NP\tO' +p118662 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p118663 +aS'to\tto\tTO\tI-VP\tO' +p118664 +aS'ooze\tooze\tVB\tI-VP\tO' +p118665 +aS'into\tinto\tIN\tB-PP\tO' +p118666 +aS'her\ther\tPRP$\tB-NP\tO' +p118667 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p118668 +aS'space\tspace\tNN\tI-NP\tO' +p118669 +aS'well\twell\tRB\tB-ADVP\tO' +p118670 +aS'after\tafter\tIN\tB-PP\tO' +p118671 +aS'her\ther\tPRP$\tB-NP\tO' +p118672 +aS'definitive\tdefinitive\tJJ\tI-NP\tO' +p118673 +aS'operation\toperation\tNN\tI-NP\tO' +p118674 +aS'.\t.\t.\tO\tO' +p118675 +asS'She works as a nursing assistant in a nursing home .' +p118676 +(lp118677 +S'She\tShe\tPRP\tB-NP\tO' +p118678 +aS'works\twork\tVBZ\tB-VP\tO' +p118679 +aS'as\tas\tIN\tB-PP\tO' +p118680 +aS'a\ta\tDT\tB-NP\tO' +p118681 +aS'nursing\tnursing\tNN\tI-NP\tO' +p118682 +aS'assistant\tassistant\tNN\tI-NP\tO' +p118683 +aS'in\tin\tIN\tB-PP\tO' +p118684 +aS'a\ta\tDT\tB-NP\tO' +p118685 +aS'nursing\tnursing\tNN\tI-NP\tO' +p118686 +aS'home\thome\tNN\tI-NP\tO' +p118687 +aS'.\t.\t.\tO\tO' +p118688 +asS'She was started on stress dose steroids and levo , flagyl , and vanco .' +p118689 +(lp118690 +S'She\tShe\tPRP\tB-NP\tO' +p118691 +aS'was\tbe\tVBD\tB-VP\tO' +p118692 +aS'started\tstart\tVBN\tI-VP\tO' +p118693 +aS'on\ton\tIN\tB-PP\tO' +p118694 +aS'stress\tstress\tNN\tB-NP\tO' +p118695 +aS'dose\tdose\tNN\tI-NP\tO' +p118696 +aS'steroids\tsteroid\tNNS\tI-NP\tO' +p118697 +aS'and\tand\tCC\tO\tO' +p118698 +aS'levo\tlevo\tNN\tB-NP\tO' +p118699 +aS',\t,\t,\tO\tO' +p118700 +aS'flagyl\tflagyl\tNN\tB-NP\tO' +p118701 +aS',\t,\t,\tO\tO' +p118702 +aS'and\tand\tCC\tO\tO' +p118703 +aS'vanco\tvanco\tNN\tB-NP\tO' +p118704 +aS'.\t.\t.\tO\tO' +p118705 +asS'The patient responded well to fluid resuscitation .' +p118706 +(lp118707 +S'The\tThe\tDT\tB-NP\tO' +p118708 +aS'patient\tpatient\tNN\tI-NP\tO' +p118709 +aS'responded\trespond\tVBD\tB-VP\tO' +p118710 +aS'well\twell\tRB\tB-ADVP\tO' +p118711 +aS'to\tto\tTO\tB-PP\tO' +p118712 +aS'fluid\tfluid\tNN\tB-NP\tO' +p118713 +aS'resuscitation\tresuscitation\tNN\tI-NP\tO' +p118714 +aS'.\t.\t.\tO\tO' +p118715 +asS'His weight on this admission was 3.505 kg ( 7 pounds / 12 ounces ).' +p118716 +(lp118717 +S'His\tHis\tPRP$\tB-NP\tO' +p118718 +aS'weight\tweight\tNN\tI-NP\tO' +p118719 +aS'on\ton\tIN\tB-PP\tO' +p118720 +aS'this\tthis\tDT\tB-NP\tO' +p118721 +aS'admission\tadmission\tNN\tI-NP\tO' +p118722 +aS'was\tbe\tVBD\tB-VP\tO' +p118723 +aS'3.505\t3.505\tCD\tB-NP\tO' +p118724 +aS'kg\tkg\tNN\tI-NP\tO' +p118725 +aS'(\t(\t(\tO\tO' +p118726 +aS'7\t7\tCD\tB-NP\tO' +p118727 +aS'pounds\tpound\tNNS\tI-NP\tO' +p118728 +aS'/\t/\tSYM\tB-NP\tO' +p118729 +aS'12\t12\tCD\tB-NP\tO' +p118730 +aS'ounces\tounce\tNNS\tI-NP\tO' +p118731 +aS').\t).\t)\tO\tO' +p118732 +asS'At the time of discharge , he was having acetic acid wet-to-dry dressing changes , 0.25% q. day .' +p118733 +(lp118734 +S'At\tAt\tIN\tB-PP\tO' +p118735 +aS'the\tthe\tDT\tB-NP\tO' +p118736 +aS'time\ttime\tNN\tI-NP\tO' +p118737 +aS'of\tof\tIN\tB-PP\tO' +p118738 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p118739 +aS',\t,\t,\tO\tO' +p118740 +aS'he\the\tPRP\tB-NP\tO' +p118741 +aS'was\tbe\tVBD\tB-VP\tO' +p118742 +aS'having\thave\tVBG\tI-VP\tO' +p118743 +aS'acetic\tacetic\tJJ\tB-NP\tO' +p118744 +aS'acid\tacid\tNN\tI-NP\tO' +p118745 +aS'wet-to-dry\twet-to-dry\tJJ\tB-NP\tO' +p118746 +aS'dressing\tdress\tVBG\tI-NP\tO' +p118747 +aS'changes\tchange\tNNS\tI-NP\tO' +p118748 +aS',\t,\t,\tO\tO' +p118749 +aS'0.25%\t0.25%\tCD\tB-NP\tO' +p118750 +aS'q.\tq.\tNN\tI-NP\tO' +p118751 +aS'day\tday\tNN\tI-NP\tO' +p118752 +aS'.\t.\t.\tO\tO' +p118753 +asS'The patient 's lesion compressing his thoracic spine was never biopsied , however , the MRI appearance does not seem to be infectious and is most consistent with plasmacytoma for which he is receiving the radiation therapy .' +p118754 +(lp118755 +S'The\tThe\tDT\tB-NP\tO' +p118756 +aS'patient\tpatient\tNN\tI-NP\tO' +p118757 +aS''s\t'\tNNS\tI-NP\tO' +p118758 +aS'lesion\tlesion\tNN\tI-NP\tO' +p118759 +aS'compressing\tcompress\tVBG\tB-VP\tO' +p118760 +aS'his\this\tPRP$\tB-NP\tO' +p118761 +aS'thoracic\tthoracic\tJJ\tI-NP\tO' +p118762 +aS'spine\tspine\tNN\tI-NP\tO' +p118763 +aS'was\tbe\tVBD\tB-VP\tO' +p118764 +aS'never\tnever\tRB\tI-VP\tO' +p118765 +aS'biopsied\tbiopsie\tVBN\tI-VP\tO' +p118766 +aS',\t,\t,\tO\tO' +p118767 +aS'however\thowever\tRB\tB-ADVP\tO' +p118768 +aS',\t,\t,\tO\tO' +p118769 +aS'the\tthe\tDT\tB-NP\tO' +p118770 +aS'MRI\tMRI\tNN\tI-NP\tO' +p118771 +aS'appearance\tappearance\tNN\tI-NP\tO' +p118772 +aS'does\tdo\tVBZ\tB-VP\tO' +p118773 +aS'not\tnot\tRB\tI-VP\tO' +p118774 +aS'seem\tseem\tVB\tI-VP\tO' +p118775 +aS'to\tto\tTO\tI-VP\tO' +p118776 +aS'be\tbe\tVB\tI-VP\tO' +p118777 +aS'infectious\tinfectious\tJJ\tB-ADJP\tO' +p118778 +aS'and\tand\tCC\tO\tO' +p118779 +aS'is\tbe\tVBZ\tB-VP\tO' +p118780 +aS'most\tmost\tRBS\tB-ADJP\tO' +p118781 +aS'consistent\tconsistent\tJJ\tI-ADJP\tO' +p118782 +aS'with\twith\tIN\tB-PP\tO' +p118783 +aS'plasmacytoma\tplasmacytoma\tNN\tB-NP\tO' +p118784 +aS'for\tfor\tIN\tB-PP\tO' +p118785 +aS'which\twhich\tWDT\tB-NP\tO' +p118786 +aS'he\the\tPRP\tB-NP\tO' +p118787 +aS'is\tbe\tVBZ\tB-VP\tO' +p118788 +aS'receiving\treceive\tVBG\tI-VP\tO' +p118789 +aS'the\tthe\tDT\tB-NP\tO' +p118790 +aS'radiation\tradiation\tNN\tI-NP\tO' +p118791 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p118792 +aS'.\t.\t.\tO\tO' +p118793 +asS'The patient was instructed to follow up with Dr. Slaineaee Chabechird .' +p118794 +(lp118795 +S'The\tThe\tDT\tB-NP\tO' +p118796 +aS'patient\tpatient\tNN\tI-NP\tO' +p118797 +aS'was\tbe\tVBD\tB-VP\tO' +p118798 +aS'instructed\tinstruct\tVBN\tI-VP\tO' +p118799 +aS'to\tto\tTO\tI-VP\tO' +p118800 +aS'follow\tfollow\tVB\tI-VP\tO' +p118801 +aS'up\tup\tRP\tB-PRT\tO' +p118802 +aS'with\twith\tIN\tB-PP\tO' +p118803 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p118804 +aS'Slaineaee\tSlaineaee\tNNP\tI-NP\tO' +p118805 +aS'Chabechird\tChabechird\tNNP\tI-NP\tO' +p118806 +aS'.\t.\t.\tO\tO' +p118807 +asS'Pinpoint pupils , intact corneal reflexes bilaterally .' +p118808 +(lp118809 +S'Pinpoint\tPinpoint\tNN\tB-NP\tO' +p118810 +aS'pupils\tpupil\tNNS\tI-NP\tO' +p118811 +aS',\t,\t,\tO\tO' +p118812 +aS'intact\tintact\tJJ\tB-NP\tO' +p118813 +aS'corneal\tcorneal\tJJ\tI-NP\tO' +p118814 +aS'reflexes\treflex\tNNS\tI-NP\tO' +p118815 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p118816 +aS'.\t.\t.\tO\tO' +p118817 +asS'He is admitted at this time because of significant GI bleeding .' +p118818 +(lp118819 +S'He\tHe\tPRP\tB-NP\tO' +p118820 +aS'is\tbe\tVBZ\tB-VP\tO' +p118821 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p118822 +aS'at\tat\tIN\tB-PP\tO' +p118823 +aS'this\tthis\tDT\tB-NP\tO' +p118824 +aS'time\ttime\tNN\tI-NP\tO' +p118825 +aS'because\tbecause\tIN\tB-PP\tO' +p118826 +aS'of\tof\tIN\tI-PP\tO' +p118827 +aS'significant\tsignificant\tJJ\tB-NP\tO' +p118828 +aS'GI\tGI\tNN\tI-NP\tO' +p118829 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p118830 +aS'.\t.\t.\tO\tO' +p118831 +asS'On admission the sodium was 144 , potassium 2.6 , chloride 114 , bicarbonate 12.3 , BUN 30 , creatinine 4.0 , glucose 89 .' +p118832 +(lp118833 +S'On\tOn\tIN\tB-PP\tO' +p118834 +aS'admission\tadmission\tNN\tB-NP\tO' +p118835 +aS'the\tthe\tDT\tB-NP\tO' +p118836 +aS'sodium\tsodium\tNN\tI-NP\tO' +p118837 +aS'was\tbe\tVBD\tB-VP\tO' +p118838 +aS'144\t144\tCD\tB-NP\tO' +p118839 +aS',\t,\t,\tO\tO' +p118840 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p118841 +aS'2.6\t2.6\tCD\tI-NP\tO' +p118842 +aS',\t,\t,\tO\tO' +p118843 +aS'chloride\tchloride\tNN\tB-NP\tO' +p118844 +aS'114\t114\tCD\tI-NP\tO' +p118845 +aS',\t,\t,\tO\tO' +p118846 +aS'bicarbonate\tbicarbonate\tNN\tB-NP\tB-protein' +p118847 +aS'12.3\t12.3\tCD\tI-NP\tI-protein' +p118848 +aS',\t,\t,\tO\tO' +p118849 +aS'BUN\tBUN\tNN\tB-NP\tB-DNA' +p118850 +aS'30\t30\tCD\tI-NP\tI-DNA' +p118851 +aS',\t,\t,\tO\tO' +p118852 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p118853 +aS'4.0\t4.0\tCD\tI-NP\tO' +p118854 +aS',\t,\t,\tO\tO' +p118855 +aS'glucose\tglucose\tNN\tB-NP\tO' +p118856 +aS'89\t89\tCD\tI-NP\tO' +p118857 +aS'.\t.\t.\tO\tO' +p118858 +asS'For this reason , he was taken again to the operating room on 01/08/98 , at which time a gastrojejunostomy was performed with stapling across the gastroduodenal junction , introduction of five Jackson-Pratt drains into the retroperitoneal mass , cholecystotomy tube , gastrostomy tube , and jejunostomy tube .' +p118859 +(lp118860 +S'For\tFor\tIN\tB-PP\tO' +p118861 +aS'this\tthis\tDT\tB-NP\tO' +p118862 +aS'reason\treason\tNN\tI-NP\tO' +p118863 +aS',\t,\t,\tO\tO' +p118864 +aS'he\the\tPRP\tB-NP\tO' +p118865 +aS'was\tbe\tVBD\tB-VP\tO' +p118866 +aS'taken\ttake\tVBN\tI-VP\tO' +p118867 +aS'again\tagain\tRB\tB-ADVP\tO' +p118868 +aS'to\tto\tTO\tB-PP\tO' +p118869 +aS'the\tthe\tDT\tB-NP\tO' +p118870 +aS'operating\toperating\tNN\tI-NP\tO' +p118871 +aS'room\troom\tNN\tI-NP\tO' +p118872 +aS'on\ton\tIN\tB-PP\tO' +p118873 +aS'01/08/98\t01/08/98\tCD\tB-NP\tO' +p118874 +aS',\t,\t,\tO\tO' +p118875 +aS'at\tat\tIN\tB-PP\tO' +p118876 +aS'which\twhich\tWDT\tB-NP\tO' +p118877 +aS'time\ttime\tNN\tI-NP\tO' +p118878 +aS'a\ta\tDT\tB-NP\tO' +p118879 +aS'gastrojejunostomy\tgastrojejunostomy\tNN\tI-NP\tO' +p118880 +aS'was\tbe\tVBD\tB-VP\tO' +p118881 +aS'performed\tperform\tVBN\tI-VP\tO' +p118882 +aS'with\twith\tIN\tB-PP\tO' +p118883 +aS'stapling\tstaple\tVBG\tB-VP\tO' +p118884 +aS'across\tacross\tIN\tB-PP\tO' +p118885 +aS'the\tthe\tDT\tB-NP\tO' +p118886 +aS'gastroduodenal\tgastroduodenal\tJJ\tI-NP\tO' +p118887 +aS'junction\tjunction\tNN\tI-NP\tO' +p118888 +aS',\t,\t,\tO\tO' +p118889 +aS'introduction\tintroduction\tNN\tB-NP\tO' +p118890 +aS'of\tof\tIN\tB-PP\tO' +p118891 +aS'five\tfive\tCD\tB-NP\tO' +p118892 +aS'Jackson-Pratt\tJackson-Pratt\tJJ\tI-NP\tO' +p118893 +aS'drains\tdrain\tNNS\tI-NP\tO' +p118894 +aS'into\tinto\tIN\tB-PP\tO' +p118895 +aS'the\tthe\tDT\tB-NP\tO' +p118896 +aS'retroperitoneal\tretroperitoneal\tJJ\tI-NP\tO' +p118897 +aS'mass\tmass\tNN\tI-NP\tO' +p118898 +aS',\t,\t,\tO\tO' +p118899 +aS'cholecystotomy\tcholecystotomy\tNN\tB-NP\tO' +p118900 +aS'tube\ttube\tNN\tI-NP\tO' +p118901 +aS',\t,\t,\tO\tO' +p118902 +aS'gastrostomy\tgastrostomy\tNN\tB-NP\tO' +p118903 +aS'tube\ttube\tNN\tI-NP\tO' +p118904 +aS',\t,\t,\tO\tO' +p118905 +aS'and\tand\tCC\tO\tO' +p118906 +aS'jejunostomy\tjejunostomy\tNN\tB-NP\tO' +p118907 +aS'tube\ttube\tNN\tI-NP\tO' +p118908 +aS'.\t.\t.\tO\tO' +p118909 +asS'3. He has not had a car seat position screening test .' +p118910 +(lp118911 +S'3.\t3.\tLS\tB-LST\tO' +p118912 +aS'He\tHe\tPRP\tB-NP\tB-DNA' +p118913 +aS'has\thave\tVBZ\tB-VP\tO' +p118914 +aS'not\tnot\tRB\tI-VP\tO' +p118915 +aS'had\thave\tVBN\tI-VP\tO' +p118916 +aS'a\ta\tDT\tB-NP\tO' +p118917 +aS'car\tcar\tNN\tI-NP\tO' +p118918 +aS'seat\tseat\tNN\tI-NP\tO' +p118919 +aS'position\tposition\tNN\tI-NP\tO' +p118920 +aS'screening\tscreening\tNN\tI-NP\tO' +p118921 +aS'test\ttest\tNN\tI-NP\tO' +p118922 +aS'.\t.\t.\tO\tO' +p118923 +asS'Mother had breast cancer .' +p118924 +(lp118925 +S'Mother\tMother\tNNP\tB-NP\tO' +p118926 +aS'had\thave\tVBD\tB-VP\tO' +p118927 +aS'breast\tbreast\tNN\tB-NP\tO' +p118928 +aS'cancer\tcancer\tNN\tI-NP\tO' +p118929 +aS'.\t.\t.\tO\tO' +p118930 +asS'8. End-stage renal disease , on hemodialysis for 1.5 years .' +p118931 +(lp118932 +S'8.\t8.\tLS\tB-NP\tO' +p118933 +aS'End-stage\tEnd-stage\tNN\tI-NP\tO' +p118934 +aS'renal\trenal\tJJ\tI-NP\tO' +p118935 +aS'disease\tdisease\tNN\tI-NP\tO' +p118936 +aS',\t,\t,\tO\tO' +p118937 +aS'on\ton\tIN\tB-PP\tO' +p118938 +aS'hemodialysis\themodialysis\tNN\tB-NP\tO' +p118939 +aS'for\tfor\tIN\tB-PP\tO' +p118940 +aS'1.5\t1.5\tCD\tB-NP\tO' +p118941 +aS'years\tyear\tNNS\tI-NP\tO' +p118942 +aS'.\t.\t.\tO\tO' +p118943 +asS'It was soft and nontender .' +p118944 +(lp118945 +S'It\tIt\tPRP\tB-NP\tO' +p118946 +aS'was\tbe\tVBD\tB-VP\tO' +p118947 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p118948 +aS'and\tand\tCC\tI-ADJP\tO' +p118949 +aS'nontender\tnontender\tJJ\tI-ADJP\tO' +p118950 +aS'.\t.\t.\tO\tO' +p118951 +asS'CARDIOVASCULAR : The infant has maintained stable cardiovascular status with normal heart rates and blood pressures and no murmurs .' +p118952 +(lp118953 +S'CARDIOVASCULAR\tCARDIOVASCULAR\tNN\tB-NP\tO' +p118954 +aS':\t:\t:\tO\tO' +p118955 +aS'The\tThe\tDT\tB-NP\tO' +p118956 +aS'infant\tinfant\tNN\tI-NP\tO' +p118957 +aS'has\thave\tVBZ\tB-VP\tO' +p118958 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p118959 +aS'stable\tstable\tJJ\tB-NP\tO' +p118960 +aS'cardiovascular\tcardiovascular\tJJ\tI-NP\tO' +p118961 +aS'status\tstatus\tNN\tI-NP\tO' +p118962 +aS'with\twith\tIN\tB-PP\tO' +p118963 +aS'normal\tnormal\tJJ\tB-NP\tO' +p118964 +aS'heart\theart\tNN\tI-NP\tO' +p118965 +aS'rates\trate\tNNS\tI-NP\tO' +p118966 +aS'and\tand\tCC\tO\tO' +p118967 +aS'blood\tblood\tNN\tB-NP\tO' +p118968 +aS'pressures\tpressure\tNNS\tI-NP\tO' +p118969 +aS'and\tand\tCC\tO\tO' +p118970 +aS'no\tno\tDT\tB-NP\tO' +p118971 +aS'murmurs\tmurmur\tNNS\tI-NP\tO' +p118972 +aS'.\t.\t.\tO\tO' +p118973 +asS'Then referred for surgical intervention .' +p118974 +(lp118975 +S'Then\tThen\tRB\tO\tO' +p118976 +aS'referred\trefer\tVBN\tB-VP\tO' +p118977 +aS'for\tfor\tIN\tB-PP\tO' +p118978 +aS'surgical\tsurgical\tJJ\tB-NP\tO' +p118979 +aS'intervention\tintervention\tNN\tI-NP\tO' +p118980 +aS'.\t.\t.\tO\tO' +p118981 +asS'The initial hematocrit was 21.2 , platelets 186 .' +p118982 +(lp118983 +S'The\tThe\tDT\tB-NP\tO' +p118984 +aS'initial\tinitial\tJJ\tI-NP\tO' +p118985 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p118986 +aS'was\tbe\tVBD\tB-VP\tO' +p118987 +aS'21.2\t21.2\tCD\tB-NP\tO' +p118988 +aS',\t,\t,\tO\tO' +p118989 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p118990 +aS'186\t186\tCD\tB-NP\tO' +p118991 +aS'.\t.\t.\tO\tO' +p118992 +asS'She has been previously hospitalized on 12 April 1998 for the same diagnosis .' +p118993 +(lp118994 +S'She\tShe\tPRP\tB-NP\tO' +p118995 +aS'has\thave\tVBZ\tB-VP\tO' +p118996 +aS'been\tbe\tVBN\tI-VP\tO' +p118997 +aS'previously\tpreviously\tRB\tI-VP\tO' +p118998 +aS'hospitalized\thospitalize\tVBN\tI-VP\tO' +p118999 +aS'on\ton\tIN\tB-PP\tO' +p119000 +aS'12\t12\tCD\tB-NP\tO' +p119001 +aS'April\tApril\tNNP\tI-NP\tO' +p119002 +aS'1998\t1998\tCD\tI-NP\tO' +p119003 +aS'for\tfor\tIN\tB-PP\tO' +p119004 +aS'the\tthe\tDT\tB-NP\tO' +p119005 +aS'same\tsame\tJJ\tI-NP\tO' +p119006 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p119007 +aS'.\t.\t.\tO\tO' +p119008 +asS'12. Vicodin 5-500 mg tablets q.4-6h. as needed for pain .' +p119009 +(lp119010 +S'12.\t12.\tLS\tB-LST\tO' +p119011 +aS'Vicodin\tVicodin\tNNP\tB-NP\tO' +p119012 +aS'5-500\t5-500\t:\tO\tO' +p119013 +aS'mg\tmg\tNN\tB-NP\tO' +p119014 +aS'tablets\ttablet\tVBZ\tB-VP\tO' +p119015 +aS'q.4-6h.\tq.4-6h.\tNN\tB-NP\tO' +p119016 +aS'as\tas\tIN\tB-SBAR\tO' +p119017 +aS'needed\tneed\tVBN\tB-VP\tO' +p119018 +aS'for\tfor\tIN\tB-PP\tO' +p119019 +aS'pain\tpain\tNN\tB-NP\tO' +p119020 +aS'.\t.\t.\tO\tO' +p119021 +asS'Head and neck were unremarkable .' +p119022 +(lp119023 +S'Head\tHead\tNN\tB-NP\tO' +p119024 +aS'and\tand\tCC\tI-NP\tO' +p119025 +aS'neck\tneck\tNN\tI-NP\tO' +p119026 +aS'were\tbe\tVBD\tB-VP\tO' +p119027 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p119028 +aS'.\t.\t.\tO\tO' +p119029 +asS'2. Systolic and diastolic congestive heart failure .' +p119030 +(lp119031 +S'2.\t2.\tLS\tB-NP\tO' +p119032 +aS'Systolic\tSystolic\tJJ\tI-NP\tO' +p119033 +aS'and\tand\tCC\tI-NP\tO' +p119034 +aS'diastolic\tdiastolic\tJJ\tI-NP\tO' +p119035 +aS'congestive\tcongestive\tJJ\tI-NP\tO' +p119036 +aS'heart\theart\tNN\tI-NP\tO' +p119037 +aS'failure\tfailure\tNN\tI-NP\tO' +p119038 +aS'.\t.\t.\tO\tO' +p119039 +asS'He initially required nitroglycerin drip .' +p119040 +(lp119041 +S'He\tHe\tPRP\tB-NP\tO' +p119042 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p119043 +aS'required\trequire\tVBD\tB-VP\tO' +p119044 +aS'nitroglycerin\tnitroglycerin\tNN\tB-NP\tO' +p119045 +aS'drip\tdrip\tNN\tI-NP\tO' +p119046 +aS'.\t.\t.\tO\tO' +p119047 +asS'Palpable dorsalis pedis pulses .' +p119048 +(lp119049 +S'Palpable\tPalpable\tJJ\tB-NP\tO' +p119050 +aS'dorsalis\tdorsalis\tNN\tI-NP\tO' +p119051 +aS'pedis\tpedis\tNN\tI-NP\tO' +p119052 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p119053 +aS'.\t.\t.\tO\tO' +p119054 +asS'At this point , it was determined that the patient would not receive percutaneous coronary intervention on this admission and would likely be discharged to the floor for stabilization with followup .' +p119055 +(lp119056 +S'At\tAt\tIN\tB-PP\tO' +p119057 +aS'this\tthis\tDT\tB-NP\tO' +p119058 +aS'point\tpoint\tNN\tI-NP\tO' +p119059 +aS',\t,\t,\tO\tO' +p119060 +aS'it\tit\tPRP\tB-NP\tO' +p119061 +aS'was\tbe\tVBD\tB-VP\tO' +p119062 +aS'determined\tdetermine\tVBN\tI-VP\tO' +p119063 +aS'that\tthat\tIN\tB-SBAR\tO' +p119064 +aS'the\tthe\tDT\tB-NP\tO' +p119065 +aS'patient\tpatient\tNN\tI-NP\tO' +p119066 +aS'would\twould\tMD\tB-VP\tO' +p119067 +aS'not\tnot\tRB\tI-VP\tO' +p119068 +aS'receive\treceive\tVB\tI-VP\tO' +p119069 +aS'percutaneous\tpercutaneous\tJJ\tB-NP\tO' +p119070 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p119071 +aS'intervention\tintervention\tNN\tI-NP\tO' +p119072 +aS'on\ton\tIN\tB-PP\tO' +p119073 +aS'this\tthis\tDT\tB-NP\tO' +p119074 +aS'admission\tadmission\tNN\tI-NP\tO' +p119075 +aS'and\tand\tCC\tO\tO' +p119076 +aS'would\twould\tMD\tB-VP\tO' +p119077 +aS'likely\tlikely\tRB\tI-VP\tO' +p119078 +aS'be\tbe\tVB\tI-VP\tO' +p119079 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p119080 +aS'to\tto\tTO\tB-PP\tO' +p119081 +aS'the\tthe\tDT\tB-NP\tO' +p119082 +aS'floor\tfloor\tNN\tI-NP\tO' +p119083 +aS'for\tfor\tIN\tB-PP\tO' +p119084 +aS'stabilization\tstabilization\tNN\tB-NP\tO' +p119085 +aS'with\twith\tIN\tB-PP\tO' +p119086 +aS'followup\tfollowup\tNN\tB-NP\tO' +p119087 +aS'.\t.\t.\tO\tO' +p119088 +asS'Potassium was 3.0 , glucose 131 .' +p119089 +(lp119090 +S'Potassium\tPotassium\tNN\tB-NP\tO' +p119091 +aS'was\tbe\tVBD\tB-VP\tO' +p119092 +aS'3.0\t3.0\tCD\tB-NP\tO' +p119093 +aS',\t,\t,\tO\tO' +p119094 +aS'glucose\tglucose\tNN\tB-NP\tO' +p119095 +aS'131\t131\tCD\tI-NP\tO' +p119096 +aS'.\t.\t.\tO\tO' +p119097 +asS'It was believed that she was continuing to bleed in her chest .' +p119098 +(lp119099 +S'It\tIt\tPRP\tB-NP\tO' +p119100 +aS'was\tbe\tVBD\tB-VP\tO' +p119101 +aS'believed\tbelieve\tVBN\tI-VP\tO' +p119102 +aS'that\tthat\tIN\tB-SBAR\tO' +p119103 +aS'she\tshe\tPRP\tB-NP\tO' +p119104 +aS'was\tbe\tVBD\tB-VP\tO' +p119105 +aS'continuing\tcontinue\tVBG\tI-VP\tO' +p119106 +aS'to\tto\tTO\tI-VP\tO' +p119107 +aS'bleed\tbleed\tVB\tI-VP\tO' +p119108 +aS'in\tin\tIN\tB-PP\tO' +p119109 +aS'her\ther\tPRP$\tB-NP\tO' +p119110 +aS'chest\tchest\tNN\tI-NP\tO' +p119111 +aS'.\t.\t.\tO\tO' +p119112 +asS'Severe chronic obstructive pulmonary disease .' +p119113 +(lp119114 +S'Severe\tSevere\tJJ\tB-NP\tO' +p119115 +aS'chronic\tchronic\tJJ\tI-NP\tO' +p119116 +aS'obstructive\tobstructive\tJJ\tI-NP\tO' +p119117 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p119118 +aS'disease\tdisease\tNN\tI-NP\tO' +p119119 +aS'.\t.\t.\tO\tO' +p119120 +asS'On postoperative day number three , patient went into atrial fibrillation , which was treated appropriately with metoprolol and digoxin and converted back to sinus rhythm .' +p119121 +(lp119122 +S'On\tOn\tIN\tB-PP\tO' +p119123 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p119124 +aS'day\tday\tNN\tI-NP\tO' +p119125 +aS'number\tnumber\tNN\tI-NP\tO' +p119126 +aS'three\tthree\tCD\tB-NP\tO' +p119127 +aS',\t,\t,\tO\tO' +p119128 +aS'patient\tpatient\tNN\tB-NP\tO' +p119129 +aS'went\tgo\tVBD\tB-VP\tO' +p119130 +aS'into\tinto\tIN\tB-PP\tO' +p119131 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p119132 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p119133 +aS',\t,\t,\tO\tO' +p119134 +aS'which\twhich\tWDT\tB-NP\tO' +p119135 +aS'was\tbe\tVBD\tB-VP\tO' +p119136 +aS'treated\ttreat\tVBN\tI-VP\tO' +p119137 +aS'appropriately\tappropriately\tRB\tB-ADVP\tO' +p119138 +aS'with\twith\tIN\tB-PP\tO' +p119139 +aS'metoprolol\tmetoprolol\tNN\tB-NP\tO' +p119140 +aS'and\tand\tCC\tI-NP\tO' +p119141 +aS'digoxin\tdigoxin\tNN\tI-NP\tO' +p119142 +aS'and\tand\tCC\tO\tO' +p119143 +aS'converted\tconvert\tVBD\tB-VP\tO' +p119144 +aS'back\tback\tRB\tB-ADVP\tO' +p119145 +aS'to\tto\tTO\tB-PP\tO' +p119146 +aS'sinus\tsinus\tNN\tB-NP\tO' +p119147 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p119148 +aS'.\t.\t.\tO\tO' +p119149 +asS'Attending : Richard S. Humphries , M.D.' +p119150 +(lp119151 +S'Attending\tAttend\tVBG\tB-VP\tO' +p119152 +aS':\t:\t:\tO\tO' +p119153 +aS'Richard\tRichard\tNNP\tB-NP\tO' +p119154 +aS'S.\tS.\tNNP\tI-NP\tO' +p119155 +aS'Humphries\tHumphries\tNNP\tI-NP\tO' +p119156 +aS',\t,\t,\tO\tO' +p119157 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p119158 +asS'1. Hypertension .' +p119159 +(lp119160 +S'1.\t1.\tLS\tB-NP\tO' +p119161 +aS'Hypertension\tHypertension\tNN\tI-NP\tO' +p119162 +aS'.\t.\t.\tO\tO' +p119163 +asS'PT 12 , PTT 27 , and INR 1.0 .' +p119164 +(lp119165 +S'PT\tPT\tNN\tB-NP\tB-protein' +p119166 +aS'12\t12\tCD\tI-NP\tI-protein' +p119167 +aS',\t,\t,\tO\tO' +p119168 +aS'PTT\tPTT\tNN\tB-NP\tB-DNA' +p119169 +aS'27\t27\tCD\tI-NP\tI-DNA' +p119170 +aS',\t,\t,\tO\tO' +p119171 +aS'and\tand\tCC\tO\tO' +p119172 +aS'INR\tINR\tNN\tB-NP\tB-protein' +p119173 +aS'1.0\t1.0\tCD\tI-NP\tI-protein' +p119174 +aS'.\t.\t.\tO\tO' +p119175 +asS'The right ventricle was compressed .' +p119176 +(lp119177 +S'The\tThe\tDT\tB-NP\tO' +p119178 +aS'right\tright\tJJ\tI-NP\tO' +p119179 +aS'ventricle\tventricle\tNN\tI-NP\tO' +p119180 +aS'was\tbe\tVBD\tB-VP\tO' +p119181 +aS'compressed\tcompress\tVBN\tI-VP\tO' +p119182 +aS'.\t.\t.\tO\tO' +p119183 +asS'Ophthalmology : eyes were examined most recently on 2009-01-14 , revealing mature retinal vessels .' +p119184 +(lp119185 +S'Ophthalmology\tOphthalmology\tNN\tB-NP\tO' +p119186 +aS':\t:\t:\tO\tO' +p119187 +aS'eyes\teye\tNNS\tB-NP\tO' +p119188 +aS'were\tbe\tVBD\tB-VP\tO' +p119189 +aS'examined\texamine\tVBN\tI-VP\tO' +p119190 +aS'most\tmost\tRBS\tB-ADVP\tO' +p119191 +aS'recently\trecently\tRB\tI-ADVP\tO' +p119192 +aS'on\ton\tIN\tB-PP\tO' +p119193 +aS'2009-01-14\t2009-01-14\tCD\tB-NP\tO' +p119194 +aS',\t,\t,\tO\tO' +p119195 +aS'revealing\treveal\tVBG\tB-VP\tO' +p119196 +aS'mature\tmature\tJJ\tB-NP\tO' +p119197 +aS'retinal\tretinal\tJJ\tI-NP\tO' +p119198 +aS'vessels\tvessel\tNNS\tI-NP\tO' +p119199 +aS'.\t.\t.\tO\tO' +p119200 +asS'A CT of her sinues revealed no fractures .' +p119201 +(lp119202 +S'A\tA\tDT\tB-NP\tO' +p119203 +aS'CT\tCT\tNN\tI-NP\tO' +p119204 +aS'of\tof\tIN\tB-PP\tO' +p119205 +aS'her\ther\tPRP$\tB-NP\tO' +p119206 +aS'sinues\tsinue\tNNS\tI-NP\tO' +p119207 +aS'revealed\treveal\tVBD\tB-VP\tO' +p119208 +aS'no\tno\tDT\tB-NP\tO' +p119209 +aS'fractures\tfracture\tNNS\tI-NP\tO' +p119210 +aS'.\t.\t.\tO\tO' +p119211 +asS'Admitted to the CMED CSRU for further management .' +p119212 +(lp119213 +S'Admitted\tAdmit\tVBN\tB-VP\tO' +p119214 +aS'to\tto\tTO\tB-PP\tO' +p119215 +aS'the\tthe\tDT\tB-NP\tO' +p119216 +aS'CMED\tCMED\tVBN\tI-NP\tO' +p119217 +aS'CSRU\tCSRU\tNN\tI-NP\tO' +p119218 +aS'for\tfor\tIN\tB-PP\tO' +p119219 +aS'further\tfurther\tJJ\tB-NP\tO' +p119220 +aS'management\tmanagement\tNN\tI-NP\tO' +p119221 +aS'.\t.\t.\tO\tO' +p119222 +asS'She went for a debridement of her left calf lesion on 10/2/93 and was started empirically on IV ceftriaxone which was changed to po doxycycline on the day of discharge .' +p119223 +(lp119224 +S'She\tShe\tPRP\tB-NP\tO' +p119225 +aS'went\tgo\tVBD\tB-VP\tO' +p119226 +aS'for\tfor\tIN\tB-PP\tO' +p119227 +aS'a\ta\tDT\tB-NP\tO' +p119228 +aS'debridement\tdebridement\tNN\tI-NP\tO' +p119229 +aS'of\tof\tIN\tB-PP\tO' +p119230 +aS'her\ther\tPRP$\tB-NP\tO' +p119231 +aS'left\tleft\tJJ\tI-NP\tO' +p119232 +aS'calf\tcalf\tNN\tI-NP\tO' +p119233 +aS'lesion\tlesion\tNN\tI-NP\tO' +p119234 +aS'on\ton\tIN\tB-PP\tO' +p119235 +aS'10/2/93\t10/2/93\tCD\tB-NP\tO' +p119236 +aS'and\tand\tCC\tO\tO' +p119237 +aS'was\tbe\tVBD\tB-VP\tO' +p119238 +aS'started\tstart\tVBN\tI-VP\tO' +p119239 +aS'empirically\tempirically\tRB\tB-ADVP\tO' +p119240 +aS'on\ton\tIN\tB-PP\tO' +p119241 +aS'IV\tIV\tCD\tB-NP\tO' +p119242 +aS'ceftriaxone\tceftriaxone\tNN\tI-NP\tO' +p119243 +aS'which\twhich\tWDT\tB-NP\tO' +p119244 +aS'was\tbe\tVBD\tB-VP\tO' +p119245 +aS'changed\tchange\tVBN\tI-VP\tO' +p119246 +aS'to\tto\tTO\tI-VP\tO' +p119247 +aS'po\tpo\tVB\tI-VP\tO' +p119248 +aS'doxycycline\tdoxycycline\tNN\tB-NP\tO' +p119249 +aS'on\ton\tIN\tB-PP\tO' +p119250 +aS'the\tthe\tDT\tB-NP\tO' +p119251 +aS'day\tday\tNN\tI-NP\tO' +p119252 +aS'of\tof\tIN\tB-PP\tO' +p119253 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p119254 +aS'.\t.\t.\tO\tO' +p119255 +asS'Troponins have been less than 0.01.' +p119256 +(lp119257 +S'Troponins\tTroponin\tNNS\tB-NP\tB-protein' +p119258 +aS'have\thave\tVBP\tB-VP\tO' +p119259 +aS'been\tbe\tVBN\tI-VP\tO' +p119260 +aS'less\tless\tJJR\tB-NP\tO' +p119261 +aS'than\tthan\tIN\tI-NP\tO' +p119262 +aS'0.01.\t0.01.\tCD\tI-NP\tO' +p119263 +asS'He presented to the Edith Nourse Rogers Memorial VA Hospital emergency room , where an initial head CT scan was read as negative .' +p119264 +(lp119265 +S'He\tHe\tPRP\tB-NP\tO' +p119266 +aS'presented\tpresent\tVBD\tB-VP\tO' +p119267 +aS'to\tto\tTO\tB-PP\tO' +p119268 +aS'the\tthe\tDT\tB-NP\tO' +p119269 +aS'Edith\tEdith\tNNP\tI-NP\tO' +p119270 +aS'Nourse\tNourse\tNNP\tI-NP\tO' +p119271 +aS'Rogers\tRogers\tNNP\tI-NP\tO' +p119272 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p119273 +aS'VA\tVA\tNNP\tI-NP\tO' +p119274 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p119275 +aS'emergency\temergency\tNN\tI-NP\tO' +p119276 +aS'room\troom\tNN\tI-NP\tO' +p119277 +aS',\t,\t,\tO\tO' +p119278 +aS'where\twhere\tWRB\tB-ADVP\tO' +p119279 +aS'an\tan\tDT\tB-NP\tO' +p119280 +aS'initial\tinitial\tJJ\tI-NP\tO' +p119281 +aS'head\thead\tNN\tI-NP\tO' +p119282 +aS'CT\tCT\tNN\tI-NP\tO' +p119283 +aS'scan\tscan\tNN\tI-NP\tO' +p119284 +aS'was\tbe\tVBD\tB-VP\tO' +p119285 +aS'read\tread\tVBN\tI-VP\tO' +p119286 +aS'as\tas\tIN\tB-PP\tO' +p119287 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p119288 +aS'.\t.\t.\tO\tO' +p119289 +asS'5 mg on Mon and Thurs .' +p119290 +(lp119291 +S'5\t5\tCD\tB-NP\tO' +p119292 +aS'mg\tmg\tNN\tI-NP\tO' +p119293 +aS'on\ton\tIN\tB-PP\tO' +p119294 +aS'Mon\tMon\tNNP\tB-NP\tO' +p119295 +aS'and\tand\tCC\tI-NP\tO' +p119296 +aS'Thurs\tThurs\tNNP\tI-NP\tO' +p119297 +aS'.\t.\t.\tO\tO' +p119298 +asS'The patient was taken to the operating room on hospital day # 1 where she underwent an uncomplicated total abdominal hysterectomy , bilateral salpingo-oophorectomy , right lymph node dissection , appendectomy , omental biopsy , pelvic washings , and Pap of the diaphragm .' +p119299 +(lp119300 +S'The\tThe\tDT\tB-NP\tO' +p119301 +aS'patient\tpatient\tNN\tI-NP\tO' +p119302 +aS'was\tbe\tVBD\tB-VP\tO' +p119303 +aS'taken\ttake\tVBN\tI-VP\tO' +p119304 +aS'to\tto\tTO\tB-PP\tO' +p119305 +aS'the\tthe\tDT\tB-NP\tO' +p119306 +aS'operating\toperating\tNN\tI-NP\tO' +p119307 +aS'room\troom\tNN\tI-NP\tO' +p119308 +aS'on\ton\tIN\tB-PP\tO' +p119309 +aS'hospital\thospital\tNN\tB-NP\tO' +p119310 +aS'day\tday\tNN\tI-NP\tO' +p119311 +aS'#\t#\t#\tB-NP\tO' +p119312 +aS'1\t1\tCD\tI-NP\tO' +p119313 +aS'where\twhere\tWRB\tB-ADVP\tO' +p119314 +aS'she\tshe\tPRP\tB-NP\tO' +p119315 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p119316 +aS'an\tan\tDT\tB-NP\tO' +p119317 +aS'uncomplicated\tuncomplicated\tJJ\tI-NP\tO' +p119318 +aS'total\ttotal\tJJ\tI-NP\tO' +p119319 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p119320 +aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' +p119321 +aS',\t,\t,\tO\tO' +p119322 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p119323 +aS'salpingo-oophorectomy\tsalpingo-oophorectomy\tNN\tI-NP\tO' +p119324 +aS',\t,\t,\tO\tO' +p119325 +aS'right\tright\tJJ\tB-NP\tO' +p119326 +aS'lymph\tlymph\tNN\tI-NP\tO' +p119327 +aS'node\tnode\tNN\tI-NP\tO' +p119328 +aS'dissection\tdissection\tNN\tI-NP\tO' +p119329 +aS',\t,\t,\tO\tO' +p119330 +aS'appendectomy\tappendectomy\tNN\tB-NP\tO' +p119331 +aS',\t,\t,\tO\tO' +p119332 +aS'omental\tomental\tJJ\tB-NP\tO' +p119333 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p119334 +aS',\t,\t,\tO\tO' +p119335 +aS'pelvic\tpelvic\tJJ\tB-NP\tO' +p119336 +aS'washings\twashing\tNNS\tI-NP\tO' +p119337 +aS',\t,\t,\tO\tO' +p119338 +aS'and\tand\tCC\tO\tO' +p119339 +aS'Pap\tPap\tNN\tB-NP\tB-protein' +p119340 +aS'of\tof\tIN\tB-PP\tO' +p119341 +aS'the\tthe\tDT\tB-NP\tO' +p119342 +aS'diaphragm\tdiaphragm\tNN\tI-NP\tO' +p119343 +aS'.\t.\t.\tO\tO' +p119344 +asS'This is a 39 year old female , s / p Roux-en-Y gastric bypass in 09/06 who is admitted for elective repair of a ventral hernia .' +p119345 +(lp119346 +S'This\tThis\tDT\tB-NP\tO' +p119347 +aS'is\tbe\tVBZ\tB-VP\tO' +p119348 +aS'a\ta\tDT\tB-NP\tO' +p119349 +aS'39\t39\tCD\tI-NP\tO' +p119350 +aS'year\tyear\tNN\tI-NP\tO' +p119351 +aS'old\told\tJJ\tI-NP\tO' +p119352 +aS'female\tfemale\tNN\tI-NP\tO' +p119353 +aS',\t,\t,\tO\tO' +p119354 +aS's\ts\tNN\tB-NP\tB-protein' +p119355 +aS'/\t/\tSYM\tI-NP\tI-protein' +p119356 +aS'p\tp\tNN\tI-NP\tI-protein' +p119357 +aS'Roux-en-Y\tRoux-en-Y\tNN\tI-NP\tI-protein' +p119358 +aS'gastric\tgastric\tJJ\tI-NP\tI-protein' +p119359 +aS'bypass\tbypass\tNN\tI-NP\tI-protein' +p119360 +aS'in\tin\tIN\tB-PP\tO' +p119361 +aS'09/06\t09/06\tCD\tB-NP\tO' +p119362 +aS'who\twho\tWP\tB-NP\tO' +p119363 +aS'is\tbe\tVBZ\tB-VP\tO' +p119364 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p119365 +aS'for\tfor\tIN\tB-PP\tO' +p119366 +aS'elective\telective\tJJ\tB-NP\tO' +p119367 +aS'repair\trepair\tNN\tI-NP\tO' +p119368 +aS'of\tof\tIN\tB-PP\tO' +p119369 +aS'a\ta\tDT\tB-NP\tO' +p119370 +aS'ventral\tventral\tJJ\tI-NP\tO' +p119371 +aS'hernia\thernia\tNN\tI-NP\tO' +p119372 +aS'.\t.\t.\tO\tO' +p119373 +asS'Normal appearing small bowel .' +p119374 +(lp119375 +S'Normal\tNormal\tJJ\tB-ADJP\tO' +p119376 +aS'appearing\tappear\tVBG\tB-VP\tO' +p119377 +aS'small\tsmall\tJJ\tB-NP\tO' +p119378 +aS'bowel\tbowel\tNN\tI-NP\tO' +p119379 +aS'.\t.\t.\tO\tO' +p119380 +asS'Yesterday morning , he developed intermittent substernal chest pain with radiation to the left shoulder that worsened with any activity and any motion of his shoulders .' +p119381 +(lp119382 +S'Yesterday\tYesterday\tNN\tB-NP\tO' +p119383 +aS'morning\tmorning\tNN\tI-NP\tO' +p119384 +aS',\t,\t,\tO\tO' +p119385 +aS'he\the\tPRP\tB-NP\tO' +p119386 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p119387 +aS'intermittent\tintermittent\tJJ\tB-NP\tO' +p119388 +aS'substernal\tsubsternal\tJJ\tI-NP\tO' +p119389 +aS'chest\tchest\tNN\tI-NP\tO' +p119390 +aS'pain\tpain\tNN\tI-NP\tO' +p119391 +aS'with\twith\tIN\tB-PP\tO' +p119392 +aS'radiation\tradiation\tNN\tB-NP\tO' +p119393 +aS'to\tto\tTO\tB-PP\tO' +p119394 +aS'the\tthe\tDT\tB-NP\tO' +p119395 +aS'left\tleft\tJJ\tI-NP\tO' +p119396 +aS'shoulder\tshoulder\tNN\tI-NP\tO' +p119397 +aS'that\tthat\tWDT\tB-NP\tO' +p119398 +aS'worsened\tworsen\tVBD\tB-VP\tO' +p119399 +aS'with\twith\tIN\tB-PP\tO' +p119400 +aS'any\tany\tDT\tB-NP\tO' +p119401 +aS'activity\tactivity\tNN\tI-NP\tO' +p119402 +aS'and\tand\tCC\tO\tO' +p119403 +aS'any\tany\tDT\tB-NP\tO' +p119404 +aS'motion\tmotion\tNN\tI-NP\tO' +p119405 +aS'of\tof\tIN\tB-PP\tO' +p119406 +aS'his\this\tPRP$\tB-NP\tO' +p119407 +aS'shoulders\tshoulder\tNNS\tI-NP\tO' +p119408 +aS'.\t.\t.\tO\tO' +p119409 +asS'We will arrange to have a copy of the MRI scans sent to him .' +p119410 +(lp119411 +S'We\tWe\tPRP\tB-NP\tO' +p119412 +aS'will\twill\tMD\tB-VP\tO' +p119413 +aS'arrange\tarrange\tVB\tI-VP\tO' +p119414 +aS'to\tto\tTO\tI-VP\tO' +p119415 +aS'have\thave\tVB\tI-VP\tO' +p119416 +aS'a\ta\tDT\tB-NP\tO' +p119417 +aS'copy\tcopy\tNN\tI-NP\tO' +p119418 +aS'of\tof\tIN\tB-PP\tO' +p119419 +aS'the\tthe\tDT\tB-NP\tO' +p119420 +aS'MRI\tMRI\tNN\tI-NP\tO' +p119421 +aS'scans\tscan\tNNS\tI-NP\tO' +p119422 +aS'sent\tsend\tVBN\tB-VP\tO' +p119423 +aS'to\tto\tTO\tB-PP\tO' +p119424 +aS'him\thim\tPRP\tB-NP\tO' +p119425 +aS'.\t.\t.\tO\tO' +p119426 +asS'Serum toxicology screen was positive for TCA s.' +p119427 +(lp119428 +S'Serum\tSerum\tNN\tB-NP\tO' +p119429 +aS'toxicology\ttoxicology\tNN\tI-NP\tO' +p119430 +aS'screen\tscreen\tNN\tI-NP\tO' +p119431 +aS'was\tbe\tVBD\tB-VP\tO' +p119432 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p119433 +aS'for\tfor\tIN\tB-PP\tO' +p119434 +aS'TCA\tTCA\tNN\tB-NP\tB-protein' +p119435 +aS's.\ts.\tNN\tI-NP\tI-protein' +p119436 +asS'also has h / o anxiety and GERD .' +p119437 +(lp119438 +S'also\talso\tRB\tB-ADVP\tO' +p119439 +aS'has\thave\tVBZ\tB-VP\tO' +p119440 +aS'h\th\tNN\tB-NP\tO' +p119441 +aS'/\t/\tSYM\tI-NP\tO' +p119442 +aS'o\to\tNN\tI-NP\tO' +p119443 +aS'anxiety\tanxiety\tNN\tI-NP\tO' +p119444 +aS'and\tand\tCC\tI-NP\tO' +p119445 +aS'GERD\tGERD\tNN\tI-NP\tO' +p119446 +aS'.\t.\t.\tO\tO' +p119447 +asS'Grossly intact .' +p119448 +(lp119449 +S'Grossly\tGrossly\tRB\tB-ADJP\tO' +p119450 +aS'intact\tintact\tJJ\tI-ADJP\tO' +p119451 +aS'.\t.\t.\tO\tO' +p119452 +asS'Calculated ejection fraction was 45-50% .' +p119453 +(lp119454 +S'Calculated\tCalculate\tVBN\tB-NP\tO' +p119455 +aS'ejection\tejection\tNN\tI-NP\tO' +p119456 +aS'fraction\tfraction\tNN\tI-NP\tO' +p119457 +aS'was\tbe\tVBD\tB-VP\tO' +p119458 +aS'45-50%\t45-50%\tJJ\tB-ADJP\tO' +p119459 +aS'.\t.\t.\tO\tO' +p119460 +asS'Urinalysis was positive for protein .' +p119461 +(lp119462 +S'Urinalysis\tUrinalysis\tNN\tB-NP\tO' +p119463 +aS'was\tbe\tVBD\tB-VP\tO' +p119464 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p119465 +aS'for\tfor\tIN\tB-PP\tO' +p119466 +aS'protein\tprotein\tNN\tB-NP\tO' +p119467 +aS'.\t.\t.\tO\tO' +p119468 +asS'Patient to get CBC checked with PCP this week as below .' +p119469 +(lp119470 +S'Patient\tPatient\tNN\tB-NP\tO' +p119471 +aS'to\tto\tTO\tB-VP\tO' +p119472 +aS'get\tget\tVB\tI-VP\tO' +p119473 +aS'CBC\tCBC\tNN\tB-NP\tB-protein' +p119474 +aS'checked\tcheck\tVBN\tB-VP\tO' +p119475 +aS'with\twith\tIN\tB-PP\tO' +p119476 +aS'PCP\tPCP\tNN\tB-NP\tO' +p119477 +aS'this\tthis\tDT\tB-NP\tO' +p119478 +aS'week\tweek\tNN\tI-NP\tO' +p119479 +aS'as\tas\tIN\tB-PP\tO' +p119480 +aS'below\tbelow\tIN\tB-ADVP\tO' +p119481 +aS'.\t.\t.\tO\tO' +p119482 +asS'The patient remained afebrile , however , and his electrolytes were within normal limits .' +p119483 +(lp119484 +S'The\tThe\tDT\tB-NP\tO' +p119485 +aS'patient\tpatient\tNN\tI-NP\tO' +p119486 +aS'remained\tremain\tVBD\tB-VP\tO' +p119487 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p119488 +aS',\t,\t,\tO\tO' +p119489 +aS'however\thowever\tRB\tB-ADVP\tO' +p119490 +aS',\t,\t,\tO\tO' +p119491 +aS'and\tand\tCC\tO\tO' +p119492 +aS'his\this\tPRP$\tB-NP\tO' +p119493 +aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' +p119494 +aS'were\tbe\tVBD\tB-VP\tO' +p119495 +aS'within\twithin\tIN\tB-PP\tO' +p119496 +aS'normal\tnormal\tJJ\tB-NP\tO' +p119497 +aS'limits\tlimit\tNNS\tI-NP\tO' +p119498 +aS'.\t.\t.\tO\tO' +p119499 +asS'Cystoprostatectomy , bilateral inguinal hernia repair .' +p119500 +(lp119501 +S'Cystoprostatectomy\tCystoprostatectomy\tNN\tB-NP\tO' +p119502 +aS',\t,\t,\tO\tO' +p119503 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p119504 +aS'inguinal\tinguinal\tJJ\tI-NP\tO' +p119505 +aS'hernia\thernia\tNN\tI-NP\tO' +p119506 +aS'repair\trepair\tNN\tI-NP\tO' +p119507 +aS'.\t.\t.\tO\tO' +p119508 +asS'She has had an appendectomy and cholecystectomy .' +p119509 +(lp119510 +S'She\tShe\tPRP\tB-NP\tO' +p119511 +aS'has\thave\tVBZ\tB-VP\tO' +p119512 +aS'had\thave\tVBN\tI-VP\tO' +p119513 +aS'an\tan\tDT\tB-NP\tO' +p119514 +aS'appendectomy\tappendectomy\tNN\tI-NP\tO' +p119515 +aS'and\tand\tCC\tI-NP\tO' +p119516 +aS'cholecystectomy\tcholecystectomy\tNN\tI-NP\tO' +p119517 +aS'.\t.\t.\tO\tO' +p119518 +asS'Regular rate and rhythm , normal S1 , S2 , no murmurs , rubs , or gallops .' +p119519 +(lp119520 +S'Regular\tRegular\tJJ\tB-NP\tO' +p119521 +aS'rate\trate\tNN\tI-NP\tO' +p119522 +aS'and\tand\tCC\tI-NP\tO' +p119523 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p119524 +aS',\t,\t,\tO\tO' +p119525 +aS'normal\tnormal\tJJ\tB-NP\tO' +p119526 +aS'S1\tS1\tNN\tI-NP\tO' +p119527 +aS',\t,\t,\tO\tO' +p119528 +aS'S2\tS2\tNN\tB-NP\tB-protein' +p119529 +aS',\t,\t,\tO\tO' +p119530 +aS'no\tno\tDT\tB-NP\tO' +p119531 +aS'murmurs\tmurmur\tNNS\tI-NP\tO' +p119532 +aS',\t,\t,\tO\tO' +p119533 +aS'rubs\trub\tNNS\tB-NP\tO' +p119534 +aS',\t,\t,\tO\tO' +p119535 +aS'or\tor\tCC\tO\tO' +p119536 +aS'gallops\tgallop\tNNS\tB-NP\tO' +p119537 +aS'.\t.\t.\tO\tO' +p119538 +asS'He had an ecchymosis over the medial right costal margin and his abdomen was distended .' +p119539 +(lp119540 +S'He\tHe\tPRP\tB-NP\tO' +p119541 +aS'had\thave\tVBD\tB-VP\tO' +p119542 +aS'an\tan\tDT\tB-NP\tO' +p119543 +aS'ecchymosis\tecchymosis\tNN\tI-NP\tO' +p119544 +aS'over\tover\tIN\tB-PP\tO' +p119545 +aS'the\tthe\tDT\tB-NP\tO' +p119546 +aS'medial\tmedial\tJJ\tI-NP\tO' +p119547 +aS'right\tright\tJJ\tI-NP\tO' +p119548 +aS'costal\tcostal\tJJ\tI-NP\tO' +p119549 +aS'margin\tmargin\tNN\tI-NP\tO' +p119550 +aS'and\tand\tCC\tO\tO' +p119551 +aS'his\this\tPRP$\tB-NP\tO' +p119552 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p119553 +aS'was\tbe\tVBD\tB-VP\tO' +p119554 +aS'distended\tdistend\tVBN\tI-VP\tO' +p119555 +aS'.\t.\t.\tO\tO' +p119556 +asS'Right middle cerebral artery infarct .' +p119557 +(lp119558 +S'Right\tRight\tRB\tB-NP\tO' +p119559 +aS'middle\tmiddle\tJJ\tI-NP\tO' +p119560 +aS'cerebral\tcerebral\tJJ\tI-NP\tO' +p119561 +aS'artery\tartery\tNN\tI-NP\tO' +p119562 +aS'infarct\tinfarct\tNN\tI-NP\tO' +p119563 +aS'.\t.\t.\tO\tO' +p119564 +asS'Parents have been very involved and appropriate with infant and have eagerly learned to care for their baby .' +p119565 +(lp119566 +S'Parents\tParent\tNNS\tB-NP\tO' +p119567 +aS'have\thave\tVBP\tB-VP\tO' +p119568 +aS'been\tbe\tVBN\tI-VP\tO' +p119569 +aS'very\tvery\tRB\tB-ADJP\tO' +p119570 +aS'involved\tinvolved\tJJ\tI-ADJP\tO' +p119571 +aS'and\tand\tCC\tO\tO' +p119572 +aS'appropriate\tappropriate\tJJ\tB-ADJP\tO' +p119573 +aS'with\twith\tIN\tB-PP\tO' +p119574 +aS'infant\tinfant\tNN\tB-NP\tO' +p119575 +aS'and\tand\tCC\tO\tO' +p119576 +aS'have\thave\tVBP\tB-VP\tO' +p119577 +aS'eagerly\teagerly\tRB\tI-VP\tO' +p119578 +aS'learned\tlearn\tVBN\tI-VP\tO' +p119579 +aS'to\tto\tTO\tI-VP\tO' +p119580 +aS'care\tcare\tVB\tI-VP\tO' +p119581 +aS'for\tfor\tIN\tB-PP\tO' +p119582 +aS'their\ttheir\tPRP$\tB-NP\tO' +p119583 +aS'baby\tbaby\tNN\tI-NP\tO' +p119584 +aS'.\t.\t.\tO\tO' +p119585 +asS'A&O x3 .' +p119586 +(lp119587 +S'A&O\tA&O\tNN\tB-NP\tO' +p119588 +aS'x3\tx3\tNN\tI-NP\tO' +p119589 +aS'.\t.\t.\tO\tO' +p119590 +asS'Sensation was intact to pain and light touch .' +p119591 +(lp119592 +S'Sensation\tSensation\tNN\tB-NP\tO' +p119593 +aS'was\tbe\tVBD\tB-VP\tO' +p119594 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p119595 +aS'to\tto\tTO\tB-PP\tO' +p119596 +aS'pain\tpain\tNN\tB-NP\tO' +p119597 +aS'and\tand\tCC\tI-NP\tO' +p119598 +aS'light\tlight\tNN\tI-NP\tO' +p119599 +aS'touch\ttouch\tNN\tI-NP\tO' +p119600 +aS'.\t.\t.\tO\tO' +p119601 +asS'1. Metoprolol Tartrate 25 mg Tablet Sig : Three ( 3 ) Tablet PO BID ( 2 times a day ) .' +p119602 +(lp119603 +S'1.\t1.\tLS\tB-NP\tO' +p119604 +aS'Metoprolol\tMetoprolol\tNN\tI-NP\tO' +p119605 +aS'Tartrate\tTartrate\tNN\tI-NP\tO' +p119606 +aS'25\t25\tCD\tI-NP\tO' +p119607 +aS'mg\tmg\tNN\tI-NP\tO' +p119608 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p119609 +aS'Sig\tSig\tNNP\tI-NP\tO' +p119610 +aS':\t:\t:\tO\tO' +p119611 +aS'Three\tThree\tCD\tB-NP\tO' +p119612 +aS'(\t(\t(\tO\tO' +p119613 +aS'3\t3\tCD\tB-NP\tO' +p119614 +aS')\t)\t)\tO\tO' +p119615 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p119616 +aS'PO\tPO\tNN\tI-NP\tO' +p119617 +aS'BID\tBID\tNN\tI-NP\tO' +p119618 +aS'(\t(\t(\tO\tO' +p119619 +aS'2\t2\tCD\tB-NP\tO' +p119620 +aS'times\ttime\tNNS\tI-NP\tO' +p119621 +aS'a\ta\tDT\tB-NP\tO' +p119622 +aS'day\tday\tNN\tI-NP\tO' +p119623 +aS')\t)\t)\tO\tO' +p119624 +aS'.\t.\t.\tO\tO' +p119625 +asS'Cardiac examination demonstrated regular rate and rhythm , no murmurs , rubs , or gallops .' +p119626 +(lp119627 +S'Cardiac\tCardiac\tJJ\tB-NP\tO' +p119628 +aS'examination\texamination\tNN\tI-NP\tO' +p119629 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p119630 +aS'regular\tregular\tJJ\tB-NP\tO' +p119631 +aS'rate\trate\tNN\tI-NP\tO' +p119632 +aS'and\tand\tCC\tI-NP\tO' +p119633 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p119634 +aS',\t,\t,\tO\tO' +p119635 +aS'no\tno\tDT\tB-NP\tO' +p119636 +aS'murmurs\tmurmur\tNNS\tI-NP\tO' +p119637 +aS',\t,\t,\tO\tO' +p119638 +aS'rubs\trub\tNNS\tB-NP\tO' +p119639 +aS',\t,\t,\tO\tO' +p119640 +aS'or\tor\tCC\tO\tO' +p119641 +aS'gallops\tgallop\tNNS\tB-NP\tO' +p119642 +aS'.\t.\t.\tO\tO' +p119643 +asS'The patient has a history of critical aortic stenosis and mitral regurgitation .' +p119644 +(lp119645 +S'The\tThe\tDT\tB-NP\tO' +p119646 +aS'patient\tpatient\tNN\tI-NP\tO' +p119647 +aS'has\thave\tVBZ\tB-VP\tO' +p119648 +aS'a\ta\tDT\tB-NP\tO' +p119649 +aS'history\thistory\tNN\tI-NP\tO' +p119650 +aS'of\tof\tIN\tB-PP\tO' +p119651 +aS'critical\tcritical\tJJ\tB-NP\tO' +p119652 +aS'aortic\taortic\tJJ\tI-NP\tO' +p119653 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p119654 +aS'and\tand\tCC\tO\tO' +p119655 +aS'mitral\tmitral\tJJ\tB-NP\tO' +p119656 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p119657 +aS'.\t.\t.\tO\tO' +p119658 +asS'Right facial droop .' +p119659 +(lp119660 +S'Right\tRight\tRB\tB-NP\tO' +p119661 +aS'facial\tfacial\tJJ\tI-NP\tO' +p119662 +aS'droop\tdroop\tNN\tI-NP\tO' +p119663 +aS'.\t.\t.\tO\tO' +p119664 +asS'malignant fibrous histiocytoma of duodenum , metastases to liver , anemia .' +p119665 +(lp119666 +S'malignant\tmalignant\tJJ\tB-NP\tO' +p119667 +aS'fibrous\tfibrous\tJJ\tI-NP\tO' +p119668 +aS'histiocytoma\thistiocytoma\tNN\tI-NP\tO' +p119669 +aS'of\tof\tIN\tB-PP\tO' +p119670 +aS'duodenum\tduodenum\tNN\tB-NP\tO' +p119671 +aS',\t,\t,\tO\tO' +p119672 +aS'metastases\tmetastasis\tNNS\tB-NP\tO' +p119673 +aS'to\tto\tTO\tB-PP\tO' +p119674 +aS'liver\tliver\tNN\tB-NP\tO' +p119675 +aS',\t,\t,\tO\tO' +p119676 +aS'anemia\tanemia\tNN\tB-NP\tO' +p119677 +aS'.\t.\t.\tO\tO' +p119678 +asS'A panel of serum enzymes suggest normal hepatic function .' +p119679 +(lp119680 +S'A\tA\tDT\tB-NP\tO' +p119681 +aS'panel\tpanel\tNN\tI-NP\tO' +p119682 +aS'of\tof\tIN\tB-PP\tO' +p119683 +aS'serum\tserum\tNN\tB-NP\tB-protein' +p119684 +aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' +p119685 +aS'suggest\tsuggest\tVBP\tB-VP\tO' +p119686 +aS'normal\tnormal\tJJ\tB-NP\tO' +p119687 +aS'hepatic\thepatic\tJJ\tI-NP\tO' +p119688 +aS'function\tfunction\tNN\tI-NP\tO' +p119689 +aS'.\t.\t.\tO\tO' +p119690 +asS'A chest x-ray showed consolidation bilateral lyin the lower lobes .' +p119691 +(lp119692 +S'A\tA\tDT\tB-NP\tO' +p119693 +aS'chest\tchest\tNN\tI-NP\tO' +p119694 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p119695 +aS'showed\tshow\tVBD\tB-VP\tO' +p119696 +aS'consolidation\tconsolidation\tNN\tB-NP\tO' +p119697 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p119698 +aS'lyin\tlyin\tNN\tI-NP\tO' +p119699 +aS'the\tthe\tDT\tB-NP\tO' +p119700 +aS'lower\tlow\tJJR\tI-NP\tO' +p119701 +aS'lobes\tlobe\tNNS\tI-NP\tO' +p119702 +aS'.\t.\t.\tO\tO' +p119703 +asS'White blood cell count 12.8 ( 79% polys , 13% lymphocytes , 8 monocytes , nucleated RBCs 1% ),hematocrit 31.7 .' +p119704 +(lp119705 +S'White\tWhite\tJJ\tB-NP\tO' +p119706 +aS'blood\tblood\tNN\tI-NP\tO' +p119707 +aS'cell\tcell\tNN\tI-NP\tO' +p119708 +aS'count\tcount\tNN\tI-NP\tO' +p119709 +aS'12.8\t12.8\tCD\tI-NP\tO' +p119710 +aS'(\t(\t(\tO\tO' +p119711 +aS'79%\t79%\tCD\tB-NP\tO' +p119712 +aS'polys\tpoly\tNNS\tI-NP\tO' +p119713 +aS',\t,\t,\tO\tO' +p119714 +aS'13%\t13%\tNN\tB-NP\tO' +p119715 +aS'lymphocytes\tlymphocyte\tNNS\tI-NP\tO' +p119716 +aS',\t,\t,\tO\tO' +p119717 +aS'8\t8\tCD\tB-NP\tO' +p119718 +aS'monocytes\tmonocyte\tNNS\tI-NP\tB-cell_type' +p119719 +aS',\t,\t,\tO\tO' +p119720 +aS'nucleated\tnucleated\tJJ\tB-NP\tB-protein' +p119721 +aS'RBCs\tRBC\tNNS\tI-NP\tI-protein' +p119722 +aS'1%\t1%\tCD\tB-NP\tI-protein' +p119723 +aS'),hematocrit\t),hematocrit\tNN\tI-NP\tI-protein' +p119724 +aS'31.7\t31.7\tCD\tI-NP\tI-protein' +p119725 +aS'.\t.\t.\tO\tO' +p119726 +asS'1 . Coronary artery disease status post myocardial infarction in 2006 and 1997 and status post percutaneous transluminal coronary angioplasty times two .' +p119727 +(lp119728 +S'1\t1\tLS\tB-LST\tO' +p119729 +aS'.\t.\t.\tO\tO' +p119730 +aS'Coronary\tCoronary\tJJ\tB-NP\tO' +p119731 +aS'artery\tartery\tNN\tI-NP\tO' +p119732 +aS'disease\tdisease\tNN\tI-NP\tO' +p119733 +aS'status\tstatus\tNN\tI-NP\tO' +p119734 +aS'post\tpost\tNN\tI-NP\tO' +p119735 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p119736 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p119737 +aS'in\tin\tIN\tB-PP\tO' +p119738 +aS'2006\t2006\tCD\tB-NP\tO' +p119739 +aS'and\tand\tCC\tI-NP\tO' +p119740 +aS'1997\t1997\tCD\tI-NP\tO' +p119741 +aS'and\tand\tCC\tO\tO' +p119742 +aS'status\tstatus\tNN\tB-NP\tO' +p119743 +aS'post\tpost\tVBP\tB-VP\tO' +p119744 +aS'percutaneous\tpercutaneous\tJJ\tB-NP\tO' +p119745 +aS'transluminal\ttransluminal\tJJ\tI-NP\tO' +p119746 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p119747 +aS'angioplasty\tangioplasty\tJJ\tI-NP\tO' +p119748 +aS'times\ttime\tNNS\tI-NP\tO' +p119749 +aS'two\ttwo\tCD\tB-NP\tO' +p119750 +aS'.\t.\t.\tO\tO' +p119751 +asS'Attending : Luis JG Lavoie , M.D.' +p119752 +(lp119753 +S'Attending\tAttend\tVBG\tB-VP\tO' +p119754 +aS':\t:\t:\tO\tO' +p119755 +aS'Luis\tLuis\tNNP\tB-NP\tO' +p119756 +aS'JG\tJG\tNNP\tI-NP\tO' +p119757 +aS'Lavoie\tLavoie\tNNP\tI-NP\tO' +p119758 +aS',\t,\t,\tO\tO' +p119759 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p119760 +asS'Renal consultants did not feel there was an emergent need for dialysis .' +p119761 +(lp119762 +S'Renal\tRenal\tJJ\tB-NP\tO' +p119763 +aS'consultants\tconsultant\tNNS\tI-NP\tO' +p119764 +aS'did\tdo\tVBD\tB-VP\tO' +p119765 +aS'not\tnot\tRB\tI-VP\tO' +p119766 +aS'feel\tfeel\tVB\tI-VP\tO' +p119767 +aS'there\tthere\tEX\tB-NP\tO' +p119768 +aS'was\tbe\tVBD\tB-VP\tO' +p119769 +aS'an\tan\tDT\tB-NP\tO' +p119770 +aS'emergent\temergent\tJJ\tI-NP\tO' +p119771 +aS'need\tneed\tNN\tI-NP\tO' +p119772 +aS'for\tfor\tIN\tB-PP\tO' +p119773 +aS'dialysis\tdialysis\tNN\tB-NP\tO' +p119774 +aS'.\t.\t.\tO\tO' +p119775 +asS'Subtle decreased flow signal within the Sylvian branches of the left middle cerebral artery .' +p119776 +(lp119777 +S'Subtle\tSubtle\tNN\tB-NP\tO' +p119778 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p119779 +aS'flow\tflow\tNN\tB-NP\tO' +p119780 +aS'signal\tsignal\tNN\tI-NP\tO' +p119781 +aS'within\twithin\tIN\tB-PP\tO' +p119782 +aS'the\tthe\tDT\tB-NP\tO' +p119783 +aS'Sylvian\tSylvian\tJJ\tI-NP\tO' +p119784 +aS'branches\tbranch\tNNS\tI-NP\tO' +p119785 +aS'of\tof\tIN\tB-PP\tO' +p119786 +aS'the\tthe\tDT\tB-NP\tO' +p119787 +aS'left\tleft\tJJ\tI-NP\tO' +p119788 +aS'middle\tmiddle\tJJ\tI-NP\tO' +p119789 +aS'cerebral\tcerebral\tJJ\tI-NP\tO' +p119790 +aS'artery\tartery\tNN\tI-NP\tO' +p119791 +aS'.\t.\t.\tO\tO' +p119792 +asS'On the left she has a II+ femoral and II+ popliteal , no distal pulses beyond that .' +p119793 +(lp119794 +S'On\tOn\tIN\tB-PP\tO' +p119795 +aS'the\tthe\tDT\tB-NP\tO' +p119796 +aS'left\tleft\tNN\tI-NP\tO' +p119797 +aS'she\tshe\tPRP\tB-NP\tO' +p119798 +aS'has\thave\tVBZ\tB-VP\tO' +p119799 +aS'a\ta\tDT\tB-NP\tO' +p119800 +aS'II+\tII+\tJJ\tI-NP\tO' +p119801 +aS'femoral\tfemoral\tJJ\tI-NP\tO' +p119802 +aS'and\tand\tCC\tI-NP\tO' +p119803 +aS'II+\tII+\tJJ\tI-NP\tO' +p119804 +aS'popliteal\tpopliteal\tNN\tI-NP\tO' +p119805 +aS',\t,\t,\tO\tO' +p119806 +aS'no\tno\tDT\tB-NP\tO' +p119807 +aS'distal\tdistal\tJJ\tI-NP\tO' +p119808 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p119809 +aS'beyond\tbeyond\tIN\tB-PP\tO' +p119810 +aS'that\tthat\tDT\tB-NP\tO' +p119811 +aS'.\t.\t.\tO\tO' +p119812 +asS'lives with wife and daughters .' +p119813 +(lp119814 +S'lives\tlife\tNNS\tB-NP\tO' +p119815 +aS'with\twith\tIN\tB-PP\tO' +p119816 +aS'wife\twife\tNN\tB-NP\tO' +p119817 +aS'and\tand\tCC\tI-NP\tO' +p119818 +aS'daughters\tdaughter\tNNS\tI-NP\tO' +p119819 +aS'.\t.\t.\tO\tO' +p119820 +asS'The patient is to followup with Dr. Slaineaee Ganz and was discharged home in good condition .' +p119821 +(lp119822 +S'The\tThe\tDT\tB-NP\tO' +p119823 +aS'patient\tpatient\tNN\tI-NP\tO' +p119824 +aS'is\tbe\tVBZ\tB-VP\tO' +p119825 +aS'to\tto\tTO\tB-VP\tO' +p119826 +aS'followup\tfollowup\tVB\tI-VP\tO' +p119827 +aS'with\twith\tIN\tB-PP\tO' +p119828 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p119829 +aS'Slaineaee\tSlaineaee\tNNP\tI-NP\tO' +p119830 +aS'Ganz\tGanz\tNNP\tI-NP\tO' +p119831 +aS'and\tand\tCC\tO\tO' +p119832 +aS'was\tbe\tVBD\tB-VP\tO' +p119833 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p119834 +aS'home\thome\tNN\tB-ADVP\tO' +p119835 +aS'in\tin\tIN\tB-PP\tO' +p119836 +aS'good\tgood\tJJ\tB-NP\tO' +p119837 +aS'condition\tcondition\tNN\tI-NP\tO' +p119838 +aS'.\t.\t.\tO\tO' +p119839 +asS'He has 10 degrees of internal and external rotation .' +p119840 +(lp119841 +S'He\tHe\tPRP\tB-NP\tO' +p119842 +aS'has\thave\tVBZ\tB-VP\tO' +p119843 +aS'10\t10\tCD\tB-NP\tO' +p119844 +aS'degrees\tdegree\tNNS\tI-NP\tO' +p119845 +aS'of\tof\tIN\tB-PP\tO' +p119846 +aS'internal\tinternal\tJJ\tB-NP\tO' +p119847 +aS'and\tand\tCC\tI-NP\tO' +p119848 +aS'external\texternal\tJJ\tI-NP\tO' +p119849 +aS'rotation\trotation\tNN\tI-NP\tO' +p119850 +aS'.\t.\t.\tO\tO' +p119851 +asS'you will be contacted at home by the smoking cessation program' +p119852 +(lp119853 +S'you\tyou\tPRP\tB-NP\tO' +p119854 +aS'will\twill\tMD\tB-VP\tO' +p119855 +aS'be\tbe\tVB\tI-VP\tO' +p119856 +aS'contacted\tcontact\tVBN\tI-VP\tO' +p119857 +aS'at\tat\tIN\tB-PP\tO' +p119858 +aS'home\thome\tNN\tB-NP\tO' +p119859 +aS'by\tby\tIN\tB-PP\tO' +p119860 +aS'the\tthe\tDT\tB-NP\tO' +p119861 +aS'smoking\tsmoking\tNN\tI-NP\tO' +p119862 +aS'cessation\tcessation\tNN\tI-NP\tO' +p119863 +aS'program\tprogram\tNN\tI-NP\tO' +p119864 +asS'The patient has a history of exertional angina and chest pain associated with light-headedness for nine years which was noted to increase in frequency over the past year , then upon admission had light-headedness and chest pain with a dull pressure in her neck to her substernal area , with only minimal exertion such as " walking across the room " .' +p119865 +(lp119866 +S'The\tThe\tDT\tB-NP\tO' +p119867 +aS'patient\tpatient\tNN\tI-NP\tO' +p119868 +aS'has\thave\tVBZ\tB-VP\tO' +p119869 +aS'a\ta\tDT\tB-NP\tO' +p119870 +aS'history\thistory\tNN\tI-NP\tO' +p119871 +aS'of\tof\tIN\tB-PP\tO' +p119872 +aS'exertional\texertional\tJJ\tB-NP\tO' +p119873 +aS'angina\tangina\tNN\tI-NP\tO' +p119874 +aS'and\tand\tCC\tI-NP\tO' +p119875 +aS'chest\tchest\tNN\tI-NP\tO' +p119876 +aS'pain\tpain\tNN\tI-NP\tO' +p119877 +aS'associated\tassociate\tVBN\tB-VP\tO' +p119878 +aS'with\twith\tIN\tB-PP\tO' +p119879 +aS'light-headedness\tlight-headedness\tNN\tB-NP\tO' +p119880 +aS'for\tfor\tIN\tB-PP\tO' +p119881 +aS'nine\tnine\tCD\tB-NP\tO' +p119882 +aS'years\tyear\tNNS\tI-NP\tO' +p119883 +aS'which\twhich\tWDT\tB-NP\tO' +p119884 +aS'was\tbe\tVBD\tB-VP\tO' +p119885 +aS'noted\tnote\tVBN\tI-VP\tO' +p119886 +aS'to\tto\tTO\tI-VP\tO' +p119887 +aS'increase\tincrease\tVB\tI-VP\tO' +p119888 +aS'in\tin\tIN\tB-PP\tO' +p119889 +aS'frequency\tfrequency\tNN\tB-NP\tO' +p119890 +aS'over\tover\tIN\tB-PP\tO' +p119891 +aS'the\tthe\tDT\tB-NP\tO' +p119892 +aS'past\tpast\tJJ\tI-NP\tO' +p119893 +aS'year\tyear\tNN\tI-NP\tO' +p119894 +aS',\t,\t,\tO\tO' +p119895 +aS'then\tthen\tRB\tB-ADVP\tO' +p119896 +aS'upon\tupon\tIN\tB-PP\tO' +p119897 +aS'admission\tadmission\tNN\tB-NP\tO' +p119898 +aS'had\thave\tVBD\tB-VP\tO' +p119899 +aS'light-headedness\tlight-headedness\tNN\tB-NP\tO' +p119900 +aS'and\tand\tCC\tI-NP\tO' +p119901 +aS'chest\tchest\tNN\tI-NP\tO' +p119902 +aS'pain\tpain\tNN\tI-NP\tO' +p119903 +aS'with\twith\tIN\tB-PP\tO' +p119904 +aS'a\ta\tDT\tB-NP\tO' +p119905 +aS'dull\tdull\tJJ\tI-NP\tO' +p119906 +aS'pressure\tpressure\tNN\tI-NP\tO' +p119907 +aS'in\tin\tIN\tB-PP\tO' +p119908 +aS'her\ther\tPRP$\tB-NP\tO' +p119909 +aS'neck\tneck\tNN\tI-NP\tO' +p119910 +aS'to\tto\tTO\tB-PP\tO' +p119911 +aS'her\ther\tPRP$\tB-NP\tO' +p119912 +aS'substernal\tsubsternal\tJJ\tI-NP\tO' +p119913 +aS'area\tarea\tNN\tI-NP\tO' +p119914 +aS',\t,\t,\tO\tO' +p119915 +aS'with\twith\tIN\tB-PP\tO' +p119916 +aS'only\tonly\tRB\tB-NP\tO' +p119917 +aS'minimal\tminimal\tJJ\tI-NP\tO' +p119918 +aS'exertion\texertion\tNN\tI-NP\tO' +p119919 +aS'such\tsuch\tJJ\tB-PP\tO' +p119920 +aS'as\tas\tIN\tI-PP\tO' +p119921 +aS'"\t"\tNN\tB-NP\tO' +p119922 +aS'walking\twalk\tVBG\tB-VP\tO' +p119923 +aS'across\tacross\tIN\tB-PP\tO' +p119924 +aS'the\tthe\tDT\tB-NP\tO' +p119925 +aS'room\troom\tNN\tI-NP\tO' +p119926 +aS'"\t"\tNN\tI-NP\tO' +p119927 +aS'.\t.\t.\tO\tO' +p119928 +asS'UA showed no white blood cells , positive granular casts .' +p119929 +(lp119930 +S'UA\tUA\tNN\tB-NP\tO' +p119931 +aS'showed\tshow\tVBD\tB-VP\tO' +p119932 +aS'no\tno\tDT\tB-NP\tO' +p119933 +aS'white\twhite\tJJ\tI-NP\tB-cell_type' +p119934 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p119935 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p119936 +aS',\t,\t,\tO\tO' +p119937 +aS'positive\tpositive\tJJ\tB-NP\tO' +p119938 +aS'granular\tgranular\tJJ\tI-NP\tO' +p119939 +aS'casts\tcast\tNNS\tI-NP\tO' +p119940 +aS'.\t.\t.\tO\tO' +p119941 +asS'She was diuresed small amount .' +p119942 +(lp119943 +S'She\tShe\tPRP\tB-NP\tO' +p119944 +aS'was\tbe\tVBD\tB-VP\tO' +p119945 +aS'diuresed\tdiurese\tVBN\tI-VP\tO' +p119946 +aS'small\tsmall\tJJ\tB-NP\tO' +p119947 +aS'amount\tamount\tNN\tI-NP\tO' +p119948 +aS'.\t.\t.\tO\tO' +p119949 +asS'He also had a repeat chest CT which showed a question of recurrence of the thymoma .' +p119950 +(lp119951 +S'He\tHe\tPRP\tB-NP\tO' +p119952 +aS'also\talso\tRB\tB-ADVP\tO' +p119953 +aS'had\thave\tVBD\tB-VP\tO' +p119954 +aS'a\ta\tDT\tB-NP\tO' +p119955 +aS'repeat\trepeat\tNN\tI-NP\tO' +p119956 +aS'chest\tchest\tNN\tI-NP\tO' +p119957 +aS'CT\tCT\tNN\tI-NP\tO' +p119958 +aS'which\twhich\tWDT\tB-NP\tO' +p119959 +aS'showed\tshow\tVBD\tB-VP\tO' +p119960 +aS'a\ta\tDT\tB-NP\tO' +p119961 +aS'question\tquestion\tNN\tI-NP\tO' +p119962 +aS'of\tof\tIN\tB-PP\tO' +p119963 +aS'recurrence\trecurrence\tNN\tB-NP\tO' +p119964 +aS'of\tof\tIN\tB-PP\tO' +p119965 +aS'the\tthe\tDT\tB-NP\tO' +p119966 +aS'thymoma\tthymoma\tNN\tI-NP\tO' +p119967 +aS'.\t.\t.\tO\tO' +p119968 +asS'On hospital day number fourteen , electrolytes were sodium of 140 , potassium 3.9 , BUN of 11 , creatinine 1.3 with a blood sugar of 125 and a magnesium of 1.9 .' +p119969 +(lp119970 +S'On\tOn\tIN\tB-PP\tO' +p119971 +aS'hospital\thospital\tNN\tB-NP\tO' +p119972 +aS'day\tday\tNN\tI-NP\tO' +p119973 +aS'number\tnumber\tNN\tI-NP\tO' +p119974 +aS'fourteen\tfourteen\tCD\tI-NP\tO' +p119975 +aS',\t,\t,\tO\tO' +p119976 +aS'electrolytes\telectrolyte\tNNS\tB-NP\tO' +p119977 +aS'were\tbe\tVBD\tB-VP\tO' +p119978 +aS'sodium\tsodium\tNN\tB-NP\tO' +p119979 +aS'of\tof\tIN\tB-PP\tO' +p119980 +aS'140\t140\tCD\tB-NP\tO' +p119981 +aS',\t,\t,\tO\tO' +p119982 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p119983 +aS'3.9\t3.9\tCD\tI-NP\tO' +p119984 +aS',\t,\t,\tO\tO' +p119985 +aS'BUN\tBUN\tNN\tB-NP\tO' +p119986 +aS'of\tof\tIN\tB-PP\tO' +p119987 +aS'11\t11\tCD\tB-NP\tO' +p119988 +aS',\t,\t,\tO\tO' +p119989 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p119990 +aS'1.3\t1.3\tCD\tI-NP\tO' +p119991 +aS'with\twith\tIN\tB-PP\tO' +p119992 +aS'a\ta\tDT\tB-NP\tO' +p119993 +aS'blood\tblood\tNN\tI-NP\tO' +p119994 +aS'sugar\tsugar\tNN\tI-NP\tO' +p119995 +aS'of\tof\tIN\tB-PP\tO' +p119996 +aS'125\t125\tCD\tB-NP\tO' +p119997 +aS'and\tand\tCC\tO\tO' +p119998 +aS'a\ta\tDT\tB-NP\tO' +p119999 +aS'magnesium\tmagnesium\tNN\tI-NP\tO' +p120000 +aS'of\tof\tIN\tB-PP\tO' +p120001 +aS'1.9\t1.9\tCD\tB-NP\tO' +p120002 +aS'.\t.\t.\tO\tO' +p120003 +asS'The patient presented with a chief complaint of S / P FALL / WEAK .' +p120004 +(lp120005 +S'The\tThe\tDT\tB-NP\tO' +p120006 +aS'patient\tpatient\tNN\tI-NP\tO' +p120007 +aS'presented\tpresent\tVBD\tB-VP\tO' +p120008 +aS'with\twith\tIN\tB-PP\tO' +p120009 +aS'a\ta\tDT\tB-NP\tO' +p120010 +aS'chief\tchief\tJJ\tI-NP\tO' +p120011 +aS'complaint\tcomplaint\tNN\tI-NP\tO' +p120012 +aS'of\tof\tIN\tB-PP\tO' +p120013 +aS'S\tS\tNN\tB-NP\tB-protein' +p120014 +aS'/\t/\tSYM\tB-NP\tI-protein' +p120015 +aS'P\tP\tNN\tI-NP\tI-protein' +p120016 +aS'FALL\tFALL\tNN\tI-NP\tI-protein' +p120017 +aS'/\t/\tSYM\tB-NP\tI-protein' +p120018 +aS'WEAK\tWEAK\tNN\tI-NP\tI-protein' +p120019 +aS'.\t.\t.\tO\tO' +p120020 +asS'Severe necrotizing pancreatitis and diffuse peritonitis .' +p120021 +(lp120022 +S'Severe\tSevere\tJJ\tB-NP\tO' +p120023 +aS'necrotizing\tnecrotize\tVBG\tI-NP\tO' +p120024 +aS'pancreatitis\tpancreatitis\tNN\tI-NP\tO' +p120025 +aS'and\tand\tCC\tO\tO' +p120026 +aS'diffuse\tdiffuse\tJJ\tB-NP\tO' +p120027 +aS'peritonitis\tperitonitis\tNN\tI-NP\tO' +p120028 +aS'.\t.\t.\tO\tO' +p120029 +asS'The patient was initially treated with 48 hours of ampicillin and gentamicin until blood cultures were negative .' +p120030 +(lp120031 +S'The\tThe\tDT\tB-NP\tO' +p120032 +aS'patient\tpatient\tNN\tI-NP\tO' +p120033 +aS'was\tbe\tVBD\tB-VP\tO' +p120034 +aS'initially\tinitially\tRB\tI-VP\tO' +p120035 +aS'treated\ttreat\tVBN\tI-VP\tO' +p120036 +aS'with\twith\tIN\tB-PP\tO' +p120037 +aS'48\t48\tCD\tB-NP\tO' +p120038 +aS'hours\thour\tNNS\tI-NP\tO' +p120039 +aS'of\tof\tIN\tB-PP\tO' +p120040 +aS'ampicillin\tampicillin\tNN\tB-NP\tO' +p120041 +aS'and\tand\tCC\tI-NP\tO' +p120042 +aS'gentamicin\tgentamicin\tNN\tI-NP\tO' +p120043 +aS'until\tuntil\tIN\tB-PP\tO' +p120044 +aS'blood\tblood\tNN\tB-NP\tO' +p120045 +aS'cultures\tculture\tNNS\tI-NP\tO' +p120046 +aS'were\tbe\tVBD\tB-VP\tO' +p120047 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p120048 +aS'.\t.\t.\tO\tO' +p120049 +asS'The patient is a 59 year old gentleman who experienced a flash burn from grease while working on a stove on the night prior to admission .' +p120050 +(lp120051 +S'The\tThe\tDT\tB-NP\tO' +p120052 +aS'patient\tpatient\tNN\tI-NP\tO' +p120053 +aS'is\tbe\tVBZ\tB-VP\tO' +p120054 +aS'a\ta\tDT\tB-NP\tO' +p120055 +aS'59\t59\tCD\tI-NP\tO' +p120056 +aS'year\tyear\tNN\tI-NP\tO' +p120057 +aS'old\told\tJJ\tI-NP\tO' +p120058 +aS'gentleman\tgentleman\tNN\tI-NP\tO' +p120059 +aS'who\twho\tWP\tB-NP\tO' +p120060 +aS'experienced\texperience\tVBD\tB-VP\tO' +p120061 +aS'a\ta\tDT\tB-NP\tO' +p120062 +aS'flash\tflash\tNN\tI-NP\tO' +p120063 +aS'burn\tburn\tNN\tI-NP\tO' +p120064 +aS'from\tfrom\tIN\tB-PP\tO' +p120065 +aS'grease\tgrease\tNN\tB-NP\tO' +p120066 +aS'while\twhile\tIN\tB-SBAR\tO' +p120067 +aS'working\twork\tVBG\tB-VP\tO' +p120068 +aS'on\ton\tIN\tB-PP\tO' +p120069 +aS'a\ta\tDT\tB-NP\tO' +p120070 +aS'stove\tstove\tNN\tI-NP\tO' +p120071 +aS'on\ton\tIN\tB-PP\tO' +p120072 +aS'the\tthe\tDT\tB-NP\tO' +p120073 +aS'night\tnight\tNN\tI-NP\tO' +p120074 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p120075 +aS'to\tto\tTO\tB-PP\tO' +p120076 +aS'admission\tadmission\tNN\tB-NP\tO' +p120077 +aS'.\t.\t.\tO\tO' +p120078 +asS'She will be discharged on Lisinopril with further titration as an outpatient .' +p120079 +(lp120080 +S'She\tShe\tPRP\tB-NP\tO' +p120081 +aS'will\twill\tMD\tB-VP\tO' +p120082 +aS'be\tbe\tVB\tI-VP\tO' +p120083 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p120084 +aS'on\ton\tIN\tB-PP\tO' +p120085 +aS'Lisinopril\tLisinopril\tNNP\tB-NP\tO' +p120086 +aS'with\twith\tIN\tB-PP\tO' +p120087 +aS'further\tfurther\tJJ\tB-NP\tO' +p120088 +aS'titration\ttitration\tNN\tI-NP\tO' +p120089 +aS'as\tas\tIN\tB-PP\tO' +p120090 +aS'an\tan\tDT\tB-NP\tO' +p120091 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p120092 +aS'.\t.\t.\tO\tO' +p120093 +asS'Per Dr. John C. Corrigan Mental Health Center , patient remained ventilator dependent , intermittently on PS 20/5 and back on AC 15/5/500/0.35 on 08-08 .' +p120094 +(lp120095 +S'Per\tPer\tNNP\tB-NP\tO' +p120096 +aS'Dr.\tDr.\tNNP\tI-NP\tO' +p120097 +aS'John\tJohn\tNNP\tI-NP\tO' +p120098 +aS'C.\tC.\tNNP\tI-NP\tO' +p120099 +aS'Corrigan\tCorrigan\tNNP\tI-NP\tO' +p120100 +aS'Mental\tMental\tNNP\tI-NP\tO' +p120101 +aS'Health\tHealth\tNNP\tI-NP\tO' +p120102 +aS'Center\tCenter\tNNP\tI-NP\tO' +p120103 +aS',\t,\t,\tO\tO' +p120104 +aS'patient\tpatient\tNN\tB-NP\tO' +p120105 +aS'remained\tremain\tVBD\tB-VP\tO' +p120106 +aS'ventilator\tventilator\tNN\tB-NP\tO' +p120107 +aS'dependent\tdependent\tJJ\tI-NP\tO' +p120108 +aS',\t,\t,\tO\tO' +p120109 +aS'intermittently\tintermittently\tRB\tB-ADVP\tO' +p120110 +aS'on\ton\tIN\tB-PP\tO' +p120111 +aS'PS\tPS\tNNP\tB-NP\tO' +p120112 +aS'20/5\t20/5\tCD\tI-NP\tO' +p120113 +aS'and\tand\tCC\tO\tO' +p120114 +aS'back\tback\tRB\tB-ADVP\tO' +p120115 +aS'on\ton\tIN\tB-PP\tO' +p120116 +aS'AC\tAC\tNN\tB-NP\tB-DNA' +p120117 +aS'15/5/500/0.35\t15/5/500/0.35\tCD\tI-NP\tI-DNA' +p120118 +aS'on\ton\tIN\tB-PP\tO' +p120119 +aS'08-08\t08-08\tCD\tB-NP\tO' +p120120 +aS'.\t.\t.\tO\tO' +p120121 +asS'1. Respiratory - Gerardo was initially placed in nasal cannula oxygen to maintain oxygen saturation greater than 94 .' +p120122 +(lp120123 +S'1.\t1.\tLS\tB-NP\tO' +p120124 +aS'Respiratory\tRespiratory\tNNP\tI-NP\tO' +p120125 +aS'-\t-\tHYPH\tO\tO' +p120126 +aS'Gerardo\tGerardo\tNNP\tB-NP\tO' +p120127 +aS'was\tbe\tVBD\tB-VP\tO' +p120128 +aS'initially\tinitially\tRB\tI-VP\tO' +p120129 +aS'placed\tplace\tVBN\tI-VP\tO' +p120130 +aS'in\tin\tIN\tB-PP\tO' +p120131 +aS'nasal\tnasal\tJJ\tB-NP\tO' +p120132 +aS'cannula\tcannula\tNN\tI-NP\tO' +p120133 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p120134 +aS'to\tto\tTO\tB-VP\tO' +p120135 +aS'maintain\tmaintain\tVB\tI-VP\tO' +p120136 +aS'oxygen\toxygen\tNN\tB-NP\tO' +p120137 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p120138 +aS'greater\tgreat\tJJR\tB-ADJP\tO' +p120139 +aS'than\tthan\tIN\tB-PP\tO' +p120140 +aS'94\t94\tCD\tB-NP\tO' +p120141 +aS'.\t.\t.\tO\tO' +p120142 +asS'- Vancomycin 1.5 gm q 12 hours' +p120143 +(lp120144 +S'-\t-\tHYPH\tB-NP\tO' +p120145 +aS'Vancomycin\tVancomycin\tNN\tI-NP\tO' +p120146 +aS'1.5\t1.5\tCD\tI-NP\tO' +p120147 +aS'gm\tgm\tNN\tI-NP\tO' +p120148 +aS'q\tq\tNN\tI-NP\tO' +p120149 +aS'12\t12\tCD\tB-NP\tO' +p120150 +aS'hours\thour\tNNS\tI-NP\tO' +p120151 +asS'Overall , the pt maintained good BP throughout and was on pressors only briefly .' +p120152 +(lp120153 +S'Overall\tOverall\tRB\tB-ADVP\tO' +p120154 +aS',\t,\t,\tO\tO' +p120155 +aS'the\tthe\tDT\tB-NP\tO' +p120156 +aS'pt\tpt\tNN\tI-NP\tO' +p120157 +aS'maintained\tmaintain\tVBD\tB-VP\tO' +p120158 +aS'good\tgood\tJJ\tB-NP\tO' +p120159 +aS'BP\tBP\tNN\tI-NP\tO' +p120160 +aS'throughout\tthroughout\tIN\tB-ADVP\tO' +p120161 +aS'and\tand\tCC\tO\tO' +p120162 +aS'was\tbe\tVBD\tB-VP\tO' +p120163 +aS'on\ton\tIN\tB-PP\tO' +p120164 +aS'pressors\tpressor\tNNS\tB-NP\tO' +p120165 +aS'only\tonly\tRB\tB-ADVP\tO' +p120166 +aS'briefly\tbriefly\tRB\tI-ADVP\tO' +p120167 +aS'.\t.\t.\tO\tO' +p120168 +asS"Once she began to take PO 's , the insulin drip was stopped and patient was started on glargine with a humalog sliding scale ." +p120169 +(lp120170 +S'Once\tOnce\tRB\tO\tO' +p120171 +aS'she\tshe\tPRP\tB-NP\tO' +p120172 +aS'began\tbegin\tVBD\tB-VP\tO' +p120173 +aS'to\tto\tTO\tI-VP\tO' +p120174 +aS'take\ttake\tVB\tI-VP\tO' +p120175 +aS'PO\tPO\tNNP\tB-NP\tO' +p120176 +aS"'s\t's\tPOS\tB-NP\tO" +p120177 +aS',\t,\t,\tO\tO' +p120178 +aS'the\tthe\tDT\tB-NP\tO' +p120179 +aS'insulin\tinsulin\tNN\tI-NP\tB-protein' +p120180 +aS'drip\tdrip\tNN\tI-NP\tI-protein' +p120181 +aS'was\tbe\tVBD\tB-VP\tO' +p120182 +aS'stopped\tstop\tVBN\tI-VP\tO' +p120183 +aS'and\tand\tCC\tO\tO' +p120184 +aS'patient\tpatient\tNN\tB-NP\tO' +p120185 +aS'was\tbe\tVBD\tB-VP\tO' +p120186 +aS'started\tstart\tVBN\tI-VP\tO' +p120187 +aS'on\ton\tIN\tB-PP\tO' +p120188 +aS'glargine\tglargine\tNN\tB-NP\tO' +p120189 +aS'with\twith\tIN\tB-PP\tO' +p120190 +aS'a\ta\tDT\tB-NP\tO' +p120191 +aS'humalog\thumalog\tNN\tI-NP\tO' +p120192 +aS'sliding\tslide\tVBG\tB-VP\tO' +p120193 +aS'scale\tscale\tNN\tB-NP\tO' +p120194 +aS'.\t.\t.\tO\tO' +p120195 +asS'The patient is a 39 year-old gentleman admitted on 2009-05-01 to the Jewish Memorial Hospital referred from South Cove Community Health Center .' +p120196 +(lp120197 +S'The\tThe\tDT\tB-NP\tO' +p120198 +aS'patient\tpatient\tNN\tI-NP\tO' +p120199 +aS'is\tbe\tVBZ\tB-VP\tO' +p120200 +aS'a\ta\tDT\tB-NP\tO' +p120201 +aS'39\t39\tCD\tI-NP\tO' +p120202 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p120203 +aS'gentleman\tgentleman\tNN\tI-NP\tO' +p120204 +aS'admitted\tadmit\tVBN\tB-VP\tO' +p120205 +aS'on\ton\tIN\tB-PP\tO' +p120206 +aS'2009-05-01\t2009-05-01\tCD\tB-NP\tO' +p120207 +aS'to\tto\tTO\tB-PP\tO' +p120208 +aS'the\tthe\tDT\tB-NP\tO' +p120209 +aS'Jewish\tJewish\tNNP\tI-NP\tO' +p120210 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p120211 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p120212 +aS'referred\trefer\tVBD\tB-VP\tO' +p120213 +aS'from\tfrom\tIN\tB-PP\tO' +p120214 +aS'South\tSouth\tNNP\tB-NP\tO' +p120215 +aS'Cove\tCove\tNNP\tI-NP\tO' +p120216 +aS'Community\tCommunity\tNNP\tI-NP\tO' +p120217 +aS'Health\tHealth\tNNP\tI-NP\tO' +p120218 +aS'Center\tCenter\tNNP\tI-NP\tO' +p120219 +aS'.\t.\t.\tO\tO' +p120220 +asS'The procedure could not be scheduled during this admission .' +p120221 +(lp120222 +S'The\tThe\tDT\tB-NP\tO' +p120223 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p120224 +aS'could\tcould\tMD\tB-VP\tO' +p120225 +aS'not\tnot\tRB\tI-VP\tO' +p120226 +aS'be\tbe\tVB\tI-VP\tO' +p120227 +aS'scheduled\tschedule\tVBN\tI-VP\tO' +p120228 +aS'during\tduring\tIN\tB-PP\tO' +p120229 +aS'this\tthis\tDT\tB-NP\tO' +p120230 +aS'admission\tadmission\tNN\tI-NP\tO' +p120231 +aS'.\t.\t.\tO\tO' +p120232 +asS'4. Subcutaneous heparin taken 5000 units twice a day .' +p120233 +(lp120234 +S'4.\t4.\tLS\tB-NP\tO' +p120235 +aS'Subcutaneous\tSubcutaneous\tJJ\tI-NP\tO' +p120236 +aS'heparin\theparin\tNN\tI-NP\tO' +p120237 +aS'taken\ttake\tVBN\tB-VP\tO' +p120238 +aS'5000\t5000\tCD\tB-NP\tO' +p120239 +aS'units\tunit\tNNS\tI-NP\tO' +p120240 +aS'twice\ttwice\tRB\tB-NP\tO' +p120241 +aS'a\ta\tDT\tI-NP\tO' +p120242 +aS'day\tday\tNN\tI-NP\tO' +p120243 +aS'.\t.\t.\tO\tO' +p120244 +asS'Serum chemistries revealed a sodium of 135, potassium 4.0 , chloride 102 , bicarbonate 26 , BUN 29 , creatinine 1.6 , and glucose of 111 .' +p120245 +(lp120246 +S'Serum\tSerum\tNN\tB-NP\tO' +p120247 +aS'chemistries\tchemistry\tNNS\tI-NP\tO' +p120248 +aS'revealed\treveal\tVBD\tB-VP\tO' +p120249 +aS'a\ta\tDT\tB-NP\tO' +p120250 +aS'sodium\tsodium\tNN\tI-NP\tO' +p120251 +aS'of\tof\tIN\tB-PP\tO' +p120252 +aS'135,\t135,\tCD\tB-NP\tO' +p120253 +aS'potassium\tpotassium\tNN\tI-NP\tO' +p120254 +aS'4.0\t4.0\tCD\tB-NP\tO' +p120255 +aS',\t,\t,\tO\tO' +p120256 +aS'chloride\tchloride\tNN\tB-NP\tO' +p120257 +aS'102\t102\tCD\tI-NP\tO' +p120258 +aS',\t,\t,\tO\tO' +p120259 +aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' +p120260 +aS'26\t26\tCD\tI-NP\tO' +p120261 +aS',\t,\t,\tO\tO' +p120262 +aS'BUN\tBUN\tNN\tB-NP\tB-DNA' +p120263 +aS'29\t29\tCD\tI-NP\tI-DNA' +p120264 +aS',\t,\t,\tO\tO' +p120265 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p120266 +aS'1.6\t1.6\tCD\tI-NP\tO' +p120267 +aS',\t,\t,\tO\tO' +p120268 +aS'and\tand\tCC\tO\tO' +p120269 +aS'glucose\tglucose\tNN\tB-NP\tO' +p120270 +aS'of\tof\tIN\tB-PP\tO' +p120271 +aS'111\t111\tCD\tB-NP\tO' +p120272 +aS'.\t.\t.\tO\tO' +p120273 +asS'Pupils were equal , round , and reactive to light , extraocular muscles were intact , and no lymphadenopathy .' +p120274 +(lp120275 +S'Pupils\tPupil\tNNS\tB-NP\tO' +p120276 +aS'were\tbe\tVBD\tB-VP\tO' +p120277 +aS'equal\tequal\tJJ\tB-ADJP\tO' +p120278 +aS',\t,\t,\tO\tO' +p120279 +aS'round\tround\tJJ\tB-ADJP\tO' +p120280 +aS',\t,\t,\tO\tO' +p120281 +aS'and\tand\tCC\tO\tO' +p120282 +aS'reactive\treactive\tJJ\tB-ADJP\tO' +p120283 +aS'to\tto\tTO\tB-PP\tO' +p120284 +aS'light\tlight\tJJ\tB-NP\tO' +p120285 +aS',\t,\t,\tI-NP\tO' +p120286 +aS'extraocular\textraocular\tJJ\tI-NP\tO' +p120287 +aS'muscles\tmuscle\tNNS\tI-NP\tO' +p120288 +aS'were\tbe\tVBD\tB-VP\tO' +p120289 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p120290 +aS',\t,\t,\tO\tO' +p120291 +aS'and\tand\tCC\tO\tO' +p120292 +aS'no\tno\tDT\tB-NP\tO' +p120293 +aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' +p120294 +aS'.\t.\t.\tO\tO' +p120295 +asS'The aspirin was discontinued and he had no further problems with gastrointestinal bleeding and a stable hematocrit the rest of his hospitalization .' +p120296 +(lp120297 +S'The\tThe\tDT\tB-NP\tO' +p120298 +aS'aspirin\taspirin\tNN\tI-NP\tO' +p120299 +aS'was\tbe\tVBD\tB-VP\tO' +p120300 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p120301 +aS'and\tand\tCC\tO\tO' +p120302 +aS'he\the\tPRP\tB-NP\tO' +p120303 +aS'had\thave\tVBD\tB-VP\tO' +p120304 +aS'no\tno\tDT\tB-NP\tO' +p120305 +aS'further\tfurther\tJJ\tI-NP\tO' +p120306 +aS'problems\tproblem\tNNS\tI-NP\tO' +p120307 +aS'with\twith\tIN\tB-PP\tO' +p120308 +aS'gastrointestinal\tgastrointestinal\tJJ\tB-NP\tO' +p120309 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p120310 +aS'and\tand\tCC\tO\tO' +p120311 +aS'a\ta\tDT\tB-NP\tO' +p120312 +aS'stable\tstable\tJJ\tI-NP\tO' +p120313 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p120314 +aS'the\tthe\tDT\tB-NP\tO' +p120315 +aS'rest\trest\tNN\tI-NP\tO' +p120316 +aS'of\tof\tIN\tB-PP\tO' +p120317 +aS'his\this\tPRP$\tB-NP\tO' +p120318 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p120319 +aS'.\t.\t.\tO\tO' +p120320 +asS'Given her fevers and shortness of breath the patient was treated with broad spectrum antibiotics initially started on Ceptaz , Levaquin and __________ and Clindamycin .' +p120321 +(lp120322 +S'Given\tGive\tVBN\tB-PP\tO' +p120323 +aS'her\ther\tPRP$\tB-NP\tO' +p120324 +aS'fevers\tfever\tNNS\tI-NP\tO' +p120325 +aS'and\tand\tCC\tI-NP\tO' +p120326 +aS'shortness\tshortness\tNN\tI-NP\tO' +p120327 +aS'of\tof\tIN\tB-PP\tO' +p120328 +aS'breath\tbreath\tNN\tB-NP\tO' +p120329 +aS'the\tthe\tDT\tB-NP\tO' +p120330 +aS'patient\tpatient\tNN\tI-NP\tO' +p120331 +aS'was\tbe\tVBD\tB-VP\tO' +p120332 +aS'treated\ttreat\tVBN\tI-VP\tO' +p120333 +aS'with\twith\tIN\tB-PP\tO' +p120334 +aS'broad\tbroad\tJJ\tB-NP\tO' +p120335 +aS'spectrum\tspectrum\tNN\tI-NP\tO' +p120336 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p120337 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p120338 +aS'started\tstart\tVBD\tB-VP\tO' +p120339 +aS'on\ton\tIN\tB-PP\tO' +p120340 +aS'Ceptaz\tCeptaz\tNN\tB-NP\tO' +p120341 +aS',\t,\t,\tO\tO' +p120342 +aS'Levaquin\tLevaquin\tNN\tB-NP\tO' +p120343 +aS'and\tand\tCC\tO\tO' +p120344 +aS'__________\t__________\tNN\tB-NP\tO' +p120345 +aS'and\tand\tCC\tI-NP\tO' +p120346 +aS'Clindamycin\tClindamycin\tNN\tI-NP\tO' +p120347 +aS'.\t.\t.\tO\tO' +p120348 +asS'Follow up appointment with Die Anoort and Tomedankell Care on 11/18/00 at 9:30 a.m. ( one day after discharge ) .' +p120349 +(lp120350 +S'Follow\tFollow\tVB\tB-VP\tO' +p120351 +aS'up\tup\tRP\tB-PRT\tO' +p120352 +aS'appointment\tappointment\tNN\tB-NP\tO' +p120353 +aS'with\twith\tIN\tB-PP\tO' +p120354 +aS'Die\tDie\tNNP\tB-NP\tO' +p120355 +aS'Anoort\tAnoort\tNNP\tI-NP\tO' +p120356 +aS'and\tand\tCC\tO\tO' +p120357 +aS'Tomedankell\tTomedankell\tNNP\tB-NP\tO' +p120358 +aS'Care\tCare\tNNP\tI-NP\tO' +p120359 +aS'on\ton\tIN\tB-PP\tO' +p120360 +aS'11/18/00\t11/18/00\tCD\tB-NP\tO' +p120361 +aS'at\tat\tIN\tB-PP\tO' +p120362 +aS'9:30\t9:30\tCD\tB-NP\tO' +p120363 +aS'a.m.\ta.m.\tRB\tI-NP\tO' +p120364 +aS'(\t(\t(\tO\tO' +p120365 +aS'one\tone\tCD\tB-NP\tO' +p120366 +aS'day\tday\tNN\tI-NP\tO' +p120367 +aS'after\tafter\tIN\tB-PP\tO' +p120368 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p120369 +aS')\t)\t)\tO\tO' +p120370 +aS'.\t.\t.\tO\tO' +p120371 +asS'A stat panel 7 confirmed that the sugar was 23 and that he had a new anion gap of 40 .' +p120372 +(lp120373 +S'A\tA\tDT\tB-NP\tO' +p120374 +aS'stat\tstat\tNN\tI-NP\tB-protein' +p120375 +aS'panel\tpanel\tNN\tI-NP\tI-protein' +p120376 +aS'7\t7\tCD\tI-NP\tI-protein' +p120377 +aS'confirmed\tconfirm\tVBD\tB-VP\tO' +p120378 +aS'that\tthat\tIN\tB-SBAR\tO' +p120379 +aS'the\tthe\tDT\tB-NP\tO' +p120380 +aS'sugar\tsugar\tNN\tI-NP\tO' +p120381 +aS'was\tbe\tVBD\tB-VP\tO' +p120382 +aS'23\t23\tCD\tB-NP\tO' +p120383 +aS'and\tand\tCC\tO\tO' +p120384 +aS'that\tthat\tIN\tB-SBAR\tO' +p120385 +aS'he\the\tPRP\tB-NP\tO' +p120386 +aS'had\thave\tVBD\tB-VP\tO' +p120387 +aS'a\ta\tDT\tB-NP\tO' +p120388 +aS'new\tnew\tJJ\tI-NP\tO' +p120389 +aS'anion\tanion\tNN\tI-NP\tO' +p120390 +aS'gap\tgap\tNN\tI-NP\tO' +p120391 +aS'of\tof\tIN\tB-PP\tO' +p120392 +aS'40\t40\tCD\tB-NP\tO' +p120393 +aS'.\t.\t.\tO\tO' +p120394 +asS'The ultrasound showed biliary sludge and swelling of the body and tail of the pancreas .' +p120395 +(lp120396 +S'The\tThe\tDT\tB-NP\tO' +p120397 +aS'ultrasound\tultrasound\tNN\tI-NP\tO' +p120398 +aS'showed\tshow\tVBD\tB-VP\tO' +p120399 +aS'biliary\tbiliary\tJJ\tB-NP\tO' +p120400 +aS'sludge\tsludge\tNN\tI-NP\tO' +p120401 +aS'and\tand\tCC\tI-NP\tO' +p120402 +aS'swelling\tswelling\tNN\tI-NP\tO' +p120403 +aS'of\tof\tIN\tB-PP\tO' +p120404 +aS'the\tthe\tDT\tB-NP\tO' +p120405 +aS'body\tbody\tNN\tI-NP\tO' +p120406 +aS'and\tand\tCC\tI-NP\tO' +p120407 +aS'tail\ttail\tNN\tI-NP\tO' +p120408 +aS'of\tof\tIN\tB-PP\tO' +p120409 +aS'the\tthe\tDT\tB-NP\tO' +p120410 +aS'pancreas\tpancreas\tNN\tI-NP\tO' +p120411 +aS'.\t.\t.\tO\tO' +p120412 +asS'head CT at Erich Lindemann Mental Health Center 05-24 : atrophy , dense calcification of the tentorium , most likely of metabolic etiology' +p120413 +(lp120414 +S'head\thead\tNN\tB-NP\tO' +p120415 +aS'CT\tCT\tNN\tI-NP\tO' +p120416 +aS'at\tat\tIN\tB-PP\tO' +p120417 +aS'Erich\tErich\tNNP\tB-NP\tO' +p120418 +aS'Lindemann\tLindemann\tNNP\tI-NP\tO' +p120419 +aS'Mental\tMental\tNNP\tI-NP\tO' +p120420 +aS'Health\tHealth\tNNP\tI-NP\tO' +p120421 +aS'Center\tCenter\tNNP\tI-NP\tO' +p120422 +aS'05-24\t05-24\tCD\tI-NP\tO' +p120423 +aS':\t:\t:\tO\tO' +p120424 +aS'atrophy\tatrophy\tNN\tB-NP\tO' +p120425 +aS',\t,\t,\tO\tO' +p120426 +aS'dense\tdense\tJJ\tB-NP\tO' +p120427 +aS'calcification\tcalcification\tNN\tI-NP\tO' +p120428 +aS'of\tof\tIN\tB-PP\tO' +p120429 +aS'the\tthe\tDT\tB-NP\tO' +p120430 +aS'tentorium\ttentorium\tNN\tI-NP\tO' +p120431 +aS',\t,\t,\tO\tO' +p120432 +aS'most\tmost\tRBS\tB-ADVP\tO' +p120433 +aS'likely\tlikely\tRB\tI-ADVP\tO' +p120434 +aS'of\tof\tIN\tB-PP\tO' +p120435 +aS'metabolic\tmetabolic\tJJ\tB-NP\tO' +p120436 +aS'etiology\tetiology\tNN\tI-NP\tO' +p120437 +asS'Cardiovascular examination revealed regular rate and rhythm .' +p120438 +(lp120439 +S'Cardiovascular\tCardiovascular\tJJ\tB-NP\tO' +p120440 +aS'examination\texamination\tNN\tI-NP\tO' +p120441 +aS'revealed\treveal\tVBD\tB-VP\tO' +p120442 +aS'regular\tregular\tJJ\tB-NP\tO' +p120443 +aS'rate\trate\tNN\tI-NP\tO' +p120444 +aS'and\tand\tCC\tI-NP\tO' +p120445 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p120446 +aS'.\t.\t.\tO\tO' +p120447 +asS'It is possible that the patient is self medicating for underlying psychiatric disorder .' +p120448 +(lp120449 +S'It\tIt\tPRP\tB-NP\tO' +p120450 +aS'is\tbe\tVBZ\tB-VP\tO' +p120451 +aS'possible\tpossible\tJJ\tB-ADJP\tO' +p120452 +aS'that\tthat\tIN\tB-SBAR\tO' +p120453 +aS'the\tthe\tDT\tB-NP\tO' +p120454 +aS'patient\tpatient\tNN\tI-NP\tO' +p120455 +aS'is\tbe\tVBZ\tB-VP\tO' +p120456 +aS'self\tself\tPRP\tB-NP\tO' +p120457 +aS'medicating\tmedicate\tVBG\tB-VP\tO' +p120458 +aS'for\tfor\tIN\tB-PP\tO' +p120459 +aS'underlying\tunderlie\tVBG\tB-VP\tO' +p120460 +aS'psychiatric\tpsychiatric\tJJ\tB-NP\tO' +p120461 +aS'disorder\tdisorder\tNN\tI-NP\tO' +p120462 +aS'.\t.\t.\tO\tO' +p120463 +asS'We will consult addiction service in the a.m.' +p120464 +(lp120465 +S'We\tWe\tPRP\tB-NP\tO' +p120466 +aS'will\twill\tMD\tB-VP\tO' +p120467 +aS'consult\tconsult\tVB\tI-VP\tO' +p120468 +aS'addiction\taddiction\tNN\tB-NP\tO' +p120469 +aS'service\tservice\tNN\tI-NP\tO' +p120470 +aS'in\tin\tIN\tB-PP\tO' +p120471 +aS'the\tthe\tDT\tB-NP\tO' +p120472 +aS'a.m.\ta.m.\tNN\tI-NP\tO' +p120473 +asS'His laboratories were checked and his hematocrit was noted to be stable .' +p120474 +(lp120475 +S'His\tHis\tPRP$\tB-NP\tO' +p120476 +aS'laboratories\tlaboratory\tNNS\tI-NP\tO' +p120477 +aS'were\tbe\tVBD\tB-VP\tO' +p120478 +aS'checked\tcheck\tVBN\tI-VP\tO' +p120479 +aS'and\tand\tCC\tO\tO' +p120480 +aS'his\this\tPRP$\tB-NP\tO' +p120481 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p120482 +aS'was\tbe\tVBD\tB-VP\tO' +p120483 +aS'noted\tnote\tVBN\tI-VP\tO' +p120484 +aS'to\tto\tTO\tI-VP\tO' +p120485 +aS'be\tbe\tVB\tI-VP\tO' +p120486 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p120487 +aS'.\t.\t.\tO\tO' +p120488 +asS'The pupils equal , round , reactive to light .' +p120489 +(lp120490 +S'The\tThe\tDT\tB-NP\tO' +p120491 +aS'pupils\tpupil\tNNS\tI-NP\tO' +p120492 +aS'equal\tequal\tJJ\tB-NP\tO' +p120493 +aS',\t,\t,\tI-NP\tO' +p120494 +aS'round\tround\tJJ\tI-NP\tO' +p120495 +aS',\t,\t,\tI-NP\tO' +p120496 +aS'reactive\treactive\tJJ\tI-NP\tO' +p120497 +aS'to\tto\tTO\tB-PP\tO' +p120498 +aS'light\tlight\tNN\tB-NP\tO' +p120499 +aS'.\t.\t.\tO\tO' +p120500 +asS'Showed regular rate and rhythm without murmurs , rubs , or gallops .' +p120501 +(lp120502 +S'Showed\tShow\tVBN\tB-NP\tO' +p120503 +aS'regular\tregular\tJJ\tI-NP\tO' +p120504 +aS'rate\trate\tNN\tI-NP\tO' +p120505 +aS'and\tand\tCC\tI-NP\tO' +p120506 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p120507 +aS'without\twithout\tIN\tB-PP\tO' +p120508 +aS'murmurs\tmurmur\tNNS\tB-NP\tO' +p120509 +aS',\t,\t,\tO\tO' +p120510 +aS'rubs\trub\tNNS\tB-NP\tO' +p120511 +aS',\t,\t,\tO\tO' +p120512 +aS'or\tor\tCC\tO\tO' +p120513 +aS'gallops\tgallop\tNNS\tB-NP\tO' +p120514 +aS'.\t.\t.\tO\tO' +p120515 +asS'We followed lactate while she was in the CMED which was normal .' +p120516 +(lp120517 +S'We\tWe\tPRP\tB-NP\tO' +p120518 +aS'followed\tfollow\tVBD\tB-VP\tO' +p120519 +aS'lactate\tlactate\tNN\tB-NP\tO' +p120520 +aS'while\twhile\tIN\tB-SBAR\tO' +p120521 +aS'she\tshe\tPRP\tB-NP\tO' +p120522 +aS'was\tbe\tVBD\tB-VP\tO' +p120523 +aS'in\tin\tIN\tB-PP\tO' +p120524 +aS'the\tthe\tDT\tB-NP\tO' +p120525 +aS'CMED\tCMED\tNN\tI-NP\tO' +p120526 +aS'which\twhich\tWDT\tB-NP\tO' +p120527 +aS'was\tbe\tVBD\tB-VP\tO' +p120528 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p120529 +aS'.\t.\t.\tO\tO' +p120530 +asS'Lives at Lowell Home NH x 11 yrs due to chronic CMED issues .' +p120531 +(lp120532 +S'Lives\tLife\tNNS\tB-NP\tO' +p120533 +aS'at\tat\tIN\tB-PP\tO' +p120534 +aS'Lowell\tLowell\tNNP\tB-NP\tO' +p120535 +aS'Home\tHome\tNNP\tI-NP\tO' +p120536 +aS'NH\tNH\tNNP\tI-NP\tO' +p120537 +aS'x\tx\tCC\tO\tO' +p120538 +aS'11\t11\tCD\tB-NP\tO' +p120539 +aS'yrs\tyr\tNNS\tI-NP\tO' +p120540 +aS'due\tdue\tJJ\tB-PP\tO' +p120541 +aS'to\tto\tTO\tB-PP\tO' +p120542 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p120543 +aS'CMED\tCMED\tNN\tI-NP\tO' +p120544 +aS'issues\tissue\tNNS\tI-NP\tO' +p120545 +aS'.\t.\t.\tO\tO' +p120546 +asS'Auditory hearing screening was performed with automated brainstem responses .' +p120547 +(lp120548 +S'Auditory\tAuditory\tJJ\tB-NP\tO' +p120549 +aS'hearing\thearing\tNN\tI-NP\tO' +p120550 +aS'screening\tscreening\tNN\tI-NP\tO' +p120551 +aS'was\tbe\tVBD\tB-VP\tO' +p120552 +aS'performed\tperform\tVBN\tI-VP\tO' +p120553 +aS'with\twith\tIN\tB-PP\tO' +p120554 +aS'automated\tautomate\tVBN\tB-NP\tO' +p120555 +aS'brainstem\tbrainstem\tNN\tI-NP\tO' +p120556 +aS'responses\tresponse\tNNS\tI-NP\tO' +p120557 +aS'.\t.\t.\tO\tO' +p120558 +asS'ESR was within normal limits and CPR was mildly elevated .' +p120559 +(lp120560 +S'ESR\tESR\tNN\tB-NP\tB-protein' +p120561 +aS'was\tbe\tVBD\tB-VP\tO' +p120562 +aS'within\twithin\tIN\tB-PP\tO' +p120563 +aS'normal\tnormal\tJJ\tB-NP\tO' +p120564 +aS'limits\tlimit\tNNS\tI-NP\tO' +p120565 +aS'and\tand\tCC\tO\tO' +p120566 +aS'CPR\tCPR\tNN\tB-NP\tB-protein' +p120567 +aS'was\tbe\tVBD\tB-VP\tO' +p120568 +aS'mildly\tmildly\tRB\tB-ADJP\tO' +p120569 +aS'elevated\televated\tJJ\tI-ADJP\tO' +p120570 +aS'.\t.\t.\tO\tO' +p120571 +asS'Left forarm and right knee abrasions .' +p120572 +(lp120573 +S'Left\tLeft\tJJ\tB-NP\tO' +p120574 +aS'forarm\tforarm\tNN\tI-NP\tO' +p120575 +aS'and\tand\tCC\tO\tO' +p120576 +aS'right\tright\tJJ\tB-NP\tO' +p120577 +aS'knee\tknee\tNN\tI-NP\tO' +p120578 +aS'abrasions\tabrasion\tNNS\tI-NP\tO' +p120579 +aS'.\t.\t.\tO\tO' +p120580 +asS'scaphoid , positive bowel sounds , no palpable masses , with a parasagittal scar right of the midline .' +p120581 +(lp120582 +S'scaphoid\tscaphoid\tJJ\tB-NP\tO' +p120583 +aS',\t,\t,\tI-NP\tO' +p120584 +aS'positive\tpositive\tJJ\tI-NP\tO' +p120585 +aS'bowel\tbowel\tNN\tI-NP\tO' +p120586 +aS'sounds\tsound\tNNS\tI-NP\tO' +p120587 +aS',\t,\t,\tO\tO' +p120588 +aS'no\tno\tDT\tB-NP\tO' +p120589 +aS'palpable\tpalpable\tJJ\tI-NP\tO' +p120590 +aS'masses\tmass\tNNS\tI-NP\tO' +p120591 +aS',\t,\t,\tO\tO' +p120592 +aS'with\twith\tIN\tB-PP\tO' +p120593 +aS'a\ta\tDT\tB-NP\tO' +p120594 +aS'parasagittal\tparasagittal\tJJ\tI-NP\tO' +p120595 +aS'scar\tscar\tNN\tI-NP\tO' +p120596 +aS'right\tright\tNN\tI-NP\tO' +p120597 +aS'of\tof\tIN\tB-PP\tO' +p120598 +aS'the\tthe\tDT\tB-NP\tO' +p120599 +aS'midline\tmidline\tNN\tI-NP\tO' +p120600 +aS'.\t.\t.\tO\tO' +p120601 +asS'+ bs .' +p120602 +(lp120603 +S'+\t+\tSYM\tB-NP\tO' +p120604 +aS'bs\tb\tNNS\tI-NP\tO' +p120605 +aS'.\t.\t.\tO\tO' +p120606 +asS'The family understood this; all questions were answered and they wished to proceed .' +p120607 +(lp120608 +S'The\tThe\tDT\tB-NP\tO' +p120609 +aS'family\tfamily\tNN\tI-NP\tO' +p120610 +aS'understood\tunderstand\tVBD\tB-VP\tO' +p120611 +aS'this;\tthis;\tIN\tB-PP\tO' +p120612 +aS'all\tall\tDT\tB-NP\tO' +p120613 +aS'questions\tquestion\tNNS\tI-NP\tO' +p120614 +aS'were\tbe\tVBD\tB-VP\tO' +p120615 +aS'answered\tanswer\tVBN\tI-VP\tO' +p120616 +aS'and\tand\tCC\tO\tO' +p120617 +aS'they\tthey\tPRP\tB-NP\tO' +p120618 +aS'wished\twish\tVBD\tB-VP\tO' +p120619 +aS'to\tto\tTO\tI-VP\tO' +p120620 +aS'proceed\tproceed\tVB\tI-VP\tO' +p120621 +aS'.\t.\t.\tO\tO' +p120622 +asS'As discussed in the Infectious Disease section , Mr. Roach developed a pneumonia likely from gram-negative organisms , but most likely from Escherichia coli .' +p120623 +(lp120624 +S'As\tAs\tIN\tB-SBAR\tO' +p120625 +aS'discussed\tdiscuss\tVBN\tB-VP\tO' +p120626 +aS'in\tin\tIN\tB-PP\tO' +p120627 +aS'the\tthe\tDT\tB-NP\tO' +p120628 +aS'Infectious\tInfectious\tJJ\tI-NP\tO' +p120629 +aS'Disease\tDisease\tNN\tI-NP\tO' +p120630 +aS'section\tsection\tNN\tI-NP\tO' +p120631 +aS',\t,\t,\tO\tO' +p120632 +aS'Mr.\tMr.\tNNP\tB-NP\tO' +p120633 +aS'Roach\tRoach\tNNP\tI-NP\tO' +p120634 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p120635 +aS'a\ta\tDT\tB-NP\tO' +p120636 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p120637 +aS'likely\tlikely\tRB\tB-ADJP\tO' +p120638 +aS'from\tfrom\tIN\tB-PP\tO' +p120639 +aS'gram-negative\tgram-negative\tJJ\tB-NP\tO' +p120640 +aS'organisms\torganism\tNNS\tI-NP\tO' +p120641 +aS',\t,\t,\tO\tO' +p120642 +aS'but\tbut\tCC\tO\tO' +p120643 +aS'most\tmost\tRBS\tB-ADVP\tO' +p120644 +aS'likely\tlikely\tRB\tI-ADVP\tO' +p120645 +aS'from\tfrom\tIN\tB-PP\tO' +p120646 +aS'Escherichia\tEscherichia\tNNP\tB-NP\tO' +p120647 +aS'coli\tcoli\tNNP\tI-NP\tO' +p120648 +aS'.\t.\t.\tO\tO' +p120649 +asS'Also on this day she was transferred to the SDU .' +p120650 +(lp120651 +S'Also\tAlso\tRB\tB-ADVP\tO' +p120652 +aS'on\ton\tIN\tB-PP\tO' +p120653 +aS'this\tthis\tDT\tB-NP\tO' +p120654 +aS'day\tday\tNN\tI-NP\tO' +p120655 +aS'she\tshe\tPRP\tB-NP\tO' +p120656 +aS'was\tbe\tVBD\tB-VP\tO' +p120657 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p120658 +aS'to\tto\tTO\tB-PP\tO' +p120659 +aS'the\tthe\tDT\tB-NP\tO' +p120660 +aS'SDU\tSDU\tNNP\tI-NP\tO' +p120661 +aS'.\t.\t.\tO\tO' +p120662 +asS"Postoperatively , the patient 's clinical course was largely unremarkable ." +p120663 +(lp120664 +S'Postoperatively\tPostoperatively\tRB\tB-ADVP\tO' +p120665 +aS',\t,\t,\tO\tO' +p120666 +aS'the\tthe\tDT\tB-NP\tO' +p120667 +aS'patient\tpatient\tNN\tI-NP\tO' +p120668 +aS"'s\t's\tPOS\tB-NP\tO" +p120669 +aS'clinical\tclinical\tJJ\tI-NP\tO' +p120670 +aS'course\tcourse\tNN\tI-NP\tO' +p120671 +aS'was\tbe\tVBD\tB-VP\tO' +p120672 +aS'largely\tlargely\tRB\tB-ADJP\tO' +p120673 +aS'unremarkable\tunremarkable\tJJ\tI-ADJP\tO' +p120674 +aS'.\t.\t.\tO\tO' +p120675 +asS'17. Milk of Magnesia 30 cc p.o. q day constipation .' +p120676 +(lp120677 +S'17.\t17.\tLS\tB-LST\tO' +p120678 +aS'Milk\tMilk\tNNP\tB-NP\tO' +p120679 +aS'of\tof\tIN\tB-PP\tO' +p120680 +aS'Magnesia\tMagnesia\tNNP\tB-NP\tO' +p120681 +aS'30\t30\tCD\tI-NP\tO' +p120682 +aS'cc\tcc\tNN\tI-NP\tO' +p120683 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p120684 +aS'q\tq\tNN\tI-NP\tO' +p120685 +aS'day\tday\tNN\tI-NP\tO' +p120686 +aS'constipation\tconstipation\tNN\tI-NP\tO' +p120687 +aS'.\t.\t.\tO\tO' +p120688 +asS'+ alveolar opacities c / w alveolar hemorrhage or aspirated blood .' +p120689 +(lp120690 +S'+\t+\tSYM\tB-NP\tO' +p120691 +aS'alveolar\talveolar\tJJ\tI-NP\tO' +p120692 +aS'opacities\topacity\tNNS\tI-NP\tO' +p120693 +aS'c\tc\tNN\tI-NP\tO' +p120694 +aS'/\t/\tSYM\tB-NP\tO' +p120695 +aS'w\tw\tNN\tI-NP\tO' +p120696 +aS'alveolar\talveolar\tJJ\tI-NP\tO' +p120697 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p120698 +aS'or\tor\tCC\tO\tO' +p120699 +aS'aspirated\taspirate\tVBN\tB-NP\tO' +p120700 +aS'blood\tblood\tNN\tI-NP\tO' +p120701 +aS'.\t.\t.\tO\tO' +p120702 +asS'Will go home with prn morphine , ativan , and PR decadron .' +p120703 +(lp120704 +S'Will\tWill\tMD\tB-VP\tO' +p120705 +aS'go\tgo\tVB\tI-VP\tO' +p120706 +aS'home\thome\tNN\tB-ADVP\tO' +p120707 +aS'with\twith\tIN\tB-PP\tO' +p120708 +aS'prn\tprn\tNN\tB-NP\tO' +p120709 +aS'morphine\tmorphine\tNN\tI-NP\tO' +p120710 +aS',\t,\t,\tO\tO' +p120711 +aS'ativan\tativan\tNN\tB-NP\tO' +p120712 +aS',\t,\t,\tO\tO' +p120713 +aS'and\tand\tCC\tO\tO' +p120714 +aS'PR\tPR\tNN\tB-NP\tB-protein' +p120715 +aS'decadron\tdecadron\tNN\tI-NP\tO' +p120716 +aS'.\t.\t.\tO\tO' +p120717 +asS'Signed electronically by : DR. Steven W. Weekley on : Sandra 2019-01-15 10:22 AM' +p120718 +(lp120719 +S'Signed\tSign\tVBN\tB-VP\tO' +p120720 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p120721 +aS'by\tby\tIN\tB-PP\tO' +p120722 +aS':\t:\t:\tO\tO' +p120723 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p120724 +aS'Steven\tSteven\tNNP\tI-NP\tO' +p120725 +aS'W.\tW.\tNNP\tI-NP\tO' +p120726 +aS'Weekley\tWeekley\tNNP\tI-NP\tO' +p120727 +aS'on\ton\tIN\tB-PP\tO' +p120728 +aS':\t:\t:\tO\tO' +p120729 +aS'Sandra\tSandra\tNNP\tB-NP\tO' +p120730 +aS'2019-01-15\t2019-01-15\tCD\tB-NP\tO' +p120731 +aS'10:22\t10:22\tCD\tI-NP\tO' +p120732 +aS'AM\tAM\tNN\tI-NP\tO' +p120733 +asS'Lower gastrointestinal bleed in February of 1993 which was not worked up due to patient deferment .' +p120734 +(lp120735 +S'Lower\tLow\tJJR\tB-NP\tO' +p120736 +aS'gastrointestinal\tgastrointestinal\tJJ\tI-NP\tO' +p120737 +aS'bleed\tbleed\tNN\tI-NP\tO' +p120738 +aS'in\tin\tIN\tB-PP\tO' +p120739 +aS'February\tFebruary\tNNP\tB-NP\tO' +p120740 +aS'of\tof\tIN\tB-PP\tO' +p120741 +aS'1993\t1993\tCD\tB-NP\tO' +p120742 +aS'which\twhich\tWDT\tB-NP\tO' +p120743 +aS'was\tbe\tVBD\tB-VP\tO' +p120744 +aS'not\tnot\tRB\tI-VP\tO' +p120745 +aS'worked\twork\tVBN\tI-VP\tO' +p120746 +aS'up\tup\tRP\tB-PRT\tO' +p120747 +aS'due\tdue\tJJ\tB-ADVP\tO' +p120748 +aS'to\tto\tTO\tB-PP\tO' +p120749 +aS'patient\tpatient\tNN\tB-NP\tO' +p120750 +aS'deferment\tdeferment\tNN\tI-NP\tO' +p120751 +aS'.\t.\t.\tO\tO' +p120752 +asS'Physical examination revealed temperature was 99.3 , heart rate was 66 in a normal sinus rhythm , blood pressure was 132/51 , respiratory rate was 22 , and oxygen saturation was 100% on 3 liters nasal cannula .' +p120753 +(lp120754 +S'Physical\tPhysical\tJJ\tB-NP\tO' +p120755 +aS'examination\texamination\tNN\tI-NP\tO' +p120756 +aS'revealed\treveal\tVBD\tB-VP\tO' +p120757 +aS'temperature\ttemperature\tNN\tB-NP\tO' +p120758 +aS'was\tbe\tVBD\tB-VP\tO' +p120759 +aS'99.3\t99.3\tCD\tB-NP\tO' +p120760 +aS',\t,\t,\tO\tO' +p120761 +aS'heart\theart\tNN\tB-NP\tO' +p120762 +aS'rate\trate\tNN\tI-NP\tO' +p120763 +aS'was\tbe\tVBD\tB-VP\tO' +p120764 +aS'66\t66\tCD\tB-NP\tO' +p120765 +aS'in\tin\tIN\tB-PP\tO' +p120766 +aS'a\ta\tDT\tB-NP\tO' +p120767 +aS'normal\tnormal\tJJ\tI-NP\tO' +p120768 +aS'sinus\tsinus\tNN\tI-NP\tO' +p120769 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p120770 +aS',\t,\t,\tO\tO' +p120771 +aS'blood\tblood\tNN\tB-NP\tO' +p120772 +aS'pressure\tpressure\tNN\tI-NP\tO' +p120773 +aS'was\tbe\tVBD\tB-VP\tO' +p120774 +aS'132/51\t132/51\tCD\tB-NP\tO' +p120775 +aS',\t,\t,\tO\tO' +p120776 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p120777 +aS'rate\trate\tNN\tI-NP\tO' +p120778 +aS'was\tbe\tVBD\tB-VP\tO' +p120779 +aS'22\t22\tCD\tB-NP\tO' +p120780 +aS',\t,\t,\tO\tO' +p120781 +aS'and\tand\tCC\tO\tO' +p120782 +aS'oxygen\toxygen\tNN\tB-NP\tO' +p120783 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p120784 +aS'was\tbe\tVBD\tB-VP\tO' +p120785 +aS'100%\t100%\tCD\tB-NP\tO' +p120786 +aS'on\ton\tIN\tB-PP\tO' +p120787 +aS'3\t3\tCD\tB-NP\tO' +p120788 +aS'liters\tliter\tNNS\tI-NP\tO' +p120789 +aS'nasal\tnasal\tJJ\tB-NP\tO' +p120790 +aS'cannula\tcannula\tNN\tI-NP\tO' +p120791 +aS'.\t.\t.\tO\tO' +p120792 +asS'POST-BYPASS : Preserved Kindred / North Shore - ventricular systolic fxn .' +p120793 +(lp120794 +S'POST-BYPASS\tPOST-BYPASS\tNN\tB-NP\tO' +p120795 +aS':\t:\t:\tO\tO' +p120796 +aS'Preserved\tPreserve\tVBN\tB-VP\tO' +p120797 +aS'Kindred\tKindre\tVBN\tB-VP\tO' +p120798 +aS'/\t/\tSYM\tO\tO' +p120799 +aS'North\tNorth\tNN\tB-NP\tO' +p120800 +aS'Shore\tShore\tNN\tI-NP\tO' +p120801 +aS'-\t-\tHYPH\tB-NP\tO' +p120802 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p120803 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p120804 +aS'fxn\tfxn\tNN\tI-NP\tO' +p120805 +aS'.\t.\t.\tO\tO' +p120806 +asS'Birth weight was 3.29 kilograms in the 75th percentile .' +p120807 +(lp120808 +S'Birth\tBirth\tNN\tB-NP\tO' +p120809 +aS'weight\tweight\tNN\tI-NP\tO' +p120810 +aS'was\tbe\tVBD\tB-VP\tO' +p120811 +aS'3.29\t3.29\tCD\tB-NP\tO' +p120812 +aS'kilograms\tkilogram\tNNS\tI-NP\tO' +p120813 +aS'in\tin\tIN\tB-PP\tO' +p120814 +aS'the\tthe\tDT\tB-NP\tO' +p120815 +aS'75th\t75th\tJJ\tI-NP\tO' +p120816 +aS'percentile\tpercentile\tNN\tI-NP\tO' +p120817 +aS'.\t.\t.\tO\tO' +p120818 +asS'He has trouble with his shoes and socks .' +p120819 +(lp120820 +S'He\tHe\tPRP\tB-NP\tO' +p120821 +aS'has\thave\tVBZ\tB-VP\tO' +p120822 +aS'trouble\ttrouble\tNN\tB-NP\tO' +p120823 +aS'with\twith\tIN\tB-PP\tO' +p120824 +aS'his\this\tPRP$\tB-NP\tO' +p120825 +aS'shoes\tshoe\tNNS\tI-NP\tO' +p120826 +aS'and\tand\tCC\tI-NP\tO' +p120827 +aS'socks\tsock\tNNS\tI-NP\tO' +p120828 +aS'.\t.\t.\tO\tO' +p120829 +asS'A family meeting was held on 5-2-98 and it was decided that the patient should be made comfort care only .' +p120830 +(lp120831 +S'A\tA\tDT\tB-NP\tO' +p120832 +aS'family\tfamily\tNN\tI-NP\tO' +p120833 +aS'meeting\tmeeting\tNN\tI-NP\tO' +p120834 +aS'was\tbe\tVBD\tB-VP\tO' +p120835 +aS'held\thold\tVBN\tI-VP\tO' +p120836 +aS'on\ton\tIN\tB-PP\tO' +p120837 +aS'5-2-98\t5-2-98\tCD\tB-NP\tO' +p120838 +aS'and\tand\tCC\tO\tO' +p120839 +aS'it\tit\tPRP\tB-NP\tO' +p120840 +aS'was\tbe\tVBD\tB-VP\tO' +p120841 +aS'decided\tdecide\tVBN\tI-VP\tO' +p120842 +aS'that\tthat\tIN\tB-SBAR\tO' +p120843 +aS'the\tthe\tDT\tB-NP\tO' +p120844 +aS'patient\tpatient\tNN\tI-NP\tO' +p120845 +aS'should\tshould\tMD\tB-VP\tO' +p120846 +aS'be\tbe\tVB\tI-VP\tO' +p120847 +aS'made\tmake\tVBN\tI-VP\tO' +p120848 +aS'comfort\tcomfort\tNN\tB-NP\tO' +p120849 +aS'care\tcare\tNN\tI-NP\tO' +p120850 +aS'only\tonly\tRB\tB-ADVP\tO' +p120851 +aS'.\t.\t.\tO\tO' +p120852 +asS'Tobacco ; he has some distant history of some very minimal use .' +p120853 +(lp120854 +S'Tobacco\tTobacco\tNNP\tB-NP\tO' +p120855 +aS';\t;\t:\tO\tO' +p120856 +aS'he\the\tPRP\tB-NP\tO' +p120857 +aS'has\thave\tVBZ\tB-VP\tO' +p120858 +aS'some\tsome\tDT\tB-NP\tO' +p120859 +aS'distant\tdistant\tJJ\tI-NP\tO' +p120860 +aS'history\thistory\tNN\tI-NP\tO' +p120861 +aS'of\tof\tIN\tB-PP\tO' +p120862 +aS'some\tsome\tDT\tB-NP\tO' +p120863 +aS'very\tvery\tRB\tI-NP\tO' +p120864 +aS'minimal\tminimal\tJJ\tI-NP\tO' +p120865 +aS'use\tuse\tNN\tI-NP\tO' +p120866 +aS'.\t.\t.\tO\tO' +p120867 +asS'adult respiratory distress syndrome .' +p120868 +(lp120869 +S'adult\tadult\tJJ\tB-NP\tO' +p120870 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p120871 +aS'distress\tdistress\tNN\tI-NP\tO' +p120872 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p120873 +aS'.\t.\t.\tO\tO' +p120874 +asS'No history of GYN , cancers , or breast cancer .' +p120875 +(lp120876 +S'No\tNo\tDT\tB-NP\tO' +p120877 +aS'history\thistory\tNN\tI-NP\tO' +p120878 +aS'of\tof\tIN\tB-PP\tO' +p120879 +aS'GYN\tGYN\tNN\tB-NP\tB-protein' +p120880 +aS',\t,\t,\tO\tO' +p120881 +aS'cancers\tcancer\tNNS\tB-NP\tO' +p120882 +aS',\t,\t,\tO\tO' +p120883 +aS'or\tor\tCC\tO\tO' +p120884 +aS'breast\tbreast\tNN\tB-NP\tO' +p120885 +aS'cancer\tcancer\tNN\tI-NP\tO' +p120886 +aS'.\t.\t.\tO\tO' +p120887 +asS'Patient febrile and with a high WBC on admission .' +p120888 +(lp120889 +S'Patient\tPatient\tNN\tB-NP\tO' +p120890 +aS'febrile\tfebrile\tNN\tI-NP\tO' +p120891 +aS'and\tand\tCC\tB-PP\tO' +p120892 +aS'with\twith\tIN\tB-PP\tO' +p120893 +aS'a\ta\tDT\tB-NP\tO' +p120894 +aS'high\thigh\tJJ\tI-NP\tO' +p120895 +aS'WBC\tWBC\tNN\tI-NP\tO' +p120896 +aS'on\ton\tIN\tB-PP\tO' +p120897 +aS'admission\tadmission\tNN\tB-NP\tO' +p120898 +aS'.\t.\t.\tO\tO' +p120899 +asS'No aortic or mitral regurgitation .' +p120900 +(lp120901 +S'No\tNo\tDT\tB-NP\tO' +p120902 +aS'aortic\taortic\tJJ\tI-NP\tO' +p120903 +aS'or\tor\tCC\tI-NP\tO' +p120904 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p120905 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p120906 +aS'.\t.\t.\tO\tO' +p120907 +asS"The patient 's insurance company , however , would not pay for home antibiotics ." +p120908 +(lp120909 +S'The\tThe\tDT\tB-NP\tO' +p120910 +aS'patient\tpatient\tNN\tI-NP\tO' +p120911 +aS"'s\t's\tPOS\tB-NP\tO" +p120912 +aS'insurance\tinsurance\tNN\tI-NP\tO' +p120913 +aS'company\tcompany\tNN\tI-NP\tO' +p120914 +aS',\t,\t,\tO\tO' +p120915 +aS'however\thowever\tRB\tB-ADVP\tO' +p120916 +aS',\t,\t,\tO\tO' +p120917 +aS'would\twould\tMD\tB-VP\tO' +p120918 +aS'not\tnot\tRB\tI-VP\tO' +p120919 +aS'pay\tpay\tVB\tI-VP\tO' +p120920 +aS'for\tfor\tIN\tB-PP\tO' +p120921 +aS'home\thome\tNN\tB-NP\tO' +p120922 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p120923 +aS'.\t.\t.\tO\tO' +p120924 +asS'Mother presented with abdominal discomfort and vaginal pressure at 23 and 1/7 weeks .' +p120925 +(lp120926 +S'Mother\tMother\tNNP\tB-NP\tO' +p120927 +aS'presented\tpresent\tVBD\tB-VP\tO' +p120928 +aS'with\twith\tIN\tB-PP\tO' +p120929 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p120930 +aS'discomfort\tdiscomfort\tNN\tI-NP\tO' +p120931 +aS'and\tand\tCC\tO\tO' +p120932 +aS'vaginal\tvaginal\tJJ\tB-NP\tO' +p120933 +aS'pressure\tpressure\tNN\tI-NP\tO' +p120934 +aS'at\tat\tIN\tB-PP\tO' +p120935 +aS'23\t23\tCD\tB-NP\tO' +p120936 +aS'and\tand\tCC\tI-NP\tO' +p120937 +aS'1/7\t1/7\tCD\tI-NP\tO' +p120938 +aS'weeks\tweek\tNNS\tI-NP\tO' +p120939 +aS'.\t.\t.\tO\tO' +p120940 +asS'His chest and axillae showed no supraclavicular or axillary adenopathy .' +p120941 +(lp120942 +S'His\tHis\tPRP$\tB-NP\tO' +p120943 +aS'chest\tchest\tNN\tI-NP\tO' +p120944 +aS'and\tand\tCC\tI-NP\tO' +p120945 +aS'axillae\taxillae\tNN\tI-NP\tO' +p120946 +aS'showed\tshow\tVBD\tB-VP\tO' +p120947 +aS'no\tno\tDT\tB-NP\tO' +p120948 +aS'supraclavicular\tsupraclavicular\tJJ\tI-NP\tO' +p120949 +aS'or\tor\tCC\tI-NP\tO' +p120950 +aS'axillary\taxillary\tJJ\tI-NP\tO' +p120951 +aS'adenopathy\tadenopathy\tNN\tI-NP\tO' +p120952 +aS'.\t.\t.\tO\tO' +p120953 +asS'The patient had a fall about ten days ago , when he was walking the dog .' +p120954 +(lp120955 +S'The\tThe\tDT\tB-NP\tO' +p120956 +aS'patient\tpatient\tNN\tI-NP\tO' +p120957 +aS'had\thave\tVBD\tB-VP\tO' +p120958 +aS'a\ta\tDT\tB-NP\tO' +p120959 +aS'fall\tfall\tNN\tI-NP\tO' +p120960 +aS'about\tabout\tIN\tB-PP\tO' +p120961 +aS'ten\tten\tCD\tB-NP\tO' +p120962 +aS'days\tday\tNNS\tI-NP\tO' +p120963 +aS'ago\tago\tRB\tB-ADVP\tO' +p120964 +aS',\t,\t,\tO\tO' +p120965 +aS'when\twhen\tWRB\tB-ADVP\tO' +p120966 +aS'he\the\tPRP\tB-NP\tO' +p120967 +aS'was\tbe\tVBD\tB-VP\tO' +p120968 +aS'walking\twalk\tVBG\tI-VP\tO' +p120969 +aS'the\tthe\tDT\tB-NP\tO' +p120970 +aS'dog\tdog\tNN\tI-NP\tO' +p120971 +aS'.\t.\t.\tO\tO' +p120972 +asS'This moving sense , with normal electroencephalogram , was thought to be a mild vestibular dysfunction or from the acute episode of the stroke .' +p120973 +(lp120974 +S'This\tThis\tDT\tB-NP\tO' +p120975 +aS'moving\tmove\tVBG\tI-NP\tO' +p120976 +aS'sense\tsense\tNN\tI-NP\tO' +p120977 +aS',\t,\t,\tO\tO' +p120978 +aS'with\twith\tIN\tB-PP\tO' +p120979 +aS'normal\tnormal\tJJ\tB-NP\tO' +p120980 +aS'electroencephalogram\telectroencephalogram\tNN\tI-NP\tO' +p120981 +aS',\t,\t,\tO\tO' +p120982 +aS'was\tbe\tVBD\tB-VP\tO' +p120983 +aS'thought\tthink\tVBN\tI-VP\tO' +p120984 +aS'to\tto\tTO\tI-VP\tO' +p120985 +aS'be\tbe\tVB\tI-VP\tO' +p120986 +aS'a\ta\tDT\tB-NP\tO' +p120987 +aS'mild\tmild\tJJ\tI-NP\tO' +p120988 +aS'vestibular\tvestibular\tJJ\tI-NP\tO' +p120989 +aS'dysfunction\tdysfunction\tNN\tI-NP\tO' +p120990 +aS'or\tor\tCC\tB-PP\tO' +p120991 +aS'from\tfrom\tIN\tB-PP\tO' +p120992 +aS'the\tthe\tDT\tB-NP\tO' +p120993 +aS'acute\tacute\tJJ\tI-NP\tO' +p120994 +aS'episode\tepisode\tNN\tI-NP\tO' +p120995 +aS'of\tof\tIN\tB-PP\tO' +p120996 +aS'the\tthe\tDT\tB-NP\tO' +p120997 +aS'stroke\tstroke\tNN\tI-NP\tO' +p120998 +aS'.\t.\t.\tO\tO' +p120999 +asS'The patient also underwent cardiac ultrasound on December 11 , 1995 that showed abnormal right ventricle wall motion , trace mitral regurgitation , normal left ventricular size and function with an estimated ejection fraction of 64% .' +p121000 +(lp121001 +S'The\tThe\tDT\tB-NP\tO' +p121002 +aS'patient\tpatient\tNN\tI-NP\tO' +p121003 +aS'also\talso\tRB\tB-ADVP\tO' +p121004 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p121005 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p121006 +aS'ultrasound\tultrasound\tNN\tI-NP\tO' +p121007 +aS'on\ton\tIN\tB-PP\tO' +p121008 +aS'December\tDecember\tNNP\tB-NP\tO' +p121009 +aS'11\t11\tCD\tI-NP\tO' +p121010 +aS',\t,\t,\tI-NP\tO' +p121011 +aS'1995\t1995\tCD\tI-NP\tO' +p121012 +aS'that\tthat\tIN\tB-NP\tO' +p121013 +aS'showed\tshow\tVBD\tB-VP\tO' +p121014 +aS'abnormal\tabnormal\tJJ\tB-NP\tO' +p121015 +aS'right\tright\tJJ\tI-NP\tO' +p121016 +aS'ventricle\tventricle\tNN\tI-NP\tO' +p121017 +aS'wall\twall\tNN\tI-NP\tO' +p121018 +aS'motion\tmotion\tNN\tI-NP\tO' +p121019 +aS',\t,\t,\tO\tO' +p121020 +aS'trace\ttrace\tVBP\tB-VP\tO' +p121021 +aS'mitral\tmitral\tJJ\tB-NP\tO' +p121022 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p121023 +aS',\t,\t,\tO\tO' +p121024 +aS'normal\tnormal\tJJ\tB-NP\tO' +p121025 +aS'left\tleft\tJJ\tI-NP\tO' +p121026 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p121027 +aS'size\tsize\tNN\tI-NP\tO' +p121028 +aS'and\tand\tCC\tI-NP\tO' +p121029 +aS'function\tfunction\tNN\tI-NP\tO' +p121030 +aS'with\twith\tIN\tB-PP\tO' +p121031 +aS'an\tan\tDT\tB-NP\tO' +p121032 +aS'estimated\testimate\tVBN\tI-NP\tO' +p121033 +aS'ejection\tejection\tNN\tI-NP\tO' +p121034 +aS'fraction\tfraction\tNN\tI-NP\tO' +p121035 +aS'of\tof\tIN\tB-PP\tO' +p121036 +aS'64%\t64%\tNN\tB-NP\tO' +p121037 +aS'.\t.\t.\tO\tO' +p121038 +asS'8 ) Folic acid .' +p121039 +(lp121040 +S'8\t8\tCD\tB-NP\tO' +p121041 +aS')\t)\t)\tO\tO' +p121042 +aS'Folic\tFolic\tJJ\tB-NP\tO' +p121043 +aS'acid\tacid\tNN\tI-NP\tO' +p121044 +aS'.\t.\t.\tO\tO' +p121045 +asS'CBC was 8.7 , 25.3 , and 184 .' +p121046 +(lp121047 +S'CBC\tCBC\tNN\tB-NP\tB-protein' +p121048 +aS'was\tbe\tVBD\tB-VP\tO' +p121049 +aS'8.7\t8.7\tCD\tB-NP\tO' +p121050 +aS',\t,\t,\tI-NP\tO' +p121051 +aS'25.3\t25.3\tCD\tI-NP\tO' +p121052 +aS',\t,\t,\tO\tO' +p121053 +aS'and\tand\tCC\tO\tO' +p121054 +aS'184\t184\tCD\tB-NP\tO' +p121055 +aS'.\t.\t.\tO\tO' +p121056 +asS'The patient lives with wife .' +p121057 +(lp121058 +S'The\tThe\tDT\tB-NP\tO' +p121059 +aS'patient\tpatient\tNN\tI-NP\tO' +p121060 +aS'lives\tlive\tVBZ\tB-VP\tO' +p121061 +aS'with\twith\tIN\tB-PP\tO' +p121062 +aS'wife\twife\tNN\tB-NP\tO' +p121063 +aS'.\t.\t.\tO\tO' +p121064 +asS'The CA-125 was still pending and alphafeto protein is still pending .' +p121065 +(lp121066 +S'The\tThe\tDT\tB-NP\tO' +p121067 +aS'CA-125\tCA-125\tNN\tI-NP\tB-protein' +p121068 +aS'was\tbe\tVBD\tB-VP\tO' +p121069 +aS'still\tstill\tRB\tI-VP\tO' +p121070 +aS'pending\tpende\tVBG\tI-VP\tO' +p121071 +aS'and\tand\tCC\tO\tO' +p121072 +aS'alphafeto\talphafeto\tNN\tB-NP\tB-protein' +p121073 +aS'protein\tprotein\tNN\tI-NP\tI-protein' +p121074 +aS'is\tbe\tVBZ\tB-VP\tO' +p121075 +aS'still\tstill\tRB\tI-VP\tO' +p121076 +aS'pending\tpende\tVBG\tI-VP\tO' +p121077 +aS'.\t.\t.\tO\tO' +p121078 +asS'Normal male genitalia .' +p121079 +(lp121080 +S'Normal\tNormal\tJJ\tB-NP\tO' +p121081 +aS'male\tmale\tJJ\tI-NP\tO' +p121082 +aS'genitalia\tgenitalia\tNN\tI-NP\tO' +p121083 +aS'.\t.\t.\tO\tO' +p121084 +asS"Heart rates range in the 140 to 160 's , no heart murmur ." +p121085 +(lp121086 +S'Heart\tHeart\tNN\tB-NP\tO' +p121087 +aS'rates\trate\tNNS\tI-NP\tO' +p121088 +aS'range\trange\tVBP\tB-VP\tO' +p121089 +aS'in\tin\tIN\tB-PP\tO' +p121090 +aS'the\tthe\tDT\tB-NP\tO' +p121091 +aS'140\t140\tCD\tI-NP\tO' +p121092 +aS'to\tto\tTO\tI-NP\tO' +p121093 +aS'160\t160\tCD\tB-NP\tO' +p121094 +aS"'s\t's\tPOS\tB-NP\tO" +p121095 +aS',\t,\t,\tO\tO' +p121096 +aS'no\tno\tDT\tB-NP\tO' +p121097 +aS'heart\theart\tNN\tI-NP\tO' +p121098 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p121099 +aS'.\t.\t.\tO\tO' +p121100 +asS'He received an MRCP which was negative for evidence of stones .' +p121101 +(lp121102 +S'He\tHe\tPRP\tB-NP\tO' +p121103 +aS'received\treceive\tVBD\tB-VP\tO' +p121104 +aS'an\tan\tDT\tB-NP\tO' +p121105 +aS'MRCP\tMRCP\tNN\tI-NP\tB-DNA' +p121106 +aS'which\twhich\tWDT\tB-NP\tO' +p121107 +aS'was\tbe\tVBD\tB-VP\tO' +p121108 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p121109 +aS'for\tfor\tIN\tB-PP\tO' +p121110 +aS'evidence\tevidence\tNN\tB-NP\tO' +p121111 +aS'of\tof\tIN\tB-PP\tO' +p121112 +aS'stones\tstone\tNNS\tB-NP\tO' +p121113 +aS'.\t.\t.\tO\tO' +p121114 +asS'His hematocrit at the time of admission was 20.5 , after having been 32 one week earlier .' +p121115 +(lp121116 +S'His\tHis\tPRP$\tB-NP\tO' +p121117 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p121118 +aS'at\tat\tIN\tB-PP\tO' +p121119 +aS'the\tthe\tDT\tB-NP\tO' +p121120 +aS'time\ttime\tNN\tI-NP\tO' +p121121 +aS'of\tof\tIN\tB-PP\tO' +p121122 +aS'admission\tadmission\tNN\tB-NP\tO' +p121123 +aS'was\tbe\tVBD\tB-VP\tO' +p121124 +aS'20.5\t20.5\tCD\tB-NP\tO' +p121125 +aS',\t,\t,\tO\tO' +p121126 +aS'after\tafter\tIN\tB-PP\tO' +p121127 +aS'having\thave\tVBG\tB-VP\tO' +p121128 +aS'been\tbe\tVBN\tI-VP\tO' +p121129 +aS'32\t32\tCD\tB-NP\tO' +p121130 +aS'one\tone\tCD\tI-NP\tO' +p121131 +aS'week\tweek\tNN\tI-NP\tO' +p121132 +aS'earlier\tearlier\tRB\tB-ADVP\tO' +p121133 +aS'.\t.\t.\tO\tO' +p121134 +asS'Mr. Anders was admitted for anticoagulation and hemodynamic monitoring in the setting of saddle pulmonary embolus and left knee injury .' +p121135 +(lp121136 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p121137 +aS'Anders\tAnders\tNNP\tI-NP\tO' +p121138 +aS'was\tbe\tVBD\tB-VP\tO' +p121139 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p121140 +aS'for\tfor\tIN\tB-PP\tO' +p121141 +aS'anticoagulation\tanticoagulation\tNN\tB-NP\tO' +p121142 +aS'and\tand\tCC\tO\tO' +p121143 +aS'hemodynamic\themodynamic\tJJ\tB-NP\tO' +p121144 +aS'monitoring\tmonitoring\tNN\tI-NP\tO' +p121145 +aS'in\tin\tIN\tB-PP\tO' +p121146 +aS'the\tthe\tDT\tB-NP\tO' +p121147 +aS'setting\tsetting\tNN\tI-NP\tO' +p121148 +aS'of\tof\tIN\tB-PP\tO' +p121149 +aS'saddle\tsaddle\tJJ\tB-NP\tO' +p121150 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p121151 +aS'embolus\tembolus\tNN\tI-NP\tO' +p121152 +aS'and\tand\tCC\tO\tO' +p121153 +aS'left\tleave\tVBD\tB-VP\tO' +p121154 +aS'knee\tknee\tNN\tB-NP\tO' +p121155 +aS'injury\tinjury\tNN\tI-NP\tO' +p121156 +aS'.\t.\t.\tO\tO' +p121157 +asS'Given his multiple other medical problems , the direness of his situation , and his ongoing substance abuse at the time of admission he was deemed not to be a candidate for a liver transplantation .' +p121158 +(lp121159 +S'Given\tGive\tVBN\tB-VP\tO' +p121160 +aS'his\this\tPRP$\tB-NP\tO' +p121161 +aS'multiple\tmultiple\tJJ\tI-NP\tO' +p121162 +aS'other\tother\tJJ\tI-NP\tO' +p121163 +aS'medical\tmedical\tJJ\tI-NP\tO' +p121164 +aS'problems\tproblem\tNNS\tI-NP\tO' +p121165 +aS',\t,\t,\tO\tO' +p121166 +aS'the\tthe\tDT\tB-NP\tO' +p121167 +aS'direness\tdireness\tNN\tI-NP\tO' +p121168 +aS'of\tof\tIN\tB-PP\tO' +p121169 +aS'his\this\tPRP$\tB-NP\tO' +p121170 +aS'situation\tsituation\tNN\tI-NP\tO' +p121171 +aS',\t,\t,\tO\tO' +p121172 +aS'and\tand\tCC\tO\tO' +p121173 +aS'his\this\tPRP$\tB-NP\tO' +p121174 +aS'ongoing\tongoing\tJJ\tI-NP\tO' +p121175 +aS'substance\tsubstance\tNN\tI-NP\tO' +p121176 +aS'abuse\tabuse\tNN\tI-NP\tO' +p121177 +aS'at\tat\tIN\tB-PP\tO' +p121178 +aS'the\tthe\tDT\tB-NP\tO' +p121179 +aS'time\ttime\tNN\tI-NP\tO' +p121180 +aS'of\tof\tIN\tB-PP\tO' +p121181 +aS'admission\tadmission\tNN\tB-NP\tO' +p121182 +aS'he\the\tPRP\tB-NP\tO' +p121183 +aS'was\tbe\tVBD\tB-VP\tO' +p121184 +aS'deemed\tdeem\tVBN\tI-VP\tO' +p121185 +aS'not\tnot\tRB\tO\tO' +p121186 +aS'to\tto\tTO\tB-VP\tO' +p121187 +aS'be\tbe\tVB\tI-VP\tO' +p121188 +aS'a\ta\tDT\tB-NP\tO' +p121189 +aS'candidate\tcandidate\tNN\tI-NP\tO' +p121190 +aS'for\tfor\tIN\tB-PP\tO' +p121191 +aS'a\ta\tDT\tB-NP\tO' +p121192 +aS'liver\tliver\tNN\tI-NP\tO' +p121193 +aS'transplantation\ttransplantation\tNN\tI-NP\tO' +p121194 +aS'.\t.\t.\tO\tO' +p121195 +asS'Disp : *10 Tablet( s )*' +p121196 +(lp121197 +S'Disp\tDisp\tNN\tB-NP\tO' +p121198 +aS':\t:\t:\tO\tO' +p121199 +aS'*10\t*10\tCD\tB-NP\tO' +p121200 +aS'Tablet(\tTablet(\t(\tI-NP\tO' +p121201 +aS's\ts\tNN\tI-NP\tO' +p121202 +aS')*\t)*\tSYM\tB-NP\tO' +p121203 +asS'10. Bollin insulin 18 units subcutaneous q A.M. , Richard insulin 14 units subcutaneous q P.M.' +p121204 +(lp121205 +S'10.\t10.\tLS\tB-NP\tO' +p121206 +aS'Bollin\tBollin\tNNP\tI-NP\tO' +p121207 +aS'insulin\tinsulin\tNN\tI-NP\tO' +p121208 +aS'18\t18\tCD\tB-NP\tO' +p121209 +aS'units\tunit\tNNS\tI-NP\tO' +p121210 +aS'subcutaneous\tsubcutaneous\tJJ\tB-NP\tO' +p121211 +aS'q\tq\tNN\tI-NP\tO' +p121212 +aS'A.M.\tA.M.\tNNP\tB-NP\tO' +p121213 +aS',\t,\t,\tO\tO' +p121214 +aS'Richard\tRichard\tNNP\tB-NP\tO' +p121215 +aS'insulin\tinsulin\tNN\tI-NP\tO' +p121216 +aS'14\t14\tCD\tB-NP\tO' +p121217 +aS'units\tunit\tNNS\tI-NP\tO' +p121218 +aS'subcutaneous\tsubcutaneous\tJJ\tB-NP\tO' +p121219 +aS'q\tq\tNN\tI-NP\tO' +p121220 +aS'P.M.\tP.M.\tNN\tI-NP\tO' +p121221 +asS'Heart rate 76 , blood pressure 169/100 .' +p121222 +(lp121223 +S'Heart\tHeart\tNN\tB-NP\tO' +p121224 +aS'rate\trate\tNN\tI-NP\tO' +p121225 +aS'76\t76\tCD\tI-NP\tO' +p121226 +aS',\t,\t,\tO\tO' +p121227 +aS'blood\tblood\tNN\tB-NP\tO' +p121228 +aS'pressure\tpressure\tNN\tI-NP\tO' +p121229 +aS'169/100\t169/100\tCD\tI-NP\tO' +p121230 +aS'.\t.\t.\tO\tO' +p121231 +asS'A right-to-left shunt across the interatrial septum is seen at rest with injection of agitated saline contrast .' +p121232 +(lp121233 +S'A\tA\tDT\tB-NP\tO' +p121234 +aS'right-to-left\tright-to-left\tJJ\tI-NP\tO' +p121235 +aS'shunt\tshunt\tNN\tI-NP\tO' +p121236 +aS'across\tacross\tIN\tB-PP\tO' +p121237 +aS'the\tthe\tDT\tB-NP\tO' +p121238 +aS'interatrial\tinteratrial\tJJ\tI-NP\tO' +p121239 +aS'septum\tseptum\tNN\tI-NP\tO' +p121240 +aS'is\tbe\tVBZ\tB-VP\tO' +p121241 +aS'seen\tsee\tVBN\tI-VP\tO' +p121242 +aS'at\tat\tIN\tB-PP\tO' +p121243 +aS'rest\trest\tNN\tB-NP\tO' +p121244 +aS'with\twith\tIN\tB-PP\tO' +p121245 +aS'injection\tinjection\tNN\tB-NP\tO' +p121246 +aS'of\tof\tIN\tB-PP\tO' +p121247 +aS'agitated\tagitate\tVBN\tB-NP\tO' +p121248 +aS'saline\tsaline\tNN\tI-NP\tO' +p121249 +aS'contrast\tcontrast\tNN\tI-NP\tO' +p121250 +aS'.\t.\t.\tO\tO' +p121251 +asS'2) Chronic low back pain , s/p lumbar discectomy x 2 .' +p121252 +(lp121253 +S'2)\t2)\tLS\tB-NP\tO' +p121254 +aS'Chronic\tChronic\tNNP\tI-NP\tO' +p121255 +aS'low\tlow\tJJ\tI-NP\tO' +p121256 +aS'back\tback\tJJ\tI-NP\tO' +p121257 +aS'pain\tpain\tNN\tI-NP\tO' +p121258 +aS',\t,\t,\tO\tO' +p121259 +aS's/p\ts/p\tNN\tB-NP\tB-protein' +p121260 +aS'lumbar\tlumbar\tNN\tI-NP\tI-protein' +p121261 +aS'discectomy\tdiscectomy\tNN\tI-NP\tI-protein' +p121262 +aS'x\tx\tSYM\tB-NP\tI-protein' +p121263 +aS'2\t2\tCD\tI-NP\tI-protein' +p121264 +aS'.\t.\t.\tO\tO' +p121265 +asS'He required anti-hypertensive therapy initially with Nipride which was changed to Hydralazine to avoid shunting .' +p121266 +(lp121267 +S'He\tHe\tPRP\tB-NP\tO' +p121268 +aS'required\trequire\tVBD\tB-VP\tO' +p121269 +aS'anti-hypertensive\tanti-hypertensive\tJJ\tB-NP\tO' +p121270 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p121271 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p121272 +aS'with\twith\tIN\tB-PP\tO' +p121273 +aS'Nipride\tNipride\tNN\tB-NP\tO' +p121274 +aS'which\twhich\tWDT\tB-NP\tO' +p121275 +aS'was\tbe\tVBD\tB-VP\tO' +p121276 +aS'changed\tchange\tVBN\tI-VP\tO' +p121277 +aS'to\tto\tTO\tB-PP\tO' +p121278 +aS'Hydralazine\tHydralazine\tNN\tB-NP\tO' +p121279 +aS'to\tto\tTO\tB-VP\tO' +p121280 +aS'avoid\tavoid\tVB\tI-VP\tO' +p121281 +aS'shunting\tshunting\tNN\tB-NP\tO' +p121282 +aS'.\t.\t.\tO\tO' +p121283 +asS'15) h/o left hip joint replacement in 2008' +p121284 +(lp121285 +S'15)\t15)\tLS\tB-NP\tO' +p121286 +aS'h/o\th/o\tNN\tI-NP\tO' +p121287 +aS'left\tleft\tJJ\tI-NP\tO' +p121288 +aS'hip\thip\tNN\tI-NP\tO' +p121289 +aS'joint\tjoint\tNN\tI-NP\tO' +p121290 +aS'replacement\treplacement\tNN\tI-NP\tO' +p121291 +aS'in\tin\tIN\tB-PP\tO' +p121292 +aS'2008\t2008\tCD\tB-NP\tO' +p121293 +asS'Percocet one to two tablets p.o.q. 3-4 h. p.r.n. pain .' +p121294 +(lp121295 +S'Percocet\tPercocet\tIN\tB-PP\tO' +p121296 +aS'one\tone\tCD\tB-NP\tO' +p121297 +aS'to\tto\tTO\tB-PP\tO' +p121298 +aS'two\ttwo\tCD\tB-NP\tO' +p121299 +aS'tablets\ttablet\tNNS\tI-NP\tB-protein' +p121300 +aS'p.o.q.\tp.o.q.\tRB\tB-NP\tI-protein' +p121301 +aS'3-4\t3-4\tCD\tI-NP\tI-protein' +p121302 +aS'h.\th.\tNN\tI-NP\tI-protein' +p121303 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tI-protein' +p121304 +aS'pain\tpain\tNN\tI-NP\tI-protein' +p121305 +aS'.\t.\t.\tO\tO' +p121306 +asS'The patient was also noted to be right handed .' +p121307 +(lp121308 +S'The\tThe\tDT\tB-NP\tO' +p121309 +aS'patient\tpatient\tNN\tI-NP\tO' +p121310 +aS'was\tbe\tVBD\tB-VP\tO' +p121311 +aS'also\talso\tRB\tI-VP\tO' +p121312 +aS'noted\tnote\tVBN\tI-VP\tO' +p121313 +aS'to\tto\tTO\tI-VP\tO' +p121314 +aS'be\tbe\tVB\tI-VP\tO' +p121315 +aS'right\tright\tJJ\tB-ADJP\tO' +p121316 +aS'handed\thand\tVBN\tB-VP\tO' +p121317 +aS'.\t.\t.\tO\tO' +p121318 +asS'In the Oncology Floor he received Carboplatin and Etoposide to which he reacted well .' +p121319 +(lp121320 +S'In\tIn\tIN\tB-PP\tO' +p121321 +aS'the\tthe\tDT\tB-NP\tO' +p121322 +aS'Oncology\tOncology\tNNP\tI-NP\tO' +p121323 +aS'Floor\tFloor\tNNP\tI-NP\tO' +p121324 +aS'he\the\tPRP\tB-NP\tO' +p121325 +aS'received\treceive\tVBD\tB-VP\tO' +p121326 +aS'Carboplatin\tCarboplatin\tNN\tB-NP\tB-protein' +p121327 +aS'and\tand\tCC\tI-NP\tO' +p121328 +aS'Etoposide\tEtoposide\tNN\tI-NP\tO' +p121329 +aS'to\tto\tTO\tB-PP\tO' +p121330 +aS'which\twhich\tWDT\tB-NP\tO' +p121331 +aS'he\the\tPRP\tB-NP\tO' +p121332 +aS'reacted\treact\tVBD\tB-VP\tO' +p121333 +aS'well\twell\tRB\tB-ADVP\tO' +p121334 +aS'.\t.\t.\tO\tO' +p121335 +asS'He did not sleep at all the night before and was extremely fatigued .' +p121336 +(lp121337 +S'He\tHe\tPRP\tB-NP\tO' +p121338 +aS'did\tdo\tVBD\tB-VP\tO' +p121339 +aS'not\tnot\tRB\tI-VP\tO' +p121340 +aS'sleep\tsleep\tVB\tI-VP\tO' +p121341 +aS'at\tat\tIN\tB-PP\tO' +p121342 +aS'all\tall\tPDT\tB-NP\tO' +p121343 +aS'the\tthe\tDT\tI-NP\tO' +p121344 +aS'night\tnight\tNN\tI-NP\tO' +p121345 +aS'before\tbefore\tIN\tB-ADVP\tO' +p121346 +aS'and\tand\tCC\tO\tO' +p121347 +aS'was\tbe\tVBD\tB-VP\tO' +p121348 +aS'extremely\textremely\tRB\tI-VP\tO' +p121349 +aS'fatigued\tfatigue\tVBN\tI-VP\tO' +p121350 +aS'.\t.\t.\tO\tO' +p121351 +asS'By postoperative day number 23 , Mr. Nina pulmonary status was deemed sufficiently stable .' +p121352 +(lp121353 +S'By\tBy\tIN\tB-PP\tO' +p121354 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p121355 +aS'day\tday\tNN\tI-NP\tO' +p121356 +aS'number\tnumber\tNN\tI-NP\tO' +p121357 +aS'23\t23\tCD\tI-NP\tO' +p121358 +aS',\t,\t,\tO\tO' +p121359 +aS'Mr.\tMr.\tNNP\tB-NP\tO' +p121360 +aS'Nina\tNina\tNNP\tI-NP\tO' +p121361 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p121362 +aS'status\tstatus\tNN\tI-NP\tO' +p121363 +aS'was\tbe\tVBD\tB-VP\tO' +p121364 +aS'deemed\tdeem\tVBN\tI-VP\tO' +p121365 +aS'sufficiently\tsufficiently\tRB\tB-ADJP\tO' +p121366 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p121367 +aS'.\t.\t.\tO\tO' +p121368 +asS'The echocardiogram showed terrible left ventricular function , with left ventricular aneurysm .' +p121369 +(lp121370 +S'The\tThe\tDT\tB-NP\tO' +p121371 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p121372 +aS'showed\tshow\tVBD\tB-VP\tO' +p121373 +aS'terrible\tterrible\tJJ\tB-NP\tO' +p121374 +aS'left\tleft\tJJ\tI-NP\tO' +p121375 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p121376 +aS'function\tfunction\tNN\tI-NP\tO' +p121377 +aS',\t,\t,\tO\tO' +p121378 +aS'with\twith\tIN\tB-PP\tO' +p121379 +aS'left\tleft\tJJ\tB-NP\tO' +p121380 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p121381 +aS'aneurysm\taneurysm\tNN\tI-NP\tO' +p121382 +aS'.\t.\t.\tO\tO' +p121383 +asS'1. Metoprolol Tartrate 25 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ) .' +p121384 +(lp121385 +S'1.\t1.\tLS\tB-NP\tO' +p121386 +aS'Metoprolol\tMetoprolol\tNN\tI-NP\tO' +p121387 +aS'Tartrate\tTartrate\tNN\tI-NP\tO' +p121388 +aS'25\t25\tCD\tI-NP\tO' +p121389 +aS'mg\tmg\tNN\tI-NP\tO' +p121390 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p121391 +aS'Sig\tSig\tNNP\tI-NP\tO' +p121392 +aS':\t:\t:\tO\tO' +p121393 +aS'One\tOne\tCD\tB-NP\tO' +p121394 +aS'(\t(\t(\tO\tO' +p121395 +aS'1\t1\tCD\tB-NP\tO' +p121396 +aS')\t)\t)\tO\tO' +p121397 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p121398 +aS'PO\tPO\tNN\tI-NP\tO' +p121399 +aS'BID\tBID\tNN\tI-NP\tO' +p121400 +aS'(\t(\t(\tO\tO' +p121401 +aS'2\t2\tCD\tB-NP\tO' +p121402 +aS'times\ttime\tNNS\tI-NP\tO' +p121403 +aS'a\ta\tDT\tB-NP\tO' +p121404 +aS'day\tday\tNN\tI-NP\tO' +p121405 +aS')\t)\t)\tO\tO' +p121406 +aS'.\t.\t.\tO\tO' +p121407 +asS'On physical examination , blood pressure is 130/80 , pulse 74 and regular , respirations 14 .' +p121408 +(lp121409 +S'On\tOn\tIN\tB-PP\tO' +p121410 +aS'physical\tphysical\tJJ\tB-NP\tO' +p121411 +aS'examination\texamination\tNN\tI-NP\tO' +p121412 +aS',\t,\t,\tO\tO' +p121413 +aS'blood\tblood\tNN\tB-NP\tO' +p121414 +aS'pressure\tpressure\tNN\tI-NP\tO' +p121415 +aS'is\tbe\tVBZ\tB-VP\tO' +p121416 +aS'130/80\t130/80\tCD\tB-NP\tO' +p121417 +aS',\t,\t,\tO\tO' +p121418 +aS'pulse\tpulse\tNN\tB-NP\tO' +p121419 +aS'74\t74\tCD\tI-NP\tO' +p121420 +aS'and\tand\tCC\tO\tO' +p121421 +aS'regular\tregular\tJJ\tB-NP\tO' +p121422 +aS',\t,\t,\tO\tO' +p121423 +aS'respirations\trespiration\tNNS\tB-NP\tO' +p121424 +aS'14\t14\tCD\tB-NP\tO' +p121425 +aS'.\t.\t.\tO\tO' +p121426 +asS'Service is actually Medicine , Newburyport Firm not C-CMED .' +p121427 +(lp121428 +S'Service\tService\tNN\tB-NP\tO' +p121429 +aS'is\tbe\tVBZ\tB-VP\tO' +p121430 +aS'actually\tactually\tRB\tB-ADVP\tO' +p121431 +aS'Medicine\tMedicine\tNNP\tB-NP\tO' +p121432 +aS',\t,\t,\tO\tO' +p121433 +aS'Newburyport\tNewburyport\tNNP\tB-NP\tO' +p121434 +aS'Firm\tFirm\tNNP\tI-NP\tO' +p121435 +aS'not\tnot\tRB\tO\tO' +p121436 +aS'C-CMED\tC-CMED\tJJ\tB-ADJP\tO' +p121437 +aS'.\t.\t.\tO\tO' +p121438 +asS'Mild grunting .' +p121439 +(lp121440 +S'Mild\tMild\tNNP\tB-NP\tO' +p121441 +aS'grunting\tgrunt\tVBG\tB-VP\tO' +p121442 +aS'.\t.\t.\tO\tO' +p121443 +asS'He was transported to Hallmark Health System Monica , where ABG 7.14/82/44 while bagging on 100% FiO2 .' +p121444 +(lp121445 +S'He\tHe\tPRP\tB-NP\tO' +p121446 +aS'was\tbe\tVBD\tB-VP\tO' +p121447 +aS'transported\ttransport\tVBN\tI-VP\tO' +p121448 +aS'to\tto\tTO\tB-PP\tO' +p121449 +aS'Hallmark\tHallmark\tNNP\tB-NP\tO' +p121450 +aS'Health\tHealth\tNNP\tI-NP\tO' +p121451 +aS'System\tSystem\tNNP\tI-NP\tO' +p121452 +aS'Monica\tMonica\tNNP\tI-NP\tO' +p121453 +aS',\t,\t,\tO\tO' +p121454 +aS'where\twhere\tWRB\tB-ADVP\tO' +p121455 +aS'ABG\tABG\tNN\tB-NP\tO' +p121456 +aS'7.14/82/44\t7.14/82/44\tCD\tI-NP\tO' +p121457 +aS'while\twhile\tIN\tB-SBAR\tO' +p121458 +aS'bagging\tbag\tVBG\tB-VP\tO' +p121459 +aS'on\ton\tIN\tB-PP\tO' +p121460 +aS'100%\t100%\tCD\tB-NP\tO' +p121461 +aS'FiO2\tFiO2\tCD\tI-NP\tO' +p121462 +aS'.\t.\t.\tO\tO' +p121463 +asS'Jevity 1.2 65 mL / hour continuous with water 240 cc q 8 hours' +p121464 +(lp121465 +S'Jevity\tJevity\tNN\tB-NP\tO' +p121466 +aS'1.2\t1.2\tCD\tB-NP\tO' +p121467 +aS'65\t65\tCD\tI-NP\tO' +p121468 +aS'mL\tmL\tNN\tI-NP\tO' +p121469 +aS'/\t/\tSYM\tB-NP\tO' +p121470 +aS'hour\thour\tNN\tI-NP\tO' +p121471 +aS'continuous\tcontinuous\tJJ\tB-ADJP\tO' +p121472 +aS'with\twith\tIN\tB-PP\tO' +p121473 +aS'water\twater\tNN\tB-NP\tO' +p121474 +aS'240\t240\tCD\tI-NP\tO' +p121475 +aS'cc\tcc\tNN\tI-NP\tO' +p121476 +aS'q\tq\tNN\tI-NP\tO' +p121477 +aS'8\t8\tCD\tB-NP\tO' +p121478 +aS'hours\thour\tNNS\tI-NP\tO' +p121479 +asS'She also received captopril 12.5 mg times one .' +p121480 +(lp121481 +S'She\tShe\tPRP\tB-NP\tO' +p121482 +aS'also\talso\tRB\tB-ADVP\tO' +p121483 +aS'received\treceive\tVBD\tB-VP\tO' +p121484 +aS'captopril\tcaptopril\tNN\tB-NP\tO' +p121485 +aS'12.5\t12.5\tCD\tI-NP\tO' +p121486 +aS'mg\tmg\tNN\tI-NP\tO' +p121487 +aS'times\ttime\tNNS\tI-NP\tO' +p121488 +aS'one\tone\tCD\tB-NP\tO' +p121489 +aS'.\t.\t.\tO\tO' +p121490 +asS'The extremities were normal .' +p121491 +(lp121492 +S'The\tThe\tDT\tB-NP\tO' +p121493 +aS'extremities\textremity\tNNS\tI-NP\tO' +p121494 +aS'were\tbe\tVBD\tB-VP\tO' +p121495 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p121496 +aS'.\t.\t.\tO\tO' +p121497 +asS'A bileaflet mitral valve prosthesis is present .' +p121498 +(lp121499 +S'A\tA\tDT\tB-NP\tO' +p121500 +aS'bileaflet\tbileaflet\tNN\tI-NP\tO' +p121501 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p121502 +aS'valve\tvalve\tNN\tI-NP\tO' +p121503 +aS'prosthesis\tprosthesis\tNN\tI-NP\tO' +p121504 +aS'is\tbe\tVBZ\tB-VP\tO' +p121505 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p121506 +aS'.\t.\t.\tO\tO' +p121507 +asS'Postoperatively , she was again noted to have a cold right lower extremity with diminished pulses and was again taken to the operating room , where she underwent a right popliteal exploration and thrombectomy .' +p121508 +(lp121509 +S'Postoperatively\tPostoperatively\tRB\tB-ADVP\tO' +p121510 +aS',\t,\t,\tO\tO' +p121511 +aS'she\tshe\tPRP\tB-NP\tO' +p121512 +aS'was\tbe\tVBD\tB-VP\tO' +p121513 +aS'again\tagain\tRB\tI-VP\tO' +p121514 +aS'noted\tnote\tVBN\tI-VP\tO' +p121515 +aS'to\tto\tTO\tI-VP\tO' +p121516 +aS'have\thave\tVB\tI-VP\tO' +p121517 +aS'a\ta\tDT\tB-NP\tO' +p121518 +aS'cold\tcold\tJJ\tI-NP\tO' +p121519 +aS'right\tright\tNN\tI-NP\tO' +p121520 +aS'lower\tlow\tJJR\tB-NP\tO' +p121521 +aS'extremity\textremity\tNN\tI-NP\tO' +p121522 +aS'with\twith\tIN\tB-PP\tO' +p121523 +aS'diminished\tdiminish\tVBN\tB-NP\tO' +p121524 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p121525 +aS'and\tand\tCC\tO\tO' +p121526 +aS'was\tbe\tVBD\tB-VP\tO' +p121527 +aS'again\tagain\tRB\tI-VP\tO' +p121528 +aS'taken\ttake\tVBN\tI-VP\tO' +p121529 +aS'to\tto\tTO\tB-PP\tO' +p121530 +aS'the\tthe\tDT\tB-NP\tO' +p121531 +aS'operating\toperating\tNN\tI-NP\tO' +p121532 +aS'room\troom\tNN\tI-NP\tO' +p121533 +aS',\t,\t,\tO\tO' +p121534 +aS'where\twhere\tWRB\tB-ADVP\tO' +p121535 +aS'she\tshe\tPRP\tB-NP\tO' +p121536 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p121537 +aS'a\ta\tDT\tB-NP\tO' +p121538 +aS'right\tright\tJJ\tI-NP\tO' +p121539 +aS'popliteal\tpopliteal\tJJ\tI-NP\tO' +p121540 +aS'exploration\texploration\tNN\tI-NP\tO' +p121541 +aS'and\tand\tCC\tI-NP\tO' +p121542 +aS'thrombectomy\tthrombectomy\tNN\tI-NP\tO' +p121543 +aS'.\t.\t.\tO\tO' +p121544 +asS'Bradycardia followed by outpatient cardiologist with a Holter monitor on 2015-05-01 , with first degree AV block and a heart rate ranging between 35 to 53 beats per minute .' +p121545 +(lp121546 +S'Bradycardia\tBradycardia\tNNP\tB-NP\tO' +p121547 +aS'followed\tfollow\tVBN\tB-VP\tO' +p121548 +aS'by\tby\tIN\tB-PP\tO' +p121549 +aS'outpatient\toutpatient\tNN\tB-NP\tO' +p121550 +aS'cardiologist\tcardiologist\tNN\tI-NP\tO' +p121551 +aS'with\twith\tIN\tB-PP\tO' +p121552 +aS'a\ta\tDT\tB-NP\tO' +p121553 +aS'Holter\tHolter\tNNP\tI-NP\tO' +p121554 +aS'monitor\tmonitor\tNN\tI-NP\tO' +p121555 +aS'on\ton\tIN\tB-PP\tO' +p121556 +aS'2015-05-01\t2015-05-01\tCD\tB-NP\tO' +p121557 +aS',\t,\t,\tO\tO' +p121558 +aS'with\twith\tIN\tB-PP\tO' +p121559 +aS'first\tfirst\tJJ\tB-NP\tO' +p121560 +aS'degree\tdegree\tNN\tI-NP\tO' +p121561 +aS'AV\tAV\tNN\tI-NP\tO' +p121562 +aS'block\tblock\tNN\tI-NP\tO' +p121563 +aS'and\tand\tCC\tO\tO' +p121564 +aS'a\ta\tDT\tB-NP\tO' +p121565 +aS'heart\theart\tNN\tI-NP\tO' +p121566 +aS'rate\trate\tNN\tI-NP\tO' +p121567 +aS'ranging\trange\tVBG\tB-VP\tO' +p121568 +aS'between\tbetween\tIN\tB-PP\tO' +p121569 +aS'35\t35\tCD\tB-NP\tO' +p121570 +aS'to\tto\tTO\tI-NP\tO' +p121571 +aS'53\t53\tCD\tI-NP\tO' +p121572 +aS'beats\tbeat\tNNS\tI-NP\tO' +p121573 +aS'per\tper\tIN\tB-PP\tO' +p121574 +aS'minute\tminute\tNN\tB-NP\tO' +p121575 +aS'.\t.\t.\tO\tO' +p121576 +asS'No cultures were positive but the chest x-ray showed bilateral densities more on the left than the right compatible with aspiration pneumonia .' +p121577 +(lp121578 +S'No\tNo\tDT\tB-NP\tO' +p121579 +aS'cultures\tculture\tNNS\tI-NP\tO' +p121580 +aS'were\tbe\tVBD\tB-VP\tO' +p121581 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p121582 +aS'but\tbut\tCC\tO\tO' +p121583 +aS'the\tthe\tDT\tB-NP\tO' +p121584 +aS'chest\tchest\tNN\tI-NP\tO' +p121585 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p121586 +aS'showed\tshow\tVBD\tB-VP\tO' +p121587 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p121588 +aS'densities\tdensity\tNNS\tI-NP\tO' +p121589 +aS'more\tmore\tRBR\tB-ADVP\tO' +p121590 +aS'on\ton\tIN\tB-PP\tO' +p121591 +aS'the\tthe\tDT\tB-NP\tO' +p121592 +aS'left\tleft\tNN\tI-NP\tO' +p121593 +aS'than\tthan\tIN\tB-PP\tO' +p121594 +aS'the\tthe\tDT\tB-NP\tO' +p121595 +aS'right\tright\tNN\tI-NP\tO' +p121596 +aS'compatible\tcompatible\tJJ\tB-ADJP\tO' +p121597 +aS'with\twith\tIN\tB-PP\tO' +p121598 +aS'aspiration\taspiration\tNN\tB-NP\tO' +p121599 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p121600 +aS'.\t.\t.\tO\tO' +p121601 +asS'Heart rate 108 and regular , blood pressure 145/76 , respiratory rate 20 , height 5\'2" , weight 141 pounds .' +p121602 +(lp121603 +S'Heart\tHeart\tNN\tB-NP\tO' +p121604 +aS'rate\trate\tNN\tI-NP\tO' +p121605 +aS'108\t108\tCD\tB-NP\tO' +p121606 +aS'and\tand\tCC\tI-NP\tO' +p121607 +aS'regular\tregular\tJJ\tI-NP\tO' +p121608 +aS',\t,\t,\tI-NP\tO' +p121609 +aS'blood\tblood\tNN\tI-NP\tO' +p121610 +aS'pressure\tpressure\tNN\tI-NP\tO' +p121611 +aS'145/76\t145/76\tCD\tI-NP\tO' +p121612 +aS',\t,\t,\tO\tO' +p121613 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p121614 +aS'rate\trate\tNN\tI-NP\tO' +p121615 +aS'20\t20\tCD\tI-NP\tO' +p121616 +aS',\t,\t,\tO\tO' +p121617 +aS'height\theight\tNN\tB-NP\tB-protein' +p121618 +aS'5\'2"\t5\'2"\tNN\tI-NP\tI-protein' +p121619 +aS',\t,\t,\tO\tO' +p121620 +aS'weight\tweight\tNN\tB-NP\tO' +p121621 +aS'141\t141\tCD\tB-NP\tO' +p121622 +aS'pounds\tpound\tNNS\tI-NP\tO' +p121623 +aS'.\t.\t.\tO\tO' +p121624 +asS'No effusion or rub was heard .' +p121625 +(lp121626 +S'No\tNo\tDT\tB-NP\tO' +p121627 +aS'effusion\teffusion\tNN\tI-NP\tO' +p121628 +aS'or\tor\tCC\tI-NP\tO' +p121629 +aS'rub\trub\tNN\tI-NP\tO' +p121630 +aS'was\tbe\tVBD\tB-VP\tO' +p121631 +aS'heard\thear\tVBN\tI-VP\tO' +p121632 +aS'.\t.\t.\tO\tO' +p121633 +asS'There has been removal of a Swan-Ganz catheter and placement of a right internal jugular vascular catheter , with the tip terminating in the proximal right atrium just below the junction with the superior vena cava .' +p121634 +(lp121635 +S'There\tThere\tEX\tB-NP\tO' +p121636 +aS'has\thave\tVBZ\tB-VP\tO' +p121637 +aS'been\tbe\tVBN\tI-VP\tO' +p121638 +aS'removal\tremoval\tNN\tB-NP\tO' +p121639 +aS'of\tof\tIN\tB-PP\tO' +p121640 +aS'a\ta\tDT\tB-NP\tO' +p121641 +aS'Swan-Ganz\tSwan-Ganz\tJJ\tI-NP\tO' +p121642 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p121643 +aS'and\tand\tCC\tI-NP\tO' +p121644 +aS'placement\tplacement\tNN\tI-NP\tO' +p121645 +aS'of\tof\tIN\tB-PP\tO' +p121646 +aS'a\ta\tDT\tB-NP\tO' +p121647 +aS'right\tright\tJJ\tI-NP\tO' +p121648 +aS'internal\tinternal\tJJ\tI-NP\tO' +p121649 +aS'jugular\tjugular\tJJ\tI-NP\tO' +p121650 +aS'vascular\tvascular\tJJ\tI-NP\tO' +p121651 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p121652 +aS',\t,\t,\tO\tO' +p121653 +aS'with\twith\tIN\tB-PP\tO' +p121654 +aS'the\tthe\tDT\tB-NP\tO' +p121655 +aS'tip\ttip\tNN\tI-NP\tO' +p121656 +aS'terminating\tterminate\tVBG\tB-VP\tO' +p121657 +aS'in\tin\tIN\tB-PP\tO' +p121658 +aS'the\tthe\tDT\tB-NP\tO' +p121659 +aS'proximal\tproximal\tJJ\tI-NP\tO' +p121660 +aS'right\tright\tJJ\tI-NP\tO' +p121661 +aS'atrium\tatrium\tNN\tI-NP\tO' +p121662 +aS'just\tjust\tRB\tB-PP\tO' +p121663 +aS'below\tbelow\tIN\tI-PP\tO' +p121664 +aS'the\tthe\tDT\tB-NP\tO' +p121665 +aS'junction\tjunction\tNN\tI-NP\tO' +p121666 +aS'with\twith\tIN\tB-PP\tO' +p121667 +aS'the\tthe\tDT\tB-NP\tO' +p121668 +aS'superior\tsuperior\tJJ\tI-NP\tO' +p121669 +aS'vena\tvena\tNN\tI-NP\tO' +p121670 +aS'cava\tcava\tNN\tI-NP\tO' +p121671 +aS'.\t.\t.\tO\tO' +p121672 +asS'11. Primaquine Phosphate 26.3 mg Tablet Sig : Two ( 2 ) Tablet PO DAILY ( Daily ) for 3 days .' +p121673 +(lp121674 +S'11.\t11.\tLS\tB-NP\tO' +p121675 +aS'Primaquine\tPrimaquine\tNN\tI-NP\tO' +p121676 +aS'Phosphate\tPhosphate\tNN\tI-NP\tO' +p121677 +aS'26.3\t26.3\tCD\tI-NP\tO' +p121678 +aS'mg\tmg\tNN\tI-NP\tO' +p121679 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p121680 +aS'Sig\tSig\tNNP\tI-NP\tO' +p121681 +aS':\t:\t:\tO\tO' +p121682 +aS'Two\tTwo\tCD\tB-NP\tO' +p121683 +aS'(\t(\t(\tO\tO' +p121684 +aS'2\t2\tCD\tO\tO' +p121685 +aS')\t)\t)\tO\tO' +p121686 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p121687 +aS'PO\tPO\tNN\tI-NP\tO' +p121688 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p121689 +aS'(\t(\t(\tO\tO' +p121690 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p121691 +aS')\t)\t)\tO\tO' +p121692 +aS'for\tfor\tIN\tB-PP\tO' +p121693 +aS'3\t3\tCD\tB-NP\tO' +p121694 +aS'days\tday\tNNS\tI-NP\tO' +p121695 +aS'.\t.\t.\tO\tO' +p121696 +asS'Pt is 22 y / o female with hx of HIV and CD4 ct of 297 who presented to ED on 01/14 with sebaceous cyst that was infected .' +p121697 +(lp121698 +S'Pt\tPt\tNN\tB-NP\tO' +p121699 +aS'is\tbe\tVBZ\tB-VP\tO' +p121700 +aS'22\t22\tCD\tB-NP\tO' +p121701 +aS'y\ty\tNN\tI-NP\tO' +p121702 +aS'/\t/\tSYM\tB-NP\tO' +p121703 +aS'o\to\tNN\tI-NP\tO' +p121704 +aS'female\tfemale\tJJ\tB-ADJP\tO' +p121705 +aS'with\twith\tIN\tB-PP\tO' +p121706 +aS'hx\thx\tNN\tB-NP\tO' +p121707 +aS'of\tof\tIN\tB-PP\tO' +p121708 +aS'HIV\tHIV\tNN\tB-NP\tO' +p121709 +aS'and\tand\tCC\tI-NP\tO' +p121710 +aS'CD4\tCD4\tNN\tI-NP\tB-protein' +p121711 +aS'ct\tct\tNN\tI-NP\tO' +p121712 +aS'of\tof\tIN\tB-PP\tO' +p121713 +aS'297\t297\tCD\tB-NP\tO' +p121714 +aS'who\twho\tWP\tB-NP\tO' +p121715 +aS'presented\tpresent\tVBD\tB-VP\tO' +p121716 +aS'to\tto\tTO\tI-VP\tO' +p121717 +aS'ED\tED\tVB\tI-VP\tO' +p121718 +aS'on\ton\tIN\tB-PP\tO' +p121719 +aS'01/14\t01/14\tCD\tB-NP\tO' +p121720 +aS'with\twith\tIN\tB-PP\tO' +p121721 +aS'sebaceous\tsebaceous\tJJ\tB-NP\tO' +p121722 +aS'cyst\tcyst\tNN\tI-NP\tO' +p121723 +aS'that\tthat\tWDT\tB-NP\tO' +p121724 +aS'was\tbe\tVBD\tB-VP\tO' +p121725 +aS'infected\tinfect\tVBN\tI-VP\tO' +p121726 +aS'.\t.\t.\tO\tO' +p121727 +asS'No JVD or increased JVP was appreciated at 0 degrees .' +p121728 +(lp121729 +S'No\tNo\tDT\tB-NP\tO' +p121730 +aS'JVD\tJVD\tNN\tI-NP\tB-protein' +p121731 +aS'or\tor\tCC\tO\tO' +p121732 +aS'increased\tincrease\tVBN\tB-NP\tO' +p121733 +aS'JVP\tJVP\tNN\tI-NP\tB-protein' +p121734 +aS'was\tbe\tVBD\tB-VP\tO' +p121735 +aS'appreciated\tappreciate\tVBN\tI-VP\tO' +p121736 +aS'at\tat\tIN\tB-PP\tO' +p121737 +aS'0\t0\tCD\tB-NP\tO' +p121738 +aS'degrees\tdegree\tNNS\tI-NP\tO' +p121739 +aS'.\t.\t.\tO\tO' +p121740 +asS"Neurology felt that the patient 's cognitive symptoms were consistent w/ metabolic encephalopathy due to his multiple medical problems ." +p121741 +(lp121742 +S'Neurology\tNeurology\tNNP\tB-NP\tO' +p121743 +aS'felt\tfeel\tVBD\tB-VP\tO' +p121744 +aS'that\tthat\tIN\tB-SBAR\tO' +p121745 +aS'the\tthe\tDT\tB-NP\tO' +p121746 +aS'patient\tpatient\tNN\tI-NP\tO' +p121747 +aS"'s\t's\tPOS\tB-NP\tO" +p121748 +aS'cognitive\tcognitive\tJJ\tI-NP\tO' +p121749 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p121750 +aS'were\tbe\tVBD\tB-VP\tO' +p121751 +aS'consistent\tconsistent\tJJ\tB-NP\tO' +p121752 +aS'w/\tw/\tNN\tI-NP\tO' +p121753 +aS'metabolic\tmetabolic\tJJ\tI-NP\tO' +p121754 +aS'encephalopathy\tencephalopathy\tNN\tI-NP\tO' +p121755 +aS'due\tdue\tIN\tB-PP\tO' +p121756 +aS'to\tto\tTO\tB-PP\tO' +p121757 +aS'his\this\tPRP$\tB-NP\tO' +p121758 +aS'multiple\tmultiple\tJJ\tI-NP\tO' +p121759 +aS'medical\tmedical\tJJ\tI-NP\tO' +p121760 +aS'problems\tproblem\tNNS\tI-NP\tO' +p121761 +aS'.\t.\t.\tO\tO' +p121762 +asS'Several labs were ordered .' +p121763 +(lp121764 +S'Several\tSeveral\tJJ\tB-NP\tO' +p121765 +aS'labs\tlab\tNNS\tI-NP\tO' +p121766 +aS'were\tbe\tVBD\tB-VP\tO' +p121767 +aS'ordered\torder\tVBN\tI-VP\tO' +p121768 +aS'.\t.\t.\tO\tO' +p121769 +asS'The jugular veins were not distended , the carotid volume was diminished .' +p121770 +(lp121771 +S'The\tThe\tDT\tB-NP\tO' +p121772 +aS'jugular\tjugular\tJJ\tI-NP\tO' +p121773 +aS'veins\tvein\tNNS\tI-NP\tO' +p121774 +aS'were\tbe\tVBD\tB-VP\tO' +p121775 +aS'not\tnot\tRB\tI-VP\tO' +p121776 +aS'distended\tdistend\tVBN\tI-VP\tO' +p121777 +aS',\t,\t,\tO\tO' +p121778 +aS'the\tthe\tDT\tB-NP\tO' +p121779 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p121780 +aS'volume\tvolume\tNN\tI-NP\tO' +p121781 +aS'was\tbe\tVBD\tB-VP\tO' +p121782 +aS'diminished\tdiminish\tVBN\tI-VP\tO' +p121783 +aS'.\t.\t.\tO\tO' +p121784 +asS'Keflex 500 mg p.o. q.i.d. x 10 more days , Miconazole 2% powder topically b.i.d. apply to affected areas of breasts and groins b.i.d. , Lisinopril 20 mg p.o. q day hold of systolic blood pressure less than 110 , Lovenox 100 mg subcutaneously q 12 hours x 2 doses and then discontinued , atenolol 12.5 mg p.o. q day hold for a systolic blood pressure of less than 110 , heart rate less than 55 .' +p121785 +(lp121786 +S'Keflex\tKeflex\tNNP\tB-NP\tO' +p121787 +aS'500\t500\tCD\tI-NP\tO' +p121788 +aS'mg\tmg\tNN\tI-NP\tO' +p121789 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p121790 +aS'q.i.d.\tq.i.d.\tNN\tI-NP\tO' +p121791 +aS'x\tx\tSYM\tB-NP\tO' +p121792 +aS'10\t10\tCD\tI-NP\tO' +p121793 +aS'more\tmore\tJJR\tI-NP\tO' +p121794 +aS'days\tday\tNNS\tI-NP\tO' +p121795 +aS',\t,\t,\tO\tO' +p121796 +aS'Miconazole\tMiconazole\tNN\tB-NP\tO' +p121797 +aS'2%\t2%\tNN\tI-NP\tO' +p121798 +aS'powder\tpowder\tNN\tI-NP\tO' +p121799 +aS'topically\ttopically\tRB\tB-VP\tO' +p121800 +aS'b.i.d.\tb.i.d.\tRB\tI-VP\tO' +p121801 +aS'apply\tapply\tVB\tI-VP\tO' +p121802 +aS'to\tto\tTO\tB-PP\tO' +p121803 +aS'affected\taffect\tVBN\tB-NP\tO' +p121804 +aS'areas\tarea\tNNS\tI-NP\tO' +p121805 +aS'of\tof\tIN\tB-PP\tO' +p121806 +aS'breasts\tbreast\tNNS\tB-NP\tO' +p121807 +aS'and\tand\tCC\tI-NP\tO' +p121808 +aS'groins\tgroin\tNNS\tI-NP\tO' +p121809 +aS'b.i.d.\tb.i.d.\tRB\tB-ADVP\tO' +p121810 +aS',\t,\t,\tO\tO' +p121811 +aS'Lisinopril\tLisinopril\tNNP\tB-NP\tO' +p121812 +aS'20\t20\tCD\tI-NP\tO' +p121813 +aS'mg\tmg\tNN\tI-NP\tO' +p121814 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p121815 +aS'q\tq\tNN\tI-NP\tO' +p121816 +aS'day\tday\tNN\tI-NP\tO' +p121817 +aS'hold\thold\tNN\tI-NP\tO' +p121818 +aS'of\tof\tIN\tB-PP\tO' +p121819 +aS'systolic\tsystolic\tJJ\tB-NP\tO' +p121820 +aS'blood\tblood\tNN\tI-NP\tO' +p121821 +aS'pressure\tpressure\tNN\tI-NP\tO' +p121822 +aS'less\tless\tJJR\tB-ADJP\tO' +p121823 +aS'than\tthan\tIN\tB-PP\tO' +p121824 +aS'110\t110\tCD\tB-NP\tO' +p121825 +aS',\t,\t,\tO\tO' +p121826 +aS'Lovenox\tLovenox\tNNP\tB-NP\tO' +p121827 +aS'100\t100\tCD\tI-NP\tO' +p121828 +aS'mg\tmg\tNN\tI-NP\tO' +p121829 +aS'subcutaneously\tsubcutaneously\tRB\tI-NP\tO' +p121830 +aS'q\tq\tNN\tI-NP\tO' +p121831 +aS'12\t12\tCD\tB-NP\tO' +p121832 +aS'hours\thour\tNNS\tI-NP\tO' +p121833 +aS'x\tx\tSYM\tB-NP\tO' +p121834 +aS'2\t2\tCD\tB-NP\tO' +p121835 +aS'doses\tdose\tNNS\tI-NP\tO' +p121836 +aS'and\tand\tCC\tO\tO' +p121837 +aS'then\tthen\tRB\tB-VP\tO' +p121838 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p121839 +aS',\t,\t,\tO\tO' +p121840 +aS'atenolol\tatenolol\tNN\tB-NP\tO' +p121841 +aS'12.5\t12.5\tCD\tI-NP\tO' +p121842 +aS'mg\tmg\tNN\tI-NP\tO' +p121843 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p121844 +aS'q\tq\tNN\tI-NP\tO' +p121845 +aS'day\tday\tNN\tI-NP\tO' +p121846 +aS'hold\thold\tVBP\tB-VP\tO' +p121847 +aS'for\tfor\tIN\tB-PP\tO' +p121848 +aS'a\ta\tDT\tB-NP\tO' +p121849 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p121850 +aS'blood\tblood\tNN\tI-NP\tO' +p121851 +aS'pressure\tpressure\tNN\tI-NP\tO' +p121852 +aS'of\tof\tIN\tB-PP\tO' +p121853 +aS'less\tless\tJJR\tB-NP\tO' +p121854 +aS'than\tthan\tIN\tI-NP\tO' +p121855 +aS'110\t110\tCD\tI-NP\tO' +p121856 +aS',\t,\t,\tO\tO' +p121857 +aS'heart\theart\tNN\tB-NP\tO' +p121858 +aS'rate\trate\tNN\tI-NP\tO' +p121859 +aS'less\tless\tJJR\tB-ADJP\tO' +p121860 +aS'than\tthan\tIN\tB-PP\tO' +p121861 +aS'55\t55\tCD\tB-NP\tO' +p121862 +aS'.\t.\t.\tO\tO' +p121863 +asS'8) Fosamax 10 mg p.o. q. day .' +p121864 +(lp121865 +S'8)\t8)\tLS\tB-LST\tO' +p121866 +aS'Fosamax\tFosamax\tNN\tB-NP\tO' +p121867 +aS'10\t10\tCD\tI-NP\tO' +p121868 +aS'mg\tmg\tNN\tI-NP\tO' +p121869 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p121870 +aS'q.\tq.\tNN\tI-NP\tO' +p121871 +aS'day\tday\tNN\tI-NP\tO' +p121872 +aS'.\t.\t.\tO\tO' +p121873 +asS'Please call Dr. Pytel ( 760 ) 496-3627 and make a follow-up appointment for 1 week , and discuss resuming your other outpatient medications at that time .' +p121874 +(lp121875 +S'Please\tPlease\tNNP\tB-NP\tO' +p121876 +aS'call\tcall\tNN\tI-NP\tO' +p121877 +aS'Dr.\tDr.\tNNP\tI-NP\tO' +p121878 +aS'Pytel\tPytel\tNNP\tI-NP\tO' +p121879 +aS'(\t(\t(\tO\tO' +p121880 +aS'760\t760\tCD\tB-NP\tO' +p121881 +aS')\t)\t)\tO\tO' +p121882 +aS'496-3627\t496-3627\tCD\tB-NP\tO' +p121883 +aS'and\tand\tCC\tO\tO' +p121884 +aS'make\tmake\tVB\tB-VP\tO' +p121885 +aS'a\ta\tDT\tB-NP\tO' +p121886 +aS'follow-up\tfollow-up\tJJ\tI-NP\tO' +p121887 +aS'appointment\tappointment\tNN\tI-NP\tO' +p121888 +aS'for\tfor\tIN\tB-PP\tO' +p121889 +aS'1\t1\tCD\tB-NP\tO' +p121890 +aS'week\tweek\tNN\tI-NP\tO' +p121891 +aS',\t,\t,\tO\tO' +p121892 +aS'and\tand\tCC\tO\tO' +p121893 +aS'discuss\tdiscuss\tVB\tB-VP\tO' +p121894 +aS'resuming\tresume\tVBG\tI-VP\tO' +p121895 +aS'your\tyour\tPRP$\tB-NP\tO' +p121896 +aS'other\tother\tJJ\tI-NP\tO' +p121897 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p121898 +aS'medications\tmedication\tNNS\tI-NP\tO' +p121899 +aS'at\tat\tIN\tB-PP\tO' +p121900 +aS'that\tthat\tDT\tB-NP\tO' +p121901 +aS'time\ttime\tNN\tI-NP\tO' +p121902 +aS'.\t.\t.\tO\tO' +p121903 +asS'A HIDA scan showed no flow , question of pancreatitis versus common bile duct obstruction .' +p121904 +(lp121905 +S'A\tA\tDT\tB-NP\tO' +p121906 +aS'HIDA\tHIDA\tNN\tI-NP\tO' +p121907 +aS'scan\tscan\tNN\tI-NP\tO' +p121908 +aS'showed\tshow\tVBD\tB-VP\tO' +p121909 +aS'no\tno\tDT\tB-NP\tO' +p121910 +aS'flow\tflow\tNN\tI-NP\tO' +p121911 +aS',\t,\t,\tO\tO' +p121912 +aS'question\tquestion\tNN\tB-NP\tO' +p121913 +aS'of\tof\tIN\tB-PP\tO' +p121914 +aS'pancreatitis\tpancreatitis\tNN\tB-NP\tO' +p121915 +aS'versus\tversus\tCC\tB-NP\tO' +p121916 +aS'common\tcommon\tJJ\tI-NP\tO' +p121917 +aS'bile\tbile\tNN\tI-NP\tO' +p121918 +aS'duct\tduct\tNN\tI-NP\tO' +p121919 +aS'obstruction\tobstruction\tNN\tI-NP\tO' +p121920 +aS'.\t.\t.\tO\tO' +p121921 +asS'He was generally well in all regards .' +p121922 +(lp121923 +S'He\tHe\tPRP\tB-NP\tO' +p121924 +aS'was\tbe\tVBD\tB-VP\tO' +p121925 +aS'generally\tgenerally\tRB\tB-ADVP\tO' +p121926 +aS'well\twell\tRB\tB-ADVP\tO' +p121927 +aS'in\tin\tIN\tB-PP\tO' +p121928 +aS'all\tall\tDT\tB-NP\tO' +p121929 +aS'regards\tregard\tNNS\tI-NP\tO' +p121930 +aS'.\t.\t.\tO\tO' +p121931 +asS'Skin intact .' +p121932 +(lp121933 +S'Skin\tSkin\tNN\tB-NP\tO' +p121934 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p121935 +aS'.\t.\t.\tO\tO' +p121936 +asS'This is to notify you that your patient , KOTEFOOKS , DASHA arrived in the Emergency Department at Tecal Galecounxopt Community Hospital on 12/19/2001 01:44 AM .' +p121937 +(lp121938 +S'This\tThis\tDT\tB-NP\tO' +p121939 +aS'is\tbe\tVBZ\tB-VP\tO' +p121940 +aS'to\tto\tTO\tB-VP\tO' +p121941 +aS'notify\tnotify\tVB\tI-VP\tO' +p121942 +aS'you\tyou\tPRP\tB-NP\tO' +p121943 +aS'that\tthat\tIN\tB-SBAR\tO' +p121944 +aS'your\tyour\tPRP$\tB-NP\tO' +p121945 +aS'patient\tpatient\tNN\tI-NP\tO' +p121946 +aS',\t,\t,\tO\tO' +p121947 +aS'KOTEFOOKS\tKOTEFOOKS\tNN\tB-NP\tB-protein' +p121948 +aS',\t,\t,\tO\tO' +p121949 +aS'DASHA\tDASHA\tNNP\tB-NP\tO' +p121950 +aS'arrived\tarrive\tVBD\tB-VP\tO' +p121951 +aS'in\tin\tIN\tB-PP\tO' +p121952 +aS'the\tthe\tDT\tB-NP\tO' +p121953 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p121954 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p121955 +aS'at\tat\tIN\tB-PP\tO' +p121956 +aS'Tecal\tTecal\tNNP\tB-NP\tO' +p121957 +aS'Galecounxopt\tGalecounxopt\tNNP\tI-NP\tO' +p121958 +aS'Community\tCommunity\tNNP\tI-NP\tO' +p121959 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p121960 +aS'on\ton\tIN\tB-PP\tO' +p121961 +aS'12/19/2001\t12/19/2001\tCD\tB-NP\tO' +p121962 +aS'01:44\t01:44\tCD\tI-NP\tO' +p121963 +aS'AM\tAM\tNN\tI-NP\tO' +p121964 +aS'.\t.\t.\tO\tO' +p121965 +asS'Thyroid function studies revealed a TSH of 2.2 , T4 of 5.7 , T3 of 101 and a cortisol level of 43 , all within the normal range .' +p121966 +(lp121967 +S'Thyroid\tThyroid\tJJ\tB-NP\tO' +p121968 +aS'function\tfunction\tNN\tI-NP\tO' +p121969 +aS'studies\tstudy\tNNS\tI-NP\tO' +p121970 +aS'revealed\treveal\tVBD\tB-VP\tO' +p121971 +aS'a\ta\tDT\tB-NP\tO' +p121972 +aS'TSH\tTSH\tNN\tI-NP\tO' +p121973 +aS'of\tof\tIN\tB-PP\tO' +p121974 +aS'2.2\t2.2\tCD\tB-NP\tO' +p121975 +aS',\t,\t,\tO\tO' +p121976 +aS'T4\tT4\tCD\tB-NP\tO' +p121977 +aS'of\tof\tIN\tB-PP\tO' +p121978 +aS'5.7\t5.7\tCD\tB-NP\tO' +p121979 +aS',\t,\t,\tO\tO' +p121980 +aS'T3\tT3\tCD\tB-NP\tO' +p121981 +aS'of\tof\tIN\tB-PP\tO' +p121982 +aS'101\t101\tCD\tB-NP\tO' +p121983 +aS'and\tand\tCC\tO\tO' +p121984 +aS'a\ta\tDT\tB-NP\tO' +p121985 +aS'cortisol\tcortisol\tNN\tI-NP\tO' +p121986 +aS'level\tlevel\tNN\tI-NP\tO' +p121987 +aS'of\tof\tIN\tB-PP\tO' +p121988 +aS'43\t43\tCD\tB-NP\tO' +p121989 +aS',\t,\t,\tO\tO' +p121990 +aS'all\tall\tDT\tB-NP\tO' +p121991 +aS'within\twithin\tIN\tB-PP\tO' +p121992 +aS'the\tthe\tDT\tB-NP\tO' +p121993 +aS'normal\tnormal\tJJ\tI-NP\tO' +p121994 +aS'range\trange\tNN\tI-NP\tO' +p121995 +aS'.\t.\t.\tO\tO' +p121996 +asS'10. Albuterol sulfate solution q.05-15 h. p.r.n. for shortness of breath .' +p121997 +(lp121998 +S'10.\t10.\tLS\tB-NP\tO' +p121999 +aS'Albuterol\tAlbuterol\tNNP\tI-NP\tO' +p122000 +aS'sulfate\tsulfate\tNN\tI-NP\tO' +p122001 +aS'solution\tsolution\tNN\tI-NP\tO' +p122002 +aS'q.05-15\tq.05-15\tNN\tI-NP\tO' +p122003 +aS'h.\th.\tNN\tI-NP\tO' +p122004 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p122005 +aS'for\tfor\tIN\tB-PP\tO' +p122006 +aS'shortness\tshortness\tNN\tB-NP\tO' +p122007 +aS'of\tof\tIN\tB-PP\tO' +p122008 +aS'breath\tbreath\tNN\tB-NP\tO' +p122009 +aS'.\t.\t.\tO\tO' +p122010 +asS'Zyrtec .' +p122011 +(lp122012 +S'Zyrtec\tZyrtec\tNN\tB-NP\tB-cell_type' +p122013 +aS'.\t.\t.\tO\tO' +p122014 +asS'Her pulse was regular at 80 beats per minute .' +p122015 +(lp122016 +S'Her\tHer\tPRP$\tB-NP\tO' +p122017 +aS'pulse\tpulse\tNN\tI-NP\tO' +p122018 +aS'was\tbe\tVBD\tB-VP\tO' +p122019 +aS'regular\tregular\tJJ\tB-ADJP\tO' +p122020 +aS'at\tat\tIN\tB-PP\tO' +p122021 +aS'80\t80\tCD\tB-NP\tO' +p122022 +aS'beats\tbeat\tNNS\tI-NP\tO' +p122023 +aS'per\tper\tIN\tB-PP\tO' +p122024 +aS'minute\tminute\tNN\tB-NP\tO' +p122025 +aS'.\t.\t.\tO\tO' +p122026 +asS'6. Left subclavian vein thrombosis .' +p122027 +(lp122028 +S'6.\t6.\tLS\tB-NP\tO' +p122029 +aS'Left\tLeft\tJJ\tI-NP\tO' +p122030 +aS'subclavian\tsubclavian\tJJ\tI-NP\tO' +p122031 +aS'vein\tvein\tNN\tI-NP\tO' +p122032 +aS'thrombosis\tthrombosis\tNN\tI-NP\tO' +p122033 +aS'.\t.\t.\tO\tO' +p122034 +asS'The amount of fluid layering at the apices and the pleural spaces appear slightly decreased .' +p122035 +(lp122036 +S'The\tThe\tDT\tB-NP\tO' +p122037 +aS'amount\tamount\tNN\tI-NP\tO' +p122038 +aS'of\tof\tIN\tB-PP\tO' +p122039 +aS'fluid\tfluid\tNN\tB-NP\tO' +p122040 +aS'layering\tlayer\tVBG\tB-VP\tO' +p122041 +aS'at\tat\tIN\tB-PP\tO' +p122042 +aS'the\tthe\tDT\tB-NP\tO' +p122043 +aS'apices\tapex\tNNS\tI-NP\tO' +p122044 +aS'and\tand\tCC\tO\tO' +p122045 +aS'the\tthe\tDT\tB-NP\tO' +p122046 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p122047 +aS'spaces\tspace\tNNS\tI-NP\tO' +p122048 +aS'appear\tappear\tVBP\tB-VP\tO' +p122049 +aS'slightly\tslightly\tRB\tB-ADJP\tO' +p122050 +aS'decreased\tdecrease\tVBN\tI-ADJP\tO' +p122051 +aS'.\t.\t.\tO\tO' +p122052 +asS'13. Respiratory failure .' +p122053 +(lp122054 +S'13.\t13.\tLS\tB-NP\tO' +p122055 +aS'Respiratory\tRespiratory\tJJ\tI-NP\tO' +p122056 +aS'failure\tfailure\tNN\tI-NP\tO' +p122057 +aS'.\t.\t.\tO\tO' +p122058 +asS'- continue ASA , statin , Plavix ; will hold BB given recent cocaine use ( ? can consider labetalol if necessary ) , Integrillin for 18 hours' +p122059 +(lp122060 +S'-\t-\tHYPH\tB-NP\tO' +p122061 +aS'continue\tcontinue\tJJ\tI-NP\tO' +p122062 +aS'ASA\tASA\tNN\tI-NP\tO' +p122063 +aS',\t,\t,\tO\tO' +p122064 +aS'statin\tstatin\tNN\tB-NP\tO' +p122065 +aS',\t,\t,\tO\tO' +p122066 +aS'Plavix\tPlavix\tNNP\tB-NP\tO' +p122067 +aS';\t;\t:\tO\tO' +p122068 +aS'will\twill\tMD\tB-VP\tO' +p122069 +aS'hold\thold\tVB\tI-VP\tO' +p122070 +aS'BB\tBB\tNNP\tB-NP\tO' +p122071 +aS'given\tgive\tVBN\tB-PP\tO' +p122072 +aS'recent\trecent\tJJ\tB-NP\tO' +p122073 +aS'cocaine\tcocaine\tNN\tI-NP\tO' +p122074 +aS'use\tuse\tNN\tI-NP\tO' +p122075 +aS'(\t(\t(\tO\tO' +p122076 +aS'?\t?\t.\tO\tO' +p122077 +aS'can\tcan\tMD\tB-VP\tO' +p122078 +aS'consider\tconsider\tVB\tI-VP\tO' +p122079 +aS'labetalol\tlabetalol\tNN\tB-NP\tO' +p122080 +aS'if\tif\tIN\tB-SBAR\tO' +p122081 +aS'necessary\tnecessary\tJJ\tB-ADJP\tO' +p122082 +aS')\t)\t)\tO\tO' +p122083 +aS',\t,\t,\tO\tO' +p122084 +aS'Integrillin\tIntegrillin\tNNP\tB-NP\tO' +p122085 +aS'for\tfor\tIN\tB-PP\tO' +p122086 +aS'18\t18\tCD\tB-NP\tO' +p122087 +aS'hours\thour\tNNS\tI-NP\tO' +p122088 +asS'The BUN and creatinine equalled 128/8.6 , CO2 equaled 12 .' +p122089 +(lp122090 +S'The\tThe\tDT\tB-NP\tO' +p122091 +aS'BUN\tBUN\tNN\tI-NP\tO' +p122092 +aS'and\tand\tCC\tI-NP\tO' +p122093 +aS'creatinine\tcreatinine\tNN\tI-NP\tB-protein' +p122094 +aS'equalled\tequal\tVBD\tB-VP\tI-protein' +p122095 +aS'128/8.6\t128/8.6\tCD\tB-NP\tI-protein' +p122096 +aS',\t,\t,\tO\tO' +p122097 +aS'CO2\tCO2\tNN\tB-NP\tB-protein' +p122098 +aS'equaled\tequal\tVBD\tB-VP\tO' +p122099 +aS'12\t12\tCD\tB-NP\tO' +p122100 +aS'.\t.\t.\tO\tO' +p122101 +asS'IMPRESSION : Abnormal portable EEG due to the bursts of generalized slowing and additional left-sided slowing and voltage dimunition , along with some slowing of the background .' +p122102 +(lp122103 +S'IMPRESSION\tIMPRESSION\tNN\tB-NP\tO' +p122104 +aS':\t:\t:\tO\tO' +p122105 +aS'Abnormal\tAbnormal\tJJ\tB-NP\tO' +p122106 +aS'portable\tportable\tJJ\tI-NP\tO' +p122107 +aS'EEG\tEEG\tNN\tI-NP\tO' +p122108 +aS'due\tdue\tJJ\tB-PP\tO' +p122109 +aS'to\tto\tTO\tB-PP\tO' +p122110 +aS'the\tthe\tDT\tB-NP\tO' +p122111 +aS'bursts\tburst\tNNS\tI-NP\tO' +p122112 +aS'of\tof\tIN\tB-PP\tO' +p122113 +aS'generalized\tgeneralize\tVBN\tB-NP\tO' +p122114 +aS'slowing\tslow\tVBG\tI-NP\tO' +p122115 +aS'and\tand\tCC\tO\tO' +p122116 +aS'additional\tadditional\tJJ\tB-NP\tO' +p122117 +aS'left-sided\tleft-sided\tJJ\tI-NP\tO' +p122118 +aS'slowing\tslowing\tNN\tI-NP\tO' +p122119 +aS'and\tand\tCC\tI-NP\tO' +p122120 +aS'voltage\tvoltage\tNN\tI-NP\tO' +p122121 +aS'dimunition\tdimunition\tNN\tI-NP\tO' +p122122 +aS',\t,\t,\tO\tO' +p122123 +aS'along\talong\tIN\tB-ADVP\tO' +p122124 +aS'with\twith\tIN\tB-PP\tO' +p122125 +aS'some\tsome\tDT\tB-NP\tO' +p122126 +aS'slowing\tslowing\tNN\tI-NP\tO' +p122127 +aS'of\tof\tIN\tB-PP\tO' +p122128 +aS'the\tthe\tDT\tB-NP\tO' +p122129 +aS'background\tbackground\tNN\tI-NP\tO' +p122130 +aS'.\t.\t.\tO\tO' +p122131 +asS'She is also to call her PCP if she has increasing shortness of breath or fevers .' +p122132 +(lp122133 +S'She\tShe\tPRP\tB-NP\tO' +p122134 +aS'is\tbe\tVBZ\tB-VP\tO' +p122135 +aS'also\talso\tRB\tB-ADVP\tO' +p122136 +aS'to\tto\tTO\tB-VP\tO' +p122137 +aS'call\tcall\tVB\tI-VP\tO' +p122138 +aS'her\ther\tPRP$\tB-NP\tO' +p122139 +aS'PCP\tPCP\tNN\tI-NP\tB-protein' +p122140 +aS'if\tif\tIN\tB-SBAR\tO' +p122141 +aS'she\tshe\tPRP\tB-NP\tO' +p122142 +aS'has\thave\tVBZ\tB-VP\tO' +p122143 +aS'increasing\tincrease\tVBG\tI-VP\tO' +p122144 +aS'shortness\tshortness\tNN\tB-NP\tO' +p122145 +aS'of\tof\tIN\tB-PP\tO' +p122146 +aS'breath\tbreath\tNN\tB-NP\tO' +p122147 +aS'or\tor\tCC\tI-NP\tO' +p122148 +aS'fevers\tfever\tNNS\tI-NP\tO' +p122149 +aS'.\t.\t.\tO\tO' +p122150 +asS'Per sliding scale q breakfast , lunch , and dinner' +p122151 +(lp122152 +S'Per\tPer\tIN\tB-PP\tO' +p122153 +aS'sliding\tslide\tVBG\tB-VP\tO' +p122154 +aS'scale\tscale\tNN\tB-NP\tO' +p122155 +aS'q\tq\tNN\tI-NP\tO' +p122156 +aS'breakfast\tbreakfast\tNN\tI-NP\tO' +p122157 +aS',\t,\t,\tO\tO' +p122158 +aS'lunch\tlunch\tNN\tB-NP\tO' +p122159 +aS',\t,\t,\tO\tO' +p122160 +aS'and\tand\tCC\tO\tO' +p122161 +aS'dinner\tdinner\tNN\tB-NP\tO' +p122162 +asS'3. Please call your PCP C. Lettinga or seek medical attention in the Juan if you experience worsening shortness of breath , chest pain , dizziness , passing out , or any other concerning symptom .' +p122163 +(lp122164 +S'3.\t3.\tLS\tB-NP\tO' +p122165 +aS'Please\tPlease\tNN\tI-NP\tB-protein' +p122166 +aS'call\tcall\tVB\tB-VP\tO' +p122167 +aS'your\tyour\tPRP$\tB-NP\tO' +p122168 +aS'PCP\tPCP\tNN\tI-NP\tO' +p122169 +aS'C.\tC.\tNNP\tI-NP\tO' +p122170 +aS'Lettinga\tLettinga\tNNP\tI-NP\tO' +p122171 +aS'or\tor\tCC\tO\tO' +p122172 +aS'seek\tseek\tVB\tB-VP\tO' +p122173 +aS'medical\tmedical\tJJ\tB-NP\tO' +p122174 +aS'attention\tattention\tNN\tI-NP\tO' +p122175 +aS'in\tin\tIN\tB-PP\tO' +p122176 +aS'the\tthe\tDT\tB-NP\tO' +p122177 +aS'Juan\tJuan\tNNP\tI-NP\tO' +p122178 +aS'if\tif\tIN\tB-SBAR\tO' +p122179 +aS'you\tyou\tPRP\tB-NP\tO' +p122180 +aS'experience\texperience\tVBP\tB-VP\tO' +p122181 +aS'worsening\tworsen\tVBG\tI-VP\tO' +p122182 +aS'shortness\tshortness\tNN\tB-NP\tO' +p122183 +aS'of\tof\tIN\tB-PP\tO' +p122184 +aS'breath\tbreath\tNN\tB-NP\tO' +p122185 +aS',\t,\t,\tO\tO' +p122186 +aS'chest\tchest\tNN\tB-NP\tO' +p122187 +aS'pain\tpain\tNN\tI-NP\tO' +p122188 +aS',\t,\t,\tO\tO' +p122189 +aS'dizziness\tdizziness\tNN\tB-NP\tO' +p122190 +aS',\t,\t,\tO\tO' +p122191 +aS'passing\tpass\tVBG\tB-VP\tO' +p122192 +aS'out\tout\tRP\tB-PRT\tO' +p122193 +aS',\t,\t,\tO\tO' +p122194 +aS'or\tor\tCC\tO\tO' +p122195 +aS'any\tany\tDT\tB-NP\tO' +p122196 +aS'other\tother\tJJ\tI-NP\tO' +p122197 +aS'concerning\tconcern\tVBG\tI-NP\tO' +p122198 +aS'symptom\tsymptom\tNN\tI-NP\tO' +p122199 +aS'.\t.\t.\tO\tO' +p122200 +asS'ETT was negative for ischemia .' +p122201 +(lp122202 +S'ETT\tETT\tNN\tB-NP\tB-protein' +p122203 +aS'was\tbe\tVBD\tB-VP\tO' +p122204 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p122205 +aS'for\tfor\tIN\tB-PP\tO' +p122206 +aS'ischemia\tischemia\tNN\tB-NP\tO' +p122207 +aS'.\t.\t.\tO\tO' +p122208 +asS'Emergent cardiac catheterization revealed an ejection fraction of 45% , right dominant coronary artery system with occlusive single vessel disease of the LAD .' +p122209 +(lp122210 +S'Emergent\tEmergent\tJJ\tB-NP\tO' +p122211 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p122212 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p122213 +aS'revealed\treveal\tVBD\tB-VP\tO' +p122214 +aS'an\tan\tDT\tB-NP\tO' +p122215 +aS'ejection\tejection\tNN\tI-NP\tO' +p122216 +aS'fraction\tfraction\tNN\tI-NP\tO' +p122217 +aS'of\tof\tIN\tB-PP\tO' +p122218 +aS'45%\t45%\tNN\tB-NP\tO' +p122219 +aS',\t,\t,\tO\tO' +p122220 +aS'right\tright\tJJ\tB-NP\tO' +p122221 +aS'dominant\tdominant\tJJ\tI-NP\tO' +p122222 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p122223 +aS'artery\tartery\tNN\tI-NP\tO' +p122224 +aS'system\tsystem\tNN\tI-NP\tO' +p122225 +aS'with\twith\tIN\tB-PP\tO' +p122226 +aS'occlusive\tocclusive\tJJ\tB-NP\tO' +p122227 +aS'single\tsingle\tJJ\tI-NP\tO' +p122228 +aS'vessel\tvessel\tNN\tI-NP\tO' +p122229 +aS'disease\tdisease\tNN\tI-NP\tO' +p122230 +aS'of\tof\tIN\tB-PP\tO' +p122231 +aS'the\tthe\tDT\tB-NP\tO' +p122232 +aS'LAD\tLAD\tNN\tI-NP\tB-protein' +p122233 +aS'.\t.\t.\tO\tO' +p122234 +asS'Fever neutropenia , metastatic squamous cell carcinoma of the lung , hypertension .' +p122235 +(lp122236 +S'Fever\tFever\tRB\tB-NP\tO' +p122237 +aS'neutropenia\tneutropenia\tNN\tI-NP\tO' +p122238 +aS',\t,\t,\tO\tO' +p122239 +aS'metastatic\tmetastatic\tJJ\tB-NP\tO' +p122240 +aS'squamous\tsquamous\tJJ\tI-NP\tO' +p122241 +aS'cell\tcell\tNN\tI-NP\tO' +p122242 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p122243 +aS'of\tof\tIN\tB-PP\tO' +p122244 +aS'the\tthe\tDT\tB-NP\tO' +p122245 +aS'lung\tlung\tNN\tI-NP\tO' +p122246 +aS',\t,\t,\tO\tO' +p122247 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p122248 +aS'.\t.\t.\tO\tO' +p122249 +asS'Iron , Nephro-Caps , calcium carbonate and Valium .' +p122250 +(lp122251 +S'Iron\tIron\tNNP\tB-NP\tO' +p122252 +aS',\t,\t,\tO\tO' +p122253 +aS'Nephro-Caps\tNephro-Caps\tNNP\tB-NP\tO' +p122254 +aS',\t,\t,\tO\tO' +p122255 +aS'calcium\tcalcium\tNN\tB-NP\tO' +p122256 +aS'carbonate\tcarbonate\tNN\tI-NP\tO' +p122257 +aS'and\tand\tCC\tI-NP\tO' +p122258 +aS'Valium\tValium\tNN\tI-NP\tO' +p122259 +aS'.\t.\t.\tO\tO' +p122260 +asS'3. On the morning of 12-01 , the patient had some transient episodes of hypotension with SBP s in the 70 s.' +p122261 +(lp122262 +S'3.\t3.\tLS\tB-LST\tO' +p122263 +aS'On\tOn\tIN\tB-PP\tO' +p122264 +aS'the\tthe\tDT\tB-NP\tO' +p122265 +aS'morning\tmorning\tNN\tI-NP\tO' +p122266 +aS'of\tof\tIN\tB-PP\tO' +p122267 +aS'12-01\t12-01\tNN\tB-NP\tO' +p122268 +aS',\t,\t,\tO\tO' +p122269 +aS'the\tthe\tDT\tB-NP\tO' +p122270 +aS'patient\tpatient\tNN\tI-NP\tO' +p122271 +aS'had\thave\tVBD\tB-VP\tO' +p122272 +aS'some\tsome\tDT\tB-NP\tO' +p122273 +aS'transient\ttransient\tJJ\tI-NP\tO' +p122274 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p122275 +aS'of\tof\tIN\tB-PP\tO' +p122276 +aS'hypotension\thypotension\tNN\tB-NP\tO' +p122277 +aS'with\twith\tIN\tB-PP\tO' +p122278 +aS'SBP\tSBP\tNN\tB-NP\tB-protein' +p122279 +aS's\ts\tNNS\tI-NP\tI-protein' +p122280 +aS'in\tin\tIN\tB-PP\tO' +p122281 +aS'the\tthe\tDT\tB-NP\tO' +p122282 +aS'70\t70\tCD\tI-NP\tO' +p122283 +aS's.\ts.\tNNS\tI-NP\tO' +p122284 +asS'The patient is a healthy appearing female looking her stated age in no apparent distress .' +p122285 +(lp122286 +S'The\tThe\tDT\tB-NP\tO' +p122287 +aS'patient\tpatient\tNN\tI-NP\tO' +p122288 +aS'is\tbe\tVBZ\tB-VP\tO' +p122289 +aS'a\ta\tDT\tB-NP\tO' +p122290 +aS'healthy\thealthy\tJJ\tI-NP\tO' +p122291 +aS'appearing\tappear\tVBG\tI-NP\tO' +p122292 +aS'female\tfemale\tJJ\tI-NP\tO' +p122293 +aS'looking\tlook\tVBG\tB-VP\tO' +p122294 +aS'her\ther\tPRP$\tB-NP\tO' +p122295 +aS'stated\tstated\tJJ\tI-NP\tO' +p122296 +aS'age\tage\tNN\tI-NP\tO' +p122297 +aS'in\tin\tIN\tB-PP\tO' +p122298 +aS'no\tno\tDT\tB-NP\tO' +p122299 +aS'apparent\tapparent\tJJ\tI-NP\tO' +p122300 +aS'distress\tdistress\tNN\tI-NP\tO' +p122301 +aS'.\t.\t.\tO\tO' +p122302 +asS'He was febrile in the Intensive Care Unit to 101.0 F. ; yet , chest x-ray , blood cultures , urinalysis and urine cultures were all negative for sources .' +p122303 +(lp122304 +S'He\tHe\tPRP\tB-NP\tO' +p122305 +aS'was\tbe\tVBD\tB-VP\tO' +p122306 +aS'febrile\tfebrile\tJJ\tB-ADJP\tO' +p122307 +aS'in\tin\tIN\tB-PP\tO' +p122308 +aS'the\tthe\tDT\tB-NP\tO' +p122309 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p122310 +aS'Care\tCare\tNNP\tI-NP\tO' +p122311 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p122312 +aS'to\tto\tTO\tB-PP\tO' +p122313 +aS'101.0\t101.0\tCD\tB-NP\tO' +p122314 +aS'F.\tF.\tNNP\tI-NP\tO' +p122315 +aS';\t;\t:\tO\tO' +p122316 +aS'yet\tyet\tRB\tB-ADVP\tO' +p122317 +aS',\t,\t,\tO\tO' +p122318 +aS'chest\tchest\tNN\tB-NP\tO' +p122319 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p122320 +aS',\t,\t,\tO\tO' +p122321 +aS'blood\tblood\tNN\tB-NP\tO' +p122322 +aS'cultures\tculture\tNNS\tI-NP\tO' +p122323 +aS',\t,\t,\tO\tO' +p122324 +aS'urinalysis\turinalysis\tNN\tB-NP\tO' +p122325 +aS'and\tand\tCC\tI-NP\tO' +p122326 +aS'urine\turine\tNN\tI-NP\tB-cell_line' +p122327 +aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' +p122328 +aS'were\tbe\tVBD\tB-VP\tO' +p122329 +aS'all\tall\tDT\tO\tO' +p122330 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p122331 +aS'for\tfor\tIN\tB-PP\tO' +p122332 +aS'sources\tsource\tNNS\tB-NP\tO' +p122333 +aS'.\t.\t.\tO\tO' +p122334 +asS'Also she had a history of PE and also there was concern about possible lymphangitic spread of her breast CA .' +p122335 +(lp122336 +S'Also\tAlso\tRB\tB-ADVP\tO' +p122337 +aS'she\tshe\tPRP\tB-NP\tO' +p122338 +aS'had\thave\tVBD\tB-VP\tO' +p122339 +aS'a\ta\tDT\tB-NP\tO' +p122340 +aS'history\thistory\tNN\tI-NP\tO' +p122341 +aS'of\tof\tIN\tB-PP\tO' +p122342 +aS'PE\tPE\tNN\tB-NP\tO' +p122343 +aS'and\tand\tCC\tO\tO' +p122344 +aS'also\talso\tRB\tB-ADVP\tO' +p122345 +aS'there\tthere\tEX\tB-NP\tO' +p122346 +aS'was\tbe\tVBD\tB-VP\tO' +p122347 +aS'concern\tconcern\tNN\tB-NP\tO' +p122348 +aS'about\tabout\tIN\tB-PP\tO' +p122349 +aS'possible\tpossible\tJJ\tB-NP\tO' +p122350 +aS'lymphangitic\tlymphangitic\tJJ\tI-NP\tO' +p122351 +aS'spread\tspread\tNN\tI-NP\tO' +p122352 +aS'of\tof\tIN\tB-PP\tO' +p122353 +aS'her\ther\tPRP$\tB-NP\tO' +p122354 +aS'breast\tbreast\tNN\tI-NP\tO' +p122355 +aS'CA\tCA\tNN\tI-NP\tO' +p122356 +aS'.\t.\t.\tO\tO' +p122357 +asS'4. Bibasilar and dependent atelectasis .' +p122358 +(lp122359 +S'4.\t4.\tLS\tB-NP\tO' +p122360 +aS'Bibasilar\tBibasilar\tJJ\tI-NP\tO' +p122361 +aS'and\tand\tCC\tI-NP\tO' +p122362 +aS'dependent\tdependent\tJJ\tI-NP\tO' +p122363 +aS'atelectasis\tatelectasis\tNN\tI-NP\tO' +p122364 +aS'.\t.\t.\tO\tO' +p122365 +asS'The patient then was given voiding trials but eventually he needed to be straight cathed prn .' +p122366 +(lp122367 +S'The\tThe\tDT\tB-NP\tO' +p122368 +aS'patient\tpatient\tNN\tI-NP\tO' +p122369 +aS'then\tthen\tRB\tB-ADVP\tO' +p122370 +aS'was\tbe\tVBD\tB-VP\tO' +p122371 +aS'given\tgive\tVBN\tI-VP\tO' +p122372 +aS'voiding\tvoid\tVBG\tB-VP\tO' +p122373 +aS'trials\ttrial\tNNS\tB-NP\tO' +p122374 +aS'but\tbut\tCC\tO\tO' +p122375 +aS'eventually\teventually\tRB\tB-ADVP\tO' +p122376 +aS'he\the\tPRP\tB-NP\tO' +p122377 +aS'needed\tneed\tVBD\tB-VP\tO' +p122378 +aS'to\tto\tTO\tI-VP\tO' +p122379 +aS'be\tbe\tVB\tI-VP\tO' +p122380 +aS'straight\tstraight\tJJ\tB-NP\tO' +p122381 +aS'cathed\tcathe\tVBN\tI-NP\tO' +p122382 +aS'prn\tprn\tNN\tI-NP\tO' +p122383 +aS'.\t.\t.\tO\tO' +p122384 +asS'III , IV , VI: Extraocular movements intact bilaterally without nystagmus .' +p122385 +(lp122386 +S'III\tIII\tCD\tB-NP\tO' +p122387 +aS',\t,\t,\tI-NP\tO' +p122388 +aS'IV\tIV\tCD\tI-NP\tO' +p122389 +aS',\t,\t,\tO\tO' +p122390 +aS'VI:\tVI:\tNNP\tB-NP\tO' +p122391 +aS'Extraocular\tExtraocular\tNNP\tI-NP\tO' +p122392 +aS'movements\tmovement\tNNS\tI-NP\tO' +p122393 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p122394 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p122395 +aS'without\twithout\tIN\tB-PP\tO' +p122396 +aS'nystagmus\tnystagmus\tNN\tB-NP\tO' +p122397 +aS'.\t.\t.\tO\tO' +p122398 +asS'Daycare during RSV season , a smoker in the household , neuromuscular disease , airway abnormalities or school age sibling , or 3 with chronic lung disease .' +p122399 +(lp122400 +S'Daycare\tDaycare\tNN\tB-NP\tO' +p122401 +aS'during\tduring\tIN\tB-PP\tO' +p122402 +aS'RSV\tRSV\tNN\tB-NP\tO' +p122403 +aS'season\tseason\tNN\tI-NP\tO' +p122404 +aS',\t,\t,\tO\tO' +p122405 +aS'a\ta\tDT\tB-NP\tO' +p122406 +aS'smoker\tsmoker\tNN\tI-NP\tO' +p122407 +aS'in\tin\tIN\tB-PP\tO' +p122408 +aS'the\tthe\tDT\tB-NP\tO' +p122409 +aS'household\thousehold\tNN\tI-NP\tO' +p122410 +aS',\t,\t,\tO\tO' +p122411 +aS'neuromuscular\tneuromuscular\tJJ\tB-NP\tO' +p122412 +aS'disease\tdisease\tNN\tI-NP\tO' +p122413 +aS',\t,\t,\tO\tO' +p122414 +aS'airway\tairway\tNN\tB-NP\tO' +p122415 +aS'abnormalities\tabnormality\tNNS\tI-NP\tO' +p122416 +aS'or\tor\tCC\tO\tO' +p122417 +aS'school\tschool\tNN\tB-NP\tO' +p122418 +aS'age\tage\tNN\tI-NP\tO' +p122419 +aS'sibling\tsibling\tNN\tI-NP\tO' +p122420 +aS',\t,\t,\tO\tO' +p122421 +aS'or\tor\tCC\tO\tO' +p122422 +aS'3\t3\tCD\tB-NP\tO' +p122423 +aS'with\twith\tIN\tB-PP\tO' +p122424 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p122425 +aS'lung\tlung\tNN\tI-NP\tO' +p122426 +aS'disease\tdisease\tNN\tI-NP\tO' +p122427 +aS'.\t.\t.\tO\tO' +p122428 +asS"The patient 's treatment will include typical peripherally inserted central catheter line care with frequent wound checks ." +p122429 +(lp122430 +S'The\tThe\tDT\tB-NP\tO' +p122431 +aS'patient\tpatient\tNN\tI-NP\tO' +p122432 +aS"'s\t's\tPOS\tB-NP\tO" +p122433 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p122434 +aS'will\twill\tMD\tB-VP\tO' +p122435 +aS'include\tinclude\tVB\tI-VP\tO' +p122436 +aS'typical\ttypical\tJJ\tB-NP\tO' +p122437 +aS'peripherally\tperipherally\tRB\tI-NP\tO' +p122438 +aS'inserted\tinsert\tVBN\tI-NP\tO' +p122439 +aS'central\tcentral\tJJ\tI-NP\tO' +p122440 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p122441 +aS'line\tline\tNN\tI-NP\tO' +p122442 +aS'care\tcare\tNN\tI-NP\tO' +p122443 +aS'with\twith\tIN\tB-PP\tO' +p122444 +aS'frequent\tfrequent\tJJ\tB-NP\tO' +p122445 +aS'wound\twound\tNN\tI-NP\tO' +p122446 +aS'checks\tcheck\tNNS\tI-NP\tO' +p122447 +aS'.\t.\t.\tO\tO' +p122448 +asS'The etiology of his bleed was felt to be most likely secondary to hypertension , but these other causes could also not be ruled out .' +p122449 +(lp122450 +S'The\tThe\tDT\tB-NP\tO' +p122451 +aS'etiology\tetiology\tNN\tI-NP\tO' +p122452 +aS'of\tof\tIN\tB-PP\tO' +p122453 +aS'his\this\tPRP$\tB-NP\tO' +p122454 +aS'bleed\tbleed\tNN\tI-NP\tO' +p122455 +aS'was\tbe\tVBD\tB-VP\tO' +p122456 +aS'felt\tfeel\tVBN\tI-VP\tO' +p122457 +aS'to\tto\tTO\tI-VP\tO' +p122458 +aS'be\tbe\tVB\tI-VP\tO' +p122459 +aS'most\tmost\tRBS\tB-ADJP\tO' +p122460 +aS'likely\tlikely\tRB\tI-ADJP\tO' +p122461 +aS'secondary\tsecondary\tJJ\tI-ADJP\tO' +p122462 +aS'to\tto\tTO\tB-PP\tO' +p122463 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p122464 +aS',\t,\t,\tO\tO' +p122465 +aS'but\tbut\tCC\tO\tO' +p122466 +aS'these\tthese\tDT\tB-NP\tO' +p122467 +aS'other\tother\tJJ\tI-NP\tO' +p122468 +aS'causes\tcause\tNNS\tI-NP\tO' +p122469 +aS'could\tcould\tMD\tB-VP\tO' +p122470 +aS'also\talso\tRB\tI-VP\tO' +p122471 +aS'not\tnot\tRB\tI-VP\tO' +p122472 +aS'be\tbe\tVB\tI-VP\tO' +p122473 +aS'ruled\trule\tVBN\tI-VP\tO' +p122474 +aS'out\tout\tRP\tB-PRT\tO' +p122475 +aS'.\t.\t.\tO\tO' +p122476 +asS'S1 normal .' +p122477 +(lp122478 +S'S1\tS1\tNN\tB-NP\tB-protein' +p122479 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p122480 +aS'.\t.\t.\tO\tO' +p122481 +asS"Please see discharge addendum for further developments in the patient 's care ." +p122482 +(lp122483 +S'Please\tPlease\tVB\tB-VP\tO' +p122484 +aS'see\tsee\tVB\tI-VP\tO' +p122485 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p122486 +aS'addendum\taddendum\tNN\tI-NP\tO' +p122487 +aS'for\tfor\tIN\tB-PP\tO' +p122488 +aS'further\tfurther\tJJ\tB-NP\tO' +p122489 +aS'developments\tdevelopment\tNNS\tI-NP\tO' +p122490 +aS'in\tin\tIN\tB-PP\tO' +p122491 +aS'the\tthe\tDT\tB-NP\tO' +p122492 +aS'patient\tpatient\tNN\tI-NP\tO' +p122493 +aS"'s\t's\tPOS\tB-NP\tO" +p122494 +aS'care\tcare\tNN\tI-NP\tO' +p122495 +aS'.\t.\t.\tO\tO' +p122496 +asS'Chest x-ray showed diffuse interstitial infiltrates .' +p122497 +(lp122498 +S'Chest\tCh\tJJS\tB-NP\tO' +p122499 +aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' +p122500 +aS'showed\tshow\tVBD\tB-VP\tO' +p122501 +aS'diffuse\tdiffuse\tJJ\tB-NP\tO' +p122502 +aS'interstitial\tinterstitial\tJJ\tI-NP\tO' +p122503 +aS'infiltrates\tinfiltrate\tNNS\tI-NP\tO' +p122504 +aS'.\t.\t.\tO\tO' +p122505 +asS'The patient is very limited in how much she can do right now because of her pain primarily and her difficulty breathing .' +p122506 +(lp122507 +S'The\tThe\tDT\tB-NP\tO' +p122508 +aS'patient\tpatient\tNN\tI-NP\tO' +p122509 +aS'is\tbe\tVBZ\tB-VP\tO' +p122510 +aS'very\tvery\tRB\tI-VP\tO' +p122511 +aS'limited\tlimit\tVBN\tI-VP\tO' +p122512 +aS'in\tin\tIN\tB-PP\tO' +p122513 +aS'how\thow\tWRB\tB-NP\tO' +p122514 +aS'much\tmuch\tJJ\tI-NP\tO' +p122515 +aS'she\tshe\tPRP\tB-NP\tO' +p122516 +aS'can\tcan\tMD\tB-VP\tO' +p122517 +aS'do\tdo\tVB\tI-VP\tO' +p122518 +aS'right\tright\tRB\tB-ADVP\tO' +p122519 +aS'now\tnow\tRB\tI-ADVP\tO' +p122520 +aS'because\tbecause\tIN\tB-PP\tO' +p122521 +aS'of\tof\tIN\tI-PP\tO' +p122522 +aS'her\ther\tPRP$\tB-NP\tO' +p122523 +aS'pain\tpain\tNN\tI-NP\tO' +p122524 +aS'primarily\tprimarily\tRB\tB-ADVP\tO' +p122525 +aS'and\tand\tCC\tO\tO' +p122526 +aS'her\ther\tPRP$\tB-NP\tO' +p122527 +aS'difficulty\tdifficulty\tNN\tI-NP\tO' +p122528 +aS'breathing\tbreathing\tNN\tI-NP\tO' +p122529 +aS'.\t.\t.\tO\tO' +p122530 +asS'He was hemodynamically stable and without any complaints .' +p122531 +(lp122532 +S'He\tHe\tPRP\tB-NP\tO' +p122533 +aS'was\tbe\tVBD\tB-VP\tO' +p122534 +aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' +p122535 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p122536 +aS'and\tand\tCC\tO\tO' +p122537 +aS'without\twithout\tIN\tB-PP\tO' +p122538 +aS'any\tany\tDT\tB-NP\tO' +p122539 +aS'complaints\tcomplaint\tNNS\tI-NP\tO' +p122540 +aS'.\t.\t.\tO\tO' +p122541 +asS'His postoperative course was complicated by nonspecific T wave changes consistent with myocardial infarction postoperatively as well as hematoma formation .' +p122542 +(lp122543 +S'His\tHis\tPRP$\tB-NP\tO' +p122544 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p122545 +aS'course\tcourse\tNN\tI-NP\tO' +p122546 +aS'was\tbe\tVBD\tB-VP\tO' +p122547 +aS'complicated\tcomplicate\tVBN\tI-VP\tO' +p122548 +aS'by\tby\tIN\tB-PP\tO' +p122549 +aS'nonspecific\tnonspecific\tJJ\tB-NP\tO' +p122550 +aS'T\tT\tNN\tI-NP\tO' +p122551 +aS'wave\twave\tNN\tI-NP\tO' +p122552 +aS'changes\tchange\tNNS\tI-NP\tO' +p122553 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p122554 +aS'with\twith\tIN\tB-PP\tO' +p122555 +aS'myocardial\tmyocardial\tJJ\tB-NP\tO' +p122556 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p122557 +aS'postoperatively\tpostoperatively\tRB\tO\tO' +p122558 +aS'as\tas\tRB\tB-CONJP\tO' +p122559 +aS'well\twell\tRB\tI-CONJP\tO' +p122560 +aS'as\tas\tIN\tI-CONJP\tO' +p122561 +aS'hematoma\thematoma\tNN\tB-NP\tO' +p122562 +aS'formation\tformation\tNN\tI-NP\tO' +p122563 +aS'.\t.\t.\tO\tO' +p122564 +asS'Sodium 142 , potassium 4.1 , chloride 104 , bicarbonate 30 , BUN 7 , creatinine 0.7 , glucose 41 .' +p122565 +(lp122566 +S'Sodium\tSodium\tNN\tB-NP\tB-protein' +p122567 +aS'142\t142\tCD\tI-NP\tI-protein' +p122568 +aS',\t,\t,\tO\tO' +p122569 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p122570 +aS'4.1\t4.1\tCD\tI-NP\tO' +p122571 +aS',\t,\t,\tO\tO' +p122572 +aS'chloride\tchloride\tNN\tB-NP\tO' +p122573 +aS'104\t104\tCD\tI-NP\tO' +p122574 +aS',\t,\t,\tO\tO' +p122575 +aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' +p122576 +aS'30\t30\tCD\tI-NP\tO' +p122577 +aS',\t,\t,\tO\tO' +p122578 +aS'BUN\tBUN\tNN\tB-NP\tB-protein' +p122579 +aS'7\t7\tCD\tI-NP\tI-protein' +p122580 +aS',\t,\t,\tO\tO' +p122581 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p122582 +aS'0.7\t0.7\tCD\tI-NP\tO' +p122583 +aS',\t,\t,\tO\tO' +p122584 +aS'glucose\tglucose\tNN\tB-NP\tO' +p122585 +aS'41\t41\tCD\tI-NP\tO' +p122586 +aS'.\t.\t.\tO\tO' +p122587 +asS'GAIT DISORDER .' +p122588 +(lp122589 +S'GAIT\tGAIT\tNN\tB-NP\tO' +p122590 +aS'DISORDER\tDISORDER\tNN\tI-NP\tO' +p122591 +aS'.\t.\t.\tO\tO' +p122592 +asS'Obese , soft .' +p122593 +(lp122594 +S'Obese\tObese\tJJ\tB-NP\tO' +p122595 +aS',\t,\t,\tI-NP\tO' +p122596 +aS'soft\tsoft\tJJ\tI-NP\tO' +p122597 +aS'.\t.\t.\tO\tO' +p122598 +asS'Dictated By : Scott T Little , M.D.' +p122599 +(lp122600 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p122601 +aS'By\tBy\tIN\tB-PP\tO' +p122602 +aS':\t:\t:\tO\tO' +p122603 +aS'Scott\tScott\tNNP\tB-NP\tO' +p122604 +aS'T\tT\tNNP\tI-NP\tO' +p122605 +aS'Little\tLittle\tNNP\tI-NP\tO' +p122606 +aS',\t,\t,\tO\tO' +p122607 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p122608 +asS'deferred .' +p122609 +(lp122610 +S'deferred\tdefer\tVBN\tB-VP\tO' +p122611 +aS'.\t.\t.\tO\tO' +p122612 +asS'INTRAVENOUS CHEMOTHERAPY .' +p122613 +(lp122614 +S'INTRAVENOUS\tINTRAVENOUS\tNNP\tB-NP\tO' +p122615 +aS'CHEMOTHERAPY\tCHEMOTHERAPY\tNNP\tI-NP\tO' +p122616 +aS'.\t.\t.\tO\tO' +p122617 +asS'This showed no diagnostic electrocardiogram changes for ischemia and no angina pectoris .' +p122618 +(lp122619 +S'This\tThis\tDT\tB-NP\tO' +p122620 +aS'showed\tshow\tVBD\tB-VP\tO' +p122621 +aS'no\tno\tDT\tB-NP\tO' +p122622 +aS'diagnostic\tdiagnostic\tJJ\tI-NP\tO' +p122623 +aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' +p122624 +aS'changes\tchange\tNNS\tI-NP\tO' +p122625 +aS'for\tfor\tIN\tB-PP\tO' +p122626 +aS'ischemia\tischemia\tNN\tB-NP\tO' +p122627 +aS'and\tand\tCC\tO\tO' +p122628 +aS'no\tno\tDT\tB-NP\tO' +p122629 +aS'angina\tangina\tNN\tI-NP\tO' +p122630 +aS'pectoris\tpectoris\tNN\tI-NP\tO' +p122631 +aS'.\t.\t.\tO\tO' +p122632 +asS'Trauma CT demonstrated mild pulmonary contusions , but no pelvic fracture .' +p122633 +(lp122634 +S'Trauma\tTrauma\tNN\tB-NP\tO' +p122635 +aS'CT\tCT\tNN\tI-NP\tO' +p122636 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p122637 +aS'mild\tmild\tJJ\tB-NP\tO' +p122638 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p122639 +aS'contusions\tcontusion\tNNS\tI-NP\tO' +p122640 +aS',\t,\t,\tO\tO' +p122641 +aS'but\tbut\tCC\tO\tO' +p122642 +aS'no\tno\tDT\tB-NP\tO' +p122643 +aS'pelvic\tpelvic\tJJ\tI-NP\tO' +p122644 +aS'fracture\tfracture\tNN\tI-NP\tO' +p122645 +aS'.\t.\t.\tO\tO' +p122646 +asS'Minimal surrounding erythema .' +p122647 +(lp122648 +S'Minimal\tMinimal\tJJ\tB-NP\tO' +p122649 +aS'surrounding\tsurround\tVBG\tI-NP\tO' +p122650 +aS'erythema\terythema\tNN\tI-NP\tO' +p122651 +aS'.\t.\t.\tO\tO' +p122652 +asS'1. Diabetes mellitus times four years ; recently started insulin and metformin due to his concurrent steroid use .' +p122653 +(lp122654 +S'1.\t1.\tLS\tB-NP\tO' +p122655 +aS'Diabetes\tDiabetes\tNN\tI-NP\tO' +p122656 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p122657 +aS'times\ttime\tNNS\tI-NP\tO' +p122658 +aS'four\tfour\tCD\tB-NP\tO' +p122659 +aS'years\tyear\tNNS\tI-NP\tO' +p122660 +aS';\t;\t:\tO\tO' +p122661 +aS'recently\trecently\tRB\tB-ADVP\tO' +p122662 +aS'started\tstart\tVBD\tB-VP\tO' +p122663 +aS'insulin\tinsulin\tNN\tB-NP\tB-protein' +p122664 +aS'and\tand\tCC\tI-NP\tO' +p122665 +aS'metformin\tmetformin\tNN\tI-NP\tO' +p122666 +aS'due\tdue\tJJ\tB-ADJP\tO' +p122667 +aS'to\tto\tTO\tB-PP\tO' +p122668 +aS'his\this\tPRP$\tB-NP\tO' +p122669 +aS'concurrent\tconcurrent\tJJ\tI-NP\tO' +p122670 +aS'steroid\tsteroid\tNN\tI-NP\tO' +p122671 +aS'use\tuse\tNN\tI-NP\tO' +p122672 +aS'.\t.\t.\tO\tO' +p122673 +asS'Cultures were obtained on 2014-03-31 .' +p122674 +(lp122675 +S'Cultures\tCulture\tNNS\tB-NP\tO' +p122676 +aS'were\tbe\tVBD\tB-VP\tO' +p122677 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p122678 +aS'on\ton\tIN\tB-PP\tO' +p122679 +aS'2014-03-31\t2014-03-31\tCD\tB-NP\tO' +p122680 +aS'.\t.\t.\tO\tO' +p122681 +asS'With the help of physical therapy the patient was ambulated and on postoperative seven , with the patient tolerating a post surgical soft diet and with pain well controlled on oral pain medications , she was discharged to rehabilitation facility .' +p122682 +(lp122683 +S'With\tWith\tIN\tB-PP\tO' +p122684 +aS'the\tthe\tDT\tB-NP\tO' +p122685 +aS'help\thelp\tNN\tI-NP\tO' +p122686 +aS'of\tof\tIN\tB-PP\tO' +p122687 +aS'physical\tphysical\tJJ\tB-NP\tO' +p122688 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p122689 +aS'the\tthe\tDT\tB-NP\tO' +p122690 +aS'patient\tpatient\tNN\tI-NP\tO' +p122691 +aS'was\tbe\tVBD\tB-VP\tO' +p122692 +aS'ambulated\tambulate\tVBN\tI-VP\tO' +p122693 +aS'and\tand\tCC\tO\tO' +p122694 +aS'on\ton\tIN\tB-PP\tO' +p122695 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p122696 +aS'seven\tseven\tCD\tI-NP\tO' +p122697 +aS',\t,\t,\tO\tO' +p122698 +aS'with\twith\tIN\tB-PP\tO' +p122699 +aS'the\tthe\tDT\tB-NP\tO' +p122700 +aS'patient\tpatient\tNN\tI-NP\tO' +p122701 +aS'tolerating\ttolerate\tVBG\tB-VP\tO' +p122702 +aS'a\ta\tDT\tB-NP\tO' +p122703 +aS'post\tpost\tNN\tI-NP\tO' +p122704 +aS'surgical\tsurgical\tJJ\tI-NP\tO' +p122705 +aS'soft\tsoft\tJJ\tI-NP\tO' +p122706 +aS'diet\tdiet\tNN\tI-NP\tO' +p122707 +aS'and\tand\tCC\tB-PP\tO' +p122708 +aS'with\twith\tIN\tB-PP\tO' +p122709 +aS'pain\tpain\tNN\tB-NP\tO' +p122710 +aS'well\twell\tRB\tB-VP\tO' +p122711 +aS'controlled\tcontrol\tVBN\tI-VP\tO' +p122712 +aS'on\ton\tIN\tB-PP\tO' +p122713 +aS'oral\toral\tJJ\tB-NP\tO' +p122714 +aS'pain\tpain\tNN\tI-NP\tO' +p122715 +aS'medications\tmedication\tNNS\tI-NP\tO' +p122716 +aS',\t,\t,\tO\tO' +p122717 +aS'she\tshe\tPRP\tB-NP\tO' +p122718 +aS'was\tbe\tVBD\tB-VP\tO' +p122719 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p122720 +aS'to\tto\tTO\tB-PP\tO' +p122721 +aS'rehabilitation\trehabilitation\tNN\tB-NP\tO' +p122722 +aS'facility\tfacility\tNN\tI-NP\tO' +p122723 +aS'.\t.\t.\tO\tO' +p122724 +asS'In terms of pulmonary function , it was felt that one possibility was that the patient was a Bactrim failure for PCP although this was unusual .' +p122725 +(lp122726 +S'In\tIn\tIN\tB-PP\tO' +p122727 +aS'terms\tterm\tNNS\tB-NP\tO' +p122728 +aS'of\tof\tIN\tB-PP\tO' +p122729 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p122730 +aS'function\tfunction\tNN\tI-NP\tO' +p122731 +aS',\t,\t,\tO\tO' +p122732 +aS'it\tit\tPRP\tB-NP\tO' +p122733 +aS'was\tbe\tVBD\tB-VP\tO' +p122734 +aS'felt\tfeel\tVBN\tI-VP\tO' +p122735 +aS'that\tthat\tIN\tB-SBAR\tO' +p122736 +aS'one\tone\tCD\tB-NP\tO' +p122737 +aS'possibility\tpossibility\tNN\tI-NP\tO' +p122738 +aS'was\tbe\tVBD\tB-VP\tO' +p122739 +aS'that\tthat\tIN\tB-SBAR\tO' +p122740 +aS'the\tthe\tDT\tB-NP\tO' +p122741 +aS'patient\tpatient\tNN\tI-NP\tO' +p122742 +aS'was\tbe\tVBD\tB-VP\tO' +p122743 +aS'a\ta\tDT\tB-NP\tO' +p122744 +aS'Bactrim\tBactrim\tNNP\tI-NP\tO' +p122745 +aS'failure\tfailure\tNN\tI-NP\tO' +p122746 +aS'for\tfor\tIN\tB-PP\tO' +p122747 +aS'PCP\tPCP\tNN\tB-NP\tB-protein' +p122748 +aS'although\talthough\tIN\tB-SBAR\tO' +p122749 +aS'this\tthis\tDT\tB-NP\tO' +p122750 +aS'was\tbe\tVBD\tB-VP\tO' +p122751 +aS'unusual\tunusual\tJJ\tB-ADJP\tO' +p122752 +aS'.\t.\t.\tO\tO' +p122753 +asS'He was continued on his aspirin , however .' +p122754 +(lp122755 +S'He\tHe\tPRP\tB-NP\tO' +p122756 +aS'was\tbe\tVBD\tB-VP\tO' +p122757 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p122758 +aS'on\ton\tIN\tB-PP\tO' +p122759 +aS'his\this\tPRP$\tB-NP\tO' +p122760 +aS'aspirin\taspirin\tNN\tI-NP\tO' +p122761 +aS',\t,\t,\tO\tO' +p122762 +aS'however\thowever\tRB\tB-ADVP\tO' +p122763 +aS'.\t.\t.\tO\tO' +p122764 +asS'She was continued on aspirin , Plavix , and Lipitor .' +p122765 +(lp122766 +S'She\tShe\tPRP\tB-NP\tO' +p122767 +aS'was\tbe\tVBD\tB-VP\tO' +p122768 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p122769 +aS'on\ton\tIN\tB-PP\tO' +p122770 +aS'aspirin\taspirin\tNN\tB-NP\tO' +p122771 +aS',\t,\t,\tO\tO' +p122772 +aS'Plavix\tPlavix\tNN\tB-NP\tO' +p122773 +aS',\t,\t,\tO\tO' +p122774 +aS'and\tand\tCC\tO\tO' +p122775 +aS'Lipitor\tLipitor\tNN\tB-NP\tO' +p122776 +aS'.\t.\t.\tO\tO' +p122777 +asS'Lungs decreased breath sounds at bilateral bases with minimal expiratory crackles on the right .' +p122778 +(lp122779 +S'Lungs\tLung\tNNS\tB-NP\tO' +p122780 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p122781 +aS'breath\tbreath\tNN\tB-NP\tO' +p122782 +aS'sounds\tsound\tNNS\tI-NP\tO' +p122783 +aS'at\tat\tIN\tB-PP\tO' +p122784 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p122785 +aS'bases\tbase\tNNS\tI-NP\tO' +p122786 +aS'with\twith\tIN\tB-PP\tO' +p122787 +aS'minimal\tminimal\tJJ\tB-NP\tO' +p122788 +aS'expiratory\texpiratory\tJJ\tI-NP\tO' +p122789 +aS'crackles\tcrackle\tNNS\tI-NP\tO' +p122790 +aS'on\ton\tIN\tB-PP\tO' +p122791 +aS'the\tthe\tDT\tB-NP\tO' +p122792 +aS'right\tright\tNN\tI-NP\tO' +p122793 +aS'.\t.\t.\tO\tO' +p122794 +asS'3/6 systolic ejection murmur heard best at the apex .' +p122795 +(lp122796 +S'3/6\t3/6\tCD\tB-NP\tO' +p122797 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p122798 +aS'ejection\tejection\tNN\tI-NP\tO' +p122799 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p122800 +aS'heard\thear\tVBD\tB-VP\tO' +p122801 +aS'best\twell\tRBS\tB-ADVP\tO' +p122802 +aS'at\tat\tIN\tB-PP\tO' +p122803 +aS'the\tthe\tDT\tB-NP\tO' +p122804 +aS'apex\tapex\tNN\tI-NP\tO' +p122805 +aS'.\t.\t.\tO\tO' +p122806 +asS'This was performed in this location in case any acute cardiac decompensation occurred during the time of cesarean section .' +p122807 +(lp122808 +S'This\tThis\tDT\tB-NP\tO' +p122809 +aS'was\tbe\tVBD\tB-VP\tO' +p122810 +aS'performed\tperform\tVBN\tI-VP\tO' +p122811 +aS'in\tin\tIN\tB-PP\tO' +p122812 +aS'this\tthis\tDT\tB-NP\tO' +p122813 +aS'location\tlocation\tNN\tI-NP\tO' +p122814 +aS'in\tin\tIN\tB-PP\tO' +p122815 +aS'case\tcase\tNN\tB-NP\tO' +p122816 +aS'any\tany\tDT\tB-NP\tO' +p122817 +aS'acute\tacute\tJJ\tI-NP\tO' +p122818 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p122819 +aS'decompensation\tdecompensation\tNN\tI-NP\tO' +p122820 +aS'occurred\toccur\tVBD\tB-VP\tO' +p122821 +aS'during\tduring\tIN\tB-PP\tO' +p122822 +aS'the\tthe\tDT\tB-NP\tO' +p122823 +aS'time\ttime\tNN\tI-NP\tO' +p122824 +aS'of\tof\tIN\tB-PP\tO' +p122825 +aS'cesarean\tcesarean\tJJ\tB-NP\tO' +p122826 +aS'section\tsection\tNN\tI-NP\tO' +p122827 +aS'.\t.\t.\tO\tO' +p122828 +asS'He was transferred to the floor on postoperative day number one and tolerated his PO's well .' +p122829 +(lp122830 +S'He\tHe\tPRP\tB-NP\tO' +p122831 +aS'was\tbe\tVBD\tB-VP\tO' +p122832 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p122833 +aS'to\tto\tTO\tB-PP\tO' +p122834 +aS'the\tthe\tDT\tB-NP\tO' +p122835 +aS'floor\tfloor\tNN\tI-NP\tO' +p122836 +aS'on\ton\tIN\tB-PP\tO' +p122837 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p122838 +aS'day\tday\tNN\tI-NP\tO' +p122839 +aS'number\tnumber\tNN\tI-NP\tO' +p122840 +aS'one\tone\tCD\tB-NP\tO' +p122841 +aS'and\tand\tCC\tO\tO' +p122842 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p122843 +aS'his\this\tPRP$\tB-NP\tO' +p122844 +aS'PO's\tPO'\tNNS\tI-NP\tB-protein' +p122845 +aS'well\twell\tRB\tB-ADVP\tO' +p122846 +aS'.\t.\t.\tO\tO' +p122847 +asS'On the floor the Vancomycin was discontinued as the catheter tip culture was negative .' +p122848 +(lp122849 +S'On\tOn\tIN\tB-PP\tO' +p122850 +aS'the\tthe\tDT\tB-NP\tO' +p122851 +aS'floor\tfloor\tNN\tI-NP\tO' +p122852 +aS'the\tthe\tDT\tB-NP\tO' +p122853 +aS'Vancomycin\tVancomycin\tNN\tI-NP\tO' +p122854 +aS'was\tbe\tVBD\tB-VP\tO' +p122855 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p122856 +aS'as\tas\tIN\tB-PP\tO' +p122857 +aS'the\tthe\tDT\tB-NP\tO' +p122858 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p122859 +aS'tip\ttip\tNN\tI-NP\tO' +p122860 +aS'culture\tculture\tNN\tI-NP\tO' +p122861 +aS'was\tbe\tVBD\tB-VP\tO' +p122862 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p122863 +aS'.\t.\t.\tO\tO' +p122864 +asS'The patient should return or contact the office if he has a fever , sternal discharge or other significant chest pain .' +p122865 +(lp122866 +S'The\tThe\tDT\tB-NP\tO' +p122867 +aS'patient\tpatient\tNN\tI-NP\tO' +p122868 +aS'should\tshould\tMD\tB-VP\tO' +p122869 +aS'return\treturn\tVB\tI-VP\tO' +p122870 +aS'or\tor\tCC\tI-VP\tO' +p122871 +aS'contact\tcontact\tVB\tI-VP\tO' +p122872 +aS'the\tthe\tDT\tB-NP\tO' +p122873 +aS'office\toffice\tNN\tI-NP\tO' +p122874 +aS'if\tif\tIN\tB-SBAR\tO' +p122875 +aS'he\the\tPRP\tB-NP\tO' +p122876 +aS'has\thave\tVBZ\tB-VP\tO' +p122877 +aS'a\ta\tDT\tB-NP\tO' +p122878 +aS'fever\tfever\tNN\tI-NP\tO' +p122879 +aS',\t,\t,\tO\tO' +p122880 +aS'sternal\tsternal\tJJ\tB-NP\tO' +p122881 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p122882 +aS'or\tor\tCC\tO\tO' +p122883 +aS'other\tother\tJJ\tB-NP\tO' +p122884 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p122885 +aS'chest\tchest\tNN\tI-NP\tO' +p122886 +aS'pain\tpain\tNN\tI-NP\tO' +p122887 +aS'.\t.\t.\tO\tO' +p122888 +asS"The patient had been discharged from the St. Margaret 's Center for Women & Infants on 2013-05-06 , but was readmitted on 2013-05-09 when noted to have worsening renal function ." +p122889 +(lp122890 +S'The\tThe\tDT\tB-NP\tO' +p122891 +aS'patient\tpatient\tNN\tI-NP\tO' +p122892 +aS'had\thave\tVBD\tB-VP\tO' +p122893 +aS'been\tbe\tVBN\tI-VP\tO' +p122894 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p122895 +aS'from\tfrom\tIN\tB-PP\tO' +p122896 +aS'the\tthe\tDT\tB-NP\tO' +p122897 +aS'St.\tSt.\tNNP\tI-NP\tO' +p122898 +aS'Margaret\tMargaret\tNNP\tI-NP\tO' +p122899 +aS"'s\t's\tPOS\tB-NP\tO" +p122900 +aS'Center\tCenter\tNNP\tI-NP\tO' +p122901 +aS'for\tfor\tIN\tB-PP\tO' +p122902 +aS'Women\tWomen\tNNP\tB-NP\tO' +p122903 +aS'&\t&\tCC\tI-NP\tO' +p122904 +aS'Infants\tInfant\tNNPS\tI-NP\tO' +p122905 +aS'on\ton\tIN\tB-PP\tO' +p122906 +aS'2013-05-06\t2013-05-06\tCD\tB-NP\tO' +p122907 +aS',\t,\t,\tO\tO' +p122908 +aS'but\tbut\tCC\tO\tO' +p122909 +aS'was\tbe\tVBD\tB-VP\tO' +p122910 +aS'readmitted\treadmitte\tVBN\tI-VP\tO' +p122911 +aS'on\ton\tIN\tB-PP\tO' +p122912 +aS'2013-05-09\t2013-05-09\tCD\tB-NP\tO' +p122913 +aS'when\twhen\tWRB\tB-ADVP\tO' +p122914 +aS'noted\tnote\tVBN\tB-VP\tO' +p122915 +aS'to\tto\tTO\tI-VP\tO' +p122916 +aS'have\thave\tVB\tI-VP\tO' +p122917 +aS'worsening\tworsen\tVBG\tI-VP\tO' +p122918 +aS'renal\trenal\tJJ\tB-NP\tO' +p122919 +aS'function\tfunction\tNN\tI-NP\tO' +p122920 +aS'.\t.\t.\tO\tO' +p122921 +asS'The chest X-ray on the morning of discharge was unchanged from the previous day , with slight increase in left pleural fluid .' +p122922 +(lp122923 +S'The\tThe\tDT\tB-NP\tO' +p122924 +aS'chest\tchest\tNN\tI-NP\tO' +p122925 +aS'X-ray\tX-ray\tNN\tI-NP\tO' +p122926 +aS'on\ton\tIN\tB-PP\tO' +p122927 +aS'the\tthe\tDT\tB-NP\tO' +p122928 +aS'morning\tmorning\tNN\tI-NP\tO' +p122929 +aS'of\tof\tIN\tB-PP\tO' +p122930 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p122931 +aS'was\tbe\tVBD\tB-VP\tO' +p122932 +aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' +p122933 +aS'from\tfrom\tIN\tB-PP\tO' +p122934 +aS'the\tthe\tDT\tB-NP\tO' +p122935 +aS'previous\tprevious\tJJ\tI-NP\tO' +p122936 +aS'day\tday\tNN\tI-NP\tO' +p122937 +aS',\t,\t,\tO\tO' +p122938 +aS'with\twith\tIN\tB-PP\tO' +p122939 +aS'slight\tslight\tJJ\tB-NP\tO' +p122940 +aS'increase\tincrease\tNN\tI-NP\tO' +p122941 +aS'in\tin\tIN\tB-PP\tO' +p122942 +aS'left\tleft\tJJ\tB-NP\tO' +p122943 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p122944 +aS'fluid\tfluid\tNN\tI-NP\tO' +p122945 +aS'.\t.\t.\tO\tO' +p122946 +asS'IR was consulted to identify the bleeding vessel with angiography , then perform embolization .' +p122947 +(lp122948 +S'IR\tIR\tNN\tB-NP\tB-protein' +p122949 +aS'was\tbe\tVBD\tB-VP\tO' +p122950 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p122951 +aS'to\tto\tTO\tI-VP\tO' +p122952 +aS'identify\tidentify\tVB\tI-VP\tO' +p122953 +aS'the\tthe\tDT\tB-NP\tO' +p122954 +aS'bleeding\tbleed\tVBG\tI-NP\tO' +p122955 +aS'vessel\tvessel\tNN\tI-NP\tO' +p122956 +aS'with\twith\tIN\tB-PP\tO' +p122957 +aS'angiography\tangiography\tNN\tB-NP\tO' +p122958 +aS',\t,\t,\tO\tO' +p122959 +aS'then\tthen\tRB\tB-ADVP\tO' +p122960 +aS'perform\tperform\tNN\tB-NP\tO' +p122961 +aS'embolization\tembolization\tNN\tI-NP\tO' +p122962 +aS'.\t.\t.\tO\tO' +p122963 +asS'He was subsquently admitted to the ICU for further care .' +p122964 +(lp122965 +S'He\tHe\tPRP\tB-NP\tO' +p122966 +aS'was\tbe\tVBD\tB-VP\tO' +p122967 +aS'subsquently\tsubsquently\tRB\tI-VP\tO' +p122968 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p122969 +aS'to\tto\tTO\tB-PP\tO' +p122970 +aS'the\tthe\tDT\tB-NP\tO' +p122971 +aS'ICU\tICU\tNN\tI-NP\tO' +p122972 +aS'for\tfor\tIN\tB-PP\tO' +p122973 +aS'further\tfurther\tJJ\tB-NP\tO' +p122974 +aS'care\tcare\tNN\tI-NP\tO' +p122975 +aS'.\t.\t.\tO\tO' +p122976 +asS'13. Albuterol one to two puffs inhaled q. six hours p.r.n.' +p122977 +(lp122978 +S'13.\t13.\tCD\tB-NP\tO' +p122979 +aS'Albuterol\tAlbuterol\tNNP\tI-NP\tO' +p122980 +aS'one\tone\tCD\tI-NP\tO' +p122981 +aS'to\tto\tTO\tI-NP\tO' +p122982 +aS'two\ttwo\tCD\tI-NP\tO' +p122983 +aS'puffs\tpuff\tNNS\tI-NP\tO' +p122984 +aS'inhaled\tinhale\tVBD\tB-VP\tO' +p122985 +aS'q.\tq.\tNN\tB-NP\tO' +p122986 +aS'six\tsix\tCD\tB-NP\tO' +p122987 +aS'hours\thour\tNNS\tI-NP\tO' +p122988 +aS'p.r.n.\tp.r.n.\tRB\tB-ADVP\tO' +p122989 +asS'The abdomen was again far less distended .' +p122990 +(lp122991 +S'The\tThe\tDT\tB-NP\tO' +p122992 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p122993 +aS'was\tbe\tVBD\tB-VP\tO' +p122994 +aS'again\tagain\tRB\tB-ADVP\tO' +p122995 +aS'far\tfar\tRB\tB-ADJP\tO' +p122996 +aS'less\tless\tRBR\tI-ADJP\tO' +p122997 +aS'distended\tdistended\tJJ\tI-ADJP\tO' +p122998 +aS'.\t.\t.\tO\tO' +p122999 +asS'HTN ventral hernia right nephrectomy s/p right facial plating' +p123000 +(lp123001 +S'HTN\tHTN\tNN\tB-NP\tO' +p123002 +aS'ventral\tventral\tJJ\tI-NP\tO' +p123003 +aS'hernia\thernia\tNN\tI-NP\tO' +p123004 +aS'right\tright\tJJ\tI-NP\tO' +p123005 +aS'nephrectomy\tnephrectomy\tNN\tI-NP\tO' +p123006 +aS's/p\ts/p\tNN\tI-NP\tO' +p123007 +aS'right\tright\tJJ\tI-NP\tO' +p123008 +aS'facial\tfacial\tJJ\tI-NP\tO' +p123009 +aS'plating\tplating\tNN\tI-NP\tO' +p123010 +asS'Due to bed issues , he was transferred from the Surgical Intensive Care Unit to the Medical Intensive Care Unit on postoperative day three .' +p123011 +(lp123012 +S'Due\tDue\tJJ\tB-PP\tO' +p123013 +aS'to\tto\tTO\tI-PP\tO' +p123014 +aS'bed\tbed\tNN\tB-NP\tO' +p123015 +aS'issues\tissue\tNNS\tI-NP\tO' +p123016 +aS',\t,\t,\tO\tO' +p123017 +aS'he\the\tPRP\tB-NP\tO' +p123018 +aS'was\tbe\tVBD\tB-VP\tO' +p123019 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p123020 +aS'from\tfrom\tIN\tB-PP\tO' +p123021 +aS'the\tthe\tDT\tB-NP\tO' +p123022 +aS'Surgical\tSurgical\tNNP\tI-NP\tO' +p123023 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p123024 +aS'Care\tCare\tNNP\tI-NP\tO' +p123025 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p123026 +aS'to\tto\tTO\tB-PP\tO' +p123027 +aS'the\tthe\tDT\tB-NP\tO' +p123028 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p123029 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p123030 +aS'Care\tCare\tNNP\tI-NP\tO' +p123031 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p123032 +aS'on\ton\tIN\tB-PP\tO' +p123033 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p123034 +aS'day\tday\tNN\tI-NP\tO' +p123035 +aS'three\tthree\tCD\tI-NP\tO' +p123036 +aS'.\t.\t.\tO\tO' +p123037 +asS'She reports that she took all her medications as usual this morning , with no changes .' +p123038 +(lp123039 +S'She\tShe\tPRP\tB-NP\tO' +p123040 +aS'reports\treport\tVBZ\tB-VP\tO' +p123041 +aS'that\tthat\tIN\tB-SBAR\tO' +p123042 +aS'she\tshe\tPRP\tB-NP\tO' +p123043 +aS'took\ttake\tVBD\tB-VP\tO' +p123044 +aS'all\tall\tPDT\tB-NP\tO' +p123045 +aS'her\ther\tPRP$\tI-NP\tO' +p123046 +aS'medications\tmedication\tNNS\tI-NP\tO' +p123047 +aS'as\tas\tIN\tB-PP\tO' +p123048 +aS'usual\tusual\tJJ\tB-ADJP\tO' +p123049 +aS'this\tthis\tDT\tB-NP\tO' +p123050 +aS'morning\tmorning\tNN\tI-NP\tO' +p123051 +aS',\t,\t,\tO\tO' +p123052 +aS'with\twith\tIN\tB-PP\tO' +p123053 +aS'no\tno\tDT\tB-NP\tO' +p123054 +aS'changes\tchange\tNNS\tI-NP\tO' +p123055 +aS'.\t.\t.\tO\tO' +p123056 +asS'No limitations were placed in regards to weightbearing status .' +p123057 +(lp123058 +S'No\tNo\tDT\tB-NP\tO' +p123059 +aS'limitations\tlimitation\tNNS\tI-NP\tO' +p123060 +aS'were\tbe\tVBD\tB-VP\tO' +p123061 +aS'placed\tplace\tVBN\tI-VP\tO' +p123062 +aS'in\tin\tIN\tB-PP\tO' +p123063 +aS'regards\tregard\tNNS\tB-NP\tO' +p123064 +aS'to\tto\tTO\tB-PP\tO' +p123065 +aS'weightbearing\tweightbeare\tVBG\tB-VP\tO' +p123066 +aS'status\tstatus\tNN\tB-NP\tO' +p123067 +aS'.\t.\t.\tO\tO' +p123068 +asS'4. DM : on metformin at home , will hold given cath / dye adn cover with SSI' +p123069 +(lp123070 +S'4.\t4.\tCD\tB-NP\tO' +p123071 +aS'DM\tDM\tNN\tI-NP\tO' +p123072 +aS':\t:\t:\tO\tO' +p123073 +aS'on\ton\tIN\tB-PP\tO' +p123074 +aS'metformin\tmetformin\tNN\tB-NP\tO' +p123075 +aS'at\tat\tIN\tB-PP\tO' +p123076 +aS'home\thome\tNN\tB-NP\tO' +p123077 +aS',\t,\t,\tO\tO' +p123078 +aS'will\twill\tMD\tB-VP\tO' +p123079 +aS'hold\thold\tVB\tI-VP\tO' +p123080 +aS'given\tgive\tVBN\tI-VP\tO' +p123081 +aS'cath\tcath\tNN\tB-NP\tO' +p123082 +aS'/\t/\tSYM\tO\tO' +p123083 +aS'dye\tdye\tNN\tB-NP\tO' +p123084 +aS'adn\tadn\tNN\tI-NP\tO' +p123085 +aS'cover\tcover\tNN\tI-NP\tO' +p123086 +aS'with\twith\tIN\tB-PP\tO' +p123087 +aS'SSI\tSSI\tNN\tB-NP\tO' +p123088 +asS'His extremities were without cyanosis , clubbing , or edema .' +p123089 +(lp123090 +S'His\tHis\tPRP$\tB-NP\tO' +p123091 +aS'extremities\textremity\tNNS\tI-NP\tO' +p123092 +aS'were\tbe\tVBD\tB-VP\tO' +p123093 +aS'without\twithout\tIN\tB-PP\tO' +p123094 +aS'cyanosis\tcyanosis\tNN\tB-NP\tO' +p123095 +aS',\t,\t,\tO\tO' +p123096 +aS'clubbing\tclubbing\tNN\tB-NP\tO' +p123097 +aS',\t,\t,\tO\tO' +p123098 +aS'or\tor\tCC\tO\tO' +p123099 +aS'edema\tedema\tNN\tB-NP\tO' +p123100 +aS'.\t.\t.\tO\tO' +p123101 +asS'Leave the steri strips on until they begin to peel , then you may remove them. Staples and stitches will remain until your follow-up appointment .' +p123102 +(lp123103 +S'Leave\tLeave\tVB\tB-VP\tO' +p123104 +aS'the\tthe\tDT\tB-NP\tO' +p123105 +aS'steri\tsteri\tJJ\tI-NP\tO' +p123106 +aS'strips\tstrip\tNNS\tI-NP\tO' +p123107 +aS'on\ton\tIN\tB-PP\tO' +p123108 +aS'until\tuntil\tIN\tB-SBAR\tO' +p123109 +aS'they\tthey\tPRP\tB-NP\tO' +p123110 +aS'begin\tbegin\tVBP\tB-VP\tO' +p123111 +aS'to\tto\tTO\tI-VP\tO' +p123112 +aS'peel\tpeel\tVB\tI-VP\tO' +p123113 +aS',\t,\t,\tO\tO' +p123114 +aS'then\tthen\tRB\tB-ADVP\tO' +p123115 +aS'you\tyou\tPRP\tB-NP\tO' +p123116 +aS'may\tmay\tMD\tB-VP\tO' +p123117 +aS'remove\tremove\tVB\tI-VP\tO' +p123118 +aS'them.\tthem.\tNN\tB-NP\tO' +p123119 +aS'Staples\tStaple\tNNS\tI-NP\tO' +p123120 +aS'and\tand\tCC\tI-NP\tO' +p123121 +aS'stitches\tstitch\tNNS\tI-NP\tO' +p123122 +aS'will\twill\tMD\tB-VP\tO' +p123123 +aS'remain\tremain\tVB\tI-VP\tO' +p123124 +aS'until\tuntil\tIN\tB-PP\tO' +p123125 +aS'your\tyour\tPRP$\tB-NP\tO' +p123126 +aS'follow-up\tfollow-up\tJJ\tI-NP\tO' +p123127 +aS'appointment\tappointment\tNN\tI-NP\tO' +p123128 +aS'.\t.\t.\tO\tO' +p123129 +asS'The patient had had ABG on the floor , which prompted her to transfer to the ICU .' +p123130 +(lp123131 +S'The\tThe\tDT\tB-NP\tO' +p123132 +aS'patient\tpatient\tNN\tI-NP\tO' +p123133 +aS'had\thave\tVBD\tB-VP\tO' +p123134 +aS'had\thave\tVBN\tI-VP\tO' +p123135 +aS'ABG\tABG\tNNP\tB-NP\tO' +p123136 +aS'on\ton\tIN\tB-PP\tO' +p123137 +aS'the\tthe\tDT\tB-NP\tO' +p123138 +aS'floor\tfloor\tNN\tI-NP\tO' +p123139 +aS',\t,\t,\tO\tO' +p123140 +aS'which\twhich\tWDT\tB-NP\tO' +p123141 +aS'prompted\tprompt\tVBD\tB-VP\tO' +p123142 +aS'her\ther\tPRP\tB-NP\tO' +p123143 +aS'to\tto\tTO\tB-VP\tO' +p123144 +aS'transfer\ttransfer\tVB\tI-VP\tO' +p123145 +aS'to\tto\tTO\tB-PP\tO' +p123146 +aS'the\tthe\tDT\tB-NP\tO' +p123147 +aS'ICU\tICU\tNN\tI-NP\tB-DNA' +p123148 +aS'.\t.\t.\tO\tO' +p123149 +asS'She was originally started on cefazolin which was then changed to Keflex with good improvement .' +p123150 +(lp123151 +S'She\tShe\tPRP\tB-NP\tO' +p123152 +aS'was\tbe\tVBD\tB-VP\tO' +p123153 +aS'originally\toriginally\tRB\tI-VP\tO' +p123154 +aS'started\tstart\tVBN\tI-VP\tO' +p123155 +aS'on\ton\tIN\tB-PP\tO' +p123156 +aS'cefazolin\tcefazolin\tNN\tB-NP\tO' +p123157 +aS'which\twhich\tWDT\tB-NP\tO' +p123158 +aS'was\tbe\tVBD\tB-VP\tO' +p123159 +aS'then\tthen\tRB\tI-VP\tO' +p123160 +aS'changed\tchange\tVBN\tI-VP\tO' +p123161 +aS'to\tto\tTO\tB-PP\tO' +p123162 +aS'Keflex\tKeflex\tNNP\tB-NP\tO' +p123163 +aS'with\twith\tIN\tB-PP\tO' +p123164 +aS'good\tgood\tJJ\tB-NP\tO' +p123165 +aS'improvement\timprovement\tNN\tI-NP\tO' +p123166 +aS'.\t.\t.\tO\tO' +p123167 +asS'The infant was treated for 7 days of presumed pneumonia with ampicillin and gentamycin .' +p123168 +(lp123169 +S'The\tThe\tDT\tB-NP\tO' +p123170 +aS'infant\tinfant\tNN\tI-NP\tO' +p123171 +aS'was\tbe\tVBD\tB-VP\tO' +p123172 +aS'treated\ttreat\tVBN\tI-VP\tO' +p123173 +aS'for\tfor\tIN\tB-PP\tO' +p123174 +aS'7\t7\tCD\tB-NP\tO' +p123175 +aS'days\tday\tNNS\tI-NP\tO' +p123176 +aS'of\tof\tIN\tB-PP\tO' +p123177 +aS'presumed\tpresumed\tJJ\tB-NP\tO' +p123178 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p123179 +aS'with\twith\tIN\tB-PP\tO' +p123180 +aS'ampicillin\tampicillin\tNN\tB-NP\tB-protein' +p123181 +aS'and\tand\tCC\tI-NP\tO' +p123182 +aS'gentamycin\tgentamycin\tNN\tI-NP\tO' +p123183 +aS'.\t.\t.\tO\tO' +p123184 +asS'She stated that she had trouble knowing if her feet were touching the ground .' +p123185 +(lp123186 +S'She\tShe\tPRP\tB-NP\tO' +p123187 +aS'stated\tstate\tVBD\tB-VP\tO' +p123188 +aS'that\tthat\tIN\tB-SBAR\tO' +p123189 +aS'she\tshe\tPRP\tB-NP\tO' +p123190 +aS'had\thave\tVBD\tB-VP\tO' +p123191 +aS'trouble\ttrouble\tNN\tB-NP\tO' +p123192 +aS'knowing\tknow\tVBG\tB-VP\tO' +p123193 +aS'if\tif\tIN\tB-SBAR\tO' +p123194 +aS'her\ther\tPRP$\tB-NP\tO' +p123195 +aS'feet\tfoot\tNNS\tI-NP\tO' +p123196 +aS'were\tbe\tVBD\tB-VP\tO' +p123197 +aS'touching\ttouch\tVBG\tI-VP\tO' +p123198 +aS'the\tthe\tDT\tB-NP\tO' +p123199 +aS'ground\tground\tNN\tI-NP\tO' +p123200 +aS'.\t.\t.\tO\tO' +p123201 +asS'Of note , the patient had been given 2 mg of Ativan before the examination .' +p123202 +(lp123203 +S'Of\tOf\tIN\tB-PP\tO' +p123204 +aS'note\tnote\tNN\tB-NP\tO' +p123205 +aS',\t,\t,\tO\tO' +p123206 +aS'the\tthe\tDT\tB-NP\tO' +p123207 +aS'patient\tpatient\tNN\tI-NP\tO' +p123208 +aS'had\thave\tVBD\tB-VP\tO' +p123209 +aS'been\tbe\tVBN\tI-VP\tO' +p123210 +aS'given\tgive\tVBN\tI-VP\tO' +p123211 +aS'2\t2\tCD\tB-NP\tO' +p123212 +aS'mg\tmg\tNN\tI-NP\tO' +p123213 +aS'of\tof\tIN\tB-PP\tO' +p123214 +aS'Ativan\tAtivan\tNNP\tB-NP\tO' +p123215 +aS'before\tbefore\tIN\tB-PP\tO' +p123216 +aS'the\tthe\tDT\tB-NP\tO' +p123217 +aS'examination\texamination\tNN\tI-NP\tO' +p123218 +aS'.\t.\t.\tO\tO' +p123219 +asS'A central line was placed and she was sent to IR for a right nephrostomy tube .' +p123220 +(lp123221 +S'A\tA\tDT\tB-NP\tO' +p123222 +aS'central\tcentral\tJJ\tI-NP\tB-cell_line' +p123223 +aS'line\tline\tNN\tI-NP\tI-cell_line' +p123224 +aS'was\tbe\tVBD\tB-VP\tO' +p123225 +aS'placed\tplace\tVBN\tI-VP\tO' +p123226 +aS'and\tand\tCC\tO\tO' +p123227 +aS'she\tshe\tPRP\tB-NP\tO' +p123228 +aS'was\tbe\tVBD\tB-VP\tO' +p123229 +aS'sent\tsend\tVBN\tI-VP\tO' +p123230 +aS'to\tto\tTO\tB-PP\tO' +p123231 +aS'IR\tIR\tNN\tB-NP\tB-protein' +p123232 +aS'for\tfor\tIN\tB-PP\tO' +p123233 +aS'a\ta\tDT\tB-NP\tO' +p123234 +aS'right\tright\tJJ\tI-NP\tO' +p123235 +aS'nephrostomy\tnephrostomy\tNN\tI-NP\tO' +p123236 +aS'tube\ttube\tNN\tI-NP\tO' +p123237 +aS'.\t.\t.\tO\tO' +p123238 +asS'The patient 's mother is alive at the age of 114y .' +p123239 +(lp123240 +S'The\tThe\tDT\tB-NP\tO' +p123241 +aS'patient\tpatient\tNN\tI-NP\tO' +p123242 +aS''s\t'\tNNS\tI-NP\tO' +p123243 +aS'mother\tmother\tNN\tI-NP\tO' +p123244 +aS'is\tbe\tVBZ\tB-VP\tO' +p123245 +aS'alive\talive\tJJ\tB-ADJP\tO' +p123246 +aS'at\tat\tIN\tB-PP\tO' +p123247 +aS'the\tthe\tDT\tB-NP\tO' +p123248 +aS'age\tage\tNN\tI-NP\tO' +p123249 +aS'of\tof\tIN\tB-PP\tO' +p123250 +aS'114y\t114y\tNN\tB-NP\tO' +p123251 +aS'.\t.\t.\tO\tO' +p123252 +asS'HCV cirrhosis .' +p123253 +(lp123254 +S'HCV\tHCV\tNN\tB-NP\tO' +p123255 +aS'cirrhosis\tcirrhosis\tNN\tI-NP\tO' +p123256 +aS'.\t.\t.\tO\tO' +p123257 +asS'He was at that point given 1 unit of packed red blood cells .' +p123258 +(lp123259 +S'He\tHe\tPRP\tB-NP\tO' +p123260 +aS'was\tbe\tVBD\tB-VP\tO' +p123261 +aS'at\tat\tIN\tB-PP\tO' +p123262 +aS'that\tthat\tDT\tB-NP\tO' +p123263 +aS'point\tpoint\tNN\tI-NP\tO' +p123264 +aS'given\tgive\tVBN\tB-VP\tO' +p123265 +aS'1\t1\tCD\tB-NP\tO' +p123266 +aS'unit\tunit\tNN\tI-NP\tO' +p123267 +aS'of\tof\tIN\tB-PP\tO' +p123268 +aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' +p123269 +aS'red\tred\tJJ\tI-NP\tI-cell_type' +p123270 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p123271 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p123272 +aS'.\t.\t.\tO\tO' +p123273 +asS'In addition to her usual neuropathy pain , the pt initially appeared to have significant pain from the multi-focal PNA as well .' +p123274 +(lp123275 +S'In\tIn\tIN\tB-PP\tO' +p123276 +aS'addition\taddition\tNN\tB-NP\tO' +p123277 +aS'to\tto\tTO\tB-PP\tO' +p123278 +aS'her\ther\tPRP$\tB-NP\tB-protein' +p123279 +aS'usual\tusual\tJJ\tI-NP\tI-protein' +p123280 +aS'neuropathy\tneuropathy\tJJ\tI-NP\tI-protein' +p123281 +aS'pain\tpain\tNN\tI-NP\tI-protein' +p123282 +aS',\t,\t,\tO\tO' +p123283 +aS'the\tthe\tDT\tB-NP\tO' +p123284 +aS'pt\tpt\tNN\tI-NP\tO' +p123285 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p123286 +aS'appeared\tappear\tVBD\tB-VP\tO' +p123287 +aS'to\tto\tTO\tI-VP\tO' +p123288 +aS'have\thave\tVB\tI-VP\tO' +p123289 +aS'significant\tsignificant\tJJ\tB-NP\tO' +p123290 +aS'pain\tpain\tNN\tI-NP\tO' +p123291 +aS'from\tfrom\tIN\tB-PP\tO' +p123292 +aS'the\tthe\tDT\tB-NP\tO' +p123293 +aS'multi-focal\tmulti-focal\tJJ\tI-NP\tO' +p123294 +aS'PNA\tPNA\tNN\tI-NP\tO' +p123295 +aS'as\tas\tRB\tB-ADVP\tO' +p123296 +aS'well\twell\tRB\tI-ADVP\tO' +p123297 +aS'.\t.\t.\tO\tO' +p123298 +asS'Dr. Amanda Hilton of Crown Colony' +p123299 +(lp123300 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p123301 +aS'Amanda\tAmanda\tNNP\tI-NP\tO' +p123302 +aS'Hilton\tHilton\tNNP\tI-NP\tO' +p123303 +aS'of\tof\tIN\tB-PP\tO' +p123304 +aS'Crown\tCrown\tNNP\tB-NP\tO' +p123305 +aS'Colony\tColony\tNNP\tI-NP\tO' +p123306 +asS"The patient 's keppra should be continued for sz prophylaxis ." +p123307 +(lp123308 +S'The\tThe\tDT\tB-NP\tO' +p123309 +aS'patient\tpatient\tNN\tI-NP\tO' +p123310 +aS"'s\t's\tPOS\tB-NP\tO" +p123311 +aS'keppra\tkeppra\tNN\tI-NP\tO' +p123312 +aS'should\tshould\tMD\tB-VP\tO' +p123313 +aS'be\tbe\tVB\tI-VP\tO' +p123314 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p123315 +aS'for\tfor\tIN\tB-PP\tO' +p123316 +aS'sz\tsz\tNN\tB-NP\tO' +p123317 +aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' +p123318 +aS'.\t.\t.\tO\tO' +p123319 +asS'No Drug Allergy Information on File' +p123320 +(lp123321 +S'No\tNo\tDT\tB-NP\tO' +p123322 +aS'Drug\tDrug\tNNP\tI-NP\tO' +p123323 +aS'Allergy\tAllergy\tNNP\tI-NP\tO' +p123324 +aS'Information\tInformation\tNNP\tI-NP\tO' +p123325 +aS'on\ton\tIN\tB-PP\tO' +p123326 +aS'File\tFile\tNNP\tB-NP\tO' +p123327 +asS'He is also on Reglan , 10 mg p.o. q h ; Miracle topical cream to affected area ; also Sarna , topical cream , b.i.d.' +p123328 +(lp123329 +S'He\tHe\tPRP\tB-NP\tO' +p123330 +aS'is\tbe\tVBZ\tB-VP\tO' +p123331 +aS'also\talso\tRB\tB-ADVP\tO' +p123332 +aS'on\ton\tIN\tB-PP\tO' +p123333 +aS'Reglan\tReglan\tNNP\tB-NP\tO' +p123334 +aS',\t,\t,\tO\tO' +p123335 +aS'10\t10\tCD\tB-NP\tO' +p123336 +aS'mg\tmg\tNN\tI-NP\tO' +p123337 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p123338 +aS'q\tq\tNN\tI-NP\tO' +p123339 +aS'h\th\tNN\tI-NP\tO' +p123340 +aS';\t;\t:\tO\tO' +p123341 +aS'Miracle\tMiracle\tNNP\tB-NP\tO' +p123342 +aS'topical\ttopical\tJJ\tI-NP\tO' +p123343 +aS'cream\tcream\tNN\tI-NP\tO' +p123344 +aS'to\tto\tTO\tB-PP\tO' +p123345 +aS'affected\taffect\tVBN\tB-NP\tO' +p123346 +aS'area\tarea\tNN\tI-NP\tO' +p123347 +aS';\t;\t:\tO\tO' +p123348 +aS'also\talso\tRB\tB-ADVP\tO' +p123349 +aS'Sarna\tSarna\tNNP\tB-NP\tO' +p123350 +aS',\t,\t,\tO\tO' +p123351 +aS'topical\ttopical\tJJ\tB-NP\tO' +p123352 +aS'cream\tcream\tNN\tI-NP\tO' +p123353 +aS',\t,\t,\tO\tO' +p123354 +aS'b.i.d.\tb.i.d.\tNN\tB-NP\tO' +p123355 +asS'He made excellent progress and was discharged to home with VNA services on POD #4 .' +p123356 +(lp123357 +S'He\tHe\tPRP\tB-NP\tO' +p123358 +aS'made\tmake\tVBD\tB-VP\tO' +p123359 +aS'excellent\texcellent\tJJ\tB-NP\tO' +p123360 +aS'progress\tprogress\tNN\tI-NP\tO' +p123361 +aS'and\tand\tCC\tO\tO' +p123362 +aS'was\tbe\tVBD\tB-VP\tO' +p123363 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p123364 +aS'to\tto\tTO\tB-PP\tO' +p123365 +aS'home\thome\tNN\tB-NP\tO' +p123366 +aS'with\twith\tIN\tB-PP\tO' +p123367 +aS'VNA\tVNA\tNN\tB-NP\tO' +p123368 +aS'services\tservice\tNNS\tI-NP\tO' +p123369 +aS'on\ton\tIN\tB-PP\tO' +p123370 +aS'POD\tPOD\tNN\tB-NP\tB-protein' +p123371 +aS'#4\t#4\tCD\tI-NP\tI-protein' +p123372 +aS'.\t.\t.\tO\tO' +p123373 +asS'The hematoma formation was rapidly expanding and he received an emergent surgical airway in the Intensive Care Unit .' +p123374 +(lp123375 +S'The\tThe\tDT\tB-NP\tO' +p123376 +aS'hematoma\thematoma\tNN\tI-NP\tO' +p123377 +aS'formation\tformation\tNN\tI-NP\tO' +p123378 +aS'was\tbe\tVBD\tB-VP\tO' +p123379 +aS'rapidly\trapidly\tRB\tI-VP\tO' +p123380 +aS'expanding\texpand\tVBG\tI-VP\tO' +p123381 +aS'and\tand\tCC\tO\tO' +p123382 +aS'he\the\tPRP\tB-NP\tO' +p123383 +aS'received\treceive\tVBD\tB-VP\tO' +p123384 +aS'an\tan\tDT\tB-NP\tO' +p123385 +aS'emergent\temergent\tJJ\tI-NP\tO' +p123386 +aS'surgical\tsurgical\tJJ\tI-NP\tO' +p123387 +aS'airway\tairway\tNN\tI-NP\tO' +p123388 +aS'in\tin\tIN\tB-PP\tO' +p123389 +aS'the\tthe\tDT\tB-NP\tO' +p123390 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p123391 +aS'Care\tCare\tNNP\tI-NP\tO' +p123392 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p123393 +aS'.\t.\t.\tO\tO' +p123394 +asS'Wound care was consulted and made recommendations for ulcer care .' +p123395 +(lp123396 +S'Wound\tWound\tJJ\tB-NP\tO' +p123397 +aS'care\tcare\tNN\tI-NP\tO' +p123398 +aS'was\tbe\tVBD\tB-VP\tO' +p123399 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p123400 +aS'and\tand\tCC\tO\tO' +p123401 +aS'made\tmake\tVBN\tB-VP\tO' +p123402 +aS'recommendations\trecommendation\tNNS\tB-NP\tO' +p123403 +aS'for\tfor\tIN\tB-PP\tO' +p123404 +aS'ulcer\tulcer\tNN\tB-NP\tO' +p123405 +aS'care\tcare\tNN\tI-NP\tO' +p123406 +aS'.\t.\t.\tO\tO' +p123407 +asS'Ditropan , 5 mg tid .' +p123408 +(lp123409 +S'Ditropan\tDitropan\tNNP\tB-NP\tO' +p123410 +aS',\t,\t,\tO\tO' +p123411 +aS'5\t5\tCD\tB-NP\tO' +p123412 +aS'mg\tmg\tNN\tI-NP\tO' +p123413 +aS'tid\ttid\tNN\tI-NP\tO' +p123414 +aS'.\t.\t.\tO\tO' +p123415 +asS'His last drink was in 2009-11-11 .' +p123416 +(lp123417 +S'His\tHis\tPRP$\tB-NP\tO' +p123418 +aS'last\tlast\tJJ\tI-NP\tO' +p123419 +aS'drink\tdrink\tNN\tI-NP\tO' +p123420 +aS'was\tbe\tVBD\tB-VP\tO' +p123421 +aS'in\tin\tIN\tB-PP\tO' +p123422 +aS'2009-11-11\t2009-11-11\tCD\tB-NP\tO' +p123423 +aS'.\t.\t.\tO\tO' +p123424 +asS'The patient had some minimal back pain that occurred after food but with negative urinalysis and negative fever spikes over the entire course of this stay .' +p123425 +(lp123426 +S'The\tThe\tDT\tB-NP\tO' +p123427 +aS'patient\tpatient\tNN\tI-NP\tO' +p123428 +aS'had\thave\tVBD\tB-VP\tO' +p123429 +aS'some\tsome\tDT\tB-NP\tO' +p123430 +aS'minimal\tminimal\tJJ\tI-NP\tO' +p123431 +aS'back\tback\tJJ\tI-NP\tO' +p123432 +aS'pain\tpain\tNN\tI-NP\tO' +p123433 +aS'that\tthat\tWDT\tB-NP\tO' +p123434 +aS'occurred\toccur\tVBD\tB-VP\tO' +p123435 +aS'after\tafter\tIN\tB-PP\tO' +p123436 +aS'food\tfood\tNN\tB-NP\tO' +p123437 +aS'but\tbut\tCC\tB-PP\tO' +p123438 +aS'with\twith\tIN\tB-PP\tO' +p123439 +aS'negative\tnegative\tJJ\tB-NP\tO' +p123440 +aS'urinalysis\turinalysis\tNN\tI-NP\tO' +p123441 +aS'and\tand\tCC\tO\tO' +p123442 +aS'negative\tnegative\tJJ\tB-NP\tO' +p123443 +aS'fever\tfever\tNN\tI-NP\tO' +p123444 +aS'spikes\tspike\tNNS\tI-NP\tO' +p123445 +aS'over\tover\tIN\tB-PP\tO' +p123446 +aS'the\tthe\tDT\tB-NP\tO' +p123447 +aS'entire\tentire\tJJ\tI-NP\tO' +p123448 +aS'course\tcourse\tNN\tI-NP\tO' +p123449 +aS'of\tof\tIN\tB-PP\tO' +p123450 +aS'this\tthis\tDT\tB-NP\tO' +p123451 +aS'stay\tstay\tNN\tI-NP\tO' +p123452 +aS'.\t.\t.\tO\tO' +p123453 +asS'KCl 12-27 mEq daily cozaar 25 mg daily' +p123454 +(lp123455 +S'KCl\tKCl\tNN\tB-NP\tO' +p123456 +aS'12-27\t12-27\tCD\tI-NP\tO' +p123457 +aS'mEq\tmEq\tNN\tI-NP\tO' +p123458 +aS'daily\tdaily\tJJ\tI-NP\tO' +p123459 +aS'cozaar\tcozaar\tNN\tI-NP\tO' +p123460 +aS'25\t25\tCD\tI-NP\tO' +p123461 +aS'mg\tmg\tNN\tI-NP\tO' +p123462 +aS'daily\tdaily\tJJ\tI-NP\tO' +p123463 +asS'During transfusion reaction episode , the patient had an episode of tachycardia ranging from 134 to 158 , for one to two hours .' +p123464 +(lp123465 +S'During\tDuring\tIN\tB-PP\tO' +p123466 +aS'transfusion\ttransfusion\tNN\tB-NP\tO' +p123467 +aS'reaction\treaction\tNN\tI-NP\tO' +p123468 +aS'episode\tepisode\tNN\tI-NP\tO' +p123469 +aS',\t,\t,\tO\tO' +p123470 +aS'the\tthe\tDT\tB-NP\tO' +p123471 +aS'patient\tpatient\tNN\tI-NP\tO' +p123472 +aS'had\thave\tVBD\tB-VP\tO' +p123473 +aS'an\tan\tDT\tB-NP\tO' +p123474 +aS'episode\tepisode\tNN\tI-NP\tO' +p123475 +aS'of\tof\tIN\tB-PP\tO' +p123476 +aS'tachycardia\ttachycardia\tNNS\tB-NP\tO' +p123477 +aS'ranging\trange\tVBG\tB-VP\tO' +p123478 +aS'from\tfrom\tIN\tB-PP\tO' +p123479 +aS'134\t134\tCD\tB-NP\tB-DNA' +p123480 +aS'to\tto\tTO\tB-PP\tI-DNA' +p123481 +aS'158\t158\tCD\tB-NP\tI-DNA' +p123482 +aS',\t,\t,\tO\tO' +p123483 +aS'for\tfor\tIN\tB-PP\tO' +p123484 +aS'one\tone\tCD\tB-NP\tO' +p123485 +aS'to\tto\tTO\tI-NP\tO' +p123486 +aS'two\ttwo\tCD\tI-NP\tO' +p123487 +aS'hours\thour\tNNS\tI-NP\tO' +p123488 +aS'.\t.\t.\tO\tO' +p123489 +asS'The patient was seen in consultation by the Psychiatry Service , who began a battery of testing , which continues at the time of discharge .' +p123490 +(lp123491 +S'The\tThe\tDT\tB-NP\tO' +p123492 +aS'patient\tpatient\tNN\tI-NP\tO' +p123493 +aS'was\tbe\tVBD\tB-VP\tO' +p123494 +aS'seen\tsee\tVBN\tI-VP\tO' +p123495 +aS'in\tin\tIN\tB-PP\tO' +p123496 +aS'consultation\tconsultation\tNN\tB-NP\tO' +p123497 +aS'by\tby\tIN\tB-PP\tO' +p123498 +aS'the\tthe\tDT\tB-NP\tO' +p123499 +aS'Psychiatry\tPsychiatry\tNNP\tI-NP\tO' +p123500 +aS'Service\tService\tNNP\tI-NP\tO' +p123501 +aS',\t,\t,\tO\tO' +p123502 +aS'who\twho\tWP\tB-NP\tO' +p123503 +aS'began\tbegin\tVBD\tB-VP\tO' +p123504 +aS'a\ta\tDT\tB-NP\tO' +p123505 +aS'battery\tbattery\tNN\tI-NP\tO' +p123506 +aS'of\tof\tIN\tB-PP\tO' +p123507 +aS'testing\ttesting\tNN\tB-NP\tO' +p123508 +aS',\t,\t,\tO\tO' +p123509 +aS'which\twhich\tWDT\tB-NP\tO' +p123510 +aS'continues\tcontinue\tVBZ\tB-VP\tO' +p123511 +aS'at\tat\tIN\tB-PP\tO' +p123512 +aS'the\tthe\tDT\tB-NP\tO' +p123513 +aS'time\ttime\tNN\tI-NP\tO' +p123514 +aS'of\tof\tIN\tB-PP\tO' +p123515 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p123516 +aS'.\t.\t.\tO\tO' +p123517 +asS'She had a gas showing 7.36 , 31 , 96 .' +p123518 +(lp123519 +S'She\tShe\tPRP\tB-NP\tO' +p123520 +aS'had\thave\tVBD\tB-VP\tO' +p123521 +aS'a\ta\tDT\tB-NP\tO' +p123522 +aS'gas\tgas\tNN\tI-NP\tB-DNA' +p123523 +aS'showing\tshow\tVBG\tB-VP\tO' +p123524 +aS'7.36\t7.36\tCD\tB-NP\tO' +p123525 +aS',\t,\t,\tI-NP\tO' +p123526 +aS'31\t31\tCD\tI-NP\tO' +p123527 +aS',\t,\t,\tI-NP\tO' +p123528 +aS'96\t96\tCD\tI-NP\tO' +p123529 +aS'.\t.\t.\tO\tO' +p123530 +asS'Good global biventricular systolic function .' +p123531 +(lp123532 +S'Good\tGood\tJJ\tB-NP\tO' +p123533 +aS'global\tglobal\tJJ\tI-NP\tO' +p123534 +aS'biventricular\tbiventricular\tJJ\tI-NP\tO' +p123535 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p123536 +aS'function\tfunction\tNN\tI-NP\tO' +p123537 +aS'.\t.\t.\tO\tO' +p123538 +asS'6. Infectious disease - The infant received 48 hours of Ampicillin and Gentamicin for rule out sepsis .' +p123539 +(lp123540 +S'6.\t6.\tLS\tB-NP\tO' +p123541 +aS'Infectious\tInfectious\tJJ\tI-NP\tO' +p123542 +aS'disease\tdisease\tNN\tI-NP\tO' +p123543 +aS'-\t-\tHYPH\tO\tO' +p123544 +aS'The\tThe\tDT\tB-NP\tO' +p123545 +aS'infant\tinfant\tNN\tI-NP\tO' +p123546 +aS'received\treceive\tVBD\tB-VP\tO' +p123547 +aS'48\t48\tCD\tB-NP\tO' +p123548 +aS'hours\thour\tNNS\tI-NP\tO' +p123549 +aS'of\tof\tIN\tB-PP\tO' +p123550 +aS'Ampicillin\tAmpicillin\tNN\tB-NP\tB-protein' +p123551 +aS'and\tand\tCC\tI-NP\tO' +p123552 +aS'Gentamicin\tGentamicin\tNN\tI-NP\tO' +p123553 +aS'for\tfor\tIN\tB-PP\tO' +p123554 +aS'rule\trule\tNN\tB-NP\tO' +p123555 +aS'out\tout\tIN\tB-PP\tO' +p123556 +aS'sepsis\tsepsis\tNN\tB-NP\tO' +p123557 +aS'.\t.\t.\tO\tO' +p123558 +asS'ALLERGIES : He had no known drug allergies .' +p123559 +(lp123560 +S'ALLERGIES\tALLERGIES\tNNS\tB-NP\tO' +p123561 +aS':\t:\t:\tO\tO' +p123562 +aS'He\tHe\tPRP\tB-NP\tO' +p123563 +aS'had\thave\tVBD\tB-VP\tO' +p123564 +aS'no\tno\tDT\tB-NP\tO' +p123565 +aS'known\tknow\tVBN\tI-NP\tO' +p123566 +aS'drug\tdrug\tNN\tI-NP\tO' +p123567 +aS'allergies\tallergy\tNNS\tI-NP\tO' +p123568 +aS'.\t.\t.\tO\tO' +p123569 +asS'The assessment was that he had a GI bleed .' +p123570 +(lp123571 +S'The\tThe\tDT\tB-NP\tO' +p123572 +aS'assessment\tassessment\tNN\tI-NP\tO' +p123573 +aS'was\tbe\tVBD\tB-VP\tO' +p123574 +aS'that\tthat\tIN\tB-SBAR\tO' +p123575 +aS'he\the\tPRP\tB-NP\tO' +p123576 +aS'had\thave\tVBD\tB-VP\tO' +p123577 +aS'a\ta\tDT\tB-NP\tO' +p123578 +aS'GI\tGI\tNN\tI-NP\tO' +p123579 +aS'bleed\tbleed\tNN\tI-NP\tO' +p123580 +aS'.\t.\t.\tO\tO' +p123581 +asS'Also a VQ scan obtained the next day showed high probability for PE .' +p123582 +(lp123583 +S'Also\tAlso\tRB\tB-ADVP\tO' +p123584 +aS'a\ta\tDT\tB-NP\tO' +p123585 +aS'VQ\tVQ\tNN\tI-NP\tO' +p123586 +aS'scan\tscan\tNN\tI-NP\tO' +p123587 +aS'obtained\tobtain\tVBD\tB-VP\tO' +p123588 +aS'the\tthe\tDT\tB-NP\tO' +p123589 +aS'next\tnext\tJJ\tI-NP\tO' +p123590 +aS'day\tday\tNN\tI-NP\tO' +p123591 +aS'showed\tshow\tVBD\tB-VP\tO' +p123592 +aS'high\thigh\tJJ\tB-NP\tO' +p123593 +aS'probability\tprobability\tNN\tI-NP\tO' +p123594 +aS'for\tfor\tIN\tB-PP\tO' +p123595 +aS'PE\tPE\tNN\tB-NP\tO' +p123596 +aS'.\t.\t.\tO\tO' +p123597 +asS'Signed electronically by : DR. Barry Smith on : FRI 2018-06-01 8:26 AM' +p123598 +(lp123599 +S'Signed\tSign\tVBN\tB-VP\tO' +p123600 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p123601 +aS'by\tby\tIN\tB-PP\tO' +p123602 +aS':\t:\t:\tO\tO' +p123603 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p123604 +aS'Barry\tBarry\tNNP\tI-NP\tO' +p123605 +aS'Smith\tSmith\tNNP\tI-NP\tO' +p123606 +aS'on\ton\tIN\tB-PP\tO' +p123607 +aS':\t:\t:\tO\tO' +p123608 +aS'FRI\tFRI\tCD\tB-NP\tO' +p123609 +aS'2018-06-01\t2018-06-01\tCD\tI-NP\tO' +p123610 +aS'8:26\t8:26\tCD\tI-NP\tO' +p123611 +aS'AM\tAM\tNN\tI-NP\tO' +p123612 +asS'Proventil 2 puffs q6hours prn ..' +p123613 +(lp123614 +S'Proventil\tProventil\tIN\tB-PP\tO' +p123615 +aS'2\t2\tCD\tB-NP\tO' +p123616 +aS'puffs\tpuff\tNNS\tI-NP\tO' +p123617 +aS'q6hours\tq6hour\tNNS\tI-NP\tO' +p123618 +aS'prn\tprn\tVBP\tB-VP\tO' +p123619 +aS'..\t..\t.\tO\tO' +p123620 +asS'5. Lipitor 10 mg p.o. q. day .' +p123621 +(lp123622 +S'5.\t5.\tLS\tB-LST\tO' +p123623 +aS'Lipitor\tLipitor\tNNP\tB-NP\tO' +p123624 +aS'10\t10\tCD\tI-NP\tO' +p123625 +aS'mg\tmg\tNN\tI-NP\tO' +p123626 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p123627 +aS'q.\tq.\tNN\tI-NP\tO' +p123628 +aS'day\tday\tNN\tI-NP\tO' +p123629 +aS'.\t.\t.\tO\tO' +p123630 +asS'This is her baseline status .' +p123631 +(lp123632 +S'This\tThis\tDT\tB-NP\tO' +p123633 +aS'is\tbe\tVBZ\tB-VP\tO' +p123634 +aS'her\ther\tPRP$\tB-NP\tO' +p123635 +aS'baseline\tbaseline\tNN\tI-NP\tO' +p123636 +aS'status\tstatus\tNN\tI-NP\tO' +p123637 +aS'.\t.\t.\tO\tO' +p123638 +asS'She remained afebrile throughout her hospital course .' +p123639 +(lp123640 +S'She\tShe\tPRP\tB-NP\tO' +p123641 +aS'remained\tremain\tVBD\tB-VP\tO' +p123642 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p123643 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p123644 +aS'her\ther\tPRP$\tB-NP\tO' +p123645 +aS'hospital\thospital\tNN\tI-NP\tO' +p123646 +aS'course\tcourse\tNN\tI-NP\tO' +p123647 +aS'.\t.\t.\tO\tO' +p123648 +asS'15. Lidocaine 5 %( 700 mg / patch ) Adhesive Patch , Medicated Sig : Two ( 2 ) Adhesive Patch , Medicated Topical DAILY ( Daily ) .' +p123649 +(lp123650 +S'15.\t15.\tLS\tB-LST\tO' +p123651 +aS'Lidocaine\tLidocaine\tNNP\tB-NP\tO' +p123652 +aS'5\t5\tCD\tI-NP\tO' +p123653 +aS'%(\t%(\tCC\tI-NP\tO' +p123654 +aS'700\t700\tCD\tI-NP\tO' +p123655 +aS'mg\tmg\tNN\tI-NP\tO' +p123656 +aS'/\t/\tSYM\tB-NP\tO' +p123657 +aS'patch\tpatch\tNN\tI-NP\tO' +p123658 +aS')\t)\t)\tO\tO' +p123659 +aS'Adhesive\tAdhesive\tNNP\tB-NP\tO' +p123660 +aS'Patch\tPatch\tNNP\tI-NP\tO' +p123661 +aS',\t,\t,\tO\tO' +p123662 +aS'Medicated\tMedicated\tNNP\tB-NP\tO' +p123663 +aS'Sig\tSig\tNNP\tI-NP\tO' +p123664 +aS':\t:\t:\tO\tO' +p123665 +aS'Two\tTwo\tCD\tB-NP\tO' +p123666 +aS'(\t(\t(\tO\tO' +p123667 +aS'2\t2\tCD\tB-NP\tO' +p123668 +aS')\t)\t)\tO\tO' +p123669 +aS'Adhesive\tAdhesive\tNNP\tB-NP\tO' +p123670 +aS'Patch\tPatch\tNNP\tI-NP\tO' +p123671 +aS',\t,\t,\tO\tO' +p123672 +aS'Medicated\tMedicated\tNNP\tB-NP\tO' +p123673 +aS'Topical\tTopical\tNNP\tI-NP\tO' +p123674 +aS'DAILY\tDAILY\tNNP\tI-NP\tO' +p123675 +aS'(\t(\t(\tO\tO' +p123676 +aS'Daily\tDaily\tNNP\tB-NP\tO' +p123677 +aS')\t)\t)\tO\tO' +p123678 +aS'.\t.\t.\tO\tO' +p123679 +asS'History of multinodular goiter ; history of hypertension ; history of subtotal thyroidectomy .' +p123680 +(lp123681 +S'History\tHistory\tNN\tB-NP\tO' +p123682 +aS'of\tof\tIN\tB-PP\tO' +p123683 +aS'multinodular\tmultinodular\tJJ\tB-NP\tO' +p123684 +aS'goiter\tgoiter\tNN\tI-NP\tO' +p123685 +aS';\t;\t:\tO\tO' +p123686 +aS'history\thistory\tNN\tB-NP\tO' +p123687 +aS'of\tof\tIN\tB-PP\tO' +p123688 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p123689 +aS';\t;\t:\tO\tO' +p123690 +aS'history\thistory\tNN\tB-NP\tO' +p123691 +aS'of\tof\tIN\tB-PP\tO' +p123692 +aS'subtotal\tsubtotal\tJJ\tB-NP\tO' +p123693 +aS'thyroidectomy\tthyroidectomy\tNN\tI-NP\tO' +p123694 +aS'.\t.\t.\tO\tO' +p123695 +asS'She has had no significant weight loss .' +p123696 +(lp123697 +S'She\tShe\tPRP\tB-NP\tO' +p123698 +aS'has\thave\tVBZ\tB-VP\tO' +p123699 +aS'had\thave\tVBN\tI-VP\tO' +p123700 +aS'no\tno\tDT\tB-NP\tO' +p123701 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p123702 +aS'weight\tweight\tNN\tI-NP\tO' +p123703 +aS'loss\tloss\tNN\tI-NP\tO' +p123704 +aS'.\t.\t.\tO\tO' +p123705 +asS'He has a ten pack year history of smoking , quit in 1990 .' +p123706 +(lp123707 +S'He\tHe\tPRP\tB-NP\tO' +p123708 +aS'has\thave\tVBZ\tB-VP\tO' +p123709 +aS'a\ta\tDT\tB-NP\tO' +p123710 +aS'ten\tten\tCD\tI-NP\tO' +p123711 +aS'pack\tpack\tNN\tI-NP\tO' +p123712 +aS'year\tyear\tNN\tI-NP\tO' +p123713 +aS'history\thistory\tNN\tI-NP\tO' +p123714 +aS'of\tof\tIN\tB-PP\tO' +p123715 +aS'smoking\tsmoking\tNN\tB-NP\tO' +p123716 +aS',\t,\t,\tO\tO' +p123717 +aS'quit\tquit\tVBD\tB-VP\tO' +p123718 +aS'in\tin\tIN\tB-PP\tO' +p123719 +aS'1990\t1990\tCD\tB-NP\tO' +p123720 +aS'.\t.\t.\tO\tO' +p123721 +asS'His blood sugar at 10 pm was low at 22 and he was disoriented , which resolved with two glasses of juice ; he did not receive his standing dose of NPH that evening .' +p123722 +(lp123723 +S'His\tHis\tPRP$\tB-NP\tO' +p123724 +aS'blood\tblood\tNN\tI-NP\tO' +p123725 +aS'sugar\tsugar\tNN\tI-NP\tO' +p123726 +aS'at\tat\tIN\tB-PP\tO' +p123727 +aS'10\t10\tCD\tB-NP\tO' +p123728 +aS'pm\tpm\tNN\tI-NP\tO' +p123729 +aS'was\tbe\tVBD\tB-VP\tO' +p123730 +aS'low\tlow\tJJ\tB-ADJP\tO' +p123731 +aS'at\tat\tIN\tB-PP\tO' +p123732 +aS'22\t22\tCD\tB-NP\tO' +p123733 +aS'and\tand\tCC\tO\tO' +p123734 +aS'he\the\tPRP\tB-NP\tO' +p123735 +aS'was\tbe\tVBD\tB-VP\tO' +p123736 +aS'disoriented\tdisorient\tVBN\tI-VP\tO' +p123737 +aS',\t,\t,\tO\tO' +p123738 +aS'which\twhich\tWDT\tB-NP\tO' +p123739 +aS'resolved\tresolve\tVBD\tB-VP\tO' +p123740 +aS'with\twith\tIN\tB-PP\tO' +p123741 +aS'two\ttwo\tCD\tB-NP\tO' +p123742 +aS'glasses\tglass\tNNS\tI-NP\tO' +p123743 +aS'of\tof\tIN\tB-PP\tO' +p123744 +aS'juice\tjuice\tNN\tB-NP\tO' +p123745 +aS';\t;\t:\tO\tO' +p123746 +aS'he\the\tPRP\tB-NP\tO' +p123747 +aS'did\tdo\tVBD\tB-VP\tO' +p123748 +aS'not\tnot\tRB\tI-VP\tO' +p123749 +aS'receive\treceive\tVB\tI-VP\tO' +p123750 +aS'his\this\tPRP$\tB-NP\tO' +p123751 +aS'standing\tstanding\tNN\tI-NP\tO' +p123752 +aS'dose\tdose\tNN\tI-NP\tO' +p123753 +aS'of\tof\tIN\tB-PP\tO' +p123754 +aS'NPH\tNPH\tNN\tB-NP\tB-protein' +p123755 +aS'that\tthat\tIN\tB-NP\tO' +p123756 +aS'evening\tevening\tNN\tB-NP\tO' +p123757 +aS'.\t.\t.\tO\tO' +p123758 +asS'No lower extremity edema , bilaterally .' +p123759 +(lp123760 +S'No\tNo\tDT\tB-NP\tO' +p123761 +aS'lower\tlow\tJJR\tI-NP\tO' +p123762 +aS'extremity\textremity\tNN\tI-NP\tO' +p123763 +aS'edema\tedema\tNN\tI-NP\tO' +p123764 +aS',\t,\t,\tO\tO' +p123765 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p123766 +aS'.\t.\t.\tO\tO' +p123767 +asS'She was encouraged to ambulate and deep breath .' +p123768 +(lp123769 +S'She\tShe\tPRP\tB-NP\tO' +p123770 +aS'was\tbe\tVBD\tB-VP\tO' +p123771 +aS'encouraged\tencourage\tVBN\tI-VP\tO' +p123772 +aS'to\tto\tTO\tI-VP\tO' +p123773 +aS'ambulate\tambulate\tVB\tI-VP\tO' +p123774 +aS'and\tand\tCC\tO\tO' +p123775 +aS'deep\tdeep\tJJ\tB-NP\tO' +p123776 +aS'breath\tbreath\tNN\tI-NP\tO' +p123777 +aS'.\t.\t.\tO\tO' +p123778 +asS'TVI SHANEL WASHING , M.D , PhD .' +p123779 +(lp123780 +S'TVI\tTVI\tNNP\tB-NP\tO' +p123781 +aS'SHANEL\tSHANEL\tNNP\tI-NP\tO' +p123782 +aS'WASHING\tWASHING\tNNP\tI-NP\tO' +p123783 +aS',\t,\t,\tO\tO' +p123784 +aS'M.D\tM.D\tNNP\tB-NP\tO' +p123785 +aS',\t,\t,\tO\tO' +p123786 +aS'PhD\tPhD\tNNP\tB-NP\tO' +p123787 +aS'.\t.\t.\tO\tO' +p123788 +asS'Before discharge to the Newborn Nursery , the infant was taking Similac 22 calories per ounce by mouth ad lib and maintaining dextrose sticks in the 60 s.' +p123789 +(lp123790 +S'Before\tBefore\tIN\tB-SBAR\tO' +p123791 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p123792 +aS'to\tto\tTO\tB-PP\tO' +p123793 +aS'the\tthe\tDT\tB-NP\tO' +p123794 +aS'Newborn\tNewborn\tNNP\tI-NP\tO' +p123795 +aS'Nursery\tNursery\tNNP\tI-NP\tO' +p123796 +aS',\t,\t,\tO\tO' +p123797 +aS'the\tthe\tDT\tB-NP\tO' +p123798 +aS'infant\tinfant\tNN\tI-NP\tO' +p123799 +aS'was\tbe\tVBD\tB-VP\tO' +p123800 +aS'taking\ttake\tVBG\tI-VP\tO' +p123801 +aS'Similac\tSimilac\tNNP\tB-NP\tO' +p123802 +aS'22\t22\tCD\tI-NP\tO' +p123803 +aS'calories\tcalorie\tNNS\tI-NP\tO' +p123804 +aS'per\tper\tIN\tB-PP\tO' +p123805 +aS'ounce\tounce\tNN\tB-NP\tO' +p123806 +aS'by\tby\tIN\tB-PP\tO' +p123807 +aS'mouth\tmouth\tNN\tB-NP\tO' +p123808 +aS'ad\tad\tNN\tI-NP\tO' +p123809 +aS'lib\tlib\tNN\tI-NP\tO' +p123810 +aS'and\tand\tCC\tO\tO' +p123811 +aS'maintaining\tmaintain\tVBG\tB-VP\tO' +p123812 +aS'dextrose\tdextrose\tNN\tB-NP\tO' +p123813 +aS'sticks\tstick\tNNS\tI-NP\tO' +p123814 +aS'in\tin\tIN\tB-PP\tO' +p123815 +aS'the\tthe\tDT\tB-NP\tO' +p123816 +aS'60\t60\tCD\tI-NP\tO' +p123817 +aS's.\ts.\tNNS\tI-NP\tO' +p123818 +asS'Extremities : Warm and well perfuse .' +p123819 +(lp123820 +S'Extremities\tExtremity\tNNS\tB-NP\tO' +p123821 +aS':\t:\t:\tO\tO' +p123822 +aS'Warm\tWarm\tNN\tB-NP\tO' +p123823 +aS'and\tand\tCC\tO\tO' +p123824 +aS'well\twell\tRB\tB-VP\tO' +p123825 +aS'perfuse\tperfuse\tVBP\tI-VP\tO' +p123826 +aS'.\t.\t.\tO\tO' +p123827 +asS'He has not had further episodes while he was in the hospital .' +p123828 +(lp123829 +S'He\tHe\tPRP\tB-NP\tO' +p123830 +aS'has\thave\tVBZ\tB-VP\tO' +p123831 +aS'not\tnot\tRB\tI-VP\tO' +p123832 +aS'had\thave\tVBN\tI-VP\tO' +p123833 +aS'further\tfurther\tJJ\tB-NP\tO' +p123834 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p123835 +aS'while\twhile\tIN\tB-SBAR\tO' +p123836 +aS'he\the\tPRP\tB-NP\tO' +p123837 +aS'was\tbe\tVBD\tB-VP\tO' +p123838 +aS'in\tin\tIN\tB-PP\tO' +p123839 +aS'the\tthe\tDT\tB-NP\tO' +p123840 +aS'hospital\thospital\tNN\tI-NP\tO' +p123841 +aS'.\t.\t.\tO\tO' +p123842 +asS'2 plus carotids with no jugular venous distention and no bruits and no thyromegaly .' +p123843 +(lp123844 +S'2\t2\tCD\tB-NP\tO' +p123845 +aS'plus\tplus\tCC\tO\tO' +p123846 +aS'carotids\tcarotid\tNNS\tB-NP\tO' +p123847 +aS'with\twith\tIN\tB-PP\tO' +p123848 +aS'no\tno\tDT\tB-NP\tO' +p123849 +aS'jugular\tjugular\tJJ\tI-NP\tO' +p123850 +aS'venous\tvenous\tJJ\tI-NP\tO' +p123851 +aS'distention\tdistention\tNN\tI-NP\tO' +p123852 +aS'and\tand\tCC\tO\tO' +p123853 +aS'no\tno\tDT\tB-NP\tO' +p123854 +aS'bruits\tbruit\tNNS\tI-NP\tO' +p123855 +aS'and\tand\tCC\tO\tO' +p123856 +aS'no\tno\tDT\tB-NP\tO' +p123857 +aS'thyromegaly\tthyromegaly\tRB\tI-NP\tO' +p123858 +aS'.\t.\t.\tO\tO' +p123859 +asS'4. Coumadin .' +p123860 +(lp123861 +S'4.\t4.\tLS\tB-NP\tO' +p123862 +aS'Coumadin\tCoumadin\tNN\tI-NP\tO' +p123863 +aS'.\t.\t.\tO\tO' +p123864 +asS'He was completely assymptomatic while below normal values .' +p123865 +(lp123866 +S'He\tHe\tPRP\tB-NP\tO' +p123867 +aS'was\tbe\tVBD\tB-VP\tO' +p123868 +aS'completely\tcompletely\tRB\tB-ADJP\tO' +p123869 +aS'assymptomatic\tassymptomatic\tJJ\tI-ADJP\tO' +p123870 +aS'while\twhile\tIN\tB-SBAR\tO' +p123871 +aS'below\tbelow\tIN\tB-PP\tO' +p123872 +aS'normal\tnormal\tJJ\tB-NP\tO' +p123873 +aS'values\tvalue\tNNS\tI-NP\tO' +p123874 +aS'.\t.\t.\tO\tO' +p123875 +asS"This is a 71 - year-old gentleman who was admitted to the St. Anne 's Hospital as a transfer from the Kindred Park View Specialty Hospital of Springfield ." +p123876 +(lp123877 +S'This\tThis\tDT\tB-NP\tO' +p123878 +aS'is\tbe\tVBZ\tB-VP\tO' +p123879 +aS'a\ta\tDT\tB-NP\tO' +p123880 +aS'71\t71\tCD\tI-NP\tO' +p123881 +aS'-\t-\tHYPH\tI-NP\tO' +p123882 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p123883 +aS'gentleman\tgentleman\tNN\tI-NP\tO' +p123884 +aS'who\twho\tWP\tB-NP\tO' +p123885 +aS'was\tbe\tVBD\tB-VP\tO' +p123886 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p123887 +aS'to\tto\tTO\tB-PP\tO' +p123888 +aS'the\tthe\tDT\tB-NP\tO' +p123889 +aS'St.\tSt.\tNNP\tI-NP\tO' +p123890 +aS'Anne\tAnne\tNNP\tI-NP\tO' +p123891 +aS"'s\t's\tPOS\tB-NP\tO" +p123892 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p123893 +aS'as\tas\tIN\tB-PP\tO' +p123894 +aS'a\ta\tDT\tB-NP\tO' +p123895 +aS'transfer\ttransfer\tNN\tI-NP\tO' +p123896 +aS'from\tfrom\tIN\tB-PP\tO' +p123897 +aS'the\tthe\tDT\tB-NP\tO' +p123898 +aS'Kindred\tKindred\tNNP\tI-NP\tO' +p123899 +aS'Park\tPark\tNNP\tI-NP\tO' +p123900 +aS'View\tView\tNNP\tI-NP\tO' +p123901 +aS'Specialty\tSpecialty\tNNP\tI-NP\tO' +p123902 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p123903 +aS'of\tof\tIN\tB-PP\tO' +p123904 +aS'Springfield\tSpringfield\tNNP\tB-NP\tO' +p123905 +aS'.\t.\t.\tO\tO' +p123906 +asS'The plan after 24 hours was to transfer him to the floor , but the hospital was full and he never got a bed .' +p123907 +(lp123908 +S'The\tThe\tDT\tB-NP\tO' +p123909 +aS'plan\tplan\tNN\tI-NP\tO' +p123910 +aS'after\tafter\tIN\tB-PP\tO' +p123911 +aS'24\t24\tCD\tB-NP\tO' +p123912 +aS'hours\thour\tNNS\tI-NP\tO' +p123913 +aS'was\tbe\tVBD\tB-VP\tO' +p123914 +aS'to\tto\tTO\tB-VP\tO' +p123915 +aS'transfer\ttransfer\tVB\tI-VP\tO' +p123916 +aS'him\thim\tPRP\tB-NP\tO' +p123917 +aS'to\tto\tTO\tB-PP\tO' +p123918 +aS'the\tthe\tDT\tB-NP\tO' +p123919 +aS'floor\tfloor\tNN\tI-NP\tO' +p123920 +aS',\t,\t,\tO\tO' +p123921 +aS'but\tbut\tCC\tO\tO' +p123922 +aS'the\tthe\tDT\tB-NP\tO' +p123923 +aS'hospital\thospital\tNN\tI-NP\tO' +p123924 +aS'was\tbe\tVBD\tB-VP\tO' +p123925 +aS'full\tfull\tJJ\tB-ADJP\tO' +p123926 +aS'and\tand\tCC\tO\tO' +p123927 +aS'he\the\tPRP\tB-NP\tO' +p123928 +aS'never\tnever\tRB\tB-ADVP\tO' +p123929 +aS'got\tget\tVBD\tB-VP\tO' +p123930 +aS'a\ta\tDT\tB-NP\tO' +p123931 +aS'bed\tbed\tNN\tI-NP\tO' +p123932 +aS'.\t.\t.\tO\tO' +p123933 +asS'For her coronary artery disease , status post catheterization , she was given Integrilin for 18 hours .' +p123934 +(lp123935 +S'For\tFor\tIN\tB-PP\tO' +p123936 +aS'her\ther\tPRP$\tB-NP\tO' +p123937 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p123938 +aS'artery\tartery\tNN\tI-NP\tO' +p123939 +aS'disease\tdisease\tNN\tI-NP\tO' +p123940 +aS',\t,\t,\tO\tO' +p123941 +aS'status\tstatus\tNN\tB-NP\tO' +p123942 +aS'post\tpost\tNN\tI-NP\tO' +p123943 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p123944 +aS',\t,\t,\tO\tO' +p123945 +aS'she\tshe\tPRP\tB-NP\tO' +p123946 +aS'was\tbe\tVBD\tB-VP\tO' +p123947 +aS'given\tgive\tVBN\tI-VP\tO' +p123948 +aS'Integrilin\tIntegrilin\tNNP\tB-NP\tO' +p123949 +aS'for\tfor\tIN\tB-PP\tO' +p123950 +aS'18\t18\tCD\tB-NP\tO' +p123951 +aS'hours\thour\tNNS\tI-NP\tO' +p123952 +aS'.\t.\t.\tO\tO' +p123953 +asS'On 04/06/05 Mr. Liley was admitted to Dr. Liley 's service .' +p123954 +(lp123955 +S'On\tOn\tIN\tB-PP\tO' +p123956 +aS'04/06/05\t04/06/05\tCD\tB-NP\tO' +p123957 +aS'Mr.\tMr.\tNNP\tB-NP\tO' +p123958 +aS'Liley\tLiley\tNNP\tI-NP\tO' +p123959 +aS'was\tbe\tVBD\tB-VP\tO' +p123960 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p123961 +aS'to\tto\tTO\tB-PP\tO' +p123962 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p123963 +aS'Liley\tLiley\tNNP\tI-NP\tO' +p123964 +aS''s\t'\tNNS\tI-NP\tO' +p123965 +aS'service\tservice\tNN\tI-NP\tO' +p123966 +aS'.\t.\t.\tO\tO' +p123967 +asS'Follow-up INR to be drawn 06-01 , by Dr Lewis @ 597-4427' +p123968 +(lp123969 +S'Follow-up\tFollow-up\tJJ\tB-NP\tO' +p123970 +aS'INR\tINR\tNN\tI-NP\tO' +p123971 +aS'to\tto\tTO\tB-VP\tO' +p123972 +aS'be\tbe\tVB\tI-VP\tO' +p123973 +aS'drawn\tdraw\tVBN\tI-VP\tO' +p123974 +aS'06-01\t06-01\tCD\tB-NP\tO' +p123975 +aS',\t,\t,\tO\tO' +p123976 +aS'by\tby\tIN\tB-PP\tO' +p123977 +aS'Dr\tDr\tNNP\tB-NP\tO' +p123978 +aS'Lewis\tLewis\tNNP\tI-NP\tO' +p123979 +aS'@\t@\tVBD\tB-VP\tO' +p123980 +aS'597-4427\t597-4427\tCD\tB-NP\tO' +p123981 +asS'The patient has glaucoma .' +p123982 +(lp123983 +S'The\tThe\tDT\tB-NP\tO' +p123984 +aS'patient\tpatient\tNN\tI-NP\tO' +p123985 +aS'has\thave\tVBZ\tB-VP\tO' +p123986 +aS'glaucoma\tglaucoma\tNN\tB-NP\tO' +p123987 +aS'.\t.\t.\tO\tO' +p123988 +asS'She tolerated this procedure without complications initially and was taken to the Recovery Room in stable condition .' +p123989 +(lp123990 +S'She\tShe\tPRP\tB-NP\tO' +p123991 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p123992 +aS'this\tthis\tDT\tB-NP\tO' +p123993 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p123994 +aS'without\twithout\tIN\tB-PP\tO' +p123995 +aS'complications\tcomplication\tNNS\tB-NP\tO' +p123996 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p123997 +aS'and\tand\tCC\tO\tO' +p123998 +aS'was\tbe\tVBD\tB-VP\tO' +p123999 +aS'taken\ttake\tVBN\tI-VP\tO' +p124000 +aS'to\tto\tTO\tB-PP\tO' +p124001 +aS'the\tthe\tDT\tB-NP\tO' +p124002 +aS'Recovery\tRecovery\tNNP\tI-NP\tO' +p124003 +aS'Room\tRoom\tNNP\tI-NP\tO' +p124004 +aS'in\tin\tIN\tB-PP\tO' +p124005 +aS'stable\tstable\tJJ\tB-NP\tO' +p124006 +aS'condition\tcondition\tNN\tI-NP\tO' +p124007 +aS'.\t.\t.\tO\tO' +p124008 +asS'The Propafenone was stopped , and the patient was changed to Amiodarone 400 mg t.i.d. , which was continued for two days .' +p124009 +(lp124010 +S'The\tThe\tDT\tB-NP\tO' +p124011 +aS'Propafenone\tPropafenone\tNN\tI-NP\tO' +p124012 +aS'was\tbe\tVBD\tB-VP\tO' +p124013 +aS'stopped\tstop\tVBN\tI-VP\tO' +p124014 +aS',\t,\t,\tO\tO' +p124015 +aS'and\tand\tCC\tO\tO' +p124016 +aS'the\tthe\tDT\tB-NP\tO' +p124017 +aS'patient\tpatient\tNN\tI-NP\tO' +p124018 +aS'was\tbe\tVBD\tB-VP\tO' +p124019 +aS'changed\tchange\tVBN\tI-VP\tO' +p124020 +aS'to\tto\tTO\tB-PP\tO' +p124021 +aS'Amiodarone\tAmiodarone\tNN\tB-NP\tO' +p124022 +aS'400\t400\tCD\tI-NP\tO' +p124023 +aS'mg\tmg\tNN\tI-NP\tO' +p124024 +aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' +p124025 +aS',\t,\t,\tO\tO' +p124026 +aS'which\twhich\tWDT\tB-NP\tO' +p124027 +aS'was\tbe\tVBD\tB-VP\tO' +p124028 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p124029 +aS'for\tfor\tIN\tB-PP\tO' +p124030 +aS'two\ttwo\tCD\tB-NP\tO' +p124031 +aS'days\tday\tNNS\tI-NP\tO' +p124032 +aS'.\t.\t.\tO\tO' +p124033 +asS'C. with chronic lung disease .' +p124034 +(lp124035 +S'C.\tC.\tNN\tB-NP\tO' +p124036 +aS'with\twith\tIN\tB-PP\tO' +p124037 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p124038 +aS'lung\tlung\tNN\tI-NP\tO' +p124039 +aS'disease\tdisease\tNN\tI-NP\tO' +p124040 +aS'.\t.\t.\tO\tO' +p124041 +asS'His extremities are warm and well perfused with minimal edema of his left foot as well as his right stump .' +p124042 +(lp124043 +S'His\tHis\tPRP$\tB-NP\tO' +p124044 +aS'extremities\textremity\tNNS\tI-NP\tO' +p124045 +aS'are\tbe\tVBP\tB-VP\tO' +p124046 +aS'warm\twarm\tJJ\tB-ADJP\tO' +p124047 +aS'and\tand\tCC\tO\tO' +p124048 +aS'well\twell\tRB\tB-ADJP\tO' +p124049 +aS'perfused\tperfuse\tVBN\tI-ADJP\tO' +p124050 +aS'with\twith\tIN\tB-PP\tO' +p124051 +aS'minimal\tminimal\tJJ\tB-NP\tO' +p124052 +aS'edema\tedema\tNN\tI-NP\tO' +p124053 +aS'of\tof\tIN\tB-PP\tO' +p124054 +aS'his\this\tPRP$\tB-NP\tO' +p124055 +aS'left\tleft\tJJ\tI-NP\tO' +p124056 +aS'foot\tfoot\tNN\tI-NP\tO' +p124057 +aS'as\tas\tRB\tB-CONJP\tO' +p124058 +aS'well\twell\tRB\tI-CONJP\tO' +p124059 +aS'as\tas\tIN\tI-CONJP\tO' +p124060 +aS'his\this\tPRP$\tB-NP\tO' +p124061 +aS'right\tright\tJJ\tI-NP\tO' +p124062 +aS'stump\tstump\tNN\tI-NP\tO' +p124063 +aS'.\t.\t.\tO\tO' +p124064 +asS'The generalized slowing indicates a non specific dysfunction in midline structures .' +p124065 +(lp124066 +S'The\tThe\tDT\tB-NP\tO' +p124067 +aS'generalized\tgeneralize\tVBN\tI-NP\tO' +p124068 +aS'slowing\tslowing\tNN\tI-NP\tO' +p124069 +aS'indicates\tindicate\tVBZ\tB-VP\tO' +p124070 +aS'a\ta\tDT\tB-NP\tO' +p124071 +aS'non\tnon\tJJ\tI-NP\tO' +p124072 +aS'specific\tspecific\tJJ\tI-NP\tO' +p124073 +aS'dysfunction\tdysfunction\tNN\tI-NP\tO' +p124074 +aS'in\tin\tIN\tB-PP\tO' +p124075 +aS'midline\tmidline\tNN\tB-NP\tO' +p124076 +aS'structures\tstructure\tNNS\tI-NP\tO' +p124077 +aS'.\t.\t.\tO\tO' +p124078 +asS'Renal consultants did not feel that there was an indication for urgent hemodialysis .' +p124079 +(lp124080 +S'Renal\tRenal\tJJ\tB-NP\tO' +p124081 +aS'consultants\tconsultant\tNNS\tI-NP\tO' +p124082 +aS'did\tdo\tVBD\tB-VP\tO' +p124083 +aS'not\tnot\tRB\tI-VP\tO' +p124084 +aS'feel\tfeel\tVB\tI-VP\tO' +p124085 +aS'that\tthat\tIN\tB-SBAR\tO' +p124086 +aS'there\tthere\tEX\tB-NP\tO' +p124087 +aS'was\tbe\tVBD\tB-VP\tO' +p124088 +aS'an\tan\tDT\tB-NP\tO' +p124089 +aS'indication\tindication\tNN\tI-NP\tO' +p124090 +aS'for\tfor\tIN\tB-PP\tO' +p124091 +aS'urgent\turgent\tJJ\tB-NP\tO' +p124092 +aS'hemodialysis\themodialysis\tNN\tI-NP\tO' +p124093 +aS'.\t.\t.\tO\tO' +p124094 +asS'He was also begun on anti-Candida regimen for his urinary tract infection with yeast being seen .' +p124095 +(lp124096 +S'He\tHe\tPRP\tB-NP\tO' +p124097 +aS'was\tbe\tVBD\tB-VP\tO' +p124098 +aS'also\talso\tRB\tI-VP\tO' +p124099 +aS'begun\tbegin\tVBN\tI-VP\tO' +p124100 +aS'on\ton\tIN\tB-PP\tO' +p124101 +aS'anti-Candida\tanti-Candida\tJJ\tB-NP\tB-protein' +p124102 +aS'regimen\tregimen\tNN\tI-NP\tI-protein' +p124103 +aS'for\tfor\tIN\tB-PP\tO' +p124104 +aS'his\this\tPRP$\tB-NP\tO' +p124105 +aS'urinary\turinary\tJJ\tI-NP\tO' +p124106 +aS'tract\ttract\tNN\tI-NP\tO' +p124107 +aS'infection\tinfection\tNN\tI-NP\tO' +p124108 +aS'with\twith\tIN\tB-PP\tO' +p124109 +aS'yeast\tyeast\tNN\tB-NP\tO' +p124110 +aS'being\tbe\tVBG\tB-VP\tO' +p124111 +aS'seen\tsee\tVBN\tI-VP\tO' +p124112 +aS'.\t.\t.\tO\tO' +p124113 +asS'Cytology was obtained .' +p124114 +(lp124115 +S'Cytology\tCytology\tNN\tB-NP\tO' +p124116 +aS'was\tbe\tVBD\tB-VP\tO' +p124117 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p124118 +aS'.\t.\t.\tO\tO' +p124119 +asS'Chest : crackles at right base with dec. air movement .' +p124120 +(lp124121 +S'Chest\tChest\tNNP\tB-NP\tO' +p124122 +aS':\t:\t:\tO\tO' +p124123 +aS'crackles\tcrackle\tNNS\tB-NP\tO' +p124124 +aS'at\tat\tIN\tB-PP\tO' +p124125 +aS'right\tright\tJJ\tB-NP\tO' +p124126 +aS'base\tbase\tNN\tI-NP\tO' +p124127 +aS'with\twith\tIN\tB-PP\tO' +p124128 +aS'dec.\tdec.\tNN\tB-NP\tO' +p124129 +aS'air\tair\tNN\tI-NP\tO' +p124130 +aS'movement\tmovement\tNN\tI-NP\tO' +p124131 +aS'.\t.\t.\tO\tO' +p124132 +asS'Abdomen obese , no scars .' +p124133 +(lp124134 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p124135 +aS'obese\tobese\tVBP\tB-VP\tO' +p124136 +aS',\t,\t,\tO\tO' +p124137 +aS'no\tno\tDT\tB-NP\tO' +p124138 +aS'scars\tscar\tNNS\tI-NP\tO' +p124139 +aS'.\t.\t.\tO\tO' +p124140 +asS'The tongue was midline .' +p124141 +(lp124142 +S'The\tThe\tDT\tB-NP\tO' +p124143 +aS'tongue\ttongue\tNN\tI-NP\tO' +p124144 +aS'was\tbe\tVBD\tB-VP\tO' +p124145 +aS'midline\tmidline\tNN\tB-NP\tO' +p124146 +aS'.\t.\t.\tO\tO' +p124147 +asS'Disp : *60 Capsule( s )*' +p124148 +(lp124149 +S'Disp\tDisp\tNN\tB-NP\tO' +p124150 +aS':\t:\t:\tO\tO' +p124151 +aS'*60\t*60\tCD\tB-NP\tO' +p124152 +aS'Capsule(\tCapsule(\t(\tI-NP\tO' +p124153 +aS's\ts\tNN\tI-NP\tO' +p124154 +aS')*\t)*\tSYM\tB-NP\tO' +p124155 +asS'Milrinone was continued until postoperative day number three , at which point he was having good enough cardiac output that he did not need these drips to help maintain his blood pressure anymore .' +p124156 +(lp124157 +S'Milrinone\tMilrinone\tNN\tB-NP\tO' +p124158 +aS'was\tbe\tVBD\tB-VP\tO' +p124159 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p124160 +aS'until\tuntil\tIN\tB-PP\tO' +p124161 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p124162 +aS'day\tday\tNN\tI-NP\tO' +p124163 +aS'number\tnumber\tNN\tI-NP\tO' +p124164 +aS'three\tthree\tCD\tB-NP\tO' +p124165 +aS',\t,\t,\tO\tO' +p124166 +aS'at\tat\tIN\tB-PP\tO' +p124167 +aS'which\twhich\tWDT\tB-NP\tO' +p124168 +aS'point\tpoint\tNN\tI-NP\tO' +p124169 +aS'he\the\tPRP\tB-NP\tO' +p124170 +aS'was\tbe\tVBD\tB-VP\tO' +p124171 +aS'having\thave\tVBG\tI-VP\tO' +p124172 +aS'good\tgood\tJJ\tB-NP\tO' +p124173 +aS'enough\tenough\tRB\tI-NP\tO' +p124174 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p124175 +aS'output\toutput\tNN\tI-NP\tO' +p124176 +aS'that\tthat\tIN\tB-NP\tO' +p124177 +aS'he\the\tPRP\tB-NP\tO' +p124178 +aS'did\tdo\tVBD\tB-VP\tO' +p124179 +aS'not\tnot\tRB\tI-VP\tO' +p124180 +aS'need\tneed\tVB\tI-VP\tO' +p124181 +aS'these\tthese\tDT\tB-NP\tO' +p124182 +aS'drips\tdrip\tNNS\tI-NP\tO' +p124183 +aS'to\tto\tTO\tB-VP\tO' +p124184 +aS'help\thelp\tVB\tI-VP\tO' +p124185 +aS'maintain\tmaintain\tVB\tI-VP\tO' +p124186 +aS'his\this\tPRP$\tB-NP\tO' +p124187 +aS'blood\tblood\tNN\tI-NP\tO' +p124188 +aS'pressure\tpressure\tNN\tI-NP\tO' +p124189 +aS'anymore\tanymore\tRB\tB-ADVP\tO' +p124190 +aS'.\t.\t.\tO\tO' +p124191 +asS'Discharge services included visiting nursing which was to assess in her inhaler technique , monitor her fasting blood sugars , as well as her blood pressure , monitor her peak flows , and assess her mobility and activities of daily living at home .' +p124192 +(lp124193 +S'Discharge\tDischarge\tNN\tB-NP\tO' +p124194 +aS'services\tservice\tNNS\tI-NP\tO' +p124195 +aS'included\tinclude\tVBD\tB-VP\tO' +p124196 +aS'visiting\tvisit\tVBG\tI-VP\tO' +p124197 +aS'nursing\tnursing\tNN\tB-NP\tO' +p124198 +aS'which\twhich\tWDT\tB-NP\tO' +p124199 +aS'was\tbe\tVBD\tB-VP\tO' +p124200 +aS'to\tto\tTO\tB-VP\tO' +p124201 +aS'assess\tassess\tVB\tI-VP\tO' +p124202 +aS'in\tin\tIN\tB-PP\tO' +p124203 +aS'her\ther\tPRP$\tB-NP\tO' +p124204 +aS'inhaler\tinhaler\tNN\tI-NP\tO' +p124205 +aS'technique\ttechnique\tNN\tI-NP\tO' +p124206 +aS',\t,\t,\tO\tO' +p124207 +aS'monitor\tmonitor\tVB\tB-VP\tO' +p124208 +aS'her\ther\tPRP$\tB-NP\tO' +p124209 +aS'fasting\tfasting\tJJ\tI-NP\tO' +p124210 +aS'blood\tblood\tNN\tI-NP\tO' +p124211 +aS'sugars\tsugar\tNNS\tI-NP\tO' +p124212 +aS',\t,\t,\tO\tO' +p124213 +aS'as\tas\tRB\tB-CONJP\tO' +p124214 +aS'well\twell\tRB\tI-CONJP\tO' +p124215 +aS'as\tas\tIN\tI-CONJP\tO' +p124216 +aS'her\ther\tPRP$\tB-NP\tO' +p124217 +aS'blood\tblood\tNN\tI-NP\tO' +p124218 +aS'pressure\tpressure\tNN\tI-NP\tO' +p124219 +aS',\t,\t,\tO\tO' +p124220 +aS'monitor\tmonitor\tVB\tB-VP\tO' +p124221 +aS'her\ther\tPRP$\tB-NP\tO' +p124222 +aS'peak\tpeak\tJJ\tI-NP\tO' +p124223 +aS'flows\tflow\tNNS\tI-NP\tO' +p124224 +aS',\t,\t,\tO\tO' +p124225 +aS'and\tand\tCC\tO\tO' +p124226 +aS'assess\tassess\tVB\tB-VP\tO' +p124227 +aS'her\ther\tPRP$\tB-NP\tO' +p124228 +aS'mobility\tmobility\tNN\tI-NP\tO' +p124229 +aS'and\tand\tCC\tI-NP\tO' +p124230 +aS'activities\tactivity\tNNS\tI-NP\tO' +p124231 +aS'of\tof\tIN\tB-PP\tO' +p124232 +aS'daily\tdaily\tJJ\tB-NP\tO' +p124233 +aS'living\tliving\tNN\tI-NP\tO' +p124234 +aS'at\tat\tIN\tB-PP\tO' +p124235 +aS'home\thome\tNN\tB-NP\tO' +p124236 +aS'.\t.\t.\tO\tO' +p124237 +asS'10. Prednisone 20 mg Tablet Sig : Two ( 2 ) Tablet PO DAILY ( Daily ) for 4 days .' +p124238 +(lp124239 +S'10.\t10.\tLS\tB-NP\tO' +p124240 +aS'Prednisone\tPrednisone\tNN\tI-NP\tO' +p124241 +aS'20\t20\tCD\tI-NP\tO' +p124242 +aS'mg\tmg\tNN\tI-NP\tO' +p124243 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p124244 +aS'Sig\tSig\tNNP\tI-NP\tO' +p124245 +aS':\t:\t:\tO\tO' +p124246 +aS'Two\tTwo\tCD\tB-NP\tO' +p124247 +aS'(\t(\t(\tO\tO' +p124248 +aS'2\t2\tCD\tO\tO' +p124249 +aS')\t)\t)\tO\tO' +p124250 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p124251 +aS'PO\tPO\tNN\tI-NP\tO' +p124252 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p124253 +aS'(\t(\t(\tO\tO' +p124254 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p124255 +aS')\t)\t)\tO\tO' +p124256 +aS'for\tfor\tIN\tB-PP\tO' +p124257 +aS'4\t4\tCD\tB-NP\tO' +p124258 +aS'days\tday\tNNS\tI-NP\tO' +p124259 +aS'.\t.\t.\tO\tO' +p124260 +asS'ASA , plavix held during hemothorax .' +p124261 +(lp124262 +S'ASA\tASA\tNN\tB-NP\tO' +p124263 +aS',\t,\t,\tO\tO' +p124264 +aS'plavix\tplavix\tNN\tB-NP\tO' +p124265 +aS'held\thold\tVBN\tB-VP\tO' +p124266 +aS'during\tduring\tIN\tB-PP\tO' +p124267 +aS'hemothorax\themothorax\tNN\tB-NP\tO' +p124268 +aS'.\t.\t.\tO\tO' +p124269 +asS'Readmitted for hyperbilirubinemia on day of life #5 .' +p124270 +(lp124271 +S'Readmitted\tReadmitte\tVBN\tB-VP\tO' +p124272 +aS'for\tfor\tIN\tB-PP\tO' +p124273 +aS'hyperbilirubinemia\thyperbilirubinemia\tNN\tB-NP\tO' +p124274 +aS'on\ton\tIN\tB-PP\tO' +p124275 +aS'day\tday\tNN\tB-NP\tO' +p124276 +aS'of\tof\tIN\tB-PP\tO' +p124277 +aS'life\tlife\tNN\tB-NP\tO' +p124278 +aS'#5\t#5\tCD\tI-NP\tO' +p124279 +aS'.\t.\t.\tO\tO' +p124280 +asS'He was later sitting in a chair making multiple attempts to get up , which he subsequently did and promptly fell directly on his face at approximately 11:30 a.m.' +p124281 +(lp124282 +S'He\tHe\tPRP\tB-NP\tO' +p124283 +aS'was\tbe\tVBD\tB-VP\tO' +p124284 +aS'later\tlater\tRB\tI-VP\tO' +p124285 +aS'sitting\tsit\tVBG\tI-VP\tO' +p124286 +aS'in\tin\tIN\tB-PP\tO' +p124287 +aS'a\ta\tDT\tB-NP\tO' +p124288 +aS'chair\tchair\tNN\tI-NP\tO' +p124289 +aS'making\tmake\tVBG\tB-VP\tO' +p124290 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p124291 +aS'attempts\tattempt\tNNS\tI-NP\tO' +p124292 +aS'to\tto\tTO\tB-VP\tO' +p124293 +aS'get\tget\tVB\tI-VP\tO' +p124294 +aS'up\tup\tRP\tB-PRT\tO' +p124295 +aS',\t,\t,\tO\tO' +p124296 +aS'which\twhich\tWDT\tB-NP\tO' +p124297 +aS'he\the\tPRP\tB-NP\tO' +p124298 +aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' +p124299 +aS'did\tdo\tVBD\tB-VP\tO' +p124300 +aS'and\tand\tCC\tO\tO' +p124301 +aS'promptly\tpromptly\tRB\tB-VP\tO' +p124302 +aS'fell\tfall\tVBD\tI-VP\tO' +p124303 +aS'directly\tdirectly\tRB\tB-ADVP\tO' +p124304 +aS'on\ton\tIN\tB-PP\tO' +p124305 +aS'his\this\tPRP$\tB-NP\tO' +p124306 +aS'face\tface\tNN\tI-NP\tO' +p124307 +aS'at\tat\tIN\tB-PP\tO' +p124308 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p124309 +aS'11:30\t11:30\tCD\tI-NP\tO' +p124310 +aS'a.m.\ta.m.\tNN\tI-NP\tO' +p124311 +asS'41 x 23 mm acute intraparenchymal hematoma at the right frontal lobe , causing mild mass effect upon the ipsilateral lateral ventricle , suspicious of hemorrhage secondary to congophilic angiopathy in this age group .' +p124312 +(lp124313 +S'41\t41\tCD\tB-NP\tO' +p124314 +aS'x\tx\tCC\tI-NP\tO' +p124315 +aS'23\t23\tCD\tI-NP\tO' +p124316 +aS'mm\tmm\tNN\tI-NP\tO' +p124317 +aS'acute\tacute\tJJ\tI-NP\tO' +p124318 +aS'intraparenchymal\tintraparenchymal\tJJ\tI-NP\tO' +p124319 +aS'hematoma\thematoma\tNN\tI-NP\tO' +p124320 +aS'at\tat\tIN\tB-PP\tO' +p124321 +aS'the\tthe\tDT\tB-NP\tO' +p124322 +aS'right\tright\tJJ\tI-NP\tO' +p124323 +aS'frontal\tfrontal\tJJ\tI-NP\tO' +p124324 +aS'lobe\tlobe\tNN\tI-NP\tO' +p124325 +aS',\t,\t,\tO\tO' +p124326 +aS'causing\tcause\tVBG\tB-VP\tO' +p124327 +aS'mild\tmild\tJJ\tB-NP\tO' +p124328 +aS'mass\tmass\tNN\tI-NP\tO' +p124329 +aS'effect\teffect\tNN\tI-NP\tO' +p124330 +aS'upon\tupon\tIN\tB-PP\tO' +p124331 +aS'the\tthe\tDT\tB-NP\tO' +p124332 +aS'ipsilateral\tipsilateral\tJJ\tI-NP\tO' +p124333 +aS'lateral\tlateral\tJJ\tI-NP\tO' +p124334 +aS'ventricle\tventricle\tNN\tI-NP\tO' +p124335 +aS',\t,\t,\tO\tO' +p124336 +aS'suspicious\tsuspicious\tJJ\tB-ADJP\tO' +p124337 +aS'of\tof\tIN\tB-PP\tO' +p124338 +aS'hemorrhage\themorrhage\tNN\tB-NP\tO' +p124339 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p124340 +aS'to\tto\tTO\tB-PP\tO' +p124341 +aS'congophilic\tcongophilic\tJJ\tB-NP\tO' +p124342 +aS'angiopathy\tangiopathy\tNN\tI-NP\tO' +p124343 +aS'in\tin\tIN\tB-PP\tO' +p124344 +aS'this\tthis\tDT\tB-NP\tO' +p124345 +aS'age\tage\tNN\tI-NP\tO' +p124346 +aS'group\tgroup\tNN\tI-NP\tO' +p124347 +aS'.\t.\t.\tO\tO' +p124348 +asS'She was also to seek the next available appointment with Dr. Jeanette Barr or to see another resident in the Saint Vincent Hospital Clinic if she cannot get an appointment within one week .' +p124349 +(lp124350 +S'She\tShe\tPRP\tB-NP\tO' +p124351 +aS'was\tbe\tVBD\tB-VP\tO' +p124352 +aS'also\talso\tRB\tB-ADVP\tO' +p124353 +aS'to\tto\tTO\tB-VP\tO' +p124354 +aS'seek\tseek\tVB\tI-VP\tO' +p124355 +aS'the\tthe\tDT\tB-NP\tO' +p124356 +aS'next\tnext\tJJ\tI-NP\tO' +p124357 +aS'available\tavailable\tJJ\tI-NP\tO' +p124358 +aS'appointment\tappointment\tNN\tI-NP\tO' +p124359 +aS'with\twith\tIN\tB-PP\tO' +p124360 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p124361 +aS'Jeanette\tJeanette\tNNP\tI-NP\tO' +p124362 +aS'Barr\tBarr\tNNP\tI-NP\tO' +p124363 +aS'or\tor\tCC\tO\tO' +p124364 +aS'to\tto\tTO\tB-VP\tO' +p124365 +aS'see\tsee\tVB\tI-VP\tO' +p124366 +aS'another\tanother\tDT\tB-NP\tO' +p124367 +aS'resident\tresident\tNN\tI-NP\tO' +p124368 +aS'in\tin\tIN\tB-PP\tO' +p124369 +aS'the\tthe\tDT\tB-NP\tO' +p124370 +aS'Saint\tSaint\tNNP\tI-NP\tO' +p124371 +aS'Vincent\tVincent\tNNP\tI-NP\tO' +p124372 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p124373 +aS'Clinic\tClinic\tNNP\tI-NP\tO' +p124374 +aS'if\tif\tIN\tB-SBAR\tO' +p124375 +aS'she\tshe\tPRP\tB-NP\tO' +p124376 +aS'cannot\tcannot\tMD\tB-VP\tO' +p124377 +aS'get\tget\tVB\tI-VP\tO' +p124378 +aS'an\tan\tDT\tB-NP\tO' +p124379 +aS'appointment\tappointment\tNN\tI-NP\tO' +p124380 +aS'within\twithin\tIN\tB-PP\tO' +p124381 +aS'one\tone\tCD\tB-NP\tO' +p124382 +aS'week\tweek\tNN\tI-NP\tO' +p124383 +aS'.\t.\t.\tO\tO' +p124384 +asS'The patient 's preliminary admitting physician is SHUFFCUCH , SEYSHARMSE N and the preliminary diagnosis is HYPERGLYCEMIA .' +p124385 +(lp124386 +S'The\tThe\tDT\tB-NP\tO' +p124387 +aS'patient\tpatient\tNN\tI-NP\tO' +p124388 +aS''s\t'\tNNS\tI-NP\tO' +p124389 +aS'preliminary\tpreliminary\tJJ\tB-NP\tO' +p124390 +aS'admitting\tadmit\tVBG\tI-NP\tO' +p124391 +aS'physician\tphysician\tNN\tI-NP\tO' +p124392 +aS'is\tbe\tVBZ\tB-VP\tO' +p124393 +aS'SHUFFCUCH\tSHUFFCUCH\tNNP\tB-NP\tO' +p124394 +aS',\t,\t,\tO\tO' +p124395 +aS'SEYSHARMSE\tSEYSHARMSE\tNNP\tB-NP\tO' +p124396 +aS'N\tN\tNNP\tI-NP\tO' +p124397 +aS'and\tand\tCC\tO\tO' +p124398 +aS'the\tthe\tDT\tB-NP\tO' +p124399 +aS'preliminary\tpreliminary\tJJ\tI-NP\tO' +p124400 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p124401 +aS'is\tbe\tVBZ\tB-VP\tO' +p124402 +aS'HYPERGLYCEMIA\tHYPERGLYCEMIA\tNN\tB-NP\tO' +p124403 +aS'.\t.\t.\tO\tO' +p124404 +asS'MRA of the brain was unremarkable .' +p124405 +(lp124406 +S'MRA\tMRA\tNN\tB-NP\tO' +p124407 +aS'of\tof\tIN\tB-PP\tO' +p124408 +aS'the\tthe\tDT\tB-NP\tO' +p124409 +aS'brain\tbrain\tNN\tI-NP\tO' +p124410 +aS'was\tbe\tVBD\tB-VP\tO' +p124411 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p124412 +aS'.\t.\t.\tO\tO' +p124413 +asS'The aortic perfusions were via the femoral artery with venous return by the femoral vein .' +p124414 +(lp124415 +S'The\tThe\tDT\tB-NP\tO' +p124416 +aS'aortic\taortic\tJJ\tI-NP\tO' +p124417 +aS'perfusions\tperfusion\tNNS\tI-NP\tO' +p124418 +aS'were\tbe\tVBD\tB-VP\tO' +p124419 +aS'via\tvia\tIN\tB-PP\tO' +p124420 +aS'the\tthe\tDT\tB-NP\tO' +p124421 +aS'femoral\tfemoral\tJJ\tI-NP\tO' +p124422 +aS'artery\tartery\tNN\tI-NP\tO' +p124423 +aS'with\twith\tIN\tB-PP\tO' +p124424 +aS'venous\tvenous\tJJ\tB-NP\tO' +p124425 +aS'return\treturn\tNN\tI-NP\tO' +p124426 +aS'by\tby\tIN\tB-PP\tO' +p124427 +aS'the\tthe\tDT\tB-NP\tO' +p124428 +aS'femoral\tfemoral\tJJ\tI-NP\tO' +p124429 +aS'vein\tvein\tNN\tI-NP\tO' +p124430 +aS'.\t.\t.\tO\tO' +p124431 +asS'Overall appearance consistent with estimated gestational age .' +p124432 +(lp124433 +S'Overall\tOverall\tJJ\tB-NP\tO' +p124434 +aS'appearance\tappearance\tNN\tI-NP\tO' +p124435 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p124436 +aS'with\twith\tIN\tB-PP\tO' +p124437 +aS'estimated\testimate\tVBN\tB-NP\tO' +p124438 +aS'gestational\tgestational\tJJ\tI-NP\tO' +p124439 +aS'age\tage\tNN\tI-NP\tO' +p124440 +aS'.\t.\t.\tO\tO' +p124441 +asS'Nausea , vomiting , Abdominal pain , distention .' +p124442 +(lp124443 +S'Nausea\tNausea\tNN\tB-NP\tO' +p124444 +aS',\t,\t,\tO\tO' +p124445 +aS'vomiting\tvomiting\tNN\tB-NP\tO' +p124446 +aS',\t,\t,\tO\tO' +p124447 +aS'Abdominal\tAbdominal\tJJ\tB-NP\tO' +p124448 +aS'pain\tpain\tNN\tI-NP\tO' +p124449 +aS',\t,\t,\tO\tO' +p124450 +aS'distention\tdistention\tNN\tB-NP\tO' +p124451 +aS'.\t.\t.\tO\tO' +p124452 +asS'Cardiovascular examination is notable for a regular rate and rhythm ; no murmurs , rubs or gallops .' +p124453 +(lp124454 +S'Cardiovascular\tCardiovascular\tJJ\tB-NP\tO' +p124455 +aS'examination\texamination\tNN\tI-NP\tO' +p124456 +aS'is\tbe\tVBZ\tB-VP\tO' +p124457 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p124458 +aS'for\tfor\tIN\tB-PP\tO' +p124459 +aS'a\ta\tDT\tB-NP\tO' +p124460 +aS'regular\tregular\tJJ\tI-NP\tO' +p124461 +aS'rate\trate\tNN\tI-NP\tO' +p124462 +aS'and\tand\tCC\tI-NP\tO' +p124463 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p124464 +aS';\t;\t:\tO\tO' +p124465 +aS'no\tno\tDT\tB-NP\tO' +p124466 +aS'murmurs\tmurmur\tNNS\tI-NP\tO' +p124467 +aS',\t,\t,\tI-NP\tO' +p124468 +aS'rubs\trub\tNNS\tI-NP\tO' +p124469 +aS'or\tor\tCC\tI-NP\tO' +p124470 +aS'gallops\tgallop\tNNS\tI-NP\tO' +p124471 +aS'.\t.\t.\tO\tO' +p124472 +asS'3. Diabetes mellitus type 2 .' +p124473 +(lp124474 +S'3.\t3.\tLS\tB-NP\tO' +p124475 +aS'Diabetes\tDiabetes\tNN\tI-NP\tO' +p124476 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p124477 +aS'type\ttype\tNN\tI-NP\tO' +p124478 +aS'2\t2\tCD\tI-NP\tO' +p124479 +aS'.\t.\t.\tO\tO' +p124480 +asS'He had tonsillectomy at the age of five , and appendectomy in 1940 .' +p124481 +(lp124482 +S'He\tHe\tPRP\tB-NP\tO' +p124483 +aS'had\thave\tVBD\tB-VP\tO' +p124484 +aS'tonsillectomy\ttonsillectomy\tNN\tB-NP\tO' +p124485 +aS'at\tat\tIN\tB-PP\tO' +p124486 +aS'the\tthe\tDT\tB-NP\tO' +p124487 +aS'age\tage\tNN\tI-NP\tO' +p124488 +aS'of\tof\tIN\tB-PP\tO' +p124489 +aS'five\tfive\tCD\tB-NP\tO' +p124490 +aS',\t,\t,\tO\tO' +p124491 +aS'and\tand\tCC\tO\tO' +p124492 +aS'appendectomy\tappendectomy\tNN\tB-NP\tO' +p124493 +aS'in\tin\tIN\tB-PP\tO' +p124494 +aS'1940\t1940\tCD\tB-NP\tO' +p124495 +aS'.\t.\t.\tO\tO' +p124496 +asS'Initially during admission , carafate was given down the orogastric tube .' +p124497 +(lp124498 +S'Initially\tInitially\tRB\tB-ADVP\tO' +p124499 +aS'during\tduring\tIN\tB-PP\tO' +p124500 +aS'admission\tadmission\tNN\tB-NP\tO' +p124501 +aS',\t,\t,\tO\tO' +p124502 +aS'carafate\tcarafate\tNN\tB-NP\tO' +p124503 +aS'was\tbe\tVBD\tB-VP\tO' +p124504 +aS'given\tgive\tVBN\tI-VP\tO' +p124505 +aS'down\tdown\tRP\tB-PRT\tO' +p124506 +aS'the\tthe\tDT\tB-NP\tO' +p124507 +aS'orogastric\torogastric\tJJ\tI-NP\tO' +p124508 +aS'tube\ttube\tNN\tI-NP\tO' +p124509 +aS'.\t.\t.\tO\tO' +p124510 +asS'Back without CVA or spinal tenderness .' +p124511 +(lp124512 +S'Back\tBack\tRB\tB-ADVP\tO' +p124513 +aS'without\twithout\tIN\tB-PP\tO' +p124514 +aS'CVA\tCVA\tNN\tB-NP\tB-protein' +p124515 +aS'or\tor\tCC\tO\tO' +p124516 +aS'spinal\tspinal\tJJ\tB-NP\tO' +p124517 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p124518 +aS'.\t.\t.\tO\tO' +p124519 +asS'This non - specific pattern could represent diffuse pneumonia complicated by ARDS .' +p124520 +(lp124521 +S'This\tThis\tDT\tB-NP\tO' +p124522 +aS'non\tnon\tAFX\tB-NP\tO' +p124523 +aS'-\t-\tHYPH\tI-NP\tO' +p124524 +aS'specific\tspecific\tJJ\tI-NP\tO' +p124525 +aS'pattern\tpattern\tNN\tI-NP\tO' +p124526 +aS'could\tcould\tMD\tB-VP\tO' +p124527 +aS'represent\trepresent\tVB\tI-VP\tO' +p124528 +aS'diffuse\tdiffuse\tJJ\tB-NP\tO' +p124529 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p124530 +aS'complicated\tcomplicate\tVBN\tB-VP\tO' +p124531 +aS'by\tby\tIN\tB-PP\tO' +p124532 +aS'ARDS\tARDS\tNN\tB-NP\tO' +p124533 +aS'.\t.\t.\tO\tO' +p124534 +asS'6. Vitamin E .' +p124535 +(lp124536 +S'6.\t6.\tLS\tB-NP\tO' +p124537 +aS'Vitamin\tVitamin\tNN\tI-NP\tO' +p124538 +aS'E\tE\tNN\tI-NP\tO' +p124539 +aS'.\t.\t.\tO\tO' +p124540 +asS'White count was 8.2 , hematocrit 35 .' +p124541 +(lp124542 +S'White\tWhite\tJJ\tB-NP\tO' +p124543 +aS'count\tcount\tNN\tI-NP\tO' +p124544 +aS'was\tbe\tVBD\tB-VP\tO' +p124545 +aS'8.2\t8.2\tCD\tB-NP\tO' +p124546 +aS',\t,\t,\tO\tO' +p124547 +aS'hematocrit\thematocrit\tNN\tB-NP\tO' +p124548 +aS'35\t35\tCD\tI-NP\tO' +p124549 +aS'.\t.\t.\tO\tO' +p124550 +asS'The patient did fall while inhouse .' +p124551 +(lp124552 +S'The\tThe\tDT\tB-NP\tO' +p124553 +aS'patient\tpatient\tNN\tI-NP\tO' +p124554 +aS'did\tdo\tVBD\tB-VP\tO' +p124555 +aS'fall\tfall\tNN\tB-NP\tO' +p124556 +aS'while\twhile\tIN\tB-SBAR\tO' +p124557 +aS'inhouse\tinhouse\tNN\tB-NP\tO' +p124558 +aS'.\t.\t.\tO\tO' +p124559 +asS'6. Enalapril 10 mg p.o. twice a day .' +p124560 +(lp124561 +S'6.\t6.\tCD\tB-NP\tO' +p124562 +aS'Enalapril\tEnalapril\tNNP\tI-NP\tO' +p124563 +aS'10\t10\tCD\tI-NP\tO' +p124564 +aS'mg\tmg\tNN\tI-NP\tO' +p124565 +aS'p.o.\tp.o.\tRB\tB-NP\tO' +p124566 +aS'twice\ttwice\tRB\tI-NP\tO' +p124567 +aS'a\ta\tDT\tI-NP\tO' +p124568 +aS'day\tday\tNN\tI-NP\tO' +p124569 +aS'.\t.\t.\tO\tO' +p124570 +asS'The patient described this sensation as uncomfortable and becoming more prominent over the following three years with increasing pressure and pain .' +p124571 +(lp124572 +S'The\tThe\tDT\tB-NP\tO' +p124573 +aS'patient\tpatient\tNN\tI-NP\tO' +p124574 +aS'described\tdescribe\tVBD\tB-VP\tO' +p124575 +aS'this\tthis\tDT\tB-NP\tO' +p124576 +aS'sensation\tsensation\tNN\tI-NP\tO' +p124577 +aS'as\tas\tIN\tB-PP\tO' +p124578 +aS'uncomfortable\tuncomfortable\tJJ\tB-ADJP\tO' +p124579 +aS'and\tand\tCC\tO\tO' +p124580 +aS'becoming\tbecome\tVBG\tB-VP\tO' +p124581 +aS'more\tmore\tRBR\tB-ADJP\tO' +p124582 +aS'prominent\tprominent\tJJ\tI-ADJP\tO' +p124583 +aS'over\tover\tIN\tB-PP\tO' +p124584 +aS'the\tthe\tDT\tB-NP\tO' +p124585 +aS'following\tfollow\tVBG\tI-NP\tO' +p124586 +aS'three\tthree\tCD\tI-NP\tO' +p124587 +aS'years\tyear\tNNS\tI-NP\tO' +p124588 +aS'with\twith\tIN\tB-PP\tO' +p124589 +aS'increasing\tincrease\tVBG\tB-NP\tO' +p124590 +aS'pressure\tpressure\tNN\tI-NP\tO' +p124591 +aS'and\tand\tCC\tI-NP\tO' +p124592 +aS'pain\tpain\tNN\tI-NP\tO' +p124593 +aS'.\t.\t.\tO\tO' +p124594 +asS'At laparotomy , there was a liter of blood in the peritoneal cavity .' +p124595 +(lp124596 +S'At\tAt\tIN\tB-PP\tO' +p124597 +aS'laparotomy\tlaparotomy\tNN\tB-NP\tO' +p124598 +aS',\t,\t,\tO\tO' +p124599 +aS'there\tthere\tEX\tB-NP\tO' +p124600 +aS'was\tbe\tVBD\tB-VP\tO' +p124601 +aS'a\ta\tDT\tB-NP\tO' +p124602 +aS'liter\tliter\tNN\tI-NP\tO' +p124603 +aS'of\tof\tIN\tB-PP\tO' +p124604 +aS'blood\tblood\tNN\tB-NP\tO' +p124605 +aS'in\tin\tIN\tB-PP\tO' +p124606 +aS'the\tthe\tDT\tB-NP\tO' +p124607 +aS'peritoneal\tperitoneal\tJJ\tI-NP\tO' +p124608 +aS'cavity\tcavity\tNN\tI-NP\tO' +p124609 +aS'.\t.\t.\tO\tO' +p124610 +asS'Patient was aggressively diuresed with resolution of symptoms .' +p124611 +(lp124612 +S'Patient\tPatient\tNN\tB-NP\tO' +p124613 +aS'was\tbe\tVBD\tB-VP\tO' +p124614 +aS'aggressively\taggressively\tRB\tI-VP\tO' +p124615 +aS'diuresed\tdiurese\tVBN\tI-VP\tO' +p124616 +aS'with\twith\tIN\tB-PP\tO' +p124617 +aS'resolution\tresolution\tNN\tB-NP\tO' +p124618 +aS'of\tof\tIN\tB-PP\tO' +p124619 +aS'symptoms\tsymptom\tNNS\tB-NP\tO' +p124620 +aS'.\t.\t.\tO\tO' +p124621 +asS'At the time of discharge , the patient remained on CPAP with a PEEP of 7.5 and a pressure support of 9 .' +p124622 +(lp124623 +S'At\tAt\tIN\tB-PP\tO' +p124624 +aS'the\tthe\tDT\tB-NP\tO' +p124625 +aS'time\ttime\tNN\tI-NP\tO' +p124626 +aS'of\tof\tIN\tB-PP\tO' +p124627 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p124628 +aS',\t,\t,\tO\tO' +p124629 +aS'the\tthe\tDT\tB-NP\tO' +p124630 +aS'patient\tpatient\tNN\tI-NP\tO' +p124631 +aS'remained\tremain\tVBD\tB-VP\tO' +p124632 +aS'on\ton\tIN\tB-PP\tO' +p124633 +aS'CPAP\tCPAP\tNN\tB-NP\tB-protein' +p124634 +aS'with\twith\tIN\tB-PP\tO' +p124635 +aS'a\ta\tDT\tB-NP\tO' +p124636 +aS'PEEP\tPEEP\tNN\tI-NP\tB-protein' +p124637 +aS'of\tof\tIN\tB-PP\tO' +p124638 +aS'7.5\t7.5\tCD\tB-NP\tO' +p124639 +aS'and\tand\tCC\tO\tO' +p124640 +aS'a\ta\tDT\tB-NP\tO' +p124641 +aS'pressure\tpressure\tNN\tI-NP\tO' +p124642 +aS'support\tsupport\tNN\tI-NP\tO' +p124643 +aS'of\tof\tIN\tB-PP\tO' +p124644 +aS'9\t9\tCD\tB-NP\tO' +p124645 +aS'.\t.\t.\tO\tO' +p124646 +asS'She drinks socially .' +p124647 +(lp124648 +S'She\tShe\tPRP\tB-NP\tO' +p124649 +aS'drinks\tdrink\tVBZ\tB-VP\tO' +p124650 +aS'socially\tsocially\tRB\tB-ADVP\tO' +p124651 +aS'.\t.\t.\tO\tO' +p124652 +asS'There are simple atheroma in the aortic arch .' +p124653 +(lp124654 +S'There\tThere\tEX\tB-NP\tO' +p124655 +aS'are\tbe\tVBP\tB-VP\tO' +p124656 +aS'simple\tsimple\tJJ\tB-NP\tO' +p124657 +aS'atheroma\tatheroma\tNN\tI-NP\tO' +p124658 +aS'in\tin\tIN\tB-PP\tO' +p124659 +aS'the\tthe\tDT\tB-NP\tO' +p124660 +aS'aortic\taortic\tJJ\tI-NP\tO' +p124661 +aS'arch\tarch\tNN\tI-NP\tO' +p124662 +aS'.\t.\t.\tO\tO' +p124663 +asS'She was noted to have lateral ST depressions and given Aspirin .' +p124664 +(lp124665 +S'She\tShe\tPRP\tB-NP\tO' +p124666 +aS'was\tbe\tVBD\tB-VP\tO' +p124667 +aS'noted\tnote\tVBN\tI-VP\tO' +p124668 +aS'to\tto\tTO\tI-VP\tO' +p124669 +aS'have\thave\tVB\tI-VP\tO' +p124670 +aS'lateral\tlateral\tJJ\tB-NP\tO' +p124671 +aS'ST\tST\tNN\tI-NP\tO' +p124672 +aS'depressions\tdepression\tNNS\tI-NP\tO' +p124673 +aS'and\tand\tCC\tO\tO' +p124674 +aS'given\tgive\tVBN\tB-VP\tO' +p124675 +aS'Aspirin\tAspirin\tNN\tB-NP\tO' +p124676 +aS'.\t.\t.\tO\tO' +p124677 +asS'1. Closed reduction of right hip with open placement of dynamic hip screw , right hip .' +p124678 +(lp124679 +S'1.\t1.\tLS\tB-NP\tO' +p124680 +aS'Closed\tClosed\tJJ\tI-NP\tO' +p124681 +aS'reduction\treduction\tNN\tI-NP\tO' +p124682 +aS'of\tof\tIN\tB-PP\tO' +p124683 +aS'right\tright\tJJ\tB-NP\tO' +p124684 +aS'hip\thip\tNN\tI-NP\tO' +p124685 +aS'with\twith\tIN\tB-PP\tO' +p124686 +aS'open\topen\tJJ\tB-NP\tO' +p124687 +aS'placement\tplacement\tNN\tI-NP\tO' +p124688 +aS'of\tof\tIN\tB-PP\tO' +p124689 +aS'dynamic\tdynamic\tJJ\tB-NP\tO' +p124690 +aS'hip\thip\tNN\tI-NP\tO' +p124691 +aS'screw\tscrew\tNN\tI-NP\tO' +p124692 +aS',\t,\t,\tO\tO' +p124693 +aS'right\tright\tJJ\tB-NP\tO' +p124694 +aS'hip\thip\tNN\tI-NP\tO' +p124695 +aS'.\t.\t.\tO\tO' +p124696 +asS'No withdrawal to noxious stimuli .' +p124697 +(lp124698 +S'No\tNo\tDT\tB-NP\tO' +p124699 +aS'withdrawal\twithdrawal\tNN\tI-NP\tO' +p124700 +aS'to\tto\tTO\tB-PP\tO' +p124701 +aS'noxious\tnoxious\tJJ\tB-NP\tO' +p124702 +aS'stimuli\tstimulus\tNNS\tI-NP\tO' +p124703 +aS'.\t.\t.\tO\tO' +p124704 +asS'The course had multiple complications requiring pressors .' +p124705 +(lp124706 +S'The\tThe\tDT\tB-NP\tO' +p124707 +aS'course\tcourse\tNN\tI-NP\tO' +p124708 +aS'had\thave\tVBD\tB-VP\tO' +p124709 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p124710 +aS'complications\tcomplication\tNNS\tI-NP\tO' +p124711 +aS'requiring\trequire\tVBG\tB-VP\tO' +p124712 +aS'pressors\tpressor\tNNS\tB-NP\tO' +p124713 +aS'.\t.\t.\tO\tO' +p124714 +asS'She received a midline on 12-04 with a goal of 16 days of further antibiotic treatment with Meropenam ( for a total of 3 weeks ) upon discharge back to the nursing home where she lives .' +p124715 +(lp124716 +S'She\tShe\tPRP\tB-NP\tO' +p124717 +aS'received\treceive\tVBD\tB-VP\tO' +p124718 +aS'a\ta\tDT\tB-NP\tO' +p124719 +aS'midline\tmidline\tNN\tI-NP\tO' +p124720 +aS'on\ton\tIN\tB-PP\tO' +p124721 +aS'12-04\t12-04\tCD\tB-NP\tO' +p124722 +aS'with\twith\tIN\tB-PP\tO' +p124723 +aS'a\ta\tDT\tB-NP\tO' +p124724 +aS'goal\tgoal\tNN\tI-NP\tO' +p124725 +aS'of\tof\tIN\tB-PP\tO' +p124726 +aS'16\t16\tCD\tB-NP\tO' +p124727 +aS'days\tday\tNNS\tI-NP\tO' +p124728 +aS'of\tof\tIN\tB-PP\tO' +p124729 +aS'further\tfurther\tJJ\tB-NP\tO' +p124730 +aS'antibiotic\tantibiotic\tJJ\tI-NP\tO' +p124731 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p124732 +aS'with\twith\tIN\tB-PP\tO' +p124733 +aS'Meropenam\tMeropenam\tNNP\tB-NP\tO' +p124734 +aS'(\t(\t(\tO\tO' +p124735 +aS'for\tfor\tIN\tB-PP\tO' +p124736 +aS'a\ta\tDT\tB-NP\tO' +p124737 +aS'total\ttotal\tNN\tI-NP\tO' +p124738 +aS'of\tof\tIN\tB-PP\tO' +p124739 +aS'3\t3\tCD\tB-NP\tO' +p124740 +aS'weeks\tweek\tNNS\tI-NP\tO' +p124741 +aS')\t)\t)\tO\tO' +p124742 +aS'upon\tupon\tIN\tB-PP\tO' +p124743 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p124744 +aS'back\tback\tRB\tB-ADVP\tO' +p124745 +aS'to\tto\tTO\tB-PP\tO' +p124746 +aS'the\tthe\tDT\tB-NP\tO' +p124747 +aS'nursing\tnursing\tNN\tI-NP\tO' +p124748 +aS'home\thome\tNN\tI-NP\tO' +p124749 +aS'where\twhere\tWRB\tB-ADVP\tO' +p124750 +aS'she\tshe\tPRP\tB-NP\tO' +p124751 +aS'lives\tlive\tVBZ\tB-VP\tO' +p124752 +aS'.\t.\t.\tO\tO' +p124753 +asS'The rectal examination showed normal prostate , guaiac negative .' +p124754 +(lp124755 +S'The\tThe\tDT\tB-NP\tO' +p124756 +aS'rectal\trectal\tJJ\tI-NP\tO' +p124757 +aS'examination\texamination\tNN\tI-NP\tO' +p124758 +aS'showed\tshow\tVBD\tB-VP\tO' +p124759 +aS'normal\tnormal\tJJ\tB-NP\tO' +p124760 +aS'prostate\tprostate\tNN\tI-NP\tO' +p124761 +aS',\t,\t,\tO\tO' +p124762 +aS'guaiac\tguaiac\tNN\tB-NP\tO' +p124763 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p124764 +aS'.\t.\t.\tO\tO' +p124765 +asS'HEMATOLOGY : Hematocrit on admission was 52.8 .' +p124766 +(lp124767 +S'HEMATOLOGY\tHEMATOLOGY\tNN\tB-NP\tO' +p124768 +aS':\t:\t:\tO\tO' +p124769 +aS'Hematocrit\tHematocrit\tNN\tB-NP\tO' +p124770 +aS'on\ton\tIN\tB-PP\tO' +p124771 +aS'admission\tadmission\tNN\tB-NP\tO' +p124772 +aS'was\tbe\tVBD\tB-VP\tO' +p124773 +aS'52.8\t52.8\tCD\tB-NP\tO' +p124774 +aS'.\t.\t.\tO\tO' +p124775 +asS'This was repaired .' +p124776 +(lp124777 +S'This\tThis\tDT\tB-NP\tO' +p124778 +aS'was\tbe\tVBD\tB-VP\tO' +p124779 +aS'repaired\trepair\tVBN\tI-VP\tO' +p124780 +aS'.\t.\t.\tO\tO' +p124781 +asS'return to ED if worsening pain , black stools , blood in stool' +p124782 +(lp124783 +S'return\treturn\tVB\tB-VP\tO' +p124784 +aS'to\tto\tTO\tB-PP\tO' +p124785 +aS'ED\tED\tVBN\tB-VP\tO' +p124786 +aS'if\tif\tIN\tB-SBAR\tO' +p124787 +aS'worsening\tworsen\tVBG\tB-VP\tO' +p124788 +aS'pain\tpain\tNN\tB-NP\tO' +p124789 +aS',\t,\t,\tO\tO' +p124790 +aS'black\tblack\tJJ\tB-NP\tO' +p124791 +aS'stools\tstool\tNNS\tI-NP\tO' +p124792 +aS',\t,\t,\tO\tO' +p124793 +aS'blood\tblood\tNN\tB-NP\tO' +p124794 +aS'in\tin\tIN\tB-PP\tO' +p124795 +aS'stool\tstool\tNN\tB-NP\tO' +p124796 +asS'She delivered a 3680 gram male infant on 10/12/2004 at 10:17 pm with apgar scores of 9 and 9 at one and five minutes respectively at 40.0 weeks gestation via spontaneous vertex vaginal delivery .' +p124797 +(lp124798 +S'She\tShe\tPRP\tB-NP\tO' +p124799 +aS'delivered\tdeliver\tVBD\tB-VP\tO' +p124800 +aS'a\ta\tDT\tB-NP\tO' +p124801 +aS'3680\t3680\tCD\tI-NP\tO' +p124802 +aS'gram\tgram\tNN\tI-NP\tO' +p124803 +aS'male\tmale\tJJ\tI-NP\tO' +p124804 +aS'infant\tinfant\tNN\tI-NP\tO' +p124805 +aS'on\ton\tIN\tB-PP\tO' +p124806 +aS'10/12/2004\t10/12/2004\tCD\tB-NP\tO' +p124807 +aS'at\tat\tIN\tB-PP\tO' +p124808 +aS'10:17\t10:17\tCD\tB-NP\tO' +p124809 +aS'pm\tpm\tNN\tI-NP\tO' +p124810 +aS'with\twith\tIN\tB-PP\tO' +p124811 +aS'apgar\tapgar\tNN\tB-NP\tO' +p124812 +aS'scores\tscore\tNNS\tI-NP\tO' +p124813 +aS'of\tof\tIN\tB-PP\tO' +p124814 +aS'9\t9\tCD\tB-NP\tO' +p124815 +aS'and\tand\tCC\tI-NP\tO' +p124816 +aS'9\t9\tCD\tI-NP\tO' +p124817 +aS'at\tat\tIN\tB-PP\tO' +p124818 +aS'one\tone\tCD\tB-NP\tO' +p124819 +aS'and\tand\tCC\tI-NP\tO' +p124820 +aS'five\tfive\tCD\tI-NP\tO' +p124821 +aS'minutes\tminute\tNNS\tI-NP\tO' +p124822 +aS'respectively\trespectively\tRB\tB-ADVP\tO' +p124823 +aS'at\tat\tIN\tB-PP\tO' +p124824 +aS'40.0\t40.0\tCD\tB-NP\tO' +p124825 +aS'weeks\tweek\tNNS\tI-NP\tO' +p124826 +aS'gestation\tgestation\tNN\tI-NP\tO' +p124827 +aS'via\tvia\tIN\tB-PP\tO' +p124828 +aS'spontaneous\tspontaneous\tJJ\tB-NP\tO' +p124829 +aS'vertex\tvertex\tNN\tI-NP\tO' +p124830 +aS'vaginal\tvaginal\tJJ\tI-NP\tO' +p124831 +aS'delivery\tdelivery\tNN\tI-NP\tO' +p124832 +aS'.\t.\t.\tO\tO' +p124833 +asS'The wife also states that he drinks more than he states .' +p124834 +(lp124835 +S'The\tThe\tDT\tB-NP\tO' +p124836 +aS'wife\twife\tNN\tI-NP\tO' +p124837 +aS'also\talso\tRB\tB-ADVP\tO' +p124838 +aS'states\tstate\tVBZ\tB-VP\tO' +p124839 +aS'that\tthat\tIN\tB-SBAR\tO' +p124840 +aS'he\the\tPRP\tB-NP\tO' +p124841 +aS'drinks\tdrink\tVBZ\tB-VP\tO' +p124842 +aS'more\tmore\tJJR\tB-ADJP\tO' +p124843 +aS'than\tthan\tIN\tB-SBAR\tO' +p124844 +aS'he\the\tPRP\tB-NP\tO' +p124845 +aS'states\tstate\tVBZ\tB-VP\tO' +p124846 +aS'.\t.\t.\tO\tO' +p124847 +asS'described above .' +p124848 +(lp124849 +S'described\tdescribe\tVBN\tB-VP\tO' +p124850 +aS'above\tabove\tRB\tB-ADVP\tO' +p124851 +aS'.\t.\t.\tO\tO' +p124852 +asS'The patient was extubated .' +p124853 +(lp124854 +S'The\tThe\tDT\tB-NP\tO' +p124855 +aS'patient\tpatient\tNN\tI-NP\tO' +p124856 +aS'was\tbe\tVBD\tB-VP\tO' +p124857 +aS'extubated\textubate\tVBN\tI-VP\tO' +p124858 +aS'.\t.\t.\tO\tO' +p124859 +asS'Patient works formerly as a structural engineer , has not been employed over the last two years .' +p124860 +(lp124861 +S'Patient\tPatient\tNN\tB-NP\tO' +p124862 +aS'works\twork\tVBZ\tB-VP\tO' +p124863 +aS'formerly\tformerly\tRB\tB-ADVP\tO' +p124864 +aS'as\tas\tIN\tB-PP\tO' +p124865 +aS'a\ta\tDT\tB-NP\tO' +p124866 +aS'structural\tstructural\tJJ\tI-NP\tO' +p124867 +aS'engineer\tengineer\tNN\tI-NP\tO' +p124868 +aS',\t,\t,\tO\tO' +p124869 +aS'has\thave\tVBZ\tB-VP\tO' +p124870 +aS'not\tnot\tRB\tI-VP\tO' +p124871 +aS'been\tbe\tVBN\tI-VP\tO' +p124872 +aS'employed\temploy\tVBN\tI-VP\tO' +p124873 +aS'over\tover\tIN\tB-PP\tO' +p124874 +aS'the\tthe\tDT\tB-NP\tO' +p124875 +aS'last\tlast\tJJ\tI-NP\tO' +p124876 +aS'two\ttwo\tCD\tI-NP\tO' +p124877 +aS'years\tyear\tNNS\tI-NP\tO' +p124878 +aS'.\t.\t.\tO\tO' +p124879 +asS'No tobacco at this time ; he quit 20 years ago .' +p124880 +(lp124881 +S'No\tNo\tDT\tB-NP\tO' +p124882 +aS'tobacco\ttobacco\tNN\tI-NP\tO' +p124883 +aS'at\tat\tIN\tB-PP\tO' +p124884 +aS'this\tthis\tDT\tB-NP\tO' +p124885 +aS'time\ttime\tNN\tI-NP\tO' +p124886 +aS';\t;\t:\tO\tO' +p124887 +aS'he\the\tPRP\tB-NP\tO' +p124888 +aS'quit\tquit\tVBP\tB-VP\tO' +p124889 +aS'20\t20\tCD\tB-NP\tO' +p124890 +aS'years\tyear\tNNS\tI-NP\tO' +p124891 +aS'ago\tago\tRB\tB-ADVP\tO' +p124892 +aS'.\t.\t.\tO\tO' +p124893 +asS'Her atenolol was stopped due to bradycardia on admission but this may be restarted as an outpatient in gentle doses with careful monitoring of heart rate .' +p124894 +(lp124895 +S'Her\tHer\tPRP$\tB-NP\tO' +p124896 +aS'atenolol\tatenolol\tNN\tI-NP\tO' +p124897 +aS'was\tbe\tVBD\tB-VP\tO' +p124898 +aS'stopped\tstop\tVBN\tI-VP\tO' +p124899 +aS'due\tdue\tJJ\tB-ADJP\tO' +p124900 +aS'to\tto\tTO\tB-PP\tO' +p124901 +aS'bradycardia\tbradycardia\tNN\tB-NP\tO' +p124902 +aS'on\ton\tIN\tB-PP\tO' +p124903 +aS'admission\tadmission\tNN\tB-NP\tO' +p124904 +aS'but\tbut\tCC\tO\tO' +p124905 +aS'this\tthis\tDT\tB-NP\tO' +p124906 +aS'may\tmay\tMD\tB-VP\tO' +p124907 +aS'be\tbe\tVB\tI-VP\tO' +p124908 +aS'restarted\trestart\tVBN\tI-VP\tO' +p124909 +aS'as\tas\tIN\tB-PP\tO' +p124910 +aS'an\tan\tDT\tB-NP\tO' +p124911 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p124912 +aS'in\tin\tIN\tB-PP\tO' +p124913 +aS'gentle\tgentle\tJJ\tB-NP\tO' +p124914 +aS'doses\tdose\tNNS\tI-NP\tO' +p124915 +aS'with\twith\tIN\tB-PP\tO' +p124916 +aS'careful\tcareful\tJJ\tB-NP\tO' +p124917 +aS'monitoring\tmonitoring\tNN\tI-NP\tO' +p124918 +aS'of\tof\tIN\tB-PP\tO' +p124919 +aS'heart\theart\tNN\tB-NP\tO' +p124920 +aS'rate\trate\tNN\tI-NP\tO' +p124921 +aS'.\t.\t.\tO\tO' +p124922 +asS'A copy of this ultrasound is also found in his records .' +p124923 +(lp124924 +S'A\tA\tDT\tB-NP\tO' +p124925 +aS'copy\tcopy\tNN\tI-NP\tO' +p124926 +aS'of\tof\tIN\tB-PP\tO' +p124927 +aS'this\tthis\tDT\tB-NP\tO' +p124928 +aS'ultrasound\tultrasound\tNN\tI-NP\tO' +p124929 +aS'is\tbe\tVBZ\tB-VP\tO' +p124930 +aS'also\talso\tRB\tI-VP\tO' +p124931 +aS'found\tfind\tVBN\tI-VP\tO' +p124932 +aS'in\tin\tIN\tB-PP\tO' +p124933 +aS'his\this\tPRP$\tB-NP\tO' +p124934 +aS'records\trecord\tNNS\tI-NP\tO' +p124935 +aS'.\t.\t.\tO\tO' +p124936 +asS'The prolapse is especailly large and uncomfotable when she tries to move her bowels and it is easier for her to do sowhile standing rather than sitting .' +p124937 +(lp124938 +S'The\tThe\tDT\tB-NP\tO' +p124939 +aS'prolapse\tprolapse\tNN\tI-NP\tO' +p124940 +aS'is\tbe\tVBZ\tB-VP\tO' +p124941 +aS'especailly\tespecailly\tRB\tB-ADJP\tO' +p124942 +aS'large\tlarge\tJJ\tI-ADJP\tO' +p124943 +aS'and\tand\tCC\tI-ADJP\tO' +p124944 +aS'uncomfotable\tuncomfotable\tJJ\tI-ADJP\tO' +p124945 +aS'when\twhen\tWRB\tB-ADVP\tO' +p124946 +aS'she\tshe\tPRP\tB-NP\tO' +p124947 +aS'tries\ttry\tVBZ\tB-VP\tO' +p124948 +aS'to\tto\tTO\tI-VP\tO' +p124949 +aS'move\tmove\tVB\tI-VP\tO' +p124950 +aS'her\ther\tPRP$\tB-NP\tO' +p124951 +aS'bowels\tbowel\tNNS\tI-NP\tO' +p124952 +aS'and\tand\tCC\tO\tO' +p124953 +aS'it\tit\tPRP\tB-NP\tO' +p124954 +aS'is\tbe\tVBZ\tB-VP\tO' +p124955 +aS'easier\teasy\tJJR\tB-ADJP\tO' +p124956 +aS'for\tfor\tIN\tB-SBAR\tO' +p124957 +aS'her\ther\tPRP\tB-NP\tO' +p124958 +aS'to\tto\tTO\tB-VP\tO' +p124959 +aS'do\tdo\tVB\tI-VP\tO' +p124960 +aS'sowhile\tsowhile\tVB\tB-VP\tO' +p124961 +aS'standing\tstanding\tNN\tB-NP\tO' +p124962 +aS'rather\trather\tRB\tB-PP\tO' +p124963 +aS'than\tthan\tIN\tI-PP\tO' +p124964 +aS'sitting\tsit\tVBG\tB-VP\tO' +p124965 +aS'.\t.\t.\tO\tO' +p124966 +asS'Stool cultures have been sent numerous times as well as analysis for C. difficile toxin .' +p124967 +(lp124968 +S'Stool\tStool\tNN\tB-NP\tB-cell_line' +p124969 +aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' +p124970 +aS'have\thave\tVBP\tB-VP\tO' +p124971 +aS'been\tbe\tVBN\tI-VP\tO' +p124972 +aS'sent\tsend\tVBN\tI-VP\tO' +p124973 +aS'numerous\tnumerous\tJJ\tB-NP\tO' +p124974 +aS'times\ttime\tNNS\tI-NP\tO' +p124975 +aS'as\tas\tRB\tB-CONJP\tO' +p124976 +aS'well\twell\tRB\tI-CONJP\tO' +p124977 +aS'as\tas\tIN\tI-CONJP\tO' +p124978 +aS'analysis\tanalysis\tNN\tB-NP\tO' +p124979 +aS'for\tfor\tIN\tB-PP\tO' +p124980 +aS'C.\tC.\tNNP\tB-NP\tO' +p124981 +aS'difficile\tdifficile\tJJ\tI-NP\tO' +p124982 +aS'toxin\ttoxin\tNN\tI-NP\tO' +p124983 +aS'.\t.\t.\tO\tO' +p124984 +asS'Plavix was started at 75 mg a day , Lipitor 20 mg per day , metoprolol 25 mg twice a day to be titrated up as tolerated and on day two of admission an ACE inhibitor was started .' +p124985 +(lp124986 +S'Plavix\tPlavix\tNN\tB-NP\tO' +p124987 +aS'was\tbe\tVBD\tB-VP\tO' +p124988 +aS'started\tstart\tVBN\tI-VP\tO' +p124989 +aS'at\tat\tIN\tB-PP\tO' +p124990 +aS'75\t75\tCD\tB-NP\tO' +p124991 +aS'mg\tmg\tNN\tI-NP\tO' +p124992 +aS'a\ta\tDT\tB-NP\tO' +p124993 +aS'day\tday\tNN\tI-NP\tO' +p124994 +aS',\t,\t,\tO\tO' +p124995 +aS'Lipitor\tLipitor\tNN\tB-NP\tO' +p124996 +aS'20\t20\tCD\tI-NP\tO' +p124997 +aS'mg\tmg\tNN\tI-NP\tO' +p124998 +aS'per\tper\tIN\tB-PP\tO' +p124999 +aS'day\tday\tNN\tB-NP\tO' +p125000 +aS',\t,\t,\tO\tO' +p125001 +aS'metoprolol\tmetoprolol\tNN\tB-NP\tO' +p125002 +aS'25\t25\tCD\tI-NP\tO' +p125003 +aS'mg\tmg\tNN\tI-NP\tO' +p125004 +aS'twice\ttwice\tRB\tB-NP\tO' +p125005 +aS'a\ta\tDT\tI-NP\tO' +p125006 +aS'day\tday\tNN\tI-NP\tO' +p125007 +aS'to\tto\tTO\tB-VP\tO' +p125008 +aS'be\tbe\tVB\tI-VP\tO' +p125009 +aS'titrated\ttitrate\tVBN\tI-VP\tO' +p125010 +aS'up\tup\tRP\tB-PRT\tO' +p125011 +aS'as\tas\tRB\tO\tO' +p125012 +aS'tolerated\ttolerate\tVBN\tB-VP\tO' +p125013 +aS'and\tand\tCC\tO\tO' +p125014 +aS'on\ton\tIN\tB-PP\tO' +p125015 +aS'day\tday\tNN\tB-NP\tO' +p125016 +aS'two\ttwo\tCD\tI-NP\tO' +p125017 +aS'of\tof\tIN\tB-PP\tO' +p125018 +aS'admission\tadmission\tNN\tB-NP\tO' +p125019 +aS'an\tan\tDT\tB-NP\tO' +p125020 +aS'ACE\tACE\tNN\tI-NP\tO' +p125021 +aS'inhibitor\tinhibitor\tNN\tI-NP\tO' +p125022 +aS'was\tbe\tVBD\tB-VP\tO' +p125023 +aS'started\tstart\tVBN\tI-VP\tO' +p125024 +aS'.\t.\t.\tO\tO' +p125025 +asS'He was a previous drinker of one " old fashioned " every night .' +p125026 +(lp125027 +S'He\tHe\tPRP\tB-NP\tO' +p125028 +aS'was\tbe\tVBD\tB-VP\tO' +p125029 +aS'a\ta\tDT\tB-NP\tO' +p125030 +aS'previous\tprevious\tJJ\tI-NP\tO' +p125031 +aS'drinker\tdrinker\tNN\tI-NP\tO' +p125032 +aS'of\tof\tIN\tB-PP\tO' +p125033 +aS'one\tone\tCD\tB-NP\tO' +p125034 +aS'"\t"\tCC\tO\tO' +p125035 +aS'old\told\tJJ\tB-NP\tO' +p125036 +aS'fashioned\tfashion\tVBN\tB-VP\tO' +p125037 +aS'"\t"\tCC\tO\tO' +p125038 +aS'every\tevery\tDT\tB-NP\tO' +p125039 +aS'night\tnight\tNN\tI-NP\tO' +p125040 +aS'.\t.\t.\tO\tO' +p125041 +asS'8. Lipitor 10 mg once daily .' +p125042 +(lp125043 +S'8.\t8.\tCD\tB-NP\tO' +p125044 +aS'Lipitor\tLipitor\tNN\tI-NP\tO' +p125045 +aS'10\t10\tCD\tB-NP\tO' +p125046 +aS'mg\tmg\tNN\tI-NP\tO' +p125047 +aS'once\tonce\tRB\tB-ADVP\tO' +p125048 +aS'daily\tdaily\tRB\tI-ADVP\tO' +p125049 +aS'.\t.\t.\tO\tO' +p125050 +asS'It is made better by direct pressure to the point and she recalls no factors which worsened it .' +p125051 +(lp125052 +S'It\tIt\tPRP\tB-NP\tO' +p125053 +aS'is\tbe\tVBZ\tB-VP\tO' +p125054 +aS'made\tmake\tVBN\tI-VP\tO' +p125055 +aS'better\tgood\tJJR\tB-ADJP\tO' +p125056 +aS'by\tby\tIN\tB-PP\tO' +p125057 +aS'direct\tdirect\tJJ\tB-NP\tO' +p125058 +aS'pressure\tpressure\tNN\tI-NP\tO' +p125059 +aS'to\tto\tTO\tB-PP\tO' +p125060 +aS'the\tthe\tDT\tB-NP\tO' +p125061 +aS'point\tpoint\tNN\tI-NP\tO' +p125062 +aS'and\tand\tCC\tO\tO' +p125063 +aS'she\tshe\tPRP\tB-NP\tO' +p125064 +aS'recalls\trecall\tVBZ\tB-VP\tO' +p125065 +aS'no\tno\tDT\tB-NP\tO' +p125066 +aS'factors\tfactor\tNNS\tI-NP\tO' +p125067 +aS'which\twhich\tWDT\tB-NP\tO' +p125068 +aS'worsened\tworsen\tVBD\tB-VP\tO' +p125069 +aS'it\tit\tPRP\tB-NP\tO' +p125070 +aS'.\t.\t.\tO\tO' +p125071 +asS'5. Hydralazine 100 mg twice a day .' +p125072 +(lp125073 +S'5.\t5.\tLS\tB-NP\tO' +p125074 +aS'Hydralazine\tHydralazine\tNN\tI-NP\tO' +p125075 +aS'100\t100\tCD\tB-NP\tO' +p125076 +aS'mg\tmg\tNN\tI-NP\tO' +p125077 +aS'twice\ttwice\tRB\tB-NP\tO' +p125078 +aS'a\ta\tDT\tI-NP\tO' +p125079 +aS'day\tday\tNN\tI-NP\tO' +p125080 +aS'.\t.\t.\tO\tO' +p125081 +asS'Can carry out all activities of daily living .' +p125082 +(lp125083 +S'Can\tCan\tMD\tB-VP\tO' +p125084 +aS'carry\tcarry\tVB\tI-VP\tO' +p125085 +aS'out\tout\tRP\tB-PRT\tO' +p125086 +aS'all\tall\tDT\tB-NP\tO' +p125087 +aS'activities\tactivity\tNNS\tI-NP\tO' +p125088 +aS'of\tof\tIN\tB-PP\tO' +p125089 +aS'daily\tdaily\tJJ\tB-NP\tO' +p125090 +aS'living\tliving\tNN\tI-NP\tO' +p125091 +aS'.\t.\t.\tO\tO' +p125092 +asS'Omalley was consulted on 2014-04-08 for better glucose control since the patient was on steroids .' +p125093 +(lp125094 +S'Omalley\tOmalley\tNNP\tB-NP\tO' +p125095 +aS'was\tbe\tVBD\tB-VP\tO' +p125096 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p125097 +aS'on\ton\tIN\tB-PP\tO' +p125098 +aS'2014-04-08\t2014-04-08\tCD\tB-NP\tO' +p125099 +aS'for\tfor\tIN\tB-PP\tO' +p125100 +aS'better\tgood\tJJR\tB-NP\tO' +p125101 +aS'glucose\tglucose\tNN\tI-NP\tO' +p125102 +aS'control\tcontrol\tNN\tI-NP\tO' +p125103 +aS'since\tsince\tIN\tB-PP\tO' +p125104 +aS'the\tthe\tDT\tB-NP\tO' +p125105 +aS'patient\tpatient\tNN\tI-NP\tO' +p125106 +aS'was\tbe\tVBD\tB-VP\tO' +p125107 +aS'on\ton\tIN\tB-PP\tO' +p125108 +aS'steroids\tsteroid\tNNS\tB-NP\tO' +p125109 +aS'.\t.\t.\tO\tO' +p125110 +asS'There was no pedaledema .' +p125111 +(lp125112 +S'There\tThere\tEX\tB-NP\tO' +p125113 +aS'was\tbe\tVBD\tB-VP\tO' +p125114 +aS'no\tno\tDT\tB-NP\tO' +p125115 +aS'pedaledema\tpedaledema\tNN\tI-NP\tO' +p125116 +aS'.\t.\t.\tO\tO' +p125117 +asS'Diverticulitis , presenting for sigmoid colectomy .' +p125118 +(lp125119 +S'Diverticulitis\tDiverticulitis\tNN\tB-NP\tO' +p125120 +aS',\t,\t,\tO\tO' +p125121 +aS'presenting\tpresent\tVBG\tB-VP\tO' +p125122 +aS'for\tfor\tIN\tB-PP\tO' +p125123 +aS'sigmoid\tsigmoid\tJJ\tB-NP\tO' +p125124 +aS'colectomy\tcolectomy\tNN\tI-NP\tO' +p125125 +aS'.\t.\t.\tO\tO' +p125126 +asS'Chest x-ray was negative for effusions , pneumonia , or pneumothorax .' +p125127 +(lp125128 +S'Chest\tCh\tJJS\tB-NP\tO' +p125129 +aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' +p125130 +aS'was\tbe\tVBD\tB-VP\tO' +p125131 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p125132 +aS'for\tfor\tIN\tB-PP\tO' +p125133 +aS'effusions\teffusion\tNNS\tB-NP\tO' +p125134 +aS',\t,\t,\tO\tO' +p125135 +aS'pneumonia\tpneumonia\tNN\tB-NP\tO' +p125136 +aS',\t,\t,\tO\tO' +p125137 +aS'or\tor\tCC\tO\tO' +p125138 +aS'pneumothorax\tpneumothorax\tNN\tB-NP\tO' +p125139 +aS'.\t.\t.\tO\tO' +p125140 +asS'Abdomen : Soft , nontender , nondistended , good bowel sounds .' +p125141 +(lp125142 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p125143 +aS':\t:\t:\tO\tO' +p125144 +aS'Soft\tSoft\tJJ\tB-NP\tO' +p125145 +aS',\t,\t,\tI-NP\tO' +p125146 +aS'nontender\tnontender\tJJ\tI-NP\tO' +p125147 +aS',\t,\t,\tI-NP\tO' +p125148 +aS'nondistended\tnondistended\tJJ\tI-NP\tO' +p125149 +aS',\t,\t,\tI-NP\tO' +p125150 +aS'good\tgood\tJJ\tI-NP\tO' +p125151 +aS'bowel\tbowel\tNN\tI-NP\tO' +p125152 +aS'sounds\tsound\tNNS\tI-NP\tO' +p125153 +aS'.\t.\t.\tO\tO' +p125154 +asS'She had a magnetic resonance imaging study and magnetic resonance imaging angiogram performed which showed a large hemorrhagic lesion on the occipital lobe .' +p125155 +(lp125156 +S'She\tShe\tPRP\tB-NP\tO' +p125157 +aS'had\thave\tVBD\tB-VP\tO' +p125158 +aS'a\ta\tDT\tB-NP\tO' +p125159 +aS'magnetic\tmagnetic\tJJ\tI-NP\tO' +p125160 +aS'resonance\tresonance\tNN\tI-NP\tO' +p125161 +aS'imaging\timaging\tNN\tI-NP\tO' +p125162 +aS'study\tstudy\tNN\tI-NP\tO' +p125163 +aS'and\tand\tCC\tO\tO' +p125164 +aS'magnetic\tmagnetic\tJJ\tB-NP\tO' +p125165 +aS'resonance\tresonance\tNN\tI-NP\tO' +p125166 +aS'imaging\timaging\tNN\tI-NP\tO' +p125167 +aS'angiogram\tangiogram\tNN\tI-NP\tO' +p125168 +aS'performed\tperform\tVBD\tB-VP\tO' +p125169 +aS'which\twhich\tWDT\tB-NP\tO' +p125170 +aS'showed\tshow\tVBD\tB-VP\tO' +p125171 +aS'a\ta\tDT\tB-NP\tO' +p125172 +aS'large\tlarge\tJJ\tI-NP\tO' +p125173 +aS'hemorrhagic\themorrhagic\tJJ\tI-NP\tO' +p125174 +aS'lesion\tlesion\tNN\tI-NP\tO' +p125175 +aS'on\ton\tIN\tB-PP\tO' +p125176 +aS'the\tthe\tDT\tB-NP\tO' +p125177 +aS'occipital\toccipital\tNN\tI-NP\tO' +p125178 +aS'lobe\tlobe\tNN\tI-NP\tO' +p125179 +aS'.\t.\t.\tO\tO' +p125180 +asS'3. Albuterol - Ipratropium 103-18 mcg / Actuation Aerosol Sig : 03-04 Puffs Inhalation Q4H ( every 4 hours ) as needed .' +p125181 +(lp125182 +S'3.\t3.\tLS\tB-NP\tO' +p125183 +aS'Albuterol\tAlbuterol\tNN\tI-NP\tO' +p125184 +aS'-\t-\tHYPH\tO\tO' +p125185 +aS'Ipratropium\tIpratropium\tNN\tB-NP\tO' +p125186 +aS'103-18\t103-18\tCD\tI-NP\tO' +p125187 +aS'mcg\tmcg\tNN\tI-NP\tO' +p125188 +aS'/\t/\tSYM\tB-NP\tO' +p125189 +aS'Actuation\tActuation\tNN\tI-NP\tO' +p125190 +aS'Aerosol\tAerosol\tNNP\tI-NP\tO' +p125191 +aS'Sig\tSig\tNNP\tI-NP\tO' +p125192 +aS':\t:\t:\tO\tO' +p125193 +aS'03-04\t03-04\tCD\tB-NP\tO' +p125194 +aS'Puffs\tPuff\tNNS\tI-NP\tO' +p125195 +aS'Inhalation\tInhalation\tNN\tI-NP\tO' +p125196 +aS'Q4H\tQ4H\tNN\tI-NP\tO' +p125197 +aS'(\t(\t(\tO\tO' +p125198 +aS'every\tevery\tDT\tB-NP\tO' +p125199 +aS'4\t4\tCD\tI-NP\tO' +p125200 +aS'hours\thour\tNNS\tI-NP\tO' +p125201 +aS')\t)\t)\tO\tO' +p125202 +aS'as\tas\tIN\tB-SBAR\tO' +p125203 +aS'needed\tneed\tVBN\tB-VP\tO' +p125204 +aS'.\t.\t.\tO\tO' +p125205 +asS'He was treated with amphotericin-B bladder washes for this .' +p125206 +(lp125207 +S'He\tHe\tPRP\tB-NP\tO' +p125208 +aS'was\tbe\tVBD\tB-VP\tO' +p125209 +aS'treated\ttreat\tVBN\tI-VP\tO' +p125210 +aS'with\twith\tIN\tB-PP\tO' +p125211 +aS'amphotericin-B\tamphotericin-B\tNN\tB-NP\tO' +p125212 +aS'bladder\tbladder\tNN\tI-NP\tO' +p125213 +aS'washes\twash\tNNS\tI-NP\tO' +p125214 +aS'for\tfor\tIN\tB-PP\tO' +p125215 +aS'this\tthis\tDT\tB-NP\tO' +p125216 +aS'.\t.\t.\tO\tO' +p125217 +asS'The patient was admitted to the hospital for ureteral stent placement .' +p125218 +(lp125219 +S'The\tThe\tDT\tB-NP\tO' +p125220 +aS'patient\tpatient\tNN\tI-NP\tO' +p125221 +aS'was\tbe\tVBD\tB-VP\tO' +p125222 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p125223 +aS'to\tto\tTO\tB-PP\tO' +p125224 +aS'the\tthe\tDT\tB-NP\tO' +p125225 +aS'hospital\thospital\tNN\tI-NP\tO' +p125226 +aS'for\tfor\tIN\tB-PP\tO' +p125227 +aS'ureteral\tureteral\tJJ\tB-NP\tO' +p125228 +aS'stent\tstent\tJJ\tI-NP\tO' +p125229 +aS'placement\tplacement\tNN\tI-NP\tO' +p125230 +aS'.\t.\t.\tO\tO' +p125231 +asS'The patient has an ostomy appliance around the former site of his pancreatic fistula drain .' +p125232 +(lp125233 +S'The\tThe\tDT\tB-NP\tO' +p125234 +aS'patient\tpatient\tNN\tI-NP\tO' +p125235 +aS'has\thave\tVBZ\tB-VP\tO' +p125236 +aS'an\tan\tDT\tB-NP\tO' +p125237 +aS'ostomy\tostomy\tNN\tI-NP\tO' +p125238 +aS'appliance\tappliance\tNN\tI-NP\tO' +p125239 +aS'around\taround\tIN\tB-PP\tO' +p125240 +aS'the\tthe\tDT\tB-NP\tO' +p125241 +aS'former\tformer\tJJ\tI-NP\tO' +p125242 +aS'site\tsite\tNN\tI-NP\tO' +p125243 +aS'of\tof\tIN\tB-PP\tO' +p125244 +aS'his\this\tPRP$\tB-NP\tO' +p125245 +aS'pancreatic\tpancreatic\tJJ\tI-NP\tO' +p125246 +aS'fistula\tfistula\tNN\tI-NP\tO' +p125247 +aS'drain\tdrain\tNN\tI-NP\tO' +p125248 +aS'.\t.\t.\tO\tO' +p125249 +asS'On day of life 15 , she was noted to have a murmur , eventually prompting evaluation by ECHO .' +p125250 +(lp125251 +S'On\tOn\tIN\tB-PP\tO' +p125252 +aS'day\tday\tNN\tB-NP\tO' +p125253 +aS'of\tof\tIN\tB-PP\tO' +p125254 +aS'life\tlife\tNN\tB-NP\tO' +p125255 +aS'15\t15\tCD\tI-NP\tO' +p125256 +aS',\t,\t,\tO\tO' +p125257 +aS'she\tshe\tPRP\tB-NP\tO' +p125258 +aS'was\tbe\tVBD\tB-VP\tO' +p125259 +aS'noted\tnote\tVBN\tI-VP\tO' +p125260 +aS'to\tto\tTO\tI-VP\tO' +p125261 +aS'have\thave\tVB\tI-VP\tO' +p125262 +aS'a\ta\tDT\tB-NP\tO' +p125263 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p125264 +aS',\t,\t,\tO\tO' +p125265 +aS'eventually\teventually\tRB\tB-ADVP\tO' +p125266 +aS'prompting\tprompt\tVBG\tB-VP\tO' +p125267 +aS'evaluation\tevaluation\tNN\tB-NP\tO' +p125268 +aS'by\tby\tIN\tB-PP\tO' +p125269 +aS'ECHO\tECHO\tNN\tB-NP\tB-protein' +p125270 +aS'.\t.\t.\tO\tO' +p125271 +asS'He does not smoke .' +p125272 +(lp125273 +S'He\tHe\tPRP\tB-NP\tO' +p125274 +aS'does\tdo\tVBZ\tB-VP\tO' +p125275 +aS'not\tnot\tRB\tI-VP\tO' +p125276 +aS'smoke\tsmoke\tVB\tI-VP\tO' +p125277 +aS'.\t.\t.\tO\tO' +p125278 +asS'The patient was eventually restarted on her outpatient dose of Lasix once her renal function improved to baseline and remained hemodynamically stable throughout the remainder of her hospitalization .' +p125279 +(lp125280 +S'The\tThe\tDT\tB-NP\tO' +p125281 +aS'patient\tpatient\tNN\tI-NP\tO' +p125282 +aS'was\tbe\tVBD\tB-VP\tO' +p125283 +aS'eventually\teventually\tRB\tI-VP\tO' +p125284 +aS'restarted\trestart\tVBN\tI-VP\tO' +p125285 +aS'on\ton\tIN\tB-PP\tO' +p125286 +aS'her\ther\tPRP$\tB-NP\tO' +p125287 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p125288 +aS'dose\tdose\tNN\tI-NP\tO' +p125289 +aS'of\tof\tIN\tB-PP\tO' +p125290 +aS'Lasix\tLasix\tNNP\tB-NP\tO' +p125291 +aS'once\tonce\tRB\tB-ADVP\tO' +p125292 +aS'her\ther\tPRP$\tB-NP\tO' +p125293 +aS'renal\trenal\tJJ\tI-NP\tO' +p125294 +aS'function\tfunction\tNN\tI-NP\tO' +p125295 +aS'improved\timprove\tVBN\tB-VP\tO' +p125296 +aS'to\tto\tTO\tB-PP\tO' +p125297 +aS'baseline\tbaseline\tNN\tB-NP\tO' +p125298 +aS'and\tand\tCC\tO\tO' +p125299 +aS'remained\tremain\tVBD\tB-VP\tO' +p125300 +aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' +p125301 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p125302 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p125303 +aS'the\tthe\tDT\tB-NP\tO' +p125304 +aS'remainder\tremainder\tNN\tI-NP\tO' +p125305 +aS'of\tof\tIN\tB-PP\tO' +p125306 +aS'her\ther\tPRP$\tB-NP\tO' +p125307 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p125308 +aS'.\t.\t.\tO\tO' +p125309 +asS'There has been almost complete resolution of pulmonary edema .' +p125310 +(lp125311 +S'There\tThere\tEX\tB-NP\tO' +p125312 +aS'has\thave\tVBZ\tB-VP\tO' +p125313 +aS'been\tbe\tVBN\tI-VP\tO' +p125314 +aS'almost\talmost\tRB\tB-NP\tO' +p125315 +aS'complete\tcomplete\tJJ\tI-NP\tO' +p125316 +aS'resolution\tresolution\tNN\tI-NP\tO' +p125317 +aS'of\tof\tIN\tB-PP\tO' +p125318 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p125319 +aS'edema\tedema\tNN\tI-NP\tO' +p125320 +aS'.\t.\t.\tO\tO' +p125321 +asS'5/5 strength throughout , though weary of moving back .' +p125322 +(lp125323 +S'5/5\t5/5\tCD\tB-NP\tO' +p125324 +aS'strength\tstrength\tNN\tI-NP\tO' +p125325 +aS'throughout\tthroughout\tIN\tB-ADVP\tO' +p125326 +aS',\t,\t,\tO\tO' +p125327 +aS'though\tthough\tIN\tB-SBAR\tO' +p125328 +aS'weary\tweary\tJJ\tB-ADJP\tO' +p125329 +aS'of\tof\tIN\tB-PP\tO' +p125330 +aS'moving\tmove\tVBG\tB-VP\tO' +p125331 +aS'back\tback\tRB\tB-ADVP\tO' +p125332 +aS'.\t.\t.\tO\tO' +p125333 +asS'The patient had considerable difficulty with left finger-to-nose movement , most likely secondary to hemianopsia .' +p125334 +(lp125335 +S'The\tThe\tDT\tB-NP\tO' +p125336 +aS'patient\tpatient\tNN\tI-NP\tO' +p125337 +aS'had\thave\tVBD\tB-VP\tO' +p125338 +aS'considerable\tconsiderable\tJJ\tB-NP\tO' +p125339 +aS'difficulty\tdifficulty\tNN\tI-NP\tO' +p125340 +aS'with\twith\tIN\tB-PP\tO' +p125341 +aS'left\tleft\tJJ\tB-NP\tO' +p125342 +aS'finger-to-nose\tfinger-to-nose\tJJ\tI-NP\tO' +p125343 +aS'movement\tmovement\tNN\tI-NP\tO' +p125344 +aS',\t,\t,\tO\tO' +p125345 +aS'most\tmost\tRBS\tB-ADVP\tO' +p125346 +aS'likely\tlikely\tRB\tI-ADVP\tO' +p125347 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p125348 +aS'to\tto\tTO\tB-PP\tO' +p125349 +aS'hemianopsia\themianopsia\tNN\tB-NP\tO' +p125350 +aS'.\t.\t.\tO\tO' +p125351 +asS"The exact etiology of the patient 's respiratory distress was presumed to be questionable multifactorial ." +p125352 +(lp125353 +S'The\tThe\tDT\tB-NP\tO' +p125354 +aS'exact\texact\tJJ\tI-NP\tO' +p125355 +aS'etiology\tetiology\tNN\tI-NP\tO' +p125356 +aS'of\tof\tIN\tB-PP\tO' +p125357 +aS'the\tthe\tDT\tB-NP\tO' +p125358 +aS'patient\tpatient\tNN\tI-NP\tO' +p125359 +aS"'s\t's\tPOS\tB-NP\tO" +p125360 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p125361 +aS'distress\tdistress\tNN\tI-NP\tO' +p125362 +aS'was\tbe\tVBD\tB-VP\tO' +p125363 +aS'presumed\tpresume\tVBN\tI-VP\tO' +p125364 +aS'to\tto\tTO\tI-VP\tO' +p125365 +aS'be\tbe\tVB\tI-VP\tO' +p125366 +aS'questionable\tquestionable\tJJ\tB-ADJP\tO' +p125367 +aS'multifactorial\tmultifactorial\tJJ\tB-ADJP\tO' +p125368 +aS'.\t.\t.\tO\tO' +p125369 +asS'The patient underwent an echocardiogram which demonstrated a preserved ejection fraction with left ventricular hypertrophy and no significant valvular abnormalities .' +p125370 +(lp125371 +S'The\tThe\tDT\tB-NP\tO' +p125372 +aS'patient\tpatient\tNN\tI-NP\tO' +p125373 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p125374 +aS'an\tan\tDT\tB-NP\tO' +p125375 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p125376 +aS'which\twhich\tWDT\tB-NP\tO' +p125377 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p125378 +aS'a\ta\tDT\tB-NP\tO' +p125379 +aS'preserved\tpreserve\tVBN\tI-NP\tO' +p125380 +aS'ejection\tejection\tNN\tI-NP\tO' +p125381 +aS'fraction\tfraction\tNN\tI-NP\tO' +p125382 +aS'with\twith\tIN\tB-PP\tO' +p125383 +aS'left\tleft\tJJ\tB-NP\tO' +p125384 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p125385 +aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' +p125386 +aS'and\tand\tCC\tO\tO' +p125387 +aS'no\tno\tDT\tB-NP\tO' +p125388 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p125389 +aS'valvular\tvalvular\tJJ\tI-NP\tO' +p125390 +aS'abnormalities\tabnormality\tNNS\tI-NP\tO' +p125391 +aS'.\t.\t.\tO\tO' +p125392 +asS'He maintained good peripheral pulses and warm feet postoperatively .' +p125393 +(lp125394 +S'He\tHe\tPRP\tB-NP\tO' +p125395 +aS'maintained\tmaintain\tVBD\tB-VP\tO' +p125396 +aS'good\tgood\tJJ\tB-NP\tO' +p125397 +aS'peripheral\tperipheral\tJJ\tI-NP\tO' +p125398 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p125399 +aS'and\tand\tCC\tO\tO' +p125400 +aS'warm\twarm\tJJ\tB-NP\tO' +p125401 +aS'feet\tfoot\tNNS\tI-NP\tO' +p125402 +aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' +p125403 +aS'.\t.\t.\tO\tO' +p125404 +asS'98.6 , 85 , 130/80 , 20 , 97% on room air , 82.2 kg .' +p125405 +(lp125406 +S'98.6\t98.6\tCD\tB-NP\tO' +p125407 +aS',\t,\t,\tI-NP\tO' +p125408 +aS'85\t85\tCD\tI-NP\tO' +p125409 +aS',\t,\t,\tI-NP\tO' +p125410 +aS'130/80\t130/80\tCD\tI-NP\tO' +p125411 +aS',\t,\t,\tI-NP\tO' +p125412 +aS'20\t20\tCD\tI-NP\tO' +p125413 +aS',\t,\t,\tI-NP\tO' +p125414 +aS'97%\t97%\tCD\tI-NP\tO' +p125415 +aS'on\ton\tIN\tB-PP\tO' +p125416 +aS'room\troom\tNN\tB-NP\tO' +p125417 +aS'air\tair\tNN\tI-NP\tO' +p125418 +aS',\t,\t,\tO\tO' +p125419 +aS'82.2\t82.2\tCD\tB-NP\tO' +p125420 +aS'kg\tkg\tNN\tI-NP\tO' +p125421 +aS'.\t.\t.\tO\tO' +p125422 +asS'Mediastinal chest tube was removed on postoperative day three .' +p125423 +(lp125424 +S'Mediastinal\tMediastinal\tJJ\tB-NP\tO' +p125425 +aS'chest\tchest\tNN\tI-NP\tO' +p125426 +aS'tube\ttube\tNN\tI-NP\tO' +p125427 +aS'was\tbe\tVBD\tB-VP\tO' +p125428 +aS'removed\tremove\tVBN\tI-VP\tO' +p125429 +aS'on\ton\tIN\tB-PP\tO' +p125430 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p125431 +aS'day\tday\tNN\tI-NP\tO' +p125432 +aS'three\tthree\tCD\tI-NP\tO' +p125433 +aS'.\t.\t.\tO\tO' +p125434 +asS'The patient remained comfortable .' +p125435 +(lp125436 +S'The\tThe\tDT\tB-NP\tO' +p125437 +aS'patient\tpatient\tNN\tI-NP\tO' +p125438 +aS'remained\tremain\tVBD\tB-VP\tO' +p125439 +aS'comfortable\tcomfortable\tJJ\tB-ADJP\tO' +p125440 +aS'.\t.\t.\tO\tO' +p125441 +asS'Jugular venous distention to the jaw .' +p125442 +(lp125443 +S'Jugular\tJugular\tJJ\tB-NP\tO' +p125444 +aS'venous\tvenous\tJJ\tI-NP\tO' +p125445 +aS'distention\tdistention\tNN\tI-NP\tO' +p125446 +aS'to\tto\tTO\tB-PP\tO' +p125447 +aS'the\tthe\tDT\tB-NP\tO' +p125448 +aS'jaw\tjaw\tNN\tI-NP\tO' +p125449 +aS'.\t.\t.\tO\tO' +p125450 +asS'2. Ovoid 18 - mm density within the atrium of the right lateral ventricle .' +p125451 +(lp125452 +S'2.\t2.\tLS\tB-NP\tO' +p125453 +aS'Ovoid\tOvoid\tJJ\tI-NP\tB-protein' +p125454 +aS'18\t18\tCD\tI-NP\tI-protein' +p125455 +aS'-\t-\tHYPH\tI-NP\tO' +p125456 +aS'mm\tmm\tNN\tI-NP\tO' +p125457 +aS'density\tdensity\tNN\tI-NP\tO' +p125458 +aS'within\twithin\tIN\tB-PP\tO' +p125459 +aS'the\tthe\tDT\tB-NP\tO' +p125460 +aS'atrium\tatrium\tNN\tI-NP\tO' +p125461 +aS'of\tof\tIN\tB-PP\tO' +p125462 +aS'the\tthe\tDT\tB-NP\tO' +p125463 +aS'right\tright\tJJ\tI-NP\tO' +p125464 +aS'lateral\tlateral\tJJ\tI-NP\tO' +p125465 +aS'ventricle\tventricle\tNN\tI-NP\tO' +p125466 +aS'.\t.\t.\tO\tO' +p125467 +asS'Finger stick blood glucose 120 .' +p125468 +(lp125469 +S'Finger\tFinger\tNN\tB-NP\tO' +p125470 +aS'stick\tstick\tVBP\tB-VP\tO' +p125471 +aS'blood\tblood\tNN\tB-NP\tO' +p125472 +aS'glucose\tglucose\tNN\tI-NP\tO' +p125473 +aS'120\t120\tCD\tI-NP\tO' +p125474 +aS'.\t.\t.\tO\tO' +p125475 +asS'Subarachnoid hemorrhage , posttraumatic .' +p125476 +(lp125477 +S'Subarachnoid\tSubarachnoid\tJJ\tB-NP\tO' +p125478 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p125479 +aS',\t,\t,\tO\tO' +p125480 +aS'posttraumatic\tposttraumatic\tJJ\tB-ADJP\tO' +p125481 +aS'.\t.\t.\tO\tO' +p125482 +asS'She tolerated the chemotherapy well with mild nausea and vomiting .' +p125483 +(lp125484 +S'She\tShe\tPRP\tB-NP\tO' +p125485 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p125486 +aS'the\tthe\tDT\tB-NP\tO' +p125487 +aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' +p125488 +aS'well\twell\tRB\tB-ADVP\tO' +p125489 +aS'with\twith\tIN\tB-PP\tO' +p125490 +aS'mild\tmild\tJJ\tB-NP\tO' +p125491 +aS'nausea\tnausea\tNN\tI-NP\tO' +p125492 +aS'and\tand\tCC\tI-NP\tO' +p125493 +aS'vomiting\tvomiting\tNN\tI-NP\tO' +p125494 +aS'.\t.\t.\tO\tO' +p125495 +asS'History of urinary tract infections .' +p125496 +(lp125497 +S'History\tHistory\tNN\tB-NP\tO' +p125498 +aS'of\tof\tIN\tB-PP\tO' +p125499 +aS'urinary\turinary\tJJ\tB-NP\tO' +p125500 +aS'tract\ttract\tNN\tI-NP\tO' +p125501 +aS'infections\tinfection\tNNS\tI-NP\tO' +p125502 +aS'.\t.\t.\tO\tO' +p125503 +asS'Postoperatively he did well initially in the first 12 hours .' +p125504 +(lp125505 +S'Postoperatively\tPostoperatively\tRB\tB-ADVP\tO' +p125506 +aS'he\the\tPRP\tB-NP\tO' +p125507 +aS'did\tdo\tVBD\tB-VP\tO' +p125508 +aS'well\twell\tRB\tB-ADVP\tO' +p125509 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p125510 +aS'in\tin\tIN\tB-PP\tO' +p125511 +aS'the\tthe\tDT\tB-NP\tO' +p125512 +aS'first\tfirst\tJJ\tI-NP\tO' +p125513 +aS'12\t12\tCD\tI-NP\tO' +p125514 +aS'hours\thour\tNNS\tI-NP\tO' +p125515 +aS'.\t.\t.\tO\tO' +p125516 +asS'7. Benign prostatic hypertrophy status post transurethral resection of the prostate ; self catheterization .' +p125517 +(lp125518 +S'7.\t7.\tLS\tB-NP\tO' +p125519 +aS'Benign\tBenign\tJJ\tI-NP\tO' +p125520 +aS'prostatic\tprostatic\tJJ\tI-NP\tO' +p125521 +aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' +p125522 +aS'status\tstatus\tNN\tI-NP\tO' +p125523 +aS'post\tpost\tNN\tI-NP\tO' +p125524 +aS'transurethral\ttransurethral\tJJ\tI-NP\tO' +p125525 +aS'resection\tresection\tNN\tI-NP\tO' +p125526 +aS'of\tof\tIN\tB-PP\tO' +p125527 +aS'the\tthe\tDT\tB-NP\tO' +p125528 +aS'prostate\tprostate\tNN\tI-NP\tO' +p125529 +aS';\t;\t:\tO\tO' +p125530 +aS'self\tself\tNN\tB-NP\tO' +p125531 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p125532 +aS'.\t.\t.\tO\tO' +p125533 +asS'reveal no clubbing , cyanosis or edema .' +p125534 +(lp125535 +S'reveal\treveal\tVB\tB-VP\tO' +p125536 +aS'no\tno\tDT\tB-NP\tO' +p125537 +aS'clubbing\tclubbing\tNN\tI-NP\tO' +p125538 +aS',\t,\t,\tI-NP\tO' +p125539 +aS'cyanosis\tcyanosis\tNN\tI-NP\tO' +p125540 +aS'or\tor\tCC\tI-NP\tO' +p125541 +aS'edema\tedema\tNN\tI-NP\tO' +p125542 +aS'.\t.\t.\tO\tO' +p125543 +asS'Followed with yearly abdominal CT without radiographic progression .' +p125544 +(lp125545 +S'Followed\tFollow\tVBN\tB-VP\tO' +p125546 +aS'with\twith\tIN\tB-PP\tO' +p125547 +aS'yearly\tyearly\tJJ\tB-NP\tO' +p125548 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p125549 +aS'CT\tCT\tNN\tI-NP\tO' +p125550 +aS'without\twithout\tIN\tB-PP\tO' +p125551 +aS'radiographic\tradiographic\tJJ\tB-NP\tO' +p125552 +aS'progression\tprogression\tNN\tI-NP\tO' +p125553 +aS'.\t.\t.\tO\tO' +p125554 +asS'The size and shape of the ventricles is unchanged .' +p125555 +(lp125556 +S'The\tThe\tDT\tB-NP\tO' +p125557 +aS'size\tsize\tNN\tI-NP\tO' +p125558 +aS'and\tand\tCC\tI-NP\tO' +p125559 +aS'shape\tshape\tNN\tI-NP\tO' +p125560 +aS'of\tof\tIN\tB-PP\tO' +p125561 +aS'the\tthe\tDT\tB-NP\tO' +p125562 +aS'ventricles\tventricle\tNNS\tI-NP\tO' +p125563 +aS'is\tbe\tVBZ\tB-VP\tO' +p125564 +aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' +p125565 +aS'.\t.\t.\tO\tO' +p125566 +asS"The steroids were thought to have helped significantly in in the setting of Addison 's with possibely superimposed infection ." +p125567 +(lp125568 +S'The\tThe\tDT\tB-NP\tO' +p125569 +aS'steroids\tsteroid\tNNS\tI-NP\tO' +p125570 +aS'were\tbe\tVBD\tB-VP\tO' +p125571 +aS'thought\tthink\tVBN\tI-VP\tO' +p125572 +aS'to\tto\tTO\tI-VP\tO' +p125573 +aS'have\thave\tVB\tI-VP\tO' +p125574 +aS'helped\thelp\tVBN\tI-VP\tO' +p125575 +aS'significantly\tsignificantly\tRB\tB-ADVP\tO' +p125576 +aS'in\tin\tIN\tB-PP\tO' +p125577 +aS'in\tin\tIN\tB-PP\tO' +p125578 +aS'the\tthe\tDT\tB-NP\tO' +p125579 +aS'setting\tsetting\tNN\tI-NP\tO' +p125580 +aS'of\tof\tIN\tB-PP\tO' +p125581 +aS'Addison\tAddison\tNNP\tB-NP\tO' +p125582 +aS"'s\t's\tPOS\tB-NP\tO" +p125583 +aS'with\twith\tIN\tB-PP\tO' +p125584 +aS'possibely\tpossibely\tRB\tB-NP\tO' +p125585 +aS'superimposed\tsuperimpose\tVBN\tI-NP\tO' +p125586 +aS'infection\tinfection\tNN\tI-NP\tO' +p125587 +aS'.\t.\t.\tO\tO' +p125588 +asS'The patient is a 65-year-old male with a past medical history of diabetes mellitus , three-vessel coronary artery bypassgraft , congestive heart failure , who presents with a humeral fracture .' +p125589 +(lp125590 +S'The\tThe\tDT\tB-NP\tO' +p125591 +aS'patient\tpatient\tNN\tI-NP\tO' +p125592 +aS'is\tbe\tVBZ\tB-VP\tO' +p125593 +aS'a\ta\tDT\tB-NP\tO' +p125594 +aS'65-year-old\t65-year-old\tJJ\tI-NP\tO' +p125595 +aS'male\tmale\tNN\tI-NP\tO' +p125596 +aS'with\twith\tIN\tB-PP\tO' +p125597 +aS'a\ta\tDT\tB-NP\tO' +p125598 +aS'past\tpast\tJJ\tI-NP\tO' +p125599 +aS'medical\tmedical\tJJ\tI-NP\tO' +p125600 +aS'history\thistory\tNN\tI-NP\tO' +p125601 +aS'of\tof\tIN\tB-PP\tO' +p125602 +aS'diabetes\tdiabetes\tNN\tB-NP\tO' +p125603 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p125604 +aS',\t,\t,\tO\tO' +p125605 +aS'three-vessel\tthree-vessel\tJJ\tB-NP\tO' +p125606 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p125607 +aS'artery\tartery\tNN\tI-NP\tO' +p125608 +aS'bypassgraft\tbypassgraft\tNN\tI-NP\tO' +p125609 +aS',\t,\t,\tO\tO' +p125610 +aS'congestive\tcongestive\tJJ\tB-NP\tO' +p125611 +aS'heart\theart\tNN\tI-NP\tO' +p125612 +aS'failure\tfailure\tNN\tI-NP\tO' +p125613 +aS',\t,\t,\tO\tO' +p125614 +aS'who\twho\tWP\tB-NP\tO' +p125615 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p125616 +aS'with\twith\tIN\tB-PP\tO' +p125617 +aS'a\ta\tDT\tB-NP\tO' +p125618 +aS'humeral\thumeral\tJJ\tI-NP\tO' +p125619 +aS'fracture\tfracture\tNN\tI-NP\tO' +p125620 +aS'.\t.\t.\tO\tO' +p125621 +asS'There was no evidence of left ventricular hypertrophy or asymmetric septal hypertrophy , which had been an issue that had been raised on an echocardiogram in Ownra Cin , New Mexico on 12/06/96 .' +p125622 +(lp125623 +S'There\tThere\tEX\tB-NP\tO' +p125624 +aS'was\tbe\tVBD\tB-VP\tO' +p125625 +aS'no\tno\tDT\tB-NP\tO' +p125626 +aS'evidence\tevidence\tNN\tI-NP\tO' +p125627 +aS'of\tof\tIN\tB-PP\tO' +p125628 +aS'left\tleft\tJJ\tB-NP\tO' +p125629 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p125630 +aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' +p125631 +aS'or\tor\tCC\tO\tO' +p125632 +aS'asymmetric\tasymmetric\tJJ\tB-NP\tO' +p125633 +aS'septal\tseptal\tJJ\tI-NP\tO' +p125634 +aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' +p125635 +aS',\t,\t,\tO\tO' +p125636 +aS'which\twhich\tWDT\tB-NP\tO' +p125637 +aS'had\thave\tVBD\tB-VP\tO' +p125638 +aS'been\tbe\tVBN\tI-VP\tO' +p125639 +aS'an\tan\tDT\tB-NP\tO' +p125640 +aS'issue\tissue\tNN\tI-NP\tO' +p125641 +aS'that\tthat\tWDT\tB-NP\tO' +p125642 +aS'had\thave\tVBD\tB-VP\tO' +p125643 +aS'been\tbe\tVBN\tI-VP\tO' +p125644 +aS'raised\traise\tVBN\tI-VP\tO' +p125645 +aS'on\ton\tIN\tB-PP\tO' +p125646 +aS'an\tan\tDT\tB-NP\tO' +p125647 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p125648 +aS'in\tin\tIN\tB-PP\tO' +p125649 +aS'Ownra\tOwnra\tNNP\tB-NP\tO' +p125650 +aS'Cin\tCin\tNNP\tI-NP\tO' +p125651 +aS',\t,\t,\tO\tO' +p125652 +aS'New\tNew\tNNP\tB-NP\tO' +p125653 +aS'Mexico\tMexico\tNNP\tI-NP\tO' +p125654 +aS'on\ton\tIN\tB-PP\tO' +p125655 +aS'12/06/96\t12/06/96\tCD\tB-NP\tO' +p125656 +aS'.\t.\t.\tO\tO' +p125657 +asS'4. History of esophageal erosion , MW tear' +p125658 +(lp125659 +S'4.\t4.\tLS\tB-NP\tO' +p125660 +aS'History\tHistory\tNN\tI-NP\tO' +p125661 +aS'of\tof\tIN\tB-PP\tO' +p125662 +aS'esophageal\tesophageal\tJJ\tB-NP\tO' +p125663 +aS'erosion\terosion\tNN\tI-NP\tO' +p125664 +aS',\t,\t,\tO\tO' +p125665 +aS'MW\tMW\tNN\tB-NP\tO' +p125666 +aS'tear\ttear\tNN\tI-NP\tO' +p125667 +asS'13. NPH insulin 7 units in the morning and 5 units at night .' +p125668 +(lp125669 +S'13.\t13.\tLS\tB-NP\tO' +p125670 +aS'NPH\tNPH\tNN\tI-NP\tB-protein' +p125671 +aS'insulin\tinsulin\tNN\tI-NP\tI-protein' +p125672 +aS'7\t7\tCD\tB-NP\tI-protein' +p125673 +aS'units\tunit\tNNS\tI-NP\tI-protein' +p125674 +aS'in\tin\tIN\tB-PP\tO' +p125675 +aS'the\tthe\tDT\tB-NP\tO' +p125676 +aS'morning\tmorning\tNN\tI-NP\tO' +p125677 +aS'and\tand\tCC\tO\tO' +p125678 +aS'5\t5\tCD\tB-NP\tO' +p125679 +aS'units\tunit\tNNS\tI-NP\tO' +p125680 +aS'at\tat\tIN\tB-PP\tO' +p125681 +aS'night\tnight\tNN\tB-NP\tO' +p125682 +aS'.\t.\t.\tO\tO' +p125683 +asS'Ext : no c/c/e , left arm with fistula with good thrill' +p125684 +(lp125685 +S'Ext\tExt\tNN\tB-NP\tO' +p125686 +aS':\t:\t:\tO\tO' +p125687 +aS'no\tno\tDT\tB-NP\tO' +p125688 +aS'c/c/e\tc/c/e\tNN\tI-NP\tO' +p125689 +aS',\t,\t,\tO\tO' +p125690 +aS'left\tleave\tVBD\tB-VP\tO' +p125691 +aS'arm\tarm\tNN\tB-NP\tO' +p125692 +aS'with\twith\tIN\tB-PP\tO' +p125693 +aS'fistula\tfistula\tNN\tB-NP\tO' +p125694 +aS'with\twith\tIN\tB-PP\tO' +p125695 +aS'good\tgood\tJJ\tB-NP\tO' +p125696 +aS'thrill\tthrill\tNN\tI-NP\tO' +p125697 +asS'On 2013-09-12 after deterioration of his mental status and also of his blood pressure , goals of care were discussed with his HCP .' +p125698 +(lp125699 +S'On\tOn\tIN\tB-PP\tO' +p125700 +aS'2013-09-12\t2013-09-12\tCD\tB-NP\tO' +p125701 +aS'after\tafter\tIN\tB-PP\tO' +p125702 +aS'deterioration\tdeterioration\tNN\tB-NP\tO' +p125703 +aS'of\tof\tIN\tB-PP\tO' +p125704 +aS'his\this\tPRP$\tB-NP\tO' +p125705 +aS'mental\tmental\tJJ\tI-NP\tO' +p125706 +aS'status\tstatus\tNN\tI-NP\tO' +p125707 +aS'and\tand\tCC\tO\tO' +p125708 +aS'also\talso\tRB\tB-ADVP\tO' +p125709 +aS'of\tof\tIN\tB-PP\tO' +p125710 +aS'his\this\tPRP$\tB-NP\tO' +p125711 +aS'blood\tblood\tNN\tI-NP\tO' +p125712 +aS'pressure\tpressure\tNN\tI-NP\tO' +p125713 +aS',\t,\t,\tO\tO' +p125714 +aS'goals\tgoal\tNNS\tB-NP\tO' +p125715 +aS'of\tof\tIN\tB-PP\tO' +p125716 +aS'care\tcare\tNN\tB-NP\tO' +p125717 +aS'were\tbe\tVBD\tB-VP\tO' +p125718 +aS'discussed\tdiscuss\tVBN\tI-VP\tO' +p125719 +aS'with\twith\tIN\tB-PP\tO' +p125720 +aS'his\this\tPRP$\tB-NP\tO' +p125721 +aS'HCP\tHCP\tNN\tI-NP\tB-DNA' +p125722 +aS'.\t.\t.\tO\tO' +p125723 +asS'Lives at Salem Hospital - North Shore Medical Center Rehab .' +p125724 +(lp125725 +S'Lives\tLife\tNNS\tB-NP\tO' +p125726 +aS'at\tat\tIN\tB-PP\tO' +p125727 +aS'Salem\tSalem\tNNP\tB-NP\tO' +p125728 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p125729 +aS'-\t-\tHYPH\tO\tO' +p125730 +aS'North\tNorth\tNNP\tB-NP\tO' +p125731 +aS'Shore\tShore\tNNP\tI-NP\tO' +p125732 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p125733 +aS'Center\tCenter\tNNP\tI-NP\tO' +p125734 +aS'Rehab\tRehab\tNNP\tI-NP\tO' +p125735 +aS'.\t.\t.\tO\tO' +p125736 +asS'Neuro - The patient was oriented to place , but had difficulty with recent memory .' +p125737 +(lp125738 +S'Neuro\tNeuro\tNNP\tB-NP\tO' +p125739 +aS'-\t-\t:\tO\tO' +p125740 +aS'The\tThe\tDT\tB-NP\tO' +p125741 +aS'patient\tpatient\tNN\tI-NP\tO' +p125742 +aS'was\tbe\tVBD\tB-VP\tO' +p125743 +aS'oriented\torient\tVBN\tI-VP\tO' +p125744 +aS'to\tto\tTO\tI-VP\tO' +p125745 +aS'place\tplace\tVB\tI-VP\tO' +p125746 +aS',\t,\t,\tO\tO' +p125747 +aS'but\tbut\tCC\tO\tO' +p125748 +aS'had\thave\tVBD\tB-VP\tO' +p125749 +aS'difficulty\tdifficulty\tNN\tB-NP\tO' +p125750 +aS'with\twith\tIN\tB-PP\tO' +p125751 +aS'recent\trecent\tJJ\tB-NP\tO' +p125752 +aS'memory\tmemory\tNN\tI-NP\tO' +p125753 +aS'.\t.\t.\tO\tO' +p125754 +asS'Apgars were eight at one minute and nine at five minutes .' +p125755 +(lp125756 +S'Apgars\tApgar\tNNS\tB-NP\tO' +p125757 +aS'were\tbe\tVBD\tB-VP\tO' +p125758 +aS'eight\teight\tCD\tB-NP\tO' +p125759 +aS'at\tat\tIN\tB-PP\tO' +p125760 +aS'one\tone\tCD\tB-NP\tO' +p125761 +aS'minute\tminute\tNN\tI-NP\tO' +p125762 +aS'and\tand\tCC\tO\tO' +p125763 +aS'nine\tnine\tCD\tB-NP\tO' +p125764 +aS'at\tat\tIN\tB-PP\tO' +p125765 +aS'five\tfive\tCD\tB-NP\tO' +p125766 +aS'minutes\tminute\tNNS\tI-NP\tO' +p125767 +aS'.\t.\t.\tO\tO' +p125768 +asS'9) Nutrition - pt was maintained on TFs via post-pyloric' +p125769 +(lp125770 +S'9)\t9)\tLS\tB-NP\tO' +p125771 +aS'Nutrition\tNutrition\tNN\tI-NP\tO' +p125772 +aS'-\t-\tHYPH\tB-NP\tO' +p125773 +aS'pt\tpt\tNN\tI-NP\tO' +p125774 +aS'was\tbe\tVBD\tB-VP\tO' +p125775 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p125776 +aS'on\ton\tIN\tB-PP\tO' +p125777 +aS'TFs\tTF\tNNS\tB-NP\tB-protein' +p125778 +aS'via\tvia\tIN\tB-PP\tO' +p125779 +aS'post-pyloric\tpost-pyloric\tJJ\tB-NP\tO' +p125780 +asS'Compared to PA and lateral chest of the prior day .' +p125781 +(lp125782 +S'Compared\tCompare\tVBN\tB-PP\tO' +p125783 +aS'to\tto\tTO\tB-PP\tO' +p125784 +aS'PA\tPA\tNN\tB-NP\tO' +p125785 +aS'and\tand\tCC\tO\tO' +p125786 +aS'lateral\tlateral\tJJ\tB-NP\tO' +p125787 +aS'chest\tchest\tNN\tI-NP\tO' +p125788 +aS'of\tof\tIN\tB-PP\tO' +p125789 +aS'the\tthe\tDT\tB-NP\tO' +p125790 +aS'prior\tprior\tJJ\tI-NP\tO' +p125791 +aS'day\tday\tNN\tI-NP\tO' +p125792 +aS'.\t.\t.\tO\tO' +p125793 +asS'14. Insulin Syringe Needless ( Disp ) 1 mL Syringe Sig : One ( 1 ) Miscell. as directed by Albano / Trasplant .' +p125794 +(lp125795 +S'14.\t14.\tLS\tB-NP\tO' +p125796 +aS'Insulin\tInsulin\tNN\tI-NP\tB-protein' +p125797 +aS'Syringe\tSyringe\tNN\tI-NP\tO' +p125798 +aS'Needless\tNeedless\tJJ\tB-ADJP\tO' +p125799 +aS'(\t(\t(\tO\tO' +p125800 +aS'Disp\tDisp\tNN\tB-NP\tO' +p125801 +aS')\t)\t)\tO\tO' +p125802 +aS'1\t1\tCD\tB-NP\tO' +p125803 +aS'mL\tmL\tNN\tI-NP\tO' +p125804 +aS'Syringe\tSyringe\tNNP\tI-NP\tO' +p125805 +aS'Sig\tSig\tNNP\tI-NP\tO' +p125806 +aS':\t:\t:\tO\tO' +p125807 +aS'One\tOne\tCD\tB-NP\tO' +p125808 +aS'(\t(\t(\tO\tO' +p125809 +aS'1\t1\tCD\tB-NP\tO' +p125810 +aS')\t)\t)\tO\tO' +p125811 +aS'Miscell.\tMiscell.\tNNP\tO\tO' +p125812 +aS'as\tas\tIN\tB-SBAR\tO' +p125813 +aS'directed\tdirect\tVBN\tB-VP\tO' +p125814 +aS'by\tby\tIN\tB-PP\tO' +p125815 +aS'Albano\tAlbano\tNN\tB-NP\tO' +p125816 +aS'/\t/\tSYM\tB-NP\tO' +p125817 +aS'Trasplant\tTrasplant\tNN\tI-NP\tO' +p125818 +aS'.\t.\t.\tO\tO' +p125819 +asS'He generally looks well .' +p125820 +(lp125821 +S'He\tHe\tPRP\tB-NP\tO' +p125822 +aS'generally\tgenerally\tRB\tB-ADVP\tO' +p125823 +aS'looks\tlook\tVBZ\tB-VP\tO' +p125824 +aS'well\twell\tRB\tB-ADVP\tO' +p125825 +aS'.\t.\t.\tO\tO' +p125826 +asS'10. Ensure Liquid Sig : 0.5 to 1 can PO three times a day .' +p125827 +(lp125828 +S'10.\t10.\tLS\tB-LST\tO' +p125829 +aS'Ensure\tEnsure\tNNP\tB-NP\tO' +p125830 +aS'Liquid\tLiquid\tNNP\tI-NP\tO' +p125831 +aS'Sig\tSig\tNNP\tI-NP\tO' +p125832 +aS':\t:\t:\tO\tO' +p125833 +aS'0.5\t0.5\tCD\tB-NP\tO' +p125834 +aS'to\tto\tTO\tI-NP\tO' +p125835 +aS'1\t1\tCD\tI-NP\tO' +p125836 +aS'can\tcan\tMD\tB-VP\tO' +p125837 +aS'PO\tPO\tVB\tI-VP\tO' +p125838 +aS'three\tthree\tCD\tB-NP\tO' +p125839 +aS'times\ttime\tNNS\tI-NP\tO' +p125840 +aS'a\ta\tDT\tB-NP\tO' +p125841 +aS'day\tday\tNN\tI-NP\tO' +p125842 +aS'.\t.\t.\tO\tO' +p125843 +asS'It is associated with rest pain as well .' +p125844 +(lp125845 +S'It\tIt\tPRP\tB-NP\tO' +p125846 +aS'is\tbe\tVBZ\tB-VP\tO' +p125847 +aS'associated\tassociate\tVBN\tI-VP\tO' +p125848 +aS'with\twith\tIN\tB-PP\tO' +p125849 +aS'rest\trest\tNN\tB-NP\tO' +p125850 +aS'pain\tpain\tNN\tI-NP\tO' +p125851 +aS'as\tas\tRB\tB-ADVP\tO' +p125852 +aS'well\twell\tRB\tI-ADVP\tO' +p125853 +aS'.\t.\t.\tO\tO' +p125854 +asS'Nasogastric tube is seen coiling in the stomach , with its tip at the pylorus .' +p125855 +(lp125856 +S'Nasogastric\tNasogastric\tJJ\tB-NP\tO' +p125857 +aS'tube\ttube\tNN\tI-NP\tO' +p125858 +aS'is\tbe\tVBZ\tB-VP\tO' +p125859 +aS'seen\tsee\tVBN\tI-VP\tO' +p125860 +aS'coiling\tcoiling\tNN\tB-NP\tO' +p125861 +aS'in\tin\tIN\tB-PP\tO' +p125862 +aS'the\tthe\tDT\tB-NP\tO' +p125863 +aS'stomach\tstomach\tNN\tI-NP\tO' +p125864 +aS',\t,\t,\tO\tO' +p125865 +aS'with\twith\tIN\tB-PP\tO' +p125866 +aS'its\tits\tPRP$\tB-NP\tO' +p125867 +aS'tip\ttip\tNN\tI-NP\tO' +p125868 +aS'at\tat\tIN\tB-PP\tO' +p125869 +aS'the\tthe\tDT\tB-NP\tO' +p125870 +aS'pylorus\tpylorus\tNN\tI-NP\tO' +p125871 +aS'.\t.\t.\tO\tO' +p125872 +asS'Over the past four weeks , the patient reported progressive shortness of breath and mid thoracic back pain .' +p125873 +(lp125874 +S'Over\tOver\tIN\tB-PP\tO' +p125875 +aS'the\tthe\tDT\tB-NP\tO' +p125876 +aS'past\tpast\tJJ\tI-NP\tO' +p125877 +aS'four\tfour\tCD\tI-NP\tO' +p125878 +aS'weeks\tweek\tNNS\tI-NP\tO' +p125879 +aS',\t,\t,\tO\tO' +p125880 +aS'the\tthe\tDT\tB-NP\tO' +p125881 +aS'patient\tpatient\tNN\tI-NP\tO' +p125882 +aS'reported\treport\tVBD\tB-VP\tO' +p125883 +aS'progressive\tprogressive\tJJ\tB-NP\tO' +p125884 +aS'shortness\tshortness\tNN\tI-NP\tO' +p125885 +aS'of\tof\tIN\tB-PP\tO' +p125886 +aS'breath\tbreath\tNN\tB-NP\tO' +p125887 +aS'and\tand\tCC\tO\tO' +p125888 +aS'mid\tmid\tJJ\tB-NP\tO' +p125889 +aS'thoracic\tthoracic\tJJ\tI-NP\tO' +p125890 +aS'back\tback\tJJ\tI-NP\tO' +p125891 +aS'pain\tpain\tNN\tI-NP\tO' +p125892 +aS'.\t.\t.\tO\tO' +p125893 +asS'3. History of right inguinal hernia in 2002 .' +p125894 +(lp125895 +S'3.\t3.\tLS\tB-NP\tO' +p125896 +aS'History\tHistory\tNN\tI-NP\tO' +p125897 +aS'of\tof\tIN\tB-PP\tO' +p125898 +aS'right\tright\tJJ\tB-NP\tO' +p125899 +aS'inguinal\tinguinal\tJJ\tI-NP\tO' +p125900 +aS'hernia\thernia\tNN\tI-NP\tO' +p125901 +aS'in\tin\tIN\tB-PP\tO' +p125902 +aS'2002\t2002\tCD\tB-NP\tO' +p125903 +aS'.\t.\t.\tO\tO' +p125904 +asS'This was seen on the CAT scan on postoperative day number one , 12-31 .' +p125905 +(lp125906 +S'This\tThis\tDT\tB-NP\tO' +p125907 +aS'was\tbe\tVBD\tB-VP\tO' +p125908 +aS'seen\tsee\tVBN\tI-VP\tO' +p125909 +aS'on\ton\tIN\tB-PP\tO' +p125910 +aS'the\tthe\tDT\tB-NP\tO' +p125911 +aS'CAT\tCAT\tNN\tI-NP\tB-protein' +p125912 +aS'scan\tscan\tNN\tI-NP\tO' +p125913 +aS'on\ton\tIN\tB-PP\tO' +p125914 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p125915 +aS'day\tday\tNN\tI-NP\tO' +p125916 +aS'number\tnumber\tNN\tI-NP\tO' +p125917 +aS'one\tone\tCD\tB-NP\tO' +p125918 +aS',\t,\t,\tI-NP\tO' +p125919 +aS'12-31\t12-31\tCD\tI-NP\tO' +p125920 +aS'.\t.\t.\tO\tO' +p125921 +asS'He is mobilized with the help of physical therapy , on a continuous passive motion machine .' +p125922 +(lp125923 +S'He\tHe\tPRP\tB-NP\tO' +p125924 +aS'is\tbe\tVBZ\tB-VP\tO' +p125925 +aS'mobilized\tmobilize\tVBN\tI-VP\tO' +p125926 +aS'with\twith\tIN\tB-PP\tO' +p125927 +aS'the\tthe\tDT\tB-NP\tO' +p125928 +aS'help\thelp\tNN\tI-NP\tO' +p125929 +aS'of\tof\tIN\tB-PP\tO' +p125930 +aS'physical\tphysical\tJJ\tB-NP\tO' +p125931 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p125932 +aS',\t,\t,\tO\tO' +p125933 +aS'on\ton\tIN\tB-PP\tO' +p125934 +aS'a\ta\tDT\tB-NP\tO' +p125935 +aS'continuous\tcontinuous\tJJ\tI-NP\tO' +p125936 +aS'passive\tpassive\tJJ\tI-NP\tO' +p125937 +aS'motion\tmotion\tNN\tI-NP\tO' +p125938 +aS'machine\tmachine\tNN\tI-NP\tO' +p125939 +aS'.\t.\t.\tO\tO' +p125940 +asS'The patient was given IV fluids and treated with imipenem , transferred to Ca Valley Hospital ED , where it was noted that the patient had face and neck swelling , as well as erythema and cervical lymphadenopathy .' +p125941 +(lp125942 +S'The\tThe\tDT\tB-NP\tO' +p125943 +aS'patient\tpatient\tNN\tI-NP\tO' +p125944 +aS'was\tbe\tVBD\tB-VP\tO' +p125945 +aS'given\tgive\tVBN\tI-VP\tO' +p125946 +aS'IV\tIV\tCD\tB-NP\tO' +p125947 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p125948 +aS'and\tand\tCC\tO\tO' +p125949 +aS'treated\ttreat\tVBN\tB-VP\tO' +p125950 +aS'with\twith\tIN\tB-PP\tO' +p125951 +aS'imipenem\timipenem\tNN\tB-NP\tO' +p125952 +aS',\t,\t,\tO\tO' +p125953 +aS'transferred\ttransfer\tVBN\tB-VP\tO' +p125954 +aS'to\tto\tTO\tB-PP\tO' +p125955 +aS'Ca\tCa\tNNP\tB-NP\tO' +p125956 +aS'Valley\tValley\tNNP\tI-NP\tO' +p125957 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p125958 +aS'ED\tED\tNNP\tI-NP\tO' +p125959 +aS',\t,\t,\tO\tO' +p125960 +aS'where\twhere\tWRB\tB-ADVP\tO' +p125961 +aS'it\tit\tPRP\tB-NP\tO' +p125962 +aS'was\tbe\tVBD\tB-VP\tO' +p125963 +aS'noted\tnote\tVBN\tI-VP\tO' +p125964 +aS'that\tthat\tIN\tB-SBAR\tO' +p125965 +aS'the\tthe\tDT\tB-NP\tO' +p125966 +aS'patient\tpatient\tNN\tI-NP\tO' +p125967 +aS'had\thave\tVBD\tB-VP\tO' +p125968 +aS'face\tface\tNN\tB-NP\tO' +p125969 +aS'and\tand\tCC\tI-NP\tO' +p125970 +aS'neck\tneck\tNN\tI-NP\tO' +p125971 +aS'swelling\tswelling\tNN\tI-NP\tO' +p125972 +aS',\t,\t,\tO\tO' +p125973 +aS'as\tas\tRB\tB-CONJP\tO' +p125974 +aS'well\twell\tRB\tI-CONJP\tO' +p125975 +aS'as\tas\tIN\tI-CONJP\tO' +p125976 +aS'erythema\terythema\tNN\tB-NP\tO' +p125977 +aS'and\tand\tCC\tO\tO' +p125978 +aS'cervical\tcervical\tJJ\tB-NP\tO' +p125979 +aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' +p125980 +aS'.\t.\t.\tO\tO' +p125981 +asS'The patient is also asked to call the Neuro / Oncology Service , the office of Dr. Britts at 430-884-2917 for a follow up appointment in three weeks .' +p125982 +(lp125983 +S'The\tThe\tDT\tB-NP\tO' +p125984 +aS'patient\tpatient\tNN\tI-NP\tO' +p125985 +aS'is\tbe\tVBZ\tB-VP\tO' +p125986 +aS'also\talso\tRB\tI-VP\tO' +p125987 +aS'asked\task\tVBN\tI-VP\tO' +p125988 +aS'to\tto\tTO\tB-VP\tO' +p125989 +aS'call\tcall\tVB\tI-VP\tO' +p125990 +aS'the\tthe\tDT\tB-NP\tO' +p125991 +aS'Neuro\tNeuro\tNNP\tI-NP\tO' +p125992 +aS'/\t/\tSYM\tI-NP\tO' +p125993 +aS'Oncology\tOncology\tNNP\tI-NP\tO' +p125994 +aS'Service\tService\tNNP\tI-NP\tO' +p125995 +aS',\t,\t,\tO\tO' +p125996 +aS'the\tthe\tDT\tB-NP\tO' +p125997 +aS'office\toffice\tNN\tI-NP\tO' +p125998 +aS'of\tof\tIN\tB-PP\tO' +p125999 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p126000 +aS'Britts\tBritts\tNNP\tI-NP\tO' +p126001 +aS'at\tat\tIN\tB-PP\tO' +p126002 +aS'430-884-2917\t430-884-2917\tCD\tB-NP\tO' +p126003 +aS'for\tfor\tIN\tB-PP\tO' +p126004 +aS'a\ta\tDT\tB-NP\tO' +p126005 +aS'follow\tfollow\tNN\tI-NP\tO' +p126006 +aS'up\tup\tRP\tB-PRT\tO' +p126007 +aS'appointment\tappointment\tNN\tB-NP\tO' +p126008 +aS'in\tin\tIN\tB-PP\tO' +p126009 +aS'three\tthree\tCD\tB-NP\tO' +p126010 +aS'weeks\tweek\tNNS\tI-NP\tO' +p126011 +aS'.\t.\t.\tO\tO' +p126012 +asS'Please follow-up with your Orthopaedic physician on Wednesday 6/9/02 as previously arranged by patient .' +p126013 +(lp126014 +S'Please\tPlease\tNN\tB-NP\tO' +p126015 +aS'follow-up\tfollow-up\tNN\tI-NP\tO' +p126016 +aS'with\twith\tIN\tB-PP\tO' +p126017 +aS'your\tyour\tPRP$\tB-NP\tO' +p126018 +aS'Orthopaedic\tOrthopaedic\tJJ\tI-NP\tO' +p126019 +aS'physician\tphysician\tNN\tI-NP\tO' +p126020 +aS'on\ton\tIN\tB-PP\tO' +p126021 +aS'Wednesday\tWednesday\tNNP\tB-NP\tO' +p126022 +aS'6/9/02\t6/9/02\tCD\tI-NP\tO' +p126023 +aS'as\tas\tIN\tB-SBAR\tO' +p126024 +aS'previously\tpreviously\tRB\tB-ADVP\tO' +p126025 +aS'arranged\tarrange\tVBN\tB-VP\tO' +p126026 +aS'by\tby\tIN\tB-PP\tO' +p126027 +aS'patient\tpatient\tNN\tB-NP\tO' +p126028 +aS'.\t.\t.\tO\tO' +p126029 +asS'Normal bulk .' +p126030 +(lp126031 +S'Normal\tNormal\tJJ\tB-NP\tO' +p126032 +aS'bulk\tbulk\tNN\tI-NP\tO' +p126033 +aS'.\t.\t.\tO\tO' +p126034 +asS'the sodium was 140 , potassium 3.7 , chloride 96 , bicarbonate 30 , BUN and creatinine 14/0.9 , glucose 105 , hematocrit 42 , white blood count 8.6 , platelet count 644,000 , prothrombin time 10.4 , partial thromboplastin time 28.7 , urinalysis trace white blood cells , slight occult red blood cells .' +p126035 +(lp126036 +S'the\tthe\tDT\tB-NP\tO' +p126037 +aS'sodium\tsodium\tNN\tI-NP\tO' +p126038 +aS'was\tbe\tVBD\tB-VP\tO' +p126039 +aS'140\t140\tCD\tB-NP\tO' +p126040 +aS',\t,\t,\tO\tO' +p126041 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p126042 +aS'3.7\t3.7\tCD\tI-NP\tO' +p126043 +aS',\t,\t,\tO\tO' +p126044 +aS'chloride\tchloride\tNN\tB-NP\tO' +p126045 +aS'96\t96\tCD\tI-NP\tO' +p126046 +aS',\t,\t,\tO\tO' +p126047 +aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' +p126048 +aS'30\t30\tCD\tI-NP\tO' +p126049 +aS',\t,\t,\tO\tO' +p126050 +aS'BUN\tBUN\tNN\tB-NP\tO' +p126051 +aS'and\tand\tCC\tO\tO' +p126052 +aS'creatinine\tcreatinine\tNN\tB-NP\tB-protein' +p126053 +aS'14/0.9\t14/0.9\tCD\tI-NP\tI-protein' +p126054 +aS',\t,\t,\tO\tO' +p126055 +aS'glucose\tglucose\tNN\tB-NP\tB-protein' +p126056 +aS'105\t105\tCD\tI-NP\tI-protein' +p126057 +aS',\t,\t,\tO\tO' +p126058 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p126059 +aS'42\t42\tCD\tI-NP\tI-protein' +p126060 +aS',\t,\t,\tO\tO' +p126061 +aS'white\twhite\tJJ\tB-NP\tO' +p126062 +aS'blood\tblood\tNN\tI-NP\tO' +p126063 +aS'count\tcount\tNN\tI-NP\tO' +p126064 +aS'8.6\t8.6\tCD\tI-NP\tO' +p126065 +aS',\t,\t,\tO\tO' +p126066 +aS'platelet\tplatelet\tNN\tB-NP\tB-protein' +p126067 +aS'count\tcount\tNN\tI-NP\tI-protein' +p126068 +aS'644,000\t644,000\tCD\tI-NP\tI-protein' +p126069 +aS',\t,\t,\tO\tO' +p126070 +aS'prothrombin\tprothrombin\tNN\tB-NP\tB-protein' +p126071 +aS'time\ttime\tNN\tI-NP\tI-protein' +p126072 +aS'10.4\t10.4\tCD\tB-NP\tI-protein' +p126073 +aS',\t,\t,\tO\tO' +p126074 +aS'partial\tpartial\tJJ\tB-NP\tO' +p126075 +aS'thromboplastin\tthromboplastin\tNN\tI-NP\tO' +p126076 +aS'time\ttime\tNN\tI-NP\tO' +p126077 +aS'28.7\t28.7\tCD\tB-NP\tO' +p126078 +aS',\t,\t,\tO\tO' +p126079 +aS'urinalysis\turinalysis\tNN\tB-NP\tB-cell_type' +p126080 +aS'trace\ttrace\tNN\tI-NP\tI-cell_type' +p126081 +aS'white\twhite\tJJ\tI-NP\tI-cell_type' +p126082 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p126083 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p126084 +aS',\t,\t,\tO\tO' +p126085 +aS'slight\tslight\tJJ\tB-NP\tB-cell_type' +p126086 +aS'occult\toccult\tJJ\tI-NP\tI-cell_type' +p126087 +aS'red\tred\tJJ\tI-NP\tI-cell_type' +p126088 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p126089 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p126090 +aS'.\t.\t.\tO\tO' +p126091 +asS'Please also follow-up with Dr. Obrecht of CMED CCU spine in 2 weeks for flexion / extension X-rays (( 228 ) 411-7660 )' +p126092 +(lp126093 +S'Please\tPlease\tNN\tB-NP\tB-protein' +p126094 +aS'also\talso\tRB\tB-ADVP\tO' +p126095 +aS'follow-up\tfollow-up\tJJ\tB-ADJP\tO' +p126096 +aS'with\twith\tIN\tB-PP\tO' +p126097 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p126098 +aS'Obrecht\tObrecht\tNNP\tI-NP\tO' +p126099 +aS'of\tof\tIN\tB-PP\tO' +p126100 +aS'CMED\tCMED\tNNP\tB-NP\tO' +p126101 +aS'CCU\tCCU\tNNP\tI-NP\tO' +p126102 +aS'spine\tspine\tNN\tI-NP\tO' +p126103 +aS'in\tin\tIN\tB-PP\tO' +p126104 +aS'2\t2\tCD\tB-NP\tO' +p126105 +aS'weeks\tweek\tNNS\tI-NP\tO' +p126106 +aS'for\tfor\tIN\tB-PP\tO' +p126107 +aS'flexion\tflexion\tNN\tB-NP\tO' +p126108 +aS'/\t/\tSYM\tB-VP\tO' +p126109 +aS'extension\textension\tNN\tB-NP\tO' +p126110 +aS'X-rays\tX-ray\tNNS\tI-NP\tO' +p126111 +aS'((\t((\t(\tO\tO' +p126112 +aS'228\t228\tCD\tB-NP\tO' +p126113 +aS')\t)\t)\tO\tO' +p126114 +aS'411-7660\t411-7660\tCD\tB-NP\tO' +p126115 +aS')\t)\t)\tO\tO' +p126116 +asS'His blood pressure was 142/68 , breathing 21 breaths per minute , 94% on 2 liters nasal cannula .' +p126117 +(lp126118 +S'His\tHis\tPRP$\tB-NP\tO' +p126119 +aS'blood\tblood\tNN\tI-NP\tO' +p126120 +aS'pressure\tpressure\tNN\tI-NP\tO' +p126121 +aS'was\tbe\tVBD\tB-VP\tO' +p126122 +aS'142/68\t142/68\tCD\tB-NP\tO' +p126123 +aS',\t,\t,\tO\tO' +p126124 +aS'breathing\tbreathing\tNN\tB-NP\tO' +p126125 +aS'21\t21\tCD\tI-NP\tO' +p126126 +aS'breaths\tbreath\tNNS\tI-NP\tO' +p126127 +aS'per\tper\tIN\tB-PP\tO' +p126128 +aS'minute\tminute\tNN\tB-NP\tO' +p126129 +aS',\t,\t,\tO\tO' +p126130 +aS'94%\t94%\tCD\tB-NP\tO' +p126131 +aS'on\ton\tIN\tB-PP\tO' +p126132 +aS'2\t2\tCD\tB-NP\tO' +p126133 +aS'liters\tliter\tNNS\tI-NP\tO' +p126134 +aS'nasal\tnasal\tJJ\tB-NP\tO' +p126135 +aS'cannula\tcannula\tNN\tI-NP\tO' +p126136 +aS'.\t.\t.\tO\tO' +p126137 +asS'Compazine .' +p126138 +(lp126139 +S'Compazine\tCompazine\tNN\tB-NP\tO' +p126140 +aS'.\t.\t.\tO\tO' +p126141 +asS'Her cardiac risk factors are hypertension and elevated cholesterol .' +p126142 +(lp126143 +S'Her\tHer\tPRP$\tB-NP\tB-protein' +p126144 +aS'cardiac\tcardiac\tJJ\tI-NP\tI-protein' +p126145 +aS'risk\trisk\tNN\tI-NP\tI-protein' +p126146 +aS'factors\tfactor\tNNS\tI-NP\tI-protein' +p126147 +aS'are\tbe\tVBP\tB-VP\tO' +p126148 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p126149 +aS'and\tand\tCC\tO\tO' +p126150 +aS'elevated\televated\tJJ\tB-NP\tO' +p126151 +aS'cholesterol\tcholesterol\tNN\tI-NP\tO' +p126152 +aS'.\t.\t.\tO\tO' +p126153 +asS'He had a grossly deformed left lower extremity .' +p126154 +(lp126155 +S'He\tHe\tPRP\tB-NP\tO' +p126156 +aS'had\thave\tVBD\tB-VP\tO' +p126157 +aS'a\ta\tDT\tB-NP\tO' +p126158 +aS'grossly\tgrossly\tRB\tI-NP\tO' +p126159 +aS'deformed\tdeform\tVBN\tI-NP\tO' +p126160 +aS'left\tleave\tVBD\tB-VP\tO' +p126161 +aS'lower\tlow\tJJR\tB-NP\tO' +p126162 +aS'extremity\textremity\tNN\tI-NP\tO' +p126163 +aS'.\t.\t.\tO\tO' +p126164 +asS'He was then weaned off of ventilatory support and was successfully extubated .' +p126165 +(lp126166 +S'He\tHe\tPRP\tB-NP\tO' +p126167 +aS'was\tbe\tVBD\tB-VP\tO' +p126168 +aS'then\tthen\tRB\tI-VP\tO' +p126169 +aS'weaned\twean\tVBN\tI-VP\tO' +p126170 +aS'off\toff\tRP\tB-PRT\tO' +p126171 +aS'of\tof\tIN\tB-PP\tO' +p126172 +aS'ventilatory\tventilatory\tJJ\tB-NP\tO' +p126173 +aS'support\tsupport\tNN\tI-NP\tO' +p126174 +aS'and\tand\tCC\tO\tO' +p126175 +aS'was\tbe\tVBD\tB-VP\tO' +p126176 +aS'successfully\tsuccessfully\tRB\tI-VP\tO' +p126177 +aS'extubated\textubate\tVBN\tI-VP\tO' +p126178 +aS'.\t.\t.\tO\tO' +p126179 +asS'Her left arm has developed a flexure contraction and she reports intermitttent pain in the left arm and leg which occurs both spontaneously and is also triggered by contact .' +p126180 +(lp126181 +S'Her\tHer\tPRP$\tB-NP\tO' +p126182 +aS'left\tleft\tJJ\tI-NP\tO' +p126183 +aS'arm\tarm\tNN\tI-NP\tO' +p126184 +aS'has\thave\tVBZ\tB-VP\tO' +p126185 +aS'developed\tdevelop\tVBN\tI-VP\tO' +p126186 +aS'a\ta\tDT\tB-NP\tO' +p126187 +aS'flexure\tflexure\tNN\tI-NP\tO' +p126188 +aS'contraction\tcontraction\tNN\tI-NP\tO' +p126189 +aS'and\tand\tCC\tO\tO' +p126190 +aS'she\tshe\tPRP\tB-NP\tO' +p126191 +aS'reports\treport\tVBZ\tB-VP\tO' +p126192 +aS'intermitttent\tintermitttent\tJJ\tB-NP\tO' +p126193 +aS'pain\tpain\tNN\tI-NP\tO' +p126194 +aS'in\tin\tIN\tB-PP\tO' +p126195 +aS'the\tthe\tDT\tB-NP\tO' +p126196 +aS'left\tleft\tJJ\tI-NP\tO' +p126197 +aS'arm\tarm\tNN\tI-NP\tO' +p126198 +aS'and\tand\tCC\tI-NP\tO' +p126199 +aS'leg\tleg\tNN\tI-NP\tO' +p126200 +aS'which\twhich\tWDT\tB-NP\tO' +p126201 +aS'occurs\toccur\tVBZ\tB-VP\tO' +p126202 +aS'both\tboth\tCC\tO\tO' +p126203 +aS'spontaneously\tspontaneously\tRB\tB-ADVP\tO' +p126204 +aS'and\tand\tCC\tO\tO' +p126205 +aS'is\tbe\tVBZ\tB-VP\tO' +p126206 +aS'also\talso\tRB\tI-VP\tO' +p126207 +aS'triggered\ttrigger\tVBN\tI-VP\tO' +p126208 +aS'by\tby\tIN\tB-PP\tO' +p126209 +aS'contact\tcontact\tNN\tB-NP\tO' +p126210 +aS'.\t.\t.\tO\tO' +p126211 +asS'There was pitting edema on both sides of the lower extremities .' +p126212 +(lp126213 +S'There\tThere\tEX\tB-NP\tO' +p126214 +aS'was\tbe\tVBD\tB-VP\tO' +p126215 +aS'pitting\tpit\tVBG\tI-VP\tO' +p126216 +aS'edema\tedema\tNN\tB-NP\tO' +p126217 +aS'on\ton\tIN\tB-PP\tO' +p126218 +aS'both\tboth\tDT\tB-NP\tO' +p126219 +aS'sides\tside\tNNS\tI-NP\tO' +p126220 +aS'of\tof\tIN\tB-PP\tO' +p126221 +aS'the\tthe\tDT\tB-NP\tO' +p126222 +aS'lower\tlow\tJJR\tI-NP\tO' +p126223 +aS'extremities\textremity\tNNS\tI-NP\tO' +p126224 +aS'.\t.\t.\tO\tO' +p126225 +asS'Psychiatry was also consulted to help her with the changes she was feeling since her new diagnosis .' +p126226 +(lp126227 +S'Psychiatry\tPsychiatry\tNN\tB-NP\tO' +p126228 +aS'was\tbe\tVBD\tB-VP\tO' +p126229 +aS'also\talso\tRB\tI-VP\tO' +p126230 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p126231 +aS'to\tto\tTO\tI-VP\tO' +p126232 +aS'help\thelp\tVB\tI-VP\tO' +p126233 +aS'her\ther\tPRP\tB-NP\tO' +p126234 +aS'with\twith\tIN\tB-PP\tO' +p126235 +aS'the\tthe\tDT\tB-NP\tO' +p126236 +aS'changes\tchange\tNNS\tI-NP\tO' +p126237 +aS'she\tshe\tPRP\tB-NP\tO' +p126238 +aS'was\tbe\tVBD\tB-VP\tO' +p126239 +aS'feeling\tfeel\tVBG\tI-VP\tO' +p126240 +aS'since\tsince\tIN\tB-PP\tO' +p126241 +aS'her\ther\tPRP$\tB-NP\tO' +p126242 +aS'new\tnew\tJJ\tI-NP\tO' +p126243 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p126244 +aS'.\t.\t.\tO\tO' +p126245 +asS'The neurological examination was otherwise nonfocal with mentioned left upper extremity 3/5 strength with pain and 5/5 on the left lower extremity .' +p126246 +(lp126247 +S'The\tThe\tDT\tB-NP\tO' +p126248 +aS'neurological\tneurological\tJJ\tI-NP\tO' +p126249 +aS'examination\texamination\tNN\tI-NP\tO' +p126250 +aS'was\tbe\tVBD\tB-VP\tO' +p126251 +aS'otherwise\totherwise\tRB\tB-ADJP\tO' +p126252 +aS'nonfocal\tnonfocal\tJJ\tI-ADJP\tO' +p126253 +aS'with\twith\tIN\tB-PP\tO' +p126254 +aS'mentioned\tmention\tVBN\tB-NP\tO' +p126255 +aS'left\tleft\tJJ\tI-NP\tO' +p126256 +aS'upper\tupper\tJJ\tI-NP\tO' +p126257 +aS'extremity\textremity\tNN\tI-NP\tO' +p126258 +aS'3/5\t3/5\tCD\tI-NP\tO' +p126259 +aS'strength\tstrength\tNN\tI-NP\tO' +p126260 +aS'with\twith\tIN\tB-PP\tO' +p126261 +aS'pain\tpain\tNN\tB-NP\tO' +p126262 +aS'and\tand\tCC\tO\tO' +p126263 +aS'5/5\t5/5\tCD\tB-NP\tO' +p126264 +aS'on\ton\tIN\tB-PP\tO' +p126265 +aS'the\tthe\tDT\tB-NP\tO' +p126266 +aS'left\tleft\tJJ\tI-NP\tO' +p126267 +aS'lower\tlow\tJJR\tI-NP\tO' +p126268 +aS'extremity\textremity\tNN\tI-NP\tO' +p126269 +aS'.\t.\t.\tO\tO' +p126270 +asS'Lethargic , occasionally falling asleep .' +p126271 +(lp126272 +S'Lethargic\tLethargic\tJJ\tB-ADJP\tO' +p126273 +aS',\t,\t,\tO\tO' +p126274 +aS'occasionally\toccasionally\tRB\tB-ADVP\tO' +p126275 +aS'falling\tfall\tVBG\tB-NP\tO' +p126276 +aS'asleep\tasleep\tNN\tI-NP\tO' +p126277 +aS'.\t.\t.\tO\tO' +p126278 +asS'The head and neck exam was within normal limits .' +p126279 +(lp126280 +S'The\tThe\tDT\tB-NP\tO' +p126281 +aS'head\thead\tNN\tI-NP\tO' +p126282 +aS'and\tand\tCC\tI-NP\tO' +p126283 +aS'neck\tneck\tNN\tI-NP\tO' +p126284 +aS'exam\texam\tNN\tI-NP\tO' +p126285 +aS'was\tbe\tVBD\tB-VP\tO' +p126286 +aS'within\twithin\tIN\tB-PP\tO' +p126287 +aS'normal\tnormal\tJJ\tB-NP\tO' +p126288 +aS'limits\tlimit\tNNS\tI-NP\tO' +p126289 +aS'.\t.\t.\tO\tO' +p126290 +asS'Dates are by first trimester ultrasound .' +p126291 +(lp126292 +S'Dates\tDate\tNNS\tB-NP\tO' +p126293 +aS'are\tbe\tVBP\tB-VP\tO' +p126294 +aS'by\tby\tIN\tB-PP\tO' +p126295 +aS'first\tfirst\tJJ\tB-NP\tO' +p126296 +aS'trimester\ttrimester\tNN\tI-NP\tO' +p126297 +aS'ultrasound\tultrasound\tNN\tI-NP\tO' +p126298 +aS'.\t.\t.\tO\tO' +p126299 +asS'Muscles are 05-04 in all extremities with good sensation to light touch .' +p126300 +(lp126301 +S'Muscles\tMuscle\tNNS\tB-NP\tO' +p126302 +aS'are\tbe\tVBP\tB-VP\tO' +p126303 +aS'05-04\t05-04\tCD\tB-NP\tO' +p126304 +aS'in\tin\tIN\tB-PP\tO' +p126305 +aS'all\tall\tDT\tB-NP\tO' +p126306 +aS'extremities\textremity\tNNS\tI-NP\tO' +p126307 +aS'with\twith\tIN\tB-PP\tO' +p126308 +aS'good\tgood\tJJ\tB-NP\tO' +p126309 +aS'sensation\tsensation\tNN\tI-NP\tO' +p126310 +aS'to\tto\tTO\tB-PP\tO' +p126311 +aS'light\tlight\tNN\tB-NP\tO' +p126312 +aS'touch\ttouch\tNN\tI-NP\tO' +p126313 +aS'.\t.\t.\tO\tO' +p126314 +asS'Her LDH was 394 .' +p126315 +(lp126316 +S'Her\tHer\tPRP$\tB-NP\tO' +p126317 +aS'LDH\tLDH\tNN\tI-NP\tB-protein' +p126318 +aS'was\tbe\tVBD\tB-VP\tO' +p126319 +aS'394\t394\tCD\tB-NP\tO' +p126320 +aS'.\t.\t.\tO\tO' +p126321 +asS'These may be removed when the incisions are noted to be well healed .' +p126322 +(lp126323 +S'These\tThese\tDT\tB-NP\tO' +p126324 +aS'may\tmay\tMD\tB-VP\tO' +p126325 +aS'be\tbe\tVB\tI-VP\tO' +p126326 +aS'removed\tremove\tVBN\tI-VP\tO' +p126327 +aS'when\twhen\tWRB\tB-ADVP\tO' +p126328 +aS'the\tthe\tDT\tB-NP\tO' +p126329 +aS'incisions\tincision\tNNS\tI-NP\tO' +p126330 +aS'are\tbe\tVBP\tB-VP\tO' +p126331 +aS'noted\tnote\tVBN\tI-VP\tO' +p126332 +aS'to\tto\tTO\tI-VP\tO' +p126333 +aS'be\tbe\tVB\tI-VP\tO' +p126334 +aS'well\twell\tRB\tI-VP\tO' +p126335 +aS'healed\theal\tVBN\tI-VP\tO' +p126336 +aS'.\t.\t.\tO\tO' +p126337 +asS'Based upon this wish the BIPAP was removed and he was placed on nasal cannula .' +p126338 +(lp126339 +S'Based\tBase\tVBN\tB-VP\tO' +p126340 +aS'upon\tupon\tIN\tB-PP\tO' +p126341 +aS'this\tthis\tDT\tB-NP\tO' +p126342 +aS'wish\twish\tNN\tI-NP\tO' +p126343 +aS'the\tthe\tDT\tB-NP\tO' +p126344 +aS'BIPAP\tBIPAP\tNN\tI-NP\tB-protein' +p126345 +aS'was\tbe\tVBD\tB-VP\tO' +p126346 +aS'removed\tremove\tVBN\tI-VP\tO' +p126347 +aS'and\tand\tCC\tO\tO' +p126348 +aS'he\the\tPRP\tB-NP\tO' +p126349 +aS'was\tbe\tVBD\tB-VP\tO' +p126350 +aS'placed\tplace\tVBN\tI-VP\tO' +p126351 +aS'on\ton\tIN\tB-PP\tO' +p126352 +aS'nasal\tnasal\tJJ\tB-NP\tO' +p126353 +aS'cannula\tcannula\tNN\tI-NP\tO' +p126354 +aS'.\t.\t.\tO\tO' +p126355 +asS'The left internal mammary artery to the left anterior descending was also occluded .' +p126356 +(lp126357 +S'The\tThe\tDT\tB-NP\tO' +p126358 +aS'left\tleft\tJJ\tI-NP\tO' +p126359 +aS'internal\tinternal\tJJ\tI-NP\tO' +p126360 +aS'mammary\tmammary\tJJ\tI-NP\tO' +p126361 +aS'artery\tartery\tNN\tI-NP\tO' +p126362 +aS'to\tto\tTO\tB-PP\tO' +p126363 +aS'the\tthe\tDT\tB-NP\tO' +p126364 +aS'left\tleft\tJJ\tI-NP\tO' +p126365 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p126366 +aS'descending\tdescending\tNN\tI-NP\tO' +p126367 +aS'was\tbe\tVBD\tB-VP\tO' +p126368 +aS'also\talso\tRB\tI-VP\tO' +p126369 +aS'occluded\tocclude\tVBN\tI-VP\tO' +p126370 +aS'.\t.\t.\tO\tO' +p126371 +asS'Her postoperative course was unremarkable .' +p126372 +(lp126373 +S'Her\tHer\tPRP$\tB-NP\tO' +p126374 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p126375 +aS'course\tcourse\tNN\tI-NP\tO' +p126376 +aS'was\tbe\tVBD\tB-VP\tO' +p126377 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p126378 +aS'.\t.\t.\tO\tO' +p126379 +asS'5. Albuterol 1-2 puffs q.6h. prn .' +p126380 +(lp126381 +S'5.\t5.\tLS\tB-NP\tO' +p126382 +aS'Albuterol\tAlbuterol\tNNP\tI-NP\tO' +p126383 +aS'1-2\t1-2\tNN\tI-NP\tO' +p126384 +aS'puffs\tpuff\tVBZ\tB-VP\tO' +p126385 +aS'q.6h.\tq.6h.\tNN\tB-NP\tO' +p126386 +aS'prn\tprn\tNN\tI-NP\tO' +p126387 +aS'.\t.\t.\tO\tO' +p126388 +asS'Disp :* 240 Tablet (s)* Refills :* 2 *' +p126389 +(lp126390 +S'Disp\tDisp\tNN\tB-NP\tO' +p126391 +aS':*\t:*\tSYM\tI-NP\tO' +p126392 +aS'240\t240\tCD\tI-NP\tO' +p126393 +aS'Tablet\tTablet\tNN\tI-NP\tO' +p126394 +aS'(s)*\t(s)*\tSYM\tB-NP\tO' +p126395 +aS'Refills\tRefill\tNNPS\tI-NP\tO' +p126396 +aS':*\t:*\tSYM\tI-NP\tO' +p126397 +aS'2\t2\tCD\tI-NP\tO' +p126398 +aS'*\t*\tSYM\tB-NP\tO' +p126399 +asS'She will follow-up with Dr. Langley in approximately one month .' +p126400 +(lp126401 +S'She\tShe\tPRP\tB-NP\tO' +p126402 +aS'will\twill\tMD\tB-VP\tO' +p126403 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p126404 +aS'with\twith\tIN\tB-PP\tO' +p126405 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p126406 +aS'Langley\tLangley\tNNP\tI-NP\tO' +p126407 +aS'in\tin\tIN\tB-PP\tO' +p126408 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p126409 +aS'one\tone\tCD\tI-NP\tO' +p126410 +aS'month\tmonth\tNN\tI-NP\tO' +p126411 +aS'.\t.\t.\tO\tO' +p126412 +asS'Dictated By : Ann C Vinson , M.D.' +p126413 +(lp126414 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p126415 +aS'By\tBy\tIN\tB-PP\tO' +p126416 +aS':\t:\t:\tO\tO' +p126417 +aS'Ann\tAnn\tNNP\tB-NP\tO' +p126418 +aS'C\tC\tNNP\tI-NP\tO' +p126419 +aS'Vinson\tVinson\tNNP\tI-NP\tO' +p126420 +aS',\t,\t,\tO\tO' +p126421 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p126422 +asS"The pt was begun on heparin gtt and was noted to have platelet drop > 50% after infusion began , hepain was d/c 'd." +p126423 +(lp126424 +S'The\tThe\tDT\tB-NP\tO' +p126425 +aS'pt\tpt\tNN\tI-NP\tO' +p126426 +aS'was\tbe\tVBD\tB-VP\tO' +p126427 +aS'begun\tbegin\tVBN\tI-VP\tO' +p126428 +aS'on\ton\tIN\tB-PP\tO' +p126429 +aS'heparin\theparin\tNN\tB-NP\tO' +p126430 +aS'gtt\tgtt\tNN\tI-NP\tO' +p126431 +aS'and\tand\tCC\tO\tO' +p126432 +aS'was\tbe\tVBD\tB-VP\tO' +p126433 +aS'noted\tnote\tVBN\tI-VP\tO' +p126434 +aS'to\tto\tTO\tI-VP\tO' +p126435 +aS'have\thave\tVB\tI-VP\tO' +p126436 +aS'platelet\tplatelet\tNN\tB-NP\tO' +p126437 +aS'drop\tdrop\tNN\tI-NP\tO' +p126438 +aS'>\t>\tSYM\tB-NP\tO' +p126439 +aS'50%\t50%\tCD\tB-NP\tO' +p126440 +aS'after\tafter\tIN\tB-SBAR\tO' +p126441 +aS'infusion\tinfusion\tNN\tB-NP\tO' +p126442 +aS'began\tbegin\tVBD\tB-VP\tO' +p126443 +aS',\t,\t,\tO\tO' +p126444 +aS'hepain\thepain\tNN\tB-NP\tO' +p126445 +aS'was\tbe\tVBD\tB-VP\tO' +p126446 +aS'd/c\td/c\tNN\tB-NP\tO' +p126447 +aS"'d.\t'd.\t.\tO\tO" +p126448 +asS'The case was complicated by an episode of coffee ground emesis and a bleed from femoral access site prior to CT surgery .' +p126449 +(lp126450 +S'The\tThe\tDT\tB-NP\tO' +p126451 +aS'case\tcase\tNN\tI-NP\tO' +p126452 +aS'was\tbe\tVBD\tB-VP\tO' +p126453 +aS'complicated\tcomplicate\tVBN\tI-VP\tO' +p126454 +aS'by\tby\tIN\tB-PP\tO' +p126455 +aS'an\tan\tDT\tB-NP\tO' +p126456 +aS'episode\tepisode\tNN\tI-NP\tO' +p126457 +aS'of\tof\tIN\tB-PP\tO' +p126458 +aS'coffee\tcoffee\tNN\tB-NP\tO' +p126459 +aS'ground\tground\tNN\tI-NP\tO' +p126460 +aS'emesis\temesis\tNN\tI-NP\tO' +p126461 +aS'and\tand\tCC\tO\tO' +p126462 +aS'a\ta\tDT\tB-NP\tO' +p126463 +aS'bleed\tbleed\tNN\tI-NP\tO' +p126464 +aS'from\tfrom\tIN\tB-PP\tO' +p126465 +aS'femoral\tfemoral\tJJ\tB-NP\tO' +p126466 +aS'access\taccess\tNN\tI-NP\tO' +p126467 +aS'site\tsite\tNN\tI-NP\tO' +p126468 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p126469 +aS'to\tto\tTO\tB-PP\tO' +p126470 +aS'CT\tCT\tNN\tB-NP\tO' +p126471 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p126472 +aS'.\t.\t.\tO\tO' +p126473 +asS'Vancomycin HCl 1000 mg IV Q 12H' +p126474 +(lp126475 +S'Vancomycin\tVancomycin\tNN\tB-NP\tO' +p126476 +aS'HCl\tHCl\tNN\tI-NP\tO' +p126477 +aS'1000\t1000\tCD\tB-NP\tO' +p126478 +aS'mg\tmg\tNN\tI-NP\tO' +p126479 +aS'IV\tIV\tCD\tB-NP\tO' +p126480 +aS'Q\tQ\tNN\tI-NP\tO' +p126481 +aS'12H\t12H\tNN\tI-NP\tO' +p126482 +asS'4. Anion gap acidosis .' +p126483 +(lp126484 +S'4.\t4.\tLS\tB-NP\tO' +p126485 +aS'Anion\tAnion\tNN\tI-NP\tO' +p126486 +aS'gap\tgap\tNN\tI-NP\tO' +p126487 +aS'acidosis\tacidosis\tNN\tI-NP\tO' +p126488 +aS'.\t.\t.\tO\tO' +p126489 +asS'H20 .' +p126490 +(lp126491 +S'H20\tH20\tNN\tB-NP\tO' +p126492 +aS'.\t.\t.\tO\tO' +p126493 +asS'11. Maalox 225-200 mg/5 mL Suspension Sig : Five ( 5 ) mL PO every six ( 6 ) hours as needed for indigestion .' +p126494 +(lp126495 +S'11.\t11.\tLS\tB-LST\tO' +p126496 +aS'Maalox\tMaalox\tNNP\tB-NP\tO' +p126497 +aS'225-200\t225-200\tCD\tI-NP\tO' +p126498 +aS'mg/5\tmg/5\tNN\tI-NP\tO' +p126499 +aS'mL\tmL\tNN\tI-NP\tO' +p126500 +aS'Suspension\tSuspension\tNNP\tI-NP\tO' +p126501 +aS'Sig\tSig\tNNP\tI-NP\tO' +p126502 +aS':\t:\t:\tO\tO' +p126503 +aS'Five\tFive\tCD\tB-NP\tO' +p126504 +aS'(\t(\t(\tO\tO' +p126505 +aS'5\t5\tCD\tB-NP\tO' +p126506 +aS')\t)\t)\tO\tO' +p126507 +aS'mL\tmL\tNN\tB-NP\tO' +p126508 +aS'PO\tPO\tNN\tI-NP\tO' +p126509 +aS'every\tevery\tDT\tB-NP\tO' +p126510 +aS'six\tsix\tCD\tI-NP\tO' +p126511 +aS'(\t(\t(\tO\tO' +p126512 +aS'6\t6\tCD\tB-NP\tO' +p126513 +aS')\t)\t)\tO\tO' +p126514 +aS'hours\thour\tNNS\tB-NP\tO' +p126515 +aS'as\tas\tIN\tB-SBAR\tO' +p126516 +aS'needed\tneed\tVBN\tB-VP\tO' +p126517 +aS'for\tfor\tIN\tB-PP\tO' +p126518 +aS'indigestion\tindigestion\tNN\tB-NP\tO' +p126519 +aS'.\t.\t.\tO\tO' +p126520 +asS'In addition , the patient was started on Wellbutrin for smoking cessation .' +p126521 +(lp126522 +S'In\tIn\tIN\tB-PP\tO' +p126523 +aS'addition\taddition\tNN\tB-NP\tO' +p126524 +aS',\t,\t,\tO\tO' +p126525 +aS'the\tthe\tDT\tB-NP\tO' +p126526 +aS'patient\tpatient\tNN\tI-NP\tO' +p126527 +aS'was\tbe\tVBD\tB-VP\tO' +p126528 +aS'started\tstart\tVBN\tI-VP\tO' +p126529 +aS'on\ton\tIN\tB-PP\tO' +p126530 +aS'Wellbutrin\tWellbutrin\tNN\tB-NP\tO' +p126531 +aS'for\tfor\tIN\tB-PP\tO' +p126532 +aS'smoking\tsmoking\tNN\tB-NP\tO' +p126533 +aS'cessation\tcessation\tNN\tI-NP\tO' +p126534 +aS'.\t.\t.\tO\tO' +p126535 +asS'Cesarean section x 2 , dilatation and curettage x 1 , neck fusion after motor vehicle accident , shoulder surgery after motor vehicle accident .' +p126536 +(lp126537 +S'Cesarean\tCesarean\tJJ\tB-NP\tO' +p126538 +aS'section\tsection\tNN\tI-NP\tO' +p126539 +aS'x\tx\tSYM\tB-NP\tO' +p126540 +aS'2\t2\tCD\tI-NP\tO' +p126541 +aS',\t,\t,\tI-NP\tO' +p126542 +aS'dilatation\tdilatation\tNN\tI-NP\tO' +p126543 +aS'and\tand\tCC\tI-NP\tO' +p126544 +aS'curettage\tcurettage\tNN\tI-NP\tB-protein' +p126545 +aS'x\tx\tSYM\tB-NP\tI-protein' +p126546 +aS'1\t1\tCD\tI-NP\tI-protein' +p126547 +aS',\t,\t,\tO\tO' +p126548 +aS'neck\tneck\tNN\tB-NP\tO' +p126549 +aS'fusion\tfusion\tNN\tI-NP\tO' +p126550 +aS'after\tafter\tIN\tB-PP\tO' +p126551 +aS'motor\tmotor\tNN\tB-NP\tO' +p126552 +aS'vehicle\tvehicle\tNN\tI-NP\tO' +p126553 +aS'accident\taccident\tNN\tI-NP\tO' +p126554 +aS',\t,\t,\tO\tO' +p126555 +aS'shoulder\tshould\tJJR\tB-NP\tO' +p126556 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p126557 +aS'after\tafter\tIN\tB-PP\tO' +p126558 +aS'motor\tmotor\tNN\tB-NP\tO' +p126559 +aS'vehicle\tvehicle\tNN\tI-NP\tO' +p126560 +aS'accident\taccident\tNN\tI-NP\tO' +p126561 +aS'.\t.\t.\tO\tO' +p126562 +asS'She also had negative antimitochondrial antibody and she also had no evidence of ceruloplasmin .' +p126563 +(lp126564 +S'She\tShe\tPRP\tB-NP\tO' +p126565 +aS'also\talso\tRB\tB-ADVP\tO' +p126566 +aS'had\thave\tVBD\tB-VP\tO' +p126567 +aS'negative\tnegative\tJJ\tB-NP\tO' +p126568 +aS'antimitochondrial\tantimitochondrial\tJJ\tI-NP\tB-protein' +p126569 +aS'antibody\tantibody\tNN\tI-NP\tI-protein' +p126570 +aS'and\tand\tCC\tO\tO' +p126571 +aS'she\tshe\tPRP\tB-NP\tO' +p126572 +aS'also\talso\tRB\tB-ADVP\tO' +p126573 +aS'had\thave\tVBD\tB-VP\tO' +p126574 +aS'no\tno\tDT\tB-NP\tO' +p126575 +aS'evidence\tevidence\tNN\tI-NP\tO' +p126576 +aS'of\tof\tIN\tB-PP\tO' +p126577 +aS'ceruloplasmin\tceruloplasmin\tNN\tB-NP\tO' +p126578 +aS'.\t.\t.\tO\tO' +p126579 +asS'She now returns to ED with pain and erythema from the midline posterior neck to her submental area and 2-3 d of intermittent fevers and chills . + nausea .' +p126580 +(lp126581 +S'She\tShe\tPRP\tB-NP\tO' +p126582 +aS'now\tnow\tRB\tB-ADVP\tO' +p126583 +aS'returns\treturn\tVBZ\tB-VP\tO' +p126584 +aS'to\tto\tTO\tI-VP\tO' +p126585 +aS'ED\tED\tVBN\tI-VP\tO' +p126586 +aS'with\twith\tIN\tB-PP\tO' +p126587 +aS'pain\tpain\tNN\tB-NP\tO' +p126588 +aS'and\tand\tCC\tI-NP\tO' +p126589 +aS'erythema\terythema\tNN\tI-NP\tO' +p126590 +aS'from\tfrom\tIN\tB-PP\tO' +p126591 +aS'the\tthe\tDT\tB-NP\tO' +p126592 +aS'midline\tmidline\tNN\tI-NP\tO' +p126593 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p126594 +aS'neck\tneck\tNN\tI-NP\tO' +p126595 +aS'to\tto\tTO\tB-PP\tO' +p126596 +aS'her\ther\tPRP$\tB-NP\tO' +p126597 +aS'submental\tsubmental\tJJ\tI-NP\tO' +p126598 +aS'area\tarea\tNN\tI-NP\tO' +p126599 +aS'and\tand\tCC\tI-NP\tO' +p126600 +aS'2-3\t2-3\tNN\tI-NP\tO' +p126601 +aS'd\td\tNN\tI-NP\tO' +p126602 +aS'of\tof\tIN\tB-PP\tO' +p126603 +aS'intermittent\tintermittent\tJJ\tB-NP\tO' +p126604 +aS'fevers\tfever\tNNS\tI-NP\tO' +p126605 +aS'and\tand\tCC\tI-NP\tO' +p126606 +aS'chills\tchill\tNNS\tI-NP\tO' +p126607 +aS'.\t.\t.\tO\tO' +p126608 +aS'+\t+\tSYM\tB-NP\tO' +p126609 +aS'nausea\tnausea\tNN\tI-NP\tO' +p126610 +aS'.\t.\t.\tO\tO' +p126611 +asS"Patient will also followup with her primary care provider , Dr. Sandra Lamar for check of her INR in one week 's time ." +p126612 +(lp126613 +S'Patient\tPatient\tNN\tB-NP\tO' +p126614 +aS'will\twill\tMD\tB-VP\tO' +p126615 +aS'also\talso\tRB\tI-VP\tO' +p126616 +aS'followup\tfollowup\tVB\tI-VP\tO' +p126617 +aS'with\twith\tIN\tB-PP\tO' +p126618 +aS'her\ther\tPRP$\tB-NP\tO' +p126619 +aS'primary\tprimary\tJJ\tI-NP\tO' +p126620 +aS'care\tcare\tNN\tI-NP\tO' +p126621 +aS'provider\tprovider\tNN\tI-NP\tO' +p126622 +aS',\t,\t,\tO\tO' +p126623 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p126624 +aS'Sandra\tSandra\tNNP\tI-NP\tO' +p126625 +aS'Lamar\tLamar\tNNP\tI-NP\tO' +p126626 +aS'for\tfor\tIN\tB-PP\tO' +p126627 +aS'check\tcheck\tNN\tB-NP\tO' +p126628 +aS'of\tof\tIN\tB-PP\tO' +p126629 +aS'her\ther\tPRP$\tB-NP\tO' +p126630 +aS'INR\tINR\tNN\tI-NP\tB-protein' +p126631 +aS'in\tin\tIN\tB-PP\tO' +p126632 +aS'one\tone\tCD\tB-NP\tO' +p126633 +aS'week\tweek\tNN\tI-NP\tO' +p126634 +aS"'s\t's\tPOS\tB-NP\tO" +p126635 +aS'time\ttime\tNN\tI-NP\tO' +p126636 +aS'.\t.\t.\tO\tO' +p126637 +asS'anti-GBM is pending .' +p126638 +(lp126639 +S'anti-GBM\tanti-GBM\tJJ\tB-NP\tO' +p126640 +aS'is\tbe\tVBZ\tB-VP\tO' +p126641 +aS'pending\tpende\tVBG\tB-ADJP\tO' +p126642 +aS'.\t.\t.\tO\tO' +p126643 +asS'Ask to speak with May Chen , PA.' +p126644 +(lp126645 +S'Ask\tAsk\tNN\tB-NP\tB-protein' +p126646 +aS'to\tto\tTO\tB-VP\tO' +p126647 +aS'speak\tspeak\tVB\tI-VP\tO' +p126648 +aS'with\twith\tIN\tB-PP\tO' +p126649 +aS'May\tMay\tNNP\tB-NP\tO' +p126650 +aS'Chen\tChen\tNNP\tI-NP\tO' +p126651 +aS',\t,\t,\tO\tO' +p126652 +aS'PA.\tPA.\tNNP\tB-NP\tO' +p126653 +asS"The patient 's condition continued to be improved ." +p126654 +(lp126655 +S'The\tThe\tDT\tB-NP\tO' +p126656 +aS'patient\tpatient\tNN\tI-NP\tO' +p126657 +aS"'s\t's\tPOS\tB-NP\tO" +p126658 +aS'condition\tcondition\tNN\tI-NP\tO' +p126659 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p126660 +aS'to\tto\tTO\tI-VP\tO' +p126661 +aS'be\tbe\tVB\tI-VP\tO' +p126662 +aS'improved\timprove\tVBN\tI-VP\tO' +p126663 +aS'.\t.\t.\tO\tO' +p126664 +asS'The patient was given printed instructions for back pain ( English ) .' +p126665 +(lp126666 +S'The\tThe\tDT\tB-NP\tO' +p126667 +aS'patient\tpatient\tNN\tI-NP\tO' +p126668 +aS'was\tbe\tVBD\tB-VP\tO' +p126669 +aS'given\tgive\tVBN\tI-VP\tO' +p126670 +aS'printed\tprint\tVBN\tB-NP\tO' +p126671 +aS'instructions\tinstruction\tNNS\tI-NP\tO' +p126672 +aS'for\tfor\tIN\tB-PP\tO' +p126673 +aS'back\tback\tJJ\tB-NP\tO' +p126674 +aS'pain\tpain\tNN\tI-NP\tO' +p126675 +aS'(\t(\t(\tO\tO' +p126676 +aS'English\tEnglish\tNN\tB-NP\tO' +p126677 +aS')\t)\t)\tO\tO' +p126678 +aS'.\t.\t.\tO\tO' +p126679 +asS'Serum Tylenol level is 8.3 .' +p126680 +(lp126681 +S'Serum\tSerum\tNN\tB-NP\tO' +p126682 +aS'Tylenol\tTylenol\tNN\tI-NP\tO' +p126683 +aS'level\tlevel\tNN\tI-NP\tO' +p126684 +aS'is\tbe\tVBZ\tB-VP\tO' +p126685 +aS'8.3\t8.3\tCD\tB-NP\tO' +p126686 +aS'.\t.\t.\tO\tO' +p126687 +asS'Temperature 98.8 ; heart rate 88-120 and irregular ; blood pressure 118/78 ; O2 saturation 96% on 2 liters .' +p126688 +(lp126689 +S'Temperature\tTemperature\tNN\tB-NP\tO' +p126690 +aS'98.8\t98.8\tCD\tI-NP\tO' +p126691 +aS';\t;\t:\tO\tO' +p126692 +aS'heart\theart\tNN\tB-NP\tO' +p126693 +aS'rate\trate\tNN\tI-NP\tO' +p126694 +aS'88-120\t88-120\tCD\tB-NP\tO' +p126695 +aS'and\tand\tCC\tO\tO' +p126696 +aS'irregular\tirregular\tJJ\tB-NP\tO' +p126697 +aS';\t;\t:\tO\tO' +p126698 +aS'blood\tblood\tNN\tB-NP\tO' +p126699 +aS'pressure\tpressure\tNN\tI-NP\tO' +p126700 +aS'118/78\t118/78\tCD\tI-NP\tO' +p126701 +aS';\t;\t:\tO\tO' +p126702 +aS'O2\tO2\tNN\tB-NP\tO' +p126703 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p126704 +aS'96%\t96%\tCD\tI-NP\tO' +p126705 +aS'on\ton\tIN\tB-PP\tO' +p126706 +aS'2\t2\tCD\tB-NP\tO' +p126707 +aS'liters\tliter\tNNS\tI-NP\tO' +p126708 +aS'.\t.\t.\tO\tO' +p126709 +asS'Synagis RSV prophylaxis given today due to multiple siblings at home with daycare exposure and the patient being between 32 and 35 weeks .' +p126710 +(lp126711 +S'Synagis\tSynagis\tNN\tB-NP\tO' +p126712 +aS'RSV\tRSV\tNN\tI-NP\tO' +p126713 +aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' +p126714 +aS'given\tgive\tVBN\tB-VP\tO' +p126715 +aS'today\ttoday\tNN\tB-NP\tO' +p126716 +aS'due\tdue\tIN\tB-PP\tO' +p126717 +aS'to\tto\tTO\tB-PP\tO' +p126718 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p126719 +aS'siblings\tsibling\tNNS\tI-NP\tO' +p126720 +aS'at\tat\tIN\tB-PP\tO' +p126721 +aS'home\thome\tNN\tB-NP\tO' +p126722 +aS'with\twith\tIN\tB-PP\tO' +p126723 +aS'daycare\tdaycare\tNN\tB-NP\tO' +p126724 +aS'exposure\texposure\tNN\tI-NP\tO' +p126725 +aS'and\tand\tCC\tO\tO' +p126726 +aS'the\tthe\tDT\tB-NP\tO' +p126727 +aS'patient\tpatient\tNN\tI-NP\tO' +p126728 +aS'being\tbe\tVBG\tB-VP\tO' +p126729 +aS'between\tbetween\tIN\tB-PP\tO' +p126730 +aS'32\t32\tCD\tB-NP\tO' +p126731 +aS'and\tand\tCC\tI-NP\tO' +p126732 +aS'35\t35\tCD\tI-NP\tO' +p126733 +aS'weeks\tweek\tNNS\tI-NP\tO' +p126734 +aS'.\t.\t.\tO\tO' +p126735 +asS'He also had difficulties navigating through his apartment , having difficulties finding the fridge for example .' +p126736 +(lp126737 +S'He\tHe\tPRP\tB-NP\tO' +p126738 +aS'also\talso\tRB\tB-ADVP\tO' +p126739 +aS'had\thave\tVBD\tB-VP\tO' +p126740 +aS'difficulties\tdifficulty\tNNS\tB-NP\tO' +p126741 +aS'navigating\tnavigate\tVBG\tB-VP\tO' +p126742 +aS'through\tthrough\tIN\tB-PP\tO' +p126743 +aS'his\this\tPRP$\tB-NP\tO' +p126744 +aS'apartment\tapartment\tNN\tI-NP\tO' +p126745 +aS',\t,\t,\tO\tO' +p126746 +aS'having\thave\tVBG\tB-VP\tO' +p126747 +aS'difficulties\tdifficulty\tNNS\tB-NP\tO' +p126748 +aS'finding\tfind\tVBG\tB-VP\tO' +p126749 +aS'the\tthe\tDT\tB-NP\tO' +p126750 +aS'fridge\tfridge\tNN\tI-NP\tO' +p126751 +aS'for\tfor\tIN\tB-PP\tO' +p126752 +aS'example\texample\tNN\tB-NP\tO' +p126753 +aS'.\t.\t.\tO\tO' +p126754 +asS'Left Ventricle - Inferolateral Thickness : 0.8 cm ( nl 0.6 - 1.1 cm )' +p126755 +(lp126756 +S'Left\tLeft\tNNP\tB-NP\tO' +p126757 +aS'Ventricle\tVentricle\tNNP\tI-NP\tO' +p126758 +aS'-\t-\tHYPH\tB-NP\tO' +p126759 +aS'Inferolateral\tInferolateral\tJJ\tI-NP\tO' +p126760 +aS'Thickness\tThickness\tNN\tI-NP\tO' +p126761 +aS':\t:\t:\tO\tO' +p126762 +aS'0.8\t0.8\tCD\tB-NP\tO' +p126763 +aS'cm\tcm\tNN\tI-NP\tO' +p126764 +aS'(\t(\t(\tO\tO' +p126765 +aS'nl\tnl\tNN\tB-NP\tB-protein' +p126766 +aS'0.6\t0.6\tCD\tI-NP\tI-protein' +p126767 +aS'-\t-\tHYPH\tO\tO' +p126768 +aS'1.1\t1.1\tCD\tB-NP\tO' +p126769 +aS'cm\tcm\tNN\tI-NP\tO' +p126770 +aS')\t)\t)\tO\tO' +p126771 +asS"The parents have been very involved in the infant 's care throughout her CMED CSRU stay ." +p126772 +(lp126773 +S'The\tThe\tDT\tB-NP\tO' +p126774 +aS'parents\tparent\tNNS\tI-NP\tO' +p126775 +aS'have\thave\tVBP\tB-VP\tO' +p126776 +aS'been\tbe\tVBN\tI-VP\tO' +p126777 +aS'very\tvery\tRB\tB-ADJP\tO' +p126778 +aS'involved\tinvolve\tVBN\tI-ADJP\tO' +p126779 +aS'in\tin\tIN\tB-PP\tO' +p126780 +aS'the\tthe\tDT\tB-NP\tO' +p126781 +aS'infant\tinfant\tNN\tI-NP\tO' +p126782 +aS"'s\t's\tPOS\tB-NP\tO" +p126783 +aS'care\tcare\tNN\tI-NP\tO' +p126784 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p126785 +aS'her\ther\tPRP$\tB-NP\tO' +p126786 +aS'CMED\tCMED\tNNP\tI-NP\tO' +p126787 +aS'CSRU\tCSRU\tNNP\tI-NP\tO' +p126788 +aS'stay\tstay\tNN\tI-NP\tO' +p126789 +aS'.\t.\t.\tO\tO' +p126790 +asS'Normal S1 and S2 without a murmur .' +p126791 +(lp126792 +S'Normal\tNormal\tJJ\tB-NP\tO' +p126793 +aS'S1\tS1\tNN\tI-NP\tB-protein' +p126794 +aS'and\tand\tCC\tO\tO' +p126795 +aS'S2\tS2\tNN\tB-NP\tB-protein' +p126796 +aS'without\twithout\tIN\tB-PP\tO' +p126797 +aS'a\ta\tDT\tB-NP\tO' +p126798 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p126799 +aS'.\t.\t.\tO\tO' +p126800 +asS'2900 wbc 98% pmn , suspcious for intra / extracellular bact' +p126801 +(lp126802 +S'2900\t2900\tCD\tB-NP\tO' +p126803 +aS'wbc\twbc\tNN\tI-NP\tO' +p126804 +aS'98%\t98%\tNN\tI-NP\tO' +p126805 +aS'pmn\tpmn\tNN\tI-NP\tO' +p126806 +aS',\t,\t,\tO\tO' +p126807 +aS'suspcious\tsuspcious\tJJ\tB-ADJP\tO' +p126808 +aS'for\tfor\tIN\tB-PP\tO' +p126809 +aS'intra\tintra\tJJ\tB-NP\tO' +p126810 +aS'/\t/\tSYM\tI-NP\tO' +p126811 +aS'extracellular\textracellular\tJJ\tI-NP\tO' +p126812 +aS'bact\tbact\tNN\tI-NP\tO' +p126813 +asS'The patient was admitted to the Cardiac Medicine Service and treated for presumed diastolic and systolic dysfunction .' +p126814 +(lp126815 +S'The\tThe\tDT\tB-NP\tO' +p126816 +aS'patient\tpatient\tNN\tI-NP\tO' +p126817 +aS'was\tbe\tVBD\tB-VP\tO' +p126818 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p126819 +aS'to\tto\tTO\tB-PP\tO' +p126820 +aS'the\tthe\tDT\tB-NP\tO' +p126821 +aS'Cardiac\tCardiac\tNNP\tI-NP\tO' +p126822 +aS'Medicine\tMedicine\tNNP\tI-NP\tO' +p126823 +aS'Service\tService\tNNP\tI-NP\tO' +p126824 +aS'and\tand\tCC\tO\tO' +p126825 +aS'treated\ttreat\tVBN\tB-VP\tO' +p126826 +aS'for\tfor\tIN\tB-PP\tO' +p126827 +aS'presumed\tpresume\tVBN\tB-NP\tO' +p126828 +aS'diastolic\tdiastolic\tJJ\tI-NP\tO' +p126829 +aS'and\tand\tCC\tI-NP\tO' +p126830 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p126831 +aS'dysfunction\tdysfunction\tNN\tI-NP\tO' +p126832 +aS'.\t.\t.\tO\tO' +p126833 +asS'He received 12 U of platelets .' +p126834 +(lp126835 +S'He\tHe\tPRP\tB-NP\tO' +p126836 +aS'received\treceive\tVBD\tB-VP\tO' +p126837 +aS'12\t12\tCD\tB-NP\tO' +p126838 +aS'U\tU\tNN\tI-NP\tO' +p126839 +aS'of\tof\tIN\tB-PP\tO' +p126840 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p126841 +aS'.\t.\t.\tO\tO' +p126842 +asS'No driving while taking prescription pain medications .' +p126843 +(lp126844 +S'No\tNo\tDT\tB-NP\tO' +p126845 +aS'driving\tdriving\tNN\tI-NP\tO' +p126846 +aS'while\twhile\tIN\tB-SBAR\tO' +p126847 +aS'taking\ttake\tVBG\tB-VP\tO' +p126848 +aS'prescription\tprescription\tNN\tB-NP\tO' +p126849 +aS'pain\tpain\tNN\tI-NP\tO' +p126850 +aS'medications\tmedication\tNNS\tI-NP\tO' +p126851 +aS'.\t.\t.\tO\tO' +p126852 +asS'A repeat EKG showed no changes .' +p126853 +(lp126854 +S'A\tA\tDT\tB-NP\tO' +p126855 +aS'repeat\trepeat\tNN\tI-NP\tO' +p126856 +aS'EKG\tEKG\tNN\tI-NP\tO' +p126857 +aS'showed\tshow\tVBD\tB-VP\tO' +p126858 +aS'no\tno\tDT\tB-NP\tO' +p126859 +aS'changes\tchange\tNNS\tI-NP\tO' +p126860 +aS'.\t.\t.\tO\tO' +p126861 +asS'Early on post-op day two Ms. Bridge had an episode of aphasia .' +p126862 +(lp126863 +S'Early\tEarly\tRB\tB-ADVP\tO' +p126864 +aS'on\ton\tIN\tB-PP\tO' +p126865 +aS'post-op\tpost-op\tJJ\tB-NP\tO' +p126866 +aS'day\tday\tNN\tI-NP\tO' +p126867 +aS'two\ttwo\tCD\tB-NP\tO' +p126868 +aS'Ms.\tMs.\tNNP\tI-NP\tO' +p126869 +aS'Bridge\tBridge\tNNP\tI-NP\tO' +p126870 +aS'had\thave\tVBD\tB-VP\tO' +p126871 +aS'an\tan\tDT\tB-NP\tO' +p126872 +aS'episode\tepisode\tNN\tI-NP\tO' +p126873 +aS'of\tof\tIN\tB-PP\tO' +p126874 +aS'aphasia\taphasia\tNN\tB-NP\tO' +p126875 +aS'.\t.\t.\tO\tO' +p126876 +asS'Back and neck were stiff and sore , without localizing tenderness .' +p126877 +(lp126878 +S'Back\tBack\tRB\tB-ADVP\tO' +p126879 +aS'and\tand\tCC\tO\tO' +p126880 +aS'neck\tneck\tNN\tB-NP\tO' +p126881 +aS'were\tbe\tVBD\tB-VP\tO' +p126882 +aS'stiff\tstiff\tJJ\tB-ADJP\tO' +p126883 +aS'and\tand\tCC\tI-ADJP\tO' +p126884 +aS'sore\tsore\tJJ\tI-ADJP\tO' +p126885 +aS',\t,\t,\tO\tO' +p126886 +aS'without\twithout\tIN\tB-PP\tO' +p126887 +aS'localizing\tlocalize\tVBG\tB-VP\tO' +p126888 +aS'tenderness\ttenderness\tNN\tB-NP\tO' +p126889 +aS'.\t.\t.\tO\tO' +p126890 +asS'She has not received prior radiation exposure .' +p126891 +(lp126892 +S'She\tShe\tPRP\tB-NP\tO' +p126893 +aS'has\thave\tVBZ\tB-VP\tO' +p126894 +aS'not\tnot\tRB\tI-VP\tO' +p126895 +aS'received\treceive\tVBN\tI-VP\tO' +p126896 +aS'prior\tprior\tJJ\tB-NP\tO' +p126897 +aS'radiation\tradiation\tNN\tI-NP\tO' +p126898 +aS'exposure\texposure\tNN\tI-NP\tO' +p126899 +aS'.\t.\t.\tO\tO' +p126900 +asS'Genitourinary : She had a foley catheter from the time of admission .' +p126901 +(lp126902 +S'Genitourinary\tGenitourinary\tJJ\tB-ADJP\tO' +p126903 +aS':\t:\t:\tO\tO' +p126904 +aS'She\tShe\tPRP\tB-NP\tO' +p126905 +aS'had\thave\tVBD\tB-VP\tO' +p126906 +aS'a\ta\tDT\tB-NP\tO' +p126907 +aS'foley\tfoley\tJJ\tI-NP\tO' +p126908 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p126909 +aS'from\tfrom\tIN\tB-PP\tO' +p126910 +aS'the\tthe\tDT\tB-NP\tO' +p126911 +aS'time\ttime\tNN\tI-NP\tO' +p126912 +aS'of\tof\tIN\tB-PP\tO' +p126913 +aS'admission\tadmission\tNN\tB-NP\tO' +p126914 +aS'.\t.\t.\tO\tO' +p126915 +asS'1. She was instructed to have blood drawn by the Visiting Nurses Association the day after discharge and then a few days after discharge the same week to have INR .' +p126916 +(lp126917 +S'1.\t1.\tLS\tB-LST\tO' +p126918 +aS'She\tShe\tPRP\tB-NP\tO' +p126919 +aS'was\tbe\tVBD\tB-VP\tO' +p126920 +aS'instructed\tinstruct\tVBN\tI-VP\tO' +p126921 +aS'to\tto\tTO\tI-VP\tO' +p126922 +aS'have\thave\tVB\tI-VP\tO' +p126923 +aS'blood\tblood\tNN\tB-NP\tO' +p126924 +aS'drawn\tdraw\tVBN\tB-VP\tO' +p126925 +aS'by\tby\tIN\tB-PP\tO' +p126926 +aS'the\tthe\tDT\tB-NP\tO' +p126927 +aS'Visiting\tVisiting\tNNP\tI-NP\tO' +p126928 +aS'Nurses\tNurse\tNNPS\tI-NP\tO' +p126929 +aS'Association\tAssociation\tNNP\tI-NP\tO' +p126930 +aS'the\tthe\tDT\tB-NP\tO' +p126931 +aS'day\tday\tNN\tI-NP\tO' +p126932 +aS'after\tafter\tIN\tB-PP\tO' +p126933 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p126934 +aS'and\tand\tCC\tO\tO' +p126935 +aS'then\tthen\tRB\tO\tO' +p126936 +aS'a\ta\tDT\tB-NP\tO' +p126937 +aS'few\tfew\tJJ\tI-NP\tO' +p126938 +aS'days\tday\tNNS\tI-NP\tO' +p126939 +aS'after\tafter\tIN\tB-PP\tO' +p126940 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p126941 +aS'the\tthe\tDT\tB-NP\tO' +p126942 +aS'same\tsame\tJJ\tI-NP\tO' +p126943 +aS'week\tweek\tNN\tI-NP\tO' +p126944 +aS'to\tto\tTO\tB-VP\tO' +p126945 +aS'have\thave\tVB\tI-VP\tO' +p126946 +aS'INR\tINR\tNN\tB-NP\tB-protein' +p126947 +aS'.\t.\t.\tO\tO' +p126948 +asS'Past Medical History : h/o Mitral Valve Endocarditis' +p126949 +(lp126950 +S'Past\tPast\tNNP\tB-NP\tO' +p126951 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p126952 +aS'History\tHistory\tNNP\tI-NP\tO' +p126953 +aS':\t:\t:\tO\tO' +p126954 +aS'h/o\th/o\tNNP\tB-NP\tO' +p126955 +aS'Mitral\tMitral\tNNP\tI-NP\tO' +p126956 +aS'Valve\tValve\tNNP\tI-NP\tO' +p126957 +aS'Endocarditis\tEndocarditis\tNNP\tI-NP\tO' +p126958 +asS'2) colonic dysfunction alternating with diarrhea and constipation' +p126959 +(lp126960 +S'2)\t2)\tLS\tB-NP\tO' +p126961 +aS'colonic\tcolonic\tJJ\tI-NP\tO' +p126962 +aS'dysfunction\tdysfunction\tNN\tI-NP\tO' +p126963 +aS'alternating\talternate\tVBG\tB-VP\tO' +p126964 +aS'with\twith\tIN\tB-PP\tO' +p126965 +aS'diarrhea\tdiarrhea\tNN\tB-NP\tO' +p126966 +aS'and\tand\tCC\tI-NP\tO' +p126967 +aS'constipation\tconstipation\tNN\tI-NP\tO' +p126968 +asS'1. 60-69% stenosis of the right internal carotid artery .' +p126969 +(lp126970 +S'1.\t1.\tLS\tB-NP\tO' +p126971 +aS'60-69%\t60-69%\tJJ\tI-NP\tO' +p126972 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p126973 +aS'of\tof\tIN\tB-PP\tO' +p126974 +aS'the\tthe\tDT\tB-NP\tO' +p126975 +aS'right\tright\tJJ\tI-NP\tO' +p126976 +aS'internal\tinternal\tJJ\tI-NP\tO' +p126977 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p126978 +aS'artery\tartery\tNN\tI-NP\tO' +p126979 +aS'.\t.\t.\tO\tO' +p126980 +asS'Call Dr. Linketerf tomorrow and make an appointment for follow-up on the lung nodule .' +p126981 +(lp126982 +S'Call\tCall\tNNP\tB-NP\tO' +p126983 +aS'Dr.\tDr.\tNNP\tI-NP\tO' +p126984 +aS'Linketerf\tLinketerf\tNNP\tI-NP\tO' +p126985 +aS'tomorrow\ttomorrow\tNN\tB-NP\tO' +p126986 +aS'and\tand\tCC\tO\tO' +p126987 +aS'make\tmake\tVB\tB-VP\tO' +p126988 +aS'an\tan\tDT\tB-NP\tO' +p126989 +aS'appointment\tappointment\tNN\tI-NP\tO' +p126990 +aS'for\tfor\tIN\tB-PP\tO' +p126991 +aS'follow-up\tfollow-up\tNN\tB-NP\tO' +p126992 +aS'on\ton\tIN\tB-PP\tO' +p126993 +aS'the\tthe\tDT\tB-NP\tO' +p126994 +aS'lung\tlung\tNN\tI-NP\tO' +p126995 +aS'nodule\tnodule\tNN\tI-NP\tO' +p126996 +aS'.\t.\t.\tO\tO' +p126997 +asS'Hematocrit was 24 in the Emergency Department .' +p126998 +(lp126999 +S'Hematocrit\tHematocrit\tNN\tB-NP\tO' +p127000 +aS'was\tbe\tVBD\tB-VP\tO' +p127001 +aS'24\t24\tCD\tB-NP\tO' +p127002 +aS'in\tin\tIN\tB-PP\tO' +p127003 +aS'the\tthe\tDT\tB-NP\tO' +p127004 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p127005 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p127006 +aS'.\t.\t.\tO\tO' +p127007 +asS'2. CELLULITIS .' +p127008 +(lp127009 +S'2.\t2.\tLS\tB-NP\tO' +p127010 +aS'CELLULITIS\tCELLULITIS\tNN\tI-NP\tO' +p127011 +aS'.\t.\t.\tO\tO' +p127012 +asS'8. Oxycodone - Acetaminophen 5-325 mg Tablet Sig : 1-2 Tablets PO Q4-6H ( every 4 to 6 hours ) as needed .' +p127013 +(lp127014 +S'8.\t8.\tCD\tB-NP\tO' +p127015 +aS'Oxycodone\tOxycodone\tNN\tI-NP\tO' +p127016 +aS'-\t-\tHYPH\tO\tO' +p127017 +aS'Acetaminophen\tAcetaminophen\tNN\tB-NP\tO' +p127018 +aS'5-325\t5-325\tCD\tI-NP\tO' +p127019 +aS'mg\tmg\tNN\tI-NP\tO' +p127020 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p127021 +aS'Sig\tSig\tNNP\tI-NP\tO' +p127022 +aS':\t:\t:\tO\tO' +p127023 +aS'1-2\t1-2\tCD\tB-NP\tO' +p127024 +aS'Tablets\tTablet\tNNS\tI-NP\tO' +p127025 +aS'PO\tPO\tNN\tI-NP\tO' +p127026 +aS'Q4-6H\tQ4-6H\tNN\tI-NP\tO' +p127027 +aS'(\t(\t(\tO\tO' +p127028 +aS'every\tevery\tDT\tB-NP\tO' +p127029 +aS'4\t4\tCD\tI-NP\tO' +p127030 +aS'to\tto\tTO\tI-NP\tO' +p127031 +aS'6\t6\tCD\tI-NP\tO' +p127032 +aS'hours\thour\tNNS\tI-NP\tO' +p127033 +aS')\t)\t)\tO\tO' +p127034 +aS'as\tas\tIN\tB-SBAR\tO' +p127035 +aS'needed\tneed\tVBN\tB-VP\tO' +p127036 +aS'.\t.\t.\tO\tO' +p127037 +asS'Transcranial dopplers showed no abnormalities in the ophthalmic siphon systems , distal vertebrals , or proximal basilar artery .' +p127038 +(lp127039 +S'Transcranial\tTranscranial\tJJ\tB-NP\tO' +p127040 +aS'dopplers\tdoppler\tNNS\tI-NP\tO' +p127041 +aS'showed\tshow\tVBD\tB-VP\tO' +p127042 +aS'no\tno\tDT\tB-NP\tO' +p127043 +aS'abnormalities\tabnormality\tNNS\tI-NP\tO' +p127044 +aS'in\tin\tIN\tB-PP\tO' +p127045 +aS'the\tthe\tDT\tB-NP\tO' +p127046 +aS'ophthalmic\tophthalmic\tJJ\tI-NP\tO' +p127047 +aS'siphon\tsiphon\tNN\tI-NP\tO' +p127048 +aS'systems\tsystem\tNNS\tI-NP\tO' +p127049 +aS',\t,\t,\tO\tO' +p127050 +aS'distal\tdistal\tJJ\tB-NP\tO' +p127051 +aS'vertebrals\tvertebral\tNNS\tI-NP\tO' +p127052 +aS',\t,\t,\tO\tO' +p127053 +aS'or\tor\tCC\tO\tO' +p127054 +aS'proximal\tproximal\tJJ\tB-NP\tO' +p127055 +aS'basilar\tbasilar\tJJ\tI-NP\tO' +p127056 +aS'artery\tartery\tNN\tI-NP\tO' +p127057 +aS'.\t.\t.\tO\tO' +p127058 +asS'Calcification is seen at both carotid bifurcations .' +p127059 +(lp127060 +S'Calcification\tCalcification\tNN\tB-NP\tO' +p127061 +aS'is\tbe\tVBZ\tB-VP\tO' +p127062 +aS'seen\tsee\tVBN\tI-VP\tO' +p127063 +aS'at\tat\tIN\tB-PP\tO' +p127064 +aS'both\tboth\tDT\tB-NP\tO' +p127065 +aS'carotid\tcarotid\tJJ\tI-NP\tO' +p127066 +aS'bifurcations\tbifurcation\tNNS\tI-NP\tO' +p127067 +aS'.\t.\t.\tO\tO' +p127068 +asS'The patient was extubated on 11/22/03 .' +p127069 +(lp127070 +S'The\tThe\tDT\tB-NP\tO' +p127071 +aS'patient\tpatient\tNN\tI-NP\tO' +p127072 +aS'was\tbe\tVBD\tB-VP\tO' +p127073 +aS'extubated\textubate\tVBN\tI-VP\tO' +p127074 +aS'on\ton\tIN\tB-PP\tO' +p127075 +aS'11/22/03\t11/22/03\tCD\tB-NP\tO' +p127076 +aS'.\t.\t.\tO\tO' +p127077 +asS'Dr Marcus assistant was called and she stated that she would call the patient with an appointment .' +p127078 +(lp127079 +S'Dr\tDr\tNNP\tB-NP\tO' +p127080 +aS'Marcus\tMarcus\tNNP\tI-NP\tO' +p127081 +aS'assistant\tassistant\tNN\tI-NP\tO' +p127082 +aS'was\tbe\tVBD\tB-VP\tO' +p127083 +aS'called\tcall\tVBN\tI-VP\tO' +p127084 +aS'and\tand\tCC\tO\tO' +p127085 +aS'she\tshe\tPRP\tB-NP\tO' +p127086 +aS'stated\tstate\tVBD\tB-VP\tO' +p127087 +aS'that\tthat\tIN\tB-SBAR\tO' +p127088 +aS'she\tshe\tPRP\tB-NP\tO' +p127089 +aS'would\twould\tMD\tB-VP\tO' +p127090 +aS'call\tcall\tVB\tI-VP\tO' +p127091 +aS'the\tthe\tDT\tB-NP\tO' +p127092 +aS'patient\tpatient\tNN\tI-NP\tO' +p127093 +aS'with\twith\tIN\tB-PP\tO' +p127094 +aS'an\tan\tDT\tB-NP\tO' +p127095 +aS'appointment\tappointment\tNN\tI-NP\tO' +p127096 +aS'.\t.\t.\tO\tO' +p127097 +asS'Cerebellar function was intact .' +p127098 +(lp127099 +S'Cerebellar\tCerebellar\tJJ\tB-NP\tO' +p127100 +aS'function\tfunction\tNN\tI-NP\tO' +p127101 +aS'was\tbe\tVBD\tB-VP\tO' +p127102 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p127103 +aS'.\t.\t.\tO\tO' +p127104 +asS'Mental status : Awake and alert , cooperative with exam , normal affect .' +p127105 +(lp127106 +S'Mental\tMental\tJJ\tB-NP\tO' +p127107 +aS'status\tstatus\tNN\tI-NP\tO' +p127108 +aS':\t:\t:\tO\tO' +p127109 +aS'Awake\tAwake\tNN\tB-NP\tO' +p127110 +aS'and\tand\tCC\tO\tO' +p127111 +aS'alert\talert\tJJ\tB-ADJP\tO' +p127112 +aS',\t,\t,\tO\tO' +p127113 +aS'cooperative\tcooperative\tJJ\tB-ADJP\tO' +p127114 +aS'with\twith\tIN\tB-PP\tO' +p127115 +aS'exam\texam\tNN\tB-NP\tO' +p127116 +aS',\t,\t,\tO\tO' +p127117 +aS'normal\tnormal\tJJ\tB-NP\tO' +p127118 +aS'affect\taffect\tNN\tI-NP\tO' +p127119 +aS'.\t.\t.\tO\tO' +p127120 +asS'There he continued to be hemodynamically stable .' +p127121 +(lp127122 +S'There\tThere\tEX\tB-NP\tO' +p127123 +aS'he\the\tPRP\tB-NP\tO' +p127124 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p127125 +aS'to\tto\tTO\tI-VP\tO' +p127126 +aS'be\tbe\tVB\tI-VP\tO' +p127127 +aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' +p127128 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p127129 +aS'.\t.\t.\tO\tO' +p127130 +asS'Increased soft tissues within the pharynx .' +p127131 +(lp127132 +S'Increased\tIncrease\tVBN\tB-NP\tO' +p127133 +aS'soft\tsoft\tJJ\tI-NP\tO' +p127134 +aS'tissues\ttissue\tNNS\tI-NP\tO' +p127135 +aS'within\twithin\tIN\tB-PP\tO' +p127136 +aS'the\tthe\tDT\tB-NP\tO' +p127137 +aS'pharynx\tpharynx\tNN\tI-NP\tO' +p127138 +aS'.\t.\t.\tO\tO' +p127139 +asS'8) previous abdominal aortic aneurysm repair in 1981 ,' +p127140 +(lp127141 +S'8)\t8)\tLS\tB-NP\tO' +p127142 +aS'previous\tprevious\tJJ\tI-NP\tO' +p127143 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p127144 +aS'aortic\taortic\tJJ\tI-NP\tO' +p127145 +aS'aneurysm\taneurysm\tNN\tI-NP\tO' +p127146 +aS'repair\trepair\tNN\tI-NP\tO' +p127147 +aS'in\tin\tIN\tB-PP\tO' +p127148 +aS'1981\t1981\tCD\tB-NP\tO' +p127149 +aS',\t,\t,\tO\tO' +p127150 +asS'Per family , the patient has had worsening CHF/volume overload over the last several weeks , requiring supplemental O2 at rehab .' +p127151 +(lp127152 +S'Per\tPer\tNNP\tB-NP\tO' +p127153 +aS'family\tfamily\tNN\tI-NP\tO' +p127154 +aS',\t,\t,\tO\tO' +p127155 +aS'the\tthe\tDT\tB-NP\tO' +p127156 +aS'patient\tpatient\tNN\tI-NP\tO' +p127157 +aS'has\thave\tVBZ\tB-VP\tO' +p127158 +aS'had\thave\tVBN\tI-VP\tO' +p127159 +aS'worsening\tworsen\tVBG\tI-VP\tO' +p127160 +aS'CHF/volume\tCHF/volume\tNN\tB-NP\tO' +p127161 +aS'overload\toverload\tNN\tI-NP\tO' +p127162 +aS'over\tover\tIN\tB-PP\tO' +p127163 +aS'the\tthe\tDT\tB-NP\tO' +p127164 +aS'last\tlast\tJJ\tI-NP\tO' +p127165 +aS'several\tseveral\tJJ\tI-NP\tO' +p127166 +aS'weeks\tweek\tNNS\tI-NP\tO' +p127167 +aS',\t,\t,\tO\tO' +p127168 +aS'requiring\trequire\tVBG\tB-VP\tO' +p127169 +aS'supplemental\tsupplemental\tJJ\tB-NP\tO' +p127170 +aS'O2\tO2\tNN\tI-NP\tO' +p127171 +aS'at\tat\tIN\tB-PP\tO' +p127172 +aS'rehab\trehab\tNN\tB-NP\tO' +p127173 +aS'.\t.\t.\tO\tO' +p127174 +asS'There were no sepsis risk factors .' +p127175 +(lp127176 +S'There\tThere\tEX\tB-NP\tO' +p127177 +aS'were\tbe\tVBD\tB-VP\tO' +p127178 +aS'no\tno\tDT\tB-NP\tO' +p127179 +aS'sepsis\tsepsis\tNN\tI-NP\tO' +p127180 +aS'risk\trisk\tNN\tI-NP\tO' +p127181 +aS'factors\tfactor\tNNS\tI-NP\tO' +p127182 +aS'.\t.\t.\tO\tO' +p127183 +asS'He remained unresponsive when the ambulance arrived .' +p127184 +(lp127185 +S'He\tHe\tPRP\tB-NP\tO' +p127186 +aS'remained\tremain\tVBD\tB-VP\tO' +p127187 +aS'unresponsive\tunresponsive\tJJ\tB-ADJP\tO' +p127188 +aS'when\twhen\tWRB\tB-ADVP\tO' +p127189 +aS'the\tthe\tDT\tB-NP\tO' +p127190 +aS'ambulance\tambulance\tNN\tI-NP\tO' +p127191 +aS'arrived\tarrive\tVBD\tB-VP\tO' +p127192 +aS'.\t.\t.\tO\tO' +p127193 +asS"Pulse in the 60 's to 70 's." +p127194 +(lp127195 +S'Pulse\tPulse\tNN\tB-NP\tO' +p127196 +aS'in\tin\tIN\tB-PP\tO' +p127197 +aS'the\tthe\tDT\tB-NP\tO' +p127198 +aS'60\t60\tCD\tI-NP\tO' +p127199 +aS"'s\t's\tPOS\tB-NP\tO" +p127200 +aS'to\tto\tTO\tB-PP\tO' +p127201 +aS'70\t70\tCD\tB-NP\tO' +p127202 +aS"'s.\t's.\tPOS\tB-NP\tO" +p127203 +asS'He does not have wheezing , claudication or gastrointestinal bleeding .' +p127204 +(lp127205 +S'He\tHe\tPRP\tB-NP\tO' +p127206 +aS'does\tdo\tVBZ\tB-VP\tO' +p127207 +aS'not\tnot\tRB\tI-VP\tO' +p127208 +aS'have\thave\tVB\tI-VP\tO' +p127209 +aS'wheezing\twheezing\tNN\tB-NP\tO' +p127210 +aS',\t,\t,\tO\tO' +p127211 +aS'claudication\tclaudication\tNN\tB-NP\tO' +p127212 +aS'or\tor\tCC\tO\tO' +p127213 +aS'gastrointestinal\tgastrointestinal\tJJ\tB-NP\tO' +p127214 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p127215 +aS'.\t.\t.\tO\tO' +p127216 +asS'5. Heavy calcification of the aorta and SMA and its branches .' +p127217 +(lp127218 +S'5.\t5.\tLS\tB-NP\tO' +p127219 +aS'Heavy\tHeavy\tJJ\tI-NP\tO' +p127220 +aS'calcification\tcalcification\tNN\tI-NP\tO' +p127221 +aS'of\tof\tIN\tB-PP\tO' +p127222 +aS'the\tthe\tDT\tB-NP\tO' +p127223 +aS'aorta\taorta\tNN\tI-NP\tO' +p127224 +aS'and\tand\tCC\tI-NP\tO' +p127225 +aS'SMA\tSMA\tNN\tI-NP\tB-protein' +p127226 +aS'and\tand\tCC\tO\tO' +p127227 +aS'its\tits\tPRP$\tB-NP\tO' +p127228 +aS'branches\tbranch\tNNS\tI-NP\tO' +p127229 +aS'.\t.\t.\tO\tO' +p127230 +asS'Neck supple , no lymphadenopathy .' +p127231 +(lp127232 +S'Neck\tNeck\tNN\tB-NP\tO' +p127233 +aS'supple\tsupple\tNN\tI-NP\tO' +p127234 +aS',\t,\t,\tO\tO' +p127235 +aS'no\tno\tDT\tB-NP\tO' +p127236 +aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' +p127237 +aS'.\t.\t.\tO\tO' +p127238 +asS'Completed by : Bertha Janice Motta MD 52-860 2012-11-07 @ 1207' +p127239 +(lp127240 +S'Completed\tComplete\tVBN\tB-VP\tO' +p127241 +aS'by\tby\tIN\tB-PP\tO' +p127242 +aS':\t:\t:\tO\tO' +p127243 +aS'Bertha\tBertha\tNNP\tB-NP\tO' +p127244 +aS'Janice\tJanice\tNNP\tI-NP\tO' +p127245 +aS'Motta\tMotta\tNNP\tI-NP\tO' +p127246 +aS'MD\tMD\tNNP\tI-NP\tO' +p127247 +aS'52-860\t52-860\tCD\tI-NP\tO' +p127248 +aS'2012-11-07\t2012-11-07\tCD\tI-NP\tO' +p127249 +aS'@\t@\tNN\tI-NP\tO' +p127250 +aS'1207\t1207\tCD\tB-NP\tO' +p127251 +asS'PULM - CTAB no w / r / r ABD -nt / nd ; incision c / d / I ; discrete 3x3 cm slightly firm protuberant mass to the R of umbilicus ; no rebound , no guarding .' +p127252 +(lp127253 +S'PULM\tPULM\tNN\tB-NP\tB-protein' +p127254 +aS'-\t-\tHYPH\tI-NP\tO' +p127255 +aS'CTAB\tCTAB\tNN\tI-NP\tB-protein' +p127256 +aS'no\tno\tDT\tB-NP\tO' +p127257 +aS'w\tw\tNN\tI-NP\tO' +p127258 +aS'/\t/\tSYM\tB-NP\tO' +p127259 +aS'r\tr\tNN\tI-NP\tO' +p127260 +aS'/\t/\tSYM\tI-NP\tO' +p127261 +aS'r\tr\tNN\tI-NP\tO' +p127262 +aS'ABD\tABD\tNN\tI-NP\tO' +p127263 +aS'-nt\t-nt\tNN\tI-NP\tO' +p127264 +aS'/\t/\tSYM\tB-NP\tO' +p127265 +aS'nd\tnd\tNN\tI-NP\tO' +p127266 +aS';\t;\t:\tO\tO' +p127267 +aS'incision\tincision\tNN\tB-NP\tO' +p127268 +aS'c\tc\tNN\tI-NP\tO' +p127269 +aS'/\t/\tSYM\tB-NP\tO' +p127270 +aS'd\td\tNN\tI-NP\tO' +p127271 +aS'/\t/\tSYM\tI-NP\tO' +p127272 +aS'I\tI\tNN\tI-NP\tO' +p127273 +aS';\t;\t:\tO\tO' +p127274 +aS'discrete\tdiscrete\tJJ\tB-NP\tO' +p127275 +aS'3x3\t3x3\tCD\tI-NP\tO' +p127276 +aS'cm\tcm\tNN\tI-NP\tO' +p127277 +aS'slightly\tslightly\tRB\tB-NP\tO' +p127278 +aS'firm\tfirm\tJJ\tI-NP\tO' +p127279 +aS'protuberant\tprotuberant\tJJ\tI-NP\tO' +p127280 +aS'mass\tmass\tNN\tI-NP\tO' +p127281 +aS'to\tto\tTO\tB-PP\tO' +p127282 +aS'the\tthe\tDT\tB-NP\tO' +p127283 +aS'R\tR\tNN\tI-NP\tB-protein' +p127284 +aS'of\tof\tIN\tB-PP\tO' +p127285 +aS'umbilicus\tumbilicus\tNN\tB-NP\tO' +p127286 +aS';\t;\t:\tO\tO' +p127287 +aS'no\tno\tDT\tB-NP\tO' +p127288 +aS'rebound\trebound\tNN\tI-NP\tO' +p127289 +aS',\t,\t,\tO\tO' +p127290 +aS'no\tno\tDT\tB-NP\tO' +p127291 +aS'guarding\tguarding\tNN\tI-NP\tO' +p127292 +aS'.\t.\t.\tO\tO' +p127293 +asS'Psychiatric examination was normal .' +p127294 +(lp127295 +S'Psychiatric\tPsychiatric\tJJ\tB-NP\tO' +p127296 +aS'examination\texamination\tNN\tI-NP\tO' +p127297 +aS'was\tbe\tVBD\tB-VP\tO' +p127298 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p127299 +aS'.\t.\t.\tO\tO' +p127300 +asS'50 yo M from Taheimpromong admitted w / CP for r / o MI .' +p127301 +(lp127302 +S'50\t50\tCD\tB-NP\tO' +p127303 +aS'yo\tyo\tNN\tI-NP\tO' +p127304 +aS'M\tM\tNN\tI-NP\tO' +p127305 +aS'from\tfrom\tIN\tB-PP\tO' +p127306 +aS'Taheimpromong\tTaheimpromong\tIN\tB-PP\tO' +p127307 +aS'admitted\tadmit\tVBN\tB-NP\tO' +p127308 +aS'w\tw\tNN\tI-NP\tO' +p127309 +aS'/\t/\tSYM\tO\tO' +p127310 +aS'CP\tCP\tNN\tB-NP\tB-DNA' +p127311 +aS'for\tfor\tIN\tB-PP\tO' +p127312 +aS'r\tr\tNN\tB-NP\tO' +p127313 +aS'/\t/\tSYM\tI-NP\tO' +p127314 +aS'o\to\tNN\tI-NP\tO' +p127315 +aS'MI\tMI\tNN\tI-NP\tO' +p127316 +aS'.\t.\t.\tO\tO' +p127317 +asS'His partner also reports that he has been having more difficulty with ADLs .' +p127318 +(lp127319 +S'His\tHis\tPRP$\tB-NP\tO' +p127320 +aS'partner\tpartner\tNN\tI-NP\tO' +p127321 +aS'also\talso\tRB\tB-ADVP\tO' +p127322 +aS'reports\treport\tVBZ\tB-VP\tO' +p127323 +aS'that\tthat\tIN\tB-SBAR\tO' +p127324 +aS'he\the\tPRP\tB-NP\tO' +p127325 +aS'has\thave\tVBZ\tB-VP\tO' +p127326 +aS'been\tbe\tVBN\tI-VP\tO' +p127327 +aS'having\thave\tVBG\tI-VP\tO' +p127328 +aS'more\tmore\tJJR\tB-NP\tO' +p127329 +aS'difficulty\tdifficulty\tNN\tI-NP\tO' +p127330 +aS'with\twith\tIN\tB-PP\tO' +p127331 +aS'ADLs\tADL\tNNS\tB-NP\tB-protein' +p127332 +aS'.\t.\t.\tO\tO' +p127333 +asS'Iodine and shellfish cause throat tightening .' +p127334 +(lp127335 +S'Iodine\tIodine\tNN\tB-NP\tO' +p127336 +aS'and\tand\tCC\tI-NP\tO' +p127337 +aS'shellfish\tshellfish\tNN\tI-NP\tO' +p127338 +aS'cause\tcause\tVBP\tB-VP\tO' +p127339 +aS'throat\tthroat\tNN\tB-NP\tO' +p127340 +aS'tightening\ttighten\tVBG\tB-VP\tO' +p127341 +aS'.\t.\t.\tO\tO' +p127342 +asS'He had experienced some constipation for the few months prior with lighter colored stools , darkened urine and fatigue for months with increased shortness of breath , orthopnea and dyspnea on exertion .' +p127343 +(lp127344 +S'He\tHe\tPRP\tB-NP\tO' +p127345 +aS'had\thave\tVBD\tB-VP\tO' +p127346 +aS'experienced\texperience\tVBN\tI-VP\tO' +p127347 +aS'some\tsome\tDT\tB-NP\tO' +p127348 +aS'constipation\tconstipation\tNN\tI-NP\tO' +p127349 +aS'for\tfor\tIN\tB-PP\tO' +p127350 +aS'the\tthe\tDT\tB-NP\tO' +p127351 +aS'few\tfew\tJJ\tI-NP\tO' +p127352 +aS'months\tmonth\tNNS\tI-NP\tO' +p127353 +aS'prior\tprior\tRB\tB-ADVP\tO' +p127354 +aS'with\twith\tIN\tB-PP\tO' +p127355 +aS'lighter\tlight\tJJR\tB-NP\tO' +p127356 +aS'colored\tcolor\tVBN\tI-NP\tO' +p127357 +aS'stools\tstool\tNNS\tI-NP\tO' +p127358 +aS',\t,\t,\tO\tO' +p127359 +aS'darkened\tdarken\tVBN\tB-NP\tO' +p127360 +aS'urine\turine\tNN\tI-NP\tO' +p127361 +aS'and\tand\tCC\tI-NP\tO' +p127362 +aS'fatigue\tfatigue\tNN\tI-NP\tO' +p127363 +aS'for\tfor\tIN\tB-PP\tO' +p127364 +aS'months\tmonth\tNNS\tB-NP\tO' +p127365 +aS'with\twith\tIN\tB-PP\tO' +p127366 +aS'increased\tincrease\tVBN\tB-NP\tO' +p127367 +aS'shortness\tshortness\tNN\tI-NP\tO' +p127368 +aS'of\tof\tIN\tB-PP\tO' +p127369 +aS'breath\tbreath\tNN\tB-NP\tO' +p127370 +aS',\t,\t,\tI-NP\tO' +p127371 +aS'orthopnea\torthopnea\tNN\tI-NP\tO' +p127372 +aS'and\tand\tCC\tI-NP\tO' +p127373 +aS'dyspnea\tdyspnea\tNN\tI-NP\tO' +p127374 +aS'on\ton\tIN\tB-PP\tO' +p127375 +aS'exertion\texertion\tNN\tB-NP\tO' +p127376 +aS'.\t.\t.\tO\tO' +p127377 +asS'Immediately postop , her exam only improved slightly in her hyperreflexia .' +p127378 +(lp127379 +S'Immediately\tImmediately\tRB\tB-ADVP\tO' +p127380 +aS'postop\tpostop\tVB\tB-VP\tO' +p127381 +aS',\t,\t,\tO\tO' +p127382 +aS'her\ther\tPRP$\tB-NP\tO' +p127383 +aS'exam\texam\tNN\tI-NP\tO' +p127384 +aS'only\tonly\tRB\tB-ADVP\tO' +p127385 +aS'improved\timprove\tVBD\tB-VP\tO' +p127386 +aS'slightly\tslightly\tRB\tB-ADVP\tO' +p127387 +aS'in\tin\tIN\tB-PP\tO' +p127388 +aS'her\ther\tPRP$\tB-NP\tO' +p127389 +aS'hyperreflexia\thyperreflexia\tNN\tI-NP\tO' +p127390 +aS'.\t.\t.\tO\tO' +p127391 +asS'6. Nystatin 06-18 mL swish and swallow q.6. prn .' +p127392 +(lp127393 +S'6.\t6.\tLS\tB-LST\tO' +p127394 +aS'Nystatin\tNystatin\tNN\tB-NP\tO' +p127395 +aS'06-18\t06-18\tCD\tI-NP\tO' +p127396 +aS'mL\tmL\tNN\tI-NP\tO' +p127397 +aS'swish\tswish\tNN\tI-NP\tO' +p127398 +aS'and\tand\tCC\tO\tO' +p127399 +aS'swallow\tswallow\tVB\tB-VP\tO' +p127400 +aS'q.6.\tq.6.\tNN\tB-NP\tO' +p127401 +aS'prn\tprn\tNN\tI-NP\tO' +p127402 +aS'.\t.\t.\tO\tO' +p127403 +asS'Throughout Mr. Richard admission , his hematocrit remained stable in the low 30s .' +p127404 +(lp127405 +S'Throughout\tThroughout\tIN\tB-PP\tO' +p127406 +aS'Mr.\tMr.\tNNP\tB-NP\tO' +p127407 +aS'Richard\tRichard\tNNP\tI-NP\tO' +p127408 +aS'admission\tadmission\tNN\tI-NP\tO' +p127409 +aS',\t,\t,\tO\tO' +p127410 +aS'his\this\tPRP$\tB-NP\tO' +p127411 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p127412 +aS'remained\tremain\tVBD\tB-VP\tO' +p127413 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p127414 +aS'in\tin\tIN\tB-PP\tO' +p127415 +aS'the\tthe\tDT\tB-NP\tO' +p127416 +aS'low\tlow\tJJ\tI-NP\tO' +p127417 +aS'30s\t30\tNNS\tI-NP\tO' +p127418 +aS'.\t.\t.\tO\tO' +p127419 +asS'The patient was started on Florinef for concern of adrenal insufficiency ; however , she was hemodynamically stable that morning and was transferred back out to the floor .' +p127420 +(lp127421 +S'The\tThe\tDT\tB-NP\tO' +p127422 +aS'patient\tpatient\tNN\tI-NP\tO' +p127423 +aS'was\tbe\tVBD\tB-VP\tO' +p127424 +aS'started\tstart\tVBN\tI-VP\tO' +p127425 +aS'on\ton\tIN\tB-PP\tO' +p127426 +aS'Florinef\tFlorinef\tNN\tB-NP\tB-protein' +p127427 +aS'for\tfor\tIN\tB-PP\tO' +p127428 +aS'concern\tconcern\tNN\tB-NP\tO' +p127429 +aS'of\tof\tIN\tB-PP\tO' +p127430 +aS'adrenal\tadrenal\tJJ\tB-NP\tO' +p127431 +aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' +p127432 +aS';\t;\t:\tO\tO' +p127433 +aS'however\thowever\tRB\tB-ADVP\tO' +p127434 +aS',\t,\t,\tO\tO' +p127435 +aS'she\tshe\tPRP\tB-NP\tO' +p127436 +aS'was\tbe\tVBD\tB-VP\tO' +p127437 +aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' +p127438 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p127439 +aS'that\tthat\tIN\tB-SBAR\tO' +p127440 +aS'morning\tmorning\tNN\tB-NP\tO' +p127441 +aS'and\tand\tCC\tO\tO' +p127442 +aS'was\tbe\tVBD\tB-VP\tO' +p127443 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p127444 +aS'back\tback\tRB\tB-ADVP\tO' +p127445 +aS'out\tout\tIN\tB-PP\tO' +p127446 +aS'to\tto\tTO\tB-PP\tO' +p127447 +aS'the\tthe\tDT\tB-NP\tO' +p127448 +aS'floor\tfloor\tNN\tI-NP\tO' +p127449 +aS'.\t.\t.\tO\tO' +p127450 +asS'Initial CBC was notable for a white count of 5.5 with 49 polys , 1 band and 47 lymphs .' +p127451 +(lp127452 +S'Initial\tInitial\tJJ\tB-NP\tO' +p127453 +aS'CBC\tCBC\tNN\tI-NP\tO' +p127454 +aS'was\tbe\tVBD\tB-VP\tO' +p127455 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p127456 +aS'for\tfor\tIN\tB-PP\tO' +p127457 +aS'a\ta\tDT\tB-NP\tO' +p127458 +aS'white\twhite\tJJ\tI-NP\tO' +p127459 +aS'count\tcount\tNN\tI-NP\tO' +p127460 +aS'of\tof\tIN\tB-PP\tO' +p127461 +aS'5.5\t5.5\tCD\tB-NP\tO' +p127462 +aS'with\twith\tIN\tB-PP\tO' +p127463 +aS'49\t49\tCD\tB-NP\tO' +p127464 +aS'polys\tpoly\tNNS\tI-NP\tO' +p127465 +aS',\t,\t,\tO\tO' +p127466 +aS'1\t1\tCD\tB-NP\tO' +p127467 +aS'band\tband\tNN\tI-NP\tO' +p127468 +aS'and\tand\tCC\tO\tO' +p127469 +aS'47\t47\tCD\tB-NP\tO' +p127470 +aS'lymphs\tlymph\tNNS\tI-NP\tO' +p127471 +aS'.\t.\t.\tO\tO' +p127472 +asS'Normal with intact cranial nerves , deep tendon reflexes and normal motor / sensory exam .' +p127473 +(lp127474 +S'Normal\tNormal\tJJ\tB-ADJP\tO' +p127475 +aS'with\twith\tIN\tB-PP\tO' +p127476 +aS'intact\tintact\tJJ\tB-NP\tO' +p127477 +aS'cranial\tcranial\tJJ\tI-NP\tO' +p127478 +aS'nerves\tnerve\tNNS\tI-NP\tO' +p127479 +aS',\t,\t,\tO\tO' +p127480 +aS'deep\tdeep\tJJ\tB-NP\tO' +p127481 +aS'tendon\ttendon\tNN\tI-NP\tO' +p127482 +aS'reflexes\treflex\tNNS\tI-NP\tO' +p127483 +aS'and\tand\tCC\tO\tO' +p127484 +aS'normal\tnormal\tJJ\tB-NP\tO' +p127485 +aS'motor\tmotor\tNN\tI-NP\tO' +p127486 +aS'/\t/\tSYM\tB-VP\tO' +p127487 +aS'sensory\tsensory\tNN\tB-NP\tO' +p127488 +aS'exam\texam\tNN\tI-NP\tO' +p127489 +aS'.\t.\t.\tO\tO' +p127490 +asS'Attending : George G Lindsey , M.D.' +p127491 +(lp127492 +S'Attending\tAttend\tVBG\tB-VP\tO' +p127493 +aS':\t:\t:\tO\tO' +p127494 +aS'George\tGeorge\tNNP\tB-NP\tO' +p127495 +aS'G\tG\tNNP\tI-NP\tO' +p127496 +aS'Lindsey\tLindsey\tNNP\tI-NP\tO' +p127497 +aS',\t,\t,\tO\tO' +p127498 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p127499 +asS'She denies any alcohol or drug use .' +p127500 +(lp127501 +S'She\tShe\tPRP\tB-NP\tO' +p127502 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p127503 +aS'any\tany\tDT\tB-NP\tO' +p127504 +aS'alcohol\talcohol\tNN\tI-NP\tO' +p127505 +aS'or\tor\tCC\tI-NP\tO' +p127506 +aS'drug\tdrug\tNN\tI-NP\tO' +p127507 +aS'use\tuse\tNN\tI-NP\tO' +p127508 +aS'.\t.\t.\tO\tO' +p127509 +asS'PRINCIPAL DISCHARGE DIAGNOSIS ; Responsible After Study for Causing Admission ) Sepsis , myocardial infarction , ARDS , pneumonia' +p127510 +(lp127511 +S'PRINCIPAL\tPRINCIPAL\tJJ\tB-NP\tO' +p127512 +aS'DISCHARGE\tDISCHARGE\tNN\tI-NP\tO' +p127513 +aS'DIAGNOSIS\tDIAGNOSIS\tNN\tI-NP\tO' +p127514 +aS';\t;\t:\tO\tO' +p127515 +aS'Responsible\tResponsible\tJJ\tB-ADJP\tO' +p127516 +aS'After\tAfter\tIN\tB-PP\tO' +p127517 +aS'Study\tStudy\tNN\tB-NP\tO' +p127518 +aS'for\tfor\tIN\tB-PP\tO' +p127519 +aS'Causing\tCause\tVBG\tB-VP\tO' +p127520 +aS'Admission\tAdmission\tNN\tB-NP\tO' +p127521 +aS')\t)\t)\tO\tO' +p127522 +aS'Sepsis\tSepsis\tNN\tB-NP\tO' +p127523 +aS',\t,\t,\tO\tO' +p127524 +aS'myocardial\tmyocardial\tJJ\tB-NP\tO' +p127525 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p127526 +aS',\t,\t,\tO\tO' +p127527 +aS'ARDS\tARDS\tNN\tB-NP\tO' +p127528 +aS',\t,\t,\tO\tO' +p127529 +aS'pneumonia\tpneumonia\tNN\tB-NP\tO' +p127530 +asS'1. Obstructive-sleep apnea ?' +p127531 +(lp127532 +S'1.\t1.\tLS\tB-NP\tO' +p127533 +aS'Obstructive-sleep\tObstructive-sleep\tJJ\tI-NP\tO' +p127534 +aS'apnea\tapnea\tNN\tI-NP\tO' +p127535 +aS'?\t?\t.\tO\tO' +p127536 +asS'TECHNIQUE : Non-contrast head CT .' +p127537 +(lp127538 +S'TECHNIQUE\tTECHNIQUE\tNN\tB-NP\tO' +p127539 +aS':\t:\t:\tO\tO' +p127540 +aS'Non-contrast\tNon-contrast\tJJ\tB-NP\tO' +p127541 +aS'head\thead\tNN\tI-NP\tO' +p127542 +aS'CT\tCT\tNN\tI-NP\tO' +p127543 +aS'.\t.\t.\tO\tO' +p127544 +asS'All of her cultures are negative to date .' +p127545 +(lp127546 +S'All\tAll\tDT\tB-NP\tO' +p127547 +aS'of\tof\tIN\tB-PP\tO' +p127548 +aS'her\ther\tPRP$\tB-NP\tB-cell_line' +p127549 +aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' +p127550 +aS'are\tbe\tVBP\tB-VP\tO' +p127551 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p127552 +aS'to\tto\tTO\tB-PP\tO' +p127553 +aS'date\tdate\tNN\tB-NP\tO' +p127554 +aS'.\t.\t.\tO\tO' +p127555 +asS'5. Osteomyelitis .' +p127556 +(lp127557 +S'5.\t5.\tLS\tB-NP\tO' +p127558 +aS'Osteomyelitis\tOsteomyelitis\tNN\tI-NP\tO' +p127559 +aS'.\t.\t.\tO\tO' +p127560 +asS'He denied any chest pain , dysuria , loss of consciousness , fevers , chills or any history of myocardial infarction .' +p127561 +(lp127562 +S'He\tHe\tPRP\tB-NP\tB-protein' +p127563 +aS'denied\tdeny\tVBD\tB-VP\tI-protein' +p127564 +aS'any\tany\tDT\tB-NP\tI-protein' +p127565 +aS'chest\tch\tJJS\tI-NP\tI-protein' +p127566 +aS'pain\tpain\tNN\tI-NP\tI-protein' +p127567 +aS',\t,\t,\tO\tO' +p127568 +aS'dysuria\tdysuria\tNN\tB-NP\tO' +p127569 +aS',\t,\t,\tO\tO' +p127570 +aS'loss\tloss\tNN\tB-NP\tO' +p127571 +aS'of\tof\tIN\tB-PP\tO' +p127572 +aS'consciousness\tconsciousness\tNN\tB-NP\tO' +p127573 +aS',\t,\t,\tO\tO' +p127574 +aS'fevers\tfever\tNNS\tB-NP\tO' +p127575 +aS',\t,\t,\tO\tO' +p127576 +aS'chills\tchill\tNNS\tB-NP\tO' +p127577 +aS'or\tor\tCC\tO\tO' +p127578 +aS'any\tany\tDT\tB-NP\tO' +p127579 +aS'history\thistory\tNN\tI-NP\tO' +p127580 +aS'of\tof\tIN\tB-PP\tO' +p127581 +aS'myocardial\tmyocardial\tJJ\tB-NP\tO' +p127582 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p127583 +aS'.\t.\t.\tO\tO' +p127584 +asS'Normal pulses were palpated .' +p127585 +(lp127586 +S'Normal\tNormal\tJJ\tB-NP\tO' +p127587 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p127588 +aS'were\tbe\tVBD\tB-VP\tO' +p127589 +aS'palpated\tpalpate\tVBN\tI-VP\tO' +p127590 +aS'.\t.\t.\tO\tO' +p127591 +asS'At the time of transfer to the ________ Onc Service , blood pressure was within the normal range .' +p127592 +(lp127593 +S'At\tAt\tIN\tB-PP\tO' +p127594 +aS'the\tthe\tDT\tB-NP\tO' +p127595 +aS'time\ttime\tNN\tI-NP\tO' +p127596 +aS'of\tof\tIN\tB-PP\tO' +p127597 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p127598 +aS'to\tto\tTO\tB-PP\tO' +p127599 +aS'the\tthe\tDT\tB-NP\tO' +p127600 +aS'________\t________\tNNP\tI-NP\tO' +p127601 +aS'Onc\tOnc\tNNP\tI-NP\tO' +p127602 +aS'Service\tService\tNNP\tI-NP\tO' +p127603 +aS',\t,\t,\tO\tO' +p127604 +aS'blood\tblood\tNN\tB-NP\tO' +p127605 +aS'pressure\tpressure\tNN\tI-NP\tO' +p127606 +aS'was\tbe\tVBD\tB-VP\tO' +p127607 +aS'within\twithin\tIN\tB-PP\tO' +p127608 +aS'the\tthe\tDT\tB-NP\tO' +p127609 +aS'normal\tnormal\tJJ\tI-NP\tO' +p127610 +aS'range\trange\tNN\tI-NP\tO' +p127611 +aS'.\t.\t.\tO\tO' +p127612 +asS'9. Acetaminophen 325 mg Tablet Sig : 1-2 Tablets PO Q4-6H ( every 4 to 6 hours ) as needed .' +p127613 +(lp127614 +S'9.\t9.\tCD\tB-NP\tO' +p127615 +aS'Acetaminophen\tAcetaminophen\tNN\tI-NP\tO' +p127616 +aS'325\t325\tCD\tB-NP\tO' +p127617 +aS'mg\tmg\tNN\tI-NP\tO' +p127618 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p127619 +aS'Sig\tSig\tNNP\tI-NP\tO' +p127620 +aS':\t:\t:\tO\tO' +p127621 +aS'1-2\t1-2\tCD\tB-NP\tO' +p127622 +aS'Tablets\tTablet\tNNS\tI-NP\tO' +p127623 +aS'PO\tPO\tNN\tI-NP\tO' +p127624 +aS'Q4-6H\tQ4-6H\tNN\tI-NP\tO' +p127625 +aS'(\t(\t(\tO\tO' +p127626 +aS'every\tevery\tDT\tB-NP\tO' +p127627 +aS'4\t4\tCD\tI-NP\tO' +p127628 +aS'to\tto\tTO\tI-NP\tO' +p127629 +aS'6\t6\tCD\tI-NP\tO' +p127630 +aS'hours\thour\tNNS\tI-NP\tO' +p127631 +aS')\t)\t)\tO\tO' +p127632 +aS'as\tas\tIN\tB-SBAR\tO' +p127633 +aS'needed\tneed\tVBN\tB-VP\tO' +p127634 +aS'.\t.\t.\tO\tO' +p127635 +asS'Right hip 90 degrees of flexion , minus 30 degrees of extension , 20 degrees of abduction , 30 degrees of adduction , less than 5 degrees of internal rotation and flexion and less than 5 degrees of external rotation and flexion .' +p127636 +(lp127637 +S'Right\tRight\tNN\tB-NP\tO' +p127638 +aS'hip\thip\tNN\tI-NP\tO' +p127639 +aS'90\t90\tCD\tB-NP\tO' +p127640 +aS'degrees\tdegree\tNNS\tI-NP\tO' +p127641 +aS'of\tof\tIN\tB-PP\tO' +p127642 +aS'flexion\tflexion\tNN\tB-NP\tO' +p127643 +aS',\t,\t,\tO\tO' +p127644 +aS'minus\tminus\tCC\tB-PP\tO' +p127645 +aS'30\t30\tCD\tB-NP\tO' +p127646 +aS'degrees\tdegree\tNNS\tI-NP\tO' +p127647 +aS'of\tof\tIN\tB-PP\tO' +p127648 +aS'extension\textension\tNN\tB-NP\tO' +p127649 +aS',\t,\t,\tO\tO' +p127650 +aS'20\t20\tCD\tB-NP\tO' +p127651 +aS'degrees\tdegree\tNNS\tI-NP\tO' +p127652 +aS'of\tof\tIN\tB-PP\tO' +p127653 +aS'abduction\tabduction\tNN\tB-NP\tO' +p127654 +aS',\t,\t,\tO\tO' +p127655 +aS'30\t30\tCD\tB-NP\tO' +p127656 +aS'degrees\tdegree\tNNS\tI-NP\tO' +p127657 +aS'of\tof\tIN\tB-PP\tO' +p127658 +aS'adduction\tadduction\tNN\tB-NP\tO' +p127659 +aS',\t,\t,\tO\tO' +p127660 +aS'less\tless\tJJR\tB-NP\tO' +p127661 +aS'than\tthan\tIN\tI-NP\tO' +p127662 +aS'5\t5\tCD\tI-NP\tO' +p127663 +aS'degrees\tdegree\tNNS\tI-NP\tO' +p127664 +aS'of\tof\tIN\tB-PP\tO' +p127665 +aS'internal\tinternal\tJJ\tB-NP\tO' +p127666 +aS'rotation\trotation\tNN\tI-NP\tO' +p127667 +aS'and\tand\tCC\tI-NP\tO' +p127668 +aS'flexion\tflexion\tNN\tI-NP\tO' +p127669 +aS'and\tand\tCC\tO\tO' +p127670 +aS'less\tless\tJJR\tB-NP\tO' +p127671 +aS'than\tthan\tIN\tI-NP\tO' +p127672 +aS'5\t5\tCD\tI-NP\tO' +p127673 +aS'degrees\tdegree\tNNS\tI-NP\tO' +p127674 +aS'of\tof\tIN\tB-PP\tO' +p127675 +aS'external\texternal\tJJ\tB-NP\tO' +p127676 +aS'rotation\trotation\tNN\tI-NP\tO' +p127677 +aS'and\tand\tCC\tI-NP\tO' +p127678 +aS'flexion\tflexion\tNN\tI-NP\tO' +p127679 +aS'.\t.\t.\tO\tO' +p127680 +asS'Birth weight was 5235 grams , length was 56 cm , and head circumference was 37.5 cm .' +p127681 +(lp127682 +S'Birth\tBirth\tNN\tB-NP\tO' +p127683 +aS'weight\tweight\tNN\tI-NP\tO' +p127684 +aS'was\tbe\tVBD\tB-VP\tO' +p127685 +aS'5235\t5235\tCD\tB-NP\tO' +p127686 +aS'grams\tgram\tNNS\tI-NP\tO' +p127687 +aS',\t,\t,\tO\tO' +p127688 +aS'length\tlength\tNN\tB-NP\tO' +p127689 +aS'was\tbe\tVBD\tB-VP\tO' +p127690 +aS'56\t56\tCD\tB-NP\tO' +p127691 +aS'cm\tcm\tNN\tI-NP\tO' +p127692 +aS',\t,\t,\tO\tO' +p127693 +aS'and\tand\tCC\tO\tO' +p127694 +aS'head\thead\tNN\tB-NP\tO' +p127695 +aS'circumference\tcircumference\tNN\tI-NP\tO' +p127696 +aS'was\tbe\tVBD\tB-VP\tO' +p127697 +aS'37.5\t37.5\tCD\tB-NP\tO' +p127698 +aS'cm\tcm\tNN\tI-NP\tO' +p127699 +aS'.\t.\t.\tO\tO' +p127700 +asS'Throughout her course on the Intensive Care Unit service , she has remained unresponsive with imaging studies consistent with a large left middle cerebral artery and posterior cerebral artery distribution cerebral infarction with mass effect and midline shift .' +p127701 +(lp127702 +S'Throughout\tThroughout\tIN\tB-PP\tO' +p127703 +aS'her\ther\tPRP$\tB-NP\tO' +p127704 +aS'course\tcourse\tNN\tI-NP\tO' +p127705 +aS'on\ton\tIN\tB-PP\tO' +p127706 +aS'the\tthe\tDT\tB-NP\tO' +p127707 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p127708 +aS'Care\tCare\tNNP\tI-NP\tO' +p127709 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p127710 +aS'service\tservice\tNN\tI-NP\tO' +p127711 +aS',\t,\t,\tO\tO' +p127712 +aS'she\tshe\tPRP\tB-NP\tO' +p127713 +aS'has\thave\tVBZ\tB-VP\tO' +p127714 +aS'remained\tremain\tVBN\tI-VP\tO' +p127715 +aS'unresponsive\tunresponsive\tJJ\tB-ADJP\tO' +p127716 +aS'with\twith\tIN\tB-PP\tO' +p127717 +aS'imaging\timage\tVBG\tB-VP\tO' +p127718 +aS'studies\tstudy\tNNS\tB-NP\tO' +p127719 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p127720 +aS'with\twith\tIN\tB-PP\tO' +p127721 +aS'a\ta\tDT\tB-NP\tO' +p127722 +aS'large\tlarge\tJJ\tI-NP\tO' +p127723 +aS'left\tleft\tJJ\tI-NP\tO' +p127724 +aS'middle\tmiddle\tJJ\tI-NP\tO' +p127725 +aS'cerebral\tcerebral\tJJ\tI-NP\tO' +p127726 +aS'artery\tartery\tNN\tI-NP\tO' +p127727 +aS'and\tand\tCC\tO\tO' +p127728 +aS'posterior\tposterior\tJJ\tB-NP\tO' +p127729 +aS'cerebral\tcerebral\tJJ\tI-NP\tO' +p127730 +aS'artery\tartery\tNN\tI-NP\tO' +p127731 +aS'distribution\tdistribution\tNN\tI-NP\tO' +p127732 +aS'cerebral\tcerebral\tJJ\tI-NP\tO' +p127733 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p127734 +aS'with\twith\tIN\tB-PP\tO' +p127735 +aS'mass\tmass\tNN\tB-NP\tO' +p127736 +aS'effect\teffect\tNN\tI-NP\tO' +p127737 +aS'and\tand\tCC\tO\tO' +p127738 +aS'midline\tmidline\tNN\tB-NP\tO' +p127739 +aS'shift\tshift\tNN\tI-NP\tO' +p127740 +aS'.\t.\t.\tO\tO' +p127741 +asS'The patient was extubated on postop day 1 without any problems .' +p127742 +(lp127743 +S'The\tThe\tDT\tB-NP\tO' +p127744 +aS'patient\tpatient\tNN\tI-NP\tO' +p127745 +aS'was\tbe\tVBD\tB-VP\tO' +p127746 +aS'extubated\textubate\tVBN\tI-VP\tO' +p127747 +aS'on\ton\tIN\tB-PP\tO' +p127748 +aS'postop\tpostop\tNN\tB-NP\tO' +p127749 +aS'day\tday\tNN\tI-NP\tO' +p127750 +aS'1\t1\tCD\tI-NP\tO' +p127751 +aS'without\twithout\tIN\tB-PP\tO' +p127752 +aS'any\tany\tDT\tB-NP\tO' +p127753 +aS'problems\tproblem\tNNS\tI-NP\tO' +p127754 +aS'.\t.\t.\tO\tO' +p127755 +asS'Quit 20 years ago .' +p127756 +(lp127757 +S'Quit\tQuit\tNNP\tB-NP\tO' +p127758 +aS'20\t20\tCD\tB-NP\tO' +p127759 +aS'years\tyear\tNNS\tI-NP\tO' +p127760 +aS'ago\tago\tRB\tB-ADVP\tO' +p127761 +aS'.\t.\t.\tO\tO' +p127762 +asS'Administer iron products a minimum of 2 hours before or after a levofloxacin or ciprofloxacin dose dose If on tube feeds , please cycle ( hold 1 hr before to 2 hr after )' +p127763 +(lp127764 +S'Administer\tAdminister\tNN\tB-NP\tO' +p127765 +aS'iron\tiron\tNN\tI-NP\tO' +p127766 +aS'products\tproduct\tNNS\tI-NP\tO' +p127767 +aS'a\ta\tDT\tB-NP\tO' +p127768 +aS'minimum\tminimum\tNN\tI-NP\tO' +p127769 +aS'of\tof\tIN\tB-PP\tO' +p127770 +aS'2\t2\tCD\tB-NP\tO' +p127771 +aS'hours\thour\tNNS\tI-NP\tO' +p127772 +aS'before\tbefore\tIN\tB-PP\tO' +p127773 +aS'or\tor\tCC\tI-PP\tO' +p127774 +aS'after\tafter\tIN\tI-PP\tO' +p127775 +aS'a\ta\tDT\tB-NP\tO' +p127776 +aS'levofloxacin\tlevofloxacin\tNN\tI-NP\tO' +p127777 +aS'or\tor\tCC\tI-NP\tO' +p127778 +aS'ciprofloxacin\tciprofloxacin\tNN\tI-NP\tO' +p127779 +aS'dose\tdose\tNN\tI-NP\tO' +p127780 +aS'dose\tdose\tNN\tI-NP\tO' +p127781 +aS'If\tIf\tIN\tB-SBAR\tO' +p127782 +aS'on\ton\tIN\tB-PP\tO' +p127783 +aS'tube\ttube\tNN\tB-NP\tO' +p127784 +aS'feeds\tfeed\tNNS\tI-NP\tO' +p127785 +aS',\t,\t,\tO\tO' +p127786 +aS'please\tplease\tNN\tB-NP\tO' +p127787 +aS'cycle\tcycle\tNN\tI-NP\tO' +p127788 +aS'(\t(\t(\tO\tO' +p127789 +aS'hold\thold\tNN\tB-NP\tO' +p127790 +aS'1\t1\tCD\tI-NP\tO' +p127791 +aS'hr\thr\tNN\tI-NP\tO' +p127792 +aS'before\tbefore\tIN\tB-PP\tO' +p127793 +aS'to\tto\tTO\tB-PP\tO' +p127794 +aS'2\t2\tCD\tB-NP\tO' +p127795 +aS'hr\thr\tNN\tI-NP\tO' +p127796 +aS'after\tafter\tIN\tB-SBAR\tO' +p127797 +aS')\t)\t)\tO\tO' +p127798 +asS'An echocardiogram obtained at Oaksgekesser/ Memorial Hospital obtained as a transthoracic echocardiogram showed an ejection fraction of 33% , wall thickness 12 mms at the septum , posterior wall 11 mms. , left atrial size 40 mms .' +p127799 +(lp127800 +S'An\tAn\tDT\tB-NP\tO' +p127801 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p127802 +aS'obtained\tobtain\tVBN\tB-VP\tO' +p127803 +aS'at\tat\tIN\tB-PP\tO' +p127804 +aS'Oaksgekesser/\tOaksgekesser/\tNNP\tB-NP\tO' +p127805 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p127806 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p127807 +aS'obtained\tobtain\tVBD\tB-VP\tO' +p127808 +aS'as\tas\tIN\tB-PP\tO' +p127809 +aS'a\ta\tDT\tB-NP\tO' +p127810 +aS'transthoracic\ttransthoracic\tJJ\tI-NP\tO' +p127811 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p127812 +aS'showed\tshow\tVBD\tB-VP\tO' +p127813 +aS'an\tan\tDT\tB-NP\tO' +p127814 +aS'ejection\tejection\tNN\tI-NP\tO' +p127815 +aS'fraction\tfraction\tNN\tI-NP\tO' +p127816 +aS'of\tof\tIN\tB-PP\tO' +p127817 +aS'33%\t33%\tNN\tB-NP\tO' +p127818 +aS',\t,\t,\tO\tO' +p127819 +aS'wall\twall\tNN\tB-NP\tO' +p127820 +aS'thickness\tthickness\tNN\tI-NP\tO' +p127821 +aS'12\t12\tCD\tB-NP\tO' +p127822 +aS'mms\tmm\tNNS\tI-NP\tO' +p127823 +aS'at\tat\tIN\tB-PP\tO' +p127824 +aS'the\tthe\tDT\tB-NP\tO' +p127825 +aS'septum\tseptum\tNN\tI-NP\tO' +p127826 +aS',\t,\t,\tO\tO' +p127827 +aS'posterior\tposterior\tJJ\tB-NP\tO' +p127828 +aS'wall\twall\tNN\tI-NP\tO' +p127829 +aS'11\t11\tCD\tI-NP\tO' +p127830 +aS'mms.\tmms.\tNN\tI-NP\tO' +p127831 +aS',\t,\t,\tO\tO' +p127832 +aS'left\tleave\tVBD\tB-VP\tO' +p127833 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p127834 +aS'size\tsize\tNN\tI-NP\tO' +p127835 +aS'40\t40\tCD\tB-NP\tO' +p127836 +aS'mms\tmm\tNNS\tI-NP\tO' +p127837 +aS'.\t.\t.\tO\tO' +p127838 +asS'On physical exam today , the patient did not have any swelling , and he states that he did not feel the swelling was present .' +p127839 +(lp127840 +S'On\tOn\tIN\tB-PP\tO' +p127841 +aS'physical\tphysical\tJJ\tB-NP\tO' +p127842 +aS'exam\texam\tNN\tI-NP\tO' +p127843 +aS'today\ttoday\tNN\tB-NP\tO' +p127844 +aS',\t,\t,\tO\tO' +p127845 +aS'the\tthe\tDT\tB-NP\tO' +p127846 +aS'patient\tpatient\tNN\tI-NP\tO' +p127847 +aS'did\tdo\tVBD\tB-VP\tO' +p127848 +aS'not\tnot\tRB\tI-VP\tO' +p127849 +aS'have\thave\tVB\tI-VP\tO' +p127850 +aS'any\tany\tDT\tB-NP\tO' +p127851 +aS'swelling\tswelling\tNN\tI-NP\tO' +p127852 +aS',\t,\t,\tO\tO' +p127853 +aS'and\tand\tCC\tO\tO' +p127854 +aS'he\the\tPRP\tB-NP\tO' +p127855 +aS'states\tstate\tVBZ\tB-VP\tO' +p127856 +aS'that\tthat\tIN\tB-SBAR\tO' +p127857 +aS'he\the\tPRP\tB-NP\tO' +p127858 +aS'did\tdo\tVBD\tB-VP\tO' +p127859 +aS'not\tnot\tRB\tI-VP\tO' +p127860 +aS'feel\tfeel\tVB\tI-VP\tO' +p127861 +aS'the\tthe\tDT\tB-NP\tO' +p127862 +aS'swelling\tswelling\tNN\tI-NP\tO' +p127863 +aS'was\tbe\tVBD\tB-VP\tO' +p127864 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p127865 +aS'.\t.\t.\tO\tO' +p127866 +asS'Mrs. Cast is a 50 year old white female with a history of chronic obstructive pulmonary disease and evidence of severe lobular emphysema , who has progressive shortness of breath and inability to carry on with activities of daily living without assistance .' +p127867 +(lp127868 +S'Mrs.\tMrs.\tNNP\tB-NP\tO' +p127869 +aS'Cast\tCast\tNNP\tI-NP\tO' +p127870 +aS'is\tbe\tVBZ\tB-VP\tO' +p127871 +aS'a\ta\tDT\tB-NP\tO' +p127872 +aS'50\t50\tCD\tI-NP\tO' +p127873 +aS'year\tyear\tNN\tI-NP\tO' +p127874 +aS'old\told\tJJ\tI-NP\tO' +p127875 +aS'white\twhite\tJJ\tI-NP\tO' +p127876 +aS'female\tfemale\tNN\tI-NP\tO' +p127877 +aS'with\twith\tIN\tB-PP\tO' +p127878 +aS'a\ta\tDT\tB-NP\tO' +p127879 +aS'history\thistory\tNN\tI-NP\tO' +p127880 +aS'of\tof\tIN\tB-PP\tO' +p127881 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p127882 +aS'obstructive\tobstructive\tJJ\tI-NP\tO' +p127883 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p127884 +aS'disease\tdisease\tNN\tI-NP\tO' +p127885 +aS'and\tand\tCC\tO\tO' +p127886 +aS'evidence\tevidence\tNN\tB-NP\tO' +p127887 +aS'of\tof\tIN\tB-PP\tO' +p127888 +aS'severe\tsevere\tJJ\tB-NP\tO' +p127889 +aS'lobular\tlobular\tJJ\tI-NP\tO' +p127890 +aS'emphysema\temphysema\tNN\tI-NP\tO' +p127891 +aS',\t,\t,\tO\tO' +p127892 +aS'who\twho\tWP\tB-NP\tO' +p127893 +aS'has\thave\tVBZ\tB-VP\tO' +p127894 +aS'progressive\tprogressive\tJJ\tB-NP\tO' +p127895 +aS'shortness\tshortness\tNN\tI-NP\tO' +p127896 +aS'of\tof\tIN\tB-PP\tO' +p127897 +aS'breath\tbreath\tNN\tB-NP\tO' +p127898 +aS'and\tand\tCC\tI-NP\tO' +p127899 +aS'inability\tinability\tNN\tI-NP\tO' +p127900 +aS'to\tto\tTO\tB-VP\tO' +p127901 +aS'carry\tcarry\tVB\tI-VP\tO' +p127902 +aS'on\ton\tRP\tB-PRT\tO' +p127903 +aS'with\twith\tIN\tB-PP\tO' +p127904 +aS'activities\tactivity\tNNS\tB-NP\tO' +p127905 +aS'of\tof\tIN\tB-PP\tO' +p127906 +aS'daily\tdaily\tJJ\tB-NP\tO' +p127907 +aS'living\tliving\tNN\tI-NP\tO' +p127908 +aS'without\twithout\tIN\tB-PP\tO' +p127909 +aS'assistance\tassistance\tNN\tB-NP\tO' +p127910 +aS'.\t.\t.\tO\tO' +p127911 +asS'Remarkable for an oriented , alert male in no acute distress with decreased breath sounds at the right base consistent with effusion and a 3/6 systolic murmur consistent with aortic stenosis .' +p127912 +(lp127913 +S'Remarkable\tRemarkable\tJJ\tB-ADJP\tO' +p127914 +aS'for\tfor\tIN\tB-PP\tO' +p127915 +aS'an\tan\tDT\tB-NP\tO' +p127916 +aS'oriented\toriented\tJJ\tI-NP\tO' +p127917 +aS',\t,\t,\tI-NP\tO' +p127918 +aS'alert\talert\tJJ\tI-NP\tO' +p127919 +aS'male\tmale\tNN\tI-NP\tO' +p127920 +aS'in\tin\tIN\tB-PP\tO' +p127921 +aS'no\tno\tDT\tB-NP\tO' +p127922 +aS'acute\tacute\tJJ\tI-NP\tO' +p127923 +aS'distress\tdistress\tNN\tI-NP\tO' +p127924 +aS'with\twith\tIN\tB-PP\tO' +p127925 +aS'decreased\tdecrease\tVBN\tB-NP\tO' +p127926 +aS'breath\tbreath\tNN\tI-NP\tO' +p127927 +aS'sounds\tsound\tNNS\tI-NP\tO' +p127928 +aS'at\tat\tIN\tB-PP\tO' +p127929 +aS'the\tthe\tDT\tB-NP\tO' +p127930 +aS'right\tright\tJJ\tI-NP\tO' +p127931 +aS'base\tbase\tNN\tI-NP\tO' +p127932 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p127933 +aS'with\twith\tIN\tB-PP\tO' +p127934 +aS'effusion\teffusion\tNN\tB-NP\tO' +p127935 +aS'and\tand\tCC\tO\tO' +p127936 +aS'a\ta\tDT\tB-NP\tO' +p127937 +aS'3/6\t3/6\tCD\tI-NP\tO' +p127938 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p127939 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p127940 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p127941 +aS'with\twith\tIN\tB-PP\tO' +p127942 +aS'aortic\taortic\tJJ\tB-NP\tO' +p127943 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p127944 +aS'.\t.\t.\tO\tO' +p127945 +asS'Her brother had developed the typical rash on 9/3/93 .' +p127946 +(lp127947 +S'Her\tHer\tPRP$\tB-NP\tO' +p127948 +aS'brother\tbrother\tNN\tI-NP\tO' +p127949 +aS'had\thave\tVBD\tB-VP\tO' +p127950 +aS'developed\tdevelop\tVBN\tI-VP\tO' +p127951 +aS'the\tthe\tDT\tB-NP\tO' +p127952 +aS'typical\ttypical\tJJ\tI-NP\tO' +p127953 +aS'rash\trash\tNN\tI-NP\tO' +p127954 +aS'on\ton\tIN\tB-PP\tO' +p127955 +aS'9/3/93\t9/3/93\tCD\tB-NP\tO' +p127956 +aS'.\t.\t.\tO\tO' +p127957 +asS'Each time we have initiated diuretics , creatinine rose .' +p127958 +(lp127959 +S'Each\tEach\tDT\tB-NP\tO' +p127960 +aS'time\ttime\tNN\tI-NP\tO' +p127961 +aS'we\twe\tPRP\tB-NP\tO' +p127962 +aS'have\thave\tVBP\tB-VP\tO' +p127963 +aS'initiated\tinitiate\tVBN\tI-VP\tO' +p127964 +aS'diuretics\tdiuretic\tNNS\tB-NP\tO' +p127965 +aS',\t,\t,\tO\tO' +p127966 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p127967 +aS'rose\trise\tVBD\tB-VP\tO' +p127968 +aS'.\t.\t.\tO\tO' +p127969 +asS'1. Diabetes mellitus .' +p127970 +(lp127971 +S'1.\t1.\tLS\tB-NP\tO' +p127972 +aS'Diabetes\tDiabetes\tNN\tI-NP\tO' +p127973 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p127974 +aS'.\t.\t.\tO\tO' +p127975 +asS'On HD#6 the pt had a therapeudic INR ( 4.4 ) off Argatroban and wad discharged home .' +p127976 +(lp127977 +S'On\tOn\tIN\tB-PP\tO' +p127978 +aS'HD#6\tHD#6\tNN\tB-NP\tB-protein' +p127979 +aS'the\tthe\tDT\tB-NP\tO' +p127980 +aS'pt\tpt\tNN\tI-NP\tO' +p127981 +aS'had\thave\tVBD\tB-VP\tO' +p127982 +aS'a\ta\tDT\tB-NP\tO' +p127983 +aS'therapeudic\ttherapeudic\tJJ\tI-NP\tO' +p127984 +aS'INR\tINR\tNN\tI-NP\tO' +p127985 +aS'(\t(\t(\tO\tO' +p127986 +aS'4.4\t4.4\tCD\tB-NP\tO' +p127987 +aS')\t)\t)\tO\tO' +p127988 +aS'off\toff\tIN\tB-PP\tO' +p127989 +aS'Argatroban\tArgatroban\tNNP\tB-NP\tO' +p127990 +aS'and\tand\tCC\tO\tO' +p127991 +aS'wad\twad\tVB\tB-VP\tO' +p127992 +aS'discharged\tdischarged\tJJ\tB-NP\tO' +p127993 +aS'home\thome\tNN\tI-NP\tO' +p127994 +aS'.\t.\t.\tO\tO' +p127995 +asS'At Labor Day , 9:30 a.m. , the fluids were increased to 100 cc's per hour ( 200 cc's per kilo for 5 hours ) .' +p127996 +(lp127997 +S'At\tAt\tIN\tB-PP\tO' +p127998 +aS'Labor\tLabor\tNNP\tB-NP\tO' +p127999 +aS'Day\tDay\tNNP\tI-NP\tO' +p128000 +aS',\t,\t,\tO\tO' +p128001 +aS'9:30\t9:30\tCD\tB-NP\tO' +p128002 +aS'a.m.\ta.m.\tRB\tI-NP\tO' +p128003 +aS',\t,\t,\tO\tO' +p128004 +aS'the\tthe\tDT\tB-NP\tO' +p128005 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p128006 +aS'were\tbe\tVBD\tB-VP\tO' +p128007 +aS'increased\tincrease\tVBN\tI-VP\tO' +p128008 +aS'to\tto\tTO\tB-PP\tO' +p128009 +aS'100\t100\tCD\tB-NP\tO' +p128010 +aS'cc's\tcc'\tNNS\tI-NP\tO' +p128011 +aS'per\tper\tIN\tB-PP\tO' +p128012 +aS'hour\thour\tNN\tB-NP\tO' +p128013 +aS'(\t(\t(\tO\tO' +p128014 +aS'200\t200\tCD\tB-NP\tO' +p128015 +aS'cc's\tcc'\tNNS\tI-NP\tO' +p128016 +aS'per\tper\tIN\tB-PP\tO' +p128017 +aS'kilo\tkilo\tNN\tB-NP\tO' +p128018 +aS'for\tfor\tIN\tB-PP\tO' +p128019 +aS'5\t5\tCD\tB-NP\tO' +p128020 +aS'hours\thour\tNNS\tI-NP\tO' +p128021 +aS')\t)\t)\tO\tO' +p128022 +aS'.\t.\t.\tO\tO' +p128023 +asS'Her admitting hematocrit was 45% , white count 7,700 , with an MCV of 92 , platelets were normal at 263,000 .' +p128024 +(lp128025 +S'Her\tHer\tPRP$\tB-NP\tO' +p128026 +aS'admitting\tadmit\tVBG\tI-NP\tO' +p128027 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p128028 +aS'was\tbe\tVBD\tB-VP\tO' +p128029 +aS'45%\t45%\tCD\tB-NP\tO' +p128030 +aS',\t,\t,\tO\tO' +p128031 +aS'white\twhite\tJJ\tB-NP\tO' +p128032 +aS'count\tcount\tNN\tI-NP\tO' +p128033 +aS'7,700\t7,700\tCD\tI-NP\tO' +p128034 +aS',\t,\t,\tO\tO' +p128035 +aS'with\twith\tIN\tB-PP\tO' +p128036 +aS'an\tan\tDT\tB-NP\tO' +p128037 +aS'MCV\tMCV\tNN\tI-NP\tO' +p128038 +aS'of\tof\tIN\tB-PP\tO' +p128039 +aS'92\t92\tCD\tB-NP\tO' +p128040 +aS',\t,\t,\tO\tO' +p128041 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p128042 +aS'were\tbe\tVBD\tB-VP\tO' +p128043 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p128044 +aS'at\tat\tIN\tB-PP\tO' +p128045 +aS'263,000\t263,000\tCD\tB-NP\tO' +p128046 +aS'.\t.\t.\tO\tO' +p128047 +asS'CT scan was obtained and this revealed free air and massive ascites .' +p128048 +(lp128049 +S'CT\tCT\tNN\tB-NP\tO' +p128050 +aS'scan\tscan\tNN\tI-NP\tO' +p128051 +aS'was\tbe\tVBD\tB-VP\tO' +p128052 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p128053 +aS'and\tand\tCC\tO\tO' +p128054 +aS'this\tthis\tDT\tB-NP\tO' +p128055 +aS'revealed\treveal\tVBD\tB-VP\tO' +p128056 +aS'free\tfree\tJJ\tB-NP\tO' +p128057 +aS'air\tair\tNN\tI-NP\tO' +p128058 +aS'and\tand\tCC\tO\tO' +p128059 +aS'massive\tmassive\tJJ\tB-NP\tO' +p128060 +aS'ascites\tascite\tNNS\tI-NP\tO' +p128061 +aS'.\t.\t.\tO\tO' +p128062 +asS'After approximately 24 hours , the patient converted back into atrial fibrillation and Diltiazem was restarted at 60 mg q.i.d.' +p128063 +(lp128064 +S'After\tAfter\tIN\tB-PP\tO' +p128065 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p128066 +aS'24\t24\tCD\tI-NP\tO' +p128067 +aS'hours\thour\tNNS\tI-NP\tO' +p128068 +aS',\t,\t,\tO\tO' +p128069 +aS'the\tthe\tDT\tB-NP\tO' +p128070 +aS'patient\tpatient\tNN\tI-NP\tO' +p128071 +aS'converted\tconvert\tVBD\tB-VP\tO' +p128072 +aS'back\tback\tRB\tB-ADVP\tO' +p128073 +aS'into\tinto\tIN\tB-PP\tO' +p128074 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p128075 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p128076 +aS'and\tand\tCC\tI-NP\tO' +p128077 +aS'Diltiazem\tDiltiazem\tNN\tI-NP\tO' +p128078 +aS'was\tbe\tVBD\tB-VP\tO' +p128079 +aS'restarted\trestart\tVBN\tI-VP\tO' +p128080 +aS'at\tat\tIN\tB-PP\tO' +p128081 +aS'60\t60\tCD\tB-NP\tO' +p128082 +aS'mg\tmg\tNN\tI-NP\tO' +p128083 +aS'q.i.d.\tq.i.d.\t.\tO\tO' +p128084 +asS'If you need additional information please call 605-304-8547 .' +p128085 +(lp128086 +S'If\tIf\tIN\tB-SBAR\tO' +p128087 +aS'you\tyou\tPRP\tB-NP\tO' +p128088 +aS'need\tneed\tVBP\tB-VP\tO' +p128089 +aS'additional\tadditional\tJJ\tB-NP\tO' +p128090 +aS'information\tinformation\tNN\tI-NP\tO' +p128091 +aS'please\tplease\tNN\tI-NP\tO' +p128092 +aS'call\tcall\tNN\tI-NP\tO' +p128093 +aS'605-304-8547\t605-304-8547\tCD\tI-NP\tO' +p128094 +aS'.\t.\t.\tO\tO' +p128095 +asS'The spleen tip was palpable .' +p128096 +(lp128097 +S'The\tThe\tDT\tB-NP\tO' +p128098 +aS'spleen\tspleen\tNN\tI-NP\tO' +p128099 +aS'tip\ttip\tNN\tI-NP\tO' +p128100 +aS'was\tbe\tVBD\tB-VP\tO' +p128101 +aS'palpable\tpalpable\tJJ\tB-ADJP\tO' +p128102 +aS'.\t.\t.\tO\tO' +p128103 +asS'Lung exam revealed decreased breath sounds as well as crackles in the bases .' +p128104 +(lp128105 +S'Lung\tLung\tNN\tB-NP\tO' +p128106 +aS'exam\texam\tNN\tI-NP\tO' +p128107 +aS'revealed\treveal\tVBD\tB-VP\tO' +p128108 +aS'decreased\tdecrease\tVBN\tB-NP\tO' +p128109 +aS'breath\tbreath\tNN\tI-NP\tO' +p128110 +aS'sounds\tsound\tVBZ\tB-VP\tO' +p128111 +aS'as\tas\tRB\tB-CONJP\tO' +p128112 +aS'well\twell\tRB\tI-CONJP\tO' +p128113 +aS'as\tas\tIN\tI-CONJP\tO' +p128114 +aS'crackles\tcrackle\tNNS\tB-NP\tO' +p128115 +aS'in\tin\tIN\tB-PP\tO' +p128116 +aS'the\tthe\tDT\tB-NP\tO' +p128117 +aS'bases\tbase\tNNS\tI-NP\tO' +p128118 +aS'.\t.\t.\tO\tO' +p128119 +asS'Obese , no edema , 2+ pulses .' +p128120 +(lp128121 +S'Obese\tObese\tNN\tB-NP\tO' +p128122 +aS',\t,\t,\tO\tO' +p128123 +aS'no\tno\tDT\tB-NP\tO' +p128124 +aS'edema\tedema\tNN\tI-NP\tO' +p128125 +aS',\t,\t,\tO\tO' +p128126 +aS'2+\t2+\tJJ\tB-NP\tO' +p128127 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p128128 +aS'.\t.\t.\tO\tO' +p128129 +asS'Influenza immunization is recommended annually in the fall for all infants once they reach 6 months of age .' +p128130 +(lp128131 +S'Influenza\tInfluenza\tNN\tB-NP\tO' +p128132 +aS'immunization\timmunization\tNN\tI-NP\tO' +p128133 +aS'is\tbe\tVBZ\tB-VP\tO' +p128134 +aS'recommended\trecommend\tVBN\tI-VP\tO' +p128135 +aS'annually\tannually\tRB\tB-ADVP\tO' +p128136 +aS'in\tin\tIN\tB-PP\tO' +p128137 +aS'the\tthe\tDT\tB-NP\tO' +p128138 +aS'fall\tfall\tNN\tI-NP\tO' +p128139 +aS'for\tfor\tIN\tB-PP\tO' +p128140 +aS'all\tall\tDT\tB-NP\tO' +p128141 +aS'infants\tinfant\tNNS\tI-NP\tO' +p128142 +aS'once\tonce\tIN\tB-SBAR\tO' +p128143 +aS'they\tthey\tPRP\tB-NP\tO' +p128144 +aS'reach\treach\tVBP\tB-VP\tO' +p128145 +aS'6\t6\tCD\tB-NP\tO' +p128146 +aS'months\tmonth\tNNS\tI-NP\tO' +p128147 +aS'of\tof\tIN\tB-PP\tO' +p128148 +aS'age\tage\tNN\tB-NP\tO' +p128149 +aS'.\t.\t.\tO\tO' +p128150 +asS'The ventricles and sulci are mildly prominent , but stable in size and appearance .' +p128151 +(lp128152 +S'The\tThe\tDT\tB-NP\tO' +p128153 +aS'ventricles\tventricle\tNNS\tI-NP\tO' +p128154 +aS'and\tand\tCC\tI-NP\tO' +p128155 +aS'sulci\tsulcus\tNNS\tI-NP\tO' +p128156 +aS'are\tbe\tVBP\tB-VP\tO' +p128157 +aS'mildly\tmildly\tRB\tB-ADJP\tO' +p128158 +aS'prominent\tprominent\tJJ\tI-ADJP\tO' +p128159 +aS',\t,\t,\tO\tO' +p128160 +aS'but\tbut\tCC\tO\tO' +p128161 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p128162 +aS'in\tin\tIN\tB-PP\tO' +p128163 +aS'size\tsize\tNN\tB-NP\tO' +p128164 +aS'and\tand\tCC\tI-NP\tO' +p128165 +aS'appearance\tappearance\tNN\tI-NP\tO' +p128166 +aS'.\t.\t.\tO\tO' +p128167 +asS'4. Metoprolol Tartrate 25 mg Tablet Sig : One ( 1 ) Tablet PO TID ( 3 times a day ).' +p128168 +(lp128169 +S'4.\t4.\tLS\tB-NP\tO' +p128170 +aS'Metoprolol\tMetoprolol\tNN\tI-NP\tO' +p128171 +aS'Tartrate\tTartrate\tNN\tI-NP\tO' +p128172 +aS'25\t25\tCD\tI-NP\tO' +p128173 +aS'mg\tmg\tNN\tI-NP\tO' +p128174 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p128175 +aS'Sig\tSig\tNNP\tI-NP\tO' +p128176 +aS':\t:\t:\tO\tO' +p128177 +aS'One\tOne\tCD\tB-NP\tO' +p128178 +aS'(\t(\t(\tO\tO' +p128179 +aS'1\t1\tCD\tB-NP\tO' +p128180 +aS')\t)\t)\tO\tO' +p128181 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p128182 +aS'PO\tPO\tNN\tI-NP\tO' +p128183 +aS'TID\tTID\tNN\tI-NP\tO' +p128184 +aS'(\t(\t(\tO\tO' +p128185 +aS'3\t3\tCD\tB-NP\tO' +p128186 +aS'times\ttime\tNNS\tI-NP\tO' +p128187 +aS'a\ta\tDT\tB-NP\tO' +p128188 +aS'day\tday\tNN\tI-NP\tO' +p128189 +aS').\t).\t.\tO\tO' +p128190 +asS'Please make a follow-up appointments with Dr. Robinson Dr. Sturtevant .' +p128191 +(lp128192 +S'Please\tPlease\tVB\tB-VP\tO' +p128193 +aS'make\tmake\tVB\tI-VP\tO' +p128194 +aS'a\ta\tDT\tB-NP\tO' +p128195 +aS'follow-up\tfollow-up\tJJ\tI-NP\tO' +p128196 +aS'appointments\tappointment\tNNS\tI-NP\tO' +p128197 +aS'with\twith\tIN\tB-PP\tO' +p128198 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p128199 +aS'Robinson\tRobinson\tNNP\tI-NP\tO' +p128200 +aS'Dr.\tDr.\tNNP\tI-NP\tO' +p128201 +aS'Sturtevant\tSturtevant\tNNP\tI-NP\tO' +p128202 +aS'.\t.\t.\tO\tO' +p128203 +asS'CARDIOVASCULAR : Normal rate and rhythm .' +p128204 +(lp128205 +S'CARDIOVASCULAR\tCARDIOVASCULAR\tNN\tB-NP\tO' +p128206 +aS':\t:\t:\tO\tO' +p128207 +aS'Normal\tNormal\tJJ\tB-NP\tO' +p128208 +aS'rate\trate\tNN\tI-NP\tO' +p128209 +aS'and\tand\tCC\tI-NP\tO' +p128210 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p128211 +aS'.\t.\t.\tO\tO' +p128212 +asS'A negative , antibody negative , hepatitis surface antigen negative , RPR nonreactive , rubella immune and GBS negative .' +p128213 +(lp128214 +S'A\tA\tDT\tB-NP\tO' +p128215 +aS'negative\tnegative\tJJ\tI-NP\tO' +p128216 +aS',\t,\t,\tI-NP\tO' +p128217 +aS'antibody\tantibody\tNN\tI-NP\tO' +p128218 +aS'negative\tnegative\tJJ\tI-NP\tO' +p128219 +aS',\t,\t,\tO\tO' +p128220 +aS'hepatitis\thepatitis\tNN\tB-NP\tB-protein' +p128221 +aS'surface\tsurface\tNN\tI-NP\tI-protein' +p128222 +aS'antigen\tantigen\tNN\tI-NP\tI-protein' +p128223 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p128224 +aS',\t,\t,\tO\tO' +p128225 +aS'RPR\tRPR\tNN\tB-NP\tB-protein' +p128226 +aS'nonreactive\tnonreactive\tJJ\tB-ADJP\tO' +p128227 +aS',\t,\t,\tO\tO' +p128228 +aS'rubella\trubella\tNN\tB-NP\tO' +p128229 +aS'immune\timmune\tJJ\tI-NP\tO' +p128230 +aS'and\tand\tCC\tO\tO' +p128231 +aS'GBS\tGBS\tNN\tB-ADJP\tB-protein' +p128232 +aS'negative\tnegative\tJJ\tI-ADJP\tO' +p128233 +aS'.\t.\t.\tO\tO' +p128234 +asS'Formal pathology revealed a poorly differentiated adenocarcinoma with focal giant cells .' +p128235 +(lp128236 +S'Formal\tFormal\tJJ\tB-NP\tO' +p128237 +aS'pathology\tpathology\tNN\tI-NP\tO' +p128238 +aS'revealed\treveal\tVBD\tB-VP\tO' +p128239 +aS'a\ta\tDT\tB-NP\tO' +p128240 +aS'poorly\tpoorly\tRB\tI-NP\tO' +p128241 +aS'differentiated\tdifferentiate\tVBN\tI-NP\tO' +p128242 +aS'adenocarcinoma\tadenocarcinoma\tNN\tI-NP\tO' +p128243 +aS'with\twith\tIN\tB-PP\tO' +p128244 +aS'focal\tfocal\tJJ\tB-NP\tB-cell_type' +p128245 +aS'giant\tgiant\tJJ\tI-NP\tI-cell_type' +p128246 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p128247 +aS'.\t.\t.\tO\tO' +p128248 +asS'JVP 6 cm .' +p128249 +(lp128250 +S'JVP\tJVP\tNN\tB-NP\tB-protein' +p128251 +aS'6\t6\tCD\tI-NP\tI-protein' +p128252 +aS'cm\tcm\tNN\tI-NP\tO' +p128253 +aS'.\t.\t.\tO\tO' +p128254 +asS'7. Iron 325 mg p.o. q. day .' +p128255 +(lp128256 +S'7.\t7.\tCD\tB-NP\tO' +p128257 +aS'Iron\tIron\tNNP\tI-NP\tO' +p128258 +aS'325\t325\tCD\tI-NP\tO' +p128259 +aS'mg\tmg\tNN\tI-NP\tO' +p128260 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p128261 +aS'q.\tq.\tNN\tI-NP\tO' +p128262 +aS'day\tday\tNN\tI-NP\tO' +p128263 +aS'.\t.\t.\tO\tO' +p128264 +asS'1. Glucophage XR 1000 mg p.o. q. day .' +p128265 +(lp128266 +S'1.\t1.\tLS\tB-NP\tO' +p128267 +aS'Glucophage\tGlucophage\tNN\tI-NP\tO' +p128268 +aS'XR\tXR\tNN\tI-NP\tO' +p128269 +aS'1000\t1000\tCD\tI-NP\tO' +p128270 +aS'mg\tmg\tNN\tI-NP\tO' +p128271 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p128272 +aS'q.\tq.\tNN\tI-NP\tO' +p128273 +aS'day\tday\tNN\tI-NP\tO' +p128274 +aS'.\t.\t.\tO\tO' +p128275 +asS'Abdomen was soft , nontender , no organomegaly , no masses .' +p128276 +(lp128277 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p128278 +aS'was\tbe\tVBD\tB-VP\tO' +p128279 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p128280 +aS',\t,\t,\tO\tO' +p128281 +aS'nontender\tnontender\tJJ\tB-ADJP\tO' +p128282 +aS',\t,\t,\tO\tO' +p128283 +aS'no\tno\tDT\tB-NP\tO' +p128284 +aS'organomegaly\torganomegaly\tNN\tI-NP\tO' +p128285 +aS',\t,\t,\tO\tO' +p128286 +aS'no\tno\tDT\tB-NP\tO' +p128287 +aS'masses\tmass\tNNS\tI-NP\tO' +p128288 +aS'.\t.\t.\tO\tO' +p128289 +asS'F/U with Dr. Ross in 2-3 weeks .' +p128290 +(lp128291 +S'F/U\tF/U\tNN\tB-NP\tO' +p128292 +aS'with\twith\tIN\tB-PP\tO' +p128293 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p128294 +aS'Ross\tRoss\tNNP\tI-NP\tO' +p128295 +aS'in\tin\tIN\tB-PP\tO' +p128296 +aS'2-3\t2-3\tCD\tB-NP\tO' +p128297 +aS'weeks\tweek\tNNS\tI-NP\tO' +p128298 +aS'.\t.\t.\tO\tO' +p128299 +asS'Neck - No jugular venous distention , no lymphadenopathy .' +p128300 +(lp128301 +S'Neck\tNeck\tSYM\tB-NP\tO' +p128302 +aS'-\t-\t:\tO\tO' +p128303 +aS'No\tNo\tDT\tB-NP\tO' +p128304 +aS'jugular\tjugular\tJJ\tI-NP\tO' +p128305 +aS'venous\tvenous\tJJ\tI-NP\tO' +p128306 +aS'distention\tdistention\tNN\tI-NP\tO' +p128307 +aS',\t,\t,\tO\tO' +p128308 +aS'no\tno\tDT\tB-NP\tO' +p128309 +aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' +p128310 +aS'.\t.\t.\tO\tO' +p128311 +asS'The patient was seen in consultation by the Neurology Service for her apparent postoperative encephalopathy and episodes of shaking .' +p128312 +(lp128313 +S'The\tThe\tDT\tB-NP\tO' +p128314 +aS'patient\tpatient\tNN\tI-NP\tO' +p128315 +aS'was\tbe\tVBD\tB-VP\tO' +p128316 +aS'seen\tsee\tVBN\tI-VP\tO' +p128317 +aS'in\tin\tIN\tB-PP\tO' +p128318 +aS'consultation\tconsultation\tNN\tB-NP\tO' +p128319 +aS'by\tby\tIN\tB-PP\tO' +p128320 +aS'the\tthe\tDT\tB-NP\tO' +p128321 +aS'Neurology\tNeurology\tNNP\tI-NP\tO' +p128322 +aS'Service\tService\tNNP\tI-NP\tO' +p128323 +aS'for\tfor\tIN\tB-PP\tO' +p128324 +aS'her\ther\tPRP$\tB-NP\tO' +p128325 +aS'apparent\tapparent\tJJ\tI-NP\tO' +p128326 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p128327 +aS'encephalopathy\tencephalopathy\tNN\tI-NP\tO' +p128328 +aS'and\tand\tCC\tI-NP\tO' +p128329 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p128330 +aS'of\tof\tIN\tB-PP\tO' +p128331 +aS'shaking\tshake\tVBG\tB-NP\tO' +p128332 +aS'.\t.\t.\tO\tO' +p128333 +asS"Her groin CVL was DC 'd after a L SC SVL was palced ." +p128334 +(lp128335 +S'Her\tHer\tPRP$\tB-NP\tO' +p128336 +aS'groin\tgroin\tNN\tI-NP\tO' +p128337 +aS'CVL\tCVL\tNN\tI-NP\tO' +p128338 +aS'was\tbe\tVBD\tB-VP\tO' +p128339 +aS'DC\tDC\tNN\tB-NP\tB-cell_type' +p128340 +aS"'d\t'd\tMD\tB-VP\tO" +p128341 +aS'after\tafter\tIN\tB-PP\tO' +p128342 +aS'a\ta\tDT\tB-NP\tO' +p128343 +aS'L\tL\tNN\tI-NP\tB-protein' +p128344 +aS'SC\tSC\tNN\tI-NP\tI-protein' +p128345 +aS'SVL\tSVL\tNN\tI-NP\tI-protein' +p128346 +aS'was\tbe\tVBD\tB-VP\tO' +p128347 +aS'palced\tpalce\tVBN\tI-VP\tO' +p128348 +aS'.\t.\t.\tO\tO' +p128349 +asS'07-12 the patient was found to be C diff positive and was started on 14 day course of Flagyl .' +p128350 +(lp128351 +S'07-12\t07-12\tCD\tB-NP\tO' +p128352 +aS'the\tthe\tDT\tB-NP\tO' +p128353 +aS'patient\tpatient\tNN\tI-NP\tO' +p128354 +aS'was\tbe\tVBD\tB-VP\tO' +p128355 +aS'found\tfind\tVBN\tI-VP\tO' +p128356 +aS'to\tto\tTO\tI-VP\tO' +p128357 +aS'be\tbe\tVB\tI-VP\tO' +p128358 +aS'C\tC\tNN\tB-NP\tO' +p128359 +aS'diff\tdiff\tNN\tI-NP\tO' +p128360 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p128361 +aS'and\tand\tCC\tO\tO' +p128362 +aS'was\tbe\tVBD\tB-VP\tO' +p128363 +aS'started\tstart\tVBN\tI-VP\tO' +p128364 +aS'on\ton\tIN\tB-PP\tO' +p128365 +aS'14\t14\tCD\tB-NP\tO' +p128366 +aS'day\tday\tNN\tI-NP\tO' +p128367 +aS'course\tcourse\tNN\tI-NP\tO' +p128368 +aS'of\tof\tIN\tB-PP\tO' +p128369 +aS'Flagyl\tFlagyl\tNN\tB-NP\tO' +p128370 +aS'.\t.\t.\tO\tO' +p128371 +asS'5. No evidence of bony metastases .' +p128372 +(lp128373 +S'5.\t5.\tLS\tB-LST\tO' +p128374 +aS'No\tNo\tDT\tB-NP\tO' +p128375 +aS'evidence\tevidence\tNN\tI-NP\tO' +p128376 +aS'of\tof\tIN\tB-PP\tO' +p128377 +aS'bony\tbony\tNN\tB-NP\tB-protein' +p128378 +aS'metastases\tmetastasis\tNNS\tI-NP\tI-protein' +p128379 +aS'.\t.\t.\tO\tO' +p128380 +asS'no calf tenderness or peripheral edema .' +p128381 +(lp128382 +S'no\tno\tDT\tB-NP\tO' +p128383 +aS'calf\tcalf\tNN\tI-NP\tO' +p128384 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p128385 +aS'or\tor\tCC\tO\tO' +p128386 +aS'peripheral\tperipheral\tJJ\tB-NP\tO' +p128387 +aS'edema\tedema\tNN\tI-NP\tO' +p128388 +aS'.\t.\t.\tO\tO' +p128389 +asS'4. Indirect hyperbilirubinemia .' +p128390 +(lp128391 +S'4.\t4.\tLS\tB-NP\tO' +p128392 +aS'Indirect\tIndirect\tJJ\tI-NP\tO' +p128393 +aS'hyperbilirubinemia\thyperbilirubinemia\tNN\tI-NP\tO' +p128394 +aS'.\t.\t.\tO\tO' +p128395 +asS'Biceps are normal .' +p128396 +(lp128397 +S'Biceps\tBicep\tNNS\tB-NP\tO' +p128398 +aS'are\tbe\tVBP\tB-VP\tO' +p128399 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p128400 +aS'.\t.\t.\tO\tO' +p128401 +asS'Chief Complaint : s/p fall with Left arm pain' +p128402 +(lp128403 +S'Chief\tChief\tNNP\tB-NP\tO' +p128404 +aS'Complaint\tComplaint\tNNP\tI-NP\tO' +p128405 +aS':\t:\t:\tO\tO' +p128406 +aS's/p\ts/p\tNN\tB-NP\tO' +p128407 +aS'fall\tfall\tNN\tI-NP\tO' +p128408 +aS'with\twith\tIN\tB-PP\tO' +p128409 +aS'Left\tLeft\tJJ\tB-NP\tB-protein' +p128410 +aS'arm\tarm\tNN\tI-NP\tI-protein' +p128411 +aS'pain\tpain\tNN\tI-NP\tI-protein' +p128412 +asS'HR 84 with symptoms of lightheadedness while lying supine .' +p128413 +(lp128414 +S'HR\tHR\tNN\tB-NP\tB-protein' +p128415 +aS'84\t84\tCD\tI-NP\tI-protein' +p128416 +aS'with\twith\tIN\tB-PP\tO' +p128417 +aS'symptoms\tsymptom\tNNS\tB-NP\tO' +p128418 +aS'of\tof\tIN\tB-PP\tO' +p128419 +aS'lightheadedness\tlightheadedness\tNN\tB-NP\tO' +p128420 +aS'while\twhile\tIN\tB-SBAR\tO' +p128421 +aS'lying\tlie\tVBG\tB-VP\tO' +p128422 +aS'supine\tsupine\tNN\tB-NP\tO' +p128423 +aS'.\t.\t.\tO\tO' +p128424 +asS'By the time he was admitted , he was off pressors and hemodynamically stable and pain-free .' +p128425 +(lp128426 +S'By\tBy\tIN\tB-PP\tO' +p128427 +aS'the\tthe\tDT\tB-NP\tO' +p128428 +aS'time\ttime\tNN\tI-NP\tO' +p128429 +aS'he\the\tPRP\tB-NP\tO' +p128430 +aS'was\tbe\tVBD\tB-VP\tO' +p128431 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p128432 +aS',\t,\t,\tO\tO' +p128433 +aS'he\the\tPRP\tB-NP\tO' +p128434 +aS'was\tbe\tVBD\tB-VP\tO' +p128435 +aS'off\toff\tJJ\tB-NP\tO' +p128436 +aS'pressors\tpressor\tNNS\tI-NP\tO' +p128437 +aS'and\tand\tCC\tO\tO' +p128438 +aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' +p128439 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p128440 +aS'and\tand\tCC\tI-ADJP\tO' +p128441 +aS'pain-free\tpain-free\tJJ\tI-ADJP\tO' +p128442 +aS'.\t.\t.\tO\tO' +p128443 +asS"During his hospital stay , his blood glucose were elevated and labile ranging from below normal values [ 40-60 's] to the 200-300 's ." +p128444 +(lp128445 +S'During\tDuring\tIN\tB-PP\tO' +p128446 +aS'his\this\tPRP$\tB-NP\tO' +p128447 +aS'hospital\thospital\tNN\tI-NP\tO' +p128448 +aS'stay\tstay\tNN\tI-NP\tO' +p128449 +aS',\t,\t,\tO\tO' +p128450 +aS'his\this\tPRP$\tB-NP\tO' +p128451 +aS'blood\tblood\tNN\tI-NP\tO' +p128452 +aS'glucose\tglucose\tNN\tI-NP\tO' +p128453 +aS'were\tbe\tVBD\tB-VP\tO' +p128454 +aS'elevated\televate\tVBN\tI-VP\tO' +p128455 +aS'and\tand\tCC\tO\tO' +p128456 +aS'labile\tlabile\tNN\tB-NP\tO' +p128457 +aS'ranging\trange\tVBG\tB-VP\tO' +p128458 +aS'from\tfrom\tIN\tB-PP\tO' +p128459 +aS'below\tbelow\tIN\tB-PP\tO' +p128460 +aS'normal\tnormal\tJJ\tB-NP\tO' +p128461 +aS'values\tvalue\tNNS\tI-NP\tO' +p128462 +aS'[\t[\t(\tO\tO' +p128463 +aS'40-60\t40-60\tCD\tB-NP\tO' +p128464 +aS"'s]\t's]\tPOS\tB-NP\tO" +p128465 +aS'to\tto\tTO\tB-PP\tO' +p128466 +aS'the\tthe\tDT\tB-NP\tO' +p128467 +aS'200-300\t200-300\tCD\tI-NP\tO' +p128468 +aS"'s\t's\tPOS\tB-NP\tO" +p128469 +aS'.\t.\t.\tO\tO' +p128470 +asS'Over the past two weeks , pt has declined in status .' +p128471 +(lp128472 +S'Over\tOver\tIN\tB-PP\tO' +p128473 +aS'the\tthe\tDT\tB-NP\tO' +p128474 +aS'past\tpast\tJJ\tI-NP\tO' +p128475 +aS'two\ttwo\tCD\tI-NP\tO' +p128476 +aS'weeks\tweek\tNNS\tI-NP\tO' +p128477 +aS',\t,\t,\tO\tO' +p128478 +aS'pt\tpt\tNN\tB-NP\tO' +p128479 +aS'has\thave\tVBZ\tB-VP\tO' +p128480 +aS'declined\tdecline\tVBN\tI-VP\tO' +p128481 +aS'in\tin\tIN\tB-PP\tO' +p128482 +aS'status\tstatus\tNN\tB-NP\tO' +p128483 +aS'.\t.\t.\tO\tO' +p128484 +asS'His post-transplant course was complicated by pain from mucositis and recalcitrant nausea and vomiting .' +p128485 +(lp128486 +S'His\tHis\tPRP$\tB-NP\tO' +p128487 +aS'post-transplant\tpost-transplant\tJJ\tI-NP\tO' +p128488 +aS'course\tcourse\tNN\tI-NP\tO' +p128489 +aS'was\tbe\tVBD\tB-VP\tO' +p128490 +aS'complicated\tcomplicate\tVBN\tI-VP\tO' +p128491 +aS'by\tby\tIN\tB-PP\tO' +p128492 +aS'pain\tpain\tNN\tB-NP\tO' +p128493 +aS'from\tfrom\tIN\tB-PP\tO' +p128494 +aS'mucositis\tmucositis\tNN\tB-NP\tO' +p128495 +aS'and\tand\tCC\tO\tO' +p128496 +aS'recalcitrant\trecalcitrant\tJJ\tB-NP\tO' +p128497 +aS'nausea\tnausea\tNN\tI-NP\tO' +p128498 +aS'and\tand\tCC\tI-NP\tO' +p128499 +aS'vomiting\tvomiting\tNN\tI-NP\tO' +p128500 +aS'.\t.\t.\tO\tO' +p128501 +asS'Staging evaluation included normal liver function tests , normal blood counts and normal chest x-ray .' +p128502 +(lp128503 +S'Staging\tStag\tVBG\tB-VP\tO' +p128504 +aS'evaluation\tevaluation\tNN\tB-NP\tO' +p128505 +aS'included\tinclude\tVBD\tB-VP\tO' +p128506 +aS'normal\tnormal\tJJ\tB-NP\tO' +p128507 +aS'liver\tliver\tNN\tI-NP\tO' +p128508 +aS'function\tfunction\tNN\tI-NP\tO' +p128509 +aS'tests\ttest\tNNS\tI-NP\tO' +p128510 +aS',\t,\t,\tO\tO' +p128511 +aS'normal\tnormal\tJJ\tB-NP\tO' +p128512 +aS'blood\tblood\tNN\tI-NP\tO' +p128513 +aS'counts\tcount\tNNS\tI-NP\tO' +p128514 +aS'and\tand\tCC\tO\tO' +p128515 +aS'normal\tnormal\tJJ\tB-NP\tO' +p128516 +aS'chest\tchest\tNN\tI-NP\tO' +p128517 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p128518 +aS'.\t.\t.\tO\tO' +p128519 +asS'3. Severe autonomic dysfunction with multiple hospitalizations for hypertensive emergency , gastroparesis , and orthostatic hypotension .' +p128520 +(lp128521 +S'3.\t3.\tLS\tB-NP\tO' +p128522 +aS'Severe\tSevere\tJJ\tI-NP\tO' +p128523 +aS'autonomic\tautonomic\tJJ\tI-NP\tO' +p128524 +aS'dysfunction\tdysfunction\tNN\tI-NP\tO' +p128525 +aS'with\twith\tIN\tB-PP\tO' +p128526 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p128527 +aS'hospitalizations\thospitalization\tNNS\tI-NP\tO' +p128528 +aS'for\tfor\tIN\tB-PP\tO' +p128529 +aS'hypertensive\thypertensive\tJJ\tB-NP\tO' +p128530 +aS'emergency\temergency\tNN\tI-NP\tO' +p128531 +aS',\t,\t,\tO\tO' +p128532 +aS'gastroparesis\tgastroparesis\tNN\tB-NP\tO' +p128533 +aS',\t,\t,\tO\tO' +p128534 +aS'and\tand\tCC\tO\tO' +p128535 +aS'orthostatic\torthostatic\tJJ\tB-NP\tO' +p128536 +aS'hypotension\thypotension\tNN\tI-NP\tO' +p128537 +aS'.\t.\t.\tO\tO' +p128538 +asS'He is separated and has a very supportive new partner .' +p128539 +(lp128540 +S'He\tHe\tPRP\tB-NP\tO' +p128541 +aS'is\tbe\tVBZ\tB-VP\tO' +p128542 +aS'separated\tseparate\tVBN\tI-VP\tO' +p128543 +aS'and\tand\tCC\tO\tO' +p128544 +aS'has\thave\tVBZ\tB-VP\tO' +p128545 +aS'a\ta\tDT\tB-NP\tO' +p128546 +aS'very\tvery\tRB\tI-NP\tO' +p128547 +aS'supportive\tsupportive\tJJ\tI-NP\tO' +p128548 +aS'new\tnew\tJJ\tI-NP\tO' +p128549 +aS'partner\tpartner\tNN\tI-NP\tO' +p128550 +aS'.\t.\t.\tO\tO' +p128551 +asS'Used to work in fast food .' +p128552 +(lp128553 +S'Used\tUse\tVBN\tB-VP\tO' +p128554 +aS'to\tto\tTO\tB-PP\tO' +p128555 +aS'work\twork\tVB\tB-NP\tO' +p128556 +aS'in\tin\tIN\tB-PP\tO' +p128557 +aS'fast\tfast\tJJ\tB-NP\tO' +p128558 +aS'food\tfood\tNN\tI-NP\tO' +p128559 +aS'.\t.\t.\tO\tO' +p128560 +asS'For renal , his creatinine was monitored and the dye load and the catheterization .' +p128561 +(lp128562 +S'For\tFor\tIN\tB-PP\tO' +p128563 +aS'renal\trenal\tJJ\tB-NP\tO' +p128564 +aS',\t,\t,\tO\tO' +p128565 +aS'his\this\tPRP$\tB-NP\tO' +p128566 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p128567 +aS'was\tbe\tVBD\tB-VP\tO' +p128568 +aS'monitored\tmonitor\tVBN\tI-VP\tO' +p128569 +aS'and\tand\tCC\tO\tO' +p128570 +aS'the\tthe\tDT\tB-NP\tO' +p128571 +aS'dye\tdye\tNN\tI-NP\tO' +p128572 +aS'load\tload\tNN\tI-NP\tO' +p128573 +aS'and\tand\tCC\tO\tO' +p128574 +aS'the\tthe\tDT\tB-NP\tO' +p128575 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p128576 +aS'.\t.\t.\tO\tO' +p128577 +asS'A similar lesion is seen on the right , measuring 2.2 cm .' +p128578 +(lp128579 +S'A\tA\tDT\tB-NP\tO' +p128580 +aS'similar\tsimilar\tJJ\tI-NP\tO' +p128581 +aS'lesion\tlesion\tNN\tI-NP\tO' +p128582 +aS'is\tbe\tVBZ\tB-VP\tO' +p128583 +aS'seen\tsee\tVBN\tI-VP\tO' +p128584 +aS'on\ton\tIN\tB-PP\tO' +p128585 +aS'the\tthe\tDT\tB-NP\tO' +p128586 +aS'right\tright\tNN\tI-NP\tO' +p128587 +aS',\t,\t,\tO\tO' +p128588 +aS'measuring\tmeasure\tVBG\tB-VP\tO' +p128589 +aS'2.2\t2.2\tCD\tB-NP\tO' +p128590 +aS'cm\tcm\tNN\tI-NP\tO' +p128591 +aS'.\t.\t.\tO\tO' +p128592 +asS'Line-central .' +p128593 +(lp128594 +S'Line-central\tLine-central\tJJ\tB-ADJP\tO' +p128595 +aS'.\t.\t.\tO\tO' +p128596 +asS'Blood culture had remained no growth to date .' +p128597 +(lp128598 +S'Blood\tBlood\tNN\tB-NP\tO' +p128599 +aS'culture\tculture\tNN\tI-NP\tO' +p128600 +aS'had\thave\tVBD\tB-VP\tO' +p128601 +aS'remained\tremain\tVBN\tI-VP\tO' +p128602 +aS'no\tno\tDT\tB-NP\tO' +p128603 +aS'growth\tgrowth\tNN\tI-NP\tO' +p128604 +aS'to\tto\tTO\tB-PP\tO' +p128605 +aS'date\tdate\tNN\tB-NP\tO' +p128606 +aS'.\t.\t.\tO\tO' +p128607 +asS'Most recent laboratory values are from 2011-10-25 which revealed a white blood cell count 8.4000 , hematocrit 35 , platelet count 202,000. Sodium 133 , potassium 4.4 , chloride 93 , CO2 30 , BUN 24 , creatinine 0.7 , glucose 198 .' +p128608 +(lp128609 +S'Most\tMost\tRBS\tB-NP\tO' +p128610 +aS'recent\trecent\tJJ\tI-NP\tO' +p128611 +aS'laboratory\tlaboratory\tNN\tI-NP\tO' +p128612 +aS'values\tvalue\tNNS\tI-NP\tO' +p128613 +aS'are\tbe\tVBP\tB-VP\tO' +p128614 +aS'from\tfrom\tIN\tB-PP\tO' +p128615 +aS'2011-10-25\t2011-10-25\tCD\tB-NP\tO' +p128616 +aS'which\twhich\tWDT\tB-NP\tO' +p128617 +aS'revealed\treveal\tVBD\tB-VP\tO' +p128618 +aS'a\ta\tDT\tB-NP\tO' +p128619 +aS'white\twhite\tJJ\tI-NP\tO' +p128620 +aS'blood\tblood\tNN\tI-NP\tO' +p128621 +aS'cell\tcell\tNN\tI-NP\tO' +p128622 +aS'count\tcount\tNN\tI-NP\tO' +p128623 +aS'8.4000\t8.4000\tCD\tB-NP\tO' +p128624 +aS',\t,\t,\tO\tO' +p128625 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p128626 +aS'35\t35\tCD\tI-NP\tI-protein' +p128627 +aS',\t,\t,\tO\tO' +p128628 +aS'platelet\tplatelet\tNN\tB-NP\tB-protein' +p128629 +aS'count\tcount\tNN\tI-NP\tI-protein' +p128630 +aS'202,000.\t202,000.\tCD\tI-NP\tI-protein' +p128631 +aS'Sodium\tSodium\tNNP\tI-NP\tI-protein' +p128632 +aS'133\t133\tCD\tI-NP\tI-protein' +p128633 +aS',\t,\t,\tO\tO' +p128634 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p128635 +aS'4.4\t4.4\tCD\tI-NP\tO' +p128636 +aS',\t,\t,\tO\tO' +p128637 +aS'chloride\tchloride\tNN\tB-NP\tO' +p128638 +aS'93\t93\tCD\tI-NP\tO' +p128639 +aS',\t,\t,\tO\tO' +p128640 +aS'CO2\tCO2\tNN\tB-NP\tO' +p128641 +aS'30\t30\tCD\tI-NP\tO' +p128642 +aS',\t,\t,\tO\tO' +p128643 +aS'BUN\tBUN\tNN\tB-NP\tB-DNA' +p128644 +aS'24\t24\tCD\tI-NP\tI-DNA' +p128645 +aS',\t,\t,\tO\tO' +p128646 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p128647 +aS'0.7\t0.7\tCD\tI-NP\tO' +p128648 +aS',\t,\t,\tO\tO' +p128649 +aS'glucose\tglucose\tNN\tB-NP\tO' +p128650 +aS'198\t198\tCD\tI-NP\tO' +p128651 +aS'.\t.\t.\tO\tO' +p128652 +asS'He also developed thrombocytopenia , requiring persistent platelet transfusions on a daily basis .' +p128653 +(lp128654 +S'He\tHe\tPRP\tB-NP\tO' +p128655 +aS'also\talso\tRB\tB-ADVP\tO' +p128656 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p128657 +aS'thrombocytopenia\tthrombocytopenia\tNN\tB-NP\tO' +p128658 +aS',\t,\t,\tO\tO' +p128659 +aS'requiring\trequire\tVBG\tB-VP\tO' +p128660 +aS'persistent\tpersistent\tJJ\tB-NP\tO' +p128661 +aS'platelet\tplatelet\tNN\tI-NP\tO' +p128662 +aS'transfusions\ttransfusion\tNNS\tI-NP\tO' +p128663 +aS'on\ton\tIN\tB-PP\tO' +p128664 +aS'a\ta\tDT\tB-NP\tO' +p128665 +aS'daily\tdaily\tJJ\tI-NP\tO' +p128666 +aS'basis\tbasis\tNN\tI-NP\tO' +p128667 +aS'.\t.\t.\tO\tO' +p128668 +asS'Prior to admission he was seen approximately 1 week in the office with mild congestive heart failure .' +p128669 +(lp128670 +S'Prior\tPrior\tRB\tB-ADVP\tO' +p128671 +aS'to\tto\tTO\tB-PP\tO' +p128672 +aS'admission\tadmission\tNN\tB-NP\tO' +p128673 +aS'he\the\tPRP\tB-NP\tO' +p128674 +aS'was\tbe\tVBD\tB-VP\tO' +p128675 +aS'seen\tsee\tVBN\tI-VP\tO' +p128676 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p128677 +aS'1\t1\tCD\tI-NP\tO' +p128678 +aS'week\tweek\tNN\tI-NP\tO' +p128679 +aS'in\tin\tIN\tB-PP\tO' +p128680 +aS'the\tthe\tDT\tB-NP\tO' +p128681 +aS'office\toffice\tNN\tI-NP\tO' +p128682 +aS'with\twith\tIN\tB-PP\tO' +p128683 +aS'mild\tmild\tJJ\tB-NP\tO' +p128684 +aS'congestive\tcongestive\tJJ\tI-NP\tO' +p128685 +aS'heart\theart\tNN\tI-NP\tO' +p128686 +aS'failure\tfailure\tNN\tI-NP\tO' +p128687 +aS'.\t.\t.\tO\tO' +p128688 +asS'The patient is a 63 year old gentleman who had initially presented with exertional chest pressure several weeks prior to this admission that would resolve with rest .' +p128689 +(lp128690 +S'The\tThe\tDT\tB-NP\tO' +p128691 +aS'patient\tpatient\tNN\tI-NP\tO' +p128692 +aS'is\tbe\tVBZ\tB-VP\tO' +p128693 +aS'a\ta\tDT\tB-NP\tO' +p128694 +aS'63\t63\tCD\tI-NP\tO' +p128695 +aS'year\tyear\tNN\tI-NP\tO' +p128696 +aS'old\told\tJJ\tI-NP\tO' +p128697 +aS'gentleman\tgentleman\tNN\tI-NP\tO' +p128698 +aS'who\twho\tWP\tB-NP\tO' +p128699 +aS'had\thave\tVBD\tB-VP\tO' +p128700 +aS'initially\tinitially\tRB\tI-VP\tO' +p128701 +aS'presented\tpresent\tVBN\tI-VP\tO' +p128702 +aS'with\twith\tIN\tB-PP\tO' +p128703 +aS'exertional\texertional\tJJ\tB-NP\tO' +p128704 +aS'chest\tchest\tNN\tI-NP\tO' +p128705 +aS'pressure\tpressure\tNN\tI-NP\tO' +p128706 +aS'several\tseveral\tJJ\tB-NP\tO' +p128707 +aS'weeks\tweek\tNNS\tI-NP\tO' +p128708 +aS'prior\tprior\tRB\tB-ADVP\tO' +p128709 +aS'to\tto\tTO\tB-PP\tO' +p128710 +aS'this\tthis\tDT\tB-NP\tO' +p128711 +aS'admission\tadmission\tNN\tI-NP\tO' +p128712 +aS'that\tthat\tWDT\tB-NP\tO' +p128713 +aS'would\twould\tMD\tB-VP\tO' +p128714 +aS'resolve\tresolve\tVB\tI-VP\tO' +p128715 +aS'with\twith\tIN\tB-PP\tO' +p128716 +aS'rest\trest\tNN\tB-NP\tO' +p128717 +aS'.\t.\t.\tO\tO' +p128718 +asS'2. Examination under anesthesia with placement of splint , right elbow .' +p128719 +(lp128720 +S'2.\t2.\tLS\tB-NP\tO' +p128721 +aS'Examination\tExamination\tNN\tI-NP\tO' +p128722 +aS'under\tunder\tIN\tB-PP\tO' +p128723 +aS'anesthesia\tanesthesia\tNN\tB-NP\tO' +p128724 +aS'with\twith\tIN\tB-PP\tO' +p128725 +aS'placement\tplacement\tNN\tB-NP\tO' +p128726 +aS'of\tof\tIN\tB-PP\tO' +p128727 +aS'splint\tsplint\tNN\tB-NP\tO' +p128728 +aS',\t,\t,\tO\tO' +p128729 +aS'right\tright\tJJ\tB-NP\tO' +p128730 +aS'elbow\telbow\tNN\tI-NP\tO' +p128731 +aS'.\t.\t.\tO\tO' +p128732 +asS'extraocular movements intact .' +p128733 +(lp128734 +S'extraocular\textraocular\tJJ\tB-NP\tO' +p128735 +aS'movements\tmovement\tNNS\tI-NP\tO' +p128736 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p128737 +aS'.\t.\t.\tO\tO' +p128738 +asS'RR nl S1 S2 no m' +p128739 +(lp128740 +S'RR\tRR\tNN\tB-NP\tB-protein' +p128741 +aS'nl\tnl\tNN\tI-NP\tI-protein' +p128742 +aS'S1\tS1\tNN\tI-NP\tI-protein' +p128743 +aS'S2\tS2\tNN\tI-NP\tI-protein' +p128744 +aS'no\tno\tDT\tB-NP\tO' +p128745 +aS'm\tm\tNN\tI-NP\tO' +p128746 +asS'On presentation , the patient denied chest pain , shortness of breath , and cough .' +p128747 +(lp128748 +S'On\tOn\tIN\tB-PP\tO' +p128749 +aS'presentation\tpresentation\tNN\tB-NP\tO' +p128750 +aS',\t,\t,\tO\tO' +p128751 +aS'the\tthe\tDT\tB-NP\tO' +p128752 +aS'patient\tpatient\tNN\tI-NP\tO' +p128753 +aS'denied\tdeny\tVBD\tB-VP\tO' +p128754 +aS'chest\tchest\tNN\tB-NP\tO' +p128755 +aS'pain\tpain\tNN\tI-NP\tO' +p128756 +aS',\t,\t,\tO\tO' +p128757 +aS'shortness\tshortness\tNN\tB-NP\tO' +p128758 +aS'of\tof\tIN\tB-PP\tO' +p128759 +aS'breath\tbreath\tNN\tB-NP\tO' +p128760 +aS',\t,\t,\tO\tO' +p128761 +aS'and\tand\tCC\tO\tO' +p128762 +aS'cough\tcough\tNN\tB-NP\tO' +p128763 +aS'.\t.\t.\tO\tO' +p128764 +asS'The heart had normal rate and rhythm , with normal Sl and S2 and no significant heart murmur was heard .' +p128765 +(lp128766 +S'The\tThe\tDT\tB-NP\tO' +p128767 +aS'heart\theart\tNN\tI-NP\tO' +p128768 +aS'had\thave\tVBD\tB-VP\tO' +p128769 +aS'normal\tnormal\tJJ\tB-NP\tO' +p128770 +aS'rate\trate\tNN\tI-NP\tO' +p128771 +aS'and\tand\tCC\tI-NP\tO' +p128772 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p128773 +aS',\t,\t,\tO\tO' +p128774 +aS'with\twith\tIN\tB-PP\tO' +p128775 +aS'normal\tnormal\tJJ\tB-NP\tO' +p128776 +aS'Sl\tSl\tNN\tI-NP\tO' +p128777 +aS'and\tand\tCC\tO\tO' +p128778 +aS'S2\tS2\tNN\tB-NP\tB-protein' +p128779 +aS'and\tand\tCC\tO\tO' +p128780 +aS'no\tno\tDT\tB-NP\tO' +p128781 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p128782 +aS'heart\theart\tNN\tI-NP\tO' +p128783 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p128784 +aS'was\tbe\tVBD\tB-VP\tO' +p128785 +aS'heard\thear\tVBN\tI-VP\tO' +p128786 +aS'.\t.\t.\tO\tO' +p128787 +asS'CT scan showed an anterior mediastinal mass compressing the trachea with air .' +p128788 +(lp128789 +S'CT\tCT\tNN\tB-NP\tO' +p128790 +aS'scan\tscan\tNN\tI-NP\tO' +p128791 +aS'showed\tshow\tVBD\tB-VP\tO' +p128792 +aS'an\tan\tDT\tB-NP\tO' +p128793 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p128794 +aS'mediastinal\tmediastinal\tJJ\tI-NP\tO' +p128795 +aS'mass\tmass\tNN\tI-NP\tO' +p128796 +aS'compressing\tcompress\tVBG\tB-VP\tO' +p128797 +aS'the\tthe\tDT\tB-NP\tO' +p128798 +aS'trachea\ttrachea\tNN\tI-NP\tO' +p128799 +aS'with\twith\tIN\tB-PP\tO' +p128800 +aS'air\tair\tNN\tB-NP\tO' +p128801 +aS'.\t.\t.\tO\tO' +p128802 +asS'He is at increased risk for future events because of his low left ventricular ejection fraction , but he is clinically stable on ACE inhibitors , Digoxin , Coumadin , and aspirin .' +p128803 +(lp128804 +S'He\tHe\tPRP\tB-NP\tO' +p128805 +aS'is\tbe\tVBZ\tB-VP\tO' +p128806 +aS'at\tat\tIN\tB-PP\tO' +p128807 +aS'increased\tincrease\tVBN\tB-NP\tO' +p128808 +aS'risk\trisk\tNN\tI-NP\tO' +p128809 +aS'for\tfor\tIN\tB-PP\tO' +p128810 +aS'future\tfuture\tJJ\tB-NP\tO' +p128811 +aS'events\tevent\tNNS\tI-NP\tO' +p128812 +aS'because\tbecause\tIN\tB-PP\tO' +p128813 +aS'of\tof\tIN\tI-PP\tO' +p128814 +aS'his\this\tPRP$\tB-NP\tO' +p128815 +aS'low\tlow\tJJ\tI-NP\tO' +p128816 +aS'left\tleft\tJJ\tI-NP\tO' +p128817 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p128818 +aS'ejection\tejection\tNN\tI-NP\tO' +p128819 +aS'fraction\tfraction\tNN\tI-NP\tO' +p128820 +aS',\t,\t,\tO\tO' +p128821 +aS'but\tbut\tCC\tO\tO' +p128822 +aS'he\the\tPRP\tB-NP\tO' +p128823 +aS'is\tbe\tVBZ\tB-VP\tO' +p128824 +aS'clinically\tclinically\tRB\tB-ADJP\tO' +p128825 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p128826 +aS'on\ton\tIN\tB-PP\tO' +p128827 +aS'ACE\tACE\tNN\tB-NP\tO' +p128828 +aS'inhibitors\tinhibitor\tNNS\tI-NP\tO' +p128829 +aS',\t,\t,\tO\tO' +p128830 +aS'Digoxin\tDigoxin\tNN\tB-NP\tO' +p128831 +aS',\t,\t,\tO\tO' +p128832 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p128833 +aS',\t,\t,\tO\tO' +p128834 +aS'and\tand\tCC\tO\tO' +p128835 +aS'aspirin\taspirin\tNN\tB-NP\tO' +p128836 +aS'.\t.\t.\tO\tO' +p128837 +asS'She received EEG , MRI , LP .' +p128838 +(lp128839 +S'She\tShe\tPRP\tB-NP\tO' +p128840 +aS'received\treceive\tVBD\tB-VP\tO' +p128841 +aS'EEG\tEEG\tNN\tB-NP\tB-protein' +p128842 +aS',\t,\t,\tO\tO' +p128843 +aS'MRI\tMRI\tNN\tB-NP\tB-protein' +p128844 +aS',\t,\t,\tO\tO' +p128845 +aS'LP\tLP\tNN\tB-NP\tO' +p128846 +aS'.\t.\t.\tO\tO' +p128847 +asS'Neurosurg evaluated pt and felt to not be surgical candidate ; recommended dilantin load and decadron .' +p128848 +(lp128849 +S'Neurosurg\tNeurosurg\tNNP\tB-NP\tO' +p128850 +aS'evaluated\tevaluate\tVBD\tB-VP\tO' +p128851 +aS'pt\tpt\tNN\tB-NP\tO' +p128852 +aS'and\tand\tCC\tO\tO' +p128853 +aS'felt\tfeel\tVBD\tB-VP\tO' +p128854 +aS'to\tto\tTO\tI-VP\tO' +p128855 +aS'not\tnot\tRB\tI-VP\tO' +p128856 +aS'be\tbe\tVB\tI-VP\tO' +p128857 +aS'surgical\tsurgical\tJJ\tB-NP\tO' +p128858 +aS'candidate\tcandidate\tNN\tI-NP\tO' +p128859 +aS';\t;\t:\tO\tO' +p128860 +aS'recommended\trecommend\tVBN\tB-NP\tO' +p128861 +aS'dilantin\tdilantin\tNN\tI-NP\tO' +p128862 +aS'load\tload\tNN\tI-NP\tO' +p128863 +aS'and\tand\tCC\tI-NP\tO' +p128864 +aS'decadron\tdecadron\tNN\tI-NP\tO' +p128865 +aS'.\t.\t.\tO\tO' +p128866 +asS'The patient was told he could return to work after two weeks of rest , given that his work required a high level of exertion and the patient was also given a prescription for a transdermal nicotine patch 14 mg the be used for up to 2 weeks until cravings remitted .' +p128867 +(lp128868 +S'The\tThe\tDT\tB-NP\tO' +p128869 +aS'patient\tpatient\tNN\tI-NP\tO' +p128870 +aS'was\tbe\tVBD\tB-VP\tO' +p128871 +aS'told\ttell\tVBN\tI-VP\tO' +p128872 +aS'he\the\tPRP\tB-NP\tO' +p128873 +aS'could\tcould\tMD\tB-VP\tO' +p128874 +aS'return\treturn\tVB\tI-VP\tO' +p128875 +aS'to\tto\tTO\tB-PP\tO' +p128876 +aS'work\twork\tVB\tB-NP\tO' +p128877 +aS'after\tafter\tIN\tB-PP\tO' +p128878 +aS'two\ttwo\tCD\tB-NP\tO' +p128879 +aS'weeks\tweek\tNNS\tI-NP\tO' +p128880 +aS'of\tof\tIN\tB-PP\tO' +p128881 +aS'rest\trest\tNN\tB-NP\tO' +p128882 +aS',\t,\t,\tO\tO' +p128883 +aS'given\tgive\tVBN\tB-PP\tO' +p128884 +aS'that\tthat\tIN\tB-SBAR\tO' +p128885 +aS'his\this\tPRP$\tB-NP\tO' +p128886 +aS'work\twork\tNN\tI-NP\tO' +p128887 +aS'required\trequire\tVBD\tB-VP\tO' +p128888 +aS'a\ta\tDT\tB-NP\tO' +p128889 +aS'high\thigh\tJJ\tI-NP\tO' +p128890 +aS'level\tlevel\tNN\tI-NP\tO' +p128891 +aS'of\tof\tIN\tB-PP\tO' +p128892 +aS'exertion\texertion\tNN\tB-NP\tO' +p128893 +aS'and\tand\tCC\tO\tO' +p128894 +aS'the\tthe\tDT\tB-NP\tO' +p128895 +aS'patient\tpatient\tNN\tI-NP\tO' +p128896 +aS'was\tbe\tVBD\tB-VP\tO' +p128897 +aS'also\talso\tRB\tI-VP\tO' +p128898 +aS'given\tgive\tVBN\tI-VP\tO' +p128899 +aS'a\ta\tDT\tB-NP\tO' +p128900 +aS'prescription\tprescription\tNN\tI-NP\tO' +p128901 +aS'for\tfor\tIN\tB-PP\tO' +p128902 +aS'a\ta\tDT\tB-NP\tO' +p128903 +aS'transdermal\ttransdermal\tJJ\tI-NP\tO' +p128904 +aS'nicotine\tnicotine\tNN\tI-NP\tO' +p128905 +aS'patch\tpatch\tNN\tI-NP\tO' +p128906 +aS'14\t14\tCD\tI-NP\tO' +p128907 +aS'mg\tmg\tNN\tI-NP\tO' +p128908 +aS'the\tthe\tDT\tB-NP\tO' +p128909 +aS'be\tbe\tNN\tI-NP\tO' +p128910 +aS'used\tuse\tVBN\tB-VP\tO' +p128911 +aS'for\tfor\tIN\tB-PP\tO' +p128912 +aS'up\tup\tRB\tB-NP\tO' +p128913 +aS'to\tto\tTO\tI-NP\tO' +p128914 +aS'2\t2\tCD\tI-NP\tO' +p128915 +aS'weeks\tweek\tNNS\tI-NP\tO' +p128916 +aS'until\tuntil\tIN\tB-PP\tO' +p128917 +aS'cravings\tcraving\tNNS\tB-NP\tO' +p128918 +aS'remitted\tremit\tVBN\tB-VP\tO' +p128919 +aS'.\t.\t.\tO\tO' +p128920 +asS'There was ST scooping in the lateral leads consistent with Dig vs. a question of chronic ischemia changes .' +p128921 +(lp128922 +S'There\tThere\tEX\tB-NP\tO' +p128923 +aS'was\tbe\tVBD\tB-VP\tO' +p128924 +aS'ST\tST\tNN\tB-NP\tO' +p128925 +aS'scooping\tscoop\tVBG\tB-VP\tO' +p128926 +aS'in\tin\tIN\tB-PP\tO' +p128927 +aS'the\tthe\tDT\tB-NP\tO' +p128928 +aS'lateral\tlateral\tJJ\tI-NP\tO' +p128929 +aS'leads\tlead\tNNS\tI-NP\tO' +p128930 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p128931 +aS'with\twith\tIN\tB-PP\tO' +p128932 +aS'Dig\tDig\tNNP\tB-NP\tO' +p128933 +aS'vs.\tvs.\tIN\tB-PP\tO' +p128934 +aS'a\ta\tDT\tB-NP\tO' +p128935 +aS'question\tquestion\tNN\tI-NP\tO' +p128936 +aS'of\tof\tIN\tB-PP\tO' +p128937 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p128938 +aS'ischemia\tischemia\tNN\tI-NP\tO' +p128939 +aS'changes\tchange\tNNS\tI-NP\tO' +p128940 +aS'.\t.\t.\tO\tO' +p128941 +asS'Cardiothoracic Surgery was on standby during the surgery .' +p128942 +(lp128943 +S'Cardiothoracic\tCardiothoracic\tNNP\tB-NP\tO' +p128944 +aS'Surgery\tSurgery\tNNP\tI-NP\tO' +p128945 +aS'was\tbe\tVBD\tB-VP\tO' +p128946 +aS'on\ton\tIN\tB-PP\tO' +p128947 +aS'standby\tstandby\tNN\tB-NP\tO' +p128948 +aS'during\tduring\tIN\tB-PP\tO' +p128949 +aS'the\tthe\tDT\tB-NP\tO' +p128950 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p128951 +aS'.\t.\t.\tO\tO' +p128952 +asS"The immediate postoperative plans were for a short Intensive Care Unit stay and subsequent plastic surgical reconstruction of the patient 's sternum ." +p128953 +(lp128954 +S'The\tThe\tDT\tB-NP\tO' +p128955 +aS'immediate\timmediate\tJJ\tI-NP\tO' +p128956 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p128957 +aS'plans\tplan\tNNS\tI-NP\tO' +p128958 +aS'were\tbe\tVBD\tB-VP\tO' +p128959 +aS'for\tfor\tIN\tB-PP\tO' +p128960 +aS'a\ta\tDT\tB-NP\tO' +p128961 +aS'short\tshort\tJJ\tI-NP\tO' +p128962 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p128963 +aS'Care\tCare\tNNP\tI-NP\tO' +p128964 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p128965 +aS'stay\tstay\tNN\tI-NP\tO' +p128966 +aS'and\tand\tCC\tI-NP\tO' +p128967 +aS'subsequent\tsubsequent\tJJ\tI-NP\tO' +p128968 +aS'plastic\tplastic\tNN\tI-NP\tO' +p128969 +aS'surgical\tsurgical\tJJ\tI-NP\tO' +p128970 +aS'reconstruction\treconstruction\tNN\tI-NP\tO' +p128971 +aS'of\tof\tIN\tB-PP\tO' +p128972 +aS'the\tthe\tDT\tB-NP\tO' +p128973 +aS'patient\tpatient\tNN\tI-NP\tO' +p128974 +aS"'s\t's\tPOS\tB-NP\tO" +p128975 +aS'sternum\tsternum\tNN\tI-NP\tO' +p128976 +aS'.\t.\t.\tO\tO' +p128977 +asS'The ascending , transverse and descending thoracic aorta are normal in diameter and free of atherosclerotic plaque .' +p128978 +(lp128979 +S'The\tThe\tDT\tB-NP\tO' +p128980 +aS'ascending\tascend\tVBG\tI-NP\tO' +p128981 +aS',\t,\t,\tO\tO' +p128982 +aS'transverse\ttransverse\tJJ\tB-ADJP\tO' +p128983 +aS'and\tand\tCC\tO\tO' +p128984 +aS'descending\tdescend\tVBG\tB-VP\tO' +p128985 +aS'thoracic\tthoracic\tJJ\tB-NP\tO' +p128986 +aS'aorta\taorta\tNNS\tI-NP\tO' +p128987 +aS'are\tbe\tVBP\tB-VP\tO' +p128988 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p128989 +aS'in\tin\tIN\tB-PP\tO' +p128990 +aS'diameter\tdiameter\tNN\tB-NP\tO' +p128991 +aS'and\tand\tCC\tO\tO' +p128992 +aS'free\tfree\tJJ\tB-ADJP\tO' +p128993 +aS'of\tof\tIN\tB-PP\tO' +p128994 +aS'atherosclerotic\tatherosclerotic\tJJ\tB-NP\tO' +p128995 +aS'plaque\tplaque\tNN\tI-NP\tO' +p128996 +aS'.\t.\t.\tO\tO' +p128997 +asS'The extremities have distal pulses and were warm and well perfused .' +p128998 +(lp128999 +S'The\tThe\tDT\tB-NP\tO' +p129000 +aS'extremities\textremity\tNNS\tI-NP\tO' +p129001 +aS'have\thave\tVBP\tB-VP\tO' +p129002 +aS'distal\tdistal\tJJ\tB-NP\tO' +p129003 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p129004 +aS'and\tand\tCC\tO\tO' +p129005 +aS'were\tbe\tVBD\tB-VP\tO' +p129006 +aS'warm\twarm\tJJ\tB-ADJP\tO' +p129007 +aS'and\tand\tCC\tO\tO' +p129008 +aS'well\twell\tRB\tB-ADJP\tO' +p129009 +aS'perfused\tperfuse\tVBN\tI-ADJP\tO' +p129010 +aS'.\t.\t.\tO\tO' +p129011 +asS'The most recent weight today is 1810 grams which was no change from the previous day .' +p129012 +(lp129013 +S'The\tThe\tDT\tB-NP\tO' +p129014 +aS'most\tmost\tRBS\tI-NP\tO' +p129015 +aS'recent\trecent\tJJ\tI-NP\tO' +p129016 +aS'weight\tweight\tNN\tI-NP\tO' +p129017 +aS'today\ttoday\tNN\tB-NP\tO' +p129018 +aS'is\tbe\tVBZ\tB-VP\tO' +p129019 +aS'1810\t1810\tCD\tB-NP\tO' +p129020 +aS'grams\tgram\tNNS\tI-NP\tO' +p129021 +aS'which\twhich\tWDT\tB-NP\tO' +p129022 +aS'was\tbe\tVBD\tB-VP\tO' +p129023 +aS'no\tno\tDT\tB-NP\tO' +p129024 +aS'change\tchange\tNN\tI-NP\tO' +p129025 +aS'from\tfrom\tIN\tB-PP\tO' +p129026 +aS'the\tthe\tDT\tB-NP\tO' +p129027 +aS'previous\tprevious\tJJ\tI-NP\tO' +p129028 +aS'day\tday\tNN\tI-NP\tO' +p129029 +aS'.\t.\t.\tO\tO' +p129030 +asS'Signed electronically by : DR. Katherine Beaulieu Brush on : WED 2017-01-25 12:05 AM' +p129031 +(lp129032 +S'Signed\tSign\tVBN\tB-VP\tO' +p129033 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p129034 +aS'by\tby\tIN\tB-PP\tO' +p129035 +aS':\t:\t:\tO\tO' +p129036 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p129037 +aS'Katherine\tKatherine\tNNP\tI-NP\tO' +p129038 +aS'Beaulieu\tBeaulieu\tNNP\tI-NP\tO' +p129039 +aS'Brush\tBrush\tNNP\tI-NP\tO' +p129040 +aS'on\ton\tIN\tB-PP\tO' +p129041 +aS':\t:\t:\tO\tO' +p129042 +aS'WED\tWED\tVBD\tB-VP\tO' +p129043 +aS'2017-01-25\t2017-01-25\tCD\tB-NP\tO' +p129044 +aS'12:05\t12:05\tCD\tI-NP\tO' +p129045 +aS'AM\tAM\tNN\tI-NP\tO' +p129046 +asS'Due to this continued atrial fibrillation , Leona Wheeler was anticoagulated with intravenous Heparin .' +p129047 +(lp129048 +S'Due\tDue\tJJ\tB-PP\tO' +p129049 +aS'to\tto\tTO\tI-PP\tO' +p129050 +aS'this\tthis\tDT\tB-NP\tO' +p129051 +aS'continued\tcontinue\tVBN\tI-NP\tO' +p129052 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p129053 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p129054 +aS',\t,\t,\tO\tO' +p129055 +aS'Leona\tLeona\tNNP\tB-NP\tO' +p129056 +aS'Wheeler\tWheeler\tNNP\tI-NP\tO' +p129057 +aS'was\tbe\tVBD\tB-VP\tO' +p129058 +aS'anticoagulated\tanticoagulate\tVBN\tI-VP\tO' +p129059 +aS'with\twith\tIN\tB-PP\tO' +p129060 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p129061 +aS'Heparin\tHeparin\tNN\tI-NP\tO' +p129062 +aS'.\t.\t.\tO\tO' +p129063 +asS'She continued to have low-grade fevers and on the next day , 11/17/04 , her chest x-ray showed possible new right upper lobe infiltrates .' +p129064 +(lp129065 +S'She\tShe\tPRP\tB-NP\tO' +p129066 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p129067 +aS'to\tto\tTO\tI-VP\tO' +p129068 +aS'have\thave\tVB\tI-VP\tO' +p129069 +aS'low-grade\tlow-grade\tJJ\tB-NP\tO' +p129070 +aS'fevers\tfever\tNNS\tI-NP\tO' +p129071 +aS'and\tand\tCC\tB-PP\tO' +p129072 +aS'on\ton\tIN\tB-PP\tO' +p129073 +aS'the\tthe\tDT\tB-NP\tO' +p129074 +aS'next\tnext\tJJ\tI-NP\tO' +p129075 +aS'day\tday\tNN\tI-NP\tO' +p129076 +aS',\t,\t,\tO\tO' +p129077 +aS'11/17/04\t11/17/04\tCD\tB-NP\tO' +p129078 +aS',\t,\t,\tO\tO' +p129079 +aS'her\ther\tPRP$\tB-NP\tO' +p129080 +aS'chest\tchest\tNN\tI-NP\tO' +p129081 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p129082 +aS'showed\tshow\tVBD\tB-VP\tO' +p129083 +aS'possible\tpossible\tJJ\tB-NP\tO' +p129084 +aS'new\tnew\tJJ\tI-NP\tO' +p129085 +aS'right\tright\tJJ\tI-NP\tO' +p129086 +aS'upper\tupper\tJJ\tI-NP\tO' +p129087 +aS'lobe\tlobe\tNN\tI-NP\tO' +p129088 +aS'infiltrates\tinfiltrate\tNNS\tI-NP\tO' +p129089 +aS'.\t.\t.\tO\tO' +p129090 +asS'She had brisk capillary refill .' +p129091 +(lp129092 +S'She\tShe\tPRP\tB-NP\tO' +p129093 +aS'had\thave\tVBD\tB-VP\tO' +p129094 +aS'brisk\tbrisk\tJJ\tB-NP\tO' +p129095 +aS'capillary\tcapillary\tJJ\tI-NP\tO' +p129096 +aS'refill\trefill\tNN\tI-NP\tO' +p129097 +aS'.\t.\t.\tO\tO' +p129098 +asS'He tolerated a regular diet .' +p129099 +(lp129100 +S'He\tHe\tPRP\tB-NP\tO' +p129101 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p129102 +aS'a\ta\tDT\tB-NP\tO' +p129103 +aS'regular\tregular\tJJ\tI-NP\tO' +p129104 +aS'diet\tdiet\tNN\tI-NP\tO' +p129105 +aS'.\t.\t.\tO\tO' +p129106 +asS'She was cleared to advance her diet as tolerated .' +p129107 +(lp129108 +S'She\tShe\tPRP\tB-NP\tO' +p129109 +aS'was\tbe\tVBD\tB-VP\tO' +p129110 +aS'cleared\tclear\tVBN\tI-VP\tO' +p129111 +aS'to\tto\tTO\tI-VP\tO' +p129112 +aS'advance\tadvance\tVB\tI-VP\tO' +p129113 +aS'her\ther\tPRP$\tB-NP\tO' +p129114 +aS'diet\tdiet\tNN\tI-NP\tO' +p129115 +aS'as\tas\tIN\tB-SBAR\tO' +p129116 +aS'tolerated\ttolerate\tVBN\tB-VP\tO' +p129117 +aS'.\t.\t.\tO\tO' +p129118 +asS'The patient continued to spike and was enrolled in a randomized trial , the patient was randomized to AmBisome antifungal treatment .' +p129119 +(lp129120 +S'The\tThe\tDT\tB-NP\tO' +p129121 +aS'patient\tpatient\tNN\tI-NP\tO' +p129122 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p129123 +aS'to\tto\tTO\tI-VP\tO' +p129124 +aS'spike\tspike\tVB\tI-VP\tO' +p129125 +aS'and\tand\tCC\tO\tO' +p129126 +aS'was\tbe\tVBD\tB-VP\tO' +p129127 +aS'enrolled\tenrol\tVBN\tI-VP\tO' +p129128 +aS'in\tin\tIN\tB-PP\tO' +p129129 +aS'a\ta\tDT\tB-NP\tO' +p129130 +aS'randomized\trandomize\tVBN\tI-NP\tO' +p129131 +aS'trial\ttrial\tNN\tI-NP\tO' +p129132 +aS',\t,\t,\tO\tO' +p129133 +aS'the\tthe\tDT\tB-NP\tO' +p129134 +aS'patient\tpatient\tNN\tI-NP\tO' +p129135 +aS'was\tbe\tVBD\tB-VP\tO' +p129136 +aS'randomized\trandomize\tVBN\tI-VP\tO' +p129137 +aS'to\tto\tTO\tB-PP\tO' +p129138 +aS'AmBisome\tAmBisome\tJJ\tB-NP\tO' +p129139 +aS'antifungal\tantifungal\tJJ\tI-NP\tO' +p129140 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p129141 +aS'.\t.\t.\tO\tO' +p129142 +asS'She had no jugular venous distention or bruits .' +p129143 +(lp129144 +S'She\tShe\tPRP\tB-NP\tO' +p129145 +aS'had\thave\tVBD\tB-VP\tO' +p129146 +aS'no\tno\tDT\tB-NP\tO' +p129147 +aS'jugular\tjugular\tJJ\tI-NP\tO' +p129148 +aS'venous\tvenous\tJJ\tI-NP\tO' +p129149 +aS'distention\tdistention\tNN\tI-NP\tO' +p129150 +aS'or\tor\tCC\tI-NP\tO' +p129151 +aS'bruits\tbruit\tNNS\tI-NP\tO' +p129152 +aS'.\t.\t.\tO\tO' +p129153 +asS'2. diet as tolerated .' +p129154 +(lp129155 +S'2.\t2.\tLS\tB-NP\tO' +p129156 +aS'diet\tdiet\tNN\tI-NP\tO' +p129157 +aS'as\tas\tIN\tB-SBAR\tO' +p129158 +aS'tolerated\ttolerate\tVBN\tB-VP\tO' +p129159 +aS'.\t.\t.\tO\tO' +p129160 +asS'Striking left patellar tendon results in sustained clonus of left leg .' +p129161 +(lp129162 +S'Striking\tStrike\tVBG\tB-VP\tO' +p129163 +aS'left\tleave\tVBD\tI-VP\tO' +p129164 +aS'patellar\tpatellar\tJJ\tB-NP\tO' +p129165 +aS'tendon\ttendon\tNN\tI-NP\tO' +p129166 +aS'results\tresult\tVBZ\tB-VP\tO' +p129167 +aS'in\tin\tIN\tB-PP\tO' +p129168 +aS'sustained\tsustained\tJJ\tB-NP\tO' +p129169 +aS'clonus\tclonus\tNN\tI-NP\tO' +p129170 +aS'of\tof\tIN\tB-PP\tO' +p129171 +aS'left\tleft\tJJ\tB-NP\tO' +p129172 +aS'leg\tleg\tNN\tI-NP\tO' +p129173 +aS'.\t.\t.\tO\tO' +p129174 +asS'4. Gastrointestinal , genitourinary - Peak bilirubin 8.5 , phototherapy times 24 hours .' +p129175 +(lp129176 +S'4.\t4.\tLS\tB-NP\tO' +p129177 +aS'Gastrointestinal\tGastrointestinal\tJJ\tI-NP\tO' +p129178 +aS',\t,\t,\tI-NP\tO' +p129179 +aS'genitourinary\tgenitourinary\tJJ\tI-NP\tO' +p129180 +aS'-\t-\tHYPH\tI-NP\tO' +p129181 +aS'Peak\tPeak\tNN\tI-NP\tB-protein' +p129182 +aS'bilirubin\tbilirubin\tNN\tI-NP\tI-protein' +p129183 +aS'8.5\t8.5\tCD\tI-NP\tI-protein' +p129184 +aS',\t,\t,\tO\tO' +p129185 +aS'phototherapy\tphototherapy\tNN\tB-NP\tO' +p129186 +aS'times\ttime\tNNS\tI-NP\tO' +p129187 +aS'24\t24\tCD\tB-NP\tO' +p129188 +aS'hours\thour\tNNS\tI-NP\tO' +p129189 +aS'.\t.\t.\tO\tO' +p129190 +asS'At Vencor Hospital , BP dropped to 90 , and patient was started on NS IVF , with improvement in BP .' +p129191 +(lp129192 +S'At\tAt\tIN\tB-PP\tO' +p129193 +aS'Vencor\tVencor\tNNP\tB-NP\tO' +p129194 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p129195 +aS',\t,\t,\tO\tO' +p129196 +aS'BP\tBP\tNNP\tB-NP\tO' +p129197 +aS'dropped\tdrop\tVBD\tB-VP\tO' +p129198 +aS'to\tto\tTO\tB-PP\tO' +p129199 +aS'90\t90\tCD\tB-NP\tO' +p129200 +aS',\t,\t,\tO\tO' +p129201 +aS'and\tand\tCC\tO\tO' +p129202 +aS'patient\tpatient\tNN\tB-NP\tO' +p129203 +aS'was\tbe\tVBD\tB-VP\tO' +p129204 +aS'started\tstart\tVBN\tI-VP\tO' +p129205 +aS'on\ton\tIN\tB-PP\tO' +p129206 +aS'NS\tNS\tNN\tB-NP\tB-protein' +p129207 +aS'IVF\tIVF\tNN\tI-NP\tI-protein' +p129208 +aS',\t,\t,\tO\tO' +p129209 +aS'with\twith\tIN\tB-PP\tO' +p129210 +aS'improvement\timprovement\tNN\tB-NP\tO' +p129211 +aS'in\tin\tIN\tB-PP\tO' +p129212 +aS'BP\tBP\tNN\tB-NP\tO' +p129213 +aS'.\t.\t.\tO\tO' +p129214 +asS'She did not have any of her pain in the hospital .' +p129215 +(lp129216 +S'She\tShe\tPRP\tB-NP\tO' +p129217 +aS'did\tdo\tVBD\tB-VP\tO' +p129218 +aS'not\tnot\tRB\tI-VP\tO' +p129219 +aS'have\thave\tVB\tI-VP\tO' +p129220 +aS'any\tany\tDT\tB-NP\tO' +p129221 +aS'of\tof\tIN\tB-PP\tO' +p129222 +aS'her\ther\tPRP$\tB-NP\tO' +p129223 +aS'pain\tpain\tNN\tI-NP\tO' +p129224 +aS'in\tin\tIN\tB-PP\tO' +p129225 +aS'the\tthe\tDT\tB-NP\tO' +p129226 +aS'hospital\thospital\tNN\tI-NP\tO' +p129227 +aS'.\t.\t.\tO\tO' +p129228 +asS'Infant passed both ears .' +p129229 +(lp129230 +S'Infant\tInfant\tNN\tB-NP\tO' +p129231 +aS'passed\tpass\tVBD\tB-VP\tO' +p129232 +aS'both\tboth\tDT\tB-NP\tO' +p129233 +aS'ears\tear\tNNS\tI-NP\tO' +p129234 +aS'.\t.\t.\tO\tO' +p129235 +asS'Overall left ventricular systolic function is mildly depressed .' +p129236 +(lp129237 +S'Overall\tOverall\tRB\tB-ADVP\tO' +p129238 +aS'left\tleave\tVBD\tB-VP\tO' +p129239 +aS'ventricular\tventricular\tJJ\tB-NP\tO' +p129240 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p129241 +aS'function\tfunction\tNN\tI-NP\tO' +p129242 +aS'is\tbe\tVBZ\tB-VP\tO' +p129243 +aS'mildly\tmildly\tRB\tI-VP\tO' +p129244 +aS'depressed\tdepress\tVBN\tI-VP\tO' +p129245 +aS'.\t.\t.\tO\tO' +p129246 +asS'On recommendation from endocrine , her fludrocortisone was decreased from 0.2 to 0.1 ( higher than required doses of fludrocort can cause these symptoms. ) .' +p129247 +(lp129248 +S'On\tOn\tIN\tB-PP\tO' +p129249 +aS'recommendation\trecommendation\tNN\tB-NP\tO' +p129250 +aS'from\tfrom\tIN\tB-PP\tO' +p129251 +aS'endocrine\tendocrine\tNN\tB-NP\tO' +p129252 +aS',\t,\t,\tO\tO' +p129253 +aS'her\ther\tPRP$\tB-NP\tO' +p129254 +aS'fludrocortisone\tfludrocortisone\tNN\tI-NP\tO' +p129255 +aS'was\tbe\tVBD\tB-VP\tO' +p129256 +aS'decreased\tdecrease\tVBN\tI-VP\tO' +p129257 +aS'from\tfrom\tIN\tB-PP\tO' +p129258 +aS'0.2\t0.2\tCD\tB-NP\tO' +p129259 +aS'to\tto\tTO\tB-PP\tO' +p129260 +aS'0.1\t0.1\tCD\tB-NP\tO' +p129261 +aS'(\t(\t(\tO\tO' +p129262 +aS'higher\thigh\tJJR\tB-ADJP\tO' +p129263 +aS'than\tthan\tIN\tB-PP\tO' +p129264 +aS'required\trequire\tVBN\tB-NP\tO' +p129265 +aS'doses\tdose\tNNS\tI-NP\tO' +p129266 +aS'of\tof\tIN\tB-PP\tO' +p129267 +aS'fludrocort\tfludrocort\tNN\tB-NP\tO' +p129268 +aS'can\tcan\tMD\tB-VP\tO' +p129269 +aS'cause\tcause\tVB\tI-VP\tO' +p129270 +aS'these\tthese\tDT\tB-NP\tO' +p129271 +aS'symptoms.\tsymptoms.\tNN\tI-NP\tO' +p129272 +aS')\t)\t)\tO\tO' +p129273 +aS'.\t.\t.\tO\tO' +p129274 +asS'Bowel sounds are active , patent anus , three vessel umbilical cord .' +p129275 +(lp129276 +S'Bowel\tBowel\tNN\tB-NP\tO' +p129277 +aS'sounds\tsound\tNNS\tI-NP\tO' +p129278 +aS'are\tbe\tVBP\tB-VP\tO' +p129279 +aS'active\tactive\tJJ\tB-ADJP\tO' +p129280 +aS',\t,\t,\tO\tO' +p129281 +aS'patent\tpatent\tNN\tB-NP\tO' +p129282 +aS'anus\tanus\tNN\tI-NP\tO' +p129283 +aS',\t,\t,\tO\tO' +p129284 +aS'three\tthree\tCD\tB-NP\tO' +p129285 +aS'vessel\tvessel\tNN\tI-NP\tO' +p129286 +aS'umbilical\tumbilical\tJJ\tI-NP\tO' +p129287 +aS'cord\tcord\tNN\tI-NP\tO' +p129288 +aS'.\t.\t.\tO\tO' +p129289 +asS'She was followed by urology during her stay and will see them again 2 wk after d/c for definitive treatment of her nephrolithiasis .' +p129290 +(lp129291 +S'She\tShe\tPRP\tB-NP\tO' +p129292 +aS'was\tbe\tVBD\tB-VP\tO' +p129293 +aS'followed\tfollow\tVBN\tI-VP\tO' +p129294 +aS'by\tby\tIN\tB-PP\tO' +p129295 +aS'urology\turology\tNN\tB-NP\tO' +p129296 +aS'during\tduring\tIN\tB-PP\tO' +p129297 +aS'her\ther\tPRP$\tB-NP\tO' +p129298 +aS'stay\tstay\tNN\tI-NP\tO' +p129299 +aS'and\tand\tCC\tO\tO' +p129300 +aS'will\twill\tMD\tB-VP\tO' +p129301 +aS'see\tsee\tVB\tI-VP\tO' +p129302 +aS'them\tthem\tPRP\tB-NP\tO' +p129303 +aS'again\tagain\tRB\tB-ADVP\tO' +p129304 +aS'2\t2\tCD\tB-NP\tO' +p129305 +aS'wk\twk\tNN\tI-NP\tO' +p129306 +aS'after\tafter\tIN\tB-PP\tO' +p129307 +aS'd/c\td/c\tNN\tB-NP\tO' +p129308 +aS'for\tfor\tIN\tB-PP\tO' +p129309 +aS'definitive\tdefinitive\tJJ\tB-NP\tO' +p129310 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p129311 +aS'of\tof\tIN\tB-PP\tO' +p129312 +aS'her\ther\tPRP$\tB-NP\tO' +p129313 +aS'nephrolithiasis\tnephrolithiasis\tNN\tI-NP\tO' +p129314 +aS'.\t.\t.\tO\tO' +p129315 +asS'The patient is married and lives with her husband .' +p129316 +(lp129317 +S'The\tThe\tDT\tB-NP\tO' +p129318 +aS'patient\tpatient\tNN\tI-NP\tO' +p129319 +aS'is\tbe\tVBZ\tB-VP\tO' +p129320 +aS'married\tmarry\tVBN\tI-VP\tO' +p129321 +aS'and\tand\tCC\tO\tO' +p129322 +aS'lives\tlive\tVBZ\tB-VP\tO' +p129323 +aS'with\twith\tIN\tB-PP\tO' +p129324 +aS'her\ther\tPRP$\tB-NP\tO' +p129325 +aS'husband\thusband\tNN\tI-NP\tO' +p129326 +aS'.\t.\t.\tO\tO' +p129327 +asS'The patient was admitted with the diagnosis of Cocaine induced rhabdomyolysis , renal failure , disseminated intravascular coagulation , shock , hepatic failure , pancreatitis , and thrombocytopenia in the setting of Cocaine intoxication .' +p129328 +(lp129329 +S'The\tThe\tDT\tB-NP\tO' +p129330 +aS'patient\tpatient\tNN\tI-NP\tO' +p129331 +aS'was\tbe\tVBD\tB-VP\tO' +p129332 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p129333 +aS'with\twith\tIN\tB-PP\tO' +p129334 +aS'the\tthe\tDT\tB-NP\tO' +p129335 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p129336 +aS'of\tof\tIN\tB-PP\tO' +p129337 +aS'Cocaine\tCocaine\tNN\tB-NP\tO' +p129338 +aS'induced\tinduce\tVBD\tB-VP\tO' +p129339 +aS'rhabdomyolysis\trhabdomyolysis\tNN\tB-NP\tO' +p129340 +aS',\t,\t,\tO\tO' +p129341 +aS'renal\trenal\tJJ\tB-NP\tO' +p129342 +aS'failure\tfailure\tNN\tI-NP\tO' +p129343 +aS',\t,\t,\tO\tO' +p129344 +aS'disseminated\tdisseminate\tVBN\tB-VP\tO' +p129345 +aS'intravascular\tintravascular\tJJ\tB-NP\tO' +p129346 +aS'coagulation\tcoagulation\tNN\tI-NP\tO' +p129347 +aS',\t,\t,\tO\tO' +p129348 +aS'shock\tshock\tNN\tB-NP\tO' +p129349 +aS',\t,\t,\tO\tO' +p129350 +aS'hepatic\thepatic\tJJ\tB-NP\tO' +p129351 +aS'failure\tfailure\tNN\tI-NP\tO' +p129352 +aS',\t,\t,\tO\tO' +p129353 +aS'pancreatitis\tpancreatitis\tNN\tB-NP\tO' +p129354 +aS',\t,\t,\tO\tO' +p129355 +aS'and\tand\tCC\tO\tO' +p129356 +aS'thrombocytopenia\tthrombocytopenia\tNN\tB-NP\tO' +p129357 +aS'in\tin\tIN\tB-PP\tO' +p129358 +aS'the\tthe\tDT\tB-NP\tO' +p129359 +aS'setting\tsetting\tNN\tI-NP\tO' +p129360 +aS'of\tof\tIN\tB-PP\tO' +p129361 +aS'Cocaine\tCocaine\tNN\tB-NP\tO' +p129362 +aS'intoxication\tintoxication\tNN\tI-NP\tO' +p129363 +aS'.\t.\t.\tO\tO' +p129364 +asS'Metastatic melanoma .' +p129365 +(lp129366 +S'Metastatic\tMetastatic\tJJ\tB-NP\tO' +p129367 +aS'melanoma\tmelanoma\tNN\tI-NP\tO' +p129368 +aS'.\t.\t.\tO\tO' +p129369 +asS'4. Tylenol # 3 one tablet every four hours as needed for pain .' +p129370 +(lp129371 +S'4.\t4.\tLS\tB-NP\tO' +p129372 +aS'Tylenol\tTylenol\tNN\tI-NP\tO' +p129373 +aS'#\t#\t#\tB-NP\tO' +p129374 +aS'3\t3\tCD\tI-NP\tO' +p129375 +aS'one\tone\tCD\tI-NP\tO' +p129376 +aS'tablet\ttablet\tNN\tI-NP\tO' +p129377 +aS'every\tevery\tDT\tB-NP\tO' +p129378 +aS'four\tfour\tCD\tI-NP\tO' +p129379 +aS'hours\thour\tNNS\tI-NP\tO' +p129380 +aS'as\tas\tIN\tB-SBAR\tO' +p129381 +aS'needed\tneed\tVBN\tB-VP\tO' +p129382 +aS'for\tfor\tIN\tB-PP\tO' +p129383 +aS'pain\tpain\tNN\tB-NP\tO' +p129384 +aS'.\t.\t.\tO\tO' +p129385 +asS'The liver edge was palpable to 6 cm below the right costal margin .' +p129386 +(lp129387 +S'The\tThe\tDT\tB-NP\tO' +p129388 +aS'liver\tliver\tNN\tI-NP\tO' +p129389 +aS'edge\tedge\tNN\tI-NP\tO' +p129390 +aS'was\tbe\tVBD\tB-VP\tO' +p129391 +aS'palpable\tpalpable\tJJ\tB-ADJP\tO' +p129392 +aS'to\tto\tTO\tB-PP\tO' +p129393 +aS'6\t6\tCD\tB-NP\tO' +p129394 +aS'cm\tcm\tNN\tI-NP\tO' +p129395 +aS'below\tbelow\tIN\tB-PP\tO' +p129396 +aS'the\tthe\tDT\tB-NP\tO' +p129397 +aS'right\tright\tJJ\tI-NP\tO' +p129398 +aS'costal\tcostal\tJJ\tI-NP\tO' +p129399 +aS'margin\tmargin\tNN\tI-NP\tO' +p129400 +aS'.\t.\t.\tO\tO' +p129401 +asS'Hematocrit was 41 , platelet count of 404,000 .' +p129402 +(lp129403 +S'Hematocrit\tHematocrit\tNN\tB-NP\tB-protein' +p129404 +aS'was\tbe\tVBD\tB-VP\tI-protein' +p129405 +aS'41\t41\tCD\tB-NP\tI-protein' +p129406 +aS',\t,\t,\tO\tO' +p129407 +aS'platelet\tplatelet\tNN\tB-NP\tO' +p129408 +aS'count\tcount\tNN\tI-NP\tO' +p129409 +aS'of\tof\tIN\tB-PP\tO' +p129410 +aS'404,000\t404,000\tCD\tB-NP\tO' +p129411 +aS'.\t.\t.\tO\tO' +p129412 +asS'PRINCIPAL DISCHARGE DIAGNOSIS ; Responsible After Study for Causing Admission ) atypical chest pain' +p129413 +(lp129414 +S'PRINCIPAL\tPRINCIPAL\tJJ\tB-NP\tO' +p129415 +aS'DISCHARGE\tDISCHARGE\tNN\tI-NP\tO' +p129416 +aS'DIAGNOSIS\tDIAGNOSIS\tNN\tI-NP\tO' +p129417 +aS';\t;\t:\tO\tO' +p129418 +aS'Responsible\tResponsible\tJJ\tB-ADJP\tO' +p129419 +aS'After\tAfter\tIN\tB-PP\tO' +p129420 +aS'Study\tStudy\tNN\tB-NP\tO' +p129421 +aS'for\tfor\tIN\tB-PP\tO' +p129422 +aS'Causing\tCause\tVBG\tB-NP\tO' +p129423 +aS'Admission\tAdmission\tNN\tI-NP\tO' +p129424 +aS')\t)\t)\tI-NP\tO' +p129425 +aS'atypical\tatypical\tJJ\tI-NP\tO' +p129426 +aS'chest\tchest\tNN\tI-NP\tO' +p129427 +aS'pain\tpain\tNN\tI-NP\tO' +p129428 +asS'She returned to CMED for further monitoring .' +p129429 +(lp129430 +S'She\tShe\tPRP\tB-NP\tO' +p129431 +aS'returned\treturn\tVBD\tB-VP\tO' +p129432 +aS'to\tto\tTO\tI-VP\tO' +p129433 +aS'CMED\tCMED\tVB\tI-VP\tO' +p129434 +aS'for\tfor\tIN\tB-PP\tO' +p129435 +aS'further\tfurther\tJJ\tB-NP\tO' +p129436 +aS'monitoring\tmonitoring\tNN\tI-NP\tO' +p129437 +aS'.\t.\t.\tO\tO' +p129438 +asS'ATRIAL FIBRILLATION .' +p129439 +(lp129440 +S'ATRIAL\tATRIAL\tNN\tB-NP\tO' +p129441 +aS'FIBRILLATION\tFIBRILLATION\tNN\tI-NP\tO' +p129442 +aS'.\t.\t.\tO\tO' +p129443 +asS'6. Interstitial cystitis .' +p129444 +(lp129445 +S'6.\t6.\tLS\tB-NP\tO' +p129446 +aS'Interstitial\tInterstitial\tJJ\tI-NP\tO' +p129447 +aS'cystitis\tcystitis\tNN\tI-NP\tO' +p129448 +aS'.\t.\t.\tO\tO' +p129449 +asS'Transferred to the CSRU in stable condition on phenylephrine and propofol drips .' +p129450 +(lp129451 +S'Transferred\tTransfer\tVBN\tB-VP\tO' +p129452 +aS'to\tto\tTO\tB-PP\tO' +p129453 +aS'the\tthe\tDT\tB-NP\tO' +p129454 +aS'CSRU\tCSRU\tNN\tI-NP\tB-protein' +p129455 +aS'in\tin\tIN\tB-PP\tO' +p129456 +aS'stable\tstable\tJJ\tB-NP\tO' +p129457 +aS'condition\tcondition\tNN\tI-NP\tO' +p129458 +aS'on\ton\tIN\tB-PP\tO' +p129459 +aS'phenylephrine\tphenylephrine\tNN\tB-NP\tO' +p129460 +aS'and\tand\tCC\tI-NP\tO' +p129461 +aS'propofol\tpropofol\tNN\tI-NP\tO' +p129462 +aS'drips\tdrip\tNNS\tI-NP\tO' +p129463 +aS'.\t.\t.\tO\tO' +p129464 +asS'Her Metformin was re-added 2 days prior to discharge as well and fingerstick glucoses on the day of discharge were 93 and 156 , respectively .' +p129465 +(lp129466 +S'Her\tHer\tPRP$\tB-NP\tO' +p129467 +aS'Metformin\tMetformin\tNN\tI-NP\tO' +p129468 +aS'was\tbe\tVBD\tB-VP\tO' +p129469 +aS're-added\tre-added\tJJ\tB-ADJP\tO' +p129470 +aS'2\t2\tCD\tB-NP\tO' +p129471 +aS'days\tday\tNNS\tI-NP\tO' +p129472 +aS'prior\tprior\tRB\tB-ADVP\tO' +p129473 +aS'to\tto\tTO\tB-VP\tO' +p129474 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p129475 +aS'as\tas\tRB\tB-ADVP\tO' +p129476 +aS'well\twell\tRB\tI-ADVP\tO' +p129477 +aS'and\tand\tCC\tO\tO' +p129478 +aS'fingerstick\tfingerstick\tVB\tB-VP\tO' +p129479 +aS'glucoses\tglucose\tNNS\tB-NP\tO' +p129480 +aS'on\ton\tIN\tB-PP\tO' +p129481 +aS'the\tthe\tDT\tB-NP\tO' +p129482 +aS'day\tday\tNN\tI-NP\tO' +p129483 +aS'of\tof\tIN\tB-PP\tO' +p129484 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p129485 +aS'were\tbe\tVBD\tB-VP\tO' +p129486 +aS'93\t93\tCD\tB-NP\tO' +p129487 +aS'and\tand\tCC\tI-NP\tO' +p129488 +aS'156\t156\tCD\tI-NP\tO' +p129489 +aS',\t,\t,\tO\tO' +p129490 +aS'respectively\trespectively\tRB\tB-ADVP\tO' +p129491 +aS'.\t.\t.\tO\tO' +p129492 +asS'The patient 's antibiotics were changed to clindamycin 300 mg q.i.d. and patient was also put on sialagogue .' +p129493 +(lp129494 +S'The\tThe\tDT\tB-NP\tO' +p129495 +aS'patient\tpatient\tNN\tI-NP\tO' +p129496 +aS''s\t'\tNNS\tI-NP\tO' +p129497 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p129498 +aS'were\tbe\tVBD\tB-VP\tO' +p129499 +aS'changed\tchange\tVBN\tI-VP\tO' +p129500 +aS'to\tto\tTO\tB-PP\tO' +p129501 +aS'clindamycin\tclindamycin\tNN\tB-NP\tO' +p129502 +aS'300\t300\tCD\tI-NP\tO' +p129503 +aS'mg\tmg\tNN\tI-NP\tO' +p129504 +aS'q.i.d.\tq.i.d.\tNN\tI-NP\tO' +p129505 +aS'and\tand\tCC\tI-NP\tO' +p129506 +aS'patient\tpatient\tNN\tI-NP\tO' +p129507 +aS'was\tbe\tVBD\tB-VP\tO' +p129508 +aS'also\talso\tRB\tI-VP\tO' +p129509 +aS'put\tput\tVBN\tI-VP\tO' +p129510 +aS'on\ton\tIN\tB-PP\tO' +p129511 +aS'sialagogue\tsialagogue\tNN\tB-NP\tO' +p129512 +aS'.\t.\t.\tO\tO' +p129513 +asS'10. Gastric bypass surgery 7 weeks PTA' +p129514 +(lp129515 +S'10.\t10.\tLS\tB-LST\tO' +p129516 +aS'Gastric\tGastric\tJJ\tB-ADJP\tB-protein' +p129517 +aS'bypass\tbypass\tIN\tB-PP\tI-protein' +p129518 +aS'surgery\tsurgery\tNN\tB-NP\tI-protein' +p129519 +aS'7\t7\tCD\tB-NP\tI-protein' +p129520 +aS'weeks\tweek\tNNS\tI-NP\tI-protein' +p129521 +aS'PTA\tPTA\tNN\tB-NP\tI-protein' +p129522 +asS'trained engineer in Papua New Guinea' +p129523 +(lp129524 +S'trained\ttrain\tVBN\tB-NP\tO' +p129525 +aS'engineer\tengineer\tNN\tI-NP\tO' +p129526 +aS'in\tin\tIN\tB-PP\tO' +p129527 +aS'Papua\tPapua\tNNP\tB-NP\tO' +p129528 +aS'New\tNew\tNNP\tI-NP\tO' +p129529 +aS'Guinea\tGuinea\tNNP\tI-NP\tO' +p129530 +asS'Left main coronary artery was narrowed 50-60% , left anterior descending coronary artery 70% proximally , right coronary artery dominant diseased up to 90% proximally in the midportion , 70% distally .' +p129531 +(lp129532 +S'Left\tLeave\tVBN\tB-NP\tO' +p129533 +aS'main\tmain\tJJ\tI-NP\tO' +p129534 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p129535 +aS'artery\tartery\tNN\tI-NP\tO' +p129536 +aS'was\tbe\tVBD\tB-VP\tO' +p129537 +aS'narrowed\tnarrow\tVBN\tI-VP\tO' +p129538 +aS'50-60%\t50-60%\tJJ\tB-ADJP\tO' +p129539 +aS',\t,\t,\tO\tO' +p129540 +aS'left\tleft\tJJ\tB-ADJP\tB-protein' +p129541 +aS'anterior\tanterior\tRB\tB-VP\tI-protein' +p129542 +aS'descending\tdescend\tVBG\tI-VP\tI-protein' +p129543 +aS'coronary\tcoronary\tJJ\tB-NP\tI-protein' +p129544 +aS'artery\tartery\tNN\tI-NP\tI-protein' +p129545 +aS'70%\t70%\tNN\tI-NP\tI-protein' +p129546 +aS'proximally\tproximally\tRB\tB-ADVP\tO' +p129547 +aS',\t,\t,\tO\tO' +p129548 +aS'right\tright\tJJ\tB-NP\tO' +p129549 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p129550 +aS'artery\tartery\tNN\tI-NP\tO' +p129551 +aS'dominant\tdominant\tJJ\tB-ADJP\tO' +p129552 +aS'diseased\tdisease\tVBD\tB-VP\tO' +p129553 +aS'up\tup\tIN\tB-NP\tO' +p129554 +aS'to\tto\tTO\tI-NP\tO' +p129555 +aS'90%\t90%\tCD\tI-NP\tO' +p129556 +aS'proximally\tproximally\tRB\tB-ADVP\tO' +p129557 +aS'in\tin\tIN\tB-PP\tO' +p129558 +aS'the\tthe\tDT\tB-NP\tO' +p129559 +aS'midportion\tmidportion\tNN\tI-NP\tO' +p129560 +aS',\t,\t,\tO\tO' +p129561 +aS'70%\t70%\tCD\tB-NP\tO' +p129562 +aS'distally\tdistally\tRB\tI-NP\tO' +p129563 +aS'.\t.\t.\tO\tO' +p129564 +asS'Blood cultures returned positive with GPC in pairs and clusters , so a TTE and surveillance cultures were ordered and vancomycin was started .' +p129565 +(lp129566 +S'Blood\tBlood\tNN\tB-NP\tB-cell_line' +p129567 +aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' +p129568 +aS'returned\treturn\tVBD\tB-VP\tO' +p129569 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p129570 +aS'with\twith\tIN\tB-PP\tO' +p129571 +aS'GPC\tGPC\tNN\tB-NP\tB-protein' +p129572 +aS'in\tin\tIN\tB-PP\tO' +p129573 +aS'pairs\tpair\tNNS\tB-NP\tO' +p129574 +aS'and\tand\tCC\tI-NP\tO' +p129575 +aS'clusters\tcluster\tNNS\tI-NP\tO' +p129576 +aS',\t,\t,\tO\tO' +p129577 +aS'so\tso\tIN\tO\tO' +p129578 +aS'a\ta\tDT\tB-NP\tO' +p129579 +aS'TTE\tTTE\tNN\tI-NP\tO' +p129580 +aS'and\tand\tCC\tI-NP\tO' +p129581 +aS'surveillance\tsurveillance\tNN\tI-NP\tO' +p129582 +aS'cultures\tculture\tNNS\tI-NP\tO' +p129583 +aS'were\tbe\tVBD\tB-VP\tO' +p129584 +aS'ordered\torder\tVBN\tI-VP\tO' +p129585 +aS'and\tand\tCC\tO\tO' +p129586 +aS'vancomycin\tvancomycin\tNN\tB-NP\tO' +p129587 +aS'was\tbe\tVBD\tB-VP\tO' +p129588 +aS'started\tstart\tVBN\tI-VP\tO' +p129589 +aS'.\t.\t.\tO\tO' +p129590 +asS'2) Chronic obstructive pulmonary disease .' +p129591 +(lp129592 +S'2)\t2)\tLS\tB-NP\tO' +p129593 +aS'Chronic\tChronic\tJJ\tI-NP\tO' +p129594 +aS'obstructive\tobstructive\tJJ\tI-NP\tO' +p129595 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p129596 +aS'disease\tdisease\tNN\tI-NP\tO' +p129597 +aS'.\t.\t.\tO\tO' +p129598 +asS'They have opted for conservative management given the size .' +p129599 +(lp129600 +S'They\tThey\tPRP\tB-NP\tO' +p129601 +aS'have\thave\tVBP\tB-VP\tO' +p129602 +aS'opted\topte\tVBN\tI-VP\tO' +p129603 +aS'for\tfor\tIN\tB-PP\tO' +p129604 +aS'conservative\tconservative\tJJ\tB-NP\tO' +p129605 +aS'management\tmanagement\tNN\tI-NP\tO' +p129606 +aS'given\tgive\tVBN\tB-PP\tO' +p129607 +aS'the\tthe\tDT\tB-NP\tO' +p129608 +aS'size\tsize\tNN\tI-NP\tO' +p129609 +aS'.\t.\t.\tO\tO' +p129610 +asS'Patient was intermittently awaking .' +p129611 +(lp129612 +S'Patient\tPatient\tNN\tB-NP\tO' +p129613 +aS'was\tbe\tVBD\tB-VP\tO' +p129614 +aS'intermittently\tintermittently\tRB\tI-VP\tO' +p129615 +aS'awaking\tawake\tVBG\tI-VP\tO' +p129616 +aS'.\t.\t.\tO\tO' +p129617 +asS'A chest x-ray was done , which revealed no infiltrate or effusion .' +p129618 +(lp129619 +S'A\tA\tDT\tB-NP\tO' +p129620 +aS'chest\tchest\tNN\tI-NP\tO' +p129621 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p129622 +aS'was\tbe\tVBD\tB-VP\tO' +p129623 +aS'done\tdo\tVBN\tI-VP\tO' +p129624 +aS',\t,\t,\tO\tO' +p129625 +aS'which\twhich\tWDT\tB-NP\tO' +p129626 +aS'revealed\treveal\tVBD\tB-VP\tO' +p129627 +aS'no\tno\tDT\tB-NP\tO' +p129628 +aS'infiltrate\tinfiltrate\tNN\tI-NP\tO' +p129629 +aS'or\tor\tCC\tI-NP\tO' +p129630 +aS'effusion\teffusion\tNN\tI-NP\tO' +p129631 +aS'.\t.\t.\tO\tO' +p129632 +asS'Nor does he have any history of stroke like symptoms .' +p129633 +(lp129634 +S'Nor\tNor\tCC\tO\tO' +p129635 +aS'does\tdo\tVBZ\tO\tO' +p129636 +aS'he\the\tPRP\tB-NP\tO' +p129637 +aS'have\thave\tVB\tB-VP\tO' +p129638 +aS'any\tany\tDT\tB-NP\tO' +p129639 +aS'history\thistory\tNN\tI-NP\tO' +p129640 +aS'of\tof\tIN\tB-PP\tO' +p129641 +aS'stroke\tstroke\tNN\tB-NP\tO' +p129642 +aS'like\tlike\tIN\tB-PP\tO' +p129643 +aS'symptoms\tsymptom\tNNS\tB-NP\tO' +p129644 +aS'.\t.\t.\tO\tO' +p129645 +asS'Signed electronically by : DR. Cheryl James on : Larry 2017-05-25 2:28 PM' +p129646 +(lp129647 +S'Signed\tSign\tVBN\tB-VP\tO' +p129648 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p129649 +aS'by\tby\tIN\tB-PP\tO' +p129650 +aS':\t:\t:\tO\tO' +p129651 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p129652 +aS'Cheryl\tCheryl\tNNP\tI-NP\tO' +p129653 +aS'James\tJames\tNNP\tI-NP\tO' +p129654 +aS'on\ton\tIN\tB-PP\tO' +p129655 +aS':\t:\t:\tO\tO' +p129656 +aS'Larry\tLarry\tNNP\tB-NP\tO' +p129657 +aS'2017-05-25\t2017-05-25\tCD\tB-NP\tO' +p129658 +aS'2:28\t2:28\tCD\tI-NP\tO' +p129659 +aS'PM\tPM\tNN\tI-NP\tO' +p129660 +asS'A repeat on day of life two , had a white count of 13,000 with 50% polys , 0% bands .' +p129661 +(lp129662 +S'A\tA\tDT\tB-NP\tO' +p129663 +aS'repeat\trepeat\tNN\tI-NP\tO' +p129664 +aS'on\ton\tIN\tB-PP\tO' +p129665 +aS'day\tday\tNN\tB-NP\tO' +p129666 +aS'of\tof\tIN\tB-PP\tO' +p129667 +aS'life\tlife\tNN\tB-NP\tO' +p129668 +aS'two\ttwo\tCD\tI-NP\tO' +p129669 +aS',\t,\t,\tO\tO' +p129670 +aS'had\thave\tVBD\tB-VP\tO' +p129671 +aS'a\ta\tDT\tB-NP\tO' +p129672 +aS'white\twhite\tJJ\tI-NP\tO' +p129673 +aS'count\tcount\tNN\tI-NP\tO' +p129674 +aS'of\tof\tIN\tB-PP\tO' +p129675 +aS'13,000\t13,000\tCD\tB-NP\tO' +p129676 +aS'with\twith\tIN\tB-PP\tO' +p129677 +aS'50%\t50%\tCD\tB-NP\tO' +p129678 +aS'polys\tpoly\tNNS\tI-NP\tO' +p129679 +aS',\t,\t,\tO\tO' +p129680 +aS'0%\t0%\tCD\tB-NP\tO' +p129681 +aS'bands\tband\tNNS\tI-NP\tO' +p129682 +aS'.\t.\t.\tO\tO' +p129683 +asS'Lungs were clear to auscultation anteriorly .' +p129684 +(lp129685 +S'Lungs\tLung\tNNS\tB-NP\tO' +p129686 +aS'were\tbe\tVBD\tB-VP\tO' +p129687 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p129688 +aS'to\tto\tTO\tB-PP\tO' +p129689 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p129690 +aS'anteriorly\tanteriorly\tRB\tB-ADVP\tO' +p129691 +aS'.\t.\t.\tO\tO' +p129692 +asS'01-11 MRI Left Knee w/o Contrast' +p129693 +(lp129694 +S'01-11\t01-11\tCD\tB-NP\tO' +p129695 +aS'MRI\tMRI\tNNP\tI-NP\tO' +p129696 +aS'Left\tLeft\tNNP\tI-NP\tO' +p129697 +aS'Knee\tKnee\tNNP\tI-NP\tO' +p129698 +aS'w/o\tw/o\tNN\tI-NP\tO' +p129699 +aS'Contrast\tContrast\tNN\tI-NP\tO' +p129700 +asS'Neurological exam revealed an alert and oriented x 3 elderly male .' +p129701 +(lp129702 +S'Neurological\tNeurological\tJJ\tB-NP\tO' +p129703 +aS'exam\texam\tNN\tI-NP\tO' +p129704 +aS'revealed\treveal\tVBD\tB-VP\tO' +p129705 +aS'an\tan\tDT\tB-NP\tO' +p129706 +aS'alert\talert\tJJ\tI-NP\tO' +p129707 +aS'and\tand\tCC\tI-NP\tO' +p129708 +aS'oriented\torient\tVBN\tI-NP\tO' +p129709 +aS'x\tx\tSYM\tI-NP\tO' +p129710 +aS'3\t3\tCD\tB-NP\tO' +p129711 +aS'elderly\telderly\tJJ\tI-NP\tO' +p129712 +aS'male\tmale\tNN\tI-NP\tO' +p129713 +aS'.\t.\t.\tO\tO' +p129714 +asS'On postoperative day number one , he was administered 1 mg Coumadin per protocol as well as on the operative day 1 mg of Coumadin .' +p129715 +(lp129716 +S'On\tOn\tIN\tB-PP\tO' +p129717 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p129718 +aS'day\tday\tNN\tI-NP\tO' +p129719 +aS'number\tnumber\tNN\tI-NP\tO' +p129720 +aS'one\tone\tCD\tB-NP\tO' +p129721 +aS',\t,\t,\tO\tO' +p129722 +aS'he\the\tPRP\tB-NP\tO' +p129723 +aS'was\tbe\tVBD\tB-VP\tO' +p129724 +aS'administered\tadminister\tVBN\tI-VP\tO' +p129725 +aS'1\t1\tCD\tB-NP\tO' +p129726 +aS'mg\tmg\tNN\tI-NP\tO' +p129727 +aS'Coumadin\tCoumadin\tNN\tI-NP\tO' +p129728 +aS'per\tper\tIN\tB-PP\tO' +p129729 +aS'protocol\tprotocol\tNN\tB-NP\tO' +p129730 +aS'as\tas\tRB\tB-CONJP\tO' +p129731 +aS'well\twell\tRB\tI-CONJP\tO' +p129732 +aS'as\tas\tIN\tI-CONJP\tO' +p129733 +aS'on\ton\tIN\tB-PP\tO' +p129734 +aS'the\tthe\tDT\tB-NP\tO' +p129735 +aS'operative\toperative\tJJ\tI-NP\tO' +p129736 +aS'day\tday\tNN\tI-NP\tO' +p129737 +aS'1\t1\tCD\tI-NP\tO' +p129738 +aS'mg\tmg\tNN\tI-NP\tO' +p129739 +aS'of\tof\tIN\tB-PP\tO' +p129740 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p129741 +aS'.\t.\t.\tO\tO' +p129742 +asS'CXR shows diffuse b/l infiltrates R > L and pt was found to have a bandemia .' +p129743 +(lp129744 +S'CXR\tCXR\tNN\tB-NP\tB-protein' +p129745 +aS'shows\tshow\tVBZ\tB-VP\tO' +p129746 +aS'diffuse\tdiffuse\tJJ\tB-NP\tO' +p129747 +aS'b/l\tb/l\tNN\tI-NP\tO' +p129748 +aS'infiltrates\tinfiltrate\tVBZ\tB-VP\tO' +p129749 +aS'R\tR\tNN\tB-NP\tB-protein' +p129750 +aS'>\t>\tSYM\tI-NP\tO' +p129751 +aS'L\tL\tNN\tI-NP\tO' +p129752 +aS'and\tand\tCC\tI-NP\tO' +p129753 +aS'pt\tpt\tNN\tI-NP\tO' +p129754 +aS'was\tbe\tVBD\tB-VP\tO' +p129755 +aS'found\tfind\tVBN\tI-VP\tO' +p129756 +aS'to\tto\tTO\tI-VP\tO' +p129757 +aS'have\thave\tVB\tI-VP\tO' +p129758 +aS'a\ta\tDT\tB-NP\tO' +p129759 +aS'bandemia\tbandemia\tNN\tI-NP\tO' +p129760 +aS'.\t.\t.\tO\tO' +p129761 +asS'Her hematocrit remained stable .' +p129762 +(lp129763 +S'Her\tHer\tPRP$\tB-NP\tO' +p129764 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p129765 +aS'remained\tremain\tVBD\tB-VP\tO' +p129766 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p129767 +aS'.\t.\t.\tO\tO' +p129768 +asS'19. Alexandria Daly 20 mEq p.o. twice a day .' +p129769 +(lp129770 +S'19.\t19.\tCD\tB-NP\tO' +p129771 +aS'Alexandria\tAlexandria\tNNP\tI-NP\tO' +p129772 +aS'Daly\tDaly\tNNP\tI-NP\tO' +p129773 +aS'20\t20\tCD\tI-NP\tO' +p129774 +aS'mEq\tmEq\tNN\tI-NP\tO' +p129775 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p129776 +aS'twice\ttwice\tRB\tB-NP\tO' +p129777 +aS'a\ta\tDT\tI-NP\tO' +p129778 +aS'day\tday\tNN\tI-NP\tO' +p129779 +aS'.\t.\t.\tO\tO' +p129780 +asS'At that time BP was attributed to abdominal pain and inability to take PO meds d/t nausea / vomiting .' +p129781 +(lp129782 +S'At\tAt\tIN\tB-PP\tO' +p129783 +aS'that\tthat\tDT\tB-NP\tO' +p129784 +aS'time\ttime\tNN\tI-NP\tO' +p129785 +aS'BP\tBP\tNN\tI-NP\tO' +p129786 +aS'was\tbe\tVBD\tB-VP\tO' +p129787 +aS'attributed\tattribute\tVBN\tI-VP\tO' +p129788 +aS'to\tto\tTO\tB-PP\tO' +p129789 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p129790 +aS'pain\tpain\tNN\tI-NP\tO' +p129791 +aS'and\tand\tCC\tI-NP\tO' +p129792 +aS'inability\tinability\tNN\tI-NP\tO' +p129793 +aS'to\tto\tTO\tB-VP\tO' +p129794 +aS'take\ttake\tVB\tI-VP\tO' +p129795 +aS'PO\tPO\tNN\tB-NP\tO' +p129796 +aS'meds\tmed\tNNS\tI-NP\tO' +p129797 +aS'd/t\td/t\tVBP\tB-VP\tO' +p129798 +aS'nausea\tnausea\tNN\tB-NP\tO' +p129799 +aS'/\t/\tSYM\tB-NP\tO' +p129800 +aS'vomiting\tvomiting\tNN\tI-NP\tO' +p129801 +aS'.\t.\t.\tO\tO' +p129802 +asS'The patient was seen by both neurology and neurosurgery , and the two teams agreed that the etiology seemed to be related to underlying amyloidosis .' +p129803 +(lp129804 +S'The\tThe\tDT\tB-NP\tO' +p129805 +aS'patient\tpatient\tNN\tI-NP\tO' +p129806 +aS'was\tbe\tVBD\tB-VP\tO' +p129807 +aS'seen\tsee\tVBN\tI-VP\tO' +p129808 +aS'by\tby\tIN\tB-PP\tO' +p129809 +aS'both\tboth\tCC\tO\tO' +p129810 +aS'neurology\tneurology\tNN\tB-NP\tO' +p129811 +aS'and\tand\tCC\tI-NP\tO' +p129812 +aS'neurosurgery\tneurosurgery\tNN\tI-NP\tO' +p129813 +aS',\t,\t,\tO\tO' +p129814 +aS'and\tand\tCC\tO\tO' +p129815 +aS'the\tthe\tDT\tB-NP\tO' +p129816 +aS'two\ttwo\tCD\tI-NP\tO' +p129817 +aS'teams\tteam\tNNS\tI-NP\tO' +p129818 +aS'agreed\tagree\tVBD\tB-VP\tO' +p129819 +aS'that\tthat\tIN\tB-SBAR\tO' +p129820 +aS'the\tthe\tDT\tB-NP\tO' +p129821 +aS'etiology\tetiology\tNN\tI-NP\tO' +p129822 +aS'seemed\tseem\tVBD\tB-VP\tO' +p129823 +aS'to\tto\tTO\tI-VP\tO' +p129824 +aS'be\tbe\tVB\tI-VP\tO' +p129825 +aS'related\trelate\tVBN\tI-VP\tO' +p129826 +aS'to\tto\tTO\tB-PP\tO' +p129827 +aS'underlying\tunderlie\tVBG\tB-VP\tO' +p129828 +aS'amyloidosis\tamyloidosis\tNN\tB-NP\tO' +p129829 +aS'.\t.\t.\tO\tO' +p129830 +asS'4. Status post open jejunostomy tube placement , open left subclavian PermCath placement .' +p129831 +(lp129832 +S'4.\t4.\tLS\tB-LST\tO' +p129833 +aS'Status\tStatus\tNNP\tB-NP\tO' +p129834 +aS'post\tpost\tIN\tB-PP\tO' +p129835 +aS'open\topen\tJJ\tB-NP\tO' +p129836 +aS'jejunostomy\tjejunostomy\tNN\tI-NP\tO' +p129837 +aS'tube\ttube\tNN\tI-NP\tO' +p129838 +aS'placement\tplacement\tNN\tI-NP\tO' +p129839 +aS',\t,\t,\tO\tO' +p129840 +aS'open\topen\tJJ\tB-NP\tO' +p129841 +aS'left\tleft\tJJ\tI-NP\tO' +p129842 +aS'subclavian\tsubclavian\tJJ\tI-NP\tO' +p129843 +aS'PermCath\tPermCath\tNN\tI-NP\tO' +p129844 +aS'placement\tplacement\tNN\tI-NP\tO' +p129845 +aS'.\t.\t.\tO\tO' +p129846 +asS'He drinks greater than one case of beer per day .' +p129847 +(lp129848 +S'He\tHe\tPRP\tB-NP\tO' +p129849 +aS'drinks\tdrink\tVBZ\tB-VP\tO' +p129850 +aS'greater\tgreat\tJJR\tB-NP\tO' +p129851 +aS'than\tthan\tIN\tI-NP\tO' +p129852 +aS'one\tone\tCD\tI-NP\tO' +p129853 +aS'case\tcase\tNN\tI-NP\tO' +p129854 +aS'of\tof\tIN\tB-PP\tO' +p129855 +aS'beer\tbeer\tNN\tB-NP\tO' +p129856 +aS'per\tper\tIN\tB-PP\tO' +p129857 +aS'day\tday\tNN\tB-NP\tO' +p129858 +aS'.\t.\t.\tO\tO' +p129859 +asS'Thrush .' +p129860 +(lp129861 +S'Thrush\tThrush\tUH\tB-INTJ\tO' +p129862 +aS'.\t.\t.\tO\tO' +p129863 +asS'Course was c/b one episode of gross hematochezia on 12-28 , w/ concomitant hct drop of ~ 3 pts .' +p129864 +(lp129865 +S'Course\tCourse\tNN\tB-NP\tO' +p129866 +aS'was\tbe\tVBD\tB-VP\tO' +p129867 +aS'c/b\tc/b\tNN\tB-NP\tO' +p129868 +aS'one\tone\tCD\tB-NP\tO' +p129869 +aS'episode\tepisode\tNN\tI-NP\tO' +p129870 +aS'of\tof\tIN\tB-PP\tO' +p129871 +aS'gross\tgross\tJJ\tB-NP\tO' +p129872 +aS'hematochezia\thematochezia\tNN\tI-NP\tO' +p129873 +aS'on\ton\tIN\tB-PP\tO' +p129874 +aS'12-28\t12-28\tCD\tB-NP\tO' +p129875 +aS',\t,\t,\tO\tO' +p129876 +aS'w/\tw/\tJJ\tB-NP\tO' +p129877 +aS'concomitant\tconcomitant\tJJ\tI-NP\tO' +p129878 +aS'hct\thct\tNN\tI-NP\tO' +p129879 +aS'drop\tdrop\tNN\tI-NP\tO' +p129880 +aS'of\tof\tIN\tB-PP\tO' +p129881 +aS'~\t~\tNN\tB-NP\tB-protein' +p129882 +aS'3\t3\tCD\tI-NP\tI-protein' +p129883 +aS'pts\tpt\tNNS\tI-NP\tI-protein' +p129884 +aS'.\t.\t.\tO\tO' +p129885 +asS'Patient restarted on coumadin and will be discharged on 3mg coumadin qday .' +p129886 +(lp129887 +S'Patient\tPatient\tNN\tB-NP\tO' +p129888 +aS'restarted\trestart\tVBD\tB-VP\tO' +p129889 +aS'on\ton\tIN\tB-PP\tO' +p129890 +aS'coumadin\tcoumadin\tNN\tB-NP\tO' +p129891 +aS'and\tand\tCC\tO\tO' +p129892 +aS'will\twill\tMD\tB-VP\tO' +p129893 +aS'be\tbe\tVB\tI-VP\tO' +p129894 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p129895 +aS'on\ton\tIN\tB-PP\tO' +p129896 +aS'3mg\t3mg\tNN\tB-NP\tO' +p129897 +aS'coumadin\tcoumadin\tNN\tI-NP\tO' +p129898 +aS'qday\tqday\tNN\tI-NP\tO' +p129899 +aS'.\t.\t.\tO\tO' +p129900 +asS'The severity and persistent of the patient 's epigastric pain was concerning for a pancreatic complication such as necrosis or abscess .' +p129901 +(lp129902 +S'The\tThe\tDT\tB-NP\tO' +p129903 +aS'severity\tseverity\tNN\tI-NP\tO' +p129904 +aS'and\tand\tCC\tO\tO' +p129905 +aS'persistent\tpersistent\tJJ\tB-ADJP\tO' +p129906 +aS'of\tof\tIN\tB-PP\tO' +p129907 +aS'the\tthe\tDT\tB-NP\tO' +p129908 +aS'patient\tpatient\tNN\tI-NP\tO' +p129909 +aS''s\t'\tNNS\tI-NP\tO' +p129910 +aS'epigastric\tepigastric\tJJ\tB-NP\tO' +p129911 +aS'pain\tpain\tNN\tI-NP\tO' +p129912 +aS'was\tbe\tVBD\tB-VP\tO' +p129913 +aS'concerning\tconcern\tVBG\tI-VP\tO' +p129914 +aS'for\tfor\tIN\tB-PP\tO' +p129915 +aS'a\ta\tDT\tB-NP\tO' +p129916 +aS'pancreatic\tpancreatic\tJJ\tI-NP\tO' +p129917 +aS'complication\tcomplication\tNN\tI-NP\tO' +p129918 +aS'such\tsuch\tJJ\tB-PP\tO' +p129919 +aS'as\tas\tIN\tI-PP\tO' +p129920 +aS'necrosis\tnecrosis\tNN\tB-NP\tO' +p129921 +aS'or\tor\tCC\tI-NP\tO' +p129922 +aS'abscess\tabscess\tNN\tI-NP\tO' +p129923 +aS'.\t.\t.\tO\tO' +p129924 +asS'Disp :* 15 Tablet (s)* Refills :* 0 *' +p129925 +(lp129926 +S'Disp\tDisp\tNN\tB-NP\tO' +p129927 +aS':*\t:*\tSYM\tI-NP\tO' +p129928 +aS'15\t15\tCD\tI-NP\tO' +p129929 +aS'Tablet\tTablet\tNN\tI-NP\tO' +p129930 +aS'(s)*\t(s)*\tSYM\tI-NP\tO' +p129931 +aS'Refills\tRefill\tNNPS\tI-NP\tO' +p129932 +aS':*\t:*\tSYM\tB-NP\tO' +p129933 +aS'0\t0\tCD\tI-NP\tO' +p129934 +aS'*\t*\tSYM\tB-NP\tO' +p129935 +asS'3) Plasmacytoma of T9 through T12 .' +p129936 +(lp129937 +S'3)\t3)\tLS\tB-NP\tO' +p129938 +aS'Plasmacytoma\tPlasmacytoma\tNN\tI-NP\tO' +p129939 +aS'of\tof\tIN\tB-PP\tO' +p129940 +aS'T9\tT9\tNN\tB-NP\tO' +p129941 +aS'through\tthrough\tIN\tB-PP\tO' +p129942 +aS'T12\tT12\tNN\tB-NP\tB-protein' +p129943 +aS'.\t.\t.\tO\tO' +p129944 +asS'Respiratory rates have been 40 s to 60 s.' +p129945 +(lp129946 +S'Respiratory\tRespiratory\tJJ\tB-NP\tO' +p129947 +aS'rates\trate\tNNS\tI-NP\tO' +p129948 +aS'have\thave\tVBP\tB-VP\tO' +p129949 +aS'been\tbe\tVBN\tI-VP\tO' +p129950 +aS'40\t40\tCD\tB-NP\tO' +p129951 +aS's\ts\tNN\tI-NP\tO' +p129952 +aS'to\tto\tTO\tB-PP\tO' +p129953 +aS'60\t60\tCD\tB-NP\tO' +p129954 +aS's.\ts.\tNNS\tI-NP\tO' +p129955 +asS'She had no further episodes of bradycardia during her Medical Intensive Care Unit stay .' +p129956 +(lp129957 +S'She\tShe\tPRP\tB-NP\tO' +p129958 +aS'had\thave\tVBD\tB-VP\tO' +p129959 +aS'no\tno\tDT\tB-NP\tO' +p129960 +aS'further\tfurther\tJJ\tI-NP\tO' +p129961 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p129962 +aS'of\tof\tIN\tB-PP\tO' +p129963 +aS'bradycardia\tbradycardia\tNN\tB-NP\tO' +p129964 +aS'during\tduring\tIN\tB-PP\tO' +p129965 +aS'her\ther\tPRP$\tB-NP\tO' +p129966 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p129967 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p129968 +aS'Care\tCare\tNNP\tI-NP\tO' +p129969 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p129970 +aS'stay\tstay\tNN\tI-NP\tO' +p129971 +aS'.\t.\t.\tO\tO' +p129972 +asS'10. Furosemide 20 mg Tablet Sig : One ( 1 ) Tablet PO twice a day for 7 days .' +p129973 +(lp129974 +S'10.\t10.\tCD\tB-NP\tO' +p129975 +aS'Furosemide\tFurosemide\tNN\tI-NP\tO' +p129976 +aS'20\t20\tCD\tB-NP\tO' +p129977 +aS'mg\tmg\tNN\tI-NP\tO' +p129978 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p129979 +aS'Sig\tSig\tNNP\tI-NP\tO' +p129980 +aS':\t:\t:\tO\tO' +p129981 +aS'One\tOne\tCD\tB-NP\tO' +p129982 +aS'(\t(\t(\tO\tO' +p129983 +aS'1\t1\tCD\tB-NP\tO' +p129984 +aS')\t)\t)\tO\tO' +p129985 +aS'Tablet\tTablet\tNN\tB-NP\tB-protein' +p129986 +aS'PO\tPO\tNN\tI-NP\tI-protein' +p129987 +aS'twice\ttwice\tRB\tB-NP\tO' +p129988 +aS'a\ta\tDT\tI-NP\tO' +p129989 +aS'day\tday\tNN\tI-NP\tO' +p129990 +aS'for\tfor\tIN\tB-PP\tO' +p129991 +aS'7\t7\tCD\tB-NP\tO' +p129992 +aS'days\tday\tNNS\tI-NP\tO' +p129993 +aS'.\t.\t.\tO\tO' +p129994 +asS'Mr. Chester was admitted to the cardiac surgical service and underwent routine preoperative evaluation .' +p129995 +(lp129996 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p129997 +aS'Chester\tChester\tNNP\tI-NP\tO' +p129998 +aS'was\tbe\tVBD\tB-VP\tO' +p129999 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p130000 +aS'to\tto\tTO\tB-PP\tO' +p130001 +aS'the\tthe\tDT\tB-NP\tO' +p130002 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p130003 +aS'surgical\tsurgical\tJJ\tI-NP\tO' +p130004 +aS'service\tservice\tNN\tI-NP\tO' +p130005 +aS'and\tand\tCC\tO\tO' +p130006 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p130007 +aS'routine\troutine\tJJ\tB-NP\tO' +p130008 +aS'preoperative\tpreoperative\tJJ\tI-NP\tO' +p130009 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p130010 +aS'.\t.\t.\tO\tO' +p130011 +asS'POST-BYPASS : LV and RV function is unchanged .' +p130012 +(lp130013 +S'POST-BYPASS\tPOST-BYPASS\tNN\tB-NP\tO' +p130014 +aS':\t:\t:\tO\tO' +p130015 +aS'LV\tLV\tNN\tB-NP\tO' +p130016 +aS'and\tand\tCC\tI-NP\tO' +p130017 +aS'RV\tRV\tNN\tI-NP\tO' +p130018 +aS'function\tfunction\tNN\tI-NP\tO' +p130019 +aS'is\tbe\tVBZ\tB-VP\tO' +p130020 +aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' +p130021 +aS'.\t.\t.\tO\tO' +p130022 +asS'Intravenous chemotherapy for lung cancer .' +p130023 +(lp130024 +S'Intravenous\tIntravenous\tJJ\tB-NP\tO' +p130025 +aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' +p130026 +aS'for\tfor\tIN\tB-PP\tO' +p130027 +aS'lung\tlung\tNN\tB-NP\tO' +p130028 +aS'cancer\tcancer\tNN\tI-NP\tO' +p130029 +aS'.\t.\t.\tO\tO' +p130030 +asS'Father of baby not involved at this time .' +p130031 +(lp130032 +S'Father\tFather\tNN\tB-NP\tO' +p130033 +aS'of\tof\tIN\tB-PP\tO' +p130034 +aS'baby\tbaby\tNN\tB-NP\tO' +p130035 +aS'not\tnot\tRB\tB-VP\tO' +p130036 +aS'involved\tinvolve\tVBN\tI-VP\tO' +p130037 +aS'at\tat\tIN\tB-PP\tO' +p130038 +aS'this\tthis\tDT\tB-NP\tO' +p130039 +aS'time\ttime\tNN\tI-NP\tO' +p130040 +aS'.\t.\t.\tO\tO' +p130041 +asS'Prior to that smoked 2 packs a day .' +p130042 +(lp130043 +S'Prior\tPrior\tRB\tB-ADVP\tO' +p130044 +aS'to\tto\tTO\tB-PP\tO' +p130045 +aS'that\tthat\tDT\tB-NP\tO' +p130046 +aS'smoked\tsmoked\tJJ\tI-NP\tO' +p130047 +aS'2\t2\tCD\tI-NP\tO' +p130048 +aS'packs\tpack\tNNS\tI-NP\tO' +p130049 +aS'a\ta\tDT\tB-NP\tO' +p130050 +aS'day\tday\tNN\tI-NP\tO' +p130051 +aS'.\t.\t.\tO\tO' +p130052 +asS'The patient was admitted to the Intermediate Care Unit in the Neurology Intensive Care Unit .' +p130053 +(lp130054 +S'The\tThe\tDT\tB-NP\tO' +p130055 +aS'patient\tpatient\tNN\tI-NP\tO' +p130056 +aS'was\tbe\tVBD\tB-VP\tO' +p130057 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p130058 +aS'to\tto\tTO\tB-PP\tO' +p130059 +aS'the\tthe\tDT\tB-NP\tO' +p130060 +aS'Intermediate\tIntermediate\tNNP\tI-NP\tO' +p130061 +aS'Care\tCare\tNNP\tI-NP\tO' +p130062 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p130063 +aS'in\tin\tIN\tB-PP\tO' +p130064 +aS'the\tthe\tDT\tB-NP\tO' +p130065 +aS'Neurology\tNeurology\tNNP\tI-NP\tO' +p130066 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p130067 +aS'Care\tCare\tNNP\tI-NP\tO' +p130068 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p130069 +aS'.\t.\t.\tO\tO' +p130070 +asS'Gram stain and cultures were negative , cytology was negative .' +p130071 +(lp130072 +S'Gram\tGram\tNN\tB-NP\tO' +p130073 +aS'stain\tstain\tNN\tI-NP\tO' +p130074 +aS'and\tand\tCC\tI-NP\tO' +p130075 +aS'cultures\tculture\tNNS\tI-NP\tO' +p130076 +aS'were\tbe\tVBD\tB-VP\tO' +p130077 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p130078 +aS',\t,\t,\tO\tO' +p130079 +aS'cytology\tcytology\tNN\tB-NP\tO' +p130080 +aS'was\tbe\tVBD\tB-VP\tO' +p130081 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p130082 +aS'.\t.\t.\tO\tO' +p130083 +asS'She also gets Lactinex granules three packages in each bottle of tube feeds .' +p130084 +(lp130085 +S'She\tShe\tPRP\tB-NP\tO' +p130086 +aS'also\talso\tRB\tB-ADVP\tO' +p130087 +aS'gets\tget\tVBZ\tB-VP\tO' +p130088 +aS'Lactinex\tLactinex\tNNP\tB-NP\tO' +p130089 +aS'granules\tgranule\tNNS\tI-NP\tO' +p130090 +aS'three\tthree\tCD\tB-NP\tO' +p130091 +aS'packages\tpackage\tNNS\tI-NP\tO' +p130092 +aS'in\tin\tIN\tB-PP\tO' +p130093 +aS'each\teach\tDT\tB-NP\tO' +p130094 +aS'bottle\tbottle\tNN\tI-NP\tO' +p130095 +aS'of\tof\tIN\tB-PP\tO' +p130096 +aS'tube\ttube\tNN\tB-NP\tO' +p130097 +aS'feeds\tfeed\tNNS\tI-NP\tO' +p130098 +aS'.\t.\t.\tO\tO' +p130099 +asS'58 yo female s/p high speed MVC .' +p130100 +(lp130101 +S'58\t58\tCD\tB-NP\tO' +p130102 +aS'yo\tyo\tNN\tI-NP\tO' +p130103 +aS'female\tfemale\tJJ\tI-NP\tO' +p130104 +aS's/p\ts/p\tNN\tI-NP\tO' +p130105 +aS'high\thigh\tJJ\tI-NP\tO' +p130106 +aS'speed\tspeed\tNN\tI-NP\tO' +p130107 +aS'MVC\tMVC\tNN\tI-NP\tO' +p130108 +aS'.\t.\t.\tO\tO' +p130109 +asS'Pacing wires were removed .' +p130110 +(lp130111 +S'Pacing\tPace\tVBG\tB-NP\tO' +p130112 +aS'wires\twire\tNNS\tI-NP\tO' +p130113 +aS'were\tbe\tVBD\tB-VP\tO' +p130114 +aS'removed\tremove\tVBN\tI-VP\tO' +p130115 +aS'.\t.\t.\tO\tO' +p130116 +asS'The infant has remained in room air throughout her hospital course with occasional apnea and bradycardia episodes , the last being documented on 2020-01-14 .' +p130117 +(lp130118 +S'The\tThe\tDT\tB-NP\tO' +p130119 +aS'infant\tinfant\tNN\tI-NP\tO' +p130120 +aS'has\thave\tVBZ\tB-VP\tO' +p130121 +aS'remained\tremain\tVBN\tI-VP\tO' +p130122 +aS'in\tin\tIN\tB-PP\tO' +p130123 +aS'room\troom\tNN\tB-NP\tO' +p130124 +aS'air\tair\tNN\tI-NP\tO' +p130125 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p130126 +aS'her\ther\tPRP$\tB-NP\tO' +p130127 +aS'hospital\thospital\tNN\tI-NP\tO' +p130128 +aS'course\tcourse\tNN\tI-NP\tO' +p130129 +aS'with\twith\tIN\tB-PP\tO' +p130130 +aS'occasional\toccasional\tJJ\tB-NP\tO' +p130131 +aS'apnea\tapnea\tNN\tI-NP\tO' +p130132 +aS'and\tand\tCC\tI-NP\tO' +p130133 +aS'bradycardia\tbradycardia\tNN\tI-NP\tO' +p130134 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p130135 +aS',\t,\t,\tO\tO' +p130136 +aS'the\tthe\tDT\tB-NP\tO' +p130137 +aS'last\tlast\tJJ\tI-NP\tO' +p130138 +aS'being\tbe\tVBG\tB-VP\tO' +p130139 +aS'documented\tdocument\tVBN\tI-VP\tO' +p130140 +aS'on\ton\tIN\tB-PP\tO' +p130141 +aS'2020-01-14\t2020-01-14\tCD\tB-NP\tO' +p130142 +aS'.\t.\t.\tO\tO' +p130143 +asS'2. Medications : None .' +p130144 +(lp130145 +S'2.\t2.\tCD\tB-NP\tO' +p130146 +aS'Medications\tMedication\tNNS\tI-NP\tO' +p130147 +aS':\t:\t:\tO\tO' +p130148 +aS'None\tNone\tNN\tB-NP\tO' +p130149 +aS'.\t.\t.\tO\tO' +p130150 +asS"The patient will be continued on medications per Discharge Summary with the addition of captopril ACE inhibitor since the patient 's blood pressure is stable ." +p130151 +(lp130152 +S'The\tThe\tDT\tB-NP\tO' +p130153 +aS'patient\tpatient\tNN\tI-NP\tO' +p130154 +aS'will\twill\tMD\tB-VP\tO' +p130155 +aS'be\tbe\tVB\tI-VP\tO' +p130156 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p130157 +aS'on\ton\tIN\tB-PP\tO' +p130158 +aS'medications\tmedication\tNNS\tB-NP\tO' +p130159 +aS'per\tper\tIN\tB-PP\tO' +p130160 +aS'Discharge\tDischarge\tNNP\tB-NP\tO' +p130161 +aS'Summary\tSummary\tNNP\tI-NP\tO' +p130162 +aS'with\twith\tIN\tB-PP\tO' +p130163 +aS'the\tthe\tDT\tB-NP\tO' +p130164 +aS'addition\taddition\tNN\tI-NP\tO' +p130165 +aS'of\tof\tIN\tB-PP\tO' +p130166 +aS'captopril\tcaptopril\tNN\tB-NP\tO' +p130167 +aS'ACE\tACE\tNN\tI-NP\tO' +p130168 +aS'inhibitor\tinhibitor\tNN\tI-NP\tO' +p130169 +aS'since\tsince\tIN\tB-PP\tO' +p130170 +aS'the\tthe\tDT\tB-NP\tO' +p130171 +aS'patient\tpatient\tNN\tI-NP\tO' +p130172 +aS"'s\t's\tPOS\tB-NP\tO" +p130173 +aS'blood\tblood\tNN\tI-NP\tO' +p130174 +aS'pressure\tpressure\tNN\tI-NP\tO' +p130175 +aS'is\tbe\tVBZ\tB-VP\tO' +p130176 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p130177 +aS'.\t.\t.\tO\tO' +p130178 +asS'Strict aspiration precautions with avoidance of clear liquids and all other liquids thickened .' +p130179 +(lp130180 +S'Strict\tStrict\tJJ\tB-NP\tO' +p130181 +aS'aspiration\taspiration\tNN\tI-NP\tO' +p130182 +aS'precautions\tprecaution\tNNS\tI-NP\tO' +p130183 +aS'with\twith\tIN\tB-PP\tO' +p130184 +aS'avoidance\tavoidance\tNN\tB-NP\tO' +p130185 +aS'of\tof\tIN\tB-PP\tO' +p130186 +aS'clear\tclear\tJJ\tB-NP\tO' +p130187 +aS'liquids\tliquid\tNNS\tI-NP\tO' +p130188 +aS'and\tand\tCC\tO\tO' +p130189 +aS'all\tall\tDT\tB-NP\tO' +p130190 +aS'other\tother\tJJ\tI-NP\tO' +p130191 +aS'liquids\tliquid\tNNS\tI-NP\tO' +p130192 +aS'thickened\tthicken\tVBN\tB-VP\tO' +p130193 +aS'.\t.\t.\tO\tO' +p130194 +asS'She is currently receiving 150 cc per kilo per day of Special Care 20 .' +p130195 +(lp130196 +S'She\tShe\tPRP\tB-NP\tO' +p130197 +aS'is\tbe\tVBZ\tB-VP\tO' +p130198 +aS'currently\tcurrently\tRB\tI-VP\tO' +p130199 +aS'receiving\treceive\tVBG\tI-VP\tO' +p130200 +aS'150\t150\tCD\tB-NP\tO' +p130201 +aS'cc\tcc\tNN\tI-NP\tO' +p130202 +aS'per\tper\tIN\tB-PP\tO' +p130203 +aS'kilo\tkilo\tNN\tB-NP\tO' +p130204 +aS'per\tper\tIN\tB-PP\tO' +p130205 +aS'day\tday\tNN\tB-NP\tO' +p130206 +aS'of\tof\tIN\tB-PP\tO' +p130207 +aS'Special\tSpecial\tNNP\tB-NP\tO' +p130208 +aS'Care\tCare\tNNP\tI-NP\tO' +p130209 +aS'20\t20\tCD\tI-NP\tO' +p130210 +aS'.\t.\t.\tO\tO' +p130211 +asS'There is no cervical lymphadenopathy .' +p130212 +(lp130213 +S'There\tThere\tEX\tB-NP\tO' +p130214 +aS'is\tbe\tVBZ\tB-VP\tO' +p130215 +aS'no\tno\tDT\tB-NP\tO' +p130216 +aS'cervical\tcervical\tJJ\tI-NP\tO' +p130217 +aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' +p130218 +aS'.\t.\t.\tO\tO' +p130219 +asS"He worked for the attorney general 's office early in his career but eventually started his own business in foreign currency exchange from which he retired in 2009 ." +p130220 +(lp130221 +S'He\tHe\tPRP\tB-NP\tO' +p130222 +aS'worked\twork\tVBD\tB-VP\tO' +p130223 +aS'for\tfor\tIN\tB-PP\tO' +p130224 +aS'the\tthe\tDT\tB-NP\tO' +p130225 +aS'attorney\tattorney\tNN\tI-NP\tO' +p130226 +aS'general\tgeneral\tNN\tI-NP\tO' +p130227 +aS"'s\t's\tPOS\tB-NP\tO" +p130228 +aS'office\toffice\tNN\tI-NP\tO' +p130229 +aS'early\tearly\tRB\tB-ADVP\tO' +p130230 +aS'in\tin\tIN\tB-PP\tO' +p130231 +aS'his\this\tPRP$\tB-NP\tO' +p130232 +aS'career\tcareer\tNN\tI-NP\tO' +p130233 +aS'but\tbut\tCC\tO\tO' +p130234 +aS'eventually\teventually\tRB\tB-VP\tO' +p130235 +aS'started\tstart\tVBD\tI-VP\tO' +p130236 +aS'his\this\tPRP$\tB-NP\tO' +p130237 +aS'own\town\tJJ\tI-NP\tO' +p130238 +aS'business\tbusiness\tNN\tI-NP\tO' +p130239 +aS'in\tin\tIN\tB-PP\tO' +p130240 +aS'foreign\tforeign\tJJ\tB-NP\tO' +p130241 +aS'currency\tcurrency\tNN\tI-NP\tO' +p130242 +aS'exchange\texchange\tNN\tI-NP\tO' +p130243 +aS'from\tfrom\tIN\tB-PP\tO' +p130244 +aS'which\twhich\tWDT\tB-NP\tO' +p130245 +aS'he\the\tPRP\tB-NP\tO' +p130246 +aS'retired\tretire\tVBD\tB-VP\tO' +p130247 +aS'in\tin\tIN\tB-PP\tO' +p130248 +aS'2009\t2009\tCD\tB-NP\tO' +p130249 +aS'.\t.\t.\tO\tO' +p130250 +asS'The patient was full code during admission .' +p130251 +(lp130252 +S'The\tThe\tDT\tB-NP\tO' +p130253 +aS'patient\tpatient\tNN\tI-NP\tO' +p130254 +aS'was\tbe\tVBD\tB-VP\tO' +p130255 +aS'full\tfull\tJJ\tB-NP\tO' +p130256 +aS'code\tcode\tNN\tI-NP\tO' +p130257 +aS'during\tduring\tIN\tB-PP\tO' +p130258 +aS'admission\tadmission\tNN\tB-NP\tO' +p130259 +aS'.\t.\t.\tO\tO' +p130260 +asS'Premarin vaginal once a month , enalapril , Tylenol , vitamins , and Halcion at night .' +p130261 +(lp130262 +S'Premarin\tPremarin\tNN\tB-NP\tO' +p130263 +aS'vaginal\tvaginal\tJJ\tB-ADJP\tO' +p130264 +aS'once\tonce\tRB\tB-ADVP\tO' +p130265 +aS'a\ta\tDT\tB-NP\tO' +p130266 +aS'month\tmonth\tNN\tI-NP\tO' +p130267 +aS',\t,\t,\tO\tO' +p130268 +aS'enalapril\tenalapril\tNN\tB-NP\tO' +p130269 +aS',\t,\t,\tO\tO' +p130270 +aS'Tylenol\tTylenol\tNN\tB-NP\tO' +p130271 +aS',\t,\t,\tO\tO' +p130272 +aS'vitamins\tvitamin\tNNS\tB-NP\tO' +p130273 +aS',\t,\t,\tO\tO' +p130274 +aS'and\tand\tCC\tO\tO' +p130275 +aS'Halcion\tHalcion\tNN\tB-NP\tO' +p130276 +aS'at\tat\tIN\tB-PP\tO' +p130277 +aS'night\tnight\tNN\tB-NP\tO' +p130278 +aS'.\t.\t.\tO\tO' +p130279 +asS'Abdomen was soft and nontender , without masses or hepatosplenomegaly .' +p130280 +(lp130281 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p130282 +aS'was\tbe\tVBD\tB-VP\tO' +p130283 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p130284 +aS'and\tand\tCC\tI-ADJP\tO' +p130285 +aS'nontender\tnontender\tJJ\tI-ADJP\tO' +p130286 +aS',\t,\t,\tO\tO' +p130287 +aS'without\twithout\tIN\tB-PP\tO' +p130288 +aS'masses\tmass\tNNS\tB-NP\tO' +p130289 +aS'or\tor\tCC\tI-NP\tO' +p130290 +aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tI-NP\tO' +p130291 +aS'.\t.\t.\tO\tO' +p130292 +asS'Chem-7 was a sodium of 140 , potassium of 3.0 , chloride 108 , bicarbonate 24 , BUN 22 , creatinine 1.0 and glucose 117 .' +p130293 +(lp130294 +S'Chem-7\tChem-7\tNN\tB-NP\tB-protein' +p130295 +aS'was\tbe\tVBD\tB-VP\tO' +p130296 +aS'a\ta\tDT\tB-NP\tO' +p130297 +aS'sodium\tsodium\tNN\tI-NP\tO' +p130298 +aS'of\tof\tIN\tB-PP\tO' +p130299 +aS'140\t140\tCD\tB-NP\tO' +p130300 +aS',\t,\t,\tO\tO' +p130301 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p130302 +aS'of\tof\tIN\tB-PP\tO' +p130303 +aS'3.0\t3.0\tCD\tB-NP\tO' +p130304 +aS',\t,\t,\tO\tO' +p130305 +aS'chloride\tchloride\tNN\tB-NP\tO' +p130306 +aS'108\t108\tCD\tI-NP\tO' +p130307 +aS',\t,\t,\tO\tO' +p130308 +aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' +p130309 +aS'24\t24\tCD\tI-NP\tO' +p130310 +aS',\t,\t,\tO\tO' +p130311 +aS'BUN\tBUN\tNN\tB-NP\tB-DNA' +p130312 +aS'22\t22\tCD\tI-NP\tI-DNA' +p130313 +aS',\t,\t,\tO\tO' +p130314 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p130315 +aS'1.0\t1.0\tCD\tI-NP\tO' +p130316 +aS'and\tand\tCC\tO\tO' +p130317 +aS'glucose\tglucose\tNN\tB-NP\tB-protein' +p130318 +aS'117\t117\tCD\tI-NP\tI-protein' +p130319 +aS'.\t.\t.\tO\tO' +p130320 +asS'By report , the patient has an outside study .' +p130321 +(lp130322 +S'By\tBy\tIN\tB-PP\tO' +p130323 +aS'report\treport\tNN\tB-NP\tO' +p130324 +aS',\t,\t,\tO\tO' +p130325 +aS'the\tthe\tDT\tB-NP\tO' +p130326 +aS'patient\tpatient\tNN\tI-NP\tO' +p130327 +aS'has\thave\tVBZ\tB-VP\tO' +p130328 +aS'an\tan\tDT\tB-NP\tO' +p130329 +aS'outside\toutside\tJJ\tI-NP\tO' +p130330 +aS'study\tstudy\tNN\tI-NP\tO' +p130331 +aS'.\t.\t.\tO\tO' +p130332 +asS'soft , well healed scar , positive bowel sounds , no tenderness or organomegaly noted .' +p130333 +(lp130334 +S'soft\tsoft\tJJ\tB-ADJP\tO' +p130335 +aS',\t,\t,\tO\tO' +p130336 +aS'well\twell\tRB\tB-ADVP\tO' +p130337 +aS'healed\theal\tVBD\tB-VP\tO' +p130338 +aS'scar\tscar\tNN\tB-NP\tO' +p130339 +aS',\t,\t,\tO\tO' +p130340 +aS'positive\tpositive\tJJ\tB-NP\tO' +p130341 +aS'bowel\tbowel\tNN\tI-NP\tO' +p130342 +aS'sounds\tsound\tNNS\tI-NP\tO' +p130343 +aS',\t,\t,\tO\tO' +p130344 +aS'no\tno\tDT\tB-NP\tO' +p130345 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p130346 +aS'or\tor\tCC\tO\tO' +p130347 +aS'organomegaly\torganomegaly\tRB\tB-VP\tO' +p130348 +aS'noted\tnote\tVBN\tI-VP\tO' +p130349 +aS'.\t.\t.\tO\tO' +p130350 +asS'Amniotic fluid was clear .' +p130351 +(lp130352 +S'Amniotic\tAmniotic\tJJ\tB-NP\tO' +p130353 +aS'fluid\tfluid\tNN\tI-NP\tO' +p130354 +aS'was\tbe\tVBD\tB-VP\tO' +p130355 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p130356 +aS'.\t.\t.\tO\tO' +p130357 +asS'4. Ativan 1 mg Tablet Sig : One ( 1 ) Tablet PO q6h prn .' +p130358 +(lp130359 +S'4.\t4.\tLS\tB-LST\tO' +p130360 +aS'Ativan\tAtivan\tNNP\tB-NP\tO' +p130361 +aS'1\t1\tCD\tI-NP\tO' +p130362 +aS'mg\tmg\tNN\tI-NP\tO' +p130363 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p130364 +aS'Sig\tSig\tNNP\tI-NP\tO' +p130365 +aS':\t:\t:\tO\tO' +p130366 +aS'One\tOne\tCD\tB-NP\tO' +p130367 +aS'(\t(\t(\tO\tO' +p130368 +aS'1\t1\tCD\tB-NP\tO' +p130369 +aS')\t)\t)\tO\tO' +p130370 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p130371 +aS'PO\tPO\tNN\tI-NP\tO' +p130372 +aS'q6h\tq6h\tNN\tI-NP\tO' +p130373 +aS'prn\tprn\tNN\tI-NP\tO' +p130374 +aS'.\t.\t.\tO\tO' +p130375 +asS'Vascular calcifications are seen in the abdominal aorta and iliac arteries .' +p130376 +(lp130377 +S'Vascular\tVascular\tJJ\tB-NP\tO' +p130378 +aS'calcifications\tcalcification\tNNS\tI-NP\tO' +p130379 +aS'are\tbe\tVBP\tB-VP\tO' +p130380 +aS'seen\tsee\tVBN\tI-VP\tO' +p130381 +aS'in\tin\tIN\tB-PP\tO' +p130382 +aS'the\tthe\tDT\tB-NP\tO' +p130383 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p130384 +aS'aorta\taorta\tNN\tI-NP\tO' +p130385 +aS'and\tand\tCC\tO\tO' +p130386 +aS'iliac\tiliac\tJJ\tB-NP\tO' +p130387 +aS'arteries\tartery\tNNS\tI-NP\tO' +p130388 +aS'.\t.\t.\tO\tO' +p130389 +asS'Ischemic cardiomyopathy , orthotopic heart transplantation , hyperlipidemia , hypertension , coronary graft disease , medical noncompliance .' +p130390 +(lp130391 +S'Ischemic\tIschemic\tJJ\tB-NP\tO' +p130392 +aS'cardiomyopathy\tcardiomyopathy\tNN\tI-NP\tO' +p130393 +aS',\t,\t,\tO\tO' +p130394 +aS'orthotopic\torthotopic\tJJ\tB-NP\tO' +p130395 +aS'heart\theart\tNN\tI-NP\tO' +p130396 +aS'transplantation\ttransplantation\tNN\tI-NP\tO' +p130397 +aS',\t,\t,\tO\tO' +p130398 +aS'hyperlipidemia\thyperlipidemia\tNN\tB-NP\tO' +p130399 +aS',\t,\t,\tO\tO' +p130400 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p130401 +aS',\t,\t,\tO\tO' +p130402 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p130403 +aS'graft\tgraft\tNN\tI-NP\tO' +p130404 +aS'disease\tdisease\tNN\tI-NP\tO' +p130405 +aS',\t,\t,\tO\tO' +p130406 +aS'medical\tmedical\tJJ\tB-NP\tO' +p130407 +aS'noncompliance\tnoncompliance\tNN\tI-NP\tO' +p130408 +aS'.\t.\t.\tO\tO' +p130409 +asS'The infant tolerated feeding advancement without difficulty .' +p130410 +(lp130411 +S'The\tThe\tDT\tB-NP\tO' +p130412 +aS'infant\tinfant\tNN\tI-NP\tO' +p130413 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p130414 +aS'feeding\tfeeding\tNN\tB-NP\tO' +p130415 +aS'advancement\tadvancement\tNN\tI-NP\tO' +p130416 +aS'without\twithout\tIN\tB-PP\tO' +p130417 +aS'difficulty\tdifficulty\tNN\tB-NP\tO' +p130418 +aS'.\t.\t.\tO\tO' +p130419 +asS'2. Supraventricular tachycardia ( on a beta blocker ) .' +p130420 +(lp130421 +S'2.\t2.\tLS\tB-NP\tO' +p130422 +aS'Supraventricular\tSupraventricular\tJJ\tI-NP\tO' +p130423 +aS'tachycardia\ttachycardia\tNN\tI-NP\tO' +p130424 +aS'(\t(\t(\tO\tO' +p130425 +aS'on\ton\tIN\tB-PP\tO' +p130426 +aS'a\ta\tDT\tB-NP\tO' +p130427 +aS'beta\tbeta\tSYM\tI-NP\tO' +p130428 +aS'blocker\tblocker\tNN\tI-NP\tO' +p130429 +aS')\t)\t)\tO\tO' +p130430 +aS'.\t.\t.\tO\tO' +p130431 +asS'Clear to auscultation on the right .' +p130432 +(lp130433 +S'Clear\tClear\tJJ\tB-ADJP\tO' +p130434 +aS'to\tto\tTO\tB-PP\tO' +p130435 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p130436 +aS'on\ton\tIN\tB-PP\tO' +p130437 +aS'the\tthe\tDT\tB-NP\tO' +p130438 +aS'right\tright\tNN\tI-NP\tO' +p130439 +aS'.\t.\t.\tO\tO' +p130440 +asS'motrin 600 mg every 8 hours for pain - please take with food in your stomach' +p130441 +(lp130442 +S'motrin\tmotrin\tNN\tB-NP\tO' +p130443 +aS'600\t600\tCD\tI-NP\tO' +p130444 +aS'mg\tmg\tNN\tI-NP\tO' +p130445 +aS'every\tevery\tDT\tB-NP\tO' +p130446 +aS'8\t8\tCD\tI-NP\tO' +p130447 +aS'hours\thour\tNNS\tI-NP\tO' +p130448 +aS'for\tfor\tIN\tB-PP\tO' +p130449 +aS'pain\tpain\tNN\tB-NP\tO' +p130450 +aS'-\t-\tHYPH\tI-NP\tO' +p130451 +aS'please\tplease\tNN\tI-NP\tO' +p130452 +aS'take\ttake\tNN\tI-NP\tO' +p130453 +aS'with\twith\tIN\tB-PP\tO' +p130454 +aS'food\tfood\tNN\tB-NP\tO' +p130455 +aS'in\tin\tIN\tB-PP\tO' +p130456 +aS'your\tyour\tPRP$\tB-NP\tO' +p130457 +aS'stomach\tstomach\tNN\tI-NP\tO' +p130458 +asS'Given that the patient had been maintaining a MAP of 60 without fluids or pressors , her goal CVP was decreased to >8 to avoid fluid overload .' +p130459 +(lp130460 +S'Given\tGive\tVBN\tB-VP\tO' +p130461 +aS'that\tthat\tIN\tB-SBAR\tO' +p130462 +aS'the\tthe\tDT\tB-NP\tO' +p130463 +aS'patient\tpatient\tNN\tI-NP\tO' +p130464 +aS'had\thave\tVBD\tB-VP\tO' +p130465 +aS'been\tbe\tVBN\tI-VP\tO' +p130466 +aS'maintaining\tmaintain\tVBG\tI-VP\tO' +p130467 +aS'a\ta\tDT\tB-NP\tO' +p130468 +aS'MAP\tMAP\tNN\tI-NP\tO' +p130469 +aS'of\tof\tIN\tB-PP\tO' +p130470 +aS'60\t60\tCD\tB-NP\tO' +p130471 +aS'without\twithout\tIN\tB-PP\tO' +p130472 +aS'fluids\tfluid\tNNS\tB-NP\tO' +p130473 +aS'or\tor\tCC\tI-NP\tO' +p130474 +aS'pressors\tpressor\tNNS\tI-NP\tO' +p130475 +aS',\t,\t,\tO\tO' +p130476 +aS'her\ther\tPRP$\tB-NP\tO' +p130477 +aS'goal\tgoal\tJJ\tI-NP\tO' +p130478 +aS'CVP\tCVP\tNN\tI-NP\tO' +p130479 +aS'was\tbe\tVBD\tB-VP\tO' +p130480 +aS'decreased\tdecrease\tVBN\tI-VP\tO' +p130481 +aS'to\tto\tTO\tB-PP\tO' +p130482 +aS'>8\t>8\tCD\tB-NP\tO' +p130483 +aS'to\tto\tTO\tB-VP\tO' +p130484 +aS'avoid\tavoid\tVB\tI-VP\tO' +p130485 +aS'fluid\tfluid\tNN\tB-NP\tO' +p130486 +aS'overload\toverload\tNN\tI-NP\tO' +p130487 +aS'.\t.\t.\tO\tO' +p130488 +asS'Amoxicillin rash .' +p130489 +(lp130490 +S'Amoxicillin\tAmoxicillin\tNN\tB-NP\tO' +p130491 +aS'rash\trash\tNN\tI-NP\tO' +p130492 +aS'.\t.\t.\tO\tO' +p130493 +asS'Procardia sustained release 60 mg. po q.day , Digoxin .25 mg. po q.day , Lasix 30 mg. ( interval unspecified ) , Prozac 40 mg. po q.day , Lovestatin 20 mg. po bid , aspirin q. day and supplemental potassium .' +p130494 +(lp130495 +S'Procardia\tProcardia\tNNP\tB-NP\tO' +p130496 +aS'sustained\tsustain\tVBD\tB-VP\tO' +p130497 +aS'release\trelease\tNN\tB-NP\tO' +p130498 +aS'60\t60\tCD\tI-NP\tO' +p130499 +aS'mg.\tmg.\tNN\tI-NP\tO' +p130500 +aS'po\tpo\tNN\tI-NP\tO' +p130501 +aS'q.day\tq.day\tNN\tI-NP\tO' +p130502 +aS',\t,\t,\tO\tO' +p130503 +aS'Digoxin\tDigoxin\tNN\tB-NP\tO' +p130504 +aS'.25\t.25\tCD\tI-NP\tO' +p130505 +aS'mg.\tmg.\tNN\tI-NP\tO' +p130506 +aS'po\tpo\tNN\tI-NP\tO' +p130507 +aS'q.day\tq.day\tNN\tI-NP\tO' +p130508 +aS',\t,\t,\tO\tO' +p130509 +aS'Lasix\tLasix\tNNP\tB-NP\tO' +p130510 +aS'30\t30\tCD\tI-NP\tO' +p130511 +aS'mg.\tmg.\tNN\tI-NP\tO' +p130512 +aS'(\t(\t(\tO\tO' +p130513 +aS'interval\tinterval\tNN\tB-NP\tO' +p130514 +aS'unspecified\tunspecified\tJJ\tB-ADJP\tO' +p130515 +aS')\t)\t)\tO\tO' +p130516 +aS',\t,\t,\tO\tO' +p130517 +aS'Prozac\tProzac\tNN\tB-NP\tO' +p130518 +aS'40\t40\tCD\tI-NP\tO' +p130519 +aS'mg.\tmg.\tNN\tI-NP\tO' +p130520 +aS'po\tpo\tNN\tI-NP\tO' +p130521 +aS'q.day\tq.day\tNN\tI-NP\tO' +p130522 +aS',\t,\t,\tO\tO' +p130523 +aS'Lovestatin\tLovestatin\tNN\tB-NP\tO' +p130524 +aS'20\t20\tCD\tI-NP\tO' +p130525 +aS'mg.\tmg.\tNN\tI-NP\tO' +p130526 +aS'po\tpo\tNN\tI-NP\tO' +p130527 +aS'bid\tbid\tNN\tI-NP\tO' +p130528 +aS',\t,\t,\tO\tO' +p130529 +aS'aspirin\taspirin\tNN\tB-NP\tO' +p130530 +aS'q.\tq.\tNN\tI-NP\tO' +p130531 +aS'day\tday\tNN\tI-NP\tO' +p130532 +aS'and\tand\tCC\tO\tO' +p130533 +aS'supplemental\tsupplemental\tJJ\tB-NP\tO' +p130534 +aS'potassium\tpotassium\tNN\tI-NP\tO' +p130535 +aS'.\t.\t.\tO\tO' +p130536 +asS'After being placed on BiPAP , her blood pressure decreased to the 80s .' +p130537 +(lp130538 +S'After\tAfter\tIN\tB-PP\tO' +p130539 +aS'being\tbe\tVBG\tB-VP\tO' +p130540 +aS'placed\tplace\tVBN\tI-VP\tO' +p130541 +aS'on\ton\tIN\tB-PP\tO' +p130542 +aS'BiPAP\tBiPAP\tNN\tB-NP\tB-protein' +p130543 +aS',\t,\t,\tO\tO' +p130544 +aS'her\ther\tPRP$\tB-NP\tO' +p130545 +aS'blood\tblood\tNN\tI-NP\tO' +p130546 +aS'pressure\tpressure\tNN\tI-NP\tO' +p130547 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p130548 +aS'to\tto\tTO\tB-PP\tO' +p130549 +aS'the\tthe\tDT\tB-NP\tO' +p130550 +aS'80s\t80\tNNS\tI-NP\tO' +p130551 +aS'.\t.\t.\tO\tO' +p130552 +asS'She was seen by her cardiologist , Dr. Clements and had a Holter monitor on 2015-05-01 , that showed first degree AV block with a rate that ranged between 35 to 53 beats per minute .' +p130553 +(lp130554 +S'She\tShe\tPRP\tB-NP\tO' +p130555 +aS'was\tbe\tVBD\tB-VP\tO' +p130556 +aS'seen\tsee\tVBN\tI-VP\tO' +p130557 +aS'by\tby\tIN\tB-PP\tO' +p130558 +aS'her\ther\tPRP$\tB-NP\tO' +p130559 +aS'cardiologist\tcardiologist\tNN\tI-NP\tO' +p130560 +aS',\t,\t,\tO\tO' +p130561 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p130562 +aS'Clements\tClements\tNNP\tI-NP\tO' +p130563 +aS'and\tand\tCC\tO\tO' +p130564 +aS'had\thave\tVBD\tB-VP\tO' +p130565 +aS'a\ta\tDT\tB-NP\tO' +p130566 +aS'Holter\tHolter\tNNP\tI-NP\tO' +p130567 +aS'monitor\tmonitor\tNN\tI-NP\tO' +p130568 +aS'on\ton\tIN\tB-PP\tO' +p130569 +aS'2015-05-01\t2015-05-01\tCD\tB-NP\tO' +p130570 +aS',\t,\t,\tO\tO' +p130571 +aS'that\tthat\tWDT\tB-NP\tO' +p130572 +aS'showed\tshow\tVBD\tB-VP\tO' +p130573 +aS'first\tfirst\tJJ\tB-NP\tO' +p130574 +aS'degree\tdegree\tNN\tI-NP\tO' +p130575 +aS'AV\tAV\tNN\tI-NP\tO' +p130576 +aS'block\tblock\tNN\tI-NP\tO' +p130577 +aS'with\twith\tIN\tB-PP\tO' +p130578 +aS'a\ta\tDT\tB-NP\tO' +p130579 +aS'rate\trate\tNN\tI-NP\tO' +p130580 +aS'that\tthat\tWDT\tB-NP\tO' +p130581 +aS'ranged\trange\tVBD\tB-VP\tO' +p130582 +aS'between\tbetween\tIN\tB-PP\tO' +p130583 +aS'35\t35\tCD\tB-NP\tO' +p130584 +aS'to\tto\tTO\tI-NP\tO' +p130585 +aS'53\t53\tCD\tI-NP\tO' +p130586 +aS'beats\tbeat\tNNS\tI-NP\tO' +p130587 +aS'per\tper\tIN\tB-PP\tO' +p130588 +aS'minute\tminute\tNN\tB-NP\tO' +p130589 +aS'.\t.\t.\tO\tO' +p130590 +asS'3. Lumbar and cervical degenerative disk disease .' +p130591 +(lp130592 +S'3.\t3.\tLS\tB-NP\tO' +p130593 +aS'Lumbar\tLumbar\tNN\tI-NP\tO' +p130594 +aS'and\tand\tCC\tO\tO' +p130595 +aS'cervical\tcervical\tJJ\tB-NP\tO' +p130596 +aS'degenerative\tdegenerative\tJJ\tI-NP\tO' +p130597 +aS'disk\tdisk\tNN\tI-NP\tO' +p130598 +aS'disease\tdisease\tNN\tI-NP\tO' +p130599 +aS'.\t.\t.\tO\tO' +p130600 +asS'COPD ( chronic obstructive pulmonary disease ) DM cervical DJD ( ) iron deficiency anemia ( iron deficiency anemia ) cervical and lumbar djd ( 12 ) osa ( sleep apnea ) s / p tb treatment ( 5 )' +p130601 +(lp130602 +S'COPD\tCOPD\tNN\tB-NP\tO' +p130603 +aS'(\t(\t(\tO\tO' +p130604 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p130605 +aS'obstructive\tobstructive\tJJ\tI-NP\tO' +p130606 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p130607 +aS'disease\tdisease\tNN\tI-NP\tO' +p130608 +aS')\t)\t)\tO\tO' +p130609 +aS'DM\tDM\tNN\tB-NP\tO' +p130610 +aS'cervical\tcervical\tJJ\tI-NP\tO' +p130611 +aS'DJD\tDJD\tNN\tI-NP\tO' +p130612 +aS'(\t(\t(\tO\tO' +p130613 +aS')\t)\t)\tO\tO' +p130614 +aS'iron\tiron\tNN\tB-NP\tO' +p130615 +aS'deficiency\tdeficiency\tNN\tI-NP\tO' +p130616 +aS'anemia\tanemia\tNN\tI-NP\tO' +p130617 +aS'(\t(\t(\tO\tO' +p130618 +aS'iron\tiron\tNN\tB-NP\tO' +p130619 +aS'deficiency\tdeficiency\tNN\tI-NP\tO' +p130620 +aS'anemia\tanemia\tNN\tI-NP\tO' +p130621 +aS')\t)\t)\tI-NP\tO' +p130622 +aS'cervical\tcervical\tJJ\tI-NP\tO' +p130623 +aS'and\tand\tCC\tI-NP\tO' +p130624 +aS'lumbar\tlumbar\tJJ\tI-NP\tO' +p130625 +aS'djd\tdjd\tNN\tI-NP\tO' +p130626 +aS'(\t(\t(\tO\tO' +p130627 +aS'12\t12\tCD\tB-NP\tO' +p130628 +aS')\t)\t)\tO\tO' +p130629 +aS'osa\tosa\tNN\tB-NP\tO' +p130630 +aS'(\t(\t(\tO\tO' +p130631 +aS'sleep\tsleep\tNN\tB-NP\tO' +p130632 +aS'apnea\tapnea\tNN\tI-NP\tO' +p130633 +aS')\t)\t)\tI-NP\tO' +p130634 +aS's\ts\tNN\tI-NP\tO' +p130635 +aS'/\t/\tSYM\tI-NP\tO' +p130636 +aS'p\tp\tNN\tI-NP\tO' +p130637 +aS'tb\ttb\tNN\tI-NP\tO' +p130638 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p130639 +aS'(\t(\t(\tO\tO' +p130640 +aS'5\t5\tCD\tB-NP\tO' +p130641 +aS')\t)\t)\tO\tO' +p130642 +asS'Dictated By : Christopher QX Morse , M.D.' +p130643 +(lp130644 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p130645 +aS'By\tBy\tIN\tB-PP\tO' +p130646 +aS':\t:\t:\tO\tO' +p130647 +aS'Christopher\tChristopher\tNNP\tB-NP\tO' +p130648 +aS'QX\tQX\tNNP\tI-NP\tO' +p130649 +aS'Morse\tMorse\tNNP\tI-NP\tO' +p130650 +aS',\t,\t,\tO\tO' +p130651 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p130652 +asS"At ChelseaWomens ' , about 04-25 , she developed pseudomonal urosepsis and vaginal bleeding from tumor extension/anti-coagulation ." +p130653 +(lp130654 +S'At\tAt\tIN\tB-PP\tO' +p130655 +aS'ChelseaWomens\tChelseaWomens\tNNP\tB-NP\tO' +p130656 +aS"'\t'\tPOS\tB-NP\tO" +p130657 +aS',\t,\t,\tO\tO' +p130658 +aS'about\tabout\tIN\tB-PP\tO' +p130659 +aS'04-25\t04-25\tCD\tB-NP\tO' +p130660 +aS',\t,\t,\tO\tO' +p130661 +aS'she\tshe\tPRP\tB-NP\tO' +p130662 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p130663 +aS'pseudomonal\tpseudomonal\tJJ\tB-NP\tO' +p130664 +aS'urosepsis\turosepsis\tNN\tI-NP\tO' +p130665 +aS'and\tand\tCC\tO\tO' +p130666 +aS'vaginal\tvaginal\tJJ\tB-NP\tO' +p130667 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p130668 +aS'from\tfrom\tIN\tB-PP\tO' +p130669 +aS'tumor\ttumor\tNN\tB-NP\tO' +p130670 +aS'extension/anti-coagulation\textension/anti-coagulation\tNN\tI-NP\tO' +p130671 +aS'.\t.\t.\tO\tO' +p130672 +asS'Otherwise , she has been healthy and her last hemodialysis was the day prior to transplant .' +p130673 +(lp130674 +S'Otherwise\tOtherwise\tRB\tB-ADVP\tO' +p130675 +aS',\t,\t,\tO\tO' +p130676 +aS'she\tshe\tPRP\tB-NP\tO' +p130677 +aS'has\thave\tVBZ\tB-VP\tO' +p130678 +aS'been\tbe\tVBN\tI-VP\tO' +p130679 +aS'healthy\thealthy\tJJ\tB-ADJP\tO' +p130680 +aS'and\tand\tCC\tO\tO' +p130681 +aS'her\ther\tPRP$\tB-NP\tO' +p130682 +aS'last\tlast\tJJ\tI-NP\tO' +p130683 +aS'hemodialysis\themodialysis\tNN\tI-NP\tO' +p130684 +aS'was\tbe\tVBD\tB-VP\tO' +p130685 +aS'the\tthe\tDT\tB-NP\tO' +p130686 +aS'day\tday\tNN\tI-NP\tO' +p130687 +aS'prior\tprior\tRB\tB-ADVP\tO' +p130688 +aS'to\tto\tTO\tB-PP\tO' +p130689 +aS'transplant\ttransplant\tNN\tB-NP\tO' +p130690 +aS'.\t.\t.\tO\tO' +p130691 +asS'Possibility of arch element in this region cannot be excluded .' +p130692 +(lp130693 +S'Possibility\tPossibility\tNN\tB-NP\tO' +p130694 +aS'of\tof\tIN\tB-PP\tO' +p130695 +aS'arch\tarch\tNN\tB-NP\tB-DNA' +p130696 +aS'element\telement\tNN\tI-NP\tI-DNA' +p130697 +aS'in\tin\tIN\tB-PP\tO' +p130698 +aS'this\tthis\tDT\tB-NP\tO' +p130699 +aS'region\tregion\tNN\tI-NP\tO' +p130700 +aS'cannot\tcannot\tMD\tB-VP\tO' +p130701 +aS'be\tbe\tVB\tI-VP\tO' +p130702 +aS'excluded\texclude\tVBN\tI-VP\tO' +p130703 +aS'.\t.\t.\tO\tO' +p130704 +asS'His Foley catheter was removed and he remained again in the ICU .' +p130705 +(lp130706 +S'His\tHis\tPRP$\tB-NP\tB-protein' +p130707 +aS'Foley\tFoley\tNNP\tI-NP\tO' +p130708 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p130709 +aS'was\tbe\tVBD\tB-VP\tO' +p130710 +aS'removed\tremove\tVBN\tI-VP\tO' +p130711 +aS'and\tand\tCC\tO\tO' +p130712 +aS'he\the\tPRP\tB-NP\tO' +p130713 +aS'remained\tremain\tVBD\tB-VP\tO' +p130714 +aS'again\tagain\tRB\tB-ADVP\tO' +p130715 +aS'in\tin\tIN\tB-PP\tO' +p130716 +aS'the\tthe\tDT\tB-NP\tO' +p130717 +aS'ICU\tICU\tNN\tI-NP\tB-DNA' +p130718 +aS'.\t.\t.\tO\tO' +p130719 +asS'7. Prednisone 40 mg per day to be tapered over two weeks .' +p130720 +(lp130721 +S'7.\t7.\tCD\tB-NP\tO' +p130722 +aS'Prednisone\tPrednisone\tNN\tI-NP\tO' +p130723 +aS'40\t40\tCD\tB-NP\tO' +p130724 +aS'mg\tmg\tNN\tI-NP\tO' +p130725 +aS'per\tper\tIN\tB-PP\tO' +p130726 +aS'day\tday\tNN\tB-NP\tO' +p130727 +aS'to\tto\tTO\tB-VP\tO' +p130728 +aS'be\tbe\tVB\tI-VP\tO' +p130729 +aS'tapered\ttaper\tVBN\tI-VP\tO' +p130730 +aS'over\tover\tIN\tB-PP\tO' +p130731 +aS'two\ttwo\tCD\tB-NP\tO' +p130732 +aS'weeks\tweek\tNNS\tI-NP\tO' +p130733 +aS'.\t.\t.\tO\tO' +p130734 +asS'- followed by Johannes / Brink' +p130735 +(lp130736 +S'-\t-\tHYPH\tB-NP\tO' +p130737 +aS'followed\tfollow\tVBN\tB-VP\tO' +p130738 +aS'by\tby\tIN\tB-PP\tO' +p130739 +aS'Johannes\tJohannes\tNNP\tB-NP\tO' +p130740 +aS'/\t/\tSYM\tB-VP\tO' +p130741 +aS'Brink\tBrink\tNN\tB-NP\tO' +p130742 +asS'The patient became slightly hypotensive on the night of 10/18/97 with systolic blood pressures in the 80s to 90s.' +p130743 +(lp130744 +S'The\tThe\tDT\tB-NP\tO' +p130745 +aS'patient\tpatient\tNN\tI-NP\tO' +p130746 +aS'became\tbecome\tVBD\tB-VP\tO' +p130747 +aS'slightly\tslightly\tRB\tB-ADJP\tO' +p130748 +aS'hypotensive\thypotensive\tJJ\tI-ADJP\tO' +p130749 +aS'on\ton\tIN\tB-PP\tO' +p130750 +aS'the\tthe\tDT\tB-NP\tO' +p130751 +aS'night\tnight\tNN\tI-NP\tO' +p130752 +aS'of\tof\tIN\tB-PP\tO' +p130753 +aS'10/18/97\t10/18/97\tCD\tB-NP\tO' +p130754 +aS'with\twith\tIN\tB-PP\tO' +p130755 +aS'systolic\tsystolic\tJJ\tB-NP\tO' +p130756 +aS'blood\tblood\tNN\tI-NP\tO' +p130757 +aS'pressures\tpressure\tNNS\tI-NP\tO' +p130758 +aS'in\tin\tIN\tB-PP\tO' +p130759 +aS'the\tthe\tDT\tB-NP\tO' +p130760 +aS'80s\t80s\tCD\tI-NP\tO' +p130761 +aS'to\tto\tTO\tB-PP\tO' +p130762 +aS'90s.\t90s.\tCD\tB-NP\tO' +p130763 +asS"The patient 's GCS was 15 ." +p130764 +(lp130765 +S'The\tThe\tDT\tB-NP\tO' +p130766 +aS'patient\tpatient\tNN\tI-NP\tO' +p130767 +aS"'s\t's\tPOS\tB-NP\tO" +p130768 +aS'GCS\tGCS\tNN\tI-NP\tO' +p130769 +aS'was\tbe\tVBD\tB-VP\tO' +p130770 +aS'15\t15\tCD\tB-NP\tO' +p130771 +aS'.\t.\t.\tO\tO' +p130772 +asS'The patient will also be seen in followup by Dr. Chpo E. Enla General of the Plastic Surgery Service Fairm of Ijordcompmac Hospital so that his indwelling Jackson Pratt drains be appropriately management and if needed be discontinued by him .' +p130773 +(lp130774 +S'The\tThe\tDT\tB-NP\tO' +p130775 +aS'patient\tpatient\tNN\tI-NP\tO' +p130776 +aS'will\twill\tMD\tB-VP\tO' +p130777 +aS'also\talso\tRB\tI-VP\tO' +p130778 +aS'be\tbe\tVB\tI-VP\tO' +p130779 +aS'seen\tsee\tVBN\tI-VP\tO' +p130780 +aS'in\tin\tIN\tB-PP\tO' +p130781 +aS'followup\tfollowup\tNN\tB-NP\tO' +p130782 +aS'by\tby\tIN\tB-PP\tO' +p130783 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p130784 +aS'Chpo\tChpo\tNNP\tI-NP\tO' +p130785 +aS'E.\tE.\tNNP\tI-NP\tO' +p130786 +aS'Enla\tEnla\tNNP\tI-NP\tO' +p130787 +aS'General\tGeneral\tNNP\tI-NP\tO' +p130788 +aS'of\tof\tIN\tB-PP\tO' +p130789 +aS'the\tthe\tDT\tB-NP\tO' +p130790 +aS'Plastic\tPlastic\tNNP\tI-NP\tO' +p130791 +aS'Surgery\tSurgery\tNNP\tI-NP\tO' +p130792 +aS'Service\tService\tNNP\tI-NP\tO' +p130793 +aS'Fairm\tFairm\tNNP\tI-NP\tO' +p130794 +aS'of\tof\tIN\tB-PP\tO' +p130795 +aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' +p130796 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p130797 +aS'so\tso\tIN\tB-SBAR\tO' +p130798 +aS'that\tthat\tIN\tI-SBAR\tO' +p130799 +aS'his\this\tPRP$\tB-NP\tB-DNA' +p130800 +aS'indwelling\tindwell\tVBG\tI-NP\tO' +p130801 +aS'Jackson\tJackson\tNNP\tI-NP\tO' +p130802 +aS'Pratt\tPratt\tNNP\tI-NP\tO' +p130803 +aS'drains\tdrain\tVBZ\tB-VP\tO' +p130804 +aS'be\tbe\tVB\tI-VP\tO' +p130805 +aS'appropriately\tappropriately\tRB\tB-NP\tO' +p130806 +aS'management\tmanagement\tNN\tI-NP\tO' +p130807 +aS'and\tand\tCC\tO\tO' +p130808 +aS'if\tif\tIN\tB-SBAR\tO' +p130809 +aS'needed\tneed\tVBN\tO\tO' +p130810 +aS'be\tbe\tVB\tB-VP\tO' +p130811 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p130812 +aS'by\tby\tIN\tB-PP\tO' +p130813 +aS'him\thim\tPRP\tB-NP\tO' +p130814 +aS'.\t.\t.\tO\tO' +p130815 +asS'Of note , the patient had a negative urine pregnancy test prior to the surgery .' +p130816 +(lp130817 +S'Of\tOf\tIN\tB-PP\tO' +p130818 +aS'note\tnote\tNN\tB-NP\tO' +p130819 +aS',\t,\t,\tO\tO' +p130820 +aS'the\tthe\tDT\tB-NP\tO' +p130821 +aS'patient\tpatient\tNN\tI-NP\tO' +p130822 +aS'had\thave\tVBD\tB-VP\tO' +p130823 +aS'a\ta\tDT\tB-NP\tO' +p130824 +aS'negative\tnegative\tJJ\tI-NP\tO' +p130825 +aS'urine\turine\tNN\tI-NP\tO' +p130826 +aS'pregnancy\tpregnancy\tNN\tI-NP\tO' +p130827 +aS'test\ttest\tNN\tI-NP\tO' +p130828 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p130829 +aS'to\tto\tTO\tB-PP\tO' +p130830 +aS'the\tthe\tDT\tB-NP\tO' +p130831 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p130832 +aS'.\t.\t.\tO\tO' +p130833 +asS'She is currently unemployed , but until recently , she was employed at a bank .' +p130834 +(lp130835 +S'She\tShe\tPRP\tB-NP\tO' +p130836 +aS'is\tbe\tVBZ\tB-VP\tO' +p130837 +aS'currently\tcurrently\tRB\tB-ADVP\tO' +p130838 +aS'unemployed\tunemployed\tJJ\tB-ADJP\tO' +p130839 +aS',\t,\t,\tO\tO' +p130840 +aS'but\tbut\tCC\tO\tO' +p130841 +aS'until\tuntil\tIN\tB-PP\tO' +p130842 +aS'recently\trecently\tRB\tB-NP\tO' +p130843 +aS',\t,\t,\tO\tO' +p130844 +aS'she\tshe\tPRP\tB-NP\tO' +p130845 +aS'was\tbe\tVBD\tB-VP\tO' +p130846 +aS'employed\temploy\tVBN\tI-VP\tO' +p130847 +aS'at\tat\tIN\tB-PP\tO' +p130848 +aS'a\ta\tDT\tB-NP\tO' +p130849 +aS'bank\tbank\tNN\tI-NP\tO' +p130850 +aS'.\t.\t.\tO\tO' +p130851 +asS'His neurological exam was intact .' +p130852 +(lp130853 +S'His\tHis\tPRP$\tB-NP\tO' +p130854 +aS'neurological\tneurological\tJJ\tI-NP\tO' +p130855 +aS'exam\texam\tNN\tI-NP\tO' +p130856 +aS'was\tbe\tVBD\tB-VP\tO' +p130857 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p130858 +aS'.\t.\t.\tO\tO' +p130859 +asS'Electrolytes and glucose remained in the normal range throughout the first week .' +p130860 +(lp130861 +S'Electrolytes\tElectrolyte\tNNS\tB-NP\tO' +p130862 +aS'and\tand\tCC\tI-NP\tO' +p130863 +aS'glucose\tglucose\tNN\tI-NP\tO' +p130864 +aS'remained\tremain\tVBD\tB-VP\tO' +p130865 +aS'in\tin\tIN\tB-PP\tO' +p130866 +aS'the\tthe\tDT\tB-NP\tO' +p130867 +aS'normal\tnormal\tJJ\tI-NP\tO' +p130868 +aS'range\trange\tNN\tI-NP\tO' +p130869 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p130870 +aS'the\tthe\tDT\tB-NP\tO' +p130871 +aS'first\tfirst\tJJ\tI-NP\tO' +p130872 +aS'week\tweek\tNN\tI-NP\tO' +p130873 +aS'.\t.\t.\tO\tO' +p130874 +asS'His initial BP was 60/P with a pulse in the 60 s.' +p130875 +(lp130876 +S'His\tHis\tPRP$\tB-NP\tO' +p130877 +aS'initial\tinitial\tJJ\tI-NP\tO' +p130878 +aS'BP\tBP\tNN\tI-NP\tO' +p130879 +aS'was\tbe\tVBD\tB-VP\tO' +p130880 +aS'60/P\t60/P\tNN\tB-NP\tO' +p130881 +aS'with\twith\tIN\tB-PP\tO' +p130882 +aS'a\ta\tDT\tB-NP\tO' +p130883 +aS'pulse\tpulse\tNN\tI-NP\tO' +p130884 +aS'in\tin\tIN\tB-PP\tO' +p130885 +aS'the\tthe\tDT\tB-NP\tO' +p130886 +aS'60\t60\tCD\tI-NP\tO' +p130887 +aS's.\ts.\tNNS\tI-NP\tO' +p130888 +asS'His digoxin was found to be elevated so his Digoxin was held for four days while levels slowly came down .' +p130889 +(lp130890 +S'His\tHis\tPRP$\tB-NP\tO' +p130891 +aS'digoxin\tdigoxin\tNN\tI-NP\tO' +p130892 +aS'was\tbe\tVBD\tB-VP\tO' +p130893 +aS'found\tfind\tVBN\tI-VP\tO' +p130894 +aS'to\tto\tTO\tI-VP\tO' +p130895 +aS'be\tbe\tVB\tI-VP\tO' +p130896 +aS'elevated\televate\tVBN\tI-VP\tO' +p130897 +aS'so\tso\tIN\tB-PP\tO' +p130898 +aS'his\this\tPRP$\tB-NP\tO' +p130899 +aS'Digoxin\tDigoxin\tNN\tI-NP\tO' +p130900 +aS'was\tbe\tVBD\tB-VP\tO' +p130901 +aS'held\thold\tVBN\tI-VP\tO' +p130902 +aS'for\tfor\tIN\tB-PP\tO' +p130903 +aS'four\tfour\tCD\tB-NP\tO' +p130904 +aS'days\tday\tNNS\tI-NP\tO' +p130905 +aS'while\twhile\tIN\tB-SBAR\tO' +p130906 +aS'levels\tlevel\tNNS\tB-NP\tO' +p130907 +aS'slowly\tslowly\tRB\tB-ADVP\tO' +p130908 +aS'came\tcome\tVBD\tB-VP\tO' +p130909 +aS'down\tdown\tRB\tB-ADVP\tO' +p130910 +aS'.\t.\t.\tO\tO' +p130911 +asS'A question of a SULFA allergy .' +p130912 +(lp130913 +S'A\tA\tDT\tB-NP\tO' +p130914 +aS'question\tquestion\tNN\tI-NP\tO' +p130915 +aS'of\tof\tIN\tB-PP\tO' +p130916 +aS'a\ta\tDT\tB-NP\tO' +p130917 +aS'SULFA\tSULFA\tNN\tI-NP\tO' +p130918 +aS'allergy\tallergy\tNN\tI-NP\tO' +p130919 +aS'.\t.\t.\tO\tO' +p130920 +asS'Positive for serum barbiturates .' +p130921 +(lp130922 +S'Positive\tPositive\tJJ\tB-ADJP\tO' +p130923 +aS'for\tfor\tIN\tB-PP\tO' +p130924 +aS'serum\tserum\tNN\tB-NP\tO' +p130925 +aS'barbiturates\tbarbiturate\tNNS\tI-NP\tO' +p130926 +aS'.\t.\t.\tO\tO' +p130927 +asS'Compared with the prior study ( images reviewed ) of 2017-08-14 , ventricular function is now similar.' +p130928 +(lp130929 +S'Compared\tCompare\tVBN\tB-PP\tO' +p130930 +aS'with\twith\tIN\tB-PP\tO' +p130931 +aS'the\tthe\tDT\tB-NP\tO' +p130932 +aS'prior\tprior\tJJ\tI-NP\tO' +p130933 +aS'study\tstudy\tNN\tI-NP\tO' +p130934 +aS'(\t(\t(\tO\tO' +p130935 +aS'images\timage\tNNS\tB-NP\tO' +p130936 +aS'reviewed\treview\tVBN\tB-VP\tO' +p130937 +aS')\t)\t)\tO\tO' +p130938 +aS'of\tof\tIN\tB-PP\tO' +p130939 +aS'2017-08-14\t2017-08-14\tCD\tB-NP\tO' +p130940 +aS',\t,\t,\tO\tO' +p130941 +aS'ventricular\tventricular\tJJ\tB-NP\tO' +p130942 +aS'function\tfunction\tNN\tI-NP\tO' +p130943 +aS'is\tbe\tVBZ\tB-VP\tO' +p130944 +aS'now\tnow\tRB\tB-ADVP\tO' +p130945 +aS'similar.\tsimilar.\tJJ\tB-ADJP\tO' +p130946 +asS'RESPIRATORY : Tachypneic with mild retractions , increased work of breathing , clear and equal breath sounds .' +p130947 +(lp130948 +S'RESPIRATORY\tRESPIRATORY\tNN\tB-NP\tO' +p130949 +aS':\t:\t:\tO\tO' +p130950 +aS'Tachypneic\tTachypneic\tJJ\tB-ADJP\tO' +p130951 +aS'with\twith\tIN\tB-PP\tO' +p130952 +aS'mild\tmild\tJJ\tB-NP\tO' +p130953 +aS'retractions\tretraction\tNNS\tI-NP\tO' +p130954 +aS',\t,\t,\tO\tO' +p130955 +aS'increased\tincrease\tVBN\tB-NP\tO' +p130956 +aS'work\twork\tNN\tI-NP\tO' +p130957 +aS'of\tof\tIN\tB-PP\tO' +p130958 +aS'breathing\tbreathing\tNN\tB-NP\tO' +p130959 +aS',\t,\t,\tO\tO' +p130960 +aS'clear\tclear\tJJ\tB-NP\tO' +p130961 +aS'and\tand\tCC\tI-NP\tO' +p130962 +aS'equal\tequal\tJJ\tI-NP\tO' +p130963 +aS'breath\tbreath\tNN\tI-NP\tO' +p130964 +aS'sounds\tsound\tNNS\tI-NP\tO' +p130965 +aS'.\t.\t.\tO\tO' +p130966 +asS'She also had MESNA dose of .6 grams per meter squared after her IFEX / MESNA were completed .' +p130967 +(lp130968 +S'She\tShe\tPRP\tB-NP\tO' +p130969 +aS'also\talso\tRB\tB-ADVP\tO' +p130970 +aS'had\thave\tVBD\tB-VP\tO' +p130971 +aS'MESNA\tMESNA\tNN\tB-NP\tO' +p130972 +aS'dose\tdose\tNN\tI-NP\tO' +p130973 +aS'of\tof\tIN\tB-PP\tO' +p130974 +aS'.6\t.6\tCD\tB-NP\tO' +p130975 +aS'grams\tgram\tNNS\tI-NP\tO' +p130976 +aS'per\tper\tIN\tB-PP\tO' +p130977 +aS'meter\tmeter\tNN\tB-NP\tO' +p130978 +aS'squared\tsquare\tVBD\tB-VP\tO' +p130979 +aS'after\tafter\tIN\tB-PP\tO' +p130980 +aS'her\ther\tPRP$\tB-NP\tO' +p130981 +aS'IFEX\tIFEX\tNN\tI-NP\tB-protein' +p130982 +aS'/\t/\tSYM\tB-NP\tO' +p130983 +aS'MESNA\tMESNA\tNN\tI-NP\tB-protein' +p130984 +aS'were\tbe\tVBD\tB-VP\tO' +p130985 +aS'completed\tcomplete\tVBN\tI-VP\tO' +p130986 +aS'.\t.\t.\tO\tO' +p130987 +asS'She was increased to 5L , with her sats going up to 97% .' +p130988 +(lp130989 +S'She\tShe\tPRP\tB-NP\tO' +p130990 +aS'was\tbe\tVBD\tB-VP\tO' +p130991 +aS'increased\tincrease\tVBN\tI-VP\tO' +p130992 +aS'to\tto\tTO\tB-PP\tO' +p130993 +aS'5L\t5L\tNN\tB-NP\tO' +p130994 +aS',\t,\t,\tO\tO' +p130995 +aS'with\twith\tIN\tB-PP\tO' +p130996 +aS'her\ther\tPRP$\tB-NP\tO' +p130997 +aS'sats\tsat\tNNS\tI-NP\tO' +p130998 +aS'going\tgo\tVBG\tB-VP\tO' +p130999 +aS'up\tup\tRB\tB-ADVP\tO' +p131000 +aS'to\tto\tTO\tB-PP\tO' +p131001 +aS'97%\t97%\tCD\tB-NP\tO' +p131002 +aS'.\t.\t.\tO\tO' +p131003 +asS'Her deep tendon reflexes were slightly diminished at 1+ bilaterally , but symmetric .' +p131004 +(lp131005 +S'Her\tHer\tPRP$\tB-NP\tO' +p131006 +aS'deep\tdeep\tJJ\tI-NP\tO' +p131007 +aS'tendon\ttendon\tNN\tI-NP\tO' +p131008 +aS'reflexes\treflex\tNNS\tI-NP\tO' +p131009 +aS'were\tbe\tVBD\tB-VP\tO' +p131010 +aS'slightly\tslightly\tRB\tI-VP\tO' +p131011 +aS'diminished\tdiminish\tVBN\tI-VP\tO' +p131012 +aS'at\tat\tIN\tB-PP\tO' +p131013 +aS'1+\t1+\tJJ\tB-ADJP\tO' +p131014 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p131015 +aS',\t,\t,\tO\tO' +p131016 +aS'but\tbut\tCC\tO\tO' +p131017 +aS'symmetric\tsymmetric\tJJ\tB-ADJP\tO' +p131018 +aS'.\t.\t.\tO\tO' +p131019 +asS'The patient should also follow up with his primary care doctor , Dr. Beals , in approximately three weeks .' +p131020 +(lp131021 +S'The\tThe\tDT\tB-NP\tO' +p131022 +aS'patient\tpatient\tNN\tI-NP\tO' +p131023 +aS'should\tshould\tMD\tB-VP\tO' +p131024 +aS'also\talso\tRB\tI-VP\tO' +p131025 +aS'follow\tfollow\tVB\tI-VP\tO' +p131026 +aS'up\tup\tRP\tB-PRT\tO' +p131027 +aS'with\twith\tIN\tB-PP\tO' +p131028 +aS'his\this\tPRP$\tB-NP\tO' +p131029 +aS'primary\tprimary\tJJ\tI-NP\tO' +p131030 +aS'care\tcare\tNN\tI-NP\tO' +p131031 +aS'doctor\tdoctor\tNN\tI-NP\tO' +p131032 +aS',\t,\t,\tO\tO' +p131033 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p131034 +aS'Beals\tBeals\tNNP\tI-NP\tO' +p131035 +aS',\t,\t,\tO\tO' +p131036 +aS'in\tin\tIN\tB-PP\tO' +p131037 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p131038 +aS'three\tthree\tCD\tI-NP\tO' +p131039 +aS'weeks\tweek\tNNS\tI-NP\tO' +p131040 +aS'.\t.\t.\tO\tO' +p131041 +asS'The MRA showed mild narrowing of the left ICA just distal to the bifurcation .' +p131042 +(lp131043 +S'The\tThe\tDT\tB-NP\tO' +p131044 +aS'MRA\tMRA\tNN\tI-NP\tB-protein' +p131045 +aS'showed\tshow\tVBD\tB-VP\tO' +p131046 +aS'mild\tmild\tJJ\tB-NP\tO' +p131047 +aS'narrowing\tnarrowing\tNN\tI-NP\tO' +p131048 +aS'of\tof\tIN\tB-PP\tO' +p131049 +aS'the\tthe\tDT\tB-NP\tO' +p131050 +aS'left\tleft\tJJ\tI-NP\tO' +p131051 +aS'ICA\tICA\tNN\tI-NP\tO' +p131052 +aS'just\tjust\tRB\tB-ADJP\tO' +p131053 +aS'distal\tdistal\tJJ\tI-ADJP\tO' +p131054 +aS'to\tto\tTO\tB-PP\tO' +p131055 +aS'the\tthe\tDT\tB-NP\tO' +p131056 +aS'bifurcation\tbifurcation\tNN\tI-NP\tO' +p131057 +aS'.\t.\t.\tO\tO' +p131058 +asS'Because of this finding , her IFEX was stopped before completion of her second day of infusion .' +p131059 +(lp131060 +S'Because\tBecause\tIN\tB-PP\tO' +p131061 +aS'of\tof\tIN\tI-PP\tO' +p131062 +aS'this\tthis\tDT\tB-NP\tO' +p131063 +aS'finding\tfinding\tNN\tI-NP\tO' +p131064 +aS',\t,\t,\tO\tO' +p131065 +aS'her\ther\tPRP$\tB-NP\tO' +p131066 +aS'IFEX\tIFEX\tNN\tI-NP\tB-protein' +p131067 +aS'was\tbe\tVBD\tB-VP\tO' +p131068 +aS'stopped\tstop\tVBN\tI-VP\tO' +p131069 +aS'before\tbefore\tIN\tB-PP\tO' +p131070 +aS'completion\tcompletion\tNN\tB-NP\tO' +p131071 +aS'of\tof\tIN\tB-PP\tO' +p131072 +aS'her\ther\tPRP$\tB-NP\tO' +p131073 +aS'second\tsecond\tJJ\tI-NP\tO' +p131074 +aS'day\tday\tNN\tI-NP\tO' +p131075 +aS'of\tof\tIN\tB-PP\tO' +p131076 +aS'infusion\tinfusion\tNN\tB-NP\tO' +p131077 +aS'.\t.\t.\tO\tO' +p131078 +asS'The patient was seen in consultation by Cardiac Surgery for evaluation of coronary artery bypass grafting .' +p131079 +(lp131080 +S'The\tThe\tDT\tB-NP\tO' +p131081 +aS'patient\tpatient\tNN\tI-NP\tO' +p131082 +aS'was\tbe\tVBD\tB-VP\tO' +p131083 +aS'seen\tsee\tVBN\tI-VP\tO' +p131084 +aS'in\tin\tIN\tB-PP\tO' +p131085 +aS'consultation\tconsultation\tNN\tB-NP\tO' +p131086 +aS'by\tby\tIN\tB-PP\tO' +p131087 +aS'Cardiac\tCardiac\tNNP\tB-NP\tO' +p131088 +aS'Surgery\tSurgery\tNNP\tI-NP\tO' +p131089 +aS'for\tfor\tIN\tB-PP\tO' +p131090 +aS'evaluation\tevaluation\tNN\tB-NP\tO' +p131091 +aS'of\tof\tIN\tB-PP\tO' +p131092 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p131093 +aS'artery\tartery\tNN\tI-NP\tO' +p131094 +aS'bypass\tbypass\tIN\tB-PP\tO' +p131095 +aS'grafting\tgrafting\tNN\tB-NP\tO' +p131096 +aS'.\t.\t.\tO\tO' +p131097 +asS'He was continued on meropenem , started on BiPAP and aggressively suctioned in an attempt to avoid intubation .' +p131098 +(lp131099 +S'He\tHe\tPRP\tB-NP\tO' +p131100 +aS'was\tbe\tVBD\tB-VP\tO' +p131101 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p131102 +aS'on\ton\tIN\tB-PP\tO' +p131103 +aS'meropenem\tmeropenem\tNN\tB-NP\tO' +p131104 +aS',\t,\t,\tO\tO' +p131105 +aS'started\tstart\tVBN\tB-VP\tO' +p131106 +aS'on\ton\tIN\tB-PP\tO' +p131107 +aS'BiPAP\tBiPAP\tNN\tB-NP\tB-protein' +p131108 +aS'and\tand\tCC\tO\tO' +p131109 +aS'aggressively\taggressively\tRB\tB-VP\tO' +p131110 +aS'suctioned\tsuctione\tVBN\tI-VP\tO' +p131111 +aS'in\tin\tIN\tB-PP\tO' +p131112 +aS'an\tan\tDT\tB-NP\tO' +p131113 +aS'attempt\tattempt\tNN\tI-NP\tO' +p131114 +aS'to\tto\tTO\tB-VP\tO' +p131115 +aS'avoid\tavoid\tVB\tI-VP\tO' +p131116 +aS'intubation\tintubation\tNN\tB-NP\tO' +p131117 +aS'.\t.\t.\tO\tO' +p131118 +asS'Repeat blood cultures were sent .' +p131119 +(lp131120 +S'Repeat\tRepeat\tNN\tB-NP\tO' +p131121 +aS'blood\tblood\tNN\tI-NP\tO' +p131122 +aS'cultures\tculture\tNNS\tI-NP\tO' +p131123 +aS'were\tbe\tVBD\tB-VP\tO' +p131124 +aS'sent\tsend\tVBN\tI-VP\tO' +p131125 +aS'.\t.\t.\tO\tO' +p131126 +asS'This was most likely secondary to ketoacidosis as she had no dextrose in her intravenous fluids .' +p131127 +(lp131128 +S'This\tThis\tDT\tB-NP\tO' +p131129 +aS'was\tbe\tVBD\tB-VP\tO' +p131130 +aS'most\tmost\tRBS\tB-ADVP\tO' +p131131 +aS'likely\tlikely\tRB\tI-ADVP\tO' +p131132 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p131133 +aS'to\tto\tTO\tB-PP\tO' +p131134 +aS'ketoacidosis\tketoacidosis\tNN\tB-NP\tO' +p131135 +aS'as\tas\tIN\tB-SBAR\tO' +p131136 +aS'she\tshe\tPRP\tB-NP\tO' +p131137 +aS'had\thave\tVBD\tB-VP\tO' +p131138 +aS'no\tno\tDT\tB-NP\tO' +p131139 +aS'dextrose\tdextrose\tNN\tI-NP\tO' +p131140 +aS'in\tin\tIN\tB-PP\tO' +p131141 +aS'her\ther\tPRP$\tB-NP\tO' +p131142 +aS'intravenous\tintravenous\tJJ\tI-NP\tO' +p131143 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p131144 +aS'.\t.\t.\tO\tO' +p131145 +asS'Her abdomen was notable for voluntary guarding but no involuntary guarding or rebound , mild right lower quadrant tenderness greater than left lower quadrant , nondistended .' +p131146 +(lp131147 +S'Her\tHer\tPRP$\tB-NP\tO' +p131148 +aS'abdomen\tabdoman\tNNS\tI-NP\tO' +p131149 +aS'was\tbe\tVBD\tB-VP\tO' +p131150 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p131151 +aS'for\tfor\tIN\tB-PP\tO' +p131152 +aS'voluntary\tvoluntary\tJJ\tB-NP\tO' +p131153 +aS'guarding\tguarding\tNN\tI-NP\tO' +p131154 +aS'but\tbut\tCC\tO\tO' +p131155 +aS'no\tno\tDT\tB-NP\tO' +p131156 +aS'involuntary\tinvoluntary\tJJ\tI-NP\tO' +p131157 +aS'guarding\tguarding\tNN\tI-NP\tO' +p131158 +aS'or\tor\tCC\tO\tO' +p131159 +aS'rebound\trebound\tVB\tB-VP\tO' +p131160 +aS',\t,\t,\tO\tO' +p131161 +aS'mild\tmild\tJJ\tB-NP\tO' +p131162 +aS'right\tright\tRB\tI-NP\tO' +p131163 +aS'lower\tlow\tJJR\tI-NP\tO' +p131164 +aS'quadrant\tquadrant\tJJ\tI-NP\tO' +p131165 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p131166 +aS'greater\tgreat\tJJR\tB-ADJP\tO' +p131167 +aS'than\tthan\tIN\tB-PP\tO' +p131168 +aS'left\tleave\tVBD\tB-VP\tO' +p131169 +aS'lower\tlow\tJJR\tB-NP\tO' +p131170 +aS'quadrant\tquadrant\tJJ\tI-NP\tO' +p131171 +aS',\t,\t,\tI-NP\tO' +p131172 +aS'nondistended\tnondistended\tJJ\tI-NP\tO' +p131173 +aS'.\t.\t.\tO\tO' +p131174 +asS'1. Bactrim double strength one tablet q. Monday , Wednesday and Friday .' +p131175 +(lp131176 +S'1.\t1.\tLS\tB-NP\tO' +p131177 +aS'Bactrim\tBactrim\tNNP\tI-NP\tO' +p131178 +aS'double\tdouble\tJJ\tI-NP\tO' +p131179 +aS'strength\tstrength\tNN\tI-NP\tO' +p131180 +aS'one\tone\tCD\tB-NP\tO' +p131181 +aS'tablet\ttablet\tNN\tI-NP\tO' +p131182 +aS'q.\tq.\tNN\tI-NP\tO' +p131183 +aS'Monday\tMonday\tNNP\tB-NP\tO' +p131184 +aS',\t,\t,\tO\tO' +p131185 +aS'Wednesday\tWednesday\tNNP\tB-NP\tO' +p131186 +aS'and\tand\tCC\tO\tO' +p131187 +aS'Friday\tFriday\tNNP\tB-NP\tO' +p131188 +aS'.\t.\t.\tO\tO' +p131189 +asS'10. Albuterol 90 mcg / Actuation Aerosol Sig : 1-2 Puffs Inhalation Q6H ( every 6 hours ) as needed .' +p131190 +(lp131191 +S'10.\t10.\tCD\tB-NP\tO' +p131192 +aS'Albuterol\tAlbuterol\tNNP\tI-NP\tO' +p131193 +aS'90\t90\tCD\tI-NP\tO' +p131194 +aS'mcg\tmcg\tNN\tI-NP\tO' +p131195 +aS'/\t/\tSYM\tB-NP\tO' +p131196 +aS'Actuation\tActuation\tNN\tI-NP\tO' +p131197 +aS'Aerosol\tAerosol\tNNP\tI-NP\tO' +p131198 +aS'Sig\tSig\tNNP\tI-NP\tO' +p131199 +aS':\t:\t:\tO\tO' +p131200 +aS'1-2\t1-2\tCD\tB-NP\tO' +p131201 +aS'Puffs\tPuff\tNNS\tI-NP\tO' +p131202 +aS'Inhalation\tInhalation\tNN\tI-NP\tO' +p131203 +aS'Q6H\tQ6H\tNN\tI-NP\tO' +p131204 +aS'(\t(\t(\tO\tO' +p131205 +aS'every\tevery\tDT\tB-NP\tO' +p131206 +aS'6\t6\tCD\tI-NP\tO' +p131207 +aS'hours\thour\tNNS\tI-NP\tO' +p131208 +aS')\t)\t)\tO\tO' +p131209 +aS'as\tas\tIN\tB-SBAR\tO' +p131210 +aS'needed\tneed\tVBN\tB-VP\tO' +p131211 +aS'.\t.\t.\tO\tO' +p131212 +asS'Patient was given two boluses of 15 units of regular insulin and was started on an insulin drip of one unit per hour and given a total of five liters of normal saline .' +p131213 +(lp131214 +S'Patient\tPatient\tNN\tB-NP\tO' +p131215 +aS'was\tbe\tVBD\tB-VP\tO' +p131216 +aS'given\tgive\tVBN\tI-VP\tO' +p131217 +aS'two\ttwo\tCD\tB-NP\tO' +p131218 +aS'boluses\tbolus\tNNS\tI-NP\tO' +p131219 +aS'of\tof\tIN\tB-PP\tO' +p131220 +aS'15\t15\tCD\tB-NP\tO' +p131221 +aS'units\tunit\tNNS\tI-NP\tO' +p131222 +aS'of\tof\tIN\tB-PP\tO' +p131223 +aS'regular\tregular\tJJ\tB-NP\tB-protein' +p131224 +aS'insulin\tinsulin\tNN\tI-NP\tI-protein' +p131225 +aS'and\tand\tCC\tO\tO' +p131226 +aS'was\tbe\tVBD\tB-VP\tO' +p131227 +aS'started\tstart\tVBN\tI-VP\tO' +p131228 +aS'on\ton\tIN\tB-PP\tO' +p131229 +aS'an\tan\tDT\tB-NP\tO' +p131230 +aS'insulin\tinsulin\tNN\tI-NP\tO' +p131231 +aS'drip\tdrip\tNN\tI-NP\tO' +p131232 +aS'of\tof\tIN\tB-PP\tO' +p131233 +aS'one\tone\tCD\tB-NP\tO' +p131234 +aS'unit\tunit\tNN\tI-NP\tO' +p131235 +aS'per\tper\tIN\tB-PP\tO' +p131236 +aS'hour\thour\tNN\tB-NP\tO' +p131237 +aS'and\tand\tCC\tO\tO' +p131238 +aS'given\tgive\tVBN\tB-VP\tO' +p131239 +aS'a\ta\tDT\tB-NP\tO' +p131240 +aS'total\ttotal\tNN\tI-NP\tO' +p131241 +aS'of\tof\tIN\tB-PP\tO' +p131242 +aS'five\tfive\tCD\tB-NP\tO' +p131243 +aS'liters\tliter\tNNS\tI-NP\tO' +p131244 +aS'of\tof\tIN\tB-PP\tO' +p131245 +aS'normal\tnormal\tJJ\tB-NP\tO' +p131246 +aS'saline\tsaline\tNN\tI-NP\tO' +p131247 +aS'.\t.\t.\tO\tO' +p131248 +asS'Episodes have been increasing in frequency over the last few months .' +p131249 +(lp131250 +S'Episodes\tEpisode\tNNS\tB-NP\tO' +p131251 +aS'have\thave\tVBP\tB-VP\tO' +p131252 +aS'been\tbe\tVBN\tI-VP\tO' +p131253 +aS'increasing\tincrease\tVBG\tI-VP\tO' +p131254 +aS'in\tin\tIN\tB-PP\tO' +p131255 +aS'frequency\tfrequency\tNN\tB-NP\tO' +p131256 +aS'over\tover\tIN\tB-PP\tO' +p131257 +aS'the\tthe\tDT\tB-NP\tO' +p131258 +aS'last\tlast\tJJ\tI-NP\tO' +p131259 +aS'few\tfew\tJJ\tI-NP\tO' +p131260 +aS'months\tmonth\tNNS\tI-NP\tO' +p131261 +aS'.\t.\t.\tO\tO' +p131262 +asS'A PPD was placed and is to be read on Saturday , 4 26th .' +p131263 +(lp131264 +S'A\tA\tDT\tB-NP\tO' +p131265 +aS'PPD\tPPD\tNN\tI-NP\tB-protein' +p131266 +aS'was\tbe\tVBD\tB-VP\tO' +p131267 +aS'placed\tplace\tVBN\tI-VP\tO' +p131268 +aS'and\tand\tCC\tO\tO' +p131269 +aS'is\tbe\tVBZ\tB-VP\tO' +p131270 +aS'to\tto\tTO\tI-VP\tO' +p131271 +aS'be\tbe\tVB\tI-VP\tO' +p131272 +aS'read\tread\tVBN\tI-VP\tO' +p131273 +aS'on\ton\tIN\tB-PP\tO' +p131274 +aS'Saturday\tSaturday\tNNP\tB-NP\tO' +p131275 +aS',\t,\t,\tO\tO' +p131276 +aS'4\t4\tCD\tB-NP\tO' +p131277 +aS'26th\t26th\tNN\tI-NP\tO' +p131278 +aS'.\t.\t.\tO\tO' +p131279 +asS'He had a regular heart rate and rhythm , no murmur , pulses were 2+ and symmetric .' +p131280 +(lp131281 +S'He\tHe\tPRP\tB-NP\tO' +p131282 +aS'had\thave\tVBD\tB-VP\tO' +p131283 +aS'a\ta\tDT\tB-NP\tO' +p131284 +aS'regular\tregular\tJJ\tI-NP\tO' +p131285 +aS'heart\theart\tNN\tI-NP\tO' +p131286 +aS'rate\trate\tNN\tI-NP\tO' +p131287 +aS'and\tand\tCC\tO\tO' +p131288 +aS'rhythm\trhythm\tNN\tB-NP\tO' +p131289 +aS',\t,\t,\tO\tO' +p131290 +aS'no\tno\tDT\tB-NP\tO' +p131291 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p131292 +aS',\t,\t,\tO\tO' +p131293 +aS'pulses\tpulse\tNNS\tB-NP\tO' +p131294 +aS'were\tbe\tVBD\tB-VP\tO' +p131295 +aS'2+\t2+\tJJ\tB-ADJP\tO' +p131296 +aS'and\tand\tCC\tI-ADJP\tO' +p131297 +aS'symmetric\tsymmetric\tJJ\tI-ADJP\tO' +p131298 +aS'.\t.\t.\tO\tO' +p131299 +asS'3. Pseudomonal sepsis , completed antibiotic course' +p131300 +(lp131301 +S'3.\t3.\tLS\tB-NP\tO' +p131302 +aS'Pseudomonal\tPseudomonal\tJJ\tI-NP\tO' +p131303 +aS'sepsis\tsepsis\tNN\tI-NP\tO' +p131304 +aS',\t,\t,\tO\tO' +p131305 +aS'completed\tcomplete\tVBN\tB-VP\tO' +p131306 +aS'antibiotic\tantibiotic\tJJ\tB-NP\tO' +p131307 +aS'course\tcourse\tNN\tI-NP\tO' +p131308 +asS'He was mildly perseverative and inattentive .' +p131309 +(lp131310 +S'He\tHe\tPRP\tB-NP\tO' +p131311 +aS'was\tbe\tVBD\tB-VP\tO' +p131312 +aS'mildly\tmildly\tRB\tB-ADJP\tO' +p131313 +aS'perseverative\tperseverative\tJJ\tI-ADJP\tO' +p131314 +aS'and\tand\tCC\tI-ADJP\tO' +p131315 +aS'inattentive\tinattentive\tJJ\tI-ADJP\tO' +p131316 +aS'.\t.\t.\tO\tO' +p131317 +asS'Dictated By : William H Centeno , M.D.' +p131318 +(lp131319 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p131320 +aS'By\tBy\tIN\tB-PP\tO' +p131321 +aS':\t:\t:\tO\tO' +p131322 +aS'William\tWilliam\tNNP\tB-NP\tO' +p131323 +aS'H\tH\tNNP\tI-NP\tO' +p131324 +aS'Centeno\tCenteno\tNNP\tI-NP\tO' +p131325 +aS',\t,\t,\tO\tO' +p131326 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p131327 +asS'2. relook coronary angiogram , 08-18-93 .' +p131328 +(lp131329 +S'2.\t2.\tLS\tB-NP\tO' +p131330 +aS'relook\trelook\tNN\tI-NP\tO' +p131331 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p131332 +aS'angiogram\tangiogram\tNN\tI-NP\tO' +p131333 +aS',\t,\t,\tO\tO' +p131334 +aS'08-18-93\t08-18-93\tCD\tB-NP\tO' +p131335 +aS'.\t.\t.\tO\tO' +p131336 +asS'Regular rate and rhythm , S1 , S2 , with soft systolic ejection murmur .' +p131337 +(lp131338 +S'Regular\tRegular\tJJ\tB-NP\tO' +p131339 +aS'rate\trate\tNN\tI-NP\tO' +p131340 +aS'and\tand\tCC\tO\tO' +p131341 +aS'rhythm\trhythm\tNN\tB-NP\tO' +p131342 +aS',\t,\t,\tO\tO' +p131343 +aS'S1\tS1\tNN\tB-NP\tB-protein' +p131344 +aS',\t,\t,\tO\tO' +p131345 +aS'S2\tS2\tNN\tB-NP\tB-protein' +p131346 +aS',\t,\t,\tO\tO' +p131347 +aS'with\twith\tIN\tB-PP\tO' +p131348 +aS'soft\tsoft\tJJ\tB-NP\tO' +p131349 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p131350 +aS'ejection\tejection\tNN\tI-NP\tO' +p131351 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p131352 +aS'.\t.\t.\tO\tO' +p131353 +asS'Troponin 4.7 , CK 101 , MB 3 .' +p131354 +(lp131355 +S'Troponin\tTroponin\tNN\tB-NP\tB-protein' +p131356 +aS'4.7\t4.7\tCD\tI-NP\tI-protein' +p131357 +aS',\t,\t,\tO\tO' +p131358 +aS'CK\tCK\tNN\tB-NP\tB-cell_line' +p131359 +aS'101\t101\tCD\tI-NP\tI-cell_line' +p131360 +aS',\t,\t,\tO\tO' +p131361 +aS'MB\tMB\tNN\tB-NP\tB-protein' +p131362 +aS'3\t3\tCD\tI-NP\tI-protein' +p131363 +aS'.\t.\t.\tO\tO' +p131364 +asS'Facial strength and sensation were full and symmetric .' +p131365 +(lp131366 +S'Facial\tFacial\tJJ\tB-NP\tO' +p131367 +aS'strength\tstrength\tNN\tI-NP\tO' +p131368 +aS'and\tand\tCC\tI-NP\tO' +p131369 +aS'sensation\tsensation\tNN\tI-NP\tO' +p131370 +aS'were\tbe\tVBD\tB-VP\tO' +p131371 +aS'full\tfull\tJJ\tB-ADJP\tO' +p131372 +aS'and\tand\tCC\tI-ADJP\tO' +p131373 +aS'symmetric\tsymmetric\tJJ\tI-ADJP\tO' +p131374 +aS'.\t.\t.\tO\tO' +p131375 +asS'He continued to have multiple dressing changes after his split thickness skin grafts , which he does to this day .' +p131376 +(lp131377 +S'He\tHe\tPRP\tB-NP\tO' +p131378 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p131379 +aS'to\tto\tTO\tI-VP\tO' +p131380 +aS'have\thave\tVB\tI-VP\tO' +p131381 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p131382 +aS'dressing\tdress\tVBG\tI-NP\tO' +p131383 +aS'changes\tchange\tNNS\tI-NP\tO' +p131384 +aS'after\tafter\tIN\tB-PP\tO' +p131385 +aS'his\this\tPRP$\tB-NP\tO' +p131386 +aS'split\tsplit\tJJ\tI-NP\tO' +p131387 +aS'thickness\tthickness\tNN\tI-NP\tO' +p131388 +aS'skin\tskin\tNN\tI-NP\tO' +p131389 +aS'grafts\tgraft\tNNS\tI-NP\tO' +p131390 +aS',\t,\t,\tO\tO' +p131391 +aS'which\twhich\tWDT\tB-NP\tO' +p131392 +aS'he\the\tPRP\tB-NP\tO' +p131393 +aS'does\tdo\tVBZ\tB-VP\tO' +p131394 +aS'to\tto\tTO\tB-PP\tO' +p131395 +aS'this\tthis\tDT\tB-NP\tO' +p131396 +aS'day\tday\tNN\tI-NP\tO' +p131397 +aS'.\t.\t.\tO\tO' +p131398 +asS'The Babinski 's were negative bilaterally .' +p131399 +(lp131400 +S'The\tThe\tDT\tB-NP\tO' +p131401 +aS'Babinski\tBabinski\tNNP\tI-NP\tO' +p131402 +aS''s\t'\tNNS\tI-NP\tO' +p131403 +aS'were\tbe\tVBD\tB-VP\tO' +p131404 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p131405 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p131406 +aS'.\t.\t.\tO\tO' +p131407 +asS'She was treated with albuterol and Atrovent continuous nebulizers and was weaned then to intermittent nebulizer treatments and then to her meter-dosed inhalers taking them q.4h. at the time of discharge .' +p131408 +(lp131409 +S'She\tShe\tPRP\tB-NP\tO' +p131410 +aS'was\tbe\tVBD\tB-VP\tO' +p131411 +aS'treated\ttreat\tVBN\tI-VP\tO' +p131412 +aS'with\twith\tIN\tB-PP\tO' +p131413 +aS'albuterol\talbuterol\tNN\tB-NP\tO' +p131414 +aS'and\tand\tCC\tO\tO' +p131415 +aS'Atrovent\tAtrovent\tVB\tB-VP\tO' +p131416 +aS'continuous\tcontinuous\tJJ\tB-NP\tO' +p131417 +aS'nebulizers\tnebulizer\tNNS\tI-NP\tO' +p131418 +aS'and\tand\tCC\tO\tO' +p131419 +aS'was\tbe\tVBD\tB-VP\tO' +p131420 +aS'weaned\twean\tVBN\tI-VP\tO' +p131421 +aS'then\tthen\tRB\tB-ADVP\tO' +p131422 +aS'to\tto\tTO\tB-PP\tO' +p131423 +aS'intermittent\tintermittent\tJJ\tB-NP\tO' +p131424 +aS'nebulizer\tnebulizer\tNN\tI-NP\tO' +p131425 +aS'treatments\ttreatment\tNNS\tI-NP\tO' +p131426 +aS'and\tand\tCC\tO\tO' +p131427 +aS'then\tthen\tRB\tB-ADVP\tO' +p131428 +aS'to\tto\tTO\tB-PP\tO' +p131429 +aS'her\ther\tPRP$\tB-NP\tO' +p131430 +aS'meter-dosed\tmeter-dosed\tJJ\tI-NP\tO' +p131431 +aS'inhalers\tinhaler\tNNS\tI-NP\tO' +p131432 +aS'taking\ttake\tVBG\tB-VP\tO' +p131433 +aS'them\tthem\tPRP\tB-NP\tO' +p131434 +aS'q.4h.\tq.4h.\tNN\tB-NP\tO' +p131435 +aS'at\tat\tIN\tB-PP\tO' +p131436 +aS'the\tthe\tDT\tB-NP\tO' +p131437 +aS'time\ttime\tNN\tI-NP\tO' +p131438 +aS'of\tof\tIN\tB-PP\tO' +p131439 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p131440 +aS'.\t.\t.\tO\tO' +p131441 +asS'The patient underwent a total vaginal hysterectomy on June 4 , 1993 which she tolerated without complications .' +p131442 +(lp131443 +S'The\tThe\tDT\tB-NP\tO' +p131444 +aS'patient\tpatient\tNN\tI-NP\tO' +p131445 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p131446 +aS'a\ta\tDT\tB-NP\tO' +p131447 +aS'total\ttotal\tJJ\tI-NP\tO' +p131448 +aS'vaginal\tvaginal\tJJ\tI-NP\tO' +p131449 +aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' +p131450 +aS'on\ton\tIN\tB-PP\tO' +p131451 +aS'June\tJune\tNNP\tB-NP\tB-protein' +p131452 +aS'4\t4\tCD\tI-NP\tI-protein' +p131453 +aS',\t,\t,\tI-NP\tO' +p131454 +aS'1993\t1993\tCD\tI-NP\tO' +p131455 +aS'which\twhich\tWDT\tB-NP\tO' +p131456 +aS'she\tshe\tPRP\tB-NP\tO' +p131457 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p131458 +aS'without\twithout\tIN\tB-PP\tO' +p131459 +aS'complications\tcomplication\tNNS\tB-NP\tO' +p131460 +aS'.\t.\t.\tO\tO' +p131461 +asS'This report was created by Breutzbreunbreuncotfalke , Inachelle 03/10/2003 11:28 PM' +p131462 +(lp131463 +S'This\tThis\tDT\tB-NP\tO' +p131464 +aS'report\treport\tNN\tI-NP\tO' +p131465 +aS'was\tbe\tVBD\tB-VP\tO' +p131466 +aS'created\tcreate\tVBN\tI-VP\tO' +p131467 +aS'by\tby\tIN\tB-PP\tO' +p131468 +aS'Breutzbreunbreuncotfalke\tBreutzbreunbreuncotfalke\tNNP\tB-NP\tO' +p131469 +aS',\t,\t,\tO\tO' +p131470 +aS'Inachelle\tInachelle\tNNP\tB-NP\tO' +p131471 +aS'03/10/2003\t03/10/2003\tCD\tB-NP\tO' +p131472 +aS'11:28\t11:28\tCD\tI-NP\tO' +p131473 +aS'PM\tPM\tNN\tI-NP\tO' +p131474 +asS'She had a partial gastrectomy in 1972 for a " tumor " .' +p131475 +(lp131476 +S'She\tShe\tPRP\tB-NP\tO' +p131477 +aS'had\thave\tVBD\tB-VP\tO' +p131478 +aS'a\ta\tDT\tB-NP\tO' +p131479 +aS'partial\tpartial\tJJ\tI-NP\tO' +p131480 +aS'gastrectomy\tgastrectomy\tNN\tI-NP\tO' +p131481 +aS'in\tin\tIN\tB-PP\tO' +p131482 +aS'1972\t1972\tCD\tB-NP\tO' +p131483 +aS'for\tfor\tIN\tB-PP\tO' +p131484 +aS'a\ta\tDT\tB-NP\tO' +p131485 +aS'"\t"\tJJ\tI-NP\tO' +p131486 +aS'tumor\ttumor\tNN\tI-NP\tO' +p131487 +aS'"\t"\tNN\tI-NP\tO' +p131488 +aS'.\t.\t.\tO\tO' +p131489 +asS'2. Risperidone 0.5 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' +p131490 +(lp131491 +S'2.\t2.\tLS\tB-NP\tO' +p131492 +aS'Risperidone\tRisperidone\tNN\tI-NP\tO' +p131493 +aS'0.5\t0.5\tCD\tI-NP\tO' +p131494 +aS'mg\tmg\tNN\tI-NP\tO' +p131495 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p131496 +aS'Sig\tSig\tNNP\tI-NP\tO' +p131497 +aS':\t:\t:\tO\tO' +p131498 +aS'One\tOne\tCD\tB-NP\tO' +p131499 +aS'(\t(\t(\tO\tO' +p131500 +aS'1\t1\tCD\tB-NP\tO' +p131501 +aS')\t)\t)\tO\tO' +p131502 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p131503 +aS'PO\tPO\tNN\tI-NP\tO' +p131504 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p131505 +aS'(\t(\t(\tO\tO' +p131506 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p131507 +aS')\t)\t)\tO\tO' +p131508 +aS'.\t.\t.\tO\tO' +p131509 +asS'Last Echo with EF 55% .' +p131510 +(lp131511 +S'Last\tLast\tJJ\tB-NP\tO' +p131512 +aS'Echo\tEcho\tNN\tI-NP\tO' +p131513 +aS'with\twith\tIN\tB-PP\tO' +p131514 +aS'EF\tEF\tNN\tB-NP\tB-protein' +p131515 +aS'55%\t55%\tCD\tI-NP\tI-protein' +p131516 +aS'.\t.\t.\tO\tO' +p131517 +asS'No CVA tenderness .' +p131518 +(lp131519 +S'No\tNo\tDT\tB-NP\tO' +p131520 +aS'CVA\tCVA\tNN\tI-NP\tO' +p131521 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p131522 +aS'.\t.\t.\tO\tO' +p131523 +asS'Ulcerative colitis , primary sclerosing cholangitis .' +p131524 +(lp131525 +S'Ulcerative\tUlcerative\tJJ\tB-NP\tO' +p131526 +aS'colitis\tcolitis\tNN\tI-NP\tO' +p131527 +aS',\t,\t,\tO\tO' +p131528 +aS'primary\tprimary\tJJ\tB-NP\tO' +p131529 +aS'sclerosing\tsclerose\tVBG\tI-NP\tO' +p131530 +aS'cholangitis\tcholangitis\tNN\tI-NP\tO' +p131531 +aS'.\t.\t.\tO\tO' +p131532 +asS'2014-04-21 - PFO closure via Right mini thoracotomy' +p131533 +(lp131534 +S'2014-04-21\t2014-04-21\tCD\tB-NP\tO' +p131535 +aS'-\t-\tHYPH\tI-NP\tO' +p131536 +aS'PFO\tPFO\tNN\tI-NP\tO' +p131537 +aS'closure\tclosure\tNN\tI-NP\tO' +p131538 +aS'via\tvia\tIN\tB-PP\tO' +p131539 +aS'Right\tRight\tNN\tB-NP\tO' +p131540 +aS'mini\tmini\tNNS\tI-NP\tO' +p131541 +aS'thoracotomy\tthoracotomy\tNN\tI-NP\tO' +p131542 +asS'Recent echocardiogram suggests ejection fraction of 15% .' +p131543 +(lp131544 +S'Recent\tRecent\tJJ\tB-NP\tO' +p131545 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p131546 +aS'suggests\tsuggest\tVBZ\tB-VP\tO' +p131547 +aS'ejection\tejection\tNN\tB-NP\tO' +p131548 +aS'fraction\tfraction\tNN\tI-NP\tO' +p131549 +aS'of\tof\tIN\tB-PP\tO' +p131550 +aS'15%\t15%\tNN\tB-NP\tO' +p131551 +aS'.\t.\t.\tO\tO' +p131552 +asS'1. Large for gestational age .' +p131553 +(lp131554 +S'1.\t1.\tLS\tB-NP\tO' +p131555 +aS'Large\tLarge\tNN\tI-NP\tO' +p131556 +aS'for\tfor\tIN\tB-PP\tO' +p131557 +aS'gestational\tgestational\tJJ\tB-NP\tO' +p131558 +aS'age\tage\tNN\tI-NP\tO' +p131559 +aS'.\t.\t.\tO\tO' +p131560 +asS'It was decided that his goal INR was to be 2.0 .' +p131561 +(lp131562 +S'It\tIt\tPRP\tB-NP\tO' +p131563 +aS'was\tbe\tVBD\tB-VP\tO' +p131564 +aS'decided\tdecide\tVBN\tI-VP\tO' +p131565 +aS'that\tthat\tIN\tB-SBAR\tO' +p131566 +aS'his\this\tPRP$\tB-NP\tO' +p131567 +aS'goal\tgoal\tNN\tI-NP\tB-protein' +p131568 +aS'INR\tINR\tNN\tI-NP\tI-protein' +p131569 +aS'was\tbe\tVBD\tB-VP\tO' +p131570 +aS'to\tto\tTO\tI-VP\tO' +p131571 +aS'be\tbe\tVB\tI-VP\tO' +p131572 +aS'2.0\t2.0\tCD\tB-NP\tO' +p131573 +aS'.\t.\t.\tO\tO' +p131574 +asS'Labs were remarkable for wbc 23.5 w/ 1% bands which decreased to 14 today but now w/ 15% bands on vanc ( h/o MRSA urosepsis ) and gent ( mult drug allergies ) .' +p131575 +(lp131576 +S'Labs\tLab\tNNS\tB-NP\tB-protein' +p131577 +aS'were\tbe\tVBD\tB-VP\tO' +p131578 +aS'remarkable\tremarkable\tJJ\tB-ADJP\tO' +p131579 +aS'for\tfor\tIN\tB-PP\tO' +p131580 +aS'wbc\twbc\tNN\tB-NP\tO' +p131581 +aS'23.5\t23.5\tCD\tI-NP\tO' +p131582 +aS'w/\tw/\tNN\tI-NP\tO' +p131583 +aS'1%\t1%\tCD\tB-NP\tO' +p131584 +aS'bands\tband\tNNS\tI-NP\tO' +p131585 +aS'which\twhich\tWDT\tB-NP\tO' +p131586 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p131587 +aS'to\tto\tTO\tB-PP\tO' +p131588 +aS'14\t14\tCD\tB-NP\tO' +p131589 +aS'today\ttoday\tNN\tB-NP\tO' +p131590 +aS'but\tbut\tCC\tO\tO' +p131591 +aS'now\tnow\tRB\tB-ADVP\tO' +p131592 +aS'w/\tw/\tSYM\tB-NP\tO' +p131593 +aS'15%\t15%\tCD\tB-NP\tO' +p131594 +aS'bands\tband\tNNS\tI-NP\tO' +p131595 +aS'on\ton\tIN\tB-PP\tO' +p131596 +aS'vanc\tvanc\tNN\tB-NP\tO' +p131597 +aS'(\t(\t(\tO\tO' +p131598 +aS'h/o\th/o\tNN\tB-NP\tO' +p131599 +aS'MRSA\tMRSA\tNN\tI-NP\tO' +p131600 +aS'urosepsis\turosepsis\tNN\tI-NP\tO' +p131601 +aS')\t)\t)\tO\tO' +p131602 +aS'and\tand\tCC\tO\tO' +p131603 +aS'gent\tgent\tJJ\tO\tO' +p131604 +aS'(\t(\t(\tO\tO' +p131605 +aS'mult\tmult\tJJ\tB-NP\tO' +p131606 +aS'drug\tdrug\tNN\tI-NP\tO' +p131607 +aS'allergies\tallergy\tNNS\tI-NP\tO' +p131608 +aS')\t)\t)\tO\tO' +p131609 +aS'.\t.\t.\tO\tO' +p131610 +asS'2. Insulin dependent diabetes mellitus .' +p131611 +(lp131612 +S'2.\t2.\tLS\tB-NP\tO' +p131613 +aS'Insulin\tInsulin\tNN\tI-NP\tB-protein' +p131614 +aS'dependent\tdependent\tJJ\tI-NP\tO' +p131615 +aS'diabetes\tdiabete\tNNS\tI-NP\tO' +p131616 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p131617 +aS'.\t.\t.\tO\tO' +p131618 +asS'The father had leukemia and the mother had gastrointestinal cancer .' +p131619 +(lp131620 +S'The\tThe\tDT\tB-NP\tO' +p131621 +aS'father\tfather\tNN\tI-NP\tO' +p131622 +aS'had\thave\tVBD\tB-VP\tO' +p131623 +aS'leukemia\tleukemia\tNN\tB-NP\tO' +p131624 +aS'and\tand\tCC\tO\tO' +p131625 +aS'the\tthe\tDT\tB-NP\tO' +p131626 +aS'mother\tmother\tNN\tI-NP\tO' +p131627 +aS'had\thave\tVBD\tB-VP\tO' +p131628 +aS'gastrointestinal\tgastrointestinal\tJJ\tB-NP\tO' +p131629 +aS'cancer\tcancer\tNN\tI-NP\tO' +p131630 +aS'.\t.\t.\tO\tO' +p131631 +asS'11. Colace 100 mg po bid .' +p131632 +(lp131633 +S'11.\t11.\tLS\tB-NP\tO' +p131634 +aS'Colace\tColace\tNNP\tI-NP\tO' +p131635 +aS'100\t100\tCD\tI-NP\tO' +p131636 +aS'mg\tmg\tNN\tI-NP\tO' +p131637 +aS'po\tpo\tNN\tI-NP\tO' +p131638 +aS'bid\tbid\tNN\tI-NP\tO' +p131639 +aS'.\t.\t.\tO\tO' +p131640 +asS'She underwent a living-related renal transplant in the right iliac fossa .' +p131641 +(lp131642 +S'She\tShe\tPRP\tB-NP\tO' +p131643 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p131644 +aS'a\ta\tDT\tB-NP\tO' +p131645 +aS'living-related\tliving-related\tJJ\tI-NP\tO' +p131646 +aS'renal\trenal\tJJ\tI-NP\tO' +p131647 +aS'transplant\ttransplant\tNN\tI-NP\tO' +p131648 +aS'in\tin\tIN\tB-PP\tO' +p131649 +aS'the\tthe\tDT\tB-NP\tO' +p131650 +aS'right\tright\tJJ\tI-NP\tO' +p131651 +aS'iliac\tiliac\tJJ\tI-NP\tO' +p131652 +aS'fossa\tfossa\tNN\tI-NP\tO' +p131653 +aS'.\t.\t.\tO\tO' +p131654 +asS'Visual field full to hand waving .' +p131655 +(lp131656 +S'Visual\tVisual\tJJ\tB-NP\tO' +p131657 +aS'field\tfield\tNN\tI-NP\tO' +p131658 +aS'full\tfull\tJJ\tB-ADJP\tO' +p131659 +aS'to\tto\tTO\tB-VP\tO' +p131660 +aS'hand\thand\tVB\tI-VP\tO' +p131661 +aS'waving\twave\tVBG\tI-VP\tO' +p131662 +aS'.\t.\t.\tO\tO' +p131663 +asS'His drainage tube from the peripancreatic area was gradually advanced , and eventually discontinued .' +p131664 +(lp131665 +S'His\tHis\tPRP$\tB-NP\tO' +p131666 +aS'drainage\tdrainage\tNN\tI-NP\tO' +p131667 +aS'tube\ttube\tNN\tI-NP\tO' +p131668 +aS'from\tfrom\tIN\tB-PP\tO' +p131669 +aS'the\tthe\tDT\tB-NP\tO' +p131670 +aS'peripancreatic\tperipancreatic\tJJ\tI-NP\tO' +p131671 +aS'area\tarea\tNN\tI-NP\tO' +p131672 +aS'was\tbe\tVBD\tB-VP\tO' +p131673 +aS'gradually\tgradually\tRB\tI-VP\tO' +p131674 +aS'advanced\tadvance\tVBN\tI-VP\tO' +p131675 +aS',\t,\t,\tO\tO' +p131676 +aS'and\tand\tCC\tO\tO' +p131677 +aS'eventually\teventually\tRB\tB-VP\tO' +p131678 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p131679 +aS'.\t.\t.\tO\tO' +p131680 +asS'The patient was encouraged to take PO liquids to prevent volume depletion .' +p131681 +(lp131682 +S'The\tThe\tDT\tB-NP\tO' +p131683 +aS'patient\tpatient\tNN\tI-NP\tO' +p131684 +aS'was\tbe\tVBD\tB-VP\tO' +p131685 +aS'encouraged\tencourage\tVBN\tI-VP\tO' +p131686 +aS'to\tto\tTO\tI-VP\tO' +p131687 +aS'take\ttake\tVB\tI-VP\tO' +p131688 +aS'PO\tPO\tNN\tB-NP\tO' +p131689 +aS'liquids\tliquid\tNNS\tI-NP\tO' +p131690 +aS'to\tto\tTO\tB-VP\tO' +p131691 +aS'prevent\tprevent\tVB\tI-VP\tO' +p131692 +aS'volume\tvolume\tNN\tB-NP\tO' +p131693 +aS'depletion\tdepletion\tNN\tI-NP\tO' +p131694 +aS'.\t.\t.\tO\tO' +p131695 +asS'Disp :* 75 Tablet (s)* Refills :* 0 *' +p131696 +(lp131697 +S'Disp\tDisp\tNN\tB-NP\tO' +p131698 +aS':*\t:*\tSYM\tI-NP\tO' +p131699 +aS'75\t75\tCD\tI-NP\tO' +p131700 +aS'Tablet\tTablet\tNN\tI-NP\tO' +p131701 +aS'(s)*\t(s)*\tSYM\tB-NP\tO' +p131702 +aS'Refills\tRefill\tNNPS\tI-NP\tO' +p131703 +aS':*\t:*\tSYM\tI-NP\tO' +p131704 +aS'0\t0\tCD\tI-NP\tO' +p131705 +aS'*\t*\tSYM\tB-NP\tO' +p131706 +asS'On the newborn nursery the mother called the nurse for concern of baby turning dusky while feeding .' +p131707 +(lp131708 +S'On\tOn\tIN\tB-PP\tO' +p131709 +aS'the\tthe\tDT\tB-NP\tO' +p131710 +aS'newborn\tnewborn\tJJ\tI-NP\tO' +p131711 +aS'nursery\tnursery\tNN\tI-NP\tO' +p131712 +aS'the\tthe\tDT\tB-NP\tO' +p131713 +aS'mother\tmother\tNN\tI-NP\tO' +p131714 +aS'called\tcall\tVBD\tB-VP\tO' +p131715 +aS'the\tthe\tDT\tB-NP\tO' +p131716 +aS'nurse\tnurse\tNN\tI-NP\tO' +p131717 +aS'for\tfor\tIN\tB-PP\tO' +p131718 +aS'concern\tconcern\tNN\tB-NP\tO' +p131719 +aS'of\tof\tIN\tB-PP\tO' +p131720 +aS'baby\tbaby\tNN\tB-NP\tO' +p131721 +aS'turning\tturn\tVBG\tB-VP\tO' +p131722 +aS'dusky\tdusky\tJJ\tB-ADJP\tO' +p131723 +aS'while\twhile\tIN\tB-SBAR\tO' +p131724 +aS'feeding\tfeeding\tNN\tB-NP\tO' +p131725 +aS'.\t.\t.\tO\tO' +p131726 +asS'Signed electronically by : DR. Michael Jackson on : FRI 2014-09-05 11:39 AM' +p131727 +(lp131728 +S'Signed\tSign\tVBN\tB-VP\tO' +p131729 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p131730 +aS'by\tby\tIN\tB-PP\tO' +p131731 +aS':\t:\t:\tO\tO' +p131732 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p131733 +aS'Michael\tMichael\tNNP\tI-NP\tO' +p131734 +aS'Jackson\tJackson\tNNP\tI-NP\tO' +p131735 +aS'on\ton\tIN\tB-PP\tO' +p131736 +aS':\t:\t:\tO\tO' +p131737 +aS'FRI\tFRI\tCD\tB-NP\tO' +p131738 +aS'2014-09-05\t2014-09-05\tCD\tI-NP\tO' +p131739 +aS'11:39\t11:39\tCD\tI-NP\tO' +p131740 +aS'AM\tAM\tNN\tI-NP\tO' +p131741 +asS'This is a 56 year old man with history of hypercholesterolemia and type II diabetes mellitus .' +p131742 +(lp131743 +S'This\tThis\tDT\tB-NP\tO' +p131744 +aS'is\tbe\tVBZ\tB-VP\tO' +p131745 +aS'a\ta\tDT\tB-NP\tO' +p131746 +aS'56\t56\tCD\tI-NP\tO' +p131747 +aS'year\tyear\tNN\tI-NP\tO' +p131748 +aS'old\told\tJJ\tI-NP\tO' +p131749 +aS'man\tman\tNN\tI-NP\tO' +p131750 +aS'with\twith\tIN\tB-PP\tO' +p131751 +aS'history\thistory\tNN\tB-NP\tO' +p131752 +aS'of\tof\tIN\tB-PP\tO' +p131753 +aS'hypercholesterolemia\thypercholesterolemia\tNN\tB-NP\tO' +p131754 +aS'and\tand\tCC\tI-NP\tO' +p131755 +aS'type\ttype\tNN\tI-NP\tO' +p131756 +aS'II\tII\tCD\tI-NP\tO' +p131757 +aS'diabetes\tdiabete\tNNS\tI-NP\tO' +p131758 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p131759 +aS'.\t.\t.\tO\tO' +p131760 +asS'The aorta is normal in caliber , with vascular calcifications .' +p131761 +(lp131762 +S'The\tThe\tDT\tB-NP\tO' +p131763 +aS'aorta\taorta\tNN\tI-NP\tO' +p131764 +aS'is\tbe\tVBZ\tB-VP\tO' +p131765 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p131766 +aS'in\tin\tIN\tB-PP\tO' +p131767 +aS'caliber\tcaliber\tNN\tB-NP\tO' +p131768 +aS',\t,\t,\tO\tO' +p131769 +aS'with\twith\tIN\tB-PP\tO' +p131770 +aS'vascular\tvascular\tJJ\tB-NP\tO' +p131771 +aS'calcifications\tcalcification\tNNS\tI-NP\tO' +p131772 +aS'.\t.\t.\tO\tO' +p131773 +asS'A suicide note found at the scene referenced multiple medical problems as well as suggested ingestion of beta blocker , muscle relaxant , and Neurontin .' +p131774 +(lp131775 +S'A\tA\tDT\tB-NP\tO' +p131776 +aS'suicide\tsuicide\tNN\tI-NP\tO' +p131777 +aS'note\tnote\tNN\tI-NP\tO' +p131778 +aS'found\tfind\tVBN\tB-VP\tO' +p131779 +aS'at\tat\tIN\tB-PP\tO' +p131780 +aS'the\tthe\tDT\tB-NP\tO' +p131781 +aS'scene\tscene\tNN\tI-NP\tO' +p131782 +aS'referenced\treference\tVBD\tB-VP\tO' +p131783 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p131784 +aS'medical\tmedical\tJJ\tI-NP\tO' +p131785 +aS'problems\tproblem\tNNS\tI-NP\tO' +p131786 +aS'as\tas\tRB\tB-CONJP\tO' +p131787 +aS'well\twell\tRB\tI-CONJP\tO' +p131788 +aS'as\tas\tIN\tI-CONJP\tO' +p131789 +aS'suggested\tsuggest\tVBN\tB-NP\tO' +p131790 +aS'ingestion\tingestion\tNN\tI-NP\tO' +p131791 +aS'of\tof\tIN\tB-PP\tO' +p131792 +aS'beta\tbeta\tSYM\tB-NP\tO' +p131793 +aS'blocker\tblocker\tNN\tI-NP\tO' +p131794 +aS',\t,\t,\tO\tO' +p131795 +aS'muscle\tmuscle\tNN\tB-NP\tO' +p131796 +aS'relaxant\trelaxant\tNN\tI-NP\tO' +p131797 +aS',\t,\t,\tO\tO' +p131798 +aS'and\tand\tCC\tO\tO' +p131799 +aS'Neurontin\tNeurontin\tNN\tB-NP\tB-protein' +p131800 +aS'.\t.\t.\tO\tO' +p131801 +asS'Also with a history of noninsulin dependent diabetes mellitus , now presenting with acute blurry vision on the left side , which is homonymous .' +p131802 +(lp131803 +S'Also\tAlso\tRB\tB-ADVP\tO' +p131804 +aS'with\twith\tIN\tB-PP\tO' +p131805 +aS'a\ta\tDT\tB-NP\tO' +p131806 +aS'history\thistory\tNN\tI-NP\tO' +p131807 +aS'of\tof\tIN\tB-PP\tO' +p131808 +aS'noninsulin\tnoninsulin\tNN\tB-NP\tB-protein' +p131809 +aS'dependent\tdependent\tJJ\tI-NP\tO' +p131810 +aS'diabetes\tdiabete\tNNS\tI-NP\tO' +p131811 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p131812 +aS',\t,\t,\tO\tO' +p131813 +aS'now\tnow\tRB\tB-ADVP\tO' +p131814 +aS'presenting\tpresent\tVBG\tB-VP\tO' +p131815 +aS'with\twith\tIN\tB-PP\tO' +p131816 +aS'acute\tacute\tJJ\tB-NP\tO' +p131817 +aS'blurry\tblurry\tJJ\tI-NP\tO' +p131818 +aS'vision\tvision\tNN\tI-NP\tO' +p131819 +aS'on\ton\tIN\tB-PP\tO' +p131820 +aS'the\tthe\tDT\tB-NP\tO' +p131821 +aS'left\tleft\tJJ\tI-NP\tO' +p131822 +aS'side\tside\tNN\tI-NP\tO' +p131823 +aS',\t,\t,\tO\tO' +p131824 +aS'which\twhich\tWDT\tB-NP\tO' +p131825 +aS'is\tbe\tVBZ\tB-VP\tO' +p131826 +aS'homonymous\thomonymous\tJJ\tB-ADJP\tO' +p131827 +aS'.\t.\t.\tO\tO' +p131828 +asS'He was on a house diet and tolerating it well at this time as well .' +p131829 +(lp131830 +S'He\tHe\tPRP\tB-NP\tO' +p131831 +aS'was\tbe\tVBD\tB-VP\tO' +p131832 +aS'on\ton\tIN\tB-PP\tO' +p131833 +aS'a\ta\tDT\tB-NP\tO' +p131834 +aS'house\thouse\tNN\tI-NP\tO' +p131835 +aS'diet\tdiet\tNN\tI-NP\tO' +p131836 +aS'and\tand\tCC\tO\tO' +p131837 +aS'tolerating\ttolerate\tVBG\tB-VP\tO' +p131838 +aS'it\tit\tPRP\tB-NP\tO' +p131839 +aS'well\twell\tRB\tB-ADVP\tO' +p131840 +aS'at\tat\tIN\tB-PP\tO' +p131841 +aS'this\tthis\tDT\tB-NP\tO' +p131842 +aS'time\ttime\tNN\tI-NP\tO' +p131843 +aS'as\tas\tRB\tB-ADVP\tO' +p131844 +aS'well\twell\tRB\tI-ADVP\tO' +p131845 +aS'.\t.\t.\tO\tO' +p131846 +asS'You should follow-up with Dr. Grendwierst .' +p131847 +(lp131848 +S'You\tYou\tPRP\tB-NP\tB-protein' +p131849 +aS'should\tshould\tMD\tB-VP\tO' +p131850 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p131851 +aS'with\twith\tIN\tB-PP\tO' +p131852 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p131853 +aS'Grendwierst\tGrendwierst\tNNP\tI-NP\tO' +p131854 +aS'.\t.\t.\tO\tO' +p131855 +asS'soft , nontender , nondistended , positive bowel sounds , there is no hepatosplenomegaly .' +p131856 +(lp131857 +S'soft\tsoft\tJJ\tB-NP\tO' +p131858 +aS',\t,\t,\tI-NP\tO' +p131859 +aS'nontender\tnontender\tJJ\tI-NP\tO' +p131860 +aS',\t,\t,\tI-NP\tO' +p131861 +aS'nondistended\tnondistended\tJJ\tI-NP\tO' +p131862 +aS',\t,\t,\tI-NP\tO' +p131863 +aS'positive\tpositive\tJJ\tI-NP\tO' +p131864 +aS'bowel\tbowel\tNN\tI-NP\tO' +p131865 +aS'sounds\tsound\tNNS\tI-NP\tO' +p131866 +aS',\t,\t,\tO\tO' +p131867 +aS'there\tthere\tEX\tB-NP\tO' +p131868 +aS'is\tbe\tVBZ\tB-VP\tO' +p131869 +aS'no\tno\tDT\tB-NP\tO' +p131870 +aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tI-NP\tO' +p131871 +aS'.\t.\t.\tO\tO' +p131872 +asS'Ext : thin , no edema , multiple old well-healed scars on R leg' +p131873 +(lp131874 +S'Ext\tExt\tNN\tB-NP\tO' +p131875 +aS':\t:\t:\tO\tO' +p131876 +aS'thin\tthin\tJJ\tB-ADJP\tO' +p131877 +aS',\t,\t,\tO\tO' +p131878 +aS'no\tno\tDT\tB-NP\tO' +p131879 +aS'edema\tedema\tNN\tI-NP\tO' +p131880 +aS',\t,\t,\tO\tO' +p131881 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p131882 +aS'old\told\tJJ\tI-NP\tO' +p131883 +aS'well-healed\twell-healed\tJJ\tI-NP\tO' +p131884 +aS'scars\tscar\tNNS\tI-NP\tO' +p131885 +aS'on\ton\tIN\tB-PP\tO' +p131886 +aS'R\tR\tNN\tB-NP\tO' +p131887 +aS'leg\tleg\tNN\tI-NP\tO' +p131888 +asS'Bipolar D/O with one suicide attempt by overdose several years ago' +p131889 +(lp131890 +S'Bipolar\tBipolar\tJJ\tB-NP\tO' +p131891 +aS'D/O\tD/O\tNN\tI-NP\tO' +p131892 +aS'with\twith\tIN\tB-PP\tO' +p131893 +aS'one\tone\tCD\tB-NP\tO' +p131894 +aS'suicide\tsuicide\tNN\tI-NP\tO' +p131895 +aS'attempt\tattempt\tNN\tI-NP\tO' +p131896 +aS'by\tby\tIN\tB-PP\tO' +p131897 +aS'overdose\toverdose\tJJ\tB-NP\tO' +p131898 +aS'several\tseveral\tJJ\tI-NP\tO' +p131899 +aS'years\tyear\tNNS\tI-NP\tO' +p131900 +aS'ago\tago\tIN\tB-ADVP\tO' +p131901 +asS'EKG was unchanged compared to the prior EKG several months ago .' +p131902 +(lp131903 +S'EKG\tEKG\tNN\tB-NP\tB-protein' +p131904 +aS'was\tbe\tVBD\tB-VP\tO' +p131905 +aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' +p131906 +aS'compared\tcompare\tVBN\tB-PP\tO' +p131907 +aS'to\tto\tTO\tB-PP\tO' +p131908 +aS'the\tthe\tDT\tB-NP\tO' +p131909 +aS'prior\tprior\tJJ\tI-NP\tO' +p131910 +aS'EKG\tEKG\tNN\tI-NP\tO' +p131911 +aS'several\tseveral\tJJ\tB-NP\tO' +p131912 +aS'months\tmonth\tNNS\tI-NP\tO' +p131913 +aS'ago\tago\tRB\tB-ADVP\tO' +p131914 +aS'.\t.\t.\tO\tO' +p131915 +asS'She was found comatose at home by EMS and was brought to the Emergency Department .' +p131916 +(lp131917 +S'She\tShe\tPRP\tB-NP\tO' +p131918 +aS'was\tbe\tVBD\tB-VP\tO' +p131919 +aS'found\tfind\tVBN\tI-VP\tO' +p131920 +aS'comatose\tcomatose\tNN\tB-NP\tO' +p131921 +aS'at\tat\tIN\tB-PP\tO' +p131922 +aS'home\thome\tNN\tB-NP\tO' +p131923 +aS'by\tby\tIN\tB-PP\tO' +p131924 +aS'EMS\tEMS\tNNP\tB-NP\tO' +p131925 +aS'and\tand\tCC\tO\tO' +p131926 +aS'was\tbe\tVBD\tB-VP\tO' +p131927 +aS'brought\tbring\tVBN\tI-VP\tO' +p131928 +aS'to\tto\tTO\tB-PP\tO' +p131929 +aS'the\tthe\tDT\tB-NP\tO' +p131930 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p131931 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p131932 +aS'.\t.\t.\tO\tO' +p131933 +asS'Cranial nerves 2 through 12 intact .' +p131934 +(lp131935 +S'Cranial\tCranial\tNNP\tB-NP\tO' +p131936 +aS'nerves\tnerve\tVBZ\tB-VP\tO' +p131937 +aS'2\t2\tCD\tB-NP\tO' +p131938 +aS'through\tthrough\tIN\tI-NP\tO' +p131939 +aS'12\t12\tCD\tI-NP\tO' +p131940 +aS'intact\tintact\tJJ\tI-NP\tO' +p131941 +aS'.\t.\t.\tO\tO' +p131942 +asS'Hibbskote has severe low back pain radiating down the right leg .' +p131943 +(lp131944 +S'Hibbskote\tHibbskote\tNNP\tB-NP\tO' +p131945 +aS'has\thave\tVBZ\tB-VP\tO' +p131946 +aS'severe\tsevere\tJJ\tB-NP\tO' +p131947 +aS'low\tlow\tJJ\tI-NP\tO' +p131948 +aS'back\tback\tJJ\tI-NP\tO' +p131949 +aS'pain\tpain\tNN\tI-NP\tO' +p131950 +aS'radiating\tradiate\tVBG\tB-VP\tO' +p131951 +aS'down\tdown\tIN\tB-PP\tO' +p131952 +aS'the\tthe\tDT\tB-NP\tO' +p131953 +aS'right\tright\tJJ\tI-NP\tO' +p131954 +aS'leg\tleg\tNN\tI-NP\tO' +p131955 +aS'.\t.\t.\tO\tO' +p131956 +asS'Tenormin 50 mg bid , Valium 5 mg bid to tid , Premarin 0.625 mg qd , Provera 2.5 mg qod , Desyrel 50 mg qhs .' +p131957 +(lp131958 +S'Tenormin\tTenormin\tNN\tB-NP\tO' +p131959 +aS'50\t50\tCD\tI-NP\tO' +p131960 +aS'mg\tmg\tNN\tI-NP\tO' +p131961 +aS'bid\tbid\tRB\tB-ADVP\tO' +p131962 +aS',\t,\t,\tO\tO' +p131963 +aS'Valium\tValium\tNNP\tB-NP\tO' +p131964 +aS'5\t5\tCD\tI-NP\tO' +p131965 +aS'mg\tmg\tNN\tI-NP\tO' +p131966 +aS'bid\tbid\tRB\tB-ADVP\tO' +p131967 +aS'to\tto\tTO\tB-VP\tO' +p131968 +aS'tid\ttid\tVB\tI-VP\tO' +p131969 +aS',\t,\t,\tO\tO' +p131970 +aS'Premarin\tPremarin\tNN\tB-NP\tO' +p131971 +aS'0.625\t0.625\tCD\tI-NP\tO' +p131972 +aS'mg\tmg\tNN\tI-NP\tO' +p131973 +aS'qd\tqd\tNN\tI-NP\tO' +p131974 +aS',\t,\t,\tO\tO' +p131975 +aS'Provera\tProvera\tNN\tB-NP\tO' +p131976 +aS'2.5\t2.5\tCD\tI-NP\tO' +p131977 +aS'mg\tmg\tNN\tI-NP\tO' +p131978 +aS'qod\tqod\tNN\tI-NP\tO' +p131979 +aS',\t,\t,\tO\tO' +p131980 +aS'Desyrel\tDesyrel\tNN\tB-NP\tO' +p131981 +aS'50\t50\tCD\tI-NP\tO' +p131982 +aS'mg\tmg\tNN\tI-NP\tO' +p131983 +aS'qhs\tqh\tNNS\tI-NP\tO' +p131984 +aS'.\t.\t.\tO\tO' +p131985 +asS'The patient had no complications or further events while in house .' +p131986 +(lp131987 +S'The\tThe\tDT\tB-NP\tO' +p131988 +aS'patient\tpatient\tNN\tI-NP\tO' +p131989 +aS'had\thave\tVBD\tB-VP\tO' +p131990 +aS'no\tno\tDT\tB-NP\tO' +p131991 +aS'complications\tcomplication\tNNS\tI-NP\tO' +p131992 +aS'or\tor\tCC\tO\tO' +p131993 +aS'further\tfurther\tJJ\tB-NP\tO' +p131994 +aS'events\tevent\tNNS\tI-NP\tO' +p131995 +aS'while\twhile\tIN\tB-SBAR\tO' +p131996 +aS'in\tin\tIN\tB-PP\tO' +p131997 +aS'house\thouse\tNN\tB-NP\tO' +p131998 +aS'.\t.\t.\tO\tO' +p131999 +asS'He was readmitted for phototherapy on day of life #5 for a bilirubin of 23.3 .' +p132000 +(lp132001 +S'He\tHe\tPRP\tB-NP\tO' +p132002 +aS'was\tbe\tVBD\tB-VP\tO' +p132003 +aS'readmitted\treadmitte\tVBN\tI-VP\tO' +p132004 +aS'for\tfor\tIN\tB-PP\tO' +p132005 +aS'phototherapy\tphototherapy\tNN\tB-NP\tO' +p132006 +aS'on\ton\tIN\tB-PP\tO' +p132007 +aS'day\tday\tNN\tB-NP\tO' +p132008 +aS'of\tof\tIN\tB-PP\tO' +p132009 +aS'life\tlife\tNN\tB-NP\tO' +p132010 +aS'#5\t#5\tCD\tI-NP\tO' +p132011 +aS'for\tfor\tIN\tB-PP\tO' +p132012 +aS'a\ta\tDT\tB-NP\tO' +p132013 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p132014 +aS'of\tof\tIN\tB-PP\tO' +p132015 +aS'23.3\t23.3\tCD\tB-NP\tO' +p132016 +aS'.\t.\t.\tO\tO' +p132017 +asS'Conditions , Infections , Complications , affecting Treatment / Stay right scrotal hydrocele bph ( benign prostatic hypertrophy ) ? nph ( ? hydrocephalus ) dementia ( dementia )' +p132018 +(lp132019 +S'Conditions\tCondition\tNNS\tB-NP\tO' +p132020 +aS',\t,\t,\tO\tO' +p132021 +aS'Infections\tInfection\tNNS\tB-NP\tO' +p132022 +aS',\t,\t,\tO\tO' +p132023 +aS'Complications\tComplication\tNNS\tB-NP\tO' +p132024 +aS',\t,\t,\tO\tO' +p132025 +aS'affecting\taffect\tVBG\tB-VP\tO' +p132026 +aS'Treatment\tTreatment\tNN\tB-NP\tO' +p132027 +aS'/\t/\tSYM\tB-NP\tO' +p132028 +aS'Stay\tStay\tNN\tI-NP\tO' +p132029 +aS'right\tright\tJJ\tI-NP\tO' +p132030 +aS'scrotal\tscrotal\tJJ\tI-NP\tO' +p132031 +aS'hydrocele\thydrocele\tNN\tI-NP\tO' +p132032 +aS'bph\tbph\tNN\tI-NP\tO' +p132033 +aS'(\t(\t(\tO\tO' +p132034 +aS'benign\tbenign\tJJ\tB-NP\tO' +p132035 +aS'prostatic\tprostatic\tJJ\tI-NP\tO' +p132036 +aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' +p132037 +aS')\t)\t)\tO\tO' +p132038 +aS'?\t?\t.\tO\tO' +p132039 +aS'nph\tnph\tNN\tB-NP\tO' +p132040 +aS'(\t(\t(\tO\tO' +p132041 +aS'?\t?\t.\tO\tO' +p132042 +aS'hydrocephalus\thydrocephalus\tNN\tO\tO' +p132043 +aS')\t)\t)\tO\tO' +p132044 +aS'dementia\tdementia\tNN\tB-NP\tO' +p132045 +aS'(\t(\t(\tO\tO' +p132046 +aS'dementia\tdementia\tNN\tB-NP\tO' +p132047 +aS')\t)\t)\tO\tO' +p132048 +asS'She should continue to wear the brace when out of bed and there should be no heavy lifting , twisting or bending activities .' +p132049 +(lp132050 +S'She\tShe\tPRP\tB-NP\tO' +p132051 +aS'should\tshould\tMD\tB-VP\tO' +p132052 +aS'continue\tcontinue\tVB\tI-VP\tO' +p132053 +aS'to\tto\tTO\tI-VP\tO' +p132054 +aS'wear\twear\tVB\tI-VP\tO' +p132055 +aS'the\tthe\tDT\tB-NP\tO' +p132056 +aS'brace\tbrace\tNN\tI-NP\tO' +p132057 +aS'when\twhen\tWRB\tB-ADVP\tO' +p132058 +aS'out\tout\tIN\tB-PP\tO' +p132059 +aS'of\tof\tIN\tB-PP\tO' +p132060 +aS'bed\tbed\tNN\tB-NP\tO' +p132061 +aS'and\tand\tCC\tO\tO' +p132062 +aS'there\tthere\tEX\tB-NP\tO' +p132063 +aS'should\tshould\tMD\tB-VP\tO' +p132064 +aS'be\tbe\tVB\tI-VP\tO' +p132065 +aS'no\tno\tDT\tB-NP\tO' +p132066 +aS'heavy\theavy\tJJ\tI-NP\tO' +p132067 +aS'lifting\tlifting\tNN\tI-NP\tO' +p132068 +aS',\t,\t,\tO\tO' +p132069 +aS'twisting\ttwist\tVBG\tB-VP\tO' +p132070 +aS'or\tor\tCC\tI-VP\tO' +p132071 +aS'bending\tbend\tVBG\tI-VP\tO' +p132072 +aS'activities\tactivity\tNNS\tB-NP\tO' +p132073 +aS'.\t.\t.\tO\tO' +p132074 +asS'The patient is now admitted for fluid rehydration therapy and observation .' +p132075 +(lp132076 +S'The\tThe\tDT\tB-NP\tO' +p132077 +aS'patient\tpatient\tNN\tI-NP\tO' +p132078 +aS'is\tbe\tVBZ\tB-VP\tO' +p132079 +aS'now\tnow\tRB\tI-VP\tO' +p132080 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p132081 +aS'for\tfor\tIN\tB-PP\tO' +p132082 +aS'fluid\tfluid\tNN\tB-NP\tO' +p132083 +aS'rehydration\trehydration\tNN\tI-NP\tO' +p132084 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p132085 +aS'and\tand\tCC\tI-NP\tO' +p132086 +aS'observation\tobservation\tNN\tI-NP\tO' +p132087 +aS'.\t.\t.\tO\tO' +p132088 +asS'Cultures were taken and he was sent out .' +p132089 +(lp132090 +S'Cultures\tCulture\tNNS\tB-NP\tO' +p132091 +aS'were\tbe\tVBD\tB-VP\tO' +p132092 +aS'taken\ttake\tVBN\tI-VP\tO' +p132093 +aS'and\tand\tCC\tO\tO' +p132094 +aS'he\the\tPRP\tB-NP\tO' +p132095 +aS'was\tbe\tVBD\tB-VP\tO' +p132096 +aS'sent\tsend\tVBN\tI-VP\tO' +p132097 +aS'out\tout\tRP\tB-PRT\tO' +p132098 +aS'.\t.\t.\tO\tO' +p132099 +asS'He was also found to have dilated pancreatic ducts with calcifications consistent with chronic pancreatitis .' +p132100 +(lp132101 +S'He\tHe\tPRP\tB-NP\tO' +p132102 +aS'was\tbe\tVBD\tB-VP\tO' +p132103 +aS'also\talso\tRB\tI-VP\tO' +p132104 +aS'found\tfind\tVBN\tI-VP\tO' +p132105 +aS'to\tto\tTO\tI-VP\tO' +p132106 +aS'have\thave\tVB\tI-VP\tO' +p132107 +aS'dilated\tdilate\tVBN\tI-VP\tO' +p132108 +aS'pancreatic\tpancreatic\tJJ\tB-NP\tO' +p132109 +aS'ducts\tduct\tNNS\tI-NP\tO' +p132110 +aS'with\twith\tIN\tB-PP\tO' +p132111 +aS'calcifications\tcalcification\tNNS\tB-NP\tO' +p132112 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p132113 +aS'with\twith\tIN\tB-PP\tO' +p132114 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p132115 +aS'pancreatitis\tpancreatitis\tNN\tI-NP\tO' +p132116 +aS'.\t.\t.\tO\tO' +p132117 +asS'Prochlorperazine 10 mg IV Q6H prn' +p132118 +(lp132119 +S'Prochlorperazine\tProchlorperazine\tNN\tB-NP\tO' +p132120 +aS'10\t10\tCD\tI-NP\tO' +p132121 +aS'mg\tmg\tNN\tI-NP\tO' +p132122 +aS'IV\tIV\tCD\tB-NP\tO' +p132123 +aS'Q6H\tQ6H\tNN\tI-NP\tO' +p132124 +aS'prn\tprn\tNN\tI-NP\tO' +p132125 +asS'Right laminectomy and discectomy by Dr. Small , Neurosurgery .' +p132126 +(lp132127 +S'Right\tRight\tNN\tB-NP\tO' +p132128 +aS'laminectomy\tlaminectomy\tNN\tI-NP\tO' +p132129 +aS'and\tand\tCC\tI-NP\tO' +p132130 +aS'discectomy\tdiscectomy\tNN\tI-NP\tO' +p132131 +aS'by\tby\tIN\tB-PP\tO' +p132132 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p132133 +aS'Small\tSmall\tNNP\tI-NP\tO' +p132134 +aS',\t,\t,\tO\tO' +p132135 +aS'Neurosurgery\tNeurosurgery\tNNP\tB-NP\tO' +p132136 +aS'.\t.\t.\tO\tO' +p132137 +asS"In the St. Margaret 's Center for Women & Infants , the patient was lethargic and unable to give a history ." +p132138 +(lp132139 +S'In\tIn\tIN\tB-PP\tO' +p132140 +aS'the\tthe\tDT\tB-NP\tO' +p132141 +aS'St.\tSt.\tNNP\tI-NP\tO' +p132142 +aS'Margaret\tMargaret\tNNP\tI-NP\tO' +p132143 +aS"'s\t's\tPOS\tB-NP\tO" +p132144 +aS'Center\tCenter\tNNP\tI-NP\tO' +p132145 +aS'for\tfor\tIN\tB-PP\tO' +p132146 +aS'Women\tWomen\tNNP\tB-NP\tO' +p132147 +aS'&\t&\tCC\tI-NP\tO' +p132148 +aS'Infants\tInfant\tNNPS\tI-NP\tO' +p132149 +aS',\t,\t,\tO\tO' +p132150 +aS'the\tthe\tDT\tB-NP\tO' +p132151 +aS'patient\tpatient\tNN\tI-NP\tO' +p132152 +aS'was\tbe\tVBD\tB-VP\tO' +p132153 +aS'lethargic\tlethargic\tJJ\tB-ADJP\tO' +p132154 +aS'and\tand\tCC\tI-ADJP\tO' +p132155 +aS'unable\tunable\tJJ\tI-ADJP\tO' +p132156 +aS'to\tto\tTO\tB-VP\tO' +p132157 +aS'give\tgive\tVB\tI-VP\tO' +p132158 +aS'a\ta\tDT\tB-NP\tO' +p132159 +aS'history\thistory\tNN\tI-NP\tO' +p132160 +aS'.\t.\t.\tO\tO' +p132161 +asS'This pregnancy complicated by hydramnios also .' +p132162 +(lp132163 +S'This\tThis\tDT\tB-NP\tO' +p132164 +aS'pregnancy\tpregnancy\tNN\tI-NP\tO' +p132165 +aS'complicated\tcomplicate\tVBN\tB-VP\tO' +p132166 +aS'by\tby\tIN\tB-PP\tO' +p132167 +aS'hydramnios\thydramnio\tNNS\tB-NP\tO' +p132168 +aS'also\talso\tRB\tB-ADVP\tO' +p132169 +aS'.\t.\t.\tO\tO' +p132170 +asS'You have been admitted for evaluation of an esophageal bleed .' +p132171 +(lp132172 +S'You\tYou\tPRP\tB-NP\tB-protein' +p132173 +aS'have\thave\tVBP\tB-VP\tO' +p132174 +aS'been\tbe\tVBN\tI-VP\tO' +p132175 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p132176 +aS'for\tfor\tIN\tB-PP\tO' +p132177 +aS'evaluation\tevaluation\tNN\tB-NP\tO' +p132178 +aS'of\tof\tIN\tB-PP\tO' +p132179 +aS'an\tan\tDT\tB-NP\tO' +p132180 +aS'esophageal\tesophageal\tJJ\tI-NP\tO' +p132181 +aS'bleed\tbleed\tNN\tI-NP\tO' +p132182 +aS'.\t.\t.\tO\tO' +p132183 +asS'He is also to be strict n.p.o.' +p132184 +(lp132185 +S'He\tHe\tPRP\tB-NP\tO' +p132186 +aS'is\tbe\tVBZ\tB-VP\tO' +p132187 +aS'also\talso\tRB\tB-ADVP\tO' +p132188 +aS'to\tto\tTO\tB-VP\tO' +p132189 +aS'be\tbe\tVB\tI-VP\tO' +p132190 +aS'strict\tstrict\tJJ\tB-NP\tO' +p132191 +aS'n.p.o.\tn.p.o.\tNN\tI-NP\tO' +p132192 +asS'Once the digoxin was no longer having effect , metoprolol was titrated back to home dose .' +p132193 +(lp132194 +S'Once\tOnce\tRB\tO\tO' +p132195 +aS'the\tthe\tDT\tB-NP\tO' +p132196 +aS'digoxin\tdigoxin\tNN\tI-NP\tO' +p132197 +aS'was\tbe\tVBD\tB-VP\tO' +p132198 +aS'no\tno\tRB\tB-ADVP\tO' +p132199 +aS'longer\tlonger\tRBR\tI-ADVP\tO' +p132200 +aS'having\thave\tVBG\tB-VP\tO' +p132201 +aS'effect\teffect\tNN\tB-NP\tO' +p132202 +aS',\t,\t,\tO\tO' +p132203 +aS'metoprolol\tmetoprolol\tNN\tB-NP\tO' +p132204 +aS'was\tbe\tVBD\tB-VP\tO' +p132205 +aS'titrated\ttitrate\tVBN\tI-VP\tO' +p132206 +aS'back\tback\tRB\tB-ADVP\tO' +p132207 +aS'to\tto\tTO\tB-PP\tO' +p132208 +aS'home\thome\tNN\tB-NP\tO' +p132209 +aS'dose\tdose\tNN\tI-NP\tO' +p132210 +aS'.\t.\t.\tO\tO' +p132211 +asS'He has fine dental hygiene .' +p132212 +(lp132213 +S'He\tHe\tPRP\tB-NP\tO' +p132214 +aS'has\thave\tVBZ\tB-VP\tO' +p132215 +aS'fine\tfine\tJJ\tB-NP\tO' +p132216 +aS'dental\tdental\tJJ\tI-NP\tO' +p132217 +aS'hygiene\thygiene\tNN\tI-NP\tO' +p132218 +aS'.\t.\t.\tO\tO' +p132219 +asS'Positive right carotid bruits .' +p132220 +(lp132221 +S'Positive\tPositive\tJJ\tB-NP\tO' +p132222 +aS'right\tright\tJJ\tI-NP\tO' +p132223 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p132224 +aS'bruits\tbruit\tNNS\tI-NP\tO' +p132225 +aS'.\t.\t.\tO\tO' +p132226 +asS'He was intubated and sedated at the time .' +p132227 +(lp132228 +S'He\tHe\tPRP\tB-NP\tO' +p132229 +aS'was\tbe\tVBD\tB-VP\tO' +p132230 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p132231 +aS'and\tand\tCC\tO\tO' +p132232 +aS'sedated\tsedate\tVBN\tB-VP\tO' +p132233 +aS'at\tat\tIN\tB-PP\tO' +p132234 +aS'the\tthe\tDT\tB-NP\tO' +p132235 +aS'time\ttime\tNN\tI-NP\tO' +p132236 +aS'.\t.\t.\tO\tO' +p132237 +asS'The patient will follow up with her primary care physician , Dr. Benson , ( 845 ) 253 6629 in two weeks by calling to schedule an appointment .' +p132238 +(lp132239 +S'The\tThe\tDT\tB-NP\tO' +p132240 +aS'patient\tpatient\tNN\tI-NP\tO' +p132241 +aS'will\twill\tMD\tB-VP\tO' +p132242 +aS'follow\tfollow\tVB\tI-VP\tO' +p132243 +aS'up\tup\tRP\tB-PRT\tO' +p132244 +aS'with\twith\tIN\tB-PP\tO' +p132245 +aS'her\ther\tPRP$\tB-NP\tO' +p132246 +aS'primary\tprimary\tJJ\tI-NP\tO' +p132247 +aS'care\tcare\tNN\tI-NP\tO' +p132248 +aS'physician\tphysician\tNN\tI-NP\tO' +p132249 +aS',\t,\t,\tO\tO' +p132250 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p132251 +aS'Benson\tBenson\tNNP\tI-NP\tO' +p132252 +aS',\t,\t,\tO\tO' +p132253 +aS'(\t(\t(\tO\tO' +p132254 +aS'845\t845\tCD\tB-NP\tO' +p132255 +aS')\t)\t)\tO\tO' +p132256 +aS'253\t253\tCD\tB-NP\tO' +p132257 +aS'6629\t6629\tCD\tI-NP\tO' +p132258 +aS'in\tin\tIN\tB-PP\tO' +p132259 +aS'two\ttwo\tCD\tB-NP\tO' +p132260 +aS'weeks\tweek\tNNS\tI-NP\tO' +p132261 +aS'by\tby\tIN\tB-PP\tO' +p132262 +aS'calling\tcall\tVBG\tB-VP\tO' +p132263 +aS'to\tto\tTO\tI-VP\tO' +p132264 +aS'schedule\tschedule\tVB\tI-VP\tO' +p132265 +aS'an\tan\tDT\tB-NP\tO' +p132266 +aS'appointment\tappointment\tNN\tI-NP\tO' +p132267 +aS'.\t.\t.\tO\tO' +p132268 +asS'ALT 106 , AST 149 , alkaline phosphatase 242 .' +p132269 +(lp132270 +S'ALT\tALT\tNN\tB-NP\tB-protein' +p132271 +aS'106\t106\tCD\tI-NP\tI-protein' +p132272 +aS',\t,\t,\tO\tO' +p132273 +aS'AST\tAST\tNN\tB-NP\tB-DNA' +p132274 +aS'149\t149\tCD\tI-NP\tI-DNA' +p132275 +aS',\t,\t,\tO\tO' +p132276 +aS'alkaline\talkaline\tNN\tB-NP\tO' +p132277 +aS'phosphatase\tphosphatase\tNN\tI-NP\tO' +p132278 +aS'242\t242\tCD\tI-NP\tO' +p132279 +aS'.\t.\t.\tO\tO' +p132280 +asS'Her transaminases were slightly elevated , which was later attributed to shock liver as a result of her period of hypotension .' +p132281 +(lp132282 +S'Her\tHer\tPRP$\tB-NP\tO' +p132283 +aS'transaminases\ttransaminase\tNNS\tI-NP\tB-protein' +p132284 +aS'were\tbe\tVBD\tB-VP\tO' +p132285 +aS'slightly\tslightly\tRB\tI-VP\tO' +p132286 +aS'elevated\televate\tVBN\tI-VP\tO' +p132287 +aS',\t,\t,\tO\tO' +p132288 +aS'which\twhich\tWDT\tB-NP\tO' +p132289 +aS'was\tbe\tVBD\tB-VP\tO' +p132290 +aS'later\tlater\tRB\tI-VP\tO' +p132291 +aS'attributed\tattribute\tVBN\tI-VP\tO' +p132292 +aS'to\tto\tTO\tI-VP\tO' +p132293 +aS'shock\tshock\tVB\tI-VP\tO' +p132294 +aS'liver\tliver\tNN\tB-NP\tO' +p132295 +aS'as\tas\tIN\tB-PP\tO' +p132296 +aS'a\ta\tDT\tB-NP\tO' +p132297 +aS'result\tresult\tNN\tI-NP\tO' +p132298 +aS'of\tof\tIN\tB-PP\tO' +p132299 +aS'her\ther\tPRP$\tB-NP\tO' +p132300 +aS'period\tperiod\tNN\tI-NP\tO' +p132301 +aS'of\tof\tIN\tB-PP\tO' +p132302 +aS'hypotension\thypotension\tNN\tB-NP\tO' +p132303 +aS'.\t.\t.\tO\tO' +p132304 +asS'Transferred to the floor on POD #3 to begin increasing her activity level .' +p132305 +(lp132306 +S'Transferred\tTransfer\tVBN\tB-VP\tO' +p132307 +aS'to\tto\tTO\tB-PP\tO' +p132308 +aS'the\tthe\tDT\tB-NP\tO' +p132309 +aS'floor\tfloor\tNN\tI-NP\tO' +p132310 +aS'on\ton\tIN\tB-PP\tO' +p132311 +aS'POD\tPOD\tNN\tB-NP\tB-protein' +p132312 +aS'#3\t#3\tNN\tI-NP\tI-protein' +p132313 +aS'to\tto\tTO\tB-VP\tO' +p132314 +aS'begin\tbegin\tVB\tI-VP\tO' +p132315 +aS'increasing\tincrease\tVBG\tI-VP\tO' +p132316 +aS'her\ther\tPRP$\tB-NP\tO' +p132317 +aS'activity\tactivity\tNN\tI-NP\tO' +p132318 +aS'level\tlevel\tNN\tI-NP\tO' +p132319 +aS'.\t.\t.\tO\tO' +p132320 +asS'4. Status post partial thyroidectomy .' +p132321 +(lp132322 +S'4.\t4.\tLS\tB-LST\tO' +p132323 +aS'Status\tStatus\tNNP\tB-NP\tO' +p132324 +aS'post\tpost\tIN\tB-PP\tO' +p132325 +aS'partial\tpartial\tJJ\tB-NP\tO' +p132326 +aS'thyroidectomy\tthyroidectomy\tNN\tI-NP\tO' +p132327 +aS'.\t.\t.\tO\tO' +p132328 +asS'Her shortness of breath has been progressive over the last 2-3 years .' +p132329 +(lp132330 +S'Her\tHer\tPRP$\tB-NP\tO' +p132331 +aS'shortness\tshortness\tNN\tI-NP\tO' +p132332 +aS'of\tof\tIN\tB-PP\tO' +p132333 +aS'breath\tbreath\tNN\tB-NP\tO' +p132334 +aS'has\thave\tVBZ\tB-VP\tO' +p132335 +aS'been\tbe\tVBN\tI-VP\tO' +p132336 +aS'progressive\tprogressive\tJJ\tB-ADJP\tO' +p132337 +aS'over\tover\tIN\tB-PP\tO' +p132338 +aS'the\tthe\tDT\tB-NP\tO' +p132339 +aS'last\tlast\tJJ\tI-NP\tB-protein' +p132340 +aS'2-3\t2-3\tCD\tI-NP\tI-protein' +p132341 +aS'years\tyear\tNNS\tI-NP\tI-protein' +p132342 +aS'.\t.\t.\tO\tO' +p132343 +asS'h/o prostate CA s/p brachytherapy and hormone treatment' +p132344 +(lp132345 +S'h/o\th/o\tNN\tB-NP\tO' +p132346 +aS'prostate\tprostate\tNN\tI-NP\tO' +p132347 +aS'CA\tCA\tNN\tI-NP\tO' +p132348 +aS's/p\ts/p\tNN\tI-NP\tO' +p132349 +aS'brachytherapy\tbrachytherapy\tNN\tI-NP\tO' +p132350 +aS'and\tand\tCC\tO\tO' +p132351 +aS'hormone\thormone\tNN\tB-NP\tO' +p132352 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p132353 +asS'Vascular examination was notable for 1+ carotid impulses which were diminished and delayed and the above mentioned transmitted cardiac murmurs .' +p132354 +(lp132355 +S'Vascular\tVascular\tJJ\tB-NP\tO' +p132356 +aS'examination\texamination\tNN\tI-NP\tO' +p132357 +aS'was\tbe\tVBD\tB-VP\tO' +p132358 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p132359 +aS'for\tfor\tIN\tB-PP\tO' +p132360 +aS'1+\t1+\tJJ\tB-NP\tO' +p132361 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p132362 +aS'impulses\timpulse\tNNS\tI-NP\tO' +p132363 +aS'which\twhich\tWDT\tB-NP\tO' +p132364 +aS'were\tbe\tVBD\tB-VP\tO' +p132365 +aS'diminished\tdiminish\tVBN\tI-VP\tO' +p132366 +aS'and\tand\tCC\tO\tO' +p132367 +aS'delayed\tdelay\tVBN\tB-VP\tO' +p132368 +aS'and\tand\tCC\tO\tO' +p132369 +aS'the\tthe\tDT\tB-NP\tO' +p132370 +aS'above\tabove\tRB\tI-NP\tO' +p132371 +aS'mentioned\tmention\tVBN\tI-NP\tO' +p132372 +aS'transmitted\ttransmit\tVBN\tI-NP\tO' +p132373 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p132374 +aS'murmurs\tmurmur\tNNS\tI-NP\tO' +p132375 +aS'.\t.\t.\tO\tO' +p132376 +asS'Please follow up with your PCP as scheduled .' +p132377 +(lp132378 +S'Please\tPlease\tVB\tB-VP\tO' +p132379 +aS'follow\tfollow\tVB\tI-VP\tO' +p132380 +aS'up\tup\tRP\tB-PRT\tO' +p132381 +aS'with\twith\tIN\tB-PP\tO' +p132382 +aS'your\tyour\tPRP$\tB-NP\tO' +p132383 +aS'PCP\tPCP\tNN\tI-NP\tB-DNA' +p132384 +aS'as\tas\tIN\tB-SBAR\tO' +p132385 +aS'scheduled\tschedule\tVBN\tB-VP\tO' +p132386 +aS'.\t.\t.\tO\tO' +p132387 +asS'Neurology - The patient remained unresponsive after the induced hypothermia , the patient was noticed to develop myoclonic jerks and occasional fluttering of his eyelids .' +p132388 +(lp132389 +S'Neurology\tNeurology\tNNP\tB-NP\tO' +p132390 +aS'-\t-\t:\tO\tO' +p132391 +aS'The\tThe\tDT\tB-NP\tO' +p132392 +aS'patient\tpatient\tNN\tI-NP\tO' +p132393 +aS'remained\tremain\tVBD\tB-VP\tO' +p132394 +aS'unresponsive\tunresponsive\tJJ\tB-ADJP\tO' +p132395 +aS'after\tafter\tIN\tB-SBAR\tO' +p132396 +aS'the\tthe\tDT\tB-NP\tO' +p132397 +aS'induced\tinduce\tVBN\tI-NP\tO' +p132398 +aS'hypothermia\thypothermia\tNN\tI-NP\tO' +p132399 +aS',\t,\t,\tO\tO' +p132400 +aS'the\tthe\tDT\tB-NP\tO' +p132401 +aS'patient\tpatient\tNN\tI-NP\tO' +p132402 +aS'was\tbe\tVBD\tB-VP\tO' +p132403 +aS'noticed\tnotice\tVBN\tI-VP\tO' +p132404 +aS'to\tto\tTO\tI-VP\tO' +p132405 +aS'develop\tdevelop\tVB\tI-VP\tO' +p132406 +aS'myoclonic\tmyoclonic\tJJ\tB-NP\tB-protein' +p132407 +aS'jerks\tjerk\tNNS\tI-NP\tI-protein' +p132408 +aS'and\tand\tCC\tO\tO' +p132409 +aS'occasional\toccasional\tJJ\tB-NP\tO' +p132410 +aS'fluttering\tfluttering\tNN\tI-NP\tO' +p132411 +aS'of\tof\tIN\tB-PP\tO' +p132412 +aS'his\this\tPRP$\tB-NP\tO' +p132413 +aS'eyelids\teyelid\tNNS\tI-NP\tO' +p132414 +aS'.\t.\t.\tO\tO' +p132415 +asS'He was a chronically ill appearing elderly man , with a respiratory rate of 30 , temperature 99.6 , pulse 100 , and irregularly irregular , blood pressure 148/71 .' +p132416 +(lp132417 +S'He\tHe\tPRP\tB-NP\tO' +p132418 +aS'was\tbe\tVBD\tB-VP\tO' +p132419 +aS'a\ta\tDT\tB-NP\tO' +p132420 +aS'chronically\tchronically\tRB\tI-NP\tO' +p132421 +aS'ill\till\tJJ\tI-NP\tO' +p132422 +aS'appearing\tappear\tVBG\tI-NP\tO' +p132423 +aS'elderly\telderly\tJJ\tI-NP\tO' +p132424 +aS'man\tman\tNN\tI-NP\tO' +p132425 +aS',\t,\t,\tO\tO' +p132426 +aS'with\twith\tIN\tB-PP\tO' +p132427 +aS'a\ta\tDT\tB-NP\tO' +p132428 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p132429 +aS'rate\trate\tNN\tI-NP\tO' +p132430 +aS'of\tof\tIN\tB-PP\tO' +p132431 +aS'30\t30\tCD\tB-NP\tO' +p132432 +aS',\t,\t,\tO\tO' +p132433 +aS'temperature\ttemperature\tNN\tB-NP\tO' +p132434 +aS'99.6\t99.6\tCD\tI-NP\tO' +p132435 +aS',\t,\t,\tO\tO' +p132436 +aS'pulse\tpulse\tNN\tB-NP\tO' +p132437 +aS'100\t100\tCD\tI-NP\tO' +p132438 +aS',\t,\t,\tO\tO' +p132439 +aS'and\tand\tCC\tO\tO' +p132440 +aS'irregularly\tirregularly\tRB\tB-NP\tO' +p132441 +aS'irregular\tirregular\tJJ\tI-NP\tO' +p132442 +aS',\t,\t,\tI-NP\tO' +p132443 +aS'blood\tblood\tNN\tI-NP\tO' +p132444 +aS'pressure\tpressure\tNN\tI-NP\tO' +p132445 +aS'148/71\t148/71\tCD\tI-NP\tO' +p132446 +aS'.\t.\t.\tO\tO' +p132447 +asS'We felt this was likely secondary to hypertension .' +p132448 +(lp132449 +S'We\tWe\tPRP\tB-NP\tO' +p132450 +aS'felt\tfeel\tVBD\tB-VP\tO' +p132451 +aS'this\tthis\tDT\tB-NP\tO' +p132452 +aS'was\tbe\tVBD\tB-VP\tO' +p132453 +aS'likely\tlikely\tRB\tB-ADJP\tO' +p132454 +aS'secondary\tsecondary\tJJ\tI-ADJP\tO' +p132455 +aS'to\tto\tTO\tB-PP\tO' +p132456 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p132457 +aS'.\t.\t.\tO\tO' +p132458 +asS'3. atrial fibrillation , she is status post cardioversion 3-25-94 ,' +p132459 +(lp132460 +S'3.\t3.\tLS\tB-NP\tO' +p132461 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p132462 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p132463 +aS',\t,\t,\tO\tO' +p132464 +aS'she\tshe\tPRP\tB-NP\tO' +p132465 +aS'is\tbe\tVBZ\tB-VP\tO' +p132466 +aS'status\tstatus\tNN\tB-NP\tO' +p132467 +aS'post\tpost\tNN\tI-NP\tO' +p132468 +aS'cardioversion\tcardioversion\tNN\tI-NP\tO' +p132469 +aS'3-25-94\t3-25-94\tCD\tI-NP\tO' +p132470 +aS',\t,\t,\tO\tO' +p132471 +asS'During the first two days , he required 14 and 22 units of additional coverage .' +p132472 +(lp132473 +S'During\tDuring\tIN\tB-PP\tO' +p132474 +aS'the\tthe\tDT\tB-NP\tO' +p132475 +aS'first\tfirst\tJJ\tI-NP\tO' +p132476 +aS'two\ttwo\tCD\tI-NP\tO' +p132477 +aS'days\tday\tNNS\tI-NP\tO' +p132478 +aS',\t,\t,\tO\tO' +p132479 +aS'he\the\tPRP\tB-NP\tO' +p132480 +aS'required\trequire\tVBD\tB-VP\tO' +p132481 +aS'14\t14\tCD\tB-NP\tO' +p132482 +aS'and\tand\tCC\tI-NP\tO' +p132483 +aS'22\t22\tCD\tI-NP\tO' +p132484 +aS'units\tunit\tNNS\tI-NP\tO' +p132485 +aS'of\tof\tIN\tB-PP\tO' +p132486 +aS'additional\tadditional\tJJ\tB-NP\tO' +p132487 +aS'coverage\tcoverage\tNN\tI-NP\tO' +p132488 +aS'.\t.\t.\tO\tO' +p132489 +asS'Postoperative day one the chest x-ray showed a collapsed left upper lobe .' +p132490 +(lp132491 +S'Postoperative\tPostoperative\tJJ\tB-NP\tO' +p132492 +aS'day\tday\tNN\tI-NP\tO' +p132493 +aS'one\tone\tCD\tB-NP\tO' +p132494 +aS'the\tthe\tDT\tB-NP\tO' +p132495 +aS'chest\tchest\tNN\tI-NP\tO' +p132496 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p132497 +aS'showed\tshow\tVBD\tB-VP\tO' +p132498 +aS'a\ta\tDT\tB-NP\tO' +p132499 +aS'collapsed\tcollapsed\tJJ\tI-NP\tO' +p132500 +aS'left\tleft\tJJ\tI-NP\tO' +p132501 +aS'upper\tupper\tJJ\tI-NP\tO' +p132502 +aS'lobe\tlobe\tNN\tI-NP\tO' +p132503 +aS'.\t.\t.\tO\tO' +p132504 +asS'He withdrew equally and purposefully after 20 minutes in the trauma bay .' +p132505 +(lp132506 +S'He\tHe\tPRP\tB-NP\tO' +p132507 +aS'withdrew\twithdraw\tVBD\tB-VP\tO' +p132508 +aS'equally\tequally\tRB\tB-ADVP\tO' +p132509 +aS'and\tand\tCC\tI-ADVP\tO' +p132510 +aS'purposefully\tpurposefully\tRB\tI-ADVP\tO' +p132511 +aS'after\tafter\tIN\tB-PP\tO' +p132512 +aS'20\t20\tCD\tB-NP\tO' +p132513 +aS'minutes\tminute\tNNS\tI-NP\tO' +p132514 +aS'in\tin\tIN\tB-PP\tO' +p132515 +aS'the\tthe\tDT\tB-NP\tO' +p132516 +aS'trauma\ttrauma\tNN\tI-NP\tO' +p132517 +aS'bay\tbay\tNN\tI-NP\tO' +p132518 +aS'.\t.\t.\tO\tO' +p132519 +asS'His tone was normal with normal neonatal reflexes .' +p132520 +(lp132521 +S'His\tHis\tPRP$\tB-NP\tO' +p132522 +aS'tone\ttone\tNN\tI-NP\tO' +p132523 +aS'was\tbe\tVBD\tB-VP\tO' +p132524 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p132525 +aS'with\twith\tIN\tB-PP\tO' +p132526 +aS'normal\tnormal\tJJ\tB-NP\tO' +p132527 +aS'neonatal\tneonatal\tJJ\tI-NP\tO' +p132528 +aS'reflexes\treflex\tNNS\tI-NP\tO' +p132529 +aS'.\t.\t.\tO\tO' +p132530 +asS'The patient has a plasmacytoma affecting the spine .' +p132531 +(lp132532 +S'The\tThe\tDT\tB-NP\tO' +p132533 +aS'patient\tpatient\tNN\tI-NP\tO' +p132534 +aS'has\thave\tVBZ\tB-VP\tO' +p132535 +aS'a\ta\tDT\tB-NP\tO' +p132536 +aS'plasmacytoma\tplasmacytoma\tNN\tI-NP\tO' +p132537 +aS'affecting\taffect\tVBG\tB-VP\tO' +p132538 +aS'the\tthe\tDT\tB-NP\tO' +p132539 +aS'spine\tspine\tNN\tI-NP\tO' +p132540 +aS'.\t.\t.\tO\tO' +p132541 +asS'At that time she was admitted and received a full course of betamethasone at 24 weeks and remained in house until delivery .' +p132542 +(lp132543 +S'At\tAt\tIN\tB-PP\tO' +p132544 +aS'that\tthat\tDT\tB-NP\tO' +p132545 +aS'time\ttime\tNN\tI-NP\tO' +p132546 +aS'she\tshe\tPRP\tB-NP\tO' +p132547 +aS'was\tbe\tVBD\tB-VP\tO' +p132548 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p132549 +aS'and\tand\tCC\tI-VP\tO' +p132550 +aS'received\treceive\tVBN\tI-VP\tO' +p132551 +aS'a\ta\tDT\tB-NP\tO' +p132552 +aS'full\tfull\tJJ\tI-NP\tO' +p132553 +aS'course\tcourse\tNN\tI-NP\tO' +p132554 +aS'of\tof\tIN\tB-PP\tO' +p132555 +aS'betamethasone\tbetamethasone\tNN\tB-NP\tO' +p132556 +aS'at\tat\tIN\tB-PP\tO' +p132557 +aS'24\t24\tCD\tB-NP\tO' +p132558 +aS'weeks\tweek\tNNS\tI-NP\tO' +p132559 +aS'and\tand\tCC\tO\tO' +p132560 +aS'remained\tremain\tVBD\tB-VP\tO' +p132561 +aS'in\tin\tIN\tB-PP\tO' +p132562 +aS'house\thouse\tNN\tB-NP\tO' +p132563 +aS'until\tuntil\tIN\tB-PP\tO' +p132564 +aS'delivery\tdelivery\tNN\tB-NP\tO' +p132565 +aS'.\t.\t.\tO\tO' +p132566 +asS'The patient was lying flat in no apparent distress .' +p132567 +(lp132568 +S'The\tThe\tDT\tB-NP\tO' +p132569 +aS'patient\tpatient\tNN\tI-NP\tO' +p132570 +aS'was\tbe\tVBD\tB-VP\tO' +p132571 +aS'lying\tlie\tVBG\tI-VP\tO' +p132572 +aS'flat\tflat\tJJ\tB-ADJP\tO' +p132573 +aS'in\tin\tIN\tB-PP\tO' +p132574 +aS'no\tno\tDT\tB-NP\tO' +p132575 +aS'apparent\tapparent\tJJ\tI-NP\tO' +p132576 +aS'distress\tdistress\tNN\tI-NP\tO' +p132577 +aS'.\t.\t.\tO\tO' +p132578 +asS'There is mild mass effect upon the anterior Mims of the right lateral ventricle .' +p132579 +(lp132580 +S'There\tThere\tEX\tB-NP\tO' +p132581 +aS'is\tbe\tVBZ\tB-VP\tO' +p132582 +aS'mild\tmild\tJJ\tB-NP\tO' +p132583 +aS'mass\tmass\tNN\tI-NP\tO' +p132584 +aS'effect\teffect\tNN\tI-NP\tO' +p132585 +aS'upon\tupon\tIN\tB-PP\tO' +p132586 +aS'the\tthe\tDT\tB-NP\tO' +p132587 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p132588 +aS'Mims\tMim\tNNS\tI-NP\tO' +p132589 +aS'of\tof\tIN\tB-PP\tO' +p132590 +aS'the\tthe\tDT\tB-NP\tO' +p132591 +aS'right\tright\tJJ\tI-NP\tO' +p132592 +aS'lateral\tlateral\tJJ\tI-NP\tO' +p132593 +aS'ventricle\tventricle\tNN\tI-NP\tO' +p132594 +aS'.\t.\t.\tO\tO' +p132595 +asS'The patient denied using tobacco .' +p132596 +(lp132597 +S'The\tThe\tDT\tB-NP\tO' +p132598 +aS'patient\tpatient\tNN\tI-NP\tO' +p132599 +aS'denied\tdeny\tVBN\tB-VP\tO' +p132600 +aS'using\tuse\tVBG\tB-VP\tO' +p132601 +aS'tobacco\ttobacco\tNN\tB-NP\tO' +p132602 +aS'.\t.\t.\tO\tO' +p132603 +asS'A head CT scan and cervical spine series were negative .' +p132604 +(lp132605 +S'A\tA\tDT\tB-NP\tO' +p132606 +aS'head\thead\tNN\tI-NP\tO' +p132607 +aS'CT\tCT\tNN\tI-NP\tO' +p132608 +aS'scan\tscan\tNN\tI-NP\tO' +p132609 +aS'and\tand\tCC\tO\tO' +p132610 +aS'cervical\tcervical\tJJ\tB-NP\tO' +p132611 +aS'spine\tspine\tNN\tI-NP\tO' +p132612 +aS'series\tsery\tNNS\tI-NP\tO' +p132613 +aS'were\tbe\tVBD\tB-VP\tO' +p132614 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p132615 +aS'.\t.\t.\tO\tO' +p132616 +asS'EKG s were followed for normalization .' +p132617 +(lp132618 +S'EKG\tEKG\tNN\tB-NP\tO' +p132619 +aS's\ts\tNNS\tI-NP\tO' +p132620 +aS'were\tbe\tVBD\tB-VP\tO' +p132621 +aS'followed\tfollow\tVBN\tI-VP\tO' +p132622 +aS'for\tfor\tIN\tB-PP\tO' +p132623 +aS'normalization\tnormalization\tNN\tB-NP\tO' +p132624 +aS'.\t.\t.\tO\tO' +p132625 +asS'He had a pericardial window .' +p132626 +(lp132627 +S'He\tHe\tPRP\tB-NP\tO' +p132628 +aS'had\thave\tVBD\tB-VP\tO' +p132629 +aS'a\ta\tDT\tB-NP\tO' +p132630 +aS'pericardial\tpericardial\tJJ\tI-NP\tO' +p132631 +aS'window\twindow\tNN\tI-NP\tO' +p132632 +aS'.\t.\t.\tO\tO' +p132633 +asS'She was admitted for a large volume paracentesis but her INR on admission was 3.8 .' +p132634 +(lp132635 +S'She\tShe\tPRP\tB-NP\tO' +p132636 +aS'was\tbe\tVBD\tB-VP\tO' +p132637 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p132638 +aS'for\tfor\tIN\tB-PP\tO' +p132639 +aS'a\ta\tDT\tB-NP\tO' +p132640 +aS'large\tlarge\tJJ\tI-NP\tO' +p132641 +aS'volume\tvolume\tNN\tI-NP\tO' +p132642 +aS'paracentesis\tparacentesis\tNN\tI-NP\tO' +p132643 +aS'but\tbut\tCC\tO\tO' +p132644 +aS'her\ther\tPRP$\tB-NP\tO' +p132645 +aS'INR\tINR\tNN\tI-NP\tB-protein' +p132646 +aS'on\ton\tIN\tB-PP\tO' +p132647 +aS'admission\tadmission\tNN\tB-NP\tO' +p132648 +aS'was\tbe\tVBD\tB-VP\tO' +p132649 +aS'3.8\t3.8\tCD\tB-NP\tO' +p132650 +aS'.\t.\t.\tO\tO' +p132651 +asS'Serum tox screen , alcohol 32 mg per deciliter , negative for aspirin , benzos , barbiturates , and TCA .' +p132652 +(lp132653 +S'Serum\tSerum\tNN\tB-NP\tO' +p132654 +aS'tox\ttox\tNN\tI-NP\tO' +p132655 +aS'screen\tscreen\tNN\tI-NP\tO' +p132656 +aS',\t,\t,\tO\tO' +p132657 +aS'alcohol\talcohol\tNN\tB-NP\tO' +p132658 +aS'32\t32\tCD\tI-NP\tO' +p132659 +aS'mg\tmg\tNN\tI-NP\tO' +p132660 +aS'per\tper\tIN\tB-PP\tO' +p132661 +aS'deciliter\tdeciliter\tNN\tB-NP\tO' +p132662 +aS',\t,\t,\tO\tO' +p132663 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p132664 +aS'for\tfor\tIN\tB-PP\tO' +p132665 +aS'aspirin\taspirin\tNN\tB-NP\tO' +p132666 +aS',\t,\t,\tO\tO' +p132667 +aS'benzos\tbenzo\tNNS\tB-NP\tO' +p132668 +aS',\t,\t,\tO\tO' +p132669 +aS'barbiturates\tbarbiturate\tNNS\tB-NP\tO' +p132670 +aS',\t,\t,\tO\tO' +p132671 +aS'and\tand\tCC\tO\tO' +p132672 +aS'TCA\tTCA\tNN\tB-NP\tB-protein' +p132673 +aS'.\t.\t.\tO\tO' +p132674 +asS'She delivered a 3263 gram female infant at 06/14/2001 at 06:40 pm with apgar scores of 8 and 8 at one and five minutes respectively at 40.3 weeks gestation via vacuum extraction .' +p132675 +(lp132676 +S'She\tShe\tPRP\tB-NP\tO' +p132677 +aS'delivered\tdeliver\tVBD\tB-VP\tO' +p132678 +aS'a\ta\tDT\tB-NP\tO' +p132679 +aS'3263\t3263\tCD\tI-NP\tO' +p132680 +aS'gram\tgram\tNN\tI-NP\tO' +p132681 +aS'female\tfemale\tJJ\tI-NP\tO' +p132682 +aS'infant\tinfant\tNN\tI-NP\tO' +p132683 +aS'at\tat\tIN\tB-PP\tO' +p132684 +aS'06/14/2001\t06/14/2001\tCD\tB-NP\tO' +p132685 +aS'at\tat\tIN\tB-PP\tO' +p132686 +aS'06:40\t06:40\tCD\tB-NP\tO' +p132687 +aS'pm\tpm\tNN\tI-NP\tO' +p132688 +aS'with\twith\tIN\tB-PP\tO' +p132689 +aS'apgar\tapgar\tNN\tB-NP\tO' +p132690 +aS'scores\tscore\tNNS\tI-NP\tO' +p132691 +aS'of\tof\tIN\tB-PP\tO' +p132692 +aS'8\t8\tCD\tB-NP\tO' +p132693 +aS'and\tand\tCC\tI-NP\tO' +p132694 +aS'8\t8\tCD\tI-NP\tO' +p132695 +aS'at\tat\tIN\tB-PP\tO' +p132696 +aS'one\tone\tCD\tB-NP\tO' +p132697 +aS'and\tand\tCC\tI-NP\tO' +p132698 +aS'five\tfive\tCD\tI-NP\tO' +p132699 +aS'minutes\tminute\tNNS\tI-NP\tO' +p132700 +aS'respectively\trespectively\tRB\tB-ADVP\tO' +p132701 +aS'at\tat\tIN\tB-PP\tO' +p132702 +aS'40.3\t40.3\tCD\tB-NP\tO' +p132703 +aS'weeks\tweek\tNNS\tI-NP\tO' +p132704 +aS'gestation\tgestation\tNN\tI-NP\tO' +p132705 +aS'via\tvia\tIN\tB-PP\tO' +p132706 +aS'vacuum\tvacuum\tNN\tB-NP\tO' +p132707 +aS'extraction\textraction\tNN\tI-NP\tO' +p132708 +aS'.\t.\t.\tO\tO' +p132709 +asS'finger / to/nose was with mild dysmetria , exaggerated on tracking ; rapid alternating movements normal , heel-to-shin was good with few errors .' +p132710 +(lp132711 +S'finger\tfinger\tNN\tB-NP\tO' +p132712 +aS'/\t/\tSYM\tI-NP\tO' +p132713 +aS'to/nose\tto/nose\tNN\tI-NP\tO' +p132714 +aS'was\tbe\tVBD\tB-VP\tO' +p132715 +aS'with\twith\tIN\tB-PP\tO' +p132716 +aS'mild\tmild\tJJ\tB-NP\tO' +p132717 +aS'dysmetria\tdysmetria\tNN\tI-NP\tO' +p132718 +aS',\t,\t,\tO\tO' +p132719 +aS'exaggerated\texaggerate\tVBD\tB-VP\tO' +p132720 +aS'on\ton\tIN\tB-PP\tO' +p132721 +aS'tracking\ttracking\tNN\tB-NP\tO' +p132722 +aS';\t;\t:\tO\tO' +p132723 +aS'rapid\trapid\tJJ\tB-NP\tO' +p132724 +aS'alternating\talternate\tVBG\tI-NP\tO' +p132725 +aS'movements\tmovement\tNNS\tI-NP\tO' +p132726 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p132727 +aS',\t,\t,\tO\tO' +p132728 +aS'heel-to-shin\theel-to-shin\tJJ\tB-ADJP\tO' +p132729 +aS'was\tbe\tVBD\tB-VP\tO' +p132730 +aS'good\tgood\tJJ\tB-ADJP\tO' +p132731 +aS'with\twith\tIN\tB-PP\tO' +p132732 +aS'few\tfew\tJJ\tB-NP\tO' +p132733 +aS'errors\terror\tNNS\tI-NP\tO' +p132734 +aS'.\t.\t.\tO\tO' +p132735 +asS'The fundi were sharp .' +p132736 +(lp132737 +S'The\tThe\tDT\tB-NP\tO' +p132738 +aS'fundi\tfundi\tNN\tI-NP\tO' +p132739 +aS'were\tbe\tVBD\tB-VP\tO' +p132740 +aS'sharp\tsharp\tJJ\tB-ADJP\tO' +p132741 +aS'.\t.\t.\tO\tO' +p132742 +asS'He required a few transfusions during his hospital course .' +p132743 +(lp132744 +S'He\tHe\tPRP\tB-NP\tO' +p132745 +aS'required\trequire\tVBD\tB-VP\tO' +p132746 +aS'a\ta\tDT\tB-NP\tO' +p132747 +aS'few\tfew\tJJ\tI-NP\tO' +p132748 +aS'transfusions\ttransfusion\tNNS\tI-NP\tO' +p132749 +aS'during\tduring\tIN\tB-PP\tO' +p132750 +aS'his\this\tPRP$\tB-NP\tO' +p132751 +aS'hospital\thospital\tNN\tI-NP\tO' +p132752 +aS'course\tcourse\tNN\tI-NP\tO' +p132753 +aS'.\t.\t.\tO\tO' +p132754 +asS'The right coronary artery was diffusely diseased in the mid segment with serial 80-90% stenosis .' +p132755 +(lp132756 +S'The\tThe\tDT\tB-NP\tO' +p132757 +aS'right\tright\tJJ\tI-NP\tO' +p132758 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p132759 +aS'artery\tartery\tNN\tI-NP\tO' +p132760 +aS'was\tbe\tVBD\tB-VP\tO' +p132761 +aS'diffusely\tdiffusely\tRB\tI-VP\tO' +p132762 +aS'diseased\tdisease\tVBN\tI-VP\tO' +p132763 +aS'in\tin\tIN\tB-PP\tO' +p132764 +aS'the\tthe\tDT\tB-NP\tO' +p132765 +aS'mid\tmid\tJJ\tI-NP\tO' +p132766 +aS'segment\tsegment\tNN\tI-NP\tO' +p132767 +aS'with\twith\tIN\tB-PP\tO' +p132768 +aS'serial\tserial\tJJ\tB-NP\tO' +p132769 +aS'80-90%\t80-90%\tJJ\tI-NP\tO' +p132770 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p132771 +aS'.\t.\t.\tO\tO' +p132772 +asS'The patient died in hospital .' +p132773 +(lp132774 +S'The\tThe\tDT\tB-NP\tO' +p132775 +aS'patient\tpatient\tNN\tI-NP\tO' +p132776 +aS'died\tdie\tVBD\tB-VP\tO' +p132777 +aS'in\tin\tIN\tB-PP\tO' +p132778 +aS'hospital\thospital\tNN\tB-NP\tO' +p132779 +aS'.\t.\t.\tO\tO' +p132780 +asS'He also had repeated temperature spikes .' +p132781 +(lp132782 +S'He\tHe\tPRP\tB-NP\tO' +p132783 +aS'also\talso\tRB\tB-ADVP\tO' +p132784 +aS'had\thave\tVBD\tB-VP\tO' +p132785 +aS'repeated\trepeat\tVBN\tI-VP\tO' +p132786 +aS'temperature\ttemperature\tNN\tB-NP\tO' +p132787 +aS'spikes\tspike\tNNS\tI-NP\tO' +p132788 +aS'.\t.\t.\tO\tO' +p132789 +asS'3. Right ventricular chamber size and free wall motion are normal .' +p132790 +(lp132791 +S'3.\t3.\tLS\tB-NP\tO' +p132792 +aS'Right\tRight\tNN\tI-NP\tO' +p132793 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p132794 +aS'chamber\tchamber\tNN\tI-NP\tO' +p132795 +aS'size\tsize\tNN\tI-NP\tO' +p132796 +aS'and\tand\tCC\tO\tO' +p132797 +aS'free\tfree\tJJ\tB-NP\tO' +p132798 +aS'wall\twall\tNN\tI-NP\tO' +p132799 +aS'motion\tmotion\tNN\tI-NP\tO' +p132800 +aS'are\tbe\tVBP\tB-VP\tO' +p132801 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p132802 +aS'.\t.\t.\tO\tO' +p132803 +asS'Low Lying Placenta ; Past Medical History , history of ; Urinary Tract Infection , history of' +p132804 +(lp132805 +S'Low\tLow\tNNP\tB-NP\tO' +p132806 +aS'Lying\tLying\tNNP\tI-NP\tO' +p132807 +aS'Placenta\tPlacenta\tNNP\tI-NP\tO' +p132808 +aS';\t;\t:\tO\tO' +p132809 +aS'Past\tPast\tNNP\tB-NP\tO' +p132810 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p132811 +aS'History\tHistory\tNNP\tI-NP\tO' +p132812 +aS',\t,\t,\tO\tO' +p132813 +aS'history\thistory\tNN\tB-NP\tO' +p132814 +aS'of\tof\tIN\tB-PP\tO' +p132815 +aS';\t;\t:\tO\tO' +p132816 +aS'Urinary\tUrinary\tNNP\tB-NP\tO' +p132817 +aS'Tract\tTract\tNNP\tI-NP\tO' +p132818 +aS'Infection\tInfection\tNNP\tI-NP\tO' +p132819 +aS',\t,\t,\tO\tO' +p132820 +aS'history\thistory\tNN\tB-NP\tO' +p132821 +aS'of\tof\tIN\tB-PP\tO' +p132822 +asS'Following evaluation and treatment , the patient 's disposition at the end ofthe visit was ADMITTED AS AN INPATIENT TO BRI HEALTH .' +p132823 +(lp132824 +S'Following\tFollow\tVBG\tB-PP\tO' +p132825 +aS'evaluation\tevaluation\tNN\tB-NP\tO' +p132826 +aS'and\tand\tCC\tI-NP\tO' +p132827 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p132828 +aS',\t,\t,\tO\tO' +p132829 +aS'the\tthe\tDT\tB-NP\tO' +p132830 +aS'patient\tpatient\tNN\tI-NP\tO' +p132831 +aS''s\t'\tNNS\tI-NP\tO' +p132832 +aS'disposition\tdisposition\tNN\tI-NP\tO' +p132833 +aS'at\tat\tIN\tB-PP\tO' +p132834 +aS'the\tthe\tDT\tB-NP\tO' +p132835 +aS'end\tend\tNN\tI-NP\tO' +p132836 +aS'ofthe\tofthe\tDT\tB-NP\tO' +p132837 +aS'visit\tvisit\tNN\tI-NP\tO' +p132838 +aS'was\tbe\tVBD\tB-VP\tO' +p132839 +aS'ADMITTED\tADMITTED\tVBN\tI-VP\tO' +p132840 +aS'AS\tAS\tNNP\tB-NP\tO' +p132841 +aS'AN\tAN\tNNP\tI-NP\tO' +p132842 +aS'INPATIENT\tINPATIENT\tNNP\tI-NP\tO' +p132843 +aS'TO\tTO\tNNP\tI-NP\tO' +p132844 +aS'BRI\tBRI\tNNP\tI-NP\tO' +p132845 +aS'HEALTH\tHEALTH\tNNP\tI-NP\tO' +p132846 +aS'.\t.\t.\tO\tO' +p132847 +asS'Take all medications as prescribed .' +p132848 +(lp132849 +S'Take\tTake\tVB\tB-VP\tO' +p132850 +aS'all\tall\tDT\tB-NP\tO' +p132851 +aS'medications\tmedication\tNNS\tI-NP\tO' +p132852 +aS'as\tas\tIN\tB-SBAR\tO' +p132853 +aS'prescribed\tprescribe\tVBN\tB-VP\tO' +p132854 +aS'.\t.\t.\tO\tO' +p132855 +asS'HTN elev. lipds hypothyroidism back pain' +p132856 +(lp132857 +S'HTN\tHTN\tNN\tB-NP\tO' +p132858 +aS'elev.\telev.\tNN\tI-NP\tO' +p132859 +aS'lipds\tlipd\tVBZ\tB-VP\tO' +p132860 +aS'hypothyroidism\thypothyroidism\tNN\tB-NP\tO' +p132861 +aS'back\tback\tRB\tB-ADVP\tO' +p132862 +aS'pain\tpain\tNN\tB-NP\tO' +p132863 +asS'This is a 61 year old male with a history of diabetes , coronary artery disease , hepatitis C , and asthma who was diagnosed recently with pancreatic cancer after he presented to Seph'sju Memorial after a motor vehicle accident .' +p132864 +(lp132865 +S'This\tThis\tDT\tB-NP\tO' +p132866 +aS'is\tbe\tVBZ\tB-VP\tO' +p132867 +aS'a\ta\tDT\tB-NP\tO' +p132868 +aS'61\t61\tCD\tI-NP\tO' +p132869 +aS'year\tyear\tNN\tI-NP\tO' +p132870 +aS'old\told\tJJ\tI-NP\tO' +p132871 +aS'male\tmale\tNN\tI-NP\tO' +p132872 +aS'with\twith\tIN\tB-PP\tO' +p132873 +aS'a\ta\tDT\tB-NP\tO' +p132874 +aS'history\thistory\tNN\tI-NP\tO' +p132875 +aS'of\tof\tIN\tB-PP\tO' +p132876 +aS'diabetes\tdiabetes\tNN\tB-NP\tO' +p132877 +aS',\t,\t,\tO\tO' +p132878 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p132879 +aS'artery\tartery\tNN\tI-NP\tO' +p132880 +aS'disease\tdisease\tNN\tI-NP\tO' +p132881 +aS',\t,\t,\tO\tO' +p132882 +aS'hepatitis\thepatitis\tNN\tB-NP\tO' +p132883 +aS'C\tC\tNN\tI-NP\tO' +p132884 +aS',\t,\t,\tO\tO' +p132885 +aS'and\tand\tCC\tO\tO' +p132886 +aS'asthma\tasthma\tNN\tB-NP\tO' +p132887 +aS'who\twho\tWP\tB-NP\tO' +p132888 +aS'was\tbe\tVBD\tB-VP\tO' +p132889 +aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' +p132890 +aS'recently\trecently\tRB\tB-ADVP\tO' +p132891 +aS'with\twith\tIN\tB-PP\tO' +p132892 +aS'pancreatic\tpancreatic\tJJ\tB-NP\tO' +p132893 +aS'cancer\tcancer\tNN\tI-NP\tO' +p132894 +aS'after\tafter\tIN\tB-SBAR\tO' +p132895 +aS'he\the\tPRP\tB-NP\tO' +p132896 +aS'presented\tpresent\tVBD\tB-VP\tO' +p132897 +aS'to\tto\tTO\tB-PP\tO' +p132898 +aS'Seph'sju\tSeph'sju\tNNP\tB-NP\tO' +p132899 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p132900 +aS'after\tafter\tIN\tB-PP\tO' +p132901 +aS'a\ta\tDT\tB-NP\tO' +p132902 +aS'motor\tmotor\tNN\tI-NP\tO' +p132903 +aS'vehicle\tvehicle\tNN\tI-NP\tO' +p132904 +aS'accident\taccident\tNN\tI-NP\tO' +p132905 +aS'.\t.\t.\tO\tO' +p132906 +asS'On POD2 , patient was deemed suitable and stable for discharge .' +p132907 +(lp132908 +S'On\tOn\tIN\tB-PP\tO' +p132909 +aS'POD2\tPOD2\tNN\tB-NP\tB-protein' +p132910 +aS',\t,\t,\tO\tO' +p132911 +aS'patient\tpatient\tNN\tB-NP\tO' +p132912 +aS'was\tbe\tVBD\tB-VP\tO' +p132913 +aS'deemed\tdeem\tVBN\tI-VP\tO' +p132914 +aS'suitable\tsuitable\tJJ\tB-ADJP\tO' +p132915 +aS'and\tand\tCC\tI-ADJP\tO' +p132916 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p132917 +aS'for\tfor\tIN\tB-PP\tO' +p132918 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p132919 +aS'.\t.\t.\tO\tO' +p132920 +asS'The remainder of the physical examination was considered within normal limits .' +p132921 +(lp132922 +S'The\tThe\tDT\tB-NP\tO' +p132923 +aS'remainder\tremainder\tNN\tI-NP\tO' +p132924 +aS'of\tof\tIN\tB-PP\tO' +p132925 +aS'the\tthe\tDT\tB-NP\tO' +p132926 +aS'physical\tphysical\tJJ\tI-NP\tO' +p132927 +aS'examination\texamination\tNN\tI-NP\tO' +p132928 +aS'was\tbe\tVBD\tB-VP\tO' +p132929 +aS'considered\tconsider\tVBN\tI-VP\tO' +p132930 +aS'within\twithin\tIN\tB-PP\tO' +p132931 +aS'normal\tnormal\tJJ\tB-NP\tO' +p132932 +aS'limits\tlimit\tNNS\tI-NP\tO' +p132933 +aS'.\t.\t.\tO\tO' +p132934 +asS'Clonidine 0.3 mg / 24 hr Patch Weekly Transdermal QTHUR' +p132935 +(lp132936 +S'Clonidine\tClonidine\tNN\tB-NP\tO' +p132937 +aS'0.3\t0.3\tCD\tI-NP\tO' +p132938 +aS'mg\tmg\tNN\tI-NP\tO' +p132939 +aS'/\t/\tSYM\tB-NP\tO' +p132940 +aS'24\t24\tCD\tB-NP\tO' +p132941 +aS'hr\thr\tNN\tI-NP\tO' +p132942 +aS'Patch\tPatch\tNNP\tI-NP\tO' +p132943 +aS'Weekly\tWeekly\tNNP\tI-NP\tO' +p132944 +aS'Transdermal\tTransdermal\tNNP\tI-NP\tO' +p132945 +aS'QTHUR\tQTHUR\tNNP\tI-NP\tO' +p132946 +asS'In general , he is a well developed , well nourished man breathing easily , in no acute distress .' +p132947 +(lp132948 +S'In\tIn\tIN\tB-PP\tO' +p132949 +aS'general\tgeneral\tJJ\tB-ADJP\tO' +p132950 +aS',\t,\t,\tO\tO' +p132951 +aS'he\the\tPRP\tB-NP\tO' +p132952 +aS'is\tbe\tVBZ\tB-VP\tO' +p132953 +aS'a\ta\tDT\tB-NP\tO' +p132954 +aS'well\twell\tRB\tI-NP\tO' +p132955 +aS'developed\tdevelop\tVBN\tI-NP\tO' +p132956 +aS',\t,\t,\tO\tO' +p132957 +aS'well\twell\tRB\tB-ADVP\tO' +p132958 +aS'nourished\tnourish\tVBD\tB-VP\tO' +p132959 +aS'man\tman\tNN\tB-NP\tO' +p132960 +aS'breathing\tbreathing\tNN\tI-NP\tO' +p132961 +aS'easily\teasily\tRB\tB-ADVP\tO' +p132962 +aS',\t,\t,\tO\tO' +p132963 +aS'in\tin\tIN\tB-PP\tO' +p132964 +aS'no\tno\tDT\tB-NP\tO' +p132965 +aS'acute\tacute\tJJ\tI-NP\tO' +p132966 +aS'distress\tdistress\tNN\tI-NP\tO' +p132967 +aS'.\t.\t.\tO\tO' +p132968 +asS'On postoperative day two , he continued to convalesce as planned .' +p132969 +(lp132970 +S'On\tOn\tIN\tB-PP\tO' +p132971 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p132972 +aS'day\tday\tNN\tI-NP\tO' +p132973 +aS'two\ttwo\tCD\tI-NP\tO' +p132974 +aS',\t,\t,\tO\tO' +p132975 +aS'he\the\tPRP\tB-NP\tO' +p132976 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p132977 +aS'to\tto\tTO\tI-VP\tO' +p132978 +aS'convalesce\tconvalesce\tVB\tI-VP\tO' +p132979 +aS'as\tas\tIN\tB-SBAR\tO' +p132980 +aS'planned\tplan\tVBN\tB-VP\tO' +p132981 +aS'.\t.\t.\tO\tO' +p132982 +asS'She also complained of some slight dizziness upon getting up .' +p132983 +(lp132984 +S'She\tShe\tPRP\tB-NP\tO' +p132985 +aS'also\talso\tRB\tB-ADVP\tO' +p132986 +aS'complained\tcomplain\tVBD\tB-VP\tO' +p132987 +aS'of\tof\tIN\tB-PP\tO' +p132988 +aS'some\tsome\tDT\tB-NP\tO' +p132989 +aS'slight\tslight\tJJ\tI-NP\tO' +p132990 +aS'dizziness\tdizziness\tNN\tI-NP\tO' +p132991 +aS'upon\tupon\tIN\tB-PP\tO' +p132992 +aS'getting\tget\tVBG\tB-VP\tO' +p132993 +aS'up\tup\tRP\tB-PRT\tO' +p132994 +aS'.\t.\t.\tO\tO' +p132995 +asS'Captopril 6.2 3 x a day and titrated up .' +p132996 +(lp132997 +S'Captopril\tCaptopril\tNNP\tB-NP\tO' +p132998 +aS'6.2\t6.2\tCD\tI-NP\tO' +p132999 +aS'3\t3\tCD\tI-NP\tO' +p133000 +aS'x\tx\tNN\tI-NP\tO' +p133001 +aS'a\ta\tDT\tB-NP\tO' +p133002 +aS'day\tday\tNN\tI-NP\tO' +p133003 +aS'and\tand\tCC\tO\tO' +p133004 +aS'titrated\ttitrate\tVBN\tB-VP\tO' +p133005 +aS'up\tup\tRP\tB-PRT\tO' +p133006 +aS'.\t.\t.\tO\tO' +p133007 +asS'No ethanol use .' +p133008 +(lp133009 +S'No\tNo\tDT\tB-NP\tO' +p133010 +aS'ethanol\tethanol\tNN\tI-NP\tO' +p133011 +aS'use\tuse\tNN\tI-NP\tO' +p133012 +aS'.\t.\t.\tO\tO' +p133013 +asS'She is to have follow up with Dr. Bloomfield in one month , and follow up in the Wound Clinic in two' +p133014 +(lp133015 +S'She\tShe\tPRP\tB-NP\tO' +p133016 +aS'is\tbe\tVBZ\tB-VP\tO' +p133017 +aS'to\tto\tTO\tI-VP\tO' +p133018 +aS'have\thave\tVB\tI-VP\tO' +p133019 +aS'follow\tfollow\tVB\tI-VP\tO' +p133020 +aS'up\tup\tRP\tB-PRT\tO' +p133021 +aS'with\twith\tIN\tB-PP\tO' +p133022 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p133023 +aS'Bloomfield\tBloomfield\tNNP\tI-NP\tO' +p133024 +aS'in\tin\tIN\tB-PP\tO' +p133025 +aS'one\tone\tCD\tB-NP\tO' +p133026 +aS'month\tmonth\tNN\tI-NP\tO' +p133027 +aS',\t,\t,\tO\tO' +p133028 +aS'and\tand\tCC\tO\tO' +p133029 +aS'follow\tfollow\tVB\tB-VP\tO' +p133030 +aS'up\tup\tRP\tB-PRT\tO' +p133031 +aS'in\tin\tIN\tB-PP\tO' +p133032 +aS'the\tthe\tDT\tB-NP\tO' +p133033 +aS'Wound\tWound\tNNP\tI-NP\tO' +p133034 +aS'Clinic\tClinic\tNNP\tI-NP\tO' +p133035 +aS'in\tin\tIN\tB-PP\tO' +p133036 +aS'two\ttwo\tCD\tB-NP\tO' +p133037 +asS'Now pt lethargic and min responsive .' +p133038 +(lp133039 +S'Now\tNow\tRB\tB-ADVP\tO' +p133040 +aS'pt\tpt\tVB\tB-VP\tO' +p133041 +aS'lethargic\tlethargic\tJJ\tB-NP\tO' +p133042 +aS'and\tand\tCC\tI-NP\tO' +p133043 +aS'min\tmin\tNN\tI-NP\tO' +p133044 +aS'responsive\tresponsive\tJJ\tB-ADJP\tO' +p133045 +aS'.\t.\t.\tO\tO' +p133046 +asS'The patient went to the cardiac Intensive Care Unit on the West Campus postoperatively .' +p133047 +(lp133048 +S'The\tThe\tDT\tB-NP\tO' +p133049 +aS'patient\tpatient\tNN\tI-NP\tO' +p133050 +aS'went\tgo\tVBD\tB-VP\tO' +p133051 +aS'to\tto\tTO\tB-PP\tO' +p133052 +aS'the\tthe\tDT\tB-NP\tO' +p133053 +aS'cardiac\tcardiac\tJJ\tI-NP\tB-DNA' +p133054 +aS'Intensive\tIntensive\tJJ\tI-NP\tI-DNA' +p133055 +aS'Care\tCare\tNNP\tI-NP\tI-DNA' +p133056 +aS'Unit\tUnit\tNNP\tI-NP\tI-DNA' +p133057 +aS'on\ton\tIN\tB-PP\tO' +p133058 +aS'the\tthe\tDT\tB-NP\tO' +p133059 +aS'West\tWest\tNNP\tI-NP\tO' +p133060 +aS'Campus\tCampus\tNNP\tI-NP\tO' +p133061 +aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' +p133062 +aS'.\t.\t.\tO\tO' +p133063 +asS'The patient presented with a chief complaint of EPIGASTRIC PAIN / ABD PAIN .' +p133064 +(lp133065 +S'The\tThe\tDT\tB-NP\tO' +p133066 +aS'patient\tpatient\tNN\tI-NP\tO' +p133067 +aS'presented\tpresent\tVBD\tB-VP\tO' +p133068 +aS'with\twith\tIN\tB-PP\tO' +p133069 +aS'a\ta\tDT\tB-NP\tO' +p133070 +aS'chief\tchief\tJJ\tI-NP\tO' +p133071 +aS'complaint\tcomplaint\tNN\tI-NP\tO' +p133072 +aS'of\tof\tIN\tB-PP\tO' +p133073 +aS'EPIGASTRIC\tEPIGASTRIC\tNN\tB-NP\tB-protein' +p133074 +aS'PAIN\tPAIN\tNN\tI-NP\tI-protein' +p133075 +aS'/\t/\tSYM\tB-NP\tO' +p133076 +aS'ABD\tABD\tNN\tI-NP\tO' +p133077 +aS'PAIN\tPAIN\tNN\tI-NP\tO' +p133078 +aS'.\t.\t.\tO\tO' +p133079 +asS"At the time of this dictation , the patient 's physical examination is as follows : Vital signs were temperature 99 , heart rate 84 in sinus rhythm , blood pressure was 114/63 , Respiratory rate was 18 , O2 sat was 94 percent on room air ." +p133080 +(lp133081 +S'At\tAt\tIN\tB-PP\tO' +p133082 +aS'the\tthe\tDT\tB-NP\tO' +p133083 +aS'time\ttime\tNN\tI-NP\tO' +p133084 +aS'of\tof\tIN\tB-PP\tO' +p133085 +aS'this\tthis\tDT\tB-NP\tO' +p133086 +aS'dictation\tdictation\tNN\tI-NP\tO' +p133087 +aS',\t,\t,\tO\tO' +p133088 +aS'the\tthe\tDT\tB-NP\tO' +p133089 +aS'patient\tpatient\tNN\tI-NP\tO' +p133090 +aS"'s\t's\tPOS\tB-NP\tO" +p133091 +aS'physical\tphysical\tJJ\tI-NP\tO' +p133092 +aS'examination\texamination\tNN\tI-NP\tO' +p133093 +aS'is\tbe\tVBZ\tB-VP\tO' +p133094 +aS'as\tas\tIN\tB-SBAR\tO' +p133095 +aS'follows\tfollow\tVBZ\tB-VP\tO' +p133096 +aS':\t:\t:\tO\tO' +p133097 +aS'Vital\tVital\tJJ\tB-NP\tO' +p133098 +aS'signs\tsign\tNNS\tI-NP\tO' +p133099 +aS'were\tbe\tVBD\tB-VP\tO' +p133100 +aS'temperature\ttemperature\tNN\tB-NP\tO' +p133101 +aS'99\t99\tCD\tI-NP\tO' +p133102 +aS',\t,\t,\tO\tO' +p133103 +aS'heart\theart\tNN\tB-NP\tO' +p133104 +aS'rate\trate\tNN\tI-NP\tO' +p133105 +aS'84\t84\tCD\tI-NP\tO' +p133106 +aS'in\tin\tIN\tB-PP\tO' +p133107 +aS'sinus\tsinus\tNN\tB-NP\tO' +p133108 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p133109 +aS',\t,\t,\tO\tO' +p133110 +aS'blood\tblood\tNN\tB-NP\tO' +p133111 +aS'pressure\tpressure\tNN\tI-NP\tO' +p133112 +aS'was\tbe\tVBD\tB-VP\tO' +p133113 +aS'114/63\t114/63\tCD\tB-NP\tO' +p133114 +aS',\t,\t,\tO\tO' +p133115 +aS'Respiratory\tRespiratory\tJJ\tB-NP\tO' +p133116 +aS'rate\trate\tNN\tI-NP\tO' +p133117 +aS'was\tbe\tVBD\tB-VP\tO' +p133118 +aS'18\t18\tCD\tB-NP\tO' +p133119 +aS',\t,\t,\tO\tO' +p133120 +aS'O2\tO2\tNN\tB-NP\tO' +p133121 +aS'sat\tsit\tVBD\tB-VP\tO' +p133122 +aS'was\tbe\tVBD\tB-VP\tO' +p133123 +aS'94\t94\tCD\tB-NP\tO' +p133124 +aS'percent\tpercent\tNN\tI-NP\tO' +p133125 +aS'on\ton\tIN\tB-PP\tO' +p133126 +aS'room\troom\tNN\tB-NP\tO' +p133127 +aS'air\tair\tNN\tI-NP\tO' +p133128 +aS'.\t.\t.\tO\tO' +p133129 +asS'His heart was regular with a normal S1 and S2 .' +p133130 +(lp133131 +S'His\tHis\tPRP$\tB-NP\tO' +p133132 +aS'heart\theart\tNN\tI-NP\tO' +p133133 +aS'was\tbe\tVBD\tB-VP\tO' +p133134 +aS'regular\tregular\tJJ\tB-ADJP\tO' +p133135 +aS'with\twith\tIN\tB-PP\tO' +p133136 +aS'a\ta\tDT\tB-NP\tO' +p133137 +aS'normal\tnormal\tJJ\tI-NP\tO' +p133138 +aS'S1\tS1\tNN\tI-NP\tB-protein' +p133139 +aS'and\tand\tCC\tI-NP\tO' +p133140 +aS'S2\tS2\tNN\tI-NP\tB-protein' +p133141 +aS'.\t.\t.\tO\tO' +p133142 +asS'On March 3 , 1994 , a repeat chest and abdominal and pelvis computerized tomography scan showed no evidence of fluid collections .' +p133143 +(lp133144 +S'On\tOn\tIN\tB-PP\tO' +p133145 +aS'March\tMarch\tNNP\tB-NP\tO' +p133146 +aS'3\t3\tCD\tI-NP\tO' +p133147 +aS',\t,\t,\tI-NP\tO' +p133148 +aS'1994\t1994\tCD\tI-NP\tO' +p133149 +aS',\t,\t,\tO\tO' +p133150 +aS'a\ta\tDT\tB-NP\tO' +p133151 +aS'repeat\trepeat\tNN\tI-NP\tO' +p133152 +aS'chest\tchest\tNN\tI-NP\tO' +p133153 +aS'and\tand\tCC\tO\tO' +p133154 +aS'abdominal\tabdominal\tNN\tB-NP\tO' +p133155 +aS'and\tand\tCC\tI-NP\tO' +p133156 +aS'pelvis\tpelvis\tNN\tI-NP\tO' +p133157 +aS'computerized\tcomputerize\tVBD\tB-VP\tO' +p133158 +aS'tomography\ttomography\tNN\tB-NP\tO' +p133159 +aS'scan\tscan\tNN\tI-NP\tO' +p133160 +aS'showed\tshow\tVBD\tB-VP\tO' +p133161 +aS'no\tno\tDT\tB-NP\tO' +p133162 +aS'evidence\tevidence\tNN\tI-NP\tO' +p133163 +aS'of\tof\tIN\tB-PP\tO' +p133164 +aS'fluid\tfluid\tNN\tB-NP\tO' +p133165 +aS'collections\tcollection\tNNS\tI-NP\tO' +p133166 +aS'.\t.\t.\tO\tO' +p133167 +asS'In addition , she will take Valganciclovir for three months posttransplant .' +p133168 +(lp133169 +S'In\tIn\tIN\tB-PP\tO' +p133170 +aS'addition\taddition\tNN\tB-NP\tO' +p133171 +aS',\t,\t,\tO\tO' +p133172 +aS'she\tshe\tPRP\tB-NP\tO' +p133173 +aS'will\twill\tMD\tB-VP\tO' +p133174 +aS'take\ttake\tVB\tI-VP\tO' +p133175 +aS'Valganciclovir\tValganciclovir\tNNP\tB-NP\tO' +p133176 +aS'for\tfor\tIN\tB-PP\tO' +p133177 +aS'three\tthree\tCD\tB-NP\tO' +p133178 +aS'months\tmonth\tNNS\tI-NP\tO' +p133179 +aS'posttransplant\tposttransplant\tNN\tI-NP\tO' +p133180 +aS'.\t.\t.\tO\tO' +p133181 +asS'In general , the patient was alert and oriented times three .' +p133182 +(lp133183 +S'In\tIn\tIN\tB-PP\tO' +p133184 +aS'general\tgeneral\tJJ\tB-ADJP\tO' +p133185 +aS',\t,\t,\tO\tO' +p133186 +aS'the\tthe\tDT\tB-NP\tO' +p133187 +aS'patient\tpatient\tNN\tI-NP\tO' +p133188 +aS'was\tbe\tVBD\tB-VP\tO' +p133189 +aS'alert\talert\tJJ\tB-ADJP\tO' +p133190 +aS'and\tand\tCC\tO\tO' +p133191 +aS'oriented\torient\tVBN\tB-VP\tO' +p133192 +aS'times\ttime\tNNS\tB-NP\tO' +p133193 +aS'three\tthree\tCD\tB-NP\tO' +p133194 +aS'.\t.\t.\tO\tO' +p133195 +asS'By 2010-02-06 , which would correlate with hospital day number two , the patient had no complaints except for some small frontal pressure in the region of where the bleed had been localized on the right side .' +p133196 +(lp133197 +S'By\tBy\tIN\tB-PP\tO' +p133198 +aS'2010-02-06\t2010-02-06\tCD\tB-NP\tO' +p133199 +aS',\t,\t,\tO\tO' +p133200 +aS'which\twhich\tWDT\tB-NP\tO' +p133201 +aS'would\twould\tMD\tB-VP\tO' +p133202 +aS'correlate\tcorrelate\tVB\tI-VP\tO' +p133203 +aS'with\twith\tIN\tB-PP\tO' +p133204 +aS'hospital\thospital\tNN\tB-NP\tO' +p133205 +aS'day\tday\tNN\tI-NP\tO' +p133206 +aS'number\tnumber\tNN\tI-NP\tO' +p133207 +aS'two\ttwo\tCD\tB-NP\tO' +p133208 +aS',\t,\t,\tO\tO' +p133209 +aS'the\tthe\tDT\tB-NP\tO' +p133210 +aS'patient\tpatient\tNN\tI-NP\tO' +p133211 +aS'had\thave\tVBD\tB-VP\tO' +p133212 +aS'no\tno\tDT\tB-NP\tO' +p133213 +aS'complaints\tcomplaint\tNNS\tI-NP\tO' +p133214 +aS'except\texcept\tIN\tB-PP\tO' +p133215 +aS'for\tfor\tIN\tB-PP\tO' +p133216 +aS'some\tsome\tDT\tB-NP\tO' +p133217 +aS'small\tsmall\tJJ\tI-NP\tO' +p133218 +aS'frontal\tfrontal\tJJ\tI-NP\tO' +p133219 +aS'pressure\tpressure\tNN\tI-NP\tO' +p133220 +aS'in\tin\tIN\tB-PP\tO' +p133221 +aS'the\tthe\tDT\tB-NP\tO' +p133222 +aS'region\tregion\tNN\tI-NP\tO' +p133223 +aS'of\tof\tIN\tB-PP\tO' +p133224 +aS'where\twhere\tWRB\tB-ADVP\tO' +p133225 +aS'the\tthe\tDT\tB-NP\tO' +p133226 +aS'bleed\tbleed\tNN\tI-NP\tO' +p133227 +aS'had\thave\tVBD\tB-VP\tO' +p133228 +aS'been\tbe\tVBN\tI-VP\tO' +p133229 +aS'localized\tlocalize\tVBN\tI-VP\tO' +p133230 +aS'on\ton\tIN\tB-PP\tO' +p133231 +aS'the\tthe\tDT\tB-NP\tO' +p133232 +aS'right\tright\tJJ\tI-NP\tO' +p133233 +aS'side\tside\tNN\tI-NP\tO' +p133234 +aS'.\t.\t.\tO\tO' +p133235 +asS'Please follow up with Dr. Cynthia Kabzinski ( 672-3879 ) on 2017-08-08' +p133236 +(lp133237 +S'Please\tPlease\tVB\tB-VP\tO' +p133238 +aS'follow\tfollow\tVB\tI-VP\tO' +p133239 +aS'up\tup\tRP\tB-PRT\tO' +p133240 +aS'with\twith\tIN\tB-PP\tO' +p133241 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p133242 +aS'Cynthia\tCynthia\tNNP\tI-NP\tO' +p133243 +aS'Kabzinski\tKabzinski\tNNP\tI-NP\tO' +p133244 +aS'(\t(\t(\tO\tO' +p133245 +aS'672-3879\t672-3879\tCD\tB-NP\tO' +p133246 +aS')\t)\t)\tO\tO' +p133247 +aS'on\ton\tIN\tB-PP\tO' +p133248 +aS'2017-08-08\t2017-08-08\tCD\tB-NP\tO' +p133249 +asS'3. history of slowness of gait , ? parkinsons ? and possibly dementia followed by Dr. Ahern ( Laurence Eichorn ).' +p133250 +(lp133251 +S'3.\t3.\tLS\tB-LST\tO' +p133252 +aS'history\thistory\tNN\tB-NP\tO' +p133253 +aS'of\tof\tIN\tB-PP\tO' +p133254 +aS'slowness\tslowness\tNN\tB-NP\tO' +p133255 +aS'of\tof\tIN\tB-PP\tO' +p133256 +aS'gait\tgait\tNN\tB-NP\tO' +p133257 +aS',\t,\t,\tO\tO' +p133258 +aS'?\t?\t.\tO\tO' +p133259 +aS'parkinsons\tparkinson\tNNS\tB-NP\tO' +p133260 +aS'?\t?\t.\tO\tO' +p133261 +aS'and\tand\tCC\tO\tO' +p133262 +aS'possibly\tpossibly\tRB\tB-ADVP\tO' +p133263 +aS'dementia\tdementia\tNN\tB-NP\tO' +p133264 +aS'followed\tfollow\tVBN\tB-VP\tO' +p133265 +aS'by\tby\tIN\tB-PP\tO' +p133266 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p133267 +aS'Ahern\tAhern\tNNP\tI-NP\tO' +p133268 +aS'(\t(\t(\tO\tO' +p133269 +aS'Laurence\tLaurence\tNNP\tB-NP\tO' +p133270 +aS'Eichorn\tEichorn\tNNP\tI-NP\tO' +p133271 +aS').\t).\tNNP\tI-NP\tO' +p133272 +asS'Atenolol 50 mg. qday .' +p133273 +(lp133274 +S'Atenolol\tAtenolol\tNN\tB-NP\tO' +p133275 +aS'50\t50\tCD\tI-NP\tO' +p133276 +aS'mg.\tmg.\tNN\tI-NP\tO' +p133277 +aS'qday\tqday\tNN\tI-NP\tO' +p133278 +aS'.\t.\t.\tO\tO' +p133279 +asS'After consultation with Cardiology as well as Anesthesia on call that evening , it was decided to transfer the patient to the ICU for intensive monitoring .' +p133280 +(lp133281 +S'After\tAfter\tIN\tB-PP\tO' +p133282 +aS'consultation\tconsultation\tNN\tB-NP\tO' +p133283 +aS'with\twith\tIN\tB-PP\tO' +p133284 +aS'Cardiology\tCardiology\tNNP\tB-NP\tO' +p133285 +aS'as\tas\tRB\tB-CONJP\tO' +p133286 +aS'well\twell\tRB\tI-CONJP\tO' +p133287 +aS'as\tas\tIN\tI-CONJP\tO' +p133288 +aS'Anesthesia\tAnesthesia\tNNP\tB-NP\tO' +p133289 +aS'on\ton\tIN\tB-PP\tO' +p133290 +aS'call\tcall\tNN\tB-NP\tO' +p133291 +aS'that\tthat\tIN\tB-NP\tO' +p133292 +aS'evening\tevening\tNN\tB-NP\tO' +p133293 +aS',\t,\t,\tO\tO' +p133294 +aS'it\tit\tPRP\tB-NP\tO' +p133295 +aS'was\tbe\tVBD\tB-VP\tO' +p133296 +aS'decided\tdecide\tVBN\tI-VP\tO' +p133297 +aS'to\tto\tTO\tI-VP\tO' +p133298 +aS'transfer\ttransfer\tVB\tI-VP\tO' +p133299 +aS'the\tthe\tDT\tB-NP\tO' +p133300 +aS'patient\tpatient\tNN\tI-NP\tO' +p133301 +aS'to\tto\tTO\tB-PP\tO' +p133302 +aS'the\tthe\tDT\tB-NP\tO' +p133303 +aS'ICU\tICU\tNN\tI-NP\tO' +p133304 +aS'for\tfor\tIN\tB-PP\tO' +p133305 +aS'intensive\tintensive\tJJ\tB-NP\tO' +p133306 +aS'monitoring\tmonitoring\tNN\tI-NP\tO' +p133307 +aS'.\t.\t.\tO\tO' +p133308 +asS'3. Potassium chloride 20 mEq p.o. q. 12 hours times seven days .' +p133309 +(lp133310 +S'3.\t3.\tLS\tB-NP\tO' +p133311 +aS'Potassium\tPotassium\tNN\tI-NP\tO' +p133312 +aS'chloride\tchloride\tNN\tI-NP\tO' +p133313 +aS'20\t20\tCD\tI-NP\tO' +p133314 +aS'mEq\tmEq\tNN\tI-NP\tO' +p133315 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p133316 +aS'q.\tq.\tNN\tI-NP\tO' +p133317 +aS'12\t12\tCD\tB-NP\tO' +p133318 +aS'hours\thour\tNNS\tI-NP\tO' +p133319 +aS'times\ttimes\tCC\tO\tO' +p133320 +aS'seven\tseven\tCD\tB-NP\tO' +p133321 +aS'days\tday\tNNS\tI-NP\tO' +p133322 +aS'.\t.\t.\tO\tO' +p133323 +asS'He required elevated ventilatory pressures with PIPS often above 60 .' +p133324 +(lp133325 +S'He\tHe\tPRP\tB-NP\tO' +p133326 +aS'required\trequire\tVBD\tB-VP\tO' +p133327 +aS'elevated\televated\tJJ\tB-NP\tO' +p133328 +aS'ventilatory\tventilatory\tJJ\tI-NP\tO' +p133329 +aS'pressures\tpressure\tNNS\tI-NP\tO' +p133330 +aS'with\twith\tIN\tB-PP\tO' +p133331 +aS'PIPS\tPIPS\tNN\tB-NP\tB-protein' +p133332 +aS'often\toften\tRB\tB-ADVP\tO' +p133333 +aS'above\tabove\tIN\tB-PP\tO' +p133334 +aS'60\t60\tCD\tB-NP\tO' +p133335 +aS'.\t.\t.\tO\tO' +p133336 +asS'She was unable to sleep at night , often pacing the halls .' +p133337 +(lp133338 +S'She\tShe\tPRP\tB-NP\tO' +p133339 +aS'was\tbe\tVBD\tB-VP\tO' +p133340 +aS'unable\tunable\tJJ\tB-ADJP\tO' +p133341 +aS'to\tto\tTO\tB-VP\tO' +p133342 +aS'sleep\tsleep\tVB\tI-VP\tO' +p133343 +aS'at\tat\tIN\tB-PP\tO' +p133344 +aS'night\tnight\tNN\tB-NP\tO' +p133345 +aS',\t,\t,\tO\tO' +p133346 +aS'often\toften\tRB\tB-ADVP\tO' +p133347 +aS'pacing\tpace\tVBG\tB-VP\tO' +p133348 +aS'the\tthe\tDT\tB-NP\tO' +p133349 +aS'halls\thall\tNNS\tI-NP\tO' +p133350 +aS'.\t.\t.\tO\tO' +p133351 +asS'3. CV -The pt has a small area of reversible ischemia on recent MIBI , and has troponins persistently elevated in the setting of his renal disease .' +p133352 +(lp133353 +S'3.\t3.\tLS\tB-NP\tO' +p133354 +aS'CV\tCV\tNN\tI-NP\tO' +p133355 +aS'-The\t-The\tNN\tI-NP\tO' +p133356 +aS'pt\tpt\tNN\tI-NP\tO' +p133357 +aS'has\thave\tVBZ\tB-VP\tO' +p133358 +aS'a\ta\tDT\tB-NP\tO' +p133359 +aS'small\tsmall\tJJ\tI-NP\tO' +p133360 +aS'area\tarea\tNN\tI-NP\tO' +p133361 +aS'of\tof\tIN\tB-PP\tO' +p133362 +aS'reversible\treversible\tJJ\tB-NP\tO' +p133363 +aS'ischemia\tischemia\tNN\tI-NP\tO' +p133364 +aS'on\ton\tIN\tB-PP\tO' +p133365 +aS'recent\trecent\tJJ\tB-NP\tO' +p133366 +aS'MIBI\tMIBI\tNN\tI-NP\tO' +p133367 +aS',\t,\t,\tO\tO' +p133368 +aS'and\tand\tCC\tO\tO' +p133369 +aS'has\thave\tVBZ\tB-VP\tO' +p133370 +aS'troponins\ttroponin\tNNS\tB-NP\tO' +p133371 +aS'persistently\tpersistently\tRB\tB-ADJP\tO' +p133372 +aS'elevated\televated\tJJ\tI-ADJP\tO' +p133373 +aS'in\tin\tIN\tB-PP\tO' +p133374 +aS'the\tthe\tDT\tB-NP\tO' +p133375 +aS'setting\tsetting\tNN\tI-NP\tO' +p133376 +aS'of\tof\tIN\tB-PP\tO' +p133377 +aS'his\this\tPRP$\tB-NP\tO' +p133378 +aS'renal\trenal\tJJ\tI-NP\tO' +p133379 +aS'disease\tdisease\tNN\tI-NP\tO' +p133380 +aS'.\t.\t.\tO\tO' +p133381 +asS'Pt was subsequently transferred to Hallmark Health System for orthopaedic evaluation .' +p133382 +(lp133383 +S'Pt\tPt\tNN\tB-NP\tO' +p133384 +aS'was\tbe\tVBD\tB-VP\tO' +p133385 +aS'subsequently\tsubsequently\tRB\tI-VP\tO' +p133386 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p133387 +aS'to\tto\tTO\tB-PP\tO' +p133388 +aS'Hallmark\tHallmark\tNNP\tB-NP\tO' +p133389 +aS'Health\tHealth\tNNP\tI-NP\tO' +p133390 +aS'System\tSystem\tNNP\tI-NP\tO' +p133391 +aS'for\tfor\tIN\tB-PP\tO' +p133392 +aS'orthopaedic\torthopaedic\tJJ\tB-NP\tO' +p133393 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p133394 +aS'.\t.\t.\tO\tO' +p133395 +asS'Regular rhythm , tachycardia , no murmurs , no JVD .' +p133396 +(lp133397 +S'Regular\tRegular\tJJ\tB-NP\tO' +p133398 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p133399 +aS',\t,\t,\tO\tO' +p133400 +aS'tachycardia\ttachycardia\tNN\tB-NP\tO' +p133401 +aS',\t,\t,\tO\tO' +p133402 +aS'no\tno\tDT\tB-NP\tO' +p133403 +aS'murmurs\tmurmur\tNNS\tI-NP\tO' +p133404 +aS',\t,\t,\tO\tO' +p133405 +aS'no\tno\tDT\tB-NP\tO' +p133406 +aS'JVD\tJVD\tNN\tI-NP\tB-protein' +p133407 +aS'.\t.\t.\tO\tO' +p133408 +asS'Rectal revealed normal muscle tone , heme negative stool .' +p133409 +(lp133410 +S'Rectal\tRectal\tJJ\tB-NP\tO' +p133411 +aS'revealed\treveal\tVBD\tB-VP\tO' +p133412 +aS'normal\tnormal\tJJ\tB-NP\tO' +p133413 +aS'muscle\tmuscle\tNN\tI-NP\tO' +p133414 +aS'tone\ttone\tNN\tI-NP\tO' +p133415 +aS',\t,\t,\tO\tO' +p133416 +aS'heme\theme\tNN\tB-NP\tO' +p133417 +aS'negative\tnegative\tJJ\tI-NP\tO' +p133418 +aS'stool\tstool\tNN\tI-NP\tO' +p133419 +aS'.\t.\t.\tO\tO' +p133420 +asS'Troponin was 0.2 .' +p133421 +(lp133422 +S'Troponin\tTroponin\tNN\tB-NP\tB-protein' +p133423 +aS'was\tbe\tVBD\tB-VP\tO' +p133424 +aS'0.2\t0.2\tCD\tB-NP\tO' +p133425 +aS'.\t.\t.\tO\tO' +p133426 +asS'It was unclear whether this was due to superficial tenderness or abdominal tenderness .' +p133427 +(lp133428 +S'It\tIt\tPRP\tB-NP\tO' +p133429 +aS'was\tbe\tVBD\tB-VP\tO' +p133430 +aS'unclear\tunclear\tJJ\tB-ADJP\tO' +p133431 +aS'whether\twhether\tIN\tB-SBAR\tO' +p133432 +aS'this\tthis\tDT\tB-NP\tO' +p133433 +aS'was\tbe\tVBD\tB-VP\tO' +p133434 +aS'due\tdue\tJJ\tB-ADJP\tO' +p133435 +aS'to\tto\tTO\tB-PP\tO' +p133436 +aS'superficial\tsuperficial\tJJ\tB-NP\tO' +p133437 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p133438 +aS'or\tor\tCC\tO\tO' +p133439 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p133440 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p133441 +aS'.\t.\t.\tO\tO' +p133442 +asS'She was started on the MUST protocol with high dose steroids as well and a goal SVO2 >70% .' +p133443 +(lp133444 +S'She\tShe\tPRP\tB-NP\tO' +p133445 +aS'was\tbe\tVBD\tB-VP\tO' +p133446 +aS'started\tstart\tVBN\tI-VP\tO' +p133447 +aS'on\ton\tIN\tB-PP\tO' +p133448 +aS'the\tthe\tDT\tB-NP\tO' +p133449 +aS'MUST\tMUST\tNN\tI-NP\tO' +p133450 +aS'protocol\tprotocol\tNN\tI-NP\tO' +p133451 +aS'with\twith\tIN\tB-PP\tO' +p133452 +aS'high\thigh\tJJ\tB-NP\tO' +p133453 +aS'dose\tdose\tNN\tI-NP\tO' +p133454 +aS'steroids\tsteroid\tNNS\tI-NP\tO' +p133455 +aS'as\tas\tRB\tB-ADVP\tO' +p133456 +aS'well\twell\tRB\tI-ADVP\tO' +p133457 +aS'and\tand\tCC\tO\tO' +p133458 +aS'a\ta\tDT\tB-NP\tO' +p133459 +aS'goal\tgoal\tJJ\tI-NP\tB-protein' +p133460 +aS'SVO2\tSVO2\tNN\tI-NP\tI-protein' +p133461 +aS'>70%\t>70%\tNN\tI-NP\tI-protein' +p133462 +aS'.\t.\t.\tO\tO' +p133463 +asS'He is married and lives with his wife .' +p133464 +(lp133465 +S'He\tHe\tPRP\tB-NP\tO' +p133466 +aS'is\tbe\tVBZ\tB-VP\tO' +p133467 +aS'married\tmarried\tJJ\tB-ADJP\tO' +p133468 +aS'and\tand\tCC\tO\tO' +p133469 +aS'lives\tlive\tVBZ\tB-VP\tO' +p133470 +aS'with\twith\tIN\tB-PP\tO' +p133471 +aS'his\this\tPRP$\tB-NP\tO' +p133472 +aS'wife\twife\tNN\tI-NP\tO' +p133473 +aS'.\t.\t.\tO\tO' +p133474 +asS'Neurologic examination - alert and oriented x 3 , slurred and slow speech , distractable .' +p133475 +(lp133476 +S'Neurologic\tNeurologic\tJJ\tB-NP\tO' +p133477 +aS'examination\texamination\tNN\tI-NP\tO' +p133478 +aS'-\t-\tHYPH\tB-VP\tO' +p133479 +aS'alert\talert\tJJ\tB-ADJP\tO' +p133480 +aS'and\tand\tCC\tO\tO' +p133481 +aS'oriented\torient\tVBN\tB-VP\tO' +p133482 +aS'x\tx\tNN\tB-NP\tO' +p133483 +aS'3\t3\tCD\tI-NP\tO' +p133484 +aS',\t,\t,\tO\tO' +p133485 +aS'slurred\tslur\tVBD\tB-VP\tO' +p133486 +aS'and\tand\tCC\tO\tO' +p133487 +aS'slow\tslow\tJJ\tB-NP\tO' +p133488 +aS'speech\tspeech\tNN\tI-NP\tO' +p133489 +aS',\t,\t,\tO\tO' +p133490 +aS'distractable\tdistractable\tJJ\tB-ADJP\tO' +p133491 +aS'.\t.\t.\tO\tO' +p133492 +asS'The ventricles , cisterns and sulci are normal .' +p133493 +(lp133494 +S'The\tThe\tDT\tB-NP\tO' +p133495 +aS'ventricles\tventricle\tNNS\tI-NP\tO' +p133496 +aS',\t,\t,\tI-NP\tO' +p133497 +aS'cisterns\tcistern\tNNS\tI-NP\tO' +p133498 +aS'and\tand\tCC\tI-NP\tO' +p133499 +aS'sulci\tsulcus\tNNS\tI-NP\tO' +p133500 +aS'are\tbe\tVBP\tB-VP\tO' +p133501 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p133502 +aS'.\t.\t.\tO\tO' +p133503 +asS'I would be happy to answer any questions .' +p133504 +(lp133505 +S'I\tI\tPRP\tB-NP\tO' +p133506 +aS'would\twould\tMD\tB-VP\tO' +p133507 +aS'be\tbe\tVB\tI-VP\tO' +p133508 +aS'happy\thappy\tJJ\tB-ADJP\tO' +p133509 +aS'to\tto\tTO\tB-VP\tO' +p133510 +aS'answer\tanswer\tVB\tI-VP\tO' +p133511 +aS'any\tany\tDT\tB-NP\tO' +p133512 +aS'questions\tquestion\tNNS\tI-NP\tO' +p133513 +aS'.\t.\t.\tO\tO' +p133514 +asS'He was seen in consultation by the GI Service and the Liver Transplantation Service .' +p133515 +(lp133516 +S'He\tHe\tPRP\tB-NP\tO' +p133517 +aS'was\tbe\tVBD\tB-VP\tO' +p133518 +aS'seen\tsee\tVBN\tI-VP\tO' +p133519 +aS'in\tin\tIN\tB-PP\tO' +p133520 +aS'consultation\tconsultation\tNN\tB-NP\tO' +p133521 +aS'by\tby\tIN\tB-PP\tO' +p133522 +aS'the\tthe\tDT\tB-NP\tO' +p133523 +aS'GI\tGI\tNNP\tI-NP\tO' +p133524 +aS'Service\tService\tNNP\tI-NP\tO' +p133525 +aS'and\tand\tCC\tO\tO' +p133526 +aS'the\tthe\tDT\tB-NP\tO' +p133527 +aS'Liver\tLiver\tNNP\tI-NP\tO' +p133528 +aS'Transplantation\tTransplantation\tNNP\tI-NP\tO' +p133529 +aS'Service\tService\tNNP\tI-NP\tO' +p133530 +aS'.\t.\t.\tO\tO' +p133531 +asS'His post-operative course was complicated by an E. coli urinary tract infection and transient acute renal failure with increasing creatinine .' +p133532 +(lp133533 +S'His\tHis\tPRP$\tB-NP\tO' +p133534 +aS'post-operative\tpost-operative\tJJ\tI-NP\tO' +p133535 +aS'course\tcourse\tNN\tI-NP\tO' +p133536 +aS'was\tbe\tVBD\tB-VP\tO' +p133537 +aS'complicated\tcomplicate\tVBN\tI-VP\tO' +p133538 +aS'by\tby\tIN\tB-PP\tO' +p133539 +aS'an\tan\tDT\tB-NP\tO' +p133540 +aS'E.\tE.\tFW\tI-NP\tO' +p133541 +aS'coli\tcoli\tFW\tI-NP\tO' +p133542 +aS'urinary\turinary\tJJ\tI-NP\tO' +p133543 +aS'tract\ttract\tNN\tI-NP\tO' +p133544 +aS'infection\tinfection\tNN\tI-NP\tO' +p133545 +aS'and\tand\tCC\tO\tO' +p133546 +aS'transient\ttransient\tJJ\tB-NP\tO' +p133547 +aS'acute\tacute\tJJ\tI-NP\tO' +p133548 +aS'renal\trenal\tJJ\tI-NP\tO' +p133549 +aS'failure\tfailure\tNN\tI-NP\tO' +p133550 +aS'with\twith\tIN\tB-PP\tO' +p133551 +aS'increasing\tincrease\tVBG\tB-NP\tO' +p133552 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p133553 +aS'.\t.\t.\tO\tO' +p133554 +asS'Apparently she has a long history of seizure disorder , possibly from a history of traumatic brain injury ( though per Dr. Paula ,' +p133555 +(lp133556 +S'Apparently\tApparently\tRB\tB-ADVP\tO' +p133557 +aS'she\tshe\tPRP\tB-NP\tO' +p133558 +aS'has\thave\tVBZ\tB-VP\tO' +p133559 +aS'a\ta\tDT\tB-NP\tO' +p133560 +aS'long\tlong\tJJ\tI-NP\tO' +p133561 +aS'history\thistory\tNN\tI-NP\tO' +p133562 +aS'of\tof\tIN\tB-PP\tO' +p133563 +aS'seizure\tseizure\tNN\tB-NP\tO' +p133564 +aS'disorder\tdisorder\tNN\tI-NP\tO' +p133565 +aS',\t,\t,\tO\tO' +p133566 +aS'possibly\tpossibly\tRB\tB-ADVP\tO' +p133567 +aS'from\tfrom\tIN\tB-PP\tO' +p133568 +aS'a\ta\tDT\tB-NP\tO' +p133569 +aS'history\thistory\tNN\tI-NP\tO' +p133570 +aS'of\tof\tIN\tB-PP\tO' +p133571 +aS'traumatic\ttraumatic\tJJ\tB-NP\tO' +p133572 +aS'brain\tbrain\tNN\tI-NP\tO' +p133573 +aS'injury\tinjury\tNN\tI-NP\tO' +p133574 +aS'(\t(\t(\tO\tO' +p133575 +aS'though\tthough\tIN\tB-SBAR\tO' +p133576 +aS'per\tper\tIN\tB-PP\tO' +p133577 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p133578 +aS'Paula\tPaula\tNNP\tI-NP\tO' +p133579 +aS',\t,\t,\tO\tO' +p133580 +asS'Postoperative course was unremarkable .' +p133581 +(lp133582 +S'Postoperative\tPostoperative\tJJ\tB-NP\tO' +p133583 +aS'course\tcourse\tNN\tI-NP\tO' +p133584 +aS'was\tbe\tVBD\tB-VP\tO' +p133585 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p133586 +aS'.\t.\t.\tO\tO' +p133587 +asS'2. Plavix 75 mg q.d. times 3 months .' +p133588 +(lp133589 +S'2.\t2.\tLS\tB-NP\tO' +p133590 +aS'Plavix\tPlavix\tNNP\tI-NP\tO' +p133591 +aS'75\t75\tCD\tI-NP\tO' +p133592 +aS'mg\tmg\tNN\tI-NP\tO' +p133593 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p133594 +aS'times\ttime\tNNS\tI-NP\tO' +p133595 +aS'3\t3\tCD\tB-NP\tO' +p133596 +aS'months\tmonth\tNNS\tI-NP\tO' +p133597 +aS'.\t.\t.\tO\tO' +p133598 +asS'The left ventricular cavity size is normal .' +p133599 +(lp133600 +S'The\tThe\tDT\tB-NP\tO' +p133601 +aS'left\tleft\tJJ\tI-NP\tO' +p133602 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p133603 +aS'cavity\tcavity\tNN\tI-NP\tO' +p133604 +aS'size\tsize\tNN\tI-NP\tO' +p133605 +aS'is\tbe\tVBZ\tB-VP\tO' +p133606 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p133607 +aS'.\t.\t.\tO\tO' +p133608 +asS'Please call MD or return to Deanna if new symptoms suggestive of stroke or brain hemorrhage including weakness , numbness / tingling , facial droop , visual changes , vertigo , loss of coordination , or worsened problems with walking .' +p133609 +(lp133610 +S'Please\tPlease\tNNP\tB-NP\tO' +p133611 +aS'call\tcall\tVB\tB-VP\tO' +p133612 +aS'MD\tMD\tNNP\tB-NP\tO' +p133613 +aS'or\tor\tCC\tO\tO' +p133614 +aS'return\treturn\tVB\tB-VP\tO' +p133615 +aS'to\tto\tTO\tB-PP\tO' +p133616 +aS'Deanna\tDeanna\tNNP\tB-NP\tO' +p133617 +aS'if\tif\tIN\tB-SBAR\tO' +p133618 +aS'new\tnew\tJJ\tB-NP\tO' +p133619 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p133620 +aS'suggestive\tsuggestive\tJJ\tB-ADJP\tO' +p133621 +aS'of\tof\tIN\tB-PP\tO' +p133622 +aS'stroke\tstroke\tNN\tB-NP\tO' +p133623 +aS'or\tor\tCC\tI-NP\tO' +p133624 +aS'brain\tbrain\tNN\tI-NP\tO' +p133625 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p133626 +aS'including\tinclude\tVBG\tB-PP\tO' +p133627 +aS'weakness\tweakness\tNN\tB-NP\tO' +p133628 +aS',\t,\t,\tO\tO' +p133629 +aS'numbness\tnumbness\tNN\tB-NP\tO' +p133630 +aS'/\t/\tSYM\tI-NP\tO' +p133631 +aS'tingling\ttingling\tNN\tI-NP\tO' +p133632 +aS',\t,\t,\tO\tO' +p133633 +aS'facial\tfacial\tJJ\tB-NP\tO' +p133634 +aS'droop\tdroop\tNN\tI-NP\tO' +p133635 +aS',\t,\t,\tO\tO' +p133636 +aS'visual\tvisual\tJJ\tB-NP\tO' +p133637 +aS'changes\tchange\tNNS\tI-NP\tO' +p133638 +aS',\t,\t,\tO\tO' +p133639 +aS'vertigo\tvertigo\tRB\tB-ADVP\tO' +p133640 +aS',\t,\t,\tO\tO' +p133641 +aS'loss\tloss\tNN\tB-NP\tO' +p133642 +aS'of\tof\tIN\tB-PP\tO' +p133643 +aS'coordination\tcoordination\tNN\tB-NP\tO' +p133644 +aS',\t,\t,\tO\tO' +p133645 +aS'or\tor\tCC\tO\tO' +p133646 +aS'worsened\tworsen\tVBD\tB-VP\tO' +p133647 +aS'problems\tproblem\tNNS\tB-NP\tO' +p133648 +aS'with\twith\tIN\tB-PP\tO' +p133649 +aS'walking\twalk\tVBG\tB-NP\tO' +p133650 +aS'.\t.\t.\tO\tO' +p133651 +asS'4. Acute renal failure .' +p133652 +(lp133653 +S'4.\t4.\tLS\tB-NP\tO' +p133654 +aS'Acute\tAcute\tJJ\tI-NP\tO' +p133655 +aS'renal\trenal\tJJ\tI-NP\tO' +p133656 +aS'failure\tfailure\tNN\tI-NP\tO' +p133657 +aS'.\t.\t.\tO\tO' +p133658 +asS'As described in previous section , Neo-Synephrine and eventually Levophed were used to maintain a coronary perfusion pressure of greater than 70 .' +p133659 +(lp133660 +S'As\tAs\tIN\tB-SBAR\tO' +p133661 +aS'described\tdescribe\tVBN\tB-VP\tO' +p133662 +aS'in\tin\tIN\tB-PP\tO' +p133663 +aS'previous\tprevious\tJJ\tB-NP\tO' +p133664 +aS'section\tsection\tNN\tI-NP\tO' +p133665 +aS',\t,\t,\tO\tO' +p133666 +aS'Neo-Synephrine\tNeo-Synephrine\tNN\tB-NP\tO' +p133667 +aS'and\tand\tCC\tO\tO' +p133668 +aS'eventually\teventually\tRB\tB-VP\tO' +p133669 +aS'Levophed\tLevophe\tVBN\tI-VP\tO' +p133670 +aS'were\tbe\tVBD\tB-VP\tO' +p133671 +aS'used\tuse\tVBN\tI-VP\tO' +p133672 +aS'to\tto\tTO\tB-VP\tO' +p133673 +aS'maintain\tmaintain\tVB\tI-VP\tO' +p133674 +aS'a\ta\tDT\tB-NP\tO' +p133675 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p133676 +aS'perfusion\tperfusion\tNN\tI-NP\tO' +p133677 +aS'pressure\tpressure\tNN\tI-NP\tO' +p133678 +aS'of\tof\tIN\tB-PP\tO' +p133679 +aS'greater\tgreat\tJJR\tB-NP\tO' +p133680 +aS'than\tthan\tIN\tI-NP\tO' +p133681 +aS'70\t70\tCD\tI-NP\tO' +p133682 +aS'.\t.\t.\tO\tO' +p133683 +asS'Pt was preparing lunch when suddenly felt lightheaded / faint and immediately fell to the kitchen floor face first .' +p133684 +(lp133685 +S'Pt\tPt\tNN\tB-NP\tO' +p133686 +aS'was\tbe\tVBD\tB-VP\tO' +p133687 +aS'preparing\tprepare\tVBG\tI-VP\tO' +p133688 +aS'lunch\tlunch\tNN\tB-NP\tO' +p133689 +aS'when\twhen\tWRB\tB-ADVP\tO' +p133690 +aS'suddenly\tsuddenly\tRB\tB-ADVP\tO' +p133691 +aS'felt\tfeel\tVBD\tB-VP\tO' +p133692 +aS'lightheaded\tlightheade\tVBN\tI-VP\tO' +p133693 +aS'/\t/\tSYM\tB-NP\tO' +p133694 +aS'faint\tfaint\tNN\tI-NP\tO' +p133695 +aS'and\tand\tCC\tO\tO' +p133696 +aS'immediately\timmediately\tRB\tB-VP\tO' +p133697 +aS'fell\tfall\tVBD\tI-VP\tO' +p133698 +aS'to\tto\tTO\tB-PP\tO' +p133699 +aS'the\tthe\tDT\tB-NP\tO' +p133700 +aS'kitchen\tkitchen\tNN\tI-NP\tO' +p133701 +aS'floor\tfloor\tNN\tI-NP\tO' +p133702 +aS'face\tface\tNN\tI-NP\tO' +p133703 +aS'first\tfirst\tRB\tB-ADVP\tO' +p133704 +aS'.\t.\t.\tO\tO' +p133705 +asS'He is discharged on Percocet , Colace and Motrin .' +p133706 +(lp133707 +S'He\tHe\tPRP\tB-NP\tO' +p133708 +aS'is\tbe\tVBZ\tB-VP\tO' +p133709 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p133710 +aS'on\ton\tIN\tB-PP\tO' +p133711 +aS'Percocet\tPercocet\tNNP\tB-NP\tO' +p133712 +aS',\t,\t,\tI-NP\tO' +p133713 +aS'Colace\tColace\tNNP\tI-NP\tO' +p133714 +aS'and\tand\tCC\tI-NP\tO' +p133715 +aS'Motrin\tMotrin\tNNP\tI-NP\tO' +p133716 +aS'.\t.\t.\tO\tO' +p133717 +asS'DLCO was 2 , or 19% of predicted .' +p133718 +(lp133719 +S'DLCO\tDLCO\tNNP\tB-NP\tO' +p133720 +aS'was\tbe\tVBD\tB-VP\tO' +p133721 +aS'2\t2\tCD\tB-NP\tO' +p133722 +aS',\t,\t,\tO\tO' +p133723 +aS'or\tor\tCC\tO\tO' +p133724 +aS'19%\t19%\tCD\tB-NP\tO' +p133725 +aS'of\tof\tIN\tB-PP\tO' +p133726 +aS'predicted\tpredict\tVBN\tB-VP\tO' +p133727 +aS'.\t.\t.\tO\tO' +p133728 +asS'Also , a repeat outpatient CT colonoscopy with better preparation should be considered .' +p133729 +(lp133730 +S'Also\tAlso\tRB\tB-ADVP\tO' +p133731 +aS',\t,\t,\tO\tO' +p133732 +aS'a\ta\tDT\tB-NP\tO' +p133733 +aS'repeat\trepeat\tNN\tI-NP\tO' +p133734 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p133735 +aS'CT\tCT\tNN\tI-NP\tO' +p133736 +aS'colonoscopy\tcolonoscopy\tNN\tI-NP\tO' +p133737 +aS'with\twith\tIN\tB-PP\tO' +p133738 +aS'better\tgood\tJJR\tB-NP\tO' +p133739 +aS'preparation\tpreparation\tNN\tI-NP\tO' +p133740 +aS'should\tshould\tMD\tB-VP\tO' +p133741 +aS'be\tbe\tVB\tI-VP\tO' +p133742 +aS'considered\tconsider\tVBN\tI-VP\tO' +p133743 +aS'.\t.\t.\tO\tO' +p133744 +asS'The major vascular flow patterns are normal .' +p133745 +(lp133746 +S'The\tThe\tDT\tB-NP\tO' +p133747 +aS'major\tmajor\tJJ\tI-NP\tO' +p133748 +aS'vascular\tvascular\tJJ\tI-NP\tO' +p133749 +aS'flow\tflow\tNN\tI-NP\tO' +p133750 +aS'patterns\tpattern\tNNS\tI-NP\tO' +p133751 +aS'are\tbe\tVBP\tB-VP\tO' +p133752 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p133753 +aS'.\t.\t.\tO\tO' +p133754 +asS'2. 6 mm nonobstructing calculus in the left kidney .' +p133755 +(lp133756 +S'2.\t2.\tLS\tB-NP\tO' +p133757 +aS'6\t6\tCD\tI-NP\tO' +p133758 +aS'mm\tmm\tNN\tI-NP\tO' +p133759 +aS'nonobstructing\tnonobstructing\tJJ\tI-NP\tO' +p133760 +aS'calculus\tcalculus\tNN\tI-NP\tO' +p133761 +aS'in\tin\tIN\tB-PP\tO' +p133762 +aS'the\tthe\tDT\tB-NP\tO' +p133763 +aS'left\tleft\tJJ\tI-NP\tO' +p133764 +aS'kidney\tkidney\tNN\tI-NP\tO' +p133765 +aS'.\t.\t.\tO\tO' +p133766 +asS'6. Synagis RSV prophylaxis should be considered from November through March for infants who meet any of the following three criteria .' +p133767 +(lp133768 +S'6.\t6.\tLS\tB-NP\tO' +p133769 +aS'Synagis\tSynagis\tNNP\tI-NP\tO' +p133770 +aS'RSV\tRSV\tNNP\tI-NP\tO' +p133771 +aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' +p133772 +aS'should\tshould\tMD\tB-VP\tO' +p133773 +aS'be\tbe\tVB\tI-VP\tO' +p133774 +aS'considered\tconsider\tVBN\tI-VP\tO' +p133775 +aS'from\tfrom\tIN\tB-PP\tO' +p133776 +aS'November\tNovember\tNNP\tB-NP\tO' +p133777 +aS'through\tthrough\tIN\tB-PP\tO' +p133778 +aS'March\tMarch\tNNP\tB-NP\tO' +p133779 +aS'for\tfor\tIN\tB-PP\tO' +p133780 +aS'infants\tinfant\tNNS\tB-NP\tO' +p133781 +aS'who\twho\tWP\tB-NP\tO' +p133782 +aS'meet\tmeet\tVBP\tB-VP\tO' +p133783 +aS'any\tany\tDT\tB-NP\tO' +p133784 +aS'of\tof\tIN\tB-PP\tO' +p133785 +aS'the\tthe\tDT\tB-NP\tO' +p133786 +aS'following\tfollow\tVBG\tI-NP\tO' +p133787 +aS'three\tthree\tCD\tI-NP\tO' +p133788 +aS'criteria\tcriterion\tNNS\tI-NP\tO' +p133789 +aS'.\t.\t.\tO\tO' +p133790 +asS'In addition her liver transaminases were elevated , we thought about doing further work-up , but that was deferred because the patient wanted to wait on that .' +p133791 +(lp133792 +S'In\tIn\tIN\tB-PP\tO' +p133793 +aS'addition\taddition\tNN\tB-NP\tO' +p133794 +aS'her\ther\tPRP$\tB-NP\tO' +p133795 +aS'liver\tliver\tNN\tI-NP\tB-protein' +p133796 +aS'transaminases\ttransaminase\tNNS\tI-NP\tI-protein' +p133797 +aS'were\tbe\tVBD\tB-VP\tO' +p133798 +aS'elevated\televate\tVBN\tI-VP\tO' +p133799 +aS',\t,\t,\tO\tO' +p133800 +aS'we\twe\tPRP\tB-NP\tO' +p133801 +aS'thought\tthink\tVBD\tB-VP\tO' +p133802 +aS'about\tabout\tIN\tB-PP\tO' +p133803 +aS'doing\tdo\tVBG\tB-VP\tO' +p133804 +aS'further\tfurther\tJJ\tB-NP\tO' +p133805 +aS'work-up\twork-up\tNN\tI-NP\tO' +p133806 +aS',\t,\t,\tO\tO' +p133807 +aS'but\tbut\tCC\tO\tO' +p133808 +aS'that\tthat\tDT\tB-NP\tO' +p133809 +aS'was\tbe\tVBD\tB-VP\tO' +p133810 +aS'deferred\tdefer\tVBN\tI-VP\tO' +p133811 +aS'because\tbecause\tIN\tB-SBAR\tO' +p133812 +aS'the\tthe\tDT\tB-NP\tO' +p133813 +aS'patient\tpatient\tNN\tI-NP\tO' +p133814 +aS'wanted\twant\tVBD\tB-VP\tO' +p133815 +aS'to\tto\tTO\tI-VP\tO' +p133816 +aS'wait\twait\tVB\tI-VP\tO' +p133817 +aS'on\ton\tIN\tB-PP\tO' +p133818 +aS'that\tthat\tDT\tB-NP\tO' +p133819 +aS'.\t.\t.\tO\tO' +p133820 +asS'The infant was treated for pneumonia from admission to the CMED .' +p133821 +(lp133822 +S'The\tThe\tDT\tB-NP\tO' +p133823 +aS'infant\tinfant\tNN\tI-NP\tO' +p133824 +aS'was\tbe\tVBD\tB-VP\tO' +p133825 +aS'treated\ttreat\tVBN\tI-VP\tO' +p133826 +aS'for\tfor\tIN\tB-PP\tO' +p133827 +aS'pneumonia\tpneumonia\tNN\tB-NP\tO' +p133828 +aS'from\tfrom\tIN\tB-PP\tO' +p133829 +aS'admission\tadmission\tNN\tB-NP\tO' +p133830 +aS'to\tto\tTO\tB-PP\tO' +p133831 +aS'the\tthe\tDT\tB-NP\tO' +p133832 +aS'CMED\tCMED\tNN\tI-NP\tO' +p133833 +aS'.\t.\t.\tO\tO' +p133834 +asS'He is to see Dr. Ench in two weeks to check his PT and INR , also to check for potassium .' +p133835 +(lp133836 +S'He\tHe\tPRP\tB-NP\tO' +p133837 +aS'is\tbe\tVBZ\tB-VP\tO' +p133838 +aS'to\tto\tTO\tB-VP\tO' +p133839 +aS'see\tsee\tVB\tI-VP\tO' +p133840 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p133841 +aS'Ench\tEnch\tNNP\tI-NP\tO' +p133842 +aS'in\tin\tIN\tB-PP\tO' +p133843 +aS'two\ttwo\tCD\tB-NP\tO' +p133844 +aS'weeks\tweek\tNNS\tI-NP\tO' +p133845 +aS'to\tto\tTO\tB-VP\tO' +p133846 +aS'check\tcheck\tVB\tI-VP\tO' +p133847 +aS'his\this\tPRP$\tB-NP\tO' +p133848 +aS'PT\tPT\tNN\tI-NP\tO' +p133849 +aS'and\tand\tCC\tI-NP\tO' +p133850 +aS'INR\tINR\tNN\tI-NP\tB-protein' +p133851 +aS',\t,\t,\tO\tO' +p133852 +aS'also\talso\tRB\tB-ADVP\tO' +p133853 +aS'to\tto\tTO\tB-VP\tO' +p133854 +aS'check\tcheck\tVB\tI-VP\tO' +p133855 +aS'for\tfor\tIN\tB-PP\tO' +p133856 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p133857 +aS'.\t.\t.\tO\tO' +p133858 +asS'PLEASE CLEAN INCISION SITE WITH NORMAL SALINE OR CLEAN WATER THREE TIMES A DAY AND PLACE ANTIBIOTIC OINTMENT ( GIVEN ) ON TOP OF WOUND .' +p133859 +(lp133860 +S'PLEASE\tPLEASE\tNN\tB-NP\tB-DNA' +p133861 +aS'CLEAN\tCLEAN\tNN\tI-NP\tI-DNA' +p133862 +aS'INCISION\tINCISION\tNN\tI-NP\tI-DNA' +p133863 +aS'SITE\tSITE\tNNP\tI-NP\tI-DNA' +p133864 +aS'WITH\tWITH\tNNP\tI-NP\tO' +p133865 +aS'NORMAL\tNORMAL\tNNP\tI-NP\tO' +p133866 +aS'SALINE\tSALINE\tNNP\tI-NP\tO' +p133867 +aS'OR\tOR\tNNP\tI-NP\tO' +p133868 +aS'CLEAN\tCLEAN\tNNP\tI-NP\tO' +p133869 +aS'WATER\tWATER\tNNP\tI-NP\tO' +p133870 +aS'THREE\tTHREE\tNNP\tI-NP\tO' +p133871 +aS'TIMES\tTIMES\tNNP\tI-NP\tO' +p133872 +aS'A\tA\tNNP\tI-NP\tO' +p133873 +aS'DAY\tDAY\tNNP\tI-NP\tO' +p133874 +aS'AND\tAND\tCC\tI-NP\tO' +p133875 +aS'PLACE\tPLACE\tNNP\tI-NP\tO' +p133876 +aS'ANTIBIOTIC\tANTIBIOTIC\tNN\tI-NP\tO' +p133877 +aS'OINTMENT\tOINTMENT\tNN\tI-NP\tO' +p133878 +aS'(\t(\t(\tO\tO' +p133879 +aS'GIVEN\tGIVEN\tNN\tB-NP\tB-protein' +p133880 +aS')\t)\t)\tO\tO' +p133881 +aS'ON\tON\tNN\tB-NP\tO' +p133882 +aS'TOP\tTOP\tNN\tI-NP\tO' +p133883 +aS'OF\tOF\tIN\tB-PP\tO' +p133884 +aS'WOUND\tWOUND\tNN\tB-NP\tB-protein' +p133885 +aS'.\t.\t.\tO\tO' +p133886 +asS'(4) Coronary artery disease as above .' +p133887 +(lp133888 +S'(4)\t(4)\tLS\tB-NP\tO' +p133889 +aS'Coronary\tCoronary\tJJ\tI-NP\tO' +p133890 +aS'artery\tartery\tNN\tI-NP\tO' +p133891 +aS'disease\tdisease\tNN\tI-NP\tO' +p133892 +aS'as\tas\tRB\tB-ADVP\tO' +p133893 +aS'above\tabove\tRB\tI-ADVP\tO' +p133894 +aS'.\t.\t.\tO\tO' +p133895 +asS'EKG before discharge showed mild QT prolongation and no effect from amiodarone .' +p133896 +(lp133897 +S'EKG\tEKG\tNN\tB-NP\tB-protein' +p133898 +aS'before\tbefore\tIN\tB-PP\tO' +p133899 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p133900 +aS'showed\tshow\tVBD\tB-VP\tO' +p133901 +aS'mild\tmild\tJJ\tB-NP\tO' +p133902 +aS'QT\tQT\tNN\tI-NP\tO' +p133903 +aS'prolongation\tprolongation\tNN\tI-NP\tO' +p133904 +aS'and\tand\tCC\tO\tO' +p133905 +aS'no\tno\tDT\tB-NP\tO' +p133906 +aS'effect\teffect\tNN\tI-NP\tO' +p133907 +aS'from\tfrom\tIN\tB-PP\tO' +p133908 +aS'amiodarone\tamiodarone\tNN\tB-NP\tO' +p133909 +aS'.\t.\t.\tO\tO' +p133910 +asS'She was hooked up with support services in Collot Ln , Dugo , Indiana 68961 for further counselling and given Xanax for symptoms of anxiety .' +p133911 +(lp133912 +S'She\tShe\tPRP\tB-NP\tO' +p133913 +aS'was\tbe\tVBD\tB-VP\tO' +p133914 +aS'hooked\thook\tVBN\tI-VP\tO' +p133915 +aS'up\tup\tRP\tB-PRT\tO' +p133916 +aS'with\twith\tIN\tB-PP\tO' +p133917 +aS'support\tsupport\tNN\tB-NP\tO' +p133918 +aS'services\tservice\tNNS\tI-NP\tO' +p133919 +aS'in\tin\tIN\tB-PP\tO' +p133920 +aS'Collot\tCollot\tNNP\tB-NP\tO' +p133921 +aS'Ln\tLn\tNNP\tI-NP\tO' +p133922 +aS',\t,\t,\tO\tO' +p133923 +aS'Dugo\tDugo\tNNP\tB-NP\tO' +p133924 +aS',\t,\t,\tO\tO' +p133925 +aS'Indiana\tIndiana\tNNP\tB-NP\tO' +p133926 +aS'68961\t68961\tCD\tI-NP\tO' +p133927 +aS'for\tfor\tIN\tB-PP\tO' +p133928 +aS'further\tfurther\tJJ\tB-NP\tO' +p133929 +aS'counselling\tcounselling\tNN\tI-NP\tO' +p133930 +aS'and\tand\tCC\tO\tO' +p133931 +aS'given\tgive\tVBN\tB-VP\tO' +p133932 +aS'Xanax\tXanax\tNN\tB-NP\tO' +p133933 +aS'for\tfor\tIN\tB-PP\tO' +p133934 +aS'symptoms\tsymptom\tNNS\tB-NP\tO' +p133935 +aS'of\tof\tIN\tB-PP\tO' +p133936 +aS'anxiety\tanxiety\tNN\tB-NP\tO' +p133937 +aS'.\t.\t.\tO\tO' +p133938 +asS'There were no carotid or cervical bruits .' +p133939 +(lp133940 +S'There\tThere\tEX\tB-NP\tO' +p133941 +aS'were\tbe\tVBD\tB-VP\tO' +p133942 +aS'no\tno\tDT\tB-NP\tO' +p133943 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p133944 +aS'or\tor\tCC\tO\tO' +p133945 +aS'cervical\tcervical\tJJ\tB-NP\tO' +p133946 +aS'bruits\tbruit\tNNS\tI-NP\tO' +p133947 +aS'.\t.\t.\tO\tO' +p133948 +asS'For follow up , the patient is to call for an appointment with Dr. Sapmal .' +p133949 +(lp133950 +S'For\tFor\tIN\tB-PP\tO' +p133951 +aS'follow\tfollow\tVB\tB-VP\tO' +p133952 +aS'up\tup\tRP\tB-PRT\tO' +p133953 +aS',\t,\t,\tO\tO' +p133954 +aS'the\tthe\tDT\tB-NP\tO' +p133955 +aS'patient\tpatient\tNN\tI-NP\tO' +p133956 +aS'is\tbe\tVBZ\tB-VP\tO' +p133957 +aS'to\tto\tTO\tB-VP\tO' +p133958 +aS'call\tcall\tVB\tI-VP\tO' +p133959 +aS'for\tfor\tIN\tB-PP\tO' +p133960 +aS'an\tan\tDT\tB-NP\tO' +p133961 +aS'appointment\tappointment\tNN\tI-NP\tO' +p133962 +aS'with\twith\tIN\tB-PP\tO' +p133963 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p133964 +aS'Sapmal\tSapmal\tNNP\tI-NP\tO' +p133965 +aS'.\t.\t.\tO\tO' +p133966 +asS'The saphenous vein graft to the second obtuse marginal was open with no significant stenosis , but there was an outflow lesion in the obtuse marginal 2 as well as severe distal lesion as the obtuse marginal 2 fed the posterior descending artery .' +p133967 +(lp133968 +S'The\tThe\tDT\tB-NP\tO' +p133969 +aS'saphenous\tsaphenous\tJJ\tI-NP\tO' +p133970 +aS'vein\tvein\tNN\tI-NP\tO' +p133971 +aS'graft\tgraft\tNN\tI-NP\tO' +p133972 +aS'to\tto\tTO\tB-PP\tO' +p133973 +aS'the\tthe\tDT\tB-NP\tO' +p133974 +aS'second\tsecond\tJJ\tI-NP\tO' +p133975 +aS'obtuse\tobtuse\tNN\tI-NP\tO' +p133976 +aS'marginal\tmarginal\tNN\tI-NP\tO' +p133977 +aS'was\tbe\tVBD\tB-VP\tO' +p133978 +aS'open\topen\tJJ\tB-ADJP\tO' +p133979 +aS'with\twith\tIN\tB-PP\tO' +p133980 +aS'no\tno\tDT\tB-NP\tO' +p133981 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p133982 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p133983 +aS',\t,\t,\tO\tO' +p133984 +aS'but\tbut\tCC\tO\tO' +p133985 +aS'there\tthere\tEX\tB-NP\tO' +p133986 +aS'was\tbe\tVBD\tB-VP\tO' +p133987 +aS'an\tan\tDT\tB-NP\tO' +p133988 +aS'outflow\toutflow\tNN\tI-NP\tO' +p133989 +aS'lesion\tlesion\tNN\tI-NP\tO' +p133990 +aS'in\tin\tIN\tB-PP\tO' +p133991 +aS'the\tthe\tDT\tB-NP\tO' +p133992 +aS'obtuse\tobtuse\tNN\tI-NP\tO' +p133993 +aS'marginal\tmarginal\tJJ\tI-NP\tO' +p133994 +aS'2\t2\tCD\tI-NP\tO' +p133995 +aS'as\tas\tRB\tB-CONJP\tO' +p133996 +aS'well\twell\tRB\tI-CONJP\tO' +p133997 +aS'as\tas\tIN\tI-CONJP\tO' +p133998 +aS'severe\tsevere\tJJ\tB-NP\tO' +p133999 +aS'distal\tdistal\tJJ\tI-NP\tO' +p134000 +aS'lesion\tlesion\tNN\tI-NP\tO' +p134001 +aS'as\tas\tIN\tB-PP\tO' +p134002 +aS'the\tthe\tDT\tB-NP\tO' +p134003 +aS'obtuse\tobtuse\tNN\tI-NP\tO' +p134004 +aS'marginal\tmarginal\tJJ\tI-NP\tO' +p134005 +aS'2\t2\tCD\tI-NP\tO' +p134006 +aS'fed\tfeed\tVBD\tB-VP\tO' +p134007 +aS'the\tthe\tDT\tB-NP\tO' +p134008 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p134009 +aS'descending\tdescend\tVBG\tI-NP\tO' +p134010 +aS'artery\tartery\tNN\tI-NP\tO' +p134011 +aS'.\t.\t.\tO\tO' +p134012 +asS'Home With Self-Care ( Routine Discharge )' +p134013 +(lp134014 +S'Home\tHome\tNNP\tB-NP\tO' +p134015 +aS'With\tWith\tIN\tB-PP\tO' +p134016 +aS'Self-Care\tSelf-Care\tNNP\tB-NP\tO' +p134017 +aS'(\t(\t(\tO\tO' +p134018 +aS'Routine\tRoutine\tNNP\tB-NP\tO' +p134019 +aS'Discharge\tDischarge\tNNP\tI-NP\tO' +p134020 +aS')\t)\t)\tO\tO' +p134021 +asS'Acute inferior myocardial infarction and right ventricular infarction .' +p134022 +(lp134023 +S'Acute\tAcute\tJJ\tB-NP\tO' +p134024 +aS'inferior\tinferior\tJJ\tI-NP\tO' +p134025 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p134026 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p134027 +aS'and\tand\tCC\tO\tO' +p134028 +aS'right\tright\tJJ\tB-NP\tO' +p134029 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p134030 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p134031 +aS'.\t.\t.\tO\tO' +p134032 +asS'EF 50-55% ; mild to moderate MR , left atrium is moderately dilated , trace AR' +p134033 +(lp134034 +S'EF\tEF\tNN\tB-NP\tO' +p134035 +aS'50-55%\t50-55%\tJJ\tI-NP\tO' +p134036 +aS';\t;\t:\tO\tO' +p134037 +aS'mild\tmild\tJJ\tB-ADJP\tO' +p134038 +aS'to\tto\tTO\tB-PP\tO' +p134039 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p134040 +aS'MR\tMR\tNN\tI-NP\tB-protein' +p134041 +aS',\t,\t,\tO\tO' +p134042 +aS'left\tleft\tJJ\tB-NP\tO' +p134043 +aS'atrium\tatrium\tNN\tI-NP\tO' +p134044 +aS'is\tbe\tVBZ\tB-VP\tO' +p134045 +aS'moderately\tmoderately\tRB\tI-VP\tO' +p134046 +aS'dilated\tdilate\tVBN\tI-VP\tO' +p134047 +aS',\t,\t,\tO\tO' +p134048 +aS'trace\ttrace\tNN\tB-NP\tB-protein' +p134049 +aS'AR\tAR\tNNS\tI-NP\tI-protein' +p134050 +asS'Pt has reported gaining 30 lbs since 08-31 due to ascites .' +p134051 +(lp134052 +S'Pt\tPt\tNN\tB-NP\tO' +p134053 +aS'has\thave\tVBZ\tB-VP\tO' +p134054 +aS'reported\treport\tVBN\tI-VP\tO' +p134055 +aS'gaining\tgain\tVBG\tI-VP\tO' +p134056 +aS'30\t30\tCD\tB-NP\tO' +p134057 +aS'lbs\tlb\tNNS\tI-NP\tO' +p134058 +aS'since\tsince\tIN\tB-PP\tO' +p134059 +aS'08-31\t08-31\tCD\tB-NP\tO' +p134060 +aS'due\tdue\tJJ\tB-ADVP\tO' +p134061 +aS'to\tto\tTO\tB-PP\tO' +p134062 +aS'ascites\tascite\tNNS\tB-NP\tO' +p134063 +aS'.\t.\t.\tO\tO' +p134064 +asS'Patient was started on Lactulose and Rifaximine which improved his mental status .' +p134065 +(lp134066 +S'Patient\tPatient\tNN\tB-NP\tO' +p134067 +aS'was\tbe\tVBD\tB-VP\tO' +p134068 +aS'started\tstart\tVBN\tI-VP\tO' +p134069 +aS'on\ton\tIN\tB-PP\tO' +p134070 +aS'Lactulose\tLactulose\tNN\tB-NP\tO' +p134071 +aS'and\tand\tCC\tI-NP\tO' +p134072 +aS'Rifaximine\tRifaximine\tNN\tI-NP\tO' +p134073 +aS'which\twhich\tWDT\tB-NP\tO' +p134074 +aS'improved\timprove\tVBD\tB-VP\tO' +p134075 +aS'his\this\tPRP$\tB-NP\tO' +p134076 +aS'mental\tmental\tJJ\tI-NP\tO' +p134077 +aS'status\tstatus\tNN\tI-NP\tO' +p134078 +aS'.\t.\t.\tO\tO' +p134079 +asS'On the day prior to discharge , his intravenous antibiotics were discontinued and he was begun on tetracycline .' +p134080 +(lp134081 +S'On\tOn\tIN\tB-PP\tO' +p134082 +aS'the\tthe\tDT\tB-NP\tO' +p134083 +aS'day\tday\tNN\tI-NP\tO' +p134084 +aS'prior\tprior\tRB\tB-ADVP\tO' +p134085 +aS'to\tto\tTO\tB-VP\tO' +p134086 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p134087 +aS',\t,\t,\tO\tO' +p134088 +aS'his\this\tPRP$\tB-NP\tO' +p134089 +aS'intravenous\tintravenous\tJJ\tI-NP\tO' +p134090 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p134091 +aS'were\tbe\tVBD\tB-VP\tO' +p134092 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p134093 +aS'and\tand\tCC\tO\tO' +p134094 +aS'he\the\tPRP\tB-NP\tO' +p134095 +aS'was\tbe\tVBD\tB-VP\tO' +p134096 +aS'begun\tbegin\tVBN\tI-VP\tO' +p134097 +aS'on\ton\tIN\tB-PP\tO' +p134098 +aS'tetracycline\ttetracycline\tNN\tB-NP\tO' +p134099 +aS'.\t.\t.\tO\tO' +p134100 +asS'They asked that the patient follow-up with Dr. Ear in approximately three to four weeks so that this aneurysm can be assessed .' +p134101 +(lp134102 +S'They\tThey\tPRP\tB-NP\tO' +p134103 +aS'asked\task\tVBD\tB-VP\tO' +p134104 +aS'that\tthat\tIN\tB-SBAR\tO' +p134105 +aS'the\tthe\tDT\tB-NP\tO' +p134106 +aS'patient\tpatient\tNN\tI-NP\tO' +p134107 +aS'follow-up\tfollow-up\tNN\tI-NP\tO' +p134108 +aS'with\twith\tIN\tB-PP\tO' +p134109 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p134110 +aS'Ear\tEar\tNNP\tI-NP\tO' +p134111 +aS'in\tin\tIN\tB-PP\tO' +p134112 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p134113 +aS'three\tthree\tCD\tI-NP\tO' +p134114 +aS'to\tto\tTO\tI-NP\tO' +p134115 +aS'four\tfour\tCD\tI-NP\tO' +p134116 +aS'weeks\tweek\tNNS\tI-NP\tO' +p134117 +aS'so\tso\tRB\tB-SBAR\tO' +p134118 +aS'that\tthat\tIN\tI-SBAR\tO' +p134119 +aS'this\tthis\tDT\tB-NP\tO' +p134120 +aS'aneurysm\taneurysm\tNN\tI-NP\tO' +p134121 +aS'can\tcan\tMD\tB-VP\tO' +p134122 +aS'be\tbe\tVB\tI-VP\tO' +p134123 +aS'assessed\tassess\tVBN\tI-VP\tO' +p134124 +aS'.\t.\t.\tO\tO' +p134125 +asS'1. Albuterol - Ipratropium 103-18 mcg / Actuation Aerosol Sig : 02-19 Puffs Inhalation Q6H ( every 6 hours ) as needed .' +p134126 +(lp134127 +S'1.\t1.\tLS\tB-NP\tO' +p134128 +aS'Albuterol\tAlbuterol\tNN\tI-NP\tO' +p134129 +aS'-\t-\tHYPH\tO\tO' +p134130 +aS'Ipratropium\tIpratropium\tNN\tB-NP\tO' +p134131 +aS'103-18\t103-18\tCD\tI-NP\tO' +p134132 +aS'mcg\tmcg\tNN\tI-NP\tO' +p134133 +aS'/\t/\tSYM\tB-NP\tO' +p134134 +aS'Actuation\tActuation\tNN\tI-NP\tO' +p134135 +aS'Aerosol\tAerosol\tNNP\tI-NP\tO' +p134136 +aS'Sig\tSig\tNNP\tI-NP\tO' +p134137 +aS':\t:\t:\tO\tO' +p134138 +aS'02-19\t02-19\tCD\tB-NP\tO' +p134139 +aS'Puffs\tPuff\tNNS\tI-NP\tO' +p134140 +aS'Inhalation\tInhalation\tNN\tI-NP\tO' +p134141 +aS'Q6H\tQ6H\tNN\tI-NP\tO' +p134142 +aS'(\t(\t(\tO\tO' +p134143 +aS'every\tevery\tDT\tB-NP\tO' +p134144 +aS'6\t6\tCD\tI-NP\tO' +p134145 +aS'hours\thour\tNNS\tI-NP\tO' +p134146 +aS')\t)\t)\tO\tO' +p134147 +aS'as\tas\tIN\tB-SBAR\tO' +p134148 +aS'needed\tneed\tVBN\tB-VP\tO' +p134149 +aS'.\t.\t.\tO\tO' +p134150 +asS'You need to bring a picture ID , proof of citizenship , proof of address .' +p134151 +(lp134152 +S'You\tYou\tPRP\tB-NP\tO' +p134153 +aS'need\tneed\tVBP\tB-VP\tO' +p134154 +aS'to\tto\tTO\tI-VP\tO' +p134155 +aS'bring\tbring\tVB\tI-VP\tO' +p134156 +aS'a\ta\tDT\tB-NP\tO' +p134157 +aS'picture\tpicture\tNN\tI-NP\tO' +p134158 +aS'ID\tID\tNN\tI-NP\tO' +p134159 +aS',\t,\t,\tO\tO' +p134160 +aS'proof\tproof\tNN\tB-NP\tO' +p134161 +aS'of\tof\tIN\tB-PP\tO' +p134162 +aS'citizenship\tcitizenship\tNN\tB-NP\tO' +p134163 +aS',\t,\t,\tO\tO' +p134164 +aS'proof\tproof\tNN\tB-NP\tO' +p134165 +aS'of\tof\tIN\tB-PP\tO' +p134166 +aS'address\taddress\tNN\tB-NP\tO' +p134167 +aS'.\t.\t.\tO\tO' +p134168 +asS'Whether to pursue this would depend upon clinical circumstances .' +p134169 +(lp134170 +S'Whether\tWhether\tIN\tB-SBAR\tO' +p134171 +aS'to\tto\tTO\tB-VP\tO' +p134172 +aS'pursue\tpursue\tVB\tI-VP\tO' +p134173 +aS'this\tthis\tDT\tB-NP\tO' +p134174 +aS'would\twould\tMD\tB-VP\tO' +p134175 +aS'depend\tdepend\tVB\tI-VP\tO' +p134176 +aS'upon\tupon\tIN\tB-PP\tO' +p134177 +aS'clinical\tclinical\tJJ\tB-NP\tO' +p134178 +aS'circumstances\tcircumstance\tNNS\tI-NP\tO' +p134179 +aS'.\t.\t.\tO\tO' +p134180 +asS'Ms. Franklin is a 34 - year-old woman with Bipolar disorder and group home resident who by way of EMS for apparent alprazolam overdose .' +p134181 +(lp134182 +S'Ms.\tMs.\tNNP\tB-NP\tO' +p134183 +aS'Franklin\tFranklin\tNNP\tI-NP\tO' +p134184 +aS'is\tbe\tVBZ\tB-VP\tO' +p134185 +aS'a\ta\tDT\tB-NP\tO' +p134186 +aS'34\t34\tCD\tI-NP\tO' +p134187 +aS'-\t-\tHYPH\tI-NP\tO' +p134188 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p134189 +aS'woman\twoman\tNN\tI-NP\tO' +p134190 +aS'with\twith\tIN\tB-PP\tO' +p134191 +aS'Bipolar\tBipolar\tJJ\tB-NP\tO' +p134192 +aS'disorder\tdisorder\tNN\tI-NP\tO' +p134193 +aS'and\tand\tCC\tI-NP\tO' +p134194 +aS'group\tgroup\tNN\tI-NP\tO' +p134195 +aS'home\thome\tNN\tI-NP\tO' +p134196 +aS'resident\tresident\tNN\tI-NP\tO' +p134197 +aS'who\twho\tWP\tB-NP\tO' +p134198 +aS'by\tby\tIN\tB-PP\tO' +p134199 +aS'way\tway\tNN\tB-NP\tO' +p134200 +aS'of\tof\tIN\tB-PP\tO' +p134201 +aS'EMS\tEMS\tNNP\tB-NP\tO' +p134202 +aS'for\tfor\tIN\tB-PP\tO' +p134203 +aS'apparent\tapparent\tJJ\tB-NP\tO' +p134204 +aS'alprazolam\talprazolam\tNN\tI-NP\tO' +p134205 +aS'overdose\toverdose\tNN\tI-NP\tO' +p134206 +aS'.\t.\t.\tO\tO' +p134207 +asS'1. Falls-A PT consult was obtained to assist with ambulation .' +p134208 +(lp134209 +S'1.\t1.\tLS\tB-NP\tO' +p134210 +aS'Falls-A\tFalls-A\tNN\tI-NP\tO' +p134211 +aS'PT\tPT\tNN\tI-NP\tO' +p134212 +aS'consult\tconsult\tNN\tI-NP\tO' +p134213 +aS'was\tbe\tVBD\tB-VP\tO' +p134214 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p134215 +aS'to\tto\tTO\tI-VP\tO' +p134216 +aS'assist\tassist\tVB\tI-VP\tO' +p134217 +aS'with\twith\tIN\tB-PP\tO' +p134218 +aS'ambulation\tambulation\tNN\tB-NP\tO' +p134219 +aS'.\t.\t.\tO\tO' +p134220 +asS'Percocet ; Colace .' +p134221 +(lp134222 +S'Percocet\tPercocet\tNNP\tB-NP\tO' +p134223 +aS';\t;\t:\tO\tO' +p134224 +aS'Colace\tColace\tNNP\tB-NP\tO' +p134225 +aS'.\t.\t.\tO\tO' +p134226 +asS'His tone is normal .' +p134227 +(lp134228 +S'His\tHis\tPRP$\tB-NP\tO' +p134229 +aS'tone\ttone\tNN\tI-NP\tO' +p134230 +aS'is\tbe\tVBZ\tB-VP\tO' +p134231 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p134232 +aS'.\t.\t.\tO\tO' +p134233 +asS'Dorsalis pedis artery not seen ."' +p134234 +(lp134235 +S'Dorsalis\tDorsalis\tNNP\tB-NP\tO' +p134236 +aS'pedis\tpedis\tNN\tI-NP\tO' +p134237 +aS'artery\tartery\tNN\tI-NP\tO' +p134238 +aS'not\tnot\tRB\tB-VP\tO' +p134239 +aS'seen\tsee\tVBN\tI-VP\tO' +p134240 +aS'."\t."\t.\tO\tO' +p134241 +asS'Liver teams recommended to repeat EGD with non latex banding in 7-10 days .' +p134242 +(lp134243 +S'Liver\tLiver\tNN\tB-NP\tO' +p134244 +aS'teams\tteam\tNNS\tI-NP\tO' +p134245 +aS'recommended\trecommend\tVBD\tB-VP\tO' +p134246 +aS'to\tto\tTO\tI-VP\tO' +p134247 +aS'repeat\trepeat\tVB\tI-VP\tO' +p134248 +aS'EGD\tEGD\tNN\tB-NP\tB-protein' +p134249 +aS'with\twith\tIN\tB-PP\tO' +p134250 +aS'non\tnon\tJJ\tB-NP\tO' +p134251 +aS'latex\tlatex\tJJ\tI-NP\tO' +p134252 +aS'banding\tbanding\tNN\tI-NP\tO' +p134253 +aS'in\tin\tIN\tB-PP\tO' +p134254 +aS'7-10\t7-10\tCD\tB-NP\tO' +p134255 +aS'days\tday\tNNS\tI-NP\tO' +p134256 +aS'.\t.\t.\tO\tO' +p134257 +asS'There was no infiltrates or consolidation .' +p134258 +(lp134259 +S'There\tThere\tEX\tB-NP\tO' +p134260 +aS'was\tbe\tVBD\tB-VP\tO' +p134261 +aS'no\tno\tDT\tB-NP\tO' +p134262 +aS'infiltrates\tinfiltrate\tNNS\tI-NP\tO' +p134263 +aS'or\tor\tCC\tI-NP\tO' +p134264 +aS'consolidation\tconsolidation\tNN\tI-NP\tO' +p134265 +aS'.\t.\t.\tO\tO' +p134266 +asS'The basilar cistern is preserved and there is no uncal herniation .' +p134267 +(lp134268 +S'The\tThe\tDT\tB-NP\tO' +p134269 +aS'basilar\tbasilar\tJJ\tI-NP\tO' +p134270 +aS'cistern\tcistern\tNN\tI-NP\tO' +p134271 +aS'is\tbe\tVBZ\tB-VP\tO' +p134272 +aS'preserved\tpreserve\tVBN\tI-VP\tO' +p134273 +aS'and\tand\tCC\tO\tO' +p134274 +aS'there\tthere\tEX\tB-NP\tO' +p134275 +aS'is\tbe\tVBZ\tB-VP\tO' +p134276 +aS'no\tno\tDT\tB-NP\tO' +p134277 +aS'uncal\tuncal\tJJ\tI-NP\tO' +p134278 +aS'herniation\therniation\tNN\tI-NP\tO' +p134279 +aS'.\t.\t.\tO\tO' +p134280 +asS'Signed electronically by : DR. Natasha Toth on : TUE 2015-10-06 5:11 PM' +p134281 +(lp134282 +S'Signed\tSign\tVBN\tB-VP\tO' +p134283 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p134284 +aS'by\tby\tIN\tB-PP\tO' +p134285 +aS':\t:\t:\tO\tO' +p134286 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p134287 +aS'Natasha\tNatasha\tNNP\tI-NP\tO' +p134288 +aS'Toth\tToth\tNNP\tI-NP\tO' +p134289 +aS'on\ton\tIN\tB-PP\tO' +p134290 +aS':\t:\t:\tO\tO' +p134291 +aS'TUE\tTUE\tNN\tB-NP\tO' +p134292 +aS'2015-10-06\t2015-10-06\tCD\tI-NP\tO' +p134293 +aS'5:11\t5:11\tCD\tI-NP\tO' +p134294 +aS'PM\tPM\tNN\tI-NP\tO' +p134295 +asS'4. Simethicone 80 mg Tablet , Chewable Sig : 0.5-1 Tablet , Chewable PO QID ( 4 times a day ) as needed for indigestion/gas pain .' +p134296 +(lp134297 +S'4.\t4.\tLS\tB-LST\tO' +p134298 +aS'Simethicone\tSimethicone\tNN\tB-NP\tO' +p134299 +aS'80\t80\tCD\tI-NP\tO' +p134300 +aS'mg\tmg\tNN\tI-NP\tO' +p134301 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p134302 +aS',\t,\t,\tO\tO' +p134303 +aS'Chewable\tChewable\tNNP\tB-NP\tO' +p134304 +aS'Sig\tSig\tNNP\tI-NP\tO' +p134305 +aS':\t:\t:\tO\tO' +p134306 +aS'0.5-1\t0.5-1\tCD\tB-NP\tO' +p134307 +aS'Tablet\tTablet\tNN\tI-NP\tO' +p134308 +aS',\t,\t,\tO\tO' +p134309 +aS'Chewable\tChewable\tJJ\tB-NP\tO' +p134310 +aS'PO\tPO\tNN\tI-NP\tO' +p134311 +aS'QID\tQID\tNN\tI-NP\tO' +p134312 +aS'(\t(\t(\tO\tO' +p134313 +aS'4\t4\tCD\tB-NP\tO' +p134314 +aS'times\ttime\tNNS\tI-NP\tO' +p134315 +aS'a\ta\tDT\tB-NP\tO' +p134316 +aS'day\tday\tNN\tI-NP\tO' +p134317 +aS')\t)\t)\tO\tO' +p134318 +aS'as\tas\tIN\tB-SBAR\tO' +p134319 +aS'needed\tneed\tVBN\tB-VP\tO' +p134320 +aS'for\tfor\tIN\tB-PP\tO' +p134321 +aS'indigestion/gas\tindigestion/gas\tNN\tB-NP\tO' +p134322 +aS'pain\tpain\tNN\tI-NP\tO' +p134323 +aS'.\t.\t.\tO\tO' +p134324 +asS'She was treated with vancomycin to cover her MRSA pneumonia .' +p134325 +(lp134326 +S'She\tShe\tPRP\tB-NP\tO' +p134327 +aS'was\tbe\tVBD\tB-VP\tO' +p134328 +aS'treated\ttreat\tVBN\tI-VP\tO' +p134329 +aS'with\twith\tIN\tB-PP\tO' +p134330 +aS'vancomycin\tvancomycin\tNN\tB-NP\tO' +p134331 +aS'to\tto\tTO\tB-VP\tO' +p134332 +aS'cover\tcover\tVB\tI-VP\tO' +p134333 +aS'her\ther\tPRP$\tB-NP\tO' +p134334 +aS'MRSA\tMRSA\tNN\tI-NP\tO' +p134335 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p134336 +aS'.\t.\t.\tO\tO' +p134337 +asS'9. Lasix 20 milligrams po times 30 days .' +p134338 +(lp134339 +S'9.\t9.\tCD\tB-NP\tO' +p134340 +aS'Lasix\tLasix\tNNP\tI-NP\tO' +p134341 +aS'20\t20\tCD\tI-NP\tO' +p134342 +aS'milligrams\tmilligram\tNNS\tI-NP\tO' +p134343 +aS'po\tpo\tVBP\tB-VP\tO' +p134344 +aS'times\ttime\tNNS\tB-NP\tO' +p134345 +aS'30\t30\tCD\tB-NP\tO' +p134346 +aS'days\tday\tNNS\tI-NP\tO' +p134347 +aS'.\t.\t.\tO\tO' +p134348 +asS'Postop course c/b right upper extremity DVT and postop Afib .' +p134349 +(lp134350 +S'Postop\tPostop\tNNP\tB-NP\tO' +p134351 +aS'course\tcourse\tNN\tI-NP\tO' +p134352 +aS'c/b\tc/b\tNN\tI-NP\tO' +p134353 +aS'right\tright\tJJ\tI-NP\tO' +p134354 +aS'upper\tupper\tJJ\tI-NP\tO' +p134355 +aS'extremity\textremity\tNN\tI-NP\tO' +p134356 +aS'DVT\tDVT\tNN\tI-NP\tO' +p134357 +aS'and\tand\tCC\tO\tO' +p134358 +aS'postop\tpostop\tVB\tB-VP\tO' +p134359 +aS'Afib\tAfib\tNNP\tB-NP\tO' +p134360 +aS'.\t.\t.\tO\tO' +p134361 +asS'Her clinical status stablized and she transferred to the step down unit on postoperative day six .' +p134362 +(lp134363 +S'Her\tHer\tPRP$\tB-NP\tO' +p134364 +aS'clinical\tclinical\tJJ\tI-NP\tO' +p134365 +aS'status\tstatus\tNN\tI-NP\tO' +p134366 +aS'stablized\tstablize\tVBN\tB-VP\tO' +p134367 +aS'and\tand\tCC\tO\tO' +p134368 +aS'she\tshe\tPRP\tB-NP\tO' +p134369 +aS'transferred\ttransfer\tVBD\tB-VP\tO' +p134370 +aS'to\tto\tTO\tB-PP\tO' +p134371 +aS'the\tthe\tDT\tB-NP\tO' +p134372 +aS'step\tstep\tNN\tI-NP\tO' +p134373 +aS'down\tdown\tRP\tB-PRT\tO' +p134374 +aS'unit\tunit\tNN\tB-NP\tO' +p134375 +aS'on\ton\tIN\tB-PP\tO' +p134376 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p134377 +aS'day\tday\tNN\tI-NP\tO' +p134378 +aS'six\tsix\tCD\tI-NP\tO' +p134379 +aS'.\t.\t.\tO\tO' +p134380 +asS'A/P 74 yo M with lung cancer , DVT , CAD s/p MI presents with chest pain shortness of breath .' +p134381 +(lp134382 +S'A/P\tA/P\tNN\tB-NP\tO' +p134383 +aS'74\t74\tCD\tI-NP\tO' +p134384 +aS'yo\tyo\tNN\tI-NP\tO' +p134385 +aS'M\tM\tNN\tI-NP\tO' +p134386 +aS'with\twith\tIN\tB-PP\tO' +p134387 +aS'lung\tlung\tNN\tB-NP\tO' +p134388 +aS'cancer\tcancer\tNN\tI-NP\tO' +p134389 +aS',\t,\t,\tO\tO' +p134390 +aS'DVT\tDVT\tNN\tB-NP\tO' +p134391 +aS',\t,\t,\tO\tO' +p134392 +aS'CAD\tCAD\tNN\tB-NP\tB-protein' +p134393 +aS's/p\ts/p\tNN\tI-NP\tI-protein' +p134394 +aS'MI\tMI\tNN\tI-NP\tI-protein' +p134395 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p134396 +aS'with\twith\tIN\tB-PP\tO' +p134397 +aS'chest\tchest\tNN\tB-NP\tO' +p134398 +aS'pain\tpain\tNN\tI-NP\tO' +p134399 +aS'shortness\tshortness\tNN\tI-NP\tO' +p134400 +aS'of\tof\tIN\tB-PP\tO' +p134401 +aS'breath\tbreath\tNN\tB-NP\tO' +p134402 +aS'.\t.\t.\tO\tO' +p134403 +asS'2. Peripheral patchy opacities are seen bilaterally , most consistent with multifocal pneumonia .' +p134404 +(lp134405 +S'2.\t2.\tLS\tB-NP\tO' +p134406 +aS'Peripheral\tPeripheral\tJJ\tI-NP\tO' +p134407 +aS'patchy\tpatchy\tNN\tI-NP\tO' +p134408 +aS'opacities\topacity\tNNS\tI-NP\tO' +p134409 +aS'are\tbe\tVBP\tB-VP\tO' +p134410 +aS'seen\tsee\tVBN\tI-VP\tO' +p134411 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p134412 +aS',\t,\t,\tO\tO' +p134413 +aS'most\tmost\tRBS\tB-ADJP\tO' +p134414 +aS'consistent\tconsistent\tJJ\tI-ADJP\tO' +p134415 +aS'with\twith\tIN\tB-PP\tO' +p134416 +aS'multifocal\tmultifocal\tJJ\tB-NP\tO' +p134417 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p134418 +aS'.\t.\t.\tO\tO' +p134419 +asS'On postoperative day one , the patient 's urine culture came back with moderate E. coli .' +p134420 +(lp134421 +S'On\tOn\tIN\tB-PP\tO' +p134422 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p134423 +aS'day\tday\tNN\tI-NP\tO' +p134424 +aS'one\tone\tCD\tB-NP\tO' +p134425 +aS',\t,\t,\tO\tO' +p134426 +aS'the\tthe\tDT\tB-NP\tO' +p134427 +aS'patient\tpatient\tNN\tI-NP\tO' +p134428 +aS''s\t'\tNNS\tI-NP\tO' +p134429 +aS'urine\turine\tNN\tI-NP\tO' +p134430 +aS'culture\tculture\tNN\tI-NP\tO' +p134431 +aS'came\tcome\tVBD\tB-VP\tO' +p134432 +aS'back\tback\tRB\tB-ADVP\tO' +p134433 +aS'with\twith\tIN\tB-PP\tO' +p134434 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p134435 +aS'E.\tE.\tFW\tI-NP\tO' +p134436 +aS'coli\tcoli\tFW\tI-NP\tO' +p134437 +aS'.\t.\t.\tO\tO' +p134438 +asS'Those cultures are still pending at the time .' +p134439 +(lp134440 +S'Those\tThose\tDT\tB-NP\tB-cell_line' +p134441 +aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' +p134442 +aS'are\tbe\tVBP\tB-VP\tO' +p134443 +aS'still\tstill\tRB\tI-VP\tO' +p134444 +aS'pending\tpende\tVBG\tI-VP\tO' +p134445 +aS'at\tat\tIN\tB-PP\tO' +p134446 +aS'the\tthe\tDT\tB-NP\tO' +p134447 +aS'time\ttime\tNN\tI-NP\tO' +p134448 +aS'.\t.\t.\tO\tO' +p134449 +asS'Notable for scleral icterus .' +p134450 +(lp134451 +S'Notable\tNotable\tJJ\tB-ADJP\tO' +p134452 +aS'for\tfor\tIN\tB-PP\tO' +p134453 +aS'scleral\tscleral\tJJ\tB-NP\tO' +p134454 +aS'icterus\ticterus\tNN\tI-NP\tO' +p134455 +aS'.\t.\t.\tO\tO' +p134456 +asS'She drinks one to two glasses of scotch per day .' +p134457 +(lp134458 +S'She\tShe\tPRP\tB-NP\tO' +p134459 +aS'drinks\tdrink\tVBZ\tB-VP\tO' +p134460 +aS'one\tone\tCD\tB-NP\tO' +p134461 +aS'to\tto\tTO\tI-NP\tO' +p134462 +aS'two\ttwo\tCD\tI-NP\tO' +p134463 +aS'glasses\tglass\tNNS\tI-NP\tO' +p134464 +aS'of\tof\tIN\tB-PP\tO' +p134465 +aS'scotch\tscotch\tNN\tB-NP\tO' +p134466 +aS'per\tper\tIN\tB-PP\tO' +p134467 +aS'day\tday\tNN\tB-NP\tO' +p134468 +aS'.\t.\t.\tO\tO' +p134469 +asS'2. Metastatic disease in left arm , brachial plexus resulting in left arm paresis , as above' +p134470 +(lp134471 +S'2.\t2.\tLS\tB-NP\tO' +p134472 +aS'Metastatic\tMetastatic\tJJ\tI-NP\tO' +p134473 +aS'disease\tdisease\tNN\tI-NP\tO' +p134474 +aS'in\tin\tIN\tB-PP\tO' +p134475 +aS'left\tleft\tJJ\tB-NP\tO' +p134476 +aS'arm\tarm\tNN\tI-NP\tO' +p134477 +aS',\t,\t,\tO\tO' +p134478 +aS'brachial\tbrachial\tJJ\tB-NP\tO' +p134479 +aS'plexus\tplexus\tNN\tI-NP\tO' +p134480 +aS'resulting\tresult\tVBG\tB-VP\tO' +p134481 +aS'in\tin\tIN\tB-PP\tO' +p134482 +aS'left\tleft\tJJ\tB-NP\tO' +p134483 +aS'arm\tarm\tNN\tI-NP\tO' +p134484 +aS'paresis\tparesis\tNN\tI-NP\tO' +p134485 +aS',\t,\t,\tO\tO' +p134486 +aS'as\tas\tIN\tB-PP\tO' +p134487 +aS'above\tabove\tIN\tI-PP\tO' +p134488 +asS'Her calcium was followed daily and repleted as needed .' +p134489 +(lp134490 +S'Her\tHer\tPRP$\tB-NP\tO' +p134491 +aS'calcium\tcalcium\tNN\tI-NP\tO' +p134492 +aS'was\tbe\tVBD\tB-VP\tO' +p134493 +aS'followed\tfollow\tVBN\tI-VP\tO' +p134494 +aS'daily\tdaily\tRB\tB-ADVP\tO' +p134495 +aS'and\tand\tCC\tO\tO' +p134496 +aS'repleted\treplete\tVBN\tB-VP\tO' +p134497 +aS'as\tas\tIN\tB-SBAR\tO' +p134498 +aS'needed\tneed\tVBN\tB-VP\tO' +p134499 +aS'.\t.\t.\tO\tO' +p134500 +asS'Extremities were without edema .' +p134501 +(lp134502 +S'Extremities\tExtremity\tNNS\tB-NP\tO' +p134503 +aS'were\tbe\tVBD\tB-VP\tO' +p134504 +aS'without\twithout\tIN\tB-PP\tO' +p134505 +aS'edema\tedema\tNN\tB-NP\tO' +p134506 +aS'.\t.\t.\tO\tO' +p134507 +asS'4) CHF : Pt was oxygen dependent for most of the hospital course , CXR was consistent with pulmonary edema .' +p134508 +(lp134509 +S'4)\t4)\tCD\tB-NP\tO' +p134510 +aS'CHF\tCHF\tNN\tI-NP\tO' +p134511 +aS':\t:\t:\tO\tO' +p134512 +aS'Pt\tPt\tNN\tB-NP\tO' +p134513 +aS'was\tbe\tVBD\tB-VP\tO' +p134514 +aS'oxygen\toxygen\tNN\tB-NP\tO' +p134515 +aS'dependent\tdependent\tJJ\tB-ADJP\tO' +p134516 +aS'for\tfor\tIN\tB-PP\tO' +p134517 +aS'most\tmost\tJJS\tB-NP\tO' +p134518 +aS'of\tof\tIN\tB-PP\tO' +p134519 +aS'the\tthe\tDT\tB-NP\tO' +p134520 +aS'hospital\thospital\tNN\tI-NP\tO' +p134521 +aS'course\tcourse\tNN\tI-NP\tO' +p134522 +aS',\t,\t,\tO\tO' +p134523 +aS'CXR\tCXR\tNN\tB-NP\tB-protein' +p134524 +aS'was\tbe\tVBD\tB-VP\tO' +p134525 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p134526 +aS'with\twith\tIN\tB-PP\tO' +p134527 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p134528 +aS'edema\tedema\tNN\tI-NP\tO' +p134529 +aS'.\t.\t.\tO\tO' +p134530 +asS'PT Spien MRI Pelvis XR R hip Xray' +p134531 +(lp134532 +S'PT\tPT\tNNP\tB-NP\tO' +p134533 +aS'Spien\tSpien\tNNP\tI-NP\tO' +p134534 +aS'MRI\tMRI\tNNP\tI-NP\tO' +p134535 +aS'Pelvis\tPelvis\tNNP\tI-NP\tO' +p134536 +aS'XR\tXR\tNNP\tI-NP\tO' +p134537 +aS'R\tR\tNNP\tI-NP\tO' +p134538 +aS'hip\thip\tNN\tI-NP\tO' +p134539 +aS'Xray\tXray\tNNP\tI-NP\tO' +p134540 +asS'She was described as having _______ cirrhosis and we decided that we wanted to try to figure out the etiology .' +p134541 +(lp134542 +S'She\tShe\tPRP\tB-NP\tO' +p134543 +aS'was\tbe\tVBD\tB-VP\tO' +p134544 +aS'described\tdescribe\tVBN\tI-VP\tO' +p134545 +aS'as\tas\tIN\tB-PP\tO' +p134546 +aS'having\thave\tVBG\tB-VP\tO' +p134547 +aS'_______\t_______\tNN\tB-NP\tO' +p134548 +aS'cirrhosis\tcirrhosis\tNN\tI-NP\tO' +p134549 +aS'and\tand\tCC\tO\tO' +p134550 +aS'we\twe\tPRP\tB-NP\tO' +p134551 +aS'decided\tdecide\tVBD\tB-VP\tO' +p134552 +aS'that\tthat\tIN\tB-SBAR\tO' +p134553 +aS'we\twe\tPRP\tB-NP\tO' +p134554 +aS'wanted\twant\tVBD\tB-VP\tO' +p134555 +aS'to\tto\tTO\tI-VP\tO' +p134556 +aS'try\ttry\tVB\tI-VP\tO' +p134557 +aS'to\tto\tTO\tI-VP\tO' +p134558 +aS'figure\tfigure\tVB\tI-VP\tO' +p134559 +aS'out\tout\tRP\tB-PRT\tO' +p134560 +aS'the\tthe\tDT\tB-NP\tO' +p134561 +aS'etiology\tetiology\tNN\tI-NP\tO' +p134562 +aS'.\t.\t.\tO\tO' +p134563 +asS'sinus rhythm at 116 , axis of 23 , intervals of .14/ .07/ .42 , no ST-segment abnormalities .' +p134564 +(lp134565 +S'sinus\tsinus\tNN\tB-NP\tO' +p134566 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p134567 +aS'at\tat\tIN\tB-PP\tO' +p134568 +aS'116\t116\tCD\tB-NP\tO' +p134569 +aS',\t,\t,\tO\tO' +p134570 +aS'axis\taxis\tNN\tB-NP\tO' +p134571 +aS'of\tof\tIN\tB-PP\tO' +p134572 +aS'23\t23\tCD\tB-NP\tO' +p134573 +aS',\t,\t,\tO\tO' +p134574 +aS'intervals\tinterval\tNNS\tB-NP\tO' +p134575 +aS'of\tof\tIN\tB-PP\tO' +p134576 +aS'.14/\t.14/\tNN\tB-NP\tO' +p134577 +aS'.07/\t.07/\tNN\tI-NP\tO' +p134578 +aS'.42\t.42\tCD\tI-NP\tO' +p134579 +aS',\t,\t,\tO\tO' +p134580 +aS'no\tno\tDT\tB-NP\tO' +p134581 +aS'ST-segment\tST-segment\tNN\tI-NP\tO' +p134582 +aS'abnormalities\tabnormality\tNNS\tI-NP\tO' +p134583 +aS'.\t.\t.\tO\tO' +p134584 +asS'patient needs anticoagulation for large saphenous vein graft to prevent any possibility of thrombosis .' +p134585 +(lp134586 +S'patient\tpatient\tNN\tB-NP\tO' +p134587 +aS'needs\tneed\tVBZ\tB-VP\tO' +p134588 +aS'anticoagulation\tanticoagulation\tNN\tB-NP\tO' +p134589 +aS'for\tfor\tIN\tB-PP\tO' +p134590 +aS'large\tlarge\tJJ\tB-NP\tO' +p134591 +aS'saphenous\tsaphenous\tJJ\tI-NP\tO' +p134592 +aS'vein\tvein\tNN\tI-NP\tO' +p134593 +aS'graft\tgraft\tNN\tI-NP\tO' +p134594 +aS'to\tto\tTO\tB-VP\tO' +p134595 +aS'prevent\tprevent\tVB\tI-VP\tO' +p134596 +aS'any\tany\tDT\tB-NP\tO' +p134597 +aS'possibility\tpossibility\tNN\tI-NP\tO' +p134598 +aS'of\tof\tIN\tB-PP\tO' +p134599 +aS'thrombosis\tthrombosis\tNN\tB-NP\tO' +p134600 +aS'.\t.\t.\tO\tO' +p134601 +asS'If on tube feeds , please cycle ( hold 1 hr before to 2 hr after )' +p134602 +(lp134603 +S'If\tIf\tIN\tB-SBAR\tO' +p134604 +aS'on\ton\tIN\tB-PP\tO' +p134605 +aS'tube\ttube\tNN\tB-NP\tO' +p134606 +aS'feeds\tfeed\tNNS\tI-NP\tO' +p134607 +aS',\t,\t,\tO\tO' +p134608 +aS'please\tplease\tNN\tB-NP\tO' +p134609 +aS'cycle\tcycle\tNN\tI-NP\tO' +p134610 +aS'(\t(\t(\tO\tO' +p134611 +aS'hold\thold\tNN\tB-NP\tO' +p134612 +aS'1\t1\tCD\tI-NP\tO' +p134613 +aS'hr\thr\tNN\tI-NP\tO' +p134614 +aS'before\tbefore\tIN\tB-PP\tO' +p134615 +aS'to\tto\tTO\tB-PP\tO' +p134616 +aS'2\t2\tCD\tB-NP\tO' +p134617 +aS'hr\thr\tNN\tI-NP\tO' +p134618 +aS'after\tafter\tIN\tB-SBAR\tO' +p134619 +aS')\t)\t)\tO\tO' +p134620 +asS'The patient was set for discharge on the 11th postoperative day doing well .' +p134621 +(lp134622 +S'The\tThe\tDT\tB-NP\tO' +p134623 +aS'patient\tpatient\tNN\tI-NP\tO' +p134624 +aS'was\tbe\tVBD\tB-VP\tO' +p134625 +aS'set\tset\tVBN\tI-VP\tO' +p134626 +aS'for\tfor\tIN\tB-PP\tO' +p134627 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p134628 +aS'on\ton\tIN\tB-PP\tO' +p134629 +aS'the\tthe\tDT\tB-NP\tO' +p134630 +aS'11th\t11th\tJJ\tI-NP\tO' +p134631 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p134632 +aS'day\tday\tNN\tI-NP\tO' +p134633 +aS'doing\tdo\tVBG\tB-VP\tO' +p134634 +aS'well\twell\tRB\tB-ADVP\tO' +p134635 +aS'.\t.\t.\tO\tO' +p134636 +asS'Review of telemetry revealed an 8 to 9 beat episode of nonsustained ventricular tachycardia followed by an episode of bradycardia to 60 beats per minute .' +p134637 +(lp134638 +S'Review\tReview\tNN\tB-NP\tO' +p134639 +aS'of\tof\tIN\tB-PP\tO' +p134640 +aS'telemetry\ttelemetry\tNN\tB-NP\tO' +p134641 +aS'revealed\treveal\tVBD\tB-VP\tO' +p134642 +aS'an\tan\tDT\tB-NP\tO' +p134643 +aS'8\t8\tCD\tI-NP\tO' +p134644 +aS'to\tto\tTO\tI-NP\tO' +p134645 +aS'9\t9\tCD\tI-NP\tO' +p134646 +aS'beat\tbeat\tNN\tI-NP\tO' +p134647 +aS'episode\tepisode\tNN\tI-NP\tO' +p134648 +aS'of\tof\tIN\tB-PP\tO' +p134649 +aS'nonsustained\tnonsustained\tJJ\tB-NP\tO' +p134650 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p134651 +aS'tachycardia\ttachycardia\tNN\tI-NP\tO' +p134652 +aS'followed\tfollow\tVBN\tB-VP\tO' +p134653 +aS'by\tby\tIN\tB-PP\tO' +p134654 +aS'an\tan\tDT\tB-NP\tO' +p134655 +aS'episode\tepisode\tNN\tI-NP\tO' +p134656 +aS'of\tof\tIN\tB-PP\tO' +p134657 +aS'bradycardia\tbradycardia\tNN\tB-NP\tO' +p134658 +aS'to\tto\tTO\tB-PP\tO' +p134659 +aS'60\t60\tCD\tB-NP\tO' +p134660 +aS'beats\tbeat\tNNS\tI-NP\tO' +p134661 +aS'per\tper\tIN\tB-PP\tO' +p134662 +aS'minute\tminute\tNN\tB-NP\tO' +p134663 +aS'.\t.\t.\tO\tO' +p134664 +asS'2. Status post pericardiocentesis .' +p134665 +(lp134666 +S'2.\t2.\tLS\tB-NP\tO' +p134667 +aS'Status\tStatus\tNNP\tI-NP\tO' +p134668 +aS'post\tpost\tNN\tI-NP\tO' +p134669 +aS'pericardiocentesis\tpericardiocentesis\tNN\tI-NP\tO' +p134670 +aS'.\t.\t.\tO\tO' +p134671 +asS'If she were to decompensate at the rehab , goals of care will need to be readressed .' +p134672 +(lp134673 +S'If\tIf\tIN\tB-SBAR\tO' +p134674 +aS'she\tshe\tPRP\tB-NP\tO' +p134675 +aS'were\tbe\tVBD\tB-VP\tO' +p134676 +aS'to\tto\tTO\tI-VP\tO' +p134677 +aS'decompensate\tdecompensate\tVB\tI-VP\tO' +p134678 +aS'at\tat\tIN\tB-PP\tO' +p134679 +aS'the\tthe\tDT\tB-NP\tO' +p134680 +aS'rehab\trehab\tNN\tI-NP\tO' +p134681 +aS',\t,\t,\tO\tO' +p134682 +aS'goals\tgoal\tNNS\tB-NP\tO' +p134683 +aS'of\tof\tIN\tB-PP\tO' +p134684 +aS'care\tcare\tNN\tB-NP\tO' +p134685 +aS'will\twill\tMD\tB-VP\tO' +p134686 +aS'need\tneed\tVB\tI-VP\tO' +p134687 +aS'to\tto\tTO\tI-VP\tO' +p134688 +aS'be\tbe\tVB\tI-VP\tO' +p134689 +aS'readressed\treadresse\tVBN\tI-VP\tO' +p134690 +aS'.\t.\t.\tO\tO' +p134691 +asS'He will need to follow up with Dr. Mckinney in 4 weeks for repeat head imaging and continue with Dilantin for one month .' +p134692 +(lp134693 +S'He\tHe\tPRP\tB-NP\tO' +p134694 +aS'will\twill\tMD\tB-VP\tO' +p134695 +aS'need\tneed\tVB\tI-VP\tO' +p134696 +aS'to\tto\tTO\tI-VP\tO' +p134697 +aS'follow\tfollow\tVB\tI-VP\tO' +p134698 +aS'up\tup\tRP\tB-PRT\tO' +p134699 +aS'with\twith\tIN\tB-PP\tO' +p134700 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p134701 +aS'Mckinney\tMckinney\tNNP\tI-NP\tO' +p134702 +aS'in\tin\tIN\tB-PP\tO' +p134703 +aS'4\t4\tCD\tB-NP\tO' +p134704 +aS'weeks\tweek\tNNS\tI-NP\tO' +p134705 +aS'for\tfor\tIN\tB-PP\tO' +p134706 +aS'repeat\trepeat\tNN\tB-NP\tO' +p134707 +aS'head\thead\tNN\tI-NP\tO' +p134708 +aS'imaging\timaging\tNN\tI-NP\tO' +p134709 +aS'and\tand\tCC\tO\tO' +p134710 +aS'continue\tcontinue\tVBP\tB-VP\tO' +p134711 +aS'with\twith\tIN\tB-PP\tO' +p134712 +aS'Dilantin\tDilantin\tNN\tB-NP\tB-protein' +p134713 +aS'for\tfor\tIN\tB-PP\tO' +p134714 +aS'one\tone\tCD\tB-NP\tO' +p134715 +aS'month\tmonth\tNN\tI-NP\tO' +p134716 +aS'.\t.\t.\tO\tO' +p134717 +asS'Sputum culture also returned with Staph. Aureus .' +p134718 +(lp134719 +S'Sputum\tSputum\tNN\tB-NP\tO' +p134720 +aS'culture\tculture\tNN\tI-NP\tO' +p134721 +aS'also\talso\tRB\tB-ADVP\tO' +p134722 +aS'returned\treturn\tVBD\tB-VP\tO' +p134723 +aS'with\twith\tIN\tB-PP\tO' +p134724 +aS'Staph.\tStaph.\tNNP\tB-NP\tO' +p134725 +aS'Aureus\tAureus\tNNP\tI-NP\tO' +p134726 +aS'.\t.\t.\tO\tO' +p134727 +asS'The ENT team recommended watching patient in-house for two days after his repeat imaging on 10/3/01 , and to continue antibiotic coverage with clindamycin .' +p134728 +(lp134729 +S'The\tThe\tDT\tB-NP\tO' +p134730 +aS'ENT\tENT\tNNP\tI-NP\tO' +p134731 +aS'team\tteam\tNN\tI-NP\tO' +p134732 +aS'recommended\trecommend\tVBD\tB-VP\tO' +p134733 +aS'watching\twatch\tVBG\tI-VP\tO' +p134734 +aS'patient\tpatient\tNN\tB-NP\tO' +p134735 +aS'in-house\tin-house\tNN\tI-NP\tO' +p134736 +aS'for\tfor\tIN\tB-PP\tO' +p134737 +aS'two\ttwo\tCD\tB-NP\tO' +p134738 +aS'days\tday\tNNS\tI-NP\tO' +p134739 +aS'after\tafter\tIN\tB-PP\tO' +p134740 +aS'his\this\tPRP$\tB-NP\tO' +p134741 +aS'repeat\trepeat\tNN\tI-NP\tO' +p134742 +aS'imaging\timage\tVBG\tB-VP\tO' +p134743 +aS'on\ton\tIN\tB-PP\tO' +p134744 +aS'10/3/01\t10/3/01\tCD\tB-NP\tO' +p134745 +aS',\t,\t,\tO\tO' +p134746 +aS'and\tand\tCC\tO\tO' +p134747 +aS'to\tto\tTO\tB-VP\tO' +p134748 +aS'continue\tcontinue\tVB\tI-VP\tO' +p134749 +aS'antibiotic\tantibiotic\tJJ\tB-NP\tO' +p134750 +aS'coverage\tcoverage\tNN\tI-NP\tO' +p134751 +aS'with\twith\tIN\tB-PP\tO' +p134752 +aS'clindamycin\tclindamycin\tNN\tB-NP\tO' +p134753 +aS'.\t.\t.\tO\tO' +p134754 +asS'The patient also developed elevated transaminases and pancreatic enzymes during this time .' +p134755 +(lp134756 +S'The\tThe\tDT\tB-NP\tO' +p134757 +aS'patient\tpatient\tNN\tI-NP\tO' +p134758 +aS'also\talso\tRB\tB-ADVP\tO' +p134759 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p134760 +aS'elevated\televate\tVBN\tB-NP\tO' +p134761 +aS'transaminases\ttransaminase\tNNS\tI-NP\tB-protein' +p134762 +aS'and\tand\tCC\tO\tO' +p134763 +aS'pancreatic\tpancreatic\tJJ\tB-NP\tB-protein' +p134764 +aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' +p134765 +aS'during\tduring\tIN\tB-PP\tO' +p134766 +aS'this\tthis\tDT\tB-NP\tO' +p134767 +aS'time\ttime\tNN\tI-NP\tO' +p134768 +aS'.\t.\t.\tO\tO' +p134769 +asS'He currently receives saline washes and Adaptic dressing changes twice a day .' +p134770 +(lp134771 +S'He\tHe\tPRP\tB-NP\tO' +p134772 +aS'currently\tcurrently\tRB\tB-ADVP\tO' +p134773 +aS'receives\treceive\tVBZ\tB-VP\tO' +p134774 +aS'saline\tsaline\tNN\tB-NP\tO' +p134775 +aS'washes\twash\tNNS\tI-NP\tO' +p134776 +aS'and\tand\tCC\tO\tO' +p134777 +aS'Adaptic\tAdaptic\tJJ\tB-NP\tO' +p134778 +aS'dressing\tdress\tVBG\tI-NP\tO' +p134779 +aS'changes\tchange\tNNS\tI-NP\tO' +p134780 +aS'twice\ttwice\tRB\tB-NP\tO' +p134781 +aS'a\ta\tDT\tI-NP\tO' +p134782 +aS'day\tday\tNN\tI-NP\tO' +p134783 +aS'.\t.\t.\tO\tO' +p134784 +asS'Outside hip films were obtained , but were not available for view .' +p134785 +(lp134786 +S'Outside\tOutside\tJJ\tB-NP\tO' +p134787 +aS'hip\thip\tNN\tI-NP\tO' +p134788 +aS'films\tfilm\tNNS\tI-NP\tO' +p134789 +aS'were\tbe\tVBD\tB-VP\tO' +p134790 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p134791 +aS',\t,\t,\tO\tO' +p134792 +aS'but\tbut\tCC\tO\tO' +p134793 +aS'were\tbe\tVBD\tB-VP\tO' +p134794 +aS'not\tnot\tRB\tO\tO' +p134795 +aS'available\tavailable\tJJ\tB-ADJP\tO' +p134796 +aS'for\tfor\tIN\tB-PP\tO' +p134797 +aS'view\tview\tNN\tB-NP\tO' +p134798 +aS'.\t.\t.\tO\tO' +p134799 +asS'vomiting and dehydration , hypokalemia , hyponatremia , tonsillitis .' +p134800 +(lp134801 +S'vomiting\tvomiting\tNN\tB-NP\tO' +p134802 +aS'and\tand\tCC\tI-NP\tO' +p134803 +aS'dehydration\tdehydration\tNN\tI-NP\tO' +p134804 +aS',\t,\t,\tO\tO' +p134805 +aS'hypokalemia\thypokalemia\tNN\tB-NP\tO' +p134806 +aS',\t,\t,\tO\tO' +p134807 +aS'hyponatremia\thyponatremia\tNN\tB-NP\tO' +p134808 +aS',\t,\t,\tO\tO' +p134809 +aS'tonsillitis\ttonsillitis\tNN\tB-NP\tO' +p134810 +aS'.\t.\t.\tO\tO' +p134811 +asS'Lungs had decreased breath sounds on the left .' +p134812 +(lp134813 +S'Lungs\tLung\tNNS\tB-NP\tO' +p134814 +aS'had\thave\tVBD\tB-VP\tO' +p134815 +aS'decreased\tdecrease\tVBN\tI-VP\tO' +p134816 +aS'breath\tbreath\tNN\tB-NP\tO' +p134817 +aS'sounds\tsound\tNNS\tI-NP\tO' +p134818 +aS'on\ton\tIN\tB-PP\tO' +p134819 +aS'the\tthe\tDT\tB-NP\tO' +p134820 +aS'left\tleft\tNN\tI-NP\tO' +p134821 +aS'.\t.\t.\tO\tO' +p134822 +asS"Will also need LFT 's checked in 3-6 months ." +p134823 +(lp134824 +S'Will\tWill\tMD\tB-VP\tO' +p134825 +aS'also\talso\tRB\tI-VP\tO' +p134826 +aS'need\tneed\tVB\tI-VP\tO' +p134827 +aS'LFT\tLFT\tNNP\tB-NP\tO' +p134828 +aS"'s\t's\tPOS\tB-NP\tO" +p134829 +aS'checked\tcheck\tVBN\tB-VP\tO' +p134830 +aS'in\tin\tIN\tB-PP\tO' +p134831 +aS'3-6\t3-6\tCD\tB-NP\tO' +p134832 +aS'months\tmonth\tNNS\tI-NP\tO' +p134833 +aS'.\t.\t.\tO\tO' +p134834 +asS'Psychiatry Service saw her on 6/28 and recommended avoiding benzodiazepines and Haldol for agitation .' +p134835 +(lp134836 +S'Psychiatry\tPsychiatry\tNNP\tB-NP\tO' +p134837 +aS'Service\tService\tNNP\tI-NP\tO' +p134838 +aS'saw\tsee\tVBD\tB-VP\tO' +p134839 +aS'her\ther\tPRP\tB-NP\tO' +p134840 +aS'on\ton\tIN\tB-PP\tO' +p134841 +aS'6/28\t6/28\tCD\tB-NP\tO' +p134842 +aS'and\tand\tCC\tO\tO' +p134843 +aS'recommended\trecommend\tVBD\tB-VP\tO' +p134844 +aS'avoiding\tavoid\tVBG\tB-NP\tO' +p134845 +aS'benzodiazepines\tbenzodiazepine\tNNS\tI-NP\tO' +p134846 +aS'and\tand\tCC\tO\tO' +p134847 +aS'Haldol\tHaldol\tNN\tB-NP\tO' +p134848 +aS'for\tfor\tIN\tB-PP\tO' +p134849 +aS'agitation\tagitation\tNN\tB-NP\tO' +p134850 +aS'.\t.\t.\tO\tO' +p134851 +asS'Cerebral blood flow was done on 9/7/93 at 2:30 p.m. , revealed complete absence of blood flow to brain .' +p134852 +(lp134853 +S'Cerebral\tCerebral\tJJ\tB-NP\tO' +p134854 +aS'blood\tblood\tNN\tI-NP\tO' +p134855 +aS'flow\tflow\tNN\tI-NP\tO' +p134856 +aS'was\tbe\tVBD\tB-VP\tO' +p134857 +aS'done\tdo\tVBN\tI-VP\tO' +p134858 +aS'on\ton\tIN\tB-PP\tO' +p134859 +aS'9/7/93\t9/7/93\tCD\tB-NP\tO' +p134860 +aS'at\tat\tIN\tB-PP\tO' +p134861 +aS'2:30\t2:30\tCD\tB-NP\tO' +p134862 +aS'p.m.\tp.m.\tNN\tI-NP\tO' +p134863 +aS',\t,\t,\tO\tO' +p134864 +aS'revealed\treveal\tVBD\tB-VP\tO' +p134865 +aS'complete\tcomplete\tJJ\tB-NP\tO' +p134866 +aS'absence\tabsence\tNN\tI-NP\tO' +p134867 +aS'of\tof\tIN\tB-PP\tO' +p134868 +aS'blood\tblood\tNN\tB-NP\tO' +p134869 +aS'flow\tflow\tNN\tI-NP\tO' +p134870 +aS'to\tto\tTO\tB-PP\tO' +p134871 +aS'brain\tbrain\tNN\tB-NP\tO' +p134872 +aS'.\t.\t.\tO\tO' +p134873 +asS'On arrival to Mass. Eye & Ear Infirmary , she was unresponsive with an oxygen saturation of 72% on 6 liters .' +p134874 +(lp134875 +S'On\tOn\tIN\tB-PP\tO' +p134876 +aS'arrival\tarrival\tNN\tB-NP\tO' +p134877 +aS'to\tto\tTO\tB-PP\tO' +p134878 +aS'Mass.\tMass.\tNNP\tB-NP\tO' +p134879 +aS'Eye\tEye\tNNP\tI-NP\tO' +p134880 +aS'&\t&\tCC\tI-NP\tO' +p134881 +aS'Ear\tEar\tNNP\tI-NP\tO' +p134882 +aS'Infirmary\tInfirmary\tNNP\tI-NP\tO' +p134883 +aS',\t,\t,\tO\tO' +p134884 +aS'she\tshe\tPRP\tB-NP\tO' +p134885 +aS'was\tbe\tVBD\tB-VP\tO' +p134886 +aS'unresponsive\tunresponsive\tJJ\tB-ADJP\tO' +p134887 +aS'with\twith\tIN\tB-PP\tO' +p134888 +aS'an\tan\tDT\tB-NP\tO' +p134889 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p134890 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p134891 +aS'of\tof\tIN\tB-PP\tO' +p134892 +aS'72%\t72%\tCD\tB-NP\tO' +p134893 +aS'on\ton\tIN\tB-PP\tO' +p134894 +aS'6\t6\tCD\tB-NP\tO' +p134895 +aS'liters\tliter\tNNS\tI-NP\tO' +p134896 +aS'.\t.\t.\tO\tO' +p134897 +asS'Scattered parenchymal opacities in the left lower lobe represent superimposed infection vs atelectasis .' +p134898 +(lp134899 +S'Scattered\tScatter\tVBN\tB-NP\tO' +p134900 +aS'parenchymal\tparenchymal\tJJ\tI-NP\tO' +p134901 +aS'opacities\topacity\tNNS\tI-NP\tO' +p134902 +aS'in\tin\tIN\tB-PP\tO' +p134903 +aS'the\tthe\tDT\tB-NP\tO' +p134904 +aS'left\tleft\tJJ\tI-NP\tO' +p134905 +aS'lower\tlow\tJJR\tI-NP\tO' +p134906 +aS'lobe\tlobe\tNN\tI-NP\tO' +p134907 +aS'represent\trepresent\tVBP\tB-VP\tO' +p134908 +aS'superimposed\tsuperimpose\tVBN\tB-NP\tO' +p134909 +aS'infection\tinfection\tNN\tI-NP\tO' +p134910 +aS'vs\tvs\tIN\tB-PP\tO' +p134911 +aS'atelectasis\tatelectasis\tNN\tB-NP\tO' +p134912 +aS'.\t.\t.\tO\tO' +p134913 +asS'Valcyte 900 mg q. Day .' +p134914 +(lp134915 +S'Valcyte\tValcyte\tNN\tB-NP\tO' +p134916 +aS'900\t900\tCD\tI-NP\tO' +p134917 +aS'mg\tmg\tNN\tI-NP\tO' +p134918 +aS'q.\tq.\tNNP\tI-NP\tO' +p134919 +aS'Day\tDay\tNNP\tI-NP\tO' +p134920 +aS'.\t.\t.\tO\tO' +p134921 +asS'The patient was found to have a blood pressure of 170/108 with atrial fibrillation and rapid ventricular response to a heart rate of 140s .' +p134922 +(lp134923 +S'The\tThe\tDT\tB-NP\tO' +p134924 +aS'patient\tpatient\tNN\tI-NP\tO' +p134925 +aS'was\tbe\tVBD\tB-VP\tO' +p134926 +aS'found\tfind\tVBN\tI-VP\tO' +p134927 +aS'to\tto\tTO\tI-VP\tO' +p134928 +aS'have\thave\tVB\tI-VP\tO' +p134929 +aS'a\ta\tDT\tB-NP\tO' +p134930 +aS'blood\tblood\tNN\tI-NP\tO' +p134931 +aS'pressure\tpressure\tNN\tI-NP\tO' +p134932 +aS'of\tof\tIN\tB-PP\tO' +p134933 +aS'170/108\t170/108\tCD\tB-NP\tO' +p134934 +aS'with\twith\tIN\tB-PP\tO' +p134935 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p134936 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p134937 +aS'and\tand\tCC\tO\tO' +p134938 +aS'rapid\trapid\tJJ\tB-NP\tO' +p134939 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p134940 +aS'response\tresponse\tNN\tI-NP\tO' +p134941 +aS'to\tto\tTO\tB-PP\tO' +p134942 +aS'a\ta\tDT\tB-NP\tO' +p134943 +aS'heart\theart\tNN\tI-NP\tO' +p134944 +aS'rate\trate\tNN\tI-NP\tO' +p134945 +aS'of\tof\tIN\tB-PP\tO' +p134946 +aS'140s\t140\tNNS\tB-NP\tO' +p134947 +aS'.\t.\t.\tO\tO' +p134948 +asS'Bowel sounds positive , soft , mildly tender in the epigastrium without hepatosplenomegaly , mass or tenderness .' +p134949 +(lp134950 +S'Bowel\tBowel\tNNP\tB-NP\tO' +p134951 +aS'sounds\tsound\tVBZ\tB-VP\tO' +p134952 +aS'positive\tpositive\tJJ\tB-NP\tO' +p134953 +aS',\t,\t,\tI-NP\tO' +p134954 +aS'soft\tsoft\tJJ\tI-NP\tO' +p134955 +aS',\t,\t,\tI-NP\tO' +p134956 +aS'mildly\tmildly\tRB\tI-NP\tO' +p134957 +aS'tender\ttender\tNN\tI-NP\tO' +p134958 +aS'in\tin\tIN\tB-PP\tO' +p134959 +aS'the\tthe\tDT\tB-NP\tO' +p134960 +aS'epigastrium\tepigastrium\tNN\tI-NP\tO' +p134961 +aS'without\twithout\tIN\tB-PP\tO' +p134962 +aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tB-NP\tO' +p134963 +aS',\t,\t,\tI-NP\tO' +p134964 +aS'mass\tmass\tNN\tI-NP\tO' +p134965 +aS'or\tor\tCC\tI-NP\tO' +p134966 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p134967 +aS'.\t.\t.\tO\tO' +p134968 +asS'White blood cell count is 8.3 , hematocrit 42.7 , platelets 180 , INR was 1.1 , sodium 135 , potassium 4.0 , chloride 99 , CO2 33 , BUN 13 , creatinine 1.0 , glucose 96 .' +p134969 +(lp134970 +S'White\tWhite\tJJ\tB-NP\tO' +p134971 +aS'blood\tblood\tNN\tI-NP\tO' +p134972 +aS'cell\tcell\tNN\tI-NP\tO' +p134973 +aS'count\tcount\tNN\tI-NP\tO' +p134974 +aS'is\tbe\tVBZ\tB-VP\tO' +p134975 +aS'8.3\t8.3\tCD\tB-NP\tO' +p134976 +aS',\t,\t,\tO\tO' +p134977 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p134978 +aS'42.7\t42.7\tCD\tI-NP\tI-protein' +p134979 +aS',\t,\t,\tO\tO' +p134980 +aS'platelets\tplatelet\tNNS\tB-NP\tB-protein' +p134981 +aS'180\t180\tCD\tB-NP\tI-protein' +p134982 +aS',\t,\t,\tO\tO' +p134983 +aS'INR\tINR\tNN\tB-NP\tB-protein' +p134984 +aS'was\tbe\tVBD\tB-VP\tO' +p134985 +aS'1.1\t1.1\tCD\tB-NP\tO' +p134986 +aS',\t,\t,\tO\tO' +p134987 +aS'sodium\tsodium\tNN\tB-NP\tO' +p134988 +aS'135\t135\tCD\tI-NP\tO' +p134989 +aS',\t,\t,\tO\tO' +p134990 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p134991 +aS'4.0\t4.0\tCD\tI-NP\tO' +p134992 +aS',\t,\t,\tO\tO' +p134993 +aS'chloride\tchloride\tNN\tB-NP\tO' +p134994 +aS'99\t99\tCD\tI-NP\tO' +p134995 +aS',\t,\t,\tO\tO' +p134996 +aS'CO2\tCO2\tNN\tB-NP\tO' +p134997 +aS'33\t33\tCD\tI-NP\tO' +p134998 +aS',\t,\t,\tO\tO' +p134999 +aS'BUN\tBUN\tNNP\tB-NP\tO' +p135000 +aS'13\t13\tCD\tI-NP\tO' +p135001 +aS',\t,\t,\tO\tO' +p135002 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p135003 +aS'1.0\t1.0\tCD\tI-NP\tO' +p135004 +aS',\t,\t,\tO\tO' +p135005 +aS'glucose\tglucose\tNN\tB-NP\tO' +p135006 +aS'96\t96\tCD\tI-NP\tO' +p135007 +aS'.\t.\t.\tO\tO' +p135008 +asS'121-140 mg / dL 3 Units' +p135009 +(lp135010 +S'121-140\t121-140\tCD\tB-NP\tO' +p135011 +aS'mg\tmg\tNN\tI-NP\tO' +p135012 +aS'/\t/\tSYM\tB-NP\tO' +p135013 +aS'dL\tdL\tNN\tI-NP\tO' +p135014 +aS'3\t3\tCD\tB-NP\tO' +p135015 +aS'Units\tUnit\tNNS\tI-NP\tO' +p135016 +asS'2. Hepatic candidiasis .' +p135017 +(lp135018 +S'2.\t2.\tLS\tB-NP\tO' +p135019 +aS'Hepatic\tHepatic\tJJ\tI-NP\tO' +p135020 +aS'candidiasis\tcandidiasis\tNN\tI-NP\tO' +p135021 +aS'.\t.\t.\tO\tO' +p135022 +asS'- colon cancer with mets to liver s/p resection 09-07 .' +p135023 +(lp135024 +S'-\t-\tHYPH\tB-NP\tO' +p135025 +aS'colon\tcolon\tNN\tI-NP\tO' +p135026 +aS'cancer\tcancer\tNN\tI-NP\tO' +p135027 +aS'with\twith\tIN\tB-PP\tO' +p135028 +aS'mets\tmet\tNNS\tB-NP\tO' +p135029 +aS'to\tto\tTO\tB-PP\tO' +p135030 +aS'liver\tliver\tNN\tB-NP\tO' +p135031 +aS's/p\ts/p\tNN\tI-NP\tO' +p135032 +aS'resection\tresection\tNN\tI-NP\tO' +p135033 +aS'09-07\t09-07\tCD\tI-NP\tO' +p135034 +aS'.\t.\t.\tO\tO' +p135035 +asS'15. Pantoprazole Sodium 40 mg Recon Soln Sig : One ( 1 ) Recon Soln Intravenous Q12H ( every 12 hours ) .' +p135036 +(lp135037 +S'15.\t15.\tLS\tB-NP\tO' +p135038 +aS'Pantoprazole\tPantoprazole\tNN\tI-NP\tO' +p135039 +aS'Sodium\tSodium\tNN\tI-NP\tO' +p135040 +aS'40\t40\tCD\tI-NP\tO' +p135041 +aS'mg\tmg\tNN\tI-NP\tO' +p135042 +aS'Recon\tRecon\tNNP\tI-NP\tO' +p135043 +aS'Soln\tSoln\tNNP\tI-NP\tO' +p135044 +aS'Sig\tSig\tNNP\tI-NP\tO' +p135045 +aS':\t:\t:\tO\tO' +p135046 +aS'One\tOne\tCD\tB-NP\tO' +p135047 +aS'(\t(\t(\tO\tO' +p135048 +aS'1\t1\tCD\tB-NP\tO' +p135049 +aS')\t)\t)\tO\tO' +p135050 +aS'Recon\tRecon\tNNP\tB-NP\tO' +p135051 +aS'Soln\tSoln\tNNP\tI-NP\tO' +p135052 +aS'Intravenous\tIntravenous\tJJ\tI-NP\tO' +p135053 +aS'Q12H\tQ12H\tNN\tI-NP\tO' +p135054 +aS'(\t(\t(\tO\tO' +p135055 +aS'every\tevery\tDT\tB-NP\tO' +p135056 +aS'12\t12\tCD\tI-NP\tO' +p135057 +aS'hours\thour\tNNS\tI-NP\tO' +p135058 +aS')\t)\t)\tO\tO' +p135059 +aS'.\t.\t.\tO\tO' +p135060 +asS'5. Type 2 DM - Patient was initially covered with an insulin drip while septic and then transitioned back to insulin sliding scale .' +p135061 +(lp135062 +S'5.\t5.\tLS\tB-NP\tO' +p135063 +aS'Type\tType\tNN\tI-NP\tO' +p135064 +aS'2\t2\tCD\tB-NP\tO' +p135065 +aS'DM\tDM\tNN\tI-NP\tO' +p135066 +aS'-\t-\tHYPH\tB-NP\tO' +p135067 +aS'Patient\tPatient\tNN\tI-NP\tO' +p135068 +aS'was\tbe\tVBD\tB-VP\tO' +p135069 +aS'initially\tinitially\tRB\tI-VP\tO' +p135070 +aS'covered\tcover\tVBN\tI-VP\tO' +p135071 +aS'with\twith\tIN\tB-PP\tO' +p135072 +aS'an\tan\tDT\tB-NP\tO' +p135073 +aS'insulin\tinsulin\tNN\tI-NP\tO' +p135074 +aS'drip\tdrip\tNN\tI-NP\tO' +p135075 +aS'while\twhile\tIN\tB-SBAR\tO' +p135076 +aS'septic\tseptic\tJJ\tB-ADJP\tO' +p135077 +aS'and\tand\tCC\tO\tO' +p135078 +aS'then\tthen\tRB\tB-VP\tO' +p135079 +aS'transitioned\ttransitione\tVBN\tI-VP\tO' +p135080 +aS'back\tback\tRB\tB-ADVP\tO' +p135081 +aS'to\tto\tTO\tB-PP\tO' +p135082 +aS'insulin\tinsulin\tNN\tB-NP\tB-protein' +p135083 +aS'sliding\tslide\tVBG\tB-VP\tO' +p135084 +aS'scale\tscale\tNN\tB-NP\tO' +p135085 +aS'.\t.\t.\tO\tO' +p135086 +asS'Initially it was felt that this was a result of poor PO intake .' +p135087 +(lp135088 +S'Initially\tInitially\tRB\tB-ADVP\tO' +p135089 +aS'it\tit\tPRP\tB-NP\tO' +p135090 +aS'was\tbe\tVBD\tB-VP\tO' +p135091 +aS'felt\tfeel\tVBN\tI-VP\tO' +p135092 +aS'that\tthat\tIN\tB-SBAR\tO' +p135093 +aS'this\tthis\tDT\tB-NP\tO' +p135094 +aS'was\tbe\tVBD\tB-VP\tO' +p135095 +aS'a\ta\tDT\tB-NP\tO' +p135096 +aS'result\tresult\tNN\tI-NP\tO' +p135097 +aS'of\tof\tIN\tB-PP\tO' +p135098 +aS'poor\tpoor\tJJ\tB-NP\tO' +p135099 +aS'PO\tPO\tNN\tI-NP\tO' +p135100 +aS'intake\tintake\tNN\tI-NP\tO' +p135101 +aS'.\t.\t.\tO\tO' +p135102 +asS'CML .' +p135103 +(lp135104 +S'CML\tCML\tNN\tB-NP\tO' +p135105 +aS'.\t.\t.\tO\tO' +p135106 +asS'A quantitative V / Q scan was also done preoperatively and Pulmonary consult was obtained preoperatively .' +p135107 +(lp135108 +S'A\tA\tDT\tB-NP\tO' +p135109 +aS'quantitative\tquantitative\tJJ\tI-NP\tO' +p135110 +aS'V\tV\tNN\tI-NP\tO' +p135111 +aS'/\t/\tSYM\tB-VP\tO' +p135112 +aS'Q\tQ\tNN\tB-NP\tO' +p135113 +aS'scan\tscan\tNN\tI-NP\tO' +p135114 +aS'was\tbe\tVBD\tB-VP\tO' +p135115 +aS'also\talso\tRB\tI-VP\tO' +p135116 +aS'done\tdo\tVBN\tI-VP\tO' +p135117 +aS'preoperatively\tpreoperatively\tRB\tB-ADVP\tO' +p135118 +aS'and\tand\tCC\tO\tO' +p135119 +aS'Pulmonary\tPulmonary\tJJ\tB-NP\tO' +p135120 +aS'consult\tconsult\tNN\tI-NP\tO' +p135121 +aS'was\tbe\tVBD\tB-VP\tO' +p135122 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p135123 +aS'preoperatively\tpreoperatively\tRB\tB-ADVP\tO' +p135124 +aS'.\t.\t.\tO\tO' +p135125 +asS'She does not describe decreased PO intake from her norm this morning , but did feel dehydrated at the time of her fall .' +p135126 +(lp135127 +S'She\tShe\tPRP\tB-NP\tO' +p135128 +aS'does\tdo\tVBZ\tB-VP\tO' +p135129 +aS'not\tnot\tRB\tI-VP\tO' +p135130 +aS'describe\tdescribe\tVB\tI-VP\tO' +p135131 +aS'decreased\tdecrease\tVBN\tB-NP\tO' +p135132 +aS'PO\tPO\tNN\tI-NP\tO' +p135133 +aS'intake\tintake\tNN\tI-NP\tO' +p135134 +aS'from\tfrom\tIN\tB-PP\tO' +p135135 +aS'her\ther\tPRP$\tB-NP\tO' +p135136 +aS'norm\tnorm\tNN\tI-NP\tO' +p135137 +aS'this\tthis\tDT\tB-NP\tO' +p135138 +aS'morning\tmorning\tNN\tI-NP\tO' +p135139 +aS',\t,\t,\tO\tO' +p135140 +aS'but\tbut\tCC\tO\tO' +p135141 +aS'did\tdo\tVBD\tB-VP\tO' +p135142 +aS'feel\tfeel\tNN\tB-NP\tO' +p135143 +aS'dehydrated\tdehydrate\tVBN\tB-VP\tO' +p135144 +aS'at\tat\tIN\tB-PP\tO' +p135145 +aS'the\tthe\tDT\tB-NP\tO' +p135146 +aS'time\ttime\tNN\tI-NP\tO' +p135147 +aS'of\tof\tIN\tB-PP\tO' +p135148 +aS'her\ther\tPRP$\tB-NP\tO' +p135149 +aS'fall\tfall\tNN\tI-NP\tO' +p135150 +aS'.\t.\t.\tO\tO' +p135151 +asS'The patient 's temperature was 102 degrees .' +p135152 +(lp135153 +S'The\tThe\tDT\tB-NP\tO' +p135154 +aS'patient\tpatient\tNN\tI-NP\tO' +p135155 +aS''s\t'\tNNS\tI-NP\tO' +p135156 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p135157 +aS'was\tbe\tVBD\tB-VP\tO' +p135158 +aS'102\t102\tCD\tB-NP\tO' +p135159 +aS'degrees\tdegree\tNNS\tI-NP\tO' +p135160 +aS'.\t.\t.\tO\tO' +p135161 +asS'Briefly , he was talking to a friend at 5:30 p.m. the day prior to admission , when he had to grab his locker and sit down .' +p135162 +(lp135163 +S'Briefly\tBriefly\tRB\tB-ADVP\tO' +p135164 +aS',\t,\t,\tO\tO' +p135165 +aS'he\the\tPRP\tB-NP\tO' +p135166 +aS'was\tbe\tVBD\tB-VP\tO' +p135167 +aS'talking\ttalk\tVBG\tI-VP\tO' +p135168 +aS'to\tto\tTO\tB-PP\tO' +p135169 +aS'a\ta\tDT\tB-NP\tO' +p135170 +aS'friend\tfriend\tNN\tI-NP\tO' +p135171 +aS'at\tat\tIN\tB-PP\tO' +p135172 +aS'5:30\t5:30\tCD\tB-NP\tO' +p135173 +aS'p.m.\tp.m.\tNN\tI-NP\tO' +p135174 +aS'the\tthe\tDT\tB-NP\tO' +p135175 +aS'day\tday\tNN\tI-NP\tO' +p135176 +aS'prior\tprior\tRB\tB-ADVP\tO' +p135177 +aS'to\tto\tTO\tB-PP\tO' +p135178 +aS'admission\tadmission\tNN\tB-NP\tO' +p135179 +aS',\t,\t,\tO\tO' +p135180 +aS'when\twhen\tWRB\tB-ADVP\tO' +p135181 +aS'he\the\tPRP\tB-NP\tO' +p135182 +aS'had\thave\tVBD\tB-VP\tO' +p135183 +aS'to\tto\tTO\tI-VP\tO' +p135184 +aS'grab\tgrab\tVB\tI-VP\tO' +p135185 +aS'his\this\tPRP$\tB-NP\tO' +p135186 +aS'locker\tlocker\tNN\tI-NP\tO' +p135187 +aS'and\tand\tCC\tO\tO' +p135188 +aS'sit\tsit\tVB\tB-VP\tO' +p135189 +aS'down\tdown\tRP\tB-PRT\tO' +p135190 +aS'.\t.\t.\tO\tO' +p135191 +asS'Disp :* 30 Tablet (s)* Refills :* 0 *' +p135192 +(lp135193 +S'Disp\tDisp\tNN\tB-NP\tO' +p135194 +aS':*\t:*\tSYM\tI-NP\tO' +p135195 +aS'30\t30\tCD\tI-NP\tO' +p135196 +aS'Tablet\tTablet\tNN\tI-NP\tO' +p135197 +aS'(s)*\t(s)*\tSYM\tB-NP\tO' +p135198 +aS'Refills\tRefill\tNNPS\tI-NP\tO' +p135199 +aS':*\t:*\tSYM\tI-NP\tO' +p135200 +aS'0\t0\tCD\tI-NP\tO' +p135201 +aS'*\t*\tSYM\tB-NP\tO' +p135202 +asS'They elected not to inject it with thrombin .' +p135203 +(lp135204 +S'They\tThey\tPRP\tB-NP\tO' +p135205 +aS'elected\telect\tVBD\tB-VP\tO' +p135206 +aS'not\tnot\tRB\tO\tO' +p135207 +aS'to\tto\tTO\tB-VP\tO' +p135208 +aS'inject\tinject\tVB\tI-VP\tO' +p135209 +aS'it\tit\tPRP\tB-NP\tO' +p135210 +aS'with\twith\tIN\tB-PP\tO' +p135211 +aS'thrombin\tthrombin\tNN\tB-NP\tB-protein' +p135212 +aS'.\t.\t.\tO\tO' +p135213 +asS'Height 5 ' 1 " , weight 138 lb.' +p135214 +(lp135215 +S'Height\tHeight\tRB\tB-NP\tO' +p135216 +aS'5\t5\tCD\tI-NP\tO' +p135217 +aS''\t'\tCC\tI-NP\tO' +p135218 +aS'1\t1\tCD\tI-NP\tO' +p135219 +aS'"\t"\tNN\tI-NP\tO' +p135220 +aS',\t,\t,\tO\tO' +p135221 +aS'weight\tweight\tNN\tB-NP\tO' +p135222 +aS'138\t138\tCD\tI-NP\tO' +p135223 +aS'lb.\tlb.\tNN\tI-NP\tO' +p135224 +asS'UA - trace protein , trace ketones , positive for bilirubin and nitrogen and also 4 to 6 wbcs with 1+ bacteria .' +p135225 +(lp135226 +S'UA\tUA\tNN\tB-NP\tO' +p135227 +aS'-\t-\tHYPH\tI-NP\tO' +p135228 +aS'trace\ttrace\tNN\tI-NP\tB-protein' +p135229 +aS'protein\tprotein\tNN\tI-NP\tI-protein' +p135230 +aS',\t,\t,\tO\tO' +p135231 +aS'trace\ttrace\tNN\tB-NP\tO' +p135232 +aS'ketones\tketone\tNNS\tI-NP\tO' +p135233 +aS',\t,\t,\tO\tO' +p135234 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p135235 +aS'for\tfor\tIN\tB-PP\tO' +p135236 +aS'bilirubin\tbilirubin\tNN\tB-NP\tO' +p135237 +aS'and\tand\tCC\tI-NP\tO' +p135238 +aS'nitrogen\tnitrogen\tNN\tI-NP\tO' +p135239 +aS'and\tand\tCC\tO\tO' +p135240 +aS'also\talso\tRB\tB-ADVP\tO' +p135241 +aS'4\t4\tCD\tB-NP\tO' +p135242 +aS'to\tto\tTO\tB-PP\tO' +p135243 +aS'6\t6\tCD\tB-NP\tO' +p135244 +aS'wbcs\twbc\tNNS\tI-NP\tO' +p135245 +aS'with\twith\tIN\tB-PP\tO' +p135246 +aS'1+\t1+\tJJ\tB-NP\tO' +p135247 +aS'bacteria\tbacteria\tNNS\tI-NP\tO' +p135248 +aS'.\t.\t.\tO\tO' +p135249 +asS'X ray suggested some pulmonary edema on admission .' +p135250 +(lp135251 +S'X\tX\tNN\tB-NP\tO' +p135252 +aS'ray\tray\tNN\tI-NP\tO' +p135253 +aS'suggested\tsuggest\tVBD\tB-VP\tO' +p135254 +aS'some\tsome\tDT\tB-NP\tO' +p135255 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p135256 +aS'edema\tedema\tNN\tI-NP\tO' +p135257 +aS'on\ton\tIN\tB-PP\tO' +p135258 +aS'admission\tadmission\tNN\tB-NP\tO' +p135259 +aS'.\t.\t.\tO\tO' +p135260 +asS'On admission revealed a white male with no palpable adenopathy .' +p135261 +(lp135262 +S'On\tOn\tIN\tB-PP\tO' +p135263 +aS'admission\tadmission\tNN\tB-NP\tO' +p135264 +aS'revealed\treveal\tVBD\tB-VP\tO' +p135265 +aS'a\ta\tDT\tB-NP\tO' +p135266 +aS'white\twhite\tJJ\tI-NP\tO' +p135267 +aS'male\tmale\tNN\tI-NP\tO' +p135268 +aS'with\twith\tIN\tB-PP\tO' +p135269 +aS'no\tno\tDT\tB-NP\tO' +p135270 +aS'palpable\tpalpable\tJJ\tI-NP\tO' +p135271 +aS'adenopathy\tadenopathy\tNN\tI-NP\tO' +p135272 +aS'.\t.\t.\tO\tO' +p135273 +asS'In summary , the catheterization showed left main with no obstructive disease , LAD with 70 percent serial lesion , left circumflex with 70 percent proximal , OM1 and OM2 both 70 percent lesions , RCA with nonobstructive disease and ejection' +p135274 +(lp135275 +S'In\tIn\tIN\tB-PP\tO' +p135276 +aS'summary\tsummary\tNN\tB-NP\tO' +p135277 +aS',\t,\t,\tO\tO' +p135278 +aS'the\tthe\tDT\tB-NP\tO' +p135279 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p135280 +aS'showed\tshow\tVBD\tB-VP\tO' +p135281 +aS'left\tleft\tRB\tB-ADJP\tO' +p135282 +aS'main\tmain\tJJ\tI-ADJP\tO' +p135283 +aS'with\twith\tIN\tB-PP\tO' +p135284 +aS'no\tno\tDT\tB-NP\tO' +p135285 +aS'obstructive\tobstructive\tJJ\tI-NP\tO' +p135286 +aS'disease\tdisease\tNN\tI-NP\tO' +p135287 +aS',\t,\t,\tO\tO' +p135288 +aS'LAD\tLAD\tNN\tB-NP\tO' +p135289 +aS'with\twith\tIN\tB-PP\tO' +p135290 +aS'70\t70\tCD\tB-NP\tO' +p135291 +aS'percent\tpercent\tNN\tI-NP\tO' +p135292 +aS'serial\tserial\tJJ\tI-NP\tO' +p135293 +aS'lesion\tlesion\tNN\tI-NP\tO' +p135294 +aS',\t,\t,\tO\tO' +p135295 +aS'left\tleave\tVBD\tB-VP\tO' +p135296 +aS'circumflex\tcircumflex\tNN\tB-NP\tO' +p135297 +aS'with\twith\tIN\tB-PP\tO' +p135298 +aS'70\t70\tCD\tB-NP\tO' +p135299 +aS'percent\tpercent\tNN\tI-NP\tO' +p135300 +aS'proximal\tproximal\tJJ\tI-NP\tO' +p135301 +aS',\t,\t,\tI-NP\tO' +p135302 +aS'OM1\tOM1\tNN\tI-NP\tB-protein' +p135303 +aS'and\tand\tCC\tI-NP\tO' +p135304 +aS'OM2\tOM2\tNN\tI-NP\tB-protein' +p135305 +aS'both\tboth\tCC\tO\tO' +p135306 +aS'70\t70\tCD\tB-NP\tO' +p135307 +aS'percent\tpercent\tNN\tI-NP\tO' +p135308 +aS'lesions\tlesion\tNNS\tI-NP\tO' +p135309 +aS',\t,\t,\tO\tO' +p135310 +aS'RCA\tRCA\tNN\tB-NP\tB-protein' +p135311 +aS'with\twith\tIN\tB-PP\tO' +p135312 +aS'nonobstructive\tnonobstructive\tJJ\tB-NP\tO' +p135313 +aS'disease\tdisease\tNN\tI-NP\tO' +p135314 +aS'and\tand\tCC\tO\tO' +p135315 +aS'ejection\tejection\tNN\tB-NP\tO' +p135316 +asS'( later tested and patient markedly unstable on feet )' +p135317 +(lp135318 +S'(\t(\t(\tO\tO' +p135319 +aS'later\tlater\tRB\tB-VP\tO' +p135320 +aS'tested\ttest\tVBN\tI-VP\tO' +p135321 +aS'and\tand\tCC\tO\tO' +p135322 +aS'patient\tpatient\tNN\tB-NP\tO' +p135323 +aS'markedly\tmarkedly\tRB\tB-ADJP\tO' +p135324 +aS'unstable\tunstable\tJJ\tI-ADJP\tO' +p135325 +aS'on\ton\tIN\tB-PP\tO' +p135326 +aS'feet\tfoot\tNNS\tB-NP\tO' +p135327 +aS')\t)\t)\tO\tO' +p135328 +asS'Following balloon angioplasty , there was a local dissection with evidence of intraluminal thrombus , with a greater than 10% loss in the initial gain following coronary angioplasty .' +p135329 +(lp135330 +S'Following\tFollow\tVBG\tB-PP\tO' +p135331 +aS'balloon\tballoon\tNN\tB-NP\tO' +p135332 +aS'angioplasty\tangioplasty\tNN\tI-NP\tO' +p135333 +aS',\t,\t,\tO\tO' +p135334 +aS'there\tthere\tEX\tB-NP\tO' +p135335 +aS'was\tbe\tVBD\tB-VP\tO' +p135336 +aS'a\ta\tDT\tB-NP\tO' +p135337 +aS'local\tlocal\tJJ\tI-NP\tO' +p135338 +aS'dissection\tdissection\tNN\tI-NP\tO' +p135339 +aS'with\twith\tIN\tB-PP\tO' +p135340 +aS'evidence\tevidence\tNN\tB-NP\tO' +p135341 +aS'of\tof\tIN\tB-PP\tO' +p135342 +aS'intraluminal\tintraluminal\tJJ\tB-NP\tO' +p135343 +aS'thrombus\tthrombus\tNN\tI-NP\tO' +p135344 +aS',\t,\t,\tO\tO' +p135345 +aS'with\twith\tIN\tB-PP\tO' +p135346 +aS'a\ta\tDT\tB-NP\tO' +p135347 +aS'greater\tgreat\tJJR\tI-NP\tO' +p135348 +aS'than\tthan\tIN\tI-NP\tO' +p135349 +aS'10%\t10%\tCD\tI-NP\tO' +p135350 +aS'loss\tloss\tNN\tI-NP\tO' +p135351 +aS'in\tin\tIN\tB-PP\tO' +p135352 +aS'the\tthe\tDT\tB-NP\tO' +p135353 +aS'initial\tinitial\tJJ\tI-NP\tO' +p135354 +aS'gain\tgain\tNN\tI-NP\tO' +p135355 +aS'following\tfollow\tVBG\tB-PP\tO' +p135356 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p135357 +aS'angioplasty\tangioplasty\tNN\tI-NP\tO' +p135358 +aS'.\t.\t.\tO\tO' +p135359 +asS'On the morning of admission at 8 o'clock , he was noted to be moving his mouth less and speaking " gibberish " .' +p135360 +(lp135361 +S'On\tOn\tIN\tB-PP\tO' +p135362 +aS'the\tthe\tDT\tB-NP\tO' +p135363 +aS'morning\tmorning\tNN\tI-NP\tO' +p135364 +aS'of\tof\tIN\tB-PP\tO' +p135365 +aS'admission\tadmission\tNN\tB-NP\tO' +p135366 +aS'at\tat\tIN\tB-PP\tO' +p135367 +aS'8\t8\tCD\tB-NP\tO' +p135368 +aS'o'clock\to'clock\tNN\tI-NP\tO' +p135369 +aS',\t,\t,\tO\tO' +p135370 +aS'he\the\tPRP\tB-NP\tO' +p135371 +aS'was\tbe\tVBD\tB-VP\tO' +p135372 +aS'noted\tnote\tVBN\tI-VP\tO' +p135373 +aS'to\tto\tTO\tI-VP\tO' +p135374 +aS'be\tbe\tVB\tI-VP\tO' +p135375 +aS'moving\tmove\tVBG\tI-VP\tO' +p135376 +aS'his\this\tPRP$\tB-NP\tO' +p135377 +aS'mouth\tmouth\tNN\tI-NP\tO' +p135378 +aS'less\tless\tJJR\tB-ADJP\tO' +p135379 +aS'and\tand\tCC\tO\tO' +p135380 +aS'speaking\tspeak\tVBG\tB-VP\tO' +p135381 +aS'"\t"\tCC\tB-NP\tO' +p135382 +aS'gibberish\tgibberish\tJJ\tI-NP\tO' +p135383 +aS'"\t"\tNN\tI-NP\tO' +p135384 +aS'.\t.\t.\tO\tO' +p135385 +asS'Thus , the splenic flexure and a portion of the descending colon were resected .' +p135386 +(lp135387 +S'Thus\tThus\tRB\tB-ADVP\tO' +p135388 +aS',\t,\t,\tO\tO' +p135389 +aS'the\tthe\tDT\tB-NP\tO' +p135390 +aS'splenic\tsplenic\tJJ\tI-NP\tO' +p135391 +aS'flexure\tflexure\tNN\tI-NP\tO' +p135392 +aS'and\tand\tCC\tO\tO' +p135393 +aS'a\ta\tDT\tB-NP\tO' +p135394 +aS'portion\tportion\tNN\tI-NP\tO' +p135395 +aS'of\tof\tIN\tB-PP\tO' +p135396 +aS'the\tthe\tDT\tB-NP\tO' +p135397 +aS'descending\tdescend\tVBG\tI-NP\tO' +p135398 +aS'colon\tcolon\tNN\tI-NP\tO' +p135399 +aS'were\tbe\tVBD\tB-VP\tO' +p135400 +aS'resected\tresecte\tVBN\tI-VP\tO' +p135401 +aS'.\t.\t.\tO\tO' +p135402 +asS'Gen : somnolent but arousable to voice' +p135403 +(lp135404 +S'Gen\tGen\tNN\tB-NP\tO' +p135405 +aS':\t:\t:\tO\tO' +p135406 +aS'somnolent\tsomnolent\tJJ\tB-ADJP\tO' +p135407 +aS'but\tbut\tCC\tI-ADJP\tO' +p135408 +aS'arousable\tarousable\tJJ\tI-ADJP\tO' +p135409 +aS'to\tto\tTO\tB-VP\tO' +p135410 +aS'voice\tvoice\tVB\tI-VP\tO' +p135411 +asS'9. Potassium Chloride 10 mEq Capsule , Sustained Release Sig : Two ( 2 ) Capsule , Sustained Release PO once a day for 7 days .' +p135412 +(lp135413 +S'9.\t9.\tLS\tB-NP\tO' +p135414 +aS'Potassium\tPotassium\tNNP\tI-NP\tO' +p135415 +aS'Chloride\tChloride\tNNP\tI-NP\tO' +p135416 +aS'10\t10\tCD\tI-NP\tO' +p135417 +aS'mEq\tmEq\tNN\tI-NP\tO' +p135418 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p135419 +aS',\t,\t,\tO\tO' +p135420 +aS'Sustained\tSustained\tNNP\tB-NP\tO' +p135421 +aS'Release\tRelease\tNNP\tI-NP\tO' +p135422 +aS'Sig\tSig\tNNP\tI-NP\tB-protein' +p135423 +aS':\t:\t:\tO\tO' +p135424 +aS'Two\tTwo\tCD\tB-NP\tO' +p135425 +aS'(\t(\t(\tO\tO' +p135426 +aS'2\t2\tCD\tB-NP\tO' +p135427 +aS')\t)\t)\tO\tO' +p135428 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p135429 +aS',\t,\t,\tO\tO' +p135430 +aS'Sustained\tSustained\tNNP\tB-NP\tO' +p135431 +aS'Release\tRelease\tNNP\tI-NP\tO' +p135432 +aS'PO\tPO\tNNP\tI-NP\tO' +p135433 +aS'once\tonce\tRB\tB-ADVP\tO' +p135434 +aS'a\ta\tDT\tB-NP\tO' +p135435 +aS'day\tday\tNN\tI-NP\tO' +p135436 +aS'for\tfor\tIN\tB-PP\tO' +p135437 +aS'7\t7\tCD\tB-NP\tO' +p135438 +aS'days\tday\tNNS\tI-NP\tO' +p135439 +aS'.\t.\t.\tO\tO' +p135440 +asS'03/03/92 - left carotid endarterectomy with continuous interoperative electroencephalogram monitoring and saphenous vein patch closure .' +p135441 +(lp135442 +S'03/03/92\t03/03/92\tCD\tB-NP\tO' +p135443 +aS'-\t-\tHYPH\tI-NP\tO' +p135444 +aS'left\tleft\tJJ\tI-NP\tO' +p135445 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p135446 +aS'endarterectomy\tendarterectomy\tNN\tI-NP\tO' +p135447 +aS'with\twith\tIN\tB-PP\tO' +p135448 +aS'continuous\tcontinuous\tJJ\tB-NP\tO' +p135449 +aS'interoperative\tinteroperative\tJJ\tI-NP\tO' +p135450 +aS'electroencephalogram\telectroencephalogram\tNN\tI-NP\tO' +p135451 +aS'monitoring\tmonitoring\tNN\tI-NP\tO' +p135452 +aS'and\tand\tCC\tO\tO' +p135453 +aS'saphenous\tsaphenous\tJJ\tB-NP\tO' +p135454 +aS'vein\tvein\tNN\tI-NP\tO' +p135455 +aS'patch\tpatch\tNN\tI-NP\tO' +p135456 +aS'closure\tclosure\tNN\tI-NP\tO' +p135457 +aS'.\t.\t.\tO\tO' +p135458 +asS'The patient was also administered adaptive training for activities of daily life and advised regarding wound care .' +p135459 +(lp135460 +S'The\tThe\tDT\tB-NP\tO' +p135461 +aS'patient\tpatient\tNN\tI-NP\tO' +p135462 +aS'was\tbe\tVBD\tB-VP\tO' +p135463 +aS'also\talso\tRB\tI-VP\tO' +p135464 +aS'administered\tadminister\tVBN\tI-VP\tO' +p135465 +aS'adaptive\tadaptive\tJJ\tB-NP\tO' +p135466 +aS'training\ttraining\tNN\tI-NP\tO' +p135467 +aS'for\tfor\tIN\tB-PP\tO' +p135468 +aS'activities\tactivity\tNNS\tB-NP\tO' +p135469 +aS'of\tof\tIN\tB-PP\tO' +p135470 +aS'daily\tdaily\tJJ\tB-NP\tO' +p135471 +aS'life\tlife\tNN\tI-NP\tO' +p135472 +aS'and\tand\tCC\tO\tO' +p135473 +aS'advised\tadvise\tVBD\tB-VP\tO' +p135474 +aS'regarding\tregard\tVBG\tI-VP\tO' +p135475 +aS'wound\twound\tJJ\tB-NP\tO' +p135476 +aS'care\tcare\tNN\tI-NP\tO' +p135477 +aS'.\t.\t.\tO\tO' +p135478 +asS'Vitamin D 50000 4662442 one time a week' +p135479 +(lp135480 +S'Vitamin\tVitamin\tNN\tB-NP\tO' +p135481 +aS'D\tD\tNN\tI-NP\tO' +p135482 +aS'50000\t50000\tCD\tI-NP\tO' +p135483 +aS'4662442\t4662442\tCD\tI-NP\tO' +p135484 +aS'one\tone\tCD\tI-NP\tO' +p135485 +aS'time\ttime\tNN\tI-NP\tO' +p135486 +aS'a\ta\tDT\tB-NP\tO' +p135487 +aS'week\tweek\tNN\tI-NP\tO' +p135488 +asS'Melba Barnett is the 3.710 - kg ( 8 - pound 3 - ounce ) product of a term gestation .' +p135489 +(lp135490 +S'Melba\tMelba\tNNP\tB-NP\tO' +p135491 +aS'Barnett\tBarnett\tNNP\tI-NP\tO' +p135492 +aS'is\tbe\tVBZ\tB-VP\tO' +p135493 +aS'the\tthe\tDT\tB-NP\tO' +p135494 +aS'3.710\t3.710\tCD\tI-NP\tO' +p135495 +aS'-\t-\tHYPH\tI-NP\tO' +p135496 +aS'kg\tkg\tNN\tI-NP\tO' +p135497 +aS'(\t(\t(\tO\tO' +p135498 +aS'8\t8\tCD\tB-NP\tO' +p135499 +aS'-\t-\tHYPH\tO\tO' +p135500 +aS'pound\tpound\tNN\tB-NP\tB-protein' +p135501 +aS'3\t3\tCD\tI-NP\tI-protein' +p135502 +aS'-\t-\tHYPH\tI-NP\tO' +p135503 +aS'ounce\tounce\tNN\tI-NP\tO' +p135504 +aS')\t)\t)\tO\tO' +p135505 +aS'product\tproduct\tNN\tB-NP\tO' +p135506 +aS'of\tof\tIN\tB-PP\tO' +p135507 +aS'a\ta\tDT\tB-NP\tO' +p135508 +aS'term\tterm\tNN\tI-NP\tO' +p135509 +aS'gestation\tgestation\tNN\tI-NP\tO' +p135510 +aS'.\t.\t.\tO\tO' +p135511 +asS'Phototherapy was discontinued on day of life five and the rebound bilirubin level on day of life six is 7.7 with a direct of 0.2 .' +p135512 +(lp135513 +S'Phototherapy\tPhototherapy\tNN\tB-NP\tO' +p135514 +aS'was\tbe\tVBD\tB-VP\tO' +p135515 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p135516 +aS'on\ton\tIN\tB-PP\tO' +p135517 +aS'day\tday\tNN\tB-NP\tO' +p135518 +aS'of\tof\tIN\tB-PP\tO' +p135519 +aS'life\tlife\tNN\tB-NP\tO' +p135520 +aS'five\tfive\tCD\tI-NP\tO' +p135521 +aS'and\tand\tCC\tO\tO' +p135522 +aS'the\tthe\tDT\tB-NP\tO' +p135523 +aS'rebound\trebound\tNN\tI-NP\tO' +p135524 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p135525 +aS'level\tlevel\tNN\tI-NP\tO' +p135526 +aS'on\ton\tIN\tB-PP\tO' +p135527 +aS'day\tday\tNN\tB-NP\tO' +p135528 +aS'of\tof\tIN\tB-PP\tO' +p135529 +aS'life\tlife\tNN\tB-NP\tO' +p135530 +aS'six\tsix\tCD\tI-NP\tO' +p135531 +aS'is\tbe\tVBZ\tB-VP\tO' +p135532 +aS'7.7\t7.7\tCD\tB-NP\tO' +p135533 +aS'with\twith\tIN\tB-PP\tO' +p135534 +aS'a\ta\tDT\tB-NP\tO' +p135535 +aS'direct\tdirect\tNN\tI-NP\tO' +p135536 +aS'of\tof\tIN\tB-PP\tO' +p135537 +aS'0.2\t0.2\tCD\tB-NP\tO' +p135538 +aS'.\t.\t.\tO\tO' +p135539 +asS'Unemployed and on disability .' +p135540 +(lp135541 +S'Unemployed\tUnemployed\tJJ\tB-ADJP\tO' +p135542 +aS'and\tand\tCC\tO\tO' +p135543 +aS'on\ton\tIN\tB-PP\tO' +p135544 +aS'disability\tdisability\tNN\tB-NP\tO' +p135545 +aS'.\t.\t.\tO\tO' +p135546 +asS'Right PIC catheter tip ends in the lower SVC .' +p135547 +(lp135548 +S'Right\tRight\tNN\tB-NP\tO' +p135549 +aS'PIC\tPIC\tNN\tI-NP\tO' +p135550 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p135551 +aS'tip\ttip\tNN\tI-NP\tO' +p135552 +aS'ends\tend\tVBZ\tB-VP\tO' +p135553 +aS'in\tin\tIN\tB-PP\tO' +p135554 +aS'the\tthe\tDT\tB-NP\tO' +p135555 +aS'lower\tlow\tJJR\tI-NP\tO' +p135556 +aS'SVC\tSVC\tNN\tI-NP\tO' +p135557 +aS'.\t.\t.\tO\tO' +p135558 +asS'The patient has been compliant with his medications .' +p135559 +(lp135560 +S'The\tThe\tDT\tB-NP\tO' +p135561 +aS'patient\tpatient\tNN\tI-NP\tO' +p135562 +aS'has\thave\tVBZ\tB-VP\tO' +p135563 +aS'been\tbe\tVBN\tI-VP\tO' +p135564 +aS'compliant\tcompliant\tJJ\tB-ADJP\tO' +p135565 +aS'with\twith\tIN\tB-PP\tO' +p135566 +aS'his\this\tPRP$\tB-NP\tO' +p135567 +aS'medications\tmedication\tNNS\tI-NP\tO' +p135568 +aS'.\t.\t.\tO\tO' +p135569 +asS'Left foot changes consistent with osteomyelitis of the left great toe .' +p135570 +(lp135571 +S'Left\tLeave\tVBN\tB-NP\tO' +p135572 +aS'foot\tfoot\tNN\tI-NP\tO' +p135573 +aS'changes\tchange\tNNS\tI-NP\tO' +p135574 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p135575 +aS'with\twith\tIN\tB-PP\tO' +p135576 +aS'osteomyelitis\tosteomyelitis\tNN\tB-NP\tO' +p135577 +aS'of\tof\tIN\tB-PP\tO' +p135578 +aS'the\tthe\tDT\tB-NP\tO' +p135579 +aS'left\tleft\tJJ\tI-NP\tO' +p135580 +aS'great\tgreat\tJJ\tI-NP\tO' +p135581 +aS'toe\ttoe\tNN\tI-NP\tO' +p135582 +aS'.\t.\t.\tO\tO' +p135583 +asS'Leona Wheeler had continued episodes of atrial fibrillation which were treated with intravenous Amiodarone and later intravenous Diltiazem .' +p135584 +(lp135585 +S'Leona\tLeona\tNNP\tB-NP\tO' +p135586 +aS'Wheeler\tWheeler\tNNP\tI-NP\tO' +p135587 +aS'had\thave\tVBD\tB-VP\tO' +p135588 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p135589 +aS'episodes\tepisode\tNNS\tB-NP\tO' +p135590 +aS'of\tof\tIN\tB-PP\tO' +p135591 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p135592 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p135593 +aS'which\twhich\tWDT\tB-NP\tO' +p135594 +aS'were\tbe\tVBD\tB-VP\tO' +p135595 +aS'treated\ttreat\tVBN\tI-VP\tO' +p135596 +aS'with\twith\tIN\tB-PP\tO' +p135597 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p135598 +aS'Amiodarone\tAmiodarone\tNN\tI-NP\tO' +p135599 +aS'and\tand\tCC\tO\tO' +p135600 +aS'later\tlater\tRB\tB-NP\tO' +p135601 +aS'intravenous\tintravenous\tJJ\tI-NP\tO' +p135602 +aS'Diltiazem\tDiltiazem\tNNP\tI-NP\tO' +p135603 +aS'.\t.\t.\tO\tO' +p135604 +asS'Soft , nontender , nondistended ; no guarding ; no masses ; positive bowel sounds X4 .' +p135605 +(lp135606 +S'Soft\tSoft\tRB\tB-ADVP\tO' +p135607 +aS',\t,\t,\tO\tO' +p135608 +aS'nontender\tnontender\tJJ\tB-NP\tO' +p135609 +aS',\t,\t,\tI-NP\tO' +p135610 +aS'nondistended\tnondistended\tJJ\tI-NP\tO' +p135611 +aS';\t;\t:\tO\tO' +p135612 +aS'no\tno\tDT\tB-NP\tO' +p135613 +aS'guarding\tguarding\tNN\tI-NP\tO' +p135614 +aS';\t;\t:\tO\tO' +p135615 +aS'no\tno\tDT\tB-NP\tO' +p135616 +aS'masses\tmass\tNNS\tI-NP\tO' +p135617 +aS';\t;\t:\tO\tO' +p135618 +aS'positive\tpositive\tJJ\tB-NP\tO' +p135619 +aS'bowel\tbowel\tNN\tI-NP\tO' +p135620 +aS'sounds\tsound\tVBZ\tB-VP\tO' +p135621 +aS'X4\tX4\tNN\tB-NP\tB-DNA' +p135622 +aS'.\t.\t.\tO\tO' +p135623 +asS'She was started on Clindamycin and Ofloxacin at renal dose to cover the aspiration pneumonia and positive urine culture , which subsequently came back .' +p135624 +(lp135625 +S'She\tShe\tPRP\tB-NP\tO' +p135626 +aS'was\tbe\tVBD\tB-VP\tO' +p135627 +aS'started\tstart\tVBN\tI-VP\tO' +p135628 +aS'on\ton\tIN\tB-PP\tO' +p135629 +aS'Clindamycin\tClindamycin\tNN\tB-NP\tO' +p135630 +aS'and\tand\tCC\tI-NP\tO' +p135631 +aS'Ofloxacin\tOfloxacin\tNN\tI-NP\tO' +p135632 +aS'at\tat\tIN\tB-PP\tO' +p135633 +aS'renal\trenal\tJJ\tB-NP\tO' +p135634 +aS'dose\tdose\tNN\tI-NP\tO' +p135635 +aS'to\tto\tTO\tB-VP\tO' +p135636 +aS'cover\tcover\tVB\tI-VP\tO' +p135637 +aS'the\tthe\tDT\tB-NP\tO' +p135638 +aS'aspiration\taspiration\tNN\tI-NP\tO' +p135639 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p135640 +aS'and\tand\tCC\tO\tO' +p135641 +aS'positive\tpositive\tJJ\tB-NP\tO' +p135642 +aS'urine\turine\tNN\tI-NP\tO' +p135643 +aS'culture\tculture\tNN\tI-NP\tO' +p135644 +aS',\t,\t,\tO\tO' +p135645 +aS'which\twhich\tWDT\tB-NP\tO' +p135646 +aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' +p135647 +aS'came\tcome\tVBD\tB-VP\tO' +p135648 +aS'back\tback\tRB\tB-ADVP\tO' +p135649 +aS'.\t.\t.\tO\tO' +p135650 +asS'Metformin , Zocor , and analgesics .' +p135651 +(lp135652 +S'Metformin\tMetformin\tNNP\tB-NP\tO' +p135653 +aS',\t,\t,\tO\tO' +p135654 +aS'Zocor\tZocor\tNNP\tB-NP\tO' +p135655 +aS',\t,\t,\tO\tO' +p135656 +aS'and\tand\tCC\tO\tO' +p135657 +aS'analgesics\tanalgesic\tNNS\tB-NP\tO' +p135658 +aS'.\t.\t.\tO\tO' +p135659 +asS'His oropharynx was benign .' +p135660 +(lp135661 +S'His\tHis\tPRP$\tB-NP\tO' +p135662 +aS'oropharynx\toropharynx\tNN\tI-NP\tO' +p135663 +aS'was\tbe\tVBD\tB-VP\tO' +p135664 +aS'benign\tbenign\tJJ\tB-ADJP\tO' +p135665 +aS'.\t.\t.\tO\tO' +p135666 +asS'Regular rate and rhythm , no murmur , femoral pulses 2+ .' +p135667 +(lp135668 +S'Regular\tRegular\tJJ\tB-NP\tO' +p135669 +aS'rate\trate\tNN\tI-NP\tO' +p135670 +aS'and\tand\tCC\tI-NP\tO' +p135671 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p135672 +aS',\t,\t,\tO\tO' +p135673 +aS'no\tno\tDT\tB-NP\tO' +p135674 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p135675 +aS',\t,\t,\tO\tO' +p135676 +aS'femoral\tfemoral\tJJ\tB-NP\tO' +p135677 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p135678 +aS'2+\t2+\tJJ\tB-ADJP\tO' +p135679 +aS'.\t.\t.\tO\tO' +p135680 +asS'After multuple failed attempts at extubation , the patient was trached .' +p135681 +(lp135682 +S'After\tAfter\tIN\tB-PP\tO' +p135683 +aS'multuple\tmultuple\tJJ\tB-NP\tO' +p135684 +aS'failed\tfailed\tJJ\tI-NP\tO' +p135685 +aS'attempts\tattempt\tNNS\tI-NP\tO' +p135686 +aS'at\tat\tIN\tB-PP\tO' +p135687 +aS'extubation\textubation\tNN\tB-NP\tO' +p135688 +aS',\t,\t,\tO\tO' +p135689 +aS'the\tthe\tDT\tB-NP\tO' +p135690 +aS'patient\tpatient\tNN\tI-NP\tO' +p135691 +aS'was\tbe\tVBD\tB-VP\tO' +p135692 +aS'trached\ttrache\tVBN\tI-VP\tO' +p135693 +aS'.\t.\t.\tO\tO' +p135694 +asS'Chest x-ray revealed mild streakiness of the lung fields .' +p135695 +(lp135696 +S'Chest\tCh\tJJS\tB-NP\tO' +p135697 +aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' +p135698 +aS'revealed\treveal\tVBD\tB-VP\tO' +p135699 +aS'mild\tmild\tJJ\tB-NP\tO' +p135700 +aS'streakiness\tstreakiness\tNN\tI-NP\tO' +p135701 +aS'of\tof\tIN\tB-PP\tO' +p135702 +aS'the\tthe\tDT\tB-NP\tO' +p135703 +aS'lung\tlung\tNN\tI-NP\tO' +p135704 +aS'fields\tfield\tNNS\tI-NP\tO' +p135705 +aS'.\t.\t.\tO\tO' +p135706 +asS'However , the patient was started on an aspirin as well as a beta blocker , and a rule out myocardial infarction protocol was initiated .' +p135707 +(lp135708 +S'However\tHowever\tRB\tB-ADVP\tO' +p135709 +aS',\t,\t,\tO\tO' +p135710 +aS'the\tthe\tDT\tB-NP\tO' +p135711 +aS'patient\tpatient\tNN\tI-NP\tO' +p135712 +aS'was\tbe\tVBD\tB-VP\tO' +p135713 +aS'started\tstart\tVBN\tI-VP\tO' +p135714 +aS'on\ton\tIN\tB-PP\tO' +p135715 +aS'an\tan\tDT\tB-NP\tO' +p135716 +aS'aspirin\taspirin\tNN\tI-NP\tO' +p135717 +aS'as\tas\tRB\tB-CONJP\tO' +p135718 +aS'well\twell\tRB\tI-CONJP\tO' +p135719 +aS'as\tas\tIN\tI-CONJP\tO' +p135720 +aS'a\ta\tDT\tB-NP\tO' +p135721 +aS'beta\tbeta\tNN\tI-NP\tO' +p135722 +aS'blocker\tblocker\tNN\tI-NP\tO' +p135723 +aS',\t,\t,\tO\tO' +p135724 +aS'and\tand\tCC\tO\tO' +p135725 +aS'a\ta\tDT\tB-NP\tO' +p135726 +aS'rule\trule\tNN\tI-NP\tO' +p135727 +aS'out\tout\tRP\tB-PRT\tO' +p135728 +aS'myocardial\tmyocardial\tJJ\tB-NP\tO' +p135729 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p135730 +aS'protocol\tprotocol\tNN\tI-NP\tO' +p135731 +aS'was\tbe\tVBD\tB-VP\tO' +p135732 +aS'initiated\tinitiate\tVBN\tI-VP\tO' +p135733 +aS'.\t.\t.\tO\tO' +p135734 +asS'The patient is allergic to Ciprofloxacin , morphine sulfate and Droperidol .' +p135735 +(lp135736 +S'The\tThe\tDT\tB-NP\tO' +p135737 +aS'patient\tpatient\tNN\tI-NP\tO' +p135738 +aS'is\tbe\tVBZ\tB-VP\tO' +p135739 +aS'allergic\tallergic\tJJ\tB-ADJP\tO' +p135740 +aS'to\tto\tTO\tB-PP\tO' +p135741 +aS'Ciprofloxacin\tCiprofloxacin\tNN\tB-NP\tO' +p135742 +aS',\t,\t,\tO\tO' +p135743 +aS'morphine\tmorphine\tNN\tB-NP\tO' +p135744 +aS'sulfate\tsulfate\tNN\tI-NP\tO' +p135745 +aS'and\tand\tCC\tI-NP\tO' +p135746 +aS'Droperidol\tDroperidol\tNN\tI-NP\tO' +p135747 +aS'.\t.\t.\tO\tO' +p135748 +asS'On ultrasound in 02/91 , the patient was found to have bilateral cystic adnexal masses confirmed on physical examination .' +p135749 +(lp135750 +S'On\tOn\tIN\tB-PP\tO' +p135751 +aS'ultrasound\tultrasound\tNN\tB-NP\tO' +p135752 +aS'in\tin\tIN\tB-PP\tO' +p135753 +aS'02/91\t02/91\tCD\tB-NP\tO' +p135754 +aS',\t,\t,\tO\tO' +p135755 +aS'the\tthe\tDT\tB-NP\tO' +p135756 +aS'patient\tpatient\tNN\tI-NP\tO' +p135757 +aS'was\tbe\tVBD\tB-VP\tO' +p135758 +aS'found\tfind\tVBN\tI-VP\tO' +p135759 +aS'to\tto\tTO\tI-VP\tO' +p135760 +aS'have\thave\tVB\tI-VP\tO' +p135761 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p135762 +aS'cystic\tcystic\tJJ\tI-NP\tO' +p135763 +aS'adnexal\tadnexal\tJJ\tI-NP\tO' +p135764 +aS'masses\tmass\tNNS\tI-NP\tO' +p135765 +aS'confirmed\tconfirm\tVBN\tB-VP\tO' +p135766 +aS'on\ton\tIN\tB-PP\tO' +p135767 +aS'physical\tphysical\tJJ\tB-NP\tO' +p135768 +aS'examination\texamination\tNN\tI-NP\tO' +p135769 +aS'.\t.\t.\tO\tO' +p135770 +asS'Plan ROMI protocol .' +p135771 +(lp135772 +S'Plan\tPlan\tNN\tB-NP\tO' +p135773 +aS'ROMI\tROMI\tNN\tI-NP\tO' +p135774 +aS'protocol\tprotocol\tNN\tI-NP\tO' +p135775 +aS'.\t.\t.\tO\tO' +p135776 +asS'4. NEUROLOGY : The patient complained of left lower extremity weakness with ambulation two days after her cardiac catheterization .' +p135777 +(lp135778 +S'4.\t4.\tCD\tB-NP\tO' +p135779 +aS'NEUROLOGY\tNEUROLOGY\tNN\tI-NP\tO' +p135780 +aS':\t:\t:\tO\tO' +p135781 +aS'The\tThe\tDT\tB-NP\tO' +p135782 +aS'patient\tpatient\tNN\tI-NP\tO' +p135783 +aS'complained\tcomplain\tVBD\tB-VP\tO' +p135784 +aS'of\tof\tIN\tB-PP\tO' +p135785 +aS'left\tleft\tJJ\tB-NP\tO' +p135786 +aS'lower\tlow\tJJR\tI-NP\tO' +p135787 +aS'extremity\textremity\tNN\tI-NP\tO' +p135788 +aS'weakness\tweakness\tNN\tI-NP\tO' +p135789 +aS'with\twith\tIN\tB-PP\tO' +p135790 +aS'ambulation\tambulation\tNN\tB-NP\tO' +p135791 +aS'two\ttwo\tCD\tB-NP\tO' +p135792 +aS'days\tday\tNNS\tI-NP\tO' +p135793 +aS'after\tafter\tIN\tB-PP\tO' +p135794 +aS'her\ther\tPRP$\tB-NP\tO' +p135795 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p135796 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p135797 +aS'.\t.\t.\tO\tO' +p135798 +asS'STAGE II SQUAMOUS CELL CARCINOMA OF THE VULVA .' +p135799 +(lp135800 +S'STAGE\tSTAGE\tNN\tB-NP\tO' +p135801 +aS'II\tII\tCD\tI-NP\tO' +p135802 +aS'SQUAMOUS\tSQUAMOUS\tNN\tI-NP\tO' +p135803 +aS'CELL\tCELL\tNN\tI-NP\tO' +p135804 +aS'CARCINOMA\tCARCINOMA\tNN\tI-NP\tO' +p135805 +aS'OF\tOF\tIN\tB-PP\tO' +p135806 +aS'THE\tTHE\tDT\tB-NP\tO' +p135807 +aS'VULVA\tVULVA\tNN\tI-NP\tB-protein' +p135808 +aS'.\t.\t.\tO\tO' +p135809 +asS'The patient was noted to have a functional ileus .' +p135810 +(lp135811 +S'The\tThe\tDT\tB-NP\tO' +p135812 +aS'patient\tpatient\tNN\tI-NP\tO' +p135813 +aS'was\tbe\tVBD\tB-VP\tO' +p135814 +aS'noted\tnote\tVBN\tI-VP\tO' +p135815 +aS'to\tto\tTO\tI-VP\tO' +p135816 +aS'have\thave\tVB\tI-VP\tO' +p135817 +aS'a\ta\tDT\tB-NP\tO' +p135818 +aS'functional\tfunctional\tJJ\tI-NP\tO' +p135819 +aS'ileus\tileus\tNN\tI-NP\tO' +p135820 +aS'.\t.\t.\tO\tO' +p135821 +asS'Of note , the scalp and right lower leg lacerations were closed primarily by the trauma team on admission and on hospital day #1 were noted to be clean , dry , and intact .' +p135822 +(lp135823 +S'Of\tOf\tIN\tB-PP\tO' +p135824 +aS'note\tnote\tNN\tB-NP\tO' +p135825 +aS',\t,\t,\tO\tO' +p135826 +aS'the\tthe\tDT\tB-NP\tO' +p135827 +aS'scalp\tscalp\tNN\tI-NP\tO' +p135828 +aS'and\tand\tCC\tO\tO' +p135829 +aS'right\tright\tRB\tB-NP\tO' +p135830 +aS'lower\tlow\tJJR\tI-NP\tO' +p135831 +aS'leg\tleg\tNN\tI-NP\tO' +p135832 +aS'lacerations\tlaceration\tNNS\tI-NP\tO' +p135833 +aS'were\tbe\tVBD\tB-VP\tO' +p135834 +aS'closed\tclose\tVBN\tI-VP\tO' +p135835 +aS'primarily\tprimarily\tRB\tB-ADVP\tO' +p135836 +aS'by\tby\tIN\tB-PP\tO' +p135837 +aS'the\tthe\tDT\tB-NP\tO' +p135838 +aS'trauma\ttrauma\tNN\tI-NP\tO' +p135839 +aS'team\tteam\tNN\tI-NP\tO' +p135840 +aS'on\ton\tIN\tB-PP\tO' +p135841 +aS'admission\tadmission\tNN\tB-NP\tO' +p135842 +aS'and\tand\tCC\tB-PP\tO' +p135843 +aS'on\ton\tIN\tB-PP\tO' +p135844 +aS'hospital\thospital\tNN\tB-NP\tO' +p135845 +aS'day\tday\tNN\tI-NP\tO' +p135846 +aS'#1\t#1\tCD\tI-NP\tO' +p135847 +aS'were\tbe\tVBD\tB-VP\tO' +p135848 +aS'noted\tnote\tVBN\tI-VP\tO' +p135849 +aS'to\tto\tTO\tI-VP\tO' +p135850 +aS'be\tbe\tVB\tI-VP\tO' +p135851 +aS'clean\tclean\tJJ\tB-ADJP\tO' +p135852 +aS',\t,\t,\tO\tO' +p135853 +aS'dry\tdry\tJJ\tB-ADJP\tO' +p135854 +aS',\t,\t,\tO\tO' +p135855 +aS'and\tand\tCC\tO\tO' +p135856 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p135857 +aS'.\t.\t.\tO\tO' +p135858 +asS'On review of systems , denies fevers , has pain in the left foot , no shortness of breath or chest pain .' +p135859 +(lp135860 +S'On\tOn\tIN\tB-PP\tO' +p135861 +aS'review\treview\tNN\tB-NP\tO' +p135862 +aS'of\tof\tIN\tB-PP\tO' +p135863 +aS'systems\tsystem\tNNS\tB-NP\tO' +p135864 +aS',\t,\t,\tO\tO' +p135865 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p135866 +aS'fevers\tfever\tNNS\tB-NP\tO' +p135867 +aS',\t,\t,\tO\tO' +p135868 +aS'has\thave\tVBZ\tB-VP\tO' +p135869 +aS'pain\tpain\tNN\tB-NP\tO' +p135870 +aS'in\tin\tIN\tB-PP\tO' +p135871 +aS'the\tthe\tDT\tB-NP\tO' +p135872 +aS'left\tleft\tJJ\tI-NP\tO' +p135873 +aS'foot\tfoot\tNN\tI-NP\tO' +p135874 +aS',\t,\t,\tO\tO' +p135875 +aS'no\tno\tDT\tB-NP\tO' +p135876 +aS'shortness\tshortness\tNN\tI-NP\tO' +p135877 +aS'of\tof\tIN\tB-PP\tO' +p135878 +aS'breath\tbreath\tNN\tB-NP\tO' +p135879 +aS'or\tor\tCC\tI-NP\tO' +p135880 +aS'chest\tchest\tNN\tI-NP\tO' +p135881 +aS'pain\tpain\tNN\tI-NP\tO' +p135882 +aS'.\t.\t.\tO\tO' +p135883 +asS'YEAST( S ) .' +p135884 +(lp135885 +S'YEAST(\tYEAST(\tCC\tO\tO' +p135886 +aS'S\tS\tNN\tB-NP\tO' +p135887 +aS')\t)\t)\tO\tO' +p135888 +aS'.\t.\t.\tO\tO' +p135889 +asS'4. Droperidol 1.5 to 2.5 mg p.r.n. agitation .' +p135890 +(lp135891 +S'4.\t4.\tLS\tB-LST\tO' +p135892 +aS'Droperidol\tDroperidol\tNN\tB-NP\tO' +p135893 +aS'1.5\t1.5\tCD\tB-NP\tO' +p135894 +aS'to\tto\tTO\tI-NP\tO' +p135895 +aS'2.5\t2.5\tCD\tI-NP\tO' +p135896 +aS'mg\tmg\tNN\tI-NP\tO' +p135897 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p135898 +aS'agitation\tagitation\tNN\tI-NP\tO' +p135899 +aS'.\t.\t.\tO\tO' +p135900 +asS'She has difficulty with shoes and socks and foot care .' +p135901 +(lp135902 +S'She\tShe\tPRP\tB-NP\tO' +p135903 +aS'has\thave\tVBZ\tB-VP\tO' +p135904 +aS'difficulty\tdifficulty\tNN\tB-NP\tO' +p135905 +aS'with\twith\tIN\tB-PP\tO' +p135906 +aS'shoes\tshoe\tNNS\tB-NP\tO' +p135907 +aS'and\tand\tCC\tI-NP\tO' +p135908 +aS'socks\tsock\tNNS\tI-NP\tO' +p135909 +aS'and\tand\tCC\tO\tO' +p135910 +aS'foot\tfoot\tNN\tB-NP\tO' +p135911 +aS'care\tcare\tNN\tI-NP\tO' +p135912 +aS'.\t.\t.\tO\tO' +p135913 +asS'Mild mitral regurgitation .' +p135914 +(lp135915 +S'Mild\tMild\tJJ\tB-NP\tO' +p135916 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p135917 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p135918 +aS'.\t.\t.\tO\tO' +p135919 +asS'exploratory laparotomy on Tuesday , 2014-07-29 .' +p135920 +(lp135921 +S'exploratory\texploratory\tJJ\tB-NP\tO' +p135922 +aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' +p135923 +aS'on\ton\tIN\tB-PP\tO' +p135924 +aS'Tuesday\tTuesday\tNNP\tB-NP\tO' +p135925 +aS',\t,\t,\tO\tO' +p135926 +aS'2014-07-29\t2014-07-29\tCD\tB-NP\tO' +p135927 +aS'.\t.\t.\tO\tO' +p135928 +asS'DISCHARGE DISPOSITION : Home .' +p135929 +(lp135930 +S'DISCHARGE\tDISCHARGE\tNN\tB-NP\tO' +p135931 +aS'DISPOSITION\tDISPOSITION\tNN\tI-NP\tO' +p135932 +aS':\t:\t:\tO\tO' +p135933 +aS'Home\tHome\tNN\tB-NP\tO' +p135934 +aS'.\t.\t.\tO\tO' +p135935 +asS'On discharge , he was continued on his aspirin , simvastatin and his Lopressor which was initially held , and subsequently restarted .' +p135936 +(lp135937 +S'On\tOn\tIN\tB-PP\tO' +p135938 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p135939 +aS',\t,\t,\tO\tO' +p135940 +aS'he\the\tPRP\tB-NP\tO' +p135941 +aS'was\tbe\tVBD\tB-VP\tO' +p135942 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p135943 +aS'on\ton\tIN\tB-PP\tO' +p135944 +aS'his\this\tPRP$\tB-NP\tO' +p135945 +aS'aspirin\taspirin\tNN\tI-NP\tO' +p135946 +aS',\t,\t,\tO\tO' +p135947 +aS'simvastatin\tsimvastatin\tNN\tB-NP\tO' +p135948 +aS'and\tand\tCC\tO\tO' +p135949 +aS'his\this\tPRP$\tB-NP\tO' +p135950 +aS'Lopressor\tLopressor\tNN\tI-NP\tO' +p135951 +aS'which\twhich\tWDT\tB-NP\tO' +p135952 +aS'was\tbe\tVBD\tB-VP\tO' +p135953 +aS'initially\tinitially\tRB\tI-VP\tO' +p135954 +aS'held\thold\tVBN\tI-VP\tO' +p135955 +aS',\t,\t,\tO\tO' +p135956 +aS'and\tand\tCC\tO\tO' +p135957 +aS'subsequently\tsubsequently\tRB\tB-VP\tO' +p135958 +aS'restarted\trestart\tVBD\tI-VP\tO' +p135959 +aS'.\t.\t.\tO\tO' +p135960 +asS'Follow up will be with Dr. Tvi Fine of Neurology , and Dr. Doll Grendbly of internal medicine and primary care , shortly after discharge from rehab .' +p135961 +(lp135962 +S'Follow\tFollow\tVB\tB-VP\tO' +p135963 +aS'up\tup\tRP\tB-PRT\tO' +p135964 +aS'will\twill\tMD\tB-VP\tO' +p135965 +aS'be\tbe\tVB\tI-VP\tO' +p135966 +aS'with\twith\tIN\tB-PP\tO' +p135967 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p135968 +aS'Tvi\tTvi\tNNP\tI-NP\tO' +p135969 +aS'Fine\tFine\tNNP\tI-NP\tO' +p135970 +aS'of\tof\tIN\tB-PP\tO' +p135971 +aS'Neurology\tNeurology\tNNP\tB-NP\tO' +p135972 +aS',\t,\t,\tO\tO' +p135973 +aS'and\tand\tCC\tO\tO' +p135974 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p135975 +aS'Doll\tDoll\tNNP\tI-NP\tO' +p135976 +aS'Grendbly\tGrendbly\tNNP\tI-NP\tO' +p135977 +aS'of\tof\tIN\tB-PP\tO' +p135978 +aS'internal\tinternal\tJJ\tB-NP\tO' +p135979 +aS'medicine\tmedicine\tNN\tI-NP\tO' +p135980 +aS'and\tand\tCC\tO\tO' +p135981 +aS'primary\tprimary\tJJ\tB-NP\tO' +p135982 +aS'care\tcare\tNN\tI-NP\tO' +p135983 +aS',\t,\t,\tO\tO' +p135984 +aS'shortly\tshortly\tRB\tB-ADVP\tO' +p135985 +aS'after\tafter\tIN\tB-PP\tO' +p135986 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p135987 +aS'from\tfrom\tIN\tB-PP\tO' +p135988 +aS'rehab\trehab\tNN\tB-NP\tO' +p135989 +aS'.\t.\t.\tO\tO' +p135990 +asS'Cardiology did not feel that tamponade at this time was a concern and that a tap need not be performed .' +p135991 +(lp135992 +S'Cardiology\tCardiology\tNNP\tB-NP\tO' +p135993 +aS'did\tdo\tVBD\tB-VP\tO' +p135994 +aS'not\tnot\tRB\tI-VP\tO' +p135995 +aS'feel\tfeel\tVB\tI-VP\tO' +p135996 +aS'that\tthat\tDT\tB-NP\tO' +p135997 +aS'tamponade\ttamponade\tNN\tI-NP\tO' +p135998 +aS'at\tat\tIN\tB-PP\tO' +p135999 +aS'this\tthis\tDT\tB-NP\tO' +p136000 +aS'time\ttime\tNN\tI-NP\tO' +p136001 +aS'was\tbe\tVBD\tB-VP\tO' +p136002 +aS'a\ta\tDT\tB-NP\tO' +p136003 +aS'concern\tconcern\tNN\tI-NP\tO' +p136004 +aS'and\tand\tCC\tO\tO' +p136005 +aS'that\tthat\tIN\tB-SBAR\tO' +p136006 +aS'a\ta\tDT\tB-NP\tO' +p136007 +aS'tap\ttap\tNN\tI-NP\tB-protein' +p136008 +aS'need\tneed\tMD\tB-VP\tO' +p136009 +aS'not\tnot\tRB\tI-VP\tO' +p136010 +aS'be\tbe\tVB\tI-VP\tO' +p136011 +aS'performed\tperform\tVBN\tI-VP\tO' +p136012 +aS'.\t.\t.\tO\tO' +p136013 +asS'He continued to have some episodes of agitation which were treated with medication .' +p136014 +(lp136015 +S'He\tHe\tPRP\tB-NP\tO' +p136016 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p136017 +aS'to\tto\tTO\tI-VP\tO' +p136018 +aS'have\thave\tVB\tI-VP\tO' +p136019 +aS'some\tsome\tDT\tB-NP\tO' +p136020 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p136021 +aS'of\tof\tIN\tB-PP\tO' +p136022 +aS'agitation\tagitation\tNN\tB-NP\tO' +p136023 +aS'which\twhich\tWDT\tB-NP\tO' +p136024 +aS'were\tbe\tVBD\tB-VP\tO' +p136025 +aS'treated\ttreat\tVBN\tI-VP\tO' +p136026 +aS'with\twith\tIN\tB-PP\tO' +p136027 +aS'medication\tmedication\tNN\tB-NP\tO' +p136028 +aS'.\t.\t.\tO\tO' +p136029 +asS'Stool for C. difficile returned positive .' +p136030 +(lp136031 +S'Stool\tStool\tNNP\tB-NP\tO' +p136032 +aS'for\tfor\tIN\tB-PP\tO' +p136033 +aS'C.\tC.\tNNP\tB-NP\tO' +p136034 +aS'difficile\tdifficile\tNNP\tI-NP\tO' +p136035 +aS'returned\treturn\tVBD\tB-VP\tO' +p136036 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p136037 +aS'.\t.\t.\tO\tO' +p136038 +asS'This report was created by POUSSCROOKESSEILLE , VONNELIBRY 10/23/2005 10:51 AM' +p136039 +(lp136040 +S'This\tThis\tDT\tB-NP\tO' +p136041 +aS'report\treport\tNN\tI-NP\tO' +p136042 +aS'was\tbe\tVBD\tB-VP\tO' +p136043 +aS'created\tcreate\tVBN\tI-VP\tO' +p136044 +aS'by\tby\tIN\tB-PP\tO' +p136045 +aS'POUSSCROOKESSEILLE\tPOUSSCROOKESSEILLE\tNNP\tB-NP\tO' +p136046 +aS',\t,\t,\tO\tO' +p136047 +aS'VONNELIBRY\tVONNELIBRY\tNNP\tB-NP\tO' +p136048 +aS'10/23/2005\t10/23/2005\tCD\tB-NP\tO' +p136049 +aS'10:51\t10:51\tCD\tI-NP\tO' +p136050 +aS'AM\tAM\tNN\tI-NP\tO' +p136051 +asS'He was intubated and has a nasogastric tube .' +p136052 +(lp136053 +S'He\tHe\tPRP\tB-NP\tO' +p136054 +aS'was\tbe\tVBD\tB-VP\tO' +p136055 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p136056 +aS'and\tand\tCC\tO\tO' +p136057 +aS'has\thave\tVBZ\tB-VP\tO' +p136058 +aS'a\ta\tDT\tB-NP\tO' +p136059 +aS'nasogastric\tnasogastric\tJJ\tI-NP\tO' +p136060 +aS'tube\ttube\tNN\tI-NP\tO' +p136061 +aS'.\t.\t.\tO\tO' +p136062 +asS'The patient has history of heavy cigar smoking , no cigarettes .' +p136063 +(lp136064 +S'The\tThe\tDT\tB-NP\tO' +p136065 +aS'patient\tpatient\tNN\tI-NP\tO' +p136066 +aS'has\thave\tVBZ\tB-VP\tO' +p136067 +aS'history\thistory\tNN\tB-NP\tO' +p136068 +aS'of\tof\tIN\tB-PP\tO' +p136069 +aS'heavy\theavy\tJJ\tB-NP\tO' +p136070 +aS'cigar\tcigar\tNN\tI-NP\tO' +p136071 +aS'smoking\tsmoking\tNN\tI-NP\tO' +p136072 +aS',\t,\t,\tO\tO' +p136073 +aS'no\tno\tDT\tB-NP\tO' +p136074 +aS'cigarettes\tcigarette\tNNS\tI-NP\tO' +p136075 +aS'.\t.\t.\tO\tO' +p136076 +asS'On ROS , she notes feeling poorly , nausea , and diarrhea since d/c .' +p136077 +(lp136078 +S'On\tOn\tIN\tB-PP\tO' +p136079 +aS'ROS\tROS\tNN\tB-NP\tO' +p136080 +aS',\t,\t,\tO\tO' +p136081 +aS'she\tshe\tPRP\tB-NP\tO' +p136082 +aS'notes\tnote\tVBZ\tB-VP\tO' +p136083 +aS'feeling\tfeel\tVBG\tI-VP\tO' +p136084 +aS'poorly\tpoorly\tRB\tB-ADVP\tO' +p136085 +aS',\t,\t,\tO\tO' +p136086 +aS'nausea\tnausea\tNN\tB-NP\tO' +p136087 +aS',\t,\t,\tO\tO' +p136088 +aS'and\tand\tCC\tO\tO' +p136089 +aS'diarrhea\tdiarrhea\tNN\tB-NP\tO' +p136090 +aS'since\tsince\tIN\tB-PP\tO' +p136091 +aS'd/c\td/c\tNN\tB-NP\tO' +p136092 +aS'.\t.\t.\tO\tO' +p136093 +asS'Coronary angiography demonstrated ongoing benefit of the initial coronary atherectomy .' +p136094 +(lp136095 +S'Coronary\tCoronary\tJJ\tB-NP\tO' +p136096 +aS'angiography\tangiography\tNN\tI-NP\tO' +p136097 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p136098 +aS'ongoing\tongoing\tJJ\tB-NP\tO' +p136099 +aS'benefit\tbenefit\tNN\tI-NP\tO' +p136100 +aS'of\tof\tIN\tB-PP\tO' +p136101 +aS'the\tthe\tDT\tB-NP\tO' +p136102 +aS'initial\tinitial\tJJ\tI-NP\tO' +p136103 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p136104 +aS'atherectomy\tatherectomy\tNN\tI-NP\tO' +p136105 +aS'.\t.\t.\tO\tO' +p136106 +asS'Calcium 8.8 , white blood cell count 10.6 , hematocrit 37.1 , platelets 289 .' +p136107 +(lp136108 +S'Calcium\tCalcium\tNN\tB-NP\tO' +p136109 +aS'8.8\t8.8\tCD\tI-NP\tO' +p136110 +aS',\t,\t,\tO\tO' +p136111 +aS'white\twhite\tJJ\tB-NP\tO' +p136112 +aS'blood\tblood\tNN\tI-NP\tO' +p136113 +aS'cell\tcell\tNN\tI-NP\tO' +p136114 +aS'count\tcount\tNN\tI-NP\tO' +p136115 +aS'10.6\t10.6\tCD\tB-NP\tO' +p136116 +aS',\t,\t,\tO\tO' +p136117 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p136118 +aS'37.1\t37.1\tCD\tI-NP\tI-protein' +p136119 +aS',\t,\t,\tO\tO' +p136120 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p136121 +aS'289\t289\tCD\tB-NP\tO' +p136122 +aS'.\t.\t.\tO\tO' +p136123 +asS'The most recent electrolytes on day of life two showed a sodium of 145 , chloride 111 , potassium 3.8 , bicarbonate 21 .' +p136124 +(lp136125 +S'The\tThe\tDT\tB-NP\tO' +p136126 +aS'most\tmost\tRBS\tI-NP\tO' +p136127 +aS'recent\trecent\tJJ\tI-NP\tO' +p136128 +aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' +p136129 +aS'on\ton\tIN\tB-PP\tO' +p136130 +aS'day\tday\tNN\tB-NP\tO' +p136131 +aS'of\tof\tIN\tB-PP\tO' +p136132 +aS'life\tlife\tNN\tB-NP\tO' +p136133 +aS'two\ttwo\tCD\tI-NP\tO' +p136134 +aS'showed\tshow\tVBD\tB-VP\tO' +p136135 +aS'a\ta\tDT\tB-NP\tO' +p136136 +aS'sodium\tsodium\tNN\tI-NP\tO' +p136137 +aS'of\tof\tIN\tB-PP\tO' +p136138 +aS'145\t145\tCD\tB-NP\tO' +p136139 +aS',\t,\t,\tO\tO' +p136140 +aS'chloride\tchloride\tNN\tB-NP\tO' +p136141 +aS'111\t111\tCD\tI-NP\tO' +p136142 +aS',\t,\t,\tO\tO' +p136143 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p136144 +aS'3.8\t3.8\tCD\tI-NP\tO' +p136145 +aS',\t,\t,\tO\tO' +p136146 +aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' +p136147 +aS'21\t21\tCD\tI-NP\tO' +p136148 +aS'.\t.\t.\tO\tO' +p136149 +asS'atrio-ventricular conduction delay .' +p136150 +(lp136151 +S'atrio-ventricular\tatrio-ventricular\tJJ\tB-NP\tO' +p136152 +aS'conduction\tconduction\tNN\tI-NP\tO' +p136153 +aS'delay\tdelay\tNN\tI-NP\tO' +p136154 +aS'.\t.\t.\tO\tO' +p136155 +asS'- kept euvolemic and monitored for signs of overload' +p136156 +(lp136157 +S'-\t-\tHYPH\tB-NP\tO' +p136158 +aS'kept\tkeep\tVBD\tB-VP\tO' +p136159 +aS'euvolemic\teuvolemic\tJJ\tB-ADJP\tO' +p136160 +aS'and\tand\tCC\tO\tO' +p136161 +aS'monitored\tmonitor\tVBN\tB-VP\tO' +p136162 +aS'for\tfor\tIN\tB-PP\tO' +p136163 +aS'signs\tsign\tNNS\tB-NP\tO' +p136164 +aS'of\tof\tIN\tB-PP\tO' +p136165 +aS'overload\toverload\tNN\tB-NP\tO' +p136166 +asS'Transvenous right ventricular pacer lead in standard placement .' +p136167 +(lp136168 +S'Transvenous\tTransvenous\tJJ\tB-NP\tO' +p136169 +aS'right\tright\tJJ\tI-NP\tO' +p136170 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p136171 +aS'pacer\tpacer\tNN\tI-NP\tO' +p136172 +aS'lead\tlead\tNN\tI-NP\tO' +p136173 +aS'in\tin\tIN\tB-PP\tO' +p136174 +aS'standard\tstandard\tJJ\tB-NP\tO' +p136175 +aS'placement\tplacement\tNN\tI-NP\tO' +p136176 +aS'.\t.\t.\tO\tO' +p136177 +asS'2. Status post off pump coronary artery bypass graft times three .' +p136178 +(lp136179 +S'2.\t2.\tLS\tB-LST\tO' +p136180 +aS'Status\tStatus\tNNP\tB-NP\tO' +p136181 +aS'post\tpost\tVB\tB-VP\tO' +p136182 +aS'off\toff\tRP\tB-PRT\tB-protein' +p136183 +aS'pump\tpump\tVB\tB-VP\tO' +p136184 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p136185 +aS'artery\tartery\tNN\tI-NP\tO' +p136186 +aS'bypass\tbypass\tIN\tB-PP\tO' +p136187 +aS'graft\tgraft\tNN\tB-NP\tO' +p136188 +aS'times\ttime\tNNS\tI-NP\tO' +p136189 +aS'three\tthree\tCD\tI-NP\tO' +p136190 +aS'.\t.\t.\tO\tO' +p136191 +asS'Blood pressure was 152/88 .' +p136192 +(lp136193 +S'Blood\tBlood\tNN\tB-NP\tO' +p136194 +aS'pressure\tpressure\tNN\tI-NP\tO' +p136195 +aS'was\tbe\tVBD\tB-VP\tO' +p136196 +aS'152/88\t152/88\tCD\tB-NP\tO' +p136197 +aS'.\t.\t.\tO\tO' +p136198 +asS'He begain to work with physical therapy to improve his strenght and mobility .' +p136199 +(lp136200 +S'He\tHe\tPRP\tB-NP\tO' +p136201 +aS'begain\tbegain\tVBD\tB-VP\tO' +p136202 +aS'to\tto\tTO\tI-VP\tO' +p136203 +aS'work\twork\tVB\tI-VP\tO' +p136204 +aS'with\twith\tIN\tB-PP\tO' +p136205 +aS'physical\tphysical\tJJ\tB-NP\tO' +p136206 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p136207 +aS'to\tto\tTO\tB-VP\tO' +p136208 +aS'improve\timprove\tVB\tI-VP\tO' +p136209 +aS'his\this\tPRP$\tB-NP\tO' +p136210 +aS'strenght\tstrenght\tNN\tI-NP\tO' +p136211 +aS'and\tand\tCC\tI-NP\tO' +p136212 +aS'mobility\tmobility\tNN\tI-NP\tO' +p136213 +aS'.\t.\t.\tO\tO' +p136214 +asS'Negative rhonchi , rales , or wheezes .' +p136215 +(lp136216 +S'Negative\tNegative\tJJ\tB-NP\tO' +p136217 +aS'rhonchi\trhonchus\tNNS\tI-NP\tO' +p136218 +aS',\t,\t,\tO\tO' +p136219 +aS'rales\trale\tNNS\tB-NP\tO' +p136220 +aS',\t,\t,\tO\tO' +p136221 +aS'or\tor\tCC\tO\tO' +p136222 +aS'wheezes\twheeze\tVBZ\tB-VP\tO' +p136223 +aS'.\t.\t.\tO\tO' +p136224 +asS'Further identification revealed staphylococcus coag-negative , which was sensitive to gentamicin and clindamycin .' +p136225 +(lp136226 +S'Further\tFurther\tJJ\tB-NP\tO' +p136227 +aS'identification\tidentification\tNN\tI-NP\tO' +p136228 +aS'revealed\treveal\tVBD\tB-VP\tO' +p136229 +aS'staphylococcus\tstaphylococcus\tNN\tB-NP\tO' +p136230 +aS'coag-negative\tcoag-negative\tJJ\tI-NP\tO' +p136231 +aS',\t,\t,\tO\tO' +p136232 +aS'which\twhich\tWDT\tB-NP\tO' +p136233 +aS'was\tbe\tVBD\tB-VP\tO' +p136234 +aS'sensitive\tsensitive\tJJ\tB-ADJP\tO' +p136235 +aS'to\tto\tTO\tB-PP\tO' +p136236 +aS'gentamicin\tgentamicin\tNN\tB-NP\tO' +p136237 +aS'and\tand\tCC\tI-NP\tO' +p136238 +aS'clindamycin\tclindamycin\tNN\tI-NP\tO' +p136239 +aS'.\t.\t.\tO\tO' +p136240 +asS'For pump , once transferred out of the Coronary Care Unit on 2011-11-20 , a beta blocker was begun at 12.5 mg of Lopressor p.o. b.i.d. which was titrated to 25 mg at the time of discharge .' +p136241 +(lp136242 +S'For\tFor\tIN\tB-PP\tO' +p136243 +aS'pump\tpump\tNN\tB-NP\tO' +p136244 +aS',\t,\t,\tO\tO' +p136245 +aS'once\tonce\tRB\tB-VP\tO' +p136246 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p136247 +aS'out\tout\tIN\tB-PP\tO' +p136248 +aS'of\tof\tIN\tB-PP\tO' +p136249 +aS'the\tthe\tDT\tB-NP\tO' +p136250 +aS'Coronary\tCoronary\tNNP\tI-NP\tO' +p136251 +aS'Care\tCare\tNNP\tI-NP\tO' +p136252 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p136253 +aS'on\ton\tIN\tB-PP\tO' +p136254 +aS'2011-11-20\t2011-11-20\tCD\tB-NP\tO' +p136255 +aS',\t,\t,\tO\tO' +p136256 +aS'a\ta\tDT\tB-NP\tO' +p136257 +aS'beta\tbeta\tNN\tI-NP\tO' +p136258 +aS'blocker\tblocker\tNN\tI-NP\tO' +p136259 +aS'was\tbe\tVBD\tB-VP\tO' +p136260 +aS'begun\tbegin\tVBN\tI-VP\tO' +p136261 +aS'at\tat\tIN\tB-PP\tO' +p136262 +aS'12.5\t12.5\tCD\tB-NP\tO' +p136263 +aS'mg\tmg\tNN\tI-NP\tO' +p136264 +aS'of\tof\tIN\tB-PP\tO' +p136265 +aS'Lopressor\tLopressor\tNN\tB-NP\tO' +p136266 +aS'p.o.\tp.o.\tFW\tB-ADVP\tO' +p136267 +aS'b.i.d.\tb.i.d.\tFW\tI-ADVP\tO' +p136268 +aS'which\twhich\tWDT\tB-NP\tO' +p136269 +aS'was\tbe\tVBD\tB-VP\tO' +p136270 +aS'titrated\ttitrate\tVBN\tI-VP\tO' +p136271 +aS'to\tto\tTO\tB-PP\tO' +p136272 +aS'25\t25\tCD\tB-NP\tO' +p136273 +aS'mg\tmg\tNN\tI-NP\tO' +p136274 +aS'at\tat\tIN\tB-PP\tO' +p136275 +aS'the\tthe\tDT\tB-NP\tO' +p136276 +aS'time\ttime\tNN\tI-NP\tO' +p136277 +aS'of\tof\tIN\tB-PP\tO' +p136278 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p136279 +aS'.\t.\t.\tO\tO' +p136280 +asS'There was stranding along the pancreas , but no necrosis , abscess , or pseudocyst .' +p136281 +(lp136282 +S'There\tThere\tEX\tB-NP\tO' +p136283 +aS'was\tbe\tVBD\tB-VP\tO' +p136284 +aS'stranding\tstrand\tVBG\tI-VP\tO' +p136285 +aS'along\talong\tIN\tB-PP\tO' +p136286 +aS'the\tthe\tDT\tB-NP\tO' +p136287 +aS'pancreas\tpancreas\tNN\tI-NP\tO' +p136288 +aS',\t,\t,\tO\tO' +p136289 +aS'but\tbut\tCC\tO\tO' +p136290 +aS'no\tno\tDT\tB-NP\tO' +p136291 +aS'necrosis\tnecrosis\tNN\tI-NP\tO' +p136292 +aS',\t,\t,\tO\tO' +p136293 +aS'abscess\tabscess\tNN\tB-NP\tO' +p136294 +aS',\t,\t,\tO\tO' +p136295 +aS'or\tor\tCC\tO\tO' +p136296 +aS'pseudocyst\tpseudocyst\tNN\tB-NP\tO' +p136297 +aS'.\t.\t.\tO\tO' +p136298 +asS'20. Lasix 20 mg intravenous twice a day .' +p136299 +(lp136300 +S'20.\t20.\tLS\tB-NP\tO' +p136301 +aS'Lasix\tLasix\tNNP\tI-NP\tO' +p136302 +aS'20\t20\tCD\tI-NP\tO' +p136303 +aS'mg\tmg\tNN\tI-NP\tO' +p136304 +aS'intravenous\tintravenous\tJJ\tI-NP\tO' +p136305 +aS'twice\ttwice\tRB\tI-NP\tO' +p136306 +aS'a\ta\tDT\tI-NP\tO' +p136307 +aS'day\tday\tNN\tI-NP\tO' +p136308 +aS'.\t.\t.\tO\tO' +p136309 +asS'Surgeon was Dr. Kelsey K Sanchez .' +p136310 +(lp136311 +S'Surgeon\tSurgeon\tNNP\tB-NP\tO' +p136312 +aS'was\tbe\tVBD\tB-VP\tO' +p136313 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p136314 +aS'Kelsey\tKelsey\tNNP\tI-NP\tO' +p136315 +aS'K\tK\tNNP\tI-NP\tO' +p136316 +aS'Sanchez\tSanchez\tNNP\tI-NP\tO' +p136317 +aS'.\t.\t.\tO\tO' +p136318 +asS'Neck veins are not distended .' +p136319 +(lp136320 +S'Neck\tNeck\tNN\tB-NP\tO' +p136321 +aS'veins\tvein\tNNS\tI-NP\tO' +p136322 +aS'are\tbe\tVBP\tB-VP\tO' +p136323 +aS'not\tnot\tRB\tI-VP\tO' +p136324 +aS'distended\tdistend\tVBN\tI-VP\tO' +p136325 +aS'.\t.\t.\tO\tO' +p136326 +asS'Please see above for their recommendations .' +p136327 +(lp136328 +S'Please\tPlease\tVB\tB-VP\tO' +p136329 +aS'see\tsee\tVB\tI-VP\tO' +p136330 +aS'above\tabove\tIN\tB-PP\tO' +p136331 +aS'for\tfor\tIN\tB-PP\tO' +p136332 +aS'their\ttheir\tPRP$\tB-NP\tO' +p136333 +aS'recommendations\trecommendation\tNNS\tI-NP\tO' +p136334 +aS'.\t.\t.\tO\tO' +p136335 +asS'His appetite has been good and he has only complained of occasional sharp pain under his rib cage , right greater than left .' +p136336 +(lp136337 +S'His\tHis\tPRP$\tB-NP\tO' +p136338 +aS'appetite\tappetite\tNN\tI-NP\tO' +p136339 +aS'has\thave\tVBZ\tB-VP\tO' +p136340 +aS'been\tbe\tVBN\tI-VP\tO' +p136341 +aS'good\tgood\tJJ\tB-ADJP\tO' +p136342 +aS'and\tand\tCC\tO\tO' +p136343 +aS'he\the\tPRP\tB-NP\tO' +p136344 +aS'has\thave\tVBZ\tB-VP\tO' +p136345 +aS'only\tonly\tRB\tI-VP\tO' +p136346 +aS'complained\tcomplain\tVBN\tI-VP\tO' +p136347 +aS'of\tof\tIN\tB-PP\tO' +p136348 +aS'occasional\toccasional\tJJ\tB-NP\tO' +p136349 +aS'sharp\tsharp\tJJ\tI-NP\tO' +p136350 +aS'pain\tpain\tNN\tI-NP\tO' +p136351 +aS'under\tunder\tIN\tB-PP\tO' +p136352 +aS'his\this\tPRP$\tB-NP\tO' +p136353 +aS'rib\trib\tNN\tI-NP\tO' +p136354 +aS'cage\tcage\tNN\tI-NP\tO' +p136355 +aS',\t,\t,\tO\tO' +p136356 +aS'right\tright\tRB\tB-ADVP\tO' +p136357 +aS'greater\tgreat\tJJR\tI-ADVP\tO' +p136358 +aS'than\tthan\tIN\tB-PP\tO' +p136359 +aS'left\tleft\tJJ\tB-ADJP\tO' +p136360 +aS'.\t.\t.\tO\tO' +p136361 +asS'Obvious ascites .' +p136362 +(lp136363 +S'Obvious\tObvious\tJJ\tB-NP\tO' +p136364 +aS'ascites\tascite\tNNS\tI-NP\tO' +p136365 +aS'.\t.\t.\tO\tO' +p136366 +asS'White count was 4.8 , 7 polys , zero bands , platelet count of 316,000 .' +p136367 +(lp136368 +S'White\tWhite\tJJ\tB-NP\tO' +p136369 +aS'count\tcount\tNN\tI-NP\tO' +p136370 +aS'was\tbe\tVBD\tB-VP\tO' +p136371 +aS'4.8\t4.8\tCD\tB-ADVP\tO' +p136372 +aS',\t,\t,\tO\tO' +p136373 +aS'7\t7\tCD\tB-NP\tO' +p136374 +aS'polys\tpoly\tNNS\tI-NP\tO' +p136375 +aS',\t,\t,\tO\tO' +p136376 +aS'zero\tzero\tCD\tB-NP\tO' +p136377 +aS'bands\tband\tNNS\tI-NP\tO' +p136378 +aS',\t,\t,\tO\tO' +p136379 +aS'platelet\tplatelet\tNN\tB-NP\tO' +p136380 +aS'count\tcount\tNN\tI-NP\tO' +p136381 +aS'of\tof\tIN\tB-PP\tO' +p136382 +aS'316,000\t316,000\tCD\tB-NP\tO' +p136383 +aS'.\t.\t.\tO\tO' +p136384 +asS'He is able to walk about the floor on the days prior to discharge , with the assistance of the physical therapist and nurses .' +p136385 +(lp136386 +S'He\tHe\tPRP\tB-NP\tO' +p136387 +aS'is\tbe\tVBZ\tB-VP\tO' +p136388 +aS'able\table\tJJ\tB-ADJP\tO' +p136389 +aS'to\tto\tTO\tB-VP\tO' +p136390 +aS'walk\twalk\tVB\tI-VP\tO' +p136391 +aS'about\tabout\tIN\tB-PP\tO' +p136392 +aS'the\tthe\tDT\tB-NP\tO' +p136393 +aS'floor\tfloor\tNN\tI-NP\tO' +p136394 +aS'on\ton\tIN\tB-PP\tO' +p136395 +aS'the\tthe\tDT\tB-NP\tO' +p136396 +aS'days\tday\tNNS\tI-NP\tO' +p136397 +aS'prior\tprior\tRB\tB-ADVP\tO' +p136398 +aS'to\tto\tTO\tB-VP\tO' +p136399 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p136400 +aS',\t,\t,\tO\tO' +p136401 +aS'with\twith\tIN\tB-PP\tO' +p136402 +aS'the\tthe\tDT\tB-NP\tO' +p136403 +aS'assistance\tassistance\tNN\tI-NP\tO' +p136404 +aS'of\tof\tIN\tB-PP\tO' +p136405 +aS'the\tthe\tDT\tB-NP\tO' +p136406 +aS'physical\tphysical\tJJ\tI-NP\tO' +p136407 +aS'therapist\ttherapist\tNN\tI-NP\tO' +p136408 +aS'and\tand\tCC\tI-NP\tO' +p136409 +aS'nurses\tnurse\tNNS\tI-NP\tO' +p136410 +aS'.\t.\t.\tO\tO' +p136411 +asS'After rigid bronchoscopy with removal of the intratracheal tumor component on 2018-04-24 , stat pathology showed anaplastic tumor .' +p136412 +(lp136413 +S'After\tAfter\tIN\tB-PP\tO' +p136414 +aS'rigid\trigid\tJJ\tB-NP\tO' +p136415 +aS'bronchoscopy\tbronchoscopy\tNN\tI-NP\tO' +p136416 +aS'with\twith\tIN\tB-PP\tO' +p136417 +aS'removal\tremoval\tNN\tB-NP\tO' +p136418 +aS'of\tof\tIN\tB-PP\tO' +p136419 +aS'the\tthe\tDT\tB-NP\tO' +p136420 +aS'intratracheal\tintratracheal\tJJ\tI-NP\tO' +p136421 +aS'tumor\ttumor\tNN\tI-NP\tO' +p136422 +aS'component\tcomponent\tNN\tI-NP\tO' +p136423 +aS'on\ton\tIN\tB-PP\tO' +p136424 +aS'2018-04-24\t2018-04-24\tCD\tB-NP\tO' +p136425 +aS',\t,\t,\tO\tO' +p136426 +aS'stat\tstat\tNN\tB-NP\tO' +p136427 +aS'pathology\tpathology\tNN\tI-NP\tO' +p136428 +aS'showed\tshow\tVBD\tB-VP\tO' +p136429 +aS'anaplastic\tanaplastic\tJJ\tB-NP\tO' +p136430 +aS'tumor\ttumor\tNN\tI-NP\tO' +p136431 +aS'.\t.\t.\tO\tO' +p136432 +asS'She was sent to the Intensive Care Unit for monitoring overnight for neural checks and neurosurgical consultation was obtained .' +p136433 +(lp136434 +S'She\tShe\tPRP\tB-NP\tO' +p136435 +aS'was\tbe\tVBD\tB-VP\tO' +p136436 +aS'sent\tsend\tVBN\tI-VP\tO' +p136437 +aS'to\tto\tTO\tB-PP\tO' +p136438 +aS'the\tthe\tDT\tB-NP\tO' +p136439 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p136440 +aS'Care\tCare\tNNP\tI-NP\tO' +p136441 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p136442 +aS'for\tfor\tIN\tB-PP\tO' +p136443 +aS'monitoring\tmonitor\tVBG\tB-VP\tO' +p136444 +aS'overnight\tovernight\tRB\tB-ADVP\tO' +p136445 +aS'for\tfor\tIN\tB-PP\tO' +p136446 +aS'neural\tneural\tJJ\tB-NP\tB-protein' +p136447 +aS'checks\tcheck\tNNS\tI-NP\tI-protein' +p136448 +aS'and\tand\tCC\tO\tO' +p136449 +aS'neurosurgical\tneurosurgical\tJJ\tB-NP\tO' +p136450 +aS'consultation\tconsultation\tNN\tI-NP\tO' +p136451 +aS'was\tbe\tVBD\tB-VP\tO' +p136452 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p136453 +aS'.\t.\t.\tO\tO' +p136454 +asS'Catheter was removed .' +p136455 +(lp136456 +S'Catheter\tCatheter\tNNP\tB-NP\tO' +p136457 +aS'was\tbe\tVBD\tB-VP\tO' +p136458 +aS'removed\tremove\tVBN\tI-VP\tO' +p136459 +aS'.\t.\t.\tO\tO' +p136460 +asS'Anemia .' +p136461 +(lp136462 +S'Anemia\tAnemia\tNNP\tB-NP\tO' +p136463 +aS'.\t.\t.\tO\tO' +p136464 +asS'Iron studies are all entirely normal , her anemia is attributed to anemia or chronic disease with hypoproliferation as well as multiple phlebotomies .' +p136465 +(lp136466 +S'Iron\tIron\tNN\tB-NP\tO' +p136467 +aS'studies\tstudy\tNNS\tI-NP\tO' +p136468 +aS'are\tbe\tVBP\tB-VP\tO' +p136469 +aS'all\tall\tRB\tB-ADVP\tO' +p136470 +aS'entirely\tentirely\tRB\tB-ADJP\tO' +p136471 +aS'normal\tnormal\tJJ\tI-ADJP\tO' +p136472 +aS',\t,\t,\tO\tO' +p136473 +aS'her\ther\tPRP$\tB-NP\tO' +p136474 +aS'anemia\tanemia\tNN\tI-NP\tO' +p136475 +aS'is\tbe\tVBZ\tB-VP\tO' +p136476 +aS'attributed\tattribute\tVBN\tI-VP\tO' +p136477 +aS'to\tto\tTO\tB-PP\tO' +p136478 +aS'anemia\tanemia\tNN\tB-NP\tO' +p136479 +aS'or\tor\tCC\tO\tO' +p136480 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p136481 +aS'disease\tdisease\tNN\tI-NP\tO' +p136482 +aS'with\twith\tIN\tB-PP\tO' +p136483 +aS'hypoproliferation\thypoproliferation\tNN\tB-NP\tO' +p136484 +aS'as\tas\tRB\tB-CONJP\tO' +p136485 +aS'well\twell\tRB\tI-CONJP\tO' +p136486 +aS'as\tas\tIN\tI-CONJP\tO' +p136487 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p136488 +aS'phlebotomies\tphlebotomy\tNNS\tI-NP\tO' +p136489 +aS'.\t.\t.\tO\tO' +p136490 +asS'The patient will be followed by Dr. State within a week of discharge and by Nieie Naebrand Freierm of the Dyathenslycha Medical Center .' +p136491 +(lp136492 +S'The\tThe\tDT\tB-NP\tO' +p136493 +aS'patient\tpatient\tNN\tI-NP\tO' +p136494 +aS'will\twill\tMD\tB-VP\tO' +p136495 +aS'be\tbe\tVB\tI-VP\tO' +p136496 +aS'followed\tfollow\tVBN\tI-VP\tO' +p136497 +aS'by\tby\tIN\tB-PP\tO' +p136498 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p136499 +aS'State\tState\tNNP\tI-NP\tO' +p136500 +aS'within\twithin\tIN\tB-PP\tO' +p136501 +aS'a\ta\tDT\tB-NP\tO' +p136502 +aS'week\tweek\tNN\tI-NP\tO' +p136503 +aS'of\tof\tIN\tB-PP\tO' +p136504 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p136505 +aS'and\tand\tCC\tB-PP\tO' +p136506 +aS'by\tby\tIN\tB-PP\tO' +p136507 +aS'Nieie\tNieie\tNNP\tB-NP\tO' +p136508 +aS'Naebrand\tNaebrand\tNNP\tI-NP\tO' +p136509 +aS'Freierm\tFreierm\tNNP\tI-NP\tO' +p136510 +aS'of\tof\tIN\tB-PP\tO' +p136511 +aS'the\tthe\tDT\tB-NP\tO' +p136512 +aS'Dyathenslycha\tDyathenslycha\tNNP\tI-NP\tO' +p136513 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p136514 +aS'Center\tCenter\tNNP\tI-NP\tO' +p136515 +aS'.\t.\t.\tO\tO' +p136516 +asS'The patient has had low sodiums during this hospitalization .' +p136517 +(lp136518 +S'The\tThe\tDT\tB-NP\tO' +p136519 +aS'patient\tpatient\tNN\tI-NP\tO' +p136520 +aS'has\thave\tVBZ\tB-VP\tO' +p136521 +aS'had\thave\tVBN\tI-VP\tO' +p136522 +aS'low\tlow\tJJ\tB-NP\tO' +p136523 +aS'sodiums\tsodium\tNNS\tI-NP\tO' +p136524 +aS'during\tduring\tIN\tB-PP\tO' +p136525 +aS'this\tthis\tDT\tB-NP\tO' +p136526 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p136527 +aS'.\t.\t.\tO\tO' +p136528 +asS'The patient tolerated this well .' +p136529 +(lp136530 +S'The\tThe\tDT\tB-NP\tO' +p136531 +aS'patient\tpatient\tNN\tI-NP\tO' +p136532 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p136533 +aS'this\tthis\tDT\tB-NP\tO' +p136534 +aS'well\twell\tRB\tI-NP\tO' +p136535 +aS'.\t.\t.\tO\tO' +p136536 +asS'sinus brady @ 48 bpm , LAD , LVH , RBBB , Q wave in I , ST depressions in V1-V4 , ST elevation in III , aVF , TWI in III , V5 .' +p136537 +(lp136538 +S'sinus\tsinus\tJJ\tB-NP\tO' +p136539 +aS'brady\tbrady\tJJ\tI-NP\tO' +p136540 +aS'@\t@\tNN\tI-NP\tO' +p136541 +aS'48\t48\tCD\tI-NP\tO' +p136542 +aS'bpm\tbpm\tNN\tI-NP\tO' +p136543 +aS',\t,\t,\tO\tO' +p136544 +aS'LAD\tLAD\tNN\tB-NP\tB-protein' +p136545 +aS',\t,\t,\tO\tO' +p136546 +aS'LVH\tLVH\tNN\tB-NP\tB-protein' +p136547 +aS',\t,\t,\tO\tO' +p136548 +aS'RBBB\tRBBB\tNN\tB-NP\tB-protein' +p136549 +aS',\t,\t,\tO\tO' +p136550 +aS'Q\tQ\tNN\tB-NP\tO' +p136551 +aS'wave\twave\tNN\tI-NP\tO' +p136552 +aS'in\tin\tIN\tB-PP\tO' +p136553 +aS'I\tI\tPRP\tB-NP\tO' +p136554 +aS',\t,\t,\tO\tO' +p136555 +aS'ST\tST\tJJ\tB-NP\tO' +p136556 +aS'depressions\tdepression\tNNS\tI-NP\tO' +p136557 +aS'in\tin\tIN\tB-PP\tO' +p136558 +aS'V1-V4\tV1-V4\tNN\tB-NP\tO' +p136559 +aS',\t,\t,\tO\tO' +p136560 +aS'ST\tST\tJJ\tB-NP\tO' +p136561 +aS'elevation\televation\tNN\tI-NP\tO' +p136562 +aS'in\tin\tIN\tB-PP\tO' +p136563 +aS'III\tIII\tCD\tB-NP\tO' +p136564 +aS',\t,\t,\tO\tO' +p136565 +aS'aVF\taVF\tNN\tB-NP\tO' +p136566 +aS',\t,\t,\tO\tO' +p136567 +aS'TWI\tTWI\tNN\tB-NP\tO' +p136568 +aS'in\tin\tIN\tB-PP\tO' +p136569 +aS'III\tIII\tCD\tB-NP\tO' +p136570 +aS',\t,\t,\tO\tO' +p136571 +aS'V5\tV5\tNN\tB-NP\tO' +p136572 +aS'.\t.\t.\tO\tO' +p136573 +asS'She underwent a pelvic ultrasound and an abdomen and pelvis CT , which revealed continued air in the endometrial cavity vs. in the fundal fibroid .' +p136574 +(lp136575 +S'She\tShe\tPRP\tB-NP\tO' +p136576 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p136577 +aS'a\ta\tDT\tB-NP\tO' +p136578 +aS'pelvic\tpelvic\tJJ\tI-NP\tO' +p136579 +aS'ultrasound\tultrasound\tNN\tI-NP\tO' +p136580 +aS'and\tand\tCC\tO\tO' +p136581 +aS'an\tan\tDT\tB-NP\tO' +p136582 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p136583 +aS'and\tand\tCC\tI-NP\tO' +p136584 +aS'pelvis\tpelvis\tNN\tI-NP\tO' +p136585 +aS'CT\tCT\tNN\tI-NP\tO' +p136586 +aS',\t,\t,\tO\tO' +p136587 +aS'which\twhich\tWDT\tB-NP\tO' +p136588 +aS'revealed\treveal\tVBD\tB-VP\tO' +p136589 +aS'continued\tcontinued\tJJ\tB-NP\tO' +p136590 +aS'air\tair\tNN\tI-NP\tO' +p136591 +aS'in\tin\tIN\tB-PP\tO' +p136592 +aS'the\tthe\tDT\tB-NP\tO' +p136593 +aS'endometrial\tendometrial\tJJ\tI-NP\tO' +p136594 +aS'cavity\tcavity\tNN\tI-NP\tO' +p136595 +aS'vs.\tvs.\tNN\tI-NP\tO' +p136596 +aS'in\tin\tIN\tB-PP\tO' +p136597 +aS'the\tthe\tDT\tB-NP\tO' +p136598 +aS'fundal\tfundal\tJJ\tI-NP\tO' +p136599 +aS'fibroid\tfibroid\tNN\tI-NP\tO' +p136600 +aS'.\t.\t.\tO\tO' +p136601 +asS'5. Status post transurethral resection of prostate times two ( in 2007 and 1998 ) .' +p136602 +(lp136603 +S'5.\t5.\tLS\tB-LST\tO' +p136604 +aS'Status\tStatus\tNNP\tB-NP\tO' +p136605 +aS'post\tpost\tIN\tB-PP\tO' +p136606 +aS'transurethral\ttransurethral\tJJ\tB-NP\tO' +p136607 +aS'resection\tresection\tNN\tI-NP\tO' +p136608 +aS'of\tof\tIN\tB-PP\tO' +p136609 +aS'prostate\tprostate\tNN\tB-NP\tO' +p136610 +aS'times\ttime\tNNS\tI-NP\tO' +p136611 +aS'two\ttwo\tCD\tB-NP\tO' +p136612 +aS'(\t(\t(\tO\tO' +p136613 +aS'in\tin\tIN\tB-PP\tO' +p136614 +aS'2007\t2007\tCD\tB-NP\tO' +p136615 +aS'and\tand\tCC\tI-NP\tO' +p136616 +aS'1998\t1998\tCD\tI-NP\tO' +p136617 +aS')\t)\t)\tO\tO' +p136618 +aS'.\t.\t.\tO\tO' +p136619 +asS'No mesenteric or retroperitoneal lymphadenopathy is identified .' +p136620 +(lp136621 +S'No\tNo\tDT\tB-NP\tO' +p136622 +aS'mesenteric\tmesenteric\tJJ\tI-NP\tO' +p136623 +aS'or\tor\tCC\tI-NP\tO' +p136624 +aS'retroperitoneal\tretroperitoneal\tJJ\tI-NP\tO' +p136625 +aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' +p136626 +aS'is\tbe\tVBZ\tB-VP\tO' +p136627 +aS'identified\tidentify\tVBN\tI-VP\tO' +p136628 +aS'.\t.\t.\tO\tO' +p136629 +asS'Mother died of MI at 76' +p136630 +(lp136631 +S'Mother\tMother\tNNP\tB-NP\tO' +p136632 +aS'died\tdie\tVBD\tB-VP\tO' +p136633 +aS'of\tof\tIN\tB-PP\tO' +p136634 +aS'MI\tMI\tNN\tB-NP\tO' +p136635 +aS'at\tat\tIN\tB-PP\tO' +p136636 +aS'76\t76\tCD\tB-NP\tO' +p136637 +asS'Her right pupil was 5.5 mm reacting to 4 mm .' +p136638 +(lp136639 +S'Her\tHer\tPRP$\tB-NP\tO' +p136640 +aS'right\tright\tJJ\tI-NP\tO' +p136641 +aS'pupil\tpupil\tNN\tI-NP\tO' +p136642 +aS'was\tbe\tVBD\tB-VP\tO' +p136643 +aS'5.5\t5.5\tCD\tB-NP\tO' +p136644 +aS'mm\tmm\tNN\tI-NP\tO' +p136645 +aS'reacting\treact\tVBG\tB-VP\tO' +p136646 +aS'to\tto\tTO\tB-PP\tO' +p136647 +aS'4\t4\tCD\tB-NP\tO' +p136648 +aS'mm\tmm\tNN\tI-NP\tO' +p136649 +aS'.\t.\t.\tO\tO' +p136650 +asS'The spinal cord stimulator was programmed with setting of a rate of 80 , power 450 and 4.0 amps .' +p136651 +(lp136652 +S'The\tThe\tDT\tB-NP\tO' +p136653 +aS'spinal\tspinal\tJJ\tI-NP\tO' +p136654 +aS'cord\tcord\tNN\tI-NP\tO' +p136655 +aS'stimulator\tstimulator\tNN\tI-NP\tO' +p136656 +aS'was\tbe\tVBD\tB-VP\tO' +p136657 +aS'programmed\tprogram\tVBN\tI-VP\tO' +p136658 +aS'with\twith\tIN\tB-PP\tO' +p136659 +aS'setting\tset\tVBG\tB-VP\tO' +p136660 +aS'of\tof\tIN\tB-PP\tO' +p136661 +aS'a\ta\tDT\tB-NP\tO' +p136662 +aS'rate\trate\tNN\tI-NP\tO' +p136663 +aS'of\tof\tIN\tB-PP\tO' +p136664 +aS'80\t80\tCD\tB-NP\tO' +p136665 +aS',\t,\t,\tO\tO' +p136666 +aS'power\tpower\tNN\tB-NP\tO' +p136667 +aS'450\t450\tCD\tI-NP\tO' +p136668 +aS'and\tand\tCC\tI-NP\tO' +p136669 +aS'4.0\t4.0\tCD\tI-NP\tO' +p136670 +aS'amps\tamp\tNNS\tI-NP\tO' +p136671 +aS'.\t.\t.\tO\tO' +p136672 +asS'Perioperative stroke .' +p136673 +(lp136674 +S'Perioperative\tPerioperative\tJJ\tB-NP\tO' +p136675 +aS'stroke\tstroke\tNN\tI-NP\tO' +p136676 +aS'.\t.\t.\tO\tO' +p136677 +asS'Stable - still with difficulty walking , and mental status exam with memory loss c/w dementia , but otherwise no focal weakness .' +p136678 +(lp136679 +S'Stable\tStable\tJJ\tB-NP\tO' +p136680 +aS'-\t-\tHYPH\tI-NP\tO' +p136681 +aS'still\tstill\tRB\tB-ADVP\tO' +p136682 +aS'with\twith\tIN\tB-PP\tO' +p136683 +aS'difficulty\tdifficulty\tNN\tB-NP\tO' +p136684 +aS'walking\twalk\tVBG\tB-VP\tO' +p136685 +aS',\t,\t,\tO\tO' +p136686 +aS'and\tand\tCC\tO\tO' +p136687 +aS'mental\tmental\tJJ\tB-NP\tO' +p136688 +aS'status\tstatus\tNN\tI-NP\tO' +p136689 +aS'exam\texam\tNN\tI-NP\tO' +p136690 +aS'with\twith\tIN\tB-PP\tO' +p136691 +aS'memory\tmemory\tNN\tB-NP\tO' +p136692 +aS'loss\tloss\tNN\tI-NP\tO' +p136693 +aS'c/w\tc/w\tNN\tI-NP\tO' +p136694 +aS'dementia\tdementia\tNN\tI-NP\tO' +p136695 +aS',\t,\t,\tO\tO' +p136696 +aS'but\tbut\tCC\tO\tO' +p136697 +aS'otherwise\totherwise\tRB\tB-NP\tO' +p136698 +aS'no\tno\tDT\tI-NP\tO' +p136699 +aS'focal\tfocal\tJJ\tI-NP\tO' +p136700 +aS'weakness\tweakness\tNN\tI-NP\tO' +p136701 +aS'.\t.\t.\tO\tO' +p136702 +asS'The patient was placed on IV antibiotics , Ancef 1 gm q.8h.' +p136703 +(lp136704 +S'The\tThe\tDT\tB-NP\tO' +p136705 +aS'patient\tpatient\tNN\tI-NP\tO' +p136706 +aS'was\tbe\tVBD\tB-VP\tO' +p136707 +aS'placed\tplace\tVBN\tI-VP\tO' +p136708 +aS'on\ton\tIN\tB-PP\tO' +p136709 +aS'IV\tIV\tCD\tB-NP\tO' +p136710 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p136711 +aS',\t,\t,\tO\tO' +p136712 +aS'Ancef\tAncef\tNN\tB-NP\tO' +p136713 +aS'1\t1\tCD\tI-NP\tO' +p136714 +aS'gm\tgm\tNN\tI-NP\tO' +p136715 +aS'q.8h.\tq.8h.\tNN\tI-NP\tO' +p136716 +asS'The infant did not require any blood transfusions during this hospital course .' +p136717 +(lp136718 +S'The\tThe\tDT\tB-NP\tO' +p136719 +aS'infant\tinfant\tNN\tI-NP\tO' +p136720 +aS'did\tdo\tVBD\tB-VP\tO' +p136721 +aS'not\tnot\tRB\tI-VP\tO' +p136722 +aS'require\trequire\tVB\tI-VP\tO' +p136723 +aS'any\tany\tDT\tB-NP\tO' +p136724 +aS'blood\tblood\tNN\tI-NP\tO' +p136725 +aS'transfusions\ttransfusion\tNNS\tI-NP\tO' +p136726 +aS'during\tduring\tIN\tB-PP\tO' +p136727 +aS'this\tthis\tDT\tB-NP\tO' +p136728 +aS'hospital\thospital\tNN\tI-NP\tO' +p136729 +aS'course\tcourse\tNN\tI-NP\tO' +p136730 +aS'.\t.\t.\tO\tO' +p136731 +asS'On postoperative day number one , the patient was extubated and awakened from sedation .' +p136732 +(lp136733 +S'On\tOn\tIN\tB-PP\tO' +p136734 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p136735 +aS'day\tday\tNN\tI-NP\tO' +p136736 +aS'number\tnumber\tNN\tI-NP\tO' +p136737 +aS'one\tone\tCD\tB-NP\tO' +p136738 +aS',\t,\t,\tO\tO' +p136739 +aS'the\tthe\tDT\tB-NP\tO' +p136740 +aS'patient\tpatient\tNN\tI-NP\tO' +p136741 +aS'was\tbe\tVBD\tB-VP\tO' +p136742 +aS'extubated\textubate\tVBN\tI-VP\tO' +p136743 +aS'and\tand\tCC\tO\tO' +p136744 +aS'awakened\tawaken\tVBN\tB-VP\tO' +p136745 +aS'from\tfrom\tIN\tB-PP\tO' +p136746 +aS'sedation\tsedation\tNN\tB-NP\tO' +p136747 +aS'.\t.\t.\tO\tO' +p136748 +asS'He traveled to the Taheimpromong last in 01/2004 for one month .' +p136749 +(lp136750 +S'He\tHe\tPRP\tB-NP\tO' +p136751 +aS'traveled\ttravel\tVBD\tB-VP\tO' +p136752 +aS'to\tto\tTO\tB-PP\tO' +p136753 +aS'the\tthe\tDT\tB-NP\tO' +p136754 +aS'Taheimpromong\tTaheimpromong\tNNP\tI-NP\tO' +p136755 +aS'last\tlast\tRB\tB-ADVP\tO' +p136756 +aS'in\tin\tIN\tB-PP\tO' +p136757 +aS'01/2004\t01/2004\tCD\tB-NP\tO' +p136758 +aS'for\tfor\tIN\tB-PP\tO' +p136759 +aS'one\tone\tCD\tB-NP\tO' +p136760 +aS'month\tmonth\tNN\tI-NP\tO' +p136761 +aS'.\t.\t.\tO\tO' +p136762 +asS'3. fevers on admission : Pt w/ positive U/A , treated with bactrim x 3 days with defervescence .' +p136763 +(lp136764 +S'3.\t3.\tLS\tB-NP\tO' +p136765 +aS'fevers\tfever\tNNS\tI-NP\tO' +p136766 +aS'on\ton\tIN\tB-PP\tO' +p136767 +aS'admission\tadmission\tNN\tB-NP\tO' +p136768 +aS':\t:\t:\tO\tO' +p136769 +aS'Pt\tPt\tNN\tB-NP\tO' +p136770 +aS'w/\tw/\tNN\tI-NP\tO' +p136771 +aS'positive\tpositive\tJJ\tI-NP\tO' +p136772 +aS'U/A\tU/A\tNN\tI-NP\tO' +p136773 +aS',\t,\t,\tO\tO' +p136774 +aS'treated\ttreat\tVBN\tB-VP\tO' +p136775 +aS'with\twith\tIN\tB-PP\tO' +p136776 +aS'bactrim\tbactrim\tJJ\tB-NP\tO' +p136777 +aS'x\tx\tNN\tI-NP\tO' +p136778 +aS'3\t3\tCD\tB-NP\tO' +p136779 +aS'days\tday\tNNS\tI-NP\tO' +p136780 +aS'with\twith\tIN\tB-PP\tO' +p136781 +aS'defervescence\tdefervescence\tNN\tB-NP\tO' +p136782 +aS'.\t.\t.\tO\tO' +p136783 +asS'Carotids normal .' +p136784 +(lp136785 +S'Carotids\tCarotid\tNNS\tB-NP\tO' +p136786 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p136787 +aS'.\t.\t.\tO\tO' +p136788 +asS'As for his diabetes mellitus , the Mahoney Team provided updated recommendations each day , adjusting for the changing p.o. intake .' +p136789 +(lp136790 +S'As\tAs\tIN\tB-PP\tO' +p136791 +aS'for\tfor\tIN\tB-PP\tO' +p136792 +aS'his\this\tPRP$\tB-NP\tO' +p136793 +aS'diabetes\tdiabetes\tNN\tI-NP\tO' +p136794 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p136795 +aS',\t,\t,\tO\tO' +p136796 +aS'the\tthe\tDT\tB-NP\tO' +p136797 +aS'Mahoney\tMahoney\tNNP\tI-NP\tO' +p136798 +aS'Team\tTeam\tNNP\tI-NP\tO' +p136799 +aS'provided\tprovide\tVBD\tB-VP\tO' +p136800 +aS'updated\tupdate\tVBN\tB-NP\tO' +p136801 +aS'recommendations\trecommendation\tNNS\tI-NP\tO' +p136802 +aS'each\teach\tDT\tB-NP\tO' +p136803 +aS'day\tday\tNN\tI-NP\tO' +p136804 +aS',\t,\t,\tO\tO' +p136805 +aS'adjusting\tadjust\tVBG\tB-VP\tO' +p136806 +aS'for\tfor\tIN\tB-PP\tO' +p136807 +aS'the\tthe\tDT\tB-NP\tO' +p136808 +aS'changing\tchange\tVBG\tI-NP\tO' +p136809 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p136810 +aS'intake\tintake\tNN\tI-NP\tO' +p136811 +aS'.\t.\t.\tO\tO' +p136812 +asS'Thyroid function tests were normal .' +p136813 +(lp136814 +S'Thyroid\tThyroid\tJJ\tB-NP\tO' +p136815 +aS'function\tfunction\tNN\tI-NP\tO' +p136816 +aS'tests\ttest\tNNS\tI-NP\tO' +p136817 +aS'were\tbe\tVBD\tB-VP\tO' +p136818 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p136819 +aS'.\t.\t.\tO\tO' +p136820 +asS'After several days , he became hypotensive and triggered for BPs 60s/30s .' +p136821 +(lp136822 +S'After\tAfter\tIN\tB-PP\tO' +p136823 +aS'several\tseveral\tJJ\tB-NP\tO' +p136824 +aS'days\tday\tNNS\tI-NP\tO' +p136825 +aS',\t,\t,\tO\tO' +p136826 +aS'he\the\tPRP\tB-NP\tO' +p136827 +aS'became\tbecome\tVBD\tB-VP\tO' +p136828 +aS'hypotensive\thypotensive\tJJ\tB-ADJP\tO' +p136829 +aS'and\tand\tCC\tO\tO' +p136830 +aS'triggered\ttrigger\tVBN\tB-VP\tO' +p136831 +aS'for\tfor\tIN\tB-PP\tO' +p136832 +aS'BPs\tBP\tNNS\tB-NP\tO' +p136833 +aS'60s/30s\t60s/30\tNNS\tI-NP\tO' +p136834 +aS'.\t.\t.\tO\tO' +p136835 +asS'The patient ultimately was weaned off the Milrinone , transitioned to Captopril on postoperative day five and remained hemodynamically stable .' +p136836 +(lp136837 +S'The\tThe\tDT\tB-NP\tO' +p136838 +aS'patient\tpatient\tNN\tI-NP\tO' +p136839 +aS'ultimately\tultimately\tRB\tB-ADVP\tO' +p136840 +aS'was\tbe\tVBD\tB-VP\tO' +p136841 +aS'weaned\twean\tVBN\tI-VP\tO' +p136842 +aS'off\toff\tIN\tB-PP\tO' +p136843 +aS'the\tthe\tDT\tB-NP\tO' +p136844 +aS'Milrinone\tMilrinone\tNN\tI-NP\tO' +p136845 +aS',\t,\t,\tO\tO' +p136846 +aS'transitioned\ttransitione\tVBN\tB-VP\tO' +p136847 +aS'to\tto\tTO\tB-PP\tO' +p136848 +aS'Captopril\tCaptopril\tNNP\tB-NP\tO' +p136849 +aS'on\ton\tIN\tB-PP\tO' +p136850 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p136851 +aS'day\tday\tNN\tI-NP\tO' +p136852 +aS'five\tfive\tCD\tI-NP\tO' +p136853 +aS'and\tand\tCC\tO\tO' +p136854 +aS'remained\tremain\tVBD\tB-VP\tO' +p136855 +aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' +p136856 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p136857 +aS'.\t.\t.\tO\tO' +p136858 +asS'No lesions .' +p136859 +(lp136860 +S'No\tNo\tDT\tB-NP\tO' +p136861 +aS'lesions\tlesion\tNNS\tI-NP\tO' +p136862 +aS'.\t.\t.\tO\tO' +p136863 +asS'The patient was placed on zosyn .' +p136864 +(lp136865 +S'The\tThe\tDT\tB-NP\tO' +p136866 +aS'patient\tpatient\tNN\tI-NP\tO' +p136867 +aS'was\tbe\tVBD\tB-VP\tO' +p136868 +aS'placed\tplace\tVBN\tI-VP\tO' +p136869 +aS'on\ton\tIN\tB-PP\tO' +p136870 +aS'zosyn\tzosyn\tNN\tB-NP\tO' +p136871 +aS'.\t.\t.\tO\tO' +p136872 +asS'The right ventricle was not dilated .' +p136873 +(lp136874 +S'The\tThe\tDT\tB-NP\tO' +p136875 +aS'right\tright\tJJ\tI-NP\tO' +p136876 +aS'ventricle\tventricle\tNN\tI-NP\tO' +p136877 +aS'was\tbe\tVBD\tB-VP\tO' +p136878 +aS'not\tnot\tRB\tI-VP\tO' +p136879 +aS'dilated\tdilate\tVBN\tI-VP\tO' +p136880 +aS'.\t.\t.\tO\tO' +p136881 +asS'HEENT were normal .' +p136882 +(lp136883 +S'HEENT\tHEENT\tNN\tB-NP\tO' +p136884 +aS'were\tbe\tVBD\tB-VP\tO' +p136885 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p136886 +aS'.\t.\t.\tO\tO' +p136887 +asS'FINDINGS : The right kidney measures 11 cm in length , the left kidney measures 9.7 cm in length .' +p136888 +(lp136889 +S'FINDINGS\tFINDINGS\tNNS\tB-NP\tO' +p136890 +aS':\t:\t:\tO\tO' +p136891 +aS'The\tThe\tDT\tB-NP\tO' +p136892 +aS'right\tright\tJJ\tI-NP\tO' +p136893 +aS'kidney\tkidney\tNN\tI-NP\tO' +p136894 +aS'measures\tmeasure\tVBZ\tB-VP\tO' +p136895 +aS'11\t11\tCD\tB-NP\tO' +p136896 +aS'cm\tcm\tNN\tI-NP\tO' +p136897 +aS'in\tin\tIN\tB-PP\tO' +p136898 +aS'length\tlength\tNN\tB-NP\tO' +p136899 +aS',\t,\t,\tO\tO' +p136900 +aS'the\tthe\tDT\tB-NP\tO' +p136901 +aS'left\tleft\tJJ\tI-NP\tO' +p136902 +aS'kidney\tkidney\tNN\tI-NP\tO' +p136903 +aS'measures\tmeasure\tVBZ\tB-VP\tO' +p136904 +aS'9.7\t9.7\tCD\tB-NP\tO' +p136905 +aS'cm\tcm\tNN\tI-NP\tO' +p136906 +aS'in\tin\tIN\tB-PP\tO' +p136907 +aS'length\tlength\tNN\tB-NP\tO' +p136908 +aS'.\t.\t.\tO\tO' +p136909 +asS'Reactive lymphoid cells .' +p136910 +(lp136911 +S'Reactive\tReactive\tJJ\tB-NP\tB-cell_type' +p136912 +aS'lymphoid\tlymphoid\tJJ\tI-NP\tI-cell_type' +p136913 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p136914 +aS'.\t.\t.\tO\tO' +p136915 +asS'Neurologic : Nonfocal .' +p136916 +(lp136917 +S'Neurologic\tNeurologic\tJJ\tB-ADJP\tO' +p136918 +aS':\t:\t:\tO\tO' +p136919 +aS'Nonfocal\tNonfocal\tJJ\tB-ADJP\tO' +p136920 +aS'.\t.\t.\tO\tO' +p136921 +asS'Urinalysis revealed trace microscopic hematuria with 47 red blood cells per high powered field , 1+ bacteria .' +p136922 +(lp136923 +S'Urinalysis\tUrinalysis\tNN\tB-NP\tO' +p136924 +aS'revealed\treveal\tVBD\tB-VP\tO' +p136925 +aS'trace\ttrace\tNN\tB-NP\tO' +p136926 +aS'microscopic\tmicroscopic\tJJ\tI-NP\tO' +p136927 +aS'hematuria\thematuria\tNN\tI-NP\tO' +p136928 +aS'with\twith\tIN\tB-PP\tO' +p136929 +aS'47\t47\tCD\tB-NP\tO' +p136930 +aS'red\tred\tJJ\tI-NP\tO' +p136931 +aS'blood\tblood\tNN\tI-NP\tO' +p136932 +aS'cells\tcell\tNNS\tI-NP\tO' +p136933 +aS'per\tper\tIN\tB-PP\tO' +p136934 +aS'high\thigh\tJJ\tB-NP\tO' +p136935 +aS'powered\tpowered\tJJ\tI-NP\tO' +p136936 +aS'field\tfield\tNN\tI-NP\tO' +p136937 +aS',\t,\t,\tO\tO' +p136938 +aS'1+\t1+\tJJ\tB-NP\tO' +p136939 +aS'bacteria\tbacteria\tNNS\tI-NP\tO' +p136940 +aS'.\t.\t.\tO\tO' +p136941 +asS'He was treated with a full course of Zosyn .' +p136942 +(lp136943 +S'He\tHe\tPRP\tB-NP\tO' +p136944 +aS'was\tbe\tVBD\tB-VP\tO' +p136945 +aS'treated\ttreat\tVBN\tI-VP\tO' +p136946 +aS'with\twith\tIN\tB-PP\tO' +p136947 +aS'a\ta\tDT\tB-NP\tO' +p136948 +aS'full\tfull\tJJ\tI-NP\tO' +p136949 +aS'course\tcourse\tNN\tI-NP\tO' +p136950 +aS'of\tof\tIN\tB-PP\tO' +p136951 +aS'Zosyn\tZosyn\tNN\tB-NP\tB-protein' +p136952 +aS'.\t.\t.\tO\tO' +p136953 +asS'In addition , he was noted to have a right sided hemiplegia .' +p136954 +(lp136955 +S'In\tIn\tIN\tB-PP\tO' +p136956 +aS'addition\taddition\tNN\tB-NP\tO' +p136957 +aS',\t,\t,\tO\tO' +p136958 +aS'he\the\tPRP\tB-NP\tO' +p136959 +aS'was\tbe\tVBD\tB-VP\tO' +p136960 +aS'noted\tnote\tVBN\tI-VP\tO' +p136961 +aS'to\tto\tTO\tI-VP\tO' +p136962 +aS'have\thave\tVB\tI-VP\tO' +p136963 +aS'a\ta\tDT\tB-NP\tO' +p136964 +aS'right\tright\tJJ\tI-NP\tO' +p136965 +aS'sided\tsided\tJJ\tI-NP\tO' +p136966 +aS'hemiplegia\themiplegia\tNN\tI-NP\tO' +p136967 +aS'.\t.\t.\tO\tO' +p136968 +asS'She has paraplegia secondary to HTLV exposure while on vacation in the Bahamas six years ago .' +p136969 +(lp136970 +S'She\tShe\tPRP\tB-NP\tO' +p136971 +aS'has\thave\tVBZ\tB-VP\tO' +p136972 +aS'paraplegia\tparaplegia\tNN\tB-NP\tO' +p136973 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p136974 +aS'to\tto\tTO\tB-PP\tO' +p136975 +aS'HTLV\tHTLV\tNN\tB-NP\tO' +p136976 +aS'exposure\texposure\tNN\tI-NP\tO' +p136977 +aS'while\twhile\tIN\tB-SBAR\tO' +p136978 +aS'on\ton\tIN\tB-PP\tO' +p136979 +aS'vacation\tvacation\tNN\tB-NP\tO' +p136980 +aS'in\tin\tIN\tB-PP\tO' +p136981 +aS'the\tthe\tDT\tB-NP\tO' +p136982 +aS'Bahamas\tBahama\tNNPS\tI-NP\tO' +p136983 +aS'six\tsix\tCD\tB-NP\tO' +p136984 +aS'years\tyear\tNNS\tI-NP\tO' +p136985 +aS'ago\tago\tRB\tB-ADVP\tO' +p136986 +aS'.\t.\t.\tO\tO' +p136987 +asS'At the Oaksgekesser/ Memorial Hospital he was quite hypotensive , requiring dopamine at 1,000 , Levo at 12 .' +p136988 +(lp136989 +S'At\tAt\tIN\tB-PP\tO' +p136990 +aS'the\tthe\tDT\tB-NP\tO' +p136991 +aS'Oaksgekesser/\tOaksgekesser/\tNNP\tI-NP\tO' +p136992 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p136993 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p136994 +aS'he\the\tPRP\tB-NP\tO' +p136995 +aS'was\tbe\tVBD\tB-VP\tO' +p136996 +aS'quite\tquite\tRB\tB-ADJP\tO' +p136997 +aS'hypotensive\thypotensive\tJJ\tI-ADJP\tO' +p136998 +aS',\t,\t,\tO\tO' +p136999 +aS'requiring\trequire\tVBG\tB-VP\tO' +p137000 +aS'dopamine\tdopamine\tNN\tB-NP\tO' +p137001 +aS'at\tat\tIN\tB-PP\tO' +p137002 +aS'1,000\t1,000\tCD\tB-NP\tO' +p137003 +aS',\t,\t,\tO\tO' +p137004 +aS'Levo\tLevo\tNNP\tB-NP\tO' +p137005 +aS'at\tat\tIN\tB-PP\tO' +p137006 +aS'12\t12\tCD\tB-NP\tO' +p137007 +aS'.\t.\t.\tO\tO' +p137008 +asS'tylenol as needed .' +p137009 +(lp137010 +S'tylenol\ttylenol\tNN\tB-NP\tO' +p137011 +aS'as\tas\tIN\tB-PP\tO' +p137012 +aS'needed\tneed\tVBN\tB-VP\tO' +p137013 +aS'.\t.\t.\tO\tO' +p137014 +asS'During admission , became steadily more SOB , increasing lethargy .' +p137015 +(lp137016 +S'During\tDuring\tIN\tB-PP\tO' +p137017 +aS'admission\tadmission\tNN\tB-NP\tO' +p137018 +aS',\t,\t,\tO\tO' +p137019 +aS'became\tbecome\tVBD\tB-VP\tO' +p137020 +aS'steadily\tsteadily\tRB\tB-NP\tO' +p137021 +aS'more\tmore\tJJR\tI-NP\tO' +p137022 +aS'SOB\tSOB\tNN\tI-NP\tB-protein' +p137023 +aS',\t,\t,\tO\tO' +p137024 +aS'increasing\tincrease\tVBG\tB-VP\tO' +p137025 +aS'lethargy\tlethargy\tNN\tB-NP\tO' +p137026 +aS'.\t.\t.\tO\tO' +p137027 +asS'She had an EKG that showed a question of an old inferior myocardial infarction .' +p137028 +(lp137029 +S'She\tShe\tPRP\tB-NP\tO' +p137030 +aS'had\thave\tVBD\tB-VP\tO' +p137031 +aS'an\tan\tDT\tB-NP\tO' +p137032 +aS'EKG\tEKG\tNN\tI-NP\tB-protein' +p137033 +aS'that\tthat\tWDT\tB-NP\tO' +p137034 +aS'showed\tshow\tVBD\tB-VP\tO' +p137035 +aS'a\ta\tDT\tB-NP\tO' +p137036 +aS'question\tquestion\tNN\tI-NP\tO' +p137037 +aS'of\tof\tIN\tB-PP\tO' +p137038 +aS'an\tan\tDT\tB-NP\tO' +p137039 +aS'old\told\tJJ\tI-NP\tO' +p137040 +aS'inferior\tinferior\tJJ\tI-NP\tO' +p137041 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p137042 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p137043 +aS'.\t.\t.\tO\tO' +p137044 +asS'Repeat hcts were stable .' +p137045 +(lp137046 +S'Repeat\tRepeat\tNN\tB-NP\tO' +p137047 +aS'hcts\thct\tNNS\tI-NP\tO' +p137048 +aS'were\tbe\tVBD\tB-VP\tO' +p137049 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p137050 +aS'.\t.\t.\tO\tO' +p137051 +asS'She was afebrile .' +p137052 +(lp137053 +S'She\tShe\tPRP\tB-NP\tO' +p137054 +aS'was\tbe\tVBD\tB-VP\tO' +p137055 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p137056 +aS'.\t.\t.\tO\tO' +p137057 +asS"TF goals were achieved and TPN dc 'ed." +p137058 +(lp137059 +S'TF\tTF\tNN\tB-NP\tO' +p137060 +aS'goals\tgoal\tNNS\tI-NP\tO' +p137061 +aS'were\tbe\tVBD\tB-VP\tO' +p137062 +aS'achieved\tachieve\tVBN\tI-VP\tO' +p137063 +aS'and\tand\tCC\tO\tO' +p137064 +aS'TPN\tTPN\tNN\tB-NP\tB-cell_type' +p137065 +aS'dc\tdc\tNN\tI-NP\tI-cell_type' +p137066 +aS"'ed.\t'ed.\tPOS\tB-NP\tO" +p137067 +asS'Chest CT notable for esophageal diverticulum and thickened distal 1/3 of esophagus , suspicious for malignancy .' +p137068 +(lp137069 +S'Chest\tCh\tJJS\tB-NP\tO' +p137070 +aS'CT\tCT\tNN\tI-NP\tO' +p137071 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p137072 +aS'for\tfor\tIN\tB-PP\tO' +p137073 +aS'esophageal\tesophageal\tJJ\tB-NP\tO' +p137074 +aS'diverticulum\tdiverticulum\tNN\tI-NP\tO' +p137075 +aS'and\tand\tCC\tO\tO' +p137076 +aS'thickened\tthicken\tVBD\tB-VP\tO' +p137077 +aS'distal\tdistal\tJJ\tB-NP\tO' +p137078 +aS'1/3\t1/3\tNN\tI-NP\tO' +p137079 +aS'of\tof\tIN\tB-PP\tO' +p137080 +aS'esophagus\tesophagus\tNN\tB-NP\tO' +p137081 +aS',\t,\t,\tO\tO' +p137082 +aS'suspicious\tsuspicious\tJJ\tB-ADJP\tO' +p137083 +aS'for\tfor\tIN\tB-PP\tO' +p137084 +aS'malignancy\tmalignancy\tNN\tB-NP\tO' +p137085 +aS'.\t.\t.\tO\tO' +p137086 +asS'He was kept in the hospital for an extended period to improve his postoperative range of motion .' +p137087 +(lp137088 +S'He\tHe\tPRP\tB-NP\tO' +p137089 +aS'was\tbe\tVBD\tB-VP\tO' +p137090 +aS'kept\tkeep\tVBN\tI-VP\tO' +p137091 +aS'in\tin\tIN\tB-PP\tO' +p137092 +aS'the\tthe\tDT\tB-NP\tO' +p137093 +aS'hospital\thospital\tNN\tI-NP\tO' +p137094 +aS'for\tfor\tIN\tB-PP\tO' +p137095 +aS'an\tan\tDT\tB-NP\tO' +p137096 +aS'extended\textended\tJJ\tI-NP\tO' +p137097 +aS'period\tperiod\tNN\tI-NP\tO' +p137098 +aS'to\tto\tTO\tB-VP\tO' +p137099 +aS'improve\timprove\tVB\tI-VP\tO' +p137100 +aS'his\this\tPRP$\tB-NP\tO' +p137101 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p137102 +aS'range\trange\tNN\tI-NP\tO' +p137103 +aS'of\tof\tIN\tB-PP\tO' +p137104 +aS'motion\tmotion\tNN\tB-NP\tO' +p137105 +aS'.\t.\t.\tO\tO' +p137106 +asS'Her vital signs are stable .' +p137107 +(lp137108 +S'Her\tHer\tPRP$\tB-NP\tO' +p137109 +aS'vital\tvital\tJJ\tI-NP\tO' +p137110 +aS'signs\tsign\tNNS\tI-NP\tO' +p137111 +aS'are\tbe\tVBP\tB-VP\tO' +p137112 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p137113 +aS'.\t.\t.\tO\tO' +p137114 +asS'soft , nontender , nondistended .' +p137115 +(lp137116 +S'soft\tsoft\tJJ\tB-NP\tO' +p137117 +aS',\t,\t,\tI-NP\tO' +p137118 +aS'nontender\tnontender\tJJ\tI-NP\tO' +p137119 +aS',\t,\t,\tI-NP\tO' +p137120 +aS'nondistended\tnondistended\tJJ\tI-NP\tO' +p137121 +aS'.\t.\t.\tO\tO' +p137122 +asS'Sliding scale was adjusted as necessary .' +p137123 +(lp137124 +S'Sliding\tSlide\tVBG\tB-NP\tO' +p137125 +aS'scale\tscale\tNN\tI-NP\tO' +p137126 +aS'was\tbe\tVBD\tB-VP\tO' +p137127 +aS'adjusted\tadjust\tVBN\tI-VP\tO' +p137128 +aS'as\tas\tIN\tB-PP\tO' +p137129 +aS'necessary\tnecessary\tJJ\tB-ADJP\tO' +p137130 +aS'.\t.\t.\tO\tO' +p137131 +asS'The headache stabilized after the patient was transferred to the floor .' +p137132 +(lp137133 +S'The\tThe\tDT\tB-NP\tO' +p137134 +aS'headache\theadache\tNN\tI-NP\tO' +p137135 +aS'stabilized\tstabilize\tVBD\tB-VP\tO' +p137136 +aS'after\tafter\tIN\tB-SBAR\tO' +p137137 +aS'the\tthe\tDT\tB-NP\tO' +p137138 +aS'patient\tpatient\tNN\tI-NP\tO' +p137139 +aS'was\tbe\tVBD\tB-VP\tO' +p137140 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p137141 +aS'to\tto\tTO\tB-PP\tO' +p137142 +aS'the\tthe\tDT\tB-NP\tO' +p137143 +aS'floor\tfloor\tNN\tI-NP\tO' +p137144 +aS'.\t.\t.\tO\tO' +p137145 +asS'It is discontinued at the time of transport .' +p137146 +(lp137147 +S'It\tIt\tPRP\tB-NP\tO' +p137148 +aS'is\tbe\tVBZ\tB-VP\tO' +p137149 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p137150 +aS'at\tat\tIN\tB-PP\tO' +p137151 +aS'the\tthe\tDT\tB-NP\tO' +p137152 +aS'time\ttime\tNN\tI-NP\tO' +p137153 +aS'of\tof\tIN\tB-PP\tO' +p137154 +aS'transport\ttransport\tNN\tB-NP\tO' +p137155 +aS'.\t.\t.\tO\tO' +p137156 +asS'Renal Failure : creatinine on admission was 1.6 Likely acute hypertensive nephropathy plus probalbe long-standing hypertensive disease .' +p137157 +(lp137158 +S'Renal\tRenal\tJJ\tB-NP\tO' +p137159 +aS'Failure\tFailure\tNN\tI-NP\tO' +p137160 +aS':\t:\t:\tO\tO' +p137161 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p137162 +aS'on\ton\tIN\tB-PP\tO' +p137163 +aS'admission\tadmission\tNN\tB-NP\tO' +p137164 +aS'was\tbe\tVBD\tB-VP\tO' +p137165 +aS'1.6\t1.6\tCD\tB-NP\tO' +p137166 +aS'Likely\tLikely\tRB\tI-NP\tO' +p137167 +aS'acute\tacute\tJJ\tI-NP\tO' +p137168 +aS'hypertensive\thypertensive\tJJ\tI-NP\tO' +p137169 +aS'nephropathy\tnephropathy\tNN\tI-NP\tO' +p137170 +aS'plus\tplus\tCC\tO\tO' +p137171 +aS'probalbe\tprobalbe\tNN\tB-NP\tO' +p137172 +aS'long-standing\tlong-standing\tJJ\tI-NP\tO' +p137173 +aS'hypertensive\thypertensive\tJJ\tI-NP\tO' +p137174 +aS'disease\tdisease\tNN\tI-NP\tO' +p137175 +aS'.\t.\t.\tO\tO' +p137176 +asS'Review of systems was significant only for painful urination over the past few days and a reduction in urine output .' +p137177 +(lp137178 +S'Review\tReview\tNN\tB-NP\tO' +p137179 +aS'of\tof\tIN\tB-PP\tO' +p137180 +aS'systems\tsystem\tNNS\tB-NP\tO' +p137181 +aS'was\tbe\tVBD\tB-VP\tO' +p137182 +aS'significant\tsignificant\tJJ\tB-ADJP\tO' +p137183 +aS'only\tonly\tRB\tB-ADVP\tO' +p137184 +aS'for\tfor\tIN\tB-PP\tO' +p137185 +aS'painful\tpainful\tJJ\tB-NP\tO' +p137186 +aS'urination\turination\tNN\tI-NP\tO' +p137187 +aS'over\tover\tIN\tB-PP\tO' +p137188 +aS'the\tthe\tDT\tB-NP\tO' +p137189 +aS'past\tpast\tJJ\tI-NP\tO' +p137190 +aS'few\tfew\tJJ\tI-NP\tO' +p137191 +aS'days\tday\tNNS\tI-NP\tO' +p137192 +aS'and\tand\tCC\tO\tO' +p137193 +aS'a\ta\tDT\tB-NP\tO' +p137194 +aS'reduction\treduction\tNN\tI-NP\tO' +p137195 +aS'in\tin\tIN\tB-PP\tO' +p137196 +aS'urine\turine\tNN\tB-NP\tO' +p137197 +aS'output\toutput\tNN\tI-NP\tO' +p137198 +aS'.\t.\t.\tO\tO' +p137199 +asS'181-200 mg / dL 9 Units' +p137200 +(lp137201 +S'181-200\t181-200\tCD\tB-NP\tO' +p137202 +aS'mg\tmg\tNN\tI-NP\tO' +p137203 +aS'/\t/\tSYM\tB-NP\tO' +p137204 +aS'dL\tdL\tNN\tI-NP\tO' +p137205 +aS'9\t9\tCD\tB-NP\tO' +p137206 +aS'Units\tUnit\tNNS\tI-NP\tO' +p137207 +asS'Quinine gives her a rash .' +p137208 +(lp137209 +S'Quinine\tQuinine\tNN\tB-NP\tO' +p137210 +aS'gives\tgive\tVBZ\tB-VP\tO' +p137211 +aS'her\ther\tPRP\tB-NP\tO' +p137212 +aS'a\ta\tDT\tB-NP\tO' +p137213 +aS'rash\trash\tNN\tI-NP\tO' +p137214 +aS'.\t.\t.\tO\tO' +p137215 +asS'CXR : Pulmonary edema .' +p137216 +(lp137217 +S'CXR\tCXR\tNN\tB-NP\tB-protein' +p137218 +aS':\t:\t:\tO\tO' +p137219 +aS'Pulmonary\tPulmonary\tJJ\tB-NP\tO' +p137220 +aS'edema\tedema\tNN\tI-NP\tO' +p137221 +aS'.\t.\t.\tO\tO' +p137222 +asS'regular rate and rhythm , S1-S2 .' +p137223 +(lp137224 +S'regular\tregular\tJJ\tB-NP\tO' +p137225 +aS'rate\trate\tNN\tI-NP\tO' +p137226 +aS'and\tand\tCC\tI-NP\tO' +p137227 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p137228 +aS',\t,\t,\tO\tO' +p137229 +aS'S1-S2\tS1-S2\tNN\tB-NP\tO' +p137230 +aS'.\t.\t.\tO\tO' +p137231 +asS'By 2014-08-09 , the patient was tolerating a full solid diet as well as her tube feeds .' +p137232 +(lp137233 +S'By\tBy\tIN\tB-PP\tO' +p137234 +aS'2014-08-09\t2014-08-09\tCD\tB-NP\tO' +p137235 +aS',\t,\t,\tO\tO' +p137236 +aS'the\tthe\tDT\tB-NP\tO' +p137237 +aS'patient\tpatient\tNN\tI-NP\tO' +p137238 +aS'was\tbe\tVBD\tB-VP\tO' +p137239 +aS'tolerating\ttolerate\tVBG\tI-VP\tO' +p137240 +aS'a\ta\tDT\tB-NP\tO' +p137241 +aS'full\tfull\tJJ\tI-NP\tO' +p137242 +aS'solid\tsolid\tJJ\tI-NP\tO' +p137243 +aS'diet\tdiet\tNN\tI-NP\tO' +p137244 +aS'as\tas\tRB\tB-CONJP\tO' +p137245 +aS'well\twell\tRB\tI-CONJP\tO' +p137246 +aS'as\tas\tIN\tI-CONJP\tO' +p137247 +aS'her\ther\tPRP$\tB-NP\tO' +p137248 +aS'tube\ttube\tNN\tI-NP\tO' +p137249 +aS'feeds\tfeed\tNNS\tI-NP\tO' +p137250 +aS'.\t.\t.\tO\tO' +p137251 +asS'Chest CT scan was negative for pulmonary embolism but positive for consolidation .' +p137252 +(lp137253 +S'Chest\tCh\tJJS\tB-NP\tO' +p137254 +aS'CT\tCT\tNN\tI-NP\tO' +p137255 +aS'scan\tscan\tNN\tI-NP\tO' +p137256 +aS'was\tbe\tVBD\tB-VP\tO' +p137257 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p137258 +aS'for\tfor\tIN\tB-PP\tO' +p137259 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p137260 +aS'embolism\tembolism\tNN\tI-NP\tO' +p137261 +aS'but\tbut\tCC\tO\tO' +p137262 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p137263 +aS'for\tfor\tIN\tB-PP\tO' +p137264 +aS'consolidation\tconsolidation\tNN\tB-NP\tO' +p137265 +aS'.\t.\t.\tO\tO' +p137266 +asS'Her lasix was increased to 60 mg bid .' +p137267 +(lp137268 +S'Her\tHer\tPRP$\tB-NP\tO' +p137269 +aS'lasix\tlasix\tNN\tI-NP\tO' +p137270 +aS'was\tbe\tVBD\tB-VP\tO' +p137271 +aS'increased\tincrease\tVBN\tI-VP\tO' +p137272 +aS'to\tto\tTO\tB-PP\tO' +p137273 +aS'60\t60\tCD\tB-NP\tO' +p137274 +aS'mg\tmg\tNN\tI-NP\tO' +p137275 +aS'bid\tbid\tRB\tB-ADVP\tO' +p137276 +aS'.\t.\t.\tO\tO' +p137277 +asS'Signed electronically by : DR. Shirley Bennett on : Sandra 2013-05-02 4:53 PM' +p137278 +(lp137279 +S'Signed\tSign\tVBN\tB-VP\tO' +p137280 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p137281 +aS'by\tby\tIN\tB-PP\tO' +p137282 +aS':\t:\t:\tO\tO' +p137283 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p137284 +aS'Shirley\tShirley\tNNP\tI-NP\tO' +p137285 +aS'Bennett\tBennett\tNNP\tI-NP\tO' +p137286 +aS'on\ton\tIN\tB-PP\tO' +p137287 +aS':\t:\t:\tO\tO' +p137288 +aS'Sandra\tSandra\tNNP\tB-NP\tO' +p137289 +aS'2013-05-02\t2013-05-02\tCD\tB-NP\tO' +p137290 +aS'4:53\t4:53\tCD\tI-NP\tO' +p137291 +aS'PM\tPM\tNN\tI-NP\tO' +p137292 +asS'ATNC , Pupils dialted at 5 mm but minimally reactive , anicteric' +p137293 +(lp137294 +S'ATNC\tATNC\tNN\tB-NP\tO' +p137295 +aS',\t,\t,\tO\tO' +p137296 +aS'Pupils\tPupil\tNNS\tB-NP\tO' +p137297 +aS'dialted\tdialte\tVBN\tB-VP\tO' +p137298 +aS'at\tat\tIN\tB-PP\tO' +p137299 +aS'5\t5\tCD\tB-NP\tO' +p137300 +aS'mm\tmm\tNN\tI-NP\tO' +p137301 +aS'but\tbut\tCC\tO\tO' +p137302 +aS'minimally\tminimally\tRB\tB-ADJP\tO' +p137303 +aS'reactive\treactive\tJJ\tI-ADJP\tO' +p137304 +aS',\t,\t,\tO\tO' +p137305 +aS'anicteric\tanicteric\tJJ\tB-ADJP\tO' +p137306 +asS"The patient 's narcotic and CMED CCU regimen was evaluated by psychiatry during her delirium ." +p137307 +(lp137308 +S'The\tThe\tDT\tB-NP\tO' +p137309 +aS'patient\tpatient\tNN\tI-NP\tO' +p137310 +aS"'s\t's\tPOS\tB-NP\tO" +p137311 +aS'narcotic\tnarcotic\tJJ\tI-NP\tO' +p137312 +aS'and\tand\tCC\tI-NP\tO' +p137313 +aS'CMED\tCMED\tVBN\tI-NP\tO' +p137314 +aS'CCU\tCCU\tNN\tI-NP\tO' +p137315 +aS'regimen\tregimen\tNN\tI-NP\tO' +p137316 +aS'was\tbe\tVBD\tB-VP\tO' +p137317 +aS'evaluated\tevaluate\tVBN\tI-VP\tO' +p137318 +aS'by\tby\tIN\tB-PP\tO' +p137319 +aS'psychiatry\tpsychiatry\tNN\tB-NP\tO' +p137320 +aS'during\tduring\tIN\tB-PP\tO' +p137321 +aS'her\ther\tPRP$\tB-NP\tO' +p137322 +aS'delirium\tdelirium\tNN\tI-NP\tO' +p137323 +aS'.\t.\t.\tO\tO' +p137324 +asS'By postoperative day two , the patient had remained in sinus rhythm and his Lopressor was increased .' +p137325 +(lp137326 +S'By\tBy\tIN\tB-PP\tO' +p137327 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p137328 +aS'day\tday\tNN\tI-NP\tO' +p137329 +aS'two\ttwo\tCD\tB-NP\tO' +p137330 +aS',\t,\t,\tO\tO' +p137331 +aS'the\tthe\tDT\tB-NP\tO' +p137332 +aS'patient\tpatient\tNN\tI-NP\tO' +p137333 +aS'had\thave\tVBD\tB-VP\tO' +p137334 +aS'remained\tremain\tVBN\tI-VP\tO' +p137335 +aS'in\tin\tIN\tB-PP\tO' +p137336 +aS'sinus\tsinus\tNN\tB-NP\tO' +p137337 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p137338 +aS'and\tand\tCC\tO\tO' +p137339 +aS'his\this\tPRP$\tB-NP\tO' +p137340 +aS'Lopressor\tLopressor\tNN\tI-NP\tB-protein' +p137341 +aS'was\tbe\tVBD\tB-VP\tO' +p137342 +aS'increased\tincrease\tVBN\tI-VP\tO' +p137343 +aS'.\t.\t.\tO\tO' +p137344 +asS'She is currently being seen by Addison Gilbert Hospital Group .' +p137345 +(lp137346 +S'She\tShe\tPRP\tB-NP\tO' +p137347 +aS'is\tbe\tVBZ\tB-VP\tO' +p137348 +aS'currently\tcurrently\tRB\tI-VP\tO' +p137349 +aS'being\tbe\tVBG\tI-VP\tO' +p137350 +aS'seen\tsee\tVBN\tI-VP\tO' +p137351 +aS'by\tby\tIN\tB-PP\tO' +p137352 +aS'Addison\tAddison\tNNP\tB-NP\tO' +p137353 +aS'Gilbert\tGilbert\tNNP\tI-NP\tO' +p137354 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p137355 +aS'Group\tGroup\tNNP\tI-NP\tO' +p137356 +aS'.\t.\t.\tO\tO' +p137357 +asS'She remained NPO with IV fluids , foley catheter and Dilaudid IV for pain control , Unasyn for antibiotic coverage .' +p137358 +(lp137359 +S'She\tShe\tPRP\tB-NP\tO' +p137360 +aS'remained\tremain\tVBD\tB-VP\tO' +p137361 +aS'NPO\tNPO\tNN\tB-NP\tB-protein' +p137362 +aS'with\twith\tIN\tB-PP\tO' +p137363 +aS'IV\tIV\tCD\tB-NP\tO' +p137364 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p137365 +aS',\t,\t,\tO\tO' +p137366 +aS'foley\tfoley\tJJ\tB-NP\tO' +p137367 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p137368 +aS'and\tand\tCC\tO\tO' +p137369 +aS'Dilaudid\tDilaudid\tVBD\tB-VP\tO' +p137370 +aS'IV\tIV\tCD\tB-NP\tO' +p137371 +aS'for\tfor\tIN\tB-PP\tO' +p137372 +aS'pain\tpain\tNN\tB-NP\tO' +p137373 +aS'control\tcontrol\tNN\tI-NP\tO' +p137374 +aS',\t,\t,\tO\tO' +p137375 +aS'Unasyn\tUnasyn\tIN\tB-PP\tO' +p137376 +aS'for\tfor\tIN\tB-PP\tO' +p137377 +aS'antibiotic\tantibiotic\tJJ\tB-NP\tO' +p137378 +aS'coverage\tcoverage\tNN\tI-NP\tO' +p137379 +aS'.\t.\t.\tO\tO' +p137380 +asS'Dr. Marie Anderson performed the surgery .' +p137381 +(lp137382 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p137383 +aS'Marie\tMarie\tNNP\tI-NP\tO' +p137384 +aS'Anderson\tAnderson\tNNP\tI-NP\tO' +p137385 +aS'performed\tperform\tVBD\tB-VP\tO' +p137386 +aS'the\tthe\tDT\tB-NP\tO' +p137387 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p137388 +aS'.\t.\t.\tO\tO' +p137389 +asS'He had an INR of 1.1 .' +p137390 +(lp137391 +S'He\tHe\tPRP\tB-NP\tO' +p137392 +aS'had\thave\tVBD\tB-VP\tO' +p137393 +aS'an\tan\tDT\tB-NP\tO' +p137394 +aS'INR\tINR\tNN\tI-NP\tB-protein' +p137395 +aS'of\tof\tIN\tB-PP\tO' +p137396 +aS'1.1\t1.1\tCD\tB-NP\tO' +p137397 +aS'.\t.\t.\tO\tO' +p137398 +asS'No tobacco , no alcohol , lives with wife .' +p137399 +(lp137400 +S'No\tNo\tDT\tB-NP\tO' +p137401 +aS'tobacco\ttobacco\tNN\tI-NP\tO' +p137402 +aS',\t,\t,\tO\tO' +p137403 +aS'no\tno\tDT\tB-NP\tO' +p137404 +aS'alcohol\talcohol\tNN\tI-NP\tO' +p137405 +aS',\t,\t,\tO\tO' +p137406 +aS'lives\tlive\tVBZ\tB-VP\tO' +p137407 +aS'with\twith\tIN\tB-PP\tO' +p137408 +aS'wife\twife\tNN\tB-NP\tO' +p137409 +aS'.\t.\t.\tO\tO' +p137410 +asS'Fetal monitoring initially on admission was appropriate for gestational age .' +p137411 +(lp137412 +S'Fetal\tFetal\tJJ\tB-NP\tO' +p137413 +aS'monitoring\tmonitoring\tNN\tI-NP\tO' +p137414 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p137415 +aS'on\ton\tIN\tB-PP\tO' +p137416 +aS'admission\tadmission\tNN\tB-NP\tO' +p137417 +aS'was\tbe\tVBD\tB-VP\tO' +p137418 +aS'appropriate\tappropriate\tJJ\tB-ADJP\tO' +p137419 +aS'for\tfor\tIN\tB-PP\tO' +p137420 +aS'gestational\tgestational\tJJ\tB-NP\tO' +p137421 +aS'age\tage\tNN\tI-NP\tO' +p137422 +aS'.\t.\t.\tO\tO' +p137423 +asS'On 11/22/04 , she was noted to have gram-positive cocci in her sputum .' +p137424 +(lp137425 +S'On\tOn\tIN\tB-PP\tO' +p137426 +aS'11/22/04\t11/22/04\tCD\tB-NP\tO' +p137427 +aS',\t,\t,\tO\tO' +p137428 +aS'she\tshe\tPRP\tB-NP\tO' +p137429 +aS'was\tbe\tVBD\tB-VP\tO' +p137430 +aS'noted\tnote\tVBN\tI-VP\tO' +p137431 +aS'to\tto\tTO\tI-VP\tO' +p137432 +aS'have\thave\tVB\tI-VP\tO' +p137433 +aS'gram-positive\tgram-positive\tJJ\tB-NP\tO' +p137434 +aS'cocci\tcoccus\tNNS\tI-NP\tO' +p137435 +aS'in\tin\tIN\tB-PP\tO' +p137436 +aS'her\ther\tPRP$\tB-NP\tO' +p137437 +aS'sputum\tsputum\tNN\tI-NP\tO' +p137438 +aS'.\t.\t.\tO\tO' +p137439 +asS'His father recently died of ESRD and diabetes .' +p137440 +(lp137441 +S'His\tHis\tPRP$\tB-NP\tO' +p137442 +aS'father\tfather\tNN\tI-NP\tO' +p137443 +aS'recently\trecently\tRB\tB-ADVP\tO' +p137444 +aS'died\tdie\tVBD\tB-VP\tO' +p137445 +aS'of\tof\tIN\tB-PP\tO' +p137446 +aS'ESRD\tESRD\tNNP\tB-NP\tO' +p137447 +aS'and\tand\tCC\tI-NP\tO' +p137448 +aS'diabetes\tdiabete\tNNS\tI-NP\tO' +p137449 +aS'.\t.\t.\tO\tO' +p137450 +asS'1) Moderate to severe right hydroureteronephrosis with two obstructing distal right ureteral stones , 8 mm and 6 mm respectively .' +p137451 +(lp137452 +S'1)\t1)\tLS\tB-LST\tO' +p137453 +aS'Moderate\tModerate\tNNP\tB-NP\tO' +p137454 +aS'to\tto\tTO\tB-VP\tO' +p137455 +aS'severe\tsevere\tVB\tI-VP\tO' +p137456 +aS'right\tright\tJJ\tB-NP\tO' +p137457 +aS'hydroureteronephrosis\thydroureteronephrosis\tNN\tI-NP\tO' +p137458 +aS'with\twith\tIN\tB-PP\tO' +p137459 +aS'two\ttwo\tCD\tB-NP\tO' +p137460 +aS'obstructing\tobstruct\tVBG\tI-NP\tO' +p137461 +aS'distal\tdistal\tJJ\tI-NP\tO' +p137462 +aS'right\tright\tJJ\tI-NP\tO' +p137463 +aS'ureteral\tureteral\tJJ\tI-NP\tO' +p137464 +aS'stones\tstone\tNNS\tI-NP\tO' +p137465 +aS',\t,\t,\tO\tO' +p137466 +aS'8\t8\tCD\tB-NP\tO' +p137467 +aS'mm\tmm\tNN\tI-NP\tO' +p137468 +aS'and\tand\tCC\tI-NP\tO' +p137469 +aS'6\t6\tCD\tI-NP\tO' +p137470 +aS'mm\tmm\tNN\tI-NP\tO' +p137471 +aS'respectively\trespectively\tRB\tB-ADVP\tO' +p137472 +aS'.\t.\t.\tO\tO' +p137473 +asS'4. Protonix 40 mg once daily .' +p137474 +(lp137475 +S'4.\t4.\tLS\tB-NP\tO' +p137476 +aS'Protonix\tProtonix\tNNP\tI-NP\tO' +p137477 +aS'40\t40\tCD\tI-NP\tO' +p137478 +aS'mg\tmg\tNN\tI-NP\tO' +p137479 +aS'once\tonce\tRB\tB-ADVP\tO' +p137480 +aS'daily\tdaily\tRB\tI-ADVP\tO' +p137481 +aS'.\t.\t.\tO\tO' +p137482 +asS'Make an appointment with Dr. Keller for 4-5 weeks .' +p137483 +(lp137484 +S'Make\tMake\tVB\tB-VP\tO' +p137485 +aS'an\tan\tDT\tB-NP\tO' +p137486 +aS'appointment\tappointment\tNN\tI-NP\tO' +p137487 +aS'with\twith\tIN\tB-PP\tO' +p137488 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p137489 +aS'Keller\tKeller\tNNP\tI-NP\tO' +p137490 +aS'for\tfor\tIN\tB-PP\tO' +p137491 +aS'4-5\t4-5\tCD\tB-NP\tO' +p137492 +aS'weeks\tweek\tNNS\tI-NP\tO' +p137493 +aS'.\t.\t.\tO\tO' +p137494 +asS"The patient 's hematocrit at delivery was 48 , with a white count of 11.2 and platelets of 301,000 ." +p137495 +(lp137496 +S'The\tThe\tDT\tB-NP\tO' +p137497 +aS'patient\tpatient\tNN\tI-NP\tO' +p137498 +aS"'s\t's\tPOS\tB-NP\tO" +p137499 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p137500 +aS'at\tat\tIN\tB-PP\tO' +p137501 +aS'delivery\tdelivery\tNN\tB-NP\tO' +p137502 +aS'was\tbe\tVBD\tB-VP\tO' +p137503 +aS'48\t48\tCD\tB-NP\tO' +p137504 +aS',\t,\t,\tO\tO' +p137505 +aS'with\twith\tIN\tB-PP\tO' +p137506 +aS'a\ta\tDT\tB-NP\tO' +p137507 +aS'white\twhite\tJJ\tI-NP\tO' +p137508 +aS'count\tcount\tNN\tI-NP\tO' +p137509 +aS'of\tof\tIN\tB-PP\tO' +p137510 +aS'11.2\t11.2\tCD\tB-NP\tO' +p137511 +aS'and\tand\tCC\tO\tO' +p137512 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p137513 +aS'of\tof\tIN\tB-PP\tO' +p137514 +aS'301,000\t301,000\tCD\tB-NP\tO' +p137515 +aS'.\t.\t.\tO\tO' +p137516 +asS'1. Bisacodyl 5 mg Tablet Sig : Two ( 2 ) Tablet PO DAILY ( Daily ) as needed for constipation .' +p137517 +(lp137518 +S'1.\t1.\tLS\tB-NP\tO' +p137519 +aS'Bisacodyl\tBisacodyl\tNN\tI-NP\tO' +p137520 +aS'5\t5\tCD\tI-NP\tO' +p137521 +aS'mg\tmg\tNN\tI-NP\tO' +p137522 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p137523 +aS'Sig\tSig\tNNP\tI-NP\tO' +p137524 +aS':\t:\t:\tO\tO' +p137525 +aS'Two\tTwo\tCD\tB-NP\tO' +p137526 +aS'(\t(\t(\tO\tO' +p137527 +aS'2\t2\tCD\tO\tO' +p137528 +aS')\t)\t)\tO\tO' +p137529 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p137530 +aS'PO\tPO\tNN\tI-NP\tO' +p137531 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p137532 +aS'(\t(\t(\tO\tO' +p137533 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p137534 +aS')\t)\t)\tO\tO' +p137535 +aS'as\tas\tIN\tB-SBAR\tO' +p137536 +aS'needed\tneed\tVBN\tB-VP\tO' +p137537 +aS'for\tfor\tIN\tB-PP\tO' +p137538 +aS'constipation\tconstipation\tNN\tB-NP\tO' +p137539 +aS'.\t.\t.\tO\tO' +p137540 +asS'3 ) Status post hysterectomy .' +p137541 +(lp137542 +S'3\t3\tLS\tB-LST\tO' +p137543 +aS')\t)\t)\tO\tO' +p137544 +aS'Status\tStatus\tNN\tB-NP\tO' +p137545 +aS'post\tpost\tNN\tI-NP\tO' +p137546 +aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' +p137547 +aS'.\t.\t.\tO\tO' +p137548 +asS'Her strength was 05-31 throughout except for right was not tested due to the angiocele in her groin .' +p137549 +(lp137550 +S'Her\tHer\tPRP$\tB-NP\tO' +p137551 +aS'strength\tstrength\tNN\tI-NP\tO' +p137552 +aS'was\tbe\tVBD\tB-VP\tO' +p137553 +aS'05-31\t05-31\tCD\tB-NP\tO' +p137554 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p137555 +aS'except\texcept\tIN\tB-PP\tO' +p137556 +aS'for\tfor\tIN\tB-PP\tO' +p137557 +aS'right\tright\tNN\tB-NP\tO' +p137558 +aS'was\tbe\tVBD\tB-VP\tO' +p137559 +aS'not\tnot\tRB\tI-VP\tO' +p137560 +aS'tested\ttest\tVBN\tI-VP\tO' +p137561 +aS'due\tdue\tJJ\tB-ADJP\tO' +p137562 +aS'to\tto\tTO\tB-PP\tO' +p137563 +aS'the\tthe\tDT\tB-NP\tO' +p137564 +aS'angiocele\tangiocele\tNN\tI-NP\tO' +p137565 +aS'in\tin\tIN\tB-PP\tO' +p137566 +aS'her\ther\tPRP$\tB-NP\tO' +p137567 +aS'groin\tgroin\tNN\tI-NP\tO' +p137568 +aS'.\t.\t.\tO\tO' +p137569 +asS'KLEBSIELLA PNEUMONIAE .' +p137570 +(lp137571 +S'KLEBSIELLA\tKLEBSIELLA\tNN\tB-NP\tO' +p137572 +aS'PNEUMONIAE\tPNEUMONIAE\tNN\tI-NP\tO' +p137573 +aS'.\t.\t.\tO\tO' +p137574 +asS'History of breast cancer .' +p137575 +(lp137576 +S'History\tHistory\tNN\tB-NP\tO' +p137577 +aS'of\tof\tIN\tB-PP\tO' +p137578 +aS'breast\tbreast\tNN\tB-NP\tO' +p137579 +aS'cancer\tcancer\tNN\tI-NP\tO' +p137580 +aS'.\t.\t.\tO\tO' +p137581 +asS'Positive for diabetes .' +p137582 +(lp137583 +S'Positive\tPositive\tJJ\tB-ADJP\tO' +p137584 +aS'for\tfor\tIN\tB-PP\tO' +p137585 +aS'diabetes\tdiabete\tNNS\tB-NP\tO' +p137586 +aS'.\t.\t.\tO\tO' +p137587 +asS'In September 1992 CT myelogram showed a lateral L-1 S-1 disc bulge and small L-4-4 bulge .' +p137588 +(lp137589 +S'In\tIn\tIN\tB-PP\tO' +p137590 +aS'September\tSeptember\tNNP\tB-NP\tO' +p137591 +aS'1992\t1992\tCD\tI-NP\tO' +p137592 +aS'CT\tCT\tNN\tI-NP\tO' +p137593 +aS'myelogram\tmyelogram\tNN\tI-NP\tO' +p137594 +aS'showed\tshow\tVBD\tB-VP\tO' +p137595 +aS'a\ta\tDT\tB-NP\tO' +p137596 +aS'lateral\tlateral\tJJ\tI-NP\tO' +p137597 +aS'L-1\tL-1\tNN\tI-NP\tO' +p137598 +aS'S-1\tS-1\tNN\tI-NP\tO' +p137599 +aS'disc\tdisc\tNN\tI-NP\tO' +p137600 +aS'bulge\tbulge\tNN\tI-NP\tO' +p137601 +aS'and\tand\tCC\tO\tO' +p137602 +aS'small\tsmall\tJJ\tB-NP\tO' +p137603 +aS'L-4-4\tL-4-4\tNN\tI-NP\tO' +p137604 +aS'bulge\tbulge\tNN\tI-NP\tO' +p137605 +aS'.\t.\t.\tO\tO' +p137606 +asS'She had no spider angiomata , no palmar erythema , no xanthomas and no caput medusae .' +p137607 +(lp137608 +S'She\tShe\tPRP\tB-NP\tO' +p137609 +aS'had\thave\tVBD\tB-VP\tO' +p137610 +aS'no\tno\tDT\tB-NP\tO' +p137611 +aS'spider\tspider\tNN\tI-NP\tO' +p137612 +aS'angiomata\tangiomata\tNN\tI-NP\tO' +p137613 +aS',\t,\t,\tO\tO' +p137614 +aS'no\tno\tDT\tB-NP\tO' +p137615 +aS'palmar\tpalmar\tJJ\tI-NP\tO' +p137616 +aS'erythema\terythema\tNN\tI-NP\tO' +p137617 +aS',\t,\t,\tO\tO' +p137618 +aS'no\tno\tDT\tB-NP\tO' +p137619 +aS'xanthomas\txanthoma\tNNS\tI-NP\tO' +p137620 +aS'and\tand\tCC\tO\tO' +p137621 +aS'no\tno\tDT\tB-NP\tO' +p137622 +aS'caput\tcaput\tNN\tI-NP\tO' +p137623 +aS'medusae\tmedusa\tNNS\tI-NP\tO' +p137624 +aS'.\t.\t.\tO\tO' +p137625 +asS'Serial PTs were obtained , and the patient was noted to have an initial PT of 10.9 on admission , despite Coumadin at home .' +p137626 +(lp137627 +S'Serial\tSerial\tJJ\tB-NP\tO' +p137628 +aS'PTs\tPT\tNNS\tI-NP\tO' +p137629 +aS'were\tbe\tVBD\tB-VP\tO' +p137630 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p137631 +aS',\t,\t,\tO\tO' +p137632 +aS'and\tand\tCC\tO\tO' +p137633 +aS'the\tthe\tDT\tB-NP\tO' +p137634 +aS'patient\tpatient\tNN\tI-NP\tO' +p137635 +aS'was\tbe\tVBD\tB-VP\tO' +p137636 +aS'noted\tnote\tVBN\tI-VP\tO' +p137637 +aS'to\tto\tTO\tI-VP\tO' +p137638 +aS'have\thave\tVB\tI-VP\tO' +p137639 +aS'an\tan\tDT\tB-NP\tO' +p137640 +aS'initial\tinitial\tJJ\tI-NP\tO' +p137641 +aS'PT\tPT\tNN\tI-NP\tO' +p137642 +aS'of\tof\tIN\tB-PP\tO' +p137643 +aS'10.9\t10.9\tCD\tB-NP\tO' +p137644 +aS'on\ton\tIN\tB-PP\tO' +p137645 +aS'admission\tadmission\tNN\tB-NP\tO' +p137646 +aS',\t,\t,\tO\tO' +p137647 +aS'despite\tdespite\tIN\tB-PP\tO' +p137648 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p137649 +aS'at\tat\tIN\tB-PP\tO' +p137650 +aS'home\thome\tNN\tB-NP\tO' +p137651 +aS'.\t.\t.\tO\tO' +p137652 +asS'3. Interval development of tree-in-Eric nodular opacities and scattered ground glass opacities involving the right lung , concerning for an infectious process .' +p137653 +(lp137654 +S'3.\t3.\tLS\tB-NP\tO' +p137655 +aS'Interval\tInterval\tNN\tI-NP\tO' +p137656 +aS'development\tdevelopment\tNN\tI-NP\tO' +p137657 +aS'of\tof\tIN\tB-PP\tO' +p137658 +aS'tree-in-Eric\ttree-in-Eric\tJJ\tB-NP\tO' +p137659 +aS'nodular\tnodular\tJJ\tI-NP\tO' +p137660 +aS'opacities\topacity\tNNS\tI-NP\tO' +p137661 +aS'and\tand\tCC\tO\tO' +p137662 +aS'scattered\tscatter\tVBN\tB-NP\tO' +p137663 +aS'ground\tground\tNN\tI-NP\tO' +p137664 +aS'glass\tglass\tNN\tI-NP\tO' +p137665 +aS'opacities\topacity\tNNS\tI-NP\tO' +p137666 +aS'involving\tinvolve\tVBG\tB-VP\tO' +p137667 +aS'the\tthe\tDT\tB-NP\tO' +p137668 +aS'right\tright\tJJ\tI-NP\tO' +p137669 +aS'lung\tlung\tNN\tI-NP\tO' +p137670 +aS',\t,\t,\tO\tO' +p137671 +aS'concerning\tconcern\tVBG\tB-VP\tO' +p137672 +aS'for\tfor\tIN\tB-PP\tO' +p137673 +aS'an\tan\tDT\tB-NP\tO' +p137674 +aS'infectious\tinfectious\tJJ\tI-NP\tO' +p137675 +aS'process\tprocess\tNN\tI-NP\tO' +p137676 +aS'.\t.\t.\tO\tO' +p137677 +asS'He was admitted to the Neurology / Neurosurgery ICU .' +p137678 +(lp137679 +S'He\tHe\tPRP\tB-NP\tO' +p137680 +aS'was\tbe\tVBD\tB-VP\tO' +p137681 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p137682 +aS'to\tto\tTO\tB-PP\tO' +p137683 +aS'the\tthe\tDT\tB-NP\tO' +p137684 +aS'Neurology\tNeurology\tNN\tI-NP\tO' +p137685 +aS'/\t/\tSYM\tB-NP\tO' +p137686 +aS'Neurosurgery\tNeurosurgery\tNN\tI-NP\tB-protein' +p137687 +aS'ICU\tICU\tNN\tI-NP\tI-protein' +p137688 +aS'.\t.\t.\tO\tO' +p137689 +asS'The bladder appears unremarkable and contains a Foley catheter .' +p137690 +(lp137691 +S'The\tThe\tDT\tB-NP\tO' +p137692 +aS'bladder\tbladder\tNN\tI-NP\tO' +p137693 +aS'appears\tappear\tVBZ\tB-VP\tO' +p137694 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p137695 +aS'and\tand\tCC\tO\tO' +p137696 +aS'contains\tcontain\tVBZ\tB-VP\tO' +p137697 +aS'a\ta\tDT\tB-NP\tO' +p137698 +aS'Foley\tFoley\tNNP\tI-NP\tO' +p137699 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p137700 +aS'.\t.\t.\tO\tO' +p137701 +asS'She continued to have a dense left hemianopsia , but otherwise was neurologically intact .' +p137702 +(lp137703 +S'She\tShe\tPRP\tB-NP\tO' +p137704 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p137705 +aS'to\tto\tTO\tI-VP\tO' +p137706 +aS'have\thave\tVB\tI-VP\tO' +p137707 +aS'a\ta\tDT\tB-NP\tO' +p137708 +aS'dense\tdense\tJJ\tI-NP\tO' +p137709 +aS'left\tleft\tJJ\tI-NP\tO' +p137710 +aS'hemianopsia\themianopsia\tNN\tI-NP\tO' +p137711 +aS',\t,\t,\tO\tO' +p137712 +aS'but\tbut\tCC\tO\tO' +p137713 +aS'otherwise\totherwise\tRB\tB-VP\tO' +p137714 +aS'was\tbe\tVBD\tI-VP\tO' +p137715 +aS'neurologically\tneurologically\tRB\tB-ADJP\tO' +p137716 +aS'intact\tintact\tJJ\tI-ADJP\tO' +p137717 +aS'.\t.\t.\tO\tO' +p137718 +asS'3. Rule out sepsis .' +p137719 +(lp137720 +S'3.\t3.\tLS\tB-NP\tO' +p137721 +aS'Rule\tRule\tNN\tI-NP\tO' +p137722 +aS'out\tout\tIN\tB-PP\tO' +p137723 +aS'sepsis\tsepsis\tNN\tB-NP\tO' +p137724 +aS'.\t.\t.\tO\tO' +p137725 +asS'Attending : William I. Sundquist , M.D.' +p137726 +(lp137727 +S'Attending\tAttend\tVBG\tB-VP\tO' +p137728 +aS':\t:\t:\tO\tO' +p137729 +aS'William\tWilliam\tNNP\tB-NP\tO' +p137730 +aS'I.\tI.\tNNP\tI-NP\tO' +p137731 +aS'Sundquist\tSundquist\tNNP\tI-NP\tO' +p137732 +aS',\t,\t,\tO\tO' +p137733 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p137734 +asS'An MRI of the spine showed L4/5 facet enhancement .' +p137735 +(lp137736 +S'An\tAn\tDT\tB-NP\tO' +p137737 +aS'MRI\tMRI\tNN\tI-NP\tB-protein' +p137738 +aS'of\tof\tIN\tB-PP\tO' +p137739 +aS'the\tthe\tDT\tB-NP\tO' +p137740 +aS'spine\tspine\tNN\tI-NP\tO' +p137741 +aS'showed\tshow\tVBD\tB-VP\tO' +p137742 +aS'L4/5\tL4/5\tNN\tB-NP\tO' +p137743 +aS'facet\tfacet\tNN\tI-NP\tO' +p137744 +aS'enhancement\tenhancement\tNN\tI-NP\tO' +p137745 +aS'.\t.\t.\tO\tO' +p137746 +asS'1. Hepatitis C cirrhosis for which the patient was on the liver transplant list .' +p137747 +(lp137748 +S'1.\t1.\tLS\tB-NP\tO' +p137749 +aS'Hepatitis\tHepatitis\tNN\tI-NP\tO' +p137750 +aS'C\tC\tNN\tI-NP\tO' +p137751 +aS'cirrhosis\tcirrhosis\tNN\tI-NP\tO' +p137752 +aS'for\tfor\tIN\tB-PP\tO' +p137753 +aS'which\twhich\tWDT\tB-NP\tO' +p137754 +aS'the\tthe\tDT\tB-NP\tO' +p137755 +aS'patient\tpatient\tNN\tI-NP\tO' +p137756 +aS'was\tbe\tVBD\tB-VP\tO' +p137757 +aS'on\ton\tIN\tB-PP\tO' +p137758 +aS'the\tthe\tDT\tB-NP\tO' +p137759 +aS'liver\tliver\tNN\tI-NP\tO' +p137760 +aS'transplant\ttransplant\tNN\tI-NP\tO' +p137761 +aS'list\tlist\tNN\tI-NP\tO' +p137762 +aS'.\t.\t.\tO\tO' +p137763 +asS'A separate operative note has been dictated .' +p137764 +(lp137765 +S'A\tA\tDT\tB-NP\tO' +p137766 +aS'separate\tseparate\tJJ\tI-NP\tO' +p137767 +aS'operative\toperative\tJJ\tI-NP\tO' +p137768 +aS'note\tnote\tNN\tI-NP\tO' +p137769 +aS'has\thave\tVBZ\tB-VP\tO' +p137770 +aS'been\tbe\tVBN\tI-VP\tO' +p137771 +aS'dictated\tdictate\tVBN\tI-VP\tO' +p137772 +aS'.\t.\t.\tO\tO' +p137773 +asS'Briefly , the patient has a history of chronic obstructive pulmonary disease , ethanol abuse , chronic pleural effusions , and chronic renal insufficiency .' +p137774 +(lp137775 +S'Briefly\tBriefly\tNNP\tB-NP\tO' +p137776 +aS',\t,\t,\tO\tO' +p137777 +aS'the\tthe\tDT\tB-NP\tO' +p137778 +aS'patient\tpatient\tNN\tI-NP\tO' +p137779 +aS'has\thave\tVBZ\tB-VP\tO' +p137780 +aS'a\ta\tDT\tB-NP\tO' +p137781 +aS'history\thistory\tNN\tI-NP\tO' +p137782 +aS'of\tof\tIN\tB-PP\tO' +p137783 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p137784 +aS'obstructive\tobstructive\tJJ\tI-NP\tO' +p137785 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p137786 +aS'disease\tdisease\tNN\tI-NP\tO' +p137787 +aS',\t,\t,\tO\tO' +p137788 +aS'ethanol\tethanol\tNN\tB-NP\tO' +p137789 +aS'abuse\tabuse\tNN\tI-NP\tO' +p137790 +aS',\t,\t,\tO\tO' +p137791 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p137792 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p137793 +aS'effusions\teffusion\tNNS\tI-NP\tO' +p137794 +aS',\t,\t,\tO\tO' +p137795 +aS'and\tand\tCC\tO\tO' +p137796 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p137797 +aS'renal\trenal\tJJ\tI-NP\tO' +p137798 +aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' +p137799 +aS'.\t.\t.\tO\tO' +p137800 +asS'It was decided to place more drains and pack the lesser sac with Adaptic and laparotomy pads .' +p137801 +(lp137802 +S'It\tIt\tPRP\tB-NP\tO' +p137803 +aS'was\tbe\tVBD\tB-VP\tO' +p137804 +aS'decided\tdecide\tVBN\tI-VP\tO' +p137805 +aS'to\tto\tTO\tI-VP\tO' +p137806 +aS'place\tplace\tVB\tI-VP\tO' +p137807 +aS'more\tmore\tJJR\tB-NP\tO' +p137808 +aS'drains\tdrain\tNNS\tI-NP\tO' +p137809 +aS'and\tand\tCC\tO\tO' +p137810 +aS'pack\tpack\tVB\tB-VP\tO' +p137811 +aS'the\tthe\tDT\tB-NP\tO' +p137812 +aS'lesser\tless\tJJR\tI-NP\tO' +p137813 +aS'sac\tsac\tNN\tI-NP\tO' +p137814 +aS'with\twith\tIN\tB-PP\tO' +p137815 +aS'Adaptic\tAdaptic\tJJ\tB-NP\tO' +p137816 +aS'and\tand\tCC\tI-NP\tO' +p137817 +aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' +p137818 +aS'pads\tpad\tNNS\tI-NP\tO' +p137819 +aS'.\t.\t.\tO\tO' +p137820 +asS"2. Diabetes mellitus type 2 since age 25 ; now currently on insulin , which is complicated by peripheral neuropathy , nephropathy and Charcot 's foot ." +p137821 +(lp137822 +S'2.\t2.\tLS\tB-NP\tO' +p137823 +aS'Diabetes\tDiabetes\tNN\tI-NP\tO' +p137824 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p137825 +aS'type\ttype\tNN\tI-NP\tO' +p137826 +aS'2\t2\tCD\tI-NP\tO' +p137827 +aS'since\tsince\tIN\tB-SBAR\tO' +p137828 +aS'age\tage\tNN\tB-NP\tO' +p137829 +aS'25\t25\tCD\tI-NP\tO' +p137830 +aS';\t;\t:\tO\tO' +p137831 +aS'now\tnow\tRB\tB-ADVP\tO' +p137832 +aS'currently\tcurrently\tRB\tB-ADVP\tO' +p137833 +aS'on\ton\tIN\tB-PP\tO' +p137834 +aS'insulin\tinsulin\tNN\tB-NP\tB-protein' +p137835 +aS',\t,\t,\tO\tO' +p137836 +aS'which\twhich\tWDT\tB-NP\tO' +p137837 +aS'is\tbe\tVBZ\tB-VP\tO' +p137838 +aS'complicated\tcomplicate\tVBN\tI-VP\tO' +p137839 +aS'by\tby\tIN\tB-PP\tO' +p137840 +aS'peripheral\tperipheral\tJJ\tB-NP\tO' +p137841 +aS'neuropathy\tneuropathy\tNN\tI-NP\tO' +p137842 +aS',\t,\t,\tO\tO' +p137843 +aS'nephropathy\tnephropathy\tNN\tB-NP\tO' +p137844 +aS'and\tand\tCC\tO\tO' +p137845 +aS'Charcot\tCharcot\tNNP\tB-NP\tO' +p137846 +aS"'s\t's\tPOS\tB-NP\tO" +p137847 +aS'foot\tfoot\tNN\tI-NP\tO' +p137848 +aS'.\t.\t.\tO\tO' +p137849 +asS'Facial sensation is sensation .' +p137850 +(lp137851 +S'Facial\tFacial\tJJ\tB-NP\tO' +p137852 +aS'sensation\tsensation\tNN\tI-NP\tO' +p137853 +aS'is\tbe\tVBZ\tB-VP\tO' +p137854 +aS'sensation\tsensation\tNN\tB-NP\tO' +p137855 +aS'.\t.\t.\tO\tO' +p137856 +asS'Not reviewed with patient .' +p137857 +(lp137858 +S'Not\tNot\tRB\tO\tO' +p137859 +aS'reviewed\treview\tVBN\tB-VP\tO' +p137860 +aS'with\twith\tIN\tB-PP\tO' +p137861 +aS'patient\tpatient\tNN\tB-NP\tO' +p137862 +aS'.\t.\t.\tO\tO' +p137863 +asS'The patient was referred to Dr. Rota for coronary artery bypass grafting .' +p137864 +(lp137865 +S'The\tThe\tDT\tB-NP\tO' +p137866 +aS'patient\tpatient\tNN\tI-NP\tO' +p137867 +aS'was\tbe\tVBD\tB-VP\tO' +p137868 +aS'referred\trefer\tVBN\tI-VP\tO' +p137869 +aS'to\tto\tTO\tB-PP\tO' +p137870 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p137871 +aS'Rota\tRota\tNNP\tI-NP\tO' +p137872 +aS'for\tfor\tIN\tB-PP\tO' +p137873 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p137874 +aS'artery\tartery\tNN\tI-NP\tO' +p137875 +aS'bypass\tbypass\tIN\tB-PP\tO' +p137876 +aS'grafting\tgrafting\tNN\tB-NP\tO' +p137877 +aS'.\t.\t.\tO\tO' +p137878 +asS'10. Skelaxin .' +p137879 +(lp137880 +S'10.\t10.\tLS\tB-NP\tO' +p137881 +aS'Skelaxin\tSkelaxin\tNN\tI-NP\tB-protein' +p137882 +aS'.\t.\t.\tO\tO' +p137883 +asS'( series 2 , image 23 ) , compatible with acute intraparenchymal hemorrhage .' +p137884 +(lp137885 +S'(\t(\t(\tO\tO' +p137886 +aS'series\tseries\tNN\tB-NP\tO' +p137887 +aS'2\t2\tCD\tI-NP\tO' +p137888 +aS',\t,\t,\tO\tO' +p137889 +aS'image\timage\tNN\tB-NP\tO' +p137890 +aS'23\t23\tCD\tI-NP\tO' +p137891 +aS')\t)\t)\tO\tO' +p137892 +aS',\t,\t,\tO\tO' +p137893 +aS'compatible\tcompatible\tJJ\tB-ADJP\tO' +p137894 +aS'with\twith\tIN\tB-PP\tO' +p137895 +aS'acute\tacute\tJJ\tB-NP\tO' +p137896 +aS'intraparenchymal\tintraparenchymal\tJJ\tI-NP\tO' +p137897 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p137898 +aS'.\t.\t.\tO\tO' +p137899 +asS'He was to follow up with Dr. Malta at Firmert Hospital on 07/23/04 at 3:00 p.m. , as well as Dr. Shawn Leick at the Stonho Health Care pulmonary division as directed .' +p137900 +(lp137901 +S'He\tHe\tPRP\tB-NP\tO' +p137902 +aS'was\tbe\tVBD\tB-VP\tO' +p137903 +aS'to\tto\tTO\tB-VP\tO' +p137904 +aS'follow\tfollow\tVB\tI-VP\tO' +p137905 +aS'up\tup\tRP\tB-PRT\tO' +p137906 +aS'with\twith\tIN\tB-PP\tO' +p137907 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p137908 +aS'Malta\tMalta\tNNP\tI-NP\tO' +p137909 +aS'at\tat\tIN\tB-PP\tO' +p137910 +aS'Firmert\tFirmert\tNNP\tB-NP\tO' +p137911 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p137912 +aS'on\ton\tIN\tB-PP\tO' +p137913 +aS'07/23/04\t07/23/04\tCD\tB-NP\tO' +p137914 +aS'at\tat\tIN\tB-PP\tO' +p137915 +aS'3:00\t3:00\tCD\tB-NP\tO' +p137916 +aS'p.m.\tp.m.\tNN\tI-NP\tO' +p137917 +aS',\t,\t,\tO\tO' +p137918 +aS'as\tas\tRB\tB-CONJP\tO' +p137919 +aS'well\twell\tRB\tI-CONJP\tO' +p137920 +aS'as\tas\tIN\tI-CONJP\tO' +p137921 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p137922 +aS'Shawn\tShawn\tNNP\tI-NP\tO' +p137923 +aS'Leick\tLeick\tNNP\tI-NP\tO' +p137924 +aS'at\tat\tIN\tB-PP\tO' +p137925 +aS'the\tthe\tDT\tB-NP\tO' +p137926 +aS'Stonho\tStonho\tNNP\tI-NP\tO' +p137927 +aS'Health\tHealth\tNNP\tI-NP\tO' +p137928 +aS'Care\tCare\tNNP\tI-NP\tO' +p137929 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p137930 +aS'division\tdivision\tNN\tI-NP\tO' +p137931 +aS'as\tas\tIN\tB-SBAR\tO' +p137932 +aS'directed\tdirect\tVBN\tB-VP\tO' +p137933 +aS'.\t.\t.\tO\tO' +p137934 +asS'2. Apnea of prematurity .' +p137935 +(lp137936 +S'2.\t2.\tLS\tB-NP\tO' +p137937 +aS'Apnea\tApnea\tNN\tI-NP\tO' +p137938 +aS'of\tof\tIN\tB-PP\tO' +p137939 +aS'prematurity\tprematurity\tNN\tB-NP\tO' +p137940 +aS'.\t.\t.\tO\tO' +p137941 +asS'6. Infectious disease .' +p137942 +(lp137943 +S'6.\t6.\tLS\tB-NP\tO' +p137944 +aS'Infectious\tInfectious\tJJ\tI-NP\tO' +p137945 +aS'disease\tdisease\tNN\tI-NP\tO' +p137946 +aS'.\t.\t.\tO\tO' +p137947 +asS'The patient was started on Levofloxacin 250 mg p.o. q. day times seven days for a possible nosocomial urinary tract infection .' +p137948 +(lp137949 +S'The\tThe\tDT\tB-NP\tO' +p137950 +aS'patient\tpatient\tNN\tI-NP\tO' +p137951 +aS'was\tbe\tVBD\tB-VP\tO' +p137952 +aS'started\tstart\tVBN\tI-VP\tO' +p137953 +aS'on\ton\tIN\tB-PP\tO' +p137954 +aS'Levofloxacin\tLevofloxacin\tNN\tB-NP\tO' +p137955 +aS'250\t250\tCD\tI-NP\tO' +p137956 +aS'mg\tmg\tNN\tI-NP\tO' +p137957 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p137958 +aS'q.\tq.\tNN\tI-NP\tO' +p137959 +aS'day\tday\tNN\tI-NP\tO' +p137960 +aS'times\ttime\tNNS\tI-NP\tO' +p137961 +aS'seven\tseven\tCD\tB-NP\tO' +p137962 +aS'days\tday\tNNS\tI-NP\tO' +p137963 +aS'for\tfor\tIN\tB-PP\tO' +p137964 +aS'a\ta\tDT\tB-NP\tO' +p137965 +aS'possible\tpossible\tJJ\tI-NP\tO' +p137966 +aS'nosocomial\tnosocomial\tJJ\tI-NP\tO' +p137967 +aS'urinary\turinary\tJJ\tI-NP\tO' +p137968 +aS'tract\ttract\tNN\tI-NP\tO' +p137969 +aS'infection\tinfection\tNN\tI-NP\tO' +p137970 +aS'.\t.\t.\tO\tO' +p137971 +asS'Attending : Sam K. Laudato , M.D.' +p137972 +(lp137973 +S'Attending\tAttend\tVBG\tB-VP\tO' +p137974 +aS':\t:\t:\tO\tO' +p137975 +aS'Sam\tSam\tNNP\tB-NP\tO' +p137976 +aS'K.\tK.\tNNP\tI-NP\tO' +p137977 +aS'Laudato\tLaudato\tNNP\tI-NP\tO' +p137978 +aS',\t,\t,\tO\tO' +p137979 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p137980 +asS'He did well post operatively and he was ready for discharge on 2019-10-07 .' +p137981 +(lp137982 +S'He\tHe\tPRP\tB-NP\tO' +p137983 +aS'did\tdo\tVBD\tB-VP\tO' +p137984 +aS'well\twell\tRB\tI-VP\tO' +p137985 +aS'post\tpost\tVBN\tI-VP\tO' +p137986 +aS'operatively\toperatively\tRB\tB-ADVP\tO' +p137987 +aS'and\tand\tCC\tO\tO' +p137988 +aS'he\the\tPRP\tB-NP\tO' +p137989 +aS'was\tbe\tVBD\tB-VP\tO' +p137990 +aS'ready\tready\tJJ\tB-ADJP\tO' +p137991 +aS'for\tfor\tIN\tB-PP\tO' +p137992 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p137993 +aS'on\ton\tIN\tB-PP\tO' +p137994 +aS'2019-10-07\t2019-10-07\tCD\tB-NP\tO' +p137995 +aS'.\t.\t.\tO\tO' +p137996 +asS'Cardiovascular : Complained of chest pain during first few days of admission , a cardiology consult was obtained .' +p137997 +(lp137998 +S'Cardiovascular\tCardiovascular\tJJ\tB-ADJP\tO' +p137999 +aS':\t:\t:\tO\tO' +p138000 +aS'Complained\tComplain\tVBN\tB-VP\tO' +p138001 +aS'of\tof\tIN\tB-PP\tO' +p138002 +aS'chest\tchest\tNN\tB-NP\tO' +p138003 +aS'pain\tpain\tNN\tI-NP\tO' +p138004 +aS'during\tduring\tIN\tB-PP\tO' +p138005 +aS'first\tfirst\tJJ\tB-NP\tO' +p138006 +aS'few\tfew\tJJ\tI-NP\tO' +p138007 +aS'days\tday\tNNS\tI-NP\tO' +p138008 +aS'of\tof\tIN\tB-PP\tO' +p138009 +aS'admission\tadmission\tNN\tB-NP\tO' +p138010 +aS',\t,\t,\tO\tO' +p138011 +aS'a\ta\tDT\tB-NP\tO' +p138012 +aS'cardiology\tcardiology\tNN\tI-NP\tO' +p138013 +aS'consult\tconsult\tNN\tI-NP\tO' +p138014 +aS'was\tbe\tVBD\tB-VP\tO' +p138015 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p138016 +aS'.\t.\t.\tO\tO' +p138017 +asS'She had excellent pancreas graft function immediately .' +p138018 +(lp138019 +S'She\tShe\tPRP\tB-NP\tO' +p138020 +aS'had\thave\tVBD\tB-VP\tO' +p138021 +aS'excellent\texcellent\tJJ\tB-NP\tO' +p138022 +aS'pancreas\tpancreas\tNN\tI-NP\tO' +p138023 +aS'graft\tgraft\tNN\tI-NP\tO' +p138024 +aS'function\tfunction\tNN\tI-NP\tO' +p138025 +aS'immediately\timmediately\tRB\tB-ADVP\tO' +p138026 +aS'.\t.\t.\tO\tO' +p138027 +asS'MITRAL STENOSIS .' +p138028 +(lp138029 +S'MITRAL\tMITRAL\tJJ\tB-NP\tO' +p138030 +aS'STENOSIS\tSTENOSIS\tNN\tI-NP\tO' +p138031 +aS'.\t.\t.\tO\tO' +p138032 +asS'At operation , there was no gross adenopathy or renal vein involvement , and it was felt that the tumor was completely excised .' +p138033 +(lp138034 +S'At\tAt\tIN\tB-PP\tO' +p138035 +aS'operation\toperation\tNN\tB-NP\tO' +p138036 +aS',\t,\t,\tO\tO' +p138037 +aS'there\tthere\tEX\tB-NP\tO' +p138038 +aS'was\tbe\tVBD\tB-VP\tO' +p138039 +aS'no\tno\tDT\tB-NP\tO' +p138040 +aS'gross\tgross\tJJ\tI-NP\tO' +p138041 +aS'adenopathy\tadenopathy\tNN\tI-NP\tO' +p138042 +aS'or\tor\tCC\tO\tO' +p138043 +aS'renal\trenal\tJJ\tB-NP\tO' +p138044 +aS'vein\tvein\tNN\tI-NP\tO' +p138045 +aS'involvement\tinvolvement\tNN\tI-NP\tO' +p138046 +aS',\t,\t,\tO\tO' +p138047 +aS'and\tand\tCC\tO\tO' +p138048 +aS'it\tit\tPRP\tB-NP\tO' +p138049 +aS'was\tbe\tVBD\tB-VP\tO' +p138050 +aS'felt\tfeel\tVBN\tI-VP\tO' +p138051 +aS'that\tthat\tIN\tB-SBAR\tO' +p138052 +aS'the\tthe\tDT\tB-NP\tO' +p138053 +aS'tumor\ttumor\tNN\tI-NP\tO' +p138054 +aS'was\tbe\tVBD\tB-VP\tO' +p138055 +aS'completely\tcompletely\tRB\tI-VP\tO' +p138056 +aS'excised\texcise\tVBN\tI-VP\tO' +p138057 +aS'.\t.\t.\tO\tO' +p138058 +asS'Her nausea was accompanied by abdominal pain for which she was treated with morphine .' +p138059 +(lp138060 +S'Her\tHer\tPRP$\tB-NP\tO' +p138061 +aS'nausea\tnausea\tNN\tI-NP\tO' +p138062 +aS'was\tbe\tVBD\tB-VP\tO' +p138063 +aS'accompanied\taccompany\tVBN\tI-VP\tO' +p138064 +aS'by\tby\tIN\tB-PP\tO' +p138065 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p138066 +aS'pain\tpain\tNN\tI-NP\tO' +p138067 +aS'for\tfor\tIN\tB-PP\tO' +p138068 +aS'which\twhich\tWDT\tB-NP\tO' +p138069 +aS'she\tshe\tPRP\tB-NP\tO' +p138070 +aS'was\tbe\tVBD\tB-VP\tO' +p138071 +aS'treated\ttreat\tVBN\tI-VP\tO' +p138072 +aS'with\twith\tIN\tB-PP\tO' +p138073 +aS'morphine\tmorphine\tNN\tB-NP\tO' +p138074 +aS'.\t.\t.\tO\tO' +p138075 +asS'Aspirin 325 mg p.o. every day .' +p138076 +(lp138077 +S'Aspirin\tAspirin\tNN\tB-NP\tO' +p138078 +aS'325\t325\tCD\tI-NP\tO' +p138079 +aS'mg\tmg\tNN\tI-NP\tO' +p138080 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p138081 +aS'every\tevery\tDT\tB-NP\tO' +p138082 +aS'day\tday\tNN\tI-NP\tO' +p138083 +aS'.\t.\t.\tO\tO' +p138084 +asS'What follows is a summary of her medical problems and their possible relationship to her ataxia .' +p138085 +(lp138086 +S'What\tWhat\tWP\tB-NP\tO' +p138087 +aS'follows\tfollow\tVBZ\tB-VP\tO' +p138088 +aS'is\tbe\tVBZ\tB-VP\tO' +p138089 +aS'a\ta\tDT\tB-NP\tO' +p138090 +aS'summary\tsummary\tNN\tI-NP\tO' +p138091 +aS'of\tof\tIN\tB-PP\tO' +p138092 +aS'her\ther\tPRP$\tB-NP\tO' +p138093 +aS'medical\tmedical\tJJ\tI-NP\tO' +p138094 +aS'problems\tproblem\tNNS\tI-NP\tO' +p138095 +aS'and\tand\tCC\tO\tO' +p138096 +aS'their\ttheir\tPRP$\tB-NP\tO' +p138097 +aS'possible\tpossible\tJJ\tI-NP\tO' +p138098 +aS'relationship\trelationship\tNN\tI-NP\tO' +p138099 +aS'to\tto\tTO\tB-PP\tO' +p138100 +aS'her\ther\tPRP$\tB-NP\tO' +p138101 +aS'ataxia\tataxia\tNN\tI-NP\tO' +p138102 +aS'.\t.\t.\tO\tO' +p138103 +asS'Plavix 75 mg. qday for four weeks .' +p138104 +(lp138105 +S'Plavix\tPlavix\tNN\tB-NP\tO' +p138106 +aS'75\t75\tCD\tI-NP\tO' +p138107 +aS'mg.\tmg.\tNN\tI-NP\tO' +p138108 +aS'qday\tqday\tNN\tI-NP\tO' +p138109 +aS'for\tfor\tIN\tB-PP\tO' +p138110 +aS'four\tfour\tCD\tB-NP\tO' +p138111 +aS'weeks\tweek\tNNS\tI-NP\tO' +p138112 +aS'.\t.\t.\tO\tO' +p138113 +asS'Chem7 showed sodium 138 , potassium 4.1 , chloride 107 , bicarbonate 20 , blood urea nitrogen 49 , creatinine 2.5 , glucose 156 .' +p138114 +(lp138115 +S'Chem7\tChem7\tNN\tB-NP\tB-protein' +p138116 +aS'showed\tshow\tVBD\tB-VP\tO' +p138117 +aS'sodium\tsodium\tNN\tB-NP\tO' +p138118 +aS'138\t138\tCD\tI-NP\tO' +p138119 +aS',\t,\t,\tO\tO' +p138120 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p138121 +aS'4.1\t4.1\tCD\tI-NP\tO' +p138122 +aS',\t,\t,\tO\tO' +p138123 +aS'chloride\tchloride\tNN\tB-NP\tO' +p138124 +aS'107\t107\tCD\tI-NP\tO' +p138125 +aS',\t,\t,\tO\tO' +p138126 +aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' +p138127 +aS'20\t20\tCD\tI-NP\tO' +p138128 +aS',\t,\t,\tO\tO' +p138129 +aS'blood\tblood\tNN\tB-NP\tO' +p138130 +aS'urea\turea\tNN\tI-NP\tO' +p138131 +aS'nitrogen\tnitrogen\tNN\tI-NP\tO' +p138132 +aS'49\t49\tCD\tI-NP\tO' +p138133 +aS',\t,\t,\tO\tO' +p138134 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p138135 +aS'2.5\t2.5\tCD\tI-NP\tO' +p138136 +aS',\t,\t,\tO\tO' +p138137 +aS'glucose\tglucose\tNN\tB-NP\tO' +p138138 +aS'156\t156\tCD\tI-NP\tO' +p138139 +aS'.\t.\t.\tO\tO' +p138140 +asS'IMPRESSION : Linear right temporal calvarial fracture extending into the mastoid process with small associated right posterior convexity subdural hematoma and pneumocephalus .' +p138141 +(lp138142 +S'IMPRESSION\tIMPRESSION\tNN\tB-NP\tO' +p138143 +aS':\t:\t:\tO\tO' +p138144 +aS'Linear\tLinear\tJJ\tB-NP\tO' +p138145 +aS'right\tright\tJJ\tI-NP\tO' +p138146 +aS'temporal\ttemporal\tJJ\tI-NP\tO' +p138147 +aS'calvarial\tcalvarial\tJJ\tI-NP\tO' +p138148 +aS'fracture\tfracture\tNN\tI-NP\tO' +p138149 +aS'extending\textend\tVBG\tB-VP\tO' +p138150 +aS'into\tinto\tIN\tB-PP\tO' +p138151 +aS'the\tthe\tDT\tB-NP\tO' +p138152 +aS'mastoid\tmastoid\tJJ\tI-NP\tO' +p138153 +aS'process\tprocess\tNN\tI-NP\tO' +p138154 +aS'with\twith\tIN\tB-PP\tO' +p138155 +aS'small\tsmall\tJJ\tB-NP\tO' +p138156 +aS'associated\tassociate\tVBN\tI-NP\tO' +p138157 +aS'right\tright\tJJ\tI-NP\tO' +p138158 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p138159 +aS'convexity\tconvexity\tNN\tI-NP\tO' +p138160 +aS'subdural\tsubdural\tJJ\tI-NP\tO' +p138161 +aS'hematoma\thematoma\tNN\tI-NP\tO' +p138162 +aS'and\tand\tCC\tI-NP\tO' +p138163 +aS'pneumocephalus\tpneumocephalus\tNN\tI-NP\tO' +p138164 +aS'.\t.\t.\tO\tO' +p138165 +asS'On the evening prior to admission , the patient was awoken with chest pressure radiating to the neck anginal' +p138166 +(lp138167 +S'On\tOn\tIN\tB-PP\tO' +p138168 +aS'the\tthe\tDT\tB-NP\tO' +p138169 +aS'evening\tevening\tNN\tI-NP\tO' +p138170 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p138171 +aS'to\tto\tTO\tB-PP\tO' +p138172 +aS'admission\tadmission\tNN\tB-NP\tO' +p138173 +aS',\t,\t,\tO\tO' +p138174 +aS'the\tthe\tDT\tB-NP\tO' +p138175 +aS'patient\tpatient\tNN\tI-NP\tO' +p138176 +aS'was\tbe\tVBD\tB-VP\tO' +p138177 +aS'awoken\tawake\tVBN\tI-VP\tO' +p138178 +aS'with\twith\tIN\tB-PP\tO' +p138179 +aS'chest\tchest\tNN\tB-NP\tO' +p138180 +aS'pressure\tpressure\tNN\tI-NP\tO' +p138181 +aS'radiating\tradiate\tVBG\tB-VP\tO' +p138182 +aS'to\tto\tTO\tB-PP\tO' +p138183 +aS'the\tthe\tDT\tB-NP\tO' +p138184 +aS'neck\tneck\tNN\tI-NP\tO' +p138185 +aS'anginal\tanginal\tJJ\tB-ADJP\tO' +p138186 +asS'The patient underwent radical retropubic prostatectomy on 2012-01-20 .' +p138187 +(lp138188 +S'The\tThe\tDT\tB-NP\tO' +p138189 +aS'patient\tpatient\tNN\tI-NP\tO' +p138190 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p138191 +aS'radical\tradical\tJJ\tB-NP\tO' +p138192 +aS'retropubic\tretropubic\tJJ\tI-NP\tO' +p138193 +aS'prostatectomy\tprostatectomy\tNN\tI-NP\tO' +p138194 +aS'on\ton\tIN\tB-PP\tO' +p138195 +aS'2012-01-20\t2012-01-20\tCD\tB-NP\tO' +p138196 +aS'.\t.\t.\tO\tO' +p138197 +asS'The patient was not started on antibiotics , given lack of sepsis risk factors .' +p138198 +(lp138199 +S'The\tThe\tDT\tB-NP\tO' +p138200 +aS'patient\tpatient\tNN\tI-NP\tO' +p138201 +aS'was\tbe\tVBD\tB-VP\tO' +p138202 +aS'not\tnot\tRB\tI-VP\tO' +p138203 +aS'started\tstart\tVBN\tI-VP\tO' +p138204 +aS'on\ton\tIN\tB-PP\tO' +p138205 +aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' +p138206 +aS',\t,\t,\tO\tO' +p138207 +aS'given\tgive\tVBN\tB-VP\tO' +p138208 +aS'lack\tlack\tNN\tB-NP\tO' +p138209 +aS'of\tof\tIN\tB-PP\tO' +p138210 +aS'sepsis\tsepsis\tNN\tB-NP\tB-protein' +p138211 +aS'risk\trisk\tNN\tI-NP\tI-protein' +p138212 +aS'factors\tfactor\tNNS\tI-NP\tI-protein' +p138213 +aS'.\t.\t.\tO\tO' +p138214 +asS'EKG showed tachycardia with a sinus rhythm of 103 , normal axis , normal intervals , no Q-waves , no ST-T wave changes .' +p138215 +(lp138216 +S'EKG\tEKG\tNN\tB-NP\tB-protein' +p138217 +aS'showed\tshow\tVBD\tB-VP\tO' +p138218 +aS'tachycardia\ttachycardia\tNN\tB-NP\tO' +p138219 +aS'with\twith\tIN\tB-PP\tO' +p138220 +aS'a\ta\tDT\tB-NP\tO' +p138221 +aS'sinus\tsinus\tNN\tI-NP\tO' +p138222 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p138223 +aS'of\tof\tIN\tB-PP\tO' +p138224 +aS'103\t103\tCD\tB-NP\tO' +p138225 +aS',\t,\t,\tO\tO' +p138226 +aS'normal\tnormal\tJJ\tB-NP\tO' +p138227 +aS'axis\taxis\tNN\tI-NP\tO' +p138228 +aS',\t,\t,\tO\tO' +p138229 +aS'normal\tnormal\tJJ\tB-NP\tO' +p138230 +aS'intervals\tinterval\tNNS\tI-NP\tO' +p138231 +aS',\t,\t,\tO\tO' +p138232 +aS'no\tno\tDT\tB-NP\tO' +p138233 +aS'Q-waves\tQ-waves\tNNP\tI-NP\tO' +p138234 +aS',\t,\t,\tO\tO' +p138235 +aS'no\tno\tDT\tB-NP\tO' +p138236 +aS'ST-T\tST-T\tNN\tI-NP\tO' +p138237 +aS'wave\twave\tNN\tI-NP\tO' +p138238 +aS'changes\tchange\tNNS\tI-NP\tO' +p138239 +aS'.\t.\t.\tO\tO' +p138240 +asS'2. Captopril 12.5 mg po tid .' +p138241 +(lp138242 +S'2.\t2.\tLS\tB-LST\tO' +p138243 +aS'Captopril\tCaptopril\tNNP\tB-NP\tO' +p138244 +aS'12.5\t12.5\tCD\tI-NP\tO' +p138245 +aS'mg\tmg\tNN\tI-NP\tO' +p138246 +aS'po\tpo\tNN\tI-NP\tO' +p138247 +aS'tid\ttid\tNN\tI-NP\tO' +p138248 +aS'.\t.\t.\tO\tO' +p138249 +asS'Urinalysis revealed 6 to 10 red blood cells , 0 to 2 white blood cells , 4 epithelial cells with Foley in place .' +p138250 +(lp138251 +S'Urinalysis\tUrinalysis\tNN\tB-NP\tO' +p138252 +aS'revealed\treveal\tVBD\tB-VP\tO' +p138253 +aS'6\t6\tCD\tB-NP\tO' +p138254 +aS'to\tto\tTO\tB-PP\tO' +p138255 +aS'10\t10\tCD\tB-NP\tO' +p138256 +aS'red\tred\tJJ\tI-NP\tO' +p138257 +aS'blood\tblood\tNN\tI-NP\tO' +p138258 +aS'cells\tcell\tNNS\tI-NP\tO' +p138259 +aS',\t,\t,\tO\tO' +p138260 +aS'0\t0\tCD\tB-NP\tO' +p138261 +aS'to\tto\tTO\tI-NP\tO' +p138262 +aS'2\t2\tCD\tI-NP\tO' +p138263 +aS'white\twhite\tJJ\tI-NP\tO' +p138264 +aS'blood\tblood\tNN\tI-NP\tO' +p138265 +aS'cells\tcell\tNNS\tI-NP\tO' +p138266 +aS',\t,\t,\tO\tO' +p138267 +aS'4\t4\tCD\tB-NP\tO' +p138268 +aS'epithelial\tepithelial\tJJ\tI-NP\tO' +p138269 +aS'cells\tcell\tNNS\tI-NP\tO' +p138270 +aS'with\twith\tIN\tB-PP\tO' +p138271 +aS'Foley\tFoley\tNNP\tB-NP\tO' +p138272 +aS'in\tin\tIN\tB-PP\tO' +p138273 +aS'place\tplace\tNN\tB-NP\tO' +p138274 +aS'.\t.\t.\tO\tO' +p138275 +asS'Signed electronically by : DR. Santos von der Ross on : Elizabeth 2013-02-21 3:05 PM' +p138276 +(lp138277 +S'Signed\tSign\tVBN\tB-VP\tO' +p138278 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p138279 +aS'by\tby\tIN\tB-PP\tO' +p138280 +aS':\t:\t:\tO\tO' +p138281 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p138282 +aS'Santos\tSantos\tNNP\tI-NP\tO' +p138283 +aS'von\tvon\tNNP\tI-NP\tO' +p138284 +aS'der\tder\tNNP\tI-NP\tO' +p138285 +aS'Ross\tRoss\tNNP\tI-NP\tO' +p138286 +aS'on\ton\tIN\tB-PP\tO' +p138287 +aS':\t:\t:\tO\tO' +p138288 +aS'Elizabeth\tElizabeth\tNNP\tB-NP\tO' +p138289 +aS'2013-02-21\t2013-02-21\tCD\tB-NP\tO' +p138290 +aS'3:05\t3:05\tCD\tI-NP\tO' +p138291 +aS'PM\tPM\tNN\tI-NP\tO' +p138292 +asS'Initial electrocardiogram showed a normal sinus rhythm at 65 , normal axis , 2-mm ST elevations in lead III , 1-mm ST elevations in aVF and V1 , 1-mm ST depressions in I and aVL ; consistent with an inferior and right ventricular infarction .' +p138293 +(lp138294 +S'Initial\tInitial\tJJ\tB-NP\tO' +p138295 +aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' +p138296 +aS'showed\tshow\tVBD\tB-VP\tO' +p138297 +aS'a\ta\tDT\tB-NP\tO' +p138298 +aS'normal\tnormal\tJJ\tI-NP\tO' +p138299 +aS'sinus\tsinus\tNN\tI-NP\tO' +p138300 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p138301 +aS'at\tat\tIN\tB-PP\tO' +p138302 +aS'65\t65\tCD\tB-NP\tO' +p138303 +aS',\t,\t,\tO\tO' +p138304 +aS'normal\tnormal\tJJ\tB-NP\tO' +p138305 +aS'axis\taxis\tNN\tI-NP\tO' +p138306 +aS',\t,\t,\tO\tO' +p138307 +aS'2-mm\t2-mm\tJJ\tB-NP\tO' +p138308 +aS'ST\tST\tJJ\tI-NP\tO' +p138309 +aS'elevations\televation\tNNS\tI-NP\tO' +p138310 +aS'in\tin\tIN\tB-PP\tO' +p138311 +aS'lead\tlead\tNN\tB-NP\tO' +p138312 +aS'III\tIII\tCD\tI-NP\tO' +p138313 +aS',\t,\t,\tO\tO' +p138314 +aS'1-mm\t1-mm\tJJ\tB-NP\tO' +p138315 +aS'ST\tST\tJJ\tI-NP\tO' +p138316 +aS'elevations\televation\tNNS\tI-NP\tO' +p138317 +aS'in\tin\tIN\tB-PP\tO' +p138318 +aS'aVF\taVF\tNN\tB-NP\tO' +p138319 +aS'and\tand\tCC\tI-NP\tO' +p138320 +aS'V1\tV1\tNN\tI-NP\tB-protein' +p138321 +aS',\t,\t,\tO\tO' +p138322 +aS'1-mm\t1-mm\tJJ\tB-NP\tO' +p138323 +aS'ST\tST\tJJ\tI-NP\tO' +p138324 +aS'depressions\tdepression\tNNS\tI-NP\tO' +p138325 +aS'in\tin\tIN\tB-PP\tO' +p138326 +aS'I\tI\tNN\tB-NP\tO' +p138327 +aS'and\tand\tCC\tI-NP\tO' +p138328 +aS'aVL\taVL\tNN\tI-NP\tO' +p138329 +aS';\t;\t:\tO\tO' +p138330 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p138331 +aS'with\twith\tIN\tB-PP\tO' +p138332 +aS'an\tan\tDT\tB-NP\tO' +p138333 +aS'inferior\tinferior\tJJ\tI-NP\tO' +p138334 +aS'and\tand\tCC\tI-NP\tO' +p138335 +aS'right\tright\tJJ\tI-NP\tO' +p138336 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p138337 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p138338 +aS'.\t.\t.\tO\tO' +p138339 +asS'On 06-21 the patient was seen by physical therapy .' +p138340 +(lp138341 +S'On\tOn\tIN\tB-PP\tO' +p138342 +aS'06-21\t06-21\tCD\tB-NP\tO' +p138343 +aS'the\tthe\tDT\tB-NP\tO' +p138344 +aS'patient\tpatient\tNN\tI-NP\tO' +p138345 +aS'was\tbe\tVBD\tB-VP\tO' +p138346 +aS'seen\tsee\tVBN\tI-VP\tO' +p138347 +aS'by\tby\tIN\tB-PP\tO' +p138348 +aS'physical\tphysical\tJJ\tB-NP\tO' +p138349 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p138350 +aS'.\t.\t.\tO\tO' +p138351 +asS'4) Chronic renal insufficiency .' +p138352 +(lp138353 +S'4)\t4)\tLS\tB-NP\tO' +p138354 +aS'Chronic\tChronic\tJJ\tI-NP\tO' +p138355 +aS'renal\trenal\tJJ\tI-NP\tO' +p138356 +aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' +p138357 +aS'.\t.\t.\tO\tO' +p138358 +asS'12. Docusate Sodium 100 mg Capsule Sig : One ( 1 ) Capsule PO BID ( 2 times a day ).' +p138359 +(lp138360 +S'12.\t12.\tLS\tB-NP\tO' +p138361 +aS'Docusate\tDocusate\tNNP\tI-NP\tO' +p138362 +aS'Sodium\tSodium\tNNP\tI-NP\tO' +p138363 +aS'100\t100\tCD\tI-NP\tO' +p138364 +aS'mg\tmg\tNN\tI-NP\tO' +p138365 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p138366 +aS'Sig\tSig\tNNP\tI-NP\tO' +p138367 +aS':\t:\t:\tO\tO' +p138368 +aS'One\tOne\tCD\tB-NP\tO' +p138369 +aS'(\t(\t(\tO\tO' +p138370 +aS'1\t1\tCD\tB-NP\tO' +p138371 +aS')\t)\t)\tO\tO' +p138372 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p138373 +aS'PO\tPO\tNNP\tI-NP\tO' +p138374 +aS'BID\tBID\tNNP\tI-NP\tO' +p138375 +aS'(\t(\t(\tO\tO' +p138376 +aS'2\t2\tCD\tB-NP\tO' +p138377 +aS'times\ttime\tNNS\tI-NP\tO' +p138378 +aS'a\ta\tDT\tB-NP\tO' +p138379 +aS'day\tday\tNN\tI-NP\tO' +p138380 +aS').\t).\t.\tO\tO' +p138381 +asS'The patient is a 75 year old Hispanic male with insulin dependent diabetes mellitus , status post a right above-knee amputation about five years ago , who reportedly approximately four months ago , he developed a small ulceration in the left great toe , which progressively worsened .' +p138382 +(lp138383 +S'The\tThe\tDT\tB-NP\tO' +p138384 +aS'patient\tpatient\tNN\tI-NP\tO' +p138385 +aS'is\tbe\tVBZ\tB-VP\tO' +p138386 +aS'a\ta\tDT\tB-NP\tO' +p138387 +aS'75\t75\tCD\tI-NP\tO' +p138388 +aS'year\tyear\tNN\tI-NP\tO' +p138389 +aS'old\told\tJJ\tI-NP\tO' +p138390 +aS'Hispanic\tHispanic\tJJ\tI-NP\tO' +p138391 +aS'male\tmale\tNN\tI-NP\tO' +p138392 +aS'with\twith\tIN\tB-PP\tO' +p138393 +aS'insulin\tinsulin\tNN\tB-NP\tB-protein' +p138394 +aS'dependent\tdependent\tJJ\tI-NP\tO' +p138395 +aS'diabetes\tdiabete\tNNS\tI-NP\tO' +p138396 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p138397 +aS',\t,\t,\tO\tO' +p138398 +aS'status\tstatus\tNN\tB-NP\tO' +p138399 +aS'post\tpost\tVBD\tB-VP\tO' +p138400 +aS'a\ta\tDT\tB-NP\tO' +p138401 +aS'right\tright\tJJ\tI-NP\tO' +p138402 +aS'above-knee\tabove-knee\tJJ\tI-NP\tO' +p138403 +aS'amputation\tamputation\tNN\tI-NP\tO' +p138404 +aS'about\tabout\tIN\tB-PP\tO' +p138405 +aS'five\tfive\tCD\tB-NP\tO' +p138406 +aS'years\tyear\tNNS\tI-NP\tO' +p138407 +aS'ago\tago\tRB\tB-ADVP\tO' +p138408 +aS',\t,\t,\tO\tO' +p138409 +aS'who\twho\tWP\tB-NP\tO' +p138410 +aS'reportedly\treportedly\tRB\tB-ADVP\tO' +p138411 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p138412 +aS'four\tfour\tCD\tI-NP\tO' +p138413 +aS'months\tmonth\tNNS\tI-NP\tO' +p138414 +aS'ago\tago\tRB\tB-ADVP\tO' +p138415 +aS',\t,\t,\tO\tO' +p138416 +aS'he\the\tPRP\tB-NP\tO' +p138417 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p138418 +aS'a\ta\tDT\tB-NP\tO' +p138419 +aS'small\tsmall\tJJ\tI-NP\tO' +p138420 +aS'ulceration\tulceration\tNN\tI-NP\tO' +p138421 +aS'in\tin\tIN\tB-PP\tO' +p138422 +aS'the\tthe\tDT\tB-NP\tO' +p138423 +aS'left\tleft\tJJ\tI-NP\tO' +p138424 +aS'great\tgreat\tJJ\tI-NP\tO' +p138425 +aS'toe\ttoe\tNN\tI-NP\tO' +p138426 +aS',\t,\t,\tO\tO' +p138427 +aS'which\twhich\tWDT\tB-NP\tO' +p138428 +aS'progressively\tprogressively\tRB\tB-ADVP\tO' +p138429 +aS'worsened\tworsen\tVBD\tB-VP\tO' +p138430 +aS'.\t.\t.\tO\tO' +p138431 +asS'Since admission , she ruled out for MI by enzymes , and had a right sided thoracentesis which yielded transudative fluid .' +p138432 +(lp138433 +S'Since\tSince\tIN\tB-PP\tO' +p138434 +aS'admission\tadmission\tNN\tB-NP\tO' +p138435 +aS',\t,\t,\tO\tO' +p138436 +aS'she\tshe\tPRP\tB-NP\tO' +p138437 +aS'ruled\trule\tVBD\tB-VP\tO' +p138438 +aS'out\tout\tRP\tB-PRT\tO' +p138439 +aS'for\tfor\tIN\tB-PP\tO' +p138440 +aS'MI\tMI\tNN\tB-NP\tO' +p138441 +aS'by\tby\tIN\tB-PP\tO' +p138442 +aS'enzymes\tenzyme\tNNS\tB-NP\tB-protein' +p138443 +aS',\t,\t,\tO\tO' +p138444 +aS'and\tand\tCC\tO\tO' +p138445 +aS'had\thave\tVBD\tB-VP\tO' +p138446 +aS'a\ta\tDT\tB-NP\tO' +p138447 +aS'right\tright\tJJ\tI-NP\tO' +p138448 +aS'sided\tsided\tJJ\tI-NP\tO' +p138449 +aS'thoracentesis\tthoracentesis\tNN\tI-NP\tO' +p138450 +aS'which\twhich\tWDT\tB-NP\tO' +p138451 +aS'yielded\tyield\tVBD\tB-VP\tO' +p138452 +aS'transudative\ttransudative\tJJ\tB-NP\tO' +p138453 +aS'fluid\tfluid\tNN\tI-NP\tO' +p138454 +aS'.\t.\t.\tO\tO' +p138455 +asS'In consultation with the Infectious Disease Service the patient was to stay on long term intravenous antibiotics .' +p138456 +(lp138457 +S'In\tIn\tIN\tB-PP\tO' +p138458 +aS'consultation\tconsultation\tNN\tB-NP\tO' +p138459 +aS'with\twith\tIN\tB-PP\tO' +p138460 +aS'the\tthe\tDT\tB-NP\tO' +p138461 +aS'Infectious\tInfectious\tNNP\tI-NP\tO' +p138462 +aS'Disease\tDisease\tNNP\tI-NP\tO' +p138463 +aS'Service\tService\tNNP\tI-NP\tO' +p138464 +aS'the\tthe\tDT\tB-NP\tO' +p138465 +aS'patient\tpatient\tNN\tI-NP\tO' +p138466 +aS'was\tbe\tVBD\tB-VP\tO' +p138467 +aS'to\tto\tTO\tB-VP\tO' +p138468 +aS'stay\tstay\tVB\tI-VP\tO' +p138469 +aS'on\ton\tIN\tB-PP\tO' +p138470 +aS'long\tlong\tJJ\tB-NP\tO' +p138471 +aS'term\tterm\tNN\tI-NP\tO' +p138472 +aS'intravenous\tintravenous\tJJ\tI-NP\tO' +p138473 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p138474 +aS'.\t.\t.\tO\tO' +p138475 +asS'White blood cell count was 10.2 , hematocrit of 37.5 , platelets of 236 .' +p138476 +(lp138477 +S'White\tWhite\tJJ\tB-NP\tO' +p138478 +aS'blood\tblood\tNN\tI-NP\tO' +p138479 +aS'cell\tcell\tNN\tI-NP\tO' +p138480 +aS'count\tcount\tNN\tI-NP\tO' +p138481 +aS'was\tbe\tVBD\tB-VP\tO' +p138482 +aS'10.2\t10.2\tCD\tB-NP\tO' +p138483 +aS',\t,\t,\tO\tO' +p138484 +aS'hematocrit\thematocrit\tNN\tB-NP\tO' +p138485 +aS'of\tof\tIN\tB-PP\tO' +p138486 +aS'37.5\t37.5\tCD\tB-NP\tO' +p138487 +aS',\t,\t,\tO\tO' +p138488 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p138489 +aS'of\tof\tIN\tB-PP\tO' +p138490 +aS'236\t236\tCD\tB-NP\tO' +p138491 +aS'.\t.\t.\tO\tO' +p138492 +asS'Varicella antibody positive , CMV antibody positive , toxo negative , RPR non reactive .' +p138493 +(lp138494 +S'Varicella\tVaricella\tNN\tB-NP\tO' +p138495 +aS'antibody\tantibody\tNN\tI-NP\tO' +p138496 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p138497 +aS',\t,\t,\tO\tO' +p138498 +aS'CMV\tCMV\tNN\tB-NP\tO' +p138499 +aS'antibody\tantibody\tNN\tI-NP\tO' +p138500 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p138501 +aS',\t,\t,\tO\tO' +p138502 +aS'toxo\ttoxo\tNN\tB-NP\tO' +p138503 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p138504 +aS',\t,\t,\tO\tO' +p138505 +aS'RPR\tRPR\tNN\tB-NP\tB-protein' +p138506 +aS'non\tnon\tAFX\tB-ADJP\tO' +p138507 +aS'reactive\treactive\tJJ\tI-ADJP\tO' +p138508 +aS'.\t.\t.\tO\tO' +p138509 +asS'Diet as tolerated .' +p138510 +(lp138511 +S'Diet\tDiet\tNN\tB-NP\tO' +p138512 +aS'as\tas\tIN\tB-PP\tO' +p138513 +aS'tolerated\ttolerate\tVBN\tB-VP\tO' +p138514 +aS'.\t.\t.\tO\tO' +p138515 +asS'There was normal bulk and tone .' +p138516 +(lp138517 +S'There\tThere\tEX\tB-NP\tO' +p138518 +aS'was\tbe\tVBD\tB-VP\tO' +p138519 +aS'normal\tnormal\tJJ\tB-NP\tO' +p138520 +aS'bulk\tbulk\tNN\tI-NP\tO' +p138521 +aS'and\tand\tCC\tI-NP\tO' +p138522 +aS'tone\ttone\tNN\tI-NP\tO' +p138523 +aS'.\t.\t.\tO\tO' +p138524 +asS'An MRI obtained and reviewed by the Hallmark Health System Radiology Department revealed focal gyral morphology consistent with prematurity , normal midline structures , normal myelination , no lesions , no signal abnormalities or extracerebral collections .' +p138525 +(lp138526 +S'An\tAn\tDT\tB-NP\tO' +p138527 +aS'MRI\tMRI\tNN\tI-NP\tO' +p138528 +aS'obtained\tobtain\tVBN\tB-VP\tO' +p138529 +aS'and\tand\tCC\tI-VP\tO' +p138530 +aS'reviewed\treview\tVBN\tI-VP\tO' +p138531 +aS'by\tby\tIN\tB-PP\tO' +p138532 +aS'the\tthe\tDT\tB-NP\tO' +p138533 +aS'Hallmark\tHallmark\tNNP\tI-NP\tO' +p138534 +aS'Health\tHealth\tNNP\tI-NP\tO' +p138535 +aS'System\tSystem\tNNP\tI-NP\tO' +p138536 +aS'Radiology\tRadiology\tNNP\tI-NP\tO' +p138537 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p138538 +aS'revealed\treveal\tVBD\tB-VP\tO' +p138539 +aS'focal\tfocal\tJJ\tB-NP\tO' +p138540 +aS'gyral\tgyral\tJJ\tI-NP\tO' +p138541 +aS'morphology\tmorphology\tNN\tI-NP\tO' +p138542 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p138543 +aS'with\twith\tIN\tB-PP\tO' +p138544 +aS'prematurity\tprematurity\tNN\tB-NP\tO' +p138545 +aS',\t,\t,\tO\tO' +p138546 +aS'normal\tnormal\tJJ\tB-NP\tO' +p138547 +aS'midline\tmidline\tNN\tI-NP\tO' +p138548 +aS'structures\tstructure\tNNS\tI-NP\tO' +p138549 +aS',\t,\t,\tO\tO' +p138550 +aS'normal\tnormal\tJJ\tB-NP\tO' +p138551 +aS'myelination\tmyelination\tNN\tI-NP\tO' +p138552 +aS',\t,\t,\tO\tO' +p138553 +aS'no\tno\tDT\tB-NP\tO' +p138554 +aS'lesions\tlesion\tNNS\tI-NP\tO' +p138555 +aS',\t,\t,\tO\tO' +p138556 +aS'no\tno\tDT\tB-NP\tO' +p138557 +aS'signal\tsignal\tNN\tI-NP\tO' +p138558 +aS'abnormalities\tabnormality\tNNS\tI-NP\tO' +p138559 +aS'or\tor\tCC\tO\tO' +p138560 +aS'extracerebral\textracerebral\tJJ\tB-NP\tO' +p138561 +aS'collections\tcollection\tNNS\tI-NP\tO' +p138562 +aS'.\t.\t.\tO\tO' +p138563 +asS'Because of the tongue injury and tachycardia as well as possible infection given her fevers or chills the GI Service transferred the patient to the CMED CCU for close observation .' +p138564 +(lp138565 +S'Because\tBecause\tIN\tB-PP\tO' +p138566 +aS'of\tof\tIN\tI-PP\tO' +p138567 +aS'the\tthe\tDT\tB-NP\tO' +p138568 +aS'tongue\ttongue\tNN\tI-NP\tO' +p138569 +aS'injury\tinjury\tNN\tI-NP\tO' +p138570 +aS'and\tand\tCC\tI-NP\tO' +p138571 +aS'tachycardia\ttachycardia\tNN\tI-NP\tO' +p138572 +aS'as\tas\tRB\tB-CONJP\tO' +p138573 +aS'well\twell\tRB\tI-CONJP\tO' +p138574 +aS'as\tas\tIN\tI-CONJP\tO' +p138575 +aS'possible\tpossible\tJJ\tB-NP\tO' +p138576 +aS'infection\tinfection\tNN\tI-NP\tO' +p138577 +aS'given\tgive\tVBN\tB-VP\tO' +p138578 +aS'her\ther\tPRP$\tB-NP\tO' +p138579 +aS'fevers\tfever\tNNS\tI-NP\tO' +p138580 +aS'or\tor\tCC\tI-NP\tO' +p138581 +aS'chills\tchill\tNNS\tI-NP\tO' +p138582 +aS'the\tthe\tDT\tB-NP\tO' +p138583 +aS'GI\tGI\tNNP\tI-NP\tO' +p138584 +aS'Service\tService\tNNP\tI-NP\tO' +p138585 +aS'transferred\ttransfer\tVBD\tB-VP\tO' +p138586 +aS'the\tthe\tDT\tB-NP\tO' +p138587 +aS'patient\tpatient\tNN\tI-NP\tO' +p138588 +aS'to\tto\tTO\tB-PP\tO' +p138589 +aS'the\tthe\tDT\tB-NP\tO' +p138590 +aS'CMED\tCMED\tVBN\tI-NP\tO' +p138591 +aS'CCU\tCCU\tNN\tI-NP\tO' +p138592 +aS'for\tfor\tIN\tB-PP\tO' +p138593 +aS'close\tclose\tJJ\tB-NP\tO' +p138594 +aS'observation\tobservation\tNN\tI-NP\tO' +p138595 +aS'.\t.\t.\tO\tO' +p138596 +asS'Patient denies CP , SOB , light headedness , or dizziness prior to of after the fall .' +p138597 +(lp138598 +S'Patient\tPatient\tNN\tB-NP\tO' +p138599 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p138600 +aS'CP\tCP\tNN\tB-NP\tB-DNA' +p138601 +aS',\t,\t,\tO\tO' +p138602 +aS'SOB\tSOB\tNN\tB-NP\tB-protein' +p138603 +aS',\t,\t,\tO\tO' +p138604 +aS'light\tlight\tJJ\tB-NP\tO' +p138605 +aS'headedness\theadedness\tNN\tI-NP\tO' +p138606 +aS',\t,\t,\tO\tO' +p138607 +aS'or\tor\tCC\tO\tO' +p138608 +aS'dizziness\tdizziness\tNN\tB-NP\tO' +p138609 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p138610 +aS'to\tto\tTO\tB-PP\tO' +p138611 +aS'of\tof\tIN\tB-PP\tO' +p138612 +aS'after\tafter\tIN\tB-PP\tO' +p138613 +aS'the\tthe\tDT\tB-NP\tO' +p138614 +aS'fall\tfall\tNN\tI-NP\tO' +p138615 +aS'.\t.\t.\tO\tO' +p138616 +asS"The patient 's condition on discharge was stable ." +p138617 +(lp138618 +S'The\tThe\tDT\tB-NP\tO' +p138619 +aS'patient\tpatient\tNN\tI-NP\tO' +p138620 +aS"'s\t's\tPOS\tB-NP\tO" +p138621 +aS'condition\tcondition\tNN\tI-NP\tO' +p138622 +aS'on\ton\tIN\tB-PP\tO' +p138623 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p138624 +aS'was\tbe\tVBD\tB-VP\tO' +p138625 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p138626 +aS'.\t.\t.\tO\tO' +p138627 +asS'Hematocrit was 45.2 with a platelet count of 132,000 , falling rapidly to 24,000 .' +p138628 +(lp138629 +S'Hematocrit\tHematocrit\tNN\tB-NP\tB-protein' +p138630 +aS'was\tbe\tVBD\tB-VP\tI-protein' +p138631 +aS'45.2\t45.2\tCD\tB-NP\tI-protein' +p138632 +aS'with\twith\tIN\tB-PP\tO' +p138633 +aS'a\ta\tDT\tB-NP\tO' +p138634 +aS'platelet\tplatelet\tNN\tI-NP\tO' +p138635 +aS'count\tcount\tNN\tI-NP\tO' +p138636 +aS'of\tof\tIN\tB-PP\tO' +p138637 +aS'132,000\t132,000\tCD\tB-NP\tO' +p138638 +aS',\t,\t,\tO\tO' +p138639 +aS'falling\tfall\tVBG\tB-VP\tO' +p138640 +aS'rapidly\trapidly\tRB\tB-ADVP\tO' +p138641 +aS'to\tto\tTO\tB-PP\tO' +p138642 +aS'24,000\t24,000\tCD\tB-NP\tO' +p138643 +aS'.\t.\t.\tO\tO' +p138644 +asS'This is a 60 year old male with new onset chest pain .' +p138645 +(lp138646 +S'This\tThis\tDT\tB-NP\tO' +p138647 +aS'is\tbe\tVBZ\tB-VP\tO' +p138648 +aS'a\ta\tDT\tB-NP\tO' +p138649 +aS'60\t60\tCD\tI-NP\tO' +p138650 +aS'year\tyear\tNN\tI-NP\tO' +p138651 +aS'old\told\tJJ\tI-NP\tO' +p138652 +aS'male\tmale\tNN\tI-NP\tO' +p138653 +aS'with\twith\tIN\tB-PP\tO' +p138654 +aS'new\tnew\tJJ\tB-NP\tO' +p138655 +aS'onset\tonset\tNN\tI-NP\tO' +p138656 +aS'chest\tchest\tNN\tI-NP\tO' +p138657 +aS'pain\tpain\tNN\tI-NP\tO' +p138658 +aS'.\t.\t.\tO\tO' +p138659 +asS'She had medications on transfer which included Synthroid 0.15 mg QD , Zoloft 50 mg QD , Inderal 10 mg BID , Prilosec 20 mg QD , Neomycin 500 TID , Feosol 3 mg and Darvocet PRN .' +p138660 +(lp138661 +S'She\tShe\tPRP\tB-NP\tO' +p138662 +aS'had\thave\tVBD\tB-VP\tO' +p138663 +aS'medications\tmedication\tNNS\tB-NP\tO' +p138664 +aS'on\ton\tIN\tB-PP\tO' +p138665 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p138666 +aS'which\twhich\tWDT\tB-NP\tO' +p138667 +aS'included\tinclude\tVBD\tB-VP\tO' +p138668 +aS'Synthroid\tSynthroid\tJJ\tB-NP\tO' +p138669 +aS'0.15\t0.15\tCD\tI-NP\tO' +p138670 +aS'mg\tmg\tNN\tI-NP\tO' +p138671 +aS'QD\tQD\tNNP\tB-NP\tO' +p138672 +aS',\t,\t,\tO\tO' +p138673 +aS'Zoloft\tZoloft\tNNP\tB-NP\tO' +p138674 +aS'50\t50\tCD\tI-NP\tO' +p138675 +aS'mg\tmg\tNN\tI-NP\tO' +p138676 +aS'QD\tQD\tNNP\tB-NP\tO' +p138677 +aS',\t,\t,\tO\tO' +p138678 +aS'Inderal\tInderal\tNNP\tB-NP\tO' +p138679 +aS'10\t10\tCD\tI-NP\tO' +p138680 +aS'mg\tmg\tNN\tI-NP\tO' +p138681 +aS'BID\tBID\tNNP\tI-NP\tO' +p138682 +aS',\t,\t,\tO\tO' +p138683 +aS'Prilosec\tPrilosec\tNNP\tB-NP\tO' +p138684 +aS'20\t20\tCD\tI-NP\tO' +p138685 +aS'mg\tmg\tNN\tI-NP\tO' +p138686 +aS'QD\tQD\tNN\tI-NP\tO' +p138687 +aS',\t,\t,\tO\tO' +p138688 +aS'Neomycin\tNeomycin\tNN\tB-NP\tO' +p138689 +aS'500\t500\tCD\tI-NP\tO' +p138690 +aS'TID\tTID\tNN\tI-NP\tO' +p138691 +aS',\t,\t,\tO\tO' +p138692 +aS'Feosol\tFeosol\tNN\tB-NP\tO' +p138693 +aS'3\t3\tCD\tI-NP\tO' +p138694 +aS'mg\tmg\tNN\tI-NP\tO' +p138695 +aS'and\tand\tCC\tI-NP\tO' +p138696 +aS'Darvocet\tDarvocet\tNN\tI-NP\tO' +p138697 +aS'PRN\tPRN\tNN\tI-NP\tO' +p138698 +aS'.\t.\t.\tO\tO' +p138699 +asS'A cosyntropin stimulation test revealed cortisol 32.1 --> 36.4 .' +p138700 +(lp138701 +S'A\tA\tDT\tB-NP\tO' +p138702 +aS'cosyntropin\tcosyntropin\tNN\tI-NP\tO' +p138703 +aS'stimulation\tstimulation\tNN\tI-NP\tO' +p138704 +aS'test\ttest\tNN\tI-NP\tO' +p138705 +aS'revealed\treveal\tVBD\tB-VP\tO' +p138706 +aS'cortisol\tcortisol\tNN\tB-NP\tO' +p138707 +aS'32.1\t32.1\tCD\tI-NP\tO' +p138708 +aS'-->\t-->\tSYM\tB-NP\tO' +p138709 +aS'36.4\t36.4\tCD\tI-NP\tO' +p138710 +aS'.\t.\t.\tO\tO' +p138711 +asS'During his subsequent hospital course , he had an additional CHF exacerbation .' +p138712 +(lp138713 +S'During\tDuring\tIN\tB-PP\tO' +p138714 +aS'his\this\tPRP$\tB-NP\tO' +p138715 +aS'subsequent\tsubsequent\tJJ\tI-NP\tO' +p138716 +aS'hospital\thospital\tNN\tI-NP\tO' +p138717 +aS'course\tcourse\tNN\tI-NP\tO' +p138718 +aS',\t,\t,\tO\tO' +p138719 +aS'he\the\tPRP\tB-NP\tO' +p138720 +aS'had\thave\tVBD\tB-VP\tO' +p138721 +aS'an\tan\tDT\tB-NP\tO' +p138722 +aS'additional\tadditional\tJJ\tI-NP\tO' +p138723 +aS'CHF\tCHF\tNN\tI-NP\tO' +p138724 +aS'exacerbation\texacerbation\tNN\tI-NP\tO' +p138725 +aS'.\t.\t.\tO\tO' +p138726 +asS'Extremities - no cyanosis or clubbing , one plus bilateral lower extremity edema with right worse than left .' +p138727 +(lp138728 +S'Extremities\tExtremity\tNNS\tB-NP\tO' +p138729 +aS'-\t-\t:\tO\tO' +p138730 +aS'no\tno\tDT\tB-NP\tO' +p138731 +aS'cyanosis\tcyanosis\tNN\tI-NP\tO' +p138732 +aS'or\tor\tCC\tI-NP\tO' +p138733 +aS'clubbing\tclubbing\tNN\tI-NP\tO' +p138734 +aS',\t,\t,\tO\tO' +p138735 +aS'one\tone\tCD\tB-NP\tO' +p138736 +aS'plus\tplus\tCC\tO\tO' +p138737 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p138738 +aS'lower\tlow\tJJR\tI-NP\tO' +p138739 +aS'extremity\textremity\tNN\tI-NP\tO' +p138740 +aS'edema\tedema\tNN\tI-NP\tO' +p138741 +aS'with\twith\tIN\tB-PP\tO' +p138742 +aS'right\tright\tJJ\tB-NP\tO' +p138743 +aS'worse\tworse\tJJR\tI-NP\tO' +p138744 +aS'than\tthan\tIN\tB-PP\tO' +p138745 +aS'left\tleft\tJJ\tB-ADJP\tO' +p138746 +aS'.\t.\t.\tO\tO' +p138747 +asS'She has known bilateral carotid disease , stated to be greater than 70% bilaterally .' +p138748 +(lp138749 +S'She\tShe\tPRP\tB-NP\tO' +p138750 +aS'has\thave\tVBZ\tB-VP\tO' +p138751 +aS'known\tknow\tVBN\tI-VP\tO' +p138752 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p138753 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p138754 +aS'disease\tdisease\tNN\tI-NP\tO' +p138755 +aS',\t,\t,\tO\tO' +p138756 +aS'stated\tstate\tVBD\tB-VP\tO' +p138757 +aS'to\tto\tTO\tI-VP\tO' +p138758 +aS'be\tbe\tVB\tI-VP\tO' +p138759 +aS'greater\tgreat\tJJR\tB-ADJP\tO' +p138760 +aS'than\tthan\tIN\tB-PP\tO' +p138761 +aS'70%\t70%\tCD\tB-NP\tO' +p138762 +aS'bilaterally\tbilaterally\tRB\tI-NP\tO' +p138763 +aS'.\t.\t.\tO\tO' +p138764 +asS'She is to follow-up with Dr. Para for follow-up .' +p138765 +(lp138766 +S'She\tShe\tPRP\tB-NP\tO' +p138767 +aS'is\tbe\tVBZ\tB-VP\tO' +p138768 +aS'to\tto\tTO\tB-VP\tO' +p138769 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p138770 +aS'with\twith\tIN\tB-PP\tO' +p138771 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p138772 +aS'Para\tPara\tNNP\tI-NP\tO' +p138773 +aS'for\tfor\tIN\tB-PP\tO' +p138774 +aS'follow-up\tfollow-up\tNN\tB-NP\tO' +p138775 +aS'.\t.\t.\tO\tO' +p138776 +asS'The patient remains on Fluconazole .' +p138777 +(lp138778 +S'The\tThe\tDT\tB-NP\tO' +p138779 +aS'patient\tpatient\tNN\tI-NP\tO' +p138780 +aS'remains\tremain\tVBZ\tB-VP\tO' +p138781 +aS'on\ton\tIN\tB-PP\tO' +p138782 +aS'Fluconazole\tFluconazole\tNN\tB-NP\tO' +p138783 +aS'.\t.\t.\tO\tO' +p138784 +asS'EMS found him with agonal respirations and pinpoint pupils .' +p138785 +(lp138786 +S'EMS\tEMS\tNNS\tB-NP\tO' +p138787 +aS'found\tfind\tVBD\tB-VP\tO' +p138788 +aS'him\thim\tPRP\tB-NP\tO' +p138789 +aS'with\twith\tIN\tB-PP\tO' +p138790 +aS'agonal\tagonal\tJJ\tB-NP\tO' +p138791 +aS'respirations\trespiration\tNNS\tI-NP\tO' +p138792 +aS'and\tand\tCC\tO\tO' +p138793 +aS'pinpoint\tpinpoint\tNN\tB-NP\tO' +p138794 +aS'pupils\tpupil\tNNS\tI-NP\tO' +p138795 +aS'.\t.\t.\tO\tO' +p138796 +asS'The postoperative hematocrit was 26% .' +p138797 +(lp138798 +S'The\tThe\tDT\tB-NP\tO' +p138799 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p138800 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p138801 +aS'was\tbe\tVBD\tB-VP\tO' +p138802 +aS'26%\t26%\tCD\tB-NP\tO' +p138803 +aS'.\t.\t.\tO\tO' +p138804 +asS'He will be advanced to soft solids prior to discharge .' +p138805 +(lp138806 +S'He\tHe\tPRP\tB-NP\tO' +p138807 +aS'will\twill\tMD\tB-VP\tO' +p138808 +aS'be\tbe\tVB\tI-VP\tO' +p138809 +aS'advanced\tadvance\tVBN\tI-VP\tO' +p138810 +aS'to\tto\tTO\tB-PP\tO' +p138811 +aS'soft\tsoft\tJJ\tB-NP\tO' +p138812 +aS'solids\tsolid\tNNS\tI-NP\tO' +p138813 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p138814 +aS'to\tto\tTO\tB-VP\tO' +p138815 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p138816 +aS'.\t.\t.\tO\tO' +p138817 +asS'There is no clonus on the right but sustained clonus ( 10-12 beats ) on the left .' +p138818 +(lp138819 +S'There\tThere\tEX\tB-NP\tO' +p138820 +aS'is\tbe\tVBZ\tB-VP\tO' +p138821 +aS'no\tno\tDT\tB-NP\tO' +p138822 +aS'clonus\tclonus\tNN\tI-NP\tO' +p138823 +aS'on\ton\tIN\tB-PP\tO' +p138824 +aS'the\tthe\tDT\tB-NP\tO' +p138825 +aS'right\tright\tNN\tI-NP\tO' +p138826 +aS'but\tbut\tCC\tO\tO' +p138827 +aS'sustained\tsustained\tJJ\tB-NP\tO' +p138828 +aS'clonus\tclonus\tNN\tI-NP\tO' +p138829 +aS'(\t(\t(\tO\tO' +p138830 +aS'10-12\t10-12\tCD\tB-NP\tO' +p138831 +aS'beats\tbeat\tNNS\tI-NP\tO' +p138832 +aS')\t)\t)\tO\tO' +p138833 +aS'on\ton\tIN\tB-PP\tO' +p138834 +aS'the\tthe\tDT\tB-NP\tO' +p138835 +aS'left\tleft\tNN\tI-NP\tO' +p138836 +aS'.\t.\t.\tO\tO' +p138837 +asS'A CT would help for further assessment and exclude proteinaceous material within the sulci .' +p138838 +(lp138839 +S'A\tA\tDT\tB-NP\tO' +p138840 +aS'CT\tCT\tNN\tI-NP\tO' +p138841 +aS'would\twould\tMD\tB-VP\tO' +p138842 +aS'help\thelp\tVB\tI-VP\tO' +p138843 +aS'for\tfor\tIN\tB-PP\tO' +p138844 +aS'further\tfurther\tJJ\tB-NP\tO' +p138845 +aS'assessment\tassessment\tNN\tI-NP\tO' +p138846 +aS'and\tand\tCC\tO\tO' +p138847 +aS'exclude\texclude\tVBP\tB-VP\tO' +p138848 +aS'proteinaceous\tproteinaceous\tJJ\tB-NP\tO' +p138849 +aS'material\tmaterial\tNN\tI-NP\tO' +p138850 +aS'within\twithin\tIN\tB-PP\tO' +p138851 +aS'the\tthe\tDT\tB-NP\tO' +p138852 +aS'sulci\tsulcus\tNNS\tI-NP\tO' +p138853 +aS'.\t.\t.\tO\tO' +p138854 +asS"On the evening of 12-27 , monitoring noted child 's increased preterm contractions , uterine tenderness and mildly increased fetal heart rates , due to concerns of possible chorioamnionitis , the mother was taken for cesarean delivery ." +p138855 +(lp138856 +S'On\tOn\tIN\tB-PP\tO' +p138857 +aS'the\tthe\tDT\tB-NP\tO' +p138858 +aS'evening\tevening\tNN\tI-NP\tO' +p138859 +aS'of\tof\tIN\tB-PP\tO' +p138860 +aS'12-27\t12-27\tCD\tB-NP\tO' +p138861 +aS',\t,\t,\tO\tO' +p138862 +aS'monitoring\tmonitor\tVBG\tB-VP\tO' +p138863 +aS'noted\tnote\tVBN\tB-NP\tO' +p138864 +aS'child\tchild\tNN\tI-NP\tO' +p138865 +aS"'s\t's\tPOS\tB-NP\tO" +p138866 +aS'increased\tincrease\tVBN\tI-NP\tO' +p138867 +aS'preterm\tpreterm\tNN\tI-NP\tO' +p138868 +aS'contractions\tcontraction\tNNS\tI-NP\tO' +p138869 +aS',\t,\t,\tO\tO' +p138870 +aS'uterine\tuterine\tJJ\tB-NP\tO' +p138871 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p138872 +aS'and\tand\tCC\tO\tO' +p138873 +aS'mildly\tmildly\tRB\tB-NP\tO' +p138874 +aS'increased\tincrease\tVBN\tI-NP\tO' +p138875 +aS'fetal\tfetal\tJJ\tI-NP\tO' +p138876 +aS'heart\theart\tNN\tI-NP\tO' +p138877 +aS'rates\trate\tNNS\tI-NP\tO' +p138878 +aS',\t,\t,\tO\tO' +p138879 +aS'due\tdue\tJJ\tB-PP\tO' +p138880 +aS'to\tto\tTO\tI-PP\tO' +p138881 +aS'concerns\tconcern\tNNS\tB-NP\tO' +p138882 +aS'of\tof\tIN\tB-PP\tO' +p138883 +aS'possible\tpossible\tJJ\tB-NP\tO' +p138884 +aS'chorioamnionitis\tchorioamnionitis\tNN\tI-NP\tO' +p138885 +aS',\t,\t,\tO\tO' +p138886 +aS'the\tthe\tDT\tB-NP\tO' +p138887 +aS'mother\tmother\tNN\tI-NP\tO' +p138888 +aS'was\tbe\tVBD\tB-VP\tO' +p138889 +aS'taken\ttake\tVBN\tI-VP\tO' +p138890 +aS'for\tfor\tIN\tB-PP\tO' +p138891 +aS'cesarean\tcesarean\tJJ\tB-NP\tO' +p138892 +aS'delivery\tdelivery\tNN\tI-NP\tO' +p138893 +aS'.\t.\t.\tO\tO' +p138894 +asS'Extremities , no bruit at the left or right femoral arteries .' +p138895 +(lp138896 +S'Extremities\tExtremity\tNNS\tB-NP\tO' +p138897 +aS',\t,\t,\tO\tO' +p138898 +aS'no\tno\tDT\tB-NP\tO' +p138899 +aS'bruit\tbruit\tNN\tI-NP\tO' +p138900 +aS'at\tat\tIN\tB-PP\tO' +p138901 +aS'the\tthe\tDT\tB-NP\tO' +p138902 +aS'left\tleft\tJJ\tI-NP\tO' +p138903 +aS'or\tor\tCC\tI-NP\tO' +p138904 +aS'right\tright\tJJ\tI-NP\tO' +p138905 +aS'femoral\tfemoral\tJJ\tI-NP\tO' +p138906 +aS'arteries\tartery\tNNS\tI-NP\tO' +p138907 +aS'.\t.\t.\tO\tO' +p138908 +asS'Neck with soft tissue prominence of the epiglottitis and uvula consistent with epiglottitis .' +p138909 +(lp138910 +S'Neck\tNeck\tNN\tB-NP\tO' +p138911 +aS'with\twith\tIN\tB-PP\tO' +p138912 +aS'soft\tsoft\tJJ\tB-NP\tO' +p138913 +aS'tissue\ttissue\tNN\tI-NP\tO' +p138914 +aS'prominence\tprominence\tNN\tI-NP\tO' +p138915 +aS'of\tof\tIN\tB-PP\tO' +p138916 +aS'the\tthe\tDT\tB-NP\tO' +p138917 +aS'epiglottitis\tepiglottitis\tNN\tI-NP\tO' +p138918 +aS'and\tand\tCC\tI-NP\tO' +p138919 +aS'uvula\tuvula\tNN\tI-NP\tO' +p138920 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p138921 +aS'with\twith\tIN\tB-PP\tO' +p138922 +aS'epiglottitis\tepiglottitis\tNN\tB-NP\tO' +p138923 +aS'.\t.\t.\tO\tO' +p138924 +asS'The pupils equal , round , reactive to light and accommodation , and the extra ocular movements are intact .' +p138925 +(lp138926 +S'The\tThe\tDT\tB-NP\tO' +p138927 +aS'pupils\tpupil\tNNS\tI-NP\tO' +p138928 +aS'equal\tequal\tJJ\tB-NP\tO' +p138929 +aS',\t,\t,\tI-NP\tO' +p138930 +aS'round\tround\tJJ\tI-NP\tO' +p138931 +aS',\t,\t,\tI-NP\tO' +p138932 +aS'reactive\treactive\tJJ\tI-NP\tO' +p138933 +aS'to\tto\tTO\tB-PP\tO' +p138934 +aS'light\tlight\tNN\tB-NP\tO' +p138935 +aS'and\tand\tCC\tI-NP\tO' +p138936 +aS'accommodation\taccommodation\tNN\tI-NP\tO' +p138937 +aS',\t,\t,\tO\tO' +p138938 +aS'and\tand\tCC\tO\tO' +p138939 +aS'the\tthe\tDT\tB-NP\tO' +p138940 +aS'extra\textra\tJJ\tI-NP\tO' +p138941 +aS'ocular\tocular\tJJ\tI-NP\tO' +p138942 +aS'movements\tmovement\tNNS\tI-NP\tO' +p138943 +aS'are\tbe\tVBP\tB-VP\tO' +p138944 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p138945 +aS'.\t.\t.\tO\tO' +p138946 +asS'The patient is an 84-year-old woman with a history of diverticulitis who was found to have colon cancer on colonoscopy , which was performed in March of 2004 .' +p138947 +(lp138948 +S'The\tThe\tDT\tB-NP\tO' +p138949 +aS'patient\tpatient\tNN\tI-NP\tO' +p138950 +aS'is\tbe\tVBZ\tB-VP\tO' +p138951 +aS'an\tan\tDT\tB-NP\tO' +p138952 +aS'84-year-old\t84-year-old\tJJ\tI-NP\tO' +p138953 +aS'woman\twoman\tNN\tI-NP\tO' +p138954 +aS'with\twith\tIN\tB-PP\tO' +p138955 +aS'a\ta\tDT\tB-NP\tO' +p138956 +aS'history\thistory\tNN\tI-NP\tO' +p138957 +aS'of\tof\tIN\tB-PP\tO' +p138958 +aS'diverticulitis\tdiverticulitis\tNN\tB-NP\tO' +p138959 +aS'who\twho\tWP\tB-NP\tO' +p138960 +aS'was\tbe\tVBD\tB-VP\tO' +p138961 +aS'found\tfind\tVBN\tI-VP\tO' +p138962 +aS'to\tto\tTO\tI-VP\tO' +p138963 +aS'have\thave\tVB\tI-VP\tO' +p138964 +aS'colon\tcolon\tNN\tB-NP\tO' +p138965 +aS'cancer\tcancer\tNN\tI-NP\tO' +p138966 +aS'on\ton\tIN\tB-PP\tO' +p138967 +aS'colonoscopy\tcolonoscopy\tNN\tB-NP\tO' +p138968 +aS',\t,\t,\tO\tO' +p138969 +aS'which\twhich\tWDT\tB-NP\tO' +p138970 +aS'was\tbe\tVBD\tB-VP\tO' +p138971 +aS'performed\tperform\tVBN\tI-VP\tO' +p138972 +aS'in\tin\tIN\tB-PP\tO' +p138973 +aS'March\tMarch\tNNP\tB-NP\tO' +p138974 +aS'of\tof\tIN\tB-PP\tO' +p138975 +aS'2004\t2004\tCD\tB-NP\tO' +p138976 +aS'.\t.\t.\tO\tO' +p138977 +asS'7. Entacapone 200 mg Tablet Sig : One ( 1 ) Tablet PO TID ( 3 times a day ) .' +p138978 +(lp138979 +S'7.\t7.\tCD\tB-NP\tO' +p138980 +aS'Entacapone\tEntacapone\tNN\tI-NP\tO' +p138981 +aS'200\t200\tCD\tB-NP\tO' +p138982 +aS'mg\tmg\tNN\tI-NP\tO' +p138983 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p138984 +aS'Sig\tSig\tNNP\tI-NP\tO' +p138985 +aS':\t:\t:\tO\tO' +p138986 +aS'One\tOne\tCD\tB-NP\tO' +p138987 +aS'(\t(\t(\tO\tO' +p138988 +aS'1\t1\tCD\tB-NP\tO' +p138989 +aS')\t)\t)\tO\tO' +p138990 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p138991 +aS'PO\tPO\tNN\tI-NP\tO' +p138992 +aS'TID\tTID\tNN\tI-NP\tO' +p138993 +aS'(\t(\t(\tO\tO' +p138994 +aS'3\t3\tCD\tB-NP\tO' +p138995 +aS'times\ttime\tNNS\tI-NP\tO' +p138996 +aS'a\ta\tDT\tB-NP\tO' +p138997 +aS'day\tday\tNN\tI-NP\tO' +p138998 +aS')\t)\t)\tO\tO' +p138999 +aS'.\t.\t.\tO\tO' +p139000 +asS'Brother and sister both have asthma .' +p139001 +(lp139002 +S'Brother\tBrother\tNNP\tB-NP\tO' +p139003 +aS'and\tand\tCC\tO\tO' +p139004 +aS'sister\tsister\tVB\tB-VP\tO' +p139005 +aS'both\tboth\tDT\tB-NP\tO' +p139006 +aS'have\thave\tVBP\tB-VP\tO' +p139007 +aS'asthma\tasthma\tNN\tB-NP\tO' +p139008 +aS'.\t.\t.\tO\tO' +p139009 +asS'He reported that he began with difficulty buttoning his shirt for many years since after a stroke but now reports that on occasion she would ask him why he was doing certain things and he could not give a concrete example .' +p139010 +(lp139011 +S'He\tHe\tPRP\tB-NP\tO' +p139012 +aS'reported\treport\tVBD\tB-VP\tO' +p139013 +aS'that\tthat\tIN\tB-SBAR\tO' +p139014 +aS'he\the\tPRP\tB-NP\tO' +p139015 +aS'began\tbegin\tVBD\tB-VP\tO' +p139016 +aS'with\twith\tIN\tB-PP\tO' +p139017 +aS'difficulty\tdifficulty\tNN\tB-NP\tO' +p139018 +aS'buttoning\tbutton\tVBG\tB-VP\tO' +p139019 +aS'his\this\tPRP$\tB-NP\tO' +p139020 +aS'shirt\tshirt\tNN\tI-NP\tO' +p139021 +aS'for\tfor\tIN\tB-PP\tO' +p139022 +aS'many\tmany\tJJ\tB-NP\tO' +p139023 +aS'years\tyear\tNNS\tI-NP\tO' +p139024 +aS'since\tsince\tIN\tB-SBAR\tO' +p139025 +aS'after\tafter\tIN\tB-PP\tO' +p139026 +aS'a\ta\tDT\tB-NP\tO' +p139027 +aS'stroke\tstroke\tNN\tI-NP\tO' +p139028 +aS'but\tbut\tCC\tO\tO' +p139029 +aS'now\tnow\tRB\tB-VP\tO' +p139030 +aS'reports\treport\tVBZ\tI-VP\tO' +p139031 +aS'that\tthat\tIN\tB-SBAR\tO' +p139032 +aS'on\ton\tIN\tB-PP\tO' +p139033 +aS'occasion\toccasion\tNN\tB-NP\tO' +p139034 +aS'she\tshe\tPRP\tB-NP\tO' +p139035 +aS'would\twould\tMD\tB-VP\tO' +p139036 +aS'ask\task\tVB\tI-VP\tO' +p139037 +aS'him\thim\tPRP\tB-NP\tO' +p139038 +aS'why\twhy\tWRB\tB-ADVP\tO' +p139039 +aS'he\the\tPRP\tB-NP\tO' +p139040 +aS'was\tbe\tVBD\tB-VP\tO' +p139041 +aS'doing\tdo\tVBG\tI-VP\tO' +p139042 +aS'certain\tcertain\tJJ\tB-NP\tO' +p139043 +aS'things\tthing\tNNS\tI-NP\tO' +p139044 +aS'and\tand\tCC\tO\tO' +p139045 +aS'he\the\tPRP\tB-NP\tO' +p139046 +aS'could\tcould\tMD\tB-VP\tO' +p139047 +aS'not\tnot\tRB\tI-VP\tO' +p139048 +aS'give\tgive\tVB\tI-VP\tO' +p139049 +aS'a\ta\tDT\tB-NP\tO' +p139050 +aS'concrete\tconcrete\tJJ\tI-NP\tO' +p139051 +aS'example\texample\tNN\tI-NP\tO' +p139052 +aS'.\t.\t.\tO\tO' +p139053 +asS'7. Lasix 40 mg once daily .' +p139054 +(lp139055 +S'7.\t7.\tCD\tB-NP\tO' +p139056 +aS'Lasix\tLasix\tNNP\tI-NP\tO' +p139057 +aS'40\t40\tCD\tI-NP\tO' +p139058 +aS'mg\tmg\tNN\tI-NP\tO' +p139059 +aS'once\tonce\tRB\tB-ADVP\tO' +p139060 +aS'daily\tdaily\tRB\tI-ADVP\tO' +p139061 +aS'.\t.\t.\tO\tO' +p139062 +asS'Signed electronically by : DR. Marcus N Schartz on : Maxine 2017-09-28 9:34 AM' +p139063 +(lp139064 +S'Signed\tSign\tVBN\tB-VP\tO' +p139065 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p139066 +aS'by\tby\tIN\tB-PP\tO' +p139067 +aS':\t:\t:\tO\tO' +p139068 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p139069 +aS'Marcus\tMarcus\tNNP\tI-NP\tO' +p139070 +aS'N\tN\tNNP\tI-NP\tO' +p139071 +aS'Schartz\tSchartz\tNNP\tI-NP\tO' +p139072 +aS'on\ton\tIN\tB-PP\tO' +p139073 +aS':\t:\t:\tO\tO' +p139074 +aS'Maxine\tMaxine\tNN\tB-NP\tO' +p139075 +aS'2017-09-28\t2017-09-28\tCD\tI-NP\tO' +p139076 +aS'9:34\t9:34\tCD\tI-NP\tO' +p139077 +aS'AM\tAM\tNN\tI-NP\tO' +p139078 +asS'She was able to get to bed at which point she passed out .' +p139079 +(lp139080 +S'She\tShe\tPRP\tB-NP\tO' +p139081 +aS'was\tbe\tVBD\tB-VP\tO' +p139082 +aS'able\table\tJJ\tB-ADJP\tO' +p139083 +aS'to\tto\tTO\tB-VP\tO' +p139084 +aS'get\tget\tVB\tI-VP\tO' +p139085 +aS'to\tto\tTO\tB-PP\tO' +p139086 +aS'bed\tbed\tNN\tB-NP\tO' +p139087 +aS'at\tat\tIN\tB-PP\tO' +p139088 +aS'which\twhich\tWDT\tB-NP\tO' +p139089 +aS'point\tpoint\tNN\tI-NP\tO' +p139090 +aS'she\tshe\tPRP\tB-NP\tO' +p139091 +aS'passed\tpass\tVBD\tB-VP\tO' +p139092 +aS'out\tout\tRP\tB-PRT\tO' +p139093 +aS'.\t.\t.\tO\tO' +p139094 +asS"The etiology of these cardiovascular episodes was unclear , but was felt likely secondary to the patient 's tenuous cardiovascular status given the fact that she had clear pulmonary hypertension , was very preload dependent , and had an intact left ventricular function but with cardiac output limited due to left ventricular compression by a dilated left ventricle ." +p139095 +(lp139096 +S'The\tThe\tDT\tB-NP\tO' +p139097 +aS'etiology\tetiology\tNN\tI-NP\tO' +p139098 +aS'of\tof\tIN\tB-PP\tO' +p139099 +aS'these\tthese\tDT\tB-NP\tO' +p139100 +aS'cardiovascular\tcardiovascular\tJJ\tI-NP\tO' +p139101 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p139102 +aS'was\tbe\tVBD\tB-VP\tO' +p139103 +aS'unclear\tunclear\tJJ\tB-ADJP\tO' +p139104 +aS',\t,\t,\tO\tO' +p139105 +aS'but\tbut\tCC\tO\tO' +p139106 +aS'was\tbe\tVBD\tB-VP\tO' +p139107 +aS'felt\tfeel\tVBN\tI-VP\tO' +p139108 +aS'likely\tlikely\tRB\tB-ADJP\tO' +p139109 +aS'secondary\tsecondary\tJJ\tI-ADJP\tO' +p139110 +aS'to\tto\tTO\tB-PP\tO' +p139111 +aS'the\tthe\tDT\tB-NP\tO' +p139112 +aS'patient\tpatient\tNN\tI-NP\tO' +p139113 +aS"'s\t's\tPOS\tB-NP\tO" +p139114 +aS'tenuous\ttenuous\tJJ\tI-NP\tO' +p139115 +aS'cardiovascular\tcardiovascular\tJJ\tI-NP\tO' +p139116 +aS'status\tstatus\tNN\tI-NP\tO' +p139117 +aS'given\tgive\tVBN\tB-PP\tO' +p139118 +aS'the\tthe\tDT\tB-NP\tO' +p139119 +aS'fact\tfact\tNN\tI-NP\tO' +p139120 +aS'that\tthat\tIN\tB-SBAR\tO' +p139121 +aS'she\tshe\tPRP\tB-NP\tO' +p139122 +aS'had\thave\tVBD\tB-VP\tO' +p139123 +aS'clear\tclear\tJJ\tB-NP\tO' +p139124 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p139125 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p139126 +aS',\t,\t,\tO\tO' +p139127 +aS'was\tbe\tVBD\tB-VP\tO' +p139128 +aS'very\tvery\tRB\tB-NP\tO' +p139129 +aS'preload\tpreload\tJJ\tI-NP\tO' +p139130 +aS'dependent\tdependent\tJJ\tI-NP\tO' +p139131 +aS',\t,\t,\tO\tO' +p139132 +aS'and\tand\tCC\tO\tO' +p139133 +aS'had\thave\tVBD\tB-VP\tO' +p139134 +aS'an\tan\tDT\tB-NP\tO' +p139135 +aS'intact\tintact\tJJ\tI-NP\tO' +p139136 +aS'left\tleft\tJJ\tI-NP\tO' +p139137 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p139138 +aS'function\tfunction\tNN\tI-NP\tO' +p139139 +aS'but\tbut\tCC\tB-PP\tO' +p139140 +aS'with\twith\tIN\tB-PP\tO' +p139141 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p139142 +aS'output\toutput\tNN\tI-NP\tO' +p139143 +aS'limited\tlimit\tVBD\tB-VP\tO' +p139144 +aS'due\tdue\tJJ\tB-ADJP\tO' +p139145 +aS'to\tto\tTO\tB-VP\tO' +p139146 +aS'left\tleft\tVB\tI-VP\tO' +p139147 +aS'ventricular\tventricular\tJJ\tB-NP\tO' +p139148 +aS'compression\tcompression\tNN\tI-NP\tO' +p139149 +aS'by\tby\tIN\tB-PP\tO' +p139150 +aS'a\ta\tDT\tB-NP\tO' +p139151 +aS'dilated\tdilated\tJJ\tI-NP\tO' +p139152 +aS'left\tleft\tJJ\tI-NP\tO' +p139153 +aS'ventricle\tventricle\tNN\tI-NP\tO' +p139154 +aS'.\t.\t.\tO\tO' +p139155 +asS'Patient should be started on tube feeds at rehab' +p139156 +(lp139157 +S'Patient\tPatient\tNN\tB-NP\tO' +p139158 +aS'should\tshould\tMD\tB-VP\tO' +p139159 +aS'be\tbe\tVB\tI-VP\tO' +p139160 +aS'started\tstart\tVBN\tI-VP\tO' +p139161 +aS'on\ton\tIN\tB-PP\tO' +p139162 +aS'tube\ttube\tNN\tB-NP\tO' +p139163 +aS'feeds\tfeed\tNNS\tI-NP\tO' +p139164 +aS'at\tat\tIN\tB-PP\tO' +p139165 +aS'rehab\trehab\tNN\tB-NP\tO' +p139166 +asS'His chest tube and Foley catheter were removed on postoperative day number three , and the patient had aggressive chest Physical Therapy and nebulizer treatments .' +p139167 +(lp139168 +S'His\tHis\tPRP$\tB-NP\tO' +p139169 +aS'chest\tchest\tNN\tI-NP\tO' +p139170 +aS'tube\ttube\tNN\tI-NP\tO' +p139171 +aS'and\tand\tCC\tO\tO' +p139172 +aS'Foley\tFoley\tNNP\tB-NP\tO' +p139173 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p139174 +aS'were\tbe\tVBD\tB-VP\tO' +p139175 +aS'removed\tremove\tVBN\tI-VP\tO' +p139176 +aS'on\ton\tIN\tB-PP\tO' +p139177 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p139178 +aS'day\tday\tNN\tI-NP\tO' +p139179 +aS'number\tnumber\tNN\tI-NP\tO' +p139180 +aS'three\tthree\tCD\tI-NP\tO' +p139181 +aS',\t,\t,\tO\tO' +p139182 +aS'and\tand\tCC\tO\tO' +p139183 +aS'the\tthe\tDT\tB-NP\tO' +p139184 +aS'patient\tpatient\tNN\tI-NP\tO' +p139185 +aS'had\thave\tVBD\tB-VP\tO' +p139186 +aS'aggressive\taggressive\tJJ\tB-NP\tO' +p139187 +aS'chest\tchest\tNN\tI-NP\tO' +p139188 +aS'Physical\tPhysical\tJJ\tI-NP\tO' +p139189 +aS'Therapy\tTherapy\tNN\tI-NP\tO' +p139190 +aS'and\tand\tCC\tI-NP\tO' +p139191 +aS'nebulizer\tnebulizer\tNN\tI-NP\tO' +p139192 +aS'treatments\ttreatment\tNNS\tI-NP\tO' +p139193 +aS'.\t.\t.\tO\tO' +p139194 +asS'Back : + ttp of lumbar spine and paraspinal muscles , R > L .' +p139195 +(lp139196 +S'Back\tBack\tRB\tB-ADVP\tO' +p139197 +aS':\t:\t:\tO\tO' +p139198 +aS'+\t+\tJJ\tB-NP\tO' +p139199 +aS'ttp\tttp\tNN\tI-NP\tO' +p139200 +aS'of\tof\tIN\tB-PP\tO' +p139201 +aS'lumbar\tlumbar\tNN\tB-NP\tO' +p139202 +aS'spine\tspine\tNN\tI-NP\tO' +p139203 +aS'and\tand\tCC\tO\tO' +p139204 +aS'paraspinal\tparaspinal\tJJ\tB-NP\tO' +p139205 +aS'muscles\tmuscle\tNNS\tI-NP\tO' +p139206 +aS',\t,\t,\tO\tO' +p139207 +aS'R\tR\tNN\tB-NP\tB-protein' +p139208 +aS'>\t>\tSYM\tI-NP\tO' +p139209 +aS'L\tL\tNN\tI-NP\tO' +p139210 +aS'.\t.\t.\tO\tO' +p139211 +asS'There were no telemetry events , and he ruled out by enzyme .' +p139212 +(lp139213 +S'There\tThere\tEX\tB-NP\tO' +p139214 +aS'were\tbe\tVBD\tB-VP\tO' +p139215 +aS'no\tno\tDT\tB-NP\tO' +p139216 +aS'telemetry\ttelemetry\tNN\tI-NP\tO' +p139217 +aS'events\tevent\tNNS\tI-NP\tO' +p139218 +aS',\t,\t,\tO\tO' +p139219 +aS'and\tand\tCC\tO\tO' +p139220 +aS'he\the\tPRP\tB-NP\tO' +p139221 +aS'ruled\trule\tVBD\tB-VP\tO' +p139222 +aS'out\tout\tRP\tB-PRT\tO' +p139223 +aS'by\tby\tIN\tB-PP\tO' +p139224 +aS'enzyme\tenzyme\tNN\tB-NP\tB-protein' +p139225 +aS'.\t.\t.\tO\tO' +p139226 +asS'He then went to the Operating Room on 2016-03-14 where he had resection of the left face squamous cell cancer by Dr. Langhorne and split thickness and full thickness skin grafting of the defects on 2016-03-14 .' +p139227 +(lp139228 +S'He\tHe\tPRP\tB-NP\tO' +p139229 +aS'then\tthen\tRB\tB-ADVP\tO' +p139230 +aS'went\tgo\tVBD\tB-VP\tO' +p139231 +aS'to\tto\tTO\tB-PP\tO' +p139232 +aS'the\tthe\tDT\tB-NP\tO' +p139233 +aS'Operating\tOperating\tNNP\tI-NP\tO' +p139234 +aS'Room\tRoom\tNNP\tI-NP\tO' +p139235 +aS'on\ton\tIN\tB-PP\tO' +p139236 +aS'2016-03-14\t2016-03-14\tCD\tB-NP\tO' +p139237 +aS'where\twhere\tWRB\tB-ADVP\tO' +p139238 +aS'he\the\tPRP\tB-NP\tO' +p139239 +aS'had\thave\tVBD\tB-VP\tO' +p139240 +aS'resection\tresection\tNN\tB-NP\tO' +p139241 +aS'of\tof\tIN\tB-PP\tO' +p139242 +aS'the\tthe\tDT\tB-NP\tO' +p139243 +aS'left\tleft\tJJ\tI-NP\tO' +p139244 +aS'face\tface\tNN\tI-NP\tO' +p139245 +aS'squamous\tsquamous\tJJ\tI-NP\tO' +p139246 +aS'cell\tcell\tNN\tI-NP\tO' +p139247 +aS'cancer\tcancer\tNN\tI-NP\tO' +p139248 +aS'by\tby\tIN\tB-PP\tO' +p139249 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p139250 +aS'Langhorne\tLanghorne\tNNP\tI-NP\tO' +p139251 +aS'and\tand\tCC\tO\tO' +p139252 +aS'split\tsplit\tVBD\tB-VP\tO' +p139253 +aS'thickness\tthickness\tNN\tB-NP\tO' +p139254 +aS'and\tand\tCC\tO\tO' +p139255 +aS'full\tfull\tJJ\tB-NP\tO' +p139256 +aS'thickness\tthickness\tNN\tI-NP\tO' +p139257 +aS'skin\tskin\tNN\tI-NP\tO' +p139258 +aS'grafting\tgrafting\tNN\tI-NP\tO' +p139259 +aS'of\tof\tIN\tB-PP\tO' +p139260 +aS'the\tthe\tDT\tB-NP\tO' +p139261 +aS'defects\tdefect\tNNS\tI-NP\tO' +p139262 +aS'on\ton\tIN\tB-PP\tO' +p139263 +aS'2016-03-14\t2016-03-14\tCD\tB-NP\tO' +p139264 +aS'.\t.\t.\tO\tO' +p139265 +asS'In addition , the patient had low hematocrits which required a transfusion of packed red blood cells .' +p139266 +(lp139267 +S'In\tIn\tIN\tB-PP\tO' +p139268 +aS'addition\taddition\tNN\tB-NP\tO' +p139269 +aS',\t,\t,\tO\tO' +p139270 +aS'the\tthe\tDT\tB-NP\tO' +p139271 +aS'patient\tpatient\tNN\tI-NP\tO' +p139272 +aS'had\thave\tVBD\tB-VP\tO' +p139273 +aS'low\tlow\tJJ\tB-NP\tO' +p139274 +aS'hematocrits\thematocrit\tNNS\tI-NP\tO' +p139275 +aS'which\twhich\tWDT\tB-NP\tO' +p139276 +aS'required\trequire\tVBD\tB-VP\tO' +p139277 +aS'a\ta\tDT\tB-NP\tO' +p139278 +aS'transfusion\ttransfusion\tNN\tI-NP\tO' +p139279 +aS'of\tof\tIN\tB-PP\tO' +p139280 +aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' +p139281 +aS'red\tred\tJJ\tI-NP\tI-cell_type' +p139282 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p139283 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p139284 +aS'.\t.\t.\tO\tO' +p139285 +asS'Total bilirubin 10.1 , amylase 90 and lipase 112 .' +p139286 +(lp139287 +S'Total\tTotal\tJJ\tB-NP\tO' +p139288 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p139289 +aS'10.1\t10.1\tCD\tI-NP\tO' +p139290 +aS',\t,\t,\tO\tO' +p139291 +aS'amylase\tamylase\tNN\tB-NP\tO' +p139292 +aS'90\t90\tCD\tI-NP\tO' +p139293 +aS'and\tand\tCC\tO\tO' +p139294 +aS'lipase\tlipase\tNN\tB-NP\tO' +p139295 +aS'112\t112\tCD\tI-NP\tO' +p139296 +aS'.\t.\t.\tO\tO' +p139297 +asS'He was treated with Ceftazidime , gentamicin , and Vancomycin and also was started on a Dopamine drip for treatment of his sepsis .' +p139298 +(lp139299 +S'He\tHe\tPRP\tB-NP\tO' +p139300 +aS'was\tbe\tVBD\tB-VP\tO' +p139301 +aS'treated\ttreat\tVBN\tI-VP\tO' +p139302 +aS'with\twith\tIN\tB-PP\tO' +p139303 +aS'Ceftazidime\tCeftazidime\tNN\tB-NP\tO' +p139304 +aS',\t,\t,\tO\tO' +p139305 +aS'gentamicin\tgentamicin\tNN\tB-NP\tO' +p139306 +aS',\t,\t,\tO\tO' +p139307 +aS'and\tand\tCC\tO\tO' +p139308 +aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' +p139309 +aS'and\tand\tCC\tO\tO' +p139310 +aS'also\talso\tRB\tB-ADVP\tO' +p139311 +aS'was\tbe\tVBD\tB-VP\tO' +p139312 +aS'started\tstart\tVBN\tI-VP\tO' +p139313 +aS'on\ton\tIN\tB-PP\tO' +p139314 +aS'a\ta\tDT\tB-NP\tO' +p139315 +aS'Dopamine\tDopamine\tNN\tI-NP\tO' +p139316 +aS'drip\tdrip\tNN\tI-NP\tO' +p139317 +aS'for\tfor\tIN\tB-PP\tO' +p139318 +aS'treatment\ttreatment\tNN\tB-NP\tO' +p139319 +aS'of\tof\tIN\tB-PP\tO' +p139320 +aS'his\this\tPRP$\tB-NP\tO' +p139321 +aS'sepsis\tsepsis\tNN\tI-NP\tO' +p139322 +aS'.\t.\t.\tO\tO' +p139323 +asS'The diagnosis of recurrent bowel ischemia , however , was not ruled out and this will continue to be a concern in the future .' +p139324 +(lp139325 +S'The\tThe\tDT\tB-NP\tO' +p139326 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p139327 +aS'of\tof\tIN\tB-PP\tO' +p139328 +aS'recurrent\trecurrent\tJJ\tB-NP\tO' +p139329 +aS'bowel\tbowel\tNN\tI-NP\tO' +p139330 +aS'ischemia\tischemia\tNN\tI-NP\tO' +p139331 +aS',\t,\t,\tO\tO' +p139332 +aS'however\thowever\tRB\tB-ADVP\tO' +p139333 +aS',\t,\t,\tO\tO' +p139334 +aS'was\tbe\tVBD\tB-VP\tO' +p139335 +aS'not\tnot\tRB\tI-VP\tO' +p139336 +aS'ruled\trule\tVBN\tI-VP\tO' +p139337 +aS'out\tout\tRP\tB-PRT\tO' +p139338 +aS'and\tand\tCC\tO\tO' +p139339 +aS'this\tthis\tDT\tB-NP\tO' +p139340 +aS'will\twill\tMD\tB-VP\tO' +p139341 +aS'continue\tcontinue\tVB\tI-VP\tO' +p139342 +aS'to\tto\tTO\tI-VP\tO' +p139343 +aS'be\tbe\tVB\tI-VP\tO' +p139344 +aS'a\ta\tDT\tB-NP\tO' +p139345 +aS'concern\tconcern\tNN\tI-NP\tO' +p139346 +aS'in\tin\tIN\tB-PP\tO' +p139347 +aS'the\tthe\tDT\tB-NP\tO' +p139348 +aS'future\tfuture\tNN\tI-NP\tO' +p139349 +aS'.\t.\t.\tO\tO' +p139350 +asS'The Foley catheter was removed on 6/29 and she had no difficulties voiding .' +p139351 +(lp139352 +S'The\tThe\tDT\tB-NP\tO' +p139353 +aS'Foley\tFoley\tNNP\tI-NP\tO' +p139354 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p139355 +aS'was\tbe\tVBD\tB-VP\tO' +p139356 +aS'removed\tremove\tVBN\tI-VP\tO' +p139357 +aS'on\ton\tIN\tB-PP\tO' +p139358 +aS'6/29\t6/29\tCD\tB-NP\tO' +p139359 +aS'and\tand\tCC\tO\tO' +p139360 +aS'she\tshe\tPRP\tB-NP\tO' +p139361 +aS'had\thave\tVBD\tB-VP\tO' +p139362 +aS'no\tno\tDT\tB-NP\tO' +p139363 +aS'difficulties\tdifficulty\tNNS\tI-NP\tO' +p139364 +aS'voiding\tvoid\tVBG\tB-VP\tO' +p139365 +aS'.\t.\t.\tO\tO' +p139366 +asS'Right heart catheterization and coronary angiography on October 15 , 1999 .' +p139367 +(lp139368 +S'Right\tRight\tNN\tB-NP\tO' +p139369 +aS'heart\theart\tNN\tI-NP\tO' +p139370 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p139371 +aS'and\tand\tCC\tO\tO' +p139372 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p139373 +aS'angiography\tangiography\tNN\tI-NP\tO' +p139374 +aS'on\ton\tIN\tB-PP\tO' +p139375 +aS'October\tOctober\tNNP\tB-NP\tO' +p139376 +aS'15\t15\tCD\tI-NP\tO' +p139377 +aS',\t,\t,\tI-NP\tO' +p139378 +aS'1999\t1999\tCD\tI-NP\tO' +p139379 +aS'.\t.\t.\tO\tO' +p139380 +asS'The patient was then subsequently taken to the Operating Room on 08/31/98 with the preoperative diagnosis of ascending aortic graft infection .' +p139381 +(lp139382 +S'The\tThe\tDT\tB-NP\tO' +p139383 +aS'patient\tpatient\tNN\tI-NP\tO' +p139384 +aS'was\tbe\tVBD\tB-VP\tO' +p139385 +aS'then\tthen\tRB\tI-VP\tO' +p139386 +aS'subsequently\tsubsequently\tRB\tI-VP\tO' +p139387 +aS'taken\ttake\tVBN\tI-VP\tO' +p139388 +aS'to\tto\tTO\tB-PP\tO' +p139389 +aS'the\tthe\tDT\tB-NP\tO' +p139390 +aS'Operating\tOperating\tNNP\tI-NP\tO' +p139391 +aS'Room\tRoom\tNNP\tI-NP\tO' +p139392 +aS'on\ton\tIN\tB-PP\tO' +p139393 +aS'08/31/98\t08/31/98\tCD\tB-NP\tO' +p139394 +aS'with\twith\tIN\tB-PP\tO' +p139395 +aS'the\tthe\tDT\tB-NP\tO' +p139396 +aS'preoperative\tpreoperative\tJJ\tI-NP\tO' +p139397 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p139398 +aS'of\tof\tIN\tB-PP\tO' +p139399 +aS'ascending\tascend\tVBG\tB-VP\tO' +p139400 +aS'aortic\taortic\tJJ\tB-NP\tO' +p139401 +aS'graft\tgraft\tNN\tI-NP\tO' +p139402 +aS'infection\tinfection\tNN\tI-NP\tO' +p139403 +aS'.\t.\t.\tO\tO' +p139404 +asS'He received O.T. and P.T. consults .' +p139405 +(lp139406 +S'He\tHe\tPRP\tB-NP\tO' +p139407 +aS'received\treceive\tVBD\tB-VP\tO' +p139408 +aS'O.T.\tO.T.\tNNP\tB-NP\tO' +p139409 +aS'and\tand\tCC\tI-NP\tO' +p139410 +aS'P.T.\tP.T.\tNNP\tI-NP\tO' +p139411 +aS'consults\tconsult\tNNS\tI-NP\tO' +p139412 +aS'.\t.\t.\tO\tO' +p139413 +asS'As follows .' +p139414 +(lp139415 +S'As\tAs\tIN\tB-SBAR\tO' +p139416 +aS'follows\tfollow\tVBZ\tB-VP\tO' +p139417 +aS'.\t.\t.\tO\tO' +p139418 +asS'Post-operatively , his course was complicated by respiratory distress necessitating an urgent return to the ICU and was intubated .' +p139419 +(lp139420 +S'Post-operatively\tPost-operatively\tRB\tB-ADVP\tO' +p139421 +aS',\t,\t,\tO\tO' +p139422 +aS'his\this\tPRP$\tB-NP\tO' +p139423 +aS'course\tcourse\tNN\tI-NP\tO' +p139424 +aS'was\tbe\tVBD\tB-VP\tO' +p139425 +aS'complicated\tcomplicate\tVBN\tI-VP\tO' +p139426 +aS'by\tby\tIN\tB-PP\tO' +p139427 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p139428 +aS'distress\tdistress\tNN\tI-NP\tO' +p139429 +aS'necessitating\tnecessitate\tVBG\tB-VP\tO' +p139430 +aS'an\tan\tDT\tB-NP\tO' +p139431 +aS'urgent\turgent\tJJ\tI-NP\tO' +p139432 +aS'return\treturn\tNN\tI-NP\tO' +p139433 +aS'to\tto\tTO\tB-PP\tO' +p139434 +aS'the\tthe\tDT\tB-NP\tO' +p139435 +aS'ICU\tICU\tNN\tI-NP\tB-DNA' +p139436 +aS'and\tand\tCC\tO\tO' +p139437 +aS'was\tbe\tVBD\tB-VP\tO' +p139438 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p139439 +aS'.\t.\t.\tO\tO' +p139440 +asS'Neck exam revealed no jugular venous distention and no masses .' +p139441 +(lp139442 +S'Neck\tNeck\tNN\tB-NP\tO' +p139443 +aS'exam\texam\tNN\tI-NP\tO' +p139444 +aS'revealed\treveal\tVBD\tB-VP\tO' +p139445 +aS'no\tno\tDT\tB-NP\tO' +p139446 +aS'jugular\tjugular\tJJ\tI-NP\tO' +p139447 +aS'venous\tvenous\tJJ\tI-NP\tO' +p139448 +aS'distention\tdistention\tNN\tI-NP\tO' +p139449 +aS'and\tand\tCC\tO\tO' +p139450 +aS'no\tno\tDT\tB-NP\tO' +p139451 +aS'masses\tmass\tNNS\tI-NP\tO' +p139452 +aS'.\t.\t.\tO\tO' +p139453 +asS'Last colonoscopy , five years ago .' +p139454 +(lp139455 +S'Last\tLast\tJJ\tB-NP\tO' +p139456 +aS'colonoscopy\tcolonoscopy\tNN\tI-NP\tO' +p139457 +aS',\t,\t,\tO\tO' +p139458 +aS'five\tfive\tCD\tB-NP\tO' +p139459 +aS'years\tyear\tNNS\tI-NP\tO' +p139460 +aS'ago\tago\tRB\tB-ADVP\tO' +p139461 +aS'.\t.\t.\tO\tO' +p139462 +asS'The patient was given printed instructions for kidney stones ( English ) .' +p139463 +(lp139464 +S'The\tThe\tDT\tB-NP\tO' +p139465 +aS'patient\tpatient\tNN\tI-NP\tO' +p139466 +aS'was\tbe\tVBD\tB-VP\tO' +p139467 +aS'given\tgive\tVBN\tI-VP\tO' +p139468 +aS'printed\tprint\tVBN\tB-NP\tO' +p139469 +aS'instructions\tinstruction\tNNS\tI-NP\tO' +p139470 +aS'for\tfor\tIN\tB-PP\tO' +p139471 +aS'kidney\tkidney\tNN\tB-NP\tO' +p139472 +aS'stones\tstone\tNNS\tI-NP\tO' +p139473 +aS'(\t(\t(\tO\tO' +p139474 +aS'English\tEnglish\tNNS\tB-NP\tO' +p139475 +aS')\t)\t)\tO\tO' +p139476 +aS'.\t.\t.\tO\tO' +p139477 +asS'Tremors of the right hand and foot at rest .' +p139478 +(lp139479 +S'Tremors\tTremor\tNNS\tB-NP\tO' +p139480 +aS'of\tof\tIN\tB-PP\tO' +p139481 +aS'the\tthe\tDT\tB-NP\tO' +p139482 +aS'right\tright\tJJ\tI-NP\tO' +p139483 +aS'hand\thand\tNN\tI-NP\tO' +p139484 +aS'and\tand\tCC\tI-NP\tO' +p139485 +aS'foot\tfoot\tNN\tI-NP\tO' +p139486 +aS'at\tat\tIN\tB-PP\tO' +p139487 +aS'rest\trest\tNN\tB-NP\tO' +p139488 +aS'.\t.\t.\tO\tO' +p139489 +asS'Echo 11-02 : PRE-BYPASS : Left ventricular wall thickness , cavity size , and systolic function are normal ( LVEF>55% ).' +p139490 +(lp139491 +S'Echo\tEcho\tNNP\tB-NP\tO' +p139492 +aS'11-02\t11-02\tCD\tI-NP\tO' +p139493 +aS':\t:\t:\tO\tO' +p139494 +aS'PRE-BYPASS\tPRE-BYPASS\tNN\tB-NP\tO' +p139495 +aS':\t:\t:\tO\tO' +p139496 +aS'Left\tLeft\tJJ\tB-NP\tO' +p139497 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p139498 +aS'wall\twall\tNN\tI-NP\tO' +p139499 +aS'thickness\tthickness\tNN\tI-NP\tO' +p139500 +aS',\t,\t,\tO\tO' +p139501 +aS'cavity\tcavity\tNN\tB-NP\tO' +p139502 +aS'size\tsize\tNN\tI-NP\tO' +p139503 +aS',\t,\t,\tO\tO' +p139504 +aS'and\tand\tCC\tO\tO' +p139505 +aS'systolic\tsystolic\tJJ\tB-NP\tO' +p139506 +aS'function\tfunction\tNN\tI-NP\tO' +p139507 +aS'are\tbe\tVBP\tB-VP\tO' +p139508 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p139509 +aS'(\t(\t(\tO\tO' +p139510 +aS'LVEF>55%\tLVEF>55%\tNN\tB-NP\tO' +p139511 +aS').\t).\t)\tO\tO' +p139512 +asS'1. Lopressor 100 mg po three times a day .' +p139513 +(lp139514 +S'1.\t1.\tLS\tB-NP\tO' +p139515 +aS'Lopressor\tLopressor\tNN\tI-NP\tO' +p139516 +aS'100\t100\tCD\tI-NP\tO' +p139517 +aS'mg\tmg\tNN\tI-NP\tO' +p139518 +aS'po\tpo\tIN\tB-PP\tO' +p139519 +aS'three\tthree\tCD\tB-NP\tO' +p139520 +aS'times\ttime\tNNS\tI-NP\tO' +p139521 +aS'a\ta\tDT\tB-NP\tO' +p139522 +aS'day\tday\tNN\tI-NP\tO' +p139523 +aS'.\t.\t.\tO\tO' +p139524 +asS'3. ETT 4 cm above the carina with NG tube advancement into the stomach .' +p139525 +(lp139526 +S'3.\t3.\tLS\tB-NP\tO' +p139527 +aS'ETT\tETT\tNN\tI-NP\tB-protein' +p139528 +aS'4\t4\tCD\tI-NP\tI-protein' +p139529 +aS'cm\tcm\tNN\tI-NP\tO' +p139530 +aS'above\tabove\tIN\tB-PP\tO' +p139531 +aS'the\tthe\tDT\tB-NP\tO' +p139532 +aS'carina\tcarina\tNN\tI-NP\tO' +p139533 +aS'with\twith\tIN\tB-PP\tO' +p139534 +aS'NG\tNG\tNN\tB-NP\tO' +p139535 +aS'tube\ttube\tNN\tI-NP\tO' +p139536 +aS'advancement\tadvancement\tNN\tI-NP\tO' +p139537 +aS'into\tinto\tIN\tB-PP\tO' +p139538 +aS'the\tthe\tDT\tB-NP\tO' +p139539 +aS'stomach\tstomach\tNN\tI-NP\tO' +p139540 +aS'.\t.\t.\tO\tO' +p139541 +asS'The plan was for urinalysis q d .' +p139542 +(lp139543 +S'The\tThe\tDT\tB-NP\tO' +p139544 +aS'plan\tplan\tNN\tI-NP\tO' +p139545 +aS'was\tbe\tVBD\tB-VP\tO' +p139546 +aS'for\tfor\tIN\tB-PP\tO' +p139547 +aS'urinalysis\turinalysis\tNN\tB-NP\tO' +p139548 +aS'q\tq\tNN\tI-NP\tO' +p139549 +aS'd\td\tNN\tI-NP\tO' +p139550 +aS'.\t.\t.\tO\tO' +p139551 +asS'Please note the patient is only Caucasian speaking and information is second hand .' +p139552 +(lp139553 +S'Please\tPlease\tNN\tB-NP\tB-protein' +p139554 +aS'note\tnote\tVBP\tB-VP\tO' +p139555 +aS'the\tthe\tDT\tB-NP\tO' +p139556 +aS'patient\tpatient\tNN\tI-NP\tO' +p139557 +aS'is\tbe\tVBZ\tB-VP\tO' +p139558 +aS'only\tonly\tRB\tB-NP\tO' +p139559 +aS'Caucasian\tCaucasian\tJJ\tI-NP\tO' +p139560 +aS'speaking\tspeaking\tNN\tI-NP\tO' +p139561 +aS'and\tand\tCC\tI-NP\tO' +p139562 +aS'information\tinformation\tNN\tI-NP\tO' +p139563 +aS'is\tbe\tVBZ\tB-VP\tO' +p139564 +aS'second\tsecond\tJJ\tB-NP\tO' +p139565 +aS'hand\thand\tNN\tI-NP\tO' +p139566 +aS'.\t.\t.\tO\tO' +p139567 +asS'Attending : James I Schultz , M.D.' +p139568 +(lp139569 +S'Attending\tAttend\tVBG\tB-VP\tO' +p139570 +aS':\t:\t:\tO\tO' +p139571 +aS'James\tJames\tNNP\tB-NP\tO' +p139572 +aS'I\tI\tNNP\tI-NP\tO' +p139573 +aS'Schultz\tSchultz\tNNP\tI-NP\tO' +p139574 +aS',\t,\t,\tO\tO' +p139575 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p139576 +asS'4. 01-22 closed fracture of radius s/p closed reduction' +p139577 +(lp139578 +S'4.\t4.\tLS\tB-LST\tO' +p139579 +aS'01-22\t01-22\t:\tO\tO' +p139580 +aS'closed\tclosed\tJJ\tB-NP\tO' +p139581 +aS'fracture\tfracture\tNN\tI-NP\tO' +p139582 +aS'of\tof\tIN\tB-PP\tO' +p139583 +aS'radius\tradius\tNN\tB-NP\tO' +p139584 +aS's/p\ts/p\tNN\tI-NP\tO' +p139585 +aS'closed\tclose\tVBD\tB-VP\tO' +p139586 +aS'reduction\treduction\tNN\tB-NP\tO' +p139587 +asS'Denies any abuse of alcohol .' +p139588 +(lp139589 +S'Denies\tDeny\tNNS\tB-NP\tO' +p139590 +aS'any\tany\tDT\tB-NP\tO' +p139591 +aS'abuse\tabuse\tNN\tI-NP\tO' +p139592 +aS'of\tof\tIN\tB-PP\tO' +p139593 +aS'alcohol\talcohol\tNN\tB-NP\tO' +p139594 +aS'.\t.\t.\tO\tO' +p139595 +asS'Congestive heart failure with bilateral effusions ( R > L ) , with possible underlying consolidation in the RLL and to a lesser degree the RML and LLL .' +p139596 +(lp139597 +S'Congestive\tCongestive\tJJ\tB-NP\tO' +p139598 +aS'heart\theart\tNN\tI-NP\tO' +p139599 +aS'failure\tfailure\tNN\tI-NP\tO' +p139600 +aS'with\twith\tIN\tB-PP\tO' +p139601 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p139602 +aS'effusions\teffusion\tNNS\tI-NP\tO' +p139603 +aS'(\t(\t(\tO\tO' +p139604 +aS'R\tR\tNN\tB-NP\tO' +p139605 +aS'>\t>\tSYM\tO\tO' +p139606 +aS'L\tL\tNN\tB-NP\tO' +p139607 +aS')\t)\t)\tO\tO' +p139608 +aS',\t,\t,\tO\tO' +p139609 +aS'with\twith\tIN\tB-PP\tO' +p139610 +aS'possible\tpossible\tJJ\tB-NP\tO' +p139611 +aS'underlying\tunderlying\tJJ\tI-NP\tO' +p139612 +aS'consolidation\tconsolidation\tNN\tI-NP\tO' +p139613 +aS'in\tin\tIN\tB-PP\tO' +p139614 +aS'the\tthe\tDT\tB-NP\tO' +p139615 +aS'RLL\tRLL\tNN\tI-NP\tO' +p139616 +aS'and\tand\tCC\tB-PP\tO' +p139617 +aS'to\tto\tTO\tB-PP\tO' +p139618 +aS'a\ta\tDT\tB-NP\tO' +p139619 +aS'lesser\tless\tJJR\tI-NP\tO' +p139620 +aS'degree\tdegree\tNN\tI-NP\tO' +p139621 +aS'the\tthe\tDT\tB-NP\tO' +p139622 +aS'RML\tRML\tNN\tI-NP\tO' +p139623 +aS'and\tand\tCC\tI-NP\tO' +p139624 +aS'LLL\tLLL\tNN\tI-NP\tO' +p139625 +aS'.\t.\t.\tO\tO' +p139626 +asS'It was thought that the patient may have been mucous plugging during her stay in the ICU .' +p139627 +(lp139628 +S'It\tIt\tPRP\tB-NP\tO' +p139629 +aS'was\tbe\tVBD\tB-VP\tO' +p139630 +aS'thought\tthink\tVBN\tI-VP\tO' +p139631 +aS'that\tthat\tIN\tB-SBAR\tO' +p139632 +aS'the\tthe\tDT\tB-NP\tO' +p139633 +aS'patient\tpatient\tNN\tI-NP\tO' +p139634 +aS'may\tmay\tMD\tB-VP\tO' +p139635 +aS'have\thave\tVB\tI-VP\tO' +p139636 +aS'been\tbe\tVBN\tI-VP\tO' +p139637 +aS'mucous\tmucous\tJJ\tB-NP\tO' +p139638 +aS'plugging\tplugging\tNN\tI-NP\tO' +p139639 +aS'during\tduring\tIN\tB-PP\tO' +p139640 +aS'her\ther\tPRP$\tB-NP\tO' +p139641 +aS'stay\tstay\tNN\tI-NP\tO' +p139642 +aS'in\tin\tIN\tB-PP\tO' +p139643 +aS'the\tthe\tDT\tB-NP\tO' +p139644 +aS'ICU\tICU\tNN\tI-NP\tB-DNA' +p139645 +aS'.\t.\t.\tO\tO' +p139646 +asS'New moderate and fixed inferior myocardial wall perfusion defect .' +p139647 +(lp139648 +S'New\tNew\tJJ\tB-NP\tO' +p139649 +aS'moderate\tmoderate\tJJ\tI-NP\tO' +p139650 +aS'and\tand\tCC\tI-NP\tO' +p139651 +aS'fixed\tfix\tVBN\tI-NP\tO' +p139652 +aS'inferior\tinferior\tJJ\tI-NP\tO' +p139653 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p139654 +aS'wall\twall\tNN\tI-NP\tO' +p139655 +aS'perfusion\tperfusion\tNN\tI-NP\tO' +p139656 +aS'defect\tdefect\tNN\tI-NP\tO' +p139657 +aS'.\t.\t.\tO\tO' +p139658 +asS'The lungs showed decreased breath sounds at the right base , otherwise were clear .' +p139659 +(lp139660 +S'The\tThe\tDT\tB-NP\tO' +p139661 +aS'lungs\tlung\tNNS\tI-NP\tO' +p139662 +aS'showed\tshow\tVBD\tB-VP\tO' +p139663 +aS'decreased\tdecrease\tVBN\tB-NP\tO' +p139664 +aS'breath\tbreath\tNN\tI-NP\tO' +p139665 +aS'sounds\tsound\tNNS\tI-NP\tO' +p139666 +aS'at\tat\tIN\tB-PP\tO' +p139667 +aS'the\tthe\tDT\tB-NP\tO' +p139668 +aS'right\tright\tJJ\tI-NP\tO' +p139669 +aS'base\tbase\tNN\tI-NP\tO' +p139670 +aS',\t,\t,\tO\tO' +p139671 +aS'otherwise\totherwise\tRB\tB-ADVP\tO' +p139672 +aS'were\tbe\tVBD\tB-VP\tO' +p139673 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p139674 +aS'.\t.\t.\tO\tO' +p139675 +asS'We do not believe that she has any respiratory process going on at the time .' +p139676 +(lp139677 +S'We\tWe\tPRP\tB-NP\tO' +p139678 +aS'do\tdo\tVBP\tB-VP\tO' +p139679 +aS'not\tnot\tRB\tI-VP\tO' +p139680 +aS'believe\tbelieve\tVB\tI-VP\tO' +p139681 +aS'that\tthat\tIN\tB-SBAR\tO' +p139682 +aS'she\tshe\tPRP\tB-NP\tO' +p139683 +aS'has\thave\tVBZ\tB-VP\tO' +p139684 +aS'any\tany\tDT\tB-NP\tO' +p139685 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p139686 +aS'process\tprocess\tNN\tI-NP\tO' +p139687 +aS'going\tgo\tVBG\tB-VP\tO' +p139688 +aS'on\ton\tRP\tB-PRT\tO' +p139689 +aS'at\tat\tIN\tB-PP\tO' +p139690 +aS'the\tthe\tDT\tB-NP\tO' +p139691 +aS'time\ttime\tNN\tI-NP\tO' +p139692 +aS'.\t.\t.\tO\tO' +p139693 +asS'The patient was also started on Doxycycline given the concern for pneumonia on chest x-ray .' +p139694 +(lp139695 +S'The\tThe\tDT\tB-NP\tO' +p139696 +aS'patient\tpatient\tNN\tI-NP\tO' +p139697 +aS'was\tbe\tVBD\tB-VP\tO' +p139698 +aS'also\talso\tRB\tI-VP\tO' +p139699 +aS'started\tstart\tVBN\tI-VP\tO' +p139700 +aS'on\ton\tIN\tB-PP\tO' +p139701 +aS'Doxycycline\tDoxycycline\tNN\tB-NP\tO' +p139702 +aS'given\tgive\tVBN\tB-VP\tO' +p139703 +aS'the\tthe\tDT\tB-NP\tO' +p139704 +aS'concern\tconcern\tNN\tI-NP\tO' +p139705 +aS'for\tfor\tIN\tB-PP\tO' +p139706 +aS'pneumonia\tpneumonia\tNN\tB-NP\tO' +p139707 +aS'on\ton\tIN\tB-PP\tO' +p139708 +aS'chest\tchest\tNN\tB-NP\tO' +p139709 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p139710 +aS'.\t.\t.\tO\tO' +p139711 +asS'Left internal mammary artery to left anterior descending artery , saphenous vein graft to left anterior descending artery to diagonal , saphenous vein graft to right posterior descending artery , and saphenous vein graft to first obtuse marginal .' +p139712 +(lp139713 +S'Left\tLeave\tVBN\tB-NP\tO' +p139714 +aS'internal\tinternal\tJJ\tI-NP\tO' +p139715 +aS'mammary\tmammary\tJJ\tI-NP\tO' +p139716 +aS'artery\tartery\tNN\tI-NP\tO' +p139717 +aS'to\tto\tTO\tB-VP\tO' +p139718 +aS'left\tleft\tVB\tI-VP\tO' +p139719 +aS'anterior\tanterior\tJJ\tB-NP\tO' +p139720 +aS'descending\tdescend\tVBG\tI-NP\tO' +p139721 +aS'artery\tartery\tNN\tI-NP\tO' +p139722 +aS',\t,\t,\tO\tO' +p139723 +aS'saphenous\tsaphenous\tJJ\tB-NP\tO' +p139724 +aS'vein\tvein\tNN\tI-NP\tO' +p139725 +aS'graft\tgraft\tNN\tI-NP\tO' +p139726 +aS'to\tto\tTO\tB-VP\tO' +p139727 +aS'left\tleft\tVB\tI-VP\tO' +p139728 +aS'anterior\tanterior\tJJ\tB-NP\tO' +p139729 +aS'descending\tdescend\tVBG\tI-NP\tO' +p139730 +aS'artery\tartery\tNN\tI-NP\tO' +p139731 +aS'to\tto\tTO\tB-PP\tO' +p139732 +aS'diagonal\tdiagonal\tJJ\tB-NP\tO' +p139733 +aS',\t,\t,\tI-NP\tO' +p139734 +aS'saphenous\tsaphenous\tJJ\tI-NP\tO' +p139735 +aS'vein\tvein\tNN\tI-NP\tO' +p139736 +aS'graft\tgraft\tNN\tI-NP\tO' +p139737 +aS'to\tto\tTO\tB-PP\tO' +p139738 +aS'right\tright\tJJ\tB-NP\tO' +p139739 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p139740 +aS'descending\tdescend\tVBG\tI-NP\tO' +p139741 +aS'artery\tartery\tNN\tI-NP\tO' +p139742 +aS',\t,\t,\tO\tO' +p139743 +aS'and\tand\tCC\tO\tO' +p139744 +aS'saphenous\tsaphenous\tJJ\tB-NP\tO' +p139745 +aS'vein\tvein\tNN\tI-NP\tO' +p139746 +aS'graft\tgraft\tNN\tI-NP\tO' +p139747 +aS'to\tto\tTO\tB-PP\tO' +p139748 +aS'first\tfirst\tJJ\tB-NP\tO' +p139749 +aS'obtuse\tobtuse\tNN\tI-NP\tO' +p139750 +aS'marginal\tmarginal\tJJ\tB-ADJP\tO' +p139751 +aS'.\t.\t.\tO\tO' +p139752 +asS'Tympanic membranes were noted to be clear .' +p139753 +(lp139754 +S'Tympanic\tTympanic\tJJ\tB-NP\tO' +p139755 +aS'membranes\tmembrane\tNNS\tI-NP\tO' +p139756 +aS'were\tbe\tVBD\tB-VP\tO' +p139757 +aS'noted\tnote\tVBN\tI-VP\tO' +p139758 +aS'to\tto\tTO\tI-VP\tO' +p139759 +aS'be\tbe\tVB\tI-VP\tO' +p139760 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p139761 +aS'.\t.\t.\tO\tO' +p139762 +asS'Perhaps his recent falls are related to orthostatic hypotension after dialysis .' +p139763 +(lp139764 +S'Perhaps\tPerhaps\tRB\tB-ADVP\tO' +p139765 +aS'his\this\tPRP$\tB-NP\tO' +p139766 +aS'recent\trecent\tJJ\tI-NP\tO' +p139767 +aS'falls\tfall\tNNS\tI-NP\tO' +p139768 +aS'are\tbe\tVBP\tB-VP\tO' +p139769 +aS'related\trelate\tVBN\tI-VP\tO' +p139770 +aS'to\tto\tTO\tB-PP\tO' +p139771 +aS'orthostatic\torthostatic\tJJ\tB-NP\tO' +p139772 +aS'hypotension\thypotension\tNN\tI-NP\tO' +p139773 +aS'after\tafter\tIN\tB-PP\tO' +p139774 +aS'dialysis\tdialysis\tNN\tB-NP\tO' +p139775 +aS'.\t.\t.\tO\tO' +p139776 +asS'He also has a history of hypertension and diabetes mellitus .' +p139777 +(lp139778 +S'He\tHe\tPRP\tB-NP\tO' +p139779 +aS'also\talso\tRB\tB-ADVP\tO' +p139780 +aS'has\thave\tVBZ\tB-VP\tO' +p139781 +aS'a\ta\tDT\tB-NP\tO' +p139782 +aS'history\thistory\tNN\tI-NP\tO' +p139783 +aS'of\tof\tIN\tB-PP\tO' +p139784 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p139785 +aS'and\tand\tCC\tI-NP\tO' +p139786 +aS'diabetes\tdiabetes\tNN\tI-NP\tO' +p139787 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p139788 +aS'.\t.\t.\tO\tO' +p139789 +asS'She had a Chem-7 which was normal .' +p139790 +(lp139791 +S'She\tShe\tPRP\tB-NP\tO' +p139792 +aS'had\thave\tVBD\tB-VP\tO' +p139793 +aS'a\ta\tDT\tB-NP\tO' +p139794 +aS'Chem-7\tChem-7\tNN\tI-NP\tB-protein' +p139795 +aS'which\twhich\tWDT\tB-NP\tO' +p139796 +aS'was\tbe\tVBD\tB-VP\tO' +p139797 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p139798 +aS'.\t.\t.\tO\tO' +p139799 +asS'Due to mixed bacterial types ( >= 3 colony types ) an abbreviated workup is performed appropriate to the isolates recovered from the site ( including a screen for Pseudomonas aeruginosa , Staphylococcus aureus and beta streptococcus ) .' +p139800 +(lp139801 +S'Due\tDue\tJJ\tB-PP\tO' +p139802 +aS'to\tto\tTO\tB-PP\tO' +p139803 +aS'mixed\tmixed\tJJ\tB-NP\tB-cell_type' +p139804 +aS'bacterial\tbacterial\tJJ\tI-NP\tI-cell_type' +p139805 +aS'types\ttype\tNNS\tI-NP\tI-cell_type' +p139806 +aS'(\t(\t(\tO\tO' +p139807 +aS'>=\t>=\tSYM\tB-NP\tO' +p139808 +aS'3\t3\tCD\tI-NP\tO' +p139809 +aS'colony\tcolony\tNN\tI-NP\tO' +p139810 +aS'types\ttype\tNNS\tI-NP\tO' +p139811 +aS')\t)\t)\tO\tO' +p139812 +aS'an\tan\tDT\tB-NP\tO' +p139813 +aS'abbreviated\tabbreviate\tVBN\tI-NP\tO' +p139814 +aS'workup\tworkup\tNN\tI-NP\tO' +p139815 +aS'is\tbe\tVBZ\tB-VP\tO' +p139816 +aS'performed\tperform\tVBN\tI-VP\tO' +p139817 +aS'appropriate\tappropriate\tJJ\tB-ADJP\tO' +p139818 +aS'to\tto\tTO\tB-PP\tO' +p139819 +aS'the\tthe\tDT\tB-NP\tO' +p139820 +aS'isolates\tisolate\tNNS\tI-NP\tO' +p139821 +aS'recovered\trecover\tVBD\tB-VP\tO' +p139822 +aS'from\tfrom\tIN\tB-PP\tO' +p139823 +aS'the\tthe\tDT\tB-NP\tO' +p139824 +aS'site\tsite\tNN\tI-NP\tO' +p139825 +aS'(\t(\t(\tO\tO' +p139826 +aS'including\tinclude\tVBG\tB-PP\tO' +p139827 +aS'a\ta\tDT\tB-NP\tO' +p139828 +aS'screen\tscreen\tNN\tI-NP\tO' +p139829 +aS'for\tfor\tIN\tB-PP\tO' +p139830 +aS'Pseudomonas\tPseudomonas\tNNP\tB-NP\tO' +p139831 +aS'aeruginosa\taeruginosa\tNN\tI-NP\tO' +p139832 +aS',\t,\t,\tO\tO' +p139833 +aS'Staphylococcus\tStaphylococcus\tNNP\tB-NP\tO' +p139834 +aS'aureus\taureus\tNNP\tI-NP\tO' +p139835 +aS'and\tand\tCC\tO\tO' +p139836 +aS'beta\tbeta\tSYM\tB-NP\tO' +p139837 +aS'streptococcus\tstreptococcus\tNN\tI-NP\tO' +p139838 +aS')\t)\t)\tO\tO' +p139839 +aS'.\t.\t.\tO\tO' +p139840 +asS'Power was mildly diminished in the finger extensors and hand intrinsics on the left , otherwise , power was full throughout .' +p139841 +(lp139842 +S'Power\tPower\tNN\tB-NP\tO' +p139843 +aS'was\tbe\tVBD\tB-VP\tO' +p139844 +aS'mildly\tmildly\tRB\tI-VP\tO' +p139845 +aS'diminished\tdiminish\tVBN\tI-VP\tO' +p139846 +aS'in\tin\tIN\tB-PP\tO' +p139847 +aS'the\tthe\tDT\tB-NP\tO' +p139848 +aS'finger\tfinger\tNN\tI-NP\tO' +p139849 +aS'extensors\textensor\tNNS\tI-NP\tO' +p139850 +aS'and\tand\tCC\tO\tO' +p139851 +aS'hand\thand\tNN\tB-NP\tO' +p139852 +aS'intrinsics\tintrinsic\tNNS\tI-NP\tO' +p139853 +aS'on\ton\tIN\tB-PP\tO' +p139854 +aS'the\tthe\tDT\tB-NP\tO' +p139855 +aS'left\tleft\tNN\tI-NP\tO' +p139856 +aS',\t,\t,\tO\tO' +p139857 +aS'otherwise\totherwise\tRB\tB-ADVP\tO' +p139858 +aS',\t,\t,\tO\tO' +p139859 +aS'power\tpower\tNN\tB-NP\tO' +p139860 +aS'was\tbe\tVBD\tB-VP\tO' +p139861 +aS'full\tfull\tJJ\tB-ADJP\tO' +p139862 +aS'throughout\tthroughout\tIN\tB-ADVP\tO' +p139863 +aS'.\t.\t.\tO\tO' +p139864 +asS'This was performed on 2014-04-01 , postoperative day number 21 .' +p139865 +(lp139866 +S'This\tThis\tDT\tB-NP\tO' +p139867 +aS'was\tbe\tVBD\tB-VP\tO' +p139868 +aS'performed\tperform\tVBN\tI-VP\tO' +p139869 +aS'on\ton\tIN\tB-PP\tO' +p139870 +aS'2014-04-01\t2014-04-01\tCD\tB-NP\tO' +p139871 +aS',\t,\t,\tO\tO' +p139872 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p139873 +aS'day\tday\tNN\tI-NP\tO' +p139874 +aS'number\tnumber\tNN\tI-NP\tO' +p139875 +aS'21\t21\tCD\tI-NP\tO' +p139876 +aS'.\t.\t.\tO\tO' +p139877 +asS"Post-intubation , the pt 's BP acutely dropped to 58/19 in the setting of propofol ." +p139878 +(lp139879 +S'Post-intubation\tPost-intubation\tNN\tB-NP\tO' +p139880 +aS',\t,\t,\tO\tO' +p139881 +aS'the\tthe\tDT\tB-NP\tO' +p139882 +aS'pt\tpt\tNN\tI-NP\tO' +p139883 +aS"'s\t's\tPOS\tB-NP\tO" +p139884 +aS'BP\tBP\tNN\tI-NP\tO' +p139885 +aS'acutely\tacutely\tRB\tB-ADVP\tO' +p139886 +aS'dropped\tdrop\tVBD\tB-VP\tO' +p139887 +aS'to\tto\tTO\tB-PP\tO' +p139888 +aS'58/19\t58/19\tCD\tB-NP\tO' +p139889 +aS'in\tin\tIN\tB-PP\tO' +p139890 +aS'the\tthe\tDT\tB-NP\tO' +p139891 +aS'setting\tsetting\tNN\tI-NP\tO' +p139892 +aS'of\tof\tIN\tB-PP\tO' +p139893 +aS'propofol\tpropofol\tNN\tB-NP\tO' +p139894 +aS'.\t.\t.\tO\tO' +p139895 +asS'New rounded low-density area measuring 2.5 cm in left basal ganglia , which partially extends to the left thalamus , probably representing subacute infarction .' +p139896 +(lp139897 +S'New\tNew\tJJ\tB-NP\tO' +p139898 +aS'rounded\trounded\tJJ\tI-NP\tO' +p139899 +aS'low-density\tlow-density\tJJ\tI-NP\tO' +p139900 +aS'area\tarea\tNN\tI-NP\tO' +p139901 +aS'measuring\tmeasure\tVBG\tB-VP\tO' +p139902 +aS'2.5\t2.5\tCD\tB-NP\tO' +p139903 +aS'cm\tcm\tNN\tI-NP\tO' +p139904 +aS'in\tin\tIN\tB-PP\tO' +p139905 +aS'left\tleft\tJJ\tB-NP\tB-cell_type' +p139906 +aS'basal\tbasal\tJJ\tI-NP\tI-cell_type' +p139907 +aS'ganglia\tganglia\tNNS\tI-NP\tI-cell_type' +p139908 +aS',\t,\t,\tO\tO' +p139909 +aS'which\twhich\tWDT\tB-NP\tO' +p139910 +aS'partially\tpartially\tRB\tB-ADVP\tO' +p139911 +aS'extends\textend\tVBZ\tB-VP\tO' +p139912 +aS'to\tto\tTO\tB-PP\tO' +p139913 +aS'the\tthe\tDT\tB-NP\tO' +p139914 +aS'left\tleft\tJJ\tI-NP\tO' +p139915 +aS'thalamus\tthalamus\tNN\tI-NP\tO' +p139916 +aS',\t,\t,\tO\tO' +p139917 +aS'probably\tprobably\tRB\tB-ADVP\tO' +p139918 +aS'representing\trepresent\tVBG\tB-VP\tO' +p139919 +aS'subacute\tsubacute\tJJ\tB-NP\tO' +p139920 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p139921 +aS'.\t.\t.\tO\tO' +p139922 +asS'She also had significant hydrocephalus .' +p139923 +(lp139924 +S'She\tShe\tPRP\tB-NP\tO' +p139925 +aS'also\talso\tRB\tB-ADVP\tO' +p139926 +aS'had\thave\tVBD\tB-VP\tO' +p139927 +aS'significant\tsignificant\tJJ\tB-NP\tO' +p139928 +aS'hydrocephalus\thydrocephalus\tNN\tI-NP\tO' +p139929 +aS'.\t.\t.\tO\tO' +p139930 +asS'This should continue to be followed as an outpatient to assure that it returns back to normal .' +p139931 +(lp139932 +S'This\tThis\tDT\tB-NP\tO' +p139933 +aS'should\tshould\tMD\tB-VP\tO' +p139934 +aS'continue\tcontinue\tVB\tI-VP\tO' +p139935 +aS'to\tto\tTO\tI-VP\tO' +p139936 +aS'be\tbe\tVB\tI-VP\tO' +p139937 +aS'followed\tfollow\tVBN\tI-VP\tO' +p139938 +aS'as\tas\tIN\tB-PP\tO' +p139939 +aS'an\tan\tDT\tB-NP\tO' +p139940 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p139941 +aS'to\tto\tTO\tB-VP\tO' +p139942 +aS'assure\tassure\tVB\tI-VP\tO' +p139943 +aS'that\tthat\tIN\tB-SBAR\tO' +p139944 +aS'it\tit\tPRP\tB-NP\tO' +p139945 +aS'returns\treturn\tVBZ\tB-VP\tO' +p139946 +aS'back\tback\tRB\tB-ADVP\tO' +p139947 +aS'to\tto\tTO\tB-PP\tO' +p139948 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p139949 +aS'.\t.\t.\tO\tO' +p139950 +asS'no obvious mediastinal widening , but no comp arison film ; wnl' +p139951 +(lp139952 +S'no\tno\tDT\tB-NP\tO' +p139953 +aS'obvious\tobvious\tJJ\tI-NP\tO' +p139954 +aS'mediastinal\tmediastinal\tJJ\tI-NP\tO' +p139955 +aS'widening\twidening\tNN\tI-NP\tO' +p139956 +aS',\t,\t,\tO\tO' +p139957 +aS'but\tbut\tCC\tO\tO' +p139958 +aS'no\tno\tDT\tB-NP\tO' +p139959 +aS'comp\tcomp\tNN\tI-NP\tO' +p139960 +aS'arison\tarison\tNN\tI-NP\tO' +p139961 +aS'film\tfilm\tNN\tI-NP\tO' +p139962 +aS';\t;\t:\tO\tO' +p139963 +aS'wnl\twnl\tNN\tB-NP\tO' +p139964 +asS'07-05 the patient had a J tube placed in interventional radiology for nutritional support .' +p139965 +(lp139966 +S'07-05\t07-05\tCD\tB-NP\tO' +p139967 +aS'the\tthe\tDT\tB-NP\tO' +p139968 +aS'patient\tpatient\tNN\tI-NP\tO' +p139969 +aS'had\thave\tVBD\tB-VP\tO' +p139970 +aS'a\ta\tDT\tB-NP\tO' +p139971 +aS'J\tJ\tNN\tI-NP\tO' +p139972 +aS'tube\ttube\tNN\tI-NP\tO' +p139973 +aS'placed\tplace\tVBN\tB-VP\tO' +p139974 +aS'in\tin\tIN\tB-PP\tO' +p139975 +aS'interventional\tinterventional\tJJ\tB-NP\tO' +p139976 +aS'radiology\tradiology\tNN\tI-NP\tO' +p139977 +aS'for\tfor\tIN\tB-PP\tO' +p139978 +aS'nutritional\tnutritional\tJJ\tB-NP\tO' +p139979 +aS'support\tsupport\tNN\tI-NP\tO' +p139980 +aS'.\t.\t.\tO\tO' +p139981 +asS'The patient presented with a chief complaint of IV FLUIDS .' +p139982 +(lp139983 +S'The\tThe\tDT\tB-NP\tO' +p139984 +aS'patient\tpatient\tNN\tI-NP\tO' +p139985 +aS'presented\tpresent\tVBD\tB-VP\tO' +p139986 +aS'with\twith\tIN\tB-PP\tO' +p139987 +aS'a\ta\tDT\tB-NP\tO' +p139988 +aS'chief\tchief\tJJ\tI-NP\tO' +p139989 +aS'complaint\tcomplaint\tNN\tI-NP\tO' +p139990 +aS'of\tof\tIN\tB-PP\tO' +p139991 +aS'IV\tIV\tCD\tB-NP\tO' +p139992 +aS'FLUIDS\tFLUIDS\tNN\tI-NP\tO' +p139993 +aS'.\t.\t.\tO\tO' +p139994 +asS'Cardiovascular - Normal .' +p139995 +(lp139996 +S'Cardiovascular\tCardiovascular\tJJ\tB-NP\tO' +p139997 +aS'-\t-\tHYPH\tI-NP\tO' +p139998 +aS'Normal\tNormal\tJJ\tB-ADJP\tO' +p139999 +aS'.\t.\t.\tO\tO' +p140000 +asS'Her BUN and creatinine have been normal , and she has always made good urine .' +p140001 +(lp140002 +S'Her\tHer\tPRP$\tB-NP\tO' +p140003 +aS'BUN\tBUN\tNN\tI-NP\tB-protein' +p140004 +aS'and\tand\tCC\tI-NP\tO' +p140005 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p140006 +aS'have\thave\tVBP\tB-VP\tO' +p140007 +aS'been\tbe\tVBN\tI-VP\tO' +p140008 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p140009 +aS',\t,\t,\tO\tO' +p140010 +aS'and\tand\tCC\tO\tO' +p140011 +aS'she\tshe\tPRP\tB-NP\tO' +p140012 +aS'has\thave\tVBZ\tB-VP\tO' +p140013 +aS'always\talways\tRB\tI-VP\tO' +p140014 +aS'made\tmake\tVBN\tI-VP\tO' +p140015 +aS'good\tgood\tJJ\tB-NP\tO' +p140016 +aS'urine\turine\tNN\tI-NP\tO' +p140017 +aS'.\t.\t.\tO\tO' +p140018 +asS'At that point he had a change in mental status and was no longer responsive .' +p140019 +(lp140020 +S'At\tAt\tIN\tB-PP\tO' +p140021 +aS'that\tthat\tDT\tB-NP\tO' +p140022 +aS'point\tpoint\tNN\tI-NP\tO' +p140023 +aS'he\the\tPRP\tB-NP\tO' +p140024 +aS'had\thave\tVBD\tB-VP\tO' +p140025 +aS'a\ta\tDT\tB-NP\tO' +p140026 +aS'change\tchange\tNN\tI-NP\tO' +p140027 +aS'in\tin\tIN\tB-PP\tO' +p140028 +aS'mental\tmental\tJJ\tB-NP\tO' +p140029 +aS'status\tstatus\tNN\tI-NP\tO' +p140030 +aS'and\tand\tCC\tO\tO' +p140031 +aS'was\tbe\tVBD\tB-VP\tO' +p140032 +aS'no\tno\tRB\tB-ADVP\tO' +p140033 +aS'longer\tlonger\tRBR\tI-ADVP\tO' +p140034 +aS'responsive\tresponsive\tJJ\tB-ADJP\tO' +p140035 +aS'.\t.\t.\tO\tO' +p140036 +asS'The patient was started on sips on postop day 2 , and advanced to clear liquids on postop day 3 .' +p140037 +(lp140038 +S'The\tThe\tDT\tB-NP\tO' +p140039 +aS'patient\tpatient\tNN\tI-NP\tO' +p140040 +aS'was\tbe\tVBD\tB-VP\tO' +p140041 +aS'started\tstart\tVBN\tI-VP\tO' +p140042 +aS'on\ton\tIN\tB-PP\tO' +p140043 +aS'sips\tsip\tNNS\tB-NP\tO' +p140044 +aS'on\ton\tIN\tB-PP\tO' +p140045 +aS'postop\tpostop\tNN\tB-NP\tO' +p140046 +aS'day\tday\tNN\tI-NP\tO' +p140047 +aS'2\t2\tCD\tI-NP\tO' +p140048 +aS',\t,\t,\tO\tO' +p140049 +aS'and\tand\tCC\tO\tO' +p140050 +aS'advanced\tadvance\tVBD\tB-VP\tO' +p140051 +aS'to\tto\tTO\tI-VP\tO' +p140052 +aS'clear\tclear\tVB\tI-VP\tO' +p140053 +aS'liquids\tliquid\tNNS\tB-NP\tO' +p140054 +aS'on\ton\tIN\tB-PP\tO' +p140055 +aS'postop\tpostop\tNN\tB-NP\tO' +p140056 +aS'day\tday\tNN\tI-NP\tO' +p140057 +aS'3\t3\tCD\tI-NP\tO' +p140058 +aS'.\t.\t.\tO\tO' +p140059 +asS'Significant for hypertension .' +p140060 +(lp140061 +S'Significant\tSignificant\tJJ\tB-ADJP\tO' +p140062 +aS'for\tfor\tIN\tB-PP\tO' +p140063 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p140064 +aS'.\t.\t.\tO\tO' +p140065 +asS'Medications on transfer : esmopreazole 40 mg iv bid hydrochlorthiazide 25 mg daily lisinopril 5 mg daily loratadine 10 mg daily metprolol 150 mg daily multivitamin niacin 500 mg daily' +p140066 +(lp140067 +S'Medications\tMedication\tNNS\tB-NP\tO' +p140068 +aS'on\ton\tIN\tB-PP\tO' +p140069 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p140070 +aS':\t:\t:\tO\tO' +p140071 +aS'esmopreazole\tesmopreazole\tNN\tB-NP\tO' +p140072 +aS'40\t40\tCD\tI-NP\tO' +p140073 +aS'mg\tmg\tNN\tI-NP\tO' +p140074 +aS'iv\tiv\tJJ\tI-NP\tO' +p140075 +aS'bid\tbid\tNN\tI-NP\tO' +p140076 +aS'hydrochlorthiazide\thydrochlorthiazide\tNN\tI-NP\tO' +p140077 +aS'25\t25\tCD\tI-NP\tO' +p140078 +aS'mg\tmg\tNN\tI-NP\tO' +p140079 +aS'daily\tdaily\tJJ\tI-NP\tO' +p140080 +aS'lisinopril\tlisinopril\tNN\tI-NP\tO' +p140081 +aS'5\t5\tCD\tI-NP\tO' +p140082 +aS'mg\tmg\tNN\tI-NP\tO' +p140083 +aS'daily\tdaily\tJJ\tI-NP\tO' +p140084 +aS'loratadine\tloratadine\tNN\tI-NP\tO' +p140085 +aS'10\t10\tCD\tI-NP\tO' +p140086 +aS'mg\tmg\tNN\tI-NP\tO' +p140087 +aS'daily\tdaily\tJJ\tI-NP\tO' +p140088 +aS'metprolol\tmetprolol\tNN\tI-NP\tO' +p140089 +aS'150\t150\tCD\tI-NP\tO' +p140090 +aS'mg\tmg\tNN\tI-NP\tO' +p140091 +aS'daily\tdaily\tJJ\tI-NP\tO' +p140092 +aS'multivitamin\tmultivitamin\tNN\tI-NP\tO' +p140093 +aS'niacin\tniacin\tNN\tI-NP\tO' +p140094 +aS'500\t500\tCD\tI-NP\tO' +p140095 +aS'mg\tmg\tNN\tI-NP\tO' +p140096 +aS'daily\tdaily\tJJ\tI-NP\tO' +p140097 +asS'The patient has remained stable and is now ready for discharge to home with follow-up in approximately four weeks .' +p140098 +(lp140099 +S'The\tThe\tDT\tB-NP\tO' +p140100 +aS'patient\tpatient\tNN\tI-NP\tO' +p140101 +aS'has\thave\tVBZ\tB-VP\tO' +p140102 +aS'remained\tremain\tVBN\tI-VP\tO' +p140103 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p140104 +aS'and\tand\tCC\tO\tO' +p140105 +aS'is\tbe\tVBZ\tB-VP\tO' +p140106 +aS'now\tnow\tRB\tB-ADJP\tO' +p140107 +aS'ready\tready\tJJ\tI-ADJP\tO' +p140108 +aS'for\tfor\tIN\tB-PP\tO' +p140109 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p140110 +aS'to\tto\tTO\tB-PP\tO' +p140111 +aS'home\thome\tNN\tB-NP\tO' +p140112 +aS'with\twith\tIN\tB-PP\tO' +p140113 +aS'follow-up\tfollow-up\tNN\tB-NP\tO' +p140114 +aS'in\tin\tIN\tB-PP\tO' +p140115 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p140116 +aS'four\tfour\tCD\tI-NP\tO' +p140117 +aS'weeks\tweek\tNNS\tI-NP\tO' +p140118 +aS'.\t.\t.\tO\tO' +p140119 +asS'Seldom ETOH .' +p140120 +(lp140121 +S'Seldom\tSeldom\tNN\tB-NP\tO' +p140122 +aS'ETOH\tETOH\tNN\tI-NP\tO' +p140123 +aS'.\t.\t.\tO\tO' +p140124 +asS'and one of his teeth was chipped .' +p140125 +(lp140126 +S'and\tand\tCC\tO\tO' +p140127 +aS'one\tone\tCD\tB-NP\tO' +p140128 +aS'of\tof\tIN\tB-PP\tO' +p140129 +aS'his\this\tPRP$\tB-NP\tO' +p140130 +aS'teeth\ttooth\tNNS\tI-NP\tO' +p140131 +aS'was\tbe\tVBD\tB-VP\tO' +p140132 +aS'chipped\tchip\tVBN\tI-VP\tO' +p140133 +aS'.\t.\t.\tO\tO' +p140134 +asS'6. Neutra phos 2 tabs BID' +p140135 +(lp140136 +S'6.\t6.\tLS\tB-NP\tO' +p140137 +aS'Neutra\tNeutra\tNNP\tI-NP\tO' +p140138 +aS'phos\tpho\tNNS\tI-NP\tO' +p140139 +aS'2\t2\tCD\tB-NP\tO' +p140140 +aS'tabs\ttab\tNNS\tI-NP\tO' +p140141 +aS'BID\tBID\tNN\tB-NP\tO' +p140142 +asS'He passed away shortly thereafter .' +p140143 +(lp140144 +S'He\tHe\tPRP\tB-NP\tO' +p140145 +aS'passed\tpass\tVBD\tB-VP\tO' +p140146 +aS'away\taway\tRB\tB-ADVP\tO' +p140147 +aS'shortly\tshortly\tRB\tB-ADVP\tO' +p140148 +aS'thereafter\tthereafter\tRB\tI-ADVP\tO' +p140149 +aS'.\t.\t.\tO\tO' +p140150 +asS'She had diffuse ischemic ST segment changes and increased lung uptake and a reversible anterior and lateral defect .' +p140151 +(lp140152 +S'She\tShe\tPRP\tB-NP\tO' +p140153 +aS'had\thave\tVBD\tB-VP\tO' +p140154 +aS'diffuse\tdiffuse\tJJ\tB-NP\tO' +p140155 +aS'ischemic\tischemic\tJJ\tI-NP\tO' +p140156 +aS'ST\tST\tNN\tI-NP\tO' +p140157 +aS'segment\tsegment\tNN\tI-NP\tO' +p140158 +aS'changes\tchange\tNNS\tI-NP\tO' +p140159 +aS'and\tand\tCC\tO\tO' +p140160 +aS'increased\tincrease\tVBN\tB-NP\tO' +p140161 +aS'lung\tlung\tNN\tI-NP\tO' +p140162 +aS'uptake\tuptake\tNN\tI-NP\tO' +p140163 +aS'and\tand\tCC\tO\tO' +p140164 +aS'a\ta\tDT\tB-NP\tO' +p140165 +aS'reversible\treversible\tJJ\tI-NP\tO' +p140166 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p140167 +aS'and\tand\tCC\tI-NP\tO' +p140168 +aS'lateral\tlateral\tJJ\tI-NP\tO' +p140169 +aS'defect\tdefect\tNN\tI-NP\tO' +p140170 +aS'.\t.\t.\tO\tO' +p140171 +asS'Reticulocyte count was performed that was negative .' +p140172 +(lp140173 +S'Reticulocyte\tReticulocyte\tNN\tB-NP\tO' +p140174 +aS'count\tcount\tNN\tI-NP\tO' +p140175 +aS'was\tbe\tVBD\tB-VP\tO' +p140176 +aS'performed\tperform\tVBN\tI-VP\tO' +p140177 +aS'that\tthat\tWDT\tB-NP\tO' +p140178 +aS'was\tbe\tVBD\tB-VP\tO' +p140179 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p140180 +aS'.\t.\t.\tO\tO' +p140181 +asS'A repeat echocardiogram showed a decreased ejection fraction from prior .' +p140182 +(lp140183 +S'A\tA\tDT\tB-NP\tO' +p140184 +aS'repeat\trepeat\tNN\tI-NP\tO' +p140185 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p140186 +aS'showed\tshow\tVBD\tB-VP\tO' +p140187 +aS'a\ta\tDT\tB-NP\tO' +p140188 +aS'decreased\tdecrease\tVBN\tI-NP\tO' +p140189 +aS'ejection\tejection\tNN\tI-NP\tO' +p140190 +aS'fraction\tfraction\tNN\tI-NP\tO' +p140191 +aS'from\tfrom\tIN\tB-PP\tO' +p140192 +aS'prior\tprior\tRB\tB-ADVP\tO' +p140193 +aS'.\t.\t.\tO\tO' +p140194 +asS'Initial opthalmologic exam on 06-05 revealed immature retinas in zone 3 , and repeat exam on 06-26 revealed mature retinas bilaterally .' +p140195 +(lp140196 +S'Initial\tInitial\tJJ\tB-NP\tO' +p140197 +aS'opthalmologic\topthalmologic\tJJ\tI-NP\tO' +p140198 +aS'exam\texam\tNN\tI-NP\tO' +p140199 +aS'on\ton\tIN\tB-PP\tO' +p140200 +aS'06-05\t06-05\tCD\tB-NP\tO' +p140201 +aS'revealed\treveal\tVBD\tB-VP\tO' +p140202 +aS'immature\timmature\tJJ\tB-NP\tO' +p140203 +aS'retinas\tretina\tNNS\tI-NP\tO' +p140204 +aS'in\tin\tIN\tB-PP\tO' +p140205 +aS'zone\tzone\tNN\tB-NP\tO' +p140206 +aS'3\t3\tCD\tI-NP\tO' +p140207 +aS',\t,\t,\tO\tO' +p140208 +aS'and\tand\tCC\tO\tO' +p140209 +aS'repeat\trepeat\tNN\tB-NP\tO' +p140210 +aS'exam\texam\tNN\tI-NP\tO' +p140211 +aS'on\ton\tIN\tB-PP\tO' +p140212 +aS'06-26\t06-26\tCD\tB-NP\tO' +p140213 +aS'revealed\treveal\tVBD\tB-VP\tO' +p140214 +aS'mature\tmature\tJJ\tB-NP\tO' +p140215 +aS'retinas\tretina\tNNS\tI-NP\tO' +p140216 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p140217 +aS'.\t.\t.\tO\tO' +p140218 +asS'The ulcer was managed conservatively at Har Hospital by Dr. Holes with Silvadene b.i.d. lower extremity non-invasive study obtained at that time showed poor distal right extremity perfusion .' +p140219 +(lp140220 +S'The\tThe\tDT\tB-NP\tO' +p140221 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p140222 +aS'was\tbe\tVBD\tB-VP\tO' +p140223 +aS'managed\tmanage\tVBN\tI-VP\tO' +p140224 +aS'conservatively\tconservatively\tRB\tB-ADVP\tO' +p140225 +aS'at\tat\tIN\tB-PP\tO' +p140226 +aS'Har\tHar\tNNP\tB-NP\tO' +p140227 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p140228 +aS'by\tby\tIN\tB-PP\tO' +p140229 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p140230 +aS'Holes\tHoles\tNNP\tI-NP\tO' +p140231 +aS'with\twith\tIN\tB-PP\tO' +p140232 +aS'Silvadene\tSilvadene\tNN\tB-NP\tO' +p140233 +aS'b.i.d.\tb.i.d.\tRB\tB-NP\tO' +p140234 +aS'lower\tlow\tJJR\tI-NP\tO' +p140235 +aS'extremity\textremity\tNN\tI-NP\tO' +p140236 +aS'non-invasive\tnon-invasive\tJJ\tI-NP\tO' +p140237 +aS'study\tstudy\tNN\tI-NP\tO' +p140238 +aS'obtained\tobtain\tVBN\tB-VP\tO' +p140239 +aS'at\tat\tIN\tB-PP\tO' +p140240 +aS'that\tthat\tDT\tB-NP\tO' +p140241 +aS'time\ttime\tNN\tI-NP\tO' +p140242 +aS'showed\tshow\tVBD\tB-VP\tO' +p140243 +aS'poor\tpoor\tJJ\tB-NP\tO' +p140244 +aS'distal\tdistal\tJJ\tI-NP\tO' +p140245 +aS'right\tright\tJJ\tI-NP\tO' +p140246 +aS'extremity\textremity\tNN\tI-NP\tO' +p140247 +aS'perfusion\tperfusion\tNN\tI-NP\tO' +p140248 +aS'.\t.\t.\tO\tO' +p140249 +asS'Patient was alert , oriented x3 .' +p140250 +(lp140251 +S'Patient\tPatient\tNN\tB-NP\tO' +p140252 +aS'was\tbe\tVBD\tB-VP\tO' +p140253 +aS'alert\talert\tJJ\tB-NP\tO' +p140254 +aS',\t,\t,\tI-NP\tO' +p140255 +aS'oriented\toriented\tJJ\tI-NP\tO' +p140256 +aS'x3\tx3\tNN\tI-NP\tO' +p140257 +aS'.\t.\t.\tO\tO' +p140258 +asS'His right hip is irritable with a 10-degree fixed flexion contracture .' +p140259 +(lp140260 +S'His\tHis\tPRP$\tB-NP\tO' +p140261 +aS'right\tright\tJJ\tI-NP\tO' +p140262 +aS'hip\thip\tNN\tI-NP\tO' +p140263 +aS'is\tbe\tVBZ\tB-VP\tO' +p140264 +aS'irritable\tirritable\tJJ\tB-ADJP\tO' +p140265 +aS'with\twith\tIN\tB-PP\tO' +p140266 +aS'a\ta\tDT\tB-NP\tO' +p140267 +aS'10-degree\t10-degree\tJJ\tI-NP\tO' +p140268 +aS'fixed\tfix\tVBN\tI-NP\tO' +p140269 +aS'flexion\tflexion\tNN\tI-NP\tO' +p140270 +aS'contracture\tcontracture\tNN\tI-NP\tO' +p140271 +aS'.\t.\t.\tO\tO' +p140272 +asS'The patient now presents with a three to four week history of shortness of breath and a dry non-productive cough .' +p140273 +(lp140274 +S'The\tThe\tDT\tB-NP\tO' +p140275 +aS'patient\tpatient\tNN\tI-NP\tO' +p140276 +aS'now\tnow\tRB\tB-ADVP\tO' +p140277 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p140278 +aS'with\twith\tIN\tB-PP\tO' +p140279 +aS'a\ta\tDT\tB-NP\tO' +p140280 +aS'three\tthree\tCD\tI-NP\tO' +p140281 +aS'to\tto\tTO\tI-NP\tO' +p140282 +aS'four\tfour\tCD\tI-NP\tO' +p140283 +aS'week\tweek\tNN\tI-NP\tO' +p140284 +aS'history\thistory\tNN\tI-NP\tO' +p140285 +aS'of\tof\tIN\tB-PP\tO' +p140286 +aS'shortness\tshortness\tNN\tB-NP\tO' +p140287 +aS'of\tof\tIN\tB-PP\tO' +p140288 +aS'breath\tbreath\tNN\tB-NP\tO' +p140289 +aS'and\tand\tCC\tO\tO' +p140290 +aS'a\ta\tDT\tB-NP\tO' +p140291 +aS'dry\tdry\tJJ\tI-NP\tO' +p140292 +aS'non-productive\tnon-productive\tJJ\tI-NP\tO' +p140293 +aS'cough\tcough\tNN\tI-NP\tO' +p140294 +aS'.\t.\t.\tO\tO' +p140295 +asS'No hepatosplenomegaly and no CVA tenderness .' +p140296 +(lp140297 +S'No\tNo\tDT\tB-NP\tO' +p140298 +aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tI-NP\tO' +p140299 +aS'and\tand\tCC\tO\tO' +p140300 +aS'no\tno\tDT\tB-NP\tO' +p140301 +aS'CVA\tCVA\tNN\tI-NP\tO' +p140302 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p140303 +aS'.\t.\t.\tO\tO' +p140304 +asS'13. Sertraline 20 mg/mL Concentrate Sig : Two ( 2 ) PO at bedtime .' +p140305 +(lp140306 +S'13.\t13.\tCD\tB-NP\tO' +p140307 +aS'Sertraline\tSertraline\tNN\tI-NP\tO' +p140308 +aS'20\t20\tCD\tB-NP\tO' +p140309 +aS'mg/mL\tmg/mL\tNN\tI-NP\tO' +p140310 +aS'Concentrate\tConcentrate\tNNP\tI-NP\tO' +p140311 +aS'Sig\tSig\tNNP\tI-NP\tO' +p140312 +aS':\t:\t:\tO\tO' +p140313 +aS'Two\tTwo\tCD\tB-NP\tO' +p140314 +aS'(\t(\t(\tO\tO' +p140315 +aS'2\t2\tCD\tB-NP\tO' +p140316 +aS')\t)\t)\tO\tO' +p140317 +aS'PO\tPO\tNN\tB-NP\tO' +p140318 +aS'at\tat\tIN\tB-PP\tO' +p140319 +aS'bedtime\tbedtime\tNN\tB-NP\tO' +p140320 +aS'.\t.\t.\tO\tO' +p140321 +asS'He was seen by cardiology , and toxicology was consulted via telephone .' +p140322 +(lp140323 +S'He\tHe\tPRP\tB-NP\tO' +p140324 +aS'was\tbe\tVBD\tB-VP\tO' +p140325 +aS'seen\tsee\tVBN\tI-VP\tO' +p140326 +aS'by\tby\tIN\tB-PP\tO' +p140327 +aS'cardiology\tcardiology\tNN\tB-NP\tO' +p140328 +aS',\t,\t,\tO\tO' +p140329 +aS'and\tand\tCC\tO\tO' +p140330 +aS'toxicology\ttoxicology\tNN\tB-NP\tO' +p140331 +aS'was\tbe\tVBD\tB-VP\tO' +p140332 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p140333 +aS'via\tvia\tIN\tB-PP\tO' +p140334 +aS'telephone\ttelephone\tNN\tB-NP\tO' +p140335 +aS'.\t.\t.\tO\tO' +p140336 +asS'The patient did receive a significant amount of diuresis postoperatively and is well below his baseline with weight , most likely because of his inability to eat because of his stroke .' +p140337 +(lp140338 +S'The\tThe\tDT\tB-NP\tO' +p140339 +aS'patient\tpatient\tNN\tI-NP\tO' +p140340 +aS'did\tdo\tVBD\tB-VP\tO' +p140341 +aS'receive\treceive\tVB\tI-VP\tO' +p140342 +aS'a\ta\tDT\tB-NP\tO' +p140343 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p140344 +aS'amount\tamount\tNN\tI-NP\tO' +p140345 +aS'of\tof\tIN\tB-PP\tO' +p140346 +aS'diuresis\tdiuresis\tNN\tB-NP\tO' +p140347 +aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' +p140348 +aS'and\tand\tCC\tO\tO' +p140349 +aS'is\tbe\tVBZ\tB-VP\tO' +p140350 +aS'well\twell\tRB\tB-ADVP\tO' +p140351 +aS'below\tbelow\tIN\tB-PP\tO' +p140352 +aS'his\this\tPRP$\tB-NP\tO' +p140353 +aS'baseline\tbaseline\tNN\tI-NP\tO' +p140354 +aS'with\twith\tIN\tB-PP\tO' +p140355 +aS'weight\tweight\tNN\tB-NP\tO' +p140356 +aS',\t,\t,\tO\tO' +p140357 +aS'most\tmost\tRBS\tB-ADVP\tO' +p140358 +aS'likely\tlikely\tRB\tI-ADVP\tO' +p140359 +aS'because\tbecause\tIN\tB-PP\tO' +p140360 +aS'of\tof\tIN\tI-PP\tO' +p140361 +aS'his\this\tPRP$\tB-NP\tO' +p140362 +aS'inability\tinability\tNN\tI-NP\tO' +p140363 +aS'to\tto\tTO\tB-VP\tO' +p140364 +aS'eat\teat\tVB\tI-VP\tO' +p140365 +aS'because\tbecause\tIN\tB-PP\tO' +p140366 +aS'of\tof\tIN\tI-PP\tO' +p140367 +aS'his\this\tPRP$\tB-NP\tO' +p140368 +aS'stroke\tstroke\tNN\tI-NP\tO' +p140369 +aS'.\t.\t.\tO\tO' +p140370 +asS'The patient was also found to have gram negative rod sepsis with blood cultures times two growing E. coli and B. fragilis .' +p140371 +(lp140372 +S'The\tThe\tDT\tB-NP\tO' +p140373 +aS'patient\tpatient\tNN\tI-NP\tO' +p140374 +aS'was\tbe\tVBD\tB-VP\tO' +p140375 +aS'also\talso\tRB\tI-VP\tO' +p140376 +aS'found\tfind\tVBN\tI-VP\tO' +p140377 +aS'to\tto\tTO\tI-VP\tO' +p140378 +aS'have\thave\tVB\tI-VP\tO' +p140379 +aS'gram\tgram\tNN\tB-NP\tO' +p140380 +aS'negative\tnegative\tJJ\tI-NP\tO' +p140381 +aS'rod\trod\tNN\tI-NP\tO' +p140382 +aS'sepsis\tsepsis\tNN\tI-NP\tO' +p140383 +aS'with\twith\tIN\tB-PP\tO' +p140384 +aS'blood\tblood\tNN\tB-NP\tO' +p140385 +aS'cultures\tculture\tNNS\tI-NP\tO' +p140386 +aS'times\ttime\tVBZ\tB-VP\tO' +p140387 +aS'two\ttwo\tCD\tB-NP\tO' +p140388 +aS'growing\tgrow\tVBG\tI-NP\tO' +p140389 +aS'E.\tE.\tNNP\tI-NP\tO' +p140390 +aS'coli\tcoli\tNNP\tI-NP\tO' +p140391 +aS'and\tand\tCC\tI-NP\tO' +p140392 +aS'B.\tB.\tNNP\tI-NP\tO' +p140393 +aS'fragilis\tfragilis\tNN\tI-NP\tO' +p140394 +aS'.\t.\t.\tO\tO' +p140395 +asS'This was done on the evening of 02/18/91 .' +p140396 +(lp140397 +S'This\tThis\tDT\tB-NP\tO' +p140398 +aS'was\tbe\tVBD\tB-VP\tO' +p140399 +aS'done\tdo\tVBN\tI-VP\tO' +p140400 +aS'on\ton\tIN\tB-PP\tO' +p140401 +aS'the\tthe\tDT\tB-NP\tO' +p140402 +aS'evening\tevening\tNN\tI-NP\tO' +p140403 +aS'of\tof\tIN\tB-PP\tO' +p140404 +aS'02/18/91\t02/18/91\tCD\tB-NP\tO' +p140405 +aS'.\t.\t.\tO\tO' +p140406 +asS'pt 's clinical picture was consistent with constipation-related abdominal pain .' +p140407 +(lp140408 +S'pt\tpt\tJJ\tB-NP\tO' +p140409 +aS''s\t'\tNNS\tI-NP\tO' +p140410 +aS'clinical\tclinical\tJJ\tB-NP\tO' +p140411 +aS'picture\tpicture\tNN\tI-NP\tO' +p140412 +aS'was\tbe\tVBD\tB-VP\tO' +p140413 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p140414 +aS'with\twith\tIN\tB-PP\tO' +p140415 +aS'constipation-related\tconstipation-related\tJJ\tB-NP\tB-protein' +p140416 +aS'abdominal\tabdominal\tJJ\tI-NP\tI-protein' +p140417 +aS'pain\tpain\tNN\tI-NP\tI-protein' +p140418 +aS'.\t.\t.\tO\tO' +p140419 +asS'His lungs were clear .' +p140420 +(lp140421 +S'His\tHis\tPRP$\tB-NP\tO' +p140422 +aS'lungs\tlung\tNNS\tI-NP\tO' +p140423 +aS'were\tbe\tVBD\tB-VP\tO' +p140424 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p140425 +aS'.\t.\t.\tO\tO' +p140426 +asS'She was oriented to person , place , time and purpose , she recalled three out of three objects at five minutes , she is able to do calculations .' +p140427 +(lp140428 +S'She\tShe\tPRP\tB-NP\tO' +p140429 +aS'was\tbe\tVBD\tB-VP\tO' +p140430 +aS'oriented\torient\tVBN\tI-VP\tO' +p140431 +aS'to\tto\tTO\tB-PP\tO' +p140432 +aS'person\tperson\tNN\tB-NP\tO' +p140433 +aS',\t,\t,\tO\tO' +p140434 +aS'place\tplace\tNN\tB-NP\tO' +p140435 +aS',\t,\t,\tO\tO' +p140436 +aS'time\ttime\tNN\tB-NP\tO' +p140437 +aS'and\tand\tCC\tO\tO' +p140438 +aS'purpose\tpurpose\tNN\tB-NP\tO' +p140439 +aS',\t,\t,\tO\tO' +p140440 +aS'she\tshe\tPRP\tB-NP\tO' +p140441 +aS'recalled\trecall\tVBD\tB-VP\tO' +p140442 +aS'three\tthree\tCD\tB-NP\tO' +p140443 +aS'out\tout\tIN\tI-NP\tO' +p140444 +aS'of\tof\tIN\tI-NP\tO' +p140445 +aS'three\tthree\tCD\tI-NP\tO' +p140446 +aS'objects\tobject\tNNS\tI-NP\tO' +p140447 +aS'at\tat\tIN\tB-PP\tO' +p140448 +aS'five\tfive\tCD\tB-NP\tO' +p140449 +aS'minutes\tminute\tNNS\tI-NP\tO' +p140450 +aS',\t,\t,\tO\tO' +p140451 +aS'she\tshe\tPRP\tB-NP\tO' +p140452 +aS'is\tbe\tVBZ\tB-VP\tO' +p140453 +aS'able\table\tJJ\tB-ADJP\tO' +p140454 +aS'to\tto\tTO\tB-VP\tO' +p140455 +aS'do\tdo\tVB\tI-VP\tO' +p140456 +aS'calculations\tcalculation\tNNS\tB-NP\tO' +p140457 +aS'.\t.\t.\tO\tO' +p140458 +asS'She does not recall hitting her head .' +p140459 +(lp140460 +S'She\tShe\tPRP\tB-NP\tO' +p140461 +aS'does\tdo\tVBZ\tB-VP\tO' +p140462 +aS'not\tnot\tRB\tI-VP\tO' +p140463 +aS'recall\trecall\tVB\tI-VP\tO' +p140464 +aS'hitting\thit\tVBG\tI-VP\tO' +p140465 +aS'her\ther\tPRP$\tB-NP\tO' +p140466 +aS'head\thead\tNN\tI-NP\tO' +p140467 +aS'.\t.\t.\tO\tO' +p140468 +asS'He had a normal head , eyes , ears , nose and throat exam .' +p140469 +(lp140470 +S'He\tHe\tPRP\tB-NP\tO' +p140471 +aS'had\thave\tVBD\tB-VP\tO' +p140472 +aS'a\ta\tDT\tB-NP\tO' +p140473 +aS'normal\tnormal\tJJ\tI-NP\tO' +p140474 +aS'head\thead\tNN\tI-NP\tO' +p140475 +aS',\t,\t,\tO\tO' +p140476 +aS'eyes\teye\tNNS\tB-NP\tO' +p140477 +aS',\t,\t,\tO\tO' +p140478 +aS'ears\tear\tNNS\tB-NP\tO' +p140479 +aS',\t,\t,\tO\tO' +p140480 +aS'nose\tnose\tNN\tB-NP\tO' +p140481 +aS'and\tand\tCC\tI-NP\tO' +p140482 +aS'throat\tthroat\tNN\tI-NP\tO' +p140483 +aS'exam\texam\tNN\tI-NP\tO' +p140484 +aS'.\t.\t.\tO\tO' +p140485 +asS'She also complained of some loose stools on the day of admission , no nausea or vomiting .' +p140486 +(lp140487 +S'She\tShe\tPRP\tB-NP\tO' +p140488 +aS'also\talso\tRB\tB-ADVP\tO' +p140489 +aS'complained\tcomplain\tVBD\tB-VP\tO' +p140490 +aS'of\tof\tIN\tB-PP\tO' +p140491 +aS'some\tsome\tDT\tB-NP\tO' +p140492 +aS'loose\tloose\tJJ\tI-NP\tO' +p140493 +aS'stools\tstool\tNNS\tI-NP\tO' +p140494 +aS'on\ton\tIN\tB-PP\tO' +p140495 +aS'the\tthe\tDT\tB-NP\tO' +p140496 +aS'day\tday\tNN\tI-NP\tO' +p140497 +aS'of\tof\tIN\tB-PP\tO' +p140498 +aS'admission\tadmission\tNN\tB-NP\tO' +p140499 +aS',\t,\t,\tO\tO' +p140500 +aS'no\tno\tDT\tB-NP\tO' +p140501 +aS'nausea\tnausea\tNN\tI-NP\tO' +p140502 +aS'or\tor\tCC\tI-NP\tO' +p140503 +aS'vomiting\tvomiting\tNN\tI-NP\tO' +p140504 +aS'.\t.\t.\tO\tO' +p140505 +asS'watch for EtOH WD .' +p140506 +(lp140507 +S'watch\twatch\tNN\tB-NP\tO' +p140508 +aS'for\tfor\tIN\tB-PP\tO' +p140509 +aS'EtOH\tEtOH\tNN\tB-NP\tO' +p140510 +aS'WD\tWD\tNN\tI-NP\tO' +p140511 +aS'.\t.\t.\tO\tO' +p140512 +asS'The patient had recently prior to this admission , had a rise in his alpha feta protein and a biopsy of his liver had shown hepatocellular carcinoma .' +p140513 +(lp140514 +S'The\tThe\tDT\tB-NP\tO' +p140515 +aS'patient\tpatient\tNN\tI-NP\tO' +p140516 +aS'had\thave\tVBD\tB-VP\tO' +p140517 +aS'recently\trecently\tRB\tB-ADVP\tO' +p140518 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p140519 +aS'to\tto\tTO\tB-PP\tO' +p140520 +aS'this\tthis\tDT\tB-NP\tO' +p140521 +aS'admission\tadmission\tNN\tI-NP\tO' +p140522 +aS',\t,\t,\tO\tO' +p140523 +aS'had\thave\tVBD\tB-VP\tO' +p140524 +aS'a\ta\tDT\tB-NP\tO' +p140525 +aS'rise\trise\tNN\tI-NP\tO' +p140526 +aS'in\tin\tIN\tB-PP\tO' +p140527 +aS'his\this\tPRP$\tB-NP\tO' +p140528 +aS'alpha\talpha\tNN\tI-NP\tO' +p140529 +aS'feta\tfeta\tNN\tI-NP\tO' +p140530 +aS'protein\tprotein\tNN\tI-NP\tO' +p140531 +aS'and\tand\tCC\tO\tO' +p140532 +aS'a\ta\tDT\tB-NP\tO' +p140533 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p140534 +aS'of\tof\tIN\tB-PP\tO' +p140535 +aS'his\this\tPRP$\tB-NP\tO' +p140536 +aS'liver\tliver\tNN\tI-NP\tO' +p140537 +aS'had\thave\tVBD\tB-VP\tO' +p140538 +aS'shown\tshow\tVBN\tI-VP\tO' +p140539 +aS'hepatocellular\thepatocellular\tJJ\tB-NP\tO' +p140540 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p140541 +aS'.\t.\t.\tO\tO' +p140542 +asS'You should take a stool softener , Colace 100 mg twice daily as needed for constipation .' +p140543 +(lp140544 +S'You\tYou\tPRP\tB-NP\tB-protein' +p140545 +aS'should\tshould\tMD\tB-VP\tO' +p140546 +aS'take\ttake\tVB\tI-VP\tO' +p140547 +aS'a\ta\tDT\tB-NP\tO' +p140548 +aS'stool\tstool\tNN\tI-NP\tO' +p140549 +aS'softener\tsoftener\tNN\tI-NP\tO' +p140550 +aS',\t,\t,\tO\tO' +p140551 +aS'Colace\tColace\tNNP\tB-NP\tO' +p140552 +aS'100\t100\tCD\tI-NP\tO' +p140553 +aS'mg\tmg\tNN\tI-NP\tO' +p140554 +aS'twice\ttwice\tRB\tB-ADVP\tO' +p140555 +aS'daily\tdaily\tRB\tI-ADVP\tO' +p140556 +aS'as\tas\tIN\tB-SBAR\tO' +p140557 +aS'needed\tneed\tVBN\tB-VP\tO' +p140558 +aS'for\tfor\tIN\tB-PP\tO' +p140559 +aS'constipation\tconstipation\tNN\tB-NP\tO' +p140560 +aS'.\t.\t.\tO\tO' +p140561 +asS'Thus , the beta blocker and ACE inhibitor were started to be titrated up .' +p140562 +(lp140563 +S'Thus\tThus\tRB\tB-ADVP\tO' +p140564 +aS',\t,\t,\tO\tO' +p140565 +aS'the\tthe\tDT\tB-NP\tO' +p140566 +aS'beta\tbeta\tNN\tI-NP\tO' +p140567 +aS'blocker\tblocker\tNN\tI-NP\tO' +p140568 +aS'and\tand\tCC\tO\tO' +p140569 +aS'ACE\tACE\tNN\tB-NP\tO' +p140570 +aS'inhibitor\tinhibitor\tNN\tI-NP\tO' +p140571 +aS'were\tbe\tVBD\tB-VP\tO' +p140572 +aS'started\tstart\tVBN\tI-VP\tO' +p140573 +aS'to\tto\tTO\tI-VP\tO' +p140574 +aS'be\tbe\tVB\tI-VP\tO' +p140575 +aS'titrated\ttitrate\tVBN\tI-VP\tO' +p140576 +aS'up\tup\tRP\tB-PRT\tO' +p140577 +aS'.\t.\t.\tO\tO' +p140578 +asS'Strength is 5/5 throughout .' +p140579 +(lp140580 +S'Strength\tStrength\tNNP\tB-NP\tO' +p140581 +aS'is\tbe\tVBZ\tB-VP\tO' +p140582 +aS'5/5\t5/5\tCD\tB-NP\tO' +p140583 +aS'throughout\tthroughout\tIN\tB-ADVP\tO' +p140584 +aS'.\t.\t.\tO\tO' +p140585 +asS'Good pulses bilaterally .' +p140586 +(lp140587 +S'Good\tGood\tJJ\tB-NP\tO' +p140588 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p140589 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p140590 +aS'.\t.\t.\tO\tO' +p140591 +asS'He has been a smoker for the last 50 years and he drinks alcohol occasionally , but stopped in 1987 .' +p140592 +(lp140593 +S'He\tHe\tPRP\tB-NP\tO' +p140594 +aS'has\thave\tVBZ\tB-VP\tO' +p140595 +aS'been\tbe\tVBN\tI-VP\tO' +p140596 +aS'a\ta\tDT\tB-NP\tO' +p140597 +aS'smoker\tsmoker\tNN\tI-NP\tO' +p140598 +aS'for\tfor\tIN\tB-PP\tO' +p140599 +aS'the\tthe\tDT\tB-NP\tO' +p140600 +aS'last\tlast\tJJ\tI-NP\tO' +p140601 +aS'50\t50\tCD\tI-NP\tO' +p140602 +aS'years\tyear\tNNS\tI-NP\tO' +p140603 +aS'and\tand\tCC\tO\tO' +p140604 +aS'he\the\tPRP\tB-NP\tO' +p140605 +aS'drinks\tdrink\tVBZ\tB-VP\tO' +p140606 +aS'alcohol\talcohol\tNN\tB-NP\tO' +p140607 +aS'occasionally\toccasionally\tRB\tB-ADVP\tO' +p140608 +aS',\t,\t,\tO\tO' +p140609 +aS'but\tbut\tCC\tO\tO' +p140610 +aS'stopped\tstop\tVBD\tB-VP\tO' +p140611 +aS'in\tin\tIN\tB-PP\tO' +p140612 +aS'1987\t1987\tCD\tB-NP\tO' +p140613 +aS'.\t.\t.\tO\tO' +p140614 +asS'Regular rate and rhythm , normal S1 , S2 , no murmurs , rubs or gallops .' +p140615 +(lp140616 +S'Regular\tRegular\tJJ\tB-NP\tO' +p140617 +aS'rate\trate\tNN\tI-NP\tO' +p140618 +aS'and\tand\tCC\tI-NP\tO' +p140619 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p140620 +aS',\t,\t,\tO\tO' +p140621 +aS'normal\tnormal\tJJ\tB-NP\tO' +p140622 +aS'S1\tS1\tNN\tI-NP\tO' +p140623 +aS',\t,\t,\tO\tO' +p140624 +aS'S2\tS2\tNN\tB-NP\tB-protein' +p140625 +aS',\t,\t,\tO\tO' +p140626 +aS'no\tno\tDT\tB-NP\tO' +p140627 +aS'murmurs\tmurmur\tNNS\tI-NP\tO' +p140628 +aS',\t,\t,\tI-NP\tO' +p140629 +aS'rubs\trub\tNNS\tI-NP\tO' +p140630 +aS'or\tor\tCC\tI-NP\tO' +p140631 +aS'gallops\tgallop\tNNS\tI-NP\tO' +p140632 +aS'.\t.\t.\tO\tO' +p140633 +asS'The patient has a history of high MCV and megaloblastic cells on smear in the setting of anemia ; question B12 deficiency , the patient also has a history of borderline low B12 levels .' +p140634 +(lp140635 +S'The\tThe\tDT\tB-NP\tO' +p140636 +aS'patient\tpatient\tNN\tI-NP\tO' +p140637 +aS'has\thave\tVBZ\tB-VP\tO' +p140638 +aS'a\ta\tDT\tB-NP\tO' +p140639 +aS'history\thistory\tNN\tI-NP\tO' +p140640 +aS'of\tof\tIN\tB-PP\tO' +p140641 +aS'high\thigh\tJJ\tB-NP\tO' +p140642 +aS'MCV\tMCV\tNN\tI-NP\tO' +p140643 +aS'and\tand\tCC\tO\tO' +p140644 +aS'megaloblastic\tmegaloblastic\tJJ\tB-NP\tO' +p140645 +aS'cells\tcell\tNNS\tI-NP\tO' +p140646 +aS'on\ton\tIN\tB-PP\tO' +p140647 +aS'smear\tsmear\tNN\tB-NP\tO' +p140648 +aS'in\tin\tIN\tB-PP\tO' +p140649 +aS'the\tthe\tDT\tB-NP\tO' +p140650 +aS'setting\tsetting\tNN\tI-NP\tO' +p140651 +aS'of\tof\tIN\tB-PP\tO' +p140652 +aS'anemia\tanemia\tNN\tB-NP\tO' +p140653 +aS';\t;\t:\tO\tO' +p140654 +aS'question\tquestion\tNN\tB-NP\tO' +p140655 +aS'B12\tB12\tNN\tI-NP\tO' +p140656 +aS'deficiency\tdeficiency\tNN\tI-NP\tO' +p140657 +aS',\t,\t,\tO\tO' +p140658 +aS'the\tthe\tDT\tB-NP\tO' +p140659 +aS'patient\tpatient\tNN\tI-NP\tO' +p140660 +aS'also\talso\tRB\tB-ADVP\tO' +p140661 +aS'has\thave\tVBZ\tB-VP\tO' +p140662 +aS'a\ta\tDT\tB-NP\tO' +p140663 +aS'history\thistory\tNN\tI-NP\tO' +p140664 +aS'of\tof\tIN\tB-PP\tO' +p140665 +aS'borderline\tborderline\tJJ\tB-NP\tO' +p140666 +aS'low\tlow\tJJ\tI-NP\tO' +p140667 +aS'B12\tB12\tNN\tI-NP\tB-protein' +p140668 +aS'levels\tlevel\tNNS\tI-NP\tO' +p140669 +aS'.\t.\t.\tO\tO' +p140670 +asS"A Hepatology consult was obtained who felt that the most likely etiology of these cysts were from hepatic candidiasis , although one could not rule out lymphoma involving from Burkitt's ." +p140671 +(lp140672 +S'A\tA\tDT\tB-NP\tO' +p140673 +aS'Hepatology\tHepatology\tNN\tI-NP\tO' +p140674 +aS'consult\tconsult\tNN\tI-NP\tO' +p140675 +aS'was\tbe\tVBD\tB-VP\tO' +p140676 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p140677 +aS'who\twho\tWP\tB-NP\tO' +p140678 +aS'felt\tfeel\tVBD\tB-VP\tO' +p140679 +aS'that\tthat\tIN\tB-SBAR\tO' +p140680 +aS'the\tthe\tDT\tB-NP\tO' +p140681 +aS'most\tmost\tRBS\tI-NP\tO' +p140682 +aS'likely\tlikely\tJJ\tI-NP\tO' +p140683 +aS'etiology\tetiology\tNN\tI-NP\tO' +p140684 +aS'of\tof\tIN\tB-PP\tO' +p140685 +aS'these\tthese\tDT\tB-NP\tO' +p140686 +aS'cysts\tcyst\tNNS\tI-NP\tO' +p140687 +aS'were\tbe\tVBD\tB-VP\tO' +p140688 +aS'from\tfrom\tIN\tB-PP\tO' +p140689 +aS'hepatic\thepatic\tJJ\tB-NP\tO' +p140690 +aS'candidiasis\tcandidiasis\tNN\tI-NP\tO' +p140691 +aS',\t,\t,\tO\tO' +p140692 +aS'although\talthough\tIN\tB-SBAR\tO' +p140693 +aS'one\tone\tPRP\tB-NP\tO' +p140694 +aS'could\tcould\tMD\tB-VP\tO' +p140695 +aS'not\tnot\tRB\tI-VP\tO' +p140696 +aS'rule\trule\tVB\tI-VP\tO' +p140697 +aS'out\tout\tRP\tB-PRT\tO' +p140698 +aS'lymphoma\tlymphoma\tNN\tB-NP\tO' +p140699 +aS'involving\tinvolve\tVBG\tB-VP\tO' +p140700 +aS'from\tfrom\tIN\tB-PP\tO' +p140701 +aS"Burkitt's\tBurkitt'\tNNS\tB-NP\tO" +p140702 +aS'.\t.\t.\tO\tO' +p140703 +asS'The family realizes that the long term outlook for this patient is not very good , but they would like to currently continue to provide him with all support necessary , short of resuscitation measures or heroic measures should he have a cardiopulmonary arrest .' +p140704 +(lp140705 +S'The\tThe\tDT\tB-NP\tO' +p140706 +aS'family\tfamily\tNN\tI-NP\tO' +p140707 +aS'realizes\trealize\tVBZ\tB-VP\tO' +p140708 +aS'that\tthat\tIN\tB-SBAR\tO' +p140709 +aS'the\tthe\tDT\tB-NP\tO' +p140710 +aS'long\tlong\tJJ\tI-NP\tO' +p140711 +aS'term\tterm\tNN\tI-NP\tO' +p140712 +aS'outlook\toutlook\tNN\tI-NP\tO' +p140713 +aS'for\tfor\tIN\tB-PP\tO' +p140714 +aS'this\tthis\tDT\tB-NP\tO' +p140715 +aS'patient\tpatient\tNN\tI-NP\tO' +p140716 +aS'is\tbe\tVBZ\tB-VP\tO' +p140717 +aS'not\tnot\tRB\tO\tO' +p140718 +aS'very\tvery\tRB\tB-ADJP\tO' +p140719 +aS'good\tgood\tJJ\tI-ADJP\tO' +p140720 +aS',\t,\t,\tO\tO' +p140721 +aS'but\tbut\tCC\tO\tO' +p140722 +aS'they\tthey\tPRP\tB-NP\tO' +p140723 +aS'would\twould\tMD\tB-VP\tO' +p140724 +aS'like\tlike\tVB\tI-VP\tO' +p140725 +aS'to\tto\tTO\tI-VP\tO' +p140726 +aS'currently\tcurrently\tRB\tI-VP\tO' +p140727 +aS'continue\tcontinue\tVB\tI-VP\tO' +p140728 +aS'to\tto\tTO\tI-VP\tO' +p140729 +aS'provide\tprovide\tVB\tI-VP\tO' +p140730 +aS'him\thim\tPRP\tB-NP\tO' +p140731 +aS'with\twith\tIN\tB-PP\tO' +p140732 +aS'all\tall\tDT\tB-NP\tO' +p140733 +aS'support\tsupport\tVBP\tB-VP\tO' +p140734 +aS'necessary\tnecessary\tJJ\tB-ADJP\tO' +p140735 +aS',\t,\t,\tO\tO' +p140736 +aS'short\tshort\tJJ\tB-ADJP\tO' +p140737 +aS'of\tof\tIN\tB-PP\tO' +p140738 +aS'resuscitation\tresuscitation\tNN\tB-NP\tO' +p140739 +aS'measures\tmeasure\tNNS\tI-NP\tO' +p140740 +aS'or\tor\tCC\tO\tO' +p140741 +aS'heroic\theroic\tJJ\tB-NP\tO' +p140742 +aS'measures\tmeasure\tNNS\tI-NP\tO' +p140743 +aS'should\tshould\tMD\tO\tO' +p140744 +aS'he\the\tPRP\tB-NP\tO' +p140745 +aS'have\thave\tVB\tB-VP\tO' +p140746 +aS'a\ta\tDT\tB-NP\tO' +p140747 +aS'cardiopulmonary\tcardiopulmonary\tJJ\tI-NP\tO' +p140748 +aS'arrest\tarrest\tNN\tI-NP\tO' +p140749 +aS'.\t.\t.\tO\tO' +p140750 +asS'The patient is a 42 year old gentleman who suffered lower back pain during an accident at work in 1990 .' +p140751 +(lp140752 +S'The\tThe\tDT\tB-NP\tO' +p140753 +aS'patient\tpatient\tNN\tI-NP\tO' +p140754 +aS'is\tbe\tVBZ\tB-VP\tO' +p140755 +aS'a\ta\tDT\tB-NP\tO' +p140756 +aS'42\t42\tCD\tI-NP\tO' +p140757 +aS'year\tyear\tNN\tI-NP\tO' +p140758 +aS'old\told\tJJ\tI-NP\tO' +p140759 +aS'gentleman\tgentleman\tNN\tI-NP\tO' +p140760 +aS'who\twho\tWP\tB-NP\tO' +p140761 +aS'suffered\tsuffer\tVBD\tB-VP\tO' +p140762 +aS'lower\tlow\tJJR\tB-NP\tO' +p140763 +aS'back\tback\tJJ\tI-NP\tO' +p140764 +aS'pain\tpain\tNN\tI-NP\tO' +p140765 +aS'during\tduring\tIN\tB-PP\tO' +p140766 +aS'an\tan\tDT\tB-NP\tO' +p140767 +aS'accident\taccident\tNN\tI-NP\tO' +p140768 +aS'at\tat\tIN\tB-PP\tO' +p140769 +aS'work\twork\tNN\tB-NP\tO' +p140770 +aS'in\tin\tIN\tB-PP\tO' +p140771 +aS'1990\t1990\tCD\tB-NP\tO' +p140772 +aS'.\t.\t.\tO\tO' +p140773 +asS'On physical examination at that time he had bright red blood per rectum and therefore lysis was deferred and he was taken directly to the cardiac catheterization lab .' +p140774 +(lp140775 +S'On\tOn\tIN\tB-PP\tO' +p140776 +aS'physical\tphysical\tJJ\tB-NP\tO' +p140777 +aS'examination\texamination\tNN\tI-NP\tO' +p140778 +aS'at\tat\tIN\tB-PP\tO' +p140779 +aS'that\tthat\tDT\tB-NP\tO' +p140780 +aS'time\ttime\tNN\tI-NP\tO' +p140781 +aS'he\the\tPRP\tB-NP\tO' +p140782 +aS'had\thave\tVBD\tB-VP\tO' +p140783 +aS'bright\tbright\tJJ\tB-NP\tO' +p140784 +aS'red\tred\tJJ\tI-NP\tO' +p140785 +aS'blood\tblood\tNN\tI-NP\tO' +p140786 +aS'per\tper\tIN\tB-PP\tO' +p140787 +aS'rectum\trectum\tNN\tB-NP\tO' +p140788 +aS'and\tand\tCC\tO\tO' +p140789 +aS'therefore\ttherefore\tRB\tB-ADVP\tO' +p140790 +aS'lysis\tlysis\tNN\tB-NP\tO' +p140791 +aS'was\tbe\tVBD\tB-VP\tO' +p140792 +aS'deferred\tdefer\tVBN\tI-VP\tO' +p140793 +aS'and\tand\tCC\tO\tO' +p140794 +aS'he\the\tPRP\tB-NP\tO' +p140795 +aS'was\tbe\tVBD\tB-VP\tO' +p140796 +aS'taken\ttake\tVBN\tI-VP\tO' +p140797 +aS'directly\tdirectly\tRB\tB-ADVP\tO' +p140798 +aS'to\tto\tTO\tB-PP\tO' +p140799 +aS'the\tthe\tDT\tB-NP\tO' +p140800 +aS'cardiac\tcardiac\tJJ\tI-NP\tB-protein' +p140801 +aS'catheterization\tcatheterization\tNN\tI-NP\tI-protein' +p140802 +aS'lab\tlab\tNN\tI-NP\tI-protein' +p140803 +aS'.\t.\t.\tO\tO' +p140804 +asS'Over the next several hours , pt complained of abd pain but this resolved on its own without medication .' +p140805 +(lp140806 +S'Over\tOver\tIN\tB-PP\tO' +p140807 +aS'the\tthe\tDT\tB-NP\tO' +p140808 +aS'next\tnext\tJJ\tI-NP\tO' +p140809 +aS'several\tseveral\tJJ\tI-NP\tO' +p140810 +aS'hours\thour\tNNS\tI-NP\tO' +p140811 +aS',\t,\t,\tO\tO' +p140812 +aS'pt\tpt\tNN\tB-NP\tO' +p140813 +aS'complained\tcomplain\tVBD\tB-VP\tO' +p140814 +aS'of\tof\tIN\tB-PP\tO' +p140815 +aS'abd\tabd\tNN\tB-NP\tO' +p140816 +aS'pain\tpain\tNN\tI-NP\tO' +p140817 +aS'but\tbut\tCC\tO\tO' +p140818 +aS'this\tthis\tDT\tB-NP\tO' +p140819 +aS'resolved\tresolve\tVBD\tB-VP\tO' +p140820 +aS'on\ton\tIN\tB-PP\tO' +p140821 +aS'its\tits\tPRP$\tB-NP\tO' +p140822 +aS'own\town\tJJ\tI-NP\tO' +p140823 +aS'without\twithout\tIN\tB-PP\tO' +p140824 +aS'medication\tmedication\tNN\tB-NP\tO' +p140825 +aS'.\t.\t.\tO\tO' +p140826 +asS'Actually in reviewing the records at this point , it appears that Pentamidine was not started initially so on the antibiotics of Erythromycin and Gentamicin , the patient 's respiratory status worsened and his LDH climbed so he began Pentamidine on 02/10/91 .' +p140827 +(lp140828 +S'Actually\tActually\tRB\tB-ADVP\tO' +p140829 +aS'in\tin\tIN\tB-PP\tO' +p140830 +aS'reviewing\treview\tVBG\tB-VP\tO' +p140831 +aS'the\tthe\tDT\tB-NP\tO' +p140832 +aS'records\trecord\tNNS\tI-NP\tO' +p140833 +aS'at\tat\tIN\tB-PP\tO' +p140834 +aS'this\tthis\tDT\tB-NP\tO' +p140835 +aS'point\tpoint\tNN\tI-NP\tO' +p140836 +aS',\t,\t,\tO\tO' +p140837 +aS'it\tit\tPRP\tB-NP\tO' +p140838 +aS'appears\tappear\tVBZ\tB-VP\tO' +p140839 +aS'that\tthat\tIN\tB-SBAR\tO' +p140840 +aS'Pentamidine\tPentamidine\tNN\tB-NP\tO' +p140841 +aS'was\tbe\tVBD\tB-VP\tO' +p140842 +aS'not\tnot\tRB\tI-VP\tO' +p140843 +aS'started\tstart\tVBN\tI-VP\tO' +p140844 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p140845 +aS'so\tso\tRB\tI-ADVP\tO' +p140846 +aS'on\ton\tIN\tB-PP\tO' +p140847 +aS'the\tthe\tDT\tB-NP\tO' +p140848 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p140849 +aS'of\tof\tIN\tB-PP\tO' +p140850 +aS'Erythromycin\tErythromycin\tNN\tB-NP\tO' +p140851 +aS'and\tand\tCC\tI-NP\tO' +p140852 +aS'Gentamicin\tGentamicin\tNN\tI-NP\tO' +p140853 +aS',\t,\t,\tO\tO' +p140854 +aS'the\tthe\tDT\tB-NP\tO' +p140855 +aS'patient\tpatient\tNN\tI-NP\tO' +p140856 +aS''s\t'\tNNS\tI-NP\tO' +p140857 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p140858 +aS'status\tstatus\tNN\tI-NP\tO' +p140859 +aS'worsened\tworsen\tVBD\tB-VP\tO' +p140860 +aS'and\tand\tCC\tO\tO' +p140861 +aS'his\this\tPRP$\tB-NP\tO' +p140862 +aS'LDH\tLDH\tNN\tI-NP\tB-protein' +p140863 +aS'climbed\tclimb\tVBD\tB-VP\tO' +p140864 +aS'so\tso\tIN\tB-SBAR\tO' +p140865 +aS'he\the\tPRP\tB-NP\tO' +p140866 +aS'began\tbegin\tVBD\tB-VP\tO' +p140867 +aS'Pentamidine\tPentamidine\tNN\tB-NP\tO' +p140868 +aS'on\ton\tIN\tB-PP\tO' +p140869 +aS'02/10/91\t02/10/91\tCD\tB-NP\tO' +p140870 +aS'.\t.\t.\tO\tO' +p140871 +asS'Left parietal subcortical hypodensity , likely ischemic .' +p140872 +(lp140873 +S'Left\tLeave\tVBN\tB-NP\tO' +p140874 +aS'parietal\tparietal\tJJ\tI-NP\tO' +p140875 +aS'subcortical\tsubcortical\tJJ\tI-NP\tO' +p140876 +aS'hypodensity\thypodensity\tNN\tI-NP\tO' +p140877 +aS',\t,\t,\tO\tO' +p140878 +aS'likely\tlikely\tRB\tB-ADJP\tO' +p140879 +aS'ischemic\tischemic\tJJ\tI-ADJP\tO' +p140880 +aS'.\t.\t.\tO\tO' +p140881 +asS'The patient was admitted to the Short Stay Unit and continued to receive antibiotics overnight .' +p140882 +(lp140883 +S'The\tThe\tDT\tB-NP\tO' +p140884 +aS'patient\tpatient\tNN\tI-NP\tO' +p140885 +aS'was\tbe\tVBD\tB-VP\tO' +p140886 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p140887 +aS'to\tto\tTO\tB-PP\tO' +p140888 +aS'the\tthe\tDT\tB-NP\tO' +p140889 +aS'Short\tShort\tNNP\tI-NP\tO' +p140890 +aS'Stay\tStay\tNNP\tI-NP\tO' +p140891 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p140892 +aS'and\tand\tCC\tO\tO' +p140893 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p140894 +aS'to\tto\tTO\tI-VP\tO' +p140895 +aS'receive\treceive\tVB\tI-VP\tO' +p140896 +aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' +p140897 +aS'overnight\tovernight\tRB\tB-ADVP\tO' +p140898 +aS'.\t.\t.\tO\tO' +p140899 +asS'Her last menstrual period was on 2017-08-29 .' +p140900 +(lp140901 +S'Her\tHer\tPRP$\tB-NP\tO' +p140902 +aS'last\tlast\tJJ\tI-NP\tO' +p140903 +aS'menstrual\tmenstrual\tJJ\tI-NP\tO' +p140904 +aS'period\tperiod\tNN\tI-NP\tO' +p140905 +aS'was\tbe\tVBD\tB-VP\tO' +p140906 +aS'on\ton\tIN\tB-PP\tO' +p140907 +aS'2017-08-29\t2017-08-29\tCD\tB-NP\tO' +p140908 +aS'.\t.\t.\tO\tO' +p140909 +asS'A pharmacologic pulmonary vasodilator challenge was performed with a positive response .' +p140910 +(lp140911 +S'A\tA\tDT\tB-NP\tO' +p140912 +aS'pharmacologic\tpharmacologic\tJJ\tI-NP\tO' +p140913 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p140914 +aS'vasodilator\tvasodilator\tNN\tI-NP\tO' +p140915 +aS'challenge\tchallenge\tNN\tI-NP\tO' +p140916 +aS'was\tbe\tVBD\tB-VP\tO' +p140917 +aS'performed\tperform\tVBN\tI-VP\tO' +p140918 +aS'with\twith\tIN\tB-PP\tO' +p140919 +aS'a\ta\tDT\tB-NP\tO' +p140920 +aS'positive\tpositive\tJJ\tI-NP\tO' +p140921 +aS'response\tresponse\tNN\tI-NP\tO' +p140922 +aS'.\t.\t.\tO\tO' +p140923 +asS'She received three stents to the right coronary artery which was complicated by a proximal dissection .' +p140924 +(lp140925 +S'She\tShe\tPRP\tB-NP\tO' +p140926 +aS'received\treceive\tVBD\tB-VP\tO' +p140927 +aS'three\tthree\tCD\tB-NP\tO' +p140928 +aS'stents\tstent\tNNS\tI-NP\tO' +p140929 +aS'to\tto\tTO\tB-PP\tO' +p140930 +aS'the\tthe\tDT\tB-NP\tO' +p140931 +aS'right\tright\tJJ\tI-NP\tO' +p140932 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p140933 +aS'artery\tartery\tNN\tI-NP\tO' +p140934 +aS'which\twhich\tWDT\tB-NP\tO' +p140935 +aS'was\tbe\tVBD\tB-VP\tO' +p140936 +aS'complicated\tcomplicate\tVBN\tI-VP\tO' +p140937 +aS'by\tby\tIN\tB-PP\tO' +p140938 +aS'a\ta\tDT\tB-NP\tO' +p140939 +aS'proximal\tproximal\tJJ\tI-NP\tO' +p140940 +aS'dissection\tdissection\tNN\tI-NP\tO' +p140941 +aS'.\t.\t.\tO\tO' +p140942 +asS'Pulses diminished but symmetric .' +p140943 +(lp140944 +S'Pulses\tPulse\tNNS\tB-NP\tO' +p140945 +aS'diminished\tdiminish\tVBD\tB-VP\tO' +p140946 +aS'but\tbut\tCC\tO\tO' +p140947 +aS'symmetric\tsymmetric\tJJ\tB-ADJP\tO' +p140948 +aS'.\t.\t.\tO\tO' +p140949 +asS'20. Vancomycin HCl in Dextrose 1 g / 200 mL Piggyback Sig : One ( 1 ) Intravenous Q 12H ( Every 12 Hours ) : Last day 08-07 .' +p140950 +(lp140951 +S'20.\t20.\tLS\tB-NP\tO' +p140952 +aS'Vancomycin\tVancomycin\tNN\tI-NP\tO' +p140953 +aS'HCl\tHCl\tNN\tI-NP\tO' +p140954 +aS'in\tin\tIN\tB-PP\tO' +p140955 +aS'Dextrose\tDextrose\tNN\tB-NP\tO' +p140956 +aS'1\t1\tCD\tI-NP\tO' +p140957 +aS'g\tg\tNN\tI-NP\tO' +p140958 +aS'/\t/\tSYM\tO\tO' +p140959 +aS'200\t200\tCD\tB-NP\tO' +p140960 +aS'mL\tmL\tNN\tI-NP\tO' +p140961 +aS'Piggyback\tPiggyback\tNNP\tI-NP\tO' +p140962 +aS'Sig\tSig\tNNP\tI-NP\tO' +p140963 +aS':\t:\t:\tO\tO' +p140964 +aS'One\tOne\tCD\tB-NP\tO' +p140965 +aS'(\t(\t(\tO\tO' +p140966 +aS'1\t1\tCD\tB-NP\tO' +p140967 +aS')\t)\t)\tO\tO' +p140968 +aS'Intravenous\tIntravenous\tJJ\tB-NP\tO' +p140969 +aS'Q\tQ\tNN\tI-NP\tO' +p140970 +aS'12H\t12H\tNN\tI-NP\tO' +p140971 +aS'(\t(\t(\tO\tO' +p140972 +aS'Every\tEvery\tDT\tB-NP\tO' +p140973 +aS'12\t12\tCD\tI-NP\tO' +p140974 +aS'Hours\tHour\tNNPS\tI-NP\tO' +p140975 +aS')\t)\t)\tO\tO' +p140976 +aS':\t:\t:\tO\tO' +p140977 +aS'Last\tLast\tJJ\tB-NP\tO' +p140978 +aS'day\tday\tNN\tI-NP\tO' +p140979 +aS'08-07\t08-07\tCD\tI-NP\tO' +p140980 +aS'.\t.\t.\tO\tO' +p140981 +asS'On day two of admission , the patient ambulated with PT and was moved to the regular floor .' +p140982 +(lp140983 +S'On\tOn\tIN\tB-PP\tO' +p140984 +aS'day\tday\tNN\tB-NP\tO' +p140985 +aS'two\ttwo\tCD\tI-NP\tO' +p140986 +aS'of\tof\tIN\tB-PP\tO' +p140987 +aS'admission\tadmission\tNN\tB-NP\tO' +p140988 +aS',\t,\t,\tO\tO' +p140989 +aS'the\tthe\tDT\tB-NP\tO' +p140990 +aS'patient\tpatient\tNN\tI-NP\tO' +p140991 +aS'ambulated\tambulate\tVBN\tB-VP\tO' +p140992 +aS'with\twith\tIN\tB-PP\tO' +p140993 +aS'PT\tPT\tNN\tB-NP\tO' +p140994 +aS'and\tand\tCC\tO\tO' +p140995 +aS'was\tbe\tVBD\tB-VP\tO' +p140996 +aS'moved\tmove\tVBN\tI-VP\tO' +p140997 +aS'to\tto\tTO\tB-PP\tO' +p140998 +aS'the\tthe\tDT\tB-NP\tO' +p140999 +aS'regular\tregular\tJJ\tI-NP\tO' +p141000 +aS'floor\tfloor\tNN\tI-NP\tO' +p141001 +aS'.\t.\t.\tO\tO' +p141002 +asS'Thus , his nasogastric tube was discontinued on October 19 , 1996 and he tolerated feeding quite well .' +p141003 +(lp141004 +S'Thus\tThus\tRB\tB-ADVP\tO' +p141005 +aS',\t,\t,\tO\tO' +p141006 +aS'his\this\tPRP$\tB-NP\tO' +p141007 +aS'nasogastric\tnasogastric\tJJ\tI-NP\tO' +p141008 +aS'tube\ttube\tNN\tI-NP\tO' +p141009 +aS'was\tbe\tVBD\tB-VP\tO' +p141010 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p141011 +aS'on\ton\tIN\tB-PP\tO' +p141012 +aS'October\tOctober\tNNP\tB-NP\tO' +p141013 +aS'19\t19\tCD\tI-NP\tO' +p141014 +aS',\t,\t,\tI-NP\tO' +p141015 +aS'1996\t1996\tCD\tI-NP\tO' +p141016 +aS'and\tand\tCC\tO\tO' +p141017 +aS'he\the\tPRP\tB-NP\tO' +p141018 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p141019 +aS'feeding\tfeed\tVBG\tI-VP\tO' +p141020 +aS'quite\tquite\tRB\tB-ADVP\tO' +p141021 +aS'well\twell\tRB\tI-ADVP\tO' +p141022 +aS'.\t.\t.\tO\tO' +p141023 +asS'The patient was given two units of packed red blood cells and H2 blockers .' +p141024 +(lp141025 +S'The\tThe\tDT\tB-NP\tO' +p141026 +aS'patient\tpatient\tNN\tI-NP\tO' +p141027 +aS'was\tbe\tVBD\tB-VP\tO' +p141028 +aS'given\tgive\tVBN\tI-VP\tO' +p141029 +aS'two\ttwo\tCD\tB-NP\tO' +p141030 +aS'units\tunit\tNNS\tI-NP\tO' +p141031 +aS'of\tof\tIN\tB-PP\tO' +p141032 +aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' +p141033 +aS'red\tred\tJJ\tI-NP\tI-cell_type' +p141034 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p141035 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p141036 +aS'and\tand\tCC\tO\tO' +p141037 +aS'H2\tH2\tNN\tB-NP\tO' +p141038 +aS'blockers\tblocker\tNNS\tI-NP\tO' +p141039 +aS'.\t.\t.\tO\tO' +p141040 +asS'Her postoperative course was unremarkble .' +p141041 +(lp141042 +S'Her\tHer\tPRP$\tB-NP\tO' +p141043 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p141044 +aS'course\tcourse\tNN\tI-NP\tO' +p141045 +aS'was\tbe\tVBD\tB-VP\tO' +p141046 +aS'unremarkble\tunremarkble\tJJ\tB-ADJP\tO' +p141047 +aS'.\t.\t.\tO\tO' +p141048 +asS'No crepitus .' +p141049 +(lp141050 +S'No\tNo\tDT\tB-NP\tO' +p141051 +aS'crepitus\tcrepitus\tNN\tI-NP\tO' +p141052 +aS'.\t.\t.\tO\tO' +p141053 +asS'For this , a CT angiogram was obtained which demonstrated no pulmonary embolism .' +p141054 +(lp141055 +S'For\tFor\tIN\tB-PP\tO' +p141056 +aS'this\tthis\tDT\tB-NP\tO' +p141057 +aS',\t,\t,\tO\tO' +p141058 +aS'a\ta\tDT\tB-NP\tO' +p141059 +aS'CT\tCT\tNN\tI-NP\tO' +p141060 +aS'angiogram\tangiogram\tNN\tI-NP\tO' +p141061 +aS'was\tbe\tVBD\tB-VP\tO' +p141062 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p141063 +aS'which\twhich\tWDT\tB-NP\tO' +p141064 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p141065 +aS'no\tno\tDT\tB-NP\tO' +p141066 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p141067 +aS'embolism\tembolism\tNN\tI-NP\tO' +p141068 +aS'.\t.\t.\tO\tO' +p141069 +asS'Infant achieved full enteral feedings by day of life 6 .' +p141070 +(lp141071 +S'Infant\tInfant\tNNP\tB-NP\tO' +p141072 +aS'achieved\tachieve\tVBD\tB-VP\tO' +p141073 +aS'full\tfull\tJJ\tB-NP\tO' +p141074 +aS'enteral\tenteral\tJJ\tI-NP\tO' +p141075 +aS'feedings\tfeeding\tNNS\tI-NP\tO' +p141076 +aS'by\tby\tIN\tB-PP\tO' +p141077 +aS'day\tday\tNN\tB-NP\tO' +p141078 +aS'of\tof\tIN\tB-PP\tO' +p141079 +aS'life\tlife\tNN\tB-NP\tB-protein' +p141080 +aS'6\t6\tCD\tI-NP\tI-protein' +p141081 +aS'.\t.\t.\tO\tO' +p141082 +asS'She was placed on a bowel regimen of Dulcolax , Fleet enema , and Colace .' +p141083 +(lp141084 +S'She\tShe\tPRP\tB-NP\tO' +p141085 +aS'was\tbe\tVBD\tB-VP\tO' +p141086 +aS'placed\tplace\tVBN\tI-VP\tO' +p141087 +aS'on\ton\tIN\tB-PP\tO' +p141088 +aS'a\ta\tDT\tB-NP\tO' +p141089 +aS'bowel\tbowel\tNN\tI-NP\tO' +p141090 +aS'regimen\tregimen\tNN\tI-NP\tO' +p141091 +aS'of\tof\tIN\tB-PP\tO' +p141092 +aS'Dulcolax\tDulcolax\tNNP\tB-NP\tO' +p141093 +aS',\t,\t,\tO\tO' +p141094 +aS'Fleet\tFleet\tNNP\tB-NP\tO' +p141095 +aS'enema\tenema\tNN\tI-NP\tO' +p141096 +aS',\t,\t,\tO\tO' +p141097 +aS'and\tand\tCC\tO\tO' +p141098 +aS'Colace\tColace\tNNP\tB-NP\tO' +p141099 +aS'.\t.\t.\tO\tO' +p141100 +asS'2. Azotemia .' +p141101 +(lp141102 +S'2.\t2.\tLS\tB-NP\tO' +p141103 +aS'Azotemia\tAzotemia\tNN\tI-NP\tO' +p141104 +aS'.\t.\t.\tO\tO' +p141105 +asS'No rebound .' +p141106 +(lp141107 +S'No\tNo\tDT\tB-NP\tO' +p141108 +aS'rebound\trebound\tNN\tI-NP\tO' +p141109 +aS'.\t.\t.\tO\tO' +p141110 +asS'Cannot use lamictal or depakote due to reactions .' +p141111 +(lp141112 +S'Cannot\tCannot\tRB\tB-ADVP\tO' +p141113 +aS'use\tuse\tVBP\tB-VP\tO' +p141114 +aS'lamictal\tlamictal\tJJ\tB-ADJP\tO' +p141115 +aS'or\tor\tCC\tO\tO' +p141116 +aS'depakote\tdepakote\tVB\tB-VP\tO' +p141117 +aS'due\tdue\tJJ\tB-ADJP\tO' +p141118 +aS'to\tto\tTO\tB-PP\tO' +p141119 +aS'reactions\treaction\tNNS\tB-NP\tO' +p141120 +aS'.\t.\t.\tO\tO' +p141121 +asS'She has had lower extremity edema for thelast several years with multiple episodes of cellulitis .' +p141122 +(lp141123 +S'She\tShe\tPRP\tB-NP\tO' +p141124 +aS'has\thave\tVBZ\tB-VP\tO' +p141125 +aS'had\thave\tVBD\tI-VP\tO' +p141126 +aS'lower\tlow\tJJR\tB-NP\tO' +p141127 +aS'extremity\textremity\tNN\tI-NP\tO' +p141128 +aS'edema\tedema\tNN\tI-NP\tO' +p141129 +aS'for\tfor\tIN\tB-PP\tO' +p141130 +aS'thelast\tthelast\tJJ\tB-NP\tO' +p141131 +aS'several\tseveral\tJJ\tI-NP\tO' +p141132 +aS'years\tyear\tNNS\tI-NP\tO' +p141133 +aS'with\twith\tIN\tB-PP\tO' +p141134 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p141135 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p141136 +aS'of\tof\tIN\tB-PP\tO' +p141137 +aS'cellulitis\tcellulitis\tNN\tB-NP\tO' +p141138 +aS'.\t.\t.\tO\tO' +p141139 +asS'Overall left ventricular systolic function is severely depressed .' +p141140 +(lp141141 +S'Overall\tOverall\tRB\tB-ADVP\tO' +p141142 +aS'left\tleave\tVBD\tB-VP\tO' +p141143 +aS'ventricular\tventricular\tJJ\tB-NP\tO' +p141144 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p141145 +aS'function\tfunction\tNN\tI-NP\tO' +p141146 +aS'is\tbe\tVBZ\tB-VP\tO' +p141147 +aS'severely\tseverely\tRB\tI-VP\tO' +p141148 +aS'depressed\tdepress\tVBN\tI-VP\tO' +p141149 +aS'.\t.\t.\tO\tO' +p141150 +asS'Her respirations ceased and she died at 10:15 a.m. on April 2 , 1994 .' +p141151 +(lp141152 +S'Her\tHer\tPRP$\tB-NP\tO' +p141153 +aS'respirations\trespiration\tNNS\tI-NP\tO' +p141154 +aS'ceased\tcease\tVBN\tB-VP\tO' +p141155 +aS'and\tand\tCC\tO\tO' +p141156 +aS'she\tshe\tPRP\tB-NP\tO' +p141157 +aS'died\tdie\tVBD\tB-VP\tO' +p141158 +aS'at\tat\tIN\tB-PP\tO' +p141159 +aS'10:15\t10:15\tCD\tB-NP\tO' +p141160 +aS'a.m.\ta.m.\tNN\tI-NP\tO' +p141161 +aS'on\ton\tIN\tB-PP\tO' +p141162 +aS'April\tApril\tNNP\tB-NP\tO' +p141163 +aS'2\t2\tCD\tI-NP\tO' +p141164 +aS',\t,\t,\tI-NP\tO' +p141165 +aS'1994\t1994\tCD\tI-NP\tO' +p141166 +aS'.\t.\t.\tO\tO' +p141167 +asS'Withdraws to painful stimulus .' +p141168 +(lp141169 +S'Withdraws\tWithdraw\tNNS\tB-NP\tO' +p141170 +aS'to\tto\tTO\tB-PP\tO' +p141171 +aS'painful\tpainful\tJJ\tB-NP\tO' +p141172 +aS'stimulus\tstimulus\tNN\tI-NP\tO' +p141173 +aS'.\t.\t.\tO\tO' +p141174 +asS'He is 5 feet , 9 inches , 225 pounds .' +p141175 +(lp141176 +S'He\tHe\tPRP\tB-NP\tO' +p141177 +aS'is\tbe\tVBZ\tB-VP\tO' +p141178 +aS'5\t5\tCD\tB-NP\tO' +p141179 +aS'feet\tfoot\tNNS\tI-NP\tO' +p141180 +aS',\t,\t,\tO\tO' +p141181 +aS'9\t9\tCD\tB-NP\tO' +p141182 +aS'inches\tinch\tNNS\tI-NP\tO' +p141183 +aS',\t,\t,\tO\tO' +p141184 +aS'225\t225\tCD\tB-NP\tO' +p141185 +aS'pounds\tpound\tNNS\tI-NP\tO' +p141186 +aS'.\t.\t.\tO\tO' +p141187 +asS'Allergies to penicillin , sulfa , codeine , morphine sulfate .Medications on transfer included thiamine ; multivitamin ; Pepcid ; ceftizoxime 1 gm intravenously q. eight hours ; Flagyl 500 mg intravenously q. eight hours ; gentamicin 80 mg IV q. 24 hours ; Ventolin inhaler ; Lotrimin cream ; sliding scale nitro paste ; pyridium ; Vancomycin 125 mg p.o. q.i.d. ; and calcium carbonate .' +p141188 +(lp141189 +S'Allergies\tAllergy\tNNS\tB-NP\tO' +p141190 +aS'to\tto\tTO\tB-PP\tO' +p141191 +aS'penicillin\tpenicillin\tNN\tB-NP\tB-protein' +p141192 +aS',\t,\t,\tO\tO' +p141193 +aS'sulfa\tsulfa\tNN\tB-NP\tO' +p141194 +aS',\t,\t,\tO\tO' +p141195 +aS'codeine\tcodeine\tNN\tB-NP\tO' +p141196 +aS',\t,\t,\tO\tO' +p141197 +aS'morphine\tmorphine\tNN\tB-NP\tO' +p141198 +aS'sulfate\tsulfate\tNN\tI-NP\tO' +p141199 +aS'.Medications\t.Medication\tNNS\tI-NP\tO' +p141200 +aS'on\ton\tIN\tB-PP\tO' +p141201 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p141202 +aS'included\tinclude\tVBD\tB-VP\tO' +p141203 +aS'thiamine\tthiamine\tNN\tB-NP\tO' +p141204 +aS';\t;\t:\tO\tO' +p141205 +aS'multivitamin\tmultivitamin\tNN\tB-NP\tO' +p141206 +aS';\t;\t:\tO\tO' +p141207 +aS'Pepcid\tPepcid\tNN\tB-NP\tO' +p141208 +aS';\t;\t:\tO\tO' +p141209 +aS'ceftizoxime\tceftizoxime\tNN\tB-NP\tO' +p141210 +aS'1\t1\tCD\tI-NP\tO' +p141211 +aS'gm\tgm\tNN\tI-NP\tO' +p141212 +aS'intravenously\tintravenously\tRB\tB-NP\tO' +p141213 +aS'q.\tq.\tRB\tI-NP\tO' +p141214 +aS'eight\teight\tCD\tI-NP\tO' +p141215 +aS'hours\thour\tNNS\tI-NP\tO' +p141216 +aS';\t;\t:\tO\tO' +p141217 +aS'Flagyl\tFlagyl\tNN\tB-NP\tO' +p141218 +aS'500\t500\tCD\tI-NP\tO' +p141219 +aS'mg\tmg\tNN\tI-NP\tO' +p141220 +aS'intravenously\tintravenously\tRB\tB-NP\tO' +p141221 +aS'q.\tq.\tRB\tI-NP\tO' +p141222 +aS'eight\teight\tCD\tI-NP\tO' +p141223 +aS'hours\thour\tNNS\tI-NP\tO' +p141224 +aS';\t;\t:\tO\tO' +p141225 +aS'gentamicin\tgentamicin\tNN\tB-NP\tO' +p141226 +aS'80\t80\tCD\tI-NP\tO' +p141227 +aS'mg\tmg\tNN\tI-NP\tO' +p141228 +aS'IV\tIV\tCD\tB-NP\tO' +p141229 +aS'q.\tq.\tNN\tI-NP\tO' +p141230 +aS'24\t24\tCD\tB-NP\tO' +p141231 +aS'hours\thour\tNNS\tI-NP\tO' +p141232 +aS';\t;\t:\tO\tO' +p141233 +aS'Ventolin\tVentolin\tNN\tB-NP\tO' +p141234 +aS'inhaler\tinhaler\tNN\tI-NP\tO' +p141235 +aS';\t;\t:\tO\tO' +p141236 +aS'Lotrimin\tLotrimin\tNNP\tB-NP\tO' +p141237 +aS'cream\tcream\tNN\tI-NP\tO' +p141238 +aS';\t;\t:\tO\tO' +p141239 +aS'sliding\tslide\tVBG\tB-VP\tO' +p141240 +aS'scale\tscale\tNN\tB-NP\tO' +p141241 +aS'nitro\tnitro\tNN\tI-NP\tO' +p141242 +aS'paste\tpaste\tNN\tI-NP\tO' +p141243 +aS';\t;\t:\tO\tO' +p141244 +aS'pyridium\tpyridium\tNN\tB-NP\tO' +p141245 +aS';\t;\t:\tO\tO' +p141246 +aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' +p141247 +aS'125\t125\tCD\tI-NP\tO' +p141248 +aS'mg\tmg\tNN\tI-NP\tO' +p141249 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p141250 +aS'q.i.d.\tq.i.d.\tNN\tI-NP\tO' +p141251 +aS';\t;\t:\tO\tO' +p141252 +aS'and\tand\tCC\tO\tO' +p141253 +aS'calcium\tcalcium\tNN\tB-NP\tO' +p141254 +aS'carbonate\tcarbonate\tNN\tI-NP\tO' +p141255 +aS'.\t.\t.\tO\tO' +p141256 +asS'She will also be seen in the Heart Failure Clinic on 2012-03-28 .' +p141257 +(lp141258 +S'She\tShe\tPRP\tB-NP\tO' +p141259 +aS'will\twill\tMD\tB-VP\tO' +p141260 +aS'also\talso\tRB\tI-VP\tO' +p141261 +aS'be\tbe\tVB\tI-VP\tO' +p141262 +aS'seen\tsee\tVBN\tI-VP\tO' +p141263 +aS'in\tin\tIN\tB-PP\tO' +p141264 +aS'the\tthe\tDT\tB-NP\tO' +p141265 +aS'Heart\tHeart\tNNP\tI-NP\tO' +p141266 +aS'Failure\tFailure\tNNP\tI-NP\tO' +p141267 +aS'Clinic\tClinic\tNNP\tI-NP\tO' +p141268 +aS'on\ton\tIN\tB-PP\tO' +p141269 +aS'2012-03-28\t2012-03-28\tCD\tB-NP\tO' +p141270 +aS'.\t.\t.\tO\tO' +p141271 +asS'Trazodone 25 mg p.o. q h.s. as needed for sleep .' +p141272 +(lp141273 +S'Trazodone\tTrazodone\tNN\tB-NP\tO' +p141274 +aS'25\t25\tCD\tI-NP\tO' +p141275 +aS'mg\tmg\tNN\tI-NP\tO' +p141276 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p141277 +aS'q\tq\tNN\tI-NP\tO' +p141278 +aS'h.s.\th.s.\tNN\tI-NP\tO' +p141279 +aS'as\tas\tIN\tB-SBAR\tO' +p141280 +aS'needed\tneed\tVBN\tB-VP\tO' +p141281 +aS'for\tfor\tIN\tB-PP\tO' +p141282 +aS'sleep\tsleep\tNN\tB-NP\tO' +p141283 +aS'.\t.\t.\tO\tO' +p141284 +asS'It was felt that this potentially had lead to his atrial flutter and atrial fibrillation with rapid ventricular response .' +p141285 +(lp141286 +S'It\tIt\tPRP\tB-NP\tO' +p141287 +aS'was\tbe\tVBD\tB-VP\tO' +p141288 +aS'felt\tfeel\tVBN\tI-VP\tO' +p141289 +aS'that\tthat\tIN\tB-SBAR\tO' +p141290 +aS'this\tthis\tDT\tB-NP\tO' +p141291 +aS'potentially\tpotentially\tRB\tB-ADVP\tO' +p141292 +aS'had\thave\tVBD\tB-VP\tO' +p141293 +aS'lead\tlead\tVBN\tI-VP\tO' +p141294 +aS'to\tto\tTO\tB-PP\tO' +p141295 +aS'his\this\tPRP$\tB-NP\tO' +p141296 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p141297 +aS'flutter\tflutter\tNN\tI-NP\tO' +p141298 +aS'and\tand\tCC\tO\tO' +p141299 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p141300 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p141301 +aS'with\twith\tIN\tB-PP\tO' +p141302 +aS'rapid\trapid\tJJ\tB-NP\tO' +p141303 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p141304 +aS'response\tresponse\tNN\tI-NP\tO' +p141305 +aS'.\t.\t.\tO\tO' +p141306 +asS'The Levophed drip was continued until postoperative day number one .' +p141307 +(lp141308 +S'The\tThe\tDT\tB-NP\tO' +p141309 +aS'Levophed\tLevophed\tNNP\tI-NP\tO' +p141310 +aS'drip\tdrip\tNN\tI-NP\tO' +p141311 +aS'was\tbe\tVBD\tB-VP\tO' +p141312 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p141313 +aS'until\tuntil\tIN\tB-PP\tO' +p141314 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p141315 +aS'day\tday\tNN\tI-NP\tO' +p141316 +aS'number\tnumber\tNN\tI-NP\tO' +p141317 +aS'one\tone\tCD\tB-NP\tO' +p141318 +aS'.\t.\t.\tO\tO' +p141319 +asS'A postoperative MRI was obtained which revealed no remarkable findings but only post surgical changes .' +p141320 +(lp141321 +S'A\tA\tDT\tB-NP\tO' +p141322 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p141323 +aS'MRI\tMRI\tNN\tI-NP\tO' +p141324 +aS'was\tbe\tVBD\tB-VP\tO' +p141325 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p141326 +aS'which\twhich\tWDT\tB-NP\tO' +p141327 +aS'revealed\treveal\tVBD\tB-VP\tO' +p141328 +aS'no\tno\tDT\tB-NP\tO' +p141329 +aS'remarkable\tremarkable\tJJ\tI-NP\tO' +p141330 +aS'findings\tfinding\tNNS\tI-NP\tO' +p141331 +aS'but\tbut\tCC\tO\tO' +p141332 +aS'only\tonly\tRB\tB-VP\tO' +p141333 +aS'post\tpost\tVBP\tI-VP\tO' +p141334 +aS'surgical\tsurgical\tJJ\tB-NP\tO' +p141335 +aS'changes\tchange\tNNS\tI-NP\tO' +p141336 +aS'.\t.\t.\tO\tO' +p141337 +asS'10. Hepatitis B .' +p141338 +(lp141339 +S'10.\t10.\tLS\tB-NP\tO' +p141340 +aS'Hepatitis\tHepatitis\tNN\tI-NP\tB-protein' +p141341 +aS'B\tB\tNN\tI-NP\tI-protein' +p141342 +aS'.\t.\t.\tO\tO' +p141343 +asS'On the night of admission lumbar puncture was attempted on the floor , but we were unable to get cerebral spinal fluid due to difficulty with compliance with the patient who was severely agitated and would not comply with the examination .' +p141344 +(lp141345 +S'On\tOn\tIN\tB-PP\tO' +p141346 +aS'the\tthe\tDT\tB-NP\tO' +p141347 +aS'night\tnight\tNN\tI-NP\tO' +p141348 +aS'of\tof\tIN\tB-PP\tO' +p141349 +aS'admission\tadmission\tNN\tB-NP\tO' +p141350 +aS'lumbar\tlumbar\tNN\tI-NP\tO' +p141351 +aS'puncture\tpuncture\tNN\tI-NP\tO' +p141352 +aS'was\tbe\tVBD\tB-VP\tO' +p141353 +aS'attempted\tattempt\tVBN\tI-VP\tO' +p141354 +aS'on\ton\tIN\tB-PP\tO' +p141355 +aS'the\tthe\tDT\tB-NP\tO' +p141356 +aS'floor\tfloor\tNN\tI-NP\tO' +p141357 +aS',\t,\t,\tO\tO' +p141358 +aS'but\tbut\tCC\tO\tO' +p141359 +aS'we\twe\tPRP\tB-NP\tO' +p141360 +aS'were\tbe\tVBD\tB-VP\tO' +p141361 +aS'unable\tunable\tJJ\tB-ADJP\tO' +p141362 +aS'to\tto\tTO\tB-VP\tO' +p141363 +aS'get\tget\tVB\tI-VP\tO' +p141364 +aS'cerebral\tcerebral\tJJ\tB-NP\tO' +p141365 +aS'spinal\tspinal\tJJ\tI-NP\tO' +p141366 +aS'fluid\tfluid\tNN\tI-NP\tO' +p141367 +aS'due\tdue\tJJ\tB-ADJP\tO' +p141368 +aS'to\tto\tTO\tB-PP\tO' +p141369 +aS'difficulty\tdifficulty\tNN\tB-NP\tO' +p141370 +aS'with\twith\tIN\tB-PP\tO' +p141371 +aS'compliance\tcompliance\tNN\tB-NP\tO' +p141372 +aS'with\twith\tIN\tB-PP\tO' +p141373 +aS'the\tthe\tDT\tB-NP\tO' +p141374 +aS'patient\tpatient\tNN\tI-NP\tO' +p141375 +aS'who\twho\tWP\tB-NP\tO' +p141376 +aS'was\tbe\tVBD\tB-VP\tO' +p141377 +aS'severely\tseverely\tRB\tI-VP\tO' +p141378 +aS'agitated\tagitate\tVBN\tI-VP\tO' +p141379 +aS'and\tand\tCC\tO\tO' +p141380 +aS'would\twould\tMD\tB-VP\tO' +p141381 +aS'not\tnot\tRB\tI-VP\tO' +p141382 +aS'comply\tcomply\tVB\tI-VP\tO' +p141383 +aS'with\twith\tIN\tB-PP\tO' +p141384 +aS'the\tthe\tDT\tB-NP\tO' +p141385 +aS'examination\texamination\tNN\tI-NP\tO' +p141386 +aS'.\t.\t.\tO\tO' +p141387 +asS'On Ct scan , a right psoas mass , most consistent with a hematoma , was seen .' +p141388 +(lp141389 +S'On\tOn\tIN\tB-PP\tO' +p141390 +aS'Ct\tCt\tNN\tB-NP\tO' +p141391 +aS'scan\tscan\tNN\tI-NP\tO' +p141392 +aS',\t,\t,\tO\tO' +p141393 +aS'a\ta\tDT\tB-NP\tO' +p141394 +aS'right\tright\tJJ\tI-NP\tO' +p141395 +aS'psoas\tpsoas\tNN\tI-NP\tO' +p141396 +aS'mass\tmass\tNN\tI-NP\tO' +p141397 +aS',\t,\t,\tO\tO' +p141398 +aS'most\tmost\tRBS\tB-ADJP\tO' +p141399 +aS'consistent\tconsistent\tJJ\tI-ADJP\tO' +p141400 +aS'with\twith\tIN\tB-PP\tO' +p141401 +aS'a\ta\tDT\tB-NP\tO' +p141402 +aS'hematoma\thematoma\tNN\tI-NP\tO' +p141403 +aS',\t,\t,\tO\tO' +p141404 +aS'was\tbe\tVBD\tB-VP\tO' +p141405 +aS'seen\tsee\tVBN\tI-VP\tO' +p141406 +aS'.\t.\t.\tO\tO' +p141407 +asS'Coumadin 2.5 mg / 3 mg' +p141408 +(lp141409 +S'Coumadin\tCoumadin\tNN\tB-NP\tO' +p141410 +aS'2.5\t2.5\tCD\tI-NP\tO' +p141411 +aS'mg\tmg\tNN\tI-NP\tO' +p141412 +aS'/\t/\tSYM\tB-NP\tO' +p141413 +aS'3\t3\tCD\tB-NP\tO' +p141414 +aS'mg\tmg\tNN\tI-NP\tO' +p141415 +asS'1. Cholecalciferol .' +p141416 +(lp141417 +S'1.\t1.\tLS\tB-NP\tO' +p141418 +aS'Cholecalciferol\tCholecalciferol\tNN\tI-NP\tO' +p141419 +aS'.\t.\t.\tO\tO' +p141420 +asS'During the seizure , he bit his tongue , resulting in a large bleed from his tongue , which was sutured by the ENT Service , however , his continued coagulopathy resulted in bleeding from his nasopharynx , which could never be identified , and also upper gastrointestinal bleeding .' +p141421 +(lp141422 +S'During\tDuring\tIN\tB-PP\tO' +p141423 +aS'the\tthe\tDT\tB-NP\tO' +p141424 +aS'seizure\tseizure\tNN\tI-NP\tO' +p141425 +aS',\t,\t,\tO\tO' +p141426 +aS'he\the\tPRP\tB-NP\tO' +p141427 +aS'bit\tbite\tVBD\tB-VP\tO' +p141428 +aS'his\this\tPRP$\tB-NP\tO' +p141429 +aS'tongue\ttongue\tNN\tI-NP\tO' +p141430 +aS',\t,\t,\tO\tO' +p141431 +aS'resulting\tresult\tVBG\tB-VP\tO' +p141432 +aS'in\tin\tIN\tB-PP\tO' +p141433 +aS'a\ta\tDT\tB-NP\tO' +p141434 +aS'large\tlarge\tJJ\tI-NP\tO' +p141435 +aS'bleed\tbleed\tNN\tI-NP\tO' +p141436 +aS'from\tfrom\tIN\tB-PP\tO' +p141437 +aS'his\this\tPRP$\tB-NP\tO' +p141438 +aS'tongue\ttongue\tNN\tI-NP\tO' +p141439 +aS',\t,\t,\tO\tO' +p141440 +aS'which\twhich\tWDT\tB-NP\tO' +p141441 +aS'was\tbe\tVBD\tB-VP\tO' +p141442 +aS'sutured\tsuture\tVBN\tI-VP\tO' +p141443 +aS'by\tby\tIN\tB-PP\tO' +p141444 +aS'the\tthe\tDT\tB-NP\tO' +p141445 +aS'ENT\tENT\tNNP\tI-NP\tO' +p141446 +aS'Service\tService\tNNP\tI-NP\tO' +p141447 +aS',\t,\t,\tO\tO' +p141448 +aS'however\thowever\tRB\tB-ADVP\tO' +p141449 +aS',\t,\t,\tO\tO' +p141450 +aS'his\this\tPRP$\tB-NP\tO' +p141451 +aS'continued\tcontinued\tJJ\tI-NP\tO' +p141452 +aS'coagulopathy\tcoagulopathy\tNN\tI-NP\tO' +p141453 +aS'resulted\tresult\tVBD\tB-VP\tO' +p141454 +aS'in\tin\tIN\tB-PP\tO' +p141455 +aS'bleeding\tbleed\tVBG\tB-VP\tO' +p141456 +aS'from\tfrom\tIN\tB-PP\tO' +p141457 +aS'his\this\tPRP$\tB-NP\tO' +p141458 +aS'nasopharynx\tnasopharynx\tNN\tI-NP\tO' +p141459 +aS',\t,\t,\tO\tO' +p141460 +aS'which\twhich\tWDT\tB-NP\tO' +p141461 +aS'could\tcould\tMD\tB-VP\tO' +p141462 +aS'never\tnever\tRB\tI-VP\tO' +p141463 +aS'be\tbe\tVB\tI-VP\tO' +p141464 +aS'identified\tidentify\tVBN\tI-VP\tO' +p141465 +aS',\t,\t,\tO\tO' +p141466 +aS'and\tand\tCC\tO\tO' +p141467 +aS'also\talso\tRB\tB-ADVP\tO' +p141468 +aS'upper\tupper\tJJ\tB-NP\tO' +p141469 +aS'gastrointestinal\tgastrointestinal\tJJ\tI-NP\tO' +p141470 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p141471 +aS'.\t.\t.\tO\tO' +p141472 +asS'The patient on 2/8/90 underwent a right radical vulvectomy with excellent results and negative margins on frozen section .' +p141473 +(lp141474 +S'The\tThe\tDT\tB-NP\tO' +p141475 +aS'patient\tpatient\tNN\tI-NP\tO' +p141476 +aS'on\ton\tIN\tB-PP\tO' +p141477 +aS'2/8/90\t2/8/90\tCD\tB-NP\tO' +p141478 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p141479 +aS'a\ta\tDT\tB-NP\tO' +p141480 +aS'right\tright\tJJ\tI-NP\tO' +p141481 +aS'radical\tradical\tNN\tI-NP\tO' +p141482 +aS'vulvectomy\tvulvectomy\tNN\tI-NP\tO' +p141483 +aS'with\twith\tIN\tB-PP\tO' +p141484 +aS'excellent\texcellent\tJJ\tB-NP\tO' +p141485 +aS'results\tresult\tNNS\tI-NP\tO' +p141486 +aS'and\tand\tCC\tO\tO' +p141487 +aS'negative\tnegative\tJJ\tB-NP\tO' +p141488 +aS'margins\tmargin\tNNS\tI-NP\tO' +p141489 +aS'on\ton\tIN\tB-PP\tO' +p141490 +aS'frozen\tfrozen\tJJ\tB-NP\tO' +p141491 +aS'section\tsection\tNN\tI-NP\tO' +p141492 +aS'.\t.\t.\tO\tO' +p141493 +asS'The patient was taken to the OR twice with orthopaedics .' +p141494 +(lp141495 +S'The\tThe\tDT\tB-NP\tO' +p141496 +aS'patient\tpatient\tNN\tI-NP\tO' +p141497 +aS'was\tbe\tVBD\tB-VP\tO' +p141498 +aS'taken\ttake\tVBN\tI-VP\tO' +p141499 +aS'to\tto\tTO\tB-PP\tO' +p141500 +aS'the\tthe\tDT\tB-NP\tO' +p141501 +aS'OR\tOR\tNN\tI-NP\tO' +p141502 +aS'twice\ttwice\tRB\tB-ADVP\tO' +p141503 +aS'with\twith\tIN\tB-PP\tO' +p141504 +aS'orthopaedics\torthopaedic\tNNS\tB-NP\tO' +p141505 +aS'.\t.\t.\tO\tO' +p141506 +asS'Temperature 100.1 degrees , blood pressure 134/79 , pulse 100 , respiratory rate 17 , and saturations 95 percent on room air .' +p141507 +(lp141508 +S'Temperature\tTemperature\tNN\tB-NP\tO' +p141509 +aS'100.1\t100.1\tCD\tB-NP\tO' +p141510 +aS'degrees\tdegree\tNNS\tI-NP\tO' +p141511 +aS',\t,\t,\tO\tO' +p141512 +aS'blood\tblood\tNN\tB-NP\tO' +p141513 +aS'pressure\tpressure\tNN\tI-NP\tO' +p141514 +aS'134/79\t134/79\tCD\tI-NP\tO' +p141515 +aS',\t,\t,\tO\tO' +p141516 +aS'pulse\tpulse\tNN\tB-NP\tO' +p141517 +aS'100\t100\tCD\tI-NP\tO' +p141518 +aS',\t,\t,\tO\tO' +p141519 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p141520 +aS'rate\trate\tNN\tI-NP\tO' +p141521 +aS'17\t17\tCD\tI-NP\tO' +p141522 +aS',\t,\t,\tO\tO' +p141523 +aS'and\tand\tCC\tO\tO' +p141524 +aS'saturations\tsaturation\tNNS\tB-NP\tO' +p141525 +aS'95\t95\tCD\tB-NP\tO' +p141526 +aS'percent\tpercent\tNN\tI-NP\tO' +p141527 +aS'on\ton\tIN\tB-PP\tO' +p141528 +aS'room\troom\tNN\tB-NP\tO' +p141529 +aS'air\tair\tNN\tI-NP\tO' +p141530 +aS'.\t.\t.\tO\tO' +p141531 +asS'Notable for a history of trigeminal neuralgia , left shoulder surgery , fibrocystic breast disease , endometriosis and status post total abdominal hysterectomy .' +p141532 +(lp141533 +S'Notable\tNotable\tJJ\tB-ADJP\tO' +p141534 +aS'for\tfor\tIN\tB-PP\tO' +p141535 +aS'a\ta\tDT\tB-NP\tO' +p141536 +aS'history\thistory\tNN\tI-NP\tO' +p141537 +aS'of\tof\tIN\tB-PP\tO' +p141538 +aS'trigeminal\ttrigeminal\tJJ\tB-NP\tO' +p141539 +aS'neuralgia\tneuralgia\tNN\tI-NP\tO' +p141540 +aS',\t,\t,\tO\tO' +p141541 +aS'left\tleave\tVBD\tB-VP\tO' +p141542 +aS'shoulder\tshoulder\tNN\tB-NP\tO' +p141543 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p141544 +aS',\t,\t,\tO\tO' +p141545 +aS'fibrocystic\tfibrocystic\tJJ\tB-NP\tO' +p141546 +aS'breast\tbreast\tNN\tI-NP\tO' +p141547 +aS'disease\tdisease\tNN\tI-NP\tO' +p141548 +aS',\t,\t,\tO\tO' +p141549 +aS'endometriosis\tendometriosis\tNN\tB-NP\tO' +p141550 +aS'and\tand\tCC\tI-NP\tO' +p141551 +aS'status\tstatus\tNN\tI-NP\tO' +p141552 +aS'post\tpost\tVBP\tB-VP\tO' +p141553 +aS'total\ttotal\tJJ\tB-NP\tO' +p141554 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p141555 +aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' +p141556 +aS'.\t.\t.\tO\tO' +p141557 +asS'The patient was in previously good health when he reports starting to notice problems ambulating about six months ago .' +p141558 +(lp141559 +S'The\tThe\tDT\tB-NP\tO' +p141560 +aS'patient\tpatient\tNN\tI-NP\tO' +p141561 +aS'was\tbe\tVBD\tB-VP\tO' +p141562 +aS'in\tin\tIN\tB-PP\tO' +p141563 +aS'previously\tpreviously\tRB\tB-NP\tO' +p141564 +aS'good\tgood\tJJ\tI-NP\tO' +p141565 +aS'health\thealth\tNN\tI-NP\tO' +p141566 +aS'when\twhen\tWRB\tB-ADVP\tO' +p141567 +aS'he\the\tPRP\tB-NP\tO' +p141568 +aS'reports\treport\tVBZ\tB-VP\tO' +p141569 +aS'starting\tstart\tVBG\tI-VP\tO' +p141570 +aS'to\tto\tTO\tI-VP\tO' +p141571 +aS'notice\tnotice\tVB\tI-VP\tO' +p141572 +aS'problems\tproblem\tNNS\tB-NP\tO' +p141573 +aS'ambulating\tambulate\tVBG\tB-VP\tO' +p141574 +aS'about\tabout\tIN\tB-NP\tO' +p141575 +aS'six\tsix\tCD\tI-NP\tO' +p141576 +aS'months\tmonth\tNNS\tI-NP\tO' +p141577 +aS'ago\tago\tRB\tB-ADVP\tO' +p141578 +aS'.\t.\t.\tO\tO' +p141579 +asS'In currently in a relationship with a man whom she met during a previous inpt admission .' +p141580 +(lp141581 +S'In\tIn\tIN\tB-PP\tO' +p141582 +aS'currently\tcurrently\tRB\tB-ADVP\tO' +p141583 +aS'in\tin\tIN\tB-PP\tO' +p141584 +aS'a\ta\tDT\tB-NP\tO' +p141585 +aS'relationship\trelationship\tNN\tI-NP\tO' +p141586 +aS'with\twith\tIN\tB-PP\tO' +p141587 +aS'a\ta\tDT\tB-NP\tO' +p141588 +aS'man\tman\tNN\tI-NP\tO' +p141589 +aS'whom\twhom\tWP\tB-NP\tO' +p141590 +aS'she\tshe\tPRP\tB-NP\tO' +p141591 +aS'met\tmeet\tVBD\tB-VP\tO' +p141592 +aS'during\tduring\tIN\tB-PP\tO' +p141593 +aS'a\ta\tDT\tB-NP\tO' +p141594 +aS'previous\tprevious\tJJ\tI-NP\tO' +p141595 +aS'inpt\tinpt\tJJ\tI-NP\tO' +p141596 +aS'admission\tadmission\tNN\tI-NP\tO' +p141597 +aS'.\t.\t.\tO\tO' +p141598 +asS'There is mild regional left ventricular systolic dysfunction .' +p141599 +(lp141600 +S'There\tThere\tEX\tB-NP\tO' +p141601 +aS'is\tbe\tVBZ\tB-VP\tO' +p141602 +aS'mild\tmild\tJJ\tB-NP\tO' +p141603 +aS'regional\tregional\tJJ\tI-NP\tO' +p141604 +aS'left\tleft\tJJ\tI-NP\tO' +p141605 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p141606 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p141607 +aS'dysfunction\tdysfunction\tNN\tI-NP\tO' +p141608 +aS'.\t.\t.\tO\tO' +p141609 +asS'She was transitioned to a PCA for better pain control .' +p141610 +(lp141611 +S'She\tShe\tPRP\tB-NP\tO' +p141612 +aS'was\tbe\tVBD\tB-VP\tO' +p141613 +aS'transitioned\ttransitione\tVBN\tI-VP\tO' +p141614 +aS'to\tto\tTO\tB-PP\tO' +p141615 +aS'a\ta\tDT\tB-NP\tO' +p141616 +aS'PCA\tPCA\tNN\tI-NP\tB-protein' +p141617 +aS'for\tfor\tIN\tB-PP\tO' +p141618 +aS'better\tgood\tJJR\tB-NP\tO' +p141619 +aS'pain\tpain\tNN\tI-NP\tO' +p141620 +aS'control\tcontrol\tNN\tI-NP\tO' +p141621 +aS'.\t.\t.\tO\tO' +p141622 +asS'His neurologic exam did not change significantly .' +p141623 +(lp141624 +S'His\tHis\tPRP$\tB-NP\tO' +p141625 +aS'neurologic\tneurologic\tJJ\tI-NP\tO' +p141626 +aS'exam\texam\tNN\tI-NP\tO' +p141627 +aS'did\tdo\tVBD\tB-VP\tO' +p141628 +aS'not\tnot\tRB\tI-VP\tO' +p141629 +aS'change\tchange\tVB\tI-VP\tO' +p141630 +aS'significantly\tsignificantly\tRB\tB-ADVP\tO' +p141631 +aS'.\t.\t.\tO\tO' +p141632 +asS'1. Breast cancer left side diagnosed in 1982 status post 1995 mastectomy with 5 out of 9 positive lymph nodes .' +p141633 +(lp141634 +S'1.\t1.\tLS\tB-NP\tO' +p141635 +aS'Breast\tBreast\tNN\tI-NP\tO' +p141636 +aS'cancer\tcancer\tNN\tI-NP\tO' +p141637 +aS'left\tleave\tVBD\tB-VP\tO' +p141638 +aS'side\tside\tNN\tB-NP\tO' +p141639 +aS'diagnosed\tdiagnose\tVBN\tB-VP\tO' +p141640 +aS'in\tin\tIN\tB-PP\tO' +p141641 +aS'1982\t1982\tCD\tB-NP\tO' +p141642 +aS'status\tstatus\tNN\tI-NP\tO' +p141643 +aS'post\tpost\tIN\tB-PP\tO' +p141644 +aS'1995\t1995\tCD\tB-NP\tO' +p141645 +aS'mastectomy\tmastectomy\tNN\tI-NP\tO' +p141646 +aS'with\twith\tIN\tB-PP\tO' +p141647 +aS'5\t5\tCD\tB-NP\tO' +p141648 +aS'out\tout\tIN\tI-NP\tO' +p141649 +aS'of\tof\tIN\tI-NP\tO' +p141650 +aS'9\t9\tCD\tI-NP\tO' +p141651 +aS'positive\tpositive\tJJ\tI-NP\tO' +p141652 +aS'lymph\tlymph\tNN\tI-NP\tO' +p141653 +aS'nodes\tnode\tNNS\tI-NP\tO' +p141654 +aS'.\t.\t.\tO\tO' +p141655 +asS'12. Coumadin 5 mg Tablet Sig : One ( 1 ) Tablet PO once a day : Check INR 11-15 with results called to Dr. Lynn .' +p141656 +(lp141657 +S'12.\t12.\tCD\tB-NP\tO' +p141658 +aS'Coumadin\tCoumadin\tNN\tI-NP\tO' +p141659 +aS'5\t5\tCD\tB-NP\tO' +p141660 +aS'mg\tmg\tNN\tI-NP\tO' +p141661 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p141662 +aS'Sig\tSig\tNNP\tI-NP\tO' +p141663 +aS':\t:\t:\tO\tO' +p141664 +aS'One\tOne\tCD\tB-NP\tO' +p141665 +aS'(\t(\t(\tO\tO' +p141666 +aS'1\t1\tCD\tB-NP\tO' +p141667 +aS')\t)\t)\tO\tO' +p141668 +aS'Tablet\tTablet\tNN\tB-NP\tB-protein' +p141669 +aS'PO\tPO\tNN\tI-NP\tI-protein' +p141670 +aS'once\tonce\tRB\tO\tO' +p141671 +aS'a\ta\tDT\tB-NP\tO' +p141672 +aS'day\tday\tNN\tI-NP\tO' +p141673 +aS':\t:\t:\tO\tO' +p141674 +aS'Check\tCheck\tNNP\tB-NP\tO' +p141675 +aS'INR\tINR\tNNP\tI-NP\tO' +p141676 +aS'11-15\t11-15\tCD\tI-NP\tO' +p141677 +aS'with\twith\tIN\tB-PP\tO' +p141678 +aS'results\tresult\tNNS\tB-NP\tO' +p141679 +aS'called\tcall\tVBN\tB-VP\tO' +p141680 +aS'to\tto\tTO\tB-PP\tO' +p141681 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p141682 +aS'Lynn\tLynn\tNNP\tI-NP\tO' +p141683 +aS'.\t.\t.\tO\tO' +p141684 +asS'She has had no motor weakness , abnormal sensation , numbness , tingling or incontinence of bowel or bladder .' +p141685 +(lp141686 +S'She\tShe\tPRP\tB-NP\tO' +p141687 +aS'has\thave\tVBZ\tB-VP\tO' +p141688 +aS'had\thave\tVBN\tI-VP\tO' +p141689 +aS'no\tno\tDT\tB-NP\tO' +p141690 +aS'motor\tmotor\tNN\tI-NP\tO' +p141691 +aS'weakness\tweakness\tNN\tI-NP\tO' +p141692 +aS',\t,\t,\tO\tO' +p141693 +aS'abnormal\tabnormal\tJJ\tB-NP\tO' +p141694 +aS'sensation\tsensation\tNN\tI-NP\tO' +p141695 +aS',\t,\t,\tO\tO' +p141696 +aS'numbness\tnumbness\tNN\tB-NP\tO' +p141697 +aS',\t,\t,\tO\tO' +p141698 +aS'tingling\ttingling\tNN\tB-NP\tO' +p141699 +aS'or\tor\tCC\tO\tO' +p141700 +aS'incontinence\tincontinence\tNN\tB-NP\tO' +p141701 +aS'of\tof\tIN\tB-PP\tO' +p141702 +aS'bowel\tbowel\tNN\tB-NP\tO' +p141703 +aS'or\tor\tCC\tI-NP\tO' +p141704 +aS'bladder\tbladder\tNN\tI-NP\tO' +p141705 +aS'.\t.\t.\tO\tO' +p141706 +asS'The patient also underwent a negative evaluation for dissecting aortic aneurysm .' +p141707 +(lp141708 +S'The\tThe\tDT\tB-NP\tO' +p141709 +aS'patient\tpatient\tNN\tI-NP\tO' +p141710 +aS'also\talso\tRB\tB-ADVP\tO' +p141711 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p141712 +aS'a\ta\tDT\tB-NP\tO' +p141713 +aS'negative\tnegative\tJJ\tI-NP\tO' +p141714 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p141715 +aS'for\tfor\tIN\tB-PP\tO' +p141716 +aS'dissecting\tdissect\tVBG\tB-VP\tO' +p141717 +aS'aortic\taortic\tJJ\tB-NP\tO' +p141718 +aS'aneurysm\taneurysm\tNN\tI-NP\tO' +p141719 +aS'.\t.\t.\tO\tO' +p141720 +asS'His electrolyte panel of sodium 135 , sodium 4.1 , chloride 99 , bicarb 30 , BUN 15 , creatinine 2.1 , blood glucose of 196 .' +p141721 +(lp141722 +S'His\tHis\tPRP$\tB-NP\tO' +p141723 +aS'electrolyte\telectrolyte\tJJ\tI-NP\tO' +p141724 +aS'panel\tpanel\tNN\tI-NP\tO' +p141725 +aS'of\tof\tIN\tB-PP\tO' +p141726 +aS'sodium\tsodium\tNN\tB-NP\tO' +p141727 +aS'135\t135\tCD\tI-NP\tO' +p141728 +aS',\t,\t,\tO\tO' +p141729 +aS'sodium\tsodium\tNN\tB-NP\tO' +p141730 +aS'4.1\t4.1\tCD\tI-NP\tO' +p141731 +aS',\t,\t,\tO\tO' +p141732 +aS'chloride\tchloride\tNN\tB-NP\tO' +p141733 +aS'99\t99\tCD\tI-NP\tO' +p141734 +aS',\t,\t,\tO\tO' +p141735 +aS'bicarb\tbicarb\tNN\tB-NP\tO' +p141736 +aS'30\t30\tCD\tI-NP\tO' +p141737 +aS',\t,\t,\tO\tO' +p141738 +aS'BUN\tBUN\tNNP\tB-NP\tO' +p141739 +aS'15\t15\tCD\tI-NP\tO' +p141740 +aS',\t,\t,\tO\tO' +p141741 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p141742 +aS'2.1\t2.1\tCD\tI-NP\tO' +p141743 +aS',\t,\t,\tO\tO' +p141744 +aS'blood\tblood\tNN\tB-NP\tO' +p141745 +aS'glucose\tglucose\tNN\tI-NP\tO' +p141746 +aS'of\tof\tIN\tB-PP\tO' +p141747 +aS'196\t196\tCD\tB-NP\tO' +p141748 +aS'.\t.\t.\tO\tO' +p141749 +asS'I 's and O 's were balanced and maintained with IV fluids .' +p141750 +(lp141751 +S'I\tI\tCD\tB-NP\tO' +p141752 +aS''s\t'\tNNS\tI-NP\tO' +p141753 +aS'and\tand\tCC\tO\tO' +p141754 +aS'O\tO\tNN\tB-NP\tO' +p141755 +aS''s\t'\tNNS\tI-NP\tO' +p141756 +aS'were\tbe\tVBD\tB-VP\tO' +p141757 +aS'balanced\tbalance\tVBN\tI-VP\tO' +p141758 +aS'and\tand\tCC\tO\tO' +p141759 +aS'maintained\tmaintain\tVBN\tB-VP\tO' +p141760 +aS'with\twith\tIN\tB-PP\tO' +p141761 +aS'IV\tIV\tCD\tB-NP\tO' +p141762 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p141763 +aS'.\t.\t.\tO\tO' +p141764 +asS'Neuro examination was notable for a patient who was alert and oriented x 1 .' +p141765 +(lp141766 +S'Neuro\tNeuro\tNN\tB-NP\tO' +p141767 +aS'examination\texamination\tNN\tI-NP\tO' +p141768 +aS'was\tbe\tVBD\tB-VP\tO' +p141769 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p141770 +aS'for\tfor\tIN\tB-PP\tO' +p141771 +aS'a\ta\tDT\tB-NP\tO' +p141772 +aS'patient\tpatient\tNN\tI-NP\tO' +p141773 +aS'who\twho\tWP\tB-NP\tO' +p141774 +aS'was\tbe\tVBD\tB-VP\tO' +p141775 +aS'alert\talert\tJJ\tB-ADJP\tO' +p141776 +aS'and\tand\tCC\tO\tO' +p141777 +aS'oriented\torient\tVBN\tB-VP\tB-protein' +p141778 +aS'x\tx\tNN\tB-NP\tI-protein' +p141779 +aS'1\t1\tCD\tI-NP\tI-protein' +p141780 +aS'.\t.\t.\tO\tO' +p141781 +asS'Liver was about 5 cm .' +p141782 +(lp141783 +S'Liver\tLiver\tNN\tB-NP\tO' +p141784 +aS'was\tbe\tVBD\tB-VP\tO' +p141785 +aS'about\tabout\tRB\tB-NP\tO' +p141786 +aS'5\t5\tCD\tI-NP\tO' +p141787 +aS'cm\tcm\tNN\tI-NP\tO' +p141788 +aS'.\t.\t.\tO\tO' +p141789 +asS'night .' +p141790 +(lp141791 +S'night\tnight\tRB\tB-ADVP\tO' +p141792 +aS'.\t.\t.\tO\tO' +p141793 +asS'The patient also complained of intermittent right neck swelling , and recommendations are to consider a CT scan with contrast to evaluate nodes in his neck .' +p141794 +(lp141795 +S'The\tThe\tDT\tB-NP\tO' +p141796 +aS'patient\tpatient\tNN\tI-NP\tO' +p141797 +aS'also\talso\tRB\tB-ADVP\tO' +p141798 +aS'complained\tcomplain\tVBD\tB-VP\tO' +p141799 +aS'of\tof\tIN\tB-PP\tO' +p141800 +aS'intermittent\tintermittent\tJJ\tB-NP\tO' +p141801 +aS'right\tright\tJJ\tI-NP\tO' +p141802 +aS'neck\tneck\tNN\tI-NP\tO' +p141803 +aS'swelling\tswelling\tNN\tI-NP\tO' +p141804 +aS',\t,\t,\tO\tO' +p141805 +aS'and\tand\tCC\tO\tO' +p141806 +aS'recommendations\trecommendation\tNNS\tB-NP\tO' +p141807 +aS'are\tbe\tVBP\tB-VP\tO' +p141808 +aS'to\tto\tTO\tI-VP\tO' +p141809 +aS'consider\tconsider\tVB\tI-VP\tO' +p141810 +aS'a\ta\tDT\tB-NP\tO' +p141811 +aS'CT\tCT\tNN\tI-NP\tO' +p141812 +aS'scan\tscan\tNN\tI-NP\tO' +p141813 +aS'with\twith\tIN\tB-PP\tO' +p141814 +aS'contrast\tcontrast\tNN\tB-NP\tO' +p141815 +aS'to\tto\tTO\tB-VP\tO' +p141816 +aS'evaluate\tevaluate\tVB\tI-VP\tO' +p141817 +aS'nodes\tnode\tNNS\tB-NP\tO' +p141818 +aS'in\tin\tIN\tB-PP\tO' +p141819 +aS'his\this\tPRP$\tB-NP\tO' +p141820 +aS'neck\tneck\tNN\tI-NP\tO' +p141821 +aS'.\t.\t.\tO\tO' +p141822 +asS'Additionally , risk factor modification was continued .' +p141823 +(lp141824 +S'Additionally\tAdditionally\tRB\tB-ADVP\tO' +p141825 +aS',\t,\t,\tO\tO' +p141826 +aS'risk\trisk\tNN\tB-NP\tO' +p141827 +aS'factor\tfactor\tNN\tI-NP\tO' +p141828 +aS'modification\tmodification\tNN\tI-NP\tO' +p141829 +aS'was\tbe\tVBD\tB-VP\tO' +p141830 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p141831 +aS'.\t.\t.\tO\tO' +p141832 +asS'Chest - R base with poor excursion and poor breath sounds .' +p141833 +(lp141834 +S'Chest\tChest\tAFX\tB-NP\tO' +p141835 +aS'-\t-\tHYPH\tI-NP\tB-protein' +p141836 +aS'R\tR\tNN\tI-NP\tI-protein' +p141837 +aS'base\tbase\tNN\tI-NP\tI-protein' +p141838 +aS'with\twith\tIN\tB-PP\tO' +p141839 +aS'poor\tpoor\tJJ\tB-NP\tO' +p141840 +aS'excursion\texcursion\tNN\tI-NP\tO' +p141841 +aS'and\tand\tCC\tO\tO' +p141842 +aS'poor\tpoor\tJJ\tB-NP\tO' +p141843 +aS'breath\tbreath\tNN\tI-NP\tO' +p141844 +aS'sounds\tsound\tNNS\tI-NP\tO' +p141845 +aS'.\t.\t.\tO\tO' +p141846 +asS'She is slightly tachypneic .' +p141847 +(lp141848 +S'She\tShe\tPRP\tB-NP\tO' +p141849 +aS'is\tbe\tVBZ\tB-VP\tO' +p141850 +aS'slightly\tslightly\tRB\tB-ADJP\tO' +p141851 +aS'tachypneic\ttachypneic\tJJ\tI-ADJP\tO' +p141852 +aS'.\t.\t.\tO\tO' +p141853 +asS'GEN : In NAD .' +p141854 +(lp141855 +S'GEN\tGEN\tNN\tB-NP\tO' +p141856 +aS':\t:\t:\tO\tO' +p141857 +aS'In\tIn\tIN\tB-PP\tO' +p141858 +aS'NAD\tNAD\tNN\tB-NP\tO' +p141859 +aS'.\t.\t.\tO\tO' +p141860 +asS'Underlying dementia was possible but difficult to assess with an overlying delerium .' +p141861 +(lp141862 +S'Underlying\tUnderlie\tVBG\tB-VP\tO' +p141863 +aS'dementia\tdementia\tNN\tB-NP\tO' +p141864 +aS'was\tbe\tVBD\tB-VP\tO' +p141865 +aS'possible\tpossible\tJJ\tB-ADJP\tO' +p141866 +aS'but\tbut\tCC\tI-ADJP\tO' +p141867 +aS'difficult\tdifficult\tJJ\tI-ADJP\tO' +p141868 +aS'to\tto\tTO\tB-VP\tO' +p141869 +aS'assess\tassess\tVB\tI-VP\tO' +p141870 +aS'with\twith\tIN\tB-PP\tO' +p141871 +aS'an\tan\tDT\tB-NP\tO' +p141872 +aS'overlying\toverlie\tVBG\tI-NP\tO' +p141873 +aS'delerium\tdelerium\tNN\tI-NP\tO' +p141874 +aS'.\t.\t.\tO\tO' +p141875 +asS'At that time , tumor was found to be studding on the right diaphragm , gross tumor in the omentum and large bowel , tumor through the uterine serosa .' +p141876 +(lp141877 +S'At\tAt\tIN\tB-PP\tO' +p141878 +aS'that\tthat\tDT\tB-NP\tO' +p141879 +aS'time\ttime\tNN\tI-NP\tO' +p141880 +aS',\t,\t,\tO\tO' +p141881 +aS'tumor\ttumor\tNN\tB-NP\tO' +p141882 +aS'was\tbe\tVBD\tB-VP\tO' +p141883 +aS'found\tfind\tVBN\tI-VP\tO' +p141884 +aS'to\tto\tTO\tI-VP\tO' +p141885 +aS'be\tbe\tVB\tI-VP\tO' +p141886 +aS'studding\tstud\tVBG\tI-VP\tO' +p141887 +aS'on\ton\tIN\tB-PP\tO' +p141888 +aS'the\tthe\tDT\tB-NP\tO' +p141889 +aS'right\tright\tJJ\tI-NP\tO' +p141890 +aS'diaphragm\tdiaphragm\tNN\tI-NP\tO' +p141891 +aS',\t,\t,\tO\tO' +p141892 +aS'gross\tgross\tJJ\tB-NP\tO' +p141893 +aS'tumor\ttumor\tNN\tI-NP\tO' +p141894 +aS'in\tin\tIN\tB-PP\tO' +p141895 +aS'the\tthe\tDT\tB-NP\tO' +p141896 +aS'omentum\tomentum\tNN\tI-NP\tO' +p141897 +aS'and\tand\tCC\tO\tO' +p141898 +aS'large\tlarge\tJJ\tB-NP\tO' +p141899 +aS'bowel\tbowel\tNN\tI-NP\tO' +p141900 +aS',\t,\t,\tO\tO' +p141901 +aS'tumor\ttumor\tNN\tB-NP\tO' +p141902 +aS'through\tthrough\tIN\tB-PP\tO' +p141903 +aS'the\tthe\tDT\tB-NP\tO' +p141904 +aS'uterine\tuterine\tJJ\tI-NP\tO' +p141905 +aS'serosa\tserosa\tNN\tI-NP\tO' +p141906 +aS'.\t.\t.\tO\tO' +p141907 +asS'II/VI SEM at LSB with radiation to apex .' +p141908 +(lp141909 +S'II/VI\tII/VI\tLS\tB-NP\tO' +p141910 +aS'SEM\tSEM\tNN\tI-NP\tO' +p141911 +aS'at\tat\tIN\tB-PP\tO' +p141912 +aS'LSB\tLSB\tNN\tB-NP\tB-protein' +p141913 +aS'with\twith\tIN\tB-PP\tO' +p141914 +aS'radiation\tradiation\tNN\tB-NP\tO' +p141915 +aS'to\tto\tTO\tB-PP\tO' +p141916 +aS'apex\tapex\tNN\tB-NP\tO' +p141917 +aS'.\t.\t.\tO\tO' +p141918 +asS'EXTREMITIES - Bilateral radial , dorsalis pedis , posterior tibial , and femoral pulses are all 2+ .' +p141919 +(lp141920 +S'EXTREMITIES\tEXTREMITIES\tNNS\tB-NP\tO' +p141921 +aS'-\t-\tHYPH\tB-NP\tO' +p141922 +aS'Bilateral\tBilateral\tJJ\tI-NP\tO' +p141923 +aS'radial\tradial\tNN\tI-NP\tO' +p141924 +aS',\t,\t,\tO\tO' +p141925 +aS'dorsalis\tdorsalis\tNN\tB-NP\tO' +p141926 +aS'pedis\tpedis\tNN\tI-NP\tO' +p141927 +aS',\t,\t,\tO\tO' +p141928 +aS'posterior\tposterior\tJJ\tB-NP\tO' +p141929 +aS'tibial\ttibial\tJJ\tI-NP\tO' +p141930 +aS',\t,\t,\tO\tO' +p141931 +aS'and\tand\tCC\tO\tO' +p141932 +aS'femoral\tfemoral\tJJ\tB-NP\tO' +p141933 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p141934 +aS'are\tbe\tVBP\tB-VP\tO' +p141935 +aS'all\tall\tDT\tB-NP\tO' +p141936 +aS'2+\t2+\tNN\tI-NP\tO' +p141937 +aS'.\t.\t.\tO\tO' +p141938 +asS'4# Pleural effusions : s/p right thoracentesis on 2017-09-06 , 1600 mL of serosanguinous fluid removed from right pleural space .' +p141939 +(lp141940 +S'4#\t4#\tLS\tB-NP\tO' +p141941 +aS'Pleural\tPleural\tJJ\tI-NP\tO' +p141942 +aS'effusions\teffusion\tNNS\tI-NP\tO' +p141943 +aS':\t:\t:\tO\tO' +p141944 +aS's/p\ts/p\tVB\tB-VP\tO' +p141945 +aS'right\tright\tJJ\tB-NP\tO' +p141946 +aS'thoracentesis\tthoracentesis\tNN\tI-NP\tO' +p141947 +aS'on\ton\tIN\tB-PP\tO' +p141948 +aS'2017-09-06\t2017-09-06\tCD\tB-NP\tO' +p141949 +aS',\t,\t,\tO\tO' +p141950 +aS'1600\t1600\tCD\tB-NP\tO' +p141951 +aS'mL\tmL\tNN\tI-NP\tO' +p141952 +aS'of\tof\tIN\tB-PP\tO' +p141953 +aS'serosanguinous\tserosanguinous\tJJ\tB-NP\tO' +p141954 +aS'fluid\tfluid\tNN\tI-NP\tO' +p141955 +aS'removed\tremove\tVBN\tB-VP\tO' +p141956 +aS'from\tfrom\tIN\tB-PP\tO' +p141957 +aS'right\tright\tJJ\tB-NP\tO' +p141958 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p141959 +aS'space\tspace\tNN\tI-NP\tO' +p141960 +aS'.\t.\t.\tO\tO' +p141961 +asS'No dysarthria , speech fluent .' +p141962 +(lp141963 +S'No\tNo\tDT\tB-NP\tO' +p141964 +aS'dysarthria\tdysarthria\tNN\tI-NP\tO' +p141965 +aS',\t,\t,\tO\tO' +p141966 +aS'speech\tspeech\tNN\tB-NP\tO' +p141967 +aS'fluent\tfluent\tNN\tI-NP\tO' +p141968 +aS'.\t.\t.\tO\tO' +p141969 +asS'During the resuscitation afterwards , it was noted that a patent left chest tube was present in the left chest , so initially neo-decompression was attempted in the right chest .' +p141970 +(lp141971 +S'During\tDuring\tIN\tB-PP\tO' +p141972 +aS'the\tthe\tDT\tB-NP\tO' +p141973 +aS'resuscitation\tresuscitation\tNN\tI-NP\tO' +p141974 +aS'afterwards\tafterwards\tRB\tB-ADVP\tO' +p141975 +aS',\t,\t,\tO\tO' +p141976 +aS'it\tit\tPRP\tB-NP\tO' +p141977 +aS'was\tbe\tVBD\tB-VP\tO' +p141978 +aS'noted\tnote\tVBN\tI-VP\tO' +p141979 +aS'that\tthat\tIN\tB-SBAR\tO' +p141980 +aS'a\ta\tDT\tB-NP\tO' +p141981 +aS'patent\tpatent\tNN\tI-NP\tO' +p141982 +aS'left\tleave\tVBD\tB-VP\tO' +p141983 +aS'chest\tchest\tNN\tB-NP\tO' +p141984 +aS'tube\ttube\tNN\tI-NP\tO' +p141985 +aS'was\tbe\tVBD\tB-VP\tO' +p141986 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p141987 +aS'in\tin\tIN\tB-PP\tO' +p141988 +aS'the\tthe\tDT\tB-NP\tO' +p141989 +aS'left\tleft\tJJ\tI-NP\tO' +p141990 +aS'chest\tchest\tNN\tI-NP\tO' +p141991 +aS',\t,\t,\tO\tO' +p141992 +aS'so\tso\tRB\tO\tO' +p141993 +aS'initially\tinitially\tRB\tB-NP\tO' +p141994 +aS'neo-decompression\tneo-decompression\tNN\tI-NP\tO' +p141995 +aS'was\tbe\tVBD\tB-VP\tO' +p141996 +aS'attempted\tattempt\tVBN\tI-VP\tO' +p141997 +aS'in\tin\tIN\tB-PP\tO' +p141998 +aS'the\tthe\tDT\tB-NP\tO' +p141999 +aS'right\tright\tJJ\tI-NP\tO' +p142000 +aS'chest\tchest\tNN\tI-NP\tO' +p142001 +aS'.\t.\t.\tO\tO' +p142002 +asS'Neurologic examination was normal .' +p142003 +(lp142004 +S'Neurologic\tNeurologic\tJJ\tB-NP\tO' +p142005 +aS'examination\texamination\tNN\tI-NP\tO' +p142006 +aS'was\tbe\tVBD\tB-VP\tO' +p142007 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p142008 +aS'.\t.\t.\tO\tO' +p142009 +asS'Her ataxia is likely due to some cerebellar function , though this is not certain .' +p142010 +(lp142011 +S'Her\tHer\tPRP$\tB-NP\tO' +p142012 +aS'ataxia\tataxia\tNN\tI-NP\tO' +p142013 +aS'is\tbe\tVBZ\tB-VP\tO' +p142014 +aS'likely\tlikely\tRB\tB-ADJP\tO' +p142015 +aS'due\tdue\tJJ\tI-ADJP\tO' +p142016 +aS'to\tto\tTO\tB-PP\tO' +p142017 +aS'some\tsome\tDT\tB-NP\tO' +p142018 +aS'cerebellar\tcerebellar\tJJ\tI-NP\tO' +p142019 +aS'function\tfunction\tNN\tI-NP\tO' +p142020 +aS',\t,\t,\tO\tO' +p142021 +aS'though\tthough\tIN\tB-SBAR\tO' +p142022 +aS'this\tthis\tDT\tB-NP\tO' +p142023 +aS'is\tbe\tVBZ\tB-VP\tO' +p142024 +aS'not\tnot\tRB\tO\tO' +p142025 +aS'certain\tcertain\tJJ\tB-ADJP\tO' +p142026 +aS'.\t.\t.\tO\tO' +p142027 +asS'The musculoskeletal exam showed well developed , symmetrical muscular development with no fasciculations , no joint erythema , no effusions .' +p142028 +(lp142029 +S'The\tThe\tDT\tB-NP\tO' +p142030 +aS'musculoskeletal\tmusculoskeletal\tJJ\tI-NP\tO' +p142031 +aS'exam\texam\tNN\tI-NP\tO' +p142032 +aS'showed\tshow\tVBD\tB-VP\tO' +p142033 +aS'well\twell\tRB\tB-VP\tO' +p142034 +aS'developed\tdevelop\tVBN\tI-VP\tO' +p142035 +aS',\t,\t,\tO\tO' +p142036 +aS'symmetrical\tsymmetrical\tJJ\tB-NP\tO' +p142037 +aS'muscular\tmuscular\tJJ\tI-NP\tO' +p142038 +aS'development\tdevelopment\tNN\tI-NP\tO' +p142039 +aS'with\twith\tIN\tB-PP\tO' +p142040 +aS'no\tno\tDT\tB-NP\tO' +p142041 +aS'fasciculations\tfasciculation\tNNS\tI-NP\tO' +p142042 +aS',\t,\t,\tO\tO' +p142043 +aS'no\tno\tDT\tB-NP\tO' +p142044 +aS'joint\tjoint\tJJ\tI-NP\tO' +p142045 +aS'erythema\terythema\tNN\tI-NP\tO' +p142046 +aS',\t,\t,\tO\tO' +p142047 +aS'no\tno\tDT\tB-NP\tO' +p142048 +aS'effusions\teffusion\tNNS\tI-NP\tO' +p142049 +aS'.\t.\t.\tO\tO' +p142050 +asS'Temperature 98.2 , blood pressure 134/80 , respiratory rate 22 , pulse 102 .' +p142051 +(lp142052 +S'Temperature\tTemperature\tNN\tB-NP\tB-protein' +p142053 +aS'98.2\t98.2\tCD\tI-NP\tI-protein' +p142054 +aS',\t,\t,\tO\tO' +p142055 +aS'blood\tblood\tNN\tB-NP\tO' +p142056 +aS'pressure\tpressure\tNN\tI-NP\tO' +p142057 +aS'134/80\t134/80\tCD\tI-NP\tO' +p142058 +aS',\t,\t,\tO\tO' +p142059 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p142060 +aS'rate\trate\tNN\tI-NP\tO' +p142061 +aS'22\t22\tCD\tI-NP\tO' +p142062 +aS',\t,\t,\tO\tO' +p142063 +aS'pulse\tpulse\tNN\tB-NP\tO' +p142064 +aS'102\t102\tCD\tI-NP\tO' +p142065 +aS'.\t.\t.\tO\tO' +p142066 +asS'There were no spider angiomata .' +p142067 +(lp142068 +S'There\tThere\tEX\tB-NP\tO' +p142069 +aS'were\tbe\tVBD\tB-VP\tO' +p142070 +aS'no\tno\tDT\tB-NP\tO' +p142071 +aS'spider\tspider\tNN\tI-NP\tO' +p142072 +aS'angiomata\tangiomata\tNN\tI-NP\tO' +p142073 +aS'.\t.\t.\tO\tO' +p142074 +asS'Electrocardiogram showed sinus bradycardia at 40 beats per minute .' +p142075 +(lp142076 +S'Electrocardiogram\tElectrocardiogram\tNN\tB-NP\tO' +p142077 +aS'showed\tshow\tVBD\tB-VP\tO' +p142078 +aS'sinus\tsinus\tNN\tB-NP\tO' +p142079 +aS'bradycardia\tbradycardia\tNN\tI-NP\tO' +p142080 +aS'at\tat\tIN\tB-PP\tO' +p142081 +aS'40\t40\tCD\tB-NP\tO' +p142082 +aS'beats\tbeat\tNNS\tI-NP\tO' +p142083 +aS'per\tper\tIN\tB-PP\tO' +p142084 +aS'minute\tminute\tNN\tB-NP\tO' +p142085 +aS'.\t.\t.\tO\tO' +p142086 +asS'Due to dye load required to assess the coronary disease were not visualized .' +p142087 +(lp142088 +S'Due\tDue\tJJ\tB-ADJP\tO' +p142089 +aS'to\tto\tTO\tB-VP\tO' +p142090 +aS'dye\tdye\tVB\tI-VP\tO' +p142091 +aS'load\tload\tNN\tB-NP\tO' +p142092 +aS'required\trequire\tVBN\tB-VP\tO' +p142093 +aS'to\tto\tTO\tB-VP\tO' +p142094 +aS'assess\tassess\tVB\tI-VP\tO' +p142095 +aS'the\tthe\tDT\tB-NP\tO' +p142096 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p142097 +aS'disease\tdisease\tNN\tI-NP\tO' +p142098 +aS'were\tbe\tVBD\tB-VP\tO' +p142099 +aS'not\tnot\tRB\tI-VP\tO' +p142100 +aS'visualized\tvisualize\tVBN\tI-VP\tO' +p142101 +aS'.\t.\t.\tO\tO' +p142102 +asS'He was intubated in the field and brought to the Emergency Department .' +p142103 +(lp142104 +S'He\tHe\tPRP\tB-NP\tO' +p142105 +aS'was\tbe\tVBD\tB-VP\tO' +p142106 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p142107 +aS'in\tin\tIN\tB-PP\tO' +p142108 +aS'the\tthe\tDT\tB-NP\tO' +p142109 +aS'field\tfield\tNN\tI-NP\tO' +p142110 +aS'and\tand\tCC\tO\tO' +p142111 +aS'brought\tbring\tVBN\tB-VP\tO' +p142112 +aS'to\tto\tTO\tB-PP\tO' +p142113 +aS'the\tthe\tDT\tB-NP\tO' +p142114 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p142115 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p142116 +aS'.\t.\t.\tO\tO' +p142117 +asS'Birth weight was 1630 grams .' +p142118 +(lp142119 +S'Birth\tBirth\tNN\tB-NP\tO' +p142120 +aS'weight\tweight\tNN\tI-NP\tO' +p142121 +aS'was\tbe\tVBD\tB-VP\tO' +p142122 +aS'1630\t1630\tCD\tB-NP\tO' +p142123 +aS'grams\tgram\tNNS\tI-NP\tO' +p142124 +aS'.\t.\t.\tO\tO' +p142125 +asS'The patient was on coumadin recently , ? whether for the arrhythmia .' +p142126 +(lp142127 +S'The\tThe\tDT\tB-NP\tO' +p142128 +aS'patient\tpatient\tNN\tI-NP\tO' +p142129 +aS'was\tbe\tVBD\tB-VP\tO' +p142130 +aS'on\ton\tIN\tB-PP\tO' +p142131 +aS'coumadin\tcoumadin\tNN\tB-NP\tO' +p142132 +aS'recently\trecently\tRB\tB-ADVP\tO' +p142133 +aS',\t,\t,\tO\tO' +p142134 +aS'?\t?\t.\tO\tO' +p142135 +aS'whether\twhether\tIN\tB-SBAR\tO' +p142136 +aS'for\tfor\tIN\tB-PP\tO' +p142137 +aS'the\tthe\tDT\tB-NP\tO' +p142138 +aS'arrhythmia\tarrhythmia\tNN\tI-NP\tO' +p142139 +aS'.\t.\t.\tO\tO' +p142140 +asS'On admission the patient 's prothrombin time was 27.7 with a partial thromboplastin time of greater than 100 and a d-dimer positive at 8 with a fibrinogen of 69 .' +p142141 +(lp142142 +S'On\tOn\tIN\tB-PP\tO' +p142143 +aS'admission\tadmission\tNN\tB-NP\tO' +p142144 +aS'the\tthe\tDT\tB-NP\tO' +p142145 +aS'patient\tpatient\tNN\tI-NP\tO' +p142146 +aS''s\t'\tNNS\tI-NP\tO' +p142147 +aS'prothrombin\tprothrombin\tNN\tI-NP\tO' +p142148 +aS'time\ttime\tNN\tI-NP\tO' +p142149 +aS'was\tbe\tVBD\tB-VP\tO' +p142150 +aS'27.7\t27.7\tCD\tB-NP\tO' +p142151 +aS'with\twith\tIN\tB-PP\tO' +p142152 +aS'a\ta\tDT\tB-NP\tO' +p142153 +aS'partial\tpartial\tJJ\tI-NP\tO' +p142154 +aS'thromboplastin\tthromboplastin\tNN\tI-NP\tO' +p142155 +aS'time\ttime\tNN\tI-NP\tO' +p142156 +aS'of\tof\tIN\tB-PP\tO' +p142157 +aS'greater\tgreat\tJJR\tB-NP\tO' +p142158 +aS'than\tthan\tIN\tI-NP\tO' +p142159 +aS'100\t100\tCD\tI-NP\tO' +p142160 +aS'and\tand\tCC\tO\tO' +p142161 +aS'a\ta\tDT\tB-NP\tO' +p142162 +aS'd-dimer\td-dimer\tNN\tI-NP\tO' +p142163 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p142164 +aS'at\tat\tIN\tB-PP\tO' +p142165 +aS'8\t8\tCD\tB-NP\tO' +p142166 +aS'with\twith\tIN\tB-PP\tO' +p142167 +aS'a\ta\tDT\tB-NP\tO' +p142168 +aS'fibrinogen\tfibrinogen\tNN\tI-NP\tB-protein' +p142169 +aS'of\tof\tIN\tB-PP\tO' +p142170 +aS'69\t69\tCD\tB-NP\tO' +p142171 +aS'.\t.\t.\tO\tO' +p142172 +asS'He is on a trach collar this week during the day only and rested on the ventilator at' +p142173 +(lp142174 +S'He\tHe\tPRP\tB-NP\tO' +p142175 +aS'is\tbe\tVBZ\tB-VP\tO' +p142176 +aS'on\ton\tIN\tB-PP\tO' +p142177 +aS'a\ta\tDT\tB-NP\tO' +p142178 +aS'trach\ttrach\tNN\tI-NP\tO' +p142179 +aS'collar\tcollar\tNN\tI-NP\tO' +p142180 +aS'this\tthis\tDT\tB-NP\tO' +p142181 +aS'week\tweek\tNN\tI-NP\tO' +p142182 +aS'during\tduring\tIN\tB-PP\tO' +p142183 +aS'the\tthe\tDT\tB-NP\tO' +p142184 +aS'day\tday\tNN\tI-NP\tO' +p142185 +aS'only\tonly\tRB\tB-ADVP\tO' +p142186 +aS'and\tand\tCC\tO\tO' +p142187 +aS'rested\trest\tVBD\tB-VP\tO' +p142188 +aS'on\ton\tIN\tB-PP\tO' +p142189 +aS'the\tthe\tDT\tB-NP\tO' +p142190 +aS'ventilator\tventilator\tNN\tI-NP\tO' +p142191 +aS'at\tat\tIN\tB-PP\tO' +p142192 +asS'Respiratory .' +p142193 +(lp142194 +S'Respiratory\tRespiratory\tJJ\tB-ADJP\tO' +p142195 +aS'.\t.\t.\tO\tO' +p142196 +asS'Eyes were normal .' +p142197 +(lp142198 +S'Eyes\tEye\tNNS\tB-NP\tO' +p142199 +aS'were\tbe\tVBD\tB-VP\tO' +p142200 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p142201 +aS'.\t.\t.\tO\tO' +p142202 +asS'abd : s/nt/slightly distended , dec BS , no CVA tenderness' +p142203 +(lp142204 +S'abd\tabd\tNN\tB-NP\tO' +p142205 +aS':\t:\t:\tO\tO' +p142206 +aS's/nt/slightly\ts/nt/slightly\tRB\tB-ADJP\tO' +p142207 +aS'distended\tdistend\tVBN\tI-ADJP\tO' +p142208 +aS',\t,\t,\tO\tO' +p142209 +aS'dec\tdec\tNN\tB-NP\tO' +p142210 +aS'BS\tBS\tNNP\tI-NP\tO' +p142211 +aS',\t,\t,\tO\tO' +p142212 +aS'no\tno\tDT\tB-NP\tO' +p142213 +aS'CVA\tCVA\tNN\tI-NP\tO' +p142214 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p142215 +asS'The patient was admitted for her gait disorder with other notable findings on examination including anisocoria , which , by the patient 's report , had been noted several months earlier .' +p142216 +(lp142217 +S'The\tThe\tDT\tB-NP\tO' +p142218 +aS'patient\tpatient\tNN\tI-NP\tO' +p142219 +aS'was\tbe\tVBD\tB-VP\tO' +p142220 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p142221 +aS'for\tfor\tIN\tB-PP\tO' +p142222 +aS'her\ther\tPRP$\tB-NP\tO' +p142223 +aS'gait\tgait\tNN\tI-NP\tO' +p142224 +aS'disorder\tdisorder\tNN\tI-NP\tO' +p142225 +aS'with\twith\tIN\tB-PP\tO' +p142226 +aS'other\tother\tJJ\tB-NP\tO' +p142227 +aS'notable\tnotable\tJJ\tI-NP\tO' +p142228 +aS'findings\tfinding\tNNS\tI-NP\tO' +p142229 +aS'on\ton\tIN\tB-PP\tO' +p142230 +aS'examination\texamination\tNN\tB-NP\tO' +p142231 +aS'including\tinclude\tVBG\tB-PP\tO' +p142232 +aS'anisocoria\tanisocoria\tNN\tB-NP\tO' +p142233 +aS',\t,\t,\tO\tO' +p142234 +aS'which\twhich\tWDT\tB-NP\tO' +p142235 +aS',\t,\t,\tO\tO' +p142236 +aS'by\tby\tIN\tB-PP\tO' +p142237 +aS'the\tthe\tDT\tB-NP\tO' +p142238 +aS'patient\tpatient\tNN\tI-NP\tO' +p142239 +aS''s\t'\tNNS\tI-NP\tO' +p142240 +aS'report\treport\tNN\tI-NP\tO' +p142241 +aS',\t,\t,\tO\tO' +p142242 +aS'had\thave\tVBD\tB-VP\tO' +p142243 +aS'been\tbe\tVBN\tI-VP\tO' +p142244 +aS'noted\tnote\tVBN\tI-VP\tO' +p142245 +aS'several\tseveral\tJJ\tB-NP\tO' +p142246 +aS'months\tmonth\tNNS\tI-NP\tO' +p142247 +aS'earlier\tearlier\tRBR\tB-ADVP\tO' +p142248 +aS'.\t.\t.\tO\tO' +p142249 +asS'She decided to now be discharged home at this time .' +p142250 +(lp142251 +S'She\tShe\tPRP\tB-NP\tO' +p142252 +aS'decided\tdecide\tVBD\tB-VP\tO' +p142253 +aS'to\tto\tTO\tI-VP\tO' +p142254 +aS'now\tnow\tRB\tI-VP\tO' +p142255 +aS'be\tbe\tVB\tI-VP\tO' +p142256 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p142257 +aS'home\thome\tNN\tB-ADVP\tO' +p142258 +aS'at\tat\tIN\tB-PP\tO' +p142259 +aS'this\tthis\tDT\tB-NP\tO' +p142260 +aS'time\ttime\tNN\tI-NP\tO' +p142261 +aS'.\t.\t.\tO\tO' +p142262 +asS'She was intubated for airway protection and received multiple medications prior to her initial neurologic examination .' +p142263 +(lp142264 +S'She\tShe\tPRP\tB-NP\tO' +p142265 +aS'was\tbe\tVBD\tB-VP\tO' +p142266 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p142267 +aS'for\tfor\tIN\tB-PP\tO' +p142268 +aS'airway\tairway\tNN\tB-NP\tO' +p142269 +aS'protection\tprotection\tNN\tI-NP\tO' +p142270 +aS'and\tand\tCC\tO\tO' +p142271 +aS'received\treceive\tVBD\tB-VP\tO' +p142272 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p142273 +aS'medications\tmedication\tNNS\tI-NP\tO' +p142274 +aS'prior\tprior\tRB\tB-ADVP\tO' +p142275 +aS'to\tto\tTO\tB-PP\tO' +p142276 +aS'her\ther\tPRP$\tB-NP\tO' +p142277 +aS'initial\tinitial\tJJ\tI-NP\tO' +p142278 +aS'neurologic\tneurologic\tJJ\tI-NP\tO' +p142279 +aS'examination\texamination\tNN\tI-NP\tO' +p142280 +aS'.\t.\t.\tO\tO' +p142281 +asS'Need to try to control blood pressure .' +p142282 +(lp142283 +S'Need\tNeed\tNN\tB-NP\tO' +p142284 +aS'to\tto\tTO\tB-VP\tO' +p142285 +aS'try\ttry\tVB\tI-VP\tO' +p142286 +aS'to\tto\tTO\tI-VP\tO' +p142287 +aS'control\tcontrol\tVB\tI-VP\tO' +p142288 +aS'blood\tblood\tNN\tB-NP\tO' +p142289 +aS'pressure\tpressure\tNN\tI-NP\tO' +p142290 +aS'.\t.\t.\tO\tO' +p142291 +asS'7 ) Omeprazole 20 mg p.o. q. day .' +p142292 +(lp142293 +S'7\t7\tCD\tB-NP\tO' +p142294 +aS')\t)\t)\tO\tO' +p142295 +aS'Omeprazole\tOmeprazole\tNN\tB-NP\tO' +p142296 +aS'20\t20\tCD\tI-NP\tO' +p142297 +aS'mg\tmg\tNN\tI-NP\tO' +p142298 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p142299 +aS'q.\tq.\tNN\tI-NP\tO' +p142300 +aS'day\tday\tNN\tI-NP\tO' +p142301 +aS'.\t.\t.\tO\tO' +p142302 +asS'There was no pronator drift .' +p142303 +(lp142304 +S'There\tThere\tEX\tB-NP\tO' +p142305 +aS'was\tbe\tVBD\tB-VP\tO' +p142306 +aS'no\tno\tDT\tB-NP\tO' +p142307 +aS'pronator\tpronator\tNN\tI-NP\tO' +p142308 +aS'drift\tdrift\tNN\tI-NP\tO' +p142309 +aS'.\t.\t.\tO\tO' +p142310 +asS'On further questioning , the patient reported that he started to feel " different " several days ago with slowing and difficult ambulation progressing to complete inability to ambulate .' +p142311 +(lp142312 +S'On\tOn\tIN\tB-PP\tO' +p142313 +aS'further\tfurther\tJJ\tB-NP\tO' +p142314 +aS'questioning\tquestioning\tNN\tI-NP\tO' +p142315 +aS',\t,\t,\tO\tO' +p142316 +aS'the\tthe\tDT\tB-NP\tO' +p142317 +aS'patient\tpatient\tNN\tI-NP\tO' +p142318 +aS'reported\treport\tVBD\tB-VP\tO' +p142319 +aS'that\tthat\tIN\tB-SBAR\tO' +p142320 +aS'he\the\tPRP\tB-NP\tO' +p142321 +aS'started\tstart\tVBD\tB-VP\tO' +p142322 +aS'to\tto\tTO\tI-VP\tO' +p142323 +aS'feel\tfeel\tVB\tI-VP\tO' +p142324 +aS'"\t"\tCC\tO\tO' +p142325 +aS'different\tdifferent\tJJ\tB-NP\tO' +p142326 +aS'"\t"\tCC\tI-NP\tO' +p142327 +aS'several\tseveral\tJJ\tI-NP\tO' +p142328 +aS'days\tday\tNNS\tI-NP\tO' +p142329 +aS'ago\tago\tRB\tB-ADVP\tO' +p142330 +aS'with\twith\tIN\tB-PP\tO' +p142331 +aS'slowing\tslow\tVBG\tB-NP\tO' +p142332 +aS'and\tand\tCC\tO\tO' +p142333 +aS'difficult\tdifficult\tJJ\tB-NP\tO' +p142334 +aS'ambulation\tambulation\tNN\tI-NP\tO' +p142335 +aS'progressing\tprogress\tVBG\tB-VP\tO' +p142336 +aS'to\tto\tTO\tB-PP\tO' +p142337 +aS'complete\tcomplete\tJJ\tB-NP\tO' +p142338 +aS'inability\tinability\tNN\tI-NP\tO' +p142339 +aS'to\tto\tTO\tB-VP\tO' +p142340 +aS'ambulate\tambulate\tVB\tI-VP\tO' +p142341 +aS'.\t.\t.\tO\tO' +p142342 +asS'4. A State newborn screen will be done prior to transfer .' +p142343 +(lp142344 +S'4.\t4.\tLS\tB-LST\tO' +p142345 +aS'A\tA\tDT\tB-NP\tO' +p142346 +aS'State\tState\tNN\tI-NP\tO' +p142347 +aS'newborn\tnewborn\tJJ\tI-NP\tO' +p142348 +aS'screen\tscreen\tNN\tI-NP\tO' +p142349 +aS'will\twill\tMD\tB-VP\tO' +p142350 +aS'be\tbe\tVB\tI-VP\tO' +p142351 +aS'done\tdo\tVBN\tI-VP\tO' +p142352 +aS'prior\tprior\tRB\tB-ADVP\tO' +p142353 +aS'to\tto\tTO\tB-VP\tO' +p142354 +aS'transfer\ttransfer\tVB\tI-VP\tO' +p142355 +aS'.\t.\t.\tO\tO' +p142356 +asS'He will need follow-up bloodwork as an outpatient .' +p142357 +(lp142358 +S'He\tHe\tPRP\tB-NP\tO' +p142359 +aS'will\twill\tMD\tB-VP\tO' +p142360 +aS'need\tneed\tVB\tI-VP\tO' +p142361 +aS'follow-up\tfollow-up\tJJ\tB-NP\tO' +p142362 +aS'bloodwork\tbloodwork\tNN\tI-NP\tO' +p142363 +aS'as\tas\tIN\tB-PP\tO' +p142364 +aS'an\tan\tDT\tB-NP\tO' +p142365 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p142366 +aS'.\t.\t.\tO\tO' +p142367 +asS'Pain : Her pain was controlled with IV pain medicines while in ICU .' +p142368 +(lp142369 +S'Pain\tPain\tNN\tB-NP\tO' +p142370 +aS':\t:\t:\tO\tO' +p142371 +aS'Her\tHer\tPRP$\tB-NP\tO' +p142372 +aS'pain\tpain\tNN\tI-NP\tO' +p142373 +aS'was\tbe\tVBD\tB-VP\tO' +p142374 +aS'controlled\tcontrol\tVBN\tI-VP\tO' +p142375 +aS'with\twith\tIN\tB-PP\tO' +p142376 +aS'IV\tIV\tCD\tB-NP\tO' +p142377 +aS'pain\tpain\tNN\tI-NP\tO' +p142378 +aS'medicines\tmedicine\tNNS\tI-NP\tO' +p142379 +aS'while\twhile\tIN\tB-SBAR\tO' +p142380 +aS'in\tin\tIN\tB-PP\tO' +p142381 +aS'ICU\tICU\tNN\tB-NP\tB-protein' +p142382 +aS'.\t.\t.\tO\tO' +p142383 +asS'Bilateral ureteral stent placement .' +p142384 +(lp142385 +S'Bilateral\tBilateral\tJJ\tB-NP\tO' +p142386 +aS'ureteral\tureteral\tJJ\tI-NP\tO' +p142387 +aS'stent\tstent\tJJ\tI-NP\tO' +p142388 +aS'placement\tplacement\tNN\tI-NP\tO' +p142389 +aS'.\t.\t.\tO\tO' +p142390 +asS"For hematology , the patient 's hematocrit and platelets were monitored after the catheterization ." +p142391 +(lp142392 +S'For\tFor\tIN\tB-PP\tO' +p142393 +aS'hematology\thematology\tNN\tB-NP\tO' +p142394 +aS',\t,\t,\tO\tO' +p142395 +aS'the\tthe\tDT\tB-NP\tO' +p142396 +aS'patient\tpatient\tNN\tI-NP\tO' +p142397 +aS"'s\t's\tPOS\tB-NP\tO" +p142398 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p142399 +aS'and\tand\tCC\tI-NP\tO' +p142400 +aS'platelets\tplatelet\tNNS\tI-NP\tB-cell_type' +p142401 +aS'were\tbe\tVBD\tB-VP\tO' +p142402 +aS'monitored\tmonitor\tVBN\tI-VP\tO' +p142403 +aS'after\tafter\tIN\tB-PP\tO' +p142404 +aS'the\tthe\tDT\tB-NP\tO' +p142405 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p142406 +aS'.\t.\t.\tO\tO' +p142407 +asS'She denies numbness or weakness in any part of the body .' +p142408 +(lp142409 +S'She\tShe\tPRP\tB-NP\tO' +p142410 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p142411 +aS'numbness\tnumbness\tNN\tB-NP\tO' +p142412 +aS'or\tor\tCC\tI-NP\tO' +p142413 +aS'weakness\tweakness\tNN\tI-NP\tO' +p142414 +aS'in\tin\tIN\tB-PP\tO' +p142415 +aS'any\tany\tDT\tB-NP\tO' +p142416 +aS'part\tpart\tNN\tI-NP\tO' +p142417 +aS'of\tof\tIN\tB-PP\tO' +p142418 +aS'the\tthe\tDT\tB-NP\tO' +p142419 +aS'body\tbody\tNN\tI-NP\tO' +p142420 +aS'.\t.\t.\tO\tO' +p142421 +asS'He was advised to take all of his medications .' +p142422 +(lp142423 +S'He\tHe\tPRP\tB-NP\tO' +p142424 +aS'was\tbe\tVBD\tB-VP\tO' +p142425 +aS'advised\tadvise\tVBN\tI-VP\tO' +p142426 +aS'to\tto\tTO\tI-VP\tO' +p142427 +aS'take\ttake\tVB\tI-VP\tO' +p142428 +aS'all\tall\tDT\tB-NP\tO' +p142429 +aS'of\tof\tIN\tB-PP\tO' +p142430 +aS'his\this\tPRP$\tB-NP\tO' +p142431 +aS'medications\tmedication\tNNS\tI-NP\tO' +p142432 +aS'.\t.\t.\tO\tO' +p142433 +asS'Strength 5/5 in upper and lower extremities .' +p142434 +(lp142435 +S'Strength\tStrength\tNN\tB-NP\tO' +p142436 +aS'5/5\t5/5\tCD\tI-NP\tO' +p142437 +aS'in\tin\tIN\tB-PP\tO' +p142438 +aS'upper\tupper\tJJ\tB-NP\tO' +p142439 +aS'and\tand\tCC\tI-NP\tO' +p142440 +aS'lower\tlow\tJJR\tI-NP\tO' +p142441 +aS'extremities\textremity\tNNS\tI-NP\tO' +p142442 +aS'.\t.\t.\tO\tO' +p142443 +asS'2. History of colonic polyps times 3 , benign in 2007 , repeat colonoscopy due to in 2010 .' +p142444 +(lp142445 +S'2.\t2.\tLS\tB-NP\tO' +p142446 +aS'History\tHistory\tNN\tI-NP\tO' +p142447 +aS'of\tof\tIN\tB-PP\tO' +p142448 +aS'colonic\tcolonic\tJJ\tB-NP\tO' +p142449 +aS'polyps\tpolyp\tNNS\tI-NP\tO' +p142450 +aS'times\ttime\tNNS\tI-NP\tO' +p142451 +aS'3\t3\tCD\tI-NP\tO' +p142452 +aS',\t,\t,\tO\tO' +p142453 +aS'benign\tbenign\tJJ\tB-ADJP\tO' +p142454 +aS'in\tin\tIN\tB-PP\tO' +p142455 +aS'2007\t2007\tCD\tB-NP\tO' +p142456 +aS',\t,\t,\tO\tO' +p142457 +aS'repeat\trepeat\tNN\tB-NP\tO' +p142458 +aS'colonoscopy\tcolonoscopy\tNN\tI-NP\tO' +p142459 +aS'due\tdue\tJJ\tB-ADJP\tO' +p142460 +aS'to\tto\tTO\tB-PP\tO' +p142461 +aS'in\tin\tIN\tB-PP\tO' +p142462 +aS'2010\t2010\tCD\tB-NP\tO' +p142463 +aS'.\t.\t.\tO\tO' +p142464 +asS'Intubated and sedated for desats on 2014-10-27 .' +p142465 +(lp142466 +S'Intubated\tIntubate\tVBN\tB-VP\tO' +p142467 +aS'and\tand\tCC\tI-VP\tO' +p142468 +aS'sedated\tsedate\tVBN\tI-VP\tO' +p142469 +aS'for\tfor\tIN\tB-PP\tO' +p142470 +aS'desats\tdesat\tNNS\tB-NP\tO' +p142471 +aS'on\ton\tIN\tB-PP\tO' +p142472 +aS'2014-10-27\t2014-10-27\tCD\tB-NP\tO' +p142473 +aS'.\t.\t.\tO\tO' +p142474 +asS'HEENT - mucous membranes slightly dry' +p142475 +(lp142476 +S'HEENT\tHEENT\tNN\tB-NP\tB-protein' +p142477 +aS'-\t-\tHYPH\tI-NP\tO' +p142478 +aS'mucous\tmucous\tJJ\tI-NP\tO' +p142479 +aS'membranes\tmembrane\tNNS\tI-NP\tO' +p142480 +aS'slightly\tslightly\tRB\tB-ADJP\tO' +p142481 +aS'dry\tdry\tJJ\tI-ADJP\tO' +p142482 +asS'Transrectal ultrasound showed a hypoechoic left-sided mass in the peripheral zone .' +p142483 +(lp142484 +S'Transrectal\tTransrectal\tJJ\tB-NP\tO' +p142485 +aS'ultrasound\tultrasound\tNN\tI-NP\tO' +p142486 +aS'showed\tshow\tVBD\tB-VP\tO' +p142487 +aS'a\ta\tDT\tB-NP\tO' +p142488 +aS'hypoechoic\thypoechoic\tJJ\tI-NP\tO' +p142489 +aS'left-sided\tleft-sided\tJJ\tI-NP\tO' +p142490 +aS'mass\tmass\tNN\tI-NP\tO' +p142491 +aS'in\tin\tIN\tB-PP\tO' +p142492 +aS'the\tthe\tDT\tB-NP\tO' +p142493 +aS'peripheral\tperipheral\tJJ\tI-NP\tO' +p142494 +aS'zone\tzone\tNN\tI-NP\tO' +p142495 +aS'.\t.\t.\tO\tO' +p142496 +asS'Disp : *14 Capsule , Sustained Release( s )*' +p142497 +(lp142498 +S'Disp\tDisp\tNN\tB-NP\tO' +p142499 +aS':\t:\t:\tO\tO' +p142500 +aS'*14\t*14\tCD\tB-NP\tO' +p142501 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p142502 +aS',\t,\t,\tO\tO' +p142503 +aS'Sustained\tSustained\tNNP\tB-NP\tO' +p142504 +aS'Release(\tRelease(\tNNP\tI-NP\tO' +p142505 +aS's\ts\tVBZ\tB-VP\tO' +p142506 +aS')*\t)*\tSYM\tB-NP\tO' +p142507 +asS'22. Heparin ( Porcine ) 5,000 unit / mL Solution Sig : 5000 ( 5000 ) units Injection TID ( 3 times a day ) .' +p142508 +(lp142509 +S'22.\t22.\tLS\tB-LST\tO' +p142510 +aS'Heparin\tHeparin\tNN\tB-NP\tB-protein' +p142511 +aS'(\t(\t(\tO\tI-protein' +p142512 +aS'Porcine\tPorcine\tNN\tB-NP\tI-protein' +p142513 +aS')\t)\t)\tO\tI-protein' +p142514 +aS'5,000\t5,000\tCD\tB-NP\tI-protein' +p142515 +aS'unit\tunit\tNN\tI-NP\tI-protein' +p142516 +aS'/\t/\tSYM\tB-NP\tO' +p142517 +aS'mL\tmL\tNN\tI-NP\tO' +p142518 +aS'Solution\tSolution\tNNP\tI-NP\tO' +p142519 +aS'Sig\tSig\tNNP\tI-NP\tO' +p142520 +aS':\t:\t:\tO\tO' +p142521 +aS'5000\t5000\tCD\tB-NP\tO' +p142522 +aS'(\t(\t(\tO\tO' +p142523 +aS'5000\t5000\tCD\tB-NP\tO' +p142524 +aS')\t)\t)\tO\tO' +p142525 +aS'units\tunit\tNNS\tB-NP\tO' +p142526 +aS'Injection\tInjection\tNN\tI-NP\tO' +p142527 +aS'TID\tTID\tNN\tI-NP\tO' +p142528 +aS'(\t(\t(\tO\tO' +p142529 +aS'3\t3\tCD\tB-NP\tO' +p142530 +aS'times\ttime\tNNS\tI-NP\tO' +p142531 +aS'a\ta\tDT\tB-NP\tO' +p142532 +aS'day\tday\tNN\tI-NP\tO' +p142533 +aS')\t)\t)\tO\tO' +p142534 +aS'.\t.\t.\tO\tO' +p142535 +asS'Gardner State Hospital social worker has assisted in working with this family .' +p142536 +(lp142537 +S'Gardner\tGardner\tNNP\tB-NP\tO' +p142538 +aS'State\tState\tNNP\tI-NP\tO' +p142539 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p142540 +aS'social\tsocial\tJJ\tI-NP\tO' +p142541 +aS'worker\tworker\tNN\tI-NP\tO' +p142542 +aS'has\thave\tVBZ\tB-VP\tO' +p142543 +aS'assisted\tassist\tVBN\tI-VP\tO' +p142544 +aS'in\tin\tIN\tB-PP\tO' +p142545 +aS'working\twork\tVBG\tB-VP\tO' +p142546 +aS'with\twith\tIN\tB-PP\tO' +p142547 +aS'this\tthis\tDT\tB-NP\tO' +p142548 +aS'family\tfamily\tNN\tI-NP\tO' +p142549 +aS'.\t.\t.\tO\tO' +p142550 +asS'8. non-insulin dependent diabetes mellitus ,' +p142551 +(lp142552 +S'8.\t8.\tLS\tB-NP\tO' +p142553 +aS'non-insulin\tnon-insulin\tJJ\tI-NP\tO' +p142554 +aS'dependent\tdependent\tJJ\tI-NP\tO' +p142555 +aS'diabetes\tdiabetes\tNN\tI-NP\tO' +p142556 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p142557 +aS',\t,\t,\tO\tO' +p142558 +asS'Her bowel function was slow to develop and she needed to remain n.p.o. until postoperative day number six .' +p142559 +(lp142560 +S'Her\tHer\tPRP$\tB-NP\tO' +p142561 +aS'bowel\tbowel\tNN\tI-NP\tO' +p142562 +aS'function\tfunction\tNN\tI-NP\tO' +p142563 +aS'was\tbe\tVBD\tB-VP\tO' +p142564 +aS'slow\tslow\tJJ\tB-ADJP\tO' +p142565 +aS'to\tto\tTO\tB-VP\tO' +p142566 +aS'develop\tdevelop\tVB\tI-VP\tO' +p142567 +aS'and\tand\tCC\tO\tO' +p142568 +aS'she\tshe\tPRP\tB-NP\tO' +p142569 +aS'needed\tneed\tVBD\tB-VP\tO' +p142570 +aS'to\tto\tTO\tI-VP\tO' +p142571 +aS'remain\tremain\tVB\tI-VP\tO' +p142572 +aS'n.p.o.\tn.p.o.\tNN\tB-NP\tO' +p142573 +aS'until\tuntil\tIN\tB-PP\tO' +p142574 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p142575 +aS'day\tday\tNN\tI-NP\tO' +p142576 +aS'number\tnumber\tNN\tI-NP\tO' +p142577 +aS'six\tsix\tCD\tI-NP\tO' +p142578 +aS'.\t.\t.\tO\tO' +p142579 +asS'Stool 2017-02-07 : c. diff negative' +p142580 +(lp142581 +S'Stool\tStool\tNNP\tB-NP\tO' +p142582 +aS'2017-02-07\t2017-02-07\tCD\tI-NP\tO' +p142583 +aS':\t:\t:\tO\tO' +p142584 +aS'c.\tc.\tNN\tB-NP\tO' +p142585 +aS'diff\tdiff\tNN\tI-NP\tO' +p142586 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p142587 +asS'On post-contrast images , there is a probably stable appearance of a 5 mm linear , focal area of enhancement in the left centrum semiovale , of uncertain etiology .' +p142588 +(lp142589 +S'On\tOn\tIN\tB-PP\tO' +p142590 +aS'post-contrast\tpost-contrast\tJJ\tB-NP\tO' +p142591 +aS'images\timage\tNNS\tI-NP\tO' +p142592 +aS',\t,\t,\tO\tO' +p142593 +aS'there\tthere\tEX\tB-NP\tO' +p142594 +aS'is\tbe\tVBZ\tB-VP\tO' +p142595 +aS'a\ta\tDT\tB-NP\tO' +p142596 +aS'probably\tprobably\tRB\tI-NP\tO' +p142597 +aS'stable\tstable\tJJ\tI-NP\tO' +p142598 +aS'appearance\tappearance\tNN\tI-NP\tO' +p142599 +aS'of\tof\tIN\tB-PP\tO' +p142600 +aS'a\ta\tDT\tB-NP\tO' +p142601 +aS'5\t5\tCD\tI-NP\tO' +p142602 +aS'mm\tmm\tNN\tI-NP\tO' +p142603 +aS'linear\tlinear\tJJ\tI-NP\tO' +p142604 +aS',\t,\t,\tI-NP\tO' +p142605 +aS'focal\tfocal\tJJ\tI-NP\tO' +p142606 +aS'area\tarea\tNN\tI-NP\tO' +p142607 +aS'of\tof\tIN\tB-PP\tO' +p142608 +aS'enhancement\tenhancement\tNN\tB-NP\tO' +p142609 +aS'in\tin\tIN\tB-PP\tO' +p142610 +aS'the\tthe\tDT\tB-NP\tO' +p142611 +aS'left\tleft\tJJ\tI-NP\tO' +p142612 +aS'centrum\tcentrum\tNN\tI-NP\tO' +p142613 +aS'semiovale\tsemiovale\tNN\tI-NP\tO' +p142614 +aS',\t,\t,\tO\tO' +p142615 +aS'of\tof\tIN\tB-PP\tO' +p142616 +aS'uncertain\tuncertain\tJJ\tB-NP\tO' +p142617 +aS'etiology\tetiology\tNN\tI-NP\tO' +p142618 +aS'.\t.\t.\tO\tO' +p142619 +asS'The patient was stable with an unchanged neurological and physical examination and was discharged on aspirin 325 mg po qd , on May 14 , 1995 .' +p142620 +(lp142621 +S'The\tThe\tDT\tB-NP\tO' +p142622 +aS'patient\tpatient\tNN\tI-NP\tO' +p142623 +aS'was\tbe\tVBD\tB-VP\tO' +p142624 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p142625 +aS'with\twith\tIN\tB-PP\tO' +p142626 +aS'an\tan\tDT\tB-NP\tO' +p142627 +aS'unchanged\tunchanged\tJJ\tI-NP\tO' +p142628 +aS'neurological\tneurological\tJJ\tI-NP\tO' +p142629 +aS'and\tand\tCC\tI-NP\tO' +p142630 +aS'physical\tphysical\tJJ\tI-NP\tO' +p142631 +aS'examination\texamination\tNN\tI-NP\tO' +p142632 +aS'and\tand\tCC\tO\tO' +p142633 +aS'was\tbe\tVBD\tB-VP\tO' +p142634 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p142635 +aS'on\ton\tIN\tB-PP\tO' +p142636 +aS'aspirin\taspirin\tNN\tB-NP\tO' +p142637 +aS'325\t325\tCD\tI-NP\tO' +p142638 +aS'mg\tmg\tNN\tI-NP\tO' +p142639 +aS'po\tpo\tNN\tI-NP\tO' +p142640 +aS'qd\tqd\tNN\tI-NP\tO' +p142641 +aS',\t,\t,\tO\tO' +p142642 +aS'on\ton\tIN\tB-PP\tO' +p142643 +aS'May\tMay\tNNP\tB-NP\tO' +p142644 +aS'14\t14\tCD\tI-NP\tO' +p142645 +aS',\t,\t,\tI-NP\tO' +p142646 +aS'1995\t1995\tCD\tI-NP\tO' +p142647 +aS'.\t.\t.\tO\tO' +p142648 +asS'+LOC , GCS:14 .' +p142649 +(lp142650 +S'+LOC\t+LOC\tNN\tB-NP\tB-protein' +p142651 +aS',\t,\t,\tO\tO' +p142652 +aS'GCS:14\tGCS:14\tNN\tB-NP\tB-protein' +p142653 +aS'.\t.\t.\tO\tO' +p142654 +asS'Due to difficult ambulation , the patient developed a small ulcer in the sacral area , which was treated with Duoderm dressing .' +p142655 +(lp142656 +S'Due\tDue\tJJ\tB-PP\tO' +p142657 +aS'to\tto\tTO\tB-PP\tO' +p142658 +aS'difficult\tdifficult\tJJ\tB-NP\tO' +p142659 +aS'ambulation\tambulation\tNN\tI-NP\tO' +p142660 +aS',\t,\t,\tO\tO' +p142661 +aS'the\tthe\tDT\tB-NP\tO' +p142662 +aS'patient\tpatient\tNN\tI-NP\tO' +p142663 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p142664 +aS'a\ta\tDT\tB-NP\tO' +p142665 +aS'small\tsmall\tJJ\tI-NP\tO' +p142666 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p142667 +aS'in\tin\tIN\tB-PP\tO' +p142668 +aS'the\tthe\tDT\tB-NP\tO' +p142669 +aS'sacral\tsacral\tJJ\tI-NP\tO' +p142670 +aS'area\tarea\tNN\tI-NP\tO' +p142671 +aS',\t,\t,\tO\tO' +p142672 +aS'which\twhich\tWDT\tB-NP\tO' +p142673 +aS'was\tbe\tVBD\tB-VP\tO' +p142674 +aS'treated\ttreat\tVBN\tI-VP\tO' +p142675 +aS'with\twith\tIN\tB-PP\tO' +p142676 +aS'Duoderm\tDuoderm\tNN\tB-NP\tO' +p142677 +aS'dressing\tdress\tVBG\tB-VP\tO' +p142678 +aS'.\t.\t.\tO\tO' +p142679 +asS"Cardiology discussed cath however , patient 's family turned down ." +p142680 +(lp142681 +S'Cardiology\tCardiology\tNNP\tB-NP\tO' +p142682 +aS'discussed\tdiscuss\tVBD\tB-VP\tO' +p142683 +aS'cath\tcath\tNN\tB-NP\tO' +p142684 +aS'however\thowever\tRB\tB-ADVP\tO' +p142685 +aS',\t,\t,\tO\tO' +p142686 +aS'patient\tpatient\tNN\tB-NP\tO' +p142687 +aS"'s\t's\tPOS\tB-NP\tO" +p142688 +aS'family\tfamily\tNN\tI-NP\tO' +p142689 +aS'turned\tturn\tVBD\tB-VP\tO' +p142690 +aS'down\tdown\tRB\tB-ADVP\tO' +p142691 +aS'.\t.\t.\tO\tO' +p142692 +asS'10 .' +p142693 +(lp142694 +S'10\t10\tCD\tB-NP\tO' +p142695 +aS'.\t.\t.\tO\tO' +p142696 +asS'However , this issue will need to be re-evaluated in six months time once the hematoma is less prominent to see if there is possibly an underlying tumor or arterial venous malformation that could be currently compressed by the area of hemorrhage .' +p142697 +(lp142698 +S'However\tHowever\tRB\tB-ADVP\tO' +p142699 +aS',\t,\t,\tO\tO' +p142700 +aS'this\tthis\tDT\tB-NP\tO' +p142701 +aS'issue\tissue\tNN\tI-NP\tO' +p142702 +aS'will\twill\tMD\tB-VP\tO' +p142703 +aS'need\tneed\tVB\tI-VP\tO' +p142704 +aS'to\tto\tTO\tI-VP\tO' +p142705 +aS'be\tbe\tVB\tI-VP\tO' +p142706 +aS're-evaluated\tre-evaluate\tVBN\tI-VP\tO' +p142707 +aS'in\tin\tIN\tB-PP\tO' +p142708 +aS'six\tsix\tCD\tB-NP\tO' +p142709 +aS'months\tmonth\tNNS\tI-NP\tO' +p142710 +aS'time\ttime\tNN\tB-NP\tO' +p142711 +aS'once\tonce\tIN\tB-SBAR\tO' +p142712 +aS'the\tthe\tDT\tB-NP\tO' +p142713 +aS'hematoma\thematoma\tNN\tI-NP\tO' +p142714 +aS'is\tbe\tVBZ\tB-VP\tO' +p142715 +aS'less\tless\tRBR\tB-ADJP\tO' +p142716 +aS'prominent\tprominent\tJJ\tI-ADJP\tO' +p142717 +aS'to\tto\tTO\tB-VP\tO' +p142718 +aS'see\tsee\tVB\tI-VP\tO' +p142719 +aS'if\tif\tIN\tB-SBAR\tO' +p142720 +aS'there\tthere\tEX\tB-NP\tO' +p142721 +aS'is\tbe\tVBZ\tB-VP\tO' +p142722 +aS'possibly\tpossibly\tRB\tB-ADVP\tO' +p142723 +aS'an\tan\tDT\tB-NP\tO' +p142724 +aS'underlying\tunderlie\tVBG\tI-NP\tO' +p142725 +aS'tumor\ttumor\tNN\tI-NP\tO' +p142726 +aS'or\tor\tCC\tO\tO' +p142727 +aS'arterial\tarterial\tJJ\tB-NP\tO' +p142728 +aS'venous\tvenous\tJJ\tI-NP\tO' +p142729 +aS'malformation\tmalformation\tNN\tI-NP\tO' +p142730 +aS'that\tthat\tWDT\tB-NP\tO' +p142731 +aS'could\tcould\tMD\tB-VP\tO' +p142732 +aS'be\tbe\tVB\tI-VP\tO' +p142733 +aS'currently\tcurrently\tRB\tI-VP\tO' +p142734 +aS'compressed\tcompress\tVBN\tI-VP\tO' +p142735 +aS'by\tby\tIN\tB-PP\tO' +p142736 +aS'the\tthe\tDT\tB-NP\tO' +p142737 +aS'area\tarea\tNN\tI-NP\tO' +p142738 +aS'of\tof\tIN\tB-PP\tO' +p142739 +aS'hemorrhage\themorrhage\tNN\tB-NP\tO' +p142740 +aS'.\t.\t.\tO\tO' +p142741 +asS'Placed on Reynolds/vanc/fluc/gentamicin for neutropenic fever and thrush initially .' +p142742 +(lp142743 +S'Placed\tPlace\tVBN\tB-VP\tO' +p142744 +aS'on\ton\tIN\tB-PP\tO' +p142745 +aS'Reynolds/vanc/fluc/gentamicin\tReynolds/vanc/fluc/gentamicin\tNN\tB-NP\tO' +p142746 +aS'for\tfor\tIN\tB-PP\tO' +p142747 +aS'neutropenic\tneutropenic\tJJ\tB-NP\tO' +p142748 +aS'fever\tfever\tNN\tI-NP\tO' +p142749 +aS'and\tand\tCC\tI-NP\tO' +p142750 +aS'thrush\tthrush\tNN\tI-NP\tO' +p142751 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p142752 +aS'.\t.\t.\tO\tO' +p142753 +asS'No murmur appreciated .' +p142754 +(lp142755 +S'No\tNo\tDT\tB-NP\tO' +p142756 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p142757 +aS'appreciated\tappreciate\tVBN\tB-VP\tO' +p142758 +aS'.\t.\t.\tO\tO' +p142759 +asS'The transmitral gradient is normal for this prosthesis .' +p142760 +(lp142761 +S'The\tThe\tDT\tB-NP\tO' +p142762 +aS'transmitral\ttransmitral\tJJ\tI-NP\tO' +p142763 +aS'gradient\tgradient\tNN\tI-NP\tO' +p142764 +aS'is\tbe\tVBZ\tB-VP\tO' +p142765 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p142766 +aS'for\tfor\tIN\tB-PP\tO' +p142767 +aS'this\tthis\tDT\tB-NP\tO' +p142768 +aS'prosthesis\tprosthesis\tNN\tI-NP\tO' +p142769 +aS'.\t.\t.\tO\tO' +p142770 +asS'He remained unresponsive despite the administration of Narcan .' +p142771 +(lp142772 +S'He\tHe\tPRP\tB-NP\tO' +p142773 +aS'remained\tremain\tVBD\tB-VP\tO' +p142774 +aS'unresponsive\tunresponsive\tJJ\tB-ADJP\tO' +p142775 +aS'despite\tdespite\tIN\tB-PP\tO' +p142776 +aS'the\tthe\tDT\tB-NP\tO' +p142777 +aS'administration\tadministration\tNN\tI-NP\tO' +p142778 +aS'of\tof\tIN\tB-PP\tO' +p142779 +aS'Narcan\tNarcan\tNNP\tB-NP\tO' +p142780 +aS'.\t.\t.\tO\tO' +p142781 +asS'Significant for chronic atrial fibrillation , managed with an Italian variation of Digoxin , and Amioadrone , hypertension managed with an ACE inhibitor , chronic obstructive pulmonary disease managed with a zanthine preparation and low dose steroids , as well as an occasional inhaler .' +p142782 +(lp142783 +S'Significant\tSignificant\tJJ\tB-ADJP\tO' +p142784 +aS'for\tfor\tIN\tB-PP\tO' +p142785 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p142786 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p142787 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p142788 +aS',\t,\t,\tO\tO' +p142789 +aS'managed\tmanage\tVBD\tB-VP\tO' +p142790 +aS'with\twith\tIN\tB-PP\tO' +p142791 +aS'an\tan\tDT\tB-NP\tO' +p142792 +aS'Italian\tItalian\tJJ\tI-NP\tO' +p142793 +aS'variation\tvariation\tNN\tI-NP\tO' +p142794 +aS'of\tof\tIN\tB-PP\tO' +p142795 +aS'Digoxin\tDigoxin\tNN\tB-NP\tO' +p142796 +aS',\t,\t,\tO\tO' +p142797 +aS'and\tand\tCC\tO\tO' +p142798 +aS'Amioadrone\tAmioadrone\tNN\tB-NP\tO' +p142799 +aS',\t,\t,\tO\tO' +p142800 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p142801 +aS'managed\tmanage\tVBD\tB-VP\tO' +p142802 +aS'with\twith\tIN\tB-PP\tO' +p142803 +aS'an\tan\tDT\tB-NP\tO' +p142804 +aS'ACE\tACE\tNN\tI-NP\tO' +p142805 +aS'inhibitor\tinhibitor\tNN\tI-NP\tO' +p142806 +aS',\t,\t,\tO\tO' +p142807 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p142808 +aS'obstructive\tobstructive\tJJ\tI-NP\tO' +p142809 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p142810 +aS'disease\tdisease\tNN\tI-NP\tO' +p142811 +aS'managed\tmanage\tVBD\tB-VP\tO' +p142812 +aS'with\twith\tIN\tB-PP\tO' +p142813 +aS'a\ta\tDT\tB-NP\tO' +p142814 +aS'zanthine\tzanthine\tNN\tI-NP\tO' +p142815 +aS'preparation\tpreparation\tNN\tI-NP\tO' +p142816 +aS'and\tand\tCC\tO\tO' +p142817 +aS'low\tlow\tJJ\tB-NP\tO' +p142818 +aS'dose\tdose\tNN\tI-NP\tO' +p142819 +aS'steroids\tsteroid\tNNS\tI-NP\tO' +p142820 +aS',\t,\t,\tO\tO' +p142821 +aS'as\tas\tRB\tB-CONJP\tO' +p142822 +aS'well\twell\tRB\tI-CONJP\tO' +p142823 +aS'as\tas\tIN\tI-CONJP\tO' +p142824 +aS'an\tan\tDT\tB-NP\tO' +p142825 +aS'occasional\toccasional\tJJ\tI-NP\tO' +p142826 +aS'inhaler\tinhaler\tNN\tI-NP\tO' +p142827 +aS'.\t.\t.\tO\tO' +p142828 +asS'He was placed on vancomycin , levofloxacin and fluconazole .' +p142829 +(lp142830 +S'He\tHe\tPRP\tB-NP\tO' +p142831 +aS'was\tbe\tVBD\tB-VP\tO' +p142832 +aS'placed\tplace\tVBN\tI-VP\tO' +p142833 +aS'on\ton\tIN\tB-PP\tO' +p142834 +aS'vancomycin\tvancomycin\tNN\tB-NP\tO' +p142835 +aS',\t,\t,\tI-NP\tO' +p142836 +aS'levofloxacin\tlevofloxacin\tNN\tI-NP\tO' +p142837 +aS'and\tand\tCC\tI-NP\tO' +p142838 +aS'fluconazole\tfluconazole\tNN\tI-NP\tO' +p142839 +aS'.\t.\t.\tO\tO' +p142840 +asS'The physical examination was unremarkable and he had no recurrent symptoms of coffee ground emesis .' +p142841 +(lp142842 +S'The\tThe\tDT\tB-NP\tO' +p142843 +aS'physical\tphysical\tJJ\tI-NP\tO' +p142844 +aS'examination\texamination\tNN\tI-NP\tO' +p142845 +aS'was\tbe\tVBD\tB-VP\tO' +p142846 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p142847 +aS'and\tand\tCC\tO\tO' +p142848 +aS'he\the\tPRP\tB-NP\tO' +p142849 +aS'had\thave\tVBD\tB-VP\tO' +p142850 +aS'no\tno\tDT\tB-NP\tO' +p142851 +aS'recurrent\trecurrent\tJJ\tI-NP\tO' +p142852 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p142853 +aS'of\tof\tIN\tB-PP\tO' +p142854 +aS'coffee\tcoffee\tNN\tB-NP\tO' +p142855 +aS'ground\tground\tNN\tI-NP\tO' +p142856 +aS'emesis\temesis\tNN\tI-NP\tO' +p142857 +aS'.\t.\t.\tO\tO' +p142858 +asS'4. Paroxysmal atrial fibrillation in the setting of pulmonary embolism .' +p142859 +(lp142860 +S'4.\t4.\tLS\tB-NP\tO' +p142861 +aS'Paroxysmal\tParoxysmal\tJJ\tI-NP\tO' +p142862 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p142863 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p142864 +aS'in\tin\tIN\tB-PP\tO' +p142865 +aS'the\tthe\tDT\tB-NP\tO' +p142866 +aS'setting\tsetting\tNN\tI-NP\tO' +p142867 +aS'of\tof\tIN\tB-PP\tO' +p142868 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p142869 +aS'embolism\tembolism\tNN\tI-NP\tO' +p142870 +aS'.\t.\t.\tO\tO' +p142871 +asS'She was discharged home in stable condition with prescriptions for Colace , Motrin and Percocet as needed .' +p142872 +(lp142873 +S'She\tShe\tPRP\tB-NP\tO' +p142874 +aS'was\tbe\tVBD\tB-VP\tO' +p142875 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p142876 +aS'home\thome\tNN\tB-ADVP\tO' +p142877 +aS'in\tin\tIN\tB-PP\tO' +p142878 +aS'stable\tstable\tJJ\tB-NP\tO' +p142879 +aS'condition\tcondition\tNN\tI-NP\tO' +p142880 +aS'with\twith\tIN\tB-PP\tO' +p142881 +aS'prescriptions\tprescription\tNNS\tB-NP\tO' +p142882 +aS'for\tfor\tIN\tB-PP\tO' +p142883 +aS'Colace\tColace\tNNP\tB-NP\tO' +p142884 +aS',\t,\t,\tI-NP\tO' +p142885 +aS'Motrin\tMotrin\tNNP\tI-NP\tO' +p142886 +aS'and\tand\tCC\tI-NP\tO' +p142887 +aS'Percocet\tPercocet\tNNP\tI-NP\tO' +p142888 +aS'as\tas\tIN\tB-SBAR\tO' +p142889 +aS'needed\tneed\tVBN\tB-VP\tO' +p142890 +aS'.\t.\t.\tO\tO' +p142891 +asS'He was diuresed initially with one dose of Lasix and subsequently with one dose of torsemide after it was discovered that he developed thrombocytopenia on a prior admission in reaction to Lasix .' +p142892 +(lp142893 +S'He\tHe\tPRP\tB-NP\tO' +p142894 +aS'was\tbe\tVBD\tB-VP\tO' +p142895 +aS'diuresed\tdiurese\tVBN\tI-VP\tO' +p142896 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p142897 +aS'with\twith\tIN\tB-PP\tO' +p142898 +aS'one\tone\tCD\tB-NP\tO' +p142899 +aS'dose\tdose\tNN\tI-NP\tO' +p142900 +aS'of\tof\tIN\tB-PP\tO' +p142901 +aS'Lasix\tLasix\tNNP\tB-NP\tO' +p142902 +aS'and\tand\tCC\tO\tO' +p142903 +aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' +p142904 +aS'with\twith\tIN\tB-PP\tO' +p142905 +aS'one\tone\tCD\tB-NP\tO' +p142906 +aS'dose\tdose\tNN\tI-NP\tO' +p142907 +aS'of\tof\tIN\tB-PP\tO' +p142908 +aS'torsemide\ttorsemide\tNN\tB-NP\tO' +p142909 +aS'after\tafter\tIN\tB-SBAR\tO' +p142910 +aS'it\tit\tPRP\tB-NP\tO' +p142911 +aS'was\tbe\tVBD\tB-VP\tO' +p142912 +aS'discovered\tdiscover\tVBN\tI-VP\tO' +p142913 +aS'that\tthat\tIN\tB-SBAR\tO' +p142914 +aS'he\the\tPRP\tB-NP\tO' +p142915 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p142916 +aS'thrombocytopenia\tthrombocytopenia\tNN\tB-NP\tO' +p142917 +aS'on\ton\tIN\tB-PP\tO' +p142918 +aS'a\ta\tDT\tB-NP\tO' +p142919 +aS'prior\tprior\tJJ\tI-NP\tO' +p142920 +aS'admission\tadmission\tNN\tI-NP\tO' +p142921 +aS'in\tin\tIN\tB-PP\tO' +p142922 +aS'reaction\treaction\tNN\tB-NP\tO' +p142923 +aS'to\tto\tTO\tB-PP\tO' +p142924 +aS'Lasix\tLasix\tNNP\tB-NP\tO' +p142925 +aS'.\t.\t.\tO\tO' +p142926 +asS'The patient was started on Fragmin for DVT prophylaxis and the patient was also started on Dilantin levels .' +p142927 +(lp142928 +S'The\tThe\tDT\tB-NP\tO' +p142929 +aS'patient\tpatient\tNN\tI-NP\tO' +p142930 +aS'was\tbe\tVBD\tB-VP\tO' +p142931 +aS'started\tstart\tVBN\tI-VP\tO' +p142932 +aS'on\ton\tIN\tB-PP\tO' +p142933 +aS'Fragmin\tFragmin\tNNP\tB-NP\tO' +p142934 +aS'for\tfor\tIN\tB-PP\tO' +p142935 +aS'DVT\tDVT\tNN\tB-NP\tO' +p142936 +aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' +p142937 +aS'and\tand\tCC\tO\tO' +p142938 +aS'the\tthe\tDT\tB-NP\tO' +p142939 +aS'patient\tpatient\tNN\tI-NP\tO' +p142940 +aS'was\tbe\tVBD\tB-VP\tO' +p142941 +aS'also\talso\tRB\tI-VP\tO' +p142942 +aS'started\tstart\tVBN\tI-VP\tO' +p142943 +aS'on\ton\tIN\tB-PP\tO' +p142944 +aS'Dilantin\tDilantin\tNN\tB-NP\tO' +p142945 +aS'levels\tlevel\tNNS\tI-NP\tO' +p142946 +aS'.\t.\t.\tO\tO' +p142947 +asS'5. Fluticasone - Salmeterol 250-50 mcg / Dose Disk with Device Sig : One ( 1 ) Disk with Device Inhalation BID ( 2 times a day ) .' +p142948 +(lp142949 +S'5.\t5.\tLS\tB-NP\tO' +p142950 +aS'Fluticasone\tFluticasone\tNN\tI-NP\tO' +p142951 +aS'-\t-\tHYPH\tO\tO' +p142952 +aS'Salmeterol\tSalmeterol\tNN\tB-NP\tO' +p142953 +aS'250-50\t250-50\tCD\tI-NP\tO' +p142954 +aS'mcg\tmcg\tNN\tI-NP\tO' +p142955 +aS'/\t/\tSYM\tB-NP\tO' +p142956 +aS'Dose\tDose\tNN\tI-NP\tO' +p142957 +aS'Disk\tDisk\tNN\tI-NP\tO' +p142958 +aS'with\twith\tIN\tB-PP\tO' +p142959 +aS'Device\tDevice\tNNP\tB-NP\tO' +p142960 +aS'Sig\tSig\tNNP\tI-NP\tO' +p142961 +aS':\t:\t:\tO\tO' +p142962 +aS'One\tOne\tCD\tB-NP\tO' +p142963 +aS'(\t(\t(\tO\tO' +p142964 +aS'1\t1\tCD\tB-NP\tO' +p142965 +aS')\t)\t)\tO\tO' +p142966 +aS'Disk\tDisk\tNN\tB-NP\tO' +p142967 +aS'with\twith\tIN\tB-PP\tO' +p142968 +aS'Device\tDevice\tNN\tB-NP\tO' +p142969 +aS'Inhalation\tInhalation\tNN\tI-NP\tO' +p142970 +aS'BID\tBID\tNN\tI-NP\tO' +p142971 +aS'(\t(\t(\tO\tO' +p142972 +aS'2\t2\tCD\tB-NP\tO' +p142973 +aS'times\ttime\tNNS\tI-NP\tO' +p142974 +aS'a\ta\tDT\tB-NP\tO' +p142975 +aS'day\tday\tNN\tI-NP\tO' +p142976 +aS')\t)\t)\tO\tO' +p142977 +aS'.\t.\t.\tO\tO' +p142978 +asS'7. Pain .' +p142979 +(lp142980 +S'7.\t7.\tCD\tB-NP\tO' +p142981 +aS'Pain\tPain\tNNP\tI-NP\tO' +p142982 +aS'.\t.\t.\tO\tO' +p142983 +asS'It was finally under control with high doses of Captopril , Nifedipine , and hydrochlorothiazide .' +p142984 +(lp142985 +S'It\tIt\tPRP\tB-NP\tO' +p142986 +aS'was\tbe\tVBD\tB-VP\tO' +p142987 +aS'finally\tfinally\tRB\tB-ADVP\tO' +p142988 +aS'under\tunder\tIN\tB-PP\tO' +p142989 +aS'control\tcontrol\tNN\tB-NP\tO' +p142990 +aS'with\twith\tIN\tB-PP\tO' +p142991 +aS'high\thigh\tJJ\tB-NP\tO' +p142992 +aS'doses\tdose\tNNS\tI-NP\tO' +p142993 +aS'of\tof\tIN\tB-PP\tO' +p142994 +aS'Captopril\tCaptopril\tNNP\tB-NP\tO' +p142995 +aS',\t,\t,\tO\tO' +p142996 +aS'Nifedipine\tNifedipine\tNNP\tB-NP\tO' +p142997 +aS',\t,\t,\tO\tO' +p142998 +aS'and\tand\tCC\tO\tO' +p142999 +aS'hydrochlorothiazide\thydrochlorothiazide\tNN\tB-NP\tO' +p143000 +aS'.\t.\t.\tO\tO' +p143001 +asS'3. Community-acquired pneumonia .' +p143002 +(lp143003 +S'3.\t3.\tLS\tB-NP\tO' +p143004 +aS'Community-acquired\tCommunity-acquired\tJJ\tI-NP\tO' +p143005 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p143006 +aS'.\t.\t.\tO\tO' +p143007 +asS'The patient then underwent a transesophageal echocardiogram on 01-24 .' +p143008 +(lp143009 +S'The\tThe\tDT\tB-NP\tO' +p143010 +aS'patient\tpatient\tNN\tI-NP\tO' +p143011 +aS'then\tthen\tRB\tB-ADVP\tO' +p143012 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p143013 +aS'a\ta\tDT\tB-NP\tO' +p143014 +aS'transesophageal\ttransesophageal\tJJ\tI-NP\tO' +p143015 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p143016 +aS'on\ton\tIN\tB-PP\tO' +p143017 +aS'01-24\t01-24\tCD\tB-NP\tO' +p143018 +aS'.\t.\t.\tO\tO' +p143019 +asS'On postoperative day # 6 his low grade temperature resolved .' +p143020 +(lp143021 +S'On\tOn\tIN\tB-PP\tO' +p143022 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p143023 +aS'day\tday\tNN\tI-NP\tO' +p143024 +aS'#\t#\t#\tB-NP\tO' +p143025 +aS'6\t6\tCD\tI-NP\tO' +p143026 +aS'his\this\tPRP$\tB-NP\tO' +p143027 +aS'low\tlow\tJJ\tI-NP\tO' +p143028 +aS'grade\tgrade\tNN\tI-NP\tO' +p143029 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p143030 +aS'resolved\tresolve\tVBN\tB-VP\tO' +p143031 +aS'.\t.\t.\tO\tO' +p143032 +asS'Abdomen was obese with positive bowel sounds , nontender , nondistended .' +p143033 +(lp143034 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p143035 +aS'was\tbe\tVBD\tB-VP\tO' +p143036 +aS'obese\tobese\tJJ\tB-ADJP\tO' +p143037 +aS'with\twith\tIN\tB-PP\tO' +p143038 +aS'positive\tpositive\tJJ\tB-NP\tO' +p143039 +aS'bowel\tbowel\tNN\tI-NP\tO' +p143040 +aS'sounds\tsound\tNNS\tI-NP\tO' +p143041 +aS',\t,\t,\tO\tO' +p143042 +aS'nontender\tnontender\tJJ\tB-NP\tO' +p143043 +aS',\t,\t,\tI-NP\tO' +p143044 +aS'nondistended\tnondistended\tJJ\tI-NP\tO' +p143045 +aS'.\t.\t.\tO\tO' +p143046 +asS'He was found operation be short of breath and was taken to dialysis for apparent fluid overload .' +p143047 +(lp143048 +S'He\tHe\tPRP\tB-NP\tO' +p143049 +aS'was\tbe\tVBD\tB-VP\tO' +p143050 +aS'found\tfind\tVBN\tI-VP\tO' +p143051 +aS'operation\toperation\tNN\tB-NP\tO' +p143052 +aS'be\tbe\tVB\tB-VP\tO' +p143053 +aS'short\tshort\tJJ\tB-ADJP\tO' +p143054 +aS'of\tof\tIN\tB-PP\tO' +p143055 +aS'breath\tbreath\tNN\tB-NP\tO' +p143056 +aS'and\tand\tCC\tO\tO' +p143057 +aS'was\tbe\tVBD\tB-VP\tO' +p143058 +aS'taken\ttake\tVBN\tI-VP\tO' +p143059 +aS'to\tto\tTO\tB-PP\tO' +p143060 +aS'dialysis\tdialysis\tNN\tB-NP\tO' +p143061 +aS'for\tfor\tIN\tB-PP\tO' +p143062 +aS'apparent\tapparent\tJJ\tB-NP\tO' +p143063 +aS'fluid\tfluid\tNN\tI-NP\tO' +p143064 +aS'overload\toverload\tNN\tI-NP\tO' +p143065 +aS'.\t.\t.\tO\tO' +p143066 +asS'4. Ampicillin 2 grams IV q. 6 through 09-08 .' +p143067 +(lp143068 +S'4.\t4.\tLS\tB-NP\tO' +p143069 +aS'Ampicillin\tAmpicillin\tNN\tI-NP\tO' +p143070 +aS'2\t2\tCD\tB-NP\tO' +p143071 +aS'grams\tgram\tNNS\tI-NP\tO' +p143072 +aS'IV\tIV\tCD\tB-NP\tO' +p143073 +aS'q.\tq.\tNN\tI-NP\tO' +p143074 +aS'6\t6\tCD\tB-NP\tO' +p143075 +aS'through\tthrough\tIN\tB-PP\tO' +p143076 +aS'09-08\t09-08\tCD\tB-NP\tO' +p143077 +aS'.\t.\t.\tO\tO' +p143078 +asS'Stable 7 day old former 32-5/7 week and now 33-5/7 weeks age .' +p143079 +(lp143080 +S'Stable\tStable\tJJ\tB-NP\tO' +p143081 +aS'7\t7\tCD\tI-NP\tO' +p143082 +aS'day\tday\tNN\tI-NP\tO' +p143083 +aS'old\told\tJJ\tI-NP\tO' +p143084 +aS'former\tformer\tJJ\tI-NP\tO' +p143085 +aS'32-5/7\t32-5/7\tCD\tI-NP\tO' +p143086 +aS'week\tweek\tNN\tI-NP\tO' +p143087 +aS'and\tand\tCC\tO\tO' +p143088 +aS'now\tnow\tRB\tB-ADVP\tO' +p143089 +aS'33-5/7\t33-5/7\tCD\tB-NP\tO' +p143090 +aS'weeks\tweek\tNNS\tI-NP\tO' +p143091 +aS'age\tage\tNN\tI-NP\tO' +p143092 +aS'.\t.\t.\tO\tO' +p143093 +asS'2. Zoloft 100 mg once daily' +p143094 +(lp143095 +S'2.\t2.\tLS\tB-NP\tO' +p143096 +aS'Zoloft\tZoloft\tNNP\tI-NP\tO' +p143097 +aS'100\t100\tCD\tI-NP\tO' +p143098 +aS'mg\tmg\tNN\tI-NP\tO' +p143099 +aS'once\tonce\tRB\tB-ADVP\tO' +p143100 +aS'daily\tdaily\tRB\tI-ADVP\tO' +p143101 +asS'Differential was polys 59 , bands 3 , lymphs 25 .' +p143102 +(lp143103 +S'Differential\tDifferential\tJJ\tB-NP\tO' +p143104 +aS'was\tbe\tVBD\tB-VP\tO' +p143105 +aS'polys\tpoly\tNNS\tB-NP\tO' +p143106 +aS'59\t59\tCD\tB-NP\tO' +p143107 +aS',\t,\t,\tO\tO' +p143108 +aS'bands\tband\tNNS\tB-NP\tB-protein' +p143109 +aS'3\t3\tCD\tI-NP\tI-protein' +p143110 +aS',\t,\t,\tO\tO' +p143111 +aS'lymphs\tlymph\tNNS\tB-NP\tO' +p143112 +aS'25\t25\tCD\tB-NP\tO' +p143113 +aS'.\t.\t.\tO\tO' +p143114 +asS'4. K-Dur 20 milliequivalents po qd' +p143115 +(lp143116 +S'4.\t4.\tLS\tB-NP\tO' +p143117 +aS'K-Dur\tK-Dur\tNNP\tI-NP\tO' +p143118 +aS'20\t20\tCD\tI-NP\tO' +p143119 +aS'milliequivalents\tmilliequivalent\tNNS\tI-NP\tO' +p143120 +aS'po\tpo\tVBP\tB-VP\tO' +p143121 +aS'qd\tqd\tNN\tB-NP\tO' +p143122 +asS'He had an 80% distal left main , a 90% proximal circumflex , and multiple significant lesions in the LAD .' +p143123 +(lp143124 +S'He\tHe\tPRP\tB-NP\tO' +p143125 +aS'had\thave\tVBD\tB-VP\tO' +p143126 +aS'an\tan\tDT\tB-NP\tO' +p143127 +aS'80%\t80%\tNN\tI-NP\tO' +p143128 +aS'distal\tdistal\tJJ\tI-NP\tO' +p143129 +aS'left\tleft\tJJ\tI-NP\tO' +p143130 +aS'main\tmain\tJJ\tI-NP\tO' +p143131 +aS',\t,\t,\tO\tO' +p143132 +aS'a\ta\tDT\tB-NP\tO' +p143133 +aS'90%\t90%\tNN\tI-NP\tO' +p143134 +aS'proximal\tproximal\tJJ\tI-NP\tO' +p143135 +aS'circumflex\tcircumflex\tNN\tI-NP\tO' +p143136 +aS',\t,\t,\tO\tO' +p143137 +aS'and\tand\tCC\tO\tO' +p143138 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p143139 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p143140 +aS'lesions\tlesion\tNNS\tI-NP\tO' +p143141 +aS'in\tin\tIN\tB-PP\tO' +p143142 +aS'the\tthe\tDT\tB-NP\tO' +p143143 +aS'LAD\tLAD\tNN\tI-NP\tB-protein' +p143144 +aS'.\t.\t.\tO\tO' +p143145 +asS'Abdomen soft , not distended .' +p143146 +(lp143147 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p143148 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p143149 +aS',\t,\t,\tO\tO' +p143150 +aS'not\tnot\tRB\tB-VP\tO' +p143151 +aS'distended\tdistend\tVBN\tI-VP\tO' +p143152 +aS'.\t.\t.\tO\tO' +p143153 +asS'Do no strenuous activity or heavy lifting for the next few days .' +p143154 +(lp143155 +S'Do\tDo\tVBP\tB-VP\tO' +p143156 +aS'no\tno\tDT\tB-NP\tO' +p143157 +aS'strenuous\tstrenuous\tJJ\tI-NP\tO' +p143158 +aS'activity\tactivity\tNN\tI-NP\tO' +p143159 +aS'or\tor\tCC\tO\tO' +p143160 +aS'heavy\theavy\tJJ\tB-NP\tO' +p143161 +aS'lifting\tlifting\tNN\tI-NP\tO' +p143162 +aS'for\tfor\tIN\tB-PP\tO' +p143163 +aS'the\tthe\tDT\tB-NP\tO' +p143164 +aS'next\tnext\tJJ\tI-NP\tO' +p143165 +aS'few\tfew\tJJ\tI-NP\tO' +p143166 +aS'days\tday\tNNS\tI-NP\tO' +p143167 +aS'.\t.\t.\tO\tO' +p143168 +asS'5. Sacral decubitus ulcer .' +p143169 +(lp143170 +S'5.\t5.\tLS\tB-NP\tO' +p143171 +aS'Sacral\tSacral\tNNP\tI-NP\tO' +p143172 +aS'decubitus\tdecubitus\tNN\tI-NP\tO' +p143173 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p143174 +aS'.\t.\t.\tO\tO' +p143175 +asS'Extremities with no edema , one to two pulses in all four extremities .' +p143176 +(lp143177 +S'Extremities\tExtremity\tNNS\tB-NP\tO' +p143178 +aS'with\twith\tIN\tB-PP\tO' +p143179 +aS'no\tno\tDT\tB-NP\tO' +p143180 +aS'edema\tedema\tNN\tI-NP\tO' +p143181 +aS',\t,\t,\tO\tO' +p143182 +aS'one\tone\tCD\tB-NP\tO' +p143183 +aS'to\tto\tTO\tI-NP\tO' +p143184 +aS'two\ttwo\tCD\tI-NP\tO' +p143185 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p143186 +aS'in\tin\tIN\tB-PP\tO' +p143187 +aS'all\tall\tDT\tB-NP\tO' +p143188 +aS'four\tfour\tCD\tI-NP\tO' +p143189 +aS'extremities\textremity\tNNS\tI-NP\tO' +p143190 +aS'.\t.\t.\tO\tO' +p143191 +asS'He was discharged home on post-op day #6 in stable condition with a foley catheter and leg bag .' +p143192 +(lp143193 +S'He\tHe\tPRP\tB-NP\tO' +p143194 +aS'was\tbe\tVBD\tB-VP\tO' +p143195 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p143196 +aS'home\thome\tNN\tB-ADVP\tO' +p143197 +aS'on\ton\tIN\tB-PP\tO' +p143198 +aS'post-op\tpost-op\tJJ\tB-NP\tO' +p143199 +aS'day\tday\tNN\tI-NP\tO' +p143200 +aS'#6\t#6\tCD\tI-NP\tO' +p143201 +aS'in\tin\tIN\tB-PP\tO' +p143202 +aS'stable\tstable\tJJ\tB-NP\tO' +p143203 +aS'condition\tcondition\tNN\tI-NP\tO' +p143204 +aS'with\twith\tIN\tB-PP\tO' +p143205 +aS'a\ta\tDT\tB-NP\tO' +p143206 +aS'foley\tfoley\tJJ\tI-NP\tO' +p143207 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p143208 +aS'and\tand\tCC\tI-NP\tO' +p143209 +aS'leg\tleg\tNN\tI-NP\tO' +p143210 +aS'bag\tbag\tNN\tI-NP\tO' +p143211 +aS'.\t.\t.\tO\tO' +p143212 +asS'Significant for fatigue and increased abdominal discomfort .' +p143213 +(lp143214 +S'Significant\tSignificant\tJJ\tB-ADJP\tO' +p143215 +aS'for\tfor\tIN\tB-PP\tO' +p143216 +aS'fatigue\tfatigue\tNN\tB-NP\tO' +p143217 +aS'and\tand\tCC\tO\tO' +p143218 +aS'increased\tincrease\tVBD\tB-VP\tO' +p143219 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p143220 +aS'discomfort\tdiscomfort\tNN\tI-NP\tO' +p143221 +aS'.\t.\t.\tO\tO' +p143222 +asS'At OSH , sputum cultures grew Pseudomonas and MRSA , and he was restarted on Zosyn ( 08-08 ) and Vancomycin ( 08-09 ).' +p143223 +(lp143224 +S'At\tAt\tIN\tB-PP\tO' +p143225 +aS'OSH\tOSH\tNN\tB-NP\tO' +p143226 +aS',\t,\t,\tO\tO' +p143227 +aS'sputum\tsputum\tNN\tB-NP\tO' +p143228 +aS'cultures\tculture\tNNS\tI-NP\tO' +p143229 +aS'grew\tgrow\tVBD\tB-VP\tO' +p143230 +aS'Pseudomonas\tPseudomonas\tNN\tB-NP\tO' +p143231 +aS'and\tand\tCC\tI-NP\tO' +p143232 +aS'MRSA\tMRSA\tNN\tI-NP\tO' +p143233 +aS',\t,\t,\tO\tO' +p143234 +aS'and\tand\tCC\tO\tO' +p143235 +aS'he\the\tPRP\tB-NP\tO' +p143236 +aS'was\tbe\tVBD\tB-VP\tO' +p143237 +aS'restarted\trestart\tVBN\tI-VP\tO' +p143238 +aS'on\ton\tIN\tB-PP\tO' +p143239 +aS'Zosyn\tZosyn\tNN\tB-NP\tO' +p143240 +aS'(\t(\t(\tO\tO' +p143241 +aS'08-08\t08-08\tCD\tB-NP\tO' +p143242 +aS')\t)\t)\tO\tO' +p143243 +aS'and\tand\tCC\tO\tO' +p143244 +aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' +p143245 +aS'(\t(\t(\tO\tO' +p143246 +aS'08-09\t08-09\tCD\tB-NP\tO' +p143247 +aS').\t).\t)\tO\tO' +p143248 +asS'Explained that despite these invasive measures , she still has a very poor prognosis .' +p143249 +(lp143250 +S'Explained\tExplain\tVBD\tB-VP\tO' +p143251 +aS'that\tthat\tIN\tB-SBAR\tO' +p143252 +aS'despite\tdespite\tIN\tB-PP\tO' +p143253 +aS'these\tthese\tDT\tB-NP\tO' +p143254 +aS'invasive\tinvasive\tJJ\tI-NP\tO' +p143255 +aS'measures\tmeasure\tNNS\tI-NP\tO' +p143256 +aS',\t,\t,\tO\tO' +p143257 +aS'she\tshe\tPRP\tB-NP\tO' +p143258 +aS'still\tstill\tRB\tB-ADVP\tO' +p143259 +aS'has\thave\tVBZ\tB-VP\tO' +p143260 +aS'a\ta\tDT\tB-NP\tO' +p143261 +aS'very\tvery\tRB\tI-NP\tO' +p143262 +aS'poor\tpoor\tJJ\tI-NP\tO' +p143263 +aS'prognosis\tprognosis\tNN\tI-NP\tO' +p143264 +aS'.\t.\t.\tO\tO' +p143265 +asS'Dr. Rosean Fletcher , of the Cardiology Department was consulted , and it was his opinion that the sinus pause was related to increased vagal tone postoperatively , perhaps secondary to the epidural , as well as the patient 's Atenolol use .' +p143266 +(lp143267 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p143268 +aS'Rosean\tRosean\tNNP\tI-NP\tO' +p143269 +aS'Fletcher\tFletcher\tNNP\tI-NP\tO' +p143270 +aS',\t,\t,\tO\tO' +p143271 +aS'of\tof\tIN\tB-PP\tO' +p143272 +aS'the\tthe\tDT\tB-NP\tO' +p143273 +aS'Cardiology\tCardiology\tNNP\tI-NP\tO' +p143274 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p143275 +aS'was\tbe\tVBD\tB-VP\tO' +p143276 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p143277 +aS',\t,\t,\tO\tO' +p143278 +aS'and\tand\tCC\tO\tO' +p143279 +aS'it\tit\tPRP\tB-NP\tO' +p143280 +aS'was\tbe\tVBD\tB-VP\tO' +p143281 +aS'his\this\tPRP$\tB-NP\tO' +p143282 +aS'opinion\topinion\tNN\tI-NP\tO' +p143283 +aS'that\tthat\tIN\tB-SBAR\tO' +p143284 +aS'the\tthe\tDT\tB-NP\tO' +p143285 +aS'sinus\tsinus\tNN\tI-NP\tO' +p143286 +aS'pause\tpause\tNN\tI-NP\tO' +p143287 +aS'was\tbe\tVBD\tB-VP\tO' +p143288 +aS'related\trelate\tVBN\tI-VP\tO' +p143289 +aS'to\tto\tTO\tB-PP\tO' +p143290 +aS'increased\tincrease\tVBN\tB-NP\tO' +p143291 +aS'vagal\tvagal\tJJ\tI-NP\tO' +p143292 +aS'tone\ttone\tNN\tI-NP\tO' +p143293 +aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' +p143294 +aS',\t,\t,\tO\tO' +p143295 +aS'perhaps\tperhaps\tRB\tB-ADVP\tO' +p143296 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p143297 +aS'to\tto\tTO\tB-PP\tO' +p143298 +aS'the\tthe\tDT\tB-NP\tO' +p143299 +aS'epidural\tepidural\tNN\tI-NP\tO' +p143300 +aS',\t,\t,\tO\tO' +p143301 +aS'as\tas\tRB\tB-CONJP\tO' +p143302 +aS'well\twell\tRB\tI-CONJP\tO' +p143303 +aS'as\tas\tIN\tI-CONJP\tO' +p143304 +aS'the\tthe\tDT\tB-NP\tO' +p143305 +aS'patient\tpatient\tNN\tI-NP\tO' +p143306 +aS''s\t'\tNNS\tI-NP\tO' +p143307 +aS'Atenolol\tAtenolol\tNN\tI-NP\tO' +p143308 +aS'use\tuse\tNN\tI-NP\tO' +p143309 +aS'.\t.\t.\tO\tO' +p143310 +asS'MM dry .' +p143311 +(lp143312 +S'MM\tMM\tNN\tB-NP\tO' +p143313 +aS'dry\tdry\tNN\tI-NP\tO' +p143314 +aS'.\t.\t.\tO\tO' +p143315 +asS"At the primary pediatrician 's office on 2018-05-12 his bilirubin had been 23 , at which time he was readmitted to the HealthSouth Rehab Hospital of Western Mass. and double phototherapy was started ." +p143316 +(lp143317 +S'At\tAt\tIN\tB-PP\tO' +p143318 +aS'the\tthe\tDT\tB-NP\tO' +p143319 +aS'primary\tprimary\tJJ\tI-NP\tO' +p143320 +aS'pediatrician\tpediatrician\tNN\tI-NP\tO' +p143321 +aS"'s\t's\tPOS\tB-NP\tO" +p143322 +aS'office\toffice\tNN\tI-NP\tO' +p143323 +aS'on\ton\tIN\tB-PP\tO' +p143324 +aS'2018-05-12\t2018-05-12\tCD\tB-NP\tO' +p143325 +aS'his\this\tPRP$\tB-NP\tO' +p143326 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p143327 +aS'had\thave\tVBD\tB-VP\tO' +p143328 +aS'been\tbe\tVBN\tI-VP\tO' +p143329 +aS'23\t23\tCD\tB-NP\tO' +p143330 +aS',\t,\t,\tO\tO' +p143331 +aS'at\tat\tIN\tB-PP\tO' +p143332 +aS'which\twhich\tWDT\tB-NP\tO' +p143333 +aS'time\ttime\tNN\tI-NP\tO' +p143334 +aS'he\the\tPRP\tB-NP\tO' +p143335 +aS'was\tbe\tVBD\tB-VP\tO' +p143336 +aS'readmitted\treadmitte\tVBN\tI-VP\tO' +p143337 +aS'to\tto\tTO\tB-PP\tO' +p143338 +aS'the\tthe\tDT\tB-NP\tO' +p143339 +aS'HealthSouth\tHealthSouth\tNNP\tI-NP\tO' +p143340 +aS'Rehab\tRehab\tNNP\tI-NP\tO' +p143341 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p143342 +aS'of\tof\tIN\tB-PP\tO' +p143343 +aS'Western\tWestern\tNNP\tB-NP\tO' +p143344 +aS'Mass.\tMass.\tNNP\tI-NP\tO' +p143345 +aS'and\tand\tCC\tO\tO' +p143346 +aS'double\tdouble\tJJ\tB-NP\tO' +p143347 +aS'phototherapy\tphototherapy\tNN\tI-NP\tO' +p143348 +aS'was\tbe\tVBD\tB-VP\tO' +p143349 +aS'started\tstart\tVBN\tI-VP\tO' +p143350 +aS'.\t.\t.\tO\tO' +p143351 +asS'This will be treated empirically with a 10 day course of Keflex .' +p143352 +(lp143353 +S'This\tThis\tDT\tB-NP\tO' +p143354 +aS'will\twill\tMD\tB-VP\tO' +p143355 +aS'be\tbe\tVB\tI-VP\tO' +p143356 +aS'treated\ttreat\tVBN\tI-VP\tO' +p143357 +aS'empirically\tempirically\tRB\tB-ADVP\tO' +p143358 +aS'with\twith\tIN\tB-PP\tO' +p143359 +aS'a\ta\tDT\tB-NP\tO' +p143360 +aS'10\t10\tCD\tI-NP\tO' +p143361 +aS'day\tday\tNN\tI-NP\tO' +p143362 +aS'course\tcourse\tNN\tI-NP\tO' +p143363 +aS'of\tof\tIN\tB-PP\tO' +p143364 +aS'Keflex\tKeflex\tNNP\tB-NP\tO' +p143365 +aS'.\t.\t.\tO\tO' +p143366 +asS'The patient had massive Cocaine induced rhabdomyolysis .' +p143367 +(lp143368 +S'The\tThe\tDT\tB-NP\tO' +p143369 +aS'patient\tpatient\tNN\tI-NP\tO' +p143370 +aS'had\thave\tVBD\tB-VP\tO' +p143371 +aS'massive\tmassive\tJJ\tB-NP\tO' +p143372 +aS'Cocaine\tCocaine\tNN\tI-NP\tO' +p143373 +aS'induced\tinduce\tVBD\tB-VP\tO' +p143374 +aS'rhabdomyolysis\trhabdomyolysis\tNN\tB-NP\tO' +p143375 +aS'.\t.\t.\tO\tO' +p143376 +asS'After transfer to the floor when she was stable .' +p143377 +(lp143378 +S'After\tAfter\tIN\tB-PP\tO' +p143379 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p143380 +aS'to\tto\tTO\tB-PP\tO' +p143381 +aS'the\tthe\tDT\tB-NP\tO' +p143382 +aS'floor\tfloor\tNN\tI-NP\tO' +p143383 +aS'when\twhen\tWRB\tB-ADVP\tO' +p143384 +aS'she\tshe\tPRP\tB-NP\tO' +p143385 +aS'was\tbe\tVBD\tB-VP\tO' +p143386 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p143387 +aS'.\t.\t.\tO\tO' +p143388 +asS'Smokes ~ 1 pk / week .' +p143389 +(lp143390 +S'Smokes\tSmokes\tNNP\tB-NP\tO' +p143391 +aS'~\t~\tIN\tB-NP\tO' +p143392 +aS'1\t1\tCD\tI-NP\tO' +p143393 +aS'pk\tpk\tNN\tI-NP\tO' +p143394 +aS'/\t/\tSYM\tB-NP\tO' +p143395 +aS'week\tweek\tNN\tI-NP\tO' +p143396 +aS'.\t.\t.\tO\tO' +p143397 +asS'HEENT : Flushed cheeks .' +p143398 +(lp143399 +S'HEENT\tHEENT\tNN\tB-NP\tO' +p143400 +aS':\t:\t:\tO\tO' +p143401 +aS'Flushed\tFlushed\tJJ\tB-NP\tO' +p143402 +aS'cheeks\tcheek\tNNS\tI-NP\tO' +p143403 +aS'.\t.\t.\tO\tO' +p143404 +asS'White blood cell count 5.8 , hematocrit 23.5 , platelet count 118 .' +p143405 +(lp143406 +S'White\tWhite\tJJ\tB-NP\tO' +p143407 +aS'blood\tblood\tNN\tI-NP\tO' +p143408 +aS'cell\tcell\tNN\tI-NP\tO' +p143409 +aS'count\tcount\tNN\tI-NP\tO' +p143410 +aS'5.8\t5.8\tCD\tB-NP\tO' +p143411 +aS',\t,\t,\tO\tO' +p143412 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p143413 +aS'23.5\t23.5\tCD\tI-NP\tI-protein' +p143414 +aS',\t,\t,\tO\tO' +p143415 +aS'platelet\tplatelet\tNN\tB-NP\tB-protein' +p143416 +aS'count\tcount\tNN\tI-NP\tI-protein' +p143417 +aS'118\t118\tCD\tI-NP\tI-protein' +p143418 +aS'.\t.\t.\tO\tO' +p143419 +asS'# Hypotension : per referral form .' +p143420 +(lp143421 +S'#\t#\t#\tB-NP\tO' +p143422 +aS'Hypotension\tHypotension\tNN\tI-NP\tO' +p143423 +aS':\t:\t:\tO\tO' +p143424 +aS'per\tper\tIN\tB-PP\tO' +p143425 +aS'referral\treferral\tJJ\tB-NP\tO' +p143426 +aS'form\tform\tNN\tI-NP\tO' +p143427 +aS'.\t.\t.\tO\tO' +p143428 +asS'She ambulated with assistance .' +p143429 +(lp143430 +S'She\tShe\tPRP\tB-NP\tO' +p143431 +aS'ambulated\tambulate\tVBD\tB-VP\tO' +p143432 +aS'with\twith\tIN\tB-PP\tO' +p143433 +aS'assistance\tassistance\tNN\tB-NP\tO' +p143434 +aS'.\t.\t.\tO\tO' +p143435 +asS'9. Ascorbic Acid 500 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ).' +p143436 +(lp143437 +S'9.\t9.\tLS\tB-NP\tO' +p143438 +aS'Ascorbic\tAscorbic\tNNP\tI-NP\tO' +p143439 +aS'Acid\tAcid\tNNP\tI-NP\tO' +p143440 +aS'500\t500\tCD\tI-NP\tO' +p143441 +aS'mg\tmg\tNN\tI-NP\tO' +p143442 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p143443 +aS'Sig\tSig\tNNP\tI-NP\tO' +p143444 +aS':\t:\t:\tO\tO' +p143445 +aS'One\tOne\tCD\tB-NP\tO' +p143446 +aS'(\t(\t(\tO\tO' +p143447 +aS'1\t1\tCD\tB-NP\tO' +p143448 +aS')\t)\t)\tO\tO' +p143449 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p143450 +aS'PO\tPO\tNN\tI-NP\tO' +p143451 +aS'BID\tBID\tNN\tI-NP\tO' +p143452 +aS'(\t(\t(\tO\tO' +p143453 +aS'2\t2\tCD\tB-NP\tO' +p143454 +aS'times\ttime\tNNS\tI-NP\tO' +p143455 +aS'a\ta\tDT\tB-NP\tO' +p143456 +aS'day\tday\tNN\tI-NP\tO' +p143457 +aS').\t).\t.\tO\tO' +p143458 +asS"The patient 's condition at discharge is good ." +p143459 +(lp143460 +S'The\tThe\tDT\tB-NP\tO' +p143461 +aS'patient\tpatient\tNN\tI-NP\tO' +p143462 +aS"'s\t's\tPOS\tB-NP\tO" +p143463 +aS'condition\tcondition\tNN\tI-NP\tO' +p143464 +aS'at\tat\tIN\tB-PP\tO' +p143465 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p143466 +aS'is\tbe\tVBZ\tB-VP\tO' +p143467 +aS'good\tgood\tJJ\tB-ADJP\tO' +p143468 +aS'.\t.\t.\tO\tO' +p143469 +asS'14. Daptomycin 500 mg Recon Soln Sig : Four 90y ( 480 ) mg Intravenous Q24H ( every 24 hours ) : thru 05-02 .' +p143470 +(lp143471 +S'14.\t14.\tCD\tB-NP\tO' +p143472 +aS'Daptomycin\tDaptomycin\tNN\tI-NP\tO' +p143473 +aS'500\t500\tCD\tB-NP\tO' +p143474 +aS'mg\tmg\tNN\tI-NP\tO' +p143475 +aS'Recon\tRecon\tNNP\tI-NP\tO' +p143476 +aS'Soln\tSoln\tNNP\tI-NP\tO' +p143477 +aS'Sig\tSig\tNNP\tI-NP\tO' +p143478 +aS':\t:\t:\tO\tO' +p143479 +aS'Four\tFour\tCD\tB-NP\tO' +p143480 +aS'90y\t90y\tCD\tI-NP\tO' +p143481 +aS'(\t(\t(\tO\tO' +p143482 +aS'480\t480\tCD\tB-NP\tO' +p143483 +aS')\t)\t)\tO\tO' +p143484 +aS'mg\tmg\tNN\tB-NP\tO' +p143485 +aS'Intravenous\tIntravenous\tJJ\tI-NP\tO' +p143486 +aS'Q24H\tQ24H\tNN\tI-NP\tO' +p143487 +aS'(\t(\t(\tO\tO' +p143488 +aS'every\tevery\tDT\tB-NP\tO' +p143489 +aS'24\t24\tCD\tI-NP\tO' +p143490 +aS'hours\thour\tNNS\tI-NP\tO' +p143491 +aS')\t)\t)\tO\tO' +p143492 +aS':\t:\t:\tO\tO' +p143493 +aS'thru\tthru\tNN\tB-NP\tO' +p143494 +aS'05-02\t05-02\tCD\tI-NP\tO' +p143495 +aS'.\t.\t.\tO\tO' +p143496 +asS'Pulmonary was consulted at this time for this difficulty of diuresis and pulmonary edema .' +p143497 +(lp143498 +S'Pulmonary\tPulmonary\tNNP\tB-NP\tO' +p143499 +aS'was\tbe\tVBD\tB-VP\tO' +p143500 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p143501 +aS'at\tat\tIN\tB-PP\tO' +p143502 +aS'this\tthis\tDT\tB-NP\tO' +p143503 +aS'time\ttime\tNN\tI-NP\tO' +p143504 +aS'for\tfor\tIN\tB-PP\tO' +p143505 +aS'this\tthis\tDT\tB-NP\tO' +p143506 +aS'difficulty\tdifficulty\tNN\tI-NP\tO' +p143507 +aS'of\tof\tIN\tB-PP\tO' +p143508 +aS'diuresis\tdiuresis\tNN\tB-NP\tO' +p143509 +aS'and\tand\tCC\tO\tO' +p143510 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p143511 +aS'edema\tedema\tNN\tI-NP\tO' +p143512 +aS'.\t.\t.\tO\tO' +p143513 +asS'She has just finished a ten day course of Ciprofloxacin .' +p143514 +(lp143515 +S'She\tShe\tPRP\tB-NP\tO' +p143516 +aS'has\thave\tVBZ\tB-VP\tO' +p143517 +aS'just\tjust\tRB\tI-VP\tO' +p143518 +aS'finished\tfinish\tVBN\tI-VP\tO' +p143519 +aS'a\ta\tDT\tB-NP\tO' +p143520 +aS'ten\tten\tCD\tI-NP\tO' +p143521 +aS'day\tday\tNN\tI-NP\tO' +p143522 +aS'course\tcourse\tNN\tI-NP\tO' +p143523 +aS'of\tof\tIN\tB-PP\tO' +p143524 +aS'Ciprofloxacin\tCiprofloxacin\tNN\tB-NP\tO' +p143525 +aS'.\t.\t.\tO\tO' +p143526 +asS'The Westwood-Pocasset in his right arm was removed on 2016-11-25 .' +p143527 +(lp143528 +S'The\tThe\tDT\tB-NP\tO' +p143529 +aS'Westwood-Pocasset\tWestwood-Pocasset\tNN\tI-NP\tO' +p143530 +aS'in\tin\tIN\tB-PP\tO' +p143531 +aS'his\this\tPRP$\tB-NP\tO' +p143532 +aS'right\tright\tJJ\tI-NP\tO' +p143533 +aS'arm\tarm\tNN\tI-NP\tO' +p143534 +aS'was\tbe\tVBD\tB-VP\tO' +p143535 +aS'removed\tremove\tVBN\tI-VP\tO' +p143536 +aS'on\ton\tIN\tB-PP\tO' +p143537 +aS'2016-11-25\t2016-11-25\tCD\tB-NP\tO' +p143538 +aS'.\t.\t.\tO\tO' +p143539 +asS'Normal male , testes descended .' +p143540 +(lp143541 +S'Normal\tNormal\tJJ\tB-NP\tO' +p143542 +aS'male\tmale\tJJ\tI-NP\tO' +p143543 +aS',\t,\t,\tO\tO' +p143544 +aS'testes\ttestis\tNNS\tB-NP\tO' +p143545 +aS'descended\tdescend\tVBD\tB-VP\tO' +p143546 +aS'.\t.\t.\tO\tO' +p143547 +asS'Make follow-appointment with Dr. Barber in 4-6 weeks .' +p143548 +(lp143549 +S'Make\tMake\tNN\tB-NP\tO' +p143550 +aS'follow-appointment\tfollow-appointment\tNN\tI-NP\tO' +p143551 +aS'with\twith\tIN\tB-PP\tO' +p143552 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p143553 +aS'Barber\tBarber\tNNP\tI-NP\tO' +p143554 +aS'in\tin\tIN\tB-PP\tO' +p143555 +aS'4-6\t4-6\tCD\tB-NP\tO' +p143556 +aS'weeks\tweek\tNNS\tI-NP\tO' +p143557 +aS'.\t.\t.\tO\tO' +p143558 +asS'Sent as per protocol; one specimen from 2017-05-28 returned with borderline low thyroxine , but repeat was within normal limits .' +p143559 +(lp143560 +S'Sent\tSent\tJJ\tB-ADJP\tO' +p143561 +aS'as\tas\tIN\tB-PP\tO' +p143562 +aS'per\tper\tIN\tB-PP\tO' +p143563 +aS'protocol;\tprotocol;\tNN\tB-NP\tO' +p143564 +aS'one\tone\tCD\tB-NP\tO' +p143565 +aS'specimen\tspecimen\tNN\tI-NP\tO' +p143566 +aS'from\tfrom\tIN\tB-PP\tO' +p143567 +aS'2017-05-28\t2017-05-28\tCD\tB-NP\tO' +p143568 +aS'returned\treturn\tVBD\tB-VP\tO' +p143569 +aS'with\twith\tIN\tB-PP\tO' +p143570 +aS'borderline\tborderline\tJJ\tB-NP\tO' +p143571 +aS'low\tlow\tJJ\tI-NP\tO' +p143572 +aS'thyroxine\tthyroxine\tNN\tI-NP\tO' +p143573 +aS',\t,\t,\tO\tO' +p143574 +aS'but\tbut\tCC\tO\tO' +p143575 +aS'repeat\trepeat\tNN\tB-NP\tO' +p143576 +aS'was\tbe\tVBD\tB-VP\tO' +p143577 +aS'within\twithin\tIN\tB-PP\tO' +p143578 +aS'normal\tnormal\tJJ\tB-NP\tO' +p143579 +aS'limits\tlimit\tNNS\tI-NP\tO' +p143580 +aS'.\t.\t.\tO\tO' +p143581 +asS'All CVVH and the ventilator was removed and the patient spontaneously passed away on 5-2-98 , at 4:55 p.m.' +p143582 +(lp143583 +S'All\tAll\tDT\tB-NP\tO' +p143584 +aS'CVVH\tCVVH\tNN\tI-NP\tB-protein' +p143585 +aS'and\tand\tCC\tO\tO' +p143586 +aS'the\tthe\tDT\tB-NP\tO' +p143587 +aS'ventilator\tventilator\tNN\tI-NP\tO' +p143588 +aS'was\tbe\tVBD\tB-VP\tO' +p143589 +aS'removed\tremove\tVBN\tI-VP\tO' +p143590 +aS'and\tand\tCC\tO\tO' +p143591 +aS'the\tthe\tDT\tB-NP\tO' +p143592 +aS'patient\tpatient\tNN\tI-NP\tO' +p143593 +aS'spontaneously\tspontaneously\tRB\tB-ADVP\tO' +p143594 +aS'passed\tpass\tVBD\tB-VP\tO' +p143595 +aS'away\taway\tRB\tB-ADVP\tO' +p143596 +aS'on\ton\tIN\tB-PP\tO' +p143597 +aS'5-2-98\t5-2-98\tCD\tB-NP\tO' +p143598 +aS',\t,\t,\tO\tO' +p143599 +aS'at\tat\tIN\tB-PP\tO' +p143600 +aS'4:55\t4:55\tCD\tB-NP\tO' +p143601 +aS'p.m.\tp.m.\tNN\tI-NP\tO' +p143602 +asS'The patient was started on heparin .' +p143603 +(lp143604 +S'The\tThe\tDT\tB-NP\tO' +p143605 +aS'patient\tpatient\tNN\tI-NP\tO' +p143606 +aS'was\tbe\tVBD\tB-VP\tO' +p143607 +aS'started\tstart\tVBN\tI-VP\tO' +p143608 +aS'on\ton\tIN\tB-PP\tO' +p143609 +aS'heparin\theparin\tNN\tB-NP\tO' +p143610 +aS'.\t.\t.\tO\tO' +p143611 +asS'Feeds are breast feeding P.O. ad lib .' +p143612 +(lp143613 +S'Feeds\tFeed\tNNS\tB-NP\tO' +p143614 +aS'are\tbe\tVBP\tB-VP\tO' +p143615 +aS'breast\tbreast\tNN\tB-NP\tO' +p143616 +aS'feeding\tfeed\tVBG\tB-VP\tO' +p143617 +aS'P.O.\tP.O.\tNNP\tB-NP\tO' +p143618 +aS'ad\tad\tNN\tI-NP\tO' +p143619 +aS'lib\tlib\tNN\tI-NP\tO' +p143620 +aS'.\t.\t.\tO\tO' +p143621 +asS"As the patient 's early evaluation the patient underwent an aortogram which showed an ascending aortic graft with bulging flaps and a pseudoaneurysm at the anastomosis of the graft and arch just below the great vessels ." +p143622 +(lp143623 +S'As\tAs\tIN\tB-SBAR\tO' +p143624 +aS'the\tthe\tDT\tB-NP\tO' +p143625 +aS'patient\tpatient\tNN\tI-NP\tO' +p143626 +aS"'s\t's\tPOS\tB-NP\tO" +p143627 +aS'early\tearly\tJJ\tI-NP\tO' +p143628 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p143629 +aS'the\tthe\tDT\tB-NP\tO' +p143630 +aS'patient\tpatient\tNN\tI-NP\tO' +p143631 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p143632 +aS'an\tan\tDT\tB-NP\tO' +p143633 +aS'aortogram\taortogram\tNN\tI-NP\tO' +p143634 +aS'which\twhich\tWDT\tB-NP\tO' +p143635 +aS'showed\tshow\tVBD\tB-VP\tO' +p143636 +aS'an\tan\tDT\tB-NP\tO' +p143637 +aS'ascending\tascend\tVBG\tI-NP\tO' +p143638 +aS'aortic\taortic\tJJ\tI-NP\tO' +p143639 +aS'graft\tgraft\tNN\tI-NP\tO' +p143640 +aS'with\twith\tIN\tB-PP\tO' +p143641 +aS'bulging\tbulge\tVBG\tB-NP\tO' +p143642 +aS'flaps\tflap\tNNS\tI-NP\tO' +p143643 +aS'and\tand\tCC\tO\tO' +p143644 +aS'a\ta\tDT\tB-NP\tO' +p143645 +aS'pseudoaneurysm\tpseudoaneurysm\tNN\tI-NP\tO' +p143646 +aS'at\tat\tIN\tB-PP\tO' +p143647 +aS'the\tthe\tDT\tB-NP\tO' +p143648 +aS'anastomosis\tanastomosis\tNN\tI-NP\tO' +p143649 +aS'of\tof\tIN\tB-PP\tO' +p143650 +aS'the\tthe\tDT\tB-NP\tO' +p143651 +aS'graft\tgraft\tNN\tI-NP\tO' +p143652 +aS'and\tand\tCC\tI-NP\tO' +p143653 +aS'arch\tarch\tNN\tI-NP\tO' +p143654 +aS'just\tjust\tRB\tB-PP\tO' +p143655 +aS'below\tbelow\tIN\tI-PP\tO' +p143656 +aS'the\tthe\tDT\tB-NP\tO' +p143657 +aS'great\tgreat\tJJ\tI-NP\tO' +p143658 +aS'vessels\tvessel\tNNS\tI-NP\tO' +p143659 +aS'.\t.\t.\tO\tO' +p143660 +asS'She had slightly slow fine finger motility approximately equal bilaterally , although this was extremely difficult to reproduce .' +p143661 +(lp143662 +S'She\tShe\tPRP\tB-NP\tO' +p143663 +aS'had\thave\tVBD\tB-VP\tO' +p143664 +aS'slightly\tslightly\tRB\tB-NP\tO' +p143665 +aS'slow\tslow\tJJ\tI-NP\tO' +p143666 +aS'fine\tfine\tJJ\tI-NP\tO' +p143667 +aS'finger\tfinger\tNN\tI-NP\tO' +p143668 +aS'motility\tmotility\tNN\tI-NP\tO' +p143669 +aS'approximately\tapproximately\tRB\tB-ADJP\tO' +p143670 +aS'equal\tequal\tJJ\tI-ADJP\tO' +p143671 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p143672 +aS',\t,\t,\tO\tO' +p143673 +aS'although\talthough\tIN\tB-SBAR\tO' +p143674 +aS'this\tthis\tDT\tB-NP\tO' +p143675 +aS'was\tbe\tVBD\tB-VP\tO' +p143676 +aS'extremely\textremely\tRB\tB-ADJP\tO' +p143677 +aS'difficult\tdifficult\tJJ\tI-ADJP\tO' +p143678 +aS'to\tto\tTO\tB-VP\tO' +p143679 +aS'reproduce\treproduce\tVB\tI-VP\tO' +p143680 +aS'.\t.\t.\tO\tO' +p143681 +asS'Test Location : West Echo Lab' +p143682 +(lp143683 +S'Test\tTest\tNNP\tB-NP\tO' +p143684 +aS'Location\tLocation\tNNP\tI-NP\tO' +p143685 +aS':\t:\t:\tO\tO' +p143686 +aS'West\tWest\tNNP\tB-NP\tO' +p143687 +aS'Echo\tEcho\tNNP\tI-NP\tO' +p143688 +aS'Lab\tLab\tNNP\tI-NP\tO' +p143689 +asS'The patient was discharged after one week on iron sulfate .' +p143690 +(lp143691 +S'The\tThe\tDT\tB-NP\tO' +p143692 +aS'patient\tpatient\tNN\tI-NP\tO' +p143693 +aS'was\tbe\tVBD\tB-VP\tO' +p143694 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p143695 +aS'after\tafter\tIN\tB-PP\tO' +p143696 +aS'one\tone\tCD\tB-NP\tO' +p143697 +aS'week\tweek\tNN\tI-NP\tO' +p143698 +aS'on\ton\tIN\tB-PP\tO' +p143699 +aS'iron\tiron\tNN\tB-NP\tO' +p143700 +aS'sulfate\tsulfate\tNN\tI-NP\tO' +p143701 +aS'.\t.\t.\tO\tO' +p143702 +asS'Peripheral pulses intact .' +p143703 +(lp143704 +S'Peripheral\tPeripheral\tJJ\tB-NP\tO' +p143705 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p143706 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p143707 +aS'.\t.\t.\tO\tO' +p143708 +asS'Neck : Supple , no JVD' +p143709 +(lp143710 +S'Neck\tNeck\tNNP\tB-NP\tO' +p143711 +aS':\t:\t:\tO\tO' +p143712 +aS'Supple\tSupple\tNNP\tB-NP\tO' +p143713 +aS',\t,\t,\tO\tO' +p143714 +aS'no\tno\tDT\tB-NP\tO' +p143715 +aS'JVD\tJVD\tNN\tI-NP\tB-protein' +p143716 +asS'Stable .' +p143717 +(lp143718 +S'Stable\tStable\tJJ\tB-ADJP\tO' +p143719 +aS'.\t.\t.\tO\tO' +p143720 +asS'Please continue to wear your C-collar at all times .' +p143721 +(lp143722 +S'Please\tPlease\tNN\tB-NP\tB-protein' +p143723 +aS'continue\tcontinue\tVBP\tB-VP\tO' +p143724 +aS'to\tto\tTO\tI-VP\tO' +p143725 +aS'wear\twear\tVB\tI-VP\tO' +p143726 +aS'your\tyour\tPRP$\tB-NP\tO' +p143727 +aS'C-collar\tC-collar\tNN\tI-NP\tO' +p143728 +aS'at\tat\tIN\tB-PP\tO' +p143729 +aS'all\tall\tDT\tB-NP\tO' +p143730 +aS'times\ttime\tNNS\tI-NP\tO' +p143731 +aS'.\t.\t.\tO\tO' +p143732 +asS'7. Neurological .' +p143733 +(lp143734 +S'7.\t7.\tCD\tB-NP\tO' +p143735 +aS'Neurological\tNeurological\tNNP\tI-NP\tO' +p143736 +aS'.\t.\t.\tO\tO' +p143737 +asS'Once the patient was titrated off dopamine , the beta blocker and ACE inhibitor were restarted .' +p143738 +(lp143739 +S'Once\tOnce\tRB\tO\tO' +p143740 +aS'the\tthe\tDT\tB-NP\tO' +p143741 +aS'patient\tpatient\tNN\tI-NP\tO' +p143742 +aS'was\tbe\tVBD\tB-VP\tO' +p143743 +aS'titrated\ttitrate\tVBN\tI-VP\tO' +p143744 +aS'off\toff\tRP\tB-PRT\tO' +p143745 +aS'dopamine\tdopamine\tNN\tB-NP\tO' +p143746 +aS',\t,\t,\tO\tO' +p143747 +aS'the\tthe\tDT\tB-NP\tO' +p143748 +aS'beta\tbeta\tNN\tI-NP\tO' +p143749 +aS'blocker\tblocker\tNN\tI-NP\tO' +p143750 +aS'and\tand\tCC\tO\tO' +p143751 +aS'ACE\tACE\tNN\tB-NP\tO' +p143752 +aS'inhibitor\tinhibitor\tNN\tI-NP\tO' +p143753 +aS'were\tbe\tVBD\tB-VP\tO' +p143754 +aS'restarted\trestart\tVBN\tI-VP\tO' +p143755 +aS'.\t.\t.\tO\tO' +p143756 +asS'The patient first presented in October 1991 with a tender right axillary mass .' +p143757 +(lp143758 +S'The\tThe\tDT\tB-NP\tO' +p143759 +aS'patient\tpatient\tNN\tI-NP\tO' +p143760 +aS'first\tfirst\tRB\tB-ADVP\tO' +p143761 +aS'presented\tpresent\tVBD\tB-VP\tO' +p143762 +aS'in\tin\tIN\tB-PP\tO' +p143763 +aS'October\tOctober\tNNP\tB-NP\tO' +p143764 +aS'1991\t1991\tCD\tI-NP\tO' +p143765 +aS'with\twith\tIN\tB-PP\tO' +p143766 +aS'a\ta\tDT\tB-NP\tO' +p143767 +aS'tender\ttender\tNN\tI-NP\tO' +p143768 +aS'right\tright\tJJ\tI-NP\tO' +p143769 +aS'axillary\taxillary\tJJ\tI-NP\tO' +p143770 +aS'mass\tmass\tNN\tI-NP\tO' +p143771 +aS'.\t.\t.\tO\tO' +p143772 +asS'Also noted is sclerosis and opacification of the visualized left mastoid air cells and mastoid tip , likely chronic inflammatory' +p143773 +(lp143774 +S'Also\tAlso\tRB\tB-VP\tO' +p143775 +aS'noted\tnote\tVBN\tI-VP\tO' +p143776 +aS'is\tbe\tVBZ\tB-VP\tO' +p143777 +aS'sclerosis\tsclerosis\tNN\tB-NP\tO' +p143778 +aS'and\tand\tCC\tI-NP\tO' +p143779 +aS'opacification\topacification\tNN\tI-NP\tO' +p143780 +aS'of\tof\tIN\tB-PP\tO' +p143781 +aS'the\tthe\tDT\tB-NP\tO' +p143782 +aS'visualized\tvisualize\tVBN\tI-NP\tO' +p143783 +aS'left\tleft\tJJ\tI-NP\tB-cell_type' +p143784 +aS'mastoid\tmastoid\tJJ\tI-NP\tI-cell_type' +p143785 +aS'air\tair\tNN\tI-NP\tI-cell_type' +p143786 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p143787 +aS'and\tand\tCC\tO\tO' +p143788 +aS'mastoid\tmastoid\tJJ\tB-NP\tO' +p143789 +aS'tip\ttip\tNN\tI-NP\tO' +p143790 +aS',\t,\t,\tO\tO' +p143791 +aS'likely\tlikely\tRB\tB-NP\tO' +p143792 +aS'chronic\tchronic\tJJ\tI-NP\tO' +p143793 +aS'inflammatory\tinflammatory\tJJ\tI-NP\tO' +p143794 +asS'This is a 5235 - gram full-term male infant of a diabetic mother born by repeat cesarean section to a 29-year-old gravida 1 , para 2 , woman .' +p143795 +(lp143796 +S'This\tThis\tDT\tB-NP\tO' +p143797 +aS'is\tbe\tVBZ\tB-VP\tO' +p143798 +aS'a\ta\tDT\tB-NP\tO' +p143799 +aS'5235\t5235\tCD\tI-NP\tO' +p143800 +aS'-\t-\tHYPH\tI-NP\tO' +p143801 +aS'gram\tgram\tNN\tI-NP\tO' +p143802 +aS'full-term\tfull-term\tJJ\tI-NP\tO' +p143803 +aS'male\tmale\tJJ\tI-NP\tO' +p143804 +aS'infant\tinfant\tNN\tI-NP\tO' +p143805 +aS'of\tof\tIN\tB-PP\tO' +p143806 +aS'a\ta\tDT\tB-NP\tO' +p143807 +aS'diabetic\tdiabetic\tJJ\tI-NP\tO' +p143808 +aS'mother\tmother\tNN\tI-NP\tO' +p143809 +aS'born\tbear\tVBN\tB-VP\tO' +p143810 +aS'by\tby\tIN\tB-PP\tO' +p143811 +aS'repeat\trepeat\tNN\tB-NP\tO' +p143812 +aS'cesarean\tcesarean\tJJ\tI-NP\tO' +p143813 +aS'section\tsection\tNN\tI-NP\tO' +p143814 +aS'to\tto\tTO\tB-PP\tO' +p143815 +aS'a\ta\tDT\tB-NP\tO' +p143816 +aS'29-year-old\t29-year-old\tJJ\tI-NP\tO' +p143817 +aS'gravida\tgravida\tNN\tI-NP\tO' +p143818 +aS'1\t1\tCD\tI-NP\tO' +p143819 +aS',\t,\t,\tO\tO' +p143820 +aS'para\tpara\tNN\tB-NP\tO' +p143821 +aS'2\t2\tCD\tI-NP\tO' +p143822 +aS',\t,\t,\tO\tO' +p143823 +aS'woman\twoman\tNN\tB-NP\tO' +p143824 +aS'.\t.\t.\tO\tO' +p143825 +asS'The patient was referred to Cambridge Health Alliance for cardiac catheterization .' +p143826 +(lp143827 +S'The\tThe\tDT\tB-NP\tO' +p143828 +aS'patient\tpatient\tNN\tI-NP\tO' +p143829 +aS'was\tbe\tVBD\tB-VP\tO' +p143830 +aS'referred\trefer\tVBN\tI-VP\tO' +p143831 +aS'to\tto\tTO\tB-PP\tO' +p143832 +aS'Cambridge\tCambridge\tNNP\tB-NP\tO' +p143833 +aS'Health\tHealth\tNNP\tI-NP\tO' +p143834 +aS'Alliance\tAlliance\tNNP\tI-NP\tO' +p143835 +aS'for\tfor\tIN\tB-PP\tO' +p143836 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p143837 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p143838 +aS'.\t.\t.\tO\tO' +p143839 +asS'Sodium 138 , potassium 4.9 , chloride 102 , CO2 25 , BUN 24 , creatinine 0.9 , glucose 309 .' +p143840 +(lp143841 +S'Sodium\tSodium\tNN\tB-NP\tB-protein' +p143842 +aS'138\t138\tCD\tI-NP\tI-protein' +p143843 +aS',\t,\t,\tO\tO' +p143844 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p143845 +aS'4.9\t4.9\tCD\tI-NP\tO' +p143846 +aS',\t,\t,\tO\tO' +p143847 +aS'chloride\tchloride\tNN\tB-NP\tO' +p143848 +aS'102\t102\tCD\tI-NP\tO' +p143849 +aS',\t,\t,\tO\tO' +p143850 +aS'CO2\tCO2\tNN\tB-NP\tO' +p143851 +aS'25\t25\tCD\tI-NP\tO' +p143852 +aS',\t,\t,\tO\tO' +p143853 +aS'BUN\tBUN\tNN\tB-NP\tB-DNA' +p143854 +aS'24\t24\tCD\tI-NP\tI-DNA' +p143855 +aS',\t,\t,\tO\tO' +p143856 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p143857 +aS'0.9\t0.9\tCD\tI-NP\tO' +p143858 +aS',\t,\t,\tO\tO' +p143859 +aS'glucose\tglucose\tNN\tB-NP\tO' +p143860 +aS'309\t309\tCD\tI-NP\tO' +p143861 +aS'.\t.\t.\tO\tO' +p143862 +asS'Neurological imaging data was as per the History of Present Illness .' +p143863 +(lp143864 +S'Neurological\tNeurological\tJJ\tB-NP\tO' +p143865 +aS'imaging\timaging\tNN\tI-NP\tO' +p143866 +aS'data\tdatum\tNNS\tI-NP\tO' +p143867 +aS'was\tbe\tVBD\tB-VP\tO' +p143868 +aS'as\tas\tIN\tB-SBAR\tO' +p143869 +aS'per\tper\tIN\tB-PP\tO' +p143870 +aS'the\tthe\tDT\tB-NP\tO' +p143871 +aS'History\tHistory\tNN\tI-NP\tO' +p143872 +aS'of\tof\tIN\tB-PP\tO' +p143873 +aS'Present\tPresent\tNNP\tB-NP\tO' +p143874 +aS'Illness\tIllness\tNNP\tI-NP\tO' +p143875 +aS'.\t.\t.\tO\tO' +p143876 +asS'The patient is a generally healthy 85 year old female , who has had a five year history of right hip pain , worsening over the past several months .' +p143877 +(lp143878 +S'The\tThe\tDT\tB-NP\tO' +p143879 +aS'patient\tpatient\tNN\tI-NP\tO' +p143880 +aS'is\tbe\tVBZ\tB-VP\tO' +p143881 +aS'a\ta\tDT\tB-NP\tO' +p143882 +aS'generally\tgenerally\tRB\tI-NP\tO' +p143883 +aS'healthy\thealthy\tJJ\tI-NP\tO' +p143884 +aS'85\t85\tCD\tI-NP\tO' +p143885 +aS'year\tyear\tNN\tI-NP\tO' +p143886 +aS'old\told\tJJ\tI-NP\tO' +p143887 +aS'female\tfemale\tNN\tI-NP\tO' +p143888 +aS',\t,\t,\tO\tO' +p143889 +aS'who\twho\tWP\tB-NP\tO' +p143890 +aS'has\thave\tVBZ\tB-VP\tO' +p143891 +aS'had\thave\tVBD\tI-VP\tO' +p143892 +aS'a\ta\tDT\tB-NP\tO' +p143893 +aS'five\tfive\tCD\tI-NP\tO' +p143894 +aS'year\tyear\tNN\tI-NP\tO' +p143895 +aS'history\thistory\tNN\tI-NP\tO' +p143896 +aS'of\tof\tIN\tB-PP\tO' +p143897 +aS'right\tright\tJJ\tB-NP\tO' +p143898 +aS'hip\thip\tNN\tI-NP\tO' +p143899 +aS'pain\tpain\tNN\tI-NP\tO' +p143900 +aS',\t,\t,\tO\tO' +p143901 +aS'worsening\tworsen\tVBG\tB-VP\tO' +p143902 +aS'over\tover\tIN\tB-PP\tO' +p143903 +aS'the\tthe\tDT\tB-NP\tO' +p143904 +aS'past\tpast\tJJ\tI-NP\tO' +p143905 +aS'several\tseveral\tJJ\tI-NP\tO' +p143906 +aS'months\tmonth\tNNS\tI-NP\tO' +p143907 +aS'.\t.\t.\tO\tO' +p143908 +asS'Positive for coronary artery disease and MI .' +p143909 +(lp143910 +S'Positive\tPositive\tJJ\tB-ADJP\tO' +p143911 +aS'for\tfor\tIN\tB-PP\tO' +p143912 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p143913 +aS'artery\tartery\tNN\tI-NP\tO' +p143914 +aS'disease\tdisease\tNN\tI-NP\tO' +p143915 +aS'and\tand\tCC\tO\tO' +p143916 +aS'MI\tMI\tNN\tB-NP\tO' +p143917 +aS'.\t.\t.\tO\tO' +p143918 +asS'On the date of September 11 , 1994 , patient underwent a coronary artery bypass grafting with saphenous vein graft to the posterior descending artery , circumflex and diagonal and left internal mammary artery to the left anterior descending .' +p143919 +(lp143920 +S'On\tOn\tIN\tB-PP\tO' +p143921 +aS'the\tthe\tDT\tB-NP\tO' +p143922 +aS'date\tdate\tNN\tI-NP\tO' +p143923 +aS'of\tof\tIN\tB-PP\tO' +p143924 +aS'September\tSeptember\tNNP\tB-NP\tO' +p143925 +aS'11\t11\tCD\tI-NP\tO' +p143926 +aS',\t,\t,\tI-NP\tO' +p143927 +aS'1994\t1994\tCD\tI-NP\tO' +p143928 +aS',\t,\t,\tO\tO' +p143929 +aS'patient\tpatient\tNN\tB-NP\tO' +p143930 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p143931 +aS'a\ta\tDT\tB-NP\tO' +p143932 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p143933 +aS'artery\tartery\tNN\tI-NP\tO' +p143934 +aS'bypass\tbypass\tIN\tB-PP\tO' +p143935 +aS'grafting\tgraft\tVBG\tB-VP\tO' +p143936 +aS'with\twith\tIN\tB-PP\tO' +p143937 +aS'saphenous\tsaphenous\tJJ\tB-NP\tO' +p143938 +aS'vein\tvein\tNN\tI-NP\tO' +p143939 +aS'graft\tgraft\tNN\tI-NP\tO' +p143940 +aS'to\tto\tTO\tB-PP\tO' +p143941 +aS'the\tthe\tDT\tB-NP\tO' +p143942 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p143943 +aS'descending\tdescend\tVBG\tI-NP\tO' +p143944 +aS'artery\tartery\tNN\tI-NP\tO' +p143945 +aS',\t,\t,\tO\tO' +p143946 +aS'circumflex\tcircumflex\tNN\tB-NP\tO' +p143947 +aS'and\tand\tCC\tO\tO' +p143948 +aS'diagonal\tdiagonal\tJJ\tB-NP\tO' +p143949 +aS'and\tand\tCC\tI-NP\tO' +p143950 +aS'left\tleft\tJJ\tI-NP\tO' +p143951 +aS'internal\tinternal\tJJ\tI-NP\tO' +p143952 +aS'mammary\tmammary\tJJ\tI-NP\tO' +p143953 +aS'artery\tartery\tNN\tI-NP\tO' +p143954 +aS'to\tto\tTO\tB-PP\tO' +p143955 +aS'the\tthe\tDT\tB-NP\tO' +p143956 +aS'left\tleft\tJJ\tI-NP\tO' +p143957 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p143958 +aS'descending\tdescending\tNN\tI-NP\tO' +p143959 +aS'.\t.\t.\tO\tO' +p143960 +asS'Also denies tenesmus .' +p143961 +(lp143962 +S'Also\tAlso\tRB\tB-ADVP\tO' +p143963 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p143964 +aS'tenesmus\ttenesmus\tNN\tB-NP\tO' +p143965 +aS'.\t.\t.\tO\tO' +p143966 +asS'An endoscopy was also performed on postoperative day two which showed clean anastomosis .' +p143967 +(lp143968 +S'An\tAn\tDT\tB-NP\tO' +p143969 +aS'endoscopy\tendoscopy\tNN\tI-NP\tO' +p143970 +aS'was\tbe\tVBD\tB-VP\tO' +p143971 +aS'also\talso\tRB\tI-VP\tO' +p143972 +aS'performed\tperform\tVBN\tI-VP\tO' +p143973 +aS'on\ton\tIN\tB-PP\tO' +p143974 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p143975 +aS'day\tday\tNN\tI-NP\tO' +p143976 +aS'two\ttwo\tCD\tI-NP\tO' +p143977 +aS'which\twhich\tWDT\tB-NP\tO' +p143978 +aS'showed\tshow\tVBD\tB-VP\tO' +p143979 +aS'clean\tclean\tJJ\tB-NP\tO' +p143980 +aS'anastomosis\tanastomosis\tNN\tI-NP\tO' +p143981 +aS'.\t.\t.\tO\tO' +p143982 +asS'A bronchoscopy with BAL was performed and a sputum sample eventually grew out MRSA .' +p143983 +(lp143984 +S'A\tA\tDT\tB-NP\tO' +p143985 +aS'bronchoscopy\tbronchoscopy\tNN\tI-NP\tO' +p143986 +aS'with\twith\tIN\tB-PP\tO' +p143987 +aS'BAL\tBAL\tNN\tB-NP\tO' +p143988 +aS'was\tbe\tVBD\tB-VP\tO' +p143989 +aS'performed\tperform\tVBN\tI-VP\tO' +p143990 +aS'and\tand\tCC\tO\tO' +p143991 +aS'a\ta\tDT\tB-NP\tO' +p143992 +aS'sputum\tsputum\tNN\tI-NP\tO' +p143993 +aS'sample\tsample\tNN\tI-NP\tO' +p143994 +aS'eventually\teventually\tRB\tB-ADVP\tO' +p143995 +aS'grew\tgrow\tVBD\tB-VP\tO' +p143996 +aS'out\tout\tRP\tB-PRT\tO' +p143997 +aS'MRSA\tMRSA\tNN\tB-NP\tO' +p143998 +aS'.\t.\t.\tO\tO' +p143999 +asS'He was alert and oriented x 3 , moved all extremities , followed commands .' +p144000 +(lp144001 +S'He\tHe\tPRP\tB-NP\tO' +p144002 +aS'was\tbe\tVBD\tB-VP\tO' +p144003 +aS'alert\talert\tJJ\tB-ADJP\tO' +p144004 +aS'and\tand\tCC\tO\tO' +p144005 +aS'oriented\torient\tVBN\tB-VP\tO' +p144006 +aS'x\tx\tNN\tB-NP\tO' +p144007 +aS'3\t3\tCD\tI-NP\tO' +p144008 +aS',\t,\t,\tO\tO' +p144009 +aS'moved\tmove\tVBD\tB-VP\tO' +p144010 +aS'all\tall\tDT\tB-NP\tO' +p144011 +aS'extremities\textremity\tNNS\tI-NP\tO' +p144012 +aS',\t,\t,\tO\tO' +p144013 +aS'followed\tfollow\tVBD\tB-VP\tO' +p144014 +aS'commands\tcommand\tNNS\tB-NP\tO' +p144015 +aS'.\t.\t.\tO\tO' +p144016 +asS'2. Non-ST elevation myocardial infarction .' +p144017 +(lp144018 +S'2.\t2.\tLS\tB-NP\tO' +p144019 +aS'Non-ST\tNon-ST\tJJ\tI-NP\tO' +p144020 +aS'elevation\televation\tNN\tI-NP\tO' +p144021 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p144022 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p144023 +aS'.\t.\t.\tO\tO' +p144024 +asS'Following evaluation and treatment , the patient 's disposition at the end of the visit was ADMITTED AS AN INPATIENT TO PH UNIVERSITY OF MEDICAL CENTER .' +p144025 +(lp144026 +S'Following\tFollow\tVBG\tB-PP\tO' +p144027 +aS'evaluation\tevaluation\tNN\tB-NP\tO' +p144028 +aS'and\tand\tCC\tI-NP\tO' +p144029 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p144030 +aS',\t,\t,\tO\tO' +p144031 +aS'the\tthe\tDT\tB-NP\tO' +p144032 +aS'patient\tpatient\tNN\tI-NP\tO' +p144033 +aS''s\t'\tNNS\tI-NP\tO' +p144034 +aS'disposition\tdisposition\tNN\tI-NP\tO' +p144035 +aS'at\tat\tIN\tB-PP\tO' +p144036 +aS'the\tthe\tDT\tB-NP\tO' +p144037 +aS'end\tend\tNN\tI-NP\tO' +p144038 +aS'of\tof\tIN\tB-PP\tO' +p144039 +aS'the\tthe\tDT\tB-NP\tO' +p144040 +aS'visit\tvisit\tNN\tI-NP\tO' +p144041 +aS'was\tbe\tVBD\tB-VP\tO' +p144042 +aS'ADMITTED\tADMITTED\tVBN\tI-VP\tO' +p144043 +aS'AS\tAS\tNNP\tB-NP\tO' +p144044 +aS'AN\tAN\tNNP\tI-NP\tO' +p144045 +aS'INPATIENT\tINPATIENT\tNNP\tI-NP\tO' +p144046 +aS'TO\tTO\tNNP\tI-NP\tO' +p144047 +aS'PH\tPH\tNNP\tI-NP\tO' +p144048 +aS'UNIVERSITY\tUNIVERSITY\tNNP\tI-NP\tO' +p144049 +aS'OF\tOF\tIN\tB-PP\tO' +p144050 +aS'MEDICAL\tMEDICAL\tNNP\tB-NP\tO' +p144051 +aS'CENTER\tCENTER\tNNP\tI-NP\tO' +p144052 +aS'.\t.\t.\tO\tO' +p144053 +asS'The patient admits to smoking one pack of cigarettes per day .' +p144054 +(lp144055 +S'The\tThe\tDT\tB-NP\tO' +p144056 +aS'patient\tpatient\tNN\tI-NP\tO' +p144057 +aS'admits\tadmit\tVBZ\tB-VP\tO' +p144058 +aS'to\tto\tTO\tB-PP\tO' +p144059 +aS'smoking\tsmoke\tVBG\tB-VP\tO' +p144060 +aS'one\tone\tCD\tB-NP\tO' +p144061 +aS'pack\tpack\tNN\tI-NP\tO' +p144062 +aS'of\tof\tIN\tB-PP\tO' +p144063 +aS'cigarettes\tcigarette\tNNS\tB-NP\tO' +p144064 +aS'per\tper\tIN\tB-PP\tO' +p144065 +aS'day\tday\tNN\tB-NP\tO' +p144066 +aS'.\t.\t.\tO\tO' +p144067 +asS'Pulm : CTA b/l w/ no crackles or wheezing' +p144068 +(lp144069 +S'Pulm\tPulm\tNN\tB-NP\tO' +p144070 +aS':\t:\t:\tO\tO' +p144071 +aS'CTA\tCTA\tNN\tB-NP\tO' +p144072 +aS'b/l\tb/l\tNN\tI-NP\tO' +p144073 +aS'w/\tw/\tVBD\tB-VP\tO' +p144074 +aS'no\tno\tDT\tB-NP\tO' +p144075 +aS'crackles\tcrackle\tNNS\tI-NP\tO' +p144076 +aS'or\tor\tCC\tO\tO' +p144077 +aS'wheezing\twheeze\tVBG\tB-VP\tO' +p144078 +asS'By postoperative day six , the patient was also tolerating a regular diet and passing flatus .' +p144079 +(lp144080 +S'By\tBy\tIN\tB-PP\tO' +p144081 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p144082 +aS'day\tday\tNN\tI-NP\tO' +p144083 +aS'six\tsix\tCD\tI-NP\tO' +p144084 +aS',\t,\t,\tO\tO' +p144085 +aS'the\tthe\tDT\tB-NP\tO' +p144086 +aS'patient\tpatient\tNN\tI-NP\tO' +p144087 +aS'was\tbe\tVBD\tB-VP\tO' +p144088 +aS'also\talso\tRB\tI-VP\tO' +p144089 +aS'tolerating\ttolerate\tVBG\tI-VP\tO' +p144090 +aS'a\ta\tDT\tB-NP\tO' +p144091 +aS'regular\tregular\tJJ\tI-NP\tO' +p144092 +aS'diet\tdiet\tNN\tI-NP\tO' +p144093 +aS'and\tand\tCC\tO\tO' +p144094 +aS'passing\tpass\tVBG\tB-VP\tO' +p144095 +aS'flatus\tflatus\tNN\tB-NP\tO' +p144096 +aS'.\t.\t.\tO\tO' +p144097 +asS'Serial enzymes were drawn , and Cardiology was consulted .' +p144098 +(lp144099 +S'Serial\tSerial\tJJ\tB-NP\tB-protein' +p144100 +aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' +p144101 +aS'were\tbe\tVBD\tB-VP\tO' +p144102 +aS'drawn\tdraw\tVBN\tI-VP\tO' +p144103 +aS',\t,\t,\tO\tO' +p144104 +aS'and\tand\tCC\tO\tO' +p144105 +aS'Cardiology\tCardiology\tNN\tB-NP\tO' +p144106 +aS'was\tbe\tVBD\tB-VP\tO' +p144107 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p144108 +aS'.\t.\t.\tO\tO' +p144109 +asS'Appointment is on Lyon , 10-30 .' +p144110 +(lp144111 +S'Appointment\tAppointment\tNN\tB-NP\tO' +p144112 +aS'is\tbe\tVBZ\tB-VP\tO' +p144113 +aS'on\ton\tIN\tB-PP\tO' +p144114 +aS'Lyon\tLyon\tNNP\tB-NP\tO' +p144115 +aS',\t,\t,\tO\tO' +p144116 +aS'10-30\t10-30\tCD\tB-NP\tO' +p144117 +aS'.\t.\t.\tO\tO' +p144118 +asS'Orbits are unremarkable .' +p144119 +(lp144120 +S'Orbits\tOrbit\tNNS\tB-NP\tO' +p144121 +aS'are\tbe\tVBP\tB-VP\tO' +p144122 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p144123 +aS'.\t.\t.\tO\tO' +p144124 +asS'She also has follow up with Dr. Savage in the Pulmonary Clinic on 12-25 at 12:15 p.m. for management of her pulmonary hypertension .' +p144125 +(lp144126 +S'She\tShe\tPRP\tB-NP\tO' +p144127 +aS'also\talso\tRB\tB-ADVP\tO' +p144128 +aS'has\thave\tVBZ\tB-VP\tO' +p144129 +aS'follow\tfollow\tVB\tI-VP\tO' +p144130 +aS'up\tup\tRP\tB-PRT\tO' +p144131 +aS'with\twith\tIN\tB-PP\tO' +p144132 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p144133 +aS'Savage\tSavage\tNNP\tI-NP\tO' +p144134 +aS'in\tin\tIN\tB-PP\tO' +p144135 +aS'the\tthe\tDT\tB-NP\tO' +p144136 +aS'Pulmonary\tPulmonary\tNNP\tI-NP\tO' +p144137 +aS'Clinic\tClinic\tNNP\tI-NP\tO' +p144138 +aS'on\ton\tIN\tB-PP\tO' +p144139 +aS'12-25\t12-25\tCD\tB-NP\tO' +p144140 +aS'at\tat\tIN\tB-PP\tO' +p144141 +aS'12:15\t12:15\tCD\tB-NP\tO' +p144142 +aS'p.m.\tp.m.\tNN\tI-NP\tO' +p144143 +aS'for\tfor\tIN\tB-PP\tO' +p144144 +aS'management\tmanagement\tNN\tB-NP\tO' +p144145 +aS'of\tof\tIN\tB-PP\tO' +p144146 +aS'her\ther\tPRP$\tB-NP\tO' +p144147 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p144148 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p144149 +aS'.\t.\t.\tO\tO' +p144150 +asS'This is to notify you that your patient , KOTE , LYFRANKLAPALM arrived in the Emergency Department at Tecal Galecounxopt Community Hospital on 03/16/2003 05:16 PM .' +p144151 +(lp144152 +S'This\tThis\tDT\tB-NP\tO' +p144153 +aS'is\tbe\tVBZ\tB-VP\tO' +p144154 +aS'to\tto\tTO\tB-VP\tO' +p144155 +aS'notify\tnotify\tVB\tI-VP\tO' +p144156 +aS'you\tyou\tPRP\tB-NP\tO' +p144157 +aS'that\tthat\tIN\tB-SBAR\tO' +p144158 +aS'your\tyour\tPRP$\tB-NP\tO' +p144159 +aS'patient\tpatient\tNN\tI-NP\tO' +p144160 +aS',\t,\t,\tO\tO' +p144161 +aS'KOTE\tKOTE\tNN\tB-NP\tO' +p144162 +aS',\t,\t,\tO\tO' +p144163 +aS'LYFRANKLAPALM\tLYFRANKLAPALM\tNN\tB-NP\tO' +p144164 +aS'arrived\tarrive\tVBD\tB-VP\tO' +p144165 +aS'in\tin\tIN\tB-PP\tO' +p144166 +aS'the\tthe\tDT\tB-NP\tO' +p144167 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p144168 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p144169 +aS'at\tat\tIN\tB-PP\tO' +p144170 +aS'Tecal\tTecal\tNNP\tB-NP\tO' +p144171 +aS'Galecounxopt\tGalecounxopt\tNNP\tI-NP\tO' +p144172 +aS'Community\tCommunity\tNNP\tI-NP\tO' +p144173 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p144174 +aS'on\ton\tIN\tB-PP\tO' +p144175 +aS'03/16/2003\t03/16/2003\tCD\tB-NP\tO' +p144176 +aS'05:16\t05:16\tCD\tI-NP\tO' +p144177 +aS'PM\tPM\tNN\tI-NP\tO' +p144178 +aS'.\t.\t.\tO\tO' +p144179 +asS'Since presentation , patient had multiple episodes of cholangitis ( 08-06 in past 3 years with last on 10-18 ), always short lived and treated with antimicrobial therapy .' +p144180 +(lp144181 +S'Since\tSince\tIN\tB-PP\tO' +p144182 +aS'presentation\tpresentation\tNN\tB-NP\tO' +p144183 +aS',\t,\t,\tO\tO' +p144184 +aS'patient\tpatient\tNN\tB-NP\tO' +p144185 +aS'had\thave\tVBD\tB-VP\tO' +p144186 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p144187 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p144188 +aS'of\tof\tIN\tB-PP\tO' +p144189 +aS'cholangitis\tcholangitis\tNN\tB-NP\tO' +p144190 +aS'(\t(\t(\tO\tO' +p144191 +aS'08-06\t08-06\tCD\tB-NP\tO' +p144192 +aS'in\tin\tIN\tB-PP\tO' +p144193 +aS'past\tpast\tJJ\tB-NP\tO' +p144194 +aS'3\t3\tCD\tI-NP\tO' +p144195 +aS'years\tyear\tNNS\tI-NP\tO' +p144196 +aS'with\twith\tIN\tB-PP\tO' +p144197 +aS'last\tlast\tJJ\tB-NP\tO' +p144198 +aS'on\ton\tIN\tB-PP\tO' +p144199 +aS'10-18\t10-18\tCD\tB-NP\tO' +p144200 +aS'),\t),\t)\tO\tO' +p144201 +aS'always\talways\tRB\tB-ADVP\tO' +p144202 +aS'short\tshort\tJJ\tB-NP\tO' +p144203 +aS'lived\tlive\tVBN\tI-NP\tO' +p144204 +aS'and\tand\tCC\tI-NP\tO' +p144205 +aS'treated\ttreat\tVBN\tI-NP\tO' +p144206 +aS'with\twith\tIN\tB-PP\tO' +p144207 +aS'antimicrobial\tantimicrobial\tJJ\tB-NP\tO' +p144208 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p144209 +aS'.\t.\t.\tO\tO' +p144210 +asS'Attending : Sam M Ennis , M.D.' +p144211 +(lp144212 +S'Attending\tAttend\tVBG\tB-VP\tO' +p144213 +aS':\t:\t:\tO\tO' +p144214 +aS'Sam\tSam\tNNP\tB-NP\tO' +p144215 +aS'M\tM\tNNP\tI-NP\tO' +p144216 +aS'Ennis\tEnnis\tNNP\tI-NP\tO' +p144217 +aS',\t,\t,\tO\tO' +p144218 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p144219 +asS'The ankle jerks were one-plus bilaterally .' +p144220 +(lp144221 +S'The\tThe\tDT\tB-NP\tO' +p144222 +aS'ankle\tankle\tNN\tI-NP\tO' +p144223 +aS'jerks\tjerk\tNNS\tI-NP\tO' +p144224 +aS'were\tbe\tVBD\tB-VP\tO' +p144225 +aS'one-plus\tone-plus\tJJ\tB-ADJP\tO' +p144226 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p144227 +aS'.\t.\t.\tO\tO' +p144228 +asS'5 ) Humulin sliding scale q.a.c. and q.h.s.' +p144229 +(lp144230 +S'5\t5\tLS\tB-LST\tO' +p144231 +aS')\t)\t)\tO\tO' +p144232 +aS'Humulin\tHumulin\tNN\tB-NP\tO' +p144233 +aS'sliding\tslide\tVBG\tB-VP\tO' +p144234 +aS'scale\tscale\tNN\tB-NP\tO' +p144235 +aS'q.a.c.\tq.a.c.\tNN\tI-NP\tO' +p144236 +aS'and\tand\tCC\tO\tO' +p144237 +aS'q.h.s.\tq.h.s.\tNN\tB-NP\tO' +p144238 +asS'Tip of the ETT projects roughly 5 cm above the carina .' +p144239 +(lp144240 +S'Tip\tTip\tNN\tB-NP\tB-protein' +p144241 +aS'of\tof\tIN\tB-PP\tO' +p144242 +aS'the\tthe\tDT\tB-NP\tO' +p144243 +aS'ETT\tETT\tNN\tI-NP\tO' +p144244 +aS'projects\tproject\tNNS\tI-NP\tO' +p144245 +aS'roughly\troughly\tRB\tB-NP\tO' +p144246 +aS'5\t5\tCD\tI-NP\tO' +p144247 +aS'cm\tcm\tNN\tI-NP\tO' +p144248 +aS'above\tabove\tIN\tB-PP\tO' +p144249 +aS'the\tthe\tDT\tB-NP\tO' +p144250 +aS'carina\tcarina\tNN\tI-NP\tO' +p144251 +aS'.\t.\t.\tO\tO' +p144252 +asS'He has had four past hospitalizations for attempted suicide with insulin overdosing , usually denied .' +p144253 +(lp144254 +S'He\tHe\tPRP\tB-NP\tO' +p144255 +aS'has\thave\tVBZ\tB-VP\tO' +p144256 +aS'had\thave\tVBD\tI-VP\tO' +p144257 +aS'four\tfour\tCD\tB-NP\tO' +p144258 +aS'past\tpast\tJJ\tI-NP\tO' +p144259 +aS'hospitalizations\thospitalization\tNNS\tI-NP\tO' +p144260 +aS'for\tfor\tIN\tB-PP\tO' +p144261 +aS'attempted\tattempt\tVBN\tB-NP\tO' +p144262 +aS'suicide\tsuicide\tNN\tI-NP\tO' +p144263 +aS'with\twith\tIN\tB-PP\tO' +p144264 +aS'insulin\tinsulin\tNN\tB-NP\tO' +p144265 +aS'overdosing\toverdosing\tNN\tI-NP\tO' +p144266 +aS',\t,\t,\tO\tO' +p144267 +aS'usually\tusually\tRB\tB-VP\tO' +p144268 +aS'denied\tdeny\tVBN\tI-VP\tO' +p144269 +aS'.\t.\t.\tO\tO' +p144270 +asS'There is a non-displaced comminuted fracture of the proximal fibular diaphysis .' +p144271 +(lp144272 +S'There\tThere\tEX\tB-NP\tO' +p144273 +aS'is\tbe\tVBZ\tB-VP\tO' +p144274 +aS'a\ta\tDT\tB-NP\tO' +p144275 +aS'non-displaced\tnon-displaced\tJJ\tI-NP\tO' +p144276 +aS'comminuted\tcomminute\tVBN\tI-NP\tO' +p144277 +aS'fracture\tfracture\tNN\tI-NP\tO' +p144278 +aS'of\tof\tIN\tB-PP\tO' +p144279 +aS'the\tthe\tDT\tB-NP\tO' +p144280 +aS'proximal\tproximal\tJJ\tI-NP\tO' +p144281 +aS'fibular\tfibular\tJJ\tI-NP\tO' +p144282 +aS'diaphysis\tdiaphysis\tNN\tI-NP\tO' +p144283 +aS'.\t.\t.\tO\tO' +p144284 +asS'Married , lives with husband , denies domestic violence .' +p144285 +(lp144286 +S'Married\tMarried\tNNP\tB-NP\tO' +p144287 +aS',\t,\t,\tO\tO' +p144288 +aS'lives\tlive\tVBZ\tB-VP\tO' +p144289 +aS'with\twith\tIN\tB-PP\tO' +p144290 +aS'husband\thusband\tNN\tB-NP\tO' +p144291 +aS',\t,\t,\tO\tO' +p144292 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p144293 +aS'domestic\tdomestic\tJJ\tB-NP\tO' +p144294 +aS'violence\tviolence\tNN\tI-NP\tO' +p144295 +aS'.\t.\t.\tO\tO' +p144296 +asS'Given the likely embolic etiology of infarct , carotid doppler and TTE were performed .' +p144297 +(lp144298 +S'Given\tGive\tVBN\tB-PP\tO' +p144299 +aS'the\tthe\tDT\tB-NP\tO' +p144300 +aS'likely\tlikely\tJJ\tI-NP\tO' +p144301 +aS'embolic\tembolic\tJJ\tI-NP\tO' +p144302 +aS'etiology\tetiology\tNN\tI-NP\tO' +p144303 +aS'of\tof\tIN\tB-PP\tO' +p144304 +aS'infarct\tinfarct\tNN\tB-NP\tO' +p144305 +aS',\t,\t,\tO\tO' +p144306 +aS'carotid\tcarotid\tNN\tB-NP\tO' +p144307 +aS'doppler\tdoppler\tNN\tI-NP\tO' +p144308 +aS'and\tand\tCC\tI-NP\tO' +p144309 +aS'TTE\tTTE\tNN\tI-NP\tO' +p144310 +aS'were\tbe\tVBD\tB-VP\tO' +p144311 +aS'performed\tperform\tVBN\tI-VP\tO' +p144312 +aS'.\t.\t.\tO\tO' +p144313 +asS'Pleasant , well appearing heavy set woman laying in bed .' +p144314 +(lp144315 +S'Pleasant\tPleasant\tNN\tB-NP\tO' +p144316 +aS',\t,\t,\tO\tO' +p144317 +aS'well\twell\tRB\tB-ADVP\tO' +p144318 +aS'appearing\tappear\tVBG\tB-VP\tO' +p144319 +aS'heavy\theavy\tJJ\tB-NP\tO' +p144320 +aS'set\tset\tNN\tI-NP\tO' +p144321 +aS'woman\twoman\tNN\tI-NP\tO' +p144322 +aS'laying\tlay\tVBG\tB-VP\tO' +p144323 +aS'in\tin\tIN\tB-PP\tO' +p144324 +aS'bed\tbed\tNN\tB-NP\tO' +p144325 +aS'.\t.\t.\tO\tO' +p144326 +asS'The tip was cultured with no growth .' +p144327 +(lp144328 +S'The\tThe\tDT\tB-NP\tO' +p144329 +aS'tip\ttip\tNN\tI-NP\tB-protein' +p144330 +aS'was\tbe\tVBD\tB-VP\tO' +p144331 +aS'cultured\tculture\tVBN\tI-VP\tO' +p144332 +aS'with\twith\tIN\tB-PP\tO' +p144333 +aS'no\tno\tDT\tB-NP\tO' +p144334 +aS'growth\tgrowth\tNN\tI-NP\tO' +p144335 +aS'.\t.\t.\tO\tO' +p144336 +asS'The patient was re-evalutated at 2000 and was found to be tacchycardic to 115 with BP 104/50 using a manual cuff .' +p144337 +(lp144338 +S'The\tThe\tDT\tB-NP\tO' +p144339 +aS'patient\tpatient\tNN\tI-NP\tO' +p144340 +aS'was\tbe\tVBD\tB-VP\tO' +p144341 +aS're-evalutated\tre-evalutated\tJJ\tB-ADJP\tO' +p144342 +aS'at\tat\tIN\tB-PP\tO' +p144343 +aS'2000\t2000\tCD\tB-NP\tO' +p144344 +aS'and\tand\tCC\tO\tO' +p144345 +aS'was\tbe\tVBD\tB-VP\tO' +p144346 +aS'found\tfind\tVBN\tI-VP\tO' +p144347 +aS'to\tto\tTO\tI-VP\tO' +p144348 +aS'be\tbe\tVB\tI-VP\tO' +p144349 +aS'tacchycardic\ttacchycardic\tJJ\tB-ADJP\tO' +p144350 +aS'to\tto\tTO\tB-PP\tO' +p144351 +aS'115\t115\tCD\tB-NP\tO' +p144352 +aS'with\twith\tIN\tB-PP\tO' +p144353 +aS'BP\tBP\tNN\tB-NP\tB-DNA' +p144354 +aS'104/50\t104/50\tCD\tI-NP\tI-DNA' +p144355 +aS'using\tuse\tVBG\tB-VP\tO' +p144356 +aS'a\ta\tDT\tB-NP\tO' +p144357 +aS'manual\tmanual\tJJ\tI-NP\tO' +p144358 +aS'cuff\tcuff\tNN\tI-NP\tO' +p144359 +aS'.\t.\t.\tO\tO' +p144360 +asS'A CT angiogram was ordered to evaluate for chronic thromboembolic disease as a potential cause of her pulmonary hypertension .' +p144361 +(lp144362 +S'A\tA\tDT\tB-NP\tO' +p144363 +aS'CT\tCT\tNN\tI-NP\tO' +p144364 +aS'angiogram\tangiogram\tNN\tI-NP\tO' +p144365 +aS'was\tbe\tVBD\tB-VP\tO' +p144366 +aS'ordered\torder\tVBN\tI-VP\tO' +p144367 +aS'to\tto\tTO\tB-VP\tO' +p144368 +aS'evaluate\tevaluate\tVB\tI-VP\tO' +p144369 +aS'for\tfor\tIN\tB-PP\tO' +p144370 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p144371 +aS'thromboembolic\tthromboembolic\tJJ\tI-NP\tO' +p144372 +aS'disease\tdisease\tNN\tI-NP\tO' +p144373 +aS'as\tas\tIN\tB-PP\tO' +p144374 +aS'a\ta\tDT\tB-NP\tO' +p144375 +aS'potential\tpotential\tJJ\tI-NP\tO' +p144376 +aS'cause\tcause\tNN\tI-NP\tO' +p144377 +aS'of\tof\tIN\tB-PP\tO' +p144378 +aS'her\ther\tPRP$\tB-NP\tO' +p144379 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p144380 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p144381 +aS'.\t.\t.\tO\tO' +p144382 +asS'He was given colchicine and prednisone .' +p144383 +(lp144384 +S'He\tHe\tPRP\tB-NP\tO' +p144385 +aS'was\tbe\tVBD\tB-VP\tO' +p144386 +aS'given\tgive\tVBN\tI-VP\tO' +p144387 +aS'colchicine\tcolchicine\tNN\tB-NP\tO' +p144388 +aS'and\tand\tCC\tI-NP\tO' +p144389 +aS'prednisone\tprednisone\tNN\tI-NP\tO' +p144390 +aS'.\t.\t.\tO\tO' +p144391 +asS"Again given the patient 's poor disease prognosis , there was no intervention made at this time ." +p144392 +(lp144393 +S'Again\tAgain\tRB\tB-ADVP\tO' +p144394 +aS'given\tgive\tVBN\tB-PP\tO' +p144395 +aS'the\tthe\tDT\tB-NP\tO' +p144396 +aS'patient\tpatient\tNN\tI-NP\tO' +p144397 +aS"'s\t's\tPOS\tB-NP\tO" +p144398 +aS'poor\tpoor\tJJ\tI-NP\tO' +p144399 +aS'disease\tdisease\tNN\tI-NP\tO' +p144400 +aS'prognosis\tprognosis\tNN\tI-NP\tO' +p144401 +aS',\t,\t,\tO\tO' +p144402 +aS'there\tthere\tEX\tB-NP\tO' +p144403 +aS'was\tbe\tVBD\tB-VP\tO' +p144404 +aS'no\tno\tDT\tB-NP\tO' +p144405 +aS'intervention\tintervention\tNN\tI-NP\tO' +p144406 +aS'made\tmake\tVBN\tB-VP\tO' +p144407 +aS'at\tat\tIN\tB-PP\tO' +p144408 +aS'this\tthis\tDT\tB-NP\tO' +p144409 +aS'time\ttime\tNN\tI-NP\tO' +p144410 +aS'.\t.\t.\tO\tO' +p144411 +asS'4. Creatinine 2.2 to 2.5 .' +p144412 +(lp144413 +S'4.\t4.\tLS\tB-NP\tO' +p144414 +aS'Creatinine\tCreatinine\tNN\tI-NP\tB-protein' +p144415 +aS'2.2\t2.2\tCD\tI-NP\tI-protein' +p144416 +aS'to\tto\tTO\tB-PP\tO' +p144417 +aS'2.5\t2.5\tCD\tB-NP\tO' +p144418 +aS'.\t.\t.\tO\tO' +p144419 +asS'Her extremities are without normal limits with +2 pulses throughout .' +p144420 +(lp144421 +S'Her\tHer\tPRP$\tB-NP\tO' +p144422 +aS'extremities\textremity\tNNS\tI-NP\tO' +p144423 +aS'are\tbe\tVBP\tB-VP\tO' +p144424 +aS'without\twithout\tIN\tB-PP\tO' +p144425 +aS'normal\tnormal\tJJ\tB-NP\tO' +p144426 +aS'limits\tlimit\tNNS\tI-NP\tO' +p144427 +aS'with\twith\tIN\tB-PP\tO' +p144428 +aS'+2\t+2\tCD\tB-NP\tO' +p144429 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p144430 +aS'throughout\tthroughout\tIN\tB-ADVP\tO' +p144431 +aS'.\t.\t.\tO\tO' +p144432 +asS'His pupils were reactive on the right going from 3 mm to 2 mm of light .' +p144433 +(lp144434 +S'His\tHis\tPRP$\tB-NP\tO' +p144435 +aS'pupils\tpupil\tNNS\tI-NP\tO' +p144436 +aS'were\tbe\tVBD\tB-VP\tO' +p144437 +aS'reactive\treactive\tJJ\tB-ADJP\tO' +p144438 +aS'on\ton\tIN\tB-PP\tO' +p144439 +aS'the\tthe\tDT\tB-NP\tO' +p144440 +aS'right\tright\tNN\tI-NP\tO' +p144441 +aS'going\tgo\tVBG\tB-VP\tO' +p144442 +aS'from\tfrom\tIN\tB-PP\tO' +p144443 +aS'3\t3\tCD\tB-NP\tO' +p144444 +aS'mm\tmm\tNN\tI-NP\tO' +p144445 +aS'to\tto\tTO\tB-PP\tO' +p144446 +aS'2\t2\tCD\tB-NP\tO' +p144447 +aS'mm\tmm\tNN\tI-NP\tO' +p144448 +aS'of\tof\tIN\tB-PP\tO' +p144449 +aS'light\tlight\tNN\tB-NP\tO' +p144450 +aS'.\t.\t.\tO\tO' +p144451 +asS'Troponin was 0.07 .' +p144452 +(lp144453 +S'Troponin\tTroponin\tNN\tB-NP\tB-protein' +p144454 +aS'was\tbe\tVBD\tB-VP\tO' +p144455 +aS'0.07\t0.07\tCD\tB-NP\tO' +p144456 +aS'.\t.\t.\tO\tO' +p144457 +asS'9. status post laparoscopic cholecystectomy ,' +p144458 +(lp144459 +S'9.\t9.\tLS\tB-NP\tO' +p144460 +aS'status\tstatus\tNN\tI-NP\tO' +p144461 +aS'post\tpost\tNN\tI-NP\tO' +p144462 +aS'laparoscopic\tlaparoscopic\tJJ\tI-NP\tO' +p144463 +aS'cholecystectomy\tcholecystectomy\tNN\tI-NP\tO' +p144464 +aS',\t,\t,\tO\tO' +p144465 +asS'CT angiogram demonstrates no stenosis or aneurysm in the intracranial circulation .' +p144466 +(lp144467 +S'CT\tCT\tNN\tB-NP\tO' +p144468 +aS'angiogram\tangiogram\tNN\tI-NP\tO' +p144469 +aS'demonstrates\tdemonstrate\tVBZ\tB-VP\tO' +p144470 +aS'no\tno\tDT\tB-NP\tO' +p144471 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p144472 +aS'or\tor\tCC\tI-NP\tO' +p144473 +aS'aneurysm\taneurysm\tNN\tI-NP\tO' +p144474 +aS'in\tin\tIN\tB-PP\tO' +p144475 +aS'the\tthe\tDT\tB-NP\tO' +p144476 +aS'intracranial\tintracranial\tJJ\tI-NP\tO' +p144477 +aS'circulation\tcirculation\tNN\tI-NP\tO' +p144478 +aS'.\t.\t.\tO\tO' +p144479 +asS'ON 5/14/92 , the patient received an arteriogram which demonstrated an embolus in the right profunda / femoral artery .' +p144480 +(lp144481 +S'ON\tON\tNN\tB-NP\tO' +p144482 +aS'5/14/92\t5/14/92\tCD\tI-NP\tO' +p144483 +aS',\t,\t,\tO\tO' +p144484 +aS'the\tthe\tDT\tB-NP\tO' +p144485 +aS'patient\tpatient\tNN\tI-NP\tO' +p144486 +aS'received\treceive\tVBD\tB-VP\tO' +p144487 +aS'an\tan\tDT\tB-NP\tO' +p144488 +aS'arteriogram\tarteriogram\tNN\tI-NP\tO' +p144489 +aS'which\twhich\tWDT\tB-NP\tO' +p144490 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p144491 +aS'an\tan\tDT\tB-NP\tO' +p144492 +aS'embolus\tembolus\tNN\tI-NP\tO' +p144493 +aS'in\tin\tIN\tB-PP\tO' +p144494 +aS'the\tthe\tDT\tB-NP\tO' +p144495 +aS'right\tright\tJJ\tI-NP\tO' +p144496 +aS'profunda\tprofunda\tNN\tI-NP\tO' +p144497 +aS'/\t/\tSYM\tB-NP\tO' +p144498 +aS'femoral\tfemoral\tJJ\tI-NP\tO' +p144499 +aS'artery\tartery\tNN\tI-NP\tO' +p144500 +aS'.\t.\t.\tO\tO' +p144501 +asS'The patient had fairly significant abdominal pain secondary to persistent cough .' +p144502 +(lp144503 +S'The\tThe\tDT\tB-NP\tO' +p144504 +aS'patient\tpatient\tNN\tI-NP\tO' +p144505 +aS'had\thave\tVBD\tB-VP\tO' +p144506 +aS'fairly\tfairly\tRB\tB-NP\tO' +p144507 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p144508 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p144509 +aS'pain\tpain\tNN\tI-NP\tO' +p144510 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p144511 +aS'to\tto\tTO\tB-PP\tO' +p144512 +aS'persistent\tpersistent\tJJ\tB-NP\tO' +p144513 +aS'cough\tcough\tNN\tI-NP\tO' +p144514 +aS'.\t.\t.\tO\tO' +p144515 +asS'Neck veins distended .' +p144516 +(lp144517 +S'Neck\tNeck\tNN\tB-NP\tO' +p144518 +aS'veins\tvein\tNNS\tI-NP\tO' +p144519 +aS'distended\tdistend\tVBN\tB-VP\tO' +p144520 +aS'.\t.\t.\tO\tO' +p144521 +asS'He will be followed up in Cesa , New York .' +p144522 +(lp144523 +S'He\tHe\tPRP\tB-NP\tO' +p144524 +aS'will\twill\tMD\tB-VP\tO' +p144525 +aS'be\tbe\tVB\tI-VP\tO' +p144526 +aS'followed\tfollow\tVBN\tI-VP\tO' +p144527 +aS'up\tup\tRP\tB-PRT\tO' +p144528 +aS'in\tin\tIN\tB-PP\tO' +p144529 +aS'Cesa\tCesa\tNNP\tB-NP\tO' +p144530 +aS',\t,\t,\tO\tO' +p144531 +aS'New\tNew\tNNP\tB-NP\tO' +p144532 +aS'York\tYork\tNNP\tI-NP\tO' +p144533 +aS'.\t.\t.\tO\tO' +p144534 +asS'Hematocrit 24.6 .' +p144535 +(lp144536 +S'Hematocrit\tHematocrit\tNN\tB-NP\tB-protein' +p144537 +aS'24.6\t24.6\tCD\tI-NP\tI-protein' +p144538 +aS'.\t.\t.\tO\tO' +p144539 +asS'She had rheumatoid fever as a child and a heart murmur noted but no further testing .' +p144540 +(lp144541 +S'She\tShe\tPRP\tB-NP\tO' +p144542 +aS'had\thave\tVBD\tB-VP\tO' +p144543 +aS'rheumatoid\trheumatoid\tJJ\tB-NP\tO' +p144544 +aS'fever\tfever\tNN\tI-NP\tO' +p144545 +aS'as\tas\tIN\tB-PP\tO' +p144546 +aS'a\ta\tDT\tB-NP\tO' +p144547 +aS'child\tchild\tNN\tI-NP\tO' +p144548 +aS'and\tand\tCC\tO\tO' +p144549 +aS'a\ta\tDT\tB-NP\tO' +p144550 +aS'heart\theart\tNN\tI-NP\tO' +p144551 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p144552 +aS'noted\tnote\tVBD\tB-VP\tO' +p144553 +aS'but\tbut\tCC\tO\tO' +p144554 +aS'no\tno\tDT\tB-NP\tO' +p144555 +aS'further\tfurther\tJJ\tI-NP\tO' +p144556 +aS'testing\ttesting\tNN\tI-NP\tO' +p144557 +aS'.\t.\t.\tO\tO' +p144558 +asS'The patient was brought to the Emergency Room one day prior to admission where he was evaluated by Urology and had his catheter changed .' +p144559 +(lp144560 +S'The\tThe\tDT\tB-NP\tO' +p144561 +aS'patient\tpatient\tNN\tI-NP\tO' +p144562 +aS'was\tbe\tVBD\tB-VP\tO' +p144563 +aS'brought\tbring\tVBN\tI-VP\tO' +p144564 +aS'to\tto\tTO\tB-PP\tO' +p144565 +aS'the\tthe\tDT\tB-NP\tO' +p144566 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p144567 +aS'Room\tRoom\tNNP\tI-NP\tO' +p144568 +aS'one\tone\tCD\tI-NP\tO' +p144569 +aS'day\tday\tNN\tI-NP\tO' +p144570 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p144571 +aS'to\tto\tTO\tB-PP\tO' +p144572 +aS'admission\tadmission\tNN\tB-NP\tO' +p144573 +aS'where\twhere\tWRB\tB-ADVP\tO' +p144574 +aS'he\the\tPRP\tB-NP\tO' +p144575 +aS'was\tbe\tVBD\tB-VP\tO' +p144576 +aS'evaluated\tevaluate\tVBN\tI-VP\tO' +p144577 +aS'by\tby\tIN\tB-PP\tO' +p144578 +aS'Urology\tUrology\tNNP\tB-NP\tO' +p144579 +aS'and\tand\tCC\tO\tO' +p144580 +aS'had\thave\tVBD\tB-VP\tO' +p144581 +aS'his\this\tPRP$\tB-NP\tO' +p144582 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p144583 +aS'changed\tchange\tVBD\tB-VP\tO' +p144584 +aS'.\t.\t.\tO\tO' +p144585 +asS'decision was made by the family and the medical team to withdraw care .' +p144586 +(lp144587 +S'decision\tdecision\tNN\tB-NP\tO' +p144588 +aS'was\tbe\tVBD\tB-VP\tO' +p144589 +aS'made\tmake\tVBN\tI-VP\tO' +p144590 +aS'by\tby\tIN\tB-PP\tO' +p144591 +aS'the\tthe\tDT\tB-NP\tO' +p144592 +aS'family\tfamily\tNN\tI-NP\tO' +p144593 +aS'and\tand\tCC\tO\tO' +p144594 +aS'the\tthe\tDT\tB-NP\tO' +p144595 +aS'medical\tmedical\tJJ\tI-NP\tO' +p144596 +aS'team\tteam\tNN\tI-NP\tO' +p144597 +aS'to\tto\tTO\tB-VP\tO' +p144598 +aS'withdraw\twithdraw\tVB\tI-VP\tO' +p144599 +aS'care\tcare\tNN\tB-NP\tO' +p144600 +aS'.\t.\t.\tO\tO' +p144601 +asS'Otherwise you need to see a gynecologist to evaluate this bleeding .' +p144602 +(lp144603 +S'Otherwise\tOtherwise\tRB\tB-ADVP\tO' +p144604 +aS'you\tyou\tPRP\tB-NP\tO' +p144605 +aS'need\tneed\tVBP\tB-VP\tO' +p144606 +aS'to\tto\tTO\tI-VP\tO' +p144607 +aS'see\tsee\tVB\tI-VP\tO' +p144608 +aS'a\ta\tDT\tB-NP\tO' +p144609 +aS'gynecologist\tgynecologist\tNN\tI-NP\tO' +p144610 +aS'to\tto\tTO\tB-VP\tO' +p144611 +aS'evaluate\tevaluate\tVB\tI-VP\tO' +p144612 +aS'this\tthis\tDT\tB-NP\tO' +p144613 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p144614 +aS'.\t.\t.\tO\tO' +p144615 +asS'Full range of motion , no lymphadenopathy .' +p144616 +(lp144617 +S'Full\tFull\tJJ\tB-NP\tO' +p144618 +aS'range\trange\tNN\tI-NP\tO' +p144619 +aS'of\tof\tIN\tB-PP\tO' +p144620 +aS'motion\tmotion\tNN\tB-NP\tO' +p144621 +aS',\t,\t,\tO\tO' +p144622 +aS'no\tno\tDT\tB-NP\tO' +p144623 +aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' +p144624 +aS'.\t.\t.\tO\tO' +p144625 +asS'Larry would like everything done .' +p144626 +(lp144627 +S'Larry\tLarry\tNNP\tB-NP\tO' +p144628 +aS'would\twould\tMD\tB-VP\tO' +p144629 +aS'like\tlike\tVB\tI-VP\tO' +p144630 +aS'everything\teverything\tNN\tB-NP\tO' +p144631 +aS'done\tdo\tVBN\tB-ADJP\tO' +p144632 +aS'.\t.\t.\tO\tO' +p144633 +asS'Signed electronically by : DR. Catherine GOLDSTEIN on : Andrea 2012-06-07 8:18 AM' +p144634 +(lp144635 +S'Signed\tSign\tVBN\tB-VP\tO' +p144636 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p144637 +aS'by\tby\tIN\tB-PP\tO' +p144638 +aS':\t:\t:\tO\tO' +p144639 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p144640 +aS'Catherine\tCatherine\tNNP\tI-NP\tO' +p144641 +aS'GOLDSTEIN\tGOLDSTEIN\tNNP\tI-NP\tO' +p144642 +aS'on\ton\tIN\tB-PP\tO' +p144643 +aS':\t:\t:\tO\tO' +p144644 +aS'Andrea\tAndrea\tNNP\tB-NP\tO' +p144645 +aS'2012-06-07\t2012-06-07\tCD\tB-NP\tO' +p144646 +aS'8:18\t8:18\tCD\tI-NP\tO' +p144647 +aS'AM\tAM\tNN\tI-NP\tO' +p144648 +asS'A head CT scan was negative , but an MRI scan of the spine showed an L5 metastasis with a fracture and had with epidural and paraspinal extension .' +p144649 +(lp144650 +S'A\tA\tDT\tB-NP\tO' +p144651 +aS'head\thead\tNN\tI-NP\tO' +p144652 +aS'CT\tCT\tNN\tI-NP\tO' +p144653 +aS'scan\tscan\tNN\tI-NP\tO' +p144654 +aS'was\tbe\tVBD\tB-VP\tO' +p144655 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p144656 +aS',\t,\t,\tO\tO' +p144657 +aS'but\tbut\tCC\tO\tO' +p144658 +aS'an\tan\tDT\tB-NP\tO' +p144659 +aS'MRI\tMRI\tNN\tI-NP\tO' +p144660 +aS'scan\tscan\tNN\tI-NP\tO' +p144661 +aS'of\tof\tIN\tB-PP\tO' +p144662 +aS'the\tthe\tDT\tB-NP\tO' +p144663 +aS'spine\tspine\tNN\tI-NP\tO' +p144664 +aS'showed\tshow\tVBD\tB-VP\tO' +p144665 +aS'an\tan\tDT\tB-NP\tO' +p144666 +aS'L5\tL5\tNN\tI-NP\tB-DNA' +p144667 +aS'metastasis\tmetastasis\tNN\tI-NP\tO' +p144668 +aS'with\twith\tIN\tB-PP\tO' +p144669 +aS'a\ta\tDT\tB-NP\tO' +p144670 +aS'fracture\tfracture\tNN\tI-NP\tO' +p144671 +aS'and\tand\tCC\tO\tO' +p144672 +aS'had\thave\tVBD\tB-VP\tO' +p144673 +aS'with\twith\tIN\tB-PP\tO' +p144674 +aS'epidural\tepidural\tJJ\tB-NP\tO' +p144675 +aS'and\tand\tCC\tI-NP\tO' +p144676 +aS'paraspinal\tparaspinal\tJJ\tI-NP\tO' +p144677 +aS'extension\textension\tNN\tI-NP\tO' +p144678 +aS'.\t.\t.\tO\tO' +p144679 +asS'Sodium 140 , potassium 4 , chloride 105 , bicarbonate 28 , BUN 17 , creatinine 0.8 , glucose 76 .' +p144680 +(lp144681 +S'Sodium\tSodium\tNN\tB-NP\tB-protein' +p144682 +aS'140\t140\tCD\tI-NP\tI-protein' +p144683 +aS',\t,\t,\tO\tO' +p144684 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p144685 +aS'4\t4\tCD\tI-NP\tO' +p144686 +aS',\t,\t,\tO\tO' +p144687 +aS'chloride\tchloride\tNN\tB-NP\tO' +p144688 +aS'105\t105\tCD\tI-NP\tO' +p144689 +aS',\t,\t,\tO\tO' +p144690 +aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' +p144691 +aS'28\t28\tCD\tI-NP\tO' +p144692 +aS',\t,\t,\tO\tO' +p144693 +aS'BUN\tBUN\tNN\tB-NP\tB-DNA' +p144694 +aS'17\t17\tCD\tI-NP\tI-DNA' +p144695 +aS',\t,\t,\tO\tO' +p144696 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p144697 +aS'0.8\t0.8\tCD\tI-NP\tO' +p144698 +aS',\t,\t,\tO\tO' +p144699 +aS'glucose\tglucose\tNN\tB-NP\tO' +p144700 +aS'76\t76\tCD\tI-NP\tO' +p144701 +aS'.\t.\t.\tO\tO' +p144702 +asS'She was transitioned to a nasal cannula on day of life 20 and remains on nasal cannula O2 100 percent at 13 cc flow .' +p144703 +(lp144704 +S'She\tShe\tPRP\tB-NP\tO' +p144705 +aS'was\tbe\tVBD\tB-VP\tO' +p144706 +aS'transitioned\ttransitione\tVBN\tI-VP\tO' +p144707 +aS'to\tto\tTO\tB-PP\tO' +p144708 +aS'a\ta\tDT\tB-NP\tO' +p144709 +aS'nasal\tnasal\tJJ\tI-NP\tO' +p144710 +aS'cannula\tcannula\tNN\tI-NP\tO' +p144711 +aS'on\ton\tIN\tB-PP\tO' +p144712 +aS'day\tday\tNN\tB-NP\tO' +p144713 +aS'of\tof\tIN\tB-PP\tO' +p144714 +aS'life\tlife\tNN\tB-NP\tO' +p144715 +aS'20\t20\tCD\tI-NP\tO' +p144716 +aS'and\tand\tCC\tO\tO' +p144717 +aS'remains\tremain\tVBZ\tB-VP\tO' +p144718 +aS'on\ton\tIN\tB-PP\tO' +p144719 +aS'nasal\tnasal\tJJ\tB-NP\tO' +p144720 +aS'cannula\tcannula\tNN\tI-NP\tO' +p144721 +aS'O2\tO2\tNN\tI-NP\tO' +p144722 +aS'100\t100\tCD\tI-NP\tO' +p144723 +aS'percent\tpercent\tNN\tI-NP\tO' +p144724 +aS'at\tat\tIN\tB-PP\tO' +p144725 +aS'13\t13\tCD\tB-NP\tO' +p144726 +aS'cc\tcc\tNN\tI-NP\tO' +p144727 +aS'flow\tflow\tNN\tI-NP\tO' +p144728 +aS'.\t.\t.\tO\tO' +p144729 +asS'No intracranial hemorrhage is identified .' +p144730 +(lp144731 +S'No\tNo\tDT\tB-NP\tO' +p144732 +aS'intracranial\tintracranial\tJJ\tI-NP\tO' +p144733 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p144734 +aS'is\tbe\tVBZ\tB-VP\tO' +p144735 +aS'identified\tidentify\tVBN\tI-VP\tO' +p144736 +aS'.\t.\t.\tO\tO' +p144737 +asS'The electrocardiogram normal sinus rhythm at 62 beats per minute , small Qwaves in 3 and F , ST elevation in 2 , 3 , and F. ST Depression in 1 , L and V2 and 3 .' +p144738 +(lp144739 +S'The\tThe\tDT\tB-NP\tO' +p144740 +aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' +p144741 +aS'normal\tnormal\tJJ\tI-NP\tO' +p144742 +aS'sinus\tsinus\tNN\tI-NP\tO' +p144743 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p144744 +aS'at\tat\tIN\tB-PP\tO' +p144745 +aS'62\t62\tCD\tB-NP\tO' +p144746 +aS'beats\tbeat\tNNS\tI-NP\tO' +p144747 +aS'per\tper\tIN\tB-PP\tO' +p144748 +aS'minute\tminute\tNN\tB-NP\tO' +p144749 +aS',\t,\t,\tO\tO' +p144750 +aS'small\tsmall\tJJ\tB-NP\tO' +p144751 +aS'Qwaves\tQwave\tNNS\tI-NP\tO' +p144752 +aS'in\tin\tIN\tB-PP\tO' +p144753 +aS'3\t3\tCD\tB-NP\tO' +p144754 +aS'and\tand\tCC\tO\tO' +p144755 +aS'F\tF\tNNP\tB-NP\tO' +p144756 +aS',\t,\t,\tO\tO' +p144757 +aS'ST\tST\tJJ\tB-NP\tO' +p144758 +aS'elevation\televation\tNN\tI-NP\tO' +p144759 +aS'in\tin\tIN\tB-PP\tO' +p144760 +aS'2\t2\tCD\tB-NP\tO' +p144761 +aS',\t,\t,\tI-NP\tO' +p144762 +aS'3\t3\tCD\tI-NP\tO' +p144763 +aS',\t,\t,\tO\tO' +p144764 +aS'and\tand\tCC\tO\tO' +p144765 +aS'F.\tF.\tNNP\tB-NP\tO' +p144766 +aS'ST\tST\tNNP\tI-NP\tO' +p144767 +aS'Depression\tDepression\tNNP\tI-NP\tO' +p144768 +aS'in\tin\tIN\tB-PP\tO' +p144769 +aS'1\t1\tCD\tB-NP\tO' +p144770 +aS',\t,\t,\tO\tO' +p144771 +aS'L\tL\tNN\tB-NP\tO' +p144772 +aS'and\tand\tCC\tI-NP\tO' +p144773 +aS'V2\tV2\tNN\tI-NP\tB-protein' +p144774 +aS'and\tand\tCC\tI-NP\tI-protein' +p144775 +aS'3\t3\tCD\tI-NP\tI-protein' +p144776 +aS'.\t.\t.\tO\tO' +p144777 +asS"As the Hubbard Regional Hospital hospital course went on the patient 's respiratory did not show mild improvement on the ventilator ." +p144778 +(lp144779 +S'As\tAs\tIN\tB-SBAR\tO' +p144780 +aS'the\tthe\tDT\tB-NP\tO' +p144781 +aS'Hubbard\tHubbard\tNNP\tI-NP\tO' +p144782 +aS'Regional\tRegional\tNNP\tI-NP\tO' +p144783 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p144784 +aS'hospital\thospital\tNN\tI-NP\tO' +p144785 +aS'course\tcourse\tNN\tI-NP\tO' +p144786 +aS'went\tgo\tVBD\tB-VP\tO' +p144787 +aS'on\ton\tIN\tB-PP\tO' +p144788 +aS'the\tthe\tDT\tB-NP\tO' +p144789 +aS'patient\tpatient\tNN\tI-NP\tO' +p144790 +aS"'s\t's\tPOS\tB-NP\tO" +p144791 +aS'respiratory\trespiratory\tNN\tI-NP\tO' +p144792 +aS'did\tdo\tVBD\tB-VP\tO' +p144793 +aS'not\tnot\tRB\tI-VP\tO' +p144794 +aS'show\tshow\tVB\tI-VP\tO' +p144795 +aS'mild\tmild\tJJ\tB-NP\tO' +p144796 +aS'improvement\timprovement\tNN\tI-NP\tO' +p144797 +aS'on\ton\tIN\tB-PP\tO' +p144798 +aS'the\tthe\tDT\tB-NP\tO' +p144799 +aS'ventilator\tventilator\tNN\tI-NP\tO' +p144800 +aS'.\t.\t.\tO\tO' +p144801 +asS'In addition , there were at least two lymph nodes within the porta hepatis which were dissected free and taken en bloc with the specimen .' +p144802 +(lp144803 +S'In\tIn\tIN\tB-PP\tO' +p144804 +aS'addition\taddition\tNN\tB-NP\tO' +p144805 +aS',\t,\t,\tO\tO' +p144806 +aS'there\tthere\tEX\tB-NP\tO' +p144807 +aS'were\tbe\tVBD\tB-VP\tO' +p144808 +aS'at\tat\tIN\tB-NP\tO' +p144809 +aS'least\tleast\tJJS\tI-NP\tO' +p144810 +aS'two\ttwo\tCD\tI-NP\tO' +p144811 +aS'lymph\tlymph\tNN\tI-NP\tO' +p144812 +aS'nodes\tnode\tNNS\tI-NP\tO' +p144813 +aS'within\twithin\tIN\tB-PP\tO' +p144814 +aS'the\tthe\tDT\tB-NP\tO' +p144815 +aS'porta\tporta\tNN\tI-NP\tO' +p144816 +aS'hepatis\thepatis\tNN\tI-NP\tO' +p144817 +aS'which\twhich\tWDT\tB-NP\tO' +p144818 +aS'were\tbe\tVBD\tB-VP\tO' +p144819 +aS'dissected\tdissect\tVBN\tI-VP\tO' +p144820 +aS'free\tfree\tJJ\tB-NP\tO' +p144821 +aS'and\tand\tCC\tI-NP\tO' +p144822 +aS'taken\ttake\tVBN\tI-NP\tO' +p144823 +aS'en\ten\tNN\tI-NP\tO' +p144824 +aS'bloc\tbloc\tNN\tI-NP\tO' +p144825 +aS'with\twith\tIN\tB-PP\tO' +p144826 +aS'the\tthe\tDT\tB-NP\tO' +p144827 +aS'specimen\tspecimen\tNN\tI-NP\tO' +p144828 +aS'.\t.\t.\tO\tO' +p144829 +asS'3 ) Consider oncology follow-up if biopsies suggestive of malignancy' +p144830 +(lp144831 +S'3\t3\tLS\tB-LST\tO' +p144832 +aS')\t)\t)\tO\tO' +p144833 +aS'Consider\tConsider\tVB\tB-VP\tO' +p144834 +aS'oncology\toncology\tNN\tB-NP\tO' +p144835 +aS'follow-up\tfollow-up\tNN\tI-NP\tO' +p144836 +aS'if\tif\tIN\tB-SBAR\tO' +p144837 +aS'biopsies\tbiopsy\tNNS\tB-NP\tO' +p144838 +aS'suggestive\tsuggestive\tJJ\tB-ADJP\tO' +p144839 +aS'of\tof\tIN\tB-PP\tO' +p144840 +aS'malignancy\tmalignancy\tNN\tB-NP\tO' +p144841 +asS'The head , eyes , ears , nose and throat , normocephalic , atraumatic , pupils equal , round , reactive to light and accommodation , extraocular muscles intact , sclera anicteric .' +p144842 +(lp144843 +S'The\tThe\tDT\tB-NP\tO' +p144844 +aS'head\thead\tNN\tI-NP\tO' +p144845 +aS',\t,\t,\tO\tO' +p144846 +aS'eyes\teye\tNNS\tB-NP\tO' +p144847 +aS',\t,\t,\tO\tO' +p144848 +aS'ears\tear\tNNS\tB-NP\tO' +p144849 +aS',\t,\t,\tO\tO' +p144850 +aS'nose\tnose\tNN\tB-NP\tO' +p144851 +aS'and\tand\tCC\tI-NP\tO' +p144852 +aS'throat\tthroat\tNN\tI-NP\tO' +p144853 +aS',\t,\t,\tO\tO' +p144854 +aS'normocephalic\tnormocephalic\tJJ\tB-NP\tO' +p144855 +aS',\t,\t,\tI-NP\tO' +p144856 +aS'atraumatic\tatraumatic\tJJ\tI-NP\tO' +p144857 +aS',\t,\t,\tI-NP\tO' +p144858 +aS'pupils\tpupil\tNNS\tI-NP\tO' +p144859 +aS'equal\tequal\tJJ\tI-NP\tO' +p144860 +aS',\t,\t,\tI-NP\tO' +p144861 +aS'round\tround\tJJ\tI-NP\tO' +p144862 +aS',\t,\t,\tI-NP\tO' +p144863 +aS'reactive\treactive\tJJ\tI-NP\tO' +p144864 +aS'to\tto\tTO\tB-PP\tO' +p144865 +aS'light\tlight\tNN\tB-NP\tO' +p144866 +aS'and\tand\tCC\tI-NP\tO' +p144867 +aS'accommodation\taccommodation\tNN\tI-NP\tO' +p144868 +aS',\t,\t,\tO\tO' +p144869 +aS'extraocular\textraocular\tJJ\tB-NP\tO' +p144870 +aS'muscles\tmuscle\tNNS\tI-NP\tO' +p144871 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p144872 +aS',\t,\t,\tO\tO' +p144873 +aS'sclera\tsclera\tNN\tB-NP\tO' +p144874 +aS'anicteric\tanicteric\tNN\tI-NP\tO' +p144875 +aS'.\t.\t.\tO\tO' +p144876 +asS'U/A on 05-27 c/w UTI .' +p144877 +(lp144878 +S'U/A\tU/A\tNN\tB-NP\tO' +p144879 +aS'on\ton\tIN\tB-PP\tO' +p144880 +aS'05-27\t05-27\tCD\tB-NP\tO' +p144881 +aS'c/w\tc/w\tNN\tI-NP\tO' +p144882 +aS'UTI\tUTI\tNN\tI-NP\tO' +p144883 +aS'.\t.\t.\tO\tO' +p144884 +asS'This was relayed to the family ( Kirk ).' +p144885 +(lp144886 +S'This\tThis\tDT\tB-NP\tO' +p144887 +aS'was\tbe\tVBD\tB-VP\tO' +p144888 +aS'relayed\trelay\tVBN\tI-VP\tO' +p144889 +aS'to\tto\tTO\tB-PP\tO' +p144890 +aS'the\tthe\tDT\tB-NP\tO' +p144891 +aS'family\tfamily\tNN\tI-NP\tO' +p144892 +aS'(\t(\t(\tO\tO' +p144893 +aS'Kirk\tKirk\tNNP\tB-NP\tO' +p144894 +aS').\t).\t)\tO\tO' +p144895 +asS'She will be discharged to home and will be seen in follow-up by her regular physicians as well as Dr. Ko .' +p144896 +(lp144897 +S'She\tShe\tPRP\tB-NP\tO' +p144898 +aS'will\twill\tMD\tB-VP\tO' +p144899 +aS'be\tbe\tVB\tI-VP\tO' +p144900 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p144901 +aS'to\tto\tTO\tB-PP\tO' +p144902 +aS'home\thome\tNN\tB-NP\tO' +p144903 +aS'and\tand\tCC\tO\tO' +p144904 +aS'will\twill\tMD\tB-VP\tO' +p144905 +aS'be\tbe\tVB\tI-VP\tO' +p144906 +aS'seen\tsee\tVBN\tI-VP\tO' +p144907 +aS'in\tin\tIN\tB-PP\tO' +p144908 +aS'follow-up\tfollow-up\tNN\tB-NP\tO' +p144909 +aS'by\tby\tIN\tB-PP\tO' +p144910 +aS'her\ther\tPRP$\tB-NP\tO' +p144911 +aS'regular\tregular\tJJ\tI-NP\tO' +p144912 +aS'physicians\tphysician\tNNS\tI-NP\tO' +p144913 +aS'as\tas\tRB\tB-CONJP\tO' +p144914 +aS'well\twell\tRB\tI-CONJP\tO' +p144915 +aS'as\tas\tIN\tI-CONJP\tO' +p144916 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p144917 +aS'Ko\tKo\tNNP\tI-NP\tO' +p144918 +aS'.\t.\t.\tO\tO' +p144919 +asS'Lamictal / Keflex / Navane / Inderal / Depakote' +p144920 +(lp144921 +S'Lamictal\tLamictal\tJJ\tB-NP\tO' +p144922 +aS'/\t/\tSYM\tI-NP\tO' +p144923 +aS'Keflex\tKeflex\tNN\tI-NP\tO' +p144924 +aS'/\t/\tSYM\tB-NP\tO' +p144925 +aS'Navane\tNavane\tNN\tI-NP\tO' +p144926 +aS'/\t/\tSYM\tI-NP\tO' +p144927 +aS'Inderal\tInderal\tNN\tI-NP\tO' +p144928 +aS'/\t/\tSYM\tO\tO' +p144929 +aS'Depakote\tDepakote\tNN\tB-NP\tO' +p144930 +asS'Right ventricular systolic function appears depressed .' +p144931 +(lp144932 +S'Right\tRight\tRB\tB-NP\tO' +p144933 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p144934 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p144935 +aS'function\tfunction\tNN\tI-NP\tO' +p144936 +aS'appears\tappear\tVBZ\tB-VP\tO' +p144937 +aS'depressed\tdepress\tVBN\tI-VP\tO' +p144938 +aS'.\t.\t.\tO\tO' +p144939 +asS'The ostomy was pink with minimal fluid in the ostomy bag .' +p144940 +(lp144941 +S'The\tThe\tDT\tB-NP\tO' +p144942 +aS'ostomy\tostomy\tNN\tI-NP\tO' +p144943 +aS'was\tbe\tVBD\tB-VP\tO' +p144944 +aS'pink\tpink\tJJ\tB-ADJP\tO' +p144945 +aS'with\twith\tIN\tB-PP\tO' +p144946 +aS'minimal\tminimal\tJJ\tB-NP\tO' +p144947 +aS'fluid\tfluid\tNN\tI-NP\tO' +p144948 +aS'in\tin\tIN\tB-PP\tO' +p144949 +aS'the\tthe\tDT\tB-NP\tO' +p144950 +aS'ostomy\tostomy\tNN\tI-NP\tO' +p144951 +aS'bag\tbag\tNN\tI-NP\tO' +p144952 +aS'.\t.\t.\tO\tO' +p144953 +asS'His vital signs were stable .' +p144954 +(lp144955 +S'His\tHis\tPRP$\tB-NP\tO' +p144956 +aS'vital\tvital\tJJ\tI-NP\tO' +p144957 +aS'signs\tsign\tNNS\tI-NP\tO' +p144958 +aS'were\tbe\tVBD\tB-VP\tO' +p144959 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p144960 +aS'.\t.\t.\tO\tO' +p144961 +asS'Tolerated advancement to a soft mechanical diet well .' +p144962 +(lp144963 +S'Tolerated\tTolerate\tVBN\tB-NP\tO' +p144964 +aS'advancement\tadvancement\tNN\tI-NP\tO' +p144965 +aS'to\tto\tTO\tB-PP\tO' +p144966 +aS'a\ta\tDT\tB-NP\tO' +p144967 +aS'soft\tsoft\tJJ\tI-NP\tO' +p144968 +aS'mechanical\tmechanical\tJJ\tI-NP\tO' +p144969 +aS'diet\tdiet\tNN\tI-NP\tO' +p144970 +aS'well\twell\tRB\tB-ADVP\tO' +p144971 +aS'.\t.\t.\tO\tO' +p144972 +asS'Unable to assess JVP .' +p144973 +(lp144974 +S'Unable\tUnable\tJJ\tB-ADJP\tO' +p144975 +aS'to\tto\tTO\tB-VP\tO' +p144976 +aS'assess\tassess\tVB\tI-VP\tO' +p144977 +aS'JVP\tJVP\tNN\tB-NP\tB-protein' +p144978 +aS'.\t.\t.\tO\tO' +p144979 +asS'In addition , she was slow to awaken after her anesthesia was reversed , and in several attempts to wean from the ventilator , she developed a respiratory acidosis .' +p144980 +(lp144981 +S'In\tIn\tIN\tB-PP\tO' +p144982 +aS'addition\taddition\tNN\tB-NP\tO' +p144983 +aS',\t,\t,\tO\tO' +p144984 +aS'she\tshe\tPRP\tB-NP\tO' +p144985 +aS'was\tbe\tVBD\tB-VP\tO' +p144986 +aS'slow\tslow\tJJ\tB-ADJP\tO' +p144987 +aS'to\tto\tTO\tB-VP\tO' +p144988 +aS'awaken\tawaken\tVB\tI-VP\tO' +p144989 +aS'after\tafter\tIN\tB-PP\tO' +p144990 +aS'her\ther\tPRP$\tB-NP\tO' +p144991 +aS'anesthesia\tanesthesia\tNN\tI-NP\tO' +p144992 +aS'was\tbe\tVBD\tB-VP\tO' +p144993 +aS'reversed\treverse\tVBN\tI-VP\tO' +p144994 +aS',\t,\t,\tO\tO' +p144995 +aS'and\tand\tCC\tO\tO' +p144996 +aS'in\tin\tIN\tB-PP\tO' +p144997 +aS'several\tseveral\tJJ\tB-NP\tO' +p144998 +aS'attempts\tattempt\tNNS\tI-NP\tO' +p144999 +aS'to\tto\tTO\tB-VP\tO' +p145000 +aS'wean\twean\tVB\tI-VP\tO' +p145001 +aS'from\tfrom\tIN\tB-PP\tO' +p145002 +aS'the\tthe\tDT\tB-NP\tO' +p145003 +aS'ventilator\tventilator\tNN\tI-NP\tO' +p145004 +aS',\t,\t,\tO\tO' +p145005 +aS'she\tshe\tPRP\tB-NP\tO' +p145006 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p145007 +aS'a\ta\tDT\tB-NP\tO' +p145008 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p145009 +aS'acidosis\tacidosis\tNN\tI-NP\tO' +p145010 +aS'.\t.\t.\tO\tO' +p145011 +asS'GENITALIA : Normal male .' +p145012 +(lp145013 +S'GENITALIA\tGENITALIA\tNN\tB-NP\tO' +p145014 +aS':\t:\t:\tO\tO' +p145015 +aS'Normal\tNormal\tJJ\tB-NP\tO' +p145016 +aS'male\tmale\tNN\tI-NP\tO' +p145017 +aS'.\t.\t.\tO\tO' +p145018 +asS'His UA had 10-17 white blood cells ; trace leukocyte esterase hyaline casts numbering 60-70 .' +p145019 +(lp145020 +S'His\tHis\tPRP$\tB-NP\tB-cell_type' +p145021 +aS'UA\tUA\tNNP\tI-NP\tI-cell_type' +p145022 +aS'had\thave\tVBD\tB-VP\tI-cell_type' +p145023 +aS'10-17\t10-17\tCD\tB-NP\tI-cell_type' +p145024 +aS'white\twhite\tJJ\tI-NP\tI-cell_type' +p145025 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p145026 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p145027 +aS';\t;\t:\tO\tO' +p145028 +aS'trace\ttrace\tNN\tB-NP\tO' +p145029 +aS'leukocyte\tleukocyte\tNN\tI-NP\tO' +p145030 +aS'esterase\testerase\tNN\tI-NP\tO' +p145031 +aS'hyaline\thyaline\tNN\tI-NP\tO' +p145032 +aS'casts\tcast\tVBZ\tB-VP\tO' +p145033 +aS'numbering\tnumbering\tNN\tB-NP\tO' +p145034 +aS'60-70\t60-70\tCD\tI-NP\tO' +p145035 +aS'.\t.\t.\tO\tO' +p145036 +asS'She underwent usual pre-operative testing along with carotid ultrasound .' +p145037 +(lp145038 +S'She\tShe\tPRP\tB-NP\tO' +p145039 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p145040 +aS'usual\tusual\tJJ\tB-NP\tO' +p145041 +aS'pre-operative\tpre-operative\tJJ\tI-NP\tO' +p145042 +aS'testing\ttesting\tNN\tI-NP\tO' +p145043 +aS'along\talong\tIN\tB-PP\tO' +p145044 +aS'with\twith\tIN\tB-PP\tO' +p145045 +aS'carotid\tcarotid\tNN\tB-NP\tO' +p145046 +aS'ultrasound\tultrasound\tNN\tI-NP\tO' +p145047 +aS'.\t.\t.\tO\tO' +p145048 +asS'8. Sciatica .' +p145049 +(lp145050 +S'8.\t8.\tCD\tB-NP\tO' +p145051 +aS'Sciatica\tSciatica\tNNP\tI-NP\tO' +p145052 +aS'.\t.\t.\tO\tO' +p145053 +asS'The blood cultures obtained a Oaksgekesser/ Memorial Hospital were negative .' +p145054 +(lp145055 +S'The\tThe\tDT\tB-NP\tO' +p145056 +aS'blood\tblood\tNN\tI-NP\tO' +p145057 +aS'cultures\tculture\tNNS\tI-NP\tO' +p145058 +aS'obtained\tobtain\tVBD\tB-VP\tO' +p145059 +aS'a\ta\tDT\tB-NP\tO' +p145060 +aS'Oaksgekesser/\tOaksgekesser/\tNNP\tI-NP\tO' +p145061 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p145062 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p145063 +aS'were\tbe\tVBD\tB-VP\tO' +p145064 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p145065 +aS'.\t.\t.\tO\tO' +p145066 +asS'She was discharged from the hospital about 18 days prior to her admission , following a month long stay .' +p145067 +(lp145068 +S'She\tShe\tPRP\tB-NP\tO' +p145069 +aS'was\tbe\tVBD\tB-VP\tO' +p145070 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p145071 +aS'from\tfrom\tIN\tB-PP\tO' +p145072 +aS'the\tthe\tDT\tB-NP\tO' +p145073 +aS'hospital\thospital\tNN\tI-NP\tO' +p145074 +aS'about\tabout\tRB\tB-NP\tO' +p145075 +aS'18\t18\tCD\tI-NP\tO' +p145076 +aS'days\tday\tNNS\tI-NP\tO' +p145077 +aS'prior\tprior\tRB\tB-ADVP\tO' +p145078 +aS'to\tto\tTO\tB-PP\tO' +p145079 +aS'her\ther\tPRP$\tB-NP\tO' +p145080 +aS'admission\tadmission\tNN\tI-NP\tO' +p145081 +aS',\t,\t,\tO\tO' +p145082 +aS'following\tfollow\tVBG\tB-PP\tO' +p145083 +aS'a\ta\tDT\tB-NP\tO' +p145084 +aS'month\tmonth\tNN\tI-NP\tO' +p145085 +aS'long\tlong\tJJ\tI-NP\tO' +p145086 +aS'stay\tstay\tNN\tI-NP\tO' +p145087 +aS'.\t.\t.\tO\tO' +p145088 +asS'Right ventricular systolic function is normal .' +p145089 +(lp145090 +S'Right\tRight\tRB\tB-NP\tO' +p145091 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p145092 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p145093 +aS'function\tfunction\tNN\tI-NP\tO' +p145094 +aS'is\tbe\tVBZ\tB-VP\tO' +p145095 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p145096 +aS'.\t.\t.\tO\tO' +p145097 +asS'2014-04-18 Off Pump Coronary Artery Bypass Grafting utilizing the left internal mammary artery to left anterior descending artery , free right internal mammary to obtuse marginal and vein graft to diagonal .' +p145098 +(lp145099 +S'2014-04-18\t2014-04-18\tCD\tB-NP\tO' +p145100 +aS'Off\tOff\tNNP\tI-NP\tO' +p145101 +aS'Pump\tPump\tNNP\tI-NP\tO' +p145102 +aS'Coronary\tCoronary\tNNP\tI-NP\tO' +p145103 +aS'Artery\tArtery\tNNP\tI-NP\tO' +p145104 +aS'Bypass\tBypass\tNNP\tI-NP\tO' +p145105 +aS'Grafting\tGrafting\tNNP\tI-NP\tO' +p145106 +aS'utilizing\tutilize\tVBG\tB-VP\tO' +p145107 +aS'the\tthe\tDT\tB-NP\tO' +p145108 +aS'left\tleft\tJJ\tI-NP\tO' +p145109 +aS'internal\tinternal\tJJ\tI-NP\tO' +p145110 +aS'mammary\tmammary\tJJ\tI-NP\tO' +p145111 +aS'artery\tartery\tNN\tI-NP\tO' +p145112 +aS'to\tto\tTO\tB-VP\tO' +p145113 +aS'left\tleft\tVB\tI-VP\tO' +p145114 +aS'anterior\tanterior\tJJ\tB-NP\tO' +p145115 +aS'descending\tdescend\tVBG\tI-NP\tO' +p145116 +aS'artery\tartery\tNN\tI-NP\tO' +p145117 +aS',\t,\t,\tO\tO' +p145118 +aS'free\tfree\tJJ\tB-NP\tO' +p145119 +aS'right\tright\tJJ\tI-NP\tO' +p145120 +aS'internal\tinternal\tJJ\tI-NP\tO' +p145121 +aS'mammary\tmammary\tNN\tI-NP\tO' +p145122 +aS'to\tto\tTO\tB-VP\tO' +p145123 +aS'obtuse\tobtuse\tVB\tI-VP\tO' +p145124 +aS'marginal\tmarginal\tJJ\tB-NP\tO' +p145125 +aS'and\tand\tCC\tI-NP\tO' +p145126 +aS'vein\tvein\tNN\tI-NP\tO' +p145127 +aS'graft\tgraft\tNN\tI-NP\tO' +p145128 +aS'to\tto\tTO\tB-PP\tO' +p145129 +aS'diagonal\tdiagonal\tJJ\tB-NP\tO' +p145130 +aS'.\t.\t.\tO\tO' +p145131 +asS'The patient periodically required transfusions of fresh frozen plasma , as well as platelets and red cells .' +p145132 +(lp145133 +S'The\tThe\tDT\tB-NP\tO' +p145134 +aS'patient\tpatient\tNN\tI-NP\tO' +p145135 +aS'periodically\tperiodically\tRB\tB-ADVP\tO' +p145136 +aS'required\trequire\tVBD\tB-VP\tO' +p145137 +aS'transfusions\ttransfusion\tNNS\tB-NP\tO' +p145138 +aS'of\tof\tIN\tB-PP\tO' +p145139 +aS'fresh\tfresh\tJJ\tB-NP\tO' +p145140 +aS'frozen\tfreeze\tVBN\tI-NP\tO' +p145141 +aS'plasma\tplasma\tNN\tI-NP\tO' +p145142 +aS',\t,\t,\tO\tO' +p145143 +aS'as\tas\tRB\tB-CONJP\tO' +p145144 +aS'well\twell\tRB\tI-CONJP\tO' +p145145 +aS'as\tas\tIN\tI-CONJP\tO' +p145146 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p145147 +aS'and\tand\tCC\tO\tO' +p145148 +aS'red\tred\tJJ\tB-NP\tB-cell_type' +p145149 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p145150 +aS'.\t.\t.\tO\tO' +p145151 +asS'He had 3 specimens sent for C. difficile which were negative .' +p145152 +(lp145153 +S'He\tHe\tPRP\tB-NP\tO' +p145154 +aS'had\thave\tVBD\tB-VP\tO' +p145155 +aS'3\t3\tCD\tB-NP\tO' +p145156 +aS'specimens\tspecimen\tNNS\tI-NP\tO' +p145157 +aS'sent\tsend\tVBN\tB-VP\tO' +p145158 +aS'for\tfor\tIN\tB-PP\tO' +p145159 +aS'C.\tC.\tNNP\tB-NP\tO' +p145160 +aS'difficile\tdifficile\tNN\tI-NP\tO' +p145161 +aS'which\twhich\tWDT\tB-NP\tO' +p145162 +aS'were\tbe\tVBD\tB-VP\tO' +p145163 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p145164 +aS'.\t.\t.\tO\tO' +p145165 +asS'Pt was o/w in his USOH until 2-3 weeks ago when he developed a URI with symptoms of dry cough; no fever , chills , sore throat , myalgias .' +p145166 +(lp145167 +S'Pt\tPt\tNN\tB-NP\tO' +p145168 +aS'was\tbe\tVBD\tB-VP\tO' +p145169 +aS'o/w\to/w\tJJ\tB-ADJP\tO' +p145170 +aS'in\tin\tIN\tB-PP\tO' +p145171 +aS'his\this\tPRP$\tB-NP\tO' +p145172 +aS'USOH\tUSOH\tNN\tI-NP\tB-protein' +p145173 +aS'until\tuntil\tIN\tB-PP\tI-protein' +p145174 +aS'2-3\t2-3\tCD\tB-NP\tI-protein' +p145175 +aS'weeks\tweek\tNNS\tI-NP\tI-protein' +p145176 +aS'ago\tago\tRB\tB-ADVP\tO' +p145177 +aS'when\twhen\tWRB\tB-ADVP\tO' +p145178 +aS'he\the\tPRP\tB-NP\tO' +p145179 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p145180 +aS'a\ta\tDT\tB-NP\tO' +p145181 +aS'URI\tURI\tNN\tI-NP\tB-DNA' +p145182 +aS'with\twith\tIN\tB-PP\tO' +p145183 +aS'symptoms\tsymptom\tNNS\tB-NP\tO' +p145184 +aS'of\tof\tIN\tB-PP\tO' +p145185 +aS'dry\tdry\tJJ\tB-NP\tO' +p145186 +aS'cough;\tcough;\tNN\tI-NP\tO' +p145187 +aS'no\tno\tDT\tB-NP\tO' +p145188 +aS'fever\tfever\tNN\tI-NP\tO' +p145189 +aS',\t,\t,\tO\tO' +p145190 +aS'chills\tchill\tNNS\tB-NP\tO' +p145191 +aS',\t,\t,\tO\tO' +p145192 +aS'sore\tsore\tNN\tB-NP\tO' +p145193 +aS'throat\tthroat\tNN\tI-NP\tO' +p145194 +aS',\t,\t,\tO\tO' +p145195 +aS'myalgias\tmyalgia\tNNS\tB-NP\tO' +p145196 +aS'.\t.\t.\tO\tO' +p145197 +asS'On postoperative day 4 , after the initial surgery , the patient had increased shortness of breath and tachycardia with abdominal pain .' +p145198 +(lp145199 +S'On\tOn\tIN\tB-PP\tO' +p145200 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p145201 +aS'day\tday\tNN\tI-NP\tO' +p145202 +aS'4\t4\tCD\tI-NP\tO' +p145203 +aS',\t,\t,\tO\tO' +p145204 +aS'after\tafter\tIN\tB-PP\tO' +p145205 +aS'the\tthe\tDT\tB-NP\tO' +p145206 +aS'initial\tinitial\tJJ\tI-NP\tO' +p145207 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p145208 +aS',\t,\t,\tO\tO' +p145209 +aS'the\tthe\tDT\tB-NP\tO' +p145210 +aS'patient\tpatient\tNN\tI-NP\tO' +p145211 +aS'had\thave\tVBD\tB-VP\tO' +p145212 +aS'increased\tincrease\tVBN\tI-VP\tO' +p145213 +aS'shortness\tshortness\tNN\tB-NP\tO' +p145214 +aS'of\tof\tIN\tB-PP\tO' +p145215 +aS'breath\tbreath\tNN\tB-NP\tO' +p145216 +aS'and\tand\tCC\tI-NP\tO' +p145217 +aS'tachycardia\ttachycardia\tNN\tI-NP\tO' +p145218 +aS'with\twith\tIN\tB-PP\tO' +p145219 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p145220 +aS'pain\tpain\tNN\tI-NP\tO' +p145221 +aS'.\t.\t.\tO\tO' +p145222 +asS'Microscopic exam showed 4+ Staph .' +p145223 +(lp145224 +S'Microscopic\tMicroscopic\tJJ\tB-NP\tO' +p145225 +aS'exam\texam\tNN\tI-NP\tO' +p145226 +aS'showed\tshow\tVBD\tB-VP\tO' +p145227 +aS'4+\t4+\tJJ\tB-NP\tO' +p145228 +aS'Staph\tStaph\tNNP\tI-NP\tO' +p145229 +aS'.\t.\t.\tO\tO' +p145230 +asS'He was then called out to the medical floor on 01-21 .' +p145231 +(lp145232 +S'He\tHe\tPRP\tB-NP\tO' +p145233 +aS'was\tbe\tVBD\tB-VP\tO' +p145234 +aS'then\tthen\tRB\tI-VP\tO' +p145235 +aS'called\tcall\tVBN\tI-VP\tO' +p145236 +aS'out\tout\tRP\tB-PRT\tO' +p145237 +aS'to\tto\tTO\tB-PP\tO' +p145238 +aS'the\tthe\tDT\tB-NP\tO' +p145239 +aS'medical\tmedical\tJJ\tI-NP\tO' +p145240 +aS'floor\tfloor\tNN\tI-NP\tO' +p145241 +aS'on\ton\tIN\tB-PP\tO' +p145242 +aS'01-21\t01-21\tCD\tB-NP\tO' +p145243 +aS'.\t.\t.\tO\tO' +p145244 +asS'There are no pleural effusions or focal consolidations .' +p145245 +(lp145246 +S'There\tThere\tEX\tB-NP\tO' +p145247 +aS'are\tbe\tVBP\tB-VP\tO' +p145248 +aS'no\tno\tDT\tB-NP\tO' +p145249 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p145250 +aS'effusions\teffusion\tNNS\tI-NP\tO' +p145251 +aS'or\tor\tCC\tO\tO' +p145252 +aS'focal\tfocal\tJJ\tB-NP\tO' +p145253 +aS'consolidations\tconsolidation\tNNS\tI-NP\tO' +p145254 +aS'.\t.\t.\tO\tO' +p145255 +asS'Patient underwent a total abdominal hysterectomy in 02/90 for a 4x3.6x2 cm cervical mass felt to be a fibroid at Vanor .' +p145256 +(lp145257 +S'Patient\tPatient\tNN\tB-NP\tO' +p145258 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p145259 +aS'a\ta\tDT\tB-NP\tO' +p145260 +aS'total\ttotal\tJJ\tI-NP\tO' +p145261 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p145262 +aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' +p145263 +aS'in\tin\tIN\tB-PP\tO' +p145264 +aS'02/90\t02/90\tCD\tB-NP\tO' +p145265 +aS'for\tfor\tIN\tB-PP\tO' +p145266 +aS'a\ta\tDT\tB-NP\tO' +p145267 +aS'4x3.6x2\t4x3.6x2\tCD\tI-NP\tO' +p145268 +aS'cm\tcm\tNN\tI-NP\tO' +p145269 +aS'cervical\tcervical\tJJ\tI-NP\tO' +p145270 +aS'mass\tmass\tNN\tI-NP\tO' +p145271 +aS'felt\tfeel\tVBD\tB-VP\tO' +p145272 +aS'to\tto\tTO\tI-VP\tO' +p145273 +aS'be\tbe\tVB\tI-VP\tO' +p145274 +aS'a\ta\tDT\tB-NP\tO' +p145275 +aS'fibroid\tfibroid\tNN\tI-NP\tO' +p145276 +aS'at\tat\tIN\tB-PP\tO' +p145277 +aS'Vanor\tVanor\tNNP\tB-NP\tO' +p145278 +aS'.\t.\t.\tO\tO' +p145279 +asS'The thallium images showed a large region of persistently reduced blood flow involving the apex and inferoposterior segments of the left ventricular wall .' +p145280 +(lp145281 +S'The\tThe\tDT\tB-NP\tO' +p145282 +aS'thallium\tthallium\tNN\tI-NP\tO' +p145283 +aS'images\timage\tNNS\tI-NP\tO' +p145284 +aS'showed\tshow\tVBD\tB-VP\tO' +p145285 +aS'a\ta\tDT\tB-NP\tO' +p145286 +aS'large\tlarge\tJJ\tI-NP\tO' +p145287 +aS'region\tregion\tNN\tI-NP\tO' +p145288 +aS'of\tof\tIN\tB-PP\tO' +p145289 +aS'persistently\tpersistently\tRB\tB-NP\tO' +p145290 +aS'reduced\treduce\tVBN\tI-NP\tO' +p145291 +aS'blood\tblood\tNN\tI-NP\tO' +p145292 +aS'flow\tflow\tNN\tI-NP\tO' +p145293 +aS'involving\tinvolve\tVBG\tB-VP\tO' +p145294 +aS'the\tthe\tDT\tB-NP\tO' +p145295 +aS'apex\tapex\tNN\tI-NP\tO' +p145296 +aS'and\tand\tCC\tO\tO' +p145297 +aS'inferoposterior\tinferoposterior\tJJ\tB-NP\tO' +p145298 +aS'segments\tsegment\tNNS\tI-NP\tO' +p145299 +aS'of\tof\tIN\tB-PP\tO' +p145300 +aS'the\tthe\tDT\tB-NP\tO' +p145301 +aS'left\tleft\tJJ\tI-NP\tO' +p145302 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p145303 +aS'wall\twall\tNN\tI-NP\tO' +p145304 +aS'.\t.\t.\tO\tO' +p145305 +asS'She was weaned off the oxygen and for the remainder of her course her O2sats were stable on room air .' +p145306 +(lp145307 +S'She\tShe\tPRP\tB-NP\tO' +p145308 +aS'was\tbe\tVBD\tB-VP\tO' +p145309 +aS'weaned\twean\tVBN\tI-VP\tO' +p145310 +aS'off\toff\tIN\tB-PP\tO' +p145311 +aS'the\tthe\tDT\tB-NP\tO' +p145312 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p145313 +aS'and\tand\tCC\tB-PP\tO' +p145314 +aS'for\tfor\tIN\tB-PP\tO' +p145315 +aS'the\tthe\tDT\tB-NP\tO' +p145316 +aS'remainder\tremainder\tNN\tI-NP\tO' +p145317 +aS'of\tof\tIN\tB-PP\tO' +p145318 +aS'her\ther\tPRP$\tB-NP\tO' +p145319 +aS'course\tcourse\tNN\tI-NP\tO' +p145320 +aS'her\ther\tPRP$\tB-NP\tO' +p145321 +aS'O2sats\tO2sat\tNNS\tI-NP\tO' +p145322 +aS'were\tbe\tVBD\tB-VP\tO' +p145323 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p145324 +aS'on\ton\tIN\tB-PP\tO' +p145325 +aS'room\troom\tNN\tB-NP\tO' +p145326 +aS'air\tair\tNN\tI-NP\tO' +p145327 +aS'.\t.\t.\tO\tO' +p145328 +asS'There was no erythema or purulence .' +p145329 +(lp145330 +S'There\tThere\tEX\tB-NP\tO' +p145331 +aS'was\tbe\tVBD\tB-VP\tO' +p145332 +aS'no\tno\tDT\tB-NP\tO' +p145333 +aS'erythema\terythema\tNN\tI-NP\tO' +p145334 +aS'or\tor\tCC\tI-NP\tO' +p145335 +aS'purulence\tpurulence\tNN\tI-NP\tO' +p145336 +aS'.\t.\t.\tO\tO' +p145337 +asS'Overnight she became febrile to 102.3 , increasingly tachycardic to 125 , and hypotensive to 80 systolic .' +p145338 +(lp145339 +S'Overnight\tOvernight\tRB\tB-ADVP\tO' +p145340 +aS'she\tshe\tPRP\tB-NP\tO' +p145341 +aS'became\tbecome\tVBD\tB-VP\tO' +p145342 +aS'febrile\tfebrile\tJJ\tB-ADJP\tO' +p145343 +aS'to\tto\tTO\tB-PP\tO' +p145344 +aS'102.3\t102.3\tCD\tB-NP\tO' +p145345 +aS',\t,\t,\tO\tO' +p145346 +aS'increasingly\tincreasingly\tRB\tB-ADJP\tO' +p145347 +aS'tachycardic\ttachycardic\tJJ\tI-ADJP\tO' +p145348 +aS'to\tto\tTO\tB-PP\tO' +p145349 +aS'125\t125\tCD\tB-NP\tO' +p145350 +aS',\t,\t,\tO\tO' +p145351 +aS'and\tand\tCC\tO\tO' +p145352 +aS'hypotensive\thypotensive\tJJ\tB-ADJP\tO' +p145353 +aS'to\tto\tTO\tB-PP\tO' +p145354 +aS'80\t80\tCD\tB-NP\tO' +p145355 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p145356 +aS'.\t.\t.\tO\tO' +p145357 +asS'24. Prednisone 2.5 mg Tablet Sig : One ( 1 ) Tablet PO Q 3PM ( ) .' +p145358 +(lp145359 +S'24.\t24.\tLS\tB-NP\tO' +p145360 +aS'Prednisone\tPrednisone\tNN\tI-NP\tO' +p145361 +aS'2.5\t2.5\tCD\tI-NP\tO' +p145362 +aS'mg\tmg\tNN\tI-NP\tO' +p145363 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p145364 +aS'Sig\tSig\tNNP\tI-NP\tO' +p145365 +aS':\t:\t:\tO\tO' +p145366 +aS'One\tOne\tCD\tB-NP\tO' +p145367 +aS'(\t(\t(\tO\tO' +p145368 +aS'1\t1\tCD\tB-NP\tO' +p145369 +aS')\t)\t)\tO\tO' +p145370 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p145371 +aS'PO\tPO\tNN\tI-NP\tO' +p145372 +aS'Q\tQ\tNN\tI-NP\tO' +p145373 +aS'3PM\t3PM\tNN\tI-NP\tO' +p145374 +aS'(\t(\t(\tO\tO' +p145375 +aS')\t)\t)\tO\tO' +p145376 +aS'.\t.\t.\tO\tO' +p145377 +asS'On admission examination she was a well developed , well nourished female in no apparent distress .' +p145378 +(lp145379 +S'On\tOn\tIN\tB-PP\tO' +p145380 +aS'admission\tadmission\tNN\tB-NP\tO' +p145381 +aS'examination\texamination\tNN\tI-NP\tO' +p145382 +aS'she\tshe\tPRP\tB-NP\tO' +p145383 +aS'was\tbe\tVBD\tB-VP\tO' +p145384 +aS'a\ta\tDT\tB-NP\tO' +p145385 +aS'well\twell\tRB\tI-NP\tO' +p145386 +aS'developed\tdevelop\tVBN\tI-NP\tO' +p145387 +aS',\t,\t,\tO\tO' +p145388 +aS'well\twell\tRB\tB-ADVP\tO' +p145389 +aS'nourished\tnourish\tVBD\tB-VP\tO' +p145390 +aS'female\tfemale\tNN\tB-NP\tO' +p145391 +aS'in\tin\tIN\tB-PP\tO' +p145392 +aS'no\tno\tDT\tB-NP\tO' +p145393 +aS'apparent\tapparent\tJJ\tI-NP\tO' +p145394 +aS'distress\tdistress\tNN\tI-NP\tO' +p145395 +aS'.\t.\t.\tO\tO' +p145396 +asS'2. Right-sided congenital cystic adenomatoid malformation .' +p145397 +(lp145398 +S'2.\t2.\tLS\tB-NP\tO' +p145399 +aS'Right-sided\tRight-sided\tJJ\tI-NP\tO' +p145400 +aS'congenital\tcongenital\tJJ\tI-NP\tO' +p145401 +aS'cystic\tcystic\tJJ\tI-NP\tO' +p145402 +aS'adenomatoid\tadenomatoid\tJJ\tI-NP\tO' +p145403 +aS'malformation\tmalformation\tNN\tI-NP\tO' +p145404 +aS'.\t.\t.\tO\tO' +p145405 +asS'In addition , she will take Ciprofloxacin for nine more days .' +p145406 +(lp145407 +S'In\tIn\tIN\tB-PP\tO' +p145408 +aS'addition\taddition\tNN\tB-NP\tO' +p145409 +aS',\t,\t,\tO\tO' +p145410 +aS'she\tshe\tPRP\tB-NP\tO' +p145411 +aS'will\twill\tMD\tB-VP\tO' +p145412 +aS'take\ttake\tVB\tI-VP\tO' +p145413 +aS'Ciprofloxacin\tCiprofloxacin\tNN\tB-NP\tO' +p145414 +aS'for\tfor\tIN\tB-PP\tO' +p145415 +aS'nine\tnine\tCD\tB-NP\tO' +p145416 +aS'more\tmore\tJJR\tI-NP\tO' +p145417 +aS'days\tday\tNNS\tI-NP\tO' +p145418 +aS'.\t.\t.\tO\tO' +p145419 +asS'# Respiratory failure - She was admitted to the CMED CSRU for her repiratory failure which was thought to be secondary to CHF .' +p145420 +(lp145421 +S'#\t#\t#\tB-NP\tO' +p145422 +aS'Respiratory\tRespiratory\tJJ\tI-NP\tO' +p145423 +aS'failure\tfailure\tNN\tI-NP\tO' +p145424 +aS'-\t-\tHYPH\tO\tO' +p145425 +aS'She\tShe\tNN\tB-NP\tB-protein' +p145426 +aS'was\tbe\tVBD\tB-VP\tO' +p145427 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p145428 +aS'to\tto\tTO\tB-PP\tO' +p145429 +aS'the\tthe\tDT\tB-NP\tO' +p145430 +aS'CMED\tCMED\tNNP\tI-NP\tO' +p145431 +aS'CSRU\tCSRU\tNNP\tI-NP\tO' +p145432 +aS'for\tfor\tIN\tB-PP\tO' +p145433 +aS'her\ther\tPRP$\tB-NP\tO' +p145434 +aS'repiratory\trepiratory\tJJ\tI-NP\tO' +p145435 +aS'failure\tfailure\tNN\tI-NP\tO' +p145436 +aS'which\twhich\tWDT\tB-NP\tO' +p145437 +aS'was\tbe\tVBD\tB-VP\tO' +p145438 +aS'thought\tthink\tVBN\tI-VP\tO' +p145439 +aS'to\tto\tTO\tI-VP\tO' +p145440 +aS'be\tbe\tVB\tI-VP\tO' +p145441 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p145442 +aS'to\tto\tTO\tB-PP\tO' +p145443 +aS'CHF\tCHF\tNN\tB-NP\tB-protein' +p145444 +aS'.\t.\t.\tO\tO' +p145445 +asS'The night of Oct 14 , 1999 the patient developed chest discomfort associated with shortness of breath .' +p145446 +(lp145447 +S'The\tThe\tDT\tB-NP\tO' +p145448 +aS'night\tnight\tNN\tI-NP\tO' +p145449 +aS'of\tof\tIN\tB-PP\tO' +p145450 +aS'Oct\tOct\tNN\tB-NP\tB-protein' +p145451 +aS'14\t14\tCD\tI-NP\tI-protein' +p145452 +aS',\t,\t,\tI-NP\tO' +p145453 +aS'1999\t1999\tCD\tI-NP\tO' +p145454 +aS'the\tthe\tDT\tB-NP\tO' +p145455 +aS'patient\tpatient\tNN\tI-NP\tO' +p145456 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p145457 +aS'chest\tchest\tNN\tB-NP\tO' +p145458 +aS'discomfort\tdiscomfort\tNN\tI-NP\tO' +p145459 +aS'associated\tassociate\tVBN\tB-VP\tO' +p145460 +aS'with\twith\tIN\tB-PP\tO' +p145461 +aS'shortness\tshortness\tNN\tB-NP\tO' +p145462 +aS'of\tof\tIN\tB-PP\tO' +p145463 +aS'breath\tbreath\tNN\tB-NP\tO' +p145464 +aS'.\t.\t.\tO\tO' +p145465 +asS'1. Furosemide 20 mg Tablet Sig : One ( 1 ) Tablet PO once a day for 5 days .' +p145466 +(lp145467 +S'1.\t1.\tLS\tB-NP\tO' +p145468 +aS'Furosemide\tFurosemide\tNN\tI-NP\tO' +p145469 +aS'20\t20\tCD\tI-NP\tO' +p145470 +aS'mg\tmg\tNN\tI-NP\tO' +p145471 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p145472 +aS'Sig\tSig\tNNP\tI-NP\tO' +p145473 +aS':\t:\t:\tO\tO' +p145474 +aS'One\tOne\tCD\tB-NP\tO' +p145475 +aS'(\t(\t(\tO\tO' +p145476 +aS'1\t1\tCD\tB-NP\tO' +p145477 +aS')\t)\t)\tO\tO' +p145478 +aS'Tablet\tTablet\tNN\tB-NP\tB-protein' +p145479 +aS'PO\tPO\tNN\tI-NP\tI-protein' +p145480 +aS'once\tonce\tRB\tO\tO' +p145481 +aS'a\ta\tDT\tB-NP\tO' +p145482 +aS'day\tday\tNN\tI-NP\tO' +p145483 +aS'for\tfor\tIN\tB-PP\tO' +p145484 +aS'5\t5\tCD\tB-NP\tO' +p145485 +aS'days\tday\tNNS\tI-NP\tO' +p145486 +aS'.\t.\t.\tO\tO' +p145487 +asS'Her blood pressure responds well to this .' +p145488 +(lp145489 +S'Her\tHer\tPRP$\tB-NP\tO' +p145490 +aS'blood\tblood\tNN\tI-NP\tO' +p145491 +aS'pressure\tpressure\tNN\tI-NP\tO' +p145492 +aS'responds\trespond\tVBZ\tB-VP\tO' +p145493 +aS'well\twell\tRB\tB-ADVP\tO' +p145494 +aS'to\tto\tTO\tB-PP\tO' +p145495 +aS'this\tthis\tDT\tB-NP\tO' +p145496 +aS'.\t.\t.\tO\tO' +p145497 +asS'CSF leak .' +p145498 +(lp145499 +S'CSF\tCSF\tNN\tB-NP\tB-protein' +p145500 +aS'leak\tleak\tNN\tI-NP\tO' +p145501 +aS'.\t.\t.\tO\tO' +p145502 +asS'It was equally up to 700 cc. an hour and a renal consultation was obtained .' +p145503 +(lp145504 +S'It\tIt\tPRP\tB-NP\tO' +p145505 +aS'was\tbe\tVBD\tB-VP\tO' +p145506 +aS'equally\tequally\tRB\tB-ADVP\tO' +p145507 +aS'up\tup\tIN\tB-NP\tO' +p145508 +aS'to\tto\tTO\tI-NP\tO' +p145509 +aS'700\t700\tCD\tI-NP\tO' +p145510 +aS'cc.\tcc.\tNN\tI-NP\tO' +p145511 +aS'an\tan\tDT\tB-NP\tO' +p145512 +aS'hour\thour\tNN\tI-NP\tO' +p145513 +aS'and\tand\tCC\tO\tO' +p145514 +aS'a\ta\tDT\tB-NP\tO' +p145515 +aS'renal\trenal\tJJ\tI-NP\tO' +p145516 +aS'consultation\tconsultation\tNN\tI-NP\tO' +p145517 +aS'was\tbe\tVBD\tB-VP\tO' +p145518 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p145519 +aS'.\t.\t.\tO\tO' +p145520 +asS'( 3 ) hypertension .' +p145521 +(lp145522 +S'(\t(\t(\tB-LST\tO' +p145523 +aS'3\t3\tLS\tI-LST\tO' +p145524 +aS')\t)\t)\tO\tO' +p145525 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p145526 +aS'.\t.\t.\tO\tO' +p145527 +asS'She weaned to room air on day of life one where she has remained since that time .' +p145528 +(lp145529 +S'She\tShe\tPRP\tB-NP\tO' +p145530 +aS'weaned\twean\tVBD\tB-VP\tO' +p145531 +aS'to\tto\tTO\tB-PP\tO' +p145532 +aS'room\troom\tNN\tB-NP\tO' +p145533 +aS'air\tair\tNN\tI-NP\tO' +p145534 +aS'on\ton\tIN\tB-PP\tO' +p145535 +aS'day\tday\tNN\tB-NP\tO' +p145536 +aS'of\tof\tIN\tB-PP\tO' +p145537 +aS'life\tlife\tNN\tB-NP\tO' +p145538 +aS'one\tone\tCD\tI-NP\tO' +p145539 +aS'where\twhere\tWRB\tB-ADVP\tO' +p145540 +aS'she\tshe\tPRP\tB-NP\tO' +p145541 +aS'has\thave\tVBZ\tB-VP\tO' +p145542 +aS'remained\tremain\tVBN\tI-VP\tO' +p145543 +aS'since\tsince\tIN\tB-PP\tO' +p145544 +aS'that\tthat\tDT\tB-NP\tO' +p145545 +aS'time\ttime\tNN\tI-NP\tO' +p145546 +aS'.\t.\t.\tO\tO' +p145547 +asS'Stable and improved .' +p145548 +(lp145549 +S'Stable\tStable\tJJ\tB-ADJP\tO' +p145550 +aS'and\tand\tCC\tI-ADJP\tO' +p145551 +aS'improved\timprove\tVBN\tI-ADJP\tO' +p145552 +aS'.\t.\t.\tO\tO' +p145553 +asS'The patient was cleared for surgery by Dr. Lupevickette Ca .' +p145554 +(lp145555 +S'The\tThe\tDT\tB-NP\tO' +p145556 +aS'patient\tpatient\tNN\tI-NP\tO' +p145557 +aS'was\tbe\tVBD\tB-VP\tO' +p145558 +aS'cleared\tclear\tVBN\tI-VP\tO' +p145559 +aS'for\tfor\tIN\tB-PP\tO' +p145560 +aS'surgery\tsurgery\tNN\tB-NP\tO' +p145561 +aS'by\tby\tIN\tB-PP\tO' +p145562 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p145563 +aS'Lupevickette\tLupevickette\tNNP\tI-NP\tO' +p145564 +aS'Ca\tCa\tNNP\tI-NP\tO' +p145565 +aS'.\t.\t.\tO\tO' +p145566 +asS'There was no jaw jerk and no Hoffman 's sign .' +p145567 +(lp145568 +S'There\tThere\tEX\tB-NP\tO' +p145569 +aS'was\tbe\tVBD\tB-VP\tO' +p145570 +aS'no\tno\tDT\tB-NP\tO' +p145571 +aS'jaw\tjaw\tNN\tI-NP\tO' +p145572 +aS'jerk\tjerk\tNN\tI-NP\tO' +p145573 +aS'and\tand\tCC\tO\tO' +p145574 +aS'no\tno\tDT\tB-NP\tO' +p145575 +aS'Hoffman\tHoffman\tNNP\tI-NP\tO' +p145576 +aS''s\t'\tNNS\tI-NP\tO' +p145577 +aS'sign\tsign\tNN\tI-NP\tO' +p145578 +aS'.\t.\t.\tO\tO' +p145579 +asS'Hypertension , asthma for 10 years , no hospitalizations , obesity , history of heart murmur , hemorrhoids and whooping cough as a child .' +p145580 +(lp145581 +S'Hypertension\tHypertension\tNN\tB-NP\tO' +p145582 +aS',\t,\t,\tO\tO' +p145583 +aS'asthma\tasthma\tNN\tB-NP\tO' +p145584 +aS'for\tfor\tIN\tB-PP\tO' +p145585 +aS'10\t10\tCD\tB-NP\tO' +p145586 +aS'years\tyear\tNNS\tI-NP\tO' +p145587 +aS',\t,\t,\tO\tO' +p145588 +aS'no\tno\tDT\tB-NP\tO' +p145589 +aS'hospitalizations\thospitalization\tNNS\tI-NP\tO' +p145590 +aS',\t,\t,\tO\tO' +p145591 +aS'obesity\tobesity\tNN\tB-NP\tO' +p145592 +aS',\t,\t,\tO\tO' +p145593 +aS'history\thistory\tNN\tB-NP\tO' +p145594 +aS'of\tof\tIN\tB-PP\tO' +p145595 +aS'heart\theart\tNN\tB-NP\tO' +p145596 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p145597 +aS',\t,\t,\tO\tO' +p145598 +aS'hemorrhoids\themorrhoid\tNNS\tB-NP\tO' +p145599 +aS'and\tand\tCC\tO\tO' +p145600 +aS'whooping\twhooping\tJJ\tB-NP\tO' +p145601 +aS'cough\tcough\tNN\tI-NP\tO' +p145602 +aS'as\tas\tIN\tB-PP\tO' +p145603 +aS'a\ta\tDT\tB-NP\tO' +p145604 +aS'child\tchild\tNN\tI-NP\tO' +p145605 +aS'.\t.\t.\tO\tO' +p145606 +asS'Head magnetic resonance imaging study and magnetic resonance imaging angiogram obtained on May 11 , 1995 , revealed subacute right lateral occipital lobe infarction and decreased flow related enhancement in the left posterior communicating artery with respect to that on the right .' +p145607 +(lp145608 +S'Head\tHead\tJJ\tB-NP\tO' +p145609 +aS'magnetic\tmagnetic\tJJ\tI-NP\tO' +p145610 +aS'resonance\tresonance\tNN\tI-NP\tO' +p145611 +aS'imaging\timaging\tNN\tI-NP\tO' +p145612 +aS'study\tstudy\tNN\tI-NP\tO' +p145613 +aS'and\tand\tCC\tO\tO' +p145614 +aS'magnetic\tmagnetic\tJJ\tB-NP\tO' +p145615 +aS'resonance\tresonance\tNN\tI-NP\tO' +p145616 +aS'imaging\timage\tVBG\tB-VP\tO' +p145617 +aS'angiogram\tangiogram\tNN\tB-NP\tO' +p145618 +aS'obtained\tobtain\tVBN\tB-VP\tO' +p145619 +aS'on\ton\tIN\tB-PP\tO' +p145620 +aS'May\tMay\tNNP\tB-NP\tO' +p145621 +aS'11\t11\tCD\tI-NP\tO' +p145622 +aS',\t,\t,\tI-NP\tO' +p145623 +aS'1995\t1995\tCD\tI-NP\tO' +p145624 +aS',\t,\t,\tO\tO' +p145625 +aS'revealed\treveal\tVBD\tB-VP\tO' +p145626 +aS'subacute\tsubacute\tJJ\tB-NP\tO' +p145627 +aS'right\tright\tJJ\tI-NP\tO' +p145628 +aS'lateral\tlateral\tJJ\tI-NP\tO' +p145629 +aS'occipital\toccipital\tNN\tI-NP\tO' +p145630 +aS'lobe\tlobe\tNN\tI-NP\tO' +p145631 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p145632 +aS'and\tand\tCC\tO\tO' +p145633 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p145634 +aS'flow\tflow\tNN\tB-NP\tO' +p145635 +aS'related\trelated\tJJ\tI-NP\tO' +p145636 +aS'enhancement\tenhancement\tNN\tI-NP\tO' +p145637 +aS'in\tin\tIN\tB-PP\tO' +p145638 +aS'the\tthe\tDT\tB-NP\tO' +p145639 +aS'left\tleft\tJJ\tI-NP\tO' +p145640 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p145641 +aS'communicating\tcommunicate\tVBG\tI-NP\tO' +p145642 +aS'artery\tartery\tNN\tI-NP\tO' +p145643 +aS'with\twith\tIN\tB-PP\tO' +p145644 +aS'respect\trespect\tNN\tB-NP\tO' +p145645 +aS'to\tto\tTO\tB-PP\tO' +p145646 +aS'that\tthat\tDT\tB-NP\tO' +p145647 +aS'on\ton\tIN\tB-PP\tO' +p145648 +aS'the\tthe\tDT\tB-NP\tO' +p145649 +aS'right\tright\tNN\tI-NP\tO' +p145650 +aS'.\t.\t.\tO\tO' +p145651 +asS'Since then , the patient has occasional chest pain with emotional stress , when he is angry or upset .' +p145652 +(lp145653 +S'Since\tSince\tIN\tB-PP\tO' +p145654 +aS'then\tthen\tRB\tB-NP\tO' +p145655 +aS',\t,\t,\tO\tO' +p145656 +aS'the\tthe\tDT\tB-NP\tO' +p145657 +aS'patient\tpatient\tNN\tI-NP\tO' +p145658 +aS'has\thave\tVBZ\tB-VP\tO' +p145659 +aS'occasional\toccasional\tJJ\tB-NP\tO' +p145660 +aS'chest\tchest\tNN\tI-NP\tO' +p145661 +aS'pain\tpain\tNN\tI-NP\tO' +p145662 +aS'with\twith\tIN\tB-PP\tO' +p145663 +aS'emotional\temotional\tJJ\tB-NP\tO' +p145664 +aS'stress\tstress\tNN\tI-NP\tO' +p145665 +aS',\t,\t,\tO\tO' +p145666 +aS'when\twhen\tWRB\tB-ADVP\tO' +p145667 +aS'he\the\tPRP\tB-NP\tO' +p145668 +aS'is\tbe\tVBZ\tB-VP\tO' +p145669 +aS'angry\tangry\tJJ\tB-ADJP\tO' +p145670 +aS'or\tor\tCC\tI-ADJP\tO' +p145671 +aS'upset\tupset\tJJ\tI-ADJP\tO' +p145672 +aS'.\t.\t.\tO\tO' +p145673 +asS'He is status post Avastin plus sorafenib , protocol #04-393 , discontinued in the setting of' +p145674 +(lp145675 +S'He\tHe\tPRP\tB-NP\tO' +p145676 +aS'is\tbe\tVBZ\tB-VP\tO' +p145677 +aS'status\tstatus\tNN\tB-NP\tB-protein' +p145678 +aS'post\tpost\tIN\tB-PP\tI-protein' +p145679 +aS'Avastin\tAvastin\tNNP\tB-NP\tI-protein' +p145680 +aS'plus\tplus\tCC\tO\tO' +p145681 +aS'sorafenib\tsorafenib\tNN\tB-NP\tO' +p145682 +aS',\t,\t,\tO\tO' +p145683 +aS'protocol\tprotocol\tNN\tB-NP\tO' +p145684 +aS'#04-393\t#04-393\tNN\tI-NP\tO' +p145685 +aS',\t,\t,\tO\tO' +p145686 +aS'discontinued\tdiscontinue\tVBN\tB-VP\tO' +p145687 +aS'in\tin\tIN\tB-PP\tO' +p145688 +aS'the\tthe\tDT\tB-NP\tO' +p145689 +aS'setting\tsetting\tNN\tI-NP\tO' +p145690 +aS'of\tof\tIN\tB-PP\tO' +p145691 +asS'In summary this is a 25 year old male with a very complicated history and a patient of Dr. Breunkays 's .' +p145692 +(lp145693 +S'In\tIn\tIN\tB-PP\tO' +p145694 +aS'summary\tsummary\tNN\tB-NP\tO' +p145695 +aS'this\tthis\tDT\tB-NP\tO' +p145696 +aS'is\tbe\tVBZ\tB-VP\tO' +p145697 +aS'a\ta\tDT\tB-NP\tO' +p145698 +aS'25\t25\tCD\tI-NP\tO' +p145699 +aS'year\tyear\tNN\tI-NP\tO' +p145700 +aS'old\told\tJJ\tI-NP\tO' +p145701 +aS'male\tmale\tNN\tI-NP\tO' +p145702 +aS'with\twith\tIN\tB-PP\tO' +p145703 +aS'a\ta\tDT\tB-NP\tO' +p145704 +aS'very\tvery\tRB\tI-NP\tO' +p145705 +aS'complicated\tcomplicate\tVBN\tI-NP\tO' +p145706 +aS'history\thistory\tNN\tI-NP\tO' +p145707 +aS'and\tand\tCC\tO\tO' +p145708 +aS'a\ta\tDT\tB-NP\tO' +p145709 +aS'patient\tpatient\tNN\tI-NP\tO' +p145710 +aS'of\tof\tIN\tB-PP\tO' +p145711 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p145712 +aS'Breunkays\tBreunkays\tNNP\tI-NP\tO' +p145713 +aS''s\t'\tNNS\tI-NP\tO' +p145714 +aS'.\t.\t.\tO\tO' +p145715 +asS'Metamucil 1 teaspoon q.d. , with first bolus of juice , juice 250 cc. down nasogastric tube t.i.d. , tube feeds as above , Lactinex as above , Tagamet 800 mg. nasogastric tube qhs , Nystatin swish and spit 10 cc. five times a day , Cardizem slow release 90 mg. PO q.d. , Folic Acid 1 mg. PO q.d. , Ciprofloxacin 500 mg. PO b.i.d. , discontinue on 12/10/92 KayCiel 30 mEq. down nasogastric tube q.d. , Peridex 10 cc. swish and spit q.i.d. , Coumadin 4 mg. nasogastric tube on odd days , alternating with 5 mg. nasogastric tube on even days , once daily , Tylenol 650 mg. PO and PR q6hours PRN pain , Nystatin powder to axilla and groin as needed .' +p145716 +(lp145717 +S'Metamucil\tMetamucil\tNN\tB-NP\tO' +p145718 +aS'1\t1\tCD\tI-NP\tO' +p145719 +aS'teaspoon\tteaspoon\tNN\tI-NP\tO' +p145720 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p145721 +aS',\t,\t,\tO\tO' +p145722 +aS'with\twith\tIN\tB-PP\tO' +p145723 +aS'first\tfirst\tJJ\tB-NP\tO' +p145724 +aS'bolus\tbolus\tNN\tI-NP\tO' +p145725 +aS'of\tof\tIN\tB-PP\tO' +p145726 +aS'juice\tjuice\tNN\tB-NP\tO' +p145727 +aS',\t,\t,\tO\tO' +p145728 +aS'juice\tjuice\tNN\tB-NP\tO' +p145729 +aS'250\t250\tCD\tI-NP\tO' +p145730 +aS'cc.\tcc.\tNN\tI-NP\tO' +p145731 +aS'down\tdown\tRB\tB-ADVP\tO' +p145732 +aS'nasogastric\tnasogastric\tJJ\tB-NP\tO' +p145733 +aS'tube\ttube\tNN\tI-NP\tO' +p145734 +aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' +p145735 +aS',\t,\t,\tO\tO' +p145736 +aS'tube\ttube\tNN\tB-NP\tO' +p145737 +aS'feeds\tfeed\tNNS\tI-NP\tO' +p145738 +aS'as\tas\tIN\tB-PP\tO' +p145739 +aS'above\tabove\tRB\tB-ADVP\tO' +p145740 +aS',\t,\t,\tO\tO' +p145741 +aS'Lactinex\tLactinex\tNNP\tB-NP\tO' +p145742 +aS'as\tas\tIN\tB-PP\tO' +p145743 +aS'above\tabove\tRB\tB-ADVP\tO' +p145744 +aS',\t,\t,\tO\tO' +p145745 +aS'Tagamet\tTagamet\tNNP\tB-NP\tO' +p145746 +aS'800\t800\tCD\tI-NP\tO' +p145747 +aS'mg.\tmg.\tNN\tI-NP\tO' +p145748 +aS'nasogastric\tnasogastric\tJJ\tI-NP\tO' +p145749 +aS'tube\ttube\tNN\tI-NP\tO' +p145750 +aS'qhs\tqh\tNNS\tI-NP\tO' +p145751 +aS',\t,\t,\tO\tO' +p145752 +aS'Nystatin\tNystatin\tNN\tB-NP\tO' +p145753 +aS'swish\tswish\tNN\tI-NP\tO' +p145754 +aS'and\tand\tCC\tO\tO' +p145755 +aS'spit\tspit\tNN\tB-NP\tO' +p145756 +aS'10\t10\tCD\tI-NP\tO' +p145757 +aS'cc.\tcc.\tNN\tI-NP\tO' +p145758 +aS'five\tfive\tCD\tB-NP\tO' +p145759 +aS'times\ttime\tNNS\tI-NP\tO' +p145760 +aS'a\ta\tDT\tB-NP\tO' +p145761 +aS'day\tday\tNN\tI-NP\tO' +p145762 +aS',\t,\t,\tO\tO' +p145763 +aS'Cardizem\tCardizem\tNNP\tB-NP\tO' +p145764 +aS'slow\tslow\tJJ\tI-NP\tO' +p145765 +aS'release\trelease\tNN\tI-NP\tO' +p145766 +aS'90\t90\tCD\tI-NP\tO' +p145767 +aS'mg.\tmg.\tNN\tI-NP\tO' +p145768 +aS'PO\tPO\tNN\tI-NP\tO' +p145769 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p145770 +aS',\t,\t,\tO\tO' +p145771 +aS'Folic\tFolic\tJJ\tB-NP\tO' +p145772 +aS'Acid\tAcid\tNN\tI-NP\tO' +p145773 +aS'1\t1\tCD\tI-NP\tO' +p145774 +aS'mg.\tmg.\tNN\tI-NP\tO' +p145775 +aS'PO\tPO\tNN\tI-NP\tO' +p145776 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p145777 +aS',\t,\t,\tO\tO' +p145778 +aS'Ciprofloxacin\tCiprofloxacin\tNN\tB-NP\tO' +p145779 +aS'500\t500\tCD\tI-NP\tO' +p145780 +aS'mg.\tmg.\tNN\tI-NP\tO' +p145781 +aS'PO\tPO\tNN\tI-NP\tO' +p145782 +aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' +p145783 +aS',\t,\t,\tO\tO' +p145784 +aS'discontinue\tdiscontinue\tVBP\tB-VP\tO' +p145785 +aS'on\ton\tIN\tB-PP\tO' +p145786 +aS'12/10/92\t12/10/92\tCD\tB-NP\tO' +p145787 +aS'KayCiel\tKayCiel\tNNP\tI-NP\tO' +p145788 +aS'30\t30\tCD\tI-NP\tO' +p145789 +aS'mEq.\tmEq.\tNNP\tI-NP\tO' +p145790 +aS'down\tdown\tIN\tB-PP\tO' +p145791 +aS'nasogastric\tnasogastric\tJJ\tB-NP\tO' +p145792 +aS'tube\ttube\tNN\tI-NP\tO' +p145793 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p145794 +aS',\t,\t,\tO\tO' +p145795 +aS'Peridex\tPeridex\tNNP\tB-NP\tO' +p145796 +aS'10\t10\tCD\tI-NP\tO' +p145797 +aS'cc.\tcc.\tNN\tI-NP\tO' +p145798 +aS'swish\tswish\tNN\tI-NP\tO' +p145799 +aS'and\tand\tCC\tO\tO' +p145800 +aS'spit\tspit\tNN\tB-NP\tO' +p145801 +aS'q.i.d.\tq.i.d.\tNN\tI-NP\tO' +p145802 +aS',\t,\t,\tO\tO' +p145803 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p145804 +aS'4\t4\tCD\tI-NP\tO' +p145805 +aS'mg.\tmg.\tNN\tI-NP\tO' +p145806 +aS'nasogastric\tnasogastric\tJJ\tI-NP\tO' +p145807 +aS'tube\ttube\tNN\tI-NP\tO' +p145808 +aS'on\ton\tIN\tB-PP\tO' +p145809 +aS'odd\todd\tJJ\tB-NP\tO' +p145810 +aS'days\tday\tNNS\tI-NP\tO' +p145811 +aS',\t,\t,\tO\tO' +p145812 +aS'alternating\talternate\tVBG\tB-VP\tO' +p145813 +aS'with\twith\tIN\tB-PP\tO' +p145814 +aS'5\t5\tCD\tB-NP\tO' +p145815 +aS'mg.\tmg.\tNN\tI-NP\tO' +p145816 +aS'nasogastric\tnasogastric\tJJ\tI-NP\tO' +p145817 +aS'tube\ttube\tNN\tI-NP\tO' +p145818 +aS'on\ton\tIN\tB-PP\tO' +p145819 +aS'even\teven\tJJ\tB-NP\tO' +p145820 +aS'days\tday\tNNS\tI-NP\tO' +p145821 +aS',\t,\t,\tO\tO' +p145822 +aS'once\tonce\tRB\tB-ADVP\tO' +p145823 +aS'daily\tdaily\tJJ\tB-ADJP\tO' +p145824 +aS',\t,\t,\tO\tO' +p145825 +aS'Tylenol\tTylenol\tNN\tB-NP\tB-protein' +p145826 +aS'650\t650\tCD\tI-NP\tI-protein' +p145827 +aS'mg.\tmg.\tNN\tI-NP\tI-protein' +p145828 +aS'PO\tPO\tNN\tI-NP\tI-protein' +p145829 +aS'and\tand\tCC\tI-NP\tO' +p145830 +aS'PR\tPR\tNN\tI-NP\tB-protein' +p145831 +aS'q6hours\tq6hour\tNNS\tI-NP\tO' +p145832 +aS'PRN\tPRN\tNN\tI-NP\tO' +p145833 +aS'pain\tpain\tNN\tI-NP\tO' +p145834 +aS',\t,\t,\tO\tO' +p145835 +aS'Nystatin\tNystatin\tNN\tB-NP\tO' +p145836 +aS'powder\tpowder\tNN\tI-NP\tO' +p145837 +aS'to\tto\tTO\tB-PP\tO' +p145838 +aS'axilla\taxilla\tNN\tB-NP\tO' +p145839 +aS'and\tand\tCC\tI-NP\tO' +p145840 +aS'groin\tgroin\tNN\tI-NP\tO' +p145841 +aS'as\tas\tIN\tB-SBAR\tO' +p145842 +aS'needed\tneed\tVBN\tB-VP\tO' +p145843 +aS'.\t.\t.\tO\tO' +p145844 +asS"Mother suffer MI in her 50 's, died at age 59 ." +p145845 +(lp145846 +S'Mother\tMother\tDT\tB-NP\tO' +p145847 +aS'suffer\tsuffer\tVBP\tB-VP\tO' +p145848 +aS'MI\tMI\tNN\tB-NP\tO' +p145849 +aS'in\tin\tIN\tB-PP\tO' +p145850 +aS'her\ther\tPRP$\tB-NP\tB-cell_line' +p145851 +aS'50\t50\tCD\tI-NP\tI-cell_line' +p145852 +aS"'s,\t's,\tPOS\tB-NP\tI-cell_line" +p145853 +aS'died\tdie\tVBD\tB-VP\tO' +p145854 +aS'at\tat\tIN\tB-PP\tO' +p145855 +aS'age\tage\tNN\tB-NP\tO' +p145856 +aS'59\t59\tCD\tI-NP\tO' +p145857 +aS'.\t.\t.\tO\tO' +p145858 +asS'The patient will be followed by the Anticoagulation Clinic for prothrombin time level evaluations and appropriate Coumadin doses .' +p145859 +(lp145860 +S'The\tThe\tDT\tB-NP\tO' +p145861 +aS'patient\tpatient\tNN\tI-NP\tO' +p145862 +aS'will\twill\tMD\tB-VP\tO' +p145863 +aS'be\tbe\tVB\tI-VP\tO' +p145864 +aS'followed\tfollow\tVBN\tI-VP\tO' +p145865 +aS'by\tby\tIN\tB-PP\tO' +p145866 +aS'the\tthe\tDT\tB-NP\tO' +p145867 +aS'Anticoagulation\tAnticoagulation\tNNP\tI-NP\tO' +p145868 +aS'Clinic\tClinic\tNNP\tI-NP\tO' +p145869 +aS'for\tfor\tIN\tB-PP\tO' +p145870 +aS'prothrombin\tprothrombin\tNN\tB-NP\tO' +p145871 +aS'time\ttime\tNN\tI-NP\tO' +p145872 +aS'level\tlevel\tNN\tB-NP\tO' +p145873 +aS'evaluations\tevaluation\tNNS\tI-NP\tO' +p145874 +aS'and\tand\tCC\tO\tO' +p145875 +aS'appropriate\tappropriate\tJJ\tB-NP\tO' +p145876 +aS'Coumadin\tCoumadin\tNN\tI-NP\tO' +p145877 +aS'doses\tdose\tNNS\tI-NP\tO' +p145878 +aS'.\t.\t.\tO\tO' +p145879 +asS'Responsible After Study for Causing Admission ) abdominal pain' +p145880 +(lp145881 +S'Responsible\tResponsible\tJJ\tB-ADJP\tO' +p145882 +aS'After\tAfter\tIN\tB-PP\tO' +p145883 +aS'Study\tStudy\tNN\tB-NP\tO' +p145884 +aS'for\tfor\tIN\tB-PP\tO' +p145885 +aS'Causing\tCause\tVBG\tB-NP\tO' +p145886 +aS'Admission\tAdmission\tNN\tI-NP\tO' +p145887 +aS')\t)\t)\tI-NP\tO' +p145888 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p145889 +aS'pain\tpain\tNN\tI-NP\tO' +p145890 +asS'If severe , then proceed to ER for evaluation .' +p145891 +(lp145892 +S'If\tIf\tIN\tB-SBAR\tO' +p145893 +aS'severe\tsevere\tJJ\tB-ADJP\tO' +p145894 +aS',\t,\t,\tO\tO' +p145895 +aS'then\tthen\tRB\tB-ADVP\tO' +p145896 +aS'proceed\tproceed\tVB\tB-VP\tO' +p145897 +aS'to\tto\tTO\tB-PP\tO' +p145898 +aS'ER\tER\tNN\tB-NP\tB-protein' +p145899 +aS'for\tfor\tIN\tB-PP\tO' +p145900 +aS'evaluation\tevaluation\tNN\tB-NP\tO' +p145901 +aS'.\t.\t.\tO\tO' +p145902 +asS'He was medflighted to The Hospital for Orthopedics for ongoing trauma care .' +p145903 +(lp145904 +S'He\tHe\tPRP\tB-NP\tO' +p145905 +aS'was\tbe\tVBD\tB-VP\tO' +p145906 +aS'medflighted\tmedflighte\tVBN\tI-VP\tO' +p145907 +aS'to\tto\tTO\tB-PP\tO' +p145908 +aS'The\tThe\tDT\tB-NP\tO' +p145909 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p145910 +aS'for\tfor\tIN\tB-PP\tO' +p145911 +aS'Orthopedics\tOrthopedics\tNNP\tB-NP\tO' +p145912 +aS'for\tfor\tIN\tB-PP\tO' +p145913 +aS'ongoing\tongoing\tJJ\tB-NP\tO' +p145914 +aS'trauma\ttrauma\tNN\tI-NP\tO' +p145915 +aS'care\tcare\tNN\tI-NP\tO' +p145916 +aS'.\t.\t.\tO\tO' +p145917 +asS'Atrial fibrillation .' +p145918 +(lp145919 +S'Atrial\tAtrial\tJJ\tB-NP\tO' +p145920 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p145921 +aS'.\t.\t.\tO\tO' +p145922 +asS'7) Positive PPD .' +p145923 +(lp145924 +S'7)\t7)\tLS\tB-NP\tO' +p145925 +aS'Positive\tPositive\tJJ\tI-NP\tO' +p145926 +aS'PPD\tPPD\tNN\tI-NP\tO' +p145927 +aS'.\t.\t.\tO\tO' +p145928 +asS'On 2016-09-03 , the patient began experiencing continuing chest pain of increasing intensity .' +p145929 +(lp145930 +S'On\tOn\tIN\tB-PP\tO' +p145931 +aS'2016-09-03\t2016-09-03\tCD\tB-NP\tO' +p145932 +aS',\t,\t,\tO\tO' +p145933 +aS'the\tthe\tDT\tB-NP\tO' +p145934 +aS'patient\tpatient\tNN\tI-NP\tO' +p145935 +aS'began\tbegin\tVBD\tB-VP\tO' +p145936 +aS'experiencing\texperience\tVBG\tI-VP\tO' +p145937 +aS'continuing\tcontinue\tVBG\tB-NP\tO' +p145938 +aS'chest\tchest\tNN\tI-NP\tO' +p145939 +aS'pain\tpain\tNN\tI-NP\tO' +p145940 +aS'of\tof\tIN\tB-PP\tO' +p145941 +aS'increasing\tincrease\tVBG\tB-VP\tO' +p145942 +aS'intensity\tintensity\tNN\tB-NP\tO' +p145943 +aS'.\t.\t.\tO\tO' +p145944 +asS'He was taken to the Sephsandpot Center where he was hypotensive with a blood pressure of 105/85 , tachycardic with a heart rate to 186 , aneuric , hyperthermic , with a temperature to 105 degrees F , and progressively more confused .' +p145945 +(lp145946 +S'He\tHe\tPRP\tB-NP\tO' +p145947 +aS'was\tbe\tVBD\tB-VP\tO' +p145948 +aS'taken\ttake\tVBN\tI-VP\tO' +p145949 +aS'to\tto\tTO\tB-PP\tO' +p145950 +aS'the\tthe\tDT\tB-NP\tO' +p145951 +aS'Sephsandpot\tSephsandpot\tNNP\tI-NP\tO' +p145952 +aS'Center\tCenter\tNNP\tI-NP\tO' +p145953 +aS'where\twhere\tWRB\tB-ADVP\tO' +p145954 +aS'he\the\tPRP\tB-NP\tO' +p145955 +aS'was\tbe\tVBD\tB-VP\tO' +p145956 +aS'hypotensive\thypotensive\tJJ\tB-ADJP\tO' +p145957 +aS'with\twith\tIN\tB-PP\tO' +p145958 +aS'a\ta\tDT\tB-NP\tO' +p145959 +aS'blood\tblood\tNN\tI-NP\tO' +p145960 +aS'pressure\tpressure\tNN\tI-NP\tO' +p145961 +aS'of\tof\tIN\tB-PP\tO' +p145962 +aS'105/85\t105/85\tCD\tB-NP\tO' +p145963 +aS',\t,\t,\tO\tO' +p145964 +aS'tachycardic\ttachycardic\tJJ\tB-ADJP\tO' +p145965 +aS'with\twith\tIN\tB-PP\tO' +p145966 +aS'a\ta\tDT\tB-NP\tO' +p145967 +aS'heart\theart\tNN\tI-NP\tO' +p145968 +aS'rate\trate\tNN\tI-NP\tO' +p145969 +aS'to\tto\tTO\tB-PP\tO' +p145970 +aS'186\t186\tCD\tB-NP\tO' +p145971 +aS',\t,\t,\tO\tO' +p145972 +aS'aneuric\taneuric\tJJ\tB-NP\tO' +p145973 +aS',\t,\t,\tI-NP\tO' +p145974 +aS'hyperthermic\thyperthermic\tJJ\tI-NP\tO' +p145975 +aS',\t,\t,\tO\tO' +p145976 +aS'with\twith\tIN\tB-PP\tO' +p145977 +aS'a\ta\tDT\tB-NP\tO' +p145978 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p145979 +aS'to\tto\tTO\tB-PP\tO' +p145980 +aS'105\t105\tCD\tB-NP\tO' +p145981 +aS'degrees\tdegree\tNNS\tI-NP\tO' +p145982 +aS'F\tF\tNN\tI-NP\tO' +p145983 +aS',\t,\t,\tO\tO' +p145984 +aS'and\tand\tCC\tO\tO' +p145985 +aS'progressively\tprogressively\tRB\tB-VP\tO' +p145986 +aS'more\tmore\tRBR\tI-VP\tO' +p145987 +aS'confused\tconfuse\tVBN\tI-VP\tO' +p145988 +aS'.\t.\t.\tO\tO' +p145989 +asS'normal sinus rhythm at 72 beats / minute , intraventricular conduction delay , Q - waves seen in II , III , and AVF with probable old inferior myocardial infarction .' +p145990 +(lp145991 +S'normal\tnormal\tJJ\tB-NP\tO' +p145992 +aS'sinus\tsinus\tNN\tI-NP\tO' +p145993 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p145994 +aS'at\tat\tIN\tB-PP\tO' +p145995 +aS'72\t72\tCD\tB-NP\tO' +p145996 +aS'beats\tbeat\tNNS\tI-NP\tO' +p145997 +aS'/\t/\tSYM\tB-NP\tO' +p145998 +aS'minute\tminute\tNN\tI-NP\tO' +p145999 +aS',\t,\t,\tO\tO' +p146000 +aS'intraventricular\tintraventricular\tJJ\tB-NP\tO' +p146001 +aS'conduction\tconduction\tNN\tI-NP\tO' +p146002 +aS'delay\tdelay\tNN\tI-NP\tO' +p146003 +aS',\t,\t,\tO\tO' +p146004 +aS'Q\tQ\tNN\tB-NP\tB-protein' +p146005 +aS'-\t-\tHYPH\tB-NP\tO' +p146006 +aS'waves\twave\tNNS\tI-NP\tO' +p146007 +aS'seen\tsee\tVBN\tB-VP\tO' +p146008 +aS'in\tin\tIN\tB-PP\tO' +p146009 +aS'II\tII\tCD\tB-NP\tO' +p146010 +aS',\t,\t,\tI-NP\tO' +p146011 +aS'III\tIII\tCD\tI-NP\tO' +p146012 +aS',\t,\t,\tO\tO' +p146013 +aS'and\tand\tCC\tO\tO' +p146014 +aS'AVF\tAVF\tNN\tB-NP\tB-protein' +p146015 +aS'with\twith\tIN\tB-PP\tO' +p146016 +aS'probable\tprobable\tJJ\tB-NP\tO' +p146017 +aS'old\told\tJJ\tI-NP\tO' +p146018 +aS'inferior\tinferior\tJJ\tI-NP\tO' +p146019 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p146020 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p146021 +aS'.\t.\t.\tO\tO' +p146022 +asS'thickening consistent with Trisomy 21 in the B co-twin .' +p146023 +(lp146024 +S'thickening\tthicken\tVBG\tB-VP\tO' +p146025 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p146026 +aS'with\twith\tIN\tB-PP\tO' +p146027 +aS'Trisomy\tTrisomy\tNN\tB-NP\tB-protein' +p146028 +aS'21\t21\tCD\tI-NP\tI-protein' +p146029 +aS'in\tin\tIN\tB-PP\tO' +p146030 +aS'the\tthe\tDT\tB-NP\tO' +p146031 +aS'B\tB\tNN\tI-NP\tB-protein' +p146032 +aS'co-twin\tco-twin\tNN\tI-NP\tI-protein' +p146033 +aS'.\t.\t.\tO\tO' +p146034 +asS'Extremities revealed a 2 x 3 cm tender mass in the lateral left calf , medial 1 cm mass above her knee .' +p146035 +(lp146036 +S'Extremities\tExtremity\tNNS\tB-NP\tO' +p146037 +aS'revealed\treveal\tVBD\tB-VP\tO' +p146038 +aS'a\ta\tDT\tB-NP\tO' +p146039 +aS'2\t2\tCD\tI-NP\tO' +p146040 +aS'x\tx\tSYM\tI-NP\tO' +p146041 +aS'3\t3\tCD\tI-NP\tO' +p146042 +aS'cm\tcm\tNN\tI-NP\tO' +p146043 +aS'tender\ttender\tNN\tI-NP\tO' +p146044 +aS'mass\tmass\tNN\tI-NP\tO' +p146045 +aS'in\tin\tIN\tB-PP\tO' +p146046 +aS'the\tthe\tDT\tB-NP\tO' +p146047 +aS'lateral\tlateral\tJJ\tI-NP\tO' +p146048 +aS'left\tleft\tJJ\tI-NP\tO' +p146049 +aS'calf\tcalf\tNN\tI-NP\tO' +p146050 +aS',\t,\t,\tO\tO' +p146051 +aS'medial\tmedial\tJJ\tB-NP\tO' +p146052 +aS'1\t1\tCD\tI-NP\tO' +p146053 +aS'cm\tcm\tNN\tI-NP\tO' +p146054 +aS'mass\tmass\tNN\tI-NP\tO' +p146055 +aS'above\tabove\tIN\tB-PP\tO' +p146056 +aS'her\ther\tPRP$\tB-NP\tO' +p146057 +aS'knee\tknee\tNN\tI-NP\tO' +p146058 +aS'.\t.\t.\tO\tO' +p146059 +asS'Explained to Lewin that pt will likely need to be intubated , as she cannot lie flat , and most likely cannot undergo pericardial drainage , thoracentesis , or right heart cath with BiPAP ( which would have been the next measure after NRB , and prior to intubation ).' +p146060 +(lp146061 +S'Explained\tExplain\tVBN\tB-VP\tO' +p146062 +aS'to\tto\tTO\tB-VP\tO' +p146063 +aS'Lewin\tLewin\tVB\tI-VP\tO' +p146064 +aS'that\tthat\tDT\tB-NP\tO' +p146065 +aS'pt\tpt\tNN\tI-NP\tO' +p146066 +aS'will\twill\tMD\tB-VP\tO' +p146067 +aS'likely\tlikely\tRB\tI-VP\tO' +p146068 +aS'need\tneed\tVB\tI-VP\tO' +p146069 +aS'to\tto\tTO\tI-VP\tO' +p146070 +aS'be\tbe\tVB\tI-VP\tO' +p146071 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p146072 +aS',\t,\t,\tO\tO' +p146073 +aS'as\tas\tIN\tB-SBAR\tO' +p146074 +aS'she\tshe\tPRP\tB-NP\tO' +p146075 +aS'cannot\tcannot\tMD\tB-VP\tO' +p146076 +aS'lie\tlie\tVB\tI-VP\tO' +p146077 +aS'flat\tflat\tJJ\tB-ADJP\tO' +p146078 +aS',\t,\t,\tO\tO' +p146079 +aS'and\tand\tCC\tO\tO' +p146080 +aS'most\tmost\tRBS\tB-ADVP\tO' +p146081 +aS'likely\tlikely\tRB\tI-ADVP\tO' +p146082 +aS'cannot\tcannot\tMD\tB-VP\tO' +p146083 +aS'undergo\tundergo\tVB\tI-VP\tO' +p146084 +aS'pericardial\tpericardial\tJJ\tB-NP\tO' +p146085 +aS'drainage\tdrainage\tNN\tI-NP\tO' +p146086 +aS',\t,\t,\tO\tO' +p146087 +aS'thoracentesis\tthoracentesis\tNN\tB-NP\tO' +p146088 +aS',\t,\t,\tO\tO' +p146089 +aS'or\tor\tCC\tO\tO' +p146090 +aS'right\tright\tJJ\tB-NP\tO' +p146091 +aS'heart\theart\tNN\tI-NP\tO' +p146092 +aS'cath\tcath\tNN\tI-NP\tO' +p146093 +aS'with\twith\tIN\tB-PP\tO' +p146094 +aS'BiPAP\tBiPAP\tNN\tB-NP\tB-protein' +p146095 +aS'(\t(\t(\tO\tO' +p146096 +aS'which\twhich\tWDT\tB-NP\tO' +p146097 +aS'would\twould\tMD\tB-VP\tO' +p146098 +aS'have\thave\tVB\tI-VP\tO' +p146099 +aS'been\tbe\tVBN\tI-VP\tO' +p146100 +aS'the\tthe\tDT\tB-NP\tO' +p146101 +aS'next\tnext\tJJ\tI-NP\tO' +p146102 +aS'measure\tmeasure\tNN\tI-NP\tO' +p146103 +aS'after\tafter\tIN\tB-PP\tO' +p146104 +aS'NRB\tNRB\tNN\tB-NP\tB-protein' +p146105 +aS',\t,\t,\tO\tO' +p146106 +aS'and\tand\tCC\tO\tO' +p146107 +aS'prior\tprior\tRB\tB-ADVP\tO' +p146108 +aS'to\tto\tTO\tB-PP\tO' +p146109 +aS'intubation\tintubation\tNN\tB-NP\tO' +p146110 +aS').\t).\t.\tO\tO' +p146111 +asS'Will plan on ETT .' +p146112 +(lp146113 +S'Will\tWill\tMD\tB-NP\tO' +p146114 +aS'plan\tplan\tNN\tI-NP\tO' +p146115 +aS'on\ton\tIN\tB-PP\tO' +p146116 +aS'ETT\tETT\tNN\tB-NP\tB-protein' +p146117 +aS'.\t.\t.\tO\tO' +p146118 +asS'The patient is a 68 year old with acute leukemia .' +p146119 +(lp146120 +S'The\tThe\tDT\tB-NP\tO' +p146121 +aS'patient\tpatient\tNN\tI-NP\tO' +p146122 +aS'is\tbe\tVBZ\tB-VP\tO' +p146123 +aS'a\ta\tDT\tB-NP\tO' +p146124 +aS'68\t68\tCD\tI-NP\tO' +p146125 +aS'year\tyear\tNN\tI-NP\tO' +p146126 +aS'old\told\tJJ\tB-ADJP\tO' +p146127 +aS'with\twith\tIN\tB-PP\tO' +p146128 +aS'acute\tacute\tJJ\tB-NP\tO' +p146129 +aS'leukemia\tleukemia\tNN\tI-NP\tO' +p146130 +aS'.\t.\t.\tO\tO' +p146131 +asS'A small intimal tear in the arch of the aorta during the angiogram , was without sequelae .' +p146132 +(lp146133 +S'A\tA\tDT\tB-NP\tO' +p146134 +aS'small\tsmall\tJJ\tI-NP\tO' +p146135 +aS'intimal\tintimal\tJJ\tI-NP\tO' +p146136 +aS'tear\ttear\tNN\tI-NP\tO' +p146137 +aS'in\tin\tIN\tB-PP\tO' +p146138 +aS'the\tthe\tDT\tB-NP\tO' +p146139 +aS'arch\tarch\tNN\tI-NP\tO' +p146140 +aS'of\tof\tIN\tB-PP\tO' +p146141 +aS'the\tthe\tDT\tB-NP\tO' +p146142 +aS'aorta\taorta\tNN\tI-NP\tO' +p146143 +aS'during\tduring\tIN\tB-PP\tO' +p146144 +aS'the\tthe\tDT\tB-NP\tO' +p146145 +aS'angiogram\tangiogram\tNN\tI-NP\tO' +p146146 +aS',\t,\t,\tO\tO' +p146147 +aS'was\tbe\tVBD\tB-VP\tO' +p146148 +aS'without\twithout\tIN\tB-PP\tO' +p146149 +aS'sequelae\tsequela\tNNS\tB-NP\tO' +p146150 +aS'.\t.\t.\tO\tO' +p146151 +asS'An autopsy permission was granted .' +p146152 +(lp146153 +S'An\tAn\tDT\tB-NP\tO' +p146154 +aS'autopsy\tautopsy\tNN\tI-NP\tO' +p146155 +aS'permission\tpermission\tNN\tI-NP\tO' +p146156 +aS'was\tbe\tVBD\tB-VP\tO' +p146157 +aS'granted\tgrant\tVBN\tI-VP\tO' +p146158 +aS'.\t.\t.\tO\tO' +p146159 +asS'45M w/no PMH presented to Chelseahospital after a syncopal episode on the morning of admission .' +p146160 +(lp146161 +S'45M\t45M\tNN\tB-NP\tO' +p146162 +aS'w/no\tw/no\tNN\tI-NP\tO' +p146163 +aS'PMH\tPMH\tNN\tI-NP\tO' +p146164 +aS'presented\tpresent\tVBN\tB-VP\tO' +p146165 +aS'to\tto\tTO\tB-PP\tO' +p146166 +aS'Chelseahospital\tChelseahospital\tNNP\tB-NP\tO' +p146167 +aS'after\tafter\tIN\tB-PP\tO' +p146168 +aS'a\ta\tDT\tB-NP\tO' +p146169 +aS'syncopal\tsyncopal\tJJ\tI-NP\tO' +p146170 +aS'episode\tepisode\tNN\tI-NP\tO' +p146171 +aS'on\ton\tIN\tB-PP\tO' +p146172 +aS'the\tthe\tDT\tB-NP\tO' +p146173 +aS'morning\tmorning\tNN\tI-NP\tO' +p146174 +aS'of\tof\tIN\tB-PP\tO' +p146175 +aS'admission\tadmission\tNN\tB-NP\tO' +p146176 +aS'.\t.\t.\tO\tO' +p146177 +asS'On 11-02 she was brought to the operating room where she underwent a coronary artery bypass graft x 2 .' +p146178 +(lp146179 +S'On\tOn\tIN\tB-PP\tO' +p146180 +aS'11-02\t11-02\tCD\tB-NP\tO' +p146181 +aS'she\tshe\tPRP\tB-NP\tO' +p146182 +aS'was\tbe\tVBD\tB-VP\tO' +p146183 +aS'brought\tbring\tVBN\tI-VP\tO' +p146184 +aS'to\tto\tTO\tB-PP\tO' +p146185 +aS'the\tthe\tDT\tB-NP\tO' +p146186 +aS'operating\toperating\tNN\tI-NP\tO' +p146187 +aS'room\troom\tNN\tI-NP\tO' +p146188 +aS'where\twhere\tWRB\tB-ADVP\tO' +p146189 +aS'she\tshe\tPRP\tB-NP\tO' +p146190 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p146191 +aS'a\ta\tDT\tB-NP\tO' +p146192 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p146193 +aS'artery\tartery\tNN\tI-NP\tO' +p146194 +aS'bypass\tbypass\tIN\tB-PP\tO' +p146195 +aS'graft\tgraft\tNN\tB-NP\tB-protein' +p146196 +aS'x\tx\tSYM\tB-NP\tI-protein' +p146197 +aS'2\t2\tCD\tI-NP\tI-protein' +p146198 +aS'.\t.\t.\tO\tO' +p146199 +asS'6. Tiotropium Bromide 18 mcg Capsule , w/ Inhalation Device Sig : One ( 1 ) Cap Inhalation DAILY ( Daily ) .' +p146200 +(lp146201 +S'6.\t6.\tLS\tB-NP\tO' +p146202 +aS'Tiotropium\tTiotropium\tNNP\tI-NP\tO' +p146203 +aS'Bromide\tBromide\tNNP\tI-NP\tO' +p146204 +aS'18\t18\tCD\tI-NP\tO' +p146205 +aS'mcg\tmcg\tNN\tI-NP\tO' +p146206 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p146207 +aS',\t,\t,\tO\tO' +p146208 +aS'w/\tw/\tDT\tB-NP\tO' +p146209 +aS'Inhalation\tInhalation\tNNP\tI-NP\tO' +p146210 +aS'Device\tDevice\tNNP\tI-NP\tO' +p146211 +aS'Sig\tSig\tNNP\tI-NP\tO' +p146212 +aS':\t:\t:\tO\tO' +p146213 +aS'One\tOne\tCD\tB-NP\tO' +p146214 +aS'(\t(\t(\tO\tO' +p146215 +aS'1\t1\tCD\tB-NP\tO' +p146216 +aS')\t)\t)\tO\tO' +p146217 +aS'Cap\tCap\tNN\tB-NP\tO' +p146218 +aS'Inhalation\tInhalation\tNN\tI-NP\tO' +p146219 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p146220 +aS'(\t(\t(\tO\tO' +p146221 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p146222 +aS')\t)\t)\tO\tO' +p146223 +aS'.\t.\t.\tO\tO' +p146224 +asS'The patient did well in the immediate postoperative period .' +p146225 +(lp146226 +S'The\tThe\tDT\tB-NP\tO' +p146227 +aS'patient\tpatient\tNN\tI-NP\tO' +p146228 +aS'did\tdo\tVBD\tB-VP\tO' +p146229 +aS'well\twell\tRB\tB-ADVP\tO' +p146230 +aS'in\tin\tIN\tB-PP\tO' +p146231 +aS'the\tthe\tDT\tB-NP\tO' +p146232 +aS'immediate\timmediate\tJJ\tI-NP\tO' +p146233 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p146234 +aS'period\tperiod\tNN\tI-NP\tO' +p146235 +aS'.\t.\t.\tO\tO' +p146236 +asS'2. Lasix 20 mg p.o. q. 12 hours times seven days .' +p146237 +(lp146238 +S'2.\t2.\tLS\tB-NP\tO' +p146239 +aS'Lasix\tLasix\tNNP\tI-NP\tO' +p146240 +aS'20\t20\tCD\tI-NP\tO' +p146241 +aS'mg\tmg\tNN\tI-NP\tO' +p146242 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p146243 +aS'q.\tq.\tNN\tI-NP\tO' +p146244 +aS'12\t12\tCD\tB-NP\tO' +p146245 +aS'hours\thour\tNNS\tI-NP\tO' +p146246 +aS'times\ttimes\tCC\tO\tO' +p146247 +aS'seven\tseven\tCD\tB-NP\tO' +p146248 +aS'days\tday\tNNS\tI-NP\tO' +p146249 +aS'.\t.\t.\tO\tO' +p146250 +asS'RIGHT CAPSULAR PUTAMENAL HEMORRHAGE .' +p146251 +(lp146252 +S'RIGHT\tRIGHT\tNN\tB-NP\tO' +p146253 +aS'CAPSULAR\tCAPSULAR\tNN\tI-NP\tO' +p146254 +aS'PUTAMENAL\tPUTAMENAL\tNN\tI-NP\tO' +p146255 +aS'HEMORRHAGE\tHEMORRHAGE\tNN\tI-NP\tO' +p146256 +aS'.\t.\t.\tO\tO' +p146257 +asS'However with the help of Albano , his blood glucose began to normalize .' +p146258 +(lp146259 +S'However\tHowever\tRB\tB-ADVP\tO' +p146260 +aS'with\twith\tIN\tB-PP\tO' +p146261 +aS'the\tthe\tDT\tB-NP\tO' +p146262 +aS'help\thelp\tNN\tI-NP\tO' +p146263 +aS'of\tof\tIN\tB-PP\tO' +p146264 +aS'Albano\tAlbano\tNNP\tB-NP\tO' +p146265 +aS',\t,\t,\tO\tO' +p146266 +aS'his\this\tPRP$\tB-NP\tO' +p146267 +aS'blood\tblood\tNN\tI-NP\tO' +p146268 +aS'glucose\tglucose\tNN\tI-NP\tO' +p146269 +aS'began\tbegin\tVBD\tB-VP\tO' +p146270 +aS'to\tto\tTO\tI-VP\tO' +p146271 +aS'normalize\tnormalize\tVB\tI-VP\tO' +p146272 +aS'.\t.\t.\tO\tO' +p146273 +asS'He understands that he does have significant left ventricle dysfunction and requires monitoring of his prothrombin times and his arrhythmias ; these will be done in Grovea Co Terburgperv Portnew .' +p146274 +(lp146275 +S'He\tHe\tPRP\tB-NP\tO' +p146276 +aS'understands\tunderstand\tVBZ\tB-VP\tO' +p146277 +aS'that\tthat\tIN\tB-SBAR\tO' +p146278 +aS'he\the\tPRP\tB-NP\tO' +p146279 +aS'does\tdo\tVBZ\tB-VP\tO' +p146280 +aS'have\thave\tVB\tI-VP\tO' +p146281 +aS'significant\tsignificant\tJJ\tB-NP\tO' +p146282 +aS'left\tleft\tJJ\tI-NP\tO' +p146283 +aS'ventricle\tventricle\tNN\tI-NP\tO' +p146284 +aS'dysfunction\tdysfunction\tNN\tI-NP\tO' +p146285 +aS'and\tand\tCC\tO\tO' +p146286 +aS'requires\trequire\tVBZ\tB-VP\tO' +p146287 +aS'monitoring\tmonitoring\tNN\tB-NP\tO' +p146288 +aS'of\tof\tIN\tB-PP\tO' +p146289 +aS'his\this\tPRP$\tB-NP\tO' +p146290 +aS'prothrombin\tprothrombin\tNN\tI-NP\tO' +p146291 +aS'times\ttime\tNNS\tI-NP\tO' +p146292 +aS'and\tand\tCC\tO\tO' +p146293 +aS'his\this\tPRP$\tB-NP\tO' +p146294 +aS'arrhythmias\tarrhythmia\tNNS\tI-NP\tO' +p146295 +aS';\t;\t:\tO\tO' +p146296 +aS'these\tthese\tDT\tB-NP\tO' +p146297 +aS'will\twill\tMD\tB-VP\tO' +p146298 +aS'be\tbe\tVB\tI-VP\tO' +p146299 +aS'done\tdo\tVBN\tI-VP\tO' +p146300 +aS'in\tin\tIN\tB-PP\tO' +p146301 +aS'Grovea\tGrovea\tNNP\tB-NP\tO' +p146302 +aS'Co\tCo\tNNP\tI-NP\tO' +p146303 +aS'Terburgperv\tTerburgperv\tNNP\tI-NP\tO' +p146304 +aS'Portnew\tPortnew\tNNP\tI-NP\tO' +p146305 +aS'.\t.\t.\tO\tO' +p146306 +asS'1. Decreased size of right posterior subdural hemorrhage .' +p146307 +(lp146308 +S'1.\t1.\tLS\tB-LST\tO' +p146309 +aS'Decreased\tDecrease\tVBD\tB-VP\tO' +p146310 +aS'size\tsize\tNN\tB-NP\tO' +p146311 +aS'of\tof\tIN\tB-PP\tO' +p146312 +aS'right\tright\tJJ\tB-NP\tO' +p146313 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p146314 +aS'subdural\tsubdural\tJJ\tI-NP\tO' +p146315 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p146316 +aS'.\t.\t.\tO\tO' +p146317 +asS'1. Tylenol #3 one to two tablets p.o. q 4-6 hours p.r.n.' +p146318 +(lp146319 +S'1.\t1.\tLS\tB-NP\tO' +p146320 +aS'Tylenol\tTylenol\tNN\tI-NP\tO' +p146321 +aS'#3\t#3\tNN\tI-NP\tO' +p146322 +aS'one\tone\tCD\tB-NP\tO' +p146323 +aS'to\tto\tTO\tI-NP\tO' +p146324 +aS'two\ttwo\tCD\tI-NP\tO' +p146325 +aS'tablets\ttablet\tNNS\tI-NP\tO' +p146326 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p146327 +aS'q\tq\tNN\tI-NP\tO' +p146328 +aS'4-6\t4-6\tCD\tB-NP\tO' +p146329 +aS'hours\thour\tNNS\tI-NP\tO' +p146330 +aS'p.r.n.\tp.r.n.\tRB\tB-ADVP\tO' +p146331 +asS'Her acute bradycardic event was felt likely secondary to her new beta blocker in conjunction with a vagal response .' +p146332 +(lp146333 +S'Her\tHer\tPRP$\tB-NP\tO' +p146334 +aS'acute\tacute\tJJ\tI-NP\tO' +p146335 +aS'bradycardic\tbradycardic\tJJ\tI-NP\tO' +p146336 +aS'event\tevent\tNN\tI-NP\tO' +p146337 +aS'was\tbe\tVBD\tB-VP\tO' +p146338 +aS'felt\tfeel\tVBN\tI-VP\tO' +p146339 +aS'likely\tlikely\tRB\tB-ADJP\tO' +p146340 +aS'secondary\tsecondary\tJJ\tI-ADJP\tO' +p146341 +aS'to\tto\tTO\tB-PP\tO' +p146342 +aS'her\ther\tPRP$\tB-NP\tO' +p146343 +aS'new\tnew\tJJ\tI-NP\tO' +p146344 +aS'beta\tbeta\tNN\tI-NP\tO' +p146345 +aS'blocker\tblocker\tNN\tI-NP\tO' +p146346 +aS'in\tin\tIN\tB-PP\tO' +p146347 +aS'conjunction\tconjunction\tNN\tB-NP\tO' +p146348 +aS'with\twith\tIN\tB-PP\tO' +p146349 +aS'a\ta\tDT\tB-NP\tO' +p146350 +aS'vagal\tvagal\tJJ\tI-NP\tO' +p146351 +aS'response\tresponse\tNN\tI-NP\tO' +p146352 +aS'.\t.\t.\tO\tO' +p146353 +asS'She smokes approximately one pack per day .' +p146354 +(lp146355 +S'She\tShe\tPRP\tB-NP\tO' +p146356 +aS'smokes\tsmoke\tVBZ\tB-VP\tO' +p146357 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p146358 +aS'one\tone\tCD\tI-NP\tO' +p146359 +aS'pack\tpack\tNN\tI-NP\tO' +p146360 +aS'per\tper\tIN\tB-PP\tO' +p146361 +aS'day\tday\tNN\tB-NP\tO' +p146362 +aS'.\t.\t.\tO\tO' +p146363 +asS'Small stroke , nearly recovered , likely embolic from carotid artery .' +p146364 +(lp146365 +S'Small\tSmall\tJJ\tB-NP\tO' +p146366 +aS'stroke\tstroke\tNN\tI-NP\tO' +p146367 +aS',\t,\t,\tO\tO' +p146368 +aS'nearly\tnearly\tRB\tB-VP\tO' +p146369 +aS'recovered\trecover\tVBD\tI-VP\tO' +p146370 +aS',\t,\t,\tO\tO' +p146371 +aS'likely\tlikely\tRB\tB-ADJP\tO' +p146372 +aS'embolic\tembolic\tJJ\tI-ADJP\tO' +p146373 +aS'from\tfrom\tIN\tB-PP\tO' +p146374 +aS'carotid\tcarotid\tJJ\tB-NP\tO' +p146375 +aS'artery\tartery\tNN\tI-NP\tO' +p146376 +aS'.\t.\t.\tO\tO' +p146377 +asS'Nutrition : She was held NPO at admission , and initiated on TPN by HD#3 .' +p146378 +(lp146379 +S'Nutrition\tNutrition\tNN\tB-NP\tO' +p146380 +aS':\t:\t:\tO\tO' +p146381 +aS'She\tShe\tPRP\tB-NP\tO' +p146382 +aS'was\tbe\tVBD\tB-VP\tO' +p146383 +aS'held\thold\tVBN\tI-VP\tO' +p146384 +aS'NPO\tNPO\tNN\tB-NP\tB-protein' +p146385 +aS'at\tat\tIN\tB-PP\tO' +p146386 +aS'admission\tadmission\tNN\tB-NP\tO' +p146387 +aS',\t,\t,\tO\tO' +p146388 +aS'and\tand\tCC\tO\tO' +p146389 +aS'initiated\tinitiate\tVBN\tB-VP\tO' +p146390 +aS'on\ton\tIN\tB-PP\tO' +p146391 +aS'TPN\tTPN\tNN\tB-NP\tB-protein' +p146392 +aS'by\tby\tIN\tB-PP\tO' +p146393 +aS'HD#3\tHD#3\tNN\tB-NP\tB-protein' +p146394 +aS'.\t.\t.\tO\tO' +p146395 +asS'Abdomen soft without hepatosplenomegaly .' +p146396 +(lp146397 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p146398 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p146399 +aS'without\twithout\tIN\tB-PP\tO' +p146400 +aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tB-NP\tO' +p146401 +aS'.\t.\t.\tO\tO' +p146402 +asS'4. Folate .' +p146403 +(lp146404 +S'4.\t4.\tLS\tB-LST\tO' +p146405 +aS'Folate\tFolate\tNNP\tB-NP\tO' +p146406 +aS'.\t.\t.\tO\tO' +p146407 +asS'CARDIAC MONITOR : Showed a generally regular rhythm .' +p146408 +(lp146409 +S'CARDIAC\tCARDIAC\tNN\tB-NP\tO' +p146410 +aS'MONITOR\tMONITOR\tNN\tI-NP\tO' +p146411 +aS':\t:\t:\tO\tO' +p146412 +aS'Showed\tShow\tVBD\tB-VP\tO' +p146413 +aS'a\ta\tDT\tB-NP\tO' +p146414 +aS'generally\tgenerally\tRB\tI-NP\tO' +p146415 +aS'regular\tregular\tJJ\tI-NP\tO' +p146416 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p146417 +aS'.\t.\t.\tO\tO' +p146418 +asS"On admission , the patient 's vital signs were stable ." +p146419 +(lp146420 +S'On\tOn\tIN\tB-PP\tO' +p146421 +aS'admission\tadmission\tNN\tB-NP\tO' +p146422 +aS',\t,\t,\tO\tO' +p146423 +aS'the\tthe\tDT\tB-NP\tO' +p146424 +aS'patient\tpatient\tNN\tI-NP\tO' +p146425 +aS"'s\t's\tPOS\tB-NP\tO" +p146426 +aS'vital\tvital\tJJ\tI-NP\tO' +p146427 +aS'signs\tsign\tNNS\tI-NP\tO' +p146428 +aS'were\tbe\tVBD\tB-VP\tO' +p146429 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p146430 +aS'.\t.\t.\tO\tO' +p146431 +asS'Thus initially he had been started on prednisone and Bactrim , this was discontinued .' +p146432 +(lp146433 +S'Thus\tThus\tRB\tB-ADVP\tO' +p146434 +aS'initially\tinitially\tRB\tI-ADVP\tO' +p146435 +aS'he\the\tPRP\tB-NP\tO' +p146436 +aS'had\thave\tVBD\tB-VP\tO' +p146437 +aS'been\tbe\tVBN\tI-VP\tO' +p146438 +aS'started\tstart\tVBN\tI-VP\tO' +p146439 +aS'on\ton\tIN\tB-PP\tO' +p146440 +aS'prednisone\tprednisone\tNN\tB-NP\tO' +p146441 +aS'and\tand\tCC\tO\tO' +p146442 +aS'Bactrim\tBactrim\tNNP\tB-NP\tO' +p146443 +aS',\t,\t,\tO\tO' +p146444 +aS'this\tthis\tDT\tB-NP\tO' +p146445 +aS'was\tbe\tVBD\tB-VP\tO' +p146446 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p146447 +aS'.\t.\t.\tO\tO' +p146448 +asS'The left atrium is moderately dilated .' +p146449 +(lp146450 +S'The\tThe\tDT\tB-NP\tO' +p146451 +aS'left\tleft\tJJ\tI-NP\tO' +p146452 +aS'atrium\tatrium\tNN\tI-NP\tO' +p146453 +aS'is\tbe\tVBZ\tB-VP\tO' +p146454 +aS'moderately\tmoderately\tRB\tI-VP\tO' +p146455 +aS'dilated\tdilate\tVBN\tI-VP\tO' +p146456 +aS'.\t.\t.\tO\tO' +p146457 +asS"The CMED CSRU Intern called the Murphy , Robert Leigh , to give her the update with regards to the pt 's deteriorating clinical status ." +p146458 +(lp146459 +S'The\tThe\tDT\tB-NP\tO' +p146460 +aS'CMED\tCMED\tNNP\tI-NP\tO' +p146461 +aS'CSRU\tCSRU\tNNP\tI-NP\tO' +p146462 +aS'Intern\tIntern\tNNP\tI-NP\tO' +p146463 +aS'called\tcall\tVBD\tB-VP\tO' +p146464 +aS'the\tthe\tDT\tB-NP\tO' +p146465 +aS'Murphy\tMurphy\tNNP\tI-NP\tO' +p146466 +aS',\t,\t,\tO\tO' +p146467 +aS'Robert\tRobert\tNNP\tB-NP\tO' +p146468 +aS'Leigh\tLeigh\tNNP\tI-NP\tO' +p146469 +aS',\t,\t,\tO\tO' +p146470 +aS'to\tto\tTO\tB-VP\tO' +p146471 +aS'give\tgive\tVB\tI-VP\tO' +p146472 +aS'her\ther\tPRP\tB-NP\tO' +p146473 +aS'the\tthe\tDT\tB-NP\tO' +p146474 +aS'update\tupdate\tNN\tI-NP\tO' +p146475 +aS'with\twith\tIN\tB-PP\tO' +p146476 +aS'regards\tregard\tNNS\tB-NP\tO' +p146477 +aS'to\tto\tTO\tB-PP\tO' +p146478 +aS'the\tthe\tDT\tB-NP\tO' +p146479 +aS'pt\tpt\tNN\tI-NP\tO' +p146480 +aS"'s\t's\tPOS\tB-NP\tO" +p146481 +aS'deteriorating\tdeteriorate\tVBG\tI-NP\tO' +p146482 +aS'clinical\tclinical\tJJ\tI-NP\tO' +p146483 +aS'status\tstatus\tNN\tI-NP\tO' +p146484 +aS'.\t.\t.\tO\tO' +p146485 +asS'Ahead CT scan revealed a metastatic lesion in the right vertex of the calvarium but no intracranial abnormalities .' +p146486 +(lp146487 +S'Ahead\tAhead\tNN\tB-NP\tO' +p146488 +aS'CT\tCT\tNN\tI-NP\tO' +p146489 +aS'scan\tscan\tNN\tI-NP\tO' +p146490 +aS'revealed\treveal\tVBD\tB-VP\tO' +p146491 +aS'a\ta\tDT\tB-NP\tO' +p146492 +aS'metastatic\tmetastatic\tJJ\tI-NP\tO' +p146493 +aS'lesion\tlesion\tNN\tI-NP\tO' +p146494 +aS'in\tin\tIN\tB-PP\tO' +p146495 +aS'the\tthe\tDT\tB-NP\tO' +p146496 +aS'right\tright\tJJ\tI-NP\tO' +p146497 +aS'vertex\tvertex\tNN\tI-NP\tO' +p146498 +aS'of\tof\tIN\tB-PP\tO' +p146499 +aS'the\tthe\tDT\tB-NP\tO' +p146500 +aS'calvarium\tcalvarium\tNN\tI-NP\tO' +p146501 +aS'but\tbut\tCC\tO\tO' +p146502 +aS'no\tno\tDT\tB-NP\tO' +p146503 +aS'intracranial\tintracranial\tJJ\tI-NP\tO' +p146504 +aS'abnormalities\tabnormality\tNNS\tI-NP\tO' +p146505 +aS'.\t.\t.\tO\tO' +p146506 +asS'NPH 70 units q.a.m. , 50 units q.p.m. , regular insulin-sliding scale .' +p146507 +(lp146508 +S'NPH\tNPH\tNN\tB-NP\tB-protein' +p146509 +aS'70\t70\tCD\tB-NP\tI-protein' +p146510 +aS'units\tunit\tNNS\tI-NP\tI-protein' +p146511 +aS'q.a.m.\tq.a.m.\tRB\tB-ADVP\tO' +p146512 +aS',\t,\t,\tO\tO' +p146513 +aS'50\t50\tCD\tB-NP\tO' +p146514 +aS'units\tunit\tNNS\tI-NP\tO' +p146515 +aS'q.p.m.\tq.p.m.\tRB\tB-ADVP\tO' +p146516 +aS',\t,\t,\tO\tO' +p146517 +aS'regular\tregular\tJJ\tB-NP\tO' +p146518 +aS'insulin-sliding\tinsulin-sliding\tJJ\tI-NP\tO' +p146519 +aS'scale\tscale\tNN\tI-NP\tO' +p146520 +aS'.\t.\t.\tO\tO' +p146521 +asS'Disp :* 30 Tablet Sustained Release 24 HR (s)* Refills :* 0 *' +p146522 +(lp146523 +S'Disp\tDisp\tNN\tB-NP\tO' +p146524 +aS':*\t:*\tSYM\tI-NP\tO' +p146525 +aS'30\t30\tCD\tI-NP\tO' +p146526 +aS'Tablet\tTablet\tNN\tI-NP\tO' +p146527 +aS'Sustained\tSustain\tVBD\tB-VP\tO' +p146528 +aS'Release\tRelease\tNN\tB-NP\tB-protein' +p146529 +aS'24\t24\tCD\tI-NP\tI-protein' +p146530 +aS'HR\tHR\tNN\tI-NP\tI-protein' +p146531 +aS'(s)*\t(s)*\tSYM\tB-NP\tI-protein' +p146532 +aS'Refills\tRefill\tNNPS\tI-NP\tO' +p146533 +aS':*\t:*\tSYM\tI-NP\tO' +p146534 +aS'0\t0\tCD\tI-NP\tO' +p146535 +aS'*\t*\tSYM\tB-NP\tO' +p146536 +asS'Resume all of your home medications , but please avoid motrin / advil for 1 week .' +p146537 +(lp146538 +S'Resume\tResume\tVB\tB-VP\tO' +p146539 +aS'all\tall\tDT\tB-NP\tO' +p146540 +aS'of\tof\tIN\tB-PP\tO' +p146541 +aS'your\tyour\tPRP$\tB-NP\tO' +p146542 +aS'home\thome\tNN\tI-NP\tO' +p146543 +aS'medications\tmedication\tNNS\tI-NP\tO' +p146544 +aS',\t,\t,\tO\tO' +p146545 +aS'but\tbut\tCC\tO\tO' +p146546 +aS'please\tplease\tVB\tB-VP\tO' +p146547 +aS'avoid\tavoid\tJJ\tB-NP\tO' +p146548 +aS'motrin\tmotrin\tNN\tI-NP\tO' +p146549 +aS'/\t/\tSYM\tB-NP\tO' +p146550 +aS'advil\tadvil\tNN\tI-NP\tO' +p146551 +aS'for\tfor\tIN\tB-PP\tO' +p146552 +aS'1\t1\tCD\tB-NP\tO' +p146553 +aS'week\tweek\tNN\tI-NP\tO' +p146554 +aS'.\t.\t.\tO\tO' +p146555 +asS'CT revealed hemothorax .' +p146556 +(lp146557 +S'CT\tCT\tNN\tB-NP\tO' +p146558 +aS'revealed\treveal\tVBD\tB-VP\tO' +p146559 +aS'hemothorax\themothorax\tNN\tB-NP\tO' +p146560 +aS'.\t.\t.\tO\tO' +p146561 +asS'2) Diffuse , confluent periventricular white matter hypodensity , which may relate to an underlying demyelinating process ( as suggested in the indication provided for the prior MRI ).' +p146562 +(lp146563 +S'2)\t2)\tLS\tB-LST\tO' +p146564 +aS'Diffuse\tDiffuse\tNNP\tB-NP\tO' +p146565 +aS',\t,\t,\tO\tO' +p146566 +aS'confluent\tconfluent\tJJ\tB-NP\tO' +p146567 +aS'periventricular\tperiventricular\tJJ\tI-NP\tO' +p146568 +aS'white\twhite\tJJ\tI-NP\tO' +p146569 +aS'matter\tmatter\tNN\tI-NP\tO' +p146570 +aS'hypodensity\thypodensity\tNN\tI-NP\tO' +p146571 +aS',\t,\t,\tO\tO' +p146572 +aS'which\twhich\tWDT\tB-NP\tO' +p146573 +aS'may\tmay\tMD\tB-VP\tO' +p146574 +aS'relate\trelate\tVB\tI-VP\tO' +p146575 +aS'to\tto\tTO\tB-PP\tO' +p146576 +aS'an\tan\tDT\tB-NP\tO' +p146577 +aS'underlying\tunderlie\tVBG\tI-NP\tO' +p146578 +aS'demyelinating\tdemyelinate\tVBG\tI-NP\tO' +p146579 +aS'process\tprocess\tNN\tI-NP\tO' +p146580 +aS'(\t(\t(\tO\tO' +p146581 +aS'as\tas\tIN\tB-SBAR\tO' +p146582 +aS'suggested\tsuggest\tVBN\tB-VP\tO' +p146583 +aS'in\tin\tIN\tB-PP\tO' +p146584 +aS'the\tthe\tDT\tB-NP\tO' +p146585 +aS'indication\tindication\tNN\tI-NP\tO' +p146586 +aS'provided\tprovide\tVBN\tB-VP\tO' +p146587 +aS'for\tfor\tIN\tB-PP\tO' +p146588 +aS'the\tthe\tDT\tB-NP\tO' +p146589 +aS'prior\tprior\tJJ\tI-NP\tO' +p146590 +aS'MRI\tMRI\tNN\tI-NP\tO' +p146591 +aS').\t).\t.\tO\tO' +p146592 +asS'Stable , with active problems being respiratory failure , urinary tract infection , and bleeding diathesis .' +p146593 +(lp146594 +S'Stable\tStable\tJJ\tB-ADJP\tO' +p146595 +aS',\t,\t,\tO\tO' +p146596 +aS'with\twith\tIN\tB-PP\tO' +p146597 +aS'active\tactive\tJJ\tB-NP\tO' +p146598 +aS'problems\tproblem\tNNS\tI-NP\tO' +p146599 +aS'being\tbe\tVBG\tB-VP\tO' +p146600 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p146601 +aS'failure\tfailure\tNN\tI-NP\tO' +p146602 +aS',\t,\t,\tO\tO' +p146603 +aS'urinary\turinary\tJJ\tB-NP\tO' +p146604 +aS'tract\ttract\tNN\tI-NP\tO' +p146605 +aS'infection\tinfection\tNN\tI-NP\tO' +p146606 +aS',\t,\t,\tO\tO' +p146607 +aS'and\tand\tCC\tO\tO' +p146608 +aS'bleeding\tbleed\tVBG\tB-VP\tO' +p146609 +aS'diathesis\tdiathesis\tNN\tB-NP\tO' +p146610 +aS'.\t.\t.\tO\tO' +p146611 +asS'13. Lorazepam 1 mg Tablet Sig : One ( 1 ) Tablet PO HS ( at bedtime ) as needed .' +p146612 +(lp146613 +S'13.\t13.\tCD\tB-NP\tO' +p146614 +aS'Lorazepam\tLorazepam\tNNP\tI-NP\tO' +p146615 +aS'1\t1\tCD\tI-NP\tO' +p146616 +aS'mg\tmg\tNN\tI-NP\tO' +p146617 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p146618 +aS'Sig\tSig\tNNP\tI-NP\tO' +p146619 +aS':\t:\t:\tO\tO' +p146620 +aS'One\tOne\tCD\tB-NP\tO' +p146621 +aS'(\t(\t(\tO\tO' +p146622 +aS'1\t1\tCD\tB-NP\tO' +p146623 +aS')\t)\t)\tO\tO' +p146624 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p146625 +aS'PO\tPO\tNN\tI-NP\tO' +p146626 +aS'HS\tHS\tNN\tI-NP\tO' +p146627 +aS'(\t(\t(\tO\tO' +p146628 +aS'at\tat\tIN\tB-PP\tO' +p146629 +aS'bedtime\tbedtime\tNN\tB-NP\tO' +p146630 +aS')\t)\t)\tO\tO' +p146631 +aS'as\tas\tIN\tB-SBAR\tO' +p146632 +aS'needed\tneed\tVBN\tB-VP\tO' +p146633 +aS'.\t.\t.\tO\tO' +p146634 +asS'She has deep pain in intercourse .' +p146635 +(lp146636 +S'She\tShe\tPRP\tB-NP\tO' +p146637 +aS'has\thave\tVBZ\tB-VP\tO' +p146638 +aS'deep\tdeep\tJJ\tB-NP\tO' +p146639 +aS'pain\tpain\tNN\tI-NP\tO' +p146640 +aS'in\tin\tIN\tB-PP\tO' +p146641 +aS'intercourse\tintercourse\tNN\tB-NP\tO' +p146642 +aS'.\t.\t.\tO\tO' +p146643 +asS'the patient is status post thoracotomy and has staples and sutures on his chest .' +p146644 +(lp146645 +S'the\tthe\tDT\tB-NP\tO' +p146646 +aS'patient\tpatient\tNN\tI-NP\tO' +p146647 +aS'is\tbe\tVBZ\tB-VP\tO' +p146648 +aS'status\tstatus\tNN\tB-NP\tO' +p146649 +aS'post\tpost\tNN\tI-NP\tO' +p146650 +aS'thoracotomy\tthoracotomy\tNN\tI-NP\tO' +p146651 +aS'and\tand\tCC\tO\tO' +p146652 +aS'has\thave\tVBZ\tB-VP\tO' +p146653 +aS'staples\tstaple\tNNS\tB-NP\tO' +p146654 +aS'and\tand\tCC\tI-NP\tO' +p146655 +aS'sutures\tsuture\tNNS\tI-NP\tO' +p146656 +aS'on\ton\tIN\tB-PP\tO' +p146657 +aS'his\this\tPRP$\tB-NP\tO' +p146658 +aS'chest\tchest\tNN\tI-NP\tO' +p146659 +aS'.\t.\t.\tO\tO' +p146660 +asS'The patient was discharged to Samfer Street with no autopsy .' +p146661 +(lp146662 +S'The\tThe\tDT\tB-NP\tO' +p146663 +aS'patient\tpatient\tNN\tI-NP\tO' +p146664 +aS'was\tbe\tVBD\tB-VP\tO' +p146665 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p146666 +aS'to\tto\tTO\tB-PP\tO' +p146667 +aS'Samfer\tSamfer\tNNP\tB-NP\tO' +p146668 +aS'Street\tStreet\tNNP\tI-NP\tO' +p146669 +aS'with\twith\tIN\tB-PP\tO' +p146670 +aS'no\tno\tDT\tB-NP\tO' +p146671 +aS'autopsy\tautopsy\tNN\tI-NP\tO' +p146672 +aS'.\t.\t.\tO\tO' +p146673 +asS'30 QID .' +p146674 +(lp146675 +S'30\t30\tCD\tB-NP\tO' +p146676 +aS'QID\tQID\tNN\tI-NP\tO' +p146677 +aS'.\t.\t.\tO\tO' +p146678 +asS'Attending : David U. Johnson , M.D.' +p146679 +(lp146680 +S'Attending\tAttend\tVBG\tB-VP\tO' +p146681 +aS':\t:\t:\tO\tO' +p146682 +aS'David\tDavid\tNNP\tB-NP\tO' +p146683 +aS'U.\tU.\tNNP\tI-NP\tO' +p146684 +aS'Johnson\tJohnson\tNNP\tI-NP\tO' +p146685 +aS',\t,\t,\tO\tO' +p146686 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p146687 +asS'3. Car seat positioning : not yet done .' +p146688 +(lp146689 +S'3.\t3.\tLS\tB-NP\tO' +p146690 +aS'Car\tCar\tNN\tI-NP\tB-protein' +p146691 +aS'seat\tseat\tNN\tI-NP\tO' +p146692 +aS'positioning\tpositioning\tNN\tI-NP\tO' +p146693 +aS':\t:\t:\tO\tO' +p146694 +aS'not\tnot\tRB\tB-VP\tO' +p146695 +aS'yet\tyet\tRB\tI-VP\tO' +p146696 +aS'done\tdo\tVBN\tI-VP\tO' +p146697 +aS'.\t.\t.\tO\tO' +p146698 +asS'No definite apical thrombus seen ( cannot exclude ).' +p146699 +(lp146700 +S'No\tNo\tDT\tB-NP\tO' +p146701 +aS'definite\tdefinite\tJJ\tI-NP\tO' +p146702 +aS'apical\tapical\tJJ\tI-NP\tO' +p146703 +aS'thrombus\tthrombus\tNN\tI-NP\tO' +p146704 +aS'seen\tsee\tVBN\tB-VP\tO' +p146705 +aS'(\t(\t(\tO\tO' +p146706 +aS'cannot\tcannot\tMD\tB-VP\tO' +p146707 +aS'exclude\texclude\tVB\tI-VP\tO' +p146708 +aS').\t).\t)\tO\tO' +p146709 +asS'Family believed pt was becoming dehydrated .' +p146710 +(lp146711 +S'Family\tFamily\tRB\tB-NP\tO' +p146712 +aS'believed\tbelieve\tVBN\tI-NP\tO' +p146713 +aS'pt\tpt\tNN\tI-NP\tO' +p146714 +aS'was\tbe\tVBD\tB-VP\tO' +p146715 +aS'becoming\tbecome\tVBG\tI-VP\tO' +p146716 +aS'dehydrated\tdehydrate\tVBN\tI-VP\tO' +p146717 +aS'.\t.\t.\tO\tO' +p146718 +asS'A chest X-ray showed some left lower lobe atelectasis .' +p146719 +(lp146720 +S'A\tA\tDT\tB-NP\tO' +p146721 +aS'chest\tchest\tNN\tI-NP\tO' +p146722 +aS'X-ray\tX-ray\tNN\tI-NP\tO' +p146723 +aS'showed\tshow\tVBD\tB-VP\tO' +p146724 +aS'some\tsome\tDT\tB-NP\tO' +p146725 +aS'left\tleave\tVBD\tB-VP\tO' +p146726 +aS'lower\tlow\tJJR\tB-NP\tO' +p146727 +aS'lobe\tlobe\tNN\tI-NP\tO' +p146728 +aS'atelectasis\tatelectasis\tNN\tI-NP\tO' +p146729 +aS'.\t.\t.\tO\tO' +p146730 +asS'There is no evidence of gastrointestinal bleed or adrenal insufficiency during the course of her evaluation .' +p146731 +(lp146732 +S'There\tThere\tEX\tB-NP\tO' +p146733 +aS'is\tbe\tVBZ\tB-VP\tO' +p146734 +aS'no\tno\tDT\tB-NP\tO' +p146735 +aS'evidence\tevidence\tNN\tI-NP\tO' +p146736 +aS'of\tof\tIN\tB-PP\tO' +p146737 +aS'gastrointestinal\tgastrointestinal\tJJ\tB-NP\tO' +p146738 +aS'bleed\tbleed\tNN\tI-NP\tO' +p146739 +aS'or\tor\tCC\tO\tO' +p146740 +aS'adrenal\tadrenal\tJJ\tB-NP\tO' +p146741 +aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' +p146742 +aS'during\tduring\tIN\tB-PP\tO' +p146743 +aS'the\tthe\tDT\tB-NP\tO' +p146744 +aS'course\tcourse\tNN\tI-NP\tO' +p146745 +aS'of\tof\tIN\tB-PP\tO' +p146746 +aS'her\ther\tPRP$\tB-NP\tO' +p146747 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p146748 +aS'.\t.\t.\tO\tO' +p146749 +asS'COPD : cont nebs .' +p146750 +(lp146751 +S'COPD\tCOPD\tNN\tB-NP\tO' +p146752 +aS':\t:\t:\tO\tO' +p146753 +aS'cont\tcont\tVB\tB-VP\tO' +p146754 +aS'nebs\tneb\tNNS\tB-NP\tO' +p146755 +aS'.\t.\t.\tO\tO' +p146756 +asS'2. hypertension .' +p146757 +(lp146758 +S'2.\t2.\tLS\tB-NP\tO' +p146759 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p146760 +aS'.\t.\t.\tO\tO' +p146761 +asS'His iv medications were also weaned to off .' +p146762 +(lp146763 +S'His\tHis\tPRP$\tB-NP\tO' +p146764 +aS'iv\tiv\tJJ\tI-NP\tO' +p146765 +aS'medications\tmedication\tNNS\tI-NP\tO' +p146766 +aS'were\tbe\tVBD\tB-VP\tO' +p146767 +aS'also\talso\tRB\tI-VP\tO' +p146768 +aS'weaned\twean\tVBN\tI-VP\tO' +p146769 +aS'to\tto\tTO\tB-PP\tO' +p146770 +aS'off\toff\tRB\tB-ADVP\tO' +p146771 +aS'.\t.\t.\tO\tO' +p146772 +asS'As on prior hospitalization , her HCP was shared by Dianne White .' +p146773 +(lp146774 +S'As\tAs\tIN\tB-PP\tO' +p146775 +aS'on\ton\tIN\tB-PP\tO' +p146776 +aS'prior\tprior\tJJ\tB-NP\tO' +p146777 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p146778 +aS',\t,\t,\tO\tO' +p146779 +aS'her\ther\tPRP$\tB-NP\tO' +p146780 +aS'HCP\tHCP\tNN\tI-NP\tB-DNA' +p146781 +aS'was\tbe\tVBD\tB-VP\tO' +p146782 +aS'shared\tshare\tVBN\tI-VP\tO' +p146783 +aS'by\tby\tIN\tB-PP\tO' +p146784 +aS'Dianne\tDianne\tNNP\tB-NP\tO' +p146785 +aS'White\tWhite\tNNP\tI-NP\tO' +p146786 +aS'.\t.\t.\tO\tO' +p146787 +asS'3. Phenytoin Sodium Extended 100 mg Capsule Sig : One ( 1 ) Capsule PO TID ( 3 times a day ) .' +p146788 +(lp146789 +S'3.\t3.\tLS\tB-NP\tO' +p146790 +aS'Phenytoin\tPhenytoin\tNN\tI-NP\tO' +p146791 +aS'Sodium\tSodium\tNN\tI-NP\tO' +p146792 +aS'Extended\tExtend\tVBD\tB-VP\tO' +p146793 +aS'100\t100\tCD\tB-NP\tO' +p146794 +aS'mg\tmg\tNN\tI-NP\tO' +p146795 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p146796 +aS'Sig\tSig\tNNP\tI-NP\tO' +p146797 +aS':\t:\t:\tO\tO' +p146798 +aS'One\tOne\tCD\tB-NP\tO' +p146799 +aS'(\t(\t(\tO\tO' +p146800 +aS'1\t1\tCD\tB-NP\tO' +p146801 +aS')\t)\t)\tO\tO' +p146802 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p146803 +aS'PO\tPO\tNNP\tI-NP\tO' +p146804 +aS'TID\tTID\tNNP\tI-NP\tO' +p146805 +aS'(\t(\t(\tO\tO' +p146806 +aS'3\t3\tCD\tB-NP\tO' +p146807 +aS'times\ttime\tNNS\tI-NP\tO' +p146808 +aS'a\ta\tDT\tB-NP\tO' +p146809 +aS'day\tday\tNN\tI-NP\tO' +p146810 +aS')\t)\t)\tO\tO' +p146811 +aS'.\t.\t.\tO\tO' +p146812 +asS'He later presented with increasing back pain , and metastatic disease was documented .' +p146813 +(lp146814 +S'He\tHe\tPRP\tB-NP\tO' +p146815 +aS'later\tlater\tRB\tB-ADVP\tO' +p146816 +aS'presented\tpresent\tVBD\tB-VP\tO' +p146817 +aS'with\twith\tIN\tB-PP\tO' +p146818 +aS'increasing\tincrease\tVBG\tB-NP\tO' +p146819 +aS'back\tback\tJJ\tI-NP\tO' +p146820 +aS'pain\tpain\tNN\tI-NP\tO' +p146821 +aS',\t,\t,\tO\tO' +p146822 +aS'and\tand\tCC\tO\tO' +p146823 +aS'metastatic\tmetastatic\tJJ\tB-NP\tO' +p146824 +aS'disease\tdisease\tNN\tI-NP\tO' +p146825 +aS'was\tbe\tVBD\tB-VP\tO' +p146826 +aS'documented\tdocument\tVBN\tI-VP\tO' +p146827 +aS'.\t.\t.\tO\tO' +p146828 +asS'Her O2 requirement has increased despite diuresis .' +p146829 +(lp146830 +S'Her\tHer\tPRP$\tB-NP\tO' +p146831 +aS'O2\tO2\tNN\tI-NP\tO' +p146832 +aS'requirement\trequirement\tNN\tI-NP\tO' +p146833 +aS'has\thave\tVBZ\tB-VP\tO' +p146834 +aS'increased\tincrease\tVBN\tI-VP\tO' +p146835 +aS'despite\tdespite\tIN\tB-PP\tO' +p146836 +aS'diuresis\tdiuresis\tNN\tB-NP\tO' +p146837 +aS'.\t.\t.\tO\tO' +p146838 +asS'The patient has a history four years ago of being admitted to the Etearal Etsystems/ Hospital after suffering an acute anterior myocardial infarction .' +p146839 +(lp146840 +S'The\tThe\tDT\tB-NP\tO' +p146841 +aS'patient\tpatient\tNN\tI-NP\tO' +p146842 +aS'has\thave\tVBZ\tB-VP\tO' +p146843 +aS'a\ta\tDT\tB-NP\tO' +p146844 +aS'history\thistory\tNN\tI-NP\tO' +p146845 +aS'four\tfour\tCD\tB-NP\tO' +p146846 +aS'years\tyear\tNNS\tI-NP\tO' +p146847 +aS'ago\tago\tRB\tB-ADVP\tO' +p146848 +aS'of\tof\tIN\tB-PP\tO' +p146849 +aS'being\tbe\tVBG\tB-VP\tO' +p146850 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p146851 +aS'to\tto\tTO\tB-PP\tO' +p146852 +aS'the\tthe\tDT\tB-NP\tO' +p146853 +aS'Etearal\tEtearal\tNNP\tI-NP\tO' +p146854 +aS'Etsystems/\tEtsystems/\tNNP\tI-NP\tO' +p146855 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p146856 +aS'after\tafter\tIN\tB-PP\tO' +p146857 +aS'suffering\tsuffer\tVBG\tB-VP\tO' +p146858 +aS'an\tan\tDT\tB-NP\tO' +p146859 +aS'acute\tacute\tJJ\tI-NP\tO' +p146860 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p146861 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p146862 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p146863 +aS'.\t.\t.\tO\tO' +p146864 +asS'Palate deferred due to oral intubation .' +p146865 +(lp146866 +S'Palate\tPalate\tNNP\tB-NP\tO' +p146867 +aS'deferred\tdefer\tVBD\tB-VP\tO' +p146868 +aS'due\tdue\tJJ\tB-ADJP\tO' +p146869 +aS'to\tto\tTO\tB-PP\tO' +p146870 +aS'oral\toral\tJJ\tB-NP\tO' +p146871 +aS'intubation\tintubation\tNN\tI-NP\tO' +p146872 +aS'.\t.\t.\tO\tO' +p146873 +asS'1. Cigarette smoking .' +p146874 +(lp146875 +S'1.\t1.\tLS\tB-NP\tO' +p146876 +aS'Cigarette\tCigarette\tNN\tI-NP\tO' +p146877 +aS'smoking\tsmoking\tNN\tI-NP\tO' +p146878 +aS'.\t.\t.\tO\tO' +p146879 +asS'The room spins with no visual changes , no loss of consciousness , no palpitations or chest pain , no shortness of breath or diaphoresis .' +p146880 +(lp146881 +S'The\tThe\tDT\tB-NP\tO' +p146882 +aS'room\troom\tNN\tI-NP\tO' +p146883 +aS'spins\tspin\tNNS\tI-NP\tO' +p146884 +aS'with\twith\tIN\tB-PP\tO' +p146885 +aS'no\tno\tDT\tB-NP\tO' +p146886 +aS'visual\tvisual\tJJ\tI-NP\tO' +p146887 +aS'changes\tchange\tNNS\tI-NP\tO' +p146888 +aS',\t,\t,\tO\tO' +p146889 +aS'no\tno\tDT\tB-NP\tO' +p146890 +aS'loss\tloss\tNN\tI-NP\tO' +p146891 +aS'of\tof\tIN\tB-PP\tO' +p146892 +aS'consciousness\tconsciousness\tNN\tB-NP\tO' +p146893 +aS',\t,\t,\tO\tO' +p146894 +aS'no\tno\tDT\tB-NP\tO' +p146895 +aS'palpitations\tpalpitation\tNNS\tI-NP\tO' +p146896 +aS'or\tor\tCC\tI-NP\tO' +p146897 +aS'chest\tchest\tNN\tI-NP\tO' +p146898 +aS'pain\tpain\tNN\tI-NP\tO' +p146899 +aS',\t,\t,\tO\tO' +p146900 +aS'no\tno\tDT\tB-NP\tO' +p146901 +aS'shortness\tshortness\tNN\tI-NP\tO' +p146902 +aS'of\tof\tIN\tB-PP\tO' +p146903 +aS'breath\tbreath\tNN\tB-NP\tO' +p146904 +aS'or\tor\tCC\tI-NP\tO' +p146905 +aS'diaphoresis\tdiaphoresis\tNN\tI-NP\tO' +p146906 +aS'.\t.\t.\tO\tO' +p146907 +asS'Right ventricular heave .' +p146908 +(lp146909 +S'Right\tRight\tRB\tB-NP\tO' +p146910 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p146911 +aS'heave\theave\tNN\tI-NP\tO' +p146912 +aS'.\t.\t.\tO\tO' +p146913 +asS'The LH was 4.9 , FSH 3.3 .' +p146914 +(lp146915 +S'The\tThe\tDT\tB-NP\tO' +p146916 +aS'LH\tLH\tNN\tI-NP\tO' +p146917 +aS'was\tbe\tVBD\tB-VP\tO' +p146918 +aS'4.9\t4.9\tCD\tB-NP\tO' +p146919 +aS',\t,\t,\tO\tO' +p146920 +aS'FSH\tFSH\tNN\tB-NP\tB-protein' +p146921 +aS'3.3\t3.3\tCD\tI-NP\tI-protein' +p146922 +aS'.\t.\t.\tO\tO' +p146923 +asS'Take the pain medication as directed and do not drive while taking this medication .' +p146924 +(lp146925 +S'Take\tTake\tVB\tB-VP\tO' +p146926 +aS'the\tthe\tDT\tB-NP\tO' +p146927 +aS'pain\tpain\tNN\tI-NP\tO' +p146928 +aS'medication\tmedication\tNN\tI-NP\tO' +p146929 +aS'as\tas\tIN\tB-SBAR\tO' +p146930 +aS'directed\tdirect\tVBN\tB-VP\tO' +p146931 +aS'and\tand\tCC\tO\tO' +p146932 +aS'do\tdo\tVBP\tB-VP\tO' +p146933 +aS'not\tnot\tRB\tI-VP\tO' +p146934 +aS'drive\tdrive\tVB\tI-VP\tO' +p146935 +aS'while\twhile\tIN\tB-SBAR\tO' +p146936 +aS'taking\ttake\tVBG\tB-VP\tO' +p146937 +aS'this\tthis\tDT\tB-NP\tO' +p146938 +aS'medication\tmedication\tNN\tI-NP\tO' +p146939 +aS'.\t.\t.\tO\tO' +p146940 +asS'She has no relief from antacids or H2 blockers .' +p146941 +(lp146942 +S'She\tShe\tPRP\tB-NP\tO' +p146943 +aS'has\thave\tVBZ\tB-VP\tO' +p146944 +aS'no\tno\tDT\tB-NP\tO' +p146945 +aS'relief\trelief\tNN\tI-NP\tO' +p146946 +aS'from\tfrom\tIN\tB-PP\tO' +p146947 +aS'antacids\tantacid\tNNS\tB-NP\tO' +p146948 +aS'or\tor\tCC\tO\tO' +p146949 +aS'H2\tH2\tNN\tB-NP\tO' +p146950 +aS'blockers\tblocker\tNNS\tI-NP\tO' +p146951 +aS'.\t.\t.\tO\tO' +p146952 +asS'He was given explicit instructions to follow-up in clinic with Dr. Liley in 1-2 weeks .' +p146953 +(lp146954 +S'He\tHe\tPRP\tB-NP\tO' +p146955 +aS'was\tbe\tVBD\tB-VP\tO' +p146956 +aS'given\tgive\tVBN\tI-VP\tO' +p146957 +aS'explicit\texplicit\tJJ\tB-NP\tO' +p146958 +aS'instructions\tinstruction\tNNS\tI-NP\tO' +p146959 +aS'to\tto\tTO\tB-PP\tO' +p146960 +aS'follow-up\tfollow-up\tNN\tB-NP\tO' +p146961 +aS'in\tin\tIN\tB-PP\tO' +p146962 +aS'clinic\tclinic\tNN\tB-NP\tO' +p146963 +aS'with\twith\tIN\tB-PP\tO' +p146964 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p146965 +aS'Liley\tLiley\tNNP\tI-NP\tO' +p146966 +aS'in\tin\tIN\tB-PP\tO' +p146967 +aS'1-2\t1-2\tCD\tB-NP\tO' +p146968 +aS'weeks\tweek\tNNS\tI-NP\tO' +p146969 +aS'.\t.\t.\tO\tO' +p146970 +asS'No change from prior EKG .' +p146971 +(lp146972 +S'No\tNo\tDT\tB-NP\tO' +p146973 +aS'change\tchange\tNN\tI-NP\tO' +p146974 +aS'from\tfrom\tIN\tB-PP\tO' +p146975 +aS'prior\tprior\tJJ\tB-NP\tO' +p146976 +aS'EKG\tEKG\tNN\tI-NP\tO' +p146977 +aS'.\t.\t.\tO\tO' +p146978 +asS'Slightly hyperactive bowel sounds throughout .' +p146979 +(lp146980 +S'Slightly\tSlightly\tRB\tB-NP\tO' +p146981 +aS'hyperactive\thyperactive\tJJ\tI-NP\tO' +p146982 +aS'bowel\tbowel\tNN\tI-NP\tO' +p146983 +aS'sounds\tsound\tVBZ\tB-VP\tO' +p146984 +aS'throughout\tthroughout\tIN\tB-ADVP\tO' +p146985 +aS'.\t.\t.\tO\tO' +p146986 +asS'She came back to the floor on 10-14 .' +p146987 +(lp146988 +S'She\tShe\tPRP\tB-NP\tO' +p146989 +aS'came\tcome\tVBD\tB-VP\tO' +p146990 +aS'back\tback\tRB\tB-ADVP\tO' +p146991 +aS'to\tto\tTO\tB-PP\tO' +p146992 +aS'the\tthe\tDT\tB-NP\tO' +p146993 +aS'floor\tfloor\tNN\tI-NP\tO' +p146994 +aS'on\ton\tIN\tB-PP\tO' +p146995 +aS'10-14\t10-14\tCD\tB-NP\tO' +p146996 +aS'.\t.\t.\tO\tO' +p146997 +asS'Vital signs showed his blood pressure to be slightly decreased at 120/60 , pulse 64 , respirations 16 , temperature 98.8 , O2 sat 95 .' +p146998 +(lp146999 +S'Vital\tVital\tJJ\tB-NP\tO' +p147000 +aS'signs\tsign\tNNS\tI-NP\tO' +p147001 +aS'showed\tshow\tVBD\tB-VP\tO' +p147002 +aS'his\this\tPRP$\tB-NP\tO' +p147003 +aS'blood\tblood\tNN\tI-NP\tO' +p147004 +aS'pressure\tpressure\tNN\tI-NP\tO' +p147005 +aS'to\tto\tTO\tB-VP\tO' +p147006 +aS'be\tbe\tVB\tI-VP\tO' +p147007 +aS'slightly\tslightly\tRB\tI-VP\tO' +p147008 +aS'decreased\tdecrease\tVBN\tI-VP\tO' +p147009 +aS'at\tat\tIN\tB-PP\tO' +p147010 +aS'120/60\t120/60\tCD\tB-NP\tO' +p147011 +aS',\t,\t,\tO\tO' +p147012 +aS'pulse\tpulse\tNN\tB-NP\tO' +p147013 +aS'64\t64\tCD\tI-NP\tO' +p147014 +aS',\t,\t,\tO\tO' +p147015 +aS'respirations\trespiration\tNNS\tB-NP\tO' +p147016 +aS'16\t16\tCD\tB-NP\tO' +p147017 +aS',\t,\t,\tO\tO' +p147018 +aS'temperature\ttemperature\tNN\tB-NP\tO' +p147019 +aS'98.8\t98.8\tCD\tI-NP\tO' +p147020 +aS',\t,\t,\tO\tO' +p147021 +aS'O2\tO2\tNN\tB-NP\tO' +p147022 +aS'sat\tsit\tVBD\tB-VP\tO' +p147023 +aS'95\t95\tCD\tB-NP\tO' +p147024 +aS'.\t.\t.\tO\tO' +p147025 +asS'The peripheral pulses were palpable .' +p147026 +(lp147027 +S'The\tThe\tDT\tB-NP\tO' +p147028 +aS'peripheral\tperipheral\tJJ\tI-NP\tO' +p147029 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p147030 +aS'were\tbe\tVBD\tB-VP\tO' +p147031 +aS'palpable\tpalpable\tJJ\tB-ADJP\tO' +p147032 +aS'.\t.\t.\tO\tO' +p147033 +asS'A Vent drain was placed to monitor and CP and relieved fluid .' +p147034 +(lp147035 +S'A\tA\tDT\tB-NP\tO' +p147036 +aS'Vent\tVent\tJJ\tI-NP\tO' +p147037 +aS'drain\tdrain\tNN\tI-NP\tO' +p147038 +aS'was\tbe\tVBD\tB-VP\tO' +p147039 +aS'placed\tplace\tVBN\tI-VP\tO' +p147040 +aS'to\tto\tTO\tB-PP\tO' +p147041 +aS'monitor\tmonitor\tNN\tB-NP\tO' +p147042 +aS'and\tand\tCC\tI-NP\tO' +p147043 +aS'CP\tCP\tNN\tI-NP\tB-DNA' +p147044 +aS'and\tand\tCC\tO\tO' +p147045 +aS'relieved\trelieved\tJJ\tB-NP\tO' +p147046 +aS'fluid\tfluid\tNN\tI-NP\tO' +p147047 +aS'.\t.\t.\tO\tO' +p147048 +asS'He was not following commands .' +p147049 +(lp147050 +S'He\tHe\tPRP\tB-NP\tO' +p147051 +aS'was\tbe\tVBD\tB-VP\tO' +p147052 +aS'not\tnot\tRB\tI-VP\tO' +p147053 +aS'following\tfollow\tVBG\tI-VP\tO' +p147054 +aS'commands\tcommand\tNNS\tB-NP\tO' +p147055 +aS'.\t.\t.\tO\tO' +p147056 +asS'The patient 's emesis was noted to be bilious without evidence of new or old blood .' +p147057 +(lp147058 +S'The\tThe\tDT\tB-NP\tO' +p147059 +aS'patient\tpatient\tNN\tI-NP\tO' +p147060 +aS''s\t'\tNNS\tI-NP\tO' +p147061 +aS'emesis\temesis\tNN\tI-NP\tO' +p147062 +aS'was\tbe\tVBD\tB-VP\tO' +p147063 +aS'noted\tnote\tVBN\tI-VP\tO' +p147064 +aS'to\tto\tTO\tI-VP\tO' +p147065 +aS'be\tbe\tVB\tI-VP\tO' +p147066 +aS'bilious\tbilious\tJJ\tB-ADJP\tO' +p147067 +aS'without\twithout\tIN\tB-PP\tO' +p147068 +aS'evidence\tevidence\tNN\tB-NP\tO' +p147069 +aS'of\tof\tIN\tB-PP\tO' +p147070 +aS'new\tnew\tJJ\tB-NP\tO' +p147071 +aS'or\tor\tCC\tI-NP\tO' +p147072 +aS'old\told\tJJ\tI-NP\tO' +p147073 +aS'blood\tblood\tNN\tI-NP\tO' +p147074 +aS'.\t.\t.\tO\tO' +p147075 +asS'It was decided to direct goals of care towards confort care .' +p147076 +(lp147077 +S'It\tIt\tPRP\tB-NP\tO' +p147078 +aS'was\tbe\tVBD\tB-VP\tO' +p147079 +aS'decided\tdecide\tVBN\tI-VP\tO' +p147080 +aS'to\tto\tTO\tB-PP\tO' +p147081 +aS'direct\tdirect\tJJ\tB-NP\tO' +p147082 +aS'goals\tgoal\tNNS\tI-NP\tO' +p147083 +aS'of\tof\tIN\tB-PP\tO' +p147084 +aS'care\tcare\tNN\tB-NP\tO' +p147085 +aS'towards\ttowards\tIN\tB-PP\tO' +p147086 +aS'confort\tconfort\tNN\tB-NP\tO' +p147087 +aS'care\tcare\tNN\tI-NP\tO' +p147088 +aS'.\t.\t.\tO\tO' +p147089 +asS'The aortic valve leaflets are moderately thickened .' +p147090 +(lp147091 +S'The\tThe\tDT\tB-NP\tO' +p147092 +aS'aortic\taortic\tJJ\tI-NP\tO' +p147093 +aS'valve\tvalve\tNN\tI-NP\tO' +p147094 +aS'leaflets\tleaflet\tNNS\tI-NP\tO' +p147095 +aS'are\tbe\tVBP\tB-VP\tO' +p147096 +aS'moderately\tmoderately\tRB\tI-VP\tO' +p147097 +aS'thickened\tthicken\tVBN\tI-VP\tO' +p147098 +aS'.\t.\t.\tO\tO' +p147099 +asS'Full medical care and managment continued overnight 11/9-11/20/2002 .' +p147100 +(lp147101 +S'Full\tFull\tJJ\tB-NP\tO' +p147102 +aS'medical\tmedical\tJJ\tI-NP\tO' +p147103 +aS'care\tcare\tNN\tI-NP\tO' +p147104 +aS'and\tand\tCC\tI-NP\tO' +p147105 +aS'managment\tmanagment\tNN\tI-NP\tO' +p147106 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p147107 +aS'overnight\tovernight\tJJ\tB-NP\tO' +p147108 +aS'11/9-11/20/2002\t11/9-11/20/2002\tCD\tI-NP\tO' +p147109 +aS'.\t.\t.\tO\tO' +p147110 +asS'She continued to pass blood per rectum and was transfused with one unit of packed red blood cells .' +p147111 +(lp147112 +S'She\tShe\tPRP\tB-NP\tO' +p147113 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p147114 +aS'to\tto\tTO\tI-VP\tO' +p147115 +aS'pass\tpass\tVB\tI-VP\tO' +p147116 +aS'blood\tblood\tNN\tB-NP\tO' +p147117 +aS'per\tper\tIN\tB-PP\tO' +p147118 +aS'rectum\trectum\tNN\tB-NP\tO' +p147119 +aS'and\tand\tCC\tO\tO' +p147120 +aS'was\tbe\tVBD\tB-VP\tO' +p147121 +aS'transfused\ttransfuse\tVBN\tI-VP\tO' +p147122 +aS'with\twith\tIN\tB-PP\tO' +p147123 +aS'one\tone\tCD\tB-NP\tO' +p147124 +aS'unit\tunit\tNN\tI-NP\tO' +p147125 +aS'of\tof\tIN\tB-PP\tO' +p147126 +aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' +p147127 +aS'red\tred\tJJ\tI-NP\tI-cell_type' +p147128 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p147129 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p147130 +aS'.\t.\t.\tO\tO' +p147131 +asS'She had a history of nucleated RBCs likely secondary to stress and hypoxia during this admission .' +p147132 +(lp147133 +S'She\tShe\tPRP\tB-NP\tO' +p147134 +aS'had\thave\tVBD\tB-VP\tO' +p147135 +aS'a\ta\tDT\tB-NP\tO' +p147136 +aS'history\thistory\tNN\tI-NP\tO' +p147137 +aS'of\tof\tIN\tB-PP\tO' +p147138 +aS'nucleated\tnucleated\tJJ\tB-NP\tB-cell_type' +p147139 +aS'RBCs\tRBC\tNNS\tI-NP\tI-cell_type' +p147140 +aS'likely\tlikely\tRB\tB-ADJP\tO' +p147141 +aS'secondary\tsecondary\tJJ\tI-ADJP\tO' +p147142 +aS'to\tto\tTO\tB-PP\tO' +p147143 +aS'stress\tstress\tNN\tB-NP\tO' +p147144 +aS'and\tand\tCC\tI-NP\tO' +p147145 +aS'hypoxia\thypoxia\tNN\tI-NP\tO' +p147146 +aS'during\tduring\tIN\tB-PP\tO' +p147147 +aS'this\tthis\tDT\tB-NP\tO' +p147148 +aS'admission\tadmission\tNN\tI-NP\tO' +p147149 +aS'.\t.\t.\tO\tO' +p147150 +asS'She should return in 6 weeks for removal of biliary stent .' +p147151 +(lp147152 +S'She\tShe\tPRP\tB-NP\tO' +p147153 +aS'should\tshould\tMD\tB-VP\tO' +p147154 +aS'return\treturn\tVB\tI-VP\tO' +p147155 +aS'in\tin\tIN\tB-PP\tO' +p147156 +aS'6\t6\tCD\tB-NP\tO' +p147157 +aS'weeks\tweek\tNNS\tI-NP\tO' +p147158 +aS'for\tfor\tIN\tB-PP\tO' +p147159 +aS'removal\tremoval\tNN\tB-NP\tO' +p147160 +aS'of\tof\tIN\tB-PP\tO' +p147161 +aS'biliary\tbiliary\tJJ\tB-NP\tO' +p147162 +aS'stent\tstent\tNN\tI-NP\tO' +p147163 +aS'.\t.\t.\tO\tO' +p147164 +asS'+ETOH , had 12 cans of beer prior to accident' +p147165 +(lp147166 +S'+ETOH\t+ETOH\tNN\tB-NP\tB-protein' +p147167 +aS',\t,\t,\tO\tO' +p147168 +aS'had\thave\tVBD\tB-VP\tO' +p147169 +aS'12\t12\tCD\tB-NP\tO' +p147170 +aS'cans\tcan\tNNS\tI-NP\tO' +p147171 +aS'of\tof\tIN\tB-PP\tO' +p147172 +aS'beer\tbeer\tNN\tB-NP\tO' +p147173 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p147174 +aS'to\tto\tTO\tB-PP\tO' +p147175 +aS'accident\taccident\tNN\tB-NP\tO' +p147176 +asS'Neurologic examination was nonfocal .' +p147177 +(lp147178 +S'Neurologic\tNeurologic\tJJ\tB-NP\tO' +p147179 +aS'examination\texamination\tNN\tI-NP\tO' +p147180 +aS'was\tbe\tVBD\tB-VP\tO' +p147181 +aS'nonfocal\tnonfocal\tJJ\tB-ADJP\tO' +p147182 +aS'.\t.\t.\tO\tO' +p147183 +asS'Fortunately , these issues were not active during the present admission .' +p147184 +(lp147185 +S'Fortunately\tFortunately\tRB\tB-ADVP\tO' +p147186 +aS',\t,\t,\tO\tO' +p147187 +aS'these\tthese\tDT\tB-NP\tO' +p147188 +aS'issues\tissue\tNNS\tI-NP\tO' +p147189 +aS'were\tbe\tVBD\tB-VP\tO' +p147190 +aS'not\tnot\tRB\tO\tO' +p147191 +aS'active\tactive\tJJ\tB-ADJP\tO' +p147192 +aS'during\tduring\tIN\tB-PP\tO' +p147193 +aS'the\tthe\tDT\tB-NP\tO' +p147194 +aS'present\tpresent\tJJ\tI-NP\tO' +p147195 +aS'admission\tadmission\tNN\tI-NP\tO' +p147196 +aS'.\t.\t.\tO\tO' +p147197 +asS'No evidence of acute bleed in the abdomen or pelvis .' +p147198 +(lp147199 +S'No\tNo\tDT\tB-NP\tO' +p147200 +aS'evidence\tevidence\tNN\tI-NP\tO' +p147201 +aS'of\tof\tIN\tB-PP\tO' +p147202 +aS'acute\tacute\tJJ\tB-NP\tO' +p147203 +aS'bleed\tbleed\tNN\tI-NP\tO' +p147204 +aS'in\tin\tIN\tB-PP\tO' +p147205 +aS'the\tthe\tDT\tB-NP\tO' +p147206 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p147207 +aS'or\tor\tCC\tI-NP\tO' +p147208 +aS'pelvis\tpelvis\tNN\tI-NP\tO' +p147209 +aS'.\t.\t.\tO\tO' +p147210 +asS'Dictated By : David GA Crane , M.D.' +p147211 +(lp147212 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p147213 +aS'By\tBy\tIN\tB-PP\tO' +p147214 +aS':\t:\t:\tO\tO' +p147215 +aS'David\tDavid\tNNP\tB-NP\tO' +p147216 +aS'GA\tGA\tNNP\tI-NP\tO' +p147217 +aS'Crane\tCrane\tNNP\tI-NP\tO' +p147218 +aS',\t,\t,\tO\tO' +p147219 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p147220 +asS'She then began spotting for several months with some constant brown discharge .' +p147221 +(lp147222 +S'She\tShe\tPRP\tB-NP\tO' +p147223 +aS'then\tthen\tRB\tB-ADVP\tO' +p147224 +aS'began\tbegin\tVBD\tB-VP\tO' +p147225 +aS'spotting\tspot\tVBG\tI-VP\tO' +p147226 +aS'for\tfor\tIN\tB-PP\tO' +p147227 +aS'several\tseveral\tJJ\tB-NP\tO' +p147228 +aS'months\tmonth\tNNS\tI-NP\tO' +p147229 +aS'with\twith\tIN\tB-PP\tO' +p147230 +aS'some\tsome\tDT\tB-NP\tO' +p147231 +aS'constant\tconstant\tJJ\tI-NP\tO' +p147232 +aS'brown\tbrown\tJJ\tI-NP\tO' +p147233 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p147234 +aS'.\t.\t.\tO\tO' +p147235 +asS'He was paralyzed and endotracheally intubated , and a 14 gauge catheter was inserted in his left chest because of poor breath sounds .' +p147236 +(lp147237 +S'He\tHe\tPRP\tB-NP\tO' +p147238 +aS'was\tbe\tVBD\tB-VP\tO' +p147239 +aS'paralyzed\tparalyze\tVBN\tI-VP\tO' +p147240 +aS'and\tand\tCC\tO\tO' +p147241 +aS'endotracheally\tendotracheally\tRB\tB-VP\tO' +p147242 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p147243 +aS',\t,\t,\tO\tO' +p147244 +aS'and\tand\tCC\tO\tO' +p147245 +aS'a\ta\tDT\tB-NP\tO' +p147246 +aS'14\t14\tCD\tI-NP\tO' +p147247 +aS'gauge\tgauge\tNN\tI-NP\tO' +p147248 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p147249 +aS'was\tbe\tVBD\tB-VP\tO' +p147250 +aS'inserted\tinsert\tVBN\tI-VP\tO' +p147251 +aS'in\tin\tIN\tB-PP\tO' +p147252 +aS'his\this\tPRP$\tB-NP\tO' +p147253 +aS'left\tleft\tJJ\tI-NP\tO' +p147254 +aS'chest\tchest\tNN\tI-NP\tO' +p147255 +aS'because\tbecause\tIN\tB-PP\tO' +p147256 +aS'of\tof\tIN\tI-PP\tO' +p147257 +aS'poor\tpoor\tJJ\tB-NP\tO' +p147258 +aS'breath\tbreath\tNN\tI-NP\tO' +p147259 +aS'sounds\tsound\tNNS\tI-NP\tO' +p147260 +aS'.\t.\t.\tO\tO' +p147261 +asS'The patient lives at home with her family .' +p147262 +(lp147263 +S'The\tThe\tDT\tB-NP\tO' +p147264 +aS'patient\tpatient\tNN\tI-NP\tO' +p147265 +aS'lives\tlive\tVBZ\tB-VP\tO' +p147266 +aS'at\tat\tIN\tB-PP\tO' +p147267 +aS'home\thome\tNN\tB-NP\tO' +p147268 +aS'with\twith\tIN\tB-PP\tO' +p147269 +aS'her\ther\tPRP$\tB-NP\tB-protein' +p147270 +aS'family\tfamily\tNN\tI-NP\tI-protein' +p147271 +aS'.\t.\t.\tO\tO' +p147272 +asS'The infant was admitted to the Neonatal Intensive Care Unit for treatment of hypoglycemia .' +p147273 +(lp147274 +S'The\tThe\tDT\tB-NP\tO' +p147275 +aS'infant\tinfant\tNN\tI-NP\tO' +p147276 +aS'was\tbe\tVBD\tB-VP\tO' +p147277 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p147278 +aS'to\tto\tTO\tB-PP\tO' +p147279 +aS'the\tthe\tDT\tB-NP\tO' +p147280 +aS'Neonatal\tNeonatal\tNNP\tI-NP\tO' +p147281 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p147282 +aS'Care\tCare\tNNP\tI-NP\tO' +p147283 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p147284 +aS'for\tfor\tIN\tB-PP\tO' +p147285 +aS'treatment\ttreatment\tNN\tB-NP\tO' +p147286 +aS'of\tof\tIN\tB-PP\tO' +p147287 +aS'hypoglycemia\thypoglycemia\tNN\tB-NP\tO' +p147288 +aS'.\t.\t.\tO\tO' +p147289 +asS'A left subclavian vascular catheter terminates in the superior vena cava .' +p147290 +(lp147291 +S'A\tA\tDT\tB-NP\tO' +p147292 +aS'left\tleft\tJJ\tI-NP\tO' +p147293 +aS'subclavian\tsubclavian\tJJ\tI-NP\tO' +p147294 +aS'vascular\tvascular\tJJ\tI-NP\tO' +p147295 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p147296 +aS'terminates\tterminate\tVBZ\tB-VP\tO' +p147297 +aS'in\tin\tIN\tB-PP\tO' +p147298 +aS'the\tthe\tDT\tB-NP\tO' +p147299 +aS'superior\tsuperior\tJJ\tI-NP\tO' +p147300 +aS'vena\tvena\tNN\tI-NP\tO' +p147301 +aS'cava\tcava\tNN\tI-NP\tO' +p147302 +aS'.\t.\t.\tO\tO' +p147303 +asS'1. Colitis .' +p147304 +(lp147305 +S'1.\t1.\tLS\tB-NP\tO' +p147306 +aS'Colitis\tColitis\tNN\tI-NP\tO' +p147307 +aS'.\t.\t.\tO\tO' +p147308 +asS'The patient used the cane in her left hand .' +p147309 +(lp147310 +S'The\tThe\tDT\tB-NP\tO' +p147311 +aS'patient\tpatient\tNN\tI-NP\tO' +p147312 +aS'used\tuse\tVBD\tB-VP\tO' +p147313 +aS'the\tthe\tDT\tB-NP\tO' +p147314 +aS'cane\tcane\tNN\tI-NP\tO' +p147315 +aS'in\tin\tIN\tB-PP\tO' +p147316 +aS'her\ther\tPRP$\tB-NP\tO' +p147317 +aS'left\tleft\tJJ\tI-NP\tO' +p147318 +aS'hand\thand\tNN\tI-NP\tO' +p147319 +aS'.\t.\t.\tO\tO' +p147320 +asS'She was ruled out for myocardial infarction with three sets of normal enzymes and continued to be monitored on telemetry .' +p147321 +(lp147322 +S'She\tShe\tPRP\tB-NP\tO' +p147323 +aS'was\tbe\tVBD\tB-VP\tO' +p147324 +aS'ruled\trule\tVBN\tI-VP\tO' +p147325 +aS'out\tout\tRP\tB-PRT\tO' +p147326 +aS'for\tfor\tIN\tB-PP\tO' +p147327 +aS'myocardial\tmyocardial\tJJ\tB-NP\tO' +p147328 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p147329 +aS'with\twith\tIN\tB-PP\tO' +p147330 +aS'three\tthree\tCD\tB-NP\tO' +p147331 +aS'sets\tset\tNNS\tI-NP\tO' +p147332 +aS'of\tof\tIN\tB-PP\tO' +p147333 +aS'normal\tnormal\tJJ\tB-NP\tB-protein' +p147334 +aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' +p147335 +aS'and\tand\tCC\tO\tO' +p147336 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p147337 +aS'to\tto\tTO\tI-VP\tO' +p147338 +aS'be\tbe\tVB\tI-VP\tO' +p147339 +aS'monitored\tmonitor\tVBN\tI-VP\tO' +p147340 +aS'on\ton\tIN\tB-PP\tO' +p147341 +aS'telemetry\ttelemetry\tNN\tB-NP\tO' +p147342 +aS'.\t.\t.\tO\tO' +p147343 +asS'Patient was able to void and ambulated without assistance as directed by P.T.' +p147344 +(lp147345 +S'Patient\tPatient\tNN\tB-NP\tO' +p147346 +aS'was\tbe\tVBD\tB-VP\tO' +p147347 +aS'able\table\tJJ\tB-ADJP\tO' +p147348 +aS'to\tto\tTO\tB-PP\tO' +p147349 +aS'void\tvoid\tNN\tB-NP\tO' +p147350 +aS'and\tand\tCC\tO\tO' +p147351 +aS'ambulated\tambulate\tVBN\tB-VP\tO' +p147352 +aS'without\twithout\tIN\tB-PP\tO' +p147353 +aS'assistance\tassistance\tNN\tB-NP\tO' +p147354 +aS'as\tas\tIN\tB-SBAR\tO' +p147355 +aS'directed\tdirect\tVBN\tB-VP\tO' +p147356 +aS'by\tby\tIN\tB-PP\tO' +p147357 +aS'P.T.\tP.T.\tNN\tB-NP\tO' +p147358 +asS'She presents now with worsening low back pain radiating down the right leg .' +p147359 +(lp147360 +S'She\tShe\tPRP\tB-NP\tO' +p147361 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p147362 +aS'now\tnow\tRB\tB-ADVP\tO' +p147363 +aS'with\twith\tIN\tB-PP\tO' +p147364 +aS'worsening\tworsen\tVBG\tB-VP\tO' +p147365 +aS'low\tlow\tJJ\tB-NP\tO' +p147366 +aS'back\tback\tJJ\tI-NP\tO' +p147367 +aS'pain\tpain\tNN\tI-NP\tO' +p147368 +aS'radiating\tradiate\tVBG\tB-VP\tO' +p147369 +aS'down\tdown\tIN\tB-PP\tO' +p147370 +aS'the\tthe\tDT\tB-NP\tO' +p147371 +aS'right\tright\tJJ\tI-NP\tO' +p147372 +aS'leg\tleg\tNN\tI-NP\tO' +p147373 +aS'.\t.\t.\tO\tO' +p147374 +asS'Chest x-ray was unremarkable .' +p147375 +(lp147376 +S'Chest\tCh\tJJS\tB-NP\tO' +p147377 +aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' +p147378 +aS'was\tbe\tVBD\tB-VP\tO' +p147379 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p147380 +aS'.\t.\t.\tO\tO' +p147381 +asS'She was asymptomatic .' +p147382 +(lp147383 +S'She\tShe\tPRP\tB-NP\tO' +p147384 +aS'was\tbe\tVBD\tB-VP\tO' +p147385 +aS'asymptomatic\tasymptomatic\tJJ\tB-ADJP\tO' +p147386 +aS'.\t.\t.\tO\tO' +p147387 +asS'Born at less than 32 weeks ; born between 32 and 35 weeks with plans for day care during the RSV season , with a' +p147388 +(lp147389 +S'Born\tBear\tVBN\tB-VP\tO' +p147390 +aS'at\tat\tIN\tB-PP\tO' +p147391 +aS'less\tless\tJJR\tB-NP\tO' +p147392 +aS'than\tthan\tIN\tI-NP\tO' +p147393 +aS'32\t32\tCD\tI-NP\tO' +p147394 +aS'weeks\tweek\tNNS\tI-NP\tO' +p147395 +aS';\t;\t:\tO\tO' +p147396 +aS'born\tbear\tVBN\tB-VP\tO' +p147397 +aS'between\tbetween\tIN\tB-PP\tO' +p147398 +aS'32\t32\tCD\tB-NP\tO' +p147399 +aS'and\tand\tCC\tI-NP\tO' +p147400 +aS'35\t35\tCD\tI-NP\tO' +p147401 +aS'weeks\tweek\tNNS\tI-NP\tO' +p147402 +aS'with\twith\tIN\tB-PP\tO' +p147403 +aS'plans\tplan\tNNS\tB-NP\tO' +p147404 +aS'for\tfor\tIN\tB-PP\tO' +p147405 +aS'day\tday\tNN\tB-NP\tO' +p147406 +aS'care\tcare\tNN\tI-NP\tO' +p147407 +aS'during\tduring\tIN\tB-PP\tO' +p147408 +aS'the\tthe\tDT\tB-NP\tO' +p147409 +aS'RSV\tRSV\tNN\tI-NP\tO' +p147410 +aS'season\tseason\tNN\tI-NP\tO' +p147411 +aS',\t,\t,\tO\tO' +p147412 +aS'with\twith\tIN\tB-PP\tO' +p147413 +aS'a\ta\tDT\tB-NP\tO' +p147414 +asS'While her discharge summary maintains that she was continued on Furosemide / Spirinolactone / Propranolol , the patient did not receive any scripts on discharge and as a result did not take these medications .' +p147415 +(lp147416 +S'While\tWhile\tIN\tB-SBAR\tO' +p147417 +aS'her\ther\tPRP$\tB-NP\tO' +p147418 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p147419 +aS'summary\tsummary\tNN\tI-NP\tO' +p147420 +aS'maintains\tmaintain\tVBZ\tB-VP\tO' +p147421 +aS'that\tthat\tIN\tB-SBAR\tO' +p147422 +aS'she\tshe\tPRP\tB-NP\tO' +p147423 +aS'was\tbe\tVBD\tB-VP\tO' +p147424 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p147425 +aS'on\ton\tIN\tB-PP\tO' +p147426 +aS'Furosemide\tFurosemide\tNN\tB-NP\tO' +p147427 +aS'/\t/\tSYM\tI-NP\tO' +p147428 +aS'Spirinolactone\tSpirinolactone\tNN\tI-NP\tO' +p147429 +aS'/\t/\tSYM\tB-NP\tO' +p147430 +aS'Propranolol\tPropranolol\tNN\tI-NP\tO' +p147431 +aS',\t,\t,\tO\tO' +p147432 +aS'the\tthe\tDT\tB-NP\tO' +p147433 +aS'patient\tpatient\tNN\tI-NP\tO' +p147434 +aS'did\tdo\tVBD\tB-VP\tO' +p147435 +aS'not\tnot\tRB\tI-VP\tO' +p147436 +aS'receive\treceive\tVB\tI-VP\tO' +p147437 +aS'any\tany\tDT\tB-NP\tO' +p147438 +aS'scripts\tscript\tNNS\tI-NP\tO' +p147439 +aS'on\ton\tIN\tB-PP\tO' +p147440 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p147441 +aS'and\tand\tCC\tB-PP\tO' +p147442 +aS'as\tas\tIN\tB-PP\tO' +p147443 +aS'a\ta\tDT\tB-NP\tO' +p147444 +aS'result\tresult\tNN\tI-NP\tO' +p147445 +aS'did\tdo\tVBD\tB-VP\tO' +p147446 +aS'not\tnot\tRB\tI-VP\tO' +p147447 +aS'take\ttake\tVB\tI-VP\tO' +p147448 +aS'these\tthese\tDT\tB-NP\tO' +p147449 +aS'medications\tmedication\tNNS\tI-NP\tO' +p147450 +aS'.\t.\t.\tO\tO' +p147451 +asS'Currently on no medications .' +p147452 +(lp147453 +S'Currently\tCurrently\tRB\tB-ADVP\tO' +p147454 +aS'on\ton\tIN\tB-PP\tO' +p147455 +aS'no\tno\tDT\tB-NP\tO' +p147456 +aS'medications\tmedication\tNNS\tI-NP\tO' +p147457 +aS'.\t.\t.\tO\tO' +p147458 +asS'HEENT examination notable for bilateral arcussenilis but otherwise unremarkable .' +p147459 +(lp147460 +S'HEENT\tHEENT\tNN\tB-NP\tO' +p147461 +aS'examination\texamination\tNN\tI-NP\tO' +p147462 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p147463 +aS'for\tfor\tIN\tB-PP\tO' +p147464 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p147465 +aS'arcussenilis\tarcussenilis\tNN\tI-NP\tO' +p147466 +aS'but\tbut\tCC\tO\tO' +p147467 +aS'otherwise\totherwise\tRB\tB-ADJP\tO' +p147468 +aS'unremarkable\tunremarkable\tJJ\tI-ADJP\tO' +p147469 +aS'.\t.\t.\tO\tO' +p147470 +asS'Upon arrival GCS 15 , alert and oriented x3 .' +p147471 +(lp147472 +S'Upon\tUpon\tIN\tB-PP\tO' +p147473 +aS'arrival\tarrival\tNN\tB-NP\tO' +p147474 +aS'GCS\tGCS\tNNS\tI-NP\tO' +p147475 +aS'15\t15\tCD\tB-NP\tO' +p147476 +aS',\t,\t,\tO\tO' +p147477 +aS'alert\talert\tJJ\tB-NP\tO' +p147478 +aS'and\tand\tCC\tI-NP\tO' +p147479 +aS'oriented\torient\tVBN\tI-NP\tO' +p147480 +aS'x3\tx3\tNN\tI-NP\tO' +p147481 +aS'.\t.\t.\tO\tO' +p147482 +asS'He also started treatment for gallstones with cholestasis on the medication ursodiol .' +p147483 +(lp147484 +S'He\tHe\tPRP\tB-NP\tO' +p147485 +aS'also\talso\tRB\tB-ADVP\tO' +p147486 +aS'started\tstart\tVBD\tB-VP\tO' +p147487 +aS'treatment\ttreatment\tNN\tB-NP\tO' +p147488 +aS'for\tfor\tIN\tB-PP\tO' +p147489 +aS'gallstones\tgallstone\tNNS\tB-NP\tO' +p147490 +aS'with\twith\tIN\tB-PP\tO' +p147491 +aS'cholestasis\tcholestasis\tNN\tB-NP\tO' +p147492 +aS'on\ton\tIN\tB-PP\tO' +p147493 +aS'the\tthe\tDT\tB-NP\tO' +p147494 +aS'medication\tmedication\tNN\tI-NP\tO' +p147495 +aS'ursodiol\tursodiol\tNN\tI-NP\tO' +p147496 +aS'.\t.\t.\tO\tO' +p147497 +asS'10. Tegaserod Hydrogen Maleate 6 mg Tablet Sig : One ( 1 ) Tablet PO bid ( ) .' +p147498 +(lp147499 +S'10.\t10.\tLS\tB-LST\tO' +p147500 +aS'Tegaserod\tTegaserod\tNNP\tB-NP\tO' +p147501 +aS'Hydrogen\tHydrogen\tNNP\tI-NP\tO' +p147502 +aS'Maleate\tMaleate\tNNP\tI-NP\tO' +p147503 +aS'6\t6\tCD\tI-NP\tO' +p147504 +aS'mg\tmg\tNN\tI-NP\tO' +p147505 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p147506 +aS'Sig\tSig\tNNP\tI-NP\tO' +p147507 +aS':\t:\t:\tO\tO' +p147508 +aS'One\tOne\tCD\tB-NP\tO' +p147509 +aS'(\t(\t(\tO\tO' +p147510 +aS'1\t1\tCD\tB-NP\tO' +p147511 +aS')\t)\t)\tO\tO' +p147512 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p147513 +aS'PO\tPO\tNN\tI-NP\tO' +p147514 +aS'bid\tbid\tNN\tI-NP\tO' +p147515 +aS'(\t(\t(\tO\tO' +p147516 +aS')\t)\t)\tO\tO' +p147517 +aS'.\t.\t.\tO\tO' +p147518 +asS"13. oxygen continue 02 at 1L/min continuous to keep sats in 90 's." +p147519 +(lp147520 +S'13.\t13.\tLS\tB-NP\tO' +p147521 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p147522 +aS'continue\tcontinue\tVBP\tB-VP\tO' +p147523 +aS'02\t02\tCD\tB-NP\tO' +p147524 +aS'at\tat\tIN\tB-PP\tO' +p147525 +aS'1L/min\t1L/min\tNN\tB-NP\tO' +p147526 +aS'continuous\tcontinuous\tJJ\tB-ADJP\tO' +p147527 +aS'to\tto\tTO\tB-VP\tO' +p147528 +aS'keep\tkeep\tVB\tI-VP\tO' +p147529 +aS'sats\tsat\tNNS\tB-NP\tO' +p147530 +aS'in\tin\tIN\tB-PP\tO' +p147531 +aS'90\t90\tCD\tB-NP\tO' +p147532 +aS"'s.\t's.\tPOS\tB-NP\tO" +p147533 +asS'No audible extra heart sounds .' +p147534 +(lp147535 +S'No\tNo\tDT\tB-NP\tO' +p147536 +aS'audible\taudible\tJJ\tI-NP\tO' +p147537 +aS'extra\textra\tJJ\tI-NP\tO' +p147538 +aS'heart\theart\tNN\tI-NP\tO' +p147539 +aS'sounds\tsound\tNNS\tI-NP\tO' +p147540 +aS'.\t.\t.\tO\tO' +p147541 +asS'She was unable to tolerate pos .' +p147542 +(lp147543 +S'She\tShe\tPRP\tB-NP\tO' +p147544 +aS'was\tbe\tVBD\tB-VP\tO' +p147545 +aS'unable\tunable\tJJ\tB-ADJP\tO' +p147546 +aS'to\tto\tTO\tB-VP\tO' +p147547 +aS'tolerate\ttolerate\tVB\tI-VP\tO' +p147548 +aS'pos\tpo\tNNS\tB-NP\tB-protein' +p147549 +aS'.\t.\t.\tO\tO' +p147550 +asS'CV : reg s1 , loud s2 , + 2/6 systolic murmur radiating to axilla , no s3/s4/r' +p147551 +(lp147552 +S'CV\tCV\tNN\tB-NP\tO' +p147553 +aS':\t:\t:\tO\tO' +p147554 +aS'reg\treg\tNN\tB-NP\tO' +p147555 +aS's1\ts1\tNN\tI-NP\tO' +p147556 +aS',\t,\t,\tO\tO' +p147557 +aS'loud\tloud\tJJ\tB-NP\tO' +p147558 +aS's2\ts2\tNN\tI-NP\tO' +p147559 +aS',\t,\t,\tO\tO' +p147560 +aS'+\t+\tSYM\tB-NP\tO' +p147561 +aS'2/6\t2/6\tCD\tI-NP\tO' +p147562 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p147563 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p147564 +aS'radiating\tradiate\tVBG\tB-VP\tO' +p147565 +aS'to\tto\tTO\tB-PP\tO' +p147566 +aS'axilla\taxilla\tNN\tB-NP\tO' +p147567 +aS',\t,\t,\tO\tO' +p147568 +aS'no\tno\tDT\tB-NP\tO' +p147569 +aS's3/s4/r\ts3/s4/r\tNN\tI-NP\tB-protein' +p147570 +asS'They therefore felt that she could be continued to be followed by examination .' +p147571 +(lp147572 +S'They\tThey\tPRP\tB-NP\tO' +p147573 +aS'therefore\ttherefore\tRB\tB-ADVP\tO' +p147574 +aS'felt\tfeel\tVBD\tB-VP\tO' +p147575 +aS'that\tthat\tIN\tB-SBAR\tO' +p147576 +aS'she\tshe\tPRP\tB-NP\tO' +p147577 +aS'could\tcould\tMD\tB-VP\tO' +p147578 +aS'be\tbe\tVB\tI-VP\tO' +p147579 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p147580 +aS'to\tto\tTO\tI-VP\tO' +p147581 +aS'be\tbe\tVB\tI-VP\tO' +p147582 +aS'followed\tfollow\tVBN\tI-VP\tO' +p147583 +aS'by\tby\tIN\tB-PP\tO' +p147584 +aS'examination\texamination\tNN\tB-NP\tO' +p147585 +aS'.\t.\t.\tO\tO' +p147586 +asS'On postoperative day number two , an Oncology consult with Dr. Natalie Mcalister was obtained and' +p147587 +(lp147588 +S'On\tOn\tIN\tB-PP\tO' +p147589 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p147590 +aS'day\tday\tNN\tI-NP\tO' +p147591 +aS'number\tnumber\tNN\tI-NP\tO' +p147592 +aS'two\ttwo\tCD\tB-NP\tO' +p147593 +aS',\t,\t,\tO\tO' +p147594 +aS'an\tan\tDT\tB-NP\tO' +p147595 +aS'Oncology\tOncology\tNNP\tI-NP\tO' +p147596 +aS'consult\tconsult\tNN\tI-NP\tO' +p147597 +aS'with\twith\tIN\tB-PP\tO' +p147598 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p147599 +aS'Natalie\tNatalie\tNNP\tI-NP\tO' +p147600 +aS'Mcalister\tMcalister\tNNP\tI-NP\tO' +p147601 +aS'was\tbe\tVBD\tB-VP\tO' +p147602 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p147603 +aS'and\tand\tCC\tO\tO' +p147604 +asS'Medications on Admission : toprol ( unknown dose ) coumadin 1 mg qhs' +p147605 +(lp147606 +S'Medications\tMedication\tNNS\tB-NP\tO' +p147607 +aS'on\ton\tIN\tB-PP\tO' +p147608 +aS'Admission\tAdmission\tNN\tB-NP\tO' +p147609 +aS':\t:\t:\tO\tO' +p147610 +aS'toprol\ttoprol\tNN\tB-NP\tO' +p147611 +aS'(\t(\t(\tO\tO' +p147612 +aS'unknown\tunknown\tJJ\tB-NP\tO' +p147613 +aS'dose\tdose\tNN\tI-NP\tO' +p147614 +aS')\t)\t)\tO\tO' +p147615 +aS'coumadin\tcoumadin\tNN\tB-NP\tO' +p147616 +aS'1\t1\tCD\tI-NP\tO' +p147617 +aS'mg\tmg\tNN\tI-NP\tO' +p147618 +aS'qhs\tqh\tNNS\tI-NP\tO' +p147619 +asS'He was intubated and given Versed and Fentanyl .' +p147620 +(lp147621 +S'He\tHe\tPRP\tB-NP\tO' +p147622 +aS'was\tbe\tVBD\tB-VP\tO' +p147623 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p147624 +aS'and\tand\tCC\tO\tO' +p147625 +aS'given\tgive\tVBN\tB-VP\tO' +p147626 +aS'Versed\tVerse\tVBN\tI-VP\tO' +p147627 +aS'and\tand\tCC\tO\tO' +p147628 +aS'Fentanyl\tFentanyl\tNN\tB-NP\tO' +p147629 +aS'.\t.\t.\tO\tO' +p147630 +asS'He works as an accountant .' +p147631 +(lp147632 +S'He\tHe\tPRP\tB-NP\tO' +p147633 +aS'works\twork\tVBZ\tB-VP\tO' +p147634 +aS'as\tas\tIN\tB-PP\tO' +p147635 +aS'an\tan\tDT\tB-NP\tO' +p147636 +aS'accountant\taccountant\tNN\tI-NP\tO' +p147637 +aS'.\t.\t.\tO\tO' +p147638 +asS'1. status post mitral valve replacement ,' +p147639 +(lp147640 +S'1.\t1.\tLS\tB-NP\tO' +p147641 +aS'status\tstatus\tNN\tI-NP\tO' +p147642 +aS'post\tpost\tNN\tI-NP\tO' +p147643 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p147644 +aS'valve\tvalve\tNN\tI-NP\tO' +p147645 +aS'replacement\treplacement\tNN\tI-NP\tO' +p147646 +aS',\t,\t,\tO\tO' +p147647 +asS'Your patient was admitted under the care of FONG , CONEY N with a preliminary diagnosis of PERFORATION .' +p147648 +(lp147649 +S'Your\tYour\tPRP$\tB-NP\tO' +p147650 +aS'patient\tpatient\tNN\tI-NP\tO' +p147651 +aS'was\tbe\tVBD\tB-VP\tO' +p147652 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p147653 +aS'under\tunder\tIN\tB-PP\tO' +p147654 +aS'the\tthe\tDT\tB-NP\tO' +p147655 +aS'care\tcare\tNN\tI-NP\tO' +p147656 +aS'of\tof\tIN\tB-PP\tO' +p147657 +aS'FONG\tFONG\tNN\tB-NP\tO' +p147658 +aS',\t,\t,\tO\tO' +p147659 +aS'CONEY\tCONEY\tNN\tB-NP\tO' +p147660 +aS'N\tN\tNN\tI-NP\tO' +p147661 +aS'with\twith\tIN\tB-PP\tO' +p147662 +aS'a\ta\tDT\tB-NP\tO' +p147663 +aS'preliminary\tpreliminary\tJJ\tI-NP\tO' +p147664 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p147665 +aS'of\tof\tIN\tB-PP\tO' +p147666 +aS'PERFORATION\tPERFORATION\tNN\tB-NP\tO' +p147667 +aS'.\t.\t.\tO\tO' +p147668 +asS'Sputum grew out Klebsiella pneumoniae , and she was treated with Gentamicin and Ancef for 14 days intravenous ( bug being sensitive to these two drugs ) .' +p147669 +(lp147670 +S'Sputum\tSputum\tNNP\tB-NP\tO' +p147671 +aS'grew\tgrow\tVBD\tB-VP\tO' +p147672 +aS'out\tout\tRP\tB-PRT\tO' +p147673 +aS'Klebsiella\tKlebsiella\tNNP\tB-NP\tO' +p147674 +aS'pneumoniae\tpneumoniae\tNNP\tI-NP\tO' +p147675 +aS',\t,\t,\tO\tO' +p147676 +aS'and\tand\tCC\tO\tO' +p147677 +aS'she\tshe\tPRP\tB-NP\tO' +p147678 +aS'was\tbe\tVBD\tB-VP\tO' +p147679 +aS'treated\ttreat\tVBN\tI-VP\tO' +p147680 +aS'with\twith\tIN\tB-PP\tO' +p147681 +aS'Gentamicin\tGentamicin\tNN\tB-NP\tO' +p147682 +aS'and\tand\tCC\tI-NP\tO' +p147683 +aS'Ancef\tAncef\tNN\tI-NP\tO' +p147684 +aS'for\tfor\tIN\tB-PP\tO' +p147685 +aS'14\t14\tCD\tB-NP\tO' +p147686 +aS'days\tday\tNNS\tI-NP\tO' +p147687 +aS'intravenous\tintravenous\tJJ\tB-ADJP\tO' +p147688 +aS'(\t(\t(\tO\tO' +p147689 +aS'bug\tbug\tNN\tB-NP\tO' +p147690 +aS'being\tbe\tVBG\tB-VP\tO' +p147691 +aS'sensitive\tsensitive\tJJ\tB-ADJP\tO' +p147692 +aS'to\tto\tTO\tB-PP\tO' +p147693 +aS'these\tthese\tDT\tB-NP\tO' +p147694 +aS'two\ttwo\tCD\tI-NP\tO' +p147695 +aS'drugs\tdrug\tNNS\tI-NP\tO' +p147696 +aS')\t)\t)\tO\tO' +p147697 +aS'.\t.\t.\tO\tO' +p147698 +asS'The patient underwent primary low transverse cesarean section on 2014-05-19 at approximately 28 weeks gestation .' +p147699 +(lp147700 +S'The\tThe\tDT\tB-NP\tO' +p147701 +aS'patient\tpatient\tNN\tI-NP\tO' +p147702 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p147703 +aS'primary\tprimary\tJJ\tB-NP\tO' +p147704 +aS'low\tlow\tJJ\tI-NP\tO' +p147705 +aS'transverse\ttransverse\tJJ\tI-NP\tO' +p147706 +aS'cesarean\tcesarean\tJJ\tI-NP\tO' +p147707 +aS'section\tsection\tNN\tI-NP\tO' +p147708 +aS'on\ton\tIN\tB-PP\tO' +p147709 +aS'2014-05-19\t2014-05-19\tCD\tB-NP\tO' +p147710 +aS'at\tat\tIN\tB-PP\tO' +p147711 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p147712 +aS'28\t28\tCD\tI-NP\tO' +p147713 +aS'weeks\tweek\tNNS\tI-NP\tO' +p147714 +aS'gestation\tgestation\tNN\tI-NP\tO' +p147715 +aS'.\t.\t.\tO\tO' +p147716 +asS'The extra ocular muscles were intact bilaterally .' +p147717 +(lp147718 +S'The\tThe\tDT\tB-NP\tO' +p147719 +aS'extra\textra\tJJ\tI-NP\tO' +p147720 +aS'ocular\tocular\tJJ\tI-NP\tO' +p147721 +aS'muscles\tmuscle\tNNS\tI-NP\tO' +p147722 +aS'were\tbe\tVBD\tB-VP\tO' +p147723 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p147724 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p147725 +aS'.\t.\t.\tO\tO' +p147726 +asS'Switched to Arimedex in 2019-02-10 due to vaginal bleeding on Tamoxifen .' +p147727 +(lp147728 +S'Switched\tSwitch\tVBN\tB-VP\tO' +p147729 +aS'to\tto\tTO\tB-PP\tO' +p147730 +aS'Arimedex\tArimedex\tNNP\tB-NP\tO' +p147731 +aS'in\tin\tIN\tB-PP\tO' +p147732 +aS'2019-02-10\t2019-02-10\tCD\tB-NP\tO' +p147733 +aS'due\tdue\tJJ\tB-PP\tO' +p147734 +aS'to\tto\tTO\tB-PP\tO' +p147735 +aS'vaginal\tvaginal\tJJ\tB-NP\tO' +p147736 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p147737 +aS'on\ton\tIN\tB-PP\tO' +p147738 +aS'Tamoxifen\tTamoxifen\tNN\tB-NP\tO' +p147739 +aS'.\t.\t.\tO\tO' +p147740 +asS'lives with wife and oldest son' +p147741 +(lp147742 +S'lives\tlife\tNNS\tB-NP\tO' +p147743 +aS'with\twith\tIN\tB-PP\tO' +p147744 +aS'wife\twife\tNN\tB-NP\tO' +p147745 +aS'and\tand\tCC\tO\tO' +p147746 +aS'oldest\told\tJJS\tB-NP\tO' +p147747 +aS'son\tson\tNN\tI-NP\tO' +p147748 +asS'208 1429 .' +p147749 +(lp147750 +S'208\t208\tCD\tB-NP\tO' +p147751 +aS'1429\t1429\tCD\tI-NP\tO' +p147752 +aS'.\t.\t.\tO\tO' +p147753 +asS'Erythematous nodules on arms at elbows and on right thigh , as previous .' +p147754 +(lp147755 +S'Erythematous\tErythematous\tJJ\tB-NP\tO' +p147756 +aS'nodules\tnodule\tNNS\tI-NP\tO' +p147757 +aS'on\ton\tIN\tB-PP\tO' +p147758 +aS'arms\tarm\tNNS\tB-NP\tO' +p147759 +aS'at\tat\tIN\tB-PP\tO' +p147760 +aS'elbows\telbow\tNNS\tB-NP\tO' +p147761 +aS'and\tand\tCC\tB-PP\tO' +p147762 +aS'on\ton\tIN\tB-PP\tO' +p147763 +aS'right\tright\tJJ\tB-NP\tO' +p147764 +aS'thigh\tthigh\tNN\tI-NP\tO' +p147765 +aS',\t,\t,\tO\tO' +p147766 +aS'as\tas\tIN\tB-PP\tO' +p147767 +aS'previous\tprevious\tJJ\tB-ADJP\tO' +p147768 +aS'.\t.\t.\tO\tO' +p147769 +asS'She was started on a steroid trial at that point .' +p147770 +(lp147771 +S'She\tShe\tPRP\tB-NP\tO' +p147772 +aS'was\tbe\tVBD\tB-VP\tO' +p147773 +aS'started\tstart\tVBN\tI-VP\tO' +p147774 +aS'on\ton\tIN\tB-PP\tO' +p147775 +aS'a\ta\tDT\tB-NP\tO' +p147776 +aS'steroid\tsteroid\tNN\tI-NP\tO' +p147777 +aS'trial\ttrial\tNN\tI-NP\tO' +p147778 +aS'at\tat\tIN\tB-PP\tO' +p147779 +aS'that\tthat\tDT\tB-NP\tO' +p147780 +aS'point\tpoint\tNN\tI-NP\tO' +p147781 +aS'.\t.\t.\tO\tO' +p147782 +asS'9. History of fibroids .' +p147783 +(lp147784 +S'9.\t9.\tLS\tB-NP\tO' +p147785 +aS'History\tHistory\tNN\tI-NP\tO' +p147786 +aS'of\tof\tIN\tB-PP\tO' +p147787 +aS'fibroids\tfibroid\tNNS\tB-NP\tO' +p147788 +aS'.\t.\t.\tO\tO' +p147789 +asS'1. No spontaneous echo contrast or thrombus is seen in the body of the left atrium or left atrial appendage .' +p147790 +(lp147791 +S'1.\t1.\tLS\tB-LST\tO' +p147792 +aS'No\tNo\tDT\tB-NP\tO' +p147793 +aS'spontaneous\tspontaneous\tJJ\tI-NP\tO' +p147794 +aS'echo\techo\tJJ\tI-NP\tO' +p147795 +aS'contrast\tcontrast\tNN\tI-NP\tO' +p147796 +aS'or\tor\tCC\tI-NP\tO' +p147797 +aS'thrombus\tthrombus\tNN\tI-NP\tO' +p147798 +aS'is\tbe\tVBZ\tB-VP\tO' +p147799 +aS'seen\tsee\tVBN\tI-VP\tO' +p147800 +aS'in\tin\tIN\tB-PP\tO' +p147801 +aS'the\tthe\tDT\tB-NP\tO' +p147802 +aS'body\tbody\tNN\tI-NP\tO' +p147803 +aS'of\tof\tIN\tB-PP\tO' +p147804 +aS'the\tthe\tDT\tB-NP\tO' +p147805 +aS'left\tleft\tJJ\tI-NP\tO' +p147806 +aS'atrium\tatrium\tNN\tI-NP\tO' +p147807 +aS'or\tor\tCC\tO\tO' +p147808 +aS'left\tleave\tVBD\tB-VP\tO' +p147809 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p147810 +aS'appendage\tappendage\tNN\tI-NP\tO' +p147811 +aS'.\t.\t.\tO\tO' +p147812 +asS'1. Successful removal of CBD stone and placement of plastic biliary stent for confirmed cystic duct leak .' +p147813 +(lp147814 +S'1.\t1.\tLS\tB-NP\tO' +p147815 +aS'Successful\tSuccessful\tJJ\tI-NP\tO' +p147816 +aS'removal\tremoval\tNN\tI-NP\tO' +p147817 +aS'of\tof\tIN\tB-PP\tO' +p147818 +aS'CBD\tCBD\tNN\tB-NP\tB-protein' +p147819 +aS'stone\tstone\tNN\tI-NP\tI-protein' +p147820 +aS'and\tand\tCC\tI-NP\tO' +p147821 +aS'placement\tplacement\tNN\tI-NP\tO' +p147822 +aS'of\tof\tIN\tB-PP\tO' +p147823 +aS'plastic\tplastic\tJJ\tB-NP\tO' +p147824 +aS'biliary\tbiliary\tJJ\tI-NP\tO' +p147825 +aS'stent\tstent\tNN\tI-NP\tO' +p147826 +aS'for\tfor\tIN\tB-PP\tO' +p147827 +aS'confirmed\tconfirm\tVBN\tB-NP\tO' +p147828 +aS'cystic\tcystic\tJJ\tI-NP\tO' +p147829 +aS'duct\tduct\tNN\tI-NP\tO' +p147830 +aS'leak\tleak\tNN\tI-NP\tO' +p147831 +aS'.\t.\t.\tO\tO' +p147832 +asS'The patient was a direct admission to the operating room on 02-12 , at which time she underwent an' +p147833 +(lp147834 +S'The\tThe\tDT\tB-NP\tO' +p147835 +aS'patient\tpatient\tNN\tI-NP\tO' +p147836 +aS'was\tbe\tVBD\tB-VP\tO' +p147837 +aS'a\ta\tDT\tB-NP\tO' +p147838 +aS'direct\tdirect\tJJ\tI-NP\tO' +p147839 +aS'admission\tadmission\tNN\tI-NP\tO' +p147840 +aS'to\tto\tTO\tB-PP\tO' +p147841 +aS'the\tthe\tDT\tB-NP\tO' +p147842 +aS'operating\toperating\tNN\tI-NP\tO' +p147843 +aS'room\troom\tNN\tI-NP\tO' +p147844 +aS'on\ton\tIN\tB-PP\tO' +p147845 +aS'02-12\t02-12\tCD\tB-NP\tO' +p147846 +aS',\t,\t,\tO\tO' +p147847 +aS'at\tat\tIN\tB-PP\tO' +p147848 +aS'which\twhich\tWDT\tB-NP\tO' +p147849 +aS'time\ttime\tNN\tI-NP\tO' +p147850 +aS'she\tshe\tPRP\tB-NP\tO' +p147851 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p147852 +aS'an\tan\tDT\tO\tO' +p147853 +asS'Repeat CBC on day of life two showed a white blood cell count of 8.4 , platelets 95 , 41% neutrophils , 0 bands .' +p147854 +(lp147855 +S'Repeat\tRepeat\tNN\tB-NP\tO' +p147856 +aS'CBC\tCBC\tNN\tI-NP\tO' +p147857 +aS'on\ton\tIN\tB-PP\tO' +p147858 +aS'day\tday\tNN\tB-NP\tO' +p147859 +aS'of\tof\tIN\tB-PP\tO' +p147860 +aS'life\tlife\tNN\tB-NP\tO' +p147861 +aS'two\ttwo\tCD\tI-NP\tO' +p147862 +aS'showed\tshow\tVBD\tB-VP\tO' +p147863 +aS'a\ta\tDT\tB-NP\tO' +p147864 +aS'white\twhite\tJJ\tI-NP\tO' +p147865 +aS'blood\tblood\tNN\tI-NP\tO' +p147866 +aS'cell\tcell\tNN\tI-NP\tO' +p147867 +aS'count\tcount\tNN\tI-NP\tO' +p147868 +aS'of\tof\tIN\tB-PP\tO' +p147869 +aS'8.4\t8.4\tCD\tB-NP\tO' +p147870 +aS',\t,\t,\tO\tO' +p147871 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p147872 +aS'95\t95\tCD\tB-NP\tO' +p147873 +aS',\t,\t,\tO\tO' +p147874 +aS'41%\t41%\tCD\tB-NP\tO' +p147875 +aS'neutrophils\tneutrophil\tNNS\tI-NP\tB-cell_type' +p147876 +aS',\t,\t,\tO\tO' +p147877 +aS'0\t0\tCD\tB-NP\tO' +p147878 +aS'bands\tband\tNNS\tI-NP\tO' +p147879 +aS'.\t.\t.\tO\tO' +p147880 +asS'Includes a temperature of 99.9 .' +p147881 +(lp147882 +S'Includes\tInclude\tVBZ\tB-VP\tO' +p147883 +aS'a\ta\tDT\tB-NP\tO' +p147884 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p147885 +aS'of\tof\tIN\tB-PP\tO' +p147886 +aS'99.9\t99.9\tCD\tB-NP\tO' +p147887 +aS'.\t.\t.\tO\tO' +p147888 +asS'The patient is medically cleared for a flight to return to her home in the United Kingdom .' +p147889 +(lp147890 +S'The\tThe\tDT\tB-NP\tO' +p147891 +aS'patient\tpatient\tNN\tI-NP\tO' +p147892 +aS'is\tbe\tVBZ\tB-VP\tO' +p147893 +aS'medically\tmedically\tRB\tI-VP\tO' +p147894 +aS'cleared\tclear\tVBN\tI-VP\tO' +p147895 +aS'for\tfor\tIN\tB-PP\tO' +p147896 +aS'a\ta\tDT\tB-NP\tO' +p147897 +aS'flight\tflight\tNN\tI-NP\tO' +p147898 +aS'to\tto\tTO\tB-VP\tO' +p147899 +aS'return\treturn\tVB\tI-VP\tO' +p147900 +aS'to\tto\tTO\tB-PP\tO' +p147901 +aS'her\ther\tPRP$\tB-NP\tO' +p147902 +aS'home\thome\tNN\tI-NP\tO' +p147903 +aS'in\tin\tIN\tB-PP\tO' +p147904 +aS'the\tthe\tDT\tB-NP\tO' +p147905 +aS'United\tUnited\tNNP\tI-NP\tO' +p147906 +aS'Kingdom\tKingdom\tNNP\tI-NP\tO' +p147907 +aS'.\t.\t.\tO\tO' +p147908 +asS'Soreness at his operative sites , for which he was given p.r.n. Tylenol once his delirium had resolved .' +p147909 +(lp147910 +S'Soreness\tSoreness\tNN\tB-NP\tO' +p147911 +aS'at\tat\tIN\tB-PP\tO' +p147912 +aS'his\this\tPRP$\tB-NP\tO' +p147913 +aS'operative\toperative\tJJ\tI-NP\tB-DNA' +p147914 +aS'sites\tsite\tNNS\tI-NP\tI-DNA' +p147915 +aS',\t,\t,\tO\tO' +p147916 +aS'for\tfor\tIN\tB-PP\tO' +p147917 +aS'which\twhich\tWDT\tB-NP\tO' +p147918 +aS'he\the\tPRP\tB-NP\tO' +p147919 +aS'was\tbe\tVBD\tB-VP\tO' +p147920 +aS'given\tgive\tVBN\tI-VP\tO' +p147921 +aS'p.r.n.\tp.r.n.\tNN\tB-NP\tO' +p147922 +aS'Tylenol\tTylenol\tNN\tI-NP\tO' +p147923 +aS'once\tonce\tIN\tB-SBAR\tO' +p147924 +aS'his\this\tPRP$\tB-NP\tO' +p147925 +aS'delirium\tdelirium\tNN\tI-NP\tO' +p147926 +aS'had\thave\tVBD\tB-VP\tO' +p147927 +aS'resolved\tresolve\tVBN\tI-VP\tO' +p147928 +aS'.\t.\t.\tO\tO' +p147929 +asS'Follow up with Dr. Adner in 2 weeks , call 763-9180 for an appointment .' +p147930 +(lp147931 +S'Follow\tFollow\tVB\tB-VP\tO' +p147932 +aS'up\tup\tRP\tB-PRT\tO' +p147933 +aS'with\twith\tIN\tB-PP\tO' +p147934 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p147935 +aS'Adner\tAdner\tNNP\tI-NP\tO' +p147936 +aS'in\tin\tIN\tB-PP\tO' +p147937 +aS'2\t2\tCD\tB-NP\tO' +p147938 +aS'weeks\tweek\tNNS\tI-NP\tO' +p147939 +aS',\t,\t,\tO\tO' +p147940 +aS'call\tcall\tVBP\tB-VP\tO' +p147941 +aS'763-9180\t763-9180\tCD\tB-NP\tO' +p147942 +aS'for\tfor\tIN\tB-PP\tO' +p147943 +aS'an\tan\tDT\tB-NP\tO' +p147944 +aS'appointment\tappointment\tNN\tI-NP\tO' +p147945 +aS'.\t.\t.\tO\tO' +p147946 +asS'Pulmonary - Good air movement , but occasional rhonchi .' +p147947 +(lp147948 +S'Pulmonary\tPulmonary\tJJ\tB-NP\tO' +p147949 +aS'-\t-\tHYPH\tI-NP\tO' +p147950 +aS'Good\tGood\tJJ\tI-NP\tO' +p147951 +aS'air\tair\tNN\tI-NP\tO' +p147952 +aS'movement\tmovement\tNN\tI-NP\tO' +p147953 +aS',\t,\t,\tO\tO' +p147954 +aS'but\tbut\tCC\tO\tO' +p147955 +aS'occasional\toccasional\tJJ\tB-NP\tO' +p147956 +aS'rhonchi\trhonchi\tNN\tI-NP\tO' +p147957 +aS'.\t.\t.\tO\tO' +p147958 +asS'It was recommended to maximize her medical treatment with Beta blockers , aspirin , a statin and an ACE Inhibitor .' +p147959 +(lp147960 +S'It\tIt\tPRP\tB-NP\tO' +p147961 +aS'was\tbe\tVBD\tB-VP\tO' +p147962 +aS'recommended\trecommend\tVBN\tI-VP\tO' +p147963 +aS'to\tto\tTO\tI-VP\tO' +p147964 +aS'maximize\tmaximize\tVB\tI-VP\tO' +p147965 +aS'her\ther\tPRP$\tB-NP\tO' +p147966 +aS'medical\tmedical\tJJ\tI-NP\tO' +p147967 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p147968 +aS'with\twith\tIN\tB-PP\tO' +p147969 +aS'Beta\tBeta\tNN\tB-NP\tO' +p147970 +aS'blockers\tblocker\tNNS\tI-NP\tO' +p147971 +aS',\t,\t,\tO\tO' +p147972 +aS'aspirin\taspirin\tNN\tB-NP\tO' +p147973 +aS',\t,\t,\tO\tO' +p147974 +aS'a\ta\tDT\tB-NP\tO' +p147975 +aS'statin\tstatin\tNN\tI-NP\tO' +p147976 +aS'and\tand\tCC\tO\tO' +p147977 +aS'an\tan\tDT\tB-NP\tO' +p147978 +aS'ACE\tACE\tNN\tI-NP\tO' +p147979 +aS'Inhibitor\tInhibitor\tNN\tI-NP\tO' +p147980 +aS'.\t.\t.\tO\tO' +p147981 +asS'No localizing etiology of delta MS .' +p147982 +(lp147983 +S'No\tNo\tDT\tB-NP\tO' +p147984 +aS'localizing\tlocalize\tVBG\tI-NP\tO' +p147985 +aS'etiology\tetiology\tNN\tI-NP\tO' +p147986 +aS'of\tof\tIN\tB-PP\tO' +p147987 +aS'delta\tdelta\tSYM\tB-NP\tO' +p147988 +aS'MS\tMS\tNN\tI-NP\tO' +p147989 +aS'.\t.\t.\tO\tO' +p147990 +asS'Achest x-ray done at that time showed left pleural effusion and small right pleural effusion , not pulmonary edema and left lower lobe consolidations .' +p147991 +(lp147992 +S'Achest\tAch\tJJS\tB-NP\tO' +p147993 +aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' +p147994 +aS'done\tdo\tVBN\tB-VP\tO' +p147995 +aS'at\tat\tIN\tB-PP\tO' +p147996 +aS'that\tthat\tDT\tB-NP\tO' +p147997 +aS'time\ttime\tNN\tI-NP\tO' +p147998 +aS'showed\tshow\tVBD\tB-VP\tO' +p147999 +aS'left\tleft\tJJ\tB-NP\tO' +p148000 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p148001 +aS'effusion\teffusion\tNN\tI-NP\tO' +p148002 +aS'and\tand\tCC\tO\tO' +p148003 +aS'small\tsmall\tJJ\tB-NP\tO' +p148004 +aS'right\tright\tJJ\tI-NP\tO' +p148005 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p148006 +aS'effusion\teffusion\tNN\tI-NP\tO' +p148007 +aS',\t,\t,\tB-NP\tO' +p148008 +aS'not\tnot\tRB\tI-NP\tO' +p148009 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p148010 +aS'edema\tedema\tNN\tI-NP\tO' +p148011 +aS'and\tand\tCC\tO\tO' +p148012 +aS'left\tleave\tVBD\tB-VP\tO' +p148013 +aS'lower\tlow\tJJR\tB-NP\tO' +p148014 +aS'lobe\tlobe\tNN\tI-NP\tO' +p148015 +aS'consolidations\tconsolidation\tNNS\tI-NP\tO' +p148016 +aS'.\t.\t.\tO\tO' +p148017 +asS'The patient 's past medical history is unremarkable .' +p148018 +(lp148019 +S'The\tThe\tDT\tB-NP\tO' +p148020 +aS'patient\tpatient\tNN\tI-NP\tO' +p148021 +aS''s\t'\tNNS\tI-NP\tO' +p148022 +aS'past\tpast\tIN\tB-PP\tO' +p148023 +aS'medical\tmedical\tJJ\tB-NP\tO' +p148024 +aS'history\thistory\tNN\tI-NP\tO' +p148025 +aS'is\tbe\tVBZ\tB-VP\tO' +p148026 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p148027 +aS'.\t.\t.\tO\tO' +p148028 +asS'Extremities - 1+ edema ; 2+ pulses .' +p148029 +(lp148030 +S'Extremities\tExtremity\tNNS\tB-NP\tO' +p148031 +aS'-\t-\tHYPH\tO\tO' +p148032 +aS'1+\t1+\tJJ\tB-NP\tO' +p148033 +aS'edema\tedema\tNN\tI-NP\tO' +p148034 +aS';\t;\t:\tO\tO' +p148035 +aS'2+\t2+\tJJ\tB-NP\tO' +p148036 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p148037 +aS'.\t.\t.\tO\tO' +p148038 +asS'He was comfortable and erythema continued to decrease with improvemeent in the appearance of the wound .' +p148039 +(lp148040 +S'He\tHe\tPRP\tB-NP\tO' +p148041 +aS'was\tbe\tVBD\tB-VP\tO' +p148042 +aS'comfortable\tcomfortable\tJJ\tB-ADJP\tO' +p148043 +aS'and\tand\tCC\tO\tO' +p148044 +aS'erythema\terythema\tNN\tB-NP\tO' +p148045 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p148046 +aS'to\tto\tTO\tI-VP\tO' +p148047 +aS'decrease\tdecrease\tVB\tI-VP\tO' +p148048 +aS'with\twith\tIN\tB-PP\tO' +p148049 +aS'improvemeent\timprovemeent\tNN\tB-NP\tO' +p148050 +aS'in\tin\tIN\tB-PP\tO' +p148051 +aS'the\tthe\tDT\tB-NP\tO' +p148052 +aS'appearance\tappearance\tNN\tI-NP\tO' +p148053 +aS'of\tof\tIN\tB-PP\tO' +p148054 +aS'the\tthe\tDT\tB-NP\tO' +p148055 +aS'wound\twound\tNN\tI-NP\tO' +p148056 +aS'.\t.\t.\tO\tO' +p148057 +asS'No deformities .' +p148058 +(lp148059 +S'No\tNo\tDT\tB-NP\tO' +p148060 +aS'deformities\tdeformity\tNNS\tI-NP\tO' +p148061 +aS'.\t.\t.\tO\tO' +p148062 +asS'14. Coumadin 5 mg Tablet Sig : One ( 1 ) Tablet PO once a day : as directed for goal INR 2.0-2.5.' +p148063 +(lp148064 +S'14.\t14.\tCD\tB-NP\tO' +p148065 +aS'Coumadin\tCoumadin\tNN\tI-NP\tO' +p148066 +aS'5\t5\tCD\tB-NP\tO' +p148067 +aS'mg\tmg\tNN\tI-NP\tO' +p148068 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p148069 +aS'Sig\tSig\tNNP\tI-NP\tO' +p148070 +aS':\t:\t:\tO\tO' +p148071 +aS'One\tOne\tCD\tB-NP\tO' +p148072 +aS'(\t(\t(\tO\tO' +p148073 +aS'1\t1\tCD\tB-NP\tO' +p148074 +aS')\t)\t)\tO\tO' +p148075 +aS'Tablet\tTablet\tNN\tB-NP\tB-protein' +p148076 +aS'PO\tPO\tNN\tI-NP\tI-protein' +p148077 +aS'once\tonce\tRB\tO\tO' +p148078 +aS'a\ta\tDT\tB-NP\tO' +p148079 +aS'day\tday\tNN\tI-NP\tO' +p148080 +aS':\t:\t:\tO\tO' +p148081 +aS'as\tas\tIN\tB-SBAR\tO' +p148082 +aS'directed\tdirect\tVBN\tB-VP\tO' +p148083 +aS'for\tfor\tIN\tB-PP\tO' +p148084 +aS'goal\tgoal\tNN\tB-NP\tO' +p148085 +aS'INR\tINR\tNN\tI-NP\tO' +p148086 +aS'2.0-2.5.\t2.0-2.5.\tCD\tI-NP\tO' +p148087 +asS'Her sodiums were never below 130 .' +p148088 +(lp148089 +S'Her\tHer\tPRP$\tB-NP\tO' +p148090 +aS'sodiums\tsodium\tNNS\tI-NP\tO' +p148091 +aS'were\tbe\tVBD\tB-VP\tO' +p148092 +aS'never\tnever\tRB\tB-ADVP\tO' +p148093 +aS'below\tbelow\tIN\tB-PP\tO' +p148094 +aS'130\t130\tCD\tB-NP\tO' +p148095 +aS'.\t.\t.\tO\tO' +p148096 +asS'This report was created by TROWELKS , BURLTIS 06/11/2005 09:52 PM' +p148097 +(lp148098 +S'This\tThis\tDT\tB-NP\tO' +p148099 +aS'report\treport\tNN\tI-NP\tO' +p148100 +aS'was\tbe\tVBD\tB-VP\tO' +p148101 +aS'created\tcreate\tVBN\tI-VP\tO' +p148102 +aS'by\tby\tIN\tB-PP\tO' +p148103 +aS'TROWELKS\tTROWELKS\tNN\tB-NP\tB-protein' +p148104 +aS',\t,\t,\tO\tO' +p148105 +aS'BURLTIS\tBURLTIS\tVBZ\tB-VP\tO' +p148106 +aS'06/11/2005\t06/11/2005\tCD\tB-NP\tO' +p148107 +aS'09:52\t09:52\tCD\tI-NP\tO' +p148108 +aS'PM\tPM\tNN\tI-NP\tO' +p148109 +asS'Dr. Gene Hardy from Webster Pediatrics .' +p148110 +(lp148111 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p148112 +aS'Gene\tGene\tNNP\tI-NP\tO' +p148113 +aS'Hardy\tHardy\tNNP\tI-NP\tO' +p148114 +aS'from\tfrom\tIN\tB-PP\tO' +p148115 +aS'Webster\tWebster\tNNP\tB-NP\tO' +p148116 +aS'Pediatrics\tPediatrics\tNNP\tI-NP\tO' +p148117 +aS'.\t.\t.\tO\tO' +p148118 +asS'mitral valve repair .' +p148119 +(lp148120 +S'mitral\tmitral\tJJ\tB-NP\tO' +p148121 +aS'valve\tvalve\tNN\tI-NP\tO' +p148122 +aS'repair\trepair\tNN\tI-NP\tO' +p148123 +aS'.\t.\t.\tO\tO' +p148124 +asS'Additionally , he still had mild dysarthria and mild anterior aphasia .' +p148125 +(lp148126 +S'Additionally\tAdditionally\tRB\tB-ADVP\tO' +p148127 +aS',\t,\t,\tO\tO' +p148128 +aS'he\the\tPRP\tB-NP\tO' +p148129 +aS'still\tstill\tRB\tB-ADVP\tO' +p148130 +aS'had\thave\tVBD\tB-VP\tO' +p148131 +aS'mild\tmild\tJJ\tB-NP\tO' +p148132 +aS'dysarthria\tdysarthria\tNN\tI-NP\tO' +p148133 +aS'and\tand\tCC\tO\tO' +p148134 +aS'mild\tmild\tJJ\tB-NP\tO' +p148135 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p148136 +aS'aphasia\taphasia\tNN\tI-NP\tO' +p148137 +aS'.\t.\t.\tO\tO' +p148138 +asS'However , it did show an anterior mediastinal mass compressing the trachea with a density consistent with a hematoma .' +p148139 +(lp148140 +S'However\tHowever\tRB\tB-ADVP\tO' +p148141 +aS',\t,\t,\tO\tO' +p148142 +aS'it\tit\tPRP\tB-NP\tO' +p148143 +aS'did\tdo\tVBD\tB-VP\tO' +p148144 +aS'show\tshow\tVB\tI-VP\tO' +p148145 +aS'an\tan\tDT\tB-NP\tO' +p148146 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p148147 +aS'mediastinal\tmediastinal\tJJ\tI-NP\tO' +p148148 +aS'mass\tmass\tNN\tI-NP\tO' +p148149 +aS'compressing\tcompress\tVBG\tB-VP\tO' +p148150 +aS'the\tthe\tDT\tB-NP\tO' +p148151 +aS'trachea\ttrachea\tNN\tI-NP\tO' +p148152 +aS'with\twith\tIN\tB-PP\tO' +p148153 +aS'a\ta\tDT\tB-NP\tO' +p148154 +aS'density\tdensity\tNN\tI-NP\tO' +p148155 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p148156 +aS'with\twith\tIN\tB-PP\tO' +p148157 +aS'a\ta\tDT\tB-NP\tO' +p148158 +aS'hematoma\thematoma\tNN\tI-NP\tO' +p148159 +aS'.\t.\t.\tO\tO' +p148160 +asS'Her native right and left anterior descending vessels were occluded as was an obtuse marginal branch .' +p148161 +(lp148162 +S'Her\tHer\tPRP$\tB-NP\tO' +p148163 +aS'native\tnative\tJJ\tI-NP\tO' +p148164 +aS'right\tright\tNN\tI-NP\tO' +p148165 +aS'and\tand\tCC\tO\tO' +p148166 +aS'left\tleave\tVBD\tB-VP\tO' +p148167 +aS'anterior\tanterior\tJJ\tB-NP\tO' +p148168 +aS'descending\tdescend\tVBG\tI-NP\tO' +p148169 +aS'vessels\tvessel\tNNS\tI-NP\tO' +p148170 +aS'were\tbe\tVBD\tB-VP\tO' +p148171 +aS'occluded\tocclude\tVBN\tI-VP\tO' +p148172 +aS'as\tas\tIN\tB-SBAR\tO' +p148173 +aS'was\tbe\tVBD\tB-VP\tO' +p148174 +aS'an\tan\tDT\tB-NP\tO' +p148175 +aS'obtuse\tobtuse\tNN\tI-NP\tO' +p148176 +aS'marginal\tmarginal\tJJ\tI-NP\tO' +p148177 +aS'branch\tbranch\tNN\tI-NP\tO' +p148178 +aS'.\t.\t.\tO\tO' +p148179 +asS'4. Percocet as needed .' +p148180 +(lp148181 +S'4.\t4.\tLS\tB-NP\tO' +p148182 +aS'Percocet\tPercocet\tNN\tI-NP\tO' +p148183 +aS'as\tas\tIN\tB-SBAR\tO' +p148184 +aS'needed\tneed\tVBN\tB-VP\tO' +p148185 +aS'.\t.\t.\tO\tO' +p148186 +asS"The patient was prepared for discharge on 05-29 , when he was sat ' ing in the high 90 's on room air ." +p148187 +(lp148188 +S'The\tThe\tDT\tB-NP\tO' +p148189 +aS'patient\tpatient\tNN\tI-NP\tO' +p148190 +aS'was\tbe\tVBD\tB-VP\tO' +p148191 +aS'prepared\tprepare\tVBN\tI-VP\tO' +p148192 +aS'for\tfor\tIN\tB-PP\tO' +p148193 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p148194 +aS'on\ton\tIN\tB-PP\tO' +p148195 +aS'05-29\t05-29\tCD\tB-NP\tO' +p148196 +aS',\t,\t,\tO\tO' +p148197 +aS'when\twhen\tWRB\tB-ADVP\tO' +p148198 +aS'he\the\tPRP\tB-NP\tO' +p148199 +aS'was\tbe\tVBD\tB-VP\tO' +p148200 +aS'sat\tsat\tNN\tB-NP\tO' +p148201 +aS"'\t'\tPOS\tB-NP\tO" +p148202 +aS'ing\ting\tNN\tI-NP\tO' +p148203 +aS'in\tin\tIN\tB-PP\tO' +p148204 +aS'the\tthe\tDT\tB-NP\tO' +p148205 +aS'high\thigh\tJJ\tI-NP\tO' +p148206 +aS'90\t90\tCD\tI-NP\tO' +p148207 +aS"'s\t's\tPOS\tB-NP\tO" +p148208 +aS'on\ton\tIN\tB-PP\tO' +p148209 +aS'room\troom\tNN\tB-NP\tO' +p148210 +aS'air\tair\tNN\tI-NP\tO' +p148211 +aS'.\t.\t.\tO\tO' +p148212 +asS'weeks .' +p148213 +(lp148214 +S'weeks\tweek\tNNS\tB-NP\tO' +p148215 +aS'.\t.\t.\tO\tO' +p148216 +asS'She was transferred to Providence Behavioral Health Hospital for further management .' +p148217 +(lp148218 +S'She\tShe\tPRP\tB-NP\tO' +p148219 +aS'was\tbe\tVBD\tB-VP\tO' +p148220 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p148221 +aS'to\tto\tTO\tB-PP\tO' +p148222 +aS'Providence\tProvidence\tNNP\tB-NP\tO' +p148223 +aS'Behavioral\tBehavioral\tNNP\tI-NP\tO' +p148224 +aS'Health\tHealth\tNNP\tI-NP\tO' +p148225 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p148226 +aS'for\tfor\tIN\tB-PP\tO' +p148227 +aS'further\tfurther\tJJ\tB-NP\tO' +p148228 +aS'management\tmanagement\tNN\tI-NP\tO' +p148229 +aS'.\t.\t.\tO\tO' +p148230 +asS'In the Emergency Room , the patient was given Lopressor , nitroglycerin , and aspirin .' +p148231 +(lp148232 +S'In\tIn\tIN\tB-PP\tO' +p148233 +aS'the\tthe\tDT\tB-NP\tO' +p148234 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p148235 +aS'Room\tRoom\tNNP\tI-NP\tO' +p148236 +aS',\t,\t,\tO\tO' +p148237 +aS'the\tthe\tDT\tB-NP\tO' +p148238 +aS'patient\tpatient\tNN\tI-NP\tO' +p148239 +aS'was\tbe\tVBD\tB-VP\tO' +p148240 +aS'given\tgive\tVBN\tI-VP\tO' +p148241 +aS'Lopressor\tLopressor\tNN\tB-NP\tO' +p148242 +aS',\t,\t,\tO\tO' +p148243 +aS'nitroglycerin\tnitroglycerin\tNN\tB-NP\tO' +p148244 +aS',\t,\t,\tO\tO' +p148245 +aS'and\tand\tCC\tO\tO' +p148246 +aS'aspirin\taspirin\tNN\tB-NP\tO' +p148247 +aS'.\t.\t.\tO\tO' +p148248 +asS'There are no cardiovascular issues .' +p148249 +(lp148250 +S'There\tThere\tEX\tB-NP\tO' +p148251 +aS'are\tbe\tVBP\tB-VP\tO' +p148252 +aS'no\tno\tDT\tB-NP\tO' +p148253 +aS'cardiovascular\tcardiovascular\tJJ\tI-NP\tO' +p148254 +aS'issues\tissue\tNNS\tI-NP\tO' +p148255 +aS'.\t.\t.\tO\tO' +p148256 +asS'No clubbing , cyanosis or edema .' +p148257 +(lp148258 +S'No\tNo\tDT\tB-NP\tO' +p148259 +aS'clubbing\tclubbing\tNN\tI-NP\tO' +p148260 +aS',\t,\t,\tI-NP\tO' +p148261 +aS'cyanosis\tcyanosis\tNN\tI-NP\tO' +p148262 +aS'or\tor\tCC\tI-NP\tO' +p148263 +aS'edema\tedema\tNN\tI-NP\tO' +p148264 +aS'.\t.\t.\tO\tO' +p148265 +asS'4. Followup with Dr. Rourdrick in four weeks time .' +p148266 +(lp148267 +S'4.\t4.\tLS\tB-LST\tO' +p148268 +aS'Followup\tFollowup\tNNP\tB-NP\tO' +p148269 +aS'with\twith\tIN\tB-PP\tO' +p148270 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p148271 +aS'Rourdrick\tRourdrick\tNNP\tI-NP\tO' +p148272 +aS'in\tin\tIN\tB-PP\tO' +p148273 +aS'four\tfour\tCD\tB-NP\tO' +p148274 +aS'weeks\tweek\tNNS\tI-NP\tO' +p148275 +aS'time\ttime\tNN\tI-NP\tO' +p148276 +aS'.\t.\t.\tO\tO' +p148277 +asS"Recently d/c 'd on 05-15 after admission for hepatic encephalopathy versus opiate abuse ." +p148278 +(lp148279 +S'Recently\tRecently\tRB\tB-NP\tO' +p148280 +aS'd/c\td/c\tNN\tI-NP\tO' +p148281 +aS"'d\t'd\tVBD\tB-VP\tO" +p148282 +aS'on\ton\tIN\tB-PP\tO' +p148283 +aS'05-15\t05-15\tCD\tB-NP\tO' +p148284 +aS'after\tafter\tIN\tB-PP\tO' +p148285 +aS'admission\tadmission\tNN\tB-NP\tO' +p148286 +aS'for\tfor\tIN\tB-PP\tO' +p148287 +aS'hepatic\thepatic\tJJ\tB-NP\tO' +p148288 +aS'encephalopathy\tencephalopathy\tNN\tI-NP\tO' +p148289 +aS'versus\tversus\tIN\tB-PP\tO' +p148290 +aS'opiate\topiate\tNN\tB-NP\tO' +p148291 +aS'abuse\tabuse\tNN\tI-NP\tO' +p148292 +aS'.\t.\t.\tO\tO' +p148293 +asS'retired , lives alone , widowed quit smoking 20+ years ago no ETOH use' +p148294 +(lp148295 +S'retired\tretire\tVBN\tB-VP\tO' +p148296 +aS',\t,\t,\tO\tO' +p148297 +aS'lives\tlive\tVBZ\tB-VP\tO' +p148298 +aS'alone\talone\tRB\tB-ADVP\tO' +p148299 +aS',\t,\t,\tO\tO' +p148300 +aS'widowed\twidow\tVBD\tB-VP\tO' +p148301 +aS'quit\tquit\tNN\tB-NP\tO' +p148302 +aS'smoking\tsmoking\tNN\tI-NP\tO' +p148303 +aS'20+\t20+\tJJ\tB-NP\tO' +p148304 +aS'years\tyear\tNNS\tI-NP\tO' +p148305 +aS'ago\tago\tRB\tB-ADVP\tO' +p148306 +aS'no\tno\tDT\tB-NP\tO' +p148307 +aS'ETOH\tETOH\tNN\tI-NP\tO' +p148308 +aS'use\tuse\tNN\tI-NP\tO' +p148309 +asS'Pulmonary function tests on September 27 , 1997 revealed an FVC of 2.7 which is 112% and FEV1 of 2.23 which is 123% .' +p148310 +(lp148311 +S'Pulmonary\tPulmonary\tJJ\tB-NP\tO' +p148312 +aS'function\tfunction\tNN\tI-NP\tO' +p148313 +aS'tests\ttest\tNNS\tI-NP\tO' +p148314 +aS'on\ton\tIN\tB-PP\tO' +p148315 +aS'September\tSeptember\tNNP\tB-NP\tO' +p148316 +aS'27\t27\tCD\tI-NP\tO' +p148317 +aS',\t,\t,\tI-NP\tO' +p148318 +aS'1997\t1997\tCD\tI-NP\tO' +p148319 +aS'revealed\treveal\tVBD\tB-VP\tO' +p148320 +aS'an\tan\tDT\tB-NP\tO' +p148321 +aS'FVC\tFVC\tNN\tI-NP\tO' +p148322 +aS'of\tof\tIN\tB-PP\tO' +p148323 +aS'2.7\t2.7\tCD\tB-NP\tO' +p148324 +aS'which\twhich\tWDT\tB-NP\tO' +p148325 +aS'is\tbe\tVBZ\tB-VP\tO' +p148326 +aS'112%\t112%\tNN\tB-NP\tO' +p148327 +aS'and\tand\tCC\tI-NP\tO' +p148328 +aS'FEV1\tFEV1\tNN\tI-NP\tO' +p148329 +aS'of\tof\tIN\tB-PP\tO' +p148330 +aS'2.23\t2.23\tCD\tB-NP\tO' +p148331 +aS'which\twhich\tWDT\tB-NP\tO' +p148332 +aS'is\tbe\tVBZ\tB-VP\tO' +p148333 +aS'123%\t123%\tCD\tB-NP\tO' +p148334 +aS'.\t.\t.\tO\tO' +p148335 +asS'Good pedal pulses peripherally .' +p148336 +(lp148337 +S'Good\tGood\tJJ\tB-NP\tO' +p148338 +aS'pedal\tpedal\tJJ\tI-NP\tO' +p148339 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p148340 +aS'peripherally\tperipherally\tRB\tB-ADVP\tO' +p148341 +aS'.\t.\t.\tO\tO' +p148342 +asS'3. Albuterol Sulfate 0.083 % Solution Sig : One ( 1 ) Inhalation Q4H ( every 4 hours ) .' +p148343 +(lp148344 +S'3.\t3.\tLS\tB-LST\tO' +p148345 +aS'Albuterol\tAlbuterol\tNN\tB-NP\tO' +p148346 +aS'Sulfate\tSulfate\tVB\tB-VP\tO' +p148347 +aS'0.083\t0.083\tCD\tB-NP\tO' +p148348 +aS'%\t%\tNN\tI-NP\tO' +p148349 +aS'Solution\tSolution\tNNP\tI-NP\tO' +p148350 +aS'Sig\tSig\tNNP\tI-NP\tO' +p148351 +aS':\t:\t:\tO\tO' +p148352 +aS'One\tOne\tCD\tB-NP\tO' +p148353 +aS'(\t(\t(\tO\tO' +p148354 +aS'1\t1\tCD\tB-NP\tO' +p148355 +aS')\t)\t)\tO\tO' +p148356 +aS'Inhalation\tInhalation\tNN\tB-NP\tO' +p148357 +aS'Q4H\tQ4H\tNN\tI-NP\tO' +p148358 +aS'(\t(\t(\tO\tO' +p148359 +aS'every\tevery\tDT\tB-NP\tO' +p148360 +aS'4\t4\tCD\tI-NP\tO' +p148361 +aS'hours\thour\tNNS\tI-NP\tO' +p148362 +aS')\t)\t)\tO\tO' +p148363 +aS'.\t.\t.\tO\tO' +p148364 +asS'In the emergency room , vitals were temperature 96.4 , pulse 40-50 , blood pressure 154-58 , satting 86% on room air , 99% on 3 liters of 3 liters cannula .' +p148365 +(lp148366 +S'In\tIn\tIN\tB-PP\tO' +p148367 +aS'the\tthe\tDT\tB-NP\tO' +p148368 +aS'emergency\temergency\tNN\tI-NP\tO' +p148369 +aS'room\troom\tNN\tI-NP\tO' +p148370 +aS',\t,\t,\tO\tO' +p148371 +aS'vitals\tvital\tNNS\tB-NP\tO' +p148372 +aS'were\tbe\tVBD\tB-VP\tO' +p148373 +aS'temperature\ttemperature\tNN\tB-NP\tO' +p148374 +aS'96.4\t96.4\tCD\tI-NP\tO' +p148375 +aS',\t,\t,\tO\tO' +p148376 +aS'pulse\tpulse\tNN\tB-NP\tO' +p148377 +aS'40-50\t40-50\tCD\tI-NP\tO' +p148378 +aS',\t,\t,\tO\tO' +p148379 +aS'blood\tblood\tNN\tB-NP\tO' +p148380 +aS'pressure\tpressure\tNN\tI-NP\tO' +p148381 +aS'154-58\t154-58\tCD\tI-NP\tO' +p148382 +aS',\t,\t,\tO\tO' +p148383 +aS'satting\tsatte\tVBG\tB-VP\tO' +p148384 +aS'86%\t86%\tNN\tB-NP\tO' +p148385 +aS'on\ton\tIN\tB-PP\tO' +p148386 +aS'room\troom\tNN\tB-NP\tO' +p148387 +aS'air\tair\tNN\tI-NP\tO' +p148388 +aS',\t,\t,\tO\tO' +p148389 +aS'99%\t99%\tCD\tB-NP\tO' +p148390 +aS'on\ton\tIN\tB-PP\tO' +p148391 +aS'3\t3\tCD\tB-NP\tO' +p148392 +aS'liters\tliter\tNNS\tI-NP\tO' +p148393 +aS'of\tof\tIN\tB-PP\tO' +p148394 +aS'3\t3\tCD\tB-NP\tO' +p148395 +aS'liters\tliter\tNNS\tI-NP\tO' +p148396 +aS'cannula\tcannula\tNN\tI-NP\tO' +p148397 +aS'.\t.\t.\tO\tO' +p148398 +asS'The appointment has already been made .' +p148399 +(lp148400 +S'The\tThe\tDT\tB-NP\tO' +p148401 +aS'appointment\tappointment\tNN\tI-NP\tO' +p148402 +aS'has\thave\tVBZ\tB-VP\tO' +p148403 +aS'already\talready\tRB\tI-VP\tO' +p148404 +aS'been\tbe\tVBN\tI-VP\tO' +p148405 +aS'made\tmake\tVBN\tI-VP\tO' +p148406 +aS'.\t.\t.\tO\tO' +p148407 +asS'passed bilaterally .' +p148408 +(lp148409 +S'passed\tpass\tVBN\tB-VP\tO' +p148410 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p148411 +aS'.\t.\t.\tO\tO' +p148412 +asS'Hematocrit was noted to 47.5 with platelets of 257,000 .' +p148413 +(lp148414 +S'Hematocrit\tHematocrit\tNN\tB-NP\tO' +p148415 +aS'was\tbe\tVBD\tB-VP\tO' +p148416 +aS'noted\tnote\tVBN\tI-VP\tO' +p148417 +aS'to\tto\tTO\tB-PP\tO' +p148418 +aS'47.5\t47.5\tCD\tB-NP\tO' +p148419 +aS'with\twith\tIN\tB-PP\tO' +p148420 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p148421 +aS'of\tof\tIN\tB-PP\tO' +p148422 +aS'257,000\t257,000\tCD\tB-NP\tO' +p148423 +aS'.\t.\t.\tO\tO' +p148424 +asS'12. Chronic muscle spasms .' +p148425 +(lp148426 +S'12.\t12.\tLS\tB-NP\tO' +p148427 +aS'Chronic\tChronic\tJJ\tI-NP\tO' +p148428 +aS'muscle\tmuscle\tNN\tI-NP\tO' +p148429 +aS'spasms\tspasm\tNNS\tI-NP\tO' +p148430 +aS'.\t.\t.\tO\tO' +p148431 +asS'She presented to the Ponta,itri- University Medical Center Emergency Department on 12/01/02 for evaluation of this constipation .' +p148432 +(lp148433 +S'She\tShe\tPRP\tB-NP\tO' +p148434 +aS'presented\tpresent\tVBD\tB-VP\tO' +p148435 +aS'to\tto\tTO\tB-PP\tO' +p148436 +aS'the\tthe\tDT\tB-NP\tO' +p148437 +aS'Ponta,itri-\tPonta,itri-\tNNP\tI-NP\tO' +p148438 +aS'University\tUniversity\tNNP\tI-NP\tO' +p148439 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p148440 +aS'Center\tCenter\tNNP\tI-NP\tO' +p148441 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p148442 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p148443 +aS'on\ton\tIN\tB-PP\tO' +p148444 +aS'12/01/02\t12/01/02\tCD\tB-NP\tO' +p148445 +aS'for\tfor\tIN\tB-PP\tO' +p148446 +aS'evaluation\tevaluation\tNN\tB-NP\tO' +p148447 +aS'of\tof\tIN\tB-PP\tO' +p148448 +aS'this\tthis\tDT\tB-NP\tO' +p148449 +aS'constipation\tconstipation\tNN\tI-NP\tO' +p148450 +aS'.\t.\t.\tO\tO' +p148451 +asS'- Morphine 2-4 mg IV q3-4 prn' +p148452 +(lp148453 +S'-\t-\tHYPH\tB-NP\tO' +p148454 +aS'Morphine\tMorphine\tNN\tI-NP\tO' +p148455 +aS'2-4\t2-4\tCD\tI-NP\tO' +p148456 +aS'mg\tmg\tNN\tI-NP\tO' +p148457 +aS'IV\tIV\tCD\tB-NP\tO' +p148458 +aS'q3-4\tq3-4\tNN\tI-NP\tO' +p148459 +aS'prn\tprn\tNN\tI-NP\tO' +p148460 +asS'She also has a history of an adrenal disorder treated with Prednisone in the past , but not currently .' +p148461 +(lp148462 +S'She\tShe\tPRP\tB-NP\tO' +p148463 +aS'also\talso\tRB\tB-ADVP\tO' +p148464 +aS'has\thave\tVBZ\tB-VP\tO' +p148465 +aS'a\ta\tDT\tB-NP\tO' +p148466 +aS'history\thistory\tNN\tI-NP\tO' +p148467 +aS'of\tof\tIN\tB-PP\tO' +p148468 +aS'an\tan\tDT\tB-NP\tO' +p148469 +aS'adrenal\tadrenal\tJJ\tI-NP\tO' +p148470 +aS'disorder\tdisorder\tNN\tI-NP\tO' +p148471 +aS'treated\ttreat\tVBN\tB-VP\tO' +p148472 +aS'with\twith\tIN\tB-PP\tO' +p148473 +aS'Prednisone\tPrednisone\tNN\tB-NP\tO' +p148474 +aS'in\tin\tIN\tB-PP\tO' +p148475 +aS'the\tthe\tDT\tB-NP\tO' +p148476 +aS'past\tpast\tNN\tI-NP\tO' +p148477 +aS',\t,\t,\tO\tO' +p148478 +aS'but\tbut\tCC\tO\tO' +p148479 +aS'not\tnot\tRB\tO\tO' +p148480 +aS'currently\tcurrently\tRB\tB-ADVP\tO' +p148481 +aS'.\t.\t.\tO\tO' +p148482 +asS'His antibiotics currently are vancomycin , ceftazidime , fluconazole and caspofungin .' +p148483 +(lp148484 +S'His\tHis\tPRP$\tB-NP\tO' +p148485 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p148486 +aS'currently\tcurrently\tRB\tB-ADVP\tO' +p148487 +aS'are\tbe\tVBP\tB-VP\tO' +p148488 +aS'vancomycin\tvancomycin\tNN\tB-NP\tO' +p148489 +aS',\t,\t,\tO\tO' +p148490 +aS'ceftazidime\tceftazidime\tNN\tB-NP\tO' +p148491 +aS',\t,\t,\tO\tO' +p148492 +aS'fluconazole\tfluconazole\tNN\tB-NP\tO' +p148493 +aS'and\tand\tCC\tI-NP\tO' +p148494 +aS'caspofungin\tcaspofungin\tNN\tI-NP\tO' +p148495 +aS'.\t.\t.\tO\tO' +p148496 +asS'The patient was taken down to the endoscopic retrogram cholangiopancreatogram upon admission .' +p148497 +(lp148498 +S'The\tThe\tDT\tB-NP\tO' +p148499 +aS'patient\tpatient\tNN\tI-NP\tO' +p148500 +aS'was\tbe\tVBD\tB-VP\tO' +p148501 +aS'taken\ttake\tVBN\tI-VP\tO' +p148502 +aS'down\tdown\tRP\tB-PRT\tO' +p148503 +aS'to\tto\tTO\tB-PP\tO' +p148504 +aS'the\tthe\tDT\tB-NP\tO' +p148505 +aS'endoscopic\tendoscopic\tJJ\tI-NP\tO' +p148506 +aS'retrogram\tretrogram\tNN\tI-NP\tO' +p148507 +aS'cholangiopancreatogram\tcholangiopancreatogram\tNN\tI-NP\tO' +p148508 +aS'upon\tupon\tIN\tB-PP\tO' +p148509 +aS'admission\tadmission\tNN\tB-NP\tO' +p148510 +aS'.\t.\t.\tO\tO' +p148511 +asS'No cyanosis , clubbing or edema .' +p148512 +(lp148513 +S'No\tNo\tDT\tB-NP\tO' +p148514 +aS'cyanosis\tcyanosis\tNN\tI-NP\tO' +p148515 +aS',\t,\t,\tI-NP\tO' +p148516 +aS'clubbing\tclubbing\tNN\tI-NP\tO' +p148517 +aS'or\tor\tCC\tI-NP\tO' +p148518 +aS'edema\tedema\tNN\tI-NP\tO' +p148519 +aS'.\t.\t.\tO\tO' +p148520 +asS'At that time clear liquids were started .' +p148521 +(lp148522 +S'At\tAt\tIN\tB-PP\tO' +p148523 +aS'that\tthat\tDT\tB-NP\tO' +p148524 +aS'time\ttime\tNN\tI-NP\tO' +p148525 +aS'clear\tclear\tJJ\tB-NP\tO' +p148526 +aS'liquids\tliquid\tNNS\tI-NP\tO' +p148527 +aS'were\tbe\tVBD\tB-VP\tO' +p148528 +aS'started\tstart\tVBN\tI-VP\tO' +p148529 +aS'.\t.\t.\tO\tO' +p148530 +asS'Increasing opacification of the lungs could be due to mild pulmonary edema and multiple micrometastases , worsened slightly since 05-13 at 10:57 p.m.' +p148531 +(lp148532 +S'Increasing\tIncrease\tVBG\tB-VP\tO' +p148533 +aS'opacification\topacification\tNN\tB-NP\tO' +p148534 +aS'of\tof\tIN\tB-PP\tO' +p148535 +aS'the\tthe\tDT\tB-NP\tO' +p148536 +aS'lungs\tlung\tNNS\tI-NP\tO' +p148537 +aS'could\tcould\tMD\tB-VP\tO' +p148538 +aS'be\tbe\tVB\tI-VP\tO' +p148539 +aS'due\tdue\tJJ\tB-ADVP\tO' +p148540 +aS'to\tto\tTO\tB-PP\tO' +p148541 +aS'mild\tmild\tJJ\tB-NP\tO' +p148542 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p148543 +aS'edema\tedema\tNN\tI-NP\tO' +p148544 +aS'and\tand\tCC\tO\tO' +p148545 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p148546 +aS'micrometastases\tmicrometastas\tNNS\tI-NP\tO' +p148547 +aS',\t,\t,\tO\tO' +p148548 +aS'worsened\tworsen\tVBD\tB-VP\tO' +p148549 +aS'slightly\tslightly\tRB\tB-ADVP\tO' +p148550 +aS'since\tsince\tIN\tB-PP\tO' +p148551 +aS'05-13\t05-13\tCD\tB-NP\tO' +p148552 +aS'at\tat\tIN\tB-PP\tO' +p148553 +aS'10:57\t10:57\tCD\tB-NP\tO' +p148554 +aS'p.m.\tp.m.\tNN\tI-NP\tO' +p148555 +asS"On 01-08 , the patient 's central venous line was discontinued ." +p148556 +(lp148557 +S'On\tOn\tIN\tB-PP\tO' +p148558 +aS'01-08\t01-08\tCD\tB-NP\tO' +p148559 +aS',\t,\t,\tO\tO' +p148560 +aS'the\tthe\tDT\tB-NP\tO' +p148561 +aS'patient\tpatient\tNN\tI-NP\tO' +p148562 +aS"'s\t's\tPOS\tB-NP\tO" +p148563 +aS'central\tcentral\tJJ\tI-NP\tO' +p148564 +aS'venous\tvenous\tJJ\tI-NP\tO' +p148565 +aS'line\tline\tNN\tI-NP\tO' +p148566 +aS'was\tbe\tVBD\tB-VP\tO' +p148567 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p148568 +aS'.\t.\t.\tO\tO' +p148569 +asS'8. Nadolol 20 mg Tablet Sig : One ( 1 ) Tablet PO once a day .' +p148570 +(lp148571 +S'8.\t8.\tCD\tB-NP\tO' +p148572 +aS'Nadolol\tNadolol\tNN\tI-NP\tO' +p148573 +aS'20\t20\tCD\tB-NP\tO' +p148574 +aS'mg\tmg\tNN\tI-NP\tO' +p148575 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p148576 +aS'Sig\tSig\tNNP\tI-NP\tO' +p148577 +aS':\t:\t:\tO\tO' +p148578 +aS'One\tOne\tCD\tB-NP\tO' +p148579 +aS'(\t(\t(\tO\tO' +p148580 +aS'1\t1\tCD\tB-NP\tO' +p148581 +aS')\t)\t)\tO\tO' +p148582 +aS'Tablet\tTablet\tNN\tB-NP\tB-protein' +p148583 +aS'PO\tPO\tNN\tI-NP\tI-protein' +p148584 +aS'once\tonce\tRB\tO\tO' +p148585 +aS'a\ta\tDT\tB-NP\tO' +p148586 +aS'day\tday\tNN\tI-NP\tO' +p148587 +aS'.\t.\t.\tO\tO' +p148588 +asS'The telephone number at his office is 236-4518 .' +p148589 +(lp148590 +S'The\tThe\tDT\tB-NP\tO' +p148591 +aS'telephone\ttelephone\tNN\tI-NP\tO' +p148592 +aS'number\tnumber\tNN\tI-NP\tO' +p148593 +aS'at\tat\tIN\tB-PP\tO' +p148594 +aS'his\this\tPRP$\tB-NP\tO' +p148595 +aS'office\toffice\tNN\tI-NP\tO' +p148596 +aS'is\tbe\tVBZ\tB-VP\tO' +p148597 +aS'236-4518\t236-4518\tCD\tB-NP\tO' +p148598 +aS'.\t.\t.\tO\tO' +p148599 +asS'The patient is discharged to home in good condiiton .' +p148600 +(lp148601 +S'The\tThe\tDT\tB-NP\tO' +p148602 +aS'patient\tpatient\tNN\tI-NP\tO' +p148603 +aS'is\tbe\tVBZ\tB-VP\tO' +p148604 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p148605 +aS'to\tto\tTO\tB-PP\tO' +p148606 +aS'home\thome\tNN\tB-NP\tO' +p148607 +aS'in\tin\tIN\tB-PP\tO' +p148608 +aS'good\tgood\tJJ\tB-NP\tO' +p148609 +aS'condiiton\tcondiiton\tNN\tI-NP\tO' +p148610 +aS'.\t.\t.\tO\tO' +p148611 +asS'Multilobar pneumonia with interval worsening in the left lung but slight improvement in the right lower lobe .' +p148612 +(lp148613 +S'Multilobar\tMultilobar\tJJ\tB-NP\tO' +p148614 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p148615 +aS'with\twith\tIN\tB-PP\tO' +p148616 +aS'interval\tinterval\tNN\tB-NP\tO' +p148617 +aS'worsening\tworsen\tVBG\tB-VP\tO' +p148618 +aS'in\tin\tIN\tB-PP\tO' +p148619 +aS'the\tthe\tDT\tB-NP\tO' +p148620 +aS'left\tleft\tJJ\tI-NP\tO' +p148621 +aS'lung\tlung\tNN\tI-NP\tO' +p148622 +aS'but\tbut\tCC\tO\tO' +p148623 +aS'slight\tslight\tJJ\tB-NP\tO' +p148624 +aS'improvement\timprovement\tNN\tI-NP\tO' +p148625 +aS'in\tin\tIN\tB-PP\tO' +p148626 +aS'the\tthe\tDT\tB-NP\tO' +p148627 +aS'right\tright\tJJ\tI-NP\tO' +p148628 +aS'lower\tlow\tJJR\tI-NP\tO' +p148629 +aS'lobe\tlobe\tNN\tI-NP\tO' +p148630 +aS'.\t.\t.\tO\tO' +p148631 +asS'He had no cervical adenopathy and his neck was supple .' +p148632 +(lp148633 +S'He\tHe\tPRP\tB-NP\tO' +p148634 +aS'had\thave\tVBD\tB-VP\tO' +p148635 +aS'no\tno\tDT\tB-NP\tO' +p148636 +aS'cervical\tcervical\tJJ\tI-NP\tO' +p148637 +aS'adenopathy\tadenopathy\tNN\tI-NP\tO' +p148638 +aS'and\tand\tCC\tO\tO' +p148639 +aS'his\this\tPRP$\tB-NP\tO' +p148640 +aS'neck\tneck\tNN\tI-NP\tO' +p148641 +aS'was\tbe\tVBD\tB-VP\tO' +p148642 +aS'supple\tsupple\tNN\tB-NP\tO' +p148643 +aS'.\t.\t.\tO\tO' +p148644 +asS'2. Cerebrovascular disease , status post left carotid endarterectomy in 2008 .' +p148645 +(lp148646 +S'2.\t2.\tLS\tB-NP\tO' +p148647 +aS'Cerebrovascular\tCerebrovascular\tJJ\tI-NP\tO' +p148648 +aS'disease\tdisease\tNN\tI-NP\tO' +p148649 +aS',\t,\t,\tO\tO' +p148650 +aS'status\tstatus\tNN\tB-NP\tO' +p148651 +aS'post\tpost\tNN\tI-NP\tO' +p148652 +aS'left\tleave\tVBD\tB-VP\tO' +p148653 +aS'carotid\tcarotid\tNN\tB-NP\tO' +p148654 +aS'endarterectomy\tendarterectomy\tNN\tI-NP\tO' +p148655 +aS'in\tin\tIN\tB-PP\tO' +p148656 +aS'2008\t2008\tCD\tB-NP\tO' +p148657 +aS'.\t.\t.\tO\tO' +p148658 +asS'He was started on beta blockers .' +p148659 +(lp148660 +S'He\tHe\tPRP\tB-NP\tO' +p148661 +aS'was\tbe\tVBD\tB-VP\tO' +p148662 +aS'started\tstart\tVBN\tI-VP\tO' +p148663 +aS'on\ton\tIN\tB-PP\tO' +p148664 +aS'beta\tbeta\tNN\tB-NP\tO' +p148665 +aS'blockers\tblocker\tNNS\tI-NP\tO' +p148666 +aS'.\t.\t.\tO\tO' +p148667 +asS'6. Amiodarone 200 mg Tablet Sig : Two ( 2 ) Tablet PO once a day for 7 days : 400 mg PO daily for 1 week , then decrease to 200 mg PO daily .' +p148668 +(lp148669 +S'6.\t6.\tCD\tB-NP\tO' +p148670 +aS'Amiodarone\tAmiodarone\tNN\tI-NP\tO' +p148671 +aS'200\t200\tCD\tB-NP\tO' +p148672 +aS'mg\tmg\tNN\tI-NP\tO' +p148673 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p148674 +aS'Sig\tSig\tNNP\tI-NP\tO' +p148675 +aS':\t:\t:\tO\tO' +p148676 +aS'Two\tTwo\tCD\tB-NP\tO' +p148677 +aS'(\t(\t(\tO\tO' +p148678 +aS'2\t2\tCD\tO\tO' +p148679 +aS')\t)\t)\tO\tO' +p148680 +aS'Tablet\tTablet\tNN\tB-NP\tB-protein' +p148681 +aS'PO\tPO\tNN\tI-NP\tI-protein' +p148682 +aS'once\tonce\tRB\tO\tO' +p148683 +aS'a\ta\tDT\tB-NP\tO' +p148684 +aS'day\tday\tNN\tI-NP\tO' +p148685 +aS'for\tfor\tIN\tB-PP\tO' +p148686 +aS'7\t7\tCD\tB-NP\tO' +p148687 +aS'days\tday\tNNS\tI-NP\tO' +p148688 +aS':\t:\t:\tO\tO' +p148689 +aS'400\t400\tCD\tB-NP\tO' +p148690 +aS'mg\tmg\tNN\tI-NP\tO' +p148691 +aS'PO\tPO\tNN\tI-NP\tO' +p148692 +aS'daily\tdaily\tRB\tB-ADVP\tO' +p148693 +aS'for\tfor\tIN\tB-PP\tO' +p148694 +aS'1\t1\tCD\tB-NP\tO' +p148695 +aS'week\tweek\tNN\tI-NP\tO' +p148696 +aS',\t,\t,\tO\tO' +p148697 +aS'then\tthen\tRB\tB-ADVP\tO' +p148698 +aS'decrease\tdecrease\tVB\tB-VP\tO' +p148699 +aS'to\tto\tTO\tB-PP\tO' +p148700 +aS'200\t200\tCD\tB-NP\tO' +p148701 +aS'mg\tmg\tNN\tI-NP\tO' +p148702 +aS'PO\tPO\tNN\tI-NP\tO' +p148703 +aS'daily\tdaily\tRB\tB-ADVP\tO' +p148704 +aS'.\t.\t.\tO\tO' +p148705 +asS'PHYSICAL EXAM ( Examined off of Propofol ):' +p148706 +(lp148707 +S'PHYSICAL\tPHYSICAL\tNN\tB-NP\tO' +p148708 +aS'EXAM\tEXAM\tNN\tI-NP\tO' +p148709 +aS'(\t(\t(\tO\tO' +p148710 +aS'Examined\tExamine\tVBN\tB-VP\tO' +p148711 +aS'off\toff\tRP\tB-PRT\tO' +p148712 +aS'of\tof\tIN\tB-PP\tO' +p148713 +aS'Propofol\tPropofol\tNN\tB-NP\tO' +p148714 +aS'):\t):\t.\tO\tO' +p148715 +asS'He was seen in consultation by the Infectious Disease Service who advised us on antibiotic choices daily .' +p148716 +(lp148717 +S'He\tHe\tPRP\tB-NP\tO' +p148718 +aS'was\tbe\tVBD\tB-VP\tO' +p148719 +aS'seen\tsee\tVBN\tI-VP\tO' +p148720 +aS'in\tin\tIN\tB-PP\tO' +p148721 +aS'consultation\tconsultation\tNN\tB-NP\tO' +p148722 +aS'by\tby\tIN\tB-PP\tO' +p148723 +aS'the\tthe\tDT\tB-NP\tO' +p148724 +aS'Infectious\tInfectious\tNNP\tI-NP\tO' +p148725 +aS'Disease\tDisease\tNNP\tI-NP\tO' +p148726 +aS'Service\tService\tNNP\tI-NP\tO' +p148727 +aS'who\twho\tWP\tB-NP\tO' +p148728 +aS'advised\tadvise\tVBD\tB-VP\tO' +p148729 +aS'us\tus\tPRP\tB-NP\tO' +p148730 +aS'on\ton\tIN\tB-PP\tO' +p148731 +aS'antibiotic\tantibiotic\tJJ\tB-NP\tO' +p148732 +aS'choices\tchoice\tNNS\tI-NP\tO' +p148733 +aS'daily\tdaily\tRB\tB-ADVP\tO' +p148734 +aS'.\t.\t.\tO\tO' +p148735 +asS'Pt is a mouth breather and occasionally needs a face mask .' +p148736 +(lp148737 +S'Pt\tPt\tNN\tB-NP\tO' +p148738 +aS'is\tbe\tVBZ\tB-VP\tO' +p148739 +aS'a\ta\tDT\tB-NP\tO' +p148740 +aS'mouth\tmouth\tNN\tI-NP\tO' +p148741 +aS'breather\tbreather\tNN\tI-NP\tO' +p148742 +aS'and\tand\tCC\tO\tO' +p148743 +aS'occasionally\toccasionally\tRB\tB-VP\tO' +p148744 +aS'needs\tneed\tVBZ\tI-VP\tO' +p148745 +aS'a\ta\tDT\tB-NP\tO' +p148746 +aS'face\tface\tNN\tI-NP\tO' +p148747 +aS'mask\tmask\tNN\tI-NP\tO' +p148748 +aS'.\t.\t.\tO\tO' +p148749 +asS'The heel-shin-test was slightly clumsy bilaterally but the knee tapping was normal bilaterally .' +p148750 +(lp148751 +S'The\tThe\tDT\tB-NP\tO' +p148752 +aS'heel-shin-test\theel-shin-test\tNN\tI-NP\tO' +p148753 +aS'was\tbe\tVBD\tB-VP\tO' +p148754 +aS'slightly\tslightly\tRB\tB-ADJP\tO' +p148755 +aS'clumsy\tclumsy\tJJ\tI-ADJP\tO' +p148756 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p148757 +aS'but\tbut\tCC\tO\tO' +p148758 +aS'the\tthe\tDT\tB-NP\tO' +p148759 +aS'knee\tknee\tNN\tI-NP\tO' +p148760 +aS'tapping\ttapping\tNN\tI-NP\tO' +p148761 +aS'was\tbe\tVBD\tB-VP\tO' +p148762 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p148763 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p148764 +aS'.\t.\t.\tO\tO' +p148765 +asS'1. FREQUENT HEADACHES .' +p148766 +(lp148767 +S'1.\t1.\tLS\tB-NP\tO' +p148768 +aS'FREQUENT\tFREQUENT\tNN\tI-NP\tO' +p148769 +aS'HEADACHES\tHEADACHES\tNN\tI-NP\tO' +p148770 +aS'.\t.\t.\tO\tO' +p148771 +asS'Capillary refill was normal and there was no edema .' +p148772 +(lp148773 +S'Capillary\tCapillary\tJJ\tB-NP\tO' +p148774 +aS'refill\trefill\tNN\tI-NP\tO' +p148775 +aS'was\tbe\tVBD\tB-VP\tO' +p148776 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p148777 +aS'and\tand\tCC\tO\tO' +p148778 +aS'there\tthere\tEX\tB-NP\tO' +p148779 +aS'was\tbe\tVBD\tB-VP\tO' +p148780 +aS'no\tno\tDT\tB-NP\tO' +p148781 +aS'edema\tedema\tNN\tI-NP\tO' +p148782 +aS'.\t.\t.\tO\tO' +p148783 +asS'NOTE : This study was initially performed on 2014-10-21 .' +p148784 +(lp148785 +S'NOTE\tNOTE\tNN\tB-NP\tO' +p148786 +aS':\t:\t:\tO\tO' +p148787 +aS'This\tThis\tDT\tB-NP\tO' +p148788 +aS'study\tstudy\tNN\tI-NP\tO' +p148789 +aS'was\tbe\tVBD\tB-VP\tO' +p148790 +aS'initially\tinitially\tRB\tI-VP\tO' +p148791 +aS'performed\tperform\tVBN\tI-VP\tO' +p148792 +aS'on\ton\tIN\tB-PP\tO' +p148793 +aS'2014-10-21\t2014-10-21\tCD\tB-NP\tO' +p148794 +aS'.\t.\t.\tO\tO' +p148795 +asS"Note that with the documented movements of the patient 's head and mouth , no change on the EEG was seen ." +p148796 +(lp148797 +S'Note\tNote\tVB\tB-VP\tO' +p148798 +aS'that\tthat\tIN\tB-SBAR\tO' +p148799 +aS'with\twith\tIN\tB-PP\tO' +p148800 +aS'the\tthe\tDT\tB-NP\tO' +p148801 +aS'documented\tdocument\tVBN\tI-NP\tO' +p148802 +aS'movements\tmovement\tNNS\tI-NP\tO' +p148803 +aS'of\tof\tIN\tB-PP\tO' +p148804 +aS'the\tthe\tDT\tB-NP\tO' +p148805 +aS'patient\tpatient\tNN\tI-NP\tO' +p148806 +aS"'s\t's\tPOS\tB-NP\tO" +p148807 +aS'head\thead\tNN\tI-NP\tO' +p148808 +aS'and\tand\tCC\tI-NP\tO' +p148809 +aS'mouth\tmouth\tNN\tI-NP\tO' +p148810 +aS',\t,\t,\tO\tO' +p148811 +aS'no\tno\tDT\tB-NP\tO' +p148812 +aS'change\tchange\tNN\tI-NP\tO' +p148813 +aS'on\ton\tIN\tB-PP\tO' +p148814 +aS'the\tthe\tDT\tB-NP\tO' +p148815 +aS'EEG\tEEG\tNN\tI-NP\tB-protein' +p148816 +aS'was\tbe\tVBD\tB-VP\tO' +p148817 +aS'seen\tsee\tVBN\tI-VP\tO' +p148818 +aS'.\t.\t.\tO\tO' +p148819 +asS'6. Gastroesophageal reflux disease .' +p148820 +(lp148821 +S'6.\t6.\tLS\tB-NP\tO' +p148822 +aS'Gastroesophageal\tGastroesophageal\tJJ\tI-NP\tO' +p148823 +aS'reflux\treflux\tNN\tI-NP\tO' +p148824 +aS'disease\tdisease\tNN\tI-NP\tO' +p148825 +aS'.\t.\t.\tO\tO' +p148826 +asS'The mother was followed in the Massachusetts General Hospital Advanced Fetal Care Center and was followed by Dr. Ralph Wilson .' +p148827 +(lp148828 +S'The\tThe\tDT\tB-NP\tO' +p148829 +aS'mother\tmother\tNN\tI-NP\tO' +p148830 +aS'was\tbe\tVBD\tB-VP\tO' +p148831 +aS'followed\tfollow\tVBN\tI-VP\tO' +p148832 +aS'in\tin\tIN\tB-PP\tO' +p148833 +aS'the\tthe\tDT\tB-NP\tO' +p148834 +aS'Massachusetts\tMassachusetts\tNNP\tI-NP\tO' +p148835 +aS'General\tGeneral\tNNP\tI-NP\tO' +p148836 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p148837 +aS'Advanced\tAdvanced\tNNP\tI-NP\tO' +p148838 +aS'Fetal\tFetal\tNNP\tI-NP\tO' +p148839 +aS'Care\tCare\tNNP\tI-NP\tO' +p148840 +aS'Center\tCenter\tNNP\tI-NP\tO' +p148841 +aS'and\tand\tCC\tO\tO' +p148842 +aS'was\tbe\tVBD\tB-VP\tO' +p148843 +aS'followed\tfollow\tVBN\tI-VP\tO' +p148844 +aS'by\tby\tIN\tB-PP\tO' +p148845 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p148846 +aS'Ralph\tRalph\tNNP\tI-NP\tO' +p148847 +aS'Wilson\tWilson\tNNP\tI-NP\tO' +p148848 +aS'.\t.\t.\tO\tO' +p148849 +asS'- will clear with neursurg prior to removing hard collar' +p148850 +(lp148851 +S'-\t-\tHYPH\tB-NP\tO' +p148852 +aS'will\twill\tMD\tB-VP\tO' +p148853 +aS'clear\tclear\tVB\tI-VP\tO' +p148854 +aS'with\twith\tIN\tB-PP\tO' +p148855 +aS'neursurg\tneursurg\tNN\tB-NP\tO' +p148856 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p148857 +aS'to\tto\tTO\tB-PP\tO' +p148858 +aS'removing\tremove\tVBG\tB-VP\tO' +p148859 +aS'hard\thard\tJJ\tB-NP\tO' +p148860 +aS'collar\tcollar\tNN\tI-NP\tO' +p148861 +asS'Stay was uneventful .' +p148862 +(lp148863 +S'Stay\tStay\tNNP\tB-NP\tO' +p148864 +aS'was\tbe\tVBD\tB-VP\tO' +p148865 +aS'uneventful\tuneventful\tJJ\tB-ADJP\tO' +p148866 +aS'.\t.\t.\tO\tO' +p148867 +asS'2) astrocytoma - grade II , as per d/w PMD , Dr. Holscher , pt has poor prognosis , but reasonable for ongoing treatment .' +p148868 +(lp148869 +S'2)\t2)\tLS\tB-NP\tO' +p148870 +aS'astrocytoma\tastrocytoma\tNN\tI-NP\tO' +p148871 +aS'-\t-\tHYPH\tO\tO' +p148872 +aS'grade\tgrade\tNN\tB-NP\tB-protein' +p148873 +aS'II\tII\tCD\tI-NP\tI-protein' +p148874 +aS',\t,\t,\tO\tO' +p148875 +aS'as\tas\tIN\tB-PP\tO' +p148876 +aS'per\tper\tIN\tB-PP\tO' +p148877 +aS'd/w\td/w\tNN\tB-NP\tO' +p148878 +aS'PMD\tPMD\tNNP\tB-NP\tO' +p148879 +aS',\t,\t,\tO\tO' +p148880 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p148881 +aS'Holscher\tHolscher\tNNP\tI-NP\tO' +p148882 +aS',\t,\t,\tO\tO' +p148883 +aS'pt\tpt\tNN\tB-NP\tO' +p148884 +aS'has\thave\tVBZ\tB-VP\tO' +p148885 +aS'poor\tpoor\tJJ\tB-NP\tO' +p148886 +aS'prognosis\tprognosis\tNN\tI-NP\tO' +p148887 +aS',\t,\t,\tO\tO' +p148888 +aS'but\tbut\tCC\tO\tO' +p148889 +aS'reasonable\treasonable\tJJ\tB-ADJP\tO' +p148890 +aS'for\tfor\tIN\tB-PP\tO' +p148891 +aS'ongoing\tongoing\tJJ\tB-NP\tO' +p148892 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p148893 +aS'.\t.\t.\tO\tO' +p148894 +asS"This may be secondary to soft tissue swelling as indicated in the patient 's history , and some may be secondary to secretions above the ETT balloon ." +p148895 +(lp148896 +S'This\tThis\tDT\tB-NP\tO' +p148897 +aS'may\tmay\tMD\tB-VP\tO' +p148898 +aS'be\tbe\tVB\tI-VP\tO' +p148899 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p148900 +aS'to\tto\tTO\tB-PP\tO' +p148901 +aS'soft\tsoft\tJJ\tB-NP\tO' +p148902 +aS'tissue\ttissue\tNN\tI-NP\tO' +p148903 +aS'swelling\tswelling\tNN\tI-NP\tO' +p148904 +aS'as\tas\tIN\tB-SBAR\tO' +p148905 +aS'indicated\tindicate\tVBN\tB-VP\tO' +p148906 +aS'in\tin\tIN\tB-PP\tO' +p148907 +aS'the\tthe\tDT\tB-NP\tO' +p148908 +aS'patient\tpatient\tNN\tI-NP\tO' +p148909 +aS"'s\t's\tPOS\tB-NP\tO" +p148910 +aS'history\thistory\tNN\tI-NP\tO' +p148911 +aS',\t,\t,\tO\tO' +p148912 +aS'and\tand\tCC\tO\tO' +p148913 +aS'some\tsome\tDT\tB-NP\tO' +p148914 +aS'may\tmay\tMD\tB-VP\tO' +p148915 +aS'be\tbe\tVB\tI-VP\tO' +p148916 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p148917 +aS'to\tto\tTO\tB-PP\tO' +p148918 +aS'secretions\tsecretion\tNNS\tB-NP\tO' +p148919 +aS'above\tabove\tIN\tB-PP\tO' +p148920 +aS'the\tthe\tDT\tB-NP\tO' +p148921 +aS'ETT\tETT\tNN\tI-NP\tB-DNA' +p148922 +aS'balloon\tballoon\tNN\tI-NP\tI-DNA' +p148923 +aS'.\t.\t.\tO\tO' +p148924 +asS'The patient is to arrange follow up with a GI doctor in Jotar Boulevard , Cunahtampfordama , South Dakota 62848 through his primary-care physician .' +p148925 +(lp148926 +S'The\tThe\tDT\tB-NP\tO' +p148927 +aS'patient\tpatient\tNN\tI-NP\tO' +p148928 +aS'is\tbe\tVBZ\tB-VP\tO' +p148929 +aS'to\tto\tTO\tB-VP\tO' +p148930 +aS'arrange\tarrange\tVB\tI-VP\tO' +p148931 +aS'follow\tfollow\tVB\tI-VP\tO' +p148932 +aS'up\tup\tRP\tB-PRT\tO' +p148933 +aS'with\twith\tIN\tB-PP\tO' +p148934 +aS'a\ta\tDT\tB-NP\tO' +p148935 +aS'GI\tGI\tNN\tI-NP\tO' +p148936 +aS'doctor\tdoctor\tNN\tI-NP\tO' +p148937 +aS'in\tin\tIN\tB-PP\tO' +p148938 +aS'Jotar\tJotar\tNNP\tB-NP\tO' +p148939 +aS'Boulevard\tBoulevard\tNNP\tI-NP\tO' +p148940 +aS',\t,\t,\tO\tO' +p148941 +aS'Cunahtampfordama\tCunahtampfordama\tNNP\tB-NP\tO' +p148942 +aS',\t,\t,\tO\tO' +p148943 +aS'South\tSouth\tNNP\tB-NP\tO' +p148944 +aS'Dakota\tDakota\tNNP\tI-NP\tO' +p148945 +aS'62848\t62848\tCD\tI-NP\tO' +p148946 +aS'through\tthrough\tIN\tB-PP\tO' +p148947 +aS'his\this\tPRP$\tB-NP\tO' +p148948 +aS'primary-care\tprimary-care\tJJ\tI-NP\tO' +p148949 +aS'physician\tphysician\tNN\tI-NP\tO' +p148950 +aS'.\t.\t.\tO\tO' +p148951 +asS'2ng cytology pending .' +p148952 +(lp148953 +S'2ng\t2ng\tNN\tB-NP\tO' +p148954 +aS'cytology\tcytology\tNN\tI-NP\tO' +p148955 +aS'pending\tpending\tNN\tI-NP\tO' +p148956 +aS'.\t.\t.\tO\tO' +p148957 +asS'Patient was discharged to rehabilitation on 2013-06-25 .' +p148958 +(lp148959 +S'Patient\tPatient\tNN\tB-NP\tO' +p148960 +aS'was\tbe\tVBD\tB-VP\tO' +p148961 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p148962 +aS'to\tto\tTO\tB-PP\tO' +p148963 +aS'rehabilitation\trehabilitation\tNN\tB-NP\tO' +p148964 +aS'on\ton\tIN\tB-PP\tO' +p148965 +aS'2013-06-25\t2013-06-25\tCD\tB-NP\tO' +p148966 +aS'.\t.\t.\tO\tO' +p148967 +asS'1. Aortic stenosis .' +p148968 +(lp148969 +S'1.\t1.\tLS\tB-NP\tO' +p148970 +aS'Aortic\tAortic\tJJ\tI-NP\tO' +p148971 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p148972 +aS'.\t.\t.\tO\tO' +p148973 +asS'The proximal LAD was found to have a 90% lesion with a septal branch with a 95% stenosis and a diagonal branch with 99% stenosis .' +p148974 +(lp148975 +S'The\tThe\tDT\tB-NP\tO' +p148976 +aS'proximal\tproximal\tJJ\tI-NP\tO' +p148977 +aS'LAD\tLAD\tNN\tI-NP\tO' +p148978 +aS'was\tbe\tVBD\tB-VP\tO' +p148979 +aS'found\tfind\tVBN\tI-VP\tO' +p148980 +aS'to\tto\tTO\tI-VP\tO' +p148981 +aS'have\thave\tVB\tI-VP\tO' +p148982 +aS'a\ta\tDT\tB-NP\tO' +p148983 +aS'90%\t90%\tNN\tI-NP\tO' +p148984 +aS'lesion\tlesion\tNN\tI-NP\tO' +p148985 +aS'with\twith\tIN\tB-PP\tO' +p148986 +aS'a\ta\tDT\tB-NP\tO' +p148987 +aS'septal\tseptal\tJJ\tI-NP\tO' +p148988 +aS'branch\tbranch\tNN\tI-NP\tO' +p148989 +aS'with\twith\tIN\tB-PP\tO' +p148990 +aS'a\ta\tDT\tB-NP\tO' +p148991 +aS'95%\t95%\tNN\tI-NP\tO' +p148992 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p148993 +aS'and\tand\tCC\tO\tO' +p148994 +aS'a\ta\tDT\tB-NP\tO' +p148995 +aS'diagonal\tdiagonal\tJJ\tI-NP\tO' +p148996 +aS'branch\tbranch\tNN\tI-NP\tO' +p148997 +aS'with\twith\tIN\tB-PP\tO' +p148998 +aS'99%\t99%\tCD\tB-NP\tO' +p148999 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p149000 +aS'.\t.\t.\tO\tO' +p149001 +asS'She has a family member who is present for approximately 12 hours each day .' +p149002 +(lp149003 +S'She\tShe\tPRP\tB-NP\tO' +p149004 +aS'has\thave\tVBZ\tB-VP\tO' +p149005 +aS'a\ta\tDT\tB-NP\tO' +p149006 +aS'family\tfamily\tNN\tI-NP\tO' +p149007 +aS'member\tmember\tNN\tI-NP\tO' +p149008 +aS'who\twho\tWP\tB-NP\tO' +p149009 +aS'is\tbe\tVBZ\tB-VP\tO' +p149010 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p149011 +aS'for\tfor\tIN\tB-PP\tO' +p149012 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p149013 +aS'12\t12\tCD\tI-NP\tO' +p149014 +aS'hours\thour\tNNS\tI-NP\tO' +p149015 +aS'each\teach\tDT\tB-NP\tO' +p149016 +aS'day\tday\tNN\tI-NP\tO' +p149017 +aS'.\t.\t.\tO\tO' +p149018 +asS'Only multivitamins .' +p149019 +(lp149020 +S'Only\tOnly\tRB\tB-NP\tO' +p149021 +aS'multivitamins\tmultivitamin\tNNS\tI-NP\tO' +p149022 +aS'.\t.\t.\tO\tO' +p149023 +asS'This 22 year old Gravida 4 Para 2012 was admitted to the Naliheall County Memorial Hospital Obstetrical service on 10/29/2003 at 11:14 pm for the indication ( s ) : early labor / rule out labor .' +p149024 +(lp149025 +S'This\tThis\tDT\tB-NP\tO' +p149026 +aS'22\t22\tCD\tI-NP\tO' +p149027 +aS'year\tyear\tNN\tI-NP\tO' +p149028 +aS'old\told\tJJ\tB-ADJP\tO' +p149029 +aS'Gravida\tGravida\tNNP\tB-NP\tO' +p149030 +aS'4\t4\tCD\tI-NP\tO' +p149031 +aS'Para\tPara\tNNP\tI-NP\tO' +p149032 +aS'2012\t2012\tCD\tI-NP\tO' +p149033 +aS'was\tbe\tVBD\tB-VP\tO' +p149034 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p149035 +aS'to\tto\tTO\tB-PP\tO' +p149036 +aS'the\tthe\tDT\tB-NP\tO' +p149037 +aS'Naliheall\tNaliheall\tNNP\tI-NP\tO' +p149038 +aS'County\tCounty\tNNP\tI-NP\tO' +p149039 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p149040 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p149041 +aS'Obstetrical\tObstetrical\tNNP\tI-NP\tO' +p149042 +aS'service\tservice\tNN\tI-NP\tO' +p149043 +aS'on\ton\tIN\tB-PP\tO' +p149044 +aS'10/29/2003\t10/29/2003\tCD\tB-NP\tO' +p149045 +aS'at\tat\tIN\tB-PP\tO' +p149046 +aS'11:14\t11:14\tCD\tB-NP\tO' +p149047 +aS'pm\tpm\tNN\tI-NP\tO' +p149048 +aS'for\tfor\tIN\tB-PP\tO' +p149049 +aS'the\tthe\tDT\tB-NP\tO' +p149050 +aS'indication\tindication\tNN\tI-NP\tO' +p149051 +aS'(\t(\t(\tI-NP\tO' +p149052 +aS's\ts\tNNS\tI-NP\tO' +p149053 +aS')\t)\t)\tO\tO' +p149054 +aS':\t:\t:\tO\tO' +p149055 +aS'early\tearly\tJJ\tB-NP\tO' +p149056 +aS'labor\tlabor\tNN\tI-NP\tO' +p149057 +aS'/\t/\tSYM\tB-NP\tO' +p149058 +aS'rule\trule\tNN\tI-NP\tO' +p149059 +aS'out\tout\tIN\tB-PP\tO' +p149060 +aS'labor\tlabor\tNN\tB-NP\tO' +p149061 +aS'.\t.\t.\tO\tO' +p149062 +asS'Infant was initially started on 80 cc per kilo per day of D10W .' +p149063 +(lp149064 +S'Infant\tInfant\tNN\tB-NP\tO' +p149065 +aS'was\tbe\tVBD\tB-VP\tO' +p149066 +aS'initially\tinitially\tRB\tI-VP\tO' +p149067 +aS'started\tstart\tVBN\tI-VP\tO' +p149068 +aS'on\ton\tIN\tB-PP\tO' +p149069 +aS'80\t80\tCD\tB-NP\tO' +p149070 +aS'cc\tcc\tNN\tI-NP\tO' +p149071 +aS'per\tper\tIN\tB-PP\tO' +p149072 +aS'kilo\tkilo\tNN\tB-NP\tO' +p149073 +aS'per\tper\tIN\tB-PP\tO' +p149074 +aS'day\tday\tNN\tB-NP\tO' +p149075 +aS'of\tof\tIN\tB-PP\tO' +p149076 +aS'D10W\tD10W\tNN\tB-NP\tB-protein' +p149077 +aS'.\t.\t.\tO\tO' +p149078 +asS'Other prenatal screens were unknown at time of delivery .' +p149079 +(lp149080 +S'Other\tOther\tJJ\tB-NP\tO' +p149081 +aS'prenatal\tprenatal\tJJ\tI-NP\tO' +p149082 +aS'screens\tscreen\tNNS\tI-NP\tO' +p149083 +aS'were\tbe\tVBD\tB-VP\tO' +p149084 +aS'unknown\tunknown\tJJ\tB-ADJP\tO' +p149085 +aS'at\tat\tIN\tB-PP\tO' +p149086 +aS'time\ttime\tNN\tB-NP\tO' +p149087 +aS'of\tof\tIN\tB-PP\tO' +p149088 +aS'delivery\tdelivery\tNN\tB-NP\tO' +p149089 +aS'.\t.\t.\tO\tO' +p149090 +asS'2. Albuterol 90 mcg / Actuation Aerosol Sig : 1-2 Puffs Inhalation Q6H ( every 6 hours ) as needed .' +p149091 +(lp149092 +S'2.\t2.\tLS\tB-LST\tO' +p149093 +aS'Albuterol\tAlbuterol\tNNP\tB-NP\tO' +p149094 +aS'90\t90\tCD\tI-NP\tO' +p149095 +aS'mcg\tmcg\tNN\tI-NP\tO' +p149096 +aS'/\t/\tSYM\tB-NP\tO' +p149097 +aS'Actuation\tActuation\tNN\tI-NP\tO' +p149098 +aS'Aerosol\tAerosol\tNNP\tI-NP\tO' +p149099 +aS'Sig\tSig\tNNP\tI-NP\tO' +p149100 +aS':\t:\t:\tO\tO' +p149101 +aS'1-2\t1-2\tCD\tB-NP\tO' +p149102 +aS'Puffs\tPuff\tNNS\tI-NP\tO' +p149103 +aS'Inhalation\tInhalation\tNN\tI-NP\tO' +p149104 +aS'Q6H\tQ6H\tNN\tI-NP\tO' +p149105 +aS'(\t(\t(\tO\tO' +p149106 +aS'every\tevery\tDT\tB-NP\tO' +p149107 +aS'6\t6\tCD\tI-NP\tO' +p149108 +aS'hours\thour\tNNS\tI-NP\tO' +p149109 +aS')\t)\t)\tO\tO' +p149110 +aS'as\tas\tIN\tB-SBAR\tO' +p149111 +aS'needed\tneed\tVBN\tB-VP\tO' +p149112 +aS'.\t.\t.\tO\tO' +p149113 +asS'The patient 's last ultrasound of his aorta revealed a l0 cm aneurysm and he presented at the time of admission for an abdominal aortic aneurysm repair .' +p149114 +(lp149115 +S'The\tThe\tDT\tB-NP\tO' +p149116 +aS'patient\tpatient\tNN\tI-NP\tO' +p149117 +aS''s\t'\tNNS\tI-NP\tO' +p149118 +aS'last\tlast\tJJ\tB-NP\tO' +p149119 +aS'ultrasound\tultrasound\tNN\tI-NP\tO' +p149120 +aS'of\tof\tIN\tB-PP\tO' +p149121 +aS'his\this\tPRP$\tB-NP\tO' +p149122 +aS'aorta\taorta\tNN\tI-NP\tO' +p149123 +aS'revealed\treveal\tVBD\tB-VP\tO' +p149124 +aS'a\ta\tDT\tB-NP\tO' +p149125 +aS'l0\tl0\tNN\tI-NP\tO' +p149126 +aS'cm\tcm\tNN\tI-NP\tO' +p149127 +aS'aneurysm\taneurysm\tNN\tI-NP\tO' +p149128 +aS'and\tand\tCC\tO\tO' +p149129 +aS'he\the\tPRP\tB-NP\tO' +p149130 +aS'presented\tpresent\tVBD\tB-VP\tO' +p149131 +aS'at\tat\tIN\tB-PP\tO' +p149132 +aS'the\tthe\tDT\tB-NP\tO' +p149133 +aS'time\ttime\tNN\tI-NP\tO' +p149134 +aS'of\tof\tIN\tB-PP\tO' +p149135 +aS'admission\tadmission\tNN\tB-NP\tO' +p149136 +aS'for\tfor\tIN\tB-PP\tO' +p149137 +aS'an\tan\tDT\tB-NP\tO' +p149138 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p149139 +aS'aortic\taortic\tJJ\tI-NP\tO' +p149140 +aS'aneurysm\taneurysm\tNN\tI-NP\tO' +p149141 +aS'repair\trepair\tNN\tI-NP\tO' +p149142 +aS'.\t.\t.\tO\tO' +p149143 +asS'Of note , her blood pressure significantly improved in the 120s-130s which assured better perfusion in her kidneys .' +p149144 +(lp149145 +S'Of\tOf\tIN\tB-PP\tO' +p149146 +aS'note\tnote\tNN\tB-NP\tO' +p149147 +aS',\t,\t,\tO\tO' +p149148 +aS'her\ther\tPRP$\tB-NP\tO' +p149149 +aS'blood\tblood\tNN\tI-NP\tO' +p149150 +aS'pressure\tpressure\tNN\tI-NP\tO' +p149151 +aS'significantly\tsignificantly\tRB\tB-ADVP\tO' +p149152 +aS'improved\timprove\tVBD\tB-VP\tO' +p149153 +aS'in\tin\tIN\tB-PP\tO' +p149154 +aS'the\tthe\tDT\tB-NP\tO' +p149155 +aS'120s-130s\t120s-130\tNNS\tI-NP\tO' +p149156 +aS'which\twhich\tWDT\tB-NP\tO' +p149157 +aS'assured\tassure\tVBD\tB-VP\tO' +p149158 +aS'better\tgood\tJJR\tB-NP\tO' +p149159 +aS'perfusion\tperfusion\tNN\tI-NP\tO' +p149160 +aS'in\tin\tIN\tB-PP\tO' +p149161 +aS'her\ther\tPRP$\tB-NP\tO' +p149162 +aS'kidneys\tkidney\tNNS\tI-NP\tO' +p149163 +aS'.\t.\t.\tO\tO' +p149164 +asS'5/5 throughout .' +p149165 +(lp149166 +S'5/5\t5/5\tCD\tB-NP\tO' +p149167 +aS'throughout\tthroughout\tIN\tB-ADVP\tO' +p149168 +aS'.\t.\t.\tO\tO' +p149169 +asS'Sclera mildly icteric .' +p149170 +(lp149171 +S'Sclera\tSclera\tNN\tB-NP\tO' +p149172 +aS'mildly\tmildly\tRB\tB-ADJP\tO' +p149173 +aS'icteric\ticteric\tJJ\tI-ADJP\tO' +p149174 +aS'.\t.\t.\tO\tO' +p149175 +asS'Protein / Soy supplement 2 scoops q 12 hours' +p149176 +(lp149177 +S'Protein\tProtein\tNN\tB-NP\tO' +p149178 +aS'/\t/\tSYM\tI-NP\tO' +p149179 +aS'Soy\tSoy\tNN\tI-NP\tB-protein' +p149180 +aS'supplement\tsupplement\tNN\tI-NP\tI-protein' +p149181 +aS'2\t2\tCD\tI-NP\tI-protein' +p149182 +aS'scoops\tscoop\tVBZ\tB-VP\tO' +p149183 +aS'q\tq\tNN\tB-NP\tO' +p149184 +aS'12\t12\tCD\tI-NP\tO' +p149185 +aS'hours\thour\tNNS\tI-NP\tO' +p149186 +asS'5. Regular insulin sliding scale .' +p149187 +(lp149188 +S'5.\t5.\tLS\tB-NP\tO' +p149189 +aS'Regular\tRegular\tJJ\tI-NP\tB-protein' +p149190 +aS'insulin\tinsulin\tNN\tI-NP\tI-protein' +p149191 +aS'sliding\tslide\tVBG\tB-VP\tO' +p149192 +aS'scale\tscale\tNN\tB-NP\tO' +p149193 +aS'.\t.\t.\tO\tO' +p149194 +asS'LOC was unwitnessed .' +p149195 +(lp149196 +S'LOC\tLOC\tNN\tB-NP\tO' +p149197 +aS'was\tbe\tVBD\tB-VP\tO' +p149198 +aS'unwitnessed\tunwitnessed\tJJ\tB-ADJP\tO' +p149199 +aS'.\t.\t.\tO\tO' +p149200 +asS'This alcohol abuse may be further addressed as an inpatient on the Psychiatry Quincy Medical Center .' +p149201 +(lp149202 +S'This\tThis\tDT\tB-NP\tO' +p149203 +aS'alcohol\talcohol\tNN\tI-NP\tO' +p149204 +aS'abuse\tabuse\tNN\tI-NP\tO' +p149205 +aS'may\tmay\tMD\tB-VP\tO' +p149206 +aS'be\tbe\tVB\tI-VP\tO' +p149207 +aS'further\tfurther\tRBR\tB-ADJP\tO' +p149208 +aS'addressed\taddress\tVBN\tI-ADJP\tO' +p149209 +aS'as\tas\tIN\tB-PP\tO' +p149210 +aS'an\tan\tDT\tB-NP\tO' +p149211 +aS'inpatient\tinpatient\tNN\tI-NP\tO' +p149212 +aS'on\ton\tIN\tB-PP\tO' +p149213 +aS'the\tthe\tDT\tB-NP\tO' +p149214 +aS'Psychiatry\tPsychiatry\tNNP\tI-NP\tO' +p149215 +aS'Quincy\tQuincy\tNNP\tI-NP\tO' +p149216 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p149217 +aS'Center\tCenter\tNNP\tI-NP\tO' +p149218 +aS'.\t.\t.\tO\tO' +p149219 +asS'BIPAP was attempted for 3 nights in a row and the patient did not tolerate this .' +p149220 +(lp149221 +S'BIPAP\tBIPAP\tNN\tB-NP\tB-protein' +p149222 +aS'was\tbe\tVBD\tB-VP\tO' +p149223 +aS'attempted\tattempt\tVBN\tI-VP\tO' +p149224 +aS'for\tfor\tIN\tB-PP\tO' +p149225 +aS'3\t3\tCD\tB-NP\tO' +p149226 +aS'nights\tnight\tNNS\tI-NP\tO' +p149227 +aS'in\tin\tIN\tB-PP\tO' +p149228 +aS'a\ta\tDT\tB-NP\tO' +p149229 +aS'row\trow\tNN\tI-NP\tO' +p149230 +aS'and\tand\tCC\tO\tO' +p149231 +aS'the\tthe\tDT\tB-NP\tO' +p149232 +aS'patient\tpatient\tNN\tI-NP\tO' +p149233 +aS'did\tdo\tVBD\tB-VP\tO' +p149234 +aS'not\tnot\tRB\tI-VP\tO' +p149235 +aS'tolerate\ttolerate\tVB\tI-VP\tO' +p149236 +aS'this\tthis\tDT\tB-NP\tO' +p149237 +aS'.\t.\t.\tO\tO' +p149238 +asS'R thyroid cyst ( as above )' +p149239 +(lp149240 +S'R\tR\tNN\tB-NP\tO' +p149241 +aS'thyroid\tthyroid\tNN\tI-NP\tO' +p149242 +aS'cyst\tcyst\tNN\tI-NP\tO' +p149243 +aS'(\t(\t(\tO\tO' +p149244 +aS'as\tas\tIN\tB-PP\tO' +p149245 +aS'above\tabove\tIN\tI-PP\tO' +p149246 +aS')\t)\t)\tO\tO' +p149247 +asS'He was evaluated by the Neurosurgery service and they did not feel a surgical intervention or ventriculary drain was warranted .' +p149248 +(lp149249 +S'He\tHe\tPRP\tB-NP\tO' +p149250 +aS'was\tbe\tVBD\tB-VP\tO' +p149251 +aS'evaluated\tevaluate\tVBN\tI-VP\tO' +p149252 +aS'by\tby\tIN\tB-PP\tO' +p149253 +aS'the\tthe\tDT\tB-NP\tO' +p149254 +aS'Neurosurgery\tNeurosurgery\tNN\tI-NP\tO' +p149255 +aS'service\tservice\tNN\tI-NP\tO' +p149256 +aS'and\tand\tCC\tO\tO' +p149257 +aS'they\tthey\tPRP\tB-NP\tO' +p149258 +aS'did\tdo\tVBD\tB-VP\tO' +p149259 +aS'not\tnot\tRB\tI-VP\tO' +p149260 +aS'feel\tfeel\tVB\tI-VP\tO' +p149261 +aS'a\ta\tDT\tB-NP\tO' +p149262 +aS'surgical\tsurgical\tJJ\tI-NP\tO' +p149263 +aS'intervention\tintervention\tNN\tI-NP\tO' +p149264 +aS'or\tor\tCC\tI-NP\tO' +p149265 +aS'ventriculary\tventriculary\tNN\tI-NP\tO' +p149266 +aS'drain\tdrain\tNN\tI-NP\tO' +p149267 +aS'was\tbe\tVBD\tB-VP\tO' +p149268 +aS'warranted\twarrant\tVBN\tI-VP\tO' +p149269 +aS'.\t.\t.\tO\tO' +p149270 +asS'3. RHYTHM : The patient was monitored on telemetry throughout her hospitalization with no significant events .' +p149271 +(lp149272 +S'3.\t3.\tCD\tB-NP\tO' +p149273 +aS'RHYTHM\tRHYTHM\tNNP\tI-NP\tO' +p149274 +aS':\t:\t:\tO\tO' +p149275 +aS'The\tThe\tDT\tB-NP\tO' +p149276 +aS'patient\tpatient\tNN\tI-NP\tO' +p149277 +aS'was\tbe\tVBD\tB-VP\tO' +p149278 +aS'monitored\tmonitor\tVBN\tI-VP\tO' +p149279 +aS'on\ton\tIN\tB-PP\tO' +p149280 +aS'telemetry\ttelemetry\tNN\tB-NP\tO' +p149281 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p149282 +aS'her\ther\tPRP$\tB-NP\tO' +p149283 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p149284 +aS'with\twith\tIN\tB-PP\tO' +p149285 +aS'no\tno\tDT\tB-NP\tO' +p149286 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p149287 +aS'events\tevent\tNNS\tI-NP\tO' +p149288 +aS'.\t.\t.\tO\tO' +p149289 +asS'There is no apparent mass lesion or mass effect .' +p149290 +(lp149291 +S'There\tThere\tEX\tB-NP\tO' +p149292 +aS'is\tbe\tVBZ\tB-VP\tO' +p149293 +aS'no\tno\tDT\tB-NP\tO' +p149294 +aS'apparent\tapparent\tJJ\tI-NP\tO' +p149295 +aS'mass\tmass\tNN\tI-NP\tO' +p149296 +aS'lesion\tlesion\tNN\tI-NP\tO' +p149297 +aS'or\tor\tCC\tO\tO' +p149298 +aS'mass\tmass\tNN\tB-NP\tO' +p149299 +aS'effect\teffect\tNN\tI-NP\tO' +p149300 +aS'.\t.\t.\tO\tO' +p149301 +asS'Please call your PCP for an appointment within 1 week - number to call is ( 489 ) 489 0229 ext 7499' +p149302 +(lp149303 +S'Please\tPlease\tVB\tB-VP\tO' +p149304 +aS'call\tcall\tVB\tI-VP\tO' +p149305 +aS'your\tyour\tPRP$\tB-NP\tO' +p149306 +aS'PCP\tPCP\tNN\tI-NP\tB-DNA' +p149307 +aS'for\tfor\tIN\tB-PP\tO' +p149308 +aS'an\tan\tDT\tB-NP\tO' +p149309 +aS'appointment\tappointment\tNN\tI-NP\tO' +p149310 +aS'within\twithin\tIN\tB-PP\tO' +p149311 +aS'1\t1\tCD\tB-NP\tO' +p149312 +aS'week\tweek\tNN\tI-NP\tO' +p149313 +aS'-\t-\tHYPH\tB-NP\tO' +p149314 +aS'number\tnumber\tNN\tI-NP\tO' +p149315 +aS'to\tto\tTO\tB-VP\tO' +p149316 +aS'call\tcall\tVB\tI-VP\tO' +p149317 +aS'is\tbe\tVBZ\tB-VP\tO' +p149318 +aS'(\t(\t(\tO\tO' +p149319 +aS'489\t489\tCD\tB-NP\tO' +p149320 +aS')\t)\t)\tO\tO' +p149321 +aS'489\t489\tCD\tB-NP\tO' +p149322 +aS'0229\t0229\tCD\tI-NP\tO' +p149323 +aS'ext\text\tIN\tB-PP\tO' +p149324 +aS'7499\t7499\tCD\tB-NP\tO' +p149325 +asS'toes are upgoing on the left , down going on the right .' +p149326 +(lp149327 +S'toes\ttoe\tNNS\tB-NP\tO' +p149328 +aS'are\tbe\tVBP\tB-VP\tO' +p149329 +aS'upgoing\tupgoe\tVBG\tI-VP\tO' +p149330 +aS'on\ton\tIN\tB-PP\tO' +p149331 +aS'the\tthe\tDT\tB-NP\tO' +p149332 +aS'left\tleft\tNN\tI-NP\tO' +p149333 +aS',\t,\t,\tO\tO' +p149334 +aS'down\tdown\tRB\tB-ADVP\tO' +p149335 +aS'going\tgo\tVBG\tB-VP\tO' +p149336 +aS'on\ton\tIN\tB-PP\tO' +p149337 +aS'the\tthe\tDT\tB-NP\tO' +p149338 +aS'right\tright\tNN\tI-NP\tO' +p149339 +aS'.\t.\t.\tO\tO' +p149340 +asS'Family meeting held and pt made clear wishes after extubation that she does not want to be intubated again and made DNR / DNI .' +p149341 +(lp149342 +S'Family\tFamily\tRB\tB-NP\tO' +p149343 +aS'meeting\tmeeting\tNN\tI-NP\tO' +p149344 +aS'held\thold\tVBN\tB-VP\tO' +p149345 +aS'and\tand\tCC\tO\tO' +p149346 +aS'pt\tpt\tNN\tB-NP\tO' +p149347 +aS'made\tmake\tVBD\tB-VP\tO' +p149348 +aS'clear\tclear\tJJ\tB-NP\tO' +p149349 +aS'wishes\twish\tNNS\tI-NP\tO' +p149350 +aS'after\tafter\tIN\tB-PP\tO' +p149351 +aS'extubation\textubation\tNN\tB-NP\tO' +p149352 +aS'that\tthat\tIN\tB-SBAR\tO' +p149353 +aS'she\tshe\tPRP\tB-NP\tO' +p149354 +aS'does\tdo\tVBZ\tB-VP\tO' +p149355 +aS'not\tnot\tRB\tI-VP\tO' +p149356 +aS'want\twant\tVB\tI-VP\tO' +p149357 +aS'to\tto\tTO\tI-VP\tO' +p149358 +aS'be\tbe\tVB\tI-VP\tO' +p149359 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p149360 +aS'again\tagain\tRB\tB-ADVP\tO' +p149361 +aS'and\tand\tCC\tO\tO' +p149362 +aS'made\tmake\tVBN\tB-NP\tO' +p149363 +aS'DNR\tDNR\tNN\tI-NP\tB-protein' +p149364 +aS'/\t/\tSYM\tI-NP\tO' +p149365 +aS'DNI\tDNI\tNN\tI-NP\tO' +p149366 +aS'.\t.\t.\tO\tO' +p149367 +asS'The patient has been steroid dependent for two years and has been intubated in the past only once for a surgical repair of trigeminal neuralgia .' +p149368 +(lp149369 +S'The\tThe\tDT\tB-NP\tO' +p149370 +aS'patient\tpatient\tNN\tI-NP\tO' +p149371 +aS'has\thave\tVBZ\tB-VP\tO' +p149372 +aS'been\tbe\tVBN\tI-VP\tO' +p149373 +aS'steroid\tsteroid\tNN\tB-NP\tO' +p149374 +aS'dependent\tdependent\tJJ\tB-ADJP\tO' +p149375 +aS'for\tfor\tIN\tB-PP\tO' +p149376 +aS'two\ttwo\tCD\tB-NP\tO' +p149377 +aS'years\tyear\tNNS\tI-NP\tO' +p149378 +aS'and\tand\tCC\tO\tO' +p149379 +aS'has\thave\tVBZ\tB-VP\tO' +p149380 +aS'been\tbe\tVBN\tI-VP\tO' +p149381 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p149382 +aS'in\tin\tIN\tB-PP\tO' +p149383 +aS'the\tthe\tDT\tB-NP\tO' +p149384 +aS'past\tpast\tNN\tI-NP\tO' +p149385 +aS'only\tonly\tRB\tB-ADVP\tO' +p149386 +aS'once\tonce\tRB\tI-ADVP\tO' +p149387 +aS'for\tfor\tIN\tB-PP\tO' +p149388 +aS'a\ta\tDT\tB-NP\tO' +p149389 +aS'surgical\tsurgical\tJJ\tI-NP\tO' +p149390 +aS'repair\trepair\tNN\tI-NP\tO' +p149391 +aS'of\tof\tIN\tB-PP\tO' +p149392 +aS'trigeminal\ttrigeminal\tJJ\tB-NP\tO' +p149393 +aS'neuralgia\tneuralgia\tNN\tI-NP\tO' +p149394 +aS'.\t.\t.\tO\tO' +p149395 +asS'Due to increasing respiratory distress was intubated , placed on conventional ventilation and pressures of 24/6 , rate of 25 .' +p149396 +(lp149397 +S'Due\tDue\tJJ\tB-ADJP\tO' +p149398 +aS'to\tto\tTO\tB-PP\tO' +p149399 +aS'increasing\tincrease\tVBG\tB-VP\tO' +p149400 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p149401 +aS'distress\tdistress\tNN\tI-NP\tO' +p149402 +aS'was\tbe\tVBD\tB-VP\tO' +p149403 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p149404 +aS',\t,\t,\tO\tO' +p149405 +aS'placed\tplace\tVBN\tB-VP\tO' +p149406 +aS'on\ton\tIN\tB-PP\tO' +p149407 +aS'conventional\tconventional\tJJ\tB-NP\tO' +p149408 +aS'ventilation\tventilation\tNN\tI-NP\tO' +p149409 +aS'and\tand\tCC\tI-NP\tO' +p149410 +aS'pressures\tpressure\tNNS\tI-NP\tO' +p149411 +aS'of\tof\tIN\tB-PP\tO' +p149412 +aS'24/6\t24/6\tCD\tB-NP\tO' +p149413 +aS',\t,\t,\tO\tO' +p149414 +aS'rate\trate\tNN\tB-NP\tO' +p149415 +aS'of\tof\tIN\tB-PP\tO' +p149416 +aS'25\t25\tCD\tB-NP\tO' +p149417 +aS'.\t.\t.\tO\tO' +p149418 +asS'This may due to her central nervous system process or her pulmonary process , with fluids administered as described , she should not have any problems from this .' +p149419 +(lp149420 +S'This\tThis\tDT\tB-NP\tO' +p149421 +aS'may\tmay\tMD\tB-VP\tO' +p149422 +aS'due\tdue\tVB\tI-VP\tO' +p149423 +aS'to\tto\tTO\tB-PP\tO' +p149424 +aS'her\ther\tPRP\tB-NP\tO' +p149425 +aS'central\tcentral\tJJ\tI-NP\tO' +p149426 +aS'nervous\tnervous\tJJ\tI-NP\tO' +p149427 +aS'system\tsystem\tNN\tI-NP\tO' +p149428 +aS'process\tprocess\tNN\tI-NP\tO' +p149429 +aS'or\tor\tCC\tO\tO' +p149430 +aS'her\ther\tPRP$\tB-NP\tO' +p149431 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p149432 +aS'process\tprocess\tNN\tI-NP\tO' +p149433 +aS',\t,\t,\tO\tO' +p149434 +aS'with\twith\tIN\tB-PP\tO' +p149435 +aS'fluids\tfluid\tNNS\tB-NP\tO' +p149436 +aS'administered\tadminister\tVBN\tB-VP\tO' +p149437 +aS'as\tas\tIN\tB-SBAR\tO' +p149438 +aS'described\tdescribe\tVBN\tB-VP\tO' +p149439 +aS',\t,\t,\tO\tO' +p149440 +aS'she\tshe\tPRP\tB-NP\tO' +p149441 +aS'should\tshould\tMD\tB-VP\tO' +p149442 +aS'not\tnot\tRB\tI-VP\tO' +p149443 +aS'have\thave\tVB\tI-VP\tO' +p149444 +aS'any\tany\tDT\tB-NP\tO' +p149445 +aS'problems\tproblem\tNNS\tI-NP\tO' +p149446 +aS'from\tfrom\tIN\tB-PP\tO' +p149447 +aS'this\tthis\tDT\tB-NP\tO' +p149448 +aS'.\t.\t.\tO\tO' +p149449 +asS'History of coronary artery disease with status post two-vessel CABG in 1986 , also he was treated for congestive heart failure , hypertension , aortic valve replacement , and mitral valve replacement with St. Jude 's valve in 09/2001 , atrial fibrillation , history of prior GI bleed requiring blood transfusions during which he also had a colonoscopy on 05/2003 which demonstrated no neoplasia and scattered diverticuli .' +p149450 +(lp149451 +S'History\tHistory\tNN\tB-NP\tO' +p149452 +aS'of\tof\tIN\tB-PP\tO' +p149453 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p149454 +aS'artery\tartery\tNN\tI-NP\tO' +p149455 +aS'disease\tdisease\tNN\tI-NP\tO' +p149456 +aS'with\twith\tIN\tB-PP\tO' +p149457 +aS'status\tstatus\tNN\tB-NP\tB-protein' +p149458 +aS'post\tpost\tNN\tI-NP\tI-protein' +p149459 +aS'two-vessel\ttwo-vessel\tJJ\tI-NP\tI-protein' +p149460 +aS'CABG\tCABG\tNN\tI-NP\tI-protein' +p149461 +aS'in\tin\tIN\tB-PP\tO' +p149462 +aS'1986\t1986\tCD\tB-NP\tO' +p149463 +aS',\t,\t,\tO\tO' +p149464 +aS'also\talso\tRB\tB-ADVP\tO' +p149465 +aS'he\the\tPRP\tB-NP\tO' +p149466 +aS'was\tbe\tVBD\tB-VP\tO' +p149467 +aS'treated\ttreat\tVBN\tI-VP\tO' +p149468 +aS'for\tfor\tIN\tB-PP\tO' +p149469 +aS'congestive\tcongestive\tJJ\tB-NP\tO' +p149470 +aS'heart\theart\tNN\tI-NP\tO' +p149471 +aS'failure\tfailure\tNN\tI-NP\tO' +p149472 +aS',\t,\t,\tO\tO' +p149473 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p149474 +aS',\t,\t,\tO\tO' +p149475 +aS'aortic\taortic\tJJ\tB-NP\tO' +p149476 +aS'valve\tvalve\tNN\tI-NP\tO' +p149477 +aS'replacement\treplacement\tNN\tI-NP\tO' +p149478 +aS',\t,\t,\tO\tO' +p149479 +aS'and\tand\tCC\tO\tO' +p149480 +aS'mitral\tmitral\tJJ\tB-NP\tO' +p149481 +aS'valve\tvalve\tNN\tI-NP\tO' +p149482 +aS'replacement\treplacement\tNN\tI-NP\tO' +p149483 +aS'with\twith\tIN\tB-PP\tO' +p149484 +aS'St.\tSt.\tNNP\tB-NP\tO' +p149485 +aS'Jude\tJude\tNNP\tI-NP\tO' +p149486 +aS''s\t'\tNNS\tI-NP\tO' +p149487 +aS'valve\tvalve\tVBP\tB-VP\tO' +p149488 +aS'in\tin\tIN\tB-PP\tO' +p149489 +aS'09/2001\t09/2001\tCD\tB-NP\tO' +p149490 +aS',\t,\t,\tO\tO' +p149491 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p149492 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p149493 +aS',\t,\t,\tO\tO' +p149494 +aS'history\thistory\tNN\tB-NP\tO' +p149495 +aS'of\tof\tIN\tB-PP\tO' +p149496 +aS'prior\tprior\tJJ\tB-NP\tO' +p149497 +aS'GI\tGI\tNN\tI-NP\tO' +p149498 +aS'bleed\tbleed\tNN\tI-NP\tO' +p149499 +aS'requiring\trequire\tVBG\tB-VP\tO' +p149500 +aS'blood\tblood\tNN\tB-NP\tO' +p149501 +aS'transfusions\ttransfusion\tNNS\tI-NP\tO' +p149502 +aS'during\tduring\tIN\tB-PP\tO' +p149503 +aS'which\twhich\tWDT\tB-NP\tO' +p149504 +aS'he\the\tPRP\tB-NP\tO' +p149505 +aS'also\talso\tRB\tB-ADVP\tO' +p149506 +aS'had\thave\tVBD\tB-VP\tO' +p149507 +aS'a\ta\tDT\tB-NP\tO' +p149508 +aS'colonoscopy\tcolonoscopy\tNN\tI-NP\tO' +p149509 +aS'on\ton\tIN\tB-PP\tO' +p149510 +aS'05/2003\t05/2003\tCD\tB-NP\tO' +p149511 +aS'which\twhich\tWDT\tB-NP\tO' +p149512 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p149513 +aS'no\tno\tDT\tB-NP\tO' +p149514 +aS'neoplasia\tneoplasia\tNN\tI-NP\tO' +p149515 +aS'and\tand\tCC\tO\tO' +p149516 +aS'scattered\tscattered\tJJ\tB-NP\tO' +p149517 +aS'diverticuli\tdiverticuli\tNNS\tI-NP\tO' +p149518 +aS'.\t.\t.\tO\tO' +p149519 +asS'The patient is well-appearing in no acute distress .' +p149520 +(lp149521 +S'The\tThe\tDT\tB-NP\tO' +p149522 +aS'patient\tpatient\tNN\tI-NP\tO' +p149523 +aS'is\tbe\tVBZ\tB-VP\tO' +p149524 +aS'well-appearing\twell-appearing\tJJ\tB-ADJP\tO' +p149525 +aS'in\tin\tIN\tB-PP\tO' +p149526 +aS'no\tno\tDT\tB-NP\tO' +p149527 +aS'acute\tacute\tJJ\tI-NP\tO' +p149528 +aS'distress\tdistress\tNN\tI-NP\tO' +p149529 +aS'.\t.\t.\tO\tO' +p149530 +asS'On sensory testing , the patient withdrew all extremities to pain .' +p149531 +(lp149532 +S'On\tOn\tIN\tB-PP\tO' +p149533 +aS'sensory\tsensory\tJJ\tB-NP\tO' +p149534 +aS'testing\ttesting\tNN\tI-NP\tO' +p149535 +aS',\t,\t,\tO\tO' +p149536 +aS'the\tthe\tDT\tB-NP\tO' +p149537 +aS'patient\tpatient\tNN\tI-NP\tO' +p149538 +aS'withdrew\twithdraw\tVBD\tB-VP\tO' +p149539 +aS'all\tall\tDT\tB-NP\tO' +p149540 +aS'extremities\textremity\tNNS\tI-NP\tO' +p149541 +aS'to\tto\tTO\tB-VP\tO' +p149542 +aS'pain\tpain\tVB\tI-VP\tO' +p149543 +aS'.\t.\t.\tO\tO' +p149544 +asS'8. Levofloxacin day four of 10 to be completed for a full 10-day course , 500 mg p.o. q.d.' +p149545 +(lp149546 +S'8.\t8.\tLS\tB-NP\tO' +p149547 +aS'Levofloxacin\tLevofloxacin\tNN\tI-NP\tO' +p149548 +aS'day\tday\tNN\tI-NP\tO' +p149549 +aS'four\tfour\tCD\tB-NP\tO' +p149550 +aS'of\tof\tIN\tB-PP\tO' +p149551 +aS'10\t10\tCD\tB-NP\tO' +p149552 +aS'to\tto\tTO\tB-VP\tO' +p149553 +aS'be\tbe\tVB\tI-VP\tO' +p149554 +aS'completed\tcomplete\tVBN\tI-VP\tO' +p149555 +aS'for\tfor\tIN\tB-PP\tO' +p149556 +aS'a\ta\tDT\tB-NP\tO' +p149557 +aS'full\tfull\tJJ\tI-NP\tO' +p149558 +aS'10-day\t10-day\tJJ\tI-NP\tO' +p149559 +aS'course\tcourse\tNN\tI-NP\tO' +p149560 +aS',\t,\t,\tO\tO' +p149561 +aS'500\t500\tCD\tB-NP\tO' +p149562 +aS'mg\tmg\tNN\tI-NP\tO' +p149563 +aS'p.o.\tp.o.\tFW\tB-ADVP\tO' +p149564 +aS'q.d.\tq.d.\tFW\tI-ADVP\tO' +p149565 +asS'In 1984 , he had the right knee aspirated and was noted to have some uric acid crystals , although serum uric acid was normal and erythrocyte sedimentation rate .' +p149566 +(lp149567 +S'In\tIn\tIN\tB-PP\tO' +p149568 +aS'1984\t1984\tCD\tB-NP\tO' +p149569 +aS',\t,\t,\tO\tO' +p149570 +aS'he\the\tPRP\tB-NP\tO' +p149571 +aS'had\thave\tVBD\tB-VP\tO' +p149572 +aS'the\tthe\tDT\tB-NP\tO' +p149573 +aS'right\tright\tJJ\tI-NP\tO' +p149574 +aS'knee\tknee\tNN\tI-NP\tO' +p149575 +aS'aspirated\taspirate\tVBD\tB-VP\tO' +p149576 +aS'and\tand\tCC\tO\tO' +p149577 +aS'was\tbe\tVBD\tB-VP\tO' +p149578 +aS'noted\tnote\tVBN\tI-VP\tO' +p149579 +aS'to\tto\tTO\tI-VP\tO' +p149580 +aS'have\thave\tVB\tI-VP\tO' +p149581 +aS'some\tsome\tDT\tB-NP\tO' +p149582 +aS'uric\turic\tJJ\tI-NP\tO' +p149583 +aS'acid\tacid\tNN\tI-NP\tO' +p149584 +aS'crystals\tcrystal\tNNS\tI-NP\tO' +p149585 +aS',\t,\t,\tO\tO' +p149586 +aS'although\talthough\tIN\tB-SBAR\tO' +p149587 +aS'serum\tserum\tNN\tB-NP\tO' +p149588 +aS'uric\turic\tJJ\tI-NP\tO' +p149589 +aS'acid\tacid\tNN\tI-NP\tO' +p149590 +aS'was\tbe\tVBD\tB-VP\tO' +p149591 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p149592 +aS'and\tand\tCC\tO\tO' +p149593 +aS'erythrocyte\terythrocyte\tNN\tB-NP\tO' +p149594 +aS'sedimentation\tsedimentation\tNN\tI-NP\tO' +p149595 +aS'rate\trate\tNN\tI-NP\tO' +p149596 +aS'.\t.\t.\tO\tO' +p149597 +asS'Urinary tract infection , tracheostomy status , diabetes mellitus .' +p149598 +(lp149599 +S'Urinary\tUrinary\tJJ\tB-NP\tO' +p149600 +aS'tract\ttract\tNN\tI-NP\tO' +p149601 +aS'infection\tinfection\tNN\tI-NP\tO' +p149602 +aS',\t,\t,\tO\tO' +p149603 +aS'tracheostomy\ttracheostomy\tNN\tB-NP\tO' +p149604 +aS'status\tstatus\tNN\tI-NP\tO' +p149605 +aS',\t,\t,\tO\tO' +p149606 +aS'diabetes\tdiabetes\tNN\tB-NP\tO' +p149607 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p149608 +aS'.\t.\t.\tO\tO' +p149609 +asS'No splenomegaly appreciated .' +p149610 +(lp149611 +S'No\tNo\tDT\tB-NP\tO' +p149612 +aS'splenomegaly\tsplenomegaly\tNN\tI-NP\tO' +p149613 +aS'appreciated\tappreciate\tVBN\tB-VP\tO' +p149614 +aS'.\t.\t.\tO\tO' +p149615 +asS'GI : BS NA .' +p149616 +(lp149617 +S'GI\tGI\tLS\tB-LST\tO' +p149618 +aS':\t:\t:\tO\tO' +p149619 +aS'BS\tBS\tNN\tB-NP\tO' +p149620 +aS'NA\tNA\tNN\tI-NP\tO' +p149621 +aS'.\t.\t.\tO\tO' +p149622 +asS'There was a possible right gaze preference and the patient did not move his eyes .' +p149623 +(lp149624 +S'There\tThere\tEX\tB-NP\tO' +p149625 +aS'was\tbe\tVBD\tB-VP\tO' +p149626 +aS'a\ta\tDT\tB-NP\tO' +p149627 +aS'possible\tpossible\tJJ\tI-NP\tO' +p149628 +aS'right\tright\tJJ\tI-NP\tO' +p149629 +aS'gaze\tgaze\tNN\tI-NP\tO' +p149630 +aS'preference\tpreference\tNN\tI-NP\tO' +p149631 +aS'and\tand\tCC\tO\tO' +p149632 +aS'the\tthe\tDT\tB-NP\tO' +p149633 +aS'patient\tpatient\tNN\tI-NP\tO' +p149634 +aS'did\tdo\tVBD\tB-VP\tO' +p149635 +aS'not\tnot\tRB\tI-VP\tO' +p149636 +aS'move\tmove\tVB\tI-VP\tO' +p149637 +aS'his\this\tPRP$\tB-NP\tO' +p149638 +aS'eyes\teye\tNNS\tI-NP\tO' +p149639 +aS'.\t.\t.\tO\tO' +p149640 +asS'Naming intact .' +p149641 +(lp149642 +S'Naming\tName\tVBG\tB-VP\tO' +p149643 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p149644 +aS'.\t.\t.\tO\tO' +p149645 +asS'11. Docusate Sodium 100 mg Capsule Sig : One ( 1 ) Capsule PO BID ( 2 times a day ).' +p149646 +(lp149647 +S'11.\t11.\tLS\tB-NP\tO' +p149648 +aS'Docusate\tDocusate\tNNP\tI-NP\tO' +p149649 +aS'Sodium\tSodium\tNNP\tI-NP\tO' +p149650 +aS'100\t100\tCD\tI-NP\tO' +p149651 +aS'mg\tmg\tNN\tI-NP\tO' +p149652 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p149653 +aS'Sig\tSig\tNNP\tI-NP\tO' +p149654 +aS':\t:\t:\tO\tO' +p149655 +aS'One\tOne\tCD\tB-NP\tO' +p149656 +aS'(\t(\t(\tO\tO' +p149657 +aS'1\t1\tCD\tB-NP\tO' +p149658 +aS')\t)\t)\tO\tO' +p149659 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p149660 +aS'PO\tPO\tNNP\tI-NP\tO' +p149661 +aS'BID\tBID\tNNP\tI-NP\tO' +p149662 +aS'(\t(\t(\tO\tO' +p149663 +aS'2\t2\tCD\tB-NP\tO' +p149664 +aS'times\ttime\tNNS\tI-NP\tO' +p149665 +aS'a\ta\tDT\tB-NP\tO' +p149666 +aS'day\tday\tNN\tI-NP\tO' +p149667 +aS').\t).\t.\tO\tO' +p149668 +asS'The patient was admitted was started on clear fluids , tolerated , with D5 normal saline plus 40 mEq per liter of KCL at a rate of 50 cc 's per hour for 9 hours . ( 100 cc's per kilo ) .' +p149669 +(lp149670 +S'The\tThe\tDT\tB-NP\tO' +p149671 +aS'patient\tpatient\tNN\tI-NP\tO' +p149672 +aS'was\tbe\tVBD\tB-VP\tO' +p149673 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p149674 +aS'was\tbe\tVBD\tB-VP\tO' +p149675 +aS'started\tstart\tVBN\tI-VP\tO' +p149676 +aS'on\ton\tIN\tB-PP\tO' +p149677 +aS'clear\tclear\tJJ\tB-NP\tO' +p149678 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p149679 +aS',\t,\t,\tO\tO' +p149680 +aS'tolerated\ttolerate\tVBN\tB-VP\tO' +p149681 +aS',\t,\t,\tO\tO' +p149682 +aS'with\twith\tIN\tB-PP\tO' +p149683 +aS'D5\tD5\tNN\tB-NP\tO' +p149684 +aS'normal\tnormal\tJJ\tI-NP\tO' +p149685 +aS'saline\tsaline\tNN\tI-NP\tO' +p149686 +aS'plus\tplus\tCC\tO\tO' +p149687 +aS'40\t40\tCD\tB-NP\tO' +p149688 +aS'mEq\tmEq\tNN\tI-NP\tO' +p149689 +aS'per\tper\tIN\tB-PP\tO' +p149690 +aS'liter\tliter\tNN\tB-NP\tO' +p149691 +aS'of\tof\tIN\tB-PP\tO' +p149692 +aS'KCL\tKCL\tNN\tB-NP\tB-protein' +p149693 +aS'at\tat\tIN\tB-PP\tO' +p149694 +aS'a\ta\tDT\tB-NP\tO' +p149695 +aS'rate\trate\tNN\tI-NP\tO' +p149696 +aS'of\tof\tIN\tB-PP\tO' +p149697 +aS'50\t50\tCD\tB-NP\tO' +p149698 +aS'cc\tcc\tNN\tI-NP\tO' +p149699 +aS''s\t'\tNNS\tI-NP\tO' +p149700 +aS'per\tper\tIN\tB-PP\tO' +p149701 +aS'hour\thour\tNN\tB-NP\tO' +p149702 +aS'for\tfor\tIN\tB-PP\tO' +p149703 +aS'9\t9\tCD\tB-NP\tO' +p149704 +aS'hours\thour\tNNS\tI-NP\tO' +p149705 +aS'.\t.\t.\tO\tO' +p149706 +aS'(\t(\t(\tO\tO' +p149707 +aS'100\t100\tCD\tB-NP\tO' +p149708 +aS'cc's\tcc'\tNNS\tI-NP\tO' +p149709 +aS'per\tper\tIN\tB-PP\tO' +p149710 +aS'kilo\tkilo\tNN\tB-NP\tO' +p149711 +aS')\t)\t)\tO\tO' +p149712 +aS'.\t.\t.\tO\tO' +p149713 +asS'Within normal limits .' +p149714 +(lp149715 +S'Within\tWithin\tIN\tB-PP\tO' +p149716 +aS'normal\tnormal\tJJ\tB-NP\tO' +p149717 +aS'limits\tlimit\tNNS\tI-NP\tO' +p149718 +aS'.\t.\t.\tO\tO' +p149719 +asS"These facts were confirmed via separate conversations with both the patient 's lawyer and her primary care physician ." +p149720 +(lp149721 +S'These\tThese\tDT\tB-NP\tO' +p149722 +aS'facts\tfact\tNNS\tI-NP\tO' +p149723 +aS'were\tbe\tVBD\tB-VP\tO' +p149724 +aS'confirmed\tconfirm\tVBN\tI-VP\tO' +p149725 +aS'via\tvia\tIN\tB-PP\tO' +p149726 +aS'separate\tseparate\tJJ\tB-NP\tO' +p149727 +aS'conversations\tconversation\tNNS\tI-NP\tO' +p149728 +aS'with\twith\tIN\tB-PP\tO' +p149729 +aS'both\tboth\tCC\tO\tO' +p149730 +aS'the\tthe\tDT\tB-NP\tO' +p149731 +aS'patient\tpatient\tNN\tI-NP\tO' +p149732 +aS"'s\t's\tPOS\tB-NP\tO" +p149733 +aS'lawyer\tlawyer\tNN\tI-NP\tO' +p149734 +aS'and\tand\tCC\tO\tO' +p149735 +aS'her\ther\tPRP$\tB-NP\tO' +p149736 +aS'primary\tprimary\tJJ\tI-NP\tO' +p149737 +aS'care\tcare\tNN\tI-NP\tO' +p149738 +aS'physician\tphysician\tNN\tI-NP\tO' +p149739 +aS'.\t.\t.\tO\tO' +p149740 +asS'Pupils were equal , round , reactive to light at approximately 4 mm .' +p149741 +(lp149742 +S'Pupils\tPupil\tNNS\tB-NP\tO' +p149743 +aS'were\tbe\tVBD\tB-VP\tO' +p149744 +aS'equal\tequal\tJJ\tB-NP\tO' +p149745 +aS',\t,\t,\tI-NP\tO' +p149746 +aS'round\tround\tJJ\tI-NP\tO' +p149747 +aS',\t,\t,\tI-NP\tO' +p149748 +aS'reactive\treactive\tJJ\tI-NP\tO' +p149749 +aS'to\tto\tTO\tB-PP\tO' +p149750 +aS'light\tlight\tNN\tB-NP\tO' +p149751 +aS'at\tat\tIN\tB-PP\tO' +p149752 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p149753 +aS'4\t4\tCD\tI-NP\tO' +p149754 +aS'mm\tmm\tNN\tI-NP\tO' +p149755 +aS'.\t.\t.\tO\tO' +p149756 +asS'8. Chronic renal insufficiency with a baseline creatinine of 2.0 to 2.7.' +p149757 +(lp149758 +S'8.\t8.\tLS\tB-NP\tO' +p149759 +aS'Chronic\tChronic\tJJ\tI-NP\tO' +p149760 +aS'renal\trenal\tJJ\tI-NP\tO' +p149761 +aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' +p149762 +aS'with\twith\tIN\tB-PP\tO' +p149763 +aS'a\ta\tDT\tB-NP\tO' +p149764 +aS'baseline\tbaseline\tNN\tI-NP\tO' +p149765 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p149766 +aS'of\tof\tIN\tB-PP\tO' +p149767 +aS'2.0\t2.0\tCD\tB-NP\tO' +p149768 +aS'to\tto\tTO\tB-PP\tO' +p149769 +aS'2.7.\t2.7.\tCD\tB-NP\tO' +p149770 +asS'Serial head CT studies and neurologic exams were performed but the patient was unchaged , unresponsive with posturing and no spontaneous movement despite ICP being maintained in good range ( < 20 ).' +p149771 +(lp149772 +S'Serial\tSerial\tJJ\tB-NP\tO' +p149773 +aS'head\thead\tNN\tI-NP\tO' +p149774 +aS'CT\tCT\tNN\tI-NP\tO' +p149775 +aS'studies\tstudy\tNNS\tI-NP\tO' +p149776 +aS'and\tand\tCC\tO\tO' +p149777 +aS'neurologic\tneurologic\tJJ\tB-NP\tB-cell_type' +p149778 +aS'exams\texam\tNNS\tI-NP\tI-cell_type' +p149779 +aS'were\tbe\tVBD\tB-VP\tO' +p149780 +aS'performed\tperform\tVBN\tI-VP\tO' +p149781 +aS'but\tbut\tCC\tO\tO' +p149782 +aS'the\tthe\tDT\tB-NP\tO' +p149783 +aS'patient\tpatient\tNN\tI-NP\tO' +p149784 +aS'was\tbe\tVBD\tB-VP\tO' +p149785 +aS'unchaged\tunchaged\tJJ\tB-ADJP\tO' +p149786 +aS',\t,\t,\tO\tO' +p149787 +aS'unresponsive\tunresponsive\tJJ\tB-ADJP\tO' +p149788 +aS'with\twith\tIN\tB-PP\tO' +p149789 +aS'posturing\tposture\tVBG\tB-VP\tO' +p149790 +aS'and\tand\tCC\tO\tO' +p149791 +aS'no\tno\tDT\tB-NP\tO' +p149792 +aS'spontaneous\tspontaneous\tJJ\tI-NP\tO' +p149793 +aS'movement\tmovement\tNN\tI-NP\tO' +p149794 +aS'despite\tdespite\tIN\tB-PP\tO' +p149795 +aS'ICP\tICP\tNN\tB-NP\tB-protein' +p149796 +aS'being\tbe\tVBG\tB-VP\tO' +p149797 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p149798 +aS'in\tin\tIN\tB-PP\tO' +p149799 +aS'good\tgood\tJJ\tB-NP\tO' +p149800 +aS'range\trange\tNN\tI-NP\tO' +p149801 +aS'(\t(\t(\tO\tO' +p149802 +aS'<\t<\tSYM\tB-NP\tO' +p149803 +aS'20\t20\tCD\tI-NP\tO' +p149804 +aS').\t).\t)\tO\tO' +p149805 +asS'The aneurysm at the time of discharge is approximately 2.5 cm .' +p149806 +(lp149807 +S'The\tThe\tDT\tB-NP\tO' +p149808 +aS'aneurysm\taneurysm\tNN\tI-NP\tO' +p149809 +aS'at\tat\tIN\tB-PP\tO' +p149810 +aS'the\tthe\tDT\tB-NP\tO' +p149811 +aS'time\ttime\tNN\tI-NP\tO' +p149812 +aS'of\tof\tIN\tB-PP\tO' +p149813 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p149814 +aS'is\tbe\tVBZ\tB-VP\tO' +p149815 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p149816 +aS'2.5\t2.5\tCD\tI-NP\tO' +p149817 +aS'cm\tcm\tNN\tI-NP\tO' +p149818 +aS'.\t.\t.\tO\tO' +p149819 +asS'09/02/98 sternal debridement .' +p149820 +(lp149821 +S'09/02/98\t09/02/98\tCD\tB-NP\tO' +p149822 +aS'sternal\tsternal\tJJ\tI-NP\tO' +p149823 +aS'debridement\tdebridement\tNN\tI-NP\tO' +p149824 +aS'.\t.\t.\tO\tO' +p149825 +asS'The patient has severe sleep apnea and stops breathing during sleep .' +p149826 +(lp149827 +S'The\tThe\tDT\tB-NP\tO' +p149828 +aS'patient\tpatient\tNN\tI-NP\tO' +p149829 +aS'has\thave\tVBZ\tB-VP\tO' +p149830 +aS'severe\tsevere\tJJ\tB-NP\tO' +p149831 +aS'sleep\tsleep\tNN\tI-NP\tO' +p149832 +aS'apnea\tapnea\tNN\tI-NP\tO' +p149833 +aS'and\tand\tCC\tO\tO' +p149834 +aS'stops\tstop\tVBZ\tB-VP\tO' +p149835 +aS'breathing\tbreathing\tNN\tB-NP\tO' +p149836 +aS'during\tduring\tIN\tB-PP\tO' +p149837 +aS'sleep\tsleep\tNN\tB-NP\tO' +p149838 +aS'.\t.\t.\tO\tO' +p149839 +asS'So she was put on dicloxicillin and we did local wound care with an agent called Santyl , which is a collagenace ondebrided which worked very well for her .' +p149840 +(lp149841 +S'So\tSo\tRB\tO\tO' +p149842 +aS'she\tshe\tPRP\tB-NP\tO' +p149843 +aS'was\tbe\tVBD\tB-VP\tO' +p149844 +aS'put\tput\tVBN\tI-VP\tO' +p149845 +aS'on\ton\tIN\tB-PP\tO' +p149846 +aS'dicloxicillin\tdicloxicillin\tNN\tB-NP\tO' +p149847 +aS'and\tand\tCC\tO\tO' +p149848 +aS'we\twe\tPRP\tB-NP\tO' +p149849 +aS'did\tdo\tVBD\tB-VP\tO' +p149850 +aS'local\tlocal\tJJ\tB-NP\tO' +p149851 +aS'wound\twound\tNN\tI-NP\tO' +p149852 +aS'care\tcare\tNN\tI-NP\tO' +p149853 +aS'with\twith\tIN\tB-PP\tO' +p149854 +aS'an\tan\tDT\tB-NP\tO' +p149855 +aS'agent\tagent\tNN\tI-NP\tO' +p149856 +aS'called\tcall\tVBN\tB-VP\tO' +p149857 +aS'Santyl\tSantyl\tNNP\tB-NP\tO' +p149858 +aS',\t,\t,\tO\tO' +p149859 +aS'which\twhich\tWDT\tB-NP\tO' +p149860 +aS'is\tbe\tVBZ\tB-VP\tO' +p149861 +aS'a\ta\tDT\tB-NP\tO' +p149862 +aS'collagenace\tcollagenace\tNN\tI-NP\tO' +p149863 +aS'ondebrided\tondebride\tVBD\tB-VP\tO' +p149864 +aS'which\twhich\tWDT\tB-NP\tO' +p149865 +aS'worked\twork\tVBD\tB-VP\tO' +p149866 +aS'very\tvery\tRB\tB-ADVP\tO' +p149867 +aS'well\twell\tRB\tI-ADVP\tO' +p149868 +aS'for\tfor\tIN\tB-PP\tO' +p149869 +aS'her\ther\tPRP\tB-NP\tO' +p149870 +aS'.\t.\t.\tO\tO' +p149871 +asS'S1 and S2 .' +p149872 +(lp149873 +S'S1\tS1\tNN\tB-NP\tB-protein' +p149874 +aS'and\tand\tCC\tI-NP\tO' +p149875 +aS'S2\tS2\tNN\tI-NP\tB-protein' +p149876 +aS'.\t.\t.\tO\tO' +p149877 +asS'Endoscopy with biopsy revealed gastric carcinoma , poorly differentiated , within the body of the stomach along the greater curvature .' +p149878 +(lp149879 +S'Endoscopy\tEndoscopy\tNN\tB-NP\tO' +p149880 +aS'with\twith\tIN\tB-PP\tO' +p149881 +aS'biopsy\tbiopsy\tNN\tB-NP\tO' +p149882 +aS'revealed\treveal\tVBD\tB-VP\tO' +p149883 +aS'gastric\tgastric\tJJ\tB-NP\tO' +p149884 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p149885 +aS',\t,\t,\tO\tO' +p149886 +aS'poorly\tpoorly\tRB\tB-VP\tO' +p149887 +aS'differentiated\tdifferentiate\tVBN\tI-VP\tO' +p149888 +aS',\t,\t,\tO\tO' +p149889 +aS'within\twithin\tIN\tB-PP\tO' +p149890 +aS'the\tthe\tDT\tB-NP\tO' +p149891 +aS'body\tbody\tNN\tI-NP\tO' +p149892 +aS'of\tof\tIN\tB-PP\tO' +p149893 +aS'the\tthe\tDT\tB-NP\tO' +p149894 +aS'stomach\tstomach\tNN\tI-NP\tO' +p149895 +aS'along\talong\tIN\tB-PP\tO' +p149896 +aS'the\tthe\tDT\tB-NP\tO' +p149897 +aS'greater\tgreat\tJJR\tI-NP\tO' +p149898 +aS'curvature\tcurvature\tNN\tI-NP\tO' +p149899 +aS'.\t.\t.\tO\tO' +p149900 +asS'The patient was seen at Ph University Of Medical Center for problem regarding his constrictive pericarditis and underwent a surgical procedure to correct this .' +p149901 +(lp149902 +S'The\tThe\tDT\tB-NP\tO' +p149903 +aS'patient\tpatient\tNN\tI-NP\tO' +p149904 +aS'was\tbe\tVBD\tB-VP\tO' +p149905 +aS'seen\tsee\tVBN\tI-VP\tO' +p149906 +aS'at\tat\tIN\tB-PP\tO' +p149907 +aS'Ph\tPh\tNNP\tB-NP\tO' +p149908 +aS'University\tUniversity\tNNP\tI-NP\tO' +p149909 +aS'Of\tOf\tNNP\tI-NP\tO' +p149910 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p149911 +aS'Center\tCenter\tNNP\tI-NP\tO' +p149912 +aS'for\tfor\tIN\tB-PP\tO' +p149913 +aS'problem\tproblem\tNN\tB-NP\tO' +p149914 +aS'regarding\tregard\tVBG\tB-VP\tO' +p149915 +aS'his\this\tPRP$\tB-NP\tO' +p149916 +aS'constrictive\tconstrictive\tJJ\tI-NP\tO' +p149917 +aS'pericarditis\tpericarditis\tNN\tI-NP\tO' +p149918 +aS'and\tand\tCC\tO\tO' +p149919 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p149920 +aS'a\ta\tDT\tB-NP\tO' +p149921 +aS'surgical\tsurgical\tJJ\tI-NP\tO' +p149922 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p149923 +aS'to\tto\tTO\tB-VP\tO' +p149924 +aS'correct\tcorrect\tVB\tI-VP\tO' +p149925 +aS'this\tthis\tDT\tB-NP\tO' +p149926 +aS'.\t.\t.\tO\tO' +p149927 +asS'Her lower extremity edema has increased for the several weeks prior to admission secondary to an inability to elevate her legs due to a broken chair at home .' +p149928 +(lp149929 +S'Her\tHer\tPRP$\tB-NP\tB-protein' +p149930 +aS'lower\tlow\tJJR\tI-NP\tO' +p149931 +aS'extremity\textremity\tNN\tI-NP\tO' +p149932 +aS'edema\tedema\tNN\tI-NP\tO' +p149933 +aS'has\thave\tVBZ\tB-VP\tO' +p149934 +aS'increased\tincrease\tVBN\tI-VP\tO' +p149935 +aS'for\tfor\tIN\tB-PP\tO' +p149936 +aS'the\tthe\tDT\tB-NP\tO' +p149937 +aS'several\tseveral\tJJ\tI-NP\tO' +p149938 +aS'weeks\tweek\tNNS\tI-NP\tO' +p149939 +aS'prior\tprior\tRB\tB-ADVP\tO' +p149940 +aS'to\tto\tTO\tB-PP\tO' +p149941 +aS'admission\tadmission\tNN\tB-NP\tO' +p149942 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p149943 +aS'to\tto\tTO\tB-PP\tO' +p149944 +aS'an\tan\tDT\tB-NP\tO' +p149945 +aS'inability\tinability\tNN\tI-NP\tO' +p149946 +aS'to\tto\tTO\tB-VP\tO' +p149947 +aS'elevate\televate\tVB\tI-VP\tO' +p149948 +aS'her\ther\tPRP$\tB-NP\tO' +p149949 +aS'legs\tleg\tNNS\tI-NP\tO' +p149950 +aS'due\tdue\tJJ\tB-PP\tO' +p149951 +aS'to\tto\tTO\tB-PP\tO' +p149952 +aS'a\ta\tDT\tB-NP\tO' +p149953 +aS'broken\tbroken\tJJ\tI-NP\tO' +p149954 +aS'chair\tchair\tNN\tI-NP\tO' +p149955 +aS'at\tat\tIN\tB-PP\tO' +p149956 +aS'home\thome\tNN\tB-NP\tO' +p149957 +aS'.\t.\t.\tO\tO' +p149958 +asS"The end result of these discussion was that the patient 's wishes would not be consistent with this new level of functioning from which he had little hope of recovery ; the family decided to make him comfort measures only ." +p149959 +(lp149960 +S'The\tThe\tDT\tB-NP\tO' +p149961 +aS'end\tend\tNN\tI-NP\tO' +p149962 +aS'result\tresult\tNN\tI-NP\tO' +p149963 +aS'of\tof\tIN\tB-PP\tO' +p149964 +aS'these\tthese\tDT\tB-NP\tO' +p149965 +aS'discussion\tdiscussion\tNN\tI-NP\tO' +p149966 +aS'was\tbe\tVBD\tB-VP\tO' +p149967 +aS'that\tthat\tIN\tB-SBAR\tO' +p149968 +aS'the\tthe\tDT\tB-NP\tO' +p149969 +aS'patient\tpatient\tNN\tI-NP\tO' +p149970 +aS"'s\t's\tPOS\tB-NP\tO" +p149971 +aS'wishes\twish\tNNS\tI-NP\tO' +p149972 +aS'would\twould\tMD\tB-VP\tO' +p149973 +aS'not\tnot\tRB\tI-VP\tO' +p149974 +aS'be\tbe\tVB\tI-VP\tO' +p149975 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p149976 +aS'with\twith\tIN\tB-PP\tO' +p149977 +aS'this\tthis\tDT\tB-NP\tO' +p149978 +aS'new\tnew\tJJ\tI-NP\tO' +p149979 +aS'level\tlevel\tNN\tI-NP\tO' +p149980 +aS'of\tof\tIN\tB-PP\tO' +p149981 +aS'functioning\tfunction\tVBG\tB-VP\tO' +p149982 +aS'from\tfrom\tIN\tB-PP\tO' +p149983 +aS'which\twhich\tWDT\tB-NP\tO' +p149984 +aS'he\the\tPRP\tB-NP\tO' +p149985 +aS'had\thave\tVBD\tB-VP\tO' +p149986 +aS'little\tlittle\tJJ\tB-NP\tO' +p149987 +aS'hope\thope\tNN\tI-NP\tO' +p149988 +aS'of\tof\tIN\tB-PP\tO' +p149989 +aS'recovery\trecovery\tNN\tB-NP\tO' +p149990 +aS';\t;\t:\tO\tO' +p149991 +aS'the\tthe\tDT\tB-NP\tO' +p149992 +aS'family\tfamily\tNN\tI-NP\tO' +p149993 +aS'decided\tdecide\tVBD\tB-VP\tO' +p149994 +aS'to\tto\tTO\tI-VP\tO' +p149995 +aS'make\tmake\tVB\tI-VP\tO' +p149996 +aS'him\thim\tPRP\tB-NP\tO' +p149997 +aS'comfort\tcomfort\tVB\tB-VP\tO' +p149998 +aS'measures\tmeasure\tNNS\tB-NP\tO' +p149999 +aS'only\tonly\tRB\tB-ADVP\tO' +p150000 +aS'.\t.\t.\tO\tO' +p150001 +asS'On the 14th of January , the patient developed increased shortness of breath and chest x-ray was taken showed a wedge shaped infiltrate in the right upper lobe which was consistent with Hampton 's hump .' +p150002 +(lp150003 +S'On\tOn\tIN\tB-PP\tO' +p150004 +aS'the\tthe\tDT\tB-NP\tO' +p150005 +aS'14th\t14th\tNN\tI-NP\tO' +p150006 +aS'of\tof\tIN\tB-PP\tO' +p150007 +aS'January\tJanuary\tNNP\tB-NP\tO' +p150008 +aS',\t,\t,\tO\tO' +p150009 +aS'the\tthe\tDT\tB-NP\tO' +p150010 +aS'patient\tpatient\tNN\tI-NP\tO' +p150011 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p150012 +aS'increased\tincrease\tVBN\tB-NP\tO' +p150013 +aS'shortness\tshortness\tNN\tI-NP\tO' +p150014 +aS'of\tof\tIN\tB-PP\tO' +p150015 +aS'breath\tbreath\tNN\tB-NP\tO' +p150016 +aS'and\tand\tCC\tI-NP\tO' +p150017 +aS'chest\tchest\tNN\tI-NP\tO' +p150018 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p150019 +aS'was\tbe\tVBD\tB-VP\tO' +p150020 +aS'taken\ttake\tVBN\tI-VP\tO' +p150021 +aS'showed\tshow\tVBD\tB-VP\tO' +p150022 +aS'a\ta\tDT\tB-NP\tO' +p150023 +aS'wedge\twedge\tNN\tI-NP\tO' +p150024 +aS'shaped\tshape\tVBD\tB-VP\tO' +p150025 +aS'infiltrate\tinfiltrate\tNN\tB-NP\tO' +p150026 +aS'in\tin\tIN\tB-PP\tO' +p150027 +aS'the\tthe\tDT\tB-NP\tO' +p150028 +aS'right\tright\tJJ\tI-NP\tO' +p150029 +aS'upper\tupper\tJJ\tI-NP\tO' +p150030 +aS'lobe\tlobe\tNN\tI-NP\tO' +p150031 +aS'which\twhich\tWDT\tB-NP\tO' +p150032 +aS'was\tbe\tVBD\tB-VP\tO' +p150033 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p150034 +aS'with\twith\tIN\tB-PP\tO' +p150035 +aS'Hampton\tHampton\tNNP\tB-NP\tO' +p150036 +aS''s\t'\tNNS\tI-NP\tO' +p150037 +aS'hump\thump\tVBP\tB-VP\tO' +p150038 +aS'.\t.\t.\tO\tO' +p150039 +asS'The staples were removed prior to discharge .' +p150040 +(lp150041 +S'The\tThe\tDT\tB-NP\tO' +p150042 +aS'staples\tstaple\tNNS\tI-NP\tO' +p150043 +aS'were\tbe\tVBD\tB-VP\tO' +p150044 +aS'removed\tremove\tVBN\tI-VP\tO' +p150045 +aS'prior\tprior\tRB\tB-ADVP\tO' +p150046 +aS'to\tto\tTO\tB-VP\tO' +p150047 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p150048 +aS'.\t.\t.\tO\tO' +p150049 +asS'Cardiovascularly , lipitor and amiodarone were continued .' +p150050 +(lp150051 +S'Cardiovascularly\tCardiovascularly\tRB\tB-ADVP\tO' +p150052 +aS',\t,\t,\tO\tO' +p150053 +aS'lipitor\tlipitor\tNN\tB-NP\tO' +p150054 +aS'and\tand\tCC\tI-NP\tO' +p150055 +aS'amiodarone\tamiodarone\tNN\tI-NP\tO' +p150056 +aS'were\tbe\tVBD\tB-VP\tO' +p150057 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p150058 +aS'.\t.\t.\tO\tO' +p150059 +asS'PERRL , EOMI .' +p150060 +(lp150061 +S'PERRL\tPERRL\tNN\tB-NP\tB-protein' +p150062 +aS',\t,\t,\tO\tO' +p150063 +aS'EOMI\tEOMI\tNN\tB-NP\tB-protein' +p150064 +aS'.\t.\t.\tO\tO' +p150065 +asS'Prozac liquid 20 mg q am' +p150066 +(lp150067 +S'Prozac\tProzac\tNN\tB-NP\tO' +p150068 +aS'liquid\tliquid\tNN\tI-NP\tO' +p150069 +aS'20\t20\tCD\tI-NP\tO' +p150070 +aS'mg\tmg\tNN\tI-NP\tO' +p150071 +aS'q\tq\tNN\tI-NP\tO' +p150072 +aS'am\tam\tNN\tI-NP\tO' +p150073 +asS'Heart size is normal .' +p150074 +(lp150075 +S'Heart\tHeart\tNN\tB-NP\tO' +p150076 +aS'size\tsize\tNN\tI-NP\tO' +p150077 +aS'is\tbe\tVBZ\tB-VP\tO' +p150078 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p150079 +aS'.\t.\t.\tO\tO' +p150080 +asS'It was decided to postpone her discharge to rehab and take her back to the operating room for a manipulation under anesthesia .' +p150081 +(lp150082 +S'It\tIt\tPRP\tB-NP\tO' +p150083 +aS'was\tbe\tVBD\tB-VP\tO' +p150084 +aS'decided\tdecide\tVBN\tI-VP\tO' +p150085 +aS'to\tto\tTO\tI-VP\tO' +p150086 +aS'postpone\tpostpone\tVB\tI-VP\tO' +p150087 +aS'her\ther\tPRP$\tB-NP\tO' +p150088 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p150089 +aS'to\tto\tTO\tB-VP\tO' +p150090 +aS'rehab\trehab\tVB\tI-VP\tO' +p150091 +aS'and\tand\tCC\tI-VP\tO' +p150092 +aS'take\ttake\tVB\tI-VP\tO' +p150093 +aS'her\ther\tPRP\tB-NP\tO' +p150094 +aS'back\tback\tRB\tB-ADVP\tO' +p150095 +aS'to\tto\tTO\tB-PP\tO' +p150096 +aS'the\tthe\tDT\tB-NP\tO' +p150097 +aS'operating\toperating\tNN\tI-NP\tO' +p150098 +aS'room\troom\tNN\tI-NP\tO' +p150099 +aS'for\tfor\tIN\tB-PP\tO' +p150100 +aS'a\ta\tDT\tB-NP\tO' +p150101 +aS'manipulation\tmanipulation\tNN\tI-NP\tO' +p150102 +aS'under\tunder\tIN\tB-PP\tO' +p150103 +aS'anesthesia\tanesthesia\tNN\tB-NP\tO' +p150104 +aS'.\t.\t.\tO\tO' +p150105 +asS'regular rate and rhythm with a I/VI systolic ejection murmur .' +p150106 +(lp150107 +S'regular\tregular\tJJ\tB-NP\tO' +p150108 +aS'rate\trate\tNN\tI-NP\tO' +p150109 +aS'and\tand\tCC\tI-NP\tO' +p150110 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p150111 +aS'with\twith\tIN\tB-PP\tO' +p150112 +aS'a\ta\tDT\tB-NP\tO' +p150113 +aS'I/VI\tI/VI\tNN\tI-NP\tB-protein' +p150114 +aS'systolic\tsystolic\tJJ\tI-NP\tI-protein' +p150115 +aS'ejection\tejection\tNN\tI-NP\tI-protein' +p150116 +aS'murmur\tmurmur\tNN\tI-NP\tI-protein' +p150117 +aS'.\t.\t.\tO\tO' +p150118 +asS'Ipratropium Bromide Neb 1 NEB IH Q6H' +p150119 +(lp150120 +S'Ipratropium\tIpratropium\tNNP\tB-NP\tO' +p150121 +aS'Bromide\tBromide\tNNP\tI-NP\tO' +p150122 +aS'Neb\tNeb\tNNP\tI-NP\tO' +p150123 +aS'1\t1\tCD\tI-NP\tO' +p150124 +aS'NEB\tNEB\tNN\tI-NP\tO' +p150125 +aS'IH\tIH\tNN\tI-NP\tO' +p150126 +aS'Q6H\tQ6H\tNN\tI-NP\tO' +p150127 +asS'Rule out seizures .' +p150128 +(lp150129 +S'Rule\tRule\tNNP\tB-NP\tO' +p150130 +aS'out\tout\tRP\tB-PRT\tO' +p150131 +aS'seizures\tseizure\tNNS\tB-NP\tO' +p150132 +aS'.\t.\t.\tO\tO' +p150133 +asS'Patient did report a cough productive of green sputum on admission .' +p150134 +(lp150135 +S'Patient\tPatient\tNN\tB-NP\tO' +p150136 +aS'did\tdo\tVBD\tB-VP\tO' +p150137 +aS'report\treport\tVB\tI-VP\tO' +p150138 +aS'a\ta\tDT\tB-NP\tO' +p150139 +aS'cough\tcough\tNN\tI-NP\tO' +p150140 +aS'productive\tproductive\tJJ\tB-ADJP\tO' +p150141 +aS'of\tof\tIN\tB-PP\tO' +p150142 +aS'green\tgreen\tJJ\tB-NP\tO' +p150143 +aS'sputum\tsputum\tNN\tI-NP\tO' +p150144 +aS'on\ton\tIN\tB-PP\tO' +p150145 +aS'admission\tadmission\tNN\tB-NP\tO' +p150146 +aS'.\t.\t.\tO\tO' +p150147 +asS'Although the patient 's pain and sedation meds were adjusted he continued to be agitated and there was difficulty weaning him off the vent .' +p150148 +(lp150149 +S'Although\tAlthough\tIN\tB-SBAR\tO' +p150150 +aS'the\tthe\tDT\tB-NP\tO' +p150151 +aS'patient\tpatient\tNN\tI-NP\tO' +p150152 +aS''s\t'\tNNS\tI-NP\tO' +p150153 +aS'pain\tpain\tNN\tI-NP\tO' +p150154 +aS'and\tand\tCC\tI-NP\tO' +p150155 +aS'sedation\tsedation\tNN\tI-NP\tO' +p150156 +aS'meds\tmed\tNNS\tI-NP\tO' +p150157 +aS'were\tbe\tVBD\tB-VP\tO' +p150158 +aS'adjusted\tadjust\tVBN\tI-VP\tO' +p150159 +aS'he\the\tPRP\tB-NP\tO' +p150160 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p150161 +aS'to\tto\tTO\tI-VP\tO' +p150162 +aS'be\tbe\tVB\tI-VP\tO' +p150163 +aS'agitated\tagitate\tVBN\tI-VP\tO' +p150164 +aS'and\tand\tCC\tO\tO' +p150165 +aS'there\tthere\tEX\tB-NP\tO' +p150166 +aS'was\tbe\tVBD\tB-VP\tO' +p150167 +aS'difficulty\tdifficulty\tNN\tB-NP\tO' +p150168 +aS'weaning\twean\tVBG\tB-VP\tO' +p150169 +aS'him\thim\tPRP\tB-NP\tO' +p150170 +aS'off\toff\tIN\tB-PP\tO' +p150171 +aS'the\tthe\tDT\tB-NP\tO' +p150172 +aS'vent\tvent\tNN\tI-NP\tO' +p150173 +aS'.\t.\t.\tO\tO' +p150174 +asS'The patient is a 54 year-old female with a history of breast cancer with known brain mets , history of PE , recent radiation therapy and steroids who presented in 2012-04-23 with myopathy presumed secondary to sterids , which have been given for her brain mets .' +p150175 +(lp150176 +S'The\tThe\tDT\tB-NP\tO' +p150177 +aS'patient\tpatient\tNN\tI-NP\tO' +p150178 +aS'is\tbe\tVBZ\tB-VP\tO' +p150179 +aS'a\ta\tDT\tB-NP\tO' +p150180 +aS'54\t54\tCD\tI-NP\tO' +p150181 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p150182 +aS'female\tfemale\tNN\tI-NP\tO' +p150183 +aS'with\twith\tIN\tB-PP\tO' +p150184 +aS'a\ta\tDT\tB-NP\tO' +p150185 +aS'history\thistory\tNN\tI-NP\tO' +p150186 +aS'of\tof\tIN\tB-PP\tO' +p150187 +aS'breast\tbreast\tNN\tB-NP\tO' +p150188 +aS'cancer\tcancer\tNN\tI-NP\tO' +p150189 +aS'with\twith\tIN\tB-PP\tO' +p150190 +aS'known\tknow\tVBN\tB-NP\tO' +p150191 +aS'brain\tbrain\tNN\tI-NP\tO' +p150192 +aS'mets\tmet\tNNS\tI-NP\tO' +p150193 +aS',\t,\t,\tO\tO' +p150194 +aS'history\thistory\tNN\tB-NP\tO' +p150195 +aS'of\tof\tIN\tB-PP\tO' +p150196 +aS'PE\tPE\tNN\tB-NP\tO' +p150197 +aS',\t,\t,\tO\tO' +p150198 +aS'recent\trecent\tJJ\tB-NP\tO' +p150199 +aS'radiation\tradiation\tNN\tI-NP\tO' +p150200 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p150201 +aS'and\tand\tCC\tI-NP\tO' +p150202 +aS'steroids\tsteroid\tNNS\tI-NP\tO' +p150203 +aS'who\twho\tWP\tB-NP\tO' +p150204 +aS'presented\tpresent\tVBD\tB-VP\tO' +p150205 +aS'in\tin\tIN\tB-PP\tO' +p150206 +aS'2012-04-23\t2012-04-23\tCD\tB-NP\tO' +p150207 +aS'with\twith\tIN\tB-PP\tO' +p150208 +aS'myopathy\tmyopathy\tNN\tB-NP\tO' +p150209 +aS'presumed\tpresume\tVBN\tB-VP\tO' +p150210 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p150211 +aS'to\tto\tTO\tB-PP\tO' +p150212 +aS'sterids\tsterid\tNNS\tB-NP\tO' +p150213 +aS',\t,\t,\tO\tO' +p150214 +aS'which\twhich\tWDT\tB-NP\tO' +p150215 +aS'have\thave\tVBP\tB-VP\tO' +p150216 +aS'been\tbe\tVBN\tI-VP\tO' +p150217 +aS'given\tgive\tVBN\tI-VP\tO' +p150218 +aS'for\tfor\tIN\tB-PP\tO' +p150219 +aS'her\ther\tPRP$\tB-NP\tO' +p150220 +aS'brain\tbrain\tNN\tI-NP\tO' +p150221 +aS'mets\tmet\tNNS\tI-NP\tO' +p150222 +aS'.\t.\t.\tO\tO' +p150223 +asS'There was a mild left pronator drift .' +p150224 +(lp150225 +S'There\tThere\tEX\tB-NP\tO' +p150226 +aS'was\tbe\tVBD\tB-VP\tO' +p150227 +aS'a\ta\tDT\tB-NP\tO' +p150228 +aS'mild\tmild\tJJ\tI-NP\tO' +p150229 +aS'left\tleft\tJJ\tI-NP\tO' +p150230 +aS'pronator\tpronator\tNN\tI-NP\tO' +p150231 +aS'drift\tdrift\tNN\tI-NP\tO' +p150232 +aS'.\t.\t.\tO\tO' +p150233 +asS'He also had bilateral arm numbness .' +p150234 +(lp150235 +S'He\tHe\tPRP\tB-NP\tO' +p150236 +aS'also\talso\tRB\tB-ADVP\tO' +p150237 +aS'had\thave\tVBD\tB-VP\tO' +p150238 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p150239 +aS'arm\tarm\tNN\tI-NP\tO' +p150240 +aS'numbness\tnumbness\tNN\tI-NP\tO' +p150241 +aS'.\t.\t.\tO\tO' +p150242 +asS'Amylase was 2304 with lipase being 7116 .' +p150243 +(lp150244 +S'Amylase\tAmylase\tNN\tB-NP\tB-protein' +p150245 +aS'was\tbe\tVBD\tB-VP\tO' +p150246 +aS'2304\t2304\tCD\tB-NP\tO' +p150247 +aS'with\twith\tIN\tB-PP\tO' +p150248 +aS'lipase\tlipase\tNN\tB-NP\tO' +p150249 +aS'being\tbe\tVBG\tB-VP\tO' +p150250 +aS'7116\t7116\tCD\tB-NP\tO' +p150251 +aS'.\t.\t.\tO\tO' +p150252 +asS'The Mass. Mental Health Center hospital course was unremarkable .' +p150253 +(lp150254 +S'The\tThe\tDT\tB-NP\tO' +p150255 +aS'Mass.\tMass.\tNNP\tI-NP\tO' +p150256 +aS'Mental\tMental\tNNP\tI-NP\tO' +p150257 +aS'Health\tHealth\tNNP\tI-NP\tO' +p150258 +aS'Center\tCenter\tNNP\tI-NP\tO' +p150259 +aS'hospital\thospital\tNN\tI-NP\tO' +p150260 +aS'course\tcourse\tNN\tI-NP\tO' +p150261 +aS'was\tbe\tVBD\tB-VP\tO' +p150262 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p150263 +aS'.\t.\t.\tO\tO' +p150264 +asS'Currently denies CP , SOB , abd pain or continued BRBPR .' +p150265 +(lp150266 +S'Currently\tCurrently\tRB\tB-ADVP\tO' +p150267 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p150268 +aS'CP\tCP\tNN\tB-NP\tB-DNA' +p150269 +aS',\t,\t,\tO\tO' +p150270 +aS'SOB\tSOB\tNN\tB-NP\tB-protein' +p150271 +aS',\t,\t,\tO\tO' +p150272 +aS'abd\tabd\tNN\tB-NP\tO' +p150273 +aS'pain\tpain\tNN\tI-NP\tO' +p150274 +aS'or\tor\tCC\tO\tO' +p150275 +aS'continued\tcontinued\tJJ\tB-NP\tO' +p150276 +aS'BRBPR\tBRBPR\tNN\tI-NP\tO' +p150277 +aS'.\t.\t.\tO\tO' +p150278 +asS'She was an anxious female , in no acute distress .' +p150279 +(lp150280 +S'She\tShe\tPRP\tB-NP\tO' +p150281 +aS'was\tbe\tVBD\tB-VP\tO' +p150282 +aS'an\tan\tDT\tB-NP\tO' +p150283 +aS'anxious\tanxious\tJJ\tI-NP\tO' +p150284 +aS'female\tfemale\tNN\tI-NP\tO' +p150285 +aS',\t,\t,\tO\tO' +p150286 +aS'in\tin\tIN\tB-PP\tO' +p150287 +aS'no\tno\tDT\tB-NP\tO' +p150288 +aS'acute\tacute\tJJ\tI-NP\tO' +p150289 +aS'distress\tdistress\tNN\tI-NP\tO' +p150290 +aS'.\t.\t.\tO\tO' +p150291 +asS'The interventional neuro-radiology procedure was performed by Dr. A Skizeis , on August 22 , via the right femoral artery .' +p150292 +(lp150293 +S'The\tThe\tDT\tB-NP\tO' +p150294 +aS'interventional\tinterventional\tJJ\tI-NP\tO' +p150295 +aS'neuro-radiology\tneuro-radiology\tJJ\tI-NP\tO' +p150296 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p150297 +aS'was\tbe\tVBD\tB-VP\tO' +p150298 +aS'performed\tperform\tVBN\tI-VP\tO' +p150299 +aS'by\tby\tIN\tB-PP\tO' +p150300 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p150301 +aS'A\tA\tNNP\tI-NP\tO' +p150302 +aS'Skizeis\tSkizeis\tNNP\tI-NP\tO' +p150303 +aS',\t,\t,\tO\tO' +p150304 +aS'on\ton\tIN\tB-PP\tO' +p150305 +aS'August\tAugust\tNNP\tB-NP\tO' +p150306 +aS'22\t22\tCD\tI-NP\tO' +p150307 +aS',\t,\t,\tO\tO' +p150308 +aS'via\tvia\tIN\tB-PP\tO' +p150309 +aS'the\tthe\tDT\tB-NP\tO' +p150310 +aS'right\tright\tJJ\tI-NP\tO' +p150311 +aS'femoral\tfemoral\tJJ\tI-NP\tO' +p150312 +aS'artery\tartery\tNN\tI-NP\tO' +p150313 +aS'.\t.\t.\tO\tO' +p150314 +asS'The patient was taken to the operating room for bilateral stent placement , resection of the pelvic mass , lysis of adhesions , left ureterolysis , rectosigmoid resection , SBR , removal of a vaginal tumor , omentectomy complicated by an enterotomy and was admitted to the ICU postoperatively on 11/21/03 .' +p150315 +(lp150316 +S'The\tThe\tDT\tB-NP\tO' +p150317 +aS'patient\tpatient\tNN\tI-NP\tO' +p150318 +aS'was\tbe\tVBD\tB-VP\tO' +p150319 +aS'taken\ttake\tVBN\tI-VP\tO' +p150320 +aS'to\tto\tTO\tB-PP\tO' +p150321 +aS'the\tthe\tDT\tB-NP\tO' +p150322 +aS'operating\toperating\tNN\tI-NP\tO' +p150323 +aS'room\troom\tNN\tI-NP\tO' +p150324 +aS'for\tfor\tIN\tB-PP\tO' +p150325 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p150326 +aS'stent\tstent\tJJ\tI-NP\tO' +p150327 +aS'placement\tplacement\tNN\tI-NP\tO' +p150328 +aS',\t,\t,\tO\tO' +p150329 +aS'resection\tresection\tNN\tB-NP\tO' +p150330 +aS'of\tof\tIN\tB-PP\tO' +p150331 +aS'the\tthe\tDT\tB-NP\tO' +p150332 +aS'pelvic\tpelvic\tJJ\tI-NP\tO' +p150333 +aS'mass\tmass\tNN\tI-NP\tO' +p150334 +aS',\t,\t,\tO\tO' +p150335 +aS'lysis\tlysis\tNN\tB-NP\tO' +p150336 +aS'of\tof\tIN\tB-PP\tO' +p150337 +aS'adhesions\tadhesion\tNNS\tB-NP\tO' +p150338 +aS',\t,\t,\tO\tO' +p150339 +aS'left\tleave\tVBD\tB-VP\tO' +p150340 +aS'ureterolysis\tureterolysis\tNN\tB-NP\tO' +p150341 +aS',\t,\t,\tO\tO' +p150342 +aS'rectosigmoid\trectosigmoid\tJJ\tB-NP\tO' +p150343 +aS'resection\tresection\tNN\tI-NP\tO' +p150344 +aS',\t,\t,\tO\tO' +p150345 +aS'SBR\tSBR\tNN\tB-NP\tB-protein' +p150346 +aS',\t,\t,\tO\tO' +p150347 +aS'removal\tremoval\tNN\tB-NP\tO' +p150348 +aS'of\tof\tIN\tB-PP\tO' +p150349 +aS'a\ta\tDT\tB-NP\tO' +p150350 +aS'vaginal\tvaginal\tJJ\tI-NP\tO' +p150351 +aS'tumor\ttumor\tNN\tI-NP\tO' +p150352 +aS',\t,\t,\tO\tO' +p150353 +aS'omentectomy\tomentectomy\tNN\tB-NP\tO' +p150354 +aS'complicated\tcomplicate\tVBN\tB-VP\tO' +p150355 +aS'by\tby\tIN\tB-PP\tO' +p150356 +aS'an\tan\tDT\tB-NP\tO' +p150357 +aS'enterotomy\tenterotomy\tNN\tI-NP\tO' +p150358 +aS'and\tand\tCC\tO\tO' +p150359 +aS'was\tbe\tVBD\tB-VP\tO' +p150360 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p150361 +aS'to\tto\tTO\tB-PP\tO' +p150362 +aS'the\tthe\tDT\tB-NP\tO' +p150363 +aS'ICU\tICU\tNN\tI-NP\tB-DNA' +p150364 +aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' +p150365 +aS'on\ton\tIN\tB-PP\tO' +p150366 +aS'11/21/03\t11/21/03\tCD\tB-NP\tO' +p150367 +aS'.\t.\t.\tO\tO' +p150368 +asS'The patient 's urine was alkalinized with intravenous bicarbonate to maximize the myoglobin secretion .' +p150369 +(lp150370 +S'The\tThe\tDT\tB-NP\tO' +p150371 +aS'patient\tpatient\tNN\tI-NP\tO' +p150372 +aS''s\t'\tNNS\tI-NP\tO' +p150373 +aS'urine\turine\tNN\tI-NP\tO' +p150374 +aS'was\tbe\tVBD\tB-VP\tO' +p150375 +aS'alkalinized\talkalinize\tVBN\tI-VP\tO' +p150376 +aS'with\twith\tIN\tB-PP\tO' +p150377 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p150378 +aS'bicarbonate\tbicarbonate\tNN\tI-NP\tO' +p150379 +aS'to\tto\tTO\tB-VP\tO' +p150380 +aS'maximize\tmaximize\tVB\tI-VP\tO' +p150381 +aS'the\tthe\tDT\tB-NP\tO' +p150382 +aS'myoglobin\tmyoglobin\tNN\tI-NP\tO' +p150383 +aS'secretion\tsecretion\tNN\tI-NP\tO' +p150384 +aS'.\t.\t.\tO\tO' +p150385 +asS'4) Take lasix twice daily with potassium for five days then stop .' +p150386 +(lp150387 +S'4)\t4)\tLS\tB-NP\tO' +p150388 +aS'Take\tTake\tNN\tI-NP\tO' +p150389 +aS'lasix\tlasix\tNN\tI-NP\tO' +p150390 +aS'twice\ttwice\tRB\tB-ADVP\tO' +p150391 +aS'daily\tdaily\tRB\tI-ADVP\tO' +p150392 +aS'with\twith\tIN\tB-PP\tO' +p150393 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p150394 +aS'for\tfor\tIN\tB-PP\tO' +p150395 +aS'five\tfive\tCD\tB-NP\tO' +p150396 +aS'days\tday\tNNS\tI-NP\tO' +p150397 +aS'then\tthen\tRB\tB-ADVP\tO' +p150398 +aS'stop\tstop\tVBP\tB-VP\tO' +p150399 +aS'.\t.\t.\tO\tO' +p150400 +asS'Her right lung field is clear .' +p150401 +(lp150402 +S'Her\tHer\tPRP$\tB-NP\tO' +p150403 +aS'right\tright\tJJ\tI-NP\tO' +p150404 +aS'lung\tlung\tNN\tI-NP\tO' +p150405 +aS'field\tfield\tNN\tI-NP\tO' +p150406 +aS'is\tbe\tVBZ\tB-VP\tO' +p150407 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p150408 +aS'.\t.\t.\tO\tO' +p150409 +asS'Intubated for airway protection at 13:35 after Fentanyl , Etomidate , Vecuronium and Succhinylcholine given .' +p150410 +(lp150411 +S'Intubated\tIntubate\tVBN\tB-VP\tO' +p150412 +aS'for\tfor\tIN\tB-PP\tO' +p150413 +aS'airway\tairway\tNN\tB-NP\tO' +p150414 +aS'protection\tprotection\tNN\tI-NP\tO' +p150415 +aS'at\tat\tIN\tB-PP\tO' +p150416 +aS'13:35\t13:35\tCD\tB-NP\tO' +p150417 +aS'after\tafter\tIN\tB-PP\tO' +p150418 +aS'Fentanyl\tFentanyl\tNN\tB-NP\tO' +p150419 +aS',\t,\t,\tO\tO' +p150420 +aS'Etomidate\tEtomidate\tNN\tB-NP\tO' +p150421 +aS',\t,\t,\tO\tO' +p150422 +aS'Vecuronium\tVecuronium\tNN\tB-NP\tO' +p150423 +aS'and\tand\tCC\tI-NP\tO' +p150424 +aS'Succhinylcholine\tSucchinylcholine\tNN\tI-NP\tO' +p150425 +aS'given\tgive\tVBN\tB-VP\tO' +p150426 +aS'.\t.\t.\tO\tO' +p150427 +asS'Signed electronically by : DR. Yolanda Corona on : WED 2013-12-11 11:46 AM' +p150428 +(lp150429 +S'Signed\tSign\tVBN\tB-VP\tO' +p150430 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p150431 +aS'by\tby\tIN\tB-PP\tO' +p150432 +aS':\t:\t:\tO\tO' +p150433 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p150434 +aS'Yolanda\tYolanda\tNNP\tI-NP\tO' +p150435 +aS'Corona\tCorona\tNNP\tI-NP\tO' +p150436 +aS'on\ton\tIN\tB-PP\tO' +p150437 +aS':\t:\t:\tO\tO' +p150438 +aS'WED\tWED\tVBD\tB-VP\tO' +p150439 +aS'2013-12-11\t2013-12-11\tCD\tB-NP\tO' +p150440 +aS'11:46\t11:46\tCD\tI-NP\tO' +p150441 +aS'AM\tAM\tNN\tI-NP\tO' +p150442 +asS'1. Percutaneous transluminal coronary angioplasty and coronary atherectomy of the left anterior descending , 8-17-93 ,' +p150443 +(lp150444 +S'1.\t1.\tLS\tB-NP\tO' +p150445 +aS'Percutaneous\tPercutaneous\tJJ\tI-NP\tO' +p150446 +aS'transluminal\ttransluminal\tJJ\tI-NP\tO' +p150447 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p150448 +aS'angioplasty\tangioplasty\tJJ\tI-NP\tO' +p150449 +aS'and\tand\tCC\tI-NP\tO' +p150450 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p150451 +aS'atherectomy\tatherectomy\tNN\tI-NP\tO' +p150452 +aS'of\tof\tIN\tB-PP\tO' +p150453 +aS'the\tthe\tDT\tB-NP\tO' +p150454 +aS'left\tleft\tJJ\tI-NP\tO' +p150455 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p150456 +aS'descending\tdescending\tNN\tI-NP\tO' +p150457 +aS',\t,\t,\tO\tO' +p150458 +aS'8-17-93\t8-17-93\tCD\tB-NP\tO' +p150459 +aS',\t,\t,\tO\tO' +p150460 +asS'She was ambulating on her own and tolerating a p.o. diet .' +p150461 +(lp150462 +S'She\tShe\tPRP\tB-NP\tO' +p150463 +aS'was\tbe\tVBD\tB-VP\tO' +p150464 +aS'ambulating\tambulate\tVBG\tI-VP\tO' +p150465 +aS'on\ton\tIN\tB-PP\tO' +p150466 +aS'her\ther\tPRP$\tB-NP\tO' +p150467 +aS'own\town\tJJ\tI-NP\tO' +p150468 +aS'and\tand\tCC\tO\tO' +p150469 +aS'tolerating\ttolerate\tVBG\tB-VP\tO' +p150470 +aS'a\ta\tDT\tB-NP\tO' +p150471 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p150472 +aS'diet\tdiet\tNN\tI-NP\tO' +p150473 +aS'.\t.\t.\tO\tO' +p150474 +asS"After 1 day of chemotherapy , the patient had 8-10 RBC 's in her urine but by the second day of her IFEX infusion , she had 50-80 RBC 's in her urine as well as a few transitional epithelial cells ." +p150475 +(lp150476 +S'After\tAfter\tIN\tB-PP\tO' +p150477 +aS'1\t1\tCD\tB-NP\tO' +p150478 +aS'day\tday\tNN\tI-NP\tO' +p150479 +aS'of\tof\tIN\tB-PP\tO' +p150480 +aS'chemotherapy\tchemotherapy\tNN\tB-NP\tO' +p150481 +aS',\t,\t,\tO\tO' +p150482 +aS'the\tthe\tDT\tB-NP\tO' +p150483 +aS'patient\tpatient\tNN\tI-NP\tO' +p150484 +aS'had\thave\tVBD\tB-VP\tO' +p150485 +aS'8-10\t8-10\tCD\tB-NP\tO' +p150486 +aS'RBC\tRBC\tNNS\tI-NP\tO' +p150487 +aS"'s\t's\tPOS\tB-NP\tO" +p150488 +aS'in\tin\tIN\tB-PP\tO' +p150489 +aS'her\ther\tPRP$\tB-NP\tO' +p150490 +aS'urine\turine\tNN\tI-NP\tO' +p150491 +aS'but\tbut\tCC\tB-PP\tO' +p150492 +aS'by\tby\tIN\tB-PP\tO' +p150493 +aS'the\tthe\tDT\tB-NP\tO' +p150494 +aS'second\tsecond\tJJ\tI-NP\tO' +p150495 +aS'day\tday\tNN\tI-NP\tO' +p150496 +aS'of\tof\tIN\tB-PP\tO' +p150497 +aS'her\ther\tPRP$\tB-NP\tO' +p150498 +aS'IFEX\tIFEX\tNN\tI-NP\tO' +p150499 +aS'infusion\tinfusion\tNN\tI-NP\tO' +p150500 +aS',\t,\t,\tO\tO' +p150501 +aS'she\tshe\tPRP\tB-NP\tO' +p150502 +aS'had\thave\tVBD\tB-VP\tO' +p150503 +aS'50-80\t50-80\tCD\tB-NP\tO' +p150504 +aS'RBC\tRBC\tNNS\tI-NP\tB-cell_type' +p150505 +aS"'s\t's\tPOS\tB-NP\tO" +p150506 +aS'in\tin\tIN\tB-PP\tO' +p150507 +aS'her\ther\tPRP$\tB-NP\tO' +p150508 +aS'urine\turine\tNN\tI-NP\tO' +p150509 +aS'as\tas\tRB\tB-CONJP\tO' +p150510 +aS'well\twell\tRB\tI-CONJP\tO' +p150511 +aS'as\tas\tIN\tI-CONJP\tO' +p150512 +aS'a\ta\tDT\tB-NP\tO' +p150513 +aS'few\tfew\tJJ\tI-NP\tB-cell_type' +p150514 +aS'transitional\ttransitional\tJJ\tI-NP\tI-cell_type' +p150515 +aS'epithelial\tepithelial\tJJ\tI-NP\tI-cell_type' +p150516 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p150517 +aS'.\t.\t.\tO\tO' +p150518 +asS'Mental status improved with the discontinuation of his bensodiazapines .' +p150519 +(lp150520 +S'Mental\tMental\tJJ\tB-NP\tO' +p150521 +aS'status\tstatus\tNN\tI-NP\tO' +p150522 +aS'improved\timprove\tVBN\tB-VP\tO' +p150523 +aS'with\twith\tIN\tB-PP\tO' +p150524 +aS'the\tthe\tDT\tB-NP\tO' +p150525 +aS'discontinuation\tdiscontinuation\tNN\tI-NP\tO' +p150526 +aS'of\tof\tIN\tB-PP\tO' +p150527 +aS'his\this\tPRP$\tB-NP\tO' +p150528 +aS'bensodiazapines\tbensodiazapine\tNNS\tI-NP\tO' +p150529 +aS'.\t.\t.\tO\tO' +p150530 +asS'5. Insulin Regular Human 100 unit/mL Solution Sig : 2-10 units Injection ASDIR ( AS DIRECTED ) : per sliding scale for blood sugars > 150mg/dl .' +p150531 +(lp150532 +S'5.\t5.\tLS\tB-NP\tO' +p150533 +aS'Insulin\tInsulin\tNN\tI-NP\tB-protein' +p150534 +aS'Regular\tRegular\tJJ\tI-NP\tO' +p150535 +aS'Human\tHuman\tJJ\tI-NP\tO' +p150536 +aS'100\t100\tCD\tI-NP\tO' +p150537 +aS'unit/mL\tunit/mL\tNN\tI-NP\tO' +p150538 +aS'Solution\tSolution\tNNP\tI-NP\tO' +p150539 +aS'Sig\tSig\tNNP\tI-NP\tO' +p150540 +aS':\t:\t:\tO\tO' +p150541 +aS'2-10\t2-10\tCD\tB-NP\tO' +p150542 +aS'units\tunit\tNNS\tI-NP\tO' +p150543 +aS'Injection\tInjection\tNN\tB-NP\tO' +p150544 +aS'ASDIR\tASDIR\tNN\tI-NP\tO' +p150545 +aS'(\t(\t(\tO\tO' +p150546 +aS'AS\tAS\tNNP\tB-NP\tO' +p150547 +aS'DIRECTED\tDIRECTED\tNNP\tI-NP\tO' +p150548 +aS')\t)\t)\tO\tO' +p150549 +aS':\t:\t:\tO\tO' +p150550 +aS'per\tper\tIN\tB-PP\tO' +p150551 +aS'sliding\tslide\tVBG\tB-VP\tO' +p150552 +aS'scale\tscale\tNN\tB-NP\tO' +p150553 +aS'for\tfor\tIN\tB-PP\tO' +p150554 +aS'blood\tblood\tNN\tB-NP\tO' +p150555 +aS'sugars\tsugar\tNNS\tI-NP\tO' +p150556 +aS'>\t>\tSYM\tB-VP\tO' +p150557 +aS'150mg/dl\t150mg/dl\tNN\tB-NP\tO' +p150558 +aS'.\t.\t.\tO\tO' +p150559 +asS'The breasts were notable for fibrocystic changes .' +p150560 +(lp150561 +S'The\tThe\tDT\tB-NP\tO' +p150562 +aS'breasts\tbreast\tNNS\tI-NP\tO' +p150563 +aS'were\tbe\tVBD\tB-VP\tO' +p150564 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p150565 +aS'for\tfor\tIN\tB-PP\tO' +p150566 +aS'fibrocystic\tfibrocystic\tJJ\tB-NP\tO' +p150567 +aS'changes\tchange\tNNS\tI-NP\tO' +p150568 +aS'.\t.\t.\tO\tO' +p150569 +asS'He presented with gross hematuria at that time .' +p150570 +(lp150571 +S'He\tHe\tPRP\tB-NP\tO' +p150572 +aS'presented\tpresent\tVBD\tB-VP\tO' +p150573 +aS'with\twith\tIN\tB-PP\tO' +p150574 +aS'gross\tgross\tJJ\tB-NP\tO' +p150575 +aS'hematuria\thematuria\tNN\tI-NP\tO' +p150576 +aS'at\tat\tIN\tB-PP\tO' +p150577 +aS'that\tthat\tDT\tB-NP\tO' +p150578 +aS'time\ttime\tNN\tI-NP\tO' +p150579 +aS'.\t.\t.\tO\tO' +p150580 +asS'The right coronary was prominent , and there appeared to be coronary artery collateral vessels in the posterior apical myocardium .' +p150581 +(lp150582 +S'The\tThe\tDT\tB-NP\tO' +p150583 +aS'right\tright\tJJ\tI-NP\tO' +p150584 +aS'coronary\tcoronary\tNN\tI-NP\tO' +p150585 +aS'was\tbe\tVBD\tB-VP\tO' +p150586 +aS'prominent\tprominent\tJJ\tB-ADJP\tO' +p150587 +aS',\t,\t,\tO\tO' +p150588 +aS'and\tand\tCC\tO\tO' +p150589 +aS'there\tthere\tEX\tB-NP\tO' +p150590 +aS'appeared\tappear\tVBD\tB-VP\tO' +p150591 +aS'to\tto\tTO\tI-VP\tO' +p150592 +aS'be\tbe\tVB\tI-VP\tO' +p150593 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p150594 +aS'artery\tartery\tNN\tI-NP\tO' +p150595 +aS'collateral\tcollateral\tNN\tI-NP\tO' +p150596 +aS'vessels\tvessel\tNNS\tI-NP\tO' +p150597 +aS'in\tin\tIN\tB-PP\tO' +p150598 +aS'the\tthe\tDT\tB-NP\tO' +p150599 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p150600 +aS'apical\tapical\tJJ\tI-NP\tO' +p150601 +aS'myocardium\tmyocardium\tNN\tI-NP\tO' +p150602 +aS'.\t.\t.\tO\tO' +p150603 +asS'His most recent admission was on 08/23/92 to 08/25/92 with fever and chills .' +p150604 +(lp150605 +S'His\tHis\tPRP$\tB-NP\tB-protein' +p150606 +aS'most\tmost\tRBS\tI-NP\tO' +p150607 +aS'recent\trecent\tJJ\tI-NP\tO' +p150608 +aS'admission\tadmission\tNN\tI-NP\tO' +p150609 +aS'was\tbe\tVBD\tB-VP\tO' +p150610 +aS'on\ton\tIN\tB-PP\tO' +p150611 +aS'08/23/92\t08/23/92\tCD\tB-NP\tO' +p150612 +aS'to\tto\tTO\tB-PP\tO' +p150613 +aS'08/25/92\t08/25/92\tCD\tB-NP\tO' +p150614 +aS'with\twith\tIN\tB-PP\tO' +p150615 +aS'fever\tfever\tNN\tB-NP\tO' +p150616 +aS'and\tand\tCC\tI-NP\tO' +p150617 +aS'chills\tchill\tNNS\tI-NP\tO' +p150618 +aS'.\t.\t.\tO\tO' +p150619 +asS'Dictated By : Robert C. Warren , M.D.' +p150620 +(lp150621 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p150622 +aS'By\tBy\tIN\tB-PP\tO' +p150623 +aS':\t:\t:\tO\tO' +p150624 +aS'Robert\tRobert\tNNP\tB-NP\tO' +p150625 +aS'C.\tC.\tNNP\tI-NP\tO' +p150626 +aS'Warren\tWarren\tNNP\tI-NP\tO' +p150627 +aS',\t,\t,\tO\tO' +p150628 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p150629 +asS'Take for 10 days or until drains come out ; whichever is of longer duration .' +p150630 +(lp150631 +S'Take\tTake\tVB\tB-VP\tO' +p150632 +aS'for\tfor\tIN\tB-PP\tO' +p150633 +aS'10\t10\tCD\tB-NP\tO' +p150634 +aS'days\tday\tNNS\tI-NP\tO' +p150635 +aS'or\tor\tCC\tB-PP\tO' +p150636 +aS'until\tuntil\tIN\tB-SBAR\tO' +p150637 +aS'drains\tdrain\tNNS\tB-NP\tO' +p150638 +aS'come\tcome\tVBN\tB-VP\tO' +p150639 +aS'out\tout\tRP\tB-PRT\tO' +p150640 +aS';\t;\t:\tO\tO' +p150641 +aS'whichever\twhichever\tWDT\tB-NP\tO' +p150642 +aS'is\tbe\tVBZ\tB-VP\tO' +p150643 +aS'of\tof\tIN\tB-PP\tO' +p150644 +aS'longer\tlong\tJJR\tB-NP\tO' +p150645 +aS'duration\tduration\tNN\tI-NP\tO' +p150646 +aS'.\t.\t.\tO\tO' +p150647 +asS'Good pedal pulses .' +p150648 +(lp150649 +S'Good\tGood\tJJ\tB-NP\tO' +p150650 +aS'pedal\tpedal\tJJ\tI-NP\tO' +p150651 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p150652 +aS'.\t.\t.\tO\tO' +p150653 +asS'After the patient began on this protocol , his white blood cell count steadily began to climb .' +p150654 +(lp150655 +S'After\tAfter\tIN\tB-PP\tO' +p150656 +aS'the\tthe\tDT\tB-NP\tO' +p150657 +aS'patient\tpatient\tNN\tI-NP\tO' +p150658 +aS'began\tbegin\tVBD\tB-VP\tO' +p150659 +aS'on\ton\tIN\tB-PP\tO' +p150660 +aS'this\tthis\tDT\tB-NP\tO' +p150661 +aS'protocol\tprotocol\tNN\tI-NP\tO' +p150662 +aS',\t,\t,\tO\tO' +p150663 +aS'his\this\tPRP$\tB-NP\tO' +p150664 +aS'white\twhite\tJJ\tI-NP\tO' +p150665 +aS'blood\tblood\tNN\tI-NP\tO' +p150666 +aS'cell\tcell\tNN\tI-NP\tO' +p150667 +aS'count\tcount\tNN\tI-NP\tO' +p150668 +aS'steadily\tsteadily\tRB\tB-ADVP\tO' +p150669 +aS'began\tbegin\tVBD\tB-VP\tO' +p150670 +aS'to\tto\tTO\tI-VP\tO' +p150671 +aS'climb\tclimb\tVB\tI-VP\tO' +p150672 +aS'.\t.\t.\tO\tO' +p150673 +asS'Postoperatively , Mr. Cordano also suffered from low urine output ranges between 25 to 30 cc per hour .' +p150674 +(lp150675 +S'Postoperatively\tPostoperatively\tRB\tB-ADVP\tO' +p150676 +aS',\t,\t,\tO\tO' +p150677 +aS'Mr.\tMr.\tNNP\tB-NP\tO' +p150678 +aS'Cordano\tCordano\tNNP\tI-NP\tO' +p150679 +aS'also\talso\tRB\tB-ADVP\tO' +p150680 +aS'suffered\tsuffer\tVBD\tB-VP\tO' +p150681 +aS'from\tfrom\tIN\tB-PP\tO' +p150682 +aS'low\tlow\tJJ\tB-NP\tO' +p150683 +aS'urine\turine\tNN\tI-NP\tO' +p150684 +aS'output\toutput\tNN\tI-NP\tO' +p150685 +aS'ranges\trange\tNNS\tI-NP\tO' +p150686 +aS'between\tbetween\tIN\tB-PP\tO' +p150687 +aS'25\t25\tCD\tB-NP\tO' +p150688 +aS'to\tto\tTO\tI-NP\tO' +p150689 +aS'30\t30\tCD\tI-NP\tO' +p150690 +aS'cc\tcc\tNN\tI-NP\tO' +p150691 +aS'per\tper\tIN\tB-PP\tO' +p150692 +aS'hour\thour\tNN\tB-NP\tO' +p150693 +aS'.\t.\t.\tO\tO' +p150694 +asS'Three healthy siblings .' +p150695 +(lp150696 +S'Three\tThree\tCD\tB-NP\tO' +p150697 +aS'healthy\thealthy\tJJ\tI-NP\tO' +p150698 +aS'siblings\tsibling\tNNS\tI-NP\tO' +p150699 +aS'.\t.\t.\tO\tO' +p150700 +asS'On the morning of 2014-07-29 , the patient was taken to the Operating Room and underwent a cholecystectomy , partial hepatectomy , partial lymph node dissection , a colocolostomy , partial colectomy , and in addition a gastrostomy and a feeding jejunostomy were also put in place .' +p150701 +(lp150702 +S'On\tOn\tIN\tB-PP\tO' +p150703 +aS'the\tthe\tDT\tB-NP\tO' +p150704 +aS'morning\tmorning\tNN\tI-NP\tO' +p150705 +aS'of\tof\tIN\tB-PP\tO' +p150706 +aS'2014-07-29\t2014-07-29\tCD\tB-NP\tO' +p150707 +aS',\t,\t,\tO\tO' +p150708 +aS'the\tthe\tDT\tB-NP\tO' +p150709 +aS'patient\tpatient\tNN\tI-NP\tO' +p150710 +aS'was\tbe\tVBD\tB-VP\tO' +p150711 +aS'taken\ttake\tVBN\tI-VP\tO' +p150712 +aS'to\tto\tTO\tB-PP\tO' +p150713 +aS'the\tthe\tDT\tB-NP\tO' +p150714 +aS'Operating\tOperating\tNNP\tI-NP\tO' +p150715 +aS'Room\tRoom\tNNP\tI-NP\tO' +p150716 +aS'and\tand\tCC\tO\tO' +p150717 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p150718 +aS'a\ta\tDT\tB-NP\tO' +p150719 +aS'cholecystectomy\tcholecystectomy\tNN\tI-NP\tO' +p150720 +aS',\t,\t,\tO\tO' +p150721 +aS'partial\tpartial\tJJ\tB-NP\tO' +p150722 +aS'hepatectomy\thepatectomy\tNN\tI-NP\tO' +p150723 +aS',\t,\t,\tO\tO' +p150724 +aS'partial\tpartial\tJJ\tB-NP\tO' +p150725 +aS'lymph\tlymph\tNN\tI-NP\tO' +p150726 +aS'node\tnode\tNN\tI-NP\tO' +p150727 +aS'dissection\tdissection\tNN\tI-NP\tO' +p150728 +aS',\t,\t,\tO\tO' +p150729 +aS'a\ta\tDT\tB-NP\tO' +p150730 +aS'colocolostomy\tcolocolostomy\tNN\tI-NP\tO' +p150731 +aS',\t,\t,\tO\tO' +p150732 +aS'partial\tpartial\tJJ\tB-NP\tO' +p150733 +aS'colectomy\tcolectomy\tNN\tI-NP\tO' +p150734 +aS',\t,\t,\tO\tO' +p150735 +aS'and\tand\tCC\tO\tO' +p150736 +aS'in\tin\tIN\tB-PP\tO' +p150737 +aS'addition\taddition\tNN\tB-NP\tO' +p150738 +aS'a\ta\tDT\tB-NP\tO' +p150739 +aS'gastrostomy\tgastrostomy\tNN\tI-NP\tO' +p150740 +aS'and\tand\tCC\tO\tO' +p150741 +aS'a\ta\tDT\tB-NP\tO' +p150742 +aS'feeding\tfeeding\tNN\tI-NP\tO' +p150743 +aS'jejunostomy\tjejunostomy\tNN\tI-NP\tO' +p150744 +aS'were\tbe\tVBD\tB-VP\tO' +p150745 +aS'also\talso\tRB\tI-VP\tO' +p150746 +aS'put\tput\tVBN\tI-VP\tO' +p150747 +aS'in\tin\tIN\tB-PP\tO' +p150748 +aS'place\tplace\tNN\tB-NP\tO' +p150749 +aS'.\t.\t.\tO\tO' +p150750 +asS'On postoperative day #1 , his balloon pump was weaned and the patient was transferred at 2 units of packed red blood cells .' +p150751 +(lp150752 +S'On\tOn\tIN\tB-PP\tO' +p150753 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p150754 +aS'day\tday\tNN\tI-NP\tO' +p150755 +aS'#1\t#1\tNN\tI-NP\tO' +p150756 +aS',\t,\t,\tO\tO' +p150757 +aS'his\this\tPRP$\tB-NP\tO' +p150758 +aS'balloon\tballoon\tNN\tI-NP\tO' +p150759 +aS'pump\tpump\tNN\tI-NP\tO' +p150760 +aS'was\tbe\tVBD\tB-VP\tO' +p150761 +aS'weaned\twean\tVBN\tI-VP\tO' +p150762 +aS'and\tand\tCC\tO\tO' +p150763 +aS'the\tthe\tDT\tB-NP\tO' +p150764 +aS'patient\tpatient\tNN\tI-NP\tO' +p150765 +aS'was\tbe\tVBD\tB-VP\tO' +p150766 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p150767 +aS'at\tat\tIN\tB-PP\tO' +p150768 +aS'2\t2\tCD\tB-NP\tO' +p150769 +aS'units\tunit\tNNS\tI-NP\tO' +p150770 +aS'of\tof\tIN\tB-PP\tO' +p150771 +aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' +p150772 +aS'red\tred\tJJ\tI-NP\tI-cell_type' +p150773 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p150774 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p150775 +aS'.\t.\t.\tO\tO' +p150776 +asS'The patient presented with abdominal pain and bloating and was found to have a large omental mass .' +p150777 +(lp150778 +S'The\tThe\tDT\tB-NP\tO' +p150779 +aS'patient\tpatient\tNN\tI-NP\tO' +p150780 +aS'presented\tpresent\tVBD\tB-VP\tO' +p150781 +aS'with\twith\tIN\tB-PP\tO' +p150782 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p150783 +aS'pain\tpain\tNN\tI-NP\tO' +p150784 +aS'and\tand\tCC\tO\tO' +p150785 +aS'bloating\tbloat\tVBG\tB-VP\tO' +p150786 +aS'and\tand\tCC\tO\tO' +p150787 +aS'was\tbe\tVBD\tB-VP\tO' +p150788 +aS'found\tfind\tVBN\tI-VP\tO' +p150789 +aS'to\tto\tTO\tI-VP\tO' +p150790 +aS'have\thave\tVB\tI-VP\tO' +p150791 +aS'a\ta\tDT\tB-NP\tO' +p150792 +aS'large\tlarge\tJJ\tI-NP\tO' +p150793 +aS'omental\tomental\tJJ\tI-NP\tO' +p150794 +aS'mass\tmass\tNN\tI-NP\tO' +p150795 +aS'.\t.\t.\tO\tO' +p150796 +asS'Because it would be ideal to place a mechanical valve if valve replacement rather that commissurotomy is needed , she was seen by Dr. Ca Shuff of ENT for her history of epistaxis .' +p150797 +(lp150798 +S'Because\tBecause\tIN\tB-SBAR\tO' +p150799 +aS'it\tit\tPRP\tB-NP\tO' +p150800 +aS'would\twould\tMD\tB-VP\tO' +p150801 +aS'be\tbe\tVB\tI-VP\tO' +p150802 +aS'ideal\tideal\tJJ\tB-ADJP\tO' +p150803 +aS'to\tto\tTO\tB-VP\tO' +p150804 +aS'place\tplace\tVB\tI-VP\tO' +p150805 +aS'a\ta\tDT\tB-NP\tO' +p150806 +aS'mechanical\tmechanical\tJJ\tI-NP\tO' +p150807 +aS'valve\tvalve\tNN\tI-NP\tO' +p150808 +aS'if\tif\tIN\tB-SBAR\tO' +p150809 +aS'valve\tvalve\tJJ\tB-NP\tO' +p150810 +aS'replacement\treplacement\tNN\tI-NP\tO' +p150811 +aS'rather\trather\tRB\tB-ADVP\tO' +p150812 +aS'that\tthat\tIN\tB-SBAR\tO' +p150813 +aS'commissurotomy\tcommissurotomy\tNN\tB-NP\tO' +p150814 +aS'is\tbe\tVBZ\tB-VP\tO' +p150815 +aS'needed\tneed\tVBN\tI-VP\tO' +p150816 +aS',\t,\t,\tO\tO' +p150817 +aS'she\tshe\tPRP\tB-NP\tO' +p150818 +aS'was\tbe\tVBD\tB-VP\tO' +p150819 +aS'seen\tsee\tVBN\tI-VP\tO' +p150820 +aS'by\tby\tIN\tB-PP\tO' +p150821 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p150822 +aS'Ca\tCa\tNNP\tI-NP\tO' +p150823 +aS'Shuff\tShuff\tNNP\tI-NP\tO' +p150824 +aS'of\tof\tIN\tB-PP\tO' +p150825 +aS'ENT\tENT\tNNP\tB-NP\tO' +p150826 +aS'for\tfor\tIN\tB-PP\tO' +p150827 +aS'her\ther\tPRP$\tB-NP\tO' +p150828 +aS'history\thistory\tNN\tI-NP\tO' +p150829 +aS'of\tof\tIN\tB-PP\tO' +p150830 +aS'epistaxis\tepistaxis\tNN\tB-NP\tO' +p150831 +aS'.\t.\t.\tO\tO' +p150832 +asS'IMPRESSION : No change vs . prior .' +p150833 +(lp150834 +S'IMPRESSION\tIMPRESSION\tNN\tB-NP\tO' +p150835 +aS':\t:\t:\tO\tO' +p150836 +aS'No\tNo\tDT\tB-NP\tO' +p150837 +aS'change\tchange\tNN\tI-NP\tO' +p150838 +aS'vs\tv\tNNS\tI-NP\tO' +p150839 +aS'.\t.\t.\tO\tO' +p150840 +aS'prior\tprior\tRB\tB-ADVP\tO' +p150841 +aS'.\t.\t.\tO\tO' +p150842 +asS"While on the floor , the patient 's mental status was noted to be improved back at baseline compared to that back to the CMED CCU , and she exhibited no evidence of barbiturate withdrawal ." +p150843 +(lp150844 +S'While\tWhile\tIN\tB-SBAR\tO' +p150845 +aS'on\ton\tIN\tB-PP\tO' +p150846 +aS'the\tthe\tDT\tB-NP\tO' +p150847 +aS'floor\tfloor\tNN\tI-NP\tO' +p150848 +aS',\t,\t,\tO\tO' +p150849 +aS'the\tthe\tDT\tB-NP\tO' +p150850 +aS'patient\tpatient\tNN\tI-NP\tO' +p150851 +aS"'s\t's\tPOS\tB-NP\tO" +p150852 +aS'mental\tmental\tJJ\tI-NP\tO' +p150853 +aS'status\tstatus\tNN\tI-NP\tO' +p150854 +aS'was\tbe\tVBD\tB-VP\tO' +p150855 +aS'noted\tnote\tVBN\tI-VP\tO' +p150856 +aS'to\tto\tTO\tI-VP\tO' +p150857 +aS'be\tbe\tVB\tI-VP\tO' +p150858 +aS'improved\timprove\tVBN\tI-VP\tO' +p150859 +aS'back\tback\tRB\tB-ADVP\tO' +p150860 +aS'at\tat\tIN\tB-PP\tO' +p150861 +aS'baseline\tbaseline\tNN\tB-NP\tO' +p150862 +aS'compared\tcompare\tVBN\tB-VP\tO' +p150863 +aS'to\tto\tTO\tB-PP\tO' +p150864 +aS'that\tthat\tDT\tB-NP\tO' +p150865 +aS'back\tback\tRB\tB-ADVP\tO' +p150866 +aS'to\tto\tTO\tB-PP\tO' +p150867 +aS'the\tthe\tDT\tB-NP\tO' +p150868 +aS'CMED\tCMED\tVBN\tI-NP\tO' +p150869 +aS'CCU\tCCU\tNN\tI-NP\tO' +p150870 +aS',\t,\t,\tO\tO' +p150871 +aS'and\tand\tCC\tO\tO' +p150872 +aS'she\tshe\tPRP\tB-NP\tO' +p150873 +aS'exhibited\texhibit\tVBD\tB-VP\tO' +p150874 +aS'no\tno\tDT\tB-NP\tO' +p150875 +aS'evidence\tevidence\tNN\tI-NP\tO' +p150876 +aS'of\tof\tIN\tB-PP\tO' +p150877 +aS'barbiturate\tbarbiturate\tNN\tB-NP\tO' +p150878 +aS'withdrawal\twithdrawal\tNN\tI-NP\tO' +p150879 +aS'.\t.\t.\tO\tO' +p150880 +asS'The review of systems was notable for anxiety .' +p150881 +(lp150882 +S'The\tThe\tDT\tB-NP\tO' +p150883 +aS'review\treview\tNN\tI-NP\tO' +p150884 +aS'of\tof\tIN\tB-PP\tO' +p150885 +aS'systems\tsystem\tNNS\tB-NP\tO' +p150886 +aS'was\tbe\tVBD\tB-VP\tO' +p150887 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p150888 +aS'for\tfor\tIN\tB-PP\tO' +p150889 +aS'anxiety\tanxiety\tNN\tB-NP\tO' +p150890 +aS'.\t.\t.\tO\tO' +p150891 +asS'The patient remained cardiovascularly stable throughout the admission .' +p150892 +(lp150893 +S'The\tThe\tDT\tB-NP\tO' +p150894 +aS'patient\tpatient\tNN\tI-NP\tO' +p150895 +aS'remained\tremain\tVBD\tB-VP\tO' +p150896 +aS'cardiovascularly\tcardiovascularly\tRB\tB-ADJP\tO' +p150897 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p150898 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p150899 +aS'the\tthe\tDT\tB-NP\tO' +p150900 +aS'admission\tadmission\tNN\tI-NP\tO' +p150901 +aS'.\t.\t.\tO\tO' +p150902 +asS'Several additional ECHOs were performed , including an ECHO in the cardiology department at HealthSouth Rehab Hospital of Western Mass. , but the anatomy of the left coronary artery could not be further defined .' +p150903 +(lp150904 +S'Several\tSeveral\tJJ\tB-NP\tO' +p150905 +aS'additional\tadditional\tJJ\tI-NP\tO' +p150906 +aS'ECHOs\tECHO\tNNS\tI-NP\tO' +p150907 +aS'were\tbe\tVBD\tB-VP\tO' +p150908 +aS'performed\tperform\tVBN\tI-VP\tO' +p150909 +aS',\t,\t,\tO\tO' +p150910 +aS'including\tinclude\tVBG\tB-PP\tO' +p150911 +aS'an\tan\tDT\tB-NP\tO' +p150912 +aS'ECHO\tECHO\tNN\tI-NP\tB-protein' +p150913 +aS'in\tin\tIN\tB-PP\tO' +p150914 +aS'the\tthe\tDT\tB-NP\tO' +p150915 +aS'cardiology\tcardiology\tNN\tI-NP\tO' +p150916 +aS'department\tdepartment\tNN\tI-NP\tO' +p150917 +aS'at\tat\tIN\tB-PP\tO' +p150918 +aS'HealthSouth\tHealthSouth\tNNP\tB-NP\tO' +p150919 +aS'Rehab\tRehab\tNNP\tI-NP\tO' +p150920 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p150921 +aS'of\tof\tIN\tB-PP\tO' +p150922 +aS'Western\tWestern\tNNP\tB-NP\tO' +p150923 +aS'Mass.\tMass.\tNNP\tI-NP\tO' +p150924 +aS',\t,\t,\tO\tO' +p150925 +aS'but\tbut\tCC\tO\tO' +p150926 +aS'the\tthe\tDT\tB-NP\tO' +p150927 +aS'anatomy\tanatomy\tNN\tI-NP\tO' +p150928 +aS'of\tof\tIN\tB-PP\tO' +p150929 +aS'the\tthe\tDT\tB-NP\tO' +p150930 +aS'left\tleft\tJJ\tI-NP\tO' +p150931 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p150932 +aS'artery\tartery\tNN\tI-NP\tO' +p150933 +aS'could\tcould\tMD\tB-VP\tO' +p150934 +aS'not\tnot\tRB\tI-VP\tO' +p150935 +aS'be\tbe\tVB\tI-VP\tO' +p150936 +aS'further\tfurther\tRBR\tB-ADJP\tO' +p150937 +aS'defined\tdefine\tVBN\tI-ADJP\tO' +p150938 +aS'.\t.\t.\tO\tO' +p150939 +asS'Mr. Freeman was admitted to the Nantucket Cottage Hospital on 2014-04-21 for surgical management of his PFO .' +p150940 +(lp150941 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p150942 +aS'Freeman\tFreeman\tNNP\tI-NP\tO' +p150943 +aS'was\tbe\tVBD\tB-VP\tO' +p150944 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p150945 +aS'to\tto\tTO\tB-PP\tO' +p150946 +aS'the\tthe\tDT\tB-NP\tO' +p150947 +aS'Nantucket\tNantucket\tNNP\tI-NP\tO' +p150948 +aS'Cottage\tCottage\tNNP\tI-NP\tO' +p150949 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p150950 +aS'on\ton\tIN\tB-PP\tO' +p150951 +aS'2014-04-21\t2014-04-21\tCD\tB-NP\tO' +p150952 +aS'for\tfor\tIN\tB-PP\tO' +p150953 +aS'surgical\tsurgical\tJJ\tB-NP\tO' +p150954 +aS'management\tmanagement\tNN\tI-NP\tO' +p150955 +aS'of\tof\tIN\tB-PP\tO' +p150956 +aS'his\this\tPRP$\tB-NP\tO' +p150957 +aS'PFO\tPFO\tNN\tI-NP\tB-protein' +p150958 +aS'.\t.\t.\tO\tO' +p150959 +asS'Atrovent , two puffs qid .' +p150960 +(lp150961 +S'Atrovent\tAtrovent\tNNP\tB-NP\tO' +p150962 +aS',\t,\t,\tO\tO' +p150963 +aS'two\ttwo\tCD\tB-NP\tO' +p150964 +aS'puffs\tpuff\tNNS\tI-NP\tO' +p150965 +aS'qid\tqid\tNN\tI-NP\tO' +p150966 +aS'.\t.\t.\tO\tO' +p150967 +asS'Abdomens oft with positive bowel sounds .' +p150968 +(lp150969 +S'Abdomens\tAbdomen\tNNS\tB-NP\tO' +p150970 +aS'oft\toft\tVBP\tB-VP\tO' +p150971 +aS'with\twith\tIN\tB-PP\tO' +p150972 +aS'positive\tpositive\tJJ\tB-NP\tO' +p150973 +aS'bowel\tbowel\tNN\tI-NP\tO' +p150974 +aS'sounds\tsound\tNNS\tI-NP\tO' +p150975 +aS'.\t.\t.\tO\tO' +p150976 +asS'A computerized tomography scan demonstrated a contrast enhancing complex left renal mass .' +p150977 +(lp150978 +S'A\tA\tDT\tB-NP\tO' +p150979 +aS'computerized\tcomputerized\tJJ\tI-NP\tO' +p150980 +aS'tomography\ttomography\tNN\tI-NP\tO' +p150981 +aS'scan\tscan\tNN\tI-NP\tO' +p150982 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p150983 +aS'a\ta\tDT\tB-NP\tO' +p150984 +aS'contrast\tcontrast\tNN\tI-NP\tO' +p150985 +aS'enhancing\tenhance\tVBG\tB-VP\tO' +p150986 +aS'complex\tcomplex\tJJ\tB-NP\tO' +p150987 +aS'left\tleft\tJJ\tI-NP\tO' +p150988 +aS'renal\trenal\tJJ\tI-NP\tO' +p150989 +aS'mass\tmass\tNN\tI-NP\tO' +p150990 +aS'.\t.\t.\tO\tO' +p150991 +asS'Patient is a 73-year-old retired cook with a history of cervical myelopathy , who is admitted for new left hemiparesis .' +p150992 +(lp150993 +S'Patient\tPatient\tNN\tB-NP\tO' +p150994 +aS'is\tbe\tVBZ\tB-VP\tO' +p150995 +aS'a\ta\tDT\tB-NP\tO' +p150996 +aS'73-year-old\t73-year-old\tJJ\tI-NP\tO' +p150997 +aS'retired\tretired\tJJ\tI-NP\tO' +p150998 +aS'cook\tcook\tNN\tI-NP\tO' +p150999 +aS'with\twith\tIN\tB-PP\tO' +p151000 +aS'a\ta\tDT\tB-NP\tO' +p151001 +aS'history\thistory\tNN\tI-NP\tO' +p151002 +aS'of\tof\tIN\tB-PP\tO' +p151003 +aS'cervical\tcervical\tJJ\tB-NP\tO' +p151004 +aS'myelopathy\tmyelopathy\tNN\tI-NP\tO' +p151005 +aS',\t,\t,\tO\tO' +p151006 +aS'who\twho\tWP\tB-NP\tO' +p151007 +aS'is\tbe\tVBZ\tB-VP\tO' +p151008 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p151009 +aS'for\tfor\tIN\tB-PP\tO' +p151010 +aS'new\tnew\tJJ\tB-NP\tO' +p151011 +aS'left\tleft\tJJ\tI-NP\tO' +p151012 +aS'hemiparesis\themiparesis\tNN\tI-NP\tO' +p151013 +aS'.\t.\t.\tO\tO' +p151014 +asS'He was discharged to home on Percocet .' +p151015 +(lp151016 +S'He\tHe\tPRP\tB-NP\tO' +p151017 +aS'was\tbe\tVBD\tB-VP\tO' +p151018 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p151019 +aS'to\tto\tTO\tB-PP\tO' +p151020 +aS'home\thome\tNN\tB-NP\tO' +p151021 +aS'on\ton\tIN\tB-PP\tO' +p151022 +aS'Percocet\tPercocet\tNNP\tB-NP\tO' +p151023 +aS'.\t.\t.\tO\tO' +p151024 +asS'The temp was 99.4 , BP 114/78 , pulse 128 and respirations 20 .' +p151025 +(lp151026 +S'The\tThe\tDT\tB-NP\tO' +p151027 +aS'temp\ttemp\tNN\tI-NP\tO' +p151028 +aS'was\tbe\tVBD\tB-VP\tO' +p151029 +aS'99.4\t99.4\tCD\tB-NP\tO' +p151030 +aS',\t,\t,\tO\tO' +p151031 +aS'BP\tBP\tNN\tB-NP\tB-DNA' +p151032 +aS'114/78\t114/78\tCD\tI-NP\tI-DNA' +p151033 +aS',\t,\t,\tO\tO' +p151034 +aS'pulse\tpulse\tNN\tB-NP\tO' +p151035 +aS'128\t128\tCD\tI-NP\tO' +p151036 +aS'and\tand\tCC\tO\tO' +p151037 +aS'respirations\trespiration\tNNS\tB-NP\tO' +p151038 +aS'20\t20\tCD\tB-NP\tO' +p151039 +aS'.\t.\t.\tO\tO' +p151040 +asS'The lumbar puncture and sinus exploration were unable to be performed given the patient 's persistent coagulopathy .' +p151041 +(lp151042 +S'The\tThe\tDT\tB-NP\tO' +p151043 +aS'lumbar\tlumbar\tNN\tI-NP\tO' +p151044 +aS'puncture\tpuncture\tNN\tI-NP\tO' +p151045 +aS'and\tand\tCC\tO\tO' +p151046 +aS'sinus\tsinus\tNN\tB-NP\tO' +p151047 +aS'exploration\texploration\tNN\tI-NP\tO' +p151048 +aS'were\tbe\tVBD\tB-VP\tO' +p151049 +aS'unable\tunable\tJJ\tB-ADJP\tO' +p151050 +aS'to\tto\tTO\tB-VP\tO' +p151051 +aS'be\tbe\tVB\tI-VP\tO' +p151052 +aS'performed\tperform\tVBN\tI-VP\tO' +p151053 +aS'given\tgive\tVBN\tB-PP\tO' +p151054 +aS'the\tthe\tDT\tB-NP\tO' +p151055 +aS'patient\tpatient\tNN\tI-NP\tO' +p151056 +aS''s\t'\tNNS\tI-NP\tO' +p151057 +aS'persistent\tpersistent\tJJ\tB-NP\tO' +p151058 +aS'coagulopathy\tcoagulopathy\tNN\tI-NP\tO' +p151059 +aS'.\t.\t.\tO\tO' +p151060 +asS'Unable to move right arm but able to lift right leg antigravity for less than 5 seconds' +p151061 +(lp151062 +S'Unable\tUnable\tJJ\tB-ADJP\tO' +p151063 +aS'to\tto\tTO\tB-VP\tO' +p151064 +aS'move\tmove\tVB\tI-VP\tO' +p151065 +aS'right\tright\tJJ\tB-NP\tO' +p151066 +aS'arm\tarm\tNN\tI-NP\tO' +p151067 +aS'but\tbut\tCC\tO\tO' +p151068 +aS'able\table\tJJ\tB-ADJP\tO' +p151069 +aS'to\tto\tTO\tB-VP\tO' +p151070 +aS'lift\tlift\tVB\tI-VP\tO' +p151071 +aS'right\tright\tJJ\tB-NP\tO' +p151072 +aS'leg\tleg\tNN\tI-NP\tO' +p151073 +aS'antigravity\tantigravity\tNN\tI-NP\tO' +p151074 +aS'for\tfor\tIN\tB-PP\tO' +p151075 +aS'less\tless\tJJR\tB-NP\tO' +p151076 +aS'than\tthan\tIN\tI-NP\tO' +p151077 +aS'5\t5\tCD\tI-NP\tO' +p151078 +aS'seconds\tsecond\tNNS\tI-NP\tO' +p151079 +asS'Shortly after his arrival to that hospital he had been intubated for a respiratory rate of 60 .' +p151080 +(lp151081 +S'Shortly\tShortly\tRB\tB-ADVP\tO' +p151082 +aS'after\tafter\tIN\tB-PP\tO' +p151083 +aS'his\this\tPRP$\tB-NP\tO' +p151084 +aS'arrival\tarrival\tNN\tI-NP\tO' +p151085 +aS'to\tto\tTO\tB-PP\tO' +p151086 +aS'that\tthat\tDT\tB-NP\tO' +p151087 +aS'hospital\thospital\tNN\tI-NP\tO' +p151088 +aS'he\the\tPRP\tB-NP\tO' +p151089 +aS'had\thave\tVBD\tB-VP\tO' +p151090 +aS'been\tbe\tVBN\tI-VP\tO' +p151091 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p151092 +aS'for\tfor\tIN\tB-PP\tO' +p151093 +aS'a\ta\tDT\tB-NP\tO' +p151094 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p151095 +aS'rate\trate\tNN\tI-NP\tO' +p151096 +aS'of\tof\tIN\tB-PP\tO' +p151097 +aS'60\t60\tCD\tB-NP\tO' +p151098 +aS'.\t.\t.\tO\tO' +p151099 +asS'There was mild lower thoracic tenderness .' +p151100 +(lp151101 +S'There\tThere\tEX\tB-NP\tO' +p151102 +aS'was\tbe\tVBD\tB-VP\tO' +p151103 +aS'mild\tmild\tJJ\tB-NP\tO' +p151104 +aS'lower\tlow\tJJR\tI-NP\tO' +p151105 +aS'thoracic\tthoracic\tJJ\tI-NP\tO' +p151106 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p151107 +aS'.\t.\t.\tO\tO' +p151108 +asS'Anterior fontanel soft , flat , cap and prong CPAP in place .' +p151109 +(lp151110 +S'Anterior\tAnterior\tJJ\tB-NP\tO' +p151111 +aS'fontanel\tfontanel\tNN\tI-NP\tO' +p151112 +aS'soft\tsoft\tJJ\tI-NP\tO' +p151113 +aS',\t,\t,\tI-NP\tO' +p151114 +aS'flat\tflat\tJJ\tI-NP\tO' +p151115 +aS',\t,\t,\tI-NP\tO' +p151116 +aS'cap\tcap\tNN\tI-NP\tB-protein' +p151117 +aS'and\tand\tCC\tI-NP\tO' +p151118 +aS'prong\tprong\tJJ\tI-NP\tO' +p151119 +aS'CPAP\tCPAP\tNN\tI-NP\tB-protein' +p151120 +aS'in\tin\tIN\tB-PP\tO' +p151121 +aS'place\tplace\tNN\tB-NP\tO' +p151122 +aS'.\t.\t.\tO\tO' +p151123 +asS'8) Anemia - He was admitted with borderline anemia with Fe studies suggestive of anemia of chronic disease and his hct decreased in the setting fluid resucitation .' +p151124 +(lp151125 +S'8)\t8)\tLS\tB-NP\tO' +p151126 +aS'Anemia\tAnemia\tNN\tI-NP\tO' +p151127 +aS'-\t-\tHYPH\tO\tO' +p151128 +aS'He\tHe\tPRP\tB-NP\tO' +p151129 +aS'was\tbe\tVBD\tB-VP\tO' +p151130 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p151131 +aS'with\twith\tIN\tB-PP\tO' +p151132 +aS'borderline\tborderline\tJJ\tB-NP\tO' +p151133 +aS'anemia\tanemia\tNN\tI-NP\tO' +p151134 +aS'with\twith\tIN\tB-PP\tO' +p151135 +aS'Fe\tFe\tNN\tB-NP\tO' +p151136 +aS'studies\tstudy\tNNS\tI-NP\tO' +p151137 +aS'suggestive\tsuggestive\tJJ\tB-ADJP\tO' +p151138 +aS'of\tof\tIN\tB-PP\tO' +p151139 +aS'anemia\tanemia\tNN\tB-NP\tO' +p151140 +aS'of\tof\tIN\tB-PP\tO' +p151141 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p151142 +aS'disease\tdisease\tNN\tI-NP\tO' +p151143 +aS'and\tand\tCC\tO\tO' +p151144 +aS'his\this\tPRP$\tB-NP\tO' +p151145 +aS'hct\thct\tNN\tI-NP\tO' +p151146 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p151147 +aS'in\tin\tIN\tB-PP\tO' +p151148 +aS'the\tthe\tDT\tB-NP\tO' +p151149 +aS'setting\tset\tVBG\tI-NP\tO' +p151150 +aS'fluid\tfluid\tNN\tI-NP\tO' +p151151 +aS'resucitation\tresucitation\tNN\tI-NP\tO' +p151152 +aS'.\t.\t.\tO\tO' +p151153 +asS'2) Linear right temporal calvarial fracture extending into the mastoid with a small right posterior convexity subdural hematoma and pneumocephalus ; see head CT report .' +p151154 +(lp151155 +S'2)\t2)\tLS\tB-NP\tO' +p151156 +aS'Linear\tLinear\tJJ\tI-NP\tO' +p151157 +aS'right\tright\tJJ\tI-NP\tO' +p151158 +aS'temporal\ttemporal\tJJ\tI-NP\tO' +p151159 +aS'calvarial\tcalvarial\tJJ\tI-NP\tO' +p151160 +aS'fracture\tfracture\tNN\tI-NP\tO' +p151161 +aS'extending\textend\tVBG\tB-VP\tO' +p151162 +aS'into\tinto\tIN\tB-PP\tO' +p151163 +aS'the\tthe\tDT\tB-NP\tO' +p151164 +aS'mastoid\tmastoid\tNN\tI-NP\tO' +p151165 +aS'with\twith\tIN\tB-PP\tO' +p151166 +aS'a\ta\tDT\tB-NP\tO' +p151167 +aS'small\tsmall\tJJ\tI-NP\tO' +p151168 +aS'right\tright\tJJ\tI-NP\tO' +p151169 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p151170 +aS'convexity\tconvexity\tNN\tI-NP\tO' +p151171 +aS'subdural\tsubdural\tJJ\tI-NP\tO' +p151172 +aS'hematoma\thematoma\tNN\tI-NP\tO' +p151173 +aS'and\tand\tCC\tI-NP\tO' +p151174 +aS'pneumocephalus\tpneumocephalus\tNN\tI-NP\tO' +p151175 +aS';\t;\t:\tO\tO' +p151176 +aS'see\tsee\tVB\tB-VP\tO' +p151177 +aS'head\thead\tNN\tB-NP\tO' +p151178 +aS'CT\tCT\tNN\tI-NP\tO' +p151179 +aS'report\treport\tNN\tI-NP\tO' +p151180 +aS'.\t.\t.\tO\tO' +p151181 +asS'Dictated By : Frances P Sheets , M.D.' +p151182 +(lp151183 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p151184 +aS'By\tBy\tIN\tB-PP\tO' +p151185 +aS':\t:\t:\tO\tO' +p151186 +aS'Frances\tFrances\tNNP\tB-NP\tO' +p151187 +aS'P\tP\tNNP\tI-NP\tO' +p151188 +aS'Sheets\tSheets\tNNP\tI-NP\tO' +p151189 +aS',\t,\t,\tO\tO' +p151190 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p151191 +asS'Sodium 140 , potassium 3.8 , chloride 100 , bicarbonate of 30 , BUN of 13 , creatinine 0.8 , serum glucose 228 .' +p151192 +(lp151193 +S'Sodium\tSodium\tNN\tB-NP\tB-protein' +p151194 +aS'140\t140\tCD\tI-NP\tI-protein' +p151195 +aS',\t,\t,\tO\tO' +p151196 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p151197 +aS'3.8\t3.8\tCD\tI-NP\tO' +p151198 +aS',\t,\t,\tO\tO' +p151199 +aS'chloride\tchloride\tNN\tB-NP\tO' +p151200 +aS'100\t100\tCD\tI-NP\tO' +p151201 +aS',\t,\t,\tO\tO' +p151202 +aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' +p151203 +aS'of\tof\tIN\tB-PP\tO' +p151204 +aS'30\t30\tCD\tB-NP\tO' +p151205 +aS',\t,\t,\tO\tO' +p151206 +aS'BUN\tBUN\tNN\tB-NP\tO' +p151207 +aS'of\tof\tIN\tB-PP\tO' +p151208 +aS'13\t13\tCD\tB-NP\tO' +p151209 +aS',\t,\t,\tO\tO' +p151210 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p151211 +aS'0.8\t0.8\tCD\tI-NP\tO' +p151212 +aS',\t,\t,\tO\tO' +p151213 +aS'serum\tserum\tNN\tB-NP\tO' +p151214 +aS'glucose\tglucose\tNN\tI-NP\tO' +p151215 +aS'228\t228\tCD\tI-NP\tO' +p151216 +aS'.\t.\t.\tO\tO' +p151217 +asS'The anus was patent .' +p151218 +(lp151219 +S'The\tThe\tDT\tB-NP\tO' +p151220 +aS'anus\tanus\tNN\tI-NP\tO' +p151221 +aS'was\tbe\tVBD\tB-VP\tO' +p151222 +aS'patent\tpatent\tNN\tB-NP\tO' +p151223 +aS'.\t.\t.\tO\tO' +p151224 +asS'The patient had pacing wires and chest tubes in place , both of which over the course of his stay were removed successfully .' +p151225 +(lp151226 +S'The\tThe\tDT\tB-NP\tO' +p151227 +aS'patient\tpatient\tNN\tI-NP\tO' +p151228 +aS'had\thave\tVBD\tB-VP\tO' +p151229 +aS'pacing\tpace\tVBG\tI-VP\tO' +p151230 +aS'wires\twire\tNNS\tB-NP\tO' +p151231 +aS'and\tand\tCC\tO\tO' +p151232 +aS'chest\tchest\tNN\tB-NP\tO' +p151233 +aS'tubes\ttube\tNNS\tI-NP\tO' +p151234 +aS'in\tin\tIN\tB-PP\tO' +p151235 +aS'place\tplace\tNN\tB-NP\tO' +p151236 +aS',\t,\t,\tO\tO' +p151237 +aS'both\tboth\tDT\tB-NP\tO' +p151238 +aS'of\tof\tIN\tB-PP\tO' +p151239 +aS'which\twhich\tWDT\tB-NP\tO' +p151240 +aS'over\tover\tIN\tB-PP\tO' +p151241 +aS'the\tthe\tDT\tB-NP\tO' +p151242 +aS'course\tcourse\tNN\tI-NP\tO' +p151243 +aS'of\tof\tIN\tB-PP\tO' +p151244 +aS'his\this\tPRP$\tB-NP\tO' +p151245 +aS'stay\tstay\tNN\tI-NP\tO' +p151246 +aS'were\tbe\tVBD\tB-VP\tO' +p151247 +aS'removed\tremove\tVBN\tI-VP\tO' +p151248 +aS'successfully\tsuccessfully\tRB\tB-ADVP\tO' +p151249 +aS'.\t.\t.\tO\tO' +p151250 +asS'He was restarted on regular diet on 4/14-4/17 after his extubation' +p151251 +(lp151252 +S'He\tHe\tPRP\tB-NP\tO' +p151253 +aS'was\tbe\tVBD\tB-VP\tO' +p151254 +aS'restarted\trestart\tVBN\tI-VP\tO' +p151255 +aS'on\ton\tIN\tB-PP\tO' +p151256 +aS'regular\tregular\tJJ\tB-NP\tO' +p151257 +aS'diet\tdiet\tNN\tI-NP\tO' +p151258 +aS'on\ton\tIN\tB-PP\tO' +p151259 +aS'4/14-4/17\t4/14-4/17\tCD\tB-NP\tO' +p151260 +aS'after\tafter\tIN\tB-PP\tO' +p151261 +aS'his\this\tPRP$\tB-NP\tO' +p151262 +aS'extubation\textubation\tNN\tI-NP\tO' +p151263 +asS'3.) Insulin 45N/8R qAM and 33N qPM' +p151264 +(lp151265 +S'3.)\t3.)\tLS\tB-NP\tO' +p151266 +aS'Insulin\tInsulin\tNN\tI-NP\tB-protein' +p151267 +aS'45N/8R\t45N/8R\tNN\tI-NP\tO' +p151268 +aS'qAM\tqAM\tNN\tI-NP\tO' +p151269 +aS'and\tand\tCC\tO\tO' +p151270 +aS'33N\t33N\tNN\tB-NP\tO' +p151271 +aS'qPM\tqPM\tNN\tI-NP\tO' +p151272 +asS'State newborn screens were sent on 05-08 and 05-19 .' +p151273 +(lp151274 +S'State\tState\tNN\tB-NP\tO' +p151275 +aS'newborn\tnewborn\tJJ\tI-NP\tO' +p151276 +aS'screens\tscreen\tNNS\tI-NP\tO' +p151277 +aS'were\tbe\tVBD\tB-VP\tO' +p151278 +aS'sent\tsend\tVBN\tI-VP\tO' +p151279 +aS'on\ton\tIN\tB-PP\tO' +p151280 +aS'05-08\t05-08\tCD\tB-NP\tO' +p151281 +aS'and\tand\tCC\tI-NP\tO' +p151282 +aS'05-19\t05-19\tCD\tI-NP\tO' +p151283 +aS'.\t.\t.\tO\tO' +p151284 +asS'Preoperatively , the patient underwent chemo-embolization for his hepatocellular carcinoma .' +p151285 +(lp151286 +S'Preoperatively\tPreoperatively\tRB\tB-ADVP\tO' +p151287 +aS',\t,\t,\tO\tO' +p151288 +aS'the\tthe\tDT\tB-NP\tO' +p151289 +aS'patient\tpatient\tNN\tI-NP\tO' +p151290 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p151291 +aS'chemo-embolization\tchemo-embolization\tNN\tB-NP\tO' +p151292 +aS'for\tfor\tIN\tB-PP\tO' +p151293 +aS'his\this\tPRP$\tB-NP\tO' +p151294 +aS'hepatocellular\thepatocellular\tJJ\tI-NP\tO' +p151295 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p151296 +aS'.\t.\t.\tO\tO' +p151297 +asS'Chronic pulmonary embolus was less likely given her negative CT angiogram .' +p151298 +(lp151299 +S'Chronic\tChronic\tJJ\tB-NP\tO' +p151300 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p151301 +aS'embolus\tembolus\tNN\tI-NP\tO' +p151302 +aS'was\tbe\tVBD\tB-VP\tO' +p151303 +aS'less\tless\tRBR\tB-ADJP\tO' +p151304 +aS'likely\tlikely\tJJ\tI-ADJP\tO' +p151305 +aS'given\tgive\tVBN\tB-PP\tO' +p151306 +aS'her\ther\tPRP$\tB-NP\tO' +p151307 +aS'negative\tnegative\tJJ\tI-NP\tO' +p151308 +aS'CT\tCT\tNN\tI-NP\tO' +p151309 +aS'angiogram\tangiogram\tNN\tI-NP\tO' +p151310 +aS'.\t.\t.\tO\tO' +p151311 +asS'1. The patient was to follow-up with Dr. Ronald in the Transplant Center 3 days following discharge .' +p151312 +(lp151313 +S'1.\t1.\tLS\tB-LST\tO' +p151314 +aS'The\tThe\tDT\tB-NP\tO' +p151315 +aS'patient\tpatient\tNN\tI-NP\tO' +p151316 +aS'was\tbe\tVBD\tB-VP\tO' +p151317 +aS'to\tto\tTO\tB-PP\tO' +p151318 +aS'follow-up\tfollow-up\tNN\tB-NP\tO' +p151319 +aS'with\twith\tIN\tB-PP\tO' +p151320 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p151321 +aS'Ronald\tRonald\tNNP\tI-NP\tO' +p151322 +aS'in\tin\tIN\tB-PP\tO' +p151323 +aS'the\tthe\tDT\tB-NP\tO' +p151324 +aS'Transplant\tTransplant\tNNP\tI-NP\tO' +p151325 +aS'Center\tCenter\tNNP\tI-NP\tO' +p151326 +aS'3\t3\tCD\tI-NP\tO' +p151327 +aS'days\tday\tNNS\tI-NP\tO' +p151328 +aS'following\tfollow\tVBG\tB-PP\tO' +p151329 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p151330 +aS'.\t.\t.\tO\tO' +p151331 +asS'( from OR revision craniotomy )' +p151332 +(lp151333 +S'(\t(\t(\tO\tO' +p151334 +aS'from\tfrom\tIN\tB-PP\tO' +p151335 +aS'OR\tOR\tNN\tB-NP\tO' +p151336 +aS'revision\trevision\tNN\tI-NP\tO' +p151337 +aS'craniotomy\tcraniotomy\tNN\tI-NP\tO' +p151338 +aS')\t)\t)\tO\tO' +p151339 +asS'There were no stents deployed at all throughout the catheterization .' +p151340 +(lp151341 +S'There\tThere\tEX\tB-NP\tO' +p151342 +aS'were\tbe\tVBD\tB-VP\tO' +p151343 +aS'no\tno\tDT\tB-NP\tO' +p151344 +aS'stents\tstent\tNNS\tI-NP\tO' +p151345 +aS'deployed\tdeploy\tVBD\tB-VP\tO' +p151346 +aS'at\tat\tIN\tB-ADVP\tO' +p151347 +aS'all\tall\tDT\tI-ADVP\tO' +p151348 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p151349 +aS'the\tthe\tDT\tB-NP\tO' +p151350 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p151351 +aS'.\t.\t.\tO\tO' +p151352 +asS'Low saturated fat .' +p151353 +(lp151354 +S'Low\tLow\tJJ\tB-NP\tO' +p151355 +aS'saturated\tsaturate\tVBN\tI-NP\tO' +p151356 +aS'fat\tfat\tNN\tI-NP\tO' +p151357 +aS'.\t.\t.\tO\tO' +p151358 +asS'Since there was no more evidence of gram positive infections , vancomycin was discontinued and cefepime was kept .' +p151359 +(lp151360 +S'Since\tSince\tIN\tB-SBAR\tO' +p151361 +aS'there\tthere\tEX\tB-NP\tO' +p151362 +aS'was\tbe\tVBD\tB-VP\tO' +p151363 +aS'no\tno\tDT\tB-NP\tO' +p151364 +aS'more\tmore\tJJR\tI-NP\tO' +p151365 +aS'evidence\tevidence\tNN\tI-NP\tO' +p151366 +aS'of\tof\tIN\tB-PP\tO' +p151367 +aS'gram\tgram\tNN\tB-NP\tO' +p151368 +aS'positive\tpositive\tJJ\tI-NP\tO' +p151369 +aS'infections\tinfection\tNNS\tI-NP\tO' +p151370 +aS',\t,\t,\tO\tO' +p151371 +aS'vancomycin\tvancomycin\tNN\tB-NP\tO' +p151372 +aS'was\tbe\tVBD\tB-VP\tO' +p151373 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p151374 +aS'and\tand\tCC\tO\tO' +p151375 +aS'cefepime\tcefepime\tNN\tB-NP\tO' +p151376 +aS'was\tbe\tVBD\tB-VP\tO' +p151377 +aS'kept\tkeep\tVBN\tI-VP\tO' +p151378 +aS'.\t.\t.\tO\tO' +p151379 +asS'An abdominal CAT scan revealed thickened bowel wall and thumb printing , primarily involving the cecum and right colon greater than the left , consistent with C. difficile colitis .' +p151380 +(lp151381 +S'An\tAn\tDT\tB-NP\tO' +p151382 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p151383 +aS'CAT\tCAT\tNN\tI-NP\tO' +p151384 +aS'scan\tscan\tNN\tI-NP\tO' +p151385 +aS'revealed\treveal\tVBD\tB-VP\tO' +p151386 +aS'thickened\tthicken\tVBN\tB-NP\tO' +p151387 +aS'bowel\tbowel\tNN\tI-NP\tO' +p151388 +aS'wall\twall\tNN\tI-NP\tO' +p151389 +aS'and\tand\tCC\tI-NP\tO' +p151390 +aS'thumb\tthumb\tNN\tI-NP\tO' +p151391 +aS'printing\tprinting\tNN\tI-NP\tO' +p151392 +aS',\t,\t,\tO\tO' +p151393 +aS'primarily\tprimarily\tRB\tB-VP\tO' +p151394 +aS'involving\tinvolve\tVBG\tI-VP\tO' +p151395 +aS'the\tthe\tDT\tB-NP\tO' +p151396 +aS'cecum\tcecum\tNN\tI-NP\tO' +p151397 +aS'and\tand\tCC\tI-NP\tO' +p151398 +aS'right\tright\tJJ\tI-NP\tO' +p151399 +aS'colon\tcolon\tNN\tI-NP\tO' +p151400 +aS'greater\tgreat\tJJR\tB-ADJP\tO' +p151401 +aS'than\tthan\tIN\tB-PP\tO' +p151402 +aS'the\tthe\tDT\tB-NP\tO' +p151403 +aS'left\tleft\tJJ\tI-NP\tO' +p151404 +aS',\t,\t,\tI-NP\tO' +p151405 +aS'consistent\tconsistent\tJJ\tI-NP\tO' +p151406 +aS'with\twith\tIN\tB-PP\tO' +p151407 +aS'C.\tC.\tFW\tB-NP\tO' +p151408 +aS'difficile\tdifficile\tJJ\tI-NP\tO' +p151409 +aS'colitis\tcolitis\tNN\tI-NP\tO' +p151410 +aS'.\t.\t.\tO\tO' +p151411 +asS'On 07-19 , he underwent video swallow evaluation and was able to tolerate ground consistent food and thin liquids .' +p151412 +(lp151413 +S'On\tOn\tIN\tB-PP\tO' +p151414 +aS'07-19\t07-19\tCD\tB-NP\tO' +p151415 +aS',\t,\t,\tO\tO' +p151416 +aS'he\the\tPRP\tB-NP\tO' +p151417 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p151418 +aS'video\tvideo\tNN\tB-NP\tO' +p151419 +aS'swallow\tswallow\tNN\tI-NP\tO' +p151420 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p151421 +aS'and\tand\tCC\tO\tO' +p151422 +aS'was\tbe\tVBD\tB-VP\tO' +p151423 +aS'able\table\tJJ\tB-ADJP\tO' +p151424 +aS'to\tto\tTO\tB-VP\tO' +p151425 +aS'tolerate\ttolerate\tVB\tI-VP\tO' +p151426 +aS'ground\tground\tNN\tB-NP\tO' +p151427 +aS'consistent\tconsistent\tJJ\tI-NP\tO' +p151428 +aS'food\tfood\tNN\tI-NP\tO' +p151429 +aS'and\tand\tCC\tI-NP\tO' +p151430 +aS'thin\tthin\tJJ\tI-NP\tO' +p151431 +aS'liquids\tliquid\tNNS\tI-NP\tO' +p151432 +aS'.\t.\t.\tO\tO' +p151433 +asS'The patient was walking , talking , and was breathing without difficulty on arrival .' +p151434 +(lp151435 +S'The\tThe\tDT\tB-NP\tO' +p151436 +aS'patient\tpatient\tNN\tI-NP\tO' +p151437 +aS'was\tbe\tVBD\tB-VP\tO' +p151438 +aS'walking\twalk\tVBG\tI-VP\tO' +p151439 +aS',\t,\t,\tO\tO' +p151440 +aS'talking\ttalk\tVBG\tB-VP\tO' +p151441 +aS',\t,\t,\tO\tO' +p151442 +aS'and\tand\tCC\tO\tO' +p151443 +aS'was\tbe\tVBD\tB-VP\tO' +p151444 +aS'breathing\tbreathing\tNN\tB-NP\tO' +p151445 +aS'without\twithout\tIN\tB-PP\tO' +p151446 +aS'difficulty\tdifficulty\tNN\tB-NP\tO' +p151447 +aS'on\ton\tIN\tB-PP\tO' +p151448 +aS'arrival\tarrival\tNN\tB-NP\tO' +p151449 +aS'.\t.\t.\tO\tO' +p151450 +asS'To do this , mannitol 25 mg q. 6h. was used .' +p151451 +(lp151452 +S'To\tTo\tTO\tB-VP\tO' +p151453 +aS'do\tdo\tVB\tI-VP\tO' +p151454 +aS'this\tthis\tDT\tB-NP\tO' +p151455 +aS',\t,\t,\tO\tO' +p151456 +aS'mannitol\tmannitol\tNN\tB-NP\tO' +p151457 +aS'25\t25\tCD\tI-NP\tO' +p151458 +aS'mg\tmg\tNN\tI-NP\tO' +p151459 +aS'q.\tq.\tNN\tI-NP\tO' +p151460 +aS'6h.\t6h.\tCD\tI-NP\tO' +p151461 +aS'was\tbe\tVBD\tB-VP\tO' +p151462 +aS'used\tuse\tVBN\tI-VP\tO' +p151463 +aS'.\t.\t.\tO\tO' +p151464 +asS'Subsequently , CMED CCU was consulted and he was transferred to our Service postoperatively .' +p151465 +(lp151466 +S'Subsequently\tSubsequently\tRB\tB-ADVP\tO' +p151467 +aS',\t,\t,\tO\tO' +p151468 +aS'CMED\tCMED\tVBN\tB-NP\tO' +p151469 +aS'CCU\tCCU\tNN\tI-NP\tO' +p151470 +aS'was\tbe\tVBD\tB-VP\tO' +p151471 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p151472 +aS'and\tand\tCC\tO\tO' +p151473 +aS'he\the\tPRP\tB-NP\tO' +p151474 +aS'was\tbe\tVBD\tB-VP\tO' +p151475 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p151476 +aS'to\tto\tTO\tB-PP\tO' +p151477 +aS'our\tour\tPRP$\tB-NP\tO' +p151478 +aS'Service\tService\tNN\tI-NP\tO' +p151479 +aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' +p151480 +aS'.\t.\t.\tO\tO' +p151481 +asS'Her face was symmetric .' +p151482 +(lp151483 +S'Her\tHer\tPRP$\tB-NP\tO' +p151484 +aS'face\tface\tNN\tI-NP\tO' +p151485 +aS'was\tbe\tVBD\tB-VP\tO' +p151486 +aS'symmetric\tsymmetric\tJJ\tB-ADJP\tO' +p151487 +aS'.\t.\t.\tO\tO' +p151488 +asS'Soft and nontender .' +p151489 +(lp151490 +S'Soft\tSoft\tJJ\tB-ADJP\tO' +p151491 +aS'and\tand\tCC\tI-ADJP\tO' +p151492 +aS'nontender\tnontender\tJJ\tI-ADJP\tO' +p151493 +aS'.\t.\t.\tO\tO' +p151494 +asS'Extremities were without clubbing , cyanosis or edema .' +p151495 +(lp151496 +S'Extremities\tExtremity\tNNS\tB-NP\tO' +p151497 +aS'were\tbe\tVBD\tB-VP\tO' +p151498 +aS'without\twithout\tIN\tB-PP\tO' +p151499 +aS'clubbing\tclubbing\tNN\tB-NP\tO' +p151500 +aS',\t,\t,\tI-NP\tO' +p151501 +aS'cyanosis\tcyanosis\tNN\tI-NP\tO' +p151502 +aS'or\tor\tCC\tI-NP\tO' +p151503 +aS'edema\tedema\tNN\tI-NP\tO' +p151504 +aS'.\t.\t.\tO\tO' +p151505 +asS'Colostomy with black stool .' +p151506 +(lp151507 +S'Colostomy\tColostomy\tNN\tB-NP\tO' +p151508 +aS'with\twith\tIN\tB-PP\tO' +p151509 +aS'black\tblack\tJJ\tB-NP\tO' +p151510 +aS'stool\tstool\tNN\tI-NP\tO' +p151511 +aS'.\t.\t.\tO\tO' +p151512 +asS'Generally he was a pleasant man with mild respiratory distress .' +p151513 +(lp151514 +S'Generally\tGenerally\tRB\tB-ADVP\tO' +p151515 +aS'he\the\tPRP\tB-NP\tO' +p151516 +aS'was\tbe\tVBD\tB-VP\tO' +p151517 +aS'a\ta\tDT\tB-NP\tO' +p151518 +aS'pleasant\tpleasant\tJJ\tI-NP\tO' +p151519 +aS'man\tman\tNN\tI-NP\tO' +p151520 +aS'with\twith\tIN\tB-PP\tO' +p151521 +aS'mild\tmild\tJJ\tB-NP\tO' +p151522 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p151523 +aS'distress\tdistress\tNN\tI-NP\tO' +p151524 +aS'.\t.\t.\tO\tO' +p151525 +asS'On postop day 6 , an ID consult noted erythema at the right IJ line site .' +p151526 +(lp151527 +S'On\tOn\tIN\tB-PP\tO' +p151528 +aS'postop\tpostop\tJJ\tB-NP\tO' +p151529 +aS'day\tday\tNN\tI-NP\tO' +p151530 +aS'6\t6\tCD\tI-NP\tO' +p151531 +aS',\t,\t,\tO\tO' +p151532 +aS'an\tan\tDT\tB-NP\tO' +p151533 +aS'ID\tID\tNN\tI-NP\tO' +p151534 +aS'consult\tconsult\tNN\tI-NP\tO' +p151535 +aS'noted\tnote\tVBD\tB-VP\tO' +p151536 +aS'erythema\terythema\tNN\tB-NP\tO' +p151537 +aS'at\tat\tIN\tB-PP\tO' +p151538 +aS'the\tthe\tDT\tB-NP\tO' +p151539 +aS'right\tright\tJJ\tI-NP\tB-DNA' +p151540 +aS'IJ\tIJ\tNN\tI-NP\tI-DNA' +p151541 +aS'line\tline\tNN\tI-NP\tI-DNA' +p151542 +aS'site\tsite\tNN\tI-NP\tI-DNA' +p151543 +aS'.\t.\t.\tO\tO' +p151544 +asS'2) deep venous thrombosis and pulmonary embolus ; the wife states since he was in the infantry in World War II .' +p151545 +(lp151546 +S'2)\t2)\tLS\tB-NP\tO' +p151547 +aS'deep\tdeep\tJJ\tI-NP\tO' +p151548 +aS'venous\tvenous\tJJ\tI-NP\tO' +p151549 +aS'thrombosis\tthrombosis\tNN\tI-NP\tO' +p151550 +aS'and\tand\tCC\tO\tO' +p151551 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p151552 +aS'embolus\tembolus\tNN\tI-NP\tO' +p151553 +aS';\t;\t:\tO\tO' +p151554 +aS'the\tthe\tDT\tB-NP\tO' +p151555 +aS'wife\twife\tNN\tI-NP\tO' +p151556 +aS'states\tstate\tNNS\tI-NP\tO' +p151557 +aS'since\tsince\tIN\tB-SBAR\tO' +p151558 +aS'he\the\tPRP\tB-NP\tO' +p151559 +aS'was\tbe\tVBD\tB-VP\tO' +p151560 +aS'in\tin\tIN\tB-PP\tO' +p151561 +aS'the\tthe\tDT\tB-NP\tO' +p151562 +aS'infantry\tinfantry\tNN\tI-NP\tO' +p151563 +aS'in\tin\tIN\tB-PP\tO' +p151564 +aS'World\tWorld\tNNP\tB-NP\tO' +p151565 +aS'War\tWar\tNNP\tI-NP\tO' +p151566 +aS'II\tII\tNNP\tI-NP\tO' +p151567 +aS'.\t.\t.\tO\tO' +p151568 +asS'This was negative .' +p151569 +(lp151570 +S'This\tThis\tDT\tB-NP\tO' +p151571 +aS'was\tbe\tVBD\tB-VP\tO' +p151572 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p151573 +aS'.\t.\t.\tO\tO' +p151574 +asS'Family Hx : father with lung ca .' +p151575 +(lp151576 +S'Family\tFamily\tRB\tB-NP\tO' +p151577 +aS'Hx\tHx\tNN\tI-NP\tO' +p151578 +aS':\t:\t:\tO\tO' +p151579 +aS'father\tfather\tNN\tB-NP\tO' +p151580 +aS'with\twith\tIN\tB-PP\tO' +p151581 +aS'lung\tlung\tNN\tB-NP\tO' +p151582 +aS'ca\tca\tNN\tI-NP\tO' +p151583 +aS'.\t.\t.\tO\tO' +p151584 +asS'BUN 12 , creatinine 0.6 , glucose 92 , uric acid 3.3. Cholesterol 236 , triglycerides 115 , HDL 99 , LDL 114 , total protein 6.2 , globulin 2.6 , direct bilirubin 0 , total bilirubin 0.2 , alkaline phosphatase 59 , amylase 64 , SGOT 16 , LDH 141 , CPK 57 .' +p151585 +(lp151586 +S'BUN\tBUN\tNN\tB-NP\tB-protein' +p151587 +aS'12\t12\tCD\tI-NP\tI-protein' +p151588 +aS',\t,\t,\tO\tO' +p151589 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p151590 +aS'0.6\t0.6\tCD\tI-NP\tO' +p151591 +aS',\t,\t,\tO\tO' +p151592 +aS'glucose\tglucose\tNN\tB-NP\tB-protein' +p151593 +aS'92\t92\tCD\tI-NP\tI-protein' +p151594 +aS',\t,\t,\tO\tO' +p151595 +aS'uric\turic\tJJ\tB-NP\tO' +p151596 +aS'acid\tacid\tNN\tI-NP\tO' +p151597 +aS'3.3.\t3.3.\tCD\tB-NP\tO' +p151598 +aS'Cholesterol\tCholesterol\tNN\tI-NP\tO' +p151599 +aS'236\t236\tCD\tB-NP\tO' +p151600 +aS',\t,\t,\tO\tO' +p151601 +aS'triglycerides\ttriglyceride\tNNS\tB-NP\tO' +p151602 +aS'115\t115\tCD\tB-NP\tO' +p151603 +aS',\t,\t,\tO\tO' +p151604 +aS'HDL\tHDL\tNN\tB-NP\tB-DNA' +p151605 +aS'99\t99\tCD\tI-NP\tI-DNA' +p151606 +aS',\t,\t,\tO\tO' +p151607 +aS'LDL\tLDL\tNN\tB-NP\tB-protein' +p151608 +aS'114\t114\tCD\tI-NP\tI-protein' +p151609 +aS',\t,\t,\tO\tO' +p151610 +aS'total\ttotal\tJJ\tB-NP\tO' +p151611 +aS'protein\tprotein\tNN\tI-NP\tO' +p151612 +aS'6.2\t6.2\tCD\tI-NP\tO' +p151613 +aS',\t,\t,\tO\tO' +p151614 +aS'globulin\tglobulin\tNN\tB-NP\tB-protein' +p151615 +aS'2.6\t2.6\tCD\tI-NP\tI-protein' +p151616 +aS',\t,\t,\tO\tO' +p151617 +aS'direct\tdirect\tJJ\tB-NP\tO' +p151618 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p151619 +aS'0\t0\tCD\tI-NP\tO' +p151620 +aS',\t,\t,\tO\tO' +p151621 +aS'total\ttotal\tJJ\tB-NP\tO' +p151622 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p151623 +aS'0.2\t0.2\tCD\tI-NP\tO' +p151624 +aS',\t,\t,\tO\tO' +p151625 +aS'alkaline\talkaline\tNN\tB-NP\tO' +p151626 +aS'phosphatase\tphosphatase\tNN\tI-NP\tO' +p151627 +aS'59\t59\tCD\tI-NP\tO' +p151628 +aS',\t,\t,\tO\tO' +p151629 +aS'amylase\tamylase\tNN\tB-NP\tO' +p151630 +aS'64\t64\tCD\tI-NP\tO' +p151631 +aS',\t,\t,\tO\tO' +p151632 +aS'SGOT\tSGOT\tNN\tB-NP\tO' +p151633 +aS'16\t16\tCD\tI-NP\tO' +p151634 +aS',\t,\t,\tO\tO' +p151635 +aS'LDH\tLDH\tNN\tB-NP\tB-protein' +p151636 +aS'141\t141\tCD\tI-NP\tI-protein' +p151637 +aS',\t,\t,\tO\tO' +p151638 +aS'CPK\tCPK\tNN\tB-NP\tB-DNA' +p151639 +aS'57\t57\tCD\tI-NP\tI-DNA' +p151640 +aS'.\t.\t.\tO\tO' +p151641 +asS'He was found to have an abd abcess which was drained via CT guidance on 06-01 .' +p151642 +(lp151643 +S'He\tHe\tPRP\tB-NP\tO' +p151644 +aS'was\tbe\tVBD\tB-VP\tO' +p151645 +aS'found\tfind\tVBN\tI-VP\tO' +p151646 +aS'to\tto\tTO\tI-VP\tO' +p151647 +aS'have\thave\tVB\tI-VP\tO' +p151648 +aS'an\tan\tDT\tB-NP\tO' +p151649 +aS'abd\tabd\tNN\tI-NP\tO' +p151650 +aS'abcess\tabcess\tNN\tI-NP\tO' +p151651 +aS'which\twhich\tWDT\tB-NP\tO' +p151652 +aS'was\tbe\tVBD\tB-VP\tO' +p151653 +aS'drained\tdrain\tVBN\tI-VP\tO' +p151654 +aS'via\tvia\tIN\tB-PP\tO' +p151655 +aS'CT\tCT\tNN\tB-NP\tO' +p151656 +aS'guidance\tguidance\tNN\tI-NP\tO' +p151657 +aS'on\ton\tIN\tB-PP\tO' +p151658 +aS'06-01\t06-01\tCD\tB-NP\tO' +p151659 +aS'.\t.\t.\tO\tO' +p151660 +asS'No other abnormalities were noted .' +p151661 +(lp151662 +S'No\tNo\tDT\tB-NP\tO' +p151663 +aS'other\tother\tJJ\tI-NP\tO' +p151664 +aS'abnormalities\tabnormality\tNNS\tI-NP\tO' +p151665 +aS'were\tbe\tVBD\tB-VP\tO' +p151666 +aS'noted\tnote\tVBN\tI-VP\tO' +p151667 +aS'.\t.\t.\tO\tO' +p151668 +asS'She is unable to lift either foot off the bed .' +p151669 +(lp151670 +S'She\tShe\tPRP\tB-NP\tO' +p151671 +aS'is\tbe\tVBZ\tB-VP\tO' +p151672 +aS'unable\tunable\tJJ\tB-ADJP\tO' +p151673 +aS'to\tto\tTO\tB-PP\tO' +p151674 +aS'lift\tlift\tNN\tB-NP\tO' +p151675 +aS'either\teither\tCC\tI-NP\tO' +p151676 +aS'foot\tfoot\tNN\tI-NP\tO' +p151677 +aS'off\toff\tIN\tB-PP\tO' +p151678 +aS'the\tthe\tDT\tB-NP\tO' +p151679 +aS'bed\tbed\tNN\tI-NP\tO' +p151680 +aS'.\t.\t.\tO\tO' +p151681 +asS"We continued to hold the patient 's home blood pressure medications ." +p151682 +(lp151683 +S'We\tWe\tPRP\tB-NP\tO' +p151684 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p151685 +aS'to\tto\tTO\tI-VP\tO' +p151686 +aS'hold\thold\tVB\tI-VP\tO' +p151687 +aS'the\tthe\tDT\tB-NP\tO' +p151688 +aS'patient\tpatient\tNN\tI-NP\tO' +p151689 +aS"'s\t's\tPOS\tB-NP\tO" +p151690 +aS'home\thome\tNN\tI-NP\tO' +p151691 +aS'blood\tblood\tNN\tI-NP\tO' +p151692 +aS'pressure\tpressure\tNN\tI-NP\tO' +p151693 +aS'medications\tmedication\tNNS\tI-NP\tO' +p151694 +aS'.\t.\t.\tO\tO' +p151695 +asS'The patient was discharged home .' +p151696 +(lp151697 +S'The\tThe\tDT\tB-NP\tO' +p151698 +aS'patient\tpatient\tNN\tI-NP\tO' +p151699 +aS'was\tbe\tVBD\tB-VP\tO' +p151700 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p151701 +aS'home\thome\tNN\tB-ADVP\tO' +p151702 +aS'.\t.\t.\tO\tO' +p151703 +asS'She was out of bed ambulating , tolerating a regular diet , voiding spontaneously .' +p151704 +(lp151705 +S'She\tShe\tPRP\tB-NP\tO' +p151706 +aS'was\tbe\tVBD\tB-VP\tO' +p151707 +aS'out\tout\tIN\tB-PP\tO' +p151708 +aS'of\tof\tIN\tB-PP\tO' +p151709 +aS'bed\tbed\tNN\tB-NP\tO' +p151710 +aS'ambulating\tambulating\tNN\tI-NP\tO' +p151711 +aS',\t,\t,\tO\tO' +p151712 +aS'tolerating\ttolerate\tVBG\tB-VP\tO' +p151713 +aS'a\ta\tDT\tB-NP\tO' +p151714 +aS'regular\tregular\tJJ\tI-NP\tO' +p151715 +aS'diet\tdiet\tNN\tI-NP\tO' +p151716 +aS',\t,\t,\tO\tO' +p151717 +aS'voiding\tvoid\tVBG\tB-VP\tO' +p151718 +aS'spontaneously\tspontaneously\tRB\tB-ADVP\tO' +p151719 +aS'.\t.\t.\tO\tO' +p151720 +asS'Signed electronically by : DR. Susan O. G. Aviles on : Robert 2010-01-14 7:23 PM' +p151721 +(lp151722 +S'Signed\tSign\tVBN\tB-VP\tO' +p151723 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p151724 +aS'by\tby\tIN\tB-PP\tO' +p151725 +aS':\t:\t:\tO\tO' +p151726 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p151727 +aS'Susan\tSusan\tNNP\tI-NP\tO' +p151728 +aS'O.\tO.\tNNP\tI-NP\tO' +p151729 +aS'G.\tG.\tNNP\tI-NP\tO' +p151730 +aS'Aviles\tAviles\tNNP\tI-NP\tO' +p151731 +aS'on\ton\tIN\tB-PP\tO' +p151732 +aS':\t:\t:\tO\tO' +p151733 +aS'Robert\tRobert\tNNP\tB-NP\tO' +p151734 +aS'2010-01-14\t2010-01-14\tCD\tB-NP\tO' +p151735 +aS'7:23\t7:23\tCD\tI-NP\tO' +p151736 +aS'PM\tPM\tNN\tI-NP\tO' +p151737 +asS'1. Positive lupus anti-coagulant .' +p151738 +(lp151739 +S'1.\t1.\tLS\tB-NP\tO' +p151740 +aS'Positive\tPositive\tJJ\tI-NP\tO' +p151741 +aS'lupus\tlupus\tNN\tI-NP\tO' +p151742 +aS'anti-coagulant\tanti-coagulant\tJJ\tB-ADJP\tO' +p151743 +aS'.\t.\t.\tO\tO' +p151744 +asS'No mass or vegetation is seen on the mitral valve .' +p151745 +(lp151746 +S'No\tNo\tDT\tB-NP\tO' +p151747 +aS'mass\tmass\tNN\tI-NP\tO' +p151748 +aS'or\tor\tCC\tI-NP\tO' +p151749 +aS'vegetation\tvegetation\tNN\tI-NP\tO' +p151750 +aS'is\tbe\tVBZ\tB-VP\tO' +p151751 +aS'seen\tsee\tVBN\tI-VP\tO' +p151752 +aS'on\ton\tIN\tB-PP\tO' +p151753 +aS'the\tthe\tDT\tB-NP\tO' +p151754 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p151755 +aS'valve\tvalve\tNN\tI-NP\tO' +p151756 +aS'.\t.\t.\tO\tO' +p151757 +asS'The patient was discharged to home in stable condition .' +p151758 +(lp151759 +S'The\tThe\tDT\tB-NP\tO' +p151760 +aS'patient\tpatient\tNN\tI-NP\tO' +p151761 +aS'was\tbe\tVBD\tB-VP\tO' +p151762 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p151763 +aS'to\tto\tTO\tB-PP\tO' +p151764 +aS'home\thome\tNN\tB-NP\tO' +p151765 +aS'in\tin\tIN\tB-PP\tO' +p151766 +aS'stable\tstable\tJJ\tB-NP\tO' +p151767 +aS'condition\tcondition\tNN\tI-NP\tO' +p151768 +aS'.\t.\t.\tO\tO' +p151769 +asS'visual fields were full o.s. , visual acuity was 20/70 o.s.' +p151770 +(lp151771 +S'visual\tvisual\tJJ\tB-NP\tO' +p151772 +aS'fields\tfield\tNNS\tI-NP\tO' +p151773 +aS'were\tbe\tVBD\tB-VP\tO' +p151774 +aS'full\tfull\tJJ\tB-NP\tO' +p151775 +aS'o.s.\to.s.\tNN\tI-NP\tO' +p151776 +aS',\t,\t,\tO\tO' +p151777 +aS'visual\tvisual\tJJ\tB-NP\tO' +p151778 +aS'acuity\tacuity\tNN\tI-NP\tO' +p151779 +aS'was\tbe\tVBD\tB-VP\tO' +p151780 +aS'20/70\t20/70\tCD\tB-NP\tO' +p151781 +aS'o.s.\to.s.\tNNS\tI-NP\tO' +p151782 +asS'7. Metoprolol Tartrate 25 mg Tablet Sig : 1.5 Tablets PO BID ( 2 times a day ) .' +p151783 +(lp151784 +S'7.\t7.\tCD\tB-NP\tO' +p151785 +aS'Metoprolol\tMetoprolol\tNNP\tI-NP\tO' +p151786 +aS'Tartrate\tTartrate\tNNP\tI-NP\tO' +p151787 +aS'25\t25\tCD\tI-NP\tO' +p151788 +aS'mg\tmg\tNN\tI-NP\tO' +p151789 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p151790 +aS'Sig\tSig\tNNP\tI-NP\tO' +p151791 +aS':\t:\t:\tO\tO' +p151792 +aS'1.5\t1.5\tCD\tB-NP\tO' +p151793 +aS'Tablets\tTablet\tNNS\tI-NP\tO' +p151794 +aS'PO\tPO\tNN\tI-NP\tO' +p151795 +aS'BID\tBID\tNN\tI-NP\tO' +p151796 +aS'(\t(\t(\tO\tO' +p151797 +aS'2\t2\tCD\tB-NP\tO' +p151798 +aS'times\ttime\tNNS\tI-NP\tO' +p151799 +aS'a\ta\tDT\tB-NP\tO' +p151800 +aS'day\tday\tNN\tI-NP\tO' +p151801 +aS')\t)\t)\tO\tO' +p151802 +aS'.\t.\t.\tO\tO' +p151803 +asS'There were no diagnostic electrocardiogram changes during the treadmill exercise test , although he did have 0.5 to 1 mm ST depression in II , III , and AVF .' +p151804 +(lp151805 +S'There\tThere\tEX\tB-NP\tO' +p151806 +aS'were\tbe\tVBD\tB-VP\tO' +p151807 +aS'no\tno\tDT\tB-NP\tO' +p151808 +aS'diagnostic\tdiagnostic\tJJ\tI-NP\tO' +p151809 +aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' +p151810 +aS'changes\tchange\tNNS\tI-NP\tO' +p151811 +aS'during\tduring\tIN\tB-PP\tO' +p151812 +aS'the\tthe\tDT\tB-NP\tO' +p151813 +aS'treadmill\ttreadmill\tNN\tI-NP\tO' +p151814 +aS'exercise\texercise\tNN\tI-NP\tO' +p151815 +aS'test\ttest\tNN\tI-NP\tO' +p151816 +aS',\t,\t,\tO\tO' +p151817 +aS'although\talthough\tIN\tB-SBAR\tO' +p151818 +aS'he\the\tPRP\tB-NP\tO' +p151819 +aS'did\tdo\tVBD\tB-VP\tO' +p151820 +aS'have\thave\tVB\tI-VP\tO' +p151821 +aS'0.5\t0.5\tCD\tB-NP\tO' +p151822 +aS'to\tto\tTO\tI-NP\tO' +p151823 +aS'1\t1\tCD\tI-NP\tO' +p151824 +aS'mm\tmm\tNN\tI-NP\tO' +p151825 +aS'ST\tST\tNN\tI-NP\tO' +p151826 +aS'depression\tdepression\tNN\tI-NP\tO' +p151827 +aS'in\tin\tIN\tB-PP\tO' +p151828 +aS'II\tII\tCD\tB-NP\tO' +p151829 +aS',\t,\t,\tI-NP\tO' +p151830 +aS'III\tIII\tCD\tI-NP\tO' +p151831 +aS',\t,\t,\tO\tO' +p151832 +aS'and\tand\tCC\tO\tO' +p151833 +aS'AVF\tAVF\tNN\tB-NP\tB-protein' +p151834 +aS'.\t.\t.\tO\tO' +p151835 +asS'Former smoker , quit 4 yrs ago , 30 pack year history' +p151836 +(lp151837 +S'Former\tFormer\tJJ\tB-NP\tO' +p151838 +aS'smoker\tsmoker\tNN\tI-NP\tO' +p151839 +aS',\t,\t,\tO\tO' +p151840 +aS'quit\tquit\tNN\tB-NP\tB-protein' +p151841 +aS'4\t4\tCD\tB-NP\tI-protein' +p151842 +aS'yrs\tyr\tNNS\tI-NP\tI-protein' +p151843 +aS'ago\tago\tRB\tB-ADVP\tO' +p151844 +aS',\t,\t,\tO\tO' +p151845 +aS'30\t30\tCD\tB-NP\tO' +p151846 +aS'pack\tpack\tNN\tI-NP\tO' +p151847 +aS'year\tyear\tNN\tI-NP\tO' +p151848 +aS'history\thistory\tNN\tI-NP\tO' +p151849 +asS'The patient currently lives in Son Wooda with his wife .' +p151850 +(lp151851 +S'The\tThe\tDT\tB-NP\tO' +p151852 +aS'patient\tpatient\tNN\tI-NP\tO' +p151853 +aS'currently\tcurrently\tRB\tB-ADVP\tO' +p151854 +aS'lives\tlive\tVBZ\tB-VP\tO' +p151855 +aS'in\tin\tIN\tB-PP\tO' +p151856 +aS'Son\tSon\tNNP\tB-NP\tO' +p151857 +aS'Wooda\tWooda\tNNP\tI-NP\tO' +p151858 +aS'with\twith\tIN\tB-PP\tO' +p151859 +aS'his\this\tPRP$\tB-NP\tO' +p151860 +aS'wife\twife\tNN\tI-NP\tO' +p151861 +aS'.\t.\t.\tO\tO' +p151862 +asS'Cardiovascular shows grade II/VI systolic ejection murmur , regular rate and rhythm .' +p151863 +(lp151864 +S'Cardiovascular\tCardiovascular\tJJ\tB-NP\tO' +p151865 +aS'shows\tshow\tNNS\tI-NP\tO' +p151866 +aS'grade\tgrade\tNN\tI-NP\tO' +p151867 +aS'II/VI\tII/VI\tNN\tI-NP\tO' +p151868 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p151869 +aS'ejection\tejection\tNN\tI-NP\tO' +p151870 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p151871 +aS',\t,\t,\tO\tO' +p151872 +aS'regular\tregular\tJJ\tB-NP\tO' +p151873 +aS'rate\trate\tNN\tI-NP\tO' +p151874 +aS'and\tand\tCC\tI-NP\tO' +p151875 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p151876 +aS'.\t.\t.\tO\tO' +p151877 +asS'He was subsequently started on amiodarone and is scheduled to complete a 10 week course .' +p151878 +(lp151879 +S'He\tHe\tPRP\tB-NP\tO' +p151880 +aS'was\tbe\tVBD\tB-VP\tO' +p151881 +aS'subsequently\tsubsequently\tRB\tI-VP\tO' +p151882 +aS'started\tstart\tVBN\tI-VP\tO' +p151883 +aS'on\ton\tIN\tB-PP\tO' +p151884 +aS'amiodarone\tamiodarone\tNN\tB-NP\tO' +p151885 +aS'and\tand\tCC\tO\tO' +p151886 +aS'is\tbe\tVBZ\tB-VP\tO' +p151887 +aS'scheduled\tschedule\tVBN\tI-VP\tO' +p151888 +aS'to\tto\tTO\tI-VP\tO' +p151889 +aS'complete\tcomplete\tVB\tI-VP\tO' +p151890 +aS'a\ta\tDT\tB-NP\tO' +p151891 +aS'10\t10\tCD\tI-NP\tO' +p151892 +aS'week\tweek\tNN\tI-NP\tO' +p151893 +aS'course\tcourse\tNN\tI-NP\tO' +p151894 +aS'.\t.\t.\tO\tO' +p151895 +asS'Cardiac catheterization and stent placement in the mid left anterior descending artery .' +p151896 +(lp151897 +S'Cardiac\tCardiac\tJJ\tB-NP\tO' +p151898 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p151899 +aS'and\tand\tCC\tO\tO' +p151900 +aS'stent\tstent\tJJ\tB-NP\tO' +p151901 +aS'placement\tplacement\tNN\tI-NP\tO' +p151902 +aS'in\tin\tIN\tB-PP\tO' +p151903 +aS'the\tthe\tDT\tB-NP\tO' +p151904 +aS'mid\tmid\tJJ\tI-NP\tO' +p151905 +aS'left\tleft\tJJ\tI-NP\tO' +p151906 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p151907 +aS'descending\tdescend\tVBG\tI-NP\tO' +p151908 +aS'artery\tartery\tNN\tI-NP\tO' +p151909 +aS'.\t.\t.\tO\tO' +p151910 +asS'The complete blood count on admission showed a white blood count of 14.5 , hematocrit 31.0 , hemoglobin 10.3 and platelet count 478,000 .' +p151911 +(lp151912 +S'The\tThe\tDT\tB-NP\tO' +p151913 +aS'complete\tcomplete\tJJ\tI-NP\tO' +p151914 +aS'blood\tblood\tNN\tI-NP\tO' +p151915 +aS'count\tcount\tNN\tI-NP\tO' +p151916 +aS'on\ton\tIN\tB-PP\tO' +p151917 +aS'admission\tadmission\tNN\tB-NP\tO' +p151918 +aS'showed\tshow\tVBD\tB-VP\tO' +p151919 +aS'a\ta\tDT\tB-NP\tO' +p151920 +aS'white\twhite\tJJ\tI-NP\tO' +p151921 +aS'blood\tblood\tNN\tI-NP\tO' +p151922 +aS'count\tcount\tNN\tI-NP\tO' +p151923 +aS'of\tof\tIN\tB-PP\tO' +p151924 +aS'14.5\t14.5\tCD\tB-NP\tO' +p151925 +aS',\t,\t,\tO\tO' +p151926 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p151927 +aS'31.0\t31.0\tCD\tI-NP\tI-protein' +p151928 +aS',\t,\t,\tO\tO' +p151929 +aS'hemoglobin\themoglobin\tNN\tB-NP\tB-protein' +p151930 +aS'10.3\t10.3\tCD\tI-NP\tI-protein' +p151931 +aS'and\tand\tCC\tO\tO' +p151932 +aS'platelet\tplatelet\tNN\tB-NP\tB-protein' +p151933 +aS'count\tcount\tNN\tI-NP\tI-protein' +p151934 +aS'478,000\t478,000\tCD\tI-NP\tI-protein' +p151935 +aS'.\t.\t.\tO\tO' +p151936 +asS's / p c-section B12 deficiency Anemia' +p151937 +(lp151938 +S's\ts\tNN\tB-NP\tB-protein' +p151939 +aS'/\t/\tSYM\tI-NP\tI-protein' +p151940 +aS'p\tp\tNN\tI-NP\tI-protein' +p151941 +aS'c-section\tc-section\tNN\tI-NP\tI-protein' +p151942 +aS'B12\tB12\tNN\tI-NP\tI-protein' +p151943 +aS'deficiency\tdeficiency\tNN\tI-NP\tO' +p151944 +aS'Anemia\tAnemia\tNN\tI-NP\tO' +p151945 +asS'At 9am the morning of admission he passed a large , bloody bowel movement and came to the Michael . There , his vitals were intially stable with a hct of 36.7 , though he was felt to be hypovolemic and this hemoconcentrated ; his previous hct was 39 about five months ago .' +p151946 +(lp151947 +S'At\tAt\tIN\tB-PP\tO' +p151948 +aS'9am\t9am\tCD\tB-NP\tO' +p151949 +aS'the\tthe\tDT\tB-NP\tO' +p151950 +aS'morning\tmorning\tNN\tI-NP\tO' +p151951 +aS'of\tof\tIN\tB-PP\tO' +p151952 +aS'admission\tadmission\tNN\tB-NP\tO' +p151953 +aS'he\the\tPRP\tB-NP\tO' +p151954 +aS'passed\tpass\tVBD\tB-VP\tO' +p151955 +aS'a\ta\tDT\tB-NP\tO' +p151956 +aS'large\tlarge\tJJ\tI-NP\tO' +p151957 +aS',\t,\t,\tI-NP\tO' +p151958 +aS'bloody\tbloody\tJJ\tI-NP\tO' +p151959 +aS'bowel\tbowel\tNN\tI-NP\tO' +p151960 +aS'movement\tmovement\tNN\tI-NP\tO' +p151961 +aS'and\tand\tCC\tO\tO' +p151962 +aS'came\tcome\tVBD\tB-VP\tO' +p151963 +aS'to\tto\tTO\tB-PP\tO' +p151964 +aS'the\tthe\tDT\tB-NP\tO' +p151965 +aS'Michael\tMichael\tNNP\tI-NP\tO' +p151966 +aS'.\t.\t.\tI-NP\tO' +p151967 +aS'There\tThere\tNNP\tI-NP\tO' +p151968 +aS',\t,\t,\tO\tO' +p151969 +aS'his\this\tPRP$\tB-NP\tO' +p151970 +aS'vitals\tvital\tNNS\tI-NP\tO' +p151971 +aS'were\tbe\tVBD\tB-VP\tO' +p151972 +aS'intially\tintially\tRB\tB-ADJP\tO' +p151973 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p151974 +aS'with\twith\tIN\tB-PP\tO' +p151975 +aS'a\ta\tDT\tB-NP\tO' +p151976 +aS'hct\thct\tNN\tI-NP\tO' +p151977 +aS'of\tof\tIN\tB-PP\tO' +p151978 +aS'36.7\t36.7\tCD\tB-NP\tO' +p151979 +aS',\t,\t,\tO\tO' +p151980 +aS'though\tthough\tIN\tB-SBAR\tO' +p151981 +aS'he\the\tPRP\tB-NP\tO' +p151982 +aS'was\tbe\tVBD\tB-VP\tO' +p151983 +aS'felt\tfeel\tVBN\tI-VP\tO' +p151984 +aS'to\tto\tTO\tI-VP\tO' +p151985 +aS'be\tbe\tVB\tI-VP\tO' +p151986 +aS'hypovolemic\thypovolemic\tJJ\tB-ADJP\tO' +p151987 +aS'and\tand\tCC\tO\tO' +p151988 +aS'this\tthis\tDT\tB-NP\tO' +p151989 +aS'hemoconcentrated\themoconcentrate\tVBN\tB-VP\tO' +p151990 +aS';\t;\t:\tO\tO' +p151991 +aS'his\this\tPRP$\tB-NP\tO' +p151992 +aS'previous\tprevious\tJJ\tI-NP\tO' +p151993 +aS'hct\thct\tNN\tI-NP\tO' +p151994 +aS'was\tbe\tVBD\tB-VP\tO' +p151995 +aS'39\t39\tCD\tB-NP\tO' +p151996 +aS'about\tabout\tIN\tB-NP\tO' +p151997 +aS'five\tfive\tCD\tI-NP\tO' +p151998 +aS'months\tmonth\tNNS\tI-NP\tO' +p151999 +aS'ago\tago\tRB\tB-ADVP\tO' +p152000 +aS'.\t.\t.\tO\tO' +p152001 +asS'Head CT showed a front focal hemorrhage in the left occipital lobe adjacent to the falx with intraparenchymal hemorrhage or epidural or subdural hemorrhage near the falx with no shift .' +p152002 +(lp152003 +S'Head\tHead\tNN\tB-NP\tO' +p152004 +aS'CT\tCT\tNN\tI-NP\tO' +p152005 +aS'showed\tshow\tVBD\tB-VP\tO' +p152006 +aS'a\ta\tDT\tB-NP\tO' +p152007 +aS'front\tfront\tJJ\tI-NP\tO' +p152008 +aS'focal\tfocal\tJJ\tI-NP\tO' +p152009 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p152010 +aS'in\tin\tIN\tB-PP\tO' +p152011 +aS'the\tthe\tDT\tB-NP\tO' +p152012 +aS'left\tleft\tJJ\tI-NP\tO' +p152013 +aS'occipital\toccipital\tNN\tI-NP\tO' +p152014 +aS'lobe\tlobe\tNN\tI-NP\tO' +p152015 +aS'adjacent\tadjacent\tJJ\tB-ADJP\tO' +p152016 +aS'to\tto\tTO\tB-PP\tO' +p152017 +aS'the\tthe\tDT\tB-NP\tO' +p152018 +aS'falx\tfalx\tNN\tI-NP\tO' +p152019 +aS'with\twith\tIN\tB-PP\tO' +p152020 +aS'intraparenchymal\tintraparenchymal\tJJ\tB-NP\tO' +p152021 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p152022 +aS'or\tor\tCC\tO\tO' +p152023 +aS'epidural\tepidural\tJJ\tB-NP\tO' +p152024 +aS'or\tor\tCC\tI-NP\tO' +p152025 +aS'subdural\tsubdural\tJJ\tI-NP\tO' +p152026 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p152027 +aS'near\tnear\tIN\tB-PP\tO' +p152028 +aS'the\tthe\tDT\tB-NP\tO' +p152029 +aS'falx\tfalx\tNN\tI-NP\tO' +p152030 +aS'with\twith\tIN\tB-PP\tO' +p152031 +aS'no\tno\tDT\tB-NP\tO' +p152032 +aS'shift\tshift\tNN\tI-NP\tO' +p152033 +aS'.\t.\t.\tO\tO' +p152034 +asS'1. Laparoscopic cholecystectomy as above .' +p152035 +(lp152036 +S'1.\t1.\tLS\tB-NP\tO' +p152037 +aS'Laparoscopic\tLaparoscopic\tJJ\tI-NP\tO' +p152038 +aS'cholecystectomy\tcholecystectomy\tNN\tI-NP\tO' +p152039 +aS'as\tas\tIN\tB-PP\tO' +p152040 +aS'above\tabove\tRB\tB-ADVP\tO' +p152041 +aS'.\t.\t.\tO\tO' +p152042 +asS'Gen : in NAD , but winces in pain with movements of his back .' +p152043 +(lp152044 +S'Gen\tGen\tNN\tB-NP\tO' +p152045 +aS':\t:\t:\tO\tO' +p152046 +aS'in\tin\tIN\tB-PP\tO' +p152047 +aS'NAD\tNAD\tNN\tB-NP\tO' +p152048 +aS',\t,\t,\tO\tO' +p152049 +aS'but\tbut\tCC\tO\tO' +p152050 +aS'winces\twince\tNNS\tB-NP\tO' +p152051 +aS'in\tin\tIN\tB-PP\tO' +p152052 +aS'pain\tpain\tNN\tB-NP\tO' +p152053 +aS'with\twith\tIN\tB-PP\tO' +p152054 +aS'movements\tmovement\tNNS\tB-NP\tO' +p152055 +aS'of\tof\tIN\tB-PP\tO' +p152056 +aS'his\this\tPRP$\tB-NP\tO' +p152057 +aS'back\tback\tNN\tI-NP\tO' +p152058 +aS'.\t.\t.\tO\tO' +p152059 +asS'The patient developed shortness of breath at home and the EMTs were called and the patient was found to be in respiratory distress .' +p152060 +(lp152061 +S'The\tThe\tDT\tB-NP\tO' +p152062 +aS'patient\tpatient\tNN\tI-NP\tO' +p152063 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p152064 +aS'shortness\tshortness\tNN\tB-NP\tO' +p152065 +aS'of\tof\tIN\tB-PP\tO' +p152066 +aS'breath\tbreath\tNN\tB-NP\tO' +p152067 +aS'at\tat\tIN\tB-PP\tO' +p152068 +aS'home\thome\tNN\tB-NP\tO' +p152069 +aS'and\tand\tCC\tO\tO' +p152070 +aS'the\tthe\tDT\tB-NP\tO' +p152071 +aS'EMTs\tEMT\tNNS\tI-NP\tO' +p152072 +aS'were\tbe\tVBD\tB-VP\tO' +p152073 +aS'called\tcall\tVBN\tI-VP\tO' +p152074 +aS'and\tand\tCC\tO\tO' +p152075 +aS'the\tthe\tDT\tB-NP\tO' +p152076 +aS'patient\tpatient\tNN\tI-NP\tO' +p152077 +aS'was\tbe\tVBD\tB-VP\tO' +p152078 +aS'found\tfind\tVBN\tI-VP\tO' +p152079 +aS'to\tto\tTO\tI-VP\tO' +p152080 +aS'be\tbe\tVB\tI-VP\tO' +p152081 +aS'in\tin\tIN\tB-PP\tO' +p152082 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p152083 +aS'distress\tdistress\tNN\tI-NP\tO' +p152084 +aS'.\t.\t.\tO\tO' +p152085 +asS'each 20 mEq dose to be given with 4 oz of fluid COZAAR ( LOSARTAN ) 50 MG PO QD' +p152086 +(lp152087 +S'each\teach\tDT\tB-NP\tO' +p152088 +aS'20\t20\tCD\tI-NP\tO' +p152089 +aS'mEq\tmEq\tNN\tI-NP\tO' +p152090 +aS'dose\tdose\tNN\tI-NP\tO' +p152091 +aS'to\tto\tTO\tB-VP\tO' +p152092 +aS'be\tbe\tVB\tI-VP\tO' +p152093 +aS'given\tgive\tVBN\tI-VP\tO' +p152094 +aS'with\twith\tIN\tB-PP\tO' +p152095 +aS'4\t4\tCD\tB-NP\tO' +p152096 +aS'oz\toz\tNN\tI-NP\tO' +p152097 +aS'of\tof\tIN\tB-PP\tO' +p152098 +aS'fluid\tfluid\tNN\tB-NP\tO' +p152099 +aS'COZAAR\tCOZAAR\tNN\tI-NP\tO' +p152100 +aS'(\t(\t(\tO\tO' +p152101 +aS'LOSARTAN\tLOSARTAN\tNN\tB-NP\tO' +p152102 +aS')\t)\t)\tO\tO' +p152103 +aS'50\t50\tCD\tB-NP\tO' +p152104 +aS'MG\tMG\tNN\tI-NP\tO' +p152105 +aS'PO\tPO\tNN\tI-NP\tO' +p152106 +aS'QD\tQD\tNN\tI-NP\tO' +p152107 +asS'Coumadin has caused bleeding from the mouth and nose on two occasions , on one occasion with prothrombin time 13 , and has been replaced by anti-platelet agents .' +p152108 +(lp152109 +S'Coumadin\tCoumadin\tNN\tB-NP\tO' +p152110 +aS'has\thave\tVBZ\tB-VP\tO' +p152111 +aS'caused\tcause\tVBN\tI-VP\tO' +p152112 +aS'bleeding\tbleed\tVBG\tI-VP\tO' +p152113 +aS'from\tfrom\tIN\tB-PP\tO' +p152114 +aS'the\tthe\tDT\tB-NP\tO' +p152115 +aS'mouth\tmouth\tNN\tI-NP\tO' +p152116 +aS'and\tand\tCC\tI-NP\tO' +p152117 +aS'nose\tnose\tNN\tI-NP\tO' +p152118 +aS'on\ton\tIN\tB-PP\tO' +p152119 +aS'two\ttwo\tCD\tB-NP\tO' +p152120 +aS'occasions\toccasion\tNNS\tI-NP\tO' +p152121 +aS',\t,\t,\tO\tO' +p152122 +aS'on\ton\tIN\tB-PP\tO' +p152123 +aS'one\tone\tCD\tB-NP\tO' +p152124 +aS'occasion\toccasion\tNN\tI-NP\tO' +p152125 +aS'with\twith\tIN\tB-PP\tO' +p152126 +aS'prothrombin\tprothrombin\tNN\tB-NP\tO' +p152127 +aS'time\ttime\tNN\tI-NP\tO' +p152128 +aS'13\t13\tCD\tB-NP\tO' +p152129 +aS',\t,\t,\tO\tO' +p152130 +aS'and\tand\tCC\tO\tO' +p152131 +aS'has\thave\tVBZ\tB-VP\tO' +p152132 +aS'been\tbe\tVBN\tI-VP\tO' +p152133 +aS'replaced\treplace\tVBN\tI-VP\tO' +p152134 +aS'by\tby\tIN\tB-PP\tO' +p152135 +aS'anti-platelet\tanti-platelet\tJJ\tB-NP\tO' +p152136 +aS'agents\tagent\tNNS\tI-NP\tO' +p152137 +aS'.\t.\t.\tO\tO' +p152138 +asS'He received a partial HD session , limited by hypotension .' +p152139 +(lp152140 +S'He\tHe\tPRP\tB-NP\tO' +p152141 +aS'received\treceive\tVBD\tB-VP\tO' +p152142 +aS'a\ta\tDT\tB-NP\tO' +p152143 +aS'partial\tpartial\tJJ\tI-NP\tO' +p152144 +aS'HD\tHD\tNN\tI-NP\tO' +p152145 +aS'session\tsession\tNN\tI-NP\tO' +p152146 +aS',\t,\t,\tO\tO' +p152147 +aS'limited\tlimit\tVBN\tB-VP\tO' +p152148 +aS'by\tby\tIN\tB-PP\tO' +p152149 +aS'hypotension\thypotension\tNN\tB-NP\tO' +p152150 +aS'.\t.\t.\tO\tO' +p152151 +asS'If more definitive information regarding ventricualr fuynction is needed , a cardiac MRI ( ( 951 ) 247-0244 ) or radionuclide study is suggested .' +p152152 +(lp152153 +S'If\tIf\tIN\tB-SBAR\tO' +p152154 +aS'more\tmore\tRBR\tB-NP\tO' +p152155 +aS'definitive\tdefinitive\tJJ\tI-NP\tO' +p152156 +aS'information\tinformation\tNN\tI-NP\tO' +p152157 +aS'regarding\tregard\tVBG\tB-VP\tO' +p152158 +aS'ventricualr\tventricualr\tNN\tB-NP\tO' +p152159 +aS'fuynction\tfuynction\tNN\tI-NP\tO' +p152160 +aS'is\tbe\tVBZ\tB-VP\tO' +p152161 +aS'needed\tneed\tVBN\tI-VP\tO' +p152162 +aS',\t,\t,\tO\tO' +p152163 +aS'a\ta\tDT\tB-NP\tO' +p152164 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p152165 +aS'MRI\tMRI\tNN\tI-NP\tO' +p152166 +aS'(\t(\t(\tO\tO' +p152167 +aS'(\t(\t(\tO\tO' +p152168 +aS'951\t951\tCD\tB-NP\tO' +p152169 +aS')\t)\t)\tO\tO' +p152170 +aS'247-0244\t247-0244\tCD\tB-NP\tO' +p152171 +aS')\t)\t)\tO\tO' +p152172 +aS'or\tor\tCC\tO\tO' +p152173 +aS'radionuclide\tradionuclide\tNN\tB-NP\tO' +p152174 +aS'study\tstudy\tNN\tI-NP\tO' +p152175 +aS'is\tbe\tVBZ\tB-VP\tO' +p152176 +aS'suggested\tsuggest\tVBN\tI-VP\tO' +p152177 +aS'.\t.\t.\tO\tO' +p152178 +asS'This was discussed with the GI Service who felt that this was not necessary given the recent colonoscopy that he had had in 05/2003 .' +p152179 +(lp152180 +S'This\tThis\tDT\tB-NP\tO' +p152181 +aS'was\tbe\tVBD\tB-VP\tO' +p152182 +aS'discussed\tdiscuss\tVBN\tI-VP\tO' +p152183 +aS'with\twith\tIN\tB-PP\tO' +p152184 +aS'the\tthe\tDT\tB-NP\tO' +p152185 +aS'GI\tGI\tNNP\tI-NP\tO' +p152186 +aS'Service\tService\tNNP\tI-NP\tO' +p152187 +aS'who\twho\tWP\tB-NP\tO' +p152188 +aS'felt\tfeel\tVBD\tB-VP\tO' +p152189 +aS'that\tthat\tIN\tB-SBAR\tO' +p152190 +aS'this\tthis\tDT\tB-NP\tO' +p152191 +aS'was\tbe\tVBD\tB-VP\tO' +p152192 +aS'not\tnot\tRB\tO\tO' +p152193 +aS'necessary\tnecessary\tJJ\tB-ADJP\tO' +p152194 +aS'given\tgive\tVBN\tB-PP\tO' +p152195 +aS'the\tthe\tDT\tB-NP\tO' +p152196 +aS'recent\trecent\tJJ\tI-NP\tO' +p152197 +aS'colonoscopy\tcolonoscopy\tNN\tI-NP\tO' +p152198 +aS'that\tthat\tIN\tB-SBAR\tO' +p152199 +aS'he\the\tPRP\tB-NP\tO' +p152200 +aS'had\thave\tVBD\tB-VP\tO' +p152201 +aS'had\thave\tVBN\tI-VP\tO' +p152202 +aS'in\tin\tIN\tB-PP\tO' +p152203 +aS'05/2003\t05/2003\tCD\tB-NP\tO' +p152204 +aS'.\t.\t.\tO\tO' +p152205 +asS'Ms Crossman was admitted on 2015-02-21 from an outside hospital to the ICU .' +p152206 +(lp152207 +S'Ms\tM\tNNS\tB-NP\tO' +p152208 +aS'Crossman\tCrossman\tNN\tI-NP\tO' +p152209 +aS'was\tbe\tVBD\tB-VP\tO' +p152210 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p152211 +aS'on\ton\tIN\tB-PP\tO' +p152212 +aS'2015-02-21\t2015-02-21\tCD\tB-NP\tO' +p152213 +aS'from\tfrom\tIN\tB-PP\tO' +p152214 +aS'an\tan\tDT\tB-NP\tO' +p152215 +aS'outside\toutside\tJJ\tI-NP\tO' +p152216 +aS'hospital\thospital\tNN\tI-NP\tO' +p152217 +aS'to\tto\tTO\tB-PP\tO' +p152218 +aS'the\tthe\tDT\tB-NP\tO' +p152219 +aS'ICU\tICU\tNN\tI-NP\tB-DNA' +p152220 +aS'.\t.\t.\tO\tO' +p152221 +asS'Following commands , oriented to name , place .' +p152222 +(lp152223 +S'Following\tFollow\tVBG\tB-NP\tO' +p152224 +aS'commands\tcommand\tNNS\tI-NP\tO' +p152225 +aS',\t,\t,\tO\tO' +p152226 +aS'oriented\torient\tVBN\tB-VP\tO' +p152227 +aS'to\tto\tTO\tB-PP\tO' +p152228 +aS'name\tname\tNN\tB-NP\tO' +p152229 +aS',\t,\t,\tO\tO' +p152230 +aS'place\tplace\tNN\tB-NP\tO' +p152231 +aS'.\t.\t.\tO\tO' +p152232 +asS'Chest x-ray was low lung volumes , no consolidation .' +p152233 +(lp152234 +S'Chest\tCh\tJJS\tB-NP\tO' +p152235 +aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' +p152236 +aS'was\tbe\tVBD\tB-VP\tO' +p152237 +aS'low\tlow\tJJ\tB-NP\tO' +p152238 +aS'lung\tlung\tNN\tI-NP\tO' +p152239 +aS'volumes\tvolume\tNNS\tI-NP\tO' +p152240 +aS',\t,\t,\tO\tO' +p152241 +aS'no\tno\tDT\tB-NP\tO' +p152242 +aS'consolidation\tconsolidation\tNN\tI-NP\tO' +p152243 +aS'.\t.\t.\tO\tO' +p152244 +asS'He was not taken to the OR .' +p152245 +(lp152246 +S'He\tHe\tPRP\tB-NP\tO' +p152247 +aS'was\tbe\tVBD\tB-VP\tO' +p152248 +aS'not\tnot\tRB\tI-VP\tO' +p152249 +aS'taken\ttake\tVBN\tI-VP\tO' +p152250 +aS'to\tto\tTO\tB-PP\tO' +p152251 +aS'the\tthe\tDT\tB-NP\tO' +p152252 +aS'OR\tOR\tNN\tI-NP\tB-protein' +p152253 +aS'.\t.\t.\tO\tO' +p152254 +asS'3. Coronary artery disease with a history of angina in the distant past .' +p152255 +(lp152256 +S'3.\t3.\tLS\tB-NP\tO' +p152257 +aS'Coronary\tCoronary\tJJ\tI-NP\tO' +p152258 +aS'artery\tartery\tNN\tI-NP\tO' +p152259 +aS'disease\tdisease\tNN\tI-NP\tO' +p152260 +aS'with\twith\tIN\tB-PP\tO' +p152261 +aS'a\ta\tDT\tB-NP\tO' +p152262 +aS'history\thistory\tNN\tI-NP\tO' +p152263 +aS'of\tof\tIN\tB-PP\tO' +p152264 +aS'angina\tangina\tNN\tB-NP\tO' +p152265 +aS'in\tin\tIN\tB-PP\tO' +p152266 +aS'the\tthe\tDT\tB-NP\tO' +p152267 +aS'distant\tdistant\tJJ\tI-NP\tO' +p152268 +aS'past\tpast\tNN\tI-NP\tO' +p152269 +aS'.\t.\t.\tO\tO' +p152270 +asS'Physical therapy saw the patient and cleared the patient for discharge .' +p152271 +(lp152272 +S'Physical\tPhysical\tJJ\tB-NP\tO' +p152273 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p152274 +aS'saw\tsee\tVBD\tB-VP\tO' +p152275 +aS'the\tthe\tDT\tB-NP\tO' +p152276 +aS'patient\tpatient\tNN\tI-NP\tO' +p152277 +aS'and\tand\tCC\tO\tO' +p152278 +aS'cleared\tclear\tVBD\tB-VP\tO' +p152279 +aS'the\tthe\tDT\tB-NP\tO' +p152280 +aS'patient\tpatient\tNN\tI-NP\tO' +p152281 +aS'for\tfor\tIN\tB-PP\tO' +p152282 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p152283 +aS'.\t.\t.\tO\tO' +p152284 +asS'Responsible After Study for Causing Admission ) s / p Multiple falls' +p152285 +(lp152286 +S'Responsible\tResponsible\tJJ\tB-ADJP\tO' +p152287 +aS'After\tAfter\tIN\tB-PP\tO' +p152288 +aS'Study\tStudy\tNN\tB-NP\tO' +p152289 +aS'for\tfor\tIN\tB-PP\tO' +p152290 +aS'Causing\tCause\tVBG\tB-NP\tO' +p152291 +aS'Admission\tAdmission\tNN\tI-NP\tO' +p152292 +aS')\t)\t)\tI-NP\tO' +p152293 +aS's\ts\tNN\tI-NP\tO' +p152294 +aS'/\t/\tSYM\tB-NP\tO' +p152295 +aS'p\tp\tNN\tI-NP\tO' +p152296 +aS'Multiple\tMultiple\tNN\tI-NP\tO' +p152297 +aS'falls\tfall\tVBZ\tB-VP\tO' +p152298 +asS'Patient reports no significant changes in how he feels over the past week .' +p152299 +(lp152300 +S'Patient\tPatient\tNN\tB-NP\tO' +p152301 +aS'reports\treport\tVBZ\tB-VP\tO' +p152302 +aS'no\tno\tDT\tB-NP\tO' +p152303 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p152304 +aS'changes\tchange\tNNS\tI-NP\tO' +p152305 +aS'in\tin\tIN\tB-PP\tO' +p152306 +aS'how\thow\tWRB\tB-ADVP\tO' +p152307 +aS'he\the\tPRP\tB-NP\tO' +p152308 +aS'feels\tfeel\tVBZ\tB-VP\tO' +p152309 +aS'over\tover\tIN\tB-PP\tO' +p152310 +aS'the\tthe\tDT\tB-NP\tO' +p152311 +aS'past\tpast\tJJ\tI-NP\tO' +p152312 +aS'week\tweek\tNN\tI-NP\tO' +p152313 +aS'.\t.\t.\tO\tO' +p152314 +asS'11. Lap cholecystectomy 7 weeks PTA' +p152315 +(lp152316 +S'11.\t11.\tLS\tB-NP\tO' +p152317 +aS'Lap\tLap\tNN\tI-NP\tB-protein' +p152318 +aS'cholecystectomy\tcholecystectomy\tNN\tI-NP\tO' +p152319 +aS'7\t7\tCD\tB-NP\tO' +p152320 +aS'weeks\tweek\tNNS\tI-NP\tO' +p152321 +aS'PTA\tPTA\tNN\tB-NP\tB-protein' +p152322 +asS'Chest x-ray and sputum culture obtained at the time were negative and the patient was treated with 100% nonrebreather which improved his oxygenation .' +p152323 +(lp152324 +S'Chest\tCh\tJJS\tB-NP\tO' +p152325 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p152326 +aS'and\tand\tCC\tI-NP\tO' +p152327 +aS'sputum\tsputum\tNN\tI-NP\tO' +p152328 +aS'culture\tculture\tNN\tI-NP\tO' +p152329 +aS'obtained\tobtain\tVBN\tB-VP\tO' +p152330 +aS'at\tat\tIN\tB-PP\tO' +p152331 +aS'the\tthe\tDT\tB-NP\tO' +p152332 +aS'time\ttime\tNN\tI-NP\tO' +p152333 +aS'were\tbe\tVBD\tB-VP\tO' +p152334 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p152335 +aS'and\tand\tCC\tO\tO' +p152336 +aS'the\tthe\tDT\tB-NP\tO' +p152337 +aS'patient\tpatient\tNN\tI-NP\tO' +p152338 +aS'was\tbe\tVBD\tB-VP\tO' +p152339 +aS'treated\ttreat\tVBN\tI-VP\tO' +p152340 +aS'with\twith\tIN\tB-PP\tO' +p152341 +aS'100%\t100%\tCD\tB-NP\tO' +p152342 +aS'nonrebreather\tnonrebreather\tNN\tI-NP\tO' +p152343 +aS'which\twhich\tWDT\tB-NP\tO' +p152344 +aS'improved\timprove\tVBD\tB-VP\tO' +p152345 +aS'his\this\tPRP$\tB-NP\tO' +p152346 +aS'oxygenation\toxygenation\tNN\tI-NP\tO' +p152347 +aS'.\t.\t.\tO\tO' +p152348 +asS'He came to the emergency room with chest pain on July 22 , 1994 , relieved with sublingual nitroglycerin .' +p152349 +(lp152350 +S'He\tHe\tPRP\tB-NP\tO' +p152351 +aS'came\tcome\tVBD\tB-VP\tO' +p152352 +aS'to\tto\tTO\tB-PP\tO' +p152353 +aS'the\tthe\tDT\tB-NP\tO' +p152354 +aS'emergency\temergency\tNN\tI-NP\tO' +p152355 +aS'room\troom\tNN\tI-NP\tO' +p152356 +aS'with\twith\tIN\tB-PP\tO' +p152357 +aS'chest\tchest\tNN\tB-NP\tO' +p152358 +aS'pain\tpain\tNN\tI-NP\tO' +p152359 +aS'on\ton\tIN\tB-PP\tO' +p152360 +aS'July\tJuly\tNNP\tB-NP\tO' +p152361 +aS'22\t22\tCD\tI-NP\tO' +p152362 +aS',\t,\t,\tI-NP\tO' +p152363 +aS'1994\t1994\tCD\tI-NP\tO' +p152364 +aS',\t,\t,\tO\tO' +p152365 +aS'relieved\trelieve\tVBN\tB-VP\tO' +p152366 +aS'with\twith\tIN\tB-PP\tO' +p152367 +aS'sublingual\tsublingual\tJJ\tB-NP\tO' +p152368 +aS'nitroglycerin\tnitroglycerin\tNN\tI-NP\tO' +p152369 +aS'.\t.\t.\tO\tO' +p152370 +asS'ALT was 181 , AST was 156 , LDH was 336 , alkaline phosphatase was 214 , and bilirubin was 12.7 total .' +p152371 +(lp152372 +S'ALT\tALT\tNN\tB-NP\tB-protein' +p152373 +aS'was\tbe\tVBD\tB-VP\tO' +p152374 +aS'181\t181\tCD\tB-NP\tO' +p152375 +aS',\t,\t,\tO\tO' +p152376 +aS'AST\tAST\tNN\tB-NP\tO' +p152377 +aS'was\tbe\tVBD\tB-VP\tO' +p152378 +aS'156\t156\tCD\tB-NP\tO' +p152379 +aS',\t,\t,\tO\tO' +p152380 +aS'LDH\tLDH\tNN\tB-NP\tB-protein' +p152381 +aS'was\tbe\tVBD\tB-VP\tO' +p152382 +aS'336\t336\tCD\tB-NP\tO' +p152383 +aS',\t,\t,\tO\tO' +p152384 +aS'alkaline\talkaline\tNN\tB-NP\tB-protein' +p152385 +aS'phosphatase\tphosphatase\tNN\tI-NP\tI-protein' +p152386 +aS'was\tbe\tVBD\tB-VP\tO' +p152387 +aS'214\t214\tCD\tB-NP\tO' +p152388 +aS',\t,\t,\tO\tO' +p152389 +aS'and\tand\tCC\tO\tO' +p152390 +aS'bilirubin\tbilirubin\tNN\tB-NP\tO' +p152391 +aS'was\tbe\tVBD\tB-VP\tO' +p152392 +aS'12.7\t12.7\tCD\tB-NP\tO' +p152393 +aS'total\ttotal\tNN\tI-NP\tO' +p152394 +aS'.\t.\t.\tO\tO' +p152395 +asS'He was continued on his MDI and was at his baseline 02 requirement throughout admission .' +p152396 +(lp152397 +S'He\tHe\tPRP\tB-NP\tO' +p152398 +aS'was\tbe\tVBD\tB-VP\tO' +p152399 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p152400 +aS'on\ton\tIN\tB-PP\tO' +p152401 +aS'his\this\tPRP$\tB-NP\tO' +p152402 +aS'MDI\tMDI\tNN\tI-NP\tB-protein' +p152403 +aS'and\tand\tCC\tO\tO' +p152404 +aS'was\tbe\tVBD\tB-VP\tO' +p152405 +aS'at\tat\tIN\tB-PP\tO' +p152406 +aS'his\this\tPRP$\tB-NP\tO' +p152407 +aS'baseline\tbaseline\tNN\tI-NP\tO' +p152408 +aS'02\t02\tCD\tI-NP\tO' +p152409 +aS'requirement\trequirement\tNN\tI-NP\tO' +p152410 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p152411 +aS'admission\tadmission\tNN\tB-NP\tO' +p152412 +aS'.\t.\t.\tO\tO' +p152413 +asS'The patient had some diarrhea .' +p152414 +(lp152415 +S'The\tThe\tDT\tB-NP\tO' +p152416 +aS'patient\tpatient\tNN\tI-NP\tO' +p152417 +aS'had\thave\tVBD\tB-VP\tO' +p152418 +aS'some\tsome\tDT\tB-NP\tO' +p152419 +aS'diarrhea\tdiarrhea\tNN\tI-NP\tO' +p152420 +aS'.\t.\t.\tO\tO' +p152421 +asS'10. Access - Left IJ placed 12-26 in Juan was discontinued during the hospitilization .' +p152422 +(lp152423 +S'10.\t10.\tLS\tO\tO' +p152424 +aS'Access\tAccess\tNNP\tO\tO' +p152425 +aS'-\t-\tHYPH\tO\tO' +p152426 +aS'Left\tLeft\tNNP\tB-NP\tO' +p152427 +aS'IJ\tIJ\tNNP\tI-NP\tO' +p152428 +aS'placed\tplace\tVBD\tB-VP\tO' +p152429 +aS'12-26\t12-26\tCD\tB-NP\tO' +p152430 +aS'in\tin\tIN\tB-PP\tO' +p152431 +aS'Juan\tJuan\tNNP\tB-NP\tO' +p152432 +aS'was\tbe\tVBD\tB-VP\tO' +p152433 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p152434 +aS'during\tduring\tIN\tB-PP\tO' +p152435 +aS'the\tthe\tDT\tB-NP\tO' +p152436 +aS'hospitilization\thospitilization\tNN\tI-NP\tO' +p152437 +aS'.\t.\t.\tO\tO' +p152438 +asS'No headache , neckpain , nausea , vomiting or focal weakness / numbness .' +p152439 +(lp152440 +S'No\tNo\tDT\tB-NP\tO' +p152441 +aS'headache\theadache\tNN\tI-NP\tO' +p152442 +aS',\t,\t,\tO\tO' +p152443 +aS'neckpain\tneckpain\tNN\tB-NP\tO' +p152444 +aS',\t,\t,\tO\tO' +p152445 +aS'nausea\tnausea\tNN\tB-NP\tO' +p152446 +aS',\t,\t,\tO\tO' +p152447 +aS'vomiting\tvomiting\tNN\tB-NP\tO' +p152448 +aS'or\tor\tCC\tO\tO' +p152449 +aS'focal\tfocal\tJJ\tB-NP\tO' +p152450 +aS'weakness\tweakness\tNN\tI-NP\tO' +p152451 +aS'/\t/\tSYM\tB-NP\tO' +p152452 +aS'numbness\tnumbness\tNN\tI-NP\tO' +p152453 +aS'.\t.\t.\tO\tO' +p152454 +asS'Multiple discussions were held between Dr. Mass , the rest of the surgical team , and the patient 's wife , with this same result .' +p152455 +(lp152456 +S'Multiple\tMultiple\tJJ\tB-NP\tO' +p152457 +aS'discussions\tdiscussion\tNNS\tI-NP\tO' +p152458 +aS'were\tbe\tVBD\tB-VP\tO' +p152459 +aS'held\thold\tVBN\tI-VP\tO' +p152460 +aS'between\tbetween\tIN\tB-PP\tO' +p152461 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p152462 +aS'Mass\tMass\tNNP\tI-NP\tO' +p152463 +aS',\t,\t,\tO\tO' +p152464 +aS'the\tthe\tDT\tB-NP\tO' +p152465 +aS'rest\trest\tNN\tI-NP\tO' +p152466 +aS'of\tof\tIN\tB-PP\tO' +p152467 +aS'the\tthe\tDT\tB-NP\tO' +p152468 +aS'surgical\tsurgical\tJJ\tI-NP\tO' +p152469 +aS'team\tteam\tNN\tI-NP\tO' +p152470 +aS',\t,\t,\tO\tO' +p152471 +aS'and\tand\tCC\tO\tO' +p152472 +aS'the\tthe\tDT\tB-NP\tO' +p152473 +aS'patient\tpatient\tNN\tI-NP\tO' +p152474 +aS''s\t'\tNNS\tI-NP\tO' +p152475 +aS'wife\twife\tNN\tI-NP\tO' +p152476 +aS',\t,\t,\tO\tO' +p152477 +aS'with\twith\tIN\tB-PP\tO' +p152478 +aS'this\tthis\tDT\tB-NP\tO' +p152479 +aS'same\tsame\tJJ\tI-NP\tO' +p152480 +aS'result\tresult\tNN\tI-NP\tO' +p152481 +aS'.\t.\t.\tO\tO' +p152482 +asS'EMS was called and the patient was taken to the emergency room .' +p152483 +(lp152484 +S'EMS\tEMS\tNNS\tB-NP\tO' +p152485 +aS'was\tbe\tVBD\tB-VP\tO' +p152486 +aS'called\tcall\tVBN\tI-VP\tO' +p152487 +aS'and\tand\tCC\tO\tO' +p152488 +aS'the\tthe\tDT\tB-NP\tO' +p152489 +aS'patient\tpatient\tNN\tI-NP\tO' +p152490 +aS'was\tbe\tVBD\tB-VP\tO' +p152491 +aS'taken\ttake\tVBN\tI-VP\tO' +p152492 +aS'to\tto\tTO\tB-PP\tO' +p152493 +aS'the\tthe\tDT\tB-NP\tO' +p152494 +aS'emergency\temergency\tNN\tI-NP\tO' +p152495 +aS'room\troom\tNN\tI-NP\tO' +p152496 +aS'.\t.\t.\tO\tO' +p152497 +asS'CBC was benign and blood cultures remained negative at 48 hours at which time ampicillin and gentamicin were discontinued .' +p152498 +(lp152499 +S'CBC\tCBC\tNN\tB-NP\tB-protein' +p152500 +aS'was\tbe\tVBD\tB-VP\tO' +p152501 +aS'benign\tbenign\tJJ\tB-NP\tO' +p152502 +aS'and\tand\tCC\tI-NP\tO' +p152503 +aS'blood\tblood\tNN\tI-NP\tO' +p152504 +aS'cultures\tculture\tNNS\tI-NP\tO' +p152505 +aS'remained\tremain\tVBD\tB-VP\tO' +p152506 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p152507 +aS'at\tat\tIN\tB-PP\tO' +p152508 +aS'48\t48\tCD\tB-NP\tO' +p152509 +aS'hours\thour\tNNS\tI-NP\tO' +p152510 +aS'at\tat\tIN\tB-PP\tO' +p152511 +aS'which\twhich\tWDT\tB-NP\tO' +p152512 +aS'time\ttime\tNN\tB-NP\tO' +p152513 +aS'ampicillin\tampicillin\tNN\tI-NP\tO' +p152514 +aS'and\tand\tCC\tI-NP\tO' +p152515 +aS'gentamicin\tgentamicin\tNN\tI-NP\tO' +p152516 +aS'were\tbe\tVBD\tB-VP\tO' +p152517 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p152518 +aS'.\t.\t.\tO\tO' +p152519 +asS'4. Halcion 0.25 mg p.o. at night .' +p152520 +(lp152521 +S'4.\t4.\tLS\tB-LST\tO' +p152522 +aS'Halcion\tHalcion\tNNP\tB-NP\tO' +p152523 +aS'0.25\t0.25\tCD\tI-NP\tO' +p152524 +aS'mg\tmg\tNN\tI-NP\tO' +p152525 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p152526 +aS'at\tat\tIN\tB-PP\tO' +p152527 +aS'night\tnight\tNN\tB-NP\tO' +p152528 +aS'.\t.\t.\tO\tO' +p152529 +asS"Other significant issues were the patient 's hematocrit on admission at 31.1 which dwindled down to 26.2 by 9-10 ." +p152530 +(lp152531 +S'Other\tOther\tJJ\tB-NP\tO' +p152532 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p152533 +aS'issues\tissue\tNNS\tI-NP\tO' +p152534 +aS'were\tbe\tVBD\tB-VP\tO' +p152535 +aS'the\tthe\tDT\tB-NP\tO' +p152536 +aS'patient\tpatient\tNN\tI-NP\tO' +p152537 +aS"'s\t's\tPOS\tB-NP\tO" +p152538 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p152539 +aS'on\ton\tIN\tB-PP\tO' +p152540 +aS'admission\tadmission\tNN\tB-NP\tO' +p152541 +aS'at\tat\tIN\tB-PP\tO' +p152542 +aS'31.1\t31.1\tCD\tB-NP\tO' +p152543 +aS'which\twhich\tWDT\tB-NP\tO' +p152544 +aS'dwindled\tdwindle\tVBD\tB-VP\tO' +p152545 +aS'down\tdown\tRB\tB-ADVP\tO' +p152546 +aS'to\tto\tTO\tB-PP\tO' +p152547 +aS'26.2\t26.2\tCD\tB-NP\tO' +p152548 +aS'by\tby\tIN\tB-PP\tO' +p152549 +aS'9-10\t9-10\tCD\tB-NP\tO' +p152550 +aS'.\t.\t.\tO\tO' +p152551 +asS'Initial results were within normal limits .' +p152552 +(lp152553 +S'Initial\tInitial\tJJ\tB-NP\tO' +p152554 +aS'results\tresult\tNNS\tI-NP\tO' +p152555 +aS'were\tbe\tVBD\tB-VP\tO' +p152556 +aS'within\twithin\tIN\tB-PP\tO' +p152557 +aS'normal\tnormal\tJJ\tB-NP\tO' +p152558 +aS'limits\tlimit\tNNS\tI-NP\tO' +p152559 +aS'.\t.\t.\tO\tO' +p152560 +asS'The patient will follow up with her primary care physician , Dr. Stoa Sterpbreutzsterp as has already been scheduled three weeks after the discharge date .' +p152561 +(lp152562 +S'The\tThe\tDT\tB-NP\tO' +p152563 +aS'patient\tpatient\tNN\tI-NP\tO' +p152564 +aS'will\twill\tMD\tB-VP\tO' +p152565 +aS'follow\tfollow\tVB\tI-VP\tO' +p152566 +aS'up\tup\tRP\tB-PRT\tO' +p152567 +aS'with\twith\tIN\tB-PP\tO' +p152568 +aS'her\ther\tPRP$\tB-NP\tO' +p152569 +aS'primary\tprimary\tJJ\tI-NP\tO' +p152570 +aS'care\tcare\tNN\tI-NP\tO' +p152571 +aS'physician\tphysician\tNN\tI-NP\tO' +p152572 +aS',\t,\t,\tO\tO' +p152573 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p152574 +aS'Stoa\tStoa\tNNP\tI-NP\tO' +p152575 +aS'Sterpbreutzsterp\tSterpbreutzsterp\tNNP\tI-NP\tO' +p152576 +aS'as\tas\tIN\tB-SBAR\tO' +p152577 +aS'has\thave\tVBZ\tB-VP\tO' +p152578 +aS'already\talready\tRB\tI-VP\tO' +p152579 +aS'been\tbe\tVBN\tI-VP\tO' +p152580 +aS'scheduled\tschedule\tVBN\tI-VP\tO' +p152581 +aS'three\tthree\tCD\tB-NP\tO' +p152582 +aS'weeks\tweek\tNNS\tI-NP\tO' +p152583 +aS'after\tafter\tIN\tB-SBAR\tO' +p152584 +aS'the\tthe\tDT\tB-NP\tO' +p152585 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p152586 +aS'date\tdate\tNN\tI-NP\tO' +p152587 +aS'.\t.\t.\tO\tO' +p152588 +asS'Language was normal .' +p152589 +(lp152590 +S'Language\tLanguage\tNN\tB-NP\tO' +p152591 +aS'was\tbe\tVBD\tB-VP\tO' +p152592 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p152593 +aS'.\t.\t.\tO\tO' +p152594 +asS'In addition , she developed nausea and decreased PO intake .' +p152595 +(lp152596 +S'In\tIn\tIN\tB-PP\tO' +p152597 +aS'addition\taddition\tNN\tB-NP\tO' +p152598 +aS',\t,\t,\tO\tO' +p152599 +aS'she\tshe\tPRP\tB-NP\tO' +p152600 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p152601 +aS'nausea\tnausea\tNN\tB-NP\tO' +p152602 +aS'and\tand\tCC\tO\tO' +p152603 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p152604 +aS'PO\tPO\tNN\tB-NP\tO' +p152605 +aS'intake\tintake\tNN\tI-NP\tO' +p152606 +aS'.\t.\t.\tO\tO' +p152607 +asS'Initially got steroids upon intubation .' +p152608 +(lp152609 +S'Initially\tInitially\tRB\tB-ADVP\tO' +p152610 +aS'got\tget\tVBD\tB-VP\tO' +p152611 +aS'steroids\tsteroid\tNNS\tB-NP\tO' +p152612 +aS'upon\tupon\tIN\tB-PP\tO' +p152613 +aS'intubation\tintubation\tNN\tB-NP\tO' +p152614 +aS'.\t.\t.\tO\tO' +p152615 +asS'Brought to the OR on 06-26 for CABG , please see OR report for details .' +p152616 +(lp152617 +S'Brought\tBring\tVBN\tB-VP\tO' +p152618 +aS'to\tto\tTO\tB-PP\tO' +p152619 +aS'the\tthe\tDT\tB-NP\tO' +p152620 +aS'OR\tOR\tNN\tI-NP\tO' +p152621 +aS'on\ton\tIN\tB-PP\tO' +p152622 +aS'06-26\t06-26\tCD\tB-NP\tO' +p152623 +aS'for\tfor\tIN\tB-PP\tO' +p152624 +aS'CABG\tCABG\tNN\tB-NP\tB-protein' +p152625 +aS',\t,\t,\tO\tO' +p152626 +aS'please\tplease\tVB\tB-VP\tO' +p152627 +aS'see\tsee\tVBP\tB-VP\tO' +p152628 +aS'OR\tOR\tNN\tB-NP\tO' +p152629 +aS'report\treport\tNN\tI-NP\tO' +p152630 +aS'for\tfor\tIN\tB-PP\tO' +p152631 +aS'details\tdetail\tNNS\tB-NP\tO' +p152632 +aS'.\t.\t.\tO\tO' +p152633 +asS'The study is otherwise unchanged from pre-bypass .' +p152634 +(lp152635 +S'The\tThe\tDT\tB-NP\tO' +p152636 +aS'study\tstudy\tNN\tI-NP\tO' +p152637 +aS'is\tbe\tVBZ\tB-VP\tO' +p152638 +aS'otherwise\totherwise\tRB\tB-ADJP\tO' +p152639 +aS'unchanged\tunchanged\tJJ\tI-ADJP\tO' +p152640 +aS'from\tfrom\tIN\tB-PP\tO' +p152641 +aS'pre-bypass\tpre-bypass\tJJ\tB-ADJP\tO' +p152642 +aS'.\t.\t.\tO\tO' +p152643 +asS'Cardiac catheterization demonstrated elevated right and left-sided filling pressures at rest , with pulmonary hypertension and normal cardiac index .' +p152644 +(lp152645 +S'Cardiac\tCardiac\tJJ\tB-NP\tO' +p152646 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p152647 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p152648 +aS'elevated\televate\tVBN\tI-VP\tO' +p152649 +aS'right\tright\tJJ\tB-NP\tO' +p152650 +aS'and\tand\tCC\tI-NP\tO' +p152651 +aS'left-sided\tleft-sided\tJJ\tI-NP\tO' +p152652 +aS'filling\tfilling\tNN\tI-NP\tO' +p152653 +aS'pressures\tpressure\tNNS\tI-NP\tO' +p152654 +aS'at\tat\tIN\tB-PP\tO' +p152655 +aS'rest\trest\tNN\tB-NP\tO' +p152656 +aS',\t,\t,\tO\tO' +p152657 +aS'with\twith\tIN\tB-PP\tO' +p152658 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p152659 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p152660 +aS'and\tand\tCC\tO\tO' +p152661 +aS'normal\tnormal\tJJ\tB-NP\tO' +p152662 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p152663 +aS'index\tindex\tNN\tI-NP\tO' +p152664 +aS'.\t.\t.\tO\tO' +p152665 +asS'The patient had twin LAD stents to the LAD diagonal and LAD septal branches with Taxus stents .' +p152666 +(lp152667 +S'The\tThe\tDT\tB-NP\tO' +p152668 +aS'patient\tpatient\tNN\tI-NP\tO' +p152669 +aS'had\thave\tVBD\tB-VP\tO' +p152670 +aS'twin\ttwin\tJJ\tB-NP\tO' +p152671 +aS'LAD\tLAD\tNN\tI-NP\tO' +p152672 +aS'stents\tstent\tNNS\tI-NP\tO' +p152673 +aS'to\tto\tTO\tB-PP\tO' +p152674 +aS'the\tthe\tDT\tB-NP\tO' +p152675 +aS'LAD\tLAD\tNN\tI-NP\tO' +p152676 +aS'diagonal\tdiagonal\tJJ\tB-ADJP\tO' +p152677 +aS'and\tand\tCC\tO\tO' +p152678 +aS'LAD\tLAD\tNN\tB-VP\tO' +p152679 +aS'septal\tseptal\tJJ\tB-NP\tO' +p152680 +aS'branches\tbranch\tNNS\tI-NP\tO' +p152681 +aS'with\twith\tIN\tB-PP\tO' +p152682 +aS'Taxus\tTaxus\tNN\tB-NP\tO' +p152683 +aS'stents\tstent\tNNS\tI-NP\tO' +p152684 +aS'.\t.\t.\tO\tO' +p152685 +asS'Sclerae are anicteric .' +p152686 +(lp152687 +S'Sclerae\tSclerae\tNNS\tB-NP\tO' +p152688 +aS'are\tbe\tVBP\tB-VP\tO' +p152689 +aS'anicteric\tanicteric\tJJ\tB-ADJP\tO' +p152690 +aS'.\t.\t.\tO\tO' +p152691 +asS'Serial cardiac enzymes negative .' +p152692 +(lp152693 +S'Serial\tSerial\tJJ\tB-NP\tB-protein' +p152694 +aS'cardiac\tcardiac\tJJ\tI-NP\tI-protein' +p152695 +aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' +p152696 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p152697 +aS'.\t.\t.\tO\tO' +p152698 +asS'1) Multiple myeloma .' +p152699 +(lp152700 +S'1)\t1)\tLS\tB-NP\tO' +p152701 +aS'Multiple\tMultiple\tJJ\tI-NP\tO' +p152702 +aS'myeloma\tmyeloma\tNN\tI-NP\tO' +p152703 +aS'.\t.\t.\tO\tO' +p152704 +asS'She was NPO periodically but maintained a normal diet prior to discharge .' +p152705 +(lp152706 +S'She\tShe\tPRP\tB-NP\tO' +p152707 +aS'was\tbe\tVBD\tB-VP\tO' +p152708 +aS'NPO\tNPO\tNN\tB-NP\tB-protein' +p152709 +aS'periodically\tperiodically\tRB\tB-ADVP\tO' +p152710 +aS'but\tbut\tCC\tO\tO' +p152711 +aS'maintained\tmaintain\tVBD\tB-VP\tO' +p152712 +aS'a\ta\tDT\tB-NP\tO' +p152713 +aS'normal\tnormal\tJJ\tI-NP\tO' +p152714 +aS'diet\tdiet\tNN\tI-NP\tO' +p152715 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p152716 +aS'to\tto\tTO\tB-VP\tO' +p152717 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p152718 +aS'.\t.\t.\tO\tO' +p152719 +asS'Therefore , he went to repeat cardiac catheterization which revealed that the left anterior descending site was patent and revealed a distal PDA lesion and a circumflex lesion after the OM .' +p152720 +(lp152721 +S'Therefore\tTherefore\tRB\tB-ADVP\tO' +p152722 +aS',\t,\t,\tO\tO' +p152723 +aS'he\the\tPRP\tB-NP\tO' +p152724 +aS'went\tgo\tVBD\tB-VP\tO' +p152725 +aS'to\tto\tTO\tI-VP\tO' +p152726 +aS'repeat\trepeat\tVB\tI-VP\tO' +p152727 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p152728 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p152729 +aS'which\twhich\tWDT\tB-NP\tO' +p152730 +aS'revealed\treveal\tVBD\tB-VP\tO' +p152731 +aS'that\tthat\tIN\tB-SBAR\tO' +p152732 +aS'the\tthe\tDT\tB-NP\tO' +p152733 +aS'left\tleft\tJJ\tI-NP\tB-DNA' +p152734 +aS'anterior\tanterior\tJJ\tI-NP\tI-DNA' +p152735 +aS'descending\tdescend\tVBG\tI-NP\tI-DNA' +p152736 +aS'site\tsite\tNN\tI-NP\tI-DNA' +p152737 +aS'was\tbe\tVBD\tB-VP\tO' +p152738 +aS'patent\tpatent\tNN\tB-NP\tO' +p152739 +aS'and\tand\tCC\tO\tO' +p152740 +aS'revealed\treveal\tVBD\tB-VP\tO' +p152741 +aS'a\ta\tDT\tB-NP\tO' +p152742 +aS'distal\tdistal\tJJ\tI-NP\tO' +p152743 +aS'PDA\tPDA\tNN\tI-NP\tO' +p152744 +aS'lesion\tlesion\tNN\tI-NP\tO' +p152745 +aS'and\tand\tCC\tO\tO' +p152746 +aS'a\ta\tDT\tB-NP\tO' +p152747 +aS'circumflex\tcircumflex\tNN\tI-NP\tO' +p152748 +aS'lesion\tlesion\tNN\tI-NP\tO' +p152749 +aS'after\tafter\tIN\tB-PP\tO' +p152750 +aS'the\tthe\tDT\tB-NP\tO' +p152751 +aS'OM\tOM\tNN\tI-NP\tO' +p152752 +aS'.\t.\t.\tO\tO' +p152753 +asS'Post operative fever fever status post Reveision Right craniotomy and revsion of bone flap change in mental status' +p152754 +(lp152755 +S'Post\tPost\tJJ\tB-NP\tO' +p152756 +aS'operative\toperative\tJJ\tI-NP\tO' +p152757 +aS'fever\tfever\tNN\tI-NP\tO' +p152758 +aS'fever\tfever\tNN\tI-NP\tO' +p152759 +aS'status\tstatus\tNN\tI-NP\tO' +p152760 +aS'post\tpost\tNN\tI-NP\tO' +p152761 +aS'Reveision\tReveision\tNN\tI-NP\tO' +p152762 +aS'Right\tRight\tNN\tI-NP\tO' +p152763 +aS'craniotomy\tcraniotomy\tNN\tI-NP\tO' +p152764 +aS'and\tand\tCC\tI-NP\tO' +p152765 +aS'revsion\trevsion\tNN\tI-NP\tO' +p152766 +aS'of\tof\tIN\tB-PP\tO' +p152767 +aS'bone\tbone\tNN\tB-NP\tO' +p152768 +aS'flap\tflap\tNN\tI-NP\tO' +p152769 +aS'change\tchange\tNN\tI-NP\tO' +p152770 +aS'in\tin\tIN\tB-PP\tO' +p152771 +aS'mental\tmental\tJJ\tB-NP\tO' +p152772 +aS'status\tstatus\tNN\tI-NP\tO' +p152773 +asS'2. Cardiomyopathy .' +p152774 +(lp152775 +S'2.\t2.\tLS\tB-NP\tO' +p152776 +aS'Cardiomyopathy\tCardiomyopathy\tNN\tI-NP\tO' +p152777 +aS'.\t.\t.\tO\tO' +p152778 +asS'A bone marrow biopsy revealed the transformation of his CMML to acute myelogenous leukemia , and given his other underlying medical problems , we chose chemotherapy with subcutaneous Cystosine Arabinoside and 6-Thioguanine , which he tolerated without incident and this brought his white blood count down to below 1,000 , and his spleen shrank noticeably , but he still could not maintain a bump in platelet count with platelet transfusions .' +p152779 +(lp152780 +S'A\tA\tDT\tB-NP\tO' +p152781 +aS'bone\tbone\tNN\tI-NP\tO' +p152782 +aS'marrow\tmarrow\tNN\tI-NP\tO' +p152783 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p152784 +aS'revealed\treveal\tVBD\tB-VP\tO' +p152785 +aS'the\tthe\tDT\tB-NP\tO' +p152786 +aS'transformation\ttransformation\tNN\tI-NP\tO' +p152787 +aS'of\tof\tIN\tB-PP\tO' +p152788 +aS'his\this\tPRP$\tB-NP\tO' +p152789 +aS'CMML\tCMML\tNN\tI-NP\tB-protein' +p152790 +aS'to\tto\tTO\tB-PP\tO' +p152791 +aS'acute\tacute\tJJ\tB-NP\tO' +p152792 +aS'myelogenous\tmyelogenous\tJJ\tI-NP\tO' +p152793 +aS'leukemia\tleukemia\tNN\tI-NP\tO' +p152794 +aS',\t,\t,\tO\tO' +p152795 +aS'and\tand\tCC\tO\tO' +p152796 +aS'given\tgive\tVBN\tB-VP\tO' +p152797 +aS'his\this\tPRP$\tB-NP\tO' +p152798 +aS'other\tother\tJJ\tI-NP\tO' +p152799 +aS'underlying\tunderlie\tVBG\tI-NP\tO' +p152800 +aS'medical\tmedical\tJJ\tI-NP\tO' +p152801 +aS'problems\tproblem\tNNS\tI-NP\tO' +p152802 +aS',\t,\t,\tO\tO' +p152803 +aS'we\twe\tPRP\tB-NP\tO' +p152804 +aS'chose\tchoose\tVBD\tB-VP\tO' +p152805 +aS'chemotherapy\tchemotherapy\tNN\tB-NP\tO' +p152806 +aS'with\twith\tIN\tB-PP\tO' +p152807 +aS'subcutaneous\tsubcutaneous\tJJ\tB-NP\tO' +p152808 +aS'Cystosine\tCystosine\tNN\tI-NP\tO' +p152809 +aS'Arabinoside\tArabinoside\tNN\tI-NP\tO' +p152810 +aS'and\tand\tCC\tI-NP\tO' +p152811 +aS'6-Thioguanine\t6-Thioguanine\tNN\tI-NP\tO' +p152812 +aS',\t,\t,\tO\tO' +p152813 +aS'which\twhich\tWDT\tB-NP\tO' +p152814 +aS'he\the\tPRP\tB-NP\tO' +p152815 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p152816 +aS'without\twithout\tIN\tB-PP\tO' +p152817 +aS'incident\tincident\tNN\tB-NP\tO' +p152818 +aS'and\tand\tCC\tO\tO' +p152819 +aS'this\tthis\tDT\tB-NP\tO' +p152820 +aS'brought\tbring\tVBD\tB-VP\tO' +p152821 +aS'his\this\tPRP$\tB-NP\tO' +p152822 +aS'white\twhite\tJJ\tI-NP\tO' +p152823 +aS'blood\tblood\tNN\tI-NP\tO' +p152824 +aS'count\tcount\tNN\tI-NP\tO' +p152825 +aS'down\tdown\tRB\tB-ADVP\tO' +p152826 +aS'to\tto\tTO\tB-PP\tO' +p152827 +aS'below\tbelow\tIN\tB-PP\tO' +p152828 +aS'1,000\t1,000\tCD\tB-NP\tO' +p152829 +aS',\t,\t,\tO\tO' +p152830 +aS'and\tand\tCC\tO\tO' +p152831 +aS'his\this\tPRP$\tB-NP\tO' +p152832 +aS'spleen\tspleen\tNN\tI-NP\tO' +p152833 +aS'shrank\tshrink\tVBD\tB-VP\tO' +p152834 +aS'noticeably\tnoticeably\tRB\tB-ADVP\tO' +p152835 +aS',\t,\t,\tO\tO' +p152836 +aS'but\tbut\tCC\tO\tO' +p152837 +aS'he\the\tPRP\tB-NP\tO' +p152838 +aS'still\tstill\tRB\tB-ADVP\tO' +p152839 +aS'could\tcould\tMD\tB-VP\tO' +p152840 +aS'not\tnot\tRB\tI-VP\tO' +p152841 +aS'maintain\tmaintain\tVB\tI-VP\tO' +p152842 +aS'a\ta\tDT\tB-NP\tO' +p152843 +aS'bump\tbump\tNN\tI-NP\tO' +p152844 +aS'in\tin\tIN\tB-PP\tO' +p152845 +aS'platelet\tplatelet\tNN\tB-NP\tO' +p152846 +aS'count\tcount\tNN\tI-NP\tO' +p152847 +aS'with\twith\tIN\tB-PP\tO' +p152848 +aS'platelet\tplatelet\tNN\tB-NP\tO' +p152849 +aS'transfusions\ttransfusion\tNNS\tI-NP\tO' +p152850 +aS'.\t.\t.\tO\tO' +p152851 +asS'Her dialysis was managed by renal service in house .' +p152852 +(lp152853 +S'Her\tHer\tPRP$\tB-NP\tO' +p152854 +aS'dialysis\tdialysis\tNN\tI-NP\tO' +p152855 +aS'was\tbe\tVBD\tB-VP\tO' +p152856 +aS'managed\tmanage\tVBN\tI-VP\tO' +p152857 +aS'by\tby\tIN\tB-PP\tO' +p152858 +aS'renal\trenal\tJJ\tB-NP\tO' +p152859 +aS'service\tservice\tNN\tI-NP\tO' +p152860 +aS'in\tin\tIN\tB-PP\tO' +p152861 +aS'house\thouse\tNN\tB-NP\tO' +p152862 +aS'.\t.\t.\tO\tO' +p152863 +asS'1) Serratia urosepsis treated with ceftizoxime .' +p152864 +(lp152865 +S'1)\t1)\tLS\tB-NP\tO' +p152866 +aS'Serratia\tSerratia\tNN\tI-NP\tO' +p152867 +aS'urosepsis\turosepsis\tNN\tI-NP\tO' +p152868 +aS'treated\ttreat\tVBN\tB-VP\tO' +p152869 +aS'with\twith\tIN\tB-PP\tO' +p152870 +aS'ceftizoxime\tceftizoxime\tNN\tB-NP\tO' +p152871 +aS'.\t.\t.\tO\tO' +p152872 +asS'With improvements of her ventilation and oxygenation and treatment with levofloxacin of her UTI and pneumonia , her mental status greatly improved on hospital day two without further waxing and waning .' +p152873 +(lp152874 +S'With\tWith\tIN\tB-PP\tO' +p152875 +aS'improvements\timprovement\tNNS\tB-NP\tO' +p152876 +aS'of\tof\tIN\tB-PP\tO' +p152877 +aS'her\ther\tPRP$\tB-NP\tO' +p152878 +aS'ventilation\tventilation\tNN\tI-NP\tO' +p152879 +aS'and\tand\tCC\tI-NP\tO' +p152880 +aS'oxygenation\toxygenation\tNN\tI-NP\tO' +p152881 +aS'and\tand\tCC\tI-NP\tO' +p152882 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p152883 +aS'with\twith\tIN\tB-PP\tO' +p152884 +aS'levofloxacin\tlevofloxacin\tNN\tB-NP\tO' +p152885 +aS'of\tof\tIN\tB-PP\tO' +p152886 +aS'her\ther\tPRP$\tB-NP\tO' +p152887 +aS'UTI\tUTI\tNN\tI-NP\tO' +p152888 +aS'and\tand\tCC\tI-NP\tO' +p152889 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p152890 +aS',\t,\t,\tO\tO' +p152891 +aS'her\ther\tPRP$\tB-NP\tO' +p152892 +aS'mental\tmental\tJJ\tI-NP\tO' +p152893 +aS'status\tstatus\tNN\tI-NP\tO' +p152894 +aS'greatly\tgreatly\tRB\tB-VP\tO' +p152895 +aS'improved\timprove\tVBD\tI-VP\tO' +p152896 +aS'on\ton\tIN\tB-PP\tO' +p152897 +aS'hospital\thospital\tNN\tB-NP\tO' +p152898 +aS'day\tday\tNN\tI-NP\tO' +p152899 +aS'two\ttwo\tCD\tI-NP\tO' +p152900 +aS'without\twithout\tIN\tB-PP\tO' +p152901 +aS'further\tfurther\tJJ\tB-NP\tO' +p152902 +aS'waxing\twaxing\tNN\tI-NP\tO' +p152903 +aS'and\tand\tCC\tI-NP\tO' +p152904 +aS'waning\twaning\tNN\tI-NP\tO' +p152905 +aS'.\t.\t.\tO\tO' +p152906 +asS'# Hypotension : Pt became hypotensive following the large volume paracentesis despite replacement with albumin .' +p152907 +(lp152908 +S'#\t#\t#\tB-NP\tO' +p152909 +aS'Hypotension\tHypotension\tNN\tI-NP\tO' +p152910 +aS':\t:\t:\tO\tO' +p152911 +aS'Pt\tPt\tNN\tB-NP\tO' +p152912 +aS'became\tbecome\tVBD\tB-VP\tO' +p152913 +aS'hypotensive\thypotensive\tJJ\tB-ADJP\tO' +p152914 +aS'following\tfollow\tVBG\tB-PP\tO' +p152915 +aS'the\tthe\tDT\tB-NP\tO' +p152916 +aS'large\tlarge\tJJ\tI-NP\tO' +p152917 +aS'volume\tvolume\tNN\tI-NP\tO' +p152918 +aS'paracentesis\tparacentesis\tNN\tI-NP\tO' +p152919 +aS'despite\tdespite\tIN\tB-PP\tO' +p152920 +aS'replacement\treplacement\tNN\tB-NP\tO' +p152921 +aS'with\twith\tIN\tB-PP\tO' +p152922 +aS'albumin\talbumin\tNN\tB-NP\tB-protein' +p152923 +aS'.\t.\t.\tO\tO' +p152924 +asS'She was given 10 mg. on hospital day # 1 , and 5 mg. on hospital day 2 , and back to 2.5 qhs .' +p152925 +(lp152926 +S'She\tShe\tPRP\tB-NP\tO' +p152927 +aS'was\tbe\tVBD\tB-VP\tO' +p152928 +aS'given\tgive\tVBN\tI-VP\tO' +p152929 +aS'10\t10\tCD\tB-NP\tO' +p152930 +aS'mg.\tmg.\tNN\tI-NP\tO' +p152931 +aS'on\ton\tIN\tB-PP\tO' +p152932 +aS'hospital\thospital\tNN\tB-NP\tO' +p152933 +aS'day\tday\tNN\tI-NP\tO' +p152934 +aS'#\t#\t#\tB-NP\tO' +p152935 +aS'1\t1\tCD\tI-NP\tO' +p152936 +aS',\t,\t,\tO\tO' +p152937 +aS'and\tand\tCC\tO\tO' +p152938 +aS'5\t5\tCD\tB-NP\tO' +p152939 +aS'mg.\tmg.\tNN\tI-NP\tO' +p152940 +aS'on\ton\tIN\tB-PP\tO' +p152941 +aS'hospital\thospital\tNN\tB-NP\tO' +p152942 +aS'day\tday\tNN\tI-NP\tO' +p152943 +aS'2\t2\tCD\tI-NP\tO' +p152944 +aS',\t,\t,\tO\tO' +p152945 +aS'and\tand\tCC\tO\tO' +p152946 +aS'back\tback\tRB\tB-ADVP\tO' +p152947 +aS'to\tto\tTO\tB-PP\tO' +p152948 +aS'2.5\t2.5\tCD\tB-NP\tO' +p152949 +aS'qhs\tqh\tNNS\tI-NP\tO' +p152950 +aS'.\t.\t.\tO\tO' +p152951 +asS'Blood cultures and urine cultures came back negative .' +p152952 +(lp152953 +S'Blood\tBlood\tNN\tB-NP\tO' +p152954 +aS'cultures\tculture\tNNS\tI-NP\tO' +p152955 +aS'and\tand\tCC\tO\tO' +p152956 +aS'urine\turine\tNN\tB-NP\tB-cell_line' +p152957 +aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' +p152958 +aS'came\tcome\tVBD\tB-VP\tO' +p152959 +aS'back\tback\tRB\tB-ADJP\tO' +p152960 +aS'negative\tnegative\tJJ\tI-ADJP\tO' +p152961 +aS'.\t.\t.\tO\tO' +p152962 +asS'She was started on clear fluids with a nasogastric clamped .' +p152963 +(lp152964 +S'She\tShe\tPRP\tB-NP\tO' +p152965 +aS'was\tbe\tVBD\tB-VP\tO' +p152966 +aS'started\tstart\tVBN\tI-VP\tO' +p152967 +aS'on\ton\tIN\tB-PP\tO' +p152968 +aS'clear\tclear\tJJ\tB-NP\tO' +p152969 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p152970 +aS'with\twith\tIN\tB-PP\tO' +p152971 +aS'a\ta\tDT\tB-NP\tO' +p152972 +aS'nasogastric\tnasogastric\tJJ\tI-NP\tO' +p152973 +aS'clamped\tclamped\tNN\tI-NP\tO' +p152974 +aS'.\t.\t.\tO\tO' +p152975 +asS'Head , eyes , ears , nose and throat - Sclera anicteric , conjunctiva injected , the pupils are equal , round and reactive to light and accommodation , the mucous membranes are dry , oropharynx clear .' +p152976 +(lp152977 +S'Head\tHead\tRB\tB-ADVP\tO' +p152978 +aS',\t,\t,\tO\tO' +p152979 +aS'eyes\teye\tNNS\tB-NP\tO' +p152980 +aS',\t,\t,\tI-NP\tO' +p152981 +aS'ears\tear\tNNS\tI-NP\tO' +p152982 +aS',\t,\t,\tI-NP\tO' +p152983 +aS'nose\tnose\tNN\tI-NP\tO' +p152984 +aS'and\tand\tCC\tI-NP\tO' +p152985 +aS'throat\tthroat\tNN\tI-NP\tO' +p152986 +aS'-\t-\tHYPH\tB-NP\tO' +p152987 +aS'Sclera\tSclera\tNN\tI-NP\tO' +p152988 +aS'anicteric\tanicteric\tNN\tI-NP\tO' +p152989 +aS',\t,\t,\tO\tO' +p152990 +aS'conjunctiva\tconjunctiva\tNN\tB-NP\tO' +p152991 +aS'injected\tinject\tVBN\tB-VP\tO' +p152992 +aS',\t,\t,\tO\tO' +p152993 +aS'the\tthe\tDT\tB-NP\tO' +p152994 +aS'pupils\tpupil\tNNS\tI-NP\tO' +p152995 +aS'are\tbe\tVBP\tB-VP\tO' +p152996 +aS'equal\tequal\tJJ\tB-NP\tO' +p152997 +aS',\t,\t,\tI-NP\tO' +p152998 +aS'round\tround\tJJ\tI-NP\tO' +p152999 +aS'and\tand\tCC\tI-NP\tO' +p153000 +aS'reactive\treactive\tJJ\tI-NP\tO' +p153001 +aS'to\tto\tTO\tB-PP\tO' +p153002 +aS'light\tlight\tNN\tB-NP\tO' +p153003 +aS'and\tand\tCC\tI-NP\tO' +p153004 +aS'accommodation\taccommodation\tNN\tI-NP\tO' +p153005 +aS',\t,\t,\tO\tO' +p153006 +aS'the\tthe\tDT\tB-NP\tO' +p153007 +aS'mucous\tmucous\tJJ\tI-NP\tO' +p153008 +aS'membranes\tmembrane\tNNS\tI-NP\tO' +p153009 +aS'are\tbe\tVBP\tB-VP\tO' +p153010 +aS'dry\tdry\tJJ\tB-ADJP\tO' +p153011 +aS',\t,\t,\tO\tO' +p153012 +aS'oropharynx\toropharynx\tNN\tB-NP\tO' +p153013 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p153014 +aS'.\t.\t.\tO\tO' +p153015 +asS'c diff neg : 12-28 , 12-31 , 01-01 , 01-02 .' +p153016 +(lp153017 +S'c\tc\tNN\tB-NP\tO' +p153018 +aS'diff\tdiff\tNN\tI-NP\tO' +p153019 +aS'neg\tneg\tNN\tI-NP\tO' +p153020 +aS':\t:\t:\tO\tO' +p153021 +aS'12-28\t12-28\tCD\tB-NP\tO' +p153022 +aS',\t,\t,\tI-NP\tO' +p153023 +aS'12-31\t12-31\tCD\tI-NP\tO' +p153024 +aS',\t,\t,\tI-NP\tO' +p153025 +aS'01-01\t01-01\tCD\tI-NP\tO' +p153026 +aS',\t,\t,\tI-NP\tO' +p153027 +aS'01-02\t01-02\tCD\tI-NP\tO' +p153028 +aS'.\t.\t.\tO\tO' +p153029 +asS'She has a 10 month old child .' +p153030 +(lp153031 +S'She\tShe\tPRP\tB-NP\tO' +p153032 +aS'has\thave\tVBZ\tB-VP\tO' +p153033 +aS'a\ta\tDT\tB-NP\tO' +p153034 +aS'10\t10\tCD\tI-NP\tO' +p153035 +aS'month\tmonth\tNN\tI-NP\tO' +p153036 +aS'old\told\tJJ\tI-NP\tO' +p153037 +aS'child\tchild\tNN\tI-NP\tO' +p153038 +aS'.\t.\t.\tO\tO' +p153039 +asS"The patient 's urinalysis on admission was significant for red blood cells which were TNTC as well as uric acid ." +p153040 +(lp153041 +S'The\tThe\tDT\tB-NP\tO' +p153042 +aS'patient\tpatient\tNN\tI-NP\tO' +p153043 +aS"'s\t's\tPOS\tB-NP\tO" +p153044 +aS'urinalysis\turinalysis\tNN\tI-NP\tO' +p153045 +aS'on\ton\tIN\tB-PP\tO' +p153046 +aS'admission\tadmission\tNN\tB-NP\tO' +p153047 +aS'was\tbe\tVBD\tB-VP\tO' +p153048 +aS'significant\tsignificant\tJJ\tB-ADJP\tO' +p153049 +aS'for\tfor\tIN\tB-PP\tO' +p153050 +aS'red\tred\tJJ\tB-NP\tB-cell_type' +p153051 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p153052 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p153053 +aS'which\twhich\tWDT\tB-NP\tO' +p153054 +aS'were\tbe\tVBD\tB-VP\tO' +p153055 +aS'TNTC\tTNTC\tNN\tB-NP\tB-protein' +p153056 +aS'as\tas\tRB\tB-CONJP\tO' +p153057 +aS'well\twell\tRB\tI-CONJP\tO' +p153058 +aS'as\tas\tIN\tI-CONJP\tO' +p153059 +aS'uric\turic\tJJ\tB-NP\tO' +p153060 +aS'acid\tacid\tNN\tI-NP\tO' +p153061 +aS'.\t.\t.\tO\tO' +p153062 +asS'The examination of the extremities showed no edema .' +p153063 +(lp153064 +S'The\tThe\tDT\tB-NP\tO' +p153065 +aS'examination\texamination\tNN\tI-NP\tO' +p153066 +aS'of\tof\tIN\tB-PP\tO' +p153067 +aS'the\tthe\tDT\tB-NP\tO' +p153068 +aS'extremities\textremity\tNNS\tI-NP\tO' +p153069 +aS'showed\tshow\tVBD\tB-VP\tO' +p153070 +aS'no\tno\tDT\tB-NP\tO' +p153071 +aS'edema\tedema\tNN\tI-NP\tO' +p153072 +aS'.\t.\t.\tO\tO' +p153073 +asS'Elinor Nicole , New York 12428' +p153074 +(lp153075 +S'Elinor\tElinor\tNNP\tB-NP\tO' +p153076 +aS'Nicole\tNicole\tNNP\tI-NP\tO' +p153077 +aS',\t,\t,\tO\tO' +p153078 +aS'New\tNew\tNNP\tB-NP\tO' +p153079 +aS'York\tYork\tNNP\tI-NP\tO' +p153080 +aS'12428\t12428\t.\tO\tO' +p153081 +asS'he was discharged home with change in his regimen .' +p153082 +(lp153083 +S'he\the\tPRP\tB-NP\tO' +p153084 +aS'was\tbe\tVBD\tB-VP\tO' +p153085 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p153086 +aS'home\thome\tNN\tB-ADVP\tO' +p153087 +aS'with\twith\tIN\tB-PP\tO' +p153088 +aS'change\tchange\tNN\tB-NP\tO' +p153089 +aS'in\tin\tIN\tB-PP\tO' +p153090 +aS'his\this\tPRP$\tB-NP\tO' +p153091 +aS'regimen\tregimen\tNN\tI-NP\tO' +p153092 +aS'.\t.\t.\tO\tO' +p153093 +asS'The family at that point considering the multiple system involvement of her diseases , decided to make the patient DNR and withdraw care .' +p153094 +(lp153095 +S'The\tThe\tDT\tB-NP\tO' +p153096 +aS'family\tfamily\tNN\tI-NP\tO' +p153097 +aS'at\tat\tIN\tB-PP\tO' +p153098 +aS'that\tthat\tDT\tB-NP\tO' +p153099 +aS'point\tpoint\tNN\tI-NP\tO' +p153100 +aS'considering\tconsider\tVBG\tB-VP\tO' +p153101 +aS'the\tthe\tDT\tB-NP\tO' +p153102 +aS'multiple\tmultiple\tJJ\tI-NP\tO' +p153103 +aS'system\tsystem\tNN\tI-NP\tO' +p153104 +aS'involvement\tinvolvement\tNN\tI-NP\tO' +p153105 +aS'of\tof\tIN\tB-PP\tO' +p153106 +aS'her\ther\tPRP$\tB-NP\tO' +p153107 +aS'diseases\tdisease\tNNS\tI-NP\tO' +p153108 +aS',\t,\t,\tO\tO' +p153109 +aS'decided\tdecide\tVBD\tB-VP\tO' +p153110 +aS'to\tto\tTO\tI-VP\tO' +p153111 +aS'make\tmake\tVB\tI-VP\tO' +p153112 +aS'the\tthe\tDT\tB-NP\tO' +p153113 +aS'patient\tpatient\tNN\tI-NP\tO' +p153114 +aS'DNR\tDNR\tNN\tI-NP\tO' +p153115 +aS'and\tand\tCC\tO\tO' +p153116 +aS'withdraw\twithdraw\tNN\tB-NP\tO' +p153117 +aS'care\tcare\tNN\tI-NP\tO' +p153118 +aS'.\t.\t.\tO\tO' +p153119 +asS'Post-procedure he was admitted to the CCU because of the history of left main dissection .' +p153120 +(lp153121 +S'Post-procedure\tPost-procedure\tJJ\tB-ADJP\tO' +p153122 +aS'he\the\tPRP\tB-NP\tO' +p153123 +aS'was\tbe\tVBD\tB-VP\tO' +p153124 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p153125 +aS'to\tto\tTO\tB-PP\tO' +p153126 +aS'the\tthe\tDT\tB-NP\tO' +p153127 +aS'CCU\tCCU\tNN\tI-NP\tB-DNA' +p153128 +aS'because\tbecause\tIN\tB-PP\tO' +p153129 +aS'of\tof\tIN\tI-PP\tO' +p153130 +aS'the\tthe\tDT\tB-NP\tO' +p153131 +aS'history\thistory\tNN\tI-NP\tO' +p153132 +aS'of\tof\tIN\tB-PP\tO' +p153133 +aS'left\tleft\tJJ\tB-NP\tO' +p153134 +aS'main\tmain\tJJ\tI-NP\tO' +p153135 +aS'dissection\tdissection\tNN\tI-NP\tO' +p153136 +aS'.\t.\t.\tO\tO' +p153137 +asS'Unable to do luria .' +p153138 +(lp153139 +S'Unable\tUnable\tJJ\tB-ADJP\tO' +p153140 +aS'to\tto\tTO\tB-VP\tO' +p153141 +aS'do\tdo\tVB\tI-VP\tO' +p153142 +aS'luria\tluria\tNNS\tB-NP\tO' +p153143 +aS'.\t.\t.\tO\tO' +p153144 +asS'ABG done on FiO2 100% 7.36/66/417/98% .' +p153145 +(lp153146 +S'ABG\tABG\tNN\tB-NP\tO' +p153147 +aS'done\tdo\tVBN\tB-VP\tO' +p153148 +aS'on\ton\tIN\tB-PP\tO' +p153149 +aS'FiO2\tFiO2\tNN\tB-NP\tO' +p153150 +aS'100%\t100%\tCD\tI-NP\tO' +p153151 +aS'7.36/66/417/98%\t7.36/66/417/98%\tCD\tI-NP\tO' +p153152 +aS'.\t.\t.\tO\tO' +p153153 +asS'Pt was initially seen at Lahey North , where he was given steroids , with improvement in respiratory status .' +p153154 +(lp153155 +S'Pt\tPt\tNN\tB-NP\tO' +p153156 +aS'was\tbe\tVBD\tB-VP\tO' +p153157 +aS'initially\tinitially\tRB\tI-VP\tO' +p153158 +aS'seen\tsee\tVBN\tI-VP\tO' +p153159 +aS'at\tat\tIN\tB-PP\tO' +p153160 +aS'Lahey\tLahey\tNNP\tB-NP\tO' +p153161 +aS'North\tNorth\tNNP\tI-NP\tO' +p153162 +aS',\t,\t,\tO\tO' +p153163 +aS'where\twhere\tWRB\tB-ADVP\tO' +p153164 +aS'he\the\tPRP\tB-NP\tO' +p153165 +aS'was\tbe\tVBD\tB-VP\tO' +p153166 +aS'given\tgive\tVBN\tI-VP\tO' +p153167 +aS'steroids\tsteroid\tNNS\tB-NP\tO' +p153168 +aS',\t,\t,\tO\tO' +p153169 +aS'with\twith\tIN\tB-PP\tO' +p153170 +aS'improvement\timprovement\tNN\tB-NP\tO' +p153171 +aS'in\tin\tIN\tB-PP\tO' +p153172 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p153173 +aS'status\tstatus\tNN\tI-NP\tO' +p153174 +aS'.\t.\t.\tO\tO' +p153175 +asS'Given that the pt was w/o evidence of DVT it was felt that the risks of anticoagulation in the setting of gross GIB , outweigh the risks of undetected deep vv thrombosis/pe .' +p153176 +(lp153177 +S'Given\tGive\tVBN\tB-VP\tO' +p153178 +aS'that\tthat\tIN\tB-SBAR\tO' +p153179 +aS'the\tthe\tDT\tB-NP\tO' +p153180 +aS'pt\tpt\tNN\tI-NP\tO' +p153181 +aS'was\tbe\tVBD\tB-VP\tO' +p153182 +aS'w/o\tw/o\tJJ\tB-NP\tO' +p153183 +aS'evidence\tevidence\tNN\tI-NP\tO' +p153184 +aS'of\tof\tIN\tB-PP\tO' +p153185 +aS'DVT\tDVT\tNN\tB-NP\tO' +p153186 +aS'it\tit\tPRP\tB-NP\tO' +p153187 +aS'was\tbe\tVBD\tB-VP\tO' +p153188 +aS'felt\tfeel\tVBN\tI-VP\tO' +p153189 +aS'that\tthat\tIN\tB-SBAR\tO' +p153190 +aS'the\tthe\tDT\tB-NP\tO' +p153191 +aS'risks\trisk\tNNS\tI-NP\tO' +p153192 +aS'of\tof\tIN\tB-PP\tO' +p153193 +aS'anticoagulation\tanticoagulation\tNN\tB-NP\tO' +p153194 +aS'in\tin\tIN\tB-PP\tO' +p153195 +aS'the\tthe\tDT\tB-NP\tO' +p153196 +aS'setting\tsetting\tNN\tI-NP\tO' +p153197 +aS'of\tof\tIN\tB-PP\tO' +p153198 +aS'gross\tgross\tJJ\tB-NP\tB-protein' +p153199 +aS'GIB\tGIB\tNN\tI-NP\tI-protein' +p153200 +aS',\t,\t,\tO\tO' +p153201 +aS'outweigh\toutweigh\tVBP\tB-VP\tO' +p153202 +aS'the\tthe\tDT\tB-NP\tO' +p153203 +aS'risks\trisk\tNNS\tI-NP\tO' +p153204 +aS'of\tof\tIN\tB-PP\tO' +p153205 +aS'undetected\tundetected\tJJ\tB-NP\tO' +p153206 +aS'deep\tdeep\tJJ\tI-NP\tO' +p153207 +aS'vv\tvv\tNN\tI-NP\tO' +p153208 +aS'thrombosis/pe\tthrombosis/pe\tNN\tI-NP\tO' +p153209 +aS'.\t.\t.\tO\tO' +p153210 +asS'He came to the Fairm of Ijordcompmac Hospital Emergency Ward where he was noted to be ashen and diaphoretic .' +p153211 +(lp153212 +S'He\tHe\tPRP\tB-NP\tO' +p153213 +aS'came\tcome\tVBD\tB-VP\tO' +p153214 +aS'to\tto\tTO\tB-PP\tO' +p153215 +aS'the\tthe\tDT\tB-NP\tO' +p153216 +aS'Fairm\tFairm\tNNP\tI-NP\tO' +p153217 +aS'of\tof\tIN\tB-PP\tO' +p153218 +aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' +p153219 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p153220 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p153221 +aS'Ward\tWard\tNNP\tI-NP\tO' +p153222 +aS'where\twhere\tWRB\tB-ADVP\tO' +p153223 +aS'he\the\tPRP\tB-NP\tO' +p153224 +aS'was\tbe\tVBD\tB-VP\tO' +p153225 +aS'noted\tnote\tVBN\tI-VP\tO' +p153226 +aS'to\tto\tTO\tI-VP\tO' +p153227 +aS'be\tbe\tVB\tI-VP\tO' +p153228 +aS'ashen\tashen\tJJ\tB-ADJP\tO' +p153229 +aS'and\tand\tCC\tI-ADJP\tO' +p153230 +aS'diaphoretic\tdiaphoretic\tJJ\tI-ADJP\tO' +p153231 +aS'.\t.\t.\tO\tO' +p153232 +asS'This should be titrated after discharge for INR goal of 2-3 .' +p153233 +(lp153234 +S'This\tThis\tDT\tB-NP\tO' +p153235 +aS'should\tshould\tMD\tB-VP\tO' +p153236 +aS'be\tbe\tVB\tI-VP\tO' +p153237 +aS'titrated\ttitrate\tVBN\tI-VP\tO' +p153238 +aS'after\tafter\tIN\tB-PP\tO' +p153239 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p153240 +aS'for\tfor\tIN\tB-PP\tO' +p153241 +aS'INR\tINR\tNN\tB-NP\tO' +p153242 +aS'goal\tgoal\tNN\tI-NP\tO' +p153243 +aS'of\tof\tIN\tB-PP\tO' +p153244 +aS'2-3\t2-3\tNN\tB-NP\tO' +p153245 +aS'.\t.\t.\tO\tO' +p153246 +asS'She has remained hemodynamically stable during the remainder of her hospitalization here .' +p153247 +(lp153248 +S'She\tShe\tPRP\tB-NP\tO' +p153249 +aS'has\thave\tVBZ\tB-VP\tO' +p153250 +aS'remained\tremain\tVBN\tI-VP\tO' +p153251 +aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' +p153252 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p153253 +aS'during\tduring\tIN\tB-PP\tO' +p153254 +aS'the\tthe\tDT\tB-NP\tO' +p153255 +aS'remainder\tremainder\tNN\tI-NP\tO' +p153256 +aS'of\tof\tIN\tB-PP\tO' +p153257 +aS'her\ther\tPRP$\tB-NP\tO' +p153258 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p153259 +aS'here\there\tRB\tB-ADVP\tO' +p153260 +aS'.\t.\t.\tO\tO' +p153261 +asS'The PICC line site was erythematous .' +p153262 +(lp153263 +S'The\tThe\tDT\tB-NP\tO' +p153264 +aS'PICC\tPICC\tNN\tI-NP\tB-DNA' +p153265 +aS'line\tline\tNN\tI-NP\tI-DNA' +p153266 +aS'site\tsite\tNN\tI-NP\tI-DNA' +p153267 +aS'was\tbe\tVBD\tB-VP\tO' +p153268 +aS'erythematous\terythematous\tJJ\tB-ADJP\tO' +p153269 +aS'.\t.\t.\tO\tO' +p153270 +asS'Disp : *30 Tablet( s )*' +p153271 +(lp153272 +S'Disp\tDisp\tNN\tB-NP\tO' +p153273 +aS':\t:\t:\tO\tO' +p153274 +aS'*30\t*30\tCD\tB-NP\tO' +p153275 +aS'Tablet(\tTablet(\t(\tI-NP\tO' +p153276 +aS's\ts\tNN\tI-NP\tO' +p153277 +aS')*\t)*\tSYM\tB-NP\tO' +p153278 +asS'1. Gastrointestinal adenocarcinoma ; primary unknown ( likely hepatobiliary ) .' +p153279 +(lp153280 +S'1.\t1.\tLS\tB-NP\tO' +p153281 +aS'Gastrointestinal\tGastrointestinal\tJJ\tI-NP\tO' +p153282 +aS'adenocarcinoma\tadenocarcinoma\tNN\tI-NP\tO' +p153283 +aS';\t;\t:\tO\tO' +p153284 +aS'primary\tprimary\tJJ\tB-NP\tO' +p153285 +aS'unknown\tunknown\tJJ\tI-NP\tO' +p153286 +aS'(\t(\t(\tO\tO' +p153287 +aS'likely\tlikely\tJJ\tB-NP\tO' +p153288 +aS'hepatobiliary\thepatobiliary\tNN\tI-NP\tO' +p153289 +aS')\t)\t)\tO\tO' +p153290 +aS'.\t.\t.\tO\tO' +p153291 +asS'Conditions , Infections , Complications , affecting Treatment / Stay' +p153292 +(lp153293 +S'Conditions\tCondition\tNNS\tB-NP\tO' +p153294 +aS',\t,\t,\tO\tO' +p153295 +aS'Infections\tInfection\tNNS\tB-NP\tO' +p153296 +aS',\t,\t,\tO\tO' +p153297 +aS'Complications\tComplication\tNNS\tB-NP\tO' +p153298 +aS',\t,\t,\tO\tO' +p153299 +aS'affecting\taffect\tVBG\tB-VP\tO' +p153300 +aS'Treatment\tTreatment\tNN\tB-NP\tO' +p153301 +aS'/\t/\tSYM\tB-VP\tO' +p153302 +aS'Stay\tStay\tNN\tB-NP\tO' +p153303 +asS'Chest : decreased BS at bases with few crackles b/l' +p153304 +(lp153305 +S'Chest\tChest\tNNP\tB-NP\tO' +p153306 +aS':\t:\t:\tO\tO' +p153307 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p153308 +aS'BS\tBS\tNN\tB-NP\tO' +p153309 +aS'at\tat\tIN\tB-PP\tO' +p153310 +aS'bases\tbase\tNNS\tB-NP\tO' +p153311 +aS'with\twith\tIN\tB-PP\tO' +p153312 +aS'few\tfew\tJJ\tB-NP\tO' +p153313 +aS'crackles\tcrackle\tNNS\tI-NP\tO' +p153314 +aS'b/l\tb/l\tNN\tI-NP\tO' +p153315 +asS'2. Twin II .' +p153316 +(lp153317 +S'2.\t2.\tLS\tB-LST\tO' +p153318 +aS'Twin\tTwin\tNN\tB-NP\tB-protein' +p153319 +aS'II\tII\tCD\tI-NP\tI-protein' +p153320 +aS'.\t.\t.\tO\tO' +p153321 +asS'3. Pantoprazole Sodium 40 mg Tablet , Delayed Release ( E.C. ) Sig : One ( 1 ) Tablet , Delayed Release ( E.C. ) PO Q24H ( every 24 hours ) .' +p153322 +(lp153323 +S'3.\t3.\tLS\tB-NP\tO' +p153324 +aS'Pantoprazole\tPantoprazole\tNN\tI-NP\tO' +p153325 +aS'Sodium\tSodium\tNN\tI-NP\tO' +p153326 +aS'40\t40\tCD\tI-NP\tO' +p153327 +aS'mg\tmg\tNN\tI-NP\tO' +p153328 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p153329 +aS',\t,\t,\tO\tO' +p153330 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p153331 +aS'Release\tRelease\tNNP\tI-NP\tO' +p153332 +aS'(\t(\t(\tO\tO' +p153333 +aS'E.C.\tE.C.\tNNP\tB-NP\tO' +p153334 +aS')\t)\t)\tO\tO' +p153335 +aS'Sig\tSig\tNNP\tB-NP\tO' +p153336 +aS':\t:\t:\tO\tO' +p153337 +aS'One\tOne\tCD\tB-NP\tO' +p153338 +aS'(\t(\t(\tO\tO' +p153339 +aS'1\t1\tCD\tB-NP\tO' +p153340 +aS')\t)\t)\tO\tO' +p153341 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p153342 +aS',\t,\t,\tO\tO' +p153343 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p153344 +aS'Release\tRelease\tNNP\tI-NP\tO' +p153345 +aS'(\t(\t(\tO\tO' +p153346 +aS'E.C.\tE.C.\tNNP\tO\tO' +p153347 +aS')\t)\t)\tO\tO' +p153348 +aS'PO\tPO\tNN\tB-NP\tO' +p153349 +aS'Q24H\tQ24H\tNN\tI-NP\tO' +p153350 +aS'(\t(\t(\tO\tO' +p153351 +aS'every\tevery\tDT\tB-NP\tO' +p153352 +aS'24\t24\tCD\tI-NP\tO' +p153353 +aS'hours\thour\tNNS\tI-NP\tO' +p153354 +aS')\t)\t)\tO\tO' +p153355 +aS'.\t.\t.\tO\tO' +p153356 +asS'Then , on 05-29 , she demonstrated bilateral pleural effusions ( reaccumulated ), right lower lobe infiltrate ( started on vanco / zosyn )-> put on face mask , given lasix x 1 bolus 100 mg , responded somewhat and o2 sat stable in low 90 s.' +p153357 +(lp153358 +S'Then\tThen\tRB\tB-ADVP\tO' +p153359 +aS',\t,\t,\tO\tO' +p153360 +aS'on\ton\tIN\tB-PP\tO' +p153361 +aS'05-29\t05-29\tCD\tB-NP\tO' +p153362 +aS',\t,\t,\tO\tO' +p153363 +aS'she\tshe\tPRP\tB-NP\tO' +p153364 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p153365 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p153366 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p153367 +aS'effusions\teffusion\tNNS\tI-NP\tO' +p153368 +aS'(\t(\t(\tO\tO' +p153369 +aS'reaccumulated\treaccumulate\tVBN\tB-VP\tO' +p153370 +aS'),\t),\t)\tO\tO' +p153371 +aS'right\tright\tRB\tB-NP\tO' +p153372 +aS'lower\tlow\tJJR\tI-NP\tO' +p153373 +aS'lobe\tlobe\tNN\tI-NP\tO' +p153374 +aS'infiltrate\tinfiltrate\tNN\tI-NP\tO' +p153375 +aS'(\t(\t(\tO\tO' +p153376 +aS'started\tstart\tVBN\tB-VP\tO' +p153377 +aS'on\ton\tIN\tB-PP\tO' +p153378 +aS'vanco\tvanco\tNN\tB-NP\tO' +p153379 +aS'/\t/\tSYM\tB-NP\tO' +p153380 +aS'zosyn\tzosyn\tNN\tI-NP\tO' +p153381 +aS')->\t)->\tSYM\tB-NP\tO' +p153382 +aS'put\tput\tVBN\tB-VP\tO' +p153383 +aS'on\ton\tIN\tB-PP\tO' +p153384 +aS'face\tface\tNN\tB-NP\tO' +p153385 +aS'mask\tmask\tNN\tI-NP\tO' +p153386 +aS',\t,\t,\tO\tO' +p153387 +aS'given\tgive\tVBN\tB-PP\tO' +p153388 +aS'lasix\tlasix\tCD\tB-NP\tO' +p153389 +aS'x\tx\tSYM\tI-NP\tO' +p153390 +aS'1\t1\tCD\tI-NP\tO' +p153391 +aS'bolus\tbolus\tNN\tI-NP\tO' +p153392 +aS'100\t100\tCD\tB-NP\tO' +p153393 +aS'mg\tmg\tNN\tI-NP\tO' +p153394 +aS',\t,\t,\tO\tO' +p153395 +aS'responded\trespond\tVBD\tB-VP\tO' +p153396 +aS'somewhat\tsomewhat\tRB\tB-ADVP\tO' +p153397 +aS'and\tand\tCC\tO\tO' +p153398 +aS'o2\to2\tNN\tB-NP\tO' +p153399 +aS'sat\tsit\tVBD\tB-VP\tO' +p153400 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p153401 +aS'in\tin\tIN\tB-PP\tO' +p153402 +aS'low\tlow\tJJ\tB-NP\tO' +p153403 +aS'90\t90\tCD\tI-NP\tO' +p153404 +aS's.\ts.\tNNS\tI-NP\tO' +p153405 +asS'Non contributory .' +p153406 +(lp153407 +S'Non\tNon\tNNP\tB-NP\tO' +p153408 +aS'contributory\tcontributory\tNN\tI-NP\tO' +p153409 +aS'.\t.\t.\tO\tO' +p153410 +asS'Received perioperative Vancomycin .' +p153411 +(lp153412 +S'Received\tReceive\tVBN\tB-NP\tO' +p153413 +aS'perioperative\tperioperative\tJJ\tI-NP\tO' +p153414 +aS'Vancomycin\tVancomycin\tNN\tI-NP\tO' +p153415 +aS'.\t.\t.\tO\tO' +p153416 +asS'OB Clinic 2 weeks and 6 weeks , No Known Allergies' +p153417 +(lp153418 +S'OB\tOB\tNN\tB-NP\tO' +p153419 +aS'Clinic\tClinic\tJJ\tI-NP\tO' +p153420 +aS'2\t2\tCD\tI-NP\tO' +p153421 +aS'weeks\tweek\tNNS\tI-NP\tO' +p153422 +aS'and\tand\tCC\tO\tO' +p153423 +aS'6\t6\tCD\tB-NP\tO' +p153424 +aS'weeks\tweek\tNNS\tI-NP\tO' +p153425 +aS',\t,\t,\tO\tO' +p153426 +aS'No\tNo\tNNP\tB-NP\tO' +p153427 +aS'Known\tKnown\tNNP\tI-NP\tO' +p153428 +aS'Allergies\tAllergies\tNNP\tI-NP\tO' +p153429 +asS'He has been ambulating on his own several times a day .' +p153430 +(lp153431 +S'He\tHe\tPRP\tB-NP\tO' +p153432 +aS'has\thave\tVBZ\tB-VP\tO' +p153433 +aS'been\tbe\tVBN\tI-VP\tO' +p153434 +aS'ambulating\tambulate\tVBG\tI-VP\tO' +p153435 +aS'on\ton\tIN\tB-PP\tO' +p153436 +aS'his\this\tPRP$\tB-NP\tO' +p153437 +aS'own\town\tJJ\tI-NP\tO' +p153438 +aS'several\tseveral\tJJ\tI-NP\tO' +p153439 +aS'times\ttime\tNNS\tI-NP\tO' +p153440 +aS'a\ta\tDT\tB-NP\tO' +p153441 +aS'day\tday\tNN\tI-NP\tO' +p153442 +aS'.\t.\t.\tO\tO' +p153443 +asS'Active , well-developed , well-nourished male .' +p153444 +(lp153445 +S'Active\tActive\tJJ\tB-NP\tO' +p153446 +aS',\t,\t,\tI-NP\tO' +p153447 +aS'well-developed\twell-developed\tJJ\tI-NP\tO' +p153448 +aS',\t,\t,\tI-NP\tO' +p153449 +aS'well-nourished\twell-nourished\tJJ\tI-NP\tO' +p153450 +aS'male\tmale\tNN\tI-NP\tO' +p153451 +aS'.\t.\t.\tO\tO' +p153452 +asS'The white blood count was 4.0 , platelet count 190 , with 62% polys .' +p153453 +(lp153454 +S'The\tThe\tDT\tB-NP\tO' +p153455 +aS'white\twhite\tJJ\tI-NP\tO' +p153456 +aS'blood\tblood\tNN\tI-NP\tO' +p153457 +aS'count\tcount\tNN\tI-NP\tO' +p153458 +aS'was\tbe\tVBD\tB-VP\tO' +p153459 +aS'4.0\t4.0\tCD\tB-NP\tO' +p153460 +aS',\t,\t,\tO\tO' +p153461 +aS'platelet\tplatelet\tNN\tB-NP\tB-protein' +p153462 +aS'count\tcount\tNN\tI-NP\tI-protein' +p153463 +aS'190\t190\tCD\tI-NP\tI-protein' +p153464 +aS',\t,\t,\tO\tO' +p153465 +aS'with\twith\tIN\tB-PP\tO' +p153466 +aS'62%\t62%\tCD\tB-NP\tO' +p153467 +aS'polys\tpoly\tNNS\tI-NP\tO' +p153468 +aS'.\t.\t.\tO\tO' +p153469 +asS'These were found in the right cerebellar , occipital and anterior parietal lobes .' +p153470 +(lp153471 +S'These\tThese\tDT\tB-NP\tO' +p153472 +aS'were\tbe\tVBD\tB-VP\tO' +p153473 +aS'found\tfind\tVBN\tI-VP\tO' +p153474 +aS'in\tin\tIN\tB-PP\tO' +p153475 +aS'the\tthe\tDT\tB-NP\tO' +p153476 +aS'right\tright\tJJ\tI-NP\tO' +p153477 +aS'cerebellar\tcerebellar\tNN\tI-NP\tO' +p153478 +aS',\t,\t,\tO\tO' +p153479 +aS'occipital\toccipital\tNN\tB-NP\tO' +p153480 +aS'and\tand\tCC\tO\tO' +p153481 +aS'anterior\tanterior\tJJ\tB-NP\tO' +p153482 +aS'parietal\tparietal\tJJ\tI-NP\tO' +p153483 +aS'lobes\tlobe\tNNS\tI-NP\tO' +p153484 +aS'.\t.\t.\tO\tO' +p153485 +asS'Neurology was consulted due to the concern for seizures in the setting of dusky episodes .' +p153486 +(lp153487 +S'Neurology\tNeurology\tNN\tB-NP\tO' +p153488 +aS'was\tbe\tVBD\tB-VP\tO' +p153489 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p153490 +aS'due\tdue\tJJ\tB-ADJP\tO' +p153491 +aS'to\tto\tTO\tB-PP\tO' +p153492 +aS'the\tthe\tDT\tB-NP\tO' +p153493 +aS'concern\tconcern\tNN\tI-NP\tO' +p153494 +aS'for\tfor\tIN\tB-PP\tO' +p153495 +aS'seizures\tseizure\tNNS\tB-NP\tO' +p153496 +aS'in\tin\tIN\tB-PP\tO' +p153497 +aS'the\tthe\tDT\tB-NP\tO' +p153498 +aS'setting\tsetting\tNN\tI-NP\tO' +p153499 +aS'of\tof\tIN\tB-PP\tO' +p153500 +aS'dusky\tdusky\tJJ\tB-NP\tO' +p153501 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p153502 +aS'.\t.\t.\tO\tO' +p153503 +asS"However , after discussion with patient 's wife , this was postponed with test planned on 2013-11-13 ." +p153504 +(lp153505 +S'However\tHowever\tRB\tB-ADVP\tO' +p153506 +aS',\t,\t,\tO\tO' +p153507 +aS'after\tafter\tIN\tB-PP\tO' +p153508 +aS'discussion\tdiscussion\tNN\tB-NP\tO' +p153509 +aS'with\twith\tIN\tB-PP\tO' +p153510 +aS'patient\tpatient\tNN\tB-NP\tO' +p153511 +aS"'s\t's\tPOS\tB-NP\tO" +p153512 +aS'wife\twife\tNN\tI-NP\tO' +p153513 +aS',\t,\t,\tO\tO' +p153514 +aS'this\tthis\tDT\tB-NP\tO' +p153515 +aS'was\tbe\tVBD\tB-VP\tO' +p153516 +aS'postponed\tpostpone\tVBN\tI-VP\tO' +p153517 +aS'with\twith\tIN\tB-PP\tO' +p153518 +aS'test\ttest\tNN\tB-NP\tO' +p153519 +aS'planned\tplan\tVBN\tB-VP\tO' +p153520 +aS'on\ton\tIN\tB-PP\tO' +p153521 +aS'2013-11-13\t2013-11-13\tCD\tB-NP\tO' +p153522 +aS'.\t.\t.\tO\tO' +p153523 +asS"Brother w/ CAD since age 40 and died in 70 's after cardiac surgery ." +p153524 +(lp153525 +S'Brother\tBrother\tDT\tB-NP\tO' +p153526 +aS'w/\tw/\tNN\tI-NP\tO' +p153527 +aS'CAD\tCAD\tNN\tI-NP\tO' +p153528 +aS'since\tsince\tIN\tB-PP\tO' +p153529 +aS'age\tage\tNN\tB-NP\tO' +p153530 +aS'40\t40\tCD\tI-NP\tO' +p153531 +aS'and\tand\tCC\tO\tO' +p153532 +aS'died\tdie\tVBD\tB-VP\tO' +p153533 +aS'in\tin\tIN\tB-PP\tO' +p153534 +aS'70\t70\tCD\tB-NP\tO' +p153535 +aS"'s\t's\tPOS\tB-NP\tO" +p153536 +aS'after\tafter\tIN\tB-PP\tO' +p153537 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p153538 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p153539 +aS'.\t.\t.\tO\tO' +p153540 +asS'The patient developed severe left lower quadrant pain in 07/24 .' +p153541 +(lp153542 +S'The\tThe\tDT\tB-NP\tO' +p153543 +aS'patient\tpatient\tNN\tI-NP\tO' +p153544 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p153545 +aS'severe\tsevere\tJJ\tB-ADJP\tO' +p153546 +aS'left\tleave\tVBD\tB-VP\tO' +p153547 +aS'lower\tlow\tJJR\tB-NP\tO' +p153548 +aS'quadrant\tquadrant\tJJ\tI-NP\tO' +p153549 +aS'pain\tpain\tNN\tI-NP\tO' +p153550 +aS'in\tin\tIN\tB-PP\tO' +p153551 +aS'07/24\t07/24\tCD\tB-NP\tO' +p153552 +aS'.\t.\t.\tO\tO' +p153553 +asS'Heart is regular rate and rhythm without rub or murmur .' +p153554 +(lp153555 +S'Heart\tHeart\tNNP\tB-NP\tO' +p153556 +aS'is\tbe\tVBZ\tB-VP\tO' +p153557 +aS'regular\tregular\tJJ\tB-NP\tO' +p153558 +aS'rate\trate\tNN\tI-NP\tO' +p153559 +aS'and\tand\tCC\tI-NP\tO' +p153560 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p153561 +aS'without\twithout\tIN\tB-PP\tO' +p153562 +aS'rub\trub\tNN\tB-NP\tO' +p153563 +aS'or\tor\tCC\tI-NP\tO' +p153564 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p153565 +aS'.\t.\t.\tO\tO' +p153566 +asS'Without clubbing , cyanosis or edema .' +p153567 +(lp153568 +S'Without\tWithout\tIN\tB-PP\tO' +p153569 +aS'clubbing\tclubbing\tNN\tB-NP\tO' +p153570 +aS',\t,\t,\tO\tO' +p153571 +aS'cyanosis\tcyanosis\tNN\tB-NP\tO' +p153572 +aS'or\tor\tCC\tI-NP\tO' +p153573 +aS'edema\tedema\tNN\tI-NP\tO' +p153574 +aS'.\t.\t.\tO\tO' +p153575 +asS'Anicteric sclera .' +p153576 +(lp153577 +S'Anicteric\tAnicteric\tJJ\tB-NP\tO' +p153578 +aS'sclera\tsclera\tNN\tI-NP\tO' +p153579 +aS'.\t.\t.\tO\tO' +p153580 +asS'There are focal calcifications in the aortic arch .' +p153581 +(lp153582 +S'There\tThere\tEX\tB-NP\tO' +p153583 +aS'are\tbe\tVBP\tB-VP\tO' +p153584 +aS'focal\tfocal\tJJ\tB-NP\tO' +p153585 +aS'calcifications\tcalcification\tNNS\tI-NP\tO' +p153586 +aS'in\tin\tIN\tB-PP\tO' +p153587 +aS'the\tthe\tDT\tB-NP\tO' +p153588 +aS'aortic\taortic\tJJ\tI-NP\tO' +p153589 +aS'arch\tarch\tNN\tI-NP\tO' +p153590 +aS'.\t.\t.\tO\tO' +p153591 +asS'Antibiotics were discontinued on 05-15 .' +p153592 +(lp153593 +S'Antibiotics\tAntibiotic\tNNS\tB-NP\tO' +p153594 +aS'were\tbe\tVBD\tB-VP\tO' +p153595 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p153596 +aS'on\ton\tIN\tB-PP\tO' +p153597 +aS'05-15\t05-15\tCD\tB-NP\tO' +p153598 +aS'.\t.\t.\tO\tO' +p153599 +asS'He was readmitted tot he CMED CSRU for respiratory distress likely secondary to a recurrent aspiration event .' +p153600 +(lp153601 +S'He\tHe\tPRP\tB-NP\tO' +p153602 +aS'was\tbe\tVBD\tB-VP\tO' +p153603 +aS'readmitted\treadmitte\tVBN\tI-VP\tO' +p153604 +aS'tot\ttot\tNN\tB-NP\tO' +p153605 +aS'he\the\tPRP\tB-NP\tO' +p153606 +aS'CMED\tCMED\tVBD\tB-VP\tO' +p153607 +aS'CSRU\tCSRU\tNN\tB-NP\tO' +p153608 +aS'for\tfor\tIN\tB-PP\tO' +p153609 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p153610 +aS'distress\tdistress\tNN\tI-NP\tO' +p153611 +aS'likely\tlikely\tRB\tB-ADJP\tO' +p153612 +aS'secondary\tsecondary\tJJ\tI-ADJP\tO' +p153613 +aS'to\tto\tTO\tB-PP\tO' +p153614 +aS'a\ta\tDT\tB-NP\tO' +p153615 +aS'recurrent\trecurrent\tJJ\tI-NP\tO' +p153616 +aS'aspiration\taspiration\tNN\tI-NP\tO' +p153617 +aS'event\tevent\tNN\tI-NP\tO' +p153618 +aS'.\t.\t.\tO\tO' +p153619 +asS'The next day the patient was quite confused and disoriented , which gradually disappeared .' +p153620 +(lp153621 +S'The\tThe\tDT\tB-NP\tO' +p153622 +aS'next\tnext\tJJ\tI-NP\tO' +p153623 +aS'day\tday\tNN\tI-NP\tO' +p153624 +aS'the\tthe\tDT\tB-NP\tO' +p153625 +aS'patient\tpatient\tNN\tI-NP\tO' +p153626 +aS'was\tbe\tVBD\tB-VP\tO' +p153627 +aS'quite\tquite\tRB\tI-VP\tO' +p153628 +aS'confused\tconfuse\tVBN\tI-VP\tO' +p153629 +aS'and\tand\tCC\tI-VP\tO' +p153630 +aS'disoriented\tdisorient\tVBN\tI-VP\tO' +p153631 +aS',\t,\t,\tO\tO' +p153632 +aS'which\twhich\tWDT\tB-NP\tO' +p153633 +aS'gradually\tgradually\tRB\tB-ADVP\tO' +p153634 +aS'disappeared\tdisappear\tVBD\tB-VP\tO' +p153635 +aS'.\t.\t.\tO\tO' +p153636 +asS'13. Wellbutrin 100 mg q. day .' +p153637 +(lp153638 +S'13.\t13.\tCD\tB-NP\tO' +p153639 +aS'Wellbutrin\tWellbutrin\tNN\tI-NP\tO' +p153640 +aS'100\t100\tCD\tB-NP\tO' +p153641 +aS'mg\tmg\tNN\tI-NP\tO' +p153642 +aS'q.\tq.\tNN\tI-NP\tO' +p153643 +aS'day\tday\tNN\tI-NP\tO' +p153644 +aS'.\t.\t.\tO\tO' +p153645 +asS'A chest x-ray showed that the ET tube was displaced to very high in the trachea .' +p153646 +(lp153647 +S'A\tA\tDT\tB-NP\tO' +p153648 +aS'chest\tchest\tNN\tI-NP\tO' +p153649 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p153650 +aS'showed\tshow\tVBD\tB-VP\tO' +p153651 +aS'that\tthat\tIN\tB-SBAR\tO' +p153652 +aS'the\tthe\tDT\tB-NP\tO' +p153653 +aS'ET\tET\tNN\tI-NP\tB-DNA' +p153654 +aS'tube\ttube\tNN\tI-NP\tI-DNA' +p153655 +aS'was\tbe\tVBD\tB-VP\tO' +p153656 +aS'displaced\tdisplace\tVBN\tI-VP\tO' +p153657 +aS'to\tto\tTO\tB-PP\tO' +p153658 +aS'very\tvery\tRB\tB-NP\tO' +p153659 +aS'high\thigh\tJJ\tI-NP\tO' +p153660 +aS'in\tin\tIN\tB-PP\tO' +p153661 +aS'the\tthe\tDT\tB-NP\tO' +p153662 +aS'trachea\ttrachea\tNN\tI-NP\tO' +p153663 +aS'.\t.\t.\tO\tO' +p153664 +asS'A. Secretory endometrium .' +p153665 +(lp153666 +S'A.\tA.\tNN\tB-NP\tO' +p153667 +aS'Secretory\tSecretory\tJJ\tI-NP\tO' +p153668 +aS'endometrium\tendometrium\tNN\tI-NP\tO' +p153669 +aS'.\t.\t.\tO\tO' +p153670 +asS'By 08-07 , it was thought there was improvement of his labs .' +p153671 +(lp153672 +S'By\tBy\tIN\tB-PP\tO' +p153673 +aS'08-07\t08-07\tCD\tB-NP\tO' +p153674 +aS',\t,\t,\tO\tO' +p153675 +aS'it\tit\tPRP\tB-NP\tO' +p153676 +aS'was\tbe\tVBD\tB-VP\tO' +p153677 +aS'thought\tthink\tVBN\tI-VP\tO' +p153678 +aS'there\tthere\tEX\tB-NP\tO' +p153679 +aS'was\tbe\tVBD\tB-VP\tO' +p153680 +aS'improvement\timprovement\tNN\tB-NP\tO' +p153681 +aS'of\tof\tIN\tB-PP\tO' +p153682 +aS'his\this\tPRP$\tB-NP\tO' +p153683 +aS'labs\tlab\tNNS\tI-NP\tO' +p153684 +aS'.\t.\t.\tO\tO' +p153685 +asS'The family did consent to a postmortem examination .' +p153686 +(lp153687 +S'The\tThe\tDT\tB-NP\tO' +p153688 +aS'family\tfamily\tNN\tI-NP\tO' +p153689 +aS'did\tdo\tVBD\tB-VP\tO' +p153690 +aS'consent\tconsent\tNN\tB-NP\tO' +p153691 +aS'to\tto\tTO\tB-PP\tO' +p153692 +aS'a\ta\tDT\tB-NP\tO' +p153693 +aS'postmortem\tpostmortem\tJJ\tI-NP\tO' +p153694 +aS'examination\texamination\tNN\tI-NP\tO' +p153695 +aS'.\t.\t.\tO\tO' +p153696 +asS'CTA neg for PE .' +p153697 +(lp153698 +S'CTA\tCTA\tNN\tB-NP\tO' +p153699 +aS'neg\tneg\tNN\tI-NP\tO' +p153700 +aS'for\tfor\tIN\tB-PP\tO' +p153701 +aS'PE\tPE\tNN\tB-NP\tO' +p153702 +aS'.\t.\t.\tO\tO' +p153703 +asS'The face was symmetrical .' +p153704 +(lp153705 +S'The\tThe\tDT\tB-NP\tO' +p153706 +aS'face\tface\tNN\tI-NP\tO' +p153707 +aS'was\tbe\tVBD\tB-VP\tO' +p153708 +aS'symmetrical\tsymmetrical\tJJ\tB-ADJP\tO' +p153709 +aS'.\t.\t.\tO\tO' +p153710 +asS'Temperature maximum 98.7 , temperature current 98.3 , pulse ranged from 82 to 92 , blood pressure 104 to 124/67 to 74 with a mean of 86 to 99 , respiratory rate of 11 to 16 , oxygen saturation 94% to 98% on 2 liters .' +p153711 +(lp153712 +S'Temperature\tTemperature\tNN\tB-NP\tB-protein' +p153713 +aS'maximum\tmaximum\tNN\tI-NP\tI-protein' +p153714 +aS'98.7\t98.7\tCD\tI-NP\tI-protein' +p153715 +aS',\t,\t,\tI-NP\tO' +p153716 +aS'temperature\ttemperature\tNN\tI-NP\tB-protein' +p153717 +aS'current\tcurrent\tNN\tI-NP\tI-protein' +p153718 +aS'98.3\t98.3\tCD\tI-NP\tI-protein' +p153719 +aS',\t,\t,\tO\tO' +p153720 +aS'pulse\tpulse\tNN\tB-NP\tO' +p153721 +aS'ranged\trange\tVBD\tB-VP\tO' +p153722 +aS'from\tfrom\tIN\tB-PP\tO' +p153723 +aS'82\t82\tCD\tB-NP\tO' +p153724 +aS'to\tto\tTO\tB-PP\tO' +p153725 +aS'92\t92\tCD\tB-NP\tO' +p153726 +aS',\t,\t,\tO\tO' +p153727 +aS'blood\tblood\tNN\tB-NP\tO' +p153728 +aS'pressure\tpressure\tNN\tI-NP\tO' +p153729 +aS'104\t104\tCD\tB-NP\tO' +p153730 +aS'to\tto\tTO\tB-PP\tO' +p153731 +aS'124/67\t124/67\tCD\tB-NP\tO' +p153732 +aS'to\tto\tTO\tB-PP\tO' +p153733 +aS'74\t74\tCD\tB-NP\tO' +p153734 +aS'with\twith\tIN\tB-PP\tO' +p153735 +aS'a\ta\tDT\tB-NP\tO' +p153736 +aS'mean\tmean\tNN\tI-NP\tO' +p153737 +aS'of\tof\tIN\tB-PP\tO' +p153738 +aS'86\t86\tCD\tB-NP\tO' +p153739 +aS'to\tto\tTO\tB-PP\tO' +p153740 +aS'99\t99\tCD\tB-NP\tO' +p153741 +aS',\t,\t,\tO\tO' +p153742 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p153743 +aS'rate\trate\tNN\tI-NP\tO' +p153744 +aS'of\tof\tIN\tB-PP\tO' +p153745 +aS'11\t11\tCD\tB-NP\tO' +p153746 +aS'to\tto\tTO\tB-PP\tO' +p153747 +aS'16\t16\tCD\tB-NP\tO' +p153748 +aS',\t,\t,\tO\tO' +p153749 +aS'oxygen\toxygen\tNN\tB-NP\tO' +p153750 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p153751 +aS'94%\t94%\tCD\tB-NP\tO' +p153752 +aS'to\tto\tTO\tB-PP\tO' +p153753 +aS'98%\t98%\tCD\tB-NP\tO' +p153754 +aS'on\ton\tIN\tB-PP\tO' +p153755 +aS'2\t2\tCD\tB-NP\tO' +p153756 +aS'liters\tliter\tNNS\tI-NP\tO' +p153757 +aS'.\t.\t.\tO\tO' +p153758 +asS'Nondysmorphic with overall appearance consistent with gestational age .' +p153759 +(lp153760 +S'Nondysmorphic\tNondysmorphic\tJJ\tB-ADJP\tO' +p153761 +aS'with\twith\tIN\tB-PP\tO' +p153762 +aS'overall\toverall\tJJ\tB-NP\tO' +p153763 +aS'appearance\tappearance\tNN\tI-NP\tO' +p153764 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p153765 +aS'with\twith\tIN\tB-PP\tO' +p153766 +aS'gestational\tgestational\tJJ\tB-NP\tO' +p153767 +aS'age\tage\tNN\tI-NP\tO' +p153768 +aS'.\t.\t.\tO\tO' +p153769 +asS'The patient was evaluated by Physical Therapy , who declared him a suitable candidate for discharge directly to home following resolution of his medical therapy .' +p153770 +(lp153771 +S'The\tThe\tDT\tB-NP\tO' +p153772 +aS'patient\tpatient\tNN\tI-NP\tO' +p153773 +aS'was\tbe\tVBD\tB-VP\tO' +p153774 +aS'evaluated\tevaluate\tVBN\tI-VP\tO' +p153775 +aS'by\tby\tIN\tB-PP\tO' +p153776 +aS'Physical\tPhysical\tJJ\tB-NP\tO' +p153777 +aS'Therapy\tTherapy\tNN\tI-NP\tO' +p153778 +aS',\t,\t,\tO\tO' +p153779 +aS'who\twho\tWP\tB-NP\tO' +p153780 +aS'declared\tdeclare\tVBD\tB-VP\tO' +p153781 +aS'him\thim\tPRP\tB-NP\tO' +p153782 +aS'a\ta\tDT\tB-NP\tO' +p153783 +aS'suitable\tsuitable\tJJ\tI-NP\tO' +p153784 +aS'candidate\tcandidate\tNN\tI-NP\tO' +p153785 +aS'for\tfor\tIN\tB-PP\tO' +p153786 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p153787 +aS'directly\tdirectly\tRB\tB-ADVP\tO' +p153788 +aS'to\tto\tTO\tB-PP\tO' +p153789 +aS'home\thome\tNN\tB-NP\tO' +p153790 +aS'following\tfollow\tVBG\tB-PP\tO' +p153791 +aS'resolution\tresolution\tNN\tB-NP\tO' +p153792 +aS'of\tof\tIN\tB-PP\tO' +p153793 +aS'his\this\tPRP$\tB-NP\tO' +p153794 +aS'medical\tmedical\tJJ\tI-NP\tO' +p153795 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p153796 +aS'.\t.\t.\tO\tO' +p153797 +asS'She received a 7 day course of amoxicillin for which Enterococcus was sensitive but Klebsiella unknown .' +p153798 +(lp153799 +S'She\tShe\tPRP\tB-NP\tO' +p153800 +aS'received\treceive\tVBD\tB-VP\tO' +p153801 +aS'a\ta\tDT\tB-NP\tO' +p153802 +aS'7\t7\tCD\tI-NP\tO' +p153803 +aS'day\tday\tNN\tI-NP\tO' +p153804 +aS'course\tcourse\tNN\tI-NP\tO' +p153805 +aS'of\tof\tIN\tB-PP\tO' +p153806 +aS'amoxicillin\tamoxicillin\tNN\tB-NP\tO' +p153807 +aS'for\tfor\tIN\tB-PP\tO' +p153808 +aS'which\twhich\tWDT\tB-NP\tO' +p153809 +aS'Enterococcus\tEnterococcus\tNNP\tB-NP\tO' +p153810 +aS'was\tbe\tVBD\tB-VP\tO' +p153811 +aS'sensitive\tsensitive\tJJ\tB-ADJP\tO' +p153812 +aS'but\tbut\tCC\tO\tO' +p153813 +aS'Klebsiella\tKlebsiella\tNN\tB-ADJP\tO' +p153814 +aS'unknown\tunknown\tJJ\tI-ADJP\tO' +p153815 +aS'.\t.\t.\tO\tO' +p153816 +asS'The patient presented with a chief complaint of CP SOB .' +p153817 +(lp153818 +S'The\tThe\tDT\tB-NP\tO' +p153819 +aS'patient\tpatient\tNN\tI-NP\tO' +p153820 +aS'presented\tpresent\tVBD\tB-VP\tO' +p153821 +aS'with\twith\tIN\tB-PP\tO' +p153822 +aS'a\ta\tDT\tB-NP\tO' +p153823 +aS'chief\tchief\tJJ\tI-NP\tO' +p153824 +aS'complaint\tcomplaint\tNN\tI-NP\tO' +p153825 +aS'of\tof\tIN\tB-PP\tO' +p153826 +aS'CP\tCP\tNN\tB-NP\tB-protein' +p153827 +aS'SOB\tSOB\tNN\tI-NP\tI-protein' +p153828 +aS'.\t.\t.\tO\tO' +p153829 +asS'He was evaluated by Neurosurgery for his head injury which showed multiple contusions in the frontal lobe .' +p153830 +(lp153831 +S'He\tHe\tPRP\tB-NP\tO' +p153832 +aS'was\tbe\tVBD\tB-VP\tO' +p153833 +aS'evaluated\tevaluate\tVBN\tI-VP\tO' +p153834 +aS'by\tby\tIN\tB-PP\tO' +p153835 +aS'Neurosurgery\tNeurosurgery\tNNP\tB-NP\tO' +p153836 +aS'for\tfor\tIN\tB-PP\tO' +p153837 +aS'his\this\tPRP$\tB-NP\tO' +p153838 +aS'head\thead\tNN\tI-NP\tO' +p153839 +aS'injury\tinjury\tNN\tI-NP\tO' +p153840 +aS'which\twhich\tWDT\tB-NP\tO' +p153841 +aS'showed\tshow\tVBD\tB-VP\tO' +p153842 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p153843 +aS'contusions\tcontusion\tNNS\tI-NP\tO' +p153844 +aS'in\tin\tIN\tB-PP\tO' +p153845 +aS'the\tthe\tDT\tB-NP\tO' +p153846 +aS'frontal\tfrontal\tJJ\tI-NP\tO' +p153847 +aS'lobe\tlobe\tNN\tI-NP\tO' +p153848 +aS'.\t.\t.\tO\tO' +p153849 +asS'We are awaiting results of the lumbar puncture from the outside hospital , but on hospital day two .' +p153850 +(lp153851 +S'We\tWe\tPRP\tB-NP\tO' +p153852 +aS'are\tbe\tVBP\tB-VP\tO' +p153853 +aS'awaiting\tawait\tVBG\tI-VP\tO' +p153854 +aS'results\tresult\tNNS\tB-NP\tO' +p153855 +aS'of\tof\tIN\tB-PP\tO' +p153856 +aS'the\tthe\tDT\tB-NP\tO' +p153857 +aS'lumbar\tlumbar\tJJ\tI-NP\tO' +p153858 +aS'puncture\tpuncture\tNN\tI-NP\tO' +p153859 +aS'from\tfrom\tIN\tB-PP\tO' +p153860 +aS'the\tthe\tDT\tB-NP\tO' +p153861 +aS'outside\toutside\tJJ\tI-NP\tO' +p153862 +aS'hospital\thospital\tNN\tI-NP\tO' +p153863 +aS',\t,\t,\tB-PP\tO' +p153864 +aS'but\tbut\tCC\tI-PP\tO' +p153865 +aS'on\ton\tIN\tB-PP\tO' +p153866 +aS'hospital\thospital\tNN\tB-NP\tO' +p153867 +aS'day\tday\tNN\tI-NP\tO' +p153868 +aS'two\ttwo\tCD\tI-NP\tO' +p153869 +aS'.\t.\t.\tO\tO' +p153870 +asS'This is an 81 year old female with a right breast mass with a discharge .' +p153871 +(lp153872 +S'This\tThis\tDT\tB-NP\tO' +p153873 +aS'is\tbe\tVBZ\tB-VP\tO' +p153874 +aS'an\tan\tDT\tB-NP\tO' +p153875 +aS'81\t81\tCD\tI-NP\tO' +p153876 +aS'year\tyear\tNN\tI-NP\tO' +p153877 +aS'old\told\tJJ\tI-NP\tO' +p153878 +aS'female\tfemale\tNN\tI-NP\tO' +p153879 +aS'with\twith\tIN\tB-PP\tO' +p153880 +aS'a\ta\tDT\tB-NP\tO' +p153881 +aS'right\tright\tJJ\tI-NP\tO' +p153882 +aS'breast\tbreast\tNN\tI-NP\tO' +p153883 +aS'mass\tmass\tNN\tI-NP\tO' +p153884 +aS'with\twith\tIN\tB-PP\tO' +p153885 +aS'a\ta\tDT\tB-NP\tO' +p153886 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p153887 +aS'.\t.\t.\tO\tO' +p153888 +asS'Benadryl 50 mg. intravenous tid prn .' +p153889 +(lp153890 +S'Benadryl\tBenadryl\tNN\tB-NP\tO' +p153891 +aS'50\t50\tCD\tI-NP\tO' +p153892 +aS'mg.\tmg.\tNN\tI-NP\tO' +p153893 +aS'intravenous\tintravenous\tJJ\tI-NP\tO' +p153894 +aS'tid\ttid\tNN\tI-NP\tO' +p153895 +aS'prn\tprn\tNN\tI-NP\tO' +p153896 +aS'.\t.\t.\tO\tO' +p153897 +asS'2 ) Os-Cal 1250 mg p.o. three times a day .' +p153898 +(lp153899 +S'2\t2\tLS\tB-LST\tO' +p153900 +aS')\t)\t)\tO\tO' +p153901 +aS'Os-Cal\tOs-Cal\tJJ\tB-NP\tO' +p153902 +aS'1250\t1250\tCD\tI-NP\tO' +p153903 +aS'mg\tmg\tNN\tI-NP\tO' +p153904 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p153905 +aS'three\tthree\tCD\tB-NP\tO' +p153906 +aS'times\ttime\tNNS\tI-NP\tO' +p153907 +aS'a\ta\tDT\tB-NP\tO' +p153908 +aS'day\tday\tNN\tI-NP\tO' +p153909 +aS'.\t.\t.\tO\tO' +p153910 +asS'When output became < 100 cc the tube was removed .' +p153911 +(lp153912 +S'When\tWhen\tWRB\tB-ADVP\tO' +p153913 +aS'output\toutput\tNN\tB-NP\tO' +p153914 +aS'became\tbecome\tVBD\tB-VP\tO' +p153915 +aS'<\t<\tSYM\tB-ADJP\tO' +p153916 +aS'100\t100\tCD\tB-NP\tO' +p153917 +aS'cc\tcc\tNN\tI-NP\tO' +p153918 +aS'the\tthe\tDT\tB-NP\tO' +p153919 +aS'tube\ttube\tNN\tI-NP\tO' +p153920 +aS'was\tbe\tVBD\tB-VP\tO' +p153921 +aS'removed\tremove\tVBN\tI-VP\tO' +p153922 +aS'.\t.\t.\tO\tO' +p153923 +asS'Later in her hospital course she also had an echocardiogram for question of new ECG findings in her inferior leads .' +p153924 +(lp153925 +S'Later\tLater\tRB\tB-ADVP\tO' +p153926 +aS'in\tin\tIN\tB-PP\tO' +p153927 +aS'her\ther\tPRP$\tB-NP\tO' +p153928 +aS'hospital\thospital\tNN\tI-NP\tO' +p153929 +aS'course\tcourse\tNN\tI-NP\tO' +p153930 +aS'she\tshe\tPRP\tB-NP\tO' +p153931 +aS'also\talso\tRB\tB-ADVP\tO' +p153932 +aS'had\thave\tVBD\tB-VP\tO' +p153933 +aS'an\tan\tDT\tB-NP\tO' +p153934 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p153935 +aS'for\tfor\tIN\tB-PP\tO' +p153936 +aS'question\tquestion\tNN\tB-NP\tO' +p153937 +aS'of\tof\tIN\tB-PP\tO' +p153938 +aS'new\tnew\tJJ\tB-NP\tO' +p153939 +aS'ECG\tECG\tNN\tI-NP\tO' +p153940 +aS'findings\tfinding\tNNS\tI-NP\tO' +p153941 +aS'in\tin\tIN\tB-PP\tO' +p153942 +aS'her\ther\tPRP$\tB-NP\tO' +p153943 +aS'inferior\tinferior\tJJ\tI-NP\tO' +p153944 +aS'leads\tlead\tNNS\tI-NP\tO' +p153945 +aS'.\t.\t.\tO\tO' +p153946 +asS"Postoperative check , the patient 's vital signs were stable ." +p153947 +(lp153948 +S'Postoperative\tPostoperative\tJJ\tB-NP\tO' +p153949 +aS'check\tcheck\tNN\tI-NP\tO' +p153950 +aS',\t,\t,\tO\tO' +p153951 +aS'the\tthe\tDT\tB-NP\tO' +p153952 +aS'patient\tpatient\tNN\tI-NP\tO' +p153953 +aS"'s\t's\tPOS\tB-NP\tO" +p153954 +aS'vital\tvital\tJJ\tI-NP\tO' +p153955 +aS'signs\tsign\tNNS\tI-NP\tO' +p153956 +aS'were\tbe\tVBD\tB-VP\tO' +p153957 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p153958 +aS'.\t.\t.\tO\tO' +p153959 +asS'She does not use drugs .' +p153960 +(lp153961 +S'She\tShe\tPRP\tB-NP\tO' +p153962 +aS'does\tdo\tVBZ\tB-VP\tO' +p153963 +aS'not\tnot\tRB\tI-VP\tO' +p153964 +aS'use\tuse\tVB\tI-VP\tO' +p153965 +aS'drugs\tdrug\tNNS\tB-NP\tO' +p153966 +aS'.\t.\t.\tO\tO' +p153967 +asS'The abdominal CAT scan showed no evidence of hydronephrosis orrenal abscess .' +p153968 +(lp153969 +S'The\tThe\tDT\tB-NP\tO' +p153970 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p153971 +aS'CAT\tCAT\tNN\tI-NP\tO' +p153972 +aS'scan\tscan\tNN\tI-NP\tO' +p153973 +aS'showed\tshow\tVBD\tB-VP\tO' +p153974 +aS'no\tno\tDT\tB-NP\tO' +p153975 +aS'evidence\tevidence\tNN\tI-NP\tO' +p153976 +aS'of\tof\tIN\tB-PP\tO' +p153977 +aS'hydronephrosis\thydronephrosis\tNN\tB-NP\tO' +p153978 +aS'orrenal\torrenal\tJJ\tI-NP\tO' +p153979 +aS'abscess\tabscess\tNN\tI-NP\tO' +p153980 +aS'.\t.\t.\tO\tO' +p153981 +asS'The epidural was placed in the L1-2 region and the catheter was placed in the T7 region using fluoroscope to guide the catheter .' +p153982 +(lp153983 +S'The\tThe\tDT\tB-NP\tO' +p153984 +aS'epidural\tepidural\tNN\tI-NP\tO' +p153985 +aS'was\tbe\tVBD\tB-VP\tO' +p153986 +aS'placed\tplace\tVBN\tI-VP\tO' +p153987 +aS'in\tin\tIN\tB-PP\tO' +p153988 +aS'the\tthe\tDT\tB-NP\tO' +p153989 +aS'L1-2\tL1-2\tNN\tI-NP\tB-DNA' +p153990 +aS'region\tregion\tNN\tI-NP\tI-DNA' +p153991 +aS'and\tand\tCC\tO\tO' +p153992 +aS'the\tthe\tDT\tB-NP\tO' +p153993 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p153994 +aS'was\tbe\tVBD\tB-VP\tO' +p153995 +aS'placed\tplace\tVBN\tI-VP\tO' +p153996 +aS'in\tin\tIN\tB-PP\tO' +p153997 +aS'the\tthe\tDT\tB-NP\tO' +p153998 +aS'T7\tT7\tNN\tI-NP\tB-DNA' +p153999 +aS'region\tregion\tNN\tI-NP\tI-DNA' +p154000 +aS'using\tuse\tVBG\tB-VP\tO' +p154001 +aS'fluoroscope\tfluoroscope\tNN\tB-NP\tO' +p154002 +aS'to\tto\tTO\tB-VP\tO' +p154003 +aS'guide\tguide\tVB\tI-VP\tO' +p154004 +aS'the\tthe\tDT\tB-NP\tO' +p154005 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p154006 +aS'.\t.\t.\tO\tO' +p154007 +asS'The patient is a seventy two year old man who a number of years ago underwent coronary bypass surgery at another institution .' +p154008 +(lp154009 +S'The\tThe\tDT\tB-NP\tO' +p154010 +aS'patient\tpatient\tNN\tI-NP\tO' +p154011 +aS'is\tbe\tVBZ\tB-VP\tO' +p154012 +aS'a\ta\tDT\tB-NP\tO' +p154013 +aS'seventy\tseventy\tJJ\tI-NP\tO' +p154014 +aS'two\ttwo\tCD\tI-NP\tO' +p154015 +aS'year\tyear\tNN\tI-NP\tO' +p154016 +aS'old\told\tJJ\tI-NP\tO' +p154017 +aS'man\tman\tNN\tI-NP\tO' +p154018 +aS'who\twho\tWP\tB-NP\tO' +p154019 +aS'a\ta\tDT\tB-NP\tO' +p154020 +aS'number\tnumber\tNN\tI-NP\tO' +p154021 +aS'of\tof\tIN\tB-PP\tO' +p154022 +aS'years\tyear\tNNS\tB-NP\tO' +p154023 +aS'ago\tago\tRB\tB-ADVP\tO' +p154024 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p154025 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p154026 +aS'bypass\tbypass\tNN\tI-NP\tO' +p154027 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p154028 +aS'at\tat\tIN\tB-PP\tO' +p154029 +aS'another\tanother\tDT\tB-NP\tO' +p154030 +aS'institution\tinstitution\tNN\tI-NP\tO' +p154031 +aS'.\t.\t.\tO\tO' +p154032 +asS'Plan to continue vancomycin for 08-19 day course to treat empiric line infection .' +p154033 +(lp154034 +S'Plan\tPlan\tNN\tB-NP\tO' +p154035 +aS'to\tto\tTO\tB-VP\tO' +p154036 +aS'continue\tcontinue\tVB\tI-VP\tO' +p154037 +aS'vancomycin\tvancomycin\tNN\tB-NP\tO' +p154038 +aS'for\tfor\tIN\tB-PP\tO' +p154039 +aS'08-19\t08-19\tCD\tB-NP\tO' +p154040 +aS'day\tday\tNN\tI-NP\tO' +p154041 +aS'course\tcourse\tNN\tI-NP\tO' +p154042 +aS'to\tto\tTO\tB-VP\tO' +p154043 +aS'treat\ttreat\tVB\tI-VP\tO' +p154044 +aS'empiric\tempiric\tJJ\tB-NP\tO' +p154045 +aS'line\tline\tNN\tI-NP\tO' +p154046 +aS'infection\tinfection\tNN\tI-NP\tO' +p154047 +aS'.\t.\t.\tO\tO' +p154048 +asS'6. Prochlorperazine 10 mg Tablet Sig : One ( 1 ) Tablet PO Q6H ( every 6 hours ) as needed .' +p154049 +(lp154050 +S'6.\t6.\tCD\tB-NP\tO' +p154051 +aS'Prochlorperazine\tProchlorperazine\tNN\tI-NP\tO' +p154052 +aS'10\t10\tCD\tB-NP\tO' +p154053 +aS'mg\tmg\tNN\tI-NP\tO' +p154054 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p154055 +aS'Sig\tSig\tNNP\tI-NP\tO' +p154056 +aS':\t:\t:\tO\tO' +p154057 +aS'One\tOne\tCD\tB-NP\tO' +p154058 +aS'(\t(\t(\tO\tO' +p154059 +aS'1\t1\tCD\tB-NP\tO' +p154060 +aS')\t)\t)\tO\tO' +p154061 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p154062 +aS'PO\tPO\tNN\tI-NP\tO' +p154063 +aS'Q6H\tQ6H\tNN\tI-NP\tO' +p154064 +aS'(\t(\t(\tO\tO' +p154065 +aS'every\tevery\tDT\tB-NP\tO' +p154066 +aS'6\t6\tCD\tI-NP\tO' +p154067 +aS'hours\thour\tNNS\tI-NP\tO' +p154068 +aS')\t)\t)\tO\tO' +p154069 +aS'as\tas\tIN\tB-SBAR\tO' +p154070 +aS'needed\tneed\tVBN\tB-VP\tO' +p154071 +aS'.\t.\t.\tO\tO' +p154072 +asS'No air-fluid levels to suggest occult facial fractures .' +p154073 +(lp154074 +S'No\tNo\tDT\tB-NP\tO' +p154075 +aS'air-fluid\tair-fluid\tJJ\tI-NP\tO' +p154076 +aS'levels\tlevel\tNNS\tI-NP\tO' +p154077 +aS'to\tto\tTO\tB-VP\tO' +p154078 +aS'suggest\tsuggest\tVB\tI-VP\tO' +p154079 +aS'occult\toccult\tJJ\tB-NP\tO' +p154080 +aS'facial\tfacial\tJJ\tI-NP\tO' +p154081 +aS'fractures\tfracture\tNNS\tI-NP\tO' +p154082 +aS'.\t.\t.\tO\tO' +p154083 +asS'These findings are consistent with chronic pancreatitis with pseudocyst formation' +p154084 +(lp154085 +S'These\tThese\tDT\tB-NP\tO' +p154086 +aS'findings\tfinding\tNNS\tI-NP\tO' +p154087 +aS'are\tbe\tVBP\tB-VP\tO' +p154088 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p154089 +aS'with\twith\tIN\tB-PP\tO' +p154090 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p154091 +aS'pancreatitis\tpancreatitis\tNN\tI-NP\tO' +p154092 +aS'with\twith\tIN\tB-PP\tO' +p154093 +aS'pseudocyst\tpseudocyst\tNN\tB-NP\tO' +p154094 +aS'formation\tformation\tNN\tI-NP\tO' +p154095 +asS'She will need close follow up of her renal functioning .' +p154096 +(lp154097 +S'She\tShe\tPRP\tB-NP\tO' +p154098 +aS'will\twill\tMD\tB-VP\tO' +p154099 +aS'need\tneed\tVB\tI-VP\tO' +p154100 +aS'close\tclose\tRB\tB-ADVP\tO' +p154101 +aS'follow\tfollow\tVB\tB-VP\tO' +p154102 +aS'up\tup\tRP\tB-PRT\tO' +p154103 +aS'of\tof\tIN\tB-PP\tO' +p154104 +aS'her\ther\tPRP$\tB-NP\tO' +p154105 +aS'renal\trenal\tJJ\tI-NP\tO' +p154106 +aS'functioning\tfunctioning\tNN\tI-NP\tO' +p154107 +aS'.\t.\t.\tO\tO' +p154108 +asS'The patient was admitted to floor .' +p154109 +(lp154110 +S'The\tThe\tDT\tB-NP\tO' +p154111 +aS'patient\tpatient\tNN\tI-NP\tO' +p154112 +aS'was\tbe\tVBD\tB-VP\tO' +p154113 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p154114 +aS'to\tto\tTO\tB-PP\tO' +p154115 +aS'floor\tfloor\tNN\tB-NP\tO' +p154116 +aS'.\t.\t.\tO\tO' +p154117 +asS'Prenatal screens - A positive , antibody negative , hepatitis surface antigen negative , RPR nonreactive , rubella immune , GBS unknown .' +p154118 +(lp154119 +S'Prenatal\tPrenatal\tJJ\tB-NP\tO' +p154120 +aS'screens\tscreen\tNNS\tI-NP\tO' +p154121 +aS'-\t-\t:\tO\tO' +p154122 +aS'A\tA\tDT\tB-NP\tO' +p154123 +aS'positive\tpositive\tJJ\tI-NP\tO' +p154124 +aS',\t,\t,\tI-NP\tO' +p154125 +aS'antibody\tantibody\tNN\tI-NP\tO' +p154126 +aS'negative\tnegative\tJJ\tI-NP\tO' +p154127 +aS',\t,\t,\tO\tO' +p154128 +aS'hepatitis\thepatitis\tNN\tB-NP\tB-protein' +p154129 +aS'surface\tsurface\tNN\tI-NP\tI-protein' +p154130 +aS'antigen\tantigen\tNN\tI-NP\tI-protein' +p154131 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p154132 +aS',\t,\t,\tO\tO' +p154133 +aS'RPR\tRPR\tNN\tB-NP\tB-protein' +p154134 +aS'nonreactive\tnonreactive\tJJ\tB-ADJP\tO' +p154135 +aS',\t,\t,\tO\tO' +p154136 +aS'rubella\trubella\tNN\tB-NP\tO' +p154137 +aS'immune\timmune\tJJ\tI-NP\tO' +p154138 +aS',\t,\t,\tO\tO' +p154139 +aS'GBS\tGBS\tNNP\tB-NP\tO' +p154140 +aS'unknown\tunknown\tJJ\tB-ADJP\tO' +p154141 +aS'.\t.\t.\tO\tO' +p154142 +asS'The babies were born by elective cesarean section at 34 weeks gestation .' +p154143 +(lp154144 +S'The\tThe\tDT\tB-NP\tO' +p154145 +aS'babies\tbaby\tNNS\tI-NP\tO' +p154146 +aS'were\tbe\tVBD\tB-VP\tO' +p154147 +aS'born\tbear\tVBN\tI-VP\tO' +p154148 +aS'by\tby\tIN\tB-PP\tO' +p154149 +aS'elective\telective\tJJ\tB-NP\tO' +p154150 +aS'cesarean\tcesarean\tJJ\tI-NP\tO' +p154151 +aS'section\tsection\tNN\tI-NP\tO' +p154152 +aS'at\tat\tIN\tB-PP\tO' +p154153 +aS'34\t34\tCD\tB-NP\tO' +p154154 +aS'weeks\tweek\tNNS\tI-NP\tO' +p154155 +aS'gestation\tgestation\tNN\tI-NP\tO' +p154156 +aS'.\t.\t.\tO\tO' +p154157 +asS'10. Celexa 10 mg Tablet Sig : One ( 1 ) Tablet PO once a day .' +p154158 +(lp154159 +S'10.\t10.\tCD\tB-NP\tO' +p154160 +aS'Celexa\tCelexa\tNNP\tI-NP\tO' +p154161 +aS'10\t10\tCD\tI-NP\tO' +p154162 +aS'mg\tmg\tNN\tI-NP\tO' +p154163 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p154164 +aS'Sig\tSig\tNNP\tI-NP\tO' +p154165 +aS':\t:\t:\tO\tO' +p154166 +aS'One\tOne\tCD\tB-NP\tO' +p154167 +aS'(\t(\t(\tO\tO' +p154168 +aS'1\t1\tCD\tB-NP\tO' +p154169 +aS')\t)\t)\tO\tO' +p154170 +aS'Tablet\tTablet\tNN\tB-NP\tB-protein' +p154171 +aS'PO\tPO\tNN\tI-NP\tI-protein' +p154172 +aS'once\tonce\tRB\tO\tO' +p154173 +aS'a\ta\tDT\tB-NP\tO' +p154174 +aS'day\tday\tNN\tI-NP\tO' +p154175 +aS'.\t.\t.\tO\tO' +p154176 +asS'She takes an albuterol and Atrovent inhalers as well as Serevent and Flovent .' +p154177 +(lp154178 +S'She\tShe\tPRP\tB-NP\tO' +p154179 +aS'takes\ttake\tVBZ\tB-VP\tO' +p154180 +aS'an\tan\tDT\tB-NP\tO' +p154181 +aS'albuterol\talbuterol\tNN\tI-NP\tO' +p154182 +aS'and\tand\tCC\tI-NP\tO' +p154183 +aS'Atrovent\tAtrovent\tNN\tI-NP\tO' +p154184 +aS'inhalers\tinhaler\tNNS\tI-NP\tO' +p154185 +aS'as\tas\tRB\tB-CONJP\tO' +p154186 +aS'well\twell\tRB\tI-CONJP\tO' +p154187 +aS'as\tas\tIN\tI-CONJP\tO' +p154188 +aS'Serevent\tSerevent\tNNP\tB-NP\tO' +p154189 +aS'and\tand\tCC\tI-NP\tO' +p154190 +aS'Flovent\tFlovent\tNNP\tI-NP\tO' +p154191 +aS'.\t.\t.\tO\tO' +p154192 +asS'She can be given prn lasix for weight gain or shortness of breath .' +p154193 +(lp154194 +S'She\tShe\tPRP\tB-NP\tO' +p154195 +aS'can\tcan\tMD\tB-VP\tO' +p154196 +aS'be\tbe\tVB\tI-VP\tO' +p154197 +aS'given\tgive\tVBN\tI-VP\tO' +p154198 +aS'prn\tprn\tNN\tB-NP\tO' +p154199 +aS'lasix\tlasix\tNN\tI-NP\tO' +p154200 +aS'for\tfor\tIN\tB-PP\tO' +p154201 +aS'weight\tweight\tNN\tB-NP\tO' +p154202 +aS'gain\tgain\tNN\tI-NP\tO' +p154203 +aS'or\tor\tCC\tO\tO' +p154204 +aS'shortness\tshortness\tNN\tB-NP\tO' +p154205 +aS'of\tof\tIN\tB-PP\tO' +p154206 +aS'breath\tbreath\tNN\tB-NP\tO' +p154207 +aS'.\t.\t.\tO\tO' +p154208 +asS'He was more alert and engaged with activity .' +p154209 +(lp154210 +S'He\tHe\tPRP\tB-NP\tO' +p154211 +aS'was\tbe\tVBD\tB-VP\tO' +p154212 +aS'more\tmore\tRBR\tB-ADJP\tO' +p154213 +aS'alert\talert\tJJ\tI-ADJP\tO' +p154214 +aS'and\tand\tCC\tO\tO' +p154215 +aS'engaged\tengage\tVBN\tB-VP\tO' +p154216 +aS'with\twith\tIN\tB-PP\tO' +p154217 +aS'activity\tactivity\tNN\tB-NP\tO' +p154218 +aS'.\t.\t.\tO\tO' +p154219 +asS'His tronponin quickly trended down and he did not have EKG evidence of ischemia .' +p154220 +(lp154221 +S'His\tHis\tPRP$\tB-NP\tO' +p154222 +aS'tronponin\ttronponin\tNN\tI-NP\tO' +p154223 +aS'quickly\tquickly\tRB\tB-ADVP\tO' +p154224 +aS'trended\ttrend\tVBD\tB-VP\tO' +p154225 +aS'down\tdown\tRB\tB-PRT\tO' +p154226 +aS'and\tand\tCC\tO\tO' +p154227 +aS'he\the\tPRP\tB-NP\tO' +p154228 +aS'did\tdo\tVBD\tB-VP\tO' +p154229 +aS'not\tnot\tRB\tI-VP\tO' +p154230 +aS'have\thave\tVB\tI-VP\tO' +p154231 +aS'EKG\tEKG\tNN\tB-NP\tO' +p154232 +aS'evidence\tevidence\tNN\tI-NP\tO' +p154233 +aS'of\tof\tIN\tB-PP\tO' +p154234 +aS'ischemia\tischemia\tNN\tB-NP\tO' +p154235 +aS'.\t.\t.\tO\tO' +p154236 +asS'--- no need for steroids now' +p154237 +(lp154238 +S'---\t---\tSYM\tO\tO' +p154239 +aS'no\tno\tDT\tB-NP\tO' +p154240 +aS'need\tneed\tNN\tI-NP\tO' +p154241 +aS'for\tfor\tIN\tB-PP\tO' +p154242 +aS'steroids\tsteroid\tNNS\tB-NP\tO' +p154243 +aS'now\tnow\tRB\tB-ADVP\tO' +p154244 +asS'Denies tobacco or ETOH use .' +p154245 +(lp154246 +S'Denies\tDeny\tNNS\tB-NP\tO' +p154247 +aS'tobacco\ttobacco\tNN\tI-NP\tO' +p154248 +aS'or\tor\tCC\tI-NP\tO' +p154249 +aS'ETOH\tETOH\tNN\tI-NP\tO' +p154250 +aS'use\tuse\tNN\tI-NP\tO' +p154251 +aS'.\t.\t.\tO\tO' +p154252 +asS'It is important that you complete the antibiotic course as prescribed .' +p154253 +(lp154254 +S'It\tIt\tPRP\tB-NP\tO' +p154255 +aS'is\tbe\tVBZ\tB-VP\tO' +p154256 +aS'important\timportant\tJJ\tB-ADJP\tO' +p154257 +aS'that\tthat\tIN\tB-SBAR\tO' +p154258 +aS'you\tyou\tPRP\tB-NP\tO' +p154259 +aS'complete\tcomplete\tVBP\tB-VP\tO' +p154260 +aS'the\tthe\tDT\tB-NP\tO' +p154261 +aS'antibiotic\tantibiotic\tJJ\tI-NP\tO' +p154262 +aS'course\tcourse\tNN\tI-NP\tO' +p154263 +aS'as\tas\tIN\tB-SBAR\tO' +p154264 +aS'prescribed\tprescribe\tVBN\tB-VP\tO' +p154265 +aS'.\t.\t.\tO\tO' +p154266 +asS'2. Lasix 20 mg p.o. q. day times seven days .' +p154267 +(lp154268 +S'2.\t2.\tLS\tB-NP\tO' +p154269 +aS'Lasix\tLasix\tNNP\tI-NP\tO' +p154270 +aS'20\t20\tCD\tI-NP\tO' +p154271 +aS'mg\tmg\tNN\tI-NP\tO' +p154272 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p154273 +aS'q.\tq.\tNN\tI-NP\tO' +p154274 +aS'day\tday\tNN\tI-NP\tO' +p154275 +aS'times\ttime\tNNS\tI-NP\tO' +p154276 +aS'seven\tseven\tCD\tB-NP\tO' +p154277 +aS'days\tday\tNNS\tI-NP\tO' +p154278 +aS'.\t.\t.\tO\tO' +p154279 +asS'Size appropriate for gestational age , 32 week female .' +p154280 +(lp154281 +S'Size\tSize\tVB\tB-VP\tO' +p154282 +aS'appropriate\tappropriate\tJJ\tB-ADJP\tO' +p154283 +aS'for\tfor\tIN\tB-PP\tO' +p154284 +aS'gestational\tgestational\tJJ\tB-NP\tO' +p154285 +aS'age\tage\tNN\tI-NP\tO' +p154286 +aS',\t,\t,\tO\tO' +p154287 +aS'32\t32\tCD\tB-NP\tO' +p154288 +aS'week\tweek\tNN\tI-NP\tO' +p154289 +aS'female\tfemale\tJJ\tB-ADJP\tO' +p154290 +aS'.\t.\t.\tO\tO' +p154291 +asS'ERCP report : Four fluoroscopic images and ERCP are provided .' +p154292 +(lp154293 +S'ERCP\tERCP\tNN\tB-NP\tO' +p154294 +aS'report\treport\tNN\tI-NP\tO' +p154295 +aS':\t:\t:\tO\tO' +p154296 +aS'Four\tFour\tCD\tB-NP\tO' +p154297 +aS'fluoroscopic\tfluoroscopic\tJJ\tI-NP\tO' +p154298 +aS'images\timage\tNNS\tI-NP\tO' +p154299 +aS'and\tand\tCC\tI-NP\tO' +p154300 +aS'ERCP\tERCP\tNN\tI-NP\tB-protein' +p154301 +aS'are\tbe\tVBP\tB-VP\tO' +p154302 +aS'provided\tprovide\tVBN\tI-VP\tO' +p154303 +aS'.\t.\t.\tO\tO' +p154304 +asS'- Procrit 40,000 units SC q Friday' +p154305 +(lp154306 +S'-\t-\tHYPH\tB-NP\tO' +p154307 +aS'Procrit\tProcrit\tNN\tI-NP\tO' +p154308 +aS'40,000\t40,000\tCD\tB-NP\tO' +p154309 +aS'units\tunit\tNNS\tI-NP\tO' +p154310 +aS'SC\tSC\tNNP\tB-NP\tO' +p154311 +aS'q\tq\tNN\tI-NP\tO' +p154312 +aS'Friday\tFriday\tNNP\tB-NP\tO' +p154313 +asS'Abdomen had decreased bowel sounds , soft , nontender , and nondistended .' +p154314 +(lp154315 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p154316 +aS'had\thave\tVBD\tB-VP\tO' +p154317 +aS'decreased\tdecrease\tVBN\tI-VP\tO' +p154318 +aS'bowel\tbowel\tNN\tB-NP\tO' +p154319 +aS'sounds\tsound\tNNS\tI-NP\tO' +p154320 +aS',\t,\t,\tO\tO' +p154321 +aS'soft\tsoft\tJJ\tB-NP\tO' +p154322 +aS',\t,\t,\tI-NP\tO' +p154323 +aS'nontender\tnontender\tJJ\tI-NP\tO' +p154324 +aS',\t,\t,\tI-NP\tO' +p154325 +aS'and\tand\tCC\tI-NP\tO' +p154326 +aS'nondistended\tnondistended\tJJ\tI-NP\tO' +p154327 +aS'.\t.\t.\tO\tO' +p154328 +asS'He had three Westwood-Pocasset drains - two in the neck and one in his right arm .' +p154329 +(lp154330 +S'He\tHe\tPRP\tB-NP\tO' +p154331 +aS'had\thave\tVBD\tB-VP\tO' +p154332 +aS'three\tthree\tCD\tB-NP\tO' +p154333 +aS'Westwood-Pocasset\tWestwood-Pocasset\tJJ\tI-NP\tO' +p154334 +aS'drains\tdrain\tNNS\tI-NP\tO' +p154335 +aS'-\t-\tHYPH\tO\tO' +p154336 +aS'two\ttwo\tCD\tB-NP\tO' +p154337 +aS'in\tin\tIN\tB-PP\tO' +p154338 +aS'the\tthe\tDT\tB-NP\tO' +p154339 +aS'neck\tneck\tNN\tI-NP\tO' +p154340 +aS'and\tand\tCC\tO\tO' +p154341 +aS'one\tone\tCD\tB-NP\tO' +p154342 +aS'in\tin\tIN\tB-PP\tO' +p154343 +aS'his\this\tPRP$\tB-NP\tO' +p154344 +aS'right\tright\tJJ\tI-NP\tO' +p154345 +aS'arm\tarm\tNN\tI-NP\tO' +p154346 +aS'.\t.\t.\tO\tO' +p154347 +asS'5. Multivitamin one p.o. q. day .' +p154348 +(lp154349 +S'5.\t5.\tLS\tB-NP\tO' +p154350 +aS'Multivitamin\tMultivitamin\tNN\tI-NP\tO' +p154351 +aS'one\tone\tCD\tB-NP\tO' +p154352 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p154353 +aS'q.\tq.\tNN\tI-NP\tO' +p154354 +aS'day\tday\tNN\tI-NP\tO' +p154355 +aS'.\t.\t.\tO\tO' +p154356 +asS'09-08-93 PATIENT DIED ON 9/8/93 .' +p154357 +(lp154358 +S'09-08-93\t09-08-93\tCD\tB-NP\tO' +p154359 +aS'PATIENT\tPATIENT\tNN\tI-NP\tO' +p154360 +aS'DIED\tDIED\tVBD\tB-VP\tO' +p154361 +aS'ON\tON\tNN\tB-NP\tO' +p154362 +aS'9/8/93\t9/8/93\tCD\tI-NP\tO' +p154363 +aS'.\t.\t.\tO\tO' +p154364 +asS'Etiology most likely a combination of contraction alkalosis and / or post-hypercapnia .' +p154365 +(lp154366 +S'Etiology\tEtiology\tNN\tB-NP\tO' +p154367 +aS'most\tmost\tRBS\tB-ADVP\tO' +p154368 +aS'likely\tlikely\tRB\tI-ADVP\tO' +p154369 +aS'a\ta\tDT\tB-NP\tO' +p154370 +aS'combination\tcombination\tNN\tI-NP\tO' +p154371 +aS'of\tof\tIN\tB-PP\tO' +p154372 +aS'contraction\tcontraction\tNN\tB-NP\tO' +p154373 +aS'alkalosis\talkalosis\tNN\tI-NP\tO' +p154374 +aS'and\tand\tCC\tO\tO' +p154375 +aS'/\t/\tSYM\tB-NP\tO' +p154376 +aS'or\tor\tCC\tO\tO' +p154377 +aS'post-hypercapnia\tpost-hypercapnia\tJJ\tB-ADJP\tO' +p154378 +aS'.\t.\t.\tO\tO' +p154379 +asS'You will need to follow up with your primary care physician / urologist prior to removal of your urinary catheter .' +p154380 +(lp154381 +S'You\tYou\tPRP\tB-NP\tB-protein' +p154382 +aS'will\twill\tMD\tB-VP\tO' +p154383 +aS'need\tneed\tVB\tI-VP\tO' +p154384 +aS'to\tto\tTO\tI-VP\tO' +p154385 +aS'follow\tfollow\tVB\tI-VP\tO' +p154386 +aS'up\tup\tRP\tB-PRT\tO' +p154387 +aS'with\twith\tIN\tB-PP\tO' +p154388 +aS'your\tyour\tPRP$\tB-NP\tO' +p154389 +aS'primary\tprimary\tJJ\tI-NP\tO' +p154390 +aS'care\tcare\tNN\tI-NP\tO' +p154391 +aS'physician\tphysician\tNN\tI-NP\tO' +p154392 +aS'/\t/\tSYM\tB-NP\tO' +p154393 +aS'urologist\turologist\tNN\tI-NP\tO' +p154394 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p154395 +aS'to\tto\tTO\tB-PP\tO' +p154396 +aS'removal\tremoval\tNN\tB-NP\tO' +p154397 +aS'of\tof\tIN\tB-PP\tO' +p154398 +aS'your\tyour\tPRP$\tB-NP\tO' +p154399 +aS'urinary\turinary\tJJ\tI-NP\tO' +p154400 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p154401 +aS'.\t.\t.\tO\tO' +p154402 +asS'No fever , no fetal tachycardia , rupture of membranes at delivery .' +p154403 +(lp154404 +S'No\tNo\tDT\tB-NP\tO' +p154405 +aS'fever\tfever\tNN\tI-NP\tO' +p154406 +aS',\t,\t,\tO\tO' +p154407 +aS'no\tno\tDT\tB-NP\tO' +p154408 +aS'fetal\tfetal\tJJ\tI-NP\tO' +p154409 +aS'tachycardia\ttachycardia\tNN\tI-NP\tO' +p154410 +aS',\t,\t,\tO\tO' +p154411 +aS'rupture\trupture\tNN\tB-NP\tO' +p154412 +aS'of\tof\tIN\tB-PP\tO' +p154413 +aS'membranes\tmembrane\tNNS\tB-NP\tO' +p154414 +aS'at\tat\tIN\tB-PP\tO' +p154415 +aS'delivery\tdelivery\tNN\tB-NP\tO' +p154416 +aS'.\t.\t.\tO\tO' +p154417 +asS'1. Lipitor 10 mg three times a week .' +p154418 +(lp154419 +S'1.\t1.\tLS\tB-LST\tO' +p154420 +aS'Lipitor\tLipitor\tNNP\tB-NP\tO' +p154421 +aS'10\t10\tCD\tI-NP\tO' +p154422 +aS'mg\tmg\tNN\tI-NP\tO' +p154423 +aS'three\tthree\tCD\tB-NP\tO' +p154424 +aS'times\ttime\tNNS\tI-NP\tO' +p154425 +aS'a\ta\tDT\tB-NP\tO' +p154426 +aS'week\tweek\tNN\tI-NP\tO' +p154427 +aS'.\t.\t.\tO\tO' +p154428 +asS'She is being transferred to Arbour-Fuller Hospital for cardiac catheterization .' +p154429 +(lp154430 +S'She\tShe\tPRP\tB-NP\tO' +p154431 +aS'is\tbe\tVBZ\tB-VP\tO' +p154432 +aS'being\tbe\tVBG\tI-VP\tO' +p154433 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p154434 +aS'to\tto\tTO\tB-PP\tO' +p154435 +aS'Arbour-Fuller\tArbour-Fuller\tNNP\tB-NP\tO' +p154436 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p154437 +aS'for\tfor\tIN\tB-PP\tO' +p154438 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p154439 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p154440 +aS'.\t.\t.\tO\tO' +p154441 +asS'Vital signs showed temperature 96.3 , pulse 64 , blood pressure 170/70 , respiratory rate 20 , oxygen saturation 98% in room air .' +p154442 +(lp154443 +S'Vital\tVital\tJJ\tB-NP\tB-protein' +p154444 +aS'signs\tsign\tNNS\tI-NP\tI-protein' +p154445 +aS'showed\tshow\tVBD\tB-VP\tI-protein' +p154446 +aS'temperature\ttemperature\tNN\tB-NP\tI-protein' +p154447 +aS'96.3\t96.3\tCD\tI-NP\tI-protein' +p154448 +aS',\t,\t,\tO\tO' +p154449 +aS'pulse\tpulse\tNN\tB-NP\tO' +p154450 +aS'64\t64\tCD\tI-NP\tO' +p154451 +aS',\t,\t,\tO\tO' +p154452 +aS'blood\tblood\tNN\tB-NP\tO' +p154453 +aS'pressure\tpressure\tNN\tI-NP\tO' +p154454 +aS'170/70\t170/70\tCD\tI-NP\tO' +p154455 +aS',\t,\t,\tO\tO' +p154456 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p154457 +aS'rate\trate\tNN\tI-NP\tO' +p154458 +aS'20\t20\tCD\tI-NP\tO' +p154459 +aS',\t,\t,\tO\tO' +p154460 +aS'oxygen\toxygen\tNN\tB-NP\tO' +p154461 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p154462 +aS'98%\t98%\tNN\tI-NP\tO' +p154463 +aS'in\tin\tIN\tB-PP\tO' +p154464 +aS'room\troom\tNN\tB-NP\tO' +p154465 +aS'air\tair\tNN\tI-NP\tO' +p154466 +aS'.\t.\t.\tO\tO' +p154467 +asS'If you experience CP , SOB , dizzyness , or any other symptoms that concern you please call your PCP or return to the ER .' +p154468 +(lp154469 +S'If\tIf\tIN\tB-SBAR\tO' +p154470 +aS'you\tyou\tPRP\tB-NP\tO' +p154471 +aS'experience\texperience\tVBP\tB-VP\tO' +p154472 +aS'CP\tCP\tNN\tB-NP\tB-DNA' +p154473 +aS',\t,\t,\tO\tO' +p154474 +aS'SOB\tSOB\tNN\tB-NP\tB-protein' +p154475 +aS',\t,\t,\tO\tO' +p154476 +aS'dizzyness\tdizzyness\tNN\tB-NP\tO' +p154477 +aS',\t,\t,\tO\tO' +p154478 +aS'or\tor\tCC\tO\tO' +p154479 +aS'any\tany\tDT\tB-NP\tO' +p154480 +aS'other\tother\tJJ\tI-NP\tO' +p154481 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p154482 +aS'that\tthat\tWDT\tB-NP\tO' +p154483 +aS'concern\tconcern\tVBP\tB-VP\tO' +p154484 +aS'you\tyou\tPRP\tB-NP\tO' +p154485 +aS'please\tplease\tVB\tB-VP\tO' +p154486 +aS'call\tcall\tVB\tI-VP\tO' +p154487 +aS'your\tyour\tPRP$\tB-NP\tO' +p154488 +aS'PCP\tPCP\tNN\tI-NP\tB-DNA' +p154489 +aS'or\tor\tCC\tO\tO' +p154490 +aS'return\treturn\tVB\tB-VP\tO' +p154491 +aS'to\tto\tTO\tB-PP\tO' +p154492 +aS'the\tthe\tDT\tB-NP\tO' +p154493 +aS'ER\tER\tNN\tI-NP\tB-protein' +p154494 +aS'.\t.\t.\tO\tO' +p154495 +asS'The patient was admitted to the surgical intensive care unit , where a continued cerebral angiogram was done that was essentially normal , without evidence of any obvious aneurysm .' +p154496 +(lp154497 +S'The\tThe\tDT\tB-NP\tO' +p154498 +aS'patient\tpatient\tNN\tI-NP\tO' +p154499 +aS'was\tbe\tVBD\tB-VP\tO' +p154500 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p154501 +aS'to\tto\tTO\tB-PP\tO' +p154502 +aS'the\tthe\tDT\tB-NP\tO' +p154503 +aS'surgical\tsurgical\tJJ\tI-NP\tO' +p154504 +aS'intensive\tintensive\tJJ\tI-NP\tO' +p154505 +aS'care\tcare\tNN\tI-NP\tO' +p154506 +aS'unit\tunit\tNN\tI-NP\tO' +p154507 +aS',\t,\t,\tO\tO' +p154508 +aS'where\twhere\tWRB\tB-ADVP\tO' +p154509 +aS'a\ta\tDT\tB-NP\tO' +p154510 +aS'continued\tcontinue\tVBN\tI-NP\tO' +p154511 +aS'cerebral\tcerebral\tJJ\tI-NP\tO' +p154512 +aS'angiogram\tangiogram\tNN\tI-NP\tO' +p154513 +aS'was\tbe\tVBD\tB-VP\tO' +p154514 +aS'done\tdo\tVBN\tI-VP\tO' +p154515 +aS'that\tthat\tWDT\tB-NP\tO' +p154516 +aS'was\tbe\tVBD\tB-VP\tO' +p154517 +aS'essentially\tessentially\tRB\tB-ADJP\tO' +p154518 +aS'normal\tnormal\tJJ\tI-ADJP\tO' +p154519 +aS',\t,\t,\tO\tO' +p154520 +aS'without\twithout\tIN\tB-PP\tO' +p154521 +aS'evidence\tevidence\tNN\tB-NP\tO' +p154522 +aS'of\tof\tIN\tB-PP\tO' +p154523 +aS'any\tany\tDT\tB-NP\tO' +p154524 +aS'obvious\tobvious\tJJ\tI-NP\tO' +p154525 +aS'aneurysm\taneurysm\tNN\tI-NP\tO' +p154526 +aS'.\t.\t.\tO\tO' +p154527 +asS'10 ) Omeprazole 20 mg p.o. q. day .' +p154528 +(lp154529 +S'10\t10\tCD\tB-NP\tO' +p154530 +aS')\t)\t)\tO\tO' +p154531 +aS'Omeprazole\tOmeprazole\tNN\tB-NP\tO' +p154532 +aS'20\t20\tCD\tI-NP\tO' +p154533 +aS'mg\tmg\tNN\tI-NP\tO' +p154534 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p154535 +aS'q.\tq.\tNN\tI-NP\tO' +p154536 +aS'day\tday\tNN\tI-NP\tO' +p154537 +aS'.\t.\t.\tO\tO' +p154538 +asS'Reason : Effusion ? Pntx ?' +p154539 +(lp154540 +S'Reason\tReason\tNNP\tB-NP\tO' +p154541 +aS':\t:\t:\tO\tO' +p154542 +aS'Effusion\tEffusion\tNNP\tB-NP\tO' +p154543 +aS'?\t?\t.\tO\tO' +p154544 +aS'Pntx\tPntx\tNNP\tB-NP\tO' +p154545 +aS'?\t?\t.\tO\tO' +p154546 +asS'On HD#6 , colonscopy was performed for decompression , and revealed pseudomembrane and friable colonic tissue .' +p154547 +(lp154548 +S'On\tOn\tIN\tB-PP\tO' +p154549 +aS'HD#6\tHD#6\tNN\tB-NP\tB-protein' +p154550 +aS',\t,\t,\tO\tO' +p154551 +aS'colonscopy\tcolonscopy\tNN\tB-NP\tO' +p154552 +aS'was\tbe\tVBD\tB-VP\tO' +p154553 +aS'performed\tperform\tVBN\tI-VP\tO' +p154554 +aS'for\tfor\tIN\tB-PP\tO' +p154555 +aS'decompression\tdecompression\tNN\tB-NP\tO' +p154556 +aS',\t,\t,\tO\tO' +p154557 +aS'and\tand\tCC\tO\tO' +p154558 +aS'revealed\treveal\tVBD\tB-VP\tO' +p154559 +aS'pseudomembrane\tpseudomembrane\tNN\tB-NP\tO' +p154560 +aS'and\tand\tCC\tO\tO' +p154561 +aS'friable\tfriable\tJJ\tB-NP\tO' +p154562 +aS'colonic\tcolonic\tJJ\tI-NP\tO' +p154563 +aS'tissue\ttissue\tNN\tI-NP\tO' +p154564 +aS'.\t.\t.\tO\tO' +p154565 +asS'He also got ifosfamide 3.6 grams a day with mesna .' +p154566 +(lp154567 +S'He\tHe\tPRP\tB-NP\tO' +p154568 +aS'also\talso\tRB\tB-ADVP\tO' +p154569 +aS'got\tget\tVBD\tB-VP\tO' +p154570 +aS'ifosfamide\tifosfamide\tIN\tB-NP\tO' +p154571 +aS'3.6\t3.6\tCD\tI-NP\tO' +p154572 +aS'grams\tgram\tNNS\tI-NP\tO' +p154573 +aS'a\ta\tDT\tB-NP\tO' +p154574 +aS'day\tday\tNN\tI-NP\tO' +p154575 +aS'with\twith\tIN\tB-PP\tO' +p154576 +aS'mesna\tmesna\tNN\tB-NP\tO' +p154577 +aS'.\t.\t.\tO\tO' +p154578 +asS'There was a dense hemianopsia on the left side .' +p154579 +(lp154580 +S'There\tThere\tEX\tB-NP\tO' +p154581 +aS'was\tbe\tVBD\tB-VP\tO' +p154582 +aS'a\ta\tDT\tB-NP\tO' +p154583 +aS'dense\tdense\tJJ\tI-NP\tO' +p154584 +aS'hemianopsia\themianopsia\tNN\tI-NP\tO' +p154585 +aS'on\ton\tIN\tB-PP\tO' +p154586 +aS'the\tthe\tDT\tB-NP\tO' +p154587 +aS'left\tleft\tJJ\tI-NP\tO' +p154588 +aS'side\tside\tNN\tI-NP\tO' +p154589 +aS'.\t.\t.\tO\tO' +p154590 +asS'If you experience fever > 100.4 , bleeding > 1 pad / hour , foul smelling discharge , abdominal pain , or other worrisome symptoms , please call your doctor or return to the hospital .' +p154591 +(lp154592 +S'If\tIf\tIN\tB-SBAR\tO' +p154593 +aS'you\tyou\tPRP\tB-NP\tO' +p154594 +aS'experience\texperience\tVBP\tB-VP\tO' +p154595 +aS'fever\tfever\tNN\tB-NP\tO' +p154596 +aS'>\t>\tCC\tO\tO' +p154597 +aS'100.4\t100.4\tCD\tB-NP\tO' +p154598 +aS',\t,\t,\tO\tO' +p154599 +aS'bleeding\tbleed\tVBG\tB-VP\tO' +p154600 +aS'>\t>\tCC\tB-NP\tO' +p154601 +aS'1\t1\tCD\tI-NP\tO' +p154602 +aS'pad\tpad\tNN\tI-NP\tO' +p154603 +aS'/\t/\tSYM\tB-NP\tO' +p154604 +aS'hour\thour\tNN\tI-NP\tO' +p154605 +aS',\t,\t,\tO\tO' +p154606 +aS'foul\tfoul\tJJ\tB-NP\tO' +p154607 +aS'smelling\tsmell\tVBG\tI-NP\tO' +p154608 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p154609 +aS',\t,\t,\tO\tO' +p154610 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p154611 +aS'pain\tpain\tNN\tI-NP\tO' +p154612 +aS',\t,\t,\tO\tO' +p154613 +aS'or\tor\tCC\tO\tO' +p154614 +aS'other\tother\tJJ\tB-NP\tO' +p154615 +aS'worrisome\tworrisome\tJJ\tI-NP\tO' +p154616 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p154617 +aS',\t,\t,\tO\tO' +p154618 +aS'please\tplease\tVB\tB-INTJ\tO' +p154619 +aS'call\tcall\tVB\tB-VP\tO' +p154620 +aS'your\tyour\tPRP$\tB-NP\tO' +p154621 +aS'doctor\tdoctor\tNN\tI-NP\tO' +p154622 +aS'or\tor\tCC\tO\tO' +p154623 +aS'return\treturn\tVB\tB-VP\tO' +p154624 +aS'to\tto\tTO\tB-PP\tO' +p154625 +aS'the\tthe\tDT\tB-NP\tO' +p154626 +aS'hospital\thospital\tNN\tI-NP\tO' +p154627 +aS'.\t.\t.\tO\tO' +p154628 +asS'On 12-18 flagyl and cefepime were discontinued as all culture data negative to date .' +p154629 +(lp154630 +S'On\tOn\tIN\tB-PP\tO' +p154631 +aS'12-18\t12-18\tCD\tB-NP\tO' +p154632 +aS'flagyl\tflagyl\tNN\tI-NP\tO' +p154633 +aS'and\tand\tCC\tI-NP\tO' +p154634 +aS'cefepime\tcefepime\tNN\tI-NP\tO' +p154635 +aS'were\tbe\tVBD\tB-VP\tO' +p154636 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p154637 +aS'as\tas\tIN\tB-PP\tO' +p154638 +aS'all\tall\tDT\tB-NP\tO' +p154639 +aS'culture\tculture\tNN\tI-NP\tO' +p154640 +aS'data\tdatum\tNNS\tI-NP\tO' +p154641 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p154642 +aS'to\tto\tTO\tB-PP\tO' +p154643 +aS'date\tdate\tNN\tB-NP\tO' +p154644 +aS'.\t.\t.\tO\tO' +p154645 +asS'The patient has strong narcotic seeking behavior .' +p154646 +(lp154647 +S'The\tThe\tDT\tB-NP\tO' +p154648 +aS'patient\tpatient\tNN\tI-NP\tO' +p154649 +aS'has\thave\tVBZ\tB-VP\tO' +p154650 +aS'strong\tstrong\tJJ\tB-NP\tO' +p154651 +aS'narcotic\tnarcotic\tJJ\tI-NP\tO' +p154652 +aS'seeking\tseek\tVBG\tI-NP\tO' +p154653 +aS'behavior\tbehavior\tNN\tI-NP\tO' +p154654 +aS'.\t.\t.\tO\tO' +p154655 +asS'Also , the patient has a past medical history of hypertension , glucose intolerance , peripheral neuropathy .' +p154656 +(lp154657 +S'Also\tAlso\tRB\tB-ADVP\tO' +p154658 +aS',\t,\t,\tO\tO' +p154659 +aS'the\tthe\tDT\tB-NP\tO' +p154660 +aS'patient\tpatient\tNN\tI-NP\tO' +p154661 +aS'has\thave\tVBZ\tB-VP\tO' +p154662 +aS'a\ta\tDT\tB-NP\tO' +p154663 +aS'past\tpast\tJJ\tI-NP\tO' +p154664 +aS'medical\tmedical\tJJ\tI-NP\tO' +p154665 +aS'history\thistory\tNN\tI-NP\tO' +p154666 +aS'of\tof\tIN\tB-PP\tO' +p154667 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p154668 +aS',\t,\t,\tO\tO' +p154669 +aS'glucose\tglucose\tNN\tB-NP\tO' +p154670 +aS'intolerance\tintolerance\tNN\tI-NP\tO' +p154671 +aS',\t,\t,\tO\tO' +p154672 +aS'peripheral\tperipheral\tJJ\tB-NP\tO' +p154673 +aS'neuropathy\tneuropathy\tNN\tI-NP\tO' +p154674 +aS'.\t.\t.\tO\tO' +p154675 +asS'The patient was medically managed initially and then underwent on 2013-08-09 , coronary artery bypass grafting x2 and a mitral valve annuloplasty with placement of intra-aortic balloon pump .' +p154676 +(lp154677 +S'The\tThe\tDT\tB-NP\tO' +p154678 +aS'patient\tpatient\tNN\tI-NP\tO' +p154679 +aS'was\tbe\tVBD\tB-VP\tO' +p154680 +aS'medically\tmedically\tRB\tI-VP\tO' +p154681 +aS'managed\tmanage\tVBN\tI-VP\tO' +p154682 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p154683 +aS'and\tand\tCC\tO\tO' +p154684 +aS'then\tthen\tRB\tO\tO' +p154685 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p154686 +aS'on\ton\tIN\tB-PP\tO' +p154687 +aS'2013-08-09\t2013-08-09\tCD\tB-NP\tO' +p154688 +aS',\t,\t,\tO\tO' +p154689 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p154690 +aS'artery\tartery\tNN\tI-NP\tO' +p154691 +aS'bypass\tbypass\tIN\tB-PP\tO' +p154692 +aS'grafting\tgraft\tVBG\tB-VP\tO' +p154693 +aS'x2\tx2\tNN\tB-NP\tB-DNA' +p154694 +aS'and\tand\tCC\tO\tO' +p154695 +aS'a\ta\tDT\tB-NP\tO' +p154696 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p154697 +aS'valve\tvalve\tNN\tI-NP\tO' +p154698 +aS'annuloplasty\tannuloplasty\tJJ\tB-ADJP\tO' +p154699 +aS'with\twith\tIN\tB-PP\tO' +p154700 +aS'placement\tplacement\tNN\tB-NP\tO' +p154701 +aS'of\tof\tIN\tB-PP\tO' +p154702 +aS'intra-aortic\tintra-aortic\tJJ\tB-NP\tO' +p154703 +aS'balloon\tballoon\tNN\tI-NP\tO' +p154704 +aS'pump\tpump\tNN\tI-NP\tO' +p154705 +aS'.\t.\t.\tO\tO' +p154706 +asS'Completed by : Michael Melvin Kinzer MD 51-991 2012-03-26 @ 1709' +p154707 +(lp154708 +S'Completed\tComplete\tVBN\tB-VP\tO' +p154709 +aS'by\tby\tIN\tB-PP\tO' +p154710 +aS':\t:\t:\tO\tO' +p154711 +aS'Michael\tMichael\tNNP\tB-NP\tO' +p154712 +aS'Melvin\tMelvin\tNNP\tI-NP\tO' +p154713 +aS'Kinzer\tKinzer\tNNP\tI-NP\tO' +p154714 +aS'MD\tMD\tNNP\tI-NP\tO' +p154715 +aS'51-991\t51-991\tCD\tI-NP\tO' +p154716 +aS'2012-03-26\t2012-03-26\tCD\tI-NP\tO' +p154717 +aS'@\t@\tNN\tI-NP\tO' +p154718 +aS'1709\t1709\tCD\tB-NP\tO' +p154719 +asS'Her gait remained severely ataxic , likely secondary to sensory deafferentation , as well as involvement of crossing pontine cerebellar fibers .' +p154720 +(lp154721 +S'Her\tHer\tPRP$\tB-NP\tO' +p154722 +aS'gait\tgait\tNN\tI-NP\tO' +p154723 +aS'remained\tremain\tVBD\tB-VP\tO' +p154724 +aS'severely\tseverely\tRB\tB-ADJP\tO' +p154725 +aS'ataxic\tataxic\tJJ\tI-ADJP\tO' +p154726 +aS',\t,\t,\tO\tO' +p154727 +aS'likely\tlikely\tRB\tB-ADJP\tO' +p154728 +aS'secondary\tsecondary\tJJ\tI-ADJP\tO' +p154729 +aS'to\tto\tTO\tB-PP\tO' +p154730 +aS'sensory\tsensory\tJJ\tB-NP\tO' +p154731 +aS'deafferentation\tdeafferentation\tNN\tI-NP\tO' +p154732 +aS',\t,\t,\tO\tO' +p154733 +aS'as\tas\tRB\tB-CONJP\tO' +p154734 +aS'well\twell\tRB\tI-CONJP\tO' +p154735 +aS'as\tas\tIN\tI-CONJP\tO' +p154736 +aS'involvement\tinvolvement\tNN\tB-NP\tO' +p154737 +aS'of\tof\tIN\tB-PP\tO' +p154738 +aS'crossing\tcross\tVBG\tB-VP\tO' +p154739 +aS'pontine\tpontine\tJJ\tB-NP\tO' +p154740 +aS'cerebellar\tcerebellar\tJJ\tI-NP\tO' +p154741 +aS'fibers\tfiber\tNNS\tI-NP\tO' +p154742 +aS'.\t.\t.\tO\tO' +p154743 +asS'He can climb approximately three flights of stairs before becoming short of breath .' +p154744 +(lp154745 +S'He\tHe\tPRP\tB-NP\tO' +p154746 +aS'can\tcan\tMD\tB-VP\tO' +p154747 +aS'climb\tclimb\tVB\tI-VP\tO' +p154748 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p154749 +aS'three\tthree\tCD\tI-NP\tO' +p154750 +aS'flights\tflight\tNNS\tI-NP\tO' +p154751 +aS'of\tof\tIN\tB-PP\tO' +p154752 +aS'stairs\tstair\tNNS\tB-NP\tO' +p154753 +aS'before\tbefore\tIN\tB-PP\tO' +p154754 +aS'becoming\tbecome\tVBG\tB-VP\tO' +p154755 +aS'short\tshort\tRB\tB-ADVP\tO' +p154756 +aS'of\tof\tIN\tB-PP\tO' +p154757 +aS'breath\tbreath\tNN\tB-NP\tO' +p154758 +aS'.\t.\t.\tO\tO' +p154759 +asS'As she was doing well without evidence of stridor , the steroids were stopped .' +p154760 +(lp154761 +S'As\tAs\tIN\tB-SBAR\tO' +p154762 +aS'she\tshe\tPRP\tB-NP\tO' +p154763 +aS'was\tbe\tVBD\tB-VP\tO' +p154764 +aS'doing\tdo\tVBG\tI-VP\tO' +p154765 +aS'well\twell\tRB\tB-ADVP\tO' +p154766 +aS'without\twithout\tIN\tB-PP\tO' +p154767 +aS'evidence\tevidence\tNN\tB-NP\tO' +p154768 +aS'of\tof\tIN\tB-PP\tO' +p154769 +aS'stridor\tstridor\tNN\tB-NP\tO' +p154770 +aS',\t,\t,\tO\tO' +p154771 +aS'the\tthe\tDT\tB-NP\tO' +p154772 +aS'steroids\tsteroid\tNNS\tI-NP\tO' +p154773 +aS'were\tbe\tVBD\tB-VP\tO' +p154774 +aS'stopped\tstop\tVBN\tI-VP\tO' +p154775 +aS'.\t.\t.\tO\tO' +p154776 +asS'5) status post CABG surgery in 11/97 .' +p154777 +(lp154778 +S'5)\t5)\tLS\tB-NP\tO' +p154779 +aS'status\tstatus\tNN\tI-NP\tO' +p154780 +aS'post\tpost\tNN\tI-NP\tO' +p154781 +aS'CABG\tCABG\tNN\tI-NP\tO' +p154782 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p154783 +aS'in\tin\tIN\tB-PP\tO' +p154784 +aS'11/97\t11/97\tCD\tB-NP\tO' +p154785 +aS'.\t.\t.\tO\tO' +p154786 +asS'Has a history of cocaine abuse - in remission for 6 years , with one relapse 2.5 years ago .' +p154787 +(lp154788 +S'Has\tHas\tIN\tB-PP\tO' +p154789 +aS'a\ta\tDT\tB-NP\tO' +p154790 +aS'history\thistory\tNN\tI-NP\tO' +p154791 +aS'of\tof\tIN\tB-PP\tO' +p154792 +aS'cocaine\tcocaine\tNN\tB-NP\tO' +p154793 +aS'abuse\tabuse\tNN\tI-NP\tO' +p154794 +aS'-\t-\tHYPH\tB-VP\tO' +p154795 +aS'in\tin\tIN\tB-PP\tO' +p154796 +aS'remission\tremission\tNN\tB-NP\tO' +p154797 +aS'for\tfor\tIN\tB-PP\tO' +p154798 +aS'6\t6\tCD\tB-NP\tO' +p154799 +aS'years\tyear\tNNS\tI-NP\tO' +p154800 +aS',\t,\t,\tO\tO' +p154801 +aS'with\twith\tIN\tB-PP\tO' +p154802 +aS'one\tone\tCD\tB-NP\tO' +p154803 +aS'relapse\trelapse\tNN\tI-NP\tO' +p154804 +aS'2.5\t2.5\tCD\tB-NP\tO' +p154805 +aS'years\tyear\tNNS\tI-NP\tO' +p154806 +aS'ago\tago\tRB\tB-ADVP\tO' +p154807 +aS'.\t.\t.\tO\tO' +p154808 +asS'Ophthalmologist is Dr. Cruea Franklin .' +p154809 +(lp154810 +S'Ophthalmologist\tOphthalmologist\tNN\tB-NP\tO' +p154811 +aS'is\tbe\tVBZ\tB-VP\tO' +p154812 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p154813 +aS'Cruea\tCruea\tNNP\tI-NP\tO' +p154814 +aS'Franklin\tFranklin\tNNP\tI-NP\tO' +p154815 +aS'.\t.\t.\tO\tO' +p154816 +asS'His anesthesia was reversed .' +p154817 +(lp154818 +S'His\tHis\tPRP$\tB-NP\tO' +p154819 +aS'anesthesia\tanesthesia\tNN\tI-NP\tO' +p154820 +aS'was\tbe\tVBD\tB-VP\tO' +p154821 +aS'reversed\treverse\tVBN\tI-VP\tO' +p154822 +aS'.\t.\t.\tO\tO' +p154823 +asS'INR 3.0 .' +p154824 +(lp154825 +S'INR\tINR\tNN\tB-NP\tO' +p154826 +aS'3.0\t3.0\tCD\tI-NP\tO' +p154827 +aS'.\t.\t.\tO\tO' +p154828 +asS'4. Subcentimeter attenuation lesion within the lower pole of the right kidney , too small to characterize .' +p154829 +(lp154830 +S'4.\t4.\tLS\tB-NP\tO' +p154831 +aS'Subcentimeter\tSubcentimeter\tNN\tI-NP\tO' +p154832 +aS'attenuation\tattenuation\tNN\tI-NP\tO' +p154833 +aS'lesion\tlesion\tNN\tI-NP\tO' +p154834 +aS'within\twithin\tIN\tB-PP\tO' +p154835 +aS'the\tthe\tDT\tB-NP\tO' +p154836 +aS'lower\tlow\tJJR\tI-NP\tO' +p154837 +aS'pole\tpole\tNN\tI-NP\tO' +p154838 +aS'of\tof\tIN\tB-PP\tO' +p154839 +aS'the\tthe\tDT\tB-NP\tO' +p154840 +aS'right\tright\tJJ\tI-NP\tO' +p154841 +aS'kidney\tkidney\tNN\tI-NP\tO' +p154842 +aS',\t,\t,\tO\tO' +p154843 +aS'too\ttoo\tRB\tB-ADJP\tO' +p154844 +aS'small\tsmall\tJJ\tI-ADJP\tO' +p154845 +aS'to\tto\tTO\tB-VP\tO' +p154846 +aS'characterize\tcharacterize\tVB\tI-VP\tO' +p154847 +aS'.\t.\t.\tO\tO' +p154848 +asS'The rash appeared to be resolving by the time of discharge .' +p154849 +(lp154850 +S'The\tThe\tDT\tB-NP\tO' +p154851 +aS'rash\trash\tNN\tI-NP\tO' +p154852 +aS'appeared\tappear\tVBD\tB-VP\tO' +p154853 +aS'to\tto\tTO\tI-VP\tO' +p154854 +aS'be\tbe\tVB\tI-VP\tO' +p154855 +aS'resolving\tresolve\tVBG\tI-VP\tO' +p154856 +aS'by\tby\tIN\tB-PP\tO' +p154857 +aS'the\tthe\tDT\tB-NP\tO' +p154858 +aS'time\ttime\tNN\tI-NP\tO' +p154859 +aS'of\tof\tIN\tB-PP\tO' +p154860 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p154861 +aS'.\t.\t.\tO\tO' +p154862 +asS'Liver function tests were checked , only total bilirubin was slightly elevated at 1.6 .' +p154863 +(lp154864 +S'Liver\tLiver\tNN\tB-NP\tO' +p154865 +aS'function\tfunction\tNN\tI-NP\tO' +p154866 +aS'tests\ttest\tNNS\tI-NP\tO' +p154867 +aS'were\tbe\tVBD\tB-VP\tO' +p154868 +aS'checked\tcheck\tVBN\tI-VP\tO' +p154869 +aS',\t,\t,\tO\tO' +p154870 +aS'only\tonly\tRB\tB-NP\tO' +p154871 +aS'total\ttotal\tJJ\tI-NP\tO' +p154872 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p154873 +aS'was\tbe\tVBD\tB-VP\tO' +p154874 +aS'slightly\tslightly\tRB\tB-ADJP\tO' +p154875 +aS'elevated\televated\tJJ\tI-ADJP\tO' +p154876 +aS'at\tat\tIN\tB-PP\tO' +p154877 +aS'1.6\t1.6\tCD\tB-NP\tO' +p154878 +aS'.\t.\t.\tO\tO' +p154879 +asS'The patient will be discharged to rehabilitation in Brain Tree Maryland .' +p154880 +(lp154881 +S'The\tThe\tDT\tB-NP\tO' +p154882 +aS'patient\tpatient\tNN\tI-NP\tO' +p154883 +aS'will\twill\tMD\tB-VP\tO' +p154884 +aS'be\tbe\tVB\tI-VP\tO' +p154885 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p154886 +aS'to\tto\tTO\tB-PP\tO' +p154887 +aS'rehabilitation\trehabilitation\tNN\tB-NP\tO' +p154888 +aS'in\tin\tIN\tB-PP\tO' +p154889 +aS'Brain\tBrain\tNNP\tB-NP\tO' +p154890 +aS'Tree\tTree\tNNP\tI-NP\tO' +p154891 +aS'Maryland\tMaryland\tNNP\tI-NP\tO' +p154892 +aS'.\t.\t.\tO\tO' +p154893 +asS'Moderate pulmonary arterial hypertension .' +p154894 +(lp154895 +S'Moderate\tModerate\tJJ\tB-NP\tO' +p154896 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p154897 +aS'arterial\tarterial\tJJ\tI-NP\tO' +p154898 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p154899 +aS'.\t.\t.\tO\tO' +p154900 +asS'Due to the persistent fevers , the patient underwent vancomycin desensitization in the surgical Intensive Care Unit followed by a change of antibiotics to vancomycin and levofloxacin .' +p154901 +(lp154902 +S'Due\tDue\tJJ\tB-PP\tO' +p154903 +aS'to\tto\tTO\tI-PP\tO' +p154904 +aS'the\tthe\tDT\tB-NP\tO' +p154905 +aS'persistent\tpersistent\tJJ\tI-NP\tO' +p154906 +aS'fevers\tfever\tNNS\tI-NP\tO' +p154907 +aS',\t,\t,\tO\tO' +p154908 +aS'the\tthe\tDT\tB-NP\tO' +p154909 +aS'patient\tpatient\tNN\tI-NP\tO' +p154910 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p154911 +aS'vancomycin\tvancomycin\tNN\tB-NP\tO' +p154912 +aS'desensitization\tdesensitization\tNN\tI-NP\tO' +p154913 +aS'in\tin\tIN\tB-PP\tO' +p154914 +aS'the\tthe\tDT\tB-NP\tO' +p154915 +aS'surgical\tsurgical\tJJ\tI-NP\tO' +p154916 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p154917 +aS'Care\tCare\tNNP\tI-NP\tO' +p154918 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p154919 +aS'followed\tfollow\tVBN\tB-VP\tO' +p154920 +aS'by\tby\tIN\tB-PP\tO' +p154921 +aS'a\ta\tDT\tB-NP\tO' +p154922 +aS'change\tchange\tNN\tI-NP\tO' +p154923 +aS'of\tof\tIN\tB-PP\tO' +p154924 +aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' +p154925 +aS'to\tto\tTO\tB-PP\tO' +p154926 +aS'vancomycin\tvancomycin\tNN\tB-NP\tO' +p154927 +aS'and\tand\tCC\tI-NP\tO' +p154928 +aS'levofloxacin\tlevofloxacin\tNN\tI-NP\tO' +p154929 +aS'.\t.\t.\tO\tO' +p154930 +asS'He remained unresponsive with poor airway protection .' +p154931 +(lp154932 +S'He\tHe\tPRP\tB-NP\tO' +p154933 +aS'remained\tremain\tVBD\tB-VP\tO' +p154934 +aS'unresponsive\tunresponsive\tJJ\tB-ADJP\tO' +p154935 +aS'with\twith\tIN\tB-PP\tO' +p154936 +aS'poor\tpoor\tJJ\tB-NP\tO' +p154937 +aS'airway\tairway\tNN\tI-NP\tO' +p154938 +aS'protection\tprotection\tNN\tI-NP\tO' +p154939 +aS'.\t.\t.\tO\tO' +p154940 +asS'Her doctor there is Dr. Gerald Jones .' +p154941 +(lp154942 +S'Her\tHer\tPRP$\tB-NP\tO' +p154943 +aS'doctor\tdoctor\tNN\tI-NP\tO' +p154944 +aS'there\tthere\tEX\tB-NP\tO' +p154945 +aS'is\tbe\tVBZ\tB-VP\tO' +p154946 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p154947 +aS'Gerald\tGerald\tNNP\tI-NP\tO' +p154948 +aS'Jones\tJones\tNNP\tI-NP\tO' +p154949 +aS'.\t.\t.\tO\tO' +p154950 +asS'8. Acyclovir 800 mg Tablet Sig : 0.5 Tablet PO 5X/D ( 5 times a day ) for 5 days : Then decrease dose to 800 mg PO daily .' +p154951 +(lp154952 +S'8.\t8.\tCD\tB-NP\tO' +p154953 +aS'Acyclovir\tAcyclovir\tNN\tI-NP\tO' +p154954 +aS'800\t800\tCD\tB-NP\tO' +p154955 +aS'mg\tmg\tNN\tI-NP\tO' +p154956 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p154957 +aS'Sig\tSig\tNNP\tI-NP\tO' +p154958 +aS':\t:\t:\tO\tO' +p154959 +aS'0.5\t0.5\tCD\tB-NP\tO' +p154960 +aS'Tablet\tTablet\tNN\tI-NP\tO' +p154961 +aS'PO\tPO\tNN\tI-NP\tO' +p154962 +aS'5X/D\t5X/D\tNN\tI-NP\tO' +p154963 +aS'(\t(\t(\tO\tO' +p154964 +aS'5\t5\tCD\tB-NP\tO' +p154965 +aS'times\ttime\tNNS\tI-NP\tO' +p154966 +aS'a\ta\tDT\tB-NP\tO' +p154967 +aS'day\tday\tNN\tI-NP\tO' +p154968 +aS')\t)\t)\tO\tO' +p154969 +aS'for\tfor\tIN\tB-PP\tO' +p154970 +aS'5\t5\tCD\tB-NP\tO' +p154971 +aS'days\tday\tNNS\tI-NP\tO' +p154972 +aS':\t:\t:\tO\tO' +p154973 +aS'Then\tThen\tRB\tB-ADVP\tO' +p154974 +aS'decrease\tdecrease\tVB\tB-VP\tO' +p154975 +aS'dose\tdose\tNN\tB-NP\tO' +p154976 +aS'to\tto\tTO\tB-PP\tO' +p154977 +aS'800\t800\tCD\tB-NP\tO' +p154978 +aS'mg\tmg\tNN\tI-NP\tO' +p154979 +aS'PO\tPO\tNN\tI-NP\tO' +p154980 +aS'daily\tdaily\tRB\tB-ADVP\tO' +p154981 +aS'.\t.\t.\tO\tO' +p154982 +asS'9) Sarna topical b.i.d. p.r.n. itching .' +p154983 +(lp154984 +S'9)\t9)\tLS\tB-NP\tO' +p154985 +aS'Sarna\tSarna\tNNP\tI-NP\tO' +p154986 +aS'topical\ttopical\tJJ\tI-NP\tO' +p154987 +aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' +p154988 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p154989 +aS'itching\titching\tNN\tI-NP\tO' +p154990 +aS'.\t.\t.\tO\tO' +p154991 +asS'PT was asked to see him for this gait problem .' +p154992 +(lp154993 +S'PT\tPT\tNN\tB-NP\tO' +p154994 +aS'was\tbe\tVBD\tB-VP\tO' +p154995 +aS'asked\task\tVBN\tI-VP\tO' +p154996 +aS'to\tto\tTO\tI-VP\tO' +p154997 +aS'see\tsee\tVB\tI-VP\tO' +p154998 +aS'him\thim\tPRP\tB-NP\tO' +p154999 +aS'for\tfor\tIN\tB-PP\tO' +p155000 +aS'this\tthis\tDT\tB-NP\tO' +p155001 +aS'gait\tgait\tNN\tI-NP\tO' +p155002 +aS'problem\tproblem\tNN\tI-NP\tO' +p155003 +aS'.\t.\t.\tO\tO' +p155004 +asS'5. Status post umbilical hernia repair .' +p155005 +(lp155006 +S'5.\t5.\tLS\tB-LST\tO' +p155007 +aS'Status\tStatus\tNNP\tB-NP\tO' +p155008 +aS'post\tpost\tIN\tB-PP\tO' +p155009 +aS'umbilical\tumbilical\tJJ\tB-NP\tO' +p155010 +aS'hernia\thernia\tNN\tI-NP\tO' +p155011 +aS'repair\trepair\tNN\tI-NP\tO' +p155012 +aS'.\t.\t.\tO\tO' +p155013 +asS'An arch aortogram was normal .' +p155014 +(lp155015 +S'An\tAn\tDT\tB-NP\tO' +p155016 +aS'arch\tarch\tJJ\tI-NP\tO' +p155017 +aS'aortogram\taortogram\tNN\tI-NP\tO' +p155018 +aS'was\tbe\tVBD\tB-VP\tO' +p155019 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p155020 +aS'.\t.\t.\tO\tO' +p155021 +asS'Duration of his coumadin therapy to be determined by hematology , but likely to be at least 6 months in duration .' +p155022 +(lp155023 +S'Duration\tDuration\tNN\tB-NP\tO' +p155024 +aS'of\tof\tIN\tB-PP\tO' +p155025 +aS'his\this\tPRP$\tB-NP\tO' +p155026 +aS'coumadin\tcoumadin\tNN\tI-NP\tO' +p155027 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p155028 +aS'to\tto\tTO\tB-VP\tO' +p155029 +aS'be\tbe\tVB\tI-VP\tO' +p155030 +aS'determined\tdetermine\tVBN\tI-VP\tO' +p155031 +aS'by\tby\tIN\tB-PP\tO' +p155032 +aS'hematology\thematology\tNN\tB-NP\tO' +p155033 +aS',\t,\t,\tO\tO' +p155034 +aS'but\tbut\tCC\tO\tO' +p155035 +aS'likely\tlikely\tJJ\tB-ADJP\tO' +p155036 +aS'to\tto\tTO\tB-VP\tO' +p155037 +aS'be\tbe\tVB\tI-VP\tO' +p155038 +aS'at\tat\tIN\tB-NP\tO' +p155039 +aS'least\tleast\tJJS\tI-NP\tO' +p155040 +aS'6\t6\tCD\tI-NP\tO' +p155041 +aS'months\tmonth\tNNS\tI-NP\tO' +p155042 +aS'in\tin\tIN\tB-PP\tO' +p155043 +aS'duration\tduration\tNN\tB-NP\tO' +p155044 +aS'.\t.\t.\tO\tO' +p155045 +asS'Patient was continued on BID PPI , H .' +p155046 +(lp155047 +S'Patient\tPatient\tNN\tB-NP\tO' +p155048 +aS'was\tbe\tVBD\tB-VP\tO' +p155049 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p155050 +aS'on\ton\tIN\tB-PP\tO' +p155051 +aS'BID\tBID\tNNP\tB-NP\tO' +p155052 +aS'PPI\tPPI\tNNP\tI-NP\tO' +p155053 +aS',\t,\t,\tO\tO' +p155054 +aS'H\tH\tNNP\tB-NP\tO' +p155055 +aS'.\t.\tVBD\tB-VP\tO' +p155056 +asS'A repeat head ultrasound on day of life 33 06-07 showed a slight increase of echogenicity in the caudothalamic groove , which may represent tiny bilateral germinal matrix hemorrhages , no periventricular leukomalacia .' +p155057 +(lp155058 +S'A\tA\tDT\tB-NP\tO' +p155059 +aS'repeat\trepeat\tNN\tI-NP\tO' +p155060 +aS'head\thead\tNN\tI-NP\tO' +p155061 +aS'ultrasound\tultrasound\tVBN\tB-VP\tO' +p155062 +aS'on\ton\tIN\tB-PP\tO' +p155063 +aS'day\tday\tNN\tB-NP\tO' +p155064 +aS'of\tof\tIN\tB-PP\tO' +p155065 +aS'life\tlife\tNN\tB-NP\tO' +p155066 +aS'33\t33\tCD\tB-NP\tO' +p155067 +aS'06-07\t06-07\tCD\tI-NP\tO' +p155068 +aS'showed\tshow\tVBD\tB-VP\tO' +p155069 +aS'a\ta\tDT\tB-NP\tO' +p155070 +aS'slight\tslight\tJJ\tI-NP\tO' +p155071 +aS'increase\tincrease\tNN\tI-NP\tO' +p155072 +aS'of\tof\tIN\tB-PP\tO' +p155073 +aS'echogenicity\techogenicity\tNN\tB-NP\tO' +p155074 +aS'in\tin\tIN\tB-PP\tO' +p155075 +aS'the\tthe\tDT\tB-NP\tO' +p155076 +aS'caudothalamic\tcaudothalamic\tJJ\tI-NP\tO' +p155077 +aS'groove\tgroove\tNN\tI-NP\tO' +p155078 +aS',\t,\t,\tO\tO' +p155079 +aS'which\twhich\tWDT\tB-NP\tO' +p155080 +aS'may\tmay\tMD\tB-VP\tO' +p155081 +aS'represent\trepresent\tVB\tI-VP\tO' +p155082 +aS'tiny\ttiny\tJJ\tB-NP\tO' +p155083 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p155084 +aS'germinal\tgerminal\tJJ\tI-NP\tO' +p155085 +aS'matrix\tmatrix\tNN\tI-NP\tO' +p155086 +aS'hemorrhages\themorrhage\tNNS\tI-NP\tO' +p155087 +aS',\t,\t,\tO\tO' +p155088 +aS'no\tno\tDT\tB-NP\tO' +p155089 +aS'periventricular\tperiventricular\tJJ\tI-NP\tO' +p155090 +aS'leukomalacia\tleukomalacia\tNN\tI-NP\tO' +p155091 +aS'.\t.\t.\tO\tO' +p155092 +asS'Neuro exam was normal .' +p155093 +(lp155094 +S'Neuro\tNeuro\tNN\tB-NP\tO' +p155095 +aS'exam\texam\tNN\tI-NP\tO' +p155096 +aS'was\tbe\tVBD\tB-VP\tO' +p155097 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p155098 +aS'.\t.\t.\tO\tO' +p155099 +asS'She is growing Enterobacter cloacae that is sensitive only to Macrodantin from her urine cultures .' +p155100 +(lp155101 +S'She\tShe\tPRP\tB-NP\tO' +p155102 +aS'is\tbe\tVBZ\tB-VP\tO' +p155103 +aS'growing\tgrow\tVBG\tI-VP\tO' +p155104 +aS'Enterobacter\tEnterobacter\tNNP\tB-NP\tO' +p155105 +aS'cloacae\tcloaca\tNNS\tI-NP\tO' +p155106 +aS'that\tthat\tWDT\tB-NP\tO' +p155107 +aS'is\tbe\tVBZ\tB-VP\tO' +p155108 +aS'sensitive\tsensitive\tJJ\tB-ADJP\tO' +p155109 +aS'only\tonly\tRB\tI-ADJP\tO' +p155110 +aS'to\tto\tTO\tB-PP\tO' +p155111 +aS'Macrodantin\tMacrodantin\tNNP\tB-NP\tO' +p155112 +aS'from\tfrom\tIN\tB-PP\tO' +p155113 +aS'her\ther\tPRP$\tB-NP\tB-cell_line' +p155114 +aS'urine\turine\tNN\tI-NP\tI-cell_line' +p155115 +aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' +p155116 +aS'.\t.\t.\tO\tO' +p155117 +asS'3. Mycophenolate Mofetil 500 mg Tablet Sig : Two ( 2 ) Tablet PO BID ( 2 times a day ) .' +p155118 +(lp155119 +S'3.\t3.\tLS\tB-NP\tO' +p155120 +aS'Mycophenolate\tMycophenolate\tNN\tI-NP\tO' +p155121 +aS'Mofetil\tMofetil\tNN\tI-NP\tO' +p155122 +aS'500\t500\tCD\tI-NP\tO' +p155123 +aS'mg\tmg\tNN\tI-NP\tO' +p155124 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p155125 +aS'Sig\tSig\tNNP\tI-NP\tO' +p155126 +aS':\t:\t:\tO\tO' +p155127 +aS'Two\tTwo\tCD\tB-NP\tO' +p155128 +aS'(\t(\t(\tO\tO' +p155129 +aS'2\t2\tCD\tO\tO' +p155130 +aS')\t)\t)\tO\tO' +p155131 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p155132 +aS'PO\tPO\tNN\tI-NP\tO' +p155133 +aS'BID\tBID\tNN\tI-NP\tO' +p155134 +aS'(\t(\t(\tO\tO' +p155135 +aS'2\t2\tCD\tB-NP\tO' +p155136 +aS'times\ttime\tNNS\tI-NP\tO' +p155137 +aS'a\ta\tDT\tB-NP\tO' +p155138 +aS'day\tday\tNN\tI-NP\tO' +p155139 +aS')\t)\t)\tO\tO' +p155140 +aS'.\t.\t.\tO\tO' +p155141 +asS'Signed electronically by : DR. Elizabeth Fernandez on : MON 2014-02-10 4:27 PM' +p155142 +(lp155143 +S'Signed\tSign\tVBN\tB-VP\tO' +p155144 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p155145 +aS'by\tby\tIN\tB-PP\tO' +p155146 +aS':\t:\t:\tO\tO' +p155147 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p155148 +aS'Elizabeth\tElizabeth\tNNP\tI-NP\tO' +p155149 +aS'Fernandez\tFernandez\tNNP\tI-NP\tO' +p155150 +aS'on\ton\tIN\tB-PP\tO' +p155151 +aS':\t:\t:\tO\tO' +p155152 +aS'MON\tMON\tNN\tB-NP\tO' +p155153 +aS'2014-02-10\t2014-02-10\tCD\tI-NP\tO' +p155154 +aS'4:27\t4:27\tCD\tI-NP\tO' +p155155 +aS'PM\tPM\tNN\tI-NP\tO' +p155156 +asS'A similar episode happened at 2 a.m. the same night and at 07:45 on the day of admission , the patient lost consciousness once again when he was trying to sit up .' +p155157 +(lp155158 +S'A\tA\tDT\tB-NP\tO' +p155159 +aS'similar\tsimilar\tJJ\tI-NP\tO' +p155160 +aS'episode\tepisode\tNN\tI-NP\tO' +p155161 +aS'happened\thappen\tVBD\tB-VP\tO' +p155162 +aS'at\tat\tIN\tB-PP\tO' +p155163 +aS'2\t2\tCD\tB-NP\tO' +p155164 +aS'a.m.\ta.m.\tNN\tI-NP\tO' +p155165 +aS'the\tthe\tDT\tB-NP\tO' +p155166 +aS'same\tsame\tJJ\tI-NP\tO' +p155167 +aS'night\tnight\tNN\tI-NP\tO' +p155168 +aS'and\tand\tCC\tB-PP\tO' +p155169 +aS'at\tat\tIN\tB-PP\tO' +p155170 +aS'07:45\t07:45\tCD\tB-NP\tO' +p155171 +aS'on\ton\tIN\tB-PP\tO' +p155172 +aS'the\tthe\tDT\tB-NP\tO' +p155173 +aS'day\tday\tNN\tI-NP\tO' +p155174 +aS'of\tof\tIN\tB-PP\tO' +p155175 +aS'admission\tadmission\tNN\tB-NP\tO' +p155176 +aS',\t,\t,\tO\tO' +p155177 +aS'the\tthe\tDT\tB-NP\tO' +p155178 +aS'patient\tpatient\tNN\tI-NP\tO' +p155179 +aS'lost\tlose\tVBD\tB-VP\tO' +p155180 +aS'consciousness\tconsciousness\tNN\tB-NP\tO' +p155181 +aS'once\tonce\tRB\tB-ADVP\tO' +p155182 +aS'again\tagain\tRB\tI-ADVP\tO' +p155183 +aS'when\twhen\tWRB\tB-ADVP\tO' +p155184 +aS'he\the\tPRP\tB-NP\tO' +p155185 +aS'was\tbe\tVBD\tB-VP\tO' +p155186 +aS'trying\ttry\tVBG\tI-VP\tO' +p155187 +aS'to\tto\tTO\tI-VP\tO' +p155188 +aS'sit\tsit\tVB\tI-VP\tO' +p155189 +aS'up\tup\tRP\tB-PRT\tO' +p155190 +aS'.\t.\t.\tO\tO' +p155191 +asS'The patient is a seventy-one year old female with a history of hypertension who now presents with a right occipital hemorrhagic stroke .' +p155192 +(lp155193 +S'The\tThe\tDT\tB-NP\tO' +p155194 +aS'patient\tpatient\tNN\tI-NP\tO' +p155195 +aS'is\tbe\tVBZ\tB-VP\tO' +p155196 +aS'a\ta\tDT\tB-NP\tO' +p155197 +aS'seventy-one\tseventy-one\tJJ\tI-NP\tO' +p155198 +aS'year\tyear\tNN\tI-NP\tO' +p155199 +aS'old\told\tJJ\tI-NP\tO' +p155200 +aS'female\tfemale\tNN\tI-NP\tO' +p155201 +aS'with\twith\tIN\tB-PP\tO' +p155202 +aS'a\ta\tDT\tB-NP\tO' +p155203 +aS'history\thistory\tNN\tI-NP\tO' +p155204 +aS'of\tof\tIN\tB-PP\tO' +p155205 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p155206 +aS'who\twho\tWP\tB-NP\tO' +p155207 +aS'now\tnow\tRB\tB-ADVP\tO' +p155208 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p155209 +aS'with\twith\tIN\tB-PP\tO' +p155210 +aS'a\ta\tDT\tB-NP\tO' +p155211 +aS'right\tright\tJJ\tI-NP\tO' +p155212 +aS'occipital\toccipital\tNN\tI-NP\tO' +p155213 +aS'hemorrhagic\themorrhagic\tJJ\tI-NP\tO' +p155214 +aS'stroke\tstroke\tNN\tI-NP\tO' +p155215 +aS'.\t.\t.\tO\tO' +p155216 +asS'She exhibited no drift .' +p155217 +(lp155218 +S'She\tShe\tPRP\tB-NP\tO' +p155219 +aS'exhibited\texhibit\tVBD\tB-VP\tO' +p155220 +aS'no\tno\tDT\tB-NP\tO' +p155221 +aS'drift\tdrift\tNN\tI-NP\tO' +p155222 +aS'.\t.\t.\tO\tO' +p155223 +asS'10. Pioglitazone 15 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) as needed for DM .' +p155224 +(lp155225 +S'10.\t10.\tCD\tB-NP\tO' +p155226 +aS'Pioglitazone\tPioglitazone\tNNP\tI-NP\tO' +p155227 +aS'15\t15\tCD\tI-NP\tO' +p155228 +aS'mg\tmg\tNN\tI-NP\tO' +p155229 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p155230 +aS'Sig\tSig\tNNP\tI-NP\tO' +p155231 +aS':\t:\t:\tO\tO' +p155232 +aS'One\tOne\tCD\tB-NP\tO' +p155233 +aS'(\t(\t(\tO\tO' +p155234 +aS'1\t1\tCD\tB-NP\tO' +p155235 +aS')\t)\t)\tO\tO' +p155236 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p155237 +aS'PO\tPO\tNN\tI-NP\tO' +p155238 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p155239 +aS'(\t(\t(\tO\tO' +p155240 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p155241 +aS')\t)\t)\tO\tO' +p155242 +aS'as\tas\tIN\tB-SBAR\tO' +p155243 +aS'needed\tneed\tVBN\tB-VP\tO' +p155244 +aS'for\tfor\tIN\tB-PP\tO' +p155245 +aS'DM\tDM\tNN\tB-NP\tO' +p155246 +aS'.\t.\t.\tO\tO' +p155247 +asS'A Swan was placed and initial readings were CVP of 6 , wedge pressure of 10 to 12 , cardiac index of 4.7 , and SVR of 438 all consistent with a Pseudomonas sepsis picture .' +p155248 +(lp155249 +S'A\tA\tDT\tB-NP\tO' +p155250 +aS'Swan\tSwan\tNN\tI-NP\tO' +p155251 +aS'was\tbe\tVBD\tB-VP\tO' +p155252 +aS'placed\tplace\tVBN\tI-VP\tO' +p155253 +aS'and\tand\tCC\tO\tO' +p155254 +aS'initial\tinitial\tJJ\tB-NP\tO' +p155255 +aS'readings\treading\tNNS\tI-NP\tO' +p155256 +aS'were\tbe\tVBD\tB-VP\tO' +p155257 +aS'CVP\tCVP\tNN\tB-NP\tO' +p155258 +aS'of\tof\tIN\tB-PP\tO' +p155259 +aS'6\t6\tCD\tB-NP\tO' +p155260 +aS',\t,\t,\tO\tO' +p155261 +aS'wedge\twedge\tJJ\tB-NP\tO' +p155262 +aS'pressure\tpressure\tNN\tI-NP\tO' +p155263 +aS'of\tof\tIN\tB-PP\tO' +p155264 +aS'10\t10\tCD\tB-NP\tO' +p155265 +aS'to\tto\tTO\tI-NP\tO' +p155266 +aS'12\t12\tCD\tI-NP\tO' +p155267 +aS',\t,\t,\tO\tO' +p155268 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p155269 +aS'index\tindex\tNN\tI-NP\tO' +p155270 +aS'of\tof\tIN\tB-PP\tO' +p155271 +aS'4.7\t4.7\tCD\tB-NP\tO' +p155272 +aS',\t,\t,\tO\tO' +p155273 +aS'and\tand\tCC\tO\tO' +p155274 +aS'SVR\tSVR\tNN\tB-NP\tB-protein' +p155275 +aS'of\tof\tIN\tB-PP\tO' +p155276 +aS'438\t438\tCD\tB-NP\tO' +p155277 +aS'all\tall\tDT\tB-NP\tO' +p155278 +aS'consistent\tconsistent\tJJ\tI-NP\tO' +p155279 +aS'with\twith\tIN\tB-PP\tO' +p155280 +aS'a\ta\tDT\tB-NP\tO' +p155281 +aS'Pseudomonas\tPseudomonas\tNNP\tI-NP\tO' +p155282 +aS'sepsis\tsepsis\tNN\tI-NP\tO' +p155283 +aS'picture\tpicture\tNN\tI-NP\tO' +p155284 +aS'.\t.\t.\tO\tO' +p155285 +asS'Overall left ventricle systolic function moderately impaired with and estimated ejection fraction of 35% .' +p155286 +(lp155287 +S'Overall\tOverall\tRB\tB-ADVP\tO' +p155288 +aS'left\tleave\tVBD\tB-VP\tO' +p155289 +aS'ventricle\tventricle\tNN\tB-NP\tO' +p155290 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p155291 +aS'function\tfunction\tNN\tI-NP\tO' +p155292 +aS'moderately\tmoderately\tRB\tB-ADJP\tO' +p155293 +aS'impaired\timpaired\tJJ\tI-ADJP\tO' +p155294 +aS'with\twith\tIN\tB-PP\tO' +p155295 +aS'and\tand\tCC\tB-NP\tO' +p155296 +aS'estimated\testimate\tVBN\tI-NP\tO' +p155297 +aS'ejection\tejection\tNN\tI-NP\tO' +p155298 +aS'fraction\tfraction\tNN\tI-NP\tO' +p155299 +aS'of\tof\tIN\tB-PP\tO' +p155300 +aS'35%\t35%\tNN\tB-NP\tO' +p155301 +aS'.\t.\t.\tO\tO' +p155302 +asS'42 yom with h/o NSAID use transferred from OSH with black tarry stools at home .' +p155303 +(lp155304 +S'42\t42\tCD\tB-NP\tO' +p155305 +aS'yom\tyom\tNN\tI-NP\tO' +p155306 +aS'with\twith\tIN\tB-PP\tO' +p155307 +aS'h/o\th/o\tNN\tB-NP\tO' +p155308 +aS'NSAID\tNSAID\tNN\tI-NP\tO' +p155309 +aS'use\tuse\tNN\tI-NP\tO' +p155310 +aS'transferred\ttransfer\tVBN\tB-VP\tO' +p155311 +aS'from\tfrom\tIN\tB-PP\tO' +p155312 +aS'OSH\tOSH\tNN\tB-NP\tO' +p155313 +aS'with\twith\tIN\tB-PP\tO' +p155314 +aS'black\tblack\tJJ\tB-NP\tO' +p155315 +aS'tarry\ttarry\tNN\tI-NP\tO' +p155316 +aS'stools\tstool\tNNS\tI-NP\tO' +p155317 +aS'at\tat\tIN\tB-PP\tO' +p155318 +aS'home\thome\tNN\tB-NP\tO' +p155319 +aS'.\t.\t.\tO\tO' +p155320 +asS'Testes descended bilaterally .' +p155321 +(lp155322 +S'Testes\tTestis\tNNS\tB-NP\tO' +p155323 +aS'descended\tdescend\tVBD\tB-VP\tO' +p155324 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p155325 +aS'.\t.\t.\tO\tO' +p155326 +asS'He received a normal saline bolus of 2 liters of good blood pressure response .' +p155327 +(lp155328 +S'He\tHe\tPRP\tB-NP\tO' +p155329 +aS'received\treceive\tVBD\tB-VP\tO' +p155330 +aS'a\ta\tDT\tB-NP\tO' +p155331 +aS'normal\tnormal\tJJ\tI-NP\tO' +p155332 +aS'saline\tsaline\tNN\tI-NP\tO' +p155333 +aS'bolus\tbolus\tNN\tI-NP\tO' +p155334 +aS'of\tof\tIN\tB-PP\tO' +p155335 +aS'2\t2\tCD\tB-NP\tO' +p155336 +aS'liters\tliter\tNNS\tI-NP\tO' +p155337 +aS'of\tof\tIN\tB-PP\tO' +p155338 +aS'good\tgood\tJJ\tB-NP\tO' +p155339 +aS'blood\tblood\tNN\tI-NP\tO' +p155340 +aS'pressure\tpressure\tNN\tI-NP\tO' +p155341 +aS'response\tresponse\tNN\tI-NP\tO' +p155342 +aS'.\t.\t.\tO\tO' +p155343 +asS'Patient had no right upper quadrant pain .' +p155344 +(lp155345 +S'Patient\tPatient\tNN\tB-NP\tO' +p155346 +aS'had\thave\tVBD\tB-VP\tO' +p155347 +aS'no\tno\tDT\tB-NP\tO' +p155348 +aS'right\tright\tJJ\tI-NP\tB-protein' +p155349 +aS'upper\tupper\tJJ\tI-NP\tI-protein' +p155350 +aS'quadrant\tquadrant\tJJ\tI-NP\tI-protein' +p155351 +aS'pain\tpain\tNN\tI-NP\tI-protein' +p155352 +aS'.\t.\t.\tO\tO' +p155353 +asS'White blood cell count was 5.1 , 22 polys , zero bands with a hematocrit of 39.3 and platelets of 313,000 .' +p155354 +(lp155355 +S'White\tWhite\tJJ\tB-NP\tO' +p155356 +aS'blood\tblood\tNN\tI-NP\tO' +p155357 +aS'cell\tcell\tNN\tI-NP\tO' +p155358 +aS'count\tcount\tNN\tI-NP\tO' +p155359 +aS'was\tbe\tVBD\tB-VP\tO' +p155360 +aS'5.1\t5.1\tCD\tB-NP\tO' +p155361 +aS',\t,\t,\tO\tO' +p155362 +aS'22\t22\tCD\tB-NP\tO' +p155363 +aS'polys\tpoly\tNNS\tI-NP\tO' +p155364 +aS',\t,\t,\tO\tO' +p155365 +aS'zero\tzero\tCD\tB-NP\tO' +p155366 +aS'bands\tband\tNNS\tI-NP\tO' +p155367 +aS'with\twith\tIN\tB-PP\tO' +p155368 +aS'a\ta\tDT\tB-NP\tO' +p155369 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p155370 +aS'of\tof\tIN\tB-PP\tO' +p155371 +aS'39.3\t39.3\tCD\tB-NP\tO' +p155372 +aS'and\tand\tCC\tO\tO' +p155373 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p155374 +aS'of\tof\tIN\tB-PP\tO' +p155375 +aS'313,000\t313,000\tCD\tB-NP\tO' +p155376 +aS'.\t.\t.\tO\tO' +p155377 +asS'The patient was maintained on Percocet p.r.n. for pain relief .' +p155378 +(lp155379 +S'The\tThe\tDT\tB-NP\tO' +p155380 +aS'patient\tpatient\tNN\tI-NP\tO' +p155381 +aS'was\tbe\tVBD\tB-VP\tO' +p155382 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p155383 +aS'on\ton\tIN\tB-PP\tO' +p155384 +aS'Percocet\tPercocet\tNNP\tB-NP\tO' +p155385 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p155386 +aS'for\tfor\tIN\tB-PP\tO' +p155387 +aS'pain\tpain\tNN\tB-NP\tO' +p155388 +aS'relief\trelief\tNN\tI-NP\tO' +p155389 +aS'.\t.\t.\tO\tO' +p155390 +asS'9. Albuterol Sulfate 0.083 % ( 0.83 mg / mL ) Solution Sig : One ( 1 ) Inhalation Q2H ( every 2 hours ) as needed .' +p155391 +(lp155392 +S'9.\t9.\tLS\tB-NP\tO' +p155393 +aS'Albuterol\tAlbuterol\tNNP\tI-NP\tO' +p155394 +aS'Sulfate\tSulfate\tNNP\tI-NP\tO' +p155395 +aS'0.083\t0.083\tCD\tI-NP\tO' +p155396 +aS'%\t%\tNN\tI-NP\tO' +p155397 +aS'(\t(\t(\tO\tO' +p155398 +aS'0.83\t0.83\tCD\tB-NP\tO' +p155399 +aS'mg\tmg\tNN\tI-NP\tO' +p155400 +aS'/\t/\tSYM\tB-NP\tO' +p155401 +aS'mL\tmL\tNN\tI-NP\tO' +p155402 +aS')\t)\t)\tO\tO' +p155403 +aS'Solution\tSolution\tNNP\tB-NP\tO' +p155404 +aS'Sig\tSig\tNNP\tI-NP\tO' +p155405 +aS':\t:\t:\tO\tO' +p155406 +aS'One\tOne\tCD\tB-NP\tO' +p155407 +aS'(\t(\t(\tO\tO' +p155408 +aS'1\t1\tCD\tB-NP\tO' +p155409 +aS')\t)\t)\tO\tO' +p155410 +aS'Inhalation\tInhalation\tNN\tB-NP\tO' +p155411 +aS'Q2H\tQ2H\tNN\tI-NP\tO' +p155412 +aS'(\t(\t(\tO\tO' +p155413 +aS'every\tevery\tDT\tB-NP\tO' +p155414 +aS'2\t2\tCD\tI-NP\tO' +p155415 +aS'hours\thour\tNNS\tI-NP\tO' +p155416 +aS')\t)\t)\tO\tO' +p155417 +aS'as\tas\tIN\tB-SBAR\tO' +p155418 +aS'needed\tneed\tVBN\tB-VP\tO' +p155419 +aS'.\t.\t.\tO\tO' +p155420 +asS'Subsequently on postoperative day no. 8 in the Intensive Care Unit the patient was felt to be ready for transfer to the Cardiac Surgical Inpatient Service .' +p155421 +(lp155422 +S'Subsequently\tSubsequently\tRB\tB-ADVP\tO' +p155423 +aS'on\ton\tIN\tB-PP\tO' +p155424 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p155425 +aS'day\tday\tNN\tI-NP\tO' +p155426 +aS'no.\tno.\tRB\tB-ADVP\tO' +p155427 +aS'8\t8\tCD\tB-NP\tO' +p155428 +aS'in\tin\tIN\tB-PP\tO' +p155429 +aS'the\tthe\tDT\tB-NP\tO' +p155430 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p155431 +aS'Care\tCare\tNNP\tI-NP\tO' +p155432 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p155433 +aS'the\tthe\tDT\tB-NP\tO' +p155434 +aS'patient\tpatient\tNN\tI-NP\tO' +p155435 +aS'was\tbe\tVBD\tB-VP\tO' +p155436 +aS'felt\tfeel\tVBN\tI-VP\tO' +p155437 +aS'to\tto\tTO\tI-VP\tO' +p155438 +aS'be\tbe\tVB\tI-VP\tO' +p155439 +aS'ready\tready\tJJ\tB-ADJP\tO' +p155440 +aS'for\tfor\tIN\tB-PP\tO' +p155441 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p155442 +aS'to\tto\tTO\tB-PP\tO' +p155443 +aS'the\tthe\tDT\tB-NP\tO' +p155444 +aS'Cardiac\tCardiac\tNNP\tI-NP\tO' +p155445 +aS'Surgical\tSurgical\tNNP\tI-NP\tO' +p155446 +aS'Inpatient\tInpatient\tNNP\tI-NP\tO' +p155447 +aS'Service\tService\tNNP\tI-NP\tO' +p155448 +aS'.\t.\t.\tO\tO' +p155449 +asS'The patient is a 74 year old female with metastatic papillary carcinoma of the thyroid who presented to the Fairm of Ijordcompmac Hospital on 4/28/93 with progressive weakness , weight loss and shortness of breath .' +p155450 +(lp155451 +S'The\tThe\tDT\tB-NP\tO' +p155452 +aS'patient\tpatient\tNN\tI-NP\tO' +p155453 +aS'is\tbe\tVBZ\tB-VP\tO' +p155454 +aS'a\ta\tDT\tB-NP\tO' +p155455 +aS'74\t74\tCD\tI-NP\tO' +p155456 +aS'year\tyear\tNN\tI-NP\tO' +p155457 +aS'old\told\tJJ\tI-NP\tO' +p155458 +aS'female\tfemale\tNN\tI-NP\tO' +p155459 +aS'with\twith\tIN\tB-PP\tO' +p155460 +aS'metastatic\tmetastatic\tJJ\tB-NP\tO' +p155461 +aS'papillary\tpapillary\tJJ\tI-NP\tO' +p155462 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p155463 +aS'of\tof\tIN\tB-PP\tO' +p155464 +aS'the\tthe\tDT\tB-NP\tO' +p155465 +aS'thyroid\tthyroid\tNN\tI-NP\tO' +p155466 +aS'who\twho\tWP\tB-NP\tO' +p155467 +aS'presented\tpresent\tVBD\tB-VP\tO' +p155468 +aS'to\tto\tTO\tB-PP\tO' +p155469 +aS'the\tthe\tDT\tB-NP\tO' +p155470 +aS'Fairm\tFairm\tNNP\tI-NP\tO' +p155471 +aS'of\tof\tIN\tB-PP\tO' +p155472 +aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' +p155473 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p155474 +aS'on\ton\tIN\tB-PP\tO' +p155475 +aS'4/28/93\t4/28/93\tCD\tB-NP\tO' +p155476 +aS'with\twith\tIN\tB-PP\tO' +p155477 +aS'progressive\tprogressive\tJJ\tB-NP\tO' +p155478 +aS'weakness\tweakness\tNN\tI-NP\tO' +p155479 +aS',\t,\t,\tO\tO' +p155480 +aS'weight\tweight\tNN\tB-NP\tO' +p155481 +aS'loss\tloss\tNN\tI-NP\tO' +p155482 +aS'and\tand\tCC\tO\tO' +p155483 +aS'shortness\tshortness\tNN\tB-NP\tO' +p155484 +aS'of\tof\tIN\tB-PP\tO' +p155485 +aS'breath\tbreath\tNN\tB-NP\tO' +p155486 +aS'.\t.\t.\tO\tO' +p155487 +asS'On day of life two , she was also loaded with caffeine and continues on caffeine at time of transfer .' +p155488 +(lp155489 +S'On\tOn\tIN\tB-PP\tO' +p155490 +aS'day\tday\tNN\tB-NP\tO' +p155491 +aS'of\tof\tIN\tB-PP\tO' +p155492 +aS'life\tlife\tNN\tB-NP\tO' +p155493 +aS'two\ttwo\tCD\tI-NP\tO' +p155494 +aS',\t,\t,\tO\tO' +p155495 +aS'she\tshe\tPRP\tB-NP\tO' +p155496 +aS'was\tbe\tVBD\tB-VP\tO' +p155497 +aS'also\talso\tRB\tI-VP\tO' +p155498 +aS'loaded\tload\tVBN\tI-VP\tO' +p155499 +aS'with\twith\tIN\tB-PP\tO' +p155500 +aS'caffeine\tcaffeine\tNN\tB-NP\tO' +p155501 +aS'and\tand\tCC\tO\tO' +p155502 +aS'continues\tcontinue\tVBZ\tB-VP\tO' +p155503 +aS'on\ton\tIN\tB-PP\tO' +p155504 +aS'caffeine\tcaffeine\tNN\tB-NP\tO' +p155505 +aS'at\tat\tIN\tB-PP\tO' +p155506 +aS'time\ttime\tNN\tB-NP\tO' +p155507 +aS'of\tof\tIN\tB-PP\tO' +p155508 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p155509 +aS'.\t.\t.\tO\tO' +p155510 +asS'Attending : Marcus W. Kelley , M.D.' +p155511 +(lp155512 +S'Attending\tAttend\tVBG\tB-VP\tO' +p155513 +aS':\t:\t:\tO\tO' +p155514 +aS'Marcus\tMarcus\tNNP\tB-NP\tO' +p155515 +aS'W.\tW.\tNNP\tI-NP\tO' +p155516 +aS'Kelley\tKelley\tNNP\tI-NP\tO' +p155517 +aS',\t,\t,\tO\tO' +p155518 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p155519 +asS'He was afebrile with stable vital signs on presentation to' +p155520 +(lp155521 +S'He\tHe\tPRP\tB-NP\tO' +p155522 +aS'was\tbe\tVBD\tB-VP\tO' +p155523 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p155524 +aS'with\twith\tIN\tB-PP\tO' +p155525 +aS'stable\tstable\tJJ\tB-NP\tO' +p155526 +aS'vital\tvital\tJJ\tI-NP\tO' +p155527 +aS'signs\tsign\tNNS\tI-NP\tO' +p155528 +aS'on\ton\tIN\tB-PP\tO' +p155529 +aS'presentation\tpresentation\tNN\tB-NP\tO' +p155530 +aS'to\tto\tTO\tB-PP\tO' +p155531 +asS'7) mild chronic renal insufficiency .' +p155532 +(lp155533 +S'7)\t7)\tLS\tB-NP\tO' +p155534 +aS'mild\tmild\tJJ\tI-NP\tO' +p155535 +aS'chronic\tchronic\tJJ\tI-NP\tO' +p155536 +aS'renal\trenal\tJJ\tI-NP\tO' +p155537 +aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' +p155538 +aS'.\t.\t.\tO\tO' +p155539 +asS'An NG lavage was performed and there was bilious return .' +p155540 +(lp155541 +S'An\tAn\tDT\tB-NP\tO' +p155542 +aS'NG\tNG\tNN\tI-NP\tO' +p155543 +aS'lavage\tlavage\tNN\tI-NP\tO' +p155544 +aS'was\tbe\tVBD\tB-VP\tO' +p155545 +aS'performed\tperform\tVBN\tI-VP\tO' +p155546 +aS'and\tand\tCC\tO\tO' +p155547 +aS'there\tthere\tEX\tB-NP\tO' +p155548 +aS'was\tbe\tVBD\tB-VP\tO' +p155549 +aS'bilious\tbilious\tJJ\tB-NP\tO' +p155550 +aS'return\treturn\tNN\tI-NP\tO' +p155551 +aS'.\t.\t.\tO\tO' +p155552 +asS'Non-insulin dependent diabetes mellitus , history of gastric ulcer , and history of ETOH abuse .' +p155553 +(lp155554 +S'Non-insulin\tNon-insulin\tNN\tB-NP\tB-protein' +p155555 +aS'dependent\tdependent\tJJ\tI-NP\tO' +p155556 +aS'diabetes\tdiabete\tNNS\tI-NP\tO' +p155557 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p155558 +aS',\t,\t,\tO\tO' +p155559 +aS'history\thistory\tNN\tB-NP\tO' +p155560 +aS'of\tof\tIN\tB-PP\tO' +p155561 +aS'gastric\tgastric\tJJ\tB-NP\tO' +p155562 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p155563 +aS',\t,\t,\tO\tO' +p155564 +aS'and\tand\tCC\tO\tO' +p155565 +aS'history\thistory\tNN\tB-NP\tO' +p155566 +aS'of\tof\tIN\tB-PP\tO' +p155567 +aS'ETOH\tETOH\tNN\tB-NP\tO' +p155568 +aS'abuse\tabuse\tNN\tI-NP\tO' +p155569 +aS'.\t.\t.\tO\tO' +p155570 +asS'Further Cardiologic work-up was suggested as an outpatient at four to six weeks post discharge .' +p155571 +(lp155572 +S'Further\tFurther\tJJ\tB-NP\tO' +p155573 +aS'Cardiologic\tCardiologic\tJJ\tI-NP\tO' +p155574 +aS'work-up\twork-up\tNN\tI-NP\tO' +p155575 +aS'was\tbe\tVBD\tB-VP\tO' +p155576 +aS'suggested\tsuggest\tVBN\tI-VP\tO' +p155577 +aS'as\tas\tIN\tB-PP\tO' +p155578 +aS'an\tan\tDT\tB-NP\tO' +p155579 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p155580 +aS'at\tat\tIN\tB-PP\tO' +p155581 +aS'four\tfour\tCD\tB-NP\tO' +p155582 +aS'to\tto\tTO\tI-NP\tO' +p155583 +aS'six\tsix\tCD\tI-NP\tO' +p155584 +aS'weeks\tweek\tNNS\tI-NP\tO' +p155585 +aS'post\tpost\tJJ\tI-NP\tO' +p155586 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p155587 +aS'.\t.\t.\tO\tO' +p155588 +asS'7. Vitamin B complex 1 tab daily' +p155589 +(lp155590 +S'7.\t7.\tLS\tB-NP\tO' +p155591 +aS'Vitamin\tVitamin\tNN\tI-NP\tO' +p155592 +aS'B\tB\tNN\tI-NP\tO' +p155593 +aS'complex\tcomplex\tNN\tI-NP\tO' +p155594 +aS'1\t1\tCD\tI-NP\tO' +p155595 +aS'tab\ttab\tNN\tI-NP\tO' +p155596 +aS'daily\tdaily\tJJ\tI-NP\tO' +p155597 +asS'Lungs revealed occasional wheezing bilaterally at both bases .' +p155598 +(lp155599 +S'Lungs\tLung\tNNS\tB-NP\tO' +p155600 +aS'revealed\treveal\tVBD\tB-VP\tO' +p155601 +aS'occasional\toccasional\tJJ\tB-NP\tO' +p155602 +aS'wheezing\twheezing\tNN\tI-NP\tO' +p155603 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p155604 +aS'at\tat\tIN\tB-PP\tO' +p155605 +aS'both\tboth\tDT\tB-NP\tO' +p155606 +aS'bases\tbase\tNNS\tI-NP\tO' +p155607 +aS'.\t.\t.\tO\tO' +p155608 +asS'Anterior fontanel open , level and soft .' +p155609 +(lp155610 +S'Anterior\tAnterior\tJJ\tB-NP\tO' +p155611 +aS'fontanel\tfontanel\tNN\tI-NP\tO' +p155612 +aS'open\topen\tJJ\tI-NP\tO' +p155613 +aS',\t,\t,\tI-NP\tO' +p155614 +aS'level\tlevel\tNN\tI-NP\tO' +p155615 +aS'and\tand\tCC\tI-NP\tO' +p155616 +aS'soft\tsoft\tJJ\tI-NP\tO' +p155617 +aS'.\t.\t.\tO\tO' +p155618 +asS'On discharge included tetracycline , 250 mg po q.i.d. ; cyclosporin , 325 mg po b.i.d. ; prednisone , 30 mg po q day ; Bactrim DS , one po q.o.d. ; diltiazem , 30 mg po q.i.d. ; Mycostatin , 15 cc swish and swallow q.i.d. ; Lasix , 40 mg po q day ; Colace , 100 mg po q.i.d. ; Carafate , 1 gram po q.i.d. ; Imuran , 50 mg po t.i.d. ; NPH insulin , 44 units and 10 units of regular q a.m. ; NPH , 22 units and 8 units of regular q p.m.' +p155619 +(lp155620 +S'On\tOn\tIN\tB-PP\tO' +p155621 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p155622 +aS'included\tinclude\tVBD\tB-VP\tO' +p155623 +aS'tetracycline\ttetracycline\tNN\tB-NP\tO' +p155624 +aS',\t,\t,\tO\tO' +p155625 +aS'250\t250\tCD\tB-NP\tO' +p155626 +aS'mg\tmg\tNN\tI-NP\tO' +p155627 +aS'po\tpo\tNN\tI-NP\tO' +p155628 +aS'q.i.d.\tq.i.d.\tNN\tI-NP\tO' +p155629 +aS';\t;\t:\tO\tO' +p155630 +aS'cyclosporin\tcyclosporin\tNN\tB-NP\tO' +p155631 +aS',\t,\t,\tO\tO' +p155632 +aS'325\t325\tCD\tB-NP\tO' +p155633 +aS'mg\tmg\tNN\tI-NP\tO' +p155634 +aS'po\tpo\tNN\tI-NP\tO' +p155635 +aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' +p155636 +aS';\t;\t:\tO\tO' +p155637 +aS'prednisone\tprednisone\tNN\tB-NP\tO' +p155638 +aS',\t,\t,\tO\tO' +p155639 +aS'30\t30\tCD\tB-NP\tO' +p155640 +aS'mg\tmg\tNN\tI-NP\tO' +p155641 +aS'po\tpo\tNN\tI-NP\tO' +p155642 +aS'q\tq\tNN\tI-NP\tO' +p155643 +aS'day\tday\tNN\tI-NP\tO' +p155644 +aS';\t;\t:\tO\tO' +p155645 +aS'Bactrim\tBactrim\tNNP\tB-NP\tO' +p155646 +aS'DS\tDS\tNNP\tI-NP\tO' +p155647 +aS',\t,\t,\tO\tO' +p155648 +aS'one\tone\tCD\tB-NP\tO' +p155649 +aS'po\tpo\tNN\tI-NP\tO' +p155650 +aS'q.o.d.\tq.o.d.\tNN\tI-NP\tO' +p155651 +aS';\t;\t:\tO\tO' +p155652 +aS'diltiazem\tdiltiazem\tNN\tB-NP\tO' +p155653 +aS',\t,\t,\tO\tO' +p155654 +aS'30\t30\tCD\tB-NP\tO' +p155655 +aS'mg\tmg\tNN\tI-NP\tO' +p155656 +aS'po\tpo\tNN\tI-NP\tO' +p155657 +aS'q.i.d.\tq.i.d.\tNN\tI-NP\tO' +p155658 +aS';\t;\t:\tO\tO' +p155659 +aS'Mycostatin\tMycostatin\tNN\tB-NP\tO' +p155660 +aS',\t,\t,\tO\tO' +p155661 +aS'15\t15\tCD\tB-NP\tO' +p155662 +aS'cc\tcc\tNN\tI-NP\tO' +p155663 +aS'swish\tswish\tVB\tB-VP\tO' +p155664 +aS'and\tand\tCC\tO\tO' +p155665 +aS'swallow\tswallow\tVB\tB-VP\tO' +p155666 +aS'q.i.d.\tq.i.d.\tNN\tB-NP\tO' +p155667 +aS';\t;\t:\tO\tO' +p155668 +aS'Lasix\tLasix\tNN\tB-NP\tO' +p155669 +aS',\t,\t,\tO\tO' +p155670 +aS'40\t40\tCD\tB-NP\tO' +p155671 +aS'mg\tmg\tNN\tI-NP\tO' +p155672 +aS'po\tpo\tNN\tI-NP\tO' +p155673 +aS'q\tq\tNN\tI-NP\tO' +p155674 +aS'day\tday\tNN\tI-NP\tO' +p155675 +aS';\t;\t:\tO\tO' +p155676 +aS'Colace\tColace\tNNP\tB-NP\tO' +p155677 +aS',\t,\t,\tO\tO' +p155678 +aS'100\t100\tCD\tB-NP\tO' +p155679 +aS'mg\tmg\tNN\tI-NP\tO' +p155680 +aS'po\tpo\tNN\tI-NP\tO' +p155681 +aS'q.i.d.\tq.i.d.\tNN\tI-NP\tO' +p155682 +aS';\t;\t:\tO\tO' +p155683 +aS'Carafate\tCarafate\tNN\tB-NP\tO' +p155684 +aS',\t,\t,\tO\tO' +p155685 +aS'1\t1\tCD\tB-NP\tO' +p155686 +aS'gram\tgram\tNN\tI-NP\tO' +p155687 +aS'po\tpo\tNN\tI-NP\tO' +p155688 +aS'q.i.d.\tq.i.d.\tNN\tI-NP\tO' +p155689 +aS';\t;\t:\tO\tO' +p155690 +aS'Imuran\tImuran\tNN\tB-NP\tO' +p155691 +aS',\t,\t,\tO\tO' +p155692 +aS'50\t50\tCD\tB-NP\tO' +p155693 +aS'mg\tmg\tNN\tI-NP\tO' +p155694 +aS'po\tpo\tNN\tI-NP\tO' +p155695 +aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' +p155696 +aS';\t;\t:\tO\tO' +p155697 +aS'NPH\tNPH\tNN\tB-NP\tB-protein' +p155698 +aS'insulin\tinsulin\tNN\tI-NP\tI-protein' +p155699 +aS',\t,\t,\tO\tO' +p155700 +aS'44\t44\tCD\tB-NP\tO' +p155701 +aS'units\tunit\tNNS\tI-NP\tO' +p155702 +aS'and\tand\tCC\tO\tO' +p155703 +aS'10\t10\tCD\tB-NP\tO' +p155704 +aS'units\tunit\tNNS\tI-NP\tO' +p155705 +aS'of\tof\tIN\tB-PP\tO' +p155706 +aS'regular\tregular\tJJ\tB-NP\tO' +p155707 +aS'q\tq\tNN\tI-NP\tO' +p155708 +aS'a.m.\ta.m.\tNN\tI-NP\tO' +p155709 +aS';\t;\t:\tO\tO' +p155710 +aS'NPH\tNPH\tNN\tB-NP\tO' +p155711 +aS',\t,\t,\tO\tO' +p155712 +aS'22\t22\tCD\tB-NP\tO' +p155713 +aS'units\tunit\tNNS\tI-NP\tO' +p155714 +aS'and\tand\tCC\tO\tO' +p155715 +aS'8\t8\tCD\tB-NP\tO' +p155716 +aS'units\tunit\tNNS\tI-NP\tO' +p155717 +aS'of\tof\tIN\tB-PP\tO' +p155718 +aS'regular\tregular\tJJ\tB-NP\tO' +p155719 +aS'q\tq\tNN\tI-NP\tO' +p155720 +aS'p.m.\tp.m.\tNN\tI-NP\tO' +p155721 +asS'The infant was placed on a cardiopulmonary monitor upon admission to the Newborn Intensive Care Unit with pulse oximetry .' +p155722 +(lp155723 +S'The\tThe\tDT\tB-NP\tO' +p155724 +aS'infant\tinfant\tNN\tI-NP\tO' +p155725 +aS'was\tbe\tVBD\tB-VP\tO' +p155726 +aS'placed\tplace\tVBN\tI-VP\tO' +p155727 +aS'on\ton\tIN\tB-PP\tO' +p155728 +aS'a\ta\tDT\tB-NP\tO' +p155729 +aS'cardiopulmonary\tcardiopulmonary\tJJ\tI-NP\tO' +p155730 +aS'monitor\tmonitor\tNN\tI-NP\tO' +p155731 +aS'upon\tupon\tIN\tB-PP\tO' +p155732 +aS'admission\tadmission\tNN\tB-NP\tO' +p155733 +aS'to\tto\tTO\tB-PP\tO' +p155734 +aS'the\tthe\tDT\tB-NP\tO' +p155735 +aS'Newborn\tNewborn\tNNP\tI-NP\tO' +p155736 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p155737 +aS'Care\tCare\tNNP\tI-NP\tO' +p155738 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p155739 +aS'with\twith\tIN\tB-PP\tO' +p155740 +aS'pulse\tpulse\tNN\tB-NP\tO' +p155741 +aS'oximetry\toximetry\tNN\tI-NP\tO' +p155742 +aS'.\t.\t.\tO\tO' +p155743 +asS'A Physical Therapy consultation was obtained to initiate a 6 - minute walk test .' +p155744 +(lp155745 +S'A\tA\tDT\tB-NP\tO' +p155746 +aS'Physical\tPhysical\tJJ\tI-NP\tO' +p155747 +aS'Therapy\tTherapy\tNN\tI-NP\tO' +p155748 +aS'consultation\tconsultation\tNN\tI-NP\tO' +p155749 +aS'was\tbe\tVBD\tB-VP\tO' +p155750 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p155751 +aS'to\tto\tTO\tI-VP\tO' +p155752 +aS'initiate\tinitiate\tVB\tI-VP\tO' +p155753 +aS'a\ta\tDT\tB-NP\tO' +p155754 +aS'6\t6\tCD\tI-NP\tO' +p155755 +aS'-\t-\tHYPH\tI-NP\tO' +p155756 +aS'minute\tminute\tNN\tI-NP\tO' +p155757 +aS'walk\twalk\tNN\tI-NP\tO' +p155758 +aS'test\ttest\tNN\tI-NP\tO' +p155759 +aS'.\t.\t.\tO\tO' +p155760 +asS'The patient was treated with intravenous antibiotics .' +p155761 +(lp155762 +S'The\tThe\tDT\tB-NP\tO' +p155763 +aS'patient\tpatient\tNN\tI-NP\tO' +p155764 +aS'was\tbe\tVBD\tB-VP\tO' +p155765 +aS'treated\ttreat\tVBN\tI-VP\tO' +p155766 +aS'with\twith\tIN\tB-PP\tO' +p155767 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p155768 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p155769 +aS'.\t.\t.\tO\tO' +p155770 +asS'This rate was maintained for 11 hours .' +p155771 +(lp155772 +S'This\tThis\tDT\tB-NP\tO' +p155773 +aS'rate\trate\tNN\tI-NP\tO' +p155774 +aS'was\tbe\tVBD\tB-VP\tO' +p155775 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p155776 +aS'for\tfor\tIN\tB-PP\tO' +p155777 +aS'11\t11\tCD\tB-NP\tO' +p155778 +aS'hours\thour\tNNS\tI-NP\tO' +p155779 +aS'.\t.\t.\tO\tO' +p155780 +asS'EKG shows normal sinus rhythm at 70 beats per minute with normal axis and intervals , borderline LVH .' +p155781 +(lp155782 +S'EKG\tEKG\tNN\tB-NP\tB-protein' +p155783 +aS'shows\tshow\tVBZ\tB-VP\tO' +p155784 +aS'normal\tnormal\tJJ\tB-NP\tO' +p155785 +aS'sinus\tsinus\tNN\tI-NP\tO' +p155786 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p155787 +aS'at\tat\tIN\tB-PP\tO' +p155788 +aS'70\t70\tCD\tB-NP\tO' +p155789 +aS'beats\tbeat\tNNS\tI-NP\tO' +p155790 +aS'per\tper\tIN\tB-PP\tO' +p155791 +aS'minute\tminute\tNN\tB-NP\tO' +p155792 +aS'with\twith\tIN\tB-PP\tO' +p155793 +aS'normal\tnormal\tJJ\tB-NP\tO' +p155794 +aS'axis\taxis\tNN\tI-NP\tO' +p155795 +aS'and\tand\tCC\tI-NP\tO' +p155796 +aS'intervals\tinterval\tNNS\tI-NP\tO' +p155797 +aS',\t,\t,\tO\tO' +p155798 +aS'borderline\tborderline\tJJ\tB-NP\tO' +p155799 +aS'LVH\tLVH\tNN\tI-NP\tO' +p155800 +aS'.\t.\t.\tO\tO' +p155801 +asS'Cor - rrr , no m/r/g' +p155802 +(lp155803 +S'Cor\tCor\tNN\tB-NP\tB-protein' +p155804 +aS'-\t-\tHYPH\tI-NP\tO' +p155805 +aS'rrr\trrr\tNN\tI-NP\tB-protein' +p155806 +aS',\t,\t,\tO\tO' +p155807 +aS'no\tno\tDT\tB-NP\tO' +p155808 +aS'm/r/g\tm/r/g\tNN\tI-NP\tO' +p155809 +asS'Will need to call for outpatient MRA and HIDA with CCK challenge to evaluate biliary system and mesenteric vasculature .' +p155810 +(lp155811 +S'Will\tWill\tMD\tB-VP\tO' +p155812 +aS'need\tneed\tVB\tI-VP\tO' +p155813 +aS'to\tto\tTO\tI-VP\tO' +p155814 +aS'call\tcall\tVB\tI-VP\tO' +p155815 +aS'for\tfor\tIN\tB-PP\tO' +p155816 +aS'outpatient\toutpatient\tNN\tB-NP\tO' +p155817 +aS'MRA\tMRA\tNN\tI-NP\tO' +p155818 +aS'and\tand\tCC\tO\tO' +p155819 +aS'HIDA\tHIDA\tNN\tB-NP\tB-protein' +p155820 +aS'with\twith\tIN\tB-PP\tO' +p155821 +aS'CCK\tCCK\tNN\tB-NP\tO' +p155822 +aS'challenge\tchallenge\tNN\tI-NP\tO' +p155823 +aS'to\tto\tTO\tB-VP\tO' +p155824 +aS'evaluate\tevaluate\tVB\tI-VP\tO' +p155825 +aS'biliary\tbiliary\tJJ\tB-NP\tO' +p155826 +aS'system\tsystem\tNN\tI-NP\tO' +p155827 +aS'and\tand\tCC\tO\tO' +p155828 +aS'mesenteric\tmesenteric\tJJ\tB-NP\tO' +p155829 +aS'vasculature\tvasculature\tNN\tI-NP\tO' +p155830 +aS'.\t.\t.\tO\tO' +p155831 +asS'The patient complained of fevers .' +p155832 +(lp155833 +S'The\tThe\tDT\tB-NP\tO' +p155834 +aS'patient\tpatient\tNN\tI-NP\tO' +p155835 +aS'complained\tcomplain\tVBD\tB-VP\tO' +p155836 +aS'of\tof\tIN\tB-PP\tO' +p155837 +aS'fevers\tfever\tNNS\tB-NP\tO' +p155838 +aS'.\t.\t.\tO\tO' +p155839 +asS'Blood , urine and sputum culutres were sent .' +p155840 +(lp155841 +S'Blood\tBlood\tNN\tB-NP\tO' +p155842 +aS',\t,\t,\tI-NP\tO' +p155843 +aS'urine\turine\tNN\tI-NP\tO' +p155844 +aS'and\tand\tCC\tI-NP\tO' +p155845 +aS'sputum\tsputum\tNN\tI-NP\tO' +p155846 +aS'culutres\tculutre\tNNS\tI-NP\tO' +p155847 +aS'were\tbe\tVBD\tB-VP\tO' +p155848 +aS'sent\tsend\tVBN\tI-VP\tO' +p155849 +aS'.\t.\t.\tO\tO' +p155850 +asS'Delta MS Rachel Rohrer .' +p155851 +(lp155852 +S'Delta\tDelta\tNNP\tB-NP\tO' +p155853 +aS'MS\tMS\tNNP\tI-NP\tO' +p155854 +aS'Rachel\tRachel\tNNP\tI-NP\tO' +p155855 +aS'Rohrer\tRohrer\tNNP\tI-NP\tO' +p155856 +aS'.\t.\t.\tO\tO' +p155857 +asS'There was no additional history of breast , ovarian or uterine cancer in her family .' +p155858 +(lp155859 +S'There\tThere\tEX\tB-NP\tO' +p155860 +aS'was\tbe\tVBD\tB-VP\tO' +p155861 +aS'no\tno\tDT\tB-NP\tO' +p155862 +aS'additional\tadditional\tJJ\tI-NP\tO' +p155863 +aS'history\thistory\tNN\tI-NP\tO' +p155864 +aS'of\tof\tIN\tB-PP\tO' +p155865 +aS'breast\tbreast\tNN\tB-NP\tO' +p155866 +aS',\t,\t,\tO\tO' +p155867 +aS'ovarian\tovarian\tJJ\tB-NP\tO' +p155868 +aS'or\tor\tCC\tI-NP\tO' +p155869 +aS'uterine\tuterine\tJJ\tI-NP\tO' +p155870 +aS'cancer\tcancer\tNN\tI-NP\tO' +p155871 +aS'in\tin\tIN\tB-PP\tO' +p155872 +aS'her\ther\tPRP$\tB-NP\tO' +p155873 +aS'family\tfamily\tNN\tI-NP\tO' +p155874 +aS'.\t.\t.\tO\tO' +p155875 +asS'Calories were gradually increased to breast milk 30 calories with ProMod consisting of four of human milk fortifier , four of MCT and two of Polycose with a 12-28 teaspoon of ProMod per 50 ml of breast milk or 60 ml of formula .' +p155876 +(lp155877 +S'Calories\tCalorie\tNNS\tB-NP\tO' +p155878 +aS'were\tbe\tVBD\tB-VP\tO' +p155879 +aS'gradually\tgradually\tRB\tI-VP\tO' +p155880 +aS'increased\tincrease\tVBN\tI-VP\tO' +p155881 +aS'to\tto\tTO\tB-PP\tO' +p155882 +aS'breast\tbreast\tNN\tB-NP\tO' +p155883 +aS'milk\tmilk\tNN\tI-NP\tO' +p155884 +aS'30\t30\tCD\tB-NP\tO' +p155885 +aS'calories\tcalorie\tNNS\tI-NP\tO' +p155886 +aS'with\twith\tIN\tB-PP\tO' +p155887 +aS'ProMod\tProMod\tNN\tB-NP\tO' +p155888 +aS'consisting\tconsist\tVBG\tB-VP\tO' +p155889 +aS'of\tof\tIN\tB-PP\tO' +p155890 +aS'four\tfour\tCD\tB-NP\tO' +p155891 +aS'of\tof\tIN\tB-PP\tO' +p155892 +aS'human\thuman\tJJ\tB-NP\tO' +p155893 +aS'milk\tmilk\tNN\tI-NP\tO' +p155894 +aS'fortifier\tfortifier\tNN\tI-NP\tO' +p155895 +aS',\t,\t,\tO\tO' +p155896 +aS'four\tfour\tCD\tB-NP\tO' +p155897 +aS'of\tof\tIN\tB-PP\tO' +p155898 +aS'MCT\tMCT\tNN\tB-NP\tB-protein' +p155899 +aS'and\tand\tCC\tO\tO' +p155900 +aS'two\ttwo\tCD\tB-NP\tO' +p155901 +aS'of\tof\tIN\tB-PP\tO' +p155902 +aS'Polycose\tPolycose\tNN\tB-NP\tO' +p155903 +aS'with\twith\tIN\tB-PP\tO' +p155904 +aS'a\ta\tDT\tB-NP\tO' +p155905 +aS'12-28\t12-28\tJJ\tI-NP\tO' +p155906 +aS'teaspoon\tteaspoon\tNN\tI-NP\tO' +p155907 +aS'of\tof\tIN\tB-PP\tO' +p155908 +aS'ProMod\tProMod\tNN\tB-NP\tO' +p155909 +aS'per\tper\tIN\tB-PP\tO' +p155910 +aS'50\t50\tCD\tB-NP\tO' +p155911 +aS'ml\tml\tNN\tI-NP\tO' +p155912 +aS'of\tof\tIN\tB-PP\tO' +p155913 +aS'breast\tbreast\tNN\tB-NP\tO' +p155914 +aS'milk\tmilk\tNN\tI-NP\tO' +p155915 +aS'or\tor\tCC\tO\tO' +p155916 +aS'60\t60\tCD\tB-NP\tO' +p155917 +aS'ml\tml\tNN\tI-NP\tO' +p155918 +aS'of\tof\tIN\tB-PP\tO' +p155919 +aS'formula\tformula\tNN\tB-NP\tO' +p155920 +aS'.\t.\t.\tO\tO' +p155921 +asS'Influenza immunization is recommended annually in the fall for all infants once they reach six months of age .' +p155922 +(lp155923 +S'Influenza\tInfluenza\tNN\tB-NP\tO' +p155924 +aS'immunization\timmunization\tNN\tI-NP\tO' +p155925 +aS'is\tbe\tVBZ\tB-VP\tO' +p155926 +aS'recommended\trecommend\tVBN\tI-VP\tO' +p155927 +aS'annually\tannually\tRB\tB-ADVP\tO' +p155928 +aS'in\tin\tIN\tB-PP\tO' +p155929 +aS'the\tthe\tDT\tB-NP\tO' +p155930 +aS'fall\tfall\tNN\tI-NP\tO' +p155931 +aS'for\tfor\tIN\tB-PP\tO' +p155932 +aS'all\tall\tDT\tB-NP\tO' +p155933 +aS'infants\tinfant\tNNS\tI-NP\tO' +p155934 +aS'once\tonce\tIN\tB-SBAR\tO' +p155935 +aS'they\tthey\tPRP\tB-NP\tO' +p155936 +aS'reach\treach\tVBP\tB-VP\tO' +p155937 +aS'six\tsix\tCD\tB-NP\tO' +p155938 +aS'months\tmonth\tNNS\tI-NP\tO' +p155939 +aS'of\tof\tIN\tB-PP\tO' +p155940 +aS'age\tage\tNN\tB-NP\tO' +p155941 +aS'.\t.\t.\tO\tO' +p155942 +asS"Heart block - As noted previously , the patient 's electrocardiogram was significant for a 2:1 heart block and cardiology consult service was contacted for evaluation ." +p155943 +(lp155944 +S'Heart\tHeart\tNN\tB-NP\tO' +p155945 +aS'block\tblock\tNN\tI-NP\tO' +p155946 +aS'-\t-\tHYPH\tO\tO' +p155947 +aS'As\tAs\tIN\tB-SBAR\tO' +p155948 +aS'noted\tnote\tVBN\tB-VP\tO' +p155949 +aS'previously\tpreviously\tRB\tB-ADVP\tO' +p155950 +aS',\t,\t,\tO\tO' +p155951 +aS'the\tthe\tDT\tB-NP\tO' +p155952 +aS'patient\tpatient\tNN\tI-NP\tO' +p155953 +aS"'s\t's\tPOS\tB-NP\tO" +p155954 +aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' +p155955 +aS'was\tbe\tVBD\tB-VP\tO' +p155956 +aS'significant\tsignificant\tJJ\tB-ADJP\tO' +p155957 +aS'for\tfor\tIN\tB-PP\tO' +p155958 +aS'a\ta\tDT\tB-NP\tO' +p155959 +aS'2:1\t2:1\tCD\tI-NP\tO' +p155960 +aS'heart\theart\tNN\tI-NP\tO' +p155961 +aS'block\tblock\tNN\tI-NP\tO' +p155962 +aS'and\tand\tCC\tO\tO' +p155963 +aS'cardiology\tcardiology\tNN\tB-NP\tO' +p155964 +aS'consult\tconsult\tNN\tI-NP\tO' +p155965 +aS'service\tservice\tNN\tI-NP\tO' +p155966 +aS'was\tbe\tVBD\tB-VP\tO' +p155967 +aS'contacted\tcontact\tVBN\tI-VP\tO' +p155968 +aS'for\tfor\tIN\tB-PP\tO' +p155969 +aS'evaluation\tevaluation\tNN\tB-NP\tO' +p155970 +aS'.\t.\t.\tO\tO' +p155971 +asS'The patient presented with a chief complaint of SDH .' +p155972 +(lp155973 +S'The\tThe\tDT\tB-NP\tO' +p155974 +aS'patient\tpatient\tNN\tI-NP\tO' +p155975 +aS'presented\tpresent\tVBD\tB-VP\tO' +p155976 +aS'with\twith\tIN\tB-PP\tO' +p155977 +aS'a\ta\tDT\tB-NP\tO' +p155978 +aS'chief\tchief\tJJ\tI-NP\tO' +p155979 +aS'complaint\tcomplaint\tNN\tI-NP\tO' +p155980 +aS'of\tof\tIN\tB-PP\tO' +p155981 +aS'SDH\tSDH\tNN\tB-NP\tB-protein' +p155982 +aS'.\t.\t.\tO\tO' +p155983 +asS'Is significant for spinal stenosis and a series of operations including repair of a ureteral stricture ; cataract implants ; two partial hysterectomies ; and an appendectomy .' +p155984 +(lp155985 +S'Is\tBe\tVBZ\tO\tO' +p155986 +aS'significant\tsignificant\tJJ\tB-ADJP\tO' +p155987 +aS'for\tfor\tIN\tB-PP\tO' +p155988 +aS'spinal\tspinal\tJJ\tB-NP\tO' +p155989 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p155990 +aS'and\tand\tCC\tO\tO' +p155991 +aS'a\ta\tDT\tB-NP\tO' +p155992 +aS'series\tseries\tNN\tI-NP\tO' +p155993 +aS'of\tof\tIN\tB-PP\tO' +p155994 +aS'operations\toperation\tNNS\tB-NP\tO' +p155995 +aS'including\tinclude\tVBG\tB-PP\tO' +p155996 +aS'repair\trepair\tNN\tB-NP\tO' +p155997 +aS'of\tof\tIN\tB-PP\tO' +p155998 +aS'a\ta\tDT\tB-NP\tO' +p155999 +aS'ureteral\tureteral\tJJ\tI-NP\tO' +p156000 +aS'stricture\tstricture\tNN\tI-NP\tO' +p156001 +aS';\t;\t:\tO\tO' +p156002 +aS'cataract\tcataract\tNN\tB-NP\tO' +p156003 +aS'implants\timplant\tNNS\tI-NP\tO' +p156004 +aS';\t;\t:\tO\tO' +p156005 +aS'two\ttwo\tCD\tB-NP\tO' +p156006 +aS'partial\tpartial\tJJ\tI-NP\tO' +p156007 +aS'hysterectomies\thysterectomy\tNNS\tI-NP\tO' +p156008 +aS';\t;\t:\tO\tO' +p156009 +aS'and\tand\tCC\tO\tO' +p156010 +aS'an\tan\tDT\tB-NP\tO' +p156011 +aS'appendectomy\tappendectomy\tNN\tI-NP\tO' +p156012 +aS'.\t.\t.\tO\tO' +p156013 +asS'The overall prognosis was guarded .' +p156014 +(lp156015 +S'The\tThe\tDT\tB-NP\tO' +p156016 +aS'overall\toverall\tJJ\tI-NP\tO' +p156017 +aS'prognosis\tprognosis\tNN\tI-NP\tO' +p156018 +aS'was\tbe\tVBD\tB-VP\tO' +p156019 +aS'guarded\tguard\tVBN\tI-VP\tO' +p156020 +aS'.\t.\t.\tO\tO' +p156021 +asS'She received a full course of betamethasone on 03-28 and was treated with magnesium sulfate until 04-12 .' +p156022 +(lp156023 +S'She\tShe\tPRP\tB-NP\tO' +p156024 +aS'received\treceive\tVBD\tB-VP\tO' +p156025 +aS'a\ta\tDT\tB-NP\tO' +p156026 +aS'full\tfull\tJJ\tI-NP\tO' +p156027 +aS'course\tcourse\tNN\tI-NP\tO' +p156028 +aS'of\tof\tIN\tB-PP\tO' +p156029 +aS'betamethasone\tbetamethasone\tNN\tB-NP\tO' +p156030 +aS'on\ton\tIN\tB-PP\tO' +p156031 +aS'03-28\t03-28\tCD\tB-NP\tO' +p156032 +aS'and\tand\tCC\tO\tO' +p156033 +aS'was\tbe\tVBD\tB-VP\tO' +p156034 +aS'treated\ttreat\tVBN\tI-VP\tO' +p156035 +aS'with\twith\tIN\tB-PP\tO' +p156036 +aS'magnesium\tmagnesium\tNN\tB-NP\tO' +p156037 +aS'sulfate\tsulfate\tNN\tI-NP\tO' +p156038 +aS'until\tuntil\tIN\tB-PP\tO' +p156039 +aS'04-12\t04-12\tCD\tB-NP\tO' +p156040 +aS'.\t.\t.\tO\tO' +p156041 +asS'So far no secondary causes of hypertension were identified but causes like lymphocytic ? chromocytoma or renal artery stenosis have not been ruled out yet .' +p156042 +(lp156043 +S'So\tSo\tRB\tB-ADVP\tO' +p156044 +aS'far\tfar\tRB\tI-ADVP\tO' +p156045 +aS'no\tno\tDT\tB-NP\tO' +p156046 +aS'secondary\tsecondary\tJJ\tI-NP\tO' +p156047 +aS'causes\tcause\tNNS\tI-NP\tO' +p156048 +aS'of\tof\tIN\tB-PP\tO' +p156049 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p156050 +aS'were\tbe\tVBD\tB-VP\tO' +p156051 +aS'identified\tidentify\tVBN\tI-VP\tO' +p156052 +aS'but\tbut\tCC\tO\tO' +p156053 +aS'causes\tcause\tVBZ\tB-VP\tO' +p156054 +aS'like\tlike\tIN\tB-PP\tO' +p156055 +aS'lymphocytic\tlymphocytic\tJJ\tB-ADJP\tO' +p156056 +aS'?\t?\t.\tO\tO' +p156057 +aS'chromocytoma\tchromocytoma\tNN\tB-NP\tO' +p156058 +aS'or\tor\tCC\tO\tO' +p156059 +aS'renal\trenal\tJJ\tB-NP\tO' +p156060 +aS'artery\tartery\tNN\tI-NP\tO' +p156061 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p156062 +aS'have\thave\tVBP\tB-VP\tO' +p156063 +aS'not\tnot\tRB\tI-VP\tO' +p156064 +aS'been\tbe\tVBN\tI-VP\tO' +p156065 +aS'ruled\trule\tVBN\tI-VP\tO' +p156066 +aS'out\tout\tRP\tB-PRT\tO' +p156067 +aS'yet\tyet\tRB\tB-ADVP\tO' +p156068 +aS'.\t.\t.\tO\tO' +p156069 +asS'This is an unfortunate case but Mr. Po does have an incredibly supportive family who have been here consistently to visit him and that offers him an important source of comfort .' +p156070 +(lp156071 +S'This\tThis\tDT\tB-NP\tO' +p156072 +aS'is\tbe\tVBZ\tB-VP\tO' +p156073 +aS'an\tan\tDT\tB-NP\tO' +p156074 +aS'unfortunate\tunfortunate\tJJ\tI-NP\tO' +p156075 +aS'case\tcase\tNN\tI-NP\tO' +p156076 +aS'but\tbut\tCC\tO\tO' +p156077 +aS'Mr.\tMr.\tNNP\tB-NP\tO' +p156078 +aS'Po\tPo\tNNP\tI-NP\tO' +p156079 +aS'does\tdo\tVBZ\tB-VP\tO' +p156080 +aS'have\thave\tVB\tI-VP\tO' +p156081 +aS'an\tan\tDT\tB-NP\tO' +p156082 +aS'incredibly\tincredibly\tRB\tI-NP\tO' +p156083 +aS'supportive\tsupportive\tJJ\tI-NP\tO' +p156084 +aS'family\tfamily\tNN\tI-NP\tO' +p156085 +aS'who\twho\tWP\tB-NP\tO' +p156086 +aS'have\thave\tVBP\tB-VP\tO' +p156087 +aS'been\tbe\tVBN\tI-VP\tO' +p156088 +aS'here\there\tRB\tB-ADVP\tO' +p156089 +aS'consistently\tconsistently\tRB\tB-ADVP\tO' +p156090 +aS'to\tto\tTO\tB-VP\tO' +p156091 +aS'visit\tvisit\tVB\tI-VP\tO' +p156092 +aS'him\thim\tPRP\tB-NP\tO' +p156093 +aS'and\tand\tCC\tO\tO' +p156094 +aS'that\tthat\tDT\tB-NP\tO' +p156095 +aS'offers\toffer\tVBZ\tB-VP\tO' +p156096 +aS'him\thim\tPRP\tB-NP\tO' +p156097 +aS'an\tan\tDT\tB-NP\tO' +p156098 +aS'important\timportant\tJJ\tI-NP\tO' +p156099 +aS'source\tsource\tNN\tI-NP\tO' +p156100 +aS'of\tof\tIN\tB-PP\tO' +p156101 +aS'comfort\tcomfort\tNN\tB-NP\tO' +p156102 +aS'.\t.\t.\tO\tO' +p156103 +asS'Na : 135 , K 4.5 , Cl 96 , CO2 27 , BUN 12 , Cr 0.7 , Glu 167 , Ca 8.4 , Vanco trough 13 , WBC 5.3 , Hct 32.0 , plt 330 , INR 1.0 .' +p156104 +(lp156105 +S'Na\tNa\tNN\tB-NP\tO' +p156106 +aS':\t:\t:\tO\tO' +p156107 +aS'135\t135\tCD\tB-NP\tO' +p156108 +aS',\t,\t,\tO\tO' +p156109 +aS'K\tK\tNN\tB-NP\tB-cell_line' +p156110 +aS'4.5\t4.5\tCD\tI-NP\tI-cell_line' +p156111 +aS',\t,\t,\tO\tO' +p156112 +aS'Cl\tCl\tNN\tB-NP\tO' +p156113 +aS'96\t96\tCD\tI-NP\tO' +p156114 +aS',\t,\t,\tO\tO' +p156115 +aS'CO2\tCO2\tNN\tB-NP\tO' +p156116 +aS'27\t27\tCD\tI-NP\tO' +p156117 +aS',\t,\t,\tO\tO' +p156118 +aS'BUN\tBUN\tNN\tB-NP\tB-DNA' +p156119 +aS'12\t12\tCD\tI-NP\tI-DNA' +p156120 +aS',\t,\t,\tO\tO' +p156121 +aS'Cr\tCr\tNNP\tB-NP\tO' +p156122 +aS'0.7\t0.7\tCD\tI-NP\tO' +p156123 +aS',\t,\t,\tO\tO' +p156124 +aS'Glu\tGlu\tNN\tB-NP\tB-protein' +p156125 +aS'167\t167\tCD\tI-NP\tI-protein' +p156126 +aS',\t,\t,\tO\tO' +p156127 +aS'Ca\tCa\tNNP\tB-NP\tO' +p156128 +aS'8.4\t8.4\tCD\tI-NP\tO' +p156129 +aS',\t,\t,\tO\tO' +p156130 +aS'Vanco\tVanco\tNNP\tB-NP\tO' +p156131 +aS'trough\ttrough\tIN\tB-PP\tO' +p156132 +aS'13\t13\tCD\tB-NP\tO' +p156133 +aS',\t,\t,\tO\tO' +p156134 +aS'WBC\tWBC\tNNP\tB-NP\tB-cell_line' +p156135 +aS'5.3\t5.3\tCD\tI-NP\tI-cell_line' +p156136 +aS',\t,\t,\tO\tO' +p156137 +aS'Hct\tHct\tNN\tB-NP\tB-protein' +p156138 +aS'32.0\t32.0\tCD\tI-NP\tI-protein' +p156139 +aS',\t,\t,\tO\tO' +p156140 +aS'plt\tplt\tNN\tB-NP\tB-protein' +p156141 +aS'330\t330\tCD\tI-NP\tI-protein' +p156142 +aS',\t,\t,\tO\tO' +p156143 +aS'INR\tINR\tNN\tB-NP\tB-protein' +p156144 +aS'1.0\t1.0\tCD\tI-NP\tI-protein' +p156145 +aS'.\t.\t.\tO\tO' +p156146 +asS'Cholesterol 197 , triglycerides 118 , HDL 31 , LDL 142 , total protein 6.2 , bilirubin 1.0 , alkaline phosphatase 72 , SGOT 23 .' +p156147 +(lp156148 +S'Cholesterol\tCholesterol\tNN\tB-NP\tB-protein' +p156149 +aS'197\t197\tCD\tI-NP\tI-protein' +p156150 +aS',\t,\t,\tO\tO' +p156151 +aS'triglycerides\ttriglyceride\tNNS\tB-NP\tO' +p156152 +aS'118\t118\tCD\tB-NP\tO' +p156153 +aS',\t,\t,\tO\tO' +p156154 +aS'HDL\tHDL\tNN\tB-NP\tB-DNA' +p156155 +aS'31\t31\tCD\tI-NP\tI-DNA' +p156156 +aS',\t,\t,\tO\tO' +p156157 +aS'LDL\tLDL\tNN\tB-NP\tB-protein' +p156158 +aS'142\t142\tCD\tI-NP\tI-protein' +p156159 +aS',\t,\t,\tO\tO' +p156160 +aS'total\ttotal\tJJ\tB-NP\tO' +p156161 +aS'protein\tprotein\tNN\tI-NP\tO' +p156162 +aS'6.2\t6.2\tCD\tI-NP\tO' +p156163 +aS',\t,\t,\tO\tO' +p156164 +aS'bilirubin\tbilirubin\tNN\tB-NP\tO' +p156165 +aS'1.0\t1.0\tCD\tI-NP\tO' +p156166 +aS',\t,\t,\tO\tO' +p156167 +aS'alkaline\talkaline\tNN\tB-NP\tO' +p156168 +aS'phosphatase\tphosphatase\tNN\tI-NP\tO' +p156169 +aS'72\t72\tCD\tI-NP\tO' +p156170 +aS',\t,\t,\tO\tO' +p156171 +aS'SGOT\tSGOT\tNN\tB-NP\tO' +p156172 +aS'23\t23\tCD\tI-NP\tO' +p156173 +aS'.\t.\t.\tO\tO' +p156174 +asS'The patient has no lower extremity ulcers , and all former leg excoriations are healing well .' +p156175 +(lp156176 +S'The\tThe\tDT\tB-NP\tO' +p156177 +aS'patient\tpatient\tNN\tI-NP\tO' +p156178 +aS'has\thave\tVBZ\tB-VP\tO' +p156179 +aS'no\tno\tDT\tB-NP\tO' +p156180 +aS'lower\tlow\tJJR\tI-NP\tO' +p156181 +aS'extremity\textremity\tNN\tI-NP\tO' +p156182 +aS'ulcers\tulcer\tNNS\tI-NP\tO' +p156183 +aS',\t,\t,\tO\tO' +p156184 +aS'and\tand\tCC\tO\tO' +p156185 +aS'all\tall\tDT\tB-NP\tO' +p156186 +aS'former\tformer\tJJ\tI-NP\tO' +p156187 +aS'leg\tleg\tNN\tI-NP\tO' +p156188 +aS'excoriations\texcoriation\tNNS\tI-NP\tO' +p156189 +aS'are\tbe\tVBP\tB-VP\tO' +p156190 +aS'healing\theal\tVBG\tI-VP\tO' +p156191 +aS'well\twell\tRB\tB-ADVP\tO' +p156192 +aS'.\t.\t.\tO\tO' +p156193 +asS'It was decided to treat her conservatively with bowel and IV antibiotics .' +p156194 +(lp156195 +S'It\tIt\tPRP\tB-NP\tO' +p156196 +aS'was\tbe\tVBD\tB-VP\tO' +p156197 +aS'decided\tdecide\tVBN\tI-VP\tO' +p156198 +aS'to\tto\tTO\tI-VP\tO' +p156199 +aS'treat\ttreat\tVB\tI-VP\tO' +p156200 +aS'her\ther\tPRP\tB-NP\tO' +p156201 +aS'conservatively\tconservatively\tRB\tB-ADVP\tO' +p156202 +aS'with\twith\tIN\tB-PP\tO' +p156203 +aS'bowel\tbowel\tNN\tB-NP\tO' +p156204 +aS'and\tand\tCC\tO\tO' +p156205 +aS'IV\tIV\tCD\tB-NP\tO' +p156206 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p156207 +aS'.\t.\t.\tO\tO' +p156208 +asS'THe patient was stable and remained intubated .' +p156209 +(lp156210 +S'THe\tTHe\tNN\tB-NP\tO' +p156211 +aS'patient\tpatient\tNN\tI-NP\tO' +p156212 +aS'was\tbe\tVBD\tB-VP\tO' +p156213 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p156214 +aS'and\tand\tCC\tO\tO' +p156215 +aS'remained\tremain\tVBD\tB-VP\tO' +p156216 +aS'intubated\tintubated\tJJ\tB-ADJP\tO' +p156217 +aS'.\t.\t.\tO\tO' +p156218 +asS'However , on a routine chest x-ray shot on hospital day three , a mediastinum was noted .' +p156219 +(lp156220 +S'However\tHowever\tRB\tB-ADVP\tO' +p156221 +aS',\t,\t,\tO\tO' +p156222 +aS'on\ton\tIN\tB-PP\tO' +p156223 +aS'a\ta\tDT\tB-NP\tO' +p156224 +aS'routine\troutine\tJJ\tI-NP\tO' +p156225 +aS'chest\tchest\tNN\tI-NP\tO' +p156226 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p156227 +aS'shot\tshoot\tVBN\tB-VP\tO' +p156228 +aS'on\ton\tIN\tB-PP\tO' +p156229 +aS'hospital\thospital\tNN\tB-NP\tO' +p156230 +aS'day\tday\tNN\tI-NP\tO' +p156231 +aS'three\tthree\tCD\tI-NP\tO' +p156232 +aS',\t,\t,\tO\tO' +p156233 +aS'a\ta\tDT\tB-NP\tO' +p156234 +aS'mediastinum\tmediastinum\tNN\tI-NP\tO' +p156235 +aS'was\tbe\tVBD\tB-VP\tO' +p156236 +aS'noted\tnote\tVBN\tI-VP\tO' +p156237 +aS'.\t.\t.\tO\tO' +p156238 +asS'Vitamin K , 10 mg. , IM , q-week .' +p156239 +(lp156240 +S'Vitamin\tVitamin\tNN\tB-NP\tO' +p156241 +aS'K\tK\tNN\tI-NP\tO' +p156242 +aS',\t,\t,\tO\tO' +p156243 +aS'10\t10\tCD\tB-NP\tO' +p156244 +aS'mg.\tmg.\tNN\tI-NP\tO' +p156245 +aS',\t,\t,\tO\tO' +p156246 +aS'IM\tIM\tNN\tB-NP\tO' +p156247 +aS',\t,\t,\tO\tO' +p156248 +aS'q-week\tq-week\tNN\tB-NP\tO' +p156249 +aS'.\t.\t.\tO\tO' +p156250 +asS'3. Humalog insulin sliding scale with meals and at bedtime .' +p156251 +(lp156252 +S'3.\t3.\tLS\tB-NP\tO' +p156253 +aS'Humalog\tHumalog\tNN\tI-NP\tB-protein' +p156254 +aS'insulin\tinsulin\tNN\tI-NP\tI-protein' +p156255 +aS'sliding\tslide\tVBG\tB-VP\tO' +p156256 +aS'scale\tscale\tNN\tB-NP\tO' +p156257 +aS'with\twith\tIN\tB-PP\tO' +p156258 +aS'meals\tmeal\tNNS\tB-NP\tO' +p156259 +aS'and\tand\tCC\tB-PP\tO' +p156260 +aS'at\tat\tIN\tB-PP\tO' +p156261 +aS'bedtime\tbedtime\tNN\tB-NP\tO' +p156262 +aS'.\t.\t.\tO\tO' +p156263 +asS'Electrocardiogram showed atrial fibrillation with rapid ventricular response and atrial flutter .' +p156264 +(lp156265 +S'Electrocardiogram\tElectrocardiogram\tNN\tB-NP\tO' +p156266 +aS'showed\tshow\tVBD\tB-VP\tO' +p156267 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p156268 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p156269 +aS'with\twith\tIN\tB-PP\tO' +p156270 +aS'rapid\trapid\tJJ\tB-NP\tO' +p156271 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p156272 +aS'response\tresponse\tNN\tI-NP\tO' +p156273 +aS'and\tand\tCC\tO\tO' +p156274 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p156275 +aS'flutter\tflutter\tNN\tI-NP\tO' +p156276 +aS'.\t.\t.\tO\tO' +p156277 +asS'Dictated By : Levi G. Savage , M.D.' +p156278 +(lp156279 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p156280 +aS'By\tBy\tIN\tB-PP\tO' +p156281 +aS':\t:\t:\tO\tO' +p156282 +aS'Levi\tLevi\tNNP\tB-NP\tO' +p156283 +aS'G.\tG.\tNNP\tI-NP\tO' +p156284 +aS'Savage\tSavage\tNNP\tI-NP\tO' +p156285 +aS',\t,\t,\tO\tO' +p156286 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p156287 +asS'The abdominal tap was grossly positive for blood .' +p156288 +(lp156289 +S'The\tThe\tDT\tB-NP\tO' +p156290 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p156291 +aS'tap\ttap\tNN\tI-NP\tO' +p156292 +aS'was\tbe\tVBD\tB-VP\tO' +p156293 +aS'grossly\tgrossly\tRB\tB-ADJP\tO' +p156294 +aS'positive\tpositive\tJJ\tI-ADJP\tO' +p156295 +aS'for\tfor\tIN\tB-PP\tO' +p156296 +aS'blood\tblood\tNN\tB-NP\tO' +p156297 +aS'.\t.\t.\tO\tO' +p156298 +asS'He will call the Cardiology Division at Addison Gilbert Hospital Greenfield to schedule a follow-up with his cardiologist there within the next week .' +p156299 +(lp156300 +S'He\tHe\tPRP\tB-NP\tO' +p156301 +aS'will\twill\tMD\tB-VP\tO' +p156302 +aS'call\tcall\tVB\tI-VP\tO' +p156303 +aS'the\tthe\tDT\tB-NP\tO' +p156304 +aS'Cardiology\tCardiology\tNNP\tI-NP\tO' +p156305 +aS'Division\tDivision\tNNP\tI-NP\tO' +p156306 +aS'at\tat\tIN\tB-PP\tO' +p156307 +aS'Addison\tAddison\tNNP\tB-NP\tO' +p156308 +aS'Gilbert\tGilbert\tNNP\tI-NP\tO' +p156309 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p156310 +aS'Greenfield\tGreenfield\tNNP\tI-NP\tO' +p156311 +aS'to\tto\tTO\tB-VP\tO' +p156312 +aS'schedule\tschedule\tVB\tI-VP\tO' +p156313 +aS'a\ta\tDT\tB-NP\tO' +p156314 +aS'follow-up\tfollow-up\tNN\tI-NP\tO' +p156315 +aS'with\twith\tIN\tB-PP\tO' +p156316 +aS'his\this\tPRP$\tB-NP\tO' +p156317 +aS'cardiologist\tcardiologist\tNN\tI-NP\tO' +p156318 +aS'there\tthere\tRB\tB-ADVP\tO' +p156319 +aS'within\twithin\tIN\tB-PP\tO' +p156320 +aS'the\tthe\tDT\tB-NP\tO' +p156321 +aS'next\tnext\tJJ\tI-NP\tO' +p156322 +aS'week\tweek\tNN\tI-NP\tO' +p156323 +aS'.\t.\t.\tO\tO' +p156324 +asS'Cr 0.8 , stress incontinence by symptoms with increased cough , no evidence of uti , cont to closely monitor' +p156325 +(lp156326 +S'Cr\tCr\tNN\tB-NP\tO' +p156327 +aS'0.8\t0.8\tCD\tI-NP\tO' +p156328 +aS',\t,\t,\tO\tO' +p156329 +aS'stress\tstress\tNN\tB-NP\tO' +p156330 +aS'incontinence\tincontinence\tNN\tI-NP\tO' +p156331 +aS'by\tby\tIN\tB-PP\tO' +p156332 +aS'symptoms\tsymptom\tNNS\tB-NP\tO' +p156333 +aS'with\twith\tIN\tB-PP\tO' +p156334 +aS'increased\tincrease\tVBN\tB-NP\tO' +p156335 +aS'cough\tcough\tNN\tI-NP\tO' +p156336 +aS',\t,\t,\tO\tO' +p156337 +aS'no\tno\tDT\tB-NP\tO' +p156338 +aS'evidence\tevidence\tNN\tI-NP\tO' +p156339 +aS'of\tof\tIN\tB-PP\tO' +p156340 +aS'uti\tuti\tNNS\tB-NP\tO' +p156341 +aS',\t,\t,\tO\tO' +p156342 +aS'cont\tcont\tVBP\tB-VP\tO' +p156343 +aS'to\tto\tTO\tI-VP\tO' +p156344 +aS'closely\tclosely\tRB\tI-VP\tO' +p156345 +aS'monitor\tmonitor\tVB\tI-VP\tO' +p156346 +asS'PAF h/o rectal bleeding s/p cauterization' +p156347 +(lp156348 +S'PAF\tPAF\tNN\tB-NP\tB-protein' +p156349 +aS'h/o\th/o\tNN\tI-NP\tO' +p156350 +aS'rectal\trectal\tJJ\tI-NP\tO' +p156351 +aS'bleeding\tbleed\tVBG\tI-NP\tO' +p156352 +aS's/p\ts/p\tNN\tI-NP\tO' +p156353 +aS'cauterization\tcauterization\tNN\tI-NP\tO' +p156354 +asS'The patient was continued on his outpatient dose of Levothyroxine .' +p156355 +(lp156356 +S'The\tThe\tDT\tB-NP\tO' +p156357 +aS'patient\tpatient\tNN\tI-NP\tO' +p156358 +aS'was\tbe\tVBD\tB-VP\tO' +p156359 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p156360 +aS'on\ton\tIN\tB-PP\tO' +p156361 +aS'his\this\tPRP$\tB-NP\tO' +p156362 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p156363 +aS'dose\tdose\tNN\tI-NP\tO' +p156364 +aS'of\tof\tIN\tB-PP\tO' +p156365 +aS'Levothyroxine\tLevothyroxine\tNN\tB-NP\tO' +p156366 +aS'.\t.\t.\tO\tO' +p156367 +asS'Abdominal examination revealed an abdomen that is nondistended , nontender .' +p156368 +(lp156369 +S'Abdominal\tAbdominal\tJJ\tB-NP\tO' +p156370 +aS'examination\texamination\tNN\tI-NP\tO' +p156371 +aS'revealed\treveal\tVBD\tB-VP\tO' +p156372 +aS'an\tan\tDT\tB-NP\tO' +p156373 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p156374 +aS'that\tthat\tWDT\tB-NP\tO' +p156375 +aS'is\tbe\tVBZ\tB-VP\tO' +p156376 +aS'nondistended\tnondistended\tJJ\tB-ADJP\tO' +p156377 +aS',\t,\t,\tO\tO' +p156378 +aS'nontender\tnontender\tJJ\tB-ADJP\tO' +p156379 +aS'.\t.\t.\tO\tO' +p156380 +asS'On admission , temperature was 96.2 , blood pressure 150/80 , heart rate 92 , respiratory rate 16 .' +p156381 +(lp156382 +S'On\tOn\tIN\tB-PP\tO' +p156383 +aS'admission\tadmission\tNN\tB-NP\tO' +p156384 +aS',\t,\t,\tO\tO' +p156385 +aS'temperature\ttemperature\tNN\tB-NP\tO' +p156386 +aS'was\tbe\tVBD\tB-VP\tO' +p156387 +aS'96.2\t96.2\tCD\tB-NP\tO' +p156388 +aS',\t,\t,\tO\tO' +p156389 +aS'blood\tblood\tNN\tB-NP\tO' +p156390 +aS'pressure\tpressure\tNN\tI-NP\tO' +p156391 +aS'150/80\t150/80\tCD\tI-NP\tO' +p156392 +aS',\t,\t,\tO\tO' +p156393 +aS'heart\theart\tNN\tB-NP\tO' +p156394 +aS'rate\trate\tNN\tI-NP\tO' +p156395 +aS'92\t92\tCD\tI-NP\tO' +p156396 +aS',\t,\t,\tI-NP\tO' +p156397 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p156398 +aS'rate\trate\tNN\tI-NP\tO' +p156399 +aS'16\t16\tCD\tI-NP\tO' +p156400 +aS'.\t.\t.\tO\tO' +p156401 +asS'+ sensation , movment , pulses , some pain with ROM' +p156402 +(lp156403 +S'+\t+\tSYM\tO\tO' +p156404 +aS'sensation\tsensation\tNN\tB-NP\tO' +p156405 +aS',\t,\t,\tO\tO' +p156406 +aS'movment\tmovment\tNN\tB-NP\tO' +p156407 +aS',\t,\t,\tO\tO' +p156408 +aS'pulses\tpulse\tNNS\tB-NP\tO' +p156409 +aS',\t,\t,\tO\tO' +p156410 +aS'some\tsome\tDT\tB-NP\tO' +p156411 +aS'pain\tpain\tNN\tI-NP\tO' +p156412 +aS'with\twith\tIN\tB-PP\tO' +p156413 +aS'ROM\tROM\tNN\tB-NP\tO' +p156414 +asS'The patient was found to be allergic to Percocet and Percodan during his hospital course .' +p156415 +(lp156416 +S'The\tThe\tDT\tB-NP\tO' +p156417 +aS'patient\tpatient\tNN\tI-NP\tO' +p156418 +aS'was\tbe\tVBD\tB-VP\tO' +p156419 +aS'found\tfind\tVBN\tI-VP\tO' +p156420 +aS'to\tto\tTO\tI-VP\tO' +p156421 +aS'be\tbe\tVB\tI-VP\tO' +p156422 +aS'allergic\tallergic\tJJ\tB-ADJP\tO' +p156423 +aS'to\tto\tTO\tB-PP\tO' +p156424 +aS'Percocet\tPercocet\tNNP\tB-NP\tO' +p156425 +aS'and\tand\tCC\tI-NP\tO' +p156426 +aS'Percodan\tPercodan\tNNP\tI-NP\tO' +p156427 +aS'during\tduring\tIN\tB-PP\tO' +p156428 +aS'his\this\tPRP$\tB-NP\tO' +p156429 +aS'hospital\thospital\tNN\tI-NP\tO' +p156430 +aS'course\tcourse\tNN\tI-NP\tO' +p156431 +aS'.\t.\t.\tO\tO' +p156432 +asS'Heme - anemic .' +p156433 +(lp156434 +S'Heme\tHeme\tNN\tB-NP\tB-protein' +p156435 +aS'-\t-\tHYPH\tB-PP\tO' +p156436 +aS'anemic\tanemic\tJJ\tB-ADJP\tO' +p156437 +aS'.\t.\t.\tO\tO' +p156438 +asS'The patient is a 71-year-old police chief who presents with painless jaundice x1 day .' +p156439 +(lp156440 +S'The\tThe\tDT\tB-NP\tO' +p156441 +aS'patient\tpatient\tNN\tI-NP\tO' +p156442 +aS'is\tbe\tVBZ\tB-VP\tO' +p156443 +aS'a\ta\tDT\tB-NP\tO' +p156444 +aS'71-year-old\t71-year-old\tJJ\tI-NP\tO' +p156445 +aS'police\tpolice\tNN\tI-NP\tO' +p156446 +aS'chief\tchief\tNN\tI-NP\tO' +p156447 +aS'who\twho\tWP\tB-NP\tO' +p156448 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p156449 +aS'with\twith\tIN\tB-PP\tO' +p156450 +aS'painless\tpainless\tJJ\tB-NP\tO' +p156451 +aS'jaundice\tjaundice\tNN\tI-NP\tO' +p156452 +aS'x1\tx1\tNN\tI-NP\tO' +p156453 +aS'day\tday\tNN\tI-NP\tO' +p156454 +aS'.\t.\t.\tO\tO' +p156455 +asS"Nonoperative treatment was elected for the patient 's left clavicular fracture ." +p156456 +(lp156457 +S'Nonoperative\tNonoperative\tJJ\tB-NP\tO' +p156458 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p156459 +aS'was\tbe\tVBD\tB-VP\tO' +p156460 +aS'elected\telect\tVBN\tI-VP\tO' +p156461 +aS'for\tfor\tIN\tB-PP\tO' +p156462 +aS'the\tthe\tDT\tB-NP\tO' +p156463 +aS'patient\tpatient\tNN\tI-NP\tO' +p156464 +aS"'s\t's\tPOS\tB-NP\tO" +p156465 +aS'left\tleft\tJJ\tI-NP\tO' +p156466 +aS'clavicular\tclavicular\tJJ\tI-NP\tO' +p156467 +aS'fracture\tfracture\tNN\tI-NP\tO' +p156468 +aS'.\t.\t.\tO\tO' +p156469 +asS'hypertension .' +p156470 +(lp156471 +S'hypertension\thypertension\tNN\tB-NP\tO' +p156472 +aS'.\t.\t.\tO\tO' +p156473 +asS'On 05-04-92 she was evaluated by the neurology service , who recommended a CT scan , however no evidence of infarction was detected .' +p156474 +(lp156475 +S'On\tOn\tIN\tB-PP\tO' +p156476 +aS'05-04-92\t05-04-92\tCD\tB-NP\tO' +p156477 +aS'she\tshe\tPRP\tB-NP\tO' +p156478 +aS'was\tbe\tVBD\tB-VP\tO' +p156479 +aS'evaluated\tevaluate\tVBN\tI-VP\tO' +p156480 +aS'by\tby\tIN\tB-PP\tO' +p156481 +aS'the\tthe\tDT\tB-NP\tO' +p156482 +aS'neurology\tneurology\tNN\tI-NP\tO' +p156483 +aS'service\tservice\tNN\tI-NP\tO' +p156484 +aS',\t,\t,\tO\tO' +p156485 +aS'who\twho\tWP\tB-NP\tO' +p156486 +aS'recommended\trecommend\tVBD\tB-VP\tO' +p156487 +aS'a\ta\tDT\tB-NP\tO' +p156488 +aS'CT\tCT\tNN\tI-NP\tO' +p156489 +aS'scan\tscan\tNN\tI-NP\tO' +p156490 +aS',\t,\t,\tO\tO' +p156491 +aS'however\thowever\tRB\tB-NP\tO' +p156492 +aS'no\tno\tDT\tI-NP\tO' +p156493 +aS'evidence\tevidence\tNN\tI-NP\tO' +p156494 +aS'of\tof\tIN\tB-PP\tO' +p156495 +aS'infarction\tinfarction\tNN\tB-NP\tO' +p156496 +aS'was\tbe\tVBD\tB-VP\tO' +p156497 +aS'detected\tdetect\tVBN\tI-VP\tO' +p156498 +aS'.\t.\t.\tO\tO' +p156499 +asS'The patient received his bone marrow transplant on 06/12/00 .' +p156500 +(lp156501 +S'The\tThe\tDT\tB-NP\tO' +p156502 +aS'patient\tpatient\tNN\tI-NP\tO' +p156503 +aS'received\treceive\tVBD\tB-VP\tO' +p156504 +aS'his\this\tPRP$\tB-NP\tO' +p156505 +aS'bone\tbone\tNN\tI-NP\tO' +p156506 +aS'marrow\tmarrow\tNN\tI-NP\tO' +p156507 +aS'transplant\ttransplant\tNN\tI-NP\tO' +p156508 +aS'on\ton\tIN\tB-PP\tO' +p156509 +aS'06/12/00\t06/12/00\tCD\tB-NP\tO' +p156510 +aS'.\t.\t.\tO\tO' +p156511 +asS'Signed electronically by : DR. Ann Nguyen on : TUE 2017-06-27 8:40 AM' +p156512 +(lp156513 +S'Signed\tSign\tVBN\tB-VP\tO' +p156514 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p156515 +aS'by\tby\tIN\tB-PP\tO' +p156516 +aS':\t:\t:\tO\tO' +p156517 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p156518 +aS'Ann\tAnn\tNNP\tI-NP\tO' +p156519 +aS'Nguyen\tNguyen\tNNP\tI-NP\tO' +p156520 +aS'on\ton\tIN\tB-PP\tO' +p156521 +aS':\t:\t:\tO\tO' +p156522 +aS'TUE\tTUE\tNN\tB-NP\tO' +p156523 +aS'2017-06-27\t2017-06-27\tCD\tI-NP\tO' +p156524 +aS'8:40\t8:40\tCD\tI-NP\tO' +p156525 +aS'AM\tAM\tNN\tI-NP\tO' +p156526 +asS'He was a well appearing male in no acute distress .' +p156527 +(lp156528 +S'He\tHe\tPRP\tB-NP\tO' +p156529 +aS'was\tbe\tVBD\tB-VP\tO' +p156530 +aS'a\ta\tDT\tB-NP\tO' +p156531 +aS'well\twell\tRB\tI-NP\tO' +p156532 +aS'appearing\tappear\tVBG\tI-NP\tO' +p156533 +aS'male\tmale\tJJ\tB-ADJP\tO' +p156534 +aS'in\tin\tIN\tB-PP\tO' +p156535 +aS'no\tno\tDT\tB-NP\tO' +p156536 +aS'acute\tacute\tJJ\tI-NP\tO' +p156537 +aS'distress\tdistress\tNN\tI-NP\tO' +p156538 +aS'.\t.\t.\tO\tO' +p156539 +asS'HPI: Pt is a 71 y/o male with h/o dm2 , cad s/p cabg , DVT/PE on long term anti-coagulation , ulcerative colitis on Asacol presents with brbpr starting at 9am of the morning of admission .' +p156540 +(lp156541 +S'HPI:\tHPI:\tNN\tB-NP\tB-protein' +p156542 +aS'Pt\tPt\tNN\tI-NP\tI-protein' +p156543 +aS'is\tbe\tVBZ\tB-VP\tO' +p156544 +aS'a\ta\tDT\tB-NP\tO' +p156545 +aS'71\t71\tCD\tI-NP\tO' +p156546 +aS'y/o\ty/o\tNN\tI-NP\tO' +p156547 +aS'male\tmale\tJJ\tB-ADJP\tO' +p156548 +aS'with\twith\tIN\tB-PP\tO' +p156549 +aS'h/o\th/o\tNN\tB-NP\tO' +p156550 +aS'dm2\tdm2\tNN\tI-NP\tO' +p156551 +aS',\t,\t,\tO\tO' +p156552 +aS'cad\tcad\tNN\tB-NP\tO' +p156553 +aS's/p\ts/p\tNN\tI-NP\tO' +p156554 +aS'cabg\tcabg\tNN\tI-NP\tO' +p156555 +aS',\t,\t,\tO\tO' +p156556 +aS'DVT/PE\tDVT/PE\tNN\tB-NP\tO' +p156557 +aS'on\ton\tIN\tB-PP\tO' +p156558 +aS'long\tlong\tJJ\tB-NP\tO' +p156559 +aS'term\tterm\tNN\tI-NP\tO' +p156560 +aS'anti-coagulation\tanti-coagulation\tNN\tI-NP\tO' +p156561 +aS',\t,\t,\tO\tO' +p156562 +aS'ulcerative\tulcerative\tJJ\tB-NP\tO' +p156563 +aS'colitis\tcolitis\tNN\tI-NP\tO' +p156564 +aS'on\ton\tIN\tB-PP\tO' +p156565 +aS'Asacol\tAsacol\tNN\tB-NP\tO' +p156566 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p156567 +aS'with\twith\tIN\tB-PP\tO' +p156568 +aS'brbpr\tbrbpr\tNN\tB-NP\tO' +p156569 +aS'starting\tstart\tVBG\tB-VP\tO' +p156570 +aS'at\tat\tIN\tB-PP\tO' +p156571 +aS'9am\t9am\tNN\tB-NP\tO' +p156572 +aS'of\tof\tIN\tB-PP\tO' +p156573 +aS'the\tthe\tDT\tB-NP\tO' +p156574 +aS'morning\tmorning\tNN\tI-NP\tO' +p156575 +aS'of\tof\tIN\tB-PP\tO' +p156576 +aS'admission\tadmission\tNN\tB-NP\tO' +p156577 +aS'.\t.\t.\tO\tO' +p156578 +asS'Ultrasound was performed on 2014-04-01 demonstrating severe portal hypertension with massive peri splenic varices and splenorenal shunt .' +p156579 +(lp156580 +S'Ultrasound\tUltrasound\tNN\tB-NP\tO' +p156581 +aS'was\tbe\tVBD\tB-VP\tO' +p156582 +aS'performed\tperform\tVBN\tI-VP\tO' +p156583 +aS'on\ton\tIN\tB-PP\tO' +p156584 +aS'2014-04-01\t2014-04-01\tCD\tB-NP\tO' +p156585 +aS'demonstrating\tdemonstrate\tVBG\tB-VP\tO' +p156586 +aS'severe\tsevere\tJJ\tB-NP\tO' +p156587 +aS'portal\tportal\tJJ\tI-NP\tO' +p156588 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p156589 +aS'with\twith\tIN\tB-PP\tO' +p156590 +aS'massive\tmassive\tJJ\tB-NP\tO' +p156591 +aS'peri\tperi\tJJ\tI-NP\tO' +p156592 +aS'splenic\tsplenic\tJJ\tI-NP\tO' +p156593 +aS'varices\tvarix\tNNS\tI-NP\tO' +p156594 +aS'and\tand\tCC\tO\tO' +p156595 +aS'splenorenal\tsplenorenal\tJJ\tB-NP\tO' +p156596 +aS'shunt\tshunt\tNN\tI-NP\tO' +p156597 +aS'.\t.\t.\tO\tO' +p156598 +asS'The last hematocrit was on 05-16 of 54.5 .' +p156599 +(lp156600 +S'The\tThe\tDT\tB-NP\tO' +p156601 +aS'last\tlast\tJJ\tI-NP\tO' +p156602 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p156603 +aS'was\tbe\tVBD\tB-VP\tO' +p156604 +aS'on\ton\tIN\tB-PP\tO' +p156605 +aS'05-16\t05-16\tCD\tB-NP\tO' +p156606 +aS'of\tof\tIN\tB-PP\tO' +p156607 +aS'54.5\t54.5\tCD\tB-NP\tO' +p156608 +aS'.\t.\t.\tO\tO' +p156609 +asS'Responsible After Study for Causing Admission ) cellulitis' +p156610 +(lp156611 +S'Responsible\tResponsible\tJJ\tB-ADJP\tO' +p156612 +aS'After\tAfter\tIN\tB-PP\tO' +p156613 +aS'Study\tStudy\tNN\tB-NP\tO' +p156614 +aS'for\tfor\tIN\tB-PP\tO' +p156615 +aS'Causing\tCause\tVBG\tB-VP\tO' +p156616 +aS'Admission\tAdmission\tNN\tB-NP\tO' +p156617 +aS')\t)\t)\tO\tO' +p156618 +aS'cellulitis\tcellulitis\tNN\tB-NP\tO' +p156619 +asS'This is a 56-year-old menopausal female G3 , P3 who presented initially for evaluation of a pelvic mass while recently vacationing in An Saintcafield Terland .' +p156620 +(lp156621 +S'This\tThis\tDT\tB-NP\tO' +p156622 +aS'is\tbe\tVBZ\tB-VP\tO' +p156623 +aS'a\ta\tDT\tB-NP\tO' +p156624 +aS'56-year-old\t56-year-old\tJJ\tI-NP\tO' +p156625 +aS'menopausal\tmenopausal\tJJ\tI-NP\tO' +p156626 +aS'female\tfemale\tJJ\tI-NP\tO' +p156627 +aS'G3\tG3\tNN\tI-NP\tO' +p156628 +aS',\t,\t,\tO\tO' +p156629 +aS'P3\tP3\tNN\tB-NP\tB-DNA' +p156630 +aS'who\twho\tWP\tB-NP\tO' +p156631 +aS'presented\tpresent\tVBD\tB-VP\tO' +p156632 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p156633 +aS'for\tfor\tIN\tB-PP\tO' +p156634 +aS'evaluation\tevaluation\tNN\tB-NP\tO' +p156635 +aS'of\tof\tIN\tB-PP\tO' +p156636 +aS'a\ta\tDT\tB-NP\tO' +p156637 +aS'pelvic\tpelvic\tJJ\tI-NP\tO' +p156638 +aS'mass\tmass\tNN\tI-NP\tO' +p156639 +aS'while\twhile\tIN\tB-SBAR\tO' +p156640 +aS'recently\trecently\tRB\tB-ADVP\tO' +p156641 +aS'vacationing\tvacation\tVBG\tB-VP\tO' +p156642 +aS'in\tin\tIN\tB-PP\tO' +p156643 +aS'An\tAn\tNNP\tB-NP\tO' +p156644 +aS'Saintcafield\tSaintcafield\tNNP\tI-NP\tO' +p156645 +aS'Terland\tTerland\tNNP\tI-NP\tO' +p156646 +aS'.\t.\t.\tO\tO' +p156647 +asS'05-11- Blood cultures : no growth to date on 2/2 bottles' +p156648 +(lp156649 +S'05-11-\t05-11-\tCD\tB-NP\tO' +p156650 +aS'Blood\tBlood\tNNP\tI-NP\tO' +p156651 +aS'cultures\tculture\tNNS\tI-NP\tO' +p156652 +aS':\t:\t:\tO\tO' +p156653 +aS'no\tno\tDT\tB-NP\tO' +p156654 +aS'growth\tgrowth\tNN\tI-NP\tO' +p156655 +aS'to\tto\tTO\tB-PP\tO' +p156656 +aS'date\tdate\tNN\tB-NP\tO' +p156657 +aS'on\ton\tIN\tB-PP\tO' +p156658 +aS'2/2\t2/2\tCD\tB-NP\tO' +p156659 +aS'bottles\tbottle\tNNS\tI-NP\tO' +p156660 +asS'Her cardiac examination was unremarkable .' +p156661 +(lp156662 +S'Her\tHer\tPRP$\tB-NP\tO' +p156663 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p156664 +aS'examination\texamination\tNN\tI-NP\tO' +p156665 +aS'was\tbe\tVBD\tB-VP\tO' +p156666 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p156667 +aS'.\t.\t.\tO\tO' +p156668 +asS'3. Right ventricular chamber size is normal .' +p156669 +(lp156670 +S'3.\t3.\tLS\tB-NP\tO' +p156671 +aS'Right\tRight\tNN\tI-NP\tO' +p156672 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p156673 +aS'chamber\tchamber\tNN\tI-NP\tO' +p156674 +aS'size\tsize\tNN\tI-NP\tO' +p156675 +aS'is\tbe\tVBZ\tB-VP\tO' +p156676 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p156677 +aS'.\t.\t.\tO\tO' +p156678 +asS'ALT was elevated at 240 , AST 85 , LDH 305 , alk phos 85 , total bilirubin was 1.3 , direct bili was .8 .' +p156679 +(lp156680 +S'ALT\tALT\tNN\tB-NP\tB-protein' +p156681 +aS'was\tbe\tVBD\tB-VP\tO' +p156682 +aS'elevated\televate\tVBN\tI-VP\tO' +p156683 +aS'at\tat\tIN\tB-PP\tO' +p156684 +aS'240\t240\tCD\tB-NP\tO' +p156685 +aS',\t,\t,\tO\tO' +p156686 +aS'AST\tAST\tNN\tB-NP\tB-DNA' +p156687 +aS'85\t85\tCD\tI-NP\tI-DNA' +p156688 +aS',\t,\t,\tO\tO' +p156689 +aS'LDH\tLDH\tNN\tB-NP\tB-protein' +p156690 +aS'305\t305\tCD\tI-NP\tI-protein' +p156691 +aS',\t,\t,\tO\tO' +p156692 +aS'alk\talk\tNN\tB-NP\tO' +p156693 +aS'phos\tpho\tNNS\tI-NP\tO' +p156694 +aS'85\t85\tCD\tB-NP\tO' +p156695 +aS',\t,\t,\tO\tO' +p156696 +aS'total\ttotal\tJJ\tB-NP\tO' +p156697 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p156698 +aS'was\tbe\tVBD\tB-VP\tO' +p156699 +aS'1.3\t1.3\tCD\tB-NP\tO' +p156700 +aS',\t,\t,\tO\tO' +p156701 +aS'direct\tdirect\tJJ\tB-NP\tO' +p156702 +aS'bili\tbili\tNN\tI-NP\tO' +p156703 +aS'was\tbe\tVBD\tB-VP\tO' +p156704 +aS'.8\t.8\tCD\tB-NP\tO' +p156705 +aS'.\t.\t.\tO\tO' +p156706 +asS'Lungs : CTA bilaterally , no w/r/r' +p156707 +(lp156708 +S'Lungs\tLung\tNNS\tB-NP\tO' +p156709 +aS':\t:\t:\tO\tO' +p156710 +aS'CTA\tCTA\tNN\tB-NP\tB-protein' +p156711 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p156712 +aS',\t,\t,\tO\tO' +p156713 +aS'no\tno\tDT\tB-NP\tO' +p156714 +aS'w/r/r\tw/r/r\tNN\tI-NP\tO' +p156715 +asS'EKG LBBB NSR .' +p156716 +(lp156717 +S'EKG\tEKG\tNNP\tB-NP\tO' +p156718 +aS'LBBB\tLBBB\tNNP\tI-NP\tO' +p156719 +aS'NSR\tNSR\tNNP\tI-NP\tO' +p156720 +aS'.\t.\t.\tO\tO' +p156721 +asS'4. Peripheral vascular disease status post left iliac stent and right femoral stent .' +p156722 +(lp156723 +S'4.\t4.\tLS\tB-NP\tO' +p156724 +aS'Peripheral\tPeripheral\tJJ\tI-NP\tO' +p156725 +aS'vascular\tvascular\tJJ\tI-NP\tO' +p156726 +aS'disease\tdisease\tNN\tI-NP\tO' +p156727 +aS'status\tstatus\tNN\tI-NP\tO' +p156728 +aS'post\tpost\tNN\tI-NP\tO' +p156729 +aS'left\tleave\tVBD\tB-VP\tO' +p156730 +aS'iliac\tiliac\tJJ\tB-NP\tO' +p156731 +aS'stent\tstent\tJJ\tI-NP\tO' +p156732 +aS'and\tand\tCC\tI-NP\tO' +p156733 +aS'right\tright\tJJ\tI-NP\tO' +p156734 +aS'femoral\tfemoral\tJJ\tI-NP\tO' +p156735 +aS'stent\tstent\tNN\tI-NP\tO' +p156736 +aS'.\t.\t.\tO\tO' +p156737 +asS'Laboratories revealed white blood cell count was 12.7 , hematocrit was 32.4 , platelets were 140 , and mean cell volume was 80 .' +p156738 +(lp156739 +S'Laboratories\tLaboratory\tNNS\tB-NP\tO' +p156740 +aS'revealed\treveal\tVBD\tB-VP\tO' +p156741 +aS'white\twhite\tJJ\tB-NP\tO' +p156742 +aS'blood\tblood\tNN\tI-NP\tO' +p156743 +aS'cell\tcell\tNN\tI-NP\tO' +p156744 +aS'count\tcount\tNN\tI-NP\tO' +p156745 +aS'was\tbe\tVBD\tB-VP\tO' +p156746 +aS'12.7\t12.7\tCD\tB-NP\tO' +p156747 +aS',\t,\t,\tO\tO' +p156748 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p156749 +aS'was\tbe\tVBD\tB-VP\tI-protein' +p156750 +aS'32.4\t32.4\tCD\tB-NP\tI-protein' +p156751 +aS',\t,\t,\tO\tO' +p156752 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p156753 +aS'were\tbe\tVBD\tB-VP\tO' +p156754 +aS'140\t140\tCD\tB-NP\tO' +p156755 +aS',\t,\t,\tO\tO' +p156756 +aS'and\tand\tCC\tO\tO' +p156757 +aS'mean\tmean\tJJ\tB-NP\tO' +p156758 +aS'cell\tcell\tNN\tI-NP\tO' +p156759 +aS'volume\tvolume\tNN\tI-NP\tO' +p156760 +aS'was\tbe\tVBD\tB-VP\tO' +p156761 +aS'80\t80\tCD\tB-NP\tO' +p156762 +aS'.\t.\t.\tO\tO' +p156763 +asS'Nasal washings for influenza were negative ; culture pending .' +p156764 +(lp156765 +S'Nasal\tNasal\tJJ\tB-NP\tO' +p156766 +aS'washings\twashing\tNNS\tI-NP\tO' +p156767 +aS'for\tfor\tIN\tB-PP\tO' +p156768 +aS'influenza\tinfluenza\tNN\tB-NP\tO' +p156769 +aS'were\tbe\tVBD\tB-VP\tO' +p156770 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p156771 +aS';\t;\t:\tO\tO' +p156772 +aS'culture\tculture\tNN\tB-NP\tO' +p156773 +aS'pending\tpending\tNN\tI-NP\tO' +p156774 +aS'.\t.\t.\tO\tO' +p156775 +asS'4. Vancomycin 1 gm IV bid .' +p156776 +(lp156777 +S'4.\t4.\tLS\tB-LST\tO' +p156778 +aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' +p156779 +aS'1\t1\tCD\tI-NP\tO' +p156780 +aS'gm\tgm\tNN\tI-NP\tO' +p156781 +aS'IV\tIV\tCD\tB-NP\tO' +p156782 +aS'bid\tbid\tNN\tI-NP\tO' +p156783 +aS'.\t.\t.\tO\tO' +p156784 +asS'The patient continued to progress from cardiac rehabilitation and physical therapy standpoint while on the floor .' +p156785 +(lp156786 +S'The\tThe\tDT\tB-NP\tO' +p156787 +aS'patient\tpatient\tNN\tI-NP\tO' +p156788 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p156789 +aS'to\tto\tTO\tI-VP\tO' +p156790 +aS'progress\tprogress\tVB\tI-VP\tO' +p156791 +aS'from\tfrom\tIN\tB-PP\tO' +p156792 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p156793 +aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' +p156794 +aS'and\tand\tCC\tO\tO' +p156795 +aS'physical\tphysical\tJJ\tB-NP\tO' +p156796 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p156797 +aS'standpoint\tstandpoint\tNN\tI-NP\tO' +p156798 +aS'while\twhile\tIN\tB-SBAR\tO' +p156799 +aS'on\ton\tIN\tB-PP\tO' +p156800 +aS'the\tthe\tDT\tB-NP\tO' +p156801 +aS'floor\tfloor\tNN\tI-NP\tO' +p156802 +aS'.\t.\t.\tO\tO' +p156803 +asS'Question of Tyrone esophagus .' +p156804 +(lp156805 +S'Question\tQuestion\tNN\tB-NP\tO' +p156806 +aS'of\tof\tIN\tB-PP\tO' +p156807 +aS'Tyrone\tTyrone\tNN\tB-NP\tO' +p156808 +aS'esophagus\tesophagus\tNN\tI-NP\tO' +p156809 +aS'.\t.\t.\tO\tO' +p156810 +asS'The next day , she underwent a cardiac echo ( transthoracic echocardiogram ) .' +p156811 +(lp156812 +S'The\tThe\tDT\tB-NP\tO' +p156813 +aS'next\tnext\tJJ\tI-NP\tO' +p156814 +aS'day\tday\tNN\tI-NP\tO' +p156815 +aS',\t,\t,\tO\tO' +p156816 +aS'she\tshe\tPRP\tB-NP\tO' +p156817 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p156818 +aS'a\ta\tDT\tB-NP\tO' +p156819 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p156820 +aS'echo\techo\tNN\tI-NP\tO' +p156821 +aS'(\t(\t(\tO\tO' +p156822 +aS'transthoracic\ttransthoracic\tJJ\tB-NP\tO' +p156823 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p156824 +aS')\t)\t)\tO\tO' +p156825 +aS'.\t.\t.\tO\tO' +p156826 +asS'1) Please take all medications as listed in the discharge instructions .' +p156827 +(lp156828 +S'1)\t1)\tLS\tB-NP\tO' +p156829 +aS'Please\tPlease\tNN\tI-NP\tB-protein' +p156830 +aS'take\ttake\tVB\tB-VP\tO' +p156831 +aS'all\tall\tDT\tB-NP\tO' +p156832 +aS'medications\tmedication\tNNS\tI-NP\tO' +p156833 +aS'as\tas\tIN\tB-SBAR\tO' +p156834 +aS'listed\tlist\tVBN\tB-VP\tO' +p156835 +aS'in\tin\tIN\tB-PP\tO' +p156836 +aS'the\tthe\tDT\tB-NP\tO' +p156837 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p156838 +aS'instructions\tinstruction\tNNS\tI-NP\tO' +p156839 +aS'.\t.\t.\tO\tO' +p156840 +asS'The patient did well on postoperative day five and six .' +p156841 +(lp156842 +S'The\tThe\tDT\tB-NP\tO' +p156843 +aS'patient\tpatient\tNN\tI-NP\tO' +p156844 +aS'did\tdo\tVBD\tB-VP\tO' +p156845 +aS'well\twell\tRB\tB-ADVP\tO' +p156846 +aS'on\ton\tIN\tB-PP\tO' +p156847 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p156848 +aS'day\tday\tNN\tI-NP\tO' +p156849 +aS'five\tfive\tCD\tB-NP\tO' +p156850 +aS'and\tand\tCC\tI-NP\tO' +p156851 +aS'six\tsix\tCD\tI-NP\tO' +p156852 +aS'.\t.\t.\tO\tO' +p156853 +asS'Initial capillary blood gas was pH 7.29 , CO2 47 .' +p156854 +(lp156855 +S'Initial\tInitial\tJJ\tB-NP\tO' +p156856 +aS'capillary\tcapillary\tJJ\tI-NP\tO' +p156857 +aS'blood\tblood\tNN\tI-NP\tO' +p156858 +aS'gas\tgas\tNN\tI-NP\tO' +p156859 +aS'was\tbe\tVBD\tB-VP\tO' +p156860 +aS'pH\tpH\tNN\tB-NP\tO' +p156861 +aS'7.29\t7.29\tCD\tI-NP\tO' +p156862 +aS',\t,\t,\tO\tO' +p156863 +aS'CO2\tCO2\tNN\tB-NP\tO' +p156864 +aS'47\t47\tCD\tI-NP\tO' +p156865 +aS'.\t.\t.\tO\tO' +p156866 +asS'The patient became no longer neutropenic .' +p156867 +(lp156868 +S'The\tThe\tDT\tB-NP\tO' +p156869 +aS'patient\tpatient\tNN\tI-NP\tO' +p156870 +aS'became\tbecome\tVBD\tB-VP\tO' +p156871 +aS'no\tno\tRB\tB-ADJP\tO' +p156872 +aS'longer\tlonger\tRBR\tI-ADJP\tO' +p156873 +aS'neutropenic\tneutropenic\tJJ\tI-ADJP\tO' +p156874 +aS'.\t.\t.\tO\tO' +p156875 +asS'He reports that he felt fatigued during the week prior to the current admission .' +p156876 +(lp156877 +S'He\tHe\tPRP\tB-NP\tO' +p156878 +aS'reports\treport\tVBZ\tB-VP\tO' +p156879 +aS'that\tthat\tIN\tB-SBAR\tO' +p156880 +aS'he\the\tPRP\tB-NP\tO' +p156881 +aS'felt\tfeel\tVBD\tB-VP\tO' +p156882 +aS'fatigued\tfatigue\tVBN\tI-VP\tO' +p156883 +aS'during\tduring\tIN\tB-PP\tO' +p156884 +aS'the\tthe\tDT\tB-NP\tO' +p156885 +aS'week\tweek\tNN\tI-NP\tO' +p156886 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p156887 +aS'to\tto\tTO\tB-PP\tO' +p156888 +aS'the\tthe\tDT\tB-NP\tO' +p156889 +aS'current\tcurrent\tJJ\tI-NP\tO' +p156890 +aS'admission\tadmission\tNN\tI-NP\tO' +p156891 +aS'.\t.\t.\tO\tO' +p156892 +asS'On postoperative day three , lower extremity noninvasive ultrasounds were performed , which showed no evidence of deep venous thrombosis in the lower extremities .' +p156893 +(lp156894 +S'On\tOn\tIN\tB-PP\tO' +p156895 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p156896 +aS'day\tday\tNN\tI-NP\tO' +p156897 +aS'three\tthree\tCD\tI-NP\tO' +p156898 +aS',\t,\t,\tO\tO' +p156899 +aS'lower\tlow\tJJR\tB-NP\tO' +p156900 +aS'extremity\textremity\tNN\tI-NP\tO' +p156901 +aS'noninvasive\tnoninvasive\tJJ\tI-NP\tO' +p156902 +aS'ultrasounds\tultrasound\tNNS\tI-NP\tO' +p156903 +aS'were\tbe\tVBD\tB-VP\tO' +p156904 +aS'performed\tperform\tVBN\tI-VP\tO' +p156905 +aS',\t,\t,\tO\tO' +p156906 +aS'which\twhich\tWDT\tB-NP\tO' +p156907 +aS'showed\tshow\tVBD\tB-VP\tO' +p156908 +aS'no\tno\tDT\tB-NP\tO' +p156909 +aS'evidence\tevidence\tNN\tI-NP\tO' +p156910 +aS'of\tof\tIN\tB-PP\tO' +p156911 +aS'deep\tdeep\tJJ\tB-NP\tO' +p156912 +aS'venous\tvenous\tJJ\tI-NP\tO' +p156913 +aS'thrombosis\tthrombosis\tNN\tI-NP\tO' +p156914 +aS'in\tin\tIN\tB-PP\tO' +p156915 +aS'the\tthe\tDT\tB-NP\tO' +p156916 +aS'lower\tlow\tJJR\tI-NP\tO' +p156917 +aS'extremities\textremity\tNNS\tI-NP\tO' +p156918 +aS'.\t.\t.\tO\tO' +p156919 +asS'2. Sick Sinus Syndrome status post PM/ICD placement' +p156920 +(lp156921 +S'2.\t2.\tLS\tB-LST\tO' +p156922 +aS'Sick\tSick\tNNP\tB-NP\tO' +p156923 +aS'Sinus\tSinus\tNNP\tI-NP\tO' +p156924 +aS'Syndrome\tSyndrome\tNNP\tI-NP\tO' +p156925 +aS'status\tstatus\tNN\tI-NP\tO' +p156926 +aS'post\tpost\tNN\tI-NP\tO' +p156927 +aS'PM/ICD\tPM/ICD\tNN\tI-NP\tO' +p156928 +aS'placement\tplacement\tNN\tI-NP\tO' +p156929 +asS'His liver was 10 cm and was felt three finger breadths below the costal margin .' +p156930 +(lp156931 +S'His\tHis\tPRP$\tB-NP\tO' +p156932 +aS'liver\tliver\tNN\tI-NP\tO' +p156933 +aS'was\tbe\tVBD\tB-VP\tO' +p156934 +aS'10\t10\tCD\tB-NP\tO' +p156935 +aS'cm\tcm\tNN\tI-NP\tO' +p156936 +aS'and\tand\tCC\tO\tO' +p156937 +aS'was\tbe\tVBD\tB-VP\tO' +p156938 +aS'felt\tfeel\tVBN\tI-VP\tO' +p156939 +aS'three\tthree\tCD\tB-NP\tO' +p156940 +aS'finger\tfinger\tNN\tI-NP\tO' +p156941 +aS'breadths\tbreadth\tNNS\tI-NP\tO' +p156942 +aS'below\tbelow\tIN\tB-PP\tO' +p156943 +aS'the\tthe\tDT\tB-NP\tO' +p156944 +aS'costal\tcostal\tJJ\tI-NP\tO' +p156945 +aS'margin\tmargin\tNN\tI-NP\tO' +p156946 +aS'.\t.\t.\tO\tO' +p156947 +asS'He has a I / VI systolic murmur at the right upper sternal border .' +p156948 +(lp156949 +S'He\tHe\tPRP\tB-NP\tO' +p156950 +aS'has\thave\tVBZ\tB-VP\tO' +p156951 +aS'a\ta\tDT\tB-NP\tO' +p156952 +aS'I\tI\tNN\tI-NP\tO' +p156953 +aS'/\t/\tSYM\tB-NP\tO' +p156954 +aS'VI\tVI\tNN\tI-NP\tO' +p156955 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p156956 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p156957 +aS'at\tat\tIN\tB-PP\tO' +p156958 +aS'the\tthe\tDT\tB-NP\tO' +p156959 +aS'right\tright\tJJ\tI-NP\tO' +p156960 +aS'upper\tupper\tJJ\tI-NP\tO' +p156961 +aS'sternal\tsternal\tJJ\tI-NP\tO' +p156962 +aS'border\tborder\tNN\tI-NP\tO' +p156963 +aS'.\t.\t.\tO\tO' +p156964 +asS'L upper lip / L nostril abscess' +p156965 +(lp156966 +S'L\tL\tNN\tB-NP\tO' +p156967 +aS'upper\tupper\tJJ\tI-NP\tO' +p156968 +aS'lip\tlip\tNN\tI-NP\tO' +p156969 +aS'/\t/\tSYM\tB-NP\tO' +p156970 +aS'L\tL\tNN\tI-NP\tO' +p156971 +aS'nostril\tnostril\tNN\tI-NP\tO' +p156972 +aS'abscess\tabscess\tNN\tI-NP\tO' +p156973 +asS'Abdomen was otherwise soft and nontender .' +p156974 +(lp156975 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p156976 +aS'was\tbe\tVBD\tB-VP\tO' +p156977 +aS'otherwise\totherwise\tRB\tB-ADJP\tO' +p156978 +aS'soft\tsoft\tJJ\tI-ADJP\tO' +p156979 +aS'and\tand\tCC\tI-ADJP\tO' +p156980 +aS'nontender\tnontender\tJJ\tI-ADJP\tO' +p156981 +aS'.\t.\t.\tO\tO' +p156982 +asS'14. Acyclovir Sodium 500 mg Recon Soln Sig : 200mg Recon Solns Intravenous Q12H ( every 12 hours ) .' +p156983 +(lp156984 +S'14.\t14.\tLS\tB-NP\tO' +p156985 +aS'Acyclovir\tAcyclovir\tNNP\tI-NP\tO' +p156986 +aS'Sodium\tSodium\tNNP\tI-NP\tO' +p156987 +aS'500\t500\tCD\tI-NP\tO' +p156988 +aS'mg\tmg\tNN\tI-NP\tO' +p156989 +aS'Recon\tRecon\tNNP\tI-NP\tO' +p156990 +aS'Soln\tSoln\tNNP\tI-NP\tO' +p156991 +aS'Sig\tSig\tNNP\tI-NP\tO' +p156992 +aS':\t:\t:\tO\tO' +p156993 +aS'200mg\t200mg\tCD\tB-NP\tO' +p156994 +aS'Recon\tRecon\tNNP\tI-NP\tO' +p156995 +aS'Solns\tSolns\tNNP\tI-NP\tO' +p156996 +aS'Intravenous\tIntravenous\tJJ\tI-NP\tO' +p156997 +aS'Q12H\tQ12H\tNN\tI-NP\tO' +p156998 +aS'(\t(\t(\tO\tO' +p156999 +aS'every\tevery\tDT\tB-NP\tO' +p157000 +aS'12\t12\tCD\tI-NP\tO' +p157001 +aS'hours\thour\tNNS\tI-NP\tO' +p157002 +aS')\t)\t)\tO\tO' +p157003 +aS'.\t.\t.\tO\tO' +p157004 +asS'Her prothrombin time will be rechecked on August 27 by her primary care physician , Dr. Naka Gift .' +p157005 +(lp157006 +S'Her\tHer\tPRP$\tB-NP\tO' +p157007 +aS'prothrombin\tprothrombin\tNN\tI-NP\tO' +p157008 +aS'time\ttime\tNN\tI-NP\tO' +p157009 +aS'will\twill\tMD\tB-VP\tO' +p157010 +aS'be\tbe\tVB\tI-VP\tO' +p157011 +aS'rechecked\trechecke\tVBN\tI-VP\tO' +p157012 +aS'on\ton\tIN\tB-PP\tO' +p157013 +aS'August\tAugust\tNNP\tB-NP\tO' +p157014 +aS'27\t27\tCD\tI-NP\tO' +p157015 +aS'by\tby\tIN\tB-PP\tO' +p157016 +aS'her\ther\tPRP$\tB-NP\tO' +p157017 +aS'primary\tprimary\tJJ\tI-NP\tO' +p157018 +aS'care\tcare\tNN\tI-NP\tO' +p157019 +aS'physician\tphysician\tNN\tI-NP\tO' +p157020 +aS',\t,\t,\tO\tO' +p157021 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p157022 +aS'Naka\tNaka\tNNP\tI-NP\tO' +p157023 +aS'Gift\tGift\tNNP\tI-NP\tO' +p157024 +aS'.\t.\t.\tO\tO' +p157025 +asS'She lost contaol of her car , she hit the Barnes rails then the car stopped .' +p157026 +(lp157027 +S'She\tShe\tPRP\tB-NP\tO' +p157028 +aS'lost\tlose\tVBD\tB-VP\tO' +p157029 +aS'contaol\tcontaol\tNN\tB-NP\tO' +p157030 +aS'of\tof\tIN\tB-PP\tO' +p157031 +aS'her\ther\tPRP$\tB-NP\tO' +p157032 +aS'car\tcar\tNN\tI-NP\tB-protein' +p157033 +aS',\t,\t,\tO\tO' +p157034 +aS'she\tshe\tPRP\tB-NP\tO' +p157035 +aS'hit\thit\tVBD\tB-VP\tO' +p157036 +aS'the\tthe\tDT\tB-NP\tO' +p157037 +aS'Barnes\tBarnes\tNNP\tI-NP\tO' +p157038 +aS'rails\trail\tVBZ\tB-VP\tO' +p157039 +aS'then\tthen\tRB\tB-ADVP\tO' +p157040 +aS'the\tthe\tDT\tB-NP\tO' +p157041 +aS'car\tcar\tNN\tI-NP\tO' +p157042 +aS'stopped\tstop\tVBD\tB-VP\tO' +p157043 +aS'.\t.\t.\tO\tO' +p157044 +asS'Currently on Nasal cannula 02 + hemodymamically stable .' +p157045 +(lp157046 +S'Currently\tCurrently\tRB\tB-ADVP\tO' +p157047 +aS'on\ton\tIN\tB-PP\tO' +p157048 +aS'Nasal\tNasal\tJJ\tB-NP\tO' +p157049 +aS'cannula\tcannula\tNN\tI-NP\tO' +p157050 +aS'02\t02\tCD\tI-NP\tO' +p157051 +aS'+\t+\tSYM\tO\tO' +p157052 +aS'hemodymamically\themodymamically\tRB\tB-ADJP\tO' +p157053 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p157054 +aS'.\t.\t.\tO\tO' +p157055 +asS'Her hematocrit was 34.2 and stable from her preoperative value .' +p157056 +(lp157057 +S'Her\tHer\tPRP$\tB-NP\tO' +p157058 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p157059 +aS'was\tbe\tVBD\tB-VP\tO' +p157060 +aS'34.2\t34.2\tCD\tB-NP\tO' +p157061 +aS'and\tand\tCC\tO\tO' +p157062 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p157063 +aS'from\tfrom\tIN\tB-PP\tO' +p157064 +aS'her\ther\tPRP$\tB-NP\tO' +p157065 +aS'preoperative\tpreoperative\tJJ\tI-NP\tO' +p157066 +aS'value\tvalue\tNN\tI-NP\tO' +p157067 +aS'.\t.\t.\tO\tO' +p157068 +asS'It appears from the Discharge summary that the patient was placed on Unasyn 3 grams intravenously every six hours after his ERCP .' +p157069 +(lp157070 +S'It\tIt\tPRP\tB-NP\tO' +p157071 +aS'appears\tappear\tVBZ\tB-VP\tO' +p157072 +aS'from\tfrom\tIN\tB-PP\tO' +p157073 +aS'the\tthe\tDT\tB-NP\tO' +p157074 +aS'Discharge\tDischarge\tNNP\tI-NP\tO' +p157075 +aS'summary\tsummary\tNN\tI-NP\tO' +p157076 +aS'that\tthat\tIN\tB-SBAR\tO' +p157077 +aS'the\tthe\tDT\tB-NP\tO' +p157078 +aS'patient\tpatient\tNN\tI-NP\tO' +p157079 +aS'was\tbe\tVBD\tB-VP\tO' +p157080 +aS'placed\tplace\tVBN\tI-VP\tO' +p157081 +aS'on\ton\tIN\tB-PP\tO' +p157082 +aS'Unasyn\tUnasyn\tNN\tB-NP\tO' +p157083 +aS'3\t3\tCD\tI-NP\tO' +p157084 +aS'grams\tgram\tNNS\tI-NP\tO' +p157085 +aS'intravenously\tintravenously\tRB\tB-NP\tO' +p157086 +aS'every\tevery\tDT\tI-NP\tO' +p157087 +aS'six\tsix\tCD\tI-NP\tO' +p157088 +aS'hours\thour\tNNS\tI-NP\tO' +p157089 +aS'after\tafter\tIN\tB-PP\tO' +p157090 +aS'his\this\tPRP$\tB-NP\tO' +p157091 +aS'ERCP\tERCP\tNN\tI-NP\tB-protein' +p157092 +aS'.\t.\t.\tO\tO' +p157093 +asS'Her hematocrit remained stable in the low to mid 30 's and she did not require a transfusion .' +p157094 +(lp157095 +S'Her\tHer\tPRP$\tB-NP\tO' +p157096 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p157097 +aS'remained\tremain\tVBD\tB-VP\tO' +p157098 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p157099 +aS'in\tin\tIN\tB-PP\tO' +p157100 +aS'the\tthe\tDT\tB-NP\tO' +p157101 +aS'low\tlow\tJJ\tI-NP\tO' +p157102 +aS'to\tto\tTO\tB-VP\tO' +p157103 +aS'mid\tmid\tVB\tI-VP\tO' +p157104 +aS'30\t30\tCD\tB-NP\tO' +p157105 +aS''s\t'\tNNS\tI-NP\tO' +p157106 +aS'and\tand\tCC\tO\tO' +p157107 +aS'she\tshe\tPRP\tB-NP\tO' +p157108 +aS'did\tdo\tVBD\tB-VP\tO' +p157109 +aS'not\tnot\tRB\tI-VP\tO' +p157110 +aS'require\trequire\tVB\tI-VP\tO' +p157111 +aS'a\ta\tDT\tB-NP\tO' +p157112 +aS'transfusion\ttransfusion\tNN\tI-NP\tO' +p157113 +aS'.\t.\t.\tO\tO' +p157114 +asS'An ERCP was also done , showing a filling defect from a narrowed donor duct , but no strictures .' +p157115 +(lp157116 +S'An\tAn\tDT\tB-NP\tO' +p157117 +aS'ERCP\tERCP\tNN\tI-NP\tB-protein' +p157118 +aS'was\tbe\tVBD\tB-VP\tO' +p157119 +aS'also\talso\tRB\tI-VP\tO' +p157120 +aS'done\tdo\tVBN\tI-VP\tO' +p157121 +aS',\t,\t,\tO\tO' +p157122 +aS'showing\tshow\tVBG\tB-VP\tO' +p157123 +aS'a\ta\tDT\tB-NP\tO' +p157124 +aS'filling\tfilling\tNN\tI-NP\tO' +p157125 +aS'defect\tdefect\tNN\tI-NP\tO' +p157126 +aS'from\tfrom\tIN\tB-PP\tO' +p157127 +aS'a\ta\tDT\tB-NP\tO' +p157128 +aS'narrowed\tnarrow\tVBN\tI-NP\tO' +p157129 +aS'donor\tdonor\tNN\tI-NP\tO' +p157130 +aS'duct\tduct\tNN\tI-NP\tO' +p157131 +aS',\t,\t,\tO\tO' +p157132 +aS'but\tbut\tCC\tO\tO' +p157133 +aS'no\tno\tDT\tB-NP\tO' +p157134 +aS'strictures\tstricture\tNNS\tI-NP\tO' +p157135 +aS'.\t.\t.\tO\tO' +p157136 +asS'EEG was w/o evidence of epileptiform activity and c/w toxic encephalopathy .' +p157137 +(lp157138 +S'EEG\tEEG\tNN\tB-NP\tB-protein' +p157139 +aS'was\tbe\tVBD\tB-VP\tO' +p157140 +aS'w/o\tw/o\tJJ\tB-NP\tO' +p157141 +aS'evidence\tevidence\tNN\tI-NP\tO' +p157142 +aS'of\tof\tIN\tB-PP\tO' +p157143 +aS'epileptiform\tepileptiform\tNN\tB-NP\tO' +p157144 +aS'activity\tactivity\tNN\tI-NP\tO' +p157145 +aS'and\tand\tCC\tO\tO' +p157146 +aS'c/w\tc/w\tNN\tB-NP\tO' +p157147 +aS'toxic\ttoxic\tJJ\tI-NP\tO' +p157148 +aS'encephalopathy\tencephalopathy\tNN\tI-NP\tO' +p157149 +aS'.\t.\t.\tO\tO' +p157150 +asS'S/P Exploratory laparotomy , resection of small intestine with primary anastomosis , Sigmoid colectomy , repair of colovesicular fistula' +p157151 +(lp157152 +S'S/P\tS/P\tNN\tB-NP\tO' +p157153 +aS'Exploratory\tExploratory\tNN\tI-NP\tO' +p157154 +aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' +p157155 +aS',\t,\t,\tO\tO' +p157156 +aS'resection\tresection\tNN\tB-NP\tO' +p157157 +aS'of\tof\tIN\tB-PP\tO' +p157158 +aS'small\tsmall\tJJ\tB-NP\tO' +p157159 +aS'intestine\tintestine\tNN\tI-NP\tO' +p157160 +aS'with\twith\tIN\tB-PP\tO' +p157161 +aS'primary\tprimary\tJJ\tB-NP\tO' +p157162 +aS'anastomosis\tanastomosis\tNN\tI-NP\tO' +p157163 +aS',\t,\t,\tO\tO' +p157164 +aS'Sigmoid\tSigmoid\tJJ\tB-NP\tO' +p157165 +aS'colectomy\tcolectomy\tNN\tI-NP\tO' +p157166 +aS',\t,\t,\tO\tO' +p157167 +aS'repair\trepair\tNN\tB-NP\tO' +p157168 +aS'of\tof\tIN\tB-PP\tO' +p157169 +aS'colovesicular\tcolovesicular\tJJ\tB-NP\tO' +p157170 +aS'fistula\tfistula\tNNS\tI-NP\tO' +p157171 +asS'She was ambulating by postoperative day number two .' +p157172 +(lp157173 +S'She\tShe\tPRP\tB-NP\tO' +p157174 +aS'was\tbe\tVBD\tB-VP\tO' +p157175 +aS'ambulating\tambulate\tVBG\tI-VP\tO' +p157176 +aS'by\tby\tIN\tB-PP\tO' +p157177 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p157178 +aS'day\tday\tNN\tI-NP\tO' +p157179 +aS'number\tnumber\tNN\tI-NP\tO' +p157180 +aS'two\ttwo\tCD\tI-NP\tO' +p157181 +aS'.\t.\t.\tO\tO' +p157182 +asS'The Neonatal Intensive Care Unit was notified and the baby was transferred to the Newborn Intensive Care Unit for further evaluation .' +p157183 +(lp157184 +S'The\tThe\tDT\tB-NP\tO' +p157185 +aS'Neonatal\tNeonatal\tNNP\tI-NP\tO' +p157186 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p157187 +aS'Care\tCare\tNNP\tI-NP\tO' +p157188 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p157189 +aS'was\tbe\tVBD\tB-VP\tO' +p157190 +aS'notified\tnotify\tVBN\tI-VP\tO' +p157191 +aS'and\tand\tCC\tO\tO' +p157192 +aS'the\tthe\tDT\tB-NP\tO' +p157193 +aS'baby\tbaby\tNN\tI-NP\tO' +p157194 +aS'was\tbe\tVBD\tB-VP\tO' +p157195 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p157196 +aS'to\tto\tTO\tB-PP\tO' +p157197 +aS'the\tthe\tDT\tB-NP\tO' +p157198 +aS'Newborn\tNewborn\tNNP\tI-NP\tO' +p157199 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p157200 +aS'Care\tCare\tNNP\tI-NP\tO' +p157201 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p157202 +aS'for\tfor\tIN\tB-PP\tO' +p157203 +aS'further\tfurther\tJJ\tB-NP\tO' +p157204 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p157205 +aS'.\t.\t.\tO\tO' +p157206 +asS'Insulin NPH 2 units Subcutaneous twice a day .' +p157207 +(lp157208 +S'Insulin\tInsulin\tNN\tB-NP\tB-protein' +p157209 +aS'NPH\tNPH\tNN\tI-NP\tI-protein' +p157210 +aS'2\t2\tCD\tB-NP\tI-protein' +p157211 +aS'units\tunit\tNNS\tI-NP\tI-protein' +p157212 +aS'Subcutaneous\tSubcutaneous\tJJ\tB-ADJP\tO' +p157213 +aS'twice\ttwice\tRB\tB-NP\tO' +p157214 +aS'a\ta\tDT\tI-NP\tO' +p157215 +aS'day\tday\tNN\tI-NP\tO' +p157216 +aS'.\t.\t.\tO\tO' +p157217 +asS'Continued on asa , bblocker , Hicks , statin , plavix .' +p157218 +(lp157219 +S'Continued\tContinue\tVBN\tB-VP\tO' +p157220 +aS'on\ton\tIN\tB-PP\tO' +p157221 +aS'asa\tasa\tNN\tB-NP\tO' +p157222 +aS',\t,\t,\tO\tO' +p157223 +aS'bblocker\tbblocker\tNN\tB-NP\tO' +p157224 +aS',\t,\t,\tO\tO' +p157225 +aS'Hicks\tHick\tNNS\tB-NP\tO' +p157226 +aS',\t,\t,\tO\tO' +p157227 +aS'statin\tstatin\tNN\tB-NP\tO' +p157228 +aS',\t,\t,\tO\tO' +p157229 +aS'plavix\tplavix\tNN\tB-NP\tO' +p157230 +aS'.\t.\t.\tO\tO' +p157231 +asS'No known drug allergies .' +p157232 +(lp157233 +S'No\tNo\tDT\tB-NP\tO' +p157234 +aS'known\tknow\tVBN\tI-NP\tO' +p157235 +aS'drug\tdrug\tNN\tI-NP\tO' +p157236 +aS'allergies\tallergy\tNNS\tI-NP\tO' +p157237 +aS'.\t.\t.\tO\tO' +p157238 +asS'Images demonstrate diffusely small caliber vasculature consistent with shock .' +p157239 +(lp157240 +S'Images\tImage\tNNS\tB-NP\tO' +p157241 +aS'demonstrate\tdemonstrate\tVBP\tB-VP\tO' +p157242 +aS'diffusely\tdiffusely\tRB\tB-NP\tO' +p157243 +aS'small\tsmall\tJJ\tI-NP\tO' +p157244 +aS'caliber\tcaliber\tNN\tI-NP\tO' +p157245 +aS'vasculature\tvasculature\tNN\tI-NP\tO' +p157246 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p157247 +aS'with\twith\tIN\tB-PP\tO' +p157248 +aS'shock\tshock\tNN\tB-NP\tO' +p157249 +aS'.\t.\t.\tO\tO' +p157250 +asS'The patient was admitted for work-up of his cholestatic jaundice picture along with work-up for his pulmonary process and treatment of both .' +p157251 +(lp157252 +S'The\tThe\tDT\tB-NP\tO' +p157253 +aS'patient\tpatient\tNN\tI-NP\tO' +p157254 +aS'was\tbe\tVBD\tB-VP\tO' +p157255 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p157256 +aS'for\tfor\tIN\tB-PP\tO' +p157257 +aS'work-up\twork-up\tNN\tB-NP\tO' +p157258 +aS'of\tof\tIN\tB-PP\tO' +p157259 +aS'his\this\tPRP$\tB-NP\tO' +p157260 +aS'cholestatic\tcholestatic\tJJ\tI-NP\tO' +p157261 +aS'jaundice\tjaundice\tNN\tI-NP\tO' +p157262 +aS'picture\tpicture\tNN\tI-NP\tO' +p157263 +aS'along\talong\tIN\tB-PP\tO' +p157264 +aS'with\twith\tIN\tB-PP\tO' +p157265 +aS'work-up\twork-up\tNN\tB-NP\tO' +p157266 +aS'for\tfor\tIN\tB-PP\tO' +p157267 +aS'his\this\tPRP$\tB-NP\tO' +p157268 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p157269 +aS'process\tprocess\tNN\tI-NP\tO' +p157270 +aS'and\tand\tCC\tI-NP\tO' +p157271 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p157272 +aS'of\tof\tIN\tB-PP\tO' +p157273 +aS'both\tboth\tDT\tB-NP\tO' +p157274 +aS'.\t.\t.\tO\tO' +p157275 +asS'She will complete a 14 day course of levofloxacin for her bacteremia on 2019-07-30 .' +p157276 +(lp157277 +S'She\tShe\tPRP\tB-NP\tO' +p157278 +aS'will\twill\tMD\tB-VP\tO' +p157279 +aS'complete\tcomplete\tVB\tI-VP\tO' +p157280 +aS'a\ta\tDT\tB-NP\tO' +p157281 +aS'14\t14\tCD\tI-NP\tO' +p157282 +aS'day\tday\tNN\tI-NP\tO' +p157283 +aS'course\tcourse\tNN\tI-NP\tO' +p157284 +aS'of\tof\tIN\tB-PP\tO' +p157285 +aS'levofloxacin\tlevofloxacin\tNN\tB-NP\tO' +p157286 +aS'for\tfor\tIN\tB-PP\tO' +p157287 +aS'her\ther\tPRP$\tB-NP\tO' +p157288 +aS'bacteremia\tbacteremia\tNN\tI-NP\tO' +p157289 +aS'on\ton\tIN\tB-PP\tO' +p157290 +aS'2019-07-30\t2019-07-30\tCD\tB-NP\tO' +p157291 +aS'.\t.\t.\tO\tO' +p157292 +asS'He is very active .' +p157293 +(lp157294 +S'He\tHe\tPRP\tB-NP\tO' +p157295 +aS'is\tbe\tVBZ\tB-VP\tO' +p157296 +aS'very\tvery\tRB\tB-ADJP\tO' +p157297 +aS'active\tactive\tJJ\tI-ADJP\tO' +p157298 +aS'.\t.\t.\tO\tO' +p157299 +asS'PT was 12.9 .' +p157300 +(lp157301 +S'PT\tPT\tNN\tB-NP\tO' +p157302 +aS'was\tbe\tVBD\tB-VP\tO' +p157303 +aS'12.9\t12.9\tCD\tB-NP\tO' +p157304 +aS'.\t.\t.\tO\tO' +p157305 +asS'A surgicel dressing was placed and prolonged pressure resulted in resolution of the bleeding .' +p157306 +(lp157307 +S'A\tA\tDT\tB-NP\tO' +p157308 +aS'surgicel\tsurgicel\tNN\tI-NP\tO' +p157309 +aS'dressing\tdressing\tNN\tI-NP\tO' +p157310 +aS'was\tbe\tVBD\tB-VP\tO' +p157311 +aS'placed\tplace\tVBN\tI-VP\tO' +p157312 +aS'and\tand\tCC\tO\tO' +p157313 +aS'prolonged\tprolong\tVBN\tB-NP\tO' +p157314 +aS'pressure\tpressure\tNN\tI-NP\tO' +p157315 +aS'resulted\tresult\tVBD\tB-VP\tO' +p157316 +aS'in\tin\tIN\tB-PP\tO' +p157317 +aS'resolution\tresolution\tNN\tB-NP\tO' +p157318 +aS'of\tof\tIN\tB-PP\tO' +p157319 +aS'the\tthe\tDT\tB-NP\tO' +p157320 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p157321 +aS'.\t.\t.\tO\tO' +p157322 +asS'NAD .' +p157323 +(lp157324 +S'NAD\tNAD\tNN\tB-NP\tO' +p157325 +aS'.\t.\t.\tO\tO' +p157326 +asS'For this , we have given her 10 mg of hydralazine .' +p157327 +(lp157328 +S'For\tFor\tIN\tB-PP\tO' +p157329 +aS'this\tthis\tDT\tB-NP\tO' +p157330 +aS',\t,\t,\tO\tO' +p157331 +aS'we\twe\tPRP\tB-NP\tO' +p157332 +aS'have\thave\tVBP\tB-VP\tO' +p157333 +aS'given\tgive\tVBN\tI-VP\tO' +p157334 +aS'her\ther\tPRP$\tB-NP\tO' +p157335 +aS'10\t10\tCD\tI-NP\tO' +p157336 +aS'mg\tmg\tNN\tI-NP\tO' +p157337 +aS'of\tof\tIN\tB-PP\tO' +p157338 +aS'hydralazine\thydralazine\tNN\tB-NP\tO' +p157339 +aS'.\t.\t.\tO\tO' +p157340 +asS'Her BP was then noted to be decreased at 80/40 which improved mildly to 90/30 with 1.5L of NS .' +p157341 +(lp157342 +S'Her\tHer\tPRP$\tB-NP\tB-protein' +p157343 +aS'BP\tBP\tNN\tI-NP\tI-protein' +p157344 +aS'was\tbe\tVBD\tB-VP\tO' +p157345 +aS'then\tthen\tRB\tI-VP\tO' +p157346 +aS'noted\tnote\tVBN\tI-VP\tO' +p157347 +aS'to\tto\tTO\tI-VP\tO' +p157348 +aS'be\tbe\tVB\tI-VP\tO' +p157349 +aS'decreased\tdecrease\tVBN\tI-VP\tO' +p157350 +aS'at\tat\tIN\tB-PP\tO' +p157351 +aS'80/40\t80/40\tCD\tB-NP\tO' +p157352 +aS'which\twhich\tWDT\tB-NP\tO' +p157353 +aS'improved\timprove\tVBD\tB-VP\tO' +p157354 +aS'mildly\tmildly\tRB\tB-ADVP\tO' +p157355 +aS'to\tto\tTO\tB-PP\tO' +p157356 +aS'90/30\t90/30\tCD\tB-NP\tO' +p157357 +aS'with\twith\tIN\tB-PP\tO' +p157358 +aS'1.5L\t1.5L\tNN\tB-NP\tO' +p157359 +aS'of\tof\tIN\tB-PP\tO' +p157360 +aS'NS\tNS\tNN\tB-NP\tB-protein' +p157361 +aS'.\t.\t.\tO\tO' +p157362 +asS'There is no pneumothorax .' +p157363 +(lp157364 +S'There\tThere\tEX\tB-NP\tO' +p157365 +aS'is\tbe\tVBZ\tB-VP\tO' +p157366 +aS'no\tno\tDT\tB-NP\tO' +p157367 +aS'pneumothorax\tpneumothorax\tNN\tI-NP\tO' +p157368 +aS'.\t.\t.\tO\tO' +p157369 +asS'After being transferred to the floor , the patient did well .' +p157370 +(lp157371 +S'After\tAfter\tIN\tB-PP\tO' +p157372 +aS'being\tbe\tVBG\tB-VP\tO' +p157373 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p157374 +aS'to\tto\tTO\tB-PP\tO' +p157375 +aS'the\tthe\tDT\tB-NP\tO' +p157376 +aS'floor\tfloor\tNN\tI-NP\tO' +p157377 +aS',\t,\t,\tO\tO' +p157378 +aS'the\tthe\tDT\tB-NP\tO' +p157379 +aS'patient\tpatient\tNN\tI-NP\tO' +p157380 +aS'did\tdo\tVBD\tB-VP\tO' +p157381 +aS'well\twell\tRB\tB-ADVP\tO' +p157382 +aS'.\t.\t.\tO\tO' +p157383 +asS'On 07-24 , he had an emesis x 1 , and had aspiration pneumonia ( + interstital markings on the left on CXR , fever , leukocytosis ) .' +p157384 +(lp157385 +S'On\tOn\tIN\tB-PP\tO' +p157386 +aS'07-24\t07-24\tCD\tB-NP\tO' +p157387 +aS',\t,\t,\tO\tO' +p157388 +aS'he\the\tPRP\tB-NP\tO' +p157389 +aS'had\thave\tVBD\tB-VP\tO' +p157390 +aS'an\tan\tDT\tB-NP\tO' +p157391 +aS'emesis\temesis\tNN\tI-NP\tO' +p157392 +aS'x\tx\tNN\tI-NP\tO' +p157393 +aS'1\t1\tCD\tI-NP\tO' +p157394 +aS',\t,\t,\tO\tO' +p157395 +aS'and\tand\tCC\tO\tO' +p157396 +aS'had\thave\tVBD\tB-VP\tO' +p157397 +aS'aspiration\taspiration\tNN\tB-NP\tO' +p157398 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p157399 +aS'(\t(\t(\tO\tO' +p157400 +aS'+\t+\tSYM\tB-NP\tO' +p157401 +aS'interstital\tinterstital\tJJ\tI-NP\tO' +p157402 +aS'markings\tmarking\tNNS\tI-NP\tO' +p157403 +aS'on\ton\tIN\tB-PP\tO' +p157404 +aS'the\tthe\tDT\tB-NP\tO' +p157405 +aS'left\tleft\tNN\tI-NP\tO' +p157406 +aS'on\ton\tIN\tB-PP\tO' +p157407 +aS'CXR\tCXR\tNN\tB-NP\tB-protein' +p157408 +aS',\t,\t,\tO\tO' +p157409 +aS'fever\tfever\tNN\tB-NP\tO' +p157410 +aS',\t,\t,\tO\tO' +p157411 +aS'leukocytosis\tleukocytosis\tNN\tB-NP\tO' +p157412 +aS')\t)\t)\tO\tO' +p157413 +aS'.\t.\t.\tO\tO' +p157414 +asS'Early Labor / Rule Out Labor' +p157415 +(lp157416 +S'Early\tEarly\tRB\tB-NP\tO' +p157417 +aS'Labor\tLabor\tNN\tI-NP\tO' +p157418 +aS'/\t/\tSYM\tB-NP\tO' +p157419 +aS'Rule\tRule\tNN\tI-NP\tO' +p157420 +aS'Out\tOut\tNNP\tI-NP\tO' +p157421 +aS'Labor\tLabor\tNNP\tI-NP\tO' +p157422 +asS'Coronary - irregular PVCs , S1 , S2 normal , positive systolic murmur at the left upper sternal border radiating throughout .' +p157423 +(lp157424 +S'Coronary\tCoronary\tJJ\tB-NP\tO' +p157425 +aS'-\t-\tHYPH\tI-NP\tO' +p157426 +aS'irregular\tirregular\tJJ\tI-NP\tO' +p157427 +aS'PVCs\tPVC\tNNS\tI-NP\tO' +p157428 +aS',\t,\t,\tO\tO' +p157429 +aS'S1\tS1\tNN\tB-NP\tB-protein' +p157430 +aS',\t,\t,\tO\tO' +p157431 +aS'S2\tS2\tNN\tB-NP\tB-protein' +p157432 +aS'normal\tnormal\tJJ\tI-NP\tO' +p157433 +aS',\t,\t,\tI-NP\tO' +p157434 +aS'positive\tpositive\tJJ\tI-NP\tO' +p157435 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p157436 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p157437 +aS'at\tat\tIN\tB-PP\tO' +p157438 +aS'the\tthe\tDT\tB-NP\tO' +p157439 +aS'left\tleft\tJJ\tI-NP\tO' +p157440 +aS'upper\tupper\tJJ\tI-NP\tO' +p157441 +aS'sternal\tsternal\tJJ\tI-NP\tO' +p157442 +aS'border\tborder\tNN\tI-NP\tO' +p157443 +aS'radiating\tradiate\tVBG\tB-VP\tO' +p157444 +aS'throughout\tthroughout\tIN\tB-ADVP\tO' +p157445 +aS'.\t.\t.\tO\tO' +p157446 +asS'Anesthesia by epidural .' +p157447 +(lp157448 +S'Anesthesia\tAnesthesia\tNN\tB-NP\tO' +p157449 +aS'by\tby\tIN\tB-PP\tO' +p157450 +aS'epidural\tepidural\tNN\tB-NP\tO' +p157451 +aS'.\t.\t.\tO\tO' +p157452 +asS'Anticoagulaiton held during hemothorax .' +p157453 +(lp157454 +S'Anticoagulaiton\tAnticoagulaiton\tNNP\tB-NP\tO' +p157455 +aS'held\thold\tVBD\tB-VP\tO' +p157456 +aS'during\tduring\tIN\tB-PP\tO' +p157457 +aS'hemothorax\themothorax\tNN\tB-NP\tO' +p157458 +aS'.\t.\t.\tO\tO' +p157459 +asS'On the day prior to discharge she complained of some dysuria , a urine specimen was obtained , which showed numerous white cells consistent with a urinary tract infection .' +p157460 +(lp157461 +S'On\tOn\tIN\tB-PP\tO' +p157462 +aS'the\tthe\tDT\tB-NP\tO' +p157463 +aS'day\tday\tNN\tI-NP\tO' +p157464 +aS'prior\tprior\tRB\tB-ADVP\tO' +p157465 +aS'to\tto\tTO\tB-VP\tO' +p157466 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p157467 +aS'she\tshe\tPRP\tB-NP\tO' +p157468 +aS'complained\tcomplain\tVBD\tB-VP\tO' +p157469 +aS'of\tof\tIN\tB-PP\tO' +p157470 +aS'some\tsome\tDT\tB-NP\tO' +p157471 +aS'dysuria\tdysuria\tNN\tI-NP\tO' +p157472 +aS',\t,\t,\tO\tO' +p157473 +aS'a\ta\tDT\tB-NP\tO' +p157474 +aS'urine\turine\tNN\tI-NP\tO' +p157475 +aS'specimen\tspecimen\tNN\tI-NP\tO' +p157476 +aS'was\tbe\tVBD\tB-VP\tO' +p157477 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p157478 +aS',\t,\t,\tO\tO' +p157479 +aS'which\twhich\tWDT\tB-NP\tO' +p157480 +aS'showed\tshow\tVBD\tB-VP\tO' +p157481 +aS'numerous\tnumerous\tJJ\tB-NP\tO' +p157482 +aS'white\twhite\tJJ\tI-NP\tO' +p157483 +aS'cells\tcell\tNNS\tI-NP\tO' +p157484 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p157485 +aS'with\twith\tIN\tB-PP\tO' +p157486 +aS'a\ta\tDT\tB-NP\tO' +p157487 +aS'urinary\turinary\tJJ\tI-NP\tO' +p157488 +aS'tract\ttract\tNN\tI-NP\tO' +p157489 +aS'infection\tinfection\tNN\tI-NP\tO' +p157490 +aS'.\t.\t.\tO\tO' +p157491 +asS'She received 36gm of albumin following the tap .' +p157492 +(lp157493 +S'She\tShe\tPRP\tB-NP\tO' +p157494 +aS'received\treceive\tVBD\tB-VP\tO' +p157495 +aS'36gm\t36gm\tNN\tB-NP\tO' +p157496 +aS'of\tof\tIN\tB-PP\tO' +p157497 +aS'albumin\talbumin\tNN\tB-NP\tB-protein' +p157498 +aS'following\tfollow\tVBG\tB-PP\tO' +p157499 +aS'the\tthe\tDT\tB-NP\tO' +p157500 +aS'tap\ttap\tNN\tI-NP\tB-protein' +p157501 +aS'.\t.\t.\tO\tO' +p157502 +asS'Her heart is regular rate and rhythm .' +p157503 +(lp157504 +S'Her\tHer\tPRP$\tB-NP\tO' +p157505 +aS'heart\theart\tNN\tI-NP\tO' +p157506 +aS'is\tbe\tVBZ\tB-VP\tO' +p157507 +aS'regular\tregular\tJJ\tB-NP\tO' +p157508 +aS'rate\trate\tNN\tI-NP\tO' +p157509 +aS'and\tand\tCC\tI-NP\tO' +p157510 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p157511 +aS'.\t.\t.\tO\tO' +p157512 +asS'His estimated blood loss was 2 liters .' +p157513 +(lp157514 +S'His\tHis\tPRP$\tB-NP\tB-protein' +p157515 +aS'estimated\testimate\tVBN\tI-NP\tO' +p157516 +aS'blood\tblood\tNN\tI-NP\tO' +p157517 +aS'loss\tloss\tNN\tI-NP\tO' +p157518 +aS'was\tbe\tVBD\tB-VP\tO' +p157519 +aS'2\t2\tCD\tB-NP\tO' +p157520 +aS'liters\tliter\tNNS\tI-NP\tO' +p157521 +aS'.\t.\t.\tO\tO' +p157522 +asS'Follow up as mentioned will be with Dr. Sterp .' +p157523 +(lp157524 +S'Follow\tFollow\tVB\tB-VP\tO' +p157525 +aS'up\tup\tRP\tB-PRT\tO' +p157526 +aS'as\tas\tIN\tB-SBAR\tO' +p157527 +aS'mentioned\tmention\tVBN\tB-VP\tO' +p157528 +aS'will\twill\tMD\tB-VP\tO' +p157529 +aS'be\tbe\tVB\tI-VP\tO' +p157530 +aS'with\twith\tIN\tB-PP\tO' +p157531 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p157532 +aS'Sterp\tSterp\tNNP\tI-NP\tO' +p157533 +aS'.\t.\t.\tO\tO' +p157534 +asS'Social History : lives in VA Hospital Northampton .' +p157535 +(lp157536 +S'Social\tSocial\tNNP\tB-NP\tO' +p157537 +aS'History\tHistory\tNNP\tI-NP\tO' +p157538 +aS':\t:\t:\tO\tO' +p157539 +aS'lives\tlife\tNNS\tB-NP\tO' +p157540 +aS'in\tin\tIN\tB-PP\tO' +p157541 +aS'VA\tVA\tNNP\tB-NP\tO' +p157542 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p157543 +aS'Northampton\tNorthampton\tNNP\tI-NP\tO' +p157544 +aS'.\t.\t.\tO\tO' +p157545 +asS'The patient was directly admitted to the cardiac catheterization laboratory .' +p157546 +(lp157547 +S'The\tThe\tDT\tB-NP\tO' +p157548 +aS'patient\tpatient\tNN\tI-NP\tO' +p157549 +aS'was\tbe\tVBD\tB-VP\tO' +p157550 +aS'directly\tdirectly\tRB\tI-VP\tO' +p157551 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p157552 +aS'to\tto\tTO\tB-PP\tO' +p157553 +aS'the\tthe\tDT\tB-NP\tO' +p157554 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p157555 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p157556 +aS'laboratory\tlaboratory\tNN\tI-NP\tO' +p157557 +aS'.\t.\t.\tO\tO' +p157558 +asS'Only significant for excessive alcohol use .' +p157559 +(lp157560 +S'Only\tOnly\tRB\tB-ADJP\tO' +p157561 +aS'significant\tsignificant\tJJ\tI-ADJP\tO' +p157562 +aS'for\tfor\tIN\tB-PP\tO' +p157563 +aS'excessive\texcessive\tJJ\tB-NP\tO' +p157564 +aS'alcohol\talcohol\tNN\tI-NP\tO' +p157565 +aS'use\tuse\tNN\tI-NP\tO' +p157566 +aS'.\t.\t.\tO\tO' +p157567 +asS'2. atypical MS : discussed with her outpt neurologist ( Dr. Ford in Boston Medical Center ); no current role for MS medications .' +p157568 +(lp157569 +S'2.\t2.\tLS\tB-NP\tO' +p157570 +aS'atypical\tatypical\tJJ\tI-NP\tO' +p157571 +aS'MS\tMS\tNN\tI-NP\tO' +p157572 +aS':\t:\t:\tO\tO' +p157573 +aS'discussed\tdiscuss\tVBN\tB-VP\tO' +p157574 +aS'with\twith\tIN\tB-PP\tO' +p157575 +aS'her\ther\tPRP$\tB-NP\tO' +p157576 +aS'outpt\toutpt\tJJ\tI-NP\tO' +p157577 +aS'neurologist\tneurologist\tNN\tI-NP\tO' +p157578 +aS'(\t(\t(\tO\tO' +p157579 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p157580 +aS'Ford\tFord\tNNP\tI-NP\tO' +p157581 +aS'in\tin\tIN\tB-PP\tO' +p157582 +aS'Boston\tBoston\tNNP\tB-NP\tO' +p157583 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p157584 +aS'Center\tCenter\tNNP\tI-NP\tO' +p157585 +aS');\t);\t:\tO\tO' +p157586 +aS'no\tno\tDT\tB-NP\tO' +p157587 +aS'current\tcurrent\tJJ\tI-NP\tO' +p157588 +aS'role\trole\tNN\tI-NP\tO' +p157589 +aS'for\tfor\tIN\tB-PP\tO' +p157590 +aS'MS\tMS\tNN\tB-NP\tO' +p157591 +aS'medications\tmedication\tNNS\tI-NP\tO' +p157592 +aS'.\t.\t.\tO\tO' +p157593 +asS'IFEX 1.2 grams per meter squared x 3 days , MESNA 1.2 grams per meter squared x 3 days continuous IV infusion .' +p157594 +(lp157595 +S'IFEX\tIFEX\tNN\tB-NP\tO' +p157596 +aS'1.2\t1.2\tCD\tB-NP\tO' +p157597 +aS'grams\tgram\tNNS\tI-NP\tO' +p157598 +aS'per\tper\tIN\tB-PP\tO' +p157599 +aS'meter\tmeter\tNN\tB-NP\tO' +p157600 +aS'squared\tsquare\tVBD\tB-VP\tO' +p157601 +aS'x\tx\tSYM\tB-NP\tO' +p157602 +aS'3\t3\tCD\tB-NP\tO' +p157603 +aS'days\tday\tNNS\tI-NP\tO' +p157604 +aS',\t,\t,\tO\tO' +p157605 +aS'MESNA\tMESNA\tNN\tB-NP\tO' +p157606 +aS'1.2\t1.2\tCD\tB-NP\tO' +p157607 +aS'grams\tgram\tNNS\tI-NP\tO' +p157608 +aS'per\tper\tIN\tB-PP\tO' +p157609 +aS'meter\tmeter\tNN\tB-NP\tO' +p157610 +aS'squared\tsquare\tVBD\tB-VP\tO' +p157611 +aS'x\tx\tSYM\tB-NP\tO' +p157612 +aS'3\t3\tCD\tB-NP\tO' +p157613 +aS'days\tday\tNNS\tI-NP\tO' +p157614 +aS'continuous\tcontinuous\tJJ\tB-NP\tO' +p157615 +aS'IV\tIV\tCD\tI-NP\tO' +p157616 +aS'infusion\tinfusion\tNN\tI-NP\tO' +p157617 +aS'.\t.\t.\tO\tO' +p157618 +asS'The GI service was consulted and they felt that her symptoms were all gastroparesis .' +p157619 +(lp157620 +S'The\tThe\tDT\tB-NP\tO' +p157621 +aS'GI\tGI\tNN\tI-NP\tO' +p157622 +aS'service\tservice\tNN\tI-NP\tO' +p157623 +aS'was\tbe\tVBD\tB-VP\tO' +p157624 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p157625 +aS'and\tand\tCC\tO\tO' +p157626 +aS'they\tthey\tPRP\tB-NP\tO' +p157627 +aS'felt\tfeel\tVBD\tB-VP\tO' +p157628 +aS'that\tthat\tIN\tB-SBAR\tO' +p157629 +aS'her\ther\tPRP$\tB-NP\tO' +p157630 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p157631 +aS'were\tbe\tVBD\tB-VP\tO' +p157632 +aS'all\tall\tDT\tB-NP\tO' +p157633 +aS'gastroparesis\tgastroparesis\tNN\tI-NP\tO' +p157634 +aS'.\t.\t.\tO\tO' +p157635 +asS'6. Infectious disease - No sepsis risk factors .' +p157636 +(lp157637 +S'6.\t6.\tLS\tB-NP\tO' +p157638 +aS'Infectious\tInfectious\tJJ\tI-NP\tO' +p157639 +aS'disease\tdisease\tNN\tI-NP\tO' +p157640 +aS'-\t-\tHYPH\tO\tO' +p157641 +aS'No\tNo\tDT\tB-NP\tO' +p157642 +aS'sepsis\tsepsis\tNN\tI-NP\tO' +p157643 +aS'risk\trisk\tNN\tI-NP\tO' +p157644 +aS'factors\tfactor\tNNS\tI-NP\tO' +p157645 +aS'.\t.\t.\tO\tO' +p157646 +asS'History is obtained from her sister , William from Lawrence General Hospital , and from her primary neurologist , Dr. Brian .' +p157647 +(lp157648 +S'History\tHistory\tNN\tB-NP\tO' +p157649 +aS'is\tbe\tVBZ\tB-VP\tO' +p157650 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p157651 +aS'from\tfrom\tIN\tB-PP\tO' +p157652 +aS'her\ther\tPRP$\tB-NP\tO' +p157653 +aS'sister\tsister\tNN\tI-NP\tO' +p157654 +aS',\t,\t,\tO\tO' +p157655 +aS'William\tWilliam\tNNP\tB-NP\tO' +p157656 +aS'from\tfrom\tIN\tB-PP\tO' +p157657 +aS'Lawrence\tLawrence\tNNP\tB-NP\tO' +p157658 +aS'General\tGeneral\tNNP\tI-NP\tO' +p157659 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p157660 +aS',\t,\t,\tB-PP\tO' +p157661 +aS'and\tand\tCC\tI-PP\tO' +p157662 +aS'from\tfrom\tIN\tB-PP\tO' +p157663 +aS'her\ther\tPRP$\tB-NP\tO' +p157664 +aS'primary\tprimary\tJJ\tI-NP\tO' +p157665 +aS'neurologist\tneurologist\tNN\tI-NP\tO' +p157666 +aS',\t,\t,\tO\tO' +p157667 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p157668 +aS'Brian\tBrian\tNNP\tI-NP\tO' +p157669 +aS'.\t.\t.\tO\tO' +p157670 +asS'An electroencephalogram revealed generalized slowing without ictal events .' +p157671 +(lp157672 +S'An\tAn\tDT\tB-NP\tO' +p157673 +aS'electroencephalogram\telectroencephalogram\tNN\tI-NP\tO' +p157674 +aS'revealed\treveal\tVBD\tB-VP\tO' +p157675 +aS'generalized\tgeneralize\tVBN\tI-VP\tO' +p157676 +aS'slowing\tslow\tVBG\tB-VP\tO' +p157677 +aS'without\twithout\tIN\tB-PP\tO' +p157678 +aS'ictal\tictal\tJJ\tB-NP\tO' +p157679 +aS'events\tevent\tNNS\tI-NP\tO' +p157680 +aS'.\t.\t.\tO\tO' +p157681 +asS'Postoperatively , the patient was transferred to the ICU .' +p157682 +(lp157683 +S'Postoperatively\tPostoperatively\tRB\tB-ADVP\tO' +p157684 +aS',\t,\t,\tO\tO' +p157685 +aS'the\tthe\tDT\tB-NP\tO' +p157686 +aS'patient\tpatient\tNN\tI-NP\tO' +p157687 +aS'was\tbe\tVBD\tB-VP\tO' +p157688 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p157689 +aS'to\tto\tTO\tB-PP\tO' +p157690 +aS'the\tthe\tDT\tB-NP\tO' +p157691 +aS'ICU\tICU\tNN\tI-NP\tB-DNA' +p157692 +aS'.\t.\t.\tO\tO' +p157693 +asS'The patient is a 25 year old who has a history of a gunshot wound many years ago and has had multiple surgical procedures since then .' +p157694 +(lp157695 +S'The\tThe\tDT\tB-NP\tO' +p157696 +aS'patient\tpatient\tNN\tI-NP\tO' +p157697 +aS'is\tbe\tVBZ\tB-VP\tO' +p157698 +aS'a\ta\tDT\tB-NP\tO' +p157699 +aS'25\t25\tCD\tI-NP\tO' +p157700 +aS'year\tyear\tNN\tI-NP\tO' +p157701 +aS'old\told\tJJ\tB-ADJP\tO' +p157702 +aS'who\twho\tWP\tB-NP\tO' +p157703 +aS'has\thave\tVBZ\tB-VP\tO' +p157704 +aS'a\ta\tDT\tB-NP\tO' +p157705 +aS'history\thistory\tNN\tI-NP\tO' +p157706 +aS'of\tof\tIN\tB-PP\tO' +p157707 +aS'a\ta\tDT\tB-NP\tO' +p157708 +aS'gunshot\tgunshot\tNN\tI-NP\tO' +p157709 +aS'wound\twind\tVBD\tB-VP\tO' +p157710 +aS'many\tmany\tJJ\tB-NP\tO' +p157711 +aS'years\tyear\tNNS\tI-NP\tO' +p157712 +aS'ago\tago\tRB\tB-ADVP\tO' +p157713 +aS'and\tand\tCC\tO\tO' +p157714 +aS'has\thave\tVBZ\tB-VP\tO' +p157715 +aS'had\thave\tVBN\tI-VP\tO' +p157716 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p157717 +aS'surgical\tsurgical\tJJ\tI-NP\tO' +p157718 +aS'procedures\tprocedure\tNNS\tI-NP\tO' +p157719 +aS'since\tsince\tIN\tB-PP\tO' +p157720 +aS'then\tthen\tRB\tB-NP\tO' +p157721 +aS'.\t.\t.\tO\tO' +p157722 +asS'In the Emergency Department , she had labile blood pressure with systolic blood pressure in the 80 s .' +p157723 +(lp157724 +S'In\tIn\tIN\tB-PP\tO' +p157725 +aS'the\tthe\tDT\tB-NP\tO' +p157726 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p157727 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p157728 +aS',\t,\t,\tO\tO' +p157729 +aS'she\tshe\tPRP\tB-NP\tO' +p157730 +aS'had\thave\tVBD\tB-VP\tO' +p157731 +aS'labile\tlabile\tJJ\tB-NP\tO' +p157732 +aS'blood\tblood\tNN\tI-NP\tO' +p157733 +aS'pressure\tpressure\tNN\tI-NP\tO' +p157734 +aS'with\twith\tIN\tB-PP\tO' +p157735 +aS'systolic\tsystolic\tJJ\tB-NP\tO' +p157736 +aS'blood\tblood\tNN\tI-NP\tO' +p157737 +aS'pressure\tpressure\tNN\tI-NP\tO' +p157738 +aS'in\tin\tIN\tB-PP\tO' +p157739 +aS'the\tthe\tDT\tB-NP\tO' +p157740 +aS'80\t80\tCD\tI-NP\tO' +p157741 +aS's\ts\tNN\tI-NP\tO' +p157742 +aS'.\t.\t.\tO\tO' +p157743 +asS'Later patient told CMED CCU that she was feeling down and impulsively ingested 5 days worth of medications , she states that her intent at that time was to end her life .' +p157744 +(lp157745 +S'Later\tLater\tJJ\tB-NP\tO' +p157746 +aS'patient\tpatient\tNN\tI-NP\tO' +p157747 +aS'told\ttell\tVBD\tB-VP\tO' +p157748 +aS'CMED\tCMED\tVBN\tB-NP\tO' +p157749 +aS'CCU\tCCU\tNN\tI-NP\tO' +p157750 +aS'that\tthat\tIN\tB-SBAR\tO' +p157751 +aS'she\tshe\tPRP\tB-NP\tO' +p157752 +aS'was\tbe\tVBD\tB-VP\tO' +p157753 +aS'feeling\tfeel\tVBG\tI-VP\tO' +p157754 +aS'down\tdown\tRB\tB-ADVP\tO' +p157755 +aS'and\tand\tCC\tO\tO' +p157756 +aS'impulsively\timpulsively\tRB\tB-VP\tO' +p157757 +aS'ingested\tingest\tVBN\tI-VP\tO' +p157758 +aS'5\t5\tCD\tB-NP\tO' +p157759 +aS'days\tday\tNNS\tI-NP\tO' +p157760 +aS'worth\tworth\tJJ\tB-ADJP\tO' +p157761 +aS'of\tof\tIN\tB-PP\tO' +p157762 +aS'medications\tmedication\tNNS\tB-NP\tO' +p157763 +aS',\t,\t,\tO\tO' +p157764 +aS'she\tshe\tPRP\tB-NP\tO' +p157765 +aS'states\tstate\tVBZ\tB-VP\tO' +p157766 +aS'that\tthat\tIN\tB-SBAR\tO' +p157767 +aS'her\ther\tPRP$\tB-NP\tO' +p157768 +aS'intent\tintent\tNN\tI-NP\tO' +p157769 +aS'at\tat\tIN\tB-PP\tO' +p157770 +aS'that\tthat\tDT\tB-NP\tO' +p157771 +aS'time\ttime\tNN\tI-NP\tO' +p157772 +aS'was\tbe\tVBD\tB-VP\tO' +p157773 +aS'to\tto\tTO\tB-VP\tO' +p157774 +aS'end\tend\tVB\tI-VP\tO' +p157775 +aS'her\ther\tPRP$\tB-NP\tO' +p157776 +aS'life\tlife\tNN\tI-NP\tO' +p157777 +aS'.\t.\t.\tO\tO' +p157778 +asS'1. Sepsis - The patient was septic in the ER and her blood cultures eventually grew proteus .' +p157779 +(lp157780 +S'1.\t1.\tLS\tB-NP\tO' +p157781 +aS'Sepsis\tSepsis\tNN\tI-NP\tO' +p157782 +aS'-\t-\tHYPH\tO\tO' +p157783 +aS'The\tThe\tDT\tB-NP\tO' +p157784 +aS'patient\tpatient\tNN\tI-NP\tO' +p157785 +aS'was\tbe\tVBD\tB-VP\tO' +p157786 +aS'septic\tseptic\tJJ\tB-ADJP\tO' +p157787 +aS'in\tin\tIN\tB-PP\tO' +p157788 +aS'the\tthe\tDT\tB-NP\tO' +p157789 +aS'ER\tER\tNN\tI-NP\tB-protein' +p157790 +aS'and\tand\tCC\tO\tO' +p157791 +aS'her\ther\tPRP$\tB-NP\tO' +p157792 +aS'blood\tblood\tNN\tI-NP\tO' +p157793 +aS'cultures\tculture\tNNS\tI-NP\tO' +p157794 +aS'eventually\teventually\tRB\tB-ADVP\tO' +p157795 +aS'grew\tgrow\tVBD\tB-VP\tO' +p157796 +aS'proteus\tproteus\tNN\tB-NP\tO' +p157797 +aS'.\t.\t.\tO\tO' +p157798 +asS'There was no rigidity , but the neck was slightly painful at extreme flexion .' +p157799 +(lp157800 +S'There\tThere\tEX\tB-NP\tO' +p157801 +aS'was\tbe\tVBD\tB-VP\tO' +p157802 +aS'no\tno\tDT\tB-NP\tO' +p157803 +aS'rigidity\trigidity\tNN\tI-NP\tO' +p157804 +aS',\t,\t,\tO\tO' +p157805 +aS'but\tbut\tCC\tO\tO' +p157806 +aS'the\tthe\tDT\tB-NP\tO' +p157807 +aS'neck\tneck\tNN\tI-NP\tO' +p157808 +aS'was\tbe\tVBD\tB-VP\tO' +p157809 +aS'slightly\tslightly\tRB\tB-ADJP\tO' +p157810 +aS'painful\tpainful\tJJ\tI-ADJP\tO' +p157811 +aS'at\tat\tIN\tB-PP\tO' +p157812 +aS'extreme\textreme\tJJ\tB-NP\tO' +p157813 +aS'flexion\tflexion\tNN\tI-NP\tO' +p157814 +aS'.\t.\t.\tO\tO' +p157815 +asS'He continued to undergo BID dressing changes .' +p157816 +(lp157817 +S'He\tHe\tPRP\tB-NP\tO' +p157818 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p157819 +aS'to\tto\tTO\tI-VP\tO' +p157820 +aS'undergo\tundergo\tVB\tI-VP\tO' +p157821 +aS'BID\tBID\tNN\tB-NP\tO' +p157822 +aS'dressing\tdress\tVBG\tB-VP\tO' +p157823 +aS'changes\tchange\tNNS\tB-NP\tO' +p157824 +aS'.\t.\t.\tO\tO' +p157825 +asS'The patient will also follow-up with Electrophysiology with Dr. Welch on 2015-07-24 .' +p157826 +(lp157827 +S'The\tThe\tDT\tB-NP\tO' +p157828 +aS'patient\tpatient\tNN\tI-NP\tO' +p157829 +aS'will\twill\tMD\tB-VP\tO' +p157830 +aS'also\talso\tRB\tI-VP\tO' +p157831 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p157832 +aS'with\twith\tIN\tB-PP\tO' +p157833 +aS'Electrophysiology\tElectrophysiology\tNNP\tB-NP\tO' +p157834 +aS'with\twith\tIN\tB-PP\tO' +p157835 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p157836 +aS'Welch\tWelch\tNNP\tI-NP\tO' +p157837 +aS'on\ton\tIN\tB-PP\tO' +p157838 +aS'2015-07-24\t2015-07-24\tCD\tB-NP\tO' +p157839 +aS'.\t.\t.\tO\tO' +p157840 +asS'On admission revealed a cachetic woman in no acute distress with stable vital signs .' +p157841 +(lp157842 +S'On\tOn\tIN\tB-PP\tO' +p157843 +aS'admission\tadmission\tNN\tB-NP\tO' +p157844 +aS'revealed\treveal\tVBD\tB-VP\tO' +p157845 +aS'a\ta\tDT\tB-NP\tO' +p157846 +aS'cachetic\tcachetic\tJJ\tI-NP\tO' +p157847 +aS'woman\twoman\tNN\tI-NP\tO' +p157848 +aS'in\tin\tIN\tB-PP\tO' +p157849 +aS'no\tno\tDT\tB-NP\tO' +p157850 +aS'acute\tacute\tJJ\tI-NP\tO' +p157851 +aS'distress\tdistress\tNN\tI-NP\tO' +p157852 +aS'with\twith\tIN\tB-PP\tO' +p157853 +aS'stable\tstable\tJJ\tB-NP\tO' +p157854 +aS'vital\tvital\tJJ\tI-NP\tO' +p157855 +aS'signs\tsign\tNNS\tI-NP\tO' +p157856 +aS'.\t.\t.\tO\tO' +p157857 +asS'A NG tube was placed for decompression given the signs of early obstruction the day of transfer .' +p157858 +(lp157859 +S'A\tA\tDT\tB-NP\tO' +p157860 +aS'NG\tNG\tNN\tI-NP\tB-DNA' +p157861 +aS'tube\ttube\tNN\tI-NP\tI-DNA' +p157862 +aS'was\tbe\tVBD\tB-VP\tO' +p157863 +aS'placed\tplace\tVBN\tI-VP\tO' +p157864 +aS'for\tfor\tIN\tB-PP\tO' +p157865 +aS'decompression\tdecompression\tNN\tB-NP\tO' +p157866 +aS'given\tgive\tVBN\tB-PP\tO' +p157867 +aS'the\tthe\tDT\tB-NP\tO' +p157868 +aS'signs\tsign\tNNS\tI-NP\tO' +p157869 +aS'of\tof\tIN\tB-PP\tO' +p157870 +aS'early\tearly\tJJ\tB-NP\tO' +p157871 +aS'obstruction\tobstruction\tNN\tI-NP\tO' +p157872 +aS'the\tthe\tDT\tB-NP\tO' +p157873 +aS'day\tday\tNN\tI-NP\tO' +p157874 +aS'of\tof\tIN\tB-PP\tO' +p157875 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p157876 +aS'.\t.\t.\tO\tO' +p157877 +asS"1. Crohn 's disease , dx 1974 s/p three bowel resections and eventual ileostomy , resulting in short gut syndrome" +p157878 +(lp157879 +S'1.\t1.\tLS\tB-NP\tO' +p157880 +aS'Crohn\tCrohn\tNN\tI-NP\tO' +p157881 +aS"'s\t's\tPOS\tB-NP\tO" +p157882 +aS'disease\tdisease\tNN\tI-NP\tO' +p157883 +aS',\t,\t,\tO\tO' +p157884 +aS'dx\tdx\tNN\tB-NP\tO' +p157885 +aS'1974\t1974\tCD\tI-NP\tO' +p157886 +aS's/p\ts/p\tNN\tI-NP\tO' +p157887 +aS'three\tthree\tCD\tB-NP\tO' +p157888 +aS'bowel\tbowel\tNN\tI-NP\tO' +p157889 +aS'resections\tresection\tNNS\tI-NP\tO' +p157890 +aS'and\tand\tCC\tO\tO' +p157891 +aS'eventual\teventual\tJJ\tB-NP\tO' +p157892 +aS'ileostomy\tileostomy\tNN\tI-NP\tO' +p157893 +aS',\t,\t,\tO\tO' +p157894 +aS'resulting\tresult\tVBG\tB-VP\tO' +p157895 +aS'in\tin\tIN\tB-PP\tO' +p157896 +aS'short\tshort\tJJ\tB-NP\tO' +p157897 +aS'gut\tgut\tNN\tI-NP\tO' +p157898 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p157899 +asS'Urinalysis demonstrated a likely urinary tract infection .' +p157900 +(lp157901 +S'Urinalysis\tUrinalysis\tNN\tB-NP\tO' +p157902 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p157903 +aS'a\ta\tDT\tB-NP\tO' +p157904 +aS'likely\tlikely\tJJ\tI-NP\tO' +p157905 +aS'urinary\turinary\tJJ\tI-NP\tO' +p157906 +aS'tract\ttract\tNN\tI-NP\tO' +p157907 +aS'infection\tinfection\tNN\tI-NP\tO' +p157908 +aS'.\t.\t.\tO\tO' +p157909 +asS'6. Home oxygen at two liters a minute when she is at home ; she does not use the oxygen when she is in a wheelchair or is out of the house .' +p157910 +(lp157911 +S'6.\t6.\tLS\tB-NP\tO' +p157912 +aS'Home\tHome\tNN\tI-NP\tO' +p157913 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p157914 +aS'at\tat\tIN\tB-PP\tO' +p157915 +aS'two\ttwo\tCD\tB-NP\tO' +p157916 +aS'liters\tliter\tNNS\tI-NP\tO' +p157917 +aS'a\ta\tDT\tB-NP\tO' +p157918 +aS'minute\tminute\tNN\tI-NP\tO' +p157919 +aS'when\twhen\tWRB\tB-ADVP\tO' +p157920 +aS'she\tshe\tPRP\tB-NP\tO' +p157921 +aS'is\tbe\tVBZ\tB-VP\tO' +p157922 +aS'at\tat\tIN\tB-PP\tO' +p157923 +aS'home\thome\tNN\tB-NP\tO' +p157924 +aS';\t;\t:\tO\tO' +p157925 +aS'she\tshe\tPRP\tB-NP\tO' +p157926 +aS'does\tdo\tVBZ\tB-VP\tO' +p157927 +aS'not\tnot\tRB\tI-VP\tO' +p157928 +aS'use\tuse\tVB\tI-VP\tO' +p157929 +aS'the\tthe\tDT\tB-NP\tO' +p157930 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p157931 +aS'when\twhen\tWRB\tB-ADVP\tO' +p157932 +aS'she\tshe\tPRP\tB-NP\tO' +p157933 +aS'is\tbe\tVBZ\tB-VP\tO' +p157934 +aS'in\tin\tIN\tB-PP\tO' +p157935 +aS'a\ta\tDT\tB-NP\tO' +p157936 +aS'wheelchair\twheelchair\tNN\tI-NP\tO' +p157937 +aS'or\tor\tCC\tO\tO' +p157938 +aS'is\tbe\tVBZ\tB-VP\tO' +p157939 +aS'out\tout\tIN\tB-PP\tO' +p157940 +aS'of\tof\tIN\tB-PP\tO' +p157941 +aS'the\tthe\tDT\tB-NP\tO' +p157942 +aS'house\thouse\tNN\tI-NP\tO' +p157943 +aS'.\t.\t.\tO\tO' +p157944 +asS"Maternal hypertension was noted in the doctor 's office and Mom was referred to nonreassuring fetal tracing , necessitating an urgent cesarean section ." +p157945 +(lp157946 +S'Maternal\tMaternal\tJJ\tB-NP\tO' +p157947 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p157948 +aS'was\tbe\tVBD\tB-VP\tO' +p157949 +aS'noted\tnote\tVBN\tI-VP\tO' +p157950 +aS'in\tin\tIN\tB-PP\tO' +p157951 +aS'the\tthe\tDT\tB-NP\tO' +p157952 +aS'doctor\tdoctor\tNN\tI-NP\tO' +p157953 +aS"'s\t's\tPOS\tB-NP\tO" +p157954 +aS'office\toffice\tNN\tI-NP\tO' +p157955 +aS'and\tand\tCC\tI-NP\tO' +p157956 +aS'Mom\tMom\tNN\tI-NP\tO' +p157957 +aS'was\tbe\tVBD\tB-VP\tO' +p157958 +aS'referred\trefer\tVBN\tI-VP\tO' +p157959 +aS'to\tto\tTO\tB-PP\tO' +p157960 +aS'nonreassuring\tnonreassuring\tJJ\tB-NP\tO' +p157961 +aS'fetal\tfetal\tJJ\tI-NP\tO' +p157962 +aS'tracing\ttracing\tNN\tI-NP\tO' +p157963 +aS',\t,\t,\tO\tO' +p157964 +aS'necessitating\tnecessitate\tVBG\tB-VP\tO' +p157965 +aS'an\tan\tDT\tB-NP\tO' +p157966 +aS'urgent\turgent\tJJ\tI-NP\tO' +p157967 +aS'cesarean\tcesarean\tJJ\tI-NP\tO' +p157968 +aS'section\tsection\tNN\tI-NP\tO' +p157969 +aS'.\t.\t.\tO\tO' +p157970 +asS'An ionized calcium was drawn which was low at 1.0 .' +p157971 +(lp157972 +S'An\tAn\tDT\tB-NP\tO' +p157973 +aS'ionized\tionize\tVBN\tI-NP\tO' +p157974 +aS'calcium\tcalcium\tNN\tI-NP\tO' +p157975 +aS'was\tbe\tVBD\tB-VP\tO' +p157976 +aS'drawn\tdraw\tVBN\tI-VP\tO' +p157977 +aS'which\twhich\tWDT\tB-NP\tO' +p157978 +aS'was\tbe\tVBD\tB-VP\tO' +p157979 +aS'low\tlow\tJJ\tB-ADJP\tO' +p157980 +aS'at\tat\tIN\tB-PP\tO' +p157981 +aS'1.0\t1.0\tCD\tB-NP\tO' +p157982 +aS'.\t.\t.\tO\tO' +p157983 +asS'Coronary artery disease , status post non-ST elevation myocardial infarction with 80 percent mid LAD lesion , now status post angioplasty .' +p157984 +(lp157985 +S'Coronary\tCoronary\tJJ\tB-NP\tO' +p157986 +aS'artery\tartery\tNN\tI-NP\tO' +p157987 +aS'disease\tdisease\tNN\tI-NP\tO' +p157988 +aS',\t,\t,\tO\tO' +p157989 +aS'status\tstatus\tNN\tB-NP\tO' +p157990 +aS'post\tpost\tNN\tI-NP\tO' +p157991 +aS'non-ST\tnon-ST\tJJ\tI-NP\tO' +p157992 +aS'elevation\televation\tNN\tI-NP\tO' +p157993 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p157994 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p157995 +aS'with\twith\tIN\tB-PP\tO' +p157996 +aS'80\t80\tCD\tB-NP\tO' +p157997 +aS'percent\tpercent\tNN\tI-NP\tO' +p157998 +aS'mid\tmid\tJJ\tI-NP\tO' +p157999 +aS'LAD\tLAD\tNN\tI-NP\tO' +p158000 +aS'lesion\tlesion\tNN\tI-NP\tO' +p158001 +aS',\t,\t,\tO\tO' +p158002 +aS'now\tnow\tRB\tB-ADVP\tO' +p158003 +aS'status\tstatus\tNN\tB-NP\tO' +p158004 +aS'post\tpost\tNN\tI-NP\tO' +p158005 +aS'angioplasty\tangioplasty\tNN\tI-NP\tO' +p158006 +aS'.\t.\t.\tO\tO' +p158007 +asS'The patient was removed from the ventilator and placed on a T-piece in her trachea only and was made comfortable with narcotics .' +p158008 +(lp158009 +S'The\tThe\tDT\tB-NP\tO' +p158010 +aS'patient\tpatient\tNN\tI-NP\tO' +p158011 +aS'was\tbe\tVBD\tB-VP\tO' +p158012 +aS'removed\tremove\tVBN\tI-VP\tO' +p158013 +aS'from\tfrom\tIN\tB-PP\tO' +p158014 +aS'the\tthe\tDT\tB-NP\tO' +p158015 +aS'ventilator\tventilator\tNN\tI-NP\tO' +p158016 +aS'and\tand\tCC\tO\tO' +p158017 +aS'placed\tplace\tVBN\tB-VP\tO' +p158018 +aS'on\ton\tIN\tB-PP\tO' +p158019 +aS'a\ta\tDT\tB-NP\tO' +p158020 +aS'T-piece\tT-piece\tNN\tI-NP\tO' +p158021 +aS'in\tin\tIN\tB-PP\tO' +p158022 +aS'her\ther\tPRP$\tB-NP\tO' +p158023 +aS'trachea\ttrachea\tNN\tI-NP\tO' +p158024 +aS'only\tonly\tRB\tB-ADVP\tO' +p158025 +aS'and\tand\tCC\tO\tO' +p158026 +aS'was\tbe\tVBD\tB-VP\tO' +p158027 +aS'made\tmake\tVBN\tI-VP\tO' +p158028 +aS'comfortable\tcomfortable\tJJ\tB-ADJP\tO' +p158029 +aS'with\twith\tIN\tB-PP\tO' +p158030 +aS'narcotics\tnarcotic\tNNS\tB-NP\tO' +p158031 +aS'.\t.\t.\tO\tO' +p158032 +asS'Distant peptic ulcer disease , thumb and middle finger lost secondary to lawnmower accident at age five years , no peripheral vascular disease .' +p158033 +(lp158034 +S'Distant\tDistant\tJJ\tB-NP\tO' +p158035 +aS'peptic\tpeptic\tJJ\tI-NP\tO' +p158036 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p158037 +aS'disease\tdisease\tNN\tI-NP\tO' +p158038 +aS',\t,\t,\tO\tO' +p158039 +aS'thumb\tthumb\tNN\tB-NP\tO' +p158040 +aS'and\tand\tCC\tO\tO' +p158041 +aS'middle\tmiddle\tJJ\tB-NP\tO' +p158042 +aS'finger\tfinger\tNN\tI-NP\tO' +p158043 +aS'lost\tlose\tVBD\tB-VP\tO' +p158044 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p158045 +aS'to\tto\tTO\tB-PP\tO' +p158046 +aS'lawnmower\tlawnmow\tJJR\tB-NP\tO' +p158047 +aS'accident\taccident\tNN\tI-NP\tO' +p158048 +aS'at\tat\tIN\tB-PP\tO' +p158049 +aS'age\tage\tNN\tB-NP\tO' +p158050 +aS'five\tfive\tCD\tB-NP\tO' +p158051 +aS'years\tyear\tNNS\tI-NP\tO' +p158052 +aS',\t,\t,\tO\tO' +p158053 +aS'no\tno\tDT\tB-NP\tO' +p158054 +aS'peripheral\tperipheral\tJJ\tI-NP\tO' +p158055 +aS'vascular\tvascular\tJJ\tI-NP\tO' +p158056 +aS'disease\tdisease\tNN\tI-NP\tO' +p158057 +aS'.\t.\t.\tO\tO' +p158058 +asS'#. Communication : Guardian Robert Fitzgerald ( 520 ) 328 5499 .' +p158059 +(lp158060 +S'#.\t#.\tRB\tB-ADVP\tO' +p158061 +aS'Communication\tCommunication\tNNP\tB-NP\tO' +p158062 +aS':\t:\t:\tO\tO' +p158063 +aS'Guardian\tGuardian\tNNP\tB-NP\tO' +p158064 +aS'Robert\tRobert\tNNP\tI-NP\tO' +p158065 +aS'Fitzgerald\tFitzgerald\tNNP\tI-NP\tO' +p158066 +aS'(\t(\t(\tO\tO' +p158067 +aS'520\t520\tCD\tB-NP\tO' +p158068 +aS')\t)\t)\tO\tO' +p158069 +aS'328\t328\tCD\tB-NP\tO' +p158070 +aS'5499\t5499\tCD\tI-NP\tO' +p158071 +aS'.\t.\t.\tO\tO' +p158072 +asS'The oropharynx was benign .' +p158073 +(lp158074 +S'The\tThe\tDT\tB-NP\tO' +p158075 +aS'oropharynx\toropharynx\tNN\tI-NP\tO' +p158076 +aS'was\tbe\tVBD\tB-VP\tO' +p158077 +aS'benign\tbenign\tJJ\tB-ADJP\tO' +p158078 +aS'.\t.\t.\tO\tO' +p158079 +asS'Nexium 40 mg p.o. q. day .' +p158080 +(lp158081 +S'Nexium\tNexium\tNN\tB-NP\tO' +p158082 +aS'40\t40\tCD\tI-NP\tO' +p158083 +aS'mg\tmg\tNN\tI-NP\tO' +p158084 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p158085 +aS'q.\tq.\tNN\tI-NP\tO' +p158086 +aS'day\tday\tNN\tI-NP\tO' +p158087 +aS'.\t.\t.\tO\tO' +p158088 +asS'The mass appears to be cystic in nature and has been aspirated at least 3 times , which decrease in size each time .' +p158089 +(lp158090 +S'The\tThe\tDT\tB-NP\tO' +p158091 +aS'mass\tmass\tNN\tI-NP\tO' +p158092 +aS'appears\tappear\tVBZ\tB-VP\tO' +p158093 +aS'to\tto\tTO\tI-VP\tO' +p158094 +aS'be\tbe\tVB\tI-VP\tO' +p158095 +aS'cystic\tcystic\tJJ\tB-ADJP\tO' +p158096 +aS'in\tin\tIN\tB-PP\tO' +p158097 +aS'nature\tnature\tNN\tB-NP\tO' +p158098 +aS'and\tand\tCC\tO\tO' +p158099 +aS'has\thave\tVBZ\tB-VP\tO' +p158100 +aS'been\tbe\tVBN\tI-VP\tO' +p158101 +aS'aspirated\taspirate\tVBN\tI-VP\tO' +p158102 +aS'at\tat\tIN\tB-NP\tO' +p158103 +aS'least\tleast\tJJS\tI-NP\tO' +p158104 +aS'3\t3\tCD\tI-NP\tO' +p158105 +aS'times\ttime\tNNS\tI-NP\tO' +p158106 +aS',\t,\t,\tO\tO' +p158107 +aS'which\twhich\tWDT\tB-NP\tO' +p158108 +aS'decrease\tdecrease\tVBP\tB-VP\tO' +p158109 +aS'in\tin\tIN\tB-PP\tO' +p158110 +aS'size\tsize\tNN\tB-NP\tO' +p158111 +aS'each\teach\tDT\tB-NP\tO' +p158112 +aS'time\ttime\tNN\tI-NP\tO' +p158113 +aS'.\t.\t.\tO\tO' +p158114 +asS'No spontaneous echo contrast is seen in the body of the right atrium .' +p158115 +(lp158116 +S'No\tNo\tDT\tB-NP\tO' +p158117 +aS'spontaneous\tspontaneous\tJJ\tI-NP\tO' +p158118 +aS'echo\techo\tJJ\tI-NP\tO' +p158119 +aS'contrast\tcontrast\tNN\tI-NP\tO' +p158120 +aS'is\tbe\tVBZ\tB-VP\tO' +p158121 +aS'seen\tsee\tVBN\tI-VP\tO' +p158122 +aS'in\tin\tIN\tB-PP\tO' +p158123 +aS'the\tthe\tDT\tB-NP\tO' +p158124 +aS'body\tbody\tNN\tI-NP\tO' +p158125 +aS'of\tof\tIN\tB-PP\tO' +p158126 +aS'the\tthe\tDT\tB-NP\tO' +p158127 +aS'right\tright\tJJ\tI-NP\tO' +p158128 +aS'atrium\tatrium\tNN\tI-NP\tO' +p158129 +aS'.\t.\t.\tO\tO' +p158130 +asS'Lipase was within normal limits .' +p158131 +(lp158132 +S'Lipase\tLipase\tNN\tB-NP\tB-protein' +p158133 +aS'was\tbe\tVBD\tB-VP\tO' +p158134 +aS'within\twithin\tIN\tB-PP\tO' +p158135 +aS'normal\tnormal\tJJ\tB-NP\tO' +p158136 +aS'limits\tlimit\tNNS\tI-NP\tO' +p158137 +aS'.\t.\t.\tO\tO' +p158138 +asS'The patient developed a left femoral artery pseudoaneurysm after placement of a Greenfield filter .' +p158139 +(lp158140 +S'The\tThe\tDT\tB-NP\tO' +p158141 +aS'patient\tpatient\tNN\tI-NP\tO' +p158142 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p158143 +aS'a\ta\tDT\tB-NP\tO' +p158144 +aS'left\tleft\tJJ\tI-NP\tO' +p158145 +aS'femoral\tfemoral\tJJ\tI-NP\tO' +p158146 +aS'artery\tartery\tNN\tI-NP\tO' +p158147 +aS'pseudoaneurysm\tpseudoaneurysm\tNN\tI-NP\tO' +p158148 +aS'after\tafter\tIN\tB-PP\tO' +p158149 +aS'placement\tplacement\tNN\tB-NP\tO' +p158150 +aS'of\tof\tIN\tB-PP\tO' +p158151 +aS'a\ta\tDT\tB-NP\tO' +p158152 +aS'Greenfield\tGreenfield\tNNP\tI-NP\tO' +p158153 +aS'filter\tfilter\tNN\tI-NP\tO' +p158154 +aS'.\t.\t.\tO\tO' +p158155 +asS'Fixation and saccades are normal .' +p158156 +(lp158157 +S'Fixation\tFixation\tNN\tB-NP\tO' +p158158 +aS'and\tand\tCC\tI-NP\tO' +p158159 +aS'saccades\tsaccade\tNNS\tI-NP\tO' +p158160 +aS'are\tbe\tVBP\tB-VP\tO' +p158161 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p158162 +aS'.\t.\t.\tO\tO' +p158163 +asS'Patient was found to have a troponin of 0.71 on admission with a CK of 46 and CKMB of 3.4 .' +p158164 +(lp158165 +S'Patient\tPatient\tNN\tB-NP\tO' +p158166 +aS'was\tbe\tVBD\tB-VP\tO' +p158167 +aS'found\tfind\tVBN\tI-VP\tO' +p158168 +aS'to\tto\tTO\tI-VP\tO' +p158169 +aS'have\thave\tVB\tI-VP\tO' +p158170 +aS'a\ta\tDT\tB-NP\tO' +p158171 +aS'troponin\ttroponin\tNN\tI-NP\tO' +p158172 +aS'of\tof\tIN\tB-PP\tO' +p158173 +aS'0.71\t0.71\tCD\tB-NP\tO' +p158174 +aS'on\ton\tIN\tB-PP\tO' +p158175 +aS'admission\tadmission\tNN\tB-NP\tO' +p158176 +aS'with\twith\tIN\tB-PP\tO' +p158177 +aS'a\ta\tDT\tB-NP\tO' +p158178 +aS'CK\tCK\tNN\tI-NP\tO' +p158179 +aS'of\tof\tIN\tB-PP\tO' +p158180 +aS'46\t46\tCD\tB-NP\tO' +p158181 +aS'and\tand\tCC\tO\tO' +p158182 +aS'CKMB\tCKMB\tNN\tB-NP\tB-protein' +p158183 +aS'of\tof\tIN\tB-PP\tO' +p158184 +aS'3.4\t3.4\tCD\tB-NP\tO' +p158185 +aS'.\t.\t.\tO\tO' +p158186 +asS'The infant is a 32 and 03-05 week male , twin A , who was admitted to the Neonatal Intensive Care Unit for management of prematurity .' +p158187 +(lp158188 +S'The\tThe\tDT\tB-NP\tO' +p158189 +aS'infant\tinfant\tNN\tI-NP\tO' +p158190 +aS'is\tbe\tVBZ\tB-VP\tO' +p158191 +aS'a\ta\tDT\tB-NP\tO' +p158192 +aS'32\t32\tCD\tI-NP\tO' +p158193 +aS'and\tand\tCC\tI-NP\tO' +p158194 +aS'03-05\t03-05\tCD\tI-NP\tO' +p158195 +aS'week\tweek\tNN\tI-NP\tO' +p158196 +aS'male\tmale\tJJ\tB-ADJP\tO' +p158197 +aS',\t,\t,\tO\tO' +p158198 +aS'twin\ttwin\tNN\tB-NP\tO' +p158199 +aS'A\tA\tNNP\tI-NP\tO' +p158200 +aS',\t,\t,\tO\tO' +p158201 +aS'who\twho\tWP\tB-NP\tO' +p158202 +aS'was\tbe\tVBD\tB-VP\tO' +p158203 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p158204 +aS'to\tto\tTO\tB-PP\tO' +p158205 +aS'the\tthe\tDT\tB-NP\tO' +p158206 +aS'Neonatal\tNeonatal\tNNP\tI-NP\tO' +p158207 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p158208 +aS'Care\tCare\tNNP\tI-NP\tO' +p158209 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p158210 +aS'for\tfor\tIN\tB-PP\tO' +p158211 +aS'management\tmanagement\tNN\tB-NP\tO' +p158212 +aS'of\tof\tIN\tB-PP\tO' +p158213 +aS'prematurity\tprematurity\tNN\tB-NP\tO' +p158214 +aS'.\t.\t.\tO\tO' +p158215 +asS'Please call your primary care doctor next week and arrange for follow up next week .' +p158216 +(lp158217 +S'Please\tPlease\tVB\tB-VP\tO' +p158218 +aS'call\tcall\tVB\tI-VP\tO' +p158219 +aS'your\tyour\tPRP$\tB-NP\tO' +p158220 +aS'primary\tprimary\tJJ\tI-NP\tO' +p158221 +aS'care\tcare\tNN\tI-NP\tO' +p158222 +aS'doctor\tdoctor\tNN\tI-NP\tO' +p158223 +aS'next\tnext\tIN\tB-NP\tO' +p158224 +aS'week\tweek\tNN\tI-NP\tO' +p158225 +aS'and\tand\tCC\tI-NP\tO' +p158226 +aS'arrange\tarrange\tNN\tI-NP\tO' +p158227 +aS'for\tfor\tIN\tB-PP\tO' +p158228 +aS'follow\tfollow\tVB\tB-VP\tO' +p158229 +aS'up\tup\tRP\tB-PRT\tO' +p158230 +aS'next\tnext\tJJ\tB-NP\tO' +p158231 +aS'week\tweek\tNN\tI-NP\tO' +p158232 +aS'.\t.\t.\tO\tO' +p158233 +asS'Protonix , 40 daily .' +p158234 +(lp158235 +S'Protonix\tProtonix\tNNP\tB-NP\tO' +p158236 +aS',\t,\t,\tO\tO' +p158237 +aS'40\t40\tCD\tB-NP\tO' +p158238 +aS'daily\tdaily\tRB\tI-NP\tO' +p158239 +aS'.\t.\t.\tO\tO' +p158240 +asS'The glenoid fossa was intact .' +p158241 +(lp158242 +S'The\tThe\tDT\tB-NP\tO' +p158243 +aS'glenoid\tglenoid\tNN\tI-NP\tO' +p158244 +aS'fossa\tfossa\tNN\tI-NP\tO' +p158245 +aS'was\tbe\tVBD\tB-VP\tO' +p158246 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p158247 +aS'.\t.\t.\tO\tO' +p158248 +asS'3. HYPERTENSION .' +p158249 +(lp158250 +S'3.\t3.\tLS\tB-NP\tO' +p158251 +aS'HYPERTENSION\tHYPERTENSION\tNN\tI-NP\tO' +p158252 +aS'.\t.\t.\tO\tO' +p158253 +asS'She underwent a TAH-BSO which was uncomplicated .' +p158254 +(lp158255 +S'She\tShe\tPRP\tB-NP\tO' +p158256 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p158257 +aS'a\ta\tDT\tB-NP\tO' +p158258 +aS'TAH-BSO\tTAH-BSO\tNN\tI-NP\tB-protein' +p158259 +aS'which\twhich\tWDT\tB-NP\tO' +p158260 +aS'was\tbe\tVBD\tB-VP\tO' +p158261 +aS'uncomplicated\tuncomplicated\tJJ\tB-ADJP\tO' +p158262 +aS'.\t.\t.\tO\tO' +p158263 +asS'A biopsy of this mass was consistent with hematoma .' +p158264 +(lp158265 +S'A\tA\tDT\tB-NP\tO' +p158266 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p158267 +aS'of\tof\tIN\tB-PP\tO' +p158268 +aS'this\tthis\tDT\tB-NP\tO' +p158269 +aS'mass\tmass\tNN\tI-NP\tO' +p158270 +aS'was\tbe\tVBD\tB-VP\tO' +p158271 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p158272 +aS'with\twith\tIN\tB-PP\tO' +p158273 +aS'hematoma\thematoma\tNN\tB-NP\tO' +p158274 +aS'.\t.\t.\tO\tO' +p158275 +asS'Following her recovery from chemotherapy , she will proceed to surgical resection .' +p158276 +(lp158277 +S'Following\tFollow\tVBG\tB-PP\tO' +p158278 +aS'her\ther\tPRP$\tB-NP\tO' +p158279 +aS'recovery\trecovery\tNN\tI-NP\tO' +p158280 +aS'from\tfrom\tIN\tB-PP\tO' +p158281 +aS'chemotherapy\tchemotherapy\tNN\tB-NP\tO' +p158282 +aS',\t,\t,\tO\tO' +p158283 +aS'she\tshe\tPRP\tB-NP\tO' +p158284 +aS'will\twill\tMD\tB-VP\tO' +p158285 +aS'proceed\tproceed\tVB\tI-VP\tO' +p158286 +aS'to\tto\tTO\tB-PP\tO' +p158287 +aS'surgical\tsurgical\tJJ\tB-NP\tO' +p158288 +aS'resection\tresection\tNN\tI-NP\tO' +p158289 +aS'.\t.\t.\tO\tO' +p158290 +asS'Within the fist few days after the surgery , his liver function tests were elevated to as high as 1484 for ALT , 915 for AST , and 7.6 for total bilirubin .' +p158291 +(lp158292 +S'Within\tWithin\tIN\tB-PP\tO' +p158293 +aS'the\tthe\tDT\tB-NP\tO' +p158294 +aS'fist\tfist\tNN\tI-NP\tO' +p158295 +aS'few\tfew\tJJ\tI-NP\tO' +p158296 +aS'days\tday\tNNS\tI-NP\tO' +p158297 +aS'after\tafter\tIN\tB-PP\tO' +p158298 +aS'the\tthe\tDT\tB-NP\tO' +p158299 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p158300 +aS',\t,\t,\tO\tO' +p158301 +aS'his\this\tPRP$\tB-NP\tO' +p158302 +aS'liver\tliver\tNN\tI-NP\tO' +p158303 +aS'function\tfunction\tNN\tI-NP\tO' +p158304 +aS'tests\ttest\tNNS\tI-NP\tO' +p158305 +aS'were\tbe\tVBD\tB-VP\tO' +p158306 +aS'elevated\televate\tVBN\tI-VP\tO' +p158307 +aS'to\tto\tTO\tB-PP\tO' +p158308 +aS'as\tas\tRB\tB-ADVP\tO' +p158309 +aS'high\thigh\tJJ\tI-ADVP\tO' +p158310 +aS'as\tas\tIN\tB-PP\tO' +p158311 +aS'1484\t1484\tCD\tB-NP\tO' +p158312 +aS'for\tfor\tIN\tB-PP\tO' +p158313 +aS'ALT\tALT\tNN\tB-NP\tO' +p158314 +aS',\t,\t,\tO\tO' +p158315 +aS'915\t915\tCD\tB-NP\tO' +p158316 +aS'for\tfor\tIN\tB-PP\tO' +p158317 +aS'AST\tAST\tNN\tB-NP\tO' +p158318 +aS',\t,\t,\tO\tO' +p158319 +aS'and\tand\tCC\tO\tO' +p158320 +aS'7.6\t7.6\tCD\tB-NP\tO' +p158321 +aS'for\tfor\tIN\tB-PP\tO' +p158322 +aS'total\ttotal\tJJ\tB-NP\tO' +p158323 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p158324 +aS'.\t.\t.\tO\tO' +p158325 +asS'The heart was regular with an S1 and S2 .' +p158326 +(lp158327 +S'The\tThe\tDT\tB-NP\tO' +p158328 +aS'heart\theart\tNN\tI-NP\tO' +p158329 +aS'was\tbe\tVBD\tB-VP\tO' +p158330 +aS'regular\tregular\tJJ\tB-ADJP\tO' +p158331 +aS'with\twith\tIN\tB-PP\tO' +p158332 +aS'an\tan\tDT\tB-NP\tO' +p158333 +aS'S1\tS1\tNN\tI-NP\tB-protein' +p158334 +aS'and\tand\tCC\tI-NP\tO' +p158335 +aS'S2\tS2\tNN\tI-NP\tB-protein' +p158336 +aS'.\t.\t.\tO\tO' +p158337 +asS'His lower extremity edema improved with diuresis .' +p158338 +(lp158339 +S'His\tHis\tPRP$\tB-NP\tB-protein' +p158340 +aS'lower\tlow\tJJR\tI-NP\tO' +p158341 +aS'extremity\textremity\tNN\tI-NP\tO' +p158342 +aS'edema\tedema\tNN\tI-NP\tO' +p158343 +aS'improved\timprove\tVBN\tB-VP\tO' +p158344 +aS'with\twith\tIN\tB-PP\tO' +p158345 +aS'diuresis\tdiuresis\tNN\tB-NP\tO' +p158346 +aS'.\t.\t.\tO\tO' +p158347 +asS'Influenza immunization is recommended annually in the Fall for all infants once they reach 6 months of age .' +p158348 +(lp158349 +S'Influenza\tInfluenza\tNN\tB-NP\tO' +p158350 +aS'immunization\timmunization\tNN\tI-NP\tO' +p158351 +aS'is\tbe\tVBZ\tB-VP\tO' +p158352 +aS'recommended\trecommend\tVBN\tI-VP\tO' +p158353 +aS'annually\tannually\tRB\tB-ADVP\tO' +p158354 +aS'in\tin\tIN\tB-PP\tO' +p158355 +aS'the\tthe\tDT\tB-NP\tO' +p158356 +aS'Fall\tFall\tNNP\tI-NP\tO' +p158357 +aS'for\tfor\tIN\tB-PP\tO' +p158358 +aS'all\tall\tDT\tB-NP\tO' +p158359 +aS'infants\tinfant\tNNS\tI-NP\tO' +p158360 +aS'once\tonce\tIN\tB-SBAR\tO' +p158361 +aS'they\tthey\tPRP\tB-NP\tO' +p158362 +aS'reach\treach\tVBP\tB-VP\tO' +p158363 +aS'6\t6\tCD\tB-NP\tO' +p158364 +aS'months\tmonth\tNNS\tI-NP\tO' +p158365 +aS'of\tof\tIN\tB-PP\tO' +p158366 +aS'age\tage\tNN\tB-NP\tO' +p158367 +aS'.\t.\t.\tO\tO' +p158368 +asS'Fine crackles in the bases , otherwise clear .' +p158369 +(lp158370 +S'Fine\tFine\tJJ\tB-NP\tO' +p158371 +aS'crackles\tcrackle\tNNS\tI-NP\tO' +p158372 +aS'in\tin\tIN\tB-PP\tO' +p158373 +aS'the\tthe\tDT\tB-NP\tO' +p158374 +aS'bases\tbase\tNNS\tI-NP\tO' +p158375 +aS',\t,\t,\tO\tO' +p158376 +aS'otherwise\totherwise\tRB\tB-ADJP\tO' +p158377 +aS'clear\tclear\tJJ\tI-ADJP\tO' +p158378 +aS'.\t.\t.\tO\tO' +p158379 +asS'They felt that there was obstruction and possible obstruction to airflow generating some obstructive apnea , as well as partial obstructive events .' +p158380 +(lp158381 +S'They\tThey\tPRP\tB-NP\tO' +p158382 +aS'felt\tfeel\tVBD\tB-VP\tO' +p158383 +aS'that\tthat\tIN\tB-SBAR\tO' +p158384 +aS'there\tthere\tEX\tB-NP\tO' +p158385 +aS'was\tbe\tVBD\tB-VP\tO' +p158386 +aS'obstruction\tobstruction\tNN\tB-NP\tO' +p158387 +aS'and\tand\tCC\tO\tO' +p158388 +aS'possible\tpossible\tJJ\tB-NP\tO' +p158389 +aS'obstruction\tobstruction\tNN\tI-NP\tO' +p158390 +aS'to\tto\tTO\tB-VP\tO' +p158391 +aS'airflow\tairflow\tVB\tI-VP\tO' +p158392 +aS'generating\tgenerate\tVBG\tI-VP\tO' +p158393 +aS'some\tsome\tDT\tB-NP\tO' +p158394 +aS'obstructive\tobstructive\tJJ\tI-NP\tO' +p158395 +aS'apnea\tapnea\tNN\tI-NP\tO' +p158396 +aS',\t,\t,\tO\tO' +p158397 +aS'as\tas\tRB\tB-CONJP\tO' +p158398 +aS'well\twell\tRB\tI-CONJP\tO' +p158399 +aS'as\tas\tIN\tI-CONJP\tO' +p158400 +aS'partial\tpartial\tJJ\tB-NP\tO' +p158401 +aS'obstructive\tobstructive\tJJ\tI-NP\tO' +p158402 +aS'events\tevent\tNNS\tI-NP\tO' +p158403 +aS'.\t.\t.\tO\tO' +p158404 +asS'The splenic flexure had a purulent exudative process along the antimesenteric surface .' +p158405 +(lp158406 +S'The\tThe\tDT\tB-NP\tO' +p158407 +aS'splenic\tsplenic\tJJ\tI-NP\tO' +p158408 +aS'flexure\tflexure\tNN\tI-NP\tO' +p158409 +aS'had\thave\tVBD\tB-VP\tO' +p158410 +aS'a\ta\tDT\tB-NP\tO' +p158411 +aS'purulent\tpurulent\tJJ\tI-NP\tO' +p158412 +aS'exudative\texudative\tJJ\tI-NP\tO' +p158413 +aS'process\tprocess\tNN\tI-NP\tO' +p158414 +aS'along\talong\tIN\tB-PP\tO' +p158415 +aS'the\tthe\tDT\tB-NP\tO' +p158416 +aS'antimesenteric\tantimesenteric\tJJ\tI-NP\tO' +p158417 +aS'surface\tsurface\tNN\tI-NP\tO' +p158418 +aS'.\t.\t.\tO\tO' +p158419 +asS'The patient was afebrile , her vital signs were stable and she maintained a good urine output .' +p158420 +(lp158421 +S'The\tThe\tDT\tB-NP\tO' +p158422 +aS'patient\tpatient\tNN\tI-NP\tO' +p158423 +aS'was\tbe\tVBD\tB-VP\tO' +p158424 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p158425 +aS',\t,\t,\tO\tO' +p158426 +aS'her\ther\tPRP$\tB-NP\tO' +p158427 +aS'vital\tvital\tJJ\tI-NP\tO' +p158428 +aS'signs\tsign\tNNS\tI-NP\tO' +p158429 +aS'were\tbe\tVBD\tB-VP\tO' +p158430 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p158431 +aS'and\tand\tCC\tO\tO' +p158432 +aS'she\tshe\tPRP\tB-NP\tO' +p158433 +aS'maintained\tmaintain\tVBD\tB-VP\tO' +p158434 +aS'a\ta\tDT\tB-NP\tO' +p158435 +aS'good\tgood\tJJ\tI-NP\tO' +p158436 +aS'urine\turine\tNN\tI-NP\tO' +p158437 +aS'output\toutput\tNN\tI-NP\tO' +p158438 +aS'.\t.\t.\tO\tO' +p158439 +asS'She remained intermittently febrile despite numerous antibiotics .' +p158440 +(lp158441 +S'She\tShe\tPRP\tB-NP\tO' +p158442 +aS'remained\tremain\tVBD\tB-VP\tO' +p158443 +aS'intermittently\tintermittently\tRB\tB-ADJP\tO' +p158444 +aS'febrile\tfebrile\tJJ\tI-ADJP\tO' +p158445 +aS'despite\tdespite\tIN\tB-PP\tO' +p158446 +aS'numerous\tnumerous\tJJ\tB-NP\tO' +p158447 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p158448 +aS'.\t.\t.\tO\tO' +p158449 +asS'She is alert and following commands .' +p158450 +(lp158451 +S'She\tShe\tPRP\tB-NP\tO' +p158452 +aS'is\tbe\tVBZ\tB-VP\tO' +p158453 +aS'alert\talert\tJJ\tB-ADJP\tO' +p158454 +aS'and\tand\tCC\tO\tO' +p158455 +aS'following\tfollow\tVBG\tB-VP\tO' +p158456 +aS'commands\tcommand\tNNS\tB-NP\tO' +p158457 +aS'.\t.\t.\tO\tO' +p158458 +asS'In the CMED CCU he became hypotensive to SBP 80 s.' +p158459 +(lp158460 +S'In\tIn\tIN\tB-PP\tO' +p158461 +aS'the\tthe\tDT\tB-NP\tO' +p158462 +aS'CMED\tCMED\tVBN\tI-NP\tO' +p158463 +aS'CCU\tCCU\tNN\tI-NP\tO' +p158464 +aS'he\the\tPRP\tB-NP\tO' +p158465 +aS'became\tbecome\tVBD\tB-VP\tO' +p158466 +aS'hypotensive\thypotensive\tJJ\tB-ADJP\tO' +p158467 +aS'to\tto\tTO\tB-PP\tO' +p158468 +aS'SBP\tSBP\tNN\tB-NP\tO' +p158469 +aS'80\t80\tCD\tI-NP\tO' +p158470 +aS's.\ts.\tNNS\tI-NP\tO' +p158471 +asS'1. Percocet 5/325 mg one to two q. four hours p.r.n.' +p158472 +(lp158473 +S'1.\t1.\tLS\tB-NP\tO' +p158474 +aS'Percocet\tPercocet\tNNP\tI-NP\tO' +p158475 +aS'5/325\t5/325\tCD\tI-NP\tO' +p158476 +aS'mg\tmg\tNN\tI-NP\tO' +p158477 +aS'one\tone\tCD\tB-NP\tO' +p158478 +aS'to\tto\tTO\tI-NP\tO' +p158479 +aS'two\ttwo\tCD\tI-NP\tO' +p158480 +aS'q.\tq.\tNN\tI-NP\tO' +p158481 +aS'four\tfour\tCD\tB-NP\tO' +p158482 +aS'hours\thour\tNNS\tI-NP\tO' +p158483 +aS'p.r.n.\tp.r.n.\tRB\tB-ADVP\tO' +p158484 +asS'Therefore , she was monitored over the next few days for any further bleeding events .' +p158485 +(lp158486 +S'Therefore\tTherefore\tRB\tB-ADVP\tO' +p158487 +aS',\t,\t,\tO\tO' +p158488 +aS'she\tshe\tPRP\tB-NP\tO' +p158489 +aS'was\tbe\tVBD\tB-VP\tO' +p158490 +aS'monitored\tmonitor\tVBN\tI-VP\tO' +p158491 +aS'over\tover\tIN\tB-PP\tO' +p158492 +aS'the\tthe\tDT\tB-NP\tO' +p158493 +aS'next\tnext\tJJ\tI-NP\tO' +p158494 +aS'few\tfew\tJJ\tI-NP\tO' +p158495 +aS'days\tday\tNNS\tI-NP\tO' +p158496 +aS'for\tfor\tIN\tB-PP\tO' +p158497 +aS'any\tany\tDT\tB-NP\tO' +p158498 +aS'further\tfurther\tJJ\tI-NP\tO' +p158499 +aS'bleeding\tbleed\tVBG\tI-NP\tO' +p158500 +aS'events\tevent\tNNS\tI-NP\tO' +p158501 +aS'.\t.\t.\tO\tO' +p158502 +asS'This is to notify you that your patient , FREIREKOTE , SONYLA arrived in the Emergency Department at Bri Health on 02/10/2000 03:19 PM .' +p158503 +(lp158504 +S'This\tThis\tDT\tB-NP\tO' +p158505 +aS'is\tbe\tVBZ\tB-VP\tO' +p158506 +aS'to\tto\tTO\tB-VP\tO' +p158507 +aS'notify\tnotify\tVB\tI-VP\tO' +p158508 +aS'you\tyou\tPRP\tB-NP\tO' +p158509 +aS'that\tthat\tIN\tB-SBAR\tO' +p158510 +aS'your\tyour\tPRP$\tB-NP\tO' +p158511 +aS'patient\tpatient\tNN\tI-NP\tO' +p158512 +aS',\t,\t,\tO\tO' +p158513 +aS'FREIREKOTE\tFREIREKOTE\tNN\tB-NP\tO' +p158514 +aS',\t,\t,\tO\tO' +p158515 +aS'SONYLA\tSONYLA\tNN\tB-NP\tO' +p158516 +aS'arrived\tarrive\tVBD\tB-VP\tO' +p158517 +aS'in\tin\tIN\tB-PP\tO' +p158518 +aS'the\tthe\tDT\tB-NP\tO' +p158519 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p158520 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p158521 +aS'at\tat\tIN\tB-PP\tO' +p158522 +aS'Bri\tBri\tNNP\tB-NP\tO' +p158523 +aS'Health\tHealth\tNNP\tI-NP\tO' +p158524 +aS'on\ton\tIN\tB-PP\tO' +p158525 +aS'02/10/2000\t02/10/2000\tCD\tB-NP\tO' +p158526 +aS'03:19\t03:19\tCD\tI-NP\tO' +p158527 +aS'PM\tPM\tNN\tI-NP\tO' +p158528 +aS'.\t.\t.\tO\tO' +p158529 +asS'Her admission physical revealed a birth weight of 901 gm , 20th percentile ; length 34 cm , 25th percentile ; head circumference 25 cm , 25th percentile .' +p158530 +(lp158531 +S'Her\tHer\tPRP$\tB-NP\tO' +p158532 +aS'admission\tadmission\tNN\tI-NP\tO' +p158533 +aS'physical\tphysical\tNN\tI-NP\tO' +p158534 +aS'revealed\treveal\tVBD\tB-VP\tO' +p158535 +aS'a\ta\tDT\tB-NP\tO' +p158536 +aS'birth\tbirth\tNN\tI-NP\tO' +p158537 +aS'weight\tweight\tNN\tI-NP\tO' +p158538 +aS'of\tof\tIN\tB-PP\tO' +p158539 +aS'901\t901\tCD\tB-NP\tO' +p158540 +aS'gm\tgm\tNN\tI-NP\tO' +p158541 +aS',\t,\t,\tO\tO' +p158542 +aS'20th\t20th\tJJ\tB-NP\tO' +p158543 +aS'percentile\tpercentile\tNN\tI-NP\tO' +p158544 +aS';\t;\t:\tO\tO' +p158545 +aS'length\tlength\tNN\tB-NP\tO' +p158546 +aS'34\t34\tCD\tI-NP\tO' +p158547 +aS'cm\tcm\tNN\tI-NP\tO' +p158548 +aS',\t,\t,\tO\tO' +p158549 +aS'25th\t25th\tJJ\tB-NP\tO' +p158550 +aS'percentile\tpercentile\tNN\tI-NP\tO' +p158551 +aS';\t;\t:\tO\tO' +p158552 +aS'head\thead\tNN\tB-NP\tO' +p158553 +aS'circumference\tcircumference\tNN\tI-NP\tO' +p158554 +aS'25\t25\tCD\tB-NP\tO' +p158555 +aS'cm\tcm\tNN\tI-NP\tO' +p158556 +aS',\t,\t,\tO\tO' +p158557 +aS'25th\t25th\tJJ\tB-NP\tO' +p158558 +aS'percentile\tpercentile\tNN\tI-NP\tO' +p158559 +aS'.\t.\t.\tO\tO' +p158560 +asS'He also currently has an SPEP / UPEP/Beta 2 microglobulin / ACE test that are currently pending .' +p158561 +(lp158562 +S'He\tHe\tPRP\tB-NP\tO' +p158563 +aS'also\talso\tRB\tB-ADVP\tO' +p158564 +aS'currently\tcurrently\tRB\tB-ADVP\tO' +p158565 +aS'has\thave\tVBZ\tB-VP\tO' +p158566 +aS'an\tan\tDT\tB-NP\tO' +p158567 +aS'SPEP\tSPEP\tNN\tI-NP\tB-protein' +p158568 +aS'/\t/\tSYM\tO\tO' +p158569 +aS'UPEP/Beta\tUPEP/Beta\tNN\tB-NP\tB-protein' +p158570 +aS'2\t2\tCD\tI-NP\tI-protein' +p158571 +aS'microglobulin\tmicroglobulin\tNN\tI-NP\tI-protein' +p158572 +aS'/\t/\tSYM\tB-NP\tO' +p158573 +aS'ACE\tACE\tNN\tI-NP\tO' +p158574 +aS'test\ttest\tNN\tI-NP\tO' +p158575 +aS'that\tthat\tWDT\tB-NP\tO' +p158576 +aS'are\tbe\tVBP\tB-VP\tO' +p158577 +aS'currently\tcurrently\tRB\tI-VP\tO' +p158578 +aS'pending\tpende\tVBG\tI-VP\tO' +p158579 +aS'.\t.\t.\tO\tO' +p158580 +asS'8. Tubes , lines , and drains .' +p158581 +(lp158582 +S'8.\t8.\tCD\tB-NP\tO' +p158583 +aS'Tubes\tTube\tNNS\tI-NP\tO' +p158584 +aS',\t,\t,\tO\tO' +p158585 +aS'lines\tline\tNNS\tB-NP\tO' +p158586 +aS',\t,\t,\tO\tO' +p158587 +aS'and\tand\tCC\tO\tO' +p158588 +aS'drains\tdrain\tNNS\tB-NP\tO' +p158589 +aS'.\t.\t.\tO\tO' +p158590 +asS'After a discussion with both Radiology and Neurosurgery , the decision was made that the worsening did not appear significant , and this was not accompanied by a change in his clinical condition .' +p158591 +(lp158592 +S'After\tAfter\tIN\tB-PP\tO' +p158593 +aS'a\ta\tDT\tB-NP\tO' +p158594 +aS'discussion\tdiscussion\tNN\tI-NP\tO' +p158595 +aS'with\twith\tIN\tB-PP\tO' +p158596 +aS'both\tboth\tDT\tB-NP\tO' +p158597 +aS'Radiology\tRadiology\tNNP\tI-NP\tO' +p158598 +aS'and\tand\tCC\tI-NP\tO' +p158599 +aS'Neurosurgery\tNeurosurgery\tNNP\tI-NP\tO' +p158600 +aS',\t,\t,\tO\tO' +p158601 +aS'the\tthe\tDT\tB-NP\tO' +p158602 +aS'decision\tdecision\tNN\tI-NP\tO' +p158603 +aS'was\tbe\tVBD\tB-VP\tO' +p158604 +aS'made\tmake\tVBN\tI-VP\tO' +p158605 +aS'that\tthat\tIN\tB-SBAR\tO' +p158606 +aS'the\tthe\tDT\tB-NP\tO' +p158607 +aS'worsening\tworsening\tNN\tI-NP\tO' +p158608 +aS'did\tdo\tVBD\tB-VP\tO' +p158609 +aS'not\tnot\tRB\tI-VP\tO' +p158610 +aS'appear\tappear\tVB\tI-VP\tO' +p158611 +aS'significant\tsignificant\tJJ\tB-ADJP\tO' +p158612 +aS',\t,\t,\tO\tO' +p158613 +aS'and\tand\tCC\tO\tO' +p158614 +aS'this\tthis\tDT\tB-NP\tO' +p158615 +aS'was\tbe\tVBD\tB-VP\tO' +p158616 +aS'not\tnot\tRB\tI-VP\tO' +p158617 +aS'accompanied\taccompany\tVBN\tI-VP\tO' +p158618 +aS'by\tby\tIN\tB-PP\tO' +p158619 +aS'a\ta\tDT\tB-NP\tO' +p158620 +aS'change\tchange\tNN\tI-NP\tO' +p158621 +aS'in\tin\tIN\tB-PP\tO' +p158622 +aS'his\this\tPRP$\tB-NP\tO' +p158623 +aS'clinical\tclinical\tJJ\tI-NP\tO' +p158624 +aS'condition\tcondition\tNN\tI-NP\tO' +p158625 +aS'.\t.\t.\tO\tO' +p158626 +asS'7. Lisinopril .' +p158627 +(lp158628 +S'7.\t7.\tCD\tB-NP\tO' +p158629 +aS'Lisinopril\tLisinopril\tNNP\tI-NP\tO' +p158630 +aS'.\t.\t.\tO\tO' +p158631 +asS'Heart revealed a regular rate and rhythm .' +p158632 +(lp158633 +S'Heart\tHeart\tNNP\tB-NP\tO' +p158634 +aS'revealed\treveal\tVBD\tB-VP\tO' +p158635 +aS'a\ta\tDT\tB-NP\tO' +p158636 +aS'regular\tregular\tJJ\tI-NP\tO' +p158637 +aS'rate\trate\tNN\tI-NP\tO' +p158638 +aS'and\tand\tCC\tI-NP\tO' +p158639 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p158640 +aS'.\t.\t.\tO\tO' +p158641 +asS'Over the course of his Intensive Care Unit stay , the patient received six units of packed red blood cells for a low hematocrit .' +p158642 +(lp158643 +S'Over\tOver\tIN\tB-PP\tO' +p158644 +aS'the\tthe\tDT\tB-NP\tO' +p158645 +aS'course\tcourse\tNN\tI-NP\tO' +p158646 +aS'of\tof\tIN\tB-PP\tO' +p158647 +aS'his\this\tPRP$\tB-NP\tO' +p158648 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p158649 +aS'Care\tCare\tNNP\tI-NP\tO' +p158650 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p158651 +aS'stay\tstay\tNN\tI-NP\tO' +p158652 +aS',\t,\t,\tO\tO' +p158653 +aS'the\tthe\tDT\tB-NP\tO' +p158654 +aS'patient\tpatient\tNN\tI-NP\tO' +p158655 +aS'received\treceive\tVBD\tB-VP\tO' +p158656 +aS'six\tsix\tCD\tB-NP\tO' +p158657 +aS'units\tunit\tNNS\tI-NP\tO' +p158658 +aS'of\tof\tIN\tB-PP\tO' +p158659 +aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' +p158660 +aS'red\tred\tJJ\tI-NP\tI-cell_type' +p158661 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p158662 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p158663 +aS'for\tfor\tIN\tB-PP\tO' +p158664 +aS'a\ta\tDT\tB-NP\tO' +p158665 +aS'low\tlow\tJJ\tI-NP\tO' +p158666 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p158667 +aS'.\t.\t.\tO\tO' +p158668 +asS'May shower , no baths or swimming' +p158669 +(lp158670 +S'May\tMay\tNNP\tB-NP\tO' +p158671 +aS'shower\tshower\tNN\tI-NP\tO' +p158672 +aS',\t,\t,\tO\tO' +p158673 +aS'no\tno\tDT\tB-NP\tO' +p158674 +aS'baths\tbath\tNNS\tI-NP\tO' +p158675 +aS'or\tor\tCC\tI-NP\tO' +p158676 +aS'swimming\tswimming\tNN\tI-NP\tO' +p158677 +asS'At this point , the left ventricular thrombus ( for which she was initially started therapy for ) was no longer present .' +p158678 +(lp158679 +S'At\tAt\tIN\tB-PP\tO' +p158680 +aS'this\tthis\tDT\tB-NP\tO' +p158681 +aS'point\tpoint\tNN\tI-NP\tO' +p158682 +aS',\t,\t,\tO\tO' +p158683 +aS'the\tthe\tDT\tB-NP\tO' +p158684 +aS'left\tleft\tJJ\tI-NP\tO' +p158685 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p158686 +aS'thrombus\tthrombus\tNN\tI-NP\tO' +p158687 +aS'(\t(\t(\tO\tO' +p158688 +aS'for\tfor\tIN\tB-PP\tO' +p158689 +aS'which\twhich\tWDT\tB-NP\tO' +p158690 +aS'she\tshe\tPRP\tB-NP\tO' +p158691 +aS'was\tbe\tVBD\tB-VP\tO' +p158692 +aS'initially\tinitially\tRB\tI-VP\tO' +p158693 +aS'started\tstart\tVBN\tI-VP\tO' +p158694 +aS'therapy\ttherapy\tNN\tB-NP\tO' +p158695 +aS'for\tfor\tIN\tB-PP\tO' +p158696 +aS')\t)\t)\tO\tO' +p158697 +aS'was\tbe\tVBD\tB-VP\tO' +p158698 +aS'no\tno\tRB\tB-ADVP\tO' +p158699 +aS'longer\tlonger\tRBR\tI-ADVP\tO' +p158700 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p158701 +aS'.\t.\t.\tO\tO' +p158702 +asS'Also , HCT on admission 21 from 25 .' +p158703 +(lp158704 +S'Also\tAlso\tRB\tB-ADVP\tO' +p158705 +aS',\t,\t,\tO\tO' +p158706 +aS'HCT\tHCT\tNN\tB-NP\tO' +p158707 +aS'on\ton\tIN\tB-PP\tO' +p158708 +aS'admission\tadmission\tNN\tB-NP\tO' +p158709 +aS'21\t21\tCD\tI-NP\tO' +p158710 +aS'from\tfrom\tIN\tB-PP\tO' +p158711 +aS'25\t25\tCD\tB-NP\tO' +p158712 +aS'.\t.\t.\tO\tO' +p158713 +asS'Her postoperative course was complicated by serosanguineous pleural effusion on the left .' +p158714 +(lp158715 +S'Her\tHer\tPRP$\tB-NP\tO' +p158716 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p158717 +aS'course\tcourse\tNN\tI-NP\tO' +p158718 +aS'was\tbe\tVBD\tB-VP\tO' +p158719 +aS'complicated\tcomplicate\tVBN\tI-VP\tO' +p158720 +aS'by\tby\tIN\tB-PP\tO' +p158721 +aS'serosanguineous\tserosanguineous\tJJ\tB-NP\tO' +p158722 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p158723 +aS'effusion\teffusion\tNN\tI-NP\tO' +p158724 +aS'on\ton\tIN\tB-PP\tO' +p158725 +aS'the\tthe\tDT\tB-NP\tO' +p158726 +aS'left\tleft\tNN\tI-NP\tO' +p158727 +aS'.\t.\t.\tO\tO' +p158728 +asS'Methadone 10 bid .' +p158729 +(lp158730 +S'Methadone\tMethadone\tNN\tB-NP\tO' +p158731 +aS'10\t10\tCD\tI-NP\tO' +p158732 +aS'bid\tbid\tNN\tI-NP\tO' +p158733 +aS'.\t.\t.\tO\tO' +p158734 +asS'Seen by Dr. Laura of cardiac surgery and underwent redo AVR with aortic root enlargement on 05-11 .' +p158735 +(lp158736 +S'Seen\tSeen\tNNP\tB-NP\tO' +p158737 +aS'by\tby\tIN\tB-PP\tO' +p158738 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p158739 +aS'Laura\tLaura\tNNP\tI-NP\tO' +p158740 +aS'of\tof\tIN\tB-PP\tO' +p158741 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p158742 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p158743 +aS'and\tand\tCC\tO\tO' +p158744 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p158745 +aS'redo\tredo\tNN\tB-NP\tO' +p158746 +aS'AVR\tAVR\tNN\tI-NP\tO' +p158747 +aS'with\twith\tIN\tB-PP\tO' +p158748 +aS'aortic\taortic\tJJ\tB-NP\tO' +p158749 +aS'root\troot\tNN\tI-NP\tO' +p158750 +aS'enlargement\tenlargement\tNN\tI-NP\tO' +p158751 +aS'on\ton\tIN\tB-PP\tO' +p158752 +aS'05-11\t05-11\tNN\tB-NP\tO' +p158753 +aS'.\t.\t.\tO\tO' +p158754 +asS'Also , a long discussion was taken with the patient as most of his chest discomfort happens when he is quite anxious .' +p158755 +(lp158756 +S'Also\tAlso\tRB\tB-ADVP\tO' +p158757 +aS',\t,\t,\tO\tO' +p158758 +aS'a\ta\tDT\tB-NP\tO' +p158759 +aS'long\tlong\tJJ\tI-NP\tO' +p158760 +aS'discussion\tdiscussion\tNN\tI-NP\tO' +p158761 +aS'was\tbe\tVBD\tB-VP\tO' +p158762 +aS'taken\ttake\tVBN\tI-VP\tO' +p158763 +aS'with\twith\tIN\tB-PP\tO' +p158764 +aS'the\tthe\tDT\tB-NP\tO' +p158765 +aS'patient\tpatient\tNN\tI-NP\tO' +p158766 +aS'as\tas\tIN\tB-PP\tO' +p158767 +aS'most\tmost\tJJS\tB-NP\tO' +p158768 +aS'of\tof\tIN\tB-PP\tO' +p158769 +aS'his\this\tPRP$\tB-NP\tO' +p158770 +aS'chest\tchest\tNN\tI-NP\tO' +p158771 +aS'discomfort\tdiscomfort\tNN\tI-NP\tO' +p158772 +aS'happens\thappen\tVBZ\tB-VP\tO' +p158773 +aS'when\twhen\tWRB\tB-ADVP\tO' +p158774 +aS'he\the\tPRP\tB-NP\tO' +p158775 +aS'is\tbe\tVBZ\tB-VP\tO' +p158776 +aS'quite\tquite\tRB\tB-ADJP\tO' +p158777 +aS'anxious\tanxious\tJJ\tI-ADJP\tO' +p158778 +aS'.\t.\t.\tO\tO' +p158779 +asS'Three vessel cord .' +p158780 +(lp158781 +S'Three\tThree\tCD\tB-NP\tO' +p158782 +aS'vessel\tvessel\tNN\tI-NP\tO' +p158783 +aS'cord\tcord\tNN\tI-NP\tO' +p158784 +aS'.\t.\t.\tO\tO' +p158785 +asS'She had PICC line placed on the day prior to discharge for home vancomycin administration .' +p158786 +(lp158787 +S'She\tShe\tPRP\tB-NP\tO' +p158788 +aS'had\thave\tVBD\tB-VP\tO' +p158789 +aS'PICC\tPICC\tNN\tB-NP\tO' +p158790 +aS'line\tline\tNN\tI-NP\tO' +p158791 +aS'placed\tplace\tVBN\tB-VP\tO' +p158792 +aS'on\ton\tIN\tB-PP\tO' +p158793 +aS'the\tthe\tDT\tB-NP\tO' +p158794 +aS'day\tday\tNN\tI-NP\tO' +p158795 +aS'prior\tprior\tRB\tB-ADVP\tO' +p158796 +aS'to\tto\tTO\tB-VP\tO' +p158797 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p158798 +aS'for\tfor\tIN\tB-PP\tO' +p158799 +aS'home\thome\tNN\tB-NP\tO' +p158800 +aS'vancomycin\tvancomycin\tNN\tI-NP\tO' +p158801 +aS'administration\tadministration\tNN\tI-NP\tO' +p158802 +aS'.\t.\t.\tO\tO' +p158803 +asS"1. Hypotension : The patient 'd pm BP meds were held 11-14 and she was administered 1.5L NS over the course of the day with subsequent SBP s in the high 90 s, low 100 s,." +p158804 +(lp158805 +S'1.\t1.\tCD\tB-NP\tO' +p158806 +aS'Hypotension\tHypotension\tNN\tI-NP\tO' +p158807 +aS':\t:\t:\tO\tO' +p158808 +aS'The\tThe\tDT\tB-NP\tO' +p158809 +aS'patient\tpatient\tNN\tI-NP\tO' +p158810 +aS"'d\t'd\tPOS\tB-NP\tO" +p158811 +aS'pm\tpm\tNN\tI-NP\tO' +p158812 +aS'BP\tBP\tNN\tI-NP\tO' +p158813 +aS'meds\tmed\tNNS\tI-NP\tO' +p158814 +aS'were\tbe\tVBD\tB-VP\tO' +p158815 +aS'held\thold\tVBN\tI-VP\tO' +p158816 +aS'11-14\t11-14\tCD\tB-NP\tO' +p158817 +aS'and\tand\tCC\tO\tO' +p158818 +aS'she\tshe\tPRP\tB-NP\tO' +p158819 +aS'was\tbe\tVBD\tB-VP\tO' +p158820 +aS'administered\tadminister\tVBN\tI-VP\tO' +p158821 +aS'1.5L\t1.5L\tNN\tB-NP\tO' +p158822 +aS'NS\tNS\tNN\tI-NP\tO' +p158823 +aS'over\tover\tIN\tB-PP\tO' +p158824 +aS'the\tthe\tDT\tB-NP\tO' +p158825 +aS'course\tcourse\tNN\tI-NP\tO' +p158826 +aS'of\tof\tIN\tB-PP\tO' +p158827 +aS'the\tthe\tDT\tB-NP\tO' +p158828 +aS'day\tday\tNN\tI-NP\tO' +p158829 +aS'with\twith\tIN\tB-PP\tO' +p158830 +aS'subsequent\tsubsequent\tJJ\tB-NP\tO' +p158831 +aS'SBP\tSBP\tNN\tI-NP\tO' +p158832 +aS's\ts\tNNS\tI-NP\tO' +p158833 +aS'in\tin\tIN\tB-PP\tO' +p158834 +aS'the\tthe\tDT\tB-NP\tO' +p158835 +aS'high\thigh\tJJ\tI-NP\tO' +p158836 +aS'90\t90\tCD\tI-NP\tO' +p158837 +aS's,\ts,\tNN\tI-NP\tO' +p158838 +aS'low\tlow\tJJ\tI-NP\tO' +p158839 +aS'100\t100\tCD\tI-NP\tO' +p158840 +aS's,.\ts,.\tNN\tI-NP\tO' +p158841 +asS'She is a single female who lives in Mifayston .' +p158842 +(lp158843 +S'She\tShe\tPRP\tB-NP\tO' +p158844 +aS'is\tbe\tVBZ\tB-VP\tO' +p158845 +aS'a\ta\tDT\tB-NP\tO' +p158846 +aS'single\tsingle\tJJ\tI-NP\tO' +p158847 +aS'female\tfemale\tNN\tI-NP\tO' +p158848 +aS'who\twho\tWP\tB-NP\tO' +p158849 +aS'lives\tlive\tVBZ\tB-VP\tO' +p158850 +aS'in\tin\tIN\tB-PP\tO' +p158851 +aS'Mifayston\tMifayston\tNNP\tB-NP\tO' +p158852 +aS'.\t.\t.\tO\tO' +p158853 +asS'A&Ox3 , no asterixis , strength 4+ / 5 equal throughout , sensation light touch intact , toes upgoing bilaterally , no pronator drift .' +p158854 +(lp158855 +S'A&Ox3\tA&Ox3\tNN\tB-NP\tB-protein' +p158856 +aS',\t,\t,\tO\tO' +p158857 +aS'no\tno\tDT\tB-NP\tO' +p158858 +aS'asterixis\tasterixis\tNN\tI-NP\tO' +p158859 +aS',\t,\t,\tO\tO' +p158860 +aS'strength\tstrength\tNN\tB-NP\tO' +p158861 +aS'4+\t4+\tCD\tI-NP\tO' +p158862 +aS'/\t/\tSYM\tO\tO' +p158863 +aS'5\t5\tCD\tB-NP\tO' +p158864 +aS'equal\tequal\tJJ\tI-NP\tO' +p158865 +aS'throughout\tthroughout\tNN\tI-NP\tO' +p158866 +aS',\t,\t,\tO\tO' +p158867 +aS'sensation\tsensation\tNN\tB-NP\tO' +p158868 +aS'light\tlight\tNN\tI-NP\tO' +p158869 +aS'touch\ttouch\tNN\tI-NP\tO' +p158870 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p158871 +aS',\t,\t,\tO\tO' +p158872 +aS'toes\ttoe\tNNS\tB-NP\tO' +p158873 +aS'upgoing\tupgoe\tVBG\tB-VP\tO' +p158874 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p158875 +aS',\t,\t,\tO\tO' +p158876 +aS'no\tno\tDT\tB-NP\tO' +p158877 +aS'pronator\tpronator\tNN\tI-NP\tO' +p158878 +aS'drift\tdrift\tNN\tI-NP\tO' +p158879 +aS'.\t.\t.\tO\tO' +p158880 +asS'Mr. Williams was admitted to Hallmark Health System on 05-08 and taken to the operating room with Dr. Barber for a CABGx2 and AVR w/ 25 mm pericardial valve .' +p158881 +(lp158882 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p158883 +aS'Williams\tWilliams\tNNP\tI-NP\tO' +p158884 +aS'was\tbe\tVBD\tB-VP\tO' +p158885 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p158886 +aS'to\tto\tTO\tB-PP\tO' +p158887 +aS'Hallmark\tHallmark\tNNP\tB-NP\tO' +p158888 +aS'Health\tHealth\tNNP\tI-NP\tO' +p158889 +aS'System\tSystem\tNNP\tI-NP\tO' +p158890 +aS'on\ton\tIN\tB-PP\tO' +p158891 +aS'05-08\t05-08\tCD\tB-NP\tO' +p158892 +aS'and\tand\tCC\tO\tO' +p158893 +aS'taken\ttake\tVBN\tB-VP\tO' +p158894 +aS'to\tto\tTO\tB-PP\tO' +p158895 +aS'the\tthe\tDT\tB-NP\tO' +p158896 +aS'operating\toperating\tNN\tI-NP\tO' +p158897 +aS'room\troom\tNN\tI-NP\tO' +p158898 +aS'with\twith\tIN\tB-PP\tO' +p158899 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p158900 +aS'Barber\tBarber\tNNP\tI-NP\tO' +p158901 +aS'for\tfor\tIN\tB-PP\tO' +p158902 +aS'a\ta\tDT\tB-NP\tO' +p158903 +aS'CABGx2\tCABGx2\tNN\tI-NP\tB-protein' +p158904 +aS'and\tand\tCC\tI-NP\tO' +p158905 +aS'AVR\tAVR\tNN\tI-NP\tO' +p158906 +aS'w/\tw/\tNN\tI-NP\tO' +p158907 +aS'25\t25\tCD\tI-NP\tO' +p158908 +aS'mm\tmm\tNN\tI-NP\tO' +p158909 +aS'pericardial\tpericardial\tJJ\tI-NP\tO' +p158910 +aS'valve\tvalve\tNN\tI-NP\tO' +p158911 +aS'.\t.\t.\tO\tO' +p158912 +asS'The patient has chronic renal insufficiency with baseline creatinine 1.8-2 .' +p158913 +(lp158914 +S'The\tThe\tDT\tB-NP\tO' +p158915 +aS'patient\tpatient\tNN\tI-NP\tO' +p158916 +aS'has\thave\tVBZ\tB-VP\tO' +p158917 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p158918 +aS'renal\trenal\tJJ\tI-NP\tO' +p158919 +aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' +p158920 +aS'with\twith\tIN\tB-PP\tO' +p158921 +aS'baseline\tbaseline\tNN\tB-NP\tO' +p158922 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p158923 +aS'1.8-2\t1.8-2\tCD\tI-NP\tO' +p158924 +aS'.\t.\t.\tO\tO' +p158925 +asS'The patient was transferred on the evening of 2012-05-22 to the ICU given persistent carbon dioxide retention and respiratory acidosis and the intermittent mental status changes .' +p158926 +(lp158927 +S'The\tThe\tDT\tB-NP\tO' +p158928 +aS'patient\tpatient\tNN\tI-NP\tO' +p158929 +aS'was\tbe\tVBD\tB-VP\tO' +p158930 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p158931 +aS'on\ton\tIN\tB-PP\tO' +p158932 +aS'the\tthe\tDT\tB-NP\tO' +p158933 +aS'evening\tevening\tNN\tI-NP\tO' +p158934 +aS'of\tof\tIN\tB-PP\tO' +p158935 +aS'2012-05-22\t2012-05-22\tCD\tB-NP\tO' +p158936 +aS'to\tto\tTO\tB-PP\tO' +p158937 +aS'the\tthe\tDT\tB-NP\tO' +p158938 +aS'ICU\tICU\tNN\tI-NP\tB-DNA' +p158939 +aS'given\tgive\tVBN\tB-VP\tO' +p158940 +aS'persistent\tpersistent\tJJ\tB-NP\tO' +p158941 +aS'carbon\tcarbon\tNN\tI-NP\tO' +p158942 +aS'dioxide\tdioxide\tNN\tI-NP\tO' +p158943 +aS'retention\tretention\tNN\tI-NP\tO' +p158944 +aS'and\tand\tCC\tO\tO' +p158945 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p158946 +aS'acidosis\tacidosis\tNN\tI-NP\tO' +p158947 +aS'and\tand\tCC\tO\tO' +p158948 +aS'the\tthe\tDT\tB-NP\tO' +p158949 +aS'intermittent\tintermittent\tJJ\tI-NP\tO' +p158950 +aS'mental\tmental\tJJ\tI-NP\tO' +p158951 +aS'status\tstatus\tNN\tI-NP\tO' +p158952 +aS'changes\tchange\tNNS\tI-NP\tO' +p158953 +aS'.\t.\t.\tO\tO' +p158954 +asS'Blood pressure was 155/60 , heart rate 70 with occasional premature ventricular contractions , respirations 14 .' +p158955 +(lp158956 +S'Blood\tBlood\tNN\tB-NP\tO' +p158957 +aS'pressure\tpressure\tNN\tI-NP\tO' +p158958 +aS'was\tbe\tVBD\tB-VP\tO' +p158959 +aS'155/60\t155/60\tCD\tB-NP\tO' +p158960 +aS',\t,\t,\tO\tO' +p158961 +aS'heart\theart\tNN\tB-NP\tO' +p158962 +aS'rate\trate\tNN\tI-NP\tO' +p158963 +aS'70\t70\tCD\tI-NP\tO' +p158964 +aS'with\twith\tIN\tB-PP\tO' +p158965 +aS'occasional\toccasional\tJJ\tB-NP\tO' +p158966 +aS'premature\tpremature\tJJ\tI-NP\tO' +p158967 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p158968 +aS'contractions\tcontraction\tNNS\tI-NP\tO' +p158969 +aS',\t,\t,\tO\tO' +p158970 +aS'respirations\trespiration\tNNS\tB-NP\tO' +p158971 +aS'14\t14\tCD\tB-NP\tO' +p158972 +aS'.\t.\t.\tO\tO' +p158973 +asS'1. Status post CABG times four .' +p158974 +(lp158975 +S'1.\t1.\tLS\tB-NP\tO' +p158976 +aS'Status\tStatus\tNNP\tI-NP\tO' +p158977 +aS'post\tpost\tNN\tI-NP\tO' +p158978 +aS'CABG\tCABG\tNN\tI-NP\tO' +p158979 +aS'times\ttime\tNNS\tI-NP\tO' +p158980 +aS'four\tfour\tCD\tB-NP\tO' +p158981 +aS'.\t.\t.\tO\tO' +p158982 +asS'She was therefore given ceftriaxone 1 g IV x1 and azithromycin 500 mg PO x1 in the Deanna .' +p158983 +(lp158984 +S'She\tShe\tPRP\tB-NP\tO' +p158985 +aS'was\tbe\tVBD\tB-VP\tO' +p158986 +aS'therefore\ttherefore\tRB\tI-VP\tO' +p158987 +aS'given\tgive\tVBN\tI-VP\tO' +p158988 +aS'ceftriaxone\tceftriaxone\tNN\tB-NP\tO' +p158989 +aS'1\t1\tCD\tI-NP\tO' +p158990 +aS'g\tg\tNN\tI-NP\tO' +p158991 +aS'IV\tIV\tCD\tB-NP\tO' +p158992 +aS'x1\tx1\tNN\tI-NP\tO' +p158993 +aS'and\tand\tCC\tO\tO' +p158994 +aS'azithromycin\tazithromycin\tNN\tB-NP\tB-protein' +p158995 +aS'500\t500\tCD\tI-NP\tI-protein' +p158996 +aS'mg\tmg\tNN\tI-NP\tI-protein' +p158997 +aS'PO\tPO\tNN\tI-NP\tI-protein' +p158998 +aS'x1\tx1\tNN\tI-NP\tI-protein' +p158999 +aS'in\tin\tIN\tB-PP\tO' +p159000 +aS'the\tthe\tDT\tB-NP\tO' +p159001 +aS'Deanna\tDeanna\tNNP\tI-NP\tO' +p159002 +aS'.\t.\t.\tO\tO' +p159003 +asS'Decreased bulk throughout ; tone normal bilaterally .' +p159004 +(lp159005 +S'Decreased\tDecrease\tVBN\tB-NP\tO' +p159006 +aS'bulk\tbulk\tNN\tI-NP\tO' +p159007 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p159008 +aS';\t;\t:\tO\tO' +p159009 +aS'tone\ttone\tNN\tB-NP\tO' +p159010 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p159011 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p159012 +aS'.\t.\t.\tO\tO' +p159013 +asS'Effusion ? Pntx ?' +p159014 +(lp159015 +S'Effusion\tEffusion\tNN\tB-NP\tO' +p159016 +aS'?\t?\t.\tO\tO' +p159017 +aS'Pntx\tPntx\tNNP\tB-NP\tO' +p159018 +aS'?\t?\t.\tO\tO' +p159019 +asS'Vitamin D and parathyroid tests were pending at the time of discharge .' +p159020 +(lp159021 +S'Vitamin\tVitamin\tNN\tB-NP\tO' +p159022 +aS'D\tD\tNN\tI-NP\tO' +p159023 +aS'and\tand\tCC\tO\tO' +p159024 +aS'parathyroid\tparathyroid\tJJ\tB-NP\tO' +p159025 +aS'tests\ttest\tNNS\tI-NP\tO' +p159026 +aS'were\tbe\tVBD\tB-VP\tO' +p159027 +aS'pending\tpende\tVBG\tI-VP\tO' +p159028 +aS'at\tat\tIN\tB-PP\tO' +p159029 +aS'the\tthe\tDT\tB-NP\tO' +p159030 +aS'time\ttime\tNN\tI-NP\tO' +p159031 +aS'of\tof\tIN\tB-PP\tO' +p159032 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p159033 +aS'.\t.\t.\tO\tO' +p159034 +asS'There was decreased hearing bilaterally .' +p159035 +(lp159036 +S'There\tThere\tEX\tB-NP\tO' +p159037 +aS'was\tbe\tVBD\tB-VP\tO' +p159038 +aS'decreased\tdecrease\tVBN\tI-VP\tO' +p159039 +aS'hearing\thear\tVBG\tB-VP\tO' +p159040 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p159041 +aS'.\t.\t.\tO\tO' +p159042 +asS'Call our office for sternal drainage , temp > 101.5' +p159043 +(lp159044 +S'Call\tCall\tVB\tB-VP\tO' +p159045 +aS'our\tour\tPRP$\tB-NP\tO' +p159046 +aS'office\toffice\tNN\tI-NP\tO' +p159047 +aS'for\tfor\tIN\tB-PP\tO' +p159048 +aS'sternal\tsternal\tJJ\tB-NP\tO' +p159049 +aS'drainage\tdrainage\tNN\tI-NP\tO' +p159050 +aS',\t,\t,\tO\tO' +p159051 +aS'temp\ttemp\tNN\tB-NP\tO' +p159052 +aS'>\t>\tSYM\tO\tO' +p159053 +aS'101.5\t101.5\tCD\tB-NP\tO' +p159054 +asS'Signed electronically by : DR. Katherin Toth on : MON 2013-10-14 3:05 PM' +p159055 +(lp159056 +S'Signed\tSign\tVBN\tB-VP\tO' +p159057 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p159058 +aS'by\tby\tIN\tB-PP\tO' +p159059 +aS':\t:\t:\tO\tO' +p159060 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p159061 +aS'Katherin\tKatherin\tNNP\tI-NP\tO' +p159062 +aS'Toth\tToth\tNNP\tI-NP\tO' +p159063 +aS'on\ton\tIN\tB-PP\tO' +p159064 +aS':\t:\t:\tO\tO' +p159065 +aS'MON\tMON\tNN\tB-NP\tO' +p159066 +aS'2013-10-14\t2013-10-14\tCD\tI-NP\tO' +p159067 +aS'3:05\t3:05\tCD\tI-NP\tO' +p159068 +aS'PM\tPM\tNN\tI-NP\tO' +p159069 +asS'3. Methylphenidate 10 mg Tablet Sig : Two ( 2 ) Tablet PO DAILY ( Daily ) .' +p159070 +(lp159071 +S'3.\t3.\tLS\tB-LST\tO' +p159072 +aS'Methylphenidate\tMethylphenidate\tNN\tB-NP\tO' +p159073 +aS'10\t10\tCD\tI-NP\tO' +p159074 +aS'mg\tmg\tNN\tI-NP\tO' +p159075 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p159076 +aS'Sig\tSig\tNNP\tI-NP\tO' +p159077 +aS':\t:\t:\tO\tO' +p159078 +aS'Two\tTwo\tCD\tB-NP\tO' +p159079 +aS'(\t(\t(\tO\tO' +p159080 +aS'2\t2\tCD\tO\tO' +p159081 +aS')\t)\t)\tO\tO' +p159082 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p159083 +aS'PO\tPO\tNN\tI-NP\tO' +p159084 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p159085 +aS'(\t(\t(\tO\tO' +p159086 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p159087 +aS')\t)\t)\tO\tO' +p159088 +aS'.\t.\t.\tO\tO' +p159089 +asS'She received 2 units of plts and 1 unit of PRBC s.' +p159090 +(lp159091 +S'She\tShe\tPRP\tB-NP\tO' +p159092 +aS'received\treceive\tVBD\tB-VP\tO' +p159093 +aS'2\t2\tCD\tB-NP\tO' +p159094 +aS'units\tunit\tNNS\tI-NP\tO' +p159095 +aS'of\tof\tIN\tB-PP\tO' +p159096 +aS'plts\tplt\tNNS\tB-NP\tO' +p159097 +aS'and\tand\tCC\tO\tO' +p159098 +aS'1\t1\tCD\tB-NP\tO' +p159099 +aS'unit\tunit\tNN\tI-NP\tO' +p159100 +aS'of\tof\tIN\tB-PP\tO' +p159101 +aS'PRBC\tPRBC\tNN\tB-NP\tB-protein' +p159102 +aS's.\ts.\tNN\tI-NP\tI-protein' +p159103 +asS'Per Dr. John C. Corrigan Mental Health Center , at baseline , patient not interactive .' +p159104 +(lp159105 +S'Per\tPer\tNNP\tB-NP\tO' +p159106 +aS'Dr.\tDr.\tNNP\tI-NP\tO' +p159107 +aS'John\tJohn\tNNP\tI-NP\tO' +p159108 +aS'C.\tC.\tNNP\tI-NP\tO' +p159109 +aS'Corrigan\tCorrigan\tNNP\tI-NP\tO' +p159110 +aS'Mental\tMental\tNNP\tI-NP\tO' +p159111 +aS'Health\tHealth\tNNP\tI-NP\tO' +p159112 +aS'Center\tCenter\tNNP\tI-NP\tO' +p159113 +aS',\t,\t,\tO\tO' +p159114 +aS'at\tat\tIN\tB-PP\tO' +p159115 +aS'baseline\tbaseline\tNN\tB-NP\tO' +p159116 +aS',\t,\t,\tO\tO' +p159117 +aS'patient\tpatient\tNN\tB-NP\tO' +p159118 +aS'not\tnot\tRB\tB-ADJP\tO' +p159119 +aS'interactive\tinteractive\tJJ\tI-ADJP\tO' +p159120 +aS'.\t.\t.\tO\tO' +p159121 +asS'As per CMED CCU , pt requires emergent repair of intertrochanteric fracture to preserve neurovascular function .' +p159122 +(lp159123 +S'As\tAs\tIN\tB-PP\tO' +p159124 +aS'per\tper\tIN\tB-PP\tO' +p159125 +aS'CMED\tCMED\tNN\tB-NP\tO' +p159126 +aS'CCU\tCCU\tNN\tI-NP\tO' +p159127 +aS',\t,\t,\tO\tO' +p159128 +aS'pt\tpt\tNN\tB-NP\tO' +p159129 +aS'requires\trequire\tVBZ\tB-VP\tO' +p159130 +aS'emergent\temergent\tJJ\tB-NP\tO' +p159131 +aS'repair\trepair\tNN\tI-NP\tO' +p159132 +aS'of\tof\tIN\tB-PP\tO' +p159133 +aS'intertrochanteric\tintertrochanteric\tJJ\tB-NP\tO' +p159134 +aS'fracture\tfracture\tNN\tI-NP\tO' +p159135 +aS'to\tto\tTO\tB-VP\tO' +p159136 +aS'preserve\tpreserve\tVB\tI-VP\tO' +p159137 +aS'neurovascular\tneurovascular\tJJ\tB-NP\tO' +p159138 +aS'function\tfunction\tNN\tI-NP\tO' +p159139 +aS'.\t.\t.\tO\tO' +p159140 +asS'No Mumur / regurgiation / gallop' +p159141 +(lp159142 +S'No\tNo\tDT\tB-NP\tO' +p159143 +aS'Mumur\tMumur\tNN\tI-NP\tO' +p159144 +aS'/\t/\tSYM\tB-NP\tO' +p159145 +aS'regurgiation\tregurgiation\tNN\tI-NP\tO' +p159146 +aS'/\t/\tSYM\tO\tO' +p159147 +aS'gallop\tgallop\tNN\tB-NP\tO' +p159148 +asS'His neck was rigid ; 1+ carotids without bruits .' +p159149 +(lp159150 +S'His\tHis\tPRP$\tB-NP\tO' +p159151 +aS'neck\tneck\tNN\tI-NP\tO' +p159152 +aS'was\tbe\tVBD\tB-VP\tO' +p159153 +aS'rigid\trigid\tJJ\tB-ADJP\tO' +p159154 +aS';\t;\t:\tO\tO' +p159155 +aS'1+\t1+\tJJ\tB-NP\tO' +p159156 +aS'carotids\tcarotid\tNNS\tI-NP\tO' +p159157 +aS'without\twithout\tIN\tB-PP\tO' +p159158 +aS'bruits\tbruit\tNNS\tB-NP\tO' +p159159 +aS'.\t.\t.\tO\tO' +p159160 +asS'Per OMR , the patient is currently not in contact with her family .' +p159161 +(lp159162 +S'Per\tPer\tNNP\tB-NP\tO' +p159163 +aS'OMR\tOMR\tNNP\tI-NP\tO' +p159164 +aS',\t,\t,\tO\tO' +p159165 +aS'the\tthe\tDT\tB-NP\tO' +p159166 +aS'patient\tpatient\tNN\tI-NP\tO' +p159167 +aS'is\tbe\tVBZ\tB-VP\tO' +p159168 +aS'currently\tcurrently\tRB\tB-ADVP\tO' +p159169 +aS'not\tnot\tRB\tO\tO' +p159170 +aS'in\tin\tIN\tB-PP\tO' +p159171 +aS'contact\tcontact\tNN\tB-NP\tO' +p159172 +aS'with\twith\tIN\tB-PP\tO' +p159173 +aS'her\ther\tPRP$\tB-NP\tB-protein' +p159174 +aS'family\tfamily\tNN\tI-NP\tI-protein' +p159175 +aS'.\t.\t.\tO\tO' +p159176 +asS"This is an 82 - year-old male with a history of prior tobacco use , hypertension , chronic renal insufficiency , COPD , gastritis , and TIA who initially presented to Braintree with a non-ST elevation MI and Guaiac positive stools , transferred to St. Margaret's Center for Women & Infants for cardiac catheterization with PTCA to mid LAD lesion complicated by hypotension and bradycardia requiring Atropine , IV fluids and transient dopamine possibly secondary to vagal reaction , subsequently transferred to CCU for close monitoring , hemodynamically stable at the time of admission to the CCU ." +p159177 +(lp159178 +S'This\tThis\tDT\tB-NP\tO' +p159179 +aS'is\tbe\tVBZ\tB-VP\tO' +p159180 +aS'an\tan\tDT\tB-NP\tO' +p159181 +aS'82\t82\tCD\tI-NP\tO' +p159182 +aS'-\t-\tHYPH\tI-NP\tO' +p159183 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p159184 +aS'male\tmale\tNN\tI-NP\tO' +p159185 +aS'with\twith\tIN\tB-PP\tO' +p159186 +aS'a\ta\tDT\tB-NP\tO' +p159187 +aS'history\thistory\tNN\tI-NP\tO' +p159188 +aS'of\tof\tIN\tB-PP\tO' +p159189 +aS'prior\tprior\tJJ\tB-NP\tO' +p159190 +aS'tobacco\ttobacco\tNN\tI-NP\tO' +p159191 +aS'use\tuse\tNN\tI-NP\tO' +p159192 +aS',\t,\t,\tO\tO' +p159193 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p159194 +aS',\t,\t,\tO\tO' +p159195 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p159196 +aS'renal\trenal\tJJ\tI-NP\tO' +p159197 +aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' +p159198 +aS',\t,\t,\tO\tO' +p159199 +aS'COPD\tCOPD\tNN\tB-NP\tO' +p159200 +aS',\t,\t,\tO\tO' +p159201 +aS'gastritis\tgastritis\tNN\tB-NP\tO' +p159202 +aS',\t,\t,\tO\tO' +p159203 +aS'and\tand\tCC\tO\tO' +p159204 +aS'TIA\tTIA\tNN\tB-NP\tB-protein' +p159205 +aS'who\twho\tWP\tB-NP\tO' +p159206 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p159207 +aS'presented\tpresent\tVBD\tB-VP\tO' +p159208 +aS'to\tto\tTO\tB-PP\tO' +p159209 +aS'Braintree\tBraintree\tNNP\tB-NP\tO' +p159210 +aS'with\twith\tIN\tB-PP\tO' +p159211 +aS'a\ta\tDT\tB-NP\tO' +p159212 +aS'non-ST\tnon-ST\tJJ\tI-NP\tO' +p159213 +aS'elevation\televation\tNN\tI-NP\tO' +p159214 +aS'MI\tMI\tNN\tI-NP\tO' +p159215 +aS'and\tand\tCC\tO\tO' +p159216 +aS'Guaiac\tGuaiac\tJJ\tB-NP\tO' +p159217 +aS'positive\tpositive\tJJ\tI-NP\tO' +p159218 +aS'stools\tstool\tNNS\tI-NP\tO' +p159219 +aS',\t,\t,\tO\tO' +p159220 +aS'transferred\ttransfer\tVBN\tB-VP\tO' +p159221 +aS'to\tto\tTO\tB-PP\tO' +p159222 +aS'St.\tSt.\tNNP\tB-NP\tO' +p159223 +aS"Margaret's\tMargaret's\tNNP\tI-NP\tO" +p159224 +aS'Center\tCenter\tNNP\tI-NP\tO' +p159225 +aS'for\tfor\tIN\tB-PP\tO' +p159226 +aS'Women\tWomen\tNNP\tB-NP\tO' +p159227 +aS'&\t&\tCC\tI-NP\tO' +p159228 +aS'Infants\tInfant\tNNPS\tI-NP\tO' +p159229 +aS'for\tfor\tIN\tB-PP\tO' +p159230 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p159231 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p159232 +aS'with\twith\tIN\tB-PP\tO' +p159233 +aS'PTCA\tPTCA\tNN\tB-NP\tB-protein' +p159234 +aS'to\tto\tTO\tB-PP\tO' +p159235 +aS'mid\tmid\tJJ\tB-NP\tO' +p159236 +aS'LAD\tLAD\tNN\tI-NP\tO' +p159237 +aS'lesion\tlesion\tNN\tI-NP\tO' +p159238 +aS'complicated\tcomplicate\tVBN\tB-VP\tO' +p159239 +aS'by\tby\tIN\tB-PP\tO' +p159240 +aS'hypotension\thypotension\tNN\tB-NP\tO' +p159241 +aS'and\tand\tCC\tI-NP\tO' +p159242 +aS'bradycardia\tbradycardia\tNN\tI-NP\tO' +p159243 +aS'requiring\trequire\tVBG\tI-NP\tO' +p159244 +aS'Atropine\tAtropine\tNN\tI-NP\tO' +p159245 +aS',\t,\t,\tO\tO' +p159246 +aS'IV\tIV\tCD\tB-NP\tO' +p159247 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p159248 +aS'and\tand\tCC\tO\tO' +p159249 +aS'transient\ttransient\tJJ\tB-NP\tO' +p159250 +aS'dopamine\tdopamine\tNN\tI-NP\tO' +p159251 +aS'possibly\tpossibly\tRB\tB-ADJP\tO' +p159252 +aS'secondary\tsecondary\tJJ\tI-ADJP\tO' +p159253 +aS'to\tto\tTO\tB-PP\tO' +p159254 +aS'vagal\tvagal\tJJ\tB-NP\tO' +p159255 +aS'reaction\treaction\tNN\tI-NP\tO' +p159256 +aS',\t,\t,\tO\tO' +p159257 +aS'subsequently\tsubsequently\tRB\tB-VP\tO' +p159258 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p159259 +aS'to\tto\tTO\tB-PP\tO' +p159260 +aS'CCU\tCCU\tNN\tB-NP\tB-protein' +p159261 +aS'for\tfor\tIN\tB-PP\tO' +p159262 +aS'close\tclose\tJJ\tB-NP\tO' +p159263 +aS'monitoring\tmonitoring\tNN\tI-NP\tO' +p159264 +aS',\t,\t,\tO\tO' +p159265 +aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' +p159266 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p159267 +aS'at\tat\tIN\tB-PP\tO' +p159268 +aS'the\tthe\tDT\tB-NP\tO' +p159269 +aS'time\ttime\tNN\tI-NP\tO' +p159270 +aS'of\tof\tIN\tB-PP\tO' +p159271 +aS'admission\tadmission\tNN\tB-NP\tO' +p159272 +aS'to\tto\tTO\tB-PP\tO' +p159273 +aS'the\tthe\tDT\tB-NP\tO' +p159274 +aS'CCU\tCCU\tNN\tI-NP\tB-DNA' +p159275 +aS'.\t.\t.\tO\tO' +p159276 +asS'Changes of small vessel disease and chronic lacunes bilaterally in basal ganglia .' +p159277 +(lp159278 +S'Changes\tChange\tNNS\tB-NP\tO' +p159279 +aS'of\tof\tIN\tB-PP\tO' +p159280 +aS'small\tsmall\tJJ\tB-NP\tO' +p159281 +aS'vessel\tvessel\tNN\tI-NP\tO' +p159282 +aS'disease\tdisease\tNN\tI-NP\tO' +p159283 +aS'and\tand\tCC\tO\tO' +p159284 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p159285 +aS'lacunes\tlacune\tNNS\tI-NP\tO' +p159286 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p159287 +aS'in\tin\tIN\tB-PP\tO' +p159288 +aS'basal\tbasal\tJJ\tB-NP\tB-cell_type' +p159289 +aS'ganglia\tganglia\tNNS\tI-NP\tI-cell_type' +p159290 +aS'.\t.\t.\tO\tO' +p159291 +asS'For the left chest wound , they recommended cleansing with commercial wound cleanser , pat dry , pack aquacel AG rope and moisten with saline , cover with dry gauze and change daily .' +p159292 +(lp159293 +S'For\tFor\tIN\tB-PP\tO' +p159294 +aS'the\tthe\tDT\tB-NP\tO' +p159295 +aS'left\tleft\tJJ\tI-NP\tO' +p159296 +aS'chest\tchest\tNN\tI-NP\tO' +p159297 +aS'wound\twound\tNN\tI-NP\tO' +p159298 +aS',\t,\t,\tO\tO' +p159299 +aS'they\tthey\tPRP\tB-NP\tO' +p159300 +aS'recommended\trecommend\tVBD\tB-VP\tO' +p159301 +aS'cleansing\tcleanse\tVBG\tI-VP\tO' +p159302 +aS'with\twith\tIN\tB-PP\tO' +p159303 +aS'commercial\tcommercial\tJJ\tB-NP\tO' +p159304 +aS'wound\twound\tNN\tI-NP\tO' +p159305 +aS'cleanser\tcleanser\tNN\tI-NP\tO' +p159306 +aS',\t,\t,\tO\tO' +p159307 +aS'pat\tpat\tNN\tB-NP\tO' +p159308 +aS'dry\tdry\tJJ\tB-ADJP\tO' +p159309 +aS',\t,\t,\tO\tO' +p159310 +aS'pack\tpack\tNN\tB-NP\tO' +p159311 +aS'aquacel\taquacel\tNN\tI-NP\tO' +p159312 +aS'AG\tAG\tNN\tI-NP\tO' +p159313 +aS'rope\trope\tNN\tI-NP\tO' +p159314 +aS'and\tand\tCC\tO\tO' +p159315 +aS'moisten\tmoisten\tVB\tB-VP\tO' +p159316 +aS'with\twith\tIN\tB-PP\tO' +p159317 +aS'saline\tsaline\tNN\tB-NP\tO' +p159318 +aS',\t,\t,\tO\tO' +p159319 +aS'cover\tcover\tVBP\tB-VP\tO' +p159320 +aS'with\twith\tIN\tB-PP\tO' +p159321 +aS'dry\tdry\tJJ\tB-NP\tO' +p159322 +aS'gauze\tgauze\tNN\tI-NP\tO' +p159323 +aS'and\tand\tCC\tI-NP\tO' +p159324 +aS'change\tchange\tNN\tI-NP\tO' +p159325 +aS'daily\tdaily\tRB\tB-ADVP\tO' +p159326 +aS'.\t.\t.\tO\tO' +p159327 +asS'The patient lives on the first floor of her home with her daughter living upstairs .' +p159328 +(lp159329 +S'The\tThe\tDT\tB-NP\tO' +p159330 +aS'patient\tpatient\tNN\tI-NP\tO' +p159331 +aS'lives\tlive\tVBZ\tB-VP\tO' +p159332 +aS'on\ton\tIN\tB-PP\tO' +p159333 +aS'the\tthe\tDT\tB-NP\tO' +p159334 +aS'first\tfirst\tJJ\tI-NP\tO' +p159335 +aS'floor\tfloor\tNN\tI-NP\tO' +p159336 +aS'of\tof\tIN\tB-PP\tO' +p159337 +aS'her\ther\tPRP$\tB-NP\tO' +p159338 +aS'home\thome\tNN\tI-NP\tO' +p159339 +aS'with\twith\tIN\tB-PP\tO' +p159340 +aS'her\ther\tPRP$\tB-NP\tO' +p159341 +aS'daughter\tdaughter\tNN\tI-NP\tO' +p159342 +aS'living\tlive\tVBG\tI-NP\tO' +p159343 +aS'upstairs\tupstairs\tNN\tI-NP\tO' +p159344 +aS'.\t.\t.\tO\tO' +p159345 +asS'Mult family meetings given poor prognosis .' +p159346 +(lp159347 +S'Mult\tMult\tNN\tB-NP\tO' +p159348 +aS'family\tfamily\tNN\tI-NP\tO' +p159349 +aS'meetings\tmeeting\tNNS\tI-NP\tO' +p159350 +aS'given\tgive\tVBN\tB-VP\tO' +p159351 +aS'poor\tpoor\tJJ\tB-NP\tO' +p159352 +aS'prognosis\tprognosis\tNN\tI-NP\tO' +p159353 +aS'.\t.\t.\tO\tO' +p159354 +asS'1) No intracranial hemorrhage or mass effect ; no significant interval change from CT of 2015-07-20 .' +p159355 +(lp159356 +S'1)\t1)\tLS\tB-LST\tO' +p159357 +aS'No\tNo\tDT\tB-NP\tO' +p159358 +aS'intracranial\tintracranial\tJJ\tI-NP\tO' +p159359 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p159360 +aS'or\tor\tCC\tI-NP\tO' +p159361 +aS'mass\tmass\tNN\tI-NP\tO' +p159362 +aS'effect\teffect\tNN\tI-NP\tO' +p159363 +aS';\t;\t:\tO\tO' +p159364 +aS'no\tno\tDT\tB-NP\tO' +p159365 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p159366 +aS'interval\tinterval\tNN\tI-NP\tO' +p159367 +aS'change\tchange\tNN\tI-NP\tO' +p159368 +aS'from\tfrom\tIN\tB-PP\tO' +p159369 +aS'CT\tCT\tNN\tB-NP\tO' +p159370 +aS'of\tof\tIN\tB-PP\tO' +p159371 +aS'2015-07-20\t2015-07-20\tCD\tB-NP\tO' +p159372 +aS'.\t.\t.\tO\tO' +p159373 +asS'Whidden Memorial Hospital for the Aged - LTC' +p159374 +(lp159375 +S'Whidden\tWhidden\tNNP\tB-NP\tO' +p159376 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p159377 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p159378 +aS'for\tfor\tIN\tB-PP\tO' +p159379 +aS'the\tthe\tDT\tB-NP\tO' +p159380 +aS'Aged\tAge\tVBN\tI-NP\tO' +p159381 +aS'-\t-\tHYPH\tI-NP\tO' +p159382 +aS'LTC\tLTC\tNN\tI-NP\tB-protein' +p159383 +asS'As above , made CMO after meeting with NF team and family and reconfirmed with primary medical team on 04-02 .' +p159384 +(lp159385 +S'As\tAs\tIN\tB-PP\tO' +p159386 +aS'above\tabove\tRB\tB-ADVP\tO' +p159387 +aS',\t,\t,\tO\tO' +p159388 +aS'made\tmake\tVBD\tB-VP\tO' +p159389 +aS'CMO\tCMO\tNN\tB-NP\tB-protein' +p159390 +aS'after\tafter\tIN\tB-PP\tO' +p159391 +aS'meeting\tmeeting\tNN\tB-NP\tO' +p159392 +aS'with\twith\tIN\tB-PP\tO' +p159393 +aS'NF\tNF\tNN\tB-NP\tB-protein' +p159394 +aS'team\tteam\tNN\tI-NP\tI-protein' +p159395 +aS'and\tand\tCC\tI-NP\tO' +p159396 +aS'family\tfamily\tNN\tI-NP\tO' +p159397 +aS'and\tand\tCC\tO\tO' +p159398 +aS'reconfirmed\treconfirm\tVBN\tB-VP\tO' +p159399 +aS'with\twith\tIN\tB-PP\tO' +p159400 +aS'primary\tprimary\tJJ\tB-NP\tO' +p159401 +aS'medical\tmedical\tJJ\tI-NP\tO' +p159402 +aS'team\tteam\tNN\tI-NP\tO' +p159403 +aS'on\ton\tIN\tB-PP\tO' +p159404 +aS'04-02\t04-02\tCD\tB-NP\tO' +p159405 +aS'.\t.\t.\tO\tO' +p159406 +asS'She is a widow for 20 years and retired 18 years from Palmci' +p159407 +(lp159408 +S'She\tShe\tPRP\tB-NP\tO' +p159409 +aS'is\tbe\tVBZ\tB-VP\tO' +p159410 +aS'a\ta\tDT\tB-NP\tO' +p159411 +aS'widow\twidow\tNN\tI-NP\tO' +p159412 +aS'for\tfor\tIN\tB-PP\tO' +p159413 +aS'20\t20\tCD\tB-NP\tO' +p159414 +aS'years\tyear\tNNS\tI-NP\tO' +p159415 +aS'and\tand\tCC\tO\tO' +p159416 +aS'retired\tretire\tVBD\tB-VP\tO' +p159417 +aS'18\t18\tCD\tB-NP\tO' +p159418 +aS'years\tyear\tNNS\tI-NP\tO' +p159419 +aS'from\tfrom\tIN\tB-PP\tO' +p159420 +aS'Palmci\tPalmci\tNNP\tB-NP\tO' +p159421 +asS'Please follow up with Dr. Mallard in one week , call 421-3721 for an appointment .' +p159422 +(lp159423 +S'Please\tPlease\tVB\tB-VP\tO' +p159424 +aS'follow\tfollow\tVB\tI-VP\tO' +p159425 +aS'up\tup\tRP\tB-PRT\tO' +p159426 +aS'with\twith\tIN\tB-PP\tO' +p159427 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p159428 +aS'Mallard\tMallard\tNNP\tI-NP\tO' +p159429 +aS'in\tin\tIN\tB-PP\tO' +p159430 +aS'one\tone\tCD\tB-NP\tO' +p159431 +aS'week\tweek\tNN\tI-NP\tO' +p159432 +aS',\t,\t,\tO\tO' +p159433 +aS'call\tcall\tNN\tB-NP\tO' +p159434 +aS'421-3721\t421-3721\tCD\tI-NP\tO' +p159435 +aS'for\tfor\tIN\tB-PP\tO' +p159436 +aS'an\tan\tDT\tB-NP\tO' +p159437 +aS'appointment\tappointment\tNN\tI-NP\tO' +p159438 +aS'.\t.\t.\tO\tO' +p159439 +asS'2. Sertraline HCl 50 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' +p159440 +(lp159441 +S'2.\t2.\tLS\tB-NP\tO' +p159442 +aS'Sertraline\tSertraline\tNN\tI-NP\tO' +p159443 +aS'HCl\tHCl\tNN\tI-NP\tO' +p159444 +aS'50\t50\tCD\tI-NP\tO' +p159445 +aS'mg\tmg\tNN\tI-NP\tO' +p159446 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p159447 +aS'Sig\tSig\tNNP\tI-NP\tO' +p159448 +aS':\t:\t:\tO\tO' +p159449 +aS'One\tOne\tCD\tB-NP\tO' +p159450 +aS'(\t(\t(\tO\tO' +p159451 +aS'1\t1\tCD\tB-NP\tO' +p159452 +aS')\t)\t)\tO\tO' +p159453 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p159454 +aS'PO\tPO\tNN\tI-NP\tO' +p159455 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p159456 +aS'(\t(\t(\tO\tO' +p159457 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p159458 +aS')\t)\t)\tO\tO' +p159459 +aS'.\t.\t.\tO\tO' +p159460 +asS'* Leukocytosis- She developed mild elevated WBC .' +p159461 +(lp159462 +S'*\t*\tSYM\tB-NP\tO' +p159463 +aS'Leukocytosis-\tLeukocytosis-\t:\tO\tO' +p159464 +aS'She\tShe\tPRP\tB-NP\tO' +p159465 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p159466 +aS'mild\tmild\tJJ\tB-NP\tO' +p159467 +aS'elevated\televate\tVBN\tI-NP\tO' +p159468 +aS'WBC\tWBC\tNNP\tI-NP\tO' +p159469 +aS'.\t.\t.\tO\tO' +p159470 +asS'LIVES IN A NURSING HOME , HAS A BROTHER WHO IS THE HEALTH CARE PROXY .' +p159471 +(lp159472 +S'LIVES\tLIVES\tNNS\tB-NP\tO' +p159473 +aS'IN\tIN\tIN\tB-PP\tO' +p159474 +aS'A\tA\tNNP\tB-NP\tO' +p159475 +aS'NURSING\tNURSING\tNNP\tI-NP\tO' +p159476 +aS'HOME\tHOME\tNNP\tI-NP\tO' +p159477 +aS',\t,\t,\tO\tO' +p159478 +aS'HAS\tHAS\tVBZ\tB-VP\tO' +p159479 +aS'A\tA\tNN\tB-NP\tO' +p159480 +aS'BROTHER\tBROTHER\tNN\tI-NP\tO' +p159481 +aS'WHO\tWHO\tWP\tB-NP\tO' +p159482 +aS'IS\tIS\tVBZ\tB-VP\tO' +p159483 +aS'THE\tTHE\tDT\tB-NP\tO' +p159484 +aS'HEALTH\tHEALTH\tNN\tI-NP\tO' +p159485 +aS'CARE\tCARE\tNN\tI-NP\tO' +p159486 +aS'PROXY\tPROXY\tNN\tI-NP\tO' +p159487 +aS'.\t.\t.\tO\tO' +p159488 +asS'This with no electrocardiogram changes .' +p159489 +(lp159490 +S'This\tThis\tDT\tB-NP\tO' +p159491 +aS'with\twith\tIN\tB-PP\tO' +p159492 +aS'no\tno\tDT\tB-NP\tO' +p159493 +aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' +p159494 +aS'changes\tchange\tNNS\tI-NP\tO' +p159495 +aS'.\t.\t.\tO\tO' +p159496 +asS'Please f / u with PCP D 2 weeks .' +p159497 +(lp159498 +S'Please\tPlease\tNN\tB-NP\tO' +p159499 +aS'f\tf\tNN\tI-NP\tO' +p159500 +aS'/\t/\tSYM\tB-NP\tO' +p159501 +aS'u\tu\tNN\tI-NP\tO' +p159502 +aS'with\twith\tIN\tB-PP\tO' +p159503 +aS'PCP\tPCP\tNN\tB-NP\tB-protein' +p159504 +aS'D\tD\tNN\tI-NP\tI-protein' +p159505 +aS'2\t2\tCD\tB-NP\tI-protein' +p159506 +aS'weeks\tweek\tNNS\tI-NP\tI-protein' +p159507 +aS'.\t.\t.\tO\tO' +p159508 +asS'She has never smoked and does not drink .' +p159509 +(lp159510 +S'She\tShe\tPRP\tB-NP\tO' +p159511 +aS'has\thave\tVBZ\tB-VP\tO' +p159512 +aS'never\tnever\tRB\tI-VP\tO' +p159513 +aS'smoked\tsmoke\tVBN\tI-VP\tO' +p159514 +aS'and\tand\tCC\tO\tO' +p159515 +aS'does\tdo\tVBZ\tB-VP\tO' +p159516 +aS'not\tnot\tRB\tI-VP\tO' +p159517 +aS'drink\tdrink\tVB\tI-VP\tO' +p159518 +aS'.\t.\t.\tO\tO' +p159519 +asS'He had repeated episodes of hypotension to 80-90 systolic/40-50 diastolic .' +p159520 +(lp159521 +S'He\tHe\tPRP\tB-NP\tO' +p159522 +aS'had\thave\tVBD\tB-VP\tO' +p159523 +aS'repeated\trepeat\tVBN\tI-VP\tO' +p159524 +aS'episodes\tepisode\tNNS\tB-NP\tO' +p159525 +aS'of\tof\tIN\tB-PP\tO' +p159526 +aS'hypotension\thypotension\tNN\tB-NP\tO' +p159527 +aS'to\tto\tTO\tB-PP\tO' +p159528 +aS'80-90\t80-90\tCD\tB-NP\tO' +p159529 +aS'systolic/40-50\tsystolic/40-50\tNN\tI-NP\tO' +p159530 +aS'diastolic\tdiastolic\tJJ\tB-ADJP\tO' +p159531 +aS'.\t.\t.\tO\tO' +p159532 +asS'Dr. Demmert at Wareham Taunton State Hospital Clinic Thursday 2015-08-27 10:30am and follow-up as scheduled by the VA in their coumadin clinic .' +p159533 +(lp159534 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p159535 +aS'Demmert\tDemmert\tNNP\tI-NP\tO' +p159536 +aS'at\tat\tIN\tB-PP\tO' +p159537 +aS'Wareham\tWareham\tNNP\tB-NP\tO' +p159538 +aS'Taunton\tTaunton\tNNP\tI-NP\tO' +p159539 +aS'State\tState\tNNP\tI-NP\tO' +p159540 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p159541 +aS'Clinic\tClinic\tNNP\tI-NP\tO' +p159542 +aS'Thursday\tThursday\tNNP\tB-NP\tO' +p159543 +aS'2015-08-27\t2015-08-27\tCD\tB-NP\tO' +p159544 +aS'10:30am\t10:30am\tCD\tI-NP\tO' +p159545 +aS'and\tand\tCC\tO\tO' +p159546 +aS'follow-up\tfollow-up\tJJ\tB-ADJP\tO' +p159547 +aS'as\tas\tIN\tB-SBAR\tO' +p159548 +aS'scheduled\tschedule\tVBN\tB-VP\tO' +p159549 +aS'by\tby\tIN\tB-PP\tO' +p159550 +aS'the\tthe\tDT\tB-NP\tO' +p159551 +aS'VA\tVA\tNN\tI-NP\tB-protein' +p159552 +aS'in\tin\tIN\tB-PP\tO' +p159553 +aS'their\ttheir\tPRP$\tB-NP\tO' +p159554 +aS'coumadin\tcoumadin\tNN\tI-NP\tO' +p159555 +aS'clinic\tclinic\tNN\tI-NP\tO' +p159556 +aS'.\t.\t.\tO\tO' +p159557 +asS'HEENT examination demonstrated that the pupils were equal , round and reactive to light .' +p159558 +(lp159559 +S'HEENT\tHEENT\tNN\tB-NP\tO' +p159560 +aS'examination\texamination\tNN\tI-NP\tO' +p159561 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p159562 +aS'that\tthat\tIN\tB-SBAR\tO' +p159563 +aS'the\tthe\tDT\tB-NP\tO' +p159564 +aS'pupils\tpupil\tNNS\tI-NP\tO' +p159565 +aS'were\tbe\tVBD\tB-VP\tO' +p159566 +aS'equal\tequal\tJJ\tB-NP\tO' +p159567 +aS',\t,\t,\tI-NP\tO' +p159568 +aS'round\tround\tJJ\tI-NP\tO' +p159569 +aS'and\tand\tCC\tI-NP\tO' +p159570 +aS'reactive\treactive\tJJ\tI-NP\tO' +p159571 +aS'to\tto\tTO\tB-PP\tO' +p159572 +aS'light\tlight\tNN\tB-NP\tO' +p159573 +aS'.\t.\t.\tO\tO' +p159574 +asS'A Foley catheter was placed at that time with the recovery of approximately 800 cc of urine .' +p159575 +(lp159576 +S'A\tA\tDT\tB-NP\tO' +p159577 +aS'Foley\tFoley\tNNP\tI-NP\tO' +p159578 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p159579 +aS'was\tbe\tVBD\tB-VP\tO' +p159580 +aS'placed\tplace\tVBN\tI-VP\tO' +p159581 +aS'at\tat\tIN\tB-PP\tO' +p159582 +aS'that\tthat\tDT\tB-NP\tO' +p159583 +aS'time\ttime\tNN\tI-NP\tO' +p159584 +aS'with\twith\tIN\tB-PP\tO' +p159585 +aS'the\tthe\tDT\tB-NP\tO' +p159586 +aS'recovery\trecovery\tNN\tI-NP\tO' +p159587 +aS'of\tof\tIN\tB-PP\tO' +p159588 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p159589 +aS'800\t800\tCD\tI-NP\tO' +p159590 +aS'cc\tcc\tNN\tI-NP\tO' +p159591 +aS'of\tof\tIN\tB-PP\tO' +p159592 +aS'urine\turine\tNN\tB-NP\tO' +p159593 +aS'.\t.\t.\tO\tO' +p159594 +asS'10-Anemia .' +p159595 +(lp159596 +S'10-Anemia\t10-Anemia\tNN\tB-NP\tO' +p159597 +aS'.\t.\t.\tO\tO' +p159598 +asS'Patient febrile in the Amanda .' +p159599 +(lp159600 +S'Patient\tPatient\tNN\tB-NP\tO' +p159601 +aS'febrile\tfebrile\tNN\tI-NP\tO' +p159602 +aS'in\tin\tIN\tB-PP\tO' +p159603 +aS'the\tthe\tDT\tB-NP\tO' +p159604 +aS'Amanda\tAmanda\tNNP\tI-NP\tO' +p159605 +aS'.\t.\t.\tO\tO' +p159606 +asS'She had no complaints of nausea or vomiting and was tolerating PO's well .' +p159607 +(lp159608 +S'She\tShe\tPRP\tB-NP\tO' +p159609 +aS'had\thave\tVBD\tB-VP\tO' +p159610 +aS'no\tno\tDT\tB-NP\tO' +p159611 +aS'complaints\tcomplaint\tNNS\tI-NP\tO' +p159612 +aS'of\tof\tIN\tB-PP\tO' +p159613 +aS'nausea\tnausea\tNN\tB-NP\tO' +p159614 +aS'or\tor\tCC\tI-NP\tO' +p159615 +aS'vomiting\tvomiting\tNN\tI-NP\tO' +p159616 +aS'and\tand\tCC\tO\tO' +p159617 +aS'was\tbe\tVBD\tB-VP\tO' +p159618 +aS'tolerating\ttolerate\tVBG\tI-VP\tO' +p159619 +aS'PO's\tPO'\tNNS\tB-NP\tO' +p159620 +aS'well\twell\tRB\tB-ADVP\tO' +p159621 +aS'.\t.\t.\tO\tO' +p159622 +asS'He was given ativan a total of 4 mg of ativan , 6 mg of dilaudid , labetolol 20 mg IV x 1 and hydralazine 10 mg IV x 1 without good response ( 200/99 ).' +p159623 +(lp159624 +S'He\tHe\tPRP\tB-NP\tO' +p159625 +aS'was\tbe\tVBD\tB-VP\tO' +p159626 +aS'given\tgive\tVBN\tI-VP\tO' +p159627 +aS'ativan\tativan\tIN\tB-PP\tO' +p159628 +aS'a\ta\tDT\tB-NP\tO' +p159629 +aS'total\ttotal\tNN\tI-NP\tO' +p159630 +aS'of\tof\tIN\tB-PP\tO' +p159631 +aS'4\t4\tCD\tB-NP\tO' +p159632 +aS'mg\tmg\tNN\tI-NP\tO' +p159633 +aS'of\tof\tIN\tB-PP\tO' +p159634 +aS'ativan\tativan\tNN\tB-NP\tO' +p159635 +aS',\t,\t,\tO\tO' +p159636 +aS'6\t6\tCD\tB-NP\tO' +p159637 +aS'mg\tmg\tNN\tI-NP\tO' +p159638 +aS'of\tof\tIN\tB-PP\tO' +p159639 +aS'dilaudid\tdilaudid\tNN\tB-NP\tO' +p159640 +aS',\t,\t,\tO\tO' +p159641 +aS'labetolol\tlabetolol\tNN\tB-NP\tB-protein' +p159642 +aS'20\t20\tCD\tI-NP\tI-protein' +p159643 +aS'mg\tmg\tNN\tI-NP\tI-protein' +p159644 +aS'IV\tIV\tCD\tB-NP\tI-protein' +p159645 +aS'x\tx\tNN\tI-NP\tI-protein' +p159646 +aS'1\t1\tCD\tB-NP\tI-protein' +p159647 +aS'and\tand\tCC\tI-NP\tO' +p159648 +aS'hydralazine\thydralazine\tNN\tI-NP\tB-protein' +p159649 +aS'10\t10\tCD\tI-NP\tI-protein' +p159650 +aS'mg\tmg\tNN\tI-NP\tI-protein' +p159651 +aS'IV\tIV\tCD\tB-NP\tI-protein' +p159652 +aS'x\tx\tNN\tI-NP\tI-protein' +p159653 +aS'1\t1\tCD\tI-NP\tI-protein' +p159654 +aS'without\twithout\tIN\tB-PP\tO' +p159655 +aS'good\tgood\tJJ\tB-NP\tO' +p159656 +aS'response\tresponse\tNN\tI-NP\tO' +p159657 +aS'(\t(\t(\tO\tO' +p159658 +aS'200/99\t200/99\tCD\tB-NP\tO' +p159659 +aS').\t).\t)\tO\tO' +p159660 +asS'We checked fingerstick glucoses q.i.d. and at 3:00 a.m.' +p159661 +(lp159662 +S'We\tWe\tPRP\tB-NP\tO' +p159663 +aS'checked\tcheck\tVBD\tB-VP\tO' +p159664 +aS'fingerstick\tfingerstick\tNN\tB-NP\tO' +p159665 +aS'glucoses\tglucose\tNNS\tI-NP\tO' +p159666 +aS'q.i.d.\tq.i.d.\tNN\tI-NP\tO' +p159667 +aS'and\tand\tCC\tO\tO' +p159668 +aS'at\tat\tIN\tB-PP\tO' +p159669 +aS'3:00\t3:00\tCD\tB-NP\tO' +p159670 +aS'a.m.\ta.m.\tNN\tI-NP\tO' +p159671 +asS'Dr Miller in 1 week ( 262-575-0600 ) please call for appointment' +p159672 +(lp159673 +S'Dr\tDr\tNNP\tB-NP\tO' +p159674 +aS'Miller\tMiller\tNNP\tI-NP\tO' +p159675 +aS'in\tin\tIN\tB-PP\tO' +p159676 +aS'1\t1\tCD\tB-NP\tO' +p159677 +aS'week\tweek\tNN\tI-NP\tO' +p159678 +aS'(\t(\t(\tO\tO' +p159679 +aS'262-575-0600\t262-575-0600\tCD\tB-NP\tO' +p159680 +aS')\t)\t)\tO\tO' +p159681 +aS'please\tplease\tNN\tB-NP\tO' +p159682 +aS'call\tcall\tVBP\tB-VP\tO' +p159683 +aS'for\tfor\tIN\tB-PP\tO' +p159684 +aS'appointment\tappointment\tNN\tB-NP\tO' +p159685 +asS'No ethanol use , remote pipe smoking use which he discontinued 20 years ago , no illicit drug use .' +p159686 +(lp159687 +S'No\tNo\tDT\tB-NP\tO' +p159688 +aS'ethanol\tethanol\tNN\tI-NP\tO' +p159689 +aS'use\tuse\tNN\tI-NP\tO' +p159690 +aS',\t,\t,\tO\tO' +p159691 +aS'remote\tremote\tJJ\tB-NP\tO' +p159692 +aS'pipe\tpipe\tNN\tI-NP\tO' +p159693 +aS'smoking\tsmoking\tNN\tI-NP\tO' +p159694 +aS'use\tuse\tNN\tI-NP\tO' +p159695 +aS'which\twhich\tWDT\tB-NP\tO' +p159696 +aS'he\the\tPRP\tB-NP\tO' +p159697 +aS'discontinued\tdiscontinue\tVBD\tB-VP\tO' +p159698 +aS'20\t20\tCD\tB-NP\tO' +p159699 +aS'years\tyear\tNNS\tI-NP\tO' +p159700 +aS'ago\tago\tRB\tB-ADVP\tO' +p159701 +aS',\t,\t,\tO\tO' +p159702 +aS'no\tno\tDT\tB-NP\tO' +p159703 +aS'illicit\tillicit\tJJ\tI-NP\tO' +p159704 +aS'drug\tdrug\tNN\tI-NP\tO' +p159705 +aS'use\tuse\tNN\tI-NP\tO' +p159706 +aS'.\t.\t.\tO\tO' +p159707 +asS'The patient was initially admitted with platelet count of 28 , hematocrit of 32 , LDH of 496 with 2+ schistocytes and 2+ spherocytes on her smear .' +p159708 +(lp159709 +S'The\tThe\tDT\tB-NP\tO' +p159710 +aS'patient\tpatient\tNN\tI-NP\tO' +p159711 +aS'was\tbe\tVBD\tB-VP\tO' +p159712 +aS'initially\tinitially\tRB\tI-VP\tO' +p159713 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p159714 +aS'with\twith\tIN\tB-PP\tO' +p159715 +aS'platelet\tplatelet\tNN\tB-NP\tO' +p159716 +aS'count\tcount\tNN\tI-NP\tO' +p159717 +aS'of\tof\tIN\tB-PP\tO' +p159718 +aS'28\t28\tCD\tB-NP\tO' +p159719 +aS',\t,\t,\tO\tO' +p159720 +aS'hematocrit\thematocrit\tNN\tB-NP\tO' +p159721 +aS'of\tof\tIN\tB-PP\tO' +p159722 +aS'32\t32\tCD\tB-NP\tO' +p159723 +aS',\t,\t,\tO\tO' +p159724 +aS'LDH\tLDH\tNN\tB-NP\tO' +p159725 +aS'of\tof\tIN\tB-PP\tO' +p159726 +aS'496\t496\tCD\tB-NP\tO' +p159727 +aS'with\twith\tIN\tB-PP\tO' +p159728 +aS'2+\t2+\tJJ\tB-NP\tB-cell_type' +p159729 +aS'schistocytes\tschistocyte\tNNS\tI-NP\tI-cell_type' +p159730 +aS'and\tand\tCC\tO\tO' +p159731 +aS'2+\t2+\tJJ\tB-NP\tB-cell_type' +p159732 +aS'spherocytes\tspherocyte\tNNS\tI-NP\tI-cell_type' +p159733 +aS'on\ton\tIN\tB-PP\tO' +p159734 +aS'her\ther\tPRP$\tB-NP\tO' +p159735 +aS'smear\tsmear\tNN\tI-NP\tO' +p159736 +aS'.\t.\t.\tO\tO' +p159737 +asS'5. HEMATOLOGY : The patient was discharged on Coumadin for apical akinesis and stroke risk .' +p159738 +(lp159739 +S'5.\t5.\tCD\tB-NP\tO' +p159740 +aS'HEMATOLOGY\tHEMATOLOGY\tNN\tI-NP\tO' +p159741 +aS':\t:\t:\tO\tO' +p159742 +aS'The\tThe\tDT\tB-NP\tO' +p159743 +aS'patient\tpatient\tNN\tI-NP\tO' +p159744 +aS'was\tbe\tVBD\tB-VP\tO' +p159745 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p159746 +aS'on\ton\tIN\tB-PP\tO' +p159747 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p159748 +aS'for\tfor\tIN\tB-PP\tO' +p159749 +aS'apical\tapical\tJJ\tB-NP\tO' +p159750 +aS'akinesis\takinesis\tNN\tI-NP\tO' +p159751 +aS'and\tand\tCC\tI-NP\tO' +p159752 +aS'stroke\tstroke\tNN\tI-NP\tO' +p159753 +aS'risk\trisk\tNN\tI-NP\tO' +p159754 +aS'.\t.\t.\tO\tO' +p159755 +asS'She will need a repeat echo in 3-6 months ( since this echo showed a question of focal wall motion abnormality ).' +p159756 +(lp159757 +S'She\tShe\tPRP\tB-NP\tO' +p159758 +aS'will\twill\tMD\tB-VP\tO' +p159759 +aS'need\tneed\tVB\tI-VP\tO' +p159760 +aS'a\ta\tDT\tB-NP\tO' +p159761 +aS'repeat\trepeat\tNN\tI-NP\tO' +p159762 +aS'echo\techo\tNN\tI-NP\tO' +p159763 +aS'in\tin\tIN\tB-PP\tO' +p159764 +aS'3-6\t3-6\tCD\tB-NP\tO' +p159765 +aS'months\tmonth\tNNS\tI-NP\tO' +p159766 +aS'(\t(\t(\tO\tO' +p159767 +aS'since\tsince\tIN\tB-SBAR\tO' +p159768 +aS'this\tthis\tDT\tB-NP\tO' +p159769 +aS'echo\techo\tNN\tI-NP\tO' +p159770 +aS'showed\tshow\tVBD\tB-VP\tO' +p159771 +aS'a\ta\tDT\tB-NP\tO' +p159772 +aS'question\tquestion\tNN\tI-NP\tO' +p159773 +aS'of\tof\tIN\tB-PP\tO' +p159774 +aS'focal\tfocal\tJJ\tB-NP\tO' +p159775 +aS'wall\twall\tNN\tI-NP\tO' +p159776 +aS'motion\tmotion\tNN\tI-NP\tO' +p159777 +aS'abnormality\tabnormality\tNN\tI-NP\tO' +p159778 +aS').\t).\t.\tO\tO' +p159779 +asS'Signed electronically by : DR. William Spencer on : WED 2009-05-06 12:20 PM' +p159780 +(lp159781 +S'Signed\tSign\tVBN\tB-VP\tO' +p159782 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p159783 +aS'by\tby\tIN\tB-PP\tO' +p159784 +aS':\t:\t:\tO\tO' +p159785 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p159786 +aS'William\tWilliam\tNNP\tI-NP\tO' +p159787 +aS'Spencer\tSpencer\tNNP\tI-NP\tO' +p159788 +aS'on\ton\tIN\tB-PP\tO' +p159789 +aS':\t:\t:\tO\tO' +p159790 +aS'WED\tWED\tVBD\tB-VP\tO' +p159791 +aS'2009-05-06\t2009-05-06\tCD\tB-NP\tO' +p159792 +aS'12:20\t12:20\tCD\tI-NP\tO' +p159793 +aS'PM\tPM\tNN\tI-NP\tO' +p159794 +asS'An inferior vena cava filter was placed ; lower extremity noninvasive studies were negative .' +p159795 +(lp159796 +S'An\tAn\tDT\tB-NP\tO' +p159797 +aS'inferior\tinferior\tJJ\tI-NP\tO' +p159798 +aS'vena\tvena\tNN\tI-NP\tO' +p159799 +aS'cava\tcava\tNN\tI-NP\tO' +p159800 +aS'filter\tfilter\tNN\tI-NP\tO' +p159801 +aS'was\tbe\tVBD\tB-VP\tO' +p159802 +aS'placed\tplace\tVBN\tI-VP\tO' +p159803 +aS';\t;\t:\tO\tO' +p159804 +aS'lower\tlow\tJJR\tB-NP\tO' +p159805 +aS'extremity\textremity\tNN\tI-NP\tO' +p159806 +aS'noninvasive\tnoninvasive\tJJ\tI-NP\tO' +p159807 +aS'studies\tstudy\tNNS\tI-NP\tO' +p159808 +aS'were\tbe\tVBD\tB-VP\tO' +p159809 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p159810 +aS'.\t.\t.\tO\tO' +p159811 +asS'Chest x-ray was relatively unrevealing for interstitial or alveolar edema and with clinical improvement ensued with the immediate therapy in the Emergency Room as noted .' +p159812 +(lp159813 +S'Chest\tCh\tJJS\tB-NP\tO' +p159814 +aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' +p159815 +aS'was\tbe\tVBD\tB-VP\tO' +p159816 +aS'relatively\trelatively\tRB\tB-ADJP\tO' +p159817 +aS'unrevealing\tunrevealing\tJJ\tI-ADJP\tO' +p159818 +aS'for\tfor\tIN\tB-PP\tO' +p159819 +aS'interstitial\tinterstitial\tJJ\tB-NP\tO' +p159820 +aS'or\tor\tCC\tI-NP\tO' +p159821 +aS'alveolar\talveolar\tJJ\tI-NP\tO' +p159822 +aS'edema\tedema\tNN\tI-NP\tO' +p159823 +aS'and\tand\tCC\tB-PP\tO' +p159824 +aS'with\twith\tIN\tB-PP\tO' +p159825 +aS'clinical\tclinical\tJJ\tB-NP\tO' +p159826 +aS'improvement\timprovement\tNN\tI-NP\tO' +p159827 +aS'ensued\tensue\tVBD\tB-VP\tO' +p159828 +aS'with\twith\tIN\tB-PP\tO' +p159829 +aS'the\tthe\tDT\tB-NP\tO' +p159830 +aS'immediate\timmediate\tJJ\tI-NP\tO' +p159831 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p159832 +aS'in\tin\tIN\tB-PP\tO' +p159833 +aS'the\tthe\tDT\tB-NP\tO' +p159834 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p159835 +aS'Room\tRoom\tNNP\tI-NP\tO' +p159836 +aS'as\tas\tIN\tB-SBAR\tO' +p159837 +aS'noted\tnote\tVBN\tB-VP\tO' +p159838 +aS'.\t.\t.\tO\tO' +p159839 +asS'The exam is remarkable for a mild leftsided face , arm and leg weakness and sensory deficit that should further improve with physical therapy and occupational therapy help .' +p159840 +(lp159841 +S'The\tThe\tDT\tB-NP\tO' +p159842 +aS'exam\texam\tNN\tI-NP\tO' +p159843 +aS'is\tbe\tVBZ\tB-VP\tO' +p159844 +aS'remarkable\tremarkable\tJJ\tB-ADJP\tO' +p159845 +aS'for\tfor\tIN\tB-PP\tO' +p159846 +aS'a\ta\tDT\tB-NP\tO' +p159847 +aS'mild\tmild\tJJ\tI-NP\tO' +p159848 +aS'leftsided\tleftsided\tJJ\tI-NP\tO' +p159849 +aS'face\tface\tNN\tI-NP\tO' +p159850 +aS',\t,\t,\tO\tO' +p159851 +aS'arm\tarm\tNN\tB-NP\tO' +p159852 +aS'and\tand\tCC\tO\tO' +p159853 +aS'leg\tleg\tNN\tB-NP\tO' +p159854 +aS'weakness\tweakness\tNN\tI-NP\tO' +p159855 +aS'and\tand\tCC\tO\tO' +p159856 +aS'sensory\tsensory\tJJ\tB-NP\tO' +p159857 +aS'deficit\tdeficit\tNN\tI-NP\tO' +p159858 +aS'that\tthat\tWDT\tB-NP\tO' +p159859 +aS'should\tshould\tMD\tB-VP\tO' +p159860 +aS'further\tfurther\tRB\tI-VP\tO' +p159861 +aS'improve\timprove\tVB\tI-VP\tO' +p159862 +aS'with\twith\tIN\tB-PP\tO' +p159863 +aS'physical\tphysical\tJJ\tB-NP\tO' +p159864 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p159865 +aS'and\tand\tCC\tO\tO' +p159866 +aS'occupational\toccupational\tJJ\tB-NP\tO' +p159867 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p159868 +aS'help\thelp\tNN\tI-NP\tO' +p159869 +aS'.\t.\t.\tO\tO' +p159870 +asS"He became hypotensive in the emergency room with a systolic blood pressure in the 80 's and had decreased respiratory rate ." +p159871 +(lp159872 +S'He\tHe\tPRP\tB-NP\tO' +p159873 +aS'became\tbecome\tVBD\tB-VP\tO' +p159874 +aS'hypotensive\thypotensive\tJJ\tB-ADJP\tO' +p159875 +aS'in\tin\tIN\tB-PP\tO' +p159876 +aS'the\tthe\tDT\tB-NP\tO' +p159877 +aS'emergency\temergency\tNN\tI-NP\tO' +p159878 +aS'room\troom\tNN\tI-NP\tO' +p159879 +aS'with\twith\tIN\tB-PP\tO' +p159880 +aS'a\ta\tDT\tB-NP\tO' +p159881 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p159882 +aS'blood\tblood\tNN\tI-NP\tO' +p159883 +aS'pressure\tpressure\tNN\tI-NP\tO' +p159884 +aS'in\tin\tIN\tB-PP\tO' +p159885 +aS'the\tthe\tDT\tB-NP\tO' +p159886 +aS'80\t80\tCD\tI-NP\tO' +p159887 +aS"'s\t's\tPOS\tB-NP\tO" +p159888 +aS'and\tand\tCC\tO\tO' +p159889 +aS'had\thave\tVBD\tB-VP\tO' +p159890 +aS'decreased\tdecrease\tVBN\tI-VP\tO' +p159891 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p159892 +aS'rate\trate\tNN\tI-NP\tO' +p159893 +aS'.\t.\t.\tO\tO' +p159894 +asS'2. Significant segmental stenosis ( approx. 5-6 cm long ) in the mid right superficial femoral artery .' +p159895 +(lp159896 +S'2.\t2.\tLS\tB-NP\tO' +p159897 +aS'Significant\tSignificant\tJJ\tI-NP\tO' +p159898 +aS'segmental\tsegmental\tJJ\tI-NP\tO' +p159899 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p159900 +aS'(\t(\t(\tO\tO' +p159901 +aS'approx.\tapprox.\tRB\tB-NP\tO' +p159902 +aS'5-6\t5-6\tCD\tI-NP\tO' +p159903 +aS'cm\tcm\tNN\tI-NP\tO' +p159904 +aS'long\tlong\tRB\tB-ADVP\tO' +p159905 +aS')\t)\t)\tO\tO' +p159906 +aS'in\tin\tIN\tB-PP\tO' +p159907 +aS'the\tthe\tDT\tB-NP\tO' +p159908 +aS'mid\tmid\tJJ\tI-NP\tO' +p159909 +aS'right\tright\tJJ\tI-NP\tO' +p159910 +aS'superficial\tsuperficial\tJJ\tI-NP\tO' +p159911 +aS'femoral\tfemoral\tJJ\tI-NP\tO' +p159912 +aS'artery\tartery\tNN\tI-NP\tO' +p159913 +aS'.\t.\t.\tO\tO' +p159914 +asS'Postoperatively , he has done well .' +p159915 +(lp159916 +S'Postoperatively\tPostoperatively\tRB\tB-ADVP\tO' +p159917 +aS',\t,\t,\tO\tO' +p159918 +aS'he\the\tPRP\tB-NP\tO' +p159919 +aS'has\thave\tVBZ\tB-VP\tO' +p159920 +aS'done\tdo\tVBN\tI-VP\tO' +p159921 +aS'well\twell\tRB\tB-ADVP\tO' +p159922 +aS'.\t.\t.\tO\tO' +p159923 +asS'He arrived at the Fairm of Ijordcompmac Hospital at 02:30 with a blood pressure of 86 and a heart rate of 170 .' +p159924 +(lp159925 +S'He\tHe\tPRP\tB-NP\tO' +p159926 +aS'arrived\tarrive\tVBD\tB-VP\tO' +p159927 +aS'at\tat\tIN\tB-PP\tO' +p159928 +aS'the\tthe\tDT\tB-NP\tO' +p159929 +aS'Fairm\tFairm\tNNP\tI-NP\tO' +p159930 +aS'of\tof\tIN\tB-PP\tO' +p159931 +aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' +p159932 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p159933 +aS'at\tat\tIN\tB-PP\tO' +p159934 +aS'02:30\t02:30\tCD\tB-NP\tO' +p159935 +aS'with\twith\tIN\tB-PP\tO' +p159936 +aS'a\ta\tDT\tB-NP\tO' +p159937 +aS'blood\tblood\tNN\tI-NP\tO' +p159938 +aS'pressure\tpressure\tNN\tI-NP\tO' +p159939 +aS'of\tof\tIN\tB-PP\tO' +p159940 +aS'86\t86\tCD\tB-NP\tO' +p159941 +aS'and\tand\tCC\tO\tO' +p159942 +aS'a\ta\tDT\tB-NP\tO' +p159943 +aS'heart\theart\tNN\tI-NP\tO' +p159944 +aS'rate\trate\tNN\tI-NP\tO' +p159945 +aS'of\tof\tIN\tB-PP\tO' +p159946 +aS'170\t170\tCD\tB-NP\tO' +p159947 +aS'.\t.\t.\tO\tO' +p159948 +asS'2. Coumadin 7.5 mg p.o. q.d. for an INR goal of 2.0 to 3.0 and adjust the dose accordingly .' +p159949 +(lp159950 +S'2.\t2.\tLS\tB-LST\tO' +p159951 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p159952 +aS'7.5\t7.5\tCD\tI-NP\tO' +p159953 +aS'mg\tmg\tNN\tI-NP\tO' +p159954 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p159955 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p159956 +aS'for\tfor\tIN\tB-PP\tO' +p159957 +aS'an\tan\tDT\tB-NP\tO' +p159958 +aS'INR\tINR\tNN\tI-NP\tO' +p159959 +aS'goal\tgoal\tNN\tI-NP\tO' +p159960 +aS'of\tof\tIN\tB-PP\tO' +p159961 +aS'2.0\t2.0\tCD\tB-NP\tO' +p159962 +aS'to\tto\tTO\tB-PP\tO' +p159963 +aS'3.0\t3.0\tCD\tB-NP\tO' +p159964 +aS'and\tand\tCC\tO\tO' +p159965 +aS'adjust\tadjust\tVB\tB-VP\tO' +p159966 +aS'the\tthe\tDT\tB-NP\tO' +p159967 +aS'dose\tdose\tNN\tI-NP\tO' +p159968 +aS'accordingly\taccordingly\tRB\tB-ADVP\tO' +p159969 +aS'.\t.\t.\tO\tO' +p159970 +asS'Admitted to Bay State Medical Center Hospital in 2012-10-22 in congestive heart failure at that time .' +p159971 +(lp159972 +S'Admitted\tAdmit\tVBN\tB-VP\tO' +p159973 +aS'to\tto\tTO\tB-PP\tO' +p159974 +aS'Bay\tBay\tNNP\tB-NP\tO' +p159975 +aS'State\tState\tNNP\tI-NP\tO' +p159976 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p159977 +aS'Center\tCenter\tNNP\tI-NP\tO' +p159978 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p159979 +aS'in\tin\tIN\tB-PP\tO' +p159980 +aS'2012-10-22\t2012-10-22\tCD\tB-NP\tO' +p159981 +aS'in\tin\tIN\tB-PP\tO' +p159982 +aS'congestive\tcongestive\tJJ\tB-NP\tO' +p159983 +aS'heart\theart\tNN\tI-NP\tO' +p159984 +aS'failure\tfailure\tNN\tI-NP\tO' +p159985 +aS'at\tat\tIN\tB-PP\tO' +p159986 +aS'that\tthat\tDT\tB-NP\tO' +p159987 +aS'time\ttime\tNN\tI-NP\tO' +p159988 +aS'.\t.\t.\tO\tO' +p159989 +asS'He denies LOC .' +p159990 +(lp159991 +S'He\tHe\tPRP\tB-NP\tO' +p159992 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p159993 +aS'LOC\tLOC\tNN\tB-NP\tB-protein' +p159994 +aS'.\t.\t.\tO\tO' +p159995 +asS'Calcium 9.1 .' +p159996 +(lp159997 +S'Calcium\tCalcium\tNN\tB-NP\tO' +p159998 +aS'9.1\t9.1\tCD\tI-NP\tO' +p159999 +aS'.\t.\t.\tO\tO' +p160000 +asS'This injury had been reduced and casted at the outside institution .' +p160001 +(lp160002 +S'This\tThis\tDT\tB-NP\tO' +p160003 +aS'injury\tinjury\tNN\tI-NP\tO' +p160004 +aS'had\thave\tVBD\tB-VP\tO' +p160005 +aS'been\tbe\tVBN\tI-VP\tO' +p160006 +aS'reduced\treduce\tVBN\tI-VP\tO' +p160007 +aS'and\tand\tCC\tI-VP\tO' +p160008 +aS'casted\tcast\tVBN\tI-VP\tO' +p160009 +aS'at\tat\tIN\tB-PP\tO' +p160010 +aS'the\tthe\tDT\tB-NP\tO' +p160011 +aS'outside\toutside\tJJ\tI-NP\tO' +p160012 +aS'institution\tinstitution\tNN\tI-NP\tO' +p160013 +aS'.\t.\t.\tO\tO' +p160014 +asS'liver massively enlarged down 15 cm .' +p160015 +(lp160016 +S'liver\tliver\tNN\tB-NP\tO' +p160017 +aS'massively\tmassively\tRB\tB-ADVP\tO' +p160018 +aS'enlarged\tenlarge\tVBD\tB-VP\tO' +p160019 +aS'down\tdown\tIN\tB-ADVP\tO' +p160020 +aS'15\t15\tCD\tB-NP\tO' +p160021 +aS'cm\tcm\tNN\tI-NP\tO' +p160022 +aS'.\t.\t.\tO\tO' +p160023 +asS'Assess for hemorrhage .' +p160024 +(lp160025 +S'Assess\tAssess\tNN\tB-NP\tO' +p160026 +aS'for\tfor\tIN\tB-PP\tO' +p160027 +aS'hemorrhage\themorrhage\tNN\tB-NP\tO' +p160028 +aS'.\t.\t.\tO\tO' +p160029 +asS'7. Rosuvastatin 20 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' +p160030 +(lp160031 +S'7.\t7.\tCD\tB-NP\tO' +p160032 +aS'Rosuvastatin\tRosuvastatin\tNN\tI-NP\tO' +p160033 +aS'20\t20\tCD\tB-NP\tO' +p160034 +aS'mg\tmg\tNN\tI-NP\tO' +p160035 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p160036 +aS'Sig\tSig\tNNP\tI-NP\tO' +p160037 +aS':\t:\t:\tO\tO' +p160038 +aS'One\tOne\tCD\tB-NP\tO' +p160039 +aS'(\t(\t(\tO\tO' +p160040 +aS'1\t1\tCD\tB-NP\tO' +p160041 +aS')\t)\t)\tO\tO' +p160042 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p160043 +aS'PO\tPO\tNN\tI-NP\tO' +p160044 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p160045 +aS'(\t(\t(\tO\tO' +p160046 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p160047 +aS')\t)\t)\tO\tO' +p160048 +aS'.\t.\t.\tO\tO' +p160049 +asS'He was born by repeat C-section .' +p160050 +(lp160051 +S'He\tHe\tPRP\tB-NP\tO' +p160052 +aS'was\tbe\tVBD\tB-VP\tO' +p160053 +aS'born\tbear\tVBN\tI-VP\tO' +p160054 +aS'by\tby\tIN\tB-PP\tO' +p160055 +aS'repeat\trepeat\tNN\tB-NP\tO' +p160056 +aS'C-section\tC-section\tNN\tI-NP\tO' +p160057 +aS'.\t.\t.\tO\tO' +p160058 +asS'3. Activity ad lib , with restrictions as indicated by the Psychiatry Transfer Note .' +p160059 +(lp160060 +S'3.\t3.\tLS\tB-NP\tO' +p160061 +aS'Activity\tActivity\tNN\tI-NP\tO' +p160062 +aS'ad\tad\tNN\tI-NP\tO' +p160063 +aS'lib\tlib\tNN\tI-NP\tO' +p160064 +aS',\t,\t,\tO\tO' +p160065 +aS'with\twith\tIN\tB-PP\tO' +p160066 +aS'restrictions\trestriction\tNNS\tB-NP\tO' +p160067 +aS'as\tas\tIN\tB-SBAR\tO' +p160068 +aS'indicated\tindicate\tVBN\tB-VP\tO' +p160069 +aS'by\tby\tIN\tB-PP\tO' +p160070 +aS'the\tthe\tDT\tB-NP\tO' +p160071 +aS'Psychiatry\tPsychiatry\tNNP\tI-NP\tO' +p160072 +aS'Transfer\tTransfer\tNNP\tI-NP\tO' +p160073 +aS'Note\tNote\tNNP\tI-NP\tO' +p160074 +aS'.\t.\t.\tO\tO' +p160075 +asS'The patient was initially on Cimetidine and Carafate here at Bri Health , and then switched to Prilosec 20 mg bid .' +p160076 +(lp160077 +S'The\tThe\tDT\tB-NP\tO' +p160078 +aS'patient\tpatient\tNN\tI-NP\tO' +p160079 +aS'was\tbe\tVBD\tB-VP\tO' +p160080 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p160081 +aS'on\ton\tIN\tB-PP\tO' +p160082 +aS'Cimetidine\tCimetidine\tNN\tB-NP\tO' +p160083 +aS'and\tand\tCC\tI-NP\tO' +p160084 +aS'Carafate\tCarafate\tNN\tI-NP\tO' +p160085 +aS'here\there\tRB\tB-ADVP\tO' +p160086 +aS'at\tat\tIN\tB-PP\tO' +p160087 +aS'Bri\tBri\tNNP\tB-NP\tO' +p160088 +aS'Health\tHealth\tNNP\tI-NP\tO' +p160089 +aS',\t,\t,\tO\tO' +p160090 +aS'and\tand\tCC\tO\tO' +p160091 +aS'then\tthen\tRB\tB-ADVP\tO' +p160092 +aS'switched\tswitch\tVBD\tB-VP\tO' +p160093 +aS'to\tto\tTO\tB-PP\tO' +p160094 +aS'Prilosec\tPrilosec\tNNP\tB-NP\tO' +p160095 +aS'20\t20\tCD\tI-NP\tO' +p160096 +aS'mg\tmg\tNN\tI-NP\tO' +p160097 +aS'bid\tbid\tRB\tB-ADVP\tO' +p160098 +aS'.\t.\t.\tO\tO' +p160099 +asS'Chronic obstructive pulmonary disease .' +p160100 +(lp160101 +S'Chronic\tChronic\tJJ\tB-NP\tO' +p160102 +aS'obstructive\tobstructive\tJJ\tI-NP\tO' +p160103 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p160104 +aS'disease\tdisease\tNN\tI-NP\tO' +p160105 +aS'.\t.\t.\tO\tO' +p160106 +asS'Slight confustion with place but oriented with some re-direction .' +p160107 +(lp160108 +S'Slight\tSlight\tJJ\tB-NP\tO' +p160109 +aS'confustion\tconfustion\tNN\tI-NP\tO' +p160110 +aS'with\twith\tIN\tB-PP\tO' +p160111 +aS'place\tplace\tNN\tB-NP\tO' +p160112 +aS'but\tbut\tCC\tO\tO' +p160113 +aS'oriented\torient\tVBD\tB-VP\tO' +p160114 +aS'with\twith\tIN\tB-PP\tO' +p160115 +aS'some\tsome\tDT\tB-NP\tO' +p160116 +aS're-direction\tre-direction\tNN\tI-NP\tO' +p160117 +aS'.\t.\t.\tO\tO' +p160118 +asS'She is a healthy appearing female , 5 foot 120 pounds .' +p160119 +(lp160120 +S'She\tShe\tPRP\tB-NP\tO' +p160121 +aS'is\tbe\tVBZ\tB-VP\tO' +p160122 +aS'a\ta\tDT\tB-NP\tO' +p160123 +aS'healthy\thealthy\tJJ\tI-NP\tO' +p160124 +aS'appearing\tappear\tVBG\tI-NP\tO' +p160125 +aS'female\tfemale\tJJ\tI-NP\tO' +p160126 +aS',\t,\t,\tO\tO' +p160127 +aS'5\t5\tCD\tB-NP\tO' +p160128 +aS'foot\tfoot\tNN\tI-NP\tO' +p160129 +aS'120\t120\tCD\tB-NP\tO' +p160130 +aS'pounds\tpound\tNNS\tI-NP\tO' +p160131 +aS'.\t.\t.\tO\tO' +p160132 +asS'She was very responsive , somewhat sleepy , she complained of chest pain , which was diffuse , non-localizing without electrocardiogram changes and persisted for several days and then went away completely .' +p160133 +(lp160134 +S'She\tShe\tPRP\tB-NP\tO' +p160135 +aS'was\tbe\tVBD\tB-VP\tO' +p160136 +aS'very\tvery\tRB\tB-ADJP\tO' +p160137 +aS'responsive\tresponsive\tJJ\tI-ADJP\tO' +p160138 +aS',\t,\t,\tO\tO' +p160139 +aS'somewhat\tsomewhat\tRB\tB-ADJP\tO' +p160140 +aS'sleepy\tsleepy\tJJ\tI-ADJP\tO' +p160141 +aS',\t,\t,\tO\tO' +p160142 +aS'she\tshe\tPRP\tB-NP\tO' +p160143 +aS'complained\tcomplain\tVBD\tB-VP\tO' +p160144 +aS'of\tof\tIN\tB-PP\tO' +p160145 +aS'chest\tchest\tNN\tB-NP\tO' +p160146 +aS'pain\tpain\tNN\tI-NP\tO' +p160147 +aS',\t,\t,\tO\tO' +p160148 +aS'which\twhich\tWDT\tB-NP\tO' +p160149 +aS'was\tbe\tVBD\tB-VP\tO' +p160150 +aS'diffuse\tdiffuse\tJJ\tB-ADJP\tO' +p160151 +aS',\t,\t,\tO\tO' +p160152 +aS'non-localizing\tnon-localizing\tJJ\tB-ADJP\tO' +p160153 +aS'without\twithout\tIN\tB-PP\tO' +p160154 +aS'electrocardiogram\telectrocardiogram\tNN\tB-NP\tO' +p160155 +aS'changes\tchange\tNNS\tI-NP\tO' +p160156 +aS'and\tand\tCC\tO\tO' +p160157 +aS'persisted\tpersist\tVBD\tB-VP\tO' +p160158 +aS'for\tfor\tIN\tB-PP\tO' +p160159 +aS'several\tseveral\tJJ\tB-NP\tO' +p160160 +aS'days\tday\tNNS\tI-NP\tO' +p160161 +aS'and\tand\tCC\tO\tO' +p160162 +aS'then\tthen\tRB\tB-ADVP\tO' +p160163 +aS'went\tgo\tVBD\tB-VP\tO' +p160164 +aS'away\taway\tRB\tB-ADVP\tO' +p160165 +aS'completely\tcompletely\tRB\tB-ADVP\tO' +p160166 +aS'.\t.\t.\tO\tO' +p160167 +asS'As above .' +p160168 +(lp160169 +S'As\tAs\tIN\tB-PP\tO' +p160170 +aS'above\tabove\tRB\tB-ADVP\tO' +p160171 +aS'.\t.\t.\tO\tO' +p160172 +asS'We would like to discontinue her Isordil to improve upon some orthostatic hypotension , but we are not certain whether her heart will tolerate this .' +p160173 +(lp160174 +S'We\tWe\tPRP\tB-NP\tO' +p160175 +aS'would\twould\tMD\tB-VP\tO' +p160176 +aS'like\tlike\tVB\tI-VP\tO' +p160177 +aS'to\tto\tTO\tI-VP\tO' +p160178 +aS'discontinue\tdiscontinue\tVB\tI-VP\tO' +p160179 +aS'her\ther\tPRP$\tB-NP\tO' +p160180 +aS'Isordil\tIsordil\tNN\tI-NP\tO' +p160181 +aS'to\tto\tTO\tB-VP\tO' +p160182 +aS'improve\timprove\tVB\tI-VP\tO' +p160183 +aS'upon\tupon\tIN\tB-PP\tO' +p160184 +aS'some\tsome\tDT\tB-NP\tO' +p160185 +aS'orthostatic\torthostatic\tJJ\tI-NP\tO' +p160186 +aS'hypotension\thypotension\tNN\tI-NP\tO' +p160187 +aS',\t,\t,\tO\tO' +p160188 +aS'but\tbut\tCC\tO\tO' +p160189 +aS'we\twe\tPRP\tB-NP\tO' +p160190 +aS'are\tbe\tVBP\tB-VP\tO' +p160191 +aS'not\tnot\tRB\tO\tO' +p160192 +aS'certain\tcertain\tJJ\tB-ADJP\tO' +p160193 +aS'whether\twhether\tIN\tB-SBAR\tO' +p160194 +aS'her\ther\tPRP$\tB-NP\tO' +p160195 +aS'heart\theart\tNN\tI-NP\tO' +p160196 +aS'will\twill\tMD\tB-VP\tO' +p160197 +aS'tolerate\ttolerate\tVB\tI-VP\tO' +p160198 +aS'this\tthis\tDT\tB-NP\tO' +p160199 +aS'.\t.\t.\tO\tO' +p160200 +asS'8. Cepacol 2 mg Lozenge Sig : One ( 1 ) Lozenge Mucous membrane PRN ( as needed ).' +p160201 +(lp160202 +S'8.\t8.\tCD\tB-NP\tO' +p160203 +aS'Cepacol\tCepacol\tNN\tI-NP\tO' +p160204 +aS'2\t2\tCD\tB-NP\tO' +p160205 +aS'mg\tmg\tNN\tI-NP\tO' +p160206 +aS'Lozenge\tLozenge\tNNP\tI-NP\tO' +p160207 +aS'Sig\tSig\tNNP\tI-NP\tO' +p160208 +aS':\t:\t:\tO\tO' +p160209 +aS'One\tOne\tCD\tB-NP\tO' +p160210 +aS'(\t(\t(\tO\tO' +p160211 +aS'1\t1\tCD\tB-NP\tO' +p160212 +aS')\t)\t)\tO\tO' +p160213 +aS'Lozenge\tLozenge\tNN\tB-NP\tO' +p160214 +aS'Mucous\tMucous\tJJ\tI-NP\tO' +p160215 +aS'membrane\tmembrane\tNN\tI-NP\tO' +p160216 +aS'PRN\tPRN\tNN\tI-NP\tO' +p160217 +aS'(\t(\t(\tO\tO' +p160218 +aS'as\tas\tIN\tB-SBAR\tO' +p160219 +aS'needed\tneed\tVBN\tB-VP\tO' +p160220 +aS').\t).\t)\tO\tO' +p160221 +asS'Elavil by mouth 15 mg every night , Dulcolax rectally 10 mg once a day , Tegretol by mouth 100 mg twice a day , Benadryl by mouth 25 mg three times a day , Colace by mouth 200 mg twice a day , Vasotec by mouth 10 mg twice a day , EOC / LOC p.r./p.o. one each once a day as needed for constipation , Lasix by mouth 80 mg every morning , insulin regular according to insulin scale , Synthroid by mouth 25 mcg once a day , Maalox Plus Extra Strength by mouth 15 ml every six hours as needed for indigestion , Milk of Magnesia by mouth 30 ml once a day as needed for constipation , Asacol by mouth 400 mg every morning , Asacol 800 mg every night , Lopressor by mouth 25 mg twice a day , Miracle cream topically on skin once a day , nystatin swish and swallow by mouth 5 ml four times a day , Percocet by mouth one tab every four hours as needed for pain , and vancomycin by infusion 1 gm every 18 hours ; instructions in 250 ml slow IV infusion over one hour .' +p160222 +(lp160223 +S'Elavil\tElavil\tNN\tB-NP\tO' +p160224 +aS'by\tby\tIN\tB-PP\tO' +p160225 +aS'mouth\tmouth\tNN\tB-NP\tO' +p160226 +aS'15\t15\tCD\tI-NP\tO' +p160227 +aS'mg\tmg\tNN\tI-NP\tO' +p160228 +aS'every\tevery\tDT\tB-NP\tO' +p160229 +aS'night\tnight\tNN\tI-NP\tO' +p160230 +aS',\t,\t,\tO\tO' +p160231 +aS'Dulcolax\tDulcolax\tNNP\tB-NP\tO' +p160232 +aS'rectally\trectally\tRB\tB-NP\tO' +p160233 +aS'10\t10\tCD\tI-NP\tO' +p160234 +aS'mg\tmg\tNN\tI-NP\tO' +p160235 +aS'once\tonce\tRB\tB-ADVP\tO' +p160236 +aS'a\ta\tDT\tB-NP\tO' +p160237 +aS'day\tday\tNN\tI-NP\tO' +p160238 +aS',\t,\t,\tO\tO' +p160239 +aS'Tegretol\tTegretol\tNN\tB-NP\tO' +p160240 +aS'by\tby\tIN\tB-PP\tO' +p160241 +aS'mouth\tmouth\tNN\tB-NP\tO' +p160242 +aS'100\t100\tCD\tI-NP\tO' +p160243 +aS'mg\tmg\tNN\tI-NP\tO' +p160244 +aS'twice\ttwice\tRB\tB-NP\tO' +p160245 +aS'a\ta\tDT\tI-NP\tO' +p160246 +aS'day\tday\tNN\tI-NP\tO' +p160247 +aS',\t,\t,\tO\tO' +p160248 +aS'Benadryl\tBenadryl\tNN\tB-NP\tO' +p160249 +aS'by\tby\tIN\tB-PP\tO' +p160250 +aS'mouth\tmouth\tNN\tB-NP\tO' +p160251 +aS'25\t25\tCD\tI-NP\tO' +p160252 +aS'mg\tmg\tNN\tI-NP\tO' +p160253 +aS'three\tthree\tCD\tB-NP\tO' +p160254 +aS'times\ttime\tNNS\tI-NP\tO' +p160255 +aS'a\ta\tDT\tB-NP\tO' +p160256 +aS'day\tday\tNN\tI-NP\tO' +p160257 +aS',\t,\t,\tO\tO' +p160258 +aS'Colace\tColace\tNNP\tB-NP\tO' +p160259 +aS'by\tby\tIN\tB-PP\tO' +p160260 +aS'mouth\tmouth\tNN\tB-NP\tO' +p160261 +aS'200\t200\tCD\tI-NP\tO' +p160262 +aS'mg\tmg\tNN\tI-NP\tO' +p160263 +aS'twice\ttwice\tRB\tB-NP\tO' +p160264 +aS'a\ta\tDT\tI-NP\tO' +p160265 +aS'day\tday\tNN\tI-NP\tO' +p160266 +aS',\t,\t,\tO\tO' +p160267 +aS'Vasotec\tVasotec\tNNP\tB-NP\tO' +p160268 +aS'by\tby\tIN\tB-PP\tO' +p160269 +aS'mouth\tmouth\tNN\tB-NP\tO' +p160270 +aS'10\t10\tCD\tI-NP\tO' +p160271 +aS'mg\tmg\tNN\tI-NP\tO' +p160272 +aS'twice\ttwice\tRB\tB-NP\tO' +p160273 +aS'a\ta\tDT\tI-NP\tO' +p160274 +aS'day\tday\tNN\tI-NP\tO' +p160275 +aS',\t,\t,\tO\tO' +p160276 +aS'EOC\tEOC\tNN\tB-NP\tB-protein' +p160277 +aS'/\t/\tSYM\tB-VP\tO' +p160278 +aS'LOC\tLOC\tNN\tB-NP\tO' +p160279 +aS'p.r./p.o.\tp.r./p.o.\tNN\tI-NP\tO' +p160280 +aS'one\tone\tCD\tB-NP\tO' +p160281 +aS'each\teach\tDT\tB-NP\tO' +p160282 +aS'once\tonce\tRB\tI-NP\tO' +p160283 +aS'a\ta\tDT\tB-NP\tO' +p160284 +aS'day\tday\tNN\tI-NP\tO' +p160285 +aS'as\tas\tIN\tB-SBAR\tO' +p160286 +aS'needed\tneed\tVBN\tB-VP\tO' +p160287 +aS'for\tfor\tIN\tB-PP\tO' +p160288 +aS'constipation\tconstipation\tNN\tB-NP\tO' +p160289 +aS',\t,\t,\tO\tO' +p160290 +aS'Lasix\tLasix\tNN\tB-NP\tO' +p160291 +aS'by\tby\tIN\tB-PP\tO' +p160292 +aS'mouth\tmouth\tNN\tB-NP\tO' +p160293 +aS'80\t80\tCD\tI-NP\tO' +p160294 +aS'mg\tmg\tNN\tI-NP\tO' +p160295 +aS'every\tevery\tDT\tB-NP\tO' +p160296 +aS'morning\tmorning\tNN\tI-NP\tO' +p160297 +aS',\t,\t,\tO\tO' +p160298 +aS'insulin\tinsulin\tNN\tB-NP\tO' +p160299 +aS'regular\tregular\tJJ\tB-ADJP\tO' +p160300 +aS'according\taccord\tVBG\tB-PP\tO' +p160301 +aS'to\tto\tTO\tB-PP\tO' +p160302 +aS'insulin\tinsulin\tNN\tB-NP\tO' +p160303 +aS'scale\tscale\tNN\tI-NP\tO' +p160304 +aS',\t,\t,\tO\tO' +p160305 +aS'Synthroid\tSynthroid\tJJ\tB-ADJP\tO' +p160306 +aS'by\tby\tIN\tB-PP\tO' +p160307 +aS'mouth\tmouth\tNN\tB-NP\tO' +p160308 +aS'25\t25\tCD\tI-NP\tO' +p160309 +aS'mcg\tmcg\tNN\tI-NP\tO' +p160310 +aS'once\tonce\tRB\tB-ADVP\tO' +p160311 +aS'a\ta\tDT\tB-NP\tO' +p160312 +aS'day\tday\tNN\tI-NP\tO' +p160313 +aS',\t,\t,\tO\tO' +p160314 +aS'Maalox\tMaalox\tNNP\tB-NP\tO' +p160315 +aS'Plus\tPlus\tNNP\tI-NP\tO' +p160316 +aS'Extra\tExtra\tNNP\tI-NP\tO' +p160317 +aS'Strength\tStrength\tNNP\tI-NP\tO' +p160318 +aS'by\tby\tIN\tB-PP\tO' +p160319 +aS'mouth\tmouth\tNN\tB-NP\tO' +p160320 +aS'15\t15\tCD\tI-NP\tO' +p160321 +aS'ml\tml\tNN\tI-NP\tO' +p160322 +aS'every\tevery\tDT\tB-NP\tO' +p160323 +aS'six\tsix\tCD\tI-NP\tO' +p160324 +aS'hours\thour\tNNS\tI-NP\tO' +p160325 +aS'as\tas\tIN\tB-SBAR\tO' +p160326 +aS'needed\tneed\tVBN\tB-VP\tO' +p160327 +aS'for\tfor\tIN\tB-PP\tO' +p160328 +aS'indigestion\tindigestion\tNN\tB-NP\tO' +p160329 +aS',\t,\t,\tO\tO' +p160330 +aS'Milk\tMilk\tNNP\tB-NP\tO' +p160331 +aS'of\tof\tIN\tB-PP\tO' +p160332 +aS'Magnesia\tMagnesia\tNNP\tB-NP\tO' +p160333 +aS'by\tby\tIN\tB-PP\tO' +p160334 +aS'mouth\tmouth\tNN\tB-NP\tO' +p160335 +aS'30\t30\tCD\tI-NP\tO' +p160336 +aS'ml\tml\tNN\tI-NP\tO' +p160337 +aS'once\tonce\tRB\tB-ADVP\tO' +p160338 +aS'a\ta\tDT\tB-NP\tO' +p160339 +aS'day\tday\tNN\tI-NP\tO' +p160340 +aS'as\tas\tIN\tB-SBAR\tO' +p160341 +aS'needed\tneed\tVBN\tB-VP\tO' +p160342 +aS'for\tfor\tIN\tB-PP\tO' +p160343 +aS'constipation\tconstipation\tNN\tB-NP\tO' +p160344 +aS',\t,\t,\tO\tO' +p160345 +aS'Asacol\tAsacol\tNN\tB-NP\tO' +p160346 +aS'by\tby\tIN\tB-PP\tO' +p160347 +aS'mouth\tmouth\tNN\tB-NP\tO' +p160348 +aS'400\t400\tCD\tI-NP\tO' +p160349 +aS'mg\tmg\tNN\tI-NP\tO' +p160350 +aS'every\tevery\tDT\tB-NP\tO' +p160351 +aS'morning\tmorning\tNN\tI-NP\tO' +p160352 +aS',\t,\t,\tO\tO' +p160353 +aS'Asacol\tAsacol\tNN\tB-NP\tO' +p160354 +aS'800\t800\tCD\tI-NP\tO' +p160355 +aS'mg\tmg\tNN\tI-NP\tO' +p160356 +aS'every\tevery\tDT\tB-NP\tO' +p160357 +aS'night\tnight\tNN\tI-NP\tO' +p160358 +aS',\t,\t,\tO\tO' +p160359 +aS'Lopressor\tLopressor\tNN\tB-NP\tO' +p160360 +aS'by\tby\tIN\tB-PP\tO' +p160361 +aS'mouth\tmouth\tNN\tB-NP\tO' +p160362 +aS'25\t25\tCD\tI-NP\tO' +p160363 +aS'mg\tmg\tNN\tI-NP\tO' +p160364 +aS'twice\ttwice\tRB\tB-NP\tO' +p160365 +aS'a\ta\tDT\tI-NP\tO' +p160366 +aS'day\tday\tNN\tI-NP\tO' +p160367 +aS',\t,\t,\tO\tO' +p160368 +aS'Miracle\tMiracle\tNNP\tB-NP\tO' +p160369 +aS'cream\tcream\tVBP\tB-VP\tO' +p160370 +aS'topically\ttopically\tRB\tB-ADVP\tO' +p160371 +aS'on\ton\tIN\tB-PP\tO' +p160372 +aS'skin\tskin\tNN\tB-NP\tO' +p160373 +aS'once\tonce\tRB\tB-ADVP\tO' +p160374 +aS'a\ta\tDT\tB-NP\tO' +p160375 +aS'day\tday\tNN\tI-NP\tO' +p160376 +aS',\t,\t,\tO\tO' +p160377 +aS'nystatin\tnystatin\tNN\tB-NP\tO' +p160378 +aS'swish\tswish\tVB\tB-VP\tO' +p160379 +aS'and\tand\tCC\tI-VP\tO' +p160380 +aS'swallow\tswallow\tVB\tI-VP\tO' +p160381 +aS'by\tby\tIN\tB-PP\tO' +p160382 +aS'mouth\tmouth\tNN\tB-NP\tO' +p160383 +aS'5\t5\tCD\tI-NP\tO' +p160384 +aS'ml\tml\tNN\tI-NP\tO' +p160385 +aS'four\tfour\tCD\tB-NP\tO' +p160386 +aS'times\ttime\tNNS\tI-NP\tO' +p160387 +aS'a\ta\tDT\tB-NP\tO' +p160388 +aS'day\tday\tNN\tI-NP\tO' +p160389 +aS',\t,\t,\tO\tO' +p160390 +aS'Percocet\tPercocet\tNN\tB-NP\tO' +p160391 +aS'by\tby\tIN\tB-PP\tO' +p160392 +aS'mouth\tmouth\tNN\tB-NP\tO' +p160393 +aS'one\tone\tCD\tI-NP\tO' +p160394 +aS'tab\ttab\tNN\tI-NP\tB-protein' +p160395 +aS'every\tevery\tDT\tB-NP\tO' +p160396 +aS'four\tfour\tCD\tI-NP\tO' +p160397 +aS'hours\thour\tNNS\tI-NP\tO' +p160398 +aS'as\tas\tIN\tB-SBAR\tO' +p160399 +aS'needed\tneed\tVBN\tB-VP\tO' +p160400 +aS'for\tfor\tIN\tB-PP\tO' +p160401 +aS'pain\tpain\tNN\tB-NP\tO' +p160402 +aS',\t,\t,\tO\tO' +p160403 +aS'and\tand\tCC\tO\tO' +p160404 +aS'vancomycin\tvancomycin\tNN\tB-NP\tO' +p160405 +aS'by\tby\tIN\tB-PP\tO' +p160406 +aS'infusion\tinfusion\tNN\tB-NP\tO' +p160407 +aS'1\t1\tCD\tI-NP\tO' +p160408 +aS'gm\tgm\tNN\tI-NP\tO' +p160409 +aS'every\tevery\tDT\tB-NP\tO' +p160410 +aS'18\t18\tCD\tI-NP\tO' +p160411 +aS'hours\thour\tNNS\tI-NP\tO' +p160412 +aS';\t;\t:\tO\tO' +p160413 +aS'instructions\tinstruction\tNNS\tB-NP\tO' +p160414 +aS'in\tin\tIN\tB-PP\tO' +p160415 +aS'250\t250\tCD\tB-NP\tO' +p160416 +aS'ml\tml\tNN\tI-NP\tO' +p160417 +aS'slow\tslow\tJJ\tI-NP\tO' +p160418 +aS'IV\tIV\tCD\tI-NP\tO' +p160419 +aS'infusion\tinfusion\tNN\tI-NP\tO' +p160420 +aS'over\tover\tIN\tB-PP\tO' +p160421 +aS'one\tone\tCD\tB-NP\tO' +p160422 +aS'hour\thour\tNN\tI-NP\tO' +p160423 +aS'.\t.\t.\tO\tO' +p160424 +asS'Corneals diminished on the left side .' +p160425 +(lp160426 +S'Corneals\tCorneal\tNNS\tB-NP\tO' +p160427 +aS'diminished\tdiminish\tVBN\tB-VP\tO' +p160428 +aS'on\ton\tIN\tB-PP\tO' +p160429 +aS'the\tthe\tDT\tB-NP\tO' +p160430 +aS'left\tleft\tJJ\tI-NP\tO' +p160431 +aS'side\tside\tNN\tI-NP\tO' +p160432 +aS'.\t.\t.\tO\tO' +p160433 +asS'1. Ascorbic acid 500 mg BID' +p160434 +(lp160435 +S'1.\t1.\tLS\tB-NP\tO' +p160436 +aS'Ascorbic\tAscorbic\tJJ\tI-NP\tO' +p160437 +aS'acid\tacid\tNN\tI-NP\tO' +p160438 +aS'500\t500\tCD\tI-NP\tO' +p160439 +aS'mg\tmg\tNN\tI-NP\tO' +p160440 +aS'BID\tBID\tNN\tI-NP\tO' +p160441 +asS'Physical therapy was consulted for strength and mobility .' +p160442 +(lp160443 +S'Physical\tPhysical\tJJ\tB-NP\tO' +p160444 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p160445 +aS'was\tbe\tVBD\tB-VP\tO' +p160446 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p160447 +aS'for\tfor\tIN\tB-PP\tO' +p160448 +aS'strength\tstrength\tNN\tB-NP\tO' +p160449 +aS'and\tand\tCC\tI-NP\tO' +p160450 +aS'mobility\tmobility\tNN\tI-NP\tO' +p160451 +aS'.\t.\t.\tO\tO' +p160452 +asS'Significant for having had a cholecystectomy and hysterectomy , tonsillectomy and adenoidectomy , and mastoidectomy .' +p160453 +(lp160454 +S'Significant\tSignificant\tJJ\tB-ADJP\tO' +p160455 +aS'for\tfor\tIN\tB-PP\tO' +p160456 +aS'having\thave\tVBG\tB-VP\tO' +p160457 +aS'had\thave\tVBD\tI-VP\tO' +p160458 +aS'a\ta\tDT\tB-NP\tO' +p160459 +aS'cholecystectomy\tcholecystectomy\tNN\tI-NP\tO' +p160460 +aS'and\tand\tCC\tI-NP\tO' +p160461 +aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' +p160462 +aS',\t,\t,\tI-NP\tO' +p160463 +aS'tonsillectomy\ttonsillectomy\tNN\tI-NP\tO' +p160464 +aS'and\tand\tCC\tI-NP\tO' +p160465 +aS'adenoidectomy\tadenoidectomy\tNN\tI-NP\tO' +p160466 +aS',\t,\t,\tO\tO' +p160467 +aS'and\tand\tCC\tO\tO' +p160468 +aS'mastoidectomy\tmastoidectomy\tNN\tB-NP\tO' +p160469 +aS'.\t.\t.\tO\tO' +p160470 +asS'To nursing home for follow up with Dr. Hipp ( urology ) this coming Monday , 12-08 at 1:30pm and with her PCP at the nursing home' +p160471 +(lp160472 +S'To\tTo\tTO\tB-PP\tO' +p160473 +aS'nursing\tnurse\tVBG\tB-VP\tO' +p160474 +aS'home\thome\tNN\tB-ADVP\tO' +p160475 +aS'for\tfor\tIN\tB-PP\tO' +p160476 +aS'follow\tfollow\tVB\tB-VP\tO' +p160477 +aS'up\tup\tRP\tB-PRT\tO' +p160478 +aS'with\twith\tIN\tB-PP\tO' +p160479 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p160480 +aS'Hipp\tHipp\tNNP\tI-NP\tO' +p160481 +aS'(\t(\t(\tO\tO' +p160482 +aS'urology\turology\tNN\tB-NP\tO' +p160483 +aS')\t)\t)\tO\tO' +p160484 +aS'this\tthis\tDT\tB-NP\tO' +p160485 +aS'coming\tcome\tVBG\tI-NP\tO' +p160486 +aS'Monday\tMonday\tNNP\tB-NP\tO' +p160487 +aS',\t,\t,\tO\tO' +p160488 +aS'12-08\t12-08\tCD\tB-NP\tO' +p160489 +aS'at\tat\tIN\tB-PP\tO' +p160490 +aS'1:30pm\t1:30pm\tNN\tB-NP\tO' +p160491 +aS'and\tand\tCC\tB-PP\tO' +p160492 +aS'with\twith\tIN\tB-PP\tO' +p160493 +aS'her\ther\tPRP$\tB-NP\tO' +p160494 +aS'PCP\tPCP\tNN\tI-NP\tB-DNA' +p160495 +aS'at\tat\tIN\tB-PP\tO' +p160496 +aS'the\tthe\tDT\tB-NP\tO' +p160497 +aS'nursing\tnursing\tNN\tI-NP\tO' +p160498 +aS'home\thome\tNN\tI-NP\tO' +p160499 +asS'The pulse was 75 , blood pressure 120/80 , respirations 18 , and he was afebrile .' +p160500 +(lp160501 +S'The\tThe\tDT\tB-NP\tO' +p160502 +aS'pulse\tpulse\tNN\tI-NP\tO' +p160503 +aS'was\tbe\tVBD\tB-VP\tO' +p160504 +aS'75\t75\tCD\tB-NP\tO' +p160505 +aS',\t,\t,\tO\tO' +p160506 +aS'blood\tblood\tNN\tB-NP\tO' +p160507 +aS'pressure\tpressure\tNN\tI-NP\tO' +p160508 +aS'120/80\t120/80\tCD\tI-NP\tO' +p160509 +aS',\t,\t,\tO\tO' +p160510 +aS'respirations\trespiration\tNNS\tB-NP\tO' +p160511 +aS'18\t18\tCD\tB-NP\tO' +p160512 +aS',\t,\t,\tO\tO' +p160513 +aS'and\tand\tCC\tO\tO' +p160514 +aS'he\the\tPRP\tB-NP\tO' +p160515 +aS'was\tbe\tVBD\tB-VP\tO' +p160516 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p160517 +aS'.\t.\t.\tO\tO' +p160518 +asS'He received a PICC on POD#7 for his long-term antibiotic therapy .' +p160519 +(lp160520 +S'He\tHe\tPRP\tB-NP\tO' +p160521 +aS'received\treceive\tVBD\tB-VP\tO' +p160522 +aS'a\ta\tDT\tB-NP\tO' +p160523 +aS'PICC\tPICC\tNN\tI-NP\tB-protein' +p160524 +aS'on\ton\tIN\tB-PP\tO' +p160525 +aS'POD#7\tPOD#7\tNN\tB-NP\tB-protein' +p160526 +aS'for\tfor\tIN\tB-PP\tO' +p160527 +aS'his\this\tPRP$\tB-NP\tO' +p160528 +aS'long-term\tlong-term\tJJ\tI-NP\tO' +p160529 +aS'antibiotic\tantibiotic\tJJ\tI-NP\tO' +p160530 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p160531 +aS'.\t.\t.\tO\tO' +p160532 +asS'She is able to wiggle her toes bilaterally .' +p160533 +(lp160534 +S'She\tShe\tPRP\tB-NP\tO' +p160535 +aS'is\tbe\tVBZ\tB-VP\tO' +p160536 +aS'able\table\tJJ\tB-ADJP\tO' +p160537 +aS'to\tto\tTO\tB-VP\tO' +p160538 +aS'wiggle\twiggle\tVB\tI-VP\tO' +p160539 +aS'her\ther\tPRP$\tB-NP\tO' +p160540 +aS'toes\ttoe\tNNS\tI-NP\tO' +p160541 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p160542 +aS'.\t.\t.\tO\tO' +p160543 +asS'He had no blink to threat .' +p160544 +(lp160545 +S'He\tHe\tPRP\tB-NP\tO' +p160546 +aS'had\thave\tVBD\tB-VP\tO' +p160547 +aS'no\tno\tDT\tB-NP\tO' +p160548 +aS'blink\tblink\tNN\tI-NP\tO' +p160549 +aS'to\tto\tTO\tB-PP\tO' +p160550 +aS'threat\tthreat\tNN\tB-NP\tO' +p160551 +aS'.\t.\t.\tO\tO' +p160552 +asS'Briefly , this 68 year old male with a history of coronary artery disease , diabetes mellitus , peripheral vascular disease , was admitted originally to the Podiatry Service for a left patellar mid-foot ulcer .' +p160553 +(lp160554 +S'Briefly\tBriefly\tNNP\tB-NP\tO' +p160555 +aS',\t,\t,\tO\tO' +p160556 +aS'this\tthis\tDT\tB-NP\tO' +p160557 +aS'68\t68\tCD\tI-NP\tO' +p160558 +aS'year\tyear\tNN\tI-NP\tO' +p160559 +aS'old\told\tJJ\tI-NP\tO' +p160560 +aS'male\tmale\tNN\tI-NP\tO' +p160561 +aS'with\twith\tIN\tB-PP\tO' +p160562 +aS'a\ta\tDT\tB-NP\tO' +p160563 +aS'history\thistory\tNN\tI-NP\tO' +p160564 +aS'of\tof\tIN\tB-PP\tO' +p160565 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p160566 +aS'artery\tartery\tNN\tI-NP\tO' +p160567 +aS'disease\tdisease\tNN\tI-NP\tO' +p160568 +aS',\t,\t,\tO\tO' +p160569 +aS'diabetes\tdiabetes\tNN\tB-NP\tO' +p160570 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p160571 +aS',\t,\t,\tO\tO' +p160572 +aS'peripheral\tperipheral\tJJ\tB-NP\tO' +p160573 +aS'vascular\tvascular\tJJ\tI-NP\tO' +p160574 +aS'disease\tdisease\tNN\tI-NP\tO' +p160575 +aS',\t,\t,\tO\tO' +p160576 +aS'was\tbe\tVBD\tB-VP\tO' +p160577 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p160578 +aS'originally\toriginally\tRB\tB-ADVP\tO' +p160579 +aS'to\tto\tTO\tB-PP\tO' +p160580 +aS'the\tthe\tDT\tB-NP\tO' +p160581 +aS'Podiatry\tPodiatry\tNNP\tI-NP\tO' +p160582 +aS'Service\tService\tNNP\tI-NP\tO' +p160583 +aS'for\tfor\tIN\tB-PP\tO' +p160584 +aS'a\ta\tDT\tB-NP\tO' +p160585 +aS'left\tleft\tJJ\tI-NP\tB-protein' +p160586 +aS'patellar\tpatellar\tJJ\tI-NP\tI-protein' +p160587 +aS'mid-foot\tmid-foot\tJJ\tI-NP\tI-protein' +p160588 +aS'ulcer\tulcer\tNN\tI-NP\tI-protein' +p160589 +aS'.\t.\t.\tO\tO' +p160590 +asS'As summarized above , the patient had a non-ST elevation MI with evidence of an 80 percent mid LAD lesion for which he underwent angioplasty without stent placement .' +p160591 +(lp160592 +S'As\tAs\tIN\tB-SBAR\tO' +p160593 +aS'summarized\tsummarize\tVBN\tB-VP\tO' +p160594 +aS'above\tabove\tRB\tB-ADVP\tO' +p160595 +aS',\t,\t,\tO\tO' +p160596 +aS'the\tthe\tDT\tB-NP\tO' +p160597 +aS'patient\tpatient\tNN\tI-NP\tO' +p160598 +aS'had\thave\tVBD\tB-VP\tO' +p160599 +aS'a\ta\tDT\tB-NP\tO' +p160600 +aS'non-ST\tnon-ST\tJJ\tI-NP\tO' +p160601 +aS'elevation\televation\tNN\tI-NP\tO' +p160602 +aS'MI\tMI\tNN\tI-NP\tO' +p160603 +aS'with\twith\tIN\tB-PP\tO' +p160604 +aS'evidence\tevidence\tNN\tB-NP\tO' +p160605 +aS'of\tof\tIN\tB-PP\tO' +p160606 +aS'an\tan\tDT\tB-NP\tO' +p160607 +aS'80\t80\tCD\tI-NP\tO' +p160608 +aS'percent\tpercent\tNN\tI-NP\tO' +p160609 +aS'mid\tmid\tJJ\tI-NP\tO' +p160610 +aS'LAD\tLAD\tNN\tI-NP\tO' +p160611 +aS'lesion\tlesion\tNN\tI-NP\tO' +p160612 +aS'for\tfor\tIN\tB-PP\tO' +p160613 +aS'which\twhich\tWDT\tB-NP\tO' +p160614 +aS'he\the\tPRP\tB-NP\tO' +p160615 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p160616 +aS'angioplasty\tangioplasty\tJJ\tB-ADJP\tO' +p160617 +aS'without\twithout\tIN\tB-PP\tO' +p160618 +aS'stent\tstent\tJJ\tB-NP\tO' +p160619 +aS'placement\tplacement\tNN\tI-NP\tO' +p160620 +aS'.\t.\t.\tO\tO' +p160621 +asS'9. Cyclosporin 75 mg twice a day .' +p160622 +(lp160623 +S'9.\t9.\tCD\tB-NP\tO' +p160624 +aS'Cyclosporin\tCyclosporin\tNN\tI-NP\tO' +p160625 +aS'75\t75\tCD\tB-NP\tO' +p160626 +aS'mg\tmg\tNN\tI-NP\tO' +p160627 +aS'twice\ttwice\tRB\tB-NP\tO' +p160628 +aS'a\ta\tDT\tI-NP\tO' +p160629 +aS'day\tday\tNN\tI-NP\tO' +p160630 +aS'.\t.\t.\tO\tO' +p160631 +asS'The LAD showed a 40% stenosis in the proximal segment .' +p160632 +(lp160633 +S'The\tThe\tDT\tB-NP\tO' +p160634 +aS'LAD\tLAD\tNN\tI-NP\tO' +p160635 +aS'showed\tshow\tVBD\tB-VP\tO' +p160636 +aS'a\ta\tDT\tB-NP\tO' +p160637 +aS'40%\t40%\tJJ\tI-NP\tO' +p160638 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p160639 +aS'in\tin\tIN\tB-PP\tO' +p160640 +aS'the\tthe\tDT\tB-NP\tO' +p160641 +aS'proximal\tproximal\tJJ\tI-NP\tB-DNA' +p160642 +aS'segment\tsegment\tNN\tI-NP\tI-DNA' +p160643 +aS'.\t.\t.\tO\tO' +p160644 +asS'A repeat ABG was performed which was 7.03/129/148 .' +p160645 +(lp160646 +S'A\tA\tDT\tB-NP\tO' +p160647 +aS'repeat\trepeat\tNN\tI-NP\tO' +p160648 +aS'ABG\tABG\tNN\tI-NP\tO' +p160649 +aS'was\tbe\tVBD\tB-VP\tO' +p160650 +aS'performed\tperform\tVBN\tI-VP\tO' +p160651 +aS'which\twhich\tWDT\tB-NP\tO' +p160652 +aS'was\tbe\tVBD\tB-VP\tO' +p160653 +aS'7.03/129/148\t7.03/129/148\tCD\tB-NP\tO' +p160654 +aS'.\t.\t.\tO\tO' +p160655 +asS'Face was symmetrical .' +p160656 +(lp160657 +S'Face\tFace\tNNP\tB-NP\tO' +p160658 +aS'was\tbe\tVBD\tB-VP\tO' +p160659 +aS'symmetrical\tsymmetrical\tJJ\tB-ADJP\tO' +p160660 +aS'.\t.\t.\tO\tO' +p160661 +asS'14. Heparin ( Porcine ) 5,000 unit / mL Solution Sig : One ( 1 ) injection Injection BID ( 2 times a day ).' +p160662 +(lp160663 +S'14.\t14.\tLS\tB-LST\tO' +p160664 +aS'Heparin\tHeparin\tNN\tB-NP\tB-protein' +p160665 +aS'(\t(\t(\tO\tI-protein' +p160666 +aS'Porcine\tPorcine\tNN\tB-NP\tI-protein' +p160667 +aS')\t)\t)\tO\tI-protein' +p160668 +aS'5,000\t5,000\tCD\tB-NP\tI-protein' +p160669 +aS'unit\tunit\tNN\tI-NP\tI-protein' +p160670 +aS'/\t/\tSYM\tB-NP\tO' +p160671 +aS'mL\tmL\tNN\tI-NP\tO' +p160672 +aS'Solution\tSolution\tNNP\tI-NP\tO' +p160673 +aS'Sig\tSig\tNNP\tI-NP\tO' +p160674 +aS':\t:\t:\tO\tO' +p160675 +aS'One\tOne\tCD\tB-NP\tO' +p160676 +aS'(\t(\t(\tO\tO' +p160677 +aS'1\t1\tCD\tB-NP\tO' +p160678 +aS')\t)\t)\tO\tO' +p160679 +aS'injection\tinjection\tNN\tB-NP\tO' +p160680 +aS'Injection\tInjection\tNN\tI-NP\tO' +p160681 +aS'BID\tBID\tNN\tI-NP\tO' +p160682 +aS'(\t(\t(\tO\tO' +p160683 +aS'2\t2\tCD\tB-NP\tO' +p160684 +aS'times\ttime\tNNS\tI-NP\tO' +p160685 +aS'a\ta\tDT\tB-NP\tO' +p160686 +aS'day\tday\tNN\tI-NP\tO' +p160687 +aS').\t).\t.\tO\tO' +p160688 +asS'He is on Lopressor 100 mg twice a day .' +p160689 +(lp160690 +S'He\tHe\tPRP\tB-NP\tO' +p160691 +aS'is\tbe\tVBZ\tB-VP\tO' +p160692 +aS'on\ton\tIN\tB-PP\tO' +p160693 +aS'Lopressor\tLopressor\tNN\tB-NP\tO' +p160694 +aS'100\t100\tCD\tI-NP\tO' +p160695 +aS'mg\tmg\tNN\tI-NP\tO' +p160696 +aS'twice\ttwice\tRB\tB-NP\tO' +p160697 +aS'a\ta\tDT\tI-NP\tO' +p160698 +aS'day\tday\tNN\tI-NP\tO' +p160699 +aS'.\t.\t.\tO\tO' +p160700 +asS'Patient developed a diffuse erythematous rash , though to be an ID reaction to a recent fungal infection .' +p160701 +(lp160702 +S'Patient\tPatient\tNN\tB-NP\tO' +p160703 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p160704 +aS'a\ta\tDT\tB-NP\tO' +p160705 +aS'diffuse\tdiffuse\tJJ\tI-NP\tO' +p160706 +aS'erythematous\terythematous\tJJ\tI-NP\tO' +p160707 +aS'rash\trash\tNN\tI-NP\tO' +p160708 +aS',\t,\t,\tO\tO' +p160709 +aS'though\tthough\tIN\tB-SBAR\tO' +p160710 +aS'to\tto\tTO\tB-VP\tO' +p160711 +aS'be\tbe\tVB\tI-VP\tO' +p160712 +aS'an\tan\tDT\tB-NP\tO' +p160713 +aS'ID\tID\tNN\tI-NP\tO' +p160714 +aS'reaction\treaction\tNN\tI-NP\tO' +p160715 +aS'to\tto\tTO\tB-PP\tO' +p160716 +aS'a\ta\tDT\tB-NP\tO' +p160717 +aS'recent\trecent\tJJ\tI-NP\tO' +p160718 +aS'fungal\tfungal\tJJ\tI-NP\tO' +p160719 +aS'infection\tinfection\tNN\tI-NP\tO' +p160720 +aS'.\t.\t.\tO\tO' +p160721 +asS'One of his brothers has had a myocardial infarction .' +p160722 +(lp160723 +S'One\tOne\tCD\tB-NP\tO' +p160724 +aS'of\tof\tIN\tB-PP\tO' +p160725 +aS'his\this\tPRP$\tB-NP\tO' +p160726 +aS'brothers\tbrother\tNNS\tI-NP\tO' +p160727 +aS'has\thave\tVBZ\tB-VP\tO' +p160728 +aS'had\thave\tVBD\tI-VP\tO' +p160729 +aS'a\ta\tDT\tB-NP\tO' +p160730 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p160731 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p160732 +aS'.\t.\t.\tO\tO' +p160733 +asS'The patient presented with a chief complaint of PAIN / ASSAULT .' +p160734 +(lp160735 +S'The\tThe\tDT\tB-NP\tO' +p160736 +aS'patient\tpatient\tNN\tI-NP\tO' +p160737 +aS'presented\tpresent\tVBD\tB-VP\tO' +p160738 +aS'with\twith\tIN\tB-PP\tO' +p160739 +aS'a\ta\tDT\tB-NP\tO' +p160740 +aS'chief\tchief\tJJ\tI-NP\tO' +p160741 +aS'complaint\tcomplaint\tNN\tI-NP\tO' +p160742 +aS'of\tof\tIN\tB-PP\tO' +p160743 +aS'PAIN\tPAIN\tNN\tB-NP\tB-protein' +p160744 +aS'/\t/\tSYM\tB-NP\tO' +p160745 +aS'ASSAULT\tASSAULT\tNN\tI-NP\tO' +p160746 +aS'.\t.\t.\tO\tO' +p160747 +asS'--- Pt to OR in early AM' +p160748 +(lp160749 +S'---\t---\tSYM\tO\tO' +p160750 +aS'Pt\tPt\tNN\tB-NP\tO' +p160751 +aS'to\tto\tTO\tB-PP\tO' +p160752 +aS'OR\tOR\tNN\tB-NP\tB-protein' +p160753 +aS'in\tin\tIN\tB-PP\tO' +p160754 +aS'early\tearly\tJJ\tB-NP\tO' +p160755 +aS'AM\tAM\tNN\tI-NP\tO' +p160756 +asS"On 06-23 the patient 's tube feed were changed from Respalor to Deliver 2.0 to give increased calories ." +p160757 +(lp160758 +S'On\tOn\tIN\tB-PP\tO' +p160759 +aS'06-23\t06-23\tCD\tB-NP\tO' +p160760 +aS'the\tthe\tDT\tB-NP\tO' +p160761 +aS'patient\tpatient\tNN\tI-NP\tO' +p160762 +aS"'s\t's\tPOS\tB-NP\tO" +p160763 +aS'tube\ttube\tNN\tI-NP\tO' +p160764 +aS'feed\tfeed\tNN\tI-NP\tO' +p160765 +aS'were\tbe\tVBD\tB-VP\tO' +p160766 +aS'changed\tchange\tVBN\tI-VP\tO' +p160767 +aS'from\tfrom\tIN\tB-PP\tO' +p160768 +aS'Respalor\tRespalor\tNNP\tB-NP\tO' +p160769 +aS'to\tto\tTO\tB-VP\tO' +p160770 +aS'Deliver\tDeliver\tVB\tI-VP\tO' +p160771 +aS'2.0\t2.0\tCD\tB-NP\tO' +p160772 +aS'to\tto\tTO\tB-VP\tO' +p160773 +aS'give\tgive\tVB\tI-VP\tO' +p160774 +aS'increased\tincrease\tVBN\tB-NP\tO' +p160775 +aS'calories\tcalorie\tNNS\tI-NP\tO' +p160776 +aS'.\t.\t.\tO\tO' +p160777 +asS'2. Alpha Streptococcus septicemia .' +p160778 +(lp160779 +S'2.\t2.\tLS\tB-LST\tO' +p160780 +aS'Alpha\tAlpha\tNNP\tB-NP\tO' +p160781 +aS'Streptococcus\tStreptococcus\tNNP\tI-NP\tO' +p160782 +aS'septicemia\tsepticemia\tNNP\tI-NP\tO' +p160783 +aS'.\t.\t.\tO\tO' +p160784 +asS'Signed electronically by : DR. James GRAY on : Roger 2014-04-03 3:20 PM' +p160785 +(lp160786 +S'Signed\tSign\tVBN\tB-VP\tO' +p160787 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p160788 +aS'by\tby\tIN\tB-PP\tO' +p160789 +aS':\t:\t:\tO\tO' +p160790 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p160791 +aS'James\tJames\tNNP\tI-NP\tO' +p160792 +aS'GRAY\tGRAY\tNNP\tI-NP\tO' +p160793 +aS'on\ton\tIN\tB-PP\tO' +p160794 +aS':\t:\t:\tO\tO' +p160795 +aS'Roger\tRoger\tNNP\tB-NP\tO' +p160796 +aS'2014-04-03\t2014-04-03\tCD\tB-NP\tO' +p160797 +aS'3:20\t3:20\tCD\tI-NP\tO' +p160798 +aS'PM\tPM\tNN\tI-NP\tO' +p160799 +asS'Chronic obstructive pulmonary disease with asthmatic component .' +p160800 +(lp160801 +S'Chronic\tChronic\tJJ\tB-NP\tO' +p160802 +aS'obstructive\tobstructive\tJJ\tI-NP\tO' +p160803 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p160804 +aS'disease\tdisease\tNN\tI-NP\tO' +p160805 +aS'with\twith\tIN\tB-PP\tO' +p160806 +aS'asthmatic\tasthmatic\tJJ\tB-NP\tO' +p160807 +aS'component\tcomponent\tNN\tI-NP\tO' +p160808 +aS'.\t.\t.\tO\tO' +p160809 +asS'This was drained with a left chest tube .' +p160810 +(lp160811 +S'This\tThis\tDT\tB-NP\tO' +p160812 +aS'was\tbe\tVBD\tB-VP\tO' +p160813 +aS'drained\tdrain\tVBN\tI-VP\tO' +p160814 +aS'with\twith\tIN\tB-PP\tO' +p160815 +aS'a\ta\tDT\tB-NP\tO' +p160816 +aS'left\tleft\tJJ\tI-NP\tO' +p160817 +aS'chest\tchest\tNN\tI-NP\tO' +p160818 +aS'tube\ttube\tNN\tI-NP\tO' +p160819 +aS'.\t.\t.\tO\tO' +p160820 +asS'Cultures were pending on her aspirate and will be treated with po doxycycline .' +p160821 +(lp160822 +S'Cultures\tCulture\tNNS\tB-NP\tO' +p160823 +aS'were\tbe\tVBD\tB-VP\tO' +p160824 +aS'pending\tpende\tVBG\tI-VP\tO' +p160825 +aS'on\ton\tIN\tB-PP\tO' +p160826 +aS'her\ther\tPRP$\tB-NP\tO' +p160827 +aS'aspirate\taspirate\tNN\tI-NP\tO' +p160828 +aS'and\tand\tCC\tO\tO' +p160829 +aS'will\twill\tMD\tB-VP\tO' +p160830 +aS'be\tbe\tVB\tI-VP\tO' +p160831 +aS'treated\ttreat\tVBN\tI-VP\tO' +p160832 +aS'with\twith\tIN\tB-PP\tO' +p160833 +aS'po\tpo\tNN\tB-NP\tO' +p160834 +aS'doxycycline\tdoxycycline\tNN\tI-NP\tO' +p160835 +aS'.\t.\t.\tO\tO' +p160836 +asS'Aortic arch aneurysm , status post aortic arch graft .' +p160837 +(lp160838 +S'Aortic\tAortic\tJJ\tB-NP\tO' +p160839 +aS'arch\tarch\tNN\tI-NP\tO' +p160840 +aS'aneurysm\taneurysm\tNN\tI-NP\tO' +p160841 +aS',\t,\t,\tO\tO' +p160842 +aS'status\tstatus\tNN\tB-NP\tO' +p160843 +aS'post\tpost\tNN\tI-NP\tO' +p160844 +aS'aortic\taortic\tJJ\tI-NP\tO' +p160845 +aS'arch\tarch\tNN\tI-NP\tO' +p160846 +aS'graft\tgraft\tNN\tI-NP\tO' +p160847 +aS'.\t.\t.\tO\tO' +p160848 +asS'He is 71 inches tall , 196 lbs .' +p160849 +(lp160850 +S'He\tHe\tPRP\tB-NP\tO' +p160851 +aS'is\tbe\tVBZ\tB-VP\tO' +p160852 +aS'71\t71\tCD\tB-NP\tO' +p160853 +aS'inches\tinch\tNNS\tI-NP\tO' +p160854 +aS'tall\ttall\tJJ\tB-ADJP\tO' +p160855 +aS',\t,\t,\tO\tO' +p160856 +aS'196\t196\tCD\tB-NP\tO' +p160857 +aS'lbs\tlb\tNNS\tI-NP\tO' +p160858 +aS'.\t.\t.\tO\tO' +p160859 +asS'This responded to fluid bolus .' +p160860 +(lp160861 +S'This\tThis\tDT\tB-NP\tO' +p160862 +aS'responded\trespond\tVBD\tB-VP\tO' +p160863 +aS'to\tto\tTO\tI-VP\tO' +p160864 +aS'fluid\tfluid\tVB\tI-VP\tO' +p160865 +aS'bolus\tbolus\tNN\tB-NP\tO' +p160866 +aS'.\t.\t.\tO\tO' +p160867 +asS'Since discharge pt has continued at rehab on ps vent settings but pigtail catheter fell out today so pt was referred here for monitoring .' +p160868 +(lp160869 +S'Since\tSince\tIN\tB-SBAR\tO' +p160870 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p160871 +aS'pt\tpt\tNN\tI-NP\tO' +p160872 +aS'has\thave\tVBZ\tB-VP\tO' +p160873 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p160874 +aS'at\tat\tIN\tB-PP\tO' +p160875 +aS'rehab\trehab\tNN\tB-NP\tO' +p160876 +aS'on\ton\tIN\tB-PP\tO' +p160877 +aS'ps\tp\tNNS\tB-NP\tO' +p160878 +aS'vent\tvent\tNN\tI-NP\tO' +p160879 +aS'settings\tsetting\tNNS\tI-NP\tO' +p160880 +aS'but\tbut\tCC\tO\tO' +p160881 +aS'pigtail\tpigtail\tNN\tB-NP\tO' +p160882 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p160883 +aS'fell\tfall\tVBD\tB-VP\tO' +p160884 +aS'out\tout\tRP\tB-PRT\tO' +p160885 +aS'today\ttoday\tNN\tB-NP\tO' +p160886 +aS'so\tso\tIN\tB-SBAR\tO' +p160887 +aS'pt\tpt\tNN\tB-NP\tO' +p160888 +aS'was\tbe\tVBD\tB-VP\tO' +p160889 +aS'referred\trefer\tVBN\tI-VP\tO' +p160890 +aS'here\there\tRB\tB-ADVP\tO' +p160891 +aS'for\tfor\tIN\tB-PP\tO' +p160892 +aS'monitoring\tmonitoring\tNN\tB-NP\tO' +p160893 +aS'.\t.\t.\tO\tO' +p160894 +asS'7. Enteric-coated aspirin .' +p160895 +(lp160896 +S'7.\t7.\tLS\tB-NP\tO' +p160897 +aS'Enteric-coated\tEnteric-coated\tJJ\tI-NP\tO' +p160898 +aS'aspirin\taspirin\tNN\tI-NP\tO' +p160899 +aS'.\t.\t.\tO\tO' +p160900 +asS'It was suboptimally imaged , so there was no RVSP given .' +p160901 +(lp160902 +S'It\tIt\tPRP\tB-NP\tO' +p160903 +aS'was\tbe\tVBD\tB-VP\tO' +p160904 +aS'suboptimally\tsuboptimally\tRB\tI-VP\tO' +p160905 +aS'imaged\timage\tVBN\tI-VP\tO' +p160906 +aS',\t,\t,\tO\tO' +p160907 +aS'so\tso\tIN\tO\tO' +p160908 +aS'there\tthere\tEX\tB-NP\tO' +p160909 +aS'was\tbe\tVBD\tB-VP\tO' +p160910 +aS'no\tno\tDT\tB-NP\tO' +p160911 +aS'RVSP\tRVSP\tNN\tI-NP\tB-protein' +p160912 +aS'given\tgive\tVBN\tB-VP\tO' +p160913 +aS'.\t.\t.\tO\tO' +p160914 +asS'Take codeine prescribed by PCP with food and water to prevent nausea and constipation .' +p160915 +(lp160916 +S'Take\tTake\tVB\tB-VP\tO' +p160917 +aS'codeine\tcodeine\tNN\tB-NP\tO' +p160918 +aS'prescribed\tprescribe\tVBN\tB-VP\tO' +p160919 +aS'by\tby\tIN\tB-PP\tO' +p160920 +aS'PCP\tPCP\tNN\tB-NP\tO' +p160921 +aS'with\twith\tIN\tB-PP\tO' +p160922 +aS'food\tfood\tNN\tB-NP\tO' +p160923 +aS'and\tand\tCC\tI-NP\tO' +p160924 +aS'water\twater\tNN\tI-NP\tO' +p160925 +aS'to\tto\tTO\tB-VP\tO' +p160926 +aS'prevent\tprevent\tVB\tI-VP\tO' +p160927 +aS'nausea\tnausea\tNN\tB-NP\tO' +p160928 +aS'and\tand\tCC\tI-NP\tO' +p160929 +aS'constipation\tconstipation\tNN\tI-NP\tO' +p160930 +aS'.\t.\t.\tO\tO' +p160931 +asS'At the time of her discharge , the patient was still requiring two liters of supplemental oxygen to maintain her oxygen saturations in the mid 90% .' +p160932 +(lp160933 +S'At\tAt\tIN\tB-PP\tO' +p160934 +aS'the\tthe\tDT\tB-NP\tO' +p160935 +aS'time\ttime\tNN\tI-NP\tO' +p160936 +aS'of\tof\tIN\tB-PP\tO' +p160937 +aS'her\ther\tPRP$\tB-NP\tO' +p160938 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p160939 +aS',\t,\t,\tO\tO' +p160940 +aS'the\tthe\tDT\tB-NP\tO' +p160941 +aS'patient\tpatient\tNN\tI-NP\tO' +p160942 +aS'was\tbe\tVBD\tB-VP\tO' +p160943 +aS'still\tstill\tRB\tI-VP\tO' +p160944 +aS'requiring\trequire\tVBG\tI-VP\tO' +p160945 +aS'two\ttwo\tCD\tB-NP\tO' +p160946 +aS'liters\tliter\tNNS\tI-NP\tO' +p160947 +aS'of\tof\tIN\tB-PP\tO' +p160948 +aS'supplemental\tsupplemental\tJJ\tB-NP\tO' +p160949 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p160950 +aS'to\tto\tTO\tB-VP\tO' +p160951 +aS'maintain\tmaintain\tVB\tI-VP\tO' +p160952 +aS'her\ther\tPRP$\tB-NP\tO' +p160953 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p160954 +aS'saturations\tsaturation\tNNS\tI-NP\tO' +p160955 +aS'in\tin\tIN\tB-PP\tO' +p160956 +aS'the\tthe\tDT\tB-NP\tO' +p160957 +aS'mid\tmid\tJJ\tI-NP\tB-protein' +p160958 +aS'90%\t90%\tNN\tI-NP\tI-protein' +p160959 +aS'.\t.\t.\tO\tO' +p160960 +asS'By 6-26-94 , the patient was felt to be ready for discharge .' +p160961 +(lp160962 +S'By\tBy\tIN\tB-PP\tO' +p160963 +aS'6-26-94\t6-26-94\tCD\tB-NP\tO' +p160964 +aS',\t,\t,\tO\tO' +p160965 +aS'the\tthe\tDT\tB-NP\tO' +p160966 +aS'patient\tpatient\tNN\tI-NP\tO' +p160967 +aS'was\tbe\tVBD\tB-VP\tO' +p160968 +aS'felt\tfeel\tVBN\tI-VP\tO' +p160969 +aS'to\tto\tTO\tI-VP\tO' +p160970 +aS'be\tbe\tVB\tI-VP\tO' +p160971 +aS'ready\tready\tJJ\tB-ADJP\tO' +p160972 +aS'for\tfor\tIN\tB-PP\tO' +p160973 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p160974 +aS'.\t.\t.\tO\tO' +p160975 +asS'The patient expired at 6 p.m. on 05-14 .' +p160976 +(lp160977 +S'The\tThe\tDT\tB-NP\tO' +p160978 +aS'patient\tpatient\tNN\tI-NP\tO' +p160979 +aS'expired\texpire\tVBD\tB-VP\tO' +p160980 +aS'at\tat\tIN\tB-PP\tO' +p160981 +aS'6\t6\tCD\tB-NP\tO' +p160982 +aS'p.m.\tp.m.\tNN\tI-NP\tO' +p160983 +aS'on\ton\tIN\tB-PP\tO' +p160984 +aS'05-14\t05-14\tCD\tB-NP\tO' +p160985 +aS'.\t.\t.\tO\tO' +p160986 +asS'She was maintained on intravenous antibiotics .' +p160987 +(lp160988 +S'She\tShe\tPRP\tB-NP\tO' +p160989 +aS'was\tbe\tVBD\tB-VP\tO' +p160990 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p160991 +aS'on\ton\tIN\tB-PP\tO' +p160992 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p160993 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p160994 +aS'.\t.\t.\tO\tO' +p160995 +asS'He is confused , has had hallucinations .' +p160996 +(lp160997 +S'He\tHe\tPRP\tB-NP\tO' +p160998 +aS'is\tbe\tVBZ\tB-VP\tO' +p160999 +aS'confused\tconfuse\tVBN\tI-VP\tO' +p161000 +aS',\t,\t,\tO\tO' +p161001 +aS'has\thave\tVBZ\tB-VP\tO' +p161002 +aS'had\thave\tVBN\tI-VP\tO' +p161003 +aS'hallucinations\thallucination\tNNS\tB-NP\tO' +p161004 +aS'.\t.\t.\tO\tO' +p161005 +asS'Intra-aortic balloon pump augmented systole was 109 , augmented diastole was 111 .' +p161006 +(lp161007 +S'Intra-aortic\tIntra-aortic\tJJ\tB-NP\tO' +p161008 +aS'balloon\tballoon\tNN\tI-NP\tO' +p161009 +aS'pump\tpump\tNN\tI-NP\tO' +p161010 +aS'augmented\taugment\tVBD\tB-VP\tO' +p161011 +aS'systole\tsystole\tNN\tB-NP\tO' +p161012 +aS'was\tbe\tVBD\tB-VP\tO' +p161013 +aS'109\t109\tCD\tB-NP\tO' +p161014 +aS',\t,\t,\tO\tO' +p161015 +aS'augmented\taugmented\tJJ\tB-NP\tO' +p161016 +aS'diastole\tdiastole\tNN\tI-NP\tO' +p161017 +aS'was\tbe\tVBD\tB-VP\tO' +p161018 +aS'111\t111\tCD\tB-NP\tO' +p161019 +aS'.\t.\t.\tO\tO' +p161020 +asS'Dictated By : Dorothy Y. Madore , M.D.' +p161021 +(lp161022 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p161023 +aS'By\tBy\tIN\tB-PP\tO' +p161024 +aS':\t:\t:\tO\tO' +p161025 +aS'Dorothy\tDorothy\tNNP\tB-NP\tO' +p161026 +aS'Y.\tY.\tNNP\tI-NP\tO' +p161027 +aS'Madore\tMadore\tNNP\tI-NP\tO' +p161028 +aS',\t,\t,\tO\tO' +p161029 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p161030 +asS'CMED and to the ICU .' +p161031 +(lp161032 +S'CMED\tCMED\tVBN\tB-VP\tO' +p161033 +aS'and\tand\tCC\tB-PP\tO' +p161034 +aS'to\tto\tTO\tB-PP\tO' +p161035 +aS'the\tthe\tDT\tB-NP\tO' +p161036 +aS'ICU\tICU\tNN\tI-NP\tB-DNA' +p161037 +aS'.\t.\t.\tO\tO' +p161038 +asS'The patient remained afebrile until day +11 when he spiked and was started on ceftazidime .' +p161039 +(lp161040 +S'The\tThe\tDT\tB-NP\tO' +p161041 +aS'patient\tpatient\tNN\tI-NP\tO' +p161042 +aS'remained\tremain\tVBD\tB-VP\tO' +p161043 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p161044 +aS'until\tuntil\tIN\tB-SBAR\tO' +p161045 +aS'day\tday\tNN\tB-NP\tO' +p161046 +aS'+11\t+11\tCD\tI-NP\tO' +p161047 +aS'when\twhen\tWRB\tB-ADVP\tO' +p161048 +aS'he\the\tPRP\tB-NP\tO' +p161049 +aS'spiked\tspike\tVBD\tB-VP\tO' +p161050 +aS'and\tand\tCC\tO\tO' +p161051 +aS'was\tbe\tVBD\tB-VP\tO' +p161052 +aS'started\tstart\tVBN\tI-VP\tO' +p161053 +aS'on\ton\tIN\tB-PP\tO' +p161054 +aS'ceftazidime\tceftazidime\tNN\tB-NP\tO' +p161055 +aS'.\t.\t.\tO\tO' +p161056 +asS'From a GI point of view , he is receiving Promote tube feeds through his jejunostomy tube .' +p161057 +(lp161058 +S'From\tFrom\tIN\tB-PP\tO' +p161059 +aS'a\ta\tDT\tB-NP\tO' +p161060 +aS'GI\tGI\tNN\tI-NP\tO' +p161061 +aS'point\tpoint\tNN\tI-NP\tO' +p161062 +aS'of\tof\tIN\tB-PP\tO' +p161063 +aS'view\tview\tNN\tB-NP\tO' +p161064 +aS',\t,\t,\tO\tO' +p161065 +aS'he\the\tPRP\tB-NP\tO' +p161066 +aS'is\tbe\tVBZ\tB-VP\tO' +p161067 +aS'receiving\treceive\tVBG\tI-VP\tO' +p161068 +aS'Promote\tPromote\tJJ\tB-NP\tO' +p161069 +aS'tube\ttube\tNN\tI-NP\tO' +p161070 +aS'feeds\tfeed\tNNS\tI-NP\tO' +p161071 +aS'through\tthrough\tIN\tB-PP\tO' +p161072 +aS'his\this\tPRP$\tB-NP\tO' +p161073 +aS'jejunostomy\tjejunostomy\tNN\tI-NP\tO' +p161074 +aS'tube\ttube\tNN\tI-NP\tO' +p161075 +aS'.\t.\t.\tO\tO' +p161076 +asS'The patient was a nonsmoker and used no ethanol .' +p161077 +(lp161078 +S'The\tThe\tDT\tB-NP\tO' +p161079 +aS'patient\tpatient\tNN\tI-NP\tO' +p161080 +aS'was\tbe\tVBD\tB-VP\tO' +p161081 +aS'a\ta\tDT\tB-NP\tO' +p161082 +aS'nonsmoker\tnonsmoker\tJJ\tI-NP\tO' +p161083 +aS'and\tand\tCC\tI-NP\tO' +p161084 +aS'used\tuse\tVBN\tI-NP\tO' +p161085 +aS'no\tno\tDT\tB-NP\tO' +p161086 +aS'ethanol\tethanol\tNN\tI-NP\tO' +p161087 +aS'.\t.\t.\tO\tO' +p161088 +asS'He had dressing changes twice a day .' +p161089 +(lp161090 +S'He\tHe\tPRP\tB-NP\tO' +p161091 +aS'had\thave\tVBD\tB-VP\tO' +p161092 +aS'dressing\tdress\tVBG\tI-VP\tO' +p161093 +aS'changes\tchange\tNNS\tB-NP\tO' +p161094 +aS'twice\ttwice\tRB\tB-NP\tO' +p161095 +aS'a\ta\tDT\tI-NP\tO' +p161096 +aS'day\tday\tNN\tI-NP\tO' +p161097 +aS'.\t.\t.\tO\tO' +p161098 +asS'Peripheral pulses were 2+ and symmetrical bilaterally .' +p161099 +(lp161100 +S'Peripheral\tPeripheral\tJJ\tB-NP\tO' +p161101 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p161102 +aS'were\tbe\tVBD\tB-VP\tO' +p161103 +aS'2+\t2+\tJJ\tB-ADJP\tO' +p161104 +aS'and\tand\tCC\tI-ADJP\tO' +p161105 +aS'symmetrical\tsymmetrical\tJJ\tI-ADJP\tO' +p161106 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p161107 +aS'.\t.\t.\tO\tO' +p161108 +asS'Mr. Morton then developed more pain and warmth to his right foot later in the week and presented to the Youville Hospital - Woody Monica .' +p161109 +(lp161110 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p161111 +aS'Morton\tMorton\tNNP\tI-NP\tO' +p161112 +aS'then\tthen\tRB\tB-ADVP\tO' +p161113 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p161114 +aS'more\tmore\tJJR\tB-NP\tO' +p161115 +aS'pain\tpain\tNN\tI-NP\tO' +p161116 +aS'and\tand\tCC\tI-NP\tO' +p161117 +aS'warmth\twarmth\tNN\tI-NP\tO' +p161118 +aS'to\tto\tTO\tB-PP\tO' +p161119 +aS'his\this\tPRP$\tB-NP\tO' +p161120 +aS'right\tright\tJJ\tI-NP\tO' +p161121 +aS'foot\tfoot\tNN\tI-NP\tO' +p161122 +aS'later\tlater\tRB\tB-ADVP\tO' +p161123 +aS'in\tin\tIN\tB-PP\tO' +p161124 +aS'the\tthe\tDT\tB-NP\tO' +p161125 +aS'week\tweek\tNN\tI-NP\tO' +p161126 +aS'and\tand\tCC\tO\tO' +p161127 +aS'presented\tpresent\tVBN\tB-VP\tO' +p161128 +aS'to\tto\tTO\tB-PP\tO' +p161129 +aS'the\tthe\tDT\tB-NP\tO' +p161130 +aS'Youville\tYouville\tNNP\tI-NP\tO' +p161131 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p161132 +aS'-\t-\tHYPH\tI-NP\tO' +p161133 +aS'Woody\tWoody\tNNP\tB-NP\tO' +p161134 +aS'Monica\tMonica\tNNP\tI-NP\tO' +p161135 +aS'.\t.\t.\tO\tO' +p161136 +asS'2) Azotemia presumed secondary to sepsis and dehydration , creatinine decreased to 2.1 with intravenous fluids and antibiotics .' +p161137 +(lp161138 +S'2)\t2)\tLS\tB-NP\tO' +p161139 +aS'Azotemia\tAzotemia\tNN\tI-NP\tO' +p161140 +aS'presumed\tpresume\tVBN\tB-VP\tO' +p161141 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p161142 +aS'to\tto\tTO\tB-PP\tO' +p161143 +aS'sepsis\tsepsis\tNN\tB-NP\tO' +p161144 +aS'and\tand\tCC\tI-NP\tO' +p161145 +aS'dehydration\tdehydration\tNN\tI-NP\tO' +p161146 +aS',\t,\t,\tO\tO' +p161147 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p161148 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p161149 +aS'to\tto\tTO\tB-PP\tO' +p161150 +aS'2.1\t2.1\tCD\tB-NP\tO' +p161151 +aS'with\twith\tIN\tB-PP\tO' +p161152 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p161153 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p161154 +aS'and\tand\tCC\tI-NP\tO' +p161155 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p161156 +aS'.\t.\t.\tO\tO' +p161157 +asS'Flat , soft and nontender abdomen without hepatosplenomegaly .' +p161158 +(lp161159 +S'Flat\tFlat\tRB\tB-ADVP\tO' +p161160 +aS',\t,\t,\tO\tO' +p161161 +aS'soft\tsoft\tJJ\tB-NP\tO' +p161162 +aS'and\tand\tCC\tI-NP\tO' +p161163 +aS'nontender\tnontender\tJJ\tI-NP\tO' +p161164 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p161165 +aS'without\twithout\tIN\tB-PP\tO' +p161166 +aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tB-NP\tO' +p161167 +aS'.\t.\t.\tO\tO' +p161168 +asS'6. Fluticasone 110 mcg / Actuation Aerosol Sig : Two ( 2 ) Puff Inhalation BID ( 2 times a day ).' +p161169 +(lp161170 +S'6.\t6.\tLS\tB-NP\tO' +p161171 +aS'Fluticasone\tFluticasone\tNN\tI-NP\tO' +p161172 +aS'110\t110\tCD\tI-NP\tO' +p161173 +aS'mcg\tmcg\tNN\tI-NP\tO' +p161174 +aS'/\t/\tSYM\tB-NP\tO' +p161175 +aS'Actuation\tActuation\tNN\tI-NP\tO' +p161176 +aS'Aerosol\tAerosol\tNNP\tI-NP\tO' +p161177 +aS'Sig\tSig\tNNP\tI-NP\tO' +p161178 +aS':\t:\t:\tO\tO' +p161179 +aS'Two\tTwo\tCD\tB-NP\tO' +p161180 +aS'(\t(\t(\tO\tO' +p161181 +aS'2\t2\tCD\tO\tO' +p161182 +aS')\t)\t)\tO\tO' +p161183 +aS'Puff\tPuff\tNN\tB-NP\tO' +p161184 +aS'Inhalation\tInhalation\tNN\tI-NP\tO' +p161185 +aS'BID\tBID\tNN\tI-NP\tO' +p161186 +aS'(\t(\t(\tO\tO' +p161187 +aS'2\t2\tCD\tB-NP\tO' +p161188 +aS'times\ttime\tNNS\tI-NP\tO' +p161189 +aS'a\ta\tDT\tB-NP\tO' +p161190 +aS'day\tday\tNN\tI-NP\tO' +p161191 +aS').\t).\t.\tO\tO' +p161192 +asS'2) Probable obstructing 5 mm right mid ureteral calculus causing mild hydroureter , though it is difficult to tell definitively if this stone is within or just medial to the right ureter on this CT without IV contrast .' +p161193 +(lp161194 +S'2)\t2)\tLS\tB-LST\tO' +p161195 +aS'Probable\tProbable\tJJ\tB-PP\tO' +p161196 +aS'obstructing\tobstruct\tVBG\tB-VP\tO' +p161197 +aS'5\t5\tCD\tB-NP\tO' +p161198 +aS'mm\tmm\tNN\tI-NP\tO' +p161199 +aS'right\tright\tJJ\tI-NP\tO' +p161200 +aS'mid\tmid\tJJ\tI-NP\tO' +p161201 +aS'ureteral\tureteral\tJJ\tI-NP\tO' +p161202 +aS'calculus\tcalculus\tNN\tI-NP\tO' +p161203 +aS'causing\tcause\tVBG\tB-VP\tO' +p161204 +aS'mild\tmild\tJJ\tB-NP\tO' +p161205 +aS'hydroureter\thydroureter\tNN\tI-NP\tO' +p161206 +aS',\t,\t,\tO\tO' +p161207 +aS'though\tthough\tIN\tB-SBAR\tO' +p161208 +aS'it\tit\tPRP\tB-NP\tO' +p161209 +aS'is\tbe\tVBZ\tB-VP\tO' +p161210 +aS'difficult\tdifficult\tJJ\tB-ADJP\tO' +p161211 +aS'to\tto\tTO\tB-VP\tO' +p161212 +aS'tell\ttell\tVB\tI-VP\tO' +p161213 +aS'definitively\tdefinitively\tRB\tB-ADVP\tO' +p161214 +aS'if\tif\tIN\tB-SBAR\tO' +p161215 +aS'this\tthis\tDT\tB-NP\tO' +p161216 +aS'stone\tstone\tNN\tI-NP\tO' +p161217 +aS'is\tbe\tVBZ\tB-VP\tO' +p161218 +aS'within\twithin\tIN\tB-PP\tO' +p161219 +aS'or\tor\tCC\tO\tO' +p161220 +aS'just\tjust\tRB\tB-ADJP\tO' +p161221 +aS'medial\tmedial\tJJ\tI-ADJP\tO' +p161222 +aS'to\tto\tTO\tB-PP\tO' +p161223 +aS'the\tthe\tDT\tB-NP\tO' +p161224 +aS'right\tright\tJJ\tI-NP\tO' +p161225 +aS'ureter\tureter\tNN\tI-NP\tO' +p161226 +aS'on\ton\tIN\tB-PP\tO' +p161227 +aS'this\tthis\tDT\tB-NP\tO' +p161228 +aS'CT\tCT\tNN\tI-NP\tB-protein' +p161229 +aS'without\twithout\tIN\tB-PP\tO' +p161230 +aS'IV\tIV\tCD\tB-NP\tO' +p161231 +aS'contrast\tcontrast\tNN\tI-NP\tO' +p161232 +aS'.\t.\t.\tO\tO' +p161233 +asS"Single , lives with her daughter , doesn 't smoke , doesn 't drink , worked for bag company" +p161234 +(lp161235 +S'Single\tSingle\tNNP\tB-NP\tO' +p161236 +aS',\t,\t,\tO\tO' +p161237 +aS'lives\tlive\tVBZ\tB-VP\tO' +p161238 +aS'with\twith\tIN\tB-PP\tO' +p161239 +aS'her\ther\tPRP$\tB-NP\tO' +p161240 +aS'daughter\tdaughter\tNN\tI-NP\tO' +p161241 +aS',\t,\t,\tO\tO' +p161242 +aS'doesn\tdoesn\tNN\tB-NP\tO' +p161243 +aS"'t\t't\tNN\tI-NP\tO" +p161244 +aS'smoke\tsmoke\tNN\tI-NP\tO' +p161245 +aS',\t,\t,\tO\tO' +p161246 +aS'doesn\tdoesn\tNN\tB-NP\tO' +p161247 +aS"'t\t't\tNN\tI-NP\tO" +p161248 +aS'drink\tdrink\tNN\tI-NP\tO' +p161249 +aS',\t,\t,\tO\tO' +p161250 +aS'worked\twork\tVBD\tB-VP\tO' +p161251 +aS'for\tfor\tIN\tB-PP\tO' +p161252 +aS'bag\tbag\tNN\tB-NP\tO' +p161253 +aS'company\tcompany\tNN\tI-NP\tO' +p161254 +asS'Influenza vaccination should be considered annually in the fall for preterm infants with chronic lung disease once they reach six months of age .' +p161255 +(lp161256 +S'Influenza\tInfluenza\tNN\tB-NP\tO' +p161257 +aS'vaccination\tvaccination\tNN\tI-NP\tO' +p161258 +aS'should\tshould\tMD\tB-VP\tO' +p161259 +aS'be\tbe\tVB\tI-VP\tO' +p161260 +aS'considered\tconsider\tVBN\tI-VP\tO' +p161261 +aS'annually\tannually\tRB\tB-ADVP\tO' +p161262 +aS'in\tin\tIN\tB-PP\tO' +p161263 +aS'the\tthe\tDT\tB-NP\tO' +p161264 +aS'fall\tfall\tNN\tI-NP\tO' +p161265 +aS'for\tfor\tIN\tB-PP\tO' +p161266 +aS'preterm\tpreterm\tJJ\tB-NP\tO' +p161267 +aS'infants\tinfant\tNNS\tI-NP\tO' +p161268 +aS'with\twith\tIN\tB-PP\tO' +p161269 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p161270 +aS'lung\tlung\tNN\tI-NP\tO' +p161271 +aS'disease\tdisease\tNN\tI-NP\tO' +p161272 +aS'once\tonce\tIN\tB-SBAR\tO' +p161273 +aS'they\tthey\tPRP\tB-NP\tO' +p161274 +aS'reach\treach\tVBP\tB-VP\tO' +p161275 +aS'six\tsix\tCD\tB-NP\tO' +p161276 +aS'months\tmonth\tNNS\tI-NP\tO' +p161277 +aS'of\tof\tIN\tB-PP\tO' +p161278 +aS'age\tage\tNN\tB-NP\tO' +p161279 +aS'.\t.\t.\tO\tO' +p161280 +asS'His temperature raised from 98.6 F. , to 101.0 F.' +p161281 +(lp161282 +S'His\tHis\tPRP$\tB-NP\tO' +p161283 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p161284 +aS'raised\traise\tVBN\tB-VP\tO' +p161285 +aS'from\tfrom\tIN\tB-PP\tO' +p161286 +aS'98.6\t98.6\tCD\tB-NP\tO' +p161287 +aS'F.\tF.\tNNP\tI-NP\tO' +p161288 +aS',\t,\t,\tO\tO' +p161289 +aS'to\tto\tTO\tB-PP\tO' +p161290 +aS'101.0\t101.0\tCD\tB-NP\tO' +p161291 +aS'F.\tF.\tNNP\tB-NP\tO' +p161292 +asS'He is being maintained with twice daily Xeroform with Betadine changes .' +p161293 +(lp161294 +S'He\tHe\tPRP\tB-NP\tO' +p161295 +aS'is\tbe\tVBZ\tB-VP\tO' +p161296 +aS'being\tbe\tVBG\tI-VP\tO' +p161297 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p161298 +aS'with\twith\tIN\tB-PP\tO' +p161299 +aS'twice\ttwice\tRB\tB-NP\tO' +p161300 +aS'daily\tdaily\tJJ\tI-NP\tO' +p161301 +aS'Xeroform\tXeroform\tNN\tI-NP\tO' +p161302 +aS'with\twith\tIN\tB-PP\tO' +p161303 +aS'Betadine\tBetadine\tNN\tB-NP\tO' +p161304 +aS'changes\tchange\tNNS\tI-NP\tO' +p161305 +aS'.\t.\t.\tO\tO' +p161306 +asS'He tolerated the procedure well with no complications except postoperatively , his voice was hoarse .' +p161307 +(lp161308 +S'He\tHe\tPRP\tB-NP\tO' +p161309 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p161310 +aS'the\tthe\tDT\tB-NP\tO' +p161311 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p161312 +aS'well\twell\tRB\tB-ADVP\tO' +p161313 +aS'with\twith\tIN\tB-PP\tO' +p161314 +aS'no\tno\tDT\tB-NP\tO' +p161315 +aS'complications\tcomplication\tNNS\tI-NP\tO' +p161316 +aS'except\texcept\tIN\tB-PP\tO' +p161317 +aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' +p161318 +aS',\t,\t,\tO\tO' +p161319 +aS'his\this\tPRP$\tB-NP\tO' +p161320 +aS'voice\tvoice\tNN\tI-NP\tO' +p161321 +aS'was\tbe\tVBD\tB-VP\tO' +p161322 +aS'hoarse\thoarse\tNN\tB-NP\tO' +p161323 +aS'.\t.\t.\tO\tO' +p161324 +asS'The head CT scan revealed a large right occipital infarct without midline shift , but positive mass effect on the temporal horn , on the right ventricle and some effacement of the sulci in the right parietal area .' +p161325 +(lp161326 +S'The\tThe\tDT\tB-NP\tO' +p161327 +aS'head\thead\tNN\tI-NP\tO' +p161328 +aS'CT\tCT\tNN\tI-NP\tO' +p161329 +aS'scan\tscan\tNN\tI-NP\tO' +p161330 +aS'revealed\treveal\tVBD\tB-VP\tO' +p161331 +aS'a\ta\tDT\tB-NP\tO' +p161332 +aS'large\tlarge\tJJ\tI-NP\tO' +p161333 +aS'right\tright\tJJ\tI-NP\tO' +p161334 +aS'occipital\toccipital\tNN\tI-NP\tO' +p161335 +aS'infarct\tinfarct\tNN\tI-NP\tO' +p161336 +aS'without\twithout\tIN\tB-PP\tO' +p161337 +aS'midline\tmidline\tNN\tB-NP\tO' +p161338 +aS'shift\tshift\tNN\tI-NP\tO' +p161339 +aS',\t,\t,\tO\tO' +p161340 +aS'but\tbut\tCC\tO\tO' +p161341 +aS'positive\tpositive\tJJ\tB-NP\tO' +p161342 +aS'mass\tmass\tNN\tI-NP\tO' +p161343 +aS'effect\teffect\tNN\tI-NP\tO' +p161344 +aS'on\ton\tIN\tB-PP\tO' +p161345 +aS'the\tthe\tDT\tB-NP\tO' +p161346 +aS'temporal\ttemporal\tJJ\tI-NP\tO' +p161347 +aS'horn\thorn\tNN\tI-NP\tO' +p161348 +aS',\t,\t,\tO\tO' +p161349 +aS'on\ton\tIN\tB-PP\tO' +p161350 +aS'the\tthe\tDT\tB-NP\tO' +p161351 +aS'right\tright\tJJ\tI-NP\tO' +p161352 +aS'ventricle\tventricle\tNN\tI-NP\tO' +p161353 +aS'and\tand\tCC\tO\tO' +p161354 +aS'some\tsome\tDT\tB-NP\tO' +p161355 +aS'effacement\teffacement\tNN\tI-NP\tO' +p161356 +aS'of\tof\tIN\tB-PP\tO' +p161357 +aS'the\tthe\tDT\tB-NP\tO' +p161358 +aS'sulci\tsulci\tNN\tI-NP\tO' +p161359 +aS'in\tin\tIN\tB-PP\tO' +p161360 +aS'the\tthe\tDT\tB-NP\tO' +p161361 +aS'right\tright\tJJ\tI-NP\tO' +p161362 +aS'parietal\tparietal\tJJ\tI-NP\tO' +p161363 +aS'area\tarea\tNN\tI-NP\tO' +p161364 +aS'.\t.\t.\tO\tO' +p161365 +asS'He had left greater than right nasal stimulation to grimace .' +p161366 +(lp161367 +S'He\tHe\tPRP\tB-NP\tO' +p161368 +aS'had\thave\tVBD\tB-VP\tO' +p161369 +aS'left\tleave\tVBN\tI-VP\tO' +p161370 +aS'greater\tgreat\tJJR\tB-ADJP\tO' +p161371 +aS'than\tthan\tIN\tB-PP\tO' +p161372 +aS'right\tright\tJJ\tB-NP\tO' +p161373 +aS'nasal\tnasal\tJJ\tI-NP\tO' +p161374 +aS'stimulation\tstimulation\tNN\tI-NP\tO' +p161375 +aS'to\tto\tTO\tB-PP\tO' +p161376 +aS'grimace\tgrimace\tNN\tB-NP\tO' +p161377 +aS'.\t.\t.\tO\tO' +p161378 +asS'Blood coagulation times are normal .' +p161379 +(lp161380 +S'Blood\tBlood\tNN\tB-NP\tO' +p161381 +aS'coagulation\tcoagulation\tNN\tI-NP\tO' +p161382 +aS'times\ttime\tNNS\tI-NP\tO' +p161383 +aS'are\tbe\tVBP\tB-VP\tO' +p161384 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p161385 +aS'.\t.\t.\tO\tO' +p161386 +asS'Additionally , he had a perfusion , diffusion MR study earlier on , which suggested the presence of viable penumbra , including the overlying cortex .' +p161387 +(lp161388 +S'Additionally\tAdditionally\tRB\tB-ADVP\tO' +p161389 +aS',\t,\t,\tO\tO' +p161390 +aS'he\the\tPRP\tB-NP\tO' +p161391 +aS'had\thave\tVBD\tB-VP\tO' +p161392 +aS'a\ta\tDT\tB-NP\tO' +p161393 +aS'perfusion\tperfusion\tNN\tI-NP\tO' +p161394 +aS',\t,\t,\tO\tO' +p161395 +aS'diffusion\tdiffusion\tNN\tB-NP\tO' +p161396 +aS'MR\tMR\tNN\tI-NP\tO' +p161397 +aS'study\tstudy\tNN\tI-NP\tO' +p161398 +aS'earlier\tearlier\tRB\tB-ADVP\tO' +p161399 +aS'on\ton\tIN\tB-PP\tO' +p161400 +aS',\t,\t,\tO\tO' +p161401 +aS'which\twhich\tWDT\tB-NP\tO' +p161402 +aS'suggested\tsuggest\tVBD\tB-VP\tO' +p161403 +aS'the\tthe\tDT\tB-NP\tO' +p161404 +aS'presence\tpresence\tNN\tI-NP\tO' +p161405 +aS'of\tof\tIN\tB-PP\tO' +p161406 +aS'viable\tviable\tJJ\tB-NP\tO' +p161407 +aS'penumbra\tpenumbra\tNN\tI-NP\tO' +p161408 +aS',\t,\t,\tO\tO' +p161409 +aS'including\tinclude\tVBG\tB-PP\tO' +p161410 +aS'the\tthe\tDT\tB-NP\tO' +p161411 +aS'overlying\toverlie\tVBG\tI-NP\tO' +p161412 +aS'cortex\tcortex\tNN\tI-NP\tO' +p161413 +aS'.\t.\t.\tO\tO' +p161414 +asS'6. Prednisone 20 mg po qd .' +p161415 +(lp161416 +S'6.\t6.\tLS\tB-NP\tO' +p161417 +aS'Prednisone\tPrednisone\tNN\tI-NP\tO' +p161418 +aS'20\t20\tCD\tI-NP\tO' +p161419 +aS'mg\tmg\tNN\tI-NP\tO' +p161420 +aS'po\tpo\tNN\tI-NP\tO' +p161421 +aS'qd\tqd\tNN\tI-NP\tO' +p161422 +aS'.\t.\t.\tO\tO' +p161423 +asS'5. State newborn screens were sent on 2018-12-31 , and the results are pending .' +p161424 +(lp161425 +S'5.\t5.\tLS\tB-NP\tO' +p161426 +aS'State\tState\tNN\tI-NP\tO' +p161427 +aS'newborn\tnewborn\tJJ\tI-NP\tO' +p161428 +aS'screens\tscreen\tNNS\tI-NP\tO' +p161429 +aS'were\tbe\tVBD\tB-VP\tO' +p161430 +aS'sent\tsend\tVBN\tI-VP\tO' +p161431 +aS'on\ton\tIN\tB-PP\tO' +p161432 +aS'2018-12-31\t2018-12-31\tCD\tB-NP\tO' +p161433 +aS',\t,\t,\tO\tO' +p161434 +aS'and\tand\tCC\tO\tO' +p161435 +aS'the\tthe\tDT\tB-NP\tO' +p161436 +aS'results\tresult\tNNS\tI-NP\tO' +p161437 +aS'are\tbe\tVBP\tB-VP\tO' +p161438 +aS'pending\tpende\tVBG\tI-VP\tO' +p161439 +aS'.\t.\t.\tO\tO' +p161440 +asS'Other-Expired .' +p161441 +(lp161442 +S'Other-Expired\tOther-Expired\tJJ\tB-ADJP\tO' +p161443 +aS'.\t.\t.\tO\tO' +p161444 +asS'47 yo F w/ h/o steroid-induced hyperglycemia , SLE w/ h/o pericarditis , transverse myelitis w/ paraplegia and neurogenic bladder s/p urostomy w/ ileal conduit , h/o ureteropelvic stone and urosepsis , and h/o RLE DVT a/w F 2014-11-29 transferred to CMED 2014-11-30 for hypotn resistant to IVFs and stress steroids .' +p161445 +(lp161446 +S'47\t47\tCD\tB-NP\tO' +p161447 +aS'yo\tyo\tNN\tI-NP\tO' +p161448 +aS'F\tF\tNN\tI-NP\tO' +p161449 +aS'w/\tw/\tNN\tI-NP\tO' +p161450 +aS'h/o\th/o\tNN\tI-NP\tO' +p161451 +aS'steroid-induced\tsteroid-induced\tJJ\tI-NP\tO' +p161452 +aS'hyperglycemia\thyperglycemia\tNN\tI-NP\tO' +p161453 +aS',\t,\t,\tO\tO' +p161454 +aS'SLE\tSLE\tNN\tB-NP\tO' +p161455 +aS'w/\tw/\tNN\tI-NP\tO' +p161456 +aS'h/o\th/o\tNN\tI-NP\tO' +p161457 +aS'pericarditis\tpericarditis\tNN\tI-NP\tO' +p161458 +aS',\t,\t,\tO\tO' +p161459 +aS'transverse\ttransverse\tJJ\tB-NP\tO' +p161460 +aS'myelitis\tmyelitis\tNN\tI-NP\tO' +p161461 +aS'w/\tw/\tNN\tI-NP\tO' +p161462 +aS'paraplegia\tparaplegia\tNN\tI-NP\tO' +p161463 +aS'and\tand\tCC\tO\tO' +p161464 +aS'neurogenic\tneurogenic\tJJ\tB-NP\tO' +p161465 +aS'bladder\tbladder\tNN\tI-NP\tO' +p161466 +aS's/p\ts/p\tNN\tI-NP\tO' +p161467 +aS'urostomy\turostomy\tNN\tI-NP\tO' +p161468 +aS'w/\tw/\tNN\tI-NP\tO' +p161469 +aS'ileal\tileal\tJJ\tI-NP\tO' +p161470 +aS'conduit\tconduit\tNN\tI-NP\tO' +p161471 +aS',\t,\t,\tO\tO' +p161472 +aS'h/o\th/o\tNN\tB-NP\tO' +p161473 +aS'ureteropelvic\tureteropelvic\tJJ\tI-NP\tO' +p161474 +aS'stone\tstone\tNN\tI-NP\tO' +p161475 +aS'and\tand\tCC\tI-NP\tO' +p161476 +aS'urosepsis\turosepsis\tNN\tI-NP\tO' +p161477 +aS',\t,\t,\tO\tO' +p161478 +aS'and\tand\tCC\tO\tO' +p161479 +aS'h/o\th/o\tNN\tB-NP\tO' +p161480 +aS'RLE\tRLE\tNN\tI-NP\tO' +p161481 +aS'DVT\tDVT\tNN\tI-NP\tO' +p161482 +aS'a/w\ta/w\tNN\tI-NP\tO' +p161483 +aS'F\tF\tNN\tI-NP\tO' +p161484 +aS'2014-11-29\t2014-11-29\tCD\tI-NP\tO' +p161485 +aS'transferred\ttransfer\tVBD\tB-VP\tO' +p161486 +aS'to\tto\tTO\tI-VP\tO' +p161487 +aS'CMED\tCMED\tVB\tI-VP\tO' +p161488 +aS'2014-11-30\t2014-11-30\tCD\tB-NP\tO' +p161489 +aS'for\tfor\tIN\tB-PP\tO' +p161490 +aS'hypotn\thypotn\tNN\tB-NP\tO' +p161491 +aS'resistant\tresistant\tJJ\tB-ADJP\tO' +p161492 +aS'to\tto\tTO\tB-PP\tO' +p161493 +aS'IVFs\tIVF\tNNS\tB-NP\tB-protein' +p161494 +aS'and\tand\tCC\tO\tO' +p161495 +aS'stress\tstress\tNN\tB-NP\tO' +p161496 +aS'steroids\tsteroid\tNNS\tI-NP\tO' +p161497 +aS'.\t.\t.\tO\tO' +p161498 +asS'The left upper extremity shows reduction in motor power ranging from 2/5 in the triceps , 4/5 in the biceps , and 3-4/5 in the wrists and hand intrinsics .' +p161499 +(lp161500 +S'The\tThe\tDT\tB-NP\tO' +p161501 +aS'left\tleft\tJJ\tI-NP\tO' +p161502 +aS'upper\tupper\tJJ\tI-NP\tO' +p161503 +aS'extremity\textremity\tNN\tI-NP\tO' +p161504 +aS'shows\tshow\tVBZ\tB-VP\tO' +p161505 +aS'reduction\treduction\tNN\tB-NP\tO' +p161506 +aS'in\tin\tIN\tB-PP\tO' +p161507 +aS'motor\tmotor\tNN\tB-NP\tO' +p161508 +aS'power\tpower\tNN\tI-NP\tO' +p161509 +aS'ranging\trange\tVBG\tB-VP\tO' +p161510 +aS'from\tfrom\tIN\tB-PP\tO' +p161511 +aS'2/5\t2/5\tCD\tB-NP\tO' +p161512 +aS'in\tin\tIN\tB-PP\tO' +p161513 +aS'the\tthe\tDT\tB-NP\tO' +p161514 +aS'triceps\ttricep\tNNS\tI-NP\tO' +p161515 +aS',\t,\t,\tO\tO' +p161516 +aS'4/5\t4/5\tCD\tB-NP\tO' +p161517 +aS'in\tin\tIN\tB-PP\tO' +p161518 +aS'the\tthe\tDT\tB-NP\tO' +p161519 +aS'biceps\tbicep\tNNS\tI-NP\tO' +p161520 +aS',\t,\t,\tO\tO' +p161521 +aS'and\tand\tCC\tO\tO' +p161522 +aS'3-4/5\t3-4/5\tCD\tB-NP\tO' +p161523 +aS'in\tin\tIN\tB-PP\tO' +p161524 +aS'the\tthe\tDT\tB-NP\tO' +p161525 +aS'wrists\twrist\tNNS\tI-NP\tO' +p161526 +aS'and\tand\tCC\tI-NP\tO' +p161527 +aS'hand\thand\tNN\tI-NP\tO' +p161528 +aS'intrinsics\tintrinsic\tNNS\tI-NP\tO' +p161529 +aS'.\t.\t.\tO\tO' +p161530 +asS'Good air entry bilaterally .' +p161531 +(lp161532 +S'Good\tGood\tJJ\tB-NP\tO' +p161533 +aS'air\tair\tNN\tI-NP\tO' +p161534 +aS'entry\tentry\tNN\tI-NP\tO' +p161535 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p161536 +aS'.\t.\t.\tO\tO' +p161537 +asS'Serax p.r.n. insomnia ; iron ; MVI .' +p161538 +(lp161539 +S'Serax\tSerax\tNN\tB-NP\tO' +p161540 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p161541 +aS'insomnia\tinsomnia\tNN\tI-NP\tO' +p161542 +aS';\t;\t:\tO\tO' +p161543 +aS'iron\tiron\tNN\tB-NP\tO' +p161544 +aS';\t;\t:\tO\tO' +p161545 +aS'MVI\tMVI\tNN\tB-NP\tO' +p161546 +aS'.\t.\t.\tO\tO' +p161547 +asS'Serial EKG and CK were obtained which were negative .' +p161548 +(lp161549 +S'Serial\tSerial\tJJ\tB-NP\tO' +p161550 +aS'EKG\tEKG\tNN\tI-NP\tO' +p161551 +aS'and\tand\tCC\tI-NP\tO' +p161552 +aS'CK\tCK\tNN\tI-NP\tB-protein' +p161553 +aS'were\tbe\tVBD\tB-VP\tO' +p161554 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p161555 +aS'which\twhich\tWDT\tB-NP\tO' +p161556 +aS'were\tbe\tVBD\tB-VP\tO' +p161557 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p161558 +aS'.\t.\t.\tO\tO' +p161559 +asS'She had VP-16 mixed with 250 cc IV fluid given over 1 hour each day for 3 days .' +p161560 +(lp161561 +S'She\tShe\tPRP\tB-NP\tO' +p161562 +aS'had\thave\tVBD\tB-VP\tO' +p161563 +aS'VP-16\tVP-16\tNN\tB-NP\tB-protein' +p161564 +aS'mixed\tmix\tVBN\tB-VP\tO' +p161565 +aS'with\twith\tIN\tB-PP\tO' +p161566 +aS'250\t250\tCD\tB-NP\tO' +p161567 +aS'cc\tcc\tNN\tI-NP\tO' +p161568 +aS'IV\tIV\tCD\tB-NP\tO' +p161569 +aS'fluid\tfluid\tNN\tI-NP\tO' +p161570 +aS'given\tgive\tVBN\tB-VP\tO' +p161571 +aS'over\tover\tIN\tB-NP\tO' +p161572 +aS'1\t1\tCD\tI-NP\tO' +p161573 +aS'hour\thour\tNN\tI-NP\tO' +p161574 +aS'each\teach\tDT\tB-NP\tO' +p161575 +aS'day\tday\tNN\tI-NP\tO' +p161576 +aS'for\tfor\tIN\tB-PP\tO' +p161577 +aS'3\t3\tCD\tB-NP\tO' +p161578 +aS'days\tday\tNNS\tI-NP\tO' +p161579 +aS'.\t.\t.\tO\tO' +p161580 +asS'Oriented to person and time .' +p161581 +(lp161582 +S'Oriented\tOrient\tVBN\tB-VP\tO' +p161583 +aS'to\tto\tTO\tB-PP\tO' +p161584 +aS'person\tperson\tNN\tB-NP\tO' +p161585 +aS'and\tand\tCC\tI-NP\tO' +p161586 +aS'time\ttime\tNN\tI-NP\tO' +p161587 +aS'.\t.\t.\tO\tO' +p161588 +asS'An MRI without gadolinium done on 11/20/94 of the spine showed a right posterior lateral epidural mass extending from T9 to T12 .' +p161589 +(lp161590 +S'An\tAn\tDT\tB-NP\tO' +p161591 +aS'MRI\tMRI\tNN\tI-NP\tO' +p161592 +aS'without\twithout\tIN\tB-PP\tO' +p161593 +aS'gadolinium\tgadolinium\tNN\tB-NP\tO' +p161594 +aS'done\tdo\tVBN\tB-VP\tO' +p161595 +aS'on\ton\tIN\tB-PP\tO' +p161596 +aS'11/20/94\t11/20/94\tCD\tB-NP\tO' +p161597 +aS'of\tof\tIN\tB-PP\tO' +p161598 +aS'the\tthe\tDT\tB-NP\tO' +p161599 +aS'spine\tspine\tNN\tI-NP\tO' +p161600 +aS'showed\tshow\tVBD\tB-VP\tO' +p161601 +aS'a\ta\tDT\tB-NP\tO' +p161602 +aS'right\tright\tJJ\tI-NP\tO' +p161603 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p161604 +aS'lateral\tlateral\tJJ\tI-NP\tO' +p161605 +aS'epidural\tepidural\tJJ\tI-NP\tO' +p161606 +aS'mass\tmass\tNN\tI-NP\tO' +p161607 +aS'extending\textend\tVBG\tB-VP\tO' +p161608 +aS'from\tfrom\tIN\tB-PP\tO' +p161609 +aS'T9\tT9\tNN\tB-NP\tB-DNA' +p161610 +aS'to\tto\tTO\tB-PP\tO' +p161611 +aS'T12\tT12\tNN\tB-NP\tB-protein' +p161612 +aS'.\t.\t.\tO\tO' +p161613 +asS'The lack of EEG correlate to the facial twitching does not exclude a central cause ( and , indeed , this appeared most likely based on the clinical and video observations ).' +p161614 +(lp161615 +S'The\tThe\tDT\tB-NP\tO' +p161616 +aS'lack\tlack\tNN\tI-NP\tO' +p161617 +aS'of\tof\tIN\tB-PP\tO' +p161618 +aS'EEG\tEEG\tNN\tB-NP\tB-protein' +p161619 +aS'correlate\tcorrelate\tVBP\tB-VP\tO' +p161620 +aS'to\tto\tTO\tB-PP\tO' +p161621 +aS'the\tthe\tDT\tB-NP\tO' +p161622 +aS'facial\tfacial\tJJ\tI-NP\tO' +p161623 +aS'twitching\ttwitching\tNN\tI-NP\tO' +p161624 +aS'does\tdo\tVBZ\tB-VP\tO' +p161625 +aS'not\tnot\tRB\tI-VP\tO' +p161626 +aS'exclude\texclude\tVB\tI-VP\tO' +p161627 +aS'a\ta\tDT\tB-NP\tO' +p161628 +aS'central\tcentral\tJJ\tI-NP\tO' +p161629 +aS'cause\tcause\tNN\tI-NP\tO' +p161630 +aS'(\t(\t(\tO\tO' +p161631 +aS'and\tand\tCC\tO\tO' +p161632 +aS',\t,\t,\tO\tO' +p161633 +aS'indeed\tindeed\tRB\tB-ADVP\tO' +p161634 +aS',\t,\t,\tO\tO' +p161635 +aS'this\tthis\tDT\tB-NP\tO' +p161636 +aS'appeared\tappear\tVBD\tB-VP\tO' +p161637 +aS'most\tmost\tRBS\tB-ADVP\tO' +p161638 +aS'likely\tlikely\tRB\tI-ADVP\tO' +p161639 +aS'based\tbase\tVBN\tB-PP\tO' +p161640 +aS'on\ton\tIN\tB-PP\tO' +p161641 +aS'the\tthe\tDT\tB-NP\tO' +p161642 +aS'clinical\tclinical\tJJ\tI-NP\tO' +p161643 +aS'and\tand\tCC\tI-NP\tO' +p161644 +aS'video\tvideo\tJJ\tI-NP\tO' +p161645 +aS'observations\tobservation\tNNS\tI-NP\tO' +p161646 +aS').\t).\t)\tO\tO' +p161647 +asS'6. Aspirin 325 mg p.o. once per day .' +p161648 +(lp161649 +S'6.\t6.\tLS\tB-NP\tO' +p161650 +aS'Aspirin\tAspirin\tNN\tI-NP\tO' +p161651 +aS'325\t325\tCD\tI-NP\tO' +p161652 +aS'mg\tmg\tNN\tI-NP\tO' +p161653 +aS'p.o.\tp.o.\tRB\tB-ADVP\tO' +p161654 +aS'once\tonce\tRB\tI-ADVP\tO' +p161655 +aS'per\tper\tIN\tB-PP\tO' +p161656 +aS'day\tday\tNN\tB-NP\tO' +p161657 +aS'.\t.\t.\tO\tO' +p161658 +asS'His chest showed bilateral rhonchi .' +p161659 +(lp161660 +S'His\tHis\tPRP$\tB-NP\tO' +p161661 +aS'chest\tchest\tNN\tI-NP\tO' +p161662 +aS'showed\tshow\tVBD\tB-VP\tO' +p161663 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p161664 +aS'rhonchi\trhonchi\tNN\tI-NP\tO' +p161665 +aS'.\t.\t.\tO\tO' +p161666 +asS'Systolic murmur in right upper sternal border .' +p161667 +(lp161668 +S'Systolic\tSystolic\tJJ\tB-NP\tO' +p161669 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p161670 +aS'in\tin\tIN\tB-PP\tO' +p161671 +aS'right\tright\tJJ\tB-NP\tO' +p161672 +aS'upper\tupper\tJJ\tI-NP\tO' +p161673 +aS'sternal\tsternal\tJJ\tI-NP\tO' +p161674 +aS'border\tborder\tNN\tI-NP\tO' +p161675 +aS'.\t.\t.\tO\tO' +p161676 +asS'Central Venous Catheter and Swan Ganz catheter placement' +p161677 +(lp161678 +S'Central\tCentral\tNNP\tB-NP\tO' +p161679 +aS'Venous\tVenous\tNNP\tI-NP\tO' +p161680 +aS'Catheter\tCatheter\tNNP\tI-NP\tO' +p161681 +aS'and\tand\tCC\tO\tO' +p161682 +aS'Swan\tSwan\tNNP\tB-NP\tO' +p161683 +aS'Ganz\tGanz\tNNP\tI-NP\tO' +p161684 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p161685 +aS'placement\tplacement\tNN\tI-NP\tO' +p161686 +asS'3. High bifurcation of the popliteal artery at the knee level .' +p161687 +(lp161688 +S'3.\t3.\tLS\tB-NP\tO' +p161689 +aS'High\tHigh\tJJ\tI-NP\tO' +p161690 +aS'bifurcation\tbifurcation\tNN\tI-NP\tO' +p161691 +aS'of\tof\tIN\tB-PP\tO' +p161692 +aS'the\tthe\tDT\tB-NP\tO' +p161693 +aS'popliteal\tpopliteal\tJJ\tI-NP\tO' +p161694 +aS'artery\tartery\tNN\tI-NP\tO' +p161695 +aS'at\tat\tIN\tB-PP\tO' +p161696 +aS'the\tthe\tDT\tB-NP\tO' +p161697 +aS'knee\tknee\tNN\tI-NP\tO' +p161698 +aS'level\tlevel\tNN\tI-NP\tO' +p161699 +aS'.\t.\t.\tO\tO' +p161700 +asS'Large ~6 x 6 cm sized right thyroid mass , soft , possibly cystic , non-tender.' +p161701 +(lp161702 +S'Large\tLarge\tJJ\tB-NP\tO' +p161703 +aS'~6\t~6\tCD\tI-NP\tO' +p161704 +aS'x\tx\tSYM\tI-NP\tO' +p161705 +aS'6\t6\tCD\tI-NP\tO' +p161706 +aS'cm\tcm\tNN\tI-NP\tO' +p161707 +aS'sized\tsized\tJJ\tI-NP\tO' +p161708 +aS'right\tright\tJJ\tI-NP\tO' +p161709 +aS'thyroid\tthyroid\tNN\tI-NP\tO' +p161710 +aS'mass\tmass\tNN\tI-NP\tO' +p161711 +aS',\t,\t,\tO\tO' +p161712 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p161713 +aS',\t,\t,\tO\tO' +p161714 +aS'possibly\tpossibly\tRB\tB-ADJP\tO' +p161715 +aS'cystic\tcystic\tJJ\tI-ADJP\tO' +p161716 +aS',\t,\t,\tO\tO' +p161717 +aS'non-tender.\tnon-tender.\tJJ\tB-ADJP\tO' +p161718 +asS'21. Gabapentin 300 mg Capsule Sig : One ( 1 ) Capsule PO TID ( 3 times a day ) .' +p161719 +(lp161720 +S'21.\t21.\tLS\tB-NP\tO' +p161721 +aS'Gabapentin\tGabapentin\tNN\tI-NP\tB-protein' +p161722 +aS'300\t300\tCD\tI-NP\tI-protein' +p161723 +aS'mg\tmg\tNN\tI-NP\tI-protein' +p161724 +aS'Capsule\tCapsule\tNNP\tI-NP\tI-protein' +p161725 +aS'Sig\tSig\tNNP\tI-NP\tI-protein' +p161726 +aS':\t:\t:\tO\tO' +p161727 +aS'One\tOne\tCD\tB-NP\tO' +p161728 +aS'(\t(\t(\tO\tO' +p161729 +aS'1\t1\tCD\tB-NP\tO' +p161730 +aS')\t)\t)\tO\tO' +p161731 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p161732 +aS'PO\tPO\tNNP\tI-NP\tO' +p161733 +aS'TID\tTID\tNNP\tI-NP\tO' +p161734 +aS'(\t(\t(\tO\tO' +p161735 +aS'3\t3\tCD\tB-NP\tO' +p161736 +aS'times\ttime\tNNS\tI-NP\tO' +p161737 +aS'a\ta\tDT\tB-NP\tO' +p161738 +aS'day\tday\tNN\tI-NP\tO' +p161739 +aS')\t)\t)\tO\tO' +p161740 +aS'.\t.\t.\tO\tO' +p161741 +asS'Head CT showed diffuse subarachnoid hemorrhage .' +p161742 +(lp161743 +S'Head\tHead\tNN\tB-NP\tO' +p161744 +aS'CT\tCT\tNN\tI-NP\tO' +p161745 +aS'showed\tshow\tVBD\tB-VP\tO' +p161746 +aS'diffuse\tdiffuse\tJJ\tB-NP\tO' +p161747 +aS'subarachnoid\tsubarachnoid\tJJ\tI-NP\tO' +p161748 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p161749 +aS'.\t.\t.\tO\tO' +p161750 +asS'She will need to have a repeat MRI in several months for further evaluation .' +p161751 +(lp161752 +S'She\tShe\tPRP\tB-NP\tO' +p161753 +aS'will\twill\tMD\tB-VP\tO' +p161754 +aS'need\tneed\tVB\tI-VP\tO' +p161755 +aS'to\tto\tTO\tI-VP\tO' +p161756 +aS'have\thave\tVB\tI-VP\tO' +p161757 +aS'a\ta\tDT\tB-NP\tO' +p161758 +aS'repeat\trepeat\tNN\tI-NP\tO' +p161759 +aS'MRI\tMRI\tNN\tI-NP\tO' +p161760 +aS'in\tin\tIN\tB-PP\tO' +p161761 +aS'several\tseveral\tJJ\tB-NP\tO' +p161762 +aS'months\tmonth\tNNS\tI-NP\tO' +p161763 +aS'for\tfor\tIN\tB-PP\tO' +p161764 +aS'further\tfurther\tJJ\tB-NP\tO' +p161765 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p161766 +aS'.\t.\t.\tO\tO' +p161767 +asS'Admission to the Pediatric Intensive Care Unit at Fairm of Ijordcompmac Hospital was 9/7/93 , 11:15 a.m.' +p161768 +(lp161769 +S'Admission\tAdmission\tNN\tB-NP\tO' +p161770 +aS'to\tto\tTO\tB-PP\tO' +p161771 +aS'the\tthe\tDT\tB-NP\tO' +p161772 +aS'Pediatric\tPediatric\tNNP\tI-NP\tO' +p161773 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p161774 +aS'Care\tCare\tNNP\tI-NP\tO' +p161775 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p161776 +aS'at\tat\tIN\tB-PP\tO' +p161777 +aS'Fairm\tFairm\tNNP\tB-NP\tO' +p161778 +aS'of\tof\tIN\tB-PP\tO' +p161779 +aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' +p161780 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p161781 +aS'was\tbe\tVBD\tB-VP\tO' +p161782 +aS'9/7/93\t9/7/93\tCD\tB-NP\tO' +p161783 +aS',\t,\t,\tO\tO' +p161784 +aS'11:15\t11:15\tCD\tB-NP\tO' +p161785 +aS'a.m.\ta.m.\tRB\tB-ADVP\tO' +p161786 +asS'STATUS POST TOTAL ABDOMINAL HYSTERECTOMY AND BILATERAL SALPINGO-OOPHORECTOMY .' +p161787 +(lp161788 +S'STATUS\tSTATUS\tNNP\tB-NP\tO' +p161789 +aS'POST\tPOST\tNNP\tI-NP\tO' +p161790 +aS'TOTAL\tTOTAL\tNNP\tI-NP\tO' +p161791 +aS'ABDOMINAL\tABDOMINAL\tNNP\tI-NP\tO' +p161792 +aS'HYSTERECTOMY\tHYSTERECTOMY\tNNP\tI-NP\tO' +p161793 +aS'AND\tAND\tCC\tO\tO' +p161794 +aS'BILATERAL\tBILATERAL\tNNP\tB-NP\tO' +p161795 +aS'SALPINGO-OOPHORECTOMY\tSALPINGO-OOPHORECTOMY\tNNP\tI-NP\tO' +p161796 +aS'.\t.\t.\tO\tO' +p161797 +asS'Therefore , he did have unstable angina with his critical coronary anatomy .' +p161798 +(lp161799 +S'Therefore\tTherefore\tRB\tB-ADVP\tO' +p161800 +aS',\t,\t,\tO\tO' +p161801 +aS'he\the\tPRP\tB-NP\tO' +p161802 +aS'did\tdo\tVBD\tB-VP\tO' +p161803 +aS'have\thave\tVB\tI-VP\tO' +p161804 +aS'unstable\tunstable\tJJ\tB-NP\tO' +p161805 +aS'angina\tangina\tNN\tI-NP\tO' +p161806 +aS'with\twith\tIN\tB-PP\tO' +p161807 +aS'his\this\tPRP$\tB-NP\tO' +p161808 +aS'critical\tcritical\tJJ\tI-NP\tO' +p161809 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p161810 +aS'anatomy\tanatomy\tNN\tI-NP\tO' +p161811 +aS'.\t.\t.\tO\tO' +p161812 +asS'Afferent limb of the roux en y anastamosis was visualized however the efferent limb could not be explored .' +p161813 +(lp161814 +S'Afferent\tAfferent\tJJ\tB-NP\tO' +p161815 +aS'limb\tlimb\tNN\tI-NP\tO' +p161816 +aS'of\tof\tIN\tB-PP\tO' +p161817 +aS'the\tthe\tDT\tB-NP\tO' +p161818 +aS'roux\troux\tNN\tI-NP\tO' +p161819 +aS'en\ten\tIN\tB-PP\tO' +p161820 +aS'y\ty\tNN\tB-NP\tO' +p161821 +aS'anastamosis\tanastamosis\tNN\tI-NP\tO' +p161822 +aS'was\tbe\tVBD\tB-VP\tO' +p161823 +aS'visualized\tvisualize\tVBN\tI-VP\tO' +p161824 +aS'however\thowever\tRB\tB-ADVP\tO' +p161825 +aS'the\tthe\tDT\tB-NP\tO' +p161826 +aS'efferent\tefferent\tJJ\tI-NP\tO' +p161827 +aS'limb\tlimb\tNN\tI-NP\tO' +p161828 +aS'could\tcould\tMD\tB-VP\tO' +p161829 +aS'not\tnot\tRB\tI-VP\tO' +p161830 +aS'be\tbe\tVB\tI-VP\tO' +p161831 +aS'explored\texplore\tVBN\tI-VP\tO' +p161832 +aS'.\t.\t.\tO\tO' +p161833 +asS'This is a 70 year old gentleman with metastatic rectal cancer who presented with biliary obstruction .' +p161834 +(lp161835 +S'This\tThis\tDT\tB-NP\tO' +p161836 +aS'is\tbe\tVBZ\tB-VP\tO' +p161837 +aS'a\ta\tDT\tB-NP\tO' +p161838 +aS'70\t70\tCD\tI-NP\tO' +p161839 +aS'year\tyear\tNN\tI-NP\tO' +p161840 +aS'old\told\tJJ\tI-NP\tO' +p161841 +aS'gentleman\tgentleman\tNN\tI-NP\tO' +p161842 +aS'with\twith\tIN\tB-PP\tO' +p161843 +aS'metastatic\tmetastatic\tJJ\tB-NP\tO' +p161844 +aS'rectal\trectal\tJJ\tI-NP\tO' +p161845 +aS'cancer\tcancer\tNN\tI-NP\tO' +p161846 +aS'who\twho\tWP\tB-NP\tO' +p161847 +aS'presented\tpresent\tVBD\tB-VP\tO' +p161848 +aS'with\twith\tIN\tB-PP\tO' +p161849 +aS'biliary\tbiliary\tJJ\tB-NP\tO' +p161850 +aS'obstruction\tobstruction\tNN\tI-NP\tO' +p161851 +aS'.\t.\t.\tO\tO' +p161852 +asS'CBC 14.9 , 29.2 ( which is stable ) , and 398 .' +p161853 +(lp161854 +S'CBC\tCBC\tNN\tB-NP\tB-protein' +p161855 +aS'14.9\t14.9\tCD\tI-NP\tI-protein' +p161856 +aS',\t,\t,\tI-NP\tO' +p161857 +aS'29.2\t29.2\tCD\tI-NP\tO' +p161858 +aS'(\t(\t(\tO\tO' +p161859 +aS'which\twhich\tWDT\tB-NP\tO' +p161860 +aS'is\tbe\tVBZ\tB-VP\tO' +p161861 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p161862 +aS')\t)\t)\tO\tO' +p161863 +aS',\t,\t,\tO\tO' +p161864 +aS'and\tand\tCC\tO\tO' +p161865 +aS'398\t398\tCD\tB-NP\tO' +p161866 +aS'.\t.\t.\tO\tO' +p161867 +asS'Ears were displaced forward .' +p161868 +(lp161869 +S'Ears\tEar\tNNS\tB-NP\tO' +p161870 +aS'were\tbe\tVBD\tB-VP\tO' +p161871 +aS'displaced\tdisplace\tVBN\tI-VP\tO' +p161872 +aS'forward\tforward\tRB\tB-ADVP\tO' +p161873 +aS'.\t.\t.\tO\tO' +p161874 +asS'Please follow up with a repeat MRI in several months to evaluate new lesions in the brain .' +p161875 +(lp161876 +S'Please\tPlease\tVB\tB-VP\tO' +p161877 +aS'follow\tfollow\tVB\tI-VP\tO' +p161878 +aS'up\tup\tRP\tB-PRT\tO' +p161879 +aS'with\twith\tIN\tB-PP\tO' +p161880 +aS'a\ta\tDT\tB-NP\tO' +p161881 +aS'repeat\trepeat\tNN\tI-NP\tO' +p161882 +aS'MRI\tMRI\tNN\tI-NP\tO' +p161883 +aS'in\tin\tIN\tB-PP\tO' +p161884 +aS'several\tseveral\tJJ\tB-NP\tO' +p161885 +aS'months\tmonth\tNNS\tI-NP\tO' +p161886 +aS'to\tto\tTO\tB-VP\tO' +p161887 +aS'evaluate\tevaluate\tVB\tI-VP\tO' +p161888 +aS'new\tnew\tJJ\tB-NP\tO' +p161889 +aS'lesions\tlesion\tNNS\tI-NP\tO' +p161890 +aS'in\tin\tIN\tB-PP\tO' +p161891 +aS'the\tthe\tDT\tB-NP\tO' +p161892 +aS'brain\tbrain\tNN\tI-NP\tO' +p161893 +aS'.\t.\t.\tO\tO' +p161894 +asS'The patient will have these symptoms only when the eyes are closed .' +p161895 +(lp161896 +S'The\tThe\tDT\tB-NP\tO' +p161897 +aS'patient\tpatient\tNN\tI-NP\tO' +p161898 +aS'will\twill\tMD\tB-VP\tO' +p161899 +aS'have\thave\tVB\tI-VP\tO' +p161900 +aS'these\tthese\tDT\tB-NP\tO' +p161901 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p161902 +aS'only\tonly\tRB\tB-ADVP\tO' +p161903 +aS'when\twhen\tWRB\tB-ADVP\tO' +p161904 +aS'the\tthe\tDT\tB-NP\tO' +p161905 +aS'eyes\teye\tNNS\tI-NP\tO' +p161906 +aS'are\tbe\tVBP\tB-VP\tO' +p161907 +aS'closed\tclose\tVBN\tI-VP\tO' +p161908 +aS'.\t.\t.\tO\tO' +p161909 +asS'Negative .' +p161910 +(lp161911 +S'Negative\tNegative\tJJ\tB-ADJP\tO' +p161912 +aS'.\t.\t.\tO\tO' +p161913 +asS'The hematocrit on 01-02 , was 61 with a reticulocyte of 2.6% .' +p161914 +(lp161915 +S'The\tThe\tDT\tB-NP\tO' +p161916 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p161917 +aS'on\ton\tIN\tB-PP\tO' +p161918 +aS'01-02\t01-02\tCD\tB-NP\tO' +p161919 +aS',\t,\t,\tO\tO' +p161920 +aS'was\tbe\tVBD\tB-VP\tO' +p161921 +aS'61\t61\tCD\tB-NP\tO' +p161922 +aS'with\twith\tIN\tB-PP\tO' +p161923 +aS'a\ta\tDT\tB-NP\tO' +p161924 +aS'reticulocyte\treticulocyte\tNN\tI-NP\tO' +p161925 +aS'of\tof\tIN\tB-PP\tO' +p161926 +aS'2.6%\t2.6%\tCD\tB-NP\tO' +p161927 +aS'.\t.\t.\tO\tO' +p161928 +asS'Fair .' +p161929 +(lp161930 +S'Fair\tFair\tNN\tB-NP\tO' +p161931 +aS'.\t.\t.\tO\tO' +p161932 +asS'Very small circumferential pericardial effusion .' +p161933 +(lp161934 +S'Very\tVery\tRB\tB-NP\tO' +p161935 +aS'small\tsmall\tJJ\tI-NP\tO' +p161936 +aS'circumferential\tcircumferential\tJJ\tI-NP\tO' +p161937 +aS'pericardial\tpericardial\tJJ\tI-NP\tO' +p161938 +aS'effusion\teffusion\tNN\tI-NP\tO' +p161939 +aS'.\t.\t.\tO\tO' +p161940 +asS'Disp : *10 Capsule , Sustained Release( s )*' +p161941 +(lp161942 +S'Disp\tDisp\tNN\tB-NP\tO' +p161943 +aS':\t:\t:\tO\tO' +p161944 +aS'*10\t*10\tCD\tB-NP\tO' +p161945 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p161946 +aS',\t,\t,\tO\tO' +p161947 +aS'Sustained\tSustained\tNNP\tB-NP\tO' +p161948 +aS'Release(\tRelease(\tNNP\tI-NP\tO' +p161949 +aS's\ts\tVBZ\tB-VP\tO' +p161950 +aS')*\t)*\tSYM\tB-NP\tO' +p161951 +asS'The patient was admitted to the Service of Dr. Fede A. Duhenile .' +p161952 +(lp161953 +S'The\tThe\tDT\tB-NP\tO' +p161954 +aS'patient\tpatient\tNN\tI-NP\tO' +p161955 +aS'was\tbe\tVBD\tB-VP\tO' +p161956 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p161957 +aS'to\tto\tTO\tB-PP\tO' +p161958 +aS'the\tthe\tDT\tB-NP\tO' +p161959 +aS'Service\tService\tNNP\tI-NP\tO' +p161960 +aS'of\tof\tIN\tB-PP\tO' +p161961 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p161962 +aS'Fede\tFede\tNNP\tI-NP\tO' +p161963 +aS'A.\tA.\tNNP\tI-NP\tO' +p161964 +aS'Duhenile\tDuhenile\tNNP\tI-NP\tO' +p161965 +aS'.\t.\t.\tO\tO' +p161966 +asS'Social History: lives w/ her husband in John area ; smokes 05-04 cig /d ( 30 pack year history ); no alcohol or recreational drug use , has had addiction to benzodiazepines and opioids in the past' +p161967 +(lp161968 +S'Social\tSocial\tNNP\tB-NP\tO' +p161969 +aS'History:\tHistory:\tNNP\tI-NP\tO' +p161970 +aS'lives\tlive\tVBZ\tB-VP\tO' +p161971 +aS'w/\tw/\tPDT\tB-NP\tO' +p161972 +aS'her\ther\tPRP$\tI-NP\tO' +p161973 +aS'husband\thusband\tNN\tI-NP\tO' +p161974 +aS'in\tin\tIN\tB-PP\tO' +p161975 +aS'John\tJohn\tNNP\tB-NP\tO' +p161976 +aS'area\tarea\tNN\tI-NP\tO' +p161977 +aS';\t;\t:\tO\tO' +p161978 +aS'smokes\tsmoke\tVBZ\tB-VP\tO' +p161979 +aS'05-04\t05-04\tCD\tB-NP\tO' +p161980 +aS'cig\tcig\tNN\tI-NP\tO' +p161981 +aS'/d\t/d\tNN\tI-NP\tO' +p161982 +aS'(\t(\t(\tO\tO' +p161983 +aS'30\t30\tCD\tB-NP\tO' +p161984 +aS'pack\tpack\tNN\tI-NP\tO' +p161985 +aS'year\tyear\tNN\tI-NP\tO' +p161986 +aS'history\thistory\tNN\tI-NP\tO' +p161987 +aS');\t);\t:\tO\tO' +p161988 +aS'no\tno\tDT\tB-NP\tO' +p161989 +aS'alcohol\talcohol\tNN\tI-NP\tO' +p161990 +aS'or\tor\tCC\tI-NP\tO' +p161991 +aS'recreational\trecreational\tJJ\tI-NP\tO' +p161992 +aS'drug\tdrug\tNN\tI-NP\tO' +p161993 +aS'use\tuse\tNN\tI-NP\tO' +p161994 +aS',\t,\t,\tO\tO' +p161995 +aS'has\thave\tVBZ\tB-VP\tO' +p161996 +aS'had\thave\tVBN\tI-VP\tO' +p161997 +aS'addiction\taddiction\tNN\tB-NP\tO' +p161998 +aS'to\tto\tTO\tB-PP\tO' +p161999 +aS'benzodiazepines\tbenzodiazepine\tNNS\tB-NP\tO' +p162000 +aS'and\tand\tCC\tI-NP\tO' +p162001 +aS'opioids\topioid\tNNS\tI-NP\tO' +p162002 +aS'in\tin\tIN\tB-PP\tO' +p162003 +aS'the\tthe\tDT\tB-NP\tO' +p162004 +aS'past\tpast\tNN\tI-NP\tO' +p162005 +asS'If you have chest pain , shortness of breath , abdominal pain , nausea or other concerning symptoms please call your MD or come to the emergency room .' +p162006 +(lp162007 +S'If\tIf\tIN\tB-SBAR\tO' +p162008 +aS'you\tyou\tPRP\tB-NP\tO' +p162009 +aS'have\thave\tVBP\tB-VP\tO' +p162010 +aS'chest\tchest\tNN\tB-NP\tO' +p162011 +aS'pain\tpain\tNN\tI-NP\tO' +p162012 +aS',\t,\t,\tO\tO' +p162013 +aS'shortness\tshortness\tNN\tB-NP\tO' +p162014 +aS'of\tof\tIN\tB-PP\tO' +p162015 +aS'breath\tbreath\tNN\tB-NP\tO' +p162016 +aS',\t,\t,\tO\tO' +p162017 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p162018 +aS'pain\tpain\tNN\tI-NP\tO' +p162019 +aS',\t,\t,\tO\tO' +p162020 +aS'nausea\tnausea\tNN\tB-NP\tO' +p162021 +aS'or\tor\tCC\tO\tO' +p162022 +aS'other\tother\tJJ\tB-NP\tO' +p162023 +aS'concerning\tconcern\tVBG\tI-NP\tO' +p162024 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p162025 +aS'please\tplease\tVB\tB-VP\tO' +p162026 +aS'call\tcall\tVB\tI-VP\tO' +p162027 +aS'your\tyour\tPRP$\tB-NP\tO' +p162028 +aS'MD\tMD\tNN\tI-NP\tO' +p162029 +aS'or\tor\tCC\tO\tO' +p162030 +aS'come\tcome\tVBN\tB-VP\tO' +p162031 +aS'to\tto\tTO\tB-PP\tO' +p162032 +aS'the\tthe\tDT\tB-NP\tO' +p162033 +aS'emergency\temergency\tNN\tI-NP\tO' +p162034 +aS'room\troom\tNN\tI-NP\tO' +p162035 +aS'.\t.\t.\tO\tO' +p162036 +asS'Sensory limb of the right eye corneal reflex is slowed , otherwise normal .' +p162037 +(lp162038 +S'Sensory\tSensory\tJJ\tB-NP\tO' +p162039 +aS'limb\tlimb\tNN\tI-NP\tO' +p162040 +aS'of\tof\tIN\tB-PP\tO' +p162041 +aS'the\tthe\tDT\tB-NP\tO' +p162042 +aS'right\tright\tJJ\tI-NP\tO' +p162043 +aS'eye\teye\tNN\tI-NP\tO' +p162044 +aS'corneal\tcorneal\tNN\tI-NP\tO' +p162045 +aS'reflex\treflex\tNN\tI-NP\tO' +p162046 +aS'is\tbe\tVBZ\tB-VP\tO' +p162047 +aS'slowed\tslow\tVBN\tI-VP\tO' +p162048 +aS',\t,\t,\tO\tO' +p162049 +aS'otherwise\totherwise\tRB\tB-ADJP\tO' +p162050 +aS'normal\tnormal\tJJ\tI-ADJP\tO' +p162051 +aS'.\t.\t.\tO\tO' +p162052 +asS'Patient is a 26 - year-old female with a past medical history significant for nonischemic dilated cardiomyopathy with an ejection fraction of 15-20% , who presents with a one-week history of progressive shortness of breath .' +p162053 +(lp162054 +S'Patient\tPatient\tNN\tB-NP\tO' +p162055 +aS'is\tbe\tVBZ\tB-VP\tO' +p162056 +aS'a\ta\tDT\tB-NP\tO' +p162057 +aS'26\t26\tCD\tI-NP\tO' +p162058 +aS'-\t-\tHYPH\tI-NP\tO' +p162059 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p162060 +aS'female\tfemale\tNN\tI-NP\tO' +p162061 +aS'with\twith\tIN\tB-PP\tO' +p162062 +aS'a\ta\tDT\tB-NP\tO' +p162063 +aS'past\tpast\tJJ\tI-NP\tO' +p162064 +aS'medical\tmedical\tJJ\tI-NP\tO' +p162065 +aS'history\thistory\tNN\tI-NP\tO' +p162066 +aS'significant\tsignificant\tJJ\tB-ADJP\tO' +p162067 +aS'for\tfor\tIN\tB-PP\tO' +p162068 +aS'nonischemic\tnonischemic\tJJ\tB-NP\tO' +p162069 +aS'dilated\tdilated\tJJ\tI-NP\tO' +p162070 +aS'cardiomyopathy\tcardiomyopathy\tNN\tI-NP\tO' +p162071 +aS'with\twith\tIN\tB-PP\tO' +p162072 +aS'an\tan\tDT\tB-NP\tO' +p162073 +aS'ejection\tejection\tNN\tI-NP\tO' +p162074 +aS'fraction\tfraction\tNN\tI-NP\tO' +p162075 +aS'of\tof\tIN\tB-PP\tO' +p162076 +aS'15-20%\t15-20%\tNN\tB-NP\tO' +p162077 +aS',\t,\t,\tO\tO' +p162078 +aS'who\twho\tWP\tB-NP\tO' +p162079 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p162080 +aS'with\twith\tIN\tB-PP\tO' +p162081 +aS'a\ta\tDT\tB-NP\tO' +p162082 +aS'one-week\tone-week\tJJ\tI-NP\tO' +p162083 +aS'history\thistory\tNN\tI-NP\tO' +p162084 +aS'of\tof\tIN\tB-PP\tO' +p162085 +aS'progressive\tprogressive\tJJ\tB-NP\tO' +p162086 +aS'shortness\tshortness\tNN\tI-NP\tO' +p162087 +aS'of\tof\tIN\tB-PP\tO' +p162088 +aS'breath\tbreath\tNN\tB-NP\tO' +p162089 +aS'.\t.\t.\tO\tO' +p162090 +asS'Visual fields are full to confrontation , pupils equally round and reactive to light both directly and consensually , 2.5 --> 2 mm bilaterally .' +p162091 +(lp162092 +S'Visual\tVisual\tJJ\tB-NP\tO' +p162093 +aS'fields\tfield\tNNS\tI-NP\tO' +p162094 +aS'are\tbe\tVBP\tB-VP\tO' +p162095 +aS'full\tfull\tJJ\tB-ADJP\tO' +p162096 +aS'to\tto\tTO\tB-PP\tO' +p162097 +aS'confrontation\tconfrontation\tNN\tB-NP\tO' +p162098 +aS',\t,\t,\tO\tO' +p162099 +aS'pupils\tpupil\tVBZ\tB-VP\tO' +p162100 +aS'equally\tequally\tRB\tB-ADJP\tO' +p162101 +aS'round\tround\tJJ\tI-ADJP\tO' +p162102 +aS'and\tand\tCC\tI-ADJP\tO' +p162103 +aS'reactive\treactive\tJJ\tI-ADJP\tO' +p162104 +aS'to\tto\tTO\tB-PP\tO' +p162105 +aS'light\tlight\tJJ\tB-ADJP\tO' +p162106 +aS'both\tboth\tCC\tO\tO' +p162107 +aS'directly\tdirectly\tRB\tB-ADVP\tO' +p162108 +aS'and\tand\tCC\tI-ADVP\tO' +p162109 +aS'consensually\tconsensually\tRB\tI-ADVP\tO' +p162110 +aS',\t,\t,\tO\tO' +p162111 +aS'2.5\t2.5\tCD\tB-NP\tO' +p162112 +aS'-->\t-->\tSYM\tI-NP\tO' +p162113 +aS'2\t2\tCD\tI-NP\tO' +p162114 +aS'mm\tmm\tNN\tI-NP\tO' +p162115 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p162116 +aS'.\t.\t.\tO\tO' +p162117 +asS'Chest pain and back pain .' +p162118 +(lp162119 +S'Chest\tCh\tJJS\tB-NP\tO' +p162120 +aS'pain\tpain\tNN\tI-NP\tO' +p162121 +aS'and\tand\tCC\tI-NP\tO' +p162122 +aS'back\tback\tJJ\tI-NP\tO' +p162123 +aS'pain\tpain\tNN\tI-NP\tO' +p162124 +aS'.\t.\t.\tO\tO' +p162125 +asS'She was evaluated upon presentation by the Maternal Fetal Medicine attending on call as well as by Cardiology .' +p162126 +(lp162127 +S'She\tShe\tPRP\tB-NP\tO' +p162128 +aS'was\tbe\tVBD\tB-VP\tO' +p162129 +aS'evaluated\tevaluate\tVBN\tI-VP\tO' +p162130 +aS'upon\tupon\tIN\tB-PP\tO' +p162131 +aS'presentation\tpresentation\tNN\tB-NP\tO' +p162132 +aS'by\tby\tIN\tB-PP\tO' +p162133 +aS'the\tthe\tDT\tB-NP\tO' +p162134 +aS'Maternal\tMaternal\tNNP\tI-NP\tO' +p162135 +aS'Fetal\tFetal\tNNP\tI-NP\tO' +p162136 +aS'Medicine\tMedicine\tNNP\tI-NP\tO' +p162137 +aS'attending\tattend\tVBG\tB-VP\tO' +p162138 +aS'on\ton\tIN\tB-PP\tO' +p162139 +aS'call\tcall\tNN\tB-NP\tO' +p162140 +aS'as\tas\tRB\tB-CONJP\tO' +p162141 +aS'well\twell\tRB\tI-CONJP\tO' +p162142 +aS'as\tas\tIN\tI-CONJP\tO' +p162143 +aS'by\tby\tIN\tB-PP\tO' +p162144 +aS'Cardiology\tCardiology\tNNP\tB-NP\tO' +p162145 +aS'.\t.\t.\tO\tO' +p162146 +asS'Substance Use : Social work saw patient and counceled him regarding substance abuse .' +p162147 +(lp162148 +S'Substance\tSubstance\tNNP\tB-NP\tO' +p162149 +aS'Use\tUse\tNNP\tI-NP\tO' +p162150 +aS':\t:\t:\tO\tO' +p162151 +aS'Social\tSocial\tNNP\tB-NP\tO' +p162152 +aS'work\twork\tNN\tI-NP\tO' +p162153 +aS'saw\tsee\tVBD\tB-VP\tO' +p162154 +aS'patient\tpatient\tNN\tB-NP\tO' +p162155 +aS'and\tand\tCC\tO\tO' +p162156 +aS'counceled\tcouncele\tVBD\tB-VP\tO' +p162157 +aS'him\thim\tPRP\tB-NP\tO' +p162158 +aS'regarding\tregard\tVBG\tB-VP\tO' +p162159 +aS'substance\tsubstance\tNN\tB-NP\tO' +p162160 +aS'abuse\tabuse\tNN\tI-NP\tO' +p162161 +aS'.\t.\t.\tO\tO' +p162162 +asS'During her hospitalization , we confirmed the presence of this , even when she was hydrated with saline , to a fractional excretion of sodium of 2% .' +p162163 +(lp162164 +S'During\tDuring\tIN\tB-PP\tO' +p162165 +aS'her\ther\tPRP$\tB-NP\tO' +p162166 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p162167 +aS',\t,\t,\tO\tO' +p162168 +aS'we\twe\tPRP\tB-NP\tO' +p162169 +aS'confirmed\tconfirm\tVBD\tB-VP\tO' +p162170 +aS'the\tthe\tDT\tB-NP\tO' +p162171 +aS'presence\tpresence\tNN\tI-NP\tO' +p162172 +aS'of\tof\tIN\tB-PP\tO' +p162173 +aS'this\tthis\tDT\tB-NP\tO' +p162174 +aS',\t,\t,\tO\tO' +p162175 +aS'even\teven\tRB\tB-ADVP\tO' +p162176 +aS'when\twhen\tWRB\tI-ADVP\tO' +p162177 +aS'she\tshe\tPRP\tB-NP\tO' +p162178 +aS'was\tbe\tVBD\tB-VP\tO' +p162179 +aS'hydrated\thydrate\tVBN\tI-VP\tO' +p162180 +aS'with\twith\tIN\tB-PP\tO' +p162181 +aS'saline\tsaline\tNN\tB-NP\tO' +p162182 +aS',\t,\t,\tO\tO' +p162183 +aS'to\tto\tTO\tB-PP\tO' +p162184 +aS'a\ta\tDT\tB-NP\tO' +p162185 +aS'fractional\tfractional\tJJ\tI-NP\tO' +p162186 +aS'excretion\texcretion\tNN\tI-NP\tO' +p162187 +aS'of\tof\tIN\tB-PP\tO' +p162188 +aS'sodium\tsodium\tNN\tB-NP\tO' +p162189 +aS'of\tof\tIN\tB-PP\tO' +p162190 +aS'2%\t2%\tNN\tB-NP\tO' +p162191 +aS'.\t.\t.\tO\tO' +p162192 +asS'Small ( 0.6 cm ) circumferential pericardial effusion , largest around the left atrium .' +p162193 +(lp162194 +S'Small\tSmall\tJJ\tB-ADJP\tO' +p162195 +aS'(\t(\t(\tO\tO' +p162196 +aS'0.6\t0.6\tCD\tB-NP\tO' +p162197 +aS'cm\tcm\tNN\tI-NP\tO' +p162198 +aS')\t)\t)\tO\tO' +p162199 +aS'circumferential\tcircumferential\tJJ\tB-NP\tO' +p162200 +aS'pericardial\tpericardial\tJJ\tI-NP\tO' +p162201 +aS'effusion\teffusion\tNN\tI-NP\tO' +p162202 +aS',\t,\t,\tO\tO' +p162203 +aS'largest\tlarge\tJJS\tB-ADJP\tO' +p162204 +aS'around\taround\tIN\tB-PP\tO' +p162205 +aS'the\tthe\tDT\tB-NP\tO' +p162206 +aS'left\tleft\tJJ\tI-NP\tO' +p162207 +aS'atrium\tatrium\tNN\tI-NP\tO' +p162208 +aS'.\t.\t.\tO\tO' +p162209 +asS'We encouraged activity and patient out of bed .' +p162210 +(lp162211 +S'We\tWe\tPRP\tB-NP\tO' +p162212 +aS'encouraged\tencourage\tVBD\tB-VP\tO' +p162213 +aS'activity\tactivity\tNN\tB-NP\tO' +p162214 +aS'and\tand\tCC\tI-NP\tO' +p162215 +aS'patient\tpatient\tNN\tI-NP\tO' +p162216 +aS'out\tout\tIN\tB-PP\tO' +p162217 +aS'of\tof\tIN\tB-PP\tO' +p162218 +aS'bed\tbed\tNN\tB-NP\tO' +p162219 +aS'.\t.\t.\tO\tO' +p162220 +asS'The patient is on oxygen .' +p162221 +(lp162222 +S'The\tThe\tDT\tB-NP\tO' +p162223 +aS'patient\tpatient\tNN\tI-NP\tO' +p162224 +aS'is\tbe\tVBZ\tB-VP\tO' +p162225 +aS'on\ton\tIN\tB-PP\tO' +p162226 +aS'oxygen\toxygen\tNN\tB-NP\tO' +p162227 +aS'.\t.\t.\tO\tO' +p162228 +asS'He was also seen by the Orthopedics Service and Neurosurgical Service .' +p162229 +(lp162230 +S'He\tHe\tPRP\tB-NP\tO' +p162231 +aS'was\tbe\tVBD\tB-VP\tO' +p162232 +aS'also\talso\tRB\tI-VP\tO' +p162233 +aS'seen\tsee\tVBN\tI-VP\tO' +p162234 +aS'by\tby\tIN\tB-PP\tO' +p162235 +aS'the\tthe\tDT\tB-NP\tO' +p162236 +aS'Orthopedics\tOrthopedics\tNNP\tI-NP\tO' +p162237 +aS'Service\tService\tNNP\tI-NP\tO' +p162238 +aS'and\tand\tCC\tO\tO' +p162239 +aS'Neurosurgical\tNeurosurgical\tNNP\tB-NP\tO' +p162240 +aS'Service\tService\tNNP\tI-NP\tO' +p162241 +aS'.\t.\t.\tO\tO' +p162242 +asS'7. Oxycodone - Acetaminophen 5-325 mg Tablet Sig : 1-2 Tablets PO every 4-6 hours as needed for pain .' +p162243 +(lp162244 +S'7.\t7.\tLS\tB-NP\tO' +p162245 +aS'Oxycodone\tOxycodone\tNN\tI-NP\tO' +p162246 +aS'-\t-\tHYPH\tO\tO' +p162247 +aS'Acetaminophen\tAcetaminophen\tNN\tB-NP\tO' +p162248 +aS'5-325\t5-325\tCD\tI-NP\tO' +p162249 +aS'mg\tmg\tNN\tI-NP\tO' +p162250 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p162251 +aS'Sig\tSig\tNNP\tI-NP\tO' +p162252 +aS':\t:\t:\tO\tO' +p162253 +aS'1-2\t1-2\tCD\tB-NP\tO' +p162254 +aS'Tablets\tTablet\tNNS\tI-NP\tO' +p162255 +aS'PO\tPO\tNN\tI-NP\tO' +p162256 +aS'every\tevery\tDT\tB-NP\tO' +p162257 +aS'4-6\t4-6\tCD\tI-NP\tO' +p162258 +aS'hours\thour\tNNS\tI-NP\tO' +p162259 +aS'as\tas\tIN\tB-SBAR\tO' +p162260 +aS'needed\tneed\tVBN\tB-VP\tO' +p162261 +aS'for\tfor\tIN\tB-PP\tO' +p162262 +aS'pain\tpain\tNN\tB-NP\tO' +p162263 +aS'.\t.\t.\tO\tO' +p162264 +asS'At OSH initial Hct = 26 , and 22 upon repeat .' +p162265 +(lp162266 +S'At\tAt\tIN\tB-PP\tO' +p162267 +aS'OSH\tOSH\tNN\tB-NP\tO' +p162268 +aS'initial\tinitial\tJJ\tI-NP\tO' +p162269 +aS'Hct\tHct\tNN\tI-NP\tO' +p162270 +aS'=\t=\tSYM\tB-VP\tO' +p162271 +aS'26\t26\tCD\tB-NP\tO' +p162272 +aS',\t,\t,\tO\tO' +p162273 +aS'and\tand\tCC\tO\tO' +p162274 +aS'22\t22\tCD\tB-NP\tB-DNA' +p162275 +aS'upon\tupon\tIN\tB-PP\tI-DNA' +p162276 +aS'repeat\trepeat\tNN\tB-NP\tI-DNA' +p162277 +aS'.\t.\t.\tO\tO' +p162278 +asS'Extremities are warm , well perfused , no cyanosis , clubbing or' +p162279 +(lp162280 +S'Extremities\tExtremity\tNNS\tB-NP\tO' +p162281 +aS'are\tbe\tVBP\tB-VP\tO' +p162282 +aS'warm\twarm\tJJ\tB-ADJP\tO' +p162283 +aS',\t,\t,\tO\tO' +p162284 +aS'well\twell\tRB\tB-VP\tO' +p162285 +aS'perfused\tperfuse\tVBN\tI-VP\tO' +p162286 +aS',\t,\t,\tO\tO' +p162287 +aS'no\tno\tDT\tB-NP\tO' +p162288 +aS'cyanosis\tcyanosis\tNN\tI-NP\tO' +p162289 +aS',\t,\t,\tO\tO' +p162290 +aS'clubbing\tclubbing\tNN\tB-NP\tO' +p162291 +aS'or\tor\tCC\tO\tO' +p162292 +asS'Dressing c/d/i over R LE ulcer .' +p162293 +(lp162294 +S'Dressing\tDress\tVBG\tB-VP\tO' +p162295 +aS'c/d/i\tc/d/i\tNNS\tB-NP\tO' +p162296 +aS'over\tover\tIN\tB-PP\tO' +p162297 +aS'R\tR\tNN\tB-NP\tB-protein' +p162298 +aS'LE\tLE\tNN\tI-NP\tI-protein' +p162299 +aS'ulcer\tulcer\tNN\tI-NP\tI-protein' +p162300 +aS'.\t.\t.\tO\tO' +p162301 +asS'Treatments Frequency : splint to left arm' +p162302 +(lp162303 +S'Treatments\tTreatment\tNNS\tB-NP\tO' +p162304 +aS'Frequency\tFrequency\tNN\tI-NP\tO' +p162305 +aS':\t:\t:\tO\tO' +p162306 +aS'splint\tsplint\tNN\tB-NP\tO' +p162307 +aS'to\tto\tTO\tB-VP\tO' +p162308 +aS'left\tleft\tVB\tI-VP\tO' +p162309 +aS'arm\tarm\tNN\tB-NP\tO' +p162310 +asS'GENERAL - The patient is a pleasant older woman in no acute distress .' +p162311 +(lp162312 +S'GENERAL\tGENERAL\tNNP\tB-NP\tO' +p162313 +aS'-\t-\t:\tO\tO' +p162314 +aS'The\tThe\tDT\tB-NP\tO' +p162315 +aS'patient\tpatient\tNN\tI-NP\tO' +p162316 +aS'is\tbe\tVBZ\tB-VP\tO' +p162317 +aS'a\ta\tDT\tB-NP\tO' +p162318 +aS'pleasant\tpleasant\tNN\tI-NP\tO' +p162319 +aS'older\told\tJJR\tB-NP\tO' +p162320 +aS'woman\twoman\tNN\tI-NP\tO' +p162321 +aS'in\tin\tIN\tB-PP\tO' +p162322 +aS'no\tno\tDT\tB-NP\tO' +p162323 +aS'acute\tacute\tJJ\tI-NP\tO' +p162324 +aS'distress\tdistress\tNN\tI-NP\tO' +p162325 +aS'.\t.\t.\tO\tO' +p162326 +asS'On admission , chest x-ray with no acute cardiopulmonary process .' +p162327 +(lp162328 +S'On\tOn\tIN\tB-PP\tO' +p162329 +aS'admission\tadmission\tNN\tB-NP\tO' +p162330 +aS',\t,\t,\tO\tO' +p162331 +aS'chest\tchest\tNN\tB-NP\tO' +p162332 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p162333 +aS'with\twith\tIN\tB-PP\tO' +p162334 +aS'no\tno\tDT\tB-NP\tO' +p162335 +aS'acute\tacute\tJJ\tI-NP\tO' +p162336 +aS'cardiopulmonary\tcardiopulmonary\tJJ\tI-NP\tO' +p162337 +aS'process\tprocess\tNN\tI-NP\tO' +p162338 +aS'.\t.\t.\tO\tO' +p162339 +asS'She stated her symptoms improved with rest , and she denied any symptoms beginning when she was at rest .' +p162340 +(lp162341 +S'She\tShe\tPRP\tB-NP\tO' +p162342 +aS'stated\tstate\tVBD\tB-VP\tO' +p162343 +aS'her\ther\tPRP$\tB-NP\tO' +p162344 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p162345 +aS'improved\timprove\tVBN\tB-VP\tO' +p162346 +aS'with\twith\tIN\tB-PP\tO' +p162347 +aS'rest\trest\tNN\tB-NP\tO' +p162348 +aS',\t,\t,\tO\tO' +p162349 +aS'and\tand\tCC\tO\tO' +p162350 +aS'she\tshe\tPRP\tB-NP\tO' +p162351 +aS'denied\tdeny\tVBD\tB-VP\tO' +p162352 +aS'any\tany\tDT\tB-NP\tO' +p162353 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p162354 +aS'beginning\tbegin\tVBG\tB-VP\tO' +p162355 +aS'when\twhen\tWRB\tB-ADVP\tO' +p162356 +aS'she\tshe\tPRP\tB-NP\tO' +p162357 +aS'was\tbe\tVBD\tB-VP\tO' +p162358 +aS'at\tat\tIN\tB-PP\tO' +p162359 +aS'rest\trest\tNN\tB-NP\tO' +p162360 +aS'.\t.\t.\tO\tO' +p162361 +asS'3. Respiratory distress syndrome resolved .' +p162362 +(lp162363 +S'3.\t3.\tLS\tB-NP\tO' +p162364 +aS'Respiratory\tRespiratory\tJJ\tI-NP\tO' +p162365 +aS'distress\tdistress\tNN\tI-NP\tO' +p162366 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p162367 +aS'resolved\tresolve\tVBN\tB-VP\tO' +p162368 +aS'.\t.\t.\tO\tO' +p162369 +asS'Multiple bronchoscopies , chest tube insertion .' +p162370 +(lp162371 +S'Multiple\tMultiple\tJJ\tB-NP\tO' +p162372 +aS'bronchoscopies\tbronchoscopy\tNNS\tI-NP\tO' +p162373 +aS',\t,\t,\tO\tO' +p162374 +aS'chest\tchest\tNN\tB-NP\tO' +p162375 +aS'tube\ttube\tNN\tI-NP\tO' +p162376 +aS'insertion\tinsertion\tNN\tI-NP\tO' +p162377 +aS'.\t.\t.\tO\tO' +p162378 +asS'Lasix 20 mg p.o. q. day for one week .' +p162379 +(lp162380 +S'Lasix\tLasix\tRB\tB-NP\tO' +p162381 +aS'20\t20\tCD\tI-NP\tO' +p162382 +aS'mg\tmg\tNN\tI-NP\tO' +p162383 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p162384 +aS'q.\tq.\tNN\tI-NP\tO' +p162385 +aS'day\tday\tNN\tI-NP\tO' +p162386 +aS'for\tfor\tIN\tB-PP\tO' +p162387 +aS'one\tone\tCD\tB-NP\tO' +p162388 +aS'week\tweek\tNN\tI-NP\tO' +p162389 +aS'.\t.\t.\tO\tO' +p162390 +asS'Initially , he had been placed on clindamycin to cover his drain , but his cultures became positive , and his white blood cell count increased .' +p162391 +(lp162392 +S'Initially\tInitially\tRB\tB-ADVP\tO' +p162393 +aS',\t,\t,\tO\tO' +p162394 +aS'he\the\tPRP\tB-NP\tO' +p162395 +aS'had\thave\tVBD\tB-VP\tO' +p162396 +aS'been\tbe\tVBN\tI-VP\tO' +p162397 +aS'placed\tplace\tVBN\tI-VP\tO' +p162398 +aS'on\ton\tIN\tB-PP\tO' +p162399 +aS'clindamycin\tclindamycin\tNN\tB-NP\tO' +p162400 +aS'to\tto\tTO\tB-VP\tO' +p162401 +aS'cover\tcover\tVB\tI-VP\tO' +p162402 +aS'his\this\tPRP$\tB-NP\tO' +p162403 +aS'drain\tdrain\tNN\tI-NP\tO' +p162404 +aS',\t,\t,\tO\tO' +p162405 +aS'but\tbut\tCC\tO\tO' +p162406 +aS'his\this\tPRP$\tB-NP\tO' +p162407 +aS'cultures\tculture\tNNS\tI-NP\tO' +p162408 +aS'became\tbecome\tVBD\tB-VP\tO' +p162409 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p162410 +aS',\t,\t,\tO\tO' +p162411 +aS'and\tand\tCC\tO\tO' +p162412 +aS'his\this\tPRP$\tB-NP\tO' +p162413 +aS'white\twhite\tJJ\tI-NP\tO' +p162414 +aS'blood\tblood\tNN\tI-NP\tO' +p162415 +aS'cell\tcell\tNN\tI-NP\tO' +p162416 +aS'count\tcount\tNN\tI-NP\tO' +p162417 +aS'increased\tincrease\tVBD\tB-VP\tO' +p162418 +aS'.\t.\t.\tO\tO' +p162419 +asS'Ferrous sulfate 25 mg per ml , 2 mg per kilogram per day .' +p162420 +(lp162421 +S'Ferrous\tFerrous\tJJ\tB-NP\tO' +p162422 +aS'sulfate\tsulfate\tNN\tI-NP\tO' +p162423 +aS'25\t25\tCD\tI-NP\tO' +p162424 +aS'mg\tmg\tNN\tI-NP\tO' +p162425 +aS'per\tper\tIN\tB-PP\tO' +p162426 +aS'ml\tml\tNN\tB-NP\tO' +p162427 +aS',\t,\t,\tO\tO' +p162428 +aS'2\t2\tCD\tB-NP\tO' +p162429 +aS'mg\tmg\tNN\tI-NP\tO' +p162430 +aS'per\tper\tIN\tB-PP\tO' +p162431 +aS'kilogram\tkilogram\tNN\tB-NP\tO' +p162432 +aS'per\tper\tIN\tB-PP\tO' +p162433 +aS'day\tday\tNN\tB-NP\tO' +p162434 +aS'.\t.\t.\tO\tO' +p162435 +asS'Currently , 03-14 blood cx are growing GNR in both anaerobic bottles .' +p162436 +(lp162437 +S'Currently\tCurrently\tRB\tB-ADVP\tO' +p162438 +aS',\t,\t,\tO\tO' +p162439 +aS'03-14\t03-14\tCD\tB-NP\tO' +p162440 +aS'blood\tblood\tNN\tI-NP\tO' +p162441 +aS'cx\tcx\tNN\tI-NP\tO' +p162442 +aS'are\tbe\tVBP\tB-VP\tO' +p162443 +aS'growing\tgrow\tVBG\tI-VP\tO' +p162444 +aS'GNR\tGNR\tNN\tB-NP\tB-protein' +p162445 +aS'in\tin\tIN\tB-PP\tO' +p162446 +aS'both\tboth\tCC\tB-NP\tO' +p162447 +aS'anaerobic\tanaerobic\tJJ\tI-NP\tO' +p162448 +aS'bottles\tbottle\tNNS\tI-NP\tO' +p162449 +aS'.\t.\t.\tO\tO' +p162450 +asS'5) depression requiring ECT therapy in the past' +p162451 +(lp162452 +S'5)\t5)\tLS\tB-LST\tO' +p162453 +aS'depression\tdepression\tNN\tB-NP\tO' +p162454 +aS'requiring\trequire\tVBG\tB-VP\tO' +p162455 +aS'ECT\tECT\tNN\tB-NP\tO' +p162456 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p162457 +aS'in\tin\tIN\tB-PP\tO' +p162458 +aS'the\tthe\tDT\tB-NP\tO' +p162459 +aS'past\tpast\tNN\tI-NP\tO' +p162460 +asS'He has been breast feeding or taking 20 calorie per ounce formula until the increased respiratory distress so that at the time of transfer he is NPO with a peripheral IV with total fluids of 150 ml / kg / day of 10% dextrose with electrolytes .' +p162461 +(lp162462 +S'He\tHe\tPRP\tB-NP\tO' +p162463 +aS'has\thave\tVBZ\tB-VP\tO' +p162464 +aS'been\tbe\tVBN\tI-VP\tO' +p162465 +aS'breast\tbreast\tNN\tB-NP\tO' +p162466 +aS'feeding\tfeed\tVBG\tB-VP\tO' +p162467 +aS'or\tor\tCC\tI-VP\tO' +p162468 +aS'taking\ttake\tVBG\tI-VP\tO' +p162469 +aS'20\t20\tCD\tB-NP\tO' +p162470 +aS'calorie\tcalorie\tNN\tI-NP\tO' +p162471 +aS'per\tper\tIN\tB-PP\tO' +p162472 +aS'ounce\tounce\tNN\tB-NP\tO' +p162473 +aS'formula\tformula\tNN\tB-NP\tO' +p162474 +aS'until\tuntil\tIN\tB-PP\tO' +p162475 +aS'the\tthe\tDT\tB-NP\tO' +p162476 +aS'increased\tincrease\tVBN\tI-NP\tO' +p162477 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p162478 +aS'distress\tdistress\tNN\tI-NP\tO' +p162479 +aS'so\tso\tIN\tB-SBAR\tO' +p162480 +aS'that\tthat\tIN\tI-SBAR\tO' +p162481 +aS'at\tat\tIN\tB-PP\tO' +p162482 +aS'the\tthe\tDT\tB-NP\tO' +p162483 +aS'time\ttime\tNN\tI-NP\tO' +p162484 +aS'of\tof\tIN\tB-PP\tO' +p162485 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p162486 +aS'he\the\tPRP\tB-NP\tO' +p162487 +aS'is\tbe\tVBZ\tB-VP\tO' +p162488 +aS'NPO\tNPO\tNN\tB-NP\tB-protein' +p162489 +aS'with\twith\tIN\tB-PP\tO' +p162490 +aS'a\ta\tDT\tB-NP\tO' +p162491 +aS'peripheral\tperipheral\tJJ\tI-NP\tO' +p162492 +aS'IV\tIV\tCD\tI-NP\tO' +p162493 +aS'with\twith\tIN\tB-PP\tO' +p162494 +aS'total\ttotal\tJJ\tB-NP\tO' +p162495 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p162496 +aS'of\tof\tIN\tB-PP\tO' +p162497 +aS'150\t150\tCD\tB-NP\tO' +p162498 +aS'ml\tml\tNN\tI-NP\tO' +p162499 +aS'/\t/\tSYM\tB-NP\tO' +p162500 +aS'kg\tkg\tNN\tI-NP\tO' +p162501 +aS'/\t/\tSYM\tB-NP\tO' +p162502 +aS'day\tday\tNN\tI-NP\tO' +p162503 +aS'of\tof\tIN\tB-PP\tO' +p162504 +aS'10%\t10%\tCD\tB-NP\tO' +p162505 +aS'dextrose\tdextrose\tNN\tI-NP\tO' +p162506 +aS'with\twith\tIN\tB-PP\tO' +p162507 +aS'electrolytes\telectrolyte\tNNS\tB-NP\tO' +p162508 +aS'.\t.\t.\tO\tO' +p162509 +asS'Stable - Swelling in hands reduced and range of motion continue to improve .' +p162510 +(lp162511 +S'Stable\tStable\tJJ\tB-NP\tO' +p162512 +aS'-\t-\tHYPH\tI-NP\tO' +p162513 +aS'Swelling\tSwelling\tNN\tI-NP\tO' +p162514 +aS'in\tin\tIN\tB-PP\tO' +p162515 +aS'hands\thand\tNNS\tB-NP\tO' +p162516 +aS'reduced\treduce\tVBN\tB-VP\tO' +p162517 +aS'and\tand\tCC\tO\tO' +p162518 +aS'range\trange\tNN\tB-NP\tO' +p162519 +aS'of\tof\tIN\tB-PP\tO' +p162520 +aS'motion\tmotion\tNN\tB-NP\tO' +p162521 +aS'continue\tcontinue\tVBP\tB-VP\tO' +p162522 +aS'to\tto\tTO\tI-VP\tO' +p162523 +aS'improve\timprove\tVB\tI-VP\tO' +p162524 +aS'.\t.\t.\tO\tO' +p162525 +asS'Of note incidental finding on x-ray , the infant has a hemivertebra at T11 .' +p162526 +(lp162527 +S'Of\tOf\tIN\tB-PP\tO' +p162528 +aS'note\tnote\tNN\tB-NP\tO' +p162529 +aS'incidental\tincidental\tJJ\tI-NP\tO' +p162530 +aS'finding\tfinding\tNN\tI-NP\tO' +p162531 +aS'on\ton\tIN\tB-PP\tO' +p162532 +aS'x-ray\tx-ray\tNN\tB-NP\tB-DNA' +p162533 +aS',\t,\t,\tO\tO' +p162534 +aS'the\tthe\tDT\tB-NP\tO' +p162535 +aS'infant\tinfant\tNN\tI-NP\tO' +p162536 +aS'has\thave\tVBZ\tB-VP\tO' +p162537 +aS'a\ta\tDT\tB-NP\tO' +p162538 +aS'hemivertebra\themivertebra\tNN\tI-NP\tO' +p162539 +aS'at\tat\tIN\tB-PP\tO' +p162540 +aS'T11\tT11\tNN\tB-NP\tB-protein' +p162541 +aS'.\t.\t.\tO\tO' +p162542 +asS'The plan is to continue the Digoxin and to recheck an echocardiogram to assess his ejection fraction when he is clinically better .' +p162543 +(lp162544 +S'The\tThe\tDT\tB-NP\tO' +p162545 +aS'plan\tplan\tNN\tI-NP\tO' +p162546 +aS'is\tbe\tVBZ\tB-VP\tO' +p162547 +aS'to\tto\tTO\tB-VP\tO' +p162548 +aS'continue\tcontinue\tVB\tI-VP\tO' +p162549 +aS'the\tthe\tDT\tB-NP\tO' +p162550 +aS'Digoxin\tDigoxin\tNN\tI-NP\tO' +p162551 +aS'and\tand\tCC\tO\tO' +p162552 +aS'to\tto\tTO\tB-VP\tO' +p162553 +aS'recheck\trecheck\tVB\tI-VP\tO' +p162554 +aS'an\tan\tDT\tB-NP\tO' +p162555 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p162556 +aS'to\tto\tTO\tB-VP\tO' +p162557 +aS'assess\tassess\tVB\tI-VP\tO' +p162558 +aS'his\this\tPRP$\tB-NP\tO' +p162559 +aS'ejection\tejection\tNN\tI-NP\tO' +p162560 +aS'fraction\tfraction\tNN\tI-NP\tO' +p162561 +aS'when\twhen\tWRB\tB-ADVP\tO' +p162562 +aS'he\the\tPRP\tB-NP\tO' +p162563 +aS'is\tbe\tVBZ\tB-VP\tO' +p162564 +aS'clinically\tclinically\tRB\tB-ADJP\tO' +p162565 +aS'better\tgood\tJJR\tI-ADJP\tO' +p162566 +aS'.\t.\t.\tO\tO' +p162567 +asS'By the 7th hospital day , the patient was medically stable .' +p162568 +(lp162569 +S'By\tBy\tIN\tB-PP\tO' +p162570 +aS'the\tthe\tDT\tB-NP\tO' +p162571 +aS'7th\t7th\tJJ\tI-NP\tO' +p162572 +aS'hospital\thospital\tNN\tI-NP\tO' +p162573 +aS'day\tday\tNN\tI-NP\tO' +p162574 +aS',\t,\t,\tO\tO' +p162575 +aS'the\tthe\tDT\tB-NP\tO' +p162576 +aS'patient\tpatient\tNN\tI-NP\tO' +p162577 +aS'was\tbe\tVBD\tB-VP\tO' +p162578 +aS'medically\tmedically\tRB\tB-ADJP\tO' +p162579 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p162580 +aS'.\t.\t.\tO\tO' +p162581 +asS'The tumor is composed of a relatively monotonous proliferation of spindle cells which grow in sheets with a prominent vascular pattern .' +p162582 +(lp162583 +S'The\tThe\tDT\tB-NP\tO' +p162584 +aS'tumor\ttumor\tNN\tI-NP\tO' +p162585 +aS'is\tbe\tVBZ\tB-VP\tO' +p162586 +aS'composed\tcompose\tVBN\tI-VP\tO' +p162587 +aS'of\tof\tIN\tB-PP\tO' +p162588 +aS'a\ta\tDT\tB-NP\tO' +p162589 +aS'relatively\trelatively\tRB\tI-NP\tO' +p162590 +aS'monotonous\tmonotonous\tJJ\tI-NP\tO' +p162591 +aS'proliferation\tproliferation\tNN\tI-NP\tO' +p162592 +aS'of\tof\tIN\tB-PP\tO' +p162593 +aS'spindle\tspindle\tNN\tB-NP\tB-cell_type' +p162594 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p162595 +aS'which\twhich\tWDT\tB-NP\tO' +p162596 +aS'grow\tgrow\tVBP\tB-VP\tO' +p162597 +aS'in\tin\tIN\tB-PP\tO' +p162598 +aS'sheets\tsheet\tNNS\tB-NP\tO' +p162599 +aS'with\twith\tIN\tB-PP\tO' +p162600 +aS'a\ta\tDT\tB-NP\tO' +p162601 +aS'prominent\tprominent\tJJ\tI-NP\tO' +p162602 +aS'vascular\tvascular\tJJ\tI-NP\tO' +p162603 +aS'pattern\tpattern\tNN\tI-NP\tO' +p162604 +aS'.\t.\t.\tO\tO' +p162605 +asS'Mychelia demonstrated slow gastrointestinal motility and abdominal distention felt to be due to CPAP .' +p162606 +(lp162607 +S'Mychelia\tMychelia\tNNP\tB-NP\tO' +p162608 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p162609 +aS'slow\tslow\tJJ\tB-NP\tO' +p162610 +aS'gastrointestinal\tgastrointestinal\tJJ\tI-NP\tO' +p162611 +aS'motility\tmotility\tNN\tI-NP\tO' +p162612 +aS'and\tand\tCC\tO\tO' +p162613 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p162614 +aS'distention\tdistention\tNN\tI-NP\tO' +p162615 +aS'felt\tfeel\tVBD\tB-VP\tO' +p162616 +aS'to\tto\tTO\tI-VP\tO' +p162617 +aS'be\tbe\tVB\tI-VP\tO' +p162618 +aS'due\tdue\tIN\tB-PP\tO' +p162619 +aS'to\tto\tTO\tB-PP\tO' +p162620 +aS'CPAP\tCPAP\tNN\tB-NP\tB-protein' +p162621 +aS'.\t.\t.\tO\tO' +p162622 +asS'She was discharged to home in good condition on the following medications .' +p162623 +(lp162624 +S'She\tShe\tPRP\tB-NP\tO' +p162625 +aS'was\tbe\tVBD\tB-VP\tO' +p162626 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p162627 +aS'to\tto\tTO\tB-PP\tO' +p162628 +aS'home\thome\tNN\tB-NP\tO' +p162629 +aS'in\tin\tIN\tB-PP\tO' +p162630 +aS'good\tgood\tJJ\tB-NP\tO' +p162631 +aS'condition\tcondition\tNN\tI-NP\tO' +p162632 +aS'on\ton\tIN\tB-PP\tO' +p162633 +aS'the\tthe\tDT\tB-NP\tO' +p162634 +aS'following\tfollow\tVBG\tI-NP\tO' +p162635 +aS'medications\tmedication\tNNS\tI-NP\tO' +p162636 +aS'.\t.\t.\tO\tO' +p162637 +asS'With this in mind , when obtaining a CT scan it was determined that contrast would not be the best option .' +p162638 +(lp162639 +S'With\tWith\tIN\tB-PP\tO' +p162640 +aS'this\tthis\tDT\tB-NP\tO' +p162641 +aS'in\tin\tIN\tB-PP\tO' +p162642 +aS'mind\tmind\tNN\tB-NP\tO' +p162643 +aS',\t,\t,\tO\tO' +p162644 +aS'when\twhen\tWRB\tB-ADVP\tO' +p162645 +aS'obtaining\tobtain\tVBG\tB-VP\tO' +p162646 +aS'a\ta\tDT\tB-NP\tO' +p162647 +aS'CT\tCT\tNN\tI-NP\tO' +p162648 +aS'scan\tscan\tNN\tI-NP\tO' +p162649 +aS'it\tit\tPRP\tB-NP\tO' +p162650 +aS'was\tbe\tVBD\tB-VP\tO' +p162651 +aS'determined\tdetermine\tVBN\tI-VP\tO' +p162652 +aS'that\tthat\tIN\tB-SBAR\tO' +p162653 +aS'contrast\tcontrast\tNN\tB-NP\tO' +p162654 +aS'would\twould\tMD\tB-VP\tO' +p162655 +aS'not\tnot\tRB\tI-VP\tO' +p162656 +aS'be\tbe\tVB\tI-VP\tO' +p162657 +aS'the\tthe\tDT\tB-NP\tO' +p162658 +aS'best\tgood\tJJS\tI-NP\tO' +p162659 +aS'option\toption\tNN\tI-NP\tO' +p162660 +aS'.\t.\t.\tO\tO' +p162661 +asS'2. Pantoprazole 40 mg Tablet , Delayed Release ( E.C. ) Sig : One ( 1 ) Tablet , Delayed Release ( E.C. ) PO Q24H ( every 24 hours ) .' +p162662 +(lp162663 +S'2.\t2.\tLS\tB-NP\tO' +p162664 +aS'Pantoprazole\tPantoprazole\tNN\tI-NP\tO' +p162665 +aS'40\t40\tCD\tI-NP\tO' +p162666 +aS'mg\tmg\tNN\tI-NP\tO' +p162667 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p162668 +aS',\t,\t,\tO\tO' +p162669 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p162670 +aS'Release\tRelease\tNNP\tI-NP\tO' +p162671 +aS'(\t(\t(\tO\tO' +p162672 +aS'E.C.\tE.C.\tNNP\tB-NP\tO' +p162673 +aS')\t)\t)\tO\tO' +p162674 +aS'Sig\tSig\tNNP\tB-NP\tO' +p162675 +aS':\t:\t:\tO\tO' +p162676 +aS'One\tOne\tCD\tB-NP\tO' +p162677 +aS'(\t(\t(\tO\tO' +p162678 +aS'1\t1\tCD\tB-NP\tO' +p162679 +aS')\t)\t)\tO\tO' +p162680 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p162681 +aS',\t,\t,\tO\tO' +p162682 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p162683 +aS'Release\tRelease\tNNP\tI-NP\tO' +p162684 +aS'(\t(\t(\tO\tO' +p162685 +aS'E.C.\tE.C.\tNNP\tO\tO' +p162686 +aS')\t)\t)\tO\tO' +p162687 +aS'PO\tPO\tNN\tB-NP\tO' +p162688 +aS'Q24H\tQ24H\tNN\tI-NP\tO' +p162689 +aS'(\t(\t(\tO\tO' +p162690 +aS'every\tevery\tDT\tB-NP\tO' +p162691 +aS'24\t24\tCD\tI-NP\tO' +p162692 +aS'hours\thour\tNNS\tI-NP\tO' +p162693 +aS')\t)\t)\tO\tO' +p162694 +aS'.\t.\t.\tO\tO' +p162695 +asS'bisoprolol 5 mg daily crestor 20 mg daily' +p162696 +(lp162697 +S'bisoprolol\tbisoprolol\tNN\tB-NP\tO' +p162698 +aS'5\t5\tCD\tI-NP\tO' +p162699 +aS'mg\tmg\tNN\tI-NP\tO' +p162700 +aS'daily\tdaily\tJJ\tI-NP\tO' +p162701 +aS'crestor\tcrestor\tNN\tI-NP\tO' +p162702 +aS'20\t20\tCD\tI-NP\tO' +p162703 +aS'mg\tmg\tNN\tI-NP\tO' +p162704 +aS'daily\tdaily\tJJ\tI-NP\tO' +p162705 +asS'Significant for hypertension , hyperlipidemia .' +p162706 +(lp162707 +S'Significant\tSignificant\tJJ\tB-ADJP\tO' +p162708 +aS'for\tfor\tIN\tB-PP\tO' +p162709 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p162710 +aS',\t,\t,\tO\tO' +p162711 +aS'hyperlipidemia\thyperlipidemia\tNN\tB-NP\tO' +p162712 +aS'.\t.\t.\tO\tO' +p162713 +asS'Crackles halfway up lung fields B/L .' +p162714 +(lp162715 +S'Crackles\tCrackles\tNNP\tB-NP\tO' +p162716 +aS'halfway\thalfway\tVB\tB-VP\tO' +p162717 +aS'up\tup\tRP\tB-PRT\tO' +p162718 +aS'lung\tlung\tNN\tB-NP\tO' +p162719 +aS'fields\tfield\tNNS\tI-NP\tO' +p162720 +aS'B/L\tB/L\tNN\tI-NP\tO' +p162721 +aS'.\t.\t.\tO\tO' +p162722 +asS'The patient was bolused with intravenous heparin due to concern for pulmonary embolism .' +p162723 +(lp162724 +S'The\tThe\tDT\tB-NP\tO' +p162725 +aS'patient\tpatient\tNN\tI-NP\tO' +p162726 +aS'was\tbe\tVBD\tB-VP\tO' +p162727 +aS'bolused\tboluse\tVBN\tI-VP\tO' +p162728 +aS'with\twith\tIN\tB-PP\tO' +p162729 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p162730 +aS'heparin\theparin\tNN\tI-NP\tO' +p162731 +aS'due\tdue\tJJ\tB-ADJP\tO' +p162732 +aS'to\tto\tTO\tB-PP\tO' +p162733 +aS'concern\tconcern\tNN\tB-NP\tO' +p162734 +aS'for\tfor\tIN\tB-PP\tO' +p162735 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p162736 +aS'embolism\tembolism\tNN\tI-NP\tO' +p162737 +aS'.\t.\t.\tO\tO' +p162738 +asS'9. Imdur 30 mg Tablet Sustained Release 24 HR Sig : One ( 1 ) Tablet Sustained Release 24HR PO once a day .' +p162739 +(lp162740 +S'9.\t9.\tCD\tB-NP\tO' +p162741 +aS'Imdur\tImdur\tNNP\tI-NP\tO' +p162742 +aS'30\t30\tCD\tI-NP\tO' +p162743 +aS'mg\tmg\tNN\tI-NP\tO' +p162744 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p162745 +aS'Sustained\tSustain\tVBD\tB-VP\tO' +p162746 +aS'Release\tRelease\tNNP\tB-NP\tO' +p162747 +aS'24\t24\tCD\tI-NP\tO' +p162748 +aS'HR\tHR\tNN\tI-NP\tO' +p162749 +aS'Sig\tSig\tNNP\tI-NP\tO' +p162750 +aS':\t:\t:\tO\tO' +p162751 +aS'One\tOne\tCD\tB-NP\tO' +p162752 +aS'(\t(\t(\tO\tO' +p162753 +aS'1\t1\tCD\tB-NP\tO' +p162754 +aS')\t)\t)\tO\tO' +p162755 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p162756 +aS'Sustained\tSustain\tVBD\tB-VP\tO' +p162757 +aS'Release\tRelease\tNN\tB-NP\tB-protein' +p162758 +aS'24HR\t24HR\tNN\tI-NP\tI-protein' +p162759 +aS'PO\tPO\tNN\tI-NP\tI-protein' +p162760 +aS'once\tonce\tRB\tO\tO' +p162761 +aS'a\ta\tDT\tB-NP\tO' +p162762 +aS'day\tday\tNN\tI-NP\tO' +p162763 +aS'.\t.\t.\tO\tO' +p162764 +asS'Patient was able to be extubated on hospital day three .' +p162765 +(lp162766 +S'Patient\tPatient\tNN\tB-NP\tO' +p162767 +aS'was\tbe\tVBD\tB-VP\tO' +p162768 +aS'able\table\tJJ\tB-ADJP\tO' +p162769 +aS'to\tto\tTO\tB-VP\tO' +p162770 +aS'be\tbe\tVB\tI-VP\tO' +p162771 +aS'extubated\textubate\tVBN\tI-VP\tO' +p162772 +aS'on\ton\tIN\tB-PP\tO' +p162773 +aS'hospital\thospital\tNN\tB-NP\tO' +p162774 +aS'day\tday\tNN\tI-NP\tO' +p162775 +aS'three\tthree\tCD\tI-NP\tO' +p162776 +aS'.\t.\t.\tO\tO' +p162777 +asS'The CEA was less than 0.7 .' +p162778 +(lp162779 +S'The\tThe\tDT\tB-NP\tO' +p162780 +aS'CEA\tCEA\tNN\tI-NP\tB-protein' +p162781 +aS'was\tbe\tVBD\tB-VP\tO' +p162782 +aS'less\tless\tJJR\tB-ADJP\tO' +p162783 +aS'than\tthan\tIN\tB-PP\tO' +p162784 +aS'0.7\t0.7\tCD\tB-NP\tO' +p162785 +aS'.\t.\t.\tO\tO' +p162786 +asS'5. Prednisone 40 mg p.o. q.d. with taper .' +p162787 +(lp162788 +S'5.\t5.\tLS\tB-NP\tO' +p162789 +aS'Prednisone\tPrednisone\tNN\tI-NP\tO' +p162790 +aS'40\t40\tCD\tI-NP\tO' +p162791 +aS'mg\tmg\tNN\tI-NP\tO' +p162792 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p162793 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p162794 +aS'with\twith\tIN\tB-PP\tO' +p162795 +aS'taper\ttaper\tNN\tB-NP\tO' +p162796 +aS'.\t.\t.\tO\tO' +p162797 +asS'Head CT 2014-01-09 - Ordered to evaluate for changes to explain delta MS' +p162798 +(lp162799 +S'Head\tHead\tNN\tB-NP\tO' +p162800 +aS'CT\tCT\tNN\tI-NP\tO' +p162801 +aS'2014-01-09\t2014-01-09\tCD\tI-NP\tO' +p162802 +aS'-\t-\tHYPH\tB-VP\tO' +p162803 +aS'Ordered\tOrder\tVBN\tI-VP\tO' +p162804 +aS'to\tto\tTO\tI-VP\tO' +p162805 +aS'evaluate\tevaluate\tVB\tI-VP\tO' +p162806 +aS'for\tfor\tIN\tB-PP\tO' +p162807 +aS'changes\tchange\tNNS\tB-NP\tO' +p162808 +aS'to\tto\tTO\tB-VP\tO' +p162809 +aS'explain\texplain\tVB\tI-VP\tO' +p162810 +aS'delta\tdelta\tNN\tB-NP\tO' +p162811 +aS'MS\tMS\tNN\tI-NP\tO' +p162812 +asS'The EKG was prior to catheterization and the one post PTCA was no different .' +p162813 +(lp162814 +S'The\tThe\tDT\tB-NP\tO' +p162815 +aS'EKG\tEKG\tNN\tI-NP\tB-protein' +p162816 +aS'was\tbe\tVBD\tB-VP\tO' +p162817 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p162818 +aS'to\tto\tTO\tB-PP\tO' +p162819 +aS'catheterization\tcatheterization\tNN\tB-NP\tO' +p162820 +aS'and\tand\tCC\tO\tO' +p162821 +aS'the\tthe\tDT\tB-NP\tO' +p162822 +aS'one\tone\tCD\tI-NP\tO' +p162823 +aS'post\tpost\tNN\tI-NP\tO' +p162824 +aS'PTCA\tPTCA\tNN\tI-NP\tO' +p162825 +aS'was\tbe\tVBD\tB-VP\tO' +p162826 +aS'no\tno\tDT\tB-NP\tO' +p162827 +aS'different\tdifferent\tJJ\tI-NP\tO' +p162828 +aS'.\t.\t.\tO\tO' +p162829 +asS'ON transfer to the floor she remained hemodynamically stable with stable Hct and declining bilirubin .' +p162830 +(lp162831 +S'ON\tON\tNN\tB-NP\tO' +p162832 +aS'transfer\ttransfer\tNN\tI-NP\tO' +p162833 +aS'to\tto\tTO\tB-PP\tO' +p162834 +aS'the\tthe\tDT\tB-NP\tO' +p162835 +aS'floor\tfloor\tNN\tI-NP\tO' +p162836 +aS'she\tshe\tPRP\tB-NP\tO' +p162837 +aS'remained\tremain\tVBD\tB-VP\tO' +p162838 +aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' +p162839 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p162840 +aS'with\twith\tIN\tB-PP\tO' +p162841 +aS'stable\tstable\tJJ\tB-NP\tO' +p162842 +aS'Hct\tHct\tNN\tI-NP\tO' +p162843 +aS'and\tand\tCC\tO\tO' +p162844 +aS'declining\tdecline\tVBG\tB-NP\tO' +p162845 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p162846 +aS'.\t.\t.\tO\tO' +p162847 +asS'6 ) The patient will continue her Prednisone at 40 mg p.o. q. day times one month ( this was started on July 27 , 1999 ) and then she will begin a slow taper as guided by Pulmonary .' +p162848 +(lp162849 +S'6\t6\tLS\tB-LST\tO' +p162850 +aS')\t)\t)\tO\tO' +p162851 +aS'The\tThe\tDT\tB-NP\tO' +p162852 +aS'patient\tpatient\tNN\tI-NP\tO' +p162853 +aS'will\twill\tMD\tB-VP\tO' +p162854 +aS'continue\tcontinue\tVB\tI-VP\tO' +p162855 +aS'her\ther\tPRP$\tB-NP\tO' +p162856 +aS'Prednisone\tPrednisone\tNN\tI-NP\tO' +p162857 +aS'at\tat\tIN\tB-PP\tO' +p162858 +aS'40\t40\tCD\tB-NP\tO' +p162859 +aS'mg\tmg\tNN\tI-NP\tO' +p162860 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p162861 +aS'q.\tq.\tNN\tI-NP\tO' +p162862 +aS'day\tday\tNN\tI-NP\tO' +p162863 +aS'times\ttime\tVBZ\tB-VP\tO' +p162864 +aS'one\tone\tCD\tB-NP\tO' +p162865 +aS'month\tmonth\tNN\tI-NP\tO' +p162866 +aS'(\t(\t(\tO\tO' +p162867 +aS'this\tthis\tDT\tB-NP\tO' +p162868 +aS'was\tbe\tVBD\tB-VP\tO' +p162869 +aS'started\tstart\tVBN\tI-VP\tO' +p162870 +aS'on\ton\tIN\tB-PP\tO' +p162871 +aS'July\tJuly\tNNP\tB-NP\tO' +p162872 +aS'27\t27\tCD\tI-NP\tO' +p162873 +aS',\t,\t,\tI-NP\tO' +p162874 +aS'1999\t1999\tCD\tI-NP\tO' +p162875 +aS')\t)\t)\tO\tO' +p162876 +aS'and\tand\tCC\tO\tO' +p162877 +aS'then\tthen\tRB\tO\tO' +p162878 +aS'she\tshe\tPRP\tB-NP\tO' +p162879 +aS'will\twill\tMD\tB-VP\tO' +p162880 +aS'begin\tbegin\tVB\tI-VP\tO' +p162881 +aS'a\ta\tDT\tB-NP\tO' +p162882 +aS'slow\tslow\tJJ\tI-NP\tO' +p162883 +aS'taper\ttaper\tNN\tI-NP\tO' +p162884 +aS'as\tas\tIN\tB-SBAR\tO' +p162885 +aS'guided\tguide\tVBN\tB-VP\tO' +p162886 +aS'by\tby\tIN\tB-PP\tO' +p162887 +aS'Pulmonary\tPulmonary\tNNP\tB-NP\tO' +p162888 +aS'.\t.\t.\tO\tO' +p162889 +asS'She was transferred to Arbour Hospital on 2015-02-21 for bowel obstruction , ischemia and worsening abdominal distention and pain .' +p162890 +(lp162891 +S'She\tShe\tPRP\tB-NP\tO' +p162892 +aS'was\tbe\tVBD\tB-VP\tO' +p162893 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p162894 +aS'to\tto\tTO\tB-PP\tO' +p162895 +aS'Arbour\tArbour\tNNP\tB-NP\tO' +p162896 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p162897 +aS'on\ton\tIN\tB-PP\tO' +p162898 +aS'2015-02-21\t2015-02-21\tCD\tB-NP\tO' +p162899 +aS'for\tfor\tIN\tB-PP\tO' +p162900 +aS'bowel\tbowel\tNN\tB-NP\tO' +p162901 +aS'obstruction\tobstruction\tNN\tI-NP\tO' +p162902 +aS',\t,\t,\tO\tO' +p162903 +aS'ischemia\tischemia\tNN\tB-NP\tO' +p162904 +aS'and\tand\tCC\tO\tO' +p162905 +aS'worsening\tworsen\tVBG\tB-VP\tO' +p162906 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p162907 +aS'distention\tdistention\tNN\tI-NP\tO' +p162908 +aS'and\tand\tCC\tI-NP\tO' +p162909 +aS'pain\tpain\tNN\tI-NP\tO' +p162910 +aS'.\t.\t.\tO\tO' +p162911 +asS'White count 13.9 , hematocrit 35.9 , platelet count 81,000 .' +p162912 +(lp162913 +S'White\tWhite\tJJ\tB-NP\tO' +p162914 +aS'count\tcount\tNN\tI-NP\tO' +p162915 +aS'13.9\t13.9\tCD\tI-NP\tO' +p162916 +aS',\t,\t,\tO\tO' +p162917 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p162918 +aS'35.9\t35.9\tCD\tI-NP\tI-protein' +p162919 +aS',\t,\t,\tO\tO' +p162920 +aS'platelet\tplatelet\tNN\tB-NP\tB-protein' +p162921 +aS'count\tcount\tNN\tI-NP\tI-protein' +p162922 +aS'81,000\t81,000\tCD\tI-NP\tI-protein' +p162923 +aS'.\t.\t.\tO\tO' +p162924 +asS'She spiked a fever to 103 with blood pressures hypertensive into the systolic 80 s and with rigors .' +p162925 +(lp162926 +S'She\tShe\tPRP\tB-NP\tO' +p162927 +aS'spiked\tspike\tVBD\tB-VP\tO' +p162928 +aS'a\ta\tDT\tB-NP\tO' +p162929 +aS'fever\tfever\tNN\tI-NP\tO' +p162930 +aS'to\tto\tTO\tB-PP\tO' +p162931 +aS'103\t103\tCD\tB-NP\tO' +p162932 +aS'with\twith\tIN\tB-PP\tO' +p162933 +aS'blood\tblood\tNN\tB-NP\tO' +p162934 +aS'pressures\tpressure\tNNS\tI-NP\tO' +p162935 +aS'hypertensive\thypertensive\tJJ\tB-ADJP\tO' +p162936 +aS'into\tinto\tIN\tB-PP\tO' +p162937 +aS'the\tthe\tDT\tB-NP\tO' +p162938 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p162939 +aS'80\t80\tCD\tI-NP\tO' +p162940 +aS's\ts\tNN\tI-NP\tO' +p162941 +aS'and\tand\tCC\tB-PP\tO' +p162942 +aS'with\twith\tIN\tB-PP\tO' +p162943 +aS'rigors\trigor\tNNS\tB-NP\tO' +p162944 +aS'.\t.\t.\tO\tO' +p162945 +asS'Chest x-ray rotated low lung volumes , hazy opacities at bases .' +p162946 +(lp162947 +S'Chest\tChest\tNNP\tB-NP\tO' +p162948 +aS'x-ray\tx-ray\tNNP\tI-NP\tO' +p162949 +aS'rotated\trotate\tVBD\tB-VP\tO' +p162950 +aS'low\tlow\tJJ\tB-NP\tO' +p162951 +aS'lung\tlung\tNN\tI-NP\tO' +p162952 +aS'volumes\tvolume\tNNS\tI-NP\tO' +p162953 +aS',\t,\t,\tO\tO' +p162954 +aS'hazy\thazy\tJJ\tB-NP\tO' +p162955 +aS'opacities\topacity\tNNS\tI-NP\tO' +p162956 +aS'at\tat\tIN\tB-PP\tO' +p162957 +aS'bases\tbase\tNNS\tB-NP\tO' +p162958 +aS'.\t.\t.\tO\tO' +p162959 +asS'Dr. Kim Adams .' +p162960 +(lp162961 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p162962 +aS'Kim\tKim\tNNP\tI-NP\tO' +p162963 +aS'Adams\tAdams\tNNP\tI-NP\tO' +p162964 +aS'.\t.\t.\tO\tO' +p162965 +asS'He remained chest pain free throughout his admission .' +p162966 +(lp162967 +S'He\tHe\tPRP\tB-NP\tO' +p162968 +aS'remained\tremain\tVBD\tB-VP\tO' +p162969 +aS'chest\tchest\tNN\tB-NP\tO' +p162970 +aS'pain\tpain\tNN\tI-NP\tO' +p162971 +aS'free\tfree\tJJ\tB-ADJP\tO' +p162972 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p162973 +aS'his\this\tPRP$\tB-NP\tO' +p162974 +aS'admission\tadmission\tNN\tI-NP\tO' +p162975 +aS'.\t.\t.\tO\tO' +p162976 +asS'There is no lymphadenopathy .' +p162977 +(lp162978 +S'There\tThere\tEX\tB-NP\tO' +p162979 +aS'is\tbe\tVBZ\tB-VP\tO' +p162980 +aS'no\tno\tDT\tB-NP\tO' +p162981 +aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' +p162982 +aS'.\t.\t.\tO\tO' +p162983 +asS'There were no rales .' +p162984 +(lp162985 +S'There\tThere\tEX\tB-NP\tO' +p162986 +aS'were\tbe\tVBD\tB-VP\tO' +p162987 +aS'no\tno\tDT\tB-NP\tO' +p162988 +aS'rales\trale\tNNS\tI-NP\tO' +p162989 +aS'.\t.\t.\tO\tO' +p162990 +asS"non-contributory for premature CAD ; father had MI in his 70 's" +p162991 +(lp162992 +S'non-contributory\tnon-contributory\tJJ\tB-ADJP\tO' +p162993 +aS'for\tfor\tIN\tB-PP\tO' +p162994 +aS'premature\tpremature\tJJ\tB-NP\tO' +p162995 +aS'CAD\tCAD\tNN\tI-NP\tO' +p162996 +aS';\t;\t:\tO\tO' +p162997 +aS'father\tfather\tNN\tB-NP\tO' +p162998 +aS'had\thave\tVBD\tB-VP\tO' +p162999 +aS'MI\tMI\tNN\tB-NP\tO' +p163000 +aS'in\tin\tIN\tB-PP\tO' +p163001 +aS'his\this\tPRP$\tB-NP\tO' +p163002 +aS'70\t70\tCD\tI-NP\tO' +p163003 +aS"'s\t's\tPOS\tB-NP\tO" +p163004 +asS"The PICC was d/c 'ed and pt was continued on vancomycin ( for course of 6 weeks ) and meropenem was added on 02-09 ( for 3 week course )." +p163005 +(lp163006 +S'The\tThe\tDT\tB-NP\tO' +p163007 +aS'PICC\tPICC\tNN\tI-NP\tO' +p163008 +aS'was\tbe\tVBD\tB-VP\tO' +p163009 +aS'd/c\td/c\tNN\tI-VP\tO' +p163010 +aS"'ed\t'e\tVBN\tI-VP\tO" +p163011 +aS'and\tand\tCC\tO\tO' +p163012 +aS'pt\tpt\tNN\tB-NP\tO' +p163013 +aS'was\tbe\tVBD\tB-VP\tO' +p163014 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p163015 +aS'on\ton\tIN\tB-PP\tO' +p163016 +aS'vancomycin\tvancomycin\tNN\tB-NP\tO' +p163017 +aS'(\t(\t(\tO\tO' +p163018 +aS'for\tfor\tIN\tB-PP\tO' +p163019 +aS'course\tcourse\tNN\tB-NP\tO' +p163020 +aS'of\tof\tIN\tB-PP\tO' +p163021 +aS'6\t6\tCD\tB-NP\tO' +p163022 +aS'weeks\tweek\tNNS\tI-NP\tO' +p163023 +aS')\t)\t)\tO\tO' +p163024 +aS'and\tand\tCC\tO\tO' +p163025 +aS'meropenem\tmeropenem\tNN\tB-NP\tO' +p163026 +aS'was\tbe\tVBD\tB-VP\tO' +p163027 +aS'added\tadd\tVBN\tI-VP\tO' +p163028 +aS'on\ton\tIN\tB-PP\tO' +p163029 +aS'02-09\t02-09\tCD\tB-NP\tO' +p163030 +aS'(\t(\t(\tO\tO' +p163031 +aS'for\tfor\tIN\tB-PP\tO' +p163032 +aS'3\t3\tCD\tB-NP\tO' +p163033 +aS'week\tweek\tNN\tI-NP\tO' +p163034 +aS'course\tcourse\tNN\tI-NP\tO' +p163035 +aS').\t).\t.\tO\tO' +p163036 +asS'On the right side his strength was 5 out 5 .' +p163037 +(lp163038 +S'On\tOn\tIN\tB-PP\tO' +p163039 +aS'the\tthe\tDT\tB-NP\tO' +p163040 +aS'right\tright\tJJ\tI-NP\tB-protein' +p163041 +aS'side\tside\tNN\tI-NP\tI-protein' +p163042 +aS'his\this\tPRP$\tB-NP\tI-protein' +p163043 +aS'strength\tstrength\tNN\tI-NP\tI-protein' +p163044 +aS'was\tbe\tVBD\tB-VP\tI-protein' +p163045 +aS'5\t5\tCD\tB-NP\tI-protein' +p163046 +aS'out\tout\tIN\tB-PP\tI-protein' +p163047 +aS'5\t5\tCD\tB-NP\tI-protein' +p163048 +aS'.\t.\t.\tO\tO' +p163049 +asS'1. Hepatitis C .' +p163050 +(lp163051 +S'1.\t1.\tLS\tB-NP\tO' +p163052 +aS'Hepatitis\tHepatitis\tNN\tI-NP\tO' +p163053 +aS'C\tC\tNN\tI-NP\tO' +p163054 +aS'.\t.\t.\tO\tO' +p163055 +asS'5) h/o lower extremity cellulitis .' +p163056 +(lp163057 +S'5)\t5)\tLS\tB-NP\tO' +p163058 +aS'h/o\th/o\tNN\tI-NP\tO' +p163059 +aS'lower\tlow\tJJR\tB-NP\tO' +p163060 +aS'extremity\textremity\tNN\tI-NP\tO' +p163061 +aS'cellulitis\tcellulitis\tNN\tI-NP\tO' +p163062 +aS'.\t.\t.\tO\tO' +p163063 +asS'There is no peripheral edema .' +p163064 +(lp163065 +S'There\tThere\tEX\tB-NP\tO' +p163066 +aS'is\tbe\tVBZ\tB-VP\tO' +p163067 +aS'no\tno\tDT\tB-NP\tO' +p163068 +aS'peripheral\tperipheral\tJJ\tI-NP\tO' +p163069 +aS'edema\tedema\tNN\tI-NP\tO' +p163070 +aS'.\t.\t.\tO\tO' +p163071 +asS'No masses and guaiac negative .' +p163072 +(lp163073 +S'No\tNo\tDT\tB-NP\tO' +p163074 +aS'masses\tmass\tNNS\tI-NP\tO' +p163075 +aS'and\tand\tCC\tI-NP\tO' +p163076 +aS'guaiac\tguaiac\tNN\tI-NP\tO' +p163077 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p163078 +aS'.\t.\t.\tO\tO' +p163079 +asS'Coronary artery disease - s/p CABG' +p163080 +(lp163081 +S'Coronary\tCoronary\tJJ\tB-NP\tO' +p163082 +aS'artery\tartery\tNN\tI-NP\tO' +p163083 +aS'disease\tdisease\tNN\tI-NP\tO' +p163084 +aS'-\t-\tHYPH\tB-NP\tO' +p163085 +aS's/p\ts/p\tNN\tI-NP\tO' +p163086 +aS'CABG\tCABG\tNN\tI-NP\tO' +p163087 +asS'NAD , awake , alert , blind , able to hear loud voices at L ear' +p163088 +(lp163089 +S'NAD\tNAD\tNN\tB-NP\tO' +p163090 +aS',\t,\t,\tO\tO' +p163091 +aS'awake\tawake\tNN\tB-NP\tO' +p163092 +aS',\t,\t,\tO\tO' +p163093 +aS'alert\talert\tJJ\tB-NP\tO' +p163094 +aS',\t,\t,\tI-NP\tO' +p163095 +aS'blind\tblind\tJJ\tI-NP\tO' +p163096 +aS',\t,\t,\tI-NP\tO' +p163097 +aS'able\table\tJJ\tI-NP\tO' +p163098 +aS'to\tto\tTO\tB-VP\tO' +p163099 +aS'hear\thear\tVB\tI-VP\tO' +p163100 +aS'loud\tloud\tJJ\tB-NP\tO' +p163101 +aS'voices\tvoice\tNNS\tI-NP\tO' +p163102 +aS'at\tat\tIN\tB-PP\tO' +p163103 +aS'L\tL\tNN\tB-NP\tO' +p163104 +aS'ear\tear\tNN\tI-NP\tO' +p163105 +asS'4. Status post left arteriovenous graft placement for hemodialysis .' +p163106 +(lp163107 +S'4.\t4.\tLS\tB-NP\tO' +p163108 +aS'Status\tStatus\tNNP\tI-NP\tO' +p163109 +aS'post\tpost\tNN\tI-NP\tO' +p163110 +aS'left\tleave\tVBD\tB-VP\tO' +p163111 +aS'arteriovenous\tarteriovenous\tJJ\tB-NP\tO' +p163112 +aS'graft\tgraft\tNN\tI-NP\tO' +p163113 +aS'placement\tplacement\tNN\tI-NP\tO' +p163114 +aS'for\tfor\tIN\tB-PP\tO' +p163115 +aS'hemodialysis\themodialysis\tNN\tB-NP\tO' +p163116 +aS'.\t.\t.\tO\tO' +p163117 +asS'Comfortable , conversational , appears same as week prior , no apparent distress .' +p163118 +(lp163119 +S'Comfortable\tComfortable\tJJ\tB-NP\tO' +p163120 +aS',\t,\t,\tI-NP\tO' +p163121 +aS'conversational\tconversational\tJJ\tI-NP\tO' +p163122 +aS',\t,\t,\tO\tO' +p163123 +aS'appears\tappear\tVBZ\tB-VP\tO' +p163124 +aS'same\tsame\tJJ\tB-ADJP\tO' +p163125 +aS'as\tas\tIN\tB-PP\tO' +p163126 +aS'week\tweek\tNN\tB-NP\tO' +p163127 +aS'prior\tprior\tRB\tB-ADVP\tO' +p163128 +aS',\t,\t,\tO\tO' +p163129 +aS'no\tno\tDT\tB-NP\tO' +p163130 +aS'apparent\tapparent\tJJ\tI-NP\tO' +p163131 +aS'distress\tdistress\tNN\tI-NP\tO' +p163132 +aS'.\t.\t.\tO\tO' +p163133 +asS'Distended , positive bowel sounds , soft , mild tenderness in the left lower quadrant , no rebound .' +p163134 +(lp163135 +S'Distended\tDistend\tVBN\tB-NP\tO' +p163136 +aS',\t,\t,\tI-NP\tO' +p163137 +aS'positive\tpositive\tJJ\tI-NP\tO' +p163138 +aS'bowel\tbowel\tNN\tI-NP\tO' +p163139 +aS'sounds\tsound\tNNS\tI-NP\tO' +p163140 +aS',\t,\t,\tO\tO' +p163141 +aS'soft\tsoft\tJJ\tB-NP\tO' +p163142 +aS',\t,\t,\tI-NP\tO' +p163143 +aS'mild\tmild\tJJ\tI-NP\tO' +p163144 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p163145 +aS'in\tin\tIN\tB-PP\tO' +p163146 +aS'the\tthe\tDT\tB-NP\tO' +p163147 +aS'left\tleft\tJJ\tI-NP\tO' +p163148 +aS'lower\tlow\tJJR\tI-NP\tO' +p163149 +aS'quadrant\tquadrant\tNN\tI-NP\tO' +p163150 +aS',\t,\t,\tO\tO' +p163151 +aS'no\tno\tDT\tB-NP\tO' +p163152 +aS'rebound\trebound\tNN\tI-NP\tO' +p163153 +aS'.\t.\t.\tO\tO' +p163154 +asS'None .' +p163155 +(lp163156 +S'None\tNone\tNN\tB-NP\tO' +p163157 +aS'.\t.\t.\tO\tO' +p163158 +asS'The patient was able to spell world backwards on the third attempt .' +p163159 +(lp163160 +S'The\tThe\tDT\tB-NP\tO' +p163161 +aS'patient\tpatient\tNN\tI-NP\tO' +p163162 +aS'was\tbe\tVBD\tB-VP\tO' +p163163 +aS'able\table\tJJ\tB-ADJP\tO' +p163164 +aS'to\tto\tTO\tB-VP\tO' +p163165 +aS'spell\tspell\tVB\tI-VP\tO' +p163166 +aS'world\tworld\tNN\tB-NP\tO' +p163167 +aS'backwards\tbackward\tNNS\tI-NP\tO' +p163168 +aS'on\ton\tIN\tB-PP\tO' +p163169 +aS'the\tthe\tDT\tB-NP\tO' +p163170 +aS'third\tthird\tJJ\tI-NP\tO' +p163171 +aS'attempt\tattempt\tNN\tI-NP\tO' +p163172 +aS'.\t.\t.\tO\tO' +p163173 +asS'Following evaluation and treatment , the patient 's disposition at the end of the visit was ADMITTED AS AN INPATIENT TO WELL GENERAL HOSPITAL .' +p163174 +(lp163175 +S'Following\tFollow\tVBG\tB-PP\tO' +p163176 +aS'evaluation\tevaluation\tNN\tB-NP\tO' +p163177 +aS'and\tand\tCC\tI-NP\tO' +p163178 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p163179 +aS',\t,\t,\tO\tO' +p163180 +aS'the\tthe\tDT\tB-NP\tO' +p163181 +aS'patient\tpatient\tNN\tI-NP\tO' +p163182 +aS''s\t'\tNNS\tI-NP\tO' +p163183 +aS'disposition\tdisposition\tNN\tI-NP\tO' +p163184 +aS'at\tat\tIN\tB-PP\tO' +p163185 +aS'the\tthe\tDT\tB-NP\tO' +p163186 +aS'end\tend\tNN\tI-NP\tO' +p163187 +aS'of\tof\tIN\tB-PP\tO' +p163188 +aS'the\tthe\tDT\tB-NP\tO' +p163189 +aS'visit\tvisit\tNN\tI-NP\tO' +p163190 +aS'was\tbe\tVBD\tB-VP\tO' +p163191 +aS'ADMITTED\tADMITTED\tVBN\tI-VP\tO' +p163192 +aS'AS\tAS\tNNP\tB-NP\tO' +p163193 +aS'AN\tAN\tNNP\tI-NP\tO' +p163194 +aS'INPATIENT\tINPATIENT\tNNP\tI-NP\tO' +p163195 +aS'TO\tTO\tNNP\tI-NP\tO' +p163196 +aS'WELL\tWELL\tNNP\tI-NP\tO' +p163197 +aS'GENERAL\tGENERAL\tNNP\tI-NP\tO' +p163198 +aS'HOSPITAL\tHOSPITAL\tNNP\tI-NP\tO' +p163199 +aS'.\t.\t.\tO\tO' +p163200 +asS'On the evening of the 22nd , the patient became acutely agitated , threatening to leave , and also threatening to harm those nurses and physicians that were attempting to prevent him from leaving .' +p163201 +(lp163202 +S'On\tOn\tIN\tB-PP\tO' +p163203 +aS'the\tthe\tDT\tB-NP\tO' +p163204 +aS'evening\tevening\tNN\tI-NP\tO' +p163205 +aS'of\tof\tIN\tB-PP\tO' +p163206 +aS'the\tthe\tDT\tB-NP\tO' +p163207 +aS'22nd\t22nd\tNN\tI-NP\tO' +p163208 +aS',\t,\t,\tO\tO' +p163209 +aS'the\tthe\tDT\tB-NP\tO' +p163210 +aS'patient\tpatient\tNN\tI-NP\tO' +p163211 +aS'became\tbecome\tVBD\tB-VP\tO' +p163212 +aS'acutely\tacutely\tRB\tB-ADJP\tO' +p163213 +aS'agitated\tagitate\tVBN\tI-ADJP\tO' +p163214 +aS',\t,\t,\tO\tO' +p163215 +aS'threatening\tthreaten\tVBG\tB-VP\tO' +p163216 +aS'to\tto\tTO\tI-VP\tO' +p163217 +aS'leave\tleave\tVB\tI-VP\tO' +p163218 +aS',\t,\t,\tO\tO' +p163219 +aS'and\tand\tCC\tO\tO' +p163220 +aS'also\talso\tRB\tB-VP\tO' +p163221 +aS'threatening\tthreaten\tVBG\tI-VP\tO' +p163222 +aS'to\tto\tTO\tI-VP\tO' +p163223 +aS'harm\tharm\tVB\tI-VP\tO' +p163224 +aS'those\tthose\tDT\tB-NP\tO' +p163225 +aS'nurses\tnurse\tNNS\tI-NP\tO' +p163226 +aS'and\tand\tCC\tI-NP\tO' +p163227 +aS'physicians\tphysician\tNNS\tI-NP\tO' +p163228 +aS'that\tthat\tWDT\tB-NP\tO' +p163229 +aS'were\tbe\tVBD\tB-VP\tO' +p163230 +aS'attempting\tattempt\tVBG\tI-VP\tO' +p163231 +aS'to\tto\tTO\tI-VP\tO' +p163232 +aS'prevent\tprevent\tVB\tI-VP\tO' +p163233 +aS'him\thim\tPRP\tB-NP\tO' +p163234 +aS'from\tfrom\tIN\tB-PP\tO' +p163235 +aS'leaving\tleave\tVBG\tB-NP\tO' +p163236 +aS'.\t.\t.\tO\tO' +p163237 +asS'Edith AI .' +p163238 +(lp163239 +S'Edith\tEdith\tNNP\tB-NP\tO' +p163240 +aS'AI\tAI\tNNP\tI-NP\tO' +p163241 +aS'.\t.\t.\tO\tO' +p163242 +asS"On postoperative day number eight , the patient 's oxygen saturation dropped to 85% on room air and he was transferred to the Surgical Intensive Care Unit for fluid management ." +p163243 +(lp163244 +S'On\tOn\tIN\tB-PP\tO' +p163245 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p163246 +aS'day\tday\tNN\tI-NP\tO' +p163247 +aS'number\tnumber\tNN\tI-NP\tO' +p163248 +aS'eight\teight\tCD\tI-NP\tO' +p163249 +aS',\t,\t,\tO\tO' +p163250 +aS'the\tthe\tDT\tB-NP\tO' +p163251 +aS'patient\tpatient\tNN\tI-NP\tO' +p163252 +aS"'s\t's\tPOS\tB-NP\tO" +p163253 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p163254 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p163255 +aS'dropped\tdrop\tVBD\tB-VP\tO' +p163256 +aS'to\tto\tTO\tI-VP\tO' +p163257 +aS'85%\t85%\tVB\tI-VP\tO' +p163258 +aS'on\ton\tIN\tB-PP\tO' +p163259 +aS'room\troom\tNN\tB-NP\tO' +p163260 +aS'air\tair\tNN\tI-NP\tO' +p163261 +aS'and\tand\tCC\tO\tO' +p163262 +aS'he\the\tPRP\tB-NP\tO' +p163263 +aS'was\tbe\tVBD\tB-VP\tO' +p163264 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p163265 +aS'to\tto\tTO\tB-PP\tO' +p163266 +aS'the\tthe\tDT\tB-NP\tO' +p163267 +aS'Surgical\tSurgical\tNNP\tI-NP\tO' +p163268 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p163269 +aS'Care\tCare\tNNP\tI-NP\tO' +p163270 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p163271 +aS'for\tfor\tIN\tB-PP\tO' +p163272 +aS'fluid\tfluid\tJJ\tB-NP\tO' +p163273 +aS'management\tmanagement\tNN\tI-NP\tO' +p163274 +aS'.\t.\t.\tO\tO' +p163275 +asS'Total bilirubin was 2.1 .' +p163276 +(lp163277 +S'Total\tTotal\tJJ\tB-NP\tO' +p163278 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p163279 +aS'was\tbe\tVBD\tB-VP\tO' +p163280 +aS'2.1\t2.1\tCD\tB-NP\tO' +p163281 +aS'.\t.\t.\tO\tO' +p163282 +asS'Mammogram was normal 7/92 , and 5/92 .' +p163283 +(lp163284 +S'Mammogram\tMammogram\tNNP\tB-NP\tO' +p163285 +aS'was\tbe\tVBD\tB-VP\tO' +p163286 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p163287 +aS'7/92\t7/92\tCD\tB-NP\tO' +p163288 +aS',\t,\t,\tO\tO' +p163289 +aS'and\tand\tCC\tO\tO' +p163290 +aS'5/92\t5/92\tCD\tB-NP\tO' +p163291 +aS'.\t.\t.\tO\tO' +p163292 +asS'There is no mass effect or shift of the normally midline structures .' +p163293 +(lp163294 +S'There\tThere\tEX\tB-NP\tO' +p163295 +aS'is\tbe\tVBZ\tB-VP\tO' +p163296 +aS'no\tno\tDT\tB-NP\tO' +p163297 +aS'mass\tmass\tNN\tI-NP\tO' +p163298 +aS'effect\teffect\tNN\tI-NP\tO' +p163299 +aS'or\tor\tCC\tI-NP\tO' +p163300 +aS'shift\tshift\tNN\tI-NP\tO' +p163301 +aS'of\tof\tIN\tB-PP\tO' +p163302 +aS'the\tthe\tDT\tB-NP\tO' +p163303 +aS'normally\tnormally\tRB\tI-NP\tO' +p163304 +aS'midline\tmidline\tNN\tI-NP\tO' +p163305 +aS'structures\tstructure\tNNS\tI-NP\tO' +p163306 +aS'.\t.\t.\tO\tO' +p163307 +asS'9. Right below the knee amputation in 2008 .' +p163308 +(lp163309 +S'9.\t9.\tLS\tB-NP\tO' +p163310 +aS'Right\tRight\tNN\tI-NP\tO' +p163311 +aS'below\tbelow\tIN\tB-PP\tO' +p163312 +aS'the\tthe\tDT\tB-NP\tO' +p163313 +aS'knee\tknee\tNN\tI-NP\tO' +p163314 +aS'amputation\tamputation\tNN\tI-NP\tO' +p163315 +aS'in\tin\tIN\tB-PP\tO' +p163316 +aS'2008\t2008\tCD\tB-NP\tO' +p163317 +aS'.\t.\t.\tO\tO' +p163318 +asS'The cardiac examination demonstrated single S1 , S2 , no murmurs .' +p163319 +(lp163320 +S'The\tThe\tDT\tB-NP\tO' +p163321 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p163322 +aS'examination\texamination\tNN\tI-NP\tO' +p163323 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p163324 +aS'single\tsingle\tJJ\tB-NP\tO' +p163325 +aS'S1\tS1\tNN\tI-NP\tO' +p163326 +aS',\t,\t,\tO\tO' +p163327 +aS'S2\tS2\tNN\tB-NP\tB-protein' +p163328 +aS',\t,\t,\tO\tO' +p163329 +aS'no\tno\tDT\tB-NP\tO' +p163330 +aS'murmurs\tmurmur\tNNS\tI-NP\tO' +p163331 +aS'.\t.\t.\tO\tO' +p163332 +asS'Blood cultures drawn on 12/01/03 were negative .' +p163333 +(lp163334 +S'Blood\tBlood\tNN\tB-NP\tO' +p163335 +aS'cultures\tculture\tNNS\tI-NP\tO' +p163336 +aS'drawn\tdraw\tVBN\tB-VP\tO' +p163337 +aS'on\ton\tIN\tB-PP\tO' +p163338 +aS'12/01/03\t12/01/03\tCD\tB-NP\tO' +p163339 +aS'were\tbe\tVBD\tB-VP\tO' +p163340 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p163341 +aS'.\t.\t.\tO\tO' +p163342 +asS'17) h/o breast CA s/p mastectomies' +p163343 +(lp163344 +S'17)\t17)\tLS\tB-NP\tO' +p163345 +aS'h/o\th/o\tNN\tI-NP\tO' +p163346 +aS'breast\tbreast\tNN\tI-NP\tO' +p163347 +aS'CA\tCA\tNN\tI-NP\tO' +p163348 +aS's/p\ts/p\tNN\tI-NP\tO' +p163349 +aS'mastectomies\tmastectomy\tNNS\tI-NP\tO' +p163350 +asS'Her epidural catheter was removed on 6/29 .' +p163351 +(lp163352 +S'Her\tHer\tPRP$\tB-NP\tO' +p163353 +aS'epidural\tepidural\tJJ\tI-NP\tO' +p163354 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p163355 +aS'was\tbe\tVBD\tB-VP\tO' +p163356 +aS'removed\tremove\tVBN\tI-VP\tO' +p163357 +aS'on\ton\tIN\tB-PP\tO' +p163358 +aS'6/29\t6/29\tCD\tB-NP\tO' +p163359 +aS'.\t.\t.\tO\tO' +p163360 +asS'Comfortable with good aeration , clear breath sounds , does grunt intermittently when disturbed .' +p163361 +(lp163362 +S'Comfortable\tComfortable\tJJ\tB-ADJP\tO' +p163363 +aS'with\twith\tIN\tB-PP\tO' +p163364 +aS'good\tgood\tJJ\tB-NP\tO' +p163365 +aS'aeration\taeration\tNN\tI-NP\tO' +p163366 +aS',\t,\t,\tO\tO' +p163367 +aS'clear\tclear\tJJ\tB-NP\tO' +p163368 +aS'breath\tbreath\tNN\tI-NP\tO' +p163369 +aS'sounds\tsound\tNNS\tI-NP\tO' +p163370 +aS',\t,\t,\tO\tO' +p163371 +aS'does\tdo\tVBZ\tB-VP\tO' +p163372 +aS'grunt\tgrunt\tNN\tB-NP\tO' +p163373 +aS'intermittently\tintermittently\tRB\tB-ADVP\tO' +p163374 +aS'when\twhen\tWRB\tB-ADVP\tO' +p163375 +aS'disturbed\tdisturb\tVBN\tB-VP\tO' +p163376 +aS'.\t.\t.\tO\tO' +p163377 +asS'Aspirin under which she develops worsening of her shortness of breath and asthma flare , tetracycline , sulfa ,' +p163378 +(lp163379 +S'Aspirin\tAspirin\tNN\tB-NP\tO' +p163380 +aS'under\tunder\tIN\tB-PP\tO' +p163381 +aS'which\twhich\tWDT\tB-NP\tO' +p163382 +aS'she\tshe\tPRP\tB-NP\tO' +p163383 +aS'develops\tdevelop\tVBZ\tB-VP\tO' +p163384 +aS'worsening\tworsen\tVBG\tI-VP\tO' +p163385 +aS'of\tof\tIN\tB-PP\tO' +p163386 +aS'her\ther\tPRP$\tB-NP\tO' +p163387 +aS'shortness\tshortness\tNN\tI-NP\tO' +p163388 +aS'of\tof\tIN\tB-PP\tO' +p163389 +aS'breath\tbreath\tNN\tB-NP\tO' +p163390 +aS'and\tand\tCC\tI-NP\tO' +p163391 +aS'asthma\tasthma\tNN\tI-NP\tO' +p163392 +aS'flare\tflare\tNN\tI-NP\tO' +p163393 +aS',\t,\t,\tO\tO' +p163394 +aS'tetracycline\ttetracycline\tNN\tB-NP\tO' +p163395 +aS',\t,\t,\tO\tO' +p163396 +aS'sulfa\tsulfa\tNN\tB-NP\tO' +p163397 +aS',\t,\t,\tO\tO' +p163398 +asS'She did not complain of headache , diplopia , or any other neurological symptoms .' +p163399 +(lp163400 +S'She\tShe\tPRP\tB-NP\tO' +p163401 +aS'did\tdo\tVBD\tB-VP\tO' +p163402 +aS'not\tnot\tRB\tI-VP\tO' +p163403 +aS'complain\tcomplain\tVB\tI-VP\tO' +p163404 +aS'of\tof\tIN\tB-PP\tO' +p163405 +aS'headache\theadache\tNN\tB-NP\tO' +p163406 +aS',\t,\t,\tO\tO' +p163407 +aS'diplopia\tdiplopia\tNN\tB-NP\tO' +p163408 +aS',\t,\t,\tO\tO' +p163409 +aS'or\tor\tCC\tO\tO' +p163410 +aS'any\tany\tDT\tB-NP\tO' +p163411 +aS'other\tother\tJJ\tI-NP\tO' +p163412 +aS'neurological\tneurological\tJJ\tI-NP\tO' +p163413 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p163414 +aS'.\t.\t.\tO\tO' +p163415 +asS'No murmurs have been noted .' +p163416 +(lp163417 +S'No\tNo\tDT\tB-NP\tO' +p163418 +aS'murmurs\tmurmur\tNNS\tI-NP\tO' +p163419 +aS'have\thave\tVBP\tB-VP\tO' +p163420 +aS'been\tbe\tVBN\tI-VP\tO' +p163421 +aS'noted\tnote\tVBN\tI-VP\tO' +p163422 +aS'.\t.\t.\tO\tO' +p163423 +asS'Ext : warm , no edema , no varicosities' +p163424 +(lp163425 +S'Ext\tExt\tNNP\tB-NP\tO' +p163426 +aS':\t:\t:\tO\tO' +p163427 +aS'warm\twarm\tNN\tB-NP\tO' +p163428 +aS',\t,\t,\tO\tO' +p163429 +aS'no\tno\tDT\tB-NP\tO' +p163430 +aS'edema\tedema\tNN\tI-NP\tO' +p163431 +aS',\t,\t,\tO\tO' +p163432 +aS'no\tno\tDT\tB-NP\tO' +p163433 +aS'varicosities\tvaricosity\tNNS\tI-NP\tO' +p163434 +asS'The patient was admitted to the Surgical Intensive Care Unit postoperatively .' +p163435 +(lp163436 +S'The\tThe\tDT\tB-NP\tO' +p163437 +aS'patient\tpatient\tNN\tI-NP\tO' +p163438 +aS'was\tbe\tVBD\tB-VP\tO' +p163439 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p163440 +aS'to\tto\tTO\tB-PP\tO' +p163441 +aS'the\tthe\tDT\tB-NP\tO' +p163442 +aS'Surgical\tSurgical\tNNP\tI-NP\tO' +p163443 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p163444 +aS'Care\tCare\tNNP\tI-NP\tO' +p163445 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p163446 +aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' +p163447 +aS'.\t.\t.\tO\tO' +p163448 +asS'On 06/24/00 the patient was found to have pulmonary infiltrates and some hemoptysis .' +p163449 +(lp163450 +S'On\tOn\tIN\tB-PP\tO' +p163451 +aS'06/24/00\t06/24/00\tCD\tB-NP\tO' +p163452 +aS'the\tthe\tDT\tB-NP\tO' +p163453 +aS'patient\tpatient\tNN\tI-NP\tO' +p163454 +aS'was\tbe\tVBD\tB-VP\tO' +p163455 +aS'found\tfind\tVBN\tI-VP\tO' +p163456 +aS'to\tto\tTO\tI-VP\tO' +p163457 +aS'have\thave\tVB\tI-VP\tO' +p163458 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p163459 +aS'infiltrates\tinfiltrate\tNNS\tI-NP\tO' +p163460 +aS'and\tand\tCC\tO\tO' +p163461 +aS'some\tsome\tDT\tB-NP\tO' +p163462 +aS'hemoptysis\themoptysis\tNN\tI-NP\tO' +p163463 +aS'.\t.\t.\tO\tO' +p163464 +asS'Bun / Cr were stable .' +p163465 +(lp163466 +S'Bun\tBun\tNN\tB-NP\tB-protein' +p163467 +aS'/\t/\tSYM\tI-NP\tO' +p163468 +aS'Cr\tCr\tNN\tI-NP\tO' +p163469 +aS'were\tbe\tVBD\tB-VP\tO' +p163470 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p163471 +aS'.\t.\t.\tO\tO' +p163472 +asS'Physical therapy was consulted on 2014-04-01 .' +p163473 +(lp163474 +S'Physical\tPhysical\tJJ\tB-NP\tO' +p163475 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p163476 +aS'was\tbe\tVBD\tB-VP\tO' +p163477 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p163478 +aS'on\ton\tIN\tB-PP\tO' +p163479 +aS'2014-04-01\t2014-04-01\tCD\tB-NP\tO' +p163480 +aS'.\t.\t.\tO\tO' +p163481 +asS"Mr. Lockley is a 73 yo male with a complicated past medical history , recently discharged from St. Margaret 's Center for Women & Infants on 08-02 following a prolonged admission for STEMI , respiratory failure felt secondary to pulmonary edema requiring intubation and subsequent tracheostomy 02-22 failure to wean , sepsis and C.difficile colitis treated with Vancomycin and Flagyl with a course of Levophed ." +p163482 +(lp163483 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p163484 +aS'Lockley\tLockley\tNNP\tI-NP\tO' +p163485 +aS'is\tbe\tVBZ\tB-VP\tO' +p163486 +aS'a\ta\tDT\tB-NP\tO' +p163487 +aS'73\t73\tCD\tI-NP\tO' +p163488 +aS'yo\tyo\tNN\tI-NP\tO' +p163489 +aS'male\tmale\tNN\tI-NP\tO' +p163490 +aS'with\twith\tIN\tB-PP\tO' +p163491 +aS'a\ta\tDT\tB-NP\tO' +p163492 +aS'complicated\tcomplicated\tJJ\tI-NP\tO' +p163493 +aS'past\tpast\tJJ\tI-NP\tO' +p163494 +aS'medical\tmedical\tJJ\tI-NP\tO' +p163495 +aS'history\thistory\tNN\tI-NP\tO' +p163496 +aS',\t,\t,\tO\tO' +p163497 +aS'recently\trecently\tRB\tB-ADVP\tO' +p163498 +aS'discharged\tdischarge\tVBN\tB-VP\tO' +p163499 +aS'from\tfrom\tIN\tB-PP\tO' +p163500 +aS'St.\tSt.\tNNP\tB-NP\tO' +p163501 +aS'Margaret\tMargaret\tNNP\tI-NP\tO' +p163502 +aS"'s\t's\tPOS\tB-NP\tO" +p163503 +aS'Center\tCenter\tNNP\tI-NP\tO' +p163504 +aS'for\tfor\tIN\tB-PP\tO' +p163505 +aS'Women\tWomen\tNNP\tB-NP\tO' +p163506 +aS'&\t&\tCC\tI-NP\tO' +p163507 +aS'Infants\tInfant\tNNPS\tI-NP\tO' +p163508 +aS'on\ton\tIN\tB-PP\tO' +p163509 +aS'08-02\t08-02\tCD\tB-NP\tO' +p163510 +aS'following\tfollow\tVBG\tB-PP\tO' +p163511 +aS'a\ta\tDT\tB-NP\tO' +p163512 +aS'prolonged\tprolong\tVBN\tI-NP\tO' +p163513 +aS'admission\tadmission\tNN\tI-NP\tO' +p163514 +aS'for\tfor\tIN\tB-PP\tO' +p163515 +aS'STEMI\tSTEMI\tNN\tB-NP\tB-protein' +p163516 +aS',\t,\t,\tO\tO' +p163517 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p163518 +aS'failure\tfailure\tNN\tI-NP\tO' +p163519 +aS'felt\tfeel\tVBD\tB-VP\tO' +p163520 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p163521 +aS'to\tto\tTO\tB-PP\tO' +p163522 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p163523 +aS'edema\tedema\tNN\tI-NP\tO' +p163524 +aS'requiring\trequire\tVBG\tB-VP\tO' +p163525 +aS'intubation\tintubation\tNN\tB-NP\tO' +p163526 +aS'and\tand\tCC\tO\tO' +p163527 +aS'subsequent\tsubsequent\tJJ\tB-NP\tO' +p163528 +aS'tracheostomy\ttracheostomy\tNN\tI-NP\tO' +p163529 +aS'02-22\t02-22\tCD\tI-NP\tO' +p163530 +aS'failure\tfailure\tNN\tI-NP\tO' +p163531 +aS'to\tto\tTO\tB-VP\tO' +p163532 +aS'wean\twean\tVB\tI-VP\tO' +p163533 +aS',\t,\t,\tO\tO' +p163534 +aS'sepsis\tsepsis\tNN\tB-NP\tO' +p163535 +aS'and\tand\tCC\tI-NP\tO' +p163536 +aS'C.difficile\tC.difficile\tNN\tI-NP\tO' +p163537 +aS'colitis\tcolitis\tNN\tI-NP\tO' +p163538 +aS'treated\ttreat\tVBN\tB-VP\tO' +p163539 +aS'with\twith\tIN\tB-PP\tO' +p163540 +aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' +p163541 +aS'and\tand\tCC\tI-NP\tO' +p163542 +aS'Flagyl\tFlagyl\tNN\tI-NP\tO' +p163543 +aS'with\twith\tIN\tB-PP\tO' +p163544 +aS'a\ta\tDT\tB-NP\tO' +p163545 +aS'course\tcourse\tNN\tI-NP\tO' +p163546 +aS'of\tof\tIN\tB-PP\tO' +p163547 +aS'Levophed\tLevophed\tNNP\tB-NP\tO' +p163548 +aS'.\t.\t.\tO\tO' +p163549 +asS'In addition , the patient was given magnesium to bring his level above 2 .' +p163550 +(lp163551 +S'In\tIn\tIN\tB-PP\tO' +p163552 +aS'addition\taddition\tNN\tB-NP\tO' +p163553 +aS',\t,\t,\tO\tO' +p163554 +aS'the\tthe\tDT\tB-NP\tO' +p163555 +aS'patient\tpatient\tNN\tI-NP\tO' +p163556 +aS'was\tbe\tVBD\tB-VP\tO' +p163557 +aS'given\tgive\tVBN\tI-VP\tO' +p163558 +aS'magnesium\tmagnesium\tNN\tB-NP\tO' +p163559 +aS'to\tto\tTO\tB-VP\tO' +p163560 +aS'bring\tbring\tVB\tI-VP\tO' +p163561 +aS'his\this\tPRP$\tB-NP\tO' +p163562 +aS'level\tlevel\tNN\tI-NP\tO' +p163563 +aS'above\tabove\tIN\tB-PP\tO' +p163564 +aS'2\t2\tCD\tB-NP\tO' +p163565 +aS'.\t.\t.\tO\tO' +p163566 +asS'Pt discharged with instructions to continue coumadin 1.5 mg po q daily with goal INR 02-09 .' +p163567 +(lp163568 +S'Pt\tPt\tNN\tB-NP\tO' +p163569 +aS'discharged\tdischarge\tVBD\tB-VP\tO' +p163570 +aS'with\twith\tIN\tB-PP\tO' +p163571 +aS'instructions\tinstruction\tNNS\tB-NP\tO' +p163572 +aS'to\tto\tTO\tB-VP\tO' +p163573 +aS'continue\tcontinue\tVB\tI-VP\tO' +p163574 +aS'coumadin\tcoumadin\tNN\tB-NP\tO' +p163575 +aS'1.5\t1.5\tCD\tI-NP\tO' +p163576 +aS'mg\tmg\tNN\tI-NP\tO' +p163577 +aS'po\tpo\tNN\tI-NP\tO' +p163578 +aS'q\tq\tNN\tI-NP\tO' +p163579 +aS'daily\tdaily\tRB\tB-ADVP\tO' +p163580 +aS'with\twith\tIN\tB-PP\tO' +p163581 +aS'goal\tgoal\tNN\tB-NP\tO' +p163582 +aS'INR\tINR\tNN\tI-NP\tO' +p163583 +aS'02-09\t02-09\tCD\tI-NP\tO' +p163584 +aS'.\t.\t.\tO\tO' +p163585 +asS'Gastrointestinal was consulted .' +p163586 +(lp163587 +S'Gastrointestinal\tGastrointestinal\tNNP\tB-NP\tO' +p163588 +aS'was\tbe\tVBD\tB-VP\tO' +p163589 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p163590 +aS'.\t.\t.\tO\tO' +p163591 +asS'Ext : no c/c/e , no edema' +p163592 +(lp163593 +S'Ext\tExt\tNN\tB-NP\tO' +p163594 +aS':\t:\t:\tO\tO' +p163595 +aS'no\tno\tDT\tB-NP\tO' +p163596 +aS'c/c/e\tc/c/e\tNN\tI-NP\tO' +p163597 +aS',\t,\t,\tO\tO' +p163598 +aS'no\tno\tDT\tB-NP\tO' +p163599 +aS'edema\tedema\tNN\tI-NP\tO' +p163600 +asS'His neurologist was contacted , Dr. Cap , and the exact of his problems was not demonstrated during this hospitalization , however , they felt that this could possibly be an autonomic type neuropathy maybe secondary to some underlying diabetic process .' +p163601 +(lp163602 +S'His\tHis\tPRP$\tB-NP\tO' +p163603 +aS'neurologist\tneurologist\tNN\tI-NP\tO' +p163604 +aS'was\tbe\tVBD\tB-VP\tO' +p163605 +aS'contacted\tcontact\tVBN\tI-VP\tO' +p163606 +aS',\t,\t,\tO\tO' +p163607 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p163608 +aS'Cap\tCap\tNNP\tI-NP\tO' +p163609 +aS',\t,\t,\tO\tO' +p163610 +aS'and\tand\tCC\tO\tO' +p163611 +aS'the\tthe\tDT\tB-NP\tO' +p163612 +aS'exact\texact\tNN\tI-NP\tO' +p163613 +aS'of\tof\tIN\tB-PP\tO' +p163614 +aS'his\this\tPRP$\tB-NP\tO' +p163615 +aS'problems\tproblem\tNNS\tI-NP\tO' +p163616 +aS'was\tbe\tVBD\tB-VP\tO' +p163617 +aS'not\tnot\tRB\tI-VP\tO' +p163618 +aS'demonstrated\tdemonstrate\tVBN\tI-VP\tO' +p163619 +aS'during\tduring\tIN\tB-PP\tO' +p163620 +aS'this\tthis\tDT\tB-NP\tO' +p163621 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p163622 +aS',\t,\t,\tO\tO' +p163623 +aS'however\thowever\tRB\tB-ADVP\tO' +p163624 +aS',\t,\t,\tO\tO' +p163625 +aS'they\tthey\tPRP\tB-NP\tO' +p163626 +aS'felt\tfeel\tVBD\tB-VP\tO' +p163627 +aS'that\tthat\tIN\tB-SBAR\tO' +p163628 +aS'this\tthis\tDT\tB-NP\tO' +p163629 +aS'could\tcould\tMD\tB-VP\tO' +p163630 +aS'possibly\tpossibly\tRB\tI-VP\tO' +p163631 +aS'be\tbe\tVB\tI-VP\tO' +p163632 +aS'an\tan\tDT\tB-NP\tO' +p163633 +aS'autonomic\tautonomic\tJJ\tI-NP\tO' +p163634 +aS'type\ttype\tNN\tI-NP\tO' +p163635 +aS'neuropathy\tneuropathy\tNN\tI-NP\tO' +p163636 +aS'maybe\tmaybe\tRB\tB-ADJP\tO' +p163637 +aS'secondary\tsecondary\tJJ\tI-ADJP\tO' +p163638 +aS'to\tto\tTO\tB-PP\tO' +p163639 +aS'some\tsome\tDT\tB-NP\tO' +p163640 +aS'underlying\tunderlie\tVBG\tI-NP\tO' +p163641 +aS'diabetic\tdiabetic\tJJ\tI-NP\tO' +p163642 +aS'process\tprocess\tNN\tI-NP\tO' +p163643 +aS'.\t.\t.\tO\tO' +p163644 +asS'3. Plavix 75 mg p.o. q.d. times 30 days .' +p163645 +(lp163646 +S'3.\t3.\tLS\tB-NP\tO' +p163647 +aS'Plavix\tPlavix\tNN\tI-NP\tO' +p163648 +aS'75\t75\tCD\tI-NP\tO' +p163649 +aS'mg\tmg\tNN\tI-NP\tO' +p163650 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p163651 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p163652 +aS'times\ttime\tNNS\tI-NP\tO' +p163653 +aS'30\t30\tCD\tB-NP\tO' +p163654 +aS'days\tday\tNNS\tI-NP\tO' +p163655 +aS'.\t.\t.\tO\tO' +p163656 +asS'Pupils are reactive to light .' +p163657 +(lp163658 +S'Pupils\tPupil\tNNS\tB-NP\tO' +p163659 +aS'are\tbe\tVBP\tB-VP\tO' +p163660 +aS'reactive\treactive\tJJ\tB-ADJP\tO' +p163661 +aS'to\tto\tTO\tB-PP\tO' +p163662 +aS'light\tlight\tNN\tB-NP\tO' +p163663 +aS'.\t.\t.\tO\tO' +p163664 +asS'FINDINGS : The lung volumes are Moderate bilateral pleural effusions are unchanged .' +p163665 +(lp163666 +S'FINDINGS\tFINDINGS\tNNS\tB-NP\tO' +p163667 +aS':\t:\t:\tO\tO' +p163668 +aS'The\tThe\tDT\tB-NP\tO' +p163669 +aS'lung\tlung\tNN\tI-NP\tO' +p163670 +aS'volumes\tvolume\tNNS\tI-NP\tO' +p163671 +aS'are\tbe\tVBP\tB-VP\tO' +p163672 +aS'Moderate\tModerate\tJJ\tB-NP\tO' +p163673 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p163674 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p163675 +aS'effusions\teffusion\tNNS\tI-NP\tO' +p163676 +aS'are\tbe\tVBP\tB-VP\tO' +p163677 +aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' +p163678 +aS'.\t.\t.\tO\tO' +p163679 +asS'The patient had KUB that showed multiple dilated loops of small bowel and was admitted for a partial small bowel obstruction .' +p163680 +(lp163681 +S'The\tThe\tDT\tB-NP\tO' +p163682 +aS'patient\tpatient\tNN\tI-NP\tO' +p163683 +aS'had\thave\tVBD\tB-VP\tO' +p163684 +aS'KUB\tKUB\tNN\tB-NP\tB-protein' +p163685 +aS'that\tthat\tWDT\tB-NP\tO' +p163686 +aS'showed\tshow\tVBD\tB-VP\tO' +p163687 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p163688 +aS'dilated\tdilated\tJJ\tI-NP\tO' +p163689 +aS'loops\tloop\tNNS\tI-NP\tO' +p163690 +aS'of\tof\tIN\tB-PP\tO' +p163691 +aS'small\tsmall\tJJ\tB-NP\tO' +p163692 +aS'bowel\tbowel\tNN\tI-NP\tO' +p163693 +aS'and\tand\tCC\tO\tO' +p163694 +aS'was\tbe\tVBD\tB-VP\tO' +p163695 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p163696 +aS'for\tfor\tIN\tB-PP\tO' +p163697 +aS'a\ta\tDT\tB-NP\tO' +p163698 +aS'partial\tpartial\tJJ\tI-NP\tO' +p163699 +aS'small\tsmall\tJJ\tI-NP\tO' +p163700 +aS'bowel\tbowel\tNN\tI-NP\tO' +p163701 +aS'obstruction\tobstruction\tNN\tI-NP\tO' +p163702 +aS'.\t.\t.\tO\tO' +p163703 +asS'The patient was ultimately deemed ready for discharge on postoperative day 8 .' +p163704 +(lp163705 +S'The\tThe\tDT\tB-NP\tO' +p163706 +aS'patient\tpatient\tNN\tI-NP\tO' +p163707 +aS'was\tbe\tVBD\tB-VP\tO' +p163708 +aS'ultimately\tultimately\tRB\tI-VP\tO' +p163709 +aS'deemed\tdeem\tVBN\tI-VP\tO' +p163710 +aS'ready\tready\tJJ\tB-ADJP\tO' +p163711 +aS'for\tfor\tIN\tB-PP\tO' +p163712 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p163713 +aS'on\ton\tIN\tB-PP\tO' +p163714 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p163715 +aS'day\tday\tNN\tI-NP\tO' +p163716 +aS'8\t8\tCD\tI-NP\tO' +p163717 +aS'.\t.\t.\tO\tO' +p163718 +asS'His postoperative course was complicated by hypertension which was managed medically .' +p163719 +(lp163720 +S'His\tHis\tPRP$\tB-NP\tO' +p163721 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p163722 +aS'course\tcourse\tNN\tI-NP\tO' +p163723 +aS'was\tbe\tVBD\tB-VP\tO' +p163724 +aS'complicated\tcomplicate\tVBN\tI-VP\tO' +p163725 +aS'by\tby\tIN\tB-PP\tO' +p163726 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p163727 +aS'which\twhich\tWDT\tB-NP\tO' +p163728 +aS'was\tbe\tVBD\tB-VP\tO' +p163729 +aS'managed\tmanage\tVBN\tI-VP\tO' +p163730 +aS'medically\tmedically\tRB\tB-ADVP\tO' +p163731 +aS'.\t.\t.\tO\tO' +p163732 +asS'The computerized tomography scan showed the catheter tip in good position .' +p163733 +(lp163734 +S'The\tThe\tDT\tB-NP\tO' +p163735 +aS'computerized\tcomputerized\tJJ\tI-NP\tO' +p163736 +aS'tomography\ttomography\tNN\tI-NP\tO' +p163737 +aS'scan\tscan\tNN\tI-NP\tO' +p163738 +aS'showed\tshow\tVBD\tB-VP\tO' +p163739 +aS'the\tthe\tDT\tB-NP\tO' +p163740 +aS'catheter\tcatheter\tNN\tI-NP\tB-protein' +p163741 +aS'tip\ttip\tNN\tI-NP\tI-protein' +p163742 +aS'in\tin\tIN\tB-PP\tO' +p163743 +aS'good\tgood\tJJ\tB-NP\tO' +p163744 +aS'position\tposition\tNN\tI-NP\tO' +p163745 +aS'.\t.\t.\tO\tO' +p163746 +asS'History of lower gastrointestinal bleed .' +p163747 +(lp163748 +S'History\tHistory\tNN\tB-NP\tO' +p163749 +aS'of\tof\tIN\tB-PP\tO' +p163750 +aS'lower\tlow\tJJR\tB-NP\tO' +p163751 +aS'gastrointestinal\tgastrointestinal\tJJ\tI-NP\tO' +p163752 +aS'bleed\tbleed\tNN\tI-NP\tO' +p163753 +aS'.\t.\t.\tO\tO' +p163754 +asS'Her admission laboratory data includes serum chemistries with a sodium of 144 , potassium 4.1 , chloride 101 , bicarbonate 28 , BUN 10 , creatinine 0.9 and glucose of 93 .' +p163755 +(lp163756 +S'Her\tHer\tPRP$\tB-NP\tO' +p163757 +aS'admission\tadmission\tNN\tI-NP\tO' +p163758 +aS'laboratory\tlaboratory\tNN\tI-NP\tO' +p163759 +aS'data\tdatum\tNNS\tI-NP\tO' +p163760 +aS'includes\tinclude\tVBZ\tB-VP\tO' +p163761 +aS'serum\tserum\tNN\tB-NP\tO' +p163762 +aS'chemistries\tchemistry\tNNS\tI-NP\tO' +p163763 +aS'with\twith\tIN\tB-PP\tO' +p163764 +aS'a\ta\tDT\tB-NP\tO' +p163765 +aS'sodium\tsodium\tNN\tI-NP\tO' +p163766 +aS'of\tof\tIN\tB-PP\tO' +p163767 +aS'144\t144\tCD\tB-NP\tO' +p163768 +aS',\t,\t,\tO\tO' +p163769 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p163770 +aS'4.1\t4.1\tCD\tI-NP\tO' +p163771 +aS',\t,\t,\tO\tO' +p163772 +aS'chloride\tchloride\tNN\tB-NP\tO' +p163773 +aS'101\t101\tCD\tI-NP\tO' +p163774 +aS',\t,\t,\tO\tO' +p163775 +aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' +p163776 +aS'28\t28\tCD\tI-NP\tO' +p163777 +aS',\t,\t,\tO\tO' +p163778 +aS'BUN\tBUN\tNN\tB-NP\tB-DNA' +p163779 +aS'10\t10\tCD\tI-NP\tI-DNA' +p163780 +aS',\t,\t,\tO\tO' +p163781 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p163782 +aS'0.9\t0.9\tCD\tI-NP\tO' +p163783 +aS'and\tand\tCC\tO\tO' +p163784 +aS'glucose\tglucose\tNN\tB-NP\tO' +p163785 +aS'of\tof\tIN\tB-PP\tO' +p163786 +aS'93\t93\tCD\tB-NP\tO' +p163787 +aS'.\t.\t.\tO\tO' +p163788 +asS'His pupils were three down to two on the right and five down to four on the left .' +p163789 +(lp163790 +S'His\tHis\tPRP$\tB-NP\tO' +p163791 +aS'pupils\tpupil\tNNS\tI-NP\tO' +p163792 +aS'were\tbe\tVBD\tB-VP\tO' +p163793 +aS'three\tthree\tCD\tB-NP\tO' +p163794 +aS'down\tdown\tIN\tB-ADVP\tO' +p163795 +aS'to\tto\tTO\tB-PP\tO' +p163796 +aS'two\ttwo\tCD\tB-NP\tO' +p163797 +aS'on\ton\tIN\tB-PP\tO' +p163798 +aS'the\tthe\tDT\tB-NP\tO' +p163799 +aS'right\tright\tJJ\tI-NP\tO' +p163800 +aS'and\tand\tCC\tO\tO' +p163801 +aS'five\tfive\tCD\tB-NP\tO' +p163802 +aS'down\tdown\tRB\tB-ADVP\tO' +p163803 +aS'to\tto\tTO\tB-PP\tO' +p163804 +aS'four\tfour\tCD\tB-NP\tO' +p163805 +aS'on\ton\tIN\tB-PP\tO' +p163806 +aS'the\tthe\tDT\tB-NP\tO' +p163807 +aS'left\tleft\tNN\tI-NP\tO' +p163808 +aS'.\t.\t.\tO\tO' +p163809 +asS'7. Nystatin 100,000 unit / mL Suspension Sig : Five ( 5 ) mL PO four times a day : Swish and swallow .' +p163810 +(lp163811 +S'7.\t7.\tCD\tB-NP\tO' +p163812 +aS'Nystatin\tNystatin\tNN\tI-NP\tO' +p163813 +aS'100,000\t100,000\tCD\tB-NP\tO' +p163814 +aS'unit\tunit\tNN\tI-NP\tO' +p163815 +aS'/\t/\tSYM\tB-NP\tO' +p163816 +aS'mL\tmL\tNN\tI-NP\tO' +p163817 +aS'Suspension\tSuspension\tNNP\tI-NP\tO' +p163818 +aS'Sig\tSig\tNNP\tI-NP\tO' +p163819 +aS':\t:\t:\tO\tO' +p163820 +aS'Five\tFive\tCD\tB-NP\tO' +p163821 +aS'(\t(\t(\tO\tO' +p163822 +aS'5\t5\tCD\tB-NP\tO' +p163823 +aS')\t)\t)\tO\tO' +p163824 +aS'mL\tmL\tNN\tB-NP\tO' +p163825 +aS'PO\tPO\tNN\tI-NP\tO' +p163826 +aS'four\tfour\tCD\tB-NP\tO' +p163827 +aS'times\ttime\tNNS\tI-NP\tO' +p163828 +aS'a\ta\tDT\tB-NP\tO' +p163829 +aS'day\tday\tNN\tI-NP\tO' +p163830 +aS':\t:\t:\tO\tO' +p163831 +aS'Swish\tSwish\tVB\tB-VP\tO' +p163832 +aS'and\tand\tCC\tI-VP\tO' +p163833 +aS'swallow\tswallow\tVB\tI-VP\tO' +p163834 +aS'.\t.\t.\tO\tO' +p163835 +asS'She was then referred to Cardiothoracic Surgery for aortic valve replacement .' +p163836 +(lp163837 +S'She\tShe\tPRP\tB-NP\tO' +p163838 +aS'was\tbe\tVBD\tB-VP\tO' +p163839 +aS'then\tthen\tRB\tI-VP\tO' +p163840 +aS'referred\trefer\tVBN\tI-VP\tO' +p163841 +aS'to\tto\tTO\tB-PP\tO' +p163842 +aS'Cardiothoracic\tCardiothoracic\tNNP\tB-NP\tO' +p163843 +aS'Surgery\tSurgery\tNNP\tI-NP\tO' +p163844 +aS'for\tfor\tIN\tB-PP\tO' +p163845 +aS'aortic\taortic\tJJ\tB-NP\tO' +p163846 +aS'valve\tvalve\tNN\tI-NP\tO' +p163847 +aS'replacement\treplacement\tNN\tI-NP\tO' +p163848 +aS'.\t.\t.\tO\tO' +p163849 +asS'Mom separated .' +p163850 +(lp163851 +S'Mom\tMom\tNNP\tB-NP\tO' +p163852 +aS'separated\tseparate\tVBD\tB-VP\tO' +p163853 +aS'.\t.\t.\tO\tO' +p163854 +asS'As he was receiving his third unit of packed red blood cells , the patient became tachycardic and short of breath .' +p163855 +(lp163856 +S'As\tAs\tIN\tB-SBAR\tO' +p163857 +aS'he\the\tPRP\tB-NP\tO' +p163858 +aS'was\tbe\tVBD\tB-VP\tO' +p163859 +aS'receiving\treceive\tVBG\tI-VP\tO' +p163860 +aS'his\this\tPRP$\tB-NP\tO' +p163861 +aS'third\tthird\tJJ\tI-NP\tO' +p163862 +aS'unit\tunit\tNN\tI-NP\tO' +p163863 +aS'of\tof\tIN\tB-PP\tO' +p163864 +aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' +p163865 +aS'red\tred\tJJ\tI-NP\tI-cell_type' +p163866 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p163867 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p163868 +aS',\t,\t,\tO\tO' +p163869 +aS'the\tthe\tDT\tB-NP\tO' +p163870 +aS'patient\tpatient\tNN\tI-NP\tO' +p163871 +aS'became\tbecome\tVBD\tB-VP\tO' +p163872 +aS'tachycardic\ttachycardic\tJJ\tB-ADJP\tO' +p163873 +aS'and\tand\tCC\tI-ADJP\tO' +p163874 +aS'short\tshort\tJJ\tI-ADJP\tO' +p163875 +aS'of\tof\tIN\tB-PP\tO' +p163876 +aS'breath\tbreath\tNN\tB-NP\tO' +p163877 +aS'.\t.\t.\tO\tO' +p163878 +asS'LEFT PROXIMAL HUMERUS FRACTURE .' +p163879 +(lp163880 +S'LEFT\tLEFT\tNN\tB-NP\tO' +p163881 +aS'PROXIMAL\tPROXIMAL\tNN\tI-NP\tO' +p163882 +aS'HUMERUS\tHUMERUS\tNN\tI-NP\tO' +p163883 +aS'FRACTURE\tFRACTURE\tNN\tI-NP\tO' +p163884 +aS'.\t.\t.\tO\tO' +p163885 +asS'There was no obvious GIor pancreatic tumor identified .' +p163886 +(lp163887 +S'There\tThere\tEX\tB-NP\tO' +p163888 +aS'was\tbe\tVBD\tB-VP\tO' +p163889 +aS'no\tno\tDT\tB-NP\tO' +p163890 +aS'obvious\tobvious\tJJ\tI-NP\tO' +p163891 +aS'GIor\tGIor\tNN\tI-NP\tO' +p163892 +aS'pancreatic\tpancreatic\tJJ\tI-NP\tO' +p163893 +aS'tumor\ttumor\tNN\tI-NP\tO' +p163894 +aS'identified\tidentify\tVBN\tB-VP\tO' +p163895 +aS'.\t.\t.\tO\tO' +p163896 +asS'Was initially NPO on receiving D10-W by peripheral intravenous .' +p163897 +(lp163898 +S'Was\tBe\tVBD\tB-VP\tO' +p163899 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p163900 +aS'NPO\tNPO\tNN\tB-NP\tB-protein' +p163901 +aS'on\ton\tIN\tB-PP\tO' +p163902 +aS'receiving\treceive\tVBG\tB-VP\tO' +p163903 +aS'D10-W\tD10-W\tNN\tB-NP\tO' +p163904 +aS'by\tby\tIN\tB-PP\tO' +p163905 +aS'peripheral\tperipheral\tJJ\tB-NP\tO' +p163906 +aS'intravenous\tintravenous\tJJ\tI-NP\tO' +p163907 +aS'.\t.\t.\tO\tO' +p163908 +asS'The patient remained pressor dependent throughout his hospitalization .' +p163909 +(lp163910 +S'The\tThe\tDT\tB-NP\tO' +p163911 +aS'patient\tpatient\tNN\tI-NP\tO' +p163912 +aS'remained\tremain\tVBD\tB-VP\tO' +p163913 +aS'pressor\tpressor\tNN\tB-NP\tO' +p163914 +aS'dependent\tdependent\tJJ\tB-ADJP\tO' +p163915 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p163916 +aS'his\this\tPRP$\tB-NP\tO' +p163917 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p163918 +aS'.\t.\t.\tO\tO' +p163919 +asS'She is currently on Vicodin , one to two tablets every four hours p.r.n. , Fentanyl patch 25 mcg an hour , change of patch every 72 hours , Elavil 50 mgq .h.s. , Neurontin 600 mg p.o. t.i.d. with still what she reports as stabbing left-sided chest pain that can be as severe as a 7/10.' +p163920 +(lp163921 +S'She\tShe\tPRP\tB-NP\tO' +p163922 +aS'is\tbe\tVBZ\tB-VP\tO' +p163923 +aS'currently\tcurrently\tRB\tB-ADVP\tO' +p163924 +aS'on\ton\tIN\tB-PP\tO' +p163925 +aS'Vicodin\tVicodin\tNNP\tB-NP\tO' +p163926 +aS',\t,\t,\tO\tO' +p163927 +aS'one\tone\tCD\tB-NP\tO' +p163928 +aS'to\tto\tTO\tI-NP\tO' +p163929 +aS'two\ttwo\tCD\tI-NP\tO' +p163930 +aS'tablets\ttablet\tNNS\tI-NP\tO' +p163931 +aS'every\tevery\tDT\tB-NP\tO' +p163932 +aS'four\tfour\tCD\tI-NP\tO' +p163933 +aS'hours\thour\tNNS\tI-NP\tO' +p163934 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p163935 +aS',\t,\t,\tO\tO' +p163936 +aS'Fentanyl\tFentanyl\tNN\tB-NP\tO' +p163937 +aS'patch\tpatch\tNN\tI-NP\tO' +p163938 +aS'25\t25\tCD\tB-NP\tO' +p163939 +aS'mcg\tmcg\tNN\tI-NP\tO' +p163940 +aS'an\tan\tDT\tB-NP\tO' +p163941 +aS'hour\thour\tNN\tI-NP\tO' +p163942 +aS',\t,\t,\tO\tO' +p163943 +aS'change\tchange\tNN\tB-NP\tO' +p163944 +aS'of\tof\tIN\tB-PP\tO' +p163945 +aS'patch\tpatch\tNN\tB-NP\tO' +p163946 +aS'every\tevery\tDT\tB-NP\tO' +p163947 +aS'72\t72\tCD\tI-NP\tO' +p163948 +aS'hours\thour\tNNS\tI-NP\tO' +p163949 +aS',\t,\t,\tO\tO' +p163950 +aS'Elavil\tElavil\tNNP\tB-NP\tO' +p163951 +aS'50\t50\tCD\tI-NP\tO' +p163952 +aS'mgq\tmgq\tNN\tI-NP\tO' +p163953 +aS'.h.s.\t.h.s.\tNN\tI-NP\tO' +p163954 +aS',\t,\t,\tO\tO' +p163955 +aS'Neurontin\tNeurontin\tNNP\tB-NP\tO' +p163956 +aS'600\t600\tCD\tI-NP\tO' +p163957 +aS'mg\tmg\tNN\tI-NP\tO' +p163958 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p163959 +aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' +p163960 +aS'with\twith\tIN\tB-PP\tO' +p163961 +aS'still\tstill\tRB\tB-ADVP\tO' +p163962 +aS'what\twhat\tWP\tB-NP\tO' +p163963 +aS'she\tshe\tPRP\tB-NP\tO' +p163964 +aS'reports\treport\tVBZ\tB-VP\tO' +p163965 +aS'as\tas\tIN\tB-PP\tO' +p163966 +aS'stabbing\tstab\tVBG\tB-VP\tO' +p163967 +aS'left-sided\tleft-sided\tJJ\tB-NP\tB-protein' +p163968 +aS'chest\tchest\tNN\tI-NP\tI-protein' +p163969 +aS'pain\tpain\tNN\tI-NP\tI-protein' +p163970 +aS'that\tthat\tWDT\tB-NP\tO' +p163971 +aS'can\tcan\tMD\tB-VP\tO' +p163972 +aS'be\tbe\tVB\tI-VP\tO' +p163973 +aS'as\tas\tRB\tB-ADJP\tO' +p163974 +aS'severe\tsevere\tJJ\tI-ADJP\tO' +p163975 +aS'as\tas\tIN\tB-PP\tO' +p163976 +aS'a\ta\tDT\tB-NP\tO' +p163977 +aS'7/10.\t7/10.\tCD\tI-NP\tO' +p163978 +asS'Cytology was negative .' +p163979 +(lp163980 +S'Cytology\tCytology\tNN\tB-NP\tO' +p163981 +aS'was\tbe\tVBD\tB-VP\tO' +p163982 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p163983 +aS'.\t.\t.\tO\tO' +p163984 +asS'Please follow-up with your Primary care doctor Larry Bock 2019-01-16 at 8:30 AM .' +p163985 +(lp163986 +S'Please\tPlease\tNN\tB-NP\tO' +p163987 +aS'follow-up\tfollow-up\tNN\tI-NP\tO' +p163988 +aS'with\twith\tIN\tB-PP\tO' +p163989 +aS'your\tyour\tPRP$\tB-NP\tO' +p163990 +aS'Primary\tPrimary\tJJ\tI-NP\tO' +p163991 +aS'care\tcare\tNN\tI-NP\tO' +p163992 +aS'doctor\tdoctor\tNN\tI-NP\tO' +p163993 +aS'Larry\tLarry\tNNP\tI-NP\tO' +p163994 +aS'Bock\tBock\tNNP\tI-NP\tO' +p163995 +aS'2019-01-16\t2019-01-16\tCD\tI-NP\tO' +p163996 +aS'at\tat\tIN\tB-PP\tO' +p163997 +aS'8:30\t8:30\tCD\tB-NP\tO' +p163998 +aS'AM\tAM\tNN\tI-NP\tO' +p163999 +aS'.\t.\t.\tO\tO' +p164000 +asS'No issues on this admission .' +p164001 +(lp164002 +S'No\tNo\tDT\tB-NP\tO' +p164003 +aS'issues\tissue\tNNS\tI-NP\tO' +p164004 +aS'on\ton\tIN\tB-PP\tO' +p164005 +aS'this\tthis\tDT\tB-NP\tO' +p164006 +aS'admission\tadmission\tNN\tI-NP\tO' +p164007 +aS'.\t.\t.\tO\tO' +p164008 +asS'However , as wife had not seen patient before he became symptomatic , there was some concern that he had symptoms earlier than 6 am , and therefore would be outside the 3 hour window for TPA .' +p164009 +(lp164010 +S'However\tHowever\tRB\tB-ADVP\tO' +p164011 +aS',\t,\t,\tO\tO' +p164012 +aS'as\tas\tIN\tB-SBAR\tO' +p164013 +aS'wife\twife\tNN\tB-NP\tO' +p164014 +aS'had\thave\tVBD\tB-VP\tO' +p164015 +aS'not\tnot\tRB\tI-VP\tO' +p164016 +aS'seen\tsee\tVBN\tI-VP\tO' +p164017 +aS'patient\tpatient\tNN\tB-NP\tO' +p164018 +aS'before\tbefore\tIN\tB-SBAR\tO' +p164019 +aS'he\the\tPRP\tB-NP\tO' +p164020 +aS'became\tbecome\tVBD\tB-VP\tO' +p164021 +aS'symptomatic\tsymptomatic\tJJ\tB-ADJP\tO' +p164022 +aS',\t,\t,\tO\tO' +p164023 +aS'there\tthere\tEX\tB-NP\tO' +p164024 +aS'was\tbe\tVBD\tB-VP\tO' +p164025 +aS'some\tsome\tDT\tB-NP\tO' +p164026 +aS'concern\tconcern\tNN\tI-NP\tO' +p164027 +aS'that\tthat\tIN\tB-SBAR\tO' +p164028 +aS'he\the\tPRP\tB-NP\tO' +p164029 +aS'had\thave\tVBD\tB-VP\tO' +p164030 +aS'symptoms\tsymptom\tNNS\tB-NP\tO' +p164031 +aS'earlier\tearlier\tRBR\tB-ADVP\tO' +p164032 +aS'than\tthan\tIN\tB-PP\tO' +p164033 +aS'6\t6\tCD\tB-NP\tO' +p164034 +aS'am\tam\tNN\tI-NP\tO' +p164035 +aS',\t,\t,\tO\tO' +p164036 +aS'and\tand\tCC\tO\tO' +p164037 +aS'therefore\ttherefore\tRB\tB-VP\tO' +p164038 +aS'would\twould\tMD\tI-VP\tO' +p164039 +aS'be\tbe\tVB\tI-VP\tO' +p164040 +aS'outside\toutside\tIN\tB-PP\tO' +p164041 +aS'the\tthe\tDT\tB-NP\tO' +p164042 +aS'3\t3\tCD\tI-NP\tO' +p164043 +aS'hour\thour\tNN\tI-NP\tO' +p164044 +aS'window\twindow\tNN\tI-NP\tO' +p164045 +aS'for\tfor\tIN\tB-PP\tO' +p164046 +aS'TPA\tTPA\tNN\tB-NP\tO' +p164047 +aS'.\t.\t.\tO\tO' +p164048 +asS'5. Multivitamin .' +p164049 +(lp164050 +S'5.\t5.\tLS\tB-NP\tO' +p164051 +aS'Multivitamin\tMultivitamin\tNN\tI-NP\tO' +p164052 +aS'.\t.\t.\tO\tO' +p164053 +asS'His heart sounds were regular rate rhythm .' +p164054 +(lp164055 +S'His\tHis\tPRP$\tB-NP\tO' +p164056 +aS'heart\theart\tNN\tI-NP\tO' +p164057 +aS'sounds\tsound\tNNS\tI-NP\tO' +p164058 +aS'were\tbe\tVBD\tB-VP\tO' +p164059 +aS'regular\tregular\tJJ\tB-NP\tO' +p164060 +aS'rate\trate\tNN\tI-NP\tO' +p164061 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p164062 +aS'.\t.\t.\tO\tO' +p164063 +asS"2. Hashimoto 's thyroiditis ." +p164064 +(lp164065 +S'2.\t2.\tLS\tB-NP\tO' +p164066 +aS'Hashimoto\tHashimoto\tNN\tI-NP\tO' +p164067 +aS"'s\t's\tPOS\tB-NP\tO" +p164068 +aS'thyroiditis\tthyroiditis\tNN\tI-NP\tO' +p164069 +aS'.\t.\t.\tO\tO' +p164070 +asS'5. Ferrous Sulfate 300 mg / 5 mL Liquid Sig : One ( 1 ) PO DAILY ( Daily ) .' +p164071 +(lp164072 +S'5.\t5.\tLS\tB-LST\tO' +p164073 +aS'Ferrous\tFerrous\tNNP\tB-NP\tO' +p164074 +aS'Sulfate\tSulfate\tVB\tB-VP\tO' +p164075 +aS'300\t300\tCD\tB-NP\tO' +p164076 +aS'mg\tmg\tNN\tI-NP\tO' +p164077 +aS'/\t/\tSYM\tB-NP\tO' +p164078 +aS'5\t5\tCD\tB-NP\tO' +p164079 +aS'mL\tmL\tNN\tI-NP\tO' +p164080 +aS'Liquid\tLiquid\tNNP\tI-NP\tO' +p164081 +aS'Sig\tSig\tNNP\tI-NP\tO' +p164082 +aS':\t:\t:\tO\tO' +p164083 +aS'One\tOne\tCD\tB-NP\tO' +p164084 +aS'(\t(\t(\tO\tO' +p164085 +aS'1\t1\tCD\tB-NP\tO' +p164086 +aS')\t)\t)\tO\tO' +p164087 +aS'PO\tPO\tNN\tB-NP\tO' +p164088 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p164089 +aS'(\t(\t(\tO\tO' +p164090 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p164091 +aS')\t)\t)\tO\tO' +p164092 +aS'.\t.\t.\tO\tO' +p164093 +asS'Coronary artery disease .' +p164094 +(lp164095 +S'Coronary\tCoronary\tJJ\tB-NP\tO' +p164096 +aS'artery\tartery\tNN\tI-NP\tO' +p164097 +aS'disease\tdisease\tNN\tI-NP\tO' +p164098 +aS'.\t.\t.\tO\tO' +p164099 +asS'The team decided that the patient was ready for discharge .' +p164100 +(lp164101 +S'The\tThe\tDT\tB-NP\tO' +p164102 +aS'team\tteam\tNN\tI-NP\tO' +p164103 +aS'decided\tdecide\tVBD\tB-VP\tO' +p164104 +aS'that\tthat\tIN\tB-SBAR\tO' +p164105 +aS'the\tthe\tDT\tB-NP\tO' +p164106 +aS'patient\tpatient\tNN\tI-NP\tO' +p164107 +aS'was\tbe\tVBD\tB-VP\tO' +p164108 +aS'ready\tready\tJJ\tB-ADJP\tO' +p164109 +aS'for\tfor\tIN\tB-PP\tO' +p164110 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p164111 +aS'.\t.\t.\tO\tO' +p164112 +asS'The patient notes he developed worsening foot pain and ulcers four months ago .' +p164113 +(lp164114 +S'The\tThe\tDT\tB-NP\tO' +p164115 +aS'patient\tpatient\tNN\tI-NP\tO' +p164116 +aS'notes\tnote\tVBZ\tB-VP\tO' +p164117 +aS'he\the\tPRP\tB-NP\tO' +p164118 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p164119 +aS'worsening\tworsen\tVBG\tI-VP\tO' +p164120 +aS'foot\tfoot\tNN\tB-NP\tO' +p164121 +aS'pain\tpain\tNN\tI-NP\tO' +p164122 +aS'and\tand\tCC\tO\tO' +p164123 +aS'ulcers\tulcer\tNNS\tB-NP\tO' +p164124 +aS'four\tfour\tCD\tB-NP\tO' +p164125 +aS'months\tmonth\tNNS\tI-NP\tO' +p164126 +aS'ago\tago\tRB\tB-ADVP\tO' +p164127 +aS'.\t.\t.\tO\tO' +p164128 +asS'The patient was started on cefotaxime 1 gm IV for empiric antibiotic treatment .' +p164129 +(lp164130 +S'The\tThe\tDT\tB-NP\tO' +p164131 +aS'patient\tpatient\tNN\tI-NP\tO' +p164132 +aS'was\tbe\tVBD\tB-VP\tO' +p164133 +aS'started\tstart\tVBN\tI-VP\tO' +p164134 +aS'on\ton\tIN\tB-PP\tO' +p164135 +aS'cefotaxime\tcefotaxime\tNN\tB-NP\tO' +p164136 +aS'1\t1\tCD\tI-NP\tO' +p164137 +aS'gm\tgm\tNN\tI-NP\tO' +p164138 +aS'IV\tIV\tCD\tI-NP\tO' +p164139 +aS'for\tfor\tIN\tB-PP\tO' +p164140 +aS'empiric\tempiric\tJJ\tB-NP\tO' +p164141 +aS'antibiotic\tantibiotic\tJJ\tI-NP\tO' +p164142 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p164143 +aS'.\t.\t.\tO\tO' +p164144 +asS'2. Heparin ( Porcine ) 5,000 unit / mL Solution Sig : One ( 1 ) Injection TID ( 3 times a day ) .' +p164145 +(lp164146 +S'2.\t2.\tLS\tB-LST\tO' +p164147 +aS'Heparin\tHeparin\tNN\tB-NP\tB-protein' +p164148 +aS'(\t(\t(\tO\tI-protein' +p164149 +aS'Porcine\tPorcine\tNN\tB-NP\tI-protein' +p164150 +aS')\t)\t)\tO\tI-protein' +p164151 +aS'5,000\t5,000\tCD\tB-NP\tI-protein' +p164152 +aS'unit\tunit\tNN\tI-NP\tI-protein' +p164153 +aS'/\t/\tSYM\tB-NP\tO' +p164154 +aS'mL\tmL\tNN\tI-NP\tO' +p164155 +aS'Solution\tSolution\tNNP\tI-NP\tO' +p164156 +aS'Sig\tSig\tNNP\tI-NP\tO' +p164157 +aS':\t:\t:\tO\tO' +p164158 +aS'One\tOne\tCD\tB-NP\tO' +p164159 +aS'(\t(\t(\tO\tO' +p164160 +aS'1\t1\tCD\tB-NP\tO' +p164161 +aS')\t)\t)\tO\tO' +p164162 +aS'Injection\tInjection\tNN\tB-NP\tO' +p164163 +aS'TID\tTID\tNN\tI-NP\tO' +p164164 +aS'(\t(\t(\tO\tO' +p164165 +aS'3\t3\tCD\tB-NP\tO' +p164166 +aS'times\ttime\tNNS\tI-NP\tO' +p164167 +aS'a\ta\tDT\tB-NP\tO' +p164168 +aS'day\tday\tNN\tI-NP\tO' +p164169 +aS')\t)\t)\tO\tO' +p164170 +aS'.\t.\t.\tO\tO' +p164171 +asS'6. All findings discussed with surgeon at the time of the exam .' +p164172 +(lp164173 +S'6.\t6.\tLS\tB-LST\tO' +p164174 +aS'All\tAll\tDT\tB-NP\tO' +p164175 +aS'findings\tfinding\tNNS\tI-NP\tO' +p164176 +aS'discussed\tdiscuss\tVBN\tB-VP\tO' +p164177 +aS'with\twith\tIN\tB-PP\tO' +p164178 +aS'surgeon\tsurgeon\tNN\tB-NP\tO' +p164179 +aS'at\tat\tIN\tB-PP\tO' +p164180 +aS'the\tthe\tDT\tB-NP\tO' +p164181 +aS'time\ttime\tNN\tI-NP\tO' +p164182 +aS'of\tof\tIN\tB-PP\tO' +p164183 +aS'the\tthe\tDT\tB-NP\tO' +p164184 +aS'exam\texam\tNN\tI-NP\tO' +p164185 +aS'.\t.\t.\tO\tO' +p164186 +asS'No hemoptysis , hematemesis , abdominal pain , black or tarry stools , dysuria / frequency/urgency .' +p164187 +(lp164188 +S'No\tNo\tDT\tB-NP\tO' +p164189 +aS'hemoptysis\themoptysis\tNN\tI-NP\tO' +p164190 +aS',\t,\t,\tO\tO' +p164191 +aS'hematemesis\thematemesis\tNN\tB-NP\tO' +p164192 +aS',\t,\t,\tO\tO' +p164193 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p164194 +aS'pain\tpain\tNN\tI-NP\tO' +p164195 +aS',\t,\t,\tO\tO' +p164196 +aS'black\tblack\tJJ\tB-NP\tO' +p164197 +aS'or\tor\tCC\tI-NP\tO' +p164198 +aS'tarry\ttarry\tJJ\tI-NP\tO' +p164199 +aS'stools\tstool\tNNS\tI-NP\tO' +p164200 +aS',\t,\t,\tO\tO' +p164201 +aS'dysuria\tdysuria\tNN\tB-NP\tO' +p164202 +aS'/\t/\tSYM\tI-NP\tO' +p164203 +aS'frequency/urgency\tfrequency/urgency\tNN\tI-NP\tO' +p164204 +aS'.\t.\t.\tO\tO' +p164205 +asS'admission of 40.5 cm .' +p164206 +(lp164207 +S'admission\tadmission\tNN\tB-NP\tO' +p164208 +aS'of\tof\tIN\tB-PP\tO' +p164209 +aS'40.5\t40.5\tCD\tB-NP\tO' +p164210 +aS'cm\tcm\tNN\tI-NP\tO' +p164211 +aS'.\t.\t.\tO\tO' +p164212 +asS'1. Continue breast feeding with post-feed supplemental EBM .' +p164213 +(lp164214 +S'1.\t1.\tLS\tB-NP\tO' +p164215 +aS'Continue\tContinue\tJJ\tI-NP\tO' +p164216 +aS'breast\tbreast\tNN\tI-NP\tO' +p164217 +aS'feeding\tfeeding\tNN\tI-NP\tO' +p164218 +aS'with\twith\tIN\tB-PP\tO' +p164219 +aS'post-feed\tpost-feed\tJJ\tB-NP\tO' +p164220 +aS'supplemental\tsupplemental\tJJ\tI-NP\tO' +p164221 +aS'EBM\tEBM\tNN\tI-NP\tO' +p164222 +aS'.\t.\t.\tO\tO' +p164223 +asS'6. Allegra 60 mg po bid .' +p164224 +(lp164225 +S'6.\t6.\tCD\tB-NP\tO' +p164226 +aS'Allegra\tAllegra\tNNP\tI-NP\tO' +p164227 +aS'60\t60\tCD\tI-NP\tO' +p164228 +aS'mg\tmg\tNN\tI-NP\tO' +p164229 +aS'po\tpo\tNN\tI-NP\tO' +p164230 +aS'bid\tbid\tNN\tI-NP\tO' +p164231 +aS'.\t.\t.\tO\tO' +p164232 +asS'Increased work of breathing prior to intubation , but presently comfortable .' +p164233 +(lp164234 +S'Increased\tIncrease\tVBN\tB-NP\tO' +p164235 +aS'work\twork\tNN\tI-NP\tO' +p164236 +aS'of\tof\tIN\tB-PP\tO' +p164237 +aS'breathing\tbreathing\tNN\tB-NP\tO' +p164238 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p164239 +aS'to\tto\tTO\tB-PP\tO' +p164240 +aS'intubation\tintubation\tNN\tB-NP\tO' +p164241 +aS',\t,\t,\tO\tO' +p164242 +aS'but\tbut\tCC\tO\tO' +p164243 +aS'presently\tpresently\tRB\tB-ADJP\tO' +p164244 +aS'comfortable\tcomfortable\tJJ\tI-ADJP\tO' +p164245 +aS'.\t.\t.\tO\tO' +p164246 +asS'These were initially continued as above and later , when she became hypotensive and febrile , stress dose steroids were started and planned for a 7 day course followed by a return to her prior dose of prednisone .' +p164247 +(lp164248 +S'These\tThese\tDT\tB-NP\tO' +p164249 +aS'were\tbe\tVBD\tB-VP\tO' +p164250 +aS'initially\tinitially\tRB\tI-VP\tO' +p164251 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p164252 +aS'as\tas\tIN\tB-PP\tO' +p164253 +aS'above\tabove\tJJ\tB-ADJP\tO' +p164254 +aS'and\tand\tCC\tI-ADJP\tO' +p164255 +aS'later\tlater\tJJ\tI-ADJP\tO' +p164256 +aS',\t,\t,\tO\tO' +p164257 +aS'when\twhen\tWRB\tB-ADVP\tO' +p164258 +aS'she\tshe\tPRP\tB-NP\tO' +p164259 +aS'became\tbecome\tVBD\tB-VP\tO' +p164260 +aS'hypotensive\thypotensive\tJJ\tB-ADJP\tO' +p164261 +aS'and\tand\tCC\tI-ADJP\tO' +p164262 +aS'febrile\tfebrile\tJJ\tI-ADJP\tO' +p164263 +aS',\t,\t,\tO\tO' +p164264 +aS'stress\tstress\tNN\tB-NP\tO' +p164265 +aS'dose\tdose\tNN\tI-NP\tO' +p164266 +aS'steroids\tsteroid\tNNS\tI-NP\tO' +p164267 +aS'were\tbe\tVBD\tB-VP\tO' +p164268 +aS'started\tstart\tVBN\tI-VP\tO' +p164269 +aS'and\tand\tCC\tO\tO' +p164270 +aS'planned\tplan\tVBN\tB-VP\tO' +p164271 +aS'for\tfor\tIN\tB-PP\tO' +p164272 +aS'a\ta\tDT\tB-NP\tO' +p164273 +aS'7\t7\tCD\tI-NP\tO' +p164274 +aS'day\tday\tNN\tI-NP\tO' +p164275 +aS'course\tcourse\tNN\tI-NP\tO' +p164276 +aS'followed\tfollow\tVBN\tB-VP\tO' +p164277 +aS'by\tby\tIN\tB-PP\tO' +p164278 +aS'a\ta\tDT\tB-NP\tO' +p164279 +aS'return\treturn\tNN\tI-NP\tO' +p164280 +aS'to\tto\tTO\tB-PP\tO' +p164281 +aS'her\ther\tPRP$\tB-NP\tO' +p164282 +aS'prior\tprior\tJJ\tI-NP\tO' +p164283 +aS'dose\tdose\tNN\tI-NP\tO' +p164284 +aS'of\tof\tIN\tB-PP\tO' +p164285 +aS'prednisone\tprednisone\tNN\tB-NP\tO' +p164286 +aS'.\t.\t.\tO\tO' +p164287 +asS'He also noted a 23 pound weight loss in the past 11 months despite having an increased appetite .' +p164288 +(lp164289 +S'He\tHe\tPRP\tB-NP\tO' +p164290 +aS'also\talso\tRB\tB-ADVP\tO' +p164291 +aS'noted\tnote\tVBD\tB-VP\tO' +p164292 +aS'a\ta\tDT\tB-NP\tO' +p164293 +aS'23\t23\tCD\tI-NP\tO' +p164294 +aS'pound\tpound\tNN\tI-NP\tO' +p164295 +aS'weight\tweight\tNN\tI-NP\tO' +p164296 +aS'loss\tloss\tNN\tI-NP\tO' +p164297 +aS'in\tin\tIN\tB-PP\tO' +p164298 +aS'the\tthe\tDT\tB-NP\tO' +p164299 +aS'past\tpast\tJJ\tI-NP\tO' +p164300 +aS'11\t11\tCD\tI-NP\tO' +p164301 +aS'months\tmonth\tNNS\tI-NP\tO' +p164302 +aS'despite\tdespite\tIN\tB-PP\tO' +p164303 +aS'having\thave\tVBG\tB-VP\tO' +p164304 +aS'an\tan\tDT\tB-NP\tO' +p164305 +aS'increased\tincrease\tVBN\tI-NP\tO' +p164306 +aS'appetite\tappetite\tNN\tI-NP\tO' +p164307 +aS'.\t.\t.\tO\tO' +p164308 +asS'He responded to intravenous Lasix with 3.2 liters of urine output as well as marked clinical improvement .' +p164309 +(lp164310 +S'He\tHe\tPRP\tB-NP\tO' +p164311 +aS'responded\trespond\tVBD\tB-VP\tO' +p164312 +aS'to\tto\tTO\tB-PP\tO' +p164313 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p164314 +aS'Lasix\tLasix\tNN\tI-NP\tO' +p164315 +aS'with\twith\tIN\tB-PP\tO' +p164316 +aS'3.2\t3.2\tCD\tB-NP\tO' +p164317 +aS'liters\tliter\tNNS\tI-NP\tO' +p164318 +aS'of\tof\tIN\tB-PP\tO' +p164319 +aS'urine\turine\tNN\tB-NP\tO' +p164320 +aS'output\toutput\tNN\tI-NP\tO' +p164321 +aS'as\tas\tRB\tB-CONJP\tO' +p164322 +aS'well\twell\tRB\tI-CONJP\tO' +p164323 +aS'as\tas\tIN\tI-CONJP\tO' +p164324 +aS'marked\tmarked\tJJ\tB-NP\tO' +p164325 +aS'clinical\tclinical\tJJ\tI-NP\tO' +p164326 +aS'improvement\timprovement\tNN\tI-NP\tO' +p164327 +aS'.\t.\t.\tO\tO' +p164328 +asS'He denies any abdominal pain .' +p164329 +(lp164330 +S'He\tHe\tPRP\tB-NP\tO' +p164331 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p164332 +aS'any\tany\tDT\tB-NP\tO' +p164333 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p164334 +aS'pain\tpain\tNN\tI-NP\tO' +p164335 +aS'.\t.\t.\tO\tO' +p164336 +asS'He remained hemodynamically stable throughout his admission .' +p164337 +(lp164338 +S'He\tHe\tPRP\tB-NP\tO' +p164339 +aS'remained\tremain\tVBD\tB-VP\tO' +p164340 +aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' +p164341 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p164342 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p164343 +aS'his\this\tPRP$\tB-NP\tO' +p164344 +aS'admission\tadmission\tNN\tI-NP\tO' +p164345 +aS'.\t.\t.\tO\tO' +p164346 +asS'His weight was 3.505 ( 7 pounds / 12 ounces ) on readmission .' +p164347 +(lp164348 +S'His\tHis\tPRP$\tB-NP\tO' +p164349 +aS'weight\tweight\tNN\tI-NP\tO' +p164350 +aS'was\tbe\tVBD\tB-VP\tO' +p164351 +aS'3.505\t3.505\tCD\tB-NP\tO' +p164352 +aS'(\t(\t(\tO\tO' +p164353 +aS'7\t7\tCD\tB-NP\tO' +p164354 +aS'pounds\tpound\tNNS\tI-NP\tO' +p164355 +aS'/\t/\tSYM\tB-NP\tO' +p164356 +aS'12\t12\tCD\tB-NP\tO' +p164357 +aS'ounces\tounce\tNNS\tI-NP\tO' +p164358 +aS')\t)\t)\tO\tO' +p164359 +aS'on\ton\tIN\tB-PP\tO' +p164360 +aS'readmission\treadmission\tNN\tB-NP\tO' +p164361 +aS'.\t.\t.\tO\tO' +p164362 +asS'She had mild increase in her hypertension during the hospitalization , likely secondary to fluid overload .' +p164363 +(lp164364 +S'She\tShe\tPRP\tB-NP\tO' +p164365 +aS'had\thave\tVBD\tB-VP\tO' +p164366 +aS'mild\tmild\tJJ\tB-NP\tO' +p164367 +aS'increase\tincrease\tNN\tI-NP\tO' +p164368 +aS'in\tin\tIN\tB-PP\tO' +p164369 +aS'her\ther\tPRP$\tB-NP\tO' +p164370 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p164371 +aS'during\tduring\tIN\tB-PP\tO' +p164372 +aS'the\tthe\tDT\tB-NP\tO' +p164373 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p164374 +aS',\t,\t,\tO\tO' +p164375 +aS'likely\tlikely\tRB\tB-ADJP\tO' +p164376 +aS'secondary\tsecondary\tJJ\tI-ADJP\tO' +p164377 +aS'to\tto\tTO\tB-PP\tO' +p164378 +aS'fluid\tfluid\tNN\tB-NP\tO' +p164379 +aS'overload\toverload\tNN\tI-NP\tO' +p164380 +aS'.\t.\t.\tO\tO' +p164381 +asS'The results of these studies suggested that the patient 's symptoms were not due to subclavian steal phenomenon , and therefore , it was decided that the patient would not go further to angio and / or surgical or percutaneous intervention .' +p164382 +(lp164383 +S'The\tThe\tDT\tB-NP\tO' +p164384 +aS'results\tresult\tNNS\tI-NP\tO' +p164385 +aS'of\tof\tIN\tB-PP\tO' +p164386 +aS'these\tthese\tDT\tB-NP\tO' +p164387 +aS'studies\tstudy\tNNS\tI-NP\tO' +p164388 +aS'suggested\tsuggest\tVBD\tB-VP\tO' +p164389 +aS'that\tthat\tIN\tB-SBAR\tO' +p164390 +aS'the\tthe\tDT\tB-NP\tO' +p164391 +aS'patient\tpatient\tNN\tI-NP\tO' +p164392 +aS''s\t'\tNNS\tI-NP\tO' +p164393 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p164394 +aS'were\tbe\tVBD\tB-VP\tO' +p164395 +aS'not\tnot\tRB\tO\tO' +p164396 +aS'due\tdue\tJJ\tB-ADJP\tO' +p164397 +aS'to\tto\tTO\tB-PP\tO' +p164398 +aS'subclavian\tsubclavian\tJJ\tB-NP\tO' +p164399 +aS'steal\tsteal\tJJ\tI-NP\tO' +p164400 +aS'phenomenon\tphenomenon\tNN\tI-NP\tO' +p164401 +aS',\t,\t,\tO\tO' +p164402 +aS'and\tand\tCC\tO\tO' +p164403 +aS'therefore\ttherefore\tRB\tB-ADVP\tO' +p164404 +aS',\t,\t,\tO\tO' +p164405 +aS'it\tit\tPRP\tB-NP\tO' +p164406 +aS'was\tbe\tVBD\tB-VP\tO' +p164407 +aS'decided\tdecide\tVBN\tI-VP\tO' +p164408 +aS'that\tthat\tIN\tB-SBAR\tO' +p164409 +aS'the\tthe\tDT\tB-NP\tO' +p164410 +aS'patient\tpatient\tNN\tI-NP\tO' +p164411 +aS'would\twould\tMD\tB-VP\tO' +p164412 +aS'not\tnot\tRB\tI-VP\tO' +p164413 +aS'go\tgo\tVB\tI-VP\tO' +p164414 +aS'further\tfurther\tRBR\tB-ADVP\tO' +p164415 +aS'to\tto\tTO\tB-PP\tO' +p164416 +aS'angio\tangio\tNN\tB-NP\tO' +p164417 +aS'and\tand\tCC\tO\tO' +p164418 +aS'/\t/\tSYM\tB-NP\tO' +p164419 +aS'or\tor\tCC\tO\tO' +p164420 +aS'surgical\tsurgical\tJJ\tB-NP\tO' +p164421 +aS'or\tor\tCC\tI-NP\tO' +p164422 +aS'percutaneous\tpercutaneous\tJJ\tI-NP\tO' +p164423 +aS'intervention\tintervention\tNN\tI-NP\tO' +p164424 +aS'.\t.\t.\tO\tO' +p164425 +asS'She is now coming for surgical treatment , wound debridement , and possible wound closure with bilateral pectoralis flap .' +p164426 +(lp164427 +S'She\tShe\tPRP\tB-NP\tO' +p164428 +aS'is\tbe\tVBZ\tB-VP\tO' +p164429 +aS'now\tnow\tRB\tI-VP\tO' +p164430 +aS'coming\tcome\tVBG\tI-VP\tO' +p164431 +aS'for\tfor\tIN\tB-PP\tO' +p164432 +aS'surgical\tsurgical\tJJ\tB-NP\tO' +p164433 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p164434 +aS',\t,\t,\tO\tO' +p164435 +aS'wound\twound\tNN\tB-NP\tO' +p164436 +aS'debridement\tdebridement\tNN\tI-NP\tO' +p164437 +aS',\t,\t,\tO\tO' +p164438 +aS'and\tand\tCC\tO\tO' +p164439 +aS'possible\tpossible\tJJ\tB-NP\tO' +p164440 +aS'wound\twound\tNN\tI-NP\tO' +p164441 +aS'closure\tclosure\tNN\tI-NP\tO' +p164442 +aS'with\twith\tIN\tB-PP\tO' +p164443 +aS'bilateral\tbilateral\tJJ\tB-NP\tB-protein' +p164444 +aS'pectoralis\tpectoralis\tNN\tI-NP\tI-protein' +p164445 +aS'flap\tflap\tNN\tI-NP\tI-protein' +p164446 +aS'.\t.\t.\tO\tO' +p164447 +asS'Upon admission it was unclear whether or not the patient was volume overloaded or volume depleted .' +p164448 +(lp164449 +S'Upon\tUpon\tIN\tB-PP\tO' +p164450 +aS'admission\tadmission\tNN\tB-NP\tO' +p164451 +aS'it\tit\tPRP\tB-NP\tO' +p164452 +aS'was\tbe\tVBD\tB-VP\tO' +p164453 +aS'unclear\tunclear\tJJ\tB-ADJP\tO' +p164454 +aS'whether\twhether\tIN\tB-SBAR\tO' +p164455 +aS'or\tor\tCC\tO\tO' +p164456 +aS'not\tnot\tRB\tO\tO' +p164457 +aS'the\tthe\tDT\tB-NP\tO' +p164458 +aS'patient\tpatient\tNN\tI-NP\tO' +p164459 +aS'was\tbe\tVBD\tB-VP\tO' +p164460 +aS'volume\tvolume\tNN\tB-NP\tO' +p164461 +aS'overloaded\toverloaded\tJJ\tB-ADJP\tO' +p164462 +aS'or\tor\tCC\tO\tO' +p164463 +aS'volume\tvolume\tNN\tB-NP\tO' +p164464 +aS'depleted\tdeplete\tVBN\tB-VP\tO' +p164465 +aS'.\t.\t.\tO\tO' +p164466 +asS'His mother is in her 50 s and has hypertension .' +p164467 +(lp164468 +S'His\tHis\tPRP$\tB-NP\tO' +p164469 +aS'mother\tmother\tNN\tI-NP\tO' +p164470 +aS'is\tbe\tVBZ\tB-VP\tO' +p164471 +aS'in\tin\tIN\tB-PP\tO' +p164472 +aS'her\ther\tPRP$\tB-NP\tO' +p164473 +aS'50\t50\tCD\tI-NP\tO' +p164474 +aS's\ts\tNN\tI-NP\tO' +p164475 +aS'and\tand\tCC\tO\tO' +p164476 +aS'has\thave\tVBZ\tB-VP\tO' +p164477 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p164478 +aS'.\t.\t.\tO\tO' +p164479 +asS'Her right foot was without capillary refill , with a marked change of temperature at a level of the mid calf .' +p164480 +(lp164481 +S'Her\tHer\tPRP$\tB-NP\tO' +p164482 +aS'right\tright\tJJ\tI-NP\tO' +p164483 +aS'foot\tfoot\tNN\tI-NP\tO' +p164484 +aS'was\tbe\tVBD\tB-VP\tO' +p164485 +aS'without\twithout\tIN\tB-PP\tO' +p164486 +aS'capillary\tcapillary\tJJ\tB-NP\tO' +p164487 +aS'refill\trefill\tNN\tI-NP\tO' +p164488 +aS',\t,\t,\tO\tO' +p164489 +aS'with\twith\tIN\tB-PP\tO' +p164490 +aS'a\ta\tDT\tB-NP\tO' +p164491 +aS'marked\tmarked\tJJ\tI-NP\tO' +p164492 +aS'change\tchange\tNN\tI-NP\tO' +p164493 +aS'of\tof\tIN\tB-PP\tO' +p164494 +aS'temperature\ttemperature\tNN\tB-NP\tO' +p164495 +aS'at\tat\tIN\tB-PP\tO' +p164496 +aS'a\ta\tDT\tB-NP\tO' +p164497 +aS'level\tlevel\tNN\tI-NP\tO' +p164498 +aS'of\tof\tIN\tB-PP\tO' +p164499 +aS'the\tthe\tDT\tB-NP\tO' +p164500 +aS'mid\tmid\tJJ\tI-NP\tO' +p164501 +aS'calf\tcalf\tNN\tI-NP\tO' +p164502 +aS'.\t.\t.\tO\tO' +p164503 +asS'There , she made great progress .' +p164504 +(lp164505 +S'There\tThere\tRB\tB-ADVP\tO' +p164506 +aS',\t,\t,\tO\tO' +p164507 +aS'she\tshe\tPRP\tB-NP\tO' +p164508 +aS'made\tmake\tVBD\tB-VP\tO' +p164509 +aS'great\tgreat\tJJ\tB-NP\tO' +p164510 +aS'progress\tprogress\tNN\tI-NP\tO' +p164511 +aS'.\t.\t.\tO\tO' +p164512 +asS'Lives independently , but in the same building with daughter .' +p164513 +(lp164514 +S'Lives\tLife\tNNS\tB-NP\tO' +p164515 +aS'independently\tindependently\tRB\tB-ADVP\tO' +p164516 +aS',\t,\t,\tO\tO' +p164517 +aS'but\tbut\tCC\tO\tO' +p164518 +aS'in\tin\tIN\tB-PP\tO' +p164519 +aS'the\tthe\tDT\tB-NP\tO' +p164520 +aS'same\tsame\tJJ\tI-NP\tO' +p164521 +aS'building\tbuilding\tNN\tI-NP\tO' +p164522 +aS'with\twith\tIN\tB-PP\tO' +p164523 +aS'daughter\tdaughter\tNN\tB-NP\tO' +p164524 +aS'.\t.\t.\tO\tO' +p164525 +asS'Gen - Alert , no acute distress' +p164526 +(lp164527 +S'Gen\tGen\tNNP\tB-NP\tO' +p164528 +aS'-\t-\tHYPH\tO\tO' +p164529 +aS'Alert\tAlert\tNNP\tB-NP\tO' +p164530 +aS',\t,\t,\tO\tO' +p164531 +aS'no\tno\tDT\tB-NP\tO' +p164532 +aS'acute\tacute\tJJ\tI-NP\tO' +p164533 +aS'distress\tdistress\tNN\tI-NP\tO' +p164534 +asS'Renal was consulted .' +p164535 +(lp164536 +S'Renal\tRenal\tJJ\tB-NP\tO' +p164537 +aS'was\tbe\tVBD\tB-VP\tO' +p164538 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p164539 +aS'.\t.\t.\tO\tO' +p164540 +asS'MENTAL STATUS CHANGES .' +p164541 +(lp164542 +S'MENTAL\tMENTAL\tNNP\tB-NP\tO' +p164543 +aS'STATUS\tSTATUS\tNNP\tI-NP\tO' +p164544 +aS'CHANGES\tCHANGES\tNNP\tI-NP\tO' +p164545 +aS'.\t.\t.\tO\tO' +p164546 +asS'Bleeding from the liver was controlled with sutures .' +p164547 +(lp164548 +S'Bleeding\tBleed\tVBG\tB-VP\tO' +p164549 +aS'from\tfrom\tIN\tB-PP\tO' +p164550 +aS'the\tthe\tDT\tB-NP\tO' +p164551 +aS'liver\tliver\tNN\tI-NP\tO' +p164552 +aS'was\tbe\tVBD\tB-VP\tO' +p164553 +aS'controlled\tcontrol\tVBN\tI-VP\tO' +p164554 +aS'with\twith\tIN\tB-PP\tO' +p164555 +aS'sutures\tsuture\tNNS\tB-NP\tO' +p164556 +aS'.\t.\t.\tO\tO' +p164557 +asS'Enteral feedings were initiated on day of life No.1 .' +p164558 +(lp164559 +S'Enteral\tEnteral\tJJ\tB-NP\tO' +p164560 +aS'feedings\tfeeding\tNNS\tI-NP\tO' +p164561 +aS'were\tbe\tVBD\tB-VP\tO' +p164562 +aS'initiated\tinitiate\tVBN\tI-VP\tO' +p164563 +aS'on\ton\tIN\tB-PP\tO' +p164564 +aS'day\tday\tNN\tB-NP\tO' +p164565 +aS'of\tof\tIN\tB-PP\tO' +p164566 +aS'life\tlife\tNN\tB-NP\tB-protein' +p164567 +aS'No.1\tNo.1\tNN\tI-NP\tI-protein' +p164568 +aS'.\t.\t.\tO\tO' +p164569 +asS'There is no pericardial effusion .' +p164570 +(lp164571 +S'There\tThere\tEX\tB-NP\tO' +p164572 +aS'is\tbe\tVBZ\tB-VP\tO' +p164573 +aS'no\tno\tDT\tB-NP\tO' +p164574 +aS'pericardial\tpericardial\tJJ\tI-NP\tO' +p164575 +aS'effusion\teffusion\tNN\tI-NP\tO' +p164576 +aS'.\t.\t.\tO\tO' +p164577 +asS'She is the first twin to go home .' +p164578 +(lp164579 +S'She\tShe\tPRP\tB-NP\tO' +p164580 +aS'is\tbe\tVBZ\tB-VP\tO' +p164581 +aS'the\tthe\tDT\tB-NP\tO' +p164582 +aS'first\tfirst\tJJ\tI-NP\tO' +p164583 +aS'twin\ttwin\tNN\tI-NP\tO' +p164584 +aS'to\tto\tTO\tB-VP\tO' +p164585 +aS'go\tgo\tVB\tI-VP\tO' +p164586 +aS'home\thome\tNN\tB-NP\tO' +p164587 +aS'.\t.\t.\tO\tO' +p164588 +asS'Her blood pressure was 102/82 .' +p164589 +(lp164590 +S'Her\tHer\tPRP$\tB-NP\tO' +p164591 +aS'blood\tblood\tNN\tI-NP\tO' +p164592 +aS'pressure\tpressure\tNN\tI-NP\tO' +p164593 +aS'was\tbe\tVBD\tB-VP\tO' +p164594 +aS'102/82\t102/82\tCD\tB-NP\tO' +p164595 +aS'.\t.\t.\tO\tO' +p164596 +asS'1. Pulmonary and right iliac bone metastases .' +p164597 +(lp164598 +S'1.\t1.\tLS\tB-NP\tO' +p164599 +aS'Pulmonary\tPulmonary\tJJ\tI-NP\tO' +p164600 +aS'and\tand\tCC\tI-NP\tO' +p164601 +aS'right\tright\tJJ\tI-NP\tB-protein' +p164602 +aS'iliac\tiliac\tJJ\tI-NP\tI-protein' +p164603 +aS'bone\tbone\tNN\tI-NP\tI-protein' +p164604 +aS'metastases\tmetastasis\tNNS\tI-NP\tI-protein' +p164605 +aS'.\t.\t.\tO\tO' +p164606 +asS'Blood pressure was 98/64 .' +p164607 +(lp164608 +S'Blood\tBlood\tNN\tB-NP\tO' +p164609 +aS'pressure\tpressure\tNN\tI-NP\tO' +p164610 +aS'was\tbe\tVBD\tB-VP\tO' +p164611 +aS'98/64\t98/64\tCD\tB-NP\tO' +p164612 +aS'.\t.\t.\tO\tO' +p164613 +asS'The patient was seen by Onc Psychiatry consult , who recommended imipramine 75 mg ; that was subsequently increased to 150 mg p.o. q.h.s. , trazadone 100 mg q.h.s. and Ambien 10 mg q.h.s.' +p164614 +(lp164615 +S'The\tThe\tDT\tB-NP\tO' +p164616 +aS'patient\tpatient\tNN\tI-NP\tO' +p164617 +aS'was\tbe\tVBD\tB-VP\tO' +p164618 +aS'seen\tsee\tVBN\tI-VP\tO' +p164619 +aS'by\tby\tIN\tB-PP\tO' +p164620 +aS'Onc\tOnc\tNNP\tB-NP\tO' +p164621 +aS'Psychiatry\tPsychiatry\tNNP\tI-NP\tO' +p164622 +aS'consult\tconsult\tNN\tI-NP\tO' +p164623 +aS',\t,\t,\tO\tO' +p164624 +aS'who\twho\tWP\tB-NP\tO' +p164625 +aS'recommended\trecommend\tVBD\tB-VP\tO' +p164626 +aS'imipramine\timipramine\tNN\tB-NP\tO' +p164627 +aS'75\t75\tCD\tI-NP\tO' +p164628 +aS'mg\tmg\tNN\tI-NP\tO' +p164629 +aS';\t;\t:\tO\tO' +p164630 +aS'that\tthat\tDT\tB-NP\tO' +p164631 +aS'was\tbe\tVBD\tB-VP\tO' +p164632 +aS'subsequently\tsubsequently\tRB\tI-VP\tO' +p164633 +aS'increased\tincrease\tVBN\tI-VP\tO' +p164634 +aS'to\tto\tTO\tB-PP\tO' +p164635 +aS'150\t150\tCD\tB-NP\tO' +p164636 +aS'mg\tmg\tNN\tI-NP\tO' +p164637 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p164638 +aS'q.h.s.\tq.h.s.\tNN\tI-NP\tO' +p164639 +aS',\t,\t,\tO\tO' +p164640 +aS'trazadone\ttrazadone\tNN\tB-NP\tO' +p164641 +aS'100\t100\tCD\tI-NP\tO' +p164642 +aS'mg\tmg\tNN\tI-NP\tO' +p164643 +aS'q.h.s.\tq.h.s.\tNN\tI-NP\tO' +p164644 +aS'and\tand\tCC\tO\tO' +p164645 +aS'Ambien\tAmbien\tIN\tB-NP\tO' +p164646 +aS'10\t10\tCD\tI-NP\tO' +p164647 +aS'mg\tmg\tNN\tI-NP\tO' +p164648 +aS'q.h.s.\tq.h.s.\tNNS\tI-NP\tO' +p164649 +asS'The infant was initially started on 60 cc per kg per day of D10W .' +p164650 +(lp164651 +S'The\tThe\tDT\tB-NP\tO' +p164652 +aS'infant\tinfant\tNN\tI-NP\tO' +p164653 +aS'was\tbe\tVBD\tB-VP\tO' +p164654 +aS'initially\tinitially\tRB\tI-VP\tO' +p164655 +aS'started\tstart\tVBN\tI-VP\tO' +p164656 +aS'on\ton\tIN\tB-PP\tO' +p164657 +aS'60\t60\tCD\tB-NP\tO' +p164658 +aS'cc\tcc\tNN\tI-NP\tO' +p164659 +aS'per\tper\tIN\tB-PP\tO' +p164660 +aS'kg\tkg\tNN\tB-NP\tO' +p164661 +aS'per\tper\tIN\tB-PP\tO' +p164662 +aS'day\tday\tNN\tB-NP\tO' +p164663 +aS'of\tof\tIN\tB-PP\tO' +p164664 +aS'D10W\tD10W\tNN\tB-NP\tB-protein' +p164665 +aS'.\t.\t.\tO\tO' +p164666 +asS'Her only medication is Thyrolar for her relative hypothyroidism following resection .' +p164667 +(lp164668 +S'Her\tHer\tPRP$\tB-NP\tO' +p164669 +aS'only\tonly\tJJ\tI-NP\tO' +p164670 +aS'medication\tmedication\tNN\tI-NP\tO' +p164671 +aS'is\tbe\tVBZ\tB-VP\tO' +p164672 +aS'Thyrolar\tThyrolar\tJJ\tB-ADJP\tO' +p164673 +aS'for\tfor\tIN\tB-PP\tO' +p164674 +aS'her\ther\tPRP$\tB-NP\tO' +p164675 +aS'relative\trelative\tJJ\tI-NP\tO' +p164676 +aS'hypothyroidism\thypothyroidism\tNN\tI-NP\tO' +p164677 +aS'following\tfollow\tVBG\tB-PP\tO' +p164678 +aS'resection\tresection\tNN\tB-NP\tO' +p164679 +aS'.\t.\t.\tO\tO' +p164680 +asS'Due to concerns for dementia , neurology consult was obtained .' +p164681 +(lp164682 +S'Due\tDue\tJJ\tB-ADJP\tO' +p164683 +aS'to\tto\tTO\tB-PP\tO' +p164684 +aS'concerns\tconcern\tNNS\tB-NP\tO' +p164685 +aS'for\tfor\tIN\tB-PP\tO' +p164686 +aS'dementia\tdementia\tNN\tB-NP\tO' +p164687 +aS',\t,\t,\tO\tO' +p164688 +aS'neurology\tneurology\tNN\tB-NP\tO' +p164689 +aS'consult\tconsult\tNN\tI-NP\tO' +p164690 +aS'was\tbe\tVBD\tB-VP\tO' +p164691 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p164692 +aS'.\t.\t.\tO\tO' +p164693 +asS'Patchy consolidation of the right lung is stable .' +p164694 +(lp164695 +S'Patchy\tPatchy\tJJ\tB-NP\tO' +p164696 +aS'consolidation\tconsolidation\tNN\tI-NP\tO' +p164697 +aS'of\tof\tIN\tB-PP\tO' +p164698 +aS'the\tthe\tDT\tB-NP\tO' +p164699 +aS'right\tright\tJJ\tI-NP\tO' +p164700 +aS'lung\tlung\tNN\tI-NP\tO' +p164701 +aS'is\tbe\tVBZ\tB-VP\tO' +p164702 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p164703 +aS'.\t.\t.\tO\tO' +p164704 +asS'--- no need fortransfusion currently , keep Hct > 30' +p164705 +(lp164706 +S'---\t---\tSYM\tO\tO' +p164707 +aS'no\tno\tDT\tB-NP\tO' +p164708 +aS'need\tneed\tNN\tI-NP\tO' +p164709 +aS'fortransfusion\tfortransfusion\tNN\tI-NP\tO' +p164710 +aS'currently\tcurrently\tRB\tB-ADVP\tO' +p164711 +aS',\t,\t,\tO\tO' +p164712 +aS'keep\tkeep\tVB\tB-VP\tO' +p164713 +aS'Hct\tHct\tNNP\tB-NP\tO' +p164714 +aS'>\t>\tJJR\tB-NP\tO' +p164715 +aS'30\t30\tCD\tI-NP\tO' +p164716 +asS'She did well during the remainder of her postoperative course and was continued on her medication regimen that she had been on during the antepartum period .' +p164717 +(lp164718 +S'She\tShe\tPRP\tB-NP\tO' +p164719 +aS'did\tdo\tVBD\tB-VP\tO' +p164720 +aS'well\twell\tRB\tB-ADVP\tO' +p164721 +aS'during\tduring\tIN\tB-PP\tO' +p164722 +aS'the\tthe\tDT\tB-NP\tO' +p164723 +aS'remainder\tremainder\tNN\tI-NP\tO' +p164724 +aS'of\tof\tIN\tB-PP\tO' +p164725 +aS'her\ther\tPRP$\tB-NP\tO' +p164726 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p164727 +aS'course\tcourse\tNN\tI-NP\tO' +p164728 +aS'and\tand\tCC\tO\tO' +p164729 +aS'was\tbe\tVBD\tB-VP\tO' +p164730 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p164731 +aS'on\ton\tIN\tB-PP\tO' +p164732 +aS'her\ther\tPRP$\tB-NP\tO' +p164733 +aS'medication\tmedication\tNN\tI-NP\tO' +p164734 +aS'regimen\tregimen\tNN\tI-NP\tO' +p164735 +aS'that\tthat\tIN\tB-NP\tO' +p164736 +aS'she\tshe\tPRP\tB-NP\tO' +p164737 +aS'had\thave\tVBD\tB-VP\tO' +p164738 +aS'been\tbe\tVBN\tI-VP\tO' +p164739 +aS'on\ton\tRP\tB-PRT\tO' +p164740 +aS'during\tduring\tIN\tB-PP\tO' +p164741 +aS'the\tthe\tDT\tB-NP\tO' +p164742 +aS'antepartum\tantepartum\tNN\tI-NP\tO' +p164743 +aS'period\tperiod\tNN\tI-NP\tO' +p164744 +aS'.\t.\t.\tO\tO' +p164745 +asS'On exam , pt lethargic , responsive to pain but not voice , with NRB in place ; obvious inc wob .' +p164746 +(lp164747 +S'On\tOn\tIN\tB-PP\tO' +p164748 +aS'exam\texam\tNN\tB-NP\tO' +p164749 +aS',\t,\t,\tO\tO' +p164750 +aS'pt\tpt\tNN\tB-NP\tO' +p164751 +aS'lethargic\tlethargic\tJJ\tB-ADJP\tO' +p164752 +aS',\t,\t,\tO\tO' +p164753 +aS'responsive\tresponsive\tJJ\tB-ADJP\tO' +p164754 +aS'to\tto\tTO\tB-VP\tO' +p164755 +aS'pain\tpain\tVB\tI-VP\tO' +p164756 +aS'but\tbut\tCC\tB-NP\tO' +p164757 +aS'not\tnot\tRB\tI-NP\tO' +p164758 +aS'voice\tvoice\tNN\tB-NP\tO' +p164759 +aS',\t,\t,\tO\tO' +p164760 +aS'with\twith\tIN\tB-PP\tO' +p164761 +aS'NRB\tNRB\tNN\tB-NP\tB-protein' +p164762 +aS'in\tin\tIN\tB-PP\tO' +p164763 +aS'place\tplace\tNN\tB-NP\tO' +p164764 +aS';\t;\t:\tO\tO' +p164765 +aS'obvious\tobvious\tJJ\tB-NP\tO' +p164766 +aS'inc\tinc\tNN\tI-NP\tO' +p164767 +aS'wob\twob\tNN\tI-NP\tO' +p164768 +aS'.\t.\t.\tO\tO' +p164769 +asS'There were normal prothetic valves .' +p164770 +(lp164771 +S'There\tThere\tEX\tB-NP\tO' +p164772 +aS'were\tbe\tVBD\tB-VP\tO' +p164773 +aS'normal\tnormal\tJJ\tB-NP\tO' +p164774 +aS'prothetic\tprothetic\tJJ\tI-NP\tO' +p164775 +aS'valves\tvalve\tNNS\tI-NP\tO' +p164776 +aS'.\t.\t.\tO\tO' +p164777 +asS'The patient was afebrile , heart rate 73 , blood pressure 158/53 , respiratory rate 16-20 , oxygen saturation 97% on three liters .' +p164778 +(lp164779 +S'The\tThe\tDT\tB-NP\tO' +p164780 +aS'patient\tpatient\tNN\tI-NP\tO' +p164781 +aS'was\tbe\tVBD\tB-VP\tO' +p164782 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p164783 +aS',\t,\t,\tO\tO' +p164784 +aS'heart\theart\tNN\tB-NP\tO' +p164785 +aS'rate\trate\tNN\tI-NP\tO' +p164786 +aS'73\t73\tCD\tI-NP\tO' +p164787 +aS',\t,\t,\tO\tO' +p164788 +aS'blood\tblood\tNN\tB-NP\tO' +p164789 +aS'pressure\tpressure\tNN\tI-NP\tO' +p164790 +aS'158/53\t158/53\tCD\tI-NP\tO' +p164791 +aS',\t,\t,\tO\tO' +p164792 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p164793 +aS'rate\trate\tNN\tI-NP\tO' +p164794 +aS'16-20\t16-20\tCD\tI-NP\tO' +p164795 +aS',\t,\t,\tO\tO' +p164796 +aS'oxygen\toxygen\tNN\tB-NP\tO' +p164797 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p164798 +aS'97%\t97%\tCD\tI-NP\tO' +p164799 +aS'on\ton\tIN\tB-PP\tO' +p164800 +aS'three\tthree\tCD\tB-NP\tO' +p164801 +aS'liters\tliter\tNNS\tI-NP\tO' +p164802 +aS'.\t.\t.\tO\tO' +p164803 +asS'He was taken to bone marrow harvest in 08/22 at which time insufficient cells were obtained to proceed .' +p164804 +(lp164805 +S'He\tHe\tPRP\tB-NP\tO' +p164806 +aS'was\tbe\tVBD\tB-VP\tO' +p164807 +aS'taken\ttake\tVBN\tI-VP\tO' +p164808 +aS'to\tto\tTO\tB-PP\tO' +p164809 +aS'bone\tbone\tNN\tB-NP\tO' +p164810 +aS'marrow\tmarrow\tNN\tI-NP\tO' +p164811 +aS'harvest\tharvest\tNN\tI-NP\tO' +p164812 +aS'in\tin\tIN\tB-PP\tO' +p164813 +aS'08/22\t08/22\tCD\tB-NP\tO' +p164814 +aS'at\tat\tIN\tB-PP\tO' +p164815 +aS'which\twhich\tWDT\tB-NP\tO' +p164816 +aS'time\ttime\tNN\tB-VP\tB-cell_type' +p164817 +aS'insufficient\tinsufficient\tJJ\tB-NP\tI-cell_type' +p164818 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p164819 +aS'were\tbe\tVBD\tB-VP\tO' +p164820 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p164821 +aS'to\tto\tTO\tB-VP\tO' +p164822 +aS'proceed\tproceed\tVB\tI-VP\tO' +p164823 +aS'.\t.\t.\tO\tO' +p164824 +asS'The patient will get rehabilitation and continue to get care for his fluid status .' +p164825 +(lp164826 +S'The\tThe\tDT\tB-NP\tO' +p164827 +aS'patient\tpatient\tNN\tI-NP\tO' +p164828 +aS'will\twill\tMD\tB-VP\tO' +p164829 +aS'get\tget\tVB\tI-VP\tO' +p164830 +aS'rehabilitation\trehabilitation\tNN\tB-NP\tO' +p164831 +aS'and\tand\tCC\tO\tO' +p164832 +aS'continue\tcontinue\tVBP\tB-VP\tO' +p164833 +aS'to\tto\tTO\tI-VP\tO' +p164834 +aS'get\tget\tVB\tI-VP\tO' +p164835 +aS'care\tcare\tVB\tI-VP\tO' +p164836 +aS'for\tfor\tIN\tB-PP\tO' +p164837 +aS'his\this\tPRP$\tB-NP\tO' +p164838 +aS'fluid\tfluid\tNN\tI-NP\tO' +p164839 +aS'status\tstatus\tNN\tI-NP\tO' +p164840 +aS'.\t.\t.\tO\tO' +p164841 +asS'The patient continued to demonstrate seizure activity despite this .' +p164842 +(lp164843 +S'The\tThe\tDT\tB-NP\tO' +p164844 +aS'patient\tpatient\tNN\tI-NP\tO' +p164845 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p164846 +aS'to\tto\tTO\tI-VP\tO' +p164847 +aS'demonstrate\tdemonstrate\tVB\tI-VP\tO' +p164848 +aS'seizure\tseizure\tNN\tB-NP\tO' +p164849 +aS'activity\tactivity\tNN\tI-NP\tO' +p164850 +aS'despite\tdespite\tIN\tB-PP\tO' +p164851 +aS'this\tthis\tDT\tB-NP\tO' +p164852 +aS'.\t.\t.\tO\tO' +p164853 +asS'The patient is a 57 - year-old female with a history of hypertension and hypercholesterolemia but no prior coronary artery disease history who presented with chest pain .' +p164854 +(lp164855 +S'The\tThe\tDT\tB-NP\tO' +p164856 +aS'patient\tpatient\tNN\tI-NP\tO' +p164857 +aS'is\tbe\tVBZ\tB-VP\tO' +p164858 +aS'a\ta\tDT\tB-NP\tO' +p164859 +aS'57\t57\tCD\tI-NP\tO' +p164860 +aS'-\t-\tHYPH\tI-NP\tO' +p164861 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p164862 +aS'female\tfemale\tNN\tI-NP\tO' +p164863 +aS'with\twith\tIN\tB-PP\tO' +p164864 +aS'a\ta\tDT\tB-NP\tO' +p164865 +aS'history\thistory\tNN\tI-NP\tO' +p164866 +aS'of\tof\tIN\tB-PP\tO' +p164867 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p164868 +aS'and\tand\tCC\tI-NP\tO' +p164869 +aS'hypercholesterolemia\thypercholesterolemia\tNN\tI-NP\tO' +p164870 +aS'but\tbut\tCC\tO\tO' +p164871 +aS'no\tno\tDT\tB-NP\tO' +p164872 +aS'prior\tprior\tJJ\tI-NP\tO' +p164873 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p164874 +aS'artery\tartery\tNN\tI-NP\tO' +p164875 +aS'disease\tdisease\tNN\tI-NP\tO' +p164876 +aS'history\thistory\tNN\tI-NP\tO' +p164877 +aS'who\twho\tWP\tB-NP\tO' +p164878 +aS'presented\tpresent\tVBD\tB-VP\tO' +p164879 +aS'with\twith\tIN\tB-PP\tO' +p164880 +aS'chest\tchest\tNN\tB-NP\tO' +p164881 +aS'pain\tpain\tNN\tI-NP\tO' +p164882 +aS'.\t.\t.\tO\tO' +p164883 +asS'1. Multiple trauma with severe frontal head injury .' +p164884 +(lp164885 +S'1.\t1.\tLS\tB-NP\tO' +p164886 +aS'Multiple\tMultiple\tJJ\tI-NP\tO' +p164887 +aS'trauma\ttrauma\tNN\tI-NP\tO' +p164888 +aS'with\twith\tIN\tB-PP\tO' +p164889 +aS'severe\tsevere\tJJ\tB-NP\tO' +p164890 +aS'frontal\tfrontal\tJJ\tI-NP\tO' +p164891 +aS'head\thead\tNN\tI-NP\tO' +p164892 +aS'injury\tinjury\tNN\tI-NP\tO' +p164893 +aS'.\t.\t.\tO\tO' +p164894 +asS'There is moderate global left ventricular hypokinesis .' +p164895 +(lp164896 +S'There\tThere\tEX\tB-NP\tO' +p164897 +aS'is\tbe\tVBZ\tB-VP\tO' +p164898 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p164899 +aS'global\tglobal\tJJ\tI-NP\tO' +p164900 +aS'left\tleft\tJJ\tI-NP\tO' +p164901 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p164902 +aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' +p164903 +aS'.\t.\t.\tO\tO' +p164904 +asS"As previously mentioned , the patient 's creatinine at the time of admission was up to 3.6 from 1.9 at the time of his discharge 3 days prior ." +p164905 +(lp164906 +S'As\tAs\tIN\tB-SBAR\tO' +p164907 +aS'previously\tpreviously\tRB\tB-ADVP\tO' +p164908 +aS'mentioned\tmention\tVBN\tB-VP\tO' +p164909 +aS',\t,\t,\tO\tO' +p164910 +aS'the\tthe\tDT\tB-NP\tO' +p164911 +aS'patient\tpatient\tNN\tI-NP\tO' +p164912 +aS"'s\t's\tPOS\tB-NP\tO" +p164913 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p164914 +aS'at\tat\tIN\tB-PP\tO' +p164915 +aS'the\tthe\tDT\tB-NP\tO' +p164916 +aS'time\ttime\tNN\tI-NP\tO' +p164917 +aS'of\tof\tIN\tB-PP\tO' +p164918 +aS'admission\tadmission\tNN\tB-NP\tO' +p164919 +aS'was\tbe\tVBD\tB-VP\tO' +p164920 +aS'up\tup\tRB\tB-ADVP\tO' +p164921 +aS'to\tto\tTO\tB-PP\tO' +p164922 +aS'3.6\t3.6\tCD\tB-NP\tO' +p164923 +aS'from\tfrom\tIN\tB-PP\tO' +p164924 +aS'1.9\t1.9\tCD\tB-NP\tO' +p164925 +aS'at\tat\tIN\tB-PP\tO' +p164926 +aS'the\tthe\tDT\tB-NP\tO' +p164927 +aS'time\ttime\tNN\tI-NP\tO' +p164928 +aS'of\tof\tIN\tB-PP\tO' +p164929 +aS'his\this\tPRP$\tB-NP\tO' +p164930 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p164931 +aS'3\t3\tCD\tB-NP\tO' +p164932 +aS'days\tday\tNNS\tI-NP\tO' +p164933 +aS'prior\tprior\tRB\tB-ADVP\tO' +p164934 +aS'.\t.\t.\tO\tO' +p164935 +asS'Admission hematocrit 44 , BUN and creatinine of 13 and 0.9 , prothrombin time and partial thromboplastin time normal .' +p164936 +(lp164937 +S'Admission\tAdmission\tNN\tB-NP\tO' +p164938 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p164939 +aS'44\t44\tCD\tI-NP\tO' +p164940 +aS',\t,\t,\tI-NP\tO' +p164941 +aS'BUN\tBUN\tNN\tI-NP\tO' +p164942 +aS'and\tand\tCC\tI-NP\tO' +p164943 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p164944 +aS'of\tof\tIN\tB-PP\tO' +p164945 +aS'13\t13\tCD\tB-NP\tO' +p164946 +aS'and\tand\tCC\tI-NP\tO' +p164947 +aS'0.9\t0.9\tCD\tI-NP\tO' +p164948 +aS',\t,\t,\tO\tO' +p164949 +aS'prothrombin\tprothrombin\tNN\tB-NP\tO' +p164950 +aS'time\ttime\tNN\tI-NP\tO' +p164951 +aS'and\tand\tCC\tO\tO' +p164952 +aS'partial\tpartial\tJJ\tB-NP\tO' +p164953 +aS'thromboplastin\tthromboplastin\tNN\tI-NP\tO' +p164954 +aS'time\ttime\tNN\tI-NP\tO' +p164955 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p164956 +aS'.\t.\t.\tO\tO' +p164957 +asS'The patient ambulated extensively on the FIH 20 floor each day without any episodes of chest pain or shortness of breath .' +p164958 +(lp164959 +S'The\tThe\tDT\tB-NP\tO' +p164960 +aS'patient\tpatient\tNN\tI-NP\tO' +p164961 +aS'ambulated\tambulate\tVBN\tB-VP\tO' +p164962 +aS'extensively\textensively\tRB\tB-ADVP\tO' +p164963 +aS'on\ton\tIN\tB-PP\tO' +p164964 +aS'the\tthe\tDT\tB-NP\tO' +p164965 +aS'FIH\tFIH\tNN\tI-NP\tO' +p164966 +aS'20\t20\tCD\tI-NP\tO' +p164967 +aS'floor\tfloor\tNN\tI-NP\tO' +p164968 +aS'each\teach\tDT\tB-NP\tO' +p164969 +aS'day\tday\tNN\tI-NP\tO' +p164970 +aS'without\twithout\tIN\tB-PP\tO' +p164971 +aS'any\tany\tDT\tB-NP\tO' +p164972 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p164973 +aS'of\tof\tIN\tB-PP\tO' +p164974 +aS'chest\tchest\tNN\tB-NP\tO' +p164975 +aS'pain\tpain\tNN\tI-NP\tO' +p164976 +aS'or\tor\tCC\tI-NP\tO' +p164977 +aS'shortness\tshortness\tNN\tI-NP\tO' +p164978 +aS'of\tof\tIN\tB-PP\tO' +p164979 +aS'breath\tbreath\tNN\tB-NP\tO' +p164980 +aS'.\t.\t.\tO\tO' +p164981 +asS'He did drop below 1.5 at one time , at which time he was placed on heparin intravenous to carry him through that period , but his discharge INR was around 2 and he was off of heparin at that time .' +p164982 +(lp164983 +S'He\tHe\tPRP\tB-NP\tO' +p164984 +aS'did\tdo\tVBD\tB-VP\tO' +p164985 +aS'drop\tdrop\tNN\tB-NP\tO' +p164986 +aS'below\tbelow\tIN\tB-PP\tO' +p164987 +aS'1.5\t1.5\tCD\tB-NP\tO' +p164988 +aS'at\tat\tIN\tB-PP\tO' +p164989 +aS'one\tone\tCD\tB-NP\tO' +p164990 +aS'time\ttime\tNN\tI-NP\tO' +p164991 +aS',\t,\t,\tO\tO' +p164992 +aS'at\tat\tIN\tB-PP\tO' +p164993 +aS'which\twhich\tWDT\tB-NP\tO' +p164994 +aS'time\ttime\tNN\tI-NP\tO' +p164995 +aS'he\the\tPRP\tB-NP\tO' +p164996 +aS'was\tbe\tVBD\tB-VP\tO' +p164997 +aS'placed\tplace\tVBN\tI-VP\tO' +p164998 +aS'on\ton\tIN\tB-PP\tO' +p164999 +aS'heparin\theparin\tNN\tB-NP\tO' +p165000 +aS'intravenous\tintravenous\tJJ\tB-ADJP\tO' +p165001 +aS'to\tto\tTO\tB-VP\tO' +p165002 +aS'carry\tcarry\tVB\tI-VP\tO' +p165003 +aS'him\thim\tPRP\tB-NP\tO' +p165004 +aS'through\tthrough\tIN\tB-PP\tO' +p165005 +aS'that\tthat\tDT\tB-NP\tO' +p165006 +aS'period\tperiod\tNN\tI-NP\tO' +p165007 +aS',\t,\t,\tO\tO' +p165008 +aS'but\tbut\tCC\tO\tO' +p165009 +aS'his\this\tPRP$\tB-NP\tO' +p165010 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p165011 +aS'INR\tINR\tNN\tI-NP\tO' +p165012 +aS'was\tbe\tVBD\tB-VP\tO' +p165013 +aS'around\taround\tRB\tB-ADVP\tO' +p165014 +aS'2\t2\tCD\tB-NP\tO' +p165015 +aS'and\tand\tCC\tO\tO' +p165016 +aS'he\the\tPRP\tB-NP\tO' +p165017 +aS'was\tbe\tVBD\tB-VP\tO' +p165018 +aS'off\toff\tRB\tB-ADVP\tO' +p165019 +aS'of\tof\tIN\tB-PP\tO' +p165020 +aS'heparin\theparin\tNN\tB-NP\tO' +p165021 +aS'at\tat\tIN\tB-PP\tO' +p165022 +aS'that\tthat\tDT\tB-NP\tO' +p165023 +aS'time\ttime\tNN\tI-NP\tO' +p165024 +aS'.\t.\t.\tO\tO' +p165025 +asS'6) Failed autologous bone marrow transplant in 10/92 .' +p165026 +(lp165027 +S'6)\t6)\tLS\tB-LST\tO' +p165028 +aS'Failed\tFail\tVBD\tB-VP\tO' +p165029 +aS'autologous\tautologous\tJJ\tB-NP\tO' +p165030 +aS'bone\tbone\tNN\tI-NP\tO' +p165031 +aS'marrow\tmarrow\tNN\tI-NP\tO' +p165032 +aS'transplant\ttransplant\tNN\tI-NP\tO' +p165033 +aS'in\tin\tIN\tB-PP\tO' +p165034 +aS'10/92\t10/92\tCD\tB-NP\tO' +p165035 +aS'.\t.\t.\tO\tO' +p165036 +asS'Sinus bradycardia , left bundle branch block , prolonged QRS .' +p165037 +(lp165038 +S'Sinus\tSinus\tNNP\tB-NP\tO' +p165039 +aS'bradycardia\tbradycardia\tNNP\tI-NP\tO' +p165040 +aS',\t,\t,\tO\tO' +p165041 +aS'left\tleave\tVBD\tB-VP\tO' +p165042 +aS'bundle\tbundle\tNN\tB-NP\tO' +p165043 +aS'branch\tbranch\tNN\tI-NP\tO' +p165044 +aS'block\tblock\tNN\tI-NP\tO' +p165045 +aS',\t,\t,\tO\tO' +p165046 +aS'prolonged\tprolong\tVBD\tB-VP\tO' +p165047 +aS'QRS\tQRS\tNNP\tB-NP\tB-protein' +p165048 +aS'.\t.\t.\tO\tO' +p165049 +asS'Retired 15 years ago .' +p165050 +(lp165051 +S'Retired\tRetire\tVBN\tB-VP\tO' +p165052 +aS'15\t15\tCD\tB-NP\tO' +p165053 +aS'years\tyear\tNNS\tI-NP\tO' +p165054 +aS'ago\tago\tRB\tB-ADVP\tO' +p165055 +aS'.\t.\t.\tO\tO' +p165056 +asS'The patient was admitted for further management of his pulmonary edema .' +p165057 +(lp165058 +S'The\tThe\tDT\tB-NP\tO' +p165059 +aS'patient\tpatient\tNN\tI-NP\tO' +p165060 +aS'was\tbe\tVBD\tB-VP\tO' +p165061 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p165062 +aS'for\tfor\tIN\tB-PP\tO' +p165063 +aS'further\tfurther\tJJ\tB-NP\tO' +p165064 +aS'management\tmanagement\tNN\tI-NP\tO' +p165065 +aS'of\tof\tIN\tB-PP\tO' +p165066 +aS'his\this\tPRP$\tB-NP\tO' +p165067 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p165068 +aS'edema\tedema\tNN\tI-NP\tO' +p165069 +aS'.\t.\t.\tO\tO' +p165070 +asS'He had been anticoagulated during his stay at rehabilitation for atrial fibrillation .' +p165071 +(lp165072 +S'He\tHe\tPRP\tB-NP\tO' +p165073 +aS'had\thave\tVBD\tB-VP\tO' +p165074 +aS'been\tbe\tVBN\tI-VP\tO' +p165075 +aS'anticoagulated\tanticoagulate\tVBN\tI-VP\tO' +p165076 +aS'during\tduring\tIN\tB-PP\tO' +p165077 +aS'his\this\tPRP$\tB-NP\tO' +p165078 +aS'stay\tstay\tNN\tI-NP\tO' +p165079 +aS'at\tat\tIN\tB-PP\tO' +p165080 +aS'rehabilitation\trehabilitation\tNN\tB-NP\tO' +p165081 +aS'for\tfor\tIN\tB-PP\tO' +p165082 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p165083 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p165084 +aS'.\t.\t.\tO\tO' +p165085 +asS'Electrician .' +p165086 +(lp165087 +S'Electrician\tElectrician\tNN\tB-NP\tO' +p165088 +aS'.\t.\t.\tO\tO' +p165089 +asS'Chest : Mild intercostal and sternal retractions .' +p165090 +(lp165091 +S'Chest\tChest\tNNP\tB-NP\tO' +p165092 +aS':\t:\t:\tO\tO' +p165093 +aS'Mild\tMild\tNNP\tB-NP\tO' +p165094 +aS'intercostal\tintercostal\tJJ\tI-NP\tO' +p165095 +aS'and\tand\tCC\tI-NP\tO' +p165096 +aS'sternal\tsternal\tJJ\tI-NP\tO' +p165097 +aS'retractions\tretraction\tNNS\tI-NP\tO' +p165098 +aS'.\t.\t.\tO\tO' +p165099 +asS'Motor exam normal tone , positive asterixis , no drift .' +p165100 +(lp165101 +S'Motor\tMotor\tNNP\tB-NP\tO' +p165102 +aS'exam\texam\tVBP\tB-VP\tO' +p165103 +aS'normal\tnormal\tJJ\tB-NP\tO' +p165104 +aS'tone\ttone\tNN\tI-NP\tO' +p165105 +aS',\t,\t,\tO\tO' +p165106 +aS'positive\tpositive\tJJ\tB-NP\tO' +p165107 +aS'asterixis\tasterixis\tNN\tI-NP\tO' +p165108 +aS',\t,\t,\tO\tO' +p165109 +aS'no\tno\tDT\tB-NP\tO' +p165110 +aS'drift\tdrift\tNN\tI-NP\tO' +p165111 +aS'.\t.\t.\tO\tO' +p165112 +asS'Patient was having seizures , twitching of face and rapid movements of eyes .' +p165113 +(lp165114 +S'Patient\tPatient\tNN\tB-NP\tO' +p165115 +aS'was\tbe\tVBD\tB-VP\tO' +p165116 +aS'having\thave\tVBG\tI-VP\tO' +p165117 +aS'seizures\tseizure\tNNS\tB-NP\tO' +p165118 +aS',\t,\t,\tO\tO' +p165119 +aS'twitching\ttwitch\tVBG\tB-VP\tO' +p165120 +aS'of\tof\tIN\tB-PP\tO' +p165121 +aS'face\tface\tNN\tB-NP\tO' +p165122 +aS'and\tand\tCC\tO\tO' +p165123 +aS'rapid\trapid\tJJ\tB-NP\tO' +p165124 +aS'movements\tmovement\tNNS\tI-NP\tO' +p165125 +aS'of\tof\tIN\tB-PP\tO' +p165126 +aS'eyes\teye\tNNS\tB-NP\tO' +p165127 +aS'.\t.\t.\tO\tO' +p165128 +asS'Discharged to Sonpathcermu Jords Hospital .' +p165129 +(lp165130 +S'Discharged\tDischarge\tVBN\tB-VP\tO' +p165131 +aS'to\tto\tTO\tB-PP\tO' +p165132 +aS'Sonpathcermu\tSonpathcermu\tNNP\tB-NP\tO' +p165133 +aS'Jords\tJords\tNNP\tI-NP\tO' +p165134 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p165135 +aS'.\t.\t.\tO\tO' +p165136 +asS'Compared with the findings of the prior study ( images reviewed ) of 2013-06-18 , the pressure gradient across the mitral valve prosthesis is increased .' +p165137 +(lp165138 +S'Compared\tCompare\tVBN\tB-PP\tO' +p165139 +aS'with\twith\tIN\tB-PP\tO' +p165140 +aS'the\tthe\tDT\tB-NP\tO' +p165141 +aS'findings\tfinding\tNNS\tI-NP\tO' +p165142 +aS'of\tof\tIN\tB-PP\tO' +p165143 +aS'the\tthe\tDT\tB-NP\tO' +p165144 +aS'prior\tprior\tJJ\tI-NP\tO' +p165145 +aS'study\tstudy\tNN\tI-NP\tO' +p165146 +aS'(\t(\t(\tO\tO' +p165147 +aS'images\timage\tNNS\tB-NP\tO' +p165148 +aS'reviewed\treview\tVBN\tB-VP\tO' +p165149 +aS')\t)\t)\tO\tO' +p165150 +aS'of\tof\tIN\tB-PP\tO' +p165151 +aS'2013-06-18\t2013-06-18\tCD\tB-NP\tO' +p165152 +aS',\t,\t,\tO\tO' +p165153 +aS'the\tthe\tDT\tB-NP\tO' +p165154 +aS'pressure\tpressure\tNN\tI-NP\tO' +p165155 +aS'gradient\tgradient\tNN\tI-NP\tO' +p165156 +aS'across\tacross\tIN\tB-PP\tO' +p165157 +aS'the\tthe\tDT\tB-NP\tO' +p165158 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p165159 +aS'valve\tvalve\tNN\tI-NP\tO' +p165160 +aS'prosthesis\tprosthesis\tNN\tI-NP\tO' +p165161 +aS'is\tbe\tVBZ\tB-VP\tO' +p165162 +aS'increased\tincrease\tVBN\tI-VP\tO' +p165163 +aS'.\t.\t.\tO\tO' +p165164 +asS'Do not take the aspirin unless you see Dr Pannell .' +p165165 +(lp165166 +S'Do\tDo\tVBP\tB-VP\tO' +p165167 +aS'not\tnot\tRB\tI-VP\tO' +p165168 +aS'take\ttake\tVB\tI-VP\tO' +p165169 +aS'the\tthe\tDT\tB-NP\tO' +p165170 +aS'aspirin\taspirin\tNN\tI-NP\tO' +p165171 +aS'unless\tunless\tIN\tB-SBAR\tO' +p165172 +aS'you\tyou\tPRP\tB-NP\tO' +p165173 +aS'see\tsee\tVBP\tB-VP\tO' +p165174 +aS'Dr\tDr\tNNP\tB-NP\tO' +p165175 +aS'Pannell\tPannell\tNNP\tI-NP\tO' +p165176 +aS'.\t.\t.\tO\tO' +p165177 +asS'The patient 's HIV risk factors include history of intravenous drug abuse , prostitution , and a former prisoner .' +p165178 +(lp165179 +S'The\tThe\tDT\tB-NP\tO' +p165180 +aS'patient\tpatient\tNN\tI-NP\tO' +p165181 +aS''s\t'\tNNS\tI-NP\tO' +p165182 +aS'HIV\tHIV\tNN\tI-NP\tO' +p165183 +aS'risk\trisk\tNN\tI-NP\tO' +p165184 +aS'factors\tfactor\tNNS\tI-NP\tO' +p165185 +aS'include\tinclude\tVBP\tB-VP\tO' +p165186 +aS'history\thistory\tNN\tB-NP\tO' +p165187 +aS'of\tof\tIN\tB-PP\tO' +p165188 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p165189 +aS'drug\tdrug\tNN\tI-NP\tO' +p165190 +aS'abuse\tabuse\tNN\tI-NP\tO' +p165191 +aS',\t,\t,\tO\tO' +p165192 +aS'prostitution\tprostitution\tNN\tB-NP\tO' +p165193 +aS',\t,\t,\tO\tO' +p165194 +aS'and\tand\tCC\tO\tO' +p165195 +aS'a\ta\tDT\tB-NP\tO' +p165196 +aS'former\tformer\tJJ\tI-NP\tO' +p165197 +aS'prisoner\tprisoner\tNN\tI-NP\tO' +p165198 +aS'.\t.\t.\tO\tO' +p165199 +asS'4) old right frontal infarct .' +p165200 +(lp165201 +S'4)\t4)\tLS\tB-LST\tO' +p165202 +aS'old\told\tJJ\tB-NP\tO' +p165203 +aS'right\tright\tJJ\tI-NP\tO' +p165204 +aS'frontal\tfrontal\tJJ\tI-NP\tO' +p165205 +aS'infarct\tinfarct\tNN\tI-NP\tO' +p165206 +aS'.\t.\t.\tO\tO' +p165207 +asS'health until about three weeks ago when the daughter noted she was sleeping more .' +p165208 +(lp165209 +S'health\thealth\tNN\tB-NP\tO' +p165210 +aS'until\tuntil\tIN\tB-PP\tO' +p165211 +aS'about\tabout\tIN\tB-NP\tO' +p165212 +aS'three\tthree\tCD\tI-NP\tO' +p165213 +aS'weeks\tweek\tNNS\tI-NP\tO' +p165214 +aS'ago\tago\tRB\tB-ADVP\tO' +p165215 +aS'when\twhen\tWRB\tB-ADVP\tO' +p165216 +aS'the\tthe\tDT\tB-NP\tO' +p165217 +aS'daughter\tdaughter\tNN\tI-NP\tO' +p165218 +aS'noted\tnote\tVBD\tB-VP\tO' +p165219 +aS'she\tshe\tPRP\tB-NP\tO' +p165220 +aS'was\tbe\tVBD\tB-VP\tO' +p165221 +aS'sleeping\tsleep\tVBG\tI-VP\tO' +p165222 +aS'more\tmore\tJJR\tB-NP\tO' +p165223 +aS'.\t.\t.\tO\tO' +p165224 +asS'Total parenteral nutrition was started on July 5 .' +p165225 +(lp165226 +S'Total\tTotal\tJJ\tB-NP\tO' +p165227 +aS'parenteral\tparenteral\tJJ\tI-NP\tO' +p165228 +aS'nutrition\tnutrition\tNN\tI-NP\tO' +p165229 +aS'was\tbe\tVBD\tB-VP\tO' +p165230 +aS'started\tstart\tVBN\tI-VP\tO' +p165231 +aS'on\ton\tIN\tB-PP\tO' +p165232 +aS'July\tJuly\tNNP\tB-NP\tB-protein' +p165233 +aS'5\t5\tCD\tI-NP\tI-protein' +p165234 +aS'.\t.\t.\tO\tO' +p165235 +asS'He was given Lasix to continue to diurese the excess volume .' +p165236 +(lp165237 +S'He\tHe\tPRP\tB-NP\tO' +p165238 +aS'was\tbe\tVBD\tB-VP\tO' +p165239 +aS'given\tgive\tVBN\tI-VP\tO' +p165240 +aS'Lasix\tLasix\tNNP\tB-NP\tO' +p165241 +aS'to\tto\tTO\tB-VP\tO' +p165242 +aS'continue\tcontinue\tVB\tI-VP\tO' +p165243 +aS'to\tto\tTO\tI-VP\tO' +p165244 +aS'diurese\tdiurese\tVB\tI-VP\tO' +p165245 +aS'the\tthe\tDT\tB-NP\tO' +p165246 +aS'excess\texcess\tJJ\tI-NP\tO' +p165247 +aS'volume\tvolume\tNN\tI-NP\tO' +p165248 +aS'.\t.\t.\tO\tO' +p165249 +asS'Patient had an echocardiogram in 2012 which demonstrated an EF of 60-65% .' +p165250 +(lp165251 +S'Patient\tPatient\tNN\tB-NP\tO' +p165252 +aS'had\thave\tVBD\tB-VP\tO' +p165253 +aS'an\tan\tDT\tB-NP\tO' +p165254 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p165255 +aS'in\tin\tIN\tB-PP\tO' +p165256 +aS'2012\t2012\tCD\tB-NP\tO' +p165257 +aS'which\twhich\tWDT\tB-NP\tO' +p165258 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p165259 +aS'an\tan\tDT\tB-NP\tO' +p165260 +aS'EF\tEF\tNN\tI-NP\tB-protein' +p165261 +aS'of\tof\tIN\tB-PP\tO' +p165262 +aS'60-65%\t60-65%\tNN\tB-NP\tB-protein' +p165263 +aS'.\t.\t.\tO\tO' +p165264 +asS'Renal tubular acidosis distal type I ; shock ; seizure disorder ; severe acidosis and severe electrolyte imbalance ; rule out sepsis .' +p165265 +(lp165266 +S'Renal\tRenal\tJJ\tB-NP\tO' +p165267 +aS'tubular\ttubular\tJJ\tI-NP\tO' +p165268 +aS'acidosis\tacidosis\tNN\tI-NP\tO' +p165269 +aS'distal\tdistal\tJJ\tI-NP\tO' +p165270 +aS'type\ttype\tNN\tI-NP\tO' +p165271 +aS'I\tI\tCD\tI-NP\tO' +p165272 +aS';\t;\t:\tO\tO' +p165273 +aS'shock\tshock\tNN\tB-NP\tO' +p165274 +aS';\t;\t:\tO\tO' +p165275 +aS'seizure\tseizure\tNN\tB-NP\tO' +p165276 +aS'disorder\tdisorder\tNN\tI-NP\tO' +p165277 +aS';\t;\t:\tO\tO' +p165278 +aS'severe\tsevere\tJJ\tB-NP\tO' +p165279 +aS'acidosis\tacidosis\tNN\tI-NP\tO' +p165280 +aS'and\tand\tCC\tO\tO' +p165281 +aS'severe\tsevere\tJJ\tB-NP\tO' +p165282 +aS'electrolyte\telectrolyte\tNN\tI-NP\tO' +p165283 +aS'imbalance\timbalance\tNN\tI-NP\tO' +p165284 +aS';\t;\t:\tO\tO' +p165285 +aS'rule\trule\tNN\tB-VP\tO' +p165286 +aS'out\tout\tRP\tB-PRT\tO' +p165287 +aS'sepsis\tsepsis\tNN\tB-NP\tO' +p165288 +aS'.\t.\t.\tO\tO' +p165289 +asS'His postoperative course was remarkable for a low grade temperature to 101.7 .' +p165290 +(lp165291 +S'His\tHis\tPRP$\tB-NP\tO' +p165292 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p165293 +aS'course\tcourse\tNN\tI-NP\tO' +p165294 +aS'was\tbe\tVBD\tB-VP\tO' +p165295 +aS'remarkable\tremarkable\tJJ\tB-ADJP\tO' +p165296 +aS'for\tfor\tIN\tB-PP\tO' +p165297 +aS'a\ta\tDT\tB-NP\tO' +p165298 +aS'low\tlow\tJJ\tI-NP\tO' +p165299 +aS'grade\tgrade\tNN\tI-NP\tO' +p165300 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p165301 +aS'to\tto\tTO\tB-PP\tO' +p165302 +aS'101.7\t101.7\tCD\tB-NP\tO' +p165303 +aS'.\t.\t.\tO\tO' +p165304 +asS'The serum albumin gradient was 1.8 consistent with portal hypertension .' +p165305 +(lp165306 +S'The\tThe\tDT\tB-NP\tO' +p165307 +aS'serum\tserum\tNN\tI-NP\tO' +p165308 +aS'albumin\talbumin\tNN\tI-NP\tO' +p165309 +aS'gradient\tgradient\tNN\tI-NP\tO' +p165310 +aS'was\tbe\tVBD\tB-VP\tO' +p165311 +aS'1.8\t1.8\tCD\tB-ADJP\tO' +p165312 +aS'consistent\tconsistent\tJJ\tI-ADJP\tO' +p165313 +aS'with\twith\tIN\tB-PP\tO' +p165314 +aS'portal\tportal\tJJ\tB-NP\tO' +p165315 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p165316 +aS'.\t.\t.\tO\tO' +p165317 +asS'His initial arterial blood gas at the Sephsandpot Center revealed a p02 of 76 , pC02 14 , and a pH of 7.44 on room air .' +p165318 +(lp165319 +S'His\tHis\tPRP$\tB-NP\tO' +p165320 +aS'initial\tinitial\tJJ\tI-NP\tO' +p165321 +aS'arterial\tarterial\tJJ\tI-NP\tO' +p165322 +aS'blood\tblood\tNN\tI-NP\tO' +p165323 +aS'gas\tgas\tNN\tI-NP\tO' +p165324 +aS'at\tat\tIN\tB-PP\tO' +p165325 +aS'the\tthe\tDT\tB-NP\tO' +p165326 +aS'Sephsandpot\tSephsandpot\tNNP\tI-NP\tO' +p165327 +aS'Center\tCenter\tNNP\tI-NP\tO' +p165328 +aS'revealed\treveal\tVBD\tB-VP\tO' +p165329 +aS'a\ta\tDT\tB-NP\tO' +p165330 +aS'p02\tp02\tNN\tI-NP\tB-protein' +p165331 +aS'of\tof\tIN\tB-PP\tO' +p165332 +aS'76\t76\tCD\tB-NP\tO' +p165333 +aS',\t,\t,\tO\tO' +p165334 +aS'pC02\tpC02\tNN\tB-NP\tO' +p165335 +aS'14\t14\tCD\tI-NP\tO' +p165336 +aS',\t,\t,\tO\tO' +p165337 +aS'and\tand\tCC\tO\tO' +p165338 +aS'a\ta\tDT\tB-NP\tO' +p165339 +aS'pH\tpH\tNN\tI-NP\tO' +p165340 +aS'of\tof\tIN\tB-PP\tO' +p165341 +aS'7.44\t7.44\tCD\tB-NP\tO' +p165342 +aS'on\ton\tIN\tB-PP\tO' +p165343 +aS'room\troom\tNN\tB-NP\tO' +p165344 +aS'air\tair\tNN\tI-NP\tO' +p165345 +aS'.\t.\t.\tO\tO' +p165346 +asS'Patient is an 88 year old female with fatigue and decreased short term memory for the past six months .' +p165347 +(lp165348 +S'Patient\tPatient\tNN\tB-NP\tO' +p165349 +aS'is\tbe\tVBZ\tB-VP\tO' +p165350 +aS'an\tan\tDT\tB-NP\tO' +p165351 +aS'88\t88\tCD\tI-NP\tO' +p165352 +aS'year\tyear\tNN\tI-NP\tO' +p165353 +aS'old\told\tJJ\tI-NP\tO' +p165354 +aS'female\tfemale\tNN\tI-NP\tO' +p165355 +aS'with\twith\tIN\tB-PP\tO' +p165356 +aS'fatigue\tfatigue\tNN\tB-NP\tO' +p165357 +aS'and\tand\tCC\tO\tO' +p165358 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p165359 +aS'short\tshort\tJJ\tB-NP\tO' +p165360 +aS'term\tterm\tNN\tI-NP\tO' +p165361 +aS'memory\tmemory\tNN\tI-NP\tO' +p165362 +aS'for\tfor\tIN\tB-PP\tO' +p165363 +aS'the\tthe\tDT\tB-NP\tO' +p165364 +aS'past\tpast\tJJ\tI-NP\tO' +p165365 +aS'six\tsix\tCD\tI-NP\tO' +p165366 +aS'months\tmonth\tNNS\tI-NP\tO' +p165367 +aS'.\t.\t.\tO\tO' +p165368 +asS'The patient was guaiac negative per the emergency room .' +p165369 +(lp165370 +S'The\tThe\tDT\tB-NP\tO' +p165371 +aS'patient\tpatient\tNN\tI-NP\tO' +p165372 +aS'was\tbe\tVBD\tB-VP\tO' +p165373 +aS'guaiac\tguaiac\tJJ\tB-ADJP\tO' +p165374 +aS'negative\tnegative\tJJ\tI-ADJP\tO' +p165375 +aS'per\tper\tIN\tB-PP\tO' +p165376 +aS'the\tthe\tDT\tB-NP\tO' +p165377 +aS'emergency\temergency\tNN\tI-NP\tO' +p165378 +aS'room\troom\tNN\tI-NP\tO' +p165379 +aS'.\t.\t.\tO\tO' +p165380 +asS'The arterial circulation is adequate for healing of his left great toe ulcer , noncompressible left thigh and calf pressures highly calcified arterial system .' +p165381 +(lp165382 +S'The\tThe\tDT\tB-NP\tO' +p165383 +aS'arterial\tarterial\tJJ\tI-NP\tO' +p165384 +aS'circulation\tcirculation\tNN\tI-NP\tO' +p165385 +aS'is\tbe\tVBZ\tB-VP\tO' +p165386 +aS'adequate\tadequate\tJJ\tB-ADJP\tO' +p165387 +aS'for\tfor\tIN\tB-PP\tO' +p165388 +aS'healing\theal\tVBG\tB-NP\tO' +p165389 +aS'of\tof\tIN\tB-PP\tO' +p165390 +aS'his\this\tPRP$\tB-NP\tO' +p165391 +aS'left\tleft\tJJ\tI-NP\tO' +p165392 +aS'great\tgreat\tJJ\tI-NP\tO' +p165393 +aS'toe\ttoe\tNN\tI-NP\tO' +p165394 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p165395 +aS',\t,\t,\tO\tO' +p165396 +aS'noncompressible\tnoncompressible\tJJ\tB-NP\tO' +p165397 +aS'left\tleft\tJJ\tI-NP\tO' +p165398 +aS'thigh\tthigh\tNN\tI-NP\tO' +p165399 +aS'and\tand\tCC\tI-NP\tO' +p165400 +aS'calf\tcalf\tNN\tI-NP\tO' +p165401 +aS'pressures\tpressure\tNNS\tI-NP\tO' +p165402 +aS'highly\thighly\tRB\tB-ADVP\tO' +p165403 +aS'calcified\tcalcify\tVBD\tB-VP\tO' +p165404 +aS'arterial\tarterial\tJJ\tB-NP\tO' +p165405 +aS'system\tsystem\tNN\tI-NP\tO' +p165406 +aS'.\t.\t.\tO\tO' +p165407 +asS'3. Status post hernia repair .' +p165408 +(lp165409 +S'3.\t3.\tLS\tB-NP\tO' +p165410 +aS'Status\tStatus\tNNP\tI-NP\tO' +p165411 +aS'post\tpost\tNN\tI-NP\tO' +p165412 +aS'hernia\thernia\tNN\tI-NP\tO' +p165413 +aS'repair\trepair\tNN\tI-NP\tO' +p165414 +aS'.\t.\t.\tO\tO' +p165415 +asS'This revealed maturation of leukocytes to all stages with markedly increased eosinophilic proliferation .' +p165416 +(lp165417 +S'This\tThis\tDT\tB-NP\tO' +p165418 +aS'revealed\treveal\tVBD\tB-VP\tO' +p165419 +aS'maturation\tmaturation\tNN\tB-NP\tO' +p165420 +aS'of\tof\tIN\tB-PP\tO' +p165421 +aS'leukocytes\tleukocyte\tNNS\tB-NP\tB-cell_type' +p165422 +aS'to\tto\tTO\tB-PP\tO' +p165423 +aS'all\tall\tDT\tB-NP\tO' +p165424 +aS'stages\tstage\tNNS\tI-NP\tO' +p165425 +aS'with\twith\tIN\tB-PP\tO' +p165426 +aS'markedly\tmarkedly\tRB\tB-NP\tO' +p165427 +aS'increased\tincrease\tVBN\tI-NP\tO' +p165428 +aS'eosinophilic\teosinophilic\tJJ\tI-NP\tO' +p165429 +aS'proliferation\tproliferation\tNN\tI-NP\tO' +p165430 +aS'.\t.\t.\tO\tO' +p165431 +asS'( neurologist : Dr. Heaton , UMass Memorial Medical Center ) - ( steroids increased to 40 qd in Renee for concern for recurrent optic neuritis which turned out to be capsular ossification )' +p165432 +(lp165433 +S'(\t(\t(\tO\tO' +p165434 +aS'neurologist\tneurologist\tNN\tB-NP\tO' +p165435 +aS':\t:\t:\tO\tO' +p165436 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p165437 +aS'Heaton\tHeaton\tNNP\tI-NP\tO' +p165438 +aS',\t,\t,\tO\tO' +p165439 +aS'UMass\tUMass\tNNP\tB-NP\tO' +p165440 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p165441 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p165442 +aS'Center\tCenter\tNNP\tI-NP\tO' +p165443 +aS')\t)\t)\tO\tO' +p165444 +aS'-\t-\tHYPH\tO\tO' +p165445 +aS'(\t(\t(\tO\tO' +p165446 +aS'steroids\tsteroid\tNNS\tB-NP\tO' +p165447 +aS'increased\tincrease\tVBD\tB-VP\tO' +p165448 +aS'to\tto\tTO\tB-PP\tO' +p165449 +aS'40\t40\tCD\tB-NP\tO' +p165450 +aS'qd\tqd\tNN\tI-NP\tO' +p165451 +aS'in\tin\tIN\tB-PP\tO' +p165452 +aS'Renee\tRenee\tNNP\tB-NP\tO' +p165453 +aS'for\tfor\tIN\tB-PP\tO' +p165454 +aS'concern\tconcern\tNN\tB-NP\tO' +p165455 +aS'for\tfor\tIN\tB-PP\tO' +p165456 +aS'recurrent\trecurrent\tJJ\tB-NP\tO' +p165457 +aS'optic\toptic\tJJ\tI-NP\tO' +p165458 +aS'neuritis\tneuritis\tNN\tI-NP\tO' +p165459 +aS'which\twhich\tWDT\tB-NP\tO' +p165460 +aS'turned\tturn\tVBD\tB-VP\tO' +p165461 +aS'out\tout\tRP\tB-PRT\tO' +p165462 +aS'to\tto\tTO\tB-VP\tO' +p165463 +aS'be\tbe\tVB\tI-VP\tO' +p165464 +aS'capsular\tcapsular\tJJ\tB-NP\tO' +p165465 +aS'ossification\tossification\tNN\tI-NP\tO' +p165466 +aS')\t)\t)\tO\tO' +p165467 +asS'Extremities - Babinski reflex was equivocal bilaterally .' +p165468 +(lp165469 +S'Extremities\tExtremity\tNNS\tB-NP\tO' +p165470 +aS'-\t-\tHYPH\tB-NP\tO' +p165471 +aS'Babinski\tBabinski\tNNP\tI-NP\tO' +p165472 +aS'reflex\treflex\tNN\tI-NP\tO' +p165473 +aS'was\tbe\tVBD\tB-VP\tO' +p165474 +aS'equivocal\tequivocal\tJJ\tB-ADJP\tO' +p165475 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p165476 +aS'.\t.\t.\tO\tO' +p165477 +asS'Presented to Taunton and found to have R humerus and R hip fx .' +p165478 +(lp165479 +S'Presented\tPresent\tVBN\tB-VP\tO' +p165480 +aS'to\tto\tTO\tB-PP\tO' +p165481 +aS'Taunton\tTaunton\tNNP\tB-NP\tO' +p165482 +aS'and\tand\tCC\tO\tO' +p165483 +aS'found\tfind\tVBN\tB-VP\tO' +p165484 +aS'to\tto\tTO\tI-VP\tO' +p165485 +aS'have\thave\tVB\tI-VP\tO' +p165486 +aS'R\tR\tNN\tB-NP\tO' +p165487 +aS'humerus\thumerus\tNN\tI-NP\tO' +p165488 +aS'and\tand\tCC\tO\tO' +p165489 +aS'R\tR\tNN\tB-NP\tB-protein' +p165490 +aS'hip\thip\tNN\tI-NP\tI-protein' +p165491 +aS'fx\tfx\tNN\tI-NP\tI-protein' +p165492 +aS'.\t.\t.\tO\tO' +p165493 +asS'Cardiac monitor was placed on the patient , given the bigeminy , and he did rule out for myocardial infarction .' +p165494 +(lp165495 +S'Cardiac\tCardiac\tJJ\tB-NP\tO' +p165496 +aS'monitor\tmonitor\tNN\tI-NP\tO' +p165497 +aS'was\tbe\tVBD\tB-VP\tO' +p165498 +aS'placed\tplace\tVBN\tI-VP\tO' +p165499 +aS'on\ton\tIN\tB-PP\tO' +p165500 +aS'the\tthe\tDT\tB-NP\tO' +p165501 +aS'patient\tpatient\tNN\tI-NP\tO' +p165502 +aS',\t,\t,\tO\tO' +p165503 +aS'given\tgive\tVBN\tB-PP\tO' +p165504 +aS'the\tthe\tDT\tB-NP\tO' +p165505 +aS'bigeminy\tbigeminy\tJJ\tI-NP\tO' +p165506 +aS',\t,\t,\tO\tO' +p165507 +aS'and\tand\tCC\tO\tO' +p165508 +aS'he\the\tPRP\tB-NP\tO' +p165509 +aS'did\tdo\tVBD\tB-VP\tO' +p165510 +aS'rule\trule\tVB\tI-VP\tO' +p165511 +aS'out\tout\tRP\tB-PRT\tO' +p165512 +aS'for\tfor\tIN\tB-PP\tO' +p165513 +aS'myocardial\tmyocardial\tJJ\tB-NP\tO' +p165514 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p165515 +aS'.\t.\t.\tO\tO' +p165516 +asS'Abdominal examination was soft , non-tender , positive bowel sounds .' +p165517 +(lp165518 +S'Abdominal\tAbdominal\tJJ\tB-NP\tO' +p165519 +aS'examination\texamination\tNN\tI-NP\tO' +p165520 +aS'was\tbe\tVBD\tB-VP\tO' +p165521 +aS'soft\tsoft\tJJ\tB-NP\tO' +p165522 +aS',\t,\t,\tI-NP\tO' +p165523 +aS'non-tender\tnon-tender\tJJ\tI-NP\tO' +p165524 +aS',\t,\t,\tI-NP\tO' +p165525 +aS'positive\tpositive\tJJ\tI-NP\tO' +p165526 +aS'bowel\tbowel\tNN\tI-NP\tO' +p165527 +aS'sounds\tsound\tNNS\tI-NP\tO' +p165528 +aS'.\t.\t.\tO\tO' +p165529 +asS'NT .' +p165530 +(lp165531 +S'NT\tNT\tNN\tB-NP\tO' +p165532 +aS'.\t.\t.\tO\tO' +p165533 +asS'Chest / respiratory : clear to auscultation bilaterally' +p165534 +(lp165535 +S'Chest\tChest\tNN\tB-NP\tO' +p165536 +aS'/\t/\tSYM\tI-NP\tO' +p165537 +aS'respiratory\trespiratory\tNN\tI-NP\tO' +p165538 +aS':\t:\t:\tO\tO' +p165539 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p165540 +aS'to\tto\tTO\tB-PP\tO' +p165541 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p165542 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p165543 +asS'3. Nortriptyline .' +p165544 +(lp165545 +S'3.\t3.\tLS\tB-NP\tO' +p165546 +aS'Nortriptyline\tNortriptyline\tNN\tI-NP\tO' +p165547 +aS'.\t.\t.\tO\tO' +p165548 +asS'Extremities reveal the right lower extremity was tense , purple-red , swollen , and was warm from the knee to the ankle and extremely tender .' +p165549 +(lp165550 +S'Extremities\tExtremity\tNNS\tB-NP\tO' +p165551 +aS'reveal\treveal\tVBP\tB-VP\tO' +p165552 +aS'the\tthe\tDT\tB-NP\tO' +p165553 +aS'right\tright\tJJ\tI-NP\tO' +p165554 +aS'lower\tlow\tJJR\tI-NP\tO' +p165555 +aS'extremity\textremity\tNN\tI-NP\tO' +p165556 +aS'was\tbe\tVBD\tB-VP\tO' +p165557 +aS'tense\ttense\tJJ\tB-ADJP\tO' +p165558 +aS',\t,\t,\tO\tO' +p165559 +aS'purple-red\tpurple-red\tJJ\tB-ADJP\tO' +p165560 +aS',\t,\t,\tO\tO' +p165561 +aS'swollen\tswell\tVBN\tB-VP\tO' +p165562 +aS',\t,\t,\tO\tO' +p165563 +aS'and\tand\tCC\tO\tO' +p165564 +aS'was\tbe\tVBD\tB-VP\tO' +p165565 +aS'warm\twarm\tJJ\tB-ADJP\tO' +p165566 +aS'from\tfrom\tIN\tB-PP\tO' +p165567 +aS'the\tthe\tDT\tB-NP\tO' +p165568 +aS'knee\tknee\tNN\tI-NP\tO' +p165569 +aS'to\tto\tTO\tB-PP\tO' +p165570 +aS'the\tthe\tDT\tB-NP\tO' +p165571 +aS'ankle\tankle\tNN\tI-NP\tO' +p165572 +aS'and\tand\tCC\tO\tO' +p165573 +aS'extremely\textremely\tRB\tB-NP\tO' +p165574 +aS'tender\ttender\tNN\tI-NP\tO' +p165575 +aS'.\t.\t.\tO\tO' +p165576 +asS'This is a 37-year-old female who presents on an elective basis for a living-related kidney transplant .' +p165577 +(lp165578 +S'This\tThis\tDT\tB-NP\tO' +p165579 +aS'is\tbe\tVBZ\tB-VP\tO' +p165580 +aS'a\ta\tDT\tB-NP\tO' +p165581 +aS'37-year-old\t37-year-old\tJJ\tI-NP\tO' +p165582 +aS'female\tfemale\tNN\tI-NP\tO' +p165583 +aS'who\twho\tWP\tB-NP\tO' +p165584 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p165585 +aS'on\ton\tIN\tB-PP\tO' +p165586 +aS'an\tan\tDT\tB-NP\tO' +p165587 +aS'elective\telective\tJJ\tI-NP\tO' +p165588 +aS'basis\tbasis\tNN\tI-NP\tO' +p165589 +aS'for\tfor\tIN\tB-PP\tO' +p165590 +aS'a\ta\tDT\tB-NP\tO' +p165591 +aS'living-related\tliving-related\tJJ\tI-NP\tO' +p165592 +aS'kidney\tkidney\tNN\tI-NP\tO' +p165593 +aS'transplant\ttransplant\tNN\tI-NP\tO' +p165594 +aS'.\t.\t.\tO\tO' +p165595 +asS'This gradually increased until June 1992 where he had recurrent severe right sided sciatica .' +p165596 +(lp165597 +S'This\tThis\tDT\tB-NP\tO' +p165598 +aS'gradually\tgradually\tRB\tI-NP\tO' +p165599 +aS'increased\tincreased\tJJ\tI-NP\tO' +p165600 +aS'until\tuntil\tIN\tB-PP\tO' +p165601 +aS'June\tJune\tNNP\tB-NP\tO' +p165602 +aS'1992\t1992\tCD\tI-NP\tO' +p165603 +aS'where\twhere\tWRB\tB-ADVP\tO' +p165604 +aS'he\the\tPRP\tB-NP\tO' +p165605 +aS'had\thave\tVBD\tB-VP\tO' +p165606 +aS'recurrent\trecurrent\tJJ\tB-NP\tO' +p165607 +aS'severe\tsevere\tJJ\tI-NP\tO' +p165608 +aS'right\tright\tJJ\tI-NP\tO' +p165609 +aS'sided\tsided\tJJ\tI-NP\tO' +p165610 +aS'sciatica\tsciatica\tNN\tI-NP\tO' +p165611 +aS'.\t.\t.\tO\tO' +p165612 +asS'At an outside hospital , head CT revealed a 1.5 cm diameter hyperdense mass in the pons , slightly off center to the right .' +p165613 +(lp165614 +S'At\tAt\tIN\tB-PP\tO' +p165615 +aS'an\tan\tDT\tB-NP\tO' +p165616 +aS'outside\toutside\tJJ\tI-NP\tO' +p165617 +aS'hospital\thospital\tNN\tI-NP\tO' +p165618 +aS',\t,\t,\tO\tO' +p165619 +aS'head\thead\tNN\tB-NP\tO' +p165620 +aS'CT\tCT\tNN\tI-NP\tO' +p165621 +aS'revealed\treveal\tVBD\tB-VP\tO' +p165622 +aS'a\ta\tDT\tB-NP\tO' +p165623 +aS'1.5\t1.5\tCD\tI-NP\tO' +p165624 +aS'cm\tcm\tNN\tI-NP\tO' +p165625 +aS'diameter\tdiameter\tNN\tI-NP\tO' +p165626 +aS'hyperdense\thyperdense\tNN\tI-NP\tO' +p165627 +aS'mass\tmass\tNN\tI-NP\tO' +p165628 +aS'in\tin\tIN\tB-PP\tO' +p165629 +aS'the\tthe\tDT\tB-NP\tO' +p165630 +aS'pons\tpon\tNNS\tI-NP\tO' +p165631 +aS',\t,\t,\tO\tO' +p165632 +aS'slightly\tslightly\tRB\tB-ADVP\tO' +p165633 +aS'off\toff\tIN\tB-PP\tO' +p165634 +aS'center\tcenter\tNN\tB-NP\tO' +p165635 +aS'to\tto\tTO\tB-PP\tO' +p165636 +aS'the\tthe\tDT\tB-NP\tO' +p165637 +aS'right\tright\tNN\tI-NP\tO' +p165638 +aS'.\t.\t.\tO\tO' +p165639 +asS'PT 13.8 with an INR of 1.3 , PTT 25.5 , total protein was 6.2 , albumin 3.4 , globulin of 2.8 , calcium of 9.1 , phos 2.7 , mag 2.1 , urea 3.7 .' +p165640 +(lp165641 +S'PT\tPT\tNN\tB-NP\tO' +p165642 +aS'13.8\t13.8\tCD\tI-NP\tO' +p165643 +aS'with\twith\tIN\tB-PP\tO' +p165644 +aS'an\tan\tDT\tB-NP\tO' +p165645 +aS'INR\tINR\tNN\tI-NP\tB-protein' +p165646 +aS'of\tof\tIN\tB-PP\tO' +p165647 +aS'1.3\t1.3\tCD\tB-NP\tO' +p165648 +aS',\t,\t,\tO\tO' +p165649 +aS'PTT\tPTT\tNN\tB-NP\tB-protein' +p165650 +aS'25.5\t25.5\tCD\tI-NP\tI-protein' +p165651 +aS',\t,\t,\tO\tO' +p165652 +aS'total\ttotal\tJJ\tB-NP\tO' +p165653 +aS'protein\tprotein\tNN\tI-NP\tO' +p165654 +aS'was\tbe\tVBD\tB-VP\tO' +p165655 +aS'6.2\t6.2\tCD\tB-NP\tO' +p165656 +aS',\t,\t,\tO\tO' +p165657 +aS'albumin\talbumin\tNN\tB-NP\tB-protein' +p165658 +aS'3.4\t3.4\tCD\tI-NP\tI-protein' +p165659 +aS',\t,\t,\tO\tO' +p165660 +aS'globulin\tglobulin\tNN\tB-NP\tO' +p165661 +aS'of\tof\tIN\tB-PP\tO' +p165662 +aS'2.8\t2.8\tCD\tB-NP\tO' +p165663 +aS',\t,\t,\tO\tO' +p165664 +aS'calcium\tcalcium\tNN\tB-NP\tO' +p165665 +aS'of\tof\tIN\tB-PP\tO' +p165666 +aS'9.1\t9.1\tCD\tB-NP\tO' +p165667 +aS',\t,\t,\tO\tO' +p165668 +aS'phos\tpho\tNNS\tB-NP\tO' +p165669 +aS'2.7\t2.7\tCD\tB-NP\tO' +p165670 +aS',\t,\t,\tO\tO' +p165671 +aS'mag\tmag\tNN\tB-NP\tO' +p165672 +aS'2.1\t2.1\tCD\tI-NP\tO' +p165673 +aS',\t,\t,\tO\tO' +p165674 +aS'urea\turea\tNN\tB-NP\tO' +p165675 +aS'3.7\t3.7\tCD\tI-NP\tO' +p165676 +aS'.\t.\t.\tO\tO' +p165677 +asS'The patient was upgraded to Prilosec 20 mg per day for possible treatment of gastritis or gastroesophageal reflux disease .' +p165678 +(lp165679 +S'The\tThe\tDT\tB-NP\tO' +p165680 +aS'patient\tpatient\tNN\tI-NP\tO' +p165681 +aS'was\tbe\tVBD\tB-VP\tO' +p165682 +aS'upgraded\tupgrade\tVBN\tI-VP\tO' +p165683 +aS'to\tto\tTO\tB-PP\tO' +p165684 +aS'Prilosec\tPrilosec\tNNP\tB-NP\tO' +p165685 +aS'20\t20\tCD\tI-NP\tO' +p165686 +aS'mg\tmg\tNN\tI-NP\tO' +p165687 +aS'per\tper\tIN\tB-PP\tO' +p165688 +aS'day\tday\tNN\tB-NP\tO' +p165689 +aS'for\tfor\tIN\tB-PP\tO' +p165690 +aS'possible\tpossible\tJJ\tB-NP\tO' +p165691 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p165692 +aS'of\tof\tIN\tB-PP\tO' +p165693 +aS'gastritis\tgastritis\tNN\tB-NP\tO' +p165694 +aS'or\tor\tCC\tO\tO' +p165695 +aS'gastroesophageal\tgastroesophageal\tJJ\tB-NP\tO' +p165696 +aS'reflux\treflux\tNN\tI-NP\tO' +p165697 +aS'disease\tdisease\tNN\tI-NP\tO' +p165698 +aS'.\t.\t.\tO\tO' +p165699 +asS'4) HISTORY OF TRANSIENT ISCHEMIC ATTACK / CEREBROVASCULAR ACCIDENT .' +p165700 +(lp165701 +S'4)\t4)\tLS\tB-NP\tO' +p165702 +aS'HISTORY\tHISTORY\tNN\tI-NP\tO' +p165703 +aS'OF\tOF\tIN\tB-PP\tO' +p165704 +aS'TRANSIENT\tTRANSIENT\tNN\tB-NP\tB-protein' +p165705 +aS'ISCHEMIC\tISCHEMIC\tNN\tI-NP\tI-protein' +p165706 +aS'ATTACK\tATTACK\tNN\tI-NP\tI-protein' +p165707 +aS'/\t/\tSYM\tB-NP\tO' +p165708 +aS'CEREBROVASCULAR\tCEREBROVASCULAR\tNN\tI-NP\tO' +p165709 +aS'ACCIDENT\tACCIDENT\tNN\tI-NP\tO' +p165710 +aS'.\t.\t.\tO\tO' +p165711 +asS'She has not complained of any fever , shaking , or chills .' +p165712 +(lp165713 +S'She\tShe\tPRP\tB-NP\tO' +p165714 +aS'has\thave\tVBZ\tB-VP\tO' +p165715 +aS'not\tnot\tRB\tI-VP\tO' +p165716 +aS'complained\tcomplain\tVBN\tI-VP\tO' +p165717 +aS'of\tof\tIN\tB-PP\tO' +p165718 +aS'any\tany\tDT\tB-NP\tO' +p165719 +aS'fever\tfever\tNN\tI-NP\tO' +p165720 +aS',\t,\t,\tO\tO' +p165721 +aS'shaking\tshaking\tNN\tB-NP\tO' +p165722 +aS',\t,\t,\tO\tO' +p165723 +aS'or\tor\tCC\tO\tO' +p165724 +aS'chills\tchill\tNNS\tB-NP\tO' +p165725 +aS'.\t.\t.\tO\tO' +p165726 +asS'Vulva and right labia replaced by reddish lesion , somewhat raised in the center extending from adjacent to the cuterus to the posterior forchette .' +p165727 +(lp165728 +S'Vulva\tVulva\tNN\tB-NP\tO' +p165729 +aS'and\tand\tCC\tI-NP\tO' +p165730 +aS'right\tright\tJJ\tI-NP\tO' +p165731 +aS'labia\tlabia\tNN\tI-NP\tO' +p165732 +aS'replaced\treplace\tVBN\tB-VP\tO' +p165733 +aS'by\tby\tIN\tB-PP\tO' +p165734 +aS'reddish\treddish\tJJ\tB-NP\tO' +p165735 +aS'lesion\tlesion\tNN\tI-NP\tO' +p165736 +aS',\t,\t,\tO\tO' +p165737 +aS'somewhat\tsomewhat\tRB\tB-VP\tO' +p165738 +aS'raised\traise\tVBN\tI-VP\tO' +p165739 +aS'in\tin\tIN\tB-PP\tO' +p165740 +aS'the\tthe\tDT\tB-NP\tO' +p165741 +aS'center\tcenter\tNN\tI-NP\tO' +p165742 +aS'extending\textend\tVBG\tB-VP\tO' +p165743 +aS'from\tfrom\tIN\tB-PP\tO' +p165744 +aS'adjacent\tadjacent\tJJ\tB-ADJP\tO' +p165745 +aS'to\tto\tTO\tB-PP\tO' +p165746 +aS'the\tthe\tDT\tB-NP\tO' +p165747 +aS'cuterus\tcuterus\tNN\tI-NP\tO' +p165748 +aS'to\tto\tTO\tB-PP\tO' +p165749 +aS'the\tthe\tDT\tB-NP\tO' +p165750 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p165751 +aS'forchette\tforchette\tNN\tI-NP\tO' +p165752 +aS'.\t.\t.\tO\tO' +p165753 +asS'She was discharged to home with services including tube feedings for her home care .' +p165754 +(lp165755 +S'She\tShe\tPRP\tB-NP\tO' +p165756 +aS'was\tbe\tVBD\tB-VP\tO' +p165757 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p165758 +aS'to\tto\tTO\tB-PP\tO' +p165759 +aS'home\thome\tNN\tB-NP\tO' +p165760 +aS'with\twith\tIN\tB-PP\tO' +p165761 +aS'services\tservice\tNNS\tB-NP\tO' +p165762 +aS'including\tinclude\tVBG\tB-PP\tO' +p165763 +aS'tube\ttube\tNN\tB-NP\tO' +p165764 +aS'feedings\tfeeding\tNNS\tI-NP\tO' +p165765 +aS'for\tfor\tIN\tB-PP\tO' +p165766 +aS'her\ther\tPRP$\tB-NP\tO' +p165767 +aS'home\thome\tNN\tI-NP\tO' +p165768 +aS'care\tcare\tNN\tI-NP\tO' +p165769 +aS'.\t.\t.\tO\tO' +p165770 +asS'His INR continued to flucuate .' +p165771 +(lp165772 +S'His\tHis\tPRP$\tB-NP\tO' +p165773 +aS'INR\tINR\tNN\tI-NP\tB-protein' +p165774 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p165775 +aS'to\tto\tTO\tI-VP\tO' +p165776 +aS'flucuate\tflucuate\tVB\tI-VP\tO' +p165777 +aS'.\t.\t.\tO\tO' +p165778 +asS'As previously noted on day of life six with hyperglycemia , abdominal distention , a CBC and blood culture were again obtained revealing a white count of 9.1 with 30 polys , 0 bands and 58 lymphs .' +p165779 +(lp165780 +S'As\tAs\tIN\tB-SBAR\tO' +p165781 +aS'previously\tpreviously\tRB\tB-ADVP\tO' +p165782 +aS'noted\tnote\tVBN\tB-VP\tO' +p165783 +aS'on\ton\tIN\tB-PP\tO' +p165784 +aS'day\tday\tNN\tB-NP\tO' +p165785 +aS'of\tof\tIN\tB-PP\tO' +p165786 +aS'life\tlife\tNN\tB-NP\tO' +p165787 +aS'six\tsix\tCD\tI-NP\tO' +p165788 +aS'with\twith\tIN\tB-PP\tO' +p165789 +aS'hyperglycemia\thyperglycemia\tNN\tB-NP\tO' +p165790 +aS',\t,\t,\tO\tO' +p165791 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p165792 +aS'distention\tdistention\tNN\tI-NP\tO' +p165793 +aS',\t,\t,\tO\tO' +p165794 +aS'a\ta\tDT\tB-NP\tO' +p165795 +aS'CBC\tCBC\tNN\tI-NP\tB-protein' +p165796 +aS'and\tand\tCC\tI-NP\tO' +p165797 +aS'blood\tblood\tNN\tI-NP\tO' +p165798 +aS'culture\tculture\tNN\tI-NP\tO' +p165799 +aS'were\tbe\tVBD\tB-VP\tO' +p165800 +aS'again\tagain\tRB\tI-VP\tO' +p165801 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p165802 +aS'revealing\treveal\tVBG\tI-VP\tO' +p165803 +aS'a\ta\tDT\tB-NP\tO' +p165804 +aS'white\twhite\tJJ\tI-NP\tO' +p165805 +aS'count\tcount\tNN\tI-NP\tO' +p165806 +aS'of\tof\tIN\tB-PP\tO' +p165807 +aS'9.1\t9.1\tCD\tB-NP\tO' +p165808 +aS'with\twith\tIN\tB-PP\tO' +p165809 +aS'30\t30\tCD\tB-NP\tO' +p165810 +aS'polys\tpoly\tNNS\tI-NP\tO' +p165811 +aS',\t,\t,\tO\tO' +p165812 +aS'0\t0\tCD\tB-NP\tO' +p165813 +aS'bands\tband\tNNS\tI-NP\tO' +p165814 +aS'and\tand\tCC\tO\tO' +p165815 +aS'58\t58\tCD\tB-NP\tO' +p165816 +aS'lymphs\tlymph\tNNS\tI-NP\tO' +p165817 +aS'.\t.\t.\tO\tO' +p165818 +asS'Call your general surgeon if you experience increased abdominal pain , vomiting , decreased or increased ostomy output .' +p165819 +(lp165820 +S'Call\tCall\tVB\tB-VP\tO' +p165821 +aS'your\tyour\tPRP$\tB-NP\tO' +p165822 +aS'general\tgeneral\tJJ\tI-NP\tO' +p165823 +aS'surgeon\tsurgeon\tNN\tI-NP\tO' +p165824 +aS'if\tif\tIN\tB-SBAR\tO' +p165825 +aS'you\tyou\tPRP\tB-NP\tO' +p165826 +aS'experience\texperience\tVBP\tB-VP\tO' +p165827 +aS'increased\tincrease\tVBN\tI-VP\tO' +p165828 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p165829 +aS'pain\tpain\tNN\tI-NP\tO' +p165830 +aS',\t,\t,\tO\tO' +p165831 +aS'vomiting\tvomiting\tNN\tB-NP\tO' +p165832 +aS',\t,\t,\tO\tO' +p165833 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p165834 +aS'or\tor\tCC\tI-VP\tO' +p165835 +aS'increased\tincrease\tVBD\tI-VP\tO' +p165836 +aS'ostomy\tostomy\tNN\tB-NP\tO' +p165837 +aS'output\toutput\tNN\tI-NP\tO' +p165838 +aS'.\t.\t.\tO\tO' +p165839 +asS'2. The patient was to follow-up with Dr. Lueras of hepatology following discharge .' +p165840 +(lp165841 +S'2.\t2.\tLS\tB-LST\tO' +p165842 +aS'The\tThe\tDT\tB-NP\tO' +p165843 +aS'patient\tpatient\tNN\tI-NP\tO' +p165844 +aS'was\tbe\tVBD\tB-VP\tO' +p165845 +aS'to\tto\tTO\tB-PP\tO' +p165846 +aS'follow-up\tfollow-up\tNN\tB-NP\tO' +p165847 +aS'with\twith\tIN\tB-PP\tO' +p165848 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p165849 +aS'Lueras\tLueras\tNNP\tI-NP\tO' +p165850 +aS'of\tof\tIN\tB-PP\tO' +p165851 +aS'hepatology\thepatology\tNN\tB-NP\tO' +p165852 +aS'following\tfollow\tVBG\tB-PP\tO' +p165853 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p165854 +aS'.\t.\t.\tO\tO' +p165855 +asS'However , there were hemodynamic changes which raised the question of right siphon disease .' +p165856 +(lp165857 +S'However\tHowever\tRB\tB-ADVP\tO' +p165858 +aS',\t,\t,\tO\tO' +p165859 +aS'there\tthere\tEX\tB-NP\tO' +p165860 +aS'were\tbe\tVBD\tB-VP\tO' +p165861 +aS'hemodynamic\themodynamic\tJJ\tB-NP\tO' +p165862 +aS'changes\tchange\tNNS\tI-NP\tO' +p165863 +aS'which\twhich\tWDT\tB-NP\tO' +p165864 +aS'raised\traise\tVBD\tB-VP\tO' +p165865 +aS'the\tthe\tDT\tB-NP\tO' +p165866 +aS'question\tquestion\tNN\tI-NP\tO' +p165867 +aS'of\tof\tIN\tB-PP\tO' +p165868 +aS'right\tright\tJJ\tB-NP\tO' +p165869 +aS'siphon\tsiphon\tNN\tI-NP\tO' +p165870 +aS'disease\tdisease\tNN\tI-NP\tO' +p165871 +aS'.\t.\t.\tO\tO' +p165872 +asS'Cardiac workup prior to left lower lobe resection led to cardiac catheterization which found severe three vessel disease with 04-05+ mitral regurgitation .' +p165873 +(lp165874 +S'Cardiac\tCardiac\tJJ\tB-NP\tO' +p165875 +aS'workup\tworkup\tNN\tI-NP\tO' +p165876 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p165877 +aS'to\tto\tTO\tB-VP\tO' +p165878 +aS'left\tleft\tVB\tI-VP\tO' +p165879 +aS'lower\tlow\tJJR\tB-NP\tO' +p165880 +aS'lobe\tlobe\tNN\tI-NP\tO' +p165881 +aS'resection\tresection\tNN\tI-NP\tO' +p165882 +aS'led\tlead\tVBD\tB-VP\tO' +p165883 +aS'to\tto\tTO\tB-PP\tO' +p165884 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p165885 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p165886 +aS'which\twhich\tWDT\tB-NP\tO' +p165887 +aS'found\tfind\tVBD\tB-VP\tO' +p165888 +aS'severe\tsevere\tJJ\tB-NP\tO' +p165889 +aS'three\tthree\tCD\tI-NP\tO' +p165890 +aS'vessel\tvessel\tNN\tI-NP\tO' +p165891 +aS'disease\tdisease\tNN\tI-NP\tO' +p165892 +aS'with\twith\tIN\tB-PP\tO' +p165893 +aS'04-05+\t04-05+\tJJ\tB-NP\tO' +p165894 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p165895 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p165896 +aS'.\t.\t.\tO\tO' +p165897 +asS'Upon arrival by the physician the patient was awake , alert , and oriented with a pulse in the 80 s, with pressure in the 80 s, and satting 100% on room air .' +p165898 +(lp165899 +S'Upon\tUpon\tIN\tB-PP\tO' +p165900 +aS'arrival\tarrival\tNN\tB-NP\tO' +p165901 +aS'by\tby\tIN\tB-PP\tO' +p165902 +aS'the\tthe\tDT\tB-NP\tO' +p165903 +aS'physician\tphysician\tNN\tI-NP\tO' +p165904 +aS'the\tthe\tDT\tB-NP\tO' +p165905 +aS'patient\tpatient\tNN\tI-NP\tO' +p165906 +aS'was\tbe\tVBD\tB-VP\tO' +p165907 +aS'awake\tawake\tRB\tB-ADVP\tO' +p165908 +aS',\t,\t,\tO\tO' +p165909 +aS'alert\talert\tNN\tB-NP\tO' +p165910 +aS',\t,\t,\tO\tO' +p165911 +aS'and\tand\tCC\tO\tO' +p165912 +aS'oriented\torient\tVBN\tB-VP\tO' +p165913 +aS'with\twith\tIN\tB-PP\tO' +p165914 +aS'a\ta\tDT\tB-NP\tO' +p165915 +aS'pulse\tpulse\tNN\tI-NP\tO' +p165916 +aS'in\tin\tIN\tB-PP\tO' +p165917 +aS'the\tthe\tDT\tB-NP\tO' +p165918 +aS'80\t80\tCD\tI-NP\tO' +p165919 +aS's,\ts,\tNN\tI-NP\tO' +p165920 +aS'with\twith\tIN\tB-PP\tO' +p165921 +aS'pressure\tpressure\tNN\tB-NP\tO' +p165922 +aS'in\tin\tIN\tB-PP\tO' +p165923 +aS'the\tthe\tDT\tB-NP\tO' +p165924 +aS'80\t80\tCD\tI-NP\tO' +p165925 +aS's,\ts,\tNN\tI-NP\tO' +p165926 +aS'and\tand\tCC\tO\tO' +p165927 +aS'satting\tsatte\tVBG\tB-VP\tO' +p165928 +aS'100%\t100%\tCD\tB-NP\tO' +p165929 +aS'on\ton\tIN\tB-PP\tO' +p165930 +aS'room\troom\tNN\tB-NP\tO' +p165931 +aS'air\tair\tNN\tI-NP\tO' +p165932 +aS'.\t.\t.\tO\tO' +p165933 +asS'Underlying infectious consolidation in the right lower lobe not excluded .' +p165934 +(lp165935 +S'Underlying\tUnderlie\tVBG\tB-VP\tO' +p165936 +aS'infectious\tinfectious\tJJ\tB-NP\tO' +p165937 +aS'consolidation\tconsolidation\tNN\tI-NP\tO' +p165938 +aS'in\tin\tIN\tB-PP\tO' +p165939 +aS'the\tthe\tDT\tB-NP\tO' +p165940 +aS'right\tright\tJJ\tI-NP\tO' +p165941 +aS'lower\tlow\tJJR\tB-NP\tO' +p165942 +aS'lobe\tlobe\tNN\tI-NP\tO' +p165943 +aS'not\tnot\tRB\tB-VP\tO' +p165944 +aS'excluded\texclude\tVBN\tI-VP\tO' +p165945 +aS'.\t.\t.\tO\tO' +p165946 +asS'Reason : Please eval for perf / ischemic bowel' +p165947 +(lp165948 +S'Reason\tReason\tNNP\tB-NP\tO' +p165949 +aS':\t:\t:\tO\tO' +p165950 +aS'Please\tPlease\tNN\tB-NP\tO' +p165951 +aS'eval\teval\tNN\tI-NP\tO' +p165952 +aS'for\tfor\tIN\tB-PP\tO' +p165953 +aS'perf\tperf\tNN\tB-NP\tO' +p165954 +aS'/\t/\tSYM\tB-VP\tO' +p165955 +aS'ischemic\tischemic\tJJ\tB-NP\tO' +p165956 +aS'bowel\tbowel\tNN\tI-NP\tO' +p165957 +asS'Cytology on these nodules was suspicious for hepatocellular carcinoma .' +p165958 +(lp165959 +S'Cytology\tCytology\tNN\tB-NP\tO' +p165960 +aS'on\ton\tIN\tB-PP\tO' +p165961 +aS'these\tthese\tDT\tB-NP\tO' +p165962 +aS'nodules\tnodule\tNNS\tI-NP\tO' +p165963 +aS'was\tbe\tVBD\tB-VP\tO' +p165964 +aS'suspicious\tsuspicious\tJJ\tB-ADJP\tO' +p165965 +aS'for\tfor\tIN\tB-PP\tO' +p165966 +aS'hepatocellular\thepatocellular\tJJ\tB-NP\tO' +p165967 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p165968 +aS'.\t.\t.\tO\tO' +p165969 +asS'Cardiovascular is regular rate and rhythm .' +p165970 +(lp165971 +S'Cardiovascular\tCardiovascular\tNNP\tB-NP\tO' +p165972 +aS'is\tbe\tVBZ\tB-VP\tO' +p165973 +aS'regular\tregular\tJJ\tB-NP\tO' +p165974 +aS'rate\trate\tNN\tI-NP\tO' +p165975 +aS'and\tand\tCC\tI-NP\tO' +p165976 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p165977 +aS'.\t.\t.\tO\tO' +p165978 +asS'He also complained of dizziness at the time of headache onset .' +p165979 +(lp165980 +S'He\tHe\tPRP\tB-NP\tO' +p165981 +aS'also\talso\tRB\tB-ADVP\tO' +p165982 +aS'complained\tcomplain\tVBD\tB-VP\tO' +p165983 +aS'of\tof\tIN\tB-PP\tO' +p165984 +aS'dizziness\tdizziness\tNN\tB-NP\tO' +p165985 +aS'at\tat\tIN\tB-PP\tO' +p165986 +aS'the\tthe\tDT\tB-NP\tO' +p165987 +aS'time\ttime\tNN\tI-NP\tO' +p165988 +aS'of\tof\tIN\tB-PP\tO' +p165989 +aS'headache\theadache\tNN\tB-NP\tO' +p165990 +aS'onset\tonset\tNN\tI-NP\tO' +p165991 +aS'.\t.\t.\tO\tO' +p165992 +asS'At home , Aggrenox 250 mg po q day .' +p165993 +(lp165994 +S'At\tAt\tIN\tB-PP\tO' +p165995 +aS'home\thome\tNN\tB-NP\tO' +p165996 +aS',\t,\t,\tO\tO' +p165997 +aS'Aggrenox\tAggrenox\tNN\tB-NP\tO' +p165998 +aS'250\t250\tCD\tI-NP\tO' +p165999 +aS'mg\tmg\tNN\tI-NP\tO' +p166000 +aS'po\tpo\tNN\tI-NP\tO' +p166001 +aS'q\tq\tNN\tI-NP\tO' +p166002 +aS'day\tday\tNN\tI-NP\tO' +p166003 +aS'.\t.\t.\tO\tO' +p166004 +asS'4. Prempro as the patient was formerly taking .' +p166005 +(lp166006 +S'4.\t4.\tLS\tB-LST\tO' +p166007 +aS'Prempro\tPrempro\tNNP\tB-NP\tO' +p166008 +aS'as\tas\tIN\tB-PP\tO' +p166009 +aS'the\tthe\tDT\tB-NP\tO' +p166010 +aS'patient\tpatient\tNN\tI-NP\tO' +p166011 +aS'was\tbe\tVBD\tB-VP\tO' +p166012 +aS'formerly\tformerly\tRB\tI-VP\tO' +p166013 +aS'taking\ttake\tVBG\tI-VP\tO' +p166014 +aS'.\t.\t.\tO\tO' +p166015 +asS'3. Diabetes mellitus .' +p166016 +(lp166017 +S'3.\t3.\tLS\tB-NP\tO' +p166018 +aS'Diabetes\tDiabetes\tNN\tI-NP\tO' +p166019 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p166020 +aS'.\t.\t.\tO\tO' +p166021 +asS'The patient was admitted and was initially started on intravenous ampicillin , gentamicin and clindamycin .' +p166022 +(lp166023 +S'The\tThe\tDT\tB-NP\tO' +p166024 +aS'patient\tpatient\tNN\tI-NP\tO' +p166025 +aS'was\tbe\tVBD\tB-VP\tO' +p166026 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p166027 +aS'and\tand\tCC\tO\tO' +p166028 +aS'was\tbe\tVBD\tB-VP\tO' +p166029 +aS'initially\tinitially\tRB\tI-VP\tO' +p166030 +aS'started\tstart\tVBN\tI-VP\tO' +p166031 +aS'on\ton\tIN\tB-PP\tO' +p166032 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p166033 +aS'ampicillin\tampicillin\tNN\tI-NP\tO' +p166034 +aS',\t,\t,\tI-NP\tO' +p166035 +aS'gentamicin\tgentamicin\tNN\tI-NP\tO' +p166036 +aS'and\tand\tCC\tI-NP\tO' +p166037 +aS'clindamycin\tclindamycin\tNN\tI-NP\tO' +p166038 +aS'.\t.\t.\tO\tO' +p166039 +asS'Tracheostomy tube was in good position .' +p166040 +(lp166041 +S'Tracheostomy\tTracheostomy\tNN\tB-NP\tO' +p166042 +aS'tube\ttube\tNN\tI-NP\tO' +p166043 +aS'was\tbe\tVBD\tB-VP\tO' +p166044 +aS'in\tin\tIN\tB-PP\tO' +p166045 +aS'good\tgood\tJJ\tB-NP\tO' +p166046 +aS'position\tposition\tNN\tI-NP\tO' +p166047 +aS'.\t.\t.\tO\tO' +p166048 +asS'Later during her Intensive Care Unit course she was felt to be somewhat overloaded and intravenous fluids were cut back .' +p166049 +(lp166050 +S'Later\tLater\tRB\tB-ADVP\tO' +p166051 +aS'during\tduring\tIN\tB-PP\tO' +p166052 +aS'her\ther\tPRP$\tB-NP\tO' +p166053 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p166054 +aS'Care\tCare\tNNP\tI-NP\tO' +p166055 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p166056 +aS'course\tcourse\tNN\tI-NP\tO' +p166057 +aS'she\tshe\tPRP\tB-NP\tO' +p166058 +aS'was\tbe\tVBD\tB-VP\tO' +p166059 +aS'felt\tfeel\tVBN\tI-VP\tO' +p166060 +aS'to\tto\tTO\tI-VP\tO' +p166061 +aS'be\tbe\tVB\tI-VP\tO' +p166062 +aS'somewhat\tsomewhat\tRB\tB-NP\tO' +p166063 +aS'overloaded\toverloaded\tJJ\tI-NP\tO' +p166064 +aS'and\tand\tCC\tI-NP\tO' +p166065 +aS'intravenous\tintravenous\tJJ\tI-NP\tO' +p166066 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p166067 +aS'were\tbe\tVBD\tB-VP\tO' +p166068 +aS'cut\tcut\tVBN\tI-VP\tO' +p166069 +aS'back\tback\tRB\tB-PRT\tO' +p166070 +aS'.\t.\t.\tO\tO' +p166071 +asS'magnetic resonance imaging of the brain on 10/18/96 .' +p166072 +(lp166073 +S'magnetic\tmagnetic\tJJ\tB-NP\tO' +p166074 +aS'resonance\tresonance\tNN\tI-NP\tO' +p166075 +aS'imaging\timaging\tNN\tI-NP\tO' +p166076 +aS'of\tof\tIN\tB-PP\tO' +p166077 +aS'the\tthe\tDT\tB-NP\tO' +p166078 +aS'brain\tbrain\tNN\tI-NP\tO' +p166079 +aS'on\ton\tIN\tB-PP\tO' +p166080 +aS'10/18/96\t10/18/96\tCD\tB-NP\tO' +p166081 +aS'.\t.\t.\tO\tO' +p166082 +asS'In the Deanna , his BP was 230/170 .' +p166083 +(lp166084 +S'In\tIn\tIN\tB-PP\tO' +p166085 +aS'the\tthe\tDT\tB-NP\tO' +p166086 +aS'Deanna\tDeanna\tNNP\tI-NP\tO' +p166087 +aS',\t,\t,\tO\tO' +p166088 +aS'his\this\tPRP$\tB-NP\tO' +p166089 +aS'BP\tBP\tNN\tI-NP\tO' +p166090 +aS'was\tbe\tVBD\tB-VP\tO' +p166091 +aS'230/170\t230/170\tCD\tB-NP\tO' +p166092 +aS'.\t.\t.\tO\tO' +p166093 +asS'The abdomen was negative and there was no edema of the feet .' +p166094 +(lp166095 +S'The\tThe\tDT\tB-NP\tO' +p166096 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p166097 +aS'was\tbe\tVBD\tB-VP\tO' +p166098 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p166099 +aS'and\tand\tCC\tO\tO' +p166100 +aS'there\tthere\tEX\tB-NP\tO' +p166101 +aS'was\tbe\tVBD\tB-VP\tO' +p166102 +aS'no\tno\tDT\tB-NP\tO' +p166103 +aS'edema\tedema\tNN\tI-NP\tO' +p166104 +aS'of\tof\tIN\tB-PP\tO' +p166105 +aS'the\tthe\tDT\tB-NP\tO' +p166106 +aS'feet\tfoot\tNNS\tI-NP\tO' +p166107 +aS'.\t.\t.\tO\tO' +p166108 +asS'Factor 8 boluses at 75 units / kg / day .' +p166109 +(lp166110 +S'Factor\tFactor\tNN\tB-NP\tO' +p166111 +aS'8\t8\tCD\tB-NP\tO' +p166112 +aS'boluses\tbolus\tNNS\tI-NP\tO' +p166113 +aS'at\tat\tIN\tB-PP\tO' +p166114 +aS'75\t75\tCD\tB-NP\tB-DNA' +p166115 +aS'units\tunit\tNNS\tI-NP\tI-DNA' +p166116 +aS'/\t/\tSYM\tB-NP\tO' +p166117 +aS'kg\tkg\tNN\tI-NP\tO' +p166118 +aS'/\t/\tSYM\tB-NP\tO' +p166119 +aS'day\tday\tNN\tI-NP\tO' +p166120 +aS'.\t.\t.\tO\tO' +p166121 +asS'There is a large region of high attenuation within the right frontal lobe and the region of the right basal ganglia .' +p166122 +(lp166123 +S'There\tThere\tEX\tB-NP\tO' +p166124 +aS'is\tbe\tVBZ\tB-VP\tO' +p166125 +aS'a\ta\tDT\tB-NP\tO' +p166126 +aS'large\tlarge\tJJ\tI-NP\tO' +p166127 +aS'region\tregion\tNN\tI-NP\tO' +p166128 +aS'of\tof\tIN\tB-PP\tO' +p166129 +aS'high\thigh\tJJ\tB-NP\tO' +p166130 +aS'attenuation\tattenuation\tNN\tI-NP\tO' +p166131 +aS'within\twithin\tIN\tB-PP\tO' +p166132 +aS'the\tthe\tDT\tB-NP\tO' +p166133 +aS'right\tright\tJJ\tI-NP\tO' +p166134 +aS'frontal\tfrontal\tJJ\tI-NP\tO' +p166135 +aS'lobe\tlobe\tNN\tI-NP\tO' +p166136 +aS'and\tand\tCC\tO\tO' +p166137 +aS'the\tthe\tDT\tB-NP\tO' +p166138 +aS'region\tregion\tNN\tI-NP\tO' +p166139 +aS'of\tof\tIN\tB-PP\tO' +p166140 +aS'the\tthe\tDT\tB-NP\tO' +p166141 +aS'right\tright\tJJ\tI-NP\tB-cell_type' +p166142 +aS'basal\tbasal\tJJ\tI-NP\tI-cell_type' +p166143 +aS'ganglia\tganglia\tNNS\tI-NP\tI-cell_type' +p166144 +aS'.\t.\t.\tO\tO' +p166145 +asS'Her CA-125 was 20 and she had a chest X-Ray that showed no infiltrates and a mammogram that showed a left upper quadrant large calcified fibroadenoma and right upper mid area of calcification .' +p166146 +(lp166147 +S'Her\tHer\tPRP$\tB-NP\tO' +p166148 +aS'CA-125\tCA-125\tNN\tI-NP\tB-protein' +p166149 +aS'was\tbe\tVBD\tB-VP\tO' +p166150 +aS'20\t20\tCD\tB-NP\tO' +p166151 +aS'and\tand\tCC\tO\tO' +p166152 +aS'she\tshe\tPRP\tB-NP\tO' +p166153 +aS'had\thave\tVBD\tB-VP\tO' +p166154 +aS'a\ta\tDT\tB-NP\tO' +p166155 +aS'chest\tchest\tNN\tI-NP\tO' +p166156 +aS'X-Ray\tX-Ray\tNN\tI-NP\tO' +p166157 +aS'that\tthat\tWDT\tB-NP\tO' +p166158 +aS'showed\tshow\tVBD\tB-VP\tO' +p166159 +aS'no\tno\tDT\tB-NP\tO' +p166160 +aS'infiltrates\tinfiltrate\tNNS\tI-NP\tO' +p166161 +aS'and\tand\tCC\tO\tO' +p166162 +aS'a\ta\tDT\tB-NP\tO' +p166163 +aS'mammogram\tmammogram\tNN\tI-NP\tO' +p166164 +aS'that\tthat\tWDT\tB-NP\tO' +p166165 +aS'showed\tshow\tVBD\tB-VP\tO' +p166166 +aS'a\ta\tDT\tB-NP\tO' +p166167 +aS'left\tleft\tJJ\tI-NP\tO' +p166168 +aS'upper\tupper\tJJ\tI-NP\tO' +p166169 +aS'quadrant\tquadrant\tNN\tI-NP\tO' +p166170 +aS'large\tlarge\tJJ\tI-NP\tO' +p166171 +aS'calcified\tcalcify\tVBN\tI-NP\tO' +p166172 +aS'fibroadenoma\tfibroadenoma\tNN\tI-NP\tO' +p166173 +aS'and\tand\tCC\tI-NP\tO' +p166174 +aS'right\tright\tJJ\tI-NP\tO' +p166175 +aS'upper\tupper\tJJ\tI-NP\tO' +p166176 +aS'mid\tmid\tJJ\tI-NP\tO' +p166177 +aS'area\tarea\tNN\tI-NP\tO' +p166178 +aS'of\tof\tIN\tB-PP\tO' +p166179 +aS'calcification\tcalcification\tNN\tB-NP\tO' +p166180 +aS'.\t.\t.\tO\tO' +p166181 +asS'Electrocardiogram showed sinus tachycardia at a rate of 123 beats per minute compared to previous electrocardiogram of 1/29 there were no significant changes .' +p166182 +(lp166183 +S'Electrocardiogram\tElectrocardiogram\tNN\tB-NP\tO' +p166184 +aS'showed\tshow\tVBD\tB-VP\tO' +p166185 +aS'sinus\tsinus\tNN\tB-NP\tO' +p166186 +aS'tachycardia\ttachycardia\tNN\tI-NP\tO' +p166187 +aS'at\tat\tIN\tB-PP\tO' +p166188 +aS'a\ta\tDT\tB-NP\tO' +p166189 +aS'rate\trate\tNN\tI-NP\tO' +p166190 +aS'of\tof\tIN\tB-PP\tO' +p166191 +aS'123\t123\tCD\tB-NP\tO' +p166192 +aS'beats\tbeat\tNNS\tI-NP\tO' +p166193 +aS'per\tper\tIN\tB-PP\tO' +p166194 +aS'minute\tminute\tNN\tB-NP\tO' +p166195 +aS'compared\tcompare\tVBN\tB-VP\tO' +p166196 +aS'to\tto\tTO\tB-PP\tO' +p166197 +aS'previous\tprevious\tJJ\tB-NP\tO' +p166198 +aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' +p166199 +aS'of\tof\tIN\tB-PP\tO' +p166200 +aS'1/29\t1/29\tCD\tB-NP\tO' +p166201 +aS'there\tthere\tEX\tB-NP\tO' +p166202 +aS'were\tbe\tVBD\tB-VP\tO' +p166203 +aS'no\tno\tDT\tB-NP\tO' +p166204 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p166205 +aS'changes\tchange\tNNS\tI-NP\tO' +p166206 +aS'.\t.\t.\tO\tO' +p166207 +asS'Dictated By : Kurt S Imperato , M.D.' +p166208 +(lp166209 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p166210 +aS'By\tBy\tIN\tB-PP\tO' +p166211 +aS':\t:\t:\tO\tO' +p166212 +aS'Kurt\tKurt\tNNP\tB-NP\tO' +p166213 +aS'S\tS\tNNP\tI-NP\tO' +p166214 +aS'Imperato\tImperato\tNNP\tI-NP\tO' +p166215 +aS',\t,\t,\tO\tO' +p166216 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p166217 +asS'Papanicolaou smear positive for somomabodies , incontinence .' +p166218 +(lp166219 +S'Papanicolaou\tPapanicolaou\tPRP\tB-NP\tO' +p166220 +aS'smear\tsmear\tVBP\tB-VP\tO' +p166221 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p166222 +aS'for\tfor\tIN\tB-PP\tO' +p166223 +aS'somomabodies\tsomomabody\tNNS\tB-NP\tO' +p166224 +aS',\t,\t,\tO\tO' +p166225 +aS'incontinence\tincontinence\tNN\tB-NP\tO' +p166226 +aS'.\t.\t.\tO\tO' +p166227 +asS'This is a 62 year old gentleman who underwent an exercise treadmill test for screening through the Beth Israel Deaconess Hospital-Needham Clinic .' +p166228 +(lp166229 +S'This\tThis\tDT\tB-NP\tO' +p166230 +aS'is\tbe\tVBZ\tB-VP\tO' +p166231 +aS'a\ta\tDT\tB-NP\tO' +p166232 +aS'62\t62\tCD\tI-NP\tO' +p166233 +aS'year\tyear\tNN\tI-NP\tO' +p166234 +aS'old\told\tJJ\tI-NP\tO' +p166235 +aS'gentleman\tgentleman\tNN\tI-NP\tO' +p166236 +aS'who\twho\tWP\tB-NP\tO' +p166237 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p166238 +aS'an\tan\tDT\tB-NP\tO' +p166239 +aS'exercise\texercise\tNN\tI-NP\tO' +p166240 +aS'treadmill\ttreadmill\tNN\tI-NP\tO' +p166241 +aS'test\ttest\tNN\tI-NP\tO' +p166242 +aS'for\tfor\tIN\tB-PP\tO' +p166243 +aS'screening\tscreen\tVBG\tB-VP\tO' +p166244 +aS'through\tthrough\tIN\tB-PP\tO' +p166245 +aS'the\tthe\tDT\tB-NP\tO' +p166246 +aS'Beth\tBeth\tNNP\tI-NP\tO' +p166247 +aS'Israel\tIsrael\tNNP\tI-NP\tO' +p166248 +aS'Deaconess\tDeaconess\tNNP\tI-NP\tO' +p166249 +aS'Hospital-Needham\tHospital-Needham\tNNP\tI-NP\tO' +p166250 +aS'Clinic\tClinic\tNNP\tI-NP\tO' +p166251 +aS'.\t.\t.\tO\tO' +p166252 +asS'3. Ascorbic acid 500 mg p.o. q.d.' +p166253 +(lp166254 +S'3.\t3.\tLS\tB-NP\tO' +p166255 +aS'Ascorbic\tAscorbic\tJJ\tI-NP\tO' +p166256 +aS'acid\tacid\tNN\tI-NP\tO' +p166257 +aS'500\t500\tCD\tI-NP\tO' +p166258 +aS'mg\tmg\tNN\tI-NP\tO' +p166259 +aS'p.o.\tp.o.\tFW\tB-ADVP\tO' +p166260 +aS'q.d.\tq.d.\tFW\tI-ADVP\tO' +p166261 +asS'Acute respiratory distress syndrome .' +p166262 +(lp166263 +S'Acute\tAcute\tJJ\tB-NP\tO' +p166264 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p166265 +aS'distress\tdistress\tNN\tI-NP\tO' +p166266 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p166267 +aS'.\t.\t.\tO\tO' +p166268 +asS'Specifically , no extravasation of contrast , obstruction of blood flow , AV fistulization or intimal injury was observed .' +p166269 +(lp166270 +S'Specifically\tSpecifically\tRB\tB-ADVP\tO' +p166271 +aS',\t,\t,\tO\tO' +p166272 +aS'no\tno\tDT\tB-NP\tO' +p166273 +aS'extravasation\textravasation\tNN\tI-NP\tO' +p166274 +aS'of\tof\tIN\tB-PP\tO' +p166275 +aS'contrast\tcontrast\tNN\tB-NP\tO' +p166276 +aS',\t,\t,\tO\tO' +p166277 +aS'obstruction\tobstruction\tNN\tB-NP\tO' +p166278 +aS'of\tof\tIN\tB-PP\tO' +p166279 +aS'blood\tblood\tNN\tB-NP\tO' +p166280 +aS'flow\tflow\tNN\tI-NP\tO' +p166281 +aS',\t,\t,\tO\tO' +p166282 +aS'AV\tAV\tNN\tB-NP\tO' +p166283 +aS'fistulization\tfistulization\tNN\tI-NP\tO' +p166284 +aS'or\tor\tCC\tO\tO' +p166285 +aS'intimal\tintimal\tJJ\tB-NP\tO' +p166286 +aS'injury\tinjury\tNN\tI-NP\tO' +p166287 +aS'was\tbe\tVBD\tB-VP\tO' +p166288 +aS'observed\tobserve\tVBN\tI-VP\tO' +p166289 +aS'.\t.\t.\tO\tO' +p166290 +asS'Neck was supple .' +p166291 +(lp166292 +S'Neck\tNeck\tNN\tB-NP\tO' +p166293 +aS'was\tbe\tVBD\tB-VP\tO' +p166294 +aS'supple\tsupple\tNN\tB-NP\tO' +p166295 +aS'.\t.\t.\tO\tO' +p166296 +asS'ACE team consulted who arranged for pt to have outpt follow up .' +p166297 +(lp166298 +S'ACE\tACE\tNN\tB-NP\tO' +p166299 +aS'team\tteam\tNN\tI-NP\tO' +p166300 +aS'consulted\tconsult\tVBD\tB-VP\tO' +p166301 +aS'who\twho\tWP\tB-NP\tO' +p166302 +aS'arranged\tarrange\tVBD\tB-VP\tO' +p166303 +aS'for\tfor\tIN\tB-PP\tO' +p166304 +aS'pt\tpt\tNN\tB-NP\tO' +p166305 +aS'to\tto\tTO\tB-VP\tO' +p166306 +aS'have\thave\tVB\tI-VP\tO' +p166307 +aS'outpt\toutpt\tJJ\tB-VP\tO' +p166308 +aS'follow\tfollow\tVB\tI-VP\tO' +p166309 +aS'up\tup\tIN\tB-PRT\tO' +p166310 +aS'.\t.\t.\tO\tO' +p166311 +asS'Cath revealed severe 3 vessel disease .' +p166312 +(lp166313 +S'Cath\tCath\tNNP\tB-NP\tO' +p166314 +aS'revealed\treveal\tVBD\tB-VP\tO' +p166315 +aS'severe\tsevere\tJJ\tB-NP\tO' +p166316 +aS'3\t3\tCD\tI-NP\tO' +p166317 +aS'vessel\tvessel\tNN\tI-NP\tO' +p166318 +aS'disease\tdisease\tNN\tI-NP\tO' +p166319 +aS'.\t.\t.\tO\tO' +p166320 +asS'The tympanic membranes were clear .' +p166321 +(lp166322 +S'The\tThe\tDT\tB-NP\tO' +p166323 +aS'tympanic\ttympanic\tJJ\tI-NP\tO' +p166324 +aS'membranes\tmembrane\tNNS\tI-NP\tO' +p166325 +aS'were\tbe\tVBD\tB-VP\tO' +p166326 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p166327 +aS'.\t.\t.\tO\tO' +p166328 +asS'cataracts s/p removal c/b enucleated left CMED CSRU' +p166329 +(lp166330 +S'cataracts\tcataract\tNNS\tB-NP\tO' +p166331 +aS's/p\ts/p\tVBP\tB-VP\tO' +p166332 +aS'removal\tremoval\tNN\tB-NP\tO' +p166333 +aS'c/b\tc/b\tNN\tI-NP\tO' +p166334 +aS'enucleated\tenucleate\tVBN\tB-VP\tO' +p166335 +aS'left\tleave\tVBD\tB-VP\tO' +p166336 +aS'CMED\tCMED\tNNP\tB-NP\tO' +p166337 +aS'CSRU\tCSRU\tNNP\tI-NP\tO' +p166338 +asS'IMPRESSION : Increased tracer activity demonstrated within the left lower quadrant , most likely sigmoid colonic loops of bowel , consistent with active bleeding .' +p166339 +(lp166340 +S'IMPRESSION\tIMPRESSION\tNN\tB-NP\tO' +p166341 +aS':\t:\t:\tO\tO' +p166342 +aS'Increased\tIncrease\tVBN\tB-NP\tO' +p166343 +aS'tracer\ttracer\tNN\tI-NP\tO' +p166344 +aS'activity\tactivity\tNN\tI-NP\tO' +p166345 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p166346 +aS'within\twithin\tIN\tB-PP\tO' +p166347 +aS'the\tthe\tDT\tB-NP\tO' +p166348 +aS'left\tleft\tJJ\tI-NP\tO' +p166349 +aS'lower\tlow\tJJR\tI-NP\tO' +p166350 +aS'quadrant\tquadrant\tNN\tI-NP\tO' +p166351 +aS',\t,\t,\tO\tO' +p166352 +aS'most\tmost\tRBS\tB-NP\tO' +p166353 +aS'likely\tlikely\tJJ\tI-NP\tO' +p166354 +aS'sigmoid\tsigmoid\tJJ\tI-NP\tO' +p166355 +aS'colonic\tcolonic\tJJ\tI-NP\tO' +p166356 +aS'loops\tloop\tNNS\tI-NP\tO' +p166357 +aS'of\tof\tIN\tB-PP\tO' +p166358 +aS'bowel\tbowel\tNN\tB-NP\tO' +p166359 +aS',\t,\t,\tO\tO' +p166360 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p166361 +aS'with\twith\tIN\tB-PP\tO' +p166362 +aS'active\tactive\tJJ\tB-NP\tO' +p166363 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p166364 +aS'.\t.\t.\tO\tO' +p166365 +asS'The wound cultures demonstrated gram-positive cocci in clusters and gram-negative rods .' +p166366 +(lp166367 +S'The\tThe\tDT\tB-NP\tO' +p166368 +aS'wound\twound\tJJ\tI-NP\tB-cell_line' +p166369 +aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' +p166370 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p166371 +aS'gram-positive\tgram-positive\tJJ\tB-NP\tO' +p166372 +aS'cocci\tcoccus\tNNS\tI-NP\tO' +p166373 +aS'in\tin\tIN\tB-PP\tO' +p166374 +aS'clusters\tcluster\tNNS\tB-NP\tO' +p166375 +aS'and\tand\tCC\tO\tO' +p166376 +aS'gram-negative\tgram-negative\tJJ\tB-NP\tO' +p166377 +aS'rods\trod\tNNS\tI-NP\tO' +p166378 +aS'.\t.\t.\tO\tO' +p166379 +asS'IgG deficiency .' +p166380 +(lp166381 +S'IgG\tIgG\tNN\tB-NP\tB-protein' +p166382 +aS'deficiency\tdeficiency\tNN\tI-NP\tO' +p166383 +aS'.\t.\t.\tO\tO' +p166384 +asS'3. State newborn screening sent per protocol and no abnormal reports have been received .' +p166385 +(lp166386 +S'3.\t3.\tLS\tB-NP\tO' +p166387 +aS'State\tState\tNN\tI-NP\tO' +p166388 +aS'newborn\tnewborn\tJJ\tI-NP\tO' +p166389 +aS'screening\tscreening\tNN\tI-NP\tO' +p166390 +aS'sent\tsend\tVBN\tB-VP\tO' +p166391 +aS'per\tper\tIN\tB-PP\tO' +p166392 +aS'protocol\tprotocol\tNN\tB-NP\tO' +p166393 +aS'and\tand\tCC\tO\tO' +p166394 +aS'no\tno\tDT\tB-NP\tO' +p166395 +aS'abnormal\tabnormal\tJJ\tI-NP\tO' +p166396 +aS'reports\treport\tNNS\tI-NP\tO' +p166397 +aS'have\thave\tVBP\tB-VP\tO' +p166398 +aS'been\tbe\tVBN\tI-VP\tO' +p166399 +aS'received\treceive\tVBN\tI-VP\tO' +p166400 +aS'.\t.\t.\tO\tO' +p166401 +asS'She was maintained on an epidural and PCA for pain control .' +p166402 +(lp166403 +S'She\tShe\tPRP\tB-NP\tO' +p166404 +aS'was\tbe\tVBD\tB-VP\tO' +p166405 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p166406 +aS'on\ton\tIN\tB-PP\tO' +p166407 +aS'an\tan\tDT\tB-NP\tO' +p166408 +aS'epidural\tepidural\tJJ\tI-NP\tO' +p166409 +aS'and\tand\tCC\tI-NP\tO' +p166410 +aS'PCA\tPCA\tNN\tI-NP\tB-protein' +p166411 +aS'for\tfor\tIN\tB-PP\tO' +p166412 +aS'pain\tpain\tNN\tB-NP\tO' +p166413 +aS'control\tcontrol\tNN\tI-NP\tO' +p166414 +aS'.\t.\t.\tO\tO' +p166415 +asS'The patient states that he is occasionally constipated .' +p166416 +(lp166417 +S'The\tThe\tDT\tB-NP\tO' +p166418 +aS'patient\tpatient\tNN\tI-NP\tO' +p166419 +aS'states\tstate\tVBZ\tB-VP\tO' +p166420 +aS'that\tthat\tIN\tB-SBAR\tO' +p166421 +aS'he\the\tPRP\tB-NP\tO' +p166422 +aS'is\tbe\tVBZ\tB-VP\tO' +p166423 +aS'occasionally\toccasionally\tRB\tI-VP\tO' +p166424 +aS'constipated\tconstipate\tVBN\tI-VP\tO' +p166425 +aS'.\t.\t.\tO\tO' +p166426 +asS'Pt was continued on keppra during admission for sz px .' +p166427 +(lp166428 +S'Pt\tPt\tNN\tB-NP\tO' +p166429 +aS'was\tbe\tVBD\tB-VP\tO' +p166430 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p166431 +aS'on\ton\tIN\tB-PP\tO' +p166432 +aS'keppra\tkeppra\tNN\tB-NP\tO' +p166433 +aS'during\tduring\tIN\tB-PP\tO' +p166434 +aS'admission\tadmission\tNN\tB-NP\tO' +p166435 +aS'for\tfor\tIN\tB-PP\tO' +p166436 +aS'sz\tsz\tNN\tB-NP\tO' +p166437 +aS'px\tpx\tNN\tI-NP\tO' +p166438 +aS'.\t.\t.\tO\tO' +p166439 +asS'Stable microvascular ischemic changes in the periventricular white matter .' +p166440 +(lp166441 +S'Stable\tStable\tJJ\tB-NP\tO' +p166442 +aS'microvascular\tmicrovascular\tJJ\tI-NP\tO' +p166443 +aS'ischemic\tischemic\tJJ\tI-NP\tO' +p166444 +aS'changes\tchange\tNNS\tI-NP\tO' +p166445 +aS'in\tin\tIN\tB-PP\tO' +p166446 +aS'the\tthe\tDT\tB-NP\tO' +p166447 +aS'periventricular\tperiventricular\tJJ\tI-NP\tO' +p166448 +aS'white\twhite\tJJ\tI-NP\tO' +p166449 +aS'matter\tmatter\tNN\tI-NP\tO' +p166450 +aS'.\t.\t.\tO\tO' +p166451 +asS'Lives with son who is very involved and well informed regarding her care needs .' +p166452 +(lp166453 +S'Lives\tLife\tNNS\tB-NP\tO' +p166454 +aS'with\twith\tIN\tB-PP\tO' +p166455 +aS'son\tson\tNN\tB-NP\tO' +p166456 +aS'who\twho\tWP\tB-NP\tO' +p166457 +aS'is\tbe\tVBZ\tB-VP\tO' +p166458 +aS'very\tvery\tRB\tB-ADJP\tO' +p166459 +aS'involved\tinvolve\tVBN\tI-ADJP\tO' +p166460 +aS'and\tand\tCC\tO\tO' +p166461 +aS'well\twell\tRB\tB-ADJP\tO' +p166462 +aS'informed\tinformed\tJJ\tI-ADJP\tO' +p166463 +aS'regarding\tregard\tVBG\tB-PP\tO' +p166464 +aS'her\ther\tPRP$\tB-NP\tO' +p166465 +aS'care\tcare\tNN\tI-NP\tO' +p166466 +aS'needs\tneed\tNNS\tI-NP\tO' +p166467 +aS'.\t.\t.\tO\tO' +p166468 +asS"This resolved spontaneously when the bottle was pulled from the baby 's mouth ." +p166469 +(lp166470 +S'This\tThis\tDT\tB-NP\tO' +p166471 +aS'resolved\tresolve\tVBD\tB-VP\tO' +p166472 +aS'spontaneously\tspontaneously\tRB\tB-ADVP\tO' +p166473 +aS'when\twhen\tWRB\tB-ADVP\tO' +p166474 +aS'the\tthe\tDT\tB-NP\tO' +p166475 +aS'bottle\tbottle\tNN\tI-NP\tO' +p166476 +aS'was\tbe\tVBD\tB-VP\tO' +p166477 +aS'pulled\tpull\tVBN\tI-VP\tO' +p166478 +aS'from\tfrom\tIN\tB-PP\tO' +p166479 +aS'the\tthe\tDT\tB-NP\tO' +p166480 +aS'baby\tbaby\tNN\tI-NP\tO' +p166481 +aS"'s\t's\tPOS\tB-NP\tO" +p166482 +aS'mouth\tmouth\tNN\tI-NP\tO' +p166483 +aS'.\t.\t.\tO\tO' +p166484 +asS'Ceftazidime 1 gram intravenous q 8 .' +p166485 +(lp166486 +S'Ceftazidime\tCeftazidime\tNN\tB-NP\tB-protein' +p166487 +aS'1\t1\tCD\tI-NP\tI-protein' +p166488 +aS'gram\tgram\tNN\tI-NP\tI-protein' +p166489 +aS'intravenous\tintravenous\tJJ\tI-NP\tI-protein' +p166490 +aS'q\tq\tNN\tI-NP\tI-protein' +p166491 +aS'8\t8\tCD\tI-NP\tI-protein' +p166492 +aS'.\t.\t.\tO\tO' +p166493 +asS'Lungs : Clear to auscultation bilaterally .' +p166494 +(lp166495 +S'Lungs\tLung\tNNS\tB-NP\tO' +p166496 +aS':\t:\t:\tO\tO' +p166497 +aS'Clear\tClear\tJJ\tB-ADJP\tO' +p166498 +aS'to\tto\tTO\tB-PP\tO' +p166499 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p166500 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p166501 +aS'.\t.\t.\tO\tO' +p166502 +asS'Lab two antibiotics were added considering the patient was thought to be a relatively high risk for PCP Douglas .' +p166503 +(lp166504 +S'Lab\tLab\tNN\tB-NP\tO' +p166505 +aS'two\ttwo\tCD\tB-NP\tO' +p166506 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p166507 +aS'were\tbe\tVBD\tB-VP\tO' +p166508 +aS'added\tadd\tVBN\tI-VP\tO' +p166509 +aS'considering\tconsider\tVBG\tI-VP\tO' +p166510 +aS'the\tthe\tDT\tB-NP\tO' +p166511 +aS'patient\tpatient\tNN\tI-NP\tO' +p166512 +aS'was\tbe\tVBD\tB-VP\tO' +p166513 +aS'thought\tthink\tVBN\tI-VP\tO' +p166514 +aS'to\tto\tTO\tI-VP\tO' +p166515 +aS'be\tbe\tVB\tI-VP\tO' +p166516 +aS'a\ta\tDT\tB-NP\tO' +p166517 +aS'relatively\trelatively\tRB\tI-NP\tO' +p166518 +aS'high\thigh\tJJ\tI-NP\tO' +p166519 +aS'risk\trisk\tNN\tI-NP\tO' +p166520 +aS'for\tfor\tIN\tB-PP\tO' +p166521 +aS'PCP\tPCP\tNN\tB-NP\tO' +p166522 +aS'Douglas\tDouglas\tNNP\tI-NP\tO' +p166523 +aS'.\t.\t.\tO\tO' +p166524 +asS'Father with MI/CABG died at age 60 .' +p166525 +(lp166526 +S'Father\tFather\tRB\tB-ADVP\tO' +p166527 +aS'with\twith\tIN\tB-PP\tO' +p166528 +aS'MI/CABG\tMI/CABG\tNN\tB-NP\tO' +p166529 +aS'died\tdie\tVBD\tB-VP\tO' +p166530 +aS'at\tat\tIN\tB-PP\tO' +p166531 +aS'age\tage\tNN\tB-NP\tO' +p166532 +aS'60\t60\tCD\tI-NP\tO' +p166533 +aS'.\t.\t.\tO\tO' +p166534 +asS'No significant history .' +p166535 +(lp166536 +S'No\tNo\tDT\tB-NP\tO' +p166537 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p166538 +aS'history\thistory\tNN\tI-NP\tO' +p166539 +aS'.\t.\t.\tO\tO' +p166540 +asS'Major Surgical or Invasive Procedure : persantine MIBI cardiac stress test thoracentesis' +p166541 +(lp166542 +S'Major\tMajor\tJJ\tB-NP\tO' +p166543 +aS'Surgical\tSurgical\tJJ\tI-NP\tO' +p166544 +aS'or\tor\tCC\tI-NP\tO' +p166545 +aS'Invasive\tInvasive\tJJ\tI-NP\tO' +p166546 +aS'Procedure\tProcedure\tNN\tI-NP\tO' +p166547 +aS':\t:\t:\tO\tO' +p166548 +aS'persantine\tpersantine\tJJ\tB-NP\tO' +p166549 +aS'MIBI\tMIBI\tNN\tI-NP\tO' +p166550 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p166551 +aS'stress\tstress\tNN\tI-NP\tO' +p166552 +aS'test\ttest\tNN\tI-NP\tO' +p166553 +aS'thoracentesis\tthoracentesis\tNN\tI-NP\tO' +p166554 +asS'On 02/13/91 , the patient had a bronchoalveolar lavage performed which showed a toluidine blue with many pneumocysts noted .' +p166555 +(lp166556 +S'On\tOn\tIN\tB-PP\tO' +p166557 +aS'02/13/91\t02/13/91\tCD\tB-NP\tO' +p166558 +aS',\t,\t,\tO\tO' +p166559 +aS'the\tthe\tDT\tB-NP\tO' +p166560 +aS'patient\tpatient\tNN\tI-NP\tO' +p166561 +aS'had\thave\tVBD\tB-VP\tO' +p166562 +aS'a\ta\tDT\tB-NP\tO' +p166563 +aS'bronchoalveolar\tbronchoalveolar\tJJ\tI-NP\tO' +p166564 +aS'lavage\tlavage\tNN\tI-NP\tO' +p166565 +aS'performed\tperform\tVBN\tB-VP\tO' +p166566 +aS'which\twhich\tWDT\tB-NP\tO' +p166567 +aS'showed\tshow\tVBD\tB-VP\tO' +p166568 +aS'a\ta\tDT\tB-NP\tO' +p166569 +aS'toluidine\ttoluidine\tNN\tI-NP\tO' +p166570 +aS'blue\tblue\tJJ\tB-ADJP\tO' +p166571 +aS'with\twith\tIN\tB-PP\tO' +p166572 +aS'many\tmany\tJJ\tB-NP\tO' +p166573 +aS'pneumocysts\tpneumocyst\tNNS\tI-NP\tO' +p166574 +aS'noted\tnote\tVBD\tB-VP\tO' +p166575 +aS'.\t.\t.\tO\tO' +p166576 +asS'Over the next several days , the patient remained hemodynamically stable on the ventilator .' +p166577 +(lp166578 +S'Over\tOver\tIN\tB-PP\tO' +p166579 +aS'the\tthe\tDT\tB-NP\tO' +p166580 +aS'next\tnext\tJJ\tI-NP\tO' +p166581 +aS'several\tseveral\tJJ\tI-NP\tO' +p166582 +aS'days\tday\tNNS\tI-NP\tO' +p166583 +aS',\t,\t,\tO\tO' +p166584 +aS'the\tthe\tDT\tB-NP\tO' +p166585 +aS'patient\tpatient\tNN\tI-NP\tO' +p166586 +aS'remained\tremain\tVBD\tB-VP\tO' +p166587 +aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' +p166588 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p166589 +aS'on\ton\tIN\tB-PP\tO' +p166590 +aS'the\tthe\tDT\tB-NP\tO' +p166591 +aS'ventilator\tventilator\tNN\tI-NP\tO' +p166592 +aS'.\t.\t.\tO\tO' +p166593 +asS'Status post cholecystectomy , lumbar diskectomy , and tonsillectomy with adenoidectomy .' +p166594 +(lp166595 +S'Status\tStatus\tNNP\tB-NP\tO' +p166596 +aS'post\tpost\tNN\tI-NP\tO' +p166597 +aS'cholecystectomy\tcholecystectomy\tNN\tI-NP\tO' +p166598 +aS',\t,\t,\tO\tO' +p166599 +aS'lumbar\tlumbar\tNN\tB-NP\tO' +p166600 +aS'diskectomy\tdiskectomy\tNN\tI-NP\tO' +p166601 +aS',\t,\t,\tO\tO' +p166602 +aS'and\tand\tCC\tO\tO' +p166603 +aS'tonsillectomy\ttonsillectomy\tNN\tB-NP\tO' +p166604 +aS'with\twith\tIN\tB-PP\tO' +p166605 +aS'adenoidectomy\tadenoidectomy\tNN\tB-NP\tO' +p166606 +aS'.\t.\t.\tO\tO' +p166607 +asS'Clamping continued until postoperative day six .' +p166608 +(lp166609 +S'Clamping\tClamp\tVBG\tB-VP\tO' +p166610 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p166611 +aS'until\tuntil\tIN\tB-PP\tO' +p166612 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p166613 +aS'day\tday\tNN\tI-NP\tO' +p166614 +aS'six\tsix\tCD\tI-NP\tO' +p166615 +aS'.\t.\t.\tO\tO' +p166616 +asS'The patient was also started on Solu-Medrol IV for active airway disease component of her shortness of breath .' +p166617 +(lp166618 +S'The\tThe\tDT\tB-NP\tO' +p166619 +aS'patient\tpatient\tNN\tI-NP\tO' +p166620 +aS'was\tbe\tVBD\tB-VP\tO' +p166621 +aS'also\talso\tRB\tI-VP\tO' +p166622 +aS'started\tstart\tVBN\tI-VP\tO' +p166623 +aS'on\ton\tIN\tB-PP\tO' +p166624 +aS'Solu-Medrol\tSolu-Medrol\tNN\tB-NP\tO' +p166625 +aS'IV\tIV\tCD\tI-NP\tO' +p166626 +aS'for\tfor\tIN\tB-PP\tO' +p166627 +aS'active\tactive\tJJ\tB-NP\tO' +p166628 +aS'airway\tairway\tNN\tI-NP\tO' +p166629 +aS'disease\tdisease\tNN\tI-NP\tO' +p166630 +aS'component\tcomponent\tNN\tI-NP\tO' +p166631 +aS'of\tof\tIN\tB-PP\tO' +p166632 +aS'her\ther\tPRP$\tB-NP\tO' +p166633 +aS'shortness\tshortness\tNN\tI-NP\tO' +p166634 +aS'of\tof\tIN\tB-PP\tO' +p166635 +aS'breath\tbreath\tNN\tB-NP\tO' +p166636 +aS'.\t.\t.\tO\tO' +p166637 +asS'Neck : no LAD ; no carotid bruits ; limited range neck movements bilaterally' +p166638 +(lp166639 +S'Neck\tNeck\tNN\tB-NP\tO' +p166640 +aS':\t:\t:\tO\tO' +p166641 +aS'no\tno\tDT\tB-NP\tO' +p166642 +aS'LAD\tLAD\tNN\tI-NP\tB-protein' +p166643 +aS';\t;\t:\tO\tO' +p166644 +aS'no\tno\tDT\tB-NP\tO' +p166645 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p166646 +aS'bruits\tbruit\tNNS\tI-NP\tO' +p166647 +aS';\t;\t:\tO\tO' +p166648 +aS'limited\tlimited\tJJ\tB-NP\tO' +p166649 +aS'range\trange\tNN\tI-NP\tO' +p166650 +aS'neck\tneck\tNN\tI-NP\tO' +p166651 +aS'movements\tmovement\tNNS\tI-NP\tO' +p166652 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p166653 +asS'It has not been done yet .' +p166654 +(lp166655 +S'It\tIt\tPRP\tB-NP\tO' +p166656 +aS'has\thave\tVBZ\tB-VP\tO' +p166657 +aS'not\tnot\tRB\tI-VP\tO' +p166658 +aS'been\tbe\tVBN\tI-VP\tO' +p166659 +aS'done\tdo\tVBN\tI-VP\tO' +p166660 +aS'yet\tyet\tRB\tB-ADVP\tO' +p166661 +aS'.\t.\t.\tO\tO' +p166662 +asS'At the time of discharge , it was 1.9 , for which she received 4 mg.' +p166663 +(lp166664 +S'At\tAt\tIN\tB-PP\tO' +p166665 +aS'the\tthe\tDT\tB-NP\tO' +p166666 +aS'time\ttime\tNN\tI-NP\tO' +p166667 +aS'of\tof\tIN\tB-PP\tO' +p166668 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p166669 +aS',\t,\t,\tO\tO' +p166670 +aS'it\tit\tPRP\tB-NP\tO' +p166671 +aS'was\tbe\tVBD\tB-VP\tO' +p166672 +aS'1.9\t1.9\tCD\tB-NP\tO' +p166673 +aS',\t,\t,\tO\tO' +p166674 +aS'for\tfor\tIN\tB-PP\tO' +p166675 +aS'which\twhich\tWDT\tB-NP\tO' +p166676 +aS'she\tshe\tPRP\tB-NP\tO' +p166677 +aS'received\treceive\tVBD\tB-VP\tO' +p166678 +aS'4\t4\tCD\tB-NP\tO' +p166679 +aS'mg.\tmg.\tNN\tI-NP\tO' +p166680 +asS'Neurologically , the patient is alert and oriented times three with normal speech , language and repetition .' +p166681 +(lp166682 +S'Neurologically\tNeurologically\tRB\tB-ADVP\tO' +p166683 +aS',\t,\t,\tO\tO' +p166684 +aS'the\tthe\tDT\tB-NP\tO' +p166685 +aS'patient\tpatient\tNN\tI-NP\tO' +p166686 +aS'is\tbe\tVBZ\tB-VP\tO' +p166687 +aS'alert\talert\tJJ\tB-ADJP\tO' +p166688 +aS'and\tand\tCC\tO\tO' +p166689 +aS'oriented\torient\tVBN\tB-VP\tO' +p166690 +aS'times\ttime\tNNS\tB-NP\tO' +p166691 +aS'three\tthree\tCD\tB-NP\tO' +p166692 +aS'with\twith\tIN\tB-PP\tO' +p166693 +aS'normal\tnormal\tJJ\tB-NP\tO' +p166694 +aS'speech\tspeech\tNN\tI-NP\tO' +p166695 +aS',\t,\t,\tI-NP\tO' +p166696 +aS'language\tlanguage\tNN\tI-NP\tO' +p166697 +aS'and\tand\tCC\tI-NP\tO' +p166698 +aS'repetition\trepetition\tNN\tI-NP\tO' +p166699 +aS'.\t.\t.\tO\tO' +p166700 +asS'2. Metformin .' +p166701 +(lp166702 +S'2.\t2.\tLS\tB-NP\tO' +p166703 +aS'Metformin\tMetformin\tNN\tI-NP\tO' +p166704 +aS'.\t.\t.\tO\tO' +p166705 +asS'If you have any bladder incontinence , bowel incontinence , worse numbness , any weakness , or any other concerns , call your doctor or return to the emergency department immediately .' +p166706 +(lp166707 +S'If\tIf\tIN\tB-SBAR\tO' +p166708 +aS'you\tyou\tPRP\tB-NP\tO' +p166709 +aS'have\thave\tVBP\tB-VP\tO' +p166710 +aS'any\tany\tDT\tB-NP\tO' +p166711 +aS'bladder\tbladder\tNN\tI-NP\tO' +p166712 +aS'incontinence\tincontinence\tNN\tI-NP\tO' +p166713 +aS',\t,\t,\tO\tO' +p166714 +aS'bowel\tbowel\tNN\tB-NP\tO' +p166715 +aS'incontinence\tincontinence\tNN\tI-NP\tO' +p166716 +aS',\t,\t,\tO\tO' +p166717 +aS'worse\tworse\tJJR\tB-NP\tO' +p166718 +aS'numbness\tnumbness\tNN\tI-NP\tO' +p166719 +aS',\t,\t,\tO\tO' +p166720 +aS'any\tany\tDT\tB-NP\tO' +p166721 +aS'weakness\tweakness\tNN\tI-NP\tO' +p166722 +aS',\t,\t,\tO\tO' +p166723 +aS'or\tor\tCC\tO\tO' +p166724 +aS'any\tany\tDT\tB-NP\tO' +p166725 +aS'other\tother\tJJ\tI-NP\tO' +p166726 +aS'concerns\tconcern\tNNS\tI-NP\tO' +p166727 +aS',\t,\t,\tO\tO' +p166728 +aS'call\tcall\tVB\tB-VP\tO' +p166729 +aS'your\tyour\tPRP$\tB-NP\tO' +p166730 +aS'doctor\tdoctor\tNN\tI-NP\tO' +p166731 +aS'or\tor\tCC\tO\tO' +p166732 +aS'return\treturn\tVB\tB-VP\tO' +p166733 +aS'to\tto\tTO\tB-PP\tO' +p166734 +aS'the\tthe\tDT\tB-NP\tO' +p166735 +aS'emergency\temergency\tNN\tI-NP\tO' +p166736 +aS'department\tdepartment\tNN\tI-NP\tO' +p166737 +aS'immediately\timmediately\tRB\tB-ADVP\tO' +p166738 +aS'.\t.\t.\tO\tO' +p166739 +asS'After discussion with the patient 's primary doctor , Dr. Douet at Vassdiysey Medical Center , it was felt that the patient and his family would be best served if the patient were transferred to Vassdiysey Medical Center .' +p166740 +(lp166741 +S'After\tAfter\tIN\tB-PP\tO' +p166742 +aS'discussion\tdiscussion\tNN\tB-NP\tO' +p166743 +aS'with\twith\tIN\tB-PP\tO' +p166744 +aS'the\tthe\tDT\tB-NP\tO' +p166745 +aS'patient\tpatient\tNN\tI-NP\tO' +p166746 +aS''s\t'\tNNS\tI-NP\tO' +p166747 +aS'primary\tprimary\tJJ\tB-NP\tO' +p166748 +aS'doctor\tdoctor\tNN\tI-NP\tO' +p166749 +aS',\t,\t,\tO\tO' +p166750 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p166751 +aS'Douet\tDouet\tNNP\tI-NP\tO' +p166752 +aS'at\tat\tIN\tB-PP\tO' +p166753 +aS'Vassdiysey\tVassdiysey\tNNP\tB-NP\tO' +p166754 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p166755 +aS'Center\tCenter\tNNP\tI-NP\tO' +p166756 +aS',\t,\t,\tO\tO' +p166757 +aS'it\tit\tPRP\tB-NP\tO' +p166758 +aS'was\tbe\tVBD\tB-VP\tO' +p166759 +aS'felt\tfeel\tVBN\tI-VP\tO' +p166760 +aS'that\tthat\tIN\tB-SBAR\tO' +p166761 +aS'the\tthe\tDT\tB-NP\tO' +p166762 +aS'patient\tpatient\tNN\tI-NP\tO' +p166763 +aS'and\tand\tCC\tO\tO' +p166764 +aS'his\this\tPRP$\tB-NP\tO' +p166765 +aS'family\tfamily\tNN\tI-NP\tO' +p166766 +aS'would\twould\tMD\tB-VP\tO' +p166767 +aS'be\tbe\tVB\tI-VP\tO' +p166768 +aS'best\twell\tRBS\tI-VP\tO' +p166769 +aS'served\tserve\tVBN\tI-VP\tO' +p166770 +aS'if\tif\tIN\tB-SBAR\tO' +p166771 +aS'the\tthe\tDT\tB-NP\tO' +p166772 +aS'patient\tpatient\tNN\tI-NP\tO' +p166773 +aS'were\tbe\tVBD\tB-VP\tO' +p166774 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p166775 +aS'to\tto\tTO\tB-PP\tO' +p166776 +aS'Vassdiysey\tVassdiysey\tNNP\tB-NP\tO' +p166777 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p166778 +aS'Center\tCenter\tNNP\tI-NP\tO' +p166779 +aS'.\t.\t.\tO\tO' +p166780 +asS'Her temperature was 96.3 degrees , blood pressure was 128/63 .' +p166781 +(lp166782 +S'Her\tHer\tPRP$\tB-NP\tO' +p166783 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p166784 +aS'was\tbe\tVBD\tB-VP\tO' +p166785 +aS'96.3\t96.3\tCD\tB-NP\tO' +p166786 +aS'degrees\tdegree\tNNS\tI-NP\tO' +p166787 +aS',\t,\t,\tO\tO' +p166788 +aS'blood\tblood\tNN\tB-NP\tO' +p166789 +aS'pressure\tpressure\tNN\tI-NP\tO' +p166790 +aS'was\tbe\tVBD\tB-VP\tO' +p166791 +aS'128/63\t128/63\tCD\tB-NP\tO' +p166792 +aS'.\t.\t.\tO\tO' +p166793 +asS'Supple with a normal thyroid gland .' +p166794 +(lp166795 +S'Supple\tSupple\tNN\tB-NP\tO' +p166796 +aS'with\twith\tIN\tB-PP\tO' +p166797 +aS'a\ta\tDT\tB-NP\tO' +p166798 +aS'normal\tnormal\tJJ\tI-NP\tO' +p166799 +aS'thyroid\tthyroid\tNN\tI-NP\tO' +p166800 +aS'gland\tgland\tNN\tI-NP\tO' +p166801 +aS'.\t.\t.\tO\tO' +p166802 +asS'She is neurologically intact .' +p166803 +(lp166804 +S'She\tShe\tPRP\tB-NP\tO' +p166805 +aS'is\tbe\tVBZ\tB-VP\tO' +p166806 +aS'neurologically\tneurologically\tRB\tB-ADJP\tO' +p166807 +aS'intact\tintact\tJJ\tI-ADJP\tO' +p166808 +aS'.\t.\t.\tO\tO' +p166809 +asS'On POD2 the patient remained hemodynamically stable and was transferred from the ICU to F2 for continued postop care .' +p166810 +(lp166811 +S'On\tOn\tIN\tB-PP\tO' +p166812 +aS'POD2\tPOD2\tNN\tB-NP\tB-protein' +p166813 +aS'the\tthe\tDT\tB-NP\tO' +p166814 +aS'patient\tpatient\tNN\tI-NP\tO' +p166815 +aS'remained\tremain\tVBD\tB-VP\tO' +p166816 +aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' +p166817 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p166818 +aS'and\tand\tCC\tO\tO' +p166819 +aS'was\tbe\tVBD\tB-VP\tO' +p166820 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p166821 +aS'from\tfrom\tIN\tB-PP\tO' +p166822 +aS'the\tthe\tDT\tB-NP\tO' +p166823 +aS'ICU\tICU\tNN\tI-NP\tB-protein' +p166824 +aS'to\tto\tTO\tB-PP\tO' +p166825 +aS'F2\tF2\tNN\tB-NP\tB-protein' +p166826 +aS'for\tfor\tIN\tB-PP\tO' +p166827 +aS'continued\tcontinue\tVBN\tB-NP\tO' +p166828 +aS'postop\tpostop\tJJ\tI-NP\tO' +p166829 +aS'care\tcare\tNN\tI-NP\tO' +p166830 +aS'.\t.\t.\tO\tO' +p166831 +asS'98.4 , 94 , 22 , 120/96 , 98% on 2L. NAD , using scalenes , AT / NC , no oral lesions , Bibasilar rales otherwise clear , good air movement , RRR , no MRG , NTND +BS , no CCE , 2+ DPs .' +p166832 +(lp166833 +S'98.4\t98.4\tCD\tB-NP\tO' +p166834 +aS',\t,\t,\tI-NP\tO' +p166835 +aS'94\t94\tCD\tI-NP\tO' +p166836 +aS',\t,\t,\tI-NP\tO' +p166837 +aS'22\t22\tCD\tI-NP\tO' +p166838 +aS',\t,\t,\tI-NP\tO' +p166839 +aS'120/96\t120/96\tCD\tI-NP\tO' +p166840 +aS',\t,\t,\tI-NP\tO' +p166841 +aS'98%\t98%\tCD\tI-NP\tO' +p166842 +aS'on\ton\tIN\tB-PP\tO' +p166843 +aS'2L.\t2L.\tNN\tB-NP\tO' +p166844 +aS'NAD\tNAD\tNN\tI-NP\tO' +p166845 +aS',\t,\t,\tO\tO' +p166846 +aS'using\tuse\tVBG\tB-VP\tO' +p166847 +aS'scalenes\tscalene\tNNS\tB-NP\tO' +p166848 +aS',\t,\t,\tO\tO' +p166849 +aS'AT\tAT\tNN\tB-NP\tO' +p166850 +aS'/\t/\tSYM\tI-NP\tO' +p166851 +aS'NC\tNC\tNN\tI-NP\tO' +p166852 +aS',\t,\t,\tO\tO' +p166853 +aS'no\tno\tDT\tB-NP\tO' +p166854 +aS'oral\toral\tJJ\tI-NP\tO' +p166855 +aS'lesions\tlesion\tNNS\tI-NP\tO' +p166856 +aS',\t,\t,\tO\tO' +p166857 +aS'Bibasilar\tBibasilar\tJJ\tB-NP\tO' +p166858 +aS'rales\trale\tNNS\tI-NP\tO' +p166859 +aS'otherwise\totherwise\tRB\tB-NP\tO' +p166860 +aS'clear\tclear\tJJ\tI-NP\tO' +p166861 +aS',\t,\t,\tI-NP\tO' +p166862 +aS'good\tgood\tJJ\tI-NP\tO' +p166863 +aS'air\tair\tNN\tI-NP\tO' +p166864 +aS'movement\tmovement\tNN\tI-NP\tO' +p166865 +aS',\t,\t,\tO\tO' +p166866 +aS'RRR\tRRR\tNN\tB-NP\tB-protein' +p166867 +aS',\t,\t,\tO\tO' +p166868 +aS'no\tno\tDT\tB-NP\tO' +p166869 +aS'MRG\tMRG\tNNP\tI-NP\tO' +p166870 +aS',\t,\t,\tO\tO' +p166871 +aS'NTND\tNTND\tNNP\tB-NP\tO' +p166872 +aS'+BS\t+BS\tNNP\tI-NP\tO' +p166873 +aS',\t,\t,\tO\tO' +p166874 +aS'no\tno\tDT\tB-NP\tO' +p166875 +aS'CCE\tCCE\tNN\tI-NP\tO' +p166876 +aS',\t,\t,\tO\tO' +p166877 +aS'2+\t2+\tJJ\tB-NP\tO' +p166878 +aS'DPs\tDP\tNNS\tI-NP\tO' +p166879 +aS'.\t.\t.\tO\tO' +p166880 +asS'JVD difficult to access 02-23 increased neck girth .' +p166881 +(lp166882 +S'JVD\tJVD\tNN\tB-NP\tO' +p166883 +aS'difficult\tdifficult\tJJ\tB-ADJP\tO' +p166884 +aS'to\tto\tTO\tB-PP\tO' +p166885 +aS'access\taccess\tNN\tB-NP\tO' +p166886 +aS'02-23\t02-23\tCD\tI-NP\tO' +p166887 +aS'increased\tincrease\tVBD\tB-VP\tO' +p166888 +aS'neck\tneck\tNN\tB-NP\tO' +p166889 +aS'girth\tgirth\tNN\tI-NP\tO' +p166890 +aS'.\t.\t.\tO\tO' +p166891 +asS'An ANA and rheumatoid factor were negative .' +p166892 +(lp166893 +S'An\tAn\tDT\tB-NP\tO' +p166894 +aS'ANA\tANA\tNN\tI-NP\tO' +p166895 +aS'and\tand\tCC\tO\tO' +p166896 +aS'rheumatoid\trheumatoid\tJJ\tB-NP\tO' +p166897 +aS'factor\tfactor\tNN\tI-NP\tO' +p166898 +aS'were\tbe\tVBD\tB-VP\tO' +p166899 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p166900 +aS'.\t.\t.\tO\tO' +p166901 +asS'He had been noted to have an ulcer and ultimately when he stabilized it was our feeling that he most likely had a gastric pericardial ulcer and he was transferred here for further management .' +p166902 +(lp166903 +S'He\tHe\tPRP\tB-NP\tO' +p166904 +aS'had\thave\tVBD\tB-VP\tO' +p166905 +aS'been\tbe\tVBN\tI-VP\tO' +p166906 +aS'noted\tnote\tVBN\tI-VP\tO' +p166907 +aS'to\tto\tTO\tI-VP\tO' +p166908 +aS'have\thave\tVB\tI-VP\tO' +p166909 +aS'an\tan\tDT\tB-NP\tO' +p166910 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p166911 +aS'and\tand\tCC\tO\tO' +p166912 +aS'ultimately\tultimately\tRB\tB-ADVP\tO' +p166913 +aS'when\twhen\tWRB\tB-ADVP\tO' +p166914 +aS'he\the\tPRP\tB-NP\tO' +p166915 +aS'stabilized\tstabilize\tVBD\tB-VP\tO' +p166916 +aS'it\tit\tPRP\tB-NP\tO' +p166917 +aS'was\tbe\tVBD\tB-VP\tO' +p166918 +aS'our\tour\tPRP$\tB-NP\tO' +p166919 +aS'feeling\tfeeling\tNN\tI-NP\tO' +p166920 +aS'that\tthat\tIN\tB-SBAR\tO' +p166921 +aS'he\the\tPRP\tB-NP\tO' +p166922 +aS'most\tmost\tRBS\tB-ADVP\tO' +p166923 +aS'likely\tlikely\tRB\tI-ADVP\tO' +p166924 +aS'had\thave\tVBD\tB-VP\tO' +p166925 +aS'a\ta\tDT\tB-NP\tO' +p166926 +aS'gastric\tgastric\tJJ\tI-NP\tO' +p166927 +aS'pericardial\tpericardial\tJJ\tI-NP\tO' +p166928 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p166929 +aS'and\tand\tCC\tO\tO' +p166930 +aS'he\the\tPRP\tB-NP\tO' +p166931 +aS'was\tbe\tVBD\tB-VP\tO' +p166932 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p166933 +aS'here\there\tRB\tB-ADVP\tO' +p166934 +aS'for\tfor\tIN\tB-PP\tO' +p166935 +aS'further\tfurther\tJJ\tB-NP\tO' +p166936 +aS'management\tmanagement\tNN\tI-NP\tO' +p166937 +aS'.\t.\t.\tO\tO' +p166938 +asS'In 05-92 , the patient was admitted to Wellla Uxinny : mount Medical Center with left leg DVT and started on Heparin therapy .' +p166939 +(lp166940 +S'In\tIn\tIN\tB-PP\tO' +p166941 +aS'05-92\t05-92\tCD\tB-NP\tO' +p166942 +aS',\t,\t,\tO\tO' +p166943 +aS'the\tthe\tDT\tB-NP\tO' +p166944 +aS'patient\tpatient\tNN\tI-NP\tO' +p166945 +aS'was\tbe\tVBD\tB-VP\tO' +p166946 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p166947 +aS'to\tto\tTO\tB-PP\tO' +p166948 +aS'Wellla\tWellla\tNNP\tB-NP\tO' +p166949 +aS'Uxinny\tUxinny\tNNP\tI-NP\tO' +p166950 +aS':\t:\t:\tO\tO' +p166951 +aS'mount\tmount\tNNP\tB-NP\tO' +p166952 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p166953 +aS'Center\tCenter\tNNP\tI-NP\tO' +p166954 +aS'with\twith\tIN\tB-PP\tO' +p166955 +aS'left\tleft\tJJ\tB-NP\tO' +p166956 +aS'leg\tleg\tNN\tI-NP\tO' +p166957 +aS'DVT\tDVT\tNN\tI-NP\tO' +p166958 +aS'and\tand\tCC\tO\tO' +p166959 +aS'started\tstart\tVBN\tB-VP\tO' +p166960 +aS'on\ton\tIN\tB-PP\tO' +p166961 +aS'Heparin\tHeparin\tNN\tB-NP\tO' +p166962 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p166963 +aS'.\t.\t.\tO\tO' +p166964 +asS'Pelvic mass .' +p166965 +(lp166966 +S'Pelvic\tPelvic\tJJ\tB-NP\tO' +p166967 +aS'mass\tmass\tNN\tI-NP\tO' +p166968 +aS'.\t.\t.\tO\tO' +p166969 +asS'Generalized and marked callosal atrophy ( on the MR ) also suggest advanced , irreversible disease .' +p166970 +(lp166971 +S'Generalized\tGeneralize\tVBN\tB-NP\tO' +p166972 +aS'and\tand\tCC\tI-NP\tO' +p166973 +aS'marked\tmarked\tJJ\tI-NP\tO' +p166974 +aS'callosal\tcallosal\tJJ\tI-NP\tO' +p166975 +aS'atrophy\tatrophy\tNN\tI-NP\tO' +p166976 +aS'(\t(\t(\tO\tO' +p166977 +aS'on\ton\tIN\tB-PP\tO' +p166978 +aS'the\tthe\tDT\tB-NP\tO' +p166979 +aS'MR\tMR\tNN\tI-NP\tB-protein' +p166980 +aS')\t)\t)\tO\tO' +p166981 +aS'also\talso\tRB\tB-ADVP\tO' +p166982 +aS'suggest\tsuggest\tVBP\tB-VP\tO' +p166983 +aS'advanced\tadvanced\tJJ\tB-NP\tO' +p166984 +aS',\t,\t,\tI-NP\tO' +p166985 +aS'irreversible\tirreversible\tJJ\tI-NP\tO' +p166986 +aS'disease\tdisease\tNN\tI-NP\tO' +p166987 +aS'.\t.\t.\tO\tO' +p166988 +asS'She was brought to the emergency room where she was evaluated and determined to have had a cerebrovascular accident .' +p166989 +(lp166990 +S'She\tShe\tPRP\tB-NP\tO' +p166991 +aS'was\tbe\tVBD\tB-VP\tO' +p166992 +aS'brought\tbring\tVBN\tI-VP\tO' +p166993 +aS'to\tto\tTO\tB-PP\tO' +p166994 +aS'the\tthe\tDT\tB-NP\tO' +p166995 +aS'emergency\temergency\tNN\tI-NP\tO' +p166996 +aS'room\troom\tNN\tI-NP\tO' +p166997 +aS'where\twhere\tWRB\tB-ADVP\tO' +p166998 +aS'she\tshe\tPRP\tB-NP\tO' +p166999 +aS'was\tbe\tVBD\tB-VP\tO' +p167000 +aS'evaluated\tevaluate\tVBN\tI-VP\tO' +p167001 +aS'and\tand\tCC\tO\tO' +p167002 +aS'determined\tdetermine\tVBN\tB-VP\tO' +p167003 +aS'to\tto\tTO\tI-VP\tO' +p167004 +aS'have\thave\tVB\tI-VP\tO' +p167005 +aS'had\thave\tVBN\tI-VP\tO' +p167006 +aS'a\ta\tDT\tB-NP\tO' +p167007 +aS'cerebrovascular\tcerebrovascular\tJJ\tI-NP\tO' +p167008 +aS'accident\taccident\tNN\tI-NP\tO' +p167009 +aS'.\t.\t.\tO\tO' +p167010 +asS'She underwent angiography on 5-9-92 which showed the right internal carotid artery to be patent , however there was highly significant stenosis of the left carotid artery and she was taken to the operating room later that day for a left carotid endarterectomy .' +p167011 +(lp167012 +S'She\tShe\tPRP\tB-NP\tO' +p167013 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p167014 +aS'angiography\tangiography\tNN\tB-NP\tO' +p167015 +aS'on\ton\tIN\tB-PP\tO' +p167016 +aS'5-9-92\t5-9-92\tNN\tB-NP\tO' +p167017 +aS'which\twhich\tWDT\tB-NP\tO' +p167018 +aS'showed\tshow\tVBD\tB-VP\tO' +p167019 +aS'the\tthe\tDT\tB-NP\tO' +p167020 +aS'right\tright\tJJ\tI-NP\tO' +p167021 +aS'internal\tinternal\tJJ\tI-NP\tO' +p167022 +aS'carotid\tcarotid\tJJ\tI-NP\tO' +p167023 +aS'artery\tartery\tNN\tI-NP\tO' +p167024 +aS'to\tto\tTO\tB-VP\tO' +p167025 +aS'be\tbe\tVB\tI-VP\tO' +p167026 +aS'patent\tpatent\tNN\tB-NP\tO' +p167027 +aS',\t,\t,\tO\tO' +p167028 +aS'however\thowever\tRB\tB-ADVP\tO' +p167029 +aS'there\tthere\tEX\tB-NP\tO' +p167030 +aS'was\tbe\tVBD\tB-VP\tO' +p167031 +aS'highly\thighly\tRB\tB-NP\tO' +p167032 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p167033 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p167034 +aS'of\tof\tIN\tB-PP\tO' +p167035 +aS'the\tthe\tDT\tB-NP\tO' +p167036 +aS'left\tleft\tJJ\tI-NP\tO' +p167037 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p167038 +aS'artery\tartery\tNN\tI-NP\tO' +p167039 +aS'and\tand\tCC\tO\tO' +p167040 +aS'she\tshe\tPRP\tB-NP\tO' +p167041 +aS'was\tbe\tVBD\tB-VP\tO' +p167042 +aS'taken\ttake\tVBN\tI-VP\tO' +p167043 +aS'to\tto\tTO\tB-PP\tO' +p167044 +aS'the\tthe\tDT\tB-NP\tO' +p167045 +aS'operating\toperating\tNN\tI-NP\tO' +p167046 +aS'room\troom\tNN\tI-NP\tO' +p167047 +aS'later\tlater\tRB\tB-ADVP\tO' +p167048 +aS'that\tthat\tDT\tB-NP\tO' +p167049 +aS'day\tday\tNN\tI-NP\tO' +p167050 +aS'for\tfor\tIN\tB-PP\tO' +p167051 +aS'a\ta\tDT\tB-NP\tO' +p167052 +aS'left\tleft\tJJ\tI-NP\tO' +p167053 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p167054 +aS'endarterectomy\tendarterectomy\tNN\tI-NP\tO' +p167055 +aS'.\t.\t.\tO\tO' +p167056 +asS'His bilirubin peaked on day of life three at 5.4 with a subsequent bilirubin of 4.6 at which time phototherapy was discontinued .' +p167057 +(lp167058 +S'His\tHis\tPRP$\tB-NP\tO' +p167059 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p167060 +aS'peaked\tpeak\tVBD\tB-VP\tO' +p167061 +aS'on\ton\tIN\tB-PP\tO' +p167062 +aS'day\tday\tNN\tB-NP\tO' +p167063 +aS'of\tof\tIN\tB-PP\tO' +p167064 +aS'life\tlife\tNN\tB-NP\tO' +p167065 +aS'three\tthree\tCD\tI-NP\tO' +p167066 +aS'at\tat\tIN\tB-PP\tO' +p167067 +aS'5.4\t5.4\tCD\tB-NP\tO' +p167068 +aS'with\twith\tIN\tB-PP\tO' +p167069 +aS'a\ta\tDT\tB-NP\tO' +p167070 +aS'subsequent\tsubsequent\tJJ\tI-NP\tO' +p167071 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p167072 +aS'of\tof\tIN\tB-PP\tO' +p167073 +aS'4.6\t4.6\tCD\tB-NP\tO' +p167074 +aS'at\tat\tIN\tB-PP\tO' +p167075 +aS'which\twhich\tWDT\tB-NP\tO' +p167076 +aS'time\ttime\tNN\tB-NP\tO' +p167077 +aS'phototherapy\tphototherapy\tNN\tI-NP\tO' +p167078 +aS'was\tbe\tVBD\tB-VP\tO' +p167079 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p167080 +aS'.\t.\t.\tO\tO' +p167081 +asS'OTHER DIAGNOSIS ; Conditions , Infections , Complications , affecting Treatment / Stay s / p cesarean' +p167082 +(lp167083 +S'OTHER\tOTHER\tNN\tB-NP\tO' +p167084 +aS'DIAGNOSIS\tDIAGNOSIS\tNN\tI-NP\tO' +p167085 +aS';\t;\t:\tO\tO' +p167086 +aS'Conditions\tCondition\tNNS\tB-NP\tO' +p167087 +aS',\t,\t,\tO\tO' +p167088 +aS'Infections\tInfection\tNNS\tB-NP\tO' +p167089 +aS',\t,\t,\tO\tO' +p167090 +aS'Complications\tComplication\tNNS\tB-NP\tO' +p167091 +aS',\t,\t,\tO\tO' +p167092 +aS'affecting\taffect\tVBG\tB-VP\tO' +p167093 +aS'Treatment\tTreatment\tNN\tB-NP\tO' +p167094 +aS'/\t/\tSYM\tI-NP\tO' +p167095 +aS'Stay\tStay\tNN\tI-NP\tO' +p167096 +aS's\ts\tNN\tI-NP\tO' +p167097 +aS'/\t/\tSYM\tB-NP\tO' +p167098 +aS'p\tp\tNN\tI-NP\tO' +p167099 +aS'cesarean\tcesarean\tJJ\tB-ADJP\tO' +p167100 +asS'Bone scan , head CT and other staging studies were all negative for evidence of metastatic disease .' +p167101 +(lp167102 +S'Bone\tBone\tNN\tB-NP\tO' +p167103 +aS'scan\tscan\tNN\tI-NP\tO' +p167104 +aS',\t,\t,\tO\tO' +p167105 +aS'head\thead\tNN\tB-NP\tO' +p167106 +aS'CT\tCT\tNN\tI-NP\tO' +p167107 +aS'and\tand\tCC\tO\tO' +p167108 +aS'other\tother\tJJ\tB-NP\tO' +p167109 +aS'staging\tstag\tVBG\tI-NP\tO' +p167110 +aS'studies\tstudy\tNNS\tI-NP\tO' +p167111 +aS'were\tbe\tVBD\tB-VP\tO' +p167112 +aS'all\tall\tDT\tB-NP\tO' +p167113 +aS'negative\tnegative\tJJ\tI-NP\tO' +p167114 +aS'for\tfor\tIN\tB-PP\tO' +p167115 +aS'evidence\tevidence\tNN\tB-NP\tO' +p167116 +aS'of\tof\tIN\tB-PP\tO' +p167117 +aS'metastatic\tmetastatic\tJJ\tB-NP\tO' +p167118 +aS'disease\tdisease\tNN\tI-NP\tO' +p167119 +aS'.\t.\t.\tO\tO' +p167120 +asS'Postoperatively , she developed ileus , then finally she recovered and she was discharged to the nursing home .' +p167121 +(lp167122 +S'Postoperatively\tPostoperatively\tRB\tB-ADVP\tO' +p167123 +aS',\t,\t,\tO\tO' +p167124 +aS'she\tshe\tPRP\tB-NP\tO' +p167125 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p167126 +aS'ileus\tileus\tNN\tB-NP\tO' +p167127 +aS',\t,\t,\tO\tO' +p167128 +aS'then\tthen\tRB\tO\tO' +p167129 +aS'finally\tfinally\tRB\tB-ADVP\tO' +p167130 +aS'she\tshe\tPRP\tB-NP\tO' +p167131 +aS'recovered\trecover\tVBD\tB-VP\tO' +p167132 +aS'and\tand\tCC\tO\tO' +p167133 +aS'she\tshe\tPRP\tB-NP\tO' +p167134 +aS'was\tbe\tVBD\tB-VP\tO' +p167135 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p167136 +aS'to\tto\tTO\tB-PP\tO' +p167137 +aS'the\tthe\tDT\tB-NP\tO' +p167138 +aS'nursing\tnursing\tNN\tI-NP\tO' +p167139 +aS'home\thome\tNN\tI-NP\tO' +p167140 +aS'.\t.\t.\tO\tO' +p167141 +asS'On 4/16 the pulmonary artery catheter was placed which revealed a wedge pressure of 8 , cardiac index of 4.5 , and an SVR of 5.8 .' +p167142 +(lp167143 +S'On\tOn\tIN\tB-PP\tO' +p167144 +aS'4/16\t4/16\tCD\tB-NP\tO' +p167145 +aS'the\tthe\tDT\tB-NP\tO' +p167146 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p167147 +aS'artery\tartery\tNN\tI-NP\tO' +p167148 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p167149 +aS'was\tbe\tVBD\tB-VP\tO' +p167150 +aS'placed\tplace\tVBN\tI-VP\tO' +p167151 +aS'which\twhich\tWDT\tB-NP\tO' +p167152 +aS'revealed\treveal\tVBD\tB-VP\tO' +p167153 +aS'a\ta\tDT\tB-NP\tO' +p167154 +aS'wedge\twedge\tNN\tI-NP\tO' +p167155 +aS'pressure\tpressure\tNN\tI-NP\tO' +p167156 +aS'of\tof\tIN\tB-PP\tO' +p167157 +aS'8\t8\tCD\tB-NP\tO' +p167158 +aS',\t,\t,\tO\tO' +p167159 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p167160 +aS'index\tindex\tNN\tI-NP\tO' +p167161 +aS'of\tof\tIN\tB-PP\tO' +p167162 +aS'4.5\t4.5\tCD\tB-NP\tO' +p167163 +aS',\t,\t,\tO\tO' +p167164 +aS'and\tand\tCC\tO\tO' +p167165 +aS'an\tan\tDT\tB-NP\tO' +p167166 +aS'SVR\tSVR\tNN\tI-NP\tB-protein' +p167167 +aS'of\tof\tIN\tB-PP\tO' +p167168 +aS'5.8\t5.8\tCD\tB-NP\tO' +p167169 +aS'.\t.\t.\tO\tO' +p167170 +asS'Mild inferior wall hypokinesis .' +p167171 +(lp167172 +S'Mild\tMild\tJJ\tB-NP\tO' +p167173 +aS'inferior\tinferior\tJJ\tI-NP\tO' +p167174 +aS'wall\twall\tNN\tI-NP\tO' +p167175 +aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' +p167176 +aS'.\t.\t.\tO\tO' +p167177 +asS'Signed electronically by : DR. Joyce Arney on : MON 2018-12-03 10:55 PM' +p167178 +(lp167179 +S'Signed\tSign\tVBN\tB-VP\tO' +p167180 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p167181 +aS'by\tby\tIN\tB-PP\tO' +p167182 +aS':\t:\t:\tO\tO' +p167183 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p167184 +aS'Joyce\tJoyce\tNNP\tI-NP\tO' +p167185 +aS'Arney\tArney\tNNP\tI-NP\tO' +p167186 +aS'on\ton\tIN\tB-PP\tO' +p167187 +aS':\t:\t:\tO\tO' +p167188 +aS'MON\tMON\tNN\tB-NP\tO' +p167189 +aS'2018-12-03\t2018-12-03\tCD\tI-NP\tO' +p167190 +aS'10:55\t10:55\tCD\tI-NP\tO' +p167191 +aS'PM\tPM\tNN\tI-NP\tO' +p167192 +asS'She was transferred to the CMED CCU for observation .' +p167193 +(lp167194 +S'She\tShe\tPRP\tB-NP\tO' +p167195 +aS'was\tbe\tVBD\tB-VP\tO' +p167196 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p167197 +aS'to\tto\tTO\tB-PP\tO' +p167198 +aS'the\tthe\tDT\tB-NP\tO' +p167199 +aS'CMED\tCMED\tVBN\tI-NP\tO' +p167200 +aS'CCU\tCCU\tNN\tI-NP\tO' +p167201 +aS'for\tfor\tIN\tB-PP\tO' +p167202 +aS'observation\tobservation\tNN\tB-NP\tO' +p167203 +aS'.\t.\t.\tO\tO' +p167204 +asS'PAPILLARY ADENOCARCINOMA OF THE LUNG .' +p167205 +(lp167206 +S'PAPILLARY\tPAPILLARY\tNN\tB-NP\tO' +p167207 +aS'ADENOCARCINOMA\tADENOCARCINOMA\tNN\tI-NP\tO' +p167208 +aS'OF\tOF\tIN\tB-PP\tO' +p167209 +aS'THE\tTHE\tDT\tB-NP\tO' +p167210 +aS'LUNG\tLUNG\tNN\tI-NP\tB-protein' +p167211 +aS'.\t.\t.\tO\tO' +p167212 +asS'Disp :* 180 Tablet , Chewable (s)* Refills :* 0 *' +p167213 +(lp167214 +S'Disp\tDisp\tNN\tB-NP\tO' +p167215 +aS':*\t:*\tSYM\tI-NP\tO' +p167216 +aS'180\t180\tCD\tI-NP\tO' +p167217 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p167218 +aS',\t,\t,\tO\tO' +p167219 +aS'Chewable\tChewable\tNNP\tB-NP\tO' +p167220 +aS'(s)*\t(s)*\tSYM\tB-NP\tO' +p167221 +aS'Refills\tRefill\tNNPS\tI-NP\tO' +p167222 +aS':*\t:*\tSYM\tI-NP\tO' +p167223 +aS'0\t0\tCD\tI-NP\tO' +p167224 +aS'*\t*\tSYM\tB-NP\tO' +p167225 +asS'His Westwood-Pocasset output for postoperative day one on the left was 60 , right neck 93 , in the arm 20 .' +p167226 +(lp167227 +S'His\tHis\tPRP$\tB-NP\tO' +p167228 +aS'Westwood-Pocasset\tWestwood-Pocasset\tJJ\tI-NP\tO' +p167229 +aS'output\toutput\tNN\tI-NP\tO' +p167230 +aS'for\tfor\tIN\tB-PP\tO' +p167231 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p167232 +aS'day\tday\tNN\tI-NP\tO' +p167233 +aS'one\tone\tCD\tI-NP\tO' +p167234 +aS'on\ton\tIN\tB-PP\tO' +p167235 +aS'the\tthe\tDT\tB-NP\tO' +p167236 +aS'left\tleft\tNN\tI-NP\tO' +p167237 +aS'was\tbe\tVBD\tB-VP\tO' +p167238 +aS'60\t60\tCD\tB-NP\tO' +p167239 +aS',\t,\t,\tO\tO' +p167240 +aS'right\tright\tJJ\tB-NP\tO' +p167241 +aS'neck\tneck\tNN\tI-NP\tO' +p167242 +aS'93\t93\tCD\tI-NP\tO' +p167243 +aS',\t,\t,\tO\tO' +p167244 +aS'in\tin\tIN\tB-PP\tO' +p167245 +aS'the\tthe\tDT\tB-NP\tO' +p167246 +aS'arm\tarm\tNN\tI-NP\tO' +p167247 +aS'20\t20\tCD\tI-NP\tO' +p167248 +aS'.\t.\t.\tO\tO' +p167249 +asS'Crackles bilaterally one-third to one-half the way up .' +p167250 +(lp167251 +S'Crackles\tCrackle\tNNS\tB-NP\tO' +p167252 +aS'bilaterally\tbilaterally\tRB\tB-ADJP\tO' +p167253 +aS'one-third\tone-third\tJJ\tI-ADJP\tO' +p167254 +aS'to\tto\tTO\tB-PP\tO' +p167255 +aS'one-half\tone-half\tJJ\tB-ADJP\tO' +p167256 +aS'the\tthe\tDT\tB-NP\tO' +p167257 +aS'way\tway\tNN\tI-NP\tO' +p167258 +aS'up\tup\tRP\tB-PRT\tO' +p167259 +aS'.\t.\t.\tO\tO' +p167260 +asS'Signed electronically by : DR. Kathy Tillis on : MON 2010-06-07 4:00 PM' +p167261 +(lp167262 +S'Signed\tSign\tVBN\tB-VP\tO' +p167263 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p167264 +aS'by\tby\tIN\tB-PP\tO' +p167265 +aS':\t:\t:\tO\tO' +p167266 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p167267 +aS'Kathy\tKathy\tNNP\tI-NP\tO' +p167268 +aS'Tillis\tTillis\tNNP\tI-NP\tO' +p167269 +aS'on\ton\tIN\tB-PP\tO' +p167270 +aS':\t:\t:\tO\tO' +p167271 +aS'MON\tMON\tNN\tB-NP\tO' +p167272 +aS'2010-06-07\t2010-06-07\tCD\tI-NP\tO' +p167273 +aS'4:00\t4:00\tCD\tI-NP\tO' +p167274 +aS'PM\tPM\tNN\tI-NP\tO' +p167275 +asS'The PICC line was placed on 12-29 .' +p167276 +(lp167277 +S'The\tThe\tDT\tB-NP\tO' +p167278 +aS'PICC\tPICC\tNN\tI-NP\tB-cell_line' +p167279 +aS'line\tline\tNN\tI-NP\tI-cell_line' +p167280 +aS'was\tbe\tVBD\tB-VP\tO' +p167281 +aS'placed\tplace\tVBN\tI-VP\tO' +p167282 +aS'on\ton\tIN\tB-PP\tO' +p167283 +aS'12-29\t12-29\tCD\tB-NP\tO' +p167284 +aS'.\t.\t.\tO\tO' +p167285 +asS'The patient is also treated with shots of morphine for intermittent pain .' +p167286 +(lp167287 +S'The\tThe\tDT\tB-NP\tO' +p167288 +aS'patient\tpatient\tNN\tI-NP\tO' +p167289 +aS'is\tbe\tVBZ\tB-VP\tO' +p167290 +aS'also\talso\tRB\tI-VP\tO' +p167291 +aS'treated\ttreat\tVBN\tI-VP\tO' +p167292 +aS'with\twith\tIN\tB-PP\tO' +p167293 +aS'shots\tshot\tNNS\tB-NP\tO' +p167294 +aS'of\tof\tIN\tB-PP\tO' +p167295 +aS'morphine\tmorphine\tNN\tB-NP\tO' +p167296 +aS'for\tfor\tIN\tB-PP\tO' +p167297 +aS'intermittent\tintermittent\tJJ\tB-NP\tO' +p167298 +aS'pain\tpain\tNN\tI-NP\tO' +p167299 +aS'.\t.\t.\tO\tO' +p167300 +asS'His nurse is going to contact you at home to schedule a time for a repeat procedure to remove that stent .' +p167301 +(lp167302 +S'His\tHis\tPRP$\tB-NP\tO' +p167303 +aS'nurse\tnurse\tNN\tI-NP\tO' +p167304 +aS'is\tbe\tVBZ\tB-VP\tO' +p167305 +aS'going\tgo\tVBG\tI-VP\tO' +p167306 +aS'to\tto\tTO\tI-VP\tO' +p167307 +aS'contact\tcontact\tVB\tI-VP\tO' +p167308 +aS'you\tyou\tPRP\tB-NP\tO' +p167309 +aS'at\tat\tIN\tB-PP\tO' +p167310 +aS'home\thome\tNN\tB-NP\tO' +p167311 +aS'to\tto\tTO\tB-VP\tO' +p167312 +aS'schedule\tschedule\tVB\tI-VP\tO' +p167313 +aS'a\ta\tDT\tB-NP\tO' +p167314 +aS'time\ttime\tNN\tI-NP\tO' +p167315 +aS'for\tfor\tIN\tB-PP\tO' +p167316 +aS'a\ta\tDT\tB-NP\tO' +p167317 +aS'repeat\trepeat\tNN\tI-NP\tO' +p167318 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p167319 +aS'to\tto\tTO\tB-VP\tO' +p167320 +aS'remove\tremove\tVB\tI-VP\tO' +p167321 +aS'that\tthat\tDT\tB-NP\tO' +p167322 +aS'stent\tstent\tNN\tI-NP\tO' +p167323 +aS'.\t.\t.\tO\tO' +p167324 +asS'Patient noted to be without corneal reflexes , spontaneous breathing , heart sounds , or palpable pulses .' +p167325 +(lp167326 +S'Patient\tPatient\tNN\tB-NP\tO' +p167327 +aS'noted\tnote\tVBD\tB-VP\tO' +p167328 +aS'to\tto\tTO\tI-VP\tO' +p167329 +aS'be\tbe\tVB\tI-VP\tO' +p167330 +aS'without\twithout\tIN\tB-PP\tO' +p167331 +aS'corneal\tcorneal\tJJ\tB-NP\tO' +p167332 +aS'reflexes\treflex\tNNS\tI-NP\tO' +p167333 +aS',\t,\t,\tO\tO' +p167334 +aS'spontaneous\tspontaneous\tJJ\tB-NP\tO' +p167335 +aS'breathing\tbreathing\tNN\tI-NP\tO' +p167336 +aS',\t,\t,\tO\tO' +p167337 +aS'heart\theart\tNN\tB-NP\tO' +p167338 +aS'sounds\tsound\tNNS\tI-NP\tO' +p167339 +aS',\t,\t,\tO\tO' +p167340 +aS'or\tor\tCC\tO\tO' +p167341 +aS'palpable\tpalpable\tJJ\tB-NP\tO' +p167342 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p167343 +aS'.\t.\t.\tO\tO' +p167344 +asS'Positive guarding .' +p167345 +(lp167346 +S'Positive\tPositive\tJJ\tB-NP\tO' +p167347 +aS'guarding\tguarding\tNN\tI-NP\tO' +p167348 +aS'.\t.\t.\tO\tO' +p167349 +asS'A blood culture obtained prior to starting antibiotics was no growth at 48 hours .' +p167350 +(lp167351 +S'A\tA\tDT\tB-NP\tO' +p167352 +aS'blood\tblood\tNN\tI-NP\tO' +p167353 +aS'culture\tculture\tNN\tI-NP\tO' +p167354 +aS'obtained\tobtain\tVBN\tB-VP\tO' +p167355 +aS'prior\tprior\tRB\tB-ADVP\tO' +p167356 +aS'to\tto\tTO\tB-PP\tO' +p167357 +aS'starting\tstart\tVBG\tB-NP\tO' +p167358 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p167359 +aS'was\tbe\tVBD\tB-VP\tO' +p167360 +aS'no\tno\tDT\tB-NP\tO' +p167361 +aS'growth\tgrowth\tNN\tI-NP\tO' +p167362 +aS'at\tat\tIN\tB-PP\tO' +p167363 +aS'48\t48\tCD\tB-NP\tO' +p167364 +aS'hours\thour\tNNS\tI-NP\tO' +p167365 +aS'.\t.\t.\tO\tO' +p167366 +asS'The blood culture was negative .' +p167367 +(lp167368 +S'The\tThe\tDT\tB-NP\tO' +p167369 +aS'blood\tblood\tNN\tI-NP\tO' +p167370 +aS'culture\tculture\tNN\tI-NP\tO' +p167371 +aS'was\tbe\tVBD\tB-VP\tO' +p167372 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p167373 +aS'.\t.\t.\tO\tO' +p167374 +asS'The patient was felt to have an underlying hypercoagulable state , thought to be the source for the repeated clots .' +p167375 +(lp167376 +S'The\tThe\tDT\tB-NP\tO' +p167377 +aS'patient\tpatient\tNN\tI-NP\tO' +p167378 +aS'was\tbe\tVBD\tB-VP\tO' +p167379 +aS'felt\tfeel\tVBN\tI-VP\tO' +p167380 +aS'to\tto\tTO\tI-VP\tO' +p167381 +aS'have\thave\tVB\tI-VP\tO' +p167382 +aS'an\tan\tDT\tB-NP\tO' +p167383 +aS'underlying\tunderlie\tVBG\tI-NP\tO' +p167384 +aS'hypercoagulable\thypercoagulable\tJJ\tI-NP\tO' +p167385 +aS'state\tstate\tNN\tI-NP\tO' +p167386 +aS',\t,\t,\tO\tO' +p167387 +aS'thought\tthink\tVBN\tB-VP\tO' +p167388 +aS'to\tto\tTO\tI-VP\tO' +p167389 +aS'be\tbe\tVB\tI-VP\tO' +p167390 +aS'the\tthe\tDT\tB-NP\tO' +p167391 +aS'source\tsource\tNN\tI-NP\tO' +p167392 +aS'for\tfor\tIN\tB-PP\tO' +p167393 +aS'the\tthe\tDT\tB-NP\tO' +p167394 +aS'repeated\trepeated\tJJ\tI-NP\tO' +p167395 +aS'clots\tclot\tNNS\tI-NP\tO' +p167396 +aS'.\t.\t.\tO\tO' +p167397 +asS'He still needs much intensive rehabilitation , encouragement to eat and encouragement to get out of bed to use the bathroom rather than abed pain or a diaper .' +p167398 +(lp167399 +S'He\tHe\tPRP\tB-NP\tO' +p167400 +aS'still\tstill\tRB\tB-ADVP\tO' +p167401 +aS'needs\tneed\tVBZ\tB-VP\tO' +p167402 +aS'much\tmuch\tJJ\tB-NP\tO' +p167403 +aS'intensive\tintensive\tJJ\tI-NP\tO' +p167404 +aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' +p167405 +aS',\t,\t,\tO\tO' +p167406 +aS'encouragement\tencouragement\tNN\tB-NP\tO' +p167407 +aS'to\tto\tTO\tB-VP\tO' +p167408 +aS'eat\teat\tVB\tI-VP\tO' +p167409 +aS'and\tand\tCC\tO\tO' +p167410 +aS'encouragement\tencouragement\tVB\tB-VP\tO' +p167411 +aS'to\tto\tTO\tI-VP\tO' +p167412 +aS'get\tget\tVB\tI-VP\tO' +p167413 +aS'out\tout\tIN\tB-PP\tO' +p167414 +aS'of\tof\tIN\tB-PP\tO' +p167415 +aS'bed\tbed\tNN\tB-NP\tO' +p167416 +aS'to\tto\tTO\tB-VP\tO' +p167417 +aS'use\tuse\tVB\tI-VP\tO' +p167418 +aS'the\tthe\tDT\tB-NP\tO' +p167419 +aS'bathroom\tbathroom\tNN\tI-NP\tO' +p167420 +aS'rather\trather\tRB\tB-PP\tO' +p167421 +aS'than\tthan\tIN\tI-PP\tO' +p167422 +aS'abed\tabed\tJJ\tB-NP\tO' +p167423 +aS'pain\tpain\tNN\tI-NP\tO' +p167424 +aS'or\tor\tCC\tO\tO' +p167425 +aS'a\ta\tDT\tB-NP\tO' +p167426 +aS'diaper\tdiaper\tNN\tI-NP\tO' +p167427 +aS'.\t.\t.\tO\tO' +p167428 +asS'CXR - Increased right pleural effusion and partial collapse of the right upper lung .' +p167429 +(lp167430 +S'CXR\tCXR\tNN\tB-NP\tB-protein' +p167431 +aS'-\t-\tHYPH\tO\tO' +p167432 +aS'Increased\tIncrease\tVBN\tB-VP\tO' +p167433 +aS'right\tright\tJJ\tB-NP\tO' +p167434 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p167435 +aS'effusion\teffusion\tNN\tI-NP\tO' +p167436 +aS'and\tand\tCC\tO\tO' +p167437 +aS'partial\tpartial\tJJ\tB-NP\tO' +p167438 +aS'collapse\tcollapse\tNN\tI-NP\tO' +p167439 +aS'of\tof\tIN\tB-PP\tO' +p167440 +aS'the\tthe\tDT\tB-NP\tO' +p167441 +aS'right\tright\tJJ\tI-NP\tO' +p167442 +aS'upper\tupper\tJJ\tI-NP\tO' +p167443 +aS'lung\tlung\tNN\tI-NP\tO' +p167444 +aS'.\t.\t.\tO\tO' +p167445 +asS'PERRL .' +p167446 +(lp167447 +S'PERRL\tPERRL\tNN\tB-NP\tB-protein' +p167448 +aS'.\t.\t.\tO\tO' +p167449 +asS'G3 , P3 , spontaneous vaginal delivery x3 .' +p167450 +(lp167451 +S'G3\tG3\tNN\tB-NP\tO' +p167452 +aS',\t,\t,\tO\tO' +p167453 +aS'P3\tP3\tNN\tB-NP\tB-DNA' +p167454 +aS',\t,\t,\tO\tO' +p167455 +aS'spontaneous\tspontaneous\tJJ\tB-NP\tO' +p167456 +aS'vaginal\tvaginal\tJJ\tI-NP\tO' +p167457 +aS'delivery\tdelivery\tNN\tI-NP\tO' +p167458 +aS'x3\tx3\tNN\tI-NP\tO' +p167459 +aS'.\t.\t.\tO\tO' +p167460 +asS'Attending : Pamela I Wickman , M.D.' +p167461 +(lp167462 +S'Attending\tAttend\tVBG\tB-VP\tO' +p167463 +aS':\t:\t:\tO\tO' +p167464 +aS'Pamela\tPamela\tNNP\tB-NP\tO' +p167465 +aS'I\tI\tNNP\tI-NP\tO' +p167466 +aS'Wickman\tWickman\tNNP\tI-NP\tO' +p167467 +aS',\t,\t,\tO\tO' +p167468 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p167469 +asS'After transfer to the Floor , the patient was continued on Levofloxacin for a ten to 14 day course for presumptive pneumonia .' +p167470 +(lp167471 +S'After\tAfter\tIN\tB-PP\tO' +p167472 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p167473 +aS'to\tto\tTO\tB-PP\tO' +p167474 +aS'the\tthe\tDT\tB-NP\tO' +p167475 +aS'Floor\tFloor\tNNP\tI-NP\tO' +p167476 +aS',\t,\t,\tO\tO' +p167477 +aS'the\tthe\tDT\tB-NP\tO' +p167478 +aS'patient\tpatient\tNN\tI-NP\tO' +p167479 +aS'was\tbe\tVBD\tB-VP\tO' +p167480 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p167481 +aS'on\ton\tIN\tB-PP\tO' +p167482 +aS'Levofloxacin\tLevofloxacin\tNN\tB-NP\tO' +p167483 +aS'for\tfor\tIN\tB-PP\tO' +p167484 +aS'a\ta\tDT\tB-NP\tO' +p167485 +aS'ten\tten\tCD\tI-NP\tO' +p167486 +aS'to\tto\tTO\tI-NP\tO' +p167487 +aS'14\t14\tCD\tI-NP\tO' +p167488 +aS'day\tday\tNN\tI-NP\tO' +p167489 +aS'course\tcourse\tNN\tI-NP\tO' +p167490 +aS'for\tfor\tIN\tB-PP\tO' +p167491 +aS'presumptive\tpresumptive\tJJ\tB-NP\tO' +p167492 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p167493 +aS'.\t.\t.\tO\tO' +p167494 +asS'2. 80-99% stenosis of the left internal carotid artery .' +p167495 +(lp167496 +S'2.\t2.\tLS\tB-LST\tO' +p167497 +aS'80-99%\t80-99%\t:\tO\tO' +p167498 +aS'stenosis\tstenosis\tNN\tB-NP\tO' +p167499 +aS'of\tof\tIN\tB-PP\tO' +p167500 +aS'the\tthe\tDT\tB-NP\tO' +p167501 +aS'left\tleft\tJJ\tI-NP\tO' +p167502 +aS'internal\tinternal\tJJ\tI-NP\tO' +p167503 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p167504 +aS'artery\tartery\tNN\tI-NP\tO' +p167505 +aS'.\t.\t.\tO\tO' +p167506 +asS'She has five grown children .' +p167507 +(lp167508 +S'She\tShe\tPRP\tB-NP\tO' +p167509 +aS'has\thave\tVBZ\tB-VP\tO' +p167510 +aS'five\tfive\tCD\tB-NP\tO' +p167511 +aS'grown\tgrown\tJJ\tI-NP\tO' +p167512 +aS'children\tchild\tNNS\tI-NP\tO' +p167513 +aS'.\t.\t.\tO\tO' +p167514 +asS'Therefore , it was recommended that she have aggressive Physical Therapy at an Acute Rehabilitation Center .' +p167515 +(lp167516 +S'Therefore\tTherefore\tRB\tB-ADVP\tO' +p167517 +aS',\t,\t,\tO\tO' +p167518 +aS'it\tit\tPRP\tB-NP\tO' +p167519 +aS'was\tbe\tVBD\tB-VP\tO' +p167520 +aS'recommended\trecommend\tVBN\tI-VP\tO' +p167521 +aS'that\tthat\tIN\tB-SBAR\tO' +p167522 +aS'she\tshe\tPRP\tB-NP\tO' +p167523 +aS'have\thave\tVBP\tB-VP\tO' +p167524 +aS'aggressive\taggressive\tJJ\tB-NP\tO' +p167525 +aS'Physical\tPhysical\tJJ\tI-NP\tO' +p167526 +aS'Therapy\tTherapy\tNN\tI-NP\tO' +p167527 +aS'at\tat\tIN\tB-PP\tO' +p167528 +aS'an\tan\tDT\tB-NP\tO' +p167529 +aS'Acute\tAcute\tNNP\tI-NP\tO' +p167530 +aS'Rehabilitation\tRehabilitation\tNNP\tI-NP\tO' +p167531 +aS'Center\tCenter\tNNP\tI-NP\tO' +p167532 +aS'.\t.\t.\tO\tO' +p167533 +asS'Future adjustments will be made at home pending his blood pressure measures .' +p167534 +(lp167535 +S'Future\tFuture\tJJ\tB-NP\tO' +p167536 +aS'adjustments\tadjustment\tNNS\tI-NP\tO' +p167537 +aS'will\twill\tMD\tB-VP\tO' +p167538 +aS'be\tbe\tVB\tI-VP\tO' +p167539 +aS'made\tmake\tVBN\tI-VP\tO' +p167540 +aS'at\tat\tIN\tB-PP\tO' +p167541 +aS'home\thome\tNN\tB-NP\tO' +p167542 +aS'pending\tpende\tVBG\tB-VP\tO' +p167543 +aS'his\this\tPRP$\tB-NP\tO' +p167544 +aS'blood\tblood\tNN\tI-NP\tO' +p167545 +aS'pressure\tpressure\tNN\tI-NP\tO' +p167546 +aS'measures\tmeasure\tNNS\tI-NP\tO' +p167547 +aS'.\t.\t.\tO\tO' +p167548 +asS'The patient was begun on Coumadin and he stayed several days for Coumadinization and was finally discharged on therapeutic Coumadin .' +p167549 +(lp167550 +S'The\tThe\tDT\tB-NP\tO' +p167551 +aS'patient\tpatient\tNN\tI-NP\tO' +p167552 +aS'was\tbe\tVBD\tB-VP\tO' +p167553 +aS'begun\tbegin\tVBN\tI-VP\tO' +p167554 +aS'on\ton\tIN\tB-PP\tO' +p167555 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p167556 +aS'and\tand\tCC\tO\tO' +p167557 +aS'he\the\tPRP\tB-NP\tO' +p167558 +aS'stayed\tstay\tVBD\tB-VP\tO' +p167559 +aS'several\tseveral\tJJ\tB-NP\tO' +p167560 +aS'days\tday\tNNS\tI-NP\tO' +p167561 +aS'for\tfor\tIN\tB-PP\tO' +p167562 +aS'Coumadinization\tCoumadinization\tNN\tB-NP\tO' +p167563 +aS'and\tand\tCC\tO\tO' +p167564 +aS'was\tbe\tVBD\tB-VP\tO' +p167565 +aS'finally\tfinally\tRB\tI-VP\tO' +p167566 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p167567 +aS'on\ton\tIN\tB-PP\tO' +p167568 +aS'therapeutic\ttherapeutic\tJJ\tB-NP\tO' +p167569 +aS'Coumadin\tCoumadin\tNN\tI-NP\tO' +p167570 +aS'.\t.\t.\tO\tO' +p167571 +asS'On that day she was taken to the operating room where she underwent an exam under anesthesia , an exploratory laparotomy with lysis of adhesions , tumor debulking and bilateral pelvic lymph node dissection .' +p167572 +(lp167573 +S'On\tOn\tIN\tB-PP\tO' +p167574 +aS'that\tthat\tDT\tB-NP\tO' +p167575 +aS'day\tday\tNN\tI-NP\tO' +p167576 +aS'she\tshe\tPRP\tB-NP\tO' +p167577 +aS'was\tbe\tVBD\tB-VP\tO' +p167578 +aS'taken\ttake\tVBN\tI-VP\tO' +p167579 +aS'to\tto\tTO\tB-PP\tO' +p167580 +aS'the\tthe\tDT\tB-NP\tO' +p167581 +aS'operating\toperating\tNN\tI-NP\tO' +p167582 +aS'room\troom\tNN\tI-NP\tO' +p167583 +aS'where\twhere\tWRB\tB-ADVP\tO' +p167584 +aS'she\tshe\tPRP\tB-NP\tO' +p167585 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p167586 +aS'an\tan\tDT\tB-NP\tO' +p167587 +aS'exam\texam\tNN\tI-NP\tO' +p167588 +aS'under\tunder\tIN\tB-PP\tO' +p167589 +aS'anesthesia\tanesthesia\tNN\tB-NP\tO' +p167590 +aS',\t,\t,\tO\tO' +p167591 +aS'an\tan\tDT\tB-NP\tO' +p167592 +aS'exploratory\texploratory\tJJ\tI-NP\tO' +p167593 +aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' +p167594 +aS'with\twith\tIN\tB-PP\tO' +p167595 +aS'lysis\tlysis\tNN\tB-NP\tO' +p167596 +aS'of\tof\tIN\tB-PP\tO' +p167597 +aS'adhesions\tadhesion\tNNS\tB-NP\tO' +p167598 +aS',\t,\t,\tO\tO' +p167599 +aS'tumor\ttumor\tNN\tB-NP\tO' +p167600 +aS'debulking\tdebulking\tNN\tI-NP\tO' +p167601 +aS'and\tand\tCC\tO\tO' +p167602 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p167603 +aS'pelvic\tpelvic\tJJ\tI-NP\tO' +p167604 +aS'lymph\tlymph\tNN\tI-NP\tO' +p167605 +aS'node\tnode\tNN\tI-NP\tO' +p167606 +aS'dissection\tdissection\tNN\tI-NP\tO' +p167607 +aS'.\t.\t.\tO\tO' +p167608 +asS'Supported on TPN for nutrition then switched to tube feeds .' +p167609 +(lp167610 +S'Supported\tSupport\tVBN\tB-VP\tO' +p167611 +aS'on\ton\tIN\tB-PP\tO' +p167612 +aS'TPN\tTPN\tNN\tB-NP\tB-protein' +p167613 +aS'for\tfor\tIN\tB-PP\tO' +p167614 +aS'nutrition\tnutrition\tNN\tB-NP\tO' +p167615 +aS'then\tthen\tRB\tB-ADVP\tO' +p167616 +aS'switched\tswitch\tVBD\tB-VP\tO' +p167617 +aS'to\tto\tTO\tI-VP\tO' +p167618 +aS'tube\ttube\tVB\tI-VP\tO' +p167619 +aS'feeds\tfeed\tNNS\tB-NP\tO' +p167620 +aS'.\t.\t.\tO\tO' +p167621 +asS'As of 4/7 , her electrocardiogram had reverted back to normal and there is no evidence of congestive heart failure or continued electrocardiogram changes , and chest pain is absent .' +p167622 +(lp167623 +S'As\tAs\tIN\tB-PP\tO' +p167624 +aS'of\tof\tIN\tB-PP\tO' +p167625 +aS'4/7\t4/7\tCD\tB-NP\tO' +p167626 +aS',\t,\t,\tO\tO' +p167627 +aS'her\ther\tPRP$\tB-NP\tO' +p167628 +aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' +p167629 +aS'had\thave\tVBD\tB-VP\tO' +p167630 +aS'reverted\trevert\tVBN\tI-VP\tO' +p167631 +aS'back\tback\tRB\tB-ADVP\tO' +p167632 +aS'to\tto\tTO\tB-PP\tO' +p167633 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p167634 +aS'and\tand\tCC\tO\tO' +p167635 +aS'there\tthere\tEX\tB-NP\tO' +p167636 +aS'is\tbe\tVBZ\tB-VP\tO' +p167637 +aS'no\tno\tDT\tB-NP\tO' +p167638 +aS'evidence\tevidence\tNN\tI-NP\tO' +p167639 +aS'of\tof\tIN\tB-PP\tO' +p167640 +aS'congestive\tcongestive\tJJ\tB-NP\tO' +p167641 +aS'heart\theart\tNN\tI-NP\tO' +p167642 +aS'failure\tfailure\tNN\tI-NP\tO' +p167643 +aS'or\tor\tCC\tO\tO' +p167644 +aS'continued\tcontinued\tJJ\tB-NP\tO' +p167645 +aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' +p167646 +aS'changes\tchange\tNNS\tI-NP\tO' +p167647 +aS',\t,\t,\tO\tO' +p167648 +aS'and\tand\tCC\tO\tO' +p167649 +aS'chest\tchest\tNN\tB-NP\tO' +p167650 +aS'pain\tpain\tNN\tI-NP\tO' +p167651 +aS'is\tbe\tVBZ\tB-VP\tO' +p167652 +aS'absent\tabsent\tJJ\tB-ADJP\tO' +p167653 +aS'.\t.\t.\tO\tO' +p167654 +asS'severe COPD Pneumonia recovering alcoholic recovering barbituate abuse unexplained hct drop poor appetite x 1 week' +p167655 +(lp167656 +S'severe\tsevere\tJJ\tB-NP\tO' +p167657 +aS'COPD\tCOPD\tNN\tI-NP\tO' +p167658 +aS'Pneumonia\tPneumonia\tNN\tI-NP\tO' +p167659 +aS'recovering\trecover\tVBG\tB-VP\tO' +p167660 +aS'alcoholic\talcoholic\tJJ\tB-NP\tO' +p167661 +aS'recovering\trecover\tVBG\tI-NP\tO' +p167662 +aS'barbituate\tbarbituate\tNN\tI-NP\tO' +p167663 +aS'abuse\tabuse\tNN\tI-NP\tO' +p167664 +aS'unexplained\tunexplained\tJJ\tI-NP\tO' +p167665 +aS'hct\thct\tNN\tI-NP\tO' +p167666 +aS'drop\tdrop\tNN\tI-NP\tO' +p167667 +aS'poor\tpoor\tJJ\tI-NP\tO' +p167668 +aS'appetite\tappetite\tNN\tI-NP\tO' +p167669 +aS'x\tx\tSYM\tO\tO' +p167670 +aS'1\t1\tCD\tB-NP\tO' +p167671 +aS'week\tweek\tNN\tI-NP\tO' +p167672 +asS'She is usually managed on an insulin pump .' +p167673 +(lp167674 +S'She\tShe\tPRP\tB-NP\tO' +p167675 +aS'is\tbe\tVBZ\tB-VP\tO' +p167676 +aS'usually\tusually\tRB\tI-VP\tO' +p167677 +aS'managed\tmanage\tVBN\tI-VP\tO' +p167678 +aS'on\ton\tIN\tB-PP\tO' +p167679 +aS'an\tan\tDT\tB-NP\tO' +p167680 +aS'insulin\tinsulin\tNN\tI-NP\tO' +p167681 +aS'pump\tpump\tNN\tI-NP\tO' +p167682 +aS'.\t.\t.\tO\tO' +p167683 +asS'The patient 's recent history is also notable for a Papanicolaou smear which revealed somomabodies .' +p167684 +(lp167685 +S'The\tThe\tDT\tB-NP\tO' +p167686 +aS'patient\tpatient\tNN\tI-NP\tO' +p167687 +aS''s\t'\tNNS\tI-NP\tO' +p167688 +aS'recent\trecent\tJJ\tB-NP\tO' +p167689 +aS'history\thistory\tNN\tI-NP\tO' +p167690 +aS'is\tbe\tVBZ\tB-VP\tO' +p167691 +aS'also\talso\tRB\tB-ADVP\tO' +p167692 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p167693 +aS'for\tfor\tIN\tB-PP\tO' +p167694 +aS'a\ta\tDT\tB-NP\tO' +p167695 +aS'Papanicolaou\tPapanicolaou\tNN\tI-NP\tO' +p167696 +aS'smear\tsmear\tNN\tI-NP\tO' +p167697 +aS'which\twhich\tWDT\tB-NP\tO' +p167698 +aS'revealed\treveal\tVBD\tB-VP\tO' +p167699 +aS'somomabodies\tsomomabody\tNNS\tB-NP\tO' +p167700 +aS'.\t.\t.\tO\tO' +p167701 +asS'8) Miracle Creamtopical q day p.r.n. skin irritation .' +p167702 +(lp167703 +S'8)\t8)\tLS\tB-NP\tO' +p167704 +aS'Miracle\tMiracle\tNNP\tI-NP\tO' +p167705 +aS'Creamtopical\tCreamtopical\tNNP\tI-NP\tO' +p167706 +aS'q\tq\tNN\tI-NP\tO' +p167707 +aS'day\tday\tNN\tI-NP\tO' +p167708 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p167709 +aS'skin\tskin\tNN\tI-NP\tO' +p167710 +aS'irritation\tirritation\tNN\tI-NP\tO' +p167711 +aS'.\t.\t.\tO\tO' +p167712 +asS'She denies any tobacco .' +p167713 +(lp167714 +S'She\tShe\tPRP\tB-NP\tO' +p167715 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p167716 +aS'any\tany\tDT\tB-NP\tO' +p167717 +aS'tobacco\ttobacco\tNN\tI-NP\tO' +p167718 +aS'.\t.\t.\tO\tO' +p167719 +asS'The aortic valve leaflets appear structurally normal with good leaflet excursion .' +p167720 +(lp167721 +S'The\tThe\tDT\tB-NP\tO' +p167722 +aS'aortic\taortic\tJJ\tI-NP\tO' +p167723 +aS'valve\tvalve\tNN\tI-NP\tO' +p167724 +aS'leaflets\tleaflet\tNNS\tI-NP\tO' +p167725 +aS'appear\tappear\tVBP\tB-VP\tO' +p167726 +aS'structurally\tstructurally\tRB\tB-ADJP\tO' +p167727 +aS'normal\tnormal\tJJ\tI-ADJP\tO' +p167728 +aS'with\twith\tIN\tB-PP\tO' +p167729 +aS'good\tgood\tJJ\tB-NP\tO' +p167730 +aS'leaflet\tleaflet\tNN\tI-NP\tO' +p167731 +aS'excursion\texcursion\tNN\tI-NP\tO' +p167732 +aS'.\t.\t.\tO\tO' +p167733 +asS'DILATED CARDIOMYOPATHY .' +p167734 +(lp167735 +S'DILATED\tDILATED\tVBN\tB-NP\tO' +p167736 +aS'CARDIOMYOPATHY\tCARDIOMYOPATHY\tNN\tI-NP\tO' +p167737 +aS'.\t.\t.\tO\tO' +p167738 +asS'Menarche at 13 , regular menses to the age of 46 .' +p167739 +(lp167740 +S'Menarche\tMenarche\tNNP\tB-NP\tO' +p167741 +aS'at\tat\tIN\tB-PP\tO' +p167742 +aS'13\t13\tCD\tB-NP\tO' +p167743 +aS',\t,\t,\tO\tO' +p167744 +aS'regular\tregular\tJJ\tB-NP\tO' +p167745 +aS'menses\tmens\tNNS\tI-NP\tO' +p167746 +aS'to\tto\tTO\tB-PP\tO' +p167747 +aS'the\tthe\tDT\tB-NP\tO' +p167748 +aS'age\tage\tNN\tI-NP\tO' +p167749 +aS'of\tof\tIN\tB-PP\tO' +p167750 +aS'46\t46\tCD\tB-NP\tO' +p167751 +aS'.\t.\t.\tO\tO' +p167752 +asS'baseline LFTs wnl ; taking cardiac / ADA diet as glu remains elevated' +p167753 +(lp167754 +S'baseline\tbaseline\tNN\tB-NP\tO' +p167755 +aS'LFTs\tLFT\tNNS\tI-NP\tO' +p167756 +aS'wnl\twnl\tNN\tI-NP\tO' +p167757 +aS';\t;\t:\tO\tO' +p167758 +aS'taking\ttake\tVBG\tB-VP\tO' +p167759 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p167760 +aS'/\t/\tSYM\tI-NP\tO' +p167761 +aS'ADA\tADA\tNN\tI-NP\tO' +p167762 +aS'diet\tdiet\tNN\tI-NP\tO' +p167763 +aS'as\tas\tIN\tB-SBAR\tO' +p167764 +aS'glu\tglu\tNN\tB-NP\tO' +p167765 +aS'remains\tremain\tVBZ\tB-VP\tO' +p167766 +aS'elevated\televated\tJJ\tB-ADJP\tO' +p167767 +asS'Mild pulmonary edema is unchanged .' +p167768 +(lp167769 +S'Mild\tMild\tJJ\tB-NP\tO' +p167770 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p167771 +aS'edema\tedema\tNN\tI-NP\tO' +p167772 +aS'is\tbe\tVBZ\tB-VP\tO' +p167773 +aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' +p167774 +aS'.\t.\t.\tO\tO' +p167775 +asS'He was noted to be cardiogenic shock requiring pressors .' +p167776 +(lp167777 +S'He\tHe\tPRP\tB-NP\tO' +p167778 +aS'was\tbe\tVBD\tB-VP\tO' +p167779 +aS'noted\tnote\tVBN\tI-VP\tO' +p167780 +aS'to\tto\tTO\tI-VP\tO' +p167781 +aS'be\tbe\tVB\tI-VP\tO' +p167782 +aS'cardiogenic\tcardiogenic\tJJ\tB-NP\tB-protein' +p167783 +aS'shock\tshock\tNN\tI-NP\tI-protein' +p167784 +aS'requiring\trequire\tVBG\tB-VP\tI-protein' +p167785 +aS'pressors\tpressor\tNNS\tB-NP\tI-protein' +p167786 +aS'.\t.\t.\tO\tO' +p167787 +asS'It was felt that her symptoms were secondary to gastroparesis .' +p167788 +(lp167789 +S'It\tIt\tPRP\tB-NP\tO' +p167790 +aS'was\tbe\tVBD\tB-VP\tO' +p167791 +aS'felt\tfeel\tVBN\tI-VP\tO' +p167792 +aS'that\tthat\tIN\tB-SBAR\tO' +p167793 +aS'her\ther\tPRP$\tB-NP\tO' +p167794 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p167795 +aS'were\tbe\tVBD\tB-VP\tO' +p167796 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p167797 +aS'to\tto\tTO\tB-PP\tO' +p167798 +aS'gastroparesis\tgastroparesis\tNN\tB-NP\tO' +p167799 +aS'.\t.\t.\tO\tO' +p167800 +asS'Urine and serum toxicology screen negative .' +p167801 +(lp167802 +S'Urine\tUrine\tNN\tB-NP\tO' +p167803 +aS'and\tand\tCC\tI-NP\tO' +p167804 +aS'serum\tserum\tNN\tI-NP\tO' +p167805 +aS'toxicology\ttoxicology\tNN\tI-NP\tO' +p167806 +aS'screen\tscreen\tNN\tI-NP\tO' +p167807 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p167808 +aS'.\t.\t.\tO\tO' +p167809 +asS'CV - Ischemia ASA , lisinopril Pump no evidence of failure' +p167810 +(lp167811 +S'CV\tCV\tNN\tB-NP\tO' +p167812 +aS'-\t-\tHYPH\tI-NP\tO' +p167813 +aS'Ischemia\tIschemia\tNN\tI-NP\tO' +p167814 +aS'ASA\tASA\tNN\tI-NP\tO' +p167815 +aS',\t,\t,\tO\tO' +p167816 +aS'lisinopril\tlisinopril\tNN\tB-NP\tO' +p167817 +aS'Pump\tPump\tNNP\tI-NP\tO' +p167818 +aS'no\tno\tDT\tB-NP\tO' +p167819 +aS'evidence\tevidence\tNN\tI-NP\tO' +p167820 +aS'of\tof\tIN\tB-PP\tO' +p167821 +aS'failure\tfailure\tNN\tB-NP\tO' +p167822 +asS'He was neurovascularly intact .' +p167823 +(lp167824 +S'He\tHe\tPRP\tB-NP\tO' +p167825 +aS'was\tbe\tVBD\tB-VP\tO' +p167826 +aS'neurovascularly\tneurovascularly\tRB\tB-ADJP\tO' +p167827 +aS'intact\tintact\tJJ\tI-ADJP\tO' +p167828 +aS'.\t.\t.\tO\tO' +p167829 +asS'12. Pacemaker - DDD dual chamber rate response pacemaker 2011-08-22 for symptomatic bradycardia' +p167830 +(lp167831 +S'12.\t12.\tLS\tB-NP\tO' +p167832 +aS'Pacemaker\tPacemaker\tNN\tI-NP\tO' +p167833 +aS'-\t-\tHYPH\tB-NP\tO' +p167834 +aS'DDD\tDDD\tNN\tI-NP\tO' +p167835 +aS'dual\tdual\tJJ\tI-NP\tO' +p167836 +aS'chamber\tchamber\tNN\tI-NP\tO' +p167837 +aS'rate\trate\tNN\tI-NP\tO' +p167838 +aS'response\tresponse\tNN\tI-NP\tO' +p167839 +aS'pacemaker\tpacemaker\tNN\tI-NP\tO' +p167840 +aS'2011-08-22\t2011-08-22\tCD\tI-NP\tO' +p167841 +aS'for\tfor\tIN\tB-PP\tO' +p167842 +aS'symptomatic\tsymptomatic\tJJ\tB-NP\tO' +p167843 +aS'bradycardia\tbradycardia\tNNS\tI-NP\tO' +p167844 +asS'1. A small amount of free air and free fluid in the pelvis and abdomen , mostly along the right pericolic gutter and surrounding the ascending colon , concerning for perforation .' +p167845 +(lp167846 +S'1.\t1.\tLS\tB-LST\tO' +p167847 +aS'A\tA\tDT\tB-NP\tO' +p167848 +aS'small\tsmall\tJJ\tI-NP\tO' +p167849 +aS'amount\tamount\tNN\tI-NP\tO' +p167850 +aS'of\tof\tIN\tB-PP\tO' +p167851 +aS'free\tfree\tJJ\tB-NP\tO' +p167852 +aS'air\tair\tNN\tI-NP\tO' +p167853 +aS'and\tand\tCC\tO\tO' +p167854 +aS'free\tfree\tJJ\tB-NP\tO' +p167855 +aS'fluid\tfluid\tNN\tI-NP\tO' +p167856 +aS'in\tin\tIN\tB-PP\tO' +p167857 +aS'the\tthe\tDT\tB-NP\tO' +p167858 +aS'pelvis\tpelvis\tNN\tI-NP\tO' +p167859 +aS'and\tand\tCC\tI-NP\tO' +p167860 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p167861 +aS',\t,\t,\tO\tO' +p167862 +aS'mostly\tmostly\tRB\tB-PP\tO' +p167863 +aS'along\talong\tIN\tI-PP\tO' +p167864 +aS'the\tthe\tDT\tB-NP\tO' +p167865 +aS'right\tright\tJJ\tI-NP\tO' +p167866 +aS'pericolic\tpericolic\tJJ\tI-NP\tO' +p167867 +aS'gutter\tgutter\tNN\tI-NP\tO' +p167868 +aS'and\tand\tCC\tO\tO' +p167869 +aS'surrounding\tsurround\tVBG\tB-VP\tO' +p167870 +aS'the\tthe\tDT\tB-NP\tO' +p167871 +aS'ascending\tascend\tVBG\tI-NP\tO' +p167872 +aS'colon\tcolon\tNN\tI-NP\tO' +p167873 +aS',\t,\t,\tO\tO' +p167874 +aS'concerning\tconcern\tVBG\tB-VP\tO' +p167875 +aS'for\tfor\tIN\tB-PP\tO' +p167876 +aS'perforation\tperforation\tNN\tB-NP\tO' +p167877 +aS'.\t.\t.\tO\tO' +p167878 +asS'The patient was started on Amiodarone and diuresed .' +p167879 +(lp167880 +S'The\tThe\tDT\tB-NP\tO' +p167881 +aS'patient\tpatient\tNN\tI-NP\tO' +p167882 +aS'was\tbe\tVBD\tB-VP\tO' +p167883 +aS'started\tstart\tVBN\tI-VP\tO' +p167884 +aS'on\ton\tIN\tB-PP\tO' +p167885 +aS'Amiodarone\tAmiodarone\tNN\tB-NP\tO' +p167886 +aS'and\tand\tCC\tO\tO' +p167887 +aS'diuresed\tdiurese\tVBN\tB-VP\tO' +p167888 +aS'.\t.\t.\tO\tO' +p167889 +asS'The patient will be transferred to the Inpatient Psychiatry Unit on Springfield Municipal Hospital IV for further evaluation and treatment of his depression and possible suicidal ideation .' +p167890 +(lp167891 +S'The\tThe\tDT\tB-NP\tO' +p167892 +aS'patient\tpatient\tNN\tI-NP\tO' +p167893 +aS'will\twill\tMD\tB-VP\tO' +p167894 +aS'be\tbe\tVB\tI-VP\tO' +p167895 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p167896 +aS'to\tto\tTO\tB-PP\tO' +p167897 +aS'the\tthe\tDT\tB-NP\tO' +p167898 +aS'Inpatient\tInpatient\tNNP\tI-NP\tO' +p167899 +aS'Psychiatry\tPsychiatry\tNNP\tI-NP\tO' +p167900 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p167901 +aS'on\ton\tIN\tB-PP\tO' +p167902 +aS'Springfield\tSpringfield\tNNP\tB-NP\tO' +p167903 +aS'Municipal\tMunicipal\tNNP\tI-NP\tO' +p167904 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p167905 +aS'IV\tIV\tNNP\tI-NP\tO' +p167906 +aS'for\tfor\tIN\tB-PP\tO' +p167907 +aS'further\tfurther\tJJ\tB-NP\tO' +p167908 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p167909 +aS'and\tand\tCC\tI-NP\tO' +p167910 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p167911 +aS'of\tof\tIN\tB-PP\tO' +p167912 +aS'his\this\tPRP$\tB-NP\tO' +p167913 +aS'depression\tdepression\tNN\tI-NP\tO' +p167914 +aS'and\tand\tCC\tI-NP\tO' +p167915 +aS'possible\tpossible\tJJ\tI-NP\tO' +p167916 +aS'suicidal\tsuicidal\tJJ\tI-NP\tO' +p167917 +aS'ideation\tideation\tNN\tI-NP\tO' +p167918 +aS'.\t.\t.\tO\tO' +p167919 +asS'8. Flonase 2 puffs twice per day .' +p167920 +(lp167921 +S'8.\t8.\tCD\tB-NP\tO' +p167922 +aS'Flonase\tFlonase\tNN\tI-NP\tO' +p167923 +aS'2\t2\tCD\tB-NP\tO' +p167924 +aS'puffs\tpuff\tNNS\tI-NP\tO' +p167925 +aS'twice\ttwice\tRB\tB-ADVP\tO' +p167926 +aS'per\tper\tIN\tB-PP\tO' +p167927 +aS'day\tday\tNN\tB-NP\tO' +p167928 +aS'.\t.\t.\tO\tO' +p167929 +asS'This is a 56 year-old gentleman with severe aortic stenosis , reports having been told he had a heart murmur many years ago but just recently diagnosed with aortic stenosis .' +p167930 +(lp167931 +S'This\tThis\tDT\tB-NP\tO' +p167932 +aS'is\tbe\tVBZ\tB-VP\tO' +p167933 +aS'a\ta\tDT\tB-NP\tO' +p167934 +aS'56\t56\tCD\tI-NP\tO' +p167935 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p167936 +aS'gentleman\tgentleman\tNN\tI-NP\tO' +p167937 +aS'with\twith\tIN\tB-PP\tO' +p167938 +aS'severe\tsevere\tJJ\tB-NP\tO' +p167939 +aS'aortic\taortic\tJJ\tI-NP\tO' +p167940 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p167941 +aS',\t,\t,\tO\tO' +p167942 +aS'reports\treport\tNNS\tB-NP\tO' +p167943 +aS'having\thave\tVBG\tB-VP\tO' +p167944 +aS'been\tbe\tVBN\tI-VP\tO' +p167945 +aS'told\ttell\tVBN\tI-VP\tO' +p167946 +aS'he\the\tPRP\tB-NP\tO' +p167947 +aS'had\thave\tVBD\tB-VP\tO' +p167948 +aS'a\ta\tDT\tB-NP\tO' +p167949 +aS'heart\theart\tNN\tI-NP\tO' +p167950 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p167951 +aS'many\tmany\tJJ\tB-NP\tO' +p167952 +aS'years\tyear\tNNS\tI-NP\tO' +p167953 +aS'ago\tago\tRB\tB-ADVP\tO' +p167954 +aS'but\tbut\tCC\tB-VP\tO' +p167955 +aS'just\tjust\tRB\tI-VP\tO' +p167956 +aS'recently\trecently\tRB\tI-VP\tO' +p167957 +aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' +p167958 +aS'with\twith\tIN\tB-PP\tO' +p167959 +aS'aortic\taortic\tJJ\tB-NP\tO' +p167960 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p167961 +aS'.\t.\t.\tO\tO' +p167962 +asS'Nothing in the vagina for 6 weeks' +p167963 +(lp167964 +S'Nothing\tNothing\tNN\tB-NP\tO' +p167965 +aS'in\tin\tIN\tB-PP\tO' +p167966 +aS'the\tthe\tDT\tB-NP\tO' +p167967 +aS'vagina\tvagina\tNN\tI-NP\tO' +p167968 +aS'for\tfor\tIN\tB-PP\tO' +p167969 +aS'6\t6\tCD\tB-NP\tO' +p167970 +aS'weeks\tweek\tNNS\tI-NP\tO' +p167971 +asS'Mr. Andersen is a 71-year-old male with worsening anginal symptoms who underwent catheterization that showed severe three-vessel disease .' +p167972 +(lp167973 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p167974 +aS'Andersen\tAndersen\tNNP\tI-NP\tO' +p167975 +aS'is\tbe\tVBZ\tB-VP\tO' +p167976 +aS'a\ta\tDT\tB-NP\tO' +p167977 +aS'71-year-old\t71-year-old\tJJ\tI-NP\tO' +p167978 +aS'male\tmale\tNN\tI-NP\tO' +p167979 +aS'with\twith\tIN\tB-PP\tO' +p167980 +aS'worsening\tworsen\tVBG\tB-VP\tO' +p167981 +aS'anginal\tanginal\tJJ\tB-NP\tO' +p167982 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p167983 +aS'who\twho\tWP\tB-NP\tO' +p167984 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p167985 +aS'catheterization\tcatheterization\tNN\tB-NP\tO' +p167986 +aS'that\tthat\tWDT\tB-NP\tO' +p167987 +aS'showed\tshow\tVBD\tB-VP\tO' +p167988 +aS'severe\tsevere\tJJ\tB-NP\tO' +p167989 +aS'three-vessel\tthree-vessel\tJJ\tI-NP\tO' +p167990 +aS'disease\tdisease\tNN\tI-NP\tO' +p167991 +aS'.\t.\t.\tO\tO' +p167992 +asS'She was found to have symptoms of congestive heart failure as well as decreased fetal movement .' +p167993 +(lp167994 +S'She\tShe\tPRP\tB-NP\tO' +p167995 +aS'was\tbe\tVBD\tB-VP\tO' +p167996 +aS'found\tfind\tVBN\tI-VP\tO' +p167997 +aS'to\tto\tTO\tI-VP\tO' +p167998 +aS'have\thave\tVB\tI-VP\tO' +p167999 +aS'symptoms\tsymptom\tNNS\tB-NP\tO' +p168000 +aS'of\tof\tIN\tB-PP\tO' +p168001 +aS'congestive\tcongestive\tJJ\tB-NP\tO' +p168002 +aS'heart\theart\tNN\tI-NP\tO' +p168003 +aS'failure\tfailure\tNN\tI-NP\tO' +p168004 +aS'as\tas\tRB\tB-CONJP\tO' +p168005 +aS'well\twell\tRB\tI-CONJP\tO' +p168006 +aS'as\tas\tIN\tI-CONJP\tO' +p168007 +aS'decreased\tdecrease\tVBN\tB-NP\tO' +p168008 +aS'fetal\tfetal\tJJ\tI-NP\tO' +p168009 +aS'movement\tmovement\tNN\tI-NP\tO' +p168010 +aS'.\t.\t.\tO\tO' +p168011 +asS'The patient is a jaundiced looking gentlemen in no acute distress .' +p168012 +(lp168013 +S'The\tThe\tDT\tB-NP\tO' +p168014 +aS'patient\tpatient\tNN\tI-NP\tO' +p168015 +aS'is\tbe\tVBZ\tB-VP\tO' +p168016 +aS'a\ta\tDT\tB-NP\tO' +p168017 +aS'jaundiced\tjaundice\tVBN\tI-NP\tO' +p168018 +aS'looking\tlook\tVBG\tI-NP\tO' +p168019 +aS'gentlemen\tgentleman\tNNS\tI-NP\tO' +p168020 +aS'in\tin\tIN\tB-PP\tO' +p168021 +aS'no\tno\tDT\tB-NP\tO' +p168022 +aS'acute\tacute\tJJ\tI-NP\tO' +p168023 +aS'distress\tdistress\tNN\tI-NP\tO' +p168024 +aS'.\t.\t.\tO\tO' +p168025 +asS'1 hour and 48 minutes .' +p168026 +(lp168027 +S'1\t1\tCD\tB-NP\tO' +p168028 +aS'hour\thour\tNN\tI-NP\tO' +p168029 +aS'and\tand\tCC\tO\tO' +p168030 +aS'48\t48\tCD\tB-NP\tO' +p168031 +aS'minutes\tminute\tNNS\tI-NP\tO' +p168032 +aS'.\t.\t.\tO\tO' +p168033 +asS'Adenosine stress MIBI revealed a small reversible defect in the PDA territory and the patient underwent coronary catheterisation on 1/6/0004 which revealed a 70% lesion in the SVG to PDA -> cypher stented successfully .' +p168034 +(lp168035 +S'Adenosine\tAdenosine\tNN\tB-NP\tO' +p168036 +aS'stress\tstress\tNN\tI-NP\tO' +p168037 +aS'MIBI\tMIBI\tNNP\tI-NP\tO' +p168038 +aS'revealed\treveal\tVBD\tB-VP\tO' +p168039 +aS'a\ta\tDT\tB-NP\tO' +p168040 +aS'small\tsmall\tJJ\tI-NP\tO' +p168041 +aS'reversible\treversible\tJJ\tI-NP\tO' +p168042 +aS'defect\tdefect\tNN\tI-NP\tO' +p168043 +aS'in\tin\tIN\tB-PP\tO' +p168044 +aS'the\tthe\tDT\tB-NP\tO' +p168045 +aS'PDA\tPDA\tNN\tI-NP\tO' +p168046 +aS'territory\tterritory\tNN\tI-NP\tO' +p168047 +aS'and\tand\tCC\tO\tO' +p168048 +aS'the\tthe\tDT\tB-NP\tO' +p168049 +aS'patient\tpatient\tNN\tI-NP\tO' +p168050 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p168051 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p168052 +aS'catheterisation\tcatheterisation\tNN\tI-NP\tO' +p168053 +aS'on\ton\tIN\tB-PP\tO' +p168054 +aS'1/6/0004\t1/6/0004\tCD\tB-NP\tO' +p168055 +aS'which\twhich\tWDT\tB-NP\tO' +p168056 +aS'revealed\treveal\tVBD\tB-VP\tO' +p168057 +aS'a\ta\tDT\tB-NP\tO' +p168058 +aS'70%\t70%\tJJ\tI-NP\tO' +p168059 +aS'lesion\tlesion\tNN\tI-NP\tO' +p168060 +aS'in\tin\tIN\tB-PP\tO' +p168061 +aS'the\tthe\tDT\tB-NP\tO' +p168062 +aS'SVG\tSVG\tNN\tI-NP\tO' +p168063 +aS'to\tto\tTO\tB-PP\tO' +p168064 +aS'PDA\tPDA\tNN\tB-NP\tB-protein' +p168065 +aS'->\t->\tSYM\tB-NP\tO' +p168066 +aS'cypher\tcypher\tNN\tI-NP\tO' +p168067 +aS'stented\tstente\tVBD\tB-VP\tO' +p168068 +aS'successfully\tsuccessfully\tRB\tB-ADVP\tO' +p168069 +aS'.\t.\t.\tO\tO' +p168070 +asS'INR of 1.3 , PTT of 30.3 .' +p168071 +(lp168072 +S'INR\tINR\tNN\tB-NP\tB-protein' +p168073 +aS'of\tof\tIN\tB-PP\tO' +p168074 +aS'1.3\t1.3\tCD\tB-NP\tO' +p168075 +aS',\t,\t,\tO\tO' +p168076 +aS'PTT\tPTT\tNN\tB-NP\tO' +p168077 +aS'of\tof\tIN\tB-PP\tO' +p168078 +aS'30.3\t30.3\tCD\tB-NP\tO' +p168079 +aS'.\t.\t.\tO\tO' +p168080 +asS'7. Hyoscyamine Sulfate 0.125 mg Tablet Sig : One ( 1 ) Tablet PO QID ( 4 times a day ) .' +p168081 +(lp168082 +S'7.\t7.\tLS\tB-NP\tO' +p168083 +aS'Hyoscyamine\tHyoscyamine\tNN\tI-NP\tO' +p168084 +aS'Sulfate\tSulfate\tNN\tI-NP\tO' +p168085 +aS'0.125\t0.125\tCD\tI-NP\tO' +p168086 +aS'mg\tmg\tNN\tI-NP\tO' +p168087 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p168088 +aS'Sig\tSig\tNNP\tI-NP\tO' +p168089 +aS':\t:\t:\tO\tO' +p168090 +aS'One\tOne\tCD\tB-NP\tO' +p168091 +aS'(\t(\t(\tO\tO' +p168092 +aS'1\t1\tCD\tB-NP\tO' +p168093 +aS')\t)\t)\tO\tO' +p168094 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p168095 +aS'PO\tPO\tNN\tI-NP\tO' +p168096 +aS'QID\tQID\tNN\tI-NP\tO' +p168097 +aS'(\t(\t(\tO\tO' +p168098 +aS'4\t4\tCD\tB-NP\tO' +p168099 +aS'times\ttime\tNNS\tI-NP\tO' +p168100 +aS'a\ta\tDT\tB-NP\tO' +p168101 +aS'day\tday\tNN\tI-NP\tO' +p168102 +aS')\t)\t)\tO\tO' +p168103 +aS'.\t.\t.\tO\tO' +p168104 +asS'5. Ancef .' +p168105 +(lp168106 +S'5.\t5.\tLS\tB-NP\tO' +p168107 +aS'Ancef\tAncef\tNN\tI-NP\tO' +p168108 +aS'.\t.\t.\tO\tO' +p168109 +asS"The patient 's bed rest status was changed to out of bed , and oral intake was started ." +p168110 +(lp168111 +S'The\tThe\tDT\tB-NP\tO' +p168112 +aS'patient\tpatient\tNN\tI-NP\tO' +p168113 +aS"'s\t's\tPOS\tB-NP\tO" +p168114 +aS'bed\tbed\tNN\tI-NP\tO' +p168115 +aS'rest\trest\tNN\tI-NP\tO' +p168116 +aS'status\tstatus\tNN\tI-NP\tO' +p168117 +aS'was\tbe\tVBD\tB-VP\tO' +p168118 +aS'changed\tchange\tVBN\tI-VP\tO' +p168119 +aS'to\tto\tTO\tB-PP\tO' +p168120 +aS'out\tout\tIN\tB-PP\tO' +p168121 +aS'of\tof\tIN\tB-PP\tO' +p168122 +aS'bed\tbed\tNN\tB-NP\tO' +p168123 +aS',\t,\t,\tO\tO' +p168124 +aS'and\tand\tCC\tO\tO' +p168125 +aS'oral\toral\tJJ\tB-NP\tO' +p168126 +aS'intake\tintake\tNN\tI-NP\tO' +p168127 +aS'was\tbe\tVBD\tB-VP\tO' +p168128 +aS'started\tstart\tVBN\tI-VP\tO' +p168129 +aS'.\t.\t.\tO\tO' +p168130 +asS'ECG showed new diffuse TWI in all leads .' +p168131 +(lp168132 +S'ECG\tECG\tNN\tB-NP\tO' +p168133 +aS'showed\tshow\tVBD\tB-VP\tO' +p168134 +aS'new\tnew\tJJ\tB-NP\tO' +p168135 +aS'diffuse\tdiffuse\tJJ\tI-NP\tO' +p168136 +aS'TWI\tTWI\tNN\tI-NP\tO' +p168137 +aS'in\tin\tIN\tB-PP\tO' +p168138 +aS'all\tall\tDT\tB-NP\tO' +p168139 +aS'leads\tlead\tNNS\tI-NP\tO' +p168140 +aS'.\t.\t.\tO\tO' +p168141 +asS'Gen - lying in bed unresponsive' +p168142 +(lp168143 +S'Gen\tGen\tNN\tB-NP\tB-protein' +p168144 +aS'-\t-\tHYPH\tO\tO' +p168145 +aS'lying\tlie\tVBG\tB-VP\tO' +p168146 +aS'in\tin\tIN\tB-PP\tO' +p168147 +aS'bed\tbed\tNN\tB-NP\tO' +p168148 +aS'unresponsive\tunresponsive\tJJ\tB-NP\tO' +p168149 +asS'11. Prilosec 20 mg per day .' +p168150 +(lp168151 +S'11.\t11.\tCD\tB-NP\tO' +p168152 +aS'Prilosec\tPrilosec\tNNP\tI-NP\tO' +p168153 +aS'20\t20\tCD\tI-NP\tO' +p168154 +aS'mg\tmg\tNN\tI-NP\tO' +p168155 +aS'per\tper\tIN\tB-PP\tO' +p168156 +aS'day\tday\tNN\tB-NP\tO' +p168157 +aS'.\t.\t.\tO\tO' +p168158 +asS'Completed course of Flagyl 07-25 --> 08-10 .' +p168159 +(lp168160 +S'Completed\tComplete\tVBN\tB-NP\tO' +p168161 +aS'course\tcourse\tNN\tI-NP\tO' +p168162 +aS'of\tof\tIN\tB-PP\tO' +p168163 +aS'Flagyl\tFlagyl\tNN\tB-NP\tO' +p168164 +aS'07-25\t07-25\tCD\tI-NP\tO' +p168165 +aS'-->\t-->\tSYM\tB-NP\tO' +p168166 +aS'08-10\t08-10\tCD\tI-NP\tO' +p168167 +aS'.\t.\t.\tO\tO' +p168168 +asS'He has required no phototherapy .' +p168169 +(lp168170 +S'He\tHe\tPRP\tB-NP\tO' +p168171 +aS'has\thave\tVBZ\tB-VP\tO' +p168172 +aS'required\trequire\tVBN\tI-VP\tO' +p168173 +aS'no\tno\tDT\tB-NP\tO' +p168174 +aS'phototherapy\tphototherapy\tNN\tI-NP\tO' +p168175 +aS'.\t.\t.\tO\tO' +p168176 +asS'Pt was seen by Rad Onc , who recommended transfer to the East Campus for XRT .' +p168177 +(lp168178 +S'Pt\tPt\tNN\tB-NP\tO' +p168179 +aS'was\tbe\tVBD\tB-VP\tO' +p168180 +aS'seen\tsee\tVBN\tI-VP\tO' +p168181 +aS'by\tby\tIN\tB-PP\tO' +p168182 +aS'Rad\tRad\tNNP\tB-NP\tO' +p168183 +aS'Onc\tOnc\tNNP\tI-NP\tO' +p168184 +aS',\t,\t,\tO\tO' +p168185 +aS'who\twho\tWP\tB-NP\tO' +p168186 +aS'recommended\trecommend\tVBD\tB-VP\tO' +p168187 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p168188 +aS'to\tto\tTO\tB-PP\tO' +p168189 +aS'the\tthe\tDT\tB-NP\tO' +p168190 +aS'East\tEast\tNNP\tI-NP\tO' +p168191 +aS'Campus\tCampus\tNNP\tI-NP\tO' +p168192 +aS'for\tfor\tIN\tB-PP\tO' +p168193 +aS'XRT\tXRT\tNNP\tB-NP\tO' +p168194 +aS'.\t.\t.\tO\tO' +p168195 +asS'Was loaded on Dilantin .' +p168196 +(lp168197 +S'Was\tBe\tVBD\tB-VP\tO' +p168198 +aS'loaded\tload\tVBN\tI-VP\tO' +p168199 +aS'on\ton\tIN\tB-PP\tO' +p168200 +aS'Dilantin\tDilantin\tNN\tB-NP\tB-protein' +p168201 +aS'.\t.\t.\tO\tO' +p168202 +asS'Iron-deficiency anemia .' +p168203 +(lp168204 +S'Iron-deficiency\tIron-deficiency\tNN\tB-NP\tO' +p168205 +aS'anemia\tanemia\tNN\tI-NP\tO' +p168206 +aS'.\t.\t.\tO\tO' +p168207 +asS'3. Type 2 diabetes mellitus .' +p168208 +(lp168209 +S'3.\t3.\tLS\tO\tO' +p168210 +aS'Type\tType\tNN\tB-NP\tO' +p168211 +aS'2\t2\tCD\tI-NP\tO' +p168212 +aS'diabetes\tdiabetes\tNN\tI-NP\tO' +p168213 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p168214 +aS'.\t.\t.\tO\tO' +p168215 +asS'There was a 1 cm firm nodule at the left upper thoracic region of the back between the midline and the scapula .' +p168216 +(lp168217 +S'There\tThere\tEX\tB-NP\tO' +p168218 +aS'was\tbe\tVBD\tB-VP\tO' +p168219 +aS'a\ta\tDT\tB-NP\tO' +p168220 +aS'1\t1\tCD\tI-NP\tO' +p168221 +aS'cm\tcm\tNN\tI-NP\tO' +p168222 +aS'firm\tfirm\tJJ\tI-NP\tO' +p168223 +aS'nodule\tnodule\tNN\tI-NP\tO' +p168224 +aS'at\tat\tIN\tB-PP\tO' +p168225 +aS'the\tthe\tDT\tB-NP\tO' +p168226 +aS'left\tleft\tJJ\tI-NP\tB-protein' +p168227 +aS'upper\tupper\tJJ\tI-NP\tI-protein' +p168228 +aS'thoracic\tthoracic\tJJ\tI-NP\tI-protein' +p168229 +aS'region\tregion\tNN\tI-NP\tI-protein' +p168230 +aS'of\tof\tIN\tB-PP\tO' +p168231 +aS'the\tthe\tDT\tB-NP\tO' +p168232 +aS'back\tback\tNN\tI-NP\tO' +p168233 +aS'between\tbetween\tIN\tB-PP\tO' +p168234 +aS'the\tthe\tDT\tB-NP\tO' +p168235 +aS'midline\tmidline\tNN\tI-NP\tO' +p168236 +aS'and\tand\tCC\tO\tO' +p168237 +aS'the\tthe\tDT\tB-NP\tO' +p168238 +aS'scapula\tscapula\tNN\tI-NP\tO' +p168239 +aS'.\t.\t.\tO\tO' +p168240 +asS'This is an 81-year-old who presented with postmenopausal spotting and had an endometrial biopsy which was read at the Etearal Etsystems/ Hospital as showing grade I adenocarcinoma .' +p168241 +(lp168242 +S'This\tThis\tDT\tB-NP\tO' +p168243 +aS'is\tbe\tVBZ\tB-VP\tO' +p168244 +aS'an\tan\tDT\tB-NP\tO' +p168245 +aS'81-year-old\t81-year-old\tNN\tI-NP\tO' +p168246 +aS'who\twho\tWP\tB-NP\tO' +p168247 +aS'presented\tpresent\tVBD\tB-VP\tO' +p168248 +aS'with\twith\tIN\tB-PP\tO' +p168249 +aS'postmenopausal\tpostmenopausal\tJJ\tB-NP\tO' +p168250 +aS'spotting\tspotting\tNN\tI-NP\tO' +p168251 +aS'and\tand\tCC\tO\tO' +p168252 +aS'had\thave\tVBD\tB-VP\tO' +p168253 +aS'an\tan\tDT\tB-NP\tO' +p168254 +aS'endometrial\tendometrial\tJJ\tI-NP\tO' +p168255 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p168256 +aS'which\twhich\tWDT\tB-NP\tO' +p168257 +aS'was\tbe\tVBD\tB-VP\tO' +p168258 +aS'read\tread\tVBN\tI-VP\tO' +p168259 +aS'at\tat\tIN\tB-PP\tO' +p168260 +aS'the\tthe\tDT\tB-NP\tO' +p168261 +aS'Etearal\tEtearal\tNNP\tI-NP\tO' +p168262 +aS'Etsystems/\tEtsystems/\tNNP\tI-NP\tO' +p168263 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p168264 +aS'as\tas\tIN\tB-PP\tO' +p168265 +aS'showing\tshow\tVBG\tB-VP\tO' +p168266 +aS'grade\tgrade\tNN\tB-NP\tO' +p168267 +aS'I\tI\tCD\tI-NP\tO' +p168268 +aS'adenocarcinoma\tadenocarcinoma\tNN\tI-NP\tO' +p168269 +aS'.\t.\t.\tO\tO' +p168270 +asS'The family did not want postmortem examination .' +p168271 +(lp168272 +S'The\tThe\tDT\tB-NP\tO' +p168273 +aS'family\tfamily\tNN\tI-NP\tO' +p168274 +aS'did\tdo\tVBD\tB-VP\tO' +p168275 +aS'not\tnot\tRB\tI-VP\tO' +p168276 +aS'want\twant\tVB\tI-VP\tO' +p168277 +aS'postmortem\tpostmortem\tJJ\tB-NP\tO' +p168278 +aS'examination\texamination\tNN\tI-NP\tO' +p168279 +aS'.\t.\t.\tO\tO' +p168280 +asS"10-29 she was transfused another 3U PRBC 's with hct bump to 31.9 and antibiotic coverage broadend to Unasyn , Ceftriaxone , Flagyl because she continued to spike , and for SBP prophylaxis ." +p168281 +(lp168282 +S'10-29\t10-29\tCD\tB-NP\tO' +p168283 +aS'she\tshe\tPRP\tB-NP\tO' +p168284 +aS'was\tbe\tVBD\tB-VP\tO' +p168285 +aS'transfused\ttransfuse\tVBN\tI-VP\tO' +p168286 +aS'another\tanother\tDT\tB-NP\tO' +p168287 +aS'3U\t3U\tNN\tI-NP\tO' +p168288 +aS'PRBC\tPRBC\tNNP\tB-NP\tO' +p168289 +aS"'s\t's\tPOS\tB-NP\tO" +p168290 +aS'with\twith\tIN\tB-PP\tO' +p168291 +aS'hct\thct\tNN\tB-NP\tO' +p168292 +aS'bump\tbump\tNN\tI-NP\tO' +p168293 +aS'to\tto\tTO\tB-PP\tO' +p168294 +aS'31.9\t31.9\tCD\tB-NP\tO' +p168295 +aS'and\tand\tCC\tO\tO' +p168296 +aS'antibiotic\tantibiotic\tJJ\tB-NP\tO' +p168297 +aS'coverage\tcoverage\tNN\tI-NP\tO' +p168298 +aS'broadend\tbroadend\tNN\tI-NP\tO' +p168299 +aS'to\tto\tTO\tB-PP\tO' +p168300 +aS'Unasyn\tUnasyn\tNN\tB-NP\tO' +p168301 +aS',\t,\t,\tO\tO' +p168302 +aS'Ceftriaxone\tCeftriaxone\tNN\tB-NP\tO' +p168303 +aS',\t,\t,\tO\tO' +p168304 +aS'Flagyl\tFlagyl\tNN\tB-NP\tO' +p168305 +aS'because\tbecause\tIN\tB-SBAR\tO' +p168306 +aS'she\tshe\tPRP\tB-NP\tO' +p168307 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p168308 +aS'to\tto\tTO\tI-VP\tO' +p168309 +aS'spike\tspike\tVB\tI-VP\tO' +p168310 +aS',\t,\t,\tO\tO' +p168311 +aS'and\tand\tCC\tO\tO' +p168312 +aS'for\tfor\tIN\tB-PP\tO' +p168313 +aS'SBP\tSBP\tNN\tB-NP\tO' +p168314 +aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' +p168315 +aS'.\t.\t.\tO\tO' +p168316 +asS'Pleural effusion : s/p pigtail cath drain .' +p168317 +(lp168318 +S'Pleural\tPleural\tJJ\tB-NP\tO' +p168319 +aS'effusion\teffusion\tNN\tI-NP\tO' +p168320 +aS':\t:\t:\tO\tO' +p168321 +aS's/p\ts/p\tNN\tB-NP\tO' +p168322 +aS'pigtail\tpigtail\tNN\tI-NP\tO' +p168323 +aS'cath\tcath\tNN\tI-NP\tO' +p168324 +aS'drain\tdrain\tNN\tI-NP\tO' +p168325 +aS'.\t.\t.\tO\tO' +p168326 +asS'She knows to return to her local physician for her routine care with her condition unchanged at the time of discharge .' +p168327 +(lp168328 +S'She\tShe\tPRP\tB-NP\tO' +p168329 +aS'knows\tknow\tVBZ\tB-VP\tO' +p168330 +aS'to\tto\tTO\tI-VP\tO' +p168331 +aS'return\treturn\tVB\tI-VP\tO' +p168332 +aS'to\tto\tTO\tB-PP\tO' +p168333 +aS'her\ther\tPRP$\tB-NP\tO' +p168334 +aS'local\tlocal\tJJ\tI-NP\tO' +p168335 +aS'physician\tphysician\tNN\tI-NP\tO' +p168336 +aS'for\tfor\tIN\tB-PP\tO' +p168337 +aS'her\ther\tPRP$\tB-NP\tO' +p168338 +aS'routine\troutine\tJJ\tI-NP\tO' +p168339 +aS'care\tcare\tNN\tI-NP\tO' +p168340 +aS'with\twith\tIN\tB-PP\tO' +p168341 +aS'her\ther\tPRP$\tB-NP\tO' +p168342 +aS'condition\tcondition\tNN\tI-NP\tO' +p168343 +aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' +p168344 +aS'at\tat\tIN\tB-PP\tO' +p168345 +aS'the\tthe\tDT\tB-NP\tO' +p168346 +aS'time\ttime\tNN\tI-NP\tO' +p168347 +aS'of\tof\tIN\tB-PP\tO' +p168348 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p168349 +aS'.\t.\t.\tO\tO' +p168350 +asS'Family History : sister who is 26 also has ESRD on HD ( ? etiology )' +p168351 +(lp168352 +S'Family\tFamily\tRB\tB-NP\tO' +p168353 +aS'History\tHistory\tNN\tI-NP\tO' +p168354 +aS':\t:\t:\tO\tO' +p168355 +aS'sister\tsister\tNN\tB-NP\tO' +p168356 +aS'who\twho\tWP\tB-NP\tO' +p168357 +aS'is\tbe\tVBZ\tB-VP\tO' +p168358 +aS'26\t26\tCD\tB-NP\tO' +p168359 +aS'also\talso\tRB\tB-ADVP\tO' +p168360 +aS'has\thave\tVBZ\tB-VP\tO' +p168361 +aS'ESRD\tESRD\tNN\tB-NP\tO' +p168362 +aS'on\ton\tIN\tB-PP\tO' +p168363 +aS'HD\tHD\tNN\tB-NP\tO' +p168364 +aS'(\t(\t(\tO\tO' +p168365 +aS'?\t?\t.\tO\tO' +p168366 +aS'etiology\tetiology\tNN\tB-NP\tO' +p168367 +aS')\t)\t)\tO\tO' +p168368 +asS'The next day she developed a fever and she was started on levofloxacin for a potential UTI .' +p168369 +(lp168370 +S'The\tThe\tDT\tB-NP\tO' +p168371 +aS'next\tnext\tJJ\tI-NP\tO' +p168372 +aS'day\tday\tNN\tI-NP\tO' +p168373 +aS'she\tshe\tPRP\tB-NP\tO' +p168374 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p168375 +aS'a\ta\tDT\tB-NP\tO' +p168376 +aS'fever\tfever\tNN\tI-NP\tO' +p168377 +aS'and\tand\tCC\tO\tO' +p168378 +aS'she\tshe\tPRP\tB-NP\tO' +p168379 +aS'was\tbe\tVBD\tB-VP\tO' +p168380 +aS'started\tstart\tVBN\tI-VP\tO' +p168381 +aS'on\ton\tIN\tB-PP\tO' +p168382 +aS'levofloxacin\tlevofloxacin\tNN\tB-NP\tO' +p168383 +aS'for\tfor\tIN\tB-PP\tO' +p168384 +aS'a\ta\tDT\tB-NP\tO' +p168385 +aS'potential\tpotential\tJJ\tI-NP\tO' +p168386 +aS'UTI\tUTI\tNN\tI-NP\tO' +p168387 +aS'.\t.\t.\tO\tO' +p168388 +asS'cataract surgery .' +p168389 +(lp168390 +S'cataract\tcataract\tNN\tB-NP\tO' +p168391 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p168392 +aS'.\t.\t.\tO\tO' +p168393 +asS'She was discharged to home on a regular diet .' +p168394 +(lp168395 +S'She\tShe\tPRP\tB-NP\tO' +p168396 +aS'was\tbe\tVBD\tB-VP\tO' +p168397 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p168398 +aS'to\tto\tTO\tB-PP\tO' +p168399 +aS'home\thome\tNN\tB-NP\tO' +p168400 +aS'on\ton\tIN\tB-PP\tO' +p168401 +aS'a\ta\tDT\tB-NP\tO' +p168402 +aS'regular\tregular\tJJ\tI-NP\tO' +p168403 +aS'diet\tdiet\tNN\tI-NP\tO' +p168404 +aS'.\t.\t.\tO\tO' +p168405 +asS'Mother and father died of heart failure .' +p168406 +(lp168407 +S'Mother\tMother\tNN\tB-NP\tO' +p168408 +aS'and\tand\tCC\tI-NP\tO' +p168409 +aS'father\tfather\tNN\tI-NP\tO' +p168410 +aS'died\tdie\tVBD\tB-VP\tO' +p168411 +aS'of\tof\tIN\tB-PP\tO' +p168412 +aS'heart\theart\tNN\tB-NP\tO' +p168413 +aS'failure\tfailure\tNN\tI-NP\tO' +p168414 +aS'.\t.\t.\tO\tO' +p168415 +asS'She remained mostly in a normal sinus rhythm and transitioned to oral Amiodarone which will need to continue for three months postop .' +p168416 +(lp168417 +S'She\tShe\tPRP\tB-NP\tO' +p168418 +aS'remained\tremain\tVBD\tB-VP\tO' +p168419 +aS'mostly\tmostly\tRB\tB-ADVP\tO' +p168420 +aS'in\tin\tIN\tB-PP\tO' +p168421 +aS'a\ta\tDT\tB-NP\tO' +p168422 +aS'normal\tnormal\tJJ\tI-NP\tO' +p168423 +aS'sinus\tsinus\tNN\tI-NP\tO' +p168424 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p168425 +aS'and\tand\tCC\tO\tO' +p168426 +aS'transitioned\ttransitione\tVBN\tB-VP\tO' +p168427 +aS'to\tto\tTO\tB-PP\tO' +p168428 +aS'oral\toral\tJJ\tB-NP\tO' +p168429 +aS'Amiodarone\tAmiodarone\tNN\tI-NP\tO' +p168430 +aS'which\twhich\tWDT\tB-NP\tO' +p168431 +aS'will\twill\tMD\tB-VP\tO' +p168432 +aS'need\tneed\tVB\tI-VP\tO' +p168433 +aS'to\tto\tTO\tI-VP\tO' +p168434 +aS'continue\tcontinue\tVB\tI-VP\tO' +p168435 +aS'for\tfor\tIN\tB-PP\tO' +p168436 +aS'three\tthree\tCD\tB-NP\tO' +p168437 +aS'months\tmonth\tNNS\tI-NP\tO' +p168438 +aS'postop\tpostop\tVBP\tB-VP\tO' +p168439 +aS'.\t.\t.\tO\tO' +p168440 +asS'Her past medical history is notable for bilateral lower extremity venous insufficiency with edema , hypertension .' +p168441 +(lp168442 +S'Her\tHer\tPRP$\tB-NP\tO' +p168443 +aS'past\tpast\tJJ\tI-NP\tO' +p168444 +aS'medical\tmedical\tJJ\tI-NP\tO' +p168445 +aS'history\thistory\tNN\tI-NP\tO' +p168446 +aS'is\tbe\tVBZ\tB-VP\tO' +p168447 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p168448 +aS'for\tfor\tIN\tB-PP\tO' +p168449 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p168450 +aS'lower\tlow\tJJR\tI-NP\tO' +p168451 +aS'extremity\textremity\tNN\tI-NP\tO' +p168452 +aS'venous\tvenous\tJJ\tI-NP\tO' +p168453 +aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' +p168454 +aS'with\twith\tIN\tB-PP\tO' +p168455 +aS'edema\tedema\tNN\tB-NP\tO' +p168456 +aS',\t,\t,\tO\tO' +p168457 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p168458 +aS'.\t.\t.\tO\tO' +p168459 +asS'ORIF with repair of neck fracture 2016-03-23 .' +p168460 +(lp168461 +S'ORIF\tORIF\tNN\tB-NP\tB-protein' +p168462 +aS'with\twith\tIN\tB-PP\tO' +p168463 +aS'repair\trepair\tNN\tB-NP\tO' +p168464 +aS'of\tof\tIN\tB-PP\tO' +p168465 +aS'neck\tneck\tNN\tB-NP\tO' +p168466 +aS'fracture\tfracture\tNN\tI-NP\tO' +p168467 +aS'2016-03-23\t2016-03-23\tCD\tI-NP\tO' +p168468 +aS'.\t.\t.\tO\tO' +p168469 +asS'He complied with Linda Chad diet while hospitalized .' +p168470 +(lp168471 +S'He\tHe\tPRP\tB-NP\tO' +p168472 +aS'complied\tcomply\tVBD\tB-VP\tO' +p168473 +aS'with\twith\tIN\tB-PP\tO' +p168474 +aS'Linda\tLinda\tNNP\tB-NP\tO' +p168475 +aS'Chad\tChad\tNNP\tI-NP\tO' +p168476 +aS'diet\tdiet\tNN\tI-NP\tO' +p168477 +aS'while\twhile\tIN\tB-SBAR\tO' +p168478 +aS'hospitalized\thospitalize\tVBN\tB-VP\tO' +p168479 +aS'.\t.\t.\tO\tO' +p168480 +asS'The patient was subsequently admitted to the cardiothoracic service under the direction of Dr. Brenda Hummer .' +p168481 +(lp168482 +S'The\tThe\tDT\tB-NP\tO' +p168483 +aS'patient\tpatient\tNN\tI-NP\tO' +p168484 +aS'was\tbe\tVBD\tB-VP\tO' +p168485 +aS'subsequently\tsubsequently\tRB\tI-VP\tO' +p168486 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p168487 +aS'to\tto\tTO\tB-PP\tO' +p168488 +aS'the\tthe\tDT\tB-NP\tO' +p168489 +aS'cardiothoracic\tcardiothoracic\tJJ\tI-NP\tO' +p168490 +aS'service\tservice\tNN\tI-NP\tO' +p168491 +aS'under\tunder\tIN\tB-PP\tO' +p168492 +aS'the\tthe\tDT\tB-NP\tO' +p168493 +aS'direction\tdirection\tNN\tI-NP\tO' +p168494 +aS'of\tof\tIN\tB-PP\tO' +p168495 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p168496 +aS'Brenda\tBrenda\tNNP\tI-NP\tO' +p168497 +aS'Hummer\tHummer\tNNP\tI-NP\tO' +p168498 +aS'.\t.\t.\tO\tO' +p168499 +asS'PLEASE CALL DR. Barnett OFFICE ( ( 443 ) 316 6447 FOR A FOLLOW-UP APPOINTMENT IN 1-2 WEEKS .' +p168500 +(lp168501 +S'PLEASE\tPLEASE\tNNP\tB-NP\tO' +p168502 +aS'CALL\tCALL\tNNP\tI-NP\tO' +p168503 +aS'DR.\tDR.\tNNP\tI-NP\tO' +p168504 +aS'Barnett\tBarnett\tNNP\tI-NP\tO' +p168505 +aS'OFFICE\tOFFICE\tNNP\tI-NP\tO' +p168506 +aS'(\t(\t(\tO\tO' +p168507 +aS'(\t(\t(\tO\tO' +p168508 +aS'443\t443\tCD\tB-NP\tO' +p168509 +aS')\t)\t)\tO\tO' +p168510 +aS'316\t316\tCD\tB-NP\tO' +p168511 +aS'6447\t6447\tCD\tI-NP\tO' +p168512 +aS'FOR\tFOR\tNN\tI-NP\tO' +p168513 +aS'A\tA\tNN\tI-NP\tO' +p168514 +aS'FOLLOW-UP\tFOLLOW-UP\tNN\tI-NP\tO' +p168515 +aS'APPOINTMENT\tAPPOINTMENT\tNN\tI-NP\tO' +p168516 +aS'IN\tIN\tIN\tB-PP\tO' +p168517 +aS'1-2\t1-2\tCD\tB-NP\tO' +p168518 +aS'WEEKS\tWEEKS\tNNS\tI-NP\tO' +p168519 +aS'.\t.\t.\tO\tO' +p168520 +asS'She had a postoperative CT scan that revealed partial decompression of the spinal canal and good placement of her hardware .' +p168521 +(lp168522 +S'She\tShe\tPRP\tB-NP\tO' +p168523 +aS'had\thave\tVBD\tB-VP\tO' +p168524 +aS'a\ta\tDT\tB-NP\tO' +p168525 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p168526 +aS'CT\tCT\tNN\tI-NP\tO' +p168527 +aS'scan\tscan\tNN\tI-NP\tO' +p168528 +aS'that\tthat\tWDT\tB-NP\tO' +p168529 +aS'revealed\treveal\tVBD\tB-VP\tO' +p168530 +aS'partial\tpartial\tJJ\tB-NP\tO' +p168531 +aS'decompression\tdecompression\tNN\tI-NP\tO' +p168532 +aS'of\tof\tIN\tB-PP\tO' +p168533 +aS'the\tthe\tDT\tB-NP\tO' +p168534 +aS'spinal\tspinal\tJJ\tI-NP\tO' +p168535 +aS'canal\tcanal\tNN\tI-NP\tO' +p168536 +aS'and\tand\tCC\tO\tO' +p168537 +aS'good\tgood\tJJ\tB-NP\tO' +p168538 +aS'placement\tplacement\tNN\tI-NP\tO' +p168539 +aS'of\tof\tIN\tB-PP\tO' +p168540 +aS'her\ther\tPRP$\tB-NP\tO' +p168541 +aS'hardware\thardware\tNN\tI-NP\tO' +p168542 +aS'.\t.\t.\tO\tO' +p168543 +asS'Over the course of the first hospital day , the patient 's exam deteriorated in a manner that appeared to be blood pressure dependent .' +p168544 +(lp168545 +S'Over\tOver\tIN\tB-PP\tO' +p168546 +aS'the\tthe\tDT\tB-NP\tO' +p168547 +aS'course\tcourse\tNN\tI-NP\tO' +p168548 +aS'of\tof\tIN\tB-PP\tO' +p168549 +aS'the\tthe\tDT\tB-NP\tO' +p168550 +aS'first\tfirst\tJJ\tI-NP\tO' +p168551 +aS'hospital\thospital\tNN\tI-NP\tO' +p168552 +aS'day\tday\tNN\tI-NP\tO' +p168553 +aS',\t,\t,\tO\tO' +p168554 +aS'the\tthe\tDT\tB-NP\tO' +p168555 +aS'patient\tpatient\tNN\tI-NP\tO' +p168556 +aS''s\t'\tNNS\tI-NP\tO' +p168557 +aS'exam\texam\tNN\tI-NP\tO' +p168558 +aS'deteriorated\tdeteriorate\tVBN\tB-VP\tO' +p168559 +aS'in\tin\tIN\tB-PP\tO' +p168560 +aS'a\ta\tDT\tB-NP\tO' +p168561 +aS'manner\tmanner\tNN\tI-NP\tO' +p168562 +aS'that\tthat\tWDT\tB-NP\tO' +p168563 +aS'appeared\tappear\tVBD\tB-VP\tO' +p168564 +aS'to\tto\tTO\tI-VP\tO' +p168565 +aS'be\tbe\tVB\tI-VP\tO' +p168566 +aS'blood\tblood\tNN\tB-NP\tO' +p168567 +aS'pressure\tpressure\tNN\tI-NP\tO' +p168568 +aS'dependent\tdependent\tJJ\tB-ADJP\tO' +p168569 +aS'.\t.\t.\tO\tO' +p168570 +asS"The patient 's arterial blood gases in the Emergency Department were 7.19 , 22 and 109 with a bicarbonate of 9 and a fingerstick of greater than 500 ." +p168571 +(lp168572 +S'The\tThe\tDT\tB-NP\tO' +p168573 +aS'patient\tpatient\tNN\tI-NP\tO' +p168574 +aS"'s\t's\tPOS\tB-NP\tO" +p168575 +aS'arterial\tarterial\tJJ\tI-NP\tO' +p168576 +aS'blood\tblood\tNN\tI-NP\tO' +p168577 +aS'gases\tgas\tNNS\tI-NP\tO' +p168578 +aS'in\tin\tIN\tB-PP\tO' +p168579 +aS'the\tthe\tDT\tB-NP\tO' +p168580 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p168581 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p168582 +aS'were\tbe\tVBD\tB-VP\tO' +p168583 +aS'7.19\t7.19\tCD\tB-NP\tO' +p168584 +aS',\t,\t,\tI-NP\tO' +p168585 +aS'22\t22\tCD\tI-NP\tO' +p168586 +aS'and\tand\tCC\tI-NP\tO' +p168587 +aS'109\t109\tCD\tI-NP\tO' +p168588 +aS'with\twith\tIN\tB-PP\tO' +p168589 +aS'a\ta\tDT\tB-NP\tO' +p168590 +aS'bicarbonate\tbicarbonate\tNN\tI-NP\tO' +p168591 +aS'of\tof\tIN\tB-PP\tO' +p168592 +aS'9\t9\tCD\tB-NP\tO' +p168593 +aS'and\tand\tCC\tO\tO' +p168594 +aS'a\ta\tDT\tB-NP\tO' +p168595 +aS'fingerstick\tfingerstick\tNN\tI-NP\tO' +p168596 +aS'of\tof\tIN\tB-PP\tO' +p168597 +aS'greater\tgreat\tJJR\tB-NP\tO' +p168598 +aS'than\tthan\tIN\tI-NP\tO' +p168599 +aS'500\t500\tCD\tI-NP\tO' +p168600 +aS'.\t.\t.\tO\tO' +p168601 +asS'Telemetry was notable for episodes of sinus tachycardia to 120s to 140s only .' +p168602 +(lp168603 +S'Telemetry\tTelemetry\tNNP\tB-NP\tO' +p168604 +aS'was\tbe\tVBD\tB-VP\tO' +p168605 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p168606 +aS'for\tfor\tIN\tB-PP\tO' +p168607 +aS'episodes\tepisode\tNNS\tB-NP\tO' +p168608 +aS'of\tof\tIN\tB-PP\tO' +p168609 +aS'sinus\tsinus\tNN\tB-NP\tO' +p168610 +aS'tachycardia\ttachycardia\tNN\tI-NP\tO' +p168611 +aS'to\tto\tTO\tB-PP\tO' +p168612 +aS'120s\t120s\tCD\tB-NP\tO' +p168613 +aS'to\tto\tTO\tB-PP\tO' +p168614 +aS'140s\t140s\tCD\tB-NP\tO' +p168615 +aS'only\tonly\tRB\tB-ADVP\tO' +p168616 +aS'.\t.\t.\tO\tO' +p168617 +asS'4. 7-12-93 , 7-14 , 7-20 , 7-22 , and 7-24 , were the same as 7-10-93 , and 7-17 was the same with the addition of tracheostomy were same as 7-10 ,' +p168618 +(lp168619 +S'4.\t4.\tLS\tB-NP\tO' +p168620 +aS'7-12-93\t7-12-93\tCD\tI-NP\tO' +p168621 +aS',\t,\t,\tI-NP\tO' +p168622 +aS'7-14\t7-14\tCD\tI-NP\tO' +p168623 +aS',\t,\t,\tI-NP\tO' +p168624 +aS'7-20\t7-20\tCD\tI-NP\tO' +p168625 +aS',\t,\t,\tI-NP\tO' +p168626 +aS'7-22\t7-22\tCD\tI-NP\tO' +p168627 +aS',\t,\t,\tO\tO' +p168628 +aS'and\tand\tCC\tO\tO' +p168629 +aS'7-24\t7-24\tCD\tB-NP\tO' +p168630 +aS',\t,\t,\tO\tO' +p168631 +aS'were\tbe\tVBD\tB-VP\tO' +p168632 +aS'the\tthe\tDT\tB-NP\tO' +p168633 +aS'same\tsame\tJJ\tI-NP\tO' +p168634 +aS'as\tas\tIN\tB-PP\tO' +p168635 +aS'7-10-93\t7-10-93\tNN\tB-NP\tO' +p168636 +aS',\t,\t,\tO\tO' +p168637 +aS'and\tand\tCC\tO\tO' +p168638 +aS'7-17\t7-17\tCD\tB-NP\tO' +p168639 +aS'was\tbe\tVBD\tB-VP\tO' +p168640 +aS'the\tthe\tDT\tB-NP\tO' +p168641 +aS'same\tsame\tJJ\tI-NP\tO' +p168642 +aS'with\twith\tIN\tB-PP\tO' +p168643 +aS'the\tthe\tDT\tB-NP\tO' +p168644 +aS'addition\taddition\tNN\tI-NP\tO' +p168645 +aS'of\tof\tIN\tB-PP\tO' +p168646 +aS'tracheostomy\ttracheostomy\tNN\tB-NP\tO' +p168647 +aS'were\tbe\tVBD\tB-VP\tO' +p168648 +aS'same\tsame\tJJ\tB-ADJP\tO' +p168649 +aS'as\tas\tIN\tB-PP\tO' +p168650 +aS'7-10\t7-10\tCD\tB-NP\tO' +p168651 +aS',\t,\t,\tO\tO' +p168652 +asS'There was no evidence of any middle compartment lymphadenopathy or spread of the tumor outside the thyroid .' +p168653 +(lp168654 +S'There\tThere\tEX\tB-NP\tO' +p168655 +aS'was\tbe\tVBD\tB-VP\tO' +p168656 +aS'no\tno\tDT\tB-NP\tO' +p168657 +aS'evidence\tevidence\tNN\tI-NP\tO' +p168658 +aS'of\tof\tIN\tB-PP\tO' +p168659 +aS'any\tany\tDT\tB-NP\tO' +p168660 +aS'middle\tmiddle\tJJ\tI-NP\tO' +p168661 +aS'compartment\tcompartment\tNN\tI-NP\tO' +p168662 +aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' +p168663 +aS'or\tor\tCC\tI-NP\tO' +p168664 +aS'spread\tspread\tNN\tI-NP\tO' +p168665 +aS'of\tof\tIN\tB-PP\tO' +p168666 +aS'the\tthe\tDT\tB-NP\tO' +p168667 +aS'tumor\ttumor\tNN\tI-NP\tO' +p168668 +aS'outside\toutside\tIN\tB-PP\tO' +p168669 +aS'the\tthe\tDT\tB-NP\tO' +p168670 +aS'thyroid\tthyroid\tNN\tI-NP\tO' +p168671 +aS'.\t.\t.\tO\tO' +p168672 +asS'CMI ; then to Medcine ; then transferred to CCU' +p168673 +(lp168674 +S'CMI\tCMI\tNN\tB-NP\tO' +p168675 +aS';\t;\t:\tO\tO' +p168676 +aS'then\tthen\tRB\tB-ADVP\tO' +p168677 +aS'to\tto\tTO\tB-PP\tO' +p168678 +aS'Medcine\tMedcine\tNN\tB-NP\tO' +p168679 +aS';\t;\t:\tO\tO' +p168680 +aS'then\tthen\tRB\tB-ADVP\tO' +p168681 +aS'transferred\ttransfer\tVBN\tB-VP\tO' +p168682 +aS'to\tto\tTO\tB-PP\tO' +p168683 +aS'CCU\tCCU\tNN\tB-NP\tO' +p168684 +asS'There was no nystagmus and no ptosis .' +p168685 +(lp168686 +S'There\tThere\tEX\tB-NP\tO' +p168687 +aS'was\tbe\tVBD\tB-VP\tO' +p168688 +aS'no\tno\tDT\tB-NP\tO' +p168689 +aS'nystagmus\tnystagmus\tNN\tI-NP\tO' +p168690 +aS'and\tand\tCC\tO\tO' +p168691 +aS'no\tno\tDT\tB-NP\tO' +p168692 +aS'ptosis\tptosis\tNN\tI-NP\tO' +p168693 +aS'.\t.\t.\tO\tO' +p168694 +asS'She was taken to the OR for exploration and drainage .' +p168695 +(lp168696 +S'She\tShe\tPRP\tB-NP\tO' +p168697 +aS'was\tbe\tVBD\tB-VP\tO' +p168698 +aS'taken\ttake\tVBN\tI-VP\tO' +p168699 +aS'to\tto\tTO\tB-PP\tO' +p168700 +aS'the\tthe\tDT\tB-NP\tO' +p168701 +aS'OR\tOR\tNN\tI-NP\tO' +p168702 +aS'for\tfor\tIN\tB-PP\tO' +p168703 +aS'exploration\texploration\tNN\tB-NP\tO' +p168704 +aS'and\tand\tCC\tI-NP\tO' +p168705 +aS'drainage\tdrainage\tNN\tI-NP\tO' +p168706 +aS'.\t.\t.\tO\tO' +p168707 +asS'In summary , he had a coronary artery bypass graft times 4 with a LIMA to the LAD , saphenous vein graft OM1 , saphenous vein graft OM2 and saphenous vein graft of the diagonal .' +p168708 +(lp168709 +S'In\tIn\tIN\tB-PP\tO' +p168710 +aS'summary\tsummary\tNN\tB-NP\tO' +p168711 +aS',\t,\t,\tO\tO' +p168712 +aS'he\the\tPRP\tB-NP\tO' +p168713 +aS'had\thave\tVBD\tB-VP\tO' +p168714 +aS'a\ta\tDT\tB-NP\tO' +p168715 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p168716 +aS'artery\tartery\tNN\tI-NP\tO' +p168717 +aS'bypass\tbypass\tIN\tB-PP\tO' +p168718 +aS'graft\tgraft\tNN\tB-NP\tO' +p168719 +aS'times\ttime\tNNS\tI-NP\tO' +p168720 +aS'4\t4\tCD\tB-NP\tO' +p168721 +aS'with\twith\tIN\tB-PP\tO' +p168722 +aS'a\ta\tDT\tB-NP\tO' +p168723 +aS'LIMA\tLIMA\tNN\tI-NP\tO' +p168724 +aS'to\tto\tTO\tB-PP\tO' +p168725 +aS'the\tthe\tDT\tB-NP\tO' +p168726 +aS'LAD\tLAD\tNN\tI-NP\tO' +p168727 +aS',\t,\t,\tO\tO' +p168728 +aS'saphenous\tsaphenous\tJJ\tB-NP\tO' +p168729 +aS'vein\tvein\tNN\tI-NP\tO' +p168730 +aS'graft\tgraft\tNN\tI-NP\tO' +p168731 +aS'OM1\tOM1\tNN\tI-NP\tO' +p168732 +aS',\t,\t,\tO\tO' +p168733 +aS'saphenous\tsaphenous\tJJ\tB-NP\tO' +p168734 +aS'vein\tvein\tNN\tI-NP\tO' +p168735 +aS'graft\tgraft\tNN\tI-NP\tO' +p168736 +aS'OM2\tOM2\tNN\tI-NP\tO' +p168737 +aS'and\tand\tCC\tO\tO' +p168738 +aS'saphenous\tsaphenous\tJJ\tB-NP\tO' +p168739 +aS'vein\tvein\tNN\tI-NP\tO' +p168740 +aS'graft\tgraft\tNN\tI-NP\tO' +p168741 +aS'of\tof\tIN\tB-PP\tO' +p168742 +aS'the\tthe\tDT\tB-NP\tO' +p168743 +aS'diagonal\tdiagonal\tNN\tI-NP\tO' +p168744 +aS'.\t.\t.\tO\tO' +p168745 +asS'2. Mycophenolate Mofetil 500 mg Tablet Sig : Three ( 3 ) Tablet PO BID ( 2 times a day ) .' +p168746 +(lp168747 +S'2.\t2.\tLS\tB-NP\tO' +p168748 +aS'Mycophenolate\tMycophenolate\tNN\tI-NP\tO' +p168749 +aS'Mofetil\tMofetil\tNN\tI-NP\tO' +p168750 +aS'500\t500\tCD\tI-NP\tO' +p168751 +aS'mg\tmg\tNN\tI-NP\tO' +p168752 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p168753 +aS'Sig\tSig\tNNP\tI-NP\tO' +p168754 +aS':\t:\t:\tO\tO' +p168755 +aS'Three\tThree\tCD\tB-NP\tO' +p168756 +aS'(\t(\t(\tO\tO' +p168757 +aS'3\t3\tCD\tB-NP\tO' +p168758 +aS')\t)\t)\tO\tO' +p168759 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p168760 +aS'PO\tPO\tNN\tI-NP\tO' +p168761 +aS'BID\tBID\tNN\tI-NP\tO' +p168762 +aS'(\t(\t(\tO\tO' +p168763 +aS'2\t2\tCD\tB-NP\tO' +p168764 +aS'times\ttime\tNNS\tI-NP\tO' +p168765 +aS'a\ta\tDT\tB-NP\tO' +p168766 +aS'day\tday\tNN\tI-NP\tO' +p168767 +aS')\t)\t)\tO\tO' +p168768 +aS'.\t.\t.\tO\tO' +p168769 +asS'Pylori serology checked ( pending at time of discharge ) .' +p168770 +(lp168771 +S'Pylori\tPylori\tNN\tB-NP\tO' +p168772 +aS'serology\tserology\tNN\tI-NP\tO' +p168773 +aS'checked\tcheck\tVBD\tB-VP\tO' +p168774 +aS'(\t(\t(\tO\tO' +p168775 +aS'pending\tpende\tVBG\tB-VP\tO' +p168776 +aS'at\tat\tIN\tB-PP\tO' +p168777 +aS'time\ttime\tNN\tB-NP\tO' +p168778 +aS'of\tof\tIN\tB-PP\tO' +p168779 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p168780 +aS')\t)\t)\tO\tO' +p168781 +aS'.\t.\t.\tO\tO' +p168782 +asS'By the time of discharge , infant is feedign BM or enfamil 24 cals / oz PO ad lib , with adequate intake and adequate weight gain .' +p168783 +(lp168784 +S'By\tBy\tIN\tB-PP\tO' +p168785 +aS'the\tthe\tDT\tB-NP\tO' +p168786 +aS'time\ttime\tNN\tI-NP\tO' +p168787 +aS'of\tof\tIN\tB-PP\tO' +p168788 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p168789 +aS',\t,\t,\tO\tO' +p168790 +aS'infant\tinfant\tNN\tB-NP\tO' +p168791 +aS'is\tbe\tVBZ\tB-VP\tO' +p168792 +aS'feedign\tfeedign\tNN\tB-NP\tO' +p168793 +aS'BM\tBM\tNN\tI-NP\tO' +p168794 +aS'or\tor\tCC\tO\tO' +p168795 +aS'enfamil\tenfamil\tNN\tB-NP\tO' +p168796 +aS'24\t24\tCD\tB-NP\tO' +p168797 +aS'cals\tcal\tNNS\tI-NP\tO' +p168798 +aS'/\t/\tSYM\tB-NP\tO' +p168799 +aS'oz\toz\tNN\tI-NP\tO' +p168800 +aS'PO\tPO\tNN\tI-NP\tO' +p168801 +aS'ad\tad\tNN\tI-NP\tO' +p168802 +aS'lib\tlib\tNN\tI-NP\tO' +p168803 +aS',\t,\t,\tO\tO' +p168804 +aS'with\twith\tIN\tB-PP\tO' +p168805 +aS'adequate\tadequate\tJJ\tB-NP\tO' +p168806 +aS'intake\tintake\tNN\tI-NP\tO' +p168807 +aS'and\tand\tCC\tO\tO' +p168808 +aS'adequate\tadequate\tJJ\tB-NP\tO' +p168809 +aS'weight\tweight\tNN\tI-NP\tO' +p168810 +aS'gain\tgain\tNN\tI-NP\tO' +p168811 +aS'.\t.\t.\tO\tO' +p168812 +asS'However he had a report of emesis of coffee grounds on postoperative night #1 .' +p168813 +(lp168814 +S'However\tHowever\tRB\tB-ADVP\tO' +p168815 +aS'he\the\tPRP\tB-NP\tO' +p168816 +aS'had\thave\tVBD\tB-VP\tO' +p168817 +aS'a\ta\tDT\tB-NP\tO' +p168818 +aS'report\treport\tNN\tI-NP\tO' +p168819 +aS'of\tof\tIN\tB-PP\tO' +p168820 +aS'emesis\temesis\tNN\tB-NP\tO' +p168821 +aS'of\tof\tIN\tB-PP\tO' +p168822 +aS'coffee\tcoffee\tNN\tB-NP\tO' +p168823 +aS'grounds\tground\tNNS\tI-NP\tO' +p168824 +aS'on\ton\tIN\tB-PP\tO' +p168825 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p168826 +aS'night\tnight\tNN\tI-NP\tO' +p168827 +aS'#1\t#1\tNN\tI-NP\tO' +p168828 +aS'.\t.\t.\tO\tO' +p168829 +asS'5. Pyridoxine 50 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' +p168830 +(lp168831 +S'5.\t5.\tLS\tB-NP\tO' +p168832 +aS'Pyridoxine\tPyridoxine\tNN\tI-NP\tO' +p168833 +aS'50\t50\tCD\tI-NP\tO' +p168834 +aS'mg\tmg\tNN\tI-NP\tO' +p168835 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p168836 +aS'Sig\tSig\tNNP\tI-NP\tO' +p168837 +aS':\t:\t:\tO\tO' +p168838 +aS'One\tOne\tCD\tB-NP\tO' +p168839 +aS'(\t(\t(\tO\tO' +p168840 +aS'1\t1\tCD\tB-NP\tO' +p168841 +aS')\t)\t)\tO\tO' +p168842 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p168843 +aS'PO\tPO\tNN\tI-NP\tO' +p168844 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p168845 +aS'(\t(\t(\tO\tO' +p168846 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p168847 +aS')\t)\t)\tO\tO' +p168848 +aS'.\t.\t.\tO\tO' +p168849 +asS'We recommend daily physical therapy and occupational therapy to maximize functional capacity with optimization of pharmacological regimen for spasticity including Baclofen , Valium and adequate analgesia .' +p168850 +(lp168851 +S'We\tWe\tPRP\tB-NP\tO' +p168852 +aS'recommend\trecommend\tVBP\tB-VP\tO' +p168853 +aS'daily\tdaily\tRB\tB-NP\tO' +p168854 +aS'physical\tphysical\tJJ\tI-NP\tO' +p168855 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p168856 +aS'and\tand\tCC\tO\tO' +p168857 +aS'occupational\toccupational\tJJ\tB-NP\tO' +p168858 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p168859 +aS'to\tto\tTO\tB-VP\tO' +p168860 +aS'maximize\tmaximize\tVB\tI-VP\tO' +p168861 +aS'functional\tfunctional\tJJ\tB-NP\tO' +p168862 +aS'capacity\tcapacity\tNN\tI-NP\tO' +p168863 +aS'with\twith\tIN\tB-PP\tO' +p168864 +aS'optimization\toptimization\tNN\tB-NP\tO' +p168865 +aS'of\tof\tIN\tB-PP\tO' +p168866 +aS'pharmacological\tpharmacological\tJJ\tB-NP\tO' +p168867 +aS'regimen\tregimen\tNN\tI-NP\tO' +p168868 +aS'for\tfor\tIN\tB-PP\tO' +p168869 +aS'spasticity\tspasticity\tNN\tB-NP\tO' +p168870 +aS'including\tinclude\tVBG\tB-PP\tO' +p168871 +aS'Baclofen\tBaclofen\tNN\tB-NP\tO' +p168872 +aS',\t,\t,\tO\tO' +p168873 +aS'Valium\tValium\tNN\tB-NP\tO' +p168874 +aS'and\tand\tCC\tO\tO' +p168875 +aS'adequate\tadequate\tJJ\tB-NP\tO' +p168876 +aS'analgesia\tanalgesia\tNN\tI-NP\tO' +p168877 +aS'.\t.\t.\tO\tO' +p168878 +asS'The patient was continued on Synthroid for her chronic hypothyroidism .' +p168879 +(lp168880 +S'The\tThe\tDT\tB-NP\tO' +p168881 +aS'patient\tpatient\tNN\tI-NP\tO' +p168882 +aS'was\tbe\tVBD\tB-VP\tO' +p168883 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p168884 +aS'on\ton\tIN\tB-PP\tO' +p168885 +aS'Synthroid\tSynthroid\tNNP\tB-NP\tO' +p168886 +aS'for\tfor\tIN\tB-PP\tO' +p168887 +aS'her\ther\tPRP$\tB-NP\tO' +p168888 +aS'chronic\tchronic\tJJ\tI-NP\tO' +p168889 +aS'hypothyroidism\thypothyroidism\tNN\tI-NP\tO' +p168890 +aS'.\t.\t.\tO\tO' +p168891 +asS'Mr. State is an 81-year-old man with a history of restrictive and obstructive lung disease , dilated cardiomyopathy , inferior myocardial infarction , and anterior mediastinal masses admitted with acute onset of pulmonary edema .' +p168892 +(lp168893 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p168894 +aS'State\tState\tNNP\tI-NP\tO' +p168895 +aS'is\tbe\tVBZ\tB-VP\tO' +p168896 +aS'an\tan\tDT\tB-NP\tO' +p168897 +aS'81-year-old\t81-year-old\tJJ\tI-NP\tO' +p168898 +aS'man\tman\tNN\tI-NP\tO' +p168899 +aS'with\twith\tIN\tB-PP\tO' +p168900 +aS'a\ta\tDT\tB-NP\tO' +p168901 +aS'history\thistory\tNN\tI-NP\tO' +p168902 +aS'of\tof\tIN\tB-PP\tO' +p168903 +aS'restrictive\trestrictive\tJJ\tB-NP\tO' +p168904 +aS'and\tand\tCC\tI-NP\tO' +p168905 +aS'obstructive\tobstructive\tJJ\tI-NP\tO' +p168906 +aS'lung\tlung\tNN\tI-NP\tO' +p168907 +aS'disease\tdisease\tNN\tI-NP\tO' +p168908 +aS',\t,\t,\tO\tO' +p168909 +aS'dilated\tdilated\tJJ\tB-NP\tO' +p168910 +aS'cardiomyopathy\tcardiomyopathy\tNN\tI-NP\tO' +p168911 +aS',\t,\t,\tO\tO' +p168912 +aS'inferior\tinferior\tJJ\tB-NP\tO' +p168913 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p168914 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p168915 +aS',\t,\t,\tO\tO' +p168916 +aS'and\tand\tCC\tO\tO' +p168917 +aS'anterior\tanterior\tJJ\tB-NP\tO' +p168918 +aS'mediastinal\tmediastinal\tJJ\tI-NP\tO' +p168919 +aS'masses\tmass\tNNS\tI-NP\tO' +p168920 +aS'admitted\tadmit\tVBN\tB-VP\tO' +p168921 +aS'with\twith\tIN\tB-PP\tO' +p168922 +aS'acute\tacute\tJJ\tB-NP\tO' +p168923 +aS'onset\tonset\tNN\tI-NP\tO' +p168924 +aS'of\tof\tIN\tB-PP\tO' +p168925 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p168926 +aS'edema\tedema\tNN\tI-NP\tO' +p168927 +aS'.\t.\t.\tO\tO' +p168928 +asS'9 ) Prednisone 40 mg p.o. q. day times thirty days beginning on July 27 , 1999 to be followed by a slow taper as directed by the pulmonologist .' +p168929 +(lp168930 +S'9\t9\tCD\tB-NP\tO' +p168931 +aS')\t)\t)\tO\tO' +p168932 +aS'Prednisone\tPrednisone\tNN\tB-NP\tO' +p168933 +aS'40\t40\tCD\tI-NP\tO' +p168934 +aS'mg\tmg\tNN\tI-NP\tO' +p168935 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p168936 +aS'q.\tq.\tNN\tI-NP\tO' +p168937 +aS'day\tday\tNN\tI-NP\tO' +p168938 +aS'times\ttime\tNNS\tI-NP\tO' +p168939 +aS'thirty\tthirty\tCD\tB-NP\tO' +p168940 +aS'days\tday\tNNS\tI-NP\tO' +p168941 +aS'beginning\tbegin\tVBG\tB-PP\tO' +p168942 +aS'on\ton\tIN\tB-PP\tO' +p168943 +aS'July\tJuly\tNNP\tB-NP\tO' +p168944 +aS'27\t27\tCD\tI-NP\tO' +p168945 +aS',\t,\t,\tI-NP\tO' +p168946 +aS'1999\t1999\tCD\tI-NP\tO' +p168947 +aS'to\tto\tTO\tB-VP\tO' +p168948 +aS'be\tbe\tVB\tI-VP\tO' +p168949 +aS'followed\tfollow\tVBN\tI-VP\tO' +p168950 +aS'by\tby\tIN\tB-PP\tO' +p168951 +aS'a\ta\tDT\tB-NP\tO' +p168952 +aS'slow\tslow\tJJ\tI-NP\tO' +p168953 +aS'taper\ttaper\tNN\tI-NP\tO' +p168954 +aS'as\tas\tIN\tB-SBAR\tO' +p168955 +aS'directed\tdirect\tVBN\tB-VP\tO' +p168956 +aS'by\tby\tIN\tB-PP\tO' +p168957 +aS'the\tthe\tDT\tB-NP\tO' +p168958 +aS'pulmonologist\tpulmonologist\tNN\tI-NP\tO' +p168959 +aS'.\t.\t.\tO\tO' +p168960 +asS'At the time of discharge , Mr. Morton had good pain control , was tolerating a regular diet , had a well-healing wound treated with a VAC dressing , and was to continue his IV PCN G and Clindamycin .' +p168961 +(lp168962 +S'At\tAt\tIN\tB-PP\tO' +p168963 +aS'the\tthe\tDT\tB-NP\tO' +p168964 +aS'time\ttime\tNN\tI-NP\tO' +p168965 +aS'of\tof\tIN\tB-PP\tO' +p168966 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p168967 +aS',\t,\t,\tO\tO' +p168968 +aS'Mr.\tMr.\tNNP\tB-NP\tO' +p168969 +aS'Morton\tMorton\tNNP\tI-NP\tO' +p168970 +aS'had\thave\tVBD\tB-VP\tO' +p168971 +aS'good\tgood\tJJ\tB-NP\tO' +p168972 +aS'pain\tpain\tNN\tI-NP\tO' +p168973 +aS'control\tcontrol\tNN\tI-NP\tO' +p168974 +aS',\t,\t,\tO\tO' +p168975 +aS'was\tbe\tVBD\tB-VP\tO' +p168976 +aS'tolerating\ttolerate\tVBG\tI-VP\tO' +p168977 +aS'a\ta\tDT\tB-NP\tO' +p168978 +aS'regular\tregular\tJJ\tI-NP\tO' +p168979 +aS'diet\tdiet\tNN\tI-NP\tO' +p168980 +aS',\t,\t,\tO\tO' +p168981 +aS'had\thave\tVBD\tB-VP\tO' +p168982 +aS'a\ta\tDT\tB-NP\tO' +p168983 +aS'well-healing\twell-healing\tJJ\tI-NP\tO' +p168984 +aS'wound\twound\tNN\tI-NP\tO' +p168985 +aS'treated\ttreat\tVBN\tB-VP\tO' +p168986 +aS'with\twith\tIN\tB-PP\tO' +p168987 +aS'a\ta\tDT\tB-NP\tO' +p168988 +aS'VAC\tVAC\tNN\tI-NP\tO' +p168989 +aS'dressing\tdressing\tNN\tI-NP\tO' +p168990 +aS',\t,\t,\tO\tO' +p168991 +aS'and\tand\tCC\tO\tO' +p168992 +aS'was\tbe\tVBD\tB-VP\tO' +p168993 +aS'to\tto\tTO\tI-VP\tO' +p168994 +aS'continue\tcontinue\tVB\tI-VP\tO' +p168995 +aS'his\this\tPRP$\tB-NP\tO' +p168996 +aS'IV\tIV\tCD\tI-NP\tO' +p168997 +aS'PCN\tPCN\tNN\tI-NP\tO' +p168998 +aS'G\tG\tNN\tI-NP\tO' +p168999 +aS'and\tand\tCC\tI-NP\tO' +p169000 +aS'Clindamycin\tClindamycin\tNN\tI-NP\tO' +p169001 +aS'.\t.\t.\tO\tO' +p169002 +asS'He had a past history of ischemic cardiomyopathy with an ejection fraction of 10 , mild aortic stenosis and a right middle cerebral artery territory stroke in 07/94 .' +p169003 +(lp169004 +S'He\tHe\tPRP\tB-NP\tO' +p169005 +aS'had\thave\tVBD\tB-VP\tO' +p169006 +aS'a\ta\tDT\tB-NP\tO' +p169007 +aS'past\tpast\tJJ\tI-NP\tO' +p169008 +aS'history\thistory\tNN\tI-NP\tO' +p169009 +aS'of\tof\tIN\tB-PP\tO' +p169010 +aS'ischemic\tischemic\tJJ\tB-NP\tO' +p169011 +aS'cardiomyopathy\tcardiomyopathy\tNN\tI-NP\tO' +p169012 +aS'with\twith\tIN\tB-PP\tO' +p169013 +aS'an\tan\tDT\tB-NP\tO' +p169014 +aS'ejection\tejection\tNN\tI-NP\tO' +p169015 +aS'fraction\tfraction\tNN\tI-NP\tO' +p169016 +aS'of\tof\tIN\tB-PP\tO' +p169017 +aS'10\t10\tCD\tB-NP\tO' +p169018 +aS',\t,\t,\tO\tO' +p169019 +aS'mild\tmild\tJJ\tB-NP\tO' +p169020 +aS'aortic\taortic\tJJ\tI-NP\tO' +p169021 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p169022 +aS'and\tand\tCC\tO\tO' +p169023 +aS'a\ta\tDT\tB-NP\tO' +p169024 +aS'right\tright\tJJ\tI-NP\tO' +p169025 +aS'middle\tmiddle\tJJ\tI-NP\tO' +p169026 +aS'cerebral\tcerebral\tJJ\tI-NP\tO' +p169027 +aS'artery\tartery\tNN\tI-NP\tO' +p169028 +aS'territory\tterritory\tNN\tI-NP\tO' +p169029 +aS'stroke\tstroke\tVBD\tB-VP\tO' +p169030 +aS'in\tin\tIN\tB-PP\tO' +p169031 +aS'07/94\t07/94\tCD\tB-NP\tO' +p169032 +aS'.\t.\t.\tO\tO' +p169033 +asS'No BIPAP .' +p169034 +(lp169035 +S'No\tNo\tDT\tB-NP\tO' +p169036 +aS'BIPAP\tBIPAP\tNN\tI-NP\tB-protein' +p169037 +aS'.\t.\t.\tO\tO' +p169038 +asS'In summary the patient is a 59 year-old female who was admitted to Quincy Medical Center for an endoscopic retrograde cholangiopancreatography for possible stent placement for a bile leak secondary to cholecystectomy performed four days prior to admission .' +p169039 +(lp169040 +S'In\tIn\tIN\tB-PP\tO' +p169041 +aS'summary\tsummary\tNN\tB-NP\tO' +p169042 +aS'the\tthe\tDT\tB-NP\tO' +p169043 +aS'patient\tpatient\tNN\tI-NP\tO' +p169044 +aS'is\tbe\tVBZ\tB-VP\tO' +p169045 +aS'a\ta\tDT\tB-NP\tO' +p169046 +aS'59\t59\tCD\tI-NP\tO' +p169047 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p169048 +aS'female\tfemale\tNN\tI-NP\tO' +p169049 +aS'who\twho\tWP\tB-NP\tO' +p169050 +aS'was\tbe\tVBD\tB-VP\tO' +p169051 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p169052 +aS'to\tto\tTO\tB-PP\tO' +p169053 +aS'Quincy\tQuincy\tNNP\tB-NP\tO' +p169054 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p169055 +aS'Center\tCenter\tNNP\tI-NP\tO' +p169056 +aS'for\tfor\tIN\tB-PP\tO' +p169057 +aS'an\tan\tDT\tB-NP\tO' +p169058 +aS'endoscopic\tendoscopic\tJJ\tI-NP\tO' +p169059 +aS'retrograde\tretrograde\tJJ\tI-NP\tO' +p169060 +aS'cholangiopancreatography\tcholangiopancreatography\tNN\tI-NP\tO' +p169061 +aS'for\tfor\tIN\tB-PP\tO' +p169062 +aS'possible\tpossible\tJJ\tB-NP\tO' +p169063 +aS'stent\tstent\tJJ\tI-NP\tO' +p169064 +aS'placement\tplacement\tNN\tI-NP\tO' +p169065 +aS'for\tfor\tIN\tB-PP\tO' +p169066 +aS'a\ta\tDT\tB-NP\tO' +p169067 +aS'bile\tbile\tNN\tI-NP\tO' +p169068 +aS'leak\tleak\tNN\tI-NP\tO' +p169069 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p169070 +aS'to\tto\tTO\tB-PP\tO' +p169071 +aS'cholecystectomy\tcholecystectomy\tNN\tB-NP\tO' +p169072 +aS'performed\tperform\tVBD\tB-VP\tO' +p169073 +aS'four\tfour\tCD\tB-NP\tO' +p169074 +aS'days\tday\tNNS\tI-NP\tO' +p169075 +aS'prior\tprior\tRB\tB-ADVP\tO' +p169076 +aS'to\tto\tTO\tB-PP\tO' +p169077 +aS'admission\tadmission\tNN\tB-NP\tO' +p169078 +aS'.\t.\t.\tO\tO' +p169079 +asS'Do not drive if taking narcotics Call doctor if fever > 101.5 , worsening pain , swelling , or redness of wound , numbness or tingling in extremities or face or any other concerns .' +p169080 +(lp169081 +S'Do\tDo\tVBP\tB-VP\tO' +p169082 +aS'not\tnot\tRB\tI-VP\tO' +p169083 +aS'drive\tdrive\tVB\tI-VP\tO' +p169084 +aS'if\tif\tIN\tB-SBAR\tO' +p169085 +aS'taking\ttake\tVBG\tB-VP\tO' +p169086 +aS'narcotics\tnarcotic\tNNS\tB-NP\tO' +p169087 +aS'Call\tCall\tVB\tB-VP\tO' +p169088 +aS'doctor\tdoctor\tNN\tB-NP\tO' +p169089 +aS'if\tif\tIN\tB-SBAR\tO' +p169090 +aS'fever\tfever\tNN\tB-NP\tO' +p169091 +aS'>\t>\tCC\tO\tO' +p169092 +aS'101.5\t101.5\tCD\tB-NP\tO' +p169093 +aS',\t,\t,\tO\tO' +p169094 +aS'worsening\tworsen\tVBG\tB-VP\tO' +p169095 +aS'pain\tpain\tNN\tB-NP\tO' +p169096 +aS',\t,\t,\tO\tO' +p169097 +aS'swelling\tswelling\tNN\tB-NP\tO' +p169098 +aS',\t,\t,\tO\tO' +p169099 +aS'or\tor\tCC\tO\tO' +p169100 +aS'redness\tredness\tNN\tB-NP\tO' +p169101 +aS'of\tof\tIN\tB-PP\tO' +p169102 +aS'wound\twound\tNN\tB-NP\tO' +p169103 +aS',\t,\t,\tI-NP\tO' +p169104 +aS'numbness\tnumbness\tNN\tI-NP\tO' +p169105 +aS'or\tor\tCC\tI-NP\tO' +p169106 +aS'tingling\ttingling\tNN\tI-NP\tO' +p169107 +aS'in\tin\tIN\tB-PP\tO' +p169108 +aS'extremities\textremity\tNNS\tB-NP\tO' +p169109 +aS'or\tor\tCC\tO\tO' +p169110 +aS'face\tface\tNN\tB-NP\tO' +p169111 +aS'or\tor\tCC\tO\tO' +p169112 +aS'any\tany\tDT\tB-NP\tO' +p169113 +aS'other\tother\tJJ\tI-NP\tO' +p169114 +aS'concerns\tconcern\tNNS\tI-NP\tO' +p169115 +aS'.\t.\t.\tO\tO' +p169116 +asS'The catheterization tip also grew out Serratia .' +p169117 +(lp169118 +S'The\tThe\tDT\tB-NP\tO' +p169119 +aS'catheterization\tcatheterization\tNN\tI-NP\tB-protein' +p169120 +aS'tip\ttip\tNN\tI-NP\tI-protein' +p169121 +aS'also\talso\tRB\tB-ADVP\tO' +p169122 +aS'grew\tgrow\tVBD\tB-VP\tO' +p169123 +aS'out\tout\tRP\tB-PRT\tO' +p169124 +aS'Serratia\tSerratia\tNNP\tB-NP\tO' +p169125 +aS'.\t.\t.\tO\tO' +p169126 +asS'Hearing screen passed on 2016-06-07 .' +p169127 +(lp169128 +S'Hearing\tHear\tVBG\tB-VP\tO' +p169129 +aS'screen\tscreen\tNN\tB-NP\tO' +p169130 +aS'passed\tpass\tVBN\tB-VP\tO' +p169131 +aS'on\ton\tIN\tB-PP\tO' +p169132 +aS'2016-06-07\t2016-06-07\tCD\tB-NP\tO' +p169133 +aS'.\t.\t.\tO\tO' +p169134 +asS'1) Hypertension .' +p169135 +(lp169136 +S'1)\t1)\tLS\tB-NP\tO' +p169137 +aS'Hypertension\tHypertension\tNN\tI-NP\tO' +p169138 +aS'.\t.\t.\tO\tO' +p169139 +asS'She smoked a half pack a day for eight years and quit in 2011-11-19 .' +p169140 +(lp169141 +S'She\tShe\tPRP\tB-NP\tO' +p169142 +aS'smoked\tsmoke\tVBD\tB-VP\tO' +p169143 +aS'a\ta\tDT\tB-NP\tO' +p169144 +aS'half\thalf\tJJ\tI-NP\tO' +p169145 +aS'pack\tpack\tNN\tI-NP\tO' +p169146 +aS'a\ta\tDT\tB-NP\tO' +p169147 +aS'day\tday\tNN\tI-NP\tO' +p169148 +aS'for\tfor\tIN\tB-PP\tO' +p169149 +aS'eight\teight\tCD\tB-NP\tO' +p169150 +aS'years\tyear\tNNS\tI-NP\tO' +p169151 +aS'and\tand\tCC\tO\tO' +p169152 +aS'quit\tquit\tVB\tB-VP\tO' +p169153 +aS'in\tin\tIN\tB-PP\tO' +p169154 +aS'2011-11-19\t2011-11-19\tCD\tB-NP\tO' +p169155 +aS'.\t.\t.\tO\tO' +p169156 +asS'Hauth is a very complicated patient and it was our pleasure to provide care for him at Ph University Of Medical Center .' +p169157 +(lp169158 +S'Hauth\tHauth\tNNP\tB-NP\tO' +p169159 +aS'is\tbe\tVBZ\tB-VP\tO' +p169160 +aS'a\ta\tDT\tB-NP\tO' +p169161 +aS'very\tvery\tRB\tI-NP\tO' +p169162 +aS'complicated\tcomplicate\tVBN\tI-NP\tO' +p169163 +aS'patient\tpatient\tNN\tI-NP\tO' +p169164 +aS'and\tand\tCC\tO\tO' +p169165 +aS'it\tit\tPRP\tB-NP\tO' +p169166 +aS'was\tbe\tVBD\tB-VP\tO' +p169167 +aS'our\tour\tPRP$\tB-NP\tO' +p169168 +aS'pleasure\tpleasure\tNN\tI-NP\tO' +p169169 +aS'to\tto\tTO\tB-VP\tO' +p169170 +aS'provide\tprovide\tVB\tI-VP\tO' +p169171 +aS'care\tcare\tNN\tB-NP\tO' +p169172 +aS'for\tfor\tIN\tB-PP\tO' +p169173 +aS'him\thim\tPRP\tB-NP\tO' +p169174 +aS'at\tat\tIN\tB-PP\tO' +p169175 +aS'Ph\tPh\tNNP\tB-NP\tO' +p169176 +aS'University\tUniversity\tNNP\tI-NP\tO' +p169177 +aS'Of\tOf\tNNP\tI-NP\tO' +p169178 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p169179 +aS'Center\tCenter\tNNP\tI-NP\tO' +p169180 +aS'.\t.\t.\tO\tO' +p169181 +asS'Neurology was consulted and the patient was treated very aggressively , loaded with multiple drugs , including Ativan and Propofol drips .' +p169182 +(lp169183 +S'Neurology\tNeurology\tNN\tB-NP\tO' +p169184 +aS'was\tbe\tVBD\tB-VP\tO' +p169185 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p169186 +aS'and\tand\tCC\tO\tO' +p169187 +aS'the\tthe\tDT\tB-NP\tO' +p169188 +aS'patient\tpatient\tNN\tI-NP\tO' +p169189 +aS'was\tbe\tVBD\tB-VP\tO' +p169190 +aS'treated\ttreat\tVBN\tI-VP\tO' +p169191 +aS'very\tvery\tRB\tB-ADVP\tO' +p169192 +aS'aggressively\taggressively\tRB\tI-ADVP\tO' +p169193 +aS',\t,\t,\tO\tO' +p169194 +aS'loaded\tload\tVBN\tB-VP\tO' +p169195 +aS'with\twith\tIN\tB-PP\tO' +p169196 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p169197 +aS'drugs\tdrug\tNNS\tI-NP\tO' +p169198 +aS',\t,\t,\tO\tO' +p169199 +aS'including\tinclude\tVBG\tB-PP\tO' +p169200 +aS'Ativan\tAtivan\tNN\tB-NP\tO' +p169201 +aS'and\tand\tCC\tI-NP\tO' +p169202 +aS'Propofol\tPropofol\tNN\tI-NP\tO' +p169203 +aS'drips\tdrip\tNNS\tI-NP\tO' +p169204 +aS'.\t.\t.\tO\tO' +p169205 +asS'7. Lisinopril 5 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' +p169206 +(lp169207 +S'7.\t7.\tCD\tB-NP\tO' +p169208 +aS'Lisinopril\tLisinopril\tNNP\tI-NP\tO' +p169209 +aS'5\t5\tCD\tI-NP\tO' +p169210 +aS'mg\tmg\tNN\tI-NP\tO' +p169211 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p169212 +aS'Sig\tSig\tNNP\tI-NP\tO' +p169213 +aS':\t:\t:\tO\tO' +p169214 +aS'One\tOne\tCD\tB-NP\tO' +p169215 +aS'(\t(\t(\tO\tO' +p169216 +aS'1\t1\tCD\tB-NP\tO' +p169217 +aS')\t)\t)\tO\tO' +p169218 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p169219 +aS'PO\tPO\tNN\tI-NP\tO' +p169220 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p169221 +aS'(\t(\t(\tO\tO' +p169222 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p169223 +aS')\t)\t)\tO\tO' +p169224 +aS'.\t.\t.\tO\tO' +p169225 +asS'Twin B with normal fetal survey was transferred to Boston Medical Center at 26 and 2/7 weeks with IUGR of twin A was first noted , presented with preterm labor at 31 weeks .' +p169226 +(lp169227 +S'Twin\tTwin\tNN\tB-NP\tO' +p169228 +aS'B\tB\tNN\tI-NP\tO' +p169229 +aS'with\twith\tIN\tB-PP\tO' +p169230 +aS'normal\tnormal\tJJ\tB-NP\tO' +p169231 +aS'fetal\tfetal\tJJ\tI-NP\tO' +p169232 +aS'survey\tsurvey\tNN\tI-NP\tO' +p169233 +aS'was\tbe\tVBD\tB-VP\tO' +p169234 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p169235 +aS'to\tto\tTO\tB-PP\tO' +p169236 +aS'Boston\tBoston\tNNP\tB-NP\tO' +p169237 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p169238 +aS'Center\tCenter\tNNP\tI-NP\tO' +p169239 +aS'at\tat\tIN\tB-PP\tO' +p169240 +aS'26\t26\tCD\tB-NP\tO' +p169241 +aS'and\tand\tCC\tI-NP\tO' +p169242 +aS'2/7\t2/7\tCD\tI-NP\tO' +p169243 +aS'weeks\tweek\tNNS\tI-NP\tO' +p169244 +aS'with\twith\tIN\tB-PP\tO' +p169245 +aS'IUGR\tIUGR\tNN\tB-NP\tB-protein' +p169246 +aS'of\tof\tIN\tB-PP\tO' +p169247 +aS'twin\ttwin\tNN\tB-NP\tO' +p169248 +aS'A\tA\tNN\tI-NP\tO' +p169249 +aS'was\tbe\tVBD\tB-VP\tO' +p169250 +aS'first\tfirst\tRB\tI-VP\tO' +p169251 +aS'noted\tnote\tVBN\tI-VP\tO' +p169252 +aS',\t,\t,\tO\tO' +p169253 +aS'presented\tpresent\tVBN\tB-VP\tO' +p169254 +aS'with\twith\tIN\tB-PP\tO' +p169255 +aS'preterm\tpreterm\tJJ\tB-NP\tO' +p169256 +aS'labor\tlabor\tNN\tI-NP\tO' +p169257 +aS'at\tat\tIN\tB-PP\tO' +p169258 +aS'31\t31\tCD\tB-NP\tO' +p169259 +aS'weeks\tweek\tNNS\tI-NP\tO' +p169260 +aS'.\t.\t.\tO\tO' +p169261 +asS'6. Warfarin 2 mg Tablet Sig : 1.5 Tablets PO as directed : 3 mg 1943-05-29 and 6/1 then as directed by Dr Mace .' +p169262 +(lp169263 +S'6.\t6.\tCD\tB-NP\tO' +p169264 +aS'Warfarin\tWarfarin\tNN\tI-NP\tO' +p169265 +aS'2\t2\tCD\tB-NP\tO' +p169266 +aS'mg\tmg\tNN\tI-NP\tO' +p169267 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p169268 +aS'Sig\tSig\tNNP\tI-NP\tO' +p169269 +aS':\t:\t:\tO\tO' +p169270 +aS'1.5\t1.5\tCD\tB-NP\tO' +p169271 +aS'Tablets\tTablet\tNNS\tI-NP\tO' +p169272 +aS'PO\tPO\tNN\tI-NP\tO' +p169273 +aS'as\tas\tIN\tB-SBAR\tO' +p169274 +aS'directed\tdirect\tVBN\tB-VP\tO' +p169275 +aS':\t:\t:\tO\tO' +p169276 +aS'3\t3\tCD\tB-NP\tO' +p169277 +aS'mg\tmg\tNN\tI-NP\tO' +p169278 +aS'1943-05-29\t1943-05-29\tCD\tB-NP\tO' +p169279 +aS'and\tand\tCC\tI-NP\tO' +p169280 +aS'6/1\t6/1\tCD\tI-NP\tO' +p169281 +aS'then\tthen\tRB\tB-ADVP\tO' +p169282 +aS'as\tas\tIN\tB-SBAR\tO' +p169283 +aS'directed\tdirect\tVBN\tB-VP\tO' +p169284 +aS'by\tby\tIN\tB-PP\tO' +p169285 +aS'Dr\tDr\tNNP\tB-NP\tO' +p169286 +aS'Mace\tMace\tNNP\tI-NP\tO' +p169287 +aS'.\t.\t.\tO\tO' +p169288 +asS'Review of systems was significant for progressive abdominal discomfort , decreased oral intake , and weakness in the past nine weeks .' +p169289 +(lp169290 +S'Review\tReview\tNN\tB-NP\tO' +p169291 +aS'of\tof\tIN\tB-PP\tO' +p169292 +aS'systems\tsystem\tNNS\tB-NP\tO' +p169293 +aS'was\tbe\tVBD\tB-VP\tO' +p169294 +aS'significant\tsignificant\tJJ\tB-ADJP\tO' +p169295 +aS'for\tfor\tIN\tB-PP\tO' +p169296 +aS'progressive\tprogressive\tJJ\tB-NP\tO' +p169297 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p169298 +aS'discomfort\tdiscomfort\tNN\tI-NP\tO' +p169299 +aS',\t,\t,\tO\tO' +p169300 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p169301 +aS'oral\toral\tJJ\tB-NP\tO' +p169302 +aS'intake\tintake\tNN\tI-NP\tO' +p169303 +aS',\t,\t,\tO\tO' +p169304 +aS'and\tand\tCC\tO\tO' +p169305 +aS'weakness\tweakness\tNN\tB-NP\tO' +p169306 +aS'in\tin\tIN\tB-PP\tO' +p169307 +aS'the\tthe\tDT\tB-NP\tO' +p169308 +aS'past\tpast\tJJ\tI-NP\tO' +p169309 +aS'nine\tnine\tCD\tI-NP\tO' +p169310 +aS'weeks\tweek\tNNS\tI-NP\tO' +p169311 +aS'.\t.\t.\tO\tO' +p169312 +asS'25. Chlorothiazide 250 mg Tablet Sig : Two ( 2 ) Tablet PO DAILY ( Daily ) .' +p169313 +(lp169314 +S'25.\t25.\tLS\tB-NP\tO' +p169315 +aS'Chlorothiazide\tChlorothiazide\tNN\tI-NP\tO' +p169316 +aS'250\t250\tCD\tI-NP\tO' +p169317 +aS'mg\tmg\tNN\tI-NP\tO' +p169318 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p169319 +aS'Sig\tSig\tNNP\tI-NP\tO' +p169320 +aS':\t:\t:\tO\tO' +p169321 +aS'Two\tTwo\tCD\tB-NP\tO' +p169322 +aS'(\t(\t(\tO\tO' +p169323 +aS'2\t2\tCD\tO\tO' +p169324 +aS')\t)\t)\tO\tO' +p169325 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p169326 +aS'PO\tPO\tNN\tI-NP\tO' +p169327 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p169328 +aS'(\t(\t(\tO\tO' +p169329 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p169330 +aS')\t)\t)\tO\tO' +p169331 +aS'.\t.\t.\tO\tO' +p169332 +asS'A CAT scan of the abdomen showed air-fluid levels in the gallbladder .' +p169333 +(lp169334 +S'A\tA\tDT\tB-NP\tO' +p169335 +aS'CAT\tCAT\tNN\tI-NP\tB-protein' +p169336 +aS'scan\tscan\tNN\tI-NP\tO' +p169337 +aS'of\tof\tIN\tB-PP\tO' +p169338 +aS'the\tthe\tDT\tB-NP\tO' +p169339 +aS'abdomen\tabdoman\tNNS\tI-NP\tO' +p169340 +aS'showed\tshow\tVBD\tB-VP\tO' +p169341 +aS'air-fluid\tair-fluid\tJJ\tB-NP\tO' +p169342 +aS'levels\tlevel\tNNS\tI-NP\tO' +p169343 +aS'in\tin\tIN\tB-PP\tO' +p169344 +aS'the\tthe\tDT\tB-NP\tO' +p169345 +aS'gallbladder\tgallbladder\tNN\tI-NP\tO' +p169346 +aS'.\t.\t.\tO\tO' +p169347 +asS'IVC filter placement .' +p169348 +(lp169349 +S'IVC\tIVC\tNN\tB-NP\tO' +p169350 +aS'filter\tfilter\tNN\tI-NP\tO' +p169351 +aS'placement\tplacement\tNN\tI-NP\tO' +p169352 +aS'.\t.\t.\tO\tO' +p169353 +asS'Frozen section sent to pathology revealing invasive squamous cell carcinoma .' +p169354 +(lp169355 +S'Frozen\tFrozen\tJJ\tB-NP\tO' +p169356 +aS'section\tsection\tNN\tI-NP\tO' +p169357 +aS'sent\tsend\tVBN\tB-VP\tO' +p169358 +aS'to\tto\tTO\tB-PP\tO' +p169359 +aS'pathology\tpathology\tNN\tB-NP\tO' +p169360 +aS'revealing\treveal\tVBG\tB-VP\tO' +p169361 +aS'invasive\tinvasive\tJJ\tB-NP\tO' +p169362 +aS'squamous\tsquamous\tJJ\tI-NP\tO' +p169363 +aS'cell\tcell\tNN\tI-NP\tO' +p169364 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p169365 +aS'.\t.\t.\tO\tO' +p169366 +asS'Discharge Diagnosis : s/p fall from 15-20 feet' +p169367 +(lp169368 +S'Discharge\tDischarge\tNNP\tB-NP\tO' +p169369 +aS'Diagnosis\tDiagnosis\tNNP\tI-NP\tO' +p169370 +aS':\t:\t:\tO\tO' +p169371 +aS's/p\ts/p\tNN\tB-NP\tO' +p169372 +aS'fall\tfall\tNN\tI-NP\tO' +p169373 +aS'from\tfrom\tIN\tB-PP\tO' +p169374 +aS'15-20\t15-20\tCD\tB-NP\tO' +p169375 +aS'feet\tfoot\tNNS\tI-NP\tO' +p169376 +asS'No murmurs were noted , although normal heart rates and blood pressures .' +p169377 +(lp169378 +S'No\tNo\tDT\tB-NP\tO' +p169379 +aS'murmurs\tmurmur\tNNS\tI-NP\tO' +p169380 +aS'were\tbe\tVBD\tB-VP\tO' +p169381 +aS'noted\tnote\tVBN\tI-VP\tO' +p169382 +aS',\t,\t,\tO\tO' +p169383 +aS'although\talthough\tIN\tB-SBAR\tO' +p169384 +aS'normal\tnormal\tJJ\tB-NP\tO' +p169385 +aS'heart\theart\tNN\tI-NP\tO' +p169386 +aS'rates\trate\tNNS\tI-NP\tO' +p169387 +aS'and\tand\tCC\tO\tO' +p169388 +aS'blood\tblood\tNN\tB-NP\tO' +p169389 +aS'pressures\tpressure\tNNS\tI-NP\tO' +p169390 +aS'.\t.\t.\tO\tO' +p169391 +asS'Extremities - Feet mildly cool .' +p169392 +(lp169393 +S'Extremities\tExtremity\tNNS\tB-NP\tO' +p169394 +aS'-\t-\t:\tO\tO' +p169395 +aS'Feet\tFeet\tNN\tB-NP\tO' +p169396 +aS'mildly\tmildly\tRB\tB-ADVP\tO' +p169397 +aS'cool\tcool\tVBP\tB-VP\tO' +p169398 +aS'.\t.\t.\tO\tO' +p169399 +asS'The patient was advanced to regular diet on postoperative day one .' +p169400 +(lp169401 +S'The\tThe\tDT\tB-NP\tO' +p169402 +aS'patient\tpatient\tNN\tI-NP\tO' +p169403 +aS'was\tbe\tVBD\tB-VP\tO' +p169404 +aS'advanced\tadvance\tVBN\tI-VP\tO' +p169405 +aS'to\tto\tTO\tB-PP\tO' +p169406 +aS'regular\tregular\tJJ\tB-NP\tO' +p169407 +aS'diet\tdiet\tNN\tI-NP\tO' +p169408 +aS'on\ton\tIN\tB-PP\tO' +p169409 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p169410 +aS'day\tday\tNN\tI-NP\tO' +p169411 +aS'one\tone\tCD\tI-NP\tO' +p169412 +aS'.\t.\t.\tO\tO' +p169413 +asS'The patient will follow-up in the wound care clinic in two weeks .' +p169414 +(lp169415 +S'The\tThe\tDT\tB-NP\tO' +p169416 +aS'patient\tpatient\tNN\tI-NP\tO' +p169417 +aS'will\twill\tMD\tB-VP\tO' +p169418 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p169419 +aS'in\tin\tIN\tB-PP\tO' +p169420 +aS'the\tthe\tDT\tB-NP\tO' +p169421 +aS'wound\twound\tNN\tI-NP\tO' +p169422 +aS'care\tcare\tNN\tI-NP\tO' +p169423 +aS'clinic\tclinic\tNN\tI-NP\tO' +p169424 +aS'in\tin\tIN\tB-PP\tO' +p169425 +aS'two\ttwo\tCD\tB-NP\tO' +p169426 +aS'weeks\tweek\tNNS\tI-NP\tO' +p169427 +aS'.\t.\t.\tO\tO' +p169428 +asS'Chest x-ray .' +p169429 +(lp169430 +S'Chest\tCh\tJJS\tB-NP\tO' +p169431 +aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' +p169432 +aS'.\t.\t.\tO\tO' +p169433 +asS'The patient was discharged on 09-02 .' +p169434 +(lp169435 +S'The\tThe\tDT\tB-NP\tO' +p169436 +aS'patient\tpatient\tNN\tI-NP\tO' +p169437 +aS'was\tbe\tVBD\tB-VP\tO' +p169438 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p169439 +aS'on\ton\tIN\tB-PP\tO' +p169440 +aS'09-02\t09-02\tCD\tB-NP\tO' +p169441 +aS'.\t.\t.\tO\tO' +p169442 +asS'He was noted to have an erythematous perianal rash and for this was started on Nystatin powder .' +p169443 +(lp169444 +S'He\tHe\tPRP\tB-NP\tO' +p169445 +aS'was\tbe\tVBD\tB-VP\tO' +p169446 +aS'noted\tnote\tVBN\tI-VP\tO' +p169447 +aS'to\tto\tTO\tI-VP\tO' +p169448 +aS'have\thave\tVB\tI-VP\tO' +p169449 +aS'an\tan\tDT\tB-NP\tO' +p169450 +aS'erythematous\terythematous\tJJ\tI-NP\tO' +p169451 +aS'perianal\tperianal\tJJ\tI-NP\tO' +p169452 +aS'rash\trash\tNN\tI-NP\tO' +p169453 +aS'and\tand\tCC\tB-PP\tO' +p169454 +aS'for\tfor\tIN\tB-PP\tO' +p169455 +aS'this\tthis\tDT\tB-NP\tO' +p169456 +aS'was\tbe\tVBD\tB-VP\tO' +p169457 +aS'started\tstart\tVBN\tI-VP\tO' +p169458 +aS'on\ton\tIN\tB-PP\tO' +p169459 +aS'Nystatin\tNystatin\tNN\tB-NP\tO' +p169460 +aS'powder\tpowder\tNN\tI-NP\tO' +p169461 +aS'.\t.\t.\tO\tO' +p169462 +asS'Amy 3 children , 2 daughters and 1 son .' +p169463 +(lp169464 +S'Amy\tAmy\tNNP\tB-NP\tO' +p169465 +aS'3\t3\tCD\tI-NP\tO' +p169466 +aS'children\tchild\tNNS\tI-NP\tO' +p169467 +aS',\t,\t,\tO\tO' +p169468 +aS'2\t2\tCD\tB-NP\tO' +p169469 +aS'daughters\tdaughter\tNNS\tI-NP\tO' +p169470 +aS'and\tand\tCC\tO\tO' +p169471 +aS'1\t1\tCD\tB-NP\tO' +p169472 +aS'son\tson\tNN\tI-NP\tO' +p169473 +aS'.\t.\t.\tO\tO' +p169474 +asS'Following the operation , she was brought to the CSRU .' +p169475 +(lp169476 +S'Following\tFollow\tVBG\tB-PP\tO' +p169477 +aS'the\tthe\tDT\tB-NP\tO' +p169478 +aS'operation\toperation\tNN\tI-NP\tO' +p169479 +aS',\t,\t,\tO\tO' +p169480 +aS'she\tshe\tPRP\tB-NP\tO' +p169481 +aS'was\tbe\tVBD\tB-VP\tO' +p169482 +aS'brought\tbring\tVBN\tI-VP\tO' +p169483 +aS'to\tto\tTO\tB-PP\tO' +p169484 +aS'the\tthe\tDT\tB-NP\tO' +p169485 +aS'CSRU\tCSRU\tNN\tI-NP\tB-DNA' +p169486 +aS'.\t.\t.\tO\tO' +p169487 +asS'LDH 806 .' +p169488 +(lp169489 +S'LDH\tLDH\tNN\tB-NP\tB-protein' +p169490 +aS'806\t806\tCD\tI-NP\tI-protein' +p169491 +aS'.\t.\t.\tO\tO' +p169492 +asS'The family decided to pursue comfort measures .' +p169493 +(lp169494 +S'The\tThe\tDT\tB-NP\tO' +p169495 +aS'family\tfamily\tNN\tI-NP\tO' +p169496 +aS'decided\tdecide\tVBD\tB-VP\tO' +p169497 +aS'to\tto\tTO\tI-VP\tO' +p169498 +aS'pursue\tpursue\tVB\tI-VP\tO' +p169499 +aS'comfort\tcomfort\tNN\tB-NP\tO' +p169500 +aS'measures\tmeasure\tNNS\tI-NP\tO' +p169501 +aS'.\t.\t.\tO\tO' +p169502 +asS'On POD#9 , the patient was afebrile , tolerating a regular diet , ambultating without difficulty and voiding spontaneously .' +p169503 +(lp169504 +S'On\tOn\tIN\tB-PP\tO' +p169505 +aS'POD#9\tPOD#9\tNN\tB-NP\tB-protein' +p169506 +aS',\t,\t,\tO\tO' +p169507 +aS'the\tthe\tDT\tB-NP\tO' +p169508 +aS'patient\tpatient\tNN\tI-NP\tO' +p169509 +aS'was\tbe\tVBD\tB-VP\tO' +p169510 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p169511 +aS',\t,\t,\tO\tO' +p169512 +aS'tolerating\ttolerate\tVBG\tB-VP\tO' +p169513 +aS'a\ta\tDT\tB-NP\tO' +p169514 +aS'regular\tregular\tJJ\tI-NP\tO' +p169515 +aS'diet\tdiet\tNN\tI-NP\tO' +p169516 +aS',\t,\t,\tO\tO' +p169517 +aS'ambultating\tambultate\tVBG\tB-VP\tO' +p169518 +aS'without\twithout\tIN\tB-PP\tO' +p169519 +aS'difficulty\tdifficulty\tNN\tB-NP\tO' +p169520 +aS'and\tand\tCC\tO\tO' +p169521 +aS'voiding\tvoid\tVBG\tB-VP\tO' +p169522 +aS'spontaneously\tspontaneously\tRB\tB-ADVP\tO' +p169523 +aS'.\t.\t.\tO\tO' +p169524 +asS'- transfuse 2 units today , with lasix' +p169525 +(lp169526 +S'-\t-\tHYPH\tB-NP\tO' +p169527 +aS'transfuse\ttransfuse\tNN\tI-NP\tO' +p169528 +aS'2\t2\tCD\tB-NP\tO' +p169529 +aS'units\tunit\tNNS\tI-NP\tO' +p169530 +aS'today\ttoday\tNN\tB-NP\tO' +p169531 +aS',\t,\t,\tO\tO' +p169532 +aS'with\twith\tIN\tB-PP\tO' +p169533 +aS'lasix\tlasix\tNN\tB-NP\tO' +p169534 +asS'Another car was coming behind her did not see her car , hit again , the person checked the car , she was not inside .' +p169535 +(lp169536 +S'Another\tAnother\tDT\tB-NP\tO' +p169537 +aS'car\tcar\tNN\tI-NP\tB-protein' +p169538 +aS'was\tbe\tVBD\tB-VP\tO' +p169539 +aS'coming\tcome\tVBG\tI-VP\tO' +p169540 +aS'behind\tbehind\tIN\tB-ADVP\tO' +p169541 +aS'her\ther\tPRP\tB-NP\tO' +p169542 +aS'did\tdo\tVBD\tB-VP\tO' +p169543 +aS'not\tnot\tRB\tI-VP\tO' +p169544 +aS'see\tsee\tVB\tI-VP\tO' +p169545 +aS'her\ther\tPRP$\tB-NP\tO' +p169546 +aS'car\tcar\tNN\tI-NP\tB-protein' +p169547 +aS',\t,\t,\tO\tO' +p169548 +aS'hit\thit\tVBD\tB-VP\tO' +p169549 +aS'again\tagain\tRB\tB-ADVP\tO' +p169550 +aS',\t,\t,\tO\tO' +p169551 +aS'the\tthe\tDT\tB-NP\tO' +p169552 +aS'person\tperson\tNN\tI-NP\tO' +p169553 +aS'checked\tcheck\tVBD\tB-VP\tO' +p169554 +aS'the\tthe\tDT\tB-NP\tO' +p169555 +aS'car\tcar\tNN\tI-NP\tB-protein' +p169556 +aS',\t,\t,\tO\tO' +p169557 +aS'she\tshe\tPRP\tB-NP\tO' +p169558 +aS'was\tbe\tVBD\tB-VP\tO' +p169559 +aS'not\tnot\tRB\tO\tO' +p169560 +aS'inside\tinside\tRB\tB-ADVP\tO' +p169561 +aS'.\t.\t.\tO\tO' +p169562 +asS'Russell von der Hassler , M.D.' +p169563 +(lp169564 +S'Russell\tRussell\tNNP\tB-NP\tO' +p169565 +aS'von\tvon\tNNP\tI-NP\tO' +p169566 +aS'der\tder\tNNP\tI-NP\tO' +p169567 +aS'Hassler\tHassler\tNNP\tI-NP\tO' +p169568 +aS',\t,\t,\tO\tO' +p169569 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p169570 +asS'Is married but " separated " from his wife , although they still help each other -' +p169571 +(lp169572 +S'Is\tBe\tVBZ\tO\tO' +p169573 +aS'married\tmarried\tJJ\tO\tO' +p169574 +aS'but\tbut\tCC\tO\tO' +p169575 +aS'"\t"\t``\tO\tB-cell_type' +p169576 +aS'separated\tseparate\tVBN\tB-ADJP\tI-cell_type' +p169577 +aS'"\t"\t\'\'\tO\tI-cell_type' +p169578 +aS'from\tfrom\tIN\tB-PP\tO' +p169579 +aS'his\this\tPRP$\tB-NP\tO' +p169580 +aS'wife\twife\tNN\tI-NP\tO' +p169581 +aS',\t,\t,\tO\tO' +p169582 +aS'although\talthough\tIN\tB-SBAR\tO' +p169583 +aS'they\tthey\tPRP\tB-NP\tO' +p169584 +aS'still\tstill\tRB\tB-ADVP\tO' +p169585 +aS'help\thelp\tVBP\tB-VP\tO' +p169586 +aS'each\teach\tDT\tB-NP\tO' +p169587 +aS'other\tother\tJJ\tI-NP\tO' +p169588 +aS'-\t-\tHYPH\tO\tO' +p169589 +asS'within normal .' +p169590 +(lp169591 +S'within\twithin\tIN\tB-PP\tO' +p169592 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p169593 +aS'.\t.\t.\tO\tO' +p169594 +asS'Birth weight was 3850 grams .' +p169595 +(lp169596 +S'Birth\tBirth\tNN\tB-NP\tO' +p169597 +aS'weight\tweight\tNN\tI-NP\tO' +p169598 +aS'was\tbe\tVBD\tB-VP\tO' +p169599 +aS'3850\t3850\tCD\tB-NP\tO' +p169600 +aS'grams\tgram\tNNS\tI-NP\tO' +p169601 +aS'.\t.\t.\tO\tO' +p169602 +asS'The patient was observed for two days with a repeat CT scan showing no changes from the previous examination .' +p169603 +(lp169604 +S'The\tThe\tDT\tB-NP\tO' +p169605 +aS'patient\tpatient\tNN\tI-NP\tO' +p169606 +aS'was\tbe\tVBD\tB-VP\tO' +p169607 +aS'observed\tobserve\tVBN\tI-VP\tO' +p169608 +aS'for\tfor\tIN\tB-PP\tO' +p169609 +aS'two\ttwo\tCD\tB-NP\tO' +p169610 +aS'days\tday\tNNS\tI-NP\tO' +p169611 +aS'with\twith\tIN\tB-PP\tO' +p169612 +aS'a\ta\tDT\tB-NP\tO' +p169613 +aS'repeat\trepeat\tNN\tI-NP\tO' +p169614 +aS'CT\tCT\tNN\tI-NP\tO' +p169615 +aS'scan\tscan\tNN\tI-NP\tO' +p169616 +aS'showing\tshow\tVBG\tB-VP\tO' +p169617 +aS'no\tno\tDT\tB-NP\tO' +p169618 +aS'changes\tchange\tNNS\tI-NP\tO' +p169619 +aS'from\tfrom\tIN\tB-PP\tO' +p169620 +aS'the\tthe\tDT\tB-NP\tO' +p169621 +aS'previous\tprevious\tJJ\tI-NP\tO' +p169622 +aS'examination\texamination\tNN\tI-NP\tO' +p169623 +aS'.\t.\t.\tO\tO' +p169624 +asS'Small posterior tibial occlusion on the distal calf and a small peroneal goes down to the ankle .' +p169625 +(lp169626 +S'Small\tSmall\tJJ\tB-NP\tO' +p169627 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p169628 +aS'tibial\ttibial\tJJ\tI-NP\tO' +p169629 +aS'occlusion\tocclusion\tNN\tI-NP\tO' +p169630 +aS'on\ton\tIN\tB-PP\tO' +p169631 +aS'the\tthe\tDT\tB-NP\tO' +p169632 +aS'distal\tdistal\tJJ\tI-NP\tO' +p169633 +aS'calf\tcalf\tNN\tI-NP\tO' +p169634 +aS'and\tand\tCC\tO\tO' +p169635 +aS'a\ta\tDT\tB-NP\tO' +p169636 +aS'small\tsmall\tJJ\tI-NP\tO' +p169637 +aS'peroneal\tperoneal\tNN\tI-NP\tO' +p169638 +aS'goes\tgo\tVBZ\tB-VP\tO' +p169639 +aS'down\tdown\tRB\tB-ADVP\tO' +p169640 +aS'to\tto\tTO\tB-PP\tO' +p169641 +aS'the\tthe\tDT\tB-NP\tO' +p169642 +aS'ankle\tankle\tNN\tI-NP\tO' +p169643 +aS'.\t.\t.\tO\tO' +p169644 +asS'Past Medical History : see dc summary' +p169645 +(lp169646 +S'Past\tPast\tNNP\tB-NP\tO' +p169647 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p169648 +aS'History\tHistory\tNNP\tI-NP\tO' +p169649 +aS':\t:\t:\tO\tO' +p169650 +aS'see\tsee\tVB\tB-VP\tO' +p169651 +aS'dc\tdc\tNN\tB-NP\tO' +p169652 +aS'summary\tsummary\tNN\tI-NP\tO' +p169653 +asS'Patient tolerated the procedure well without any complications and was taken to the Recovery Room awake and stable then subsequently transferred to the floor .' +p169654 +(lp169655 +S'Patient\tPatient\tNN\tB-NP\tO' +p169656 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p169657 +aS'the\tthe\tDT\tB-NP\tO' +p169658 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p169659 +aS'well\twell\tRB\tB-ADVP\tO' +p169660 +aS'without\twithout\tIN\tB-PP\tO' +p169661 +aS'any\tany\tDT\tB-NP\tO' +p169662 +aS'complications\tcomplication\tNNS\tI-NP\tO' +p169663 +aS'and\tand\tCC\tO\tO' +p169664 +aS'was\tbe\tVBD\tB-VP\tO' +p169665 +aS'taken\ttake\tVBN\tI-VP\tO' +p169666 +aS'to\tto\tTO\tB-PP\tO' +p169667 +aS'the\tthe\tDT\tB-NP\tO' +p169668 +aS'Recovery\tRecovery\tNNP\tI-NP\tO' +p169669 +aS'Room\tRoom\tNNP\tI-NP\tO' +p169670 +aS'awake\tawake\tNN\tI-NP\tO' +p169671 +aS'and\tand\tCC\tO\tO' +p169672 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p169673 +aS'then\tthen\tRB\tB-ADVP\tO' +p169674 +aS'subsequently\tsubsequently\tRB\tB-VP\tO' +p169675 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p169676 +aS'to\tto\tTO\tB-PP\tO' +p169677 +aS'the\tthe\tDT\tB-NP\tO' +p169678 +aS'floor\tfloor\tNN\tI-NP\tO' +p169679 +aS'.\t.\t.\tO\tO' +p169680 +asS'Pediatric Associate , 8219 W. Eighth Rd. , Terry , Illinois 72097 , phone 482-5289 .' +p169681 +(lp169682 +S'Pediatric\tPediatric\tNNP\tB-NP\tO' +p169683 +aS'Associate\tAssociate\tNNP\tI-NP\tO' +p169684 +aS',\t,\t,\tO\tO' +p169685 +aS'8219\t8219\tCD\tB-NP\tO' +p169686 +aS'W.\tW.\tNNP\tI-NP\tO' +p169687 +aS'Eighth\tEighth\tNNP\tI-NP\tO' +p169688 +aS'Rd.\tRd.\tNNP\tI-NP\tO' +p169689 +aS',\t,\t,\tO\tO' +p169690 +aS'Terry\tTerry\tNNP\tB-NP\tO' +p169691 +aS',\t,\t,\tO\tO' +p169692 +aS'Illinois\tIllinois\tNNP\tB-NP\tO' +p169693 +aS'72097\t72097\tCD\tI-NP\tO' +p169694 +aS',\t,\t,\tO\tO' +p169695 +aS'phone\tphone\tNN\tB-NP\tO' +p169696 +aS'482-5289\t482-5289\tCD\tI-NP\tO' +p169697 +aS'.\t.\t.\tO\tO' +p169698 +asS'Given this finding the patient was therefore felt to be ready for discharge to a rehabilitation facility on 09/13/1998 .' +p169699 +(lp169700 +S'Given\tGive\tVBN\tB-PP\tO' +p169701 +aS'this\tthis\tDT\tB-NP\tO' +p169702 +aS'finding\tfinding\tNN\tI-NP\tO' +p169703 +aS'the\tthe\tDT\tB-NP\tO' +p169704 +aS'patient\tpatient\tNN\tI-NP\tO' +p169705 +aS'was\tbe\tVBD\tB-VP\tO' +p169706 +aS'therefore\ttherefore\tRB\tI-VP\tO' +p169707 +aS'felt\tfeel\tVBN\tI-VP\tO' +p169708 +aS'to\tto\tTO\tI-VP\tO' +p169709 +aS'be\tbe\tVB\tI-VP\tO' +p169710 +aS'ready\tready\tJJ\tB-ADJP\tO' +p169711 +aS'for\tfor\tIN\tB-PP\tO' +p169712 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p169713 +aS'to\tto\tTO\tB-PP\tO' +p169714 +aS'a\ta\tDT\tB-NP\tO' +p169715 +aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' +p169716 +aS'facility\tfacility\tNN\tI-NP\tO' +p169717 +aS'on\ton\tIN\tB-PP\tO' +p169718 +aS'09/13/1998\t09/13/1998\tCD\tB-NP\tO' +p169719 +aS'.\t.\t.\tO\tO' +p169720 +asS'The patient will follow up with Dr. Falccouette to schedule for excision and closure of her left ischial sacral decubitus .' +p169721 +(lp169722 +S'The\tThe\tDT\tB-NP\tO' +p169723 +aS'patient\tpatient\tNN\tI-NP\tO' +p169724 +aS'will\twill\tMD\tB-VP\tO' +p169725 +aS'follow\tfollow\tVB\tI-VP\tO' +p169726 +aS'up\tup\tRP\tB-PRT\tO' +p169727 +aS'with\twith\tIN\tB-PP\tO' +p169728 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p169729 +aS'Falccouette\tFalccouette\tNNP\tI-NP\tO' +p169730 +aS'to\tto\tTO\tB-VP\tO' +p169731 +aS'schedule\tschedule\tVB\tI-VP\tO' +p169732 +aS'for\tfor\tIN\tB-PP\tO' +p169733 +aS'excision\texcision\tNN\tB-NP\tO' +p169734 +aS'and\tand\tCC\tI-NP\tO' +p169735 +aS'closure\tclosure\tNN\tI-NP\tO' +p169736 +aS'of\tof\tIN\tB-PP\tO' +p169737 +aS'her\ther\tPRP$\tB-NP\tO' +p169738 +aS'left\tleft\tJJ\tI-NP\tO' +p169739 +aS'ischial\tischial\tJJ\tI-NP\tO' +p169740 +aS'sacral\tsacral\tJJ\tI-NP\tO' +p169741 +aS'decubitus\tdecubitus\tNN\tI-NP\tO' +p169742 +aS'.\t.\t.\tO\tO' +p169743 +asS'1. Prozac .' +p169744 +(lp169745 +S'1.\t1.\tLS\tB-NP\tO' +p169746 +aS'Prozac\tProzac\tNN\tI-NP\tO' +p169747 +aS'.\t.\t.\tO\tO' +p169748 +asS'He presented to Gaanvantsir on 04-17-92 with abdominal pain and bloody diarrhea .' +p169749 +(lp169750 +S'He\tHe\tPRP\tB-NP\tO' +p169751 +aS'presented\tpresent\tVBD\tB-VP\tO' +p169752 +aS'to\tto\tTO\tB-PP\tO' +p169753 +aS'Gaanvantsir\tGaanvantsir\tNNP\tB-NP\tO' +p169754 +aS'on\ton\tIN\tB-PP\tO' +p169755 +aS'04-17-92\t04-17-92\tCD\tB-NP\tO' +p169756 +aS'with\twith\tIN\tB-PP\tO' +p169757 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p169758 +aS'pain\tpain\tNN\tI-NP\tO' +p169759 +aS'and\tand\tCC\tO\tO' +p169760 +aS'bloody\tbloody\tJJ\tB-NP\tO' +p169761 +aS'diarrhea\tdiarrhea\tNN\tI-NP\tO' +p169762 +aS'.\t.\t.\tO\tO' +p169763 +asS'Two major fracture fragments were seen at the humeral head , articulating with the glenoid fossa .' +p169764 +(lp169765 +S'Two\tTwo\tCD\tB-NP\tO' +p169766 +aS'major\tmajor\tJJ\tI-NP\tB-DNA' +p169767 +aS'fracture\tfracture\tNN\tI-NP\tI-DNA' +p169768 +aS'fragments\tfragment\tNNS\tI-NP\tI-DNA' +p169769 +aS'were\tbe\tVBD\tB-VP\tO' +p169770 +aS'seen\tsee\tVBN\tI-VP\tO' +p169771 +aS'at\tat\tIN\tB-PP\tO' +p169772 +aS'the\tthe\tDT\tB-NP\tO' +p169773 +aS'humeral\thumeral\tJJ\tI-NP\tO' +p169774 +aS'head\thead\tNN\tI-NP\tO' +p169775 +aS',\t,\t,\tO\tO' +p169776 +aS'articulating\tarticulate\tVBG\tB-VP\tO' +p169777 +aS'with\twith\tIN\tB-PP\tO' +p169778 +aS'the\tthe\tDT\tB-NP\tO' +p169779 +aS'glenoid\tglenoid\tJJ\tI-NP\tO' +p169780 +aS'fossa\tfossa\tNN\tI-NP\tO' +p169781 +aS'.\t.\t.\tO\tO' +p169782 +asS'Family history is not significant for any early history of coronary artery disease .' +p169783 +(lp169784 +S'Family\tFamily\tRB\tB-NP\tO' +p169785 +aS'history\thistory\tNN\tI-NP\tO' +p169786 +aS'is\tbe\tVBZ\tB-VP\tO' +p169787 +aS'not\tnot\tRB\tO\tO' +p169788 +aS'significant\tsignificant\tJJ\tB-ADJP\tO' +p169789 +aS'for\tfor\tIN\tB-PP\tO' +p169790 +aS'any\tany\tDT\tB-NP\tO' +p169791 +aS'early\tearly\tJJ\tI-NP\tO' +p169792 +aS'history\thistory\tNN\tI-NP\tO' +p169793 +aS'of\tof\tIN\tB-PP\tO' +p169794 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p169795 +aS'artery\tartery\tNN\tI-NP\tO' +p169796 +aS'disease\tdisease\tNN\tI-NP\tO' +p169797 +aS'.\t.\t.\tO\tO' +p169798 +asS'Over the next several days the patient was maintained on Argatrobanwhile coumadin therapy was initiated .' +p169799 +(lp169800 +S'Over\tOver\tIN\tB-PP\tO' +p169801 +aS'the\tthe\tDT\tB-NP\tO' +p169802 +aS'next\tnext\tJJ\tI-NP\tO' +p169803 +aS'several\tseveral\tJJ\tI-NP\tO' +p169804 +aS'days\tday\tNNS\tI-NP\tO' +p169805 +aS'the\tthe\tDT\tB-NP\tO' +p169806 +aS'patient\tpatient\tNN\tI-NP\tO' +p169807 +aS'was\tbe\tVBD\tB-VP\tO' +p169808 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p169809 +aS'on\ton\tIN\tB-PP\tO' +p169810 +aS'Argatrobanwhile\tArgatrobanwhile\tNN\tB-NP\tO' +p169811 +aS'coumadin\tcoumadin\tNN\tI-NP\tO' +p169812 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p169813 +aS'was\tbe\tVBD\tB-VP\tO' +p169814 +aS'initiated\tinitiate\tVBN\tI-VP\tO' +p169815 +aS'.\t.\t.\tO\tO' +p169816 +asS'90 yo F with MMP ( see below ) who sustained a mechanical fall down stairs resulting in a hip and arm fracture .' +p169817 +(lp169818 +S'90\t90\tCD\tB-NP\tO' +p169819 +aS'yo\tyo\tNN\tI-NP\tO' +p169820 +aS'F\tF\tNN\tI-NP\tO' +p169821 +aS'with\twith\tIN\tB-PP\tO' +p169822 +aS'MMP\tMMP\tNN\tB-NP\tB-protein' +p169823 +aS'(\t(\t(\tO\tO' +p169824 +aS'see\tsee\tVB\tB-VP\tO' +p169825 +aS'below\tbelow\tIN\tB-PP\tO' +p169826 +aS')\t)\t)\tO\tO' +p169827 +aS'who\twho\tWP\tB-NP\tO' +p169828 +aS'sustained\tsustain\tVBD\tB-VP\tO' +p169829 +aS'a\ta\tDT\tB-NP\tO' +p169830 +aS'mechanical\tmechanical\tJJ\tI-NP\tO' +p169831 +aS'fall\tfall\tNN\tI-NP\tO' +p169832 +aS'down\tdown\tIN\tB-PP\tO' +p169833 +aS'stairs\tstair\tNNS\tB-NP\tO' +p169834 +aS'resulting\tresult\tVBG\tB-VP\tO' +p169835 +aS'in\tin\tIN\tB-PP\tO' +p169836 +aS'a\ta\tDT\tB-NP\tO' +p169837 +aS'hip\thip\tNN\tI-NP\tO' +p169838 +aS'and\tand\tCC\tI-NP\tO' +p169839 +aS'arm\tarm\tNN\tI-NP\tO' +p169840 +aS'fracture\tfracture\tNN\tI-NP\tO' +p169841 +aS'.\t.\t.\tO\tO' +p169842 +asS'Blood type A positive , antibody negative , rubella immune , RPR nonreactive , hepatitis B surface antigen negative , group beta Strep status unknown .' +p169843 +(lp169844 +S'Blood\tBlood\tNN\tB-NP\tO' +p169845 +aS'type\ttype\tNN\tI-NP\tO' +p169846 +aS'A\tA\tNN\tI-NP\tO' +p169847 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p169848 +aS',\t,\t,\tO\tO' +p169849 +aS'antibody\tantibody\tNN\tB-NP\tO' +p169850 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p169851 +aS',\t,\t,\tO\tO' +p169852 +aS'rubella\trubella\tNN\tB-NP\tO' +p169853 +aS'immune\timmune\tJJ\tB-ADJP\tO' +p169854 +aS',\t,\t,\tO\tO' +p169855 +aS'RPR\tRPR\tNN\tB-NP\tB-protein' +p169856 +aS'nonreactive\tnonreactive\tJJ\tB-ADJP\tO' +p169857 +aS',\t,\t,\tO\tO' +p169858 +aS'hepatitis\thepatitis\tNN\tB-NP\tB-protein' +p169859 +aS'B\tB\tNN\tI-NP\tI-protein' +p169860 +aS'surface\tsurface\tNN\tI-NP\tI-protein' +p169861 +aS'antigen\tantigen\tNN\tI-NP\tI-protein' +p169862 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p169863 +aS',\t,\t,\tO\tO' +p169864 +aS'group\tgroup\tNN\tB-NP\tO' +p169865 +aS'beta\tbeta\tNN\tI-NP\tO' +p169866 +aS'Strep\tStrep\tNN\tI-NP\tO' +p169867 +aS'status\tstatus\tNN\tI-NP\tO' +p169868 +aS'unknown\tunknown\tJJ\tB-ADJP\tO' +p169869 +aS'.\t.\t.\tO\tO' +p169870 +asS'sodium 140 , potassium 4.4 , BUN and creatinine 14/.9 , glucose 95 , prothrombin time 10.0 , with a control of 10.2 , partial thromboplastin time 26.9 , urinalysis negative , white blood count 5.8 , hematocrit 37.5 , hemoglobin 13.4 , platelet count 274,000 .' +p169871 +(lp169872 +S'sodium\tsodium\tNN\tB-NP\tO' +p169873 +aS'140\t140\tCD\tI-NP\tO' +p169874 +aS',\t,\t,\tO\tO' +p169875 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p169876 +aS'4.4\t4.4\tCD\tI-NP\tO' +p169877 +aS',\t,\t,\tO\tO' +p169878 +aS'BUN\tBUN\tNN\tB-NP\tB-protein' +p169879 +aS'and\tand\tCC\tO\tO' +p169880 +aS'creatinine\tcreatinine\tNN\tB-NP\tB-protein' +p169881 +aS'14/.9\t14/.9\tCD\tI-NP\tI-protein' +p169882 +aS',\t,\t,\tO\tO' +p169883 +aS'glucose\tglucose\tNN\tB-NP\tB-protein' +p169884 +aS'95\t95\tCD\tI-NP\tI-protein' +p169885 +aS',\t,\t,\tO\tO' +p169886 +aS'prothrombin\tprothrombin\tNN\tB-NP\tO' +p169887 +aS'time\ttime\tNN\tI-NP\tO' +p169888 +aS'10.0\t10.0\tCD\tB-NP\tO' +p169889 +aS',\t,\t,\tO\tO' +p169890 +aS'with\twith\tIN\tB-PP\tO' +p169891 +aS'a\ta\tDT\tB-NP\tO' +p169892 +aS'control\tcontrol\tNN\tI-NP\tO' +p169893 +aS'of\tof\tIN\tB-PP\tO' +p169894 +aS'10.2\t10.2\tCD\tB-NP\tO' +p169895 +aS',\t,\t,\tO\tO' +p169896 +aS'partial\tpartial\tJJ\tB-NP\tO' +p169897 +aS'thromboplastin\tthromboplastin\tNN\tI-NP\tO' +p169898 +aS'time\ttime\tNN\tI-NP\tO' +p169899 +aS'26.9\t26.9\tCD\tB-NP\tO' +p169900 +aS',\t,\t,\tO\tO' +p169901 +aS'urinalysis\turinalysis\tNN\tB-NP\tO' +p169902 +aS'negative\tnegative\tJJ\tI-NP\tO' +p169903 +aS',\t,\t,\tI-NP\tO' +p169904 +aS'white\twhite\tJJ\tI-NP\tO' +p169905 +aS'blood\tblood\tNN\tI-NP\tO' +p169906 +aS'count\tcount\tNN\tI-NP\tO' +p169907 +aS'5.8\t5.8\tCD\tI-NP\tO' +p169908 +aS',\t,\t,\tO\tO' +p169909 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p169910 +aS'37.5\t37.5\tCD\tI-NP\tI-protein' +p169911 +aS',\t,\t,\tO\tO' +p169912 +aS'hemoglobin\themoglobin\tNN\tB-NP\tB-protein' +p169913 +aS'13.4\t13.4\tCD\tI-NP\tI-protein' +p169914 +aS',\t,\t,\tO\tO' +p169915 +aS'platelet\tplatelet\tNN\tB-NP\tB-protein' +p169916 +aS'count\tcount\tNN\tI-NP\tI-protein' +p169917 +aS'274,000\t274,000\tCD\tI-NP\tI-protein' +p169918 +aS'.\t.\t.\tO\tO' +p169919 +asS'" 1. 7 cm linear fluid collection running between the anterior and lateral muscle compartments , extending from a large area of soft tissue loss seen in the distal lateral foreleg to roughly the mid tibia / fibula , 18 cm distal to the knee joint line .' +p169920 +(lp169921 +S'"\t"\t``\tO\tO' +p169922 +aS'1.\t1.\tCD\tB-NP\tO' +p169923 +aS'7\t7\tCD\tI-NP\tO' +p169924 +aS'cm\tcm\tNN\tI-NP\tO' +p169925 +aS'linear\tlinear\tJJ\tI-NP\tO' +p169926 +aS'fluid\tfluid\tNN\tI-NP\tO' +p169927 +aS'collection\tcollection\tNN\tI-NP\tO' +p169928 +aS'running\trun\tVBG\tB-VP\tO' +p169929 +aS'between\tbetween\tIN\tB-PP\tO' +p169930 +aS'the\tthe\tDT\tB-NP\tO' +p169931 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p169932 +aS'and\tand\tCC\tI-NP\tO' +p169933 +aS'lateral\tlateral\tJJ\tI-NP\tO' +p169934 +aS'muscle\tmuscle\tNN\tI-NP\tO' +p169935 +aS'compartments\tcompartment\tNNS\tI-NP\tO' +p169936 +aS',\t,\t,\tO\tO' +p169937 +aS'extending\textend\tVBG\tB-VP\tO' +p169938 +aS'from\tfrom\tIN\tB-PP\tO' +p169939 +aS'a\ta\tDT\tB-NP\tO' +p169940 +aS'large\tlarge\tJJ\tI-NP\tO' +p169941 +aS'area\tarea\tNN\tI-NP\tO' +p169942 +aS'of\tof\tIN\tB-PP\tO' +p169943 +aS'soft\tsoft\tJJ\tB-NP\tO' +p169944 +aS'tissue\ttissue\tNN\tI-NP\tO' +p169945 +aS'loss\tloss\tNN\tI-NP\tO' +p169946 +aS'seen\tsee\tVBN\tB-VP\tO' +p169947 +aS'in\tin\tIN\tB-PP\tO' +p169948 +aS'the\tthe\tDT\tB-NP\tO' +p169949 +aS'distal\tdistal\tJJ\tI-NP\tO' +p169950 +aS'lateral\tlateral\tJJ\tI-NP\tO' +p169951 +aS'foreleg\tforeleg\tNN\tI-NP\tO' +p169952 +aS'to\tto\tTO\tB-PP\tO' +p169953 +aS'roughly\troughly\tRB\tB-NP\tO' +p169954 +aS'the\tthe\tDT\tI-NP\tO' +p169955 +aS'mid\tmid\tJJ\tI-NP\tO' +p169956 +aS'tibia\ttibia\tNN\tI-NP\tO' +p169957 +aS'/\t/\tSYM\tB-NP\tO' +p169958 +aS'fibula\tfibula\tNN\tI-NP\tO' +p169959 +aS',\t,\t,\tO\tO' +p169960 +aS'18\t18\tCD\tB-NP\tO' +p169961 +aS'cm\tcm\tNN\tI-NP\tO' +p169962 +aS'distal\tdistal\tJJ\tB-ADJP\tO' +p169963 +aS'to\tto\tTO\tB-PP\tO' +p169964 +aS'the\tthe\tDT\tB-NP\tO' +p169965 +aS'knee\tknee\tNN\tI-NP\tB-cell_line' +p169966 +aS'joint\tjoint\tNN\tI-NP\tI-cell_line' +p169967 +aS'line\tline\tNN\tI-NP\tI-cell_line' +p169968 +aS'.\t.\t.\tO\tO' +p169969 +asS'Also with multiple cystic hypodensities in liver seen in previous scans .' +p169970 +(lp169971 +S'Also\tAlso\tRB\tB-ADVP\tO' +p169972 +aS'with\twith\tIN\tB-PP\tO' +p169973 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p169974 +aS'cystic\tcystic\tJJ\tI-NP\tO' +p169975 +aS'hypodensities\thypodensity\tNNS\tI-NP\tO' +p169976 +aS'in\tin\tIN\tB-PP\tO' +p169977 +aS'liver\tliver\tNN\tB-NP\tO' +p169978 +aS'seen\tsee\tVBN\tB-VP\tO' +p169979 +aS'in\tin\tIN\tB-PP\tO' +p169980 +aS'previous\tprevious\tJJ\tB-NP\tO' +p169981 +aS'scans\tscan\tNNS\tI-NP\tO' +p169982 +aS'.\t.\t.\tO\tO' +p169983 +asS'She responded to 1 liter of IV fluids , normal saline and blood pressure remained stable .' +p169984 +(lp169985 +S'She\tShe\tPRP\tB-NP\tO' +p169986 +aS'responded\trespond\tVBD\tB-VP\tO' +p169987 +aS'to\tto\tTO\tB-PP\tO' +p169988 +aS'1\t1\tCD\tB-NP\tO' +p169989 +aS'liter\tliter\tNN\tI-NP\tO' +p169990 +aS'of\tof\tIN\tB-PP\tO' +p169991 +aS'IV\tIV\tCD\tB-NP\tO' +p169992 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p169993 +aS',\t,\t,\tO\tO' +p169994 +aS'normal\tnormal\tJJ\tB-NP\tO' +p169995 +aS'saline\tsaline\tNN\tI-NP\tO' +p169996 +aS'and\tand\tCC\tI-NP\tO' +p169997 +aS'blood\tblood\tNN\tI-NP\tO' +p169998 +aS'pressure\tpressure\tNN\tI-NP\tO' +p169999 +aS'remained\tremain\tVBD\tB-VP\tO' +p170000 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p170001 +aS'.\t.\t.\tO\tO' +p170002 +asS'It is hoped with good blood pressure control and use of an ACE-I with follow up in addition to cocaine abstaining will improved his cardiac function .' +p170003 +(lp170004 +S'It\tIt\tPRP\tB-NP\tO' +p170005 +aS'is\tbe\tVBZ\tB-VP\tO' +p170006 +aS'hoped\thop\tVBN\tI-VP\tO' +p170007 +aS'with\twith\tIN\tB-PP\tO' +p170008 +aS'good\tgood\tJJ\tB-NP\tO' +p170009 +aS'blood\tblood\tNN\tI-NP\tO' +p170010 +aS'pressure\tpressure\tNN\tI-NP\tO' +p170011 +aS'control\tcontrol\tNN\tI-NP\tO' +p170012 +aS'and\tand\tCC\tO\tO' +p170013 +aS'use\tuse\tNN\tB-NP\tO' +p170014 +aS'of\tof\tIN\tB-PP\tO' +p170015 +aS'an\tan\tDT\tB-NP\tO' +p170016 +aS'ACE-I\tACE-I\tNN\tI-NP\tB-protein' +p170017 +aS'with\twith\tIN\tB-PP\tO' +p170018 +aS'follow\tfollow\tVB\tB-VP\tO' +p170019 +aS'up\tup\tRP\tB-PRT\tO' +p170020 +aS'in\tin\tIN\tB-PP\tO' +p170021 +aS'addition\taddition\tNN\tB-NP\tO' +p170022 +aS'to\tto\tTO\tB-PP\tO' +p170023 +aS'cocaine\tcocaine\tNN\tB-NP\tO' +p170024 +aS'abstaining\tabstaining\tNN\tI-NP\tO' +p170025 +aS'will\twill\tMD\tB-VP\tO' +p170026 +aS'improved\timproved\tVB\tI-VP\tO' +p170027 +aS'his\this\tPRP$\tB-NP\tO' +p170028 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p170029 +aS'function\tfunction\tNN\tI-NP\tO' +p170030 +aS'.\t.\t.\tO\tO' +p170031 +asS'She never required phototherapy .' +p170032 +(lp170033 +S'She\tShe\tPRP\tB-NP\tO' +p170034 +aS'never\tnever\tRB\tB-ADVP\tO' +p170035 +aS'required\trequire\tVBD\tB-VP\tO' +p170036 +aS'phototherapy\tphototherapy\tNN\tB-NP\tO' +p170037 +aS'.\t.\t.\tO\tO' +p170038 +asS'The patient was admitted and begun on cefotetan and Flagyl , as well as heparin .' +p170039 +(lp170040 +S'The\tThe\tDT\tB-NP\tO' +p170041 +aS'patient\tpatient\tNN\tI-NP\tO' +p170042 +aS'was\tbe\tVBD\tB-VP\tO' +p170043 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p170044 +aS'and\tand\tCC\tO\tO' +p170045 +aS'begun\tbegin\tVBN\tB-VP\tO' +p170046 +aS'on\ton\tIN\tB-PP\tO' +p170047 +aS'cefotetan\tcefotetan\tNN\tB-NP\tO' +p170048 +aS'and\tand\tCC\tI-NP\tO' +p170049 +aS'Flagyl\tFlagyl\tNN\tI-NP\tO' +p170050 +aS',\t,\t,\tO\tO' +p170051 +aS'as\tas\tRB\tB-CONJP\tO' +p170052 +aS'well\twell\tRB\tI-CONJP\tO' +p170053 +aS'as\tas\tIN\tI-CONJP\tO' +p170054 +aS'heparin\theparin\tNN\tB-NP\tO' +p170055 +aS'.\t.\t.\tO\tO' +p170056 +asS'7. Alendronate 70 mg Tablet Sig : One ( 1 ) Tablet PO QSUN ( every Sunday ) .' +p170057 +(lp170058 +S'7.\t7.\tCD\tB-NP\tO' +p170059 +aS'Alendronate\tAlendronate\tNN\tI-NP\tO' +p170060 +aS'70\t70\tCD\tB-NP\tO' +p170061 +aS'mg\tmg\tNN\tI-NP\tO' +p170062 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p170063 +aS'Sig\tSig\tNNP\tI-NP\tO' +p170064 +aS':\t:\t:\tO\tO' +p170065 +aS'One\tOne\tCD\tB-NP\tO' +p170066 +aS'(\t(\t(\tO\tO' +p170067 +aS'1\t1\tCD\tB-NP\tO' +p170068 +aS')\t)\t)\tO\tO' +p170069 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p170070 +aS'PO\tPO\tNN\tI-NP\tO' +p170071 +aS'QSUN\tQSUN\tNN\tI-NP\tO' +p170072 +aS'(\t(\t(\tO\tO' +p170073 +aS'every\tevery\tDT\tB-NP\tO' +p170074 +aS'Sunday\tSunday\tNNP\tI-NP\tO' +p170075 +aS')\t)\t)\tO\tO' +p170076 +aS'.\t.\t.\tO\tO' +p170077 +asS'There was a very slight inward pronator drift of the left hand .' +p170078 +(lp170079 +S'There\tThere\tEX\tB-NP\tO' +p170080 +aS'was\tbe\tVBD\tB-VP\tO' +p170081 +aS'a\ta\tDT\tB-NP\tO' +p170082 +aS'very\tvery\tRB\tI-NP\tO' +p170083 +aS'slight\tslight\tJJ\tI-NP\tO' +p170084 +aS'inward\tinward\tJJ\tI-NP\tO' +p170085 +aS'pronator\tpronator\tNN\tI-NP\tO' +p170086 +aS'drift\tdrift\tNN\tI-NP\tO' +p170087 +aS'of\tof\tIN\tB-PP\tO' +p170088 +aS'the\tthe\tDT\tB-NP\tO' +p170089 +aS'left\tleft\tJJ\tI-NP\tO' +p170090 +aS'hand\thand\tNN\tI-NP\tO' +p170091 +aS'.\t.\t.\tO\tO' +p170092 +asS'Also noted to have low-grade temperature of 99 to 100 degrees with productive cough and yellow sputum times 1 day with' +p170093 +(lp170094 +S'Also\tAlso\tRB\tB-ADVP\tO' +p170095 +aS'noted\tnote\tVBN\tB-VP\tO' +p170096 +aS'to\tto\tTO\tI-VP\tO' +p170097 +aS'have\thave\tVB\tI-VP\tO' +p170098 +aS'low-grade\tlow-grade\tJJ\tB-NP\tO' +p170099 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p170100 +aS'of\tof\tIN\tB-PP\tO' +p170101 +aS'99\t99\tCD\tB-NP\tO' +p170102 +aS'to\tto\tTO\tI-NP\tO' +p170103 +aS'100\t100\tCD\tI-NP\tO' +p170104 +aS'degrees\tdegree\tNNS\tI-NP\tO' +p170105 +aS'with\twith\tIN\tB-PP\tO' +p170106 +aS'productive\tproductive\tJJ\tB-NP\tO' +p170107 +aS'cough\tcough\tNN\tI-NP\tO' +p170108 +aS'and\tand\tCC\tO\tO' +p170109 +aS'yellow\tyellow\tJJ\tB-NP\tO' +p170110 +aS'sputum\tsputum\tNN\tI-NP\tO' +p170111 +aS'times\ttime\tNNS\tI-NP\tO' +p170112 +aS'1\t1\tCD\tI-NP\tO' +p170113 +aS'day\tday\tNN\tI-NP\tO' +p170114 +aS'with\twith\tIN\tB-PP\tO' +p170115 +asS'Therefore , the patient was started on levofloxacin therapy to complete a 10 - day course .' +p170116 +(lp170117 +S'Therefore\tTherefore\tRB\tB-ADVP\tO' +p170118 +aS',\t,\t,\tO\tO' +p170119 +aS'the\tthe\tDT\tB-NP\tO' +p170120 +aS'patient\tpatient\tNN\tI-NP\tO' +p170121 +aS'was\tbe\tVBD\tB-VP\tO' +p170122 +aS'started\tstart\tVBN\tI-VP\tO' +p170123 +aS'on\ton\tIN\tB-PP\tO' +p170124 +aS'levofloxacin\tlevofloxacin\tNN\tB-NP\tO' +p170125 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p170126 +aS'to\tto\tTO\tB-VP\tO' +p170127 +aS'complete\tcomplete\tVB\tI-VP\tO' +p170128 +aS'a\ta\tDT\tB-NP\tO' +p170129 +aS'10\t10\tCD\tI-NP\tO' +p170130 +aS'-\t-\tHYPH\tI-NP\tO' +p170131 +aS'day\tday\tNN\tI-NP\tO' +p170132 +aS'course\tcourse\tNN\tI-NP\tO' +p170133 +aS'.\t.\t.\tO\tO' +p170134 +asS'The patient also noticed a loss of weight of approximately 25 pounds over a few months with increased fatigue and lower extremity weakness .' +p170135 +(lp170136 +S'The\tThe\tDT\tB-NP\tO' +p170137 +aS'patient\tpatient\tNN\tI-NP\tO' +p170138 +aS'also\talso\tRB\tB-ADVP\tO' +p170139 +aS'noticed\tnotice\tVBD\tB-VP\tO' +p170140 +aS'a\ta\tDT\tB-NP\tO' +p170141 +aS'loss\tloss\tNN\tI-NP\tO' +p170142 +aS'of\tof\tIN\tB-PP\tO' +p170143 +aS'weight\tweight\tNN\tB-NP\tO' +p170144 +aS'of\tof\tIN\tB-PP\tO' +p170145 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p170146 +aS'25\t25\tCD\tI-NP\tO' +p170147 +aS'pounds\tpound\tNNS\tI-NP\tO' +p170148 +aS'over\tover\tIN\tB-PP\tO' +p170149 +aS'a\ta\tDT\tB-NP\tO' +p170150 +aS'few\tfew\tJJ\tI-NP\tO' +p170151 +aS'months\tmonth\tNNS\tI-NP\tO' +p170152 +aS'with\twith\tIN\tB-PP\tO' +p170153 +aS'increased\tincrease\tVBN\tB-NP\tO' +p170154 +aS'fatigue\tfatigue\tNN\tI-NP\tO' +p170155 +aS'and\tand\tCC\tO\tO' +p170156 +aS'lower\tlow\tJJR\tB-NP\tO' +p170157 +aS'extremity\textremity\tNN\tI-NP\tO' +p170158 +aS'weakness\tweakness\tNN\tI-NP\tO' +p170159 +aS'.\t.\t.\tO\tO' +p170160 +asS'House / ADA 1800 cals / dy' +p170161 +(lp170162 +S'House\tHouse\tNN\tB-NP\tO' +p170163 +aS'/\t/\tSYM\tI-NP\tO' +p170164 +aS'ADA\tADA\tNN\tI-NP\tO' +p170165 +aS'1800\t1800\tCD\tB-NP\tO' +p170166 +aS'cals\tcal\tNNS\tI-NP\tO' +p170167 +aS'/\t/\tSYM\tB-NP\tO' +p170168 +aS'dy\tdy\tNN\tB-NP\tO' +p170169 +asS'The patient 's Coumadin was thus stopped and she was switched to Bufferin .' +p170170 +(lp170171 +S'The\tThe\tDT\tB-NP\tO' +p170172 +aS'patient\tpatient\tNN\tI-NP\tO' +p170173 +aS''s\t'\tNNS\tI-NP\tO' +p170174 +aS'Coumadin\tCoumadin\tNN\tI-NP\tO' +p170175 +aS'was\tbe\tVBD\tB-VP\tO' +p170176 +aS'thus\tthus\tRB\tI-VP\tO' +p170177 +aS'stopped\tstop\tVBN\tI-VP\tO' +p170178 +aS'and\tand\tCC\tO\tO' +p170179 +aS'she\tshe\tPRP\tB-NP\tO' +p170180 +aS'was\tbe\tVBD\tB-VP\tO' +p170181 +aS'switched\tswitch\tVBN\tI-VP\tO' +p170182 +aS'to\tto\tTO\tB-PP\tO' +p170183 +aS'Bufferin\tBufferin\tNN\tB-NP\tO' +p170184 +aS'.\t.\t.\tO\tO' +p170185 +asS'She is somewhat obese elderly female .' +p170186 +(lp170187 +S'She\tShe\tPRP\tB-NP\tO' +p170188 +aS'is\tbe\tVBZ\tB-VP\tO' +p170189 +aS'somewhat\tsomewhat\tRB\tB-NP\tO' +p170190 +aS'obese\tobese\tJJ\tI-NP\tO' +p170191 +aS'elderly\telderly\tJJ\tI-NP\tO' +p170192 +aS'female\tfemale\tNN\tI-NP\tO' +p170193 +aS'.\t.\t.\tO\tO' +p170194 +asS'Twenty-four urine for catecholamine , metanephrines , and VMA pending at the time of discharge .' +p170195 +(lp170196 +S'Twenty-four\tTwenty-four\tCD\tB-NP\tO' +p170197 +aS'urine\turine\tNN\tI-NP\tO' +p170198 +aS'for\tfor\tIN\tB-PP\tO' +p170199 +aS'catecholamine\tcatecholamine\tNN\tB-NP\tO' +p170200 +aS',\t,\t,\tO\tO' +p170201 +aS'metanephrines\tmetanephrine\tNNS\tB-NP\tO' +p170202 +aS',\t,\t,\tO\tO' +p170203 +aS'and\tand\tCC\tO\tO' +p170204 +aS'VMA\tVMA\tNN\tB-NP\tB-protein' +p170205 +aS'pending\tpende\tVBG\tB-VP\tO' +p170206 +aS'at\tat\tIN\tB-PP\tO' +p170207 +aS'the\tthe\tDT\tB-NP\tO' +p170208 +aS'time\ttime\tNN\tI-NP\tO' +p170209 +aS'of\tof\tIN\tB-PP\tO' +p170210 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p170211 +aS'.\t.\t.\tO\tO' +p170212 +asS'Folate 1 mg q day .' +p170213 +(lp170214 +S'Folate\tFolate\tNN\tB-NP\tO' +p170215 +aS'1\t1\tCD\tI-NP\tO' +p170216 +aS'mg\tmg\tNN\tI-NP\tO' +p170217 +aS'q\tq\tNN\tI-NP\tO' +p170218 +aS'day\tday\tNN\tI-NP\tO' +p170219 +aS'.\t.\t.\tO\tO' +p170220 +asS'These problems resolved by the 4th or 5th postoperative day and she remained lucid and alert for the remainder of her hospital stay .' +p170221 +(lp170222 +S'These\tThese\tDT\tB-NP\tO' +p170223 +aS'problems\tproblem\tNNS\tI-NP\tO' +p170224 +aS'resolved\tresolve\tVBN\tB-VP\tO' +p170225 +aS'by\tby\tIN\tB-PP\tO' +p170226 +aS'the\tthe\tDT\tB-NP\tO' +p170227 +aS'4th\t4th\tJJ\tI-NP\tO' +p170228 +aS'or\tor\tCC\tI-NP\tO' +p170229 +aS'5th\t5th\tJJ\tI-NP\tO' +p170230 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p170231 +aS'day\tday\tNN\tI-NP\tO' +p170232 +aS'and\tand\tCC\tO\tO' +p170233 +aS'she\tshe\tPRP\tB-NP\tO' +p170234 +aS'remained\tremain\tVBD\tB-VP\tO' +p170235 +aS'lucid\tlucid\tNN\tB-NP\tO' +p170236 +aS'and\tand\tCC\tI-NP\tO' +p170237 +aS'alert\talert\tNN\tI-NP\tO' +p170238 +aS'for\tfor\tIN\tB-PP\tO' +p170239 +aS'the\tthe\tDT\tB-NP\tO' +p170240 +aS'remainder\tremainder\tNN\tI-NP\tO' +p170241 +aS'of\tof\tIN\tB-PP\tO' +p170242 +aS'her\ther\tPRP$\tB-NP\tO' +p170243 +aS'hospital\thospital\tNN\tI-NP\tO' +p170244 +aS'stay\tstay\tNN\tI-NP\tO' +p170245 +aS'.\t.\t.\tO\tO' +p170246 +asS'complications .' +p170247 +(lp170248 +S'complications\tcomplication\tNNS\tB-NP\tO' +p170249 +aS'.\t.\t.\tO\tO' +p170250 +asS'PEEP was increased and a chest x-ray checked the following morning .' +p170251 +(lp170252 +S'PEEP\tPEEP\tNN\tB-NP\tB-protein' +p170253 +aS'was\tbe\tVBD\tB-VP\tO' +p170254 +aS'increased\tincrease\tVBN\tI-VP\tO' +p170255 +aS'and\tand\tCC\tO\tO' +p170256 +aS'a\ta\tDT\tB-NP\tO' +p170257 +aS'chest\tchest\tNN\tI-NP\tO' +p170258 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p170259 +aS'checked\tcheck\tVBD\tB-VP\tO' +p170260 +aS'the\tthe\tDT\tB-NP\tO' +p170261 +aS'following\tfollow\tVBG\tI-NP\tO' +p170262 +aS'morning\tmorning\tNN\tI-NP\tO' +p170263 +aS'.\t.\t.\tO\tO' +p170264 +asS'9. Heparin 5,000 units subcutaneously q. 12 hours .' +p170265 +(lp170266 +S'9.\t9.\tCD\tB-NP\tO' +p170267 +aS'Heparin\tHeparin\tNN\tI-NP\tO' +p170268 +aS'5,000\t5,000\tCD\tB-NP\tO' +p170269 +aS'units\tunit\tNNS\tI-NP\tO' +p170270 +aS'subcutaneously\tsubcutaneously\tRB\tB-ADVP\tO' +p170271 +aS'q.\tq.\tVBP\tB-VP\tO' +p170272 +aS'12\t12\tCD\tB-NP\tO' +p170273 +aS'hours\thour\tNNS\tI-NP\tO' +p170274 +aS'.\t.\t.\tO\tO' +p170275 +asS'She had an MRI in 2014 that showed multiple plaque-like lesions , but these were entirely stable since 2010 .' +p170276 +(lp170277 +S'She\tShe\tPRP\tB-NP\tO' +p170278 +aS'had\thave\tVBD\tB-VP\tO' +p170279 +aS'an\tan\tDT\tB-NP\tO' +p170280 +aS'MRI\tMRI\tNN\tI-NP\tB-protein' +p170281 +aS'in\tin\tIN\tB-PP\tO' +p170282 +aS'2014\t2014\tCD\tB-NP\tO' +p170283 +aS'that\tthat\tWDT\tB-NP\tO' +p170284 +aS'showed\tshow\tVBD\tB-VP\tO' +p170285 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p170286 +aS'plaque-like\tplaque-like\tJJ\tI-NP\tO' +p170287 +aS'lesions\tlesion\tNNS\tI-NP\tO' +p170288 +aS',\t,\t,\tO\tO' +p170289 +aS'but\tbut\tCC\tO\tO' +p170290 +aS'these\tthese\tDT\tB-NP\tO' +p170291 +aS'were\tbe\tVBD\tB-VP\tO' +p170292 +aS'entirely\tentirely\tRB\tB-ADJP\tO' +p170293 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p170294 +aS'since\tsince\tIN\tB-PP\tO' +p170295 +aS'2010\t2010\tCD\tB-NP\tO' +p170296 +aS'.\t.\t.\tO\tO' +p170297 +asS'The past surgical history is negative .' +p170298 +(lp170299 +S'The\tThe\tDT\tB-NP\tO' +p170300 +aS'past\tpast\tJJ\tI-NP\tO' +p170301 +aS'surgical\tsurgical\tJJ\tI-NP\tO' +p170302 +aS'history\thistory\tNN\tI-NP\tO' +p170303 +aS'is\tbe\tVBZ\tB-VP\tO' +p170304 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p170305 +aS'.\t.\t.\tO\tO' +p170306 +asS'She also has a heart murmur since childhood .' +p170307 +(lp170308 +S'She\tShe\tPRP\tB-NP\tO' +p170309 +aS'also\talso\tRB\tB-ADVP\tO' +p170310 +aS'has\thave\tVBZ\tB-VP\tO' +p170311 +aS'a\ta\tDT\tB-NP\tO' +p170312 +aS'heart\theart\tNN\tI-NP\tO' +p170313 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p170314 +aS'since\tsince\tIN\tB-PP\tO' +p170315 +aS'childhood\tchildhood\tNN\tB-NP\tO' +p170316 +aS'.\t.\t.\tO\tO' +p170317 +asS'3. Lipitor 10 mg p.o. q. day .' +p170318 +(lp170319 +S'3.\t3.\tLS\tB-LST\tO' +p170320 +aS'Lipitor\tLipitor\tNN\tB-NP\tO' +p170321 +aS'10\t10\tCD\tI-NP\tO' +p170322 +aS'mg\tmg\tNN\tI-NP\tO' +p170323 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p170324 +aS'q.\tq.\tNN\tI-NP\tO' +p170325 +aS'day\tday\tNN\tI-NP\tO' +p170326 +aS'.\t.\t.\tO\tO' +p170327 +asS'Coronary angiography , right heart catheterization and percutaneous intervention of the RCA were performed from the right groin without complications .' +p170328 +(lp170329 +S'Coronary\tCoronary\tJJ\tB-NP\tO' +p170330 +aS'angiography\tangiography\tNN\tI-NP\tO' +p170331 +aS',\t,\t,\tO\tO' +p170332 +aS'right\tright\tJJ\tB-NP\tO' +p170333 +aS'heart\theart\tNN\tI-NP\tO' +p170334 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p170335 +aS'and\tand\tCC\tO\tO' +p170336 +aS'percutaneous\tpercutaneous\tJJ\tB-NP\tO' +p170337 +aS'intervention\tintervention\tNN\tI-NP\tO' +p170338 +aS'of\tof\tIN\tB-PP\tO' +p170339 +aS'the\tthe\tDT\tB-NP\tO' +p170340 +aS'RCA\tRCA\tNN\tI-NP\tB-protein' +p170341 +aS'were\tbe\tVBD\tB-VP\tO' +p170342 +aS'performed\tperform\tVBN\tI-VP\tO' +p170343 +aS'from\tfrom\tIN\tB-PP\tO' +p170344 +aS'the\tthe\tDT\tB-NP\tO' +p170345 +aS'right\tright\tJJ\tI-NP\tO' +p170346 +aS'groin\tgroin\tNN\tI-NP\tO' +p170347 +aS'without\twithout\tIN\tB-PP\tO' +p170348 +aS'complications\tcomplication\tNNS\tB-NP\tO' +p170349 +aS'.\t.\t.\tO\tO' +p170350 +asS'Asthma , history of atrial fibrillation , non-small-cell lung cancer removed from his right lung by Dr. Vital four years prior to admission , status post chemotherapy and radiation for the non-small-cell lung cancer , gastroesophageal reflux disease , and history of constipation .' +p170351 +(lp170352 +S'Asthma\tAsthma\tNN\tB-NP\tO' +p170353 +aS',\t,\t,\tO\tO' +p170354 +aS'history\thistory\tNN\tB-NP\tO' +p170355 +aS'of\tof\tIN\tB-PP\tO' +p170356 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p170357 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p170358 +aS',\t,\t,\tO\tO' +p170359 +aS'non-small-cell\tnon-small-cell\tJJ\tB-NP\tO' +p170360 +aS'lung\tlung\tNN\tI-NP\tO' +p170361 +aS'cancer\tcancer\tNN\tI-NP\tO' +p170362 +aS'removed\tremove\tVBN\tB-VP\tO' +p170363 +aS'from\tfrom\tIN\tB-PP\tO' +p170364 +aS'his\this\tPRP$\tB-NP\tO' +p170365 +aS'right\tright\tJJ\tI-NP\tO' +p170366 +aS'lung\tlung\tNN\tI-NP\tO' +p170367 +aS'by\tby\tIN\tB-PP\tO' +p170368 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p170369 +aS'Vital\tVital\tNNP\tI-NP\tO' +p170370 +aS'four\tfour\tCD\tB-NP\tO' +p170371 +aS'years\tyear\tNNS\tI-NP\tO' +p170372 +aS'prior\tprior\tRB\tB-ADVP\tO' +p170373 +aS'to\tto\tTO\tB-PP\tO' +p170374 +aS'admission\tadmission\tNN\tB-NP\tO' +p170375 +aS',\t,\t,\tO\tO' +p170376 +aS'status\tstatus\tNN\tB-NP\tO' +p170377 +aS'post\tpost\tNN\tI-NP\tO' +p170378 +aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' +p170379 +aS'and\tand\tCC\tI-NP\tO' +p170380 +aS'radiation\tradiation\tNN\tI-NP\tO' +p170381 +aS'for\tfor\tIN\tB-PP\tO' +p170382 +aS'the\tthe\tDT\tB-NP\tO' +p170383 +aS'non-small-cell\tnon-small-cell\tJJ\tI-NP\tO' +p170384 +aS'lung\tlung\tNN\tI-NP\tO' +p170385 +aS'cancer\tcancer\tNN\tI-NP\tO' +p170386 +aS',\t,\t,\tO\tO' +p170387 +aS'gastroesophageal\tgastroesophageal\tJJ\tB-NP\tO' +p170388 +aS'reflux\treflux\tNN\tI-NP\tO' +p170389 +aS'disease\tdisease\tNN\tI-NP\tO' +p170390 +aS',\t,\t,\tO\tO' +p170391 +aS'and\tand\tCC\tO\tO' +p170392 +aS'history\thistory\tNN\tB-NP\tO' +p170393 +aS'of\tof\tIN\tB-PP\tO' +p170394 +aS'constipation\tconstipation\tNN\tB-NP\tO' +p170395 +aS'.\t.\t.\tO\tO' +p170396 +asS'Discharge Condition : stable , eating , on room air' +p170397 +(lp170398 +S'Discharge\tDischarge\tNNP\tB-NP\tO' +p170399 +aS'Condition\tCondition\tNNP\tI-NP\tO' +p170400 +aS':\t:\t:\tO\tO' +p170401 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p170402 +aS',\t,\t,\tO\tO' +p170403 +aS'eating\teat\tVBG\tB-VP\tO' +p170404 +aS',\t,\t,\tO\tO' +p170405 +aS'on\ton\tIN\tB-PP\tO' +p170406 +aS'room\troom\tNN\tB-NP\tO' +p170407 +aS'air\tair\tNN\tI-NP\tO' +p170408 +asS'On admission medications included Lasix and iron .' +p170409 +(lp170410 +S'On\tOn\tIN\tB-PP\tO' +p170411 +aS'admission\tadmission\tNN\tB-NP\tO' +p170412 +aS'medications\tmedication\tNNS\tI-NP\tO' +p170413 +aS'included\tinclude\tVBD\tB-VP\tO' +p170414 +aS'Lasix\tLasix\tNN\tB-NP\tO' +p170415 +aS'and\tand\tCC\tI-NP\tO' +p170416 +aS'iron\tiron\tNN\tI-NP\tO' +p170417 +aS'.\t.\t.\tO\tO' +p170418 +asS'She had a thoracic aortic aneurysm repaired in the past and subsequently developed neuropathic pain at the incision site .' +p170419 +(lp170420 +S'She\tShe\tPRP\tB-NP\tO' +p170421 +aS'had\thave\tVBD\tB-VP\tO' +p170422 +aS'a\ta\tDT\tB-NP\tO' +p170423 +aS'thoracic\tthoracic\tJJ\tI-NP\tO' +p170424 +aS'aortic\taortic\tJJ\tI-NP\tO' +p170425 +aS'aneurysm\taneurysm\tNN\tI-NP\tO' +p170426 +aS'repaired\trepair\tVBN\tB-VP\tO' +p170427 +aS'in\tin\tIN\tB-PP\tO' +p170428 +aS'the\tthe\tDT\tB-NP\tO' +p170429 +aS'past\tpast\tNN\tI-NP\tO' +p170430 +aS'and\tand\tCC\tO\tO' +p170431 +aS'subsequently\tsubsequently\tRB\tB-VP\tO' +p170432 +aS'developed\tdevelop\tVBD\tI-VP\tO' +p170433 +aS'neuropathic\tneuropathic\tJJ\tB-NP\tO' +p170434 +aS'pain\tpain\tNN\tI-NP\tO' +p170435 +aS'at\tat\tIN\tB-PP\tO' +p170436 +aS'the\tthe\tDT\tB-NP\tO' +p170437 +aS'incision\tincision\tNN\tI-NP\tB-DNA' +p170438 +aS'site\tsite\tNN\tI-NP\tI-DNA' +p170439 +aS'.\t.\t.\tO\tO' +p170440 +asS'The patient does not smoke or drink .' +p170441 +(lp170442 +S'The\tThe\tDT\tB-NP\tO' +p170443 +aS'patient\tpatient\tNN\tI-NP\tO' +p170444 +aS'does\tdo\tVBZ\tB-VP\tO' +p170445 +aS'not\tnot\tRB\tI-VP\tO' +p170446 +aS'smoke\tsmoke\tVB\tI-VP\tO' +p170447 +aS'or\tor\tCC\tI-VP\tO' +p170448 +aS'drink\tdrink\tVB\tI-VP\tO' +p170449 +aS'.\t.\t.\tO\tO' +p170450 +asS'4. Prilosec 30 mg p.o. q. day .' +p170451 +(lp170452 +S'4.\t4.\tLS\tB-LST\tO' +p170453 +aS'Prilosec\tPrilosec\tNNP\tB-NP\tO' +p170454 +aS'30\t30\tCD\tI-NP\tO' +p170455 +aS'mg\tmg\tNN\tI-NP\tO' +p170456 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p170457 +aS'q.\tq.\tNN\tI-NP\tO' +p170458 +aS'day\tday\tNN\tI-NP\tO' +p170459 +aS'.\t.\t.\tO\tO' +p170460 +asS'Family History : no kids , no bleeds or strokes in other family members' +p170461 +(lp170462 +S'Family\tFamily\tRB\tB-NP\tO' +p170463 +aS'History\tHistory\tNN\tI-NP\tO' +p170464 +aS':\t:\t:\tO\tO' +p170465 +aS'no\tno\tDT\tB-NP\tO' +p170466 +aS'kids\tkid\tNNS\tI-NP\tO' +p170467 +aS',\t,\t,\tO\tO' +p170468 +aS'no\tno\tDT\tB-NP\tO' +p170469 +aS'bleeds\tbleed\tNNS\tI-NP\tO' +p170470 +aS'or\tor\tCC\tI-NP\tO' +p170471 +aS'strokes\tstroke\tNNS\tI-NP\tO' +p170472 +aS'in\tin\tIN\tB-PP\tO' +p170473 +aS'other\tother\tJJ\tB-NP\tO' +p170474 +aS'family\tfamily\tNN\tI-NP\tO' +p170475 +aS'members\tmember\tNNS\tI-NP\tO' +p170476 +asS'She feels light headed when getting up .' +p170477 +(lp170478 +S'She\tShe\tPRP\tB-NP\tO' +p170479 +aS'feels\tfeel\tVBZ\tB-VP\tO' +p170480 +aS'light\tlight\tNN\tB-NP\tO' +p170481 +aS'headed\thead\tVBN\tB-VP\tO' +p170482 +aS'when\twhen\tWRB\tB-ADVP\tO' +p170483 +aS'getting\tget\tVBG\tB-VP\tO' +p170484 +aS'up\tup\tRP\tB-PRT\tO' +p170485 +aS'.\t.\t.\tO\tO' +p170486 +asS'# Anemia : His HCT remained stable post-surgery .' +p170487 +(lp170488 +S'#\t#\t#\tB-NP\tO' +p170489 +aS'Anemia\tAnemia\tNNP\tI-NP\tO' +p170490 +aS':\t:\t:\tO\tO' +p170491 +aS'His\tHis\tPRP$\tB-NP\tO' +p170492 +aS'HCT\tHCT\tNN\tI-NP\tO' +p170493 +aS'remained\tremain\tVBD\tB-VP\tO' +p170494 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p170495 +aS'post-surgery\tpost-surgery\tJJ\tI-ADJP\tO' +p170496 +aS'.\t.\t.\tO\tO' +p170497 +asS"Pt 's vancomycin was stopped after 14 days of treatment ." +p170498 +(lp170499 +S'Pt\tPt\tNN\tB-NP\tO' +p170500 +aS"'s\t's\tPOS\tB-NP\tO" +p170501 +aS'vancomycin\tvancomycin\tNN\tI-NP\tO' +p170502 +aS'was\tbe\tVBD\tB-VP\tO' +p170503 +aS'stopped\tstop\tVBN\tI-VP\tO' +p170504 +aS'after\tafter\tIN\tB-PP\tO' +p170505 +aS'14\t14\tCD\tB-NP\tO' +p170506 +aS'days\tday\tNNS\tI-NP\tO' +p170507 +aS'of\tof\tIN\tB-PP\tO' +p170508 +aS'treatment\ttreatment\tNN\tB-NP\tO' +p170509 +aS'.\t.\t.\tO\tO' +p170510 +asS'JVD not appreciated 03-07 to deep inspiratory breaths .' +p170511 +(lp170512 +S'JVD\tJVD\tNN\tB-NP\tO' +p170513 +aS'not\tnot\tRB\tB-VP\tO' +p170514 +aS'appreciated\tappreciate\tVBN\tI-VP\tO' +p170515 +aS'03-07\t03-07\tCD\tB-NP\tO' +p170516 +aS'to\tto\tTO\tB-VP\tO' +p170517 +aS'deep\tdeep\tVB\tI-VP\tO' +p170518 +aS'inspiratory\tinspiratory\tJJ\tB-NP\tO' +p170519 +aS'breaths\tbreath\tNNS\tI-NP\tO' +p170520 +aS'.\t.\t.\tO\tO' +p170521 +asS'Chest x-ray revealed a left pneumothorax which resolved on its own without intervention .' +p170522 +(lp170523 +S'Chest\tCh\tJJS\tB-NP\tO' +p170524 +aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' +p170525 +aS'revealed\treveal\tVBD\tB-VP\tO' +p170526 +aS'a\ta\tDT\tB-NP\tO' +p170527 +aS'left\tleft\tJJ\tI-NP\tO' +p170528 +aS'pneumothorax\tpneumothorax\tNN\tI-NP\tO' +p170529 +aS'which\twhich\tWDT\tB-NP\tO' +p170530 +aS'resolved\tresolve\tVBD\tB-VP\tO' +p170531 +aS'on\ton\tIN\tB-PP\tO' +p170532 +aS'its\tits\tPRP$\tB-NP\tO' +p170533 +aS'own\town\tJJ\tI-NP\tO' +p170534 +aS'without\twithout\tIN\tB-PP\tO' +p170535 +aS'intervention\tintervention\tNN\tB-NP\tO' +p170536 +aS'.\t.\t.\tO\tO' +p170537 +asS'Lungs - diffuse expiratory wheezes with bibasilar rales , left over right .' +p170538 +(lp170539 +S'Lungs\tLung\tNNS\tB-NP\tO' +p170540 +aS'-\t-\tHYPH\tB-NP\tO' +p170541 +aS'diffuse\tdiffuse\tJJ\tI-NP\tO' +p170542 +aS'expiratory\texpiratory\tNN\tI-NP\tO' +p170543 +aS'wheezes\twheeze\tVBZ\tB-VP\tO' +p170544 +aS'with\twith\tIN\tB-PP\tO' +p170545 +aS'bibasilar\tbibasilar\tJJ\tB-NP\tO' +p170546 +aS'rales\trale\tNNS\tI-NP\tO' +p170547 +aS',\t,\t,\tO\tO' +p170548 +aS'left\tleave\tVBD\tB-VP\tO' +p170549 +aS'over\tover\tRP\tB-PRT\tO' +p170550 +aS'right\tright\tJJ\tB-ADVP\tO' +p170551 +aS'.\t.\t.\tO\tO' +p170552 +asS'6. Sick sinus syndrome status post pacer placement' +p170553 +(lp170554 +S'6.\t6.\tLS\tB-NP\tO' +p170555 +aS'Sick\tSick\tNNP\tI-NP\tO' +p170556 +aS'sinus\tsinus\tNN\tI-NP\tO' +p170557 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p170558 +aS'status\tstatus\tNN\tI-NP\tO' +p170559 +aS'post\tpost\tNN\tI-NP\tO' +p170560 +aS'pacer\tpacer\tNN\tI-NP\tO' +p170561 +aS'placement\tplacement\tNN\tI-NP\tO' +p170562 +asS'Mitral and possibly tricuspid valve surgery is scheduled for Labor Day by Dr. Riemund C. Kennedy .' +p170563 +(lp170564 +S'Mitral\tMitral\tJJ\tB-NP\tO' +p170565 +aS'and\tand\tCC\tI-NP\tO' +p170566 +aS'possibly\tpossibly\tRB\tI-NP\tO' +p170567 +aS'tricuspid\ttricuspid\tJJ\tI-NP\tO' +p170568 +aS'valve\tvalve\tNN\tI-NP\tO' +p170569 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p170570 +aS'is\tbe\tVBZ\tB-VP\tO' +p170571 +aS'scheduled\tschedule\tVBN\tI-VP\tO' +p170572 +aS'for\tfor\tIN\tB-PP\tO' +p170573 +aS'Labor\tLabor\tNNP\tB-NP\tO' +p170574 +aS'Day\tDay\tNNP\tI-NP\tO' +p170575 +aS'by\tby\tIN\tB-PP\tO' +p170576 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p170577 +aS'Riemund\tRiemund\tNNP\tI-NP\tO' +p170578 +aS'C.\tC.\tNNP\tI-NP\tO' +p170579 +aS'Kennedy\tKennedy\tNNP\tI-NP\tO' +p170580 +aS'.\t.\t.\tO\tO' +p170581 +asS'He does limp .' +p170582 +(lp170583 +S'He\tHe\tPRP\tB-NP\tO' +p170584 +aS'does\tdo\tVBZ\tB-VP\tO' +p170585 +aS'limp\tlimp\tVB\tI-VP\tO' +p170586 +aS'.\t.\t.\tO\tO' +p170587 +asS'There were no intraoperative complications and the surgical field was hemostatic at the conclusion of the case ( see operative report for full description ) .' +p170588 +(lp170589 +S'There\tThere\tEX\tB-NP\tO' +p170590 +aS'were\tbe\tVBD\tB-VP\tO' +p170591 +aS'no\tno\tDT\tB-NP\tO' +p170592 +aS'intraoperative\tintraoperative\tJJ\tI-NP\tO' +p170593 +aS'complications\tcomplication\tNNS\tI-NP\tO' +p170594 +aS'and\tand\tCC\tO\tO' +p170595 +aS'the\tthe\tDT\tB-NP\tO' +p170596 +aS'surgical\tsurgical\tJJ\tI-NP\tO' +p170597 +aS'field\tfield\tNN\tI-NP\tO' +p170598 +aS'was\tbe\tVBD\tB-VP\tO' +p170599 +aS'hemostatic\themostatic\tJJ\tB-ADJP\tO' +p170600 +aS'at\tat\tIN\tB-PP\tO' +p170601 +aS'the\tthe\tDT\tB-NP\tO' +p170602 +aS'conclusion\tconclusion\tNN\tI-NP\tO' +p170603 +aS'of\tof\tIN\tB-PP\tO' +p170604 +aS'the\tthe\tDT\tB-NP\tO' +p170605 +aS'case\tcase\tNN\tI-NP\tO' +p170606 +aS'(\t(\t(\tO\tO' +p170607 +aS'see\tsee\tVB\tB-VP\tO' +p170608 +aS'operative\toperative\tJJ\tB-NP\tO' +p170609 +aS'report\treport\tNN\tI-NP\tO' +p170610 +aS'for\tfor\tIN\tB-PP\tO' +p170611 +aS'full\tfull\tJJ\tB-NP\tO' +p170612 +aS'description\tdescription\tNN\tI-NP\tO' +p170613 +aS')\t)\t)\tO\tO' +p170614 +aS'.\t.\t.\tO\tO' +p170615 +asS'Presented w / epigastric pain , SOB at work .' +p170616 +(lp170617 +S'Presented\tPresent\tVBN\tB-NP\tO' +p170618 +aS'w\tw\tNN\tI-NP\tO' +p170619 +aS'/\t/\tSYM\tB-NP\tO' +p170620 +aS'epigastric\tepigastric\tJJ\tB-NP\tO' +p170621 +aS'pain\tpain\tNN\tI-NP\tO' +p170622 +aS',\t,\t,\tO\tO' +p170623 +aS'SOB\tSOB\tNN\tB-NP\tB-protein' +p170624 +aS'at\tat\tIN\tB-PP\tO' +p170625 +aS'work\twork\tNN\tB-NP\tO' +p170626 +aS'.\t.\t.\tO\tO' +p170627 +asS'Abdominal examination ; soft , non-tender , non-distended , normal active bowel sounds .' +p170628 +(lp170629 +S'Abdominal\tAbdominal\tJJ\tB-NP\tO' +p170630 +aS'examination\texamination\tNN\tI-NP\tO' +p170631 +aS';\t;\t:\tO\tO' +p170632 +aS'soft\tsoft\tJJ\tB-NP\tO' +p170633 +aS',\t,\t,\tI-NP\tO' +p170634 +aS'non-tender\tnon-tender\tJJ\tI-NP\tO' +p170635 +aS',\t,\t,\tI-NP\tO' +p170636 +aS'non-distended\tnon-distended\tJJ\tI-NP\tO' +p170637 +aS',\t,\t,\tI-NP\tO' +p170638 +aS'normal\tnormal\tJJ\tI-NP\tO' +p170639 +aS'active\tactive\tJJ\tI-NP\tO' +p170640 +aS'bowel\tbowel\tNN\tI-NP\tO' +p170641 +aS'sounds\tsound\tNNS\tI-NP\tO' +p170642 +aS'.\t.\t.\tO\tO' +p170643 +asS'Felt secondary to low platelets with no surgical intervention indicated .' +p170644 +(lp170645 +S'Felt\tFelt\tNN\tB-NP\tO' +p170646 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p170647 +aS'to\tto\tTO\tB-PP\tO' +p170648 +aS'low\tlow\tJJ\tB-NP\tB-cell_type' +p170649 +aS'platelets\tplatelet\tNNS\tI-NP\tI-cell_type' +p170650 +aS'with\twith\tIN\tB-PP\tO' +p170651 +aS'no\tno\tDT\tB-NP\tO' +p170652 +aS'surgical\tsurgical\tJJ\tI-NP\tO' +p170653 +aS'intervention\tintervention\tNN\tI-NP\tO' +p170654 +aS'indicated\tindicate\tVBD\tB-VP\tO' +p170655 +aS'.\t.\t.\tO\tO' +p170656 +asS'The status of Mr. Nina pulmonary system necessitated a prolonged postoperative intubation .' +p170657 +(lp170658 +S'The\tThe\tDT\tB-NP\tO' +p170659 +aS'status\tstatus\tNN\tI-NP\tO' +p170660 +aS'of\tof\tIN\tB-PP\tO' +p170661 +aS'Mr.\tMr.\tNNP\tB-NP\tO' +p170662 +aS'Nina\tNina\tNNP\tI-NP\tO' +p170663 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p170664 +aS'system\tsystem\tNN\tI-NP\tO' +p170665 +aS'necessitated\tnecessitate\tVBD\tB-VP\tO' +p170666 +aS'a\ta\tDT\tB-NP\tO' +p170667 +aS'prolonged\tprolonged\tJJ\tI-NP\tO' +p170668 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p170669 +aS'intubation\tintubation\tNN\tI-NP\tO' +p170670 +aS'.\t.\t.\tO\tO' +p170671 +asS'Abdomen : obese , soft , mild epigastric tenderness , NABS' +p170672 +(lp170673 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p170674 +aS':\t:\t:\tO\tO' +p170675 +aS'obese\tobese\tJJ\tB-NP\tO' +p170676 +aS',\t,\t,\tI-NP\tO' +p170677 +aS'soft\tsoft\tJJ\tI-NP\tO' +p170678 +aS',\t,\t,\tI-NP\tO' +p170679 +aS'mild\tmild\tJJ\tI-NP\tO' +p170680 +aS'epigastric\tepigastric\tJJ\tI-NP\tO' +p170681 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p170682 +aS',\t,\t,\tO\tO' +p170683 +aS'NABS\tNABS\tNNP\tB-NP\tO' +p170684 +asS'Her chest tube was pulled on postoperative day number one and the patient did quite well and remained inhouse for observation until December 7 , 1997 and the patient was discharged to home in stable condition .' +p170685 +(lp170686 +S'Her\tHer\tPRP$\tB-NP\tO' +p170687 +aS'chest\tchest\tNN\tI-NP\tO' +p170688 +aS'tube\ttube\tNN\tI-NP\tO' +p170689 +aS'was\tbe\tVBD\tB-VP\tO' +p170690 +aS'pulled\tpull\tVBN\tI-VP\tO' +p170691 +aS'on\ton\tIN\tB-PP\tO' +p170692 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p170693 +aS'day\tday\tNN\tI-NP\tO' +p170694 +aS'number\tnumber\tNN\tI-NP\tO' +p170695 +aS'one\tone\tCD\tB-NP\tO' +p170696 +aS'and\tand\tCC\tO\tO' +p170697 +aS'the\tthe\tDT\tB-NP\tO' +p170698 +aS'patient\tpatient\tNN\tI-NP\tO' +p170699 +aS'did\tdo\tVBD\tB-VP\tO' +p170700 +aS'quite\tquite\tRB\tB-ADVP\tO' +p170701 +aS'well\twell\tRB\tI-ADVP\tO' +p170702 +aS'and\tand\tCC\tO\tO' +p170703 +aS'remained\tremain\tVBD\tB-VP\tO' +p170704 +aS'inhouse\tinhouse\tNN\tB-NP\tO' +p170705 +aS'for\tfor\tIN\tB-PP\tO' +p170706 +aS'observation\tobservation\tNN\tB-NP\tO' +p170707 +aS'until\tuntil\tIN\tB-PP\tO' +p170708 +aS'December\tDecember\tNNP\tB-NP\tO' +p170709 +aS'7\t7\tCD\tI-NP\tO' +p170710 +aS',\t,\t,\tO\tO' +p170711 +aS'1997\t1997\tCD\tB-NP\tO' +p170712 +aS'and\tand\tCC\tO\tO' +p170713 +aS'the\tthe\tDT\tB-NP\tO' +p170714 +aS'patient\tpatient\tNN\tI-NP\tO' +p170715 +aS'was\tbe\tVBD\tB-VP\tO' +p170716 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p170717 +aS'to\tto\tTO\tB-PP\tO' +p170718 +aS'home\thome\tNN\tB-NP\tO' +p170719 +aS'in\tin\tIN\tB-PP\tO' +p170720 +aS'stable\tstable\tJJ\tB-NP\tO' +p170721 +aS'condition\tcondition\tNN\tI-NP\tO' +p170722 +aS'.\t.\t.\tO\tO' +p170723 +asS'The patient intermittently tolerated diet advancement , but then would vomit and would have the NG tube replaced .' +p170724 +(lp170725 +S'The\tThe\tDT\tB-NP\tO' +p170726 +aS'patient\tpatient\tNN\tI-NP\tO' +p170727 +aS'intermittently\tintermittently\tRB\tB-ADVP\tO' +p170728 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p170729 +aS'diet\tdiet\tNN\tB-NP\tO' +p170730 +aS'advancement\tadvancement\tNN\tI-NP\tO' +p170731 +aS',\t,\t,\tO\tO' +p170732 +aS'but\tbut\tCC\tO\tO' +p170733 +aS'then\tthen\tRB\tB-VP\tO' +p170734 +aS'would\twould\tMD\tI-VP\tO' +p170735 +aS'vomit\tvomit\tVB\tI-VP\tO' +p170736 +aS'and\tand\tCC\tO\tO' +p170737 +aS'would\twould\tMD\tB-VP\tO' +p170738 +aS'have\thave\tVB\tI-VP\tO' +p170739 +aS'the\tthe\tDT\tB-NP\tO' +p170740 +aS'NG\tNG\tNN\tI-NP\tO' +p170741 +aS'tube\ttube\tNN\tI-NP\tO' +p170742 +aS'replaced\treplace\tVBN\tB-VP\tO' +p170743 +aS'.\t.\t.\tO\tO' +p170744 +asS'5. Physiologic jaundice .' +p170745 +(lp170746 +S'5.\t5.\tLS\tB-NP\tO' +p170747 +aS'Physiologic\tPhysiologic\tJJ\tI-NP\tO' +p170748 +aS'jaundice\tjaundice\tNN\tI-NP\tO' +p170749 +aS'.\t.\t.\tO\tO' +p170750 +asS'no , tob , no etoh , no drugs' +p170751 +(lp170752 +S'no\tno\tRB\tB-ADVP\tO' +p170753 +aS',\t,\t,\tO\tO' +p170754 +aS'tob\ttob\tNN\tB-NP\tB-protein' +p170755 +aS',\t,\t,\tO\tO' +p170756 +aS'no\tno\tDT\tB-NP\tO' +p170757 +aS'etoh\tetoh\tNN\tI-NP\tO' +p170758 +aS',\t,\t,\tO\tO' +p170759 +aS'no\tno\tDT\tB-NP\tO' +p170760 +aS'drugs\tdrug\tNNS\tI-NP\tO' +p170761 +asS'xray - no evidence of effusion or fracture' +p170762 +(lp170763 +S'xray\txray\tSYM\tB-NP\tO' +p170764 +aS'-\t-\t:\tO\tO' +p170765 +aS'no\tno\tDT\tB-NP\tO' +p170766 +aS'evidence\tevidence\tNN\tI-NP\tO' +p170767 +aS'of\tof\tIN\tB-PP\tO' +p170768 +aS'effusion\teffusion\tNN\tB-NP\tO' +p170769 +aS'or\tor\tCC\tI-NP\tO' +p170770 +aS'fracture\tfracture\tNN\tI-NP\tO' +p170771 +asS'Chest x-ray revealed no pneumonia , no congestive heart failure .' +p170772 +(lp170773 +S'Chest\tCh\tJJS\tB-NP\tO' +p170774 +aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' +p170775 +aS'revealed\treveal\tVBD\tB-VP\tO' +p170776 +aS'no\tno\tDT\tB-NP\tO' +p170777 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p170778 +aS',\t,\t,\tO\tO' +p170779 +aS'no\tno\tDT\tB-NP\tO' +p170780 +aS'congestive\tcongestive\tJJ\tI-NP\tO' +p170781 +aS'heart\theart\tNN\tI-NP\tO' +p170782 +aS'failure\tfailure\tNN\tI-NP\tO' +p170783 +aS'.\t.\t.\tO\tO' +p170784 +asS'She was guiaic negative .' +p170785 +(lp170786 +S'She\tShe\tPRP\tB-NP\tO' +p170787 +aS'was\tbe\tVBD\tB-VP\tO' +p170788 +aS'guiaic\tguiaic\tJJ\tB-ADJP\tO' +p170789 +aS'negative\tnegative\tJJ\tI-ADJP\tO' +p170790 +aS'.\t.\t.\tO\tO' +p170791 +asS'Dictated By : John V.E. Jameson , M.D.' +p170792 +(lp170793 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p170794 +aS'By\tBy\tIN\tB-PP\tO' +p170795 +aS':\t:\t:\tO\tO' +p170796 +aS'John\tJohn\tNNP\tB-NP\tO' +p170797 +aS'V.E.\tV.E.\tNNP\tI-NP\tO' +p170798 +aS'Jameson\tJameson\tNNP\tI-NP\tO' +p170799 +aS',\t,\t,\tO\tO' +p170800 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p170801 +asS'3. Bilateral renal artery stenosis status post stent left renal artery .' +p170802 +(lp170803 +S'3.\t3.\tLS\tB-NP\tO' +p170804 +aS'Bilateral\tBilateral\tJJ\tI-NP\tO' +p170805 +aS'renal\trenal\tJJ\tI-NP\tO' +p170806 +aS'artery\tartery\tNN\tI-NP\tO' +p170807 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p170808 +aS'status\tstatus\tNN\tI-NP\tO' +p170809 +aS'post\tpost\tIN\tB-PP\tO' +p170810 +aS'stent\tstent\tJJ\tB-NP\tO' +p170811 +aS'left\tleft\tJJ\tI-NP\tO' +p170812 +aS'renal\trenal\tJJ\tI-NP\tO' +p170813 +aS'artery\tartery\tNN\tI-NP\tO' +p170814 +aS'.\t.\t.\tO\tO' +p170815 +asS'There was no gag .' +p170816 +(lp170817 +S'There\tThere\tEX\tB-NP\tO' +p170818 +aS'was\tbe\tVBD\tB-VP\tO' +p170819 +aS'no\tno\tDT\tB-NP\tO' +p170820 +aS'gag\tgag\tNN\tI-NP\tO' +p170821 +aS'.\t.\t.\tO\tO' +p170822 +asS'Dr. Donald Carrion , telephone number ( 861 ) 840 7928 .' +p170823 +(lp170824 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p170825 +aS'Donald\tDonald\tNNP\tI-NP\tO' +p170826 +aS'Carrion\tCarrion\tNNP\tI-NP\tO' +p170827 +aS',\t,\t,\tO\tO' +p170828 +aS'telephone\ttelephone\tNN\tB-NP\tO' +p170829 +aS'number\tnumber\tNN\tI-NP\tO' +p170830 +aS'(\t(\t(\tO\tO' +p170831 +aS'861\t861\tCD\tB-NP\tO' +p170832 +aS')\t)\t)\tO\tO' +p170833 +aS'840\t840\tCD\tB-NP\tO' +p170834 +aS'7928\t7928\tCD\tI-NP\tO' +p170835 +aS'.\t.\t.\tO\tO' +p170836 +asS'Catheter tip 01-05 , NG .' +p170837 +(lp170838 +S'Catheter\tCatheter\tNN\tB-NP\tO' +p170839 +aS'tip\ttip\tNN\tI-NP\tO' +p170840 +aS'01-05\t01-05\tCD\tI-NP\tO' +p170841 +aS',\t,\t,\tO\tO' +p170842 +aS'NG\tNG\tNN\tB-NP\tO' +p170843 +aS'.\t.\t.\tO\tO' +p170844 +asS'A physical therapy evaluation was obtained for assistance and mobility .' +p170845 +(lp170846 +S'A\tA\tDT\tB-NP\tO' +p170847 +aS'physical\tphysical\tJJ\tI-NP\tO' +p170848 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p170849 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p170850 +aS'was\tbe\tVBD\tB-VP\tO' +p170851 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p170852 +aS'for\tfor\tIN\tB-PP\tO' +p170853 +aS'assistance\tassistance\tNN\tB-NP\tO' +p170854 +aS'and\tand\tCC\tI-NP\tO' +p170855 +aS'mobility\tmobility\tNN\tI-NP\tO' +p170856 +aS'.\t.\t.\tO\tO' +p170857 +asS'CBC on admission showed a white count of 9.3 with 37 polys , 0 bands , platelets 399,000 .' +p170858 +(lp170859 +S'CBC\tCBC\tNN\tB-NP\tB-protein' +p170860 +aS'on\ton\tIN\tB-PP\tO' +p170861 +aS'admission\tadmission\tNN\tB-NP\tO' +p170862 +aS'showed\tshow\tVBD\tB-VP\tO' +p170863 +aS'a\ta\tDT\tB-NP\tO' +p170864 +aS'white\twhite\tJJ\tI-NP\tO' +p170865 +aS'count\tcount\tNN\tI-NP\tO' +p170866 +aS'of\tof\tIN\tB-PP\tO' +p170867 +aS'9.3\t9.3\tCD\tB-NP\tO' +p170868 +aS'with\twith\tIN\tB-PP\tO' +p170869 +aS'37\t37\tCD\tB-NP\tO' +p170870 +aS'polys\tpoly\tNNS\tI-NP\tO' +p170871 +aS',\t,\t,\tO\tO' +p170872 +aS'0\t0\tCD\tB-NP\tO' +p170873 +aS'bands\tband\tNNS\tI-NP\tO' +p170874 +aS',\t,\t,\tO\tO' +p170875 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p170876 +aS'399,000\t399,000\tCD\tB-NP\tO' +p170877 +aS'.\t.\t.\tO\tO' +p170878 +asS'Neuro - PERRL , corneal reflex , gag reflex , Dolls eyes , spont mvt of head with out purpose side to side' +p170879 +(lp170880 +S'Neuro\tNeuro\tAFX\tB-NP\tB-cell_type' +p170881 +aS'-\t-\tHYPH\tI-NP\tO' +p170882 +aS'PERRL\tPERRL\tNN\tI-NP\tB-protein' +p170883 +aS',\t,\t,\tO\tO' +p170884 +aS'corneal\tcorneal\tJJ\tB-NP\tO' +p170885 +aS'reflex\treflex\tNN\tI-NP\tO' +p170886 +aS',\t,\t,\tO\tO' +p170887 +aS'gag\tgag\tNN\tB-NP\tO' +p170888 +aS'reflex\treflex\tNN\tI-NP\tO' +p170889 +aS',\t,\t,\tO\tO' +p170890 +aS'Dolls\tDolls\tNNP\tB-NP\tO' +p170891 +aS'eyes\teye\tNNS\tI-NP\tO' +p170892 +aS',\t,\t,\tO\tO' +p170893 +aS'spont\tspont\tJJ\tB-NP\tO' +p170894 +aS'mvt\tmvt\tNN\tI-NP\tO' +p170895 +aS'of\tof\tIN\tB-PP\tO' +p170896 +aS'head\thead\tNN\tB-NP\tO' +p170897 +aS'with\twith\tIN\tB-PP\tO' +p170898 +aS'out\tout\tIN\tB-PP\tO' +p170899 +aS'purpose\tpurpose\tNN\tB-NP\tO' +p170900 +aS'side\tside\tNN\tI-NP\tO' +p170901 +aS'to\tto\tTO\tB-PP\tO' +p170902 +aS'side\tside\tNN\tB-NP\tO' +p170903 +asS'Had vascular clinic f/u on day of admission .' +p170904 +(lp170905 +S'Had\tHave\tVBD\tB-VP\tO' +p170906 +aS'vascular\tvascular\tJJ\tB-NP\tO' +p170907 +aS'clinic\tclinic\tNN\tI-NP\tO' +p170908 +aS'f/u\tf/u\tNN\tI-NP\tO' +p170909 +aS'on\ton\tIN\tB-PP\tO' +p170910 +aS'day\tday\tNN\tB-NP\tO' +p170911 +aS'of\tof\tIN\tB-PP\tO' +p170912 +aS'admission\tadmission\tNN\tB-NP\tO' +p170913 +aS'.\t.\t.\tO\tO' +p170914 +asS'This is a 67 - year-old male with a history of high cholesterol who was in his usual state of health until 2016-04-03 .' +p170915 +(lp170916 +S'This\tThis\tDT\tB-NP\tO' +p170917 +aS'is\tbe\tVBZ\tB-VP\tO' +p170918 +aS'a\ta\tDT\tB-NP\tO' +p170919 +aS'67\t67\tCD\tI-NP\tO' +p170920 +aS'-\t-\tHYPH\tI-NP\tO' +p170921 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p170922 +aS'male\tmale\tNN\tI-NP\tO' +p170923 +aS'with\twith\tIN\tB-PP\tO' +p170924 +aS'a\ta\tDT\tB-NP\tO' +p170925 +aS'history\thistory\tNN\tI-NP\tO' +p170926 +aS'of\tof\tIN\tB-PP\tO' +p170927 +aS'high\thigh\tJJ\tB-NP\tO' +p170928 +aS'cholesterol\tcholesterol\tNN\tI-NP\tO' +p170929 +aS'who\twho\tWP\tB-NP\tO' +p170930 +aS'was\tbe\tVBD\tB-VP\tO' +p170931 +aS'in\tin\tIN\tB-PP\tO' +p170932 +aS'his\this\tPRP$\tB-NP\tO' +p170933 +aS'usual\tusual\tJJ\tI-NP\tO' +p170934 +aS'state\tstate\tNN\tI-NP\tO' +p170935 +aS'of\tof\tIN\tB-PP\tO' +p170936 +aS'health\thealth\tNN\tB-NP\tO' +p170937 +aS'until\tuntil\tIN\tB-PP\tO' +p170938 +aS'2016-04-03\t2016-04-03\tCD\tB-NP\tO' +p170939 +aS'.\t.\t.\tO\tO' +p170940 +asS'By the end of June , it became clear that Mr. Mass would require aggressive surgical intervention in order to eradicate his intra-abdominal bursts of intermittent sepsis ; however , long discussions with the patient and his wife , who was his health-care proxy , revealed that they felt that no further aggressive intervention be attempted .' +p170941 +(lp170942 +S'By\tBy\tIN\tB-PP\tO' +p170943 +aS'the\tthe\tDT\tB-NP\tO' +p170944 +aS'end\tend\tNN\tI-NP\tO' +p170945 +aS'of\tof\tIN\tB-PP\tO' +p170946 +aS'June\tJune\tNNP\tB-NP\tO' +p170947 +aS',\t,\t,\tO\tO' +p170948 +aS'it\tit\tPRP\tB-NP\tO' +p170949 +aS'became\tbecome\tVBD\tB-VP\tO' +p170950 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p170951 +aS'that\tthat\tIN\tB-SBAR\tO' +p170952 +aS'Mr.\tMr.\tNNP\tB-NP\tO' +p170953 +aS'Mass\tMass\tNNP\tI-NP\tO' +p170954 +aS'would\twould\tMD\tB-VP\tO' +p170955 +aS'require\trequire\tVB\tI-VP\tO' +p170956 +aS'aggressive\taggressive\tJJ\tB-NP\tO' +p170957 +aS'surgical\tsurgical\tJJ\tI-NP\tO' +p170958 +aS'intervention\tintervention\tNN\tI-NP\tO' +p170959 +aS'in\tin\tIN\tB-SBAR\tO' +p170960 +aS'order\torder\tNN\tO\tO' +p170961 +aS'to\tto\tTO\tB-VP\tO' +p170962 +aS'eradicate\teradicate\tVB\tI-VP\tO' +p170963 +aS'his\this\tPRP$\tB-NP\tO' +p170964 +aS'intra-abdominal\tintra-abdominal\tJJ\tI-NP\tO' +p170965 +aS'bursts\tburst\tNNS\tI-NP\tO' +p170966 +aS'of\tof\tIN\tB-PP\tO' +p170967 +aS'intermittent\tintermittent\tJJ\tB-NP\tO' +p170968 +aS'sepsis\tsepsis\tNN\tI-NP\tO' +p170969 +aS';\t;\t:\tO\tO' +p170970 +aS'however\thowever\tRB\tB-ADVP\tO' +p170971 +aS',\t,\t,\tO\tO' +p170972 +aS'long\tlong\tJJ\tB-NP\tO' +p170973 +aS'discussions\tdiscussion\tNNS\tI-NP\tO' +p170974 +aS'with\twith\tIN\tB-PP\tO' +p170975 +aS'the\tthe\tDT\tB-NP\tO' +p170976 +aS'patient\tpatient\tNN\tI-NP\tO' +p170977 +aS'and\tand\tCC\tO\tO' +p170978 +aS'his\this\tPRP$\tB-NP\tO' +p170979 +aS'wife\twife\tNN\tI-NP\tO' +p170980 +aS',\t,\t,\tO\tO' +p170981 +aS'who\twho\tWP\tB-NP\tO' +p170982 +aS'was\tbe\tVBD\tB-VP\tO' +p170983 +aS'his\this\tPRP$\tB-NP\tO' +p170984 +aS'health-care\thealth-care\tNN\tI-NP\tO' +p170985 +aS'proxy\tproxy\tNN\tI-NP\tO' +p170986 +aS',\t,\t,\tO\tO' +p170987 +aS'revealed\treveal\tVBD\tB-VP\tO' +p170988 +aS'that\tthat\tIN\tB-SBAR\tO' +p170989 +aS'they\tthey\tPRP\tB-NP\tO' +p170990 +aS'felt\tfeel\tVBD\tB-VP\tO' +p170991 +aS'that\tthat\tIN\tB-SBAR\tO' +p170992 +aS'no\tno\tDT\tB-NP\tO' +p170993 +aS'further\tfurther\tJJ\tI-NP\tO' +p170994 +aS'aggressive\taggressive\tJJ\tI-NP\tO' +p170995 +aS'intervention\tintervention\tNN\tI-NP\tO' +p170996 +aS'be\tbe\tVB\tB-VP\tO' +p170997 +aS'attempted\tattempt\tVBN\tI-VP\tO' +p170998 +aS'.\t.\t.\tO\tO' +p170999 +asS'No evidence of DVT in either lower limb .' +p171000 +(lp171001 +S'No\tNo\tDT\tB-NP\tO' +p171002 +aS'evidence\tevidence\tNN\tI-NP\tO' +p171003 +aS'of\tof\tIN\tB-PP\tO' +p171004 +aS'DVT\tDVT\tNN\tB-NP\tB-protein' +p171005 +aS'in\tin\tIN\tB-PP\tO' +p171006 +aS'either\teither\tCC\tB-NP\tO' +p171007 +aS'lower\tlow\tJJR\tI-NP\tO' +p171008 +aS'limb\tlimb\tNN\tI-NP\tO' +p171009 +aS'.\t.\t.\tO\tO' +p171010 +asS'The vascular team recommended a femoral-peroneal bypass for revascularization and performed this operation on HD#5 .' +p171011 +(lp171012 +S'The\tThe\tDT\tB-NP\tO' +p171013 +aS'vascular\tvascular\tJJ\tI-NP\tO' +p171014 +aS'team\tteam\tNN\tI-NP\tO' +p171015 +aS'recommended\trecommend\tVBD\tB-VP\tO' +p171016 +aS'a\ta\tDT\tB-NP\tO' +p171017 +aS'femoral-peroneal\tfemoral-peroneal\tJJ\tI-NP\tO' +p171018 +aS'bypass\tbypass\tNN\tI-NP\tO' +p171019 +aS'for\tfor\tIN\tB-PP\tO' +p171020 +aS'revascularization\trevascularization\tNN\tB-NP\tO' +p171021 +aS'and\tand\tCC\tO\tO' +p171022 +aS'performed\tperform\tVBD\tB-VP\tO' +p171023 +aS'this\tthis\tDT\tB-NP\tO' +p171024 +aS'operation\toperation\tNN\tI-NP\tO' +p171025 +aS'on\ton\tIN\tB-PP\tO' +p171026 +aS'HD#5\tHD#5\tNN\tB-NP\tB-protein' +p171027 +aS'.\t.\t.\tO\tO' +p171028 +asS'Cardiac enzymes BID while actively having leak , ASA' +p171029 +(lp171030 +S'Cardiac\tCardiac\tJJ\tB-NP\tO' +p171031 +aS'enzymes\tenzyme\tNNS\tI-NP\tO' +p171032 +aS'BID\tBID\tNN\tI-NP\tO' +p171033 +aS'while\twhile\tIN\tB-SBAR\tO' +p171034 +aS'actively\tactively\tRB\tB-ADVP\tO' +p171035 +aS'having\thave\tVBG\tB-VP\tO' +p171036 +aS'leak\tleak\tNN\tB-NP\tO' +p171037 +aS',\t,\t,\tO\tO' +p171038 +aS'ASA\tASA\tNNP\tB-NP\tO' +p171039 +asS'Dictated By : Ehtel Z Ebert , M.D.' +p171040 +(lp171041 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p171042 +aS'By\tBy\tIN\tB-PP\tO' +p171043 +aS':\t:\t:\tO\tO' +p171044 +aS'Ehtel\tEhtel\tNNP\tB-NP\tO' +p171045 +aS'Z\tZ\tNNP\tI-NP\tO' +p171046 +aS'Ebert\tEbert\tNNP\tI-NP\tO' +p171047 +aS',\t,\t,\tO\tO' +p171048 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p171049 +asS'She underwent an extensive workup by Hematology that revealed a bleeding diatheses of unknown etiology .' +p171050 +(lp171051 +S'She\tShe\tPRP\tB-NP\tO' +p171052 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p171053 +aS'an\tan\tDT\tB-NP\tO' +p171054 +aS'extensive\textensive\tJJ\tI-NP\tO' +p171055 +aS'workup\tworkup\tNN\tI-NP\tO' +p171056 +aS'by\tby\tIN\tB-PP\tO' +p171057 +aS'Hematology\tHematology\tNNP\tB-NP\tO' +p171058 +aS'that\tthat\tWDT\tB-NP\tO' +p171059 +aS'revealed\treveal\tVBD\tB-VP\tO' +p171060 +aS'a\ta\tDT\tB-NP\tO' +p171061 +aS'bleeding\tbleeding\tJJ\tI-NP\tO' +p171062 +aS'diatheses\tdiathes\tNNS\tI-NP\tO' +p171063 +aS'of\tof\tIN\tB-PP\tO' +p171064 +aS'unknown\tunknown\tJJ\tB-NP\tO' +p171065 +aS'etiology\tetiology\tNN\tI-NP\tO' +p171066 +aS'.\t.\t.\tO\tO' +p171067 +asS'However , he did develop significant ecchymosis in both groins , extending down into his scrotum .' +p171068 +(lp171069 +S'However\tHowever\tRB\tB-ADVP\tO' +p171070 +aS',\t,\t,\tO\tO' +p171071 +aS'he\the\tPRP\tB-NP\tO' +p171072 +aS'did\tdo\tVBD\tB-VP\tO' +p171073 +aS'develop\tdevelop\tVB\tI-VP\tO' +p171074 +aS'significant\tsignificant\tJJ\tB-NP\tO' +p171075 +aS'ecchymosis\tecchymosis\tNN\tI-NP\tO' +p171076 +aS'in\tin\tIN\tB-PP\tO' +p171077 +aS'both\tboth\tDT\tB-NP\tO' +p171078 +aS'groins\tgroin\tNNS\tI-NP\tO' +p171079 +aS',\t,\t,\tO\tO' +p171080 +aS'extending\textend\tVBG\tB-VP\tO' +p171081 +aS'down\tdown\tRP\tB-PRT\tO' +p171082 +aS'into\tinto\tIN\tB-PP\tO' +p171083 +aS'his\this\tPRP$\tB-NP\tO' +p171084 +aS'scrotum\tscrotum\tNN\tI-NP\tO' +p171085 +aS'.\t.\t.\tO\tO' +p171086 +asS'The patient is admitted to this hospital through the Podiatry Service ; however , the stress test showed multi-vessel disease .' +p171087 +(lp171088 +S'The\tThe\tDT\tB-NP\tO' +p171089 +aS'patient\tpatient\tNN\tI-NP\tO' +p171090 +aS'is\tbe\tVBZ\tB-VP\tO' +p171091 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p171092 +aS'to\tto\tTO\tB-PP\tO' +p171093 +aS'this\tthis\tDT\tB-NP\tO' +p171094 +aS'hospital\thospital\tNN\tI-NP\tO' +p171095 +aS'through\tthrough\tIN\tB-PP\tO' +p171096 +aS'the\tthe\tDT\tB-NP\tO' +p171097 +aS'Podiatry\tPodiatry\tNNP\tI-NP\tO' +p171098 +aS'Service\tService\tNNP\tI-NP\tO' +p171099 +aS';\t;\t:\tO\tO' +p171100 +aS'however\thowever\tRB\tB-ADVP\tO' +p171101 +aS',\t,\t,\tO\tO' +p171102 +aS'the\tthe\tDT\tB-NP\tO' +p171103 +aS'stress\tstress\tNN\tI-NP\tO' +p171104 +aS'test\ttest\tNN\tI-NP\tO' +p171105 +aS'showed\tshow\tVBD\tB-VP\tO' +p171106 +aS'multi-vessel\tmulti-vessel\tJJ\tB-NP\tO' +p171107 +aS'disease\tdisease\tNN\tI-NP\tO' +p171108 +aS'.\t.\t.\tO\tO' +p171109 +asS's / p inferior STEMI ( 2/17 ) with stent to RCA ; TTE ( 2/17 ) - LVEF 55-60% , inferobasal HK ; cervical spinal stenosis ; hypothyroidism ; GERD ; endometriosis s / p laparotomy and L oophorectomy .' +p171110 +(lp171111 +S's\ts\tNN\tB-NP\tB-protein' +p171112 +aS'/\t/\tSYM\tI-NP\tI-protein' +p171113 +aS'p\tp\tNN\tI-NP\tI-protein' +p171114 +aS'inferior\tinferior\tJJ\tI-NP\tI-protein' +p171115 +aS'STEMI\tSTEMI\tNN\tI-NP\tI-protein' +p171116 +aS'(\t(\t(\tO\tO' +p171117 +aS'2/17\t2/17\tCD\tB-NP\tO' +p171118 +aS')\t)\t)\tO\tO' +p171119 +aS'with\twith\tIN\tB-PP\tO' +p171120 +aS'stent\tstent\tNN\tB-NP\tO' +p171121 +aS'to\tto\tTO\tB-PP\tO' +p171122 +aS'RCA\tRCA\tNN\tB-NP\tB-protein' +p171123 +aS';\t;\t:\tO\tO' +p171124 +aS'TTE\tTTE\tNN\tB-NP\tO' +p171125 +aS'(\t(\t(\tO\tO' +p171126 +aS'2/17\t2/17\tCD\tB-NP\tO' +p171127 +aS')\t)\t)\tO\tO' +p171128 +aS'-\t-\tHYPH\tO\tO' +p171129 +aS'LVEF\tLVEF\tNN\tB-NP\tB-DNA' +p171130 +aS'55-60%\t55-60%\tCD\tI-NP\tI-DNA' +p171131 +aS',\t,\t,\tO\tO' +p171132 +aS'inferobasal\tinferobasal\tJJ\tB-NP\tO' +p171133 +aS'HK\tHK\tNN\tI-NP\tO' +p171134 +aS';\t;\t:\tO\tO' +p171135 +aS'cervical\tcervical\tJJ\tB-NP\tO' +p171136 +aS'spinal\tspinal\tJJ\tI-NP\tO' +p171137 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p171138 +aS';\t;\t:\tO\tO' +p171139 +aS'hypothyroidism\thypothyroidism\tNN\tB-NP\tO' +p171140 +aS';\t;\t:\tO\tO' +p171141 +aS'GERD\tGERD\tNN\tB-NP\tO' +p171142 +aS';\t;\t:\tO\tO' +p171143 +aS'endometriosis\tendometriosis\tNN\tB-NP\tO' +p171144 +aS's\ts\tNN\tI-NP\tO' +p171145 +aS'/\t/\tSYM\tB-VP\tO' +p171146 +aS'p\tp\tNN\tB-NP\tO' +p171147 +aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' +p171148 +aS'and\tand\tCC\tO\tO' +p171149 +aS'L\tL\tNN\tB-NP\tO' +p171150 +aS'oophorectomy\toophorectomy\tNN\tI-NP\tO' +p171151 +aS'.\t.\t.\tO\tO' +p171152 +asS'46 - yo-man w/ cocaine abuse presents w/ LE edema and DOE likely from diastolic heart failure in the setting of cocaine use complicated by hypertensive urgency .' +p171153 +(lp171154 +S'46\t46\tCD\tB-NP\tO' +p171155 +aS'-\t-\tHYPH\tI-NP\tO' +p171156 +aS'yo-man\tyo-man\tNN\tI-NP\tO' +p171157 +aS'w/\tw/\tNN\tI-NP\tO' +p171158 +aS'cocaine\tcocaine\tNN\tI-NP\tO' +p171159 +aS'abuse\tabuse\tNN\tI-NP\tO' +p171160 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p171161 +aS'w/\tw/\tNN\tB-NP\tO' +p171162 +aS'LE\tLE\tNN\tI-NP\tO' +p171163 +aS'edema\tedema\tNN\tI-NP\tO' +p171164 +aS'and\tand\tCC\tI-NP\tO' +p171165 +aS'DOE\tDOE\tNN\tI-NP\tO' +p171166 +aS'likely\tlikely\tRB\tB-ADJP\tO' +p171167 +aS'from\tfrom\tIN\tB-PP\tO' +p171168 +aS'diastolic\tdiastolic\tJJ\tB-NP\tO' +p171169 +aS'heart\theart\tNN\tI-NP\tO' +p171170 +aS'failure\tfailure\tNN\tI-NP\tO' +p171171 +aS'in\tin\tIN\tB-PP\tO' +p171172 +aS'the\tthe\tDT\tB-NP\tO' +p171173 +aS'setting\tsetting\tNN\tI-NP\tO' +p171174 +aS'of\tof\tIN\tB-PP\tO' +p171175 +aS'cocaine\tcocaine\tNN\tB-NP\tO' +p171176 +aS'use\tuse\tNN\tI-NP\tO' +p171177 +aS'complicated\tcomplicate\tVBN\tB-VP\tO' +p171178 +aS'by\tby\tIN\tB-PP\tO' +p171179 +aS'hypertensive\thypertensive\tJJ\tB-NP\tO' +p171180 +aS'urgency\turgency\tNN\tI-NP\tO' +p171181 +aS'.\t.\t.\tO\tO' +p171182 +asS'Telshey K. Swatlleebtik , M.D. Rinime Hawnspantkote Arkansas' +p171183 +(lp171184 +S'Telshey\tTelshey\tNNP\tB-NP\tO' +p171185 +aS'K.\tK.\tNNP\tI-NP\tO' +p171186 +aS'Swatlleebtik\tSwatlleebtik\tNNP\tI-NP\tO' +p171187 +aS',\t,\t,\tO\tO' +p171188 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p171189 +aS'Rinime\tRinime\tNNP\tI-NP\tO' +p171190 +aS'Hawnspantkote\tHawnspantkote\tNNP\tI-NP\tO' +p171191 +aS'Arkansas\tArkansas\tNNP\tI-NP\tO' +p171192 +asS'- DM2 , with mild background diabetic retinopathy' +p171193 +(lp171194 +S'-\t-\tHYPH\tB-NP\tO' +p171195 +aS'DM2\tDM2\tNN\tI-NP\tB-protein' +p171196 +aS',\t,\t,\tO\tO' +p171197 +aS'with\twith\tIN\tB-PP\tO' +p171198 +aS'mild\tmild\tJJ\tB-NP\tO' +p171199 +aS'background\tbackground\tNN\tI-NP\tO' +p171200 +aS'diabetic\tdiabetic\tJJ\tI-NP\tO' +p171201 +aS'retinopathy\tretinopathy\tNN\tI-NP\tO' +p171202 +asS'Diffuse psoriasis over trunk and arms .' +p171203 +(lp171204 +S'Diffuse\tDiffuse\tNN\tB-NP\tO' +p171205 +aS'psoriasis\tpsoriasis\tNN\tI-NP\tO' +p171206 +aS'over\tover\tIN\tB-PP\tO' +p171207 +aS'trunk\ttrunk\tNN\tB-NP\tO' +p171208 +aS'and\tand\tCC\tI-NP\tO' +p171209 +aS'arms\tarm\tNNS\tI-NP\tO' +p171210 +aS'.\t.\t.\tO\tO' +p171211 +asS'Accompanying this during this period were elevations in liver function studies and amylase and lipase consistent with pancreatic inflammation .' +p171212 +(lp171213 +S'Accompanying\tAccompany\tVBG\tB-VP\tO' +p171214 +aS'this\tthis\tDT\tB-NP\tO' +p171215 +aS'during\tduring\tIN\tB-PP\tO' +p171216 +aS'this\tthis\tDT\tB-NP\tO' +p171217 +aS'period\tperiod\tNN\tI-NP\tO' +p171218 +aS'were\tbe\tVBD\tB-VP\tO' +p171219 +aS'elevations\televation\tNNS\tB-NP\tO' +p171220 +aS'in\tin\tIN\tB-PP\tO' +p171221 +aS'liver\tliver\tNN\tB-NP\tO' +p171222 +aS'function\tfunction\tNN\tI-NP\tO' +p171223 +aS'studies\tstudy\tNNS\tI-NP\tO' +p171224 +aS'and\tand\tCC\tO\tO' +p171225 +aS'amylase\tamylase\tNN\tB-NP\tB-protein' +p171226 +aS'and\tand\tCC\tI-NP\tO' +p171227 +aS'lipase\tlipase\tNN\tI-NP\tO' +p171228 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p171229 +aS'with\twith\tIN\tB-PP\tO' +p171230 +aS'pancreatic\tpancreatic\tJJ\tB-NP\tO' +p171231 +aS'inflammation\tinflammation\tNN\tI-NP\tO' +p171232 +aS'.\t.\t.\tO\tO' +p171233 +asS'3. Nephrolithiasis .' +p171234 +(lp171235 +S'3.\t3.\tLS\tB-NP\tO' +p171236 +aS'Nephrolithiasis\tNephrolithiasis\tNN\tI-NP\tO' +p171237 +aS'.\t.\t.\tO\tO' +p171238 +asS'NCAT , no tenderness to palpation of scalp , PERRL , EOMI , alopecia , no scleral icterus , mucus membranes moderately dry , slight amount of crusted blood on tip of R nostril from fall injury' +p171239 +(lp171240 +S'NCAT\tNCAT\tNN\tB-NP\tB-protein' +p171241 +aS',\t,\t,\tO\tO' +p171242 +aS'no\tno\tDT\tB-NP\tO' +p171243 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p171244 +aS'to\tto\tTO\tB-PP\tO' +p171245 +aS'palpation\tpalpation\tNN\tB-NP\tO' +p171246 +aS'of\tof\tIN\tB-PP\tO' +p171247 +aS'scalp\tscalp\tNN\tB-NP\tO' +p171248 +aS',\t,\t,\tO\tO' +p171249 +aS'PERRL\tPERRL\tNN\tB-NP\tB-protein' +p171250 +aS',\t,\t,\tO\tO' +p171251 +aS'EOMI\tEOMI\tNN\tB-NP\tB-protein' +p171252 +aS',\t,\t,\tO\tO' +p171253 +aS'alopecia\talopecia\tNN\tB-NP\tO' +p171254 +aS',\t,\t,\tO\tO' +p171255 +aS'no\tno\tDT\tB-NP\tO' +p171256 +aS'scleral\tscleral\tJJ\tI-NP\tO' +p171257 +aS'icterus\ticterus\tNN\tI-NP\tO' +p171258 +aS',\t,\t,\tO\tO' +p171259 +aS'mucus\tmucus\tNN\tB-NP\tO' +p171260 +aS'membranes\tmembrane\tNNS\tI-NP\tO' +p171261 +aS'moderately\tmoderately\tRB\tB-NP\tO' +p171262 +aS'dry\tdry\tJJ\tI-NP\tO' +p171263 +aS',\t,\t,\tI-NP\tO' +p171264 +aS'slight\tslight\tJJ\tI-NP\tO' +p171265 +aS'amount\tamount\tNN\tI-NP\tO' +p171266 +aS'of\tof\tIN\tB-PP\tO' +p171267 +aS'crusted\tcrust\tVBN\tB-NP\tO' +p171268 +aS'blood\tblood\tNN\tI-NP\tO' +p171269 +aS'on\ton\tIN\tB-PP\tO' +p171270 +aS'tip\ttip\tNN\tB-NP\tO' +p171271 +aS'of\tof\tIN\tB-PP\tO' +p171272 +aS'R\tR\tNN\tB-NP\tO' +p171273 +aS'nostril\tnostril\tNN\tI-NP\tO' +p171274 +aS'from\tfrom\tIN\tB-PP\tO' +p171275 +aS'fall\tfall\tNN\tB-NP\tO' +p171276 +aS'injury\tinjury\tNN\tI-NP\tO' +p171277 +asS'He was transferred to the CCU for observation .' +p171278 +(lp171279 +S'He\tHe\tPRP\tB-NP\tO' +p171280 +aS'was\tbe\tVBD\tB-VP\tO' +p171281 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p171282 +aS'to\tto\tTO\tB-PP\tO' +p171283 +aS'the\tthe\tDT\tB-NP\tO' +p171284 +aS'CCU\tCCU\tNN\tI-NP\tO' +p171285 +aS'for\tfor\tIN\tB-PP\tO' +p171286 +aS'observation\tobservation\tNN\tB-NP\tO' +p171287 +aS'.\t.\t.\tO\tO' +p171288 +asS'Over the course of the day he continued to decline .' +p171289 +(lp171290 +S'Over\tOver\tIN\tB-PP\tO' +p171291 +aS'the\tthe\tDT\tB-NP\tO' +p171292 +aS'course\tcourse\tNN\tI-NP\tO' +p171293 +aS'of\tof\tIN\tB-PP\tO' +p171294 +aS'the\tthe\tDT\tB-NP\tO' +p171295 +aS'day\tday\tNN\tI-NP\tO' +p171296 +aS'he\the\tPRP\tB-NP\tO' +p171297 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p171298 +aS'to\tto\tTO\tI-VP\tO' +p171299 +aS'decline\tdecline\tVB\tI-VP\tO' +p171300 +aS'.\t.\t.\tO\tO' +p171301 +asS'His liver span was 8 cm .' +p171302 +(lp171303 +S'His\tHis\tPRP$\tB-NP\tO' +p171304 +aS'liver\tliver\tNN\tI-NP\tO' +p171305 +aS'span\tspan\tNN\tI-NP\tO' +p171306 +aS'was\tbe\tVBD\tB-VP\tO' +p171307 +aS'8\t8\tCD\tB-NP\tO' +p171308 +aS'cm\tcm\tNN\tI-NP\tO' +p171309 +aS'.\t.\t.\tO\tO' +p171310 +asS'The patient remained hemodynamically stable with good urine output .' +p171311 +(lp171312 +S'The\tThe\tDT\tB-NP\tO' +p171313 +aS'patient\tpatient\tNN\tI-NP\tO' +p171314 +aS'remained\tremain\tVBD\tB-VP\tO' +p171315 +aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' +p171316 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p171317 +aS'with\twith\tIN\tB-PP\tO' +p171318 +aS'good\tgood\tJJ\tB-NP\tO' +p171319 +aS'urine\turine\tNN\tI-NP\tO' +p171320 +aS'output\toutput\tNN\tI-NP\tO' +p171321 +aS'.\t.\t.\tO\tO' +p171322 +asS'Discharge disposition is to level 2 nursery at Jordan Hospital Hospital .' +p171323 +(lp171324 +S'Discharge\tDischarge\tNN\tB-NP\tO' +p171325 +aS'disposition\tdisposition\tNN\tI-NP\tO' +p171326 +aS'is\tbe\tVBZ\tB-VP\tO' +p171327 +aS'to\tto\tTO\tB-PP\tO' +p171328 +aS'level\tlevel\tNN\tB-NP\tO' +p171329 +aS'2\t2\tCD\tI-NP\tO' +p171330 +aS'nursery\tnursery\tNN\tI-NP\tO' +p171331 +aS'at\tat\tIN\tB-PP\tO' +p171332 +aS'Jordan\tJordan\tNNP\tB-NP\tO' +p171333 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p171334 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p171335 +aS'.\t.\t.\tO\tO' +p171336 +asS'The patient initially presented with hypercalcemia and underwent a parathyroidectomy on June 22 , 1993 .' +p171337 +(lp171338 +S'The\tThe\tDT\tB-NP\tO' +p171339 +aS'patient\tpatient\tNN\tI-NP\tO' +p171340 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p171341 +aS'presented\tpresent\tVBD\tB-VP\tO' +p171342 +aS'with\twith\tIN\tB-PP\tO' +p171343 +aS'hypercalcemia\thypercalcemia\tNN\tB-NP\tO' +p171344 +aS'and\tand\tCC\tO\tO' +p171345 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p171346 +aS'a\ta\tDT\tB-NP\tO' +p171347 +aS'parathyroidectomy\tparathyroidectomy\tNN\tI-NP\tO' +p171348 +aS'on\ton\tIN\tB-PP\tO' +p171349 +aS'June\tJune\tNNP\tB-NP\tO' +p171350 +aS'22\t22\tCD\tI-NP\tO' +p171351 +aS',\t,\t,\tI-NP\tO' +p171352 +aS'1993\t1993\tCD\tI-NP\tO' +p171353 +aS'.\t.\t.\tO\tO' +p171354 +asS'The patient resolved , however , Lasix was also given due to some pulmonary edema and increasing oxygen need .' +p171355 +(lp171356 +S'The\tThe\tDT\tB-NP\tO' +p171357 +aS'patient\tpatient\tNN\tI-NP\tO' +p171358 +aS'resolved\tresolve\tVBD\tB-VP\tO' +p171359 +aS',\t,\t,\tO\tO' +p171360 +aS'however\thowever\tRB\tB-ADVP\tO' +p171361 +aS',\t,\t,\tO\tO' +p171362 +aS'Lasix\tLasix\tNN\tB-NP\tO' +p171363 +aS'was\tbe\tVBD\tB-VP\tO' +p171364 +aS'also\talso\tRB\tI-VP\tO' +p171365 +aS'given\tgive\tVBN\tI-VP\tO' +p171366 +aS'due\tdue\tJJ\tB-ADJP\tO' +p171367 +aS'to\tto\tTO\tB-PP\tO' +p171368 +aS'some\tsome\tDT\tB-NP\tO' +p171369 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p171370 +aS'edema\tedema\tNN\tI-NP\tO' +p171371 +aS'and\tand\tCC\tO\tO' +p171372 +aS'increasing\tincrease\tVBG\tB-VP\tO' +p171373 +aS'oxygen\toxygen\tNN\tB-NP\tO' +p171374 +aS'need\tneed\tNN\tI-NP\tO' +p171375 +aS'.\t.\t.\tO\tO' +p171376 +asS'3. Levofloxacin 500 mg Tablet Sig : One ( 1 ) Tablet PO Q24H ( every 24 hours ) for 7 days .' +p171377 +(lp171378 +S'3.\t3.\tLS\tB-NP\tO' +p171379 +aS'Levofloxacin\tLevofloxacin\tNN\tI-NP\tO' +p171380 +aS'500\t500\tCD\tI-NP\tO' +p171381 +aS'mg\tmg\tNN\tI-NP\tO' +p171382 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p171383 +aS'Sig\tSig\tNNP\tI-NP\tO' +p171384 +aS':\t:\t:\tO\tO' +p171385 +aS'One\tOne\tCD\tB-NP\tO' +p171386 +aS'(\t(\t(\tO\tO' +p171387 +aS'1\t1\tCD\tB-NP\tO' +p171388 +aS')\t)\t)\tO\tO' +p171389 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p171390 +aS'PO\tPO\tNN\tI-NP\tO' +p171391 +aS'Q24H\tQ24H\tNN\tI-NP\tO' +p171392 +aS'(\t(\t(\tO\tO' +p171393 +aS'every\tevery\tDT\tB-NP\tO' +p171394 +aS'24\t24\tCD\tI-NP\tO' +p171395 +aS'hours\thour\tNNS\tI-NP\tO' +p171396 +aS')\t)\t)\tO\tO' +p171397 +aS'for\tfor\tIN\tB-PP\tO' +p171398 +aS'7\t7\tCD\tB-NP\tO' +p171399 +aS'days\tday\tNNS\tI-NP\tO' +p171400 +aS'.\t.\t.\tO\tO' +p171401 +asS'If the patient does not have a history of a primary malignancy , followup CT of the chest in 1 year is recommended to evaluate for stability of this finding .' +p171402 +(lp171403 +S'If\tIf\tIN\tB-SBAR\tO' +p171404 +aS'the\tthe\tDT\tB-NP\tO' +p171405 +aS'patient\tpatient\tNN\tI-NP\tO' +p171406 +aS'does\tdo\tVBZ\tB-VP\tO' +p171407 +aS'not\tnot\tRB\tI-VP\tO' +p171408 +aS'have\thave\tVB\tI-VP\tO' +p171409 +aS'a\ta\tDT\tB-NP\tO' +p171410 +aS'history\thistory\tNN\tI-NP\tO' +p171411 +aS'of\tof\tIN\tB-PP\tO' +p171412 +aS'a\ta\tDT\tB-NP\tO' +p171413 +aS'primary\tprimary\tJJ\tI-NP\tO' +p171414 +aS'malignancy\tmalignancy\tNN\tI-NP\tO' +p171415 +aS',\t,\t,\tO\tO' +p171416 +aS'followup\tfollowup\tNN\tB-NP\tO' +p171417 +aS'CT\tCT\tNN\tI-NP\tO' +p171418 +aS'of\tof\tIN\tB-PP\tO' +p171419 +aS'the\tthe\tDT\tB-NP\tO' +p171420 +aS'chest\tchest\tNN\tI-NP\tO' +p171421 +aS'in\tin\tIN\tB-PP\tO' +p171422 +aS'1\t1\tCD\tB-NP\tO' +p171423 +aS'year\tyear\tNN\tI-NP\tO' +p171424 +aS'is\tbe\tVBZ\tB-VP\tO' +p171425 +aS'recommended\trecommend\tVBN\tI-VP\tO' +p171426 +aS'to\tto\tTO\tI-VP\tO' +p171427 +aS'evaluate\tevaluate\tVB\tI-VP\tO' +p171428 +aS'for\tfor\tIN\tB-PP\tO' +p171429 +aS'stability\tstability\tNN\tB-NP\tO' +p171430 +aS'of\tof\tIN\tB-PP\tO' +p171431 +aS'this\tthis\tDT\tB-NP\tO' +p171432 +aS'finding\tfinding\tNN\tI-NP\tO' +p171433 +aS'.\t.\t.\tO\tO' +p171434 +asS'At the time of admission , his temperature was 101 , blood pressure 110/60 , pulse 96 , respirations 16 .' +p171435 +(lp171436 +S'At\tAt\tIN\tB-PP\tO' +p171437 +aS'the\tthe\tDT\tB-NP\tO' +p171438 +aS'time\ttime\tNN\tI-NP\tO' +p171439 +aS'of\tof\tIN\tB-PP\tO' +p171440 +aS'admission\tadmission\tNN\tB-NP\tO' +p171441 +aS',\t,\t,\tO\tO' +p171442 +aS'his\this\tPRP$\tB-NP\tO' +p171443 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p171444 +aS'was\tbe\tVBD\tB-VP\tO' +p171445 +aS'101\t101\tCD\tB-NP\tO' +p171446 +aS',\t,\t,\tO\tO' +p171447 +aS'blood\tblood\tNN\tB-NP\tO' +p171448 +aS'pressure\tpressure\tNN\tI-NP\tO' +p171449 +aS'110/60\t110/60\tCD\tI-NP\tO' +p171450 +aS',\t,\t,\tO\tO' +p171451 +aS'pulse\tpulse\tNN\tB-NP\tO' +p171452 +aS'96\t96\tCD\tI-NP\tO' +p171453 +aS',\t,\t,\tO\tO' +p171454 +aS'respirations\trespiration\tNNS\tB-NP\tO' +p171455 +aS'16\t16\tCD\tB-NP\tO' +p171456 +aS'.\t.\t.\tO\tO' +p171457 +asS'The patient 's postoperative Hct was 34 .' +p171458 +(lp171459 +S'The\tThe\tDT\tB-NP\tO' +p171460 +aS'patient\tpatient\tNN\tI-NP\tO' +p171461 +aS''s\t'\tNNS\tI-NP\tO' +p171462 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p171463 +aS'Hct\tHct\tNN\tI-NP\tO' +p171464 +aS'was\tbe\tVBD\tB-VP\tO' +p171465 +aS'34\t34\tCD\tB-NP\tO' +p171466 +aS'.\t.\t.\tO\tO' +p171467 +asS'His home hypertensive medications were held while in the hospital to help increase cerebral perfusion and prevent further ischemia .' +p171468 +(lp171469 +S'His\tHis\tPRP$\tB-NP\tO' +p171470 +aS'home\thome\tNN\tI-NP\tO' +p171471 +aS'hypertensive\thypertensive\tJJ\tI-NP\tO' +p171472 +aS'medications\tmedication\tNNS\tI-NP\tO' +p171473 +aS'were\tbe\tVBD\tB-VP\tO' +p171474 +aS'held\thold\tVBN\tI-VP\tO' +p171475 +aS'while\twhile\tIN\tB-SBAR\tO' +p171476 +aS'in\tin\tIN\tB-PP\tO' +p171477 +aS'the\tthe\tDT\tB-NP\tO' +p171478 +aS'hospital\thospital\tNN\tI-NP\tO' +p171479 +aS'to\tto\tTO\tB-VP\tO' +p171480 +aS'help\thelp\tVB\tI-VP\tO' +p171481 +aS'increase\tincrease\tVB\tI-VP\tO' +p171482 +aS'cerebral\tcerebral\tJJ\tB-NP\tO' +p171483 +aS'perfusion\tperfusion\tNN\tI-NP\tO' +p171484 +aS'and\tand\tCC\tO\tO' +p171485 +aS'prevent\tprevent\tVB\tB-VP\tO' +p171486 +aS'further\tfurther\tJJ\tB-NP\tO' +p171487 +aS'ischemia\tischemia\tNN\tI-NP\tO' +p171488 +aS'.\t.\t.\tO\tO' +p171489 +asS'At OSH ABG 7.19/94/110 , BiPAP started .' +p171490 +(lp171491 +S'At\tAt\tIN\tB-PP\tO' +p171492 +aS'OSH\tOSH\tNNP\tB-NP\tO' +p171493 +aS'ABG\tABG\tNNP\tI-NP\tO' +p171494 +aS'7.19/94/110\t7.19/94/110\tCD\tI-NP\tO' +p171495 +aS',\t,\t,\tO\tO' +p171496 +aS'BiPAP\tBiPAP\tNNP\tB-NP\tO' +p171497 +aS'started\tstart\tVBD\tB-VP\tO' +p171498 +aS'.\t.\t.\tO\tO' +p171499 +asS'Cranial nerves notable for bilateral esotropia .' +p171500 +(lp171501 +S'Cranial\tCranial\tJJ\tB-NP\tO' +p171502 +aS'nerves\tnerve\tNNS\tI-NP\tO' +p171503 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p171504 +aS'for\tfor\tIN\tB-PP\tO' +p171505 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p171506 +aS'esotropia\tesotropia\tNN\tI-NP\tO' +p171507 +aS'.\t.\t.\tO\tO' +p171508 +asS'Baby Barbara Stead is a term infant admitted with increasing head circumference and bruising .' +p171509 +(lp171510 +S'Baby\tBaby\tNNP\tB-NP\tO' +p171511 +aS'Barbara\tBarbara\tNNP\tI-NP\tO' +p171512 +aS'Stead\tStead\tNNP\tI-NP\tO' +p171513 +aS'is\tbe\tVBZ\tB-VP\tO' +p171514 +aS'a\ta\tDT\tB-NP\tO' +p171515 +aS'term\tterm\tNN\tI-NP\tO' +p171516 +aS'infant\tinfant\tNN\tI-NP\tO' +p171517 +aS'admitted\tadmit\tVBN\tB-VP\tO' +p171518 +aS'with\twith\tIN\tB-PP\tO' +p171519 +aS'increasing\tincrease\tVBG\tB-NP\tO' +p171520 +aS'head\thead\tNN\tI-NP\tO' +p171521 +aS'circumference\tcircumference\tNN\tI-NP\tO' +p171522 +aS'and\tand\tCC\tI-NP\tO' +p171523 +aS'bruising\tbruising\tNN\tI-NP\tO' +p171524 +aS'.\t.\t.\tO\tO' +p171525 +asS'She was then made CMO .' +p171526 +(lp171527 +S'She\tShe\tPRP\tB-NP\tO' +p171528 +aS'was\tbe\tVBD\tB-VP\tO' +p171529 +aS'then\tthen\tRB\tI-VP\tO' +p171530 +aS'made\tmake\tVBN\tI-VP\tO' +p171531 +aS'CMO\tCMO\tNN\tB-NP\tB-protein' +p171532 +aS'.\t.\t.\tO\tO' +p171533 +asS'She was found by family and friends to be somewhat confused and was therefore taken to Newton-Wellesley Hospital thereafter .' +p171534 +(lp171535 +S'She\tShe\tPRP\tB-NP\tO' +p171536 +aS'was\tbe\tVBD\tB-VP\tO' +p171537 +aS'found\tfind\tVBN\tI-VP\tO' +p171538 +aS'by\tby\tIN\tB-PP\tO' +p171539 +aS'family\tfamily\tNN\tB-NP\tO' +p171540 +aS'and\tand\tCC\tO\tO' +p171541 +aS'friends\tfriend\tVBZ\tB-VP\tO' +p171542 +aS'to\tto\tTO\tI-VP\tO' +p171543 +aS'be\tbe\tVB\tI-VP\tO' +p171544 +aS'somewhat\tsomewhat\tRB\tI-VP\tO' +p171545 +aS'confused\tconfuse\tVBN\tI-VP\tO' +p171546 +aS'and\tand\tCC\tO\tO' +p171547 +aS'was\tbe\tVBD\tB-VP\tO' +p171548 +aS'therefore\ttherefore\tRB\tI-VP\tO' +p171549 +aS'taken\ttake\tVBN\tI-VP\tO' +p171550 +aS'to\tto\tTO\tB-PP\tO' +p171551 +aS'Newton-Wellesley\tNewton-Wellesley\tNNP\tB-NP\tO' +p171552 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p171553 +aS'thereafter\tthereafter\tRB\tB-ADVP\tO' +p171554 +aS'.\t.\t.\tO\tO' +p171555 +asS'3) Cirrhosis .' +p171556 +(lp171557 +S'3)\t3)\tLS\tB-NP\tO' +p171558 +aS'Cirrhosis\tCirrhosis\tNN\tI-NP\tO' +p171559 +aS'.\t.\t.\tO\tO' +p171560 +asS'She responds well to this .' +p171561 +(lp171562 +S'She\tShe\tPRP\tB-NP\tO' +p171563 +aS'responds\trespond\tVBZ\tB-VP\tO' +p171564 +aS'well\twell\tRB\tB-ADVP\tO' +p171565 +aS'to\tto\tTO\tB-PP\tO' +p171566 +aS'this\tthis\tDT\tB-NP\tO' +p171567 +aS'.\t.\t.\tO\tO' +p171568 +asS'He also has had a prior inguinal hernia repair .' +p171569 +(lp171570 +S'He\tHe\tPRP\tB-NP\tO' +p171571 +aS'also\talso\tRB\tB-ADVP\tO' +p171572 +aS'has\thave\tVBZ\tB-VP\tO' +p171573 +aS'had\thave\tVBN\tI-VP\tO' +p171574 +aS'a\ta\tDT\tB-NP\tO' +p171575 +aS'prior\tprior\tJJ\tI-NP\tO' +p171576 +aS'inguinal\tinguinal\tJJ\tI-NP\tO' +p171577 +aS'hernia\thernia\tNN\tI-NP\tO' +p171578 +aS'repair\trepair\tNN\tI-NP\tO' +p171579 +aS'.\t.\t.\tO\tO' +p171580 +asS'She called 911 and he was brought to Hahnemann General Hospital Lydia .' +p171581 +(lp171582 +S'She\tShe\tPRP\tB-NP\tO' +p171583 +aS'called\tcall\tVBD\tB-VP\tO' +p171584 +aS'911\t911\tCD\tB-NP\tO' +p171585 +aS'and\tand\tCC\tO\tO' +p171586 +aS'he\the\tPRP\tB-NP\tO' +p171587 +aS'was\tbe\tVBD\tB-VP\tO' +p171588 +aS'brought\tbring\tVBN\tI-VP\tO' +p171589 +aS'to\tto\tTO\tB-PP\tO' +p171590 +aS'Hahnemann\tHahnemann\tNNP\tB-NP\tO' +p171591 +aS'General\tGeneral\tNNP\tI-NP\tO' +p171592 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p171593 +aS'Lydia\tLydia\tNNP\tI-NP\tO' +p171594 +aS'.\t.\t.\tO\tO' +p171595 +asS'On postoperative day 1 , his Swan-Ganz catheter was removed as well .' +p171596 +(lp171597 +S'On\tOn\tIN\tB-PP\tO' +p171598 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p171599 +aS'day\tday\tNN\tI-NP\tO' +p171600 +aS'1\t1\tCD\tI-NP\tO' +p171601 +aS',\t,\t,\tO\tO' +p171602 +aS'his\this\tPRP$\tB-NP\tO' +p171603 +aS'Swan-Ganz\tSwan-Ganz\tNNP\tI-NP\tO' +p171604 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p171605 +aS'was\tbe\tVBD\tB-VP\tO' +p171606 +aS'removed\tremove\tVBN\tI-VP\tO' +p171607 +aS'as\tas\tRB\tB-ADVP\tO' +p171608 +aS'well\twell\tRB\tI-ADVP\tO' +p171609 +aS'.\t.\t.\tO\tO' +p171610 +asS'Dictated By : Inez Q Hubbard , M.D.' +p171611 +(lp171612 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p171613 +aS'By\tBy\tIN\tB-PP\tO' +p171614 +aS':\t:\t:\tO\tO' +p171615 +aS'Inez\tInez\tNNP\tB-NP\tO' +p171616 +aS'Q\tQ\tNNP\tI-NP\tO' +p171617 +aS'Hubbard\tHubbard\tNNP\tI-NP\tO' +p171618 +aS',\t,\t,\tO\tO' +p171619 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p171620 +asS'She eventually underwent a cardiac cath to assess coronary disease which revealed three vessel coronary artery disease .' +p171621 +(lp171622 +S'She\tShe\tPRP\tB-NP\tO' +p171623 +aS'eventually\teventually\tRB\tB-ADVP\tO' +p171624 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p171625 +aS'a\ta\tDT\tB-NP\tO' +p171626 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p171627 +aS'cath\tcath\tNN\tI-NP\tO' +p171628 +aS'to\tto\tTO\tB-VP\tO' +p171629 +aS'assess\tassess\tVB\tI-VP\tO' +p171630 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p171631 +aS'disease\tdisease\tNN\tI-NP\tO' +p171632 +aS'which\twhich\tWDT\tB-NP\tO' +p171633 +aS'revealed\treveal\tVBD\tB-VP\tO' +p171634 +aS'three\tthree\tCD\tB-NP\tO' +p171635 +aS'vessel\tvessel\tNN\tI-NP\tO' +p171636 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p171637 +aS'artery\tartery\tNN\tI-NP\tO' +p171638 +aS'disease\tdisease\tNN\tI-NP\tO' +p171639 +aS'.\t.\t.\tO\tO' +p171640 +asS'Please take all medications as prescribed .' +p171641 +(lp171642 +S'Please\tPlease\tVB\tB-VP\tO' +p171643 +aS'take\ttake\tVB\tI-VP\tO' +p171644 +aS'all\tall\tDT\tB-NP\tO' +p171645 +aS'medications\tmedication\tNNS\tI-NP\tO' +p171646 +aS'as\tas\tIN\tB-SBAR\tO' +p171647 +aS'prescribed\tprescribe\tVBN\tB-VP\tO' +p171648 +aS'.\t.\t.\tO\tO' +p171649 +asS'Lopressor 50 mg q.a.m. , 25 mg q.p.m. , and 25 mg q.h.s.; Synthroid 88 mcg q.d.; Norvasc 5 mg q.d.; Lescol 20 mg q.p.m. with meal ; Coumadin is usually 4 mg p.o. 3x a week and 3 mg 4x a week .' +p171650 +(lp171651 +S'Lopressor\tLopressor\tNN\tB-NP\tO' +p171652 +aS'50\t50\tCD\tI-NP\tO' +p171653 +aS'mg\tmg\tNN\tI-NP\tO' +p171654 +aS'q.a.m.\tq.a.m.\tNN\tI-NP\tO' +p171655 +aS',\t,\t,\tO\tO' +p171656 +aS'25\t25\tCD\tB-NP\tO' +p171657 +aS'mg\tmg\tNN\tI-NP\tO' +p171658 +aS'q.p.m.\tq.p.m.\tNN\tI-NP\tO' +p171659 +aS',\t,\t,\tO\tO' +p171660 +aS'and\tand\tCC\tO\tO' +p171661 +aS'25\t25\tCD\tB-NP\tO' +p171662 +aS'mg\tmg\tNN\tI-NP\tO' +p171663 +aS'q.h.s.;\tq.h.s.;\tNN\tI-NP\tO' +p171664 +aS'Synthroid\tSynthroid\tJJ\tI-NP\tO' +p171665 +aS'88\t88\tCD\tI-NP\tO' +p171666 +aS'mcg\tmcg\tNN\tI-NP\tO' +p171667 +aS'q.d.;\tq.d.;\tNN\tI-NP\tO' +p171668 +aS'Norvasc\tNorvasc\tNN\tI-NP\tO' +p171669 +aS'5\t5\tCD\tI-NP\tO' +p171670 +aS'mg\tmg\tNN\tI-NP\tO' +p171671 +aS'q.d.;\tq.d.;\tNN\tI-NP\tO' +p171672 +aS'Lescol\tLescol\tNNP\tB-NP\tO' +p171673 +aS'20\t20\tCD\tI-NP\tO' +p171674 +aS'mg\tmg\tNN\tI-NP\tO' +p171675 +aS'q.p.m.\tq.p.m.\tNN\tI-NP\tO' +p171676 +aS'with\twith\tIN\tB-PP\tO' +p171677 +aS'meal\tmeal\tNN\tB-NP\tO' +p171678 +aS';\t;\t:\tO\tO' +p171679 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p171680 +aS'is\tbe\tVBZ\tB-VP\tO' +p171681 +aS'usually\tusually\tRB\tB-ADVP\tO' +p171682 +aS'4\t4\tCD\tB-NP\tO' +p171683 +aS'mg\tmg\tNN\tI-NP\tO' +p171684 +aS'p.o.\tp.o.\tFW\tB-ADVP\tO' +p171685 +aS'3x\t3x\tFW\tI-ADVP\tO' +p171686 +aS'a\ta\tDT\tB-NP\tO' +p171687 +aS'week\tweek\tNN\tI-NP\tO' +p171688 +aS'and\tand\tCC\tO\tO' +p171689 +aS'3\t3\tCD\tB-NP\tO' +p171690 +aS'mg\tmg\tNN\tI-NP\tO' +p171691 +aS'4x\t4x\tCD\tB-NP\tO' +p171692 +aS'a\ta\tDT\tB-NP\tO' +p171693 +aS'week\tweek\tNN\tI-NP\tO' +p171694 +aS'.\t.\t.\tO\tO' +p171695 +asS'A right IJ central venous line is at the level of the mid SVC .' +p171696 +(lp171697 +S'A\tA\tDT\tB-NP\tO' +p171698 +aS'right\tright\tJJ\tI-NP\tB-cell_line' +p171699 +aS'IJ\tIJ\tNN\tI-NP\tI-cell_line' +p171700 +aS'central\tcentral\tJJ\tI-NP\tI-cell_line' +p171701 +aS'venous\tvenous\tJJ\tI-NP\tI-cell_line' +p171702 +aS'line\tline\tNN\tI-NP\tI-cell_line' +p171703 +aS'is\tbe\tVBZ\tB-VP\tO' +p171704 +aS'at\tat\tIN\tB-PP\tO' +p171705 +aS'the\tthe\tDT\tB-NP\tO' +p171706 +aS'level\tlevel\tNN\tI-NP\tO' +p171707 +aS'of\tof\tIN\tB-PP\tO' +p171708 +aS'the\tthe\tDT\tB-NP\tO' +p171709 +aS'mid\tmid\tJJ\tI-NP\tO' +p171710 +aS'SVC\tSVC\tNN\tI-NP\tO' +p171711 +aS'.\t.\t.\tO\tO' +p171712 +asS'08/15/98 bilateral heart catheterization ; 08/15/98 left ventriculography ; 08/15/98 bilateral coronary angiography ; 08/15/98 bypass graft angiography ; 08/15/98 internal mammary artery angiography .' +p171713 +(lp171714 +S'08/15/98\t08/15/98\tCD\tB-NP\tO' +p171715 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p171716 +aS'heart\theart\tNN\tI-NP\tO' +p171717 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p171718 +aS';\t;\t:\tO\tO' +p171719 +aS'08/15/98\t08/15/98\tCD\tB-NP\tO' +p171720 +aS'left\tleft\tJJ\tI-NP\tO' +p171721 +aS'ventriculography\tventriculography\tNN\tI-NP\tO' +p171722 +aS';\t;\t:\tO\tO' +p171723 +aS'08/15/98\t08/15/98\tCD\tB-NP\tO' +p171724 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p171725 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p171726 +aS'angiography\tangiography\tNN\tI-NP\tO' +p171727 +aS';\t;\t:\tO\tO' +p171728 +aS'08/15/98\t08/15/98\tCD\tB-NP\tO' +p171729 +aS'bypass\tbypass\tIN\tB-PP\tO' +p171730 +aS'graft\tgraft\tNN\tB-NP\tO' +p171731 +aS'angiography\tangiography\tNN\tI-NP\tO' +p171732 +aS';\t;\t:\tO\tO' +p171733 +aS'08/15/98\t08/15/98\tCD\tB-NP\tO' +p171734 +aS'internal\tinternal\tJJ\tI-NP\tO' +p171735 +aS'mammary\tmammary\tJJ\tI-NP\tO' +p171736 +aS'artery\tartery\tNN\tI-NP\tO' +p171737 +aS'angiography\tangiography\tNN\tI-NP\tO' +p171738 +aS'.\t.\t.\tO\tO' +p171739 +asS'Her blood pressures and all of her vital signs are stable .' +p171740 +(lp171741 +S'Her\tHer\tPRP$\tB-NP\tO' +p171742 +aS'blood\tblood\tNN\tI-NP\tO' +p171743 +aS'pressures\tpressure\tNNS\tI-NP\tO' +p171744 +aS'and\tand\tCC\tO\tO' +p171745 +aS'all\tall\tDT\tB-NP\tO' +p171746 +aS'of\tof\tIN\tB-PP\tO' +p171747 +aS'her\ther\tPRP$\tB-NP\tO' +p171748 +aS'vital\tvital\tJJ\tI-NP\tO' +p171749 +aS'signs\tsign\tNNS\tI-NP\tO' +p171750 +aS'are\tbe\tVBP\tB-VP\tO' +p171751 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p171752 +aS'.\t.\t.\tO\tO' +p171753 +asS'In the Emergency Department , she was started on a nesiritide drip and responded well with 2000 cc urine output .' +p171754 +(lp171755 +S'In\tIn\tIN\tB-PP\tO' +p171756 +aS'the\tthe\tDT\tB-NP\tO' +p171757 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p171758 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p171759 +aS',\t,\t,\tO\tO' +p171760 +aS'she\tshe\tPRP\tB-NP\tO' +p171761 +aS'was\tbe\tVBD\tB-VP\tO' +p171762 +aS'started\tstart\tVBN\tI-VP\tO' +p171763 +aS'on\ton\tIN\tB-PP\tO' +p171764 +aS'a\ta\tDT\tB-NP\tO' +p171765 +aS'nesiritide\tnesiritide\tNN\tI-NP\tO' +p171766 +aS'drip\tdrip\tNN\tI-NP\tO' +p171767 +aS'and\tand\tCC\tO\tO' +p171768 +aS'responded\trespond\tVBD\tB-VP\tO' +p171769 +aS'well\twell\tRB\tB-ADVP\tO' +p171770 +aS'with\twith\tIN\tB-PP\tO' +p171771 +aS'2000\t2000\tCD\tB-NP\tO' +p171772 +aS'cc\tcc\tNN\tI-NP\tO' +p171773 +aS'urine\turine\tNN\tI-NP\tO' +p171774 +aS'output\toutput\tNN\tI-NP\tO' +p171775 +aS'.\t.\t.\tO\tO' +p171776 +asS'The left main was normal .' +p171777 +(lp171778 +S'The\tThe\tDT\tB-NP\tO' +p171779 +aS'left\tleft\tJJ\tI-NP\tO' +p171780 +aS'main\tmain\tNN\tI-NP\tO' +p171781 +aS'was\tbe\tVBD\tB-VP\tO' +p171782 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p171783 +aS'.\t.\t.\tO\tO' +p171784 +asS'INFECTIOUS DISEASE : CBC and blood culture were screened on admission .' +p171785 +(lp171786 +S'INFECTIOUS\tINFECTIOUS\tJJ\tB-NP\tO' +p171787 +aS'DISEASE\tDISEASE\tNN\tI-NP\tO' +p171788 +aS':\t:\t:\tO\tO' +p171789 +aS'CBC\tCBC\tNN\tB-NP\tB-protein' +p171790 +aS'and\tand\tCC\tI-NP\tO' +p171791 +aS'blood\tblood\tNN\tI-NP\tO' +p171792 +aS'culture\tculture\tNN\tI-NP\tO' +p171793 +aS'were\tbe\tVBD\tB-VP\tO' +p171794 +aS'screened\tscreen\tVBN\tI-VP\tO' +p171795 +aS'on\ton\tIN\tB-PP\tO' +p171796 +aS'admission\tadmission\tNN\tB-NP\tO' +p171797 +aS'.\t.\t.\tO\tO' +p171798 +asS'His gait was unsteady and he was unable to stand on his own .' +p171799 +(lp171800 +S'His\tHis\tPRP$\tB-NP\tO' +p171801 +aS'gait\tgait\tNN\tI-NP\tO' +p171802 +aS'was\tbe\tVBD\tB-VP\tO' +p171803 +aS'unsteady\tunsteady\tJJ\tB-ADJP\tO' +p171804 +aS'and\tand\tCC\tO\tO' +p171805 +aS'he\the\tPRP\tB-NP\tO' +p171806 +aS'was\tbe\tVBD\tB-VP\tO' +p171807 +aS'unable\tunable\tJJ\tB-ADJP\tO' +p171808 +aS'to\tto\tTO\tB-VP\tO' +p171809 +aS'stand\tstand\tVB\tI-VP\tO' +p171810 +aS'on\ton\tIN\tB-PP\tO' +p171811 +aS'his\this\tPRP$\tB-NP\tO' +p171812 +aS'own\town\tJJ\tI-NP\tO' +p171813 +aS'.\t.\t.\tO\tO' +p171814 +asS'She concomitantly had loose stools which were C. diff negative .' +p171815 +(lp171816 +S'She\tShe\tPRP\tB-NP\tO' +p171817 +aS'concomitantly\tconcomitantly\tRB\tB-ADVP\tO' +p171818 +aS'had\thave\tVBD\tB-VP\tO' +p171819 +aS'loose\tloose\tJJ\tB-NP\tO' +p171820 +aS'stools\tstool\tNNS\tI-NP\tO' +p171821 +aS'which\twhich\tWDT\tB-NP\tO' +p171822 +aS'were\tbe\tVBD\tB-VP\tO' +p171823 +aS'C.\tC.\tNNP\tB-NP\tO' +p171824 +aS'diff\tdiff\tNN\tI-NP\tO' +p171825 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p171826 +aS'.\t.\t.\tO\tO' +p171827 +asS'The largest single lesion measures 3.7 x 3.4 cm .' +p171828 +(lp171829 +S'The\tThe\tDT\tB-NP\tO' +p171830 +aS'largest\tlarge\tJJS\tI-NP\tO' +p171831 +aS'single\tsingle\tJJ\tI-NP\tO' +p171832 +aS'lesion\tlesion\tNN\tI-NP\tO' +p171833 +aS'measures\tmeasure\tNNS\tI-NP\tO' +p171834 +aS'3.7\t3.7\tCD\tB-NP\tO' +p171835 +aS'x\tx\tSYM\tI-NP\tO' +p171836 +aS'3.4\t3.4\tCD\tI-NP\tO' +p171837 +aS'cm\tcm\tNN\tI-NP\tO' +p171838 +aS'.\t.\t.\tO\tO' +p171839 +asS'# CAD - pt denied cp / sob throughout hospitalization .' +p171840 +(lp171841 +S'#\t#\t#\tB-NP\tO' +p171842 +aS'CAD\tCAD\tNN\tI-NP\tB-protein' +p171843 +aS'-\t-\tHYPH\tO\tO' +p171844 +aS'pt\tpt\tNN\tB-NP\tO' +p171845 +aS'denied\tdeny\tVBN\tB-VP\tO' +p171846 +aS'cp\tcp\tNN\tB-NP\tB-DNA' +p171847 +aS'/\t/\tSYM\tO\tO' +p171848 +aS'sob\tsob\tNN\tB-NP\tB-protein' +p171849 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p171850 +aS'hospitalization\thospitalization\tNN\tB-NP\tO' +p171851 +aS'.\t.\t.\tO\tO' +p171852 +asS'On discharge the patient has stable O2 req , 90% on RA .' +p171853 +(lp171854 +S'On\tOn\tIN\tB-PP\tO' +p171855 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p171856 +aS'the\tthe\tDT\tB-NP\tO' +p171857 +aS'patient\tpatient\tNN\tI-NP\tO' +p171858 +aS'has\thave\tVBZ\tB-VP\tO' +p171859 +aS'stable\tstable\tJJ\tB-NP\tO' +p171860 +aS'O2\tO2\tNN\tI-NP\tO' +p171861 +aS'req\treq\tNN\tI-NP\tO' +p171862 +aS',\t,\t,\tO\tO' +p171863 +aS'90%\t90%\tCD\tB-NP\tO' +p171864 +aS'on\ton\tIN\tB-PP\tO' +p171865 +aS'RA\tRA\tNN\tB-NP\tB-protein' +p171866 +aS'.\t.\t.\tO\tO' +p171867 +asS'includes and abdominoperineal resection in 1989 .' +p171868 +(lp171869 +S'includes\tinclude\tNNS\tB-NP\tO' +p171870 +aS'and\tand\tCC\tO\tO' +p171871 +aS'abdominoperineal\tabdominoperineal\tJJ\tB-NP\tO' +p171872 +aS'resection\tresection\tNN\tI-NP\tO' +p171873 +aS'in\tin\tIN\tB-PP\tO' +p171874 +aS'1989\t1989\tCD\tB-NP\tO' +p171875 +aS'.\t.\t.\tO\tO' +p171876 +asS'Chest was clear to auscultation and percussion .' +p171877 +(lp171878 +S'Chest\tChest\tNNP\tB-NP\tO' +p171879 +aS'was\tbe\tVBD\tB-VP\tO' +p171880 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p171881 +aS'to\tto\tTO\tB-PP\tO' +p171882 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p171883 +aS'and\tand\tCC\tI-NP\tO' +p171884 +aS'percussion\tpercussion\tNN\tI-NP\tO' +p171885 +aS'.\t.\t.\tO\tO' +p171886 +asS'Comparison is made to a previous study from 2014-10-27 .' +p171887 +(lp171888 +S'Comparison\tComparison\tNN\tB-NP\tO' +p171889 +aS'is\tbe\tVBZ\tB-VP\tO' +p171890 +aS'made\tmake\tVBN\tI-VP\tO' +p171891 +aS'to\tto\tTO\tB-PP\tO' +p171892 +aS'a\ta\tDT\tB-NP\tO' +p171893 +aS'previous\tprevious\tJJ\tI-NP\tO' +p171894 +aS'study\tstudy\tNN\tI-NP\tO' +p171895 +aS'from\tfrom\tIN\tB-PP\tO' +p171896 +aS'2014-10-27\t2014-10-27\tCD\tB-NP\tO' +p171897 +aS'.\t.\t.\tO\tO' +p171898 +asS'Ms. Cassata has a history of " passing out " in August of 2004 , ( ? 7 hours ) , and reports that this episode did not feel similar .' +p171899 +(lp171900 +S'Ms.\tMs.\tNNP\tB-NP\tO' +p171901 +aS'Cassata\tCassata\tNNP\tI-NP\tO' +p171902 +aS'has\thave\tVBZ\tB-VP\tO' +p171903 +aS'a\ta\tDT\tB-NP\tO' +p171904 +aS'history\thistory\tNN\tI-NP\tO' +p171905 +aS'of\tof\tIN\tB-PP\tO' +p171906 +aS'"\t"\t\'\'\tO\tB-cell_type' +p171907 +aS'passing\tpass\tVBG\tB-VP\tI-cell_type' +p171908 +aS'out\tout\tRP\tB-PRT\tI-cell_type' +p171909 +aS'"\t"\t\'\'\tO\tI-cell_type' +p171910 +aS'in\tin\tIN\tB-PP\tO' +p171911 +aS'August\tAugust\tNNP\tB-NP\tO' +p171912 +aS'of\tof\tIN\tB-PP\tO' +p171913 +aS'2004\t2004\tCD\tB-NP\tO' +p171914 +aS',\t,\t,\tO\tO' +p171915 +aS'(\t(\t(\tO\tO' +p171916 +aS'?\t?\t.\tO\tO' +p171917 +aS'7\t7\tCD\tB-NP\tO' +p171918 +aS'hours\thour\tNNS\tI-NP\tO' +p171919 +aS')\t)\t)\tO\tO' +p171920 +aS',\t,\t,\tO\tO' +p171921 +aS'and\tand\tCC\tO\tO' +p171922 +aS'reports\treport\tNNS\tB-NP\tO' +p171923 +aS'that\tthat\tIN\tB-SBAR\tO' +p171924 +aS'this\tthis\tDT\tB-NP\tO' +p171925 +aS'episode\tepisode\tNN\tI-NP\tO' +p171926 +aS'did\tdo\tVBD\tB-VP\tO' +p171927 +aS'not\tnot\tRB\tI-VP\tO' +p171928 +aS'feel\tfeel\tVB\tI-VP\tO' +p171929 +aS'similar\tsimilar\tJJ\tB-ADJP\tO' +p171930 +aS'.\t.\t.\tO\tO' +p171931 +asS'Blood pressure is 150/90 , heart rate of 90 , respiratory rate 20 with saturation of 98% .' +p171932 +(lp171933 +S'Blood\tBlood\tNN\tB-NP\tO' +p171934 +aS'pressure\tpressure\tNN\tI-NP\tO' +p171935 +aS'is\tbe\tVBZ\tB-VP\tO' +p171936 +aS'150/90\t150/90\tCD\tB-NP\tO' +p171937 +aS',\t,\t,\tO\tO' +p171938 +aS'heart\theart\tNN\tB-NP\tO' +p171939 +aS'rate\trate\tNN\tI-NP\tO' +p171940 +aS'of\tof\tIN\tB-PP\tO' +p171941 +aS'90\t90\tCD\tB-NP\tO' +p171942 +aS',\t,\t,\tO\tO' +p171943 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p171944 +aS'rate\trate\tNN\tI-NP\tO' +p171945 +aS'20\t20\tCD\tI-NP\tO' +p171946 +aS'with\twith\tIN\tB-PP\tO' +p171947 +aS'saturation\tsaturation\tNN\tB-NP\tO' +p171948 +aS'of\tof\tIN\tB-PP\tO' +p171949 +aS'98%\t98%\tNN\tB-NP\tO' +p171950 +aS'.\t.\t.\tO\tO' +p171951 +asS'She was very fatigued .' +p171952 +(lp171953 +S'She\tShe\tPRP\tB-NP\tO' +p171954 +aS'was\tbe\tVBD\tB-VP\tO' +p171955 +aS'very\tvery\tRB\tI-VP\tO' +p171956 +aS'fatigued\tfatigue\tVBN\tI-VP\tO' +p171957 +aS'.\t.\t.\tO\tO' +p171958 +asS'He continued to complain of shortness of breath with an episode of respiratory failure in the hospital requiring 100% nonrebreather .' +p171959 +(lp171960 +S'He\tHe\tPRP\tB-NP\tO' +p171961 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p171962 +aS'to\tto\tTO\tI-VP\tO' +p171963 +aS'complain\tcomplain\tVB\tI-VP\tO' +p171964 +aS'of\tof\tIN\tB-PP\tO' +p171965 +aS'shortness\tshortness\tNN\tB-NP\tO' +p171966 +aS'of\tof\tIN\tB-PP\tO' +p171967 +aS'breath\tbreath\tNN\tB-NP\tO' +p171968 +aS'with\twith\tIN\tB-PP\tO' +p171969 +aS'an\tan\tDT\tB-NP\tO' +p171970 +aS'episode\tepisode\tNN\tI-NP\tO' +p171971 +aS'of\tof\tIN\tB-PP\tO' +p171972 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p171973 +aS'failure\tfailure\tNN\tI-NP\tO' +p171974 +aS'in\tin\tIN\tB-PP\tO' +p171975 +aS'the\tthe\tDT\tB-NP\tO' +p171976 +aS'hospital\thospital\tNN\tI-NP\tO' +p171977 +aS'requiring\trequire\tVBG\tB-VP\tO' +p171978 +aS'100%\t100%\tCD\tB-NP\tO' +p171979 +aS'nonrebreather\tnonrebreather\tNN\tI-NP\tO' +p171980 +aS'.\t.\t.\tO\tO' +p171981 +asS'Dr Day in 4 weeks (( 469 ) 587-0462 ) please call for appointment' +p171982 +(lp171983 +S'Dr\tDr\tNNP\tB-NP\tO' +p171984 +aS'Day\tDay\tNNP\tI-NP\tO' +p171985 +aS'in\tin\tIN\tB-PP\tO' +p171986 +aS'4\t4\tCD\tB-NP\tO' +p171987 +aS'weeks\tweek\tNNS\tI-NP\tO' +p171988 +aS'((\t((\t(\tO\tO' +p171989 +aS'469\t469\tCD\tB-NP\tO' +p171990 +aS')\t)\t)\tO\tO' +p171991 +aS'587-0462\t587-0462\tCD\tB-NP\tO' +p171992 +aS')\t)\t)\tO\tO' +p171993 +aS'please\tplease\tNN\tB-NP\tO' +p171994 +aS'call\tcall\tVBP\tB-VP\tO' +p171995 +aS'for\tfor\tIN\tB-PP\tO' +p171996 +aS'appointment\tappointment\tNN\tB-NP\tO' +p171997 +asS'The patient on the date of postoperative day number one , September 13 , 1994 , was transferred from the Surgical Intensive Care Unit up to the FIH 18 floor .' +p171998 +(lp171999 +S'The\tThe\tDT\tB-NP\tO' +p172000 +aS'patient\tpatient\tNN\tI-NP\tO' +p172001 +aS'on\ton\tIN\tB-PP\tO' +p172002 +aS'the\tthe\tDT\tB-NP\tO' +p172003 +aS'date\tdate\tNN\tI-NP\tO' +p172004 +aS'of\tof\tIN\tB-PP\tO' +p172005 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p172006 +aS'day\tday\tNN\tI-NP\tO' +p172007 +aS'number\tnumber\tNN\tI-NP\tO' +p172008 +aS'one\tone\tCD\tB-NP\tO' +p172009 +aS',\t,\t,\tO\tO' +p172010 +aS'September\tSeptember\tNNP\tB-NP\tO' +p172011 +aS'13\t13\tCD\tI-NP\tO' +p172012 +aS',\t,\t,\tI-NP\tO' +p172013 +aS'1994\t1994\tCD\tI-NP\tO' +p172014 +aS',\t,\t,\tO\tO' +p172015 +aS'was\tbe\tVBD\tB-VP\tO' +p172016 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p172017 +aS'from\tfrom\tIN\tB-PP\tO' +p172018 +aS'the\tthe\tDT\tB-NP\tO' +p172019 +aS'Surgical\tSurgical\tNNP\tI-NP\tO' +p172020 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p172021 +aS'Care\tCare\tNNP\tI-NP\tO' +p172022 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p172023 +aS'up\tup\tIN\tB-PP\tO' +p172024 +aS'to\tto\tTO\tB-PP\tO' +p172025 +aS'the\tthe\tDT\tB-NP\tO' +p172026 +aS'FIH\tFIH\tNN\tI-NP\tO' +p172027 +aS'18\t18\tCD\tI-NP\tO' +p172028 +aS'floor\tfloor\tNN\tI-NP\tO' +p172029 +aS'.\t.\t.\tO\tO' +p172030 +asS'She would not sense the atrial contraction and the fire and this occasionally led to competition of firing .' +p172031 +(lp172032 +S'She\tShe\tPRP\tB-NP\tO' +p172033 +aS'would\twould\tMD\tB-VP\tO' +p172034 +aS'not\tnot\tRB\tI-VP\tO' +p172035 +aS'sense\tsense\tVB\tI-VP\tO' +p172036 +aS'the\tthe\tDT\tB-NP\tO' +p172037 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p172038 +aS'contraction\tcontraction\tNN\tI-NP\tO' +p172039 +aS'and\tand\tCC\tO\tO' +p172040 +aS'the\tthe\tDT\tB-NP\tO' +p172041 +aS'fire\tfire\tNN\tI-NP\tO' +p172042 +aS'and\tand\tCC\tO\tO' +p172043 +aS'this\tthis\tDT\tB-NP\tO' +p172044 +aS'occasionally\toccasionally\tRB\tB-ADVP\tO' +p172045 +aS'led\tlead\tVBN\tB-VP\tO' +p172046 +aS'to\tto\tTO\tB-PP\tO' +p172047 +aS'competition\tcompetition\tNN\tB-NP\tO' +p172048 +aS'of\tof\tIN\tB-PP\tO' +p172049 +aS'firing\tfiring\tNN\tB-NP\tO' +p172050 +aS'.\t.\t.\tO\tO' +p172051 +asS'5. Asthma .' +p172052 +(lp172053 +S'5.\t5.\tLS\tB-NP\tO' +p172054 +aS'Asthma\tAsthma\tNN\tI-NP\tO' +p172055 +aS'.\t.\t.\tO\tO' +p172056 +asS'Then referred to ER for Tx' +p172057 +(lp172058 +S'Then\tThen\tRB\tO\tO' +p172059 +aS'referred\trefer\tVBN\tB-VP\tO' +p172060 +aS'to\tto\tTO\tB-PP\tO' +p172061 +aS'ER\tER\tNN\tB-NP\tB-protein' +p172062 +aS'for\tfor\tIN\tB-PP\tO' +p172063 +aS'Tx\tTx\tNN\tB-NP\tO' +p172064 +asS'She has had a constant runny nose and has had no sick contacts .' +p172065 +(lp172066 +S'She\tShe\tPRP\tB-NP\tO' +p172067 +aS'has\thave\tVBZ\tB-VP\tO' +p172068 +aS'had\thave\tVBN\tI-VP\tO' +p172069 +aS'a\ta\tDT\tB-NP\tO' +p172070 +aS'constant\tconstant\tJJ\tI-NP\tO' +p172071 +aS'runny\trunny\tJJ\tI-NP\tO' +p172072 +aS'nose\tnose\tNN\tI-NP\tO' +p172073 +aS'and\tand\tCC\tO\tO' +p172074 +aS'has\thave\tVBZ\tB-VP\tO' +p172075 +aS'had\thave\tVBN\tI-VP\tO' +p172076 +aS'no\tno\tDT\tB-NP\tO' +p172077 +aS'sick\tsick\tJJ\tI-NP\tO' +p172078 +aS'contacts\tcontact\tNNS\tI-NP\tO' +p172079 +aS'.\t.\t.\tO\tO' +p172080 +asS'2. SSS status post PM/ICD placement' +p172081 +(lp172082 +S'2.\t2.\tLS\tB-NP\tO' +p172083 +aS'SSS\tSSS\tNN\tI-NP\tO' +p172084 +aS'status\tstatus\tNN\tI-NP\tO' +p172085 +aS'post\tpost\tNN\tI-NP\tO' +p172086 +aS'PM/ICD\tPM/ICD\tNN\tI-NP\tO' +p172087 +aS'placement\tplacement\tNN\tI-NP\tO' +p172088 +asS'Vitamin B12 100 mcg IM q.month .' +p172089 +(lp172090 +S'Vitamin\tVitamin\tNN\tB-NP\tO' +p172091 +aS'B12\tB12\tNN\tI-NP\tO' +p172092 +aS'100\t100\tCD\tI-NP\tO' +p172093 +aS'mcg\tmcg\tNN\tI-NP\tO' +p172094 +aS'IM\tIM\tNN\tI-NP\tO' +p172095 +aS'q.month\tq.month\tNN\tI-NP\tO' +p172096 +aS'.\t.\t.\tO\tO' +p172097 +asS'# Pleural effusion : The patient was noted have an effusion on CXR .' +p172098 +(lp172099 +S'#\t#\t#\tB-NP\tO' +p172100 +aS'Pleural\tPleural\tJJ\tI-NP\tO' +p172101 +aS'effusion\teffusion\tNN\tI-NP\tO' +p172102 +aS':\t:\t:\tO\tO' +p172103 +aS'The\tThe\tDT\tB-NP\tO' +p172104 +aS'patient\tpatient\tNN\tI-NP\tO' +p172105 +aS'was\tbe\tVBD\tB-VP\tO' +p172106 +aS'noted\tnote\tVBN\tI-VP\tO' +p172107 +aS'have\thave\tVBP\tB-VP\tO' +p172108 +aS'an\tan\tDT\tB-NP\tO' +p172109 +aS'effusion\teffusion\tNN\tI-NP\tO' +p172110 +aS'on\ton\tIN\tB-PP\tO' +p172111 +aS'CXR\tCXR\tNN\tB-NP\tB-protein' +p172112 +aS'.\t.\t.\tO\tO' +p172113 +asS'His past medical history is also remarkable for non-insulin dependent diabetes and hypertension .' +p172114 +(lp172115 +S'His\tHis\tPRP$\tB-NP\tO' +p172116 +aS'past\tpast\tJJ\tI-NP\tO' +p172117 +aS'medical\tmedical\tJJ\tI-NP\tO' +p172118 +aS'history\thistory\tNN\tI-NP\tO' +p172119 +aS'is\tbe\tVBZ\tB-VP\tO' +p172120 +aS'also\talso\tRB\tB-ADVP\tO' +p172121 +aS'remarkable\tremarkable\tJJ\tB-ADJP\tO' +p172122 +aS'for\tfor\tIN\tB-PP\tO' +p172123 +aS'non-insulin\tnon-insulin\tJJ\tB-NP\tO' +p172124 +aS'dependent\tdependent\tJJ\tI-NP\tO' +p172125 +aS'diabetes\tdiabetes\tNN\tI-NP\tO' +p172126 +aS'and\tand\tCC\tI-NP\tO' +p172127 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p172128 +aS'.\t.\t.\tO\tO' +p172129 +asS'The ECHO revealed an anomalous left coronary , with one end entering the right ventricular outflow tract and the other end not clearly defined .' +p172130 +(lp172131 +S'The\tThe\tDT\tB-NP\tO' +p172132 +aS'ECHO\tECHO\tNN\tI-NP\tB-protein' +p172133 +aS'revealed\treveal\tVBD\tB-VP\tO' +p172134 +aS'an\tan\tDT\tB-NP\tO' +p172135 +aS'anomalous\tanomalous\tJJ\tI-NP\tO' +p172136 +aS'left\tleft\tNN\tI-NP\tO' +p172137 +aS'coronary\tcoronary\tJJ\tB-ADJP\tO' +p172138 +aS',\t,\t,\tO\tO' +p172139 +aS'with\twith\tIN\tB-PP\tO' +p172140 +aS'one\tone\tCD\tB-NP\tO' +p172141 +aS'end\tend\tNN\tI-NP\tO' +p172142 +aS'entering\tenter\tVBG\tB-VP\tO' +p172143 +aS'the\tthe\tDT\tB-NP\tO' +p172144 +aS'right\tright\tJJ\tI-NP\tO' +p172145 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p172146 +aS'outflow\toutflow\tNN\tI-NP\tO' +p172147 +aS'tract\ttract\tNN\tI-NP\tO' +p172148 +aS'and\tand\tCC\tO\tO' +p172149 +aS'the\tthe\tDT\tB-NP\tO' +p172150 +aS'other\tother\tJJ\tI-NP\tO' +p172151 +aS'end\tend\tNN\tI-NP\tO' +p172152 +aS'not\tnot\tRB\tB-VP\tO' +p172153 +aS'clearly\tclearly\tRB\tI-VP\tO' +p172154 +aS'defined\tdefine\tVBN\tI-VP\tO' +p172155 +aS'.\t.\t.\tO\tO' +p172156 +asS'Infant emerged from the breech position .' +p172157 +(lp172158 +S'Infant\tInfant\tNNP\tB-NP\tO' +p172159 +aS'emerged\temerge\tVBD\tB-VP\tO' +p172160 +aS'from\tfrom\tIN\tB-PP\tO' +p172161 +aS'the\tthe\tDT\tB-NP\tO' +p172162 +aS'breech\tbreech\tNN\tI-NP\tO' +p172163 +aS'position\tposition\tNN\tI-NP\tO' +p172164 +aS'.\t.\t.\tO\tO' +p172165 +asS'The patient was admitted on 9/14/93 , and underwent on that same day , a left axillary lymph nodes dissection , by Dr. Ausguall .' +p172166 +(lp172167 +S'The\tThe\tDT\tB-NP\tO' +p172168 +aS'patient\tpatient\tNN\tI-NP\tO' +p172169 +aS'was\tbe\tVBD\tB-VP\tO' +p172170 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p172171 +aS'on\ton\tIN\tB-PP\tO' +p172172 +aS'9/14/93\t9/14/93\tCD\tB-NP\tO' +p172173 +aS',\t,\t,\tO\tO' +p172174 +aS'and\tand\tCC\tO\tO' +p172175 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p172176 +aS'on\ton\tIN\tB-PP\tO' +p172177 +aS'that\tthat\tDT\tB-NP\tO' +p172178 +aS'same\tsame\tJJ\tI-NP\tO' +p172179 +aS'day\tday\tNN\tI-NP\tO' +p172180 +aS',\t,\t,\tO\tO' +p172181 +aS'a\ta\tDT\tB-NP\tO' +p172182 +aS'left\tleft\tJJ\tI-NP\tO' +p172183 +aS'axillary\taxillary\tJJ\tI-NP\tO' +p172184 +aS'lymph\tlymph\tNN\tI-NP\tO' +p172185 +aS'nodes\tnode\tNNS\tI-NP\tO' +p172186 +aS'dissection\tdissection\tNN\tI-NP\tO' +p172187 +aS',\t,\t,\tO\tO' +p172188 +aS'by\tby\tIN\tB-PP\tO' +p172189 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p172190 +aS'Ausguall\tAusguall\tNNP\tI-NP\tO' +p172191 +aS'.\t.\t.\tO\tO' +p172192 +asS'On February 10 , 1994 , flexible bronchoscopy , flexible esophagoscopy , rigid bronchoscopy , transhiatal esophagectomy ( partial ) , substernal gastric interposition and jejunostomy .' +p172193 +(lp172194 +S'On\tOn\tIN\tB-PP\tO' +p172195 +aS'February\tFebruary\tNNP\tB-NP\tO' +p172196 +aS'10\t10\tCD\tI-NP\tO' +p172197 +aS',\t,\t,\tI-NP\tO' +p172198 +aS'1994\t1994\tCD\tI-NP\tO' +p172199 +aS',\t,\t,\tO\tO' +p172200 +aS'flexible\tflexible\tJJ\tB-NP\tO' +p172201 +aS'bronchoscopy\tbronchoscopy\tNN\tI-NP\tO' +p172202 +aS',\t,\t,\tO\tO' +p172203 +aS'flexible\tflexible\tJJ\tB-NP\tO' +p172204 +aS'esophagoscopy\tesophagoscopy\tNN\tI-NP\tO' +p172205 +aS',\t,\t,\tO\tO' +p172206 +aS'rigid\trigid\tJJ\tB-NP\tO' +p172207 +aS'bronchoscopy\tbronchoscopy\tNN\tI-NP\tO' +p172208 +aS',\t,\t,\tO\tO' +p172209 +aS'transhiatal\ttranshiatal\tJJ\tB-NP\tO' +p172210 +aS'esophagectomy\tesophagectomy\tNN\tI-NP\tO' +p172211 +aS'(\t(\t(\tO\tO' +p172212 +aS'partial\tpartial\tJJ\tB-ADVP\tO' +p172213 +aS')\t)\t)\tO\tO' +p172214 +aS',\t,\t,\tO\tO' +p172215 +aS'substernal\tsubsternal\tJJ\tB-NP\tO' +p172216 +aS'gastric\tgastric\tJJ\tI-NP\tO' +p172217 +aS'interposition\tinterposition\tNN\tI-NP\tO' +p172218 +aS'and\tand\tCC\tI-NP\tO' +p172219 +aS'jejunostomy\tjejunostomy\tNN\tI-NP\tO' +p172220 +aS'.\t.\t.\tO\tO' +p172221 +asS'It showed a right kidney size of 6.3 cm and a left kidney size of 8.4 cm .' +p172222 +(lp172223 +S'It\tIt\tPRP\tB-NP\tO' +p172224 +aS'showed\tshow\tVBD\tB-VP\tO' +p172225 +aS'a\ta\tDT\tB-NP\tO' +p172226 +aS'right\tright\tJJ\tI-NP\tO' +p172227 +aS'kidney\tkidney\tNN\tI-NP\tO' +p172228 +aS'size\tsize\tNN\tI-NP\tO' +p172229 +aS'of\tof\tIN\tB-PP\tO' +p172230 +aS'6.3\t6.3\tCD\tB-NP\tO' +p172231 +aS'cm\tcm\tNN\tI-NP\tO' +p172232 +aS'and\tand\tCC\tO\tO' +p172233 +aS'a\ta\tDT\tB-NP\tO' +p172234 +aS'left\tleft\tJJ\tI-NP\tO' +p172235 +aS'kidney\tkidney\tNN\tI-NP\tO' +p172236 +aS'size\tsize\tNN\tI-NP\tO' +p172237 +aS'of\tof\tIN\tB-PP\tO' +p172238 +aS'8.4\t8.4\tCD\tB-NP\tO' +p172239 +aS'cm\tcm\tNN\tI-NP\tO' +p172240 +aS'.\t.\t.\tO\tO' +p172241 +asS'The patient lives with his two sons .' +p172242 +(lp172243 +S'The\tThe\tDT\tB-NP\tO' +p172244 +aS'patient\tpatient\tNN\tI-NP\tO' +p172245 +aS'lives\tlive\tVBZ\tB-VP\tO' +p172246 +aS'with\twith\tIN\tB-PP\tO' +p172247 +aS'his\this\tPRP$\tB-NP\tO' +p172248 +aS'two\ttwo\tCD\tI-NP\tO' +p172249 +aS'sons\tson\tNNS\tI-NP\tO' +p172250 +aS'.\t.\t.\tO\tO' +p172251 +asS'The gag reflex was intact .' +p172252 +(lp172253 +S'The\tThe\tDT\tB-NP\tO' +p172254 +aS'gag\tgag\tNN\tI-NP\tO' +p172255 +aS'reflex\treflex\tNN\tI-NP\tO' +p172256 +aS'was\tbe\tVBD\tB-VP\tO' +p172257 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p172258 +aS'.\t.\t.\tO\tO' +p172259 +asS'4. State Screens were sent on 04-27 and 2013-05-08 .' +p172260 +(lp172261 +S'4.\t4.\tLS\tB-NP\tO' +p172262 +aS'State\tState\tNN\tI-NP\tO' +p172263 +aS'Screens\tScreen\tNNS\tI-NP\tO' +p172264 +aS'were\tbe\tVBD\tB-VP\tO' +p172265 +aS'sent\tsend\tVBN\tI-VP\tO' +p172266 +aS'on\ton\tIN\tB-PP\tO' +p172267 +aS'04-27\t04-27\tCD\tB-NP\tO' +p172268 +aS'and\tand\tCC\tI-NP\tO' +p172269 +aS'2013-05-08\t2013-05-08\tCD\tI-NP\tO' +p172270 +aS'.\t.\t.\tO\tO' +p172271 +asS'The general physical examination did not reveal any abnormality .' +p172272 +(lp172273 +S'The\tThe\tDT\tB-NP\tO' +p172274 +aS'general\tgeneral\tJJ\tI-NP\tO' +p172275 +aS'physical\tphysical\tJJ\tI-NP\tO' +p172276 +aS'examination\texamination\tNN\tI-NP\tO' +p172277 +aS'did\tdo\tVBD\tB-VP\tO' +p172278 +aS'not\tnot\tRB\tI-VP\tO' +p172279 +aS'reveal\treveal\tVB\tI-VP\tO' +p172280 +aS'any\tany\tDT\tB-NP\tO' +p172281 +aS'abnormality\tabnormality\tNN\tI-NP\tO' +p172282 +aS'.\t.\t.\tO\tO' +p172283 +asS'The patient denies shortness of breath , dizziness , diaphoresis , or nausea .' +p172284 +(lp172285 +S'The\tThe\tDT\tB-NP\tO' +p172286 +aS'patient\tpatient\tNN\tI-NP\tO' +p172287 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p172288 +aS'shortness\tshortness\tNN\tB-NP\tO' +p172289 +aS'of\tof\tIN\tB-PP\tO' +p172290 +aS'breath\tbreath\tNN\tB-NP\tO' +p172291 +aS',\t,\t,\tO\tO' +p172292 +aS'dizziness\tdizziness\tNN\tB-NP\tO' +p172293 +aS',\t,\t,\tO\tO' +p172294 +aS'diaphoresis\tdiaphoresis\tNN\tB-NP\tO' +p172295 +aS',\t,\t,\tO\tO' +p172296 +aS'or\tor\tCC\tO\tO' +p172297 +aS'nausea\tnausea\tNN\tB-NP\tO' +p172298 +aS'.\t.\t.\tO\tO' +p172299 +asS'Total protein was 8 , albumin 4.3 , globulin 3.7 , calcium 9.9 , phosphate 2.7 , magnesium 2.0. White blood cell count was 7 , hemoglobin 14.1 , hematocrit 43.6 , platelet count 241 .' +p172300 +(lp172301 +S'Total\tTotal\tJJ\tB-NP\tO' +p172302 +aS'protein\tprotein\tNN\tI-NP\tO' +p172303 +aS'was\tbe\tVBD\tB-VP\tO' +p172304 +aS'8\t8\tCD\tB-NP\tO' +p172305 +aS',\t,\t,\tO\tO' +p172306 +aS'albumin\talbumin\tNN\tB-NP\tO' +p172307 +aS'4.3\t4.3\tCD\tI-NP\tO' +p172308 +aS',\t,\t,\tO\tO' +p172309 +aS'globulin\tglobulin\tNN\tB-NP\tB-protein' +p172310 +aS'3.7\t3.7\tCD\tI-NP\tI-protein' +p172311 +aS',\t,\t,\tO\tO' +p172312 +aS'calcium\tcalcium\tNN\tB-NP\tO' +p172313 +aS'9.9\t9.9\tCD\tI-NP\tO' +p172314 +aS',\t,\t,\tO\tO' +p172315 +aS'phosphate\tphosphate\tNN\tB-NP\tO' +p172316 +aS'2.7\t2.7\tCD\tI-NP\tO' +p172317 +aS',\t,\t,\tO\tO' +p172318 +aS'magnesium\tmagnesium\tNN\tB-NP\tO' +p172319 +aS'2.0.\t2.0.\tCD\tI-NP\tO' +p172320 +aS'White\tWhite\tJJ\tI-NP\tO' +p172321 +aS'blood\tblood\tNN\tI-NP\tO' +p172322 +aS'cell\tcell\tNN\tI-NP\tO' +p172323 +aS'count\tcount\tNN\tI-NP\tO' +p172324 +aS'was\tbe\tVBD\tB-VP\tO' +p172325 +aS'7\t7\tCD\tB-NP\tO' +p172326 +aS',\t,\t,\tO\tO' +p172327 +aS'hemoglobin\themoglobin\tNN\tB-NP\tB-protein' +p172328 +aS'14.1\t14.1\tCD\tI-NP\tI-protein' +p172329 +aS',\t,\t,\tO\tO' +p172330 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p172331 +aS'43.6\t43.6\tCD\tI-NP\tI-protein' +p172332 +aS',\t,\t,\tO\tO' +p172333 +aS'platelet\tplatelet\tNN\tB-NP\tB-protein' +p172334 +aS'count\tcount\tNN\tI-NP\tI-protein' +p172335 +aS'241\t241\tCD\tI-NP\tI-protein' +p172336 +aS'.\t.\t.\tO\tO' +p172337 +asS'Her bowel regimen is prn .' +p172338 +(lp172339 +S'Her\tHer\tPRP$\tB-NP\tO' +p172340 +aS'bowel\tbowel\tNN\tI-NP\tO' +p172341 +aS'regimen\tregimen\tNN\tI-NP\tO' +p172342 +aS'is\tbe\tVBZ\tB-VP\tO' +p172343 +aS'prn\tprn\tNN\tB-NP\tO' +p172344 +aS'.\t.\t.\tO\tO' +p172345 +asS'On 5-29-00 , she underwent thyroidectomy with removal of a 3.3 centimeter right lobe microfollicular adenoma and left lobe 6 mm .' +p172346 +(lp172347 +S'On\tOn\tIN\tB-PP\tO' +p172348 +aS'5-29-00\t5-29-00\tCD\tB-NP\tO' +p172349 +aS',\t,\t,\tO\tO' +p172350 +aS'she\tshe\tPRP\tB-NP\tO' +p172351 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p172352 +aS'thyroidectomy\tthyroidectomy\tNN\tB-NP\tO' +p172353 +aS'with\twith\tIN\tB-PP\tO' +p172354 +aS'removal\tremoval\tNN\tB-NP\tO' +p172355 +aS'of\tof\tIN\tB-PP\tO' +p172356 +aS'a\ta\tDT\tB-NP\tO' +p172357 +aS'3.3\t3.3\tCD\tI-NP\tO' +p172358 +aS'centimeter\tcentimeter\tNN\tI-NP\tO' +p172359 +aS'right\tright\tJJ\tI-NP\tO' +p172360 +aS'lobe\tlobe\tNN\tI-NP\tO' +p172361 +aS'microfollicular\tmicrofollicular\tJJ\tI-NP\tO' +p172362 +aS'adenoma\tadenoma\tNN\tI-NP\tO' +p172363 +aS'and\tand\tCC\tO\tO' +p172364 +aS'left\tleave\tVBD\tB-VP\tO' +p172365 +aS'lobe\tlobe\tNN\tB-NP\tO' +p172366 +aS'6\t6\tCD\tI-NP\tO' +p172367 +aS'mm\tmm\tNN\tI-NP\tO' +p172368 +aS'.\t.\t.\tO\tO' +p172369 +asS'Pulmonlologically , his chest xray was negative and he complained of no breathing problems .' +p172370 +(lp172371 +S'Pulmonlologically\tPulmonlologically\tRB\tB-ADVP\tO' +p172372 +aS',\t,\t,\tO\tO' +p172373 +aS'his\this\tPRP$\tB-NP\tB-DNA' +p172374 +aS'chest\tch\tJJS\tI-NP\tO' +p172375 +aS'xray\txray\tNN\tI-NP\tO' +p172376 +aS'was\tbe\tVBD\tB-VP\tO' +p172377 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p172378 +aS'and\tand\tCC\tO\tO' +p172379 +aS'he\the\tPRP\tB-NP\tO' +p172380 +aS'complained\tcomplain\tVBD\tB-VP\tO' +p172381 +aS'of\tof\tIN\tB-PP\tO' +p172382 +aS'no\tno\tDT\tB-NP\tO' +p172383 +aS'breathing\tbreathing\tNN\tI-NP\tO' +p172384 +aS'problems\tproblem\tNNS\tI-NP\tO' +p172385 +aS'.\t.\t.\tO\tO' +p172386 +asS'New perihilar and basilar opacities may reflect pulmonary edema sparing the upper lobes in the setting of emphysema , but it is difficult to exclude underlying aspiration or infectious pneumonia in the lung bases .' +p172387 +(lp172388 +S'New\tNew\tJJ\tB-NP\tO' +p172389 +aS'perihilar\tperihilar\tJJ\tI-NP\tO' +p172390 +aS'and\tand\tCC\tI-NP\tO' +p172391 +aS'basilar\tbasilar\tJJ\tI-NP\tO' +p172392 +aS'opacities\topacity\tNNS\tI-NP\tO' +p172393 +aS'may\tmay\tMD\tB-VP\tO' +p172394 +aS'reflect\treflect\tVB\tI-VP\tO' +p172395 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p172396 +aS'edema\tedema\tNN\tI-NP\tO' +p172397 +aS'sparing\tspar\tVBG\tB-VP\tO' +p172398 +aS'the\tthe\tDT\tB-NP\tO' +p172399 +aS'upper\tupper\tJJ\tI-NP\tO' +p172400 +aS'lobes\tlobe\tNNS\tI-NP\tO' +p172401 +aS'in\tin\tIN\tB-PP\tO' +p172402 +aS'the\tthe\tDT\tB-NP\tO' +p172403 +aS'setting\tsetting\tNN\tI-NP\tO' +p172404 +aS'of\tof\tIN\tB-PP\tO' +p172405 +aS'emphysema\temphysema\tNN\tB-NP\tO' +p172406 +aS',\t,\t,\tO\tO' +p172407 +aS'but\tbut\tCC\tO\tO' +p172408 +aS'it\tit\tPRP\tB-NP\tO' +p172409 +aS'is\tbe\tVBZ\tB-VP\tO' +p172410 +aS'difficult\tdifficult\tJJ\tB-ADJP\tO' +p172411 +aS'to\tto\tTO\tB-VP\tO' +p172412 +aS'exclude\texclude\tVB\tI-VP\tO' +p172413 +aS'underlying\tunderlie\tVBG\tI-VP\tO' +p172414 +aS'aspiration\taspiration\tNN\tB-NP\tO' +p172415 +aS'or\tor\tCC\tO\tO' +p172416 +aS'infectious\tinfectious\tJJ\tB-NP\tO' +p172417 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p172418 +aS'in\tin\tIN\tB-PP\tO' +p172419 +aS'the\tthe\tDT\tB-NP\tO' +p172420 +aS'lung\tlung\tNN\tI-NP\tB-protein' +p172421 +aS'bases\tbase\tNNS\tI-NP\tI-protein' +p172422 +aS'.\t.\t.\tO\tO' +p172423 +asS'Pt. to make all follow-up appts. per discharge instructions .' +p172424 +(lp172425 +S'Pt.\tPt.\tNN\tB-NP\tO' +p172426 +aS'to\tto\tTO\tB-VP\tO' +p172427 +aS'make\tmake\tVB\tI-VP\tO' +p172428 +aS'all\tall\tDT\tB-NP\tO' +p172429 +aS'follow-up\tfollow-up\tJJ\tI-NP\tO' +p172430 +aS'appts.\tappts.\tNN\tI-NP\tO' +p172431 +aS'per\tper\tIN\tB-PP\tO' +p172432 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p172433 +aS'instructions\tinstruction\tNNS\tI-NP\tO' +p172434 +aS'.\t.\t.\tO\tO' +p172435 +asS'Neurologic checks were followed initially every one hour and then every two hours to monitor for change in neurologic examination .' +p172436 +(lp172437 +S'Neurologic\tNeurologic\tJJ\tB-NP\tO' +p172438 +aS'checks\tcheck\tNNS\tI-NP\tO' +p172439 +aS'were\tbe\tVBD\tB-VP\tO' +p172440 +aS'followed\tfollow\tVBN\tI-VP\tO' +p172441 +aS'initially\tinitially\tRB\tB-NP\tO' +p172442 +aS'every\tevery\tDT\tI-NP\tO' +p172443 +aS'one\tone\tCD\tI-NP\tO' +p172444 +aS'hour\thour\tNN\tI-NP\tO' +p172445 +aS'and\tand\tCC\tO\tO' +p172446 +aS'then\tthen\tRB\tB-ADVP\tO' +p172447 +aS'every\tevery\tDT\tB-NP\tO' +p172448 +aS'two\ttwo\tCD\tI-NP\tO' +p172449 +aS'hours\thour\tNNS\tI-NP\tO' +p172450 +aS'to\tto\tTO\tB-VP\tO' +p172451 +aS'monitor\tmonitor\tVB\tI-VP\tO' +p172452 +aS'for\tfor\tIN\tB-PP\tO' +p172453 +aS'change\tchange\tNN\tB-NP\tO' +p172454 +aS'in\tin\tIN\tB-PP\tO' +p172455 +aS'neurologic\tneurologic\tJJ\tB-NP\tO' +p172456 +aS'examination\texamination\tNN\tI-NP\tO' +p172457 +aS'.\t.\t.\tO\tO' +p172458 +asS'It is likely that he required a much greater amount of insulin as an outpatient due to poor compliance with Richard Natalie diet .' +p172459 +(lp172460 +S'It\tIt\tPRP\tB-NP\tO' +p172461 +aS'is\tbe\tVBZ\tB-VP\tO' +p172462 +aS'likely\tlikely\tJJ\tB-ADJP\tO' +p172463 +aS'that\tthat\tIN\tB-SBAR\tO' +p172464 +aS'he\the\tPRP\tB-NP\tO' +p172465 +aS'required\trequire\tVBD\tB-VP\tO' +p172466 +aS'a\ta\tDT\tB-NP\tO' +p172467 +aS'much\tmuch\tRB\tI-NP\tO' +p172468 +aS'greater\tgreat\tJJR\tI-NP\tO' +p172469 +aS'amount\tamount\tNN\tI-NP\tO' +p172470 +aS'of\tof\tIN\tB-PP\tO' +p172471 +aS'insulin\tinsulin\tNN\tB-NP\tB-protein' +p172472 +aS'as\tas\tIN\tB-PP\tO' +p172473 +aS'an\tan\tDT\tB-NP\tO' +p172474 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p172475 +aS'due\tdue\tJJ\tB-ADJP\tO' +p172476 +aS'to\tto\tTO\tB-PP\tO' +p172477 +aS'poor\tpoor\tJJ\tB-NP\tO' +p172478 +aS'compliance\tcompliance\tNN\tI-NP\tO' +p172479 +aS'with\twith\tIN\tB-PP\tO' +p172480 +aS'Richard\tRichard\tNNP\tB-NP\tO' +p172481 +aS'Natalie\tNatalie\tNNP\tI-NP\tO' +p172482 +aS'diet\tdiet\tNN\tI-NP\tO' +p172483 +aS'.\t.\t.\tO\tO' +p172484 +asS'A peripheral blood smear showed mature eosinophils in increased numbers .' +p172485 +(lp172486 +S'A\tA\tDT\tB-NP\tO' +p172487 +aS'peripheral\tperipheral\tJJ\tI-NP\tO' +p172488 +aS'blood\tblood\tNN\tI-NP\tO' +p172489 +aS'smear\tsmear\tNN\tI-NP\tO' +p172490 +aS'showed\tshow\tVBD\tB-VP\tO' +p172491 +aS'mature\tmature\tJJ\tB-NP\tB-cell_type' +p172492 +aS'eosinophils\teosinophil\tNNS\tI-NP\tI-cell_type' +p172493 +aS'in\tin\tIN\tB-PP\tO' +p172494 +aS'increased\tincrease\tVBN\tB-NP\tO' +p172495 +aS'numbers\tnumber\tNNS\tI-NP\tO' +p172496 +aS'.\t.\t.\tO\tO' +p172497 +asS'His oxygen saturation at that time was only 86% on room air and he was admitted .' +p172498 +(lp172499 +S'His\tHis\tPRP$\tB-NP\tO' +p172500 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p172501 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p172502 +aS'at\tat\tIN\tB-PP\tO' +p172503 +aS'that\tthat\tDT\tB-NP\tO' +p172504 +aS'time\ttime\tNN\tI-NP\tO' +p172505 +aS'was\tbe\tVBD\tB-VP\tO' +p172506 +aS'only\tonly\tRB\tB-NP\tO' +p172507 +aS'86%\t86%\tCD\tI-NP\tO' +p172508 +aS'on\ton\tIN\tB-PP\tO' +p172509 +aS'room\troom\tNN\tB-NP\tO' +p172510 +aS'air\tair\tNN\tI-NP\tO' +p172511 +aS'and\tand\tCC\tO\tO' +p172512 +aS'he\the\tPRP\tB-NP\tO' +p172513 +aS'was\tbe\tVBD\tB-VP\tO' +p172514 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p172515 +aS'.\t.\t.\tO\tO' +p172516 +asS'Please call ( 881-6997 to set up follow up cardiology appointment in 2-3 months .' +p172517 +(lp172518 +S'Please\tPlease\tNN\tB-NP\tO' +p172519 +aS'call\tcall\tNN\tI-NP\tO' +p172520 +aS'(\t(\t(\tO\tO' +p172521 +aS'881-6997\t881-6997\tCD\tB-NP\tO' +p172522 +aS'to\tto\tTO\tB-VP\tO' +p172523 +aS'set\tset\tVB\tI-VP\tO' +p172524 +aS'up\tup\tRP\tB-PRT\tO' +p172525 +aS'follow\tfollow\tVB\tB-VP\tO' +p172526 +aS'up\tup\tRP\tB-PRT\tO' +p172527 +aS'cardiology\tcardiology\tNN\tB-NP\tO' +p172528 +aS'appointment\tappointment\tNN\tI-NP\tO' +p172529 +aS'in\tin\tIN\tB-PP\tO' +p172530 +aS'2-3\t2-3\tCD\tB-NP\tO' +p172531 +aS'months\tmonth\tNNS\tI-NP\tO' +p172532 +aS'.\t.\t.\tO\tO' +p172533 +asS'He was successfully resuscitated after fifteen minutes of cardiopulmonary resuscitation and he was taken to the RICU .' +p172534 +(lp172535 +S'He\tHe\tPRP\tB-NP\tO' +p172536 +aS'was\tbe\tVBD\tB-VP\tO' +p172537 +aS'successfully\tsuccessfully\tRB\tI-VP\tO' +p172538 +aS'resuscitated\tresuscitate\tVBN\tI-VP\tO' +p172539 +aS'after\tafter\tIN\tB-PP\tO' +p172540 +aS'fifteen\tfifteen\tCD\tB-NP\tO' +p172541 +aS'minutes\tminute\tNNS\tI-NP\tO' +p172542 +aS'of\tof\tIN\tB-PP\tO' +p172543 +aS'cardiopulmonary\tcardiopulmonary\tJJ\tB-NP\tO' +p172544 +aS'resuscitation\tresuscitation\tNN\tI-NP\tO' +p172545 +aS'and\tand\tCC\tO\tO' +p172546 +aS'he\the\tPRP\tB-NP\tO' +p172547 +aS'was\tbe\tVBD\tB-VP\tO' +p172548 +aS'taken\ttake\tVBN\tI-VP\tO' +p172549 +aS'to\tto\tTO\tB-PP\tO' +p172550 +aS'the\tthe\tDT\tB-NP\tO' +p172551 +aS'RICU\tRICU\tNNP\tI-NP\tO' +p172552 +aS'.\t.\t.\tO\tO' +p172553 +asS'Although Dr. Ray will be covering pt today , Dr. Stephanie Wilson spoke with family this morning and has noted that pt is CMO .' +p172554 +(lp172555 +S'Although\tAlthough\tIN\tB-SBAR\tO' +p172556 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p172557 +aS'Ray\tRay\tNNP\tI-NP\tO' +p172558 +aS'will\twill\tMD\tB-VP\tO' +p172559 +aS'be\tbe\tVB\tI-VP\tO' +p172560 +aS'covering\tcover\tVBG\tI-VP\tO' +p172561 +aS'pt\tpt\tNN\tB-NP\tO' +p172562 +aS'today\ttoday\tNN\tB-NP\tO' +p172563 +aS',\t,\t,\tO\tO' +p172564 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p172565 +aS'Stephanie\tStephanie\tNNP\tI-NP\tO' +p172566 +aS'Wilson\tWilson\tNNP\tI-NP\tO' +p172567 +aS'spoke\tspeak\tVBD\tB-VP\tO' +p172568 +aS'with\twith\tIN\tB-PP\tO' +p172569 +aS'family\tfamily\tNN\tB-NP\tO' +p172570 +aS'this\tthis\tDT\tB-NP\tO' +p172571 +aS'morning\tmorning\tNN\tI-NP\tO' +p172572 +aS'and\tand\tCC\tO\tO' +p172573 +aS'has\thave\tVBZ\tB-VP\tO' +p172574 +aS'noted\tnote\tVBN\tI-VP\tO' +p172575 +aS'that\tthat\tIN\tB-SBAR\tO' +p172576 +aS'pt\tpt\tNN\tB-NP\tO' +p172577 +aS'is\tbe\tVBZ\tB-VP\tO' +p172578 +aS'CMO\tCMO\tNN\tB-NP\tB-protein' +p172579 +aS'.\t.\t.\tO\tO' +p172580 +asS'Vit.C 500 mg daily prevacid 15 mg daily coumadin ( held ) toprol XL 100 mg daily zocor 40 mg daily' +p172581 +(lp172582 +S'Vit.C\tVit.C\tNN\tB-NP\tB-protein' +p172583 +aS'500\t500\tCD\tI-NP\tI-protein' +p172584 +aS'mg\tmg\tNN\tI-NP\tI-protein' +p172585 +aS'daily\tdaily\tJJ\tI-NP\tI-protein' +p172586 +aS'prevacid\tprevacid\tNN\tI-NP\tI-protein' +p172587 +aS'15\t15\tCD\tI-NP\tI-protein' +p172588 +aS'mg\tmg\tNN\tI-NP\tI-protein' +p172589 +aS'daily\tdaily\tJJ\tI-NP\tI-protein' +p172590 +aS'coumadin\tcoumadin\tNN\tI-NP\tI-protein' +p172591 +aS'(\t(\t(\tO\tO' +p172592 +aS'held\thold\tVBN\tB-VP\tO' +p172593 +aS')\t)\t)\tO\tO' +p172594 +aS'toprol\ttoprol\tNN\tB-NP\tO' +p172595 +aS'XL\tXL\tNN\tI-NP\tO' +p172596 +aS'100\t100\tCD\tI-NP\tO' +p172597 +aS'mg\tmg\tNN\tI-NP\tO' +p172598 +aS'daily\tdaily\tJJ\tI-NP\tO' +p172599 +aS'zocor\tzocor\tNN\tI-NP\tO' +p172600 +aS'40\t40\tCD\tI-NP\tO' +p172601 +aS'mg\tmg\tNN\tI-NP\tO' +p172602 +aS'daily\tdaily\tJJ\tI-NP\tO' +p172603 +asS'1. Respiratory : Lincoln required nasal cannula O2 for approximately the first 8-12 hours of life .' +p172604 +(lp172605 +S'1.\t1.\tCD\tB-NP\tO' +p172606 +aS'Respiratory\tRespiratory\tNNP\tI-NP\tO' +p172607 +aS':\t:\t:\tO\tO' +p172608 +aS'Lincoln\tLincoln\tNNP\tB-NP\tO' +p172609 +aS'required\trequire\tVBD\tB-VP\tO' +p172610 +aS'nasal\tnasal\tJJ\tB-NP\tO' +p172611 +aS'cannula\tcannula\tNN\tI-NP\tO' +p172612 +aS'O2\tO2\tNN\tI-NP\tO' +p172613 +aS'for\tfor\tIN\tB-PP\tO' +p172614 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p172615 +aS'the\tthe\tDT\tI-NP\tO' +p172616 +aS'first\tfirst\tJJ\tI-NP\tO' +p172617 +aS'8-12\t8-12\tCD\tI-NP\tO' +p172618 +aS'hours\thour\tNNS\tI-NP\tO' +p172619 +aS'of\tof\tIN\tB-PP\tO' +p172620 +aS'life\tlife\tNN\tB-NP\tO' +p172621 +aS'.\t.\t.\tO\tO' +p172622 +asS'Recommended prior to discharge .' +p172623 +(lp172624 +S'Recommended\tRecommend\tVBN\tB-VP\tO' +p172625 +aS'prior\tprior\tRB\tB-ADVP\tO' +p172626 +aS'to\tto\tTO\tB-VP\tO' +p172627 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p172628 +aS'.\t.\t.\tO\tO' +p172629 +asS'At that time had UE duplex which revealed RUE DVT involving IJ , Axillary , subclav , brachial , and basilic veins .' +p172630 +(lp172631 +S'At\tAt\tIN\tB-PP\tO' +p172632 +aS'that\tthat\tDT\tB-NP\tO' +p172633 +aS'time\ttime\tNN\tI-NP\tO' +p172634 +aS'had\thave\tVBD\tB-VP\tO' +p172635 +aS'UE\tUE\tNN\tB-NP\tO' +p172636 +aS'duplex\tduplex\tNN\tI-NP\tO' +p172637 +aS'which\twhich\tWDT\tB-NP\tO' +p172638 +aS'revealed\treveal\tVBD\tB-VP\tO' +p172639 +aS'RUE\tRUE\tNN\tB-NP\tB-protein' +p172640 +aS'DVT\tDVT\tNN\tI-NP\tI-protein' +p172641 +aS'involving\tinvolve\tVBG\tB-VP\tI-protein' +p172642 +aS'IJ\tIJ\tNN\tB-NP\tI-protein' +p172643 +aS',\t,\t,\tO\tO' +p172644 +aS'Axillary\tAxillary\tNN\tB-NP\tO' +p172645 +aS',\t,\t,\tO\tO' +p172646 +aS'subclav\tsubclav\tNN\tB-NP\tO' +p172647 +aS',\t,\t,\tO\tO' +p172648 +aS'brachial\tbrachial\tNN\tB-NP\tO' +p172649 +aS',\t,\t,\tO\tO' +p172650 +aS'and\tand\tCC\tO\tO' +p172651 +aS'basilic\tbasilic\tJJ\tB-NP\tO' +p172652 +aS'veins\tvein\tNNS\tI-NP\tO' +p172653 +aS'.\t.\t.\tO\tO' +p172654 +asS'The patient is a 60 year old diabetic who underwent an APR in 1989 for rectal carcinoma and has been doing following radiation therapy and 5FU .' +p172655 +(lp172656 +S'The\tThe\tDT\tB-NP\tO' +p172657 +aS'patient\tpatient\tNN\tI-NP\tO' +p172658 +aS'is\tbe\tVBZ\tB-VP\tO' +p172659 +aS'a\ta\tDT\tB-NP\tO' +p172660 +aS'60\t60\tCD\tI-NP\tO' +p172661 +aS'year\tyear\tNN\tI-NP\tO' +p172662 +aS'old\told\tJJ\tI-NP\tO' +p172663 +aS'diabetic\tdiabetic\tNN\tI-NP\tO' +p172664 +aS'who\twho\tWP\tB-NP\tO' +p172665 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p172666 +aS'an\tan\tDT\tB-NP\tO' +p172667 +aS'APR\tAPR\tNN\tI-NP\tB-protein' +p172668 +aS'in\tin\tIN\tB-PP\tO' +p172669 +aS'1989\t1989\tCD\tB-NP\tO' +p172670 +aS'for\tfor\tIN\tB-PP\tO' +p172671 +aS'rectal\trectal\tJJ\tB-NP\tO' +p172672 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p172673 +aS'and\tand\tCC\tO\tO' +p172674 +aS'has\thave\tVBZ\tB-VP\tO' +p172675 +aS'been\tbe\tVBN\tI-VP\tO' +p172676 +aS'doing\tdo\tVBG\tI-VP\tO' +p172677 +aS'following\tfollow\tVBG\tB-PP\tO' +p172678 +aS'radiation\tradiation\tNN\tB-NP\tO' +p172679 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p172680 +aS'and\tand\tCC\tI-NP\tO' +p172681 +aS'5FU\t5FU\tNN\tI-NP\tO' +p172682 +aS'.\t.\t.\tO\tO' +p172683 +asS'Subsequent to that the patients abdomen was significantly less distended and her pain decreased as well .' +p172684 +(lp172685 +S'Subsequent\tSubsequent\tJJ\tB-ADJP\tO' +p172686 +aS'to\tto\tTO\tB-PP\tO' +p172687 +aS'that\tthat\tIN\tB-SBAR\tO' +p172688 +aS'the\tthe\tDT\tB-NP\tO' +p172689 +aS'patients\tpatient\tNNS\tI-NP\tO' +p172690 +aS'abdomen\tabdoman\tNNS\tI-NP\tO' +p172691 +aS'was\tbe\tVBD\tB-VP\tO' +p172692 +aS'significantly\tsignificantly\tRB\tB-ADJP\tO' +p172693 +aS'less\tless\tRBR\tI-ADJP\tO' +p172694 +aS'distended\tdistended\tJJ\tI-ADJP\tO' +p172695 +aS'and\tand\tCC\tO\tO' +p172696 +aS'her\ther\tPRP$\tB-NP\tO' +p172697 +aS'pain\tpain\tNN\tI-NP\tO' +p172698 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p172699 +aS'as\tas\tRB\tB-ADVP\tO' +p172700 +aS'well\twell\tRB\tI-ADVP\tO' +p172701 +aS'.\t.\t.\tO\tO' +p172702 +asS'Bibasilar crackles .' +p172703 +(lp172704 +S'Bibasilar\tBibasilar\tJJ\tB-NP\tO' +p172705 +aS'crackles\tcrackle\tNNS\tI-NP\tO' +p172706 +aS'.\t.\t.\tO\tO' +p172707 +asS'Diovan 80 qd prednisone 40 qd bactrim ds qmwf baclofen pump 2-3yrs' +p172708 +(lp172709 +S'Diovan\tDiovan\tNNP\tB-NP\tO' +p172710 +aS'80\t80\tCD\tI-NP\tO' +p172711 +aS'qd\tqd\tNN\tI-NP\tO' +p172712 +aS'prednisone\tprednisone\tNN\tI-NP\tO' +p172713 +aS'40\t40\tCD\tI-NP\tO' +p172714 +aS'qd\tqd\tNN\tI-NP\tO' +p172715 +aS'bactrim\tbactrim\tNN\tI-NP\tO' +p172716 +aS'ds\td\tVBZ\tB-VP\tO' +p172717 +aS'qmwf\tqmwf\tNN\tB-NP\tB-protein' +p172718 +aS'baclofen\tbaclofen\tNN\tI-NP\tI-protein' +p172719 +aS'pump\tpump\tNN\tI-NP\tI-protein' +p172720 +aS'2-3yrs\t2-3yr\tNNS\tI-NP\tI-protein' +p172721 +asS'There is at least moderate aortic valve stenosis .' +p172722 +(lp172723 +S'There\tThere\tEX\tB-NP\tO' +p172724 +aS'is\tbe\tVBZ\tB-VP\tO' +p172725 +aS'at\tat\tIN\tB-NP\tO' +p172726 +aS'least\tleast\tJJS\tI-NP\tO' +p172727 +aS'moderate\tmoderate\tJJ\tI-NP\tO' +p172728 +aS'aortic\taortic\tJJ\tI-NP\tO' +p172729 +aS'valve\tvalve\tNN\tI-NP\tO' +p172730 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p172731 +aS'.\t.\t.\tO\tO' +p172732 +asS'- Please do not drive or consume alcohol while taking pain medications .' +p172733 +(lp172734 +S'-\t-\tHYPH\tB-NP\tO' +p172735 +aS'Please\tPlease\tNN\tI-NP\tB-protein' +p172736 +aS'do\tdo\tVBP\tB-VP\tO' +p172737 +aS'not\tnot\tRB\tI-VP\tO' +p172738 +aS'drive\tdrive\tVB\tI-VP\tO' +p172739 +aS'or\tor\tCC\tI-VP\tO' +p172740 +aS'consume\tconsume\tVB\tI-VP\tO' +p172741 +aS'alcohol\talcohol\tNN\tB-NP\tO' +p172742 +aS'while\twhile\tIN\tB-SBAR\tO' +p172743 +aS'taking\ttake\tVBG\tB-VP\tO' +p172744 +aS'pain\tpain\tNN\tB-NP\tO' +p172745 +aS'medications\tmedication\tNNS\tI-NP\tO' +p172746 +aS'.\t.\t.\tO\tO' +p172747 +asS'He responded well to lasix w/ good UOP , but diastolic BP remained elevated at 170 , prompting initiation of nitroprusside gtt .' +p172748 +(lp172749 +S'He\tHe\tPRP\tB-NP\tO' +p172750 +aS'responded\trespond\tVBD\tB-VP\tO' +p172751 +aS'well\twell\tRB\tB-ADVP\tO' +p172752 +aS'to\tto\tTO\tB-VP\tO' +p172753 +aS'lasix\tlasix\tVB\tI-VP\tO' +p172754 +aS'w/\tw/\tNN\tB-NP\tO' +p172755 +aS'good\tgood\tJJ\tI-NP\tO' +p172756 +aS'UOP\tUOP\tNN\tI-NP\tO' +p172757 +aS',\t,\t,\tO\tO' +p172758 +aS'but\tbut\tCC\tO\tO' +p172759 +aS'diastolic\tdiastolic\tJJ\tB-NP\tO' +p172760 +aS'BP\tBP\tNN\tI-NP\tO' +p172761 +aS'remained\tremain\tVBD\tB-VP\tO' +p172762 +aS'elevated\televated\tJJ\tB-ADJP\tO' +p172763 +aS'at\tat\tIN\tB-PP\tO' +p172764 +aS'170\t170\tCD\tB-NP\tO' +p172765 +aS',\t,\t,\tO\tO' +p172766 +aS'prompting\tprompt\tVBG\tB-VP\tO' +p172767 +aS'initiation\tinitiation\tNN\tB-NP\tO' +p172768 +aS'of\tof\tIN\tB-PP\tO' +p172769 +aS'nitroprusside\tnitroprusside\tNN\tB-NP\tO' +p172770 +aS'gtt\tgtt\tNN\tI-NP\tO' +p172771 +aS'.\t.\t.\tO\tO' +p172772 +asS'Her abdomen was soft with well-healed incisions .' +p172773 +(lp172774 +S'Her\tHer\tPRP$\tB-NP\tO' +p172775 +aS'abdomen\tabdoman\tNNS\tI-NP\tO' +p172776 +aS'was\tbe\tVBD\tB-VP\tO' +p172777 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p172778 +aS'with\twith\tIN\tB-PP\tO' +p172779 +aS'well-healed\twell-healed\tJJ\tB-NP\tO' +p172780 +aS'incisions\tincision\tNNS\tI-NP\tO' +p172781 +aS'.\t.\t.\tO\tO' +p172782 +asS'She has a 24 hour caregiver .' +p172783 +(lp172784 +S'She\tShe\tPRP\tB-NP\tO' +p172785 +aS'has\thave\tVBZ\tB-VP\tO' +p172786 +aS'a\ta\tDT\tB-NP\tO' +p172787 +aS'24\t24\tCD\tI-NP\tO' +p172788 +aS'hour\thour\tNN\tI-NP\tO' +p172789 +aS'caregiver\tcaregiver\tNN\tI-NP\tO' +p172790 +aS'.\t.\t.\tO\tO' +p172791 +asS'His wound remained clean and dry and showed no signs of infection and healed well .' +p172792 +(lp172793 +S'His\tHis\tPRP$\tB-NP\tO' +p172794 +aS'wound\twound\tNN\tI-NP\tO' +p172795 +aS'remained\tremain\tVBD\tB-VP\tO' +p172796 +aS'clean\tclean\tJJ\tB-ADJP\tO' +p172797 +aS'and\tand\tCC\tI-ADJP\tO' +p172798 +aS'dry\tdry\tJJ\tI-ADJP\tO' +p172799 +aS'and\tand\tCC\tO\tO' +p172800 +aS'showed\tshow\tVBD\tB-VP\tO' +p172801 +aS'no\tno\tDT\tB-NP\tO' +p172802 +aS'signs\tsign\tNNS\tI-NP\tO' +p172803 +aS'of\tof\tIN\tB-PP\tO' +p172804 +aS'infection\tinfection\tNN\tB-NP\tO' +p172805 +aS'and\tand\tCC\tO\tO' +p172806 +aS'healed\theal\tVBD\tB-VP\tO' +p172807 +aS'well\twell\tRB\tB-ADVP\tO' +p172808 +aS'.\t.\t.\tO\tO' +p172809 +asS'PSH : RIH repair , s/p TURP , s/p thyroid excision' +p172810 +(lp172811 +S'PSH\tPSH\tNN\tB-NP\tO' +p172812 +aS':\t:\t:\tO\tO' +p172813 +aS'RIH\tRIH\tNN\tB-NP\tO' +p172814 +aS'repair\trepair\tNN\tI-NP\tO' +p172815 +aS',\t,\t,\tO\tO' +p172816 +aS's/p\ts/p\tNN\tB-NP\tO' +p172817 +aS'TURP\tTURP\tNN\tI-NP\tO' +p172818 +aS',\t,\t,\tO\tO' +p172819 +aS's/p\ts/p\tNN\tB-NP\tO' +p172820 +aS'thyroid\tthyroid\tNN\tI-NP\tO' +p172821 +aS'excision\texcision\tNN\tI-NP\tO' +p172822 +asS'Small cell lung cancer .' +p172823 +(lp172824 +S'Small\tSmall\tJJ\tB-NP\tO' +p172825 +aS'cell\tcell\tNN\tI-NP\tO' +p172826 +aS'lung\tlung\tNN\tI-NP\tO' +p172827 +aS'cancer\tcancer\tNN\tI-NP\tO' +p172828 +aS'.\t.\t.\tO\tO' +p172829 +asS'4. Shoulder fracture - Patient is s/p a left hip fracture ( decision not to operate ) and a left shoulder fracture with hemiarthroplasty 11-14 .' +p172830 +(lp172831 +S'4.\t4.\tLS\tB-LST\tO' +p172832 +aS'Shoulder\tShoulder\tNNP\tB-NP\tO' +p172833 +aS'fracture\tfracture\tNN\tI-NP\tO' +p172834 +aS'-\t-\tHYPH\tB-NP\tO' +p172835 +aS'Patient\tPatient\tNN\tI-NP\tO' +p172836 +aS'is\tbe\tVBZ\tB-VP\tO' +p172837 +aS's/p\ts/p\tVB\tI-VP\tO' +p172838 +aS'a\ta\tDT\tB-NP\tO' +p172839 +aS'left\tleft\tJJ\tI-NP\tO' +p172840 +aS'hip\thip\tNN\tI-NP\tO' +p172841 +aS'fracture\tfracture\tNN\tI-NP\tO' +p172842 +aS'(\t(\t(\tO\tO' +p172843 +aS'decision\tdecision\tNN\tB-NP\tO' +p172844 +aS'not\tnot\tRB\tO\tO' +p172845 +aS'to\tto\tTO\tB-VP\tO' +p172846 +aS'operate\toperate\tVB\tI-VP\tO' +p172847 +aS')\t)\t)\tO\tO' +p172848 +aS'and\tand\tCC\tO\tO' +p172849 +aS'a\ta\tDT\tB-NP\tO' +p172850 +aS'left\tleft\tJJ\tI-NP\tO' +p172851 +aS'shoulder\tshoulder\tNN\tI-NP\tO' +p172852 +aS'fracture\tfracture\tNN\tI-NP\tO' +p172853 +aS'with\twith\tIN\tB-PP\tO' +p172854 +aS'hemiarthroplasty\themiarthroplasty\tJJ\tB-NP\tO' +p172855 +aS'11-14\t11-14\tCD\tI-NP\tO' +p172856 +aS'.\t.\t.\tO\tO' +p172857 +asS'On admission showed a temperature of 97.1 F. ; heart rate of 65 ; blood pressure of 146/74 ; respiratory rate of 20 ; oxygen saturation 98% on three liters and 95% on room air .' +p172858 +(lp172859 +S'On\tOn\tIN\tB-PP\tO' +p172860 +aS'admission\tadmission\tNN\tB-NP\tO' +p172861 +aS'showed\tshow\tVBD\tB-VP\tO' +p172862 +aS'a\ta\tDT\tB-NP\tO' +p172863 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p172864 +aS'of\tof\tIN\tB-PP\tO' +p172865 +aS'97.1\t97.1\tCD\tB-NP\tO' +p172866 +aS'F.\tF.\tNNP\tI-NP\tO' +p172867 +aS';\t;\t:\tO\tO' +p172868 +aS'heart\theart\tNN\tB-NP\tO' +p172869 +aS'rate\trate\tNN\tI-NP\tO' +p172870 +aS'of\tof\tIN\tB-PP\tO' +p172871 +aS'65\t65\tCD\tB-NP\tO' +p172872 +aS';\t;\t:\tO\tO' +p172873 +aS'blood\tblood\tNN\tB-NP\tO' +p172874 +aS'pressure\tpressure\tNN\tI-NP\tO' +p172875 +aS'of\tof\tIN\tB-PP\tO' +p172876 +aS'146/74\t146/74\tCD\tB-NP\tO' +p172877 +aS';\t;\t:\tO\tO' +p172878 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p172879 +aS'rate\trate\tNN\tI-NP\tO' +p172880 +aS'of\tof\tIN\tB-PP\tO' +p172881 +aS'20\t20\tCD\tB-NP\tO' +p172882 +aS';\t;\t:\tO\tO' +p172883 +aS'oxygen\toxygen\tNN\tB-NP\tO' +p172884 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p172885 +aS'98%\t98%\tCD\tI-NP\tO' +p172886 +aS'on\ton\tIN\tB-PP\tO' +p172887 +aS'three\tthree\tCD\tB-NP\tO' +p172888 +aS'liters\tliter\tNNS\tI-NP\tO' +p172889 +aS'and\tand\tCC\tI-NP\tO' +p172890 +aS'95%\t95%\tNN\tI-NP\tO' +p172891 +aS'on\ton\tIN\tB-PP\tO' +p172892 +aS'room\troom\tNN\tB-NP\tO' +p172893 +aS'air\tair\tNN\tI-NP\tO' +p172894 +aS'.\t.\t.\tO\tO' +p172895 +asS'h , p, labs , mylanta / viscous lidocaine' +p172896 +(lp172897 +S'h\th\tNN\tB-NP\tO' +p172898 +aS',\t,\t,\tO\tO' +p172899 +aS'p,\tp,\tNN\tB-NP\tO' +p172900 +aS'labs\tlab\tNNS\tI-NP\tO' +p172901 +aS',\t,\t,\tO\tO' +p172902 +aS'mylanta\tmylanta\tNN\tB-NP\tO' +p172903 +aS'/\t/\tSYM\tB-VP\tO' +p172904 +aS'viscous\tviscous\tJJ\tB-NP\tO' +p172905 +aS'lidocaine\tlidocaine\tNN\tI-NP\tO' +p172906 +asS'Signed electronically by : DR. Phillip Garcia on : WED 2015-09-16 5:10 PM' +p172907 +(lp172908 +S'Signed\tSign\tVBN\tB-VP\tO' +p172909 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p172910 +aS'by\tby\tIN\tB-PP\tO' +p172911 +aS':\t:\t:\tO\tO' +p172912 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p172913 +aS'Phillip\tPhillip\tNNP\tI-NP\tO' +p172914 +aS'Garcia\tGarcia\tNNP\tI-NP\tO' +p172915 +aS'on\ton\tIN\tB-PP\tO' +p172916 +aS':\t:\t:\tO\tO' +p172917 +aS'WED\tWED\tVBD\tB-VP\tO' +p172918 +aS'2015-09-16\t2015-09-16\tCD\tB-NP\tO' +p172919 +aS'5:10\t5:10\tCD\tI-NP\tO' +p172920 +aS'PM\tPM\tNN\tI-NP\tO' +p172921 +asS'She was on 4 liters ; now she is on 5 liters , sating 94 to 96% on 5 liters .' +p172922 +(lp172923 +S'She\tShe\tPRP\tB-NP\tO' +p172924 +aS'was\tbe\tVBD\tB-VP\tO' +p172925 +aS'on\ton\tIN\tB-PP\tO' +p172926 +aS'4\t4\tCD\tB-NP\tO' +p172927 +aS'liters\tliter\tNNS\tI-NP\tO' +p172928 +aS';\t;\t:\tO\tO' +p172929 +aS'now\tnow\tRB\tB-ADVP\tO' +p172930 +aS'she\tshe\tPRP\tB-NP\tO' +p172931 +aS'is\tbe\tVBZ\tB-VP\tO' +p172932 +aS'on\ton\tIN\tB-PP\tO' +p172933 +aS'5\t5\tCD\tB-NP\tO' +p172934 +aS'liters\tliter\tNNS\tI-NP\tO' +p172935 +aS',\t,\t,\tO\tO' +p172936 +aS'sating\tsate\tVBG\tB-VP\tO' +p172937 +aS'94\t94\tCD\tB-NP\tO' +p172938 +aS'to\tto\tTO\tB-PP\tO' +p172939 +aS'96%\t96%\tCD\tB-NP\tO' +p172940 +aS'on\ton\tIN\tB-PP\tO' +p172941 +aS'5\t5\tCD\tB-NP\tO' +p172942 +aS'liters\tliter\tNNS\tI-NP\tO' +p172943 +aS'.\t.\t.\tO\tO' +p172944 +asS'Likely NSTEMI .' +p172945 +(lp172946 +S'Likely\tLikely\tRB\tB-NP\tO' +p172947 +aS'NSTEMI\tNSTEMI\tNNP\tI-NP\tO' +p172948 +aS'.\t.\t.\tO\tO' +p172949 +asS'6. Lasix 40 mg per day .' +p172950 +(lp172951 +S'6.\t6.\tCD\tB-NP\tO' +p172952 +aS'Lasix\tLasix\tNNP\tI-NP\tO' +p172953 +aS'40\t40\tCD\tI-NP\tO' +p172954 +aS'mg\tmg\tNN\tI-NP\tO' +p172955 +aS'per\tper\tIN\tB-PP\tO' +p172956 +aS'day\tday\tNN\tB-NP\tO' +p172957 +aS'.\t.\t.\tO\tO' +p172958 +asS'3. Advair 550 mcg two puffs b.i.d.' +p172959 +(lp172960 +S'3.\t3.\tLS\tB-LST\tO' +p172961 +aS'Advair\tAdvair\tNNP\tB-NP\tO' +p172962 +aS'550\t550\tCD\tB-NP\tO' +p172963 +aS'mcg\tmcg\tNN\tI-NP\tO' +p172964 +aS'two\ttwo\tCD\tB-NP\tO' +p172965 +aS'puffs\tpuff\tNNS\tI-NP\tO' +p172966 +aS'b.i.d.\tb.i.d.\tRB\tB-ADVP\tO' +p172967 +asS'Upon obtaining more information from Rehab Hospital of the Cape & Islands Hospital , it appears that the patient had two out of four bottles growing out Streptococcus sanguis in the outside hospital .' +p172968 +(lp172969 +S'Upon\tUpon\tIN\tB-PP\tO' +p172970 +aS'obtaining\tobtain\tVBG\tB-VP\tO' +p172971 +aS'more\tmore\tJJR\tB-NP\tO' +p172972 +aS'information\tinformation\tNN\tI-NP\tO' +p172973 +aS'from\tfrom\tIN\tB-PP\tO' +p172974 +aS'Rehab\tRehab\tNNP\tB-NP\tO' +p172975 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p172976 +aS'of\tof\tIN\tB-PP\tO' +p172977 +aS'the\tthe\tDT\tB-NP\tO' +p172978 +aS'Cape\tCape\tNNP\tI-NP\tO' +p172979 +aS'&\t&\tCC\tI-NP\tO' +p172980 +aS'Islands\tIslands\tNNP\tI-NP\tO' +p172981 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p172982 +aS',\t,\t,\tO\tO' +p172983 +aS'it\tit\tPRP\tB-NP\tO' +p172984 +aS'appears\tappear\tVBZ\tB-VP\tO' +p172985 +aS'that\tthat\tIN\tB-SBAR\tO' +p172986 +aS'the\tthe\tDT\tB-NP\tO' +p172987 +aS'patient\tpatient\tNN\tI-NP\tO' +p172988 +aS'had\thave\tVBD\tB-VP\tO' +p172989 +aS'two\ttwo\tCD\tB-NP\tO' +p172990 +aS'out\tout\tIN\tI-NP\tO' +p172991 +aS'of\tof\tIN\tI-NP\tO' +p172992 +aS'four\tfour\tCD\tI-NP\tO' +p172993 +aS'bottles\tbottle\tNNS\tI-NP\tO' +p172994 +aS'growing\tgrow\tVBG\tB-VP\tO' +p172995 +aS'out\tout\tRP\tB-PRT\tO' +p172996 +aS'Streptococcus\tStreptococcus\tNNP\tB-NP\tO' +p172997 +aS'sanguis\tsanguis\tNNP\tI-NP\tO' +p172998 +aS'in\tin\tIN\tB-PP\tO' +p172999 +aS'the\tthe\tDT\tB-NP\tO' +p173000 +aS'outside\toutside\tJJ\tI-NP\tO' +p173001 +aS'hospital\thospital\tNN\tI-NP\tO' +p173002 +aS'.\t.\t.\tO\tO' +p173003 +asS'Mr. Mass was a 56 year old white male who was transferred from Vassdiysey Medical Center for rule out pancreatic pseudocyst .' +p173004 +(lp173005 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p173006 +aS'Mass\tMass\tNNP\tI-NP\tO' +p173007 +aS'was\tbe\tVBD\tB-VP\tO' +p173008 +aS'a\ta\tDT\tB-NP\tO' +p173009 +aS'56\t56\tCD\tI-NP\tO' +p173010 +aS'year\tyear\tNN\tI-NP\tO' +p173011 +aS'old\told\tJJ\tI-NP\tO' +p173012 +aS'white\twhite\tJJ\tI-NP\tO' +p173013 +aS'male\tmale\tNN\tI-NP\tO' +p173014 +aS'who\twho\tWP\tB-NP\tO' +p173015 +aS'was\tbe\tVBD\tB-VP\tO' +p173016 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p173017 +aS'from\tfrom\tIN\tB-PP\tO' +p173018 +aS'Vassdiysey\tVassdiysey\tNNP\tB-NP\tO' +p173019 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p173020 +aS'Center\tCenter\tNNP\tI-NP\tO' +p173021 +aS'for\tfor\tIN\tB-PP\tO' +p173022 +aS'rule\trule\tNN\tB-NP\tO' +p173023 +aS'out\tout\tIN\tB-PP\tO' +p173024 +aS'pancreatic\tpancreatic\tJJ\tB-NP\tO' +p173025 +aS'pseudocyst\tpseudocyst\tNN\tI-NP\tO' +p173026 +aS'.\t.\t.\tO\tO' +p173027 +asS'Mild left lower perihilar opacification has improved , probably resolving edema .' +p173028 +(lp173029 +S'Mild\tMild\tNNP\tB-NP\tO' +p173030 +aS'left\tleave\tVBD\tB-VP\tO' +p173031 +aS'lower\tlow\tJJR\tB-NP\tO' +p173032 +aS'perihilar\tperihilar\tJJ\tI-NP\tO' +p173033 +aS'opacification\topacification\tNN\tI-NP\tO' +p173034 +aS'has\thave\tVBZ\tB-VP\tO' +p173035 +aS'improved\timprove\tVBN\tI-VP\tO' +p173036 +aS',\t,\t,\tO\tO' +p173037 +aS'probably\tprobably\tRB\tB-ADVP\tO' +p173038 +aS'resolving\tresolve\tVBG\tB-VP\tO' +p173039 +aS'edema\tedema\tNN\tB-NP\tO' +p173040 +aS'.\t.\t.\tO\tO' +p173041 +asS'Calories were increased to Similac 24 calories per ounce .' +p173042 +(lp173043 +S'Calories\tCalorie\tNNS\tB-NP\tO' +p173044 +aS'were\tbe\tVBD\tB-VP\tO' +p173045 +aS'increased\tincrease\tVBN\tI-VP\tO' +p173046 +aS'to\tto\tTO\tB-PP\tO' +p173047 +aS'Similac\tSimilac\tNN\tB-NP\tO' +p173048 +aS'24\t24\tCD\tB-NP\tO' +p173049 +aS'calories\tcalorie\tNNS\tI-NP\tO' +p173050 +aS'per\tper\tIN\tB-PP\tO' +p173051 +aS'ounce\tounce\tNN\tB-NP\tO' +p173052 +aS'.\t.\t.\tO\tO' +p173053 +asS'Pupils were 2 millimeters down to 1 millimeter by direct and consensual stimuli .' +p173054 +(lp173055 +S'Pupils\tPupil\tNNS\tB-NP\tO' +p173056 +aS'were\tbe\tVBD\tB-VP\tO' +p173057 +aS'2\t2\tCD\tB-NP\tO' +p173058 +aS'millimeters\tmillimeter\tNNS\tI-NP\tO' +p173059 +aS'down\tdown\tRB\tB-ADVP\tO' +p173060 +aS'to\tto\tTO\tB-PP\tO' +p173061 +aS'1\t1\tCD\tB-NP\tO' +p173062 +aS'millimeter\tmillimeter\tNN\tI-NP\tO' +p173063 +aS'by\tby\tIN\tB-PP\tO' +p173064 +aS'direct\tdirect\tJJ\tB-NP\tO' +p173065 +aS'and\tand\tCC\tI-NP\tO' +p173066 +aS'consensual\tconsensual\tJJ\tI-NP\tO' +p173067 +aS'stimuli\tstimulus\tNNS\tI-NP\tO' +p173068 +aS'.\t.\t.\tO\tO' +p173069 +asS'There is no ventricular septal defect .' +p173070 +(lp173071 +S'There\tThere\tEX\tB-NP\tO' +p173072 +aS'is\tbe\tVBZ\tB-VP\tO' +p173073 +aS'no\tno\tDT\tB-NP\tO' +p173074 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p173075 +aS'septal\tseptal\tJJ\tI-NP\tO' +p173076 +aS'defect\tdefect\tNN\tI-NP\tO' +p173077 +aS'.\t.\t.\tO\tO' +p173078 +asS'2. Left ventricular wall thickness , cavity size , and systolic function are normal ( LVEF > 55% ) .' +p173079 +(lp173080 +S'2.\t2.\tLS\tB-NP\tO' +p173081 +aS'Left\tLeft\tJJ\tI-NP\tO' +p173082 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p173083 +aS'wall\twall\tNN\tI-NP\tO' +p173084 +aS'thickness\tthickness\tNN\tI-NP\tO' +p173085 +aS',\t,\t,\tO\tO' +p173086 +aS'cavity\tcavity\tNN\tB-NP\tO' +p173087 +aS'size\tsize\tNN\tI-NP\tO' +p173088 +aS',\t,\t,\tO\tO' +p173089 +aS'and\tand\tCC\tO\tO' +p173090 +aS'systolic\tsystolic\tJJ\tB-NP\tO' +p173091 +aS'function\tfunction\tNN\tI-NP\tO' +p173092 +aS'are\tbe\tVBP\tB-VP\tO' +p173093 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p173094 +aS'(\t(\t(\tO\tO' +p173095 +aS'LVEF\tLVEF\tNN\tB-NP\tB-protein' +p173096 +aS'>\t>\tSYM\tO\tO' +p173097 +aS'55%\t55%\tCD\tB-NP\tO' +p173098 +aS')\t)\t)\tO\tO' +p173099 +aS'.\t.\t.\tO\tO' +p173100 +asS'On 01-12 , one day prior to discharge , he was cleared by the swallow team to eat' +p173101 +(lp173102 +S'On\tOn\tIN\tB-PP\tO' +p173103 +aS'01-12\t01-12\tCD\tB-NP\tO' +p173104 +aS',\t,\t,\tO\tO' +p173105 +aS'one\tone\tCD\tB-NP\tO' +p173106 +aS'day\tday\tNN\tI-NP\tO' +p173107 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p173108 +aS'to\tto\tTO\tB-VP\tO' +p173109 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p173110 +aS',\t,\t,\tO\tO' +p173111 +aS'he\the\tPRP\tB-NP\tO' +p173112 +aS'was\tbe\tVBD\tB-VP\tO' +p173113 +aS'cleared\tclear\tVBN\tI-VP\tO' +p173114 +aS'by\tby\tIN\tB-PP\tO' +p173115 +aS'the\tthe\tDT\tB-NP\tO' +p173116 +aS'swallow\tswallow\tJJ\tI-NP\tO' +p173117 +aS'team\tteam\tNN\tI-NP\tO' +p173118 +aS'to\tto\tTO\tB-VP\tO' +p173119 +aS'eat\teat\tVB\tI-VP\tO' +p173120 +asS'debridement of mass from tracheal lumen by interventional pulmonary' +p173121 +(lp173122 +S'debridement\tdebridement\tNN\tB-NP\tO' +p173123 +aS'of\tof\tIN\tB-PP\tO' +p173124 +aS'mass\tmass\tNN\tB-NP\tO' +p173125 +aS'from\tfrom\tIN\tB-PP\tO' +p173126 +aS'tracheal\ttracheal\tJJ\tB-NP\tO' +p173127 +aS'lumen\tluman\tNNS\tI-NP\tO' +p173128 +aS'by\tby\tIN\tB-PP\tO' +p173129 +aS'interventional\tinterventional\tJJ\tB-NP\tO' +p173130 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p173131 +asS'She is followed by Dr. Alonso Naugle .' +p173132 +(lp173133 +S'She\tShe\tPRP\tB-NP\tO' +p173134 +aS'is\tbe\tVBZ\tB-VP\tO' +p173135 +aS'followed\tfollow\tVBN\tI-VP\tO' +p173136 +aS'by\tby\tIN\tB-PP\tO' +p173137 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p173138 +aS'Alonso\tAlonso\tNNP\tI-NP\tO' +p173139 +aS'Naugle\tNaugle\tNNP\tI-NP\tO' +p173140 +aS'.\t.\t.\tO\tO' +p173141 +asS'During this time the patient 's coagulation status had improved with Vitamin K therapy with PTs normalizing .' +p173142 +(lp173143 +S'During\tDuring\tIN\tB-PP\tO' +p173144 +aS'this\tthis\tDT\tB-NP\tO' +p173145 +aS'time\ttime\tNN\tI-NP\tO' +p173146 +aS'the\tthe\tDT\tB-NP\tO' +p173147 +aS'patient\tpatient\tNN\tI-NP\tO' +p173148 +aS''s\t'\tNNS\tI-NP\tO' +p173149 +aS'coagulation\tcoagulation\tNN\tI-NP\tO' +p173150 +aS'status\tstatus\tNN\tI-NP\tO' +p173151 +aS'had\thave\tVBD\tB-VP\tO' +p173152 +aS'improved\timprove\tVBN\tI-VP\tO' +p173153 +aS'with\twith\tIN\tB-PP\tO' +p173154 +aS'Vitamin\tVitamin\tNN\tB-NP\tO' +p173155 +aS'K\tK\tNN\tI-NP\tO' +p173156 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p173157 +aS'with\twith\tIN\tB-PP\tO' +p173158 +aS'PTs\tPT\tNNS\tB-NP\tO' +p173159 +aS'normalizing\tnormalize\tVBG\tB-VP\tO' +p173160 +aS'.\t.\t.\tO\tO' +p173161 +asS'The patient is to call to schedule all appointments .' +p173162 +(lp173163 +S'The\tThe\tDT\tB-NP\tO' +p173164 +aS'patient\tpatient\tNN\tI-NP\tO' +p173165 +aS'is\tbe\tVBZ\tB-VP\tO' +p173166 +aS'to\tto\tTO\tB-VP\tO' +p173167 +aS'call\tcall\tVB\tI-VP\tO' +p173168 +aS'to\tto\tTO\tB-VP\tO' +p173169 +aS'schedule\tschedule\tVB\tI-VP\tO' +p173170 +aS'all\tall\tDT\tB-NP\tO' +p173171 +aS'appointments\tappointment\tNNS\tI-NP\tO' +p173172 +aS'.\t.\t.\tO\tO' +p173173 +asS'Sensation intact .' +p173174 +(lp173175 +S'Sensation\tSensation\tNN\tB-NP\tO' +p173176 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p173177 +aS'.\t.\t.\tO\tO' +p173178 +asS'This is a 56 - year-old man without any significant past medical history who presented to the emergency room after the sudden onset of headache while he was riding a bicycle .' +p173179 +(lp173180 +S'This\tThis\tDT\tB-NP\tO' +p173181 +aS'is\tbe\tVBZ\tB-VP\tO' +p173182 +aS'a\ta\tDT\tB-NP\tO' +p173183 +aS'56\t56\tCD\tI-NP\tO' +p173184 +aS'-\t-\tHYPH\tI-NP\tO' +p173185 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p173186 +aS'man\tman\tNN\tI-NP\tO' +p173187 +aS'without\twithout\tIN\tB-PP\tO' +p173188 +aS'any\tany\tDT\tB-NP\tO' +p173189 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p173190 +aS'past\tpast\tJJ\tI-NP\tO' +p173191 +aS'medical\tmedical\tJJ\tI-NP\tO' +p173192 +aS'history\thistory\tNN\tI-NP\tO' +p173193 +aS'who\twho\tWP\tB-NP\tO' +p173194 +aS'presented\tpresent\tVBD\tB-VP\tO' +p173195 +aS'to\tto\tTO\tB-PP\tO' +p173196 +aS'the\tthe\tDT\tB-NP\tO' +p173197 +aS'emergency\temergency\tNN\tI-NP\tO' +p173198 +aS'room\troom\tNN\tI-NP\tO' +p173199 +aS'after\tafter\tIN\tB-PP\tO' +p173200 +aS'the\tthe\tDT\tB-NP\tO' +p173201 +aS'sudden\tsudden\tJJ\tI-NP\tO' +p173202 +aS'onset\tonset\tNN\tI-NP\tO' +p173203 +aS'of\tof\tIN\tB-PP\tO' +p173204 +aS'headache\theadache\tNN\tB-NP\tO' +p173205 +aS'while\twhile\tIN\tB-SBAR\tO' +p173206 +aS'he\the\tPRP\tB-NP\tO' +p173207 +aS'was\tbe\tVBD\tB-VP\tO' +p173208 +aS'riding\tride\tVBG\tI-VP\tO' +p173209 +aS'a\ta\tDT\tB-NP\tO' +p173210 +aS'bicycle\tbicycle\tNN\tI-NP\tO' +p173211 +aS'.\t.\t.\tO\tO' +p173212 +asS'Cardiac : RRR .' +p173213 +(lp173214 +S'Cardiac\tCardiac\tJJ\tB-ADJP\tO' +p173215 +aS':\t:\t:\tO\tO' +p173216 +aS'RRR\tRRR\tNN\tB-NP\tB-protein' +p173217 +aS'.\t.\t.\tO\tO' +p173218 +asS'standpoint .' +p173219 +(lp173220 +S'standpoint\tstandpoint\tNN\tB-NP\tO' +p173221 +aS'.\t.\t.\tO\tO' +p173222 +asS'He had a good response to preoperative therapy and negative nodes , and is admitted for the final portion of his postoperative cycles .' +p173223 +(lp173224 +S'He\tHe\tPRP\tB-NP\tO' +p173225 +aS'had\thave\tVBD\tB-VP\tO' +p173226 +aS'a\ta\tDT\tB-NP\tO' +p173227 +aS'good\tgood\tJJ\tI-NP\tO' +p173228 +aS'response\tresponse\tNN\tI-NP\tO' +p173229 +aS'to\tto\tTO\tB-PP\tO' +p173230 +aS'preoperative\tpreoperative\tJJ\tB-NP\tO' +p173231 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p173232 +aS'and\tand\tCC\tO\tO' +p173233 +aS'negative\tnegative\tJJ\tB-NP\tO' +p173234 +aS'nodes\tnode\tNNS\tI-NP\tO' +p173235 +aS',\t,\t,\tO\tO' +p173236 +aS'and\tand\tCC\tO\tO' +p173237 +aS'is\tbe\tVBZ\tB-VP\tO' +p173238 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p173239 +aS'for\tfor\tIN\tB-PP\tO' +p173240 +aS'the\tthe\tDT\tB-NP\tO' +p173241 +aS'final\tfinal\tJJ\tI-NP\tO' +p173242 +aS'portion\tportion\tNN\tI-NP\tO' +p173243 +aS'of\tof\tIN\tB-PP\tO' +p173244 +aS'his\this\tPRP$\tB-NP\tO' +p173245 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p173246 +aS'cycles\tcycle\tNNS\tI-NP\tO' +p173247 +aS'.\t.\t.\tO\tO' +p173248 +asS'She was also found to have a differential systolic blood pressure and ecchymosis on her anterior chest .' +p173249 +(lp173250 +S'She\tShe\tPRP\tB-NP\tO' +p173251 +aS'was\tbe\tVBD\tB-VP\tO' +p173252 +aS'also\talso\tRB\tI-VP\tO' +p173253 +aS'found\tfind\tVBN\tI-VP\tO' +p173254 +aS'to\tto\tTO\tI-VP\tO' +p173255 +aS'have\thave\tVB\tI-VP\tO' +p173256 +aS'a\ta\tDT\tB-NP\tO' +p173257 +aS'differential\tdifferential\tJJ\tI-NP\tO' +p173258 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p173259 +aS'blood\tblood\tNN\tI-NP\tO' +p173260 +aS'pressure\tpressure\tNN\tI-NP\tO' +p173261 +aS'and\tand\tCC\tI-NP\tO' +p173262 +aS'ecchymosis\tecchymosis\tNN\tI-NP\tO' +p173263 +aS'on\ton\tIN\tB-PP\tO' +p173264 +aS'her\ther\tPRP$\tB-NP\tO' +p173265 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p173266 +aS'chest\tchest\tNN\tI-NP\tO' +p173267 +aS'.\t.\t.\tO\tO' +p173268 +asS'Good , with no motor deficits , mild dysarthria and mild anterior aphasia' +p173269 +(lp173270 +S'Good\tGood\tNNP\tB-NP\tO' +p173271 +aS',\t,\t,\tO\tO' +p173272 +aS'with\twith\tIN\tB-PP\tO' +p173273 +aS'no\tno\tDT\tB-NP\tO' +p173274 +aS'motor\tmotor\tNN\tI-NP\tO' +p173275 +aS'deficits\tdeficit\tNNS\tI-NP\tO' +p173276 +aS',\t,\t,\tO\tO' +p173277 +aS'mild\tmild\tJJ\tB-NP\tO' +p173278 +aS'dysarthria\tdysarthria\tNN\tI-NP\tO' +p173279 +aS'and\tand\tCC\tO\tO' +p173280 +aS'mild\tmild\tJJ\tB-NP\tO' +p173281 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p173282 +aS'aphasia\taphasia\tNN\tI-NP\tO' +p173283 +asS'soft , nontender , normoactive bowel sounds' +p173284 +(lp173285 +S'soft\tsoft\tJJ\tB-NP\tO' +p173286 +aS',\t,\t,\tI-NP\tO' +p173287 +aS'nontender\tnontender\tJJ\tI-NP\tO' +p173288 +aS',\t,\t,\tI-NP\tO' +p173289 +aS'normoactive\tnormoactive\tJJ\tI-NP\tO' +p173290 +aS'bowel\tbowel\tNN\tI-NP\tO' +p173291 +aS'sounds\tsound\tNNS\tI-NP\tO' +p173292 +asS'The CT showed increased soft tissues within the pharynx which was felt to be secondary to prolonged intubation / trauma .' +p173293 +(lp173294 +S'The\tThe\tDT\tB-NP\tO' +p173295 +aS'CT\tCT\tNN\tI-NP\tO' +p173296 +aS'showed\tshow\tVBD\tB-VP\tO' +p173297 +aS'increased\tincrease\tVBN\tB-NP\tO' +p173298 +aS'soft\tsoft\tJJ\tI-NP\tO' +p173299 +aS'tissues\ttissue\tNNS\tI-NP\tO' +p173300 +aS'within\twithin\tIN\tB-PP\tO' +p173301 +aS'the\tthe\tDT\tB-NP\tO' +p173302 +aS'pharynx\tpharynx\tNN\tI-NP\tO' +p173303 +aS'which\twhich\tWDT\tB-NP\tO' +p173304 +aS'was\tbe\tVBD\tB-VP\tO' +p173305 +aS'felt\tfeel\tVBN\tI-VP\tO' +p173306 +aS'to\tto\tTO\tI-VP\tO' +p173307 +aS'be\tbe\tVB\tI-VP\tO' +p173308 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p173309 +aS'to\tto\tTO\tB-PP\tO' +p173310 +aS'prolonged\tprolong\tVBN\tB-NP\tO' +p173311 +aS'intubation\tintubation\tNN\tI-NP\tO' +p173312 +aS'/\t/\tSYM\tB-NP\tO' +p173313 +aS'trauma\ttrauma\tNN\tI-NP\tO' +p173314 +aS'.\t.\t.\tO\tO' +p173315 +asS'3. Cholelithiasis without evidence of acute cholecystitis .' +p173316 +(lp173317 +S'3.\t3.\tLS\tB-NP\tO' +p173318 +aS'Cholelithiasis\tCholelithiasis\tNN\tI-NP\tO' +p173319 +aS'without\twithout\tIN\tB-PP\tO' +p173320 +aS'evidence\tevidence\tNN\tB-NP\tO' +p173321 +aS'of\tof\tIN\tB-PP\tO' +p173322 +aS'acute\tacute\tJJ\tB-NP\tO' +p173323 +aS'cholecystitis\tcholecystitis\tNN\tI-NP\tO' +p173324 +aS'.\t.\t.\tO\tO' +p173325 +asS'The patient had a stable hematocrit of 30% with CPK 's postoperatively maximum MB fraction of 78 .' +p173326 +(lp173327 +S'The\tThe\tDT\tB-NP\tO' +p173328 +aS'patient\tpatient\tNN\tI-NP\tO' +p173329 +aS'had\thave\tVBD\tB-VP\tO' +p173330 +aS'a\ta\tDT\tB-NP\tO' +p173331 +aS'stable\tstable\tJJ\tI-NP\tO' +p173332 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p173333 +aS'of\tof\tIN\tB-PP\tO' +p173334 +aS'30%\t30%\tCD\tB-NP\tO' +p173335 +aS'with\twith\tIN\tB-PP\tO' +p173336 +aS'CPK\tCPK\tNN\tB-NP\tB-protein' +p173337 +aS''s\t'\tNNS\tI-NP\tI-protein' +p173338 +aS'postoperatively\tpostoperatively\tRB\tB-NP\tO' +p173339 +aS'maximum\tmaximum\tJJ\tI-NP\tO' +p173340 +aS'MB\tMB\tNN\tI-NP\tO' +p173341 +aS'fraction\tfraction\tNN\tI-NP\tO' +p173342 +aS'of\tof\tIN\tB-PP\tO' +p173343 +aS'78\t78\tCD\tB-NP\tO' +p173344 +aS'.\t.\t.\tO\tO' +p173345 +asS'The patient is a full code .' +p173346 +(lp173347 +S'The\tThe\tDT\tB-NP\tO' +p173348 +aS'patient\tpatient\tNN\tI-NP\tO' +p173349 +aS'is\tbe\tVBZ\tB-VP\tO' +p173350 +aS'a\ta\tDT\tB-NP\tO' +p173351 +aS'full\tfull\tJJ\tI-NP\tO' +p173352 +aS'code\tcode\tNN\tI-NP\tO' +p173353 +aS'.\t.\t.\tO\tO' +p173354 +asS'By virtue of discussions on 06-28 the patient was deemed to be CMO and all antibiotics were withdrawn at this point .' +p173355 +(lp173356 +S'By\tBy\tIN\tB-PP\tO' +p173357 +aS'virtue\tvirtue\tNN\tB-NP\tO' +p173358 +aS'of\tof\tIN\tB-PP\tO' +p173359 +aS'discussions\tdiscussion\tNNS\tB-NP\tO' +p173360 +aS'on\ton\tIN\tB-PP\tO' +p173361 +aS'06-28\t06-28\tCD\tB-NP\tO' +p173362 +aS'the\tthe\tDT\tB-NP\tO' +p173363 +aS'patient\tpatient\tNN\tI-NP\tO' +p173364 +aS'was\tbe\tVBD\tB-VP\tO' +p173365 +aS'deemed\tdeem\tVBN\tI-VP\tO' +p173366 +aS'to\tto\tTO\tI-VP\tO' +p173367 +aS'be\tbe\tVB\tI-VP\tO' +p173368 +aS'CMO\tCMO\tNN\tB-NP\tB-protein' +p173369 +aS'and\tand\tCC\tO\tO' +p173370 +aS'all\tall\tDT\tB-NP\tO' +p173371 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p173372 +aS'were\tbe\tVBD\tB-VP\tO' +p173373 +aS'withdrawn\twithdraw\tVBN\tI-VP\tO' +p173374 +aS'at\tat\tIN\tB-PP\tO' +p173375 +aS'this\tthis\tDT\tB-NP\tO' +p173376 +aS'point\tpoint\tNN\tI-NP\tO' +p173377 +aS'.\t.\t.\tO\tO' +p173378 +asS'No heavy lifting , greater than 10 pounds .' +p173379 +(lp173380 +S'No\tNo\tDT\tB-NP\tO' +p173381 +aS'heavy\theavy\tJJ\tI-NP\tO' +p173382 +aS'lifting\tlifting\tNN\tI-NP\tO' +p173383 +aS',\t,\t,\tO\tO' +p173384 +aS'greater\tgreat\tJJR\tB-NP\tO' +p173385 +aS'than\tthan\tIN\tI-NP\tO' +p173386 +aS'10\t10\tCD\tI-NP\tO' +p173387 +aS'pounds\tpound\tNNS\tI-NP\tO' +p173388 +aS'.\t.\t.\tO\tO' +p173389 +asS'Thallium images revealed a moderate sized region of ischemic but viable myocardium involving the anteroseptal and lateral segments of the left ventricle .' +p173390 +(lp173391 +S'Thallium\tThallium\tNN\tB-NP\tO' +p173392 +aS'images\timage\tNNS\tI-NP\tO' +p173393 +aS'revealed\treveal\tVBD\tB-VP\tO' +p173394 +aS'a\ta\tDT\tB-NP\tO' +p173395 +aS'moderate\tmoderate\tJJ\tI-NP\tO' +p173396 +aS'sized\tsized\tJJ\tI-NP\tO' +p173397 +aS'region\tregion\tNN\tI-NP\tO' +p173398 +aS'of\tof\tIN\tB-PP\tO' +p173399 +aS'ischemic\tischemic\tJJ\tB-NP\tO' +p173400 +aS'but\tbut\tCC\tI-NP\tO' +p173401 +aS'viable\tviable\tJJ\tI-NP\tO' +p173402 +aS'myocardium\tmyocardium\tNN\tI-NP\tO' +p173403 +aS'involving\tinvolve\tVBG\tB-VP\tO' +p173404 +aS'the\tthe\tDT\tB-NP\tO' +p173405 +aS'anteroseptal\tanteroseptal\tJJ\tI-NP\tO' +p173406 +aS'and\tand\tCC\tI-NP\tO' +p173407 +aS'lateral\tlateral\tJJ\tI-NP\tO' +p173408 +aS'segments\tsegment\tNNS\tI-NP\tO' +p173409 +aS'of\tof\tIN\tB-PP\tO' +p173410 +aS'the\tthe\tDT\tB-NP\tO' +p173411 +aS'left\tleft\tJJ\tI-NP\tO' +p173412 +aS'ventricle\tventricle\tNN\tI-NP\tO' +p173413 +aS'.\t.\t.\tO\tO' +p173414 +asS'2. Dr Fisher in General surgery , 1 week , call his office for an appointment .' +p173415 +(lp173416 +S'2.\t2.\tLS\tB-NP\tO' +p173417 +aS'Dr\tDr\tNNP\tI-NP\tO' +p173418 +aS'Fisher\tFisher\tNNP\tI-NP\tO' +p173419 +aS'in\tin\tIN\tB-PP\tO' +p173420 +aS'General\tGeneral\tNNP\tB-NP\tO' +p173421 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p173422 +aS',\t,\t,\tO\tO' +p173423 +aS'1\t1\tCD\tB-NP\tO' +p173424 +aS'week\tweek\tNN\tI-NP\tO' +p173425 +aS',\t,\t,\tO\tO' +p173426 +aS'call\tcall\tVB\tB-VP\tO' +p173427 +aS'his\this\tPRP$\tB-NP\tO' +p173428 +aS'office\toffice\tNN\tI-NP\tO' +p173429 +aS'for\tfor\tIN\tB-PP\tO' +p173430 +aS'an\tan\tDT\tB-NP\tO' +p173431 +aS'appointment\tappointment\tNN\tI-NP\tO' +p173432 +aS'.\t.\t.\tO\tO' +p173433 +asS'1. Sertraline 100 mg Tablet Sig : Two ( 2 ) Tablet PO DAILY ( Daily ) .' +p173434 +(lp173435 +S'1.\t1.\tLS\tB-NP\tO' +p173436 +aS'Sertraline\tSertraline\tNN\tI-NP\tO' +p173437 +aS'100\t100\tCD\tI-NP\tO' +p173438 +aS'mg\tmg\tNN\tI-NP\tO' +p173439 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p173440 +aS'Sig\tSig\tNNP\tI-NP\tO' +p173441 +aS':\t:\t:\tO\tO' +p173442 +aS'Two\tTwo\tCD\tB-NP\tO' +p173443 +aS'(\t(\t(\tO\tO' +p173444 +aS'2\t2\tCD\tO\tO' +p173445 +aS')\t)\t)\tO\tO' +p173446 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p173447 +aS'PO\tPO\tNN\tI-NP\tO' +p173448 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p173449 +aS'(\t(\t(\tO\tO' +p173450 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p173451 +aS')\t)\t)\tO\tO' +p173452 +aS'.\t.\t.\tO\tO' +p173453 +asS'regular rate , normal s1s2 , no murmur' +p173454 +(lp173455 +S'regular\tregular\tJJ\tB-NP\tO' +p173456 +aS'rate\trate\tNN\tI-NP\tO' +p173457 +aS',\t,\t,\tO\tO' +p173458 +aS'normal\tnormal\tJJ\tB-NP\tO' +p173459 +aS's1s2\ts1s2\tNN\tI-NP\tO' +p173460 +aS',\t,\t,\tO\tO' +p173461 +aS'no\tno\tDT\tB-NP\tO' +p173462 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p173463 +asS'LUNGS - Clear .' +p173464 +(lp173465 +S'LUNGS\tLUNGS\tNN\tB-NP\tB-protein' +p173466 +aS'-\t-\tHYPH\tI-NP\tO' +p173467 +aS'Clear\tClear\tNN\tI-NP\tO' +p173468 +aS'.\t.\t.\tO\tO' +p173469 +asS'hydrochlorothiazide 50 mg. PO qday , KayCiel 40 mEq. b.i.d. , Ecotrin 1 tablet qday , Ferrous sulfate 325 mg. PO b.i.d. , Folate 1 mg. PO qday , multivitamins one tablet qday , Tylenol # 3 1 to 2 PO q3hours PRN .' +p173470 +(lp173471 +S'hydrochlorothiazide\thydrochlorothiazide\tNN\tB-NP\tO' +p173472 +aS'50\t50\tCD\tI-NP\tO' +p173473 +aS'mg.\tmg.\tNN\tI-NP\tO' +p173474 +aS'PO\tPO\tNN\tI-NP\tO' +p173475 +aS'qday\tqday\tNN\tI-NP\tO' +p173476 +aS',\t,\t,\tO\tO' +p173477 +aS'KayCiel\tKayCiel\tNNP\tB-NP\tO' +p173478 +aS'40\t40\tCD\tI-NP\tO' +p173479 +aS'mEq.\tmEq.\tNNP\tI-NP\tO' +p173480 +aS'b.i.d.\tb.i.d.\tNNP\tI-NP\tO' +p173481 +aS',\t,\t,\tO\tO' +p173482 +aS'Ecotrin\tEcotrin\tNN\tB-NP\tO' +p173483 +aS'1\t1\tCD\tI-NP\tO' +p173484 +aS'tablet\ttablet\tNN\tI-NP\tO' +p173485 +aS'qday\tqday\tNN\tI-NP\tO' +p173486 +aS',\t,\t,\tO\tO' +p173487 +aS'Ferrous\tFerrous\tJJ\tB-NP\tO' +p173488 +aS'sulfate\tsulfate\tNN\tI-NP\tO' +p173489 +aS'325\t325\tCD\tI-NP\tO' +p173490 +aS'mg.\tmg.\tNN\tI-NP\tO' +p173491 +aS'PO\tPO\tNN\tI-NP\tO' +p173492 +aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' +p173493 +aS',\t,\t,\tO\tO' +p173494 +aS'Folate\tFolate\tNNP\tB-NP\tO' +p173495 +aS'1\t1\tCD\tI-NP\tO' +p173496 +aS'mg.\tmg.\tNN\tI-NP\tO' +p173497 +aS'PO\tPO\tNN\tI-NP\tO' +p173498 +aS'qday\tqday\tNN\tI-NP\tO' +p173499 +aS',\t,\t,\tO\tO' +p173500 +aS'multivitamins\tmultivitamin\tVBZ\tB-VP\tO' +p173501 +aS'one\tone\tCD\tB-NP\tO' +p173502 +aS'tablet\ttablet\tNN\tI-NP\tO' +p173503 +aS'qday\tqday\tNN\tI-NP\tO' +p173504 +aS',\t,\t,\tO\tO' +p173505 +aS'Tylenol\tTylenol\tNN\tB-NP\tB-protein' +p173506 +aS'#\t#\t#\tB-NP\tI-protein' +p173507 +aS'3\t3\tCD\tI-NP\tI-protein' +p173508 +aS'1\t1\tCD\tI-NP\tI-protein' +p173509 +aS'to\tto\tTO\tI-NP\tO' +p173510 +aS'2\t2\tCD\tI-NP\tO' +p173511 +aS'PO\tPO\tNN\tI-NP\tO' +p173512 +aS'q3hours\tq3hour\tNNS\tI-NP\tO' +p173513 +aS'PRN\tPRN\tNN\tI-NP\tO' +p173514 +aS'.\t.\t.\tO\tO' +p173515 +asS'The patient was initially diagnosed in 1978 with atypical small cell carcinoma of the lung and treated with chemotherapy and radiation therapy until 1980 .' +p173516 +(lp173517 +S'The\tThe\tDT\tB-NP\tO' +p173518 +aS'patient\tpatient\tNN\tI-NP\tO' +p173519 +aS'was\tbe\tVBD\tB-VP\tO' +p173520 +aS'initially\tinitially\tRB\tI-VP\tO' +p173521 +aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' +p173522 +aS'in\tin\tIN\tB-PP\tO' +p173523 +aS'1978\t1978\tCD\tB-NP\tO' +p173524 +aS'with\twith\tIN\tB-PP\tO' +p173525 +aS'atypical\tatypical\tJJ\tB-NP\tO' +p173526 +aS'small\tsmall\tJJ\tI-NP\tO' +p173527 +aS'cell\tcell\tNN\tI-NP\tO' +p173528 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p173529 +aS'of\tof\tIN\tB-PP\tO' +p173530 +aS'the\tthe\tDT\tB-NP\tO' +p173531 +aS'lung\tlung\tNN\tI-NP\tO' +p173532 +aS'and\tand\tCC\tO\tO' +p173533 +aS'treated\ttreat\tVBN\tB-VP\tO' +p173534 +aS'with\twith\tIN\tB-PP\tO' +p173535 +aS'chemotherapy\tchemotherapy\tNN\tB-NP\tO' +p173536 +aS'and\tand\tCC\tI-NP\tO' +p173537 +aS'radiation\tradiation\tNN\tI-NP\tO' +p173538 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p173539 +aS'until\tuntil\tIN\tB-PP\tO' +p173540 +aS'1980\t1980\tCD\tB-NP\tO' +p173541 +aS'.\t.\t.\tO\tO' +p173542 +asS'As will be discussed in the Infectious Disease section , he developed an episode of what appeared to be sepsis , and his white blood cell count peaked at 23 .' +p173543 +(lp173544 +S'As\tAs\tIN\tB-SBAR\tO' +p173545 +aS'will\twill\tMD\tB-VP\tO' +p173546 +aS'be\tbe\tVB\tI-VP\tO' +p173547 +aS'discussed\tdiscuss\tVBN\tI-VP\tO' +p173548 +aS'in\tin\tIN\tB-PP\tO' +p173549 +aS'the\tthe\tDT\tB-NP\tO' +p173550 +aS'Infectious\tInfectious\tJJ\tI-NP\tO' +p173551 +aS'Disease\tDisease\tNN\tI-NP\tO' +p173552 +aS'section\tsection\tNN\tI-NP\tO' +p173553 +aS',\t,\t,\tO\tO' +p173554 +aS'he\the\tPRP\tB-NP\tO' +p173555 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p173556 +aS'an\tan\tDT\tB-NP\tO' +p173557 +aS'episode\tepisode\tNN\tI-NP\tO' +p173558 +aS'of\tof\tIN\tB-PP\tO' +p173559 +aS'what\twhat\tWP\tB-NP\tO' +p173560 +aS'appeared\tappear\tVBD\tB-VP\tO' +p173561 +aS'to\tto\tTO\tI-VP\tO' +p173562 +aS'be\tbe\tVB\tI-VP\tO' +p173563 +aS'sepsis\tsepsis\tNN\tB-NP\tO' +p173564 +aS',\t,\t,\tO\tO' +p173565 +aS'and\tand\tCC\tO\tO' +p173566 +aS'his\this\tPRP$\tB-NP\tO' +p173567 +aS'white\twhite\tJJ\tI-NP\tO' +p173568 +aS'blood\tblood\tNN\tI-NP\tO' +p173569 +aS'cell\tcell\tNN\tI-NP\tO' +p173570 +aS'count\tcount\tNN\tI-NP\tO' +p173571 +aS'peaked\tpeak\tVBD\tB-VP\tO' +p173572 +aS'at\tat\tIN\tB-PP\tO' +p173573 +aS'23\t23\tCD\tB-NP\tO' +p173574 +aS'.\t.\t.\tO\tO' +p173575 +asS'It is recommended that you receive follow-up care with the Department of Orthopaedics if your symptoms are not improved in 5-7 days .' +p173576 +(lp173577 +S'It\tIt\tPRP\tB-NP\tO' +p173578 +aS'is\tbe\tVBZ\tB-VP\tO' +p173579 +aS'recommended\trecommend\tVBN\tI-VP\tO' +p173580 +aS'that\tthat\tIN\tB-SBAR\tO' +p173581 +aS'you\tyou\tPRP\tB-NP\tO' +p173582 +aS'receive\treceive\tVBP\tB-VP\tO' +p173583 +aS'follow-up\tfollow-up\tJJ\tB-NP\tO' +p173584 +aS'care\tcare\tNN\tI-NP\tO' +p173585 +aS'with\twith\tIN\tB-PP\tO' +p173586 +aS'the\tthe\tDT\tB-NP\tO' +p173587 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p173588 +aS'of\tof\tIN\tB-PP\tO' +p173589 +aS'Orthopaedics\tOrthopaedics\tNNP\tB-NP\tO' +p173590 +aS'if\tif\tIN\tB-SBAR\tO' +p173591 +aS'your\tyour\tPRP$\tB-NP\tO' +p173592 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p173593 +aS'are\tbe\tVBP\tB-VP\tO' +p173594 +aS'not\tnot\tRB\tI-VP\tO' +p173595 +aS'improved\timprove\tVBN\tI-VP\tO' +p173596 +aS'in\tin\tIN\tB-PP\tO' +p173597 +aS'5-7\t5-7\tCD\tB-NP\tO' +p173598 +aS'days\tday\tNNS\tI-NP\tO' +p173599 +aS'.\t.\t.\tO\tO' +p173600 +asS'No arteriovenous malformations are identified ; there is no evidence of recurrence of her former vascular malformation .' +p173601 +(lp173602 +S'No\tNo\tDT\tB-NP\tO' +p173603 +aS'arteriovenous\tarteriovenous\tJJ\tI-NP\tO' +p173604 +aS'malformations\tmalformation\tNNS\tI-NP\tO' +p173605 +aS'are\tbe\tVBP\tB-VP\tO' +p173606 +aS'identified\tidentify\tVBN\tI-VP\tO' +p173607 +aS';\t;\t:\tO\tO' +p173608 +aS'there\tthere\tEX\tB-NP\tO' +p173609 +aS'is\tbe\tVBZ\tB-VP\tO' +p173610 +aS'no\tno\tDT\tB-NP\tO' +p173611 +aS'evidence\tevidence\tNN\tI-NP\tO' +p173612 +aS'of\tof\tIN\tB-PP\tO' +p173613 +aS'recurrence\trecurrence\tNN\tB-NP\tO' +p173614 +aS'of\tof\tIN\tB-PP\tO' +p173615 +aS'her\ther\tPRP$\tB-NP\tO' +p173616 +aS'former\tformer\tJJ\tI-NP\tO' +p173617 +aS'vascular\tvascular\tJJ\tI-NP\tO' +p173618 +aS'malformation\tmalformation\tNN\tI-NP\tO' +p173619 +aS'.\t.\t.\tO\tO' +p173620 +asS'Social History : see dc summary' +p173621 +(lp173622 +S'Social\tSocial\tNNP\tB-NP\tO' +p173623 +aS'History\tHistory\tNNP\tI-NP\tO' +p173624 +aS':\t:\t:\tO\tO' +p173625 +aS'see\tsee\tVB\tB-VP\tO' +p173626 +aS'dc\tdc\tNN\tB-NP\tO' +p173627 +aS'summary\tsummary\tNN\tI-NP\tO' +p173628 +asS'His blood pressure was 220/110 there .' +p173629 +(lp173630 +S'His\tHis\tPRP$\tB-NP\tO' +p173631 +aS'blood\tblood\tNN\tI-NP\tO' +p173632 +aS'pressure\tpressure\tNN\tI-NP\tO' +p173633 +aS'was\tbe\tVBD\tB-VP\tO' +p173634 +aS'220/110\t220/110\tCD\tB-NP\tO' +p173635 +aS'there\tthere\tRB\tB-ADVP\tO' +p173636 +aS'.\t.\t.\tO\tO' +p173637 +asS'He works as a jeweler .' +p173638 +(lp173639 +S'He\tHe\tPRP\tB-NP\tO' +p173640 +aS'works\twork\tVBZ\tB-VP\tO' +p173641 +aS'as\tas\tIN\tB-PP\tO' +p173642 +aS'a\ta\tDT\tB-NP\tO' +p173643 +aS'jeweler\tjeweler\tNN\tI-NP\tO' +p173644 +aS'.\t.\t.\tO\tO' +p173645 +asS'She did not have any untoward affects or allergic reactions to the procedure .' +p173646 +(lp173647 +S'She\tShe\tPRP\tB-NP\tO' +p173648 +aS'did\tdo\tVBD\tB-VP\tO' +p173649 +aS'not\tnot\tRB\tI-VP\tO' +p173650 +aS'have\thave\tVB\tI-VP\tO' +p173651 +aS'any\tany\tDT\tB-NP\tO' +p173652 +aS'untoward\tuntoward\tJJ\tI-NP\tO' +p173653 +aS'affects\taffect\tNNS\tI-NP\tO' +p173654 +aS'or\tor\tCC\tO\tO' +p173655 +aS'allergic\tallergic\tJJ\tB-NP\tO' +p173656 +aS'reactions\treaction\tNNS\tI-NP\tO' +p173657 +aS'to\tto\tTO\tB-PP\tO' +p173658 +aS'the\tthe\tDT\tB-NP\tO' +p173659 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p173660 +aS'.\t.\t.\tO\tO' +p173661 +asS'The patient was a robust white female in no acute distress , afebrile , blood pressure 165/80 .' +p173662 +(lp173663 +S'The\tThe\tDT\tB-NP\tO' +p173664 +aS'patient\tpatient\tNN\tI-NP\tO' +p173665 +aS'was\tbe\tVBD\tB-VP\tO' +p173666 +aS'a\ta\tDT\tB-NP\tO' +p173667 +aS'robust\trobust\tJJ\tI-NP\tO' +p173668 +aS'white\twhite\tJJ\tI-NP\tO' +p173669 +aS'female\tfemale\tNN\tI-NP\tO' +p173670 +aS'in\tin\tIN\tB-PP\tO' +p173671 +aS'no\tno\tDT\tB-NP\tO' +p173672 +aS'acute\tacute\tJJ\tI-NP\tO' +p173673 +aS'distress\tdistress\tNN\tI-NP\tO' +p173674 +aS',\t,\t,\tO\tO' +p173675 +aS'afebrile\tafebrile\tNN\tB-NP\tO' +p173676 +aS',\t,\t,\tO\tO' +p173677 +aS'blood\tblood\tNN\tB-NP\tO' +p173678 +aS'pressure\tpressure\tNN\tI-NP\tO' +p173679 +aS'165/80\t165/80\tCD\tI-NP\tO' +p173680 +aS'.\t.\t.\tO\tO' +p173681 +asS'Her oropharynx is clear .' +p173682 +(lp173683 +S'Her\tHer\tPRP$\tB-NP\tO' +p173684 +aS'oropharynx\toropharynx\tNN\tI-NP\tO' +p173685 +aS'is\tbe\tVBZ\tB-VP\tO' +p173686 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p173687 +aS'.\t.\t.\tO\tO' +p173688 +asS'Total body volume overloaded .' +p173689 +(lp173690 +S'Total\tTotal\tJJ\tB-NP\tO' +p173691 +aS'body\tbody\tNN\tI-NP\tO' +p173692 +aS'volume\tvolume\tNN\tI-NP\tO' +p173693 +aS'overloaded\toverload\tVBD\tB-VP\tO' +p173694 +aS'.\t.\t.\tO\tO' +p173695 +asS'The patient had an extensive estimated blood loss requiring multiple blood products and fluid resuscitation therapy .' +p173696 +(lp173697 +S'The\tThe\tDT\tB-NP\tO' +p173698 +aS'patient\tpatient\tNN\tI-NP\tO' +p173699 +aS'had\thave\tVBD\tB-VP\tO' +p173700 +aS'an\tan\tDT\tB-NP\tO' +p173701 +aS'extensive\textensive\tJJ\tI-NP\tO' +p173702 +aS'estimated\testimate\tVBN\tI-NP\tO' +p173703 +aS'blood\tblood\tNN\tI-NP\tO' +p173704 +aS'loss\tloss\tNN\tI-NP\tO' +p173705 +aS'requiring\trequire\tVBG\tB-VP\tO' +p173706 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p173707 +aS'blood\tblood\tNN\tI-NP\tO' +p173708 +aS'products\tproduct\tNNS\tI-NP\tO' +p173709 +aS'and\tand\tCC\tO\tO' +p173710 +aS'fluid\tfluid\tNN\tB-NP\tO' +p173711 +aS'resuscitation\tresuscitation\tNN\tI-NP\tO' +p173712 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p173713 +aS'.\t.\t.\tO\tO' +p173714 +asS'The patient is to followup in Neurology clinic , Verg Medical Center with Dr. Deida K. Areke and / or Dr. Istranmuna Cord in 4-6 weeks time .' +p173715 +(lp173716 +S'The\tThe\tDT\tB-NP\tO' +p173717 +aS'patient\tpatient\tNN\tI-NP\tO' +p173718 +aS'is\tbe\tVBZ\tB-VP\tO' +p173719 +aS'to\tto\tTO\tB-VP\tO' +p173720 +aS'followup\tfollowup\tVB\tI-VP\tO' +p173721 +aS'in\tin\tIN\tB-PP\tO' +p173722 +aS'Neurology\tNeurology\tNNP\tB-NP\tO' +p173723 +aS'clinic\tclinic\tNN\tI-NP\tO' +p173724 +aS',\t,\t,\tO\tO' +p173725 +aS'Verg\tVerg\tNNP\tB-NP\tO' +p173726 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p173727 +aS'Center\tCenter\tNNP\tI-NP\tO' +p173728 +aS'with\twith\tIN\tB-PP\tO' +p173729 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p173730 +aS'Deida\tDeida\tNNP\tI-NP\tO' +p173731 +aS'K.\tK.\tNNP\tI-NP\tO' +p173732 +aS'Areke\tAreke\tNNP\tI-NP\tO' +p173733 +aS'and\tand\tCC\tO\tO' +p173734 +aS'/\t/\tSYM\tB-NP\tO' +p173735 +aS'or\tor\tCC\tO\tO' +p173736 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p173737 +aS'Istranmuna\tIstranmuna\tNNP\tI-NP\tO' +p173738 +aS'Cord\tCord\tNNP\tI-NP\tO' +p173739 +aS'in\tin\tIN\tB-PP\tO' +p173740 +aS'4-6\t4-6\tCD\tB-NP\tO' +p173741 +aS'weeks\tweek\tNNS\tI-NP\tO' +p173742 +aS'time\ttime\tNN\tI-NP\tO' +p173743 +aS'.\t.\t.\tO\tO' +p173744 +asS'She will be actively involved in encouraging the patient to comply with this medical regimen and also to follow up with Dr. Amesin as well as Dr. Lfsquarc on the outside .' +p173745 +(lp173746 +S'She\tShe\tPRP\tB-NP\tO' +p173747 +aS'will\twill\tMD\tB-VP\tO' +p173748 +aS'be\tbe\tVB\tI-VP\tO' +p173749 +aS'actively\tactively\tRB\tI-VP\tO' +p173750 +aS'involved\tinvolve\tVBN\tI-VP\tO' +p173751 +aS'in\tin\tIN\tB-PP\tO' +p173752 +aS'encouraging\tencourage\tVBG\tB-VP\tO' +p173753 +aS'the\tthe\tDT\tB-NP\tO' +p173754 +aS'patient\tpatient\tNN\tI-NP\tO' +p173755 +aS'to\tto\tTO\tB-VP\tO' +p173756 +aS'comply\tcomply\tVB\tI-VP\tO' +p173757 +aS'with\twith\tIN\tB-PP\tO' +p173758 +aS'this\tthis\tDT\tB-NP\tO' +p173759 +aS'medical\tmedical\tJJ\tI-NP\tO' +p173760 +aS'regimen\tregimen\tNN\tI-NP\tO' +p173761 +aS'and\tand\tCC\tO\tO' +p173762 +aS'also\talso\tRB\tB-ADVP\tO' +p173763 +aS'to\tto\tTO\tB-VP\tO' +p173764 +aS'follow\tfollow\tVB\tI-VP\tO' +p173765 +aS'up\tup\tRP\tB-PRT\tO' +p173766 +aS'with\twith\tIN\tB-PP\tO' +p173767 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p173768 +aS'Amesin\tAmesin\tNNP\tI-NP\tO' +p173769 +aS'as\tas\tRB\tB-CONJP\tO' +p173770 +aS'well\twell\tRB\tI-CONJP\tO' +p173771 +aS'as\tas\tIN\tI-CONJP\tO' +p173772 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p173773 +aS'Lfsquarc\tLfsquarc\tNNP\tI-NP\tO' +p173774 +aS'on\ton\tIN\tB-PP\tO' +p173775 +aS'the\tthe\tDT\tB-NP\tO' +p173776 +aS'outside\toutside\tNN\tI-NP\tO' +p173777 +aS'.\t.\t.\tO\tO' +p173778 +asS'Hytrin 2mg at bedtime .' +p173779 +(lp173780 +S'Hytrin\tHytrin\tNN\tB-NP\tO' +p173781 +aS'2mg\t2mg\tNN\tI-NP\tO' +p173782 +aS'at\tat\tIN\tB-PP\tO' +p173783 +aS'bedtime\tbedtime\tNN\tB-NP\tO' +p173784 +aS'.\t.\t.\tO\tO' +p173785 +asS'The skin was normal .' +p173786 +(lp173787 +S'The\tThe\tDT\tB-NP\tO' +p173788 +aS'skin\tskin\tNN\tI-NP\tO' +p173789 +aS'was\tbe\tVBD\tB-VP\tO' +p173790 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p173791 +aS'.\t.\t.\tO\tO' +p173792 +asS'2. Exposure and wide drainage of perforated posterior duodenal ulcer with internal and external drainage .' +p173793 +(lp173794 +S'2.\t2.\tLS\tB-NP\tO' +p173795 +aS'Exposure\tExposure\tNN\tI-NP\tO' +p173796 +aS'and\tand\tCC\tO\tO' +p173797 +aS'wide\twide\tJJ\tB-NP\tO' +p173798 +aS'drainage\tdrainage\tNN\tI-NP\tO' +p173799 +aS'of\tof\tIN\tB-PP\tO' +p173800 +aS'perforated\tperforate\tVBN\tB-NP\tO' +p173801 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p173802 +aS'duodenal\tduodenal\tJJ\tI-NP\tO' +p173803 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p173804 +aS'with\twith\tIN\tB-PP\tO' +p173805 +aS'internal\tinternal\tJJ\tB-NP\tO' +p173806 +aS'and\tand\tCC\tI-NP\tO' +p173807 +aS'external\texternal\tJJ\tI-NP\tO' +p173808 +aS'drainage\tdrainage\tNN\tI-NP\tO' +p173809 +aS'.\t.\t.\tO\tO' +p173810 +asS'the jugular venous pressure was seven centimeters , carotid upstroke normal .' +p173811 +(lp173812 +S'the\tthe\tDT\tB-NP\tO' +p173813 +aS'jugular\tjugular\tJJ\tI-NP\tO' +p173814 +aS'venous\tvenous\tJJ\tI-NP\tO' +p173815 +aS'pressure\tpressure\tNN\tI-NP\tO' +p173816 +aS'was\tbe\tVBD\tB-VP\tO' +p173817 +aS'seven\tseven\tCD\tB-NP\tO' +p173818 +aS'centimeters\tcentimeter\tNNS\tI-NP\tO' +p173819 +aS',\t,\t,\tO\tO' +p173820 +aS'carotid\tcarotid\tVBD\tB-VP\tO' +p173821 +aS'upstroke\tupstroke\tRB\tB-ADJP\tO' +p173822 +aS'normal\tnormal\tJJ\tI-ADJP\tO' +p173823 +aS'.\t.\t.\tO\tO' +p173824 +asS'Overnight he spiked a fever to 103 and his WBC climbed from 11 to 13 .' +p173825 +(lp173826 +S'Overnight\tOvernight\tRB\tB-ADVP\tO' +p173827 +aS'he\the\tPRP\tB-NP\tO' +p173828 +aS'spiked\tspike\tVBD\tB-VP\tO' +p173829 +aS'a\ta\tDT\tB-NP\tO' +p173830 +aS'fever\tfever\tNN\tI-NP\tO' +p173831 +aS'to\tto\tTO\tB-PP\tO' +p173832 +aS'103\t103\tCD\tB-NP\tO' +p173833 +aS'and\tand\tCC\tO\tO' +p173834 +aS'his\this\tPRP$\tB-NP\tO' +p173835 +aS'WBC\tWBC\tNNP\tI-NP\tB-cell_type' +p173836 +aS'climbed\tclimb\tVBD\tB-VP\tO' +p173837 +aS'from\tfrom\tIN\tB-PP\tO' +p173838 +aS'11\t11\tCD\tB-NP\tO' +p173839 +aS'to\tto\tTO\tB-PP\tO' +p173840 +aS'13\t13\tCD\tB-NP\tO' +p173841 +aS'.\t.\t.\tO\tO' +p173842 +asS'The patient was currently at Hubbard Regional Hospital and began to develop worsening SOB for the past 5 days .' +p173843 +(lp173844 +S'The\tThe\tDT\tB-NP\tO' +p173845 +aS'patient\tpatient\tNN\tI-NP\tO' +p173846 +aS'was\tbe\tVBD\tB-VP\tO' +p173847 +aS'currently\tcurrently\tRB\tB-ADVP\tO' +p173848 +aS'at\tat\tIN\tB-PP\tO' +p173849 +aS'Hubbard\tHubbard\tNNP\tB-NP\tO' +p173850 +aS'Regional\tRegional\tNNP\tI-NP\tO' +p173851 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p173852 +aS'and\tand\tCC\tO\tO' +p173853 +aS'began\tbegin\tVBD\tB-VP\tO' +p173854 +aS'to\tto\tTO\tI-VP\tO' +p173855 +aS'develop\tdevelop\tVB\tI-VP\tO' +p173856 +aS'worsening\tworsen\tVBG\tI-VP\tO' +p173857 +aS'SOB\tSOB\tNN\tB-NP\tB-protein' +p173858 +aS'for\tfor\tIN\tB-PP\tO' +p173859 +aS'the\tthe\tDT\tB-NP\tO' +p173860 +aS'past\tpast\tJJ\tI-NP\tO' +p173861 +aS'5\t5\tCD\tI-NP\tO' +p173862 +aS'days\tday\tNNS\tI-NP\tO' +p173863 +aS'.\t.\t.\tO\tO' +p173864 +asS'He works as a counselor at an alcohol and drug treatment facility for teenagers .' +p173865 +(lp173866 +S'He\tHe\tPRP\tB-NP\tO' +p173867 +aS'works\twork\tVBZ\tB-VP\tO' +p173868 +aS'as\tas\tIN\tB-PP\tO' +p173869 +aS'a\ta\tDT\tB-NP\tO' +p173870 +aS'counselor\tcounselor\tNN\tI-NP\tO' +p173871 +aS'at\tat\tIN\tB-PP\tO' +p173872 +aS'an\tan\tDT\tB-NP\tO' +p173873 +aS'alcohol\talcohol\tNN\tI-NP\tO' +p173874 +aS'and\tand\tCC\tI-NP\tO' +p173875 +aS'drug\tdrug\tNN\tI-NP\tO' +p173876 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p173877 +aS'facility\tfacility\tNN\tI-NP\tO' +p173878 +aS'for\tfor\tIN\tB-PP\tO' +p173879 +aS'teenagers\tteenager\tNNS\tB-NP\tO' +p173880 +aS'.\t.\t.\tO\tO' +p173881 +asS'He had 2+ dorsalis pedis and posterior tibial pulses bilaterally .' +p173882 +(lp173883 +S'He\tHe\tPRP\tB-NP\tO' +p173884 +aS'had\thave\tVBD\tB-VP\tO' +p173885 +aS'2+\t2+\tJJ\tB-NP\tO' +p173886 +aS'dorsalis\tdorsalis\tNN\tI-NP\tO' +p173887 +aS'pedis\tpedis\tNN\tI-NP\tO' +p173888 +aS'and\tand\tCC\tO\tO' +p173889 +aS'posterior\tposterior\tJJ\tB-NP\tO' +p173890 +aS'tibial\ttibial\tJJ\tI-NP\tO' +p173891 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p173892 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p173893 +aS'.\t.\t.\tO\tO' +p173894 +asS'Regular rate and rhythm , normal S1 and S2 , no murmurs , gallops and rubs .' +p173895 +(lp173896 +S'Regular\tRegular\tJJ\tB-NP\tO' +p173897 +aS'rate\trate\tNN\tI-NP\tO' +p173898 +aS'and\tand\tCC\tI-NP\tO' +p173899 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p173900 +aS',\t,\t,\tO\tO' +p173901 +aS'normal\tnormal\tJJ\tB-NP\tO' +p173902 +aS'S1\tS1\tNN\tI-NP\tB-protein' +p173903 +aS'and\tand\tCC\tO\tO' +p173904 +aS'S2\tS2\tNN\tB-NP\tB-protein' +p173905 +aS',\t,\t,\tO\tO' +p173906 +aS'no\tno\tDT\tB-NP\tO' +p173907 +aS'murmurs\tmurmur\tNNS\tI-NP\tO' +p173908 +aS',\t,\t,\tI-NP\tO' +p173909 +aS'gallops\tgallop\tNNS\tI-NP\tO' +p173910 +aS'and\tand\tCC\tI-NP\tO' +p173911 +aS'rubs\trub\tNNS\tI-NP\tO' +p173912 +aS'.\t.\t.\tO\tO' +p173913 +asS'The patient had follow-up transthoracic echocardiogram on 11-04 which revealed a slightly large effusion .' +p173914 +(lp173915 +S'The\tThe\tDT\tB-NP\tO' +p173916 +aS'patient\tpatient\tNN\tI-NP\tO' +p173917 +aS'had\thave\tVBD\tB-VP\tO' +p173918 +aS'follow-up\tfollow-up\tJJ\tB-NP\tO' +p173919 +aS'transthoracic\ttransthoracic\tJJ\tI-NP\tO' +p173920 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p173921 +aS'on\ton\tIN\tB-PP\tO' +p173922 +aS'11-04\t11-04\tCD\tB-NP\tO' +p173923 +aS'which\twhich\tWDT\tB-NP\tO' +p173924 +aS'revealed\treveal\tVBD\tB-VP\tO' +p173925 +aS'a\ta\tDT\tB-NP\tO' +p173926 +aS'slightly\tslightly\tRB\tI-NP\tO' +p173927 +aS'large\tlarge\tJJ\tI-NP\tO' +p173928 +aS'effusion\teffusion\tNN\tI-NP\tO' +p173929 +aS'.\t.\t.\tO\tO' +p173930 +asS'He was extubated on postoperative day two .' +p173931 +(lp173932 +S'He\tHe\tPRP\tB-NP\tO' +p173933 +aS'was\tbe\tVBD\tB-VP\tO' +p173934 +aS'extubated\textubate\tVBN\tI-VP\tO' +p173935 +aS'on\ton\tIN\tB-PP\tO' +p173936 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p173937 +aS'day\tday\tNN\tI-NP\tO' +p173938 +aS'two\ttwo\tCD\tI-NP\tO' +p173939 +aS'.\t.\t.\tO\tO' +p173940 +asS'He is being transferred back to the Per Naplesspecrycet Hospital in stable condition on the same medications which he was on preoperatively .' +p173941 +(lp173942 +S'He\tHe\tPRP\tB-NP\tO' +p173943 +aS'is\tbe\tVBZ\tB-VP\tO' +p173944 +aS'being\tbe\tVBG\tI-VP\tO' +p173945 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p173946 +aS'back\tback\tRB\tB-ADVP\tO' +p173947 +aS'to\tto\tTO\tB-PP\tO' +p173948 +aS'the\tthe\tDT\tB-NP\tO' +p173949 +aS'Per\tPer\tNNP\tI-NP\tO' +p173950 +aS'Naplesspecrycet\tNaplesspecrycet\tNNP\tI-NP\tO' +p173951 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p173952 +aS'in\tin\tIN\tB-PP\tO' +p173953 +aS'stable\tstable\tJJ\tB-NP\tO' +p173954 +aS'condition\tcondition\tNN\tI-NP\tO' +p173955 +aS'on\ton\tIN\tB-PP\tO' +p173956 +aS'the\tthe\tDT\tB-NP\tO' +p173957 +aS'same\tsame\tJJ\tI-NP\tO' +p173958 +aS'medications\tmedication\tNNS\tI-NP\tO' +p173959 +aS'which\twhich\tWDT\tB-NP\tO' +p173960 +aS'he\the\tPRP\tB-NP\tO' +p173961 +aS'was\tbe\tVBD\tB-VP\tO' +p173962 +aS'on\ton\tIN\tB-PP\tO' +p173963 +aS'preoperatively\tpreoperatively\tRB\tB-ADVP\tO' +p173964 +aS'.\t.\t.\tO\tO' +p173965 +asS'Speaks in full sentences .' +p173966 +(lp173967 +S'Speaks\tSpeak\tNNS\tB-NP\tO' +p173968 +aS'in\tin\tIN\tB-PP\tO' +p173969 +aS'full\tfull\tJJ\tB-NP\tO' +p173970 +aS'sentences\tsentence\tNNS\tI-NP\tO' +p173971 +aS'.\t.\t.\tO\tO' +p173972 +asS'The patient , during this admission , required transfusion of three units of packed red blood cells to maintain adequate hematocrit .' +p173973 +(lp173974 +S'The\tThe\tDT\tB-NP\tO' +p173975 +aS'patient\tpatient\tNN\tI-NP\tO' +p173976 +aS',\t,\t,\tO\tO' +p173977 +aS'during\tduring\tIN\tB-PP\tO' +p173978 +aS'this\tthis\tDT\tB-NP\tO' +p173979 +aS'admission\tadmission\tNN\tI-NP\tO' +p173980 +aS',\t,\t,\tO\tO' +p173981 +aS'required\trequire\tVBD\tB-VP\tO' +p173982 +aS'transfusion\ttransfusion\tNN\tB-NP\tO' +p173983 +aS'of\tof\tIN\tB-PP\tO' +p173984 +aS'three\tthree\tCD\tB-NP\tO' +p173985 +aS'units\tunit\tNNS\tI-NP\tO' +p173986 +aS'of\tof\tIN\tB-PP\tO' +p173987 +aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' +p173988 +aS'red\tred\tJJ\tI-NP\tI-cell_type' +p173989 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p173990 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p173991 +aS'to\tto\tTO\tB-VP\tO' +p173992 +aS'maintain\tmaintain\tVB\tI-VP\tO' +p173993 +aS'adequate\tadequate\tJJ\tB-NP\tO' +p173994 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p173995 +aS'.\t.\t.\tO\tO' +p173996 +asS'Gastroesophageal reflux disease .' +p173997 +(lp173998 +S'Gastroesophageal\tGastroesophageal\tJJ\tB-NP\tO' +p173999 +aS'reflux\treflux\tNN\tI-NP\tO' +p174000 +aS'disease\tdisease\tNN\tI-NP\tO' +p174001 +aS'.\t.\t.\tO\tO' +p174002 +asS'The patient continued to do well and did not require restraints after that event .' +p174003 +(lp174004 +S'The\tThe\tDT\tB-NP\tO' +p174005 +aS'patient\tpatient\tNN\tI-NP\tO' +p174006 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p174007 +aS'to\tto\tTO\tI-VP\tO' +p174008 +aS'do\tdo\tVB\tI-VP\tO' +p174009 +aS'well\twell\tRB\tB-ADVP\tO' +p174010 +aS'and\tand\tCC\tO\tO' +p174011 +aS'did\tdo\tVBD\tB-VP\tO' +p174012 +aS'not\tnot\tRB\tI-VP\tO' +p174013 +aS'require\trequire\tVB\tI-VP\tO' +p174014 +aS'restraints\trestraint\tNNS\tB-NP\tO' +p174015 +aS'after\tafter\tIN\tB-PP\tO' +p174016 +aS'that\tthat\tDT\tB-NP\tO' +p174017 +aS'event\tevent\tNN\tI-NP\tO' +p174018 +aS'.\t.\t.\tO\tO' +p174019 +asS'The abdomen was distended and firm .' +p174020 +(lp174021 +S'The\tThe\tDT\tB-NP\tO' +p174022 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p174023 +aS'was\tbe\tVBD\tB-VP\tO' +p174024 +aS'distended\tdistend\tVBN\tI-VP\tO' +p174025 +aS'and\tand\tCC\tO\tO' +p174026 +aS'firm\tfirm\tNN\tB-NP\tO' +p174027 +aS'.\t.\t.\tO\tO' +p174028 +asS'Prilosec 20 mg Capsule , Delayed Release ( E.C. ) Sig : One ( 1 ) Capsule , Delayed Release ( E.C. ) PO once a day .' +p174029 +(lp174030 +S'Prilosec\tPrilosec\tRB\tB-NP\tO' +p174031 +aS'20\t20\tCD\tI-NP\tO' +p174032 +aS'mg\tmg\tNN\tI-NP\tO' +p174033 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p174034 +aS',\t,\t,\tO\tO' +p174035 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p174036 +aS'Release\tRelease\tNNP\tI-NP\tO' +p174037 +aS'(\t(\t(\tO\tO' +p174038 +aS'E.C.\tE.C.\tNNP\tB-NP\tO' +p174039 +aS')\t)\t)\tO\tO' +p174040 +aS'Sig\tSig\tNNP\tB-NP\tO' +p174041 +aS':\t:\t:\tO\tO' +p174042 +aS'One\tOne\tCD\tB-NP\tO' +p174043 +aS'(\t(\t(\tO\tO' +p174044 +aS'1\t1\tCD\tB-NP\tO' +p174045 +aS')\t)\t)\tO\tO' +p174046 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p174047 +aS',\t,\t,\tO\tO' +p174048 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p174049 +aS'Release\tRelease\tNNP\tI-NP\tO' +p174050 +aS'(\t(\t(\tO\tO' +p174051 +aS'E.C.\tE.C.\tNNP\tO\tO' +p174052 +aS')\t)\t)\tO\tO' +p174053 +aS'PO\tPO\tNN\tB-NP\tO' +p174054 +aS'once\tonce\tRB\tB-ADVP\tO' +p174055 +aS'a\ta\tDT\tB-NP\tO' +p174056 +aS'day\tday\tNN\tI-NP\tO' +p174057 +aS'.\t.\t.\tO\tO' +p174058 +asS'The patient began having generalized tonic - clonic seizures in 1988 , which at the time were thought to be related to asthma medications .' +p174059 +(lp174060 +S'The\tThe\tDT\tB-NP\tO' +p174061 +aS'patient\tpatient\tNN\tI-NP\tO' +p174062 +aS'began\tbegin\tVBD\tB-VP\tO' +p174063 +aS'having\thave\tVBG\tI-VP\tO' +p174064 +aS'generalized\tgeneralize\tVBN\tI-VP\tO' +p174065 +aS'tonic\ttonic\tJJ\tB-NP\tO' +p174066 +aS'-\t-\tHYPH\tI-NP\tO' +p174067 +aS'clonic\tclonic\tJJ\tI-NP\tO' +p174068 +aS'seizures\tseizure\tNNS\tI-NP\tO' +p174069 +aS'in\tin\tIN\tB-PP\tO' +p174070 +aS'1988\t1988\tCD\tB-NP\tO' +p174071 +aS',\t,\t,\tO\tO' +p174072 +aS'which\twhich\tWDT\tB-NP\tO' +p174073 +aS'at\tat\tIN\tB-PP\tO' +p174074 +aS'the\tthe\tDT\tB-NP\tO' +p174075 +aS'time\ttime\tNN\tI-NP\tO' +p174076 +aS'were\tbe\tVBD\tB-VP\tO' +p174077 +aS'thought\tthink\tVBN\tI-VP\tO' +p174078 +aS'to\tto\tTO\tI-VP\tO' +p174079 +aS'be\tbe\tVB\tI-VP\tO' +p174080 +aS'related\trelate\tVBN\tI-VP\tO' +p174081 +aS'to\tto\tTO\tB-PP\tO' +p174082 +aS'asthma\tasthma\tNN\tB-NP\tO' +p174083 +aS'medications\tmedication\tNNS\tI-NP\tO' +p174084 +aS'.\t.\t.\tO\tO' +p174085 +asS'Head and neck exam was unremarkable , except for the right eye being patched over .' +p174086 +(lp174087 +S'Head\tHead\tNN\tB-NP\tO' +p174088 +aS'and\tand\tCC\tI-NP\tO' +p174089 +aS'neck\tneck\tNN\tI-NP\tO' +p174090 +aS'exam\texam\tNN\tI-NP\tO' +p174091 +aS'was\tbe\tVBD\tB-VP\tO' +p174092 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p174093 +aS',\t,\t,\tO\tO' +p174094 +aS'except\texcept\tIN\tB-PP\tO' +p174095 +aS'for\tfor\tIN\tB-PP\tO' +p174096 +aS'the\tthe\tDT\tB-NP\tO' +p174097 +aS'right\tright\tJJ\tI-NP\tO' +p174098 +aS'eye\teye\tNN\tI-NP\tO' +p174099 +aS'being\tbe\tVBG\tB-VP\tO' +p174100 +aS'patched\tpatch\tVBN\tI-VP\tO' +p174101 +aS'over\tover\tRP\tB-PRT\tO' +p174102 +aS'.\t.\t.\tO\tO' +p174103 +asS'3. Hyperthyroidism , status post radioactive iodine ablation .' +p174104 +(lp174105 +S'3.\t3.\tLS\tB-LST\tO' +p174106 +aS'Hyperthyroidism\tHyperthyroidism\tNN\tB-NP\tO' +p174107 +aS',\t,\t,\tO\tO' +p174108 +aS'status\tstatus\tNN\tB-NP\tO' +p174109 +aS'post\tpost\tNN\tI-NP\tO' +p174110 +aS'radioactive\tradioactive\tJJ\tI-NP\tO' +p174111 +aS'iodine\tiodine\tNN\tI-NP\tO' +p174112 +aS'ablation\tablation\tNN\tI-NP\tO' +p174113 +aS'.\t.\t.\tO\tO' +p174114 +asS'Pelvic exam revealed normal vulva , vagina normal , cervix normal , uterus anteverted , small , nontender .' +p174115 +(lp174116 +S'Pelvic\tPelvic\tJJ\tB-NP\tO' +p174117 +aS'exam\texam\tNN\tI-NP\tO' +p174118 +aS'revealed\treveal\tVBD\tB-VP\tO' +p174119 +aS'normal\tnormal\tJJ\tB-NP\tO' +p174120 +aS'vulva\tvulva\tNN\tI-NP\tO' +p174121 +aS',\t,\t,\tO\tO' +p174122 +aS'vagina\tvagina\tNN\tB-NP\tO' +p174123 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p174124 +aS',\t,\t,\tO\tO' +p174125 +aS'cervix\tcervix\tNN\tB-NP\tO' +p174126 +aS'normal\tnormal\tJJ\tI-NP\tO' +p174127 +aS',\t,\t,\tI-NP\tO' +p174128 +aS'uterus\tuterus\tJJ\tI-NP\tO' +p174129 +aS'anteverted\tanteverted\tJJ\tI-NP\tO' +p174130 +aS',\t,\t,\tI-NP\tO' +p174131 +aS'small\tsmall\tJJ\tI-NP\tO' +p174132 +aS',\t,\t,\tI-NP\tO' +p174133 +aS'nontender\tnontender\tJJ\tI-NP\tO' +p174134 +aS'.\t.\t.\tO\tO' +p174135 +asS'The patient was thrombocytopenic with a platelet count of 49 on the 23 .' +p174136 +(lp174137 +S'The\tThe\tDT\tB-NP\tO' +p174138 +aS'patient\tpatient\tNN\tI-NP\tO' +p174139 +aS'was\tbe\tVBD\tB-VP\tO' +p174140 +aS'thrombocytopenic\tthrombocytopenic\tJJ\tB-ADJP\tO' +p174141 +aS'with\twith\tIN\tB-PP\tO' +p174142 +aS'a\ta\tDT\tB-NP\tO' +p174143 +aS'platelet\tplatelet\tNN\tI-NP\tO' +p174144 +aS'count\tcount\tNN\tI-NP\tO' +p174145 +aS'of\tof\tIN\tB-PP\tO' +p174146 +aS'49\t49\tCD\tB-NP\tO' +p174147 +aS'on\ton\tIN\tB-PP\tO' +p174148 +aS'the\tthe\tDT\tB-NP\tO' +p174149 +aS'23\t23\tCD\tI-NP\tO' +p174150 +aS'.\t.\t.\tO\tO' +p174151 +asS'3 - Follow up with PCP' +p174152 +(lp174153 +S'3\t3\tCD\tB-NP\tO' +p174154 +aS'-\t-\tHYPH\tI-NP\tO' +p174155 +aS'Follow\tFollow\tNNP\tI-NP\tO' +p174156 +aS'up\tup\tRP\tB-PRT\tO' +p174157 +aS'with\twith\tIN\tB-PP\tO' +p174158 +aS'PCP\tPCP\tNN\tB-NP\tO' +p174159 +asS'For possible COPD , pt was started on steroids and nebs on 08-03 .' +p174160 +(lp174161 +S'For\tFor\tIN\tB-PP\tO' +p174162 +aS'possible\tpossible\tJJ\tB-NP\tO' +p174163 +aS'COPD\tCOPD\tNN\tI-NP\tO' +p174164 +aS',\t,\t,\tO\tO' +p174165 +aS'pt\tpt\tNN\tB-NP\tO' +p174166 +aS'was\tbe\tVBD\tB-VP\tO' +p174167 +aS'started\tstart\tVBN\tI-VP\tO' +p174168 +aS'on\ton\tIN\tB-PP\tO' +p174169 +aS'steroids\tsteroid\tNNS\tB-NP\tO' +p174170 +aS'and\tand\tCC\tI-NP\tO' +p174171 +aS'nebs\tneb\tNNS\tI-NP\tO' +p174172 +aS'on\ton\tIN\tB-PP\tO' +p174173 +aS'08-03\t08-03\tCD\tB-NP\tO' +p174174 +aS'.\t.\t.\tO\tO' +p174175 +asS'Furosemide .' +p174176 +(lp174177 +S'Furosemide\tFurosemide\tNN\tB-NP\tO' +p174178 +aS'.\t.\t.\tO\tO' +p174179 +asS"The patient 's initial hematocrit was 35.8 ." +p174180 +(lp174181 +S'The\tThe\tDT\tB-NP\tO' +p174182 +aS'patient\tpatient\tNN\tI-NP\tO' +p174183 +aS"'s\t's\tPOS\tB-NP\tO" +p174184 +aS'initial\tinitial\tJJ\tI-NP\tO' +p174185 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p174186 +aS'was\tbe\tVBD\tB-VP\tO' +p174187 +aS'35.8\t35.8\tCD\tB-NP\tO' +p174188 +aS'.\t.\t.\tO\tO' +p174189 +asS'records from that hospitalization indicate she may have only had a very mild injury ) and has been managed on dilantin and keppra .' +p174190 +(lp174191 +S'records\trecord\tNNS\tB-NP\tO' +p174192 +aS'from\tfrom\tIN\tB-PP\tO' +p174193 +aS'that\tthat\tDT\tB-NP\tO' +p174194 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p174195 +aS'indicate\tindicate\tVBP\tB-VP\tO' +p174196 +aS'she\tshe\tPRP\tB-NP\tO' +p174197 +aS'may\tmay\tMD\tB-VP\tO' +p174198 +aS'have\thave\tVB\tI-VP\tO' +p174199 +aS'only\tonly\tRB\tB-ADVP\tO' +p174200 +aS'had\thave\tVBD\tB-VP\tO' +p174201 +aS'a\ta\tDT\tB-NP\tO' +p174202 +aS'very\tvery\tRB\tI-NP\tO' +p174203 +aS'mild\tmild\tJJ\tI-NP\tO' +p174204 +aS'injury\tinjury\tNN\tI-NP\tO' +p174205 +aS')\t)\t)\tO\tO' +p174206 +aS'and\tand\tCC\tO\tO' +p174207 +aS'has\thave\tVBZ\tB-VP\tO' +p174208 +aS'been\tbe\tVBN\tI-VP\tO' +p174209 +aS'managed\tmanage\tVBN\tI-VP\tO' +p174210 +aS'on\ton\tIN\tB-PP\tO' +p174211 +aS'dilantin\tdilantin\tNN\tB-NP\tO' +p174212 +aS'and\tand\tCC\tI-NP\tO' +p174213 +aS'keppra\tkeppra\tNN\tI-NP\tO' +p174214 +aS'.\t.\t.\tO\tO' +p174215 +asS'An intra-aortic balloon pump was placed at this time as well .' +p174216 +(lp174217 +S'An\tAn\tDT\tB-NP\tO' +p174218 +aS'intra-aortic\tintra-aortic\tJJ\tI-NP\tO' +p174219 +aS'balloon\tballoon\tNN\tI-NP\tO' +p174220 +aS'pump\tpump\tNN\tI-NP\tO' +p174221 +aS'was\tbe\tVBD\tB-VP\tO' +p174222 +aS'placed\tplace\tVBN\tI-VP\tO' +p174223 +aS'at\tat\tIN\tB-PP\tO' +p174224 +aS'this\tthis\tDT\tB-NP\tO' +p174225 +aS'time\ttime\tNN\tI-NP\tO' +p174226 +aS'as\tas\tRB\tB-ADVP\tO' +p174227 +aS'well\twell\tRB\tI-ADVP\tO' +p174228 +aS'.\t.\t.\tO\tO' +p174229 +asS'A clear transit point is not visualized .' +p174230 +(lp174231 +S'A\tA\tDT\tB-NP\tO' +p174232 +aS'clear\tclear\tJJ\tI-NP\tO' +p174233 +aS'transit\ttransit\tNN\tI-NP\tO' +p174234 +aS'point\tpoint\tNN\tI-NP\tO' +p174235 +aS'is\tbe\tVBZ\tB-VP\tO' +p174236 +aS'not\tnot\tRB\tI-VP\tO' +p174237 +aS'visualized\tvisualize\tVBN\tI-VP\tO' +p174238 +aS'.\t.\t.\tO\tO' +p174239 +asS'3. Moderate intraabdominal ascites .' +p174240 +(lp174241 +S'3.\t3.\tLS\tB-NP\tO' +p174242 +aS'Moderate\tModerate\tJJ\tI-NP\tO' +p174243 +aS'intraabdominal\tintraabdominal\tJJ\tI-NP\tO' +p174244 +aS'ascites\tascite\tNNS\tI-NP\tO' +p174245 +aS'.\t.\t.\tO\tO' +p174246 +asS'extrm - trace edema at ankles , no cyanosis , warm/dry' +p174247 +(lp174248 +S'extrm\textrm\tNN\tB-NP\tO' +p174249 +aS'-\t-\tHYPH\tI-NP\tO' +p174250 +aS'trace\ttrace\tNN\tI-NP\tO' +p174251 +aS'edema\tedema\tNN\tI-NP\tO' +p174252 +aS'at\tat\tIN\tB-PP\tO' +p174253 +aS'ankles\tankle\tNNS\tB-NP\tO' +p174254 +aS',\t,\t,\tO\tO' +p174255 +aS'no\tno\tDT\tB-NP\tO' +p174256 +aS'cyanosis\tcyanosis\tNN\tI-NP\tO' +p174257 +aS',\t,\t,\tO\tO' +p174258 +aS'warm/dry\twarm/dry\tNN\tB-NP\tO' +p174259 +asS'Signed electronically by : DR. Dolly D.F. Sipes on: Roxane 2017-02-21 11:52 AM' +p174260 +(lp174261 +S'Signed\tSign\tVBN\tB-VP\tO' +p174262 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p174263 +aS'by\tby\tIN\tB-PP\tO' +p174264 +aS':\t:\t:\tO\tO' +p174265 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p174266 +aS'Dolly\tDolly\tNNP\tI-NP\tO' +p174267 +aS'D.F.\tD.F.\tNNP\tI-NP\tO' +p174268 +aS'Sipes\tSipes\tNNP\tI-NP\tO' +p174269 +aS'on:\ton:\tIN\tB-PP\tO' +p174270 +aS'Roxane\tRoxane\tNNP\tB-NP\tO' +p174271 +aS'2017-02-21\t2017-02-21\tCD\tI-NP\tO' +p174272 +aS'11:52\t11:52\tCD\tI-NP\tO' +p174273 +aS'AM\tAM\tNN\tI-NP\tO' +p174274 +asS'Denies alcohol or drugs .' +p174275 +(lp174276 +S'Denies\tDeny\tNNS\tB-NP\tO' +p174277 +aS'alcohol\talcohol\tNN\tI-NP\tO' +p174278 +aS'or\tor\tCC\tI-NP\tO' +p174279 +aS'drugs\tdrug\tNNS\tI-NP\tO' +p174280 +aS'.\t.\t.\tO\tO' +p174281 +asS'She also received a Radiation Therapy consult for local control of her invasive carcinoma .' +p174282 +(lp174283 +S'She\tShe\tPRP\tB-NP\tO' +p174284 +aS'also\talso\tRB\tB-ADVP\tO' +p174285 +aS'received\treceive\tVBD\tB-VP\tO' +p174286 +aS'a\ta\tDT\tB-NP\tO' +p174287 +aS'Radiation\tRadiation\tNN\tI-NP\tO' +p174288 +aS'Therapy\tTherapy\tNN\tI-NP\tO' +p174289 +aS'consult\tconsult\tNN\tI-NP\tO' +p174290 +aS'for\tfor\tIN\tB-PP\tO' +p174291 +aS'local\tlocal\tJJ\tB-NP\tO' +p174292 +aS'control\tcontrol\tNN\tI-NP\tO' +p174293 +aS'of\tof\tIN\tB-PP\tO' +p174294 +aS'her\ther\tPRP$\tB-NP\tO' +p174295 +aS'invasive\tinvasive\tJJ\tI-NP\tO' +p174296 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p174297 +aS'.\t.\t.\tO\tO' +p174298 +asS'Urinalysis was within normal limits with 6 to 10 red blood cells .' +p174299 +(lp174300 +S'Urinalysis\tUrinalysis\tNN\tB-NP\tO' +p174301 +aS'was\tbe\tVBD\tB-VP\tO' +p174302 +aS'within\twithin\tIN\tB-PP\tO' +p174303 +aS'normal\tnormal\tJJ\tB-NP\tO' +p174304 +aS'limits\tlimit\tNNS\tI-NP\tO' +p174305 +aS'with\twith\tIN\tB-PP\tO' +p174306 +aS'6\t6\tCD\tB-NP\tO' +p174307 +aS'to\tto\tTO\tI-NP\tO' +p174308 +aS'10\t10\tCD\tI-NP\tO' +p174309 +aS'red\tred\tJJ\tI-NP\tO' +p174310 +aS'blood\tblood\tNN\tI-NP\tO' +p174311 +aS'cells\tcell\tNNS\tI-NP\tO' +p174312 +aS'.\t.\t.\tO\tO' +p174313 +asS'His chest incision is granulating in well .' +p174314 +(lp174315 +S'His\tHis\tPRP$\tB-NP\tO' +p174316 +aS'chest\tchest\tNN\tI-NP\tO' +p174317 +aS'incision\tincision\tNN\tI-NP\tO' +p174318 +aS'is\tbe\tVBZ\tB-VP\tO' +p174319 +aS'granulating\tgranulate\tVBG\tI-VP\tO' +p174320 +aS'in\tin\tRP\tB-PRT\tO' +p174321 +aS'well\twell\tRB\tB-ADVP\tO' +p174322 +aS'.\t.\t.\tO\tO' +p174323 +asS'5. Aluminum-Magnesium Hydroxide 225-200 mg/5 mL Suspension Sig : 15-30 MLs PO QID ( 4 times a day ) as needed for indigestion .' +p174324 +(lp174325 +S'5.\t5.\tLS\tB-NP\tO' +p174326 +aS'Aluminum-Magnesium\tAluminum-Magnesium\tNN\tI-NP\tO' +p174327 +aS'Hydroxide\tHydroxide\tNN\tI-NP\tO' +p174328 +aS'225-200\t225-200\tCD\tI-NP\tO' +p174329 +aS'mg/5\tmg/5\tNN\tI-NP\tO' +p174330 +aS'mL\tmL\tNN\tI-NP\tO' +p174331 +aS'Suspension\tSuspension\tNNP\tI-NP\tO' +p174332 +aS'Sig\tSig\tNNP\tI-NP\tO' +p174333 +aS':\t:\t:\tO\tO' +p174334 +aS'15-30\t15-30\tCD\tB-NP\tO' +p174335 +aS'MLs\tML\tNNS\tI-NP\tO' +p174336 +aS'PO\tPO\tNN\tI-NP\tO' +p174337 +aS'QID\tQID\tNN\tI-NP\tO' +p174338 +aS'(\t(\t(\tO\tO' +p174339 +aS'4\t4\tCD\tB-NP\tO' +p174340 +aS'times\ttime\tNNS\tI-NP\tO' +p174341 +aS'a\ta\tDT\tB-NP\tO' +p174342 +aS'day\tday\tNN\tI-NP\tO' +p174343 +aS')\t)\t)\tO\tO' +p174344 +aS'as\tas\tIN\tB-SBAR\tO' +p174345 +aS'needed\tneed\tVBN\tB-VP\tO' +p174346 +aS'for\tfor\tIN\tB-PP\tO' +p174347 +aS'indigestion\tindigestion\tNN\tB-NP\tO' +p174348 +aS'.\t.\t.\tO\tO' +p174349 +asS'Electrophysiology service , started on Procainamide and Coumadin .' +p174350 +(lp174351 +S'Electrophysiology\tElectrophysiology\tNN\tB-NP\tO' +p174352 +aS'service\tservice\tNN\tI-NP\tO' +p174353 +aS',\t,\t,\tO\tO' +p174354 +aS'started\tstart\tVBN\tB-VP\tO' +p174355 +aS'on\ton\tIN\tB-PP\tO' +p174356 +aS'Procainamide\tProcainamide\tNN\tB-NP\tO' +p174357 +aS'and\tand\tCC\tI-NP\tO' +p174358 +aS'Coumadin\tCoumadin\tNN\tI-NP\tO' +p174359 +aS'.\t.\t.\tO\tO' +p174360 +asS'6. Fungal cystitis .' +p174361 +(lp174362 +S'6.\t6.\tLS\tB-NP\tO' +p174363 +aS'Fungal\tFungal\tJJ\tI-NP\tO' +p174364 +aS'cystitis\tcystitis\tNN\tI-NP\tO' +p174365 +aS'.\t.\t.\tO\tO' +p174366 +asS'She has been taking from 130 to 160 cc. per kilo per day on an ad lib feeding plan .' +p174367 +(lp174368 +S'She\tShe\tPRP\tB-NP\tO' +p174369 +aS'has\thave\tVBZ\tB-VP\tO' +p174370 +aS'been\tbe\tVBN\tI-VP\tO' +p174371 +aS'taking\ttake\tVBG\tI-VP\tO' +p174372 +aS'from\tfrom\tIN\tB-PP\tO' +p174373 +aS'130\t130\tCD\tB-NP\tO' +p174374 +aS'to\tto\tTO\tI-NP\tO' +p174375 +aS'160\t160\tCD\tI-NP\tO' +p174376 +aS'cc.\tcc.\tNN\tI-NP\tO' +p174377 +aS'per\tper\tIN\tB-PP\tO' +p174378 +aS'kilo\tkilo\tNN\tB-NP\tO' +p174379 +aS'per\tper\tIN\tB-PP\tO' +p174380 +aS'day\tday\tNN\tB-NP\tO' +p174381 +aS'on\ton\tIN\tB-PP\tO' +p174382 +aS'an\tan\tDT\tB-NP\tO' +p174383 +aS'ad\tad\tNN\tI-NP\tO' +p174384 +aS'lib\tlib\tNN\tI-NP\tO' +p174385 +aS'feeding\tfeeding\tNN\tI-NP\tO' +p174386 +aS'plan\tplan\tNN\tI-NP\tO' +p174387 +aS'.\t.\t.\tO\tO' +p174388 +asS'Upon discharge the patient was changed to a BID protonix regimen .' +p174389 +(lp174390 +S'Upon\tUpon\tIN\tB-PP\tO' +p174391 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p174392 +aS'the\tthe\tDT\tB-NP\tO' +p174393 +aS'patient\tpatient\tNN\tI-NP\tO' +p174394 +aS'was\tbe\tVBD\tB-VP\tO' +p174395 +aS'changed\tchange\tVBN\tI-VP\tO' +p174396 +aS'to\tto\tTO\tB-PP\tO' +p174397 +aS'a\ta\tDT\tB-NP\tO' +p174398 +aS'BID\tBID\tNN\tI-NP\tO' +p174399 +aS'protonix\tprotonix\tNN\tI-NP\tO' +p174400 +aS'regimen\tregimen\tNN\tI-NP\tO' +p174401 +aS'.\t.\t.\tO\tO' +p174402 +asS'She has a well healed umbilical hernia scar for approximately 2 1/2 cm .' +p174403 +(lp174404 +S'She\tShe\tPRP\tB-NP\tO' +p174405 +aS'has\thave\tVBZ\tB-VP\tO' +p174406 +aS'a\ta\tDT\tB-NP\tO' +p174407 +aS'well\twell\tRB\tI-NP\tO' +p174408 +aS'healed\theal\tVBN\tI-NP\tO' +p174409 +aS'umbilical\tumbilical\tJJ\tI-NP\tO' +p174410 +aS'hernia\thernia\tNN\tI-NP\tO' +p174411 +aS'scar\tscar\tNN\tI-NP\tO' +p174412 +aS'for\tfor\tIN\tB-PP\tO' +p174413 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p174414 +aS'2\t2\tCD\tI-NP\tO' +p174415 +aS'1/2\t1/2\tCD\tI-NP\tO' +p174416 +aS'cm\tcm\tNN\tI-NP\tO' +p174417 +aS'.\t.\t.\tO\tO' +p174418 +asS'If the patient achieves above adequate weight gain of 18-20 grams per kilogram per day , consider decreasing calories to standard 20 kilocalories per ounce .' +p174419 +(lp174420 +S'If\tIf\tIN\tB-SBAR\tO' +p174421 +aS'the\tthe\tDT\tB-NP\tO' +p174422 +aS'patient\tpatient\tNN\tI-NP\tO' +p174423 +aS'achieves\tachieve\tVBZ\tB-VP\tO' +p174424 +aS'above\tabove\tIN\tB-PP\tO' +p174425 +aS'adequate\tadequate\tJJ\tB-NP\tO' +p174426 +aS'weight\tweight\tNN\tI-NP\tO' +p174427 +aS'gain\tgain\tNN\tI-NP\tO' +p174428 +aS'of\tof\tIN\tB-PP\tO' +p174429 +aS'18-20\t18-20\tCD\tB-NP\tO' +p174430 +aS'grams\tgram\tNNS\tI-NP\tO' +p174431 +aS'per\tper\tIN\tB-PP\tO' +p174432 +aS'kilogram\tkilogram\tNN\tB-NP\tO' +p174433 +aS'per\tper\tIN\tB-PP\tO' +p174434 +aS'day\tday\tNN\tB-NP\tO' +p174435 +aS',\t,\t,\tO\tO' +p174436 +aS'consider\tconsider\tVB\tB-VP\tO' +p174437 +aS'decreasing\tdecrease\tVBG\tI-VP\tO' +p174438 +aS'calories\tcalorie\tNNS\tB-NP\tO' +p174439 +aS'to\tto\tTO\tB-VP\tO' +p174440 +aS'standard\tstandard\tVB\tI-VP\tO' +p174441 +aS'20\t20\tCD\tB-NP\tO' +p174442 +aS'kilocalories\tkilocalorie\tNNS\tI-NP\tO' +p174443 +aS'per\tper\tIN\tB-PP\tO' +p174444 +aS'ounce\tounce\tNN\tB-NP\tO' +p174445 +aS'.\t.\t.\tO\tO' +p174446 +asS'The left anterior descending had moderate plaques with a 50% proximal stenosis of the right anterior oblique caudal view .' +p174447 +(lp174448 +S'The\tThe\tDT\tB-NP\tO' +p174449 +aS'left\tleft\tJJ\tI-NP\tO' +p174450 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p174451 +aS'descending\tdescending\tNN\tI-NP\tO' +p174452 +aS'had\thave\tVBD\tB-VP\tO' +p174453 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p174454 +aS'plaques\tplaque\tNNS\tI-NP\tO' +p174455 +aS'with\twith\tIN\tB-PP\tO' +p174456 +aS'a\ta\tDT\tB-NP\tO' +p174457 +aS'50%\t50%\tCD\tI-NP\tO' +p174458 +aS'proximal\tproximal\tJJ\tI-NP\tO' +p174459 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p174460 +aS'of\tof\tIN\tB-PP\tO' +p174461 +aS'the\tthe\tDT\tB-NP\tO' +p174462 +aS'right\tright\tJJ\tI-NP\tO' +p174463 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p174464 +aS'oblique\toblique\tJJ\tI-NP\tO' +p174465 +aS'caudal\tcaudal\tJJ\tI-NP\tO' +p174466 +aS'view\tview\tNN\tI-NP\tO' +p174467 +aS'.\t.\t.\tO\tO' +p174468 +asS'Postop he has had numerous visits to the ED for co fevers , sweats , and SOB .' +p174469 +(lp174470 +S'Postop\tPostop\tVB\tB-VP\tO' +p174471 +aS'he\the\tPRP\tB-NP\tO' +p174472 +aS'has\thave\tVBZ\tB-VP\tO' +p174473 +aS'had\thave\tVBN\tI-VP\tO' +p174474 +aS'numerous\tnumerous\tJJ\tB-NP\tO' +p174475 +aS'visits\tvisit\tNNS\tI-NP\tO' +p174476 +aS'to\tto\tTO\tB-PP\tO' +p174477 +aS'the\tthe\tDT\tB-NP\tO' +p174478 +aS'ED\tED\tNN\tI-NP\tO' +p174479 +aS'for\tfor\tIN\tB-PP\tO' +p174480 +aS'co\tco\tNN\tB-NP\tO' +p174481 +aS'fevers\tfever\tNNS\tI-NP\tO' +p174482 +aS',\t,\t,\tO\tO' +p174483 +aS'sweats\tsweat\tNNS\tB-NP\tO' +p174484 +aS',\t,\t,\tO\tO' +p174485 +aS'and\tand\tCC\tO\tO' +p174486 +aS'SOB\tSOB\tNN\tB-NP\tB-protein' +p174487 +aS'.\t.\t.\tO\tO' +p174488 +asS'The patient was a 71 year old white female with a history of carcinoid lung cancer who presented for evaluation of a tracheoesophageal fistula .' +p174489 +(lp174490 +S'The\tThe\tDT\tB-NP\tO' +p174491 +aS'patient\tpatient\tNN\tI-NP\tO' +p174492 +aS'was\tbe\tVBD\tB-VP\tO' +p174493 +aS'a\ta\tDT\tB-NP\tO' +p174494 +aS'71\t71\tCD\tI-NP\tO' +p174495 +aS'year\tyear\tNN\tI-NP\tO' +p174496 +aS'old\told\tJJ\tI-NP\tO' +p174497 +aS'white\twhite\tJJ\tI-NP\tO' +p174498 +aS'female\tfemale\tNN\tI-NP\tO' +p174499 +aS'with\twith\tIN\tB-PP\tO' +p174500 +aS'a\ta\tDT\tB-NP\tO' +p174501 +aS'history\thistory\tNN\tI-NP\tO' +p174502 +aS'of\tof\tIN\tB-PP\tO' +p174503 +aS'carcinoid\tcarcinoid\tJJ\tB-NP\tO' +p174504 +aS'lung\tlung\tNN\tI-NP\tO' +p174505 +aS'cancer\tcancer\tNN\tI-NP\tO' +p174506 +aS'who\twho\tWP\tB-NP\tO' +p174507 +aS'presented\tpresent\tVBD\tB-VP\tO' +p174508 +aS'for\tfor\tIN\tB-PP\tO' +p174509 +aS'evaluation\tevaluation\tNN\tB-NP\tO' +p174510 +aS'of\tof\tIN\tB-PP\tO' +p174511 +aS'a\ta\tDT\tB-NP\tO' +p174512 +aS'tracheoesophageal\ttracheoesophageal\tJJ\tI-NP\tO' +p174513 +aS'fistula\tfistula\tNN\tI-NP\tO' +p174514 +aS'.\t.\t.\tO\tO' +p174515 +asS'At that time he was made NPO with IVF , placed on Ampicillin / Levofloxacin / Flagyl and underwent IR placement of a drainage catheter for his abdominopelvic fluid collection .' +p174516 +(lp174517 +S'At\tAt\tIN\tB-PP\tO' +p174518 +aS'that\tthat\tDT\tB-NP\tO' +p174519 +aS'time\ttime\tNN\tI-NP\tO' +p174520 +aS'he\the\tPRP\tB-NP\tO' +p174521 +aS'was\tbe\tVBD\tB-VP\tO' +p174522 +aS'made\tmake\tVBN\tI-VP\tO' +p174523 +aS'NPO\tNPO\tNN\tB-NP\tB-protein' +p174524 +aS'with\twith\tIN\tB-PP\tO' +p174525 +aS'IVF\tIVF\tNN\tB-NP\tB-protein' +p174526 +aS',\t,\t,\tO\tO' +p174527 +aS'placed\tplace\tVBN\tB-VP\tO' +p174528 +aS'on\ton\tIN\tB-PP\tO' +p174529 +aS'Ampicillin\tAmpicillin\tNN\tB-NP\tB-protein' +p174530 +aS'/\t/\tSYM\tI-NP\tO' +p174531 +aS'Levofloxacin\tLevofloxacin\tNN\tI-NP\tO' +p174532 +aS'/\t/\tSYM\tB-NP\tO' +p174533 +aS'Flagyl\tFlagyl\tNN\tI-NP\tO' +p174534 +aS'and\tand\tCC\tO\tO' +p174535 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p174536 +aS'IR\tIR\tNN\tB-NP\tO' +p174537 +aS'placement\tplacement\tNN\tI-NP\tO' +p174538 +aS'of\tof\tIN\tB-PP\tO' +p174539 +aS'a\ta\tDT\tB-NP\tO' +p174540 +aS'drainage\tdrainage\tNN\tI-NP\tO' +p174541 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p174542 +aS'for\tfor\tIN\tB-PP\tO' +p174543 +aS'his\this\tPRP$\tB-NP\tO' +p174544 +aS'abdominopelvic\tabdominopelvic\tJJ\tI-NP\tO' +p174545 +aS'fluid\tfluid\tNN\tI-NP\tO' +p174546 +aS'collection\tcollection\tNN\tI-NP\tO' +p174547 +aS'.\t.\t.\tO\tO' +p174548 +asS'mixed mesodermal cancer .' +p174549 +(lp174550 +S'mixed\tmixed\tJJ\tB-NP\tO' +p174551 +aS'mesodermal\tmesodermal\tJJ\tI-NP\tO' +p174552 +aS'cancer\tcancer\tNN\tI-NP\tO' +p174553 +aS'.\t.\t.\tO\tO' +p174554 +asS'The patient expressed a desire to be full code , so he was transferred to the Intensive Care Unit .' +p174555 +(lp174556 +S'The\tThe\tDT\tB-NP\tO' +p174557 +aS'patient\tpatient\tNN\tI-NP\tO' +p174558 +aS'expressed\texpress\tVBD\tB-VP\tO' +p174559 +aS'a\ta\tDT\tB-NP\tO' +p174560 +aS'desire\tdesire\tNN\tI-NP\tO' +p174561 +aS'to\tto\tTO\tB-VP\tO' +p174562 +aS'be\tbe\tVB\tI-VP\tO' +p174563 +aS'full\tfull\tJJ\tB-NP\tO' +p174564 +aS'code\tcode\tNN\tI-NP\tO' +p174565 +aS',\t,\t,\tO\tO' +p174566 +aS'so\tso\tIN\tB-SBAR\tO' +p174567 +aS'he\the\tPRP\tB-NP\tO' +p174568 +aS'was\tbe\tVBD\tB-VP\tO' +p174569 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p174570 +aS'to\tto\tTO\tB-PP\tO' +p174571 +aS'the\tthe\tDT\tB-NP\tO' +p174572 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p174573 +aS'Care\tCare\tNNP\tI-NP\tO' +p174574 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p174575 +aS'.\t.\t.\tO\tO' +p174576 +asS'Her alkaline phosphatase was 1514 .' +p174577 +(lp174578 +S'Her\tHer\tPRP$\tB-NP\tO' +p174579 +aS'alkaline\talkaline\tNN\tI-NP\tB-protein' +p174580 +aS'phosphatase\tphosphatase\tNN\tI-NP\tI-protein' +p174581 +aS'was\tbe\tVBD\tB-VP\tO' +p174582 +aS'1514\t1514\tCD\tB-NP\tO' +p174583 +aS'.\t.\t.\tO\tO' +p174584 +asS'The heart sounds are regular rate and rhythm and no murmur , rub or gallop are appreciated .' +p174585 +(lp174586 +S'The\tThe\tDT\tB-NP\tO' +p174587 +aS'heart\theart\tNN\tI-NP\tO' +p174588 +aS'sounds\tsound\tNNS\tI-NP\tO' +p174589 +aS'are\tbe\tVBP\tB-VP\tO' +p174590 +aS'regular\tregular\tJJ\tB-NP\tO' +p174591 +aS'rate\trate\tNN\tI-NP\tO' +p174592 +aS'and\tand\tCC\tI-NP\tO' +p174593 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p174594 +aS'and\tand\tCC\tO\tO' +p174595 +aS'no\tno\tDT\tB-NP\tO' +p174596 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p174597 +aS',\t,\t,\tI-NP\tO' +p174598 +aS'rub\trub\tNN\tI-NP\tO' +p174599 +aS'or\tor\tCC\tI-NP\tO' +p174600 +aS'gallop\tgallop\tNN\tI-NP\tO' +p174601 +aS'are\tbe\tVBP\tB-VP\tO' +p174602 +aS'appreciated\tappreciate\tVBN\tI-VP\tO' +p174603 +aS'.\t.\t.\tO\tO' +p174604 +asS'He was discharged home on Percocet and Keflex .' +p174605 +(lp174606 +S'He\tHe\tPRP\tB-NP\tO' +p174607 +aS'was\tbe\tVBD\tB-VP\tO' +p174608 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p174609 +aS'home\thome\tNN\tB-ADVP\tO' +p174610 +aS'on\ton\tIN\tB-PP\tO' +p174611 +aS'Percocet\tPercocet\tNNP\tB-NP\tO' +p174612 +aS'and\tand\tCC\tI-NP\tO' +p174613 +aS'Keflex\tKeflex\tNNP\tI-NP\tO' +p174614 +aS'.\t.\t.\tO\tO' +p174615 +asS'5. Overall stability in metastatic burden .' +p174616 +(lp174617 +S'5.\t5.\tLS\tB-NP\tO' +p174618 +aS'Overall\tOverall\tJJ\tI-NP\tO' +p174619 +aS'stability\tstability\tNN\tI-NP\tO' +p174620 +aS'in\tin\tIN\tB-PP\tO' +p174621 +aS'metastatic\tmetastatic\tJJ\tB-NP\tO' +p174622 +aS'burden\tburden\tNN\tI-NP\tO' +p174623 +aS'.\t.\t.\tO\tO' +p174624 +asS'Extremities were normal .' +p174625 +(lp174626 +S'Extremities\tExtremity\tNNS\tB-NP\tO' +p174627 +aS'were\tbe\tVBD\tB-VP\tO' +p174628 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p174629 +aS'.\t.\t.\tO\tO' +p174630 +asS'the fine motor movements of the left hand were diminished , there was a mild dysmetria on the left side to finger / nose and heel / shin .' +p174631 +(lp174632 +S'the\tthe\tDT\tB-NP\tO' +p174633 +aS'fine\tfine\tJJ\tI-NP\tO' +p174634 +aS'motor\tmotor\tNN\tI-NP\tO' +p174635 +aS'movements\tmovement\tNNS\tI-NP\tO' +p174636 +aS'of\tof\tIN\tB-PP\tO' +p174637 +aS'the\tthe\tDT\tB-NP\tO' +p174638 +aS'left\tleft\tJJ\tI-NP\tO' +p174639 +aS'hand\thand\tNN\tI-NP\tO' +p174640 +aS'were\tbe\tVBD\tB-VP\tO' +p174641 +aS'diminished\tdiminish\tVBN\tI-VP\tO' +p174642 +aS',\t,\t,\tO\tO' +p174643 +aS'there\tthere\tEX\tB-NP\tO' +p174644 +aS'was\tbe\tVBD\tB-VP\tO' +p174645 +aS'a\ta\tDT\tB-NP\tO' +p174646 +aS'mild\tmild\tJJ\tI-NP\tO' +p174647 +aS'dysmetria\tdysmetria\tNN\tI-NP\tO' +p174648 +aS'on\ton\tIN\tB-PP\tO' +p174649 +aS'the\tthe\tDT\tB-NP\tO' +p174650 +aS'left\tleft\tJJ\tI-NP\tO' +p174651 +aS'side\tside\tNN\tI-NP\tO' +p174652 +aS'to\tto\tTO\tB-PP\tO' +p174653 +aS'finger\tfinger\tNN\tB-NP\tO' +p174654 +aS'/\t/\tSYM\tB-NP\tO' +p174655 +aS'nose\tnose\tNN\tI-NP\tO' +p174656 +aS'and\tand\tCC\tI-NP\tO' +p174657 +aS'heel\theel\tNN\tI-NP\tO' +p174658 +aS'/\t/\tSYM\tB-NP\tO' +p174659 +aS'shin\tshin\tNN\tI-NP\tO' +p174660 +aS'.\t.\t.\tO\tO' +p174661 +asS'Patient says pain is similar in location and quality to the pain she had with her MI , although with her MI the pain was much more intense ( 20x worse ) .' +p174662 +(lp174663 +S'Patient\tPatient\tNN\tB-NP\tO' +p174664 +aS'says\tsay\tVBZ\tB-VP\tO' +p174665 +aS'pain\tpain\tNN\tB-NP\tO' +p174666 +aS'is\tbe\tVBZ\tB-VP\tO' +p174667 +aS'similar\tsimilar\tJJ\tB-ADJP\tO' +p174668 +aS'in\tin\tIN\tB-PP\tO' +p174669 +aS'location\tlocation\tNN\tB-NP\tO' +p174670 +aS'and\tand\tCC\tO\tO' +p174671 +aS'quality\tquality\tNN\tB-NP\tO' +p174672 +aS'to\tto\tTO\tB-PP\tO' +p174673 +aS'the\tthe\tDT\tB-NP\tO' +p174674 +aS'pain\tpain\tNN\tI-NP\tO' +p174675 +aS'she\tshe\tPRP\tB-NP\tO' +p174676 +aS'had\thave\tVBD\tB-VP\tO' +p174677 +aS'with\twith\tIN\tB-PP\tO' +p174678 +aS'her\ther\tPRP$\tB-NP\tO' +p174679 +aS'MI\tMI\tNN\tI-NP\tO' +p174680 +aS',\t,\t,\tO\tO' +p174681 +aS'although\talthough\tIN\tB-SBAR\tO' +p174682 +aS'with\twith\tIN\tB-PP\tO' +p174683 +aS'her\ther\tPRP$\tB-NP\tO' +p174684 +aS'MI\tMI\tNN\tI-NP\tO' +p174685 +aS'the\tthe\tDT\tB-NP\tO' +p174686 +aS'pain\tpain\tNN\tI-NP\tO' +p174687 +aS'was\tbe\tVBD\tB-VP\tO' +p174688 +aS'much\tmuch\tRB\tB-ADJP\tO' +p174689 +aS'more\tmore\tRBR\tI-ADJP\tO' +p174690 +aS'intense\tintense\tJJ\tI-ADJP\tO' +p174691 +aS'(\t(\t(\tO\tO' +p174692 +aS'20x\t20x\tCD\tB-NP\tO' +p174693 +aS'worse\tworse\tJJR\tB-ADJP\tO' +p174694 +aS')\t)\t)\tO\tO' +p174695 +aS'.\t.\t.\tO\tO' +p174696 +asS'Her dopamine was weaned off the following day , and her heparin was discontinued secondary to a right groin hematoma which had developed after the sheath had been pulled out by the fellow .' +p174697 +(lp174698 +S'Her\tHer\tPRP$\tB-NP\tO' +p174699 +aS'dopamine\tdopamine\tNN\tI-NP\tO' +p174700 +aS'was\tbe\tVBD\tB-VP\tO' +p174701 +aS'weaned\twean\tVBN\tI-VP\tO' +p174702 +aS'off\toff\tRP\tB-PRT\tO' +p174703 +aS'the\tthe\tDT\tB-NP\tO' +p174704 +aS'following\tfollow\tVBG\tI-NP\tO' +p174705 +aS'day\tday\tNN\tI-NP\tO' +p174706 +aS',\t,\t,\tO\tO' +p174707 +aS'and\tand\tCC\tO\tO' +p174708 +aS'her\ther\tPRP$\tB-NP\tO' +p174709 +aS'heparin\theparin\tNN\tI-NP\tO' +p174710 +aS'was\tbe\tVBD\tB-VP\tO' +p174711 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p174712 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p174713 +aS'to\tto\tTO\tB-PP\tO' +p174714 +aS'a\ta\tDT\tB-NP\tO' +p174715 +aS'right\tright\tJJ\tI-NP\tO' +p174716 +aS'groin\tgroin\tNN\tI-NP\tO' +p174717 +aS'hematoma\thematoma\tNN\tI-NP\tO' +p174718 +aS'which\twhich\tWDT\tB-NP\tO' +p174719 +aS'had\thave\tVBD\tB-VP\tO' +p174720 +aS'developed\tdevelop\tVBN\tI-VP\tO' +p174721 +aS'after\tafter\tIN\tB-PP\tO' +p174722 +aS'the\tthe\tDT\tB-NP\tO' +p174723 +aS'sheath\tsheath\tNN\tI-NP\tO' +p174724 +aS'had\thave\tVBD\tB-VP\tO' +p174725 +aS'been\tbe\tVBN\tI-VP\tO' +p174726 +aS'pulled\tpull\tVBN\tI-VP\tO' +p174727 +aS'out\tout\tRP\tB-PRT\tO' +p174728 +aS'by\tby\tIN\tB-PP\tO' +p174729 +aS'the\tthe\tDT\tB-NP\tO' +p174730 +aS'fellow\tfellow\tNN\tI-NP\tO' +p174731 +aS'.\t.\t.\tO\tO' +p174732 +asS'She has 3 kids who live far away .' +p174733 +(lp174734 +S'She\tShe\tPRP\tB-NP\tO' +p174735 +aS'has\thave\tVBZ\tB-VP\tO' +p174736 +aS'3\t3\tCD\tB-NP\tO' +p174737 +aS'kids\tkid\tNNS\tI-NP\tO' +p174738 +aS'who\twho\tWP\tB-NP\tO' +p174739 +aS'live\tlive\tVBP\tB-VP\tO' +p174740 +aS'far\tfar\tRB\tB-ADVP\tO' +p174741 +aS'away\taway\tRB\tI-ADVP\tO' +p174742 +aS'.\t.\t.\tO\tO' +p174743 +asS'He previously underwent bronchoscopy with washings which showed to be negative for malignant cells and showed atypical bronchial epithelial cells , likely to be reactive .' +p174744 +(lp174745 +S'He\tHe\tPRP\tB-NP\tO' +p174746 +aS'previously\tpreviously\tRB\tB-ADVP\tO' +p174747 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p174748 +aS'bronchoscopy\tbronchoscopy\tNN\tB-NP\tO' +p174749 +aS'with\twith\tIN\tB-PP\tO' +p174750 +aS'washings\twashing\tNNS\tB-NP\tO' +p174751 +aS'which\twhich\tWDT\tB-NP\tO' +p174752 +aS'showed\tshow\tVBD\tB-VP\tO' +p174753 +aS'to\tto\tTO\tI-VP\tO' +p174754 +aS'be\tbe\tVB\tI-VP\tO' +p174755 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p174756 +aS'for\tfor\tIN\tB-PP\tO' +p174757 +aS'malignant\tmalignant\tJJ\tB-NP\tB-cell_type' +p174758 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p174759 +aS'and\tand\tCC\tO\tO' +p174760 +aS'showed\tshow\tVBD\tB-VP\tO' +p174761 +aS'atypical\tatypical\tJJ\tB-NP\tB-cell_type' +p174762 +aS'bronchial\tbronchial\tJJ\tI-NP\tI-cell_type' +p174763 +aS'epithelial\tepithelial\tJJ\tI-NP\tI-cell_type' +p174764 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p174765 +aS',\t,\t,\tO\tO' +p174766 +aS'likely\tlikely\tJJ\tB-ADJP\tO' +p174767 +aS'to\tto\tTO\tB-VP\tO' +p174768 +aS'be\tbe\tVB\tI-VP\tO' +p174769 +aS'reactive\treactive\tJJ\tB-ADJP\tO' +p174770 +aS'.\t.\t.\tO\tO' +p174771 +asS'She was initially noted to have a slow ventricular response in atrial fibrillation , but this gradually improved over time .' +p174772 +(lp174773 +S'She\tShe\tPRP\tB-NP\tO' +p174774 +aS'was\tbe\tVBD\tB-VP\tO' +p174775 +aS'initially\tinitially\tRB\tI-VP\tO' +p174776 +aS'noted\tnote\tVBN\tI-VP\tO' +p174777 +aS'to\tto\tTO\tI-VP\tO' +p174778 +aS'have\thave\tVB\tI-VP\tO' +p174779 +aS'a\ta\tDT\tB-NP\tO' +p174780 +aS'slow\tslow\tJJ\tI-NP\tO' +p174781 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p174782 +aS'response\tresponse\tNN\tI-NP\tO' +p174783 +aS'in\tin\tIN\tB-PP\tO' +p174784 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p174785 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p174786 +aS',\t,\t,\tO\tO' +p174787 +aS'but\tbut\tCC\tO\tO' +p174788 +aS'this\tthis\tDT\tB-NP\tO' +p174789 +aS'gradually\tgradually\tRB\tI-NP\tO' +p174790 +aS'improved\timprove\tVBN\tB-VP\tO' +p174791 +aS'over\tover\tIN\tB-PP\tO' +p174792 +aS'time\ttime\tNN\tB-NP\tO' +p174793 +aS'.\t.\t.\tO\tO' +p174794 +asS'Work-up for the source of the primary tumor which is still unknown included a mammogram which identified no suspicious microcalcifications and no dominant masses .' +p174795 +(lp174796 +S'Work-up\tWork-up\tJJ\tB-ADJP\tO' +p174797 +aS'for\tfor\tIN\tB-PP\tO' +p174798 +aS'the\tthe\tDT\tB-NP\tO' +p174799 +aS'source\tsource\tNN\tI-NP\tO' +p174800 +aS'of\tof\tIN\tB-PP\tO' +p174801 +aS'the\tthe\tDT\tB-NP\tO' +p174802 +aS'primary\tprimary\tJJ\tI-NP\tO' +p174803 +aS'tumor\ttumor\tNN\tI-NP\tO' +p174804 +aS'which\twhich\tWDT\tB-NP\tO' +p174805 +aS'is\tbe\tVBZ\tB-VP\tO' +p174806 +aS'still\tstill\tRB\tB-ADVP\tO' +p174807 +aS'unknown\tunknown\tJJ\tB-ADJP\tO' +p174808 +aS'included\tinclude\tVBD\tB-VP\tO' +p174809 +aS'a\ta\tDT\tB-NP\tO' +p174810 +aS'mammogram\tmammogram\tNN\tI-NP\tO' +p174811 +aS'which\twhich\tWDT\tB-NP\tO' +p174812 +aS'identified\tidentify\tVBD\tB-VP\tO' +p174813 +aS'no\tno\tDT\tB-NP\tO' +p174814 +aS'suspicious\tsuspicious\tJJ\tI-NP\tO' +p174815 +aS'microcalcifications\tmicrocalcification\tNNS\tI-NP\tO' +p174816 +aS'and\tand\tCC\tO\tO' +p174817 +aS'no\tno\tDT\tB-NP\tO' +p174818 +aS'dominant\tdominant\tJJ\tI-NP\tO' +p174819 +aS'masses\tmass\tNNS\tI-NP\tO' +p174820 +aS'.\t.\t.\tO\tO' +p174821 +asS'Neck - Tender on the leftside with no lymphadenopathy or thyromegaly .' +p174822 +(lp174823 +S'Neck\tNeck\tNN\tB-NP\tO' +p174824 +aS'-\t-\tHYPH\tI-NP\tO' +p174825 +aS'Tender\tTender\tNN\tI-NP\tO' +p174826 +aS'on\ton\tIN\tB-PP\tO' +p174827 +aS'the\tthe\tDT\tB-NP\tO' +p174828 +aS'leftside\tleftside\tNN\tI-NP\tO' +p174829 +aS'with\twith\tIN\tB-PP\tO' +p174830 +aS'no\tno\tDT\tB-NP\tO' +p174831 +aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' +p174832 +aS'or\tor\tCC\tO\tO' +p174833 +aS'thyromegaly\tthyromegaly\tRB\tB-ADVP\tO' +p174834 +aS'.\t.\t.\tO\tO' +p174835 +asS'The organism grown at this institution was sensitive to Imipenem , Ceftazidime , Amikacin , gentamicin , Ciprofloxacin , Tobramycin but was resistant to Cefotetan , Ceftriaxone , Mezlocillin , Bactrim , Ampicillin , chloramphenicol , and sulbactam .' +p174836 +(lp174837 +S'The\tThe\tDT\tB-NP\tO' +p174838 +aS'organism\torganism\tNN\tI-NP\tO' +p174839 +aS'grown\tgrow\tVBN\tB-VP\tO' +p174840 +aS'at\tat\tIN\tB-PP\tO' +p174841 +aS'this\tthis\tDT\tB-NP\tO' +p174842 +aS'institution\tinstitution\tNN\tI-NP\tO' +p174843 +aS'was\tbe\tVBD\tB-VP\tO' +p174844 +aS'sensitive\tsensitive\tJJ\tB-ADJP\tO' +p174845 +aS'to\tto\tTO\tB-PP\tO' +p174846 +aS'Imipenem\tImipenem\tNN\tB-NP\tO' +p174847 +aS',\t,\t,\tO\tO' +p174848 +aS'Ceftazidime\tCeftazidime\tNN\tB-NP\tO' +p174849 +aS',\t,\t,\tO\tO' +p174850 +aS'Amikacin\tAmikacin\tNN\tB-NP\tO' +p174851 +aS',\t,\t,\tO\tO' +p174852 +aS'gentamicin\tgentamicin\tNN\tB-NP\tO' +p174853 +aS',\t,\t,\tO\tO' +p174854 +aS'Ciprofloxacin\tCiprofloxacin\tNN\tB-NP\tO' +p174855 +aS',\t,\t,\tO\tO' +p174856 +aS'Tobramycin\tTobramycin\tNN\tB-NP\tO' +p174857 +aS'but\tbut\tCC\tO\tO' +p174858 +aS'was\tbe\tVBD\tB-VP\tO' +p174859 +aS'resistant\tresistant\tJJ\tB-ADJP\tO' +p174860 +aS'to\tto\tTO\tB-PP\tO' +p174861 +aS'Cefotetan\tCefotetan\tNNP\tB-NP\tO' +p174862 +aS',\t,\t,\tO\tO' +p174863 +aS'Ceftriaxone\tCeftriaxone\tNNP\tB-NP\tO' +p174864 +aS',\t,\t,\tO\tO' +p174865 +aS'Mezlocillin\tMezlocillin\tNNP\tB-NP\tO' +p174866 +aS',\t,\t,\tO\tO' +p174867 +aS'Bactrim\tBactrim\tNNP\tB-NP\tO' +p174868 +aS',\t,\t,\tO\tO' +p174869 +aS'Ampicillin\tAmpicillin\tNNP\tB-NP\tO' +p174870 +aS',\t,\t,\tO\tO' +p174871 +aS'chloramphenicol\tchloramphenicol\tNN\tB-NP\tO' +p174872 +aS',\t,\t,\tO\tO' +p174873 +aS'and\tand\tCC\tO\tO' +p174874 +aS'sulbactam\tsulbactam\tNN\tB-NP\tO' +p174875 +aS'.\t.\t.\tO\tO' +p174876 +asS'Blood pressure 150/82 , heart rate 88 , respiratory rate 18 .' +p174877 +(lp174878 +S'Blood\tBlood\tNN\tB-NP\tO' +p174879 +aS'pressure\tpressure\tNN\tI-NP\tO' +p174880 +aS'150/82\t150/82\tCD\tI-NP\tO' +p174881 +aS',\t,\t,\tO\tO' +p174882 +aS'heart\theart\tNN\tB-NP\tO' +p174883 +aS'rate\trate\tNN\tI-NP\tO' +p174884 +aS'88\t88\tCD\tI-NP\tO' +p174885 +aS',\t,\t,\tI-NP\tO' +p174886 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p174887 +aS'rate\trate\tNN\tI-NP\tO' +p174888 +aS'18\t18\tCD\tI-NP\tO' +p174889 +aS'.\t.\t.\tO\tO' +p174890 +asS'For this reason , her normal Lopressor and Norvasc were held .' +p174891 +(lp174892 +S'For\tFor\tIN\tB-PP\tO' +p174893 +aS'this\tthis\tDT\tB-NP\tO' +p174894 +aS'reason\treason\tNN\tI-NP\tO' +p174895 +aS',\t,\t,\tO\tO' +p174896 +aS'her\ther\tPRP$\tB-NP\tO' +p174897 +aS'normal\tnormal\tJJ\tI-NP\tO' +p174898 +aS'Lopressor\tLopressor\tNN\tI-NP\tO' +p174899 +aS'and\tand\tCC\tI-NP\tO' +p174900 +aS'Norvasc\tNorvasc\tNN\tI-NP\tO' +p174901 +aS'were\tbe\tVBD\tB-VP\tO' +p174902 +aS'held\thold\tVBN\tI-VP\tO' +p174903 +aS'.\t.\t.\tO\tO' +p174904 +asS'Aspirin , Folate , Multivitamin , Amiodarone , Lasix , Imdur , Celexa , Lipitor , Potassium .' +p174905 +(lp174906 +S'Aspirin\tAspirin\tNN\tB-NP\tO' +p174907 +aS',\t,\t,\tO\tO' +p174908 +aS'Folate\tFolate\tNNP\tB-NP\tO' +p174909 +aS',\t,\t,\tO\tO' +p174910 +aS'Multivitamin\tMultivitamin\tNNP\tB-NP\tO' +p174911 +aS',\t,\t,\tO\tO' +p174912 +aS'Amiodarone\tAmiodarone\tNNP\tB-NP\tO' +p174913 +aS',\t,\t,\tO\tO' +p174914 +aS'Lasix\tLasix\tNNP\tB-NP\tO' +p174915 +aS',\t,\t,\tO\tO' +p174916 +aS'Imdur\tImdur\tNNP\tB-NP\tO' +p174917 +aS',\t,\t,\tO\tO' +p174918 +aS'Celexa\tCelexa\tNNP\tB-NP\tO' +p174919 +aS',\t,\t,\tO\tO' +p174920 +aS'Lipitor\tLipitor\tNNP\tB-NP\tO' +p174921 +aS',\t,\t,\tO\tO' +p174922 +aS'Potassium\tPotassium\tNNP\tB-NP\tO' +p174923 +aS'.\t.\t.\tO\tO' +p174924 +asS'Discussions were held with the patient 's family with regard to her previously expressed wishes not to be maintained on artificial life support for extended period of time with little or no hope for recovery .' +p174925 +(lp174926 +S'Discussions\tDiscussion\tNNS\tB-NP\tO' +p174927 +aS'were\tbe\tVBD\tB-VP\tO' +p174928 +aS'held\thold\tVBN\tI-VP\tO' +p174929 +aS'with\twith\tIN\tB-PP\tO' +p174930 +aS'the\tthe\tDT\tB-NP\tO' +p174931 +aS'patient\tpatient\tNN\tI-NP\tO' +p174932 +aS''s\t'\tNNS\tI-NP\tO' +p174933 +aS'family\tfamily\tNN\tI-NP\tO' +p174934 +aS'with\twith\tIN\tB-PP\tO' +p174935 +aS'regard\tregard\tNN\tB-NP\tO' +p174936 +aS'to\tto\tTO\tB-PP\tO' +p174937 +aS'her\ther\tPRP\tB-NP\tO' +p174938 +aS'previously\tpreviously\tRB\tB-VP\tO' +p174939 +aS'expressed\texpress\tVBN\tI-VP\tO' +p174940 +aS'wishes\twish\tVBZ\tB-VP\tO' +p174941 +aS'not\tnot\tRB\tO\tO' +p174942 +aS'to\tto\tTO\tB-VP\tO' +p174943 +aS'be\tbe\tVB\tI-VP\tO' +p174944 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p174945 +aS'on\ton\tIN\tB-PP\tO' +p174946 +aS'artificial\tartificial\tJJ\tB-NP\tO' +p174947 +aS'life\tlife\tNN\tI-NP\tO' +p174948 +aS'support\tsupport\tNN\tI-NP\tO' +p174949 +aS'for\tfor\tIN\tB-PP\tO' +p174950 +aS'extended\textended\tJJ\tB-NP\tO' +p174951 +aS'period\tperiod\tNN\tI-NP\tO' +p174952 +aS'of\tof\tIN\tB-PP\tO' +p174953 +aS'time\ttime\tNN\tB-NP\tO' +p174954 +aS'with\twith\tIN\tB-PP\tO' +p174955 +aS'little\tlittle\tJJ\tB-NP\tO' +p174956 +aS'or\tor\tCC\tI-NP\tO' +p174957 +aS'no\tno\tDT\tI-NP\tO' +p174958 +aS'hope\thope\tNN\tI-NP\tO' +p174959 +aS'for\tfor\tIN\tB-PP\tO' +p174960 +aS'recovery\trecovery\tNN\tB-NP\tO' +p174961 +aS'.\t.\t.\tO\tO' +p174962 +asS'5. Cellulitis .' +p174963 +(lp174964 +S'5.\t5.\tLS\tB-NP\tO' +p174965 +aS'Cellulitis\tCellulitis\tNN\tI-NP\tO' +p174966 +aS'.\t.\t.\tO\tO' +p174967 +asS'Serial CT head revealed decreased blood through 2014-11-14 .' +p174968 +(lp174969 +S'Serial\tSerial\tJJ\tB-NP\tO' +p174970 +aS'CT\tCT\tNN\tI-NP\tO' +p174971 +aS'head\thead\tNN\tI-NP\tO' +p174972 +aS'revealed\treveal\tVBD\tB-VP\tO' +p174973 +aS'decreased\tdecrease\tVBN\tB-NP\tO' +p174974 +aS'blood\tblood\tNN\tI-NP\tO' +p174975 +aS'through\tthrough\tIN\tB-PP\tO' +p174976 +aS'2014-11-14\t2014-11-14\tCD\tB-NP\tO' +p174977 +aS'.\t.\t.\tO\tO' +p174978 +asS'Notably , intracranial pressure was 17 when the bolt was placed .' +p174979 +(lp174980 +S'Notably\tNotably\tRB\tB-ADVP\tO' +p174981 +aS',\t,\t,\tO\tO' +p174982 +aS'intracranial\tintracranial\tJJ\tB-NP\tO' +p174983 +aS'pressure\tpressure\tNN\tI-NP\tO' +p174984 +aS'was\tbe\tVBD\tB-VP\tO' +p174985 +aS'17\t17\tCD\tB-NP\tO' +p174986 +aS'when\twhen\tWRB\tB-ADVP\tO' +p174987 +aS'the\tthe\tDT\tB-NP\tO' +p174988 +aS'bolt\tbolt\tNN\tI-NP\tO' +p174989 +aS'was\tbe\tVBD\tB-VP\tO' +p174990 +aS'placed\tplace\tVBN\tI-VP\tO' +p174991 +aS'.\t.\t.\tO\tO' +p174992 +asS'The patient was also started on a clear diet .' +p174993 +(lp174994 +S'The\tThe\tDT\tB-NP\tO' +p174995 +aS'patient\tpatient\tNN\tI-NP\tO' +p174996 +aS'was\tbe\tVBD\tB-VP\tO' +p174997 +aS'also\talso\tRB\tI-VP\tO' +p174998 +aS'started\tstart\tVBN\tI-VP\tO' +p174999 +aS'on\ton\tIN\tB-PP\tO' +p175000 +aS'a\ta\tDT\tB-NP\tO' +p175001 +aS'clear\tclear\tJJ\tI-NP\tO' +p175002 +aS'diet\tdiet\tNN\tI-NP\tO' +p175003 +aS'.\t.\t.\tO\tO' +p175004 +asS'11. Amlodipine 10 mg p.o. q. day .' +p175005 +(lp175006 +S'11.\t11.\tCD\tB-NP\tO' +p175007 +aS'Amlodipine\tAmlodipine\tNN\tI-NP\tO' +p175008 +aS'10\t10\tCD\tB-NP\tO' +p175009 +aS'mg\tmg\tNN\tI-NP\tO' +p175010 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p175011 +aS'q.\tq.\tNN\tI-NP\tO' +p175012 +aS'day\tday\tNN\tI-NP\tO' +p175013 +aS'.\t.\t.\tO\tO' +p175014 +asS'Pt found to be hypothermic w/ WBC 17 ( pt on steroids ) pnuemobilia and thickening of sigmoid .' +p175015 +(lp175016 +S'Pt\tPt\tNN\tB-NP\tO' +p175017 +aS'found\tfind\tVBN\tB-VP\tO' +p175018 +aS'to\tto\tTO\tI-VP\tO' +p175019 +aS'be\tbe\tVB\tI-VP\tO' +p175020 +aS'hypothermic\thypothermic\tJJ\tB-NP\tO' +p175021 +aS'w/\tw/\tNN\tI-NP\tO' +p175022 +aS'WBC\tWBC\tNN\tI-NP\tO' +p175023 +aS'17\t17\tCD\tI-NP\tO' +p175024 +aS'(\t(\t(\tO\tO' +p175025 +aS'pt\tpt\tNN\tB-NP\tO' +p175026 +aS'on\ton\tIN\tB-PP\tO' +p175027 +aS'steroids\tsteroid\tNNS\tB-NP\tO' +p175028 +aS')\t)\t)\tO\tO' +p175029 +aS'pnuemobilia\tpnuemobilia\tNN\tB-NP\tO' +p175030 +aS'and\tand\tCC\tI-NP\tO' +p175031 +aS'thickening\tthickening\tNN\tI-NP\tO' +p175032 +aS'of\tof\tIN\tB-PP\tO' +p175033 +aS'sigmoid\tsigmoid\tNN\tB-NP\tO' +p175034 +aS'.\t.\t.\tO\tO' +p175035 +asS'Status post CVA times two in 2010 , arthritis , hypertension , hypercholesterolemia , status post remote pneumonia , status post remote pleurisy , psoriasis .' +p175036 +(lp175037 +S'Status\tStatus\tNNP\tB-NP\tO' +p175038 +aS'post\tpost\tIN\tB-PP\tO' +p175039 +aS'CVA\tCVA\tNNP\tB-NP\tO' +p175040 +aS'times\ttime\tNNS\tI-NP\tO' +p175041 +aS'two\ttwo\tCD\tB-NP\tO' +p175042 +aS'in\tin\tIN\tB-PP\tO' +p175043 +aS'2010\t2010\tCD\tB-NP\tO' +p175044 +aS',\t,\t,\tO\tO' +p175045 +aS'arthritis\tarthritis\tNN\tB-NP\tO' +p175046 +aS',\t,\t,\tO\tO' +p175047 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p175048 +aS',\t,\t,\tO\tO' +p175049 +aS'hypercholesterolemia\thypercholesterolemia\tNN\tB-NP\tO' +p175050 +aS',\t,\t,\tO\tO' +p175051 +aS'status\tstatus\tNN\tB-NP\tO' +p175052 +aS'post\tpost\tNN\tI-NP\tO' +p175053 +aS'remote\tremote\tJJ\tI-NP\tO' +p175054 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p175055 +aS',\t,\t,\tO\tO' +p175056 +aS'status\tstatus\tNN\tB-NP\tO' +p175057 +aS'post\tpost\tNN\tI-NP\tO' +p175058 +aS'remote\tremote\tJJ\tI-NP\tO' +p175059 +aS'pleurisy\tpleurisy\tNN\tI-NP\tO' +p175060 +aS',\t,\t,\tO\tO' +p175061 +aS'psoriasis\tpsoriasis\tNN\tB-NP\tO' +p175062 +aS'.\t.\t.\tO\tO' +p175063 +asS'She initially received a treatment of BiPAP on arrival as she was barely able to speak .' +p175064 +(lp175065 +S'She\tShe\tPRP\tB-NP\tO' +p175066 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p175067 +aS'received\treceive\tVBD\tB-VP\tO' +p175068 +aS'a\ta\tDT\tB-NP\tO' +p175069 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p175070 +aS'of\tof\tIN\tB-PP\tO' +p175071 +aS'BiPAP\tBiPAP\tNN\tB-NP\tB-protein' +p175072 +aS'on\ton\tIN\tB-PP\tO' +p175073 +aS'arrival\tarrival\tNN\tB-NP\tO' +p175074 +aS'as\tas\tIN\tB-SBAR\tO' +p175075 +aS'she\tshe\tPRP\tB-NP\tO' +p175076 +aS'was\tbe\tVBD\tB-VP\tO' +p175077 +aS'barely\tbarely\tRB\tB-ADJP\tO' +p175078 +aS'able\table\tJJ\tI-ADJP\tO' +p175079 +aS'to\tto\tTO\tB-VP\tO' +p175080 +aS'speak\tspeak\tVB\tI-VP\tO' +p175081 +aS'.\t.\t.\tO\tO' +p175082 +asS'He was discharged in good condition .' +p175083 +(lp175084 +S'He\tHe\tPRP\tB-NP\tO' +p175085 +aS'was\tbe\tVBD\tB-VP\tO' +p175086 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p175087 +aS'in\tin\tIN\tB-PP\tO' +p175088 +aS'good\tgood\tJJ\tB-NP\tO' +p175089 +aS'condition\tcondition\tNN\tI-NP\tO' +p175090 +aS'.\t.\t.\tO\tO' +p175091 +asS'It was presumed high-speed motor vehicle collision .' +p175092 +(lp175093 +S'It\tIt\tPRP\tB-NP\tO' +p175094 +aS'was\tbe\tVBD\tB-VP\tO' +p175095 +aS'presumed\tpresume\tVBN\tI-VP\tO' +p175096 +aS'high-speed\thigh-speed\tJJ\tB-NP\tO' +p175097 +aS'motor\tmotor\tNN\tI-NP\tO' +p175098 +aS'vehicle\tvehicle\tNN\tI-NP\tO' +p175099 +aS'collision\tcollision\tNN\tI-NP\tO' +p175100 +aS'.\t.\t.\tO\tO' +p175101 +asS'He was subsequently restared on Vancomycin for Corynebacterium in blood cx from Fri ; Followup cx has been NGTD .' +p175102 +(lp175103 +S'He\tHe\tPRP\tB-NP\tO' +p175104 +aS'was\tbe\tVBD\tB-VP\tO' +p175105 +aS'subsequently\tsubsequently\tRB\tI-VP\tO' +p175106 +aS'restared\trestare\tVBN\tI-VP\tO' +p175107 +aS'on\ton\tIN\tB-PP\tO' +p175108 +aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' +p175109 +aS'for\tfor\tIN\tB-PP\tO' +p175110 +aS'Corynebacterium\tCorynebacterium\tNN\tB-NP\tO' +p175111 +aS'in\tin\tIN\tB-PP\tO' +p175112 +aS'blood\tblood\tNN\tB-NP\tO' +p175113 +aS'cx\tcx\tNN\tI-NP\tO' +p175114 +aS'from\tfrom\tIN\tB-PP\tO' +p175115 +aS'Fri\tFri\tNNP\tB-NP\tO' +p175116 +aS';\t;\t:\tO\tO' +p175117 +aS'Followup\tFollowup\tNN\tB-NP\tO' +p175118 +aS'cx\tcx\tNN\tI-NP\tO' +p175119 +aS'has\thave\tVBZ\tB-VP\tO' +p175120 +aS'been\tbe\tVBN\tI-VP\tO' +p175121 +aS'NGTD\tNGTD\tNN\tB-NP\tO' +p175122 +aS'.\t.\t.\tO\tO' +p175123 +asS'BS present , hypoactive .' +p175124 +(lp175125 +S'BS\tBS\tNN\tB-NP\tO' +p175126 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p175127 +aS',\t,\t,\tO\tO' +p175128 +aS'hypoactive\thypoactive\tJJ\tB-ADJP\tO' +p175129 +aS'.\t.\t.\tO\tO' +p175130 +asS'There was no evidence of bleeding .' +p175131 +(lp175132 +S'There\tThere\tEX\tB-NP\tO' +p175133 +aS'was\tbe\tVBD\tB-VP\tO' +p175134 +aS'no\tno\tDT\tB-NP\tO' +p175135 +aS'evidence\tevidence\tNN\tI-NP\tO' +p175136 +aS'of\tof\tIN\tB-PP\tO' +p175137 +aS'bleeding\tbleed\tVBG\tB-NP\tO' +p175138 +aS'.\t.\t.\tO\tO' +p175139 +asS'Toxicology consulted and felt that patient most likely had benzo overdose .' +p175140 +(lp175141 +S'Toxicology\tToxicology\tNNP\tB-NP\tO' +p175142 +aS'consulted\tconsult\tVBD\tB-VP\tO' +p175143 +aS'and\tand\tCC\tO\tO' +p175144 +aS'felt\tfeel\tVBD\tB-VP\tO' +p175145 +aS'that\tthat\tIN\tB-SBAR\tO' +p175146 +aS'patient\tpatient\tNN\tB-NP\tO' +p175147 +aS'most\tmost\tRBS\tB-ADVP\tO' +p175148 +aS'likely\tlikely\tRB\tI-ADVP\tO' +p175149 +aS'had\thave\tVBD\tB-VP\tO' +p175150 +aS'benzo\tbenzo\tNN\tB-NP\tO' +p175151 +aS'overdose\toverdose\tNN\tI-NP\tO' +p175152 +aS'.\t.\t.\tO\tO' +p175153 +asS'Currently , the patient is postoperative day #6 .' +p175154 +(lp175155 +S'Currently\tCurrently\tRB\tB-ADVP\tO' +p175156 +aS',\t,\t,\tO\tO' +p175157 +aS'the\tthe\tDT\tB-NP\tO' +p175158 +aS'patient\tpatient\tNN\tI-NP\tO' +p175159 +aS'is\tbe\tVBZ\tB-VP\tO' +p175160 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p175161 +aS'day\tday\tNN\tI-NP\tO' +p175162 +aS'#6\t#6\tCD\tI-NP\tO' +p175163 +aS'.\t.\t.\tO\tO' +p175164 +asS'In April 1994 he presented with an acute inferior myocardial infarction and was given Streptokinase .' +p175165 +(lp175166 +S'In\tIn\tIN\tB-PP\tO' +p175167 +aS'April\tApril\tNNP\tB-NP\tO' +p175168 +aS'1994\t1994\tCD\tI-NP\tO' +p175169 +aS'he\the\tPRP\tB-NP\tO' +p175170 +aS'presented\tpresent\tVBD\tB-VP\tO' +p175171 +aS'with\twith\tIN\tB-PP\tO' +p175172 +aS'an\tan\tDT\tB-NP\tO' +p175173 +aS'acute\tacute\tJJ\tI-NP\tO' +p175174 +aS'inferior\tinferior\tJJ\tI-NP\tO' +p175175 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p175176 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p175177 +aS'and\tand\tCC\tO\tO' +p175178 +aS'was\tbe\tVBD\tB-VP\tO' +p175179 +aS'given\tgive\tVBN\tI-VP\tO' +p175180 +aS'Streptokinase\tStreptokinase\tNNP\tB-NP\tO' +p175181 +aS'.\t.\t.\tO\tO' +p175182 +asS'Patient should remain on this medication .' +p175183 +(lp175184 +S'Patient\tPatient\tNN\tB-NP\tO' +p175185 +aS'should\tshould\tMD\tB-VP\tO' +p175186 +aS'remain\tremain\tVB\tI-VP\tO' +p175187 +aS'on\ton\tIN\tB-PP\tO' +p175188 +aS'this\tthis\tDT\tB-NP\tO' +p175189 +aS'medication\tmedication\tNN\tI-NP\tO' +p175190 +aS'.\t.\t.\tO\tO' +p175191 +asS'A repeat chest x-ray done for dyspnea showed persistent pleural effusion with atelectasis versus pneumonia .' +p175192 +(lp175193 +S'A\tA\tDT\tB-NP\tO' +p175194 +aS'repeat\trepeat\tNN\tI-NP\tO' +p175195 +aS'chest\tchest\tNN\tI-NP\tO' +p175196 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p175197 +aS'done\tdo\tVBN\tB-VP\tO' +p175198 +aS'for\tfor\tIN\tB-PP\tO' +p175199 +aS'dyspnea\tdyspnea\tNN\tB-NP\tO' +p175200 +aS'showed\tshow\tVBD\tB-VP\tO' +p175201 +aS'persistent\tpersistent\tJJ\tB-NP\tO' +p175202 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p175203 +aS'effusion\teffusion\tNN\tI-NP\tO' +p175204 +aS'with\twith\tIN\tB-PP\tO' +p175205 +aS'atelectasis\tatelectasis\tNN\tB-NP\tO' +p175206 +aS'versus\tversus\tIN\tB-PP\tO' +p175207 +aS'pneumonia\tpneumonia\tNN\tB-NP\tO' +p175208 +aS'.\t.\t.\tO\tO' +p175209 +asS"The patient was also seen in consultation by the Infectious Disease Service as well as the Cardiology Service who assisted in managing the patient 's intermittent hypertension ." +p175210 +(lp175211 +S'The\tThe\tDT\tB-NP\tO' +p175212 +aS'patient\tpatient\tNN\tI-NP\tO' +p175213 +aS'was\tbe\tVBD\tB-VP\tO' +p175214 +aS'also\talso\tRB\tI-VP\tO' +p175215 +aS'seen\tsee\tVBN\tI-VP\tO' +p175216 +aS'in\tin\tIN\tB-PP\tO' +p175217 +aS'consultation\tconsultation\tNN\tB-NP\tO' +p175218 +aS'by\tby\tIN\tB-PP\tO' +p175219 +aS'the\tthe\tDT\tB-NP\tO' +p175220 +aS'Infectious\tInfectious\tNNP\tI-NP\tO' +p175221 +aS'Disease\tDisease\tNNP\tI-NP\tO' +p175222 +aS'Service\tService\tNNP\tI-NP\tO' +p175223 +aS'as\tas\tRB\tB-CONJP\tO' +p175224 +aS'well\twell\tRB\tI-CONJP\tO' +p175225 +aS'as\tas\tIN\tI-CONJP\tO' +p175226 +aS'the\tthe\tDT\tB-NP\tO' +p175227 +aS'Cardiology\tCardiology\tNNP\tI-NP\tO' +p175228 +aS'Service\tService\tNNP\tI-NP\tO' +p175229 +aS'who\twho\tWP\tB-NP\tO' +p175230 +aS'assisted\tassist\tVBD\tB-VP\tO' +p175231 +aS'in\tin\tIN\tB-PP\tO' +p175232 +aS'managing\tmanage\tVBG\tB-VP\tO' +p175233 +aS'the\tthe\tDT\tB-NP\tO' +p175234 +aS'patient\tpatient\tNN\tI-NP\tO' +p175235 +aS"'s\t's\tPOS\tB-NP\tO" +p175236 +aS'intermittent\tintermittent\tJJ\tI-NP\tO' +p175237 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p175238 +aS'.\t.\t.\tO\tO' +p175239 +asS'She denies any fever , BRBPR , melena , dysuria .' +p175240 +(lp175241 +S'She\tShe\tPRP\tB-NP\tO' +p175242 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p175243 +aS'any\tany\tDT\tB-NP\tO' +p175244 +aS'fever\tfever\tNN\tI-NP\tO' +p175245 +aS',\t,\t,\tO\tO' +p175246 +aS'BRBPR\tBRBPR\tNN\tB-NP\tB-protein' +p175247 +aS',\t,\t,\tO\tO' +p175248 +aS'melena\tmelena\tNN\tB-NP\tO' +p175249 +aS',\t,\t,\tO\tO' +p175250 +aS'dysuria\tdysuria\tNN\tB-NP\tO' +p175251 +aS'.\t.\t.\tO\tO' +p175252 +asS'Patient is able to ambulate without any chest pain or discomfort .' +p175253 +(lp175254 +S'Patient\tPatient\tNN\tB-NP\tO' +p175255 +aS'is\tbe\tVBZ\tB-VP\tO' +p175256 +aS'able\table\tJJ\tB-ADJP\tO' +p175257 +aS'to\tto\tTO\tB-VP\tO' +p175258 +aS'ambulate\tambulate\tVB\tI-VP\tO' +p175259 +aS'without\twithout\tIN\tB-PP\tO' +p175260 +aS'any\tany\tDT\tB-NP\tO' +p175261 +aS'chest\tchest\tNN\tI-NP\tO' +p175262 +aS'pain\tpain\tNN\tI-NP\tO' +p175263 +aS'or\tor\tCC\tI-NP\tO' +p175264 +aS'discomfort\tdiscomfort\tNN\tI-NP\tO' +p175265 +aS'.\t.\t.\tO\tO' +p175266 +asS'He is feeding well .' +p175267 +(lp175268 +S'He\tHe\tPRP\tB-NP\tO' +p175269 +aS'is\tbe\tVBZ\tB-VP\tO' +p175270 +aS'feeding\tfeed\tVBG\tI-VP\tO' +p175271 +aS'well\twell\tRB\tB-ADVP\tO' +p175272 +aS'.\t.\t.\tO\tO' +p175273 +asS'2. Flomax 4 mg p.o. q. day .' +p175274 +(lp175275 +S'2.\t2.\tLS\tB-LST\tO' +p175276 +aS'Flomax\tFlomax\tNN\tB-NP\tO' +p175277 +aS'4\t4\tCD\tI-NP\tO' +p175278 +aS'mg\tmg\tNN\tI-NP\tO' +p175279 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p175280 +aS'q.\tq.\tNN\tI-NP\tO' +p175281 +aS'day\tday\tNN\tI-NP\tO' +p175282 +aS'.\t.\t.\tO\tO' +p175283 +asS'CPAP at 5 was attempted , but pt did not tolerate this .' +p175284 +(lp175285 +S'CPAP\tCPAP\tNN\tB-NP\tB-protein' +p175286 +aS'at\tat\tIN\tB-PP\tO' +p175287 +aS'5\t5\tCD\tB-NP\tO' +p175288 +aS'was\tbe\tVBD\tB-VP\tO' +p175289 +aS'attempted\tattempt\tVBN\tI-VP\tO' +p175290 +aS',\t,\t,\tO\tO' +p175291 +aS'but\tbut\tCC\tO\tO' +p175292 +aS'pt\tpt\tNN\tB-NP\tO' +p175293 +aS'did\tdo\tVBD\tB-VP\tO' +p175294 +aS'not\tnot\tRB\tI-VP\tO' +p175295 +aS'tolerate\ttolerate\tVB\tI-VP\tO' +p175296 +aS'this\tthis\tDT\tB-NP\tO' +p175297 +aS'.\t.\t.\tO\tO' +p175298 +asS'He was sent to the Emergency Department for further evaluation .' +p175299 +(lp175300 +S'He\tHe\tPRP\tB-NP\tO' +p175301 +aS'was\tbe\tVBD\tB-VP\tO' +p175302 +aS'sent\tsend\tVBN\tI-VP\tO' +p175303 +aS'to\tto\tTO\tB-PP\tO' +p175304 +aS'the\tthe\tDT\tB-NP\tO' +p175305 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p175306 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p175307 +aS'for\tfor\tIN\tB-PP\tO' +p175308 +aS'further\tfurther\tJJ\tB-NP\tO' +p175309 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p175310 +aS'.\t.\t.\tO\tO' +p175311 +asS'+ S4 .' +p175312 +(lp175313 +S'+\t+\tSYM\tB-NP\tO' +p175314 +aS'S4\tS4\tNN\tI-NP\tB-protein' +p175315 +aS'.\t.\t.\tO\tO' +p175316 +asS'The patient is a 65 year old male who sustained a small myocardial infarction first in 1978 , with course thereafter including a coronary artery bypass graft by Dr. Wierst ______________at Noughwell Entanbon Health in 1986 .' +p175317 +(lp175318 +S'The\tThe\tDT\tB-NP\tO' +p175319 +aS'patient\tpatient\tNN\tI-NP\tO' +p175320 +aS'is\tbe\tVBZ\tB-VP\tO' +p175321 +aS'a\ta\tDT\tB-NP\tO' +p175322 +aS'65\t65\tCD\tI-NP\tO' +p175323 +aS'year\tyear\tNN\tI-NP\tO' +p175324 +aS'old\told\tJJ\tI-NP\tO' +p175325 +aS'male\tmale\tNN\tI-NP\tO' +p175326 +aS'who\twho\tWP\tB-NP\tO' +p175327 +aS'sustained\tsustain\tVBD\tB-VP\tO' +p175328 +aS'a\ta\tDT\tB-NP\tO' +p175329 +aS'small\tsmall\tJJ\tI-NP\tO' +p175330 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p175331 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p175332 +aS'first\tfirst\tRB\tB-ADVP\tO' +p175333 +aS'in\tin\tIN\tB-PP\tO' +p175334 +aS'1978\t1978\tCD\tB-NP\tO' +p175335 +aS',\t,\t,\tO\tO' +p175336 +aS'with\twith\tIN\tB-PP\tO' +p175337 +aS'course\tcourse\tNN\tB-NP\tO' +p175338 +aS'thereafter\tthereafter\tRB\tB-VP\tO' +p175339 +aS'including\tinclude\tVBG\tI-VP\tO' +p175340 +aS'a\ta\tDT\tB-NP\tO' +p175341 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p175342 +aS'artery\tartery\tNN\tI-NP\tO' +p175343 +aS'bypass\tbypass\tIN\tB-PP\tO' +p175344 +aS'graft\tgraft\tNN\tB-NP\tO' +p175345 +aS'by\tby\tIN\tB-PP\tO' +p175346 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p175347 +aS'Wierst\tWierst\tNNP\tI-NP\tO' +p175348 +aS'______________at\t______________at\tNNP\tI-NP\tO' +p175349 +aS'Noughwell\tNoughwell\tNNP\tI-NP\tO' +p175350 +aS'Entanbon\tEntanbon\tNNP\tI-NP\tO' +p175351 +aS'Health\tHealth\tNNP\tI-NP\tO' +p175352 +aS'in\tin\tIN\tB-PP\tO' +p175353 +aS'1986\t1986\tCD\tB-NP\tO' +p175354 +aS'.\t.\t.\tO\tO' +p175355 +asS'For lunch blood glucose of 101 to 150 equals 4 units , 151 to 200 equals 7 units , 201 to 250 equals 8 units , 251 to 350 equals 12 units , greater than 350 equals 15 units .' +p175356 +(lp175357 +S'For\tFor\tIN\tB-PP\tO' +p175358 +aS'lunch\tlunch\tNN\tB-NP\tO' +p175359 +aS'blood\tblood\tNN\tI-NP\tO' +p175360 +aS'glucose\tglucose\tNN\tI-NP\tO' +p175361 +aS'of\tof\tIN\tB-PP\tO' +p175362 +aS'101\t101\tCD\tB-NP\tB-DNA' +p175363 +aS'to\tto\tTO\tI-NP\tI-DNA' +p175364 +aS'150\t150\tCD\tI-NP\tI-DNA' +p175365 +aS'equals\tequal\tNNS\tI-NP\tI-DNA' +p175366 +aS'4\t4\tCD\tB-NP\tI-DNA' +p175367 +aS'units\tunit\tNNS\tI-NP\tI-DNA' +p175368 +aS',\t,\t,\tO\tO' +p175369 +aS'151\t151\tCD\tB-NP\tB-DNA' +p175370 +aS'to\tto\tTO\tI-NP\tI-DNA' +p175371 +aS'200\t200\tCD\tI-NP\tI-DNA' +p175372 +aS'equals\tequal\tNNS\tI-NP\tI-DNA' +p175373 +aS'7\t7\tCD\tB-NP\tI-DNA' +p175374 +aS'units\tunit\tNNS\tI-NP\tI-DNA' +p175375 +aS',\t,\t,\tO\tO' +p175376 +aS'201\t201\tCD\tB-NP\tB-DNA' +p175377 +aS'to\tto\tTO\tI-NP\tI-DNA' +p175378 +aS'250\t250\tCD\tI-NP\tI-DNA' +p175379 +aS'equals\tequal\tNNS\tI-NP\tI-DNA' +p175380 +aS'8\t8\tCD\tB-NP\tI-DNA' +p175381 +aS'units\tunit\tNNS\tI-NP\tI-DNA' +p175382 +aS',\t,\t,\tO\tO' +p175383 +aS'251\t251\tCD\tB-NP\tB-DNA' +p175384 +aS'to\tto\tTO\tI-NP\tI-DNA' +p175385 +aS'350\t350\tCD\tI-NP\tI-DNA' +p175386 +aS'equals\tequal\tNNS\tI-NP\tI-DNA' +p175387 +aS'12\t12\tCD\tB-NP\tI-DNA' +p175388 +aS'units\tunit\tNNS\tI-NP\tI-DNA' +p175389 +aS',\t,\t,\tO\tO' +p175390 +aS'greater\tgreat\tJJR\tB-NP\tO' +p175391 +aS'than\tthan\tIN\tI-NP\tO' +p175392 +aS'350\t350\tCD\tI-NP\tB-DNA' +p175393 +aS'equals\tequal\tNNS\tI-NP\tI-DNA' +p175394 +aS'15\t15\tCD\tB-NP\tI-DNA' +p175395 +aS'units\tunit\tNNS\tI-NP\tI-DNA' +p175396 +aS'.\t.\t.\tO\tO' +p175397 +asS'The patient also received a unit of packed red blood cells in an additional attempt to wean from Neo-Synephrine .' +p175398 +(lp175399 +S'The\tThe\tDT\tB-NP\tO' +p175400 +aS'patient\tpatient\tNN\tI-NP\tO' +p175401 +aS'also\talso\tRB\tB-ADVP\tO' +p175402 +aS'received\treceive\tVBD\tB-VP\tO' +p175403 +aS'a\ta\tDT\tB-NP\tO' +p175404 +aS'unit\tunit\tNN\tI-NP\tO' +p175405 +aS'of\tof\tIN\tB-PP\tO' +p175406 +aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' +p175407 +aS'red\tred\tJJ\tI-NP\tI-cell_type' +p175408 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p175409 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p175410 +aS'in\tin\tIN\tB-PP\tO' +p175411 +aS'an\tan\tDT\tB-NP\tO' +p175412 +aS'additional\tadditional\tJJ\tI-NP\tO' +p175413 +aS'attempt\tattempt\tNN\tI-NP\tO' +p175414 +aS'to\tto\tTO\tB-VP\tO' +p175415 +aS'wean\twean\tVB\tI-VP\tO' +p175416 +aS'from\tfrom\tIN\tB-PP\tO' +p175417 +aS'Neo-Synephrine\tNeo-Synephrine\tNN\tB-NP\tO' +p175418 +aS'.\t.\t.\tO\tO' +p175419 +asS'Humalog Max 75/25 , 20 units subcutaneous once a day in the morning .' +p175420 +(lp175421 +S'Humalog\tHumalog\tNNP\tB-NP\tO' +p175422 +aS'Max\tMax\tNNP\tI-NP\tO' +p175423 +aS'75/25\t75/25\tCD\tI-NP\tO' +p175424 +aS',\t,\t,\tI-NP\tO' +p175425 +aS'20\t20\tCD\tI-NP\tO' +p175426 +aS'units\tunit\tNNS\tI-NP\tO' +p175427 +aS'subcutaneous\tsubcutaneous\tJJ\tB-ADJP\tO' +p175428 +aS'once\tonce\tIN\tB-SBAR\tO' +p175429 +aS'a\ta\tDT\tB-NP\tO' +p175430 +aS'day\tday\tNN\tI-NP\tO' +p175431 +aS'in\tin\tIN\tB-PP\tO' +p175432 +aS'the\tthe\tDT\tB-NP\tO' +p175433 +aS'morning\tmorning\tNN\tI-NP\tO' +p175434 +aS'.\t.\t.\tO\tO' +p175435 +asS'Has lived in 896 Lokatspur Pkwy , Ingrich Vepobuffh , Indiana for 25 years and works as a teaching assistant in a second grade in Satlnonew Rollglend Pabridrham .' +p175436 +(lp175437 +S'Has\tHas\tNNP\tB-NP\tO' +p175438 +aS'lived\tlive\tVBD\tB-VP\tO' +p175439 +aS'in\tin\tIN\tB-PP\tO' +p175440 +aS'896\t896\tCD\tB-NP\tO' +p175441 +aS'Lokatspur\tLokatspur\tNNP\tI-NP\tO' +p175442 +aS'Pkwy\tPkwy\tNNP\tI-NP\tO' +p175443 +aS',\t,\t,\tO\tO' +p175444 +aS'Ingrich\tIngrich\tNNP\tB-NP\tO' +p175445 +aS'Vepobuffh\tVepobuffh\tNNP\tI-NP\tO' +p175446 +aS',\t,\t,\tO\tO' +p175447 +aS'Indiana\tIndiana\tNNP\tB-NP\tO' +p175448 +aS'for\tfor\tIN\tB-PP\tO' +p175449 +aS'25\t25\tCD\tB-NP\tO' +p175450 +aS'years\tyear\tNNS\tI-NP\tO' +p175451 +aS'and\tand\tCC\tI-NP\tO' +p175452 +aS'works\twork\tNNS\tI-NP\tO' +p175453 +aS'as\tas\tIN\tB-PP\tO' +p175454 +aS'a\ta\tDT\tB-NP\tO' +p175455 +aS'teaching\tteaching\tNN\tI-NP\tO' +p175456 +aS'assistant\tassistant\tNN\tI-NP\tO' +p175457 +aS'in\tin\tIN\tB-PP\tO' +p175458 +aS'a\ta\tDT\tB-NP\tO' +p175459 +aS'second\tsecond\tJJ\tI-NP\tO' +p175460 +aS'grade\tgrade\tNN\tI-NP\tO' +p175461 +aS'in\tin\tIN\tB-PP\tO' +p175462 +aS'Satlnonew\tSatlnonew\tNNP\tB-NP\tO' +p175463 +aS'Rollglend\tRollglend\tNNP\tI-NP\tO' +p175464 +aS'Pabridrham\tPabridrham\tNNP\tI-NP\tO' +p175465 +aS'.\t.\t.\tO\tO' +p175466 +asS'Her temperature was 102.2 ; blood pressure 135/64 ; pulse rate 108 ; respirations 24 ; oxygen saturations on room air 94% .' +p175467 +(lp175468 +S'Her\tHer\tPRP$\tB-NP\tO' +p175469 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p175470 +aS'was\tbe\tVBD\tB-VP\tO' +p175471 +aS'102.2\t102.2\tCD\tB-NP\tO' +p175472 +aS';\t;\t:\tO\tO' +p175473 +aS'blood\tblood\tNN\tB-NP\tO' +p175474 +aS'pressure\tpressure\tNN\tI-NP\tO' +p175475 +aS'135/64\t135/64\tCD\tI-NP\tO' +p175476 +aS';\t;\t:\tO\tO' +p175477 +aS'pulse\tpulse\tNN\tB-NP\tO' +p175478 +aS'rate\trate\tNN\tI-NP\tO' +p175479 +aS'108\t108\tCD\tI-NP\tO' +p175480 +aS';\t;\t:\tO\tO' +p175481 +aS'respirations\trespiration\tNNS\tB-NP\tO' +p175482 +aS'24\t24\tCD\tB-NP\tO' +p175483 +aS';\t;\t:\tO\tO' +p175484 +aS'oxygen\toxygen\tNN\tB-NP\tO' +p175485 +aS'saturations\tsaturation\tNNS\tI-NP\tO' +p175486 +aS'on\ton\tIN\tB-PP\tO' +p175487 +aS'room\troom\tNN\tB-NP\tB-DNA' +p175488 +aS'air\tair\tNN\tI-NP\tI-DNA' +p175489 +aS'94%\t94%\tCD\tI-NP\tI-DNA' +p175490 +aS'.\t.\t.\tO\tO' +p175491 +asS'Extraocular movements were intact .' +p175492 +(lp175493 +S'Extraocular\tExtraocular\tJJ\tB-NP\tO' +p175494 +aS'movements\tmovement\tNNS\tI-NP\tO' +p175495 +aS'were\tbe\tVBD\tB-VP\tO' +p175496 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p175497 +aS'.\t.\t.\tO\tO' +p175498 +asS'It was thought that the blood in the esophagus was secondary to a possible Mallory-Weiss tear .' +p175499 +(lp175500 +S'It\tIt\tPRP\tB-NP\tO' +p175501 +aS'was\tbe\tVBD\tB-VP\tO' +p175502 +aS'thought\tthink\tVBN\tI-VP\tO' +p175503 +aS'that\tthat\tIN\tB-SBAR\tO' +p175504 +aS'the\tthe\tDT\tB-NP\tO' +p175505 +aS'blood\tblood\tNN\tI-NP\tO' +p175506 +aS'in\tin\tIN\tB-PP\tO' +p175507 +aS'the\tthe\tDT\tB-NP\tO' +p175508 +aS'esophagus\tesophagus\tNN\tI-NP\tO' +p175509 +aS'was\tbe\tVBD\tB-VP\tO' +p175510 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p175511 +aS'to\tto\tTO\tB-PP\tO' +p175512 +aS'a\ta\tDT\tB-NP\tO' +p175513 +aS'possible\tpossible\tJJ\tI-NP\tO' +p175514 +aS'Mallory-Weiss\tMallory-Weiss\tJJ\tI-NP\tO' +p175515 +aS'tear\ttear\tNN\tI-NP\tO' +p175516 +aS'.\t.\t.\tO\tO' +p175517 +asS'5. Rheumatoid arthritis .' +p175518 +(lp175519 +S'5.\t5.\tLS\tB-NP\tO' +p175520 +aS'Rheumatoid\tRheumatoid\tJJ\tI-NP\tO' +p175521 +aS'arthritis\tarthritis\tNN\tI-NP\tO' +p175522 +aS'.\t.\t.\tO\tO' +p175523 +asS'On admission , the patient was diagnosed with acute pancreatitis .' +p175524 +(lp175525 +S'On\tOn\tIN\tB-PP\tO' +p175526 +aS'admission\tadmission\tNN\tB-NP\tO' +p175527 +aS',\t,\t,\tO\tO' +p175528 +aS'the\tthe\tDT\tB-NP\tO' +p175529 +aS'patient\tpatient\tNN\tI-NP\tO' +p175530 +aS'was\tbe\tVBD\tB-VP\tO' +p175531 +aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' +p175532 +aS'with\twith\tIN\tB-PP\tO' +p175533 +aS'acute\tacute\tJJ\tB-NP\tO' +p175534 +aS'pancreatitis\tpancreatitis\tNN\tI-NP\tO' +p175535 +aS'.\t.\t.\tO\tO' +p175536 +asS'Question mild erythema and warmth of left LE .' +p175537 +(lp175538 +S'Question\tQuestion\tNN\tB-NP\tO' +p175539 +aS'mild\tmild\tJJ\tI-NP\tO' +p175540 +aS'erythema\terythema\tNN\tI-NP\tO' +p175541 +aS'and\tand\tCC\tI-NP\tO' +p175542 +aS'warmth\twarmth\tNN\tI-NP\tO' +p175543 +aS'of\tof\tIN\tB-PP\tO' +p175544 +aS'left\tleft\tJJ\tB-NP\tO' +p175545 +aS'LE\tLE\tNN\tI-NP\tO' +p175546 +aS'.\t.\t.\tO\tO' +p175547 +asS'The patient was to arrange for Pulmonary and Medicine followup through her primary care physician upon discharge as she has not been seen in the Pulmonary Clinic in two years .' +p175548 +(lp175549 +S'The\tThe\tDT\tB-NP\tO' +p175550 +aS'patient\tpatient\tNN\tI-NP\tO' +p175551 +aS'was\tbe\tVBD\tB-VP\tO' +p175552 +aS'to\tto\tTO\tB-VP\tO' +p175553 +aS'arrange\tarrange\tVB\tI-VP\tO' +p175554 +aS'for\tfor\tIN\tB-PP\tO' +p175555 +aS'Pulmonary\tPulmonary\tNNP\tB-NP\tO' +p175556 +aS'and\tand\tCC\tI-NP\tO' +p175557 +aS'Medicine\tMedicine\tNNP\tI-NP\tO' +p175558 +aS'followup\tfollowup\tVBP\tB-VP\tO' +p175559 +aS'through\tthrough\tIN\tB-PP\tO' +p175560 +aS'her\ther\tPRP$\tB-NP\tO' +p175561 +aS'primary\tprimary\tJJ\tI-NP\tO' +p175562 +aS'care\tcare\tNN\tI-NP\tO' +p175563 +aS'physician\tphysician\tNN\tI-NP\tO' +p175564 +aS'upon\tupon\tIN\tB-PP\tO' +p175565 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p175566 +aS'as\tas\tIN\tB-SBAR\tO' +p175567 +aS'she\tshe\tPRP\tB-NP\tO' +p175568 +aS'has\thave\tVBZ\tB-VP\tO' +p175569 +aS'not\tnot\tRB\tI-VP\tO' +p175570 +aS'been\tbe\tVBN\tI-VP\tO' +p175571 +aS'seen\tsee\tVBN\tI-VP\tO' +p175572 +aS'in\tin\tIN\tB-PP\tO' +p175573 +aS'the\tthe\tDT\tB-NP\tO' +p175574 +aS'Pulmonary\tPulmonary\tNNP\tI-NP\tO' +p175575 +aS'Clinic\tClinic\tNNP\tI-NP\tO' +p175576 +aS'in\tin\tIN\tB-PP\tO' +p175577 +aS'two\ttwo\tCD\tB-NP\tO' +p175578 +aS'years\tyear\tNNS\tI-NP\tO' +p175579 +aS'.\t.\t.\tO\tO' +p175580 +asS"On postoperative day seven , the patient was refusing to be discharged to a rehabilitation facility despite his doctor 's insistence that he would do much better in an assisted environment ." +p175581 +(lp175582 +S'On\tOn\tIN\tB-PP\tO' +p175583 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p175584 +aS'day\tday\tNN\tI-NP\tO' +p175585 +aS'seven\tseven\tCD\tI-NP\tO' +p175586 +aS',\t,\t,\tO\tO' +p175587 +aS'the\tthe\tDT\tB-NP\tO' +p175588 +aS'patient\tpatient\tNN\tI-NP\tO' +p175589 +aS'was\tbe\tVBD\tB-VP\tO' +p175590 +aS'refusing\trefuse\tVBG\tI-VP\tO' +p175591 +aS'to\tto\tTO\tI-VP\tO' +p175592 +aS'be\tbe\tVB\tI-VP\tO' +p175593 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p175594 +aS'to\tto\tTO\tB-PP\tO' +p175595 +aS'a\ta\tDT\tB-NP\tO' +p175596 +aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' +p175597 +aS'facility\tfacility\tNN\tI-NP\tO' +p175598 +aS'despite\tdespite\tIN\tB-PP\tO' +p175599 +aS'his\this\tPRP$\tB-NP\tO' +p175600 +aS'doctor\tdoctor\tNN\tI-NP\tO' +p175601 +aS"'s\t's\tPOS\tB-NP\tO" +p175602 +aS'insistence\tinsistence\tNN\tI-NP\tO' +p175603 +aS'that\tthat\tIN\tB-SBAR\tO' +p175604 +aS'he\the\tPRP\tB-NP\tO' +p175605 +aS'would\twould\tMD\tB-VP\tO' +p175606 +aS'do\tdo\tVB\tI-VP\tO' +p175607 +aS'much\tmuch\tRB\tB-ADJP\tO' +p175608 +aS'better\tgood\tJJR\tI-ADJP\tO' +p175609 +aS'in\tin\tIN\tB-PP\tO' +p175610 +aS'an\tan\tDT\tB-NP\tO' +p175611 +aS'assisted\tassist\tVBN\tI-NP\tO' +p175612 +aS'environment\tenvironment\tNN\tI-NP\tO' +p175613 +aS'.\t.\t.\tO\tO' +p175614 +asS'Laparoscopy with biopsy for diagnosis .' +p175615 +(lp175616 +S'Laparoscopy\tLaparoscopy\tNN\tB-NP\tO' +p175617 +aS'with\twith\tIN\tB-PP\tO' +p175618 +aS'biopsy\tbiopsy\tNN\tB-NP\tO' +p175619 +aS'for\tfor\tIN\tB-PP\tO' +p175620 +aS'diagnosis\tdiagnosis\tNN\tB-NP\tO' +p175621 +aS'.\t.\t.\tO\tO' +p175622 +asS'He is to follow-up with Dr. Ellis in four weeks , Dr. Joseph Overstreet in one to two weeks .' +p175623 +(lp175624 +S'He\tHe\tPRP\tB-NP\tO' +p175625 +aS'is\tbe\tVBZ\tB-VP\tO' +p175626 +aS'to\tto\tTO\tB-VP\tO' +p175627 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p175628 +aS'with\twith\tIN\tB-PP\tO' +p175629 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p175630 +aS'Ellis\tEllis\tNNP\tI-NP\tO' +p175631 +aS'in\tin\tIN\tB-PP\tO' +p175632 +aS'four\tfour\tCD\tB-NP\tO' +p175633 +aS'weeks\tweek\tNNS\tI-NP\tO' +p175634 +aS',\t,\t,\tO\tO' +p175635 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p175636 +aS'Joseph\tJoseph\tNNP\tI-NP\tO' +p175637 +aS'Overstreet\tOverstreet\tNNP\tI-NP\tO' +p175638 +aS'in\tin\tIN\tB-PP\tO' +p175639 +aS'one\tone\tCD\tB-NP\tO' +p175640 +aS'to\tto\tTO\tI-NP\tO' +p175641 +aS'two\ttwo\tCD\tI-NP\tO' +p175642 +aS'weeks\tweek\tNNS\tI-NP\tO' +p175643 +aS'.\t.\t.\tO\tO' +p175644 +asS'2. Surfactant deficiency .' +p175645 +(lp175646 +S'2.\t2.\tLS\tB-NP\tO' +p175647 +aS'Surfactant\tSurfactant\tJJ\tI-NP\tO' +p175648 +aS'deficiency\tdeficiency\tNN\tI-NP\tO' +p175649 +aS'.\t.\t.\tO\tO' +p175650 +asS'She had followup with her primary cardiologist in Shaugnessy-Kaplan Rehab Hospital scheduled for 1 week postoperatively .' +p175651 +(lp175652 +S'She\tShe\tPRP\tB-NP\tO' +p175653 +aS'had\thave\tVBD\tB-VP\tO' +p175654 +aS'followup\tfollowup\tNN\tB-NP\tO' +p175655 +aS'with\twith\tIN\tB-PP\tO' +p175656 +aS'her\ther\tPRP$\tB-NP\tO' +p175657 +aS'primary\tprimary\tJJ\tI-NP\tO' +p175658 +aS'cardiologist\tcardiologist\tNN\tI-NP\tO' +p175659 +aS'in\tin\tIN\tB-PP\tO' +p175660 +aS'Shaugnessy-Kaplan\tShaugnessy-Kaplan\tNNP\tB-NP\tO' +p175661 +aS'Rehab\tRehab\tNNP\tI-NP\tO' +p175662 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p175663 +aS'scheduled\tschedule\tVBD\tB-VP\tO' +p175664 +aS'for\tfor\tIN\tB-PP\tO' +p175665 +aS'1\t1\tCD\tB-NP\tO' +p175666 +aS'week\tweek\tNN\tI-NP\tO' +p175667 +aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' +p175668 +aS'.\t.\t.\tO\tO' +p175669 +asS'8. Lisinopril 2.5 mg once a day .' +p175670 +(lp175671 +S'8.\t8.\tCD\tB-NP\tO' +p175672 +aS'Lisinopril\tLisinopril\tNNP\tI-NP\tO' +p175673 +aS'2.5\t2.5\tCD\tI-NP\tO' +p175674 +aS'mg\tmg\tNN\tI-NP\tO' +p175675 +aS'once\tonce\tRB\tB-ADVP\tO' +p175676 +aS'a\ta\tDT\tB-NP\tO' +p175677 +aS'day\tday\tNN\tI-NP\tO' +p175678 +aS'.\t.\t.\tO\tO' +p175679 +asS'Bilateral pleural effusions are unchanged .' +p175680 +(lp175681 +S'Bilateral\tBilateral\tJJ\tB-NP\tO' +p175682 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p175683 +aS'effusions\teffusion\tNNS\tI-NP\tO' +p175684 +aS'are\tbe\tVBP\tB-VP\tO' +p175685 +aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' +p175686 +aS'.\t.\t.\tO\tO' +p175687 +asS'The patient will continue on his antibiotics for pseudomonas pneumonia to complete the fourteen day course which was completed on 09/06/92 .' +p175688 +(lp175689 +S'The\tThe\tDT\tB-NP\tO' +p175690 +aS'patient\tpatient\tNN\tI-NP\tO' +p175691 +aS'will\twill\tMD\tB-VP\tO' +p175692 +aS'continue\tcontinue\tVB\tI-VP\tO' +p175693 +aS'on\ton\tIN\tB-PP\tO' +p175694 +aS'his\this\tPRP$\tB-NP\tO' +p175695 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p175696 +aS'for\tfor\tIN\tB-PP\tO' +p175697 +aS'pseudomonas\tpseudomonas\tNN\tB-NP\tO' +p175698 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p175699 +aS'to\tto\tTO\tB-VP\tO' +p175700 +aS'complete\tcomplete\tVB\tI-VP\tO' +p175701 +aS'the\tthe\tDT\tB-NP\tO' +p175702 +aS'fourteen\tfourteen\tCD\tI-NP\tO' +p175703 +aS'day\tday\tNN\tI-NP\tO' +p175704 +aS'course\tcourse\tNN\tI-NP\tO' +p175705 +aS'which\twhich\tWDT\tB-NP\tO' +p175706 +aS'was\tbe\tVBD\tB-VP\tO' +p175707 +aS'completed\tcomplete\tVBN\tI-VP\tO' +p175708 +aS'on\ton\tIN\tB-PP\tO' +p175709 +aS'09/06/92\t09/06/92\tCD\tB-NP\tO' +p175710 +aS'.\t.\t.\tO\tO' +p175711 +asS'Review of systems shows that the patient denies any orthopnea , paroxysmal nocturnal dyspnea .' +p175712 +(lp175713 +S'Review\tReview\tNN\tB-NP\tO' +p175714 +aS'of\tof\tIN\tB-PP\tO' +p175715 +aS'systems\tsystem\tNNS\tB-NP\tO' +p175716 +aS'shows\tshow\tVBZ\tB-VP\tO' +p175717 +aS'that\tthat\tIN\tB-SBAR\tO' +p175718 +aS'the\tthe\tDT\tB-NP\tO' +p175719 +aS'patient\tpatient\tNN\tI-NP\tO' +p175720 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p175721 +aS'any\tany\tDT\tB-NP\tO' +p175722 +aS'orthopnea\torthopnea\tJJ\tI-NP\tO' +p175723 +aS',\t,\t,\tI-NP\tO' +p175724 +aS'paroxysmal\tparoxysmal\tJJ\tI-NP\tO' +p175725 +aS'nocturnal\tnocturnal\tJJ\tI-NP\tO' +p175726 +aS'dyspnea\tdyspnea\tNN\tI-NP\tO' +p175727 +aS'.\t.\t.\tO\tO' +p175728 +asS'2. Medications : Not applicable .' +p175729 +(lp175730 +S'2.\t2.\tCD\tB-NP\tO' +p175731 +aS'Medications\tMedication\tNNS\tI-NP\tO' +p175732 +aS':\t:\t:\tO\tO' +p175733 +aS'Not\tNot\tRB\tB-ADJP\tO' +p175734 +aS'applicable\tapplicable\tJJ\tI-ADJP\tO' +p175735 +aS'.\t.\t.\tO\tO' +p175736 +asS'The patient received MMF 1 gram b.i.d. , Flagyl 500 mg IV x1 .' +p175737 +(lp175738 +S'The\tThe\tDT\tB-NP\tO' +p175739 +aS'patient\tpatient\tNN\tI-NP\tO' +p175740 +aS'received\treceive\tVBD\tB-VP\tO' +p175741 +aS'MMF\tMMF\tNN\tB-NP\tB-protein' +p175742 +aS'1\t1\tCD\tI-NP\tI-protein' +p175743 +aS'gram\tgram\tNN\tI-NP\tO' +p175744 +aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' +p175745 +aS',\t,\t,\tO\tO' +p175746 +aS'Flagyl\tFlagyl\tNNP\tB-NP\tO' +p175747 +aS'500\t500\tCD\tI-NP\tO' +p175748 +aS'mg\tmg\tNN\tI-NP\tO' +p175749 +aS'IV\tIV\tCD\tB-NP\tO' +p175750 +aS'x1\tx1\tNN\tI-NP\tO' +p175751 +aS'.\t.\t.\tO\tO' +p175752 +asS'The patient was also started on Mannitol .' +p175753 +(lp175754 +S'The\tThe\tDT\tB-NP\tO' +p175755 +aS'patient\tpatient\tNN\tI-NP\tO' +p175756 +aS'was\tbe\tVBD\tB-VP\tO' +p175757 +aS'also\talso\tRB\tI-VP\tO' +p175758 +aS'started\tstart\tVBN\tI-VP\tO' +p175759 +aS'on\ton\tIN\tB-PP\tO' +p175760 +aS'Mannitol\tMannitol\tNNP\tB-NP\tO' +p175761 +aS'.\t.\t.\tO\tO' +p175762 +asS'Fevers also may be from head bleed , cancer , or drug .' +p175763 +(lp175764 +S'Fevers\tFever\tNNS\tB-NP\tO' +p175765 +aS'also\talso\tRB\tB-ADVP\tO' +p175766 +aS'may\tmay\tMD\tB-VP\tO' +p175767 +aS'be\tbe\tVB\tI-VP\tO' +p175768 +aS'from\tfrom\tIN\tB-PP\tO' +p175769 +aS'head\thead\tNN\tB-NP\tO' +p175770 +aS'bleed\tbleed\tNN\tI-NP\tO' +p175771 +aS',\t,\t,\tO\tO' +p175772 +aS'cancer\tcancer\tNN\tB-NP\tO' +p175773 +aS',\t,\t,\tO\tO' +p175774 +aS'or\tor\tCC\tO\tO' +p175775 +aS'drug\tdrug\tNN\tB-NP\tO' +p175776 +aS'.\t.\t.\tO\tO' +p175777 +asS'The episode of potential seizure activity occurred in the setting of a bowel movement and may have been associated with vasovagal activity .' +p175778 +(lp175779 +S'The\tThe\tDT\tB-NP\tO' +p175780 +aS'episode\tepisode\tNN\tI-NP\tO' +p175781 +aS'of\tof\tIN\tB-PP\tO' +p175782 +aS'potential\tpotential\tJJ\tB-NP\tO' +p175783 +aS'seizure\tseizure\tNN\tI-NP\tO' +p175784 +aS'activity\tactivity\tNN\tI-NP\tO' +p175785 +aS'occurred\toccur\tVBD\tB-VP\tO' +p175786 +aS'in\tin\tIN\tB-PP\tO' +p175787 +aS'the\tthe\tDT\tB-NP\tO' +p175788 +aS'setting\tsetting\tNN\tI-NP\tO' +p175789 +aS'of\tof\tIN\tB-PP\tO' +p175790 +aS'a\ta\tDT\tB-NP\tO' +p175791 +aS'bowel\tbowel\tNN\tI-NP\tO' +p175792 +aS'movement\tmovement\tNN\tI-NP\tO' +p175793 +aS'and\tand\tCC\tO\tO' +p175794 +aS'may\tmay\tMD\tB-VP\tO' +p175795 +aS'have\thave\tVB\tI-VP\tO' +p175796 +aS'been\tbe\tVBN\tI-VP\tO' +p175797 +aS'associated\tassociate\tVBN\tI-VP\tO' +p175798 +aS'with\twith\tIN\tB-PP\tO' +p175799 +aS'vasovagal\tvasovagal\tJJ\tB-NP\tO' +p175800 +aS'activity\tactivity\tNN\tI-NP\tO' +p175801 +aS'.\t.\t.\tO\tO' +p175802 +asS'Urine cultures pending .' +p175803 +(lp175804 +S'Urine\tUrine\tNN\tB-NP\tB-cell_line' +p175805 +aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' +p175806 +aS'pending\tpende\tVBG\tB-VP\tO' +p175807 +aS'.\t.\t.\tO\tO' +p175808 +asS'His lungs were clear to auscultation .' +p175809 +(lp175810 +S'His\tHis\tPRP$\tB-NP\tO' +p175811 +aS'lungs\tlung\tNNS\tI-NP\tO' +p175812 +aS'were\tbe\tVBD\tB-VP\tO' +p175813 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p175814 +aS'to\tto\tTO\tB-PP\tO' +p175815 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p175816 +aS'.\t.\t.\tO\tO' +p175817 +asS'Floxin 200 mg po bid was begun .' +p175818 +(lp175819 +S'Floxin\tFloxin\tNN\tB-NP\tO' +p175820 +aS'200\t200\tCD\tI-NP\tO' +p175821 +aS'mg\tmg\tNN\tI-NP\tO' +p175822 +aS'po\tpo\tNN\tI-NP\tO' +p175823 +aS'bid\tbid\tNN\tI-NP\tO' +p175824 +aS'was\tbe\tVBD\tB-VP\tO' +p175825 +aS'begun\tbegin\tVBN\tI-VP\tO' +p175826 +aS'.\t.\t.\tO\tO' +p175827 +asS'Ampicillin and gentamycin were initiated on admission and an LP was done due to the clinical issues of respiratory distress and fever on admission to the CMED .' +p175828 +(lp175829 +S'Ampicillin\tAmpicillin\tNN\tB-NP\tO' +p175830 +aS'and\tand\tCC\tI-NP\tO' +p175831 +aS'gentamycin\tgentamycin\tNN\tI-NP\tO' +p175832 +aS'were\tbe\tVBD\tB-VP\tO' +p175833 +aS'initiated\tinitiate\tVBN\tI-VP\tO' +p175834 +aS'on\ton\tIN\tB-PP\tO' +p175835 +aS'admission\tadmission\tNN\tB-NP\tO' +p175836 +aS'and\tand\tCC\tO\tO' +p175837 +aS'an\tan\tDT\tB-NP\tO' +p175838 +aS'LP\tLP\tNN\tI-NP\tO' +p175839 +aS'was\tbe\tVBD\tB-VP\tO' +p175840 +aS'done\tdo\tVBN\tI-VP\tO' +p175841 +aS'due\tdue\tJJ\tB-ADJP\tO' +p175842 +aS'to\tto\tTO\tB-PP\tO' +p175843 +aS'the\tthe\tDT\tB-NP\tO' +p175844 +aS'clinical\tclinical\tJJ\tI-NP\tO' +p175845 +aS'issues\tissue\tNNS\tI-NP\tO' +p175846 +aS'of\tof\tIN\tB-PP\tO' +p175847 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p175848 +aS'distress\tdistress\tNN\tI-NP\tO' +p175849 +aS'and\tand\tCC\tI-NP\tO' +p175850 +aS'fever\tfever\tNN\tI-NP\tO' +p175851 +aS'on\ton\tIN\tB-PP\tO' +p175852 +aS'admission\tadmission\tNN\tB-NP\tO' +p175853 +aS'to\tto\tTO\tB-PP\tO' +p175854 +aS'the\tthe\tDT\tB-NP\tO' +p175855 +aS'CMED\tCMED\tNN\tI-NP\tO' +p175856 +aS'.\t.\t.\tO\tO' +p175857 +asS'8. Lipitor 20 mg Tablet Sig : One ( 1 ) Tablet PO once a day .' +p175858 +(lp175859 +S'8.\t8.\tCD\tB-NP\tO' +p175860 +aS'Lipitor\tLipitor\tNN\tI-NP\tO' +p175861 +aS'20\t20\tCD\tB-NP\tO' +p175862 +aS'mg\tmg\tNN\tI-NP\tO' +p175863 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p175864 +aS'Sig\tSig\tNNP\tI-NP\tO' +p175865 +aS':\t:\t:\tO\tO' +p175866 +aS'One\tOne\tCD\tB-NP\tO' +p175867 +aS'(\t(\t(\tO\tO' +p175868 +aS'1\t1\tCD\tB-NP\tO' +p175869 +aS')\t)\t)\tO\tO' +p175870 +aS'Tablet\tTablet\tNN\tB-NP\tB-protein' +p175871 +aS'PO\tPO\tNN\tI-NP\tI-protein' +p175872 +aS'once\tonce\tRB\tO\tO' +p175873 +aS'a\ta\tDT\tB-NP\tO' +p175874 +aS'day\tday\tNN\tI-NP\tO' +p175875 +aS'.\t.\t.\tO\tO' +p175876 +asS'Family at bedside .' +p175877 +(lp175878 +S'Family\tFamily\tRB\tB-ADVP\tO' +p175879 +aS'at\tat\tIN\tB-PP\tO' +p175880 +aS'bedside\tbedside\tNN\tB-NP\tO' +p175881 +aS'.\t.\t.\tO\tO' +p175882 +asS'Prostate cancer .' +p175883 +(lp175884 +S'Prostate\tProstate\tNN\tB-NP\tO' +p175885 +aS'cancer\tcancer\tNN\tI-NP\tO' +p175886 +aS'.\t.\t.\tO\tO' +p175887 +asS'He was started on Bactrim for that .' +p175888 +(lp175889 +S'He\tHe\tPRP\tB-NP\tO' +p175890 +aS'was\tbe\tVBD\tB-VP\tO' +p175891 +aS'started\tstart\tVBN\tI-VP\tO' +p175892 +aS'on\ton\tIN\tB-PP\tO' +p175893 +aS'Bactrim\tBactrim\tNNP\tB-NP\tO' +p175894 +aS'for\tfor\tIN\tB-PP\tO' +p175895 +aS'that\tthat\tDT\tB-NP\tO' +p175896 +aS'.\t.\t.\tO\tO' +p175897 +asS'The patient will be followed by Dr. Ketyvi Liftjesc of the Neurology Service at Ph University Of Medical Center on May 17 , 1995 , for randomization on the Wars study .' +p175898 +(lp175899 +S'The\tThe\tDT\tB-NP\tO' +p175900 +aS'patient\tpatient\tNN\tI-NP\tO' +p175901 +aS'will\twill\tMD\tB-VP\tO' +p175902 +aS'be\tbe\tVB\tI-VP\tO' +p175903 +aS'followed\tfollow\tVBN\tI-VP\tO' +p175904 +aS'by\tby\tIN\tB-PP\tO' +p175905 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p175906 +aS'Ketyvi\tKetyvi\tNNP\tI-NP\tO' +p175907 +aS'Liftjesc\tLiftjesc\tNNP\tI-NP\tO' +p175908 +aS'of\tof\tIN\tB-PP\tO' +p175909 +aS'the\tthe\tDT\tB-NP\tO' +p175910 +aS'Neurology\tNeurology\tNNP\tI-NP\tO' +p175911 +aS'Service\tService\tNNP\tI-NP\tO' +p175912 +aS'at\tat\tIN\tB-PP\tO' +p175913 +aS'Ph\tPh\tNNP\tB-NP\tO' +p175914 +aS'University\tUniversity\tNNP\tI-NP\tO' +p175915 +aS'Of\tOf\tNNP\tI-NP\tO' +p175916 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p175917 +aS'Center\tCenter\tNNP\tI-NP\tO' +p175918 +aS'on\ton\tIN\tB-PP\tO' +p175919 +aS'May\tMay\tNNP\tB-NP\tO' +p175920 +aS'17\t17\tCD\tI-NP\tO' +p175921 +aS',\t,\t,\tI-NP\tO' +p175922 +aS'1995\t1995\tCD\tI-NP\tO' +p175923 +aS',\t,\t,\tO\tO' +p175924 +aS'for\tfor\tIN\tB-PP\tO' +p175925 +aS'randomization\trandomization\tNN\tB-NP\tO' +p175926 +aS'on\ton\tIN\tB-PP\tO' +p175927 +aS'the\tthe\tDT\tB-NP\tO' +p175928 +aS'Wars\tWars\tNNP\tI-NP\tO' +p175929 +aS'study\tstudy\tNN\tI-NP\tO' +p175930 +aS'.\t.\t.\tO\tO' +p175931 +asS'There was an audible air leak .' +p175932 +(lp175933 +S'There\tThere\tEX\tB-NP\tO' +p175934 +aS'was\tbe\tVBD\tB-VP\tO' +p175935 +aS'an\tan\tDT\tB-NP\tO' +p175936 +aS'audible\taudible\tJJ\tI-NP\tO' +p175937 +aS'air\tair\tNN\tI-NP\tO' +p175938 +aS'leak\tleak\tNN\tI-NP\tO' +p175939 +aS'.\t.\t.\tO\tO' +p175940 +asS'Bacitracin oint .' +p175941 +(lp175942 +S'Bacitracin\tBacitracin\tNN\tB-NP\tO' +p175943 +aS'oint\toint\tNN\tI-NP\tO' +p175944 +aS'.\t.\t.\tO\tO' +p175945 +asS'Initial chest x-ray showed a left retrocardiac opacity and prominent interstitium though his lung volumes were low .' +p175946 +(lp175947 +S'Initial\tInitial\tJJ\tB-NP\tO' +p175948 +aS'chest\tchest\tNN\tI-NP\tO' +p175949 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p175950 +aS'showed\tshow\tVBD\tB-VP\tO' +p175951 +aS'a\ta\tDT\tB-NP\tO' +p175952 +aS'left\tleft\tJJ\tI-NP\tO' +p175953 +aS'retrocardiac\tretrocardiac\tJJ\tI-NP\tO' +p175954 +aS'opacity\topacity\tNN\tI-NP\tO' +p175955 +aS'and\tand\tCC\tO\tO' +p175956 +aS'prominent\tprominent\tJJ\tB-NP\tO' +p175957 +aS'interstitium\tinterstitium\tNN\tI-NP\tO' +p175958 +aS'though\tthough\tIN\tB-SBAR\tO' +p175959 +aS'his\this\tPRP$\tB-NP\tO' +p175960 +aS'lung\tlung\tNN\tI-NP\tO' +p175961 +aS'volumes\tvolume\tNNS\tI-NP\tO' +p175962 +aS'were\tbe\tVBD\tB-VP\tO' +p175963 +aS'low\tlow\tJJ\tB-ADJP\tO' +p175964 +aS'.\t.\t.\tO\tO' +p175965 +asS'In addition , she was given aspirin , Plavix , heparin , and morphine .' +p175966 +(lp175967 +S'In\tIn\tIN\tB-PP\tO' +p175968 +aS'addition\taddition\tNN\tB-NP\tO' +p175969 +aS',\t,\t,\tO\tO' +p175970 +aS'she\tshe\tPRP\tB-NP\tO' +p175971 +aS'was\tbe\tVBD\tB-VP\tO' +p175972 +aS'given\tgive\tVBN\tI-VP\tO' +p175973 +aS'aspirin\taspirin\tNN\tB-NP\tO' +p175974 +aS',\t,\t,\tO\tO' +p175975 +aS'Plavix\tPlavix\tNN\tB-NP\tO' +p175976 +aS',\t,\t,\tO\tO' +p175977 +aS'heparin\theparin\tNN\tB-NP\tO' +p175978 +aS',\t,\t,\tO\tO' +p175979 +aS'and\tand\tCC\tO\tO' +p175980 +aS'morphine\tmorphine\tNN\tB-NP\tO' +p175981 +aS'.\t.\t.\tO\tO' +p175982 +asS'Please continue to take antibiotics as directed for urinary tract infection for 3 more days .' +p175983 +(lp175984 +S'Please\tPlease\tNN\tB-NP\tB-protein' +p175985 +aS'continue\tcontinue\tVBP\tB-VP\tO' +p175986 +aS'to\tto\tTO\tI-VP\tO' +p175987 +aS'take\ttake\tVB\tI-VP\tO' +p175988 +aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' +p175989 +aS'as\tas\tIN\tB-SBAR\tO' +p175990 +aS'directed\tdirect\tVBN\tB-VP\tO' +p175991 +aS'for\tfor\tIN\tB-PP\tO' +p175992 +aS'urinary\turinary\tJJ\tB-NP\tO' +p175993 +aS'tract\ttract\tNN\tI-NP\tO' +p175994 +aS'infection\tinfection\tNN\tI-NP\tO' +p175995 +aS'for\tfor\tIN\tB-PP\tO' +p175996 +aS'3\t3\tCD\tB-NP\tO' +p175997 +aS'more\tmore\tJJR\tI-NP\tO' +p175998 +aS'days\tday\tNNS\tI-NP\tO' +p175999 +aS'.\t.\t.\tO\tO' +p176000 +asS'Film of the left humerus was also negative .' +p176001 +(lp176002 +S'Film\tFilm\tNN\tB-NP\tO' +p176003 +aS'of\tof\tIN\tB-PP\tO' +p176004 +aS'the\tthe\tDT\tB-NP\tO' +p176005 +aS'left\tleft\tJJ\tI-NP\tO' +p176006 +aS'humerus\thumerus\tNN\tI-NP\tO' +p176007 +aS'was\tbe\tVBD\tB-VP\tO' +p176008 +aS'also\talso\tRB\tB-ADVP\tO' +p176009 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p176010 +aS'.\t.\t.\tO\tO' +p176011 +asS'Lungs were clear to auscultation bilaterally with faint lower lobe crackles on the left .' +p176012 +(lp176013 +S'Lungs\tLung\tNNS\tB-NP\tO' +p176014 +aS'were\tbe\tVBD\tB-VP\tO' +p176015 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p176016 +aS'to\tto\tTO\tB-PP\tO' +p176017 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p176018 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p176019 +aS'with\twith\tIN\tB-PP\tO' +p176020 +aS'faint\tfaint\tJJ\tB-NP\tO' +p176021 +aS'lower\tlow\tJJR\tI-NP\tO' +p176022 +aS'lobe\tlobe\tNN\tI-NP\tO' +p176023 +aS'crackles\tcrackle\tNNS\tI-NP\tO' +p176024 +aS'on\ton\tIN\tB-PP\tO' +p176025 +aS'the\tthe\tDT\tB-NP\tO' +p176026 +aS'left\tleft\tNN\tI-NP\tO' +p176027 +aS'.\t.\t.\tO\tO' +p176028 +asS'The TEE was negative for thrombus and the patient was successfully cardioverted to normal sinus rhythm with ibutilide .' +p176029 +(lp176030 +S'The\tThe\tDT\tB-NP\tO' +p176031 +aS'TEE\tTEE\tNN\tI-NP\tO' +p176032 +aS'was\tbe\tVBD\tB-VP\tO' +p176033 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p176034 +aS'for\tfor\tIN\tB-PP\tO' +p176035 +aS'thrombus\tthrombus\tNN\tB-NP\tO' +p176036 +aS'and\tand\tCC\tO\tO' +p176037 +aS'the\tthe\tDT\tB-NP\tO' +p176038 +aS'patient\tpatient\tNN\tI-NP\tO' +p176039 +aS'was\tbe\tVBD\tB-VP\tO' +p176040 +aS'successfully\tsuccessfully\tRB\tI-VP\tO' +p176041 +aS'cardioverted\tcardioverte\tVBN\tI-VP\tO' +p176042 +aS'to\tto\tTO\tB-PP\tO' +p176043 +aS'normal\tnormal\tJJ\tB-NP\tO' +p176044 +aS'sinus\tsinus\tNN\tI-NP\tO' +p176045 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p176046 +aS'with\twith\tIN\tB-PP\tO' +p176047 +aS'ibutilide\tibutilide\tNN\tB-NP\tO' +p176048 +aS'.\t.\t.\tO\tO' +p176049 +asS'Dental consult was negative .' +p176050 +(lp176051 +S'Dental\tDental\tJJ\tB-NP\tO' +p176052 +aS'consult\tconsult\tNN\tI-NP\tO' +p176053 +aS'was\tbe\tVBD\tB-VP\tO' +p176054 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p176055 +aS'.\t.\t.\tO\tO' +p176056 +asS'Rectal exam showed no masses and is guaiac negative .' +p176057 +(lp176058 +S'Rectal\tRectal\tJJ\tB-NP\tO' +p176059 +aS'exam\texam\tNN\tI-NP\tO' +p176060 +aS'showed\tshow\tVBD\tB-VP\tO' +p176061 +aS'no\tno\tDT\tB-NP\tO' +p176062 +aS'masses\tmass\tNNS\tI-NP\tO' +p176063 +aS'and\tand\tCC\tO\tO' +p176064 +aS'is\tbe\tVBZ\tB-VP\tO' +p176065 +aS'guaiac\tguaiac\tNN\tB-NP\tO' +p176066 +aS'negative\tnegative\tJJ\tI-NP\tO' +p176067 +aS'.\t.\t.\tO\tO' +p176068 +asS'There is no bruising about the eyes or mastoid sinuses , and there is no fluid from the nose or ears .' +p176069 +(lp176070 +S'There\tThere\tEX\tB-NP\tO' +p176071 +aS'is\tbe\tVBZ\tB-VP\tO' +p176072 +aS'no\tno\tDT\tB-NP\tO' +p176073 +aS'bruising\tbruise\tVBG\tI-NP\tO' +p176074 +aS'about\tabout\tIN\tB-PP\tO' +p176075 +aS'the\tthe\tDT\tB-NP\tO' +p176076 +aS'eyes\teye\tNNS\tI-NP\tO' +p176077 +aS'or\tor\tCC\tO\tO' +p176078 +aS'mastoid\tmastoid\tJJ\tB-NP\tO' +p176079 +aS'sinuses\tsinus\tNNS\tI-NP\tO' +p176080 +aS',\t,\t,\tO\tO' +p176081 +aS'and\tand\tCC\tO\tO' +p176082 +aS'there\tthere\tEX\tB-NP\tO' +p176083 +aS'is\tbe\tVBZ\tB-VP\tO' +p176084 +aS'no\tno\tDT\tB-NP\tO' +p176085 +aS'fluid\tfluid\tNN\tI-NP\tO' +p176086 +aS'from\tfrom\tIN\tB-PP\tO' +p176087 +aS'the\tthe\tDT\tB-NP\tO' +p176088 +aS'nose\tnose\tNN\tI-NP\tO' +p176089 +aS'or\tor\tCC\tI-NP\tO' +p176090 +aS'ears\tear\tNNS\tI-NP\tO' +p176091 +aS'.\t.\t.\tO\tO' +p176092 +asS'He presented to an outside hops where he was noted to be leukopenic with a white blood cell count of 0.6 , 0 neutrophils , a hematocrit of 32 , platelets of 326 , a MCV of 79 , and RDW of 22 .' +p176093 +(lp176094 +S'He\tHe\tPRP\tB-NP\tO' +p176095 +aS'presented\tpresent\tVBD\tB-VP\tO' +p176096 +aS'to\tto\tTO\tB-PP\tO' +p176097 +aS'an\tan\tDT\tB-NP\tO' +p176098 +aS'outside\toutside\tNN\tI-NP\tO' +p176099 +aS'hops\thop\tVBZ\tB-VP\tO' +p176100 +aS'where\twhere\tWRB\tB-ADVP\tO' +p176101 +aS'he\the\tPRP\tB-NP\tO' +p176102 +aS'was\tbe\tVBD\tB-VP\tO' +p176103 +aS'noted\tnote\tVBN\tI-VP\tO' +p176104 +aS'to\tto\tTO\tI-VP\tO' +p176105 +aS'be\tbe\tVB\tI-VP\tO' +p176106 +aS'leukopenic\tleukopenic\tJJ\tB-ADJP\tO' +p176107 +aS'with\twith\tIN\tB-PP\tO' +p176108 +aS'a\ta\tDT\tB-NP\tO' +p176109 +aS'white\twhite\tJJ\tI-NP\tO' +p176110 +aS'blood\tblood\tNN\tI-NP\tO' +p176111 +aS'cell\tcell\tNN\tI-NP\tO' +p176112 +aS'count\tcount\tNN\tI-NP\tO' +p176113 +aS'of\tof\tIN\tB-PP\tO' +p176114 +aS'0.6\t0.6\tCD\tB-NP\tO' +p176115 +aS',\t,\t,\tO\tO' +p176116 +aS'0\t0\tCD\tB-NP\tO' +p176117 +aS'neutrophils\tneutrophil\tNNS\tI-NP\tB-cell_type' +p176118 +aS',\t,\t,\tO\tO' +p176119 +aS'a\ta\tDT\tB-NP\tO' +p176120 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p176121 +aS'of\tof\tIN\tB-PP\tO' +p176122 +aS'32\t32\tCD\tB-NP\tO' +p176123 +aS',\t,\t,\tO\tO' +p176124 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p176125 +aS'of\tof\tIN\tB-PP\tO' +p176126 +aS'326\t326\tCD\tB-NP\tO' +p176127 +aS',\t,\t,\tO\tO' +p176128 +aS'a\ta\tDT\tB-NP\tO' +p176129 +aS'MCV\tMCV\tNN\tI-NP\tO' +p176130 +aS'of\tof\tIN\tB-PP\tO' +p176131 +aS'79\t79\tCD\tB-NP\tO' +p176132 +aS',\t,\t,\tO\tO' +p176133 +aS'and\tand\tCC\tO\tO' +p176134 +aS'RDW\tRDW\tNN\tB-NP\tB-protein' +p176135 +aS'of\tof\tIN\tB-PP\tO' +p176136 +aS'22\t22\tCD\tB-NP\tO' +p176137 +aS'.\t.\t.\tO\tO' +p176138 +asS'Hydrocortisone , 1% topical cream q 6 to 8 hours prn itching .' +p176139 +(lp176140 +S'Hydrocortisone\tHydrocortisone\tNN\tB-NP\tO' +p176141 +aS',\t,\t,\tO\tO' +p176142 +aS'1%\t1%\tCD\tB-NP\tO' +p176143 +aS'topical\ttopical\tJJ\tI-NP\tO' +p176144 +aS'cream\tcream\tNN\tI-NP\tO' +p176145 +aS'q\tq\tNN\tI-NP\tO' +p176146 +aS'6\t6\tCD\tB-NP\tO' +p176147 +aS'to\tto\tTO\tI-NP\tO' +p176148 +aS'8\t8\tCD\tI-NP\tO' +p176149 +aS'hours\thour\tNNS\tI-NP\tO' +p176150 +aS'prn\tprn\tVBP\tB-VP\tO' +p176151 +aS'itching\titch\tVBG\tI-VP\tO' +p176152 +aS'.\t.\t.\tO\tO' +p176153 +asS'At the time of discharge , the patient 's electrolytes were within normal limits .' +p176154 +(lp176155 +S'At\tAt\tIN\tB-PP\tO' +p176156 +aS'the\tthe\tDT\tB-NP\tO' +p176157 +aS'time\ttime\tNN\tI-NP\tO' +p176158 +aS'of\tof\tIN\tB-PP\tO' +p176159 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p176160 +aS',\t,\t,\tO\tO' +p176161 +aS'the\tthe\tDT\tB-NP\tO' +p176162 +aS'patient\tpatient\tNN\tI-NP\tO' +p176163 +aS''s\t'\tNNS\tI-NP\tO' +p176164 +aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' +p176165 +aS'were\tbe\tVBD\tB-VP\tO' +p176166 +aS'within\twithin\tIN\tB-PP\tO' +p176167 +aS'normal\tnormal\tJJ\tB-NP\tO' +p176168 +aS'limits\tlimit\tNNS\tI-NP\tO' +p176169 +aS'.\t.\t.\tO\tO' +p176170 +asS'The diagnosis of adenocarcinoma was already established prior to her admission at this hospital .' +p176171 +(lp176172 +S'The\tThe\tDT\tB-NP\tO' +p176173 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p176174 +aS'of\tof\tIN\tB-PP\tO' +p176175 +aS'adenocarcinoma\tadenocarcinoma\tNN\tB-NP\tO' +p176176 +aS'was\tbe\tVBD\tB-VP\tO' +p176177 +aS'already\talready\tRB\tI-VP\tO' +p176178 +aS'established\testablish\tVBN\tI-VP\tO' +p176179 +aS'prior\tprior\tRB\tB-ADVP\tO' +p176180 +aS'to\tto\tTO\tB-PP\tO' +p176181 +aS'her\ther\tPRP$\tB-NP\tO' +p176182 +aS'admission\tadmission\tNN\tI-NP\tO' +p176183 +aS'at\tat\tIN\tB-PP\tO' +p176184 +aS'this\tthis\tDT\tB-NP\tO' +p176185 +aS'hospital\thospital\tNN\tI-NP\tO' +p176186 +aS'.\t.\t.\tO\tO' +p176187 +asS'Continue on Rifaximine .' +p176188 +(lp176189 +S'Continue\tContinue\tNN\tB-NP\tO' +p176190 +aS'on\ton\tIN\tB-PP\tO' +p176191 +aS'Rifaximine\tRifaximine\tNN\tB-NP\tO' +p176192 +aS'.\t.\t.\tO\tO' +p176193 +asS'The patient has an ulcer on his penis that has been treated with dressing changes .' +p176194 +(lp176195 +S'The\tThe\tDT\tB-NP\tO' +p176196 +aS'patient\tpatient\tNN\tI-NP\tO' +p176197 +aS'has\thave\tVBZ\tB-VP\tO' +p176198 +aS'an\tan\tDT\tB-NP\tO' +p176199 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p176200 +aS'on\ton\tIN\tB-PP\tO' +p176201 +aS'his\this\tPRP$\tB-NP\tO' +p176202 +aS'penis\tpenis\tNN\tI-NP\tO' +p176203 +aS'that\tthat\tWDT\tB-NP\tO' +p176204 +aS'has\thave\tVBZ\tB-VP\tO' +p176205 +aS'been\tbe\tVBN\tI-VP\tO' +p176206 +aS'treated\ttreat\tVBN\tI-VP\tO' +p176207 +aS'with\twith\tIN\tB-PP\tO' +p176208 +aS'dressing\tdress\tVBG\tB-NP\tO' +p176209 +aS'changes\tchange\tNNS\tI-NP\tO' +p176210 +aS'.\t.\t.\tO\tO' +p176211 +asS'Positive red reflex bilaterally .' +p176212 +(lp176213 +S'Positive\tPositive\tJJ\tB-NP\tO' +p176214 +aS'red\tred\tJJ\tI-NP\tO' +p176215 +aS'reflex\treflex\tNN\tI-NP\tO' +p176216 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p176217 +aS'.\t.\t.\tO\tO' +p176218 +asS'Creatine kinase on admission was 309 , with a MB of 19.6 , an index of 6.3 , and an initial troponin of 0.73 .' +p176219 +(lp176220 +S'Creatine\tCreatine\tNN\tB-NP\tB-protein' +p176221 +aS'kinase\tkinase\tNN\tI-NP\tI-protein' +p176222 +aS'on\ton\tIN\tB-PP\tO' +p176223 +aS'admission\tadmission\tNN\tB-NP\tO' +p176224 +aS'was\tbe\tVBD\tB-VP\tO' +p176225 +aS'309\t309\tCD\tB-NP\tO' +p176226 +aS',\t,\t,\tO\tO' +p176227 +aS'with\twith\tIN\tB-PP\tO' +p176228 +aS'a\ta\tDT\tB-NP\tO' +p176229 +aS'MB\tMB\tNN\tI-NP\tO' +p176230 +aS'of\tof\tIN\tB-PP\tO' +p176231 +aS'19.6\t19.6\tCD\tB-NP\tO' +p176232 +aS',\t,\t,\tO\tO' +p176233 +aS'an\tan\tDT\tB-NP\tO' +p176234 +aS'index\tindex\tNN\tI-NP\tO' +p176235 +aS'of\tof\tIN\tB-PP\tO' +p176236 +aS'6.3\t6.3\tCD\tB-NP\tO' +p176237 +aS',\t,\t,\tO\tO' +p176238 +aS'and\tand\tCC\tO\tO' +p176239 +aS'an\tan\tDT\tB-NP\tO' +p176240 +aS'initial\tinitial\tJJ\tI-NP\tO' +p176241 +aS'troponin\ttroponin\tNN\tI-NP\tO' +p176242 +aS'of\tof\tIN\tB-PP\tO' +p176243 +aS'0.73\t0.73\tCD\tB-NP\tO' +p176244 +aS'.\t.\t.\tO\tO' +p176245 +asS'proper use .' +p176246 +(lp176247 +S'proper\tproper\tJJ\tB-NP\tO' +p176248 +aS'use\tuse\tNN\tI-NP\tO' +p176249 +aS'.\t.\t.\tO\tO' +p176250 +asS'vasospasm .' +p176251 +(lp176252 +S'vasospasm\tvasospasm\tNN\tB-NP\tO' +p176253 +aS'.\t.\t.\tO\tO' +p176254 +asS'11. Bisacodyl 5 mg Tablet Sig : One ( 1 ) Tablet PO once a day as needed for constipation .' +p176255 +(lp176256 +S'11.\t11.\tLS\tB-NP\tO' +p176257 +aS'Bisacodyl\tBisacodyl\tNN\tI-NP\tO' +p176258 +aS'5\t5\tCD\tI-NP\tO' +p176259 +aS'mg\tmg\tNN\tI-NP\tO' +p176260 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p176261 +aS'Sig\tSig\tNNP\tI-NP\tO' +p176262 +aS':\t:\t:\tO\tO' +p176263 +aS'One\tOne\tCD\tB-NP\tO' +p176264 +aS'(\t(\t(\tO\tO' +p176265 +aS'1\t1\tCD\tB-NP\tO' +p176266 +aS')\t)\t)\tO\tO' +p176267 +aS'Tablet\tTablet\tNN\tB-NP\tB-protein' +p176268 +aS'PO\tPO\tNN\tI-NP\tI-protein' +p176269 +aS'once\tonce\tRB\tO\tO' +p176270 +aS'a\ta\tDT\tB-NP\tO' +p176271 +aS'day\tday\tNN\tI-NP\tO' +p176272 +aS'as\tas\tIN\tB-SBAR\tO' +p176273 +aS'needed\tneed\tVBN\tB-VP\tO' +p176274 +aS'for\tfor\tIN\tB-PP\tO' +p176275 +aS'constipation\tconstipation\tNN\tB-NP\tO' +p176276 +aS'.\t.\t.\tO\tO' +p176277 +asS'Shortly after his mental status changed ; he became disoriented and euphoric and continued to be in this state for two more hours .' +p176278 +(lp176279 +S'Shortly\tShortly\tRB\tB-ADVP\tO' +p176280 +aS'after\tafter\tIN\tB-PP\tO' +p176281 +aS'his\this\tPRP$\tB-NP\tO' +p176282 +aS'mental\tmental\tJJ\tI-NP\tO' +p176283 +aS'status\tstatus\tNN\tI-NP\tO' +p176284 +aS'changed\tchange\tVBD\tB-VP\tO' +p176285 +aS';\t;\t:\tO\tO' +p176286 +aS'he\the\tPRP\tB-NP\tO' +p176287 +aS'became\tbecome\tVBD\tB-VP\tO' +p176288 +aS'disoriented\tdisoriented\tJJ\tB-ADJP\tO' +p176289 +aS'and\tand\tCC\tI-ADJP\tO' +p176290 +aS'euphoric\teuphoric\tJJ\tI-ADJP\tO' +p176291 +aS'and\tand\tCC\tO\tO' +p176292 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p176293 +aS'to\tto\tTO\tI-VP\tO' +p176294 +aS'be\tbe\tVB\tI-VP\tO' +p176295 +aS'in\tin\tIN\tB-PP\tO' +p176296 +aS'this\tthis\tDT\tB-NP\tO' +p176297 +aS'state\tstate\tNN\tI-NP\tO' +p176298 +aS'for\tfor\tIN\tB-PP\tO' +p176299 +aS'two\ttwo\tCD\tB-NP\tO' +p176300 +aS'more\tmore\tJJR\tI-NP\tO' +p176301 +aS'hours\thour\tNNS\tI-NP\tO' +p176302 +aS'.\t.\t.\tO\tO' +p176303 +asS'Her tongue , uvula and palate were midline .' +p176304 +(lp176305 +S'Her\tHer\tPRP$\tB-NP\tO' +p176306 +aS'tongue\ttongue\tNN\tI-NP\tO' +p176307 +aS',\t,\t,\tI-NP\tO' +p176308 +aS'uvula\tuvula\tNN\tI-NP\tO' +p176309 +aS'and\tand\tCC\tI-NP\tO' +p176310 +aS'palate\tpalate\tNN\tI-NP\tO' +p176311 +aS'were\tbe\tVBD\tB-VP\tO' +p176312 +aS'midline\tmidline\tNN\tB-NP\tO' +p176313 +aS'.\t.\t.\tO\tO' +p176314 +asS'Hypercholesterolemia .' +p176315 +(lp176316 +S'Hypercholesterolemia\tHypercholesterolemia\tNN\tB-NP\tO' +p176317 +aS'.\t.\t.\tO\tO' +p176318 +asS"A progress note in the patient 's chart from her assisted living facility indicates that the patient has had shortness of breath and cough for one day with chills but no fever ." +p176319 +(lp176320 +S'A\tA\tDT\tB-NP\tO' +p176321 +aS'progress\tprogress\tNN\tI-NP\tO' +p176322 +aS'note\tnote\tNN\tI-NP\tO' +p176323 +aS'in\tin\tIN\tB-PP\tO' +p176324 +aS'the\tthe\tDT\tB-NP\tO' +p176325 +aS'patient\tpatient\tNN\tI-NP\tO' +p176326 +aS"'s\t's\tPOS\tB-NP\tO" +p176327 +aS'chart\tchart\tNN\tI-NP\tO' +p176328 +aS'from\tfrom\tIN\tB-PP\tO' +p176329 +aS'her\ther\tPRP$\tB-NP\tO' +p176330 +aS'assisted\tassisted\tJJ\tI-NP\tO' +p176331 +aS'living\tliving\tNN\tI-NP\tO' +p176332 +aS'facility\tfacility\tNN\tI-NP\tO' +p176333 +aS'indicates\tindicate\tVBZ\tB-VP\tO' +p176334 +aS'that\tthat\tIN\tB-SBAR\tO' +p176335 +aS'the\tthe\tDT\tB-NP\tO' +p176336 +aS'patient\tpatient\tNN\tI-NP\tO' +p176337 +aS'has\thave\tVBZ\tB-VP\tO' +p176338 +aS'had\thave\tVBN\tI-VP\tO' +p176339 +aS'shortness\tshortness\tNN\tB-NP\tO' +p176340 +aS'of\tof\tIN\tB-PP\tO' +p176341 +aS'breath\tbreath\tNN\tB-NP\tO' +p176342 +aS'and\tand\tCC\tI-NP\tO' +p176343 +aS'cough\tcough\tNN\tI-NP\tO' +p176344 +aS'for\tfor\tIN\tB-PP\tO' +p176345 +aS'one\tone\tCD\tB-NP\tO' +p176346 +aS'day\tday\tNN\tI-NP\tO' +p176347 +aS'with\twith\tIN\tB-PP\tO' +p176348 +aS'chills\tchill\tNNS\tB-NP\tO' +p176349 +aS'but\tbut\tCC\tO\tO' +p176350 +aS'no\tno\tDT\tB-NP\tO' +p176351 +aS'fever\tfever\tNN\tI-NP\tO' +p176352 +aS'.\t.\t.\tO\tO' +p176353 +asS'Please call hospice for questions .' +p176354 +(lp176355 +S'Please\tPlease\tVB\tB-VP\tO' +p176356 +aS'call\tcall\tNN\tB-NP\tO' +p176357 +aS'hospice\thospice\tNN\tI-NP\tO' +p176358 +aS'for\tfor\tIN\tB-PP\tO' +p176359 +aS'questions\tquestion\tNNS\tB-NP\tO' +p176360 +aS'.\t.\t.\tO\tO' +p176361 +asS'His hospital course was otherwise uneventful and the patient was discharged in stable condition on postoperative day , afebrile .' +p176362 +(lp176363 +S'His\tHis\tPRP$\tB-NP\tO' +p176364 +aS'hospital\thospital\tNN\tI-NP\tO' +p176365 +aS'course\tcourse\tNN\tI-NP\tO' +p176366 +aS'was\tbe\tVBD\tB-VP\tO' +p176367 +aS'otherwise\totherwise\tRB\tB-ADJP\tO' +p176368 +aS'uneventful\tuneventful\tJJ\tI-ADJP\tO' +p176369 +aS'and\tand\tCC\tO\tO' +p176370 +aS'the\tthe\tDT\tB-NP\tO' +p176371 +aS'patient\tpatient\tNN\tI-NP\tO' +p176372 +aS'was\tbe\tVBD\tB-VP\tO' +p176373 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p176374 +aS'in\tin\tIN\tB-PP\tO' +p176375 +aS'stable\tstable\tJJ\tB-NP\tO' +p176376 +aS'condition\tcondition\tNN\tI-NP\tO' +p176377 +aS'on\ton\tIN\tB-PP\tO' +p176378 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p176379 +aS'day\tday\tNN\tI-NP\tO' +p176380 +aS',\t,\t,\tO\tO' +p176381 +aS'afebrile\tafebrile\tRB\tB-ADVP\tO' +p176382 +aS'.\t.\t.\tO\tO' +p176383 +asS'4. Brimonidine 1 gtt left eye three times a day .' +p176384 +(lp176385 +S'4.\t4.\tLS\tB-LST\tO' +p176386 +aS'Brimonidine\tBrimonidine\tNN\tB-NP\tO' +p176387 +aS'1\t1\tCD\tI-NP\tO' +p176388 +aS'gtt\tgtt\tNN\tI-NP\tO' +p176389 +aS'left\tleave\tVBD\tB-VP\tO' +p176390 +aS'eye\teye\tNN\tB-NP\tO' +p176391 +aS'three\tthree\tCD\tB-NP\tO' +p176392 +aS'times\ttime\tNNS\tI-NP\tO' +p176393 +aS'a\ta\tDT\tB-NP\tO' +p176394 +aS'day\tday\tNN\tI-NP\tO' +p176395 +aS'.\t.\t.\tO\tO' +p176396 +asS'He had no murmurs , rubs , or gallops .' +p176397 +(lp176398 +S'He\tHe\tPRP\tB-NP\tO' +p176399 +aS'had\thave\tVBD\tB-VP\tO' +p176400 +aS'no\tno\tDT\tB-NP\tO' +p176401 +aS'murmurs\tmurmur\tNNS\tI-NP\tO' +p176402 +aS',\t,\t,\tO\tO' +p176403 +aS'rubs\trub\tNNS\tB-NP\tO' +p176404 +aS',\t,\t,\tO\tO' +p176405 +aS'or\tor\tCC\tO\tO' +p176406 +aS'gallops\tgallop\tNNS\tB-NP\tO' +p176407 +aS'.\t.\t.\tO\tO' +p176408 +asS'The infant was started on enteral feedings of Enfamil 20 calories per ounce by mouth ad lib and maintained glucoses in the middle to high 40 s taking by mouth feedings every two to three hours by mouth ad lib .' +p176409 +(lp176410 +S'The\tThe\tDT\tB-NP\tO' +p176411 +aS'infant\tinfant\tNN\tI-NP\tO' +p176412 +aS'was\tbe\tVBD\tB-VP\tO' +p176413 +aS'started\tstart\tVBN\tI-VP\tO' +p176414 +aS'on\ton\tIN\tB-PP\tO' +p176415 +aS'enteral\tenteral\tJJ\tB-NP\tO' +p176416 +aS'feedings\tfeeding\tNNS\tI-NP\tO' +p176417 +aS'of\tof\tIN\tB-PP\tO' +p176418 +aS'Enfamil\tEnfamil\tNNP\tB-NP\tO' +p176419 +aS'20\t20\tCD\tI-NP\tO' +p176420 +aS'calories\tcalorie\tNNS\tI-NP\tO' +p176421 +aS'per\tper\tIN\tB-PP\tO' +p176422 +aS'ounce\tounce\tNN\tB-NP\tO' +p176423 +aS'by\tby\tIN\tB-PP\tO' +p176424 +aS'mouth\tmouth\tNN\tB-NP\tO' +p176425 +aS'ad\tad\tNN\tI-NP\tO' +p176426 +aS'lib\tlib\tNN\tI-NP\tO' +p176427 +aS'and\tand\tCC\tO\tO' +p176428 +aS'maintained\tmaintain\tVBD\tB-VP\tO' +p176429 +aS'glucoses\tglucose\tNNS\tB-NP\tO' +p176430 +aS'in\tin\tIN\tB-PP\tO' +p176431 +aS'the\tthe\tDT\tB-NP\tO' +p176432 +aS'middle\tmiddle\tJJ\tI-NP\tO' +p176433 +aS'to\tto\tTO\tI-NP\tO' +p176434 +aS'high\thigh\tJJ\tI-NP\tO' +p176435 +aS'40\t40\tCD\tI-NP\tO' +p176436 +aS's\ts\tNN\tI-NP\tO' +p176437 +aS'taking\ttake\tVBG\tB-VP\tO' +p176438 +aS'by\tby\tIN\tB-PP\tO' +p176439 +aS'mouth\tmouth\tNN\tB-NP\tO' +p176440 +aS'feedings\tfeeding\tNNS\tI-NP\tO' +p176441 +aS'every\tevery\tDT\tO\tO' +p176442 +aS'two\ttwo\tCD\tB-NP\tO' +p176443 +aS'to\tto\tTO\tI-NP\tO' +p176444 +aS'three\tthree\tCD\tI-NP\tO' +p176445 +aS'hours\thour\tNNS\tI-NP\tO' +p176446 +aS'by\tby\tIN\tB-PP\tO' +p176447 +aS'mouth\tmouth\tNN\tB-NP\tO' +p176448 +aS'ad\tad\tNN\tI-NP\tO' +p176449 +aS'lib\tlib\tNN\tI-NP\tO' +p176450 +aS'.\t.\t.\tO\tO' +p176451 +asS'The Discharge Date of 2013-09-17 is pending .' +p176452 +(lp176453 +S'The\tThe\tDT\tB-NP\tO' +p176454 +aS'Discharge\tDischarge\tNNP\tI-NP\tO' +p176455 +aS'Date\tDate\tNNP\tI-NP\tO' +p176456 +aS'of\tof\tIN\tB-PP\tO' +p176457 +aS'2013-09-17\t2013-09-17\tCD\tB-NP\tO' +p176458 +aS'is\tbe\tVBZ\tB-VP\tO' +p176459 +aS'pending\tpende\tVBG\tB-ADJP\tO' +p176460 +aS'.\t.\t.\tO\tO' +p176461 +asS'Electroencephalogram revealed the patient was experiencing persistent seizure activity .' +p176462 +(lp176463 +S'Electroencephalogram\tElectroencephalogram\tNN\tB-NP\tO' +p176464 +aS'revealed\treveal\tVBD\tB-VP\tO' +p176465 +aS'the\tthe\tDT\tB-NP\tO' +p176466 +aS'patient\tpatient\tNN\tI-NP\tO' +p176467 +aS'was\tbe\tVBD\tB-VP\tO' +p176468 +aS'experiencing\texperience\tVBG\tI-VP\tO' +p176469 +aS'persistent\tpersistent\tJJ\tB-NP\tO' +p176470 +aS'seizure\tseizure\tNN\tI-NP\tO' +p176471 +aS'activity\tactivity\tNN\tI-NP\tO' +p176472 +aS'.\t.\t.\tO\tO' +p176473 +asS'Stent was placed and patient was treated with antibiotics ( Zosyn - > Ciprofloxacin ).' +p176474 +(lp176475 +S'Stent\tStent\tNN\tB-NP\tO' +p176476 +aS'was\tbe\tVBD\tB-VP\tO' +p176477 +aS'placed\tplace\tVBN\tI-VP\tO' +p176478 +aS'and\tand\tCC\tO\tO' +p176479 +aS'patient\tpatient\tNN\tB-NP\tO' +p176480 +aS'was\tbe\tVBD\tB-VP\tO' +p176481 +aS'treated\ttreat\tVBN\tI-VP\tO' +p176482 +aS'with\twith\tIN\tB-PP\tO' +p176483 +aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' +p176484 +aS'(\t(\t(\tO\tO' +p176485 +aS'Zosyn\tZosyn\tNN\tB-NP\tO' +p176486 +aS'-\t-\tHYPH\tO\tO' +p176487 +aS'>\t>\tSYM\tB-NP\tO' +p176488 +aS'Ciprofloxacin\tCiprofloxacin\tNN\tI-NP\tO' +p176489 +aS').\t).\t)\tO\tO' +p176490 +asS'At 5 hours of life he was noted to have grunting and flaring and E.C. Bovell consult was done .' +p176491 +(lp176492 +S'At\tAt\tIN\tB-PP\tO' +p176493 +aS'5\t5\tCD\tB-NP\tO' +p176494 +aS'hours\thour\tNNS\tI-NP\tO' +p176495 +aS'of\tof\tIN\tB-PP\tO' +p176496 +aS'life\tlife\tNN\tB-NP\tO' +p176497 +aS'he\the\tPRP\tB-NP\tO' +p176498 +aS'was\tbe\tVBD\tB-VP\tO' +p176499 +aS'noted\tnote\tVBN\tI-VP\tO' +p176500 +aS'to\tto\tTO\tI-VP\tO' +p176501 +aS'have\thave\tVB\tI-VP\tO' +p176502 +aS'grunting\tgrunt\tVBG\tI-VP\tO' +p176503 +aS'and\tand\tCC\tI-VP\tO' +p176504 +aS'flaring\tflare\tVBG\tI-VP\tO' +p176505 +aS'and\tand\tCC\tO\tO' +p176506 +aS'E.C.\tE.C.\tNNP\tB-NP\tO' +p176507 +aS'Bovell\tBovell\tNNP\tI-NP\tO' +p176508 +aS'consult\tconsult\tNN\tI-NP\tO' +p176509 +aS'was\tbe\tVBD\tB-VP\tO' +p176510 +aS'done\tdo\tVBN\tI-VP\tO' +p176511 +aS'.\t.\t.\tO\tO' +p176512 +asS'Discharge medications - Baclofen 10 p.o. t.i.d. , MVI one tablet p.o. q.d. , Mycostatin powder TP q.d. to be applied to the rash in her left groin area , also dilaudid 8 mg p.o. q2h , Colace 100 mg p.o. b.i.d. , coumadin 2.5 mg p.o. q.h.s. fentanyl patch 75 micrograms per hour topical q72 hours , atenolol 100 mg p.o. q.d.' +p176513 +(lp176514 +S'Discharge\tDischarge\tNN\tB-NP\tO' +p176515 +aS'medications\tmedication\tNNS\tI-NP\tO' +p176516 +aS'-\t-\t:\tO\tO' +p176517 +aS'Baclofen\tBaclofen\tNN\tB-NP\tO' +p176518 +aS'10\t10\tCD\tI-NP\tO' +p176519 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p176520 +aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' +p176521 +aS',\t,\t,\tO\tO' +p176522 +aS'MVI\tMVI\tNN\tB-NP\tO' +p176523 +aS'one\tone\tCD\tI-NP\tO' +p176524 +aS'tablet\ttablet\tNN\tI-NP\tO' +p176525 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p176526 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p176527 +aS',\t,\t,\tO\tO' +p176528 +aS'Mycostatin\tMycostatin\tNN\tB-NP\tO' +p176529 +aS'powder\tpowder\tNN\tI-NP\tO' +p176530 +aS'TP\tTP\tNN\tI-NP\tO' +p176531 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p176532 +aS'to\tto\tTO\tB-VP\tO' +p176533 +aS'be\tbe\tVB\tI-VP\tO' +p176534 +aS'applied\tapply\tVBN\tI-VP\tO' +p176535 +aS'to\tto\tTO\tB-PP\tO' +p176536 +aS'the\tthe\tDT\tB-NP\tO' +p176537 +aS'rash\trash\tNN\tI-NP\tO' +p176538 +aS'in\tin\tIN\tB-PP\tO' +p176539 +aS'her\ther\tPRP$\tB-NP\tO' +p176540 +aS'left\tleft\tJJ\tI-NP\tO' +p176541 +aS'groin\tgroin\tNN\tI-NP\tO' +p176542 +aS'area\tarea\tNN\tI-NP\tO' +p176543 +aS',\t,\t,\tO\tO' +p176544 +aS'also\talso\tRB\tB-ADVP\tO' +p176545 +aS'dilaudid\tdilaudid\tVBD\tB-VP\tO' +p176546 +aS'8\t8\tCD\tB-NP\tO' +p176547 +aS'mg\tmg\tNN\tI-NP\tO' +p176548 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p176549 +aS'q2h\tq2h\tNN\tI-NP\tO' +p176550 +aS',\t,\t,\tO\tO' +p176551 +aS'Colace\tColace\tNNP\tB-NP\tO' +p176552 +aS'100\t100\tCD\tI-NP\tO' +p176553 +aS'mg\tmg\tNN\tI-NP\tO' +p176554 +aS'p.o.\tp.o.\tFW\tB-ADVP\tO' +p176555 +aS'b.i.d.\tb.i.d.\tFW\tI-ADVP\tO' +p176556 +aS',\t,\t,\tO\tO' +p176557 +aS'coumadin\tcoumadin\tNN\tB-NP\tO' +p176558 +aS'2.5\t2.5\tCD\tI-NP\tO' +p176559 +aS'mg\tmg\tNN\tI-NP\tO' +p176560 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p176561 +aS'q.h.s.\tq.h.s.\tNN\tI-NP\tO' +p176562 +aS'fentanyl\tfentanyl\tNN\tI-NP\tO' +p176563 +aS'patch\tpatch\tNN\tI-NP\tO' +p176564 +aS'75\t75\tCD\tB-NP\tO' +p176565 +aS'micrograms\tmicrogram\tNNS\tI-NP\tO' +p176566 +aS'per\tper\tIN\tB-PP\tO' +p176567 +aS'hour\thour\tNN\tB-NP\tO' +p176568 +aS'topical\ttopical\tJJ\tB-NP\tO' +p176569 +aS'q72\tq72\tNN\tI-NP\tO' +p176570 +aS'hours\thour\tNNS\tI-NP\tO' +p176571 +aS',\t,\t,\tO\tO' +p176572 +aS'atenolol\tatenolol\tNN\tB-NP\tO' +p176573 +aS'100\t100\tCD\tI-NP\tO' +p176574 +aS'mg\tmg\tNN\tI-NP\tO' +p176575 +aS'p.o.\tp.o.\tFW\tB-ADVP\tO' +p176576 +aS'q.d.\tq.d.\tFW\tI-ADVP\tO' +p176577 +asS'Stress dose steroids were planned for a 7 day course , antibiotics were peeled back to levofloxacin alone , and a R hip film revealed no loosening nor inflammation .' +p176578 +(lp176579 +S'Stress\tStress\tNN\tB-NP\tO' +p176580 +aS'dose\tdose\tNN\tI-NP\tO' +p176581 +aS'steroids\tsteroid\tNNS\tI-NP\tO' +p176582 +aS'were\tbe\tVBD\tB-VP\tO' +p176583 +aS'planned\tplan\tVBN\tI-VP\tO' +p176584 +aS'for\tfor\tIN\tB-PP\tO' +p176585 +aS'a\ta\tDT\tB-NP\tO' +p176586 +aS'7\t7\tCD\tI-NP\tO' +p176587 +aS'day\tday\tNN\tI-NP\tO' +p176588 +aS'course\tcourse\tNN\tI-NP\tO' +p176589 +aS',\t,\t,\tO\tO' +p176590 +aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' +p176591 +aS'were\tbe\tVBD\tB-VP\tO' +p176592 +aS'peeled\tpeel\tVBN\tI-VP\tO' +p176593 +aS'back\tback\tRB\tB-ADVP\tO' +p176594 +aS'to\tto\tTO\tB-PP\tO' +p176595 +aS'levofloxacin\tlevofloxacin\tNN\tB-NP\tO' +p176596 +aS'alone\talone\tRB\tB-ADVP\tO' +p176597 +aS',\t,\t,\tO\tO' +p176598 +aS'and\tand\tCC\tO\tO' +p176599 +aS'a\ta\tDT\tB-NP\tO' +p176600 +aS'R\tR\tNN\tI-NP\tO' +p176601 +aS'hip\thip\tNN\tI-NP\tO' +p176602 +aS'film\tfilm\tNN\tI-NP\tO' +p176603 +aS'revealed\treveal\tVBD\tB-VP\tO' +p176604 +aS'no\tno\tDT\tB-NP\tO' +p176605 +aS'loosening\tloosening\tNN\tI-NP\tO' +p176606 +aS'nor\tnor\tCC\tI-NP\tO' +p176607 +aS'inflammation\tinflammation\tNN\tI-NP\tO' +p176608 +aS'.\t.\t.\tO\tO' +p176609 +asS'Please call your doctor at the rehabilitation if you develop any shortness of breath , chest pain , nausea , vomiting , or any other concerning symptoms .' +p176610 +(lp176611 +S'Please\tPlease\tVB\tB-VP\tO' +p176612 +aS'call\tcall\tVB\tI-VP\tO' +p176613 +aS'your\tyour\tPRP$\tB-NP\tO' +p176614 +aS'doctor\tdoctor\tNN\tI-NP\tO' +p176615 +aS'at\tat\tIN\tB-PP\tO' +p176616 +aS'the\tthe\tDT\tB-NP\tO' +p176617 +aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' +p176618 +aS'if\tif\tIN\tB-SBAR\tO' +p176619 +aS'you\tyou\tPRP\tB-NP\tO' +p176620 +aS'develop\tdevelop\tVBP\tB-VP\tO' +p176621 +aS'any\tany\tDT\tB-NP\tO' +p176622 +aS'shortness\tshortness\tNN\tI-NP\tO' +p176623 +aS'of\tof\tIN\tB-PP\tO' +p176624 +aS'breath\tbreath\tNN\tB-NP\tO' +p176625 +aS',\t,\t,\tO\tO' +p176626 +aS'chest\tchest\tNN\tB-NP\tO' +p176627 +aS'pain\tpain\tNN\tI-NP\tO' +p176628 +aS',\t,\t,\tO\tO' +p176629 +aS'nausea\tnausea\tNN\tB-NP\tO' +p176630 +aS',\t,\t,\tO\tO' +p176631 +aS'vomiting\tvomiting\tNN\tB-NP\tO' +p176632 +aS',\t,\t,\tO\tO' +p176633 +aS'or\tor\tCC\tO\tO' +p176634 +aS'any\tany\tDT\tB-NP\tO' +p176635 +aS'other\tother\tJJ\tI-NP\tO' +p176636 +aS'concerning\tconcern\tVBG\tI-NP\tO' +p176637 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p176638 +aS'.\t.\t.\tO\tO' +p176639 +asS'He was to follow-up with his primary care physician within two to three days for repeat laboratory studies and blood cultures .' +p176640 +(lp176641 +S'He\tHe\tPRP\tB-NP\tO' +p176642 +aS'was\tbe\tVBD\tB-VP\tO' +p176643 +aS'to\tto\tTO\tB-VP\tO' +p176644 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p176645 +aS'with\twith\tIN\tB-PP\tO' +p176646 +aS'his\this\tPRP$\tB-NP\tO' +p176647 +aS'primary\tprimary\tJJ\tI-NP\tO' +p176648 +aS'care\tcare\tNN\tI-NP\tO' +p176649 +aS'physician\tphysician\tNN\tI-NP\tO' +p176650 +aS'within\twithin\tIN\tB-PP\tO' +p176651 +aS'two\ttwo\tCD\tB-NP\tO' +p176652 +aS'to\tto\tTO\tI-NP\tO' +p176653 +aS'three\tthree\tCD\tI-NP\tO' +p176654 +aS'days\tday\tNNS\tI-NP\tO' +p176655 +aS'for\tfor\tIN\tB-PP\tO' +p176656 +aS'repeat\trepeat\tNN\tB-NP\tO' +p176657 +aS'laboratory\tlaboratory\tNN\tI-NP\tO' +p176658 +aS'studies\tstudy\tNNS\tI-NP\tO' +p176659 +aS'and\tand\tCC\tO\tO' +p176660 +aS'blood\tblood\tNN\tB-NP\tO' +p176661 +aS'cultures\tculture\tNNS\tI-NP\tO' +p176662 +aS'.\t.\t.\tO\tO' +p176663 +asS'He does have diaphoresis and weakness with orthostatic changes .' +p176664 +(lp176665 +S'He\tHe\tPRP\tB-NP\tO' +p176666 +aS'does\tdo\tVBZ\tB-VP\tO' +p176667 +aS'have\thave\tVB\tI-VP\tO' +p176668 +aS'diaphoresis\tdiaphoresis\tNN\tB-NP\tO' +p176669 +aS'and\tand\tCC\tI-NP\tO' +p176670 +aS'weakness\tweakness\tNN\tI-NP\tO' +p176671 +aS'with\twith\tIN\tB-PP\tO' +p176672 +aS'orthostatic\torthostatic\tJJ\tB-NP\tO' +p176673 +aS'changes\tchange\tNNS\tI-NP\tO' +p176674 +aS'.\t.\t.\tO\tO' +p176675 +asS'The patient developed a low grade fever to 100.1 on POD#1 which persisted to POD#2 and imperic treatment with gent/clinda was started .' +p176676 +(lp176677 +S'The\tThe\tDT\tB-NP\tO' +p176678 +aS'patient\tpatient\tNN\tI-NP\tO' +p176679 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p176680 +aS'a\ta\tDT\tB-NP\tO' +p176681 +aS'low\tlow\tJJ\tI-NP\tO' +p176682 +aS'grade\tgrade\tNN\tI-NP\tO' +p176683 +aS'fever\tfever\tNN\tI-NP\tO' +p176684 +aS'to\tto\tTO\tB-PP\tO' +p176685 +aS'100.1\t100.1\tCD\tB-NP\tO' +p176686 +aS'on\ton\tIN\tB-PP\tO' +p176687 +aS'POD#1\tPOD#1\tNN\tB-NP\tB-protein' +p176688 +aS'which\twhich\tWDT\tB-NP\tO' +p176689 +aS'persisted\tpersist\tVBD\tB-VP\tO' +p176690 +aS'to\tto\tTO\tB-PP\tO' +p176691 +aS'POD#2\tPOD#2\tNN\tB-NP\tB-protein' +p176692 +aS'and\tand\tCC\tO\tO' +p176693 +aS'imperic\timperic\tJJ\tB-NP\tO' +p176694 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p176695 +aS'with\twith\tIN\tB-PP\tO' +p176696 +aS'gent/clinda\tgent/clinda\tNN\tB-NP\tO' +p176697 +aS'was\tbe\tVBD\tB-VP\tO' +p176698 +aS'started\tstart\tVBN\tI-VP\tO' +p176699 +aS'.\t.\t.\tO\tO' +p176700 +asS'No complications .' +p176701 +(lp176702 +S'No\tNo\tDT\tB-NP\tO' +p176703 +aS'complications\tcomplication\tNNS\tI-NP\tO' +p176704 +aS'.\t.\t.\tO\tO' +p176705 +asS'In general , the patient was a thin white male , lying in bed , in no acute distress , with a hoarse voice .' +p176706 +(lp176707 +S'In\tIn\tIN\tB-PP\tO' +p176708 +aS'general\tgeneral\tJJ\tB-ADJP\tO' +p176709 +aS',\t,\t,\tO\tO' +p176710 +aS'the\tthe\tDT\tB-NP\tO' +p176711 +aS'patient\tpatient\tNN\tI-NP\tO' +p176712 +aS'was\tbe\tVBD\tB-VP\tO' +p176713 +aS'a\ta\tDT\tB-NP\tO' +p176714 +aS'thin\tthin\tJJ\tI-NP\tO' +p176715 +aS'white\twhite\tJJ\tI-NP\tO' +p176716 +aS'male\tmale\tNN\tI-NP\tO' +p176717 +aS',\t,\t,\tO\tO' +p176718 +aS'lying\tlie\tVBG\tB-VP\tO' +p176719 +aS'in\tin\tIN\tB-PP\tO' +p176720 +aS'bed\tbed\tNN\tB-NP\tO' +p176721 +aS',\t,\t,\tO\tO' +p176722 +aS'in\tin\tIN\tB-PP\tO' +p176723 +aS'no\tno\tDT\tB-NP\tO' +p176724 +aS'acute\tacute\tJJ\tI-NP\tO' +p176725 +aS'distress\tdistress\tNN\tI-NP\tO' +p176726 +aS',\t,\t,\tO\tO' +p176727 +aS'with\twith\tIN\tB-PP\tO' +p176728 +aS'a\ta\tDT\tB-NP\tO' +p176729 +aS'hoarse\thoarse\tJJ\tI-NP\tO' +p176730 +aS'voice\tvoice\tNN\tI-NP\tO' +p176731 +aS'.\t.\t.\tO\tO' +p176732 +asS"History is difficult to obtain from patient d/t somnolence and lack of desire to participate in interview , but per Frank note he was diaphoretic and ' writing in pain ', vomiting clear substance ." +p176733 +(lp176734 +S'History\tHistory\tNN\tB-NP\tO' +p176735 +aS'is\tbe\tVBZ\tB-VP\tO' +p176736 +aS'difficult\tdifficult\tJJ\tB-ADJP\tO' +p176737 +aS'to\tto\tTO\tB-VP\tO' +p176738 +aS'obtain\tobtain\tVB\tI-VP\tO' +p176739 +aS'from\tfrom\tIN\tB-PP\tO' +p176740 +aS'patient\tpatient\tNN\tB-NP\tO' +p176741 +aS'd/t\td/t\tNN\tI-NP\tO' +p176742 +aS'somnolence\tsomnolence\tNN\tI-NP\tO' +p176743 +aS'and\tand\tCC\tO\tO' +p176744 +aS'lack\tlack\tNN\tB-NP\tO' +p176745 +aS'of\tof\tIN\tB-PP\tO' +p176746 +aS'desire\tdesire\tNN\tB-NP\tO' +p176747 +aS'to\tto\tTO\tB-VP\tO' +p176748 +aS'participate\tparticipate\tVB\tI-VP\tO' +p176749 +aS'in\tin\tIN\tB-PP\tO' +p176750 +aS'interview\tinterview\tNN\tB-NP\tO' +p176751 +aS',\t,\t,\tO\tO' +p176752 +aS'but\tbut\tCC\tO\tO' +p176753 +aS'per\tper\tIN\tB-PP\tO' +p176754 +aS'Frank\tFrank\tNNP\tB-NP\tO' +p176755 +aS'note\tnote\tNN\tB-VP\tO' +p176756 +aS'he\the\tPRP\tB-NP\tO' +p176757 +aS'was\tbe\tVBD\tB-VP\tO' +p176758 +aS'diaphoretic\tdiaphoretic\tJJ\tB-ADJP\tO' +p176759 +aS'and\tand\tCC\tO\tO' +p176760 +aS"'\t'\t''\tB-NP\tO" +p176761 +aS'writing\twriting\tNN\tI-NP\tO' +p176762 +aS'in\tin\tIN\tB-PP\tO' +p176763 +aS'pain\tpain\tNN\tB-NP\tO' +p176764 +aS"',\t',\tPOS\tB-NP\tO" +p176765 +aS'vomiting\tvomit\tVBG\tI-NP\tO' +p176766 +aS'clear\tclear\tJJ\tI-NP\tO' +p176767 +aS'substance\tsubstance\tNN\tI-NP\tO' +p176768 +aS'.\t.\t.\tO\tO' +p176769 +asS'The patient was given printed instructions for chest pain ( English ) .' +p176770 +(lp176771 +S'The\tThe\tDT\tB-NP\tO' +p176772 +aS'patient\tpatient\tNN\tI-NP\tO' +p176773 +aS'was\tbe\tVBD\tB-VP\tO' +p176774 +aS'given\tgive\tVBN\tI-VP\tO' +p176775 +aS'printed\tprint\tVBN\tB-NP\tO' +p176776 +aS'instructions\tinstruction\tNNS\tI-NP\tO' +p176777 +aS'for\tfor\tIN\tB-PP\tO' +p176778 +aS'chest\tchest\tNN\tB-NP\tO' +p176779 +aS'pain\tpain\tNN\tI-NP\tO' +p176780 +aS'(\t(\t(\tO\tO' +p176781 +aS'English\tEnglish\tNN\tB-NP\tO' +p176782 +aS')\t)\t)\tO\tO' +p176783 +aS'.\t.\t.\tO\tO' +p176784 +asS'Pregnancy complicated by insulin-dependent gestational diabetes .' +p176785 +(lp176786 +S'Pregnancy\tPregnancy\tNN\tB-NP\tO' +p176787 +aS'complicated\tcomplicate\tVBN\tB-VP\tO' +p176788 +aS'by\tby\tIN\tB-PP\tO' +p176789 +aS'insulin-dependent\tinsulin-dependent\tJJ\tB-NP\tO' +p176790 +aS'gestational\tgestational\tJJ\tI-NP\tO' +p176791 +aS'diabetes\tdiabete\tNNS\tI-NP\tO' +p176792 +aS'.\t.\t.\tO\tO' +p176793 +asS'However she was able to void .' +p176794 +(lp176795 +S'However\tHowever\tRB\tB-ADVP\tO' +p176796 +aS'she\tshe\tPRP\tB-NP\tO' +p176797 +aS'was\tbe\tVBD\tB-VP\tO' +p176798 +aS'able\table\tJJ\tB-ADJP\tO' +p176799 +aS'to\tto\tTO\tB-VP\tO' +p176800 +aS'void\tvoid\tVB\tI-VP\tO' +p176801 +aS'.\t.\t.\tO\tO' +p176802 +asS'40F with hurtle cell tumor of thyroid had total thyroidectomy without complication .' +p176803 +(lp176804 +S'40F\t40F\tNN\tB-NP\tO' +p176805 +aS'with\twith\tIN\tB-PP\tO' +p176806 +aS'hurtle\thurtle\tNN\tB-NP\tO' +p176807 +aS'cell\tcell\tNN\tI-NP\tO' +p176808 +aS'tumor\ttumor\tNN\tI-NP\tO' +p176809 +aS'of\tof\tIN\tB-PP\tO' +p176810 +aS'thyroid\tthyroid\tNN\tB-NP\tO' +p176811 +aS'had\thave\tVBD\tB-VP\tO' +p176812 +aS'total\ttotal\tJJ\tB-NP\tO' +p176813 +aS'thyroidectomy\tthyroidectomy\tNN\tI-NP\tO' +p176814 +aS'without\twithout\tIN\tB-PP\tO' +p176815 +aS'complication\tcomplication\tNN\tB-NP\tO' +p176816 +aS'.\t.\t.\tO\tO' +p176817 +asS'After the patient 's procedure , he was felt to be volume overloaded .' +p176818 +(lp176819 +S'After\tAfter\tIN\tB-PP\tO' +p176820 +aS'the\tthe\tDT\tB-NP\tO' +p176821 +aS'patient\tpatient\tNN\tI-NP\tO' +p176822 +aS''s\t'\tNNS\tI-NP\tO' +p176823 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p176824 +aS',\t,\t,\tO\tO' +p176825 +aS'he\the\tPRP\tB-NP\tO' +p176826 +aS'was\tbe\tVBD\tB-VP\tO' +p176827 +aS'felt\tfeel\tVBN\tI-VP\tO' +p176828 +aS'to\tto\tTO\tI-VP\tO' +p176829 +aS'be\tbe\tVB\tI-VP\tO' +p176830 +aS'volume\tvolume\tNN\tB-NP\tO' +p176831 +aS'overloaded\toverload\tVBN\tB-VP\tO' +p176832 +aS'.\t.\t.\tO\tO' +p176833 +asS'Finally , he went asystolic .' +p176834 +(lp176835 +S'Finally\tFinally\tRB\tB-ADVP\tO' +p176836 +aS',\t,\t,\tO\tO' +p176837 +aS'he\the\tPRP\tB-NP\tO' +p176838 +aS'went\tgo\tVBD\tB-VP\tO' +p176839 +aS'asystolic\tasystolic\tJJ\tB-ADJP\tO' +p176840 +aS'.\t.\t.\tO\tO' +p176841 +asS'Positive flatus .' +p176842 +(lp176843 +S'Positive\tPositive\tJJ\tB-NP\tO' +p176844 +aS'flatus\tflatus\tNN\tI-NP\tO' +p176845 +aS'.\t.\t.\tO\tO' +p176846 +asS'On April 2 , 1994 , she had several episodes of bradycardia and asystole , which responded only to manual ventilation .' +p176847 +(lp176848 +S'On\tOn\tIN\tB-PP\tO' +p176849 +aS'April\tApril\tNNP\tB-NP\tO' +p176850 +aS'2\t2\tCD\tI-NP\tO' +p176851 +aS',\t,\t,\tI-NP\tO' +p176852 +aS'1994\t1994\tCD\tI-NP\tO' +p176853 +aS',\t,\t,\tO\tO' +p176854 +aS'she\tshe\tPRP\tB-NP\tO' +p176855 +aS'had\thave\tVBD\tB-VP\tO' +p176856 +aS'several\tseveral\tJJ\tB-NP\tO' +p176857 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p176858 +aS'of\tof\tIN\tB-PP\tO' +p176859 +aS'bradycardia\tbradycardia\tNN\tB-NP\tO' +p176860 +aS'and\tand\tCC\tI-NP\tO' +p176861 +aS'asystole\tasystole\tNN\tI-NP\tO' +p176862 +aS',\t,\t,\tO\tO' +p176863 +aS'which\twhich\tWDT\tB-NP\tO' +p176864 +aS'responded\trespond\tVBD\tB-VP\tO' +p176865 +aS'only\tonly\tRB\tB-ADVP\tO' +p176866 +aS'to\tto\tTO\tB-PP\tO' +p176867 +aS'manual\tmanual\tJJ\tB-NP\tO' +p176868 +aS'ventilation\tventilation\tNN\tI-NP\tO' +p176869 +aS'.\t.\t.\tO\tO' +p176870 +asS'He was found at that time to have 3-4 mm ST segment elevations in V1 through V4 at Pre Health .' +p176871 +(lp176872 +S'He\tHe\tPRP\tB-NP\tO' +p176873 +aS'was\tbe\tVBD\tB-VP\tO' +p176874 +aS'found\tfind\tVBN\tI-VP\tO' +p176875 +aS'at\tat\tIN\tB-PP\tO' +p176876 +aS'that\tthat\tDT\tB-NP\tO' +p176877 +aS'time\ttime\tNN\tI-NP\tO' +p176878 +aS'to\tto\tTO\tB-VP\tO' +p176879 +aS'have\thave\tVB\tI-VP\tO' +p176880 +aS'3-4\t3-4\tCD\tB-NP\tO' +p176881 +aS'mm\tmm\tNN\tI-NP\tO' +p176882 +aS'ST\tST\tNN\tI-NP\tO' +p176883 +aS'segment\tsegment\tNN\tI-NP\tO' +p176884 +aS'elevations\televation\tNNS\tI-NP\tO' +p176885 +aS'in\tin\tIN\tB-PP\tO' +p176886 +aS'V1\tV1\tNN\tB-NP\tO' +p176887 +aS'through\tthrough\tIN\tB-PP\tO' +p176888 +aS'V4\tV4\tNN\tB-NP\tB-protein' +p176889 +aS'at\tat\tIN\tB-PP\tO' +p176890 +aS'Pre\tPre\tNNP\tB-NP\tO' +p176891 +aS'Health\tHealth\tNNP\tI-NP\tO' +p176892 +aS'.\t.\t.\tO\tO' +p176893 +asS'Adlib po Enfamil with iron .' +p176894 +(lp176895 +S'Adlib\tAdlib\tNN\tB-NP\tO' +p176896 +aS'po\tpo\tNN\tI-NP\tO' +p176897 +aS'Enfamil\tEnfamil\tNN\tI-NP\tO' +p176898 +aS'with\twith\tIN\tB-PP\tO' +p176899 +aS'iron\tiron\tNN\tB-NP\tO' +p176900 +aS'.\t.\t.\tO\tO' +p176901 +asS"Given the innumerable number of AVM 's , it is diffcult to assess which the culprit lesion is and GI may start APL from the fundus of stomach ." +p176902 +(lp176903 +S'Given\tGive\tVBN\tB-PP\tO' +p176904 +aS'the\tthe\tDT\tB-NP\tO' +p176905 +aS'innumerable\tinnumerable\tJJ\tI-NP\tO' +p176906 +aS'number\tnumber\tNN\tI-NP\tO' +p176907 +aS'of\tof\tIN\tB-PP\tO' +p176908 +aS'AVM\tAVM\tNNP\tB-NP\tO' +p176909 +aS"'s\t's\tPOS\tB-NP\tO" +p176910 +aS',\t,\t,\tO\tO' +p176911 +aS'it\tit\tPRP\tB-NP\tO' +p176912 +aS'is\tbe\tVBZ\tB-VP\tO' +p176913 +aS'diffcult\tdiffcult\tJJ\tB-ADJP\tO' +p176914 +aS'to\tto\tTO\tB-VP\tO' +p176915 +aS'assess\tassess\tVB\tI-VP\tO' +p176916 +aS'which\twhich\tWDT\tB-NP\tO' +p176917 +aS'the\tthe\tDT\tB-NP\tO' +p176918 +aS'culprit\tculprit\tNN\tI-NP\tO' +p176919 +aS'lesion\tlesion\tNN\tI-NP\tO' +p176920 +aS'is\tbe\tVBZ\tB-VP\tO' +p176921 +aS'and\tand\tCC\tO\tO' +p176922 +aS'GI\tGI\tNN\tB-NP\tO' +p176923 +aS'may\tmay\tMD\tB-VP\tO' +p176924 +aS'start\tstart\tVB\tI-VP\tO' +p176925 +aS'APL\tAPL\tNN\tB-NP\tO' +p176926 +aS'from\tfrom\tIN\tB-PP\tO' +p176927 +aS'the\tthe\tDT\tB-NP\tO' +p176928 +aS'fundus\tfundus\tNN\tI-NP\tO' +p176929 +aS'of\tof\tIN\tB-PP\tO' +p176930 +aS'stomach\tstomach\tNN\tB-NP\tO' +p176931 +aS'.\t.\t.\tO\tO' +p176932 +asS'The patient has never had these symptoms in the past .' +p176933 +(lp176934 +S'The\tThe\tDT\tB-NP\tO' +p176935 +aS'patient\tpatient\tNN\tI-NP\tO' +p176936 +aS'has\thave\tVBZ\tB-VP\tO' +p176937 +aS'never\tnever\tRB\tI-VP\tO' +p176938 +aS'had\thave\tVBD\tI-VP\tO' +p176939 +aS'these\tthese\tDT\tB-NP\tO' +p176940 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p176941 +aS'in\tin\tIN\tB-PP\tO' +p176942 +aS'the\tthe\tDT\tB-NP\tO' +p176943 +aS'past\tpast\tNN\tI-NP\tO' +p176944 +aS'.\t.\t.\tO\tO' +p176945 +asS'Since that time she has experience occasional episodes of the same focal chest pain but finds that it spontaneously remits .' +p176946 +(lp176947 +S'Since\tSince\tIN\tB-PP\tO' +p176948 +aS'that\tthat\tDT\tB-NP\tO' +p176949 +aS'time\ttime\tNN\tI-NP\tO' +p176950 +aS'she\tshe\tPRP\tB-NP\tO' +p176951 +aS'has\thave\tVBZ\tB-VP\tO' +p176952 +aS'experience\texperience\tNN\tB-NP\tO' +p176953 +aS'occasional\toccasional\tJJ\tI-NP\tO' +p176954 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p176955 +aS'of\tof\tIN\tB-PP\tO' +p176956 +aS'the\tthe\tDT\tB-NP\tO' +p176957 +aS'same\tsame\tJJ\tI-NP\tO' +p176958 +aS'focal\tfocal\tJJ\tI-NP\tO' +p176959 +aS'chest\tchest\tNN\tI-NP\tO' +p176960 +aS'pain\tpain\tNN\tI-NP\tO' +p176961 +aS'but\tbut\tCC\tO\tO' +p176962 +aS'finds\tfind\tVBZ\tB-VP\tO' +p176963 +aS'that\tthat\tIN\tB-SBAR\tO' +p176964 +aS'it\tit\tPRP\tB-NP\tO' +p176965 +aS'spontaneously\tspontaneously\tRB\tB-ADVP\tO' +p176966 +aS'remits\tremit\tVBZ\tB-VP\tO' +p176967 +aS'.\t.\t.\tO\tO' +p176968 +asS'3. Lisinopril 5 mg p.o. daily .' +p176969 +(lp176970 +S'3.\t3.\tLS\tB-LST\tO' +p176971 +aS'Lisinopril\tLisinopril\tNNP\tB-NP\tO' +p176972 +aS'5\t5\tCD\tI-NP\tO' +p176973 +aS'mg\tmg\tNN\tI-NP\tO' +p176974 +aS'p.o.\tp.o.\tRB\tB-ADVP\tO' +p176975 +aS'daily\tdaily\tRB\tI-ADVP\tO' +p176976 +aS'.\t.\t.\tO\tO' +p176977 +asS'Left foot with a dry crusted ulcer over the medial aspect of the first metatarsal head and the lateral posterior heel .' +p176978 +(lp176979 +S'Left\tLeft\tJJ\tB-NP\tO' +p176980 +aS'foot\tfoot\tNN\tI-NP\tO' +p176981 +aS'with\twith\tIN\tB-PP\tO' +p176982 +aS'a\ta\tDT\tB-NP\tO' +p176983 +aS'dry\tdry\tJJ\tI-NP\tO' +p176984 +aS'crusted\tcrusted\tJJ\tI-NP\tO' +p176985 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p176986 +aS'over\tover\tIN\tB-PP\tO' +p176987 +aS'the\tthe\tDT\tB-NP\tO' +p176988 +aS'medial\tmedial\tJJ\tI-NP\tO' +p176989 +aS'aspect\taspect\tNN\tI-NP\tO' +p176990 +aS'of\tof\tIN\tB-PP\tO' +p176991 +aS'the\tthe\tDT\tB-NP\tO' +p176992 +aS'first\tfirst\tJJ\tI-NP\tO' +p176993 +aS'metatarsal\tmetatarsal\tJJ\tI-NP\tO' +p176994 +aS'head\thead\tNN\tI-NP\tO' +p176995 +aS'and\tand\tCC\tO\tO' +p176996 +aS'the\tthe\tDT\tB-NP\tO' +p176997 +aS'lateral\tlateral\tJJ\tI-NP\tO' +p176998 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p176999 +aS'heel\theel\tNN\tI-NP\tO' +p177000 +aS'.\t.\t.\tO\tO' +p177001 +asS'The patient underwent coiling and stent placement without complications .' +p177002 +(lp177003 +S'The\tThe\tDT\tB-NP\tO' +p177004 +aS'patient\tpatient\tNN\tI-NP\tO' +p177005 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p177006 +aS'coiling\tcoiling\tNN\tB-NP\tO' +p177007 +aS'and\tand\tCC\tO\tO' +p177008 +aS'stent\tstent\tJJ\tB-NP\tO' +p177009 +aS'placement\tplacement\tNN\tI-NP\tO' +p177010 +aS'without\twithout\tIN\tB-PP\tO' +p177011 +aS'complications\tcomplication\tNNS\tB-NP\tO' +p177012 +aS'.\t.\t.\tO\tO' +p177013 +asS'His chest radiograph had fluffy bilateral infiltrates .' +p177014 +(lp177015 +S'His\tHis\tPRP$\tB-NP\tO' +p177016 +aS'chest\tchest\tNN\tI-NP\tO' +p177017 +aS'radiograph\tradiograph\tNN\tI-NP\tO' +p177018 +aS'had\thave\tVBD\tB-VP\tO' +p177019 +aS'fluffy\tfluffy\tJJ\tB-NP\tO' +p177020 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p177021 +aS'infiltrates\tinfiltrate\tNNS\tI-NP\tO' +p177022 +aS'.\t.\t.\tO\tO' +p177023 +asS'2. Propanolol .' +p177024 +(lp177025 +S'2.\t2.\tLS\tB-NP\tO' +p177026 +aS'Propanolol\tPropanolol\tNN\tI-NP\tO' +p177027 +aS'.\t.\t.\tO\tO' +p177028 +asS'Calcium levels remained 7.2 to 7.5 postoperatively .' +p177029 +(lp177030 +S'Calcium\tCalcium\tNN\tB-NP\tO' +p177031 +aS'levels\tlevel\tNNS\tI-NP\tO' +p177032 +aS'remained\tremain\tVBD\tB-VP\tO' +p177033 +aS'7.2\t7.2\tCD\tB-NP\tO' +p177034 +aS'to\tto\tTO\tB-PP\tO' +p177035 +aS'7.5\t7.5\tCD\tB-NP\tO' +p177036 +aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' +p177037 +aS'.\t.\t.\tO\tO' +p177038 +asS'The patient was not anxious or ill-appearing .' +p177039 +(lp177040 +S'The\tThe\tDT\tB-NP\tO' +p177041 +aS'patient\tpatient\tNN\tI-NP\tO' +p177042 +aS'was\tbe\tVBD\tB-VP\tO' +p177043 +aS'not\tnot\tRB\tO\tO' +p177044 +aS'anxious\tanxious\tJJ\tB-ADJP\tO' +p177045 +aS'or\tor\tCC\tI-ADJP\tO' +p177046 +aS'ill-appearing\till-appearing\tJJ\tI-ADJP\tO' +p177047 +aS'.\t.\t.\tO\tO' +p177048 +asS'Both were easily reducible .' +p177049 +(lp177050 +S'Both\tBoth\tDT\tB-NP\tO' +p177051 +aS'were\tbe\tVBD\tB-VP\tO' +p177052 +aS'easily\teasily\tRB\tB-ADJP\tO' +p177053 +aS'reducible\treducible\tJJ\tI-ADJP\tO' +p177054 +aS'.\t.\t.\tO\tO' +p177055 +asS'Regular rate and rhythm , S1 and S2 , no extra heart sounds , abdomen distended with an epigastric mass noted , mildly tender to palpation , no guarding .' +p177056 +(lp177057 +S'Regular\tRegular\tJJ\tB-NP\tO' +p177058 +aS'rate\trate\tNN\tI-NP\tO' +p177059 +aS'and\tand\tCC\tO\tO' +p177060 +aS'rhythm\trhythm\tNN\tB-NP\tO' +p177061 +aS',\t,\t,\tO\tO' +p177062 +aS'S1\tS1\tNN\tB-NP\tB-protein' +p177063 +aS'and\tand\tCC\tO\tO' +p177064 +aS'S2\tS2\tNN\tB-NP\tB-protein' +p177065 +aS',\t,\t,\tO\tO' +p177066 +aS'no\tno\tDT\tB-NP\tO' +p177067 +aS'extra\textra\tJJ\tI-NP\tO' +p177068 +aS'heart\theart\tNN\tI-NP\tO' +p177069 +aS'sounds\tsound\tNNS\tI-NP\tO' +p177070 +aS',\t,\t,\tO\tO' +p177071 +aS'abdomen\tabdoman\tNNS\tB-NP\tO' +p177072 +aS'distended\tdistend\tVBN\tB-VP\tO' +p177073 +aS'with\twith\tIN\tB-PP\tO' +p177074 +aS'an\tan\tDT\tB-NP\tO' +p177075 +aS'epigastric\tepigastric\tJJ\tI-NP\tO' +p177076 +aS'mass\tmass\tNN\tI-NP\tO' +p177077 +aS'noted\tnote\tVBD\tB-VP\tO' +p177078 +aS',\t,\t,\tO\tO' +p177079 +aS'mildly\tmildly\tRB\tB-NP\tO' +p177080 +aS'tender\ttender\tNN\tI-NP\tO' +p177081 +aS'to\tto\tTO\tB-PP\tO' +p177082 +aS'palpation\tpalpation\tNN\tB-NP\tO' +p177083 +aS',\t,\t,\tO\tO' +p177084 +aS'no\tno\tDT\tB-NP\tO' +p177085 +aS'guarding\tguarding\tNN\tI-NP\tO' +p177086 +aS'.\t.\t.\tO\tO' +p177087 +asS'The patient is now transferred to Cambridge Health Alliance for cardiac catheterization .' +p177088 +(lp177089 +S'The\tThe\tDT\tB-NP\tO' +p177090 +aS'patient\tpatient\tNN\tI-NP\tO' +p177091 +aS'is\tbe\tVBZ\tB-VP\tO' +p177092 +aS'now\tnow\tRB\tI-VP\tO' +p177093 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p177094 +aS'to\tto\tTO\tB-PP\tO' +p177095 +aS'Cambridge\tCambridge\tNNP\tB-NP\tO' +p177096 +aS'Health\tHealth\tNNP\tI-NP\tO' +p177097 +aS'Alliance\tAlliance\tNNP\tI-NP\tO' +p177098 +aS'for\tfor\tIN\tB-PP\tO' +p177099 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p177100 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p177101 +aS'.\t.\t.\tO\tO' +p177102 +asS'Please return to the Deanna if you experience SOB , chest pain , fevers , chills , dizziness , decreased urine output .' +p177103 +(lp177104 +S'Please\tPlease\tVB\tB-VP\tO' +p177105 +aS'return\treturn\tVB\tI-VP\tO' +p177106 +aS'to\tto\tTO\tB-PP\tO' +p177107 +aS'the\tthe\tDT\tB-NP\tO' +p177108 +aS'Deanna\tDeanna\tNNP\tI-NP\tO' +p177109 +aS'if\tif\tIN\tB-SBAR\tO' +p177110 +aS'you\tyou\tPRP\tB-NP\tO' +p177111 +aS'experience\texperience\tVBP\tB-VP\tO' +p177112 +aS'SOB\tSOB\tNN\tB-NP\tB-protein' +p177113 +aS',\t,\t,\tO\tO' +p177114 +aS'chest\tchest\tNN\tB-NP\tO' +p177115 +aS'pain\tpain\tNN\tI-NP\tO' +p177116 +aS',\t,\t,\tO\tO' +p177117 +aS'fevers\tfever\tNNS\tB-NP\tO' +p177118 +aS',\t,\t,\tO\tO' +p177119 +aS'chills\tchill\tNNS\tB-NP\tO' +p177120 +aS',\t,\t,\tO\tO' +p177121 +aS'dizziness\tdizziness\tNN\tB-NP\tO' +p177122 +aS',\t,\t,\tO\tO' +p177123 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p177124 +aS'urine\turine\tNN\tB-NP\tO' +p177125 +aS'output\toutput\tNN\tI-NP\tO' +p177126 +aS'.\t.\t.\tO\tO' +p177127 +asS'The patient was bolused with NS and did not required pressors .' +p177128 +(lp177129 +S'The\tThe\tDT\tB-NP\tO' +p177130 +aS'patient\tpatient\tNN\tI-NP\tO' +p177131 +aS'was\tbe\tVBD\tB-VP\tO' +p177132 +aS'bolused\tboluse\tVBN\tI-VP\tO' +p177133 +aS'with\twith\tIN\tB-PP\tO' +p177134 +aS'NS\tNS\tNN\tB-NP\tO' +p177135 +aS'and\tand\tCC\tO\tO' +p177136 +aS'did\tdo\tVBD\tB-VP\tO' +p177137 +aS'not\tnot\tRB\tI-VP\tO' +p177138 +aS'required\trequire\tVBN\tI-VP\tO' +p177139 +aS'pressors\tpressor\tNNS\tB-NP\tO' +p177140 +aS'.\t.\t.\tO\tO' +p177141 +asS'She will complete two more days of Levaquin therapy as an outpatient .' +p177142 +(lp177143 +S'She\tShe\tPRP\tB-NP\tO' +p177144 +aS'will\twill\tMD\tB-VP\tO' +p177145 +aS'complete\tcomplete\tVB\tI-VP\tO' +p177146 +aS'two\ttwo\tCD\tB-NP\tO' +p177147 +aS'more\tmore\tJJR\tI-NP\tO' +p177148 +aS'days\tday\tNNS\tI-NP\tO' +p177149 +aS'of\tof\tIN\tB-PP\tO' +p177150 +aS'Levaquin\tLevaquin\tNN\tB-NP\tO' +p177151 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p177152 +aS'as\tas\tIN\tB-PP\tO' +p177153 +aS'an\tan\tDT\tB-NP\tO' +p177154 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p177155 +aS'.\t.\t.\tO\tO' +p177156 +asS'A few days later she complained of dizziness .' +p177157 +(lp177158 +S'A\tA\tDT\tB-NP\tO' +p177159 +aS'few\tfew\tJJ\tI-NP\tO' +p177160 +aS'days\tday\tNNS\tI-NP\tO' +p177161 +aS'later\tlater\tRB\tB-ADVP\tO' +p177162 +aS'she\tshe\tPRP\tB-NP\tO' +p177163 +aS'complained\tcomplain\tVBD\tB-VP\tO' +p177164 +aS'of\tof\tIN\tB-PP\tO' +p177165 +aS'dizziness\tdizziness\tNN\tB-NP\tO' +p177166 +aS'.\t.\t.\tO\tO' +p177167 +asS'4. No evidence of abnormal bone marrow signal intensity or intraosseous abscess ."' +p177168 +(lp177169 +S'4.\t4.\tLS\tB-LST\tO' +p177170 +aS'No\tNo\tDT\tB-NP\tO' +p177171 +aS'evidence\tevidence\tNN\tI-NP\tO' +p177172 +aS'of\tof\tIN\tB-PP\tO' +p177173 +aS'abnormal\tabnormal\tJJ\tB-NP\tO' +p177174 +aS'bone\tbone\tNN\tI-NP\tO' +p177175 +aS'marrow\tmarrow\tNN\tI-NP\tO' +p177176 +aS'signal\tsignal\tNN\tI-NP\tO' +p177177 +aS'intensity\tintensity\tNN\tI-NP\tO' +p177178 +aS'or\tor\tCC\tO\tO' +p177179 +aS'intraosseous\tintraosseous\tJJ\tB-NP\tO' +p177180 +aS'abscess\tabscess\tNN\tI-NP\tO' +p177181 +aS'."\t."\t.\tO\tO' +p177182 +asS'Attending : Christopher KJ Cater , M.D.' +p177183 +(lp177184 +S'Attending\tAttend\tVBG\tB-VP\tO' +p177185 +aS':\t:\t:\tO\tO' +p177186 +aS'Christopher\tChristopher\tNNP\tB-NP\tO' +p177187 +aS'KJ\tKJ\tNNP\tI-NP\tO' +p177188 +aS'Cater\tCater\tNNP\tI-NP\tO' +p177189 +aS',\t,\t,\tO\tO' +p177190 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p177191 +asS'She was started on Decadron and on 1/17 began the first of ten radiation treatments to two fields ( T2 to T5 and T9 to T11 ) .' +p177192 +(lp177193 +S'She\tShe\tPRP\tB-NP\tO' +p177194 +aS'was\tbe\tVBD\tB-VP\tO' +p177195 +aS'started\tstart\tVBN\tI-VP\tO' +p177196 +aS'on\ton\tIN\tB-PP\tO' +p177197 +aS'Decadron\tDecadron\tNNP\tB-NP\tO' +p177198 +aS'and\tand\tCC\tB-PP\tO' +p177199 +aS'on\ton\tIN\tB-PP\tO' +p177200 +aS'1/17\t1/17\tCD\tB-NP\tO' +p177201 +aS'began\tbegin\tVBD\tB-VP\tO' +p177202 +aS'the\tthe\tDT\tB-NP\tO' +p177203 +aS'first\tfirst\tJJ\tI-NP\tO' +p177204 +aS'of\tof\tIN\tB-PP\tO' +p177205 +aS'ten\tten\tCD\tB-NP\tO' +p177206 +aS'radiation\tradiation\tNN\tI-NP\tO' +p177207 +aS'treatments\ttreatment\tNNS\tI-NP\tO' +p177208 +aS'to\tto\tTO\tB-PP\tO' +p177209 +aS'two\ttwo\tCD\tB-NP\tO' +p177210 +aS'fields\tfield\tNNS\tI-NP\tO' +p177211 +aS'(\t(\t(\tO\tO' +p177212 +aS'T2\tT2\tNN\tB-NP\tO' +p177213 +aS'to\tto\tTO\tB-PP\tO' +p177214 +aS'T5\tT5\tNN\tB-NP\tB-DNA' +p177215 +aS'and\tand\tCC\tI-NP\tO' +p177216 +aS'T9\tT9\tNN\tI-NP\tO' +p177217 +aS'to\tto\tTO\tB-PP\tO' +p177218 +aS'T11\tT11\tNN\tB-NP\tB-protein' +p177219 +aS')\t)\t)\tO\tO' +p177220 +aS'.\t.\t.\tO\tO' +p177221 +asS'He was essentially bed bound for 3 days prior to admission , unable to ambulate .' +p177222 +(lp177223 +S'He\tHe\tPRP\tB-NP\tO' +p177224 +aS'was\tbe\tVBD\tB-VP\tO' +p177225 +aS'essentially\tessentially\tRB\tI-VP\tO' +p177226 +aS'bed\tbed\tVBN\tI-VP\tO' +p177227 +aS'bound\tbind\tVBN\tI-VP\tO' +p177228 +aS'for\tfor\tIN\tB-PP\tO' +p177229 +aS'3\t3\tCD\tB-NP\tO' +p177230 +aS'days\tday\tNNS\tI-NP\tO' +p177231 +aS'prior\tprior\tRB\tB-ADVP\tO' +p177232 +aS'to\tto\tTO\tB-PP\tO' +p177233 +aS'admission\tadmission\tNN\tB-NP\tO' +p177234 +aS',\t,\t,\tO\tO' +p177235 +aS'unable\tunable\tJJ\tB-ADJP\tO' +p177236 +aS'to\tto\tTO\tB-VP\tO' +p177237 +aS'ambulate\tambulate\tVB\tI-VP\tO' +p177238 +aS'.\t.\t.\tO\tO' +p177239 +asS'He gets cold easily but denies fevers .' +p177240 +(lp177241 +S'He\tHe\tPRP\tB-NP\tO' +p177242 +aS'gets\tget\tVBZ\tB-VP\tO' +p177243 +aS'cold\tcold\tJJ\tB-ADJP\tO' +p177244 +aS'easily\teasily\tRB\tB-ADVP\tO' +p177245 +aS'but\tbut\tCC\tO\tO' +p177246 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p177247 +aS'fevers\tfever\tNNS\tB-NP\tO' +p177248 +aS'.\t.\t.\tO\tO' +p177249 +asS'His neck has a well-healed right carotid endarterectomy scar .' +p177250 +(lp177251 +S'His\tHis\tPRP$\tB-NP\tO' +p177252 +aS'neck\tneck\tNN\tI-NP\tO' +p177253 +aS'has\thave\tVBZ\tB-VP\tO' +p177254 +aS'a\ta\tDT\tB-NP\tO' +p177255 +aS'well-healed\twell-healed\tJJ\tI-NP\tO' +p177256 +aS'right\tright\tJJ\tI-NP\tO' +p177257 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p177258 +aS'endarterectomy\tendarterectomy\tNN\tI-NP\tO' +p177259 +aS'scar\tscar\tNN\tI-NP\tO' +p177260 +aS'.\t.\t.\tO\tO' +p177261 +asS'By discharge , she was returned to 40 mg of Prednisone q. day times one month to be followed by a slow taper .' +p177262 +(lp177263 +S'By\tBy\tIN\tB-PP\tO' +p177264 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p177265 +aS',\t,\t,\tO\tO' +p177266 +aS'she\tshe\tPRP\tB-NP\tO' +p177267 +aS'was\tbe\tVBD\tB-VP\tO' +p177268 +aS'returned\treturn\tVBN\tI-VP\tO' +p177269 +aS'to\tto\tTO\tB-PP\tO' +p177270 +aS'40\t40\tCD\tB-NP\tO' +p177271 +aS'mg\tmg\tNN\tI-NP\tO' +p177272 +aS'of\tof\tIN\tB-PP\tO' +p177273 +aS'Prednisone\tPrednisone\tNN\tB-NP\tO' +p177274 +aS'q.\tq.\tNN\tI-NP\tO' +p177275 +aS'day\tday\tNN\tI-NP\tO' +p177276 +aS'times\ttime\tVBZ\tB-VP\tO' +p177277 +aS'one\tone\tCD\tB-NP\tO' +p177278 +aS'month\tmonth\tNN\tI-NP\tO' +p177279 +aS'to\tto\tTO\tB-VP\tO' +p177280 +aS'be\tbe\tVB\tI-VP\tO' +p177281 +aS'followed\tfollow\tVBN\tI-VP\tO' +p177282 +aS'by\tby\tIN\tB-PP\tO' +p177283 +aS'a\ta\tDT\tB-NP\tO' +p177284 +aS'slow\tslow\tJJ\tI-NP\tO' +p177285 +aS'taper\ttaper\tNN\tI-NP\tO' +p177286 +aS'.\t.\t.\tO\tO' +p177287 +asS'The patient was begun on Nafcillin due to continued spiking .' +p177288 +(lp177289 +S'The\tThe\tDT\tB-NP\tO' +p177290 +aS'patient\tpatient\tNN\tI-NP\tO' +p177291 +aS'was\tbe\tVBD\tB-VP\tO' +p177292 +aS'begun\tbegin\tVBN\tI-VP\tO' +p177293 +aS'on\ton\tIN\tB-PP\tO' +p177294 +aS'Nafcillin\tNafcillin\tNN\tB-NP\tO' +p177295 +aS'due\tdue\tJJ\tB-PP\tO' +p177296 +aS'to\tto\tTO\tB-PP\tO' +p177297 +aS'continued\tcontinue\tVBN\tB-NP\tO' +p177298 +aS'spiking\tspiking\tNN\tI-NP\tO' +p177299 +aS'.\t.\t.\tO\tO' +p177300 +asS'1. Normal liver .' +p177301 +(lp177302 +S'1.\t1.\tLS\tB-LST\tO' +p177303 +aS'Normal\tNormal\tJJ\tB-NP\tO' +p177304 +aS'liver\tliver\tNN\tI-NP\tO' +p177305 +aS'.\t.\t.\tO\tO' +p177306 +asS'Family at bedside and aware and in agreement of plan .' +p177307 +(lp177308 +S'Family\tFamily\tRB\tB-ADVP\tO' +p177309 +aS'at\tat\tIN\tB-PP\tO' +p177310 +aS'bedside\tbedside\tNN\tB-NP\tO' +p177311 +aS'and\tand\tCC\tO\tO' +p177312 +aS'aware\taware\tJJ\tB-ADJP\tO' +p177313 +aS'and\tand\tCC\tO\tO' +p177314 +aS'in\tin\tIN\tB-PP\tO' +p177315 +aS'agreement\tagreement\tNN\tB-NP\tO' +p177316 +aS'of\tof\tIN\tB-PP\tO' +p177317 +aS'plan\tplan\tNN\tB-NP\tO' +p177318 +aS'.\t.\t.\tO\tO' +p177319 +asS'Dr. Ee , patient to arrange , No Known Allergies' +p177320 +(lp177321 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p177322 +aS'Ee\tEe\tNNP\tI-NP\tO' +p177323 +aS',\t,\t,\tO\tO' +p177324 +aS'patient\tpatient\tNN\tB-NP\tO' +p177325 +aS'to\tto\tTO\tB-VP\tO' +p177326 +aS'arrange\tarrange\tVB\tI-VP\tO' +p177327 +aS',\t,\t,\tO\tO' +p177328 +aS'No\tNo\tNNP\tB-NP\tO' +p177329 +aS'Known\tKnown\tNNP\tI-NP\tO' +p177330 +aS'Allergies\tAllergies\tNNP\tI-NP\tO' +p177331 +asS'a. Day Care during RSV season .' +p177332 +(lp177333 +S'a.\ta.\tRB\tB-ADVP\tO' +p177334 +aS'Day\tDay\tNNP\tB-NP\tO' +p177335 +aS'Care\tCare\tNNP\tI-NP\tO' +p177336 +aS'during\tduring\tIN\tB-PP\tO' +p177337 +aS'RSV\tRSV\tNN\tB-NP\tO' +p177338 +aS'season\tseason\tNN\tI-NP\tO' +p177339 +aS'.\t.\t.\tO\tO' +p177340 +asS'Pacemaker implantation .' +p177341 +(lp177342 +S'Pacemaker\tPacemaker\tNN\tB-NP\tO' +p177343 +aS'implantation\timplantation\tNN\tI-NP\tO' +p177344 +aS'.\t.\t.\tO\tO' +p177345 +asS'1. Interval development of a moderate amount of hemorrhage within the right pleural effusion .' +p177346 +(lp177347 +S'1.\t1.\tLS\tB-NP\tO' +p177348 +aS'Interval\tInterval\tNN\tI-NP\tO' +p177349 +aS'development\tdevelopment\tNN\tI-NP\tO' +p177350 +aS'of\tof\tIN\tB-PP\tO' +p177351 +aS'a\ta\tDT\tB-NP\tO' +p177352 +aS'moderate\tmoderate\tJJ\tI-NP\tO' +p177353 +aS'amount\tamount\tNN\tI-NP\tO' +p177354 +aS'of\tof\tIN\tB-PP\tO' +p177355 +aS'hemorrhage\themorrhage\tNN\tB-NP\tO' +p177356 +aS'within\twithin\tIN\tB-PP\tO' +p177357 +aS'the\tthe\tDT\tB-NP\tO' +p177358 +aS'right\tright\tJJ\tI-NP\tO' +p177359 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p177360 +aS'effusion\teffusion\tNN\tI-NP\tO' +p177361 +aS'.\t.\t.\tO\tO' +p177362 +asS'The patient subsequently deteriorated over time , was started on CVVH and suffered significant complications without improvement of his pulmonary / renal situation .' +p177363 +(lp177364 +S'The\tThe\tDT\tB-NP\tO' +p177365 +aS'patient\tpatient\tNN\tI-NP\tO' +p177366 +aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' +p177367 +aS'deteriorated\tdeteriorate\tVBD\tB-VP\tO' +p177368 +aS'over\tover\tIN\tB-PP\tO' +p177369 +aS'time\ttime\tNN\tB-NP\tO' +p177370 +aS',\t,\t,\tO\tO' +p177371 +aS'was\tbe\tVBD\tB-VP\tO' +p177372 +aS'started\tstart\tVBN\tI-VP\tO' +p177373 +aS'on\ton\tIN\tB-PP\tO' +p177374 +aS'CVVH\tCVVH\tNN\tB-NP\tO' +p177375 +aS'and\tand\tCC\tO\tO' +p177376 +aS'suffered\tsuffer\tVBD\tB-VP\tO' +p177377 +aS'significant\tsignificant\tJJ\tB-NP\tO' +p177378 +aS'complications\tcomplication\tNNS\tI-NP\tO' +p177379 +aS'without\twithout\tIN\tB-PP\tO' +p177380 +aS'improvement\timprovement\tNN\tB-NP\tO' +p177381 +aS'of\tof\tIN\tB-PP\tO' +p177382 +aS'his\this\tPRP$\tB-NP\tO' +p177383 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p177384 +aS'/\t/\tSYM\tI-NP\tO' +p177385 +aS'renal\trenal\tJJ\tI-NP\tO' +p177386 +aS'situation\tsituation\tNN\tI-NP\tO' +p177387 +aS'.\t.\t.\tO\tO' +p177388 +asS'Pt was then initiated on the sepsis protocol .' +p177389 +(lp177390 +S'Pt\tPt\tNN\tB-NP\tO' +p177391 +aS'was\tbe\tVBD\tB-VP\tO' +p177392 +aS'then\tthen\tRB\tI-VP\tO' +p177393 +aS'initiated\tinitiate\tVBN\tI-VP\tO' +p177394 +aS'on\ton\tIN\tB-PP\tO' +p177395 +aS'the\tthe\tDT\tB-NP\tO' +p177396 +aS'sepsis\tsepsis\tNN\tI-NP\tO' +p177397 +aS'protocol\tprotocol\tNN\tI-NP\tO' +p177398 +aS'.\t.\t.\tO\tO' +p177399 +asS'Subsequently overnight , she developed a fever to 102.3 and recurrent hypotension in the setting of fevers and tachycardia that was concerning for an infectious source .' +p177400 +(lp177401 +S'Subsequently\tSubsequently\tRB\tB-ADVP\tO' +p177402 +aS'overnight\tovernight\tRB\tI-ADVP\tO' +p177403 +aS',\t,\t,\tO\tO' +p177404 +aS'she\tshe\tPRP\tB-NP\tO' +p177405 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p177406 +aS'a\ta\tDT\tB-NP\tO' +p177407 +aS'fever\tfever\tNN\tI-NP\tO' +p177408 +aS'to\tto\tTO\tB-PP\tO' +p177409 +aS'102.3\t102.3\tCD\tB-NP\tO' +p177410 +aS'and\tand\tCC\tO\tO' +p177411 +aS'recurrent\trecurrent\tJJ\tB-NP\tO' +p177412 +aS'hypotension\thypotension\tNN\tI-NP\tO' +p177413 +aS'in\tin\tIN\tB-PP\tO' +p177414 +aS'the\tthe\tDT\tB-NP\tO' +p177415 +aS'setting\tsetting\tNN\tI-NP\tO' +p177416 +aS'of\tof\tIN\tB-PP\tO' +p177417 +aS'fevers\tfever\tNNS\tB-NP\tO' +p177418 +aS'and\tand\tCC\tI-NP\tO' +p177419 +aS'tachycardia\ttachycardia\tNN\tI-NP\tO' +p177420 +aS'that\tthat\tWDT\tB-NP\tO' +p177421 +aS'was\tbe\tVBD\tB-VP\tO' +p177422 +aS'concerning\tconcern\tVBG\tI-VP\tO' +p177423 +aS'for\tfor\tIN\tB-PP\tO' +p177424 +aS'an\tan\tDT\tB-NP\tO' +p177425 +aS'infectious\tinfectious\tJJ\tI-NP\tO' +p177426 +aS'source\tsource\tNN\tI-NP\tO' +p177427 +aS'.\t.\t.\tO\tO' +p177428 +asS'Being discharged to home .' +p177429 +(lp177430 +S'Being\tBe\tVBG\tB-VP\tO' +p177431 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p177432 +aS'to\tto\tTO\tB-PP\tO' +p177433 +aS'home\thome\tNN\tB-NP\tO' +p177434 +aS'.\t.\t.\tO\tO' +p177435 +asS'Spontaneous vaginal delivery Laceration 2 degrees' +p177436 +(lp177437 +S'Spontaneous\tSpontaneous\tJJ\tB-NP\tO' +p177438 +aS'vaginal\tvaginal\tJJ\tI-NP\tO' +p177439 +aS'delivery\tdelivery\tNN\tI-NP\tO' +p177440 +aS'Laceration\tLaceration\tNN\tI-NP\tO' +p177441 +aS'2\t2\tCD\tB-NP\tO' +p177442 +aS'degrees\tdegree\tNNS\tI-NP\tO' +p177443 +asS'The patient was a 53-year-old male with a longstanding history of renal disease with multiple complications and problems related to vascular access and hypercoagulable state .' +p177444 +(lp177445 +S'The\tThe\tDT\tB-NP\tO' +p177446 +aS'patient\tpatient\tNN\tI-NP\tO' +p177447 +aS'was\tbe\tVBD\tB-VP\tO' +p177448 +aS'a\ta\tDT\tB-NP\tO' +p177449 +aS'53-year-old\t53-year-old\tJJ\tI-NP\tO' +p177450 +aS'male\tmale\tNN\tI-NP\tO' +p177451 +aS'with\twith\tIN\tB-PP\tO' +p177452 +aS'a\ta\tDT\tB-NP\tO' +p177453 +aS'longstanding\tlongstanding\tJJ\tI-NP\tO' +p177454 +aS'history\thistory\tNN\tI-NP\tO' +p177455 +aS'of\tof\tIN\tB-PP\tO' +p177456 +aS'renal\trenal\tJJ\tB-NP\tO' +p177457 +aS'disease\tdisease\tNN\tI-NP\tO' +p177458 +aS'with\twith\tIN\tB-PP\tO' +p177459 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p177460 +aS'complications\tcomplication\tNNS\tI-NP\tO' +p177461 +aS'and\tand\tCC\tI-NP\tO' +p177462 +aS'problems\tproblem\tNNS\tI-NP\tO' +p177463 +aS'related\trelate\tVBN\tB-VP\tO' +p177464 +aS'to\tto\tTO\tB-PP\tO' +p177465 +aS'vascular\tvascular\tJJ\tB-NP\tO' +p177466 +aS'access\taccess\tNN\tI-NP\tO' +p177467 +aS'and\tand\tCC\tO\tO' +p177468 +aS'hypercoagulable\thypercoagulable\tJJ\tB-NP\tO' +p177469 +aS'state\tstate\tNN\tI-NP\tO' +p177470 +aS'.\t.\t.\tO\tO' +p177471 +asS'Chest clear to auscultation with a few fine crackles at the left base .' +p177472 +(lp177473 +S'Chest\tChest\tRBS\tB-ADJP\tO' +p177474 +aS'clear\tclear\tJJ\tI-ADJP\tO' +p177475 +aS'to\tto\tTO\tB-PP\tO' +p177476 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p177477 +aS'with\twith\tIN\tB-PP\tO' +p177478 +aS'a\ta\tDT\tB-NP\tO' +p177479 +aS'few\tfew\tJJ\tI-NP\tO' +p177480 +aS'fine\tfine\tJJ\tI-NP\tO' +p177481 +aS'crackles\tcrackle\tNNS\tI-NP\tO' +p177482 +aS'at\tat\tIN\tB-PP\tO' +p177483 +aS'the\tthe\tDT\tB-NP\tO' +p177484 +aS'left\tleft\tJJ\tI-NP\tO' +p177485 +aS'base\tbase\tNN\tI-NP\tO' +p177486 +aS'.\t.\t.\tO\tO' +p177487 +asS'5. osteoarthritis ; she is to receive bilateral total knee replacements at some time in the near future ,' +p177488 +(lp177489 +S'5.\t5.\tCD\tB-NP\tO' +p177490 +aS'osteoarthritis\tosteoarthritis\tNN\tI-NP\tO' +p177491 +aS';\t;\t:\tO\tO' +p177492 +aS'she\tshe\tPRP\tB-NP\tO' +p177493 +aS'is\tbe\tVBZ\tB-VP\tO' +p177494 +aS'to\tto\tTO\tI-VP\tO' +p177495 +aS'receive\treceive\tVB\tI-VP\tO' +p177496 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p177497 +aS'total\ttotal\tJJ\tI-NP\tO' +p177498 +aS'knee\tknee\tNN\tI-NP\tO' +p177499 +aS'replacements\treplacement\tNNS\tI-NP\tO' +p177500 +aS'at\tat\tIN\tB-PP\tO' +p177501 +aS'some\tsome\tDT\tB-NP\tO' +p177502 +aS'time\ttime\tNN\tI-NP\tO' +p177503 +aS'in\tin\tIN\tB-PP\tO' +p177504 +aS'the\tthe\tDT\tB-NP\tO' +p177505 +aS'near\tnear\tJJ\tI-NP\tO' +p177506 +aS'future\tfuture\tNN\tI-NP\tO' +p177507 +aS',\t,\t,\tO\tO' +p177508 +asS'The patient was in mild to moderate respiratory distress .' +p177509 +(lp177510 +S'The\tThe\tDT\tB-NP\tO' +p177511 +aS'patient\tpatient\tNN\tI-NP\tO' +p177512 +aS'was\tbe\tVBD\tB-VP\tO' +p177513 +aS'in\tin\tIN\tB-PP\tO' +p177514 +aS'mild\tmild\tJJ\tB-ADJP\tO' +p177515 +aS'to\tto\tTO\tB-PP\tO' +p177516 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p177517 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p177518 +aS'distress\tdistress\tNN\tI-NP\tO' +p177519 +aS'.\t.\t.\tO\tO' +p177520 +asS'However , a lumbar puncture was done , in which tube 1 showed 4800 red blood cells and tube 4 showed 4000 red blood cells .' +p177521 +(lp177522 +S'However\tHowever\tRB\tB-ADVP\tO' +p177523 +aS',\t,\t,\tO\tO' +p177524 +aS'a\ta\tDT\tB-NP\tO' +p177525 +aS'lumbar\tlumbar\tNN\tI-NP\tO' +p177526 +aS'puncture\tpuncture\tNN\tI-NP\tO' +p177527 +aS'was\tbe\tVBD\tB-VP\tO' +p177528 +aS'done\tdo\tVBN\tI-VP\tO' +p177529 +aS',\t,\t,\tO\tO' +p177530 +aS'in\tin\tIN\tB-PP\tO' +p177531 +aS'which\twhich\tWDT\tB-NP\tO' +p177532 +aS'tube\ttube\tNN\tB-NP\tB-cell_type' +p177533 +aS'1\t1\tCD\tI-NP\tI-cell_type' +p177534 +aS'showed\tshow\tVBD\tB-VP\tI-cell_type' +p177535 +aS'4800\t4800\tCD\tB-NP\tI-cell_type' +p177536 +aS'red\tred\tJJ\tI-NP\tI-cell_type' +p177537 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p177538 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p177539 +aS'and\tand\tCC\tO\tO' +p177540 +aS'tube\ttube\tNN\tB-NP\tB-cell_type' +p177541 +aS'4\t4\tCD\tI-NP\tI-cell_type' +p177542 +aS'showed\tshow\tVBD\tB-VP\tI-cell_type' +p177543 +aS'4000\t4000\tCD\tB-NP\tI-cell_type' +p177544 +aS'red\tred\tJJ\tI-NP\tI-cell_type' +p177545 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p177546 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p177547 +aS'.\t.\t.\tO\tO' +p177548 +asS'A second intravenous was started and given normal saline bolus , change in intravenous fluids to D5 water with 80 mEq of bicarbonate , plus 40 mEq of KCL at 45 cc's per hour , bicarbonate given 2 mEq per kilo , attempted to start dopa for poor perfusion but worsening perfusion .' +p177549 +(lp177550 +S'A\tA\tDT\tB-NP\tO' +p177551 +aS'second\tsecond\tJJ\tI-NP\tO' +p177552 +aS'intravenous\tintravenous\tJJ\tI-NP\tO' +p177553 +aS'was\tbe\tVBD\tB-VP\tO' +p177554 +aS'started\tstart\tVBN\tI-VP\tO' +p177555 +aS'and\tand\tCC\tI-VP\tO' +p177556 +aS'given\tgive\tVBN\tI-VP\tO' +p177557 +aS'normal\tnormal\tJJ\tB-NP\tO' +p177558 +aS'saline\tsaline\tNN\tI-NP\tO' +p177559 +aS'bolus\tbolus\tNN\tI-NP\tO' +p177560 +aS',\t,\t,\tO\tO' +p177561 +aS'change\tchange\tNN\tB-NP\tO' +p177562 +aS'in\tin\tIN\tB-PP\tO' +p177563 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p177564 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p177565 +aS'to\tto\tTO\tB-PP\tO' +p177566 +aS'D5\tD5\tNN\tB-NP\tO' +p177567 +aS'water\twater\tNN\tI-NP\tO' +p177568 +aS'with\twith\tIN\tB-PP\tO' +p177569 +aS'80\t80\tCD\tB-NP\tO' +p177570 +aS'mEq\tmEq\tNN\tI-NP\tO' +p177571 +aS'of\tof\tIN\tB-PP\tO' +p177572 +aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' +p177573 +aS',\t,\t,\tO\tO' +p177574 +aS'plus\tplus\tCC\tO\tO' +p177575 +aS'40\t40\tCD\tB-NP\tO' +p177576 +aS'mEq\tmEq\tNN\tI-NP\tO' +p177577 +aS'of\tof\tIN\tB-PP\tO' +p177578 +aS'KCL\tKCL\tNN\tB-NP\tB-protein' +p177579 +aS'at\tat\tIN\tB-PP\tO' +p177580 +aS'45\t45\tCD\tB-NP\tO' +p177581 +aS'cc's\tcc'\tNNS\tI-NP\tO' +p177582 +aS'per\tper\tIN\tB-PP\tO' +p177583 +aS'hour\thour\tNN\tB-NP\tO' +p177584 +aS',\t,\t,\tO\tO' +p177585 +aS'bicarbonate\tbicarbonate\tNN\tB-NP\tB-protein' +p177586 +aS'given\tgive\tVBN\tB-VP\tI-protein' +p177587 +aS'2\t2\tCD\tB-NP\tI-protein' +p177588 +aS'mEq\tmEq\tNN\tI-NP\tI-protein' +p177589 +aS'per\tper\tIN\tB-PP\tI-protein' +p177590 +aS'kilo\tkilo\tNN\tB-NP\tI-protein' +p177591 +aS',\t,\t,\tO\tO' +p177592 +aS'attempted\tattempt\tVBD\tB-VP\tO' +p177593 +aS'to\tto\tTO\tI-VP\tO' +p177594 +aS'start\tstart\tVB\tI-VP\tO' +p177595 +aS'dopa\tdopa\tNN\tB-NP\tO' +p177596 +aS'for\tfor\tIN\tB-PP\tO' +p177597 +aS'poor\tpoor\tJJ\tB-NP\tO' +p177598 +aS'perfusion\tperfusion\tNN\tI-NP\tO' +p177599 +aS'but\tbut\tCC\tO\tO' +p177600 +aS'worsening\tworsen\tVBG\tB-VP\tO' +p177601 +aS'perfusion\tperfusion\tNN\tB-NP\tO' +p177602 +aS'.\t.\t.\tO\tO' +p177603 +asS'Pupils were equal , round , and reactive to light and accommodation .' +p177604 +(lp177605 +S'Pupils\tPupil\tNNS\tB-NP\tO' +p177606 +aS'were\tbe\tVBD\tB-VP\tO' +p177607 +aS'equal\tequal\tJJ\tB-ADJP\tO' +p177608 +aS',\t,\t,\tO\tO' +p177609 +aS'round\tround\tJJ\tB-ADJP\tO' +p177610 +aS',\t,\t,\tO\tO' +p177611 +aS'and\tand\tCC\tO\tO' +p177612 +aS'reactive\treactive\tJJ\tB-ADJP\tO' +p177613 +aS'to\tto\tTO\tB-PP\tO' +p177614 +aS'light\tlight\tNN\tB-NP\tO' +p177615 +aS'and\tand\tCC\tI-NP\tO' +p177616 +aS'accommodation\taccommodation\tNN\tI-NP\tO' +p177617 +aS'.\t.\t.\tO\tO' +p177618 +asS'infl A and B 12-27 : negative' +p177619 +(lp177620 +S'infl\tinfl\tNN\tB-NP\tO' +p177621 +aS'A\tA\tNN\tI-NP\tO' +p177622 +aS'and\tand\tCC\tO\tO' +p177623 +aS'B\tB\tNN\tB-NP\tO' +p177624 +aS'12-27\t12-27\tCD\tI-NP\tO' +p177625 +aS':\t:\t:\tO\tO' +p177626 +aS'negative\tnegative\tJJ\tB-NP\tO' +p177627 +asS'Patient was evaluated by the orthopedic service .' +p177628 +(lp177629 +S'Patient\tPatient\tNN\tB-NP\tO' +p177630 +aS'was\tbe\tVBD\tB-VP\tO' +p177631 +aS'evaluated\tevaluate\tVBN\tI-VP\tO' +p177632 +aS'by\tby\tIN\tB-PP\tO' +p177633 +aS'the\tthe\tDT\tB-NP\tO' +p177634 +aS'orthopedic\torthopedic\tJJ\tI-NP\tO' +p177635 +aS'service\tservice\tNN\tI-NP\tO' +p177636 +aS'.\t.\t.\tO\tO' +p177637 +asS'1-Rhabdomyolysis .' +p177638 +(lp177639 +S'1-Rhabdomyolysis\t1-Rhabdomyolysis\tNN\tB-NP\tO' +p177640 +aS'.\t.\t.\tO\tO' +p177641 +asS'There was a touch an anosognosia .' +p177642 +(lp177643 +S'There\tThere\tEX\tB-NP\tO' +p177644 +aS'was\tbe\tVBD\tB-VP\tO' +p177645 +aS'a\ta\tDT\tB-NP\tO' +p177646 +aS'touch\ttouch\tNN\tI-NP\tO' +p177647 +aS'an\tan\tDT\tB-NP\tO' +p177648 +aS'anosognosia\tanosognosia\tNN\tI-NP\tO' +p177649 +aS'.\t.\t.\tO\tO' +p177650 +asS'Attending : Terry T Trott , M.D.' +p177651 +(lp177652 +S'Attending\tAttend\tVBG\tB-VP\tO' +p177653 +aS':\t:\t:\tO\tO' +p177654 +aS'Terry\tTerry\tNNP\tB-NP\tO' +p177655 +aS'T\tT\tNNP\tI-NP\tO' +p177656 +aS'Trott\tTrott\tNNP\tI-NP\tO' +p177657 +aS',\t,\t,\tO\tO' +p177658 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p177659 +asS'EGD 08/08/01 showed mulitple non-bleeding linear erosions with an irregular circumfrencial ulcer at the GE junction .' +p177660 +(lp177661 +S'EGD\tEGD\tNN\tB-NP\tB-DNA' +p177662 +aS'08/08/01\t08/08/01\tCD\tI-NP\tI-DNA' +p177663 +aS'showed\tshow\tVBD\tB-VP\tO' +p177664 +aS'mulitple\tmulitple\tJJ\tB-NP\tO' +p177665 +aS'non-bleeding\tnon-bleeding\tJJ\tI-NP\tO' +p177666 +aS'linear\tlinear\tJJ\tI-NP\tO' +p177667 +aS'erosions\terosion\tNNS\tI-NP\tO' +p177668 +aS'with\twith\tIN\tB-PP\tO' +p177669 +aS'an\tan\tDT\tB-NP\tO' +p177670 +aS'irregular\tirregular\tJJ\tI-NP\tO' +p177671 +aS'circumfrencial\tcircumfrencial\tJJ\tI-NP\tO' +p177672 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p177673 +aS'at\tat\tIN\tB-PP\tO' +p177674 +aS'the\tthe\tDT\tB-NP\tO' +p177675 +aS'GE\tGE\tNNP\tI-NP\tO' +p177676 +aS'junction\tjunction\tNN\tI-NP\tO' +p177677 +aS'.\t.\t.\tO\tO' +p177678 +asS'EXT : R foot with erythema / swelling ; muscle and tendons exposed , with necrotic edges , some fibrinous exudate' +p177679 +(lp177680 +S'EXT\tEXT\tNN\tB-NP\tO' +p177681 +aS':\t:\t:\tO\tO' +p177682 +aS'R\tR\tNN\tB-NP\tO' +p177683 +aS'foot\tfoot\tNN\tI-NP\tO' +p177684 +aS'with\twith\tIN\tB-PP\tO' +p177685 +aS'erythema\terythema\tNN\tB-NP\tO' +p177686 +aS'/\t/\tSYM\tB-NP\tO' +p177687 +aS'swelling\tswelling\tNN\tI-NP\tO' +p177688 +aS';\t;\t:\tO\tO' +p177689 +aS'muscle\tmuscle\tNN\tB-NP\tO' +p177690 +aS'and\tand\tCC\tI-NP\tO' +p177691 +aS'tendons\ttendon\tNNS\tI-NP\tO' +p177692 +aS'exposed\texpose\tVBN\tB-VP\tO' +p177693 +aS',\t,\t,\tO\tO' +p177694 +aS'with\twith\tIN\tB-PP\tO' +p177695 +aS'necrotic\tnecrotic\tJJ\tB-NP\tO' +p177696 +aS'edges\tedge\tNNS\tI-NP\tO' +p177697 +aS',\t,\t,\tO\tO' +p177698 +aS'some\tsome\tDT\tB-NP\tO' +p177699 +aS'fibrinous\tfibrinous\tJJ\tI-NP\tO' +p177700 +aS'exudate\texudate\tNN\tI-NP\tO' +p177701 +asS'The patient was immediately given 400 mg. of Calcium Chloride i.v. push and ventilator disconnected and the patient manually ventilated .' +p177702 +(lp177703 +S'The\tThe\tDT\tB-NP\tO' +p177704 +aS'patient\tpatient\tNN\tI-NP\tO' +p177705 +aS'was\tbe\tVBD\tB-VP\tO' +p177706 +aS'immediately\timmediately\tRB\tI-VP\tO' +p177707 +aS'given\tgive\tVBN\tI-VP\tO' +p177708 +aS'400\t400\tCD\tB-NP\tO' +p177709 +aS'mg.\tmg.\tNN\tI-NP\tO' +p177710 +aS'of\tof\tIN\tB-PP\tO' +p177711 +aS'Calcium\tCalcium\tNN\tB-NP\tO' +p177712 +aS'Chloride\tChloride\tNN\tI-NP\tO' +p177713 +aS'i.v.\ti.v.\tJJ\tI-NP\tO' +p177714 +aS'push\tpush\tNN\tI-NP\tO' +p177715 +aS'and\tand\tCC\tI-NP\tO' +p177716 +aS'ventilator\tventilator\tNN\tI-NP\tO' +p177717 +aS'disconnected\tdisconnect\tVBN\tB-VP\tO' +p177718 +aS'and\tand\tCC\tO\tO' +p177719 +aS'the\tthe\tDT\tB-NP\tO' +p177720 +aS'patient\tpatient\tNN\tI-NP\tO' +p177721 +aS'manually\tmanually\tRB\tB-VP\tO' +p177722 +aS'ventilated\tventilate\tVBN\tI-VP\tO' +p177723 +aS'.\t.\t.\tO\tO' +p177724 +asS'The throat was clear .' +p177725 +(lp177726 +S'The\tThe\tDT\tB-NP\tO' +p177727 +aS'throat\tthroat\tNN\tI-NP\tO' +p177728 +aS'was\tbe\tVBD\tB-VP\tO' +p177729 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p177730 +aS'.\t.\t.\tO\tO' +p177731 +asS'A chest x-ray was obtained post thoracentesis which revealed a significant decrease in the size of the left pleural effusion .' +p177732 +(lp177733 +S'A\tA\tDT\tB-NP\tO' +p177734 +aS'chest\tchest\tNN\tI-NP\tO' +p177735 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p177736 +aS'was\tbe\tVBD\tB-VP\tO' +p177737 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p177738 +aS'post\tpost\tNN\tB-NP\tO' +p177739 +aS'thoracentesis\tthoracentesis\tNN\tI-NP\tO' +p177740 +aS'which\twhich\tWDT\tB-NP\tO' +p177741 +aS'revealed\treveal\tVBD\tB-VP\tO' +p177742 +aS'a\ta\tDT\tB-NP\tO' +p177743 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p177744 +aS'decrease\tdecrease\tNN\tI-NP\tO' +p177745 +aS'in\tin\tIN\tB-PP\tO' +p177746 +aS'the\tthe\tDT\tB-NP\tO' +p177747 +aS'size\tsize\tNN\tI-NP\tO' +p177748 +aS'of\tof\tIN\tB-PP\tO' +p177749 +aS'the\tthe\tDT\tB-NP\tO' +p177750 +aS'left\tleft\tJJ\tI-NP\tO' +p177751 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p177752 +aS'effusion\teffusion\tNN\tI-NP\tO' +p177753 +aS'.\t.\t.\tO\tO' +p177754 +asS'CP protocol .' +p177755 +(lp177756 +S'CP\tCP\tNN\tB-NP\tO' +p177757 +aS'protocol\tprotocol\tNN\tI-NP\tO' +p177758 +aS'.\t.\t.\tO\tO' +p177759 +asS'1. Atenolol 25 .' +p177760 +(lp177761 +S'1.\t1.\tLS\tB-LST\tO' +p177762 +aS'Atenolol\tAtenolol\tNN\tB-NP\tO' +p177763 +aS'25\t25\tCD\tI-NP\tO' +p177764 +aS'.\t.\t.\tO\tO' +p177765 +asS'Rectal exam was guaiac negative .' +p177766 +(lp177767 +S'Rectal\tRectal\tJJ\tB-NP\tO' +p177768 +aS'exam\texam\tNN\tI-NP\tO' +p177769 +aS'was\tbe\tVBD\tB-VP\tO' +p177770 +aS'guaiac\tguaiac\tNN\tB-NP\tO' +p177771 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p177772 +aS'.\t.\t.\tO\tO' +p177773 +asS'Patient was admitted to CMED CCU with tid Hct check .' +p177774 +(lp177775 +S'Patient\tPatient\tNN\tB-NP\tO' +p177776 +aS'was\tbe\tVBD\tB-VP\tO' +p177777 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p177778 +aS'to\tto\tTO\tB-PP\tO' +p177779 +aS'CMED\tCMED\tVBN\tB-NP\tO' +p177780 +aS'CCU\tCCU\tNN\tI-NP\tO' +p177781 +aS'with\twith\tIN\tB-PP\tO' +p177782 +aS'tid\ttid\tNN\tB-NP\tO' +p177783 +aS'Hct\tHct\tNN\tI-NP\tO' +p177784 +aS'check\tcheck\tNN\tI-NP\tO' +p177785 +aS'.\t.\t.\tO\tO' +p177786 +asS'The patient was admitted for the lap coli with an intraoperative cholangiogram by Dr. Sterp under general anesthesia .' +p177787 +(lp177788 +S'The\tThe\tDT\tB-NP\tO' +p177789 +aS'patient\tpatient\tNN\tI-NP\tO' +p177790 +aS'was\tbe\tVBD\tB-VP\tO' +p177791 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p177792 +aS'for\tfor\tIN\tB-PP\tO' +p177793 +aS'the\tthe\tDT\tB-NP\tO' +p177794 +aS'lap\tlap\tNN\tI-NP\tO' +p177795 +aS'coli\tcoli\tNN\tI-NP\tO' +p177796 +aS'with\twith\tIN\tB-PP\tO' +p177797 +aS'an\tan\tDT\tB-NP\tO' +p177798 +aS'intraoperative\tintraoperative\tJJ\tI-NP\tO' +p177799 +aS'cholangiogram\tcholangiogram\tNN\tI-NP\tO' +p177800 +aS'by\tby\tIN\tB-PP\tO' +p177801 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p177802 +aS'Sterp\tSterp\tNNP\tI-NP\tO' +p177803 +aS'under\tunder\tIN\tB-PP\tO' +p177804 +aS'general\tgeneral\tJJ\tB-NP\tO' +p177805 +aS'anesthesia\tanesthesia\tNN\tI-NP\tO' +p177806 +aS'.\t.\t.\tO\tO' +p177807 +asS'He was returned to the operating room on July 4 .' +p177808 +(lp177809 +S'He\tHe\tPRP\tB-NP\tO' +p177810 +aS'was\tbe\tVBD\tB-VP\tO' +p177811 +aS'returned\treturn\tVBN\tI-VP\tO' +p177812 +aS'to\tto\tTO\tB-PP\tO' +p177813 +aS'the\tthe\tDT\tB-NP\tO' +p177814 +aS'operating\toperating\tNN\tI-NP\tO' +p177815 +aS'room\troom\tNN\tI-NP\tO' +p177816 +aS'on\ton\tIN\tB-PP\tO' +p177817 +aS'July\tJuly\tNNP\tB-NP\tB-protein' +p177818 +aS'4\t4\tCD\tI-NP\tI-protein' +p177819 +aS'.\t.\t.\tO\tO' +p177820 +asS'Her cervical spine was cleared .' +p177821 +(lp177822 +S'Her\tHer\tPRP$\tB-NP\tO' +p177823 +aS'cervical\tcervical\tJJ\tI-NP\tO' +p177824 +aS'spine\tspine\tNN\tI-NP\tO' +p177825 +aS'was\tbe\tVBD\tB-VP\tO' +p177826 +aS'cleared\tclear\tVBN\tI-VP\tO' +p177827 +aS'.\t.\t.\tO\tO' +p177828 +asS'Community-acquired pneumonia .' +p177829 +(lp177830 +S'Community-acquired\tCommunity-acquired\tJJ\tB-NP\tO' +p177831 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p177832 +aS'.\t.\t.\tO\tO' +p177833 +asS'The patient underwent a left colectomy with end transverse colostomy , and oversewing of the descending colon .' +p177834 +(lp177835 +S'The\tThe\tDT\tB-NP\tO' +p177836 +aS'patient\tpatient\tNN\tI-NP\tO' +p177837 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p177838 +aS'a\ta\tDT\tB-NP\tO' +p177839 +aS'left\tleft\tJJ\tI-NP\tO' +p177840 +aS'colectomy\tcolectomy\tNN\tI-NP\tO' +p177841 +aS'with\twith\tIN\tB-PP\tO' +p177842 +aS'end\tend\tNN\tB-NP\tO' +p177843 +aS'transverse\ttransverse\tJJ\tI-NP\tO' +p177844 +aS'colostomy\tcolostomy\tNN\tI-NP\tO' +p177845 +aS',\t,\t,\tO\tO' +p177846 +aS'and\tand\tCC\tO\tO' +p177847 +aS'oversewing\toversew\tVBG\tB-VP\tO' +p177848 +aS'of\tof\tIN\tB-PP\tO' +p177849 +aS'the\tthe\tDT\tB-NP\tO' +p177850 +aS'descending\tdescend\tVBG\tI-NP\tO' +p177851 +aS'colon\tcolon\tNN\tI-NP\tO' +p177852 +aS'.\t.\t.\tO\tO' +p177853 +asS'On admission vital signs were temperature 100.1 , heart rate 83 and sinus rhythm , blood pressure 108/50 , respiratory rate 25 , oxygen saturation 97% on three liters .' +p177854 +(lp177855 +S'On\tOn\tIN\tB-PP\tO' +p177856 +aS'admission\tadmission\tNN\tB-NP\tO' +p177857 +aS'vital\tvital\tJJ\tI-NP\tO' +p177858 +aS'signs\tsign\tNNS\tI-NP\tO' +p177859 +aS'were\tbe\tVBD\tB-VP\tO' +p177860 +aS'temperature\ttemperature\tNN\tB-NP\tO' +p177861 +aS'100.1\t100.1\tCD\tI-NP\tO' +p177862 +aS',\t,\t,\tO\tO' +p177863 +aS'heart\theart\tNN\tB-NP\tO' +p177864 +aS'rate\trate\tNN\tI-NP\tO' +p177865 +aS'83\t83\tCD\tB-NP\tO' +p177866 +aS'and\tand\tCC\tI-NP\tO' +p177867 +aS'sinus\tsinus\tNN\tI-NP\tO' +p177868 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p177869 +aS',\t,\t,\tO\tO' +p177870 +aS'blood\tblood\tNN\tB-NP\tO' +p177871 +aS'pressure\tpressure\tNN\tI-NP\tO' +p177872 +aS'108/50\t108/50\tCD\tI-NP\tO' +p177873 +aS',\t,\t,\tO\tO' +p177874 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p177875 +aS'rate\trate\tNN\tI-NP\tO' +p177876 +aS'25\t25\tCD\tI-NP\tO' +p177877 +aS',\t,\t,\tO\tO' +p177878 +aS'oxygen\toxygen\tNN\tB-NP\tO' +p177879 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p177880 +aS'97%\t97%\tCD\tI-NP\tO' +p177881 +aS'on\ton\tIN\tB-PP\tO' +p177882 +aS'three\tthree\tCD\tB-NP\tO' +p177883 +aS'liters\tliter\tNNS\tI-NP\tO' +p177884 +aS'.\t.\t.\tO\tO' +p177885 +asS'Married and lives with his wife in Forda Minsas Ve , Wyoming .' +p177886 +(lp177887 +S'Married\tMarry\tVBN\tB-VP\tO' +p177888 +aS'and\tand\tCC\tO\tO' +p177889 +aS'lives\tlive\tVBZ\tB-VP\tO' +p177890 +aS'with\twith\tIN\tB-PP\tO' +p177891 +aS'his\this\tPRP$\tB-NP\tO' +p177892 +aS'wife\twife\tNN\tI-NP\tO' +p177893 +aS'in\tin\tIN\tB-PP\tO' +p177894 +aS'Forda\tForda\tNNP\tB-NP\tO' +p177895 +aS'Minsas\tMinsas\tNNP\tI-NP\tO' +p177896 +aS'Ve\tVe\tNNP\tI-NP\tO' +p177897 +aS',\t,\t,\tO\tO' +p177898 +aS'Wyoming\tWyoming\tNNP\tB-NP\tO' +p177899 +aS'.\t.\t.\tO\tO' +p177900 +asS'6. Prozac 20 mg Capsule Sig : One ( 1 ) Capsule PO once a day .' +p177901 +(lp177902 +S'6.\t6.\tCD\tB-NP\tO' +p177903 +aS'Prozac\tProzac\tNN\tI-NP\tO' +p177904 +aS'20\t20\tCD\tB-NP\tO' +p177905 +aS'mg\tmg\tNN\tI-NP\tO' +p177906 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p177907 +aS'Sig\tSig\tNNP\tI-NP\tO' +p177908 +aS':\t:\t:\tO\tO' +p177909 +aS'One\tOne\tCD\tB-NP\tO' +p177910 +aS'(\t(\t(\tO\tO' +p177911 +aS'1\t1\tCD\tB-NP\tO' +p177912 +aS')\t)\t)\tO\tO' +p177913 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p177914 +aS'PO\tPO\tNNP\tI-NP\tO' +p177915 +aS'once\tonce\tRB\tB-ADVP\tO' +p177916 +aS'a\ta\tDT\tB-NP\tO' +p177917 +aS'day\tday\tNN\tI-NP\tO' +p177918 +aS'.\t.\t.\tO\tO' +p177919 +asS'He was followed by the CMED CSRU Service and was started on IV Decadron initially in addition to IV Unasyn , which he tolerated well .' +p177920 +(lp177921 +S'He\tHe\tPRP\tB-NP\tO' +p177922 +aS'was\tbe\tVBD\tB-VP\tO' +p177923 +aS'followed\tfollow\tVBN\tI-VP\tO' +p177924 +aS'by\tby\tIN\tB-PP\tO' +p177925 +aS'the\tthe\tDT\tB-NP\tO' +p177926 +aS'CMED\tCMED\tNNP\tI-NP\tO' +p177927 +aS'CSRU\tCSRU\tNNP\tI-NP\tO' +p177928 +aS'Service\tService\tNNP\tI-NP\tO' +p177929 +aS'and\tand\tCC\tO\tO' +p177930 +aS'was\tbe\tVBD\tB-VP\tO' +p177931 +aS'started\tstart\tVBN\tI-VP\tO' +p177932 +aS'on\ton\tIN\tB-PP\tO' +p177933 +aS'IV\tIV\tNNP\tB-NP\tO' +p177934 +aS'Decadron\tDecadron\tNNP\tI-NP\tO' +p177935 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p177936 +aS'in\tin\tIN\tB-PP\tO' +p177937 +aS'addition\taddition\tNN\tB-NP\tO' +p177938 +aS'to\tto\tTO\tB-PP\tO' +p177939 +aS'IV\tIV\tCD\tB-NP\tO' +p177940 +aS'Unasyn\tUnasyn\tNN\tI-NP\tO' +p177941 +aS',\t,\t,\tO\tO' +p177942 +aS'which\twhich\tWDT\tB-NP\tO' +p177943 +aS'he\the\tPRP\tB-NP\tO' +p177944 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p177945 +aS'well\twell\tRB\tB-ADVP\tO' +p177946 +aS'.\t.\t.\tO\tO' +p177947 +asS'Blood typing has been done on this infant .' +p177948 +(lp177949 +S'Blood\tBlood\tNN\tB-NP\tO' +p177950 +aS'typing\ttyping\tNN\tI-NP\tO' +p177951 +aS'has\thave\tVBZ\tB-VP\tO' +p177952 +aS'been\tbe\tVBN\tI-VP\tO' +p177953 +aS'done\tdo\tVBN\tI-VP\tO' +p177954 +aS'on\ton\tIN\tB-PP\tO' +p177955 +aS'this\tthis\tDT\tB-NP\tO' +p177956 +aS'infant\tinfant\tNN\tI-NP\tO' +p177957 +aS'.\t.\t.\tO\tO' +p177958 +asS'The abdominal examination was within normal limits .' +p177959 +(lp177960 +S'The\tThe\tDT\tB-NP\tO' +p177961 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p177962 +aS'examination\texamination\tNN\tI-NP\tO' +p177963 +aS'was\tbe\tVBD\tB-VP\tO' +p177964 +aS'within\twithin\tIN\tB-PP\tO' +p177965 +aS'normal\tnormal\tJJ\tB-NP\tO' +p177966 +aS'limits\tlimit\tNNS\tI-NP\tO' +p177967 +aS'.\t.\t.\tO\tO' +p177968 +asS'The patient had an echocardiogram on 2013-04-26 , which showed a normal ejection fraction and trivial mitral regurgitation ; otherwise no obvious abnormalities were seen .' +p177969 +(lp177970 +S'The\tThe\tDT\tB-NP\tO' +p177971 +aS'patient\tpatient\tNN\tI-NP\tO' +p177972 +aS'had\thave\tVBD\tB-VP\tO' +p177973 +aS'an\tan\tDT\tB-NP\tO' +p177974 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p177975 +aS'on\ton\tIN\tB-PP\tO' +p177976 +aS'2013-04-26\t2013-04-26\tCD\tB-NP\tO' +p177977 +aS',\t,\t,\tO\tO' +p177978 +aS'which\twhich\tWDT\tB-NP\tO' +p177979 +aS'showed\tshow\tVBD\tB-VP\tO' +p177980 +aS'a\ta\tDT\tB-NP\tO' +p177981 +aS'normal\tnormal\tJJ\tI-NP\tO' +p177982 +aS'ejection\tejection\tNN\tI-NP\tO' +p177983 +aS'fraction\tfraction\tNN\tI-NP\tO' +p177984 +aS'and\tand\tCC\tO\tO' +p177985 +aS'trivial\ttrivial\tJJ\tB-NP\tO' +p177986 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p177987 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p177988 +aS';\t;\t:\tO\tO' +p177989 +aS'otherwise\totherwise\tRB\tB-NP\tO' +p177990 +aS'no\tno\tDT\tI-NP\tO' +p177991 +aS'obvious\tobvious\tJJ\tI-NP\tO' +p177992 +aS'abnormalities\tabnormality\tNNS\tI-NP\tO' +p177993 +aS'were\tbe\tVBD\tB-VP\tO' +p177994 +aS'seen\tsee\tVBN\tI-VP\tO' +p177995 +aS'.\t.\t.\tO\tO' +p177996 +asS'The right lower extremity was positive for abrasions .' +p177997 +(lp177998 +S'The\tThe\tDT\tB-NP\tO' +p177999 +aS'right\tright\tJJ\tI-NP\tO' +p178000 +aS'lower\tlow\tJJR\tI-NP\tO' +p178001 +aS'extremity\textremity\tNN\tI-NP\tO' +p178002 +aS'was\tbe\tVBD\tB-VP\tO' +p178003 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p178004 +aS'for\tfor\tIN\tB-PP\tO' +p178005 +aS'abrasions\tabrasion\tNNS\tB-NP\tO' +p178006 +aS'.\t.\t.\tO\tO' +p178007 +asS'8. Right bundle branch block .' +p178008 +(lp178009 +S'8.\t8.\tLS\tB-NP\tO' +p178010 +aS'Right\tRight\tNN\tI-NP\tO' +p178011 +aS'bundle\tbundle\tNN\tI-NP\tO' +p178012 +aS'branch\tbranch\tNN\tI-NP\tO' +p178013 +aS'block\tblock\tNN\tI-NP\tO' +p178014 +aS'.\t.\t.\tO\tO' +p178015 +asS'Pupils equal , round and reactive to light , extraocular movements intact , anicteric , not injected .' +p178016 +(lp178017 +S'Pupils\tPupil\tNNS\tB-NP\tO' +p178018 +aS'equal\tequal\tJJ\tI-NP\tO' +p178019 +aS',\t,\t,\tI-NP\tO' +p178020 +aS'round\tround\tJJ\tI-NP\tO' +p178021 +aS'and\tand\tCC\tI-NP\tO' +p178022 +aS'reactive\treactive\tJJ\tI-NP\tO' +p178023 +aS'to\tto\tTO\tB-PP\tO' +p178024 +aS'light\tlight\tJJ\tB-NP\tO' +p178025 +aS',\t,\t,\tI-NP\tO' +p178026 +aS'extraocular\textraocular\tJJ\tI-NP\tO' +p178027 +aS'movements\tmovement\tNNS\tI-NP\tO' +p178028 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p178029 +aS',\t,\t,\tO\tO' +p178030 +aS'anicteric\tanicteric\tJJ\tB-ADJP\tO' +p178031 +aS',\t,\t,\tO\tO' +p178032 +aS'not\tnot\tRB\tB-VP\tO' +p178033 +aS'injected\tinject\tVBN\tI-VP\tO' +p178034 +aS'.\t.\t.\tO\tO' +p178035 +asS'The patient was transferred to the medicine service at the Retelk County Medical Center and underwent cardiac catheterization which was negative for disease .' +p178036 +(lp178037 +S'The\tThe\tDT\tB-NP\tO' +p178038 +aS'patient\tpatient\tNN\tI-NP\tO' +p178039 +aS'was\tbe\tVBD\tB-VP\tO' +p178040 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p178041 +aS'to\tto\tTO\tB-PP\tO' +p178042 +aS'the\tthe\tDT\tB-NP\tO' +p178043 +aS'medicine\tmedicine\tNN\tI-NP\tO' +p178044 +aS'service\tservice\tNN\tI-NP\tO' +p178045 +aS'at\tat\tIN\tB-PP\tO' +p178046 +aS'the\tthe\tDT\tB-NP\tO' +p178047 +aS'Retelk\tRetelk\tNNP\tI-NP\tO' +p178048 +aS'County\tCounty\tNNP\tI-NP\tO' +p178049 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p178050 +aS'Center\tCenter\tNNP\tI-NP\tO' +p178051 +aS'and\tand\tCC\tO\tO' +p178052 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p178053 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p178054 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p178055 +aS'which\twhich\tWDT\tB-NP\tO' +p178056 +aS'was\tbe\tVBD\tB-VP\tO' +p178057 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p178058 +aS'for\tfor\tIN\tB-PP\tO' +p178059 +aS'disease\tdisease\tNN\tB-NP\tO' +p178060 +aS'.\t.\t.\tO\tO' +p178061 +asS'There is no significant prevertebral soft tissue swelling .' +p178062 +(lp178063 +S'There\tThere\tEX\tB-NP\tO' +p178064 +aS'is\tbe\tVBZ\tB-VP\tO' +p178065 +aS'no\tno\tDT\tB-NP\tO' +p178066 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p178067 +aS'prevertebral\tprevertebral\tJJ\tI-NP\tO' +p178068 +aS'soft\tsoft\tJJ\tI-NP\tO' +p178069 +aS'tissue\ttissue\tNN\tI-NP\tO' +p178070 +aS'swelling\tswelling\tNN\tI-NP\tO' +p178071 +aS'.\t.\t.\tO\tO' +p178072 +asS'5. Metoprolol Tartrate 25 mg Tablet Sig : One ( 1 ) Tablet PO TID ( 3 times a day ).' +p178073 +(lp178074 +S'5.\t5.\tLS\tB-NP\tO' +p178075 +aS'Metoprolol\tMetoprolol\tNN\tI-NP\tO' +p178076 +aS'Tartrate\tTartrate\tNN\tI-NP\tO' +p178077 +aS'25\t25\tCD\tI-NP\tO' +p178078 +aS'mg\tmg\tNN\tI-NP\tO' +p178079 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p178080 +aS'Sig\tSig\tNNP\tI-NP\tO' +p178081 +aS':\t:\t:\tO\tO' +p178082 +aS'One\tOne\tCD\tB-NP\tO' +p178083 +aS'(\t(\t(\tO\tO' +p178084 +aS'1\t1\tCD\tB-NP\tO' +p178085 +aS')\t)\t)\tO\tO' +p178086 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p178087 +aS'PO\tPO\tNN\tI-NP\tO' +p178088 +aS'TID\tTID\tNN\tI-NP\tO' +p178089 +aS'(\t(\t(\tO\tO' +p178090 +aS'3\t3\tCD\tB-NP\tO' +p178091 +aS'times\ttime\tNNS\tI-NP\tO' +p178092 +aS'a\ta\tDT\tB-NP\tO' +p178093 +aS'day\tday\tNN\tI-NP\tO' +p178094 +aS').\t).\t.\tO\tO' +p178095 +asS'Abdomen was soft , non-tender , bowel sounds present .' +p178096 +(lp178097 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p178098 +aS'was\tbe\tVBD\tB-VP\tO' +p178099 +aS'soft\tsoft\tJJ\tB-NP\tO' +p178100 +aS',\t,\t,\tI-NP\tO' +p178101 +aS'non-tender\tnon-tender\tJJ\tI-NP\tO' +p178102 +aS',\t,\t,\tI-NP\tO' +p178103 +aS'bowel\tbowel\tNN\tI-NP\tO' +p178104 +aS'sounds\tsound\tVBZ\tB-VP\tO' +p178105 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p178106 +aS'.\t.\t.\tO\tO' +p178107 +asS'Rectal examination was guaiac-negative .' +p178108 +(lp178109 +S'Rectal\tRectal\tJJ\tB-NP\tO' +p178110 +aS'examination\texamination\tNN\tI-NP\tO' +p178111 +aS'was\tbe\tVBD\tB-VP\tO' +p178112 +aS'guaiac-negative\tguaiac-negative\tJJ\tB-ADJP\tO' +p178113 +aS'.\t.\t.\tO\tO' +p178114 +asS'Temperature maximum 99.8 F. ; pulse 76 and sinus rhythm ; blood pressure 107/61 ; respiratory rate 18 ; room air oxygen saturation 95% .' +p178115 +(lp178116 +S'Temperature\tTemperature\tNN\tB-NP\tO' +p178117 +aS'maximum\tmaximum\tNN\tI-NP\tO' +p178118 +aS'99.8\t99.8\tCD\tI-NP\tO' +p178119 +aS'F.\tF.\tNNP\tI-NP\tO' +p178120 +aS';\t;\t:\tO\tO' +p178121 +aS'pulse\tpulse\tNN\tB-NP\tO' +p178122 +aS'76\t76\tCD\tI-NP\tO' +p178123 +aS'and\tand\tCC\tO\tO' +p178124 +aS'sinus\tsinus\tNN\tB-NP\tO' +p178125 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p178126 +aS';\t;\t:\tO\tO' +p178127 +aS'blood\tblood\tNN\tB-NP\tO' +p178128 +aS'pressure\tpressure\tNN\tI-NP\tO' +p178129 +aS'107/61\t107/61\tCD\tI-NP\tO' +p178130 +aS';\t;\t:\tO\tO' +p178131 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p178132 +aS'rate\trate\tNN\tI-NP\tO' +p178133 +aS'18\t18\tCD\tI-NP\tO' +p178134 +aS';\t;\t:\tO\tO' +p178135 +aS'room\troom\tNN\tB-NP\tO' +p178136 +aS'air\tair\tNN\tI-NP\tO' +p178137 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p178138 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p178139 +aS'95%\t95%\tCD\tI-NP\tO' +p178140 +aS'.\t.\t.\tO\tO' +p178141 +asS'5. Pantoprazole 40 mg Tablet , Delayed Release ( E.C. ) Sig : One ( 1 ) Tablet , Delayed Release ( E.C. ) PO Q24H ( every 24 hours ) .' +p178142 +(lp178143 +S'5.\t5.\tLS\tB-NP\tO' +p178144 +aS'Pantoprazole\tPantoprazole\tNN\tI-NP\tO' +p178145 +aS'40\t40\tCD\tI-NP\tO' +p178146 +aS'mg\tmg\tNN\tI-NP\tO' +p178147 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p178148 +aS',\t,\t,\tO\tO' +p178149 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p178150 +aS'Release\tRelease\tNNP\tI-NP\tO' +p178151 +aS'(\t(\t(\tO\tO' +p178152 +aS'E.C.\tE.C.\tNNP\tB-NP\tO' +p178153 +aS')\t)\t)\tO\tO' +p178154 +aS'Sig\tSig\tNNP\tB-NP\tO' +p178155 +aS':\t:\t:\tO\tO' +p178156 +aS'One\tOne\tCD\tB-NP\tO' +p178157 +aS'(\t(\t(\tO\tO' +p178158 +aS'1\t1\tCD\tB-NP\tO' +p178159 +aS')\t)\t)\tO\tO' +p178160 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p178161 +aS',\t,\t,\tO\tO' +p178162 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p178163 +aS'Release\tRelease\tNNP\tI-NP\tO' +p178164 +aS'(\t(\t(\tO\tO' +p178165 +aS'E.C.\tE.C.\tNNP\tO\tO' +p178166 +aS')\t)\t)\tO\tO' +p178167 +aS'PO\tPO\tNN\tB-NP\tO' +p178168 +aS'Q24H\tQ24H\tNN\tI-NP\tO' +p178169 +aS'(\t(\t(\tO\tO' +p178170 +aS'every\tevery\tDT\tB-NP\tO' +p178171 +aS'24\t24\tCD\tI-NP\tO' +p178172 +aS'hours\thour\tNNS\tI-NP\tO' +p178173 +aS')\t)\t)\tO\tO' +p178174 +aS'.\t.\t.\tO\tO' +p178175 +asS'Gastroenteritis is possible but she has no vomiting and only occ nausea with meds .' +p178176 +(lp178177 +S'Gastroenteritis\tGastroenteritis\tNN\tB-NP\tO' +p178178 +aS'is\tbe\tVBZ\tB-VP\tO' +p178179 +aS'possible\tpossible\tJJ\tB-ADJP\tO' +p178180 +aS'but\tbut\tCC\tO\tO' +p178181 +aS'she\tshe\tPRP\tB-NP\tO' +p178182 +aS'has\thave\tVBZ\tB-VP\tO' +p178183 +aS'no\tno\tDT\tB-NP\tO' +p178184 +aS'vomiting\tvomiting\tNN\tI-NP\tO' +p178185 +aS'and\tand\tCC\tO\tO' +p178186 +aS'only\tonly\tRB\tB-NP\tO' +p178187 +aS'occ\tocc\tNN\tI-NP\tO' +p178188 +aS'nausea\tnausea\tNN\tI-NP\tO' +p178189 +aS'with\twith\tIN\tB-PP\tO' +p178190 +aS'meds\tmed\tNNS\tB-NP\tO' +p178191 +aS'.\t.\t.\tO\tO' +p178192 +asS'In addition Dr. Blincarour from Radiation Oncology saw the patient and recommended pelvic radiation therapy .' +p178193 +(lp178194 +S'In\tIn\tIN\tB-PP\tO' +p178195 +aS'addition\taddition\tNN\tB-NP\tO' +p178196 +aS'Dr.\tDr.\tNNP\tI-NP\tO' +p178197 +aS'Blincarour\tBlincarour\tNNP\tI-NP\tO' +p178198 +aS'from\tfrom\tIN\tB-PP\tO' +p178199 +aS'Radiation\tRadiation\tNNP\tB-NP\tO' +p178200 +aS'Oncology\tOncology\tNNP\tI-NP\tO' +p178201 +aS'saw\tsee\tVBD\tB-VP\tO' +p178202 +aS'the\tthe\tDT\tB-NP\tO' +p178203 +aS'patient\tpatient\tNN\tI-NP\tO' +p178204 +aS'and\tand\tCC\tO\tO' +p178205 +aS'recommended\trecommend\tVBD\tB-VP\tO' +p178206 +aS'pelvic\tpelvic\tJJ\tB-NP\tO' +p178207 +aS'radiation\tradiation\tNN\tI-NP\tO' +p178208 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p178209 +aS'.\t.\t.\tO\tO' +p178210 +asS'Her past medical history is remarkable for a history of Parkinson 's disease .' +p178211 +(lp178212 +S'Her\tHer\tPRP$\tB-NP\tO' +p178213 +aS'past\tpast\tJJ\tI-NP\tO' +p178214 +aS'medical\tmedical\tJJ\tI-NP\tO' +p178215 +aS'history\thistory\tNN\tI-NP\tO' +p178216 +aS'is\tbe\tVBZ\tB-VP\tO' +p178217 +aS'remarkable\tremarkable\tJJ\tB-ADJP\tO' +p178218 +aS'for\tfor\tIN\tB-PP\tO' +p178219 +aS'a\ta\tDT\tB-NP\tO' +p178220 +aS'history\thistory\tNN\tI-NP\tO' +p178221 +aS'of\tof\tIN\tB-PP\tO' +p178222 +aS'Parkinson\tParkinson\tNNP\tB-NP\tO' +p178223 +aS''s\t'\tNNS\tI-NP\tO' +p178224 +aS'disease\tdisease\tNN\tI-NP\tO' +p178225 +aS'.\t.\t.\tO\tO' +p178226 +asS'Not done , taken to OR direct from ambulance transfer .' +p178227 +(lp178228 +S'Not\tNot\tRB\tB-ADJP\tO' +p178229 +aS'done\tdo\tVBN\tI-ADJP\tO' +p178230 +aS',\t,\t,\tO\tO' +p178231 +aS'taken\ttake\tVBN\tB-VP\tO' +p178232 +aS'to\tto\tTO\tB-PP\tO' +p178233 +aS'OR\tOR\tNN\tB-NP\tO' +p178234 +aS'direct\tdirect\tJJ\tB-ADJP\tO' +p178235 +aS'from\tfrom\tIN\tB-PP\tO' +p178236 +aS'ambulance\tambulance\tNN\tB-NP\tO' +p178237 +aS'transfer\ttransfer\tNN\tI-NP\tO' +p178238 +aS'.\t.\t.\tO\tO' +p178239 +asS'The vital signs were blood pressure 155/82 , pulse 88 , temperature 96.0.' +p178240 +(lp178241 +S'The\tThe\tDT\tB-NP\tO' +p178242 +aS'vital\tvital\tJJ\tI-NP\tO' +p178243 +aS'signs\tsign\tNNS\tI-NP\tO' +p178244 +aS'were\tbe\tVBD\tB-VP\tO' +p178245 +aS'blood\tblood\tNN\tB-NP\tO' +p178246 +aS'pressure\tpressure\tNN\tI-NP\tO' +p178247 +aS'155/82\t155/82\tCD\tI-NP\tO' +p178248 +aS',\t,\t,\tO\tO' +p178249 +aS'pulse\tpulse\tNN\tB-NP\tO' +p178250 +aS'88\t88\tCD\tI-NP\tO' +p178251 +aS',\t,\t,\tO\tO' +p178252 +aS'temperature\ttemperature\tNN\tB-NP\tO' +p178253 +aS'96.0.\t96.0.\tCD\tI-NP\tO' +p178254 +asS'Mets to spine , femur .' +p178255 +(lp178256 +S'Mets\tMet\tNNS\tB-NP\tO' +p178257 +aS'to\tto\tTO\tB-PP\tO' +p178258 +aS'spine\tspine\tNN\tB-NP\tO' +p178259 +aS',\t,\t,\tO\tO' +p178260 +aS'femur\tfemur\tNN\tB-NP\tO' +p178261 +aS'.\t.\t.\tO\tO' +p178262 +asS'Epistaxis .' +p178263 +(lp178264 +S'Epistaxis\tEpistaxis\tNNP\tB-NP\tO' +p178265 +aS'.\t.\t.\tO\tO' +p178266 +asS'On 1/14/96 , she had a dialysis catheter .' +p178267 +(lp178268 +S'On\tOn\tIN\tB-PP\tO' +p178269 +aS'1/14/96\t1/14/96\tCD\tB-NP\tO' +p178270 +aS',\t,\t,\tO\tO' +p178271 +aS'she\tshe\tPRP\tB-NP\tO' +p178272 +aS'had\thave\tVBD\tB-VP\tO' +p178273 +aS'a\ta\tDT\tB-NP\tO' +p178274 +aS'dialysis\tdialysis\tNN\tI-NP\tO' +p178275 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p178276 +aS'.\t.\t.\tO\tO' +p178277 +asS'During this period he had also been weaned off of his Digoxin starting early in February .' +p178278 +(lp178279 +S'During\tDuring\tIN\tB-PP\tO' +p178280 +aS'this\tthis\tDT\tB-NP\tO' +p178281 +aS'period\tperiod\tNN\tI-NP\tO' +p178282 +aS'he\the\tPRP\tB-NP\tO' +p178283 +aS'had\thave\tVBD\tB-VP\tO' +p178284 +aS'also\talso\tRB\tI-VP\tO' +p178285 +aS'been\tbe\tVBN\tI-VP\tO' +p178286 +aS'weaned\twean\tVBN\tI-VP\tO' +p178287 +aS'off\toff\tRP\tB-PRT\tO' +p178288 +aS'of\tof\tIN\tB-PP\tO' +p178289 +aS'his\this\tPRP$\tB-NP\tO' +p178290 +aS'Digoxin\tDigoxin\tNN\tI-NP\tO' +p178291 +aS'starting\tstart\tVBG\tB-VP\tO' +p178292 +aS'early\tearly\tRB\tB-ADVP\tO' +p178293 +aS'in\tin\tIN\tB-PP\tO' +p178294 +aS'February\tFebruary\tNNP\tB-NP\tO' +p178295 +aS'.\t.\t.\tO\tO' +p178296 +asS'After that , he was pain-free .' +p178297 +(lp178298 +S'After\tAfter\tIN\tB-PP\tO' +p178299 +aS'that\tthat\tDT\tB-NP\tO' +p178300 +aS',\t,\t,\tO\tO' +p178301 +aS'he\the\tPRP\tB-NP\tO' +p178302 +aS'was\tbe\tVBD\tB-VP\tO' +p178303 +aS'pain-free\tpain-free\tJJ\tB-ADJP\tO' +p178304 +aS'.\t.\t.\tO\tO' +p178305 +asS'e. a school age sibling .' +p178306 +(lp178307 +S'e.\te.\tLS\tB-LST\tO' +p178308 +aS'a\ta\tDT\tB-NP\tO' +p178309 +aS'school\tschool\tNN\tI-NP\tO' +p178310 +aS'age\tage\tNN\tI-NP\tO' +p178311 +aS'sibling\tsibling\tNN\tI-NP\tO' +p178312 +aS'.\t.\t.\tO\tO' +p178313 +asS'Recurrent transverse myelitis with sequelae of paraplegia-exacerbation in 93 Recurrent bilateral optic neuritis with legal' +p178314 +(lp178315 +S'Recurrent\tRecurrent\tJJ\tB-NP\tO' +p178316 +aS'transverse\ttransverse\tJJ\tI-NP\tO' +p178317 +aS'myelitis\tmyelitis\tNN\tI-NP\tO' +p178318 +aS'with\twith\tIN\tB-PP\tO' +p178319 +aS'sequelae\tsequela\tNNS\tB-NP\tO' +p178320 +aS'of\tof\tIN\tB-PP\tO' +p178321 +aS'paraplegia-exacerbation\tparaplegia-exacerbation\tNN\tB-NP\tO' +p178322 +aS'in\tin\tIN\tB-PP\tO' +p178323 +aS'93\t93\tCD\tB-NP\tO' +p178324 +aS'Recurrent\tRecurrent\tJJ\tI-NP\tO' +p178325 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p178326 +aS'optic\toptic\tJJ\tI-NP\tO' +p178327 +aS'neuritis\tneuritis\tNN\tI-NP\tO' +p178328 +aS'with\twith\tIN\tB-PP\tO' +p178329 +aS'legal\tlegal\tJJ\tB-NP\tO' +p178330 +asS'Firmert Hospital 11/6 at 9am scheduled , Cialneinsisters Hospital And Medical Center 11/16 at 8:15pm scheduled , Dr. Condnort 12/04 at 2pm scheduled , Dr. Lila Spielbjaque 12/01 at 1:50pm scheduled , No Known Allergies' +p178331 +(lp178332 +S'Firmert\tFirmert\tNNP\tB-NP\tO' +p178333 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p178334 +aS'11/6\t11/6\tCD\tI-NP\tO' +p178335 +aS'at\tat\tIN\tB-PP\tO' +p178336 +aS'9am\t9am\tCD\tB-NP\tO' +p178337 +aS'scheduled\tschedule\tVBN\tB-VP\tO' +p178338 +aS',\t,\t,\tO\tO' +p178339 +aS'Cialneinsisters\tCialneinsisters\tNNP\tB-NP\tO' +p178340 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p178341 +aS'And\tAnd\tNNP\tI-NP\tO' +p178342 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p178343 +aS'Center\tCenter\tNNP\tI-NP\tO' +p178344 +aS'11/16\t11/16\tCD\tI-NP\tO' +p178345 +aS'at\tat\tIN\tB-PP\tO' +p178346 +aS'8:15pm\t8:15pm\tCD\tB-NP\tO' +p178347 +aS'scheduled\tschedule\tVBN\tB-VP\tO' +p178348 +aS',\t,\t,\tO\tO' +p178349 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p178350 +aS'Condnort\tCondnort\tNNP\tI-NP\tO' +p178351 +aS'12/04\t12/04\tCD\tI-NP\tO' +p178352 +aS'at\tat\tIN\tB-PP\tO' +p178353 +aS'2pm\t2pm\tNN\tB-NP\tO' +p178354 +aS'scheduled\tschedule\tVBN\tB-VP\tO' +p178355 +aS',\t,\t,\tO\tO' +p178356 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p178357 +aS'Lila\tLila\tNNP\tI-NP\tO' +p178358 +aS'Spielbjaque\tSpielbjaque\tNNP\tI-NP\tO' +p178359 +aS'12/01\t12/01\tCD\tI-NP\tO' +p178360 +aS'at\tat\tIN\tB-PP\tO' +p178361 +aS'1:50pm\t1:50pm\tNN\tB-NP\tO' +p178362 +aS'scheduled\tschedule\tVBN\tB-VP\tO' +p178363 +aS',\t,\t,\tO\tO' +p178364 +aS'No\tNo\tNNP\tB-NP\tO' +p178365 +aS'Known\tKnown\tNNP\tI-NP\tO' +p178366 +aS'Allergies\tAllergies\tNNP\tI-NP\tO' +p178367 +asS'Extremities were pink and well perfused .' +p178368 +(lp178369 +S'Extremities\tExtremity\tNNS\tB-NP\tO' +p178370 +aS'were\tbe\tVBD\tB-VP\tO' +p178371 +aS'pink\tpink\tJJ\tB-ADJP\tO' +p178372 +aS'and\tand\tCC\tO\tO' +p178373 +aS'well\twell\tRB\tB-ADJP\tO' +p178374 +aS'perfused\tperfuse\tVBN\tI-ADJP\tO' +p178375 +aS'.\t.\t.\tO\tO' +p178376 +asS'The patient has a known history of pancreatic adenocarcinoma .' +p178377 +(lp178378 +S'The\tThe\tDT\tB-NP\tO' +p178379 +aS'patient\tpatient\tNN\tI-NP\tO' +p178380 +aS'has\thave\tVBZ\tB-VP\tO' +p178381 +aS'a\ta\tDT\tB-NP\tO' +p178382 +aS'known\tknown\tJJ\tI-NP\tO' +p178383 +aS'history\thistory\tNN\tI-NP\tO' +p178384 +aS'of\tof\tIN\tB-PP\tO' +p178385 +aS'pancreatic\tpancreatic\tJJ\tB-NP\tO' +p178386 +aS'adenocarcinoma\tadenocarcinoma\tNN\tI-NP\tO' +p178387 +aS'.\t.\t.\tO\tO' +p178388 +asS'bilateral coronary angiography .' +p178389 +(lp178390 +S'bilateral\tbilateral\tJJ\tB-NP\tO' +p178391 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p178392 +aS'angiography\tangiography\tNN\tI-NP\tO' +p178393 +aS'.\t.\t.\tO\tO' +p178394 +asS'In the Emergency Department , the patient received Zithromax , ceftriaxone , and Flagyl .' +p178395 +(lp178396 +S'In\tIn\tIN\tB-PP\tO' +p178397 +aS'the\tthe\tDT\tB-NP\tO' +p178398 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p178399 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p178400 +aS',\t,\t,\tO\tO' +p178401 +aS'the\tthe\tDT\tB-NP\tO' +p178402 +aS'patient\tpatient\tNN\tI-NP\tO' +p178403 +aS'received\treceive\tVBD\tB-VP\tO' +p178404 +aS'Zithromax\tZithromax\tNN\tB-NP\tO' +p178405 +aS',\t,\t,\tO\tO' +p178406 +aS'ceftriaxone\tceftriaxone\tNN\tB-NP\tO' +p178407 +aS',\t,\t,\tO\tO' +p178408 +aS'and\tand\tCC\tO\tO' +p178409 +aS'Flagyl\tFlagyl\tNN\tB-NP\tO' +p178410 +aS'.\t.\t.\tO\tO' +p178411 +asS'Dictated By : Michael S Bonham , M.D.' +p178412 +(lp178413 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p178414 +aS'By\tBy\tIN\tB-PP\tO' +p178415 +aS':\t:\t:\tO\tO' +p178416 +aS'Michael\tMichael\tNNP\tB-NP\tO' +p178417 +aS'S\tS\tNNP\tI-NP\tO' +p178418 +aS'Bonham\tBonham\tNNP\tI-NP\tO' +p178419 +aS',\t,\t,\tO\tO' +p178420 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p178421 +asS'Call our office for sternal drainage , temp .> 101.5' +p178422 +(lp178423 +S'Call\tCall\tVB\tB-VP\tO' +p178424 +aS'our\tour\tPRP$\tB-NP\tO' +p178425 +aS'office\toffice\tNN\tI-NP\tO' +p178426 +aS'for\tfor\tIN\tB-PP\tO' +p178427 +aS'sternal\tsternal\tJJ\tB-NP\tO' +p178428 +aS'drainage\tdrainage\tNN\tI-NP\tO' +p178429 +aS',\t,\t,\tO\tO' +p178430 +aS'temp\ttemp\tNN\tB-NP\tO' +p178431 +aS'.>\t.>\tNN\tI-NP\tO' +p178432 +aS'101.5\t101.5\tCD\tI-NP\tO' +p178433 +asS'The patient subsequently underwent a CT scan angiogram with Pancreas protocol to assess the pseudocyst versus enlarged pancreas head .' +p178434 +(lp178435 +S'The\tThe\tDT\tB-NP\tO' +p178436 +aS'patient\tpatient\tNN\tI-NP\tO' +p178437 +aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' +p178438 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p178439 +aS'a\ta\tDT\tB-NP\tO' +p178440 +aS'CT\tCT\tNN\tI-NP\tO' +p178441 +aS'scan\tscan\tNN\tI-NP\tO' +p178442 +aS'angiogram\tangiogram\tNN\tI-NP\tO' +p178443 +aS'with\twith\tIN\tB-PP\tO' +p178444 +aS'Pancreas\tPancreas\tNN\tB-NP\tO' +p178445 +aS'protocol\tprotocol\tNN\tI-NP\tO' +p178446 +aS'to\tto\tTO\tB-VP\tO' +p178447 +aS'assess\tassess\tVB\tI-VP\tO' +p178448 +aS'the\tthe\tDT\tB-NP\tO' +p178449 +aS'pseudocyst\tpseudocyst\tNN\tI-NP\tO' +p178450 +aS'versus\tversus\tIN\tB-PP\tO' +p178451 +aS'enlarged\tenlarged\tJJ\tB-NP\tO' +p178452 +aS'pancreas\tpancreas\tNN\tI-NP\tO' +p178453 +aS'head\thead\tNN\tI-NP\tO' +p178454 +aS'.\t.\t.\tO\tO' +p178455 +asS'Her pH was 7.23 , PCO2 73 , PO2 146 on a nonrebreather .' +p178456 +(lp178457 +S'Her\tHer\tPRP$\tB-NP\tO' +p178458 +aS'pH\tpH\tNN\tI-NP\tO' +p178459 +aS'was\tbe\tVBD\tB-VP\tO' +p178460 +aS'7.23\t7.23\tCD\tB-NP\tO' +p178461 +aS',\t,\t,\tO\tO' +p178462 +aS'PCO2\tPCO2\tNN\tB-NP\tO' +p178463 +aS'73\t73\tCD\tI-NP\tO' +p178464 +aS',\t,\t,\tO\tO' +p178465 +aS'PO2\tPO2\tNN\tB-NP\tO' +p178466 +aS'146\t146\tCD\tI-NP\tO' +p178467 +aS'on\ton\tIN\tB-PP\tO' +p178468 +aS'a\ta\tDT\tB-NP\tO' +p178469 +aS'nonrebreather\tnonrebreather\tNN\tI-NP\tO' +p178470 +aS'.\t.\t.\tO\tO' +p178471 +asS"Please contact the Microbiology Laboratory ( 2313-08-31 ) immediately if sensitivity to clindamycin is required on this patient 's isolate ." +p178472 +(lp178473 +S'Please\tPlease\tVB\tB-VP\tO' +p178474 +aS'contact\tcontact\tVB\tI-VP\tO' +p178475 +aS'the\tthe\tDT\tB-NP\tO' +p178476 +aS'Microbiology\tMicrobiology\tNNP\tI-NP\tO' +p178477 +aS'Laboratory\tLaboratory\tNNP\tI-NP\tO' +p178478 +aS'(\t(\t(\tO\tO' +p178479 +aS'2313-08-31\t2313-08-31\tCD\tB-NP\tO' +p178480 +aS')\t)\t)\tO\tO' +p178481 +aS'immediately\timmediately\tRB\tB-ADVP\tO' +p178482 +aS'if\tif\tIN\tB-SBAR\tO' +p178483 +aS'sensitivity\tsensitivity\tNN\tB-NP\tO' +p178484 +aS'to\tto\tTO\tB-PP\tO' +p178485 +aS'clindamycin\tclindamycin\tNN\tB-NP\tO' +p178486 +aS'is\tbe\tVBZ\tB-VP\tO' +p178487 +aS'required\trequire\tVBN\tI-VP\tO' +p178488 +aS'on\ton\tIN\tB-PP\tO' +p178489 +aS'this\tthis\tDT\tB-NP\tO' +p178490 +aS'patient\tpatient\tNN\tI-NP\tO' +p178491 +aS"'s\t's\tPOS\tB-NP\tO" +p178492 +aS'isolate\tisolate\tNN\tI-NP\tO' +p178493 +aS'.\t.\t.\tO\tO' +p178494 +asS'2 ) HISTORY OF DIASTOLIC DYSFUNCTION WITH AN ECHOCARDIOGRAM IN February OF 1998 DEMONSTRATING A NORMAL EJECTION FRACTION WITH LEFT VENTRICULAR HYPERTROPHY , STATUS POST ADMISSION AT LYMPNANIER HEALTH SERVICES IN January OF 1999 FOR DIASTOLIC CONGESTIVE HEART FAILURE REQUIRING AN ADMISSION TO THE CORONARY CARE UNIT .' +p178495 +(lp178496 +S'2\t2\tLS\tB-LST\tO' +p178497 +aS')\t)\t)\tO\tO' +p178498 +aS'HISTORY\tHISTORY\tNN\tB-NP\tO' +p178499 +aS'OF\tOF\tIN\tB-PP\tO' +p178500 +aS'DIASTOLIC\tDIASTOLIC\tNNP\tB-NP\tO' +p178501 +aS'DYSFUNCTION\tDYSFUNCTION\tNNP\tI-NP\tO' +p178502 +aS'WITH\tWITH\tNNP\tI-NP\tO' +p178503 +aS'AN\tAN\tNNP\tI-NP\tO' +p178504 +aS'ECHOCARDIOGRAM\tECHOCARDIOGRAM\tNNP\tI-NP\tO' +p178505 +aS'IN\tIN\tNNP\tI-NP\tO' +p178506 +aS'February\tFebruary\tNNP\tI-NP\tO' +p178507 +aS'OF\tOF\tIN\tB-NP\tO' +p178508 +aS'1998\t1998\tCD\tI-NP\tO' +p178509 +aS'DEMONSTRATING\tDEMONSTRATING\tNN\tI-NP\tO' +p178510 +aS'A\tA\tNN\tI-NP\tO' +p178511 +aS'NORMAL\tNORMAL\tNN\tI-NP\tO' +p178512 +aS'EJECTION\tEJECTION\tNN\tI-NP\tO' +p178513 +aS'FRACTION\tFRACTION\tNN\tI-NP\tO' +p178514 +aS'WITH\tWITH\tNN\tI-NP\tO' +p178515 +aS'LEFT\tLEFT\tNN\tI-NP\tO' +p178516 +aS'VENTRICULAR\tVENTRICULAR\tNN\tI-NP\tO' +p178517 +aS'HYPERTROPHY\tHYPERTROPHY\tNN\tI-NP\tO' +p178518 +aS',\t,\t,\tO\tO' +p178519 +aS'STATUS\tSTATUS\tNN\tB-NP\tO' +p178520 +aS'POST\tPOST\tNN\tI-NP\tO' +p178521 +aS'ADMISSION\tADMISSION\tNN\tI-NP\tO' +p178522 +aS'AT\tAT\tNN\tI-NP\tO' +p178523 +aS'LYMPNANIER\tLYMPNANIER\tNN\tI-NP\tO' +p178524 +aS'HEALTH\tHEALTH\tNN\tI-NP\tO' +p178525 +aS'SERVICES\tSERVICES\tNNS\tI-NP\tO' +p178526 +aS'IN\tIN\tIN\tB-PP\tO' +p178527 +aS'January\tJanuary\tNNP\tB-NP\tO' +p178528 +aS'OF\tOF\tIN\tB-PP\tO' +p178529 +aS'1999\t1999\tCD\tB-NP\tO' +p178530 +aS'FOR\tFOR\tIN\tB-PP\tO' +p178531 +aS'DIASTOLIC\tDIASTOLIC\tNNP\tB-NP\tO' +p178532 +aS'CONGESTIVE\tCONGESTIVE\tNNP\tI-NP\tO' +p178533 +aS'HEART\tHEART\tNNP\tI-NP\tO' +p178534 +aS'FAILURE\tFAILURE\tNNP\tI-NP\tO' +p178535 +aS'REQUIRING\tREQUIRING\tNNP\tI-NP\tO' +p178536 +aS'AN\tAN\tNN\tI-NP\tO' +p178537 +aS'ADMISSION\tADMISSION\tNN\tI-NP\tO' +p178538 +aS'TO\tTO\tTO\tB-PP\tO' +p178539 +aS'THE\tTHE\tDT\tB-NP\tO' +p178540 +aS'CORONARY\tCORONARY\tNNP\tI-NP\tO' +p178541 +aS'CARE\tCARE\tNNP\tI-NP\tO' +p178542 +aS'UNIT\tUNIT\tNNP\tI-NP\tO' +p178543 +aS'.\t.\t.\tO\tO' +p178544 +asS'Four large flat Jackson-Pratt drains were placed , and gastrostomy , jejunostomy , and cholecystostomy tubes , as well as a right subclavian Quinton catheter were placed .' +p178545 +(lp178546 +S'Four\tFour\tCD\tB-NP\tO' +p178547 +aS'large\tlarge\tJJ\tI-NP\tO' +p178548 +aS'flat\tflat\tJJ\tI-NP\tO' +p178549 +aS'Jackson-Pratt\tJackson-Pratt\tJJ\tI-NP\tO' +p178550 +aS'drains\tdrain\tNNS\tI-NP\tO' +p178551 +aS'were\tbe\tVBD\tB-VP\tO' +p178552 +aS'placed\tplace\tVBN\tI-VP\tO' +p178553 +aS',\t,\t,\tO\tO' +p178554 +aS'and\tand\tCC\tO\tO' +p178555 +aS'gastrostomy\tgastrostomy\tNN\tB-NP\tO' +p178556 +aS',\t,\t,\tO\tO' +p178557 +aS'jejunostomy\tjejunostomy\tNN\tB-NP\tO' +p178558 +aS',\t,\t,\tO\tO' +p178559 +aS'and\tand\tCC\tO\tO' +p178560 +aS'cholecystostomy\tcholecystostomy\tNN\tB-NP\tO' +p178561 +aS'tubes\ttube\tNNS\tI-NP\tO' +p178562 +aS',\t,\t,\tO\tO' +p178563 +aS'as\tas\tRB\tB-CONJP\tO' +p178564 +aS'well\twell\tRB\tI-CONJP\tO' +p178565 +aS'as\tas\tIN\tI-CONJP\tO' +p178566 +aS'a\ta\tDT\tB-NP\tO' +p178567 +aS'right\tright\tJJ\tI-NP\tO' +p178568 +aS'subclavian\tsubclavian\tJJ\tI-NP\tO' +p178569 +aS'Quinton\tQuinton\tNNP\tI-NP\tO' +p178570 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p178571 +aS'were\tbe\tVBD\tB-VP\tO' +p178572 +aS'placed\tplace\tVBN\tI-VP\tO' +p178573 +aS'.\t.\t.\tO\tO' +p178574 +asS'She was transferred from an outside hospital for evaluation and treatment of adenocarcinoma involving the transverse colon and gallbladder .' +p178575 +(lp178576 +S'She\tShe\tPRP\tB-NP\tO' +p178577 +aS'was\tbe\tVBD\tB-VP\tO' +p178578 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p178579 +aS'from\tfrom\tIN\tB-PP\tO' +p178580 +aS'an\tan\tDT\tB-NP\tO' +p178581 +aS'outside\toutside\tJJ\tI-NP\tO' +p178582 +aS'hospital\thospital\tNN\tI-NP\tO' +p178583 +aS'for\tfor\tIN\tB-PP\tO' +p178584 +aS'evaluation\tevaluation\tNN\tB-NP\tO' +p178585 +aS'and\tand\tCC\tI-NP\tO' +p178586 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p178587 +aS'of\tof\tIN\tB-PP\tO' +p178588 +aS'adenocarcinoma\tadenocarcinoma\tNN\tB-NP\tO' +p178589 +aS'involving\tinvolve\tVBG\tB-VP\tO' +p178590 +aS'the\tthe\tDT\tB-NP\tO' +p178591 +aS'transverse\ttransverse\tJJ\tI-NP\tO' +p178592 +aS'colon\tcolon\tNN\tI-NP\tO' +p178593 +aS'and\tand\tCC\tI-NP\tO' +p178594 +aS'gallbladder\tgallbladder\tNN\tI-NP\tO' +p178595 +aS'.\t.\t.\tO\tO' +p178596 +asS'# Neurologic - The patient was seen by the Neurology consult service and underwent MRI head which revealed lesions suspicious for metastases , possible hemorrhages , and findings consistent with hypoxic brain injury .' +p178597 +(lp178598 +S'#\t#\t#\tB-NP\tO' +p178599 +aS'Neurologic\tNeurologic\tJJ\tI-NP\tO' +p178600 +aS'-\t-\tHYPH\tO\tO' +p178601 +aS'The\tThe\tDT\tB-NP\tO' +p178602 +aS'patient\tpatient\tNN\tI-NP\tO' +p178603 +aS'was\tbe\tVBD\tB-VP\tO' +p178604 +aS'seen\tsee\tVBN\tI-VP\tO' +p178605 +aS'by\tby\tIN\tB-PP\tO' +p178606 +aS'the\tthe\tDT\tB-NP\tO' +p178607 +aS'Neurology\tNeurology\tNNP\tI-NP\tO' +p178608 +aS'consult\tconsult\tNN\tI-NP\tO' +p178609 +aS'service\tservice\tNN\tI-NP\tO' +p178610 +aS'and\tand\tCC\tO\tO' +p178611 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p178612 +aS'MRI\tMRI\tNN\tB-NP\tO' +p178613 +aS'head\thead\tNN\tI-NP\tO' +p178614 +aS'which\twhich\tWDT\tB-NP\tO' +p178615 +aS'revealed\treveal\tVBD\tB-VP\tO' +p178616 +aS'lesions\tlesion\tNNS\tB-NP\tO' +p178617 +aS'suspicious\tsuspicious\tJJ\tB-ADJP\tO' +p178618 +aS'for\tfor\tIN\tB-PP\tO' +p178619 +aS'metastases\tmetastasis\tNNS\tB-NP\tO' +p178620 +aS',\t,\t,\tO\tO' +p178621 +aS'possible\tpossible\tJJ\tB-NP\tO' +p178622 +aS'hemorrhages\themorrhage\tNNS\tI-NP\tO' +p178623 +aS',\t,\t,\tO\tO' +p178624 +aS'and\tand\tCC\tO\tO' +p178625 +aS'findings\tfinding\tNNS\tB-NP\tO' +p178626 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p178627 +aS'with\twith\tIN\tB-PP\tO' +p178628 +aS'hypoxic\thypoxic\tJJ\tB-NP\tO' +p178629 +aS'brain\tbrain\tNN\tI-NP\tO' +p178630 +aS'injury\tinjury\tNN\tI-NP\tO' +p178631 +aS'.\t.\t.\tO\tO' +p178632 +asS'It continued to be somewhat difficult to control his activity and Rehabilitation Screen was in place but there was difficulty finding the appropriate facility .' +p178633 +(lp178634 +S'It\tIt\tPRP\tB-NP\tO' +p178635 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p178636 +aS'to\tto\tTO\tI-VP\tO' +p178637 +aS'be\tbe\tVB\tI-VP\tO' +p178638 +aS'somewhat\tsomewhat\tRB\tB-ADJP\tO' +p178639 +aS'difficult\tdifficult\tJJ\tI-ADJP\tO' +p178640 +aS'to\tto\tTO\tB-VP\tO' +p178641 +aS'control\tcontrol\tVB\tI-VP\tO' +p178642 +aS'his\this\tPRP$\tB-NP\tO' +p178643 +aS'activity\tactivity\tNN\tI-NP\tO' +p178644 +aS'and\tand\tCC\tI-NP\tO' +p178645 +aS'Rehabilitation\tRehabilitation\tNN\tI-NP\tO' +p178646 +aS'Screen\tScreen\tNN\tI-NP\tO' +p178647 +aS'was\tbe\tVBD\tB-VP\tO' +p178648 +aS'in\tin\tIN\tB-PP\tO' +p178649 +aS'place\tplace\tNN\tB-NP\tO' +p178650 +aS'but\tbut\tCC\tO\tO' +p178651 +aS'there\tthere\tEX\tB-NP\tO' +p178652 +aS'was\tbe\tVBD\tB-VP\tO' +p178653 +aS'difficulty\tdifficulty\tNN\tB-NP\tO' +p178654 +aS'finding\tfind\tVBG\tB-VP\tO' +p178655 +aS'the\tthe\tDT\tB-NP\tO' +p178656 +aS'appropriate\tappropriate\tJJ\tI-NP\tO' +p178657 +aS'facility\tfacility\tNN\tI-NP\tO' +p178658 +aS'.\t.\t.\tO\tO' +p178659 +asS'He was an elderly frail gentleman in moderate respiratory distress .' +p178660 +(lp178661 +S'He\tHe\tPRP\tB-NP\tO' +p178662 +aS'was\tbe\tVBD\tB-VP\tO' +p178663 +aS'an\tan\tDT\tB-NP\tO' +p178664 +aS'elderly\telderly\tJJ\tI-NP\tO' +p178665 +aS'frail\tfrail\tNN\tI-NP\tO' +p178666 +aS'gentleman\tgentleman\tNN\tI-NP\tO' +p178667 +aS'in\tin\tIN\tB-PP\tO' +p178668 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p178669 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p178670 +aS'distress\tdistress\tNN\tI-NP\tO' +p178671 +aS'.\t.\t.\tO\tO' +p178672 +asS'General : young male in nad , awake alert oriented' +p178673 +(lp178674 +S'General\tGeneral\tJJ\tB-ADJP\tO' +p178675 +aS':\t:\t:\tO\tO' +p178676 +aS'young\tyoung\tJJ\tB-NP\tO' +p178677 +aS'male\tmale\tNN\tI-NP\tO' +p178678 +aS'in\tin\tIN\tB-PP\tO' +p178679 +aS'nad\tnad\tNN\tB-NP\tO' +p178680 +aS',\t,\t,\tO\tO' +p178681 +aS'awake\tawake\tVBP\tB-VP\tO' +p178682 +aS'alert\talert\tRB\tI-VP\tO' +p178683 +aS'oriented\torient\tVBN\tI-VP\tO' +p178684 +asS'Potassium was 3.9 .' +p178685 +(lp178686 +S'Potassium\tPotassium\tNN\tB-NP\tO' +p178687 +aS'was\tbe\tVBD\tB-VP\tO' +p178688 +aS'3.9\t3.9\tCD\tB-NP\tO' +p178689 +aS'.\t.\t.\tO\tO' +p178690 +asS'He was given 1.5 grams of Dilantin in the emergency room as well as 2 mgs of intravenous Ativan which did little to stop his rhythmic blinking that he showed from time to time on examination .' +p178691 +(lp178692 +S'He\tHe\tPRP\tB-NP\tO' +p178693 +aS'was\tbe\tVBD\tB-VP\tO' +p178694 +aS'given\tgive\tVBN\tI-VP\tO' +p178695 +aS'1.5\t1.5\tCD\tB-NP\tO' +p178696 +aS'grams\tgram\tNNS\tI-NP\tO' +p178697 +aS'of\tof\tIN\tB-PP\tO' +p178698 +aS'Dilantin\tDilantin\tNN\tB-NP\tB-protein' +p178699 +aS'in\tin\tIN\tB-PP\tO' +p178700 +aS'the\tthe\tDT\tB-NP\tO' +p178701 +aS'emergency\temergency\tNN\tI-NP\tO' +p178702 +aS'room\troom\tNN\tI-NP\tO' +p178703 +aS'as\tas\tRB\tB-CONJP\tO' +p178704 +aS'well\twell\tRB\tI-CONJP\tO' +p178705 +aS'as\tas\tIN\tI-CONJP\tO' +p178706 +aS'2\t2\tCD\tB-NP\tO' +p178707 +aS'mgs\tmg\tNNS\tI-NP\tO' +p178708 +aS'of\tof\tIN\tB-PP\tO' +p178709 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p178710 +aS'Ativan\tAtivan\tNNP\tI-NP\tO' +p178711 +aS'which\twhich\tWDT\tB-NP\tO' +p178712 +aS'did\tdo\tVBD\tB-VP\tO' +p178713 +aS'little\tlittle\tJJ\tB-NP\tO' +p178714 +aS'to\tto\tTO\tB-VP\tO' +p178715 +aS'stop\tstop\tVB\tI-VP\tO' +p178716 +aS'his\this\tPRP$\tB-NP\tO' +p178717 +aS'rhythmic\trhythmic\tJJ\tI-NP\tO' +p178718 +aS'blinking\tblinking\tNN\tI-NP\tO' +p178719 +aS'that\tthat\tIN\tB-NP\tO' +p178720 +aS'he\the\tPRP\tB-NP\tO' +p178721 +aS'showed\tshow\tVBD\tB-VP\tO' +p178722 +aS'from\tfrom\tIN\tB-PP\tO' +p178723 +aS'time\ttime\tNN\tB-NP\tO' +p178724 +aS'to\tto\tTO\tB-PP\tO' +p178725 +aS'time\ttime\tNN\tB-NP\tO' +p178726 +aS'on\ton\tIN\tB-PP\tO' +p178727 +aS'examination\texamination\tNN\tB-NP\tO' +p178728 +aS'.\t.\t.\tO\tO' +p178729 +asS'17. Ferrous Sulfate 325 ( 65 ) mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' +p178730 +(lp178731 +S'17.\t17.\tCD\tB-NP\tO' +p178732 +aS'Ferrous\tFerrous\tNNP\tI-NP\tO' +p178733 +aS'Sulfate\tSulfate\tNNP\tI-NP\tO' +p178734 +aS'325\t325\tCD\tI-NP\tO' +p178735 +aS'(\t(\t(\tO\tO' +p178736 +aS'65\t65\tCD\tB-NP\tO' +p178737 +aS')\t)\t)\tO\tO' +p178738 +aS'mg\tmg\tNN\tB-NP\tO' +p178739 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p178740 +aS'Sig\tSig\tNNP\tI-NP\tO' +p178741 +aS':\t:\t:\tO\tO' +p178742 +aS'One\tOne\tCD\tB-NP\tO' +p178743 +aS'(\t(\t(\tO\tO' +p178744 +aS'1\t1\tCD\tB-NP\tO' +p178745 +aS')\t)\t)\tO\tO' +p178746 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p178747 +aS'PO\tPO\tNN\tI-NP\tO' +p178748 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p178749 +aS'(\t(\t(\tO\tO' +p178750 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p178751 +aS')\t)\t)\tO\tO' +p178752 +aS'.\t.\t.\tO\tO' +p178753 +asS'7. Aspirin 81 mg Tablet , Delayed Release ( E.C. ) Sig : One ( 1 ) Tablet , Delayed Release ( E.C. ) PO DAILY ( Daily ) .' +p178754 +(lp178755 +S'7.\t7.\tCD\tB-NP\tO' +p178756 +aS'Aspirin\tAspirin\tNN\tI-NP\tO' +p178757 +aS'81\t81\tCD\tB-NP\tO' +p178758 +aS'mg\tmg\tNN\tI-NP\tO' +p178759 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p178760 +aS',\t,\t,\tO\tO' +p178761 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p178762 +aS'Release\tRelease\tNNP\tI-NP\tO' +p178763 +aS'(\t(\t(\tO\tO' +p178764 +aS'E.C.\tE.C.\tNNP\tB-NP\tO' +p178765 +aS')\t)\t)\tO\tO' +p178766 +aS'Sig\tSig\tNNP\tB-NP\tO' +p178767 +aS':\t:\t:\tO\tO' +p178768 +aS'One\tOne\tCD\tB-NP\tO' +p178769 +aS'(\t(\t(\tO\tO' +p178770 +aS'1\t1\tCD\tB-NP\tO' +p178771 +aS')\t)\t)\tO\tO' +p178772 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p178773 +aS',\t,\t,\tO\tO' +p178774 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p178775 +aS'Release\tRelease\tNNP\tI-NP\tO' +p178776 +aS'(\t(\t(\tO\tO' +p178777 +aS'E.C.\tE.C.\tNNP\tO\tO' +p178778 +aS')\t)\t)\tO\tO' +p178779 +aS'PO\tPO\tNN\tB-NP\tO' +p178780 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p178781 +aS'(\t(\t(\tO\tO' +p178782 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p178783 +aS')\t)\t)\tO\tO' +p178784 +aS'.\t.\t.\tO\tO' +p178785 +asS'Workup at the outside hospital included a CT scan of the head revealing a possible parietal subdural bleed on the right side .' +p178786 +(lp178787 +S'Workup\tWorkup\tNN\tB-NP\tO' +p178788 +aS'at\tat\tIN\tB-PP\tO' +p178789 +aS'the\tthe\tDT\tB-NP\tO' +p178790 +aS'outside\toutside\tJJ\tI-NP\tO' +p178791 +aS'hospital\thospital\tNN\tI-NP\tO' +p178792 +aS'included\tinclude\tVBD\tB-VP\tO' +p178793 +aS'a\ta\tDT\tB-NP\tO' +p178794 +aS'CT\tCT\tNN\tI-NP\tO' +p178795 +aS'scan\tscan\tNN\tI-NP\tO' +p178796 +aS'of\tof\tIN\tB-PP\tO' +p178797 +aS'the\tthe\tDT\tB-NP\tO' +p178798 +aS'head\thead\tNN\tI-NP\tO' +p178799 +aS'revealing\treveal\tVBG\tB-VP\tO' +p178800 +aS'a\ta\tDT\tB-NP\tO' +p178801 +aS'possible\tpossible\tJJ\tI-NP\tO' +p178802 +aS'parietal\tparietal\tJJ\tI-NP\tO' +p178803 +aS'subdural\tsubdural\tJJ\tI-NP\tO' +p178804 +aS'bleed\tbleed\tNN\tI-NP\tO' +p178805 +aS'on\ton\tIN\tB-PP\tO' +p178806 +aS'the\tthe\tDT\tB-NP\tO' +p178807 +aS'right\tright\tJJ\tI-NP\tO' +p178808 +aS'side\tside\tNN\tI-NP\tO' +p178809 +aS'.\t.\t.\tO\tO' +p178810 +asS'The abdomen is soft and nontender with no hepatosplenomegaly .' +p178811 +(lp178812 +S'The\tThe\tDT\tB-NP\tO' +p178813 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p178814 +aS'is\tbe\tVBZ\tB-VP\tO' +p178815 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p178816 +aS'and\tand\tCC\tI-ADJP\tO' +p178817 +aS'nontender\tnontender\tJJ\tI-ADJP\tO' +p178818 +aS'with\twith\tIN\tB-PP\tO' +p178819 +aS'no\tno\tDT\tB-NP\tO' +p178820 +aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tI-NP\tO' +p178821 +aS'.\t.\t.\tO\tO' +p178822 +asS'Most recently , he was on a 28 day course of Vancomycin , ofloxacin , and Flagyl , for blood cultures that were positive for gram positive cocci and enteric and non-enteric gram negative rods .' +p178823 +(lp178824 +S'Most\tMost\tRBS\tB-ADVP\tO' +p178825 +aS'recently\trecently\tRB\tI-ADVP\tO' +p178826 +aS',\t,\t,\tO\tO' +p178827 +aS'he\the\tPRP\tB-NP\tO' +p178828 +aS'was\tbe\tVBD\tB-VP\tO' +p178829 +aS'on\ton\tIN\tB-PP\tO' +p178830 +aS'a\ta\tDT\tB-NP\tO' +p178831 +aS'28\t28\tCD\tI-NP\tO' +p178832 +aS'day\tday\tNN\tI-NP\tO' +p178833 +aS'course\tcourse\tNN\tI-NP\tO' +p178834 +aS'of\tof\tIN\tB-PP\tO' +p178835 +aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' +p178836 +aS',\t,\t,\tO\tO' +p178837 +aS'ofloxacin\tofloxacin\tNN\tB-NP\tO' +p178838 +aS',\t,\t,\tO\tO' +p178839 +aS'and\tand\tCC\tO\tO' +p178840 +aS'Flagyl\tFlagyl\tNN\tB-NP\tO' +p178841 +aS',\t,\t,\tO\tO' +p178842 +aS'for\tfor\tIN\tB-PP\tO' +p178843 +aS'blood\tblood\tNN\tB-NP\tO' +p178844 +aS'cultures\tculture\tNNS\tI-NP\tO' +p178845 +aS'that\tthat\tWDT\tB-NP\tO' +p178846 +aS'were\tbe\tVBD\tB-VP\tO' +p178847 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p178848 +aS'for\tfor\tIN\tB-PP\tO' +p178849 +aS'gram\tgram\tNN\tB-NP\tO' +p178850 +aS'positive\tpositive\tJJ\tI-NP\tO' +p178851 +aS'cocci\tcoccus\tNNS\tI-NP\tO' +p178852 +aS'and\tand\tCC\tO\tO' +p178853 +aS'enteric\tenteric\tJJ\tB-NP\tO' +p178854 +aS'and\tand\tCC\tI-NP\tO' +p178855 +aS'non-enteric\tnon-enteric\tJJ\tI-NP\tO' +p178856 +aS'gram\tgram\tNN\tI-NP\tO' +p178857 +aS'negative\tnegative\tJJ\tI-NP\tO' +p178858 +aS'rods\trod\tNNS\tI-NP\tO' +p178859 +aS'.\t.\t.\tO\tO' +p178860 +asS'There was no evidence of tamponade .' +p178861 +(lp178862 +S'There\tThere\tEX\tB-NP\tO' +p178863 +aS'was\tbe\tVBD\tB-VP\tO' +p178864 +aS'no\tno\tDT\tB-NP\tO' +p178865 +aS'evidence\tevidence\tNN\tI-NP\tO' +p178866 +aS'of\tof\tIN\tB-PP\tO' +p178867 +aS'tamponade\ttamponade\tNN\tB-NP\tO' +p178868 +aS'.\t.\t.\tO\tO' +p178869 +asS'No murmur or rub .' +p178870 +(lp178871 +S'No\tNo\tDT\tB-NP\tO' +p178872 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p178873 +aS'or\tor\tCC\tI-NP\tO' +p178874 +aS'rub\trub\tNN\tI-NP\tB-protein' +p178875 +aS'.\t.\t.\tO\tO' +p178876 +asS'Birth weight was 1670 grams 50 th percentile , length 43 cm 50 th percentile .' +p178877 +(lp178878 +S'Birth\tBirth\tNN\tB-NP\tO' +p178879 +aS'weight\tweight\tNN\tI-NP\tO' +p178880 +aS'was\tbe\tVBD\tB-VP\tO' +p178881 +aS'1670\t1670\tCD\tB-NP\tO' +p178882 +aS'grams\tgram\tNNS\tI-NP\tO' +p178883 +aS'50\t50\tCD\tB-NP\tO' +p178884 +aS'th\tth\tJJ\tI-NP\tO' +p178885 +aS'percentile\tpercentile\tNN\tI-NP\tO' +p178886 +aS',\t,\t,\tO\tO' +p178887 +aS'length\tlength\tNN\tB-NP\tO' +p178888 +aS'43\t43\tCD\tI-NP\tO' +p178889 +aS'cm\tcm\tNN\tI-NP\tO' +p178890 +aS'50\t50\tCD\tB-NP\tO' +p178891 +aS'th\tth\tNN\tI-NP\tO' +p178892 +aS'percentile\tpercentile\tNN\tI-NP\tO' +p178893 +aS'.\t.\t.\tO\tO' +p178894 +asS'Heart was regular in rate and rhythm .' +p178895 +(lp178896 +S'Heart\tHeart\tNNP\tB-NP\tO' +p178897 +aS'was\tbe\tVBD\tB-VP\tO' +p178898 +aS'regular\tregular\tJJ\tB-ADJP\tO' +p178899 +aS'in\tin\tIN\tB-PP\tO' +p178900 +aS'rate\trate\tNN\tB-NP\tO' +p178901 +aS'and\tand\tCC\tI-NP\tO' +p178902 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p178903 +aS'.\t.\t.\tO\tO' +p178904 +asS'Examination of his shoulder revealed the patient to be able to flex his right arm to 170 degrees , internally rotate to 10 degrees and externally rotate to 40 degrees with positive joint tenderness .' +p178905 +(lp178906 +S'Examination\tExamination\tNN\tB-NP\tO' +p178907 +aS'of\tof\tIN\tB-PP\tO' +p178908 +aS'his\this\tPRP$\tB-NP\tO' +p178909 +aS'shoulder\tshoulder\tNN\tI-NP\tO' +p178910 +aS'revealed\treveal\tVBD\tB-VP\tO' +p178911 +aS'the\tthe\tDT\tB-NP\tO' +p178912 +aS'patient\tpatient\tNN\tI-NP\tO' +p178913 +aS'to\tto\tTO\tB-VP\tO' +p178914 +aS'be\tbe\tVB\tI-VP\tO' +p178915 +aS'able\table\tJJ\tB-ADJP\tO' +p178916 +aS'to\tto\tTO\tB-VP\tO' +p178917 +aS'flex\tflex\tVB\tI-VP\tO' +p178918 +aS'his\this\tPRP$\tB-NP\tO' +p178919 +aS'right\tright\tJJ\tI-NP\tO' +p178920 +aS'arm\tarm\tNN\tI-NP\tO' +p178921 +aS'to\tto\tTO\tB-PP\tO' +p178922 +aS'170\t170\tCD\tB-NP\tO' +p178923 +aS'degrees\tdegree\tNNS\tI-NP\tO' +p178924 +aS',\t,\t,\tO\tO' +p178925 +aS'internally\tinternally\tRB\tB-NP\tO' +p178926 +aS'rotate\trotate\tNN\tI-NP\tO' +p178927 +aS'to\tto\tTO\tB-PP\tO' +p178928 +aS'10\t10\tCD\tB-NP\tO' +p178929 +aS'degrees\tdegree\tNNS\tI-NP\tO' +p178930 +aS'and\tand\tCC\tO\tO' +p178931 +aS'externally\texternally\tRB\tB-ADVP\tO' +p178932 +aS'rotate\trotate\tNN\tB-NP\tO' +p178933 +aS'to\tto\tTO\tB-PP\tO' +p178934 +aS'40\t40\tCD\tB-NP\tO' +p178935 +aS'degrees\tdegree\tNNS\tI-NP\tO' +p178936 +aS'with\twith\tIN\tB-PP\tO' +p178937 +aS'positive\tpositive\tJJ\tB-NP\tO' +p178938 +aS'joint\tjoint\tJJ\tI-NP\tO' +p178939 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p178940 +aS'.\t.\t.\tO\tO' +p178941 +asS'To Kindred Hospital Special Care Nursery .' +p178942 +(lp178943 +S'To\tTo\tTO\tB-PP\tO' +p178944 +aS'Kindred\tKindred\tNNP\tB-NP\tO' +p178945 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p178946 +aS'Special\tSpecial\tNNP\tI-NP\tO' +p178947 +aS'Care\tCare\tNNP\tI-NP\tO' +p178948 +aS'Nursery\tNursery\tNNP\tI-NP\tO' +p178949 +aS'.\t.\t.\tO\tO' +p178950 +asS'Because of the bleeding problems , however , it was felt that full heparinization would not be prudent , and the patient was treated with pneumo-boots and subcutaneous heparin .' +p178951 +(lp178952 +S'Because\tBecause\tIN\tB-PP\tO' +p178953 +aS'of\tof\tIN\tI-PP\tO' +p178954 +aS'the\tthe\tDT\tB-NP\tO' +p178955 +aS'bleeding\tbleeding\tJJ\tI-NP\tO' +p178956 +aS'problems\tproblem\tNNS\tI-NP\tO' +p178957 +aS',\t,\t,\tO\tO' +p178958 +aS'however\thowever\tRB\tB-ADVP\tO' +p178959 +aS',\t,\t,\tO\tO' +p178960 +aS'it\tit\tPRP\tB-NP\tO' +p178961 +aS'was\tbe\tVBD\tB-VP\tO' +p178962 +aS'felt\tfeel\tVBN\tI-VP\tO' +p178963 +aS'that\tthat\tIN\tB-SBAR\tO' +p178964 +aS'full\tfull\tJJ\tB-NP\tO' +p178965 +aS'heparinization\theparinization\tNN\tI-NP\tO' +p178966 +aS'would\twould\tMD\tB-VP\tO' +p178967 +aS'not\tnot\tRB\tI-VP\tO' +p178968 +aS'be\tbe\tVB\tI-VP\tO' +p178969 +aS'prudent\tprudent\tJJ\tB-ADJP\tO' +p178970 +aS',\t,\t,\tO\tO' +p178971 +aS'and\tand\tCC\tO\tO' +p178972 +aS'the\tthe\tDT\tB-NP\tO' +p178973 +aS'patient\tpatient\tNN\tI-NP\tO' +p178974 +aS'was\tbe\tVBD\tB-VP\tO' +p178975 +aS'treated\ttreat\tVBN\tI-VP\tO' +p178976 +aS'with\twith\tIN\tB-PP\tO' +p178977 +aS'pneumo-boots\tpneumo-boot\tNNS\tB-NP\tO' +p178978 +aS'and\tand\tCC\tO\tO' +p178979 +aS'subcutaneous\tsubcutaneous\tJJ\tB-NP\tO' +p178980 +aS'heparin\theparin\tNN\tI-NP\tO' +p178981 +aS'.\t.\t.\tO\tO' +p178982 +asS'Atrial pacing .' +p178983 +(lp178984 +S'Atrial\tAtrial\tJJ\tB-NP\tO' +p178985 +aS'pacing\tpacing\tNN\tI-NP\tO' +p178986 +aS'.\t.\t.\tO\tO' +p178987 +asS'She has orthopnea as well but noparoxysmal nocturnal dyspnea .' +p178988 +(lp178989 +S'She\tShe\tPRP\tB-NP\tO' +p178990 +aS'has\thave\tVBZ\tB-VP\tO' +p178991 +aS'orthopnea\torthopnea\tNN\tB-NP\tO' +p178992 +aS'as\tas\tRB\tB-ADVP\tO' +p178993 +aS'well\twell\tRB\tI-ADVP\tO' +p178994 +aS'but\tbut\tCC\tO\tO' +p178995 +aS'noparoxysmal\tnoparoxysmal\tJJ\tB-NP\tO' +p178996 +aS'nocturnal\tnocturnal\tJJ\tI-NP\tO' +p178997 +aS'dyspnea\tdyspnea\tNN\tI-NP\tO' +p178998 +aS'.\t.\t.\tO\tO' +p178999 +asS'in the future .' +p179000 +(lp179001 +S'in\tin\tIN\tB-PP\tO' +p179002 +aS'the\tthe\tDT\tB-NP\tO' +p179003 +aS'future\tfuture\tNN\tI-NP\tO' +p179004 +aS'.\t.\t.\tO\tO' +p179005 +asS'15. Acetaminophen 325 mg Tablet Sig : Two ( 2 ) Tablet PO Q6H ( every 6 hours ) .' +p179006 +(lp179007 +S'15.\t15.\tCD\tB-NP\tO' +p179008 +aS'Acetaminophen\tAcetaminophen\tNN\tI-NP\tO' +p179009 +aS'325\t325\tCD\tB-NP\tO' +p179010 +aS'mg\tmg\tNN\tI-NP\tO' +p179011 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p179012 +aS'Sig\tSig\tNNP\tI-NP\tO' +p179013 +aS':\t:\t:\tO\tO' +p179014 +aS'Two\tTwo\tCD\tB-NP\tO' +p179015 +aS'(\t(\t(\tO\tO' +p179016 +aS'2\t2\tCD\tO\tO' +p179017 +aS')\t)\t)\tO\tO' +p179018 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p179019 +aS'PO\tPO\tNN\tI-NP\tO' +p179020 +aS'Q6H\tQ6H\tNN\tI-NP\tO' +p179021 +aS'(\t(\t(\tO\tO' +p179022 +aS'every\tevery\tDT\tB-NP\tO' +p179023 +aS'6\t6\tCD\tI-NP\tO' +p179024 +aS'hours\thour\tNNS\tI-NP\tO' +p179025 +aS')\t)\t)\tO\tO' +p179026 +aS'.\t.\t.\tO\tO' +p179027 +asS'He had an ongoing requirement for high volume resuscitation and was persistently acidotic despite CV-VVH in the face of bicarbonate replenishment .' +p179028 +(lp179029 +S'He\tHe\tPRP\tB-NP\tO' +p179030 +aS'had\thave\tVBD\tB-VP\tO' +p179031 +aS'an\tan\tDT\tB-NP\tO' +p179032 +aS'ongoing\tongoing\tJJ\tI-NP\tO' +p179033 +aS'requirement\trequirement\tNN\tI-NP\tO' +p179034 +aS'for\tfor\tIN\tB-PP\tO' +p179035 +aS'high\thigh\tJJ\tB-NP\tO' +p179036 +aS'volume\tvolume\tNN\tI-NP\tO' +p179037 +aS'resuscitation\tresuscitation\tNN\tI-NP\tO' +p179038 +aS'and\tand\tCC\tO\tO' +p179039 +aS'was\tbe\tVBD\tB-VP\tO' +p179040 +aS'persistently\tpersistently\tRB\tB-ADJP\tO' +p179041 +aS'acidotic\tacidotic\tJJ\tI-ADJP\tO' +p179042 +aS'despite\tdespite\tIN\tB-PP\tO' +p179043 +aS'CV-VVH\tCV-VVH\tNN\tB-NP\tB-protein' +p179044 +aS'in\tin\tIN\tB-PP\tO' +p179045 +aS'the\tthe\tDT\tB-NP\tO' +p179046 +aS'face\tface\tNN\tI-NP\tO' +p179047 +aS'of\tof\tIN\tB-PP\tO' +p179048 +aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' +p179049 +aS'replenishment\treplenishment\tNN\tI-NP\tO' +p179050 +aS'.\t.\t.\tO\tO' +p179051 +asS'Patient improved over the next few days .' +p179052 +(lp179053 +S'Patient\tPatient\tNN\tB-NP\tO' +p179054 +aS'improved\timprove\tVBD\tB-VP\tO' +p179055 +aS'over\tover\tIN\tB-PP\tO' +p179056 +aS'the\tthe\tDT\tB-NP\tO' +p179057 +aS'next\tnext\tJJ\tI-NP\tO' +p179058 +aS'few\tfew\tJJ\tI-NP\tO' +p179059 +aS'days\tday\tNNS\tI-NP\tO' +p179060 +aS'.\t.\t.\tO\tO' +p179061 +asS'She has had several prior bleeding events and presented with a subacute bleed in the mid to lower pons .' +p179062 +(lp179063 +S'She\tShe\tPRP\tB-NP\tO' +p179064 +aS'has\thave\tVBZ\tB-VP\tO' +p179065 +aS'had\thave\tVBD\tI-VP\tO' +p179066 +aS'several\tseveral\tJJ\tB-NP\tO' +p179067 +aS'prior\tprior\tJJ\tI-NP\tO' +p179068 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p179069 +aS'events\tevent\tNNS\tI-NP\tO' +p179070 +aS'and\tand\tCC\tO\tO' +p179071 +aS'presented\tpresent\tVBD\tB-VP\tO' +p179072 +aS'with\twith\tIN\tB-PP\tO' +p179073 +aS'a\ta\tDT\tB-NP\tO' +p179074 +aS'subacute\tsubacute\tJJ\tI-NP\tO' +p179075 +aS'bleed\tbleed\tNN\tI-NP\tO' +p179076 +aS'in\tin\tIN\tB-PP\tO' +p179077 +aS'the\tthe\tDT\tB-NP\tO' +p179078 +aS'mid\tmid\tNN\tI-NP\tO' +p179079 +aS'to\tto\tTO\tB-PP\tO' +p179080 +aS'lower\tlow\tJJR\tB-NP\tO' +p179081 +aS'pons\tpon\tNNS\tI-NP\tO' +p179082 +aS'.\t.\t.\tO\tO' +p179083 +asS'An electrocardiogram showed acute inferior myocardial infarction .' +p179084 +(lp179085 +S'An\tAn\tDT\tB-NP\tO' +p179086 +aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' +p179087 +aS'showed\tshow\tVBD\tB-VP\tO' +p179088 +aS'acute\tacute\tJJ\tB-NP\tO' +p179089 +aS'inferior\tinferior\tJJ\tI-NP\tO' +p179090 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p179091 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p179092 +aS'.\t.\t.\tO\tO' +p179093 +asS'Initially , pt was noted to be dry with low FeNa and given IVF .' +p179094 +(lp179095 +S'Initially\tInitially\tRB\tB-ADVP\tO' +p179096 +aS',\t,\t,\tO\tO' +p179097 +aS'pt\tpt\tNN\tB-NP\tO' +p179098 +aS'was\tbe\tVBD\tB-VP\tO' +p179099 +aS'noted\tnote\tVBN\tI-VP\tO' +p179100 +aS'to\tto\tTO\tI-VP\tO' +p179101 +aS'be\tbe\tVB\tI-VP\tO' +p179102 +aS'dry\tdry\tJJ\tB-ADJP\tO' +p179103 +aS'with\twith\tIN\tB-PP\tO' +p179104 +aS'low\tlow\tJJ\tB-NP\tO' +p179105 +aS'FeNa\tFeNa\tNN\tI-NP\tO' +p179106 +aS'and\tand\tCC\tO\tO' +p179107 +aS'given\tgive\tVBN\tB-VP\tO' +p179108 +aS'IVF\tIVF\tNN\tB-NP\tB-protein' +p179109 +aS'.\t.\t.\tO\tO' +p179110 +asS'2. Colace 100 mg po b.i.d.' +p179111 +(lp179112 +S'2.\t2.\tLS\tB-NP\tO' +p179113 +aS'Colace\tColace\tNNP\tI-NP\tO' +p179114 +aS'100\t100\tCD\tI-NP\tO' +p179115 +aS'mg\tmg\tNN\tI-NP\tO' +p179116 +aS'po\tpo\tNN\tI-NP\tO' +p179117 +aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' +p179118 +asS'The proximal diagonal D1 had a 50% stenosis .' +p179119 +(lp179120 +S'The\tThe\tDT\tB-NP\tO' +p179121 +aS'proximal\tproximal\tJJ\tI-NP\tO' +p179122 +aS'diagonal\tdiagonal\tJJ\tI-NP\tO' +p179123 +aS'D1\tD1\tNN\tI-NP\tO' +p179124 +aS'had\thave\tVBD\tB-VP\tO' +p179125 +aS'a\ta\tDT\tB-NP\tO' +p179126 +aS'50%\t50%\tJJ\tI-NP\tO' +p179127 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p179128 +aS'.\t.\t.\tO\tO' +p179129 +asS'He has been maintained on tube feeds and that should be continued .' +p179130 +(lp179131 +S'He\tHe\tPRP\tB-NP\tO' +p179132 +aS'has\thave\tVBZ\tB-VP\tO' +p179133 +aS'been\tbe\tVBN\tI-VP\tO' +p179134 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p179135 +aS'on\ton\tIN\tB-PP\tO' +p179136 +aS'tube\ttube\tNN\tB-NP\tO' +p179137 +aS'feeds\tfeed\tNNS\tI-NP\tO' +p179138 +aS'and\tand\tCC\tO\tO' +p179139 +aS'that\tthat\tDT\tB-NP\tO' +p179140 +aS'should\tshould\tMD\tB-VP\tO' +p179141 +aS'be\tbe\tVB\tI-VP\tO' +p179142 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p179143 +aS'.\t.\t.\tO\tO' +p179144 +asS'Once on the floor , the patient had one episode of afib w/ RVR that responded immediately to IV metoprolol .' +p179145 +(lp179146 +S'Once\tOnce\tRB\tO\tO' +p179147 +aS'on\ton\tIN\tB-PP\tO' +p179148 +aS'the\tthe\tDT\tB-NP\tO' +p179149 +aS'floor\tfloor\tNN\tI-NP\tO' +p179150 +aS',\t,\t,\tO\tO' +p179151 +aS'the\tthe\tDT\tB-NP\tO' +p179152 +aS'patient\tpatient\tNN\tI-NP\tO' +p179153 +aS'had\thave\tVBD\tB-VP\tO' +p179154 +aS'one\tone\tCD\tB-NP\tO' +p179155 +aS'episode\tepisode\tNN\tI-NP\tO' +p179156 +aS'of\tof\tIN\tB-PP\tO' +p179157 +aS'afib\tafib\tJJ\tB-NP\tO' +p179158 +aS'w/\tw/\tNN\tI-NP\tO' +p179159 +aS'RVR\tRVR\tNN\tI-NP\tO' +p179160 +aS'that\tthat\tWDT\tB-NP\tO' +p179161 +aS'responded\trespond\tVBD\tB-VP\tO' +p179162 +aS'immediately\timmediately\tRB\tB-ADVP\tO' +p179163 +aS'to\tto\tTO\tB-PP\tO' +p179164 +aS'IV\tIV\tCD\tB-NP\tO' +p179165 +aS'metoprolol\tmetoprolol\tNN\tI-NP\tO' +p179166 +aS'.\t.\t.\tO\tO' +p179167 +asS'53 yo woman with h/o seizure disorder , demyelinating disease , and brain injury , presents with prolonged seizure , now unresponsive with persistent twitching of right arm and face .' +p179168 +(lp179169 +S'53\t53\tCD\tB-NP\tO' +p179170 +aS'yo\tyo\tNN\tI-NP\tO' +p179171 +aS'woman\twoman\tNN\tI-NP\tO' +p179172 +aS'with\twith\tIN\tB-PP\tO' +p179173 +aS'h/o\th/o\tNN\tB-NP\tO' +p179174 +aS'seizure\tseizure\tNN\tI-NP\tO' +p179175 +aS'disorder\tdisorder\tNN\tI-NP\tO' +p179176 +aS',\t,\t,\tO\tO' +p179177 +aS'demyelinating\tdemyelinate\tVBG\tB-VP\tO' +p179178 +aS'disease\tdisease\tNN\tB-NP\tO' +p179179 +aS',\t,\t,\tO\tO' +p179180 +aS'and\tand\tCC\tO\tO' +p179181 +aS'brain\tbrain\tNN\tB-NP\tO' +p179182 +aS'injury\tinjury\tNN\tI-NP\tO' +p179183 +aS',\t,\t,\tO\tO' +p179184 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p179185 +aS'with\twith\tIN\tB-PP\tO' +p179186 +aS'prolonged\tprolong\tVBN\tB-NP\tO' +p179187 +aS'seizure\tseizure\tNN\tI-NP\tO' +p179188 +aS',\t,\t,\tO\tO' +p179189 +aS'now\tnow\tRB\tB-ADJP\tO' +p179190 +aS'unresponsive\tunresponsive\tJJ\tI-ADJP\tO' +p179191 +aS'with\twith\tIN\tB-PP\tO' +p179192 +aS'persistent\tpersistent\tJJ\tB-NP\tO' +p179193 +aS'twitching\ttwitching\tNN\tI-NP\tO' +p179194 +aS'of\tof\tIN\tB-PP\tO' +p179195 +aS'right\tright\tJJ\tB-NP\tO' +p179196 +aS'arm\tarm\tNN\tI-NP\tO' +p179197 +aS'and\tand\tCC\tI-NP\tO' +p179198 +aS'face\tface\tNN\tI-NP\tO' +p179199 +aS'.\t.\t.\tO\tO' +p179200 +asS'The patient will be discharged to home .' +p179201 +(lp179202 +S'The\tThe\tDT\tB-NP\tO' +p179203 +aS'patient\tpatient\tNN\tI-NP\tO' +p179204 +aS'will\twill\tMD\tB-VP\tO' +p179205 +aS'be\tbe\tVB\tI-VP\tO' +p179206 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p179207 +aS'to\tto\tTO\tB-PP\tO' +p179208 +aS'home\thome\tNN\tB-NP\tO' +p179209 +aS'.\t.\t.\tO\tO' +p179210 +asS'Cardiac examination showed regular rate and rhythm , S1 and S2 .' +p179211 +(lp179212 +S'Cardiac\tCardiac\tJJ\tB-NP\tO' +p179213 +aS'examination\texamination\tNN\tI-NP\tO' +p179214 +aS'showed\tshow\tVBD\tB-VP\tO' +p179215 +aS'regular\tregular\tJJ\tB-NP\tO' +p179216 +aS'rate\trate\tNN\tI-NP\tO' +p179217 +aS'and\tand\tCC\tO\tO' +p179218 +aS'rhythm\trhythm\tNN\tB-NP\tO' +p179219 +aS',\t,\t,\tO\tO' +p179220 +aS'S1\tS1\tNN\tB-NP\tB-protein' +p179221 +aS'and\tand\tCC\tO\tO' +p179222 +aS'S2\tS2\tNN\tB-NP\tB-protein' +p179223 +aS'.\t.\t.\tO\tO' +p179224 +asS'Weight preoperatively was 88.5 kilos , at discharge was 90.4 kilos .' +p179225 +(lp179226 +S'Weight\tWeight\tNN\tB-NP\tO' +p179227 +aS'preoperatively\tpreoperatively\tRB\tB-ADVP\tO' +p179228 +aS'was\tbe\tVBD\tB-VP\tO' +p179229 +aS'88.5\t88.5\tCD\tB-NP\tO' +p179230 +aS'kilos\tkilo\tNNS\tI-NP\tO' +p179231 +aS',\t,\t,\tO\tO' +p179232 +aS'at\tat\tIN\tB-PP\tO' +p179233 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p179234 +aS'was\tbe\tVBD\tB-VP\tO' +p179235 +aS'90.4\t90.4\tCD\tB-NP\tO' +p179236 +aS'kilos\tkilo\tNNS\tI-NP\tO' +p179237 +aS'.\t.\t.\tO\tO' +p179238 +asS'She was able to move her foot and toes .' +p179239 +(lp179240 +S'She\tShe\tPRP\tB-NP\tO' +p179241 +aS'was\tbe\tVBD\tB-VP\tO' +p179242 +aS'able\table\tJJ\tB-ADJP\tO' +p179243 +aS'to\tto\tTO\tB-VP\tO' +p179244 +aS'move\tmove\tVB\tI-VP\tO' +p179245 +aS'her\ther\tPRP$\tB-NP\tO' +p179246 +aS'foot\tfoot\tNN\tI-NP\tO' +p179247 +aS'and\tand\tCC\tI-NP\tO' +p179248 +aS'toes\ttoe\tNNS\tI-NP\tO' +p179249 +aS'.\t.\t.\tO\tO' +p179250 +asS'1. Rectal fissure .' +p179251 +(lp179252 +S'1.\t1.\tLS\tB-NP\tO' +p179253 +aS'Rectal\tRectal\tJJ\tI-NP\tO' +p179254 +aS'fissure\tfissure\tNN\tI-NP\tO' +p179255 +aS'.\t.\t.\tO\tO' +p179256 +asS'The patient is diuresing well , negative 2 liters again per day .' +p179257 +(lp179258 +S'The\tThe\tDT\tB-NP\tO' +p179259 +aS'patient\tpatient\tNN\tI-NP\tO' +p179260 +aS'is\tbe\tVBZ\tB-VP\tO' +p179261 +aS'diuresing\tdiurese\tVBG\tI-VP\tO' +p179262 +aS'well\twell\tRB\tB-ADVP\tO' +p179263 +aS',\t,\t,\tO\tO' +p179264 +aS'negative\tnegative\tJJ\tB-NP\tO' +p179265 +aS'2\t2\tCD\tI-NP\tO' +p179266 +aS'liters\tliter\tNNS\tI-NP\tO' +p179267 +aS'again\tagain\tRB\tB-ADVP\tO' +p179268 +aS'per\tper\tIN\tB-PP\tO' +p179269 +aS'day\tday\tNN\tB-NP\tO' +p179270 +aS'.\t.\t.\tO\tO' +p179271 +asS'A repeat chest x-ray showed resolution of that pneumothorax .' +p179272 +(lp179273 +S'A\tA\tDT\tB-NP\tO' +p179274 +aS'repeat\trepeat\tNN\tI-NP\tO' +p179275 +aS'chest\tchest\tNN\tI-NP\tO' +p179276 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p179277 +aS'showed\tshow\tVBD\tB-VP\tO' +p179278 +aS'resolution\tresolution\tNN\tB-NP\tO' +p179279 +aS'of\tof\tIN\tB-PP\tO' +p179280 +aS'that\tthat\tDT\tB-NP\tO' +p179281 +aS'pneumothorax\tpneumothorax\tNN\tI-NP\tO' +p179282 +aS'.\t.\t.\tO\tO' +p179283 +asS'He remains afebrile with stable vital signs and the patient is ambulating to a level 5 with physical therapy and wishes to be discharged home today .' +p179284 +(lp179285 +S'He\tHe\tPRP\tB-NP\tO' +p179286 +aS'remains\tremain\tVBZ\tB-VP\tO' +p179287 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p179288 +aS'with\twith\tIN\tB-PP\tO' +p179289 +aS'stable\tstable\tJJ\tB-NP\tO' +p179290 +aS'vital\tvital\tJJ\tI-NP\tO' +p179291 +aS'signs\tsign\tNNS\tI-NP\tO' +p179292 +aS'and\tand\tCC\tO\tO' +p179293 +aS'the\tthe\tDT\tB-NP\tO' +p179294 +aS'patient\tpatient\tNN\tI-NP\tO' +p179295 +aS'is\tbe\tVBZ\tB-VP\tO' +p179296 +aS'ambulating\tambulate\tVBG\tI-VP\tO' +p179297 +aS'to\tto\tTO\tB-PP\tO' +p179298 +aS'a\ta\tDT\tB-NP\tO' +p179299 +aS'level\tlevel\tNN\tI-NP\tO' +p179300 +aS'5\t5\tCD\tI-NP\tO' +p179301 +aS'with\twith\tIN\tB-PP\tO' +p179302 +aS'physical\tphysical\tJJ\tB-NP\tO' +p179303 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p179304 +aS'and\tand\tCC\tO\tO' +p179305 +aS'wishes\twish\tVBZ\tB-VP\tO' +p179306 +aS'to\tto\tTO\tI-VP\tO' +p179307 +aS'be\tbe\tVB\tI-VP\tO' +p179308 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p179309 +aS'home\thome\tNN\tB-ADVP\tO' +p179310 +aS'today\ttoday\tNN\tB-NP\tO' +p179311 +aS'.\t.\t.\tO\tO' +p179312 +asS'+Endotracheal tube .' +p179313 +(lp179314 +S'+Endotracheal\t+Endotracheal\tJJ\tB-NP\tO' +p179315 +aS'tube\ttube\tNN\tI-NP\tO' +p179316 +aS'.\t.\t.\tO\tO' +p179317 +asS'Rectal examination was guaiac negative .' +p179318 +(lp179319 +S'Rectal\tRectal\tJJ\tB-NP\tO' +p179320 +aS'examination\texamination\tNN\tI-NP\tO' +p179321 +aS'was\tbe\tVBD\tB-VP\tO' +p179322 +aS'guaiac\tguaiac\tNN\tB-NP\tO' +p179323 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p179324 +aS'.\t.\t.\tO\tO' +p179325 +asS'Neurological examination was non-focal .' +p179326 +(lp179327 +S'Neurological\tNeurological\tJJ\tB-NP\tO' +p179328 +aS'examination\texamination\tNN\tI-NP\tO' +p179329 +aS'was\tbe\tVBD\tB-VP\tO' +p179330 +aS'non-focal\tnon-focal\tJJ\tB-ADJP\tO' +p179331 +aS'.\t.\t.\tO\tO' +p179332 +asS'Chem-7 revealed sodium of 136 , potassium 4.7 , chloride 103 , bicarbonate 22 , BUN 16 , creatinine 0.8 , glucose 284 .' +p179333 +(lp179334 +S'Chem-7\tChem-7\tNN\tB-NP\tO' +p179335 +aS'revealed\treveal\tVBD\tB-VP\tO' +p179336 +aS'sodium\tsodium\tNN\tB-NP\tO' +p179337 +aS'of\tof\tIN\tB-PP\tO' +p179338 +aS'136\t136\tCD\tB-NP\tO' +p179339 +aS',\t,\t,\tO\tO' +p179340 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p179341 +aS'4.7\t4.7\tCD\tI-NP\tO' +p179342 +aS',\t,\t,\tO\tO' +p179343 +aS'chloride\tchloride\tNN\tB-NP\tO' +p179344 +aS'103\t103\tCD\tI-NP\tO' +p179345 +aS',\t,\t,\tO\tO' +p179346 +aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' +p179347 +aS'22\t22\tCD\tI-NP\tO' +p179348 +aS',\t,\t,\tO\tO' +p179349 +aS'BUN\tBUN\tNN\tB-NP\tB-DNA' +p179350 +aS'16\t16\tCD\tI-NP\tI-DNA' +p179351 +aS',\t,\t,\tO\tO' +p179352 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p179353 +aS'0.8\t0.8\tCD\tI-NP\tO' +p179354 +aS',\t,\t,\tO\tO' +p179355 +aS'glucose\tglucose\tNN\tB-NP\tO' +p179356 +aS'284\t284\tCD\tI-NP\tO' +p179357 +aS'.\t.\t.\tO\tO' +p179358 +asS'If you need additional information please call 834-226-3369 .' +p179359 +(lp179360 +S'If\tIf\tIN\tB-SBAR\tO' +p179361 +aS'you\tyou\tPRP\tB-NP\tO' +p179362 +aS'need\tneed\tVBP\tB-VP\tO' +p179363 +aS'additional\tadditional\tJJ\tB-NP\tO' +p179364 +aS'information\tinformation\tNN\tI-NP\tO' +p179365 +aS'please\tplease\tNN\tI-NP\tO' +p179366 +aS'call\tcall\tNN\tI-NP\tO' +p179367 +aS'834-226-3369\t834-226-3369\tCD\tI-NP\tO' +p179368 +aS'.\t.\t.\tO\tO' +p179369 +asS'He had been discharged on one aspirin a day with 20 of Prilosec b.i.d.' +p179370 +(lp179371 +S'He\tHe\tPRP\tB-NP\tO' +p179372 +aS'had\thave\tVBD\tB-VP\tO' +p179373 +aS'been\tbe\tVBN\tI-VP\tO' +p179374 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p179375 +aS'on\ton\tIN\tB-PP\tO' +p179376 +aS'one\tone\tCD\tB-NP\tO' +p179377 +aS'aspirin\taspirin\tNN\tI-NP\tO' +p179378 +aS'a\ta\tDT\tB-NP\tO' +p179379 +aS'day\tday\tNN\tI-NP\tO' +p179380 +aS'with\twith\tIN\tB-PP\tO' +p179381 +aS'20\t20\tCD\tB-NP\tO' +p179382 +aS'of\tof\tIN\tB-PP\tO' +p179383 +aS'Prilosec\tPrilosec\tNNP\tB-NP\tO' +p179384 +aS'b.i.d.\tb.i.d.\t.\tO\tO' +p179385 +asS'Raymond has maintained normal neurological examination throughout admission and there were no concerns at the time of discharge .' +p179386 +(lp179387 +S'Raymond\tRaymond\tNNP\tB-NP\tO' +p179388 +aS'has\thave\tVBZ\tB-VP\tO' +p179389 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p179390 +aS'normal\tnormal\tJJ\tB-NP\tO' +p179391 +aS'neurological\tneurological\tJJ\tI-NP\tO' +p179392 +aS'examination\texamination\tNN\tI-NP\tO' +p179393 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p179394 +aS'admission\tadmission\tNN\tB-NP\tO' +p179395 +aS'and\tand\tCC\tO\tO' +p179396 +aS'there\tthere\tEX\tB-NP\tO' +p179397 +aS'were\tbe\tVBD\tB-VP\tO' +p179398 +aS'no\tno\tDT\tB-NP\tO' +p179399 +aS'concerns\tconcern\tNNS\tI-NP\tO' +p179400 +aS'at\tat\tIN\tB-PP\tO' +p179401 +aS'the\tthe\tDT\tB-NP\tO' +p179402 +aS'time\ttime\tNN\tI-NP\tO' +p179403 +aS'of\tof\tIN\tB-PP\tO' +p179404 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p179405 +aS'.\t.\t.\tO\tO' +p179406 +asS'His angiogram in the operating room , revealed no evidence of an endo leak .' +p179407 +(lp179408 +S'His\tHis\tPRP$\tB-NP\tO' +p179409 +aS'angiogram\tangiogram\tNN\tI-NP\tO' +p179410 +aS'in\tin\tIN\tB-PP\tO' +p179411 +aS'the\tthe\tDT\tB-NP\tO' +p179412 +aS'operating\toperating\tNN\tI-NP\tO' +p179413 +aS'room\troom\tNN\tI-NP\tO' +p179414 +aS',\t,\t,\tO\tO' +p179415 +aS'revealed\treveal\tVBD\tB-VP\tO' +p179416 +aS'no\tno\tDT\tB-NP\tO' +p179417 +aS'evidence\tevidence\tNN\tI-NP\tO' +p179418 +aS'of\tof\tIN\tB-PP\tO' +p179419 +aS'an\tan\tDT\tB-NP\tO' +p179420 +aS'endo\tendo\tNN\tI-NP\tO' +p179421 +aS'leak\tleak\tNN\tI-NP\tO' +p179422 +aS'.\t.\t.\tO\tO' +p179423 +asS'The liver edge was 2 cm below the right costal margin , but smooth and nontender .' +p179424 +(lp179425 +S'The\tThe\tDT\tB-NP\tO' +p179426 +aS'liver\tliver\tNN\tI-NP\tO' +p179427 +aS'edge\tedge\tNN\tI-NP\tO' +p179428 +aS'was\tbe\tVBD\tB-VP\tO' +p179429 +aS'2\t2\tCD\tB-NP\tO' +p179430 +aS'cm\tcm\tNN\tI-NP\tO' +p179431 +aS'below\tbelow\tIN\tB-PP\tO' +p179432 +aS'the\tthe\tDT\tB-NP\tO' +p179433 +aS'right\tright\tJJ\tI-NP\tO' +p179434 +aS'costal\tcostal\tJJ\tI-NP\tO' +p179435 +aS'margin\tmargin\tNN\tI-NP\tO' +p179436 +aS',\t,\t,\tO\tO' +p179437 +aS'but\tbut\tCC\tO\tO' +p179438 +aS'smooth\tsmooth\tJJ\tB-ADJP\tO' +p179439 +aS'and\tand\tCC\tI-ADJP\tO' +p179440 +aS'nontender\tnontender\tJJ\tI-ADJP\tO' +p179441 +aS'.\t.\t.\tO\tO' +p179442 +asS'Prednisone 60 mg daily for 4 days .' +p179443 +(lp179444 +S'Prednisone\tPrednisone\tNN\tB-NP\tO' +p179445 +aS'60\t60\tCD\tI-NP\tO' +p179446 +aS'mg\tmg\tNN\tI-NP\tO' +p179447 +aS'daily\tdaily\tRB\tB-ADVP\tO' +p179448 +aS'for\tfor\tIN\tB-PP\tO' +p179449 +aS'4\t4\tCD\tB-NP\tO' +p179450 +aS'days\tday\tNNS\tI-NP\tO' +p179451 +aS'.\t.\t.\tO\tO' +p179452 +asS'Her white count remained elevated despite discontinuing her G-CSF .' +p179453 +(lp179454 +S'Her\tHer\tPRP$\tB-NP\tO' +p179455 +aS'white\twhite\tJJ\tI-NP\tO' +p179456 +aS'count\tcount\tNN\tI-NP\tO' +p179457 +aS'remained\tremain\tVBD\tB-VP\tO' +p179458 +aS'elevated\televated\tJJ\tB-ADJP\tO' +p179459 +aS'despite\tdespite\tIN\tB-PP\tO' +p179460 +aS'discontinuing\tdiscontinue\tVBG\tB-VP\tO' +p179461 +aS'her\ther\tPRP$\tB-NP\tO' +p179462 +aS'G-CSF\tG-CSF\tNN\tI-NP\tB-protein' +p179463 +aS'.\t.\t.\tO\tO' +p179464 +asS'The patient received a temporary pacing wire on the evening of hospital day number two and on hospital day number three received a dual chamber pacemaker .' +p179465 +(lp179466 +S'The\tThe\tDT\tB-NP\tO' +p179467 +aS'patient\tpatient\tNN\tI-NP\tO' +p179468 +aS'received\treceive\tVBD\tB-VP\tO' +p179469 +aS'a\ta\tDT\tB-NP\tO' +p179470 +aS'temporary\ttemporary\tJJ\tI-NP\tO' +p179471 +aS'pacing\tpacing\tNN\tI-NP\tO' +p179472 +aS'wire\twire\tNN\tI-NP\tO' +p179473 +aS'on\ton\tIN\tB-PP\tO' +p179474 +aS'the\tthe\tDT\tB-NP\tO' +p179475 +aS'evening\tevening\tNN\tI-NP\tO' +p179476 +aS'of\tof\tIN\tB-PP\tO' +p179477 +aS'hospital\thospital\tNN\tB-NP\tO' +p179478 +aS'day\tday\tNN\tI-NP\tO' +p179479 +aS'number\tnumber\tNN\tI-NP\tO' +p179480 +aS'two\ttwo\tCD\tB-NP\tO' +p179481 +aS'and\tand\tCC\tI-NP\tO' +p179482 +aS'on\ton\tIN\tB-PP\tO' +p179483 +aS'hospital\thospital\tNN\tB-NP\tO' +p179484 +aS'day\tday\tNN\tI-NP\tO' +p179485 +aS'number\tnumber\tNN\tI-NP\tO' +p179486 +aS'three\tthree\tCD\tI-NP\tO' +p179487 +aS'received\treceive\tVBD\tB-VP\tO' +p179488 +aS'a\ta\tDT\tB-NP\tO' +p179489 +aS'dual\tdual\tJJ\tI-NP\tO' +p179490 +aS'chamber\tchamber\tNN\tI-NP\tO' +p179491 +aS'pacemaker\tpacemaker\tNN\tI-NP\tO' +p179492 +aS'.\t.\t.\tO\tO' +p179493 +asS'Signed electronically by : DR. Kathy Brendel on : TUE 2017-05-02 8:08 AM' +p179494 +(lp179495 +S'Signed\tSign\tVBN\tB-VP\tO' +p179496 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p179497 +aS'by\tby\tIN\tB-PP\tO' +p179498 +aS':\t:\t:\tO\tO' +p179499 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p179500 +aS'Kathy\tKathy\tNNP\tI-NP\tO' +p179501 +aS'Brendel\tBrendel\tNNP\tI-NP\tO' +p179502 +aS'on\ton\tIN\tB-PP\tO' +p179503 +aS':\t:\t:\tO\tO' +p179504 +aS'TUE\tTUE\tNN\tB-NP\tO' +p179505 +aS'2017-05-02\t2017-05-02\tCD\tI-NP\tO' +p179506 +aS'8:08\t8:08\tCD\tI-NP\tO' +p179507 +aS'AM\tAM\tNN\tI-NP\tO' +p179508 +asS'Pump / HTN : pt had episodes of both hypertension and hypotension during his stay .' +p179509 +(lp179510 +S'Pump\tPump\tNN\tB-NP\tO' +p179511 +aS'/\t/\tSYM\tI-NP\tO' +p179512 +aS'HTN\tHTN\tNN\tI-NP\tB-protein' +p179513 +aS':\t:\t:\tO\tO' +p179514 +aS'pt\tpt\tNN\tB-NP\tO' +p179515 +aS'had\thave\tVBD\tB-VP\tO' +p179516 +aS'episodes\tepisode\tNNS\tB-NP\tO' +p179517 +aS'of\tof\tIN\tB-PP\tO' +p179518 +aS'both\tboth\tCC\tO\tO' +p179519 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p179520 +aS'and\tand\tCC\tI-NP\tO' +p179521 +aS'hypotension\thypotension\tNN\tI-NP\tO' +p179522 +aS'during\tduring\tIN\tB-PP\tO' +p179523 +aS'his\this\tPRP$\tB-NP\tO' +p179524 +aS'stay\tstay\tNN\tI-NP\tO' +p179525 +aS'.\t.\t.\tO\tO' +p179526 +asS'PMH GERD , HTN , Gout , Meningioma , liver hemangioma , episodic vertigo , colon cancer .' +p179527 +(lp179528 +S'PMH\tPMH\tNN\tB-NP\tO' +p179529 +aS'GERD\tGERD\tNN\tI-NP\tO' +p179530 +aS',\t,\t,\tO\tO' +p179531 +aS'HTN\tHTN\tNN\tB-NP\tB-protein' +p179532 +aS',\t,\t,\tO\tO' +p179533 +aS'Gout\tGout\tNN\tB-NP\tO' +p179534 +aS',\t,\t,\tO\tO' +p179535 +aS'Meningioma\tMeningioma\tNN\tB-NP\tO' +p179536 +aS',\t,\t,\tO\tO' +p179537 +aS'liver\tliver\tNN\tB-NP\tO' +p179538 +aS'hemangioma\themangioma\tNN\tI-NP\tO' +p179539 +aS',\t,\t,\tO\tO' +p179540 +aS'episodic\tepisodic\tJJ\tB-NP\tO' +p179541 +aS'vertigo\tvertigo\tNN\tI-NP\tO' +p179542 +aS',\t,\t,\tO\tO' +p179543 +aS'colon\tcolon\tNN\tB-NP\tO' +p179544 +aS'cancer\tcancer\tNN\tI-NP\tO' +p179545 +aS'.\t.\t.\tO\tO' +p179546 +asS'Neurologic - The patient is unresponsive to verbal stimuli , withdrawals the left extremities to noxious stimulation .' +p179547 +(lp179548 +S'Neurologic\tNeurologic\tJJ\tB-ADJP\tO' +p179549 +aS'-\t-\tHYPH\tO\tO' +p179550 +aS'The\tThe\tDT\tB-NP\tO' +p179551 +aS'patient\tpatient\tNN\tI-NP\tO' +p179552 +aS'is\tbe\tVBZ\tB-VP\tO' +p179553 +aS'unresponsive\tunresponsive\tJJ\tB-ADJP\tO' +p179554 +aS'to\tto\tTO\tB-PP\tO' +p179555 +aS'verbal\tverbal\tJJ\tB-NP\tO' +p179556 +aS'stimuli\tstimulus\tNNS\tI-NP\tO' +p179557 +aS',\t,\t,\tO\tO' +p179558 +aS'withdrawals\twithdrawal\tVBZ\tB-VP\tO' +p179559 +aS'the\tthe\tDT\tB-NP\tO' +p179560 +aS'left\tleft\tJJ\tI-NP\tO' +p179561 +aS'extremities\textremity\tNNS\tI-NP\tO' +p179562 +aS'to\tto\tTO\tB-PP\tO' +p179563 +aS'noxious\tnoxious\tJJ\tB-NP\tO' +p179564 +aS'stimulation\tstimulation\tNN\tI-NP\tO' +p179565 +aS'.\t.\t.\tO\tO' +p179566 +asS'Left Arm continue with elevation , ice , and complete all antibiotics' +p179567 +(lp179568 +S'Left\tLeft\tNNP\tB-NP\tO' +p179569 +aS'Arm\tArm\tNNP\tI-NP\tO' +p179570 +aS'continue\tcontinue\tVBP\tB-VP\tO' +p179571 +aS'with\twith\tIN\tB-PP\tO' +p179572 +aS'elevation\televation\tNN\tB-NP\tO' +p179573 +aS',\t,\t,\tO\tO' +p179574 +aS'ice\tice\tNN\tB-NP\tO' +p179575 +aS',\t,\t,\tO\tO' +p179576 +aS'and\tand\tCC\tO\tO' +p179577 +aS'complete\tcomplete\tVB\tB-VP\tO' +p179578 +aS'all\tall\tDT\tB-NP\tO' +p179579 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p179580 +asS'He was given some prn Morphine for comfort .' +p179581 +(lp179582 +S'He\tHe\tPRP\tB-NP\tO' +p179583 +aS'was\tbe\tVBD\tB-VP\tO' +p179584 +aS'given\tgive\tVBN\tI-VP\tO' +p179585 +aS'some\tsome\tDT\tB-NP\tO' +p179586 +aS'prn\tprn\tJJ\tI-NP\tO' +p179587 +aS'Morphine\tMorphine\tNN\tI-NP\tO' +p179588 +aS'for\tfor\tIN\tB-PP\tO' +p179589 +aS'comfort\tcomfort\tNN\tB-NP\tO' +p179590 +aS'.\t.\t.\tO\tO' +p179591 +asS'Chest CT showed bibasilar diffuse infiltrates , PCP was negative .' +p179592 +(lp179593 +S'Chest\tCh\tJJS\tB-NP\tO' +p179594 +aS'CT\tCT\tNN\tI-NP\tB-protein' +p179595 +aS'showed\tshow\tVBD\tB-VP\tO' +p179596 +aS'bibasilar\tbibasilar\tJJ\tB-NP\tB-cell_type' +p179597 +aS'diffuse\tdiffuse\tJJ\tI-NP\tI-cell_type' +p179598 +aS'infiltrates\tinfiltrate\tNNS\tI-NP\tI-cell_type' +p179599 +aS',\t,\t,\tO\tO' +p179600 +aS'PCP\tPCP\tNN\tB-NP\tB-protein' +p179601 +aS'was\tbe\tVBD\tB-VP\tO' +p179602 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p179603 +aS'.\t.\t.\tO\tO' +p179604 +asS'Hypertension , atrial fibrillation , gout .' +p179605 +(lp179606 +S'Hypertension\tHypertension\tNN\tB-NP\tO' +p179607 +aS',\t,\t,\tO\tO' +p179608 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p179609 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p179610 +aS',\t,\t,\tO\tO' +p179611 +aS'gout\tgout\tNN\tB-NP\tO' +p179612 +aS'.\t.\t.\tO\tO' +p179613 +asS'She was then started on ceftriaxone and azithromycin .' +p179614 +(lp179615 +S'She\tShe\tPRP\tB-NP\tO' +p179616 +aS'was\tbe\tVBD\tB-VP\tO' +p179617 +aS'then\tthen\tRB\tI-VP\tO' +p179618 +aS'started\tstart\tVBN\tI-VP\tO' +p179619 +aS'on\ton\tIN\tB-PP\tO' +p179620 +aS'ceftriaxone\tceftriaxone\tNN\tB-NP\tO' +p179621 +aS'and\tand\tCC\tI-NP\tO' +p179622 +aS'azithromycin\tazithromycin\tNN\tI-NP\tO' +p179623 +aS'.\t.\t.\tO\tO' +p179624 +asS'The patient remained hemodynamically stable throughout the course of his hospital stay , and his hematocrit was relatively stable with a gradual drop due to dilutional changes .' +p179625 +(lp179626 +S'The\tThe\tDT\tB-NP\tO' +p179627 +aS'patient\tpatient\tNN\tI-NP\tO' +p179628 +aS'remained\tremain\tVBD\tB-VP\tO' +p179629 +aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' +p179630 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p179631 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p179632 +aS'the\tthe\tDT\tB-NP\tO' +p179633 +aS'course\tcourse\tNN\tI-NP\tO' +p179634 +aS'of\tof\tIN\tB-PP\tO' +p179635 +aS'his\this\tPRP$\tB-NP\tO' +p179636 +aS'hospital\thospital\tNN\tI-NP\tO' +p179637 +aS'stay\tstay\tNN\tI-NP\tO' +p179638 +aS',\t,\t,\tO\tO' +p179639 +aS'and\tand\tCC\tO\tO' +p179640 +aS'his\this\tPRP$\tB-NP\tO' +p179641 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p179642 +aS'was\tbe\tVBD\tB-VP\tO' +p179643 +aS'relatively\trelatively\tRB\tB-ADJP\tO' +p179644 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p179645 +aS'with\twith\tIN\tB-PP\tO' +p179646 +aS'a\ta\tDT\tB-NP\tO' +p179647 +aS'gradual\tgradual\tJJ\tI-NP\tO' +p179648 +aS'drop\tdrop\tNN\tI-NP\tO' +p179649 +aS'due\tdue\tJJ\tB-PP\tO' +p179650 +aS'to\tto\tTO\tB-PP\tO' +p179651 +aS'dilutional\tdilutional\tJJ\tB-NP\tO' +p179652 +aS'changes\tchange\tNNS\tI-NP\tO' +p179653 +aS'.\t.\t.\tO\tO' +p179654 +asS'Moderate pulmonary hypertension was present with a PA of 52/28 .' +p179655 +(lp179656 +S'Moderate\tModerate\tJJ\tB-NP\tO' +p179657 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p179658 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p179659 +aS'was\tbe\tVBD\tB-VP\tO' +p179660 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p179661 +aS'with\twith\tIN\tB-PP\tO' +p179662 +aS'a\ta\tDT\tB-NP\tO' +p179663 +aS'PA\tPA\tNN\tI-NP\tO' +p179664 +aS'of\tof\tIN\tB-PP\tO' +p179665 +aS'52/28\t52/28\tCD\tB-NP\tO' +p179666 +aS'.\t.\t.\tO\tO' +p179667 +asS'He was started on heparin and coumadin for anticoagulation on POD#5 .' +p179668 +(lp179669 +S'He\tHe\tPRP\tB-NP\tO' +p179670 +aS'was\tbe\tVBD\tB-VP\tO' +p179671 +aS'started\tstart\tVBN\tI-VP\tO' +p179672 +aS'on\ton\tIN\tB-PP\tO' +p179673 +aS'heparin\theparin\tNN\tB-NP\tO' +p179674 +aS'and\tand\tCC\tI-NP\tO' +p179675 +aS'coumadin\tcoumadin\tNN\tI-NP\tO' +p179676 +aS'for\tfor\tIN\tB-PP\tO' +p179677 +aS'anticoagulation\tanticoagulation\tNN\tB-NP\tO' +p179678 +aS'on\ton\tIN\tB-PP\tO' +p179679 +aS'POD#5\tPOD#5\tNN\tB-NP\tB-protein' +p179680 +aS'.\t.\t.\tO\tO' +p179681 +asS'While her po intake was minimal she was maintained on supplemental IV dextrose to suppress ketosis .' +p179682 +(lp179683 +S'While\tWhile\tIN\tB-SBAR\tO' +p179684 +aS'her\ther\tPRP$\tB-NP\tO' +p179685 +aS'po\tpo\tNN\tI-NP\tO' +p179686 +aS'intake\tintake\tNN\tI-NP\tO' +p179687 +aS'was\tbe\tVBD\tB-VP\tO' +p179688 +aS'minimal\tminimal\tJJ\tB-ADJP\tO' +p179689 +aS'she\tshe\tPRP\tB-NP\tO' +p179690 +aS'was\tbe\tVBD\tB-VP\tO' +p179691 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p179692 +aS'on\ton\tIN\tB-PP\tO' +p179693 +aS'supplemental\tsupplemental\tJJ\tB-NP\tO' +p179694 +aS'IV\tIV\tCD\tI-NP\tO' +p179695 +aS'dextrose\tdextrose\tNN\tI-NP\tO' +p179696 +aS'to\tto\tTO\tB-VP\tO' +p179697 +aS'suppress\tsuppress\tVB\tI-VP\tO' +p179698 +aS'ketosis\tketosis\tNN\tB-NP\tO' +p179699 +aS'.\t.\t.\tO\tO' +p179700 +asS'Discussion , at that point in time , should occur with the family about comfort measures and about weaning him from his medications to make him more comfortable .' +p179701 +(lp179702 +S'Discussion\tDiscussion\tNN\tB-NP\tO' +p179703 +aS',\t,\t,\tO\tO' +p179704 +aS'at\tat\tIN\tB-PP\tO' +p179705 +aS'that\tthat\tDT\tB-NP\tO' +p179706 +aS'point\tpoint\tNN\tI-NP\tO' +p179707 +aS'in\tin\tIN\tB-PP\tO' +p179708 +aS'time\ttime\tNN\tB-NP\tO' +p179709 +aS',\t,\t,\tO\tO' +p179710 +aS'should\tshould\tMD\tB-VP\tO' +p179711 +aS'occur\toccur\tVB\tI-VP\tO' +p179712 +aS'with\twith\tIN\tB-PP\tO' +p179713 +aS'the\tthe\tDT\tB-NP\tO' +p179714 +aS'family\tfamily\tNN\tI-NP\tO' +p179715 +aS'about\tabout\tIN\tB-PP\tO' +p179716 +aS'comfort\tcomfort\tNN\tB-NP\tO' +p179717 +aS'measures\tmeasure\tNNS\tI-NP\tO' +p179718 +aS'and\tand\tCC\tB-PP\tO' +p179719 +aS'about\tabout\tIN\tB-PP\tO' +p179720 +aS'weaning\twean\tVBG\tB-VP\tO' +p179721 +aS'him\thim\tPRP\tB-NP\tO' +p179722 +aS'from\tfrom\tIN\tB-PP\tO' +p179723 +aS'his\this\tPRP$\tB-NP\tO' +p179724 +aS'medications\tmedication\tNNS\tI-NP\tO' +p179725 +aS'to\tto\tTO\tB-VP\tO' +p179726 +aS'make\tmake\tVB\tI-VP\tO' +p179727 +aS'him\thim\tPRP\tB-NP\tO' +p179728 +aS'more\tmore\tRBR\tB-ADJP\tO' +p179729 +aS'comfortable\tcomfortable\tJJ\tI-ADJP\tO' +p179730 +aS'.\t.\t.\tO\tO' +p179731 +asS'Fs was also checked 179 .' +p179732 +(lp179733 +S'Fs\tF\tNNS\tB-NP\tB-protein' +p179734 +aS'was\tbe\tVBD\tB-VP\tO' +p179735 +aS'also\talso\tRB\tI-VP\tO' +p179736 +aS'checked\tcheck\tVBN\tI-VP\tO' +p179737 +aS'179\t179\tCD\tB-NP\tO' +p179738 +aS'.\t.\t.\tO\tO' +p179739 +asS'2. Hematology .' +p179740 +(lp179741 +S'2.\t2.\tLS\tB-LST\tO' +p179742 +aS'Hematology\tHematology\tNNP\tB-NP\tO' +p179743 +aS'.\t.\t.\tO\tO' +p179744 +asS'16. Acetaminophen 325 mg Tablet Sig : 1-2 Tablets PO Q4-6H ( every 4 to 6 hours ) as needed for pain .' +p179745 +(lp179746 +S'16.\t16.\tCD\tB-NP\tO' +p179747 +aS'Acetaminophen\tAcetaminophen\tNN\tI-NP\tO' +p179748 +aS'325\t325\tCD\tB-NP\tO' +p179749 +aS'mg\tmg\tNN\tI-NP\tO' +p179750 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p179751 +aS'Sig\tSig\tNNP\tI-NP\tO' +p179752 +aS':\t:\t:\tO\tO' +p179753 +aS'1-2\t1-2\tCD\tB-NP\tO' +p179754 +aS'Tablets\tTablet\tNNS\tI-NP\tO' +p179755 +aS'PO\tPO\tNN\tI-NP\tO' +p179756 +aS'Q4-6H\tQ4-6H\tNN\tI-NP\tO' +p179757 +aS'(\t(\t(\tO\tO' +p179758 +aS'every\tevery\tDT\tB-NP\tO' +p179759 +aS'4\t4\tCD\tI-NP\tO' +p179760 +aS'to\tto\tTO\tI-NP\tO' +p179761 +aS'6\t6\tCD\tI-NP\tO' +p179762 +aS'hours\thour\tNNS\tI-NP\tO' +p179763 +aS')\t)\t)\tO\tO' +p179764 +aS'as\tas\tIN\tB-SBAR\tO' +p179765 +aS'needed\tneed\tVBN\tB-VP\tO' +p179766 +aS'for\tfor\tIN\tB-PP\tO' +p179767 +aS'pain\tpain\tNN\tB-NP\tO' +p179768 +aS'.\t.\t.\tO\tO' +p179769 +asS'She has had at least two generalized seizures in the past , but she has not had one since she was 26 years old .' +p179770 +(lp179771 +S'She\tShe\tPRP\tB-NP\tO' +p179772 +aS'has\thave\tVBZ\tB-VP\tO' +p179773 +aS'had\thave\tVBN\tI-VP\tO' +p179774 +aS'at\tat\tIN\tB-NP\tO' +p179775 +aS'least\tleast\tJJS\tI-NP\tO' +p179776 +aS'two\ttwo\tCD\tI-NP\tO' +p179777 +aS'generalized\tgeneralize\tVBN\tI-NP\tO' +p179778 +aS'seizures\tseizure\tNNS\tI-NP\tO' +p179779 +aS'in\tin\tIN\tB-PP\tO' +p179780 +aS'the\tthe\tDT\tB-NP\tO' +p179781 +aS'past\tpast\tNN\tI-NP\tO' +p179782 +aS',\t,\t,\tO\tO' +p179783 +aS'but\tbut\tCC\tO\tO' +p179784 +aS'she\tshe\tPRP\tB-NP\tO' +p179785 +aS'has\thave\tVBZ\tB-VP\tO' +p179786 +aS'not\tnot\tRB\tI-VP\tO' +p179787 +aS'had\thave\tVBN\tI-VP\tO' +p179788 +aS'one\tone\tCD\tB-NP\tO' +p179789 +aS'since\tsince\tIN\tB-SBAR\tO' +p179790 +aS'she\tshe\tPRP\tB-NP\tO' +p179791 +aS'was\tbe\tVBD\tB-VP\tO' +p179792 +aS'26\t26\tCD\tB-NP\tO' +p179793 +aS'years\tyear\tNNS\tI-NP\tO' +p179794 +aS'old\told\tJJ\tB-ADJP\tO' +p179795 +aS'.\t.\t.\tO\tO' +p179796 +asS'EXT : Without edema .' +p179797 +(lp179798 +S'EXT\tEXT\tNN\tB-NP\tO' +p179799 +aS':\t:\t:\tO\tO' +p179800 +aS'Without\tWithout\tIN\tB-PP\tO' +p179801 +aS'edema\tedema\tNN\tB-NP\tO' +p179802 +aS'.\t.\t.\tO\tO' +p179803 +asS'HEENT exam was unremarkable .' +p179804 +(lp179805 +S'HEENT\tHEENT\tNN\tB-NP\tO' +p179806 +aS'exam\texam\tNN\tI-NP\tO' +p179807 +aS'was\tbe\tVBD\tB-VP\tO' +p179808 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p179809 +aS'.\t.\t.\tO\tO' +p179810 +asS'RUPTURED PARATHYROID ADENOMA .' +p179811 +(lp179812 +S'RUPTURED\tRUPTURED\tNNP\tB-NP\tO' +p179813 +aS'PARATHYROID\tPARATHYROID\tNNP\tI-NP\tO' +p179814 +aS'ADENOMA\tADENOMA\tNNP\tI-NP\tO' +p179815 +aS'.\t.\t.\tO\tO' +p179816 +asS'Wound care should be continued as described after discharge .' +p179817 +(lp179818 +S'Wound\tWound\tJJ\tB-NP\tO' +p179819 +aS'care\tcare\tNN\tI-NP\tO' +p179820 +aS'should\tshould\tMD\tB-VP\tO' +p179821 +aS'be\tbe\tVB\tI-VP\tO' +p179822 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p179823 +aS'as\tas\tIN\tB-SBAR\tO' +p179824 +aS'described\tdescribe\tVBN\tB-VP\tO' +p179825 +aS'after\tafter\tIN\tB-PP\tO' +p179826 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p179827 +aS'.\t.\t.\tO\tO' +p179828 +asS'She needs to be given 5 mg of Coumadin tonight , 5/22/92 .' +p179829 +(lp179830 +S'She\tShe\tPRP\tB-NP\tO' +p179831 +aS'needs\tneed\tVBZ\tB-VP\tO' +p179832 +aS'to\tto\tTO\tI-VP\tO' +p179833 +aS'be\tbe\tVB\tI-VP\tO' +p179834 +aS'given\tgive\tVBN\tI-VP\tO' +p179835 +aS'5\t5\tCD\tB-NP\tO' +p179836 +aS'mg\tmg\tNN\tI-NP\tO' +p179837 +aS'of\tof\tIN\tB-PP\tO' +p179838 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p179839 +aS'tonight\ttonight\tNN\tI-NP\tO' +p179840 +aS',\t,\t,\tO\tO' +p179841 +aS'5/22/92\t5/22/92\tCD\tB-NP\tO' +p179842 +aS'.\t.\t.\tO\tO' +p179843 +asS'10. Potassium Chloride 20 mEq Packet Sig : One ( 1 ) Packet PO BID ( 2 times a day ) .' +p179844 +(lp179845 +S'10.\t10.\tLS\tB-NP\tO' +p179846 +aS'Potassium\tPotassium\tNNP\tI-NP\tO' +p179847 +aS'Chloride\tChloride\tNNP\tI-NP\tO' +p179848 +aS'20\t20\tCD\tI-NP\tO' +p179849 +aS'mEq\tmEq\tNNP\tI-NP\tO' +p179850 +aS'Packet\tPacket\tNNP\tI-NP\tO' +p179851 +aS'Sig\tSig\tNNP\tI-NP\tO' +p179852 +aS':\t:\t:\tO\tO' +p179853 +aS'One\tOne\tCD\tB-NP\tO' +p179854 +aS'(\t(\t(\tO\tO' +p179855 +aS'1\t1\tCD\tB-NP\tO' +p179856 +aS')\t)\t)\tO\tO' +p179857 +aS'Packet\tPacket\tNN\tB-NP\tO' +p179858 +aS'PO\tPO\tNN\tI-NP\tO' +p179859 +aS'BID\tBID\tNN\tI-NP\tO' +p179860 +aS'(\t(\t(\tO\tO' +p179861 +aS'2\t2\tCD\tB-NP\tO' +p179862 +aS'times\ttime\tNNS\tI-NP\tO' +p179863 +aS'a\ta\tDT\tB-NP\tO' +p179864 +aS'day\tday\tNN\tI-NP\tO' +p179865 +aS')\t)\t)\tO\tO' +p179866 +aS'.\t.\t.\tO\tO' +p179867 +asS'The patient uses alcohol socially ; was a smoker , used tobacco , she quit 4 years ago ; denies using recreational drug .' +p179868 +(lp179869 +S'The\tThe\tDT\tB-NP\tO' +p179870 +aS'patient\tpatient\tNN\tI-NP\tO' +p179871 +aS'uses\tuse\tVBZ\tB-VP\tO' +p179872 +aS'alcohol\talcohol\tNN\tB-NP\tO' +p179873 +aS'socially\tsocially\tRB\tB-ADVP\tO' +p179874 +aS';\t;\t:\tO\tO' +p179875 +aS'was\tbe\tVBD\tB-VP\tO' +p179876 +aS'a\ta\tDT\tB-NP\tO' +p179877 +aS'smoker\tsmoker\tNN\tI-NP\tO' +p179878 +aS',\t,\t,\tO\tO' +p179879 +aS'used\tuse\tVBN\tB-VP\tO' +p179880 +aS'tobacco\ttobacco\tNN\tB-NP\tO' +p179881 +aS',\t,\t,\tO\tO' +p179882 +aS'she\tshe\tPRP\tB-NP\tO' +p179883 +aS'quit\tquit\tVBD\tB-VP\tO' +p179884 +aS'4\t4\tCD\tB-NP\tO' +p179885 +aS'years\tyear\tNNS\tI-NP\tO' +p179886 +aS'ago\tago\tRB\tB-ADVP\tO' +p179887 +aS';\t;\t:\tO\tO' +p179888 +aS'denies\tdeny\tNNS\tB-NP\tO' +p179889 +aS'using\tuse\tVBG\tB-VP\tO' +p179890 +aS'recreational\trecreational\tJJ\tB-NP\tO' +p179891 +aS'drug\tdrug\tNN\tI-NP\tO' +p179892 +aS'.\t.\t.\tO\tO' +p179893 +asS'3. Benign prostatic hypertrophy , status post transurethral resection of prostate .' +p179894 +(lp179895 +S'3.\t3.\tLS\tB-NP\tO' +p179896 +aS'Benign\tBenign\tJJ\tI-NP\tO' +p179897 +aS'prostatic\tprostatic\tJJ\tI-NP\tO' +p179898 +aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' +p179899 +aS',\t,\t,\tO\tO' +p179900 +aS'status\tstatus\tNN\tB-NP\tO' +p179901 +aS'post\tpost\tNN\tI-NP\tO' +p179902 +aS'transurethral\ttransurethral\tJJ\tI-NP\tO' +p179903 +aS'resection\tresection\tNN\tI-NP\tO' +p179904 +aS'of\tof\tIN\tB-PP\tO' +p179905 +aS'prostate\tprostate\tNN\tB-NP\tO' +p179906 +aS'.\t.\t.\tO\tO' +p179907 +asS'All other systems were negative .' +p179908 +(lp179909 +S'All\tAll\tDT\tB-NP\tO' +p179910 +aS'other\tother\tJJ\tI-NP\tO' +p179911 +aS'systems\tsystem\tNNS\tI-NP\tO' +p179912 +aS'were\tbe\tVBD\tB-VP\tO' +p179913 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p179914 +aS'.\t.\t.\tO\tO' +p179915 +asS'However , he was given aggressive pulmonary toilets including chest physical therapy and aspiration precautions and the patient did not develop any pulmonary symptoms during his admission .' +p179916 +(lp179917 +S'However\tHowever\tRB\tB-ADVP\tO' +p179918 +aS',\t,\t,\tO\tO' +p179919 +aS'he\the\tPRP\tB-NP\tO' +p179920 +aS'was\tbe\tVBD\tB-VP\tO' +p179921 +aS'given\tgive\tVBN\tI-VP\tO' +p179922 +aS'aggressive\taggressive\tJJ\tB-NP\tO' +p179923 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p179924 +aS'toilets\ttoilet\tNNS\tI-NP\tO' +p179925 +aS'including\tinclude\tVBG\tB-PP\tO' +p179926 +aS'chest\tchest\tNN\tB-NP\tO' +p179927 +aS'physical\tphysical\tJJ\tI-NP\tO' +p179928 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p179929 +aS'and\tand\tCC\tI-NP\tO' +p179930 +aS'aspiration\taspiration\tNN\tI-NP\tO' +p179931 +aS'precautions\tprecaution\tNNS\tI-NP\tO' +p179932 +aS'and\tand\tCC\tO\tO' +p179933 +aS'the\tthe\tDT\tB-NP\tO' +p179934 +aS'patient\tpatient\tNN\tI-NP\tO' +p179935 +aS'did\tdo\tVBD\tB-VP\tO' +p179936 +aS'not\tnot\tRB\tI-VP\tO' +p179937 +aS'develop\tdevelop\tVB\tI-VP\tO' +p179938 +aS'any\tany\tDT\tB-NP\tO' +p179939 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p179940 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p179941 +aS'during\tduring\tIN\tB-PP\tO' +p179942 +aS'his\this\tPRP$\tB-NP\tO' +p179943 +aS'admission\tadmission\tNN\tI-NP\tO' +p179944 +aS'.\t.\t.\tO\tO' +p179945 +asS'Patient has never had a pessary and refused one and denies nausea , fever , chills , dysuria , or stress incontinence on her current admission .' +p179946 +(lp179947 +S'Patient\tPatient\tNN\tB-NP\tO' +p179948 +aS'has\thave\tVBZ\tB-VP\tO' +p179949 +aS'never\tnever\tRB\tI-VP\tO' +p179950 +aS'had\thave\tVBD\tI-VP\tO' +p179951 +aS'a\ta\tDT\tB-NP\tO' +p179952 +aS'pessary\tpessary\tJJ\tI-NP\tO' +p179953 +aS'and\tand\tCC\tO\tO' +p179954 +aS'refused\trefuse\tVBD\tB-VP\tO' +p179955 +aS'one\tone\tCD\tB-NP\tO' +p179956 +aS'and\tand\tCC\tO\tO' +p179957 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p179958 +aS'nausea\tnausea\tNN\tB-NP\tO' +p179959 +aS',\t,\t,\tO\tO' +p179960 +aS'fever\tfever\tNN\tB-NP\tO' +p179961 +aS',\t,\t,\tO\tO' +p179962 +aS'chills\tchill\tNNS\tB-NP\tO' +p179963 +aS',\t,\t,\tO\tO' +p179964 +aS'dysuria\tdysuria\tNN\tB-NP\tO' +p179965 +aS',\t,\t,\tO\tO' +p179966 +aS'or\tor\tCC\tO\tO' +p179967 +aS'stress\tstress\tNN\tB-NP\tO' +p179968 +aS'incontinence\tincontinence\tNN\tI-NP\tO' +p179969 +aS'on\ton\tIN\tB-PP\tO' +p179970 +aS'her\ther\tPRP$\tB-NP\tO' +p179971 +aS'current\tcurrent\tJJ\tI-NP\tO' +p179972 +aS'admission\tadmission\tNN\tI-NP\tO' +p179973 +aS'.\t.\t.\tO\tO' +p179974 +asS'2. Cardiac .' +p179975 +(lp179976 +S'2.\t2.\tLS\tB-LST\tO' +p179977 +aS'Cardiac\tCardiac\tNNP\tB-NP\tO' +p179978 +aS'.\t.\t.\tO\tO' +p179979 +asS'Vancomycin was also added to his regimen on 11/28/94 and this was primarily to provide improved MRSA coverage as he continued to have erythema along the lateral right lower extremity .' +p179980 +(lp179981 +S'Vancomycin\tVancomycin\tNN\tB-NP\tO' +p179982 +aS'was\tbe\tVBD\tB-VP\tO' +p179983 +aS'also\talso\tRB\tI-VP\tO' +p179984 +aS'added\tadd\tVBN\tI-VP\tO' +p179985 +aS'to\tto\tTO\tB-PP\tO' +p179986 +aS'his\this\tPRP$\tB-NP\tO' +p179987 +aS'regimen\tregimen\tNN\tI-NP\tO' +p179988 +aS'on\ton\tIN\tB-PP\tO' +p179989 +aS'11/28/94\t11/28/94\tCD\tB-NP\tO' +p179990 +aS'and\tand\tCC\tO\tO' +p179991 +aS'this\tthis\tDT\tB-NP\tO' +p179992 +aS'was\tbe\tVBD\tB-VP\tO' +p179993 +aS'primarily\tprimarily\tRB\tB-ADVP\tO' +p179994 +aS'to\tto\tTO\tB-VP\tO' +p179995 +aS'provide\tprovide\tVB\tI-VP\tO' +p179996 +aS'improved\timproved\tJJ\tB-NP\tO' +p179997 +aS'MRSA\tMRSA\tNN\tI-NP\tO' +p179998 +aS'coverage\tcoverage\tNN\tI-NP\tO' +p179999 +aS'as\tas\tIN\tB-SBAR\tO' +p180000 +aS'he\the\tPRP\tB-NP\tO' +p180001 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p180002 +aS'to\tto\tTO\tI-VP\tO' +p180003 +aS'have\thave\tVB\tI-VP\tO' +p180004 +aS'erythema\terythema\tNN\tB-NP\tO' +p180005 +aS'along\talong\tIN\tB-PP\tO' +p180006 +aS'the\tthe\tDT\tB-NP\tO' +p180007 +aS'lateral\tlateral\tJJ\tI-NP\tO' +p180008 +aS'right\tright\tNN\tI-NP\tO' +p180009 +aS'lower\tlow\tJJR\tB-NP\tO' +p180010 +aS'extremity\textremity\tNN\tI-NP\tO' +p180011 +aS'.\t.\t.\tO\tO' +p180012 +asS'9. Vistaril 50 mg once a day as needed for nausea .' +p180013 +(lp180014 +S'9.\t9.\tCD\tB-NP\tO' +p180015 +aS'Vistaril\tVistaril\tNNP\tI-NP\tO' +p180016 +aS'50\t50\tCD\tI-NP\tO' +p180017 +aS'mg\tmg\tNN\tI-NP\tO' +p180018 +aS'once\tonce\tRB\tB-ADVP\tO' +p180019 +aS'a\ta\tDT\tB-NP\tO' +p180020 +aS'day\tday\tNN\tI-NP\tO' +p180021 +aS'as\tas\tIN\tB-SBAR\tO' +p180022 +aS'needed\tneed\tVBN\tB-VP\tO' +p180023 +aS'for\tfor\tIN\tB-PP\tO' +p180024 +aS'nausea\tnausea\tNN\tB-NP\tO' +p180025 +aS'.\t.\t.\tO\tO' +p180026 +asS'5. Percocet 1-2 tablets p.o. q. 4 p.r.n. pain .' +p180027 +(lp180028 +S'5.\t5.\tLS\tB-LST\tO' +p180029 +aS'Percocet\tPercocet\tNNP\tB-NP\tO' +p180030 +aS'1-2\t1-2\tCD\tI-NP\tO' +p180031 +aS'tablets\ttablet\tNNS\tI-NP\tO' +p180032 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p180033 +aS'q.\tq.\tNN\tI-NP\tO' +p180034 +aS'4\t4\tCD\tI-NP\tO' +p180035 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p180036 +aS'pain\tpain\tNN\tI-NP\tO' +p180037 +aS'.\t.\t.\tO\tO' +p180038 +asS'Heart was regular rate and rhythm .' +p180039 +(lp180040 +S'Heart\tHeart\tNNP\tB-NP\tO' +p180041 +aS'was\tbe\tVBD\tB-VP\tO' +p180042 +aS'regular\tregular\tJJ\tB-NP\tO' +p180043 +aS'rate\trate\tNN\tI-NP\tO' +p180044 +aS'and\tand\tCC\tI-NP\tO' +p180045 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p180046 +aS'.\t.\t.\tO\tO' +p180047 +asS'RPR evaluating for possible neurologic syphilis was also checked .' +p180048 +(lp180049 +S'RPR\tRPR\tNN\tB-NP\tB-protein' +p180050 +aS'evaluating\tevaluate\tVBG\tB-VP\tO' +p180051 +aS'for\tfor\tIN\tB-PP\tO' +p180052 +aS'possible\tpossible\tJJ\tB-NP\tO' +p180053 +aS'neurologic\tneurologic\tJJ\tI-NP\tO' +p180054 +aS'syphilis\tsyphilis\tNN\tI-NP\tO' +p180055 +aS'was\tbe\tVBD\tB-VP\tO' +p180056 +aS'also\talso\tRB\tI-VP\tO' +p180057 +aS'checked\tcheck\tVBN\tI-VP\tO' +p180058 +aS'.\t.\t.\tO\tO' +p180059 +asS'There is no interval loss of focal gray - white matter differentiation to suggest acute infarction , though CT is not sensitive in the early stages .' +p180060 +(lp180061 +S'There\tThere\tEX\tB-NP\tO' +p180062 +aS'is\tbe\tVBZ\tB-VP\tO' +p180063 +aS'no\tno\tDT\tB-NP\tO' +p180064 +aS'interval\tinterval\tJJ\tI-NP\tO' +p180065 +aS'loss\tloss\tNN\tI-NP\tO' +p180066 +aS'of\tof\tIN\tB-PP\tO' +p180067 +aS'focal\tfocal\tJJ\tB-NP\tO' +p180068 +aS'gray\tgray\tJJ\tI-NP\tO' +p180069 +aS'-\t-\tHYPH\tI-NP\tO' +p180070 +aS'white\twhite\tJJ\tI-NP\tO' +p180071 +aS'matter\tmatter\tNN\tI-NP\tO' +p180072 +aS'differentiation\tdifferentiation\tNN\tI-NP\tO' +p180073 +aS'to\tto\tTO\tB-VP\tO' +p180074 +aS'suggest\tsuggest\tVB\tI-VP\tO' +p180075 +aS'acute\tacute\tJJ\tB-NP\tO' +p180076 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p180077 +aS',\t,\t,\tO\tO' +p180078 +aS'though\tthough\tIN\tB-SBAR\tO' +p180079 +aS'CT\tCT\tNN\tB-NP\tB-protein' +p180080 +aS'is\tbe\tVBZ\tB-VP\tO' +p180081 +aS'not\tnot\tRB\tO\tO' +p180082 +aS'sensitive\tsensitive\tJJ\tB-ADJP\tO' +p180083 +aS'in\tin\tIN\tB-PP\tO' +p180084 +aS'the\tthe\tDT\tB-NP\tO' +p180085 +aS'early\tearly\tJJ\tI-NP\tO' +p180086 +aS'stages\tstage\tNNS\tI-NP\tO' +p180087 +aS'.\t.\t.\tO\tO' +p180088 +asS'Cardiovascular : Regular rate and rhythm , no murmurs .' +p180089 +(lp180090 +S'Cardiovascular\tCardiovascular\tJJ\tB-ADJP\tO' +p180091 +aS':\t:\t:\tO\tO' +p180092 +aS'Regular\tRegular\tJJ\tB-NP\tO' +p180093 +aS'rate\trate\tNN\tI-NP\tO' +p180094 +aS'and\tand\tCC\tI-NP\tO' +p180095 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p180096 +aS',\t,\t,\tO\tO' +p180097 +aS'no\tno\tDT\tB-NP\tO' +p180098 +aS'murmurs\tmurmur\tNNS\tI-NP\tO' +p180099 +aS'.\t.\t.\tO\tO' +p180100 +asS'extubated .' +p180101 +(lp180102 +S'extubated\textubate\tVBN\tB-VP\tO' +p180103 +aS'.\t.\t.\tO\tO' +p180104 +asS'Followup Instructions : see dc summary' +p180105 +(lp180106 +S'Followup\tFollowup\tNNP\tB-NP\tO' +p180107 +aS'Instructions\tInstruction\tNNPS\tI-NP\tO' +p180108 +aS':\t:\t:\tO\tO' +p180109 +aS'see\tsee\tVB\tB-VP\tO' +p180110 +aS'dc\tdc\tNN\tB-NP\tO' +p180111 +aS'summary\tsummary\tNN\tI-NP\tO' +p180112 +asS'Nasal cannula was weaned off on day of life 3 and he initially was maintaining O2 sat above 94% and breathing comfortably .' +p180113 +(lp180114 +S'Nasal\tNasal\tJJ\tB-NP\tO' +p180115 +aS'cannula\tcannula\tNN\tI-NP\tO' +p180116 +aS'was\tbe\tVBD\tB-VP\tO' +p180117 +aS'weaned\twean\tVBN\tI-VP\tO' +p180118 +aS'off\toff\tRP\tB-PRT\tO' +p180119 +aS'on\ton\tIN\tB-PP\tO' +p180120 +aS'day\tday\tNN\tB-NP\tO' +p180121 +aS'of\tof\tIN\tB-PP\tO' +p180122 +aS'life\tlife\tNN\tB-NP\tB-protein' +p180123 +aS'3\t3\tCD\tI-NP\tI-protein' +p180124 +aS'and\tand\tCC\tO\tO' +p180125 +aS'he\the\tPRP\tB-NP\tO' +p180126 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p180127 +aS'was\tbe\tVBD\tB-VP\tO' +p180128 +aS'maintaining\tmaintain\tVBG\tI-VP\tO' +p180129 +aS'O2\tO2\tNN\tB-NP\tO' +p180130 +aS'sat\tsit\tVBD\tB-VP\tO' +p180131 +aS'above\tabove\tIN\tB-PP\tO' +p180132 +aS'94%\t94%\tNN\tB-NP\tO' +p180133 +aS'and\tand\tCC\tI-NP\tO' +p180134 +aS'breathing\tbreathing\tNN\tI-NP\tO' +p180135 +aS'comfortably\tcomfortably\tRB\tB-ADVP\tO' +p180136 +aS'.\t.\t.\tO\tO' +p180137 +asS'This also did not help in the attempt to wean from Neo-Synephrine .' +p180138 +(lp180139 +S'This\tThis\tDT\tB-NP\tO' +p180140 +aS'also\talso\tRB\tB-ADVP\tO' +p180141 +aS'did\tdo\tVBD\tB-VP\tO' +p180142 +aS'not\tnot\tRB\tI-VP\tO' +p180143 +aS'help\thelp\tVB\tI-VP\tO' +p180144 +aS'in\tin\tIN\tB-PP\tO' +p180145 +aS'the\tthe\tDT\tB-NP\tO' +p180146 +aS'attempt\tattempt\tNN\tI-NP\tO' +p180147 +aS'to\tto\tTO\tB-VP\tO' +p180148 +aS'wean\twean\tVB\tI-VP\tO' +p180149 +aS'from\tfrom\tIN\tB-PP\tO' +p180150 +aS'Neo-Synephrine\tNeo-Synephrine\tNN\tB-NP\tO' +p180151 +aS'.\t.\t.\tO\tO' +p180152 +asS'Infant was started on double phototherapy on day of life two for a maximum bilirubin level of 8.1 with a direct of 0.3 .' +p180153 +(lp180154 +S'Infant\tInfant\tNN\tB-NP\tO' +p180155 +aS'was\tbe\tVBD\tB-VP\tO' +p180156 +aS'started\tstart\tVBN\tI-VP\tO' +p180157 +aS'on\ton\tIN\tB-PP\tO' +p180158 +aS'double\tdouble\tJJ\tB-NP\tO' +p180159 +aS'phototherapy\tphototherapy\tNN\tI-NP\tO' +p180160 +aS'on\ton\tIN\tB-PP\tO' +p180161 +aS'day\tday\tNN\tB-NP\tO' +p180162 +aS'of\tof\tIN\tB-PP\tO' +p180163 +aS'life\tlife\tNN\tB-NP\tO' +p180164 +aS'two\ttwo\tCD\tI-NP\tO' +p180165 +aS'for\tfor\tIN\tB-PP\tO' +p180166 +aS'a\ta\tDT\tB-NP\tO' +p180167 +aS'maximum\tmaximum\tNN\tI-NP\tO' +p180168 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p180169 +aS'level\tlevel\tNN\tI-NP\tO' +p180170 +aS'of\tof\tIN\tB-PP\tO' +p180171 +aS'8.1\t8.1\tCD\tB-NP\tO' +p180172 +aS'with\twith\tIN\tB-PP\tO' +p180173 +aS'a\ta\tDT\tB-NP\tO' +p180174 +aS'direct\tdirect\tNN\tI-NP\tO' +p180175 +aS'of\tof\tIN\tB-PP\tO' +p180176 +aS'0.3\t0.3\tCD\tB-NP\tO' +p180177 +aS'.\t.\t.\tO\tO' +p180178 +asS'This biopsy came back as positive for adenocarcinoma .' +p180179 +(lp180180 +S'This\tThis\tDT\tB-NP\tO' +p180181 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p180182 +aS'came\tcome\tVBD\tB-VP\tO' +p180183 +aS'back\tback\tRB\tB-ADVP\tO' +p180184 +aS'as\tas\tRB\tB-ADJP\tO' +p180185 +aS'positive\tpositive\tJJ\tI-ADJP\tO' +p180186 +aS'for\tfor\tIN\tB-PP\tO' +p180187 +aS'adenocarcinoma\tadenocarcinoma\tNN\tB-NP\tO' +p180188 +aS'.\t.\t.\tO\tO' +p180189 +asS'The patient was sent to rehabilitation on Levofloxacin orally .' +p180190 +(lp180191 +S'The\tThe\tDT\tB-NP\tO' +p180192 +aS'patient\tpatient\tNN\tI-NP\tO' +p180193 +aS'was\tbe\tVBD\tB-VP\tO' +p180194 +aS'sent\tsend\tVBN\tI-VP\tO' +p180195 +aS'to\tto\tTO\tB-PP\tO' +p180196 +aS'rehabilitation\trehabilitation\tNN\tB-NP\tO' +p180197 +aS'on\ton\tIN\tB-PP\tO' +p180198 +aS'Levofloxacin\tLevofloxacin\tNN\tB-NP\tO' +p180199 +aS'orally\torally\tRB\tB-ADVP\tO' +p180200 +aS'.\t.\t.\tO\tO' +p180201 +asS'Phosphate was 3.6 and magnesium was 2.2 .' +p180202 +(lp180203 +S'Phosphate\tPhosphate\tNN\tB-NP\tO' +p180204 +aS'was\tbe\tVBD\tB-VP\tO' +p180205 +aS'3.6\t3.6\tCD\tB-NP\tO' +p180206 +aS'and\tand\tCC\tO\tO' +p180207 +aS'magnesium\tmagnesium\tNN\tB-NP\tO' +p180208 +aS'was\tbe\tVBD\tB-VP\tO' +p180209 +aS'2.2\t2.2\tCD\tB-NP\tO' +p180210 +aS'.\t.\t.\tO\tO' +p180211 +asS'The patient apparently did well until June 1998 when he noted a bulge in his sternal area .' +p180212 +(lp180213 +S'The\tThe\tDT\tB-NP\tO' +p180214 +aS'patient\tpatient\tNN\tI-NP\tO' +p180215 +aS'apparently\tapparently\tRB\tB-ADVP\tO' +p180216 +aS'did\tdo\tVBD\tB-VP\tO' +p180217 +aS'well\twell\tRB\tB-ADVP\tO' +p180218 +aS'until\tuntil\tIN\tB-PP\tO' +p180219 +aS'June\tJune\tNNP\tB-NP\tO' +p180220 +aS'1998\t1998\tCD\tI-NP\tO' +p180221 +aS'when\twhen\tWRB\tB-ADVP\tO' +p180222 +aS'he\the\tPRP\tB-NP\tO' +p180223 +aS'noted\tnote\tVBD\tB-VP\tO' +p180224 +aS'a\ta\tDT\tB-NP\tO' +p180225 +aS'bulge\tbulge\tNN\tI-NP\tO' +p180226 +aS'in\tin\tIN\tB-PP\tO' +p180227 +aS'his\this\tPRP$\tB-NP\tO' +p180228 +aS'sternal\tsternal\tJJ\tI-NP\tO' +p180229 +aS'area\tarea\tNN\tI-NP\tO' +p180230 +aS'.\t.\t.\tO\tO' +p180231 +asS'The patient was alert , awake and oriented , pleasant , and in no acute distress .' +p180232 +(lp180233 +S'The\tThe\tDT\tB-NP\tO' +p180234 +aS'patient\tpatient\tNN\tI-NP\tO' +p180235 +aS'was\tbe\tVBD\tB-VP\tO' +p180236 +aS'alert\talert\tJJ\tB-NP\tO' +p180237 +aS',\t,\t,\tI-NP\tO' +p180238 +aS'awake\tawake\tJJ\tI-NP\tO' +p180239 +aS'and\tand\tCC\tI-NP\tO' +p180240 +aS'oriented\torient\tVBN\tI-NP\tO' +p180241 +aS',\t,\t,\tO\tO' +p180242 +aS'pleasant\tpleasant\tNN\tB-NP\tO' +p180243 +aS',\t,\t,\tO\tO' +p180244 +aS'and\tand\tCC\tO\tO' +p180245 +aS'in\tin\tIN\tB-PP\tO' +p180246 +aS'no\tno\tDT\tB-NP\tO' +p180247 +aS'acute\tacute\tJJ\tI-NP\tO' +p180248 +aS'distress\tdistress\tNN\tI-NP\tO' +p180249 +aS'.\t.\t.\tO\tO' +p180250 +asS'General : The patient was a well appearing female in no acute distress .' +p180251 +(lp180252 +S'General\tGeneral\tNNP\tB-NP\tO' +p180253 +aS':\t:\t:\tO\tO' +p180254 +aS'The\tThe\tDT\tB-NP\tO' +p180255 +aS'patient\tpatient\tNN\tI-NP\tO' +p180256 +aS'was\tbe\tVBD\tB-VP\tO' +p180257 +aS'a\ta\tDT\tB-NP\tO' +p180258 +aS'well\twell\tRB\tI-NP\tO' +p180259 +aS'appearing\tappear\tVBG\tI-NP\tO' +p180260 +aS'female\tfemale\tJJ\tB-ADJP\tO' +p180261 +aS'in\tin\tIN\tB-PP\tO' +p180262 +aS'no\tno\tDT\tB-NP\tO' +p180263 +aS'acute\tacute\tJJ\tI-NP\tO' +p180264 +aS'distress\tdistress\tNN\tI-NP\tO' +p180265 +aS'.\t.\t.\tO\tO' +p180266 +asS'He denies any emesis , melena , diarrhea or constipation .' +p180267 +(lp180268 +S'He\tHe\tPRP\tB-NP\tO' +p180269 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p180270 +aS'any\tany\tDT\tB-NP\tO' +p180271 +aS'emesis\temesis\tNN\tI-NP\tO' +p180272 +aS',\t,\t,\tI-NP\tO' +p180273 +aS'melena\tmelena\tNN\tI-NP\tO' +p180274 +aS',\t,\t,\tI-NP\tO' +p180275 +aS'diarrhea\tdiarrhea\tNN\tI-NP\tO' +p180276 +aS'or\tor\tCC\tI-NP\tO' +p180277 +aS'constipation\tconstipation\tNN\tI-NP\tO' +p180278 +aS'.\t.\t.\tO\tO' +p180279 +asS'Graft versus host disease , recently on cyclosporine 50 b.i.d. and prednisone 60 q.d.' +p180280 +(lp180281 +S'Graft\tGraft\tNN\tB-NP\tO' +p180282 +aS'versus\tversus\tCC\tI-NP\tO' +p180283 +aS'host\thost\tNN\tI-NP\tO' +p180284 +aS'disease\tdisease\tNN\tI-NP\tO' +p180285 +aS',\t,\t,\tO\tO' +p180286 +aS'recently\trecently\tRB\tB-ADVP\tO' +p180287 +aS'on\ton\tIN\tB-PP\tO' +p180288 +aS'cyclosporine\tcyclosporine\tNN\tB-NP\tO' +p180289 +aS'50\t50\tCD\tI-NP\tO' +p180290 +aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' +p180291 +aS'and\tand\tCC\tI-NP\tO' +p180292 +aS'prednisone\tprednisone\tNN\tI-NP\tO' +p180293 +aS'60\t60\tCD\tB-NP\tO' +p180294 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p180295 +asS'Significant for depression .' +p180296 +(lp180297 +S'Significant\tSignificant\tJJ\tB-ADJP\tO' +p180298 +aS'for\tfor\tIN\tB-PP\tO' +p180299 +aS'depression\tdepression\tNN\tB-NP\tO' +p180300 +aS'.\t.\t.\tO\tO' +p180301 +asS'BP 90s-118/47-59 , HR 80-90s .' +p180302 +(lp180303 +S'BP\tBP\tNN\tB-NP\tO' +p180304 +aS'90s-118/47-59\t90s-118/47-59\tCD\tI-NP\tO' +p180305 +aS',\t,\t,\tO\tO' +p180306 +aS'HR\tHR\tNN\tB-NP\tO' +p180307 +aS'80-90s\t80-90\tNNS\tI-NP\tO' +p180308 +aS'.\t.\t.\tO\tO' +p180309 +asS'The patient was admitted on February 5 , 1994 and had a central venous line placed in her right subclavian .' +p180310 +(lp180311 +S'The\tThe\tDT\tB-NP\tO' +p180312 +aS'patient\tpatient\tNN\tI-NP\tO' +p180313 +aS'was\tbe\tVBD\tB-VP\tO' +p180314 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p180315 +aS'on\ton\tIN\tB-PP\tO' +p180316 +aS'February\tFebruary\tNNP\tB-NP\tO' +p180317 +aS'5\t5\tCD\tI-NP\tO' +p180318 +aS',\t,\t,\tI-NP\tO' +p180319 +aS'1994\t1994\tCD\tI-NP\tO' +p180320 +aS'and\tand\tCC\tO\tO' +p180321 +aS'had\thave\tVBD\tB-VP\tO' +p180322 +aS'a\ta\tDT\tB-NP\tO' +p180323 +aS'central\tcentral\tJJ\tI-NP\tO' +p180324 +aS'venous\tvenous\tJJ\tI-NP\tO' +p180325 +aS'line\tline\tNN\tI-NP\tO' +p180326 +aS'placed\tplace\tVBN\tB-VP\tO' +p180327 +aS'in\tin\tIN\tB-PP\tO' +p180328 +aS'her\ther\tPRP$\tB-NP\tO' +p180329 +aS'right\tright\tJJ\tI-NP\tO' +p180330 +aS'subclavian\tsubclavian\tNN\tI-NP\tO' +p180331 +aS'.\t.\t.\tO\tO' +p180332 +asS'He had atelectasis in the right lower lobe by chest x-ray .' +p180333 +(lp180334 +S'He\tHe\tPRP\tB-NP\tO' +p180335 +aS'had\thave\tVBD\tB-VP\tO' +p180336 +aS'atelectasis\tatelectasis\tNN\tB-NP\tO' +p180337 +aS'in\tin\tIN\tB-PP\tO' +p180338 +aS'the\tthe\tDT\tB-NP\tO' +p180339 +aS'right\tright\tJJ\tI-NP\tO' +p180340 +aS'lower\tlow\tJJR\tI-NP\tO' +p180341 +aS'lobe\tlobe\tNN\tI-NP\tO' +p180342 +aS'by\tby\tIN\tB-PP\tO' +p180343 +aS'chest\tchest\tNN\tB-NP\tO' +p180344 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p180345 +aS'.\t.\t.\tO\tO' +p180346 +asS'Nortriptyline 10 mg q. h.s. ; Flomax 0.4 mg q. h.s. ; Neurontin 600 mg three times a day .' +p180347 +(lp180348 +S'Nortriptyline\tNortriptyline\tNN\tB-NP\tO' +p180349 +aS'10\t10\tCD\tI-NP\tO' +p180350 +aS'mg\tmg\tNN\tI-NP\tO' +p180351 +aS'q.\tq.\tNN\tI-NP\tO' +p180352 +aS'h.s.\th.s.\tNN\tI-NP\tO' +p180353 +aS';\t;\t:\tO\tO' +p180354 +aS'Flomax\tFlomax\tNN\tB-NP\tO' +p180355 +aS'0.4\t0.4\tCD\tI-NP\tO' +p180356 +aS'mg\tmg\tNN\tI-NP\tO' +p180357 +aS'q.\tq.\tNN\tI-NP\tO' +p180358 +aS'h.s.\th.s.\tNN\tI-NP\tO' +p180359 +aS';\t;\t:\tO\tO' +p180360 +aS'Neurontin\tNeurontin\tNN\tB-NP\tO' +p180361 +aS'600\t600\tCD\tI-NP\tO' +p180362 +aS'mg\tmg\tNN\tI-NP\tO' +p180363 +aS'three\tthree\tCD\tB-NP\tO' +p180364 +aS'times\ttime\tNNS\tI-NP\tO' +p180365 +aS'a\ta\tDT\tB-NP\tO' +p180366 +aS'day\tday\tNN\tI-NP\tO' +p180367 +aS'.\t.\t.\tO\tO' +p180368 +asS'He may observe regular activity although he should avoid strenuous activity and should not drive while on pain medications .' +p180369 +(lp180370 +S'He\tHe\tPRP\tB-NP\tO' +p180371 +aS'may\tmay\tMD\tB-VP\tO' +p180372 +aS'observe\tobserve\tVB\tI-VP\tO' +p180373 +aS'regular\tregular\tJJ\tB-NP\tO' +p180374 +aS'activity\tactivity\tNN\tI-NP\tO' +p180375 +aS'although\talthough\tIN\tB-SBAR\tO' +p180376 +aS'he\the\tPRP\tB-NP\tO' +p180377 +aS'should\tshould\tMD\tB-VP\tO' +p180378 +aS'avoid\tavoid\tVB\tI-VP\tO' +p180379 +aS'strenuous\tstrenuous\tJJ\tB-NP\tO' +p180380 +aS'activity\tactivity\tNN\tI-NP\tO' +p180381 +aS'and\tand\tCC\tO\tO' +p180382 +aS'should\tshould\tMD\tB-VP\tO' +p180383 +aS'not\tnot\tRB\tI-VP\tO' +p180384 +aS'drive\tdrive\tVB\tI-VP\tO' +p180385 +aS'while\twhile\tIN\tB-SBAR\tO' +p180386 +aS'on\ton\tIN\tB-PP\tO' +p180387 +aS'pain\tpain\tNN\tB-NP\tO' +p180388 +aS'medications\tmedication\tNNS\tI-NP\tO' +p180389 +aS'.\t.\t.\tO\tO' +p180390 +asS'The cast was replaced by a plaster splint .' +p180391 +(lp180392 +S'The\tThe\tDT\tB-NP\tO' +p180393 +aS'cast\tcast\tNN\tI-NP\tO' +p180394 +aS'was\tbe\tVBD\tB-VP\tO' +p180395 +aS'replaced\treplace\tVBN\tI-VP\tO' +p180396 +aS'by\tby\tIN\tB-PP\tO' +p180397 +aS'a\ta\tDT\tB-NP\tO' +p180398 +aS'plaster\tplaster\tNN\tI-NP\tO' +p180399 +aS'splint\tsplint\tNN\tI-NP\tO' +p180400 +aS'.\t.\t.\tO\tO' +p180401 +asS'Failed swallow study x 2 in early November .' +p180402 +(lp180403 +S'Failed\tFail\tVBN\tB-NP\tO' +p180404 +aS'swallow\tswallow\tJJ\tI-NP\tO' +p180405 +aS'study\tstudy\tNN\tI-NP\tO' +p180406 +aS'x\tx\tSYM\tB-NP\tO' +p180407 +aS'2\t2\tCD\tI-NP\tO' +p180408 +aS'in\tin\tIN\tB-PP\tO' +p180409 +aS'early\tearly\tJJ\tB-NP\tO' +p180410 +aS'November\tNovember\tNNP\tI-NP\tO' +p180411 +aS'.\t.\t.\tO\tO' +p180412 +asS'The patient is a 67 year old white male with a recent history of urinary frequency Q2-3H , stranguria , nocturia x 3-4 per night .' +p180413 +(lp180414 +S'The\tThe\tDT\tB-NP\tO' +p180415 +aS'patient\tpatient\tNN\tI-NP\tO' +p180416 +aS'is\tbe\tVBZ\tB-VP\tO' +p180417 +aS'a\ta\tDT\tB-NP\tO' +p180418 +aS'67\t67\tCD\tI-NP\tO' +p180419 +aS'year\tyear\tNN\tI-NP\tO' +p180420 +aS'old\told\tJJ\tI-NP\tO' +p180421 +aS'white\twhite\tJJ\tI-NP\tO' +p180422 +aS'male\tmale\tNN\tI-NP\tO' +p180423 +aS'with\twith\tIN\tB-PP\tO' +p180424 +aS'a\ta\tDT\tB-NP\tO' +p180425 +aS'recent\trecent\tJJ\tI-NP\tO' +p180426 +aS'history\thistory\tNN\tI-NP\tO' +p180427 +aS'of\tof\tIN\tB-PP\tO' +p180428 +aS'urinary\turinary\tJJ\tB-NP\tO' +p180429 +aS'frequency\tfrequency\tNN\tI-NP\tO' +p180430 +aS'Q2-3H\tQ2-3H\tNN\tI-NP\tO' +p180431 +aS',\t,\t,\tO\tO' +p180432 +aS'stranguria\tstranguria\tNN\tB-NP\tO' +p180433 +aS',\t,\t,\tO\tO' +p180434 +aS'nocturia\tnocturia\tNN\tB-NP\tO' +p180435 +aS'x\tx\tSYM\tB-NP\tO' +p180436 +aS'3-4\t3-4\tNN\tI-NP\tO' +p180437 +aS'per\tper\tIN\tB-PP\tO' +p180438 +aS'night\tnight\tNN\tB-NP\tO' +p180439 +aS'.\t.\t.\tO\tO' +p180440 +asS'On day of life two , the infant began to wean off intravenous fluids , and this was completed by day of life four .' +p180441 +(lp180442 +S'On\tOn\tIN\tB-PP\tO' +p180443 +aS'day\tday\tNN\tB-NP\tO' +p180444 +aS'of\tof\tIN\tB-PP\tO' +p180445 +aS'life\tlife\tNN\tB-NP\tO' +p180446 +aS'two\ttwo\tCD\tI-NP\tO' +p180447 +aS',\t,\t,\tO\tO' +p180448 +aS'the\tthe\tDT\tB-NP\tO' +p180449 +aS'infant\tinfant\tNN\tI-NP\tO' +p180450 +aS'began\tbegin\tVBD\tB-VP\tO' +p180451 +aS'to\tto\tTO\tI-VP\tO' +p180452 +aS'wean\twean\tVB\tI-VP\tO' +p180453 +aS'off\toff\tRP\tB-PRT\tO' +p180454 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p180455 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p180456 +aS',\t,\t,\tO\tO' +p180457 +aS'and\tand\tCC\tO\tO' +p180458 +aS'this\tthis\tDT\tB-NP\tO' +p180459 +aS'was\tbe\tVBD\tB-VP\tO' +p180460 +aS'completed\tcomplete\tVBN\tI-VP\tO' +p180461 +aS'by\tby\tIN\tB-PP\tO' +p180462 +aS'day\tday\tNN\tB-NP\tO' +p180463 +aS'of\tof\tIN\tB-PP\tO' +p180464 +aS'life\tlife\tNN\tB-NP\tO' +p180465 +aS'four\tfour\tCD\tI-NP\tO' +p180466 +aS'.\t.\t.\tO\tO' +p180467 +asS'She was discharged to inpatient rehabilitation where she made significant progress toward recovery .' +p180468 +(lp180469 +S'She\tShe\tPRP\tB-NP\tO' +p180470 +aS'was\tbe\tVBD\tB-VP\tO' +p180471 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p180472 +aS'to\tto\tTO\tB-PP\tO' +p180473 +aS'inpatient\tinpatient\tNN\tB-NP\tO' +p180474 +aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' +p180475 +aS'where\twhere\tWRB\tB-ADVP\tO' +p180476 +aS'she\tshe\tPRP\tB-NP\tO' +p180477 +aS'made\tmake\tVBD\tB-VP\tO' +p180478 +aS'significant\tsignificant\tJJ\tB-NP\tO' +p180479 +aS'progress\tprogress\tNN\tI-NP\tO' +p180480 +aS'toward\ttoward\tIN\tB-PP\tO' +p180481 +aS'recovery\trecovery\tNN\tB-NP\tO' +p180482 +aS'.\t.\t.\tO\tO' +p180483 +asS'was soft , nontender , with good bowel sounds .' +p180484 +(lp180485 +S'was\tbe\tVBD\tB-VP\tO' +p180486 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p180487 +aS',\t,\t,\tO\tO' +p180488 +aS'nontender\tnontender\tJJ\tB-ADJP\tO' +p180489 +aS',\t,\t,\tO\tO' +p180490 +aS'with\twith\tIN\tB-PP\tO' +p180491 +aS'good\tgood\tJJ\tB-NP\tO' +p180492 +aS'bowel\tbowel\tNN\tI-NP\tO' +p180493 +aS'sounds\tsound\tNNS\tI-NP\tO' +p180494 +aS'.\t.\t.\tO\tO' +p180495 +asS'He does not smoke , and there is no history of IV drug abuse .' +p180496 +(lp180497 +S'He\tHe\tPRP\tB-NP\tO' +p180498 +aS'does\tdo\tVBZ\tB-VP\tO' +p180499 +aS'not\tnot\tRB\tI-VP\tO' +p180500 +aS'smoke\tsmoke\tVB\tI-VP\tO' +p180501 +aS',\t,\t,\tO\tO' +p180502 +aS'and\tand\tCC\tO\tO' +p180503 +aS'there\tthere\tEX\tB-NP\tO' +p180504 +aS'is\tbe\tVBZ\tB-VP\tO' +p180505 +aS'no\tno\tDT\tB-NP\tO' +p180506 +aS'history\thistory\tNN\tI-NP\tO' +p180507 +aS'of\tof\tIN\tB-PP\tO' +p180508 +aS'IV\tIV\tCD\tB-NP\tO' +p180509 +aS'drug\tdrug\tNN\tI-NP\tO' +p180510 +aS'abuse\tabuse\tNN\tI-NP\tO' +p180511 +aS'.\t.\t.\tO\tO' +p180512 +asS'2. Diovan 160 mg p.o. q. day .' +p180513 +(lp180514 +S'2.\t2.\tLS\tB-LST\tO' +p180515 +aS'Diovan\tDiovan\tNNP\tB-NP\tO' +p180516 +aS'160\t160\tCD\tI-NP\tO' +p180517 +aS'mg\tmg\tNN\tI-NP\tO' +p180518 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p180519 +aS'q.\tq.\tNN\tI-NP\tO' +p180520 +aS'day\tday\tNN\tI-NP\tO' +p180521 +aS'.\t.\t.\tO\tO' +p180522 +asS'He had marked voluntary guarding without rigidity and no masses were felt .' +p180523 +(lp180524 +S'He\tHe\tPRP\tB-NP\tO' +p180525 +aS'had\thave\tVBD\tB-VP\tO' +p180526 +aS'marked\tmark\tVBN\tI-VP\tO' +p180527 +aS'voluntary\tvoluntary\tJJ\tB-NP\tO' +p180528 +aS'guarding\tguarding\tNN\tI-NP\tO' +p180529 +aS'without\twithout\tIN\tB-PP\tO' +p180530 +aS'rigidity\trigidity\tNN\tB-NP\tO' +p180531 +aS'and\tand\tCC\tO\tO' +p180532 +aS'no\tno\tDT\tB-NP\tO' +p180533 +aS'masses\tmass\tNNS\tI-NP\tO' +p180534 +aS'were\tbe\tVBD\tB-VP\tO' +p180535 +aS'felt\tfeel\tVBN\tI-VP\tO' +p180536 +aS'.\t.\t.\tO\tO' +p180537 +asS'He had a predischarge biopsy .' +p180538 +(lp180539 +S'He\tHe\tPRP\tB-NP\tO' +p180540 +aS'had\thave\tVBD\tB-VP\tO' +p180541 +aS'a\ta\tDT\tB-NP\tO' +p180542 +aS'predischarge\tpredischarge\tNN\tI-NP\tO' +p180543 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p180544 +aS'.\t.\t.\tO\tO' +p180545 +asS'Sister with lung ca .' +p180546 +(lp180547 +S'Sister\tSister\tNN\tB-NP\tO' +p180548 +aS'with\twith\tIN\tB-PP\tO' +p180549 +aS'lung\tlung\tNN\tB-NP\tO' +p180550 +aS'ca\tca\tNN\tI-NP\tO' +p180551 +aS'.\t.\t.\tO\tO' +p180552 +asS'Regular , rate , and rhythm .' +p180553 +(lp180554 +S'Regular\tRegular\tJJ\tB-NP\tO' +p180555 +aS',\t,\t,\tI-NP\tO' +p180556 +aS'rate\trate\tNN\tI-NP\tO' +p180557 +aS',\t,\t,\tO\tO' +p180558 +aS'and\tand\tCC\tO\tO' +p180559 +aS'rhythm\trhythm\tNN\tB-NP\tO' +p180560 +aS'.\t.\t.\tO\tO' +p180561 +asS'STAPH AUREUS COAG + .' +p180562 +(lp180563 +S'STAPH\tSTAPH\tNN\tB-NP\tB-protein' +p180564 +aS'AUREUS\tAUREUS\tVBZ\tB-VP\tO' +p180565 +aS'COAG\tCOAG\tNN\tB-NP\tB-protein' +p180566 +aS'+\t+\tSYM\tB-NP\tO' +p180567 +aS'.\t.\t.\tO\tO' +p180568 +asS'Robert the shortness of breath gets worse please return to emergency room .' +p180569 +(lp180570 +S'Robert\tRobert\tNNP\tB-NP\tO' +p180571 +aS'the\tthe\tDT\tB-NP\tO' +p180572 +aS'shortness\tshortness\tNN\tI-NP\tO' +p180573 +aS'of\tof\tIN\tB-PP\tO' +p180574 +aS'breath\tbreath\tNN\tB-NP\tO' +p180575 +aS'gets\tget\tVBZ\tB-VP\tO' +p180576 +aS'worse\tworse\tJJR\tB-NP\tO' +p180577 +aS'please\tplease\tNN\tI-NP\tO' +p180578 +aS'return\treturn\tNN\tI-NP\tO' +p180579 +aS'to\tto\tTO\tB-PP\tO' +p180580 +aS'emergency\temergency\tNN\tB-NP\tO' +p180581 +aS'room\troom\tNN\tI-NP\tO' +p180582 +aS'.\t.\t.\tO\tO' +p180583 +asS'Extremity pulses revealed a right radial of 2+ , left radial of 1+ , 2+ distal pulses in the lower extremities bilaterally .' +p180584 +(lp180585 +S'Extremity\tExtremity\tNN\tB-NP\tO' +p180586 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p180587 +aS'revealed\treveal\tVBD\tB-VP\tO' +p180588 +aS'a\ta\tDT\tB-NP\tO' +p180589 +aS'right\tright\tJJ\tI-NP\tO' +p180590 +aS'radial\tradial\tNN\tI-NP\tO' +p180591 +aS'of\tof\tIN\tB-PP\tO' +p180592 +aS'2+\t2+\tJJ\tB-NP\tO' +p180593 +aS',\t,\t,\tI-NP\tO' +p180594 +aS'left\tleft\tJJ\tI-NP\tO' +p180595 +aS'radial\tradial\tNN\tI-NP\tO' +p180596 +aS'of\tof\tIN\tB-PP\tO' +p180597 +aS'1+\t1+\tJJ\tB-NP\tO' +p180598 +aS',\t,\t,\tI-NP\tO' +p180599 +aS'2+\t2+\tJJ\tI-NP\tO' +p180600 +aS'distal\tdistal\tJJ\tI-NP\tO' +p180601 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p180602 +aS'in\tin\tIN\tB-PP\tO' +p180603 +aS'the\tthe\tDT\tB-NP\tO' +p180604 +aS'lower\tlow\tJJR\tI-NP\tO' +p180605 +aS'extremities\textremity\tNNS\tI-NP\tO' +p180606 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p180607 +aS'.\t.\t.\tO\tO' +p180608 +asS'He was treated with supportive medical therapy for his cough .' +p180609 +(lp180610 +S'He\tHe\tPRP\tB-NP\tO' +p180611 +aS'was\tbe\tVBD\tB-VP\tO' +p180612 +aS'treated\ttreat\tVBN\tI-VP\tO' +p180613 +aS'with\twith\tIN\tB-PP\tO' +p180614 +aS'supportive\tsupportive\tJJ\tB-NP\tO' +p180615 +aS'medical\tmedical\tJJ\tI-NP\tO' +p180616 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p180617 +aS'for\tfor\tIN\tB-PP\tO' +p180618 +aS'his\this\tPRP$\tB-NP\tO' +p180619 +aS'cough\tcough\tNN\tI-NP\tO' +p180620 +aS'.\t.\t.\tO\tO' +p180621 +asS'She has no clubbing , cyanosis or edema on her extremities .' +p180622 +(lp180623 +S'She\tShe\tPRP\tB-NP\tO' +p180624 +aS'has\thave\tVBZ\tB-VP\tO' +p180625 +aS'no\tno\tDT\tB-NP\tO' +p180626 +aS'clubbing\tclubbing\tNN\tI-NP\tO' +p180627 +aS',\t,\t,\tI-NP\tO' +p180628 +aS'cyanosis\tcyanosis\tNN\tI-NP\tO' +p180629 +aS'or\tor\tCC\tI-NP\tO' +p180630 +aS'edema\tedema\tNN\tI-NP\tO' +p180631 +aS'on\ton\tIN\tB-PP\tO' +p180632 +aS'her\ther\tPRP$\tB-NP\tO' +p180633 +aS'extremities\textremity\tNNS\tI-NP\tO' +p180634 +aS'.\t.\t.\tO\tO' +p180635 +asS'The results of the PFTs are unavailable at the time of this dictation .' +p180636 +(lp180637 +S'The\tThe\tDT\tB-NP\tO' +p180638 +aS'results\tresult\tNNS\tI-NP\tO' +p180639 +aS'of\tof\tIN\tB-PP\tO' +p180640 +aS'the\tthe\tDT\tB-NP\tO' +p180641 +aS'PFTs\tPFT\tNNS\tI-NP\tB-DNA' +p180642 +aS'are\tbe\tVBP\tB-VP\tO' +p180643 +aS'unavailable\tunavailable\tJJ\tB-ADJP\tO' +p180644 +aS'at\tat\tIN\tB-PP\tO' +p180645 +aS'the\tthe\tDT\tB-NP\tO' +p180646 +aS'time\ttime\tNN\tI-NP\tO' +p180647 +aS'of\tof\tIN\tB-PP\tO' +p180648 +aS'this\tthis\tDT\tB-NP\tO' +p180649 +aS'dictation\tdictation\tNN\tI-NP\tO' +p180650 +aS'.\t.\t.\tO\tO' +p180651 +asS'2. Pulmonary .' +p180652 +(lp180653 +S'2.\t2.\tLS\tB-LST\tO' +p180654 +aS'Pulmonary\tPulmonary\tNNP\tB-NP\tO' +p180655 +aS'.\t.\t.\tO\tO' +p180656 +asS'A social work consult was also obtained and deemed that the patient has appropriate support at home and is safe at home .' +p180657 +(lp180658 +S'A\tA\tDT\tB-NP\tO' +p180659 +aS'social\tsocial\tJJ\tI-NP\tO' +p180660 +aS'work\twork\tNN\tI-NP\tO' +p180661 +aS'consult\tconsult\tNN\tI-NP\tO' +p180662 +aS'was\tbe\tVBD\tB-VP\tO' +p180663 +aS'also\talso\tRB\tI-VP\tO' +p180664 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p180665 +aS'and\tand\tCC\tI-VP\tO' +p180666 +aS'deemed\tdeem\tVBN\tI-VP\tO' +p180667 +aS'that\tthat\tIN\tB-SBAR\tO' +p180668 +aS'the\tthe\tDT\tB-NP\tO' +p180669 +aS'patient\tpatient\tNN\tI-NP\tO' +p180670 +aS'has\thave\tVBZ\tB-VP\tO' +p180671 +aS'appropriate\tappropriate\tJJ\tB-NP\tO' +p180672 +aS'support\tsupport\tNN\tI-NP\tO' +p180673 +aS'at\tat\tIN\tB-PP\tO' +p180674 +aS'home\thome\tNN\tB-NP\tO' +p180675 +aS'and\tand\tCC\tO\tO' +p180676 +aS'is\tbe\tVBZ\tB-VP\tO' +p180677 +aS'safe\tsafe\tJJ\tB-ADJP\tO' +p180678 +aS'at\tat\tIN\tB-PP\tO' +p180679 +aS'home\thome\tNN\tB-NP\tO' +p180680 +aS'.\t.\t.\tO\tO' +p180681 +asS'Full range of motion with no lymphadenopathy .' +p180682 +(lp180683 +S'Full\tFull\tJJ\tB-NP\tO' +p180684 +aS'range\trange\tNN\tI-NP\tO' +p180685 +aS'of\tof\tIN\tB-PP\tO' +p180686 +aS'motion\tmotion\tNN\tB-NP\tO' +p180687 +aS'with\twith\tIN\tB-PP\tO' +p180688 +aS'no\tno\tDT\tB-NP\tO' +p180689 +aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' +p180690 +aS'.\t.\t.\tO\tO' +p180691 +asS'MB fractionations of the CPKs were all negative and were thought to be secondary to the patient 's beginning physical therapy on 10/19/97 , and all muscular in origin .' +p180692 +(lp180693 +S'MB\tMB\tNN\tB-NP\tO' +p180694 +aS'fractionations\tfractionation\tNNS\tI-NP\tO' +p180695 +aS'of\tof\tIN\tB-PP\tO' +p180696 +aS'the\tthe\tDT\tB-NP\tO' +p180697 +aS'CPKs\tCPK\tNNS\tI-NP\tB-protein' +p180698 +aS'were\tbe\tVBD\tB-VP\tO' +p180699 +aS'all\tall\tDT\tB-NP\tO' +p180700 +aS'negative\tnegative\tJJ\tI-NP\tO' +p180701 +aS'and\tand\tCC\tO\tO' +p180702 +aS'were\tbe\tVBD\tB-VP\tO' +p180703 +aS'thought\tthink\tVBN\tI-VP\tO' +p180704 +aS'to\tto\tTO\tI-VP\tO' +p180705 +aS'be\tbe\tVB\tI-VP\tO' +p180706 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p180707 +aS'to\tto\tTO\tB-PP\tO' +p180708 +aS'the\tthe\tDT\tB-NP\tO' +p180709 +aS'patient\tpatient\tNN\tI-NP\tO' +p180710 +aS''s\t'\tNNS\tI-NP\tO' +p180711 +aS'beginning\tbegin\tVBG\tB-VP\tO' +p180712 +aS'physical\tphysical\tJJ\tB-NP\tO' +p180713 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p180714 +aS'on\ton\tIN\tB-PP\tO' +p180715 +aS'10/19/97\t10/19/97\tCD\tB-NP\tO' +p180716 +aS',\t,\t,\tO\tO' +p180717 +aS'and\tand\tCC\tO\tO' +p180718 +aS'all\tall\tDT\tB-NP\tO' +p180719 +aS'muscular\tmuscular\tJJ\tI-NP\tO' +p180720 +aS'in\tin\tIN\tB-PP\tO' +p180721 +aS'origin\torigin\tNN\tB-NP\tO' +p180722 +aS'.\t.\t.\tO\tO' +p180723 +asS'Dictated By : Stan C. Haaz , M.D.' +p180724 +(lp180725 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p180726 +aS'By\tBy\tIN\tB-PP\tO' +p180727 +aS':\t:\t:\tO\tO' +p180728 +aS'Stan\tStan\tNNP\tB-NP\tO' +p180729 +aS'C.\tC.\tNNP\tI-NP\tO' +p180730 +aS'Haaz\tHaaz\tNNP\tI-NP\tO' +p180731 +aS',\t,\t,\tO\tO' +p180732 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p180733 +asS'Cardiopulmonary exercise study results are pending .' +p180734 +(lp180735 +S'Cardiopulmonary\tCardiopulmonary\tJJ\tB-NP\tO' +p180736 +aS'exercise\texercise\tNN\tI-NP\tO' +p180737 +aS'study\tstudy\tNN\tI-NP\tO' +p180738 +aS'results\tresult\tNNS\tI-NP\tO' +p180739 +aS'are\tbe\tVBP\tB-VP\tO' +p180740 +aS'pending\tpende\tVBG\tI-VP\tO' +p180741 +aS'.\t.\t.\tO\tO' +p180742 +asS'An EKG showed ST segment depression along the lateral pre-cordial leads .' +p180743 +(lp180744 +S'An\tAn\tDT\tB-NP\tO' +p180745 +aS'EKG\tEKG\tNN\tI-NP\tO' +p180746 +aS'showed\tshow\tVBD\tB-VP\tO' +p180747 +aS'ST\tST\tJJ\tB-NP\tO' +p180748 +aS'segment\tsegment\tNN\tI-NP\tO' +p180749 +aS'depression\tdepression\tNN\tI-NP\tO' +p180750 +aS'along\talong\tIN\tB-PP\tO' +p180751 +aS'the\tthe\tDT\tB-NP\tO' +p180752 +aS'lateral\tlateral\tJJ\tI-NP\tO' +p180753 +aS'pre-cordial\tpre-cordial\tJJ\tI-NP\tO' +p180754 +aS'leads\tlead\tNNS\tI-NP\tO' +p180755 +aS'.\t.\t.\tO\tO' +p180756 +asS'The metoprolol was held during acute bleeding phase and restarted prior to discharge as her BP stabilized .' +p180757 +(lp180758 +S'The\tThe\tDT\tB-NP\tO' +p180759 +aS'metoprolol\tmetoprolol\tNN\tI-NP\tO' +p180760 +aS'was\tbe\tVBD\tB-VP\tO' +p180761 +aS'held\thold\tVBN\tI-VP\tO' +p180762 +aS'during\tduring\tIN\tB-PP\tO' +p180763 +aS'acute\tacute\tJJ\tB-NP\tO' +p180764 +aS'bleeding\tbleeding\tJJ\tI-NP\tO' +p180765 +aS'phase\tphase\tNN\tI-NP\tO' +p180766 +aS'and\tand\tCC\tO\tO' +p180767 +aS'restarted\trestart\tVBD\tB-VP\tO' +p180768 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p180769 +aS'to\tto\tTO\tB-VP\tO' +p180770 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p180771 +aS'as\tas\tIN\tB-PP\tO' +p180772 +aS'her\ther\tPRP$\tB-NP\tO' +p180773 +aS'BP\tBP\tNN\tI-NP\tO' +p180774 +aS'stabilized\tstabilize\tVBD\tB-VP\tO' +p180775 +aS'.\t.\t.\tO\tO' +p180776 +asS'The flap was pink with a strong Doppler signal .' +p180777 +(lp180778 +S'The\tThe\tDT\tB-NP\tO' +p180779 +aS'flap\tflap\tNN\tI-NP\tO' +p180780 +aS'was\tbe\tVBD\tB-VP\tO' +p180781 +aS'pink\tpink\tJJ\tB-ADJP\tO' +p180782 +aS'with\twith\tIN\tB-PP\tO' +p180783 +aS'a\ta\tDT\tB-NP\tO' +p180784 +aS'strong\tstrong\tJJ\tI-NP\tO' +p180785 +aS'Doppler\tDoppler\tNNP\tI-NP\tO' +p180786 +aS'signal\tsignal\tNN\tI-NP\tO' +p180787 +aS'.\t.\t.\tO\tO' +p180788 +asS'There was no appreciable cervical , supraclavicular , axillary , or inguinal adenopathy .' +p180789 +(lp180790 +S'There\tThere\tEX\tB-NP\tO' +p180791 +aS'was\tbe\tVBD\tB-VP\tO' +p180792 +aS'no\tno\tDT\tB-NP\tO' +p180793 +aS'appreciable\tappreciable\tJJ\tI-NP\tO' +p180794 +aS'cervical\tcervical\tJJ\tI-NP\tO' +p180795 +aS',\t,\t,\tI-NP\tO' +p180796 +aS'supraclavicular\tsupraclavicular\tJJ\tI-NP\tO' +p180797 +aS',\t,\t,\tI-NP\tO' +p180798 +aS'axillary\taxillary\tJJ\tI-NP\tO' +p180799 +aS',\t,\t,\tI-NP\tO' +p180800 +aS'or\tor\tCC\tI-NP\tO' +p180801 +aS'inguinal\tinguinal\tJJ\tI-NP\tO' +p180802 +aS'adenopathy\tadenopathy\tNN\tI-NP\tO' +p180803 +aS'.\t.\t.\tO\tO' +p180804 +asS'10. Trazodone HCl 100 mg Tablet Sig : Two ( 2 ) Tablet PO HS ( at bedtime ) as needed .' +p180805 +(lp180806 +S'10.\t10.\tLS\tB-NP\tO' +p180807 +aS'Trazodone\tTrazodone\tNN\tI-NP\tB-protein' +p180808 +aS'HCl\tHCl\tNN\tI-NP\tI-protein' +p180809 +aS'100\t100\tCD\tI-NP\tI-protein' +p180810 +aS'mg\tmg\tNN\tI-NP\tI-protein' +p180811 +aS'Tablet\tTablet\tNNP\tI-NP\tI-protein' +p180812 +aS'Sig\tSig\tNNP\tI-NP\tI-protein' +p180813 +aS':\t:\t:\tO\tO' +p180814 +aS'Two\tTwo\tCD\tB-NP\tO' +p180815 +aS'(\t(\t(\tO\tO' +p180816 +aS'2\t2\tCD\tO\tO' +p180817 +aS')\t)\t)\tO\tO' +p180818 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p180819 +aS'PO\tPO\tNN\tI-NP\tO' +p180820 +aS'HS\tHS\tNN\tI-NP\tO' +p180821 +aS'(\t(\t(\tO\tO' +p180822 +aS'at\tat\tIN\tB-PP\tO' +p180823 +aS'bedtime\tbedtime\tNN\tB-NP\tO' +p180824 +aS')\t)\t)\tO\tO' +p180825 +aS'as\tas\tIN\tB-SBAR\tO' +p180826 +aS'needed\tneed\tVBN\tB-VP\tO' +p180827 +aS'.\t.\t.\tO\tO' +p180828 +asS"The infant 's maternal grandparents have been very involved in her care ." +p180829 +(lp180830 +S'The\tThe\tDT\tB-NP\tO' +p180831 +aS'infant\tinfant\tNN\tI-NP\tO' +p180832 +aS"'s\t's\tPOS\tB-NP\tO" +p180833 +aS'maternal\tmaternal\tJJ\tI-NP\tO' +p180834 +aS'grandparents\tgrandparent\tNNS\tI-NP\tO' +p180835 +aS'have\thave\tVBP\tB-VP\tO' +p180836 +aS'been\tbe\tVBN\tI-VP\tO' +p180837 +aS'very\tvery\tRB\tB-ADJP\tO' +p180838 +aS'involved\tinvolve\tVBN\tI-ADJP\tO' +p180839 +aS'in\tin\tIN\tB-PP\tO' +p180840 +aS'her\ther\tPRP$\tB-NP\tO' +p180841 +aS'care\tcare\tNN\tI-NP\tO' +p180842 +aS'.\t.\t.\tO\tO' +p180843 +asS'2. Lamotrigine 100 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ) .' +p180844 +(lp180845 +S'2.\t2.\tLS\tB-NP\tO' +p180846 +aS'Lamotrigine\tLamotrigine\tNN\tI-NP\tO' +p180847 +aS'100\t100\tCD\tI-NP\tO' +p180848 +aS'mg\tmg\tNN\tI-NP\tO' +p180849 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p180850 +aS'Sig\tSig\tNNP\tI-NP\tO' +p180851 +aS':\t:\t:\tO\tO' +p180852 +aS'One\tOne\tCD\tB-NP\tO' +p180853 +aS'(\t(\t(\tO\tO' +p180854 +aS'1\t1\tCD\tB-NP\tO' +p180855 +aS')\t)\t)\tO\tO' +p180856 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p180857 +aS'PO\tPO\tNN\tI-NP\tO' +p180858 +aS'BID\tBID\tNN\tI-NP\tO' +p180859 +aS'(\t(\t(\tO\tO' +p180860 +aS'2\t2\tCD\tB-NP\tO' +p180861 +aS'times\ttime\tNNS\tI-NP\tO' +p180862 +aS'a\ta\tDT\tB-NP\tO' +p180863 +aS'day\tday\tNN\tI-NP\tO' +p180864 +aS')\t)\t)\tO\tO' +p180865 +aS'.\t.\t.\tO\tO' +p180866 +asS'The patient was admitted to the hospital and received two units of packed red blood cells for her hematocrit of 26 , and had a magnesium repleted .' +p180867 +(lp180868 +S'The\tThe\tDT\tB-NP\tO' +p180869 +aS'patient\tpatient\tNN\tI-NP\tO' +p180870 +aS'was\tbe\tVBD\tB-VP\tO' +p180871 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p180872 +aS'to\tto\tTO\tB-PP\tO' +p180873 +aS'the\tthe\tDT\tB-NP\tO' +p180874 +aS'hospital\thospital\tNN\tI-NP\tO' +p180875 +aS'and\tand\tCC\tO\tO' +p180876 +aS'received\treceive\tVBD\tB-VP\tO' +p180877 +aS'two\ttwo\tCD\tB-NP\tO' +p180878 +aS'units\tunit\tNNS\tI-NP\tO' +p180879 +aS'of\tof\tIN\tB-PP\tO' +p180880 +aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' +p180881 +aS'red\tred\tJJ\tI-NP\tI-cell_type' +p180882 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p180883 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p180884 +aS'for\tfor\tIN\tB-PP\tO' +p180885 +aS'her\ther\tPRP$\tB-NP\tO' +p180886 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p180887 +aS'of\tof\tIN\tB-PP\tO' +p180888 +aS'26\t26\tCD\tB-NP\tO' +p180889 +aS',\t,\t,\tO\tO' +p180890 +aS'and\tand\tCC\tO\tO' +p180891 +aS'had\thave\tVBD\tB-VP\tO' +p180892 +aS'a\ta\tDT\tB-NP\tO' +p180893 +aS'magnesium\tmagnesium\tNN\tI-NP\tO' +p180894 +aS'repleted\treplete\tVBD\tB-VP\tO' +p180895 +aS'.\t.\t.\tO\tO' +p180896 +asS'Mahoney had been following with their appreciated recommendations on glucose control .' +p180897 +(lp180898 +S'Mahoney\tMahoney\tNN\tB-NP\tO' +p180899 +aS'had\thave\tVBD\tB-VP\tO' +p180900 +aS'been\tbe\tVBN\tI-VP\tO' +p180901 +aS'following\tfollow\tVBG\tI-VP\tO' +p180902 +aS'with\twith\tIN\tB-PP\tO' +p180903 +aS'their\ttheir\tPRP$\tB-NP\tO' +p180904 +aS'appreciated\tappreciate\tVBN\tI-NP\tO' +p180905 +aS'recommendations\trecommendation\tNNS\tI-NP\tO' +p180906 +aS'on\ton\tIN\tB-PP\tO' +p180907 +aS'glucose\tglucose\tNN\tB-NP\tO' +p180908 +aS'control\tcontrol\tNN\tI-NP\tO' +p180909 +aS'.\t.\t.\tO\tO' +p180910 +asS'Pancreatic carcinoma .' +p180911 +(lp180912 +S'Pancreatic\tPancreatic\tJJ\tB-NP\tO' +p180913 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p180914 +aS'.\t.\t.\tO\tO' +p180915 +asS'The patient was admitted to the hospital as a postoperative admit on December 7 for total hip replacement .' +p180916 +(lp180917 +S'The\tThe\tDT\tB-NP\tO' +p180918 +aS'patient\tpatient\tNN\tI-NP\tO' +p180919 +aS'was\tbe\tVBD\tB-VP\tO' +p180920 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p180921 +aS'to\tto\tTO\tB-PP\tO' +p180922 +aS'the\tthe\tDT\tB-NP\tO' +p180923 +aS'hospital\thospital\tNN\tI-NP\tO' +p180924 +aS'as\tas\tIN\tB-PP\tO' +p180925 +aS'a\ta\tDT\tB-NP\tO' +p180926 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p180927 +aS'admit\tadmit\tNN\tI-NP\tO' +p180928 +aS'on\ton\tIN\tB-PP\tO' +p180929 +aS'December\tDecember\tNNP\tB-NP\tO' +p180930 +aS'7\t7\tCD\tI-NP\tO' +p180931 +aS'for\tfor\tIN\tB-PP\tO' +p180932 +aS'total\ttotal\tJJ\tB-NP\tO' +p180933 +aS'hip\thip\tNN\tI-NP\tO' +p180934 +aS'replacement\treplacement\tNN\tI-NP\tO' +p180935 +aS'.\t.\t.\tO\tO' +p180936 +asS'62 yo m w / IgA nephropathy , developmental delay , began HD 7/31 .' +p180937 +(lp180938 +S'62\t62\tCD\tB-NP\tO' +p180939 +aS'yo\tyo\tNN\tI-NP\tO' +p180940 +aS'm\tm\tNN\tI-NP\tO' +p180941 +aS'w\tw\tNN\tI-NP\tO' +p180942 +aS'/\t/\tSYM\tB-NP\tO' +p180943 +aS'IgA\tIgA\tNN\tI-NP\tB-protein' +p180944 +aS'nephropathy\tnephropathy\tNN\tI-NP\tO' +p180945 +aS',\t,\t,\tO\tO' +p180946 +aS'developmental\tdevelopmental\tJJ\tB-NP\tO' +p180947 +aS'delay\tdelay\tNN\tI-NP\tO' +p180948 +aS',\t,\t,\tO\tO' +p180949 +aS'began\tbegin\tVBD\tB-VP\tO' +p180950 +aS'HD\tHD\tNN\tB-NP\tO' +p180951 +aS'7/31\t7/31\tCD\tI-NP\tO' +p180952 +aS'.\t.\t.\tO\tO' +p180953 +asS'He c/o of abd pain and distension on 05-25 he had a kub done which was negative .' +p180954 +(lp180955 +S'He\tHe\tPRP\tB-NP\tO' +p180956 +aS'c/o\tc/o\tNN\tI-NP\tO' +p180957 +aS'of\tof\tIN\tB-PP\tO' +p180958 +aS'abd\tabd\tNN\tB-NP\tO' +p180959 +aS'pain\tpain\tNN\tI-NP\tO' +p180960 +aS'and\tand\tCC\tI-NP\tO' +p180961 +aS'distension\tdistension\tNN\tI-NP\tO' +p180962 +aS'on\ton\tIN\tB-PP\tO' +p180963 +aS'05-25\t05-25\tCD\tB-NP\tO' +p180964 +aS'he\the\tPRP\tB-NP\tO' +p180965 +aS'had\thave\tVBD\tB-VP\tO' +p180966 +aS'a\ta\tDT\tB-NP\tO' +p180967 +aS'kub\tkub\tNN\tI-NP\tO' +p180968 +aS'done\tdone\tNN\tI-NP\tO' +p180969 +aS'which\twhich\tWDT\tB-NP\tO' +p180970 +aS'was\tbe\tVBD\tB-VP\tO' +p180971 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p180972 +aS'.\t.\t.\tO\tO' +p180973 +asS'Her urine lytes consistent with ATN , FENA 4% .' +p180974 +(lp180975 +S'Her\tHer\tPRP$\tB-NP\tO' +p180976 +aS'urine\turine\tNN\tI-NP\tO' +p180977 +aS'lytes\tlyte\tNNS\tI-NP\tO' +p180978 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p180979 +aS'with\twith\tIN\tB-PP\tO' +p180980 +aS'ATN\tATN\tNN\tB-NP\tB-protein' +p180981 +aS',\t,\t,\tO\tO' +p180982 +aS'FENA\tFENA\tNN\tB-NP\tB-protein' +p180983 +aS'4%\t4%\tNN\tI-NP\tI-protein' +p180984 +aS'.\t.\t.\tO\tO' +p180985 +asS'The patient was admitted originally for airway monitoring status post endoscopic retrograde' +p180986 +(lp180987 +S'The\tThe\tDT\tB-NP\tO' +p180988 +aS'patient\tpatient\tNN\tI-NP\tO' +p180989 +aS'was\tbe\tVBD\tB-VP\tO' +p180990 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p180991 +aS'originally\toriginally\tRB\tB-ADVP\tO' +p180992 +aS'for\tfor\tIN\tB-PP\tO' +p180993 +aS'airway\tairway\tNN\tB-NP\tO' +p180994 +aS'monitoring\tmonitoring\tNN\tI-NP\tO' +p180995 +aS'status\tstatus\tNN\tI-NP\tO' +p180996 +aS'post\tpost\tNN\tI-NP\tO' +p180997 +aS'endoscopic\tendoscopic\tJJ\tI-NP\tO' +p180998 +aS'retrograde\tretrograde\tNN\tI-NP\tO' +p180999 +asS'The patient awoke with chest pressure radiating to the right chest associated with diaphoresis .' +p181000 +(lp181001 +S'The\tThe\tDT\tB-NP\tO' +p181002 +aS'patient\tpatient\tNN\tI-NP\tO' +p181003 +aS'awoke\tawoke\tNN\tI-NP\tO' +p181004 +aS'with\twith\tIN\tB-PP\tO' +p181005 +aS'chest\tchest\tNN\tB-NP\tO' +p181006 +aS'pressure\tpressure\tNN\tI-NP\tO' +p181007 +aS'radiating\tradiate\tVBG\tB-VP\tO' +p181008 +aS'to\tto\tTO\tB-PP\tO' +p181009 +aS'the\tthe\tDT\tB-NP\tO' +p181010 +aS'right\tright\tJJ\tI-NP\tO' +p181011 +aS'chest\tchest\tNN\tI-NP\tO' +p181012 +aS'associated\tassociate\tVBN\tB-VP\tO' +p181013 +aS'with\twith\tIN\tB-PP\tO' +p181014 +aS'diaphoresis\tdiaphoresis\tNN\tB-NP\tO' +p181015 +aS'.\t.\t.\tO\tO' +p181016 +asS'Blood pressure 156/67 , pulse 80 and respiratory rate 14 .' +p181017 +(lp181018 +S'Blood\tBlood\tNN\tB-NP\tO' +p181019 +aS'pressure\tpressure\tNN\tI-NP\tO' +p181020 +aS'156/67\t156/67\tCD\tI-NP\tO' +p181021 +aS',\t,\t,\tO\tO' +p181022 +aS'pulse\tpulse\tNN\tB-NP\tO' +p181023 +aS'80\t80\tCD\tI-NP\tO' +p181024 +aS'and\tand\tCC\tO\tO' +p181025 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p181026 +aS'rate\trate\tNN\tI-NP\tO' +p181027 +aS'14\t14\tCD\tI-NP\tO' +p181028 +aS'.\t.\t.\tO\tO' +p181029 +asS'The patient 's preliminary admitting physician is BRITTSFYFEAST , SHER T and the preliminary diagnosis is S / SOB .' +p181030 +(lp181031 +S'The\tThe\tDT\tB-NP\tO' +p181032 +aS'patient\tpatient\tNN\tI-NP\tO' +p181033 +aS''s\t'\tNNS\tI-NP\tO' +p181034 +aS'preliminary\tpreliminary\tJJ\tB-NP\tO' +p181035 +aS'admitting\tadmit\tVBG\tI-NP\tO' +p181036 +aS'physician\tphysician\tNN\tI-NP\tO' +p181037 +aS'is\tbe\tVBZ\tB-VP\tO' +p181038 +aS'BRITTSFYFEAST\tBRITTSFYFEAST\tNN\tB-NP\tO' +p181039 +aS',\t,\t,\tO\tO' +p181040 +aS'SHER\tSHER\tNN\tB-NP\tB-protein' +p181041 +aS'T\tT\tNN\tI-NP\tI-protein' +p181042 +aS'and\tand\tCC\tO\tO' +p181043 +aS'the\tthe\tDT\tB-NP\tO' +p181044 +aS'preliminary\tpreliminary\tJJ\tI-NP\tO' +p181045 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p181046 +aS'is\tbe\tVBZ\tB-VP\tO' +p181047 +aS'S\tS\tNN\tB-NP\tB-protein' +p181048 +aS'/\t/\tSYM\tI-NP\tI-protein' +p181049 +aS'SOB\tSOB\tNN\tI-NP\tI-protein' +p181050 +aS'.\t.\t.\tO\tO' +p181051 +asS'No new issues .' +p181052 +(lp181053 +S'No\tNo\tDT\tB-NP\tO' +p181054 +aS'new\tnew\tJJ\tI-NP\tO' +p181055 +aS'issues\tissue\tNNS\tI-NP\tO' +p181056 +aS'.\t.\t.\tO\tO' +p181057 +asS'On admission demonstrated a well-developed , well-nourished female in no apparent distress dragging her right foot .' +p181058 +(lp181059 +S'On\tOn\tIN\tB-PP\tO' +p181060 +aS'admission\tadmission\tNN\tB-NP\tO' +p181061 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p181062 +aS'a\ta\tDT\tB-NP\tO' +p181063 +aS'well-developed\twell-developed\tJJ\tI-NP\tO' +p181064 +aS',\t,\t,\tI-NP\tO' +p181065 +aS'well-nourished\twell-nourished\tJJ\tI-NP\tO' +p181066 +aS'female\tfemale\tNN\tI-NP\tO' +p181067 +aS'in\tin\tIN\tB-PP\tO' +p181068 +aS'no\tno\tDT\tB-NP\tO' +p181069 +aS'apparent\tapparent\tJJ\tI-NP\tO' +p181070 +aS'distress\tdistress\tNN\tI-NP\tO' +p181071 +aS'dragging\tdrag\tVBG\tB-VP\tO' +p181072 +aS'her\ther\tPRP$\tB-NP\tO' +p181073 +aS'right\tright\tJJ\tI-NP\tO' +p181074 +aS'foot\tfoot\tNN\tI-NP\tO' +p181075 +aS'.\t.\t.\tO\tO' +p181076 +asS'On prednisone or sometime after it was discontinued , depending on the version , the patient developed worsening lower extremity edema which has been a Vega problem for her and was started on dyazide as an outpatient .' +p181077 +(lp181078 +S'On\tOn\tIN\tB-PP\tO' +p181079 +aS'prednisone\tprednisone\tNN\tB-NP\tO' +p181080 +aS'or\tor\tCC\tO\tO' +p181081 +aS'sometime\tsometime\tRB\tB-ADVP\tO' +p181082 +aS'after\tafter\tIN\tB-SBAR\tO' +p181083 +aS'it\tit\tPRP\tB-NP\tO' +p181084 +aS'was\tbe\tVBD\tB-VP\tO' +p181085 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p181086 +aS',\t,\t,\tO\tO' +p181087 +aS'depending\tdepend\tVBG\tB-PP\tO' +p181088 +aS'on\ton\tIN\tB-PP\tO' +p181089 +aS'the\tthe\tDT\tB-NP\tO' +p181090 +aS'version\tversion\tNN\tI-NP\tO' +p181091 +aS',\t,\t,\tO\tO' +p181092 +aS'the\tthe\tDT\tB-NP\tO' +p181093 +aS'patient\tpatient\tNN\tI-NP\tO' +p181094 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p181095 +aS'worsening\tworsen\tVBG\tI-VP\tO' +p181096 +aS'lower\tlow\tJJR\tB-NP\tO' +p181097 +aS'extremity\textremity\tNN\tI-NP\tO' +p181098 +aS'edema\tedema\tNN\tI-NP\tO' +p181099 +aS'which\twhich\tWDT\tB-NP\tO' +p181100 +aS'has\thave\tVBZ\tB-VP\tO' +p181101 +aS'been\tbe\tVBN\tI-VP\tO' +p181102 +aS'a\ta\tDT\tB-NP\tO' +p181103 +aS'Vega\tVega\tNNP\tI-NP\tO' +p181104 +aS'problem\tproblem\tNN\tI-NP\tO' +p181105 +aS'for\tfor\tIN\tB-PP\tO' +p181106 +aS'her\ther\tPRP\tB-NP\tO' +p181107 +aS'and\tand\tCC\tO\tO' +p181108 +aS'was\tbe\tVBD\tB-VP\tO' +p181109 +aS'started\tstart\tVBN\tI-VP\tO' +p181110 +aS'on\ton\tIN\tB-PP\tO' +p181111 +aS'dyazide\tdyazide\tNN\tB-NP\tO' +p181112 +aS'as\tas\tIN\tB-PP\tO' +p181113 +aS'an\tan\tDT\tB-NP\tO' +p181114 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p181115 +aS'.\t.\t.\tO\tO' +p181116 +asS'1. No definite pulmonary embolism is identified .' +p181117 +(lp181118 +S'1.\t1.\tLS\tB-LST\tO' +p181119 +aS'No\tNo\tDT\tB-NP\tO' +p181120 +aS'definite\tdefinite\tJJ\tI-NP\tO' +p181121 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p181122 +aS'embolism\tembolism\tNN\tI-NP\tO' +p181123 +aS'is\tbe\tVBZ\tB-VP\tO' +p181124 +aS'identified\tidentify\tVBN\tI-VP\tO' +p181125 +aS'.\t.\t.\tO\tO' +p181126 +asS'Mrs. Mandelbaum was admitted and underwent three vessel coronary artery bypass grafting by Dr. Larry Mckinney .' +p181127 +(lp181128 +S'Mrs.\tMrs.\tNNP\tB-NP\tO' +p181129 +aS'Mandelbaum\tMandelbaum\tNNP\tI-NP\tO' +p181130 +aS'was\tbe\tVBD\tB-VP\tO' +p181131 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p181132 +aS'and\tand\tCC\tO\tO' +p181133 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p181134 +aS'three\tthree\tCD\tB-NP\tO' +p181135 +aS'vessel\tvessel\tNN\tI-NP\tO' +p181136 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p181137 +aS'artery\tartery\tNN\tI-NP\tO' +p181138 +aS'bypass\tbypass\tIN\tB-PP\tO' +p181139 +aS'grafting\tgrafting\tNN\tB-NP\tO' +p181140 +aS'by\tby\tIN\tB-PP\tO' +p181141 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p181142 +aS'Larry\tLarry\tNNP\tI-NP\tO' +p181143 +aS'Mckinney\tMckinney\tNNP\tI-NP\tO' +p181144 +aS'.\t.\t.\tO\tO' +p181145 +asS"Infant 's blood type was O positive and Coombs was noted to be negative ." +p181146 +(lp181147 +S'Infant\tInfant\tNNP\tB-NP\tO' +p181148 +aS"'s\t's\tPOS\tB-NP\tO" +p181149 +aS'blood\tblood\tNN\tI-NP\tO' +p181150 +aS'type\ttype\tNN\tI-NP\tO' +p181151 +aS'was\tbe\tVBD\tB-VP\tO' +p181152 +aS'O\tO\tNN\tB-NP\tO' +p181153 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p181154 +aS'and\tand\tCC\tO\tO' +p181155 +aS'Coombs\tCoombs\tNNP\tB-NP\tO' +p181156 +aS'was\tbe\tVBD\tB-VP\tO' +p181157 +aS'noted\tnote\tVBN\tI-VP\tO' +p181158 +aS'to\tto\tTO\tI-VP\tO' +p181159 +aS'be\tbe\tVB\tI-VP\tO' +p181160 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p181161 +aS'.\t.\t.\tO\tO' +p181162 +asS'Signed electronically by : DR. Charles Mcwilliams on : Daniel 2012-07-05 3:09 PM' +p181163 +(lp181164 +S'Signed\tSign\tVBN\tB-VP\tO' +p181165 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p181166 +aS'by\tby\tIN\tB-PP\tO' +p181167 +aS':\t:\t:\tO\tO' +p181168 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p181169 +aS'Charles\tCharles\tNNP\tI-NP\tO' +p181170 +aS'Mcwilliams\tMcwilliams\tNNP\tI-NP\tO' +p181171 +aS'on\ton\tIN\tB-PP\tO' +p181172 +aS':\t:\t:\tO\tO' +p181173 +aS'Daniel\tDaniel\tNNP\tB-NP\tO' +p181174 +aS'2012-07-05\t2012-07-05\tCD\tB-NP\tO' +p181175 +aS'3:09\t3:09\tCD\tI-NP\tO' +p181176 +aS'PM\tPM\tNN\tB-NP\tO' +p181177 +asS'1. Tracheostomy .' +p181178 +(lp181179 +S'1.\t1.\tLS\tB-NP\tO' +p181180 +aS'Tracheostomy\tTracheostomy\tNN\tI-NP\tO' +p181181 +aS'.\t.\t.\tO\tO' +p181182 +asS'She had a CT from the 29th of her abdomen and pelvis showing marked increased consolidations at the left lung base and question of new left sided pleural effusion .' +p181183 +(lp181184 +S'She\tShe\tPRP\tB-NP\tO' +p181185 +aS'had\thave\tVBD\tB-VP\tO' +p181186 +aS'a\ta\tDT\tB-NP\tO' +p181187 +aS'CT\tCT\tNN\tI-NP\tB-protein' +p181188 +aS'from\tfrom\tIN\tB-PP\tO' +p181189 +aS'the\tthe\tDT\tB-NP\tO' +p181190 +aS'29th\t29th\tCD\tI-NP\tO' +p181191 +aS'of\tof\tIN\tB-PP\tO' +p181192 +aS'her\ther\tPRP$\tB-NP\tO' +p181193 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p181194 +aS'and\tand\tCC\tI-NP\tO' +p181195 +aS'pelvis\tpelvis\tNN\tI-NP\tO' +p181196 +aS'showing\tshow\tVBG\tB-VP\tO' +p181197 +aS'marked\tmark\tVBN\tI-VP\tO' +p181198 +aS'increased\tincrease\tVBN\tB-NP\tO' +p181199 +aS'consolidations\tconsolidation\tNNS\tI-NP\tO' +p181200 +aS'at\tat\tIN\tB-PP\tO' +p181201 +aS'the\tthe\tDT\tB-NP\tO' +p181202 +aS'left\tleft\tJJ\tI-NP\tO' +p181203 +aS'lung\tlung\tNN\tI-NP\tO' +p181204 +aS'base\tbase\tNN\tI-NP\tO' +p181205 +aS'and\tand\tCC\tI-NP\tO' +p181206 +aS'question\tquestion\tNN\tI-NP\tO' +p181207 +aS'of\tof\tIN\tB-PP\tO' +p181208 +aS'new\tnew\tJJ\tB-NP\tO' +p181209 +aS'left\tleft\tJJ\tI-NP\tO' +p181210 +aS'sided\tsided\tJJ\tI-NP\tO' +p181211 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p181212 +aS'effusion\teffusion\tNN\tI-NP\tO' +p181213 +aS'.\t.\t.\tO\tO' +p181214 +asS'Type 1 diabetes in twin brother , type 2 diabetes in mother and brother .' +p181215 +(lp181216 +S'Type\tType\tNN\tB-NP\tO' +p181217 +aS'1\t1\tCD\tI-NP\tO' +p181218 +aS'diabetes\tdiabetes\tNN\tI-NP\tO' +p181219 +aS'in\tin\tIN\tB-PP\tO' +p181220 +aS'twin\ttwin\tNN\tB-NP\tO' +p181221 +aS'brother\tbrother\tNN\tI-NP\tO' +p181222 +aS',\t,\t,\tO\tO' +p181223 +aS'type\ttype\tNN\tB-NP\tO' +p181224 +aS'2\t2\tCD\tI-NP\tO' +p181225 +aS'diabetes\tdiabete\tNNS\tI-NP\tO' +p181226 +aS'in\tin\tIN\tB-PP\tO' +p181227 +aS'mother\tmother\tNN\tB-NP\tO' +p181228 +aS'and\tand\tCC\tI-NP\tO' +p181229 +aS'brother\tbrother\tNN\tI-NP\tO' +p181230 +aS'.\t.\t.\tO\tO' +p181231 +asS'Were unremarkable with normal electrolytes and complete blood count parameters .' +p181232 +(lp181233 +S'Were\tWere\tWRB\tB-ADJP\tO' +p181234 +aS'unremarkable\tunremarkable\tJJ\tI-ADJP\tO' +p181235 +aS'with\twith\tIN\tB-PP\tO' +p181236 +aS'normal\tnormal\tJJ\tB-NP\tO' +p181237 +aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' +p181238 +aS'and\tand\tCC\tO\tO' +p181239 +aS'complete\tcomplete\tJJ\tB-NP\tO' +p181240 +aS'blood\tblood\tNN\tI-NP\tO' +p181241 +aS'count\tcount\tNN\tI-NP\tO' +p181242 +aS'parameters\tparameter\tNNS\tI-NP\tO' +p181243 +aS'.\t.\t.\tO\tO' +p181244 +asS'3. Colace 100 mg po bid .' +p181245 +(lp181246 +S'3.\t3.\tLS\tB-NP\tO' +p181247 +aS'Colace\tColace\tNNP\tI-NP\tO' +p181248 +aS'100\t100\tCD\tI-NP\tO' +p181249 +aS'mg\tmg\tNN\tI-NP\tO' +p181250 +aS'po\tpo\tNN\tI-NP\tO' +p181251 +aS'bid\tbid\tNN\tI-NP\tO' +p181252 +aS'.\t.\t.\tO\tO' +p181253 +asS'Heart rate 86 , irregularly irregular , blood pressure 142/86 .' +p181254 +(lp181255 +S'Heart\tHeart\tNN\tB-NP\tO' +p181256 +aS'rate\trate\tNN\tI-NP\tO' +p181257 +aS'86\t86\tCD\tI-NP\tO' +p181258 +aS',\t,\t,\tO\tO' +p181259 +aS'irregularly\tirregularly\tRB\tB-NP\tO' +p181260 +aS'irregular\tirregular\tJJ\tI-NP\tO' +p181261 +aS',\t,\t,\tI-NP\tO' +p181262 +aS'blood\tblood\tNN\tI-NP\tO' +p181263 +aS'pressure\tpressure\tNN\tI-NP\tO' +p181264 +aS'142/86\t142/86\tCD\tI-NP\tO' +p181265 +aS'.\t.\t.\tO\tO' +p181266 +asS'6) Intubation : Pt was 97% on room air on arrival to Cindy , developed rapid ventricular reponse to a fib which was treated , but after that period of time required oxygen , presumably for pulmonary edema .' +p181267 +(lp181268 +S'6)\t6)\tCD\tB-NP\tO' +p181269 +aS'Intubation\tIntubation\tNNP\tI-NP\tO' +p181270 +aS':\t:\t:\tO\tO' +p181271 +aS'Pt\tPt\tNN\tB-NP\tO' +p181272 +aS'was\tbe\tVBD\tB-VP\tO' +p181273 +aS'97%\t97%\tCD\tB-NP\tO' +p181274 +aS'on\ton\tIN\tB-PP\tO' +p181275 +aS'room\troom\tNN\tB-NP\tO' +p181276 +aS'air\tair\tNN\tI-NP\tO' +p181277 +aS'on\ton\tIN\tB-PP\tO' +p181278 +aS'arrival\tarrival\tNN\tB-NP\tO' +p181279 +aS'to\tto\tTO\tB-PP\tO' +p181280 +aS'Cindy\tCindy\tNNP\tB-NP\tO' +p181281 +aS',\t,\t,\tO\tO' +p181282 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p181283 +aS'rapid\trapid\tJJ\tB-NP\tO' +p181284 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p181285 +aS'reponse\treponse\tNN\tI-NP\tO' +p181286 +aS'to\tto\tTO\tB-PP\tO' +p181287 +aS'a\ta\tDT\tB-NP\tO' +p181288 +aS'fib\tfib\tNN\tI-NP\tB-protein' +p181289 +aS'which\twhich\tWDT\tB-NP\tO' +p181290 +aS'was\tbe\tVBD\tB-VP\tO' +p181291 +aS'treated\ttreat\tVBN\tI-VP\tO' +p181292 +aS',\t,\t,\tO\tO' +p181293 +aS'but\tbut\tCC\tO\tO' +p181294 +aS'after\tafter\tIN\tB-PP\tO' +p181295 +aS'that\tthat\tDT\tB-NP\tO' +p181296 +aS'period\tperiod\tNN\tI-NP\tO' +p181297 +aS'of\tof\tIN\tB-PP\tO' +p181298 +aS'time\ttime\tNN\tB-NP\tO' +p181299 +aS'required\trequire\tVBD\tB-VP\tO' +p181300 +aS'oxygen\toxygen\tNN\tB-NP\tO' +p181301 +aS',\t,\t,\tO\tO' +p181302 +aS'presumably\tpresumably\tRB\tB-ADVP\tO' +p181303 +aS'for\tfor\tIN\tB-PP\tO' +p181304 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p181305 +aS'edema\tedema\tNN\tI-NP\tO' +p181306 +aS'.\t.\t.\tO\tO' +p181307 +asS'Milk of Magnesia 60 ml PO QTHUR 06-21 @ 1600 View' +p181308 +(lp181309 +S'Milk\tMilk\tNN\tB-NP\tO' +p181310 +aS'of\tof\tIN\tB-PP\tO' +p181311 +aS'Magnesia\tMagnesia\tNNP\tB-NP\tO' +p181312 +aS'60\t60\tCD\tI-NP\tO' +p181313 +aS'ml\tml\tNN\tI-NP\tO' +p181314 +aS'PO\tPO\tNN\tI-NP\tO' +p181315 +aS'QTHUR\tQTHUR\tNN\tI-NP\tO' +p181316 +aS'06-21\t06-21\tCD\tI-NP\tO' +p181317 +aS'@\t@\tNN\tI-NP\tO' +p181318 +aS'1600\t1600\tCD\tB-NP\tO' +p181319 +aS'View\tView\tNNP\tI-NP\tO' +p181320 +asS'The patient is to follow-up with Dr. Leanne Larimore in Cardiology within two to three weeks following discharge .' +p181321 +(lp181322 +S'The\tThe\tDT\tB-NP\tO' +p181323 +aS'patient\tpatient\tNN\tI-NP\tO' +p181324 +aS'is\tbe\tVBZ\tB-VP\tO' +p181325 +aS'to\tto\tTO\tB-VP\tO' +p181326 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p181327 +aS'with\twith\tIN\tB-PP\tO' +p181328 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p181329 +aS'Leanne\tLeanne\tNNP\tI-NP\tO' +p181330 +aS'Larimore\tLarimore\tNNP\tI-NP\tO' +p181331 +aS'in\tin\tIN\tB-PP\tO' +p181332 +aS'Cardiology\tCardiology\tNNP\tB-NP\tO' +p181333 +aS'within\twithin\tIN\tB-PP\tO' +p181334 +aS'two\ttwo\tCD\tB-NP\tO' +p181335 +aS'to\tto\tTO\tI-NP\tO' +p181336 +aS'three\tthree\tCD\tI-NP\tO' +p181337 +aS'weeks\tweek\tNNS\tI-NP\tO' +p181338 +aS'following\tfollow\tVBG\tB-PP\tO' +p181339 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p181340 +aS'.\t.\t.\tO\tO' +p181341 +asS'Baby was delivered by repeat C-section with rupture of membranes at delivery .' +p181342 +(lp181343 +S'Baby\tBaby\tNNP\tB-NP\tO' +p181344 +aS'was\tbe\tVBD\tB-VP\tO' +p181345 +aS'delivered\tdeliver\tVBN\tI-VP\tO' +p181346 +aS'by\tby\tIN\tB-PP\tO' +p181347 +aS'repeat\trepeat\tNN\tB-NP\tO' +p181348 +aS'C-section\tC-section\tNN\tI-NP\tO' +p181349 +aS'with\twith\tIN\tB-PP\tO' +p181350 +aS'rupture\trupture\tNN\tB-NP\tO' +p181351 +aS'of\tof\tIN\tB-PP\tO' +p181352 +aS'membranes\tmembrane\tNNS\tB-NP\tO' +p181353 +aS'at\tat\tIN\tB-PP\tO' +p181354 +aS'delivery\tdelivery\tNN\tB-NP\tO' +p181355 +aS'.\t.\t.\tO\tO' +p181356 +asS'He had a history of alcohol abuse but has been sober for 30 years .' +p181357 +(lp181358 +S'He\tHe\tPRP\tB-NP\tO' +p181359 +aS'had\thave\tVBD\tB-VP\tO' +p181360 +aS'a\ta\tDT\tB-NP\tO' +p181361 +aS'history\thistory\tNN\tI-NP\tO' +p181362 +aS'of\tof\tIN\tB-PP\tO' +p181363 +aS'alcohol\talcohol\tNN\tB-NP\tO' +p181364 +aS'abuse\tabuse\tNN\tI-NP\tO' +p181365 +aS'but\tbut\tCC\tO\tO' +p181366 +aS'has\thave\tVBZ\tB-VP\tO' +p181367 +aS'been\tbe\tVBN\tI-VP\tO' +p181368 +aS'sober\tsober\tRB\tB-ADVP\tO' +p181369 +aS'for\tfor\tIN\tB-PP\tO' +p181370 +aS'30\t30\tCD\tB-NP\tO' +p181371 +aS'years\tyear\tNNS\tI-NP\tO' +p181372 +aS'.\t.\t.\tO\tO' +p181373 +asS'A cardiology consult was obtained .' +p181374 +(lp181375 +S'A\tA\tDT\tB-NP\tO' +p181376 +aS'cardiology\tcardiology\tNN\tI-NP\tO' +p181377 +aS'consult\tconsult\tNN\tI-NP\tO' +p181378 +aS'was\tbe\tVBD\tB-VP\tO' +p181379 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p181380 +aS'.\t.\t.\tO\tO' +p181381 +asS'She had an uncomplicated postoperative recovery period .' +p181382 +(lp181383 +S'She\tShe\tPRP\tB-NP\tO' +p181384 +aS'had\thave\tVBD\tB-VP\tO' +p181385 +aS'an\tan\tDT\tB-NP\tO' +p181386 +aS'uncomplicated\tuncomplicated\tJJ\tI-NP\tO' +p181387 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p181388 +aS'recovery\trecovery\tNN\tI-NP\tO' +p181389 +aS'period\tperiod\tNN\tI-NP\tO' +p181390 +aS'.\t.\t.\tO\tO' +p181391 +asS'4. End stage renal disease .' +p181392 +(lp181393 +S'4.\t4.\tLS\tB-NP\tO' +p181394 +aS'End\tEnd\tNN\tI-NP\tO' +p181395 +aS'stage\tstage\tNN\tI-NP\tO' +p181396 +aS'renal\trenal\tJJ\tI-NP\tO' +p181397 +aS'disease\tdisease\tNN\tI-NP\tO' +p181398 +aS'.\t.\t.\tO\tO' +p181399 +asS'Following evaluation and treatment , the patient 's disposition at the end of the visit was ADMITTED TO OBSERVATION AT PH UNIVERSITY OF MEDICAL CENTER .' +p181400 +(lp181401 +S'Following\tFollow\tVBG\tB-PP\tO' +p181402 +aS'evaluation\tevaluation\tNN\tB-NP\tO' +p181403 +aS'and\tand\tCC\tI-NP\tO' +p181404 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p181405 +aS',\t,\t,\tO\tO' +p181406 +aS'the\tthe\tDT\tB-NP\tO' +p181407 +aS'patient\tpatient\tNN\tI-NP\tO' +p181408 +aS''s\t'\tNNS\tI-NP\tO' +p181409 +aS'disposition\tdisposition\tNN\tI-NP\tO' +p181410 +aS'at\tat\tIN\tB-PP\tO' +p181411 +aS'the\tthe\tDT\tB-NP\tO' +p181412 +aS'end\tend\tNN\tI-NP\tO' +p181413 +aS'of\tof\tIN\tB-PP\tO' +p181414 +aS'the\tthe\tDT\tB-NP\tO' +p181415 +aS'visit\tvisit\tNN\tI-NP\tO' +p181416 +aS'was\tbe\tVBD\tB-VP\tO' +p181417 +aS'ADMITTED\tADMITTED\tVBN\tI-VP\tO' +p181418 +aS'TO\tTO\tNNP\tB-NP\tO' +p181419 +aS'OBSERVATION\tOBSERVATION\tNNP\tI-NP\tO' +p181420 +aS'AT\tAT\tNNP\tI-NP\tO' +p181421 +aS'PH\tPH\tNNP\tI-NP\tO' +p181422 +aS'UNIVERSITY\tUNIVERSITY\tNNP\tI-NP\tO' +p181423 +aS'OF\tOF\tIN\tB-PP\tO' +p181424 +aS'MEDICAL\tMEDICAL\tNNP\tB-NP\tO' +p181425 +aS'CENTER\tCENTER\tNNP\tI-NP\tO' +p181426 +aS'.\t.\t.\tO\tO' +p181427 +asS'The liver enzimes come down , no signs of biliary stasis .' +p181428 +(lp181429 +S'The\tThe\tDT\tB-NP\tO' +p181430 +aS'liver\tliver\tNN\tI-NP\tO' +p181431 +aS'enzimes\tenzime\tNNS\tI-NP\tO' +p181432 +aS'come\tcome\tVBP\tB-VP\tO' +p181433 +aS'down\tdown\tRP\tB-PRT\tO' +p181434 +aS',\t,\t,\tO\tO' +p181435 +aS'no\tno\tDT\tB-NP\tO' +p181436 +aS'signs\tsign\tNNS\tI-NP\tO' +p181437 +aS'of\tof\tIN\tB-PP\tO' +p181438 +aS'biliary\tbiliary\tJJ\tB-NP\tO' +p181439 +aS'stasis\tstasis\tNN\tI-NP\tO' +p181440 +aS'.\t.\t.\tO\tO' +p181441 +asS'Without issues on this admission .' +p181442 +(lp181443 +S'Without\tWithout\tIN\tB-PP\tO' +p181444 +aS'issues\tissue\tNNS\tB-NP\tO' +p181445 +aS'on\ton\tIN\tB-PP\tO' +p181446 +aS'this\tthis\tDT\tB-NP\tO' +p181447 +aS'admission\tadmission\tNN\tI-NP\tO' +p181448 +aS'.\t.\t.\tO\tO' +p181449 +asS'No h/o tobacco , alcohol , or IVDA .' +p181450 +(lp181451 +S'No\tNo\tDT\tB-NP\tO' +p181452 +aS'h/o\th/o\tNN\tI-NP\tO' +p181453 +aS'tobacco\ttobacco\tNN\tI-NP\tO' +p181454 +aS',\t,\t,\tO\tO' +p181455 +aS'alcohol\talcohol\tNN\tB-NP\tO' +p181456 +aS',\t,\t,\tO\tO' +p181457 +aS'or\tor\tCC\tO\tO' +p181458 +aS'IVDA\tIVDA\tNN\tB-NP\tB-protein' +p181459 +aS'.\t.\t.\tO\tO' +p181460 +asS'4. Oxycodone - Acetaminophen 5-325 mg Tablet Sig : 1-2 Tablets PO Q4H ( every 4 hours ) as needed for pain .' +p181461 +(lp181462 +S'4.\t4.\tLS\tB-NP\tO' +p181463 +aS'Oxycodone\tOxycodone\tNN\tI-NP\tO' +p181464 +aS'-\t-\tHYPH\tO\tO' +p181465 +aS'Acetaminophen\tAcetaminophen\tNN\tB-NP\tO' +p181466 +aS'5-325\t5-325\tCD\tI-NP\tO' +p181467 +aS'mg\tmg\tNN\tI-NP\tO' +p181468 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p181469 +aS'Sig\tSig\tNNP\tI-NP\tO' +p181470 +aS':\t:\t:\tO\tO' +p181471 +aS'1-2\t1-2\tCD\tB-NP\tO' +p181472 +aS'Tablets\tTablet\tNNS\tI-NP\tO' +p181473 +aS'PO\tPO\tNN\tI-NP\tO' +p181474 +aS'Q4H\tQ4H\tNN\tI-NP\tO' +p181475 +aS'(\t(\t(\tO\tO' +p181476 +aS'every\tevery\tDT\tB-NP\tO' +p181477 +aS'4\t4\tCD\tI-NP\tO' +p181478 +aS'hours\thour\tNNS\tI-NP\tO' +p181479 +aS')\t)\t)\tO\tO' +p181480 +aS'as\tas\tIN\tB-SBAR\tO' +p181481 +aS'needed\tneed\tVBN\tB-VP\tO' +p181482 +aS'for\tfor\tIN\tB-PP\tO' +p181483 +aS'pain\tpain\tNN\tB-NP\tO' +p181484 +aS'.\t.\t.\tO\tO' +p181485 +asS'He had a lumbar drain placed .' +p181486 +(lp181487 +S'He\tHe\tPRP\tB-NP\tO' +p181488 +aS'had\thave\tVBD\tB-VP\tO' +p181489 +aS'a\ta\tDT\tB-NP\tO' +p181490 +aS'lumbar\tlumbar\tJJ\tI-NP\tO' +p181491 +aS'drain\tdrain\tNN\tI-NP\tO' +p181492 +aS'placed\tplace\tVBN\tB-VP\tO' +p181493 +aS'.\t.\t.\tO\tO' +p181494 +asS'His abdomen is soft , nontender , nondistended .' +p181495 +(lp181496 +S'His\tHis\tPRP$\tB-NP\tO' +p181497 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p181498 +aS'is\tbe\tVBZ\tB-VP\tO' +p181499 +aS'soft\tsoft\tJJ\tB-NP\tO' +p181500 +aS',\t,\t,\tI-NP\tO' +p181501 +aS'nontender\tnontender\tJJ\tI-NP\tO' +p181502 +aS',\t,\t,\tI-NP\tO' +p181503 +aS'nondistended\tnondistended\tJJ\tI-NP\tO' +p181504 +aS'.\t.\t.\tO\tO' +p181505 +asS'However , today around 17:45 , while being moved by the nursing staff , Mr. Lockley Bosche started coughing .' +p181506 +(lp181507 +S'However\tHowever\tRB\tB-ADVP\tO' +p181508 +aS',\t,\t,\tO\tO' +p181509 +aS'today\ttoday\tNN\tB-NP\tB-protein' +p181510 +aS'around\taround\tIN\tB-PP\tI-protein' +p181511 +aS'17:45\t17:45\tCD\tB-NP\tI-protein' +p181512 +aS',\t,\t,\tO\tO' +p181513 +aS'while\twhile\tIN\tB-SBAR\tO' +p181514 +aS'being\tbe\tVBG\tB-VP\tO' +p181515 +aS'moved\tmove\tVBN\tI-VP\tO' +p181516 +aS'by\tby\tIN\tB-PP\tO' +p181517 +aS'the\tthe\tDT\tB-NP\tO' +p181518 +aS'nursing\tnursing\tNN\tI-NP\tO' +p181519 +aS'staff\tstaff\tNN\tI-NP\tO' +p181520 +aS',\t,\t,\tO\tO' +p181521 +aS'Mr.\tMr.\tNNP\tB-NP\tO' +p181522 +aS'Lockley\tLockley\tNNP\tI-NP\tO' +p181523 +aS'Bosche\tBosche\tNNP\tI-NP\tO' +p181524 +aS'started\tstart\tVBD\tB-VP\tO' +p181525 +aS'coughing\tcough\tVBG\tI-VP\tO' +p181526 +aS'.\t.\t.\tO\tO' +p181527 +asS'The patient 's liver function tests began to rise and she began to experience pulmonary symptoms including increased crackles .' +p181528 +(lp181529 +S'The\tThe\tDT\tB-NP\tO' +p181530 +aS'patient\tpatient\tNN\tI-NP\tO' +p181531 +aS''s\t'\tNNS\tI-NP\tO' +p181532 +aS'liver\tliver\tNN\tI-NP\tO' +p181533 +aS'function\tfunction\tNN\tI-NP\tO' +p181534 +aS'tests\ttest\tNNS\tI-NP\tO' +p181535 +aS'began\tbegin\tVBD\tB-VP\tO' +p181536 +aS'to\tto\tTO\tI-VP\tO' +p181537 +aS'rise\trise\tVB\tI-VP\tO' +p181538 +aS'and\tand\tCC\tO\tO' +p181539 +aS'she\tshe\tPRP\tB-NP\tO' +p181540 +aS'began\tbegin\tVBD\tB-VP\tO' +p181541 +aS'to\tto\tTO\tI-VP\tO' +p181542 +aS'experience\texperience\tVB\tI-VP\tO' +p181543 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p181544 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p181545 +aS'including\tinclude\tVBG\tB-PP\tO' +p181546 +aS'increased\tincrease\tVBN\tB-NP\tO' +p181547 +aS'crackles\tcrackle\tNNS\tI-NP\tO' +p181548 +aS'.\t.\t.\tO\tO' +p181549 +asS'In 1980 , the patient had a left axillary recurrence that was treated with radiation therapy .' +p181550 +(lp181551 +S'In\tIn\tIN\tB-PP\tO' +p181552 +aS'1980\t1980\tCD\tB-NP\tO' +p181553 +aS',\t,\t,\tO\tO' +p181554 +aS'the\tthe\tDT\tB-NP\tO' +p181555 +aS'patient\tpatient\tNN\tI-NP\tO' +p181556 +aS'had\thave\tVBD\tB-VP\tO' +p181557 +aS'a\ta\tDT\tB-NP\tO' +p181558 +aS'left\tleft\tJJ\tI-NP\tO' +p181559 +aS'axillary\taxillary\tJJ\tI-NP\tO' +p181560 +aS'recurrence\trecurrence\tNN\tI-NP\tO' +p181561 +aS'that\tthat\tWDT\tB-NP\tO' +p181562 +aS'was\tbe\tVBD\tB-VP\tO' +p181563 +aS'treated\ttreat\tVBN\tI-VP\tO' +p181564 +aS'with\twith\tIN\tB-PP\tO' +p181565 +aS'radiation\tradiation\tNN\tB-NP\tO' +p181566 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p181567 +aS'.\t.\t.\tO\tO' +p181568 +asS'3) No driving while on narcotics .' +p181569 +(lp181570 +S'3)\t3)\tLS\tB-LST\tO' +p181571 +aS'No\tNo\tDT\tB-NP\tO' +p181572 +aS'driving\tdriving\tNN\tI-NP\tO' +p181573 +aS'while\twhile\tIN\tB-SBAR\tO' +p181574 +aS'on\ton\tIN\tB-PP\tO' +p181575 +aS'narcotics\tnarcotic\tNNS\tB-NP\tO' +p181576 +aS'.\t.\t.\tO\tO' +p181577 +asS'05-12- Stool : negative for Cdiff toxin' +p181578 +(lp181579 +S'05-12-\t05-12-\tCD\tB-NP\tO' +p181580 +aS'Stool\tStool\tNNP\tI-NP\tO' +p181581 +aS':\t:\t:\tO\tO' +p181582 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p181583 +aS'for\tfor\tIN\tB-PP\tO' +p181584 +aS'Cdiff\tCdiff\tNN\tB-NP\tB-protein' +p181585 +aS'toxin\ttoxin\tNN\tI-NP\tI-protein' +p181586 +asS'10. Ascorbic Acid 500 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ) .' +p181587 +(lp181588 +S'10.\t10.\tLS\tB-NP\tO' +p181589 +aS'Ascorbic\tAscorbic\tNNP\tI-NP\tO' +p181590 +aS'Acid\tAcid\tNNP\tI-NP\tO' +p181591 +aS'500\t500\tCD\tI-NP\tO' +p181592 +aS'mg\tmg\tNN\tI-NP\tO' +p181593 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p181594 +aS'Sig\tSig\tNNP\tI-NP\tO' +p181595 +aS':\t:\t:\tO\tO' +p181596 +aS'One\tOne\tCD\tB-NP\tO' +p181597 +aS'(\t(\t(\tO\tO' +p181598 +aS'1\t1\tCD\tB-NP\tO' +p181599 +aS')\t)\t)\tO\tO' +p181600 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p181601 +aS'PO\tPO\tNN\tI-NP\tO' +p181602 +aS'BID\tBID\tNN\tI-NP\tO' +p181603 +aS'(\t(\t(\tO\tO' +p181604 +aS'2\t2\tCD\tB-NP\tO' +p181605 +aS'times\ttime\tNNS\tI-NP\tO' +p181606 +aS'a\ta\tDT\tB-NP\tO' +p181607 +aS'day\tday\tNN\tI-NP\tO' +p181608 +aS')\t)\t)\tO\tO' +p181609 +aS'.\t.\t.\tO\tO' +p181610 +asS'Cardiology was consulted and thought MS Harold Holcomb to her pulm edema and pulm HTN .' +p181611 +(lp181612 +S'Cardiology\tCardiology\tNN\tB-NP\tO' +p181613 +aS'was\tbe\tVBD\tB-VP\tO' +p181614 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p181615 +aS'and\tand\tCC\tO\tO' +p181616 +aS'thought\tthink\tVBD\tB-VP\tO' +p181617 +aS'MS\tMS\tNNP\tB-NP\tO' +p181618 +aS'Harold\tHarold\tNNP\tI-NP\tO' +p181619 +aS'Holcomb\tHolcomb\tNNP\tI-NP\tO' +p181620 +aS'to\tto\tTO\tB-PP\tO' +p181621 +aS'her\ther\tPRP$\tB-NP\tO' +p181622 +aS'pulm\tpulm\tNN\tI-NP\tO' +p181623 +aS'edema\tedema\tNN\tI-NP\tO' +p181624 +aS'and\tand\tCC\tO\tO' +p181625 +aS'pulm\tpulm\tNN\tB-NP\tO' +p181626 +aS'HTN\tHTN\tNN\tI-NP\tO' +p181627 +aS'.\t.\t.\tO\tO' +p181628 +asS'She was then referred to the Fairm of Ijordcompmac Hospital under the El Memorial and was seen by Dr. Blinjesc , who scheduled her for an exploratory laparoscopy .' +p181629 +(lp181630 +S'She\tShe\tPRP\tB-NP\tO' +p181631 +aS'was\tbe\tVBD\tB-VP\tO' +p181632 +aS'then\tthen\tRB\tI-VP\tO' +p181633 +aS'referred\trefer\tVBN\tI-VP\tO' +p181634 +aS'to\tto\tTO\tB-PP\tO' +p181635 +aS'the\tthe\tDT\tB-NP\tO' +p181636 +aS'Fairm\tFairm\tNNP\tI-NP\tO' +p181637 +aS'of\tof\tIN\tB-PP\tO' +p181638 +aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' +p181639 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p181640 +aS'under\tunder\tIN\tB-PP\tO' +p181641 +aS'the\tthe\tDT\tB-NP\tO' +p181642 +aS'El\tEl\tNNP\tI-NP\tO' +p181643 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p181644 +aS'and\tand\tCC\tO\tO' +p181645 +aS'was\tbe\tVBD\tB-VP\tO' +p181646 +aS'seen\tsee\tVBN\tI-VP\tO' +p181647 +aS'by\tby\tIN\tB-PP\tO' +p181648 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p181649 +aS'Blinjesc\tBlinjesc\tNNP\tI-NP\tO' +p181650 +aS',\t,\t,\tO\tO' +p181651 +aS'who\twho\tWP\tB-NP\tO' +p181652 +aS'scheduled\tschedule\tVBD\tB-VP\tO' +p181653 +aS'her\ther\tPRP\tB-NP\tO' +p181654 +aS'for\tfor\tIN\tB-PP\tO' +p181655 +aS'an\tan\tDT\tB-NP\tO' +p181656 +aS'exploratory\texploratory\tJJ\tI-NP\tO' +p181657 +aS'laparoscopy\tlaparoscopy\tNN\tI-NP\tO' +p181658 +aS'.\t.\t.\tO\tO' +p181659 +asS'Mild postoperative widening of the cardiomediastinal silhouette is stable .' +p181660 +(lp181661 +S'Mild\tMild\tJJ\tB-NP\tO' +p181662 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p181663 +aS'widening\twidening\tNN\tI-NP\tO' +p181664 +aS'of\tof\tIN\tB-PP\tO' +p181665 +aS'the\tthe\tDT\tB-NP\tO' +p181666 +aS'cardiomediastinal\tcardiomediastinal\tJJ\tI-NP\tO' +p181667 +aS'silhouette\tsilhouette\tNN\tI-NP\tO' +p181668 +aS'is\tbe\tVBZ\tB-VP\tO' +p181669 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p181670 +aS'.\t.\t.\tO\tO' +p181671 +asS'Fort short-term memory the patient was able to recall one object out of thee at five minute , two out of three with clues and three out of three with multiple choice .' +p181672 +(lp181673 +S'Fort\tFort\tNN\tB-NP\tO' +p181674 +aS'short-term\tshort-term\tJJ\tI-NP\tO' +p181675 +aS'memory\tmemory\tNN\tI-NP\tO' +p181676 +aS'the\tthe\tDT\tB-NP\tO' +p181677 +aS'patient\tpatient\tNN\tI-NP\tO' +p181678 +aS'was\tbe\tVBD\tB-VP\tO' +p181679 +aS'able\table\tJJ\tB-ADJP\tO' +p181680 +aS'to\tto\tTO\tB-VP\tO' +p181681 +aS'recall\trecall\tVB\tI-VP\tO' +p181682 +aS'one\tone\tCD\tB-NP\tO' +p181683 +aS'object\tobject\tNN\tI-NP\tO' +p181684 +aS'out\tout\tIN\tB-PP\tO' +p181685 +aS'of\tof\tIN\tB-PP\tO' +p181686 +aS'thee\tthee\tNN\tB-NP\tO' +p181687 +aS'at\tat\tIN\tB-PP\tO' +p181688 +aS'five\tfive\tCD\tB-NP\tO' +p181689 +aS'minute\tminute\tNN\tI-NP\tO' +p181690 +aS',\t,\t,\tO\tO' +p181691 +aS'two\ttwo\tCD\tB-NP\tO' +p181692 +aS'out\tout\tIN\tI-NP\tO' +p181693 +aS'of\tof\tIN\tB-PP\tO' +p181694 +aS'three\tthree\tCD\tB-NP\tO' +p181695 +aS'with\twith\tIN\tB-PP\tO' +p181696 +aS'clues\tclue\tNNS\tB-NP\tO' +p181697 +aS'and\tand\tCC\tO\tO' +p181698 +aS'three\tthree\tCD\tB-NP\tO' +p181699 +aS'out\tout\tIN\tI-NP\tO' +p181700 +aS'of\tof\tIN\tB-PP\tO' +p181701 +aS'three\tthree\tCD\tB-NP\tO' +p181702 +aS'with\twith\tIN\tB-PP\tO' +p181703 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p181704 +aS'choice\tchoice\tNN\tI-NP\tO' +p181705 +aS'.\t.\t.\tO\tO' +p181706 +asS'Hemolysis laboratories were negative .' +p181707 +(lp181708 +S'Hemolysis\tHemolysis\tNN\tB-NP\tO' +p181709 +aS'laboratories\tlaboratory\tNNS\tI-NP\tO' +p181710 +aS'were\tbe\tVBD\tB-VP\tO' +p181711 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p181712 +aS'.\t.\t.\tO\tO' +p181713 +asS'There was normal muscle power .' +p181714 +(lp181715 +S'There\tThere\tEX\tB-NP\tO' +p181716 +aS'was\tbe\tVBD\tB-VP\tO' +p181717 +aS'normal\tnormal\tJJ\tB-NP\tO' +p181718 +aS'muscle\tmuscle\tNN\tI-NP\tO' +p181719 +aS'power\tpower\tNN\tI-NP\tO' +p181720 +aS'.\t.\t.\tO\tO' +p181721 +asS'Currently no sx of active disease .' +p181722 +(lp181723 +S'Currently\tCurrently\tRB\tB-ADVP\tO' +p181724 +aS'no\tno\tDT\tB-NP\tO' +p181725 +aS'sx\tsx\tNN\tI-NP\tO' +p181726 +aS'of\tof\tIN\tB-PP\tO' +p181727 +aS'active\tactive\tJJ\tB-NP\tO' +p181728 +aS'disease\tdisease\tNN\tI-NP\tO' +p181729 +aS'.\t.\t.\tO\tO' +p181730 +asS'No other lower quadrant tenderness .' +p181731 +(lp181732 +S'No\tNo\tDT\tB-NP\tO' +p181733 +aS'other\tother\tJJ\tI-NP\tO' +p181734 +aS'lower\tlow\tJJR\tI-NP\tO' +p181735 +aS'quadrant\tquadrant\tNN\tI-NP\tO' +p181736 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p181737 +aS'.\t.\t.\tO\tO' +p181738 +asS'This 53-year-old with a history of multiple transient ischemic attacks in the past was investigated and was found to have a small patent foramen ovale , and he was electively admitted for closure of the same .' +p181739 +(lp181740 +S'This\tThis\tDT\tB-NP\tO' +p181741 +aS'53-year-old\t53-year-old\tJJ\tI-NP\tO' +p181742 +aS'with\twith\tIN\tB-PP\tO' +p181743 +aS'a\ta\tDT\tB-NP\tO' +p181744 +aS'history\thistory\tNN\tI-NP\tO' +p181745 +aS'of\tof\tIN\tB-PP\tO' +p181746 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p181747 +aS'transient\ttransient\tJJ\tI-NP\tO' +p181748 +aS'ischemic\tischemic\tJJ\tI-NP\tO' +p181749 +aS'attacks\tattack\tNNS\tI-NP\tO' +p181750 +aS'in\tin\tIN\tB-PP\tO' +p181751 +aS'the\tthe\tDT\tB-NP\tO' +p181752 +aS'past\tpast\tNN\tI-NP\tO' +p181753 +aS'was\tbe\tVBD\tB-VP\tO' +p181754 +aS'investigated\tinvestigate\tVBN\tI-VP\tO' +p181755 +aS'and\tand\tCC\tO\tO' +p181756 +aS'was\tbe\tVBD\tB-VP\tO' +p181757 +aS'found\tfind\tVBN\tI-VP\tO' +p181758 +aS'to\tto\tTO\tI-VP\tO' +p181759 +aS'have\thave\tVB\tI-VP\tO' +p181760 +aS'a\ta\tDT\tB-NP\tO' +p181761 +aS'small\tsmall\tJJ\tI-NP\tO' +p181762 +aS'patent\tpatent\tNN\tI-NP\tO' +p181763 +aS'foramen\tforaman\tNNS\tI-NP\tO' +p181764 +aS'ovale\tovale\tNN\tI-NP\tO' +p181765 +aS',\t,\t,\tO\tO' +p181766 +aS'and\tand\tCC\tO\tO' +p181767 +aS'he\the\tPRP\tB-NP\tO' +p181768 +aS'was\tbe\tVBD\tB-VP\tO' +p181769 +aS'electively\telectively\tRB\tI-VP\tO' +p181770 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p181771 +aS'for\tfor\tIN\tB-PP\tO' +p181772 +aS'closure\tclosure\tNN\tB-NP\tO' +p181773 +aS'of\tof\tIN\tB-PP\tO' +p181774 +aS'the\tthe\tDT\tB-NP\tO' +p181775 +aS'same\tsame\tJJ\tI-NP\tO' +p181776 +aS'.\t.\t.\tO\tO' +p181777 +asS'The patient will also follow-up with Dr. Fairchild , her primary care physician in three weeks .' +p181778 +(lp181779 +S'The\tThe\tDT\tB-NP\tO' +p181780 +aS'patient\tpatient\tNN\tI-NP\tO' +p181781 +aS'will\twill\tMD\tB-VP\tO' +p181782 +aS'also\talso\tRB\tI-VP\tO' +p181783 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p181784 +aS'with\twith\tIN\tB-PP\tO' +p181785 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p181786 +aS'Fairchild\tFairchild\tNNP\tI-NP\tO' +p181787 +aS',\t,\t,\tO\tO' +p181788 +aS'her\ther\tPRP$\tB-NP\tO' +p181789 +aS'primary\tprimary\tJJ\tI-NP\tO' +p181790 +aS'care\tcare\tNN\tI-NP\tO' +p181791 +aS'physician\tphysician\tNN\tI-NP\tO' +p181792 +aS'in\tin\tIN\tB-PP\tO' +p181793 +aS'three\tthree\tCD\tB-NP\tO' +p181794 +aS'weeks\tweek\tNNS\tI-NP\tO' +p181795 +aS'.\t.\t.\tO\tO' +p181796 +asS'Metformin 1000 mg extended release p.o. q. day .' +p181797 +(lp181798 +S'Metformin\tMetformin\tNN\tB-NP\tO' +p181799 +aS'1000\t1000\tCD\tI-NP\tO' +p181800 +aS'mg\tmg\tNN\tI-NP\tO' +p181801 +aS'extended\textend\tVBD\tB-VP\tO' +p181802 +aS'release\trelease\tNN\tB-NP\tO' +p181803 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p181804 +aS'q.\tq.\tNN\tI-NP\tO' +p181805 +aS'day\tday\tNN\tI-NP\tO' +p181806 +aS'.\t.\t.\tO\tO' +p181807 +asS'TN WNL .' +p181808 +(lp181809 +S'TN\tTN\tNN\tB-NP\tB-protein' +p181810 +aS'WNL\tWNL\tNN\tI-NP\tI-protein' +p181811 +aS'.\t.\t.\tO\tO' +p181812 +asS'4. serosal tear of transverse colon ,' +p181813 +(lp181814 +S'4.\t4.\tLS\tB-NP\tO' +p181815 +aS'serosal\tserosal\tJJ\tI-NP\tO' +p181816 +aS'tear\ttear\tNN\tI-NP\tO' +p181817 +aS'of\tof\tIN\tB-PP\tO' +p181818 +aS'transverse\ttransverse\tJJ\tB-NP\tO' +p181819 +aS'colon\tcolon\tNN\tI-NP\tO' +p181820 +aS',\t,\t,\tO\tO' +p181821 +asS'She was taken postoperatively the ICU where she was extubated on postoperative day number one and by 5-11-92 she was noted to have markedly increased use of her right side , resolving aphasia and she was transferred to the floor with the residual deficit only noted to be some left upper extremity weakness .' +p181822 +(lp181823 +S'She\tShe\tPRP\tB-NP\tO' +p181824 +aS'was\tbe\tVBD\tB-VP\tO' +p181825 +aS'taken\ttake\tVBN\tI-VP\tO' +p181826 +aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' +p181827 +aS'the\tthe\tDT\tB-NP\tO' +p181828 +aS'ICU\tICU\tNN\tI-NP\tB-DNA' +p181829 +aS'where\twhere\tWRB\tB-ADVP\tI-DNA' +p181830 +aS'she\tshe\tPRP\tB-NP\tO' +p181831 +aS'was\tbe\tVBD\tB-VP\tO' +p181832 +aS'extubated\textubate\tVBN\tI-VP\tO' +p181833 +aS'on\ton\tIN\tB-PP\tO' +p181834 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p181835 +aS'day\tday\tNN\tI-NP\tO' +p181836 +aS'number\tnumber\tNN\tI-NP\tO' +p181837 +aS'one\tone\tCD\tB-NP\tO' +p181838 +aS'and\tand\tCC\tO\tO' +p181839 +aS'by\tby\tIN\tB-PP\tO' +p181840 +aS'5-11-92\t5-11-92\tCD\tB-NP\tO' +p181841 +aS'she\tshe\tPRP\tB-NP\tO' +p181842 +aS'was\tbe\tVBD\tB-VP\tO' +p181843 +aS'noted\tnote\tVBN\tI-VP\tO' +p181844 +aS'to\tto\tTO\tI-VP\tO' +p181845 +aS'have\thave\tVB\tI-VP\tO' +p181846 +aS'markedly\tmarkedly\tRB\tI-VP\tO' +p181847 +aS'increased\tincrease\tVBN\tI-VP\tO' +p181848 +aS'use\tuse\tNN\tB-NP\tO' +p181849 +aS'of\tof\tIN\tB-PP\tO' +p181850 +aS'her\ther\tPRP$\tB-NP\tO' +p181851 +aS'right\tright\tJJ\tI-NP\tO' +p181852 +aS'side\tside\tNN\tI-NP\tO' +p181853 +aS',\t,\t,\tO\tO' +p181854 +aS'resolving\tresolve\tVBG\tB-VP\tO' +p181855 +aS'aphasia\taphasia\tNN\tB-NP\tO' +p181856 +aS'and\tand\tCC\tO\tO' +p181857 +aS'she\tshe\tPRP\tB-NP\tO' +p181858 +aS'was\tbe\tVBD\tB-VP\tO' +p181859 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p181860 +aS'to\tto\tTO\tB-PP\tO' +p181861 +aS'the\tthe\tDT\tB-NP\tO' +p181862 +aS'floor\tfloor\tNN\tI-NP\tO' +p181863 +aS'with\twith\tIN\tB-PP\tO' +p181864 +aS'the\tthe\tDT\tB-NP\tO' +p181865 +aS'residual\tresidual\tJJ\tI-NP\tO' +p181866 +aS'deficit\tdeficit\tNN\tI-NP\tO' +p181867 +aS'only\tonly\tRB\tB-ADVP\tO' +p181868 +aS'noted\tnote\tVBD\tB-VP\tO' +p181869 +aS'to\tto\tTO\tI-VP\tO' +p181870 +aS'be\tbe\tVB\tI-VP\tO' +p181871 +aS'some\tsome\tDT\tB-NP\tO' +p181872 +aS'left\tleft\tJJ\tI-NP\tO' +p181873 +aS'upper\tupper\tJJ\tI-NP\tO' +p181874 +aS'extremity\textremity\tNN\tI-NP\tO' +p181875 +aS'weakness\tweakness\tNN\tI-NP\tO' +p181876 +aS'.\t.\t.\tO\tO' +p181877 +asS'Occasional lower extremity edema , left greater than right .' +p181878 +(lp181879 +S'Occasional\tOccasional\tJJ\tB-NP\tO' +p181880 +aS'lower\tlow\tJJR\tI-NP\tO' +p181881 +aS'extremity\textremity\tNN\tI-NP\tO' +p181882 +aS'edema\tedema\tNN\tI-NP\tO' +p181883 +aS',\t,\t,\tO\tO' +p181884 +aS'left\tleave\tVBD\tB-VP\tO' +p181885 +aS'greater\tgreat\tJJR\tB-ADJP\tO' +p181886 +aS'than\tthan\tIN\tB-PP\tO' +p181887 +aS'right\tright\tJJ\tB-ADJP\tO' +p181888 +aS'.\t.\t.\tO\tO' +p181889 +asS'4. Baby aspirin 81 mg p.o. q.d.' +p181890 +(lp181891 +S'4.\t4.\tLS\tB-NP\tO' +p181892 +aS'Baby\tBaby\tNNP\tI-NP\tO' +p181893 +aS'aspirin\taspirin\tNN\tI-NP\tO' +p181894 +aS'81\t81\tCD\tI-NP\tO' +p181895 +aS'mg\tmg\tNN\tI-NP\tO' +p181896 +aS'p.o.\tp.o.\tFW\tB-ADVP\tO' +p181897 +aS'q.d.\tq.d.\tFW\tI-ADVP\tO' +p181898 +asS'4. Coumadin 2.5 mg PO q.day which was last taken two days prior to admission ,' +p181899 +(lp181900 +S'4.\t4.\tLS\tB-LST\tO' +p181901 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p181902 +aS'2.5\t2.5\tCD\tI-NP\tO' +p181903 +aS'mg\tmg\tNN\tI-NP\tO' +p181904 +aS'PO\tPO\tNN\tI-NP\tO' +p181905 +aS'q.day\tq.day\tNN\tI-NP\tO' +p181906 +aS'which\twhich\tWDT\tB-NP\tO' +p181907 +aS'was\tbe\tVBD\tB-VP\tO' +p181908 +aS'last\tlast\tRB\tI-VP\tO' +p181909 +aS'taken\ttake\tVBN\tI-VP\tO' +p181910 +aS'two\ttwo\tCD\tB-NP\tO' +p181911 +aS'days\tday\tNNS\tI-NP\tO' +p181912 +aS'prior\tprior\tRB\tB-ADVP\tO' +p181913 +aS'to\tto\tTO\tB-PP\tO' +p181914 +aS'admission\tadmission\tNN\tB-NP\tO' +p181915 +aS',\t,\t,\tO\tO' +p181916 +asS'She has used antibiotic prophylaxis since 1980 .' +p181917 +(lp181918 +S'She\tShe\tPRP\tB-NP\tO' +p181919 +aS'has\thave\tVBZ\tB-VP\tO' +p181920 +aS'used\tuse\tVBN\tI-VP\tO' +p181921 +aS'antibiotic\tantibiotic\tJJ\tB-NP\tO' +p181922 +aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' +p181923 +aS'since\tsince\tIN\tB-PP\tO' +p181924 +aS'1980\t1980\tCD\tB-NP\tO' +p181925 +aS'.\t.\t.\tO\tO' +p181926 +asS'9. History of syncope and first degree A-V heart block with beta blocker therapy .' +p181927 +(lp181928 +S'9.\t9.\tLS\tB-NP\tO' +p181929 +aS'History\tHistory\tNN\tI-NP\tO' +p181930 +aS'of\tof\tIN\tB-PP\tO' +p181931 +aS'syncope\tsyncope\tNN\tB-NP\tO' +p181932 +aS'and\tand\tCC\tO\tO' +p181933 +aS'first\tfirst\tJJ\tB-NP\tO' +p181934 +aS'degree\tdegree\tNN\tI-NP\tO' +p181935 +aS'A-V\tA-V\tNN\tI-NP\tO' +p181936 +aS'heart\theart\tNN\tI-NP\tO' +p181937 +aS'block\tblock\tNN\tI-NP\tO' +p181938 +aS'with\twith\tIN\tB-PP\tO' +p181939 +aS'beta\tbeta\tSYM\tB-NP\tO' +p181940 +aS'blocker\tblocker\tNN\tI-NP\tO' +p181941 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p181942 +aS'.\t.\t.\tO\tO' +p181943 +asS'He denies nausea and vomiting .' +p181944 +(lp181945 +S'He\tHe\tPRP\tB-NP\tO' +p181946 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p181947 +aS'nausea\tnausea\tNN\tB-NP\tO' +p181948 +aS'and\tand\tCC\tI-NP\tO' +p181949 +aS'vomiting\tvomiting\tNN\tI-NP\tO' +p181950 +aS'.\t.\t.\tO\tO' +p181951 +asS'However , she had several dilantin levels drawn since her last visit , with 15.4 in 05 - 23.5 in Theresa , and 3.09 - 18 .' +p181952 +(lp181953 +S'However\tHowever\tRB\tB-ADVP\tO' +p181954 +aS',\t,\t,\tO\tO' +p181955 +aS'she\tshe\tPRP\tB-NP\tO' +p181956 +aS'had\thave\tVBD\tB-VP\tO' +p181957 +aS'several\tseveral\tJJ\tB-NP\tO' +p181958 +aS'dilantin\tdilantin\tNN\tI-NP\tO' +p181959 +aS'levels\tlevel\tNNS\tI-NP\tO' +p181960 +aS'drawn\tdraw\tVBN\tB-VP\tO' +p181961 +aS'since\tsince\tIN\tB-PP\tO' +p181962 +aS'her\ther\tPRP$\tB-NP\tO' +p181963 +aS'last\tlast\tJJ\tI-NP\tO' +p181964 +aS'visit\tvisit\tNN\tI-NP\tO' +p181965 +aS',\t,\t,\tO\tO' +p181966 +aS'with\twith\tIN\tB-PP\tO' +p181967 +aS'15.4\t15.4\tCD\tB-NP\tO' +p181968 +aS'in\tin\tIN\tB-PP\tO' +p181969 +aS'05\t05\tCD\tB-NP\tO' +p181970 +aS'-\t-\tHYPH\tI-NP\tO' +p181971 +aS'23.5\t23.5\tCD\tI-NP\tO' +p181972 +aS'in\tin\tIN\tB-PP\tO' +p181973 +aS'Theresa\tTheresa\tNNP\tB-NP\tO' +p181974 +aS',\t,\t,\tO\tO' +p181975 +aS'and\tand\tCC\tO\tO' +p181976 +aS'3.09\t3.09\tCD\tB-NP\tO' +p181977 +aS'-\t-\tHYPH\tI-NP\tO' +p181978 +aS'18\t18\tCD\tI-NP\tO' +p181979 +aS'.\t.\t.\tO\tO' +p181980 +asS'5. Diabetes mellitus .' +p181981 +(lp181982 +S'5.\t5.\tLS\tB-NP\tO' +p181983 +aS'Diabetes\tDiabetes\tNN\tI-NP\tO' +p181984 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p181985 +aS'.\t.\t.\tO\tO' +p181986 +asS'Red reflex not checked .' +p181987 +(lp181988 +S'Red\tRed\tJJ\tB-NP\tO' +p181989 +aS'reflex\treflex\tNN\tI-NP\tO' +p181990 +aS'not\tnot\tRB\tB-VP\tO' +p181991 +aS'checked\tcheck\tVBN\tI-VP\tO' +p181992 +aS'.\t.\t.\tO\tO' +p181993 +asS'Also possible source sinus infections given findings on intial CT ( see summary in significant studies ). He did not spike any fevers after being transfer to the CMED from the Amanda .' +p181994 +(lp181995 +S'Also\tAlso\tRB\tB-NP\tO' +p181996 +aS'possible\tpossible\tJJ\tI-NP\tO' +p181997 +aS'source\tsource\tNN\tI-NP\tO' +p181998 +aS'sinus\tsinus\tNN\tI-NP\tO' +p181999 +aS'infections\tinfection\tNNS\tI-NP\tO' +p182000 +aS'given\tgive\tVBN\tB-PP\tO' +p182001 +aS'findings\tfinding\tNNS\tB-NP\tO' +p182002 +aS'on\ton\tIN\tB-PP\tO' +p182003 +aS'intial\tintial\tJJ\tB-NP\tO' +p182004 +aS'CT\tCT\tNN\tI-NP\tO' +p182005 +aS'(\t(\t(\tO\tO' +p182006 +aS'see\tsee\tVB\tB-VP\tO' +p182007 +aS'summary\tsummary\tNN\tB-NP\tO' +p182008 +aS'in\tin\tIN\tB-PP\tO' +p182009 +aS'significant\tsignificant\tJJ\tB-NP\tO' +p182010 +aS'studies\tstudy\tNNS\tI-NP\tO' +p182011 +aS').\t).\tVBP\tB-VP\tO' +p182012 +aS'He\tHe\tPRP\tB-NP\tO' +p182013 +aS'did\tdo\tVBD\tB-VP\tO' +p182014 +aS'not\tnot\tRB\tI-VP\tO' +p182015 +aS'spike\tspike\tVB\tI-VP\tO' +p182016 +aS'any\tany\tDT\tB-NP\tO' +p182017 +aS'fevers\tfever\tNNS\tI-NP\tO' +p182018 +aS'after\tafter\tIN\tB-PP\tO' +p182019 +aS'being\tbe\tVBG\tB-VP\tO' +p182020 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p182021 +aS'to\tto\tTO\tB-PP\tO' +p182022 +aS'the\tthe\tDT\tB-NP\tO' +p182023 +aS'CMED\tCMED\tNN\tI-NP\tO' +p182024 +aS'from\tfrom\tIN\tB-PP\tO' +p182025 +aS'the\tthe\tDT\tB-NP\tO' +p182026 +aS'Amanda\tAmanda\tNNP\tI-NP\tO' +p182027 +aS'.\t.\t.\tO\tO' +p182028 +asS'The patient was continued on vancomycin therapy for his previously diagnosed Methicillin resistant , coagulase negative Staph bacteremia .' +p182029 +(lp182030 +S'The\tThe\tDT\tB-NP\tO' +p182031 +aS'patient\tpatient\tNN\tI-NP\tO' +p182032 +aS'was\tbe\tVBD\tB-VP\tO' +p182033 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p182034 +aS'on\ton\tIN\tB-PP\tO' +p182035 +aS'vancomycin\tvancomycin\tNN\tB-NP\tO' +p182036 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p182037 +aS'for\tfor\tIN\tB-PP\tO' +p182038 +aS'his\this\tPRP$\tB-NP\tB-DNA' +p182039 +aS'previously\tpreviously\tRB\tI-NP\tO' +p182040 +aS'diagnosed\tdiagnose\tVBN\tI-NP\tO' +p182041 +aS'Methicillin\tMethicillin\tNN\tI-NP\tO' +p182042 +aS'resistant\tresistant\tJJ\tB-ADJP\tO' +p182043 +aS',\t,\t,\tO\tO' +p182044 +aS'coagulase\tcoagulase\tNN\tB-NP\tO' +p182045 +aS'negative\tnegative\tJJ\tI-NP\tO' +p182046 +aS'Staph\tStaph\tNNP\tI-NP\tO' +p182047 +aS'bacteremia\tbacteremia\tNN\tI-NP\tO' +p182048 +aS'.\t.\t.\tO\tO' +p182049 +asS'She had dropped her BUN and creatinine to normal and she was found to have may be metastatic disease to her skin on the right paraumbilical area .' +p182050 +(lp182051 +S'She\tShe\tPRP\tB-NP\tO' +p182052 +aS'had\thave\tVBD\tB-VP\tO' +p182053 +aS'dropped\tdrop\tVBN\tI-VP\tO' +p182054 +aS'her\ther\tPRP$\tB-NP\tO' +p182055 +aS'BUN\tBUN\tNN\tI-NP\tB-protein' +p182056 +aS'and\tand\tCC\tI-NP\tO' +p182057 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p182058 +aS'to\tto\tTO\tB-PP\tO' +p182059 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p182060 +aS'and\tand\tCC\tO\tO' +p182061 +aS'she\tshe\tPRP\tB-NP\tO' +p182062 +aS'was\tbe\tVBD\tB-VP\tO' +p182063 +aS'found\tfind\tVBN\tI-VP\tO' +p182064 +aS'to\tto\tTO\tI-VP\tO' +p182065 +aS'have\thave\tVB\tI-VP\tO' +p182066 +aS'may\tmay\tMD\tB-VP\tO' +p182067 +aS'be\tbe\tVB\tI-VP\tO' +p182068 +aS'metastatic\tmetastatic\tJJ\tB-NP\tO' +p182069 +aS'disease\tdisease\tNN\tI-NP\tO' +p182070 +aS'to\tto\tTO\tB-PP\tO' +p182071 +aS'her\ther\tPRP$\tB-NP\tO' +p182072 +aS'skin\tskin\tNN\tI-NP\tO' +p182073 +aS'on\ton\tIN\tB-PP\tO' +p182074 +aS'the\tthe\tDT\tB-NP\tO' +p182075 +aS'right\tright\tJJ\tI-NP\tO' +p182076 +aS'paraumbilical\tparaumbilical\tJJ\tI-NP\tO' +p182077 +aS'area\tarea\tNN\tI-NP\tO' +p182078 +aS'.\t.\t.\tO\tO' +p182079 +asS'Neck hematoma secondary to pulmonary artery line placement requiring transfusion , catheter tip infection .' +p182080 +(lp182081 +S'Neck\tNeck\tNN\tB-NP\tO' +p182082 +aS'hematoma\thematoma\tNN\tI-NP\tO' +p182083 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p182084 +aS'to\tto\tTO\tB-PP\tO' +p182085 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p182086 +aS'artery\tartery\tNN\tI-NP\tO' +p182087 +aS'line\tline\tNN\tI-NP\tO' +p182088 +aS'placement\tplacement\tNN\tI-NP\tO' +p182089 +aS'requiring\trequire\tVBG\tB-VP\tO' +p182090 +aS'transfusion\ttransfusion\tNN\tB-NP\tO' +p182091 +aS',\t,\t,\tO\tO' +p182092 +aS'catheter\tcatheter\tNN\tB-NP\tO' +p182093 +aS'tip\ttip\tNN\tI-NP\tO' +p182094 +aS'infection\tinfection\tNN\tI-NP\tO' +p182095 +aS'.\t.\t.\tO\tO' +p182096 +asS'Patient arrived in Daniel within 3 hours of symptom onset and head CT showed no evidence of bleed .' +p182097 +(lp182098 +S'Patient\tPatient\tNN\tB-NP\tO' +p182099 +aS'arrived\tarrive\tVBD\tB-VP\tO' +p182100 +aS'in\tin\tIN\tB-PP\tO' +p182101 +aS'Daniel\tDaniel\tNNP\tB-NP\tO' +p182102 +aS'within\twithin\tIN\tB-PP\tO' +p182103 +aS'3\t3\tCD\tB-NP\tO' +p182104 +aS'hours\thour\tNNS\tI-NP\tO' +p182105 +aS'of\tof\tIN\tB-PP\tO' +p182106 +aS'symptom\tsymptom\tNN\tB-NP\tO' +p182107 +aS'onset\tonset\tNN\tI-NP\tO' +p182108 +aS'and\tand\tCC\tO\tO' +p182109 +aS'head\thead\tNN\tB-NP\tO' +p182110 +aS'CT\tCT\tNN\tI-NP\tO' +p182111 +aS'showed\tshow\tVBD\tB-VP\tO' +p182112 +aS'no\tno\tDT\tB-NP\tO' +p182113 +aS'evidence\tevidence\tNN\tI-NP\tO' +p182114 +aS'of\tof\tIN\tB-PP\tO' +p182115 +aS'bleed\tbleed\tNN\tB-NP\tO' +p182116 +aS'.\t.\t.\tO\tO' +p182117 +asS'Small residual collection anterior to the rectum , smaller than on the prior study , and without substantial fluid components to allow drainage .' +p182118 +(lp182119 +S'Small\tSmall\tJJ\tB-NP\tO' +p182120 +aS'residual\tresidual\tJJ\tI-NP\tO' +p182121 +aS'collection\tcollection\tNN\tI-NP\tO' +p182122 +aS'anterior\tanterior\tJJ\tB-ADJP\tO' +p182123 +aS'to\tto\tTO\tB-PP\tO' +p182124 +aS'the\tthe\tDT\tB-NP\tO' +p182125 +aS'rectum\trectum\tNN\tI-NP\tO' +p182126 +aS',\t,\t,\tO\tO' +p182127 +aS'smaller\tsmall\tJJR\tB-ADJP\tO' +p182128 +aS'than\tthan\tIN\tB-PP\tO' +p182129 +aS'on\ton\tIN\tB-PP\tO' +p182130 +aS'the\tthe\tDT\tB-NP\tO' +p182131 +aS'prior\tprior\tJJ\tI-NP\tO' +p182132 +aS'study\tstudy\tNN\tI-NP\tO' +p182133 +aS',\t,\t,\tO\tO' +p182134 +aS'and\tand\tCC\tO\tO' +p182135 +aS'without\twithout\tIN\tB-PP\tO' +p182136 +aS'substantial\tsubstantial\tJJ\tB-NP\tO' +p182137 +aS'fluid\tfluid\tNN\tI-NP\tO' +p182138 +aS'components\tcomponent\tNNS\tI-NP\tO' +p182139 +aS'to\tto\tTO\tB-VP\tO' +p182140 +aS'allow\tallow\tVB\tI-VP\tO' +p182141 +aS'drainage\tdrainage\tNN\tB-NP\tO' +p182142 +aS'.\t.\t.\tO\tO' +p182143 +asS'There she should received physical therapy to consist of a routine post total hip replacement rehabilitation protocol , with emphasis on gait training , partial weight bearing on the right lower extremity , using a walker or crutches .' +p182144 +(lp182145 +S'There\tThere\tEX\tB-NP\tO' +p182146 +aS'she\tshe\tPRP\tB-NP\tO' +p182147 +aS'should\tshould\tMD\tB-VP\tO' +p182148 +aS'received\treceive\tVBD\tI-VP\tO' +p182149 +aS'physical\tphysical\tJJ\tB-NP\tO' +p182150 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p182151 +aS'to\tto\tTO\tB-VP\tO' +p182152 +aS'consist\tconsist\tVB\tI-VP\tO' +p182153 +aS'of\tof\tIN\tB-PP\tO' +p182154 +aS'a\ta\tDT\tB-NP\tO' +p182155 +aS'routine\troutine\tJJ\tI-NP\tO' +p182156 +aS'post\tpost\tNN\tI-NP\tO' +p182157 +aS'total\ttotal\tJJ\tI-NP\tO' +p182158 +aS'hip\thip\tNN\tI-NP\tO' +p182159 +aS'replacement\treplacement\tNN\tI-NP\tO' +p182160 +aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' +p182161 +aS'protocol\tprotocol\tNN\tI-NP\tO' +p182162 +aS',\t,\t,\tO\tO' +p182163 +aS'with\twith\tIN\tB-PP\tO' +p182164 +aS'emphasis\temphasis\tNN\tB-NP\tO' +p182165 +aS'on\ton\tIN\tB-PP\tO' +p182166 +aS'gait\tgait\tNN\tB-NP\tO' +p182167 +aS'training\ttraining\tNN\tI-NP\tO' +p182168 +aS',\t,\t,\tO\tO' +p182169 +aS'partial\tpartial\tJJ\tB-NP\tO' +p182170 +aS'weight\tweight\tNN\tI-NP\tO' +p182171 +aS'bearing\tbear\tVBG\tB-VP\tO' +p182172 +aS'on\ton\tIN\tB-PP\tO' +p182173 +aS'the\tthe\tDT\tB-NP\tO' +p182174 +aS'right\tright\tJJ\tI-NP\tO' +p182175 +aS'lower\tlow\tJJR\tI-NP\tO' +p182176 +aS'extremity\textremity\tNN\tI-NP\tO' +p182177 +aS',\t,\t,\tO\tO' +p182178 +aS'using\tuse\tVBG\tB-VP\tO' +p182179 +aS'a\ta\tDT\tB-NP\tO' +p182180 +aS'walker\twalker\tNN\tI-NP\tO' +p182181 +aS'or\tor\tCC\tI-NP\tO' +p182182 +aS'crutches\tcrutch\tNNS\tI-NP\tO' +p182183 +aS'.\t.\t.\tO\tO' +p182184 +asS'2. Influenza immunization should be considered annually in the fall for preterm infants with chronic lung disease once they reach six months of age .' +p182185 +(lp182186 +S'2.\t2.\tLS\tB-NP\tO' +p182187 +aS'Influenza\tInfluenza\tNN\tI-NP\tO' +p182188 +aS'immunization\timmunization\tNN\tI-NP\tO' +p182189 +aS'should\tshould\tMD\tB-VP\tO' +p182190 +aS'be\tbe\tVB\tI-VP\tO' +p182191 +aS'considered\tconsider\tVBN\tI-VP\tO' +p182192 +aS'annually\tannually\tRB\tB-ADVP\tO' +p182193 +aS'in\tin\tIN\tB-PP\tO' +p182194 +aS'the\tthe\tDT\tB-NP\tO' +p182195 +aS'fall\tfall\tNN\tI-NP\tO' +p182196 +aS'for\tfor\tIN\tB-PP\tO' +p182197 +aS'preterm\tpreterm\tJJ\tB-NP\tO' +p182198 +aS'infants\tinfant\tNNS\tI-NP\tO' +p182199 +aS'with\twith\tIN\tB-PP\tO' +p182200 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p182201 +aS'lung\tlung\tNN\tI-NP\tO' +p182202 +aS'disease\tdisease\tNN\tI-NP\tO' +p182203 +aS'once\tonce\tIN\tB-SBAR\tO' +p182204 +aS'they\tthey\tPRP\tB-NP\tO' +p182205 +aS'reach\treach\tVBP\tB-VP\tO' +p182206 +aS'six\tsix\tCD\tB-NP\tO' +p182207 +aS'months\tmonth\tNNS\tI-NP\tO' +p182208 +aS'of\tof\tIN\tB-PP\tO' +p182209 +aS'age\tage\tNN\tB-NP\tO' +p182210 +aS'.\t.\t.\tO\tO' +p182211 +asS'He had a normal male phallus and bilaterally descended testes .' +p182212 +(lp182213 +S'He\tHe\tPRP\tB-NP\tO' +p182214 +aS'had\thave\tVBD\tB-VP\tO' +p182215 +aS'a\ta\tDT\tB-NP\tO' +p182216 +aS'normal\tnormal\tJJ\tI-NP\tO' +p182217 +aS'male\tmale\tJJ\tI-NP\tO' +p182218 +aS'phallus\tphallus\tNN\tI-NP\tO' +p182219 +aS'and\tand\tCC\tO\tO' +p182220 +aS'bilaterally\tbilaterally\tRB\tB-NP\tO' +p182221 +aS'descended\tdescend\tVBN\tI-NP\tO' +p182222 +aS'testes\ttestis\tNNS\tI-NP\tO' +p182223 +aS'.\t.\t.\tO\tO' +p182224 +asS'3. Diabetes type 2 .' +p182225 +(lp182226 +S'3.\t3.\tLS\tB-NP\tO' +p182227 +aS'Diabetes\tDiabetes\tNN\tI-NP\tO' +p182228 +aS'type\ttype\tNN\tI-NP\tO' +p182229 +aS'2\t2\tCD\tI-NP\tO' +p182230 +aS'.\t.\t.\tO\tO' +p182231 +asS'Regular rate and rhythm with tachycardia and no rubs or murmur .' +p182232 +(lp182233 +S'Regular\tRegular\tJJ\tB-NP\tO' +p182234 +aS'rate\trate\tNN\tI-NP\tO' +p182235 +aS'and\tand\tCC\tI-NP\tO' +p182236 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p182237 +aS'with\twith\tIN\tB-PP\tO' +p182238 +aS'tachycardia\ttachycardia\tNN\tB-NP\tO' +p182239 +aS'and\tand\tCC\tO\tO' +p182240 +aS'no\tno\tDT\tB-NP\tO' +p182241 +aS'rubs\trub\tNNS\tI-NP\tO' +p182242 +aS'or\tor\tCC\tI-NP\tO' +p182243 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p182244 +aS'.\t.\t.\tO\tO' +p182245 +asS'Of note , after interview with HCP , at around 07-23 , patient started having episodes of dizziness , and had unstable gait .' +p182246 +(lp182247 +S'Of\tOf\tIN\tB-PP\tO' +p182248 +aS'note\tnote\tNN\tB-NP\tO' +p182249 +aS',\t,\t,\tO\tO' +p182250 +aS'after\tafter\tIN\tB-PP\tO' +p182251 +aS'interview\tinterview\tNN\tB-NP\tO' +p182252 +aS'with\twith\tIN\tB-PP\tO' +p182253 +aS'HCP\tHCP\tNN\tB-NP\tB-protein' +p182254 +aS',\t,\t,\tO\tO' +p182255 +aS'at\tat\tIN\tB-PP\tO' +p182256 +aS'around\taround\tIN\tB-NP\tO' +p182257 +aS'07-23\t07-23\tCD\tI-NP\tO' +p182258 +aS',\t,\t,\tO\tO' +p182259 +aS'patient\tpatient\tNN\tB-NP\tO' +p182260 +aS'started\tstart\tVBD\tB-VP\tO' +p182261 +aS'having\thave\tVBG\tI-VP\tO' +p182262 +aS'episodes\tepisode\tNNS\tB-NP\tO' +p182263 +aS'of\tof\tIN\tB-PP\tO' +p182264 +aS'dizziness\tdizziness\tNN\tB-NP\tO' +p182265 +aS',\t,\t,\tO\tO' +p182266 +aS'and\tand\tCC\tO\tO' +p182267 +aS'had\thave\tVBD\tB-VP\tO' +p182268 +aS'unstable\tunstable\tJJ\tB-NP\tO' +p182269 +aS'gait\tgait\tNN\tI-NP\tO' +p182270 +aS'.\t.\t.\tO\tO' +p182271 +asS'The patient has a sinus tract that was studied with a fistulogram on December 25 , 1995 .' +p182272 +(lp182273 +S'The\tThe\tDT\tB-NP\tO' +p182274 +aS'patient\tpatient\tNN\tI-NP\tO' +p182275 +aS'has\thave\tVBZ\tB-VP\tO' +p182276 +aS'a\ta\tDT\tB-NP\tO' +p182277 +aS'sinus\tsinus\tNN\tI-NP\tO' +p182278 +aS'tract\ttract\tNN\tI-NP\tO' +p182279 +aS'that\tthat\tWDT\tB-NP\tO' +p182280 +aS'was\tbe\tVBD\tB-VP\tO' +p182281 +aS'studied\tstudy\tVBN\tI-VP\tO' +p182282 +aS'with\twith\tIN\tB-PP\tO' +p182283 +aS'a\ta\tDT\tB-NP\tO' +p182284 +aS'fistulogram\tfistulogram\tNN\tI-NP\tO' +p182285 +aS'on\ton\tIN\tB-PP\tO' +p182286 +aS'December\tDecember\tNNP\tB-NP\tO' +p182287 +aS'25\t25\tCD\tI-NP\tO' +p182288 +aS',\t,\t,\tI-NP\tO' +p182289 +aS'1995\t1995\tCD\tI-NP\tO' +p182290 +aS'.\t.\t.\tO\tO' +p182291 +asS'This was done , and the patient appeared to be comfortable at the time of death with his family at his side on 1/16/98 .' +p182292 +(lp182293 +S'This\tThis\tDT\tB-NP\tO' +p182294 +aS'was\tbe\tVBD\tB-VP\tO' +p182295 +aS'done\tdo\tVBN\tI-VP\tO' +p182296 +aS',\t,\t,\tO\tO' +p182297 +aS'and\tand\tCC\tO\tO' +p182298 +aS'the\tthe\tDT\tB-NP\tO' +p182299 +aS'patient\tpatient\tNN\tI-NP\tO' +p182300 +aS'appeared\tappear\tVBD\tB-VP\tO' +p182301 +aS'to\tto\tTO\tI-VP\tO' +p182302 +aS'be\tbe\tVB\tI-VP\tO' +p182303 +aS'comfortable\tcomfortable\tJJ\tB-ADJP\tO' +p182304 +aS'at\tat\tIN\tB-PP\tO' +p182305 +aS'the\tthe\tDT\tB-NP\tO' +p182306 +aS'time\ttime\tNN\tI-NP\tO' +p182307 +aS'of\tof\tIN\tB-PP\tO' +p182308 +aS'death\tdeath\tNN\tB-NP\tO' +p182309 +aS'with\twith\tIN\tB-PP\tO' +p182310 +aS'his\this\tPRP$\tB-NP\tO' +p182311 +aS'family\tfamily\tNN\tI-NP\tO' +p182312 +aS'at\tat\tIN\tB-PP\tO' +p182313 +aS'his\this\tPRP$\tB-NP\tO' +p182314 +aS'side\tside\tNN\tI-NP\tO' +p182315 +aS'on\ton\tIN\tB-PP\tO' +p182316 +aS'1/16/98\t1/16/98\tCD\tB-NP\tO' +p182317 +aS'.\t.\t.\tO\tO' +p182318 +asS'The patient gets hives to aspirin and tomatoes also cause her hives .' +p182319 +(lp182320 +S'The\tThe\tDT\tB-NP\tO' +p182321 +aS'patient\tpatient\tNN\tI-NP\tO' +p182322 +aS'gets\tget\tVBZ\tB-VP\tO' +p182323 +aS'hives\thive\tNNS\tB-NP\tO' +p182324 +aS'to\tto\tTO\tB-PP\tO' +p182325 +aS'aspirin\taspirin\tNN\tB-NP\tO' +p182326 +aS'and\tand\tCC\tO\tO' +p182327 +aS'tomatoes\ttomatoe\tVBZ\tB-VP\tO' +p182328 +aS'also\talso\tRB\tI-VP\tO' +p182329 +aS'cause\tcause\tVB\tI-VP\tO' +p182330 +aS'her\ther\tPRP$\tB-NP\tO' +p182331 +aS'hives\thive\tNNS\tI-NP\tO' +p182332 +aS'.\t.\t.\tO\tO' +p182333 +asS'NO KNOWN DRUG ALLERGIES .' +p182334 +(lp182335 +S'NO\tNO\tNNP\tB-NP\tO' +p182336 +aS'KNOWN\tKNOWN\tNNP\tI-NP\tO' +p182337 +aS'DRUG\tDRUG\tNNP\tI-NP\tO' +p182338 +aS'ALLERGIES\tALLERGIES\tNNP\tI-NP\tO' +p182339 +aS'.\t.\t.\tO\tO' +p182340 +asS'A PICC line was placed in his left antecubital fossa and on the day of New Years Eve he developed a fever of 102 and became lethargic .' +p182341 +(lp182342 +S'A\tA\tDT\tB-NP\tO' +p182343 +aS'PICC\tPICC\tNN\tI-NP\tB-cell_line' +p182344 +aS'line\tline\tNN\tI-NP\tI-cell_line' +p182345 +aS'was\tbe\tVBD\tB-VP\tO' +p182346 +aS'placed\tplace\tVBN\tI-VP\tO' +p182347 +aS'in\tin\tIN\tB-PP\tO' +p182348 +aS'his\this\tPRP$\tB-NP\tO' +p182349 +aS'left\tleft\tJJ\tI-NP\tO' +p182350 +aS'antecubital\tantecubital\tJJ\tI-NP\tO' +p182351 +aS'fossa\tfossa\tNN\tI-NP\tO' +p182352 +aS'and\tand\tCC\tB-PP\tO' +p182353 +aS'on\ton\tIN\tB-PP\tO' +p182354 +aS'the\tthe\tDT\tB-NP\tO' +p182355 +aS'day\tday\tNN\tI-NP\tO' +p182356 +aS'of\tof\tIN\tB-PP\tO' +p182357 +aS'New\tNew\tNNP\tB-NP\tO' +p182358 +aS'Years\tYears\tNNP\tI-NP\tO' +p182359 +aS'Eve\tEve\tNNP\tI-NP\tO' +p182360 +aS'he\the\tPRP\tB-NP\tO' +p182361 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p182362 +aS'a\ta\tDT\tB-NP\tO' +p182363 +aS'fever\tfever\tNN\tI-NP\tO' +p182364 +aS'of\tof\tIN\tB-PP\tO' +p182365 +aS'102\t102\tCD\tB-NP\tO' +p182366 +aS'and\tand\tCC\tO\tO' +p182367 +aS'became\tbecome\tVBD\tB-VP\tO' +p182368 +aS'lethargic\tlethargic\tJJ\tB-ADJP\tO' +p182369 +aS'.\t.\t.\tO\tO' +p182370 +asS'Signed electronically by : DR. Jennifer Green on : FRI 2017-09-01 1:04 PM' +p182371 +(lp182372 +S'Signed\tSign\tVBN\tB-VP\tO' +p182373 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p182374 +aS'by\tby\tIN\tB-PP\tO' +p182375 +aS':\t:\t:\tO\tO' +p182376 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p182377 +aS'Jennifer\tJennifer\tNNP\tI-NP\tO' +p182378 +aS'Green\tGreen\tNNP\tI-NP\tO' +p182379 +aS'on\ton\tIN\tB-PP\tO' +p182380 +aS':\t:\t:\tO\tO' +p182381 +aS'FRI\tFRI\tCD\tB-NP\tO' +p182382 +aS'2017-09-01\t2017-09-01\tCD\tI-NP\tO' +p182383 +aS'1:04\t1:04\tCD\tI-NP\tO' +p182384 +aS'PM\tPM\tNN\tI-NP\tO' +p182385 +asS'He had 2+ femoral pulses bilaterally .' +p182386 +(lp182387 +S'He\tHe\tPRP\tB-NP\tO' +p182388 +aS'had\thave\tVBD\tB-VP\tO' +p182389 +aS'2+\t2+\tJJ\tB-NP\tO' +p182390 +aS'femoral\tfemoral\tJJ\tI-NP\tO' +p182391 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p182392 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p182393 +aS'.\t.\t.\tO\tO' +p182394 +asS'Right pupil ERRL .' +p182395 +(lp182396 +S'Right\tRight\tNN\tB-NP\tO' +p182397 +aS'pupil\tpupil\tNN\tI-NP\tO' +p182398 +aS'ERRL\tERRL\tNN\tI-NP\tO' +p182399 +aS'.\t.\t.\tO\tO' +p182400 +asS'Trazodone stopped .' +p182401 +(lp182402 +S'Trazodone\tTrazodone\tNN\tB-NP\tO' +p182403 +aS'stopped\tstop\tVBD\tB-VP\tO' +p182404 +aS'.\t.\t.\tO\tO' +p182405 +asS"Patient 's weight on admission was 250 pounds , and on the day of discharge was 244 pounds which was back to her dry weight ." +p182406 +(lp182407 +S'Patient\tPatient\tNN\tB-NP\tO' +p182408 +aS"'s\t's\tPOS\tB-NP\tO" +p182409 +aS'weight\tweight\tNN\tI-NP\tO' +p182410 +aS'on\ton\tIN\tB-PP\tO' +p182411 +aS'admission\tadmission\tNN\tB-NP\tO' +p182412 +aS'was\tbe\tVBD\tB-VP\tO' +p182413 +aS'250\t250\tCD\tB-NP\tO' +p182414 +aS'pounds\tpound\tNNS\tI-NP\tO' +p182415 +aS',\t,\t,\tO\tO' +p182416 +aS'and\tand\tCC\tO\tO' +p182417 +aS'on\ton\tIN\tB-PP\tO' +p182418 +aS'the\tthe\tDT\tB-NP\tO' +p182419 +aS'day\tday\tNN\tI-NP\tO' +p182420 +aS'of\tof\tIN\tB-PP\tO' +p182421 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p182422 +aS'was\tbe\tVBD\tB-VP\tO' +p182423 +aS'244\t244\tCD\tB-NP\tO' +p182424 +aS'pounds\tpound\tNNS\tI-NP\tO' +p182425 +aS'which\twhich\tWDT\tB-NP\tO' +p182426 +aS'was\tbe\tVBD\tB-VP\tO' +p182427 +aS'back\tback\tRB\tB-ADVP\tO' +p182428 +aS'to\tto\tTO\tB-PP\tO' +p182429 +aS'her\ther\tPRP$\tB-NP\tO' +p182430 +aS'dry\tdry\tJJ\tI-NP\tO' +p182431 +aS'weight\tweight\tNN\tI-NP\tO' +p182432 +aS'.\t.\t.\tO\tO' +p182433 +asS'His white blood count was 7100 , hematocrit 35.9 , platelet count 258,000 .' +p182434 +(lp182435 +S'His\tHis\tPRP$\tB-NP\tO' +p182436 +aS'white\twhite\tJJ\tI-NP\tO' +p182437 +aS'blood\tblood\tNN\tI-NP\tO' +p182438 +aS'count\tcount\tNN\tI-NP\tO' +p182439 +aS'was\tbe\tVBD\tB-VP\tO' +p182440 +aS'7100\t7100\tCD\tB-NP\tO' +p182441 +aS',\t,\t,\tO\tO' +p182442 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p182443 +aS'35.9\t35.9\tCD\tI-NP\tI-protein' +p182444 +aS',\t,\t,\tO\tO' +p182445 +aS'platelet\tplatelet\tNN\tB-NP\tB-protein' +p182446 +aS'count\tcount\tNN\tI-NP\tI-protein' +p182447 +aS'258,000\t258,000\tCD\tI-NP\tI-protein' +p182448 +aS'.\t.\t.\tO\tO' +p182449 +asS'Signed electronically by : DR. Exie Culbreath on : MON 2013-11-18 10:06 AM' +p182450 +(lp182451 +S'Signed\tSign\tVBN\tB-VP\tO' +p182452 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p182453 +aS'by\tby\tIN\tB-PP\tO' +p182454 +aS':\t:\t:\tO\tO' +p182455 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p182456 +aS'Exie\tExie\tNNP\tI-NP\tO' +p182457 +aS'Culbreath\tCulbreath\tNNP\tI-NP\tO' +p182458 +aS'on\ton\tIN\tB-PP\tO' +p182459 +aS':\t:\t:\tO\tO' +p182460 +aS'MON\tMON\tNN\tB-NP\tO' +p182461 +aS'2013-11-18\t2013-11-18\tCD\tI-NP\tO' +p182462 +aS'10:06\t10:06\tCD\tI-NP\tO' +p182463 +aS'AM\tAM\tNN\tI-NP\tO' +p182464 +asS'Her varices had stigmata of recent bleeding , were banded successfully .' +p182465 +(lp182466 +S'Her\tHer\tPRP$\tB-NP\tO' +p182467 +aS'varices\tvarix\tNNS\tI-NP\tO' +p182468 +aS'had\thave\tVBD\tB-VP\tO' +p182469 +aS'stigmata\tstigma\tNNS\tB-NP\tO' +p182470 +aS'of\tof\tIN\tB-PP\tO' +p182471 +aS'recent\trecent\tJJ\tB-NP\tO' +p182472 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p182473 +aS',\t,\t,\tO\tO' +p182474 +aS'were\tbe\tVBD\tB-VP\tO' +p182475 +aS'banded\tband\tVBN\tI-VP\tO' +p182476 +aS'successfully\tsuccessfully\tRB\tB-ADVP\tO' +p182477 +aS'.\t.\t.\tO\tO' +p182478 +asS'The patient had no evidence for weakness on examination with good proximal and distal strength in the lower extremities as well as intact sensation .' +p182479 +(lp182480 +S'The\tThe\tDT\tB-NP\tO' +p182481 +aS'patient\tpatient\tNN\tI-NP\tO' +p182482 +aS'had\thave\tVBD\tB-VP\tO' +p182483 +aS'no\tno\tDT\tB-NP\tO' +p182484 +aS'evidence\tevidence\tNN\tI-NP\tO' +p182485 +aS'for\tfor\tIN\tB-PP\tO' +p182486 +aS'weakness\tweakness\tNN\tB-NP\tO' +p182487 +aS'on\ton\tIN\tB-PP\tO' +p182488 +aS'examination\texamination\tNN\tB-NP\tO' +p182489 +aS'with\twith\tIN\tB-PP\tO' +p182490 +aS'good\tgood\tJJ\tB-NP\tO' +p182491 +aS'proximal\tproximal\tJJ\tI-NP\tO' +p182492 +aS'and\tand\tCC\tI-NP\tO' +p182493 +aS'distal\tdistal\tJJ\tI-NP\tO' +p182494 +aS'strength\tstrength\tNN\tI-NP\tO' +p182495 +aS'in\tin\tIN\tB-PP\tO' +p182496 +aS'the\tthe\tDT\tB-NP\tO' +p182497 +aS'lower\tlow\tJJR\tI-NP\tO' +p182498 +aS'extremities\textremity\tNNS\tI-NP\tO' +p182499 +aS'as\tas\tRB\tB-CONJP\tO' +p182500 +aS'well\twell\tRB\tI-CONJP\tO' +p182501 +aS'as\tas\tIN\tI-CONJP\tO' +p182502 +aS'intact\tintact\tJJ\tB-NP\tO' +p182503 +aS'sensation\tsensation\tNN\tI-NP\tO' +p182504 +aS'.\t.\t.\tO\tO' +p182505 +asS'She remained hemodynamically stable with good UOP in the setting of being started on abx and stress dose steroids .' +p182506 +(lp182507 +S'She\tShe\tPRP\tB-NP\tO' +p182508 +aS'remained\tremain\tVBD\tB-VP\tO' +p182509 +aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' +p182510 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p182511 +aS'with\twith\tIN\tB-PP\tO' +p182512 +aS'good\tgood\tJJ\tB-NP\tO' +p182513 +aS'UOP\tUOP\tNN\tI-NP\tO' +p182514 +aS'in\tin\tIN\tB-PP\tO' +p182515 +aS'the\tthe\tDT\tB-NP\tO' +p182516 +aS'setting\tsetting\tNN\tI-NP\tO' +p182517 +aS'of\tof\tIN\tB-PP\tO' +p182518 +aS'being\tbe\tVBG\tB-VP\tO' +p182519 +aS'started\tstart\tVBN\tI-VP\tO' +p182520 +aS'on\ton\tIN\tB-PP\tO' +p182521 +aS'abx\tabx\tNN\tB-NP\tO' +p182522 +aS'and\tand\tCC\tI-NP\tO' +p182523 +aS'stress\tstress\tNN\tI-NP\tO' +p182524 +aS'dose\tdose\tNN\tI-NP\tO' +p182525 +aS'steroids\tsteroid\tNNS\tI-NP\tO' +p182526 +aS'.\t.\t.\tO\tO' +p182527 +asS'Mr. Roach was transported to Intensive Care Unit from the trauma bay .' +p182528 +(lp182529 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p182530 +aS'Roach\tRoach\tNNP\tI-NP\tO' +p182531 +aS'was\tbe\tVBD\tB-VP\tO' +p182532 +aS'transported\ttransport\tVBN\tI-VP\tO' +p182533 +aS'to\tto\tTO\tB-PP\tO' +p182534 +aS'Intensive\tIntensive\tJJ\tB-NP\tO' +p182535 +aS'Care\tCare\tNNP\tI-NP\tO' +p182536 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p182537 +aS'from\tfrom\tIN\tB-PP\tO' +p182538 +aS'the\tthe\tDT\tB-NP\tO' +p182539 +aS'trauma\ttrauma\tNN\tI-NP\tO' +p182540 +aS'bay\tbay\tNN\tI-NP\tO' +p182541 +aS'.\t.\t.\tO\tO' +p182542 +asS'The patient was conscious on the scene when evaluated by EMT 's but at the scene , the patient was apparently paraplegic below the umbilicus with absence of movement and sensation below the umbilicus .' +p182543 +(lp182544 +S'The\tThe\tDT\tB-NP\tO' +p182545 +aS'patient\tpatient\tNN\tI-NP\tO' +p182546 +aS'was\tbe\tVBD\tB-VP\tO' +p182547 +aS'conscious\tconscious\tJJ\tB-ADJP\tO' +p182548 +aS'on\ton\tIN\tB-PP\tO' +p182549 +aS'the\tthe\tDT\tB-NP\tO' +p182550 +aS'scene\tscene\tNN\tI-NP\tO' +p182551 +aS'when\twhen\tWRB\tB-ADVP\tO' +p182552 +aS'evaluated\tevaluate\tVBN\tB-VP\tO' +p182553 +aS'by\tby\tIN\tB-PP\tO' +p182554 +aS'EMT\tEMT\tNN\tB-NP\tB-protein' +p182555 +aS''s\t'\tNNS\tI-NP\tI-protein' +p182556 +aS'but\tbut\tCC\tB-PP\tO' +p182557 +aS'at\tat\tIN\tB-PP\tO' +p182558 +aS'the\tthe\tDT\tB-NP\tO' +p182559 +aS'scene\tscene\tNN\tI-NP\tO' +p182560 +aS',\t,\t,\tO\tO' +p182561 +aS'the\tthe\tDT\tB-NP\tO' +p182562 +aS'patient\tpatient\tNN\tI-NP\tO' +p182563 +aS'was\tbe\tVBD\tB-VP\tO' +p182564 +aS'apparently\tapparently\tRB\tB-ADJP\tO' +p182565 +aS'paraplegic\tparaplegic\tJJ\tI-ADJP\tO' +p182566 +aS'below\tbelow\tIN\tB-PP\tO' +p182567 +aS'the\tthe\tDT\tB-NP\tO' +p182568 +aS'umbilicus\tumbilicus\tNN\tI-NP\tO' +p182569 +aS'with\twith\tIN\tB-PP\tO' +p182570 +aS'absence\tabsence\tNN\tB-NP\tO' +p182571 +aS'of\tof\tIN\tB-PP\tO' +p182572 +aS'movement\tmovement\tNN\tB-NP\tO' +p182573 +aS'and\tand\tCC\tI-NP\tO' +p182574 +aS'sensation\tsensation\tNN\tI-NP\tO' +p182575 +aS'below\tbelow\tIN\tB-PP\tO' +p182576 +aS'the\tthe\tDT\tB-NP\tO' +p182577 +aS'umbilicus\tumbilicus\tNN\tI-NP\tO' +p182578 +aS'.\t.\t.\tO\tO' +p182579 +asS'TECHNIQUE : Axial MDCT images of the cervical spine with coronal and sagittal reformats without IV contrast .' +p182580 +(lp182581 +S'TECHNIQUE\tTECHNIQUE\tNN\tB-NP\tO' +p182582 +aS':\t:\t:\tO\tO' +p182583 +aS'Axial\tAxial\tJJ\tB-NP\tO' +p182584 +aS'MDCT\tMDCT\tNN\tI-NP\tO' +p182585 +aS'images\timage\tNNS\tI-NP\tO' +p182586 +aS'of\tof\tIN\tB-PP\tO' +p182587 +aS'the\tthe\tDT\tB-NP\tO' +p182588 +aS'cervical\tcervical\tJJ\tI-NP\tO' +p182589 +aS'spine\tspine\tNN\tI-NP\tO' +p182590 +aS'with\twith\tIN\tB-PP\tO' +p182591 +aS'coronal\tcoronal\tJJ\tB-NP\tO' +p182592 +aS'and\tand\tCC\tI-NP\tO' +p182593 +aS'sagittal\tsagittal\tJJ\tI-NP\tO' +p182594 +aS'reformats\treformat\tNNS\tI-NP\tO' +p182595 +aS'without\twithout\tIN\tB-PP\tO' +p182596 +aS'IV\tIV\tCD\tB-NP\tO' +p182597 +aS'contrast\tcontrast\tNN\tI-NP\tO' +p182598 +aS'.\t.\t.\tO\tO' +p182599 +asS'She will have follow-up with Dr. Lako Coma .' +p182600 +(lp182601 +S'She\tShe\tPRP\tB-NP\tO' +p182602 +aS'will\twill\tMD\tB-VP\tO' +p182603 +aS'have\thave\tVB\tI-VP\tO' +p182604 +aS'follow-up\tfollow-up\tNN\tB-NP\tO' +p182605 +aS'with\twith\tIN\tB-PP\tO' +p182606 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p182607 +aS'Lako\tLako\tNNP\tI-NP\tO' +p182608 +aS'Coma\tComa\tNNP\tI-NP\tO' +p182609 +aS'.\t.\t.\tO\tO' +p182610 +asS'Gastrointestinal : Her initial CT scan showed dilated Turner colon , wall thickening and pneumatosis see pertinent results .' +p182611 +(lp182612 +S'Gastrointestinal\tGastrointestinal\tJJ\tB-ADJP\tO' +p182613 +aS':\t:\t:\tO\tO' +p182614 +aS'Her\tHer\tPRP$\tB-NP\tO' +p182615 +aS'initial\tinitial\tJJ\tI-NP\tO' +p182616 +aS'CT\tCT\tNN\tI-NP\tO' +p182617 +aS'scan\tscan\tNN\tI-NP\tO' +p182618 +aS'showed\tshow\tVBD\tB-VP\tO' +p182619 +aS'dilated\tdilate\tVBN\tI-VP\tO' +p182620 +aS'Turner\tTurner\tNNP\tB-NP\tO' +p182621 +aS'colon\tcolon\tNN\tI-NP\tO' +p182622 +aS',\t,\t,\tO\tO' +p182623 +aS'wall\twall\tNN\tB-NP\tO' +p182624 +aS'thickening\tthickening\tNN\tI-NP\tO' +p182625 +aS'and\tand\tCC\tI-NP\tO' +p182626 +aS'pneumatosis\tpneumatosis\tNN\tI-NP\tO' +p182627 +aS'see\tsee\tVBP\tB-VP\tO' +p182628 +aS'pertinent\tpertinent\tJJ\tB-NP\tO' +p182629 +aS'results\tresult\tNNS\tI-NP\tO' +p182630 +aS'.\t.\t.\tO\tO' +p182631 +asS'Asthma .' +p182632 +(lp182633 +S'Asthma\tAsthma\tNN\tB-NP\tO' +p182634 +aS'.\t.\t.\tO\tO' +p182635 +asS'1. Lipitor 40 mg po every day .' +p182636 +(lp182637 +S'1.\t1.\tLS\tB-NP\tO' +p182638 +aS'Lipitor\tLipitor\tNNP\tI-NP\tO' +p182639 +aS'40\t40\tCD\tI-NP\tO' +p182640 +aS'mg\tmg\tNN\tI-NP\tO' +p182641 +aS'po\tpo\tRB\tB-ADVP\tO' +p182642 +aS'every\tevery\tDT\tB-NP\tO' +p182643 +aS'day\tday\tNN\tI-NP\tO' +p182644 +aS'.\t.\t.\tO\tO' +p182645 +asS'Advised to contact Pain service for repeat injections , F / U with Neurology , explore PT , massage therapy .' +p182646 +(lp182647 +S'Advised\tAdvise\tVBN\tB-VP\tO' +p182648 +aS'to\tto\tTO\tB-VP\tO' +p182649 +aS'contact\tcontact\tVB\tI-VP\tO' +p182650 +aS'Pain\tPain\tNNP\tB-NP\tO' +p182651 +aS'service\tservice\tNN\tI-NP\tO' +p182652 +aS'for\tfor\tIN\tB-PP\tO' +p182653 +aS'repeat\trepeat\tNN\tB-NP\tO' +p182654 +aS'injections\tinjection\tNNS\tI-NP\tO' +p182655 +aS',\t,\t,\tO\tO' +p182656 +aS'F\tF\tNN\tB-NP\tO' +p182657 +aS'/\t/\tSYM\tO\tO' +p182658 +aS'U\tU\tNN\tB-NP\tO' +p182659 +aS'with\twith\tIN\tB-PP\tO' +p182660 +aS'Neurology\tNeurology\tNNP\tB-NP\tO' +p182661 +aS',\t,\t,\tO\tO' +p182662 +aS'explore\texplore\tNN\tB-NP\tO' +p182663 +aS'PT\tPT\tNN\tI-NP\tO' +p182664 +aS',\t,\t,\tO\tO' +p182665 +aS'massage\tmassage\tNN\tB-NP\tO' +p182666 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p182667 +aS'.\t.\t.\tO\tO' +p182668 +asS'She also had some modest anemia , at the time of discharge her hematocrit was 30.9 .' +p182669 +(lp182670 +S'She\tShe\tPRP\tB-NP\tO' +p182671 +aS'also\talso\tRB\tB-ADVP\tO' +p182672 +aS'had\thave\tVBD\tB-VP\tO' +p182673 +aS'some\tsome\tDT\tB-NP\tO' +p182674 +aS'modest\tmodest\tJJ\tI-NP\tO' +p182675 +aS'anemia\tanemia\tNN\tI-NP\tO' +p182676 +aS',\t,\t,\tO\tO' +p182677 +aS'at\tat\tIN\tB-PP\tO' +p182678 +aS'the\tthe\tDT\tB-NP\tO' +p182679 +aS'time\ttime\tNN\tI-NP\tO' +p182680 +aS'of\tof\tIN\tB-PP\tO' +p182681 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p182682 +aS'her\ther\tPRP$\tB-NP\tO' +p182683 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p182684 +aS'was\tbe\tVBD\tB-VP\tO' +p182685 +aS'30.9\t30.9\tCD\tB-NP\tO' +p182686 +aS'.\t.\t.\tO\tO' +p182687 +asS'It was tested with no voluntary movement except at the finger tips .' +p182688 +(lp182689 +S'It\tIt\tPRP\tB-NP\tO' +p182690 +aS'was\tbe\tVBD\tB-VP\tO' +p182691 +aS'tested\ttest\tVBN\tI-VP\tO' +p182692 +aS'with\twith\tIN\tB-PP\tO' +p182693 +aS'no\tno\tDT\tB-NP\tO' +p182694 +aS'voluntary\tvoluntary\tJJ\tI-NP\tO' +p182695 +aS'movement\tmovement\tNN\tI-NP\tO' +p182696 +aS'except\texcept\tIN\tB-PP\tO' +p182697 +aS'at\tat\tIN\tB-PP\tO' +p182698 +aS'the\tthe\tDT\tB-NP\tO' +p182699 +aS'finger\tfinger\tNN\tI-NP\tO' +p182700 +aS'tips\ttip\tNNS\tI-NP\tO' +p182701 +aS'.\t.\t.\tO\tO' +p182702 +asS'Please refer to the previously dictated operative notes for the details of this surgery .' +p182703 +(lp182704 +S'Please\tPlease\tNN\tB-NP\tB-protein' +p182705 +aS'refer\trefer\tVBP\tB-VP\tO' +p182706 +aS'to\tto\tTO\tB-PP\tO' +p182707 +aS'the\tthe\tDT\tB-NP\tO' +p182708 +aS'previously\tpreviously\tRB\tI-NP\tO' +p182709 +aS'dictated\tdictate\tVBN\tI-NP\tO' +p182710 +aS'operative\toperative\tJJ\tI-NP\tO' +p182711 +aS'notes\tnote\tNNS\tI-NP\tO' +p182712 +aS'for\tfor\tIN\tB-PP\tO' +p182713 +aS'the\tthe\tDT\tB-NP\tO' +p182714 +aS'details\tdetail\tNNS\tI-NP\tO' +p182715 +aS'of\tof\tIN\tB-PP\tO' +p182716 +aS'this\tthis\tDT\tB-NP\tO' +p182717 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p182718 +aS'.\t.\t.\tO\tO' +p182719 +asS'There was no purulence or discharge noted .' +p182720 +(lp182721 +S'There\tThere\tEX\tB-NP\tO' +p182722 +aS'was\tbe\tVBD\tB-VP\tO' +p182723 +aS'no\tno\tDT\tB-NP\tO' +p182724 +aS'purulence\tpurulence\tNN\tI-NP\tO' +p182725 +aS'or\tor\tCC\tI-NP\tO' +p182726 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p182727 +aS'noted\tnote\tVBD\tB-VP\tO' +p182728 +aS'.\t.\t.\tO\tO' +p182729 +asS'In addition , she has some dysphagia , particularly has had some difficulties with swallowing .' +p182730 +(lp182731 +S'In\tIn\tIN\tB-PP\tO' +p182732 +aS'addition\taddition\tNN\tB-NP\tO' +p182733 +aS',\t,\t,\tO\tO' +p182734 +aS'she\tshe\tPRP\tB-NP\tO' +p182735 +aS'has\thave\tVBZ\tB-VP\tO' +p182736 +aS'some\tsome\tDT\tB-NP\tO' +p182737 +aS'dysphagia\tdysphagia\tNN\tI-NP\tO' +p182738 +aS',\t,\t,\tO\tO' +p182739 +aS'particularly\tparticularly\tRB\tB-ADVP\tO' +p182740 +aS'has\thave\tVBZ\tB-VP\tO' +p182741 +aS'had\thave\tVBN\tI-VP\tO' +p182742 +aS'some\tsome\tDT\tB-NP\tO' +p182743 +aS'difficulties\tdifficulty\tNNS\tI-NP\tO' +p182744 +aS'with\twith\tIN\tB-PP\tO' +p182745 +aS'swallowing\tswallow\tVBG\tB-NP\tO' +p182746 +aS'.\t.\t.\tO\tO' +p182747 +asS'She was discharged with PO Keflex that she was to take for the next ten days .' +p182748 +(lp182749 +S'She\tShe\tPRP\tB-NP\tO' +p182750 +aS'was\tbe\tVBD\tB-VP\tO' +p182751 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p182752 +aS'with\twith\tIN\tB-PP\tO' +p182753 +aS'PO\tPO\tNNP\tB-NP\tO' +p182754 +aS'Keflex\tKeflex\tNNP\tI-NP\tO' +p182755 +aS'that\tthat\tIN\tB-SBAR\tO' +p182756 +aS'she\tshe\tPRP\tB-NP\tO' +p182757 +aS'was\tbe\tVBD\tB-VP\tO' +p182758 +aS'to\tto\tTO\tB-VP\tO' +p182759 +aS'take\ttake\tVB\tI-VP\tO' +p182760 +aS'for\tfor\tIN\tB-PP\tO' +p182761 +aS'the\tthe\tDT\tB-NP\tO' +p182762 +aS'next\tnext\tJJ\tI-NP\tO' +p182763 +aS'ten\tten\tCD\tI-NP\tO' +p182764 +aS'days\tday\tNNS\tI-NP\tO' +p182765 +aS'.\t.\t.\tO\tO' +p182766 +asS'Denies fevers , pleuritic chest pain or cough .' +p182767 +(lp182768 +S'Denies\tDeny\tNNS\tB-NP\tO' +p182769 +aS'fevers\tfever\tNNS\tI-NP\tO' +p182770 +aS',\t,\t,\tO\tO' +p182771 +aS'pleuritic\tpleuritic\tJJ\tB-NP\tO' +p182772 +aS'chest\tchest\tNN\tI-NP\tO' +p182773 +aS'pain\tpain\tNN\tI-NP\tO' +p182774 +aS'or\tor\tCC\tI-NP\tO' +p182775 +aS'cough\tcough\tNN\tI-NP\tO' +p182776 +aS'.\t.\t.\tO\tO' +p182777 +asS'Include Librax 1 PO before meals , Pancrease 2 tabs before meals , Synthroid 0.125 mg PO qd .' +p182778 +(lp182779 +S'Include\tInclude\tNN\tB-NP\tO' +p182780 +aS'Librax\tLibrax\tNN\tI-NP\tO' +p182781 +aS'1\t1\tCD\tI-NP\tO' +p182782 +aS'PO\tPO\tNN\tI-NP\tO' +p182783 +aS'before\tbefore\tIN\tB-PP\tO' +p182784 +aS'meals\tmeal\tNNS\tB-NP\tO' +p182785 +aS',\t,\t,\tO\tO' +p182786 +aS'Pancrease\tPancrease\tNN\tB-NP\tB-protein' +p182787 +aS'2\t2\tCD\tB-NP\tI-protein' +p182788 +aS'tabs\ttab\tNNS\tI-NP\tI-protein' +p182789 +aS'before\tbefore\tIN\tB-PP\tO' +p182790 +aS'meals\tmeal\tNNS\tB-NP\tO' +p182791 +aS',\t,\t,\tO\tO' +p182792 +aS'Synthroid\tSynthroid\tJJ\tB-NP\tO' +p182793 +aS'0.125\t0.125\tCD\tI-NP\tO' +p182794 +aS'mg\tmg\tNN\tI-NP\tO' +p182795 +aS'PO\tPO\tNN\tI-NP\tO' +p182796 +aS'qd\tqd\tNN\tI-NP\tO' +p182797 +aS'.\t.\t.\tO\tO' +p182798 +asS'4. Rule out myocardial infarction .' +p182799 +(lp182800 +S'4.\t4.\tLS\tB-LST\tO' +p182801 +aS'Rule\tRule\tNNP\tB-NP\tO' +p182802 +aS'out\tout\tIN\tB-PP\tO' +p182803 +aS'myocardial\tmyocardial\tJJ\tB-NP\tO' +p182804 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p182805 +aS'.\t.\t.\tO\tO' +p182806 +asS'father with ? Mi at unknown age' +p182807 +(lp182808 +S'father\tfather\tVB\tB-VP\tO' +p182809 +aS'with\twith\tIN\tB-PP\tO' +p182810 +aS'?\t?\t.\tO\tB-DNA' +p182811 +aS'Mi\tMi\tNNP\tB-NP\tI-DNA' +p182812 +aS'at\tat\tIN\tB-PP\tO' +p182813 +aS'unknown\tunknown\tJJ\tB-NP\tO' +p182814 +aS'age\tage\tNN\tI-NP\tO' +p182815 +asS'Also , three years prior in 1993 , she had an attack of diverticulitis .' +p182816 +(lp182817 +S'Also\tAlso\tRB\tB-ADVP\tO' +p182818 +aS',\t,\t,\tO\tO' +p182819 +aS'three\tthree\tCD\tB-NP\tO' +p182820 +aS'years\tyear\tNNS\tI-NP\tO' +p182821 +aS'prior\tprior\tRB\tB-ADVP\tO' +p182822 +aS'in\tin\tIN\tB-PP\tO' +p182823 +aS'1993\t1993\tCD\tB-NP\tO' +p182824 +aS',\t,\t,\tO\tO' +p182825 +aS'she\tshe\tPRP\tB-NP\tO' +p182826 +aS'had\thave\tVBD\tB-VP\tO' +p182827 +aS'an\tan\tDT\tB-NP\tO' +p182828 +aS'attack\tattack\tNN\tI-NP\tO' +p182829 +aS'of\tof\tIN\tB-PP\tO' +p182830 +aS'diverticulitis\tdiverticulitis\tNN\tB-NP\tO' +p182831 +aS'.\t.\t.\tO\tO' +p182832 +asS'Relatively unknown other than Lipitor .' +p182833 +(lp182834 +S'Relatively\tRelatively\tRB\tB-NP\tO' +p182835 +aS'unknown\tunknown\tJJ\tI-NP\tO' +p182836 +aS'other\tother\tJJ\tB-ADJP\tO' +p182837 +aS'than\tthan\tIN\tB-PP\tO' +p182838 +aS'Lipitor\tLipitor\tNN\tB-NP\tO' +p182839 +aS'.\t.\t.\tO\tO' +p182840 +asS'At 9/7/93 at 5:00 a.m. , sodium bicarbonate given 60 mEq , calcium bolus 10 cc's given .' +p182841 +(lp182842 +S'At\tAt\tIN\tB-PP\tO' +p182843 +aS'9/7/93\t9/7/93\tCD\tB-NP\tO' +p182844 +aS'at\tat\tIN\tB-PP\tO' +p182845 +aS'5:00\t5:00\tCD\tB-NP\tO' +p182846 +aS'a.m.\ta.m.\tNN\tI-NP\tO' +p182847 +aS',\t,\t,\tO\tO' +p182848 +aS'sodium\tsodium\tNN\tB-NP\tB-protein' +p182849 +aS'bicarbonate\tbicarbonate\tNN\tI-NP\tI-protein' +p182850 +aS'given\tgive\tVBN\tB-VP\tI-protein' +p182851 +aS'60\t60\tCD\tB-NP\tI-protein' +p182852 +aS'mEq\tmEq\tNN\tI-NP\tI-protein' +p182853 +aS',\t,\t,\tO\tO' +p182854 +aS'calcium\tcalcium\tNN\tB-NP\tB-protein' +p182855 +aS'bolus\tbolus\tNN\tI-NP\tI-protein' +p182856 +aS'10\t10\tCD\tB-NP\tI-protein' +p182857 +aS'cc's\tcc'\tNNS\tI-NP\tI-protein' +p182858 +aS'given\tgive\tVBN\tB-VP\tO' +p182859 +aS'.\t.\t.\tO\tO' +p182860 +asS'Diastolic rumble at the apex .' +p182861 +(lp182862 +S'Diastolic\tDiastolic\tJJ\tB-NP\tO' +p182863 +aS'rumble\trumble\tNN\tI-NP\tO' +p182864 +aS'at\tat\tIN\tB-PP\tO' +p182865 +aS'the\tthe\tDT\tB-NP\tO' +p182866 +aS'apex\tapex\tNN\tI-NP\tO' +p182867 +aS'.\t.\t.\tO\tO' +p182868 +asS'She was seen by Psychiatry at the outside hospital , but noted there was no psychoses , but delirium .' +p182869 +(lp182870 +S'She\tShe\tPRP\tB-NP\tO' +p182871 +aS'was\tbe\tVBD\tB-VP\tO' +p182872 +aS'seen\tsee\tVBN\tI-VP\tO' +p182873 +aS'by\tby\tIN\tB-PP\tO' +p182874 +aS'Psychiatry\tPsychiatry\tNN\tB-NP\tO' +p182875 +aS'at\tat\tIN\tB-PP\tO' +p182876 +aS'the\tthe\tDT\tB-NP\tO' +p182877 +aS'outside\toutside\tJJ\tI-NP\tO' +p182878 +aS'hospital\thospital\tNN\tI-NP\tO' +p182879 +aS',\t,\t,\tO\tO' +p182880 +aS'but\tbut\tCC\tO\tO' +p182881 +aS'noted\tnote\tVBD\tB-VP\tO' +p182882 +aS'there\tthere\tEX\tB-NP\tO' +p182883 +aS'was\tbe\tVBD\tB-VP\tO' +p182884 +aS'no\tno\tDT\tB-NP\tO' +p182885 +aS'psychoses\tpsychos\tNNS\tI-NP\tO' +p182886 +aS',\t,\t,\tO\tO' +p182887 +aS'but\tbut\tCC\tO\tO' +p182888 +aS'delirium\tdelirium\tNN\tB-NP\tO' +p182889 +aS'.\t.\t.\tO\tO' +p182890 +asS'ANA results were also nonsuggestive .' +p182891 +(lp182892 +S'ANA\tANA\tNN\tB-NP\tO' +p182893 +aS'results\tresult\tNNS\tI-NP\tO' +p182894 +aS'were\tbe\tVBD\tB-VP\tO' +p182895 +aS'also\talso\tRB\tB-ADVP\tO' +p182896 +aS'nonsuggestive\tnonsuggestive\tJJ\tB-ADJP\tO' +p182897 +aS'.\t.\t.\tO\tO' +p182898 +asS'9. Albuterol Sulfate 0.083 % Solution Sig : One ( 1 ) puff Inhalation Q6H ( every 6 hours ) as needed for shortness of breath or wheezing .' +p182899 +(lp182900 +S'9.\t9.\tLS\tB-NP\tO' +p182901 +aS'Albuterol\tAlbuterol\tNNP\tI-NP\tO' +p182902 +aS'Sulfate\tSulfate\tNNP\tI-NP\tO' +p182903 +aS'0.083\t0.083\tCD\tI-NP\tO' +p182904 +aS'%\t%\tNN\tI-NP\tO' +p182905 +aS'Solution\tSolution\tNNP\tI-NP\tO' +p182906 +aS'Sig\tSig\tNNP\tI-NP\tO' +p182907 +aS':\t:\t:\tO\tO' +p182908 +aS'One\tOne\tCD\tB-NP\tO' +p182909 +aS'(\t(\t(\tO\tO' +p182910 +aS'1\t1\tCD\tB-NP\tO' +p182911 +aS')\t)\t)\tO\tO' +p182912 +aS'puff\tpuff\tNN\tB-NP\tO' +p182913 +aS'Inhalation\tInhalation\tNN\tI-NP\tO' +p182914 +aS'Q6H\tQ6H\tNN\tI-NP\tO' +p182915 +aS'(\t(\t(\tO\tO' +p182916 +aS'every\tevery\tDT\tB-NP\tO' +p182917 +aS'6\t6\tCD\tI-NP\tO' +p182918 +aS'hours\thour\tNNS\tI-NP\tO' +p182919 +aS')\t)\t)\tO\tO' +p182920 +aS'as\tas\tIN\tB-SBAR\tO' +p182921 +aS'needed\tneed\tVBN\tB-VP\tO' +p182922 +aS'for\tfor\tIN\tB-PP\tO' +p182923 +aS'shortness\tshortness\tNN\tB-NP\tO' +p182924 +aS'of\tof\tIN\tB-PP\tO' +p182925 +aS'breath\tbreath\tNN\tB-NP\tO' +p182926 +aS'or\tor\tCC\tI-NP\tO' +p182927 +aS'wheezing\twheezing\tNN\tI-NP\tO' +p182928 +aS'.\t.\t.\tO\tO' +p182929 +asS'Chem-7 notable for potassium of 3.2 and bicarbonate of 30 .' +p182930 +(lp182931 +S'Chem-7\tChem-7\tNN\tB-NP\tO' +p182932 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p182933 +aS'for\tfor\tIN\tB-PP\tO' +p182934 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p182935 +aS'of\tof\tIN\tB-PP\tO' +p182936 +aS'3.2\t3.2\tCD\tB-NP\tO' +p182937 +aS'and\tand\tCC\tO\tO' +p182938 +aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' +p182939 +aS'of\tof\tIN\tB-PP\tO' +p182940 +aS'30\t30\tCD\tB-NP\tO' +p182941 +aS'.\t.\t.\tO\tO' +p182942 +asS'Electrocardiogram showed sinus tachycardia at 115 with a normal axis , intermittent Q wave in III; a wavy baseline .' +p182943 +(lp182944 +S'Electrocardiogram\tElectrocardiogram\tNN\tB-NP\tO' +p182945 +aS'showed\tshow\tVBD\tB-VP\tO' +p182946 +aS'sinus\tsinus\tNN\tB-NP\tO' +p182947 +aS'tachycardia\ttachycardia\tNN\tI-NP\tO' +p182948 +aS'at\tat\tIN\tB-PP\tO' +p182949 +aS'115\t115\tCD\tB-NP\tO' +p182950 +aS'with\twith\tIN\tB-PP\tO' +p182951 +aS'a\ta\tDT\tB-NP\tO' +p182952 +aS'normal\tnormal\tJJ\tI-NP\tO' +p182953 +aS'axis\taxis\tNN\tI-NP\tO' +p182954 +aS',\t,\t,\tO\tO' +p182955 +aS'intermittent\tintermittent\tJJ\tB-NP\tO' +p182956 +aS'Q\tQ\tNN\tI-NP\tO' +p182957 +aS'wave\twave\tNN\tI-NP\tO' +p182958 +aS'in\tin\tIN\tB-PP\tO' +p182959 +aS'III;\tIII;\tNN\tB-NP\tB-protein' +p182960 +aS'a\ta\tDT\tB-NP\tO' +p182961 +aS'wavy\twavy\tNN\tI-NP\tO' +p182962 +aS'baseline\tbaseline\tNN\tI-NP\tO' +p182963 +aS'.\t.\t.\tO\tO' +p182964 +asS'He was to have f/u INR check with Dr Lewis on 05-31 .' +p182965 +(lp182966 +S'He\tHe\tPRP\tB-NP\tO' +p182967 +aS'was\tbe\tVBD\tB-VP\tO' +p182968 +aS'to\tto\tTO\tI-VP\tO' +p182969 +aS'have\thave\tVB\tI-VP\tO' +p182970 +aS'f/u\tf/u\tNN\tB-NP\tO' +p182971 +aS'INR\tINR\tNN\tI-NP\tO' +p182972 +aS'check\tcheck\tNN\tI-NP\tO' +p182973 +aS'with\twith\tIN\tB-PP\tO' +p182974 +aS'Dr\tDr\tNNP\tB-NP\tO' +p182975 +aS'Lewis\tLewis\tNNP\tI-NP\tO' +p182976 +aS'on\ton\tIN\tB-PP\tO' +p182977 +aS'05-31\t05-31\tCD\tB-NP\tO' +p182978 +aS'.\t.\t.\tO\tO' +p182979 +asS'Retired RN .' +p182980 +(lp182981 +S'Retired\tRetire\tVBN\tB-NP\tO' +p182982 +aS'RN\tRN\tNN\tI-NP\tO' +p182983 +aS'.\t.\t.\tO\tO' +p182984 +asS'History of cocaine use , most recent use day of admission' +p182985 +(lp182986 +S'History\tHistory\tNN\tB-NP\tO' +p182987 +aS'of\tof\tIN\tB-PP\tO' +p182988 +aS'cocaine\tcocaine\tNN\tB-NP\tO' +p182989 +aS'use\tuse\tNN\tI-NP\tO' +p182990 +aS',\t,\t,\tO\tO' +p182991 +aS'most\tmost\tRBS\tB-NP\tO' +p182992 +aS'recent\trecent\tJJ\tI-NP\tO' +p182993 +aS'use\tuse\tNN\tI-NP\tO' +p182994 +aS'day\tday\tNN\tI-NP\tO' +p182995 +aS'of\tof\tIN\tB-PP\tO' +p182996 +aS'admission\tadmission\tNN\tB-NP\tO' +p182997 +asS'Signed electronically by : DR. William Lawson on : MON 2013-10-14 8:51 PM' +p182998 +(lp182999 +S'Signed\tSign\tVBN\tB-VP\tO' +p183000 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p183001 +aS'by\tby\tIN\tB-PP\tO' +p183002 +aS':\t:\t:\tO\tO' +p183003 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p183004 +aS'William\tWilliam\tNNP\tI-NP\tO' +p183005 +aS'Lawson\tLawson\tNNP\tI-NP\tO' +p183006 +aS'on\ton\tIN\tB-PP\tO' +p183007 +aS':\t:\t:\tO\tO' +p183008 +aS'MON\tMON\tNN\tB-NP\tO' +p183009 +aS'2013-10-14\t2013-10-14\tCD\tI-NP\tO' +p183010 +aS'8:51\t8:51\tCD\tI-NP\tO' +p183011 +aS'PM\tPM\tNN\tI-NP\tO' +p183012 +asS'Patient without chest pain , heart rate and BP stable .' +p183013 +(lp183014 +S'Patient\tPatient\tNN\tB-NP\tO' +p183015 +aS'without\twithout\tIN\tB-PP\tO' +p183016 +aS'chest\tchest\tNN\tB-NP\tO' +p183017 +aS'pain\tpain\tNN\tI-NP\tO' +p183018 +aS',\t,\t,\tO\tO' +p183019 +aS'heart\theart\tNN\tB-NP\tO' +p183020 +aS'rate\trate\tNN\tI-NP\tO' +p183021 +aS'and\tand\tCC\tO\tO' +p183022 +aS'BP\tBP\tNN\tB-NP\tO' +p183023 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p183024 +aS'.\t.\t.\tO\tO' +p183025 +asS'12. Tylenol 325 mg , one to two tablets q. four to six hours p.r.n.' +p183026 +(lp183027 +S'12.\t12.\tCD\tB-NP\tO' +p183028 +aS'Tylenol\tTylenol\tNN\tI-NP\tO' +p183029 +aS'325\t325\tCD\tB-NP\tO' +p183030 +aS'mg\tmg\tNN\tI-NP\tO' +p183031 +aS',\t,\t,\tO\tO' +p183032 +aS'one\tone\tCD\tB-NP\tO' +p183033 +aS'to\tto\tTO\tI-NP\tO' +p183034 +aS'two\ttwo\tCD\tI-NP\tO' +p183035 +aS'tablets\ttablet\tNNS\tI-NP\tO' +p183036 +aS'q.\tq.\tRB\tB-NP\tO' +p183037 +aS'four\tfour\tCD\tI-NP\tO' +p183038 +aS'to\tto\tTO\tI-NP\tO' +p183039 +aS'six\tsix\tCD\tI-NP\tO' +p183040 +aS'hours\thour\tNNS\tI-NP\tO' +p183041 +aS'p.r.n.\tp.r.n.\tRB\tB-ADVP\tO' +p183042 +asS'Dictated By : Rodolfo X Gifford , M.D.' +p183043 +(lp183044 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p183045 +aS'By\tBy\tIN\tB-PP\tO' +p183046 +aS':\t:\t:\tO\tO' +p183047 +aS'Rodolfo\tRodolfo\tNNP\tB-NP\tO' +p183048 +aS'X\tX\tNNP\tI-NP\tO' +p183049 +aS'Gifford\tGifford\tNNP\tI-NP\tO' +p183050 +aS',\t,\t,\tO\tO' +p183051 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p183052 +asS'She had a strong popliteal doppler pulse intraoperatively and good PVR on the right postoperatively .' +p183053 +(lp183054 +S'She\tShe\tPRP\tB-NP\tO' +p183055 +aS'had\thave\tVBD\tB-VP\tO' +p183056 +aS'a\ta\tDT\tB-NP\tO' +p183057 +aS'strong\tstrong\tJJ\tI-NP\tO' +p183058 +aS'popliteal\tpopliteal\tJJ\tI-NP\tO' +p183059 +aS'doppler\tdoppler\tNN\tI-NP\tO' +p183060 +aS'pulse\tpulse\tNN\tI-NP\tO' +p183061 +aS'intraoperatively\tintraoperatively\tRB\tB-ADVP\tO' +p183062 +aS'and\tand\tCC\tO\tO' +p183063 +aS'good\tgood\tJJ\tB-NP\tO' +p183064 +aS'PVR\tPVR\tNN\tI-NP\tB-protein' +p183065 +aS'on\ton\tIN\tB-PP\tO' +p183066 +aS'the\tthe\tDT\tB-NP\tO' +p183067 +aS'right\tright\tNN\tI-NP\tO' +p183068 +aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' +p183069 +aS'.\t.\t.\tO\tO' +p183070 +asS'2. Completion sigmoid colectomy , repair of colovesicular fistula , small bowel repair' +p183071 +(lp183072 +S'2.\t2.\tLS\tB-NP\tO' +p183073 +aS'Completion\tCompletion\tNN\tI-NP\tO' +p183074 +aS'sigmoid\tsigmoid\tJJ\tI-NP\tO' +p183075 +aS'colectomy\tcolectomy\tNN\tI-NP\tO' +p183076 +aS',\t,\t,\tO\tO' +p183077 +aS'repair\trepair\tNN\tB-NP\tO' +p183078 +aS'of\tof\tIN\tB-PP\tO' +p183079 +aS'colovesicular\tcolovesicular\tJJ\tB-NP\tO' +p183080 +aS'fistula\tfistula\tNN\tI-NP\tO' +p183081 +aS',\t,\t,\tO\tO' +p183082 +aS'small\tsmall\tJJ\tB-NP\tO' +p183083 +aS'bowel\tbowel\tNN\tI-NP\tO' +p183084 +aS'repair\trepair\tNN\tI-NP\tO' +p183085 +asS'Chest - reduced breath sounds at the bases with faint inspiratory rhonchi anteriorly .' +p183086 +(lp183087 +S'Chest\tChest\tNNP\tB-NP\tO' +p183088 +aS'-\t-\tHYPH\tB-PP\tO' +p183089 +aS'reduced\treduce\tVBN\tB-NP\tO' +p183090 +aS'breath\tbreath\tNN\tI-NP\tO' +p183091 +aS'sounds\tsound\tNNS\tI-NP\tO' +p183092 +aS'at\tat\tIN\tB-PP\tO' +p183093 +aS'the\tthe\tDT\tB-NP\tO' +p183094 +aS'bases\tbase\tNNS\tI-NP\tO' +p183095 +aS'with\twith\tIN\tB-PP\tO' +p183096 +aS'faint\tfaint\tJJ\tB-NP\tO' +p183097 +aS'inspiratory\tinspiratory\tJJ\tI-NP\tO' +p183098 +aS'rhonchi\trhonchi\tNN\tI-NP\tO' +p183099 +aS'anteriorly\tanteriorly\tRB\tB-ADVP\tO' +p183100 +aS'.\t.\t.\tO\tO' +p183101 +asS'Occupational therapy became involved initially and he remained on patient controlled analgesia secondary to problems with left shoulder pain .' +p183102 +(lp183103 +S'Occupational\tOccupational\tJJ\tB-NP\tO' +p183104 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p183105 +aS'became\tbecome\tVBD\tB-VP\tO' +p183106 +aS'involved\tinvolve\tVBN\tB-ADJP\tO' +p183107 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p183108 +aS'and\tand\tCC\tO\tO' +p183109 +aS'he\the\tPRP\tB-NP\tO' +p183110 +aS'remained\tremain\tVBD\tB-VP\tO' +p183111 +aS'on\ton\tIN\tB-PP\tO' +p183112 +aS'patient\tpatient\tNN\tB-NP\tO' +p183113 +aS'controlled\tcontrolled\tJJ\tI-NP\tO' +p183114 +aS'analgesia\tanalgesia\tNN\tI-NP\tO' +p183115 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p183116 +aS'to\tto\tTO\tB-PP\tO' +p183117 +aS'problems\tproblem\tNNS\tB-NP\tO' +p183118 +aS'with\twith\tIN\tB-PP\tO' +p183119 +aS'left\tleft\tJJ\tB-NP\tB-protein' +p183120 +aS'shoulder\tshoulder\tNN\tI-NP\tI-protein' +p183121 +aS'pain\tpain\tNN\tI-NP\tI-protein' +p183122 +aS'.\t.\t.\tO\tO' +p183123 +asS'FINDINGS : The previously noted subdural hemorrhage in the right posterior fossa appears less conspicuous .' +p183124 +(lp183125 +S'FINDINGS\tFINDINGS\tNNS\tB-NP\tO' +p183126 +aS':\t:\t:\tO\tO' +p183127 +aS'The\tThe\tDT\tB-NP\tO' +p183128 +aS'previously\tpreviously\tRB\tI-NP\tO' +p183129 +aS'noted\tnote\tVBN\tI-NP\tO' +p183130 +aS'subdural\tsubdural\tJJ\tI-NP\tO' +p183131 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p183132 +aS'in\tin\tIN\tB-PP\tO' +p183133 +aS'the\tthe\tDT\tB-NP\tO' +p183134 +aS'right\tright\tJJ\tI-NP\tO' +p183135 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p183136 +aS'fossa\tfossa\tNN\tI-NP\tO' +p183137 +aS'appears\tappear\tVBZ\tB-VP\tO' +p183138 +aS'less\tless\tRBR\tB-ADJP\tO' +p183139 +aS'conspicuous\tconspicuous\tJJ\tI-ADJP\tO' +p183140 +aS'.\t.\t.\tO\tO' +p183141 +asS'Zosyn 4.5 gm IV q 8 hours ( last dose on 08-14 at 1400 ) , started 08-08 .' +p183142 +(lp183143 +S'Zosyn\tZosyn\tNN\tB-NP\tO' +p183144 +aS'4.5\t4.5\tCD\tI-NP\tO' +p183145 +aS'gm\tgm\tNN\tI-NP\tO' +p183146 +aS'IV\tIV\tCD\tB-NP\tO' +p183147 +aS'q\tq\tNN\tI-NP\tO' +p183148 +aS'8\t8\tCD\tB-NP\tO' +p183149 +aS'hours\thour\tNNS\tI-NP\tO' +p183150 +aS'(\t(\t(\tO\tO' +p183151 +aS'last\tlast\tJJ\tB-NP\tO' +p183152 +aS'dose\tdose\tNN\tI-NP\tO' +p183153 +aS'on\ton\tIN\tB-PP\tO' +p183154 +aS'08-14\t08-14\tCD\tB-NP\tO' +p183155 +aS'at\tat\tIN\tB-PP\tO' +p183156 +aS'1400\t1400\tCD\tB-NP\tO' +p183157 +aS')\t)\t)\tO\tO' +p183158 +aS',\t,\t,\tO\tO' +p183159 +aS'started\tstart\tVBD\tB-VP\tO' +p183160 +aS'08-08\t08-08\tCD\tB-NP\tO' +p183161 +aS'.\t.\t.\tO\tO' +p183162 +asS'4. In the proximal calf , severe stenosis or occlusion of the two terminal branches arising from this popliteal bifurcation ( likely the anterior tibial and the peroneal arteries ).' +p183163 +(lp183164 +S'4.\t4.\tLS\tB-LST\tO' +p183165 +aS'In\tIn\tIN\tB-PP\tO' +p183166 +aS'the\tthe\tDT\tB-NP\tO' +p183167 +aS'proximal\tproximal\tJJ\tI-NP\tO' +p183168 +aS'calf\tcalf\tNN\tI-NP\tO' +p183169 +aS',\t,\t,\tO\tO' +p183170 +aS'severe\tsevere\tJJ\tB-NP\tO' +p183171 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p183172 +aS'or\tor\tCC\tI-NP\tO' +p183173 +aS'occlusion\tocclusion\tNN\tI-NP\tO' +p183174 +aS'of\tof\tIN\tB-PP\tO' +p183175 +aS'the\tthe\tDT\tB-NP\tO' +p183176 +aS'two\ttwo\tCD\tI-NP\tO' +p183177 +aS'terminal\tterminal\tJJ\tI-NP\tO' +p183178 +aS'branches\tbranch\tNNS\tI-NP\tO' +p183179 +aS'arising\tarise\tVBG\tB-VP\tO' +p183180 +aS'from\tfrom\tIN\tB-PP\tO' +p183181 +aS'this\tthis\tDT\tB-NP\tO' +p183182 +aS'popliteal\tpopliteal\tJJ\tI-NP\tO' +p183183 +aS'bifurcation\tbifurcation\tNN\tI-NP\tO' +p183184 +aS'(\t(\t(\tO\tO' +p183185 +aS'likely\tlikely\tRB\tB-ADVP\tO' +p183186 +aS'the\tthe\tDT\tB-NP\tO' +p183187 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p183188 +aS'tibial\ttibial\tNN\tI-NP\tO' +p183189 +aS'and\tand\tCC\tO\tO' +p183190 +aS'the\tthe\tDT\tB-NP\tO' +p183191 +aS'peroneal\tperoneal\tJJ\tI-NP\tO' +p183192 +aS'arteries\tartery\tNNS\tI-NP\tO' +p183193 +aS').\t).\t)\tO\tO' +p183194 +asS'10. Seizure history on Neurontin .' +p183195 +(lp183196 +S'10.\t10.\tLS\tB-NP\tO' +p183197 +aS'Seizure\tSeizure\tNN\tI-NP\tO' +p183198 +aS'history\thistory\tNN\tI-NP\tO' +p183199 +aS'on\ton\tIN\tB-PP\tO' +p183200 +aS'Neurontin\tNeurontin\tNN\tB-NP\tB-protein' +p183201 +aS'.\t.\t.\tO\tO' +p183202 +asS'Dictated By : Crystal K. Carter , M.D.' +p183203 +(lp183204 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p183205 +aS'By\tBy\tIN\tB-PP\tO' +p183206 +aS':\t:\t:\tO\tO' +p183207 +aS'Crystal\tCrystal\tNNP\tB-NP\tO' +p183208 +aS'K.\tK.\tNNP\tI-NP\tO' +p183209 +aS'Carter\tCarter\tNNP\tI-NP\tO' +p183210 +aS',\t,\t,\tO\tO' +p183211 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p183212 +asS'The patient continued to pull out his doboff tube .' +p183213 +(lp183214 +S'The\tThe\tDT\tB-NP\tO' +p183215 +aS'patient\tpatient\tNN\tI-NP\tO' +p183216 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p183217 +aS'to\tto\tTO\tI-VP\tO' +p183218 +aS'pull\tpull\tVB\tI-VP\tO' +p183219 +aS'out\tout\tRP\tB-PRT\tO' +p183220 +aS'his\this\tPRP$\tB-NP\tO' +p183221 +aS'doboff\tdoboff\tNN\tI-NP\tO' +p183222 +aS'tube\ttube\tNN\tI-NP\tO' +p183223 +aS'.\t.\t.\tO\tO' +p183224 +asS'His head , eyes , ears , nose , throat was benign .' +p183225 +(lp183226 +S'His\tHis\tPRP$\tB-NP\tO' +p183227 +aS'head\thead\tNN\tI-NP\tO' +p183228 +aS',\t,\t,\tO\tO' +p183229 +aS'eyes\teye\tNNS\tB-NP\tO' +p183230 +aS',\t,\t,\tO\tO' +p183231 +aS'ears\tear\tNNS\tB-NP\tO' +p183232 +aS',\t,\t,\tO\tO' +p183233 +aS'nose\tnose\tNN\tB-NP\tO' +p183234 +aS',\t,\t,\tO\tO' +p183235 +aS'throat\tthroat\tNN\tB-NP\tO' +p183236 +aS'was\tbe\tVBD\tB-VP\tO' +p183237 +aS'benign\tbenign\tJJ\tB-ADJP\tO' +p183238 +aS'.\t.\t.\tO\tO' +p183239 +asS'He works as an airline pilot for Vent' +p183240 +(lp183241 +S'He\tHe\tPRP\tB-NP\tO' +p183242 +aS'works\twork\tVBZ\tB-VP\tO' +p183243 +aS'as\tas\tIN\tB-PP\tO' +p183244 +aS'an\tan\tDT\tB-NP\tO' +p183245 +aS'airline\tairline\tNN\tI-NP\tO' +p183246 +aS'pilot\tpilot\tNN\tI-NP\tO' +p183247 +aS'for\tfor\tIN\tB-PP\tO' +p183248 +aS'Vent\tVent\tNNP\tB-NP\tO' +p183249 +asS'Head , eyes , ears , nose , and throat revealed pupils were equally round and reactive to light and accommodation .' +p183250 +(lp183251 +S'Head\tHead\tRB\tB-ADVP\tO' +p183252 +aS',\t,\t,\tO\tO' +p183253 +aS'eyes\teye\tNNS\tB-NP\tO' +p183254 +aS',\t,\t,\tO\tO' +p183255 +aS'ears\tear\tNNS\tB-NP\tO' +p183256 +aS',\t,\t,\tO\tO' +p183257 +aS'nose\tnose\tNN\tB-NP\tO' +p183258 +aS',\t,\t,\tO\tO' +p183259 +aS'and\tand\tCC\tO\tO' +p183260 +aS'throat\tthroat\tNN\tB-NP\tB-protein' +p183261 +aS'revealed\treveal\tVBD\tB-VP\tI-protein' +p183262 +aS'pupils\tpupil\tNNS\tB-NP\tI-protein' +p183263 +aS'were\tbe\tVBD\tB-VP\tO' +p183264 +aS'equally\tequally\tRB\tB-ADJP\tO' +p183265 +aS'round\tround\tJJ\tI-ADJP\tO' +p183266 +aS'and\tand\tCC\tI-ADJP\tO' +p183267 +aS'reactive\treactive\tJJ\tI-ADJP\tO' +p183268 +aS'to\tto\tTO\tB-PP\tO' +p183269 +aS'light\tlight\tNN\tB-NP\tO' +p183270 +aS'and\tand\tCC\tI-NP\tO' +p183271 +aS'accommodation\taccommodation\tNN\tI-NP\tO' +p183272 +aS'.\t.\t.\tO\tO' +p183273 +asS'She had been placed on heparin initially , but this was discontinued after the magnetic resonance imaging results were obtained .' +p183274 +(lp183275 +S'She\tShe\tPRP\tB-NP\tO' +p183276 +aS'had\thave\tVBD\tB-VP\tO' +p183277 +aS'been\tbe\tVBN\tI-VP\tO' +p183278 +aS'placed\tplace\tVBN\tI-VP\tO' +p183279 +aS'on\ton\tIN\tB-PP\tO' +p183280 +aS'heparin\theparin\tNN\tB-NP\tO' +p183281 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p183282 +aS',\t,\t,\tO\tO' +p183283 +aS'but\tbut\tCC\tO\tO' +p183284 +aS'this\tthis\tDT\tB-NP\tO' +p183285 +aS'was\tbe\tVBD\tB-VP\tO' +p183286 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p183287 +aS'after\tafter\tIN\tB-PP\tO' +p183288 +aS'the\tthe\tDT\tB-NP\tO' +p183289 +aS'magnetic\tmagnetic\tJJ\tI-NP\tO' +p183290 +aS'resonance\tresonance\tNN\tI-NP\tO' +p183291 +aS'imaging\timaging\tNN\tI-NP\tO' +p183292 +aS'results\tresult\tNNS\tI-NP\tO' +p183293 +aS'were\tbe\tVBD\tB-VP\tO' +p183294 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p183295 +aS'.\t.\t.\tO\tO' +p183296 +asS'by private physician .' +p183297 +(lp183298 +S'by\tby\tIN\tB-PP\tO' +p183299 +aS'private\tprivate\tJJ\tB-NP\tO' +p183300 +aS'physician\tphysician\tNN\tI-NP\tO' +p183301 +aS'.\t.\t.\tO\tO' +p183302 +asS'Please go to Dr. Colombo office later this week to have your labs drawn and sent to Dr. Powell .' +p183303 +(lp183304 +S'Please\tPlease\tVB\tB-INTJ\tO' +p183305 +aS'go\tgo\tVB\tB-VP\tO' +p183306 +aS'to\tto\tTO\tB-PP\tO' +p183307 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p183308 +aS'Colombo\tColombo\tNNP\tI-NP\tO' +p183309 +aS'office\toffice\tNN\tI-NP\tO' +p183310 +aS'later\tlater\tRB\tB-NP\tO' +p183311 +aS'this\tthis\tDT\tI-NP\tO' +p183312 +aS'week\tweek\tNN\tI-NP\tO' +p183313 +aS'to\tto\tTO\tB-VP\tO' +p183314 +aS'have\thave\tVB\tI-VP\tO' +p183315 +aS'your\tyour\tPRP$\tB-NP\tO' +p183316 +aS'labs\tlab\tNNS\tI-NP\tO' +p183317 +aS'drawn\tdraw\tVBN\tB-VP\tO' +p183318 +aS'and\tand\tCC\tO\tO' +p183319 +aS'sent\tsend\tVBN\tB-VP\tO' +p183320 +aS'to\tto\tTO\tB-PP\tO' +p183321 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p183322 +aS'Powell\tPowell\tNNP\tI-NP\tO' +p183323 +aS'.\t.\t.\tO\tO' +p183324 +asS'2. PULMONARY EMBOLUS , 1-14-94 .' +p183325 +(lp183326 +S'2.\t2.\tLS\tB-NP\tO' +p183327 +aS'PULMONARY\tPULMONARY\tNN\tI-NP\tO' +p183328 +aS'EMBOLUS\tEMBOLUS\tNNS\tI-NP\tO' +p183329 +aS',\t,\t,\tO\tO' +p183330 +aS'1-14-94\t1-14-94\tCD\tB-NP\tO' +p183331 +aS'.\t.\t.\tO\tO' +p183332 +asS'301-320 mg / dL 21 Units' +p183333 +(lp183334 +S'301-320\t301-320\tCD\tB-NP\tO' +p183335 +aS'mg\tmg\tNN\tI-NP\tO' +p183336 +aS'/\t/\tSYM\tB-NP\tO' +p183337 +aS'dL\tdL\tNN\tI-NP\tO' +p183338 +aS'21\t21\tCD\tB-NP\tO' +p183339 +aS'Units\tUnit\tNNS\tI-NP\tO' +p183340 +asS'2. Medications : Ferrous sulfate 0.15 cc po q day 25 mg / ml dilution .' +p183341 +(lp183342 +S'2.\t2.\tCD\tB-NP\tO' +p183343 +aS'Medications\tMedication\tNNS\tI-NP\tO' +p183344 +aS':\t:\t:\tO\tO' +p183345 +aS'Ferrous\tFerrous\tJJ\tB-NP\tO' +p183346 +aS'sulfate\tsulfate\tNN\tI-NP\tO' +p183347 +aS'0.15\t0.15\tCD\tI-NP\tO' +p183348 +aS'cc\tcc\tNN\tI-NP\tO' +p183349 +aS'po\tpo\tNN\tI-NP\tO' +p183350 +aS'q\tq\tNN\tI-NP\tO' +p183351 +aS'day\tday\tNN\tI-NP\tO' +p183352 +aS'25\t25\tCD\tB-NP\tO' +p183353 +aS'mg\tmg\tNN\tI-NP\tO' +p183354 +aS'/\t/\tSYM\tB-NP\tO' +p183355 +aS'ml\tml\tNN\tI-NP\tO' +p183356 +aS'dilution\tdilution\tNN\tI-NP\tO' +p183357 +aS'.\t.\t.\tO\tO' +p183358 +asS'However , we would leave it at 2.5 for now .' +p183359 +(lp183360 +S'However\tHowever\tRB\tB-ADVP\tO' +p183361 +aS',\t,\t,\tO\tO' +p183362 +aS'we\twe\tPRP\tB-NP\tO' +p183363 +aS'would\twould\tMD\tB-VP\tO' +p183364 +aS'leave\tleave\tVB\tI-VP\tO' +p183365 +aS'it\tit\tPRP\tB-NP\tO' +p183366 +aS'at\tat\tIN\tB-PP\tO' +p183367 +aS'2.5\t2.5\tCD\tB-NP\tO' +p183368 +aS'for\tfor\tIN\tB-PP\tO' +p183369 +aS'now\tnow\tRB\tB-NP\tO' +p183370 +aS'.\t.\t.\tO\tO' +p183371 +asS'His hematocrit was 31 on discharge .' +p183372 +(lp183373 +S'His\tHis\tPRP$\tB-NP\tO' +p183374 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p183375 +aS'was\tbe\tVBD\tB-VP\tO' +p183376 +aS'31\t31\tCD\tB-NP\tO' +p183377 +aS'on\ton\tIN\tB-PP\tO' +p183378 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p183379 +aS'.\t.\t.\tO\tO' +p183380 +asS'He has no JVD , no edema in legs ( other than swelling from DVT ) .' +p183381 +(lp183382 +S'He\tHe\tPRP\tB-NP\tO' +p183383 +aS'has\thave\tVBZ\tB-VP\tO' +p183384 +aS'no\tno\tDT\tB-NP\tO' +p183385 +aS'JVD\tJVD\tNN\tI-NP\tB-protein' +p183386 +aS',\t,\t,\tO\tO' +p183387 +aS'no\tno\tDT\tB-NP\tO' +p183388 +aS'edema\tedema\tNN\tI-NP\tO' +p183389 +aS'in\tin\tIN\tB-PP\tO' +p183390 +aS'legs\tleg\tNNS\tB-NP\tO' +p183391 +aS'(\t(\t(\tO\tO' +p183392 +aS'other\tother\tJJ\tB-ADJP\tO' +p183393 +aS'than\tthan\tIN\tB-PP\tO' +p183394 +aS'swelling\tswell\tVBG\tB-VP\tO' +p183395 +aS'from\tfrom\tIN\tB-PP\tO' +p183396 +aS'DVT\tDVT\tNN\tB-NP\tO' +p183397 +aS')\t)\t)\tO\tO' +p183398 +aS'.\t.\t.\tO\tO' +p183399 +asS'Of note the pelvic lymph nodes which were dissected were positive for tumor by frozen section analysis .' +p183400 +(lp183401 +S'Of\tOf\tIN\tB-PP\tO' +p183402 +aS'note\tnote\tNN\tB-NP\tO' +p183403 +aS'the\tthe\tDT\tB-NP\tO' +p183404 +aS'pelvic\tpelvic\tJJ\tI-NP\tO' +p183405 +aS'lymph\tlymph\tNN\tI-NP\tO' +p183406 +aS'nodes\tnode\tNNS\tI-NP\tO' +p183407 +aS'which\twhich\tWDT\tB-NP\tO' +p183408 +aS'were\tbe\tVBD\tB-VP\tO' +p183409 +aS'dissected\tdissect\tVBN\tI-VP\tO' +p183410 +aS'were\tbe\tVBD\tB-VP\tO' +p183411 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p183412 +aS'for\tfor\tIN\tB-PP\tO' +p183413 +aS'tumor\ttumor\tNN\tB-NP\tO' +p183414 +aS'by\tby\tIN\tB-PP\tO' +p183415 +aS'frozen\tfrozen\tJJ\tB-NP\tO' +p183416 +aS'section\tsection\tNN\tI-NP\tO' +p183417 +aS'analysis\tanalysis\tNN\tI-NP\tO' +p183418 +aS'.\t.\t.\tO\tO' +p183419 +asS'The patient did have heparin subcutaneously while on the medical floor and in the ICU .' +p183420 +(lp183421 +S'The\tThe\tDT\tB-NP\tO' +p183422 +aS'patient\tpatient\tNN\tI-NP\tO' +p183423 +aS'did\tdo\tVBD\tB-VP\tO' +p183424 +aS'have\thave\tVB\tI-VP\tO' +p183425 +aS'heparin\theparin\tNN\tB-NP\tO' +p183426 +aS'subcutaneously\tsubcutaneously\tRB\tB-ADVP\tO' +p183427 +aS'while\twhile\tIN\tB-SBAR\tO' +p183428 +aS'on\ton\tIN\tB-PP\tO' +p183429 +aS'the\tthe\tDT\tB-NP\tO' +p183430 +aS'medical\tmedical\tJJ\tI-NP\tO' +p183431 +aS'floor\tfloor\tNN\tI-NP\tO' +p183432 +aS'and\tand\tCC\tB-PP\tO' +p183433 +aS'in\tin\tIN\tB-PP\tO' +p183434 +aS'the\tthe\tDT\tB-NP\tO' +p183435 +aS'ICU\tICU\tNN\tI-NP\tB-DNA' +p183436 +aS'.\t.\t.\tO\tO' +p183437 +asS'There were no abnormal findings in abdominal exam .' +p183438 +(lp183439 +S'There\tThere\tEX\tB-NP\tO' +p183440 +aS'were\tbe\tVBD\tB-VP\tO' +p183441 +aS'no\tno\tDT\tB-NP\tO' +p183442 +aS'abnormal\tabnormal\tJJ\tI-NP\tO' +p183443 +aS'findings\tfinding\tNNS\tI-NP\tO' +p183444 +aS'in\tin\tIN\tB-PP\tO' +p183445 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p183446 +aS'exam\texam\tNN\tI-NP\tO' +p183447 +aS'.\t.\t.\tO\tO' +p183448 +asS'Awake , oriented to person and place' +p183449 +(lp183450 +S'Awake\tAwake\tNNP\tB-NP\tO' +p183451 +aS',\t,\t,\tO\tO' +p183452 +aS'oriented\torient\tVBN\tB-VP\tO' +p183453 +aS'to\tto\tTO\tB-PP\tO' +p183454 +aS'person\tperson\tNN\tB-NP\tO' +p183455 +aS'and\tand\tCC\tI-NP\tO' +p183456 +aS'place\tplace\tNN\tI-NP\tO' +p183457 +asS'The patient will need to have a followup sleep study done as above per the recommendations based on the results .' +p183458 +(lp183459 +S'The\tThe\tDT\tB-NP\tO' +p183460 +aS'patient\tpatient\tNN\tI-NP\tO' +p183461 +aS'will\twill\tMD\tB-VP\tO' +p183462 +aS'need\tneed\tVB\tI-VP\tO' +p183463 +aS'to\tto\tTO\tI-VP\tO' +p183464 +aS'have\thave\tVB\tI-VP\tO' +p183465 +aS'a\ta\tDT\tB-NP\tO' +p183466 +aS'followup\tfollowup\tNN\tI-NP\tO' +p183467 +aS'sleep\tsleep\tNN\tI-NP\tO' +p183468 +aS'study\tstudy\tNN\tI-NP\tO' +p183469 +aS'done\tdo\tVBN\tB-VP\tO' +p183470 +aS'as\tas\tIN\tB-PP\tO' +p183471 +aS'above\tabove\tRB\tI-PP\tO' +p183472 +aS'per\tper\tIN\tB-PP\tO' +p183473 +aS'the\tthe\tDT\tB-NP\tO' +p183474 +aS'recommendations\trecommendation\tNNS\tI-NP\tO' +p183475 +aS'based\tbase\tVBN\tB-VP\tO' +p183476 +aS'on\ton\tIN\tB-PP\tO' +p183477 +aS'the\tthe\tDT\tB-NP\tO' +p183478 +aS'results\tresult\tNNS\tI-NP\tO' +p183479 +aS'.\t.\t.\tO\tO' +p183480 +asS'Her history has been well documented in her previous notes .' +p183481 +(lp183482 +S'Her\tHer\tPRP$\tB-NP\tO' +p183483 +aS'history\thistory\tNN\tI-NP\tO' +p183484 +aS'has\thave\tVBZ\tB-VP\tO' +p183485 +aS'been\tbe\tVBN\tI-VP\tO' +p183486 +aS'well\twell\tRB\tI-VP\tO' +p183487 +aS'documented\tdocument\tVBN\tI-VP\tO' +p183488 +aS'in\tin\tIN\tB-PP\tO' +p183489 +aS'her\ther\tPRP$\tB-NP\tO' +p183490 +aS'previous\tprevious\tJJ\tI-NP\tO' +p183491 +aS'notes\tnote\tNNS\tI-NP\tO' +p183492 +aS'.\t.\t.\tO\tO' +p183493 +asS'Laboratory values on admission included a sodium of 142 , potassium 4.8 , chloride 106 , bicarbonate 27 , BUN and creatinine of 39 and 1.6 respectively , glucose 113 .' +p183494 +(lp183495 +S'Laboratory\tLaboratory\tNN\tB-NP\tO' +p183496 +aS'values\tvalue\tNNS\tI-NP\tO' +p183497 +aS'on\ton\tIN\tB-PP\tO' +p183498 +aS'admission\tadmission\tNN\tB-NP\tO' +p183499 +aS'included\tinclude\tVBD\tB-VP\tO' +p183500 +aS'a\ta\tDT\tB-NP\tO' +p183501 +aS'sodium\tsodium\tNN\tI-NP\tO' +p183502 +aS'of\tof\tIN\tB-PP\tO' +p183503 +aS'142\t142\tCD\tB-NP\tO' +p183504 +aS',\t,\t,\tO\tO' +p183505 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p183506 +aS'4.8\t4.8\tCD\tI-NP\tO' +p183507 +aS',\t,\t,\tO\tO' +p183508 +aS'chloride\tchloride\tNN\tB-NP\tO' +p183509 +aS'106\t106\tCD\tI-NP\tO' +p183510 +aS',\t,\t,\tO\tO' +p183511 +aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' +p183512 +aS'27\t27\tCD\tI-NP\tO' +p183513 +aS',\t,\t,\tO\tO' +p183514 +aS'BUN\tBUN\tNN\tB-NP\tO' +p183515 +aS'and\tand\tCC\tI-NP\tO' +p183516 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p183517 +aS'of\tof\tIN\tB-PP\tO' +p183518 +aS'39\t39\tCD\tB-NP\tO' +p183519 +aS'and\tand\tCC\tI-NP\tO' +p183520 +aS'1.6\t1.6\tCD\tI-NP\tO' +p183521 +aS'respectively\trespectively\tRB\tB-ADVP\tO' +p183522 +aS',\t,\t,\tO\tO' +p183523 +aS'glucose\tglucose\tNN\tB-NP\tO' +p183524 +aS'113\t113\tCD\tI-NP\tO' +p183525 +aS'.\t.\t.\tO\tO' +p183526 +asS'The WBC was 0.9 , the ANC was 540 , platelets were 156,000 .' +p183527 +(lp183528 +S'The\tThe\tDT\tB-NP\tO' +p183529 +aS'WBC\tWBC\tNNP\tI-NP\tO' +p183530 +aS'was\tbe\tVBD\tB-VP\tO' +p183531 +aS'0.9\t0.9\tCD\tB-NP\tO' +p183532 +aS',\t,\t,\tO\tO' +p183533 +aS'the\tthe\tDT\tB-NP\tO' +p183534 +aS'ANC\tANC\tNNP\tI-NP\tO' +p183535 +aS'was\tbe\tVBD\tB-VP\tO' +p183536 +aS'540\t540\tCD\tB-NP\tO' +p183537 +aS',\t,\t,\tO\tO' +p183538 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p183539 +aS'were\tbe\tVBD\tB-VP\tO' +p183540 +aS'156,000\t156,000\tCD\tB-NP\tO' +p183541 +aS'.\t.\t.\tO\tO' +p183542 +asS'Her oxygen saturation was 96% on RA but she was tachypneic to 31 .' +p183543 +(lp183544 +S'Her\tHer\tPRP$\tB-NP\tO' +p183545 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p183546 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p183547 +aS'was\tbe\tVBD\tB-VP\tO' +p183548 +aS'96%\t96%\tCD\tB-NP\tO' +p183549 +aS'on\ton\tIN\tB-PP\tO' +p183550 +aS'RA\tRA\tNN\tB-NP\tO' +p183551 +aS'but\tbut\tCC\tO\tO' +p183552 +aS'she\tshe\tPRP\tB-NP\tO' +p183553 +aS'was\tbe\tVBD\tB-VP\tO' +p183554 +aS'tachypneic\ttachypneic\tJJ\tB-ADJP\tO' +p183555 +aS'to\tto\tTO\tB-PP\tO' +p183556 +aS'31\t31\tCD\tB-NP\tO' +p183557 +aS'.\t.\t.\tO\tO' +p183558 +asS'5. Aspirin 325 mg po qd .' +p183559 +(lp183560 +S'5.\t5.\tLS\tB-LST\tO' +p183561 +aS'Aspirin\tAspirin\tNN\tB-NP\tO' +p183562 +aS'325\t325\tCD\tI-NP\tO' +p183563 +aS'mg\tmg\tNN\tI-NP\tO' +p183564 +aS'po\tpo\tNN\tI-NP\tO' +p183565 +aS'qd\tqd\tNN\tI-NP\tO' +p183566 +aS'.\t.\t.\tO\tO' +p183567 +asS'Left lower extremity warm and well-perfused' +p183568 +(lp183569 +S'Left\tLeave\tVBN\tB-VP\tO' +p183570 +aS'lower\tlow\tJJR\tB-NP\tO' +p183571 +aS'extremity\textremity\tNN\tI-NP\tO' +p183572 +aS'warm\twarm\tNN\tI-NP\tO' +p183573 +aS'and\tand\tCC\tO\tO' +p183574 +aS'well-perfused\twell-perfused\tJJ\tB-ADJP\tO' +p183575 +asS'She was kept NPO until January 26 when she began to feel hungry .' +p183576 +(lp183577 +S'She\tShe\tPRP\tB-NP\tO' +p183578 +aS'was\tbe\tVBD\tB-VP\tO' +p183579 +aS'kept\tkeep\tVBN\tI-VP\tO' +p183580 +aS'NPO\tNPO\tNNP\tB-NP\tO' +p183581 +aS'until\tuntil\tIN\tB-PP\tO' +p183582 +aS'January\tJanuary\tNNP\tB-NP\tO' +p183583 +aS'26\t26\tCD\tI-NP\tO' +p183584 +aS'when\twhen\tWRB\tB-ADVP\tO' +p183585 +aS'she\tshe\tPRP\tB-NP\tO' +p183586 +aS'began\tbegin\tVBD\tB-VP\tO' +p183587 +aS'to\tto\tTO\tI-VP\tO' +p183588 +aS'feel\tfeel\tVB\tI-VP\tO' +p183589 +aS'hungry\thungry\tJJ\tB-ADJP\tO' +p183590 +aS'.\t.\t.\tO\tO' +p183591 +asS'She has a history of of angina without myocardial infarction that has not been worked up .' +p183592 +(lp183593 +S'She\tShe\tPRP\tB-NP\tO' +p183594 +aS'has\thave\tVBZ\tB-VP\tO' +p183595 +aS'a\ta\tDT\tB-NP\tO' +p183596 +aS'history\thistory\tNN\tI-NP\tO' +p183597 +aS'of\tof\tIN\tB-PP\tO' +p183598 +aS'of\tof\tIN\tB-PP\tO' +p183599 +aS'angina\tangina\tNN\tB-NP\tO' +p183600 +aS'without\twithout\tIN\tB-PP\tO' +p183601 +aS'myocardial\tmyocardial\tJJ\tB-NP\tO' +p183602 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p183603 +aS'that\tthat\tWDT\tB-NP\tO' +p183604 +aS'has\thave\tVBZ\tB-VP\tO' +p183605 +aS'not\tnot\tRB\tI-VP\tO' +p183606 +aS'been\tbe\tVBN\tI-VP\tO' +p183607 +aS'worked\twork\tVBN\tI-VP\tO' +p183608 +aS'up\tup\tIN\tB-PRT\tO' +p183609 +aS'.\t.\t.\tO\tO' +p183610 +asS'Denies tobacco , alcohol or drug use .' +p183611 +(lp183612 +S'Denies\tDeny\tNNS\tB-NP\tO' +p183613 +aS'tobacco\ttobacco\tNN\tI-NP\tO' +p183614 +aS',\t,\t,\tI-NP\tO' +p183615 +aS'alcohol\talcohol\tNN\tI-NP\tO' +p183616 +aS'or\tor\tCC\tI-NP\tO' +p183617 +aS'drug\tdrug\tNN\tI-NP\tO' +p183618 +aS'use\tuse\tNN\tI-NP\tO' +p183619 +aS'.\t.\t.\tO\tO' +p183620 +asS'At that time , he spiked a temperature to 103 .' +p183621 +(lp183622 +S'At\tAt\tIN\tB-PP\tO' +p183623 +aS'that\tthat\tDT\tB-NP\tO' +p183624 +aS'time\ttime\tNN\tI-NP\tO' +p183625 +aS',\t,\t,\tO\tO' +p183626 +aS'he\the\tPRP\tB-NP\tO' +p183627 +aS'spiked\tspike\tVBD\tB-VP\tO' +p183628 +aS'a\ta\tDT\tB-NP\tO' +p183629 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p183630 +aS'to\tto\tTO\tB-PP\tO' +p183631 +aS'103\t103\tCD\tB-NP\tO' +p183632 +aS'.\t.\t.\tO\tO' +p183633 +asS'St. Jude prosthesis , and tricuspid valve reconstruction by ring anuloplasty .' +p183634 +(lp183635 +S'St.\tSt.\tNNP\tB-NP\tO' +p183636 +aS'Jude\tJude\tNNP\tI-NP\tO' +p183637 +aS'prosthesis\tprosthesis\tNN\tI-NP\tO' +p183638 +aS',\t,\t,\tO\tO' +p183639 +aS'and\tand\tCC\tO\tO' +p183640 +aS'tricuspid\ttricuspid\tJJ\tB-NP\tO' +p183641 +aS'valve\tvalve\tNN\tI-NP\tO' +p183642 +aS'reconstruction\treconstruction\tNN\tI-NP\tO' +p183643 +aS'by\tby\tIN\tB-PP\tO' +p183644 +aS'ring\tring\tNN\tB-NP\tO' +p183645 +aS'anuloplasty\tanuloplasty\tNN\tI-NP\tO' +p183646 +aS'.\t.\t.\tO\tO' +p183647 +asS'There was no tricuspid valve gradient .' +p183648 +(lp183649 +S'There\tThere\tEX\tB-NP\tO' +p183650 +aS'was\tbe\tVBD\tB-VP\tO' +p183651 +aS'no\tno\tDT\tB-NP\tO' +p183652 +aS'tricuspid\ttricuspid\tJJ\tI-NP\tO' +p183653 +aS'valve\tvalve\tNN\tI-NP\tO' +p183654 +aS'gradient\tgradient\tNN\tI-NP\tO' +p183655 +aS'.\t.\t.\tO\tO' +p183656 +asS'13. Metoprolol Tartrate 25 mg Tablet Sig : 1.5 Tablets PO BID ( 2 times a day ).' +p183657 +(lp183658 +S'13.\t13.\tLS\tB-NP\tO' +p183659 +aS'Metoprolol\tMetoprolol\tNN\tI-NP\tO' +p183660 +aS'Tartrate\tTartrate\tNN\tI-NP\tO' +p183661 +aS'25\t25\tCD\tI-NP\tO' +p183662 +aS'mg\tmg\tNN\tI-NP\tO' +p183663 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p183664 +aS'Sig\tSig\tNNP\tI-NP\tO' +p183665 +aS':\t:\t:\tO\tO' +p183666 +aS'1.5\t1.5\tCD\tB-NP\tO' +p183667 +aS'Tablets\tTablet\tNNS\tI-NP\tO' +p183668 +aS'PO\tPO\tNN\tI-NP\tO' +p183669 +aS'BID\tBID\tNN\tI-NP\tO' +p183670 +aS'(\t(\t(\tO\tO' +p183671 +aS'2\t2\tCD\tB-NP\tO' +p183672 +aS'times\ttime\tNNS\tI-NP\tO' +p183673 +aS'a\ta\tDT\tB-NP\tO' +p183674 +aS'day\tday\tNN\tI-NP\tO' +p183675 +aS').\t).\t.\tO\tO' +p183676 +asS'Head ultrasound not indicated .' +p183677 +(lp183678 +S'Head\tHead\tNNP\tB-NP\tO' +p183679 +aS'ultrasound\tultrasound\tVBD\tB-VP\tO' +p183680 +aS'not\tnot\tRB\tI-VP\tO' +p183681 +aS'indicated\tindicate\tVBN\tI-VP\tO' +p183682 +aS'.\t.\t.\tO\tO' +p183683 +asS'It was felt that this was re-equalibration after being sedentary and mostly in bed following the operation .' +p183684 +(lp183685 +S'It\tIt\tPRP\tB-NP\tO' +p183686 +aS'was\tbe\tVBD\tB-VP\tO' +p183687 +aS'felt\tfeel\tVBN\tI-VP\tO' +p183688 +aS'that\tthat\tIN\tB-SBAR\tO' +p183689 +aS'this\tthis\tDT\tB-NP\tO' +p183690 +aS'was\tbe\tVBD\tB-VP\tO' +p183691 +aS're-equalibration\tre-equalibration\tNN\tB-NP\tO' +p183692 +aS'after\tafter\tIN\tB-PP\tO' +p183693 +aS'being\tbe\tVBG\tB-VP\tO' +p183694 +aS'sedentary\tsedentary\tJJ\tB-ADJP\tO' +p183695 +aS'and\tand\tCC\tO\tO' +p183696 +aS'mostly\tmostly\tRB\tB-ADVP\tO' +p183697 +aS'in\tin\tIN\tB-PP\tO' +p183698 +aS'bed\tbed\tNN\tB-NP\tO' +p183699 +aS'following\tfollow\tVBG\tB-PP\tO' +p183700 +aS'the\tthe\tDT\tB-NP\tO' +p183701 +aS'operation\toperation\tNN\tI-NP\tO' +p183702 +aS'.\t.\t.\tO\tO' +p183703 +asS'Dictated By : Alden B. Edwards , M.D.' +p183704 +(lp183705 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p183706 +aS'By\tBy\tIN\tB-PP\tO' +p183707 +aS':\t:\t:\tO\tO' +p183708 +aS'Alden\tAlden\tNNP\tB-NP\tO' +p183709 +aS'B.\tB.\tNNP\tI-NP\tO' +p183710 +aS'Edwards\tEdwards\tNNP\tI-NP\tO' +p183711 +aS',\t,\t,\tO\tO' +p183712 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p183713 +asS'She lives alone in Burg Chi Sternafre , Massachusetts .' +p183714 +(lp183715 +S'She\tShe\tPRP\tB-NP\tO' +p183716 +aS'lives\tlive\tVBZ\tB-VP\tO' +p183717 +aS'alone\talone\tRB\tB-ADVP\tO' +p183718 +aS'in\tin\tIN\tB-PP\tO' +p183719 +aS'Burg\tBurg\tNNP\tB-NP\tO' +p183720 +aS'Chi\tChi\tNNP\tI-NP\tO' +p183721 +aS'Sternafre\tSternafre\tNNP\tI-NP\tO' +p183722 +aS',\t,\t,\tO\tO' +p183723 +aS'Massachusetts\tMassachusetts\tNNP\tB-NP\tO' +p183724 +aS'.\t.\t.\tO\tO' +p183725 +asS'- PVD , s/p femoral-popliteal bypass' +p183726 +(lp183727 +S'-\t-\tHYPH\tB-NP\tO' +p183728 +aS'PVD\tPVD\tNN\tI-NP\tO' +p183729 +aS',\t,\t,\tO\tO' +p183730 +aS's/p\ts/p\tNN\tB-NP\tO' +p183731 +aS'femoral-popliteal\tfemoral-popliteal\tJJ\tI-NP\tO' +p183732 +aS'bypass\tbypass\tNN\tI-NP\tO' +p183733 +asS'The skin examination revealed the right breast had a dark two centimeter ecchymosis and the left medial thigh had two pale blue two centimeter macules .' +p183734 +(lp183735 +S'The\tThe\tDT\tB-NP\tO' +p183736 +aS'skin\tskin\tNN\tI-NP\tO' +p183737 +aS'examination\texamination\tNN\tI-NP\tO' +p183738 +aS'revealed\treveal\tVBD\tB-VP\tO' +p183739 +aS'the\tthe\tDT\tB-NP\tO' +p183740 +aS'right\tright\tJJ\tI-NP\tO' +p183741 +aS'breast\tbreast\tNN\tI-NP\tO' +p183742 +aS'had\thave\tVBD\tB-VP\tO' +p183743 +aS'a\ta\tDT\tB-NP\tO' +p183744 +aS'dark\tdark\tJJ\tI-NP\tO' +p183745 +aS'two\ttwo\tCD\tI-NP\tO' +p183746 +aS'centimeter\tcentimeter\tNN\tI-NP\tO' +p183747 +aS'ecchymosis\tecchymosis\tNN\tI-NP\tO' +p183748 +aS'and\tand\tCC\tO\tO' +p183749 +aS'the\tthe\tDT\tB-NP\tO' +p183750 +aS'left\tleft\tJJ\tI-NP\tO' +p183751 +aS'medial\tmedial\tJJ\tI-NP\tO' +p183752 +aS'thigh\tthigh\tNN\tI-NP\tO' +p183753 +aS'had\thave\tVBD\tB-VP\tO' +p183754 +aS'two\ttwo\tCD\tB-NP\tO' +p183755 +aS'pale\tpale\tNN\tI-NP\tO' +p183756 +aS'blue\tblue\tJJ\tB-NP\tO' +p183757 +aS'two\ttwo\tCD\tI-NP\tO' +p183758 +aS'centimeter\tcentimeter\tNN\tI-NP\tO' +p183759 +aS'macules\tmacule\tNNS\tI-NP\tO' +p183760 +aS'.\t.\t.\tO\tO' +p183761 +asS'On the day of admission , he was involved in a minor motor vehicle accident , and there was some apparent controversy with the driver of the other vehicle , during the course of which he developed substernal chest pain radiating to the left arm and shoulder .' +p183762 +(lp183763 +S'On\tOn\tIN\tB-PP\tO' +p183764 +aS'the\tthe\tDT\tB-NP\tO' +p183765 +aS'day\tday\tNN\tI-NP\tO' +p183766 +aS'of\tof\tIN\tB-PP\tO' +p183767 +aS'admission\tadmission\tNN\tB-NP\tO' +p183768 +aS',\t,\t,\tO\tO' +p183769 +aS'he\the\tPRP\tB-NP\tO' +p183770 +aS'was\tbe\tVBD\tB-VP\tO' +p183771 +aS'involved\tinvolve\tVBN\tI-VP\tO' +p183772 +aS'in\tin\tIN\tB-PP\tO' +p183773 +aS'a\ta\tDT\tB-NP\tO' +p183774 +aS'minor\tminor\tJJ\tI-NP\tO' +p183775 +aS'motor\tmotor\tNN\tI-NP\tO' +p183776 +aS'vehicle\tvehicle\tNN\tI-NP\tO' +p183777 +aS'accident\taccident\tNN\tI-NP\tO' +p183778 +aS',\t,\t,\tO\tO' +p183779 +aS'and\tand\tCC\tO\tO' +p183780 +aS'there\tthere\tEX\tB-NP\tO' +p183781 +aS'was\tbe\tVBD\tB-VP\tO' +p183782 +aS'some\tsome\tDT\tB-NP\tO' +p183783 +aS'apparent\tapparent\tJJ\tI-NP\tO' +p183784 +aS'controversy\tcontroversy\tNN\tI-NP\tO' +p183785 +aS'with\twith\tIN\tB-PP\tO' +p183786 +aS'the\tthe\tDT\tB-NP\tO' +p183787 +aS'driver\tdriver\tNN\tI-NP\tO' +p183788 +aS'of\tof\tIN\tB-PP\tO' +p183789 +aS'the\tthe\tDT\tB-NP\tO' +p183790 +aS'other\tother\tJJ\tI-NP\tO' +p183791 +aS'vehicle\tvehicle\tNN\tI-NP\tO' +p183792 +aS',\t,\t,\tO\tO' +p183793 +aS'during\tduring\tIN\tB-PP\tO' +p183794 +aS'the\tthe\tDT\tB-NP\tO' +p183795 +aS'course\tcourse\tNN\tI-NP\tO' +p183796 +aS'of\tof\tIN\tB-PP\tO' +p183797 +aS'which\twhich\tWDT\tB-NP\tO' +p183798 +aS'he\the\tPRP\tB-NP\tO' +p183799 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p183800 +aS'substernal\tsubsternal\tJJ\tB-NP\tO' +p183801 +aS'chest\tchest\tNN\tI-NP\tO' +p183802 +aS'pain\tpain\tNN\tI-NP\tO' +p183803 +aS'radiating\tradiate\tVBG\tB-VP\tO' +p183804 +aS'to\tto\tTO\tB-PP\tO' +p183805 +aS'the\tthe\tDT\tB-NP\tO' +p183806 +aS'left\tleft\tJJ\tI-NP\tO' +p183807 +aS'arm\tarm\tNN\tI-NP\tO' +p183808 +aS'and\tand\tCC\tI-NP\tO' +p183809 +aS'shoulder\tshoulder\tNN\tI-NP\tO' +p183810 +aS'.\t.\t.\tO\tO' +p183811 +asS'The head , eyes , ears , nose , throat examination was unremarkable .' +p183812 +(lp183813 +S'The\tThe\tDT\tB-NP\tO' +p183814 +aS'head\thead\tNN\tI-NP\tO' +p183815 +aS',\t,\t,\tO\tO' +p183816 +aS'eyes\teye\tNNS\tB-NP\tO' +p183817 +aS',\t,\t,\tO\tO' +p183818 +aS'ears\tear\tNNS\tB-NP\tO' +p183819 +aS',\t,\t,\tO\tO' +p183820 +aS'nose\tnose\tNN\tB-NP\tO' +p183821 +aS',\t,\t,\tO\tO' +p183822 +aS'throat\tthroat\tDT\tB-NP\tO' +p183823 +aS'examination\texamination\tNN\tI-NP\tO' +p183824 +aS'was\tbe\tVBD\tB-VP\tO' +p183825 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p183826 +aS'.\t.\t.\tO\tO' +p183827 +asS'SHE WENT TO SURGERY THE NEXT MORNING AND TOLERATED THE SURGERY WELL .' +p183828 +(lp183829 +S'SHE\tSHE\tNNP\tB-NP\tO' +p183830 +aS'WENT\tWENT\tNNP\tI-NP\tO' +p183831 +aS'TO\tTO\tTO\tB-VP\tO' +p183832 +aS'SURGERY\tSURGERY\tNNP\tI-VP\tO' +p183833 +aS'THE\tTHE\tDT\tB-NP\tO' +p183834 +aS'NEXT\tNEXT\tNNP\tI-NP\tO' +p183835 +aS'MORNING\tMORNING\tNNP\tI-NP\tO' +p183836 +aS'AND\tAND\tCC\tI-NP\tO' +p183837 +aS'TOLERATED\tTOLERATED\tNNP\tI-NP\tO' +p183838 +aS'THE\tTHE\tDT\tB-NP\tO' +p183839 +aS'SURGERY\tSURGERY\tNNP\tI-NP\tO' +p183840 +aS'WELL\tWELL\tNNP\tI-NP\tO' +p183841 +aS'.\t.\t.\tO\tO' +p183842 +asS'At the time of discharge , he is breastfeeding or taking Enfamil fortified to 24 calories / ounce with intake approximately 150 cc / kg / day .' +p183843 +(lp183844 +S'At\tAt\tIN\tB-PP\tO' +p183845 +aS'the\tthe\tDT\tB-NP\tO' +p183846 +aS'time\ttime\tNN\tI-NP\tO' +p183847 +aS'of\tof\tIN\tB-PP\tO' +p183848 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p183849 +aS',\t,\t,\tO\tO' +p183850 +aS'he\the\tPRP\tB-NP\tO' +p183851 +aS'is\tbe\tVBZ\tB-VP\tO' +p183852 +aS'breastfeeding\tbreastfeed\tVBG\tI-VP\tO' +p183853 +aS'or\tor\tCC\tI-VP\tO' +p183854 +aS'taking\ttake\tVBG\tI-VP\tO' +p183855 +aS'Enfamil\tEnfamil\tNNP\tB-NP\tO' +p183856 +aS'fortified\tfortify\tVBD\tB-VP\tO' +p183857 +aS'to\tto\tTO\tB-PP\tO' +p183858 +aS'24\t24\tCD\tB-NP\tO' +p183859 +aS'calories\tcalorie\tNNS\tI-NP\tO' +p183860 +aS'/\t/\tSYM\tB-NP\tO' +p183861 +aS'ounce\tounce\tNN\tI-NP\tO' +p183862 +aS'with\twith\tIN\tB-PP\tO' +p183863 +aS'intake\tintake\tNN\tB-NP\tO' +p183864 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p183865 +aS'150\t150\tCD\tI-NP\tO' +p183866 +aS'cc\tcc\tNN\tI-NP\tO' +p183867 +aS'/\t/\tSYM\tB-NP\tO' +p183868 +aS'kg\tkg\tNN\tI-NP\tO' +p183869 +aS'/\t/\tSYM\tB-NP\tO' +p183870 +aS'day\tday\tNN\tI-NP\tO' +p183871 +aS'.\t.\t.\tO\tO' +p183872 +asS'She had hyperreflexia in both the bilateral upper and lower extremities .' +p183873 +(lp183874 +S'She\tShe\tPRP\tB-NP\tO' +p183875 +aS'had\thave\tVBD\tB-VP\tO' +p183876 +aS'hyperreflexia\thyperreflexia\tNN\tB-NP\tO' +p183877 +aS'in\tin\tIN\tB-PP\tO' +p183878 +aS'both\tboth\tCC\tB-NP\tO' +p183879 +aS'the\tthe\tDT\tI-NP\tO' +p183880 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p183881 +aS'upper\tupper\tJJ\tI-NP\tO' +p183882 +aS'and\tand\tCC\tI-NP\tO' +p183883 +aS'lower\tlow\tJJR\tI-NP\tO' +p183884 +aS'extremities\textremity\tNNS\tI-NP\tO' +p183885 +aS'.\t.\t.\tO\tO' +p183886 +asS'Blood cultures x two sent off with no growth .' +p183887 +(lp183888 +S'Blood\tBlood\tNN\tB-NP\tO' +p183889 +aS'cultures\tculture\tNNS\tI-NP\tO' +p183890 +aS'x\tx\tSYM\tO\tO' +p183891 +aS'two\ttwo\tCD\tB-NP\tO' +p183892 +aS'sent\tsend\tVBN\tB-VP\tO' +p183893 +aS'off\toff\tRP\tB-PRT\tO' +p183894 +aS'with\twith\tIN\tB-PP\tO' +p183895 +aS'no\tno\tDT\tB-NP\tO' +p183896 +aS'growth\tgrowth\tNN\tI-NP\tO' +p183897 +aS'.\t.\t.\tO\tO' +p183898 +asS'Probably sigmoid volvulus .' +p183899 +(lp183900 +S'Probably\tProbably\tRB\tB-NP\tO' +p183901 +aS'sigmoid\tsigmoid\tJJ\tI-NP\tO' +p183902 +aS'volvulus\tvolvulus\tNN\tI-NP\tO' +p183903 +aS'.\t.\t.\tO\tO' +p183904 +asS'Bilateral pleural effusion small on the right and moderate on the left is stable .' +p183905 +(lp183906 +S'Bilateral\tBilateral\tJJ\tB-NP\tO' +p183907 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p183908 +aS'effusion\teffusion\tNN\tI-NP\tO' +p183909 +aS'small\tsmall\tJJ\tB-ADJP\tO' +p183910 +aS'on\ton\tIN\tB-PP\tO' +p183911 +aS'the\tthe\tDT\tB-NP\tO' +p183912 +aS'right\tright\tJJ\tI-NP\tO' +p183913 +aS'and\tand\tCC\tI-NP\tO' +p183914 +aS'moderate\tmoderate\tJJ\tI-NP\tO' +p183915 +aS'on\ton\tIN\tB-PP\tO' +p183916 +aS'the\tthe\tDT\tB-NP\tO' +p183917 +aS'left\tleft\tNN\tI-NP\tO' +p183918 +aS'is\tbe\tVBZ\tB-VP\tO' +p183919 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p183920 +aS'.\t.\t.\tO\tO' +p183921 +asS'The patient was admitted and many cultures were sent which were all negative .' +p183922 +(lp183923 +S'The\tThe\tDT\tB-NP\tO' +p183924 +aS'patient\tpatient\tNN\tI-NP\tO' +p183925 +aS'was\tbe\tVBD\tB-VP\tO' +p183926 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p183927 +aS'and\tand\tCC\tO\tO' +p183928 +aS'many\tmany\tJJ\tB-NP\tO' +p183929 +aS'cultures\tculture\tNNS\tI-NP\tO' +p183930 +aS'were\tbe\tVBD\tB-VP\tO' +p183931 +aS'sent\tsend\tVBN\tI-VP\tO' +p183932 +aS'which\twhich\tWDT\tB-NP\tO' +p183933 +aS'were\tbe\tVBD\tB-VP\tO' +p183934 +aS'all\tall\tDT\tO\tO' +p183935 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p183936 +aS'.\t.\t.\tO\tO' +p183937 +asS'No CPR / No defib / No intubation / No pressors' +p183938 +(lp183939 +S'No\tNo\tDT\tB-NP\tO' +p183940 +aS'CPR\tCPR\tNN\tI-NP\tB-protein' +p183941 +aS'/\t/\tSYM\tB-NP\tO' +p183942 +aS'No\tNo\tNN\tI-NP\tO' +p183943 +aS'defib\tdefib\tNN\tI-NP\tO' +p183944 +aS'/\t/\tSYM\tB-NP\tO' +p183945 +aS'No\tNo\tNN\tI-NP\tO' +p183946 +aS'intubation\tintubation\tNN\tI-NP\tO' +p183947 +aS'/\t/\tSYM\tB-NP\tO' +p183948 +aS'No\tNo\tNN\tI-NP\tB-protein' +p183949 +aS'pressors\tpressor\tNNS\tI-NP\tI-protein' +p183950 +asS'She was received in the Respiratory Intensive Care Unit immediately postoperatively in stable condition .' +p183951 +(lp183952 +S'She\tShe\tPRP\tB-NP\tO' +p183953 +aS'was\tbe\tVBD\tB-VP\tO' +p183954 +aS'received\treceive\tVBN\tI-VP\tO' +p183955 +aS'in\tin\tIN\tB-PP\tO' +p183956 +aS'the\tthe\tDT\tB-NP\tO' +p183957 +aS'Respiratory\tRespiratory\tNNP\tI-NP\tO' +p183958 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p183959 +aS'Care\tCare\tNNP\tI-NP\tO' +p183960 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p183961 +aS'immediately\timmediately\tRB\tB-ADVP\tO' +p183962 +aS'postoperatively\tpostoperatively\tRB\tI-ADVP\tO' +p183963 +aS'in\tin\tIN\tB-PP\tO' +p183964 +aS'stable\tstable\tJJ\tB-NP\tO' +p183965 +aS'condition\tcondition\tNN\tI-NP\tO' +p183966 +aS'.\t.\t.\tO\tO' +p183967 +asS'However , on postoperative day number two , the patient in the afternoon noticed some tingling in her hands and also some tingling hear her perioral region .' +p183968 +(lp183969 +S'However\tHowever\tRB\tB-ADVP\tO' +p183970 +aS',\t,\t,\tO\tO' +p183971 +aS'on\ton\tIN\tB-PP\tO' +p183972 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p183973 +aS'day\tday\tNN\tI-NP\tO' +p183974 +aS'number\tnumber\tNN\tI-NP\tO' +p183975 +aS'two\ttwo\tCD\tB-NP\tO' +p183976 +aS',\t,\t,\tO\tO' +p183977 +aS'the\tthe\tDT\tB-NP\tO' +p183978 +aS'patient\tpatient\tNN\tI-NP\tO' +p183979 +aS'in\tin\tIN\tB-PP\tO' +p183980 +aS'the\tthe\tDT\tB-NP\tO' +p183981 +aS'afternoon\tafternoon\tNN\tI-NP\tO' +p183982 +aS'noticed\tnotice\tVBD\tB-VP\tO' +p183983 +aS'some\tsome\tDT\tB-NP\tO' +p183984 +aS'tingling\ttingling\tNN\tI-NP\tO' +p183985 +aS'in\tin\tIN\tB-PP\tO' +p183986 +aS'her\ther\tPRP$\tB-NP\tO' +p183987 +aS'hands\thand\tNNS\tI-NP\tO' +p183988 +aS'and\tand\tCC\tO\tO' +p183989 +aS'also\talso\tRB\tB-ADVP\tO' +p183990 +aS'some\tsome\tDT\tB-NP\tO' +p183991 +aS'tingling\ttingling\tNN\tI-NP\tO' +p183992 +aS'hear\thear\tVBP\tB-VP\tO' +p183993 +aS'her\ther\tPRP$\tB-NP\tO' +p183994 +aS'perioral\tperioral\tJJ\tI-NP\tB-DNA' +p183995 +aS'region\tregion\tNN\tI-NP\tI-DNA' +p183996 +aS'.\t.\t.\tO\tO' +p183997 +asS'361-400 mg / dL 11 Units 11 Units 10 Units 4 Units' +p183998 +(lp183999 +S'361-400\t361-400\tCD\tB-NP\tO' +p184000 +aS'mg\tmg\tNN\tI-NP\tO' +p184001 +aS'/\t/\tSYM\tB-NP\tO' +p184002 +aS'dL\tdL\tNN\tB-NP\tB-protein' +p184003 +aS'11\t11\tCD\tI-NP\tI-protein' +p184004 +aS'Units\tUnits\tNNP\tI-NP\tI-protein' +p184005 +aS'11\t11\tCD\tI-NP\tI-protein' +p184006 +aS'Units\tUnits\tNNP\tI-NP\tI-protein' +p184007 +aS'10\t10\tCD\tI-NP\tI-protein' +p184008 +aS'Units\tUnits\tNNP\tI-NP\tI-protein' +p184009 +aS'4\t4\tCD\tI-NP\tI-protein' +p184010 +aS'Units\tUnit\tNNS\tI-NP\tI-protein' +p184011 +asS'She will follow up with Dr. Perez in two weeks with repeat head CT .' +p184012 +(lp184013 +S'She\tShe\tPRP\tB-NP\tO' +p184014 +aS'will\twill\tMD\tB-VP\tO' +p184015 +aS'follow\tfollow\tVB\tI-VP\tO' +p184016 +aS'up\tup\tRP\tB-PRT\tO' +p184017 +aS'with\twith\tIN\tB-PP\tO' +p184018 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p184019 +aS'Perez\tPerez\tNNP\tI-NP\tO' +p184020 +aS'in\tin\tIN\tB-PP\tO' +p184021 +aS'two\ttwo\tCD\tB-NP\tO' +p184022 +aS'weeks\tweek\tNNS\tI-NP\tO' +p184023 +aS'with\twith\tIN\tB-PP\tO' +p184024 +aS'repeat\trepeat\tNN\tB-NP\tO' +p184025 +aS'head\thead\tNN\tI-NP\tO' +p184026 +aS'CT\tCT\tNN\tI-NP\tO' +p184027 +aS'.\t.\t.\tO\tO' +p184028 +asS'The patient described the pain as " knife-like " with a severity of 1/25 at its worse .' +p184029 +(lp184030 +S'The\tThe\tDT\tB-NP\tO' +p184031 +aS'patient\tpatient\tNN\tI-NP\tO' +p184032 +aS'described\tdescribe\tVBD\tB-VP\tO' +p184033 +aS'the\tthe\tDT\tB-NP\tO' +p184034 +aS'pain\tpain\tNN\tI-NP\tO' +p184035 +aS'as\tas\tIN\tB-PP\tO' +p184036 +aS'"\t"\tCC\tB-NP\tO' +p184037 +aS'knife-like\tknife-like\tJJ\tI-NP\tO' +p184038 +aS'"\t"\tNN\tI-NP\tO' +p184039 +aS'with\twith\tIN\tB-PP\tO' +p184040 +aS'a\ta\tDT\tB-NP\tO' +p184041 +aS'severity\tseverity\tNN\tI-NP\tO' +p184042 +aS'of\tof\tIN\tB-PP\tO' +p184043 +aS'1/25\t1/25\tCD\tB-NP\tO' +p184044 +aS'at\tat\tIN\tB-PP\tO' +p184045 +aS'its\tits\tPRP$\tB-NP\tO' +p184046 +aS'worse\tworse\tJJR\tI-NP\tO' +p184047 +aS'.\t.\t.\tO\tO' +p184048 +asS'Then , this morning she developed fatigue and did not eat well .' +p184049 +(lp184050 +S'Then\tThen\tRB\tO\tO' +p184051 +aS',\t,\t,\tO\tO' +p184052 +aS'this\tthis\tDT\tB-NP\tO' +p184053 +aS'morning\tmorning\tNN\tI-NP\tO' +p184054 +aS'she\tshe\tPRP\tB-NP\tO' +p184055 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p184056 +aS'fatigue\tfatigue\tNN\tB-NP\tO' +p184057 +aS'and\tand\tCC\tO\tO' +p184058 +aS'did\tdo\tVBD\tB-VP\tO' +p184059 +aS'not\tnot\tRB\tI-VP\tO' +p184060 +aS'eat\teat\tVB\tI-VP\tO' +p184061 +aS'well\twell\tRB\tB-ADVP\tO' +p184062 +aS'.\t.\t.\tO\tO' +p184063 +asS'She was noted to have apnea of prematurity , treated with caffeine until 2017-06-04 .' +p184064 +(lp184065 +S'She\tShe\tPRP\tB-NP\tO' +p184066 +aS'was\tbe\tVBD\tB-VP\tO' +p184067 +aS'noted\tnote\tVBN\tI-VP\tO' +p184068 +aS'to\tto\tTO\tI-VP\tO' +p184069 +aS'have\thave\tVB\tI-VP\tO' +p184070 +aS'apnea\tapnea\tNN\tB-NP\tO' +p184071 +aS'of\tof\tIN\tB-PP\tO' +p184072 +aS'prematurity\tprematurity\tNN\tB-NP\tO' +p184073 +aS',\t,\t,\tO\tO' +p184074 +aS'treated\ttreat\tVBN\tB-VP\tO' +p184075 +aS'with\twith\tIN\tB-PP\tO' +p184076 +aS'caffeine\tcaffeine\tNN\tB-NP\tO' +p184077 +aS'until\tuntil\tIN\tB-PP\tO' +p184078 +aS'2017-06-04\t2017-06-04\tCD\tB-NP\tO' +p184079 +aS'.\t.\t.\tO\tO' +p184080 +asS'Cranial nerves II through XII intact .' +p184081 +(lp184082 +S'Cranial\tCranial\tNNP\tB-NP\tO' +p184083 +aS'nerves\tnerve\tVBZ\tB-VP\tO' +p184084 +aS'II\tII\tCD\tB-NP\tO' +p184085 +aS'through\tthrough\tIN\tB-PP\tO' +p184086 +aS'XII\tXII\tCD\tB-NP\tO' +p184087 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p184088 +aS'.\t.\t.\tO\tO' +p184089 +asS'The common duct is dilated .' +p184090 +(lp184091 +S'The\tThe\tDT\tB-NP\tO' +p184092 +aS'common\tcommon\tJJ\tI-NP\tO' +p184093 +aS'duct\tduct\tNN\tI-NP\tO' +p184094 +aS'is\tbe\tVBZ\tB-VP\tO' +p184095 +aS'dilated\tdilate\tVBN\tI-VP\tO' +p184096 +aS'.\t.\t.\tO\tO' +p184097 +asS'HISTORY : Trauma , congestive heart failure , fever , pneumonia .' +p184098 +(lp184099 +S'HISTORY\tHISTORY\tNN\tB-NP\tO' +p184100 +aS':\t:\t:\tO\tO' +p184101 +aS'Trauma\tTrauma\tNNP\tB-NP\tO' +p184102 +aS',\t,\t,\tO\tO' +p184103 +aS'congestive\tcongestive\tJJ\tB-NP\tO' +p184104 +aS'heart\theart\tNN\tI-NP\tO' +p184105 +aS'failure\tfailure\tNN\tI-NP\tO' +p184106 +aS',\t,\t,\tO\tO' +p184107 +aS'fever\tfever\tNN\tB-NP\tO' +p184108 +aS',\t,\t,\tO\tO' +p184109 +aS'pneumonia\tpneumonia\tNN\tB-NP\tO' +p184110 +aS'.\t.\t.\tO\tO' +p184111 +asS'Admission laboratories were notable for a white count of 13.1 , hematocrit 34.0 , platelet count 280,000 .' +p184112 +(lp184113 +S'Admission\tAdmission\tNN\tB-NP\tO' +p184114 +aS'laboratories\tlaboratory\tNNS\tI-NP\tO' +p184115 +aS'were\tbe\tVBD\tB-VP\tO' +p184116 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p184117 +aS'for\tfor\tIN\tB-PP\tO' +p184118 +aS'a\ta\tDT\tB-NP\tO' +p184119 +aS'white\twhite\tJJ\tI-NP\tO' +p184120 +aS'count\tcount\tNN\tI-NP\tO' +p184121 +aS'of\tof\tIN\tB-PP\tO' +p184122 +aS'13.1\t13.1\tNN\tB-NP\tB-protein' +p184123 +aS',\t,\t,\tO\tO' +p184124 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p184125 +aS'34.0\t34.0\tCD\tI-NP\tI-protein' +p184126 +aS',\t,\t,\tO\tO' +p184127 +aS'platelet\tplatelet\tNN\tB-NP\tB-protein' +p184128 +aS'count\tcount\tNN\tI-NP\tI-protein' +p184129 +aS'280,000\t280,000\tCD\tI-NP\tI-protein' +p184130 +aS'.\t.\t.\tO\tO' +p184131 +asS'Neck : supple , no JVD' +p184132 +(lp184133 +S'Neck\tNeck\tNN\tB-NP\tO' +p184134 +aS':\t:\t:\tO\tO' +p184135 +aS'supple\tsupple\tNN\tB-NP\tO' +p184136 +aS',\t,\t,\tO\tO' +p184137 +aS'no\tno\tDT\tB-NP\tO' +p184138 +aS'JVD\tJVD\tNN\tI-NP\tB-protein' +p184139 +asS'In the a.m. of 01/08 , the patient experienced episode of tongue biting , unresponsiveness , disorientation .' +p184140 +(lp184141 +S'In\tIn\tIN\tB-PP\tO' +p184142 +aS'the\tthe\tDT\tB-NP\tO' +p184143 +aS'a.m.\ta.m.\tNN\tI-NP\tO' +p184144 +aS'of\tof\tIN\tB-PP\tO' +p184145 +aS'01/08\t01/08\tCD\tB-NP\tO' +p184146 +aS',\t,\t,\tO\tO' +p184147 +aS'the\tthe\tDT\tB-NP\tO' +p184148 +aS'patient\tpatient\tNN\tI-NP\tO' +p184149 +aS'experienced\texperience\tVBD\tB-VP\tO' +p184150 +aS'episode\tepisode\tNN\tB-NP\tO' +p184151 +aS'of\tof\tIN\tB-PP\tO' +p184152 +aS'tongue\ttongue\tNN\tB-NP\tO' +p184153 +aS'biting\tbiting\tNN\tI-NP\tO' +p184154 +aS',\t,\t,\tO\tO' +p184155 +aS'unresponsiveness\tunresponsiveness\tNN\tB-NP\tO' +p184156 +aS',\t,\t,\tO\tO' +p184157 +aS'disorientation\tdisorientation\tNN\tB-NP\tO' +p184158 +aS'.\t.\t.\tO\tO' +p184159 +asS'Harsher holosystolic murmur at the apex heard best with bell .' +p184160 +(lp184161 +S'Harsher\tHarsher\tNNP\tB-NP\tO' +p184162 +aS'holosystolic\tholosystolic\tJJ\tI-NP\tO' +p184163 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p184164 +aS'at\tat\tIN\tB-PP\tO' +p184165 +aS'the\tthe\tDT\tB-NP\tO' +p184166 +aS'apex\tapex\tNN\tI-NP\tO' +p184167 +aS'heard\thear\tVBD\tB-VP\tO' +p184168 +aS'best\tgood\tJJS\tB-ADVP\tO' +p184169 +aS'with\twith\tIN\tB-PP\tO' +p184170 +aS'bell\tbell\tNN\tB-NP\tO' +p184171 +aS'.\t.\t.\tO\tO' +p184172 +asS'3) CORD COMPRESSION .' +p184173 +(lp184174 +S'3)\t3)\tLS\tB-NP\tO' +p184175 +aS'CORD\tCORD\tNN\tI-NP\tO' +p184176 +aS'COMPRESSION\tCOMPRESSION\tNN\tI-NP\tO' +p184177 +aS'.\t.\t.\tO\tO' +p184178 +asS'He used to be a heavy drinker in the past , no drugs .' +p184179 +(lp184180 +S'He\tHe\tPRP\tB-NP\tO' +p184181 +aS'used\tuse\tVBD\tB-VP\tO' +p184182 +aS'to\tto\tTO\tI-VP\tO' +p184183 +aS'be\tbe\tVB\tI-VP\tO' +p184184 +aS'a\ta\tDT\tB-NP\tO' +p184185 +aS'heavy\theavy\tJJ\tI-NP\tO' +p184186 +aS'drinker\tdrinker\tNN\tI-NP\tO' +p184187 +aS'in\tin\tIN\tB-PP\tO' +p184188 +aS'the\tthe\tDT\tB-NP\tO' +p184189 +aS'past\tpast\tNN\tI-NP\tO' +p184190 +aS',\t,\t,\tO\tO' +p184191 +aS'no\tno\tDT\tB-NP\tO' +p184192 +aS'drugs\tdrug\tNNS\tI-NP\tO' +p184193 +aS'.\t.\t.\tO\tO' +p184194 +asS'Right atrial pressure was 12 with a wave form consistent with tricuspid regurgitation .' +p184195 +(lp184196 +S'Right\tRight\tRB\tB-NP\tO' +p184197 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p184198 +aS'pressure\tpressure\tNN\tI-NP\tO' +p184199 +aS'was\tbe\tVBD\tB-VP\tO' +p184200 +aS'12\t12\tCD\tB-NP\tO' +p184201 +aS'with\twith\tIN\tB-PP\tO' +p184202 +aS'a\ta\tDT\tB-NP\tO' +p184203 +aS'wave\twave\tNN\tI-NP\tO' +p184204 +aS'form\tform\tNN\tI-NP\tO' +p184205 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p184206 +aS'with\twith\tIN\tB-PP\tO' +p184207 +aS'tricuspid\ttricuspid\tJJ\tB-NP\tO' +p184208 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p184209 +aS'.\t.\t.\tO\tO' +p184210 +asS'He continued to require very high FIO2 .' +p184211 +(lp184212 +S'He\tHe\tPRP\tB-NP\tO' +p184213 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p184214 +aS'to\tto\tTO\tI-VP\tO' +p184215 +aS'require\trequire\tVB\tI-VP\tO' +p184216 +aS'very\tvery\tRB\tB-NP\tO' +p184217 +aS'high\thigh\tJJ\tI-NP\tO' +p184218 +aS'FIO2\tFIO2\tNN\tI-NP\tB-protein' +p184219 +aS'.\t.\t.\tO\tO' +p184220 +asS'Sensory is intact to soft touch throughout .' +p184221 +(lp184222 +S'Sensory\tSensory\tNNP\tB-NP\tO' +p184223 +aS'is\tbe\tVBZ\tB-VP\tO' +p184224 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p184225 +aS'to\tto\tTO\tB-PP\tO' +p184226 +aS'soft\tsoft\tJJ\tB-NP\tO' +p184227 +aS'touch\ttouch\tNN\tI-NP\tO' +p184228 +aS'throughout\tthroughout\tIN\tB-ADVP\tO' +p184229 +aS'.\t.\t.\tO\tO' +p184230 +asS'Oral cyanosis and shallow respirations were noted on 9/7/93 at 2:45 a.m.' +p184231 +(lp184232 +S'Oral\tOral\tJJ\tB-NP\tO' +p184233 +aS'cyanosis\tcyanosis\tNN\tI-NP\tO' +p184234 +aS'and\tand\tCC\tI-NP\tO' +p184235 +aS'shallow\tshallow\tNN\tI-NP\tO' +p184236 +aS'respirations\trespiration\tNNS\tI-NP\tO' +p184237 +aS'were\tbe\tVBD\tB-VP\tO' +p184238 +aS'noted\tnote\tVBN\tI-VP\tO' +p184239 +aS'on\ton\tIN\tB-PP\tO' +p184240 +aS'9/7/93\t9/7/93\tCD\tB-NP\tO' +p184241 +aS'at\tat\tIN\tB-PP\tO' +p184242 +aS'2:45\t2:45\tCD\tB-NP\tO' +p184243 +aS'a.m.\ta.m.\tNN\tI-NP\tO' +p184244 +asS'CTAB aside from slightly dull breath sounds at the bases' +p184245 +(lp184246 +S'CTAB\tCTAB\tNN\tB-NP\tB-protein' +p184247 +aS'aside\taside\tRB\tB-ADVP\tO' +p184248 +aS'from\tfrom\tIN\tB-PP\tO' +p184249 +aS'slightly\tslightly\tRB\tB-NP\tO' +p184250 +aS'dull\tdull\tJJ\tI-NP\tO' +p184251 +aS'breath\tbreath\tNN\tI-NP\tO' +p184252 +aS'sounds\tsound\tVBZ\tB-VP\tO' +p184253 +aS'at\tat\tIN\tB-PP\tO' +p184254 +aS'the\tthe\tDT\tB-NP\tO' +p184255 +aS'bases\tbase\tNNS\tI-NP\tO' +p184256 +asS'Repeat CT was neg. for abcess or fascitis .' +p184257 +(lp184258 +S'Repeat\tRepeat\tNN\tB-NP\tO' +p184259 +aS'CT\tCT\tNN\tI-NP\tO' +p184260 +aS'was\tbe\tVBD\tB-VP\tO' +p184261 +aS'neg.\tneg.\tNN\tB-NP\tO' +p184262 +aS'for\tfor\tIN\tB-PP\tO' +p184263 +aS'abcess\tabcess\tNN\tB-NP\tO' +p184264 +aS'or\tor\tCC\tI-NP\tO' +p184265 +aS'fascitis\tfascitis\tNN\tI-NP\tO' +p184266 +aS'.\t.\t.\tO\tO' +p184267 +asS'Based on a chest x-ray that showed a small hydro-pneumothorax on the left lower lobe of the lung , a thoracic surgery consult was obtained , though no specific interventions were warranted at the time .' +p184268 +(lp184269 +S'Based\tBase\tVBN\tB-PP\tO' +p184270 +aS'on\ton\tIN\tB-PP\tO' +p184271 +aS'a\ta\tDT\tB-NP\tO' +p184272 +aS'chest\tchest\tNN\tI-NP\tO' +p184273 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p184274 +aS'that\tthat\tWDT\tB-NP\tO' +p184275 +aS'showed\tshow\tVBD\tB-VP\tO' +p184276 +aS'a\ta\tDT\tB-NP\tO' +p184277 +aS'small\tsmall\tJJ\tI-NP\tO' +p184278 +aS'hydro-pneumothorax\thydro-pneumothorax\tNN\tI-NP\tO' +p184279 +aS'on\ton\tIN\tB-PP\tO' +p184280 +aS'the\tthe\tDT\tB-NP\tO' +p184281 +aS'left\tleft\tJJ\tI-NP\tO' +p184282 +aS'lower\tlow\tJJR\tI-NP\tO' +p184283 +aS'lobe\tlobe\tNN\tI-NP\tO' +p184284 +aS'of\tof\tIN\tB-PP\tO' +p184285 +aS'the\tthe\tDT\tB-NP\tO' +p184286 +aS'lung\tlung\tNN\tI-NP\tO' +p184287 +aS',\t,\t,\tO\tO' +p184288 +aS'a\ta\tDT\tB-NP\tO' +p184289 +aS'thoracic\tthoracic\tJJ\tI-NP\tO' +p184290 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p184291 +aS'consult\tconsult\tNN\tI-NP\tO' +p184292 +aS'was\tbe\tVBD\tB-VP\tO' +p184293 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p184294 +aS',\t,\t,\tO\tO' +p184295 +aS'though\tthough\tIN\tB-SBAR\tO' +p184296 +aS'no\tno\tDT\tB-NP\tO' +p184297 +aS'specific\tspecific\tJJ\tI-NP\tO' +p184298 +aS'interventions\tintervention\tNNS\tI-NP\tO' +p184299 +aS'were\tbe\tVBD\tB-VP\tO' +p184300 +aS'warranted\twarrant\tVBN\tI-VP\tO' +p184301 +aS'at\tat\tIN\tB-PP\tO' +p184302 +aS'the\tthe\tDT\tB-NP\tO' +p184303 +aS'time\ttime\tNN\tI-NP\tO' +p184304 +aS'.\t.\t.\tO\tO' +p184305 +asS'Admits to 03-08 ETOH drinks per week .' +p184306 +(lp184307 +S'Admits\tAdmit\tNNS\tB-NP\tO' +p184308 +aS'to\tto\tTO\tB-PP\tO' +p184309 +aS'03-08\t03-08\tCD\tB-NP\tO' +p184310 +aS'ETOH\tETOH\tNN\tI-NP\tO' +p184311 +aS'drinks\tdrink\tNNS\tI-NP\tO' +p184312 +aS'per\tper\tIN\tB-PP\tO' +p184313 +aS'week\tweek\tNN\tB-NP\tO' +p184314 +aS'.\t.\t.\tO\tO' +p184315 +asS'Fatigue secondary to worsening dyspnea .' +p184316 +(lp184317 +S'Fatigue\tFatigue\tNN\tB-NP\tO' +p184318 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p184319 +aS'to\tto\tTO\tB-PP\tO' +p184320 +aS'worsening\tworsen\tVBG\tB-VP\tO' +p184321 +aS'dyspnea\tdyspnea\tNN\tB-NP\tO' +p184322 +aS'.\t.\t.\tO\tO' +p184323 +asS'She has a comfortable respiratory rate and good air exchange .' +p184324 +(lp184325 +S'She\tShe\tPRP\tB-NP\tO' +p184326 +aS'has\thave\tVBZ\tB-VP\tO' +p184327 +aS'a\ta\tDT\tB-NP\tO' +p184328 +aS'comfortable\tcomfortable\tJJ\tI-NP\tO' +p184329 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p184330 +aS'rate\trate\tNN\tI-NP\tO' +p184331 +aS'and\tand\tCC\tO\tO' +p184332 +aS'good\tgood\tJJ\tB-NP\tO' +p184333 +aS'air\tair\tNN\tI-NP\tO' +p184334 +aS'exchange\texchange\tNN\tI-NP\tO' +p184335 +aS'.\t.\t.\tO\tO' +p184336 +asS'The patient is a 47-year-old man with advanced stage chronic lymphocytic leukemia who was admitted for autologous bone marrow transplant as per protocol 94-055 of the Santusli Hospital .' +p184337 +(lp184338 +S'The\tThe\tDT\tB-NP\tO' +p184339 +aS'patient\tpatient\tNN\tI-NP\tO' +p184340 +aS'is\tbe\tVBZ\tB-VP\tO' +p184341 +aS'a\ta\tDT\tB-NP\tO' +p184342 +aS'47-year-old\t47-year-old\tJJ\tI-NP\tO' +p184343 +aS'man\tman\tNN\tI-NP\tO' +p184344 +aS'with\twith\tIN\tB-PP\tO' +p184345 +aS'advanced\tadvance\tVBN\tB-NP\tO' +p184346 +aS'stage\tstage\tNN\tI-NP\tO' +p184347 +aS'chronic\tchronic\tJJ\tI-NP\tO' +p184348 +aS'lymphocytic\tlymphocytic\tJJ\tI-NP\tO' +p184349 +aS'leukemia\tleukemia\tNN\tI-NP\tO' +p184350 +aS'who\twho\tWP\tB-NP\tO' +p184351 +aS'was\tbe\tVBD\tB-VP\tO' +p184352 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p184353 +aS'for\tfor\tIN\tB-PP\tO' +p184354 +aS'autologous\tautologous\tJJ\tB-NP\tO' +p184355 +aS'bone\tbone\tNN\tI-NP\tO' +p184356 +aS'marrow\tmarrow\tNN\tI-NP\tO' +p184357 +aS'transplant\ttransplant\tNN\tI-NP\tO' +p184358 +aS'as\tas\tIN\tB-PP\tO' +p184359 +aS'per\tper\tIN\tB-PP\tO' +p184360 +aS'protocol\tprotocol\tNN\tB-NP\tO' +p184361 +aS'94-055\t94-055\tCD\tB-NP\tO' +p184362 +aS'of\tof\tIN\tB-PP\tO' +p184363 +aS'the\tthe\tDT\tB-NP\tO' +p184364 +aS'Santusli\tSantusli\tNNP\tI-NP\tO' +p184365 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p184366 +aS'.\t.\t.\tO\tO' +p184367 +asS'Zofran 8 mg 1 as directed' +p184368 +(lp184369 +S'Zofran\tZofran\tNN\tB-NP\tB-protein' +p184370 +aS'8\t8\tCD\tI-NP\tI-protein' +p184371 +aS'mg\tmg\tNN\tI-NP\tI-protein' +p184372 +aS'1\t1\tCD\tI-NP\tI-protein' +p184373 +aS'as\tas\tIN\tB-SBAR\tO' +p184374 +aS'directed\tdirect\tVBN\tB-VP\tO' +p184375 +asS'9. Metoprolol Tartrate 25 mg Tablet Sig : Three ( 3 ) Tablet PO TID ( 3 times a day ) .' +p184376 +(lp184377 +S'9.\t9.\tLS\tB-NP\tO' +p184378 +aS'Metoprolol\tMetoprolol\tNNP\tI-NP\tO' +p184379 +aS'Tartrate\tTartrate\tNNP\tI-NP\tO' +p184380 +aS'25\t25\tCD\tI-NP\tO' +p184381 +aS'mg\tmg\tNN\tI-NP\tO' +p184382 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p184383 +aS'Sig\tSig\tNNP\tI-NP\tO' +p184384 +aS':\t:\t:\tO\tO' +p184385 +aS'Three\tThree\tCD\tB-NP\tO' +p184386 +aS'(\t(\t(\tO\tO' +p184387 +aS'3\t3\tCD\tB-NP\tO' +p184388 +aS')\t)\t)\tO\tO' +p184389 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p184390 +aS'PO\tPO\tNN\tI-NP\tO' +p184391 +aS'TID\tTID\tNN\tI-NP\tO' +p184392 +aS'(\t(\t(\tO\tO' +p184393 +aS'3\t3\tCD\tB-NP\tO' +p184394 +aS'times\ttime\tNNS\tI-NP\tO' +p184395 +aS'a\ta\tDT\tB-NP\tO' +p184396 +aS'day\tday\tNN\tI-NP\tO' +p184397 +aS')\t)\t)\tO\tO' +p184398 +aS'.\t.\t.\tO\tO' +p184399 +asS'No abnormal results have been reported .' +p184400 +(lp184401 +S'No\tNo\tDT\tB-NP\tO' +p184402 +aS'abnormal\tabnormal\tJJ\tI-NP\tO' +p184403 +aS'results\tresult\tNNS\tI-NP\tO' +p184404 +aS'have\thave\tVBP\tB-VP\tO' +p184405 +aS'been\tbe\tVBN\tI-VP\tO' +p184406 +aS'reported\treport\tVBN\tI-VP\tO' +p184407 +aS'.\t.\t.\tO\tO' +p184408 +asS'The patient is married and lives with his wife .' +p184409 +(lp184410 +S'The\tThe\tDT\tB-NP\tO' +p184411 +aS'patient\tpatient\tNN\tI-NP\tO' +p184412 +aS'is\tbe\tVBZ\tB-VP\tO' +p184413 +aS'married\tmarry\tVBN\tI-VP\tO' +p184414 +aS'and\tand\tCC\tO\tO' +p184415 +aS'lives\tlive\tVBZ\tB-VP\tO' +p184416 +aS'with\twith\tIN\tB-PP\tO' +p184417 +aS'his\this\tPRP$\tB-NP\tO' +p184418 +aS'wife\twife\tNN\tI-NP\tO' +p184419 +aS'.\t.\t.\tO\tO' +p184420 +asS'She was also evaluated by Physical Therapy and Speech and Swallow because of some report of dysphagia .' +p184421 +(lp184422 +S'She\tShe\tPRP\tB-NP\tO' +p184423 +aS'was\tbe\tVBD\tB-VP\tO' +p184424 +aS'also\talso\tRB\tI-VP\tO' +p184425 +aS'evaluated\tevaluate\tVBN\tI-VP\tO' +p184426 +aS'by\tby\tIN\tB-PP\tO' +p184427 +aS'Physical\tPhysical\tJJ\tB-NP\tO' +p184428 +aS'Therapy\tTherapy\tNN\tI-NP\tO' +p184429 +aS'and\tand\tCC\tI-NP\tO' +p184430 +aS'Speech\tSpeech\tNN\tI-NP\tO' +p184431 +aS'and\tand\tCC\tI-NP\tO' +p184432 +aS'Swallow\tSwallow\tNN\tI-NP\tO' +p184433 +aS'because\tbecause\tIN\tB-PP\tO' +p184434 +aS'of\tof\tIN\tI-PP\tO' +p184435 +aS'some\tsome\tDT\tB-NP\tO' +p184436 +aS'report\treport\tNN\tI-NP\tO' +p184437 +aS'of\tof\tIN\tB-PP\tO' +p184438 +aS'dysphagia\tdysphagia\tNN\tB-NP\tO' +p184439 +aS'.\t.\t.\tO\tO' +p184440 +asS'So pain control was a big issue so she was on MS Contin and MSIR at home she thought that clouded her thinking , so we tried different things for pain management .' +p184441 +(lp184442 +S'So\tSo\tIN\tO\tO' +p184443 +aS'pain\tpain\tNN\tB-NP\tO' +p184444 +aS'control\tcontrol\tNN\tI-NP\tO' +p184445 +aS'was\tbe\tVBD\tB-VP\tO' +p184446 +aS'a\ta\tDT\tB-NP\tO' +p184447 +aS'big\tbig\tJJ\tI-NP\tO' +p184448 +aS'issue\tissue\tNN\tI-NP\tO' +p184449 +aS'so\tso\tIN\tB-SBAR\tO' +p184450 +aS'she\tshe\tPRP\tB-NP\tO' +p184451 +aS'was\tbe\tVBD\tB-VP\tO' +p184452 +aS'on\ton\tIN\tB-PP\tO' +p184453 +aS'MS\tMS\tNN\tB-NP\tB-protein' +p184454 +aS'Contin\tContin\tNN\tI-NP\tI-protein' +p184455 +aS'and\tand\tCC\tI-NP\tO' +p184456 +aS'MSIR\tMSIR\tNN\tI-NP\tB-protein' +p184457 +aS'at\tat\tIN\tB-PP\tO' +p184458 +aS'home\thome\tNN\tB-NP\tO' +p184459 +aS'she\tshe\tPRP\tB-NP\tO' +p184460 +aS'thought\tthink\tVBD\tB-VP\tO' +p184461 +aS'that\tthat\tIN\tB-SBAR\tO' +p184462 +aS'clouded\tcloud\tVBD\tB-VP\tO' +p184463 +aS'her\ther\tPRP$\tB-NP\tO' +p184464 +aS'thinking\tthinking\tNN\tI-NP\tO' +p184465 +aS',\t,\t,\tO\tO' +p184466 +aS'so\tso\tIN\tO\tO' +p184467 +aS'we\twe\tPRP\tB-NP\tO' +p184468 +aS'tried\ttry\tVBD\tB-VP\tO' +p184469 +aS'different\tdifferent\tJJ\tB-NP\tO' +p184470 +aS'things\tthing\tNNS\tI-NP\tO' +p184471 +aS'for\tfor\tIN\tB-PP\tO' +p184472 +aS'pain\tpain\tNN\tB-NP\tO' +p184473 +aS'management\tmanagement\tNN\tI-NP\tO' +p184474 +aS'.\t.\t.\tO\tO' +p184475 +asS'Cranial nerves were intact except for paresthesias on the left in the VII and VIII distribution .' +p184476 +(lp184477 +S'Cranial\tCranial\tJJ\tB-NP\tO' +p184478 +aS'nerves\tnerve\tNNS\tI-NP\tO' +p184479 +aS'were\tbe\tVBD\tB-VP\tO' +p184480 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p184481 +aS'except\texcept\tIN\tB-PP\tO' +p184482 +aS'for\tfor\tIN\tB-PP\tO' +p184483 +aS'paresthesias\tparesthesia\tNNS\tB-NP\tO' +p184484 +aS'on\ton\tIN\tB-PP\tO' +p184485 +aS'the\tthe\tDT\tB-NP\tO' +p184486 +aS'left\tleft\tNN\tI-NP\tO' +p184487 +aS'in\tin\tIN\tB-PP\tO' +p184488 +aS'the\tthe\tDT\tB-NP\tO' +p184489 +aS'VII\tVII\tCD\tI-NP\tO' +p184490 +aS'and\tand\tCC\tI-NP\tO' +p184491 +aS'VIII\tVIII\tCD\tI-NP\tO' +p184492 +aS'distribution\tdistribution\tNN\tI-NP\tO' +p184493 +aS'.\t.\t.\tO\tO' +p184494 +asS'Laboratory values were as per the History of Present Illness .' +p184495 +(lp184496 +S'Laboratory\tLaboratory\tNN\tB-NP\tO' +p184497 +aS'values\tvalue\tNNS\tI-NP\tO' +p184498 +aS'were\tbe\tVBD\tB-VP\tO' +p184499 +aS'as\tas\tIN\tB-SBAR\tO' +p184500 +aS'per\tper\tIN\tB-PP\tO' +p184501 +aS'the\tthe\tDT\tB-NP\tO' +p184502 +aS'History\tHistory\tNN\tI-NP\tO' +p184503 +aS'of\tof\tIN\tB-PP\tO' +p184504 +aS'Present\tPresent\tNNP\tB-NP\tO' +p184505 +aS'Illness\tIllness\tNNP\tI-NP\tO' +p184506 +aS'.\t.\t.\tO\tO' +p184507 +asS'The extremities revealed no clubbing , cyanosis or edema .' +p184508 +(lp184509 +S'The\tThe\tDT\tB-NP\tO' +p184510 +aS'extremities\textremity\tNNS\tI-NP\tO' +p184511 +aS'revealed\treveal\tVBD\tB-VP\tO' +p184512 +aS'no\tno\tDT\tB-NP\tO' +p184513 +aS'clubbing\tclubbing\tNN\tI-NP\tO' +p184514 +aS',\t,\t,\tI-NP\tO' +p184515 +aS'cyanosis\tcyanosis\tNN\tI-NP\tO' +p184516 +aS'or\tor\tCC\tI-NP\tO' +p184517 +aS'edema\tedema\tNN\tI-NP\tO' +p184518 +aS'.\t.\t.\tO\tO' +p184519 +asS'She has pain with straight leg raise , left greater than right and 5/5 strength in right quads compared to 4/5 on the left .' +p184520 +(lp184521 +S'She\tShe\tPRP\tB-NP\tO' +p184522 +aS'has\thave\tVBZ\tB-VP\tO' +p184523 +aS'pain\tpain\tVBN\tI-VP\tO' +p184524 +aS'with\twith\tIN\tB-PP\tO' +p184525 +aS'straight\tstraight\tJJ\tB-NP\tO' +p184526 +aS'leg\tleg\tNN\tI-NP\tO' +p184527 +aS'raise\traise\tNN\tI-NP\tO' +p184528 +aS',\t,\t,\tO\tO' +p184529 +aS'left\tleave\tVBD\tB-VP\tO' +p184530 +aS'greater\tgreat\tJJR\tB-ADJP\tO' +p184531 +aS'than\tthan\tIN\tB-PP\tO' +p184532 +aS'right\tright\tJJ\tB-ADJP\tO' +p184533 +aS'and\tand\tCC\tO\tO' +p184534 +aS'5/5\t5/5\tCD\tB-NP\tO' +p184535 +aS'strength\tstrength\tNN\tI-NP\tO' +p184536 +aS'in\tin\tIN\tB-PP\tO' +p184537 +aS'right\tright\tJJ\tB-NP\tO' +p184538 +aS'quads\tquad\tNNS\tI-NP\tO' +p184539 +aS'compared\tcompare\tVBN\tB-VP\tO' +p184540 +aS'to\tto\tTO\tB-PP\tO' +p184541 +aS'4/5\t4/5\tCD\tB-NP\tO' +p184542 +aS'on\ton\tIN\tB-PP\tO' +p184543 +aS'the\tthe\tDT\tB-NP\tO' +p184544 +aS'left\tleft\tNN\tI-NP\tO' +p184545 +aS'.\t.\t.\tO\tO' +p184546 +asS'We also tried to contact her physician at Va Sit Namar Healthcare and was unsuccessful .' +p184547 +(lp184548 +S'We\tWe\tPRP\tB-NP\tO' +p184549 +aS'also\talso\tRB\tB-ADVP\tO' +p184550 +aS'tried\ttry\tVBD\tB-VP\tO' +p184551 +aS'to\tto\tTO\tI-VP\tO' +p184552 +aS'contact\tcontact\tVB\tI-VP\tO' +p184553 +aS'her\ther\tPRP$\tB-NP\tO' +p184554 +aS'physician\tphysician\tNN\tI-NP\tO' +p184555 +aS'at\tat\tIN\tB-PP\tO' +p184556 +aS'Va\tVa\tNNP\tB-NP\tO' +p184557 +aS'Sit\tSit\tNNP\tI-NP\tO' +p184558 +aS'Namar\tNamar\tNNP\tI-NP\tO' +p184559 +aS'Healthcare\tHealthcare\tNNP\tI-NP\tO' +p184560 +aS'and\tand\tCC\tO\tO' +p184561 +aS'was\tbe\tVBD\tB-VP\tO' +p184562 +aS'unsuccessful\tunsuccessful\tJJ\tB-ADJP\tO' +p184563 +aS'.\t.\t.\tO\tO' +p184564 +asS'3) Topical steroids for eczema p.r.n.' +p184565 +(lp184566 +S'3)\t3)\tLS\tB-NP\tO' +p184567 +aS'Topical\tTopical\tJJ\tI-NP\tO' +p184568 +aS'steroids\tsteroid\tNNS\tI-NP\tO' +p184569 +aS'for\tfor\tIN\tB-PP\tO' +p184570 +aS'eczema\teczema\tNN\tB-NP\tO' +p184571 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p184572 +asS'regular S1 and S2 ; no murmurs .' +p184573 +(lp184574 +S'regular\tregular\tJJ\tB-NP\tO' +p184575 +aS'S1\tS1\tNN\tI-NP\tB-protein' +p184576 +aS'and\tand\tCC\tI-NP\tO' +p184577 +aS'S2\tS2\tNN\tI-NP\tB-protein' +p184578 +aS';\t;\t:\tO\tO' +p184579 +aS'no\tno\tDT\tB-NP\tO' +p184580 +aS'murmurs\tmurmur\tNNS\tI-NP\tO' +p184581 +aS'.\t.\t.\tO\tO' +p184582 +asS'On 12/03/02 the patient underwent a repeat KUB which was suggestive of volvulus .' +p184583 +(lp184584 +S'On\tOn\tIN\tB-PP\tO' +p184585 +aS'12/03/02\t12/03/02\tCD\tB-NP\tO' +p184586 +aS'the\tthe\tDT\tB-NP\tO' +p184587 +aS'patient\tpatient\tNN\tI-NP\tO' +p184588 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p184589 +aS'a\ta\tDT\tB-NP\tO' +p184590 +aS'repeat\trepeat\tNN\tI-NP\tO' +p184591 +aS'KUB\tKUB\tNN\tI-NP\tO' +p184592 +aS'which\twhich\tWDT\tB-NP\tO' +p184593 +aS'was\tbe\tVBD\tB-VP\tO' +p184594 +aS'suggestive\tsuggestive\tJJ\tB-ADJP\tO' +p184595 +aS'of\tof\tIN\tB-PP\tO' +p184596 +aS'volvulus\tvolvulus\tNN\tB-NP\tO' +p184597 +aS'.\t.\t.\tO\tO' +p184598 +asS'He describes mild reflux symptoms at night .' +p184599 +(lp184600 +S'He\tHe\tPRP\tB-NP\tO' +p184601 +aS'describes\tdescribe\tVBZ\tB-VP\tO' +p184602 +aS'mild\tmild\tJJ\tB-NP\tO' +p184603 +aS'reflux\treflux\tNN\tI-NP\tO' +p184604 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p184605 +aS'at\tat\tIN\tB-PP\tO' +p184606 +aS'night\tnight\tNN\tB-NP\tO' +p184607 +aS'.\t.\t.\tO\tO' +p184608 +asS'At approximately 06:00 on 2013-11-13 , the patient became bradycardic .' +p184609 +(lp184610 +S'At\tAt\tIN\tB-PP\tO' +p184611 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p184612 +aS'06:00\t06:00\tCD\tI-NP\tO' +p184613 +aS'on\ton\tIN\tB-PP\tO' +p184614 +aS'2013-11-13\t2013-11-13\tCD\tB-NP\tO' +p184615 +aS',\t,\t,\tO\tO' +p184616 +aS'the\tthe\tDT\tB-NP\tO' +p184617 +aS'patient\tpatient\tNN\tI-NP\tO' +p184618 +aS'became\tbecome\tVBD\tB-VP\tO' +p184619 +aS'bradycardic\tbradycardic\tJJ\tB-ADJP\tO' +p184620 +aS'.\t.\t.\tO\tO' +p184621 +asS'Glucophage 25 mg once a day .' +p184622 +(lp184623 +S'Glucophage\tGlucophage\tNN\tB-NP\tO' +p184624 +aS'25\t25\tCD\tI-NP\tO' +p184625 +aS'mg\tmg\tNN\tI-NP\tO' +p184626 +aS'once\tonce\tRB\tB-ADVP\tO' +p184627 +aS'a\ta\tDT\tB-NP\tO' +p184628 +aS'day\tday\tNN\tI-NP\tO' +p184629 +aS'.\t.\t.\tO\tO' +p184630 +asS'12. Miconazole Nitrate 2 % Powder Sig : One ( 1 ) Appl Topical BID ( 2 times a day ) as needed .' +p184631 +(lp184632 +S'12.\t12.\tLS\tB-NP\tO' +p184633 +aS'Miconazole\tMiconazole\tNN\tI-NP\tO' +p184634 +aS'Nitrate\tNitrate\tNN\tI-NP\tO' +p184635 +aS'2\t2\tCD\tB-NP\tO' +p184636 +aS'%\t%\tNN\tI-NP\tO' +p184637 +aS'Powder\tPowder\tNNP\tI-NP\tO' +p184638 +aS'Sig\tSig\tNNP\tI-NP\tO' +p184639 +aS':\t:\t:\tO\tO' +p184640 +aS'One\tOne\tCD\tB-NP\tO' +p184641 +aS'(\t(\t(\tO\tO' +p184642 +aS'1\t1\tCD\tB-NP\tO' +p184643 +aS')\t)\t)\tO\tO' +p184644 +aS'Appl\tAppl\tNNP\tB-NP\tO' +p184645 +aS'Topical\tTopical\tJJ\tI-NP\tO' +p184646 +aS'BID\tBID\tNN\tI-NP\tO' +p184647 +aS'(\t(\t(\tO\tO' +p184648 +aS'2\t2\tCD\tB-NP\tO' +p184649 +aS'times\ttime\tNNS\tI-NP\tO' +p184650 +aS'a\ta\tDT\tB-NP\tO' +p184651 +aS'day\tday\tNN\tI-NP\tO' +p184652 +aS')\t)\t)\tO\tO' +p184653 +aS'as\tas\tIN\tB-SBAR\tO' +p184654 +aS'needed\tneed\tVBN\tB-VP\tO' +p184655 +aS'.\t.\t.\tO\tO' +p184656 +asS'Diabeta 10 mg. po. bid .' +p184657 +(lp184658 +S'Diabeta\tDiabeta\tNN\tB-NP\tO' +p184659 +aS'10\t10\tCD\tI-NP\tO' +p184660 +aS'mg.\tmg.\tNN\tI-NP\tO' +p184661 +aS'po.\tpo.\tNN\tI-NP\tO' +p184662 +aS'bid\tbid\tNN\tI-NP\tO' +p184663 +aS'.\t.\t.\tO\tO' +p184664 +asS'On postoperative day three , the patient had an episode of shortness of breath that was evaluated by both the Renal and surgical residents .' +p184665 +(lp184666 +S'On\tOn\tIN\tB-PP\tO' +p184667 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p184668 +aS'day\tday\tNN\tI-NP\tO' +p184669 +aS'three\tthree\tCD\tI-NP\tO' +p184670 +aS',\t,\t,\tO\tO' +p184671 +aS'the\tthe\tDT\tB-NP\tO' +p184672 +aS'patient\tpatient\tNN\tI-NP\tO' +p184673 +aS'had\thave\tVBD\tB-VP\tO' +p184674 +aS'an\tan\tDT\tB-NP\tO' +p184675 +aS'episode\tepisode\tNN\tI-NP\tO' +p184676 +aS'of\tof\tIN\tB-PP\tO' +p184677 +aS'shortness\tshortness\tNN\tB-NP\tO' +p184678 +aS'of\tof\tIN\tB-PP\tO' +p184679 +aS'breath\tbreath\tNN\tB-NP\tO' +p184680 +aS'that\tthat\tWDT\tB-NP\tO' +p184681 +aS'was\tbe\tVBD\tB-VP\tO' +p184682 +aS'evaluated\tevaluate\tVBN\tI-VP\tO' +p184683 +aS'by\tby\tIN\tB-PP\tO' +p184684 +aS'both\tboth\tCC\tO\tO' +p184685 +aS'the\tthe\tDT\tB-NP\tO' +p184686 +aS'Renal\tRenal\tJJ\tI-NP\tO' +p184687 +aS'and\tand\tCC\tI-NP\tO' +p184688 +aS'surgical\tsurgical\tJJ\tI-NP\tO' +p184689 +aS'residents\tresident\tNNS\tI-NP\tO' +p184690 +aS'.\t.\t.\tO\tO' +p184691 +asS'She did receive intravenous nitroglycerin in the Emergency Room for blood pressure controlled to the 170s .' +p184692 +(lp184693 +S'She\tShe\tPRP\tB-NP\tO' +p184694 +aS'did\tdo\tVBD\tB-VP\tO' +p184695 +aS'receive\treceive\tVB\tI-VP\tO' +p184696 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p184697 +aS'nitroglycerin\tnitroglycerin\tNN\tI-NP\tO' +p184698 +aS'in\tin\tIN\tB-PP\tO' +p184699 +aS'the\tthe\tDT\tB-NP\tO' +p184700 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p184701 +aS'Room\tRoom\tNNP\tI-NP\tO' +p184702 +aS'for\tfor\tIN\tB-PP\tO' +p184703 +aS'blood\tblood\tNN\tB-NP\tO' +p184704 +aS'pressure\tpressure\tNN\tI-NP\tO' +p184705 +aS'controlled\tcontrol\tVBN\tB-VP\tO' +p184706 +aS'to\tto\tTO\tB-PP\tO' +p184707 +aS'the\tthe\tDT\tB-NP\tO' +p184708 +aS'170s\t170\tNNS\tI-NP\tB-DNA' +p184709 +aS'.\t.\t.\tO\tO' +p184710 +asS'On discharge , the patient was given Lovenox injections which should be continued until the patient reaches a therapeutic dose of Coumadin .' +p184711 +(lp184712 +S'On\tOn\tIN\tB-PP\tO' +p184713 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p184714 +aS',\t,\t,\tO\tO' +p184715 +aS'the\tthe\tDT\tB-NP\tO' +p184716 +aS'patient\tpatient\tNN\tI-NP\tO' +p184717 +aS'was\tbe\tVBD\tB-VP\tO' +p184718 +aS'given\tgive\tVBN\tI-VP\tO' +p184719 +aS'Lovenox\tLovenox\tNNP\tB-NP\tO' +p184720 +aS'injections\tinjection\tNNS\tI-NP\tO' +p184721 +aS'which\twhich\tWDT\tB-NP\tO' +p184722 +aS'should\tshould\tMD\tB-VP\tO' +p184723 +aS'be\tbe\tVB\tI-VP\tO' +p184724 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p184725 +aS'until\tuntil\tIN\tB-SBAR\tO' +p184726 +aS'the\tthe\tDT\tB-NP\tO' +p184727 +aS'patient\tpatient\tNN\tI-NP\tO' +p184728 +aS'reaches\treach\tVBZ\tB-VP\tO' +p184729 +aS'a\ta\tDT\tB-NP\tO' +p184730 +aS'therapeutic\ttherapeutic\tJJ\tI-NP\tO' +p184731 +aS'dose\tdose\tNN\tI-NP\tO' +p184732 +aS'of\tof\tIN\tB-PP\tO' +p184733 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p184734 +aS'.\t.\t.\tO\tO' +p184735 +asS'If there is clear drainage from your incisions , cover with a dry dressing .' +p184736 +(lp184737 +S'If\tIf\tIN\tB-SBAR\tO' +p184738 +aS'there\tthere\tEX\tB-NP\tO' +p184739 +aS'is\tbe\tVBZ\tB-VP\tO' +p184740 +aS'clear\tclear\tJJ\tB-NP\tO' +p184741 +aS'drainage\tdrainage\tNN\tI-NP\tO' +p184742 +aS'from\tfrom\tIN\tB-PP\tO' +p184743 +aS'your\tyour\tPRP$\tB-NP\tO' +p184744 +aS'incisions\tincision\tNNS\tI-NP\tO' +p184745 +aS',\t,\t,\tO\tO' +p184746 +aS'cover\tcover\tVBP\tB-VP\tO' +p184747 +aS'with\twith\tIN\tB-PP\tO' +p184748 +aS'a\ta\tDT\tB-NP\tO' +p184749 +aS'dry\tdry\tJJ\tI-NP\tO' +p184750 +aS'dressing\tdressing\tNN\tI-NP\tO' +p184751 +aS'.\t.\t.\tO\tO' +p184752 +asS'No heavy lifting or exertion for at least 6 weeks .' +p184753 +(lp184754 +S'No\tNo\tDT\tB-NP\tO' +p184755 +aS'heavy\theavy\tJJ\tI-NP\tO' +p184756 +aS'lifting\tlifting\tNN\tI-NP\tO' +p184757 +aS'or\tor\tCC\tI-NP\tO' +p184758 +aS'exertion\texertion\tNN\tI-NP\tO' +p184759 +aS'for\tfor\tIN\tB-PP\tO' +p184760 +aS'at\tat\tIN\tB-NP\tO' +p184761 +aS'least\tleast\tJJS\tI-NP\tO' +p184762 +aS'6\t6\tCD\tI-NP\tO' +p184763 +aS'weeks\tweek\tNNS\tI-NP\tO' +p184764 +aS'.\t.\t.\tO\tO' +p184765 +asS'He is currently retired .' +p184766 +(lp184767 +S'He\tHe\tPRP\tB-NP\tO' +p184768 +aS'is\tbe\tVBZ\tB-VP\tO' +p184769 +aS'currently\tcurrently\tRB\tI-VP\tO' +p184770 +aS'retired\tretire\tVBN\tI-VP\tO' +p184771 +aS'.\t.\t.\tO\tO' +p184772 +asS'On 01-01 , his bilirubin was 17.3 / 0.4 at which time triple phototherapy was started and then his subsequent bilirubins are 16.5 / 0.4 on 2019-01-01 , and 16.2 / 0.5 on 2019-01-02 .' +p184773 +(lp184774 +S'On\tOn\tIN\tB-PP\tO' +p184775 +aS'01-01\t01-01\tCD\tB-NP\tO' +p184776 +aS',\t,\t,\tO\tO' +p184777 +aS'his\this\tPRP$\tB-NP\tO' +p184778 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p184779 +aS'was\tbe\tVBD\tB-VP\tO' +p184780 +aS'17.3\t17.3\tCD\tB-NP\tO' +p184781 +aS'/\t/\tSYM\tB-NP\tO' +p184782 +aS'0.4\t0.4\tCD\tI-NP\tO' +p184783 +aS'at\tat\tIN\tB-PP\tO' +p184784 +aS'which\twhich\tWDT\tB-NP\tO' +p184785 +aS'time\ttime\tNN\tB-NP\tO' +p184786 +aS'triple\ttriple\tJJ\tB-NP\tO' +p184787 +aS'phototherapy\tphototherapy\tNN\tI-NP\tO' +p184788 +aS'was\tbe\tVBD\tB-VP\tO' +p184789 +aS'started\tstart\tVBN\tI-VP\tO' +p184790 +aS'and\tand\tCC\tO\tO' +p184791 +aS'then\tthen\tRB\tO\tO' +p184792 +aS'his\this\tPRP$\tB-NP\tO' +p184793 +aS'subsequent\tsubsequent\tJJ\tI-NP\tO' +p184794 +aS'bilirubins\tbilirubin\tNNS\tI-NP\tO' +p184795 +aS'are\tbe\tVBP\tB-VP\tO' +p184796 +aS'16.5\t16.5\tCD\tB-NP\tO' +p184797 +aS'/\t/\tSYM\tO\tO' +p184798 +aS'0.4\t0.4\tCD\tB-NP\tO' +p184799 +aS'on\ton\tIN\tB-PP\tO' +p184800 +aS'2019-01-01\t2019-01-01\tCD\tB-NP\tO' +p184801 +aS',\t,\t,\tO\tO' +p184802 +aS'and\tand\tCC\tO\tO' +p184803 +aS'16.2\t16.2\tCD\tB-NP\tO' +p184804 +aS'/\t/\tSYM\tI-NP\tO' +p184805 +aS'0.5\t0.5\tCD\tI-NP\tO' +p184806 +aS'on\ton\tIN\tB-PP\tO' +p184807 +aS'2019-01-02\t2019-01-02\tCD\tB-NP\tO' +p184808 +aS'.\t.\t.\tO\tO' +p184809 +asS'no heavy lifting ; nothing in the vagina for 6 weeks -- no intercourse , no douching , no tampons ; call for fever above 100.5 , worsening abdominal pain , heavy bleeding , or any other concern ; no driving while taking percocet' +p184810 +(lp184811 +S'no\tno\tDT\tB-NP\tO' +p184812 +aS'heavy\theavy\tJJ\tI-NP\tO' +p184813 +aS'lifting\tlifting\tNN\tI-NP\tO' +p184814 +aS';\t;\t:\tO\tO' +p184815 +aS'nothing\tnothing\tNN\tB-NP\tO' +p184816 +aS'in\tin\tIN\tB-PP\tO' +p184817 +aS'the\tthe\tDT\tB-NP\tO' +p184818 +aS'vagina\tvagina\tNN\tI-NP\tO' +p184819 +aS'for\tfor\tIN\tB-PP\tO' +p184820 +aS'6\t6\tCD\tB-NP\tO' +p184821 +aS'weeks\tweek\tNNS\tI-NP\tO' +p184822 +aS'--\t--\t:\tO\tO' +p184823 +aS'no\tno\tDT\tB-NP\tO' +p184824 +aS'intercourse\tintercourse\tNN\tI-NP\tO' +p184825 +aS',\t,\t,\tO\tO' +p184826 +aS'no\tno\tDT\tB-NP\tO' +p184827 +aS'douching\tdouching\tNN\tI-NP\tO' +p184828 +aS',\t,\t,\tO\tO' +p184829 +aS'no\tno\tDT\tB-NP\tO' +p184830 +aS'tampons\ttampon\tNNS\tI-NP\tO' +p184831 +aS';\t;\t:\tO\tO' +p184832 +aS'call\tcall\tNN\tB-NP\tO' +p184833 +aS'for\tfor\tIN\tB-PP\tO' +p184834 +aS'fever\tfever\tNN\tB-NP\tO' +p184835 +aS'above\tabove\tIN\tB-PP\tO' +p184836 +aS'100.5\t100.5\tCD\tB-NP\tO' +p184837 +aS',\t,\t,\tO\tO' +p184838 +aS'worsening\tworsen\tVBG\tB-VP\tO' +p184839 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p184840 +aS'pain\tpain\tNN\tI-NP\tO' +p184841 +aS',\t,\t,\tO\tO' +p184842 +aS'heavy\theavy\tJJ\tB-NP\tO' +p184843 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p184844 +aS',\t,\t,\tO\tO' +p184845 +aS'or\tor\tCC\tO\tO' +p184846 +aS'any\tany\tDT\tB-NP\tO' +p184847 +aS'other\tother\tJJ\tI-NP\tO' +p184848 +aS'concern\tconcern\tNN\tI-NP\tO' +p184849 +aS';\t;\t:\tO\tO' +p184850 +aS'no\tno\tDT\tB-NP\tO' +p184851 +aS'driving\tdriving\tNN\tI-NP\tO' +p184852 +aS'while\twhile\tIN\tB-SBAR\tO' +p184853 +aS'taking\ttake\tVBG\tB-VP\tO' +p184854 +aS'percocet\tpercocet\tNN\tB-NP\tO' +p184855 +asS"While on the floor patient 's urinalysis suggestive of UTI and was put on 6 day course of levofloxacin ." +p184856 +(lp184857 +S'While\tWhile\tIN\tB-SBAR\tO' +p184858 +aS'on\ton\tIN\tB-PP\tO' +p184859 +aS'the\tthe\tDT\tB-NP\tO' +p184860 +aS'floor\tfloor\tNN\tI-NP\tO' +p184861 +aS'patient\tpatient\tNN\tI-NP\tO' +p184862 +aS"'s\t's\tPOS\tB-NP\tO" +p184863 +aS'urinalysis\turinalysis\tNN\tI-NP\tO' +p184864 +aS'suggestive\tsuggestive\tJJ\tI-NP\tO' +p184865 +aS'of\tof\tIN\tB-PP\tO' +p184866 +aS'UTI\tUTI\tNN\tB-NP\tB-DNA' +p184867 +aS'and\tand\tCC\tO\tO' +p184868 +aS'was\tbe\tVBD\tB-VP\tO' +p184869 +aS'put\tput\tVBN\tI-VP\tO' +p184870 +aS'on\ton\tIN\tB-PP\tO' +p184871 +aS'6\t6\tCD\tB-NP\tO' +p184872 +aS'day\tday\tNN\tI-NP\tO' +p184873 +aS'course\tcourse\tNN\tI-NP\tO' +p184874 +aS'of\tof\tIN\tB-PP\tO' +p184875 +aS'levofloxacin\tlevofloxacin\tNN\tB-NP\tO' +p184876 +aS'.\t.\t.\tO\tO' +p184877 +asS'Cardiac catheterization done on 01-07 showed an aortic valve area of .38 cm.sq. , with a mean gradient of 62 , and a peak gradient of 85 .' +p184878 +(lp184879 +S'Cardiac\tCardiac\tJJ\tB-NP\tO' +p184880 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p184881 +aS'done\tdo\tVBN\tB-VP\tO' +p184882 +aS'on\ton\tIN\tB-PP\tO' +p184883 +aS'01-07\t01-07\tCD\tB-NP\tO' +p184884 +aS'showed\tshow\tVBD\tB-VP\tO' +p184885 +aS'an\tan\tDT\tB-NP\tO' +p184886 +aS'aortic\taortic\tJJ\tI-NP\tO' +p184887 +aS'valve\tvalve\tNN\tI-NP\tO' +p184888 +aS'area\tarea\tNN\tI-NP\tO' +p184889 +aS'of\tof\tIN\tB-PP\tO' +p184890 +aS'.38\t.38\tCD\tB-NP\tO' +p184891 +aS'cm.sq.\tcm.sq.\tNN\tI-NP\tO' +p184892 +aS',\t,\t,\tO\tO' +p184893 +aS'with\twith\tIN\tB-PP\tO' +p184894 +aS'a\ta\tDT\tB-NP\tO' +p184895 +aS'mean\tmean\tJJ\tI-NP\tO' +p184896 +aS'gradient\tgradient\tNN\tI-NP\tO' +p184897 +aS'of\tof\tIN\tB-PP\tO' +p184898 +aS'62\t62\tCD\tB-NP\tO' +p184899 +aS',\t,\t,\tO\tO' +p184900 +aS'and\tand\tCC\tO\tO' +p184901 +aS'a\ta\tDT\tB-NP\tO' +p184902 +aS'peak\tpeak\tJJ\tI-NP\tO' +p184903 +aS'gradient\tgradient\tNN\tI-NP\tO' +p184904 +aS'of\tof\tIN\tB-PP\tO' +p184905 +aS'85\t85\tCD\tB-NP\tO' +p184906 +aS'.\t.\t.\tO\tO' +p184907 +asS'He was recently arrested for altering a prescription according to his pharmacy .' +p184908 +(lp184909 +S'He\tHe\tPRP\tB-NP\tO' +p184910 +aS'was\tbe\tVBD\tB-VP\tO' +p184911 +aS'recently\trecently\tRB\tI-VP\tO' +p184912 +aS'arrested\tarrest\tVBN\tI-VP\tO' +p184913 +aS'for\tfor\tIN\tB-PP\tO' +p184914 +aS'altering\talter\tVBG\tB-VP\tO' +p184915 +aS'a\ta\tDT\tB-NP\tO' +p184916 +aS'prescription\tprescription\tNN\tI-NP\tO' +p184917 +aS'according\taccord\tVBG\tB-PP\tO' +p184918 +aS'to\tto\tTO\tB-PP\tO' +p184919 +aS'his\this\tPRP$\tB-NP\tO' +p184920 +aS'pharmacy\tpharmacy\tNN\tI-NP\tO' +p184921 +aS'.\t.\t.\tO\tO' +p184922 +asS'Posterior transcranial Doppler studies showed normal studies of both vertebral arteries , and carotid non-invasive studies showed normal right and left carotid bifurcations .' +p184923 +(lp184924 +S'Posterior\tPosterior\tJJ\tB-NP\tO' +p184925 +aS'transcranial\ttranscranial\tJJ\tI-NP\tO' +p184926 +aS'Doppler\tDoppler\tNNP\tI-NP\tO' +p184927 +aS'studies\tstudy\tNNS\tI-NP\tO' +p184928 +aS'showed\tshow\tVBD\tB-VP\tO' +p184929 +aS'normal\tnormal\tJJ\tB-NP\tO' +p184930 +aS'studies\tstudy\tNNS\tI-NP\tO' +p184931 +aS'of\tof\tIN\tB-PP\tO' +p184932 +aS'both\tboth\tCC\tB-NP\tO' +p184933 +aS'vertebral\tvertebral\tJJ\tI-NP\tO' +p184934 +aS'arteries\tartery\tNNS\tI-NP\tO' +p184935 +aS',\t,\t,\tO\tO' +p184936 +aS'and\tand\tCC\tO\tO' +p184937 +aS'carotid\tcarotid\tVBD\tB-VP\tO' +p184938 +aS'non-invasive\tnon-invasive\tJJ\tB-NP\tO' +p184939 +aS'studies\tstudy\tNNS\tI-NP\tO' +p184940 +aS'showed\tshow\tVBD\tB-VP\tO' +p184941 +aS'normal\tnormal\tJJ\tB-NP\tO' +p184942 +aS'right\tright\tNN\tI-NP\tO' +p184943 +aS'and\tand\tCC\tO\tO' +p184944 +aS'left\tleave\tVBD\tB-VP\tO' +p184945 +aS'carotid\tcarotid\tNN\tB-NP\tO' +p184946 +aS'bifurcations\tbifurcation\tNNS\tI-NP\tO' +p184947 +aS'.\t.\t.\tO\tO' +p184948 +asS'Three-vessel cord , clamped .' +p184949 +(lp184950 +S'Three-vessel\tThree-vessel\tJJ\tB-NP\tO' +p184951 +aS'cord\tcord\tNN\tI-NP\tO' +p184952 +aS',\t,\t,\tO\tO' +p184953 +aS'clamped\tclamp\tVBD\tB-VP\tO' +p184954 +aS'.\t.\t.\tO\tO' +p184955 +asS'He has had no blood work except for blood glucose checks and he has been euglycemic throughout his CMED stay with his blood glucose being in the 70s .' +p184956 +(lp184957 +S'He\tHe\tPRP\tB-NP\tO' +p184958 +aS'has\thave\tVBZ\tB-VP\tO' +p184959 +aS'had\thave\tVBN\tI-VP\tO' +p184960 +aS'no\tno\tDT\tB-NP\tO' +p184961 +aS'blood\tblood\tNN\tI-NP\tO' +p184962 +aS'work\twork\tNN\tI-NP\tO' +p184963 +aS'except\texcept\tIN\tB-PP\tO' +p184964 +aS'for\tfor\tIN\tB-PP\tO' +p184965 +aS'blood\tblood\tNN\tB-NP\tO' +p184966 +aS'glucose\tglucose\tNN\tI-NP\tO' +p184967 +aS'checks\tcheck\tNNS\tI-NP\tO' +p184968 +aS'and\tand\tCC\tO\tO' +p184969 +aS'he\the\tPRP\tB-NP\tO' +p184970 +aS'has\thave\tVBZ\tB-VP\tO' +p184971 +aS'been\tbe\tVBN\tI-VP\tO' +p184972 +aS'euglycemic\teuglycemic\tJJ\tB-ADJP\tO' +p184973 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p184974 +aS'his\this\tPRP$\tB-NP\tO' +p184975 +aS'CMED\tCMED\tJJ\tI-NP\tO' +p184976 +aS'stay\tstay\tNN\tI-NP\tO' +p184977 +aS'with\twith\tIN\tB-PP\tO' +p184978 +aS'his\this\tPRP$\tB-NP\tO' +p184979 +aS'blood\tblood\tNN\tI-NP\tO' +p184980 +aS'glucose\tglucose\tNN\tI-NP\tO' +p184981 +aS'being\tbe\tVBG\tB-VP\tO' +p184982 +aS'in\tin\tIN\tB-PP\tO' +p184983 +aS'the\tthe\tDT\tB-NP\tO' +p184984 +aS'70s\t70\tNNS\tI-NP\tO' +p184985 +aS'.\t.\t.\tO\tO' +p184986 +asS'INDICATION : Postoperative fever .' +p184987 +(lp184988 +S'INDICATION\tINDICATION\tNN\tB-NP\tO' +p184989 +aS':\t:\t:\tO\tO' +p184990 +aS'Postoperative\tPostoperative\tJJ\tB-NP\tO' +p184991 +aS'fever\tfever\tNN\tI-NP\tO' +p184992 +aS'.\t.\t.\tO\tO' +p184993 +asS'She continued to make clinical improvements and was cleared for discharge to rehab on postoperative day 10 .' +p184994 +(lp184995 +S'She\tShe\tPRP\tB-NP\tO' +p184996 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p184997 +aS'to\tto\tTO\tI-VP\tO' +p184998 +aS'make\tmake\tVB\tI-VP\tO' +p184999 +aS'clinical\tclinical\tJJ\tB-NP\tO' +p185000 +aS'improvements\timprovement\tNNS\tI-NP\tO' +p185001 +aS'and\tand\tCC\tO\tO' +p185002 +aS'was\tbe\tVBD\tB-VP\tO' +p185003 +aS'cleared\tclear\tVBN\tI-VP\tO' +p185004 +aS'for\tfor\tIN\tB-PP\tO' +p185005 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p185006 +aS'to\tto\tTO\tB-VP\tO' +p185007 +aS'rehab\trehab\tVB\tI-VP\tO' +p185008 +aS'on\ton\tIN\tB-PP\tO' +p185009 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p185010 +aS'day\tday\tNN\tI-NP\tO' +p185011 +aS'10\t10\tCD\tI-NP\tO' +p185012 +aS'.\t.\t.\tO\tO' +p185013 +asS'Bilaterally without stridor .' +p185014 +(lp185015 +S'Bilaterally\tBilaterally\tRB\tB-ADVP\tO' +p185016 +aS'without\twithout\tIN\tB-PP\tO' +p185017 +aS'stridor\tstridor\tNN\tB-NP\tO' +p185018 +aS'.\t.\t.\tO\tO' +p185019 +asS'He was given Percocet for back pain , Lasix 80 mg IV , and Combivent neb .' +p185020 +(lp185021 +S'He\tHe\tPRP\tB-NP\tO' +p185022 +aS'was\tbe\tVBD\tB-VP\tO' +p185023 +aS'given\tgive\tVBN\tI-VP\tO' +p185024 +aS'Percocet\tPercocet\tNNP\tB-NP\tO' +p185025 +aS'for\tfor\tIN\tB-PP\tO' +p185026 +aS'back\tback\tJJ\tB-NP\tO' +p185027 +aS'pain\tpain\tNN\tI-NP\tO' +p185028 +aS',\t,\t,\tO\tO' +p185029 +aS'Lasix\tLasix\tNN\tB-NP\tB-protein' +p185030 +aS'80\t80\tCD\tI-NP\tI-protein' +p185031 +aS'mg\tmg\tNN\tI-NP\tI-protein' +p185032 +aS'IV\tIV\tCD\tB-NP\tI-protein' +p185033 +aS',\t,\t,\tO\tO' +p185034 +aS'and\tand\tCC\tO\tO' +p185035 +aS'Combivent\tCombivent\tNNP\tB-NP\tO' +p185036 +aS'neb\tneb\tNN\tI-NP\tO' +p185037 +aS'.\t.\t.\tO\tO' +p185038 +asS'79 - year-old M recently diagnosed by biopsy with gliomatosis cerebri ( grade II astrocytoma ) in 8/04 , being treated with XRT , timidar .' +p185039 +(lp185040 +S'79\t79\tCD\tB-NP\tO' +p185041 +aS'-\t-\tHYPH\tI-NP\tO' +p185042 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p185043 +aS'M\tM\tNN\tI-NP\tO' +p185044 +aS'recently\trecently\tRB\tB-VP\tO' +p185045 +aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' +p185046 +aS'by\tby\tIN\tB-PP\tO' +p185047 +aS'biopsy\tbiopsy\tNN\tB-NP\tO' +p185048 +aS'with\twith\tIN\tB-PP\tO' +p185049 +aS'gliomatosis\tgliomatosis\tNN\tB-NP\tO' +p185050 +aS'cerebri\tcerebri\tNN\tI-NP\tO' +p185051 +aS'(\t(\t(\tO\tO' +p185052 +aS'grade\tgrade\tNN\tB-NP\tO' +p185053 +aS'II\tII\tCD\tI-NP\tO' +p185054 +aS'astrocytoma\tastrocytoma\tNN\tI-NP\tO' +p185055 +aS')\t)\t)\tO\tO' +p185056 +aS'in\tin\tIN\tB-PP\tO' +p185057 +aS'8/04\t8/04\tCD\tB-NP\tO' +p185058 +aS',\t,\t,\tO\tO' +p185059 +aS'being\tbe\tVBG\tB-VP\tO' +p185060 +aS'treated\ttreat\tVBN\tI-VP\tO' +p185061 +aS'with\twith\tIN\tB-PP\tO' +p185062 +aS'XRT\tXRT\tNN\tB-NP\tB-protein' +p185063 +aS',\t,\t,\tO\tO' +p185064 +aS'timidar\ttimidar\tNN\tB-NP\tO' +p185065 +aS'.\t.\t.\tO\tO' +p185066 +asS'BUN and creatinine was 18 and 0.9 .' +p185067 +(lp185068 +S'BUN\tBUN\tNN\tB-NP\tO' +p185069 +aS'and\tand\tCC\tI-NP\tO' +p185070 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p185071 +aS'was\tbe\tVBD\tB-VP\tO' +p185072 +aS'18\t18\tCD\tB-NP\tO' +p185073 +aS'and\tand\tCC\tI-NP\tO' +p185074 +aS'0.9\t0.9\tCD\tI-NP\tO' +p185075 +aS'.\t.\t.\tO\tO' +p185076 +asS'To go by systems , currently he is neurologically alert and follows commands .' +p185077 +(lp185078 +S'To\tTo\tTO\tB-VP\tO' +p185079 +aS'go\tgo\tVB\tI-VP\tO' +p185080 +aS'by\tby\tIN\tB-PP\tO' +p185081 +aS'systems\tsystem\tNNS\tB-NP\tO' +p185082 +aS',\t,\t,\tO\tO' +p185083 +aS'currently\tcurrently\tRB\tB-ADVP\tO' +p185084 +aS'he\the\tPRP\tB-NP\tO' +p185085 +aS'is\tbe\tVBZ\tB-VP\tO' +p185086 +aS'neurologically\tneurologically\tRB\tB-ADJP\tO' +p185087 +aS'alert\talert\tJJ\tI-ADJP\tO' +p185088 +aS'and\tand\tCC\tO\tO' +p185089 +aS'follows\tfollow\tVBZ\tB-VP\tO' +p185090 +aS'commands\tcommand\tNNS\tB-NP\tO' +p185091 +aS'.\t.\t.\tO\tO' +p185092 +asS'Pulmonary artery pressure was 29/15 with a mean of 22 .' +p185093 +(lp185094 +S'Pulmonary\tPulmonary\tJJ\tB-NP\tO' +p185095 +aS'artery\tartery\tNN\tI-NP\tO' +p185096 +aS'pressure\tpressure\tNN\tI-NP\tO' +p185097 +aS'was\tbe\tVBD\tB-VP\tO' +p185098 +aS'29/15\t29/15\tCD\tB-NP\tO' +p185099 +aS'with\twith\tIN\tB-PP\tO' +p185100 +aS'a\ta\tDT\tB-NP\tO' +p185101 +aS'mean\tmean\tNN\tI-NP\tO' +p185102 +aS'of\tof\tIN\tB-PP\tO' +p185103 +aS'22\t22\tCD\tB-NP\tO' +p185104 +aS'.\t.\t.\tO\tO' +p185105 +asS'Labwork every Monday and Thursday per Transplant clinic : CBC , Chem 7 , Ca , Phos , AST , T Bili , U/A and Trough Prograf level .' +p185106 +(lp185107 +S'Labwork\tLabwork\tVB\tB-VP\tO' +p185108 +aS'every\tevery\tDT\tB-NP\tO' +p185109 +aS'Monday\tMonday\tNNP\tI-NP\tO' +p185110 +aS'and\tand\tCC\tO\tO' +p185111 +aS'Thursday\tThursday\tNNP\tB-NP\tO' +p185112 +aS'per\tper\tIN\tB-PP\tO' +p185113 +aS'Transplant\tTransplant\tNNP\tB-NP\tO' +p185114 +aS'clinic\tclinic\tNN\tI-NP\tO' +p185115 +aS':\t:\t:\tO\tO' +p185116 +aS'CBC\tCBC\tNNP\tB-NP\tO' +p185117 +aS',\t,\t,\tO\tO' +p185118 +aS'Chem\tChem\tNNP\tB-NP\tO' +p185119 +aS'7\t7\tCD\tI-NP\tO' +p185120 +aS',\t,\t,\tO\tO' +p185121 +aS'Ca\tCa\tNNP\tB-NP\tO' +p185122 +aS',\t,\t,\tO\tO' +p185123 +aS'Phos\tPhos\tNNP\tB-NP\tO' +p185124 +aS',\t,\t,\tO\tO' +p185125 +aS'AST\tAST\tNNP\tB-NP\tO' +p185126 +aS',\t,\t,\tO\tO' +p185127 +aS'T\tT\tNNP\tB-NP\tO' +p185128 +aS'Bili\tBili\tNNP\tI-NP\tO' +p185129 +aS',\t,\t,\tO\tO' +p185130 +aS'U/A\tU/A\tNNP\tB-NP\tO' +p185131 +aS'and\tand\tCC\tI-NP\tO' +p185132 +aS'Trough\tTrough\tNNP\tI-NP\tO' +p185133 +aS'Prograf\tPrograf\tNNP\tI-NP\tO' +p185134 +aS'level\tlevel\tNN\tI-NP\tO' +p185135 +aS'.\t.\t.\tO\tO' +p185136 +asS'Of note at time of death , patient was DNR / DNI .' +p185137 +(lp185138 +S'Of\tOf\tIN\tB-PP\tO' +p185139 +aS'note\tnote\tNN\tB-NP\tO' +p185140 +aS'at\tat\tIN\tB-PP\tO' +p185141 +aS'time\ttime\tNN\tB-NP\tO' +p185142 +aS'of\tof\tIN\tB-PP\tO' +p185143 +aS'death\tdeath\tNN\tB-NP\tO' +p185144 +aS',\t,\t,\tO\tO' +p185145 +aS'patient\tpatient\tNN\tB-NP\tO' +p185146 +aS'was\tbe\tVBD\tB-VP\tO' +p185147 +aS'DNR\tDNR\tNN\tB-NP\tB-protein' +p185148 +aS'/\t/\tSYM\tB-NP\tO' +p185149 +aS'DNI\tDNI\tNN\tI-NP\tO' +p185150 +aS'.\t.\t.\tO\tO' +p185151 +asS'Upon extubation and transfer to the floor he pulled out the NG tube time several times and required restraints .' +p185152 +(lp185153 +S'Upon\tUpon\tIN\tB-PP\tO' +p185154 +aS'extubation\textubation\tNN\tB-NP\tO' +p185155 +aS'and\tand\tCC\tI-NP\tO' +p185156 +aS'transfer\ttransfer\tNN\tI-NP\tO' +p185157 +aS'to\tto\tTO\tB-PP\tO' +p185158 +aS'the\tthe\tDT\tB-NP\tO' +p185159 +aS'floor\tfloor\tNN\tI-NP\tO' +p185160 +aS'he\the\tPRP\tB-NP\tO' +p185161 +aS'pulled\tpull\tVBD\tB-VP\tO' +p185162 +aS'out\tout\tRP\tB-PRT\tO' +p185163 +aS'the\tthe\tDT\tB-NP\tO' +p185164 +aS'NG\tNG\tNN\tI-NP\tO' +p185165 +aS'tube\ttube\tNN\tI-NP\tO' +p185166 +aS'time\ttime\tNN\tI-NP\tO' +p185167 +aS'several\tseveral\tJJ\tB-NP\tO' +p185168 +aS'times\ttime\tNNS\tI-NP\tO' +p185169 +aS'and\tand\tCC\tO\tO' +p185170 +aS'required\trequired\tJJ\tB-NP\tO' +p185171 +aS'restraints\trestraint\tNNS\tI-NP\tO' +p185172 +aS'.\t.\t.\tO\tO' +p185173 +asS'Attending : Christopher Q Thompson , M.D.' +p185174 +(lp185175 +S'Attending\tAttend\tVBG\tB-VP\tO' +p185176 +aS':\t:\t:\tO\tO' +p185177 +aS'Christopher\tChristopher\tNNP\tB-NP\tO' +p185178 +aS'Q\tQ\tNNP\tI-NP\tO' +p185179 +aS'Thompson\tThompson\tNNP\tI-NP\tO' +p185180 +aS',\t,\t,\tO\tO' +p185181 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p185182 +asS'LVEF 25% .' +p185183 +(lp185184 +S'LVEF\tLVEF\tNN\tB-NP\tB-protein' +p185185 +aS'25%\t25%\tNN\tI-NP\tI-protein' +p185186 +aS'.\t.\t.\tO\tO' +p185187 +asS'He was sent with a King of Hearts monitor and scheduled for follow-up with cardiology and his primary care physician .' +p185188 +(lp185189 +S'He\tHe\tPRP\tB-NP\tO' +p185190 +aS'was\tbe\tVBD\tB-VP\tO' +p185191 +aS'sent\tsend\tVBN\tI-VP\tO' +p185192 +aS'with\twith\tIN\tB-PP\tO' +p185193 +aS'a\ta\tDT\tB-NP\tO' +p185194 +aS'King\tKing\tNNP\tI-NP\tO' +p185195 +aS'of\tof\tIN\tB-PP\tO' +p185196 +aS'Hearts\tHearts\tNNP\tB-NP\tO' +p185197 +aS'monitor\tmonitor\tNN\tI-NP\tO' +p185198 +aS'and\tand\tCC\tO\tO' +p185199 +aS'scheduled\tschedule\tVBN\tB-VP\tO' +p185200 +aS'for\tfor\tIN\tB-PP\tO' +p185201 +aS'follow-up\tfollow-up\tNN\tB-NP\tO' +p185202 +aS'with\twith\tIN\tB-PP\tO' +p185203 +aS'cardiology\tcardiology\tNN\tB-NP\tO' +p185204 +aS'and\tand\tCC\tO\tO' +p185205 +aS'his\this\tPRP$\tB-NP\tO' +p185206 +aS'primary\tprimary\tJJ\tI-NP\tO' +p185207 +aS'care\tcare\tNN\tI-NP\tO' +p185208 +aS'physician\tphysician\tNN\tI-NP\tO' +p185209 +aS'.\t.\t.\tO\tO' +p185210 +asS'The visualized osseous structures and paranasal sinuses are unremarkable .' +p185211 +(lp185212 +S'The\tThe\tDT\tB-NP\tO' +p185213 +aS'visualized\tvisualize\tVBN\tI-NP\tO' +p185214 +aS'osseous\tosseous\tJJ\tI-NP\tO' +p185215 +aS'structures\tstructure\tNNS\tI-NP\tO' +p185216 +aS'and\tand\tCC\tO\tO' +p185217 +aS'paranasal\tparanasal\tJJ\tB-NP\tO' +p185218 +aS'sinuses\tsinus\tNNS\tI-NP\tO' +p185219 +aS'are\tbe\tVBP\tB-VP\tO' +p185220 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p185221 +aS'.\t.\t.\tO\tO' +p185222 +asS'The patient required intubation in the setting of hypotension and ventricular tachycardia .' +p185223 +(lp185224 +S'The\tThe\tDT\tB-NP\tO' +p185225 +aS'patient\tpatient\tNN\tI-NP\tO' +p185226 +aS'required\trequire\tVBD\tB-VP\tO' +p185227 +aS'intubation\tintubation\tNN\tB-NP\tO' +p185228 +aS'in\tin\tIN\tB-PP\tO' +p185229 +aS'the\tthe\tDT\tB-NP\tO' +p185230 +aS'setting\tsetting\tNN\tI-NP\tO' +p185231 +aS'of\tof\tIN\tB-PP\tO' +p185232 +aS'hypotension\thypotension\tNN\tB-NP\tO' +p185233 +aS'and\tand\tCC\tO\tO' +p185234 +aS'ventricular\tventricular\tJJ\tB-NP\tO' +p185235 +aS'tachycardia\ttachycardia\tNN\tI-NP\tO' +p185236 +aS'.\t.\t.\tO\tO' +p185237 +asS'An exploratory laparotomy was performed .' +p185238 +(lp185239 +S'An\tAn\tDT\tB-NP\tO' +p185240 +aS'exploratory\texploratory\tJJ\tI-NP\tO' +p185241 +aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' +p185242 +aS'was\tbe\tVBD\tB-VP\tO' +p185243 +aS'performed\tperform\tVBN\tI-VP\tO' +p185244 +aS'.\t.\t.\tO\tO' +p185245 +asS'CSF gram stain was notable for no polys and no organisms seen .' +p185246 +(lp185247 +S'CSF\tCSF\tNN\tB-NP\tB-protein' +p185248 +aS'gram\tgram\tNN\tI-NP\tI-protein' +p185249 +aS'stain\tstain\tNN\tI-NP\tI-protein' +p185250 +aS'was\tbe\tVBD\tB-VP\tO' +p185251 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p185252 +aS'for\tfor\tIN\tB-PP\tO' +p185253 +aS'no\tno\tDT\tB-NP\tO' +p185254 +aS'polys\tpoly\tNNS\tI-NP\tO' +p185255 +aS'and\tand\tCC\tO\tO' +p185256 +aS'no\tno\tDT\tB-NP\tO' +p185257 +aS'organisms\torganism\tNNS\tI-NP\tO' +p185258 +aS'seen\tsee\tVBN\tB-VP\tO' +p185259 +aS'.\t.\t.\tO\tO' +p185260 +asS'There is a lump in the right parietal region , which corresponds with the bullet seen on the computerized tomography scan .' +p185261 +(lp185262 +S'There\tThere\tEX\tB-NP\tO' +p185263 +aS'is\tbe\tVBZ\tB-VP\tO' +p185264 +aS'a\ta\tDT\tB-NP\tO' +p185265 +aS'lump\tlump\tNN\tI-NP\tO' +p185266 +aS'in\tin\tIN\tB-PP\tO' +p185267 +aS'the\tthe\tDT\tB-NP\tO' +p185268 +aS'right\tright\tJJ\tI-NP\tB-DNA' +p185269 +aS'parietal\tparietal\tJJ\tI-NP\tI-DNA' +p185270 +aS'region\tregion\tNN\tI-NP\tI-DNA' +p185271 +aS',\t,\t,\tO\tO' +p185272 +aS'which\twhich\tWDT\tB-NP\tO' +p185273 +aS'corresponds\tcorrespond\tVBZ\tB-VP\tO' +p185274 +aS'with\twith\tIN\tB-PP\tO' +p185275 +aS'the\tthe\tDT\tB-NP\tO' +p185276 +aS'bullet\tbullet\tNN\tI-NP\tO' +p185277 +aS'seen\tsee\tVBN\tB-VP\tO' +p185278 +aS'on\ton\tIN\tB-PP\tO' +p185279 +aS'the\tthe\tDT\tB-NP\tO' +p185280 +aS'computerized\tcomputerized\tJJ\tI-NP\tO' +p185281 +aS'tomography\ttomography\tNN\tI-NP\tO' +p185282 +aS'scan\tscan\tNN\tI-NP\tO' +p185283 +aS'.\t.\t.\tO\tO' +p185284 +asS'She was also able to ascend stairs without difficulty .' +p185285 +(lp185286 +S'She\tShe\tPRP\tB-NP\tO' +p185287 +aS'was\tbe\tVBD\tB-VP\tO' +p185288 +aS'also\talso\tRB\tB-ADVP\tO' +p185289 +aS'able\table\tJJ\tB-ADJP\tO' +p185290 +aS'to\tto\tTO\tB-VP\tO' +p185291 +aS'ascend\tascend\tVB\tI-VP\tO' +p185292 +aS'stairs\tstair\tNNS\tB-NP\tO' +p185293 +aS'without\twithout\tIN\tB-PP\tO' +p185294 +aS'difficulty\tdifficulty\tNN\tB-NP\tO' +p185295 +aS'.\t.\t.\tO\tO' +p185296 +asS'Signed electronically by : DR. Jacob Butler on : WED 2016-11-16 7:45 AM' +p185297 +(lp185298 +S'Signed\tSign\tVBN\tB-VP\tO' +p185299 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p185300 +aS'by\tby\tIN\tB-PP\tO' +p185301 +aS':\t:\t:\tO\tO' +p185302 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p185303 +aS'Jacob\tJacob\tNNP\tI-NP\tO' +p185304 +aS'Butler\tButler\tNNP\tI-NP\tO' +p185305 +aS'on\ton\tIN\tB-PP\tO' +p185306 +aS':\t:\t:\tO\tO' +p185307 +aS'WED\tWED\tVBD\tB-VP\tO' +p185308 +aS'2016-11-16\t2016-11-16\tCD\tB-NP\tO' +p185309 +aS'7:45\t7:45\tCD\tI-NP\tO' +p185310 +aS'AM\tAM\tNN\tI-NP\tO' +p185311 +asS'He had right knee aspirations done in 1986 , otherwise , he does not suffer from any other medical problems .' +p185312 +(lp185313 +S'He\tHe\tPRP\tB-NP\tO' +p185314 +aS'had\thave\tVBD\tB-VP\tO' +p185315 +aS'right\tright\tJJ\tB-NP\tO' +p185316 +aS'knee\tknee\tNN\tI-NP\tO' +p185317 +aS'aspirations\taspiration\tNNS\tI-NP\tO' +p185318 +aS'done\tdo\tVBN\tB-VP\tO' +p185319 +aS'in\tin\tIN\tB-PP\tO' +p185320 +aS'1986\t1986\tCD\tB-NP\tO' +p185321 +aS',\t,\t,\tO\tO' +p185322 +aS'otherwise\totherwise\tRB\tB-ADVP\tO' +p185323 +aS',\t,\t,\tO\tO' +p185324 +aS'he\the\tPRP\tB-NP\tO' +p185325 +aS'does\tdo\tVBZ\tB-VP\tO' +p185326 +aS'not\tnot\tRB\tI-VP\tO' +p185327 +aS'suffer\tsuffer\tVB\tI-VP\tO' +p185328 +aS'from\tfrom\tIN\tB-PP\tO' +p185329 +aS'any\tany\tDT\tB-NP\tO' +p185330 +aS'other\tother\tJJ\tI-NP\tO' +p185331 +aS'medical\tmedical\tJJ\tI-NP\tO' +p185332 +aS'problems\tproblem\tNNS\tI-NP\tO' +p185333 +aS'.\t.\t.\tO\tO' +p185334 +asS'At that time , therefore , ventilator support was withdrawn under the comfort measures of morphine .' +p185335 +(lp185336 +S'At\tAt\tIN\tB-PP\tO' +p185337 +aS'that\tthat\tDT\tB-NP\tO' +p185338 +aS'time\ttime\tNN\tI-NP\tO' +p185339 +aS',\t,\t,\tO\tO' +p185340 +aS'therefore\ttherefore\tRB\tB-ADVP\tO' +p185341 +aS',\t,\t,\tO\tO' +p185342 +aS'ventilator\tventilator\tNN\tB-NP\tO' +p185343 +aS'support\tsupport\tNN\tI-NP\tO' +p185344 +aS'was\tbe\tVBD\tB-VP\tO' +p185345 +aS'withdrawn\twithdraw\tVBN\tI-VP\tO' +p185346 +aS'under\tunder\tIN\tB-PP\tO' +p185347 +aS'the\tthe\tDT\tB-NP\tO' +p185348 +aS'comfort\tcomfort\tNN\tI-NP\tO' +p185349 +aS'measures\tmeasure\tNNS\tI-NP\tO' +p185350 +aS'of\tof\tIN\tB-PP\tO' +p185351 +aS'morphine\tmorphine\tNN\tB-NP\tO' +p185352 +aS'.\t.\t.\tO\tO' +p185353 +asS'VITAL SIGNS - Temp 98.8 , pulse 60 , BP 150/94 , respiratory rate 18 , and saturation 96% on room air .' +p185354 +(lp185355 +S'VITAL\tVITAL\tJJ\tB-NP\tO' +p185356 +aS'SIGNS\tSIGNS\tNNP\tI-NP\tO' +p185357 +aS'-\t-\tHYPH\tO\tO' +p185358 +aS'Temp\tTemp\tNNP\tB-NP\tO' +p185359 +aS'98.8\t98.8\tCD\tI-NP\tO' +p185360 +aS',\t,\t,\tO\tO' +p185361 +aS'pulse\tpulse\tNN\tB-NP\tO' +p185362 +aS'60\t60\tCD\tI-NP\tO' +p185363 +aS',\t,\t,\tO\tO' +p185364 +aS'BP\tBP\tNN\tB-NP\tB-DNA' +p185365 +aS'150/94\t150/94\tCD\tI-NP\tI-DNA' +p185366 +aS',\t,\t,\tO\tO' +p185367 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p185368 +aS'rate\trate\tNN\tI-NP\tO' +p185369 +aS'18\t18\tCD\tI-NP\tO' +p185370 +aS',\t,\t,\tO\tO' +p185371 +aS'and\tand\tCC\tO\tO' +p185372 +aS'saturation\tsaturation\tNN\tB-NP\tB-protein' +p185373 +aS'96%\t96%\tNN\tI-NP\tI-protein' +p185374 +aS'on\ton\tIN\tB-PP\tO' +p185375 +aS'room\troom\tNN\tB-NP\tO' +p185376 +aS'air\tair\tNN\tI-NP\tO' +p185377 +aS'.\t.\t.\tO\tO' +p185378 +asS'If you need additional information please call 442-025-0303 .' +p185379 +(lp185380 +S'If\tIf\tIN\tB-SBAR\tO' +p185381 +aS'you\tyou\tPRP\tB-NP\tO' +p185382 +aS'need\tneed\tVBP\tB-VP\tO' +p185383 +aS'additional\tadditional\tJJ\tB-NP\tO' +p185384 +aS'information\tinformation\tNN\tI-NP\tO' +p185385 +aS'please\tplease\tNN\tI-NP\tO' +p185386 +aS'call\tcall\tNN\tI-NP\tO' +p185387 +aS'442-025-0303\t442-025-0303\tCD\tI-NP\tO' +p185388 +aS'.\t.\t.\tO\tO' +p185389 +asS'Urine output of 30 cc to 100 cc per hour over the last four hours .' +p185390 +(lp185391 +S'Urine\tUrine\tNN\tB-NP\tO' +p185392 +aS'output\toutput\tNN\tI-NP\tO' +p185393 +aS'of\tof\tIN\tB-PP\tO' +p185394 +aS'30\t30\tCD\tB-NP\tO' +p185395 +aS'cc\tcc\tNN\tI-NP\tO' +p185396 +aS'to\tto\tTO\tB-PP\tO' +p185397 +aS'100\t100\tCD\tB-NP\tO' +p185398 +aS'cc\tcc\tNN\tI-NP\tO' +p185399 +aS'per\tper\tIN\tB-PP\tO' +p185400 +aS'hour\thour\tNN\tB-NP\tO' +p185401 +aS'over\tover\tIN\tB-PP\tO' +p185402 +aS'the\tthe\tDT\tB-NP\tO' +p185403 +aS'last\tlast\tJJ\tI-NP\tO' +p185404 +aS'four\tfour\tCD\tI-NP\tO' +p185405 +aS'hours\thour\tNNS\tI-NP\tO' +p185406 +aS'.\t.\t.\tO\tO' +p185407 +asS'Dr. Joan Derringer .' +p185408 +(lp185409 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p185410 +aS'Joan\tJoan\tNNP\tI-NP\tO' +p185411 +aS'Derringer\tDerringer\tNNP\tI-NP\tO' +p185412 +aS'.\t.\t.\tO\tO' +p185413 +asS'3. Bilateral supraomohyoid neck dissection .' +p185414 +(lp185415 +S'3.\t3.\tLS\tB-NP\tO' +p185416 +aS'Bilateral\tBilateral\tJJ\tI-NP\tO' +p185417 +aS'supraomohyoid\tsupraomohyoid\tJJ\tI-NP\tO' +p185418 +aS'neck\tneck\tNN\tI-NP\tO' +p185419 +aS'dissection\tdissection\tNN\tI-NP\tO' +p185420 +aS'.\t.\t.\tO\tO' +p185421 +asS'Her steroids were weaned and the patient was brought to the Operating Room on February 10 , 1994 where she underwent once again flexible bronchoscopy and flexible esophagoscopy , as well as rigid bronchoscopy .' +p185422 +(lp185423 +S'Her\tHer\tPRP$\tB-NP\tO' +p185424 +aS'steroids\tsteroid\tNNS\tI-NP\tO' +p185425 +aS'were\tbe\tVBD\tB-VP\tO' +p185426 +aS'weaned\twean\tVBN\tI-VP\tO' +p185427 +aS'and\tand\tCC\tO\tO' +p185428 +aS'the\tthe\tDT\tB-NP\tO' +p185429 +aS'patient\tpatient\tNN\tI-NP\tO' +p185430 +aS'was\tbe\tVBD\tB-VP\tO' +p185431 +aS'brought\tbring\tVBN\tI-VP\tO' +p185432 +aS'to\tto\tTO\tB-PP\tO' +p185433 +aS'the\tthe\tDT\tB-NP\tO' +p185434 +aS'Operating\tOperating\tNNP\tI-NP\tO' +p185435 +aS'Room\tRoom\tNNP\tI-NP\tO' +p185436 +aS'on\ton\tIN\tB-PP\tO' +p185437 +aS'February\tFebruary\tNNP\tB-NP\tO' +p185438 +aS'10\t10\tCD\tI-NP\tO' +p185439 +aS',\t,\t,\tI-NP\tO' +p185440 +aS'1994\t1994\tCD\tI-NP\tO' +p185441 +aS'where\twhere\tWRB\tB-ADVP\tO' +p185442 +aS'she\tshe\tPRP\tB-NP\tO' +p185443 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p185444 +aS'once\tonce\tRB\tB-ADVP\tO' +p185445 +aS'again\tagain\tRB\tI-ADVP\tO' +p185446 +aS'flexible\tflexible\tJJ\tB-NP\tO' +p185447 +aS'bronchoscopy\tbronchoscopy\tNN\tI-NP\tO' +p185448 +aS'and\tand\tCC\tO\tO' +p185449 +aS'flexible\tflexible\tJJ\tB-NP\tO' +p185450 +aS'esophagoscopy\tesophagoscopy\tNN\tI-NP\tO' +p185451 +aS',\t,\t,\tO\tO' +p185452 +aS'as\tas\tRB\tB-CONJP\tO' +p185453 +aS'well\twell\tRB\tI-CONJP\tO' +p185454 +aS'as\tas\tIN\tI-CONJP\tO' +p185455 +aS'rigid\trigid\tJJ\tB-NP\tO' +p185456 +aS'bronchoscopy\tbronchoscopy\tNN\tI-NP\tO' +p185457 +aS'.\t.\t.\tO\tO' +p185458 +asS'Heparin 5000 units subcutaneous twice a day .' +p185459 +(lp185460 +S'Heparin\tHeparin\tNN\tB-NP\tO' +p185461 +aS'5000\t5000\tCD\tB-NP\tO' +p185462 +aS'units\tunit\tNNS\tI-NP\tO' +p185463 +aS'subcutaneous\tsubcutaneous\tJJ\tB-ADJP\tO' +p185464 +aS'twice\ttwice\tRB\tB-NP\tO' +p185465 +aS'a\ta\tDT\tI-NP\tO' +p185466 +aS'day\tday\tNN\tI-NP\tO' +p185467 +aS'.\t.\t.\tO\tO' +p185468 +asS'2. CHF with an ejection fraction of 40-45% 02-09' +p185469 +(lp185470 +S'2.\t2.\tLS\tB-NP\tO' +p185471 +aS'CHF\tCHF\tNN\tI-NP\tB-protein' +p185472 +aS'with\twith\tIN\tB-PP\tO' +p185473 +aS'an\tan\tDT\tB-NP\tO' +p185474 +aS'ejection\tejection\tNN\tI-NP\tO' +p185475 +aS'fraction\tfraction\tNN\tI-NP\tO' +p185476 +aS'of\tof\tIN\tB-PP\tO' +p185477 +aS'40-45%\t40-45%\tJJ\tB-NP\tO' +p185478 +aS'02-09\t02-09\tCD\tI-NP\tO' +p185479 +asS'She was fitted for Verholl Aet over leg brace and mobilized out of the bed in the brace with physical therapy .' +p185480 +(lp185481 +S'She\tShe\tPRP\tB-NP\tO' +p185482 +aS'was\tbe\tVBD\tB-VP\tO' +p185483 +aS'fitted\tfit\tVBN\tI-VP\tO' +p185484 +aS'for\tfor\tIN\tB-PP\tO' +p185485 +aS'Verholl\tVerholl\tNNP\tB-NP\tO' +p185486 +aS'Aet\tAet\tNNP\tI-NP\tO' +p185487 +aS'over\tover\tIN\tB-PP\tO' +p185488 +aS'leg\tleg\tNN\tB-NP\tO' +p185489 +aS'brace\tbrace\tNN\tI-NP\tO' +p185490 +aS'and\tand\tCC\tO\tO' +p185491 +aS'mobilized\tmobilize\tVBN\tB-VP\tO' +p185492 +aS'out\tout\tIN\tB-PP\tO' +p185493 +aS'of\tof\tIN\tB-PP\tO' +p185494 +aS'the\tthe\tDT\tB-NP\tO' +p185495 +aS'bed\tbed\tNN\tI-NP\tO' +p185496 +aS'in\tin\tIN\tB-PP\tO' +p185497 +aS'the\tthe\tDT\tB-NP\tO' +p185498 +aS'brace\tbrace\tNN\tI-NP\tO' +p185499 +aS'with\twith\tIN\tB-PP\tO' +p185500 +aS'physical\tphysical\tJJ\tB-NP\tO' +p185501 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p185502 +aS'.\t.\t.\tO\tO' +p185503 +asS'4. Allopurinol 100 mg p.o. once daily .' +p185504 +(lp185505 +S'4.\t4.\tLS\tB-NP\tO' +p185506 +aS'Allopurinol\tAllopurinol\tNN\tI-NP\tO' +p185507 +aS'100\t100\tCD\tI-NP\tO' +p185508 +aS'mg\tmg\tNN\tI-NP\tO' +p185509 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p185510 +aS'once\tonce\tRB\tB-ADVP\tO' +p185511 +aS'daily\tdaily\tRB\tI-ADVP\tO' +p185512 +aS'.\t.\t.\tO\tO' +p185513 +asS'There was decreased excursion of the right mouth and flattening of the right nasolabial fold ( mild ) .' +p185514 +(lp185515 +S'There\tThere\tEX\tB-NP\tO' +p185516 +aS'was\tbe\tVBD\tB-VP\tO' +p185517 +aS'decreased\tdecrease\tVBN\tI-VP\tO' +p185518 +aS'excursion\texcursion\tNN\tB-NP\tO' +p185519 +aS'of\tof\tIN\tB-PP\tO' +p185520 +aS'the\tthe\tDT\tB-NP\tO' +p185521 +aS'right\tright\tJJ\tI-NP\tO' +p185522 +aS'mouth\tmouth\tNN\tI-NP\tO' +p185523 +aS'and\tand\tCC\tI-NP\tO' +p185524 +aS'flattening\tflattening\tNN\tI-NP\tO' +p185525 +aS'of\tof\tIN\tB-PP\tO' +p185526 +aS'the\tthe\tDT\tB-NP\tO' +p185527 +aS'right\tright\tJJ\tI-NP\tO' +p185528 +aS'nasolabial\tnasolabial\tJJ\tI-NP\tO' +p185529 +aS'fold\tfold\tJJ\tI-NP\tO' +p185530 +aS'(\t(\t(\tO\tO' +p185531 +aS'mild\tmild\tJJ\tB-ADJP\tO' +p185532 +aS')\t)\t)\tO\tO' +p185533 +aS'.\t.\t.\tO\tO' +p185534 +asS'It was felt that this cardiac catheterization was not significantly changed from his previous catheterization .' +p185535 +(lp185536 +S'It\tIt\tPRP\tB-NP\tO' +p185537 +aS'was\tbe\tVBD\tB-VP\tO' +p185538 +aS'felt\tfeel\tVBN\tI-VP\tO' +p185539 +aS'that\tthat\tIN\tB-SBAR\tO' +p185540 +aS'this\tthis\tDT\tB-NP\tO' +p185541 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p185542 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p185543 +aS'was\tbe\tVBD\tB-VP\tO' +p185544 +aS'not\tnot\tRB\tO\tO' +p185545 +aS'significantly\tsignificantly\tRB\tB-ADJP\tO' +p185546 +aS'changed\tchange\tVBN\tI-ADJP\tO' +p185547 +aS'from\tfrom\tIN\tB-PP\tO' +p185548 +aS'his\this\tPRP$\tB-NP\tO' +p185549 +aS'previous\tprevious\tJJ\tI-NP\tO' +p185550 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p185551 +aS'.\t.\t.\tO\tO' +p185552 +asS'She was in her usual state of health until one day prior to admission when she felt increasing fatigue , nausea and vomiting productive of bright red blood and coffee ground emesis .' +p185553 +(lp185554 +S'She\tShe\tPRP\tB-NP\tO' +p185555 +aS'was\tbe\tVBD\tB-VP\tO' +p185556 +aS'in\tin\tIN\tB-PP\tO' +p185557 +aS'her\ther\tPRP$\tB-NP\tO' +p185558 +aS'usual\tusual\tJJ\tI-NP\tO' +p185559 +aS'state\tstate\tNN\tI-NP\tO' +p185560 +aS'of\tof\tIN\tB-PP\tO' +p185561 +aS'health\thealth\tNN\tB-NP\tO' +p185562 +aS'until\tuntil\tIN\tB-PP\tO' +p185563 +aS'one\tone\tCD\tB-NP\tO' +p185564 +aS'day\tday\tNN\tI-NP\tO' +p185565 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p185566 +aS'to\tto\tTO\tB-PP\tO' +p185567 +aS'admission\tadmission\tNN\tB-NP\tO' +p185568 +aS'when\twhen\tWRB\tB-ADVP\tO' +p185569 +aS'she\tshe\tPRP\tB-NP\tO' +p185570 +aS'felt\tfeel\tVBD\tB-VP\tO' +p185571 +aS'increasing\tincrease\tVBG\tB-NP\tO' +p185572 +aS'fatigue\tfatigue\tNN\tI-NP\tO' +p185573 +aS',\t,\t,\tI-NP\tO' +p185574 +aS'nausea\tnausea\tNN\tI-NP\tO' +p185575 +aS'and\tand\tCC\tI-NP\tO' +p185576 +aS'vomiting\tvomiting\tNN\tI-NP\tO' +p185577 +aS'productive\tproductive\tJJ\tB-ADJP\tO' +p185578 +aS'of\tof\tIN\tB-PP\tO' +p185579 +aS'bright\tbright\tJJ\tB-NP\tO' +p185580 +aS'red\tred\tJJ\tI-NP\tO' +p185581 +aS'blood\tblood\tNN\tI-NP\tO' +p185582 +aS'and\tand\tCC\tI-NP\tO' +p185583 +aS'coffee\tcoffee\tNN\tI-NP\tO' +p185584 +aS'ground\tground\tNN\tI-NP\tO' +p185585 +aS'emesis\temesis\tNN\tI-NP\tO' +p185586 +aS'.\t.\t.\tO\tO' +p185587 +asS'The cardiac output was five liters per minute with an index at 2.9 liters per minute per meter 2 which is normal .' +p185588 +(lp185589 +S'The\tThe\tDT\tB-NP\tO' +p185590 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p185591 +aS'output\toutput\tNN\tI-NP\tO' +p185592 +aS'was\tbe\tVBD\tB-VP\tO' +p185593 +aS'five\tfive\tCD\tB-NP\tO' +p185594 +aS'liters\tliter\tNNS\tI-NP\tO' +p185595 +aS'per\tper\tIN\tB-PP\tO' +p185596 +aS'minute\tminute\tNN\tB-NP\tO' +p185597 +aS'with\twith\tIN\tB-PP\tO' +p185598 +aS'an\tan\tDT\tB-NP\tO' +p185599 +aS'index\tindex\tNN\tI-NP\tO' +p185600 +aS'at\tat\tIN\tB-PP\tO' +p185601 +aS'2.9\t2.9\tCD\tB-NP\tO' +p185602 +aS'liters\tliter\tNNS\tI-NP\tO' +p185603 +aS'per\tper\tIN\tB-PP\tO' +p185604 +aS'minute\tminute\tNN\tB-NP\tO' +p185605 +aS'per\tper\tIN\tB-PP\tO' +p185606 +aS'meter\tmeter\tNN\tB-NP\tO' +p185607 +aS'2\t2\tCD\tB-NP\tO' +p185608 +aS'which\twhich\tWDT\tB-NP\tO' +p185609 +aS'is\tbe\tVBZ\tB-VP\tO' +p185610 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p185611 +aS'.\t.\t.\tO\tO' +p185612 +asS'There are several areas of hyperintensities at the convexity which could be intraaxial and could be related to hemorrhage within the metastatic lesions but in absence of gradient echo images , this could not be further confirmed .' +p185613 +(lp185614 +S'There\tThere\tEX\tB-NP\tO' +p185615 +aS'are\tbe\tVBP\tB-VP\tO' +p185616 +aS'several\tseveral\tJJ\tB-NP\tO' +p185617 +aS'areas\tarea\tNNS\tI-NP\tO' +p185618 +aS'of\tof\tIN\tB-PP\tO' +p185619 +aS'hyperintensities\thyperintensity\tNNS\tB-NP\tO' +p185620 +aS'at\tat\tIN\tB-PP\tO' +p185621 +aS'the\tthe\tDT\tB-NP\tO' +p185622 +aS'convexity\tconvexity\tNN\tI-NP\tO' +p185623 +aS'which\twhich\tWDT\tB-NP\tO' +p185624 +aS'could\tcould\tMD\tB-VP\tO' +p185625 +aS'be\tbe\tVB\tI-VP\tO' +p185626 +aS'intraaxial\tintraaxial\tJJ\tB-ADJP\tO' +p185627 +aS'and\tand\tCC\tO\tO' +p185628 +aS'could\tcould\tMD\tB-VP\tO' +p185629 +aS'be\tbe\tVB\tI-VP\tO' +p185630 +aS'related\trelate\tVBN\tI-VP\tO' +p185631 +aS'to\tto\tTO\tI-VP\tO' +p185632 +aS'hemorrhage\themorrhage\tVB\tI-VP\tO' +p185633 +aS'within\twithin\tIN\tB-PP\tO' +p185634 +aS'the\tthe\tDT\tB-NP\tO' +p185635 +aS'metastatic\tmetastatic\tJJ\tI-NP\tO' +p185636 +aS'lesions\tlesion\tNNS\tI-NP\tO' +p185637 +aS'but\tbut\tCC\tB-PP\tO' +p185638 +aS'in\tin\tIN\tB-PP\tO' +p185639 +aS'absence\tabsence\tNN\tB-NP\tO' +p185640 +aS'of\tof\tIN\tB-PP\tO' +p185641 +aS'gradient\tgradient\tJJ\tB-NP\tO' +p185642 +aS'echo\techo\tJJ\tI-NP\tO' +p185643 +aS'images\timage\tNNS\tI-NP\tO' +p185644 +aS',\t,\t,\tO\tO' +p185645 +aS'this\tthis\tDT\tB-NP\tO' +p185646 +aS'could\tcould\tMD\tB-VP\tO' +p185647 +aS'not\tnot\tRB\tI-VP\tO' +p185648 +aS'be\tbe\tVB\tI-VP\tO' +p185649 +aS'further\tfurther\tRBR\tB-ADJP\tO' +p185650 +aS'confirmed\tconfirm\tVBN\tI-ADJP\tO' +p185651 +aS'.\t.\t.\tO\tO' +p185652 +asS'CN 02-17 grossly intact .' +p185653 +(lp185654 +S'CN\tCN\tNN\tB-NP\tO' +p185655 +aS'02-17\t02-17\tCD\tI-NP\tO' +p185656 +aS'grossly\tgrossly\tRB\tB-ADJP\tO' +p185657 +aS'intact\tintact\tJJ\tI-ADJP\tO' +p185658 +aS'.\t.\t.\tO\tO' +p185659 +asS'The 1 cm cyst which was seen in 10/92 was still present .' +p185660 +(lp185661 +S'The\tThe\tDT\tB-NP\tO' +p185662 +aS'1\t1\tCD\tI-NP\tO' +p185663 +aS'cm\tcm\tNN\tI-NP\tO' +p185664 +aS'cyst\tcyst\tNN\tI-NP\tO' +p185665 +aS'which\twhich\tWDT\tB-NP\tO' +p185666 +aS'was\tbe\tVBD\tB-VP\tO' +p185667 +aS'seen\tsee\tVBN\tI-VP\tO' +p185668 +aS'in\tin\tIN\tB-PP\tO' +p185669 +aS'10/92\t10/92\tCD\tB-NP\tO' +p185670 +aS'was\tbe\tVBD\tB-VP\tO' +p185671 +aS'still\tstill\tRB\tB-ADVP\tO' +p185672 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p185673 +aS'.\t.\t.\tO\tO' +p185674 +asS'2. Docusate 100 mg p.o. twice per day .' +p185675 +(lp185676 +S'2.\t2.\tLS\tB-NP\tO' +p185677 +aS'Docusate\tDocusate\tNNP\tI-NP\tO' +p185678 +aS'100\t100\tCD\tI-NP\tO' +p185679 +aS'mg\tmg\tNN\tI-NP\tO' +p185680 +aS'p.o.\tp.o.\tRB\tB-ADVP\tO' +p185681 +aS'twice\ttwice\tRB\tI-ADVP\tO' +p185682 +aS'per\tper\tIN\tB-PP\tO' +p185683 +aS'day\tday\tNN\tB-NP\tO' +p185684 +aS'.\t.\t.\tO\tO' +p185685 +asS'Trauma series demonstrated no evidence of a pelvic fracture .' +p185686 +(lp185687 +S'Trauma\tTrauma\tNN\tB-NP\tO' +p185688 +aS'series\tseries\tNN\tI-NP\tO' +p185689 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p185690 +aS'no\tno\tDT\tB-NP\tO' +p185691 +aS'evidence\tevidence\tNN\tI-NP\tO' +p185692 +aS'of\tof\tIN\tB-PP\tO' +p185693 +aS'a\ta\tDT\tB-NP\tO' +p185694 +aS'pelvic\tpelvic\tJJ\tI-NP\tO' +p185695 +aS'fracture\tfracture\tNN\tI-NP\tO' +p185696 +aS'.\t.\t.\tO\tO' +p185697 +asS'Hearing screening is recommended prior to discharge .' +p185698 +(lp185699 +S'Hearing\tHear\tVBG\tB-VP\tO' +p185700 +aS'screening\tscreening\tNN\tB-NP\tO' +p185701 +aS'is\tbe\tVBZ\tB-VP\tO' +p185702 +aS'recommended\trecommend\tVBN\tI-VP\tO' +p185703 +aS'prior\tprior\tRB\tB-ADVP\tO' +p185704 +aS'to\tto\tTO\tB-VP\tO' +p185705 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p185706 +aS'.\t.\t.\tO\tO' +p185707 +asS'2 plus reflexes in the upper extremities symmetrically bilaterally .' +p185708 +(lp185709 +S'2\t2\tCD\tB-NP\tO' +p185710 +aS'plus\tplus\tCC\tO\tO' +p185711 +aS'reflexes\treflex\tNNS\tB-NP\tO' +p185712 +aS'in\tin\tIN\tB-PP\tO' +p185713 +aS'the\tthe\tDT\tB-NP\tO' +p185714 +aS'upper\tupper\tJJ\tI-NP\tO' +p185715 +aS'extremities\textremity\tNNS\tI-NP\tO' +p185716 +aS'symmetrically\tsymmetrically\tRB\tB-ADVP\tO' +p185717 +aS'bilaterally\tbilaterally\tRB\tI-ADVP\tO' +p185718 +aS'.\t.\t.\tO\tO' +p185719 +asS'Patient was a 75 year old right handed male with past medical history of atrial fibrillation on coumadin , coronary artery disease , hyperlipidemia , dementia with sudden onset left sided weakness , dysarthria .' +p185720 +(lp185721 +S'Patient\tPatient\tNN\tB-NP\tO' +p185722 +aS'was\tbe\tVBD\tB-VP\tO' +p185723 +aS'a\ta\tDT\tB-NP\tO' +p185724 +aS'75\t75\tCD\tI-NP\tO' +p185725 +aS'year\tyear\tNN\tI-NP\tO' +p185726 +aS'old\told\tJJ\tI-NP\tO' +p185727 +aS'right\tright\tJJ\tI-NP\tO' +p185728 +aS'handed\thand\tVBN\tB-VP\tO' +p185729 +aS'male\tmale\tJJ\tB-ADJP\tO' +p185730 +aS'with\twith\tIN\tB-PP\tO' +p185731 +aS'past\tpast\tJJ\tB-NP\tO' +p185732 +aS'medical\tmedical\tJJ\tI-NP\tO' +p185733 +aS'history\thistory\tNN\tI-NP\tO' +p185734 +aS'of\tof\tIN\tB-PP\tO' +p185735 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p185736 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p185737 +aS'on\ton\tIN\tB-PP\tO' +p185738 +aS'coumadin\tcoumadin\tNN\tB-NP\tO' +p185739 +aS',\t,\t,\tO\tO' +p185740 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p185741 +aS'artery\tartery\tNN\tI-NP\tO' +p185742 +aS'disease\tdisease\tNN\tI-NP\tO' +p185743 +aS',\t,\t,\tO\tO' +p185744 +aS'hyperlipidemia\thyperlipidemia\tNN\tB-NP\tO' +p185745 +aS',\t,\t,\tO\tO' +p185746 +aS'dementia\tdementia\tNN\tB-NP\tO' +p185747 +aS'with\twith\tIN\tB-PP\tO' +p185748 +aS'sudden\tsudden\tJJ\tB-NP\tO' +p185749 +aS'onset\tonset\tNN\tI-NP\tO' +p185750 +aS'left\tleave\tVBD\tB-VP\tO' +p185751 +aS'sided\tsided\tJJ\tB-NP\tO' +p185752 +aS'weakness\tweakness\tNN\tI-NP\tO' +p185753 +aS',\t,\t,\tO\tO' +p185754 +aS'dysarthria\tdysarthria\tNN\tB-NP\tO' +p185755 +aS'.\t.\t.\tO\tO' +p185756 +asS'Attending : Ross Z Kenmore , M.D.' +p185757 +(lp185758 +S'Attending\tAttend\tVBG\tB-VP\tO' +p185759 +aS':\t:\t:\tO\tO' +p185760 +aS'Ross\tRoss\tNNP\tB-NP\tO' +p185761 +aS'Z\tZ\tNNP\tI-NP\tO' +p185762 +aS'Kenmore\tKenmore\tNNP\tI-NP\tO' +p185763 +aS',\t,\t,\tO\tO' +p185764 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p185765 +asS'The patient was also given Valium 5-10 mg p.o. t.i.d. for muscle spasm .' +p185766 +(lp185767 +S'The\tThe\tDT\tB-NP\tO' +p185768 +aS'patient\tpatient\tNN\tI-NP\tO' +p185769 +aS'was\tbe\tVBD\tB-VP\tO' +p185770 +aS'also\talso\tRB\tI-VP\tO' +p185771 +aS'given\tgive\tVBN\tI-VP\tO' +p185772 +aS'Valium\tValium\tNN\tB-NP\tO' +p185773 +aS'5-10\t5-10\tCD\tI-NP\tO' +p185774 +aS'mg\tmg\tNN\tI-NP\tO' +p185775 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p185776 +aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' +p185777 +aS'for\tfor\tIN\tB-PP\tO' +p185778 +aS'muscle\tmuscle\tNN\tB-NP\tO' +p185779 +aS'spasm\tspasm\tNN\tI-NP\tO' +p185780 +aS'.\t.\t.\tO\tO' +p185781 +asS'Good breath sounds .' +p185782 +(lp185783 +S'Good\tGood\tJJ\tB-NP\tO' +p185784 +aS'breath\tbreath\tNN\tI-NP\tO' +p185785 +aS'sounds\tsound\tNNS\tI-NP\tO' +p185786 +aS'.\t.\t.\tO\tO' +p185787 +asS'R lower 01-20 with coarse BS and rales ; L side clear ; no wheezing' +p185788 +(lp185789 +S'R\tR\tNN\tB-NP\tB-protein' +p185790 +aS'lower\tlow\tJJR\tB-NP\tO' +p185791 +aS'01-20\t01-20\tCD\tI-NP\tO' +p185792 +aS'with\twith\tIN\tB-PP\tO' +p185793 +aS'coarse\tcoarse\tNN\tB-NP\tB-protein' +p185794 +aS'BS\tBS\tNNS\tI-NP\tI-protein' +p185795 +aS'and\tand\tCC\tI-NP\tO' +p185796 +aS'rales\trale\tNNS\tI-NP\tO' +p185797 +aS';\t;\t:\tO\tO' +p185798 +aS'L\tL\tNN\tB-NP\tO' +p185799 +aS'side\tside\tNN\tI-NP\tO' +p185800 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p185801 +aS';\t;\t:\tO\tO' +p185802 +aS'no\tno\tDT\tB-NP\tO' +p185803 +aS'wheezing\twheezing\tNN\tI-NP\tO' +p185804 +asS'Free calcium was 0.95 on 03-30 .' +p185805 +(lp185806 +S'Free\tFree\tJJ\tB-NP\tO' +p185807 +aS'calcium\tcalcium\tNN\tI-NP\tO' +p185808 +aS'was\tbe\tVBD\tB-VP\tO' +p185809 +aS'0.95\t0.95\tCD\tB-NP\tO' +p185810 +aS'on\ton\tIN\tB-PP\tO' +p185811 +aS'03-30\t03-30\tCD\tB-NP\tO' +p185812 +aS'.\t.\t.\tO\tO' +p185813 +asS'- flex / ext films done' +p185814 +(lp185815 +S'-\t-\tHYPH\tB-NP\tO' +p185816 +aS'flex\tflex\tNN\tI-NP\tO' +p185817 +aS'/\t/\tSYM\tB-NP\tO' +p185818 +aS'ext\text\tNN\tB-NP\tO' +p185819 +aS'films\tfilm\tNNS\tI-NP\tO' +p185820 +aS'done\tdo\tVBN\tB-VP\tO' +p185821 +asS'Loud S4 and a II / VI regurgitant murmur .' +p185822 +(lp185823 +S'Loud\tLoud\tJJ\tB-NP\tO' +p185824 +aS'S4\tS4\tNN\tI-NP\tB-protein' +p185825 +aS'and\tand\tCC\tO\tO' +p185826 +aS'a\ta\tDT\tB-NP\tO' +p185827 +aS'II\tII\tCD\tI-NP\tO' +p185828 +aS'/\t/\tSYM\tI-NP\tO' +p185829 +aS'VI\tVI\tCD\tI-NP\tO' +p185830 +aS'regurgitant\tregurgitant\tJJ\tI-NP\tO' +p185831 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p185832 +aS'.\t.\t.\tO\tO' +p185833 +asS'IP found endotracheal obstructing tumor and extrinsic compression of the high trachea by thyroid mass .' +p185834 +(lp185835 +S'IP\tIP\tNN\tB-NP\tO' +p185836 +aS'found\tfind\tVBD\tB-VP\tO' +p185837 +aS'endotracheal\tendotracheal\tJJ\tB-NP\tO' +p185838 +aS'obstructing\tobstruct\tVBG\tI-NP\tO' +p185839 +aS'tumor\ttumor\tNN\tI-NP\tO' +p185840 +aS'and\tand\tCC\tO\tO' +p185841 +aS'extrinsic\textrinsic\tJJ\tB-NP\tO' +p185842 +aS'compression\tcompression\tNN\tI-NP\tO' +p185843 +aS'of\tof\tIN\tB-PP\tO' +p185844 +aS'the\tthe\tDT\tB-NP\tO' +p185845 +aS'high\thigh\tJJ\tI-NP\tO' +p185846 +aS'trachea\ttrachea\tNN\tI-NP\tO' +p185847 +aS'by\tby\tIN\tB-PP\tO' +p185848 +aS'thyroid\tthyroid\tJJ\tB-NP\tO' +p185849 +aS'mass\tmass\tNN\tI-NP\tO' +p185850 +aS'.\t.\t.\tO\tO' +p185851 +asS'17 yo male pedestrian who was struck by auto at unknown speed ; +LOC .' +p185852 +(lp185853 +S'17\t17\tCD\tB-NP\tO' +p185854 +aS'yo\tyo\tNN\tI-NP\tO' +p185855 +aS'male\tmale\tJJ\tI-NP\tO' +p185856 +aS'pedestrian\tpedestrian\tNN\tI-NP\tO' +p185857 +aS'who\twho\tWP\tB-NP\tO' +p185858 +aS'was\tbe\tVBD\tB-VP\tO' +p185859 +aS'struck\tstrike\tVBN\tI-VP\tO' +p185860 +aS'by\tby\tIN\tB-PP\tO' +p185861 +aS'auto\tauto\tNN\tB-NP\tO' +p185862 +aS'at\tat\tIN\tB-PP\tO' +p185863 +aS'unknown\tunknown\tJJ\tB-NP\tO' +p185864 +aS'speed\tspeed\tNN\tI-NP\tO' +p185865 +aS';\t;\t:\tO\tO' +p185866 +aS'+LOC\t+LOC\tNN\tB-NP\tB-protein' +p185867 +aS'.\t.\t.\tO\tO' +p185868 +asS'7. Vicodin as needed .' +p185869 +(lp185870 +S'7.\t7.\tLS\tB-LST\tO' +p185871 +aS'Vicodin\tVicodin\tNNP\tB-NP\tO' +p185872 +aS'as\tas\tIN\tB-SBAR\tO' +p185873 +aS'needed\tneed\tVBN\tB-VP\tO' +p185874 +aS'.\t.\t.\tO\tO' +p185875 +asS'The patient is a 47 year old male , with end stage liver disease secondary to hepatitis C cirrhosis diagnosed about 5 years prior to admission .' +p185876 +(lp185877 +S'The\tThe\tDT\tB-NP\tO' +p185878 +aS'patient\tpatient\tNN\tI-NP\tO' +p185879 +aS'is\tbe\tVBZ\tB-VP\tO' +p185880 +aS'a\ta\tDT\tB-NP\tO' +p185881 +aS'47\t47\tCD\tI-NP\tO' +p185882 +aS'year\tyear\tNN\tI-NP\tO' +p185883 +aS'old\told\tJJ\tI-NP\tO' +p185884 +aS'male\tmale\tNN\tI-NP\tO' +p185885 +aS',\t,\t,\tO\tO' +p185886 +aS'with\twith\tIN\tB-PP\tO' +p185887 +aS'end\tend\tNN\tB-NP\tO' +p185888 +aS'stage\tstage\tNN\tI-NP\tO' +p185889 +aS'liver\tliver\tNN\tI-NP\tO' +p185890 +aS'disease\tdisease\tNN\tI-NP\tO' +p185891 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p185892 +aS'to\tto\tTO\tB-PP\tO' +p185893 +aS'hepatitis\thepatitis\tNN\tB-NP\tB-protein' +p185894 +aS'C\tC\tNN\tI-NP\tI-protein' +p185895 +aS'cirrhosis\tcirrhosis\tNN\tI-NP\tI-protein' +p185896 +aS'diagnosed\tdiagnose\tVBN\tB-VP\tI-protein' +p185897 +aS'about\tabout\tIN\tB-NP\tI-protein' +p185898 +aS'5\t5\tCD\tI-NP\tI-protein' +p185899 +aS'years\tyear\tNNS\tI-NP\tI-protein' +p185900 +aS'prior\tprior\tRB\tB-ADVP\tO' +p185901 +aS'to\tto\tTO\tB-PP\tO' +p185902 +aS'admission\tadmission\tNN\tB-NP\tO' +p185903 +aS'.\t.\t.\tO\tO' +p185904 +asS'Please call your PCP X. Neuse at ( 536 ) 671-1515 to set up an appointment by Friday this week .' +p185905 +(lp185906 +S'Please\tPlease\tVB\tB-VP\tO' +p185907 +aS'call\tcall\tVB\tI-VP\tO' +p185908 +aS'your\tyour\tPRP$\tB-NP\tO' +p185909 +aS'PCP\tPCP\tNN\tI-NP\tO' +p185910 +aS'X.\tX.\tNNP\tI-NP\tO' +p185911 +aS'Neuse\tNeuse\tNN\tI-NP\tO' +p185912 +aS'at\tat\tIN\tB-PP\tO' +p185913 +aS'(\t(\t(\tO\tO' +p185914 +aS'536\t536\tCD\tB-NP\tO' +p185915 +aS')\t)\t)\tO\tO' +p185916 +aS'671-1515\t671-1515\tCD\tB-NP\tO' +p185917 +aS'to\tto\tTO\tB-VP\tO' +p185918 +aS'set\tset\tVB\tI-VP\tO' +p185919 +aS'up\tup\tRP\tB-PRT\tO' +p185920 +aS'an\tan\tDT\tB-NP\tO' +p185921 +aS'appointment\tappointment\tNN\tI-NP\tO' +p185922 +aS'by\tby\tIN\tB-PP\tO' +p185923 +aS'Friday\tFriday\tNNP\tB-NP\tO' +p185924 +aS'this\tthis\tDT\tB-NP\tO' +p185925 +aS'week\tweek\tNN\tI-NP\tO' +p185926 +aS'.\t.\t.\tO\tO' +p185927 +asS'76-year-old male with right hip pain X five years .' +p185928 +(lp185929 +S'76-year-old\t76-year-old\tJJ\tB-NP\tO' +p185930 +aS'male\tmale\tNN\tI-NP\tO' +p185931 +aS'with\twith\tIN\tB-PP\tO' +p185932 +aS'right\tright\tJJ\tB-NP\tO' +p185933 +aS'hip\thip\tNN\tI-NP\tO' +p185934 +aS'pain\tpain\tNN\tI-NP\tO' +p185935 +aS'X\tX\tSYM\tO\tO' +p185936 +aS'five\tfive\tCD\tB-NP\tO' +p185937 +aS'years\tyear\tNNS\tI-NP\tO' +p185938 +aS'.\t.\t.\tO\tO' +p185939 +asS'A CT revealed a large amount of free air .' +p185940 +(lp185941 +S'A\tA\tDT\tB-NP\tO' +p185942 +aS'CT\tCT\tNN\tI-NP\tO' +p185943 +aS'revealed\treveal\tVBD\tB-VP\tO' +p185944 +aS'a\ta\tDT\tB-NP\tO' +p185945 +aS'large\tlarge\tJJ\tI-NP\tO' +p185946 +aS'amount\tamount\tNN\tI-NP\tO' +p185947 +aS'of\tof\tIN\tB-PP\tO' +p185948 +aS'free\tfree\tJJ\tB-NP\tO' +p185949 +aS'air\tair\tNN\tI-NP\tO' +p185950 +aS'.\t.\t.\tO\tO' +p185951 +asS'He responded somewhat to lactulose for hepatic encephalopathy .' +p185952 +(lp185953 +S'He\tHe\tPRP\tB-NP\tO' +p185954 +aS'responded\trespond\tVBD\tB-VP\tO' +p185955 +aS'somewhat\tsomewhat\tRB\tB-ADVP\tO' +p185956 +aS'to\tto\tTO\tB-VP\tO' +p185957 +aS'lactulose\tlactulose\tVB\tI-VP\tO' +p185958 +aS'for\tfor\tIN\tB-PP\tO' +p185959 +aS'hepatic\thepatic\tJJ\tB-NP\tO' +p185960 +aS'encephalopathy\tencephalopathy\tNN\tI-NP\tO' +p185961 +aS'.\t.\t.\tO\tO' +p185962 +asS'Her oropharynx was clear .' +p185963 +(lp185964 +S'Her\tHer\tPRP$\tB-NP\tO' +p185965 +aS'oropharynx\toropharynx\tNN\tI-NP\tO' +p185966 +aS'was\tbe\tVBD\tB-VP\tO' +p185967 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p185968 +aS'.\t.\t.\tO\tO' +p185969 +asS'PERRL , anicteric , EOMI .' +p185970 +(lp185971 +S'PERRL\tPERRL\tNN\tB-NP\tB-protein' +p185972 +aS',\t,\t,\tO\tO' +p185973 +aS'anicteric\tanicteric\tNN\tB-NP\tO' +p185974 +aS',\t,\t,\tO\tO' +p185975 +aS'EOMI\tEOMI\tNNP\tB-NP\tO' +p185976 +aS'.\t.\t.\tO\tO' +p185977 +asS'Of note on 5/9/05 the patient was seen by Urology due to an inability to void and a 16 French Coude catheter was placed .' +p185978 +(lp185979 +S'Of\tOf\tIN\tB-PP\tO' +p185980 +aS'note\tnote\tNN\tB-NP\tO' +p185981 +aS'on\ton\tIN\tB-PP\tO' +p185982 +aS'5/9/05\t5/9/05\tCD\tB-NP\tO' +p185983 +aS'the\tthe\tDT\tB-NP\tO' +p185984 +aS'patient\tpatient\tNN\tI-NP\tO' +p185985 +aS'was\tbe\tVBD\tB-VP\tO' +p185986 +aS'seen\tsee\tVBN\tI-VP\tO' +p185987 +aS'by\tby\tIN\tB-PP\tO' +p185988 +aS'Urology\tUrology\tNNP\tB-NP\tO' +p185989 +aS'due\tdue\tIN\tB-PP\tO' +p185990 +aS'to\tto\tTO\tB-PP\tO' +p185991 +aS'an\tan\tDT\tB-NP\tO' +p185992 +aS'inability\tinability\tNN\tI-NP\tO' +p185993 +aS'to\tto\tTO\tB-PP\tO' +p185994 +aS'void\tvoid\tNN\tB-NP\tO' +p185995 +aS'and\tand\tCC\tO\tO' +p185996 +aS'a\ta\tDT\tB-NP\tO' +p185997 +aS'16\t16\tCD\tI-NP\tO' +p185998 +aS'French\tFrench\tJJ\tI-NP\tO' +p185999 +aS'Coude\tCoude\tNNP\tI-NP\tO' +p186000 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p186001 +aS'was\tbe\tVBD\tB-VP\tO' +p186002 +aS'placed\tplace\tVBN\tI-VP\tO' +p186003 +aS'.\t.\t.\tO\tO' +p186004 +asS"Mother 's medical history was notable for depression treated with Zoloft ." +p186005 +(lp186006 +S'Mother\tMother\tNNP\tB-NP\tO' +p186007 +aS"'s\t's\tPOS\tB-NP\tO" +p186008 +aS'medical\tmedical\tJJ\tI-NP\tO' +p186009 +aS'history\thistory\tNN\tI-NP\tO' +p186010 +aS'was\tbe\tVBD\tB-VP\tO' +p186011 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p186012 +aS'for\tfor\tIN\tB-PP\tO' +p186013 +aS'depression\tdepression\tNN\tB-NP\tO' +p186014 +aS'treated\ttreat\tVBN\tB-VP\tO' +p186015 +aS'with\twith\tIN\tB-PP\tO' +p186016 +aS'Zoloft\tZoloft\tNNP\tB-NP\tO' +p186017 +aS'.\t.\t.\tO\tO' +p186018 +asS'No AMS .' +p186019 +(lp186020 +S'No\tNo\tDT\tB-NP\tO' +p186021 +aS'AMS\tAMS\tNN\tI-NP\tB-protein' +p186022 +aS'.\t.\t.\tO\tO' +p186023 +asS'Received lorazepam prior to CT scan .' +p186024 +(lp186025 +S'Received\tReceive\tVBN\tB-NP\tO' +p186026 +aS'lorazepam\tlorazepam\tNN\tI-NP\tO' +p186027 +aS'prior\tprior\tRB\tB-ADVP\tO' +p186028 +aS'to\tto\tTO\tB-PP\tO' +p186029 +aS'CT\tCT\tNN\tB-NP\tO' +p186030 +aS'scan\tscan\tNN\tI-NP\tO' +p186031 +aS'.\t.\t.\tO\tO' +p186032 +asS'Anticoagulation has not been given this admission .' +p186033 +(lp186034 +S'Anticoagulation\tAnticoagulation\tNN\tB-NP\tO' +p186035 +aS'has\thave\tVBZ\tB-VP\tO' +p186036 +aS'not\tnot\tRB\tI-VP\tO' +p186037 +aS'been\tbe\tVBN\tI-VP\tO' +p186038 +aS'given\tgive\tVBN\tI-VP\tO' +p186039 +aS'this\tthis\tDT\tB-NP\tO' +p186040 +aS'admission\tadmission\tNN\tI-NP\tO' +p186041 +aS'.\t.\t.\tO\tO' +p186042 +asS'It is possible that this is secondary to her underlying demyelinating disease , but per report this has not been very active .' +p186043 +(lp186044 +S'It\tIt\tPRP\tB-NP\tO' +p186045 +aS'is\tbe\tVBZ\tB-VP\tO' +p186046 +aS'possible\tpossible\tJJ\tB-ADJP\tO' +p186047 +aS'that\tthat\tIN\tB-SBAR\tO' +p186048 +aS'this\tthis\tDT\tB-NP\tO' +p186049 +aS'is\tbe\tVBZ\tB-VP\tO' +p186050 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p186051 +aS'to\tto\tTO\tB-PP\tO' +p186052 +aS'her\ther\tPRP\tB-NP\tO' +p186053 +aS'underlying\tunderlie\tVBG\tB-VP\tO' +p186054 +aS'demyelinating\tdemyelinate\tVBG\tB-NP\tO' +p186055 +aS'disease\tdisease\tNN\tI-NP\tO' +p186056 +aS',\t,\t,\tO\tO' +p186057 +aS'but\tbut\tCC\tO\tO' +p186058 +aS'per\tper\tIN\tB-PP\tO' +p186059 +aS'report\treport\tNN\tB-NP\tO' +p186060 +aS'this\tthis\tDT\tB-NP\tO' +p186061 +aS'has\thave\tVBZ\tB-VP\tO' +p186062 +aS'not\tnot\tRB\tI-VP\tO' +p186063 +aS'been\tbe\tVBN\tI-VP\tO' +p186064 +aS'very\tvery\tRB\tB-ADJP\tO' +p186065 +aS'active\tactive\tJJ\tI-ADJP\tO' +p186066 +aS'.\t.\t.\tO\tO' +p186067 +asS'His voice improved during the course of his stay and was talking clearly by the time of discharge .' +p186068 +(lp186069 +S'His\tHis\tPRP$\tB-NP\tO' +p186070 +aS'voice\tvoice\tNN\tI-NP\tO' +p186071 +aS'improved\timprove\tVBN\tB-VP\tO' +p186072 +aS'during\tduring\tIN\tB-PP\tO' +p186073 +aS'the\tthe\tDT\tB-NP\tO' +p186074 +aS'course\tcourse\tNN\tI-NP\tO' +p186075 +aS'of\tof\tIN\tB-PP\tO' +p186076 +aS'his\this\tPRP$\tB-NP\tO' +p186077 +aS'stay\tstay\tNN\tI-NP\tO' +p186078 +aS'and\tand\tCC\tO\tO' +p186079 +aS'was\tbe\tVBD\tB-VP\tO' +p186080 +aS'talking\ttalk\tVBG\tI-VP\tO' +p186081 +aS'clearly\tclearly\tRB\tB-ADVP\tO' +p186082 +aS'by\tby\tIN\tB-PP\tO' +p186083 +aS'the\tthe\tDT\tB-NP\tO' +p186084 +aS'time\ttime\tNN\tI-NP\tO' +p186085 +aS'of\tof\tIN\tB-PP\tO' +p186086 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p186087 +aS'.\t.\t.\tO\tO' +p186088 +asS'Attending : Melissa P Lowery , M.D.' +p186089 +(lp186090 +S'Attending\tAttend\tVBG\tB-VP\tO' +p186091 +aS':\t:\t:\tO\tO' +p186092 +aS'Melissa\tMelissa\tNNP\tB-NP\tO' +p186093 +aS'P\tP\tNNP\tI-NP\tO' +p186094 +aS'Lowery\tLowery\tNNP\tI-NP\tO' +p186095 +aS',\t,\t,\tO\tO' +p186096 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p186097 +asS"The EP Service was consulted regarding the patient 's atrial fibrillation ." +p186098 +(lp186099 +S'The\tThe\tDT\tB-NP\tO' +p186100 +aS'EP\tEP\tNNP\tI-NP\tO' +p186101 +aS'Service\tService\tNNP\tI-NP\tO' +p186102 +aS'was\tbe\tVBD\tB-VP\tO' +p186103 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p186104 +aS'regarding\tregard\tVBG\tI-VP\tO' +p186105 +aS'the\tthe\tDT\tB-NP\tO' +p186106 +aS'patient\tpatient\tNN\tI-NP\tO' +p186107 +aS"'s\t's\tPOS\tB-NP\tO" +p186108 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p186109 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p186110 +aS'.\t.\t.\tO\tO' +p186111 +asS'On 03-27 , pt was noted to have significantly depressed M.S. off propol improved off sedation .' +p186112 +(lp186113 +S'On\tOn\tIN\tB-PP\tO' +p186114 +aS'03-27\t03-27\tCD\tB-NP\tO' +p186115 +aS',\t,\t,\tO\tO' +p186116 +aS'pt\tpt\tNN\tB-NP\tO' +p186117 +aS'was\tbe\tVBD\tB-VP\tO' +p186118 +aS'noted\tnote\tVBN\tI-VP\tO' +p186119 +aS'to\tto\tTO\tI-VP\tO' +p186120 +aS'have\thave\tVB\tI-VP\tO' +p186121 +aS'significantly\tsignificantly\tRB\tI-VP\tO' +p186122 +aS'depressed\tdepress\tVBN\tI-VP\tO' +p186123 +aS'M.S.\tM.S.\tNNP\tB-NP\tO' +p186124 +aS'off\toff\tIN\tB-PP\tO' +p186125 +aS'propol\tpropol\tNN\tB-NP\tO' +p186126 +aS'improved\timprove\tVBD\tB-VP\tO' +p186127 +aS'off\toff\tRP\tB-PRT\tO' +p186128 +aS'sedation\tsedation\tNN\tB-NP\tO' +p186129 +aS'.\t.\t.\tO\tO' +p186130 +asS'Warm , noncyanotic , nonedematous times four .' +p186131 +(lp186132 +S'Warm\tWarm\tNNP\tB-NP\tO' +p186133 +aS',\t,\t,\tO\tO' +p186134 +aS'noncyanotic\tnoncyanotic\tJJ\tB-NP\tO' +p186135 +aS',\t,\t,\tI-NP\tO' +p186136 +aS'nonedematous\tnonedematous\tJJ\tI-NP\tO' +p186137 +aS'times\ttime\tNNS\tI-NP\tO' +p186138 +aS'four\tfour\tCD\tB-NP\tO' +p186139 +aS'.\t.\t.\tO\tO' +p186140 +asS'The patient failed multiple attempts at cardioversion .' +p186141 +(lp186142 +S'The\tThe\tDT\tB-NP\tO' +p186143 +aS'patient\tpatient\tNN\tI-NP\tO' +p186144 +aS'failed\tfail\tVBD\tB-VP\tO' +p186145 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p186146 +aS'attempts\tattempt\tNNS\tI-NP\tO' +p186147 +aS'at\tat\tIN\tB-PP\tO' +p186148 +aS'cardioversion\tcardioversion\tNN\tB-NP\tO' +p186149 +aS'.\t.\t.\tO\tO' +p186150 +asS'The patient has one to two pack x20 year history of smoking that was 30 years ago .' +p186151 +(lp186152 +S'The\tThe\tDT\tB-NP\tO' +p186153 +aS'patient\tpatient\tNN\tI-NP\tO' +p186154 +aS'has\thave\tVBZ\tB-VP\tO' +p186155 +aS'one\tone\tCD\tB-NP\tO' +p186156 +aS'to\tto\tTO\tI-NP\tO' +p186157 +aS'two\ttwo\tCD\tI-NP\tO' +p186158 +aS'pack\tpack\tNN\tI-NP\tO' +p186159 +aS'x20\tx20\tNN\tI-NP\tO' +p186160 +aS'year\tyear\tNN\tI-NP\tO' +p186161 +aS'history\thistory\tNN\tI-NP\tO' +p186162 +aS'of\tof\tIN\tB-PP\tO' +p186163 +aS'smoking\tsmoking\tNN\tB-NP\tO' +p186164 +aS'that\tthat\tWDT\tB-NP\tO' +p186165 +aS'was\tbe\tVBD\tB-VP\tO' +p186166 +aS'30\t30\tCD\tB-NP\tO' +p186167 +aS'years\tyear\tNNS\tI-NP\tO' +p186168 +aS'ago\tago\tRB\tB-ADVP\tO' +p186169 +aS'.\t.\t.\tO\tO' +p186170 +asS'Scattered rhonchi with diminished breath sounds in the bases .' +p186171 +(lp186172 +S'Scattered\tScatter\tVBN\tB-NP\tO' +p186173 +aS'rhonchi\trhonchi\tNN\tI-NP\tO' +p186174 +aS'with\twith\tIN\tB-PP\tO' +p186175 +aS'diminished\tdiminish\tVBN\tB-NP\tO' +p186176 +aS'breath\tbreath\tNN\tI-NP\tO' +p186177 +aS'sounds\tsound\tNNS\tI-NP\tO' +p186178 +aS'in\tin\tIN\tB-PP\tO' +p186179 +aS'the\tthe\tDT\tB-NP\tO' +p186180 +aS'bases\tbase\tNNS\tI-NP\tO' +p186181 +aS'.\t.\t.\tO\tO' +p186182 +asS'Daycare during RSV season , a smoker in the household , neuromuscular disease , airway abnormalities or school age sibling , or 3. With chronic lung disease .' +p186183 +(lp186184 +S'Daycare\tDaycare\tNN\tB-NP\tO' +p186185 +aS'during\tduring\tIN\tB-PP\tO' +p186186 +aS'RSV\tRSV\tNN\tB-NP\tO' +p186187 +aS'season\tseason\tNN\tI-NP\tO' +p186188 +aS',\t,\t,\tO\tO' +p186189 +aS'a\ta\tDT\tB-NP\tO' +p186190 +aS'smoker\tsmoker\tNN\tI-NP\tO' +p186191 +aS'in\tin\tIN\tB-PP\tO' +p186192 +aS'the\tthe\tDT\tB-NP\tO' +p186193 +aS'household\thousehold\tNN\tI-NP\tO' +p186194 +aS',\t,\t,\tO\tO' +p186195 +aS'neuromuscular\tneuromuscular\tJJ\tB-NP\tO' +p186196 +aS'disease\tdisease\tNN\tI-NP\tO' +p186197 +aS',\t,\t,\tO\tO' +p186198 +aS'airway\tairway\tNN\tB-NP\tO' +p186199 +aS'abnormalities\tabnormality\tNNS\tI-NP\tO' +p186200 +aS'or\tor\tCC\tO\tO' +p186201 +aS'school\tschool\tNN\tB-NP\tO' +p186202 +aS'age\tage\tNN\tI-NP\tO' +p186203 +aS'sibling\tsibling\tNN\tI-NP\tO' +p186204 +aS',\t,\t,\tO\tO' +p186205 +aS'or\tor\tCC\tO\tO' +p186206 +aS'3.\t3.\tLS\tO\tO' +p186207 +aS'With\tWith\tIN\tB-PP\tO' +p186208 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p186209 +aS'lung\tlung\tNN\tI-NP\tO' +p186210 +aS'disease\tdisease\tNN\tI-NP\tO' +p186211 +aS'.\t.\t.\tO\tO' +p186212 +asS'As mentioned above patient initially hypotension , febrile and in respiratory distress presumed to be septic source likely pulmonary .' +p186213 +(lp186214 +S'As\tAs\tIN\tB-SBAR\tO' +p186215 +aS'mentioned\tmention\tVBN\tB-VP\tO' +p186216 +aS'above\tabove\tIN\tB-PP\tO' +p186217 +aS'patient\tpatient\tNN\tB-NP\tO' +p186218 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p186219 +aS'hypotension\thypotension\tNN\tB-NP\tO' +p186220 +aS',\t,\t,\tO\tO' +p186221 +aS'febrile\tfebrile\tNN\tB-NP\tO' +p186222 +aS'and\tand\tCC\tB-PP\tO' +p186223 +aS'in\tin\tIN\tB-PP\tO' +p186224 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p186225 +aS'distress\tdistress\tNN\tI-NP\tO' +p186226 +aS'presumed\tpresume\tVBN\tB-VP\tO' +p186227 +aS'to\tto\tTO\tI-VP\tO' +p186228 +aS'be\tbe\tVB\tI-VP\tO' +p186229 +aS'septic\tseptic\tJJ\tB-NP\tO' +p186230 +aS'source\tsource\tNN\tI-NP\tO' +p186231 +aS'likely\tlikely\tRB\tB-ADJP\tO' +p186232 +aS'pulmonary\tpulmonary\tJJ\tI-ADJP\tO' +p186233 +aS'.\t.\t.\tO\tO' +p186234 +asS'Positive weakness , otherwise negative .' +p186235 +(lp186236 +S'Positive\tPositive\tJJ\tB-NP\tO' +p186237 +aS'weakness\tweakness\tNN\tI-NP\tO' +p186238 +aS',\t,\t,\tO\tO' +p186239 +aS'otherwise\totherwise\tRB\tB-ADJP\tO' +p186240 +aS'negative\tnegative\tJJ\tI-ADJP\tO' +p186241 +aS'.\t.\t.\tO\tO' +p186242 +asS'For this reason , Mr. Knueppel was kept in the Intensive Care Unit where very close monitoring could be performed .' +p186243 +(lp186244 +S'For\tFor\tIN\tB-PP\tO' +p186245 +aS'this\tthis\tDT\tB-NP\tO' +p186246 +aS'reason\treason\tNN\tI-NP\tO' +p186247 +aS',\t,\t,\tO\tO' +p186248 +aS'Mr.\tMr.\tNNP\tB-NP\tO' +p186249 +aS'Knueppel\tKnueppel\tNNP\tI-NP\tO' +p186250 +aS'was\tbe\tVBD\tB-VP\tO' +p186251 +aS'kept\tkeep\tVBN\tI-VP\tO' +p186252 +aS'in\tin\tIN\tB-PP\tO' +p186253 +aS'the\tthe\tDT\tB-NP\tO' +p186254 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p186255 +aS'Care\tCare\tNNP\tI-NP\tO' +p186256 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p186257 +aS'where\twhere\tWRB\tB-ADVP\tO' +p186258 +aS'very\tvery\tRB\tB-NP\tO' +p186259 +aS'close\tclose\tJJ\tI-NP\tO' +p186260 +aS'monitoring\tmonitoring\tNN\tI-NP\tO' +p186261 +aS'could\tcould\tMD\tB-VP\tO' +p186262 +aS'be\tbe\tVB\tI-VP\tO' +p186263 +aS'performed\tperform\tVBN\tI-VP\tO' +p186264 +aS'.\t.\t.\tO\tO' +p186265 +asS'On postoperative day number three , the patient was transferred to the floor .' +p186266 +(lp186267 +S'On\tOn\tIN\tB-PP\tO' +p186268 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p186269 +aS'day\tday\tNN\tI-NP\tO' +p186270 +aS'number\tnumber\tNN\tI-NP\tO' +p186271 +aS'three\tthree\tCD\tB-NP\tO' +p186272 +aS',\t,\t,\tO\tO' +p186273 +aS'the\tthe\tDT\tB-NP\tO' +p186274 +aS'patient\tpatient\tNN\tI-NP\tO' +p186275 +aS'was\tbe\tVBD\tB-VP\tO' +p186276 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p186277 +aS'to\tto\tTO\tB-PP\tO' +p186278 +aS'the\tthe\tDT\tB-NP\tO' +p186279 +aS'floor\tfloor\tNN\tI-NP\tO' +p186280 +aS'.\t.\t.\tO\tO' +p186281 +asS'Her CPress dissappeared over the same timeframe .' +p186282 +(lp186283 +S'Her\tHer\tPRP$\tB-NP\tO' +p186284 +aS'CPress\tCPress\tNNP\tI-NP\tO' +p186285 +aS'dissappeared\tdissappeare\tVBD\tB-VP\tO' +p186286 +aS'over\tover\tIN\tB-PP\tO' +p186287 +aS'the\tthe\tDT\tB-NP\tO' +p186288 +aS'same\tsame\tJJ\tI-NP\tO' +p186289 +aS'timeframe\ttimeframe\tNN\tI-NP\tO' +p186290 +aS'.\t.\t.\tO\tO' +p186291 +asS'He did complain of frequent headaches .' +p186292 +(lp186293 +S'He\tHe\tPRP\tB-NP\tO' +p186294 +aS'did\tdo\tVBD\tB-VP\tO' +p186295 +aS'complain\tcomplain\tNN\tB-NP\tO' +p186296 +aS'of\tof\tIN\tB-PP\tO' +p186297 +aS'frequent\tfrequent\tJJ\tB-NP\tO' +p186298 +aS'headaches\theadache\tNNS\tI-NP\tO' +p186299 +aS'.\t.\t.\tO\tO' +p186300 +asS'In August of 1996 while the patient was at Retelk County Medical Center for replacement of her knees bilaterally , and on preoperative evaluation she was noted to have a high calcium and therefore the surgery was canceled .' +p186301 +(lp186302 +S'In\tIn\tIN\tB-PP\tO' +p186303 +aS'August\tAugust\tNNP\tB-NP\tO' +p186304 +aS'of\tof\tIN\tB-PP\tO' +p186305 +aS'1996\t1996\tCD\tB-NP\tO' +p186306 +aS'while\twhile\tIN\tB-SBAR\tO' +p186307 +aS'the\tthe\tDT\tB-NP\tO' +p186308 +aS'patient\tpatient\tNN\tI-NP\tO' +p186309 +aS'was\tbe\tVBD\tB-VP\tO' +p186310 +aS'at\tat\tIN\tB-PP\tO' +p186311 +aS'Retelk\tRetelk\tNNP\tB-NP\tO' +p186312 +aS'County\tCounty\tNNP\tI-NP\tO' +p186313 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p186314 +aS'Center\tCenter\tNNP\tI-NP\tO' +p186315 +aS'for\tfor\tIN\tB-PP\tO' +p186316 +aS'replacement\treplacement\tNN\tB-NP\tO' +p186317 +aS'of\tof\tIN\tB-PP\tO' +p186318 +aS'her\ther\tPRP$\tB-NP\tO' +p186319 +aS'knees\tknee\tNNS\tI-NP\tO' +p186320 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p186321 +aS',\t,\t,\tB-PP\tO' +p186322 +aS'and\tand\tCC\tI-PP\tO' +p186323 +aS'on\ton\tIN\tB-PP\tO' +p186324 +aS'preoperative\tpreoperative\tJJ\tB-NP\tO' +p186325 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p186326 +aS'she\tshe\tPRP\tB-NP\tO' +p186327 +aS'was\tbe\tVBD\tB-VP\tO' +p186328 +aS'noted\tnote\tVBN\tI-VP\tO' +p186329 +aS'to\tto\tTO\tI-VP\tO' +p186330 +aS'have\thave\tVB\tI-VP\tO' +p186331 +aS'a\ta\tDT\tB-NP\tO' +p186332 +aS'high\thigh\tJJ\tI-NP\tO' +p186333 +aS'calcium\tcalcium\tNN\tI-NP\tO' +p186334 +aS'and\tand\tCC\tO\tO' +p186335 +aS'therefore\ttherefore\tRB\tB-ADVP\tO' +p186336 +aS'the\tthe\tDT\tB-NP\tO' +p186337 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p186338 +aS'was\tbe\tVBD\tB-VP\tO' +p186339 +aS'canceled\tcancel\tVBN\tI-VP\tO' +p186340 +aS'.\t.\t.\tO\tO' +p186341 +asS'Her amylase and lipase on the day following the endoscopic retrograde cholangiopancreatography' +p186342 +(lp186343 +S'Her\tHer\tPRP$\tB-NP\tO' +p186344 +aS'amylase\tamylase\tNN\tI-NP\tB-protein' +p186345 +aS'and\tand\tCC\tI-NP\tO' +p186346 +aS'lipase\tlipase\tNN\tI-NP\tO' +p186347 +aS'on\ton\tIN\tB-PP\tO' +p186348 +aS'the\tthe\tDT\tB-NP\tO' +p186349 +aS'day\tday\tNN\tI-NP\tO' +p186350 +aS'following\tfollow\tVBG\tB-PP\tO' +p186351 +aS'the\tthe\tDT\tB-NP\tO' +p186352 +aS'endoscopic\tendoscopic\tJJ\tI-NP\tO' +p186353 +aS'retrograde\tretrograde\tNN\tI-NP\tO' +p186354 +aS'cholangiopancreatography\tcholangiopancreatography\tNN\tI-NP\tO' +p186355 +asS'Significant for BUN and creatinine 33/2.4 .' +p186356 +(lp186357 +S'Significant\tSignificant\tJJ\tB-ADJP\tO' +p186358 +aS'for\tfor\tIN\tB-PP\tO' +p186359 +aS'BUN\tBUN\tNN\tB-NP\tB-protein' +p186360 +aS'and\tand\tCC\tO\tO' +p186361 +aS'creatinine\tcreatinine\tNN\tB-NP\tB-protein' +p186362 +aS'33/2.4\t33/2.4\tCD\tI-NP\tI-protein' +p186363 +aS'.\t.\t.\tO\tO' +p186364 +asS"However there was dissent among neurologists about patient 's ability to recover from the SAH while awaiting family members and the patient was changed to full code ." +p186365 +(lp186366 +S'However\tHowever\tRB\tB-ADVP\tO' +p186367 +aS'there\tthere\tEX\tB-NP\tO' +p186368 +aS'was\tbe\tVBD\tB-VP\tO' +p186369 +aS'dissent\tdissent\tJJ\tB-ADJP\tO' +p186370 +aS'among\tamong\tIN\tB-PP\tO' +p186371 +aS'neurologists\tneurologist\tNNS\tB-NP\tO' +p186372 +aS'about\tabout\tIN\tB-PP\tO' +p186373 +aS'patient\tpatient\tNN\tB-NP\tO' +p186374 +aS"'s\t's\tPOS\tB-NP\tO" +p186375 +aS'ability\tability\tNN\tI-NP\tO' +p186376 +aS'to\tto\tTO\tB-VP\tO' +p186377 +aS'recover\trecover\tVB\tI-VP\tO' +p186378 +aS'from\tfrom\tIN\tB-PP\tO' +p186379 +aS'the\tthe\tDT\tB-NP\tO' +p186380 +aS'SAH\tSAH\tNN\tI-NP\tB-protein' +p186381 +aS'while\twhile\tIN\tB-SBAR\tI-protein' +p186382 +aS'awaiting\tawait\tVBG\tB-VP\tI-protein' +p186383 +aS'family\tfamily\tNN\tB-NP\tI-protein' +p186384 +aS'members\tmember\tNNS\tI-NP\tI-protein' +p186385 +aS'and\tand\tCC\tO\tO' +p186386 +aS'the\tthe\tDT\tB-NP\tO' +p186387 +aS'patient\tpatient\tNN\tI-NP\tO' +p186388 +aS'was\tbe\tVBD\tB-VP\tO' +p186389 +aS'changed\tchange\tVBN\tI-VP\tO' +p186390 +aS'to\tto\tTO\tB-PP\tO' +p186391 +aS'full\tfull\tJJ\tB-NP\tO' +p186392 +aS'code\tcode\tNN\tI-NP\tO' +p186393 +aS'.\t.\t.\tO\tO' +p186394 +asS'She received 48 hours of ampicillin and gentamycin with negative blood cultures and antibiotics were discontinued .' +p186395 +(lp186396 +S'She\tShe\tPRP\tB-NP\tO' +p186397 +aS'received\treceive\tVBD\tB-VP\tO' +p186398 +aS'48\t48\tCD\tB-NP\tO' +p186399 +aS'hours\thour\tNNS\tI-NP\tO' +p186400 +aS'of\tof\tIN\tB-PP\tO' +p186401 +aS'ampicillin\tampicillin\tNN\tB-NP\tO' +p186402 +aS'and\tand\tCC\tI-NP\tO' +p186403 +aS'gentamycin\tgentamycin\tNN\tI-NP\tO' +p186404 +aS'with\twith\tIN\tB-PP\tO' +p186405 +aS'negative\tnegative\tJJ\tB-NP\tO' +p186406 +aS'blood\tblood\tNN\tI-NP\tO' +p186407 +aS'cultures\tculture\tNNS\tI-NP\tO' +p186408 +aS'and\tand\tCC\tI-NP\tO' +p186409 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p186410 +aS'were\tbe\tVBD\tB-VP\tO' +p186411 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p186412 +aS'.\t.\t.\tO\tO' +p186413 +asS'His blood pressure was fairly low with a maximum of 130s systolic during his admission , thus we did not continue his lisinopril which he had been on in the past .' +p186414 +(lp186415 +S'His\tHis\tPRP$\tB-NP\tO' +p186416 +aS'blood\tblood\tNN\tI-NP\tO' +p186417 +aS'pressure\tpressure\tNN\tI-NP\tO' +p186418 +aS'was\tbe\tVBD\tB-VP\tO' +p186419 +aS'fairly\tfairly\tRB\tB-ADJP\tO' +p186420 +aS'low\tlow\tJJ\tI-ADJP\tO' +p186421 +aS'with\twith\tIN\tB-PP\tO' +p186422 +aS'a\ta\tDT\tB-NP\tO' +p186423 +aS'maximum\tmaximum\tNN\tI-NP\tO' +p186424 +aS'of\tof\tIN\tB-PP\tO' +p186425 +aS'130s\t130\tNNS\tB-NP\tO' +p186426 +aS'systolic\tsystolic\tJJ\tB-ADJP\tO' +p186427 +aS'during\tduring\tIN\tB-PP\tO' +p186428 +aS'his\this\tPRP$\tB-NP\tO' +p186429 +aS'admission\tadmission\tNN\tI-NP\tO' +p186430 +aS',\t,\t,\tO\tO' +p186431 +aS'thus\tthus\tRB\tB-ADVP\tO' +p186432 +aS'we\twe\tPRP\tB-NP\tO' +p186433 +aS'did\tdo\tVBD\tB-VP\tO' +p186434 +aS'not\tnot\tRB\tI-VP\tO' +p186435 +aS'continue\tcontinue\tVB\tI-VP\tO' +p186436 +aS'his\this\tPRP$\tB-NP\tO' +p186437 +aS'lisinopril\tlisinopril\tNN\tI-NP\tO' +p186438 +aS'which\twhich\tWDT\tB-NP\tO' +p186439 +aS'he\the\tPRP\tB-NP\tO' +p186440 +aS'had\thave\tVBD\tB-VP\tO' +p186441 +aS'been\tbe\tVBN\tI-VP\tO' +p186442 +aS'on\ton\tRP\tB-PRT\tO' +p186443 +aS'in\tin\tIN\tB-PP\tO' +p186444 +aS'the\tthe\tDT\tB-NP\tO' +p186445 +aS'past\tpast\tNN\tI-NP\tO' +p186446 +aS'.\t.\t.\tO\tO' +p186447 +asS'10. status post dilation and curettage ,' +p186448 +(lp186449 +S'10.\t10.\tLS\tB-NP\tO' +p186450 +aS'status\tstatus\tNN\tI-NP\tO' +p186451 +aS'post\tpost\tNN\tI-NP\tO' +p186452 +aS'dilation\tdilation\tNN\tI-NP\tO' +p186453 +aS'and\tand\tCC\tI-NP\tO' +p186454 +aS'curettage\tcurettage\tNN\tI-NP\tO' +p186455 +aS',\t,\t,\tO\tO' +p186456 +asS'Patient was transfused 2 units of packed red blood cells overnight , the first night after admission and his hematocrit bumped up appropriately .' +p186457 +(lp186458 +S'Patient\tPatient\tNN\tB-NP\tO' +p186459 +aS'was\tbe\tVBD\tB-VP\tO' +p186460 +aS'transfused\ttransfuse\tVBN\tI-VP\tO' +p186461 +aS'2\t2\tCD\tB-NP\tO' +p186462 +aS'units\tunit\tNNS\tI-NP\tO' +p186463 +aS'of\tof\tIN\tB-PP\tO' +p186464 +aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' +p186465 +aS'red\tred\tJJ\tI-NP\tI-cell_type' +p186466 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p186467 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p186468 +aS'overnight\tovernight\tRB\tB-ADVP\tO' +p186469 +aS',\t,\t,\tO\tO' +p186470 +aS'the\tthe\tDT\tB-NP\tO' +p186471 +aS'first\tfirst\tJJ\tI-NP\tO' +p186472 +aS'night\tnight\tNN\tI-NP\tO' +p186473 +aS'after\tafter\tIN\tB-PP\tO' +p186474 +aS'admission\tadmission\tNN\tB-NP\tO' +p186475 +aS'and\tand\tCC\tO\tO' +p186476 +aS'his\this\tPRP$\tB-NP\tO' +p186477 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p186478 +aS'bumped\tbump\tVBD\tB-VP\tO' +p186479 +aS'up\tup\tRP\tB-PRT\tO' +p186480 +aS'appropriately\tappropriately\tRB\tB-ADVP\tO' +p186481 +aS'.\t.\t.\tO\tO' +p186482 +asS'Disp :* 14 Tablet (s)* Refills :* 0 *' +p186483 +(lp186484 +S'Disp\tDisp\tNN\tB-NP\tO' +p186485 +aS':*\t:*\tSYM\tI-NP\tO' +p186486 +aS'14\t14\tCD\tI-NP\tO' +p186487 +aS'Tablet\tTablet\tNN\tI-NP\tO' +p186488 +aS'(s)*\t(s)*\tSYM\tI-NP\tO' +p186489 +aS'Refills\tRefill\tNNPS\tI-NP\tO' +p186490 +aS':*\t:*\tSYM\tB-NP\tO' +p186491 +aS'0\t0\tCD\tI-NP\tO' +p186492 +aS'*\t*\tSYM\tB-NP\tO' +p186493 +asS'The patient is a 68 year old male status post three and a half cycles of adjuvant EAP chemotherapy .' +p186494 +(lp186495 +S'The\tThe\tDT\tB-NP\tO' +p186496 +aS'patient\tpatient\tNN\tI-NP\tO' +p186497 +aS'is\tbe\tVBZ\tB-VP\tO' +p186498 +aS'a\ta\tDT\tB-NP\tO' +p186499 +aS'68\t68\tCD\tI-NP\tO' +p186500 +aS'year\tyear\tNN\tI-NP\tO' +p186501 +aS'old\told\tJJ\tI-NP\tO' +p186502 +aS'male\tmale\tJJ\tI-NP\tO' +p186503 +aS'status\tstatus\tNN\tI-NP\tO' +p186504 +aS'post\tpost\tNN\tI-NP\tO' +p186505 +aS'three\tthree\tCD\tB-NP\tO' +p186506 +aS'and\tand\tCC\tI-NP\tO' +p186507 +aS'a\ta\tDT\tI-NP\tO' +p186508 +aS'half\thalf\tJJ\tI-NP\tO' +p186509 +aS'cycles\tcycle\tNNS\tI-NP\tO' +p186510 +aS'of\tof\tIN\tB-PP\tO' +p186511 +aS'adjuvant\tadjuvant\tJJ\tB-NP\tO' +p186512 +aS'EAP\tEAP\tNN\tI-NP\tO' +p186513 +aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' +p186514 +aS'.\t.\t.\tO\tO' +p186515 +asS'Clindamycin and _______________ was discontinued early in hospital course .' +p186516 +(lp186517 +S'Clindamycin\tClindamycin\tNN\tB-NP\tO' +p186518 +aS'and\tand\tCC\tI-NP\tO' +p186519 +aS'_______________\t_______________\tNN\tI-NP\tO' +p186520 +aS'was\tbe\tVBD\tB-VP\tO' +p186521 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p186522 +aS'early\tearly\tRB\tB-ADVP\tO' +p186523 +aS'in\tin\tIN\tB-PP\tO' +p186524 +aS'hospital\thospital\tNN\tB-NP\tO' +p186525 +aS'course\tcourse\tNN\tI-NP\tO' +p186526 +aS'.\t.\t.\tO\tO' +p186527 +asS'calcium levels were followed with a goal to keep them around 8.0 by continuing Calcium carbonate , calcitriol .' +p186528 +(lp186529 +S'calcium\tcalcium\tNN\tB-NP\tO' +p186530 +aS'levels\tlevel\tNNS\tI-NP\tO' +p186531 +aS'were\tbe\tVBD\tB-VP\tO' +p186532 +aS'followed\tfollow\tVBN\tI-VP\tO' +p186533 +aS'with\twith\tIN\tB-PP\tO' +p186534 +aS'a\ta\tDT\tB-NP\tO' +p186535 +aS'goal\tgoal\tNN\tI-NP\tO' +p186536 +aS'to\tto\tTO\tB-VP\tO' +p186537 +aS'keep\tkeep\tVB\tI-VP\tO' +p186538 +aS'them\tthem\tPRP\tB-NP\tO' +p186539 +aS'around\taround\tIN\tB-PP\tO' +p186540 +aS'8.0\t8.0\tCD\tB-NP\tO' +p186541 +aS'by\tby\tIN\tB-PP\tO' +p186542 +aS'continuing\tcontinue\tVBG\tB-NP\tO' +p186543 +aS'Calcium\tCalcium\tNN\tI-NP\tO' +p186544 +aS'carbonate\tcarbonate\tNN\tI-NP\tO' +p186545 +aS',\t,\t,\tO\tO' +p186546 +aS'calcitriol\tcalcitriol\tNN\tB-NP\tO' +p186547 +aS'.\t.\t.\tO\tO' +p186548 +asS'He is being transferred to Linghs County Medical Center for further care .' +p186549 +(lp186550 +S'He\tHe\tPRP\tB-NP\tO' +p186551 +aS'is\tbe\tVBZ\tB-VP\tO' +p186552 +aS'being\tbe\tVBG\tI-VP\tO' +p186553 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p186554 +aS'to\tto\tTO\tB-PP\tO' +p186555 +aS'Linghs\tLinghs\tNNP\tB-NP\tO' +p186556 +aS'County\tCounty\tNNP\tI-NP\tO' +p186557 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p186558 +aS'Center\tCenter\tNNP\tI-NP\tO' +p186559 +aS'for\tfor\tIN\tB-PP\tO' +p186560 +aS'further\tfurther\tJJ\tB-NP\tO' +p186561 +aS'care\tcare\tNN\tI-NP\tO' +p186562 +aS'.\t.\t.\tO\tO' +p186563 +asS'Source of primary pediatric care is David Bull at 1899 S. Fifth Rd. , Salem , Florida 92564 .' +p186564 +(lp186565 +S'Source\tSource\tNN\tB-NP\tO' +p186566 +aS'of\tof\tIN\tB-PP\tO' +p186567 +aS'primary\tprimary\tJJ\tB-NP\tO' +p186568 +aS'pediatric\tpediatric\tJJ\tI-NP\tO' +p186569 +aS'care\tcare\tNN\tI-NP\tO' +p186570 +aS'is\tbe\tVBZ\tB-VP\tO' +p186571 +aS'David\tDavid\tNNP\tB-NP\tO' +p186572 +aS'Bull\tBull\tNNP\tI-NP\tO' +p186573 +aS'at\tat\tIN\tB-PP\tO' +p186574 +aS'1899\t1899\tCD\tB-NP\tO' +p186575 +aS'S.\tS.\tNNP\tI-NP\tO' +p186576 +aS'Fifth\tFifth\tNNP\tI-NP\tO' +p186577 +aS'Rd.\tRd.\tNNP\tI-NP\tO' +p186578 +aS',\t,\t,\tO\tO' +p186579 +aS'Salem\tSalem\tNNP\tB-NP\tO' +p186580 +aS',\t,\t,\tO\tO' +p186581 +aS'Florida\tFlorida\tNNP\tB-NP\tO' +p186582 +aS'92564\t92564\tCD\tI-NP\tO' +p186583 +aS'.\t.\t.\tO\tO' +p186584 +asS'Trental 400 milligrams t.i.d. , Cytotec 100 milligrams t.i.d. , Ativan 2 milligrams q.h.s. Darvon 65 milligrams two q.i.d , Relafen 500 milligrams b.i.d , Vitamin E , Prilosec 20 milligrams once a day , Zantac 150 milligrams b.i.d , Lasix 120 milligrams every other day PRN edema .' +p186585 +(lp186586 +S'Trental\tTrental\tJJ\tB-NP\tO' +p186587 +aS'400\t400\tCD\tI-NP\tO' +p186588 +aS'milligrams\tmilligram\tNNS\tI-NP\tO' +p186589 +aS't.i.d.\tt.i.d.\tRB\tB-ADVP\tO' +p186590 +aS',\t,\t,\tO\tO' +p186591 +aS'Cytotec\tCytotec\tNNP\tB-NP\tO' +p186592 +aS'100\t100\tCD\tI-NP\tO' +p186593 +aS'milligrams\tmilligram\tNNS\tI-NP\tO' +p186594 +aS't.i.d.\tt.i.d.\tRB\tB-ADVP\tO' +p186595 +aS',\t,\t,\tO\tO' +p186596 +aS'Ativan\tAtivan\tNNP\tB-NP\tO' +p186597 +aS'2\t2\tCD\tI-NP\tO' +p186598 +aS'milligrams\tmilligram\tNNS\tI-NP\tO' +p186599 +aS'q.h.s.\tq.h.s.\tNN\tI-NP\tO' +p186600 +aS'Darvon\tDarvon\tNNP\tB-NP\tO' +p186601 +aS'65\t65\tCD\tI-NP\tO' +p186602 +aS'milligrams\tmilligram\tNNS\tI-NP\tO' +p186603 +aS'two\ttwo\tCD\tB-NP\tO' +p186604 +aS'q.i.d\tq.i.d\tNN\tI-NP\tO' +p186605 +aS',\t,\t,\tO\tO' +p186606 +aS'Relafen\tRelafen\tNN\tB-NP\tO' +p186607 +aS'500\t500\tCD\tI-NP\tO' +p186608 +aS'milligrams\tmilligram\tNNS\tI-NP\tO' +p186609 +aS'b.i.d\tb.i.d\tNN\tI-NP\tO' +p186610 +aS',\t,\t,\tO\tO' +p186611 +aS'Vitamin\tVitamin\tNNP\tB-NP\tO' +p186612 +aS'E\tE\tNNP\tI-NP\tO' +p186613 +aS',\t,\t,\tO\tO' +p186614 +aS'Prilosec\tPrilosec\tNNP\tB-NP\tO' +p186615 +aS'20\t20\tCD\tI-NP\tO' +p186616 +aS'milligrams\tmilligram\tNNS\tI-NP\tO' +p186617 +aS'once\tonce\tIN\tB-SBAR\tO' +p186618 +aS'a\ta\tDT\tB-NP\tO' +p186619 +aS'day\tday\tNN\tI-NP\tO' +p186620 +aS',\t,\t,\tO\tO' +p186621 +aS'Zantac\tZantac\tNN\tB-NP\tO' +p186622 +aS'150\t150\tCD\tI-NP\tO' +p186623 +aS'milligrams\tmilligram\tNNS\tI-NP\tO' +p186624 +aS'b.i.d\tb.i.d\tNN\tI-NP\tO' +p186625 +aS',\t,\t,\tO\tO' +p186626 +aS'Lasix\tLasix\tNNP\tB-NP\tO' +p186627 +aS'120\t120\tCD\tI-NP\tO' +p186628 +aS'milligrams\tmilligram\tNNS\tI-NP\tO' +p186629 +aS'every\tevery\tDT\tB-NP\tO' +p186630 +aS'other\tother\tJJ\tI-NP\tO' +p186631 +aS'day\tday\tNN\tI-NP\tO' +p186632 +aS'PRN\tPRN\tNN\tI-NP\tO' +p186633 +aS'edema\tedema\tNN\tI-NP\tO' +p186634 +aS'.\t.\t.\tO\tO' +p186635 +asS'However , on 05-07-92 there was a a question of a new event with addition to the left upper extremity weakness , some noted right upper and right lower extremity discoordination .' +p186636 +(lp186637 +S'However\tHowever\tRB\tB-ADVP\tO' +p186638 +aS',\t,\t,\tO\tO' +p186639 +aS'on\ton\tIN\tB-PP\tO' +p186640 +aS'05-07-92\t05-07-92\tCD\tB-NP\tO' +p186641 +aS'there\tthere\tEX\tB-NP\tO' +p186642 +aS'was\tbe\tVBD\tB-VP\tO' +p186643 +aS'a\ta\tDT\tB-NP\tO' +p186644 +aS'a\ta\tDT\tI-NP\tO' +p186645 +aS'question\tquestion\tNN\tI-NP\tO' +p186646 +aS'of\tof\tIN\tB-PP\tO' +p186647 +aS'a\ta\tDT\tB-NP\tO' +p186648 +aS'new\tnew\tJJ\tI-NP\tO' +p186649 +aS'event\tevent\tNN\tI-NP\tO' +p186650 +aS'with\twith\tIN\tB-PP\tO' +p186651 +aS'addition\taddition\tNN\tB-NP\tO' +p186652 +aS'to\tto\tTO\tB-PP\tO' +p186653 +aS'the\tthe\tDT\tB-NP\tO' +p186654 +aS'left\tleft\tJJ\tI-NP\tO' +p186655 +aS'upper\tupper\tJJ\tI-NP\tO' +p186656 +aS'extremity\textremity\tNN\tI-NP\tO' +p186657 +aS'weakness\tweakness\tNN\tI-NP\tO' +p186658 +aS',\t,\t,\tO\tO' +p186659 +aS'some\tsome\tDT\tB-NP\tO' +p186660 +aS'noted\tnote\tVBN\tI-NP\tO' +p186661 +aS'right\tright\tJJ\tI-NP\tO' +p186662 +aS'upper\tupper\tJJ\tI-NP\tO' +p186663 +aS'and\tand\tCC\tI-NP\tO' +p186664 +aS'right\tright\tJJ\tI-NP\tO' +p186665 +aS'lower\tlow\tJJR\tI-NP\tO' +p186666 +aS'extremity\textremity\tNN\tI-NP\tO' +p186667 +aS'discoordination\tdiscoordination\tNN\tI-NP\tO' +p186668 +aS'.\t.\t.\tO\tO' +p186669 +asS'The patient was asked to follow up with his PCP , Dr. Cora Belbsnil , at Necrestneysagiles Medical Center in a period of 1 to 2 weeks .' +p186670 +(lp186671 +S'The\tThe\tDT\tB-NP\tO' +p186672 +aS'patient\tpatient\tNN\tI-NP\tO' +p186673 +aS'was\tbe\tVBD\tB-VP\tO' +p186674 +aS'asked\task\tVBN\tI-VP\tO' +p186675 +aS'to\tto\tTO\tI-VP\tO' +p186676 +aS'follow\tfollow\tVB\tI-VP\tO' +p186677 +aS'up\tup\tRP\tB-PRT\tO' +p186678 +aS'with\twith\tIN\tB-PP\tO' +p186679 +aS'his\this\tPRP$\tB-NP\tO' +p186680 +aS'PCP\tPCP\tNN\tI-NP\tB-DNA' +p186681 +aS',\t,\t,\tO\tO' +p186682 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p186683 +aS'Cora\tCora\tNNP\tI-NP\tO' +p186684 +aS'Belbsnil\tBelbsnil\tNNP\tI-NP\tO' +p186685 +aS',\t,\t,\tO\tO' +p186686 +aS'at\tat\tIN\tB-PP\tO' +p186687 +aS'Necrestneysagiles\tNecrestneysagiles\tNNP\tB-NP\tO' +p186688 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p186689 +aS'Center\tCenter\tNNP\tI-NP\tO' +p186690 +aS'in\tin\tIN\tB-PP\tO' +p186691 +aS'a\ta\tDT\tB-NP\tO' +p186692 +aS'period\tperiod\tNN\tI-NP\tO' +p186693 +aS'of\tof\tIN\tB-PP\tO' +p186694 +aS'1\t1\tCD\tB-NP\tO' +p186695 +aS'to\tto\tTO\tI-NP\tO' +p186696 +aS'2\t2\tCD\tI-NP\tO' +p186697 +aS'weeks\tweek\tNNS\tI-NP\tO' +p186698 +aS'.\t.\t.\tO\tO' +p186699 +asS'Occasional paroxysmal nocturnal dyspnea in the past but none recently .' +p186700 +(lp186701 +S'Occasional\tOccasional\tJJ\tB-NP\tO' +p186702 +aS'paroxysmal\tparoxysmal\tJJ\tI-NP\tO' +p186703 +aS'nocturnal\tnocturnal\tJJ\tI-NP\tO' +p186704 +aS'dyspnea\tdyspnea\tNN\tI-NP\tO' +p186705 +aS'in\tin\tIN\tB-PP\tO' +p186706 +aS'the\tthe\tDT\tB-NP\tO' +p186707 +aS'past\tpast\tNN\tI-NP\tO' +p186708 +aS'but\tbut\tCC\tO\tO' +p186709 +aS'none\tnone\tNN\tB-NP\tO' +p186710 +aS'recently\trecently\tRB\tB-ADVP\tO' +p186711 +aS'.\t.\t.\tO\tO' +p186712 +asS'Here , had T wave flattening laterally and inferiorly with pain that resolved pain free , but not clear that lead placement is the same .' +p186713 +(lp186714 +S'Here\tHere\tRB\tB-ADVP\tO' +p186715 +aS',\t,\t,\tO\tO' +p186716 +aS'had\thave\tVBD\tB-VP\tO' +p186717 +aS'T\tT\tNN\tB-NP\tO' +p186718 +aS'wave\twave\tNN\tI-NP\tO' +p186719 +aS'flattening\tflatten\tVBG\tB-VP\tO' +p186720 +aS'laterally\tlaterally\tRB\tB-ADVP\tO' +p186721 +aS'and\tand\tCC\tI-ADVP\tO' +p186722 +aS'inferiorly\tinferiorly\tRB\tI-ADVP\tO' +p186723 +aS'with\twith\tIN\tB-PP\tO' +p186724 +aS'pain\tpain\tNN\tB-NP\tO' +p186725 +aS'that\tthat\tWDT\tB-NP\tO' +p186726 +aS'resolved\tresolve\tVBD\tB-VP\tO' +p186727 +aS'pain\tpain\tNN\tB-NP\tO' +p186728 +aS'free\tfree\tJJ\tB-ADJP\tO' +p186729 +aS',\t,\t,\tO\tO' +p186730 +aS'but\tbut\tCC\tO\tO' +p186731 +aS'not\tnot\tRB\tO\tO' +p186732 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p186733 +aS'that\tthat\tIN\tB-SBAR\tO' +p186734 +aS'lead\tlead\tNN\tB-NP\tO' +p186735 +aS'placement\tplacement\tNN\tI-NP\tO' +p186736 +aS'is\tbe\tVBZ\tB-VP\tO' +p186737 +aS'the\tthe\tDT\tB-NP\tO' +p186738 +aS'same\tsame\tJJ\tI-NP\tO' +p186739 +aS'.\t.\t.\tO\tO' +p186740 +asS'3. Ascites , and intraperitoneal carcinomatosis , which can arise from either of the two processes described above .' +p186741 +(lp186742 +S'3.\t3.\tLS\tB-NP\tO' +p186743 +aS'Ascites\tAscites\tNN\tI-NP\tO' +p186744 +aS',\t,\t,\tO\tO' +p186745 +aS'and\tand\tCC\tO\tO' +p186746 +aS'intraperitoneal\tintraperitoneal\tJJ\tB-NP\tO' +p186747 +aS'carcinomatosis\tcarcinomatosis\tNN\tI-NP\tO' +p186748 +aS',\t,\t,\tO\tO' +p186749 +aS'which\twhich\tWDT\tB-NP\tO' +p186750 +aS'can\tcan\tMD\tB-VP\tO' +p186751 +aS'arise\tarise\tVB\tI-VP\tO' +p186752 +aS'from\tfrom\tIN\tB-PP\tO' +p186753 +aS'either\teither\tDT\tB-NP\tO' +p186754 +aS'of\tof\tIN\tB-PP\tO' +p186755 +aS'the\tthe\tDT\tB-NP\tO' +p186756 +aS'two\ttwo\tCD\tI-NP\tO' +p186757 +aS'processes\tprocess\tNNS\tI-NP\tO' +p186758 +aS'described\tdescribe\tVBN\tB-VP\tO' +p186759 +aS'above\tabove\tRB\tB-ADVP\tO' +p186760 +aS'.\t.\t.\tO\tO' +p186761 +asS'pt without stigmata of SBE .' +p186762 +(lp186763 +S'pt\tpt\tNN\tB-NP\tO' +p186764 +aS'without\twithout\tIN\tB-PP\tO' +p186765 +aS'stigmata\tstigma\tNNS\tB-NP\tO' +p186766 +aS'of\tof\tIN\tB-PP\tO' +p186767 +aS'SBE\tSBE\tNN\tB-NP\tB-protein' +p186768 +aS'.\t.\t.\tO\tO' +p186769 +asS'1. Non-Q wave myocardial infarction .' +p186770 +(lp186771 +S'1.\t1.\tLS\tB-NP\tO' +p186772 +aS'Non-Q\tNon-Q\tNN\tI-NP\tB-protein' +p186773 +aS'wave\twave\tVB\tB-VP\tO' +p186774 +aS'myocardial\tmyocardial\tJJ\tB-NP\tO' +p186775 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p186776 +aS'.\t.\t.\tO\tO' +p186777 +asS'Portable chest x-ray was without evidence of congestive heart failure or pneumonia .' +p186778 +(lp186779 +S'Portable\tPortable\tJJ\tB-NP\tO' +p186780 +aS'chest\tchest\tNN\tI-NP\tO' +p186781 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p186782 +aS'was\tbe\tVBD\tB-VP\tO' +p186783 +aS'without\twithout\tIN\tB-PP\tO' +p186784 +aS'evidence\tevidence\tNN\tB-NP\tO' +p186785 +aS'of\tof\tIN\tB-PP\tO' +p186786 +aS'congestive\tcongestive\tJJ\tB-NP\tO' +p186787 +aS'heart\theart\tNN\tI-NP\tO' +p186788 +aS'failure\tfailure\tNN\tI-NP\tO' +p186789 +aS'or\tor\tCC\tI-NP\tO' +p186790 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p186791 +aS'.\t.\t.\tO\tO' +p186792 +asS'There is opacification of the mastoid air cells , greater on the left than the right .' +p186793 +(lp186794 +S'There\tThere\tEX\tB-NP\tO' +p186795 +aS'is\tbe\tVBZ\tB-VP\tO' +p186796 +aS'opacification\topacification\tNN\tB-NP\tO' +p186797 +aS'of\tof\tIN\tB-PP\tO' +p186798 +aS'the\tthe\tDT\tB-NP\tO' +p186799 +aS'mastoid\tmastoid\tJJ\tI-NP\tB-cell_type' +p186800 +aS'air\tair\tNN\tI-NP\tI-cell_type' +p186801 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p186802 +aS',\t,\t,\tO\tO' +p186803 +aS'greater\tgreat\tJJR\tB-ADJP\tO' +p186804 +aS'on\ton\tIN\tB-PP\tO' +p186805 +aS'the\tthe\tDT\tB-NP\tO' +p186806 +aS'left\tleft\tNN\tI-NP\tO' +p186807 +aS'than\tthan\tIN\tB-PP\tO' +p186808 +aS'the\tthe\tDT\tB-NP\tO' +p186809 +aS'right\tright\tNN\tI-NP\tO' +p186810 +aS'.\t.\t.\tO\tO' +p186811 +asS'Group home states that patient " may have taken too many Xanax .' +p186812 +(lp186813 +S'Group\tGroup\tNN\tB-NP\tO' +p186814 +aS'home\thome\tNN\tI-NP\tO' +p186815 +aS'states\tstate\tNNS\tI-NP\tO' +p186816 +aS'that\tthat\tIN\tB-SBAR\tO' +p186817 +aS'patient\tpatient\tNN\tB-NP\tO' +p186818 +aS'"\t"\t\'\'\tO\tO' +p186819 +aS'may\tmay\tMD\tB-VP\tO' +p186820 +aS'have\thave\tVB\tI-VP\tO' +p186821 +aS'taken\ttake\tVBN\tI-VP\tO' +p186822 +aS'too\ttoo\tRB\tB-NP\tO' +p186823 +aS'many\tmany\tJJ\tI-NP\tO' +p186824 +aS'Xanax\tXanax\tNN\tI-NP\tO' +p186825 +aS'.\t.\t.\tO\tO' +p186826 +asS'1. Right parietal subdural bleed , status post fall from standing position with no loss of consciousness and no neurologic deficits or progression .' +p186827 +(lp186828 +S'1.\t1.\tLS\tB-NP\tO' +p186829 +aS'Right\tRight\tNN\tI-NP\tO' +p186830 +aS'parietal\tparietal\tJJ\tI-NP\tO' +p186831 +aS'subdural\tsubdural\tJJ\tI-NP\tO' +p186832 +aS'bleed\tbleed\tNN\tI-NP\tO' +p186833 +aS',\t,\t,\tO\tO' +p186834 +aS'status\tstatus\tNN\tB-NP\tO' +p186835 +aS'post\tpost\tNN\tI-NP\tO' +p186836 +aS'fall\tfall\tNN\tI-NP\tO' +p186837 +aS'from\tfrom\tIN\tB-PP\tO' +p186838 +aS'standing\tstand\tVBG\tB-VP\tO' +p186839 +aS'position\tposition\tNN\tB-NP\tO' +p186840 +aS'with\twith\tIN\tB-PP\tO' +p186841 +aS'no\tno\tDT\tB-NP\tO' +p186842 +aS'loss\tloss\tNN\tI-NP\tO' +p186843 +aS'of\tof\tIN\tB-PP\tO' +p186844 +aS'consciousness\tconsciousness\tNN\tB-NP\tO' +p186845 +aS'and\tand\tCC\tO\tO' +p186846 +aS'no\tno\tDT\tB-NP\tO' +p186847 +aS'neurologic\tneurologic\tJJ\tI-NP\tO' +p186848 +aS'deficits\tdeficit\tNNS\tI-NP\tO' +p186849 +aS'or\tor\tCC\tI-NP\tO' +p186850 +aS'progression\tprogression\tNN\tI-NP\tO' +p186851 +aS'.\t.\t.\tO\tO' +p186852 +asS'no driving for one month no lifting greater than 10 pounds for 10 weeks no lotions , creams or powders on any incision may shower over incisions and pat dry call for fever greater than 100.5 , redness or drainage' +p186853 +(lp186854 +S'no\tno\tDT\tB-NP\tO' +p186855 +aS'driving\tdriving\tNN\tI-NP\tO' +p186856 +aS'for\tfor\tIN\tB-PP\tO' +p186857 +aS'one\tone\tCD\tB-NP\tO' +p186858 +aS'month\tmonth\tNN\tI-NP\tO' +p186859 +aS'no\tno\tDT\tB-NP\tO' +p186860 +aS'lifting\tlifting\tNN\tI-NP\tO' +p186861 +aS'greater\tgreat\tJJR\tB-ADJP\tO' +p186862 +aS'than\tthan\tIN\tB-PP\tO' +p186863 +aS'10\t10\tCD\tB-NP\tO' +p186864 +aS'pounds\tpound\tNNS\tI-NP\tO' +p186865 +aS'for\tfor\tIN\tB-PP\tO' +p186866 +aS'10\t10\tCD\tB-NP\tO' +p186867 +aS'weeks\tweek\tNNS\tI-NP\tO' +p186868 +aS'no\tno\tDT\tB-NP\tO' +p186869 +aS'lotions\tlotion\tNNS\tI-NP\tO' +p186870 +aS',\t,\t,\tO\tO' +p186871 +aS'creams\tcream\tNNS\tB-NP\tO' +p186872 +aS'or\tor\tCC\tI-NP\tO' +p186873 +aS'powders\tpowder\tNNS\tI-NP\tO' +p186874 +aS'on\ton\tIN\tB-PP\tO' +p186875 +aS'any\tany\tDT\tB-NP\tO' +p186876 +aS'incision\tincision\tNN\tI-NP\tO' +p186877 +aS'may\tmay\tMD\tB-VP\tO' +p186878 +aS'shower\tshower\tVB\tI-VP\tO' +p186879 +aS'over\tover\tIN\tB-PP\tO' +p186880 +aS'incisions\tincision\tNNS\tB-NP\tO' +p186881 +aS'and\tand\tCC\tO\tO' +p186882 +aS'pat\tpat\tNN\tB-NP\tO' +p186883 +aS'dry\tdry\tJJ\tI-NP\tO' +p186884 +aS'call\tcall\tNN\tI-NP\tO' +p186885 +aS'for\tfor\tIN\tB-PP\tO' +p186886 +aS'fever\tfever\tNN\tB-NP\tO' +p186887 +aS'greater\tgreat\tJJR\tB-ADJP\tO' +p186888 +aS'than\tthan\tIN\tB-PP\tO' +p186889 +aS'100.5\t100.5\tCD\tB-NP\tO' +p186890 +aS',\t,\t,\tO\tO' +p186891 +aS'redness\tredness\tNN\tB-NP\tO' +p186892 +aS'or\tor\tCC\tO\tO' +p186893 +aS'drainage\tdrainage\tNN\tB-NP\tO' +p186894 +asS'An electrocardiogram was checked which revealed no ST changes , and there was no increase in her downward trending creatine phosphokinases .' +p186895 +(lp186896 +S'An\tAn\tDT\tB-NP\tO' +p186897 +aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' +p186898 +aS'was\tbe\tVBD\tB-VP\tO' +p186899 +aS'checked\tcheck\tVBN\tI-VP\tO' +p186900 +aS'which\twhich\tWDT\tB-NP\tO' +p186901 +aS'revealed\treveal\tVBD\tB-VP\tO' +p186902 +aS'no\tno\tDT\tB-NP\tO' +p186903 +aS'ST\tST\tNN\tI-NP\tO' +p186904 +aS'changes\tchange\tNNS\tI-NP\tO' +p186905 +aS',\t,\t,\tO\tO' +p186906 +aS'and\tand\tCC\tO\tO' +p186907 +aS'there\tthere\tEX\tB-NP\tO' +p186908 +aS'was\tbe\tVBD\tB-VP\tO' +p186909 +aS'no\tno\tDT\tB-NP\tO' +p186910 +aS'increase\tincrease\tNN\tI-NP\tO' +p186911 +aS'in\tin\tIN\tB-PP\tO' +p186912 +aS'her\ther\tPRP$\tB-NP\tB-protein' +p186913 +aS'downward\tdownward\tJJ\tI-NP\tI-protein' +p186914 +aS'trending\ttrending\tNN\tI-NP\tI-protein' +p186915 +aS'creatine\tcreatine\tNN\tI-NP\tI-protein' +p186916 +aS'phosphokinases\tphosphokinas\tNNS\tI-NP\tI-protein' +p186917 +aS'.\t.\t.\tO\tO' +p186918 +asS'Vital signs stabilized and she was transfered back to the medical floor after 2 days in the ICU .' +p186919 +(lp186920 +S'Vital\tVital\tJJ\tB-NP\tO' +p186921 +aS'signs\tsign\tNNS\tI-NP\tO' +p186922 +aS'stabilized\tstabilize\tVBN\tB-VP\tO' +p186923 +aS'and\tand\tCC\tO\tO' +p186924 +aS'she\tshe\tPRP\tB-NP\tO' +p186925 +aS'was\tbe\tVBD\tB-VP\tO' +p186926 +aS'transfered\ttransfer\tVBN\tI-VP\tO' +p186927 +aS'back\tback\tRB\tB-ADVP\tO' +p186928 +aS'to\tto\tTO\tB-PP\tO' +p186929 +aS'the\tthe\tDT\tB-NP\tO' +p186930 +aS'medical\tmedical\tJJ\tI-NP\tO' +p186931 +aS'floor\tfloor\tNN\tI-NP\tO' +p186932 +aS'after\tafter\tIN\tB-PP\tO' +p186933 +aS'2\t2\tCD\tB-NP\tO' +p186934 +aS'days\tday\tNNS\tI-NP\tO' +p186935 +aS'in\tin\tIN\tB-PP\tO' +p186936 +aS'the\tthe\tDT\tB-NP\tO' +p186937 +aS'ICU\tICU\tNN\tI-NP\tB-DNA' +p186938 +aS'.\t.\t.\tO\tO' +p186939 +asS'Non contributory and unavailable as she is adopted .' +p186940 +(lp186941 +S'Non\tNon\tJJ\tB-NP\tO' +p186942 +aS'contributory\tcontributory\tJJ\tI-NP\tO' +p186943 +aS'and\tand\tCC\tI-NP\tO' +p186944 +aS'unavailable\tunavailable\tJJ\tI-NP\tO' +p186945 +aS'as\tas\tIN\tB-SBAR\tO' +p186946 +aS'she\tshe\tPRP\tB-NP\tO' +p186947 +aS'is\tbe\tVBZ\tB-VP\tO' +p186948 +aS'adopted\tadopt\tVBN\tI-VP\tO' +p186949 +aS'.\t.\t.\tO\tO' +p186950 +asS'In the course of preoperative workup , Mr. Has was evaluated completely by Psychiatry with diagnoses including underlying chronic depression well-controlled on Prozac , underlying organ brain vulnerability of unclear etiology , possibly microvascular infarct , acute paranoid and belligerent behavior , possibly due to medications .' +p186951 +(lp186952 +S'In\tIn\tIN\tB-PP\tO' +p186953 +aS'the\tthe\tDT\tB-NP\tO' +p186954 +aS'course\tcourse\tNN\tI-NP\tO' +p186955 +aS'of\tof\tIN\tB-PP\tO' +p186956 +aS'preoperative\tpreoperative\tJJ\tB-NP\tO' +p186957 +aS'workup\tworkup\tNN\tI-NP\tO' +p186958 +aS',\t,\t,\tO\tO' +p186959 +aS'Mr.\tMr.\tNNP\tB-NP\tO' +p186960 +aS'Has\tHas\tNNP\tI-NP\tO' +p186961 +aS'was\tbe\tVBD\tB-VP\tO' +p186962 +aS'evaluated\tevaluate\tVBN\tI-VP\tO' +p186963 +aS'completely\tcompletely\tRB\tB-ADVP\tO' +p186964 +aS'by\tby\tIN\tB-PP\tO' +p186965 +aS'Psychiatry\tPsychiatry\tNN\tB-NP\tO' +p186966 +aS'with\twith\tIN\tB-PP\tO' +p186967 +aS'diagnoses\tdiagnosis\tNNS\tB-NP\tO' +p186968 +aS'including\tinclude\tVBG\tB-PP\tO' +p186969 +aS'underlying\tunderlie\tVBG\tB-VP\tO' +p186970 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p186971 +aS'depression\tdepression\tNN\tI-NP\tO' +p186972 +aS'well-controlled\twell-controlled\tJJ\tB-ADJP\tO' +p186973 +aS'on\ton\tIN\tB-PP\tO' +p186974 +aS'Prozac\tProzac\tNNP\tB-NP\tO' +p186975 +aS',\t,\t,\tO\tO' +p186976 +aS'underlying\tunderlie\tVBG\tB-VP\tO' +p186977 +aS'organ\torgan\tNN\tB-NP\tO' +p186978 +aS'brain\tbrain\tNN\tI-NP\tO' +p186979 +aS'vulnerability\tvulnerability\tNN\tI-NP\tO' +p186980 +aS'of\tof\tIN\tB-PP\tO' +p186981 +aS'unclear\tunclear\tJJ\tB-NP\tO' +p186982 +aS'etiology\tetiology\tNN\tI-NP\tO' +p186983 +aS',\t,\t,\tO\tO' +p186984 +aS'possibly\tpossibly\tRB\tB-NP\tO' +p186985 +aS'microvascular\tmicrovascular\tJJ\tI-NP\tO' +p186986 +aS'infarct\tinfarct\tNN\tI-NP\tO' +p186987 +aS',\t,\t,\tO\tO' +p186988 +aS'acute\tacute\tJJ\tB-NP\tO' +p186989 +aS'paranoid\tparanoid\tJJ\tI-NP\tO' +p186990 +aS'and\tand\tCC\tI-NP\tO' +p186991 +aS'belligerent\tbelligerent\tJJ\tI-NP\tO' +p186992 +aS'behavior\tbehavior\tNN\tI-NP\tO' +p186993 +aS',\t,\t,\tO\tO' +p186994 +aS'possibly\tpossibly\tRB\tB-ADVP\tO' +p186995 +aS'due\tdue\tJJ\tB-PP\tO' +p186996 +aS'to\tto\tTO\tB-PP\tO' +p186997 +aS'medications\tmedication\tNNS\tB-NP\tO' +p186998 +aS'.\t.\t.\tO\tO' +p186999 +asS'# Fevers/Infection - Per outside hospital records , the patient grew pseudomonas from blood and urine .' +p187000 +(lp187001 +S'#\t#\t#\tB-NP\tO' +p187002 +aS'Fevers/Infection\tFevers/Infection\tNN\tI-NP\tO' +p187003 +aS'-\t-\tHYPH\tI-NP\tO' +p187004 +aS'Per\tPer\tNN\tI-NP\tB-protein' +p187005 +aS'outside\toutside\tIN\tB-PP\tO' +p187006 +aS'hospital\thospital\tNN\tB-NP\tO' +p187007 +aS'records\trecord\tNNS\tI-NP\tO' +p187008 +aS',\t,\t,\tO\tO' +p187009 +aS'the\tthe\tDT\tB-NP\tO' +p187010 +aS'patient\tpatient\tNN\tI-NP\tO' +p187011 +aS'grew\tgrow\tVBD\tB-VP\tO' +p187012 +aS'pseudomonas\tpseudomona\tNNS\tB-NP\tO' +p187013 +aS'from\tfrom\tIN\tB-PP\tO' +p187014 +aS'blood\tblood\tNN\tB-NP\tO' +p187015 +aS'and\tand\tCC\tI-NP\tO' +p187016 +aS'urine\turine\tNN\tI-NP\tO' +p187017 +aS'.\t.\t.\tO\tO' +p187018 +asS'She was a poor anticoagulation candidate .' +p187019 +(lp187020 +S'She\tShe\tPRP\tB-NP\tO' +p187021 +aS'was\tbe\tVBD\tB-VP\tO' +p187022 +aS'a\ta\tDT\tB-NP\tO' +p187023 +aS'poor\tpoor\tJJ\tI-NP\tO' +p187024 +aS'anticoagulation\tanticoagulation\tNN\tI-NP\tO' +p187025 +aS'candidate\tcandidate\tNN\tI-NP\tO' +p187026 +aS'.\t.\t.\tO\tO' +p187027 +asS'He underwent an echocardiogram , which showed an EF of 60% .' +p187028 +(lp187029 +S'He\tHe\tPRP\tB-NP\tO' +p187030 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p187031 +aS'an\tan\tDT\tB-NP\tO' +p187032 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p187033 +aS',\t,\t,\tO\tO' +p187034 +aS'which\twhich\tWDT\tB-NP\tO' +p187035 +aS'showed\tshow\tVBD\tB-VP\tO' +p187036 +aS'an\tan\tDT\tB-NP\tO' +p187037 +aS'EF\tEF\tNN\tI-NP\tB-protein' +p187038 +aS'of\tof\tIN\tB-PP\tO' +p187039 +aS'60%\t60%\tNN\tB-NP\tO' +p187040 +aS'.\t.\t.\tO\tO' +p187041 +asS'Normal intervals .' +p187042 +(lp187043 +S'Normal\tNormal\tJJ\tB-NP\tO' +p187044 +aS'intervals\tinterval\tNNS\tI-NP\tO' +p187045 +aS'.\t.\t.\tO\tO' +p187046 +asS'- glipizide 5 mg po bid' +p187047 +(lp187048 +S'-\t-\tHYPH\tB-NP\tO' +p187049 +aS'glipizide\tglipizide\tNN\tI-NP\tO' +p187050 +aS'5\t5\tCD\tI-NP\tO' +p187051 +aS'mg\tmg\tNN\tI-NP\tO' +p187052 +aS'po\tpo\tNN\tI-NP\tO' +p187053 +aS'bid\tbid\tNN\tI-NP\tO' +p187054 +asS'Enteral feeds were started on day of life one and she advanced to full volume feeds of breast milk or special care formula on day of life six ( 2013-07-29 ) without problems .' +p187055 +(lp187056 +S'Enteral\tEnteral\tJJ\tB-NP\tO' +p187057 +aS'feeds\tfeed\tNNS\tI-NP\tO' +p187058 +aS'were\tbe\tVBD\tB-VP\tO' +p187059 +aS'started\tstart\tVBN\tI-VP\tO' +p187060 +aS'on\ton\tIN\tB-PP\tO' +p187061 +aS'day\tday\tNN\tB-NP\tO' +p187062 +aS'of\tof\tIN\tB-PP\tO' +p187063 +aS'life\tlife\tNN\tB-NP\tO' +p187064 +aS'one\tone\tCD\tI-NP\tO' +p187065 +aS'and\tand\tCC\tO\tO' +p187066 +aS'she\tshe\tPRP\tB-NP\tO' +p187067 +aS'advanced\tadvance\tVBD\tB-VP\tO' +p187068 +aS'to\tto\tTO\tB-PP\tO' +p187069 +aS'full\tfull\tJJ\tB-NP\tO' +p187070 +aS'volume\tvolume\tNN\tI-NP\tO' +p187071 +aS'feeds\tfeed\tNNS\tI-NP\tO' +p187072 +aS'of\tof\tIN\tB-PP\tO' +p187073 +aS'breast\tbreast\tNN\tB-NP\tO' +p187074 +aS'milk\tmilk\tNN\tI-NP\tO' +p187075 +aS'or\tor\tCC\tO\tO' +p187076 +aS'special\tspecial\tJJ\tB-NP\tO' +p187077 +aS'care\tcare\tNN\tI-NP\tO' +p187078 +aS'formula\tformula\tNN\tI-NP\tO' +p187079 +aS'on\ton\tIN\tB-PP\tO' +p187080 +aS'day\tday\tNN\tB-NP\tO' +p187081 +aS'of\tof\tIN\tB-PP\tO' +p187082 +aS'life\tlife\tNN\tB-NP\tO' +p187083 +aS'six\tsix\tCD\tI-NP\tO' +p187084 +aS'(\t(\t(\tO\tO' +p187085 +aS'2013-07-29\t2013-07-29\tCD\tB-NP\tO' +p187086 +aS')\t)\t)\tO\tO' +p187087 +aS'without\twithout\tIN\tB-PP\tO' +p187088 +aS'problems\tproblem\tNNS\tB-NP\tO' +p187089 +aS'.\t.\t.\tO\tO' +p187090 +asS'The infant has remained hemodynamically stable throughout this hospitalization , no murmur .' +p187091 +(lp187092 +S'The\tThe\tDT\tB-NP\tO' +p187093 +aS'infant\tinfant\tNN\tI-NP\tO' +p187094 +aS'has\thave\tVBZ\tB-VP\tO' +p187095 +aS'remained\tremain\tVBN\tI-VP\tO' +p187096 +aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' +p187097 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p187098 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p187099 +aS'this\tthis\tDT\tB-NP\tO' +p187100 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p187101 +aS',\t,\t,\tO\tO' +p187102 +aS'no\tno\tDT\tB-NP\tO' +p187103 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p187104 +aS'.\t.\t.\tO\tO' +p187105 +asS'PROGRESSIVE ACANTHAMOEBA INFECTION .' +p187106 +(lp187107 +S'PROGRESSIVE\tPROGRESSIVE\tNN\tB-NP\tO' +p187108 +aS'ACANTHAMOEBA\tACANTHAMOEBA\tNN\tI-NP\tO' +p187109 +aS'INFECTION\tINFECTION\tNN\tI-NP\tO' +p187110 +aS'.\t.\t.\tO\tO' +p187111 +asS'Mother with pacemaker , alive at 91 years old .' +p187112 +(lp187113 +S'Mother\tMother\tDT\tB-NP\tO' +p187114 +aS'with\twith\tIN\tB-PP\tO' +p187115 +aS'pacemaker\tpacemaker\tNN\tB-NP\tO' +p187116 +aS',\t,\t,\tO\tO' +p187117 +aS'alive\talive\tJJ\tB-ADJP\tO' +p187118 +aS'at\tat\tIN\tB-PP\tO' +p187119 +aS'91\t91\tCD\tB-NP\tO' +p187120 +aS'years\tyear\tNNS\tI-NP\tO' +p187121 +aS'old\told\tJJ\tB-ADJP\tO' +p187122 +aS'.\t.\t.\tO\tO' +p187123 +asS'Stable condition .' +p187124 +(lp187125 +S'Stable\tStable\tJJ\tB-NP\tO' +p187126 +aS'condition\tcondition\tNN\tI-NP\tO' +p187127 +aS'.\t.\t.\tO\tO' +p187128 +asS'Fundi were flat .' +p187129 +(lp187130 +S'Fundi\tFundi\tNNP\tB-NP\tO' +p187131 +aS'were\tbe\tVBD\tB-VP\tO' +p187132 +aS'flat\tflat\tJJ\tB-ADJP\tO' +p187133 +aS'.\t.\t.\tO\tO' +p187134 +asS'Having failed conservative management , the patient presented for elective right total hip replacement .' +p187135 +(lp187136 +S'Having\tHave\tVBG\tB-VP\tO' +p187137 +aS'failed\tfail\tVBN\tI-VP\tO' +p187138 +aS'conservative\tconservative\tJJ\tB-NP\tO' +p187139 +aS'management\tmanagement\tNN\tI-NP\tO' +p187140 +aS',\t,\t,\tO\tO' +p187141 +aS'the\tthe\tDT\tB-NP\tO' +p187142 +aS'patient\tpatient\tNN\tI-NP\tO' +p187143 +aS'presented\tpresent\tVBD\tB-VP\tO' +p187144 +aS'for\tfor\tIN\tB-PP\tO' +p187145 +aS'elective\telective\tJJ\tB-NP\tO' +p187146 +aS'right\tright\tJJ\tI-NP\tO' +p187147 +aS'total\ttotal\tJJ\tI-NP\tO' +p187148 +aS'hip\thip\tNN\tI-NP\tO' +p187149 +aS'replacement\treplacement\tNN\tI-NP\tO' +p187150 +aS'.\t.\t.\tO\tO' +p187151 +asS'The patient smokes two packs per day and has an approximately a 75-pack-year history of smoking .' +p187152 +(lp187153 +S'The\tThe\tDT\tB-NP\tO' +p187154 +aS'patient\tpatient\tNN\tI-NP\tO' +p187155 +aS'smokes\tsmoke\tVBZ\tB-VP\tO' +p187156 +aS'two\ttwo\tCD\tB-NP\tO' +p187157 +aS'packs\tpack\tNNS\tI-NP\tO' +p187158 +aS'per\tper\tIN\tB-PP\tO' +p187159 +aS'day\tday\tNN\tB-NP\tO' +p187160 +aS'and\tand\tCC\tO\tO' +p187161 +aS'has\thave\tVBZ\tB-VP\tO' +p187162 +aS'an\tan\tDT\tB-NP\tO' +p187163 +aS'approximately\tapproximately\tRB\tI-NP\tO' +p187164 +aS'a\ta\tDT\tI-NP\tO' +p187165 +aS'75-pack-year\t75-pack-year\tJJ\tI-NP\tO' +p187166 +aS'history\thistory\tNN\tI-NP\tO' +p187167 +aS'of\tof\tIN\tB-PP\tO' +p187168 +aS'smoking\tsmoking\tNN\tB-NP\tO' +p187169 +aS'.\t.\t.\tO\tO' +p187170 +asS'Primary cesarean section with previous pregnancy for arrest of descent .' +p187171 +(lp187172 +S'Primary\tPrimary\tJJ\tB-NP\tO' +p187173 +aS'cesarean\tcesarean\tJJ\tI-NP\tO' +p187174 +aS'section\tsection\tNN\tI-NP\tO' +p187175 +aS'with\twith\tIN\tB-PP\tO' +p187176 +aS'previous\tprevious\tJJ\tB-NP\tO' +p187177 +aS'pregnancy\tpregnancy\tNN\tI-NP\tO' +p187178 +aS'for\tfor\tIN\tB-PP\tO' +p187179 +aS'arrest\tarrest\tNN\tB-NP\tO' +p187180 +aS'of\tof\tIN\tB-PP\tO' +p187181 +aS'descent\tdescent\tNN\tB-NP\tO' +p187182 +aS'.\t.\t.\tO\tO' +p187183 +asS'The patient is an 85-year-old white male with a history of ischemic bowel status post recent admission for urosepsis and C. difficile colitis .' +p187184 +(lp187185 +S'The\tThe\tDT\tB-NP\tO' +p187186 +aS'patient\tpatient\tNN\tI-NP\tO' +p187187 +aS'is\tbe\tVBZ\tB-VP\tO' +p187188 +aS'an\tan\tDT\tB-NP\tO' +p187189 +aS'85-year-old\t85-year-old\tJJ\tI-NP\tO' +p187190 +aS'white\twhite\tJJ\tI-NP\tO' +p187191 +aS'male\tmale\tNN\tI-NP\tO' +p187192 +aS'with\twith\tIN\tB-PP\tO' +p187193 +aS'a\ta\tDT\tB-NP\tO' +p187194 +aS'history\thistory\tNN\tI-NP\tO' +p187195 +aS'of\tof\tIN\tB-PP\tO' +p187196 +aS'ischemic\tischemic\tJJ\tB-NP\tO' +p187197 +aS'bowel\tbowel\tNN\tI-NP\tO' +p187198 +aS'status\tstatus\tNN\tI-NP\tO' +p187199 +aS'post\tpost\tIN\tB-PP\tO' +p187200 +aS'recent\trecent\tJJ\tB-NP\tO' +p187201 +aS'admission\tadmission\tNN\tI-NP\tO' +p187202 +aS'for\tfor\tIN\tB-PP\tO' +p187203 +aS'urosepsis\turosepsis\tNN\tB-NP\tO' +p187204 +aS'and\tand\tCC\tO\tO' +p187205 +aS'C.\tC.\tFW\tB-NP\tO' +p187206 +aS'difficile\tdifficile\tJJ\tI-NP\tO' +p187207 +aS'colitis\tcolitis\tNN\tI-NP\tO' +p187208 +aS'.\t.\t.\tO\tO' +p187209 +asS'This showed no communication with the intestines and was simply a sinus tract .' +p187210 +(lp187211 +S'This\tThis\tDT\tB-NP\tO' +p187212 +aS'showed\tshow\tVBD\tB-VP\tO' +p187213 +aS'no\tno\tDT\tB-NP\tO' +p187214 +aS'communication\tcommunication\tNN\tI-NP\tO' +p187215 +aS'with\twith\tIN\tB-PP\tO' +p187216 +aS'the\tthe\tDT\tB-NP\tO' +p187217 +aS'intestines\tintestine\tNNS\tI-NP\tO' +p187218 +aS'and\tand\tCC\tO\tO' +p187219 +aS'was\tbe\tVBD\tB-VP\tO' +p187220 +aS'simply\tsimply\tRB\tB-ADVP\tO' +p187221 +aS'a\ta\tDT\tB-NP\tO' +p187222 +aS'sinus\tsinus\tNN\tI-NP\tO' +p187223 +aS'tract\ttract\tNN\tI-NP\tO' +p187224 +aS'.\t.\t.\tO\tO' +p187225 +asS'Hematocrit 39 percent , white blood cell count 4500 , PT and PTT normal .' +p187226 +(lp187227 +S'Hematocrit\tHematocrit\tNN\tB-NP\tO' +p187228 +aS'39\t39\tCD\tI-NP\tO' +p187229 +aS'percent\tpercent\tNN\tI-NP\tO' +p187230 +aS',\t,\t,\tO\tO' +p187231 +aS'white\twhite\tJJ\tB-NP\tO' +p187232 +aS'blood\tblood\tNN\tI-NP\tO' +p187233 +aS'cell\tcell\tNN\tI-NP\tO' +p187234 +aS'count\tcount\tNN\tI-NP\tO' +p187235 +aS'4500\t4500\tCD\tI-NP\tO' +p187236 +aS',\t,\t,\tI-NP\tO' +p187237 +aS'PT\tPT\tNN\tI-NP\tO' +p187238 +aS'and\tand\tCC\tI-NP\tO' +p187239 +aS'PTT\tPTT\tNN\tI-NP\tO' +p187240 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p187241 +aS'.\t.\t.\tO\tO' +p187242 +asS'Coagulation studies revealed a PT of 17.4 seconds with an INR of 2.1 , PTT 25.5 .' +p187243 +(lp187244 +S'Coagulation\tCoagulation\tNN\tB-NP\tO' +p187245 +aS'studies\tstudy\tNNS\tI-NP\tO' +p187246 +aS'revealed\treveal\tVBD\tB-VP\tO' +p187247 +aS'a\ta\tDT\tB-NP\tO' +p187248 +aS'PT\tPT\tNN\tI-NP\tO' +p187249 +aS'of\tof\tIN\tB-PP\tO' +p187250 +aS'17.4\t17.4\tCD\tB-NP\tO' +p187251 +aS'seconds\tsecond\tNNS\tI-NP\tO' +p187252 +aS'with\twith\tIN\tB-PP\tO' +p187253 +aS'an\tan\tDT\tB-NP\tO' +p187254 +aS'INR\tINR\tNN\tI-NP\tB-protein' +p187255 +aS'of\tof\tIN\tB-PP\tO' +p187256 +aS'2.1\t2.1\tCD\tB-NP\tO' +p187257 +aS',\t,\t,\tO\tO' +p187258 +aS'PTT\tPTT\tNN\tB-NP\tB-protein' +p187259 +aS'25.5\t25.5\tCD\tI-NP\tI-protein' +p187260 +aS'.\t.\t.\tO\tO' +p187261 +asS'On postop day 8 , the right IJ line was pulled .' +p187262 +(lp187263 +S'On\tOn\tIN\tB-PP\tO' +p187264 +aS'postop\tpostop\tJJ\tB-NP\tO' +p187265 +aS'day\tday\tNN\tI-NP\tO' +p187266 +aS'8\t8\tCD\tI-NP\tO' +p187267 +aS',\t,\t,\tO\tO' +p187268 +aS'the\tthe\tDT\tB-NP\tO' +p187269 +aS'right\tright\tJJ\tI-NP\tB-cell_line' +p187270 +aS'IJ\tIJ\tNN\tI-NP\tI-cell_line' +p187271 +aS'line\tline\tNN\tI-NP\tI-cell_line' +p187272 +aS'was\tbe\tVBD\tB-VP\tO' +p187273 +aS'pulled\tpull\tVBN\tI-VP\tO' +p187274 +aS'.\t.\t.\tO\tO' +p187275 +asS'HEENT : MMM , OP clear , dried blood in nasal mucosa' +p187276 +(lp187277 +S'HEENT\tHEENT\tNN\tB-NP\tO' +p187278 +aS':\t:\t:\tO\tO' +p187279 +aS'MMM\tMMM\tNN\tB-NP\tO' +p187280 +aS',\t,\t,\tO\tO' +p187281 +aS'OP\tOP\tNN\tB-NP\tO' +p187282 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p187283 +aS',\t,\t,\tO\tO' +p187284 +aS'dried\tdry\tVBD\tB-VP\tO' +p187285 +aS'blood\tblood\tNN\tB-NP\tO' +p187286 +aS'in\tin\tIN\tB-PP\tO' +p187287 +aS'nasal\tnasal\tJJ\tB-NP\tO' +p187288 +aS'mucosa\tmucosa\tNN\tI-NP\tO' +p187289 +asS'Disp :* 105 Tablet (s)* Refills :* 0 *' +p187290 +(lp187291 +S'Disp\tDisp\tNN\tB-NP\tO' +p187292 +aS':*\t:*\tSYM\tI-NP\tO' +p187293 +aS'105\t105\tCD\tI-NP\tO' +p187294 +aS'Tablet\tTablet\tNN\tI-NP\tO' +p187295 +aS'(s)*\t(s)*\tSYM\tB-NP\tO' +p187296 +aS'Refills\tRefill\tNNPS\tI-NP\tO' +p187297 +aS':*\t:*\tSYM\tI-NP\tO' +p187298 +aS'0\t0\tCD\tI-NP\tO' +p187299 +aS'*\t*\tSYM\tB-NP\tO' +p187300 +asS'The patient was taken to the Operating Room the day of admission .' +p187301 +(lp187302 +S'The\tThe\tDT\tB-NP\tO' +p187303 +aS'patient\tpatient\tNN\tI-NP\tO' +p187304 +aS'was\tbe\tVBD\tB-VP\tO' +p187305 +aS'taken\ttake\tVBN\tI-VP\tO' +p187306 +aS'to\tto\tTO\tB-PP\tO' +p187307 +aS'the\tthe\tDT\tB-NP\tO' +p187308 +aS'Operating\tOperating\tNNP\tI-NP\tO' +p187309 +aS'Room\tRoom\tNNP\tI-NP\tO' +p187310 +aS'the\tthe\tDT\tB-NP\tO' +p187311 +aS'day\tday\tNN\tI-NP\tO' +p187312 +aS'of\tof\tIN\tB-PP\tO' +p187313 +aS'admission\tadmission\tNN\tB-NP\tO' +p187314 +aS'.\t.\t.\tO\tO' +p187315 +asS'Attending : Angie CM Johnson , M.D.' +p187316 +(lp187317 +S'Attending\tAttend\tVBG\tB-VP\tO' +p187318 +aS':\t:\t:\tO\tO' +p187319 +aS'Angie\tAngie\tNNP\tB-NP\tO' +p187320 +aS'CM\tCM\tNNP\tI-NP\tO' +p187321 +aS'Johnson\tJohnson\tNNP\tI-NP\tO' +p187322 +aS',\t,\t,\tO\tO' +p187323 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p187324 +asS'The patient had a temperature of 100.9 .' +p187325 +(lp187326 +S'The\tThe\tDT\tB-NP\tO' +p187327 +aS'patient\tpatient\tNN\tI-NP\tO' +p187328 +aS'had\thave\tVBD\tB-VP\tO' +p187329 +aS'a\ta\tDT\tB-NP\tO' +p187330 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p187331 +aS'of\tof\tIN\tB-PP\tO' +p187332 +aS'100.9\t100.9\tCD\tB-NP\tO' +p187333 +aS'.\t.\t.\tO\tO' +p187334 +asS'In addition , the patient was prepared for an attempted percutaneous endoscopic gastrostomy tube .' +p187335 +(lp187336 +S'In\tIn\tIN\tB-PP\tO' +p187337 +aS'addition\taddition\tNN\tB-NP\tO' +p187338 +aS',\t,\t,\tO\tO' +p187339 +aS'the\tthe\tDT\tB-NP\tO' +p187340 +aS'patient\tpatient\tNN\tI-NP\tO' +p187341 +aS'was\tbe\tVBD\tB-VP\tO' +p187342 +aS'prepared\tprepare\tVBN\tI-VP\tO' +p187343 +aS'for\tfor\tIN\tB-PP\tO' +p187344 +aS'an\tan\tDT\tB-NP\tO' +p187345 +aS'attempted\tattempt\tVBN\tI-NP\tO' +p187346 +aS'percutaneous\tpercutaneous\tJJ\tI-NP\tO' +p187347 +aS'endoscopic\tendoscopic\tJJ\tI-NP\tO' +p187348 +aS'gastrostomy\tgastrostomy\tNN\tI-NP\tO' +p187349 +aS'tube\ttube\tNN\tI-NP\tO' +p187350 +aS'.\t.\t.\tO\tO' +p187351 +asS'He did undergo a CT-guided aspiration / biopsy at the L3-4 disc space on 2020-03-11 and the pt was transferred to Mediplex Rehab Hospital immediately following this .' +p187352 +(lp187353 +S'He\tHe\tPRP\tB-NP\tO' +p187354 +aS'did\tdo\tVBD\tB-VP\tO' +p187355 +aS'undergo\tundergo\tVB\tI-VP\tO' +p187356 +aS'a\ta\tDT\tB-NP\tO' +p187357 +aS'CT-guided\tCT-guided\tJJ\tI-NP\tO' +p187358 +aS'aspiration\taspiration\tNN\tI-NP\tO' +p187359 +aS'/\t/\tSYM\tB-NP\tO' +p187360 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p187361 +aS'at\tat\tIN\tB-PP\tO' +p187362 +aS'the\tthe\tDT\tB-NP\tO' +p187363 +aS'L3-4\tL3-4\tNN\tI-NP\tO' +p187364 +aS'disc\tdisc\tNN\tI-NP\tO' +p187365 +aS'space\tspace\tNN\tI-NP\tO' +p187366 +aS'on\ton\tIN\tB-PP\tO' +p187367 +aS'2020-03-11\t2020-03-11\tNN\tB-NP\tO' +p187368 +aS'and\tand\tCC\tO\tO' +p187369 +aS'the\tthe\tDT\tB-NP\tO' +p187370 +aS'pt\tpt\tNN\tI-NP\tO' +p187371 +aS'was\tbe\tVBD\tB-VP\tO' +p187372 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p187373 +aS'to\tto\tTO\tB-PP\tO' +p187374 +aS'Mediplex\tMediplex\tNNP\tB-NP\tO' +p187375 +aS'Rehab\tRehab\tNNP\tI-NP\tO' +p187376 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p187377 +aS'immediately\timmediately\tRB\tB-ADVP\tO' +p187378 +aS'following\tfollow\tVBG\tB-PP\tO' +p187379 +aS'this\tthis\tDT\tB-NP\tO' +p187380 +aS'.\t.\t.\tO\tO' +p187381 +asS'1. HYPOTHYROIDISM .' +p187382 +(lp187383 +S'1.\t1.\tLS\tB-NP\tO' +p187384 +aS'HYPOTHYROIDISM\tHYPOTHYROIDISM\tNN\tI-NP\tO' +p187385 +aS'.\t.\t.\tO\tO' +p187386 +asS'A TTE showed an ejection fraction of 60% , mild mitral regurgitation , left atrial enlargement , mild tricuspid regurgitation , pulmonary artery pressures of 44 plus right atrial pressure .' +p187387 +(lp187388 +S'A\tA\tDT\tB-NP\tO' +p187389 +aS'TTE\tTTE\tNN\tI-NP\tO' +p187390 +aS'showed\tshow\tVBD\tB-VP\tO' +p187391 +aS'an\tan\tDT\tB-NP\tO' +p187392 +aS'ejection\tejection\tNN\tI-NP\tO' +p187393 +aS'fraction\tfraction\tNN\tI-NP\tO' +p187394 +aS'of\tof\tIN\tB-PP\tO' +p187395 +aS'60%\t60%\tNN\tB-NP\tO' +p187396 +aS',\t,\t,\tO\tO' +p187397 +aS'mild\tmild\tJJ\tB-NP\tO' +p187398 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p187399 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p187400 +aS',\t,\t,\tO\tO' +p187401 +aS'left\tleave\tVBD\tB-VP\tO' +p187402 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p187403 +aS'enlargement\tenlargement\tNN\tI-NP\tO' +p187404 +aS',\t,\t,\tO\tO' +p187405 +aS'mild\tmild\tJJ\tB-NP\tO' +p187406 +aS'tricuspid\ttricuspid\tJJ\tI-NP\tO' +p187407 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p187408 +aS',\t,\t,\tO\tO' +p187409 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p187410 +aS'artery\tartery\tNN\tI-NP\tO' +p187411 +aS'pressures\tpressure\tNNS\tI-NP\tO' +p187412 +aS'of\tof\tIN\tB-PP\tO' +p187413 +aS'44\t44\tCD\tB-NP\tO' +p187414 +aS'plus\tplus\tCC\tO\tO' +p187415 +aS'right\tright\tJJ\tB-NP\tO' +p187416 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p187417 +aS'pressure\tpressure\tNN\tI-NP\tO' +p187418 +aS'.\t.\t.\tO\tO' +p187419 +asS'4. Lipitor , 10 mg PO daily .' +p187420 +(lp187421 +S'4.\t4.\tLS\tB-NP\tO' +p187422 +aS'Lipitor\tLipitor\tNN\tI-NP\tO' +p187423 +aS',\t,\t,\tO\tO' +p187424 +aS'10\t10\tCD\tB-NP\tO' +p187425 +aS'mg\tmg\tNN\tI-NP\tO' +p187426 +aS'PO\tPO\tNN\tI-NP\tO' +p187427 +aS'daily\tdaily\tRB\tB-ADVP\tO' +p187428 +aS'.\t.\t.\tO\tO' +p187429 +asS'1. Zonisamide 100 mg Capsule Sig : One ( 1 ) Capsule PO DAILY ( Daily ): Increase by 50 mg every other week ( next increase 2015-10-12 ).' +p187430 +(lp187431 +S'1.\t1.\tLS\tB-NP\tO' +p187432 +aS'Zonisamide\tZonisamide\tNN\tI-NP\tO' +p187433 +aS'100\t100\tCD\tI-NP\tO' +p187434 +aS'mg\tmg\tNN\tI-NP\tO' +p187435 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p187436 +aS'Sig\tSig\tNNP\tI-NP\tO' +p187437 +aS':\t:\t:\tO\tO' +p187438 +aS'One\tOne\tCD\tB-NP\tO' +p187439 +aS'(\t(\t(\tO\tO' +p187440 +aS'1\t1\tCD\tB-NP\tO' +p187441 +aS')\t)\t)\tO\tO' +p187442 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p187443 +aS'PO\tPO\tNNP\tI-NP\tO' +p187444 +aS'DAILY\tDAILY\tNNP\tI-NP\tO' +p187445 +aS'(\t(\t(\tO\tO' +p187446 +aS'Daily\tDaily\tNNP\tB-NP\tO' +p187447 +aS'):\t):\tNNP\tI-NP\tO' +p187448 +aS'Increase\tIncrease\tNNP\tI-NP\tO' +p187449 +aS'by\tby\tIN\tB-PP\tO' +p187450 +aS'50\t50\tCD\tB-NP\tO' +p187451 +aS'mg\tmg\tNN\tI-NP\tO' +p187452 +aS'every\tevery\tDT\tB-NP\tO' +p187453 +aS'other\tother\tJJ\tI-NP\tO' +p187454 +aS'week\tweek\tNN\tI-NP\tO' +p187455 +aS'(\t(\t(\tO\tO' +p187456 +aS'next\tnext\tJJ\tB-NP\tO' +p187457 +aS'increase\tincrease\tNN\tI-NP\tO' +p187458 +aS'2015-10-12\t2015-10-12\tCD\tI-NP\tO' +p187459 +aS').\t).\t.\tO\tO' +p187460 +asS'The complications that I have listed include the hyponatremia , pulmonary embolus and also the elevatd blood pressure .' +p187461 +(lp187462 +S'The\tThe\tDT\tB-NP\tO' +p187463 +aS'complications\tcomplication\tNNS\tI-NP\tO' +p187464 +aS'that\tthat\tIN\tB-NP\tO' +p187465 +aS'I\tI\tPRP\tB-NP\tO' +p187466 +aS'have\thave\tVBP\tB-VP\tO' +p187467 +aS'listed\tlist\tVBN\tI-VP\tO' +p187468 +aS'include\tinclude\tVBP\tB-VP\tO' +p187469 +aS'the\tthe\tDT\tB-NP\tO' +p187470 +aS'hyponatremia\thyponatremia\tNN\tI-NP\tO' +p187471 +aS',\t,\t,\tO\tO' +p187472 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p187473 +aS'embolus\tembolus\tNN\tI-NP\tO' +p187474 +aS'and\tand\tCC\tO\tO' +p187475 +aS'also\talso\tRB\tB-ADVP\tO' +p187476 +aS'the\tthe\tDT\tB-NP\tO' +p187477 +aS'elevatd\televatd\tNN\tI-NP\tO' +p187478 +aS'blood\tblood\tNN\tI-NP\tO' +p187479 +aS'pressure\tpressure\tNN\tI-NP\tO' +p187480 +aS'.\t.\t.\tO\tO' +p187481 +asS"This study will need to be repeated once she is tolerating po 's ." +p187482 +(lp187483 +S'This\tThis\tDT\tB-NP\tO' +p187484 +aS'study\tstudy\tNN\tI-NP\tO' +p187485 +aS'will\twill\tMD\tB-VP\tO' +p187486 +aS'need\tneed\tVB\tI-VP\tO' +p187487 +aS'to\tto\tTO\tI-VP\tO' +p187488 +aS'be\tbe\tVB\tI-VP\tO' +p187489 +aS'repeated\trepeat\tVBN\tI-VP\tO' +p187490 +aS'once\tonce\tIN\tB-SBAR\tO' +p187491 +aS'she\tshe\tPRP\tB-NP\tO' +p187492 +aS'is\tbe\tVBZ\tB-VP\tO' +p187493 +aS'tolerating\ttolerate\tVBG\tI-VP\tO' +p187494 +aS'po\tpo\tNN\tB-NP\tO' +p187495 +aS"'s\t's\tPOS\tB-NP\tO" +p187496 +aS'.\t.\t.\tO\tO' +p187497 +asS'2. Insulin-dependent diabetes mellitus .' +p187498 +(lp187499 +S'2.\t2.\tLS\tB-NP\tO' +p187500 +aS'Insulin-dependent\tInsulin-dependent\tJJ\tI-NP\tO' +p187501 +aS'diabetes\tdiabetes\tNN\tI-NP\tO' +p187502 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p187503 +aS'.\t.\t.\tO\tO' +p187504 +asS'It was felt to be within normal limits .' +p187505 +(lp187506 +S'It\tIt\tPRP\tB-NP\tO' +p187507 +aS'was\tbe\tVBD\tB-VP\tO' +p187508 +aS'felt\tfeel\tVBN\tI-VP\tO' +p187509 +aS'to\tto\tTO\tI-VP\tO' +p187510 +aS'be\tbe\tVB\tI-VP\tO' +p187511 +aS'within\twithin\tIN\tB-PP\tO' +p187512 +aS'normal\tnormal\tJJ\tB-NP\tO' +p187513 +aS'limits\tlimit\tNNS\tI-NP\tO' +p187514 +aS'.\t.\t.\tO\tO' +p187515 +asS'86 yo man with h/o CVA , CHF , recent episodes of aspiration pneumonia , who p/w dyspnea from his NH .' +p187516 +(lp187517 +S'86\t86\tCD\tB-NP\tO' +p187518 +aS'yo\tyo\tNN\tI-NP\tO' +p187519 +aS'man\tman\tNN\tI-NP\tO' +p187520 +aS'with\twith\tIN\tB-PP\tO' +p187521 +aS'h/o\th/o\tNN\tB-NP\tO' +p187522 +aS'CVA\tCVA\tNN\tI-NP\tO' +p187523 +aS',\t,\t,\tO\tO' +p187524 +aS'CHF\tCHF\tNN\tB-NP\tB-protein' +p187525 +aS',\t,\t,\tO\tO' +p187526 +aS'recent\trecent\tJJ\tB-NP\tO' +p187527 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p187528 +aS'of\tof\tIN\tB-PP\tO' +p187529 +aS'aspiration\taspiration\tNN\tB-NP\tO' +p187530 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p187531 +aS',\t,\t,\tO\tO' +p187532 +aS'who\twho\tWP\tB-NP\tO' +p187533 +aS'p/w\tp/w\tVBP\tB-VP\tO' +p187534 +aS'dyspnea\tdyspnea\tNN\tB-NP\tO' +p187535 +aS'from\tfrom\tIN\tB-PP\tO' +p187536 +aS'his\this\tPRP$\tB-NP\tO' +p187537 +aS'NH\tNH\tNN\tI-NP\tO' +p187538 +aS'.\t.\t.\tO\tO' +p187539 +asS'Had received unasyn , vanc , zosyn during hospital course for cellulitis and other unclear reasons , including possible vent associated pna .' +p187540 +(lp187541 +S'Had\tHad\tNNP\tB-NP\tO' +p187542 +aS'received\treceive\tVBD\tB-VP\tO' +p187543 +aS'unasyn\tunasyn\tJJ\tB-ADJP\tO' +p187544 +aS',\t,\t,\tO\tO' +p187545 +aS'vanc\tvanc\tNN\tB-NP\tO' +p187546 +aS',\t,\t,\tO\tO' +p187547 +aS'zosyn\tzosyn\tNN\tB-NP\tO' +p187548 +aS'during\tduring\tIN\tB-PP\tO' +p187549 +aS'hospital\thospital\tNN\tB-NP\tO' +p187550 +aS'course\tcourse\tNN\tI-NP\tO' +p187551 +aS'for\tfor\tIN\tB-PP\tO' +p187552 +aS'cellulitis\tcellulitis\tNN\tB-NP\tO' +p187553 +aS'and\tand\tCC\tO\tO' +p187554 +aS'other\tother\tJJ\tB-NP\tO' +p187555 +aS'unclear\tunclear\tJJ\tI-NP\tO' +p187556 +aS'reasons\treason\tNNS\tI-NP\tO' +p187557 +aS',\t,\t,\tO\tO' +p187558 +aS'including\tinclude\tVBG\tB-PP\tO' +p187559 +aS'possible\tpossible\tJJ\tB-NP\tO' +p187560 +aS'vent\tvent\tNN\tI-NP\tO' +p187561 +aS'associated\tassociate\tVBN\tB-VP\tO' +p187562 +aS'pna\tpna\tNN\tB-NP\tO' +p187563 +aS'.\t.\t.\tO\tO' +p187564 +asS'- Denies TOB use , occasional ETOH use' +p187565 +(lp187566 +S'-\t-\tHYPH\tB-NP\tO' +p187567 +aS'Denies\tDeny\tNNS\tI-NP\tO' +p187568 +aS'TOB\tTOB\tNN\tI-NP\tO' +p187569 +aS'use\tuse\tNN\tI-NP\tO' +p187570 +aS',\t,\t,\tO\tO' +p187571 +aS'occasional\toccasional\tJJ\tB-NP\tO' +p187572 +aS'ETOH\tETOH\tNN\tI-NP\tO' +p187573 +aS'use\tuse\tNN\tI-NP\tO' +p187574 +asS'She was turned down for re-do surgery at that time and did not have a percutaneous transluminal coronary angioplasty .' +p187575 +(lp187576 +S'She\tShe\tPRP\tB-NP\tO' +p187577 +aS'was\tbe\tVBD\tB-VP\tO' +p187578 +aS'turned\tturn\tVBN\tI-VP\tO' +p187579 +aS'down\tdown\tRP\tB-PRT\tO' +p187580 +aS'for\tfor\tIN\tB-PP\tO' +p187581 +aS're-do\tre-do\tJJ\tB-NP\tO' +p187582 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p187583 +aS'at\tat\tIN\tB-PP\tO' +p187584 +aS'that\tthat\tDT\tB-NP\tO' +p187585 +aS'time\ttime\tNN\tI-NP\tO' +p187586 +aS'and\tand\tCC\tO\tO' +p187587 +aS'did\tdo\tVBD\tB-VP\tO' +p187588 +aS'not\tnot\tRB\tI-VP\tO' +p187589 +aS'have\thave\tVB\tI-VP\tO' +p187590 +aS'a\ta\tDT\tB-NP\tO' +p187591 +aS'percutaneous\tpercutaneous\tJJ\tI-NP\tO' +p187592 +aS'transluminal\ttransluminal\tJJ\tI-NP\tO' +p187593 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p187594 +aS'angioplasty\tangioplasty\tNN\tI-NP\tO' +p187595 +aS'.\t.\t.\tO\tO' +p187596 +asS'The Chest x-ray showed free air .' +p187597 +(lp187598 +S'The\tThe\tDT\tB-NP\tO' +p187599 +aS'Chest\tChest\tNNP\tI-NP\tO' +p187600 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p187601 +aS'showed\tshow\tVBD\tB-VP\tO' +p187602 +aS'free\tfree\tJJ\tB-NP\tO' +p187603 +aS'air\tair\tNN\tI-NP\tO' +p187604 +aS'.\t.\t.\tO\tO' +p187605 +asS'The pregnancy was benign with an EDC of 2018-05-07 .' +p187606 +(lp187607 +S'The\tThe\tDT\tB-NP\tO' +p187608 +aS'pregnancy\tpregnancy\tNN\tI-NP\tO' +p187609 +aS'was\tbe\tVBD\tB-VP\tO' +p187610 +aS'benign\tbenign\tJJ\tB-ADJP\tO' +p187611 +aS'with\twith\tIN\tB-PP\tO' +p187612 +aS'an\tan\tDT\tB-NP\tO' +p187613 +aS'EDC\tEDC\tNN\tI-NP\tO' +p187614 +aS'of\tof\tIN\tB-PP\tO' +p187615 +aS'2018-05-07\t2018-05-07\tCD\tB-NP\tO' +p187616 +aS'.\t.\t.\tO\tO' +p187617 +asS"## h/o pyelo , last episode in '03 ( MRSA in blood and urine )" +p187618 +(lp187619 +S'##\t##\t#\tB-NP\tO' +p187620 +aS'h/o\th/o\tNN\tI-NP\tO' +p187621 +aS'pyelo\tpyelo\tNN\tI-NP\tO' +p187622 +aS',\t,\t,\tO\tO' +p187623 +aS'last\tlast\tJJ\tB-NP\tO' +p187624 +aS'episode\tepisode\tNN\tI-NP\tO' +p187625 +aS'in\tin\tIN\tB-PP\tO' +p187626 +aS"'03\t'03\tCD\tB-NP\tO" +p187627 +aS'(\t(\t(\tO\tO' +p187628 +aS'MRSA\tMRSA\tNN\tB-NP\tO' +p187629 +aS'in\tin\tIN\tB-PP\tO' +p187630 +aS'blood\tblood\tNN\tB-NP\tO' +p187631 +aS'and\tand\tCC\tO\tO' +p187632 +aS'urine\turine\tNN\tB-NP\tO' +p187633 +aS')\t)\t)\tO\tO' +p187634 +asS'3 ) Lanoxin 0.25 mg p.o. q. day .' +p187635 +(lp187636 +S'3\t3\tLS\tB-LST\tO' +p187637 +aS')\t)\t)\tO\tO' +p187638 +aS'Lanoxin\tLanoxin\tNN\tB-NP\tO' +p187639 +aS'0.25\t0.25\tCD\tI-NP\tO' +p187640 +aS'mg\tmg\tNN\tI-NP\tO' +p187641 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p187642 +aS'q.\tq.\tNN\tI-NP\tO' +p187643 +aS'day\tday\tNN\tI-NP\tO' +p187644 +aS'.\t.\t.\tO\tO' +p187645 +asS'Prior to his re-admission , his sister had noted that he was having some shaking chills and heavy breathing .' +p187646 +(lp187647 +S'Prior\tPrior\tRB\tB-ADVP\tO' +p187648 +aS'to\tto\tTO\tB-PP\tO' +p187649 +aS'his\this\tPRP$\tB-NP\tO' +p187650 +aS're-admission\tre-admission\tNN\tI-NP\tO' +p187651 +aS',\t,\t,\tO\tO' +p187652 +aS'his\this\tPRP$\tB-NP\tO' +p187653 +aS'sister\tsister\tNN\tI-NP\tO' +p187654 +aS'had\thave\tVBD\tB-VP\tO' +p187655 +aS'noted\tnote\tVBN\tI-VP\tO' +p187656 +aS'that\tthat\tIN\tB-SBAR\tO' +p187657 +aS'he\the\tPRP\tB-NP\tO' +p187658 +aS'was\tbe\tVBD\tB-VP\tO' +p187659 +aS'having\thave\tVBG\tI-VP\tO' +p187660 +aS'some\tsome\tDT\tB-NP\tO' +p187661 +aS'shaking\tshake\tVBG\tI-NP\tO' +p187662 +aS'chills\tchill\tNNS\tI-NP\tO' +p187663 +aS'and\tand\tCC\tO\tO' +p187664 +aS'heavy\theavy\tJJ\tB-NP\tO' +p187665 +aS'breathing\tbreathing\tNN\tI-NP\tO' +p187666 +aS'.\t.\t.\tO\tO' +p187667 +asS'pt has been using iron lung for breathing and has been satting well duing her hospital course .' +p187668 +(lp187669 +S'pt\tpt\tNN\tB-NP\tO' +p187670 +aS'has\thave\tVBZ\tB-VP\tO' +p187671 +aS'been\tbe\tVBN\tI-VP\tO' +p187672 +aS'using\tuse\tVBG\tI-VP\tO' +p187673 +aS'iron\tiron\tNN\tB-NP\tO' +p187674 +aS'lung\tlung\tNN\tI-NP\tO' +p187675 +aS'for\tfor\tIN\tB-PP\tO' +p187676 +aS'breathing\tbreathing\tNN\tB-NP\tO' +p187677 +aS'and\tand\tCC\tO\tO' +p187678 +aS'has\thave\tVBZ\tB-VP\tO' +p187679 +aS'been\tbe\tVBN\tI-VP\tO' +p187680 +aS'satting\tsatte\tVBG\tI-VP\tO' +p187681 +aS'well\twell\tRB\tB-ADVP\tO' +p187682 +aS'duing\tdue\tVBG\tB-VP\tO' +p187683 +aS'her\ther\tPRP$\tB-NP\tO' +p187684 +aS'hospital\thospital\tNN\tI-NP\tO' +p187685 +aS'course\tcourse\tNN\tI-NP\tO' +p187686 +aS'.\t.\t.\tO\tO' +p187687 +asS'She suffered an episode of renal failure which was felt attributable to aminoglycoside toxicity .' +p187688 +(lp187689 +S'She\tShe\tPRP\tB-NP\tO' +p187690 +aS'suffered\tsuffer\tVBD\tB-VP\tO' +p187691 +aS'an\tan\tDT\tB-NP\tO' +p187692 +aS'episode\tepisode\tNN\tI-NP\tO' +p187693 +aS'of\tof\tIN\tB-PP\tO' +p187694 +aS'renal\trenal\tJJ\tB-NP\tO' +p187695 +aS'failure\tfailure\tNN\tI-NP\tO' +p187696 +aS'which\twhich\tWDT\tB-NP\tO' +p187697 +aS'was\tbe\tVBD\tB-VP\tO' +p187698 +aS'felt\tfeel\tVBN\tI-VP\tO' +p187699 +aS'attributable\tattributable\tJJ\tB-ADJP\tO' +p187700 +aS'to\tto\tTO\tB-PP\tO' +p187701 +aS'aminoglycoside\taminoglycoside\tNN\tB-NP\tO' +p187702 +aS'toxicity\ttoxicity\tNN\tI-NP\tO' +p187703 +aS'.\t.\t.\tO\tO' +p187704 +asS'Discharge condition for this patient was good .' +p187705 +(lp187706 +S'Discharge\tDischarge\tNN\tB-NP\tO' +p187707 +aS'condition\tcondition\tNN\tI-NP\tO' +p187708 +aS'for\tfor\tIN\tB-PP\tO' +p187709 +aS'this\tthis\tDT\tB-NP\tO' +p187710 +aS'patient\tpatient\tNN\tI-NP\tO' +p187711 +aS'was\tbe\tVBD\tB-VP\tO' +p187712 +aS'good\tgood\tJJ\tB-ADJP\tO' +p187713 +aS'.\t.\t.\tO\tO' +p187714 +asS'On arrival a chest x-ray showed perihilar and bibasilar opacities , which appeared conistent with pulmonary edema but also possibly consistent with a pneumonia .' +p187715 +(lp187716 +S'On\tOn\tIN\tB-PP\tO' +p187717 +aS'arrival\tarrival\tNN\tB-NP\tO' +p187718 +aS'a\ta\tDT\tB-NP\tO' +p187719 +aS'chest\tchest\tNN\tI-NP\tO' +p187720 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p187721 +aS'showed\tshow\tVBD\tB-VP\tO' +p187722 +aS'perihilar\tperihilar\tJJ\tB-NP\tO' +p187723 +aS'and\tand\tCC\tI-NP\tO' +p187724 +aS'bibasilar\tbibasilar\tJJ\tI-NP\tO' +p187725 +aS'opacities\topacity\tNNS\tI-NP\tO' +p187726 +aS',\t,\t,\tO\tO' +p187727 +aS'which\twhich\tWDT\tB-NP\tO' +p187728 +aS'appeared\tappear\tVBD\tB-VP\tO' +p187729 +aS'conistent\tconistent\tJJ\tB-ADJP\tO' +p187730 +aS'with\twith\tIN\tB-PP\tO' +p187731 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p187732 +aS'edema\tedema\tNN\tI-NP\tO' +p187733 +aS'but\tbut\tCC\tB-CONJP\tO' +p187734 +aS'also\talso\tRB\tI-CONJP\tO' +p187735 +aS'possibly\tpossibly\tRB\tB-ADJP\tO' +p187736 +aS'consistent\tconsistent\tJJ\tI-ADJP\tO' +p187737 +aS'with\twith\tIN\tB-PP\tO' +p187738 +aS'a\ta\tDT\tB-NP\tO' +p187739 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p187740 +aS'.\t.\t.\tO\tO' +p187741 +asS'We obtained a right upper quadrant ultrasound as well as LFTs , amylase , and lipase which were all normal .' +p187742 +(lp187743 +S'We\tWe\tPRP\tB-NP\tO' +p187744 +aS'obtained\tobtain\tVBD\tB-VP\tO' +p187745 +aS'a\ta\tDT\tB-NP\tO' +p187746 +aS'right\tright\tJJ\tI-NP\tO' +p187747 +aS'upper\tupper\tJJ\tI-NP\tO' +p187748 +aS'quadrant\tquadrant\tJJ\tI-NP\tO' +p187749 +aS'ultrasound\tultrasound\tNN\tI-NP\tO' +p187750 +aS'as\tas\tRB\tB-CONJP\tO' +p187751 +aS'well\twell\tRB\tI-CONJP\tO' +p187752 +aS'as\tas\tIN\tI-CONJP\tO' +p187753 +aS'LFTs\tLFT\tNNS\tB-NP\tB-protein' +p187754 +aS',\t,\t,\tO\tO' +p187755 +aS'amylase\tamylase\tNN\tB-NP\tB-protein' +p187756 +aS',\t,\t,\tO\tO' +p187757 +aS'and\tand\tCC\tO\tO' +p187758 +aS'lipase\tlipase\tNN\tB-NP\tO' +p187759 +aS'which\twhich\tWDT\tB-NP\tO' +p187760 +aS'were\tbe\tVBD\tB-VP\tO' +p187761 +aS'all\tall\tDT\tO\tO' +p187762 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p187763 +aS'.\t.\t.\tO\tO' +p187764 +asS'Volume overload likely ocurred in the setting of IV fluids given in the ICU .' +p187765 +(lp187766 +S'Volume\tVolume\tNN\tB-NP\tO' +p187767 +aS'overload\toverload\tVBD\tB-VP\tO' +p187768 +aS'likely\tlikely\tRB\tI-VP\tO' +p187769 +aS'ocurred\tocurre\tVBN\tI-VP\tO' +p187770 +aS'in\tin\tIN\tB-PP\tO' +p187771 +aS'the\tthe\tDT\tB-NP\tO' +p187772 +aS'setting\tsetting\tNN\tI-NP\tO' +p187773 +aS'of\tof\tIN\tB-PP\tO' +p187774 +aS'IV\tIV\tCD\tB-NP\tO' +p187775 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p187776 +aS'given\tgive\tVBN\tB-VP\tO' +p187777 +aS'in\tin\tIN\tB-PP\tO' +p187778 +aS'the\tthe\tDT\tB-NP\tO' +p187779 +aS'ICU\tICU\tNN\tI-NP\tB-DNA' +p187780 +aS'.\t.\t.\tO\tO' +p187781 +asS'Rhythm : NSR , not tachycardic .' +p187782 +(lp187783 +S'Rhythm\tRhythm\tNN\tB-NP\tO' +p187784 +aS':\t:\t:\tO\tO' +p187785 +aS'NSR\tNSR\tNN\tB-NP\tB-protein' +p187786 +aS',\t,\t,\tB-NP\tO' +p187787 +aS'not\tnot\tRB\tI-NP\tO' +p187788 +aS'tachycardic\ttachycardic\tJJ\tI-ADJP\tO' +p187789 +aS'.\t.\t.\tO\tO' +p187790 +asS'However , the patient also had brain metastasis and at this point anticoagulation was thought to be a contraindication given risk for hemorrhage into these tumors .' +p187791 +(lp187792 +S'However\tHowever\tRB\tB-ADVP\tO' +p187793 +aS',\t,\t,\tO\tO' +p187794 +aS'the\tthe\tDT\tB-NP\tO' +p187795 +aS'patient\tpatient\tNN\tI-NP\tO' +p187796 +aS'also\talso\tRB\tB-ADVP\tO' +p187797 +aS'had\thave\tVBD\tB-VP\tO' +p187798 +aS'brain\tbrain\tNN\tB-NP\tO' +p187799 +aS'metastasis\tmetastasis\tNN\tI-NP\tO' +p187800 +aS'and\tand\tCC\tB-PP\tO' +p187801 +aS'at\tat\tIN\tB-PP\tO' +p187802 +aS'this\tthis\tDT\tB-NP\tO' +p187803 +aS'point\tpoint\tNN\tI-NP\tO' +p187804 +aS'anticoagulation\tanticoagulation\tNN\tI-NP\tO' +p187805 +aS'was\tbe\tVBD\tB-VP\tO' +p187806 +aS'thought\tthink\tVBN\tI-VP\tO' +p187807 +aS'to\tto\tTO\tI-VP\tO' +p187808 +aS'be\tbe\tVB\tI-VP\tO' +p187809 +aS'a\ta\tDT\tB-NP\tO' +p187810 +aS'contraindication\tcontraindication\tNN\tI-NP\tO' +p187811 +aS'given\tgive\tVBN\tB-VP\tO' +p187812 +aS'risk\trisk\tNN\tB-NP\tO' +p187813 +aS'for\tfor\tIN\tB-PP\tO' +p187814 +aS'hemorrhage\themorrhage\tNN\tB-NP\tO' +p187815 +aS'into\tinto\tIN\tB-PP\tO' +p187816 +aS'these\tthese\tDT\tB-NP\tO' +p187817 +aS'tumors\ttumor\tNNS\tI-NP\tO' +p187818 +aS'.\t.\t.\tO\tO' +p187819 +asS'Alkaline phosphatase was 372 .' +p187820 +(lp187821 +S'Alkaline\tAlkaline\tNN\tB-NP\tB-protein' +p187822 +aS'phosphatase\tphosphatase\tNN\tI-NP\tI-protein' +p187823 +aS'was\tbe\tVBD\tB-VP\tO' +p187824 +aS'372\t372\tCD\tB-NP\tO' +p187825 +aS'.\t.\t.\tO\tO' +p187826 +asS'3) MS change - on admission pt was agitated , requiring restraints and antipsychotics , however as he became increasingly hypoxic he became somnolent .' +p187827 +(lp187828 +S'3)\t3)\tLS\tB-NP\tO' +p187829 +aS'MS\tMS\tNN\tI-NP\tO' +p187830 +aS'change\tchange\tNN\tI-NP\tO' +p187831 +aS'-\t-\tHYPH\tB-ADVP\tO' +p187832 +aS'on\ton\tIN\tB-PP\tO' +p187833 +aS'admission\tadmission\tNN\tB-NP\tO' +p187834 +aS'pt\tpt\tNN\tI-NP\tO' +p187835 +aS'was\tbe\tVBD\tB-VP\tO' +p187836 +aS'agitated\tagitate\tVBN\tI-VP\tO' +p187837 +aS',\t,\t,\tO\tO' +p187838 +aS'requiring\trequire\tVBG\tB-VP\tO' +p187839 +aS'restraints\trestraint\tNNS\tB-NP\tO' +p187840 +aS'and\tand\tCC\tI-NP\tO' +p187841 +aS'antipsychotics\tantipsychotic\tNNS\tI-NP\tO' +p187842 +aS',\t,\t,\tO\tO' +p187843 +aS'however\thowever\tRB\tB-ADVP\tO' +p187844 +aS'as\tas\tIN\tB-SBAR\tO' +p187845 +aS'he\the\tPRP\tB-NP\tO' +p187846 +aS'became\tbecome\tVBD\tB-VP\tO' +p187847 +aS'increasingly\tincreasingly\tRB\tB-ADJP\tO' +p187848 +aS'hypoxic\thypoxic\tJJ\tI-ADJP\tO' +p187849 +aS'he\the\tPRP\tB-NP\tO' +p187850 +aS'became\tbecome\tVBD\tB-VP\tO' +p187851 +aS'somnolent\tsomnolent\tJJ\tB-ADJP\tO' +p187852 +aS'.\t.\t.\tO\tO' +p187853 +asS'The patient reports a previous workup which included a negative exercise treadmill test , a normal MIBI in 2011-04-10 , and a normal echocardiogram in 2012 ( except some borderline mild pulmonary hypertension ) with an ejection fraction of 55% .' +p187854 +(lp187855 +S'The\tThe\tDT\tB-NP\tO' +p187856 +aS'patient\tpatient\tNN\tI-NP\tO' +p187857 +aS'reports\treport\tVBZ\tB-VP\tO' +p187858 +aS'a\ta\tDT\tB-NP\tO' +p187859 +aS'previous\tprevious\tJJ\tI-NP\tO' +p187860 +aS'workup\tworkup\tNN\tI-NP\tO' +p187861 +aS'which\twhich\tWDT\tB-NP\tO' +p187862 +aS'included\tinclude\tVBD\tB-VP\tO' +p187863 +aS'a\ta\tDT\tB-NP\tO' +p187864 +aS'negative\tnegative\tJJ\tI-NP\tO' +p187865 +aS'exercise\texercise\tNN\tI-NP\tO' +p187866 +aS'treadmill\ttreadmill\tNN\tI-NP\tO' +p187867 +aS'test\ttest\tNN\tI-NP\tO' +p187868 +aS',\t,\t,\tO\tO' +p187869 +aS'a\ta\tDT\tB-NP\tO' +p187870 +aS'normal\tnormal\tJJ\tI-NP\tO' +p187871 +aS'MIBI\tMIBI\tNN\tI-NP\tO' +p187872 +aS'in\tin\tIN\tB-PP\tO' +p187873 +aS'2011-04-10\t2011-04-10\tCD\tB-NP\tO' +p187874 +aS',\t,\t,\tO\tO' +p187875 +aS'and\tand\tCC\tO\tO' +p187876 +aS'a\ta\tDT\tB-NP\tO' +p187877 +aS'normal\tnormal\tJJ\tI-NP\tO' +p187878 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p187879 +aS'in\tin\tIN\tB-PP\tO' +p187880 +aS'2012\t2012\tCD\tB-NP\tO' +p187881 +aS'(\t(\t(\tO\tO' +p187882 +aS'except\texcept\tIN\tB-PP\tO' +p187883 +aS'some\tsome\tDT\tB-NP\tO' +p187884 +aS'borderline\tborderline\tJJ\tI-NP\tO' +p187885 +aS'mild\tmild\tJJ\tI-NP\tO' +p187886 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p187887 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p187888 +aS')\t)\t)\tO\tO' +p187889 +aS'with\twith\tIN\tB-PP\tO' +p187890 +aS'an\tan\tDT\tB-NP\tO' +p187891 +aS'ejection\tejection\tNN\tI-NP\tO' +p187892 +aS'fraction\tfraction\tNN\tI-NP\tO' +p187893 +aS'of\tof\tIN\tB-PP\tO' +p187894 +aS'55%\t55%\tNN\tB-NP\tO' +p187895 +aS'.\t.\t.\tO\tO' +p187896 +asS'7. Metoprolol Tartrate 25 mg Tablet Sig : 1.5 Tablets PO BID ( 2 times a day ).' +p187897 +(lp187898 +S'7.\t7.\tCD\tB-NP\tO' +p187899 +aS'Metoprolol\tMetoprolol\tNNP\tI-NP\tO' +p187900 +aS'Tartrate\tTartrate\tNNP\tI-NP\tO' +p187901 +aS'25\t25\tCD\tI-NP\tO' +p187902 +aS'mg\tmg\tNN\tI-NP\tO' +p187903 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p187904 +aS'Sig\tSig\tNNP\tI-NP\tO' +p187905 +aS':\t:\t:\tO\tO' +p187906 +aS'1.5\t1.5\tCD\tB-NP\tO' +p187907 +aS'Tablets\tTablet\tNNS\tI-NP\tO' +p187908 +aS'PO\tPO\tNN\tI-NP\tO' +p187909 +aS'BID\tBID\tNN\tI-NP\tO' +p187910 +aS'(\t(\t(\tO\tO' +p187911 +aS'2\t2\tCD\tB-NP\tO' +p187912 +aS'times\ttime\tNNS\tI-NP\tO' +p187913 +aS'a\ta\tDT\tB-NP\tO' +p187914 +aS'day\tday\tNN\tI-NP\tO' +p187915 +aS').\t).\t.\tO\tO' +p187916 +asS'Twin #1 cried spontaneously at birth , was bulb suctioned and received Blow-by oxygen .' +p187917 +(lp187918 +S'Twin\tTwin\tNNP\tB-NP\tO' +p187919 +aS'#1\t#1\tCD\tI-NP\tO' +p187920 +aS'cried\tcry\tVBD\tB-VP\tO' +p187921 +aS'spontaneously\tspontaneously\tRB\tB-ADVP\tO' +p187922 +aS'at\tat\tIN\tB-PP\tO' +p187923 +aS'birth\tbirth\tNN\tB-NP\tO' +p187924 +aS',\t,\t,\tO\tO' +p187925 +aS'was\tbe\tVBD\tB-VP\tO' +p187926 +aS'bulb\tbulb\tNN\tB-NP\tO' +p187927 +aS'suctioned\tsuctione\tVBD\tB-VP\tO' +p187928 +aS'and\tand\tCC\tI-VP\tO' +p187929 +aS'received\treceive\tVBD\tI-VP\tO' +p187930 +aS'Blow-by\tBlow-by\tJJ\tB-NP\tO' +p187931 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p187932 +aS'.\t.\t.\tO\tO' +p187933 +asS'6. Menthol - Cetylpyridinium Cl 2 mg Lozenge Sig : One ( 1 ) Lozenge Mucous membrane PRN ( as needed ) .' +p187934 +(lp187935 +S'6.\t6.\tLS\tB-NP\tO' +p187936 +aS'Menthol\tMenthol\tNN\tI-NP\tO' +p187937 +aS'-\t-\tHYPH\tB-NP\tO' +p187938 +aS'Cetylpyridinium\tCetylpyridinium\tNN\tI-NP\tO' +p187939 +aS'Cl\tCl\tNN\tI-NP\tO' +p187940 +aS'2\t2\tCD\tI-NP\tO' +p187941 +aS'mg\tmg\tNN\tI-NP\tO' +p187942 +aS'Lozenge\tLozenge\tNNP\tI-NP\tO' +p187943 +aS'Sig\tSig\tNNP\tI-NP\tO' +p187944 +aS':\t:\t:\tO\tO' +p187945 +aS'One\tOne\tCD\tB-NP\tO' +p187946 +aS'(\t(\t(\tO\tO' +p187947 +aS'1\t1\tCD\tB-NP\tO' +p187948 +aS')\t)\t)\tO\tO' +p187949 +aS'Lozenge\tLozenge\tNN\tB-NP\tO' +p187950 +aS'Mucous\tMucous\tJJ\tI-NP\tO' +p187951 +aS'membrane\tmembrane\tNN\tI-NP\tO' +p187952 +aS'PRN\tPRN\tNN\tI-NP\tO' +p187953 +aS'(\t(\t(\tO\tO' +p187954 +aS'as\tas\tIN\tB-SBAR\tO' +p187955 +aS'needed\tneed\tVBN\tB-VP\tO' +p187956 +aS')\t)\t)\tO\tO' +p187957 +aS'.\t.\t.\tO\tO' +p187958 +asS'1. STATUS POST BONE MARROW TRANSPLANT .' +p187959 +(lp187960 +S'1.\t1.\tLS\tB-LST\tO' +p187961 +aS'STATUS\tSTATUS\tNNP\tB-NP\tO' +p187962 +aS'POST\tPOST\tNNP\tI-NP\tO' +p187963 +aS'BONE\tBONE\tNNP\tI-NP\tO' +p187964 +aS'MARROW\tMARROW\tNNP\tI-NP\tO' +p187965 +aS'TRANSPLANT\tTRANSPLANT\tNNP\tI-NP\tO' +p187966 +aS'.\t.\t.\tO\tO' +p187967 +asS"Medium hiatal hernia , Barrett's esophagus , erosion of the gastroesophageal junction , granularity , erythema and congestion of the antrum in the pre-pyloric region compatible with gastritis ." +p187968 +(lp187969 +S'Medium\tMedium\tJJ\tB-NP\tO' +p187970 +aS'hiatal\thiatal\tJJ\tI-NP\tO' +p187971 +aS'hernia\thernia\tNN\tI-NP\tO' +p187972 +aS',\t,\t,\tO\tO' +p187973 +aS"Barrett's\tBarrett's\tNNP\tB-NP\tO" +p187974 +aS'esophagus\tesophagus\tNNP\tI-NP\tO' +p187975 +aS',\t,\t,\tO\tO' +p187976 +aS'erosion\terosion\tNN\tB-NP\tO' +p187977 +aS'of\tof\tIN\tB-PP\tO' +p187978 +aS'the\tthe\tDT\tB-NP\tO' +p187979 +aS'gastroesophageal\tgastroesophageal\tJJ\tI-NP\tO' +p187980 +aS'junction\tjunction\tNN\tI-NP\tO' +p187981 +aS',\t,\t,\tO\tO' +p187982 +aS'granularity\tgranularity\tNN\tB-NP\tO' +p187983 +aS',\t,\t,\tO\tO' +p187984 +aS'erythema\terythema\tNN\tB-NP\tO' +p187985 +aS'and\tand\tCC\tI-NP\tO' +p187986 +aS'congestion\tcongestion\tNN\tI-NP\tO' +p187987 +aS'of\tof\tIN\tB-PP\tO' +p187988 +aS'the\tthe\tDT\tB-NP\tO' +p187989 +aS'antrum\tantrum\tNN\tI-NP\tO' +p187990 +aS'in\tin\tIN\tB-PP\tO' +p187991 +aS'the\tthe\tDT\tB-NP\tO' +p187992 +aS'pre-pyloric\tpre-pyloric\tJJ\tI-NP\tB-DNA' +p187993 +aS'region\tregion\tNN\tI-NP\tI-DNA' +p187994 +aS'compatible\tcompatible\tJJ\tB-ADJP\tO' +p187995 +aS'with\twith\tIN\tB-PP\tO' +p187996 +aS'gastritis\tgastritis\tNN\tB-NP\tO' +p187997 +aS'.\t.\t.\tO\tO' +p187998 +asS'Missing R 1st toe and L 2nd toe .' +p187999 +(lp188000 +S'Missing\tMissing\tNNP\tB-NP\tO' +p188001 +aS'R\tR\tNNP\tI-NP\tO' +p188002 +aS'1st\t1st\tJJ\tI-NP\tO' +p188003 +aS'toe\ttoe\tNN\tI-NP\tO' +p188004 +aS'and\tand\tCC\tI-NP\tO' +p188005 +aS'L\tL\tNN\tI-NP\tO' +p188006 +aS'2nd\t2nd\tNN\tI-NP\tO' +p188007 +aS'toe\ttoe\tNN\tI-NP\tO' +p188008 +aS'.\t.\t.\tO\tO' +p188009 +asS'She did well off antiarrhythmic agents until October of this year when she was noted to have atrial fibrillation with a rapid ventricular rate after several days of decreased exercise tolerance .' +p188010 +(lp188011 +S'She\tShe\tPRP\tB-NP\tO' +p188012 +aS'did\tdo\tVBD\tB-VP\tO' +p188013 +aS'well\twell\tRB\tB-ADVP\tO' +p188014 +aS'off\toff\tIN\tB-PP\tO' +p188015 +aS'antiarrhythmic\tantiarrhythmic\tJJ\tB-NP\tO' +p188016 +aS'agents\tagent\tNNS\tI-NP\tO' +p188017 +aS'until\tuntil\tIN\tB-PP\tO' +p188018 +aS'October\tOctober\tNNP\tB-NP\tO' +p188019 +aS'of\tof\tIN\tB-PP\tO' +p188020 +aS'this\tthis\tDT\tB-NP\tO' +p188021 +aS'year\tyear\tNN\tI-NP\tO' +p188022 +aS'when\twhen\tWRB\tB-ADVP\tO' +p188023 +aS'she\tshe\tPRP\tB-NP\tO' +p188024 +aS'was\tbe\tVBD\tB-VP\tO' +p188025 +aS'noted\tnote\tVBN\tI-VP\tO' +p188026 +aS'to\tto\tTO\tI-VP\tO' +p188027 +aS'have\thave\tVB\tI-VP\tO' +p188028 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p188029 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p188030 +aS'with\twith\tIN\tB-PP\tO' +p188031 +aS'a\ta\tDT\tB-NP\tO' +p188032 +aS'rapid\trapid\tJJ\tI-NP\tO' +p188033 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p188034 +aS'rate\trate\tNN\tI-NP\tO' +p188035 +aS'after\tafter\tIN\tB-PP\tO' +p188036 +aS'several\tseveral\tJJ\tB-NP\tO' +p188037 +aS'days\tday\tNNS\tI-NP\tO' +p188038 +aS'of\tof\tIN\tB-PP\tO' +p188039 +aS'decreased\tdecrease\tVBN\tB-NP\tO' +p188040 +aS'exercise\texercise\tNN\tI-NP\tO' +p188041 +aS'tolerance\ttolerance\tNN\tI-NP\tO' +p188042 +aS'.\t.\t.\tO\tO' +p188043 +asS'3 - Return to ED or call PCP if neck inflammation and red swollen area does not continue to get better or if temperature returns .' +p188044 +(lp188045 +S'3\t3\tCD\tB-NP\tO' +p188046 +aS'-\t-\tHYPH\tI-NP\tO' +p188047 +aS'Return\tReturn\tNN\tI-NP\tO' +p188048 +aS'to\tto\tTO\tB-PP\tO' +p188049 +aS'ED\tED\tNN\tB-NP\tO' +p188050 +aS'or\tor\tCC\tI-NP\tO' +p188051 +aS'call\tcall\tNN\tI-NP\tO' +p188052 +aS'PCP\tPCP\tNN\tI-NP\tO' +p188053 +aS'if\tif\tIN\tB-SBAR\tO' +p188054 +aS'neck\tneck\tNN\tB-NP\tO' +p188055 +aS'inflammation\tinflammation\tNN\tI-NP\tO' +p188056 +aS'and\tand\tCC\tO\tO' +p188057 +aS'red\tred\tJJ\tB-NP\tO' +p188058 +aS'swollen\tswell\tVBN\tI-NP\tO' +p188059 +aS'area\tarea\tNN\tI-NP\tO' +p188060 +aS'does\tdo\tVBZ\tB-VP\tO' +p188061 +aS'not\tnot\tRB\tI-VP\tO' +p188062 +aS'continue\tcontinue\tVB\tI-VP\tO' +p188063 +aS'to\tto\tTO\tI-VP\tO' +p188064 +aS'get\tget\tVB\tI-VP\tO' +p188065 +aS'better\twell\tRBR\tB-ADVP\tO' +p188066 +aS'or\tor\tCC\tO\tO' +p188067 +aS'if\tif\tIN\tB-SBAR\tO' +p188068 +aS'temperature\ttemperature\tNN\tB-NP\tO' +p188069 +aS'returns\treturn\tNNS\tI-NP\tO' +p188070 +aS'.\t.\t.\tO\tO' +p188071 +asS'Is as above .' +p188072 +(lp188073 +S'Is\tBe\tVBZ\tO\tO' +p188074 +aS'as\tas\tRB\tB-ADVP\tO' +p188075 +aS'above\tabove\tRB\tI-ADVP\tO' +p188076 +aS'.\t.\t.\tO\tO' +p188077 +asS'Head , ears , eyes , nose and throat : Atraumatic and normocephalic .' +p188078 +(lp188079 +S'Head\tHead\tRB\tB-ADVP\tO' +p188080 +aS',\t,\t,\tO\tO' +p188081 +aS'ears\tear\tNNS\tB-NP\tO' +p188082 +aS',\t,\t,\tI-NP\tO' +p188083 +aS'eyes\teye\tNNS\tI-NP\tO' +p188084 +aS',\t,\t,\tI-NP\tO' +p188085 +aS'nose\tnose\tNN\tI-NP\tO' +p188086 +aS'and\tand\tCC\tI-NP\tO' +p188087 +aS'throat\tthroat\tNN\tI-NP\tO' +p188088 +aS':\t:\t:\tO\tO' +p188089 +aS'Atraumatic\tAtraumatic\tJJ\tB-ADJP\tO' +p188090 +aS'and\tand\tCC\tI-ADJP\tO' +p188091 +aS'normocephalic\tnormocephalic\tJJ\tI-ADJP\tO' +p188092 +aS'.\t.\t.\tO\tO' +p188093 +asS'Attending : William Q. Williams , M.D.' +p188094 +(lp188095 +S'Attending\tAttend\tVBG\tB-VP\tO' +p188096 +aS':\t:\t:\tO\tO' +p188097 +aS'William\tWilliam\tNNP\tB-NP\tO' +p188098 +aS'Q.\tQ.\tNNP\tI-NP\tO' +p188099 +aS'Williams\tWilliams\tNNP\tI-NP\tO' +p188100 +aS',\t,\t,\tO\tO' +p188101 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p188102 +asS'After that period of time , his mental status gradually improved and he continued to receive his blood transfusions requiring a total of ten units of packed red blood cells and four units of fresh frozen plasma to reach a hematocrit of 30.0 , which remained stable for the duration of his stay .' +p188103 +(lp188104 +S'After\tAfter\tIN\tB-PP\tO' +p188105 +aS'that\tthat\tDT\tB-NP\tO' +p188106 +aS'period\tperiod\tNN\tI-NP\tO' +p188107 +aS'of\tof\tIN\tB-PP\tO' +p188108 +aS'time\ttime\tNN\tB-NP\tO' +p188109 +aS',\t,\t,\tO\tO' +p188110 +aS'his\this\tPRP$\tB-NP\tO' +p188111 +aS'mental\tmental\tJJ\tI-NP\tO' +p188112 +aS'status\tstatus\tNN\tI-NP\tO' +p188113 +aS'gradually\tgradually\tRB\tB-VP\tO' +p188114 +aS'improved\timprove\tVBN\tI-VP\tO' +p188115 +aS'and\tand\tCC\tO\tO' +p188116 +aS'he\the\tPRP\tB-NP\tO' +p188117 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p188118 +aS'to\tto\tTO\tI-VP\tO' +p188119 +aS'receive\treceive\tVB\tI-VP\tO' +p188120 +aS'his\this\tPRP$\tB-NP\tO' +p188121 +aS'blood\tblood\tNN\tI-NP\tO' +p188122 +aS'transfusions\ttransfusion\tNNS\tI-NP\tO' +p188123 +aS'requiring\trequire\tVBG\tB-VP\tO' +p188124 +aS'a\ta\tDT\tB-NP\tO' +p188125 +aS'total\ttotal\tNN\tI-NP\tO' +p188126 +aS'of\tof\tIN\tB-PP\tO' +p188127 +aS'ten\tten\tCD\tB-NP\tO' +p188128 +aS'units\tunit\tNNS\tI-NP\tO' +p188129 +aS'of\tof\tIN\tB-PP\tO' +p188130 +aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' +p188131 +aS'red\tred\tJJ\tI-NP\tI-cell_type' +p188132 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p188133 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p188134 +aS'and\tand\tCC\tO\tO' +p188135 +aS'four\tfour\tCD\tB-NP\tO' +p188136 +aS'units\tunit\tNNS\tI-NP\tO' +p188137 +aS'of\tof\tIN\tB-PP\tO' +p188138 +aS'fresh\tfresh\tJJ\tB-NP\tO' +p188139 +aS'frozen\tfrozen\tJJ\tI-NP\tO' +p188140 +aS'plasma\tplasma\tNN\tI-NP\tO' +p188141 +aS'to\tto\tTO\tB-VP\tO' +p188142 +aS'reach\treach\tVB\tI-VP\tO' +p188143 +aS'a\ta\tDT\tB-NP\tO' +p188144 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p188145 +aS'of\tof\tIN\tB-PP\tO' +p188146 +aS'30.0\t30.0\tCD\tB-NP\tO' +p188147 +aS',\t,\t,\tO\tO' +p188148 +aS'which\twhich\tWDT\tB-NP\tO' +p188149 +aS'remained\tremain\tVBD\tB-VP\tO' +p188150 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p188151 +aS'for\tfor\tIN\tB-PP\tO' +p188152 +aS'the\tthe\tDT\tB-NP\tO' +p188153 +aS'duration\tduration\tNN\tI-NP\tO' +p188154 +aS'of\tof\tIN\tB-PP\tO' +p188155 +aS'his\this\tPRP$\tB-NP\tO' +p188156 +aS'stay\tstay\tNN\tI-NP\tO' +p188157 +aS'.\t.\t.\tO\tO' +p188158 +asS'Questions regarding follow up may be referred to Dr. Ronda Lopez at the Ayer Orthopedic Group .' +p188159 +(lp188160 +S'Questions\tQuestion\tNNS\tB-NP\tO' +p188161 +aS'regarding\tregard\tVBG\tB-VP\tO' +p188162 +aS'follow\tfollow\tVBP\tB-VP\tO' +p188163 +aS'up\tup\tRP\tB-PRT\tO' +p188164 +aS'may\tmay\tMD\tB-VP\tO' +p188165 +aS'be\tbe\tVB\tI-VP\tO' +p188166 +aS'referred\trefer\tVBN\tI-VP\tO' +p188167 +aS'to\tto\tTO\tB-PP\tO' +p188168 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p188169 +aS'Ronda\tRonda\tNNP\tI-NP\tO' +p188170 +aS'Lopez\tLopez\tNNP\tI-NP\tO' +p188171 +aS'at\tat\tIN\tB-PP\tO' +p188172 +aS'the\tthe\tDT\tB-NP\tO' +p188173 +aS'Ayer\tAyer\tNNP\tI-NP\tO' +p188174 +aS'Orthopedic\tOrthopedic\tNNP\tI-NP\tO' +p188175 +aS'Group\tGroup\tNNP\tI-NP\tO' +p188176 +aS'.\t.\t.\tO\tO' +p188177 +asS'In addition , multiple stools were guaiaced and were all guaiac negative .' +p188178 +(lp188179 +S'In\tIn\tIN\tB-PP\tO' +p188180 +aS'addition\taddition\tNN\tB-NP\tO' +p188181 +aS',\t,\t,\tO\tO' +p188182 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p188183 +aS'stools\tstool\tNNS\tI-NP\tO' +p188184 +aS'were\tbe\tVBD\tB-VP\tO' +p188185 +aS'guaiaced\tguaiace\tVBN\tI-VP\tO' +p188186 +aS'and\tand\tCC\tO\tO' +p188187 +aS'were\tbe\tVBD\tB-VP\tO' +p188188 +aS'all\tall\tDT\tB-NP\tO' +p188189 +aS'guaiac\tguaiac\tNN\tI-NP\tO' +p188190 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p188191 +aS'.\t.\t.\tO\tO' +p188192 +asS'We believe her to still be total body overloaded .' +p188193 +(lp188194 +S'We\tWe\tPRP\tB-NP\tO' +p188195 +aS'believe\tbelieve\tVBP\tB-VP\tO' +p188196 +aS'her\ther\tPRP\tB-NP\tO' +p188197 +aS'to\tto\tTO\tB-VP\tO' +p188198 +aS'still\tstill\tRB\tI-VP\tO' +p188199 +aS'be\tbe\tVB\tI-VP\tO' +p188200 +aS'total\ttotal\tJJ\tB-NP\tO' +p188201 +aS'body\tbody\tNN\tI-NP\tO' +p188202 +aS'overloaded\toverload\tVBD\tB-VP\tO' +p188203 +aS'.\t.\t.\tO\tO' +p188204 +asS'5. Chronic low back pain .' +p188205 +(lp188206 +S'5.\t5.\tLS\tB-NP\tO' +p188207 +aS'Chronic\tChronic\tNNP\tI-NP\tO' +p188208 +aS'low\tlow\tJJ\tI-NP\tO' +p188209 +aS'back\tback\tJJ\tI-NP\tO' +p188210 +aS'pain\tpain\tNN\tI-NP\tO' +p188211 +aS'.\t.\t.\tO\tO' +p188212 +asS'IVC filter and probable NU stent catheter on the left also noted .' +p188213 +(lp188214 +S'IVC\tIVC\tNN\tB-NP\tO' +p188215 +aS'filter\tfilter\tNN\tI-NP\tO' +p188216 +aS'and\tand\tCC\tO\tO' +p188217 +aS'probable\tprobable\tJJ\tB-NP\tO' +p188218 +aS'NU\tNU\tNN\tI-NP\tO' +p188219 +aS'stent\tstent\tNN\tI-NP\tO' +p188220 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p188221 +aS'on\ton\tIN\tB-PP\tO' +p188222 +aS'the\tthe\tDT\tB-NP\tO' +p188223 +aS'left\tleft\tNN\tI-NP\tO' +p188224 +aS'also\talso\tRB\tB-ADVP\tO' +p188225 +aS'noted\tnote\tVBD\tB-VP\tO' +p188226 +aS'.\t.\t.\tO\tO' +p188227 +asS'A right upper quadrant ultrasound documented gallstones , without evidence of common bile duct dilatation or active cholecystitis .' +p188228 +(lp188229 +S'A\tA\tDT\tB-NP\tO' +p188230 +aS'right\tright\tJJ\tI-NP\tO' +p188231 +aS'upper\tupper\tJJ\tI-NP\tO' +p188232 +aS'quadrant\tquadrant\tNN\tI-NP\tO' +p188233 +aS'ultrasound\tultrasound\tJJ\tI-NP\tO' +p188234 +aS'documented\tdocument\tVBN\tI-NP\tO' +p188235 +aS'gallstones\tgallstone\tNNS\tI-NP\tO' +p188236 +aS',\t,\t,\tO\tO' +p188237 +aS'without\twithout\tIN\tB-PP\tO' +p188238 +aS'evidence\tevidence\tNN\tB-NP\tO' +p188239 +aS'of\tof\tIN\tB-PP\tO' +p188240 +aS'common\tcommon\tJJ\tB-NP\tO' +p188241 +aS'bile\tbile\tNN\tI-NP\tO' +p188242 +aS'duct\tduct\tNN\tI-NP\tO' +p188243 +aS'dilatation\tdilatation\tNN\tI-NP\tO' +p188244 +aS'or\tor\tCC\tO\tO' +p188245 +aS'active\tactive\tJJ\tB-NP\tO' +p188246 +aS'cholecystitis\tcholecystitis\tNN\tI-NP\tO' +p188247 +aS'.\t.\t.\tO\tO' +p188248 +asS'The patient required high pressures to ventilate adequately , possibly related to an abdominal compartment syndrome .' +p188249 +(lp188250 +S'The\tThe\tDT\tB-NP\tO' +p188251 +aS'patient\tpatient\tNN\tI-NP\tO' +p188252 +aS'required\trequire\tVBD\tB-VP\tO' +p188253 +aS'high\thigh\tJJ\tB-NP\tO' +p188254 +aS'pressures\tpressure\tNNS\tI-NP\tO' +p188255 +aS'to\tto\tTO\tB-VP\tO' +p188256 +aS'ventilate\tventilate\tVB\tI-VP\tO' +p188257 +aS'adequately\tadequately\tRB\tB-ADVP\tO' +p188258 +aS',\t,\t,\tO\tO' +p188259 +aS'possibly\tpossibly\tRB\tB-ADJP\tO' +p188260 +aS'related\trelated\tJJ\tI-ADJP\tO' +p188261 +aS'to\tto\tTO\tB-PP\tO' +p188262 +aS'an\tan\tDT\tB-NP\tO' +p188263 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p188264 +aS'compartment\tcompartment\tNN\tI-NP\tO' +p188265 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p188266 +aS'.\t.\t.\tO\tO' +p188267 +asS'Her INR was found to be elevated when admitted and , in the course of waiting for this to normalize , the patient spiked a temperature to 105 and became hypotensive to the 70s .' +p188268 +(lp188269 +S'Her\tHer\tPRP$\tB-NP\tO' +p188270 +aS'INR\tINR\tNN\tI-NP\tB-protein' +p188271 +aS'was\tbe\tVBD\tB-VP\tO' +p188272 +aS'found\tfind\tVBN\tI-VP\tO' +p188273 +aS'to\tto\tTO\tI-VP\tO' +p188274 +aS'be\tbe\tVB\tI-VP\tO' +p188275 +aS'elevated\televate\tVBN\tI-VP\tO' +p188276 +aS'when\twhen\tWRB\tB-ADVP\tO' +p188277 +aS'admitted\tadmit\tVBN\tB-VP\tO' +p188278 +aS'and\tand\tCC\tO\tO' +p188279 +aS',\t,\t,\tO\tO' +p188280 +aS'in\tin\tIN\tB-PP\tO' +p188281 +aS'the\tthe\tDT\tB-NP\tO' +p188282 +aS'course\tcourse\tNN\tI-NP\tO' +p188283 +aS'of\tof\tIN\tB-PP\tO' +p188284 +aS'waiting\twait\tVBG\tB-VP\tO' +p188285 +aS'for\tfor\tIN\tB-PP\tO' +p188286 +aS'this\tthis\tDT\tB-NP\tO' +p188287 +aS'to\tto\tTO\tB-VP\tO' +p188288 +aS'normalize\tnormalize\tVB\tI-VP\tO' +p188289 +aS',\t,\t,\tO\tO' +p188290 +aS'the\tthe\tDT\tB-NP\tO' +p188291 +aS'patient\tpatient\tNN\tI-NP\tO' +p188292 +aS'spiked\tspike\tVBD\tB-VP\tO' +p188293 +aS'a\ta\tDT\tB-NP\tO' +p188294 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p188295 +aS'to\tto\tTO\tB-PP\tO' +p188296 +aS'105\t105\tCD\tB-NP\tO' +p188297 +aS'and\tand\tCC\tO\tO' +p188298 +aS'became\tbecome\tVBD\tB-VP\tO' +p188299 +aS'hypotensive\thypotensive\tJJ\tB-ADJP\tO' +p188300 +aS'to\tto\tTO\tB-PP\tO' +p188301 +aS'the\tthe\tDT\tB-NP\tO' +p188302 +aS'70s\t70\tNNS\tI-NP\tO' +p188303 +aS'.\t.\t.\tO\tO' +p188304 +asS'Still tachypneic and hypoxic on room air .' +p188305 +(lp188306 +S'Still\tStill\tRB\tB-ADJP\tO' +p188307 +aS'tachypneic\ttachypneic\tJJ\tI-ADJP\tO' +p188308 +aS'and\tand\tCC\tI-ADJP\tO' +p188309 +aS'hypoxic\thypoxic\tJJ\tI-ADJP\tO' +p188310 +aS'on\ton\tIN\tB-PP\tO' +p188311 +aS'room\troom\tNN\tB-NP\tO' +p188312 +aS'air\tair\tNN\tI-NP\tO' +p188313 +aS'.\t.\t.\tO\tO' +p188314 +asS'Following evaluation and treatment , the patient 's disposition at the end of the visit was ADMITTED AS AN INPATIENT TO HEAONBOBURG LINPACK GRANT MEDICAL CENTER .' +p188315 +(lp188316 +S'Following\tFollow\tVBG\tB-PP\tO' +p188317 +aS'evaluation\tevaluation\tNN\tB-NP\tO' +p188318 +aS'and\tand\tCC\tI-NP\tO' +p188319 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p188320 +aS',\t,\t,\tO\tO' +p188321 +aS'the\tthe\tDT\tB-NP\tO' +p188322 +aS'patient\tpatient\tNN\tI-NP\tO' +p188323 +aS''s\t'\tNNS\tI-NP\tO' +p188324 +aS'disposition\tdisposition\tNN\tI-NP\tO' +p188325 +aS'at\tat\tIN\tB-PP\tO' +p188326 +aS'the\tthe\tDT\tB-NP\tO' +p188327 +aS'end\tend\tNN\tI-NP\tO' +p188328 +aS'of\tof\tIN\tB-PP\tO' +p188329 +aS'the\tthe\tDT\tB-NP\tO' +p188330 +aS'visit\tvisit\tNN\tI-NP\tO' +p188331 +aS'was\tbe\tVBD\tB-VP\tO' +p188332 +aS'ADMITTED\tADMITTED\tVBN\tI-VP\tO' +p188333 +aS'AS\tAS\tNNP\tB-NP\tO' +p188334 +aS'AN\tAN\tNNP\tI-NP\tO' +p188335 +aS'INPATIENT\tINPATIENT\tNNP\tI-NP\tO' +p188336 +aS'TO\tTO\tNNP\tI-NP\tO' +p188337 +aS'HEAONBOBURG\tHEAONBOBURG\tNNP\tI-NP\tO' +p188338 +aS'LINPACK\tLINPACK\tNNP\tI-NP\tO' +p188339 +aS'GRANT\tGRANT\tNNP\tI-NP\tO' +p188340 +aS'MEDICAL\tMEDICAL\tNNP\tI-NP\tO' +p188341 +aS'CENTER\tCENTER\tNNP\tI-NP\tO' +p188342 +aS'.\t.\t.\tO\tO' +p188343 +asS'no clubbing , cyanosis or edema .' +p188344 +(lp188345 +S'no\tno\tDT\tB-NP\tO' +p188346 +aS'clubbing\tclubbing\tNN\tI-NP\tO' +p188347 +aS',\t,\t,\tI-NP\tO' +p188348 +aS'cyanosis\tcyanosis\tNN\tI-NP\tO' +p188349 +aS'or\tor\tCC\tI-NP\tO' +p188350 +aS'edema\tedema\tNN\tI-NP\tO' +p188351 +aS'.\t.\t.\tO\tO' +p188352 +asS'EMTs called many times .' +p188353 +(lp188354 +S'EMTs\tEMT\tNNS\tB-NP\tO' +p188355 +aS'called\tcall\tVBD\tB-VP\tO' +p188356 +aS'many\tmany\tJJ\tB-NP\tO' +p188357 +aS'times\ttime\tNNS\tI-NP\tO' +p188358 +aS'.\t.\t.\tO\tO' +p188359 +asS'An AP of pelvis and R hip films were unremarkable .' +p188360 +(lp188361 +S'An\tAn\tDT\tB-NP\tO' +p188362 +aS'AP\tAP\tNN\tI-NP\tO' +p188363 +aS'of\tof\tIN\tB-PP\tO' +p188364 +aS'pelvis\tpelvis\tNN\tB-NP\tO' +p188365 +aS'and\tand\tCC\tI-NP\tO' +p188366 +aS'R\tR\tNN\tI-NP\tO' +p188367 +aS'hip\thip\tNN\tI-NP\tO' +p188368 +aS'films\tfilm\tNNS\tI-NP\tO' +p188369 +aS'were\tbe\tVBD\tB-VP\tO' +p188370 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p188371 +aS'.\t.\t.\tO\tO' +p188372 +asS'Covered broadly with vancomycin , flagyl , and cefipime .' +p188373 +(lp188374 +S'Covered\tCover\tVBN\tB-VP\tO' +p188375 +aS'broadly\tbroadly\tRB\tB-ADVP\tO' +p188376 +aS'with\twith\tIN\tB-PP\tO' +p188377 +aS'vancomycin\tvancomycin\tNN\tB-NP\tO' +p188378 +aS',\t,\t,\tO\tO' +p188379 +aS'flagyl\tflagyl\tNN\tB-NP\tO' +p188380 +aS',\t,\t,\tO\tO' +p188381 +aS'and\tand\tCC\tO\tO' +p188382 +aS'cefipime\tcefipime\tNN\tB-NP\tO' +p188383 +aS'.\t.\t.\tO\tO' +p188384 +asS'Positive hepatojugular reflexes .' +p188385 +(lp188386 +S'Positive\tPositive\tJJ\tB-NP\tO' +p188387 +aS'hepatojugular\thepatojugular\tJJ\tI-NP\tO' +p188388 +aS'reflexes\treflex\tNNS\tI-NP\tO' +p188389 +aS'.\t.\t.\tO\tO' +p188390 +asS'The patient needs still better diabetes control .' +p188391 +(lp188392 +S'The\tThe\tDT\tB-NP\tO' +p188393 +aS'patient\tpatient\tNN\tI-NP\tO' +p188394 +aS'needs\tneed\tVBZ\tB-VP\tO' +p188395 +aS'still\tstill\tRB\tB-NP\tO' +p188396 +aS'better\tgood\tJJR\tI-NP\tO' +p188397 +aS'diabetes\tdiabetes\tNN\tI-NP\tO' +p188398 +aS'control\tcontrol\tNN\tI-NP\tO' +p188399 +aS'.\t.\t.\tO\tO' +p188400 +asS'ASPIRATION PNEUMONIA .' +p188401 +(lp188402 +S'ASPIRATION\tASPIRATION\tNN\tB-NP\tO' +p188403 +aS'PNEUMONIA\tPNEUMONIA\tNN\tI-NP\tO' +p188404 +aS'.\t.\t.\tO\tO' +p188405 +asS'Beta-blockers should not be used while using cocaine .' +p188406 +(lp188407 +S'Beta-blockers\tBeta-blocker\tNNS\tB-NP\tO' +p188408 +aS'should\tshould\tMD\tB-VP\tO' +p188409 +aS'not\tnot\tRB\tI-VP\tO' +p188410 +aS'be\tbe\tVB\tI-VP\tO' +p188411 +aS'used\tuse\tVBN\tI-VP\tO' +p188412 +aS'while\twhile\tIN\tB-SBAR\tO' +p188413 +aS'using\tuse\tVBG\tB-VP\tO' +p188414 +aS'cocaine\tcocaine\tNN\tB-NP\tO' +p188415 +aS'.\t.\t.\tO\tO' +p188416 +asS'No additional masses or nodules appreciated on exam .' +p188417 +(lp188418 +S'No\tNo\tDT\tB-NP\tO' +p188419 +aS'additional\tadditional\tJJ\tI-NP\tO' +p188420 +aS'masses\tmass\tNNS\tI-NP\tO' +p188421 +aS'or\tor\tCC\tI-NP\tO' +p188422 +aS'nodules\tnodule\tNNS\tI-NP\tO' +p188423 +aS'appreciated\tappreciate\tVBN\tB-VP\tO' +p188424 +aS'on\ton\tIN\tB-PP\tO' +p188425 +aS'exam\texam\tNN\tB-NP\tO' +p188426 +aS'.\t.\t.\tO\tO' +p188427 +asS'Differential diagnosis includes primary head/neck cancer and lymphoma .' +p188428 +(lp188429 +S'Differential\tDifferential\tJJ\tB-NP\tO' +p188430 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p188431 +aS'includes\tinclude\tVBZ\tB-VP\tO' +p188432 +aS'primary\tprimary\tJJ\tB-NP\tO' +p188433 +aS'head/neck\thead/neck\tNN\tI-NP\tO' +p188434 +aS'cancer\tcancer\tNN\tI-NP\tO' +p188435 +aS'and\tand\tCC\tI-NP\tO' +p188436 +aS'lymphoma\tlymphoma\tNN\tI-NP\tO' +p188437 +aS'.\t.\t.\tO\tO' +p188438 +asS'status post aortic valve replacement , status post coronary artery bypass grafting .' +p188439 +(lp188440 +S'status\tstatus\tNN\tB-NP\tO' +p188441 +aS'post\tpost\tNN\tI-NP\tO' +p188442 +aS'aortic\taortic\tJJ\tI-NP\tO' +p188443 +aS'valve\tvalve\tNN\tI-NP\tO' +p188444 +aS'replacement\treplacement\tNN\tI-NP\tO' +p188445 +aS',\t,\t,\tO\tO' +p188446 +aS'status\tstatus\tNN\tB-NP\tO' +p188447 +aS'post\tpost\tNN\tI-NP\tO' +p188448 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p188449 +aS'artery\tartery\tNN\tI-NP\tO' +p188450 +aS'bypass\tbypass\tIN\tB-PP\tO' +p188451 +aS'grafting\tgrafting\tNN\tB-NP\tO' +p188452 +aS'.\t.\t.\tO\tO' +p188453 +asS'His discharge weight is 4180 grams .' +p188454 +(lp188455 +S'His\tHis\tPRP$\tB-NP\tO' +p188456 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p188457 +aS'weight\tweight\tNN\tI-NP\tO' +p188458 +aS'is\tbe\tVBZ\tB-VP\tO' +p188459 +aS'4180\t4180\tCD\tB-NP\tO' +p188460 +aS'grams\tgram\tNNS\tI-NP\tO' +p188461 +aS'.\t.\t.\tO\tO' +p188462 +asS'He had a differential diagnosis of asystole preceded by an acute rise in central venous pressure included attention pneumothorax , cardiac tamponade , and pulmonary embolism .' +p188463 +(lp188464 +S'He\tHe\tPRP\tB-NP\tO' +p188465 +aS'had\thave\tVBD\tB-VP\tO' +p188466 +aS'a\ta\tDT\tB-NP\tO' +p188467 +aS'differential\tdifferential\tJJ\tI-NP\tO' +p188468 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p188469 +aS'of\tof\tIN\tB-PP\tO' +p188470 +aS'asystole\tasystole\tNN\tB-NP\tO' +p188471 +aS'preceded\tprecede\tVBN\tB-VP\tO' +p188472 +aS'by\tby\tIN\tB-PP\tO' +p188473 +aS'an\tan\tDT\tB-NP\tO' +p188474 +aS'acute\tacute\tJJ\tI-NP\tO' +p188475 +aS'rise\trise\tNN\tI-NP\tO' +p188476 +aS'in\tin\tIN\tB-PP\tO' +p188477 +aS'central\tcentral\tJJ\tB-NP\tO' +p188478 +aS'venous\tvenous\tJJ\tI-NP\tO' +p188479 +aS'pressure\tpressure\tNN\tI-NP\tO' +p188480 +aS'included\tinclude\tVBD\tB-VP\tO' +p188481 +aS'attention\tattention\tNN\tB-NP\tO' +p188482 +aS'pneumothorax\tpneumothorax\tNN\tI-NP\tO' +p188483 +aS',\t,\t,\tO\tO' +p188484 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p188485 +aS'tamponade\ttamponade\tNN\tI-NP\tO' +p188486 +aS',\t,\t,\tO\tO' +p188487 +aS'and\tand\tCC\tO\tO' +p188488 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p188489 +aS'embolism\tembolism\tNN\tI-NP\tO' +p188490 +aS'.\t.\t.\tO\tO' +p188491 +asS'The patient was restarted on Levothyroxine soon after admission .' +p188492 +(lp188493 +S'The\tThe\tDT\tB-NP\tO' +p188494 +aS'patient\tpatient\tNN\tI-NP\tO' +p188495 +aS'was\tbe\tVBD\tB-VP\tO' +p188496 +aS'restarted\trestart\tVBN\tI-VP\tO' +p188497 +aS'on\ton\tIN\tB-PP\tO' +p188498 +aS'Levothyroxine\tLevothyroxine\tNN\tB-NP\tO' +p188499 +aS'soon\tsoon\tRB\tB-ADVP\tO' +p188500 +aS'after\tafter\tIN\tB-PP\tO' +p188501 +aS'admission\tadmission\tNN\tB-NP\tO' +p188502 +aS'.\t.\t.\tO\tO' +p188503 +asS'3) Question progressive supranuclear palsy .' +p188504 +(lp188505 +S'3)\t3)\tLS\tB-NP\tO' +p188506 +aS'Question\tQuestion\tNN\tI-NP\tO' +p188507 +aS'progressive\tprogressive\tJJ\tI-NP\tO' +p188508 +aS'supranuclear\tsupranuclear\tJJ\tI-NP\tO' +p188509 +aS'palsy\tpalsy\tNN\tI-NP\tO' +p188510 +aS'.\t.\t.\tO\tO' +p188511 +asS'Chief Complaint : abdominal pain / nausea' +p188512 +(lp188513 +S'Chief\tChief\tNNP\tB-NP\tO' +p188514 +aS'Complaint\tComplaint\tNNP\tI-NP\tO' +p188515 +aS':\t:\t:\tO\tO' +p188516 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p188517 +aS'pain\tpain\tNN\tI-NP\tO' +p188518 +aS'/\t/\tSYM\tB-NP\tO' +p188519 +aS'nausea\tnausea\tNN\tB-NP\tO' +p188520 +asS'Skin : no rashes , small decubit in the back .' +p188521 +(lp188522 +S'Skin\tSkin\tNN\tB-NP\tO' +p188523 +aS':\t:\t:\tO\tO' +p188524 +aS'no\tno\tDT\tB-NP\tO' +p188525 +aS'rashes\trash\tNNS\tI-NP\tO' +p188526 +aS',\t,\t,\tO\tO' +p188527 +aS'small\tsmall\tJJ\tB-NP\tO' +p188528 +aS'decubit\tdecubit\tNN\tI-NP\tO' +p188529 +aS'in\tin\tIN\tB-PP\tO' +p188530 +aS'the\tthe\tDT\tB-NP\tO' +p188531 +aS'back\tback\tNN\tI-NP\tO' +p188532 +aS'.\t.\t.\tO\tO' +p188533 +asS'Put on NTG drip without relief .' +p188534 +(lp188535 +S'Put\tPut\tNN\tB-NP\tB-protein' +p188536 +aS'on\ton\tIN\tB-PP\tO' +p188537 +aS'NTG\tNTG\tNN\tB-NP\tB-protein' +p188538 +aS'drip\tdrip\tNN\tI-NP\tI-protein' +p188539 +aS'without\twithout\tIN\tB-PP\tI-protein' +p188540 +aS'relief\trelief\tNN\tB-NP\tI-protein' +p188541 +aS'.\t.\t.\tO\tO' +p188542 +asS'During evaluation pt responsive to sternal rub but could not follow commands .' +p188543 +(lp188544 +S'During\tDuring\tIN\tB-PP\tO' +p188545 +aS'evaluation\tevaluation\tNN\tB-NP\tO' +p188546 +aS'pt\tpt\tNN\tI-NP\tO' +p188547 +aS'responsive\tresponsive\tJJ\tB-ADJP\tO' +p188548 +aS'to\tto\tTO\tB-PP\tO' +p188549 +aS'sternal\tsternal\tJJ\tB-NP\tO' +p188550 +aS'rub\trub\tNN\tI-NP\tO' +p188551 +aS'but\tbut\tCC\tO\tO' +p188552 +aS'could\tcould\tMD\tB-VP\tO' +p188553 +aS'not\tnot\tRB\tI-VP\tO' +p188554 +aS'follow\tfollow\tVB\tI-VP\tO' +p188555 +aS'commands\tcommand\tNNS\tB-NP\tO' +p188556 +aS'.\t.\t.\tO\tO' +p188557 +asS'Assistant was Dr. Justin K.. Velez .' +p188558 +(lp188559 +S'Assistant\tAssistant\tNN\tB-NP\tO' +p188560 +aS'was\tbe\tVBD\tB-VP\tO' +p188561 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p188562 +aS'Justin\tJustin\tNNP\tI-NP\tO' +p188563 +aS'K..\tK..\tNNP\tI-NP\tO' +p188564 +aS'Velez\tVelez\tNNP\tI-NP\tO' +p188565 +aS'.\t.\t.\tO\tO' +p188566 +asS'He had remained neurologically stable .' +p188567 +(lp188568 +S'He\tHe\tPRP\tB-NP\tO' +p188569 +aS'had\thave\tVBD\tB-VP\tO' +p188570 +aS'remained\tremain\tVBN\tI-VP\tO' +p188571 +aS'neurologically\tneurologically\tRB\tB-ADJP\tO' +p188572 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p188573 +aS'.\t.\t.\tO\tO' +p188574 +asS'8. Anemia .' +p188575 +(lp188576 +S'8.\t8.\tCD\tB-NP\tO' +p188577 +aS'Anemia\tAnemia\tNNP\tI-NP\tO' +p188578 +aS'.\t.\t.\tO\tO' +p188579 +asS'7. Chronic restrictive lung disease ( no PFT available )' +p188580 +(lp188581 +S'7.\t7.\tLS\tB-NP\tO' +p188582 +aS'Chronic\tChronic\tJJ\tI-NP\tO' +p188583 +aS'restrictive\trestrictive\tJJ\tI-NP\tO' +p188584 +aS'lung\tlung\tNN\tI-NP\tO' +p188585 +aS'disease\tdisease\tNN\tI-NP\tO' +p188586 +aS'(\t(\t(\tO\tO' +p188587 +aS'no\tno\tDT\tB-NP\tO' +p188588 +aS'PFT\tPFT\tNN\tI-NP\tO' +p188589 +aS'available\tavailable\tJJ\tB-ADJP\tO' +p188590 +aS')\t)\t)\tO\tO' +p188591 +asS'Therefore , the patient was taken to the Operating Room on 2009-08-24 for a Whipple procedure versus hepaticojejunostomy .' +p188592 +(lp188593 +S'Therefore\tTherefore\tRB\tB-ADVP\tO' +p188594 +aS',\t,\t,\tO\tO' +p188595 +aS'the\tthe\tDT\tB-NP\tO' +p188596 +aS'patient\tpatient\tNN\tI-NP\tO' +p188597 +aS'was\tbe\tVBD\tB-VP\tO' +p188598 +aS'taken\ttake\tVBN\tI-VP\tO' +p188599 +aS'to\tto\tTO\tB-PP\tO' +p188600 +aS'the\tthe\tDT\tB-NP\tO' +p188601 +aS'Operating\tOperating\tNNP\tI-NP\tO' +p188602 +aS'Room\tRoom\tNNP\tI-NP\tO' +p188603 +aS'on\ton\tIN\tB-PP\tO' +p188604 +aS'2009-08-24\t2009-08-24\tCD\tB-NP\tO' +p188605 +aS'for\tfor\tIN\tB-PP\tO' +p188606 +aS'a\ta\tDT\tB-NP\tO' +p188607 +aS'Whipple\tWhipple\tNNP\tI-NP\tO' +p188608 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p188609 +aS'versus\tversus\tIN\tB-PP\tO' +p188610 +aS'hepaticojejunostomy\thepaticojejunostomy\tNN\tB-NP\tO' +p188611 +aS'.\t.\t.\tO\tO' +p188612 +asS'- T2DM c/b neuropathy and nephropathy' +p188613 +(lp188614 +S'-\t-\tHYPH\tB-NP\tO' +p188615 +aS'T2DM\tT2DM\tNN\tI-NP\tO' +p188616 +aS'c/b\tc/b\tNN\tI-NP\tO' +p188617 +aS'neuropathy\tneuropathy\tNN\tI-NP\tO' +p188618 +aS'and\tand\tCC\tO\tO' +p188619 +aS'nephropathy\tnephropathy\tNN\tB-NP\tO' +p188620 +asS'At the time of discharge , his Plavix was held due to Guaiac positive stools and hematocrit drop throughout admission .' +p188621 +(lp188622 +S'At\tAt\tIN\tB-PP\tO' +p188623 +aS'the\tthe\tDT\tB-NP\tO' +p188624 +aS'time\ttime\tNN\tI-NP\tO' +p188625 +aS'of\tof\tIN\tB-PP\tO' +p188626 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p188627 +aS',\t,\t,\tO\tO' +p188628 +aS'his\this\tPRP$\tB-NP\tO' +p188629 +aS'Plavix\tPlavix\tNN\tI-NP\tO' +p188630 +aS'was\tbe\tVBD\tB-VP\tO' +p188631 +aS'held\thold\tVBN\tI-VP\tO' +p188632 +aS'due\tdue\tJJ\tB-ADJP\tO' +p188633 +aS'to\tto\tTO\tB-PP\tO' +p188634 +aS'Guaiac\tGuaiac\tJJ\tB-NP\tO' +p188635 +aS'positive\tpositive\tJJ\tI-NP\tO' +p188636 +aS'stools\tstool\tNNS\tI-NP\tO' +p188637 +aS'and\tand\tCC\tO\tO' +p188638 +aS'hematocrit\thematocrit\tNN\tB-NP\tO' +p188639 +aS'drop\tdrop\tNN\tI-NP\tO' +p188640 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p188641 +aS'admission\tadmission\tNN\tB-NP\tO' +p188642 +aS'.\t.\t.\tO\tO' +p188643 +asS'Blood pressure 152/74 , pulse 60 , respirations 16 .' +p188644 +(lp188645 +S'Blood\tBlood\tNN\tB-NP\tO' +p188646 +aS'pressure\tpressure\tNN\tI-NP\tO' +p188647 +aS'152/74\t152/74\tCD\tI-NP\tO' +p188648 +aS',\t,\t,\tO\tO' +p188649 +aS'pulse\tpulse\tNN\tB-NP\tO' +p188650 +aS'60\t60\tCD\tI-NP\tO' +p188651 +aS',\t,\t,\tO\tO' +p188652 +aS'respirations\trespiration\tNNS\tB-NP\tO' +p188653 +aS'16\t16\tCD\tB-NP\tO' +p188654 +aS'.\t.\t.\tO\tO' +p188655 +asS'The patient was found to have expanding pulmonary infiltrates on chest x-ray , developed acute renal insufficiency with minimal urine output , less than 10 cc an hour , started on dopamine for hemodynamic instability .' +p188656 +(lp188657 +S'The\tThe\tDT\tB-NP\tO' +p188658 +aS'patient\tpatient\tNN\tI-NP\tO' +p188659 +aS'was\tbe\tVBD\tB-VP\tO' +p188660 +aS'found\tfind\tVBN\tI-VP\tO' +p188661 +aS'to\tto\tTO\tI-VP\tO' +p188662 +aS'have\thave\tVB\tI-VP\tO' +p188663 +aS'expanding\texpand\tVBG\tI-VP\tO' +p188664 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p188665 +aS'infiltrates\tinfiltrate\tNNS\tI-NP\tO' +p188666 +aS'on\ton\tIN\tB-PP\tO' +p188667 +aS'chest\tchest\tNN\tB-NP\tO' +p188668 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p188669 +aS',\t,\t,\tO\tO' +p188670 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p188671 +aS'acute\tacute\tJJ\tB-NP\tO' +p188672 +aS'renal\trenal\tJJ\tI-NP\tO' +p188673 +aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' +p188674 +aS'with\twith\tIN\tB-PP\tO' +p188675 +aS'minimal\tminimal\tJJ\tB-NP\tO' +p188676 +aS'urine\turine\tNN\tI-NP\tO' +p188677 +aS'output\toutput\tNN\tI-NP\tO' +p188678 +aS',\t,\t,\tO\tO' +p188679 +aS'less\tless\tJJR\tB-NP\tO' +p188680 +aS'than\tthan\tIN\tI-NP\tO' +p188681 +aS'10\t10\tCD\tI-NP\tO' +p188682 +aS'cc\tcc\tNN\tI-NP\tO' +p188683 +aS'an\tan\tDT\tB-NP\tO' +p188684 +aS'hour\thour\tNN\tI-NP\tO' +p188685 +aS',\t,\t,\tO\tO' +p188686 +aS'started\tstart\tVBN\tB-VP\tO' +p188687 +aS'on\ton\tIN\tB-PP\tO' +p188688 +aS'dopamine\tdopamine\tNN\tB-NP\tO' +p188689 +aS'for\tfor\tIN\tB-PP\tO' +p188690 +aS'hemodynamic\themodynamic\tJJ\tB-NP\tO' +p188691 +aS'instability\tinstability\tNN\tI-NP\tO' +p188692 +aS'.\t.\t.\tO\tO' +p188693 +asS'Percocet two tabs po. q4h prn .' +p188694 +(lp188695 +S'Percocet\tPercocet\tIN\tB-PP\tO' +p188696 +aS'two\ttwo\tCD\tB-NP\tO' +p188697 +aS'tabs\ttab\tNNS\tI-NP\tO' +p188698 +aS'po.\tpo.\tNN\tI-NP\tO' +p188699 +aS'q4h\tq4h\tNN\tI-NP\tO' +p188700 +aS'prn\tprn\tNN\tI-NP\tO' +p188701 +aS'.\t.\t.\tO\tO' +p188702 +asS'Abdomen : normal bowel sounds , soft , nontender , nondistended' +p188703 +(lp188704 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p188705 +aS':\t:\t:\tO\tO' +p188706 +aS'normal\tnormal\tJJ\tB-NP\tO' +p188707 +aS'bowel\tbowel\tNN\tI-NP\tO' +p188708 +aS'sounds\tsound\tNNS\tI-NP\tO' +p188709 +aS',\t,\t,\tO\tO' +p188710 +aS'soft\tsoft\tJJ\tB-NP\tO' +p188711 +aS',\t,\t,\tI-NP\tO' +p188712 +aS'nontender\tnontender\tJJ\tI-NP\tO' +p188713 +aS',\t,\t,\tI-NP\tO' +p188714 +aS'nondistended\tnondistended\tJJ\tI-NP\tO' +p188715 +asS'Tylenol 650 mg p.o. q. 4-6h p.r.n. headache or pain ; acyclovir 400 mg p.o. t.i.d.; acyclovir topical t.i.d. to be applied to lesion on corner of mouth ; Peridex 15 ml p.o. b.i.d.; Mycelex 1 troche p.o. t.i.d.; g-csf 404 mcg subcu q.d.; folic acid 1 mg p.o. q.d.; lorazepam 1-2 mg p.o. q. 4-6h p.r.n. nausea and vomiting ; Miracle Cream topical q.d. p.r.n. perianal irritation ; Eucerin Cream topical b.i.d.; Zantac 150 mg p.o. b.i.d.; Restoril 15-30 mg p.o. q. h.s. p.r.n. insomnia ; multivitamin 1 tablet p.o. q.d.; viscous lidocaine 15 ml p.o. q. 3h can be applied to corner of mouth or lips p.r.n. pain control .' +p188716 +(lp188717 +S'Tylenol\tTylenol\tNN\tB-NP\tO' +p188718 +aS'650\t650\tCD\tI-NP\tO' +p188719 +aS'mg\tmg\tNN\tI-NP\tO' +p188720 +aS'p.o.\tp.o.\tFW\tB-NP\tO' +p188721 +aS'q.\tq.\tFW\tI-NP\tO' +p188722 +aS'4-6h\t4-6h\tFW\tI-NP\tO' +p188723 +aS'p.r.n.\tp.r.n.\tFW\tI-NP\tO' +p188724 +aS'headache\theadache\tNN\tI-NP\tO' +p188725 +aS'or\tor\tCC\tI-NP\tO' +p188726 +aS'pain\tpain\tNN\tI-NP\tO' +p188727 +aS';\t;\t:\tO\tO' +p188728 +aS'acyclovir\tacyclovir\tNN\tB-NP\tO' +p188729 +aS'400\t400\tCD\tI-NP\tO' +p188730 +aS'mg\tmg\tNN\tI-NP\tO' +p188731 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p188732 +aS't.i.d.;\tt.i.d.;\tNN\tI-NP\tO' +p188733 +aS'acyclovir\tacyclovir\tNN\tI-NP\tO' +p188734 +aS'topical\ttopical\tJJ\tI-NP\tO' +p188735 +aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' +p188736 +aS'to\tto\tTO\tB-VP\tO' +p188737 +aS'be\tbe\tVB\tI-VP\tO' +p188738 +aS'applied\tapply\tVBN\tI-VP\tO' +p188739 +aS'to\tto\tTO\tB-PP\tO' +p188740 +aS'lesion\tlesion\tNN\tB-NP\tO' +p188741 +aS'on\ton\tIN\tB-PP\tO' +p188742 +aS'corner\tcorner\tNN\tB-NP\tO' +p188743 +aS'of\tof\tIN\tB-PP\tO' +p188744 +aS'mouth\tmouth\tNN\tB-NP\tO' +p188745 +aS';\t;\t:\tO\tO' +p188746 +aS'Peridex\tPeridex\tNNP\tB-NP\tO' +p188747 +aS'15\t15\tCD\tI-NP\tO' +p188748 +aS'ml\tml\tNN\tI-NP\tO' +p188749 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p188750 +aS'b.i.d.;\tb.i.d.;\tNN\tI-NP\tO' +p188751 +aS'Mycelex\tMycelex\tNN\tI-NP\tO' +p188752 +aS'1\t1\tCD\tI-NP\tO' +p188753 +aS'troche\ttroche\tNN\tI-NP\tO' +p188754 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p188755 +aS't.i.d.;\tt.i.d.;\tNN\tI-NP\tO' +p188756 +aS'g-csf\tg-csf\tNN\tI-NP\tO' +p188757 +aS'404\t404\tCD\tI-NP\tO' +p188758 +aS'mcg\tmcg\tNN\tI-NP\tO' +p188759 +aS'subcu\tsubcu\tNN\tI-NP\tO' +p188760 +aS'q.d.;\tq.d.;\tNN\tI-NP\tO' +p188761 +aS'folic\tfolic\tJJ\tI-NP\tO' +p188762 +aS'acid\tacid\tNN\tI-NP\tO' +p188763 +aS'1\t1\tCD\tI-NP\tO' +p188764 +aS'mg\tmg\tNN\tI-NP\tO' +p188765 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p188766 +aS'q.d.;\tq.d.;\tNN\tI-NP\tO' +p188767 +aS'lorazepam\tlorazepam\tNN\tI-NP\tO' +p188768 +aS'1-2\t1-2\tCD\tI-NP\tO' +p188769 +aS'mg\tmg\tNN\tI-NP\tO' +p188770 +aS'p.o.\tp.o.\tFW\tB-NP\tO' +p188771 +aS'q.\tq.\tFW\tI-NP\tO' +p188772 +aS'4-6h\t4-6h\tFW\tI-NP\tO' +p188773 +aS'p.r.n.\tp.r.n.\tFW\tI-NP\tO' +p188774 +aS'nausea\tnausea\tNN\tI-NP\tO' +p188775 +aS'and\tand\tCC\tI-NP\tO' +p188776 +aS'vomiting\tvomiting\tNN\tI-NP\tO' +p188777 +aS';\t;\t:\tO\tO' +p188778 +aS'Miracle\tMiracle\tNNP\tB-NP\tO' +p188779 +aS'Cream\tCream\tNNP\tI-NP\tO' +p188780 +aS'topical\ttopical\tJJ\tI-NP\tO' +p188781 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p188782 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p188783 +aS'perianal\tperianal\tJJ\tI-NP\tO' +p188784 +aS'irritation\tirritation\tNN\tI-NP\tO' +p188785 +aS';\t;\t:\tO\tO' +p188786 +aS'Eucerin\tEucerin\tNNP\tB-NP\tO' +p188787 +aS'Cream\tCream\tNNP\tI-NP\tO' +p188788 +aS'topical\ttopical\tJJ\tI-NP\tO' +p188789 +aS'b.i.d.;\tb.i.d.;\tNN\tI-NP\tO' +p188790 +aS'Zantac\tZantac\tNN\tI-NP\tO' +p188791 +aS'150\t150\tCD\tI-NP\tO' +p188792 +aS'mg\tmg\tNN\tI-NP\tO' +p188793 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p188794 +aS'b.i.d.;\tb.i.d.;\tNN\tI-NP\tO' +p188795 +aS'Restoril\tRestoril\tNNP\tB-NP\tO' +p188796 +aS'15-30\t15-30\tCD\tI-NP\tO' +p188797 +aS'mg\tmg\tNN\tI-NP\tO' +p188798 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p188799 +aS'q.\tq.\tFW\tI-NP\tO' +p188800 +aS'h.s.\th.s.\tFW\tI-NP\tO' +p188801 +aS'p.r.n.\tp.r.n.\tFW\tI-NP\tO' +p188802 +aS'insomnia\tinsomnia\tNN\tI-NP\tO' +p188803 +aS';\t;\t:\tO\tO' +p188804 +aS'multivitamin\tmultivitamin\tNN\tB-NP\tO' +p188805 +aS'1\t1\tCD\tI-NP\tO' +p188806 +aS'tablet\ttablet\tNN\tI-NP\tO' +p188807 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p188808 +aS'q.d.;\tq.d.;\tNN\tI-NP\tO' +p188809 +aS'viscous\tviscous\tJJ\tI-NP\tO' +p188810 +aS'lidocaine\tlidocaine\tNN\tI-NP\tO' +p188811 +aS'15\t15\tCD\tI-NP\tO' +p188812 +aS'ml\tml\tNN\tI-NP\tO' +p188813 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p188814 +aS'q.\tq.\tNN\tI-NP\tO' +p188815 +aS'3h\t3h\tNN\tI-NP\tO' +p188816 +aS'can\tcan\tMD\tB-VP\tO' +p188817 +aS'be\tbe\tVB\tI-VP\tO' +p188818 +aS'applied\tapply\tVBN\tI-VP\tO' +p188819 +aS'to\tto\tTO\tB-PP\tO' +p188820 +aS'corner\tcorner\tNN\tB-NP\tO' +p188821 +aS'of\tof\tIN\tB-PP\tO' +p188822 +aS'mouth\tmouth\tNN\tB-NP\tO' +p188823 +aS'or\tor\tCC\tI-NP\tO' +p188824 +aS'lips\tlip\tNNS\tI-NP\tO' +p188825 +aS'p.r.n.\tp.r.n.\tVBP\tB-VP\tO' +p188826 +aS'pain\tpain\tNN\tB-NP\tO' +p188827 +aS'control\tcontrol\tNN\tI-NP\tO' +p188828 +aS'.\t.\t.\tO\tO' +p188829 +asS'Suture of right temporal head wound , performed on April 14 , 1994 .' +p188830 +(lp188831 +S'Suture\tSuture\tNN\tB-NP\tO' +p188832 +aS'of\tof\tIN\tB-PP\tO' +p188833 +aS'right\tright\tJJ\tB-NP\tO' +p188834 +aS'temporal\ttemporal\tJJ\tI-NP\tO' +p188835 +aS'head\thead\tNN\tI-NP\tO' +p188836 +aS'wound\twound\tNN\tI-NP\tO' +p188837 +aS',\t,\t,\tO\tO' +p188838 +aS'performed\tperform\tVBN\tB-VP\tO' +p188839 +aS'on\ton\tIN\tB-PP\tO' +p188840 +aS'April\tApril\tNNP\tB-NP\tO' +p188841 +aS'14\t14\tCD\tI-NP\tO' +p188842 +aS',\t,\t,\tI-NP\tO' +p188843 +aS'1994\t1994\tCD\tI-NP\tO' +p188844 +aS'.\t.\t.\tO\tO' +p188845 +asS'This is a 71-year-old-female with asthma and a history of recent exacerbation of lower extremity edema who , at her baseline , gets short of breath walking across the room and sleeps on four pillows times several years .' +p188846 +(lp188847 +S'This\tThis\tDT\tB-NP\tO' +p188848 +aS'is\tbe\tVBZ\tB-VP\tO' +p188849 +aS'a\ta\tDT\tB-NP\tO' +p188850 +aS'71-year-old-female\t71-year-old-female\tJJ\tI-NP\tO' +p188851 +aS'with\twith\tIN\tB-PP\tO' +p188852 +aS'asthma\tasthma\tNN\tB-NP\tO' +p188853 +aS'and\tand\tCC\tO\tO' +p188854 +aS'a\ta\tDT\tB-NP\tO' +p188855 +aS'history\thistory\tNN\tI-NP\tO' +p188856 +aS'of\tof\tIN\tB-PP\tO' +p188857 +aS'recent\trecent\tJJ\tB-NP\tO' +p188858 +aS'exacerbation\texacerbation\tNN\tI-NP\tO' +p188859 +aS'of\tof\tIN\tB-PP\tO' +p188860 +aS'lower\tlow\tJJR\tB-NP\tO' +p188861 +aS'extremity\textremity\tNN\tI-NP\tO' +p188862 +aS'edema\tedema\tNN\tI-NP\tO' +p188863 +aS'who\twho\tWP\tB-NP\tO' +p188864 +aS',\t,\t,\tO\tO' +p188865 +aS'at\tat\tIN\tB-PP\tO' +p188866 +aS'her\ther\tPRP$\tB-NP\tO' +p188867 +aS'baseline\tbaseline\tNN\tI-NP\tO' +p188868 +aS',\t,\t,\tO\tO' +p188869 +aS'gets\tget\tVBZ\tB-VP\tO' +p188870 +aS'short\tshort\tRB\tB-ADVP\tO' +p188871 +aS'of\tof\tIN\tB-PP\tO' +p188872 +aS'breath\tbreath\tNN\tB-NP\tO' +p188873 +aS'walking\twalk\tVBG\tB-VP\tO' +p188874 +aS'across\tacross\tIN\tB-PP\tO' +p188875 +aS'the\tthe\tDT\tB-NP\tO' +p188876 +aS'room\troom\tNN\tI-NP\tO' +p188877 +aS'and\tand\tCC\tI-NP\tO' +p188878 +aS'sleeps\tsleep\tNNS\tI-NP\tO' +p188879 +aS'on\ton\tIN\tB-PP\tO' +p188880 +aS'four\tfour\tCD\tB-NP\tO' +p188881 +aS'pillows\tpillow\tNNS\tI-NP\tO' +p188882 +aS'times\ttime\tVBZ\tB-VP\tO' +p188883 +aS'several\tseveral\tJJ\tB-NP\tO' +p188884 +aS'years\tyear\tNNS\tI-NP\tO' +p188885 +aS'.\t.\t.\tO\tO' +p188886 +asS'ROS ( - ) emesis / BRBPR/melena / fever/chills / sob .' +p188887 +(lp188888 +S'ROS\tROS\tNN\tB-NP\tO' +p188889 +aS'(\t(\t(\tO\tO' +p188890 +aS'-\t-\tSYM\tO\tO' +p188891 +aS')\t)\t)\tO\tO' +p188892 +aS'emesis\temesis\tNN\tB-NP\tO' +p188893 +aS'/\t/\tSYM\tB-NP\tO' +p188894 +aS'BRBPR/melena\tBRBPR/melena\tNN\tI-NP\tO' +p188895 +aS'/\t/\tSYM\tI-NP\tO' +p188896 +aS'fever/chills\tfever/chills\tNN\tI-NP\tO' +p188897 +aS'/\t/\tSYM\tB-NP\tO' +p188898 +aS'sob\tsob\tNN\tI-NP\tO' +p188899 +aS'.\t.\t.\tO\tO' +p188900 +asS"Before this age and for the first 24 months of the child 's life immunizations against influenza is recommended for household contacts and out of home care givers ." +p188901 +(lp188902 +S'Before\tBefore\tIN\tB-SBAR\tO' +p188903 +aS'this\tthis\tDT\tB-NP\tO' +p188904 +aS'age\tage\tNN\tI-NP\tO' +p188905 +aS'and\tand\tCC\tB-PP\tO' +p188906 +aS'for\tfor\tIN\tB-PP\tO' +p188907 +aS'the\tthe\tDT\tB-NP\tO' +p188908 +aS'first\tfirst\tJJ\tI-NP\tO' +p188909 +aS'24\t24\tCD\tI-NP\tO' +p188910 +aS'months\tmonth\tNNS\tI-NP\tO' +p188911 +aS'of\tof\tIN\tB-PP\tO' +p188912 +aS'the\tthe\tDT\tB-NP\tO' +p188913 +aS'child\tchild\tNN\tI-NP\tO' +p188914 +aS"'s\t's\tPOS\tB-NP\tO" +p188915 +aS'life\tlife\tNN\tI-NP\tO' +p188916 +aS'immunizations\timmunization\tNNS\tI-NP\tO' +p188917 +aS'against\tagainst\tIN\tB-PP\tO' +p188918 +aS'influenza\tinfluenza\tNN\tB-NP\tO' +p188919 +aS'is\tbe\tVBZ\tB-VP\tO' +p188920 +aS'recommended\trecommend\tVBN\tI-VP\tO' +p188921 +aS'for\tfor\tIN\tB-PP\tO' +p188922 +aS'household\thousehold\tNN\tB-NP\tO' +p188923 +aS'contacts\tcontact\tNNS\tI-NP\tO' +p188924 +aS'and\tand\tCC\tB-PP\tO' +p188925 +aS'out\tout\tIN\tB-PP\tO' +p188926 +aS'of\tof\tIN\tB-PP\tO' +p188927 +aS'home\thome\tNN\tB-NP\tO' +p188928 +aS'care\tcare\tNN\tI-NP\tO' +p188929 +aS'givers\tgiver\tNNS\tI-NP\tO' +p188930 +aS'.\t.\t.\tO\tO' +p188931 +asS'Heart rate 91 , regular , blood pressure 169/81 from a right groin A line , respirations 12 , oxygen saturation of 97 percent on 2 liters nasal cannula .' +p188932 +(lp188933 +S'Heart\tHeart\tNN\tB-NP\tO' +p188934 +aS'rate\trate\tNN\tI-NP\tO' +p188935 +aS'91\t91\tCD\tI-NP\tO' +p188936 +aS',\t,\t,\tO\tO' +p188937 +aS'regular\tregular\tJJ\tB-NP\tO' +p188938 +aS',\t,\t,\tI-NP\tO' +p188939 +aS'blood\tblood\tNN\tI-NP\tO' +p188940 +aS'pressure\tpressure\tNN\tI-NP\tO' +p188941 +aS'169/81\t169/81\tCD\tI-NP\tO' +p188942 +aS'from\tfrom\tIN\tB-PP\tO' +p188943 +aS'a\ta\tDT\tB-NP\tO' +p188944 +aS'right\tright\tJJ\tI-NP\tB-cell_line' +p188945 +aS'groin\tgroin\tNN\tI-NP\tI-cell_line' +p188946 +aS'A\tA\tNN\tI-NP\tI-cell_line' +p188947 +aS'line\tline\tNN\tI-NP\tI-cell_line' +p188948 +aS',\t,\t,\tO\tO' +p188949 +aS'respirations\trespiration\tNNS\tB-NP\tO' +p188950 +aS'12\t12\tCD\tB-NP\tO' +p188951 +aS',\t,\t,\tO\tO' +p188952 +aS'oxygen\toxygen\tNN\tB-NP\tO' +p188953 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p188954 +aS'of\tof\tIN\tB-PP\tO' +p188955 +aS'97\t97\tCD\tB-NP\tO' +p188956 +aS'percent\tpercent\tNN\tI-NP\tO' +p188957 +aS'on\ton\tIN\tB-PP\tO' +p188958 +aS'2\t2\tCD\tB-NP\tO' +p188959 +aS'liters\tliter\tNNS\tI-NP\tO' +p188960 +aS'nasal\tnasal\tJJ\tB-NP\tO' +p188961 +aS'cannula\tcannula\tNN\tI-NP\tO' +p188962 +aS'.\t.\t.\tO\tO' +p188963 +asS'Also on 2019-10-11 he was taken to the operating room for an ORIF of his left distal radius fracture .' +p188964 +(lp188965 +S'Also\tAlso\tRB\tB-ADVP\tO' +p188966 +aS'on\ton\tIN\tB-PP\tO' +p188967 +aS'2019-10-11\t2019-10-11\tCD\tB-NP\tO' +p188968 +aS'he\the\tPRP\tB-NP\tO' +p188969 +aS'was\tbe\tVBD\tB-VP\tO' +p188970 +aS'taken\ttake\tVBN\tI-VP\tO' +p188971 +aS'to\tto\tTO\tB-PP\tO' +p188972 +aS'the\tthe\tDT\tB-NP\tO' +p188973 +aS'operating\toperating\tNN\tI-NP\tO' +p188974 +aS'room\troom\tNN\tI-NP\tO' +p188975 +aS'for\tfor\tIN\tB-PP\tO' +p188976 +aS'an\tan\tDT\tB-NP\tO' +p188977 +aS'ORIF\tORIF\tNN\tI-NP\tB-protein' +p188978 +aS'of\tof\tIN\tB-PP\tO' +p188979 +aS'his\this\tPRP$\tB-NP\tO' +p188980 +aS'left\tleft\tJJ\tI-NP\tO' +p188981 +aS'distal\tdistal\tJJ\tI-NP\tO' +p188982 +aS'radius\tradius\tNN\tI-NP\tO' +p188983 +aS'fracture\tfracture\tNN\tI-NP\tO' +p188984 +aS'.\t.\t.\tO\tO' +p188985 +asS'The patient was also noted to have antegrade flow in both of her vertebral arteries bilaterally .' +p188986 +(lp188987 +S'The\tThe\tDT\tB-NP\tO' +p188988 +aS'patient\tpatient\tNN\tI-NP\tO' +p188989 +aS'was\tbe\tVBD\tB-VP\tO' +p188990 +aS'also\talso\tRB\tI-VP\tO' +p188991 +aS'noted\tnote\tVBN\tI-VP\tO' +p188992 +aS'to\tto\tTO\tI-VP\tO' +p188993 +aS'have\thave\tVB\tI-VP\tO' +p188994 +aS'antegrade\tantegrade\tDT\tB-NP\tO' +p188995 +aS'flow\tflow\tNN\tI-NP\tO' +p188996 +aS'in\tin\tIN\tB-PP\tO' +p188997 +aS'both\tboth\tDT\tB-NP\tO' +p188998 +aS'of\tof\tIN\tB-PP\tO' +p188999 +aS'her\ther\tPRP$\tB-NP\tO' +p189000 +aS'vertebral\tvertebral\tJJ\tI-NP\tO' +p189001 +aS'arteries\tartery\tNNS\tI-NP\tO' +p189002 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p189003 +aS'.\t.\t.\tO\tO' +p189004 +asS'Colace 100 mg. po bid , Captopril 50 mg. po tid , Nifedipine 20 mg. po q 6 hours and Nifedipine 20 mg. po or sublingual q 3 hours prn systolic blood pressure greater than 160 millemeters of Mercury .' +p189005 +(lp189006 +S'Colace\tColace\tNNP\tB-NP\tO' +p189007 +aS'100\t100\tCD\tI-NP\tO' +p189008 +aS'mg.\tmg.\tNN\tI-NP\tO' +p189009 +aS'po\tpo\tNN\tI-NP\tO' +p189010 +aS'bid\tbid\tNN\tI-NP\tO' +p189011 +aS',\t,\t,\tO\tO' +p189012 +aS'Captopril\tCaptopril\tNNP\tB-NP\tO' +p189013 +aS'50\t50\tCD\tI-NP\tO' +p189014 +aS'mg.\tmg.\tNN\tI-NP\tO' +p189015 +aS'po\tpo\tNN\tI-NP\tO' +p189016 +aS'tid\ttid\tNN\tI-NP\tO' +p189017 +aS',\t,\t,\tO\tO' +p189018 +aS'Nifedipine\tNifedipine\tNN\tB-NP\tB-protein' +p189019 +aS'20\t20\tCD\tI-NP\tI-protein' +p189020 +aS'mg.\tmg.\tNN\tI-NP\tI-protein' +p189021 +aS'po\tpo\tNN\tI-NP\tI-protein' +p189022 +aS'q\tq\tNN\tI-NP\tI-protein' +p189023 +aS'6\t6\tCD\tB-NP\tI-protein' +p189024 +aS'hours\thour\tNNS\tI-NP\tI-protein' +p189025 +aS'and\tand\tCC\tO\tO' +p189026 +aS'Nifedipine\tNifedipine\tVBP\tB-VP\tO' +p189027 +aS'20\t20\tCD\tB-NP\tO' +p189028 +aS'mg.\tmg.\tNN\tI-NP\tO' +p189029 +aS'po\tpo\tNN\tI-NP\tO' +p189030 +aS'or\tor\tCC\tO\tO' +p189031 +aS'sublingual\tsublingual\tJJ\tB-NP\tO' +p189032 +aS'q\tq\tNN\tI-NP\tO' +p189033 +aS'3\t3\tCD\tB-NP\tO' +p189034 +aS'hours\thour\tNNS\tI-NP\tO' +p189035 +aS'prn\tprn\tVBP\tB-VP\tO' +p189036 +aS'systolic\tsystolic\tJJ\tB-NP\tO' +p189037 +aS'blood\tblood\tNN\tI-NP\tO' +p189038 +aS'pressure\tpressure\tNN\tI-NP\tO' +p189039 +aS'greater\tgreat\tJJR\tB-ADJP\tO' +p189040 +aS'than\tthan\tIN\tB-PP\tO' +p189041 +aS'160\t160\tCD\tB-NP\tO' +p189042 +aS'millemeters\tmillemeter\tNNS\tI-NP\tO' +p189043 +aS'of\tof\tIN\tB-PP\tO' +p189044 +aS'Mercury\tMercury\tNNP\tB-NP\tO' +p189045 +aS'.\t.\t.\tO\tO' +p189046 +asS'9. Artificial Tears Drops Sig : One ( 1 ) drop Ophthalmic twice a day : ou .' +p189047 +(lp189048 +S'9.\t9.\tLS\tB-NP\tO' +p189049 +aS'Artificial\tArtificial\tNNP\tI-NP\tO' +p189050 +aS'Tears\tTear\tNNPS\tI-NP\tO' +p189051 +aS'Drops\tDrops\tNNP\tI-NP\tO' +p189052 +aS'Sig\tSig\tNNP\tI-NP\tO' +p189053 +aS':\t:\t:\tO\tO' +p189054 +aS'One\tOne\tCD\tB-NP\tO' +p189055 +aS'(\t(\t(\tO\tO' +p189056 +aS'1\t1\tCD\tB-NP\tO' +p189057 +aS')\t)\t)\tO\tO' +p189058 +aS'drop\tdrop\tVBP\tB-VP\tO' +p189059 +aS'Ophthalmic\tOphthalmic\tNNP\tB-NP\tO' +p189060 +aS'twice\ttwice\tRB\tB-NP\tO' +p189061 +aS'a\ta\tDT\tI-NP\tO' +p189062 +aS'day\tday\tNN\tI-NP\tO' +p189063 +aS':\t:\t:\tO\tO' +p189064 +aS'ou\tou\tPRP\tB-NP\tO' +p189065 +aS'.\t.\t.\tO\tO' +p189066 +asS'Her Bcx remained negative throughout her stay .' +p189067 +(lp189068 +S'Her\tHer\tPRP$\tB-NP\tO' +p189069 +aS'Bcx\tBcx\tNN\tI-NP\tB-protein' +p189070 +aS'remained\tremain\tVBD\tB-VP\tO' +p189071 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p189072 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p189073 +aS'her\ther\tPRP$\tB-NP\tO' +p189074 +aS'stay\tstay\tNN\tI-NP\tO' +p189075 +aS'.\t.\t.\tO\tO' +p189076 +asS'A 12-lead electrocardiogram showed atrial fibrillation with a QT interval of .46 seconds .' +p189077 +(lp189078 +S'A\tA\tDT\tB-NP\tO' +p189079 +aS'12-lead\t12-lead\tJJ\tI-NP\tO' +p189080 +aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' +p189081 +aS'showed\tshow\tVBD\tB-VP\tO' +p189082 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p189083 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p189084 +aS'with\twith\tIN\tB-PP\tO' +p189085 +aS'a\ta\tDT\tB-NP\tO' +p189086 +aS'QT\tQT\tNN\tI-NP\tO' +p189087 +aS'interval\tinterval\tNN\tI-NP\tO' +p189088 +aS'of\tof\tIN\tB-PP\tO' +p189089 +aS'.46\t.46\tCD\tB-NP\tO' +p189090 +aS'seconds\tsecond\tNNS\tI-NP\tO' +p189091 +aS'.\t.\t.\tO\tO' +p189092 +asS'Heart is regular without murmurs , rubs , or gallops .' +p189093 +(lp189094 +S'Heart\tHeart\tNNP\tB-NP\tO' +p189095 +aS'is\tbe\tVBZ\tB-VP\tO' +p189096 +aS'regular\tregular\tJJ\tB-ADJP\tO' +p189097 +aS'without\twithout\tIN\tB-PP\tO' +p189098 +aS'murmurs\tmurmur\tNNS\tB-NP\tO' +p189099 +aS',\t,\t,\tO\tO' +p189100 +aS'rubs\trub\tNNS\tB-NP\tO' +p189101 +aS',\t,\t,\tO\tO' +p189102 +aS'or\tor\tCC\tO\tO' +p189103 +aS'gallops\tgallop\tNNS\tB-NP\tO' +p189104 +aS'.\t.\t.\tO\tO' +p189105 +asS'On 07-12 , after and extensive family meeting , the family decided to extubate the patient and make him comfortable , and he passed away at 5:20 on 2009-07-12 .' +p189106 +(lp189107 +S'On\tOn\tIN\tB-PP\tO' +p189108 +aS'07-12\t07-12\tCD\tB-NP\tO' +p189109 +aS',\t,\t,\tO\tO' +p189110 +aS'after\tafter\tIN\tB-PP\tO' +p189111 +aS'and\tand\tCC\tO\tO' +p189112 +aS'extensive\textensive\tJJ\tB-NP\tO' +p189113 +aS'family\tfamily\tNN\tI-NP\tO' +p189114 +aS'meeting\tmeeting\tNN\tI-NP\tO' +p189115 +aS',\t,\t,\tO\tO' +p189116 +aS'the\tthe\tDT\tB-NP\tO' +p189117 +aS'family\tfamily\tNN\tI-NP\tO' +p189118 +aS'decided\tdecide\tVBD\tB-VP\tO' +p189119 +aS'to\tto\tTO\tI-VP\tO' +p189120 +aS'extubate\textubate\tVB\tI-VP\tO' +p189121 +aS'the\tthe\tDT\tB-NP\tO' +p189122 +aS'patient\tpatient\tNN\tI-NP\tO' +p189123 +aS'and\tand\tCC\tO\tO' +p189124 +aS'make\tmake\tVB\tB-VP\tO' +p189125 +aS'him\thim\tPRP\tB-NP\tO' +p189126 +aS'comfortable\tcomfortable\tJJ\tB-ADJP\tO' +p189127 +aS',\t,\t,\tO\tO' +p189128 +aS'and\tand\tCC\tO\tO' +p189129 +aS'he\the\tPRP\tB-NP\tO' +p189130 +aS'passed\tpass\tVBD\tB-VP\tO' +p189131 +aS'away\taway\tRP\tB-PRT\tO' +p189132 +aS'at\tat\tIN\tB-PP\tO' +p189133 +aS'5:20\t5:20\tCD\tB-NP\tO' +p189134 +aS'on\ton\tIN\tB-PP\tO' +p189135 +aS'2009-07-12\t2009-07-12\tCD\tB-NP\tO' +p189136 +aS'.\t.\t.\tO\tO' +p189137 +asS'Her hemovac drains were removed on postoperative day # 2 as was her Foley catheter .' +p189138 +(lp189139 +S'Her\tHer\tPRP$\tB-NP\tO' +p189140 +aS'hemovac\themovac\tNN\tI-NP\tO' +p189141 +aS'drains\tdrain\tNNS\tI-NP\tO' +p189142 +aS'were\tbe\tVBD\tB-VP\tO' +p189143 +aS'removed\tremove\tVBN\tI-VP\tO' +p189144 +aS'on\ton\tIN\tB-PP\tO' +p189145 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p189146 +aS'day\tday\tNN\tI-NP\tO' +p189147 +aS'#\t#\t#\tB-NP\tO' +p189148 +aS'2\t2\tCD\tI-NP\tO' +p189149 +aS'as\tas\tIN\tB-SBAR\tO' +p189150 +aS'was\tbe\tVBD\tO\tO' +p189151 +aS'her\ther\tPRP\tB-NP\tO' +p189152 +aS'Foley\tFoley\tNNP\tI-NP\tO' +p189153 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p189154 +aS'.\t.\t.\tO\tO' +p189155 +asS'Normal female , anus patent .' +p189156 +(lp189157 +S'Normal\tNormal\tJJ\tB-NP\tO' +p189158 +aS'female\tfemale\tNN\tI-NP\tO' +p189159 +aS',\t,\t,\tO\tO' +p189160 +aS'anus\tanus\tDT\tB-NP\tO' +p189161 +aS'patent\tpatent\tNN\tI-NP\tO' +p189162 +aS'.\t.\t.\tO\tO' +p189163 +asS'Arousable intermittently to voice .' +p189164 +(lp189165 +S'Arousable\tArousable\tJJ\tB-ADJP\tO' +p189166 +aS'intermittently\tintermittently\tRB\tI-ADJP\tO' +p189167 +aS'to\tto\tTO\tB-PP\tO' +p189168 +aS'voice\tvoice\tNN\tB-NP\tO' +p189169 +aS'.\t.\t.\tO\tO' +p189170 +asS'She was given 1 unit of packed red blood cell .' +p189171 +(lp189172 +S'She\tShe\tPRP\tB-NP\tO' +p189173 +aS'was\tbe\tVBD\tB-VP\tO' +p189174 +aS'given\tgive\tVBN\tI-VP\tO' +p189175 +aS'1\t1\tCD\tB-NP\tO' +p189176 +aS'unit\tunit\tNN\tI-NP\tO' +p189177 +aS'of\tof\tIN\tB-PP\tO' +p189178 +aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' +p189179 +aS'red\tred\tJJ\tI-NP\tI-cell_type' +p189180 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p189181 +aS'cell\tcell\tNN\tI-NP\tI-cell_type' +p189182 +aS'.\t.\t.\tO\tO' +p189183 +asS"The patient continued to be followed by the Infectious Disease Service who felt that the patient 's Jackson Pratt drains needed to stay in as there was still some significant drainage from them ." +p189184 +(lp189185 +S'The\tThe\tDT\tB-NP\tO' +p189186 +aS'patient\tpatient\tNN\tI-NP\tO' +p189187 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p189188 +aS'to\tto\tTO\tI-VP\tO' +p189189 +aS'be\tbe\tVB\tI-VP\tO' +p189190 +aS'followed\tfollow\tVBN\tI-VP\tO' +p189191 +aS'by\tby\tIN\tB-PP\tO' +p189192 +aS'the\tthe\tDT\tB-NP\tO' +p189193 +aS'Infectious\tInfectious\tNNP\tI-NP\tO' +p189194 +aS'Disease\tDisease\tNNP\tI-NP\tO' +p189195 +aS'Service\tService\tNNP\tI-NP\tO' +p189196 +aS'who\twho\tWP\tB-NP\tO' +p189197 +aS'felt\tfeel\tVBD\tB-VP\tO' +p189198 +aS'that\tthat\tIN\tB-SBAR\tO' +p189199 +aS'the\tthe\tDT\tB-NP\tO' +p189200 +aS'patient\tpatient\tNN\tI-NP\tO' +p189201 +aS"'s\t's\tPOS\tB-NP\tO" +p189202 +aS'Jackson\tJackson\tNNP\tI-NP\tO' +p189203 +aS'Pratt\tPratt\tNNP\tI-NP\tO' +p189204 +aS'drains\tdrain\tVBZ\tB-VP\tO' +p189205 +aS'needed\tneed\tVBN\tI-VP\tO' +p189206 +aS'to\tto\tTO\tI-VP\tO' +p189207 +aS'stay\tstay\tVB\tI-VP\tO' +p189208 +aS'in\tin\tRP\tB-PRT\tO' +p189209 +aS'as\tas\tIN\tB-SBAR\tO' +p189210 +aS'there\tthere\tEX\tB-NP\tO' +p189211 +aS'was\tbe\tVBD\tB-VP\tO' +p189212 +aS'still\tstill\tRB\tB-ADVP\tO' +p189213 +aS'some\tsome\tDT\tB-NP\tO' +p189214 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p189215 +aS'drainage\tdrainage\tNN\tI-NP\tO' +p189216 +aS'from\tfrom\tIN\tB-PP\tO' +p189217 +aS'them\tthem\tPRP\tB-NP\tO' +p189218 +aS'.\t.\t.\tO\tO' +p189219 +asS'Subsequently EEG was noted to have no seizure activity .' +p189220 +(lp189221 +S'Subsequently\tSubsequently\tRB\tB-NP\tO' +p189222 +aS'EEG\tEEG\tNN\tI-NP\tB-protein' +p189223 +aS'was\tbe\tVBD\tB-VP\tO' +p189224 +aS'noted\tnote\tVBN\tI-VP\tO' +p189225 +aS'to\tto\tTO\tI-VP\tO' +p189226 +aS'have\thave\tVB\tI-VP\tO' +p189227 +aS'no\tno\tDT\tB-NP\tO' +p189228 +aS'seizure\tseizure\tNN\tI-NP\tO' +p189229 +aS'activity\tactivity\tNN\tI-NP\tO' +p189230 +aS'.\t.\t.\tO\tO' +p189231 +asS'MRSA Bacteremia .' +p189232 +(lp189233 +S'MRSA\tMRSA\tNNP\tB-NP\tO' +p189234 +aS'Bacteremia\tBacteremia\tNNP\tI-NP\tO' +p189235 +aS'.\t.\t.\tO\tO' +p189236 +asS'He denied visual changes , lightheadedness of dizziness currently , neck stiffness , or pain in any other area .' +p189237 +(lp189238 +S'He\tHe\tPRP\tB-NP\tO' +p189239 +aS'denied\tdeny\tVBD\tB-VP\tO' +p189240 +aS'visual\tvisual\tJJ\tB-NP\tO' +p189241 +aS'changes\tchange\tNNS\tI-NP\tO' +p189242 +aS',\t,\t,\tO\tO' +p189243 +aS'lightheadedness\tlightheadedness\tNN\tB-NP\tO' +p189244 +aS'of\tof\tIN\tB-PP\tO' +p189245 +aS'dizziness\tdizziness\tNN\tB-NP\tO' +p189246 +aS'currently\tcurrently\tRB\tB-ADVP\tO' +p189247 +aS',\t,\t,\tO\tO' +p189248 +aS'neck\tneck\tNN\tB-NP\tO' +p189249 +aS'stiffness\tstiffness\tNN\tI-NP\tO' +p189250 +aS',\t,\t,\tO\tO' +p189251 +aS'or\tor\tCC\tO\tO' +p189252 +aS'pain\tpain\tNN\tB-NP\tO' +p189253 +aS'in\tin\tIN\tB-PP\tO' +p189254 +aS'any\tany\tDT\tB-NP\tO' +p189255 +aS'other\tother\tJJ\tI-NP\tO' +p189256 +aS'area\tarea\tNN\tI-NP\tO' +p189257 +aS'.\t.\t.\tO\tO' +p189258 +asS'Calcium was 9.6 .' +p189259 +(lp189260 +S'Calcium\tCalcium\tNN\tB-NP\tO' +p189261 +aS'was\tbe\tVBD\tB-VP\tO' +p189262 +aS'9.6\t9.6\tCD\tB-NP\tO' +p189263 +aS'.\t.\t.\tO\tO' +p189264 +asS'9. Atenolol 50 mg Tablet Sig : One ( 1 ) Tablet PO once a day .' +p189265 +(lp189266 +S'9.\t9.\tCD\tB-NP\tO' +p189267 +aS'Atenolol\tAtenolol\tNN\tI-NP\tO' +p189268 +aS'50\t50\tCD\tB-NP\tO' +p189269 +aS'mg\tmg\tNN\tI-NP\tO' +p189270 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p189271 +aS'Sig\tSig\tNNP\tI-NP\tO' +p189272 +aS':\t:\t:\tO\tO' +p189273 +aS'One\tOne\tCD\tB-NP\tO' +p189274 +aS'(\t(\t(\tO\tO' +p189275 +aS'1\t1\tCD\tB-NP\tO' +p189276 +aS')\t)\t)\tO\tO' +p189277 +aS'Tablet\tTablet\tNN\tB-NP\tB-protein' +p189278 +aS'PO\tPO\tNN\tI-NP\tI-protein' +p189279 +aS'once\tonce\tRB\tO\tO' +p189280 +aS'a\ta\tDT\tB-NP\tO' +p189281 +aS'day\tday\tNN\tI-NP\tO' +p189282 +aS'.\t.\t.\tO\tO' +p189283 +asS'Of note - Na 133 , K 4 , WBC 8.82 , hematocrit 35.1 , platelets 229 .' +p189284 +(lp189285 +S'Of\tOf\tIN\tB-PP\tO' +p189286 +aS'note\tnote\tNN\tB-NP\tO' +p189287 +aS'-\t-\tHYPH\tO\tO' +p189288 +aS'Na\tNa\tNN\tB-NP\tB-protein' +p189289 +aS'133\t133\tCD\tI-NP\tI-protein' +p189290 +aS',\t,\t,\tO\tO' +p189291 +aS'K\tK\tNN\tB-NP\tB-DNA' +p189292 +aS'4\t4\tCD\tI-NP\tI-DNA' +p189293 +aS',\t,\t,\tO\tO' +p189294 +aS'WBC\tWBC\tNNP\tB-NP\tO' +p189295 +aS'8.82\t8.82\tCD\tI-NP\tO' +p189296 +aS',\t,\t,\tO\tO' +p189297 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p189298 +aS'35.1\t35.1\tCD\tI-NP\tI-protein' +p189299 +aS',\t,\t,\tO\tO' +p189300 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p189301 +aS'229\t229\tCD\tB-NP\tO' +p189302 +aS'.\t.\t.\tO\tO' +p189303 +asS'8. Lisinopril 10 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' +p189304 +(lp189305 +S'8.\t8.\tCD\tB-NP\tO' +p189306 +aS'Lisinopril\tLisinopril\tNNP\tI-NP\tO' +p189307 +aS'10\t10\tCD\tI-NP\tO' +p189308 +aS'mg\tmg\tNN\tI-NP\tO' +p189309 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p189310 +aS'Sig\tSig\tNNP\tI-NP\tO' +p189311 +aS':\t:\t:\tO\tO' +p189312 +aS'One\tOne\tCD\tB-NP\tO' +p189313 +aS'(\t(\t(\tO\tO' +p189314 +aS'1\t1\tCD\tB-NP\tO' +p189315 +aS')\t)\t)\tO\tO' +p189316 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p189317 +aS'PO\tPO\tNN\tI-NP\tO' +p189318 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p189319 +aS'(\t(\t(\tO\tO' +p189320 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p189321 +aS')\t)\t)\tO\tO' +p189322 +aS'.\t.\t.\tO\tO' +p189323 +asS'3) Status post right elbow surgery .' +p189324 +(lp189325 +S'3)\t3)\tLS\tB-LST\tO' +p189326 +aS'Status\tStatus\tNNP\tB-NP\tO' +p189327 +aS'post\tpost\tIN\tB-PP\tO' +p189328 +aS'right\tright\tJJ\tB-NP\tO' +p189329 +aS'elbow\telbow\tNN\tI-NP\tO' +p189330 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p189331 +aS'.\t.\t.\tO\tO' +p189332 +asS'When he came back to Faulkner Hospital Hospital for confusion and diaphoresis , his initial oxygen sat was only 80% with a fingerstick of 29 .' +p189333 +(lp189334 +S'When\tWhen\tWRB\tB-ADVP\tO' +p189335 +aS'he\the\tPRP\tB-NP\tO' +p189336 +aS'came\tcome\tVBD\tB-VP\tO' +p189337 +aS'back\tback\tRB\tB-ADVP\tO' +p189338 +aS'to\tto\tTO\tB-PP\tO' +p189339 +aS'Faulkner\tFaulkner\tNNP\tB-NP\tO' +p189340 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p189341 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p189342 +aS'for\tfor\tIN\tB-PP\tO' +p189343 +aS'confusion\tconfusion\tNN\tB-NP\tO' +p189344 +aS'and\tand\tCC\tI-NP\tO' +p189345 +aS'diaphoresis\tdiaphoresis\tNN\tI-NP\tO' +p189346 +aS',\t,\t,\tO\tO' +p189347 +aS'his\this\tPRP$\tB-NP\tO' +p189348 +aS'initial\tinitial\tJJ\tI-NP\tO' +p189349 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p189350 +aS'sat\tsat\tNN\tI-NP\tO' +p189351 +aS'was\tbe\tVBD\tB-VP\tO' +p189352 +aS'only\tonly\tRB\tB-NP\tO' +p189353 +aS'80%\t80%\tCD\tI-NP\tO' +p189354 +aS'with\twith\tIN\tB-PP\tO' +p189355 +aS'a\ta\tDT\tB-NP\tO' +p189356 +aS'fingerstick\tfingerstick\tNN\tI-NP\tO' +p189357 +aS'of\tof\tIN\tB-PP\tO' +p189358 +aS'29\t29\tCD\tB-NP\tO' +p189359 +aS'.\t.\t.\tO\tO' +p189360 +asS'Neurological : Alert and oriented times 3 .' +p189361 +(lp189362 +S'Neurological\tNeurological\tJJ\tB-ADJP\tO' +p189363 +aS':\t:\t:\tO\tO' +p189364 +aS'Alert\tAlert\tNNP\tB-NP\tO' +p189365 +aS'and\tand\tCC\tO\tO' +p189366 +aS'oriented\torient\tVBN\tB-VP\tO' +p189367 +aS'times\ttime\tNNS\tB-NP\tO' +p189368 +aS'3\t3\tCD\tI-NP\tO' +p189369 +aS'.\t.\t.\tO\tO' +p189370 +asS'Once her prothrombin time is in therapeutic range , she will be observed for epistaxis .' +p189371 +(lp189372 +S'Once\tOnce\tRB\tO\tO' +p189373 +aS'her\ther\tPRP$\tB-NP\tO' +p189374 +aS'prothrombin\tprothrombin\tNN\tI-NP\tO' +p189375 +aS'time\ttime\tNN\tI-NP\tO' +p189376 +aS'is\tbe\tVBZ\tB-VP\tO' +p189377 +aS'in\tin\tIN\tB-PP\tO' +p189378 +aS'therapeutic\ttherapeutic\tJJ\tB-NP\tO' +p189379 +aS'range\trange\tNN\tI-NP\tO' +p189380 +aS',\t,\t,\tO\tO' +p189381 +aS'she\tshe\tPRP\tB-NP\tO' +p189382 +aS'will\twill\tMD\tB-VP\tO' +p189383 +aS'be\tbe\tVB\tI-VP\tO' +p189384 +aS'observed\tobserve\tVBN\tI-VP\tO' +p189385 +aS'for\tfor\tIN\tB-PP\tO' +p189386 +aS'epistaxis\tepistaxis\tNN\tB-NP\tO' +p189387 +aS'.\t.\t.\tO\tO' +p189388 +asS'Patient did receive a right heart catheterization , which showed elevated wedge pressures and biopsy specimens were obtained of the right ventricle .' +p189389 +(lp189390 +S'Patient\tPatient\tNN\tB-NP\tO' +p189391 +aS'did\tdo\tVBD\tB-VP\tO' +p189392 +aS'receive\treceive\tVB\tI-VP\tO' +p189393 +aS'a\ta\tDT\tB-NP\tO' +p189394 +aS'right\tright\tJJ\tI-NP\tO' +p189395 +aS'heart\theart\tNN\tI-NP\tO' +p189396 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p189397 +aS',\t,\t,\tO\tO' +p189398 +aS'which\twhich\tWDT\tB-NP\tO' +p189399 +aS'showed\tshow\tVBD\tB-VP\tO' +p189400 +aS'elevated\televated\tJJ\tB-NP\tO' +p189401 +aS'wedge\twedge\tNN\tI-NP\tO' +p189402 +aS'pressures\tpressure\tNNS\tI-NP\tO' +p189403 +aS'and\tand\tCC\tO\tO' +p189404 +aS'biopsy\tbiopsy\tNN\tB-NP\tO' +p189405 +aS'specimens\tspecimen\tNNS\tI-NP\tO' +p189406 +aS'were\tbe\tVBD\tB-VP\tO' +p189407 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p189408 +aS'of\tof\tIN\tB-PP\tO' +p189409 +aS'the\tthe\tDT\tB-NP\tO' +p189410 +aS'right\tright\tJJ\tI-NP\tO' +p189411 +aS'ventricle\tventricle\tNN\tI-NP\tO' +p189412 +aS'.\t.\t.\tO\tO' +p189413 +asS'I will be happy to furnish the results .' +p189414 +(lp189415 +S'I\tI\tPRP\tB-NP\tO' +p189416 +aS'will\twill\tMD\tB-VP\tO' +p189417 +aS'be\tbe\tVB\tI-VP\tO' +p189418 +aS'happy\thappy\tJJ\tB-ADJP\tO' +p189419 +aS'to\tto\tTO\tB-VP\tO' +p189420 +aS'furnish\tfurnish\tVB\tI-VP\tO' +p189421 +aS'the\tthe\tDT\tB-NP\tO' +p189422 +aS'results\tresult\tNNS\tI-NP\tO' +p189423 +aS'.\t.\t.\tO\tO' +p189424 +asS'Ferinsol 0.2 cc. to provide 5 mg a day .' +p189425 +(lp189426 +S'Ferinsol\tFerinsol\tNN\tB-NP\tO' +p189427 +aS'0.2\t0.2\tCD\tI-NP\tO' +p189428 +aS'cc.\tcc.\tNN\tI-NP\tO' +p189429 +aS'to\tto\tTO\tB-VP\tO' +p189430 +aS'provide\tprovide\tVB\tI-VP\tO' +p189431 +aS'5\t5\tCD\tB-NP\tO' +p189432 +aS'mg\tmg\tNN\tI-NP\tO' +p189433 +aS'a\ta\tDT\tB-NP\tO' +p189434 +aS'day\tday\tNN\tI-NP\tO' +p189435 +aS'.\t.\t.\tO\tO' +p189436 +asS'3 ) END STAGE RENAL DISEASE ON DIALYSIS .' +p189437 +(lp189438 +S'3\t3\tLS\tB-LST\tO' +p189439 +aS')\t)\t)\tO\tO' +p189440 +aS'END\tEND\tNN\tB-NP\tO' +p189441 +aS'STAGE\tSTAGE\tNN\tI-NP\tO' +p189442 +aS'RENAL\tRENAL\tNNP\tI-NP\tO' +p189443 +aS'DISEASE\tDISEASE\tNNP\tI-NP\tO' +p189444 +aS'ON\tON\tNNP\tI-NP\tO' +p189445 +aS'DIALYSIS\tDIALYSIS\tNNP\tI-NP\tO' +p189446 +aS'.\t.\t.\tO\tO' +p189447 +asS'2. History of pulmonary embolism , etiology unknown .' +p189448 +(lp189449 +S'2.\t2.\tLS\tB-NP\tO' +p189450 +aS'History\tHistory\tNN\tI-NP\tO' +p189451 +aS'of\tof\tIN\tB-PP\tO' +p189452 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p189453 +aS'embolism\tembolism\tNN\tI-NP\tO' +p189454 +aS',\t,\t,\tO\tO' +p189455 +aS'etiology\tetiology\tNN\tB-NP\tO' +p189456 +aS'unknown\tunknown\tJJ\tB-ADJP\tO' +p189457 +aS'.\t.\t.\tO\tO' +p189458 +asS'Visual fields were full , her pupils were round and reactive bilaterally .' +p189459 +(lp189460 +S'Visual\tVisual\tJJ\tB-NP\tO' +p189461 +aS'fields\tfield\tNNS\tI-NP\tO' +p189462 +aS'were\tbe\tVBD\tB-VP\tO' +p189463 +aS'full\tfull\tJJ\tB-ADJP\tO' +p189464 +aS',\t,\t,\tO\tO' +p189465 +aS'her\ther\tPRP$\tB-NP\tO' +p189466 +aS'pupils\tpupil\tNNS\tI-NP\tO' +p189467 +aS'were\tbe\tVBD\tB-VP\tO' +p189468 +aS'round\tround\tJJ\tB-ADJP\tO' +p189469 +aS'and\tand\tCC\tI-ADJP\tO' +p189470 +aS'reactive\treactive\tJJ\tI-ADJP\tO' +p189471 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p189472 +aS'.\t.\t.\tO\tO' +p189473 +asS'The patient is an 88 year-old woman undergoing treatment for a right lower extremity cellulitis who was transferred from Child for worsening cellulitis and new confusion .' +p189474 +(lp189475 +S'The\tThe\tDT\tB-NP\tO' +p189476 +aS'patient\tpatient\tNN\tI-NP\tO' +p189477 +aS'is\tbe\tVBZ\tB-VP\tO' +p189478 +aS'an\tan\tDT\tB-NP\tO' +p189479 +aS'88\t88\tCD\tI-NP\tO' +p189480 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p189481 +aS'woman\twoman\tNN\tI-NP\tO' +p189482 +aS'undergoing\tundergo\tVBG\tB-VP\tO' +p189483 +aS'treatment\ttreatment\tNN\tB-NP\tO' +p189484 +aS'for\tfor\tIN\tB-PP\tO' +p189485 +aS'a\ta\tDT\tB-NP\tO' +p189486 +aS'right\tright\tJJ\tI-NP\tO' +p189487 +aS'lower\tlow\tJJR\tI-NP\tO' +p189488 +aS'extremity\textremity\tNN\tI-NP\tO' +p189489 +aS'cellulitis\tcellulitis\tNN\tI-NP\tO' +p189490 +aS'who\twho\tWP\tB-NP\tO' +p189491 +aS'was\tbe\tVBD\tB-VP\tO' +p189492 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p189493 +aS'from\tfrom\tIN\tB-PP\tO' +p189494 +aS'Child\tChild\tNNP\tB-NP\tO' +p189495 +aS'for\tfor\tIN\tB-PP\tO' +p189496 +aS'worsening\tworsen\tVBG\tB-VP\tO' +p189497 +aS'cellulitis\tcellulitis\tNN\tB-NP\tO' +p189498 +aS'and\tand\tCC\tO\tO' +p189499 +aS'new\tnew\tJJ\tB-NP\tO' +p189500 +aS'confusion\tconfusion\tNN\tI-NP\tO' +p189501 +aS'.\t.\t.\tO\tO' +p189502 +asS'Initial evaluation revealed corticate posturing was noted by the trauma team .' +p189503 +(lp189504 +S'Initial\tInitial\tJJ\tB-NP\tO' +p189505 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p189506 +aS'revealed\treveal\tVBD\tB-VP\tO' +p189507 +aS'corticate\tcorticate\tNN\tB-NP\tO' +p189508 +aS'posturing\tposturing\tNN\tI-NP\tO' +p189509 +aS'was\tbe\tVBD\tB-VP\tO' +p189510 +aS'noted\tnote\tVBN\tI-VP\tO' +p189511 +aS'by\tby\tIN\tB-PP\tO' +p189512 +aS'the\tthe\tDT\tB-NP\tO' +p189513 +aS'trauma\ttrauma\tNN\tI-NP\tO' +p189514 +aS'team\tteam\tNN\tI-NP\tO' +p189515 +aS'.\t.\t.\tO\tO' +p189516 +asS'There were bibasilar rales with some wheezing .' +p189517 +(lp189518 +S'There\tThere\tEX\tB-NP\tO' +p189519 +aS'were\tbe\tVBD\tB-VP\tO' +p189520 +aS'bibasilar\tbibasilar\tJJ\tB-NP\tO' +p189521 +aS'rales\trale\tNNS\tI-NP\tO' +p189522 +aS'with\twith\tIN\tB-PP\tO' +p189523 +aS'some\tsome\tDT\tB-NP\tO' +p189524 +aS'wheezing\twheezing\tNN\tI-NP\tO' +p189525 +aS'.\t.\t.\tO\tO' +p189526 +asS'By the patient and his family 's prior wishes , the patient was extubated .' +p189527 +(lp189528 +S'By\tBy\tIN\tB-PP\tO' +p189529 +aS'the\tthe\tDT\tB-NP\tO' +p189530 +aS'patient\tpatient\tNN\tI-NP\tO' +p189531 +aS'and\tand\tCC\tO\tO' +p189532 +aS'his\this\tPRP$\tB-NP\tO' +p189533 +aS'family\tfamily\tNN\tI-NP\tO' +p189534 +aS''s\t'\tVBZ\tB-VP\tO' +p189535 +aS'prior\tprior\tJJ\tB-NP\tO' +p189536 +aS'wishes\twish\tNNS\tI-NP\tO' +p189537 +aS',\t,\t,\tO\tO' +p189538 +aS'the\tthe\tDT\tB-NP\tO' +p189539 +aS'patient\tpatient\tNN\tI-NP\tO' +p189540 +aS'was\tbe\tVBD\tB-VP\tO' +p189541 +aS'extubated\textubate\tVBN\tI-VP\tO' +p189542 +aS'.\t.\t.\tO\tO' +p189543 +asS'Reason : Fever , f/u infiltrte' +p189544 +(lp189545 +S'Reason\tReason\tNNP\tB-NP\tO' +p189546 +aS':\t:\t:\tO\tO' +p189547 +aS'Fever\tFever\tNNP\tB-NP\tO' +p189548 +aS',\t,\t,\tO\tO' +p189549 +aS'f/u\tf/u\tNN\tB-NP\tO' +p189550 +aS'infiltrte\tinfiltrte\tNN\tI-NP\tO' +p189551 +asS'His bowel function resumed and in fact he had loose stool .' +p189552 +(lp189553 +S'His\tHis\tPRP$\tB-NP\tO' +p189554 +aS'bowel\tbowel\tNN\tI-NP\tO' +p189555 +aS'function\tfunction\tNN\tI-NP\tO' +p189556 +aS'resumed\tresume\tVBN\tB-VP\tO' +p189557 +aS'and\tand\tCC\tO\tO' +p189558 +aS'in\tin\tIN\tB-PP\tO' +p189559 +aS'fact\tfact\tNN\tB-NP\tO' +p189560 +aS'he\the\tPRP\tB-NP\tO' +p189561 +aS'had\thave\tVBD\tB-VP\tO' +p189562 +aS'loose\tloose\tJJ\tB-NP\tO' +p189563 +aS'stool\tstool\tNN\tI-NP\tO' +p189564 +aS'.\t.\t.\tO\tO' +p189565 +asS'He was successfully weaned off this support .' +p189566 +(lp189567 +S'He\tHe\tPRP\tB-NP\tO' +p189568 +aS'was\tbe\tVBD\tB-VP\tO' +p189569 +aS'successfully\tsuccessfully\tRB\tI-VP\tO' +p189570 +aS'weaned\twean\tVBN\tI-VP\tO' +p189571 +aS'off\toff\tRP\tB-PRT\tO' +p189572 +aS'this\tthis\tDT\tB-NP\tO' +p189573 +aS'support\tsupport\tNN\tI-NP\tO' +p189574 +aS'.\t.\t.\tO\tO' +p189575 +asS'By report , the patient was noted to be awake , but confused at the scene of the accident with no memory of the incident .' +p189576 +(lp189577 +S'By\tBy\tIN\tB-PP\tO' +p189578 +aS'report\treport\tNN\tB-NP\tO' +p189579 +aS',\t,\t,\tO\tO' +p189580 +aS'the\tthe\tDT\tB-NP\tO' +p189581 +aS'patient\tpatient\tNN\tI-NP\tO' +p189582 +aS'was\tbe\tVBD\tB-VP\tO' +p189583 +aS'noted\tnote\tVBN\tI-VP\tO' +p189584 +aS'to\tto\tTO\tI-VP\tO' +p189585 +aS'be\tbe\tVB\tI-VP\tO' +p189586 +aS'awake\tawake\tJJ\tB-ADJP\tO' +p189587 +aS',\t,\t,\tO\tO' +p189588 +aS'but\tbut\tCC\tO\tO' +p189589 +aS'confused\tconfuse\tVBD\tB-VP\tO' +p189590 +aS'at\tat\tIN\tB-PP\tO' +p189591 +aS'the\tthe\tDT\tB-NP\tO' +p189592 +aS'scene\tscene\tNN\tI-NP\tO' +p189593 +aS'of\tof\tIN\tB-PP\tO' +p189594 +aS'the\tthe\tDT\tB-NP\tO' +p189595 +aS'accident\taccident\tNN\tI-NP\tO' +p189596 +aS'with\twith\tIN\tB-PP\tO' +p189597 +aS'no\tno\tDT\tB-NP\tO' +p189598 +aS'memory\tmemory\tNN\tI-NP\tO' +p189599 +aS'of\tof\tIN\tB-PP\tO' +p189600 +aS'the\tthe\tDT\tB-NP\tO' +p189601 +aS'incident\tincident\tNN\tI-NP\tO' +p189602 +aS'.\t.\t.\tO\tO' +p189603 +asS'7) Hypothyroidism .' +p189604 +(lp189605 +S'7)\t7)\tLS\tB-LST\tO' +p189606 +aS'Hypothyroidism\tHypothyroidism\tNNP\tB-NP\tO' +p189607 +aS'.\t.\t.\tO\tO' +p189608 +asS'7. Aspirin 325 mg Tablet Sig : One ( 1 ) Tablet PO QD ( once a day ).' +p189609 +(lp189610 +S'7.\t7.\tCD\tB-NP\tO' +p189611 +aS'Aspirin\tAspirin\tNN\tI-NP\tO' +p189612 +aS'325\t325\tCD\tB-NP\tO' +p189613 +aS'mg\tmg\tNN\tI-NP\tO' +p189614 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p189615 +aS'Sig\tSig\tNNP\tI-NP\tO' +p189616 +aS':\t:\t:\tO\tO' +p189617 +aS'One\tOne\tCD\tB-NP\tO' +p189618 +aS'(\t(\t(\tO\tO' +p189619 +aS'1\t1\tCD\tB-NP\tO' +p189620 +aS')\t)\t)\tO\tO' +p189621 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p189622 +aS'PO\tPO\tNN\tI-NP\tO' +p189623 +aS'QD\tQD\tNN\tI-NP\tO' +p189624 +aS'(\t(\t(\tO\tO' +p189625 +aS'once\tonce\tRB\tB-ADVP\tO' +p189626 +aS'a\ta\tDT\tB-NP\tO' +p189627 +aS'day\tday\tNN\tI-NP\tO' +p189628 +aS').\t).\t.\tO\tO' +p189629 +asS'Cardiac arrest .' +p189630 +(lp189631 +S'Cardiac\tCardiac\tJJ\tB-NP\tO' +p189632 +aS'arrest\tarrest\tNN\tI-NP\tO' +p189633 +aS'.\t.\t.\tO\tO' +p189634 +asS'Additional assay shows slight widening of the mediastinum on chest x-ray .' +p189635 +(lp189636 +S'Additional\tAdditional\tJJ\tB-NP\tO' +p189637 +aS'assay\tassay\tNN\tI-NP\tO' +p189638 +aS'shows\tshow\tVBZ\tB-VP\tO' +p189639 +aS'slight\tslight\tJJ\tB-NP\tO' +p189640 +aS'widening\twidening\tNN\tI-NP\tO' +p189641 +aS'of\tof\tIN\tB-PP\tO' +p189642 +aS'the\tthe\tDT\tB-NP\tO' +p189643 +aS'mediastinum\tmediastinum\tNN\tI-NP\tO' +p189644 +aS'on\ton\tIN\tB-PP\tO' +p189645 +aS'chest\tchest\tNN\tB-NP\tO' +p189646 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p189647 +aS'.\t.\t.\tO\tO' +p189648 +asS'1. Acetaminophen 325 mg Tablet Sig : 1-2 Tablets PO Q4H ( every 4 hours ) as needed for fever or pain .' +p189649 +(lp189650 +S'1.\t1.\tLS\tB-NP\tO' +p189651 +aS'Acetaminophen\tAcetaminophen\tNN\tI-NP\tO' +p189652 +aS'325\t325\tCD\tI-NP\tO' +p189653 +aS'mg\tmg\tNN\tI-NP\tO' +p189654 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p189655 +aS'Sig\tSig\tNNP\tI-NP\tO' +p189656 +aS':\t:\t:\tO\tO' +p189657 +aS'1-2\t1-2\tCD\tB-NP\tO' +p189658 +aS'Tablets\tTablet\tNNS\tI-NP\tO' +p189659 +aS'PO\tPO\tNN\tI-NP\tO' +p189660 +aS'Q4H\tQ4H\tNN\tI-NP\tO' +p189661 +aS'(\t(\t(\tO\tO' +p189662 +aS'every\tevery\tDT\tB-NP\tO' +p189663 +aS'4\t4\tCD\tI-NP\tO' +p189664 +aS'hours\thour\tNNS\tI-NP\tO' +p189665 +aS')\t)\t)\tO\tO' +p189666 +aS'as\tas\tIN\tB-SBAR\tO' +p189667 +aS'needed\tneed\tVBN\tB-VP\tO' +p189668 +aS'for\tfor\tIN\tB-PP\tO' +p189669 +aS'fever\tfever\tNN\tB-NP\tO' +p189670 +aS'or\tor\tCC\tI-NP\tO' +p189671 +aS'pain\tpain\tNN\tI-NP\tO' +p189672 +aS'.\t.\t.\tO\tO' +p189673 +asS'His chest x-ray was initially remarkable for some mediastinal shift due to the right-sided lesion with increasing shift present on the last x-ray .' +p189674 +(lp189675 +S'His\tHis\tPRP$\tB-NP\tO' +p189676 +aS'chest\tchest\tNN\tI-NP\tO' +p189677 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p189678 +aS'was\tbe\tVBD\tB-VP\tO' +p189679 +aS'initially\tinitially\tRB\tB-ADJP\tO' +p189680 +aS'remarkable\tremarkable\tJJ\tI-ADJP\tO' +p189681 +aS'for\tfor\tIN\tB-PP\tO' +p189682 +aS'some\tsome\tDT\tB-NP\tO' +p189683 +aS'mediastinal\tmediastinal\tJJ\tI-NP\tO' +p189684 +aS'shift\tshift\tNN\tI-NP\tO' +p189685 +aS'due\tdue\tJJ\tB-PP\tO' +p189686 +aS'to\tto\tTO\tB-PP\tO' +p189687 +aS'the\tthe\tDT\tB-NP\tO' +p189688 +aS'right-sided\tright-sided\tJJ\tI-NP\tO' +p189689 +aS'lesion\tlesion\tNN\tI-NP\tO' +p189690 +aS'with\twith\tIN\tB-PP\tO' +p189691 +aS'increasing\tincrease\tVBG\tB-NP\tO' +p189692 +aS'shift\tshift\tNN\tI-NP\tO' +p189693 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p189694 +aS'on\ton\tIN\tB-PP\tO' +p189695 +aS'the\tthe\tDT\tB-NP\tO' +p189696 +aS'last\tlast\tJJ\tI-NP\tO' +p189697 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p189698 +aS'.\t.\t.\tO\tO' +p189699 +asS'The patient also underwent an Adenosine MIBI stress test which showed only mild lateral ischemia .' +p189700 +(lp189701 +S'The\tThe\tDT\tB-NP\tO' +p189702 +aS'patient\tpatient\tNN\tI-NP\tO' +p189703 +aS'also\talso\tRB\tB-ADVP\tO' +p189704 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p189705 +aS'an\tan\tDT\tB-NP\tO' +p189706 +aS'Adenosine\tAdenosine\tNN\tI-NP\tO' +p189707 +aS'MIBI\tMIBI\tNN\tI-NP\tO' +p189708 +aS'stress\tstress\tNN\tI-NP\tO' +p189709 +aS'test\ttest\tNN\tI-NP\tO' +p189710 +aS'which\twhich\tWDT\tB-NP\tO' +p189711 +aS'showed\tshow\tVBD\tB-VP\tO' +p189712 +aS'only\tonly\tRB\tB-NP\tO' +p189713 +aS'mild\tmild\tJJ\tI-NP\tO' +p189714 +aS'lateral\tlateral\tJJ\tI-NP\tO' +p189715 +aS'ischemia\tischemia\tNN\tI-NP\tO' +p189716 +aS'.\t.\t.\tO\tO' +p189717 +asS'4. Aortic stenosis .' +p189718 +(lp189719 +S'4.\t4.\tLS\tB-NP\tO' +p189720 +aS'Aortic\tAortic\tJJ\tI-NP\tO' +p189721 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p189722 +aS'.\t.\t.\tO\tO' +p189723 +asS'The situation was reviewed with Dr. Niste Graft .' +p189724 +(lp189725 +S'The\tThe\tDT\tB-NP\tO' +p189726 +aS'situation\tsituation\tNN\tI-NP\tO' +p189727 +aS'was\tbe\tVBD\tB-VP\tO' +p189728 +aS'reviewed\treview\tVBN\tI-VP\tO' +p189729 +aS'with\twith\tIN\tB-PP\tO' +p189730 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p189731 +aS'Niste\tNiste\tNNP\tI-NP\tO' +p189732 +aS'Graft\tGraft\tNNP\tI-NP\tO' +p189733 +aS'.\t.\t.\tO\tO' +p189734 +asS'A right upper quadrant ultrasound was performed and was negative for any acute pathology .' +p189735 +(lp189736 +S'A\tA\tDT\tB-NP\tO' +p189737 +aS'right\tright\tJJ\tI-NP\tO' +p189738 +aS'upper\tupper\tJJ\tI-NP\tO' +p189739 +aS'quadrant\tquadrant\tJJ\tI-NP\tO' +p189740 +aS'ultrasound\tultrasound\tNN\tI-NP\tO' +p189741 +aS'was\tbe\tVBD\tB-VP\tO' +p189742 +aS'performed\tperform\tVBN\tI-VP\tO' +p189743 +aS'and\tand\tCC\tO\tO' +p189744 +aS'was\tbe\tVBD\tB-VP\tO' +p189745 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p189746 +aS'for\tfor\tIN\tB-PP\tO' +p189747 +aS'any\tany\tDT\tB-NP\tO' +p189748 +aS'acute\tacute\tJJ\tI-NP\tO' +p189749 +aS'pathology\tpathology\tNN\tI-NP\tO' +p189750 +aS'.\t.\t.\tO\tO' +p189751 +asS'Her pain resolved after surgery and she has been doing well since , although at baseline now she is minimally ambulatory from bed to commode .' +p189752 +(lp189753 +S'Her\tHer\tPRP$\tB-NP\tO' +p189754 +aS'pain\tpain\tNN\tI-NP\tO' +p189755 +aS'resolved\tresolve\tVBN\tB-VP\tO' +p189756 +aS'after\tafter\tIN\tB-PP\tO' +p189757 +aS'surgery\tsurgery\tNN\tB-NP\tO' +p189758 +aS'and\tand\tCC\tO\tO' +p189759 +aS'she\tshe\tPRP\tB-NP\tO' +p189760 +aS'has\thave\tVBZ\tB-VP\tO' +p189761 +aS'been\tbe\tVBN\tI-VP\tO' +p189762 +aS'doing\tdo\tVBG\tI-VP\tO' +p189763 +aS'well\twell\tRB\tB-ADVP\tO' +p189764 +aS'since\tsince\tIN\tB-PP\tO' +p189765 +aS',\t,\t,\tO\tO' +p189766 +aS'although\talthough\tIN\tB-SBAR\tO' +p189767 +aS'at\tat\tIN\tB-PP\tO' +p189768 +aS'baseline\tbaseline\tNN\tB-NP\tO' +p189769 +aS'now\tnow\tRB\tB-ADVP\tO' +p189770 +aS'she\tshe\tPRP\tB-NP\tO' +p189771 +aS'is\tbe\tVBZ\tB-VP\tO' +p189772 +aS'minimally\tminimally\tRB\tB-ADJP\tO' +p189773 +aS'ambulatory\tambulatory\tJJ\tI-ADJP\tO' +p189774 +aS'from\tfrom\tIN\tB-PP\tO' +p189775 +aS'bed\tbed\tNN\tB-NP\tO' +p189776 +aS'to\tto\tTO\tB-VP\tO' +p189777 +aS'commode\tcommode\tVB\tI-VP\tO' +p189778 +aS'.\t.\t.\tO\tO' +p189779 +asS'Pt has h/o colon can to liver , s/p resxn with serosal implants in 9/03 .' +p189780 +(lp189781 +S'Pt\tPt\tNN\tB-NP\tO' +p189782 +aS'has\thave\tVBZ\tB-VP\tO' +p189783 +aS'h/o\th/o\tNN\tB-NP\tO' +p189784 +aS'colon\tcolon\tNN\tI-NP\tO' +p189785 +aS'can\tcan\tMD\tB-VP\tO' +p189786 +aS'to\tto\tTO\tI-VP\tO' +p189787 +aS'liver\tliver\tVB\tI-VP\tO' +p189788 +aS',\t,\t,\tO\tO' +p189789 +aS's/p\ts/p\tNN\tB-NP\tO' +p189790 +aS'resxn\tresxn\tNN\tI-NP\tO' +p189791 +aS'with\twith\tIN\tB-PP\tO' +p189792 +aS'serosal\tserosal\tJJ\tB-NP\tO' +p189793 +aS'implants\timplant\tNNS\tI-NP\tO' +p189794 +aS'in\tin\tIN\tB-PP\tO' +p189795 +aS'9/03\t9/03\tCD\tB-NP\tO' +p189796 +aS'.\t.\t.\tO\tO' +p189797 +asS'The patient had some vaginal bleeding x2 days .' +p189798 +(lp189799 +S'The\tThe\tDT\tB-NP\tO' +p189800 +aS'patient\tpatient\tNN\tI-NP\tO' +p189801 +aS'had\thave\tVBD\tB-VP\tO' +p189802 +aS'some\tsome\tDT\tB-NP\tO' +p189803 +aS'vaginal\tvaginal\tJJ\tI-NP\tO' +p189804 +aS'bleeding\tbleed\tVBG\tI-NP\tO' +p189805 +aS'x2\tx2\tNN\tI-NP\tO' +p189806 +aS'days\tday\tNNS\tI-NP\tO' +p189807 +aS'.\t.\t.\tO\tO' +p189808 +asS'The patient was doing relatively at home until one day prior to admission he complained discomfort over a suprapubic catheter area .' +p189809 +(lp189810 +S'The\tThe\tDT\tB-NP\tO' +p189811 +aS'patient\tpatient\tNN\tI-NP\tO' +p189812 +aS'was\tbe\tVBD\tB-VP\tO' +p189813 +aS'doing\tdo\tVBG\tI-VP\tO' +p189814 +aS'relatively\trelatively\tRB\tB-ADVP\tO' +p189815 +aS'at\tat\tIN\tB-PP\tO' +p189816 +aS'home\thome\tNN\tB-NP\tO' +p189817 +aS'until\tuntil\tIN\tB-SBAR\tO' +p189818 +aS'one\tone\tCD\tB-NP\tO' +p189819 +aS'day\tday\tNN\tI-NP\tO' +p189820 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p189821 +aS'to\tto\tTO\tB-PP\tO' +p189822 +aS'admission\tadmission\tNN\tB-NP\tO' +p189823 +aS'he\the\tPRP\tB-NP\tO' +p189824 +aS'complained\tcomplain\tVBD\tB-VP\tO' +p189825 +aS'discomfort\tdiscomfort\tNN\tB-NP\tO' +p189826 +aS'over\tover\tIN\tB-PP\tO' +p189827 +aS'a\ta\tDT\tB-NP\tO' +p189828 +aS'suprapubic\tsuprapubic\tJJ\tI-NP\tO' +p189829 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p189830 +aS'area\tarea\tNN\tI-NP\tO' +p189831 +aS'.\t.\t.\tO\tO' +p189832 +asS'The pulmonary function tests revealed an FEV1 of 1.51 , FVC 2.72 , and FEV1/FVC ratio of 56% .' +p189833 +(lp189834 +S'The\tThe\tDT\tB-NP\tO' +p189835 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p189836 +aS'function\tfunction\tNN\tI-NP\tO' +p189837 +aS'tests\ttest\tNNS\tI-NP\tO' +p189838 +aS'revealed\treveal\tVBD\tB-VP\tO' +p189839 +aS'an\tan\tDT\tB-NP\tO' +p189840 +aS'FEV1\tFEV1\tNN\tI-NP\tO' +p189841 +aS'of\tof\tIN\tB-PP\tO' +p189842 +aS'1.51\t1.51\tCD\tB-NP\tO' +p189843 +aS',\t,\t,\tO\tO' +p189844 +aS'FVC\tFVC\tNN\tB-NP\tB-protein' +p189845 +aS'2.72\t2.72\tCD\tI-NP\tI-protein' +p189846 +aS',\t,\t,\tO\tO' +p189847 +aS'and\tand\tCC\tO\tO' +p189848 +aS'FEV1/FVC\tFEV1/FVC\tNN\tB-NP\tO' +p189849 +aS'ratio\tratio\tNN\tI-NP\tO' +p189850 +aS'of\tof\tIN\tB-PP\tO' +p189851 +aS'56%\t56%\tNN\tB-NP\tO' +p189852 +aS'.\t.\t.\tO\tO' +p189853 +asS'Etiology felt most likely demand ischemia in setting of original hypertensive urgency with persistent elevation of trop 02-08 ESRD .' +p189854 +(lp189855 +S'Etiology\tEtiology\tNN\tB-NP\tO' +p189856 +aS'felt\tfeel\tVBD\tB-VP\tO' +p189857 +aS'most\tmost\tRBS\tB-NP\tO' +p189858 +aS'likely\tlikely\tJJ\tI-NP\tO' +p189859 +aS'demand\tdemand\tNN\tI-NP\tO' +p189860 +aS'ischemia\tischemia\tNN\tI-NP\tO' +p189861 +aS'in\tin\tIN\tB-PP\tO' +p189862 +aS'setting\tsetting\tNN\tB-NP\tO' +p189863 +aS'of\tof\tIN\tB-PP\tO' +p189864 +aS'original\toriginal\tJJ\tB-NP\tO' +p189865 +aS'hypertensive\thypertensive\tJJ\tI-NP\tO' +p189866 +aS'urgency\turgency\tNN\tI-NP\tO' +p189867 +aS'with\twith\tIN\tB-PP\tO' +p189868 +aS'persistent\tpersistent\tJJ\tB-NP\tO' +p189869 +aS'elevation\televation\tNN\tI-NP\tO' +p189870 +aS'of\tof\tIN\tB-PP\tO' +p189871 +aS'trop\ttrop\tNN\tB-NP\tO' +p189872 +aS'02-08\t02-08\tCD\tI-NP\tO' +p189873 +aS'ESRD\tESRD\tNNP\tI-NP\tO' +p189874 +aS'.\t.\t.\tO\tO' +p189875 +asS'The patient continued to receive blood transfusions on the floor and serial hematocrits with serial INR checks were drawn .' +p189876 +(lp189877 +S'The\tThe\tDT\tB-NP\tO' +p189878 +aS'patient\tpatient\tNN\tI-NP\tO' +p189879 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p189880 +aS'to\tto\tTO\tI-VP\tO' +p189881 +aS'receive\treceive\tVB\tI-VP\tO' +p189882 +aS'blood\tblood\tNN\tB-NP\tO' +p189883 +aS'transfusions\ttransfusion\tNNS\tI-NP\tO' +p189884 +aS'on\ton\tIN\tB-PP\tO' +p189885 +aS'the\tthe\tDT\tB-NP\tO' +p189886 +aS'floor\tfloor\tNN\tI-NP\tO' +p189887 +aS'and\tand\tCC\tO\tO' +p189888 +aS'serial\tserial\tJJ\tB-NP\tO' +p189889 +aS'hematocrits\thematocrit\tNNS\tI-NP\tO' +p189890 +aS'with\twith\tIN\tB-PP\tO' +p189891 +aS'serial\tserial\tJJ\tB-NP\tO' +p189892 +aS'INR\tINR\tNN\tI-NP\tO' +p189893 +aS'checks\tcheck\tNNS\tI-NP\tO' +p189894 +aS'were\tbe\tVBD\tB-VP\tO' +p189895 +aS'drawn\tdraw\tVBN\tI-VP\tO' +p189896 +aS'.\t.\t.\tO\tO' +p189897 +asS'So we proceeded to put her on heparin for anticoagulation and then when she was therapeutic on heparin , we went ahead and started her on coumadin and she is currently on coumadin at 2.5 mg q.h.s.' +p189898 +(lp189899 +S'So\tSo\tIN\tO\tO' +p189900 +aS'we\twe\tPRP\tB-NP\tO' +p189901 +aS'proceeded\tproceed\tVBD\tB-VP\tO' +p189902 +aS'to\tto\tTO\tI-VP\tO' +p189903 +aS'put\tput\tVB\tI-VP\tO' +p189904 +aS'her\ther\tPRP\tB-NP\tO' +p189905 +aS'on\ton\tIN\tB-PP\tO' +p189906 +aS'heparin\theparin\tNN\tB-NP\tO' +p189907 +aS'for\tfor\tIN\tB-PP\tO' +p189908 +aS'anticoagulation\tanticoagulation\tNN\tB-NP\tO' +p189909 +aS'and\tand\tCC\tO\tO' +p189910 +aS'then\tthen\tRB\tO\tO' +p189911 +aS'when\twhen\tWRB\tB-ADVP\tO' +p189912 +aS'she\tshe\tPRP\tB-NP\tO' +p189913 +aS'was\tbe\tVBD\tB-VP\tO' +p189914 +aS'therapeutic\ttherapeutic\tJJ\tB-ADJP\tO' +p189915 +aS'on\ton\tIN\tB-PP\tO' +p189916 +aS'heparin\theparin\tNN\tB-NP\tO' +p189917 +aS',\t,\t,\tO\tO' +p189918 +aS'we\twe\tPRP\tB-NP\tO' +p189919 +aS'went\tgo\tVBD\tB-VP\tO' +p189920 +aS'ahead\tahead\tRB\tB-ADVP\tO' +p189921 +aS'and\tand\tCC\tO\tO' +p189922 +aS'started\tstart\tVBD\tB-VP\tO' +p189923 +aS'her\ther\tPRP\tB-NP\tO' +p189924 +aS'on\ton\tIN\tB-PP\tO' +p189925 +aS'coumadin\tcoumadin\tNN\tB-NP\tO' +p189926 +aS'and\tand\tCC\tO\tO' +p189927 +aS'she\tshe\tPRP\tB-NP\tO' +p189928 +aS'is\tbe\tVBZ\tB-VP\tO' +p189929 +aS'currently\tcurrently\tRB\tB-ADVP\tO' +p189930 +aS'on\ton\tIN\tB-PP\tO' +p189931 +aS'coumadin\tcoumadin\tNN\tB-NP\tO' +p189932 +aS'at\tat\tIN\tB-PP\tO' +p189933 +aS'2.5\t2.5\tCD\tB-NP\tO' +p189934 +aS'mg\tmg\tNN\tI-NP\tO' +p189935 +aS'q.h.s.\tq.h.s.\tNNS\tI-NP\tO' +p189936 +asS'These antibiotics were continued but the family decided that they wanted us to emphasize the comfort of the patient and pursue no further invasive measures .' +p189937 +(lp189938 +S'These\tThese\tDT\tB-NP\tO' +p189939 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p189940 +aS'were\tbe\tVBD\tB-VP\tO' +p189941 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p189942 +aS'but\tbut\tCC\tO\tO' +p189943 +aS'the\tthe\tDT\tB-NP\tO' +p189944 +aS'family\tfamily\tNN\tI-NP\tO' +p189945 +aS'decided\tdecide\tVBD\tB-VP\tO' +p189946 +aS'that\tthat\tIN\tB-SBAR\tO' +p189947 +aS'they\tthey\tPRP\tB-NP\tO' +p189948 +aS'wanted\twant\tVBD\tB-VP\tO' +p189949 +aS'us\tus\tPRP\tB-NP\tO' +p189950 +aS'to\tto\tTO\tB-VP\tO' +p189951 +aS'emphasize\temphasize\tVB\tI-VP\tO' +p189952 +aS'the\tthe\tDT\tB-NP\tO' +p189953 +aS'comfort\tcomfort\tNN\tI-NP\tO' +p189954 +aS'of\tof\tIN\tB-PP\tO' +p189955 +aS'the\tthe\tDT\tB-NP\tO' +p189956 +aS'patient\tpatient\tNN\tI-NP\tO' +p189957 +aS'and\tand\tCC\tO\tO' +p189958 +aS'pursue\tpursue\tVB\tB-VP\tO' +p189959 +aS'no\tno\tDT\tB-NP\tO' +p189960 +aS'further\tfurther\tJJ\tI-NP\tO' +p189961 +aS'invasive\tinvasive\tJJ\tI-NP\tO' +p189962 +aS'measures\tmeasure\tNNS\tI-NP\tO' +p189963 +aS'.\t.\t.\tO\tO' +p189964 +asS'11. Zantac .' +p189965 +(lp189966 +S'11.\t11.\tLS\tB-NP\tO' +p189967 +aS'Zantac\tZantac\tNN\tI-NP\tO' +p189968 +aS'.\t.\t.\tO\tO' +p189969 +asS'This was done , however , as in problem number two below , we were not successful in any neurologic recovery .' +p189970 +(lp189971 +S'This\tThis\tDT\tB-NP\tO' +p189972 +aS'was\tbe\tVBD\tB-VP\tO' +p189973 +aS'done\tdo\tVBN\tI-VP\tO' +p189974 +aS',\t,\t,\tO\tO' +p189975 +aS'however\thowever\tRB\tB-ADVP\tO' +p189976 +aS',\t,\t,\tO\tO' +p189977 +aS'as\tas\tIN\tB-PP\tO' +p189978 +aS'in\tin\tIN\tB-PP\tO' +p189979 +aS'problem\tproblem\tNN\tB-NP\tO' +p189980 +aS'number\tnumber\tNN\tI-NP\tO' +p189981 +aS'two\ttwo\tCD\tB-NP\tO' +p189982 +aS'below\tbelow\tIN\tB-ADVP\tO' +p189983 +aS',\t,\t,\tO\tO' +p189984 +aS'we\twe\tPRP\tB-NP\tO' +p189985 +aS'were\tbe\tVBD\tB-VP\tO' +p189986 +aS'not\tnot\tRB\tB-ADJP\tO' +p189987 +aS'successful\tsuccessful\tJJ\tI-ADJP\tO' +p189988 +aS'in\tin\tIN\tB-PP\tO' +p189989 +aS'any\tany\tDT\tB-NP\tO' +p189990 +aS'neurologic\tneurologic\tJJ\tI-NP\tO' +p189991 +aS'recovery\trecovery\tNN\tI-NP\tO' +p189992 +aS'.\t.\t.\tO\tO' +p189993 +asS'The patient was also started on digoxin .' +p189994 +(lp189995 +S'The\tThe\tDT\tB-NP\tO' +p189996 +aS'patient\tpatient\tNN\tI-NP\tO' +p189997 +aS'was\tbe\tVBD\tB-VP\tO' +p189998 +aS'also\talso\tRB\tI-VP\tO' +p189999 +aS'started\tstart\tVBN\tI-VP\tO' +p190000 +aS'on\ton\tIN\tB-PP\tO' +p190001 +aS'digoxin\tdigoxin\tNN\tB-NP\tO' +p190002 +aS'.\t.\t.\tO\tO' +p190003 +asS'She did well overnight in the CMED CCU .' +p190004 +(lp190005 +S'She\tShe\tPRP\tB-NP\tO' +p190006 +aS'did\tdo\tVBD\tB-VP\tO' +p190007 +aS'well\twell\tRB\tB-ADJP\tO' +p190008 +aS'overnight\tovernight\tJJ\tI-ADJP\tO' +p190009 +aS'in\tin\tIN\tB-PP\tO' +p190010 +aS'the\tthe\tDT\tB-NP\tO' +p190011 +aS'CMED\tCMED\tVBN\tI-NP\tO' +p190012 +aS'CCU\tCCU\tNN\tI-NP\tO' +p190013 +aS'.\t.\t.\tO\tO' +p190014 +asS'Abdomen was soft , nontender with no masses palpable .' +p190015 +(lp190016 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p190017 +aS'was\tbe\tVBD\tB-VP\tO' +p190018 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p190019 +aS',\t,\t,\tO\tO' +p190020 +aS'nontender\tnontender\tJJ\tB-ADJP\tO' +p190021 +aS'with\twith\tIN\tB-PP\tO' +p190022 +aS'no\tno\tDT\tB-NP\tO' +p190023 +aS'masses\tmass\tNNS\tI-NP\tO' +p190024 +aS'palpable\tpalpable\tJJ\tB-ADJP\tO' +p190025 +aS'.\t.\t.\tO\tO' +p190026 +asS'Intubated , minimally responsive , localized pain .' +p190027 +(lp190028 +S'Intubated\tIntubate\tVBN\tB-NP\tO' +p190029 +aS',\t,\t,\tI-NP\tO' +p190030 +aS'minimally\tminimally\tRB\tI-NP\tO' +p190031 +aS'responsive\tresponsive\tJJ\tI-NP\tO' +p190032 +aS',\t,\t,\tI-NP\tO' +p190033 +aS'localized\tlocalized\tJJ\tI-NP\tO' +p190034 +aS'pain\tpain\tNN\tI-NP\tO' +p190035 +aS'.\t.\t.\tO\tO' +p190036 +asS'The mass grew larger , to the size of a baseball .' +p190037 +(lp190038 +S'The\tThe\tDT\tB-NP\tO' +p190039 +aS'mass\tmass\tNN\tI-NP\tO' +p190040 +aS'grew\tgrow\tVBD\tB-VP\tO' +p190041 +aS'larger\tlarge\tJJR\tB-ADJP\tO' +p190042 +aS',\t,\t,\tO\tO' +p190043 +aS'to\tto\tTO\tB-PP\tO' +p190044 +aS'the\tthe\tDT\tB-NP\tO' +p190045 +aS'size\tsize\tNN\tI-NP\tO' +p190046 +aS'of\tof\tIN\tB-PP\tO' +p190047 +aS'a\ta\tDT\tB-NP\tO' +p190048 +aS'baseball\tbaseball\tNN\tI-NP\tO' +p190049 +aS'.\t.\t.\tO\tO' +p190050 +asS'Remarkable for an intrauterine fetal demise at 30 weeks gestation .' +p190051 +(lp190052 +S'Remarkable\tRemarkable\tJJ\tB-ADJP\tO' +p190053 +aS'for\tfor\tIN\tB-PP\tO' +p190054 +aS'an\tan\tDT\tB-NP\tO' +p190055 +aS'intrauterine\tintrauterine\tJJ\tI-NP\tO' +p190056 +aS'fetal\tfetal\tJJ\tI-NP\tO' +p190057 +aS'demise\tdemise\tNN\tI-NP\tO' +p190058 +aS'at\tat\tIN\tB-PP\tO' +p190059 +aS'30\t30\tCD\tB-NP\tO' +p190060 +aS'weeks\tweek\tNNS\tI-NP\tO' +p190061 +aS'gestation\tgestation\tNN\tI-NP\tO' +p190062 +aS'.\t.\t.\tO\tO' +p190063 +asS'His postoperative course was generally unremarkable except for a prolonged course of advancement with range of motion of his left shoulder .' +p190064 +(lp190065 +S'His\tHis\tPRP$\tB-NP\tO' +p190066 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p190067 +aS'course\tcourse\tNN\tI-NP\tO' +p190068 +aS'was\tbe\tVBD\tB-VP\tO' +p190069 +aS'generally\tgenerally\tRB\tB-ADJP\tO' +p190070 +aS'unremarkable\tunremarkable\tJJ\tI-ADJP\tO' +p190071 +aS'except\texcept\tIN\tB-PP\tO' +p190072 +aS'for\tfor\tIN\tB-PP\tO' +p190073 +aS'a\ta\tDT\tB-NP\tO' +p190074 +aS'prolonged\tprolonged\tJJ\tI-NP\tO' +p190075 +aS'course\tcourse\tNN\tI-NP\tO' +p190076 +aS'of\tof\tIN\tB-PP\tO' +p190077 +aS'advancement\tadvancement\tNN\tB-NP\tO' +p190078 +aS'with\twith\tIN\tB-PP\tO' +p190079 +aS'range\trange\tNN\tB-NP\tO' +p190080 +aS'of\tof\tIN\tB-PP\tO' +p190081 +aS'motion\tmotion\tNN\tB-NP\tO' +p190082 +aS'of\tof\tIN\tB-PP\tO' +p190083 +aS'his\this\tPRP$\tB-NP\tO' +p190084 +aS'left\tleft\tJJ\tI-NP\tO' +p190085 +aS'shoulder\tshoulder\tNN\tI-NP\tO' +p190086 +aS'.\t.\t.\tO\tO' +p190087 +asS'A right parietal contusion is also identified , with blood tracking into the middle focus .' +p190088 +(lp190089 +S'A\tA\tDT\tB-NP\tO' +p190090 +aS'right\tright\tJJ\tI-NP\tO' +p190091 +aS'parietal\tparietal\tJJ\tI-NP\tO' +p190092 +aS'contusion\tcontusion\tNN\tI-NP\tO' +p190093 +aS'is\tbe\tVBZ\tB-VP\tO' +p190094 +aS'also\talso\tRB\tI-VP\tO' +p190095 +aS'identified\tidentify\tVBN\tI-VP\tO' +p190096 +aS',\t,\t,\tO\tO' +p190097 +aS'with\twith\tIN\tB-PP\tO' +p190098 +aS'blood\tblood\tNN\tB-NP\tO' +p190099 +aS'tracking\ttracking\tNN\tI-NP\tO' +p190100 +aS'into\tinto\tIN\tB-PP\tO' +p190101 +aS'the\tthe\tDT\tB-NP\tO' +p190102 +aS'middle\tmiddle\tJJ\tI-NP\tO' +p190103 +aS'focus\tfocus\tNN\tI-NP\tO' +p190104 +aS'.\t.\t.\tO\tO' +p190105 +asS'White blood cell count was 8.5 ( 80 percent neutrophils , 13 percent lymphocytes ) , hematocrit 27.4 , platelet count 277,000 .' +p190106 +(lp190107 +S'White\tWhite\tJJ\tB-NP\tO' +p190108 +aS'blood\tblood\tNN\tI-NP\tO' +p190109 +aS'cell\tcell\tNN\tI-NP\tO' +p190110 +aS'count\tcount\tNN\tI-NP\tO' +p190111 +aS'was\tbe\tVBD\tB-VP\tO' +p190112 +aS'8.5\t8.5\tCD\tB-NP\tO' +p190113 +aS'(\t(\t(\tO\tO' +p190114 +aS'80\t80\tCD\tB-NP\tO' +p190115 +aS'percent\tpercent\tNN\tI-NP\tO' +p190116 +aS'neutrophils\tneutrophil\tNNS\tI-NP\tO' +p190117 +aS',\t,\t,\tO\tO' +p190118 +aS'13\t13\tCD\tB-NP\tO' +p190119 +aS'percent\tpercent\tNN\tI-NP\tO' +p190120 +aS'lymphocytes\tlymphocyte\tNNS\tI-NP\tO' +p190121 +aS')\t)\t)\tO\tO' +p190122 +aS',\t,\t,\tO\tO' +p190123 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p190124 +aS'27.4\t27.4\tCD\tI-NP\tI-protein' +p190125 +aS',\t,\t,\tO\tO' +p190126 +aS'platelet\tplatelet\tNN\tB-NP\tB-protein' +p190127 +aS'count\tcount\tNN\tI-NP\tI-protein' +p190128 +aS'277,000\t277,000\tCD\tI-NP\tI-protein' +p190129 +aS'.\t.\t.\tO\tO' +p190130 +asS'History of cerebrovascular accident with residual right sided weakness .' +p190131 +(lp190132 +S'History\tHistory\tNN\tB-NP\tO' +p190133 +aS'of\tof\tIN\tB-PP\tO' +p190134 +aS'cerebrovascular\tcerebrovascular\tJJ\tB-NP\tO' +p190135 +aS'accident\taccident\tNN\tI-NP\tO' +p190136 +aS'with\twith\tIN\tB-PP\tO' +p190137 +aS'residual\tresidual\tJJ\tB-NP\tO' +p190138 +aS'right\tright\tJJ\tI-NP\tO' +p190139 +aS'sided\tsided\tJJ\tI-NP\tO' +p190140 +aS'weakness\tweakness\tNN\tI-NP\tO' +p190141 +aS'.\t.\t.\tO\tO' +p190142 +asS'As her Intensive Care Unit course continued and the patient showed minimal signs of meaningful improvement , continued discussions were had with the family about possibly changing code status .' +p190143 +(lp190144 +S'As\tAs\tIN\tB-SBAR\tO' +p190145 +aS'her\ther\tPRP$\tB-NP\tO' +p190146 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p190147 +aS'Care\tCare\tNNP\tI-NP\tO' +p190148 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p190149 +aS'course\tcourse\tNN\tI-NP\tO' +p190150 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p190151 +aS'and\tand\tCC\tO\tO' +p190152 +aS'the\tthe\tDT\tB-NP\tO' +p190153 +aS'patient\tpatient\tNN\tI-NP\tO' +p190154 +aS'showed\tshow\tVBD\tB-VP\tO' +p190155 +aS'minimal\tminimal\tJJ\tB-NP\tO' +p190156 +aS'signs\tsign\tNNS\tI-NP\tO' +p190157 +aS'of\tof\tIN\tB-PP\tO' +p190158 +aS'meaningful\tmeaningful\tJJ\tB-NP\tO' +p190159 +aS'improvement\timprovement\tNN\tI-NP\tO' +p190160 +aS',\t,\t,\tO\tO' +p190161 +aS'continued\tcontinue\tVBN\tB-NP\tO' +p190162 +aS'discussions\tdiscussion\tNNS\tI-NP\tO' +p190163 +aS'were\tbe\tVBD\tB-VP\tO' +p190164 +aS'had\thave\tVBN\tI-VP\tO' +p190165 +aS'with\twith\tIN\tB-PP\tO' +p190166 +aS'the\tthe\tDT\tB-NP\tO' +p190167 +aS'family\tfamily\tNN\tI-NP\tO' +p190168 +aS'about\tabout\tIN\tB-PP\tO' +p190169 +aS'possibly\tpossibly\tRB\tB-NP\tO' +p190170 +aS'changing\tchange\tVBG\tI-NP\tO' +p190171 +aS'code\tcode\tNN\tI-NP\tO' +p190172 +aS'status\tstatus\tNN\tI-NP\tO' +p190173 +aS'.\t.\t.\tO\tO' +p190174 +asS'She was also started on fluconazole for yeast in the urine , to be treated with fluconazole for total 7 days .' +p190175 +(lp190176 +S'She\tShe\tPRP\tB-NP\tO' +p190177 +aS'was\tbe\tVBD\tB-VP\tO' +p190178 +aS'also\talso\tRB\tI-VP\tO' +p190179 +aS'started\tstart\tVBN\tI-VP\tO' +p190180 +aS'on\ton\tIN\tB-PP\tO' +p190181 +aS'fluconazole\tfluconazole\tNN\tB-NP\tO' +p190182 +aS'for\tfor\tIN\tB-PP\tO' +p190183 +aS'yeast\tyeast\tNN\tB-NP\tO' +p190184 +aS'in\tin\tIN\tB-PP\tO' +p190185 +aS'the\tthe\tDT\tB-NP\tO' +p190186 +aS'urine\turine\tNN\tI-NP\tO' +p190187 +aS',\t,\t,\tO\tO' +p190188 +aS'to\tto\tTO\tB-VP\tO' +p190189 +aS'be\tbe\tVB\tI-VP\tO' +p190190 +aS'treated\ttreat\tVBN\tI-VP\tO' +p190191 +aS'with\twith\tIN\tB-PP\tO' +p190192 +aS'fluconazole\tfluconazole\tNN\tB-NP\tO' +p190193 +aS'for\tfor\tIN\tB-PP\tO' +p190194 +aS'total\ttotal\tJJ\tB-NP\tO' +p190195 +aS'7\t7\tCD\tI-NP\tO' +p190196 +aS'days\tday\tNNS\tI-NP\tO' +p190197 +aS'.\t.\t.\tO\tO' +p190198 +asS'Dictated By : Lila I Morgan , M.D.' +p190199 +(lp190200 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p190201 +aS'By\tBy\tIN\tB-PP\tO' +p190202 +aS':\t:\t:\tO\tO' +p190203 +aS'Lila\tLila\tNNP\tB-NP\tO' +p190204 +aS'I\tI\tNNP\tI-NP\tO' +p190205 +aS'Morgan\tMorgan\tNNP\tI-NP\tO' +p190206 +aS',\t,\t,\tO\tO' +p190207 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p190208 +asS'On the day of admission the patient noticed increasing shortness of breath .' +p190209 +(lp190210 +S'On\tOn\tIN\tB-PP\tO' +p190211 +aS'the\tthe\tDT\tB-NP\tO' +p190212 +aS'day\tday\tNN\tI-NP\tO' +p190213 +aS'of\tof\tIN\tB-PP\tO' +p190214 +aS'admission\tadmission\tNN\tB-NP\tO' +p190215 +aS'the\tthe\tDT\tB-NP\tO' +p190216 +aS'patient\tpatient\tNN\tI-NP\tO' +p190217 +aS'noticed\tnotice\tVBD\tB-VP\tO' +p190218 +aS'increasing\tincrease\tVBG\tB-NP\tO' +p190219 +aS'shortness\tshortness\tNN\tI-NP\tO' +p190220 +aS'of\tof\tIN\tB-PP\tO' +p190221 +aS'breath\tbreath\tNN\tB-NP\tO' +p190222 +aS'.\t.\t.\tO\tO' +p190223 +asS'Her anion gap closed and her fingersticks were less than 200 .' +p190224 +(lp190225 +S'Her\tHer\tPRP$\tB-NP\tO' +p190226 +aS'anion\tanion\tNN\tI-NP\tO' +p190227 +aS'gap\tgap\tNN\tI-NP\tO' +p190228 +aS'closed\tclose\tVBD\tB-VP\tO' +p190229 +aS'and\tand\tCC\tO\tO' +p190230 +aS'her\ther\tPRP$\tB-NP\tO' +p190231 +aS'fingersticks\tfingerstick\tNNS\tI-NP\tO' +p190232 +aS'were\tbe\tVBD\tB-VP\tO' +p190233 +aS'less\tless\tJJR\tB-NP\tO' +p190234 +aS'than\tthan\tIN\tI-NP\tO' +p190235 +aS'200\t200\tCD\tI-NP\tO' +p190236 +aS'.\t.\t.\tO\tO' +p190237 +asS'His head circumference on 05-18 was 36.5 cm with a maximum head circumference on' +p190238 +(lp190239 +S'His\tHis\tPRP$\tB-NP\tO' +p190240 +aS'head\thead\tJJ\tI-NP\tO' +p190241 +aS'circumference\tcircumference\tNN\tI-NP\tO' +p190242 +aS'on\ton\tIN\tB-PP\tO' +p190243 +aS'05-18\t05-18\tCD\tB-NP\tO' +p190244 +aS'was\tbe\tVBD\tB-VP\tO' +p190245 +aS'36.5\t36.5\tCD\tB-NP\tO' +p190246 +aS'cm\tcm\tNN\tI-NP\tO' +p190247 +aS'with\twith\tIN\tB-PP\tO' +p190248 +aS'a\ta\tDT\tB-NP\tO' +p190249 +aS'maximum\tmaximum\tNN\tI-NP\tO' +p190250 +aS'head\thead\tNN\tI-NP\tO' +p190251 +aS'circumference\tcircumference\tNN\tI-NP\tO' +p190252 +aS'on\ton\tIN\tB-PP\tO' +p190253 +asS'The location of the hemorrhage was not felt to be typical for hypertensive bleed ( cortical ) and it was felt to be unlikely that the recent fall was related to the bleed .' +p190254 +(lp190255 +S'The\tThe\tDT\tB-NP\tO' +p190256 +aS'location\tlocation\tNN\tI-NP\tO' +p190257 +aS'of\tof\tIN\tB-PP\tO' +p190258 +aS'the\tthe\tDT\tB-NP\tO' +p190259 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p190260 +aS'was\tbe\tVBD\tB-VP\tO' +p190261 +aS'not\tnot\tRB\tI-VP\tO' +p190262 +aS'felt\tfeel\tVBN\tI-VP\tO' +p190263 +aS'to\tto\tTO\tI-VP\tO' +p190264 +aS'be\tbe\tVB\tI-VP\tO' +p190265 +aS'typical\ttypical\tJJ\tB-ADJP\tO' +p190266 +aS'for\tfor\tIN\tB-PP\tO' +p190267 +aS'hypertensive\thypertensive\tJJ\tB-NP\tO' +p190268 +aS'bleed\tbleed\tNN\tI-NP\tO' +p190269 +aS'(\t(\t(\tO\tO' +p190270 +aS'cortical\tcortical\tJJ\tB-ADJP\tO' +p190271 +aS')\t)\t)\tO\tO' +p190272 +aS'and\tand\tCC\tO\tO' +p190273 +aS'it\tit\tPRP\tB-NP\tO' +p190274 +aS'was\tbe\tVBD\tB-VP\tO' +p190275 +aS'felt\tfeel\tVBN\tI-VP\tO' +p190276 +aS'to\tto\tTO\tI-VP\tO' +p190277 +aS'be\tbe\tVB\tI-VP\tO' +p190278 +aS'unlikely\tunlikely\tJJ\tB-ADJP\tO' +p190279 +aS'that\tthat\tIN\tB-SBAR\tO' +p190280 +aS'the\tthe\tDT\tB-NP\tO' +p190281 +aS'recent\trecent\tJJ\tI-NP\tO' +p190282 +aS'fall\tfall\tNN\tI-NP\tO' +p190283 +aS'was\tbe\tVBD\tB-VP\tO' +p190284 +aS'related\trelate\tVBN\tI-VP\tO' +p190285 +aS'to\tto\tTO\tB-PP\tO' +p190286 +aS'the\tthe\tDT\tB-NP\tO' +p190287 +aS'bleed\tbleed\tNN\tI-NP\tO' +p190288 +aS'.\t.\t.\tO\tO' +p190289 +asS'That day , he was found to be acutely short of breath with a respiratory rate of 40 and oxygen saturations in the mid seventies .' +p190290 +(lp190291 +S'That\tThat\tDT\tB-NP\tO' +p190292 +aS'day\tday\tNN\tI-NP\tO' +p190293 +aS',\t,\t,\tO\tO' +p190294 +aS'he\the\tPRP\tB-NP\tO' +p190295 +aS'was\tbe\tVBD\tB-VP\tO' +p190296 +aS'found\tfind\tVBN\tI-VP\tO' +p190297 +aS'to\tto\tTO\tI-VP\tO' +p190298 +aS'be\tbe\tVB\tI-VP\tO' +p190299 +aS'acutely\tacutely\tRB\tB-ADVP\tO' +p190300 +aS'short\tshort\tRB\tI-ADVP\tO' +p190301 +aS'of\tof\tIN\tB-PP\tO' +p190302 +aS'breath\tbreath\tNN\tB-NP\tO' +p190303 +aS'with\twith\tIN\tB-PP\tO' +p190304 +aS'a\ta\tDT\tB-NP\tO' +p190305 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p190306 +aS'rate\trate\tNN\tI-NP\tO' +p190307 +aS'of\tof\tIN\tB-PP\tO' +p190308 +aS'40\t40\tCD\tB-NP\tO' +p190309 +aS'and\tand\tCC\tO\tO' +p190310 +aS'oxygen\toxygen\tNN\tB-NP\tO' +p190311 +aS'saturations\tsaturation\tNNS\tI-NP\tO' +p190312 +aS'in\tin\tIN\tB-PP\tO' +p190313 +aS'the\tthe\tDT\tB-NP\tO' +p190314 +aS'mid\tmid\tJJ\tI-NP\tO' +p190315 +aS'seventies\tseventy\tNNS\tI-NP\tO' +p190316 +aS'.\t.\t.\tO\tO' +p190317 +asS'22. Lidocaine 5 %( 700 mg / patch ) Adhesive Patch , Medicated Sig : One ( 1 ) Adhesive Patch , Medicated Topical QD ( ) .' +p190318 +(lp190319 +S'22.\t22.\tCD\tB-NP\tO' +p190320 +aS'Lidocaine\tLidocaine\tNNP\tI-NP\tO' +p190321 +aS'5\t5\tCD\tI-NP\tO' +p190322 +aS'%(\t%(\tCC\tI-NP\tO' +p190323 +aS'700\t700\tCD\tI-NP\tO' +p190324 +aS'mg\tmg\tNN\tI-NP\tO' +p190325 +aS'/\t/\tSYM\tB-NP\tO' +p190326 +aS'patch\tpatch\tNN\tI-NP\tO' +p190327 +aS')\t)\t)\tO\tO' +p190328 +aS'Adhesive\tAdhesive\tNNP\tB-NP\tO' +p190329 +aS'Patch\tPatch\tNNP\tI-NP\tO' +p190330 +aS',\t,\t,\tO\tO' +p190331 +aS'Medicated\tMedicated\tNNP\tB-NP\tO' +p190332 +aS'Sig\tSig\tNNP\tI-NP\tO' +p190333 +aS':\t:\t:\tO\tO' +p190334 +aS'One\tOne\tCD\tB-NP\tO' +p190335 +aS'(\t(\t(\tO\tO' +p190336 +aS'1\t1\tCD\tB-NP\tO' +p190337 +aS')\t)\t)\tO\tO' +p190338 +aS'Adhesive\tAdhesive\tNNP\tB-NP\tO' +p190339 +aS'Patch\tPatch\tNNP\tI-NP\tO' +p190340 +aS',\t,\t,\tO\tO' +p190341 +aS'Medicated\tMedicated\tNNP\tB-NP\tO' +p190342 +aS'Topical\tTopical\tNNP\tI-NP\tO' +p190343 +aS'QD\tQD\tNNP\tI-NP\tO' +p190344 +aS'(\t(\t(\tO\tO' +p190345 +aS')\t)\t)\tO\tO' +p190346 +aS'.\t.\t.\tO\tO' +p190347 +asS'He was Neurologically intact .' +p190348 +(lp190349 +S'He\tHe\tPRP\tB-NP\tO' +p190350 +aS'was\tbe\tVBD\tB-VP\tO' +p190351 +aS'Neurologically\tNeurologically\tRB\tB-ADJP\tO' +p190352 +aS'intact\tintact\tJJ\tI-ADJP\tO' +p190353 +aS'.\t.\t.\tO\tO' +p190354 +asS'Mrs. Wisniewski is a 45-year-old woman with multiple familial cavernous hemangiomas .' +p190355 +(lp190356 +S'Mrs.\tMrs.\tNNP\tB-NP\tO' +p190357 +aS'Wisniewski\tWisniewski\tNNP\tI-NP\tO' +p190358 +aS'is\tbe\tVBZ\tB-VP\tO' +p190359 +aS'a\ta\tDT\tB-NP\tO' +p190360 +aS'45-year-old\t45-year-old\tJJ\tI-NP\tO' +p190361 +aS'woman\twoman\tNN\tI-NP\tO' +p190362 +aS'with\twith\tIN\tB-PP\tO' +p190363 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p190364 +aS'familial\tfamilial\tJJ\tI-NP\tO' +p190365 +aS'cavernous\tcavernous\tJJ\tI-NP\tO' +p190366 +aS'hemangiomas\themangioma\tNNS\tI-NP\tO' +p190367 +aS'.\t.\t.\tO\tO' +p190368 +asS'Follow-up with Dr. Jesc in the office .' +p190369 +(lp190370 +S'Follow-up\tFollow-up\tNN\tB-NP\tO' +p190371 +aS'with\twith\tIN\tB-PP\tO' +p190372 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p190373 +aS'Jesc\tJesc\tNNP\tI-NP\tO' +p190374 +aS'in\tin\tIN\tB-PP\tO' +p190375 +aS'the\tthe\tDT\tB-NP\tO' +p190376 +aS'office\toffice\tNN\tI-NP\tO' +p190377 +aS'.\t.\t.\tO\tO' +p190378 +asS'Multiple wires were used to attempt to cross the total occlusion , but were ultimately unsuccessful .' +p190379 +(lp190380 +S'Multiple\tMultiple\tJJ\tB-NP\tO' +p190381 +aS'wires\twire\tNNS\tI-NP\tO' +p190382 +aS'were\tbe\tVBD\tB-VP\tO' +p190383 +aS'used\tuse\tVBN\tI-VP\tO' +p190384 +aS'to\tto\tTO\tB-VP\tO' +p190385 +aS'attempt\tattempt\tVB\tI-VP\tO' +p190386 +aS'to\tto\tTO\tI-VP\tO' +p190387 +aS'cross\tcross\tVB\tI-VP\tO' +p190388 +aS'the\tthe\tDT\tB-NP\tO' +p190389 +aS'total\ttotal\tJJ\tI-NP\tO' +p190390 +aS'occlusion\tocclusion\tNN\tI-NP\tO' +p190391 +aS',\t,\t,\tO\tO' +p190392 +aS'but\tbut\tCC\tO\tO' +p190393 +aS'were\tbe\tVBD\tB-VP\tO' +p190394 +aS'ultimately\tultimately\tRB\tB-ADJP\tO' +p190395 +aS'unsuccessful\tunsuccessful\tJJ\tI-ADJP\tO' +p190396 +aS'.\t.\t.\tO\tO' +p190397 +asS'The gastric resection margins were free of carcinoma .' +p190398 +(lp190399 +S'The\tThe\tDT\tB-NP\tO' +p190400 +aS'gastric\tgastric\tJJ\tI-NP\tB-protein' +p190401 +aS'resection\tresection\tNN\tI-NP\tI-protein' +p190402 +aS'margins\tmargin\tNNS\tI-NP\tI-protein' +p190403 +aS'were\tbe\tVBD\tB-VP\tO' +p190404 +aS'free\tfree\tJJ\tB-ADJP\tO' +p190405 +aS'of\tof\tIN\tB-PP\tO' +p190406 +aS'carcinoma\tcarcinoma\tNN\tB-NP\tO' +p190407 +aS'.\t.\t.\tO\tO' +p190408 +asS'7. Polyvinyl Alcohol 1.4 % Drops Sig : 1-2 Drops Ophthalmic BID ( 2 times a day ) .' +p190409 +(lp190410 +S'7.\t7.\tLS\tB-NP\tO' +p190411 +aS'Polyvinyl\tPolyvinyl\tNN\tI-NP\tO' +p190412 +aS'Alcohol\tAlcohol\tNN\tI-NP\tO' +p190413 +aS'1.4\t1.4\tCD\tB-NP\tO' +p190414 +aS'%\t%\tNN\tI-NP\tO' +p190415 +aS'Drops\tDrops\tNNP\tI-NP\tO' +p190416 +aS'Sig\tSig\tNNP\tI-NP\tO' +p190417 +aS':\t:\t:\tO\tO' +p190418 +aS'1-2\t1-2\tCD\tB-NP\tO' +p190419 +aS'Drops\tDrop\tVBZ\tB-VP\tO' +p190420 +aS'Ophthalmic\tOphthalmic\tJJ\tB-NP\tO' +p190421 +aS'BID\tBID\tNN\tI-NP\tO' +p190422 +aS'(\t(\t(\tO\tO' +p190423 +aS'2\t2\tCD\tB-NP\tO' +p190424 +aS'times\ttime\tNNS\tI-NP\tO' +p190425 +aS'a\ta\tDT\tB-NP\tO' +p190426 +aS'day\tday\tNN\tI-NP\tO' +p190427 +aS')\t)\t)\tO\tO' +p190428 +aS'.\t.\t.\tO\tO' +p190429 +asS'Sodium 141 , potassium 4.3 , chloride 108 , CO2 25 , BUN 24 , creatinine 0.8 , glucose 140 .' +p190430 +(lp190431 +S'Sodium\tSodium\tNN\tB-NP\tB-protein' +p190432 +aS'141\t141\tCD\tI-NP\tI-protein' +p190433 +aS',\t,\t,\tO\tO' +p190434 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p190435 +aS'4.3\t4.3\tCD\tI-NP\tO' +p190436 +aS',\t,\t,\tO\tO' +p190437 +aS'chloride\tchloride\tNN\tB-NP\tO' +p190438 +aS'108\t108\tCD\tI-NP\tO' +p190439 +aS',\t,\t,\tO\tO' +p190440 +aS'CO2\tCO2\tNN\tB-NP\tO' +p190441 +aS'25\t25\tCD\tI-NP\tO' +p190442 +aS',\t,\t,\tO\tO' +p190443 +aS'BUN\tBUN\tNN\tB-NP\tB-DNA' +p190444 +aS'24\t24\tCD\tI-NP\tI-DNA' +p190445 +aS',\t,\t,\tO\tO' +p190446 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p190447 +aS'0.8\t0.8\tCD\tI-NP\tO' +p190448 +aS',\t,\t,\tO\tO' +p190449 +aS'glucose\tglucose\tNN\tB-NP\tO' +p190450 +aS'140\t140\tCD\tI-NP\tO' +p190451 +aS'.\t.\t.\tO\tO' +p190452 +asS'The rest of the hospital stay can be discussed in terms of system based approach .' +p190453 +(lp190454 +S'The\tThe\tDT\tB-NP\tO' +p190455 +aS'rest\trest\tNN\tI-NP\tO' +p190456 +aS'of\tof\tIN\tB-PP\tO' +p190457 +aS'the\tthe\tDT\tB-NP\tO' +p190458 +aS'hospital\thospital\tNN\tI-NP\tO' +p190459 +aS'stay\tstay\tNN\tI-NP\tO' +p190460 +aS'can\tcan\tMD\tB-VP\tO' +p190461 +aS'be\tbe\tVB\tI-VP\tO' +p190462 +aS'discussed\tdiscuss\tVBN\tI-VP\tO' +p190463 +aS'in\tin\tIN\tB-PP\tO' +p190464 +aS'terms\tterm\tNNS\tB-NP\tO' +p190465 +aS'of\tof\tIN\tB-PP\tO' +p190466 +aS'system\tsystem\tNN\tB-NP\tO' +p190467 +aS'based\tbased\tJJ\tI-NP\tO' +p190468 +aS'approach\tapproach\tNN\tI-NP\tO' +p190469 +aS'.\t.\t.\tO\tO' +p190470 +asS'He has no further recollection , until he presented to the emergency room .' +p190471 +(lp190472 +S'He\tHe\tPRP\tB-NP\tO' +p190473 +aS'has\thave\tVBZ\tB-VP\tO' +p190474 +aS'no\tno\tDT\tB-NP\tO' +p190475 +aS'further\tfurther\tJJ\tI-NP\tO' +p190476 +aS'recollection\trecollection\tNN\tI-NP\tO' +p190477 +aS',\t,\t,\tO\tO' +p190478 +aS'until\tuntil\tIN\tB-SBAR\tO' +p190479 +aS'he\the\tPRP\tB-NP\tO' +p190480 +aS'presented\tpresent\tVBD\tB-VP\tO' +p190481 +aS'to\tto\tTO\tB-PP\tO' +p190482 +aS'the\tthe\tDT\tB-NP\tO' +p190483 +aS'emergency\temergency\tNN\tI-NP\tO' +p190484 +aS'room\troom\tNN\tI-NP\tO' +p190485 +aS'.\t.\t.\tO\tO' +p190486 +asS'Ventricles were symmetrical and not compressed .' +p190487 +(lp190488 +S'Ventricles\tVentricle\tNNS\tB-NP\tO' +p190489 +aS'were\tbe\tVBD\tB-VP\tO' +p190490 +aS'symmetrical\tsymmetrical\tJJ\tB-ADJP\tO' +p190491 +aS'and\tand\tCC\tO\tO' +p190492 +aS'not\tnot\tRB\tB-VP\tO' +p190493 +aS'compressed\tcompress\tVBN\tI-VP\tO' +p190494 +aS'.\t.\t.\tO\tO' +p190495 +asS'The patient is alert and oriented and has a sling for his left humeral fracture .' +p190496 +(lp190497 +S'The\tThe\tDT\tB-NP\tO' +p190498 +aS'patient\tpatient\tNN\tI-NP\tO' +p190499 +aS'is\tbe\tVBZ\tB-VP\tO' +p190500 +aS'alert\talert\tJJ\tB-ADJP\tO' +p190501 +aS'and\tand\tCC\tO\tO' +p190502 +aS'oriented\torient\tVBN\tB-VP\tO' +p190503 +aS'and\tand\tCC\tO\tO' +p190504 +aS'has\thave\tVBZ\tB-VP\tO' +p190505 +aS'a\ta\tDT\tB-NP\tO' +p190506 +aS'sling\tsling\tNN\tI-NP\tO' +p190507 +aS'for\tfor\tIN\tB-PP\tO' +p190508 +aS'his\this\tPRP$\tB-NP\tO' +p190509 +aS'left\tleft\tJJ\tI-NP\tO' +p190510 +aS'humeral\thumeral\tJJ\tI-NP\tO' +p190511 +aS'fracture\tfracture\tNN\tI-NP\tO' +p190512 +aS'.\t.\t.\tO\tO' +p190513 +asS'The neck was supple with no lymphadenopathy .' +p190514 +(lp190515 +S'The\tThe\tDT\tB-NP\tO' +p190516 +aS'neck\tneck\tNN\tI-NP\tO' +p190517 +aS'was\tbe\tVBD\tB-VP\tO' +p190518 +aS'supple\tsupple\tNN\tB-NP\tO' +p190519 +aS'with\twith\tIN\tB-PP\tO' +p190520 +aS'no\tno\tDT\tB-NP\tO' +p190521 +aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' +p190522 +aS'.\t.\t.\tO\tO' +p190523 +asS'7. ANEMIA .' +p190524 +(lp190525 +S'7.\t7.\tCD\tB-NP\tO' +p190526 +aS'ANEMIA\tANEMIA\tNN\tI-NP\tO' +p190527 +aS'.\t.\t.\tO\tO' +p190528 +asS'The patient presented with almost a stridor and a large mediastinal mass with shortness of breath .' +p190529 +(lp190530 +S'The\tThe\tDT\tB-NP\tO' +p190531 +aS'patient\tpatient\tNN\tI-NP\tO' +p190532 +aS'presented\tpresent\tVBD\tB-VP\tO' +p190533 +aS'with\twith\tIN\tB-PP\tO' +p190534 +aS'almost\talmost\tRB\tB-NP\tO' +p190535 +aS'a\ta\tDT\tI-NP\tO' +p190536 +aS'stridor\tstridor\tNN\tI-NP\tO' +p190537 +aS'and\tand\tCC\tO\tO' +p190538 +aS'a\ta\tDT\tB-NP\tO' +p190539 +aS'large\tlarge\tJJ\tI-NP\tO' +p190540 +aS'mediastinal\tmediastinal\tJJ\tI-NP\tO' +p190541 +aS'mass\tmass\tNN\tI-NP\tO' +p190542 +aS'with\twith\tIN\tB-PP\tO' +p190543 +aS'shortness\tshortness\tNN\tB-NP\tO' +p190544 +aS'of\tof\tIN\tB-PP\tO' +p190545 +aS'breath\tbreath\tNN\tB-NP\tO' +p190546 +aS'.\t.\t.\tO\tO' +p190547 +asS'12. Flexeril .' +p190548 +(lp190549 +S'12.\t12.\tLS\tB-LST\tO' +p190550 +aS'Flexeril\tFlexeril\tNNP\tB-NP\tO' +p190551 +aS'.\t.\t.\tO\tO' +p190552 +asS'Cardiovascular examination ; regular rate and rhythm with no murmurs , rubs , or gallops .' +p190553 +(lp190554 +S'Cardiovascular\tCardiovascular\tJJ\tB-NP\tO' +p190555 +aS'examination\texamination\tNN\tI-NP\tO' +p190556 +aS';\t;\t:\tO\tO' +p190557 +aS'regular\tregular\tJJ\tB-NP\tO' +p190558 +aS'rate\trate\tNN\tI-NP\tO' +p190559 +aS'and\tand\tCC\tO\tO' +p190560 +aS'rhythm\trhythm\tNN\tB-NP\tO' +p190561 +aS'with\twith\tIN\tB-PP\tO' +p190562 +aS'no\tno\tDT\tB-NP\tO' +p190563 +aS'murmurs\tmurmur\tNNS\tI-NP\tO' +p190564 +aS',\t,\t,\tO\tO' +p190565 +aS'rubs\trub\tNNS\tB-NP\tO' +p190566 +aS',\t,\t,\tO\tO' +p190567 +aS'or\tor\tCC\tO\tO' +p190568 +aS'gallops\tgallop\tNNS\tB-NP\tO' +p190569 +aS'.\t.\t.\tO\tO' +p190570 +asS'The physical examination reveals a pleasant 70 year old male in no acute distress .' +p190571 +(lp190572 +S'The\tThe\tDT\tB-NP\tO' +p190573 +aS'physical\tphysical\tJJ\tI-NP\tO' +p190574 +aS'examination\texamination\tNN\tI-NP\tO' +p190575 +aS'reveals\treveal\tVBZ\tB-VP\tO' +p190576 +aS'a\ta\tDT\tB-NP\tO' +p190577 +aS'pleasant\tpleasant\tJJ\tI-NP\tO' +p190578 +aS'70\t70\tCD\tI-NP\tO' +p190579 +aS'year\tyear\tNN\tI-NP\tO' +p190580 +aS'old\told\tJJ\tI-NP\tO' +p190581 +aS'male\tmale\tNN\tI-NP\tO' +p190582 +aS'in\tin\tIN\tB-PP\tO' +p190583 +aS'no\tno\tDT\tB-NP\tO' +p190584 +aS'acute\tacute\tJJ\tI-NP\tO' +p190585 +aS'distress\tdistress\tNN\tI-NP\tO' +p190586 +aS'.\t.\t.\tO\tO' +p190587 +asS'2. Large , cystic , multiseptated mass arising from the adnexa , worrisome for second primary malignancy .' +p190588 +(lp190589 +S'2.\t2.\tLS\tB-NP\tO' +p190590 +aS'Large\tLarge\tJJ\tI-NP\tO' +p190591 +aS',\t,\t,\tI-NP\tO' +p190592 +aS'cystic\tcystic\tJJ\tI-NP\tO' +p190593 +aS',\t,\t,\tI-NP\tO' +p190594 +aS'multiseptated\tmultiseptated\tJJ\tI-NP\tO' +p190595 +aS'mass\tmass\tNN\tI-NP\tO' +p190596 +aS'arising\tarise\tVBG\tB-VP\tO' +p190597 +aS'from\tfrom\tIN\tB-PP\tO' +p190598 +aS'the\tthe\tDT\tB-NP\tO' +p190599 +aS'adnexa\tadnexa\tNN\tI-NP\tO' +p190600 +aS',\t,\t,\tO\tO' +p190601 +aS'worrisome\tworrisome\tJJ\tB-ADJP\tO' +p190602 +aS'for\tfor\tIN\tB-PP\tO' +p190603 +aS'second\tsecond\tJJ\tB-NP\tO' +p190604 +aS'primary\tprimary\tJJ\tI-NP\tO' +p190605 +aS'malignancy\tmalignancy\tNN\tI-NP\tO' +p190606 +aS'.\t.\t.\tO\tO' +p190607 +asS'9. Calcium acetate Tums one p.o. t.i.d. with meals .' +p190608 +(lp190609 +S'9.\t9.\tLS\tB-NP\tO' +p190610 +aS'Calcium\tCalcium\tNN\tI-NP\tO' +p190611 +aS'acetate\tacetate\tNN\tI-NP\tO' +p190612 +aS'Tums\tTum\tVBZ\tB-VP\tO' +p190613 +aS'one\tone\tCD\tB-NP\tO' +p190614 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p190615 +aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' +p190616 +aS'with\twith\tIN\tB-PP\tO' +p190617 +aS'meals\tmeal\tNNS\tB-NP\tO' +p190618 +aS'.\t.\t.\tO\tO' +p190619 +asS'With a fever of 102 , up to 42 degrees centigrade , aggressive measures including cooling blankets , alcohol swabs , and fans were used in an attempt to bring his body temperature down .' +p190620 +(lp190621 +S'With\tWith\tIN\tB-PP\tO' +p190622 +aS'a\ta\tDT\tB-NP\tO' +p190623 +aS'fever\tfever\tNN\tI-NP\tO' +p190624 +aS'of\tof\tIN\tB-PP\tO' +p190625 +aS'102\t102\tCD\tB-NP\tO' +p190626 +aS',\t,\t,\tO\tO' +p190627 +aS'up\tup\tRB\tB-NP\tO' +p190628 +aS'to\tto\tTO\tI-NP\tO' +p190629 +aS'42\t42\tCD\tI-NP\tO' +p190630 +aS'degrees\tdegree\tNNS\tI-NP\tO' +p190631 +aS'centigrade\tcentigrade\tJJ\tB-NP\tO' +p190632 +aS',\t,\t,\tI-NP\tO' +p190633 +aS'aggressive\taggressive\tJJ\tI-NP\tO' +p190634 +aS'measures\tmeasure\tNNS\tI-NP\tO' +p190635 +aS'including\tinclude\tVBG\tB-PP\tO' +p190636 +aS'cooling\tcool\tVBG\tB-NP\tO' +p190637 +aS'blankets\tblanket\tNNS\tI-NP\tO' +p190638 +aS',\t,\t,\tO\tO' +p190639 +aS'alcohol\talcohol\tNN\tB-NP\tB-protein' +p190640 +aS'swabs\tswab\tNNS\tI-NP\tI-protein' +p190641 +aS',\t,\t,\tO\tO' +p190642 +aS'and\tand\tCC\tO\tO' +p190643 +aS'fans\tfan\tNNS\tB-NP\tO' +p190644 +aS'were\tbe\tVBD\tB-VP\tO' +p190645 +aS'used\tuse\tVBN\tI-VP\tO' +p190646 +aS'in\tin\tIN\tB-PP\tO' +p190647 +aS'an\tan\tDT\tB-NP\tO' +p190648 +aS'attempt\tattempt\tNN\tI-NP\tO' +p190649 +aS'to\tto\tTO\tB-VP\tO' +p190650 +aS'bring\tbring\tVB\tI-VP\tO' +p190651 +aS'his\this\tPRP$\tB-NP\tO' +p190652 +aS'body\tbody\tNN\tI-NP\tO' +p190653 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p190654 +aS'down\tdown\tRB\tB-ADVP\tO' +p190655 +aS'.\t.\t.\tO\tO' +p190656 +asS"UCx during this hospitalization were negative and Levofloxacin was d/c 'd ." +p190657 +(lp190658 +S'UCx\tUCx\tNN\tB-NP\tB-protein' +p190659 +aS'during\tduring\tIN\tB-PP\tO' +p190660 +aS'this\tthis\tDT\tB-NP\tO' +p190661 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p190662 +aS'were\tbe\tVBD\tB-VP\tO' +p190663 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p190664 +aS'and\tand\tCC\tO\tO' +p190665 +aS'Levofloxacin\tLevofloxacin\tNN\tB-NP\tO' +p190666 +aS'was\tbe\tVBD\tB-VP\tO' +p190667 +aS'd/c\td/c\tNN\tB-NP\tO' +p190668 +aS"'d\t'd\tNN\tI-NP\tO" +p190669 +aS'.\t.\t.\tO\tO' +p190670 +asS'The patient was already on an aspirin and Plavix should this represent a small stroke .' +p190671 +(lp190672 +S'The\tThe\tDT\tB-NP\tO' +p190673 +aS'patient\tpatient\tNN\tI-NP\tO' +p190674 +aS'was\tbe\tVBD\tB-VP\tO' +p190675 +aS'already\talready\tRB\tB-ADVP\tO' +p190676 +aS'on\ton\tIN\tB-PP\tO' +p190677 +aS'an\tan\tDT\tB-NP\tO' +p190678 +aS'aspirin\taspirin\tNN\tI-NP\tO' +p190679 +aS'and\tand\tCC\tI-NP\tO' +p190680 +aS'Plavix\tPlavix\tNN\tI-NP\tO' +p190681 +aS'should\tshould\tMD\tO\tO' +p190682 +aS'this\tthis\tDT\tB-NP\tO' +p190683 +aS'represent\trepresent\tVB\tB-VP\tO' +p190684 +aS'a\ta\tDT\tB-NP\tO' +p190685 +aS'small\tsmall\tJJ\tI-NP\tO' +p190686 +aS'stroke\tstroke\tNN\tI-NP\tO' +p190687 +aS'.\t.\t.\tO\tO' +p190688 +asS'She was also noted to have a cold distal left upper extremity which was operated on and she is now status post left brachial artery embolectomy .' +p190689 +(lp190690 +S'She\tShe\tPRP\tB-NP\tO' +p190691 +aS'was\tbe\tVBD\tB-VP\tO' +p190692 +aS'also\talso\tRB\tI-VP\tO' +p190693 +aS'noted\tnote\tVBN\tI-VP\tO' +p190694 +aS'to\tto\tTO\tI-VP\tO' +p190695 +aS'have\thave\tVB\tI-VP\tO' +p190696 +aS'a\ta\tDT\tB-NP\tO' +p190697 +aS'cold\tcold\tJJ\tI-NP\tO' +p190698 +aS'distal\tdistal\tJJ\tI-NP\tO' +p190699 +aS'left\tleft\tJJ\tI-NP\tO' +p190700 +aS'upper\tupper\tJJ\tI-NP\tO' +p190701 +aS'extremity\textremity\tNN\tI-NP\tO' +p190702 +aS'which\twhich\tWDT\tB-NP\tO' +p190703 +aS'was\tbe\tVBD\tB-VP\tO' +p190704 +aS'operated\toperate\tVBN\tI-VP\tO' +p190705 +aS'on\ton\tIN\tB-PP\tO' +p190706 +aS'and\tand\tCC\tO\tO' +p190707 +aS'she\tshe\tPRP\tB-NP\tO' +p190708 +aS'is\tbe\tVBZ\tB-VP\tO' +p190709 +aS'now\tnow\tRB\tB-ADVP\tO' +p190710 +aS'status\tstatus\tNN\tB-NP\tO' +p190711 +aS'post\tpost\tNN\tI-NP\tO' +p190712 +aS'left\tleave\tVBD\tB-VP\tO' +p190713 +aS'brachial\tbrachial\tJJ\tB-NP\tO' +p190714 +aS'artery\tartery\tNN\tI-NP\tO' +p190715 +aS'embolectomy\tembolectomy\tNN\tI-NP\tO' +p190716 +aS'.\t.\t.\tO\tO' +p190717 +asS'She had preserved inferior contraction and basal contraction .' +p190718 +(lp190719 +S'She\tShe\tPRP\tB-NP\tO' +p190720 +aS'had\thave\tVBD\tB-VP\tO' +p190721 +aS'preserved\tpreserve\tVBN\tI-VP\tO' +p190722 +aS'inferior\tinferior\tJJ\tB-NP\tO' +p190723 +aS'contraction\tcontraction\tNN\tI-NP\tO' +p190724 +aS'and\tand\tCC\tO\tO' +p190725 +aS'basal\tbasal\tJJ\tB-NP\tO' +p190726 +aS'contraction\tcontraction\tNN\tI-NP\tO' +p190727 +aS'.\t.\t.\tO\tO' +p190728 +asS'Memory and attention span good .' +p190729 +(lp190730 +S'Memory\tMemory\tNN\tB-NP\tO' +p190731 +aS'and\tand\tCC\tI-NP\tO' +p190732 +aS'attention\tattention\tNN\tI-NP\tO' +p190733 +aS'span\tspan\tNN\tI-NP\tO' +p190734 +aS'good\tgood\tNN\tI-NP\tO' +p190735 +aS'.\t.\t.\tO\tO' +p190736 +asS'8. Keflex 500 mg x6 doses .' +p190737 +(lp190738 +S'8.\t8.\tCD\tB-NP\tO' +p190739 +aS'Keflex\tKeflex\tNNP\tI-NP\tO' +p190740 +aS'500\t500\tCD\tI-NP\tO' +p190741 +aS'mg\tmg\tNN\tI-NP\tO' +p190742 +aS'x6\tx6\tCD\tB-NP\tO' +p190743 +aS'doses\tdose\tNNS\tI-NP\tO' +p190744 +aS'.\t.\t.\tO\tO' +p190745 +asS'An estimated blood loss was 100 cc .' +p190746 +(lp190747 +S'An\tAn\tDT\tB-NP\tO' +p190748 +aS'estimated\testimate\tVBN\tI-NP\tO' +p190749 +aS'blood\tblood\tNN\tI-NP\tO' +p190750 +aS'loss\tloss\tNN\tI-NP\tO' +p190751 +aS'was\tbe\tVBD\tB-VP\tO' +p190752 +aS'100\t100\tCD\tB-NP\tO' +p190753 +aS'cc\tcc\tNN\tI-NP\tO' +p190754 +aS'.\t.\t.\tO\tO' +p190755 +asS'4. Albuterol and Atrovent nebs prn .' +p190756 +(lp190757 +S'4.\t4.\tLS\tB-NP\tO' +p190758 +aS'Albuterol\tAlbuterol\tNN\tI-NP\tO' +p190759 +aS'and\tand\tCC\tI-NP\tO' +p190760 +aS'Atrovent\tAtrovent\tNN\tI-NP\tO' +p190761 +aS'nebs\tneb\tNNS\tI-NP\tO' +p190762 +aS'prn\tprn\tVBP\tB-VP\tO' +p190763 +aS'.\t.\t.\tO\tO' +p190764 +asS'Transferred here for workup for CNS mets and admission .' +p190765 +(lp190766 +S'Transferred\tTransfer\tVBN\tB-VP\tO' +p190767 +aS'here\there\tRB\tB-ADVP\tO' +p190768 +aS'for\tfor\tIN\tB-PP\tO' +p190769 +aS'workup\tworkup\tNN\tB-NP\tO' +p190770 +aS'for\tfor\tIN\tB-PP\tO' +p190771 +aS'CNS\tCNS\tNN\tB-NP\tO' +p190772 +aS'mets\tmet\tNNS\tI-NP\tO' +p190773 +aS'and\tand\tCC\tO\tO' +p190774 +aS'admission\tadmission\tNN\tB-NP\tO' +p190775 +aS'.\t.\t.\tO\tO' +p190776 +asS'# Altered mental status : Ct scan with no evidence of new intracraneal bleeding .' +p190777 +(lp190778 +S'#\t#\t#\tB-NP\tO' +p190779 +aS'Altered\tAltered\tJJ\tI-NP\tO' +p190780 +aS'mental\tmental\tJJ\tI-NP\tO' +p190781 +aS'status\tstatus\tNN\tI-NP\tO' +p190782 +aS':\t:\t:\tO\tO' +p190783 +aS'Ct\tCt\tNN\tB-NP\tO' +p190784 +aS'scan\tscan\tNN\tI-NP\tO' +p190785 +aS'with\twith\tIN\tB-PP\tO' +p190786 +aS'no\tno\tDT\tB-NP\tO' +p190787 +aS'evidence\tevidence\tNN\tI-NP\tO' +p190788 +aS'of\tof\tIN\tB-PP\tO' +p190789 +aS'new\tnew\tJJ\tB-NP\tO' +p190790 +aS'intracraneal\tintracraneal\tJJ\tI-NP\tO' +p190791 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p190792 +aS'.\t.\t.\tO\tO' +p190793 +asS'The patient was taking PO initially until 9/6/93 at 17:45 .' +p190794 +(lp190795 +S'The\tThe\tDT\tB-NP\tO' +p190796 +aS'patient\tpatient\tNN\tI-NP\tO' +p190797 +aS'was\tbe\tVBD\tB-VP\tO' +p190798 +aS'taking\ttake\tVBG\tI-VP\tO' +p190799 +aS'PO\tPO\tNN\tB-NP\tB-protein' +p190800 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p190801 +aS'until\tuntil\tIN\tB-PP\tO' +p190802 +aS'9/6/93\t9/6/93\tCD\tB-NP\tO' +p190803 +aS'at\tat\tIN\tB-PP\tO' +p190804 +aS'17:45\t17:45\tCD\tB-NP\tO' +p190805 +aS'.\t.\t.\tO\tO' +p190806 +asS'The patient was to take one 4 mg tablet dinner and at bedtime the day of discharge , then the next day take one 4 mg tablet in the morning , lunch time , and with dinner and then at bedtime , then the third day to take 4 mg tablet in the morning , lunch , and bedtime , the fourth day to take one tablet in the morning and dinner , and in the last day take one 4 mg tablet in the morning .' +p190807 +(lp190808 +S'The\tThe\tDT\tB-NP\tO' +p190809 +aS'patient\tpatient\tNN\tI-NP\tO' +p190810 +aS'was\tbe\tVBD\tB-VP\tO' +p190811 +aS'to\tto\tTO\tB-VP\tO' +p190812 +aS'take\ttake\tVB\tI-VP\tO' +p190813 +aS'one\tone\tCD\tB-NP\tO' +p190814 +aS'4\t4\tCD\tI-NP\tO' +p190815 +aS'mg\tmg\tNN\tI-NP\tO' +p190816 +aS'tablet\ttablet\tNN\tI-NP\tO' +p190817 +aS'dinner\tdinner\tNN\tI-NP\tO' +p190818 +aS'and\tand\tCC\tB-PP\tO' +p190819 +aS'at\tat\tIN\tB-PP\tO' +p190820 +aS'bedtime\tbedtime\tNN\tB-NP\tO' +p190821 +aS'the\tthe\tDT\tB-NP\tO' +p190822 +aS'day\tday\tNN\tI-NP\tO' +p190823 +aS'of\tof\tIN\tB-PP\tO' +p190824 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p190825 +aS',\t,\t,\tO\tO' +p190826 +aS'then\tthen\tRB\tB-ADVP\tO' +p190827 +aS'the\tthe\tDT\tB-NP\tO' +p190828 +aS'next\tnext\tJJ\tI-NP\tO' +p190829 +aS'day\tday\tNN\tI-NP\tO' +p190830 +aS'take\ttake\tVB\tB-VP\tO' +p190831 +aS'one\tone\tCD\tB-NP\tO' +p190832 +aS'4\t4\tCD\tI-NP\tO' +p190833 +aS'mg\tmg\tNN\tI-NP\tO' +p190834 +aS'tablet\ttablet\tNN\tI-NP\tO' +p190835 +aS'in\tin\tIN\tB-PP\tO' +p190836 +aS'the\tthe\tDT\tB-NP\tO' +p190837 +aS'morning\tmorning\tNN\tI-NP\tO' +p190838 +aS',\t,\t,\tO\tO' +p190839 +aS'lunch\tlunch\tNN\tB-NP\tO' +p190840 +aS'time\ttime\tNN\tI-NP\tO' +p190841 +aS',\t,\t,\tO\tO' +p190842 +aS'and\tand\tCC\tO\tO' +p190843 +aS'with\twith\tIN\tB-PP\tO' +p190844 +aS'dinner\tdinner\tNN\tB-NP\tO' +p190845 +aS'and\tand\tCC\tO\tO' +p190846 +aS'then\tthen\tRB\tB-ADVP\tO' +p190847 +aS'at\tat\tIN\tB-PP\tO' +p190848 +aS'bedtime\tbedtime\tNN\tB-NP\tO' +p190849 +aS',\t,\t,\tO\tO' +p190850 +aS'then\tthen\tRB\tB-ADVP\tO' +p190851 +aS'the\tthe\tDT\tB-NP\tO' +p190852 +aS'third\tthird\tJJ\tI-NP\tO' +p190853 +aS'day\tday\tNN\tI-NP\tO' +p190854 +aS'to\tto\tTO\tB-VP\tO' +p190855 +aS'take\ttake\tVB\tI-VP\tO' +p190856 +aS'4\t4\tCD\tB-NP\tO' +p190857 +aS'mg\tmg\tNN\tI-NP\tO' +p190858 +aS'tablet\ttablet\tNN\tI-NP\tO' +p190859 +aS'in\tin\tIN\tB-PP\tO' +p190860 +aS'the\tthe\tDT\tB-NP\tO' +p190861 +aS'morning\tmorning\tNN\tI-NP\tO' +p190862 +aS',\t,\t,\tO\tO' +p190863 +aS'lunch\tlunch\tNN\tB-NP\tO' +p190864 +aS',\t,\t,\tO\tO' +p190865 +aS'and\tand\tCC\tO\tO' +p190866 +aS'bedtime\tbedtime\tNN\tB-NP\tO' +p190867 +aS',\t,\t,\tO\tO' +p190868 +aS'the\tthe\tDT\tB-NP\tO' +p190869 +aS'fourth\tfourth\tJJ\tI-NP\tO' +p190870 +aS'day\tday\tNN\tI-NP\tO' +p190871 +aS'to\tto\tTO\tB-VP\tO' +p190872 +aS'take\ttake\tVB\tI-VP\tO' +p190873 +aS'one\tone\tCD\tB-NP\tO' +p190874 +aS'tablet\ttablet\tNN\tI-NP\tO' +p190875 +aS'in\tin\tIN\tB-PP\tO' +p190876 +aS'the\tthe\tDT\tB-NP\tO' +p190877 +aS'morning\tmorning\tNN\tI-NP\tO' +p190878 +aS'and\tand\tCC\tI-NP\tO' +p190879 +aS'dinner\tdinner\tNN\tI-NP\tO' +p190880 +aS',\t,\t,\tO\tO' +p190881 +aS'and\tand\tCC\tO\tO' +p190882 +aS'in\tin\tIN\tB-PP\tO' +p190883 +aS'the\tthe\tDT\tB-NP\tO' +p190884 +aS'last\tlast\tJJ\tI-NP\tO' +p190885 +aS'day\tday\tNN\tI-NP\tO' +p190886 +aS'take\ttake\tVB\tB-VP\tO' +p190887 +aS'one\tone\tCD\tB-NP\tO' +p190888 +aS'4\t4\tCD\tI-NP\tO' +p190889 +aS'mg\tmg\tNN\tI-NP\tO' +p190890 +aS'tablet\ttablet\tNN\tI-NP\tO' +p190891 +aS'in\tin\tIN\tB-PP\tO' +p190892 +aS'the\tthe\tDT\tB-NP\tO' +p190893 +aS'morning\tmorning\tNN\tI-NP\tO' +p190894 +aS'.\t.\t.\tO\tO' +p190895 +asS'we Performed frequent large vol taps and attempted to give diuretics , but were limited by renal failure .' +p190896 +(lp190897 +S'we\twe\tPRP\tB-NP\tO' +p190898 +aS'Performed\tPerform\tVBD\tB-VP\tO' +p190899 +aS'frequent\tfrequent\tJJ\tB-NP\tO' +p190900 +aS'large\tlarge\tJJ\tI-NP\tO' +p190901 +aS'vol\tvol\tNN\tI-NP\tO' +p190902 +aS'taps\ttap\tNNS\tI-NP\tO' +p190903 +aS'and\tand\tCC\tO\tO' +p190904 +aS'attempted\tattempt\tVBN\tB-VP\tO' +p190905 +aS'to\tto\tTO\tI-VP\tO' +p190906 +aS'give\tgive\tVB\tI-VP\tO' +p190907 +aS'diuretics\tdiuretic\tNNS\tB-NP\tO' +p190908 +aS',\t,\t,\tO\tO' +p190909 +aS'but\tbut\tCC\tO\tO' +p190910 +aS'were\tbe\tVBD\tB-VP\tO' +p190911 +aS'limited\tlimit\tVBN\tI-VP\tO' +p190912 +aS'by\tby\tIN\tB-PP\tO' +p190913 +aS'renal\trenal\tJJ\tB-NP\tO' +p190914 +aS'failure\tfailure\tNN\tI-NP\tO' +p190915 +aS'.\t.\t.\tO\tO' +p190916 +asS'Sodium 140 , potassium 3.9 , chloride 103 , bicarbonate 18 , BUN 11 , creatinine 0.8 , glucose 144 .' +p190917 +(lp190918 +S'Sodium\tSodium\tNN\tB-NP\tB-protein' +p190919 +aS'140\t140\tCD\tI-NP\tI-protein' +p190920 +aS',\t,\t,\tO\tO' +p190921 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p190922 +aS'3.9\t3.9\tCD\tI-NP\tO' +p190923 +aS',\t,\t,\tO\tO' +p190924 +aS'chloride\tchloride\tNN\tB-NP\tO' +p190925 +aS'103\t103\tCD\tI-NP\tO' +p190926 +aS',\t,\t,\tO\tO' +p190927 +aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' +p190928 +aS'18\t18\tCD\tI-NP\tO' +p190929 +aS',\t,\t,\tO\tO' +p190930 +aS'BUN\tBUN\tNN\tB-NP\tB-DNA' +p190931 +aS'11\t11\tCD\tI-NP\tI-DNA' +p190932 +aS',\t,\t,\tO\tO' +p190933 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p190934 +aS'0.8\t0.8\tCD\tI-NP\tO' +p190935 +aS',\t,\t,\tO\tO' +p190936 +aS'glucose\tglucose\tNN\tB-NP\tO' +p190937 +aS'144\t144\tCD\tI-NP\tO' +p190938 +aS'.\t.\t.\tO\tO' +p190939 +asS'She also gets Metamucil one teaspoon with the first bolus of juice each day .' +p190940 +(lp190941 +S'She\tShe\tPRP\tB-NP\tO' +p190942 +aS'also\talso\tRB\tB-ADVP\tO' +p190943 +aS'gets\tget\tVBZ\tB-VP\tO' +p190944 +aS'Metamucil\tMetamucil\tNNP\tB-NP\tO' +p190945 +aS'one\tone\tCD\tI-NP\tO' +p190946 +aS'teaspoon\tteaspoon\tNN\tI-NP\tO' +p190947 +aS'with\twith\tIN\tB-PP\tO' +p190948 +aS'the\tthe\tDT\tB-NP\tO' +p190949 +aS'first\tfirst\tJJ\tI-NP\tO' +p190950 +aS'bolus\tbolus\tNN\tI-NP\tO' +p190951 +aS'of\tof\tIN\tB-PP\tO' +p190952 +aS'juice\tjuice\tNN\tB-NP\tO' +p190953 +aS'each\teach\tDT\tB-NP\tO' +p190954 +aS'day\tday\tNN\tI-NP\tO' +p190955 +aS'.\t.\t.\tO\tO' +p190956 +asS'He also had a widened QRS of 153 milliseconds , an old right bundle branch block , and no acute ST or T wave changes .' +p190957 +(lp190958 +S'He\tHe\tPRP\tB-NP\tO' +p190959 +aS'also\talso\tRB\tB-ADVP\tO' +p190960 +aS'had\thave\tVBD\tB-VP\tO' +p190961 +aS'a\ta\tDT\tB-NP\tO' +p190962 +aS'widened\twiden\tVBN\tI-NP\tO' +p190963 +aS'QRS\tQRS\tNNS\tI-NP\tB-protein' +p190964 +aS'of\tof\tIN\tB-PP\tO' +p190965 +aS'153\t153\tCD\tB-NP\tO' +p190966 +aS'milliseconds\tmillisecond\tNNS\tI-NP\tO' +p190967 +aS',\t,\t,\tO\tO' +p190968 +aS'an\tan\tDT\tB-NP\tO' +p190969 +aS'old\told\tJJ\tI-NP\tO' +p190970 +aS'right\tright\tJJ\tI-NP\tO' +p190971 +aS'bundle\tbundle\tNN\tI-NP\tO' +p190972 +aS'branch\tbranch\tNN\tI-NP\tO' +p190973 +aS'block\tblock\tNN\tI-NP\tO' +p190974 +aS',\t,\t,\tO\tO' +p190975 +aS'and\tand\tCC\tO\tO' +p190976 +aS'no\tno\tDT\tB-NP\tO' +p190977 +aS'acute\tacute\tJJ\tI-NP\tO' +p190978 +aS'ST\tST\tNN\tI-NP\tO' +p190979 +aS'or\tor\tCC\tI-NP\tO' +p190980 +aS'T\tT\tNN\tI-NP\tO' +p190981 +aS'wave\twave\tNN\tI-NP\tO' +p190982 +aS'changes\tchange\tNNS\tI-NP\tO' +p190983 +aS'.\t.\t.\tO\tO' +p190984 +asS'Chest tubes and pacing wires were removed without complication .' +p190985 +(lp190986 +S'Chest\tCh\tJJS\tB-NP\tO' +p190987 +aS'tubes\ttube\tNNS\tI-NP\tO' +p190988 +aS'and\tand\tCC\tI-NP\tO' +p190989 +aS'pacing\tpacing\tNN\tI-NP\tO' +p190990 +aS'wires\twire\tNNS\tI-NP\tO' +p190991 +aS'were\tbe\tVBD\tB-VP\tO' +p190992 +aS'removed\tremove\tVBN\tI-VP\tO' +p190993 +aS'without\twithout\tIN\tB-PP\tO' +p190994 +aS'complication\tcomplication\tNN\tB-NP\tO' +p190995 +aS'.\t.\t.\tO\tO' +p190996 +asS'There are coronary vascular calcifications .' +p190997 +(lp190998 +S'There\tThere\tEX\tB-NP\tO' +p190999 +aS'are\tbe\tVBP\tB-VP\tO' +p191000 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p191001 +aS'vascular\tvascular\tJJ\tI-NP\tO' +p191002 +aS'calcifications\tcalcification\tNNS\tI-NP\tO' +p191003 +aS'.\t.\t.\tO\tO' +p191004 +asS'The patient 's preliminary admitting physician is HEAGLEINCHIRD , JEANSIA S and the preliminary diagnosis is HIP FRACTURE .' +p191005 +(lp191006 +S'The\tThe\tDT\tB-NP\tO' +p191007 +aS'patient\tpatient\tNN\tI-NP\tO' +p191008 +aS''s\t'\tNNS\tI-NP\tO' +p191009 +aS'preliminary\tpreliminary\tJJ\tB-NP\tO' +p191010 +aS'admitting\tadmit\tVBG\tI-NP\tO' +p191011 +aS'physician\tphysician\tNN\tI-NP\tO' +p191012 +aS'is\tbe\tVBZ\tB-VP\tO' +p191013 +aS'HEAGLEINCHIRD\tHEAGLEINCHIRD\tNNP\tB-NP\tO' +p191014 +aS',\t,\t,\tO\tO' +p191015 +aS'JEANSIA\tJEANSIA\tNNP\tB-NP\tO' +p191016 +aS'S\tS\tNNP\tI-NP\tO' +p191017 +aS'and\tand\tCC\tO\tO' +p191018 +aS'the\tthe\tDT\tB-NP\tO' +p191019 +aS'preliminary\tpreliminary\tJJ\tI-NP\tO' +p191020 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p191021 +aS'is\tbe\tVBZ\tB-VP\tO' +p191022 +aS'HIP\tHIP\tNN\tB-NP\tO' +p191023 +aS'FRACTURE\tFRACTURE\tNN\tI-NP\tO' +p191024 +aS'.\t.\t.\tO\tO' +p191025 +asS'Continue home meds .' +p191026 +(lp191027 +S'Continue\tContinue\tJJ\tB-NP\tO' +p191028 +aS'home\thome\tNN\tI-NP\tO' +p191029 +aS'meds\tmed\tNNS\tI-NP\tO' +p191030 +aS'.\t.\t.\tO\tO' +p191031 +asS'Neurologically he slowly woke up after the seizures and was extubated on 06-03 .' +p191032 +(lp191033 +S'Neurologically\tNeurologically\tRB\tB-ADVP\tO' +p191034 +aS'he\the\tPRP\tB-NP\tO' +p191035 +aS'slowly\tslowly\tRB\tB-ADVP\tO' +p191036 +aS'woke\twake\tVBD\tB-VP\tO' +p191037 +aS'up\tup\tRP\tB-PRT\tO' +p191038 +aS'after\tafter\tIN\tB-PP\tO' +p191039 +aS'the\tthe\tDT\tB-NP\tO' +p191040 +aS'seizures\tseizure\tNNS\tI-NP\tO' +p191041 +aS'and\tand\tCC\tO\tO' +p191042 +aS'was\tbe\tVBD\tB-VP\tO' +p191043 +aS'extubated\textubate\tVBN\tI-VP\tO' +p191044 +aS'on\ton\tIN\tB-PP\tO' +p191045 +aS'06-03\t06-03\tCD\tB-NP\tO' +p191046 +aS'.\t.\t.\tO\tO' +p191047 +asS'The patient 's clinical situation was most consistent with a Pseudomonas cellulitis and subsequent sepsis .' +p191048 +(lp191049 +S'The\tThe\tDT\tB-NP\tO' +p191050 +aS'patient\tpatient\tNN\tI-NP\tO' +p191051 +aS''s\t'\tNNS\tI-NP\tO' +p191052 +aS'clinical\tclinical\tJJ\tB-NP\tO' +p191053 +aS'situation\tsituation\tNN\tI-NP\tO' +p191054 +aS'was\tbe\tVBD\tB-VP\tO' +p191055 +aS'most\tmost\tRBS\tB-ADJP\tO' +p191056 +aS'consistent\tconsistent\tJJ\tI-ADJP\tO' +p191057 +aS'with\twith\tIN\tB-PP\tO' +p191058 +aS'a\ta\tDT\tB-NP\tO' +p191059 +aS'Pseudomonas\tPseudomonas\tNNP\tI-NP\tO' +p191060 +aS'cellulitis\tcellulitis\tNN\tI-NP\tO' +p191061 +aS'and\tand\tCC\tO\tO' +p191062 +aS'subsequent\tsubsequent\tJJ\tB-NP\tO' +p191063 +aS'sepsis\tsepsis\tNN\tI-NP\tO' +p191064 +aS'.\t.\t.\tO\tO' +p191065 +asS'Again , comfort measures only were undertaken as per the patient 's previous wishes and the family 's current insistence .' +p191066 +(lp191067 +S'Again\tAgain\tRB\tB-ADVP\tO' +p191068 +aS',\t,\t,\tO\tO' +p191069 +aS'comfort\tcomfort\tNN\tB-NP\tO' +p191070 +aS'measures\tmeasure\tNNS\tI-NP\tO' +p191071 +aS'only\tonly\tRB\tB-ADVP\tO' +p191072 +aS'were\tbe\tVBD\tB-VP\tO' +p191073 +aS'undertaken\tundertake\tVBN\tI-VP\tO' +p191074 +aS'as\tas\tIN\tB-PP\tO' +p191075 +aS'per\tper\tIN\tB-PP\tO' +p191076 +aS'the\tthe\tDT\tB-NP\tO' +p191077 +aS'patient\tpatient\tNN\tI-NP\tO' +p191078 +aS''s\t'\tVBZ\tB-VP\tO' +p191079 +aS'previous\tprevious\tJJ\tB-NP\tO' +p191080 +aS'wishes\twish\tNNS\tI-NP\tO' +p191081 +aS'and\tand\tCC\tO\tO' +p191082 +aS'the\tthe\tDT\tB-NP\tO' +p191083 +aS'family\tfamily\tNN\tI-NP\tO' +p191084 +aS''s\t'\tNNS\tI-NP\tO' +p191085 +aS'current\tcurrent\tJJ\tB-NP\tO' +p191086 +aS'insistence\tinsistence\tNN\tI-NP\tO' +p191087 +aS'.\t.\t.\tO\tO' +p191088 +asS'Respirations 16 .' +p191089 +(lp191090 +S'Respirations\tRespiration\tNNS\tB-NP\tO' +p191091 +aS'16\t16\tCD\tB-NP\tO' +p191092 +aS'.\t.\t.\tO\tO' +p191093 +asS'The pt self-extubated on POD #1 .' +p191094 +(lp191095 +S'The\tThe\tDT\tB-NP\tO' +p191096 +aS'pt\tpt\tNN\tI-NP\tO' +p191097 +aS'self-extubated\tself-extubated\tJJ\tB-ADJP\tO' +p191098 +aS'on\ton\tIN\tB-PP\tO' +p191099 +aS'POD\tPOD\tNN\tB-NP\tB-protein' +p191100 +aS'#1\t#1\tNN\tI-NP\tI-protein' +p191101 +aS'.\t.\t.\tO\tO' +p191102 +asS'Thoracentesis was performed on 7-12-91 .' +p191103 +(lp191104 +S'Thoracentesis\tThoracentesis\tNN\tB-NP\tO' +p191105 +aS'was\tbe\tVBD\tB-VP\tO' +p191106 +aS'performed\tperform\tVBN\tI-VP\tO' +p191107 +aS'on\ton\tIN\tB-PP\tO' +p191108 +aS'7-12-91\t7-12-91\tNN\tB-NP\tO' +p191109 +aS'.\t.\t.\tO\tO' +p191110 +asS'This was seen on a prior CT scan and her oncologist is aware .' +p191111 +(lp191112 +S'This\tThis\tDT\tB-NP\tO' +p191113 +aS'was\tbe\tVBD\tB-VP\tO' +p191114 +aS'seen\tsee\tVBN\tI-VP\tO' +p191115 +aS'on\ton\tIN\tB-PP\tO' +p191116 +aS'a\ta\tDT\tB-NP\tO' +p191117 +aS'prior\tprior\tJJ\tI-NP\tO' +p191118 +aS'CT\tCT\tNN\tI-NP\tO' +p191119 +aS'scan\tscan\tNN\tI-NP\tO' +p191120 +aS'and\tand\tCC\tO\tO' +p191121 +aS'her\ther\tPRP$\tB-NP\tO' +p191122 +aS'oncologist\toncologist\tNN\tI-NP\tO' +p191123 +aS'is\tbe\tVBZ\tB-VP\tO' +p191124 +aS'aware\taware\tJJ\tB-ADJP\tO' +p191125 +aS'.\t.\t.\tO\tO' +p191126 +asS'The patient with no new events .' +p191127 +(lp191128 +S'The\tThe\tDT\tB-NP\tO' +p191129 +aS'patient\tpatient\tNN\tI-NP\tO' +p191130 +aS'with\twith\tIN\tB-PP\tO' +p191131 +aS'no\tno\tDT\tB-NP\tO' +p191132 +aS'new\tnew\tJJ\tI-NP\tO' +p191133 +aS'events\tevent\tNNS\tI-NP\tO' +p191134 +aS'.\t.\t.\tO\tO' +p191135 +asS'- s/p right inguinal hernia repair' +p191136 +(lp191137 +S'-\t-\tHYPH\tB-NP\tO' +p191138 +aS's/p\ts/p\tNN\tI-NP\tO' +p191139 +aS'right\tright\tJJ\tI-NP\tO' +p191140 +aS'inguinal\tinguinal\tJJ\tI-NP\tO' +p191141 +aS'hernia\thernia\tNN\tI-NP\tO' +p191142 +aS'repair\trepair\tNN\tI-NP\tO' +p191143 +asS'4/5 motor strength in the upper extremities bilaterally .' +p191144 +(lp191145 +S'4/5\t4/5\tCD\tB-NP\tO' +p191146 +aS'motor\tmotor\tNN\tI-NP\tO' +p191147 +aS'strength\tstrength\tNN\tI-NP\tO' +p191148 +aS'in\tin\tIN\tB-PP\tO' +p191149 +aS'the\tthe\tDT\tB-NP\tO' +p191150 +aS'upper\tupper\tJJ\tI-NP\tO' +p191151 +aS'extremities\textremity\tNNS\tI-NP\tO' +p191152 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p191153 +aS'.\t.\t.\tO\tO' +p191154 +asS'( The tunneled catheter later came back for negative for culture. )' +p191155 +(lp191156 +S'(\t(\t(\tO\tO' +p191157 +aS'The\tThe\tDT\tB-NP\tO' +p191158 +aS'tunneled\ttunnel\tVBN\tI-NP\tO' +p191159 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p191160 +aS'later\tlater\tRB\tB-ADVP\tO' +p191161 +aS'came\tcome\tVBD\tB-VP\tO' +p191162 +aS'back\tback\tRB\tB-ADVP\tO' +p191163 +aS'for\tfor\tIN\tB-PP\tO' +p191164 +aS'negative\tnegative\tJJ\tB-NP\tO' +p191165 +aS'for\tfor\tIN\tB-PP\tO' +p191166 +aS'culture.\tculture.\tNN\tB-NP\tO' +p191167 +aS')\t)\t)\tO\tO' +p191168 +asS'A right upper quadrant ultrasound did not reveal any gallstones or common bile duct dilatation indicative of cholecystitis or cholelithiasis .' +p191169 +(lp191170 +S'A\tA\tDT\tB-NP\tO' +p191171 +aS'right\tright\tJJ\tI-NP\tO' +p191172 +aS'upper\tupper\tJJ\tI-NP\tO' +p191173 +aS'quadrant\tquadrant\tJJ\tI-NP\tO' +p191174 +aS'ultrasound\tultrasound\tNN\tI-NP\tO' +p191175 +aS'did\tdo\tVBD\tB-VP\tO' +p191176 +aS'not\tnot\tRB\tI-VP\tO' +p191177 +aS'reveal\treveal\tVB\tI-VP\tO' +p191178 +aS'any\tany\tDT\tB-NP\tO' +p191179 +aS'gallstones\tgallstone\tNNS\tI-NP\tO' +p191180 +aS'or\tor\tCC\tO\tO' +p191181 +aS'common\tcommon\tJJ\tB-NP\tO' +p191182 +aS'bile\tbile\tNN\tI-NP\tO' +p191183 +aS'duct\tduct\tNN\tI-NP\tO' +p191184 +aS'dilatation\tdilatation\tNN\tI-NP\tO' +p191185 +aS'indicative\tindicative\tJJ\tB-ADJP\tO' +p191186 +aS'of\tof\tIN\tB-PP\tO' +p191187 +aS'cholecystitis\tcholecystitis\tNN\tB-NP\tO' +p191188 +aS'or\tor\tCC\tI-NP\tO' +p191189 +aS'cholelithiasis\tcholelithiasis\tNN\tI-NP\tO' +p191190 +aS'.\t.\t.\tO\tO' +p191191 +asS'Conditions , Infections , Complications , affecting Treatment / Stay HTN tobacco EtOh abuse sinus bradycardia' +p191192 +(lp191193 +S'Conditions\tCondition\tNNS\tB-NP\tO' +p191194 +aS',\t,\t,\tO\tO' +p191195 +aS'Infections\tInfection\tNNS\tB-NP\tO' +p191196 +aS',\t,\t,\tO\tO' +p191197 +aS'Complications\tComplication\tNNS\tB-NP\tO' +p191198 +aS',\t,\t,\tO\tO' +p191199 +aS'affecting\taffect\tVBG\tB-VP\tO' +p191200 +aS'Treatment\tTreatment\tNN\tB-NP\tO' +p191201 +aS'/\t/\tSYM\tB-NP\tO' +p191202 +aS'Stay\tStay\tNN\tI-NP\tO' +p191203 +aS'HTN\tHTN\tNN\tI-NP\tO' +p191204 +aS'tobacco\ttobacco\tNN\tI-NP\tO' +p191205 +aS'EtOh\tEtOh\tNN\tI-NP\tO' +p191206 +aS'abuse\tabuse\tNN\tI-NP\tO' +p191207 +aS'sinus\tsinus\tNN\tI-NP\tO' +p191208 +aS'bradycardia\tbradycardia\tNN\tI-NP\tO' +p191209 +asS'11) Simethicone 80 mg p.o. q.i.d. p.r.n. gas pain .' +p191210 +(lp191211 +S'11)\t11)\tLS\tB-LST\tO' +p191212 +aS'Simethicone\tSimethicone\tNN\tB-NP\tO' +p191213 +aS'80\t80\tCD\tI-NP\tO' +p191214 +aS'mg\tmg\tNN\tI-NP\tO' +p191215 +aS'p.o.\tp.o.\tFW\tB-NP\tO' +p191216 +aS'q.i.d.\tq.i.d.\tFW\tI-NP\tO' +p191217 +aS'p.r.n.\tp.r.n.\tFW\tI-NP\tO' +p191218 +aS'gas\tgas\tNN\tI-NP\tO' +p191219 +aS'pain\tpain\tNN\tI-NP\tO' +p191220 +aS'.\t.\t.\tO\tO' +p191221 +asS'pre-meal correction dose .' +p191222 +(lp191223 +S'pre-meal\tpre-meal\tJJ\tB-NP\tO' +p191224 +aS'correction\tcorrection\tNN\tI-NP\tO' +p191225 +aS'dose\tdose\tNN\tI-NP\tO' +p191226 +aS'.\t.\t.\tO\tO' +p191227 +asS'Work up was begun for the possible myeloproliferative / myelodysplastic disorder associated with the hyper-eosinophilic syndrome .' +p191228 +(lp191229 +S'Work\tWork\tNNP\tB-NP\tO' +p191230 +aS'up\tup\tRP\tB-PRT\tO' +p191231 +aS'was\tbe\tVBD\tB-VP\tO' +p191232 +aS'begun\tbegin\tVBN\tI-VP\tO' +p191233 +aS'for\tfor\tIN\tB-PP\tO' +p191234 +aS'the\tthe\tDT\tB-NP\tO' +p191235 +aS'possible\tpossible\tJJ\tI-NP\tO' +p191236 +aS'myeloproliferative\tmyeloproliferative\tJJ\tI-NP\tO' +p191237 +aS'/\t/\tSYM\tI-NP\tO' +p191238 +aS'myelodysplastic\tmyelodysplastic\tJJ\tI-NP\tO' +p191239 +aS'disorder\tdisorder\tNN\tI-NP\tO' +p191240 +aS'associated\tassociate\tVBN\tB-VP\tO' +p191241 +aS'with\twith\tIN\tB-PP\tO' +p191242 +aS'the\tthe\tDT\tB-NP\tO' +p191243 +aS'hyper-eosinophilic\thyper-eosinophilic\tJJ\tI-NP\tO' +p191244 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p191245 +aS'.\t.\t.\tO\tO' +p191246 +asS'Blood and urine cultures with only positive culture a blood culture on November 20 , with one of two bottles positive for coagulase negative Staphylococcus .' +p191247 +(lp191248 +S'Blood\tBlood\tNN\tB-NP\tO' +p191249 +aS'and\tand\tCC\tI-NP\tO' +p191250 +aS'urine\turine\tNN\tI-NP\tO' +p191251 +aS'cultures\tculture\tNNS\tI-NP\tO' +p191252 +aS'with\twith\tIN\tB-PP\tO' +p191253 +aS'only\tonly\tRB\tB-NP\tO' +p191254 +aS'positive\tpositive\tJJ\tI-NP\tO' +p191255 +aS'culture\tculture\tNN\tI-NP\tO' +p191256 +aS'a\ta\tDT\tB-NP\tO' +p191257 +aS'blood\tblood\tNN\tI-NP\tO' +p191258 +aS'culture\tculture\tNN\tI-NP\tO' +p191259 +aS'on\ton\tIN\tB-PP\tO' +p191260 +aS'November\tNovember\tNNP\tB-NP\tO' +p191261 +aS'20\t20\tCD\tI-NP\tO' +p191262 +aS',\t,\t,\tO\tO' +p191263 +aS'with\twith\tIN\tB-PP\tO' +p191264 +aS'one\tone\tCD\tB-NP\tO' +p191265 +aS'of\tof\tIN\tB-PP\tO' +p191266 +aS'two\ttwo\tCD\tB-NP\tO' +p191267 +aS'bottles\tbottle\tNNS\tI-NP\tO' +p191268 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p191269 +aS'for\tfor\tIN\tB-PP\tO' +p191270 +aS'coagulase\tcoagulase\tNN\tB-NP\tB-protein' +p191271 +aS'negative\tnegative\tJJ\tI-NP\tO' +p191272 +aS'Staphylococcus\tStaphylococcus\tNNP\tI-NP\tO' +p191273 +aS'.\t.\t.\tO\tO' +p191274 +asS'It is extremely important for you to keep this appointment .' +p191275 +(lp191276 +S'It\tIt\tPRP\tB-NP\tO' +p191277 +aS'is\tbe\tVBZ\tB-VP\tO' +p191278 +aS'extremely\textremely\tRB\tB-ADJP\tO' +p191279 +aS'important\timportant\tJJ\tI-ADJP\tO' +p191280 +aS'for\tfor\tIN\tB-SBAR\tO' +p191281 +aS'you\tyou\tPRP\tB-NP\tO' +p191282 +aS'to\tto\tTO\tB-VP\tO' +p191283 +aS'keep\tkeep\tVB\tI-VP\tO' +p191284 +aS'this\tthis\tDT\tB-NP\tO' +p191285 +aS'appointment\tappointment\tNN\tI-NP\tO' +p191286 +aS'.\t.\t.\tO\tO' +p191287 +asS'ANAEROBIC BOTTLE .' +p191288 +(lp191289 +S'ANAEROBIC\tANAEROBIC\tNN\tB-NP\tO' +p191290 +aS'BOTTLE\tBOTTLE\tNN\tI-NP\tO' +p191291 +aS'.\t.\t.\tO\tO' +p191292 +asS'She has been satrted on benadryl and hydrocort for sx relief .' +p191293 +(lp191294 +S'She\tShe\tPRP\tB-NP\tO' +p191295 +aS'has\thave\tVBZ\tB-VP\tO' +p191296 +aS'been\tbe\tVBN\tI-VP\tO' +p191297 +aS'satrted\tsatrte\tVBN\tI-VP\tO' +p191298 +aS'on\ton\tIN\tB-PP\tO' +p191299 +aS'benadryl\tbenadryl\tNN\tB-NP\tO' +p191300 +aS'and\tand\tCC\tI-NP\tO' +p191301 +aS'hydrocort\thydrocort\tNN\tI-NP\tO' +p191302 +aS'for\tfor\tIN\tB-PP\tO' +p191303 +aS'sx\tsx\tNN\tB-NP\tO' +p191304 +aS'relief\trelief\tNN\tI-NP\tO' +p191305 +aS'.\t.\t.\tO\tO' +p191306 +asS'any of the following three criteria -' +p191307 +(lp191308 +S'any\tany\tDT\tB-NP\tO' +p191309 +aS'of\tof\tIN\tB-PP\tO' +p191310 +aS'the\tthe\tDT\tB-NP\tO' +p191311 +aS'following\tfollow\tVBG\tI-NP\tO' +p191312 +aS'three\tthree\tCD\tB-NP\tO' +p191313 +aS'criteria\tcriterion\tNNS\tI-NP\tO' +p191314 +aS'-\t-\t:\tO\tO' +p191315 +asS'regular rate and rhythm , with a I / VI systolic ejection murmur .' +p191316 +(lp191317 +S'regular\tregular\tJJ\tB-NP\tO' +p191318 +aS'rate\trate\tNN\tI-NP\tO' +p191319 +aS'and\tand\tCC\tI-NP\tO' +p191320 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p191321 +aS',\t,\t,\tO\tO' +p191322 +aS'with\twith\tIN\tB-PP\tO' +p191323 +aS'a\ta\tDT\tB-NP\tO' +p191324 +aS'I\tI\tNN\tI-NP\tO' +p191325 +aS'/\t/\tSYM\tB-NP\tO' +p191326 +aS'VI\tVI\tNN\tI-NP\tO' +p191327 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p191328 +aS'ejection\tejection\tNN\tI-NP\tO' +p191329 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p191330 +aS'.\t.\t.\tO\tO' +p191331 +asS'supple , no bruits , nodes or thyromegaly .' +p191332 +(lp191333 +S'supple\tsupple\tNN\tB-NP\tO' +p191334 +aS',\t,\t,\tO\tO' +p191335 +aS'no\tno\tDT\tB-NP\tO' +p191336 +aS'bruits\tbruit\tNNS\tI-NP\tO' +p191337 +aS',\t,\t,\tO\tO' +p191338 +aS'nodes\tnode\tNNS\tB-NP\tO' +p191339 +aS'or\tor\tCC\tO\tO' +p191340 +aS'thyromegaly\tthyromegaly\tRB\tB-ADVP\tO' +p191341 +aS'.\t.\t.\tO\tO' +p191342 +asS'Should avoid strenuous activity .' +p191343 +(lp191344 +S'Should\tShould\tMD\tB-VP\tO' +p191345 +aS'avoid\tavoid\tVB\tI-VP\tO' +p191346 +aS'strenuous\tstrenuous\tJJ\tB-NP\tO' +p191347 +aS'activity\tactivity\tNN\tI-NP\tO' +p191348 +aS'.\t.\t.\tO\tO' +p191349 +asS'TTE showed preserved EF with moderate AS and moderate MS and mod pulm HTN .' +p191350 +(lp191351 +S'TTE\tTTE\tNN\tB-NP\tB-protein' +p191352 +aS'showed\tshow\tVBD\tB-VP\tI-protein' +p191353 +aS'preserved\tpreserve\tVBN\tB-NP\tI-protein' +p191354 +aS'EF\tEF\tNN\tI-NP\tI-protein' +p191355 +aS'with\twith\tIN\tB-PP\tO' +p191356 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p191357 +aS'AS\tAS\tNN\tI-NP\tO' +p191358 +aS'and\tand\tCC\tI-NP\tO' +p191359 +aS'moderate\tmoderate\tJJ\tI-NP\tO' +p191360 +aS'MS\tMS\tNN\tI-NP\tO' +p191361 +aS'and\tand\tCC\tI-NP\tO' +p191362 +aS'mod\tmod\tNN\tI-NP\tO' +p191363 +aS'pulm\tpulm\tNN\tI-NP\tO' +p191364 +aS'HTN\tHTN\tNN\tI-NP\tO' +p191365 +aS'.\t.\t.\tO\tO' +p191366 +asS'Diuresis was halted and without improvement in creatinine .' +p191367 +(lp191368 +S'Diuresis\tDiuresis\tNN\tB-NP\tO' +p191369 +aS'was\tbe\tVBD\tB-VP\tO' +p191370 +aS'halted\thalt\tVBN\tI-VP\tO' +p191371 +aS'and\tand\tCC\tO\tO' +p191372 +aS'without\twithout\tIN\tB-PP\tO' +p191373 +aS'improvement\timprovement\tNN\tB-NP\tO' +p191374 +aS'in\tin\tIN\tB-PP\tO' +p191375 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p191376 +aS'.\t.\t.\tO\tO' +p191377 +asS'No acute hemorrhage .' +p191378 +(lp191379 +S'No\tNo\tDT\tB-NP\tO' +p191380 +aS'acute\tacute\tJJ\tI-NP\tO' +p191381 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p191382 +aS'.\t.\t.\tO\tO' +p191383 +asS'Patient was in his usual state of health until around 12:15 on day of admission .' +p191384 +(lp191385 +S'Patient\tPatient\tNN\tB-NP\tO' +p191386 +aS'was\tbe\tVBD\tB-VP\tO' +p191387 +aS'in\tin\tIN\tB-PP\tO' +p191388 +aS'his\this\tPRP$\tB-NP\tO' +p191389 +aS'usual\tusual\tJJ\tI-NP\tO' +p191390 +aS'state\tstate\tNN\tI-NP\tO' +p191391 +aS'of\tof\tIN\tB-PP\tO' +p191392 +aS'health\thealth\tNN\tB-NP\tO' +p191393 +aS'until\tuntil\tIN\tB-PP\tO' +p191394 +aS'around\taround\tIN\tB-NP\tO' +p191395 +aS'12:15\t12:15\tCD\tI-NP\tO' +p191396 +aS'on\ton\tIN\tB-PP\tO' +p191397 +aS'day\tday\tNN\tB-NP\tO' +p191398 +aS'of\tof\tIN\tB-PP\tO' +p191399 +aS'admission\tadmission\tNN\tB-NP\tO' +p191400 +aS'.\t.\t.\tO\tO' +p191401 +asS'Notable for a BUN and creatinine of 78 , 1.7 ; for a sodium , potassium 139 and 3.6 ; chloride and bicarb 108 , 21 .' +p191402 +(lp191403 +S'Notable\tNotable\tJJ\tB-ADJP\tO' +p191404 +aS'for\tfor\tIN\tB-PP\tO' +p191405 +aS'a\ta\tDT\tB-NP\tO' +p191406 +aS'BUN\tBUN\tNN\tI-NP\tB-protein' +p191407 +aS'and\tand\tCC\tI-NP\tO' +p191408 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p191409 +aS'of\tof\tIN\tB-PP\tO' +p191410 +aS'78\t78\tCD\tB-NP\tO' +p191411 +aS',\t,\t,\tI-NP\tO' +p191412 +aS'1.7\t1.7\tCD\tI-NP\tO' +p191413 +aS';\t;\t:\tO\tO' +p191414 +aS'for\tfor\tIN\tB-PP\tO' +p191415 +aS'a\ta\tDT\tB-NP\tO' +p191416 +aS'sodium\tsodium\tNN\tI-NP\tO' +p191417 +aS',\t,\t,\tO\tO' +p191418 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p191419 +aS'139\t139\tCD\tI-NP\tO' +p191420 +aS'and\tand\tCC\tI-NP\tO' +p191421 +aS'3.6\t3.6\tCD\tI-NP\tO' +p191422 +aS';\t;\t:\tO\tO' +p191423 +aS'chloride\tchloride\tNN\tB-NP\tO' +p191424 +aS'and\tand\tCC\tI-NP\tO' +p191425 +aS'bicarb\tbicarb\tNN\tI-NP\tO' +p191426 +aS'108\t108\tCD\tI-NP\tO' +p191427 +aS',\t,\t,\tI-NP\tO' +p191428 +aS'21\t21\tCD\tI-NP\tO' +p191429 +aS'.\t.\t.\tO\tO' +p191430 +asS'Moves all extremities .' +p191431 +(lp191432 +S'Moves\tMove\tVBZ\tB-VP\tO' +p191433 +aS'all\tall\tDT\tB-NP\tO' +p191434 +aS'extremities\textremity\tNNS\tI-NP\tO' +p191435 +aS'.\t.\t.\tO\tO' +p191436 +asS'She had mild worsening of her asthma attacks , which was relieved by Benadryl and occasionally albuterol .' +p191437 +(lp191438 +S'She\tShe\tPRP\tB-NP\tO' +p191439 +aS'had\thave\tVBD\tB-VP\tO' +p191440 +aS'mild\tmild\tJJ\tB-NP\tO' +p191441 +aS'worsening\tworsening\tNN\tI-NP\tO' +p191442 +aS'of\tof\tIN\tB-PP\tO' +p191443 +aS'her\ther\tPRP$\tB-NP\tO' +p191444 +aS'asthma\tasthma\tNN\tI-NP\tO' +p191445 +aS'attacks\tattack\tNNS\tI-NP\tO' +p191446 +aS',\t,\t,\tO\tO' +p191447 +aS'which\twhich\tWDT\tB-NP\tO' +p191448 +aS'was\tbe\tVBD\tB-VP\tO' +p191449 +aS'relieved\trelieve\tVBN\tI-VP\tO' +p191450 +aS'by\tby\tIN\tB-PP\tO' +p191451 +aS'Benadryl\tBenadryl\tNN\tB-NP\tO' +p191452 +aS'and\tand\tCC\tO\tO' +p191453 +aS'occasionally\toccasionally\tRB\tB-ADVP\tO' +p191454 +aS'albuterol\talbuterol\tNN\tB-NP\tO' +p191455 +aS'.\t.\t.\tO\tO' +p191456 +asS'Pregnancy was IUI assisted for di-di twin gestation and was relatively uncomplicated until mother presented on 12-15 , with spontaneous rupture of membranes .' +p191457 +(lp191458 +S'Pregnancy\tPregnancy\tNN\tB-NP\tO' +p191459 +aS'was\tbe\tVBD\tB-VP\tO' +p191460 +aS'IUI\tIUI\tNN\tB-NP\tO' +p191461 +aS'assisted\tassist\tVBN\tB-VP\tO' +p191462 +aS'for\tfor\tIN\tB-PP\tO' +p191463 +aS'di-di\tdi-di\tJJ\tB-NP\tO' +p191464 +aS'twin\ttwin\tNN\tI-NP\tO' +p191465 +aS'gestation\tgestation\tNN\tI-NP\tO' +p191466 +aS'and\tand\tCC\tO\tO' +p191467 +aS'was\tbe\tVBD\tB-VP\tO' +p191468 +aS'relatively\trelatively\tRB\tB-ADJP\tO' +p191469 +aS'uncomplicated\tuncomplicated\tJJ\tI-ADJP\tO' +p191470 +aS'until\tuntil\tIN\tB-SBAR\tO' +p191471 +aS'mother\tmother\tNN\tB-NP\tO' +p191472 +aS'presented\tpresent\tVBN\tB-VP\tO' +p191473 +aS'on\ton\tIN\tB-PP\tO' +p191474 +aS'12-15\t12-15\tCD\tB-NP\tO' +p191475 +aS',\t,\t,\tO\tO' +p191476 +aS'with\twith\tIN\tB-PP\tO' +p191477 +aS'spontaneous\tspontaneous\tJJ\tB-NP\tO' +p191478 +aS'rupture\trupture\tNN\tI-NP\tO' +p191479 +aS'of\tof\tIN\tB-PP\tO' +p191480 +aS'membranes\tmembrane\tNNS\tB-NP\tO' +p191481 +aS'.\t.\t.\tO\tO' +p191482 +asS'Patient was transferred to floor after spending 1 day in the ICU .' +p191483 +(lp191484 +S'Patient\tPatient\tNN\tB-NP\tO' +p191485 +aS'was\tbe\tVBD\tB-VP\tO' +p191486 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p191487 +aS'to\tto\tTO\tB-PP\tO' +p191488 +aS'floor\tfloor\tNN\tB-NP\tO' +p191489 +aS'after\tafter\tIN\tB-PP\tO' +p191490 +aS'spending\tspend\tVBG\tB-VP\tO' +p191491 +aS'1\t1\tCD\tB-NP\tO' +p191492 +aS'day\tday\tNN\tI-NP\tO' +p191493 +aS'in\tin\tIN\tB-PP\tO' +p191494 +aS'the\tthe\tDT\tB-NP\tO' +p191495 +aS'ICU\tICU\tNN\tI-NP\tB-DNA' +p191496 +aS'.\t.\t.\tO\tO' +p191497 +asS'Mannitol 75 mg iv x 1 then 50 gm iv tid was begun to maintain serum osm > 320 and Na > 147 .' +p191498 +(lp191499 +S'Mannitol\tMannitol\tNN\tB-NP\tB-protein' +p191500 +aS'75\t75\tCD\tI-NP\tI-protein' +p191501 +aS'mg\tmg\tNN\tI-NP\tI-protein' +p191502 +aS'iv\tiv\tNN\tI-NP\tI-protein' +p191503 +aS'x\tx\tSYM\tB-NP\tI-protein' +p191504 +aS'1\t1\tCD\tI-NP\tI-protein' +p191505 +aS'then\tthen\tRB\tB-ADVP\tO' +p191506 +aS'50\t50\tCD\tB-NP\tO' +p191507 +aS'gm\tgm\tNN\tI-NP\tO' +p191508 +aS'iv\tiv\tNN\tI-NP\tO' +p191509 +aS'tid\ttid\tNN\tI-NP\tO' +p191510 +aS'was\tbe\tVBD\tB-VP\tO' +p191511 +aS'begun\tbegin\tVBN\tI-VP\tO' +p191512 +aS'to\tto\tTO\tI-VP\tO' +p191513 +aS'maintain\tmaintain\tVB\tI-VP\tO' +p191514 +aS'serum\tserum\tNN\tB-NP\tO' +p191515 +aS'osm\tosm\tNN\tI-NP\tO' +p191516 +aS'>\t>\tJJR\tB-NP\tO' +p191517 +aS'320\t320\tCD\tI-NP\tO' +p191518 +aS'and\tand\tCC\tO\tO' +p191519 +aS'Na\tNa\tNN\tB-NP\tO' +p191520 +aS'>\t>\tSYM\tO\tO' +p191521 +aS'147\t147\tCD\tB-NP\tO' +p191522 +aS'.\t.\t.\tO\tO' +p191523 +asS'However , hypercarbia ( 04-11 metabolic alkalosis ) remained in the 90s .' +p191524 +(lp191525 +S'However\tHowever\tRB\tB-ADVP\tO' +p191526 +aS',\t,\t,\tO\tO' +p191527 +aS'hypercarbia\thypercarbia\tNN\tB-NP\tO' +p191528 +aS'(\t(\t(\tO\tO' +p191529 +aS'04-11\t04-11\tCD\tB-NP\tO' +p191530 +aS'metabolic\tmetabolic\tJJ\tI-NP\tO' +p191531 +aS'alkalosis\talkalosis\tNN\tI-NP\tO' +p191532 +aS')\t)\t)\tO\tO' +p191533 +aS'remained\tremain\tVBD\tB-VP\tO' +p191534 +aS'in\tin\tIN\tB-PP\tO' +p191535 +aS'the\tthe\tDT\tB-NP\tO' +p191536 +aS'90s\t90\tNNS\tI-NP\tO' +p191537 +aS'.\t.\t.\tO\tO' +p191538 +asS'She was vigorous .' +p191539 +(lp191540 +S'She\tShe\tPRP\tB-NP\tO' +p191541 +aS'was\tbe\tVBD\tB-VP\tO' +p191542 +aS'vigorous\tvigorous\tJJ\tB-ADJP\tO' +p191543 +aS'.\t.\t.\tO\tO' +p191544 +asS'The patient tolerated the procedure well with a 2000 cc. blood loss and was autotransfused two units of blood .' +p191545 +(lp191546 +S'The\tThe\tDT\tB-NP\tO' +p191547 +aS'patient\tpatient\tNN\tI-NP\tO' +p191548 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p191549 +aS'the\tthe\tDT\tB-NP\tO' +p191550 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p191551 +aS'well\twell\tRB\tB-ADVP\tO' +p191552 +aS'with\twith\tIN\tB-PP\tO' +p191553 +aS'a\ta\tDT\tB-NP\tO' +p191554 +aS'2000\t2000\tCD\tI-NP\tO' +p191555 +aS'cc.\tcc.\tNN\tI-NP\tO' +p191556 +aS'blood\tblood\tNN\tI-NP\tO' +p191557 +aS'loss\tloss\tNN\tI-NP\tO' +p191558 +aS'and\tand\tCC\tO\tO' +p191559 +aS'was\tbe\tVBD\tB-VP\tO' +p191560 +aS'autotransfused\tautotransfuse\tVBN\tI-VP\tO' +p191561 +aS'two\ttwo\tCD\tB-NP\tO' +p191562 +aS'units\tunit\tNNS\tI-NP\tO' +p191563 +aS'of\tof\tIN\tB-PP\tO' +p191564 +aS'blood\tblood\tNN\tB-NP\tO' +p191565 +aS'.\t.\t.\tO\tO' +p191566 +asS'Nonischemic dilated cardiomyopathy .' +p191567 +(lp191568 +S'Nonischemic\tNonischemic\tJJ\tB-NP\tO' +p191569 +aS'dilated\tdilated\tJJ\tI-NP\tO' +p191570 +aS'cardiomyopathy\tcardiomyopathy\tNN\tI-NP\tO' +p191571 +aS'.\t.\t.\tO\tO' +p191572 +asS'White blood count is 7,000 .' +p191573 +(lp191574 +S'White\tWhite\tJJ\tB-NP\tO' +p191575 +aS'blood\tblood\tNN\tI-NP\tO' +p191576 +aS'count\tcount\tNN\tI-NP\tO' +p191577 +aS'is\tbe\tVBZ\tB-VP\tO' +p191578 +aS'7,000\t7,000\tCD\tB-NP\tO' +p191579 +aS'.\t.\t.\tO\tO' +p191580 +asS'He will continue to receive factor 8 bolus q day for a total of 2-3 weeks in light of the intracranial hemorrhage , and will be followed by Hematology visiting nurse Michael Edwards level checks at home .' +p191581 +(lp191582 +S'He\tHe\tPRP\tB-NP\tO' +p191583 +aS'will\twill\tMD\tB-VP\tO' +p191584 +aS'continue\tcontinue\tVB\tI-VP\tO' +p191585 +aS'to\tto\tTO\tI-VP\tO' +p191586 +aS'receive\treceive\tVB\tI-VP\tO' +p191587 +aS'factor\tfactor\tNN\tB-NP\tO' +p191588 +aS'8\t8\tCD\tI-NP\tO' +p191589 +aS'bolus\tbolus\tNN\tI-NP\tO' +p191590 +aS'q\tq\tNN\tI-NP\tO' +p191591 +aS'day\tday\tNN\tI-NP\tO' +p191592 +aS'for\tfor\tIN\tB-PP\tO' +p191593 +aS'a\ta\tDT\tB-NP\tO' +p191594 +aS'total\ttotal\tNN\tI-NP\tO' +p191595 +aS'of\tof\tIN\tB-PP\tO' +p191596 +aS'2-3\t2-3\tCD\tB-NP\tO' +p191597 +aS'weeks\tweek\tNNS\tI-NP\tO' +p191598 +aS'in\tin\tIN\tB-PP\tO' +p191599 +aS'light\tlight\tNN\tB-NP\tO' +p191600 +aS'of\tof\tIN\tB-PP\tO' +p191601 +aS'the\tthe\tDT\tB-NP\tO' +p191602 +aS'intracranial\tintracranial\tJJ\tI-NP\tO' +p191603 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p191604 +aS',\t,\t,\tO\tO' +p191605 +aS'and\tand\tCC\tO\tO' +p191606 +aS'will\twill\tMD\tB-VP\tO' +p191607 +aS'be\tbe\tVB\tI-VP\tO' +p191608 +aS'followed\tfollow\tVBN\tI-VP\tO' +p191609 +aS'by\tby\tIN\tB-PP\tO' +p191610 +aS'Hematology\tHematology\tNN\tB-NP\tB-protein' +p191611 +aS'visiting\tvisit\tVBG\tB-VP\tI-protein' +p191612 +aS'nurse\tnurse\tNN\tB-NP\tI-protein' +p191613 +aS'Michael\tMichael\tNNP\tI-NP\tI-protein' +p191614 +aS'Edwards\tEdwards\tNNP\tI-NP\tI-protein' +p191615 +aS'level\tlevel\tNN\tI-NP\tI-protein' +p191616 +aS'checks\tcheck\tNNS\tI-NP\tI-protein' +p191617 +aS'at\tat\tIN\tB-PP\tO' +p191618 +aS'home\thome\tNN\tB-NP\tO' +p191619 +aS'.\t.\t.\tO\tO' +p191620 +asS'2. Atorvastatin Calcium 20 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' +p191621 +(lp191622 +S'2.\t2.\tLS\tB-NP\tO' +p191623 +aS'Atorvastatin\tAtorvastatin\tNN\tI-NP\tO' +p191624 +aS'Calcium\tCalcium\tNN\tI-NP\tO' +p191625 +aS'20\t20\tCD\tI-NP\tO' +p191626 +aS'mg\tmg\tNN\tI-NP\tO' +p191627 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p191628 +aS'Sig\tSig\tNNP\tI-NP\tO' +p191629 +aS':\t:\t:\tO\tO' +p191630 +aS'One\tOne\tCD\tB-NP\tO' +p191631 +aS'(\t(\t(\tO\tO' +p191632 +aS'1\t1\tCD\tB-NP\tO' +p191633 +aS')\t)\t)\tO\tO' +p191634 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p191635 +aS'PO\tPO\tNN\tI-NP\tO' +p191636 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p191637 +aS'(\t(\t(\tO\tO' +p191638 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p191639 +aS')\t)\t)\tO\tO' +p191640 +aS'.\t.\t.\tO\tO' +p191641 +asS'4 ) Omeprazole 40 mg po bid x6 wks .' +p191642 +(lp191643 +S'4\t4\tLS\tB-LST\tO' +p191644 +aS')\t)\t)\tO\tO' +p191645 +aS'Omeprazole\tOmeprazole\tNN\tB-NP\tO' +p191646 +aS'40\t40\tCD\tI-NP\tO' +p191647 +aS'mg\tmg\tNN\tI-NP\tO' +p191648 +aS'po\tpo\tNN\tI-NP\tO' +p191649 +aS'bid\tbid\tNN\tI-NP\tO' +p191650 +aS'x6\tx6\tCD\tB-NP\tO' +p191651 +aS'wks\twk\tNNS\tI-NP\tO' +p191652 +aS'.\t.\t.\tO\tO' +p191653 +asS'You will take one if the morning and one at night .' +p191654 +(lp191655 +S'You\tYou\tPRP\tB-NP\tB-protein' +p191656 +aS'will\twill\tMD\tB-VP\tO' +p191657 +aS'take\ttake\tVB\tI-VP\tO' +p191658 +aS'one\tone\tCD\tB-NP\tO' +p191659 +aS'if\tif\tIN\tB-SBAR\tO' +p191660 +aS'the\tthe\tDT\tB-NP\tO' +p191661 +aS'morning\tmorning\tNN\tI-NP\tO' +p191662 +aS'and\tand\tCC\tO\tO' +p191663 +aS'one\tone\tCD\tB-NP\tO' +p191664 +aS'at\tat\tIN\tB-PP\tO' +p191665 +aS'night\tnight\tNN\tB-NP\tO' +p191666 +aS'.\t.\t.\tO\tO' +p191667 +asS'General exam including head , neck , heart , lung , abdominal and extremity exam , was normal .' +p191668 +(lp191669 +S'General\tGeneral\tNNP\tB-NP\tO' +p191670 +aS'exam\texam\tNN\tI-NP\tO' +p191671 +aS'including\tinclude\tVBG\tB-PP\tO' +p191672 +aS'head\thead\tNN\tB-NP\tO' +p191673 +aS',\t,\t,\tO\tO' +p191674 +aS'neck\tneck\tNN\tB-NP\tO' +p191675 +aS',\t,\t,\tO\tO' +p191676 +aS'heart\theart\tNN\tB-NP\tO' +p191677 +aS',\t,\t,\tO\tO' +p191678 +aS'lung\tlung\tNN\tB-NP\tO' +p191679 +aS',\t,\t,\tO\tO' +p191680 +aS'abdominal\tabdominal\tNN\tB-NP\tO' +p191681 +aS'and\tand\tCC\tO\tO' +p191682 +aS'extremity\textremity\tNN\tB-NP\tO' +p191683 +aS'exam\texam\tNN\tI-NP\tO' +p191684 +aS',\t,\t,\tO\tO' +p191685 +aS'was\tbe\tVBD\tB-VP\tO' +p191686 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p191687 +aS'.\t.\t.\tO\tO' +p191688 +asS'BP meds held while unstable .' +p191689 +(lp191690 +S'BP\tBP\tNN\tB-NP\tO' +p191691 +aS'meds\tmed\tNNS\tI-NP\tO' +p191692 +aS'held\thold\tVBN\tB-VP\tO' +p191693 +aS'while\twhile\tIN\tB-SBAR\tO' +p191694 +aS'unstable\tunstable\tJJ\tB-ADJP\tO' +p191695 +aS'.\t.\t.\tO\tO' +p191696 +asS'The stomach had evidence of prior surgery and old blood in the stomach .' +p191697 +(lp191698 +S'The\tThe\tDT\tB-NP\tO' +p191699 +aS'stomach\tstomach\tNN\tI-NP\tO' +p191700 +aS'had\thave\tVBD\tB-VP\tO' +p191701 +aS'evidence\tevidence\tNN\tB-NP\tO' +p191702 +aS'of\tof\tIN\tB-PP\tO' +p191703 +aS'prior\tprior\tJJ\tB-NP\tO' +p191704 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p191705 +aS'and\tand\tCC\tO\tO' +p191706 +aS'old\told\tJJ\tB-NP\tO' +p191707 +aS'blood\tblood\tNN\tI-NP\tO' +p191708 +aS'in\tin\tIN\tB-PP\tO' +p191709 +aS'the\tthe\tDT\tB-NP\tO' +p191710 +aS'stomach\tstomach\tNN\tI-NP\tO' +p191711 +aS'.\t.\t.\tO\tO' +p191712 +asS'The dominant RCA was a large vessel with no significant disease .' +p191713 +(lp191714 +S'The\tThe\tDT\tB-NP\tO' +p191715 +aS'dominant\tdominant\tJJ\tI-NP\tB-protein' +p191716 +aS'RCA\tRCA\tNN\tI-NP\tI-protein' +p191717 +aS'was\tbe\tVBD\tB-VP\tO' +p191718 +aS'a\ta\tDT\tB-NP\tO' +p191719 +aS'large\tlarge\tJJ\tI-NP\tO' +p191720 +aS'vessel\tvessel\tNN\tI-NP\tO' +p191721 +aS'with\twith\tIN\tB-PP\tO' +p191722 +aS'no\tno\tDT\tB-NP\tO' +p191723 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p191724 +aS'disease\tdisease\tNN\tI-NP\tO' +p191725 +aS'.\t.\t.\tO\tO' +p191726 +asS'The cuff was deflated and the patient was extubated .' +p191727 +(lp191728 +S'The\tThe\tDT\tB-NP\tO' +p191729 +aS'cuff\tcuff\tNN\tI-NP\tO' +p191730 +aS'was\tbe\tVBD\tB-VP\tO' +p191731 +aS'deflated\tdeflate\tVBN\tI-VP\tO' +p191732 +aS'and\tand\tCC\tO\tO' +p191733 +aS'the\tthe\tDT\tB-NP\tO' +p191734 +aS'patient\tpatient\tNN\tI-NP\tO' +p191735 +aS'was\tbe\tVBD\tB-VP\tO' +p191736 +aS'extubated\textubate\tVBN\tI-VP\tO' +p191737 +aS'.\t.\t.\tO\tO' +p191738 +asS'These were seen best in gradient echocardiogram images .' +p191739 +(lp191740 +S'These\tThese\tDT\tB-NP\tO' +p191741 +aS'were\tbe\tVBD\tB-VP\tO' +p191742 +aS'seen\tsee\tVBN\tI-VP\tO' +p191743 +aS'best\tbest\tRB\tB-ADVP\tO' +p191744 +aS'in\tin\tIN\tB-PP\tO' +p191745 +aS'gradient\tgradient\tNN\tB-NP\tO' +p191746 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p191747 +aS'images\timage\tNNS\tI-NP\tO' +p191748 +aS'.\t.\t.\tO\tO' +p191749 +asS'The patient was then continued on her cardiac medications .' +p191750 +(lp191751 +S'The\tThe\tDT\tB-NP\tO' +p191752 +aS'patient\tpatient\tNN\tI-NP\tO' +p191753 +aS'was\tbe\tVBD\tB-VP\tO' +p191754 +aS'then\tthen\tRB\tI-VP\tO' +p191755 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p191756 +aS'on\ton\tIN\tB-PP\tO' +p191757 +aS'her\ther\tPRP$\tB-NP\tO' +p191758 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p191759 +aS'medications\tmedication\tNNS\tI-NP\tO' +p191760 +aS'.\t.\t.\tO\tO' +p191761 +asS'Ipratropium / Albuterol inhaler 4 puffs QID' +p191762 +(lp191763 +S'Ipratropium\tIpratropium\tNN\tB-NP\tO' +p191764 +aS'/\t/\tSYM\tI-NP\tO' +p191765 +aS'Albuterol\tAlbuterol\tNN\tI-NP\tO' +p191766 +aS'inhaler\tinhaler\tNN\tI-NP\tO' +p191767 +aS'4\t4\tCD\tB-NP\tO' +p191768 +aS'puffs\tpuff\tNNS\tI-NP\tO' +p191769 +aS'QID\tQID\tNN\tB-NP\tO' +p191770 +asS'CLINICAL HISTORY : History of pneumocephalus status post pedestrian versus motor vehicle collision .' +p191771 +(lp191772 +S'CLINICAL\tCLINICAL\tJJ\tB-NP\tO' +p191773 +aS'HISTORY\tHISTORY\tNN\tI-NP\tO' +p191774 +aS':\t:\t:\tO\tO' +p191775 +aS'History\tHistory\tNN\tB-NP\tO' +p191776 +aS'of\tof\tIN\tB-PP\tO' +p191777 +aS'pneumocephalus\tpneumocephalus\tNN\tB-NP\tO' +p191778 +aS'status\tstatus\tNN\tI-NP\tO' +p191779 +aS'post\tpost\tVBP\tB-VP\tO' +p191780 +aS'pedestrian\tpedestrian\tJJ\tB-NP\tO' +p191781 +aS'versus\tversus\tCC\tI-NP\tO' +p191782 +aS'motor\tmotor\tNN\tI-NP\tO' +p191783 +aS'vehicle\tvehicle\tNN\tI-NP\tO' +p191784 +aS'collision\tcollision\tNN\tI-NP\tO' +p191785 +aS'.\t.\t.\tO\tO' +p191786 +asS'There are simple atheroma in the descending thoracic aorta .' +p191787 +(lp191788 +S'There\tThere\tEX\tB-NP\tO' +p191789 +aS'are\tbe\tVBP\tB-VP\tO' +p191790 +aS'simple\tsimple\tJJ\tB-NP\tO' +p191791 +aS'atheroma\tatheroma\tNN\tI-NP\tO' +p191792 +aS'in\tin\tIN\tB-PP\tO' +p191793 +aS'the\tthe\tDT\tB-NP\tO' +p191794 +aS'descending\tdescend\tVBG\tI-NP\tO' +p191795 +aS'thoracic\tthoracic\tJJ\tI-NP\tO' +p191796 +aS'aorta\taorta\tNN\tI-NP\tO' +p191797 +aS'.\t.\t.\tO\tO' +p191798 +asS'4. Protonix 40 mg p.o. once per day .' +p191799 +(lp191800 +S'4.\t4.\tLS\tB-NP\tO' +p191801 +aS'Protonix\tProtonix\tNNP\tI-NP\tO' +p191802 +aS'40\t40\tCD\tI-NP\tO' +p191803 +aS'mg\tmg\tNN\tI-NP\tO' +p191804 +aS'p.o.\tp.o.\tRB\tB-ADVP\tO' +p191805 +aS'once\tonce\tRB\tI-ADVP\tO' +p191806 +aS'per\tper\tIN\tB-PP\tO' +p191807 +aS'day\tday\tNN\tB-NP\tO' +p191808 +aS'.\t.\t.\tO\tO' +p191809 +asS'Breath sounds are present bilaterally .' +p191810 +(lp191811 +S'Breath\tBreath\tNN\tB-NP\tO' +p191812 +aS'sounds\tsound\tNNS\tI-NP\tO' +p191813 +aS'are\tbe\tVBP\tB-VP\tO' +p191814 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p191815 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p191816 +aS'.\t.\t.\tO\tO' +p191817 +asS'He had no symptoms of chest pain or myocardial ischemia .' +p191818 +(lp191819 +S'He\tHe\tPRP\tB-NP\tO' +p191820 +aS'had\thave\tVBD\tB-VP\tO' +p191821 +aS'no\tno\tDT\tB-NP\tO' +p191822 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p191823 +aS'of\tof\tIN\tB-PP\tO' +p191824 +aS'chest\tchest\tNN\tB-NP\tO' +p191825 +aS'pain\tpain\tNN\tI-NP\tO' +p191826 +aS'or\tor\tCC\tO\tO' +p191827 +aS'myocardial\tmyocardial\tJJ\tB-NP\tO' +p191828 +aS'ischemia\tischemia\tNN\tI-NP\tO' +p191829 +aS'.\t.\t.\tO\tO' +p191830 +asS'An MRI and MRA of the head was arranged to evaluate the extent of his stroke and the posterior circulation .' +p191831 +(lp191832 +S'An\tAn\tDT\tB-NP\tO' +p191833 +aS'MRI\tMRI\tNN\tI-NP\tB-protein' +p191834 +aS'and\tand\tCC\tI-NP\tO' +p191835 +aS'MRA\tMRA\tNN\tI-NP\tO' +p191836 +aS'of\tof\tIN\tB-PP\tO' +p191837 +aS'the\tthe\tDT\tB-NP\tO' +p191838 +aS'head\thead\tNN\tI-NP\tO' +p191839 +aS'was\tbe\tVBD\tB-VP\tO' +p191840 +aS'arranged\tarrange\tVBN\tI-VP\tO' +p191841 +aS'to\tto\tTO\tI-VP\tO' +p191842 +aS'evaluate\tevaluate\tVB\tI-VP\tO' +p191843 +aS'the\tthe\tDT\tB-NP\tO' +p191844 +aS'extent\textent\tNN\tI-NP\tO' +p191845 +aS'of\tof\tIN\tB-PP\tO' +p191846 +aS'his\this\tPRP$\tB-NP\tO' +p191847 +aS'stroke\tstroke\tNN\tI-NP\tO' +p191848 +aS'and\tand\tCC\tO\tO' +p191849 +aS'the\tthe\tDT\tB-NP\tO' +p191850 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p191851 +aS'circulation\tcirculation\tNN\tI-NP\tO' +p191852 +aS'.\t.\t.\tO\tO' +p191853 +asS'ABDOMINAL AORTIC ANEURYSM .' +p191854 +(lp191855 +S'ABDOMINAL\tABDOMINAL\tJJ\tB-NP\tO' +p191856 +aS'AORTIC\tAORTIC\tNN\tI-NP\tO' +p191857 +aS'ANEURYSM\tANEURYSM\tNN\tI-NP\tO' +p191858 +aS'.\t.\t.\tO\tO' +p191859 +asS'8. Total parenteral nutrition dependent .' +p191860 +(lp191861 +S'8.\t8.\tCD\tB-NP\tO' +p191862 +aS'Total\tTotal\tJJ\tI-NP\tO' +p191863 +aS'parenteral\tparenteral\tJJ\tI-NP\tO' +p191864 +aS'nutrition\tnutrition\tNN\tI-NP\tO' +p191865 +aS'dependent\tdependent\tJJ\tB-ADJP\tO' +p191866 +aS'.\t.\t.\tO\tO' +p191867 +asS'no jugular venous distention at five centimeters , neck was supple , full range of movement , no bruits , no adenopathy .' +p191868 +(lp191869 +S'no\tno\tDT\tB-NP\tO' +p191870 +aS'jugular\tjugular\tJJ\tI-NP\tO' +p191871 +aS'venous\tvenous\tJJ\tI-NP\tO' +p191872 +aS'distention\tdistention\tNN\tI-NP\tO' +p191873 +aS'at\tat\tIN\tB-PP\tO' +p191874 +aS'five\tfive\tCD\tB-NP\tO' +p191875 +aS'centimeters\tcentimeter\tNNS\tI-NP\tO' +p191876 +aS',\t,\t,\tO\tO' +p191877 +aS'neck\tneck\tNN\tB-NP\tO' +p191878 +aS'was\tbe\tVBD\tB-VP\tO' +p191879 +aS'supple\tsupple\tJJ\tB-NP\tO' +p191880 +aS',\t,\t,\tI-NP\tO' +p191881 +aS'full\tfull\tJJ\tI-NP\tO' +p191882 +aS'range\trange\tNN\tI-NP\tO' +p191883 +aS'of\tof\tIN\tB-PP\tO' +p191884 +aS'movement\tmovement\tNN\tB-NP\tO' +p191885 +aS',\t,\t,\tO\tO' +p191886 +aS'no\tno\tDT\tB-NP\tO' +p191887 +aS'bruits\tbruit\tNNS\tI-NP\tO' +p191888 +aS',\t,\t,\tO\tO' +p191889 +aS'no\tno\tDT\tB-NP\tO' +p191890 +aS'adenopathy\tadenopathy\tNN\tI-NP\tO' +p191891 +aS'.\t.\t.\tO\tO' +p191892 +asS'A repeat complete blood count on day of life two showed a white blood cell count of 6.3 , hematocrit 45.8% , platelet count 199,000 , 37 neutrophils , 0 bands , 53 lymphocytes .' +p191893 +(lp191894 +S'A\tA\tDT\tB-NP\tO' +p191895 +aS'repeat\trepeat\tNN\tI-NP\tO' +p191896 +aS'complete\tcomplete\tJJ\tI-NP\tO' +p191897 +aS'blood\tblood\tNN\tI-NP\tO' +p191898 +aS'count\tcount\tNN\tI-NP\tO' +p191899 +aS'on\ton\tIN\tB-PP\tO' +p191900 +aS'day\tday\tNN\tB-NP\tO' +p191901 +aS'of\tof\tIN\tB-PP\tO' +p191902 +aS'life\tlife\tNN\tB-NP\tO' +p191903 +aS'two\ttwo\tCD\tI-NP\tO' +p191904 +aS'showed\tshow\tVBD\tB-VP\tO' +p191905 +aS'a\ta\tDT\tB-NP\tO' +p191906 +aS'white\twhite\tJJ\tI-NP\tO' +p191907 +aS'blood\tblood\tNN\tI-NP\tO' +p191908 +aS'cell\tcell\tNN\tI-NP\tO' +p191909 +aS'count\tcount\tNN\tI-NP\tO' +p191910 +aS'of\tof\tIN\tB-PP\tO' +p191911 +aS'6.3\t6.3\tCD\tB-NP\tO' +p191912 +aS',\t,\t,\tO\tO' +p191913 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p191914 +aS'45.8%\t45.8%\tNN\tI-NP\tI-protein' +p191915 +aS',\t,\t,\tO\tO' +p191916 +aS'platelet\tplatelet\tNN\tB-NP\tO' +p191917 +aS'count\tcount\tNN\tI-NP\tO' +p191918 +aS'199,000\t199,000\tCD\tI-NP\tO' +p191919 +aS',\t,\t,\tO\tO' +p191920 +aS'37\t37\tCD\tB-NP\tO' +p191921 +aS'neutrophils\tneutrophil\tNNS\tI-NP\tB-cell_type' +p191922 +aS',\t,\t,\tO\tO' +p191923 +aS'0\t0\tCD\tB-NP\tO' +p191924 +aS'bands\tband\tNNS\tI-NP\tO' +p191925 +aS',\t,\t,\tO\tO' +p191926 +aS'53\t53\tCD\tB-NP\tO' +p191927 +aS'lymphocytes\tlymphocyte\tNNS\tI-NP\tO' +p191928 +aS'.\t.\t.\tO\tO' +p191929 +asS'This morning while landscaping the patient had unremitting 12-05 pain with shortness of breath and diaphoresis .' +p191930 +(lp191931 +S'This\tThis\tDT\tB-NP\tO' +p191932 +aS'morning\tmorning\tNN\tI-NP\tO' +p191933 +aS'while\twhile\tIN\tB-SBAR\tO' +p191934 +aS'landscaping\tlandscape\tVBG\tB-VP\tO' +p191935 +aS'the\tthe\tDT\tB-NP\tO' +p191936 +aS'patient\tpatient\tNN\tI-NP\tO' +p191937 +aS'had\thave\tVBD\tB-VP\tO' +p191938 +aS'unremitting\tunremitte\tVBG\tI-VP\tO' +p191939 +aS'12-05\t12-05\tCD\tB-NP\tO' +p191940 +aS'pain\tpain\tNN\tI-NP\tO' +p191941 +aS'with\twith\tIN\tB-PP\tO' +p191942 +aS'shortness\tshortness\tNN\tB-NP\tO' +p191943 +aS'of\tof\tIN\tB-PP\tO' +p191944 +aS'breath\tbreath\tNN\tB-NP\tO' +p191945 +aS'and\tand\tCC\tI-NP\tO' +p191946 +aS'diaphoresis\tdiaphoresis\tNN\tI-NP\tO' +p191947 +aS'.\t.\t.\tO\tO' +p191948 +asS'He has no carotid bruits .' +p191949 +(lp191950 +S'He\tHe\tPRP\tB-NP\tO' +p191951 +aS'has\thave\tVBZ\tB-VP\tO' +p191952 +aS'no\tno\tDT\tB-NP\tO' +p191953 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p191954 +aS'bruits\tbruit\tNNS\tI-NP\tO' +p191955 +aS'.\t.\t.\tO\tO' +p191956 +asS'The patient is to have his Coumadin managed by his primary care provider , Dr. Jerold Esqueda , for a target INR of 2.5 .' +p191957 +(lp191958 +S'The\tThe\tDT\tB-NP\tO' +p191959 +aS'patient\tpatient\tNN\tI-NP\tO' +p191960 +aS'is\tbe\tVBZ\tB-VP\tO' +p191961 +aS'to\tto\tTO\tB-VP\tO' +p191962 +aS'have\thave\tVB\tI-VP\tO' +p191963 +aS'his\this\tPRP$\tB-NP\tO' +p191964 +aS'Coumadin\tCoumadin\tNN\tI-NP\tO' +p191965 +aS'managed\tmanage\tVBN\tB-VP\tO' +p191966 +aS'by\tby\tIN\tB-PP\tO' +p191967 +aS'his\this\tPRP$\tB-NP\tO' +p191968 +aS'primary\tprimary\tJJ\tI-NP\tO' +p191969 +aS'care\tcare\tNN\tI-NP\tO' +p191970 +aS'provider\tprovider\tNN\tI-NP\tO' +p191971 +aS',\t,\t,\tO\tO' +p191972 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p191973 +aS'Jerold\tJerold\tNNP\tI-NP\tO' +p191974 +aS'Esqueda\tEsqueda\tNNP\tI-NP\tO' +p191975 +aS',\t,\t,\tO\tO' +p191976 +aS'for\tfor\tIN\tB-PP\tO' +p191977 +aS'a\ta\tDT\tB-NP\tO' +p191978 +aS'target\ttarget\tNN\tI-NP\tO' +p191979 +aS'INR\tINR\tNN\tI-NP\tO' +p191980 +aS'of\tof\tIN\tB-PP\tO' +p191981 +aS'2.5\t2.5\tCD\tB-NP\tO' +p191982 +aS'.\t.\t.\tO\tO' +p191983 +asS'Epistaxis to Coumadin in the past .' +p191984 +(lp191985 +S'Epistaxis\tEpistaxis\tNN\tB-NP\tO' +p191986 +aS'to\tto\tTO\tB-PP\tO' +p191987 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p191988 +aS'in\tin\tIN\tB-PP\tO' +p191989 +aS'the\tthe\tDT\tB-NP\tO' +p191990 +aS'past\tpast\tNN\tI-NP\tO' +p191991 +aS'.\t.\t.\tO\tO' +p191992 +asS'The patient has not had an CMED examination or hearing test .' +p191993 +(lp191994 +S'The\tThe\tDT\tB-NP\tO' +p191995 +aS'patient\tpatient\tNN\tI-NP\tO' +p191996 +aS'has\thave\tVBZ\tB-VP\tO' +p191997 +aS'not\tnot\tRB\tI-VP\tO' +p191998 +aS'had\thave\tVBN\tI-VP\tO' +p191999 +aS'an\tan\tDT\tB-NP\tO' +p192000 +aS'CMED\tCMED\tVBN\tI-NP\tO' +p192001 +aS'examination\texamination\tNN\tI-NP\tO' +p192002 +aS'or\tor\tCC\tI-NP\tO' +p192003 +aS'hearing\thearing\tNN\tI-NP\tO' +p192004 +aS'test\ttest\tNN\tI-NP\tO' +p192005 +aS'.\t.\t.\tO\tO' +p192006 +asS'The CK was 17,890 with 0.6% MB .' +p192007 +(lp192008 +S'The\tThe\tDT\tB-NP\tO' +p192009 +aS'CK\tCK\tNN\tI-NP\tB-protein' +p192010 +aS'was\tbe\tVBD\tB-VP\tO' +p192011 +aS'17,890\t17,890\tCD\tB-NP\tO' +p192012 +aS'with\twith\tIN\tB-PP\tO' +p192013 +aS'0.6%\t0.6%\tCD\tB-NP\tO' +p192014 +aS'MB\tMB\tNN\tI-NP\tO' +p192015 +aS'.\t.\t.\tO\tO' +p192016 +asS'Na was elevated , as was blood pressure .' +p192017 +(lp192018 +S'Na\tNa\tNN\tB-NP\tO' +p192019 +aS'was\tbe\tVBD\tB-VP\tO' +p192020 +aS'elevated\televate\tVBN\tI-VP\tO' +p192021 +aS',\t,\t,\tO\tO' +p192022 +aS'as\tas\tIN\tB-SBAR\tO' +p192023 +aS'was\tbe\tVBD\tB-VP\tO' +p192024 +aS'blood\tblood\tNN\tB-NP\tO' +p192025 +aS'pressure\tpressure\tNN\tI-NP\tO' +p192026 +aS'.\t.\t.\tO\tO' +p192027 +asS'Reason : bleed ?' +p192028 +(lp192029 +S'Reason\tReason\tNNP\tB-NP\tO' +p192030 +aS':\t:\t:\tO\tO' +p192031 +aS'bleed\tbleed\tVB\tB-VP\tO' +p192032 +aS'?\t?\t.\tO\tO' +p192033 +asS'For managed care plans , check with your PCP before making this appointment .' +p192034 +(lp192035 +S'For\tFor\tIN\tB-PP\tO' +p192036 +aS'managed\tmanage\tVBN\tB-NP\tO' +p192037 +aS'care\tcare\tNN\tI-NP\tO' +p192038 +aS'plans\tplan\tNNS\tI-NP\tO' +p192039 +aS',\t,\t,\tO\tO' +p192040 +aS'check\tcheck\tVBP\tB-VP\tO' +p192041 +aS'with\twith\tIN\tB-PP\tO' +p192042 +aS'your\tyour\tPRP$\tB-NP\tO' +p192043 +aS'PCP\tPCP\tNN\tI-NP\tB-protein' +p192044 +aS'before\tbefore\tIN\tB-PP\tO' +p192045 +aS'making\tmake\tVBG\tB-VP\tO' +p192046 +aS'this\tthis\tDT\tB-NP\tO' +p192047 +aS'appointment\tappointment\tNN\tI-NP\tO' +p192048 +aS'.\t.\t.\tO\tO' +p192049 +asS'He was subsequently placed back on nasal cannula for mild oxygen desaturation and was requiring 25 c/min flow at the time of discharge .' +p192050 +(lp192051 +S'He\tHe\tPRP\tB-NP\tO' +p192052 +aS'was\tbe\tVBD\tB-VP\tO' +p192053 +aS'subsequently\tsubsequently\tRB\tI-VP\tO' +p192054 +aS'placed\tplace\tVBN\tI-VP\tO' +p192055 +aS'back\tback\tRB\tB-ADVP\tO' +p192056 +aS'on\ton\tIN\tB-PP\tO' +p192057 +aS'nasal\tnasal\tJJ\tB-NP\tO' +p192058 +aS'cannula\tcannula\tNN\tI-NP\tO' +p192059 +aS'for\tfor\tIN\tB-PP\tO' +p192060 +aS'mild\tmild\tJJ\tB-NP\tO' +p192061 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p192062 +aS'desaturation\tdesaturation\tNN\tI-NP\tO' +p192063 +aS'and\tand\tCC\tO\tO' +p192064 +aS'was\tbe\tVBD\tB-VP\tO' +p192065 +aS'requiring\trequire\tVBG\tI-VP\tO' +p192066 +aS'25\t25\tCD\tB-NP\tO' +p192067 +aS'c/min\tc/min\tNN\tI-NP\tO' +p192068 +aS'flow\tflow\tNN\tI-NP\tO' +p192069 +aS'at\tat\tIN\tB-PP\tO' +p192070 +aS'the\tthe\tDT\tB-NP\tO' +p192071 +aS'time\ttime\tNN\tI-NP\tO' +p192072 +aS'of\tof\tIN\tB-PP\tO' +p192073 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p192074 +aS'.\t.\t.\tO\tO' +p192075 +asS'Extra ocular movements were full .' +p192076 +(lp192077 +S'Extra\tExtra\tJJ\tB-NP\tO' +p192078 +aS'ocular\tocular\tJJ\tI-NP\tO' +p192079 +aS'movements\tmovement\tNNS\tI-NP\tO' +p192080 +aS'were\tbe\tVBD\tB-VP\tO' +p192081 +aS'full\tfull\tJJ\tB-ADJP\tO' +p192082 +aS'.\t.\t.\tO\tO' +p192083 +asS'give when patient will eat and food is in the room .' +p192084 +(lp192085 +S'give\tgive\tVB\tB-VP\tO' +p192086 +aS'when\twhen\tWRB\tB-ADVP\tO' +p192087 +aS'patient\tpatient\tNN\tB-NP\tO' +p192088 +aS'will\twill\tMD\tB-VP\tO' +p192089 +aS'eat\teat\tVB\tI-VP\tO' +p192090 +aS'and\tand\tCC\tO\tO' +p192091 +aS'food\tfood\tNN\tB-NP\tO' +p192092 +aS'is\tbe\tVBZ\tB-VP\tO' +p192093 +aS'in\tin\tIN\tB-PP\tO' +p192094 +aS'the\tthe\tDT\tB-NP\tO' +p192095 +aS'room\troom\tNN\tI-NP\tO' +p192096 +aS'.\t.\t.\tO\tO' +p192097 +asS'The biopsy subsequently demonstrated a hyperplastic polyp with acute and chronic inflammation and erosion and reactive epithelial changes but no dysplasia .' +p192098 +(lp192099 +S'The\tThe\tDT\tB-NP\tO' +p192100 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p192101 +aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' +p192102 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p192103 +aS'a\ta\tDT\tB-NP\tO' +p192104 +aS'hyperplastic\thyperplastic\tJJ\tI-NP\tO' +p192105 +aS'polyp\tpolyp\tNN\tI-NP\tO' +p192106 +aS'with\twith\tIN\tB-PP\tO' +p192107 +aS'acute\tacute\tJJ\tB-NP\tO' +p192108 +aS'and\tand\tCC\tI-NP\tO' +p192109 +aS'chronic\tchronic\tJJ\tI-NP\tO' +p192110 +aS'inflammation\tinflammation\tNN\tI-NP\tO' +p192111 +aS'and\tand\tCC\tI-NP\tO' +p192112 +aS'erosion\terosion\tNN\tI-NP\tO' +p192113 +aS'and\tand\tCC\tO\tO' +p192114 +aS'reactive\treactive\tJJ\tB-NP\tO' +p192115 +aS'epithelial\tepithelial\tJJ\tI-NP\tO' +p192116 +aS'changes\tchange\tNNS\tI-NP\tO' +p192117 +aS'but\tbut\tCC\tO\tO' +p192118 +aS'no\tno\tDT\tB-NP\tO' +p192119 +aS'dysplasia\tdysplasia\tNN\tI-NP\tO' +p192120 +aS'.\t.\t.\tO\tO' +p192121 +asS'He was intoxicated and tachycardic in the trauma bay .' +p192122 +(lp192123 +S'He\tHe\tPRP\tB-NP\tO' +p192124 +aS'was\tbe\tVBD\tB-VP\tO' +p192125 +aS'intoxicated\tintoxicate\tVBN\tI-VP\tO' +p192126 +aS'and\tand\tCC\tO\tO' +p192127 +aS'tachycardic\ttachycardic\tJJ\tB-ADJP\tO' +p192128 +aS'in\tin\tIN\tB-PP\tO' +p192129 +aS'the\tthe\tDT\tB-NP\tO' +p192130 +aS'trauma\ttrauma\tNN\tI-NP\tO' +p192131 +aS'bay\tbay\tNN\tI-NP\tO' +p192132 +aS'.\t.\t.\tO\tO' +p192133 +asS'4. Elevated one hour glucose tolerance test , normal three hour glucose tolerance test .' +p192134 +(lp192135 +S'4.\t4.\tLS\tB-LST\tO' +p192136 +aS'Elevated\tElevate\tVBD\tB-VP\tO' +p192137 +aS'one\tone\tCD\tB-NP\tO' +p192138 +aS'hour\thour\tNN\tI-NP\tO' +p192139 +aS'glucose\tglucose\tNN\tI-NP\tO' +p192140 +aS'tolerance\ttolerance\tNN\tI-NP\tO' +p192141 +aS'test\ttest\tNN\tI-NP\tO' +p192142 +aS',\t,\t,\tO\tO' +p192143 +aS'normal\tnormal\tJJ\tB-NP\tO' +p192144 +aS'three\tthree\tCD\tI-NP\tO' +p192145 +aS'hour\thour\tNN\tI-NP\tO' +p192146 +aS'glucose\tglucose\tNN\tI-NP\tO' +p192147 +aS'tolerance\ttolerance\tNN\tI-NP\tO' +p192148 +aS'test\ttest\tNN\tI-NP\tO' +p192149 +aS'.\t.\t.\tO\tO' +p192150 +asS'EKG showed normal sinus rhythm , no ST or T wave changes .' +p192151 +(lp192152 +S'EKG\tEKG\tNN\tB-NP\tB-protein' +p192153 +aS'showed\tshow\tVBD\tB-VP\tO' +p192154 +aS'normal\tnormal\tJJ\tB-NP\tO' +p192155 +aS'sinus\tsinus\tNN\tI-NP\tO' +p192156 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p192157 +aS',\t,\t,\tO\tO' +p192158 +aS'no\tno\tDT\tB-NP\tO' +p192159 +aS'ST\tST\tNN\tI-NP\tO' +p192160 +aS'or\tor\tCC\tI-NP\tO' +p192161 +aS'T\tT\tNN\tI-NP\tO' +p192162 +aS'wave\twave\tNN\tI-NP\tO' +p192163 +aS'changes\tchange\tNNS\tI-NP\tO' +p192164 +aS'.\t.\t.\tO\tO' +p192165 +asS'Denies fever or chills .' +p192166 +(lp192167 +S'Denies\tDeny\tNNS\tB-NP\tO' +p192168 +aS'fever\tfever\tNN\tI-NP\tO' +p192169 +aS'or\tor\tCC\tI-NP\tO' +p192170 +aS'chills\tchill\tNNS\tI-NP\tO' +p192171 +aS'.\t.\t.\tO\tO' +p192172 +asS'ROS : difficult to obtain 2x2 to patient mental status baselin' +p192173 +(lp192174 +S'ROS\tROS\tNN\tB-NP\tO' +p192175 +aS':\t:\t:\tO\tO' +p192176 +aS'difficult\tdifficult\tJJ\tB-ADJP\tO' +p192177 +aS'to\tto\tTO\tB-VP\tO' +p192178 +aS'obtain\tobtain\tVB\tI-VP\tO' +p192179 +aS'2x2\t2x2\tCD\tB-NP\tO' +p192180 +aS'to\tto\tTO\tB-PP\tO' +p192181 +aS'patient\tpatient\tNN\tB-NP\tO' +p192182 +aS'mental\tmental\tJJ\tI-NP\tO' +p192183 +aS'status\tstatus\tNN\tI-NP\tO' +p192184 +aS'baselin\tbaselin\tNN\tI-NP\tO' +p192185 +asS'Benign .' +p192186 +(lp192187 +S'Benign\tBenign\tJJ\tB-ADJP\tO' +p192188 +aS'.\t.\t.\tO\tO' +p192189 +asS'This was his main issue in the postoperative course .' +p192190 +(lp192191 +S'This\tThis\tDT\tB-NP\tO' +p192192 +aS'was\tbe\tVBD\tB-VP\tO' +p192193 +aS'his\this\tPRP$\tB-NP\tO' +p192194 +aS'main\tmain\tJJ\tI-NP\tO' +p192195 +aS'issue\tissue\tNN\tI-NP\tO' +p192196 +aS'in\tin\tIN\tB-PP\tO' +p192197 +aS'the\tthe\tDT\tB-NP\tO' +p192198 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p192199 +aS'course\tcourse\tNN\tI-NP\tO' +p192200 +aS'.\t.\t.\tO\tO' +p192201 +asS'No fevers or chills , no chest pain , no shortness of breath .' +p192202 +(lp192203 +S'No\tNo\tDT\tB-NP\tO' +p192204 +aS'fevers\tfever\tNNS\tI-NP\tO' +p192205 +aS'or\tor\tCC\tI-NP\tO' +p192206 +aS'chills\tchill\tNNS\tI-NP\tO' +p192207 +aS',\t,\t,\tO\tO' +p192208 +aS'no\tno\tDT\tB-NP\tO' +p192209 +aS'chest\tchest\tNN\tI-NP\tO' +p192210 +aS'pain\tpain\tNN\tI-NP\tO' +p192211 +aS',\t,\t,\tO\tO' +p192212 +aS'no\tno\tDT\tB-NP\tO' +p192213 +aS'shortness\tshortness\tNN\tI-NP\tO' +p192214 +aS'of\tof\tIN\tB-PP\tO' +p192215 +aS'breath\tbreath\tNN\tB-NP\tO' +p192216 +aS'.\t.\t.\tO\tO' +p192217 +asS'He will need close follow-up regarding his depression as an outpatient , although apparently this has been set up for him in the past and he had not followed through .' +p192218 +(lp192219 +S'He\tHe\tPRP\tB-NP\tO' +p192220 +aS'will\twill\tMD\tB-VP\tO' +p192221 +aS'need\tneed\tVB\tI-VP\tO' +p192222 +aS'close\tclose\tJJ\tB-NP\tO' +p192223 +aS'follow-up\tfollow-up\tNN\tI-NP\tO' +p192224 +aS'regarding\tregard\tVBG\tB-VP\tO' +p192225 +aS'his\this\tPRP$\tB-NP\tO' +p192226 +aS'depression\tdepression\tNN\tI-NP\tO' +p192227 +aS'as\tas\tIN\tB-PP\tO' +p192228 +aS'an\tan\tDT\tB-NP\tO' +p192229 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p192230 +aS',\t,\t,\tO\tO' +p192231 +aS'although\talthough\tIN\tB-SBAR\tO' +p192232 +aS'apparently\tapparently\tRB\tB-ADVP\tO' +p192233 +aS'this\tthis\tDT\tB-NP\tO' +p192234 +aS'has\thave\tVBZ\tB-VP\tO' +p192235 +aS'been\tbe\tVBN\tI-VP\tO' +p192236 +aS'set\tset\tVBN\tI-VP\tO' +p192237 +aS'up\tup\tRP\tB-PRT\tO' +p192238 +aS'for\tfor\tIN\tB-PP\tO' +p192239 +aS'him\thim\tPRP\tB-NP\tO' +p192240 +aS'in\tin\tIN\tB-PP\tO' +p192241 +aS'the\tthe\tDT\tB-NP\tO' +p192242 +aS'past\tpast\tNN\tI-NP\tO' +p192243 +aS'and\tand\tCC\tO\tO' +p192244 +aS'he\the\tPRP\tB-NP\tO' +p192245 +aS'had\thave\tVBD\tB-VP\tO' +p192246 +aS'not\tnot\tRB\tI-VP\tO' +p192247 +aS'followed\tfollow\tVBN\tI-VP\tO' +p192248 +aS'through\tthrough\tIN\tB-PP\tO' +p192249 +aS'.\t.\t.\tO\tO' +p192250 +asS'Heart rate 90 .' +p192251 +(lp192252 +S'Heart\tHeart\tNN\tB-NP\tO' +p192253 +aS'rate\trate\tNN\tI-NP\tO' +p192254 +aS'90\t90\tCD\tI-NP\tO' +p192255 +aS'.\t.\t.\tO\tO' +p192256 +asS'She maintained her fixation on the conversation well .' +p192257 +(lp192258 +S'She\tShe\tPRP\tB-NP\tO' +p192259 +aS'maintained\tmaintain\tVBD\tB-VP\tO' +p192260 +aS'her\ther\tPRP$\tB-NP\tO' +p192261 +aS'fixation\tfixation\tNN\tI-NP\tO' +p192262 +aS'on\ton\tIN\tB-PP\tO' +p192263 +aS'the\tthe\tDT\tB-NP\tO' +p192264 +aS'conversation\tconversation\tNN\tI-NP\tO' +p192265 +aS'well\twell\tRB\tB-ADVP\tO' +p192266 +aS'.\t.\t.\tO\tO' +p192267 +asS'He subsequently did well , with a repeat hematocrit of 34.3 after the transfusion .' +p192268 +(lp192269 +S'He\tHe\tPRP\tB-NP\tO' +p192270 +aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' +p192271 +aS'did\tdo\tVBD\tB-VP\tO' +p192272 +aS'well\twell\tRB\tB-ADVP\tO' +p192273 +aS',\t,\t,\tO\tO' +p192274 +aS'with\twith\tIN\tB-PP\tO' +p192275 +aS'a\ta\tDT\tB-NP\tO' +p192276 +aS'repeat\trepeat\tNN\tI-NP\tO' +p192277 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p192278 +aS'of\tof\tIN\tB-PP\tO' +p192279 +aS'34.3\t34.3\tCD\tB-NP\tO' +p192280 +aS'after\tafter\tIN\tB-PP\tO' +p192281 +aS'the\tthe\tDT\tB-NP\tO' +p192282 +aS'transfusion\ttransfusion\tNN\tI-NP\tO' +p192283 +aS'.\t.\t.\tO\tO' +p192284 +asS'Please contact office if you develop a fever more than 101.5 or notice drainage from chest incision .' +p192285 +(lp192286 +S'Please\tPlease\tNN\tB-NP\tO' +p192287 +aS'contact\tcontact\tNN\tI-NP\tO' +p192288 +aS'office\toffice\tNN\tI-NP\tO' +p192289 +aS'if\tif\tIN\tB-SBAR\tO' +p192290 +aS'you\tyou\tPRP\tB-NP\tO' +p192291 +aS'develop\tdevelop\tVBP\tB-VP\tO' +p192292 +aS'a\ta\tDT\tB-NP\tO' +p192293 +aS'fever\tfever\tNN\tI-NP\tO' +p192294 +aS'more\tmore\tJJR\tB-NP\tO' +p192295 +aS'than\tthan\tIN\tI-NP\tO' +p192296 +aS'101.5\t101.5\tCD\tI-NP\tO' +p192297 +aS'or\tor\tCC\tI-NP\tO' +p192298 +aS'notice\tnotice\tNN\tI-NP\tO' +p192299 +aS'drainage\tdrainage\tNN\tI-NP\tO' +p192300 +aS'from\tfrom\tIN\tB-PP\tO' +p192301 +aS'chest\tchest\tNN\tB-NP\tO' +p192302 +aS'incision\tincision\tNN\tI-NP\tO' +p192303 +aS'.\t.\t.\tO\tO' +p192304 +asS'If she were to decompensate at the rehab , goals of care will need to be readdressed .' +p192305 +(lp192306 +S'If\tIf\tIN\tB-SBAR\tO' +p192307 +aS'she\tshe\tPRP\tB-NP\tO' +p192308 +aS'were\tbe\tVBD\tB-VP\tO' +p192309 +aS'to\tto\tTO\tI-VP\tO' +p192310 +aS'decompensate\tdecompensate\tVB\tI-VP\tO' +p192311 +aS'at\tat\tIN\tB-PP\tO' +p192312 +aS'the\tthe\tDT\tB-NP\tO' +p192313 +aS'rehab\trehab\tNN\tI-NP\tO' +p192314 +aS',\t,\t,\tO\tO' +p192315 +aS'goals\tgoal\tNNS\tB-NP\tO' +p192316 +aS'of\tof\tIN\tB-PP\tO' +p192317 +aS'care\tcare\tNN\tB-NP\tO' +p192318 +aS'will\twill\tMD\tB-VP\tO' +p192319 +aS'need\tneed\tVB\tI-VP\tO' +p192320 +aS'to\tto\tTO\tI-VP\tO' +p192321 +aS'be\tbe\tVB\tI-VP\tO' +p192322 +aS'readdressed\treaddresse\tVBN\tI-VP\tO' +p192323 +aS'.\t.\t.\tO\tO' +p192324 +asS'IN PAIRS AND CLUSTERS .' +p192325 +(lp192326 +S'IN\tIN\tIN\tB-PP\tO' +p192327 +aS'PAIRS\tPAIRS\tNNP\tB-NP\tO' +p192328 +aS'AND\tAND\tNNP\tI-NP\tO' +p192329 +aS'CLUSTERS\tCLUSTERS\tNNS\tI-NP\tO' +p192330 +aS'.\t.\t.\tO\tO' +p192331 +asS'CAD ; status post coronary artery bypass graft times two and status post myocardial infarction in 2001 and 2000 .' +p192332 +(lp192333 +S'CAD\tCAD\tNN\tB-NP\tO' +p192334 +aS';\t;\t:\tO\tO' +p192335 +aS'status\tstatus\tNN\tB-NP\tO' +p192336 +aS'post\tpost\tNN\tI-NP\tO' +p192337 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p192338 +aS'artery\tartery\tNN\tI-NP\tO' +p192339 +aS'bypass\tbypass\tIN\tB-PP\tO' +p192340 +aS'graft\tgraft\tNN\tB-NP\tO' +p192341 +aS'times\ttime\tNNS\tI-NP\tO' +p192342 +aS'two\ttwo\tCD\tB-NP\tO' +p192343 +aS'and\tand\tCC\tI-NP\tO' +p192344 +aS'status\tstatus\tNN\tI-NP\tO' +p192345 +aS'post\tpost\tNN\tI-NP\tO' +p192346 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p192347 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p192348 +aS'in\tin\tIN\tB-PP\tO' +p192349 +aS'2001\t2001\tCD\tB-NP\tO' +p192350 +aS'and\tand\tCC\tI-NP\tO' +p192351 +aS'2000\t2000\tCD\tI-NP\tO' +p192352 +aS'.\t.\t.\tO\tO' +p192353 +asS'She remains very weak and will most likely benefit from some physical therapy andshe still has the bilateral edema .' +p192354 +(lp192355 +S'She\tShe\tPRP\tB-NP\tO' +p192356 +aS'remains\tremain\tVBZ\tB-VP\tO' +p192357 +aS'very\tvery\tRB\tB-ADJP\tO' +p192358 +aS'weak\tweak\tJJ\tI-ADJP\tO' +p192359 +aS'and\tand\tCC\tO\tO' +p192360 +aS'will\twill\tMD\tB-VP\tO' +p192361 +aS'most\tmost\tRBS\tB-NP\tO' +p192362 +aS'likely\tlikely\tJJ\tI-NP\tO' +p192363 +aS'benefit\tbenefit\tNN\tI-NP\tO' +p192364 +aS'from\tfrom\tIN\tB-PP\tO' +p192365 +aS'some\tsome\tDT\tB-NP\tO' +p192366 +aS'physical\tphysical\tJJ\tI-NP\tO' +p192367 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p192368 +aS'andshe\tandshe\tNN\tI-NP\tO' +p192369 +aS'still\tstill\tRB\tB-ADVP\tO' +p192370 +aS'has\thave\tVBZ\tB-VP\tO' +p192371 +aS'the\tthe\tDT\tB-NP\tO' +p192372 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p192373 +aS'edema\tedema\tNN\tI-NP\tO' +p192374 +aS'.\t.\t.\tO\tO' +p192375 +asS'he was found to have a perforated sigmoid diverticulum .' +p192376 +(lp192377 +S'he\the\tPRP\tB-NP\tO' +p192378 +aS'was\tbe\tVBD\tB-VP\tO' +p192379 +aS'found\tfind\tVBN\tI-VP\tO' +p192380 +aS'to\tto\tTO\tI-VP\tO' +p192381 +aS'have\thave\tVB\tI-VP\tO' +p192382 +aS'a\ta\tDT\tB-NP\tO' +p192383 +aS'perforated\tperforate\tVBN\tI-NP\tO' +p192384 +aS'sigmoid\tsigmoid\tJJ\tI-NP\tO' +p192385 +aS'diverticulum\tdiverticulum\tNN\tI-NP\tO' +p192386 +aS'.\t.\t.\tO\tO' +p192387 +asS'The patient was transferred to the Heaonboburg Linpack Grant Medical Center for consideration of coronary angioplasty .' +p192388 +(lp192389 +S'The\tThe\tDT\tB-NP\tO' +p192390 +aS'patient\tpatient\tNN\tI-NP\tO' +p192391 +aS'was\tbe\tVBD\tB-VP\tO' +p192392 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p192393 +aS'to\tto\tTO\tB-PP\tO' +p192394 +aS'the\tthe\tDT\tB-NP\tO' +p192395 +aS'Heaonboburg\tHeaonboburg\tNNP\tI-NP\tO' +p192396 +aS'Linpack\tLinpack\tNNP\tI-NP\tO' +p192397 +aS'Grant\tGrant\tNNP\tI-NP\tO' +p192398 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p192399 +aS'Center\tCenter\tNNP\tI-NP\tO' +p192400 +aS'for\tfor\tIN\tB-PP\tO' +p192401 +aS'consideration\tconsideration\tNN\tB-NP\tO' +p192402 +aS'of\tof\tIN\tB-PP\tO' +p192403 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p192404 +aS'angioplasty\tangioplasty\tNN\tI-NP\tO' +p192405 +aS'.\t.\t.\tO\tO' +p192406 +asS'She was discharged to the Encharlea Il Medical Center in New Hampshire .' +p192407 +(lp192408 +S'She\tShe\tPRP\tB-NP\tO' +p192409 +aS'was\tbe\tVBD\tB-VP\tO' +p192410 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p192411 +aS'to\tto\tTO\tB-PP\tO' +p192412 +aS'the\tthe\tDT\tB-NP\tO' +p192413 +aS'Encharlea\tEncharlea\tNNP\tI-NP\tO' +p192414 +aS'Il\tIl\tNNP\tI-NP\tO' +p192415 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p192416 +aS'Center\tCenter\tNNP\tI-NP\tO' +p192417 +aS'in\tin\tIN\tB-PP\tO' +p192418 +aS'New\tNew\tNNP\tB-NP\tO' +p192419 +aS'Hampshire\tHampshire\tNNP\tI-NP\tO' +p192420 +aS'.\t.\t.\tO\tO' +p192421 +asS'10 days ago , he developed b/l LE edema that has gotten progressively worse until now .' +p192422 +(lp192423 +S'10\t10\tCD\tB-NP\tO' +p192424 +aS'days\tday\tNNS\tI-NP\tO' +p192425 +aS'ago\tago\tRB\tB-ADVP\tO' +p192426 +aS',\t,\t,\tO\tO' +p192427 +aS'he\the\tPRP\tB-NP\tO' +p192428 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p192429 +aS'b/l\tb/l\tNN\tB-NP\tO' +p192430 +aS'LE\tLE\tNN\tI-NP\tO' +p192431 +aS'edema\tedema\tNN\tI-NP\tO' +p192432 +aS'that\tthat\tWDT\tB-NP\tO' +p192433 +aS'has\thave\tVBZ\tB-VP\tO' +p192434 +aS'gotten\tget\tVBN\tI-VP\tO' +p192435 +aS'progressively\tprogressively\tRB\tB-ADJP\tO' +p192436 +aS'worse\tworse\tJJR\tI-ADJP\tO' +p192437 +aS'until\tuntil\tIN\tB-PP\tO' +p192438 +aS'now\tnow\tRB\tB-ADVP\tO' +p192439 +aS'.\t.\t.\tO\tO' +p192440 +asS'Morhpine ggt titrated up to 18 mg / hr by monday morning and pt expired 04-04 at 7:40 am .' +p192441 +(lp192442 +S'Morhpine\tMorhpine\tNN\tB-NP\tO' +p192443 +aS'ggt\tggt\tNN\tI-NP\tO' +p192444 +aS'titrated\ttitrate\tVBD\tB-VP\tO' +p192445 +aS'up\tup\tRB\tB-NP\tO' +p192446 +aS'to\tto\tTO\tI-NP\tO' +p192447 +aS'18\t18\tCD\tI-NP\tO' +p192448 +aS'mg\tmg\tNN\tI-NP\tO' +p192449 +aS'/\t/\tSYM\tO\tO' +p192450 +aS'hr\thr\tNN\tB-NP\tO' +p192451 +aS'by\tby\tIN\tB-PP\tO' +p192452 +aS'monday\tmonday\tNN\tB-NP\tO' +p192453 +aS'morning\tmorning\tNN\tI-NP\tO' +p192454 +aS'and\tand\tCC\tI-NP\tO' +p192455 +aS'pt\tpt\tNN\tI-NP\tO' +p192456 +aS'expired\texpire\tVBD\tB-VP\tO' +p192457 +aS'04-04\t04-04\tCD\tB-NP\tO' +p192458 +aS'at\tat\tIN\tB-PP\tO' +p192459 +aS'7:40\t7:40\tCD\tB-NP\tO' +p192460 +aS'am\tam\tNN\tI-NP\tO' +p192461 +aS'.\t.\t.\tO\tO' +p192462 +asS'Her pelvic examination was notable for some brownish discharge .' +p192463 +(lp192464 +S'Her\tHer\tPRP$\tB-NP\tO' +p192465 +aS'pelvic\tpelvic\tJJ\tI-NP\tO' +p192466 +aS'examination\texamination\tNN\tI-NP\tO' +p192467 +aS'was\tbe\tVBD\tB-VP\tO' +p192468 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p192469 +aS'for\tfor\tIN\tB-PP\tO' +p192470 +aS'some\tsome\tDT\tB-NP\tO' +p192471 +aS'brownish\tbrownish\tJJ\tI-NP\tO' +p192472 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p192473 +aS'.\t.\t.\tO\tO' +p192474 +asS'12. Lactulose .' +p192475 +(lp192476 +S'12.\t12.\tLS\tB-LST\tO' +p192477 +aS'Lactulose\tLactulose\tNNP\tB-NP\tO' +p192478 +aS'.\t.\t.\tO\tO' +p192479 +asS'The gestational carrier is not involved .' +p192480 +(lp192481 +S'The\tThe\tDT\tB-NP\tO' +p192482 +aS'gestational\tgestational\tJJ\tI-NP\tO' +p192483 +aS'carrier\tcarrier\tNN\tI-NP\tO' +p192484 +aS'is\tbe\tVBZ\tB-VP\tO' +p192485 +aS'not\tnot\tRB\tI-VP\tO' +p192486 +aS'involved\tinvolve\tVBN\tI-VP\tO' +p192487 +aS'.\t.\t.\tO\tO' +p192488 +asS'The tube appeared to be functioning well , draining urine with occasional clot passage .' +p192489 +(lp192490 +S'The\tThe\tDT\tB-NP\tO' +p192491 +aS'tube\ttube\tNN\tI-NP\tO' +p192492 +aS'appeared\tappear\tVBD\tB-VP\tO' +p192493 +aS'to\tto\tTO\tI-VP\tO' +p192494 +aS'be\tbe\tVB\tI-VP\tO' +p192495 +aS'functioning\tfunction\tVBG\tI-VP\tO' +p192496 +aS'well\twell\tRB\tB-ADVP\tO' +p192497 +aS',\t,\t,\tO\tO' +p192498 +aS'draining\tdrain\tVBG\tB-VP\tO' +p192499 +aS'urine\turine\tNN\tB-NP\tO' +p192500 +aS'with\twith\tIN\tB-PP\tO' +p192501 +aS'occasional\toccasional\tJJ\tB-NP\tO' +p192502 +aS'clot\tclot\tNN\tI-NP\tO' +p192503 +aS'passage\tpassage\tNN\tI-NP\tO' +p192504 +aS'.\t.\t.\tO\tO' +p192505 +asS'Marie was discharged with goal PPI twice day for 1 month followed by once a day .' +p192506 +(lp192507 +S'Marie\tMarie\tNNP\tB-NP\tO' +p192508 +aS'was\tbe\tVBD\tB-VP\tO' +p192509 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p192510 +aS'with\twith\tIN\tB-PP\tO' +p192511 +aS'goal\tgoal\tNN\tB-NP\tO' +p192512 +aS'PPI\tPPI\tNN\tI-NP\tO' +p192513 +aS'twice\ttwice\tJJ\tI-NP\tO' +p192514 +aS'day\tday\tNN\tI-NP\tO' +p192515 +aS'for\tfor\tIN\tB-PP\tO' +p192516 +aS'1\t1\tCD\tB-NP\tO' +p192517 +aS'month\tmonth\tNN\tI-NP\tO' +p192518 +aS'followed\tfollow\tVBN\tB-VP\tO' +p192519 +aS'by\tby\tIN\tB-PP\tO' +p192520 +aS'once\tonce\tRB\tB-ADVP\tO' +p192521 +aS'a\ta\tDT\tB-NP\tO' +p192522 +aS'day\tday\tNN\tI-NP\tO' +p192523 +aS'.\t.\t.\tO\tO' +p192524 +asS'07-06 patient failed a repeat swallow evaluation due to discoordinated swallow .' +p192525 +(lp192526 +S'07-06\t07-06\tCD\tB-NP\tO' +p192527 +aS'patient\tpatient\tNN\tI-NP\tO' +p192528 +aS'failed\tfail\tVBD\tB-VP\tO' +p192529 +aS'a\ta\tDT\tB-NP\tO' +p192530 +aS'repeat\trepeat\tNN\tI-NP\tO' +p192531 +aS'swallow\tswallow\tNN\tI-NP\tO' +p192532 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p192533 +aS'due\tdue\tJJ\tB-ADJP\tO' +p192534 +aS'to\tto\tTO\tB-PP\tO' +p192535 +aS'discoordinated\tdiscoordinate\tVBN\tB-NP\tO' +p192536 +aS'swallow\tswallow\tNN\tI-NP\tO' +p192537 +aS'.\t.\t.\tO\tO' +p192538 +asS'12. Levofloxacin 500 mg po q daily x10 days .' +p192539 +(lp192540 +S'12.\t12.\tCD\tB-NP\tO' +p192541 +aS'Levofloxacin\tLevofloxacin\tNN\tI-NP\tO' +p192542 +aS'500\t500\tCD\tB-NP\tO' +p192543 +aS'mg\tmg\tNN\tI-NP\tO' +p192544 +aS'po\tpo\tNN\tI-NP\tO' +p192545 +aS'q\tq\tNN\tI-NP\tO' +p192546 +aS'daily\tdaily\tJJ\tI-NP\tO' +p192547 +aS'x10\tx10\tNN\tI-NP\tO' +p192548 +aS'days\tday\tNNS\tI-NP\tO' +p192549 +aS'.\t.\t.\tO\tO' +p192550 +asS'Weigh yourself every morning , call MD if weight increases by > 3 lbs in 2 days .' +p192551 +(lp192552 +S'Weigh\tWeigh\tIN\tB-PP\tO' +p192553 +aS'yourself\tyourself\tPRP\tB-NP\tO' +p192554 +aS'every\tevery\tDT\tB-NP\tO' +p192555 +aS'morning\tmorning\tNN\tI-NP\tO' +p192556 +aS',\t,\t,\tO\tO' +p192557 +aS'call\tcall\tVB\tB-VP\tO' +p192558 +aS'MD\tMD\tNNP\tB-NP\tO' +p192559 +aS'if\tif\tIN\tB-SBAR\tO' +p192560 +aS'weight\tweight\tNN\tB-NP\tO' +p192561 +aS'increases\tincrease\tNNS\tI-NP\tO' +p192562 +aS'by\tby\tIN\tB-PP\tO' +p192563 +aS'>\t>\tJJR\tB-NP\tO' +p192564 +aS'3\t3\tCD\tI-NP\tO' +p192565 +aS'lbs\tlb\tNNS\tI-NP\tO' +p192566 +aS'in\tin\tIN\tB-PP\tO' +p192567 +aS'2\t2\tCD\tB-NP\tO' +p192568 +aS'days\tday\tNNS\tI-NP\tO' +p192569 +aS'.\t.\t.\tO\tO' +p192570 +asS'Rule out sepsis with antibiotics .' +p192571 +(lp192572 +S'Rule\tRule\tNNP\tB-VP\tO' +p192573 +aS'out\tout\tRP\tB-PRT\tO' +p192574 +aS'sepsis\tsepsis\tNN\tB-NP\tO' +p192575 +aS'with\twith\tIN\tB-PP\tO' +p192576 +aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' +p192577 +aS'.\t.\t.\tO\tO' +p192578 +asS'Right total hip arthroplasty .' +p192579 +(lp192580 +S'Right\tRight\tRB\tB-NP\tO' +p192581 +aS'total\ttotal\tJJ\tI-NP\tO' +p192582 +aS'hip\thip\tNN\tI-NP\tO' +p192583 +aS'arthroplasty\tarthroplasty\tNN\tI-NP\tO' +p192584 +aS'.\t.\t.\tO\tO' +p192585 +asS'3. Metoprolol 25 mg po bid .' +p192586 +(lp192587 +S'3.\t3.\tLS\tB-NP\tO' +p192588 +aS'Metoprolol\tMetoprolol\tNN\tI-NP\tO' +p192589 +aS'25\t25\tCD\tI-NP\tO' +p192590 +aS'mg\tmg\tNN\tI-NP\tO' +p192591 +aS'po\tpo\tNN\tI-NP\tO' +p192592 +aS'bid\tbid\tNN\tI-NP\tO' +p192593 +aS'.\t.\t.\tO\tO' +p192594 +asS'Estratab .' +p192595 +(lp192596 +S'Estratab\tEstratab\tNN\tB-NP\tO' +p192597 +aS'.\t.\t.\tO\tO' +p192598 +asS'He presented to an outside hospital with an acute inferior myocardial infarction and was treated with thrombolytic therapy .' +p192599 +(lp192600 +S'He\tHe\tPRP\tB-NP\tO' +p192601 +aS'presented\tpresent\tVBD\tB-VP\tO' +p192602 +aS'to\tto\tTO\tB-PP\tO' +p192603 +aS'an\tan\tDT\tB-NP\tO' +p192604 +aS'outside\toutside\tJJ\tI-NP\tO' +p192605 +aS'hospital\thospital\tNN\tI-NP\tO' +p192606 +aS'with\twith\tIN\tB-PP\tO' +p192607 +aS'an\tan\tDT\tB-NP\tO' +p192608 +aS'acute\tacute\tJJ\tI-NP\tO' +p192609 +aS'inferior\tinferior\tJJ\tI-NP\tO' +p192610 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p192611 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p192612 +aS'and\tand\tCC\tO\tO' +p192613 +aS'was\tbe\tVBD\tB-VP\tO' +p192614 +aS'treated\ttreat\tVBN\tI-VP\tO' +p192615 +aS'with\twith\tIN\tB-PP\tO' +p192616 +aS'thrombolytic\tthrombolytic\tJJ\tB-NP\tO' +p192617 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p192618 +aS'.\t.\t.\tO\tO' +p192619 +asS'The circumflex artery had a minor 40% stenosis .' +p192620 +(lp192621 +S'The\tThe\tDT\tB-NP\tO' +p192622 +aS'circumflex\tcircumflex\tNN\tI-NP\tO' +p192623 +aS'artery\tartery\tNN\tI-NP\tO' +p192624 +aS'had\thave\tVBD\tB-VP\tO' +p192625 +aS'a\ta\tDT\tB-NP\tO' +p192626 +aS'minor\tminor\tJJ\tI-NP\tO' +p192627 +aS'40%\t40%\tCD\tI-NP\tO' +p192628 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p192629 +aS'.\t.\t.\tO\tO' +p192630 +asS'This CAT scan revealed possible worsening and was read as epidural versus subdural bleed .' +p192631 +(lp192632 +S'This\tThis\tDT\tB-NP\tO' +p192633 +aS'CAT\tCAT\tNN\tI-NP\tB-protein' +p192634 +aS'scan\tscan\tNN\tI-NP\tO' +p192635 +aS'revealed\treveal\tVBD\tB-VP\tO' +p192636 +aS'possible\tpossible\tJJ\tB-NP\tO' +p192637 +aS'worsening\tworsening\tNN\tI-NP\tO' +p192638 +aS'and\tand\tCC\tO\tO' +p192639 +aS'was\tbe\tVBD\tB-VP\tO' +p192640 +aS'read\tread\tVBN\tI-VP\tO' +p192641 +aS'as\tas\tIN\tB-PP\tO' +p192642 +aS'epidural\tepidural\tJJ\tB-ADJP\tO' +p192643 +aS'versus\tversus\tIN\tB-PP\tO' +p192644 +aS'subdural\tsubdural\tJJ\tB-NP\tO' +p192645 +aS'bleed\tbleed\tNN\tI-NP\tO' +p192646 +aS'.\t.\t.\tO\tO' +p192647 +asS'He now returns with fever , rising white count , diarrhea , and dehydration .' +p192648 +(lp192649 +S'He\tHe\tPRP\tB-NP\tO' +p192650 +aS'now\tnow\tRB\tB-ADVP\tO' +p192651 +aS'returns\treturn\tVBZ\tB-VP\tO' +p192652 +aS'with\twith\tIN\tB-PP\tO' +p192653 +aS'fever\tfever\tNN\tB-NP\tO' +p192654 +aS',\t,\t,\tO\tO' +p192655 +aS'rising\trise\tVBG\tB-VP\tO' +p192656 +aS'white\twhite\tJJ\tB-NP\tO' +p192657 +aS'count\tcount\tNN\tI-NP\tO' +p192658 +aS',\t,\t,\tO\tO' +p192659 +aS'diarrhea\tdiarrhea\tNN\tB-NP\tO' +p192660 +aS',\t,\t,\tO\tO' +p192661 +aS'and\tand\tCC\tO\tO' +p192662 +aS'dehydration\tdehydration\tNN\tB-NP\tO' +p192663 +aS'.\t.\t.\tO\tO' +p192664 +asS'70 y/o male with h/o CAD s/p LAD PTCA 33 yrs ago , COPD , T2DM , and AICD pocket infection who presented to the Juan on 2017-09-03 with worsening SOB x 5 days and feeling " cloudy ."' +p192665 +(lp192666 +S'70\t70\tCD\tB-NP\tO' +p192667 +aS'y/o\ty/o\tNN\tI-NP\tO' +p192668 +aS'male\tmale\tJJ\tB-ADJP\tO' +p192669 +aS'with\twith\tIN\tB-PP\tO' +p192670 +aS'h/o\th/o\tNN\tB-NP\tB-protein' +p192671 +aS'CAD\tCAD\tNN\tI-NP\tI-protein' +p192672 +aS's/p\ts/p\tNN\tI-NP\tI-protein' +p192673 +aS'LAD\tLAD\tNN\tI-NP\tI-protein' +p192674 +aS'PTCA\tPTCA\tNN\tI-NP\tI-protein' +p192675 +aS'33\t33\tCD\tB-NP\tI-protein' +p192676 +aS'yrs\tyr\tNNS\tI-NP\tI-protein' +p192677 +aS'ago\tago\tIN\tB-ADVP\tO' +p192678 +aS',\t,\t,\tO\tO' +p192679 +aS'COPD\tCOPD\tNN\tB-NP\tO' +p192680 +aS',\t,\t,\tO\tO' +p192681 +aS'T2DM\tT2DM\tNN\tB-NP\tO' +p192682 +aS',\t,\t,\tO\tO' +p192683 +aS'and\tand\tCC\tO\tO' +p192684 +aS'AICD\tAICD\tNN\tB-NP\tO' +p192685 +aS'pocket\tpocket\tNN\tI-NP\tO' +p192686 +aS'infection\tinfection\tNN\tI-NP\tO' +p192687 +aS'who\twho\tWP\tB-NP\tO' +p192688 +aS'presented\tpresent\tVBD\tB-VP\tO' +p192689 +aS'to\tto\tTO\tB-PP\tO' +p192690 +aS'the\tthe\tDT\tB-NP\tO' +p192691 +aS'Juan\tJuan\tNNP\tI-NP\tO' +p192692 +aS'on\ton\tIN\tB-PP\tO' +p192693 +aS'2017-09-03\t2017-09-03\tCD\tB-NP\tO' +p192694 +aS'with\twith\tIN\tB-PP\tO' +p192695 +aS'worsening\tworsen\tVBG\tB-VP\tO' +p192696 +aS'SOB\tSOB\tNN\tB-NP\tB-protein' +p192697 +aS'x\tx\tSYM\tO\tO' +p192698 +aS'5\t5\tCD\tB-NP\tO' +p192699 +aS'days\tday\tNNS\tI-NP\tO' +p192700 +aS'and\tand\tCC\tO\tO' +p192701 +aS'feeling\tfeel\tVBG\tB-VP\tO' +p192702 +aS'"\t"\t``\tO\tO' +p192703 +aS'cloudy\tcloudy\tNN\tB-NP\tO' +p192704 +aS'."\t."\t.\tO\tO' +p192705 +asS'Also a left distal radius fracture with was reduced and splinted .' +p192706 +(lp192707 +S'Also\tAlso\tRB\tB-ADVP\tO' +p192708 +aS'a\ta\tDT\tB-NP\tO' +p192709 +aS'left\tleft\tJJ\tI-NP\tO' +p192710 +aS'distal\tdistal\tJJ\tI-NP\tO' +p192711 +aS'radius\tradius\tNN\tI-NP\tO' +p192712 +aS'fracture\tfracture\tNN\tI-NP\tO' +p192713 +aS'with\twith\tIN\tB-NP\tO' +p192714 +aS'was\tbe\tVBD\tB-VP\tO' +p192715 +aS'reduced\treduce\tVBN\tI-VP\tO' +p192716 +aS'and\tand\tCC\tI-VP\tO' +p192717 +aS'splinted\tsplint\tVBN\tI-VP\tO' +p192718 +aS'.\t.\t.\tO\tO' +p192719 +asS'1. Lopressor 25 milligrams po bid .' +p192720 +(lp192721 +S'1.\t1.\tLS\tB-NP\tO' +p192722 +aS'Lopressor\tLopressor\tNN\tI-NP\tO' +p192723 +aS'25\t25\tCD\tB-NP\tO' +p192724 +aS'milligrams\tmilligram\tNNS\tI-NP\tO' +p192725 +aS'po\tpo\tNN\tI-NP\tO' +p192726 +aS'bid\tbid\tNN\tI-NP\tO' +p192727 +aS'.\t.\t.\tO\tO' +p192728 +asS'The patient is diffusely wheezy upon presentation .' +p192729 +(lp192730 +S'The\tThe\tDT\tB-NP\tO' +p192731 +aS'patient\tpatient\tNN\tI-NP\tO' +p192732 +aS'is\tbe\tVBZ\tB-VP\tO' +p192733 +aS'diffusely\tdiffusely\tRB\tB-ADJP\tO' +p192734 +aS'wheezy\twheezy\tJJ\tI-ADJP\tO' +p192735 +aS'upon\tupon\tIN\tB-PP\tO' +p192736 +aS'presentation\tpresentation\tNN\tB-NP\tO' +p192737 +aS'.\t.\t.\tO\tO' +p192738 +asS'The infant has not received any immunizations this hospitalization .' +p192739 +(lp192740 +S'The\tThe\tDT\tB-NP\tO' +p192741 +aS'infant\tinfant\tNN\tI-NP\tO' +p192742 +aS'has\thave\tVBZ\tB-VP\tO' +p192743 +aS'not\tnot\tRB\tI-VP\tO' +p192744 +aS'received\treceive\tVBN\tI-VP\tO' +p192745 +aS'any\tany\tDT\tB-NP\tO' +p192746 +aS'immunizations\timmunization\tNNS\tI-NP\tO' +p192747 +aS'this\tthis\tDT\tB-NP\tO' +p192748 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p192749 +aS'.\t.\t.\tO\tO' +p192750 +asS'The patient had a chest X-ray which showed mild pulmonary edema .' +p192751 +(lp192752 +S'The\tThe\tDT\tB-NP\tO' +p192753 +aS'patient\tpatient\tNN\tI-NP\tO' +p192754 +aS'had\thave\tVBD\tB-VP\tO' +p192755 +aS'a\ta\tDT\tB-NP\tO' +p192756 +aS'chest\tchest\tNN\tI-NP\tO' +p192757 +aS'X-ray\tX-ray\tNN\tI-NP\tO' +p192758 +aS'which\twhich\tWDT\tB-NP\tO' +p192759 +aS'showed\tshow\tVBD\tB-VP\tO' +p192760 +aS'mild\tmild\tJJ\tB-NP\tO' +p192761 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p192762 +aS'edema\tedema\tNN\tI-NP\tO' +p192763 +aS'.\t.\t.\tO\tO' +p192764 +asS'5. Colace 100 milligrams po bid .' +p192765 +(lp192766 +S'5.\t5.\tLS\tB-LST\tO' +p192767 +aS'Colace\tColace\tNNP\tB-NP\tO' +p192768 +aS'100\t100\tCD\tI-NP\tO' +p192769 +aS'milligrams\tmilligram\tNNS\tI-NP\tO' +p192770 +aS'po\tpo\tNN\tI-NP\tO' +p192771 +aS'bid\tbid\tNN\tI-NP\tO' +p192772 +aS'.\t.\t.\tO\tO' +p192773 +asS'5. Calcitriol 0.25 mcg Capsule Sig : One ( 1 ) Capsule PO EVERY OTHER DAY ( Every Other Day ) .' +p192774 +(lp192775 +S'5.\t5.\tLS\tB-NP\tO' +p192776 +aS'Calcitriol\tCalcitriol\tNN\tI-NP\tO' +p192777 +aS'0.25\t0.25\tCD\tI-NP\tO' +p192778 +aS'mcg\tmcg\tNN\tI-NP\tO' +p192779 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p192780 +aS'Sig\tSig\tNNP\tI-NP\tO' +p192781 +aS':\t:\t:\tO\tO' +p192782 +aS'One\tOne\tCD\tB-NP\tO' +p192783 +aS'(\t(\t(\tO\tO' +p192784 +aS'1\t1\tCD\tB-NP\tO' +p192785 +aS')\t)\t)\tO\tO' +p192786 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p192787 +aS'PO\tPO\tNNP\tI-NP\tO' +p192788 +aS'EVERY\tEVERY\tNNP\tI-NP\tO' +p192789 +aS'OTHER\tOTHER\tNNP\tI-NP\tO' +p192790 +aS'DAY\tDAY\tNNP\tI-NP\tO' +p192791 +aS'(\t(\t(\tO\tO' +p192792 +aS'Every\tEvery\tNNP\tB-NP\tO' +p192793 +aS'Other\tOther\tNNP\tI-NP\tO' +p192794 +aS'Day\tDay\tNNP\tI-NP\tO' +p192795 +aS')\t)\t)\tO\tO' +p192796 +aS'.\t.\t.\tO\tO' +p192797 +asS'The patient continues to actually ventilate well off of the respiratory .' +p192798 +(lp192799 +S'The\tThe\tDT\tB-NP\tO' +p192800 +aS'patient\tpatient\tNN\tI-NP\tO' +p192801 +aS'continues\tcontinue\tVBZ\tB-VP\tO' +p192802 +aS'to\tto\tTO\tI-VP\tO' +p192803 +aS'actually\tactually\tRB\tI-VP\tO' +p192804 +aS'ventilate\tventilate\tVB\tI-VP\tO' +p192805 +aS'well\twell\tRB\tB-ADVP\tO' +p192806 +aS'off\toff\tRP\tB-PRT\tO' +p192807 +aS'of\tof\tIN\tB-PP\tO' +p192808 +aS'the\tthe\tDT\tB-NP\tO' +p192809 +aS'respiratory\trespiratory\tNN\tI-NP\tO' +p192810 +aS'.\t.\t.\tO\tO' +p192811 +asS'In CMED CCU , pt. responsive to noxious stimuli only .' +p192812 +(lp192813 +S'In\tIn\tIN\tB-PP\tO' +p192814 +aS'CMED\tCMED\tNNP\tB-NP\tO' +p192815 +aS'CCU\tCCU\tNNP\tI-NP\tO' +p192816 +aS',\t,\t,\tO\tO' +p192817 +aS'pt.\tpt.\tNN\tB-NP\tO' +p192818 +aS'responsive\tresponsive\tJJ\tB-ADJP\tO' +p192819 +aS'to\tto\tTO\tB-PP\tO' +p192820 +aS'noxious\tnoxious\tJJ\tB-NP\tO' +p192821 +aS'stimuli\tstimulus\tNNS\tI-NP\tO' +p192822 +aS'only\tonly\tRB\tB-ADVP\tO' +p192823 +aS'.\t.\t.\tO\tO' +p192824 +asS'He has a wife with Alzheimer 's who lives in a skilled-nursing facility .' +p192825 +(lp192826 +S'He\tHe\tPRP\tB-NP\tO' +p192827 +aS'has\thave\tVBZ\tB-VP\tO' +p192828 +aS'a\ta\tDT\tB-NP\tO' +p192829 +aS'wife\twife\tNN\tI-NP\tO' +p192830 +aS'with\twith\tIN\tB-PP\tO' +p192831 +aS'Alzheimer\tAlzheimer\tNNP\tB-NP\tO' +p192832 +aS''s\t'\tNNS\tI-NP\tO' +p192833 +aS'who\twho\tWP\tB-NP\tO' +p192834 +aS'lives\tlive\tVBZ\tB-VP\tO' +p192835 +aS'in\tin\tIN\tB-PP\tO' +p192836 +aS'a\ta\tDT\tB-NP\tO' +p192837 +aS'skilled-nursing\tskilled-nursing\tJJ\tI-NP\tO' +p192838 +aS'facility\tfacility\tNN\tI-NP\tO' +p192839 +aS'.\t.\t.\tO\tO' +p192840 +asS'His initial blood gases on 40% 02 was P02 102 , PC02 115 , PH 7.11 .' +p192841 +(lp192842 +S'His\tHis\tPRP$\tB-NP\tB-protein' +p192843 +aS'initial\tinitial\tJJ\tI-NP\tI-protein' +p192844 +aS'blood\tblood\tNN\tI-NP\tI-protein' +p192845 +aS'gases\tgas\tNNS\tI-NP\tI-protein' +p192846 +aS'on\ton\tIN\tB-PP\tO' +p192847 +aS'40%\t40%\tNN\tB-NP\tO' +p192848 +aS'02\t02\tCD\tI-NP\tO' +p192849 +aS'was\tbe\tVBD\tB-VP\tO' +p192850 +aS'P02\tP02\tNN\tB-NP\tO' +p192851 +aS'102\t102\tCD\tI-NP\tO' +p192852 +aS',\t,\t,\tO\tO' +p192853 +aS'PC02\tPC02\tNN\tB-NP\tB-cell_line' +p192854 +aS'115\t115\tCD\tI-NP\tI-cell_line' +p192855 +aS',\t,\t,\tO\tO' +p192856 +aS'PH\tPH\tNN\tB-NP\tO' +p192857 +aS'7.11\t7.11\tCD\tI-NP\tO' +p192858 +aS'.\t.\t.\tO\tO' +p192859 +asS'11. Miconazole powder 2% one application t.p. t.i.d. p.r.n.' +p192860 +(lp192861 +S'11.\t11.\tLS\tB-NP\tO' +p192862 +aS'Miconazole\tMiconazole\tNN\tI-NP\tO' +p192863 +aS'powder\tpowder\tNN\tI-NP\tO' +p192864 +aS'2%\t2%\tCD\tI-NP\tO' +p192865 +aS'one\tone\tCD\tI-NP\tO' +p192866 +aS'application\tapplication\tNN\tI-NP\tO' +p192867 +aS't.p.\tt.p.\tNN\tI-NP\tO' +p192868 +aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' +p192869 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p192870 +asS'He was disconnected from the ventilator and all medications beyond a morphine drip were stopped , and he expired shortly thereafter .' +p192871 +(lp192872 +S'He\tHe\tPRP\tB-NP\tO' +p192873 +aS'was\tbe\tVBD\tB-VP\tO' +p192874 +aS'disconnected\tdisconnect\tVBN\tI-VP\tO' +p192875 +aS'from\tfrom\tIN\tB-PP\tO' +p192876 +aS'the\tthe\tDT\tB-NP\tO' +p192877 +aS'ventilator\tventilator\tNN\tI-NP\tO' +p192878 +aS'and\tand\tCC\tO\tO' +p192879 +aS'all\tall\tDT\tB-NP\tO' +p192880 +aS'medications\tmedication\tNNS\tI-NP\tO' +p192881 +aS'beyond\tbeyond\tIN\tB-PP\tO' +p192882 +aS'a\ta\tDT\tB-NP\tO' +p192883 +aS'morphine\tmorphine\tNN\tI-NP\tO' +p192884 +aS'drip\tdrip\tNN\tI-NP\tO' +p192885 +aS'were\tbe\tVBD\tB-VP\tO' +p192886 +aS'stopped\tstop\tVBN\tI-VP\tO' +p192887 +aS',\t,\t,\tO\tO' +p192888 +aS'and\tand\tCC\tO\tO' +p192889 +aS'he\the\tPRP\tB-NP\tO' +p192890 +aS'expired\texpire\tVBD\tB-VP\tO' +p192891 +aS'shortly\tshortly\tRB\tB-ADVP\tO' +p192892 +aS'thereafter\tthereafter\tRB\tI-ADVP\tO' +p192893 +aS'.\t.\t.\tO\tO' +p192894 +asS'No delayed upstroke .' +p192895 +(lp192896 +S'No\tNo\tDT\tB-NP\tO' +p192897 +aS'delayed\tdelay\tVBN\tI-NP\tO' +p192898 +aS'upstroke\tupstroke\tNN\tI-NP\tO' +p192899 +aS'.\t.\t.\tO\tO' +p192900 +asS'Developed burning chest pain before bedtime the night PTA .' +p192901 +(lp192902 +S'Developed\tDevelop\tVBN\tB-VP\tO' +p192903 +aS'burning\tburn\tVBG\tB-VP\tO' +p192904 +aS'chest\tchest\tNN\tB-NP\tO' +p192905 +aS'pain\tpain\tNN\tI-NP\tO' +p192906 +aS'before\tbefore\tIN\tB-PP\tO' +p192907 +aS'bedtime\tbedtime\tNN\tB-NP\tO' +p192908 +aS'the\tthe\tDT\tB-NP\tO' +p192909 +aS'night\tnight\tNN\tI-NP\tB-protein' +p192910 +aS'PTA\tPTA\tNN\tI-NP\tI-protein' +p192911 +aS'.\t.\t.\tO\tO' +p192912 +asS'Delivery was by repeat cesarean section and Apgars of 8 and 9 were given at one and five minutes respectively .' +p192913 +(lp192914 +S'Delivery\tDelivery\tNN\tB-NP\tO' +p192915 +aS'was\tbe\tVBD\tB-VP\tO' +p192916 +aS'by\tby\tIN\tB-PP\tO' +p192917 +aS'repeat\trepeat\tNN\tB-NP\tO' +p192918 +aS'cesarean\tcesarean\tJJ\tI-NP\tO' +p192919 +aS'section\tsection\tNN\tI-NP\tO' +p192920 +aS'and\tand\tCC\tI-NP\tO' +p192921 +aS'Apgars\tApgar\tNNS\tI-NP\tO' +p192922 +aS'of\tof\tIN\tB-PP\tO' +p192923 +aS'8\t8\tCD\tB-NP\tO' +p192924 +aS'and\tand\tCC\tI-NP\tO' +p192925 +aS'9\t9\tCD\tI-NP\tO' +p192926 +aS'were\tbe\tVBD\tB-VP\tO' +p192927 +aS'given\tgive\tVBN\tI-VP\tO' +p192928 +aS'at\tat\tIN\tB-PP\tO' +p192929 +aS'one\tone\tCD\tB-NP\tO' +p192930 +aS'and\tand\tCC\tI-NP\tO' +p192931 +aS'five\tfive\tCD\tI-NP\tO' +p192932 +aS'minutes\tminute\tNNS\tI-NP\tO' +p192933 +aS'respectively\trespectively\tRB\tB-ADVP\tO' +p192934 +aS'.\t.\t.\tO\tO' +p192935 +asS'On postoperative day 1 , the patient remained hemodynamically stable on a Neo-Synephrine drip to maintain an adequate blood' +p192936 +(lp192937 +S'On\tOn\tIN\tB-PP\tO' +p192938 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p192939 +aS'day\tday\tNN\tI-NP\tO' +p192940 +aS'1\t1\tCD\tI-NP\tO' +p192941 +aS',\t,\t,\tO\tO' +p192942 +aS'the\tthe\tDT\tB-NP\tO' +p192943 +aS'patient\tpatient\tNN\tI-NP\tO' +p192944 +aS'remained\tremain\tVBD\tB-VP\tO' +p192945 +aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' +p192946 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p192947 +aS'on\ton\tIN\tB-PP\tO' +p192948 +aS'a\ta\tDT\tB-NP\tO' +p192949 +aS'Neo-Synephrine\tNeo-Synephrine\tJJ\tI-NP\tO' +p192950 +aS'drip\tdrip\tNN\tI-NP\tO' +p192951 +aS'to\tto\tTO\tB-VP\tO' +p192952 +aS'maintain\tmaintain\tVB\tI-VP\tO' +p192953 +aS'an\tan\tDT\tB-NP\tO' +p192954 +aS'adequate\tadequate\tJJ\tI-NP\tO' +p192955 +aS'blood\tblood\tNN\tI-NP\tO' +p192956 +asS'He was placed on Penicillin G , Clindamycin , for empiric coverage of his wound , with Group A strep growth from the New England Baptist Hospital-Bryce cultures .' +p192957 +(lp192958 +S'He\tHe\tPRP\tB-NP\tO' +p192959 +aS'was\tbe\tVBD\tB-VP\tO' +p192960 +aS'placed\tplace\tVBN\tI-VP\tO' +p192961 +aS'on\ton\tIN\tB-PP\tO' +p192962 +aS'Penicillin\tPenicillin\tNNP\tB-NP\tO' +p192963 +aS'G\tG\tNNP\tI-NP\tO' +p192964 +aS',\t,\t,\tO\tO' +p192965 +aS'Clindamycin\tClindamycin\tNNP\tB-NP\tO' +p192966 +aS',\t,\t,\tO\tO' +p192967 +aS'for\tfor\tIN\tB-PP\tO' +p192968 +aS'empiric\tempiric\tJJ\tB-NP\tO' +p192969 +aS'coverage\tcoverage\tNN\tI-NP\tO' +p192970 +aS'of\tof\tIN\tB-PP\tO' +p192971 +aS'his\this\tPRP$\tB-NP\tO' +p192972 +aS'wound\twound\tNN\tI-NP\tO' +p192973 +aS',\t,\t,\tO\tO' +p192974 +aS'with\twith\tIN\tB-PP\tO' +p192975 +aS'Group\tGroup\tNN\tB-NP\tO' +p192976 +aS'A\tA\tNN\tI-NP\tO' +p192977 +aS'strep\tstrep\tNN\tI-NP\tO' +p192978 +aS'growth\tgrowth\tNN\tI-NP\tO' +p192979 +aS'from\tfrom\tIN\tB-PP\tO' +p192980 +aS'the\tthe\tDT\tB-NP\tO' +p192981 +aS'New\tNew\tNNP\tI-NP\tO' +p192982 +aS'England\tEngland\tNNP\tI-NP\tB-cell_line' +p192983 +aS'Baptist\tBaptist\tNNP\tI-NP\tI-cell_line' +p192984 +aS'Hospital-Bryce\tHospital-Bryce\tNNP\tI-NP\tI-cell_line' +p192985 +aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' +p192986 +aS'.\t.\t.\tO\tO' +p192987 +asS'He also became hypotensive on 07-02 in the setting of infection .' +p192988 +(lp192989 +S'He\tHe\tPRP\tB-NP\tO' +p192990 +aS'also\talso\tRB\tB-ADVP\tO' +p192991 +aS'became\tbecome\tVBD\tB-VP\tO' +p192992 +aS'hypotensive\thypotensive\tJJ\tB-ADJP\tO' +p192993 +aS'on\ton\tIN\tB-PP\tO' +p192994 +aS'07-02\t07-02\tCD\tB-NP\tO' +p192995 +aS'in\tin\tIN\tB-PP\tO' +p192996 +aS'the\tthe\tDT\tB-NP\tO' +p192997 +aS'setting\tsetting\tNN\tI-NP\tO' +p192998 +aS'of\tof\tIN\tB-PP\tO' +p192999 +aS'infection\tinfection\tNN\tB-NP\tO' +p193000 +aS'.\t.\t.\tO\tO' +p193001 +asS'The patient will also be followed by the Infectious Disease Service so as to ascertain the exact length and course of his antibiotic therapy .' +p193002 +(lp193003 +S'The\tThe\tDT\tB-NP\tO' +p193004 +aS'patient\tpatient\tNN\tI-NP\tO' +p193005 +aS'will\twill\tMD\tB-VP\tO' +p193006 +aS'also\talso\tRB\tI-VP\tO' +p193007 +aS'be\tbe\tVB\tI-VP\tO' +p193008 +aS'followed\tfollow\tVBN\tI-VP\tO' +p193009 +aS'by\tby\tIN\tB-PP\tO' +p193010 +aS'the\tthe\tDT\tB-NP\tO' +p193011 +aS'Infectious\tInfectious\tNNP\tI-NP\tO' +p193012 +aS'Disease\tDisease\tNNP\tI-NP\tO' +p193013 +aS'Service\tService\tNNP\tI-NP\tO' +p193014 +aS'so\tso\tRB\tB-SBAR\tO' +p193015 +aS'as\tas\tIN\tI-SBAR\tO' +p193016 +aS'to\tto\tTO\tB-VP\tO' +p193017 +aS'ascertain\tascertain\tVB\tI-VP\tO' +p193018 +aS'the\tthe\tDT\tB-NP\tO' +p193019 +aS'exact\texact\tJJ\tI-NP\tO' +p193020 +aS'length\tlength\tNN\tI-NP\tO' +p193021 +aS'and\tand\tCC\tI-NP\tO' +p193022 +aS'course\tcourse\tNN\tI-NP\tO' +p193023 +aS'of\tof\tIN\tB-PP\tO' +p193024 +aS'his\this\tPRP$\tB-NP\tO' +p193025 +aS'antibiotic\tantibiotic\tJJ\tI-NP\tO' +p193026 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p193027 +aS'.\t.\t.\tO\tO' +p193028 +asS'Following triage , the patient left without being seen .' +p193029 +(lp193030 +S'Following\tFollow\tVBG\tB-PP\tO' +p193031 +aS'triage\ttriage\tNN\tB-NP\tO' +p193032 +aS',\t,\t,\tO\tO' +p193033 +aS'the\tthe\tDT\tB-NP\tO' +p193034 +aS'patient\tpatient\tNN\tI-NP\tO' +p193035 +aS'left\tleave\tVBD\tB-VP\tO' +p193036 +aS'without\twithout\tIN\tB-PP\tO' +p193037 +aS'being\tbe\tVBG\tB-VP\tO' +p193038 +aS'seen\tsee\tVBN\tI-VP\tO' +p193039 +aS'.\t.\t.\tO\tO' +p193040 +asS'Her bilirubin was 1.4 total , 0.2 direct .' +p193041 +(lp193042 +S'Her\tHer\tPRP$\tB-NP\tO' +p193043 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p193044 +aS'was\tbe\tVBD\tB-VP\tO' +p193045 +aS'1.4\t1.4\tCD\tB-NP\tO' +p193046 +aS'total\ttotal\tNN\tI-NP\tO' +p193047 +aS',\t,\t,\tO\tO' +p193048 +aS'0.2\t0.2\tCD\tB-NP\tO' +p193049 +aS'direct\tdirect\tJJ\tI-NP\tO' +p193050 +aS'.\t.\t.\tO\tO' +p193051 +asS'Chest x-ray showed questionable nodule in the right lower lobe , reasonably stable .' +p193052 +(lp193053 +S'Chest\tCh\tJJS\tB-NP\tO' +p193054 +aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' +p193055 +aS'showed\tshow\tVBD\tB-VP\tO' +p193056 +aS'questionable\tquestionable\tJJ\tB-NP\tO' +p193057 +aS'nodule\tnodule\tNN\tI-NP\tO' +p193058 +aS'in\tin\tIN\tB-PP\tO' +p193059 +aS'the\tthe\tDT\tB-NP\tO' +p193060 +aS'right\tright\tJJ\tI-NP\tO' +p193061 +aS'lower\tlow\tJJR\tI-NP\tO' +p193062 +aS'lobe\tlobe\tNN\tI-NP\tO' +p193063 +aS',\t,\t,\tO\tO' +p193064 +aS'reasonably\treasonably\tRB\tB-ADJP\tO' +p193065 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p193066 +aS'.\t.\t.\tO\tO' +p193067 +asS"The patient 's lung examination revealed the lungs to be clear to auscultation bilaterally , no crepitus , and a left clavicular deformity was grossly apparent on examination ." +p193068 +(lp193069 +S'The\tThe\tDT\tB-NP\tO' +p193070 +aS'patient\tpatient\tNN\tI-NP\tO' +p193071 +aS"'s\t's\tPOS\tB-NP\tO" +p193072 +aS'lung\tlung\tNN\tI-NP\tO' +p193073 +aS'examination\texamination\tNN\tI-NP\tO' +p193074 +aS'revealed\treveal\tVBD\tB-VP\tO' +p193075 +aS'the\tthe\tDT\tB-NP\tO' +p193076 +aS'lungs\tlung\tNNS\tI-NP\tO' +p193077 +aS'to\tto\tTO\tB-VP\tO' +p193078 +aS'be\tbe\tVB\tI-VP\tO' +p193079 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p193080 +aS'to\tto\tTO\tB-PP\tO' +p193081 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p193082 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p193083 +aS',\t,\t,\tO\tO' +p193084 +aS'no\tno\tDT\tB-NP\tO' +p193085 +aS'crepitus\tcrepitus\tNN\tI-NP\tO' +p193086 +aS',\t,\t,\tO\tO' +p193087 +aS'and\tand\tCC\tO\tO' +p193088 +aS'a\ta\tDT\tB-NP\tO' +p193089 +aS'left\tleft\tJJ\tI-NP\tO' +p193090 +aS'clavicular\tclavicular\tJJ\tI-NP\tO' +p193091 +aS'deformity\tdeformity\tNN\tI-NP\tO' +p193092 +aS'was\tbe\tVBD\tB-VP\tO' +p193093 +aS'grossly\tgrossly\tRB\tB-ADJP\tO' +p193094 +aS'apparent\tapparent\tJJ\tI-ADJP\tO' +p193095 +aS'on\ton\tIN\tB-PP\tO' +p193096 +aS'examination\texamination\tNN\tB-NP\tO' +p193097 +aS'.\t.\t.\tO\tO' +p193098 +asS'There was no increased warmth over this area nor is there any exudate from his wounds .' +p193099 +(lp193100 +S'There\tThere\tEX\tB-NP\tO' +p193101 +aS'was\tbe\tVBD\tB-VP\tO' +p193102 +aS'no\tno\tDT\tB-NP\tO' +p193103 +aS'increased\tincrease\tVBN\tI-NP\tO' +p193104 +aS'warmth\twarmth\tNN\tI-NP\tO' +p193105 +aS'over\tover\tIN\tB-PP\tO' +p193106 +aS'this\tthis\tDT\tB-NP\tO' +p193107 +aS'area\tarea\tNN\tI-NP\tO' +p193108 +aS'nor\tnor\tCC\tO\tO' +p193109 +aS'is\tbe\tVBZ\tB-VP\tO' +p193110 +aS'there\tthere\tEX\tB-NP\tO' +p193111 +aS'any\tany\tDT\tB-NP\tO' +p193112 +aS'exudate\texudate\tNN\tI-NP\tO' +p193113 +aS'from\tfrom\tIN\tB-PP\tO' +p193114 +aS'his\this\tPRP$\tB-NP\tO' +p193115 +aS'wounds\twound\tNNS\tI-NP\tO' +p193116 +aS'.\t.\t.\tO\tO' +p193117 +asS'There was no definite perfusion abnormality in the circumflex zone .' +p193118 +(lp193119 +S'There\tThere\tEX\tB-NP\tO' +p193120 +aS'was\tbe\tVBD\tB-VP\tO' +p193121 +aS'no\tno\tDT\tB-NP\tO' +p193122 +aS'definite\tdefinite\tJJ\tI-NP\tO' +p193123 +aS'perfusion\tperfusion\tNN\tI-NP\tO' +p193124 +aS'abnormality\tabnormality\tNN\tI-NP\tO' +p193125 +aS'in\tin\tIN\tB-PP\tO' +p193126 +aS'the\tthe\tDT\tB-NP\tO' +p193127 +aS'circumflex\tcircumflex\tNN\tI-NP\tO' +p193128 +aS'zone\tzone\tNN\tI-NP\tO' +p193129 +aS'.\t.\t.\tO\tO' +p193130 +asS'CXR 2013-12-24 - There are faint ill-defined opacities within the right lower lung zone and left upper lung zone could represent a multifocal pneumonic process .' +p193131 +(lp193132 +S'CXR\tCXR\tNN\tB-NP\tO' +p193133 +aS'2013-12-24\t2013-12-24\tCD\tI-NP\tO' +p193134 +aS'-\t-\tHYPH\tO\tO' +p193135 +aS'There\tThere\tEX\tB-NP\tO' +p193136 +aS'are\tbe\tVBP\tB-VP\tO' +p193137 +aS'faint\tfaint\tJJ\tB-NP\tO' +p193138 +aS'ill-defined\till-defined\tJJ\tI-NP\tO' +p193139 +aS'opacities\topacity\tNNS\tI-NP\tO' +p193140 +aS'within\twithin\tIN\tB-PP\tO' +p193141 +aS'the\tthe\tDT\tB-NP\tO' +p193142 +aS'right\tright\tJJ\tI-NP\tO' +p193143 +aS'lower\tlow\tJJR\tI-NP\tO' +p193144 +aS'lung\tlung\tNN\tI-NP\tO' +p193145 +aS'zone\tzone\tNN\tI-NP\tO' +p193146 +aS'and\tand\tCC\tO\tO' +p193147 +aS'left\tleave\tVBD\tB-VP\tO' +p193148 +aS'upper\tupper\tJJ\tB-NP\tO' +p193149 +aS'lung\tlung\tNN\tI-NP\tO' +p193150 +aS'zone\tzone\tNN\tI-NP\tO' +p193151 +aS'could\tcould\tMD\tB-VP\tO' +p193152 +aS'represent\trepresent\tVB\tI-VP\tO' +p193153 +aS'a\ta\tDT\tB-NP\tO' +p193154 +aS'multifocal\tmultifocal\tJJ\tI-NP\tO' +p193155 +aS'pneumonic\tpneumonic\tJJ\tI-NP\tO' +p193156 +aS'process\tprocess\tNN\tI-NP\tO' +p193157 +aS'.\t.\t.\tO\tO' +p193158 +asS'Neurogenic bladder .' +p193159 +(lp193160 +S'Neurogenic\tNeurogenic\tJJ\tB-NP\tO' +p193161 +aS'bladder\tbladder\tNN\tI-NP\tO' +p193162 +aS'.\t.\t.\tO\tO' +p193163 +asS'Regular rate and rhythm with a 2 out of 6 systolic ejection murmur heard loudest at the apex .' +p193164 +(lp193165 +S'Regular\tRegular\tJJ\tB-NP\tO' +p193166 +aS'rate\trate\tNN\tI-NP\tO' +p193167 +aS'and\tand\tCC\tI-NP\tO' +p193168 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p193169 +aS'with\twith\tIN\tB-PP\tO' +p193170 +aS'a\ta\tDT\tB-NP\tO' +p193171 +aS'2\t2\tCD\tI-NP\tO' +p193172 +aS'out\tout\tIN\tI-NP\tO' +p193173 +aS'of\tof\tIN\tI-NP\tO' +p193174 +aS'6\t6\tCD\tI-NP\tO' +p193175 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p193176 +aS'ejection\tejection\tNN\tI-NP\tO' +p193177 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p193178 +aS'heard\thear\tVBD\tB-VP\tO' +p193179 +aS'loudest\tloud\tJJS\tB-ADVP\tO' +p193180 +aS'at\tat\tIN\tB-PP\tO' +p193181 +aS'the\tthe\tDT\tB-NP\tO' +p193182 +aS'apex\tapex\tNN\tI-NP\tO' +p193183 +aS'.\t.\t.\tO\tO' +p193184 +asS'Uset to be truck driver .' +p193185 +(lp193186 +S'Uset\tUset\tNN\tB-NP\tO' +p193187 +aS'to\tto\tTO\tB-VP\tO' +p193188 +aS'be\tbe\tVB\tI-VP\tO' +p193189 +aS'truck\ttruck\tNN\tB-NP\tO' +p193190 +aS'driver\tdriver\tNN\tI-NP\tO' +p193191 +aS'.\t.\t.\tO\tO' +p193192 +asS'A blood culture was obtained upon admission and Ampicillin and Gentamicin were given for 48 hours with blood cultures remaining sterile .' +p193193 +(lp193194 +S'A\tA\tDT\tB-NP\tO' +p193195 +aS'blood\tblood\tNN\tI-NP\tO' +p193196 +aS'culture\tculture\tNN\tI-NP\tO' +p193197 +aS'was\tbe\tVBD\tB-VP\tO' +p193198 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p193199 +aS'upon\tupon\tIN\tB-PP\tO' +p193200 +aS'admission\tadmission\tNN\tB-NP\tO' +p193201 +aS'and\tand\tCC\tI-NP\tO' +p193202 +aS'Ampicillin\tAmpicillin\tNN\tI-NP\tO' +p193203 +aS'and\tand\tCC\tI-NP\tO' +p193204 +aS'Gentamicin\tGentamicin\tNN\tI-NP\tO' +p193205 +aS'were\tbe\tVBD\tB-VP\tO' +p193206 +aS'given\tgive\tVBN\tI-VP\tO' +p193207 +aS'for\tfor\tIN\tB-PP\tO' +p193208 +aS'48\t48\tCD\tB-NP\tO' +p193209 +aS'hours\thour\tNNS\tI-NP\tO' +p193210 +aS'with\twith\tIN\tB-PP\tO' +p193211 +aS'blood\tblood\tNN\tB-NP\tO' +p193212 +aS'cultures\tculture\tNNS\tI-NP\tO' +p193213 +aS'remaining\tremain\tVBG\tB-VP\tO' +p193214 +aS'sterile\tsterile\tJJ\tB-ADJP\tO' +p193215 +aS'.\t.\t.\tO\tO' +p193216 +asS'Prilosec 20 mg p.o. every day .' +p193217 +(lp193218 +S'Prilosec\tPrilosec\tRB\tB-NP\tO' +p193219 +aS'20\t20\tCD\tI-NP\tO' +p193220 +aS'mg\tmg\tNN\tI-NP\tO' +p193221 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p193222 +aS'every\tevery\tDT\tB-NP\tO' +p193223 +aS'day\tday\tNN\tI-NP\tO' +p193224 +aS'.\t.\t.\tO\tO' +p193225 +asS'1 ) Albuterol inhaler 4 puffs q.i.d.' +p193226 +(lp193227 +S'1\t1\tLS\tB-LST\tO' +p193228 +aS')\t)\t)\tO\tO' +p193229 +aS'Albuterol\tAlbuterol\tNN\tB-NP\tO' +p193230 +aS'inhaler\tinhaler\tNN\tI-NP\tO' +p193231 +aS'4\t4\tCD\tB-NP\tO' +p193232 +aS'puffs\tpuff\tNNS\tI-NP\tO' +p193233 +aS'q.i.d.\tq.i.d.\tRB\tB-ADVP\tO' +p193234 +asS'The wounds were clean , dry and intact , and flat .' +p193235 +(lp193236 +S'The\tThe\tDT\tB-NP\tO' +p193237 +aS'wounds\twound\tNNS\tI-NP\tO' +p193238 +aS'were\tbe\tVBD\tB-VP\tO' +p193239 +aS'clean\tclean\tJJ\tB-ADJP\tO' +p193240 +aS',\t,\t,\tI-ADJP\tO' +p193241 +aS'dry\tdry\tJJ\tI-ADJP\tO' +p193242 +aS'and\tand\tCC\tI-ADJP\tO' +p193243 +aS'intact\tintact\tJJ\tI-ADJP\tO' +p193244 +aS',\t,\t,\tO\tO' +p193245 +aS'and\tand\tCC\tO\tO' +p193246 +aS'flat\tflat\tJJ\tB-ADJP\tO' +p193247 +aS'.\t.\t.\tO\tO' +p193248 +asS'The patient was taken to the operating room on 2011-10-18 where he underwent an aortic valve replacement with #23 mm pericardial valve as well as coronary artery bypass graft times two with a LIMA to the LAD and saphenous vein to the acute marginal .' +p193249 +(lp193250 +S'The\tThe\tDT\tB-NP\tO' +p193251 +aS'patient\tpatient\tNN\tI-NP\tO' +p193252 +aS'was\tbe\tVBD\tB-VP\tO' +p193253 +aS'taken\ttake\tVBN\tI-VP\tO' +p193254 +aS'to\tto\tTO\tB-PP\tO' +p193255 +aS'the\tthe\tDT\tB-NP\tO' +p193256 +aS'operating\toperating\tNN\tI-NP\tO' +p193257 +aS'room\troom\tNN\tI-NP\tO' +p193258 +aS'on\ton\tIN\tB-PP\tO' +p193259 +aS'2011-10-18\t2011-10-18\tCD\tB-NP\tO' +p193260 +aS'where\twhere\tWRB\tB-ADVP\tO' +p193261 +aS'he\the\tPRP\tB-NP\tO' +p193262 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p193263 +aS'an\tan\tDT\tB-NP\tO' +p193264 +aS'aortic\taortic\tJJ\tI-NP\tO' +p193265 +aS'valve\tvalve\tNN\tI-NP\tO' +p193266 +aS'replacement\treplacement\tNN\tI-NP\tO' +p193267 +aS'with\twith\tIN\tB-PP\tO' +p193268 +aS'#23\t#23\tCD\tB-NP\tO' +p193269 +aS'mm\tmm\tNN\tI-NP\tO' +p193270 +aS'pericardial\tpericardial\tJJ\tB-ADJP\tO' +p193271 +aS'valve\tvalve\tVBP\tB-VP\tO' +p193272 +aS'as\tas\tRB\tB-CONJP\tO' +p193273 +aS'well\twell\tRB\tI-CONJP\tO' +p193274 +aS'as\tas\tIN\tI-CONJP\tO' +p193275 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p193276 +aS'artery\tartery\tNN\tI-NP\tO' +p193277 +aS'bypass\tbypass\tIN\tB-PP\tO' +p193278 +aS'graft\tgraft\tNN\tB-NP\tO' +p193279 +aS'times\ttime\tNNS\tI-NP\tO' +p193280 +aS'two\ttwo\tCD\tB-NP\tO' +p193281 +aS'with\twith\tIN\tB-PP\tO' +p193282 +aS'a\ta\tDT\tB-NP\tO' +p193283 +aS'LIMA\tLIMA\tNN\tI-NP\tO' +p193284 +aS'to\tto\tTO\tB-PP\tO' +p193285 +aS'the\tthe\tDT\tB-NP\tO' +p193286 +aS'LAD\tLAD\tNN\tI-NP\tO' +p193287 +aS'and\tand\tCC\tO\tO' +p193288 +aS'saphenous\tsaphenous\tJJ\tB-NP\tO' +p193289 +aS'vein\tvein\tNN\tI-NP\tO' +p193290 +aS'to\tto\tTO\tB-PP\tO' +p193291 +aS'the\tthe\tDT\tB-NP\tO' +p193292 +aS'acute\tacute\tJJ\tI-NP\tO' +p193293 +aS'marginal\tmarginal\tNN\tI-NP\tO' +p193294 +aS'.\t.\t.\tO\tO' +p193295 +asS'Condition at time of transfer is good .' +p193296 +(lp193297 +S'Condition\tCondition\tNN\tB-NP\tO' +p193298 +aS'at\tat\tIN\tB-PP\tO' +p193299 +aS'time\ttime\tNN\tB-NP\tO' +p193300 +aS'of\tof\tIN\tB-PP\tO' +p193301 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p193302 +aS'is\tbe\tVBZ\tB-VP\tO' +p193303 +aS'good\tgood\tJJ\tB-ADJP\tO' +p193304 +aS'.\t.\t.\tO\tO' +p193305 +asS'On neurological examination , mental status alert and oriented x three , good memory , fluent speech , good repetition and naming .' +p193306 +(lp193307 +S'On\tOn\tIN\tB-PP\tO' +p193308 +aS'neurological\tneurological\tJJ\tB-NP\tO' +p193309 +aS'examination\texamination\tNN\tI-NP\tO' +p193310 +aS',\t,\t,\tO\tO' +p193311 +aS'mental\tmental\tJJ\tB-NP\tO' +p193312 +aS'status\tstatus\tNN\tI-NP\tO' +p193313 +aS'alert\talert\tNN\tI-NP\tO' +p193314 +aS'and\tand\tCC\tO\tO' +p193315 +aS'oriented\torient\tVBD\tB-VP\tO' +p193316 +aS'x\tx\tNN\tB-NP\tO' +p193317 +aS'three\tthree\tCD\tI-NP\tO' +p193318 +aS',\t,\t,\tI-NP\tO' +p193319 +aS'good\tgood\tJJ\tI-NP\tO' +p193320 +aS'memory\tmemory\tNN\tI-NP\tO' +p193321 +aS',\t,\t,\tO\tO' +p193322 +aS'fluent\tfluent\tJJ\tB-NP\tO' +p193323 +aS'speech\tspeech\tNN\tI-NP\tO' +p193324 +aS',\t,\t,\tO\tO' +p193325 +aS'good\tgood\tJJ\tB-NP\tO' +p193326 +aS'repetition\trepetition\tNN\tI-NP\tO' +p193327 +aS'and\tand\tCC\tI-NP\tO' +p193328 +aS'naming\tnaming\tNN\tI-NP\tO' +p193329 +aS'.\t.\t.\tO\tO' +p193330 +asS'The patient needs physical therapy to increase stability in mobilization .' +p193331 +(lp193332 +S'The\tThe\tDT\tB-NP\tO' +p193333 +aS'patient\tpatient\tNN\tI-NP\tO' +p193334 +aS'needs\tneed\tVBZ\tB-VP\tO' +p193335 +aS'physical\tphysical\tJJ\tB-NP\tO' +p193336 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p193337 +aS'to\tto\tTO\tB-VP\tO' +p193338 +aS'increase\tincrease\tVB\tI-VP\tO' +p193339 +aS'stability\tstability\tNN\tB-NP\tO' +p193340 +aS'in\tin\tIN\tB-PP\tO' +p193341 +aS'mobilization\tmobilization\tNN\tB-NP\tO' +p193342 +aS'.\t.\t.\tO\tO' +p193343 +asS'Ms. Breunlinke is a 69 year-old right handed woman , status post surgical correction of a C-1 to C-2 dural AVM in January , 1998 , now presenting with a one month history of increasing left sided weakness and pain with spasticity , occasional difficulty swallowing and abdominal pain .' +p193344 +(lp193345 +S'Ms.\tMs.\tNNP\tB-NP\tO' +p193346 +aS'Breunlinke\tBreunlinke\tNNP\tI-NP\tO' +p193347 +aS'is\tbe\tVBZ\tB-VP\tO' +p193348 +aS'a\ta\tDT\tB-NP\tO' +p193349 +aS'69\t69\tCD\tI-NP\tO' +p193350 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p193351 +aS'right\tright\tJJ\tI-NP\tO' +p193352 +aS'handed\thanded\tJJ\tI-NP\tO' +p193353 +aS'woman\twoman\tNN\tI-NP\tO' +p193354 +aS',\t,\t,\tO\tO' +p193355 +aS'status\tstatus\tNN\tB-NP\tO' +p193356 +aS'post\tpost\tNN\tI-NP\tO' +p193357 +aS'surgical\tsurgical\tJJ\tI-NP\tO' +p193358 +aS'correction\tcorrection\tNN\tI-NP\tO' +p193359 +aS'of\tof\tIN\tB-PP\tO' +p193360 +aS'a\ta\tDT\tB-NP\tO' +p193361 +aS'C-1\tC-1\tNN\tI-NP\tB-protein' +p193362 +aS'to\tto\tTO\tB-PP\tO' +p193363 +aS'C-2\tC-2\tNN\tB-NP\tB-protein' +p193364 +aS'dural\tdural\tJJ\tI-NP\tO' +p193365 +aS'AVM\tAVM\tNN\tI-NP\tO' +p193366 +aS'in\tin\tIN\tB-PP\tO' +p193367 +aS'January\tJanuary\tNNP\tB-NP\tO' +p193368 +aS',\t,\t,\tO\tO' +p193369 +aS'1998\t1998\tCD\tB-NP\tO' +p193370 +aS',\t,\t,\tO\tO' +p193371 +aS'now\tnow\tRB\tB-ADVP\tO' +p193372 +aS'presenting\tpresent\tVBG\tB-VP\tO' +p193373 +aS'with\twith\tIN\tB-PP\tO' +p193374 +aS'a\ta\tDT\tB-NP\tO' +p193375 +aS'one\tone\tCD\tI-NP\tO' +p193376 +aS'month\tmonth\tNN\tI-NP\tO' +p193377 +aS'history\thistory\tNN\tI-NP\tO' +p193378 +aS'of\tof\tIN\tB-PP\tO' +p193379 +aS'increasing\tincrease\tVBG\tB-VP\tO' +p193380 +aS'left\tleft\tJJ\tB-NP\tO' +p193381 +aS'sided\tsided\tJJ\tI-NP\tO' +p193382 +aS'weakness\tweakness\tNN\tI-NP\tO' +p193383 +aS'and\tand\tCC\tI-NP\tO' +p193384 +aS'pain\tpain\tNN\tI-NP\tO' +p193385 +aS'with\twith\tIN\tB-PP\tO' +p193386 +aS'spasticity\tspasticity\tNN\tB-NP\tO' +p193387 +aS',\t,\t,\tO\tO' +p193388 +aS'occasional\toccasional\tJJ\tB-NP\tO' +p193389 +aS'difficulty\tdifficulty\tNN\tI-NP\tO' +p193390 +aS'swallowing\tswallow\tVBG\tB-VP\tO' +p193391 +aS'and\tand\tCC\tO\tO' +p193392 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p193393 +aS'pain\tpain\tNN\tI-NP\tO' +p193394 +aS'.\t.\t.\tO\tO' +p193395 +asS'give in addition to standing pre-meal novolog when patient will eat and food is in the room .' +p193396 +(lp193397 +S'give\tgive\tVB\tB-VP\tO' +p193398 +aS'in\tin\tIN\tB-PP\tO' +p193399 +aS'addition\taddition\tNN\tB-NP\tO' +p193400 +aS'to\tto\tTO\tB-PP\tO' +p193401 +aS'standing\tstand\tVBG\tB-VP\tO' +p193402 +aS'pre-meal\tpre-meal\tJJ\tB-NP\tO' +p193403 +aS'novolog\tnovolog\tNN\tI-NP\tO' +p193404 +aS'when\twhen\tWRB\tB-ADVP\tO' +p193405 +aS'patient\tpatient\tNN\tB-NP\tO' +p193406 +aS'will\twill\tMD\tB-VP\tO' +p193407 +aS'eat\teat\tVB\tI-VP\tO' +p193408 +aS'and\tand\tCC\tO\tO' +p193409 +aS'food\tfood\tNN\tB-NP\tO' +p193410 +aS'is\tbe\tVBZ\tB-VP\tO' +p193411 +aS'in\tin\tIN\tB-PP\tO' +p193412 +aS'the\tthe\tDT\tB-NP\tO' +p193413 +aS'room\troom\tNN\tI-NP\tO' +p193414 +aS'.\t.\t.\tO\tO' +p193415 +asS'Cardiovascular : Regular rate and rhythm , S1 and S2 .' +p193416 +(lp193417 +S'Cardiovascular\tCardiovascular\tJJ\tB-ADJP\tO' +p193418 +aS':\t:\t:\tO\tO' +p193419 +aS'Regular\tRegular\tJJ\tB-NP\tO' +p193420 +aS'rate\trate\tNN\tI-NP\tO' +p193421 +aS'and\tand\tCC\tO\tO' +p193422 +aS'rhythm\trhythm\tNN\tB-NP\tO' +p193423 +aS',\t,\t,\tO\tO' +p193424 +aS'S1\tS1\tNN\tB-NP\tB-protein' +p193425 +aS'and\tand\tCC\tO\tO' +p193426 +aS'S2\tS2\tNN\tB-NP\tB-protein' +p193427 +aS'.\t.\t.\tO\tO' +p193428 +asS'2. The patient was instructed to not participate in contact sports for six weeks .' +p193429 +(lp193430 +S'2.\t2.\tLS\tB-LST\tO' +p193431 +aS'The\tThe\tDT\tB-NP\tO' +p193432 +aS'patient\tpatient\tNN\tI-NP\tO' +p193433 +aS'was\tbe\tVBD\tB-VP\tO' +p193434 +aS'instructed\tinstruct\tVBN\tI-VP\tO' +p193435 +aS'to\tto\tTO\tB-VP\tO' +p193436 +aS'not\tnot\tRB\tI-VP\tO' +p193437 +aS'participate\tparticipate\tVB\tI-VP\tO' +p193438 +aS'in\tin\tIN\tB-PP\tO' +p193439 +aS'contact\tcontact\tNN\tB-NP\tO' +p193440 +aS'sports\tsport\tNNS\tI-NP\tO' +p193441 +aS'for\tfor\tIN\tB-PP\tO' +p193442 +aS'six\tsix\tCD\tB-NP\tO' +p193443 +aS'weeks\tweek\tNNS\tI-NP\tO' +p193444 +aS'.\t.\t.\tO\tO' +p193445 +asS'1+ trace edemalymphadenopathy noted .' +p193446 +(lp193447 +S'1+\t1+\tJJ\tB-NP\tO' +p193448 +aS'trace\ttrace\tNN\tI-NP\tO' +p193449 +aS'edemalymphadenopathy\tedemalymphadenopathy\tNN\tI-NP\tO' +p193450 +aS'noted\tnote\tVBD\tB-VP\tO' +p193451 +aS'.\t.\t.\tO\tO' +p193452 +asS'On day of life six due to concerns for hyperglycemia and abdominal distention , sepsis evaluation was obtained .' +p193453 +(lp193454 +S'On\tOn\tIN\tB-PP\tO' +p193455 +aS'day\tday\tNN\tB-NP\tO' +p193456 +aS'of\tof\tIN\tB-PP\tO' +p193457 +aS'life\tlife\tNN\tB-NP\tO' +p193458 +aS'six\tsix\tCD\tB-NP\tO' +p193459 +aS'due\tdue\tJJ\tI-NP\tO' +p193460 +aS'to\tto\tTO\tB-PP\tO' +p193461 +aS'concerns\tconcern\tNNS\tB-NP\tO' +p193462 +aS'for\tfor\tIN\tB-PP\tO' +p193463 +aS'hyperglycemia\thyperglycemia\tNN\tB-NP\tO' +p193464 +aS'and\tand\tCC\tO\tO' +p193465 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p193466 +aS'distention\tdistention\tNN\tI-NP\tO' +p193467 +aS',\t,\t,\tO\tO' +p193468 +aS'sepsis\tsepsis\tNN\tB-NP\tO' +p193469 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p193470 +aS'was\tbe\tVBD\tB-VP\tO' +p193471 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p193472 +aS'.\t.\t.\tO\tO' +p193473 +asS'His neck was supple without masses or bruits .' +p193474 +(lp193475 +S'His\tHis\tPRP$\tB-NP\tO' +p193476 +aS'neck\tneck\tNN\tI-NP\tO' +p193477 +aS'was\tbe\tVBD\tB-VP\tO' +p193478 +aS'supple\tsupple\tNN\tB-NP\tO' +p193479 +aS'without\twithout\tIN\tB-PP\tO' +p193480 +aS'masses\tmass\tNNS\tB-NP\tO' +p193481 +aS'or\tor\tCC\tI-NP\tO' +p193482 +aS'bruits\tbruit\tNNS\tI-NP\tO' +p193483 +aS'.\t.\t.\tO\tO' +p193484 +asS'She is to go to the Necsoncardel Medical Center for more chronic care .' +p193485 +(lp193486 +S'She\tShe\tPRP\tB-NP\tO' +p193487 +aS'is\tbe\tVBZ\tB-VP\tO' +p193488 +aS'to\tto\tTO\tB-VP\tO' +p193489 +aS'go\tgo\tVB\tI-VP\tO' +p193490 +aS'to\tto\tTO\tB-PP\tO' +p193491 +aS'the\tthe\tDT\tB-NP\tO' +p193492 +aS'Necsoncardel\tNecsoncardel\tNNP\tI-NP\tO' +p193493 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p193494 +aS'Center\tCenter\tNNP\tI-NP\tO' +p193495 +aS'for\tfor\tIN\tB-PP\tO' +p193496 +aS'more\tmore\tRBR\tB-NP\tO' +p193497 +aS'chronic\tchronic\tJJ\tI-NP\tO' +p193498 +aS'care\tcare\tNN\tI-NP\tO' +p193499 +aS'.\t.\t.\tO\tO' +p193500 +asS'He initially had refused HIV testing , however , was finally consented , HIV was noted to be negative .' +p193501 +(lp193502 +S'He\tHe\tPRP\tB-NP\tO' +p193503 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p193504 +aS'had\thave\tVBD\tB-VP\tO' +p193505 +aS'refused\trefuse\tVBN\tI-VP\tO' +p193506 +aS'HIV\tHIV\tNN\tB-NP\tO' +p193507 +aS'testing\ttesting\tNN\tI-NP\tO' +p193508 +aS',\t,\t,\tO\tO' +p193509 +aS'however\thowever\tRB\tB-ADVP\tO' +p193510 +aS',\t,\t,\tO\tO' +p193511 +aS'was\tbe\tVBD\tB-VP\tO' +p193512 +aS'finally\tfinally\tRB\tI-VP\tO' +p193513 +aS'consented\tconsent\tVBN\tI-VP\tO' +p193514 +aS',\t,\t,\tO\tO' +p193515 +aS'HIV\tHIV\tNN\tB-NP\tO' +p193516 +aS'was\tbe\tVBD\tB-VP\tO' +p193517 +aS'noted\tnote\tVBN\tI-VP\tO' +p193518 +aS'to\tto\tTO\tI-VP\tO' +p193519 +aS'be\tbe\tVB\tI-VP\tO' +p193520 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p193521 +aS'.\t.\t.\tO\tO' +p193522 +asS'His injuries were identified as a left elbow disloaction with was reduced and splinted .' +p193523 +(lp193524 +S'His\tHis\tPRP$\tB-NP\tO' +p193525 +aS'injuries\tinjury\tNNS\tI-NP\tO' +p193526 +aS'were\tbe\tVBD\tB-VP\tO' +p193527 +aS'identified\tidentify\tVBN\tI-VP\tO' +p193528 +aS'as\tas\tIN\tB-PP\tO' +p193529 +aS'a\ta\tDT\tB-NP\tO' +p193530 +aS'left\tleft\tJJ\tI-NP\tO' +p193531 +aS'elbow\telbow\tNN\tI-NP\tO' +p193532 +aS'disloaction\tdisloaction\tNN\tI-NP\tO' +p193533 +aS'with\twith\tIN\tB-NP\tO' +p193534 +aS'was\tbe\tVBD\tB-VP\tO' +p193535 +aS'reduced\treduce\tVBN\tI-VP\tO' +p193536 +aS'and\tand\tCC\tI-VP\tO' +p193537 +aS'splinted\tsplint\tVBN\tI-VP\tO' +p193538 +aS'.\t.\t.\tO\tO' +p193539 +asS'6. Atenolol 100 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' +p193540 +(lp193541 +S'6.\t6.\tCD\tB-NP\tO' +p193542 +aS'Atenolol\tAtenolol\tNN\tI-NP\tO' +p193543 +aS'100\t100\tCD\tB-NP\tO' +p193544 +aS'mg\tmg\tNN\tI-NP\tO' +p193545 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p193546 +aS'Sig\tSig\tNNP\tI-NP\tO' +p193547 +aS':\t:\t:\tO\tO' +p193548 +aS'One\tOne\tCD\tB-NP\tO' +p193549 +aS'(\t(\t(\tO\tO' +p193550 +aS'1\t1\tCD\tB-NP\tO' +p193551 +aS')\t)\t)\tO\tO' +p193552 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p193553 +aS'PO\tPO\tNN\tI-NP\tO' +p193554 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p193555 +aS'(\t(\t(\tO\tO' +p193556 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p193557 +aS')\t)\t)\tO\tO' +p193558 +aS'.\t.\t.\tO\tO' +p193559 +asS'These were cultured because the patient 's white blood count was increasing to the mid 20s without fever or other symptoms for explanation .' +p193560 +(lp193561 +S'These\tThese\tDT\tB-NP\tO' +p193562 +aS'were\tbe\tVBD\tB-VP\tO' +p193563 +aS'cultured\tculture\tVBN\tI-VP\tO' +p193564 +aS'because\tbecause\tIN\tB-SBAR\tO' +p193565 +aS'the\tthe\tDT\tB-NP\tO' +p193566 +aS'patient\tpatient\tNN\tI-NP\tO' +p193567 +aS''s\t'\tNNS\tI-NP\tO' +p193568 +aS'white\twhite\tJJ\tB-NP\tO' +p193569 +aS'blood\tblood\tNN\tI-NP\tO' +p193570 +aS'count\tcount\tNN\tI-NP\tO' +p193571 +aS'was\tbe\tVBD\tB-VP\tO' +p193572 +aS'increasing\tincrease\tVBG\tI-VP\tO' +p193573 +aS'to\tto\tTO\tB-PP\tO' +p193574 +aS'the\tthe\tDT\tB-NP\tO' +p193575 +aS'mid\tmid\tJJ\tI-NP\tO' +p193576 +aS'20s\t20s\tCD\tI-NP\tO' +p193577 +aS'without\twithout\tIN\tB-PP\tO' +p193578 +aS'fever\tfever\tNN\tB-NP\tO' +p193579 +aS'or\tor\tCC\tO\tO' +p193580 +aS'other\tother\tJJ\tB-NP\tO' +p193581 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p193582 +aS'for\tfor\tIN\tB-PP\tO' +p193583 +aS'explanation\texplanation\tNN\tB-NP\tO' +p193584 +aS'.\t.\t.\tO\tO' +p193585 +asS"1. Burkitt's lymphoma ." +p193586 +(lp193587 +S'1.\t1.\tLS\tB-NP\tO' +p193588 +aS"Burkitt's\tBurkitt'\tNNS\tI-NP\tO" +p193589 +aS'lymphoma\tlymphoma\tNN\tI-NP\tO' +p193590 +aS'.\t.\t.\tO\tO' +p193591 +asS'His MCV was 88 , red cell distribution was 13.4 .' +p193592 +(lp193593 +S'His\tHis\tPRP$\tB-NP\tO' +p193594 +aS'MCV\tMCV\tNN\tI-NP\tO' +p193595 +aS'was\tbe\tVBD\tB-VP\tO' +p193596 +aS'88\t88\tCD\tB-NP\tO' +p193597 +aS',\t,\t,\tO\tO' +p193598 +aS'red\tred\tJJ\tB-NP\tO' +p193599 +aS'cell\tcell\tNN\tI-NP\tO' +p193600 +aS'distribution\tdistribution\tNN\tI-NP\tO' +p193601 +aS'was\tbe\tVBD\tB-VP\tO' +p193602 +aS'13.4\t13.4\tCD\tB-NP\tO' +p193603 +aS'.\t.\t.\tO\tO' +p193604 +asS'Dr. Aalv Lorjes Salv Manual Pasi' +p193605 +(lp193606 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p193607 +aS'Aalv\tAalv\tNNP\tI-NP\tO' +p193608 +aS'Lorjes\tLorjes\tNNP\tI-NP\tO' +p193609 +aS'Salv\tSalv\tNNP\tI-NP\tO' +p193610 +aS'Manual\tManual\tNNP\tI-NP\tO' +p193611 +aS'Pasi\tPasi\tNNP\tI-NP\tO' +p193612 +asS'There was minimal aortic valve calcification , mild ______________ thickening , normal open , and mild aortic regurgitation .' +p193613 +(lp193614 +S'There\tThere\tEX\tB-NP\tO' +p193615 +aS'was\tbe\tVBD\tB-VP\tO' +p193616 +aS'minimal\tminimal\tJJ\tB-NP\tO' +p193617 +aS'aortic\taortic\tJJ\tI-NP\tO' +p193618 +aS'valve\tvalve\tNN\tI-NP\tO' +p193619 +aS'calcification\tcalcification\tNN\tI-NP\tO' +p193620 +aS',\t,\t,\tO\tO' +p193621 +aS'mild\tmild\tJJ\tB-NP\tO' +p193622 +aS'______________\t______________\tNN\tI-NP\tO' +p193623 +aS'thickening\tthicken\tVBG\tB-VP\tO' +p193624 +aS',\t,\t,\tO\tO' +p193625 +aS'normal\tnormal\tJJ\tB-NP\tO' +p193626 +aS'open\topen\tJJ\tI-NP\tO' +p193627 +aS',\t,\t,\tO\tO' +p193628 +aS'and\tand\tCC\tO\tO' +p193629 +aS'mild\tmild\tJJ\tB-NP\tO' +p193630 +aS'aortic\taortic\tJJ\tI-NP\tO' +p193631 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p193632 +aS'.\t.\t.\tO\tO' +p193633 +asS'There was no lymphadenopathy .' +p193634 +(lp193635 +S'There\tThere\tEX\tB-NP\tO' +p193636 +aS'was\tbe\tVBD\tB-VP\tO' +p193637 +aS'no\tno\tDT\tB-NP\tO' +p193638 +aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' +p193639 +aS'.\t.\t.\tO\tO' +p193640 +asS'She will need two more specimens .' +p193641 +(lp193642 +S'She\tShe\tPRP\tB-NP\tO' +p193643 +aS'will\twill\tMD\tB-VP\tO' +p193644 +aS'need\tneed\tVB\tI-VP\tO' +p193645 +aS'two\ttwo\tCD\tB-NP\tO' +p193646 +aS'more\tmore\tJJR\tI-NP\tO' +p193647 +aS'specimens\tspecimen\tNNS\tI-NP\tO' +p193648 +aS'.\t.\t.\tO\tO' +p193649 +asS'On 7/4/98 , the patient underwent a Whipple procedure , which proceeded without complications .' +p193650 +(lp193651 +S'On\tOn\tIN\tB-PP\tO' +p193652 +aS'7/4/98\t7/4/98\tCD\tB-NP\tO' +p193653 +aS',\t,\t,\tO\tO' +p193654 +aS'the\tthe\tDT\tB-NP\tO' +p193655 +aS'patient\tpatient\tNN\tI-NP\tO' +p193656 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p193657 +aS'a\ta\tDT\tB-NP\tO' +p193658 +aS'Whipple\tWhipple\tNNP\tI-NP\tO' +p193659 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p193660 +aS',\t,\t,\tO\tO' +p193661 +aS'which\twhich\tWDT\tB-NP\tO' +p193662 +aS'proceeded\tproceed\tVBD\tB-VP\tO' +p193663 +aS'without\twithout\tIN\tB-PP\tO' +p193664 +aS'complications\tcomplication\tNNS\tB-NP\tO' +p193665 +aS'.\t.\t.\tO\tO' +p193666 +asS'On the day of discharge her glargine was decreased by one unit because her glucose remained somewhat low in the mornings .' +p193667 +(lp193668 +S'On\tOn\tIN\tB-PP\tO' +p193669 +aS'the\tthe\tDT\tB-NP\tO' +p193670 +aS'day\tday\tNN\tI-NP\tO' +p193671 +aS'of\tof\tIN\tB-PP\tO' +p193672 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p193673 +aS'her\ther\tPRP$\tB-NP\tO' +p193674 +aS'glargine\tglargine\tNN\tI-NP\tO' +p193675 +aS'was\tbe\tVBD\tB-VP\tO' +p193676 +aS'decreased\tdecrease\tVBN\tI-VP\tO' +p193677 +aS'by\tby\tIN\tB-PP\tO' +p193678 +aS'one\tone\tCD\tB-NP\tO' +p193679 +aS'unit\tunit\tNN\tI-NP\tO' +p193680 +aS'because\tbecause\tIN\tB-SBAR\tO' +p193681 +aS'her\ther\tPRP$\tB-NP\tO' +p193682 +aS'glucose\tglucose\tNN\tI-NP\tO' +p193683 +aS'remained\tremain\tVBD\tB-VP\tO' +p193684 +aS'somewhat\tsomewhat\tRB\tB-ADJP\tO' +p193685 +aS'low\tlow\tJJ\tI-ADJP\tO' +p193686 +aS'in\tin\tIN\tB-PP\tO' +p193687 +aS'the\tthe\tDT\tB-NP\tO' +p193688 +aS'mornings\tmorning\tNNS\tI-NP\tO' +p193689 +aS'.\t.\t.\tO\tO' +p193690 +asS'No acute pathology was noted and no treatment was necessary at this time .' +p193691 +(lp193692 +S'No\tNo\tDT\tB-NP\tO' +p193693 +aS'acute\tacute\tJJ\tI-NP\tO' +p193694 +aS'pathology\tpathology\tNN\tI-NP\tO' +p193695 +aS'was\tbe\tVBD\tB-VP\tO' +p193696 +aS'noted\tnote\tVBN\tI-VP\tO' +p193697 +aS'and\tand\tCC\tO\tO' +p193698 +aS'no\tno\tDT\tB-NP\tO' +p193699 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p193700 +aS'was\tbe\tVBD\tB-VP\tO' +p193701 +aS'necessary\tnecessary\tJJ\tB-ADJP\tO' +p193702 +aS'at\tat\tIN\tB-PP\tO' +p193703 +aS'this\tthis\tDT\tB-NP\tO' +p193704 +aS'time\ttime\tNN\tI-NP\tO' +p193705 +aS'.\t.\t.\tO\tO' +p193706 +asS'He was admitted and found to have a significant hematocrit drop from 33.8 to 24.3 .' +p193707 +(lp193708 +S'He\tHe\tPRP\tB-NP\tO' +p193709 +aS'was\tbe\tVBD\tB-VP\tO' +p193710 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p193711 +aS'and\tand\tCC\tO\tO' +p193712 +aS'found\tfind\tVBN\tB-VP\tO' +p193713 +aS'to\tto\tTO\tI-VP\tO' +p193714 +aS'have\thave\tVB\tI-VP\tO' +p193715 +aS'a\ta\tDT\tB-NP\tO' +p193716 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p193717 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p193718 +aS'drop\tdrop\tNN\tI-NP\tO' +p193719 +aS'from\tfrom\tIN\tB-PP\tO' +p193720 +aS'33.8\t33.8\tCD\tB-NP\tO' +p193721 +aS'to\tto\tTO\tB-PP\tO' +p193722 +aS'24.3\t24.3\tCD\tB-NP\tO' +p193723 +aS'.\t.\t.\tO\tO' +p193724 +asS'Temperature 96.9 F , pulse 84 , respiratory rate 18 , blood pressure 106/59 .' +p193725 +(lp193726 +S'Temperature\tTemperature\tNN\tB-NP\tO' +p193727 +aS'96.9\t96.9\tCD\tI-NP\tO' +p193728 +aS'F\tF\tNN\tI-NP\tO' +p193729 +aS',\t,\t,\tO\tO' +p193730 +aS'pulse\tpulse\tNN\tB-NP\tO' +p193731 +aS'84\t84\tCD\tI-NP\tO' +p193732 +aS',\t,\t,\tO\tO' +p193733 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p193734 +aS'rate\trate\tNN\tI-NP\tO' +p193735 +aS'18\t18\tCD\tI-NP\tO' +p193736 +aS',\t,\t,\tO\tO' +p193737 +aS'blood\tblood\tNN\tB-NP\tO' +p193738 +aS'pressure\tpressure\tNN\tI-NP\tO' +p193739 +aS'106/59\t106/59\tCD\tI-NP\tO' +p193740 +aS'.\t.\t.\tO\tO' +p193741 +asS'It may then be reasonable to treat both for the balance of the RSV season .' +p193742 +(lp193743 +S'It\tIt\tPRP\tB-NP\tO' +p193744 +aS'may\tmay\tMD\tB-VP\tO' +p193745 +aS'then\tthen\tRB\tI-VP\tO' +p193746 +aS'be\tbe\tVB\tI-VP\tO' +p193747 +aS'reasonable\treasonable\tJJ\tB-ADJP\tO' +p193748 +aS'to\tto\tTO\tB-VP\tO' +p193749 +aS'treat\ttreat\tVB\tI-VP\tO' +p193750 +aS'both\tboth\tDT\tB-NP\tO' +p193751 +aS'for\tfor\tIN\tB-PP\tO' +p193752 +aS'the\tthe\tDT\tB-NP\tO' +p193753 +aS'balance\tbalance\tNN\tI-NP\tO' +p193754 +aS'of\tof\tIN\tB-PP\tO' +p193755 +aS'the\tthe\tDT\tB-NP\tO' +p193756 +aS'RSV\tRSV\tNN\tI-NP\tO' +p193757 +aS'season\tseason\tNN\tI-NP\tO' +p193758 +aS'.\t.\t.\tO\tO' +p193759 +asS'Alcohol and tobacco histories are negative .' +p193760 +(lp193761 +S'Alcohol\tAlcohol\tNN\tB-NP\tO' +p193762 +aS'and\tand\tCC\tI-NP\tO' +p193763 +aS'tobacco\ttobacco\tNN\tI-NP\tO' +p193764 +aS'histories\thistory\tNNS\tI-NP\tO' +p193765 +aS'are\tbe\tVBP\tB-VP\tO' +p193766 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p193767 +aS'.\t.\t.\tO\tO' +p193768 +asS'She has made slow progress since then and at the time of discharge has 4-strength at the left elbow and 4+ in the left wrist and hand .' +p193769 +(lp193770 +S'She\tShe\tPRP\tB-NP\tO' +p193771 +aS'has\thave\tVBZ\tB-VP\tO' +p193772 +aS'made\tmake\tVBN\tI-VP\tO' +p193773 +aS'slow\tslow\tJJ\tB-NP\tO' +p193774 +aS'progress\tprogress\tNN\tI-NP\tO' +p193775 +aS'since\tsince\tIN\tB-PP\tO' +p193776 +aS'then\tthen\tRB\tB-NP\tO' +p193777 +aS'and\tand\tCC\tO\tO' +p193778 +aS'at\tat\tIN\tB-PP\tO' +p193779 +aS'the\tthe\tDT\tB-NP\tO' +p193780 +aS'time\ttime\tNN\tI-NP\tO' +p193781 +aS'of\tof\tIN\tB-PP\tO' +p193782 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p193783 +aS'has\thave\tVBZ\tB-VP\tO' +p193784 +aS'4-strength\t4-strength\tNN\tB-NP\tO' +p193785 +aS'at\tat\tIN\tB-PP\tO' +p193786 +aS'the\tthe\tDT\tB-NP\tO' +p193787 +aS'left\tleft\tJJ\tI-NP\tO' +p193788 +aS'elbow\telbow\tNN\tI-NP\tO' +p193789 +aS'and\tand\tCC\tO\tO' +p193790 +aS'4+\t4+\tJJ\tB-ADJP\tO' +p193791 +aS'in\tin\tIN\tB-PP\tO' +p193792 +aS'the\tthe\tDT\tB-NP\tO' +p193793 +aS'left\tleft\tJJ\tI-NP\tO' +p193794 +aS'wrist\twrist\tNN\tI-NP\tO' +p193795 +aS'and\tand\tCC\tI-NP\tO' +p193796 +aS'hand\thand\tNN\tI-NP\tO' +p193797 +aS'.\t.\t.\tO\tO' +p193798 +asS'Responsible After Study for Causing Admission ) COPD exacerbation with NSTEMI' +p193799 +(lp193800 +S'Responsible\tResponsible\tJJ\tB-ADJP\tO' +p193801 +aS'After\tAfter\tIN\tB-PP\tO' +p193802 +aS'Study\tStudy\tNN\tB-NP\tO' +p193803 +aS'for\tfor\tIN\tB-PP\tO' +p193804 +aS'Causing\tCause\tVBG\tB-VP\tO' +p193805 +aS'Admission\tAdmission\tNN\tB-NP\tO' +p193806 +aS')\t)\t)\tO\tO' +p193807 +aS'COPD\tCOPD\tNN\tB-NP\tO' +p193808 +aS'exacerbation\texacerbation\tNN\tI-NP\tO' +p193809 +aS'with\twith\tIN\tB-PP\tO' +p193810 +aS'NSTEMI\tNSTEMI\tNN\tB-NP\tO' +p193811 +asS'Patient is an 84-year-old male who was transferred from an outside hospital with a low hematocrit of 21 and with guaiac-positive stool .' +p193812 +(lp193813 +S'Patient\tPatient\tNN\tB-NP\tO' +p193814 +aS'is\tbe\tVBZ\tB-VP\tO' +p193815 +aS'an\tan\tDT\tB-NP\tO' +p193816 +aS'84-year-old\t84-year-old\tJJ\tI-NP\tO' +p193817 +aS'male\tmale\tNN\tI-NP\tO' +p193818 +aS'who\twho\tWP\tB-NP\tO' +p193819 +aS'was\tbe\tVBD\tB-VP\tO' +p193820 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p193821 +aS'from\tfrom\tIN\tB-PP\tO' +p193822 +aS'an\tan\tDT\tB-NP\tO' +p193823 +aS'outside\toutside\tJJ\tI-NP\tO' +p193824 +aS'hospital\thospital\tNN\tI-NP\tO' +p193825 +aS'with\twith\tIN\tB-PP\tO' +p193826 +aS'a\ta\tDT\tB-NP\tO' +p193827 +aS'low\tlow\tJJ\tI-NP\tO' +p193828 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p193829 +aS'of\tof\tIN\tB-PP\tO' +p193830 +aS'21\t21\tCD\tB-NP\tO' +p193831 +aS'and\tand\tCC\tO\tO' +p193832 +aS'with\twith\tIN\tB-PP\tO' +p193833 +aS'guaiac-positive\tguaiac-positive\tJJ\tB-NP\tO' +p193834 +aS'stool\tstool\tNN\tI-NP\tO' +p193835 +aS'.\t.\t.\tO\tO' +p193836 +asS'In May , 1998 she had an exercise tolerance test in which her heart rate went to 112 and her blood pressure fell to 95 systolic .' +p193837 +(lp193838 +S'In\tIn\tIN\tB-PP\tO' +p193839 +aS'May\tMay\tNNP\tB-NP\tO' +p193840 +aS',\t,\t,\tO\tO' +p193841 +aS'1998\t1998\tCD\tB-NP\tO' +p193842 +aS'she\tshe\tPRP\tB-NP\tO' +p193843 +aS'had\thave\tVBD\tB-VP\tO' +p193844 +aS'an\tan\tDT\tB-NP\tO' +p193845 +aS'exercise\texercise\tNN\tI-NP\tO' +p193846 +aS'tolerance\ttolerance\tNN\tI-NP\tO' +p193847 +aS'test\ttest\tNN\tI-NP\tO' +p193848 +aS'in\tin\tIN\tB-PP\tO' +p193849 +aS'which\twhich\tWDT\tB-NP\tO' +p193850 +aS'her\ther\tPRP$\tB-NP\tO' +p193851 +aS'heart\theart\tNN\tI-NP\tO' +p193852 +aS'rate\trate\tNN\tI-NP\tO' +p193853 +aS'went\tgo\tVBD\tB-VP\tO' +p193854 +aS'to\tto\tTO\tB-PP\tO' +p193855 +aS'112\t112\tCD\tB-NP\tO' +p193856 +aS'and\tand\tCC\tO\tO' +p193857 +aS'her\ther\tPRP$\tB-NP\tO' +p193858 +aS'blood\tblood\tNN\tI-NP\tO' +p193859 +aS'pressure\tpressure\tNN\tI-NP\tO' +p193860 +aS'fell\tfall\tVBD\tB-VP\tO' +p193861 +aS'to\tto\tTO\tB-PP\tO' +p193862 +aS'95\t95\tCD\tB-NP\tO' +p193863 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p193864 +aS'.\t.\t.\tO\tO' +p193865 +asS'He called the EMT 's and was found to be in pulmonary edema by chest x-ray at Centdick Naco Hospital Medical Center .' +p193866 +(lp193867 +S'He\tHe\tPRP\tB-NP\tO' +p193868 +aS'called\tcall\tVBD\tB-VP\tO' +p193869 +aS'the\tthe\tDT\tB-NP\tO' +p193870 +aS'EMT\tEMT\tNN\tI-NP\tB-DNA' +p193871 +aS''s\t'\tNNS\tI-NP\tI-DNA' +p193872 +aS'and\tand\tCC\tO\tO' +p193873 +aS'was\tbe\tVBD\tB-VP\tO' +p193874 +aS'found\tfind\tVBN\tI-VP\tO' +p193875 +aS'to\tto\tTO\tI-VP\tO' +p193876 +aS'be\tbe\tVB\tI-VP\tO' +p193877 +aS'in\tin\tIN\tB-PP\tO' +p193878 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p193879 +aS'edema\tedema\tNN\tI-NP\tO' +p193880 +aS'by\tby\tIN\tB-PP\tO' +p193881 +aS'chest\tchest\tNN\tB-NP\tO' +p193882 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p193883 +aS'at\tat\tIN\tB-PP\tO' +p193884 +aS'Centdick\tCentdick\tNNP\tB-NP\tO' +p193885 +aS'Naco\tNaco\tNNP\tI-NP\tO' +p193886 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p193887 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p193888 +aS'Center\tCenter\tNNP\tI-NP\tO' +p193889 +aS'.\t.\t.\tO\tO' +p193890 +asS'Today , his wife convinced him to present to the Deanna for evaluation .' +p193891 +(lp193892 +S'Today\tToday\tNN\tB-NP\tO' +p193893 +aS',\t,\t,\tO\tO' +p193894 +aS'his\this\tPRP$\tB-NP\tO' +p193895 +aS'wife\twife\tNN\tI-NP\tO' +p193896 +aS'convinced\tconvince\tVBD\tB-VP\tO' +p193897 +aS'him\thim\tPRP\tB-NP\tO' +p193898 +aS'to\tto\tTO\tB-VP\tO' +p193899 +aS'present\tpresent\tVB\tI-VP\tO' +p193900 +aS'to\tto\tTO\tB-PP\tO' +p193901 +aS'the\tthe\tDT\tB-NP\tO' +p193902 +aS'Deanna\tDeanna\tNNP\tI-NP\tO' +p193903 +aS'for\tfor\tIN\tB-PP\tO' +p193904 +aS'evaluation\tevaluation\tNN\tB-NP\tO' +p193905 +aS'.\t.\t.\tO\tO' +p193906 +asS'We had also requested a Social Work consult regarding this .' +p193907 +(lp193908 +S'We\tWe\tPRP\tB-NP\tO' +p193909 +aS'had\thave\tVBD\tB-VP\tO' +p193910 +aS'also\talso\tRB\tI-VP\tO' +p193911 +aS'requested\trequest\tVBN\tI-VP\tO' +p193912 +aS'a\ta\tDT\tB-NP\tO' +p193913 +aS'Social\tSocial\tNNP\tI-NP\tO' +p193914 +aS'Work\tWork\tNNP\tI-NP\tO' +p193915 +aS'consult\tconsult\tNN\tI-NP\tO' +p193916 +aS'regarding\tregard\tVBG\tB-PP\tO' +p193917 +aS'this\tthis\tDT\tB-NP\tO' +p193918 +aS'.\t.\t.\tO\tO' +p193919 +asS'DOYbw .' +p193920 +(lp193921 +S'DOYbw\tDOYbw\tNNP\tB-NP\tO' +p193922 +aS'.\t.\t.\tO\tO' +p193923 +asS'A chest x-ray was unremarkable .' +p193924 +(lp193925 +S'A\tA\tDT\tB-NP\tO' +p193926 +aS'chest\tchest\tNN\tI-NP\tO' +p193927 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p193928 +aS'was\tbe\tVBD\tB-VP\tO' +p193929 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p193930 +aS'.\t.\t.\tO\tO' +p193931 +asS'No retractions , good breath sounds bilaterally , no crackles .' +p193932 +(lp193933 +S'No\tNo\tDT\tB-NP\tO' +p193934 +aS'retractions\tretraction\tNNS\tI-NP\tO' +p193935 +aS',\t,\t,\tO\tO' +p193936 +aS'good\tgood\tJJ\tB-NP\tO' +p193937 +aS'breath\tbreath\tNN\tI-NP\tO' +p193938 +aS'sounds\tsound\tVBZ\tB-VP\tO' +p193939 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p193940 +aS',\t,\t,\tO\tO' +p193941 +aS'no\tno\tDT\tB-NP\tO' +p193942 +aS'crackles\tcrackle\tNNS\tI-NP\tO' +p193943 +aS'.\t.\t.\tO\tO' +p193944 +asS'Multiple posterior right - sided mastoid air cells are opacified with blood .' +p193945 +(lp193946 +S'Multiple\tMultiple\tJJ\tB-NP\tB-cell_line' +p193947 +aS'posterior\tposterior\tJJ\tI-NP\tI-cell_line' +p193948 +aS'right\tright\tJJ\tI-NP\tI-cell_line' +p193949 +aS'-\t-\tHYPH\tI-NP\tI-cell_line' +p193950 +aS'sided\tsided\tJJ\tI-NP\tI-cell_line' +p193951 +aS'mastoid\tmastoid\tJJ\tI-NP\tI-cell_line' +p193952 +aS'air\tair\tNN\tI-NP\tI-cell_line' +p193953 +aS'cells\tcell\tNNS\tI-NP\tI-cell_line' +p193954 +aS'are\tbe\tVBP\tB-VP\tO' +p193955 +aS'opacified\topacifie\tVBN\tI-VP\tO' +p193956 +aS'with\twith\tIN\tB-PP\tO' +p193957 +aS'blood\tblood\tNN\tB-NP\tO' +p193958 +aS'.\t.\t.\tO\tO' +p193959 +asS'5. AS 81 mg once daily' +p193960 +(lp193961 +S'5.\t5.\tLS\tB-NP\tO' +p193962 +aS'AS\tAS\tNN\tI-NP\tO' +p193963 +aS'81\t81\tCD\tI-NP\tO' +p193964 +aS'mg\tmg\tNN\tI-NP\tO' +p193965 +aS'once\tonce\tRB\tB-ADVP\tO' +p193966 +aS'daily\tdaily\tRB\tI-ADVP\tO' +p193967 +asS'The Kindred Hospital hospital course was prolonged because of her delirium .' +p193968 +(lp193969 +S'The\tThe\tDT\tB-NP\tO' +p193970 +aS'Kindred\tKindred\tNNP\tI-NP\tO' +p193971 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p193972 +aS'hospital\thospital\tNN\tI-NP\tO' +p193973 +aS'course\tcourse\tNN\tI-NP\tO' +p193974 +aS'was\tbe\tVBD\tB-VP\tO' +p193975 +aS'prolonged\tprolonged\tJJ\tB-ADJP\tO' +p193976 +aS'because\tbecause\tIN\tB-PP\tO' +p193977 +aS'of\tof\tIN\tI-PP\tO' +p193978 +aS'her\ther\tPRP$\tB-NP\tO' +p193979 +aS'delirium\tdelirium\tNN\tI-NP\tO' +p193980 +aS'.\t.\t.\tO\tO' +p193981 +asS'His pain was well controlled with oral medication at this time .' +p193982 +(lp193983 +S'His\tHis\tPRP$\tB-NP\tO' +p193984 +aS'pain\tpain\tNN\tI-NP\tO' +p193985 +aS'was\tbe\tVBD\tB-VP\tO' +p193986 +aS'well\twell\tRB\tI-VP\tO' +p193987 +aS'controlled\tcontrol\tVBN\tI-VP\tO' +p193988 +aS'with\twith\tIN\tB-PP\tO' +p193989 +aS'oral\toral\tJJ\tB-NP\tO' +p193990 +aS'medication\tmedication\tNN\tI-NP\tO' +p193991 +aS'at\tat\tIN\tB-PP\tO' +p193992 +aS'this\tthis\tDT\tB-NP\tO' +p193993 +aS'time\ttime\tNN\tI-NP\tO' +p193994 +aS'.\t.\t.\tO\tO' +p193995 +asS'His hypertension ; his high blood pressure was controlled with intravenous nitroglycerine in the early going and then he was switched to an oral regimen for better control after he was removed from the Intensive Care Unit .' +p193996 +(lp193997 +S'His\tHis\tPRP$\tB-NP\tO' +p193998 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p193999 +aS';\t;\t:\tO\tO' +p194000 +aS'his\this\tPRP$\tB-NP\tO' +p194001 +aS'high\thigh\tJJ\tI-NP\tO' +p194002 +aS'blood\tblood\tNN\tI-NP\tO' +p194003 +aS'pressure\tpressure\tNN\tI-NP\tO' +p194004 +aS'was\tbe\tVBD\tB-VP\tO' +p194005 +aS'controlled\tcontrol\tVBN\tI-VP\tO' +p194006 +aS'with\twith\tIN\tB-PP\tO' +p194007 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p194008 +aS'nitroglycerine\tnitroglycerine\tNN\tI-NP\tO' +p194009 +aS'in\tin\tIN\tB-PP\tO' +p194010 +aS'the\tthe\tDT\tB-NP\tO' +p194011 +aS'early\tearly\tJJ\tI-NP\tO' +p194012 +aS'going\tgo\tVBG\tI-NP\tO' +p194013 +aS'and\tand\tCC\tO\tO' +p194014 +aS'then\tthen\tRB\tB-ADVP\tO' +p194015 +aS'he\the\tPRP\tB-NP\tO' +p194016 +aS'was\tbe\tVBD\tB-VP\tO' +p194017 +aS'switched\tswitch\tVBN\tI-VP\tO' +p194018 +aS'to\tto\tTO\tB-PP\tO' +p194019 +aS'an\tan\tDT\tB-NP\tO' +p194020 +aS'oral\toral\tJJ\tI-NP\tO' +p194021 +aS'regimen\tregimen\tNN\tI-NP\tO' +p194022 +aS'for\tfor\tIN\tB-PP\tO' +p194023 +aS'better\tgood\tJJR\tB-NP\tO' +p194024 +aS'control\tcontrol\tNN\tI-NP\tO' +p194025 +aS'after\tafter\tIN\tB-SBAR\tO' +p194026 +aS'he\the\tPRP\tB-NP\tO' +p194027 +aS'was\tbe\tVBD\tB-VP\tO' +p194028 +aS'removed\tremove\tVBN\tI-VP\tO' +p194029 +aS'from\tfrom\tIN\tB-PP\tO' +p194030 +aS'the\tthe\tDT\tB-NP\tO' +p194031 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p194032 +aS'Care\tCare\tNNP\tI-NP\tO' +p194033 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p194034 +aS'.\t.\t.\tO\tO' +p194035 +asS'She was was seen at Hallmark Health System heme / on clinic 10-09 and had repeat CT scan which revealed metastatic cholangiocarcinoma with mets to the ovaries , with tremendous increase in metastatic disease .' +p194036 +(lp194037 +S'She\tShe\tPRP\tB-NP\tO' +p194038 +aS'was\tbe\tVBD\tB-VP\tO' +p194039 +aS'was\tbe\tVBD\tB-VP\tO' +p194040 +aS'seen\tsee\tVBN\tI-VP\tO' +p194041 +aS'at\tat\tIN\tB-PP\tO' +p194042 +aS'Hallmark\tHallmark\tNNP\tB-NP\tO' +p194043 +aS'Health\tHealth\tNNP\tI-NP\tO' +p194044 +aS'System\tSystem\tNNP\tI-NP\tO' +p194045 +aS'heme\theme\tNN\tI-NP\tO' +p194046 +aS'/\t/\tSYM\tB-ADJP\tO' +p194047 +aS'on\ton\tIN\tB-PP\tO' +p194048 +aS'clinic\tclinic\tNN\tB-NP\tO' +p194049 +aS'10-09\t10-09\tCD\tI-NP\tO' +p194050 +aS'and\tand\tCC\tO\tO' +p194051 +aS'had\thave\tVBD\tB-VP\tO' +p194052 +aS'repeat\trepeat\tNN\tB-NP\tO' +p194053 +aS'CT\tCT\tNN\tI-NP\tO' +p194054 +aS'scan\tscan\tNN\tI-NP\tO' +p194055 +aS'which\twhich\tWDT\tB-NP\tO' +p194056 +aS'revealed\treveal\tVBD\tB-VP\tO' +p194057 +aS'metastatic\tmetastatic\tJJ\tB-NP\tO' +p194058 +aS'cholangiocarcinoma\tcholangiocarcinoma\tNN\tI-NP\tO' +p194059 +aS'with\twith\tIN\tB-PP\tO' +p194060 +aS'mets\tmet\tNNS\tB-NP\tO' +p194061 +aS'to\tto\tTO\tB-PP\tO' +p194062 +aS'the\tthe\tDT\tB-NP\tO' +p194063 +aS'ovaries\tovary\tNNS\tI-NP\tO' +p194064 +aS',\t,\t,\tO\tO' +p194065 +aS'with\twith\tIN\tB-PP\tO' +p194066 +aS'tremendous\ttremendous\tJJ\tB-NP\tO' +p194067 +aS'increase\tincrease\tNN\tI-NP\tO' +p194068 +aS'in\tin\tIN\tB-PP\tO' +p194069 +aS'metastatic\tmetastatic\tJJ\tB-NP\tO' +p194070 +aS'disease\tdisease\tNN\tI-NP\tO' +p194071 +aS'.\t.\t.\tO\tO' +p194072 +asS'His most recent echocardiogram in April of 1996 showed an ejection fraction of 20% with a thin fibrotic septum with akinesis and moderately severe hypokinesis in all other regions except for the lateral wall .' +p194073 +(lp194074 +S'His\tHis\tPRP$\tB-NP\tB-protein' +p194075 +aS'most\tmost\tRBS\tI-NP\tO' +p194076 +aS'recent\trecent\tJJ\tI-NP\tO' +p194077 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p194078 +aS'in\tin\tIN\tB-PP\tO' +p194079 +aS'April\tApril\tNNP\tB-NP\tO' +p194080 +aS'of\tof\tIN\tB-PP\tO' +p194081 +aS'1996\t1996\tCD\tB-NP\tO' +p194082 +aS'showed\tshow\tVBD\tB-VP\tO' +p194083 +aS'an\tan\tDT\tB-NP\tO' +p194084 +aS'ejection\tejection\tNN\tI-NP\tO' +p194085 +aS'fraction\tfraction\tNN\tI-NP\tO' +p194086 +aS'of\tof\tIN\tB-PP\tO' +p194087 +aS'20%\t20%\tNN\tB-NP\tO' +p194088 +aS'with\twith\tIN\tB-PP\tO' +p194089 +aS'a\ta\tDT\tB-NP\tO' +p194090 +aS'thin\tthin\tJJ\tI-NP\tO' +p194091 +aS'fibrotic\tfibrotic\tJJ\tI-NP\tO' +p194092 +aS'septum\tseptum\tNN\tI-NP\tO' +p194093 +aS'with\twith\tIN\tB-PP\tO' +p194094 +aS'akinesis\takinesis\tNN\tB-NP\tO' +p194095 +aS'and\tand\tCC\tO\tO' +p194096 +aS'moderately\tmoderately\tRB\tB-NP\tO' +p194097 +aS'severe\tsevere\tJJ\tI-NP\tO' +p194098 +aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' +p194099 +aS'in\tin\tIN\tB-PP\tO' +p194100 +aS'all\tall\tDT\tB-NP\tO' +p194101 +aS'other\tother\tJJ\tI-NP\tO' +p194102 +aS'regions\tregion\tNNS\tI-NP\tO' +p194103 +aS'except\texcept\tIN\tB-PP\tO' +p194104 +aS'for\tfor\tIN\tB-PP\tO' +p194105 +aS'the\tthe\tDT\tB-NP\tO' +p194106 +aS'lateral\tlateral\tJJ\tI-NP\tO' +p194107 +aS'wall\twall\tNN\tI-NP\tO' +p194108 +aS'.\t.\t.\tO\tO' +p194109 +asS'He was also started on p.o. Vancomycin .' +p194110 +(lp194111 +S'He\tHe\tPRP\tB-NP\tO' +p194112 +aS'was\tbe\tVBD\tB-VP\tO' +p194113 +aS'also\talso\tRB\tI-VP\tO' +p194114 +aS'started\tstart\tVBN\tI-VP\tO' +p194115 +aS'on\ton\tIN\tB-PP\tO' +p194116 +aS'p.o.\tp.o.\tFW\tB-NP\tO' +p194117 +aS'Vancomycin\tVancomycin\tNN\tI-NP\tO' +p194118 +aS'.\t.\t.\tO\tO' +p194119 +asS'She has dyspnea on exertion .' +p194120 +(lp194121 +S'She\tShe\tPRP\tB-NP\tO' +p194122 +aS'has\thave\tVBZ\tB-VP\tO' +p194123 +aS'dyspnea\tdyspnea\tNN\tB-NP\tO' +p194124 +aS'on\ton\tIN\tB-PP\tO' +p194125 +aS'exertion\texertion\tNN\tB-NP\tO' +p194126 +aS'.\t.\t.\tO\tO' +p194127 +asS'The left shoulder was identical in range of motion and was also painful .' +p194128 +(lp194129 +S'The\tThe\tDT\tB-NP\tO' +p194130 +aS'left\tleft\tJJ\tI-NP\tO' +p194131 +aS'shoulder\tshoulder\tNN\tI-NP\tO' +p194132 +aS'was\tbe\tVBD\tB-VP\tO' +p194133 +aS'identical\tidentical\tJJ\tB-ADJP\tO' +p194134 +aS'in\tin\tIN\tB-PP\tO' +p194135 +aS'range\trange\tNN\tB-NP\tO' +p194136 +aS'of\tof\tIN\tB-PP\tO' +p194137 +aS'motion\tmotion\tNN\tB-NP\tO' +p194138 +aS'and\tand\tCC\tO\tO' +p194139 +aS'was\tbe\tVBD\tB-VP\tO' +p194140 +aS'also\talso\tRB\tB-ADVP\tO' +p194141 +aS'painful\tpainful\tJJ\tB-ADJP\tO' +p194142 +aS'.\t.\t.\tO\tO' +p194143 +asS"Before this age ( and for the first 24 months of the child 's life ) , immunization against influenza is recommended for all household contacts and out of home caregivers ." +p194144 +(lp194145 +S'Before\tBefore\tIN\tB-SBAR\tO' +p194146 +aS'this\tthis\tDT\tB-NP\tO' +p194147 +aS'age\tage\tNN\tI-NP\tO' +p194148 +aS'(\t(\t(\tO\tO' +p194149 +aS'and\tand\tCC\tO\tO' +p194150 +aS'for\tfor\tIN\tB-PP\tO' +p194151 +aS'the\tthe\tDT\tB-NP\tO' +p194152 +aS'first\tfirst\tJJ\tI-NP\tO' +p194153 +aS'24\t24\tCD\tI-NP\tO' +p194154 +aS'months\tmonth\tNNS\tI-NP\tO' +p194155 +aS'of\tof\tIN\tB-PP\tO' +p194156 +aS'the\tthe\tDT\tB-NP\tO' +p194157 +aS'child\tchild\tNN\tI-NP\tO' +p194158 +aS"'s\t's\tPOS\tB-NP\tO" +p194159 +aS'life\tlife\tNN\tI-NP\tO' +p194160 +aS')\t)\t)\tO\tO' +p194161 +aS',\t,\t,\tO\tO' +p194162 +aS'immunization\timmunization\tNN\tB-NP\tO' +p194163 +aS'against\tagainst\tIN\tB-PP\tO' +p194164 +aS'influenza\tinfluenza\tNN\tB-NP\tO' +p194165 +aS'is\tbe\tVBZ\tB-VP\tO' +p194166 +aS'recommended\trecommend\tVBN\tI-VP\tO' +p194167 +aS'for\tfor\tIN\tB-PP\tO' +p194168 +aS'all\tall\tDT\tB-NP\tO' +p194169 +aS'household\thousehold\tNN\tI-NP\tO' +p194170 +aS'contacts\tcontact\tNNS\tI-NP\tO' +p194171 +aS'and\tand\tCC\tB-PP\tO' +p194172 +aS'out\tout\tIN\tB-PP\tO' +p194173 +aS'of\tof\tIN\tB-PP\tO' +p194174 +aS'home\thome\tNN\tB-NP\tO' +p194175 +aS'caregivers\tcaregiver\tNNS\tI-NP\tO' +p194176 +aS'.\t.\t.\tO\tO' +p194177 +asS'Mucous membranes moist .' +p194178 +(lp194179 +S'Mucous\tMucous\tJJ\tB-NP\tO' +p194180 +aS'membranes\tmembrane\tNNS\tI-NP\tO' +p194181 +aS'moist\tmoist\tNN\tI-NP\tO' +p194182 +aS'.\t.\t.\tO\tO' +p194183 +asS'atrovent NEB QID , albuterol Neb QID , ipratropium NEB BID , flovent INH BID , Serevent INH BID , and prednisone 30 QD taper .' +p194184 +(lp194185 +S'atrovent\tatrovent\tVB\tB-VP\tO' +p194186 +aS'NEB\tNEB\tNNP\tB-NP\tO' +p194187 +aS'QID\tQID\tNNP\tI-NP\tO' +p194188 +aS',\t,\t,\tO\tO' +p194189 +aS'albuterol\talbuterol\tNN\tB-NP\tO' +p194190 +aS'Neb\tNeb\tNNP\tI-NP\tO' +p194191 +aS'QID\tQID\tNNP\tI-NP\tO' +p194192 +aS',\t,\t,\tO\tO' +p194193 +aS'ipratropium\tipratropium\tNN\tB-NP\tO' +p194194 +aS'NEB\tNEB\tNNP\tI-NP\tO' +p194195 +aS'BID\tBID\tNNP\tI-NP\tO' +p194196 +aS',\t,\t,\tO\tO' +p194197 +aS'flovent\tflovent\tNN\tB-NP\tO' +p194198 +aS'INH\tINH\tNNP\tI-NP\tO' +p194199 +aS'BID\tBID\tNNP\tI-NP\tO' +p194200 +aS',\t,\t,\tO\tO' +p194201 +aS'Serevent\tSerevent\tNNP\tB-NP\tO' +p194202 +aS'INH\tINH\tNNP\tI-NP\tO' +p194203 +aS'BID\tBID\tNNP\tI-NP\tO' +p194204 +aS',\t,\t,\tO\tO' +p194205 +aS'and\tand\tCC\tO\tO' +p194206 +aS'prednisone\tprednisone\tNN\tB-NP\tO' +p194207 +aS'30\t30\tCD\tI-NP\tO' +p194208 +aS'QD\tQD\tNN\tI-NP\tO' +p194209 +aS'taper\ttaper\tNN\tI-NP\tO' +p194210 +aS'.\t.\t.\tO\tO' +p194211 +asS'Family history is positive for tuberculosis , hypertension , and alcoholism .' +p194212 +(lp194213 +S'Family\tFamily\tRB\tB-NP\tO' +p194214 +aS'history\thistory\tNN\tI-NP\tO' +p194215 +aS'is\tbe\tVBZ\tB-VP\tO' +p194216 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p194217 +aS'for\tfor\tIN\tB-PP\tO' +p194218 +aS'tuberculosis\ttuberculosis\tNN\tB-NP\tO' +p194219 +aS',\t,\t,\tO\tO' +p194220 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p194221 +aS',\t,\t,\tO\tO' +p194222 +aS'and\tand\tCC\tO\tO' +p194223 +aS'alcoholism\talcoholism\tNN\tB-NP\tO' +p194224 +aS'.\t.\t.\tO\tO' +p194225 +asS'On 2019-10-11 he was started on lopressor for his tachycardia which had good effect .' +p194226 +(lp194227 +S'On\tOn\tIN\tB-PP\tO' +p194228 +aS'2019-10-11\t2019-10-11\tCD\tB-NP\tO' +p194229 +aS'he\the\tPRP\tB-NP\tO' +p194230 +aS'was\tbe\tVBD\tB-VP\tO' +p194231 +aS'started\tstart\tVBN\tI-VP\tO' +p194232 +aS'on\ton\tIN\tB-PP\tO' +p194233 +aS'lopressor\tlopressor\tNN\tB-NP\tO' +p194234 +aS'for\tfor\tIN\tB-PP\tO' +p194235 +aS'his\this\tPRP$\tB-NP\tO' +p194236 +aS'tachycardia\ttachycardia\tNN\tI-NP\tO' +p194237 +aS'which\twhich\tWDT\tB-NP\tO' +p194238 +aS'had\thave\tVBD\tB-VP\tO' +p194239 +aS'good\tgood\tJJ\tB-NP\tO' +p194240 +aS'effect\teffect\tNN\tI-NP\tO' +p194241 +aS'.\t.\t.\tO\tO' +p194242 +asS'3. Transitional respiratory distress .' +p194243 +(lp194244 +S'3.\t3.\tLS\tB-NP\tO' +p194245 +aS'Transitional\tTransitional\tJJ\tI-NP\tO' +p194246 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p194247 +aS'distress\tdistress\tNN\tI-NP\tO' +p194248 +aS'.\t.\t.\tO\tO' +p194249 +asS'Her PT was 13.1 , PTT 26.7 .' +p194250 +(lp194251 +S'Her\tHer\tPRP$\tB-NP\tO' +p194252 +aS'PT\tPT\tNN\tI-NP\tB-protein' +p194253 +aS'was\tbe\tVBD\tB-VP\tI-protein' +p194254 +aS'13.1\t13.1\tCD\tB-NP\tI-protein' +p194255 +aS',\t,\t,\tO\tO' +p194256 +aS'PTT\tPTT\tNN\tB-NP\tB-protein' +p194257 +aS'26.7\t26.7\tCD\tI-NP\tI-protein' +p194258 +aS'.\t.\t.\tO\tO' +p194259 +asS'Soft with good bowel sounds .' +p194260 +(lp194261 +S'Soft\tSoft\tRB\tB-ADVP\tO' +p194262 +aS'with\twith\tIN\tB-PP\tO' +p194263 +aS'good\tgood\tJJ\tB-NP\tO' +p194264 +aS'bowel\tbowel\tNN\tI-NP\tO' +p194265 +aS'sounds\tsound\tNNS\tI-NP\tO' +p194266 +aS'.\t.\t.\tO\tO' +p194267 +asS'The patient had a relatively unremarkable course and his neurologic status continued to improve following the operation .' +p194268 +(lp194269 +S'The\tThe\tDT\tB-NP\tO' +p194270 +aS'patient\tpatient\tNN\tI-NP\tO' +p194271 +aS'had\thave\tVBD\tB-VP\tO' +p194272 +aS'a\ta\tDT\tB-NP\tO' +p194273 +aS'relatively\trelatively\tRB\tI-NP\tO' +p194274 +aS'unremarkable\tunremarkable\tJJ\tI-NP\tO' +p194275 +aS'course\tcourse\tNN\tI-NP\tO' +p194276 +aS'and\tand\tCC\tO\tO' +p194277 +aS'his\this\tPRP$\tB-NP\tO' +p194278 +aS'neurologic\tneurologic\tJJ\tI-NP\tO' +p194279 +aS'status\tstatus\tNN\tI-NP\tO' +p194280 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p194281 +aS'to\tto\tTO\tI-VP\tO' +p194282 +aS'improve\timprove\tVB\tI-VP\tO' +p194283 +aS'following\tfollow\tVBG\tB-PP\tO' +p194284 +aS'the\tthe\tDT\tB-NP\tO' +p194285 +aS'operation\toperation\tNN\tI-NP\tO' +p194286 +aS'.\t.\t.\tO\tO' +p194287 +asS'1. Tamsulosin 0.4 mg Capsule , Sust . Release 24HR Sig : One ( 1 ) Capsule , Sust . Release 24HR PO HS ( at bedtime ) .' +p194288 +(lp194289 +S'1.\t1.\tLS\tB-NP\tO' +p194290 +aS'Tamsulosin\tTamsulosin\tNN\tI-NP\tO' +p194291 +aS'0.4\t0.4\tCD\tB-NP\tO' +p194292 +aS'mg\tmg\tNN\tI-NP\tO' +p194293 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p194294 +aS',\t,\t,\tO\tO' +p194295 +aS'Sust\tSust\tNNP\tB-NP\tO' +p194296 +aS'.\t.\t.\tI-NP\tO' +p194297 +aS'Release\tRelease\tNNP\tI-NP\tO' +p194298 +aS'24HR\t24HR\tNN\tI-NP\tO' +p194299 +aS'Sig\tSig\tNNP\tI-NP\tO' +p194300 +aS':\t:\t:\tO\tO' +p194301 +aS'One\tOne\tCD\tB-NP\tO' +p194302 +aS'(\t(\t(\tO\tO' +p194303 +aS'1\t1\tCD\tB-NP\tO' +p194304 +aS')\t)\t)\tO\tO' +p194305 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p194306 +aS',\t,\t,\tO\tO' +p194307 +aS'Sust\tSust\tNNP\tB-NP\tO' +p194308 +aS'.\t.\t.\tI-NP\tO' +p194309 +aS'Release\tRelease\tNNP\tI-NP\tO' +p194310 +aS'24HR\t24HR\tNN\tI-NP\tO' +p194311 +aS'PO\tPO\tNN\tI-NP\tO' +p194312 +aS'HS\tHS\tNN\tI-NP\tO' +p194313 +aS'(\t(\t(\tO\tO' +p194314 +aS'at\tat\tIN\tB-PP\tO' +p194315 +aS'bedtime\tbedtime\tNN\tB-NP\tO' +p194316 +aS')\t)\t)\tO\tO' +p194317 +aS'.\t.\t.\tO\tO' +p194318 +asS'17. Pepcid 20 mg Tablet Sig : One ( 1 ) Tablet PO once a day .' +p194319 +(lp194320 +S'17.\t17.\tCD\tB-NP\tO' +p194321 +aS'Pepcid\tPepcid\tNNP\tI-NP\tO' +p194322 +aS'20\t20\tCD\tI-NP\tO' +p194323 +aS'mg\tmg\tNN\tI-NP\tO' +p194324 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p194325 +aS'Sig\tSig\tNNP\tI-NP\tO' +p194326 +aS':\t:\t:\tO\tO' +p194327 +aS'One\tOne\tCD\tB-NP\tO' +p194328 +aS'(\t(\t(\tO\tO' +p194329 +aS'1\t1\tCD\tB-NP\tO' +p194330 +aS')\t)\t)\tO\tO' +p194331 +aS'Tablet\tTablet\tNN\tB-NP\tB-protein' +p194332 +aS'PO\tPO\tNN\tI-NP\tI-protein' +p194333 +aS'once\tonce\tRB\tO\tO' +p194334 +aS'a\ta\tDT\tB-NP\tO' +p194335 +aS'day\tday\tNN\tI-NP\tO' +p194336 +aS'.\t.\t.\tO\tO' +p194337 +asS'The patient has a history of orthostatic hypotension x many years .' +p194338 +(lp194339 +S'The\tThe\tDT\tB-NP\tO' +p194340 +aS'patient\tpatient\tNN\tI-NP\tO' +p194341 +aS'has\thave\tVBZ\tB-VP\tO' +p194342 +aS'a\ta\tDT\tB-NP\tO' +p194343 +aS'history\thistory\tNN\tI-NP\tO' +p194344 +aS'of\tof\tIN\tB-PP\tO' +p194345 +aS'orthostatic\torthostatic\tJJ\tB-NP\tO' +p194346 +aS'hypotension\thypotension\tNN\tI-NP\tO' +p194347 +aS'x\tx\tSYM\tB-VP\tO' +p194348 +aS'many\tmany\tJJ\tB-NP\tO' +p194349 +aS'years\tyear\tNNS\tI-NP\tO' +p194350 +aS'.\t.\t.\tO\tO' +p194351 +asS'Echocardiogram showed normal right ventricular and left ventricular size and systolic function .' +p194352 +(lp194353 +S'Echocardiogram\tEchocardiogram\tNN\tB-NP\tO' +p194354 +aS'showed\tshow\tVBD\tB-VP\tO' +p194355 +aS'normal\tnormal\tJJ\tB-NP\tO' +p194356 +aS'right\tright\tJJ\tI-NP\tO' +p194357 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p194358 +aS'and\tand\tCC\tI-NP\tO' +p194359 +aS'left\tleft\tJJ\tI-NP\tO' +p194360 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p194361 +aS'size\tsize\tNN\tI-NP\tO' +p194362 +aS'and\tand\tCC\tI-NP\tO' +p194363 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p194364 +aS'function\tfunction\tNN\tI-NP\tO' +p194365 +aS'.\t.\t.\tO\tO' +p194366 +asS'10. Recent MRSA pneumonia and sepsis 2017-07-21 , treated with Vancomycin' +p194367 +(lp194368 +S'10.\t10.\tLS\tB-NP\tO' +p194369 +aS'Recent\tRecent\tJJ\tI-NP\tO' +p194370 +aS'MRSA\tMRSA\tNN\tI-NP\tO' +p194371 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p194372 +aS'and\tand\tCC\tO\tO' +p194373 +aS'sepsis\tsepsis\tNN\tB-NP\tO' +p194374 +aS'2017-07-21\t2017-07-21\tCD\tI-NP\tO' +p194375 +aS',\t,\t,\tO\tO' +p194376 +aS'treated\ttreat\tVBN\tB-VP\tO' +p194377 +aS'with\twith\tIN\tB-PP\tO' +p194378 +aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' +p194379 +asS'1. Dopamine drip at 3 .' +p194380 +(lp194381 +S'1.\t1.\tLS\tB-NP\tO' +p194382 +aS'Dopamine\tDopamine\tNN\tI-NP\tO' +p194383 +aS'drip\tdrip\tNN\tI-NP\tO' +p194384 +aS'at\tat\tIN\tB-PP\tO' +p194385 +aS'3\t3\tCD\tB-NP\tO' +p194386 +aS'.\t.\t.\tO\tO' +p194387 +asS'During the course of her dialysis , she had a great improvement in her lower extremity edema and her oxygen saturation .' +p194388 +(lp194389 +S'During\tDuring\tIN\tB-PP\tO' +p194390 +aS'the\tthe\tDT\tB-NP\tO' +p194391 +aS'course\tcourse\tNN\tI-NP\tO' +p194392 +aS'of\tof\tIN\tB-PP\tO' +p194393 +aS'her\ther\tPRP$\tB-NP\tO' +p194394 +aS'dialysis\tdialysis\tNN\tI-NP\tO' +p194395 +aS',\t,\t,\tO\tO' +p194396 +aS'she\tshe\tPRP\tB-NP\tO' +p194397 +aS'had\thave\tVBD\tB-VP\tO' +p194398 +aS'a\ta\tDT\tB-NP\tO' +p194399 +aS'great\tgreat\tJJ\tI-NP\tO' +p194400 +aS'improvement\timprovement\tNN\tI-NP\tO' +p194401 +aS'in\tin\tIN\tB-PP\tO' +p194402 +aS'her\ther\tPRP$\tB-NP\tO' +p194403 +aS'lower\tlow\tJJR\tI-NP\tO' +p194404 +aS'extremity\textremity\tNN\tI-NP\tO' +p194405 +aS'edema\tedema\tNN\tI-NP\tO' +p194406 +aS'and\tand\tCC\tO\tO' +p194407 +aS'her\ther\tPRP$\tB-NP\tO' +p194408 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p194409 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p194410 +aS'.\t.\t.\tO\tO' +p194411 +asS'The markedly low - attenation ( 14-15 HU ) centered within this process suggests either irreversible demyelination with cavitation (" black hole "), or lacunar infarction on a vascular basis .' +p194412 +(lp194413 +S'The\tThe\tDT\tB-NP\tO' +p194414 +aS'markedly\tmarkedly\tRB\tI-NP\tO' +p194415 +aS'low\tlow\tJJ\tI-NP\tO' +p194416 +aS'-\t-\tHYPH\tI-NP\tO' +p194417 +aS'attenation\tattenation\tNN\tI-NP\tO' +p194418 +aS'(\t(\t(\tO\tO' +p194419 +aS'14-15\t14-15\tCD\tB-NP\tO' +p194420 +aS'HU\tHU\tNN\tI-NP\tO' +p194421 +aS')\t)\t)\tO\tO' +p194422 +aS'centered\tcenter\tVBN\tB-ADJP\tO' +p194423 +aS'within\twithin\tIN\tB-PP\tO' +p194424 +aS'this\tthis\tDT\tB-NP\tO' +p194425 +aS'process\tprocess\tNN\tI-NP\tO' +p194426 +aS'suggests\tsuggest\tVBZ\tB-VP\tO' +p194427 +aS'either\teither\tCC\tO\tO' +p194428 +aS'irreversible\tirreversible\tJJ\tB-NP\tO' +p194429 +aS'demyelination\tdemyelination\tNN\tI-NP\tO' +p194430 +aS'with\twith\tIN\tB-PP\tO' +p194431 +aS'cavitation\tcavitation\tNN\tB-NP\tO' +p194432 +aS'("\t("\tNN\tI-NP\tO' +p194433 +aS'black\tblack\tJJ\tI-NP\tO' +p194434 +aS'hole\thole\tNN\tI-NP\tO' +p194435 +aS'"),\t"),\tNN\tI-NP\tO' +p194436 +aS'or\tor\tCC\tO\tO' +p194437 +aS'lacunar\tlacunar\tJJ\tB-NP\tO' +p194438 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p194439 +aS'on\ton\tIN\tB-PP\tO' +p194440 +aS'a\ta\tDT\tB-NP\tO' +p194441 +aS'vascular\tvascular\tJJ\tI-NP\tO' +p194442 +aS'basis\tbasis\tNN\tI-NP\tO' +p194443 +aS'.\t.\t.\tO\tO' +p194444 +asS'Social work was consulted .' +p194445 +(lp194446 +S'Social\tSocial\tJJ\tB-NP\tO' +p194447 +aS'work\twork\tNN\tI-NP\tO' +p194448 +aS'was\tbe\tVBD\tB-VP\tO' +p194449 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p194450 +aS'.\t.\t.\tO\tO' +p194451 +asS'He had no valvular disease .' +p194452 +(lp194453 +S'He\tHe\tPRP\tB-NP\tO' +p194454 +aS'had\thave\tVBD\tB-VP\tO' +p194455 +aS'no\tno\tDT\tB-NP\tO' +p194456 +aS'valvular\tvalvular\tJJ\tI-NP\tO' +p194457 +aS'disease\tdisease\tNN\tI-NP\tO' +p194458 +aS'.\t.\t.\tO\tO' +p194459 +asS'He also had consults from Urology for his hematuria as well as Medicine preoperatively and CMED CCU .' +p194460 +(lp194461 +S'He\tHe\tPRP\tB-NP\tO' +p194462 +aS'also\talso\tRB\tB-ADVP\tO' +p194463 +aS'had\thave\tVBD\tB-VP\tO' +p194464 +aS'consults\tconsult\tNNS\tB-NP\tO' +p194465 +aS'from\tfrom\tIN\tB-PP\tO' +p194466 +aS'Urology\tUrology\tNNP\tB-NP\tO' +p194467 +aS'for\tfor\tIN\tB-PP\tO' +p194468 +aS'his\this\tPRP$\tB-NP\tO' +p194469 +aS'hematuria\thematuria\tNN\tI-NP\tO' +p194470 +aS'as\tas\tRB\tB-CONJP\tO' +p194471 +aS'well\twell\tRB\tI-CONJP\tO' +p194472 +aS'as\tas\tIN\tI-CONJP\tO' +p194473 +aS'Medicine\tMedicine\tNN\tB-NP\tO' +p194474 +aS'preoperatively\tpreoperatively\tRB\tB-ADVP\tO' +p194475 +aS'and\tand\tCC\tO\tO' +p194476 +aS'CMED\tCMED\tVBN\tB-NP\tO' +p194477 +aS'CCU\tCCU\tNN\tI-NP\tO' +p194478 +aS'.\t.\t.\tO\tO' +p194479 +asS'The patient had lower extremity arterial non-invasive study which showed good arterial hemodynamics of the left lower extremity , perfusion to the TM level , but there was evidence of diabetic small vessel disease and spasm of his digits .' +p194480 +(lp194481 +S'The\tThe\tDT\tB-NP\tO' +p194482 +aS'patient\tpatient\tNN\tI-NP\tO' +p194483 +aS'had\thave\tVBD\tB-VP\tO' +p194484 +aS'lower\tlow\tJJR\tB-NP\tO' +p194485 +aS'extremity\textremity\tNN\tI-NP\tO' +p194486 +aS'arterial\tarterial\tJJ\tI-NP\tO' +p194487 +aS'non-invasive\tnon-invasive\tJJ\tI-NP\tO' +p194488 +aS'study\tstudy\tNN\tI-NP\tO' +p194489 +aS'which\twhich\tWDT\tB-NP\tO' +p194490 +aS'showed\tshow\tVBD\tB-VP\tO' +p194491 +aS'good\tgood\tJJ\tB-NP\tO' +p194492 +aS'arterial\tarterial\tJJ\tI-NP\tO' +p194493 +aS'hemodynamics\themodynamic\tNNS\tI-NP\tO' +p194494 +aS'of\tof\tIN\tB-PP\tO' +p194495 +aS'the\tthe\tDT\tB-NP\tO' +p194496 +aS'left\tleft\tJJ\tI-NP\tO' +p194497 +aS'lower\tlow\tJJR\tI-NP\tO' +p194498 +aS'extremity\textremity\tNN\tI-NP\tO' +p194499 +aS',\t,\t,\tO\tO' +p194500 +aS'perfusion\tperfusion\tNN\tB-NP\tO' +p194501 +aS'to\tto\tTO\tB-PP\tO' +p194502 +aS'the\tthe\tDT\tB-NP\tO' +p194503 +aS'TM\tTM\tNN\tI-NP\tO' +p194504 +aS'level\tlevel\tNN\tI-NP\tO' +p194505 +aS',\t,\t,\tO\tO' +p194506 +aS'but\tbut\tCC\tO\tO' +p194507 +aS'there\tthere\tEX\tB-NP\tO' +p194508 +aS'was\tbe\tVBD\tB-VP\tO' +p194509 +aS'evidence\tevidence\tNN\tB-NP\tO' +p194510 +aS'of\tof\tIN\tB-PP\tO' +p194511 +aS'diabetic\tdiabetic\tJJ\tB-NP\tO' +p194512 +aS'small\tsmall\tJJ\tI-NP\tO' +p194513 +aS'vessel\tvessel\tNN\tI-NP\tO' +p194514 +aS'disease\tdisease\tNN\tI-NP\tO' +p194515 +aS'and\tand\tCC\tO\tO' +p194516 +aS'spasm\tspasm\tNN\tB-NP\tO' +p194517 +aS'of\tof\tIN\tB-PP\tO' +p194518 +aS'his\this\tPRP$\tB-NP\tO' +p194519 +aS'digits\tdigit\tNNS\tI-NP\tO' +p194520 +aS'.\t.\t.\tO\tO' +p194521 +asS'This 28 day course was completed on 07/15/95 .' +p194522 +(lp194523 +S'This\tThis\tDT\tB-NP\tO' +p194524 +aS'28\t28\tCD\tI-NP\tO' +p194525 +aS'day\tday\tNN\tI-NP\tO' +p194526 +aS'course\tcourse\tNN\tI-NP\tO' +p194527 +aS'was\tbe\tVBD\tB-VP\tO' +p194528 +aS'completed\tcomplete\tVBN\tI-VP\tO' +p194529 +aS'on\ton\tIN\tB-PP\tO' +p194530 +aS'07/15/95\t07/15/95\tCD\tB-NP\tO' +p194531 +aS'.\t.\t.\tO\tO' +p194532 +asS'She was awake , alert and oriented to person , place , and time .' +p194533 +(lp194534 +S'She\tShe\tPRP\tB-NP\tO' +p194535 +aS'was\tbe\tVBD\tB-VP\tO' +p194536 +aS'awake\tawake\tJJ\tB-ADJP\tO' +p194537 +aS',\t,\t,\tO\tO' +p194538 +aS'alert\talert\tJJ\tB-ADJP\tO' +p194539 +aS'and\tand\tCC\tO\tO' +p194540 +aS'oriented\torient\tVBN\tB-VP\tO' +p194541 +aS'to\tto\tTO\tB-PP\tO' +p194542 +aS'person\tperson\tNN\tB-NP\tO' +p194543 +aS',\t,\t,\tO\tO' +p194544 +aS'place\tplace\tNN\tB-NP\tO' +p194545 +aS',\t,\t,\tO\tO' +p194546 +aS'and\tand\tCC\tO\tO' +p194547 +aS'time\ttime\tNN\tB-NP\tO' +p194548 +aS'.\t.\t.\tO\tO' +p194549 +asS'13. Morphine 2 mg / mL Syringe Sig : 1-2 mg Injection Q4H ( every 4 hours ) as needed .' +p194550 +(lp194551 +S'13.\t13.\tLS\tB-NP\tO' +p194552 +aS'Morphine\tMorphine\tNN\tI-NP\tO' +p194553 +aS'2\t2\tCD\tI-NP\tO' +p194554 +aS'mg\tmg\tNN\tI-NP\tO' +p194555 +aS'/\t/\tSYM\tB-NP\tO' +p194556 +aS'mL\tmL\tNN\tI-NP\tO' +p194557 +aS'Syringe\tSyringe\tNNP\tI-NP\tO' +p194558 +aS'Sig\tSig\tNNP\tI-NP\tO' +p194559 +aS':\t:\t:\tO\tO' +p194560 +aS'1-2\t1-2\tCD\tB-NP\tO' +p194561 +aS'mg\tmg\tNN\tI-NP\tO' +p194562 +aS'Injection\tInjection\tNN\tI-NP\tO' +p194563 +aS'Q4H\tQ4H\tNN\tI-NP\tO' +p194564 +aS'(\t(\t(\tO\tO' +p194565 +aS'every\tevery\tDT\tB-NP\tO' +p194566 +aS'4\t4\tCD\tI-NP\tO' +p194567 +aS'hours\thour\tNNS\tI-NP\tO' +p194568 +aS')\t)\t)\tO\tO' +p194569 +aS'as\tas\tIN\tB-SBAR\tO' +p194570 +aS'needed\tneed\tVBN\tB-VP\tO' +p194571 +aS'.\t.\t.\tO\tO' +p194572 +asS'# Acute Renal Failure - stable , likely 02-12 hypotension leading to ATN that is slowly improving .' +p194573 +(lp194574 +S'#\t#\t#\tB-NP\tO' +p194575 +aS'Acute\tAcute\tJJ\tI-NP\tO' +p194576 +aS'Renal\tRenal\tJJ\tI-NP\tO' +p194577 +aS'Failure\tFailure\tNN\tI-NP\tO' +p194578 +aS'-\t-\tHYPH\tB-NP\tO' +p194579 +aS'stable\tstable\tJJ\tI-NP\tO' +p194580 +aS',\t,\t,\tI-NP\tO' +p194581 +aS'likely\tlikely\tJJ\tI-NP\tO' +p194582 +aS'02-12\t02-12\tCD\tI-NP\tO' +p194583 +aS'hypotension\thypotension\tNN\tI-NP\tO' +p194584 +aS'leading\tlead\tVBG\tB-VP\tO' +p194585 +aS'to\tto\tTO\tB-PP\tO' +p194586 +aS'ATN\tATN\tNN\tB-NP\tB-protein' +p194587 +aS'that\tthat\tWDT\tB-NP\tO' +p194588 +aS'is\tbe\tVBZ\tB-VP\tO' +p194589 +aS'slowly\tslowly\tRB\tB-ADJP\tO' +p194590 +aS'improving\timproving\tJJ\tI-ADJP\tO' +p194591 +aS'.\t.\t.\tO\tO' +p194592 +asS'Lillian R. / hypoxic respiratory distress .' +p194593 +(lp194594 +S'Lillian\tLillian\tJJ\tB-NP\tO' +p194595 +aS'R.\tR.\tNN\tI-NP\tO' +p194596 +aS'/\t/\tSYM\tB-VP\tO' +p194597 +aS'hypoxic\thypoxic\tJJ\tB-NP\tO' +p194598 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p194599 +aS'distress\tdistress\tNN\tI-NP\tO' +p194600 +aS'.\t.\t.\tO\tO' +p194601 +asS'Her labs showed a white blood count of 7.7 , hematocrit of 33.3 , and platelets were 305 .' +p194602 +(lp194603 +S'Her\tHer\tPRP$\tB-NP\tO' +p194604 +aS'labs\tlab\tNNS\tI-NP\tO' +p194605 +aS'showed\tshow\tVBD\tB-VP\tO' +p194606 +aS'a\ta\tDT\tB-NP\tO' +p194607 +aS'white\twhite\tJJ\tI-NP\tO' +p194608 +aS'blood\tblood\tNN\tI-NP\tO' +p194609 +aS'count\tcount\tNN\tI-NP\tO' +p194610 +aS'of\tof\tIN\tB-PP\tO' +p194611 +aS'7.7\t7.7\tCD\tB-NP\tO' +p194612 +aS',\t,\t,\tO\tO' +p194613 +aS'hematocrit\thematocrit\tNN\tB-NP\tO' +p194614 +aS'of\tof\tIN\tB-PP\tO' +p194615 +aS'33.3\t33.3\tCD\tB-NP\tO' +p194616 +aS',\t,\t,\tO\tO' +p194617 +aS'and\tand\tCC\tO\tO' +p194618 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p194619 +aS'were\tbe\tVBD\tB-VP\tO' +p194620 +aS'305\t305\tCD\tB-NP\tO' +p194621 +aS'.\t.\t.\tO\tO' +p194622 +asS'He denies any CP , N/V/D , abdominal pain , or HA .' +p194623 +(lp194624 +S'He\tHe\tPRP\tB-NP\tO' +p194625 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p194626 +aS'any\tany\tDT\tB-NP\tO' +p194627 +aS'CP\tCP\tNN\tI-NP\tB-DNA' +p194628 +aS',\t,\t,\tO\tO' +p194629 +aS'N/V/D\tN/V/D\tNN\tB-NP\tB-protein' +p194630 +aS',\t,\t,\tO\tO' +p194631 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p194632 +aS'pain\tpain\tNN\tI-NP\tO' +p194633 +aS',\t,\t,\tO\tO' +p194634 +aS'or\tor\tCC\tO\tO' +p194635 +aS'HA\tHA\tNN\tB-NP\tO' +p194636 +aS'.\t.\t.\tO\tO' +p194637 +asS'She was found to have intermedullary lesion at C1-2 level which on biopsy showed abnormal vasculature , hemosiderin deposit , leading in turn to the discovery of a dural arteriovenous malformation at that level which was surgically corrected .' +p194638 +(lp194639 +S'She\tShe\tPRP\tB-NP\tO' +p194640 +aS'was\tbe\tVBD\tB-VP\tO' +p194641 +aS'found\tfind\tVBN\tI-VP\tO' +p194642 +aS'to\tto\tTO\tI-VP\tO' +p194643 +aS'have\thave\tVB\tI-VP\tO' +p194644 +aS'intermedullary\tintermedullary\tJJ\tB-NP\tO' +p194645 +aS'lesion\tlesion\tNN\tI-NP\tO' +p194646 +aS'at\tat\tIN\tB-PP\tO' +p194647 +aS'C1-2\tC1-2\tNN\tB-NP\tO' +p194648 +aS'level\tlevel\tNN\tI-NP\tO' +p194649 +aS'which\twhich\tWDT\tB-NP\tO' +p194650 +aS'on\ton\tIN\tB-PP\tO' +p194651 +aS'biopsy\tbiopsy\tNN\tB-NP\tO' +p194652 +aS'showed\tshow\tVBD\tB-VP\tO' +p194653 +aS'abnormal\tabnormal\tJJ\tB-NP\tO' +p194654 +aS'vasculature\tvasculature\tNN\tI-NP\tO' +p194655 +aS',\t,\t,\tO\tO' +p194656 +aS'hemosiderin\themosiderin\tNN\tB-NP\tB-protein' +p194657 +aS'deposit\tdeposit\tNN\tI-NP\tI-protein' +p194658 +aS',\t,\t,\tO\tO' +p194659 +aS'leading\tlead\tVBG\tB-VP\tO' +p194660 +aS'in\tin\tIN\tB-PP\tO' +p194661 +aS'turn\tturn\tNN\tB-NP\tO' +p194662 +aS'to\tto\tTO\tB-PP\tO' +p194663 +aS'the\tthe\tDT\tB-NP\tO' +p194664 +aS'discovery\tdiscovery\tNN\tI-NP\tO' +p194665 +aS'of\tof\tIN\tB-PP\tO' +p194666 +aS'a\ta\tDT\tB-NP\tO' +p194667 +aS'dural\tdural\tJJ\tI-NP\tO' +p194668 +aS'arteriovenous\tarteriovenous\tJJ\tI-NP\tO' +p194669 +aS'malformation\tmalformation\tNN\tI-NP\tO' +p194670 +aS'at\tat\tIN\tB-PP\tO' +p194671 +aS'that\tthat\tDT\tB-NP\tO' +p194672 +aS'level\tlevel\tNN\tI-NP\tO' +p194673 +aS'which\twhich\tWDT\tB-NP\tO' +p194674 +aS'was\tbe\tVBD\tB-VP\tO' +p194675 +aS'surgically\tsurgically\tRB\tI-VP\tO' +p194676 +aS'corrected\tcorrect\tVBN\tI-VP\tO' +p194677 +aS'.\t.\t.\tO\tO' +p194678 +asS'This was a non-Q wave myocardial infarction as there were no diagnostic electrocardiogram changes .' +p194679 +(lp194680 +S'This\tThis\tDT\tB-NP\tO' +p194681 +aS'was\tbe\tVBD\tB-VP\tO' +p194682 +aS'a\ta\tDT\tB-NP\tO' +p194683 +aS'non-Q\tnon-Q\tJJ\tI-NP\tO' +p194684 +aS'wave\twave\tNN\tI-NP\tO' +p194685 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p194686 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p194687 +aS'as\tas\tIN\tB-SBAR\tO' +p194688 +aS'there\tthere\tEX\tB-NP\tO' +p194689 +aS'were\tbe\tVBD\tB-VP\tO' +p194690 +aS'no\tno\tDT\tB-NP\tO' +p194691 +aS'diagnostic\tdiagnostic\tJJ\tI-NP\tO' +p194692 +aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' +p194693 +aS'changes\tchange\tNNS\tI-NP\tO' +p194694 +aS'.\t.\t.\tO\tO' +p194695 +asS'pt discharged home on 01-24 with instructions to complete 2 week course of vancomycin at hemodialysis for his PORT line infection .' +p194696 +(lp194697 +S'pt\tpt\tNN\tB-NP\tO' +p194698 +aS'discharged\tdischarge\tVBD\tB-VP\tO' +p194699 +aS'home\thome\tNN\tB-NP\tO' +p194700 +aS'on\ton\tIN\tB-PP\tO' +p194701 +aS'01-24\t01-24\tCD\tB-NP\tO' +p194702 +aS'with\twith\tIN\tB-PP\tO' +p194703 +aS'instructions\tinstruction\tNNS\tB-NP\tO' +p194704 +aS'to\tto\tTO\tB-VP\tO' +p194705 +aS'complete\tcomplete\tVB\tI-VP\tO' +p194706 +aS'2\t2\tCD\tB-NP\tO' +p194707 +aS'week\tweek\tNN\tI-NP\tO' +p194708 +aS'course\tcourse\tNN\tI-NP\tO' +p194709 +aS'of\tof\tIN\tB-PP\tO' +p194710 +aS'vancomycin\tvancomycin\tNN\tB-NP\tO' +p194711 +aS'at\tat\tIN\tB-PP\tO' +p194712 +aS'hemodialysis\themodialysis\tNN\tB-NP\tO' +p194713 +aS'for\tfor\tIN\tB-PP\tO' +p194714 +aS'his\this\tPRP$\tB-NP\tO' +p194715 +aS'PORT\tPORT\tNN\tI-NP\tO' +p194716 +aS'line\tline\tNN\tI-NP\tO' +p194717 +aS'infection\tinfection\tNN\tI-NP\tO' +p194718 +aS'.\t.\t.\tO\tO' +p194719 +asS'neutrophils , 0 bands .' +p194720 +(lp194721 +S'neutrophils\tneutrophil\tNNS\tB-NP\tB-cell_type' +p194722 +aS',\t,\t,\tO\tO' +p194723 +aS'0\t0\tCD\tB-NP\tO' +p194724 +aS'bands\tband\tNNS\tI-NP\tO' +p194725 +aS'.\t.\t.\tO\tO' +p194726 +asS'There was no dysarthria .' +p194727 +(lp194728 +S'There\tThere\tEX\tB-NP\tO' +p194729 +aS'was\tbe\tVBD\tB-VP\tO' +p194730 +aS'no\tno\tDT\tB-NP\tO' +p194731 +aS'dysarthria\tdysarthria\tNN\tI-NP\tO' +p194732 +aS'.\t.\t.\tO\tO' +p194733 +asS'However , we are not quite sure why this was occurring .' +p194734 +(lp194735 +S'However\tHowever\tRB\tB-ADVP\tO' +p194736 +aS',\t,\t,\tO\tO' +p194737 +aS'we\twe\tPRP\tB-NP\tO' +p194738 +aS'are\tbe\tVBP\tB-VP\tO' +p194739 +aS'not\tnot\tRB\tO\tO' +p194740 +aS'quite\tquite\tRB\tB-ADJP\tO' +p194741 +aS'sure\tsure\tJJ\tI-ADJP\tO' +p194742 +aS'why\twhy\tWRB\tB-ADVP\tO' +p194743 +aS'this\tthis\tDT\tB-NP\tO' +p194744 +aS'was\tbe\tVBD\tB-VP\tO' +p194745 +aS'occurring\toccur\tVBG\tI-VP\tO' +p194746 +aS'.\t.\t.\tO\tO' +p194747 +asS'She was initially evaluated at an outside hospital emergency room , and then transferred to Well General Hospital .' +p194748 +(lp194749 +S'She\tShe\tPRP\tB-NP\tO' +p194750 +aS'was\tbe\tVBD\tB-VP\tO' +p194751 +aS'initially\tinitially\tRB\tI-VP\tO' +p194752 +aS'evaluated\tevaluate\tVBN\tI-VP\tO' +p194753 +aS'at\tat\tIN\tB-PP\tO' +p194754 +aS'an\tan\tDT\tB-NP\tO' +p194755 +aS'outside\toutside\tJJ\tI-NP\tO' +p194756 +aS'hospital\thospital\tNN\tI-NP\tO' +p194757 +aS'emergency\temergency\tNN\tI-NP\tO' +p194758 +aS'room\troom\tNN\tI-NP\tO' +p194759 +aS',\t,\t,\tO\tO' +p194760 +aS'and\tand\tCC\tO\tO' +p194761 +aS'then\tthen\tRB\tB-VP\tO' +p194762 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p194763 +aS'to\tto\tTO\tB-PP\tO' +p194764 +aS'Well\tWell\tNNP\tB-NP\tO' +p194765 +aS'General\tGeneral\tNNP\tI-NP\tO' +p194766 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p194767 +aS'.\t.\t.\tO\tO' +p194768 +asS'4. Aeroseb .' +p194769 +(lp194770 +S'4.\t4.\tLS\tB-LST\tO' +p194771 +aS'Aeroseb\tAeroseb\tNNP\tB-NP\tO' +p194772 +aS'.\t.\t.\tO\tO' +p194773 +asS'On 1/12/92 she was taken to the operating room where she underwent a neart total gastrectomy with a retrocolic Bill-Roth II gastrojejunostomy reconstruction .' +p194774 +(lp194775 +S'On\tOn\tIN\tB-PP\tO' +p194776 +aS'1/12/92\t1/12/92\tCD\tB-NP\tO' +p194777 +aS'she\tshe\tPRP\tB-NP\tO' +p194778 +aS'was\tbe\tVBD\tB-VP\tO' +p194779 +aS'taken\ttake\tVBN\tI-VP\tO' +p194780 +aS'to\tto\tTO\tB-PP\tO' +p194781 +aS'the\tthe\tDT\tB-NP\tO' +p194782 +aS'operating\toperating\tNN\tI-NP\tO' +p194783 +aS'room\troom\tNN\tI-NP\tO' +p194784 +aS'where\twhere\tWRB\tB-ADVP\tO' +p194785 +aS'she\tshe\tPRP\tB-NP\tO' +p194786 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p194787 +aS'a\ta\tDT\tB-NP\tO' +p194788 +aS'neart\tneart\tRB\tI-NP\tO' +p194789 +aS'total\ttotal\tJJ\tI-NP\tO' +p194790 +aS'gastrectomy\tgastrectomy\tNN\tI-NP\tO' +p194791 +aS'with\twith\tIN\tB-PP\tO' +p194792 +aS'a\ta\tDT\tB-NP\tO' +p194793 +aS'retrocolic\tretrocolic\tJJ\tI-NP\tO' +p194794 +aS'Bill-Roth\tBill-Roth\tNN\tI-NP\tO' +p194795 +aS'II\tII\tCD\tI-NP\tO' +p194796 +aS'gastrojejunostomy\tgastrojejunostomy\tNN\tI-NP\tO' +p194797 +aS'reconstruction\treconstruction\tNN\tI-NP\tO' +p194798 +aS'.\t.\t.\tO\tO' +p194799 +asS'He was discharged to the Floor .' +p194800 +(lp194801 +S'He\tHe\tPRP\tB-NP\tO' +p194802 +aS'was\tbe\tVBD\tB-VP\tO' +p194803 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p194804 +aS'to\tto\tTO\tB-PP\tO' +p194805 +aS'the\tthe\tDT\tB-NP\tO' +p194806 +aS'Floor\tFloor\tNN\tI-NP\tO' +p194807 +aS'.\t.\t.\tO\tO' +p194808 +asS'BP did not improve despite 2 L NS and 100 mg IV hydrocortisone .' +p194809 +(lp194810 +S'BP\tBP\tNN\tB-NP\tO' +p194811 +aS'did\tdo\tVBD\tB-VP\tO' +p194812 +aS'not\tnot\tRB\tI-VP\tO' +p194813 +aS'improve\timprove\tVB\tI-VP\tO' +p194814 +aS'despite\tdespite\tIN\tB-NP\tO' +p194815 +aS'2\t2\tCD\tI-NP\tO' +p194816 +aS'L\tL\tNN\tI-NP\tO' +p194817 +aS'NS\tNS\tNN\tI-NP\tO' +p194818 +aS'and\tand\tCC\tO\tO' +p194819 +aS'100\t100\tCD\tB-NP\tO' +p194820 +aS'mg\tmg\tNN\tI-NP\tO' +p194821 +aS'IV\tIV\tCD\tB-NP\tO' +p194822 +aS'hydrocortisone\thydrocortisone\tNN\tI-NP\tO' +p194823 +aS'.\t.\t.\tO\tO' +p194824 +asS'Plan for surgery in Oct was deferred 04-05 syncope and pacer placement for SSS; again deferred 2 weeks ago 04-05 URI; was planned for surgery this Thurday .' +p194825 +(lp194826 +S'Plan\tPlan\tNN\tB-NP\tO' +p194827 +aS'for\tfor\tIN\tB-PP\tO' +p194828 +aS'surgery\tsurgery\tNN\tB-NP\tO' +p194829 +aS'in\tin\tIN\tB-PP\tO' +p194830 +aS'Oct\tOct\tNN\tB-NP\tB-DNA' +p194831 +aS'was\tbe\tVBD\tB-VP\tO' +p194832 +aS'deferred\tdefer\tVBN\tI-VP\tO' +p194833 +aS'04-05\t04-05\tCD\tB-NP\tO' +p194834 +aS'syncope\tsyncope\tNN\tI-NP\tO' +p194835 +aS'and\tand\tCC\tI-NP\tO' +p194836 +aS'pacer\tpacer\tNN\tI-NP\tO' +p194837 +aS'placement\tplacement\tNN\tI-NP\tO' +p194838 +aS'for\tfor\tIN\tB-PP\tO' +p194839 +aS'SSS;\tSSS;\tNN\tB-NP\tB-protein' +p194840 +aS'again\tagain\tRB\tB-ADVP\tO' +p194841 +aS'deferred\tdefer\tVBD\tB-VP\tO' +p194842 +aS'2\t2\tCD\tB-NP\tO' +p194843 +aS'weeks\tweek\tNNS\tI-NP\tO' +p194844 +aS'ago\tago\tIN\tB-ADVP\tO' +p194845 +aS'04-05\t04-05\tCD\tB-NP\tO' +p194846 +aS'URI;\tURI;\tNN\tI-NP\tO' +p194847 +aS'was\tbe\tVBD\tB-VP\tO' +p194848 +aS'planned\tplan\tVBN\tI-VP\tO' +p194849 +aS'for\tfor\tIN\tB-PP\tO' +p194850 +aS'surgery\tsurgery\tNN\tB-NP\tO' +p194851 +aS'this\tthis\tDT\tB-NP\tO' +p194852 +aS'Thurday\tThurday\tNNP\tI-NP\tO' +p194853 +aS'.\t.\t.\tO\tO' +p194854 +asS'Her wound remained benign and was healing nicely at the time of discharge .' +p194855 +(lp194856 +S'Her\tHer\tPRP$\tB-NP\tO' +p194857 +aS'wound\twound\tNN\tI-NP\tO' +p194858 +aS'remained\tremain\tVBD\tB-VP\tO' +p194859 +aS'benign\tbenign\tJJ\tB-ADJP\tO' +p194860 +aS'and\tand\tCC\tO\tO' +p194861 +aS'was\tbe\tVBD\tB-VP\tO' +p194862 +aS'healing\theal\tVBG\tI-VP\tO' +p194863 +aS'nicely\tnicely\tRB\tB-ADVP\tO' +p194864 +aS'at\tat\tIN\tB-PP\tO' +p194865 +aS'the\tthe\tDT\tB-NP\tO' +p194866 +aS'time\ttime\tNN\tI-NP\tO' +p194867 +aS'of\tof\tIN\tB-PP\tO' +p194868 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p194869 +aS'.\t.\t.\tO\tO' +p194870 +asS'Reportedly , the patient was at a local restaurant where he was noted to be unresponsive .' +p194871 +(lp194872 +S'Reportedly\tReportedly\tRB\tB-ADVP\tO' +p194873 +aS',\t,\t,\tO\tO' +p194874 +aS'the\tthe\tDT\tB-NP\tO' +p194875 +aS'patient\tpatient\tNN\tI-NP\tO' +p194876 +aS'was\tbe\tVBD\tB-VP\tO' +p194877 +aS'at\tat\tIN\tB-PP\tO' +p194878 +aS'a\ta\tDT\tB-NP\tO' +p194879 +aS'local\tlocal\tJJ\tI-NP\tO' +p194880 +aS'restaurant\trestaurant\tNN\tI-NP\tO' +p194881 +aS'where\twhere\tWRB\tB-ADVP\tO' +p194882 +aS'he\the\tPRP\tB-NP\tO' +p194883 +aS'was\tbe\tVBD\tB-VP\tO' +p194884 +aS'noted\tnote\tVBN\tI-VP\tO' +p194885 +aS'to\tto\tTO\tI-VP\tO' +p194886 +aS'be\tbe\tVB\tI-VP\tO' +p194887 +aS'unresponsive\tunresponsive\tJJ\tB-ADJP\tO' +p194888 +aS'.\t.\t.\tO\tO' +p194889 +asS'That evening , the patient again developed abdominal pain " like his pancreatitis " with nausea and vomiting , for which he was admitted to the Rehab Hospital of the Cape & Islands Hospital .' +p194890 +(lp194891 +S'That\tThat\tDT\tB-NP\tO' +p194892 +aS'evening\tevening\tNN\tI-NP\tO' +p194893 +aS',\t,\t,\tO\tO' +p194894 +aS'the\tthe\tDT\tB-NP\tO' +p194895 +aS'patient\tpatient\tNN\tI-NP\tO' +p194896 +aS'again\tagain\tRB\tB-ADVP\tO' +p194897 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p194898 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p194899 +aS'pain\tpain\tNN\tI-NP\tO' +p194900 +aS'"\t"\t\'\'\tO\tO' +p194901 +aS'like\tlike\tIN\tB-PP\tO' +p194902 +aS'his\this\tPRP$\tB-NP\tO' +p194903 +aS'pancreatitis\tpancreatitis\tNN\tI-NP\tO' +p194904 +aS'"\t"\t\'\'\tO\tO' +p194905 +aS'with\twith\tIN\tB-PP\tO' +p194906 +aS'nausea\tnausea\tNN\tB-NP\tO' +p194907 +aS'and\tand\tCC\tI-NP\tO' +p194908 +aS'vomiting\tvomiting\tNN\tI-NP\tO' +p194909 +aS',\t,\t,\tO\tO' +p194910 +aS'for\tfor\tIN\tB-PP\tO' +p194911 +aS'which\twhich\tWDT\tB-NP\tO' +p194912 +aS'he\the\tPRP\tB-NP\tO' +p194913 +aS'was\tbe\tVBD\tB-VP\tO' +p194914 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p194915 +aS'to\tto\tTO\tB-PP\tO' +p194916 +aS'the\tthe\tDT\tB-NP\tO' +p194917 +aS'Rehab\tRehab\tNNP\tI-NP\tO' +p194918 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p194919 +aS'of\tof\tIN\tB-PP\tO' +p194920 +aS'the\tthe\tDT\tB-NP\tO' +p194921 +aS'Cape\tCape\tNNP\tI-NP\tO' +p194922 +aS'&\t&\tCC\tI-NP\tO' +p194923 +aS'Islands\tIslands\tNNP\tI-NP\tO' +p194924 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p194925 +aS'.\t.\t.\tO\tO' +p194926 +asS'Leukocyte differential count reveals 64 neutrophils , 24% lymphocytes , 8% monocytes , 2% eosinophils , and 2% basophils .' +p194927 +(lp194928 +S'Leukocyte\tLeukocyte\tNN\tB-NP\tO' +p194929 +aS'differential\tdifferential\tJJ\tI-NP\tO' +p194930 +aS'count\tcount\tNN\tI-NP\tO' +p194931 +aS'reveals\treveal\tVBZ\tB-VP\tO' +p194932 +aS'64\t64\tCD\tB-NP\tO' +p194933 +aS'neutrophils\tneutrophil\tNNS\tI-NP\tB-cell_type' +p194934 +aS',\t,\t,\tO\tO' +p194935 +aS'24%\t24%\tNN\tB-NP\tB-cell_line' +p194936 +aS'lymphocytes\tlymphocyte\tNNS\tI-NP\tI-cell_line' +p194937 +aS',\t,\t,\tO\tO' +p194938 +aS'8%\t8%\tNN\tB-NP\tB-cell_type' +p194939 +aS'monocytes\tmonocyte\tNNS\tI-NP\tI-cell_type' +p194940 +aS',\t,\t,\tO\tO' +p194941 +aS'2%\t2%\tNN\tB-NP\tB-cell_line' +p194942 +aS'eosinophils\teosinophil\tNNS\tI-NP\tI-cell_line' +p194943 +aS',\t,\t,\tO\tO' +p194944 +aS'and\tand\tCC\tO\tO' +p194945 +aS'2%\t2%\tCD\tB-NP\tO' +p194946 +aS'basophils\tbasophil\tNNS\tI-NP\tB-cell_type' +p194947 +aS'.\t.\t.\tO\tO' +p194948 +asS'Signed electronically by : DR. Millard Fornataro on : FRI 2019-03-29 4:45 PM' +p194949 +(lp194950 +S'Signed\tSign\tVBN\tB-VP\tO' +p194951 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p194952 +aS'by\tby\tIN\tB-PP\tO' +p194953 +aS':\t:\t:\tO\tO' +p194954 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p194955 +aS'Millard\tMillard\tNNP\tI-NP\tO' +p194956 +aS'Fornataro\tFornataro\tNNP\tI-NP\tO' +p194957 +aS'on\ton\tIN\tB-PP\tO' +p194958 +aS':\t:\t:\tO\tO' +p194959 +aS'FRI\tFRI\tCD\tB-NP\tO' +p194960 +aS'2019-03-29\t2019-03-29\tCD\tI-NP\tO' +p194961 +aS'4:45\t4:45\tCD\tI-NP\tO' +p194962 +aS'PM\tPM\tNN\tI-NP\tO' +p194963 +asS'2 days prior to admission , pt developed hemoptysis; states he coughed up 4 tsp of blood .' +p194964 +(lp194965 +S'2\t2\tCD\tB-NP\tO' +p194966 +aS'days\tday\tNNS\tI-NP\tO' +p194967 +aS'prior\tprior\tRB\tB-ADVP\tO' +p194968 +aS'to\tto\tTO\tB-PP\tO' +p194969 +aS'admission\tadmission\tNN\tB-NP\tO' +p194970 +aS',\t,\t,\tO\tO' +p194971 +aS'pt\tpt\tNN\tB-NP\tO' +p194972 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p194973 +aS'hemoptysis;\themoptysis;\tNN\tB-NP\tO' +p194974 +aS'states\tstate\tNNS\tI-NP\tO' +p194975 +aS'he\the\tPRP\tB-NP\tO' +p194976 +aS'coughed\tcough\tVBD\tB-VP\tO' +p194977 +aS'up\tup\tRB\tB-ADVP\tO' +p194978 +aS'4\t4\tCD\tB-NP\tO' +p194979 +aS'tsp\ttsp\tNN\tI-NP\tO' +p194980 +aS'of\tof\tIN\tB-PP\tO' +p194981 +aS'blood\tblood\tNN\tB-NP\tO' +p194982 +aS'.\t.\t.\tO\tO' +p194983 +asS'right ear pain .' +p194984 +(lp194985 +S'right\tright\tJJ\tB-NP\tO' +p194986 +aS'ear\tear\tJJ\tI-NP\tO' +p194987 +aS'pain\tpain\tNN\tI-NP\tO' +p194988 +aS'.\t.\t.\tO\tO' +p194989 +asS'The patient is being discharged to an acute rehab facility .' +p194990 +(lp194991 +S'The\tThe\tDT\tB-NP\tO' +p194992 +aS'patient\tpatient\tNN\tI-NP\tO' +p194993 +aS'is\tbe\tVBZ\tB-VP\tO' +p194994 +aS'being\tbe\tVBG\tI-VP\tO' +p194995 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p194996 +aS'to\tto\tTO\tB-PP\tO' +p194997 +aS'an\tan\tDT\tB-NP\tO' +p194998 +aS'acute\tacute\tJJ\tI-NP\tO' +p194999 +aS'rehab\trehab\tNN\tI-NP\tO' +p195000 +aS'facility\tfacility\tNN\tI-NP\tO' +p195001 +aS'.\t.\t.\tO\tO' +p195002 +asS'Moist buccal mucosa , poor dentition , no erythema or exudates in the posterior pharynx .' +p195003 +(lp195004 +S'Moist\tMoist\tNN\tB-NP\tO' +p195005 +aS'buccal\tbuccal\tJJ\tI-NP\tO' +p195006 +aS'mucosa\tmucosa\tNN\tI-NP\tO' +p195007 +aS',\t,\t,\tO\tO' +p195008 +aS'poor\tpoor\tJJ\tB-NP\tO' +p195009 +aS'dentition\tdentition\tNN\tI-NP\tO' +p195010 +aS',\t,\t,\tO\tO' +p195011 +aS'no\tno\tDT\tB-NP\tO' +p195012 +aS'erythema\terythema\tNN\tI-NP\tO' +p195013 +aS'or\tor\tCC\tI-NP\tO' +p195014 +aS'exudates\texudate\tNNS\tI-NP\tO' +p195015 +aS'in\tin\tIN\tB-PP\tO' +p195016 +aS'the\tthe\tDT\tB-NP\tO' +p195017 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p195018 +aS'pharynx\tpharynx\tNN\tI-NP\tO' +p195019 +aS'.\t.\t.\tO\tO' +p195020 +asS'4. delirium - The patient had troubles with agitation while in the CMED CCU .' +p195021 +(lp195022 +S'4.\t4.\tLS\tB-NP\tO' +p195023 +aS'delirium\tdelirium\tNN\tI-NP\tO' +p195024 +aS'-\t-\tHYPH\tO\tO' +p195025 +aS'The\tThe\tDT\tB-NP\tO' +p195026 +aS'patient\tpatient\tNN\tI-NP\tO' +p195027 +aS'had\thave\tVBD\tB-VP\tO' +p195028 +aS'troubles\ttrouble\tNNS\tB-NP\tO' +p195029 +aS'with\twith\tIN\tB-PP\tO' +p195030 +aS'agitation\tagitation\tNN\tB-NP\tO' +p195031 +aS'while\twhile\tIN\tB-SBAR\tO' +p195032 +aS'in\tin\tIN\tB-PP\tO' +p195033 +aS'the\tthe\tDT\tB-NP\tO' +p195034 +aS'CMED\tCMED\tVBN\tI-NP\tO' +p195035 +aS'CCU\tCCU\tNN\tI-NP\tO' +p195036 +aS'.\t.\t.\tO\tO' +p195037 +asS'Cranial nerves II through XII are intact .' +p195038 +(lp195039 +S'Cranial\tCranial\tNNP\tB-NP\tO' +p195040 +aS'nerves\tnerve\tVBZ\tB-VP\tO' +p195041 +aS'II\tII\tCD\tB-NP\tO' +p195042 +aS'through\tthrough\tIN\tB-PP\tO' +p195043 +aS'XII\tXII\tNN\tB-NP\tB-DNA' +p195044 +aS'are\tbe\tVBP\tB-VP\tO' +p195045 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p195046 +aS'.\t.\t.\tO\tO' +p195047 +asS'5-Hepatic failure .' +p195048 +(lp195049 +S'5-Hepatic\t5-Hepatic\tJJ\tB-NP\tO' +p195050 +aS'failure\tfailure\tNN\tI-NP\tO' +p195051 +aS'.\t.\t.\tO\tO' +p195052 +asS"Pt 's respiratory distress is most likely on setting of aspiration pneumonia vs. pneumonitis in the setting of depressed mental status secondary to post-operative narcotics ." +p195053 +(lp195054 +S'Pt\tPt\tNN\tB-NP\tO' +p195055 +aS"'s\t's\tPOS\tB-NP\tO" +p195056 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p195057 +aS'distress\tdistress\tNN\tI-NP\tO' +p195058 +aS'is\tbe\tVBZ\tB-VP\tO' +p195059 +aS'most\tmost\tRBS\tB-ADJP\tO' +p195060 +aS'likely\tlikely\tJJ\tI-ADJP\tO' +p195061 +aS'on\ton\tIN\tB-PP\tO' +p195062 +aS'setting\tset\tVBG\tB-VP\tO' +p195063 +aS'of\tof\tIN\tB-PP\tO' +p195064 +aS'aspiration\taspiration\tNN\tB-NP\tO' +p195065 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p195066 +aS'vs.\tvs.\tIN\tB-PP\tO' +p195067 +aS'pneumonitis\tpneumonitis\tNN\tB-NP\tO' +p195068 +aS'in\tin\tIN\tB-PP\tO' +p195069 +aS'the\tthe\tDT\tB-NP\tO' +p195070 +aS'setting\tsetting\tNN\tI-NP\tO' +p195071 +aS'of\tof\tIN\tB-PP\tO' +p195072 +aS'depressed\tdepressed\tJJ\tB-NP\tO' +p195073 +aS'mental\tmental\tJJ\tI-NP\tO' +p195074 +aS'status\tstatus\tNN\tI-NP\tO' +p195075 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p195076 +aS'to\tto\tTO\tB-PP\tO' +p195077 +aS'post-operative\tpost-operative\tJJ\tB-NP\tO' +p195078 +aS'narcotics\tnarcotic\tNNS\tI-NP\tO' +p195079 +aS'.\t.\t.\tO\tO' +p195080 +asS'He was instructed to follow up with Dr. Conway in 2 weeks and an appointment was made on 11-15 for him at the Louis Schubert Community Health Center to follow his heart rate and continued need for lopressor .' +p195081 +(lp195082 +S'He\tHe\tPRP\tB-NP\tO' +p195083 +aS'was\tbe\tVBD\tB-VP\tO' +p195084 +aS'instructed\tinstruct\tVBN\tI-VP\tO' +p195085 +aS'to\tto\tTO\tI-VP\tO' +p195086 +aS'follow\tfollow\tVB\tI-VP\tO' +p195087 +aS'up\tup\tRP\tB-PRT\tO' +p195088 +aS'with\twith\tIN\tB-PP\tO' +p195089 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p195090 +aS'Conway\tConway\tNNP\tI-NP\tO' +p195091 +aS'in\tin\tIN\tB-PP\tO' +p195092 +aS'2\t2\tCD\tB-NP\tO' +p195093 +aS'weeks\tweek\tNNS\tI-NP\tO' +p195094 +aS'and\tand\tCC\tO\tO' +p195095 +aS'an\tan\tDT\tB-NP\tO' +p195096 +aS'appointment\tappointment\tNN\tI-NP\tO' +p195097 +aS'was\tbe\tVBD\tB-VP\tO' +p195098 +aS'made\tmake\tVBN\tI-VP\tO' +p195099 +aS'on\ton\tIN\tB-PP\tO' +p195100 +aS'11-15\t11-15\tCD\tB-NP\tO' +p195101 +aS'for\tfor\tIN\tB-PP\tO' +p195102 +aS'him\thim\tPRP\tB-NP\tO' +p195103 +aS'at\tat\tIN\tB-PP\tO' +p195104 +aS'the\tthe\tDT\tB-NP\tO' +p195105 +aS'Louis\tLouis\tNNP\tI-NP\tO' +p195106 +aS'Schubert\tSchubert\tNNP\tI-NP\tO' +p195107 +aS'Community\tCommunity\tNNP\tI-NP\tO' +p195108 +aS'Health\tHealth\tNNP\tI-NP\tO' +p195109 +aS'Center\tCenter\tNNP\tI-NP\tO' +p195110 +aS'to\tto\tTO\tB-VP\tO' +p195111 +aS'follow\tfollow\tVB\tI-VP\tO' +p195112 +aS'his\this\tPRP$\tB-NP\tO' +p195113 +aS'heart\theart\tNN\tI-NP\tO' +p195114 +aS'rate\trate\tNN\tI-NP\tO' +p195115 +aS'and\tand\tCC\tO\tO' +p195116 +aS'continued\tcontinued\tJJ\tB-NP\tO' +p195117 +aS'need\tneed\tNN\tI-NP\tO' +p195118 +aS'for\tfor\tIN\tB-PP\tO' +p195119 +aS'lopressor\tlopressor\tNN\tB-NP\tO' +p195120 +aS'.\t.\t.\tO\tO' +p195121 +asS'She was found to have widely metastatic ovarian carcinoma .' +p195122 +(lp195123 +S'She\tShe\tPRP\tB-NP\tO' +p195124 +aS'was\tbe\tVBD\tB-VP\tO' +p195125 +aS'found\tfind\tVBN\tI-VP\tO' +p195126 +aS'to\tto\tTO\tI-VP\tO' +p195127 +aS'have\thave\tVB\tI-VP\tO' +p195128 +aS'widely\twidely\tRB\tB-NP\tO' +p195129 +aS'metastatic\tmetastatic\tJJ\tI-NP\tO' +p195130 +aS'ovarian\tovarian\tJJ\tI-NP\tO' +p195131 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p195132 +aS'.\t.\t.\tO\tO' +p195133 +asS'She also received 80 mg of Solu-Medrol in the Emergency Department .' +p195134 +(lp195135 +S'She\tShe\tPRP\tB-NP\tO' +p195136 +aS'also\talso\tRB\tB-ADVP\tO' +p195137 +aS'received\treceive\tVBD\tB-VP\tO' +p195138 +aS'80\t80\tCD\tB-NP\tO' +p195139 +aS'mg\tmg\tNN\tI-NP\tO' +p195140 +aS'of\tof\tIN\tB-PP\tO' +p195141 +aS'Solu-Medrol\tSolu-Medrol\tNN\tB-NP\tO' +p195142 +aS'in\tin\tIN\tB-PP\tO' +p195143 +aS'the\tthe\tDT\tB-NP\tO' +p195144 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p195145 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p195146 +aS'.\t.\t.\tO\tO' +p195147 +asS'On Hospital day #2 through hospital day #3 , the patient had mild tremor on hands , but improved over hospital course .' +p195148 +(lp195149 +S'On\tOn\tIN\tB-PP\tO' +p195150 +aS'Hospital\tHospital\tNN\tB-NP\tO' +p195151 +aS'day\tday\tNN\tI-NP\tO' +p195152 +aS'#2\t#2\tCD\tB-NP\tO' +p195153 +aS'through\tthrough\tIN\tB-PP\tO' +p195154 +aS'hospital\thospital\tNN\tB-NP\tO' +p195155 +aS'day\tday\tNN\tI-NP\tO' +p195156 +aS'#3\t#3\tNN\tI-NP\tO' +p195157 +aS',\t,\t,\tO\tO' +p195158 +aS'the\tthe\tDT\tB-NP\tO' +p195159 +aS'patient\tpatient\tNN\tI-NP\tO' +p195160 +aS'had\thave\tVBD\tB-VP\tO' +p195161 +aS'mild\tmild\tJJ\tB-NP\tO' +p195162 +aS'tremor\ttremor\tNN\tI-NP\tO' +p195163 +aS'on\ton\tIN\tB-PP\tO' +p195164 +aS'hands\thand\tNNS\tB-NP\tO' +p195165 +aS',\t,\t,\tO\tO' +p195166 +aS'but\tbut\tCC\tO\tO' +p195167 +aS'improved\timprove\tVBD\tB-VP\tO' +p195168 +aS'over\tover\tIN\tB-PP\tO' +p195169 +aS'hospital\thospital\tNN\tB-NP\tO' +p195170 +aS'course\tcourse\tNN\tI-NP\tO' +p195171 +aS'.\t.\t.\tO\tO' +p195172 +asS'Weight 1.7 kg , length 41.5 cm , head circumference 29 cm , all 10th-25th percentile for 34 weeks .' +p195173 +(lp195174 +S'Weight\tWeight\tRB\tB-NP\tO' +p195175 +aS'1.7\t1.7\tCD\tI-NP\tO' +p195176 +aS'kg\tkg\tNN\tI-NP\tO' +p195177 +aS',\t,\t,\tO\tO' +p195178 +aS'length\tlength\tNN\tB-NP\tO' +p195179 +aS'41.5\t41.5\tCD\tI-NP\tO' +p195180 +aS'cm\tcm\tNN\tI-NP\tO' +p195181 +aS',\t,\t,\tO\tO' +p195182 +aS'head\thead\tNN\tB-NP\tO' +p195183 +aS'circumference\tcircumference\tNN\tI-NP\tO' +p195184 +aS'29\t29\tCD\tI-NP\tO' +p195185 +aS'cm\tcm\tNN\tI-NP\tO' +p195186 +aS',\t,\t,\tO\tO' +p195187 +aS'all\tall\tDT\tB-NP\tO' +p195188 +aS'10th-25th\t10th-25th\tJJ\tI-NP\tO' +p195189 +aS'percentile\tpercentile\tNN\tI-NP\tO' +p195190 +aS'for\tfor\tIN\tB-PP\tO' +p195191 +aS'34\t34\tCD\tB-NP\tO' +p195192 +aS'weeks\tweek\tNNS\tI-NP\tO' +p195193 +aS'.\t.\t.\tO\tO' +p195194 +asS'- DM with neuropathy .' +p195195 +(lp195196 +S'-\t-\tHYPH\tB-NP\tO' +p195197 +aS'DM\tDM\tNN\tI-NP\tO' +p195198 +aS'with\twith\tIN\tB-PP\tO' +p195199 +aS'neuropathy\tneuropathy\tNN\tB-NP\tO' +p195200 +aS'.\t.\t.\tO\tO' +p195201 +asS'We also did an ultrasound guided paracentesis .' +p195202 +(lp195203 +S'We\tWe\tPRP\tB-NP\tO' +p195204 +aS'also\talso\tRB\tB-ADVP\tO' +p195205 +aS'did\tdo\tVBD\tB-VP\tO' +p195206 +aS'an\tan\tDT\tB-NP\tO' +p195207 +aS'ultrasound\tultrasound\tJJ\tI-NP\tO' +p195208 +aS'guided\tguide\tVBN\tI-NP\tO' +p195209 +aS'paracentesis\tparacentesis\tNN\tI-NP\tO' +p195210 +aS'.\t.\t.\tO\tO' +p195211 +asS'The patient 's activity should be limited to being up in a chair only for several minutes per day and sit on a special pad that the family has purchased .' +p195212 +(lp195213 +S'The\tThe\tDT\tB-NP\tO' +p195214 +aS'patient\tpatient\tNN\tI-NP\tO' +p195215 +aS''s\t'\tNNS\tI-NP\tO' +p195216 +aS'activity\tactivity\tNN\tI-NP\tO' +p195217 +aS'should\tshould\tMD\tB-VP\tO' +p195218 +aS'be\tbe\tVB\tI-VP\tO' +p195219 +aS'limited\tlimit\tVBN\tI-VP\tO' +p195220 +aS'to\tto\tTO\tB-PP\tO' +p195221 +aS'being\tbe\tVBG\tB-VP\tO' +p195222 +aS'up\tup\tRP\tB-PRT\tO' +p195223 +aS'in\tin\tIN\tB-PP\tO' +p195224 +aS'a\ta\tDT\tB-NP\tO' +p195225 +aS'chair\tchair\tNN\tI-NP\tO' +p195226 +aS'only\tonly\tRB\tB-ADVP\tO' +p195227 +aS'for\tfor\tIN\tB-PP\tO' +p195228 +aS'several\tseveral\tJJ\tB-NP\tO' +p195229 +aS'minutes\tminute\tNNS\tI-NP\tO' +p195230 +aS'per\tper\tIN\tB-PP\tO' +p195231 +aS'day\tday\tNN\tB-NP\tO' +p195232 +aS'and\tand\tCC\tO\tO' +p195233 +aS'sit\tsit\tNN\tB-NP\tB-protein' +p195234 +aS'on\ton\tIN\tB-PP\tO' +p195235 +aS'a\ta\tDT\tB-NP\tO' +p195236 +aS'special\tspecial\tJJ\tI-NP\tO' +p195237 +aS'pad\tpad\tNN\tI-NP\tO' +p195238 +aS'that\tthat\tIN\tB-SBAR\tO' +p195239 +aS'the\tthe\tDT\tB-NP\tO' +p195240 +aS'family\tfamily\tNN\tI-NP\tO' +p195241 +aS'has\thave\tVBZ\tB-VP\tO' +p195242 +aS'purchased\tpurchase\tVBN\tI-VP\tO' +p195243 +aS'.\t.\t.\tO\tO' +p195244 +asS'He had a cardiac catheterization on December 1 , 1995 that showed no complications , elevated right atrial pressure and moderate pulmonary hypertension .' +p195245 +(lp195246 +S'He\tHe\tPRP\tB-NP\tO' +p195247 +aS'had\thave\tVBD\tB-VP\tO' +p195248 +aS'a\ta\tDT\tB-NP\tO' +p195249 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p195250 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p195251 +aS'on\ton\tIN\tB-PP\tO' +p195252 +aS'December\tDecember\tNNP\tB-NP\tO' +p195253 +aS'1\t1\tCD\tI-NP\tO' +p195254 +aS',\t,\t,\tI-NP\tO' +p195255 +aS'1995\t1995\tCD\tI-NP\tO' +p195256 +aS'that\tthat\tWDT\tB-NP\tO' +p195257 +aS'showed\tshow\tVBD\tB-VP\tO' +p195258 +aS'no\tno\tDT\tB-NP\tO' +p195259 +aS'complications\tcomplication\tNNS\tI-NP\tO' +p195260 +aS',\t,\t,\tO\tO' +p195261 +aS'elevated\televate\tVBD\tB-VP\tO' +p195262 +aS'right\tright\tJJ\tB-NP\tO' +p195263 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p195264 +aS'pressure\tpressure\tNN\tI-NP\tO' +p195265 +aS'and\tand\tCC\tO\tO' +p195266 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p195267 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p195268 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p195269 +aS'.\t.\t.\tO\tO' +p195270 +asS'She had normal left ventricular function with apical tip akinesis .' +p195271 +(lp195272 +S'She\tShe\tPRP\tB-NP\tO' +p195273 +aS'had\thave\tVBD\tB-VP\tO' +p195274 +aS'normal\tnormal\tJJ\tB-NP\tO' +p195275 +aS'left\tleft\tJJ\tI-NP\tO' +p195276 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p195277 +aS'function\tfunction\tNN\tI-NP\tO' +p195278 +aS'with\twith\tIN\tB-PP\tO' +p195279 +aS'apical\tapical\tJJ\tB-NP\tO' +p195280 +aS'tip\ttip\tNN\tI-NP\tO' +p195281 +aS'akinesis\takinesis\tNN\tI-NP\tO' +p195282 +aS'.\t.\t.\tO\tO' +p195283 +asS'6. Docusate Sodium 100 mg Capsule Sig : One ( 1 ) Capsule PO BID ( 2 times a day ): Use while taking narcotics .' +p195284 +(lp195285 +S'6.\t6.\tLS\tB-NP\tO' +p195286 +aS'Docusate\tDocusate\tNNP\tI-NP\tO' +p195287 +aS'Sodium\tSodium\tNNP\tI-NP\tO' +p195288 +aS'100\t100\tCD\tI-NP\tO' +p195289 +aS'mg\tmg\tNN\tI-NP\tO' +p195290 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p195291 +aS'Sig\tSig\tNNP\tI-NP\tO' +p195292 +aS':\t:\t:\tO\tO' +p195293 +aS'One\tOne\tCD\tB-NP\tO' +p195294 +aS'(\t(\t(\tO\tO' +p195295 +aS'1\t1\tCD\tB-NP\tO' +p195296 +aS')\t)\t)\tO\tO' +p195297 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p195298 +aS'PO\tPO\tNNP\tI-NP\tO' +p195299 +aS'BID\tBID\tNNP\tI-NP\tO' +p195300 +aS'(\t(\t(\tO\tO' +p195301 +aS'2\t2\tCD\tB-NP\tO' +p195302 +aS'times\ttime\tNNS\tI-NP\tO' +p195303 +aS'a\ta\tDT\tB-NP\tO' +p195304 +aS'day\tday\tNN\tI-NP\tO' +p195305 +aS'):\t):\t:\tO\tO' +p195306 +aS'Use\tUse\tNN\tB-NP\tO' +p195307 +aS'while\twhile\tIN\tB-SBAR\tO' +p195308 +aS'taking\ttake\tVBG\tB-VP\tO' +p195309 +aS'narcotics\tnarcotic\tNNS\tB-NP\tO' +p195310 +aS'.\t.\t.\tO\tO' +p195311 +asS'The patient has a history of adult onset diabetes mellitus , ankylosing spondylitis , status post myocardial infarction in '96 ( ? ) now with acute onset of left face and arm greater than leg hemiplegia and primary hemisensory loss on the left .' +p195312 +(lp195313 +S'The\tThe\tDT\tB-NP\tO' +p195314 +aS'patient\tpatient\tNN\tI-NP\tO' +p195315 +aS'has\thave\tVBZ\tB-VP\tO' +p195316 +aS'a\ta\tDT\tB-NP\tO' +p195317 +aS'history\thistory\tNN\tI-NP\tO' +p195318 +aS'of\tof\tIN\tB-PP\tO' +p195319 +aS'adult\tadult\tJJ\tB-NP\tO' +p195320 +aS'onset\tonset\tNN\tI-NP\tO' +p195321 +aS'diabetes\tdiabetes\tNN\tI-NP\tO' +p195322 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p195323 +aS',\t,\t,\tO\tO' +p195324 +aS'ankylosing\tankylose\tVBG\tB-VP\tO' +p195325 +aS'spondylitis\tspondylitis\tNN\tB-NP\tO' +p195326 +aS',\t,\t,\tO\tO' +p195327 +aS'status\tstatus\tNN\tB-NP\tO' +p195328 +aS'post\tpost\tNN\tI-NP\tO' +p195329 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p195330 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p195331 +aS'in\tin\tIN\tB-PP\tO' +p195332 +aS''96\t'96\tCD\tB-NP\tO' +p195333 +aS'(\t(\t(\tO\tO' +p195334 +aS'?\t?\t.\tO\tO' +p195335 +aS')\t)\t)\tO\tO' +p195336 +aS'now\tnow\tRB\tB-ADVP\tO' +p195337 +aS'with\twith\tIN\tB-PP\tO' +p195338 +aS'acute\tacute\tJJ\tB-NP\tO' +p195339 +aS'onset\tonset\tNN\tI-NP\tO' +p195340 +aS'of\tof\tIN\tB-PP\tO' +p195341 +aS'left\tleft\tJJ\tB-NP\tO' +p195342 +aS'face\tface\tNN\tI-NP\tO' +p195343 +aS'and\tand\tCC\tI-NP\tO' +p195344 +aS'arm\tarm\tNN\tI-NP\tO' +p195345 +aS'greater\tgreat\tJJR\tB-ADJP\tO' +p195346 +aS'than\tthan\tIN\tB-PP\tO' +p195347 +aS'leg\tleg\tNN\tB-NP\tO' +p195348 +aS'hemiplegia\themiplegia\tNN\tI-NP\tO' +p195349 +aS'and\tand\tCC\tO\tO' +p195350 +aS'primary\tprimary\tJJ\tB-NP\tO' +p195351 +aS'hemisensory\themisensory\tJJ\tI-NP\tO' +p195352 +aS'loss\tloss\tNN\tI-NP\tO' +p195353 +aS'on\ton\tIN\tB-PP\tO' +p195354 +aS'the\tthe\tDT\tB-NP\tO' +p195355 +aS'left\tleft\tNN\tI-NP\tO' +p195356 +aS'.\t.\t.\tO\tO' +p195357 +asS'She was treated with steroids for this swelling at the outside hospital , and these were continued .' +p195358 +(lp195359 +S'She\tShe\tPRP\tB-NP\tO' +p195360 +aS'was\tbe\tVBD\tB-VP\tO' +p195361 +aS'treated\ttreat\tVBN\tI-VP\tO' +p195362 +aS'with\twith\tIN\tB-PP\tO' +p195363 +aS'steroids\tsteroid\tNNS\tB-NP\tO' +p195364 +aS'for\tfor\tIN\tB-PP\tO' +p195365 +aS'this\tthis\tDT\tB-NP\tO' +p195366 +aS'swelling\tswelling\tNN\tI-NP\tO' +p195367 +aS'at\tat\tIN\tB-PP\tO' +p195368 +aS'the\tthe\tDT\tB-NP\tO' +p195369 +aS'outside\toutside\tJJ\tI-NP\tO' +p195370 +aS'hospital\thospital\tNN\tI-NP\tO' +p195371 +aS',\t,\t,\tO\tO' +p195372 +aS'and\tand\tCC\tO\tO' +p195373 +aS'these\tthese\tDT\tB-NP\tO' +p195374 +aS'were\tbe\tVBD\tB-VP\tO' +p195375 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p195376 +aS'.\t.\t.\tO\tO' +p195377 +asS'Trace AI is also noted between the left and right coronary cusps .' +p195378 +(lp195379 +S'Trace\tTrace\tNNP\tB-NP\tO' +p195380 +aS'AI\tAI\tNNP\tI-NP\tO' +p195381 +aS'is\tbe\tVBZ\tB-VP\tO' +p195382 +aS'also\talso\tRB\tI-VP\tO' +p195383 +aS'noted\tnote\tVBN\tI-VP\tO' +p195384 +aS'between\tbetween\tIN\tB-PP\tO' +p195385 +aS'the\tthe\tDT\tB-NP\tO' +p195386 +aS'left\tleft\tJJ\tI-NP\tO' +p195387 +aS'and\tand\tCC\tI-NP\tO' +p195388 +aS'right\tright\tJJ\tI-NP\tO' +p195389 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p195390 +aS'cusps\tcusp\tNNS\tI-NP\tO' +p195391 +aS'.\t.\t.\tO\tO' +p195392 +asS'On admission included BUN / creatinine of 33/2.1 .' +p195393 +(lp195394 +S'On\tOn\tIN\tB-PP\tO' +p195395 +aS'admission\tadmission\tNN\tB-NP\tO' +p195396 +aS'included\tinclude\tVBD\tB-VP\tO' +p195397 +aS'BUN\tBUN\tNN\tB-NP\tB-protein' +p195398 +aS'/\t/\tSYM\tB-NP\tO' +p195399 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p195400 +aS'of\tof\tIN\tB-PP\tO' +p195401 +aS'33/2.1\t33/2.1\tCD\tB-NP\tO' +p195402 +aS'.\t.\t.\tO\tO' +p195403 +asS'ON admission , physical examination reveals a non dysmorphic infant , well saturated and perfused with multiple bruises noted over the upper legs , left arm and chest .' +p195404 +(lp195405 +S'ON\tON\tNN\tB-NP\tO' +p195406 +aS'admission\tadmission\tNN\tI-NP\tO' +p195407 +aS',\t,\t,\tO\tO' +p195408 +aS'physical\tphysical\tJJ\tB-NP\tO' +p195409 +aS'examination\texamination\tNN\tI-NP\tO' +p195410 +aS'reveals\treveal\tVBZ\tB-VP\tO' +p195411 +aS'a\ta\tDT\tB-NP\tO' +p195412 +aS'non\tnon\tJJ\tI-NP\tO' +p195413 +aS'dysmorphic\tdysmorphic\tJJ\tI-NP\tO' +p195414 +aS'infant\tinfant\tNN\tI-NP\tO' +p195415 +aS',\t,\t,\tO\tO' +p195416 +aS'well\twell\tRB\tB-VP\tO' +p195417 +aS'saturated\tsaturate\tVBN\tI-VP\tO' +p195418 +aS'and\tand\tCC\tO\tO' +p195419 +aS'perfused\tperfuse\tVBN\tB-VP\tO' +p195420 +aS'with\twith\tIN\tB-PP\tO' +p195421 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p195422 +aS'bruises\tbruise\tNNS\tI-NP\tO' +p195423 +aS'noted\tnote\tVBN\tB-VP\tO' +p195424 +aS'over\tover\tIN\tB-PP\tO' +p195425 +aS'the\tthe\tDT\tB-NP\tO' +p195426 +aS'upper\tupper\tJJ\tI-NP\tO' +p195427 +aS'legs\tleg\tNNS\tI-NP\tO' +p195428 +aS',\t,\t,\tO\tO' +p195429 +aS'left\tleft\tJJ\tB-NP\tO' +p195430 +aS'arm\tarm\tNN\tI-NP\tO' +p195431 +aS'and\tand\tCC\tI-NP\tO' +p195432 +aS'chest\tchest\tNN\tI-NP\tO' +p195433 +aS'.\t.\t.\tO\tO' +p195434 +asS'STAPHYLOCOCCUS , COAGULASE NEGATIVE sensitive to vanc' +p195435 +(lp195436 +S'STAPHYLOCOCCUS\tSTAPHYLOCOCCUS\tNNS\tB-NP\tO' +p195437 +aS',\t,\t,\tO\tO' +p195438 +aS'COAGULASE\tCOAGULASE\tNN\tB-NP\tB-protein' +p195439 +aS'NEGATIVE\tNEGATIVE\tNN\tI-NP\tO' +p195440 +aS'sensitive\tsensitive\tJJ\tB-ADJP\tO' +p195441 +aS'to\tto\tTO\tB-PP\tO' +p195442 +aS'vanc\tvanc\tNN\tB-NP\tO' +p195443 +asS'55 yo M w/ h/o recurrent bladder ca s/p cystectomy w/ ileal conduit p/w BRBPR to OSH .' +p195444 +(lp195445 +S'55\t55\tCD\tB-NP\tO' +p195446 +aS'yo\tyo\tNN\tI-NP\tO' +p195447 +aS'M\tM\tNN\tI-NP\tO' +p195448 +aS'w/\tw/\tNN\tI-NP\tO' +p195449 +aS'h/o\th/o\tNN\tI-NP\tO' +p195450 +aS'recurrent\trecurrent\tJJ\tI-NP\tO' +p195451 +aS'bladder\tbladder\tNN\tI-NP\tO' +p195452 +aS'ca\tca\tNN\tI-NP\tO' +p195453 +aS's/p\ts/p\tNN\tI-NP\tO' +p195454 +aS'cystectomy\tcystectomy\tNN\tI-NP\tO' +p195455 +aS'w/\tw/\tNN\tI-NP\tO' +p195456 +aS'ileal\tileal\tJJ\tI-NP\tO' +p195457 +aS'conduit\tconduit\tNN\tI-NP\tO' +p195458 +aS'p/w\tp/w\tNN\tI-NP\tO' +p195459 +aS'BRBPR\tBRBPR\tNN\tI-NP\tO' +p195460 +aS'to\tto\tTO\tB-PP\tO' +p195461 +aS'OSH\tOSH\tNN\tB-NP\tB-protein' +p195462 +aS'.\t.\t.\tO\tO' +p195463 +asS'5. Polymyalgia rheumatica .' +p195464 +(lp195465 +S'5.\t5.\tLS\tB-NP\tO' +p195466 +aS'Polymyalgia\tPolymyalgia\tNNP\tI-NP\tO' +p195467 +aS'rheumatica\trheumatica\tNN\tI-NP\tO' +p195468 +aS'.\t.\t.\tO\tO' +p195469 +asS'11. Oxycodone 5 mg Tablet Sig : 1-2 Tablets PO every 4-6 hours as needed for pain for 14 days .' +p195470 +(lp195471 +S'11.\t11.\tCD\tB-NP\tO' +p195472 +aS'Oxycodone\tOxycodone\tNN\tI-NP\tO' +p195473 +aS'5\t5\tCD\tB-NP\tO' +p195474 +aS'mg\tmg\tNN\tI-NP\tO' +p195475 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p195476 +aS'Sig\tSig\tNNP\tI-NP\tO' +p195477 +aS':\t:\t:\tO\tO' +p195478 +aS'1-2\t1-2\tCD\tB-NP\tO' +p195479 +aS'Tablets\tTablet\tNNS\tI-NP\tO' +p195480 +aS'PO\tPO\tNN\tI-NP\tO' +p195481 +aS'every\tevery\tDT\tB-NP\tO' +p195482 +aS'4-6\t4-6\tCD\tI-NP\tO' +p195483 +aS'hours\thour\tNNS\tI-NP\tO' +p195484 +aS'as\tas\tIN\tB-SBAR\tO' +p195485 +aS'needed\tneed\tVBN\tB-VP\tO' +p195486 +aS'for\tfor\tIN\tB-PP\tO' +p195487 +aS'pain\tpain\tNN\tB-NP\tO' +p195488 +aS'for\tfor\tIN\tB-PP\tO' +p195489 +aS'14\t14\tCD\tB-NP\tO' +p195490 +aS'days\tday\tNNS\tI-NP\tO' +p195491 +aS'.\t.\t.\tO\tO' +p195492 +asS'He continued to have an oxygen requirement and CT scan suggested ground glass opacities , suggestive of an underlying infectious process .' +p195493 +(lp195494 +S'He\tHe\tPRP\tB-NP\tO' +p195495 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p195496 +aS'to\tto\tTO\tI-VP\tO' +p195497 +aS'have\thave\tVB\tI-VP\tO' +p195498 +aS'an\tan\tDT\tB-NP\tO' +p195499 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p195500 +aS'requirement\trequirement\tNN\tI-NP\tO' +p195501 +aS'and\tand\tCC\tO\tO' +p195502 +aS'CT\tCT\tNN\tB-NP\tO' +p195503 +aS'scan\tscan\tNN\tI-NP\tO' +p195504 +aS'suggested\tsuggest\tVBD\tB-VP\tO' +p195505 +aS'ground\tground\tNN\tB-NP\tO' +p195506 +aS'glass\tglass\tNN\tI-NP\tO' +p195507 +aS'opacities\topacity\tNNS\tI-NP\tO' +p195508 +aS',\t,\t,\tO\tO' +p195509 +aS'suggestive\tsuggestive\tJJ\tB-ADJP\tO' +p195510 +aS'of\tof\tIN\tB-PP\tO' +p195511 +aS'an\tan\tDT\tB-NP\tO' +p195512 +aS'underlying\tunderlie\tVBG\tI-NP\tO' +p195513 +aS'infectious\tinfectious\tJJ\tI-NP\tO' +p195514 +aS'process\tprocess\tNN\tI-NP\tO' +p195515 +aS'.\t.\t.\tO\tO' +p195516 +asS'Digoxin , Norvasc and Imdur was also discontinued .' +p195517 +(lp195518 +S'Digoxin\tDigoxin\tNN\tB-NP\tO' +p195519 +aS',\t,\t,\tO\tO' +p195520 +aS'Norvasc\tNorvasc\tNNP\tB-NP\tO' +p195521 +aS'and\tand\tCC\tI-NP\tO' +p195522 +aS'Imdur\tImdur\tNNP\tI-NP\tO' +p195523 +aS'was\tbe\tVBD\tB-VP\tO' +p195524 +aS'also\talso\tRB\tI-VP\tO' +p195525 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p195526 +aS'.\t.\t.\tO\tO' +p195527 +asS'The family declined an autopsy saying that they felt that the patient had been through enough .' +p195528 +(lp195529 +S'The\tThe\tDT\tB-NP\tO' +p195530 +aS'family\tfamily\tNN\tI-NP\tO' +p195531 +aS'declined\tdecline\tVBD\tB-VP\tO' +p195532 +aS'an\tan\tDT\tB-NP\tO' +p195533 +aS'autopsy\tautopsy\tNN\tI-NP\tO' +p195534 +aS'saying\tsay\tVBG\tB-VP\tO' +p195535 +aS'that\tthat\tIN\tB-SBAR\tO' +p195536 +aS'they\tthey\tPRP\tB-NP\tO' +p195537 +aS'felt\tfeel\tVBD\tB-VP\tO' +p195538 +aS'that\tthat\tIN\tB-SBAR\tO' +p195539 +aS'the\tthe\tDT\tB-NP\tO' +p195540 +aS'patient\tpatient\tNN\tI-NP\tO' +p195541 +aS'had\thave\tVBD\tB-VP\tO' +p195542 +aS'been\tbe\tVBN\tI-VP\tO' +p195543 +aS'through\tthrough\tIN\tB-PP\tO' +p195544 +aS'enough\tenough\tNN\tB-NP\tO' +p195545 +aS'.\t.\t.\tO\tO' +p195546 +asS'The patient was corrected to a normal pH of 7.41 by the first postoperative night and remained stable .' +p195547 +(lp195548 +S'The\tThe\tDT\tB-NP\tO' +p195549 +aS'patient\tpatient\tNN\tI-NP\tO' +p195550 +aS'was\tbe\tVBD\tB-VP\tO' +p195551 +aS'corrected\tcorrect\tVBN\tI-VP\tO' +p195552 +aS'to\tto\tTO\tB-PP\tO' +p195553 +aS'a\ta\tDT\tB-NP\tO' +p195554 +aS'normal\tnormal\tJJ\tI-NP\tO' +p195555 +aS'pH\tpH\tNN\tI-NP\tO' +p195556 +aS'of\tof\tIN\tB-PP\tO' +p195557 +aS'7.41\t7.41\tCD\tB-NP\tO' +p195558 +aS'by\tby\tIN\tB-PP\tO' +p195559 +aS'the\tthe\tDT\tB-NP\tO' +p195560 +aS'first\tfirst\tJJ\tI-NP\tO' +p195561 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p195562 +aS'night\tnight\tNN\tI-NP\tO' +p195563 +aS'and\tand\tCC\tO\tO' +p195564 +aS'remained\tremain\tVBD\tB-VP\tO' +p195565 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p195566 +aS'.\t.\t.\tO\tO' +p195567 +asS'Soft , obese , nontender , nondistended .' +p195568 +(lp195569 +S'Soft\tSoft\tRB\tB-ADVP\tO' +p195570 +aS',\t,\t,\tO\tO' +p195571 +aS'obese\tobese\tJJ\tB-NP\tO' +p195572 +aS',\t,\t,\tI-NP\tO' +p195573 +aS'nontender\tnontender\tJJ\tI-NP\tO' +p195574 +aS',\t,\t,\tI-NP\tO' +p195575 +aS'nondistended\tnondistended\tJJ\tI-NP\tO' +p195576 +aS'.\t.\t.\tO\tO' +p195577 +asS'The patient ruled out for myocardial infarction with serial creatine kinases , although these did rise to 816 .' +p195578 +(lp195579 +S'The\tThe\tDT\tB-NP\tO' +p195580 +aS'patient\tpatient\tNN\tI-NP\tO' +p195581 +aS'ruled\trule\tVBD\tB-VP\tO' +p195582 +aS'out\tout\tRP\tB-PRT\tO' +p195583 +aS'for\tfor\tIN\tB-PP\tO' +p195584 +aS'myocardial\tmyocardial\tJJ\tB-NP\tO' +p195585 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p195586 +aS'with\twith\tIN\tB-PP\tO' +p195587 +aS'serial\tserial\tJJ\tB-NP\tB-protein' +p195588 +aS'creatine\tcreatine\tNN\tI-NP\tI-protein' +p195589 +aS'kinases\tkinase\tNNS\tI-NP\tI-protein' +p195590 +aS',\t,\t,\tO\tO' +p195591 +aS'although\talthough\tIN\tB-SBAR\tO' +p195592 +aS'these\tthese\tDT\tB-NP\tO' +p195593 +aS'did\tdo\tVBD\tB-VP\tO' +p195594 +aS'rise\trise\tNN\tB-NP\tO' +p195595 +aS'to\tto\tTO\tB-PP\tO' +p195596 +aS'816\t816\tCD\tB-NP\tO' +p195597 +aS'.\t.\t.\tO\tO' +p195598 +asS'On the day of admission , the patient was brought to the operating room for parathyroidectomy .' +p195599 +(lp195600 +S'On\tOn\tIN\tB-PP\tO' +p195601 +aS'the\tthe\tDT\tB-NP\tO' +p195602 +aS'day\tday\tNN\tI-NP\tO' +p195603 +aS'of\tof\tIN\tB-PP\tO' +p195604 +aS'admission\tadmission\tNN\tB-NP\tO' +p195605 +aS',\t,\t,\tO\tO' +p195606 +aS'the\tthe\tDT\tB-NP\tO' +p195607 +aS'patient\tpatient\tNN\tI-NP\tO' +p195608 +aS'was\tbe\tVBD\tB-VP\tO' +p195609 +aS'brought\tbring\tVBN\tI-VP\tO' +p195610 +aS'to\tto\tTO\tB-PP\tO' +p195611 +aS'the\tthe\tDT\tB-NP\tO' +p195612 +aS'operating\toperating\tNN\tI-NP\tO' +p195613 +aS'room\troom\tNN\tI-NP\tO' +p195614 +aS'for\tfor\tIN\tB-PP\tO' +p195615 +aS'parathyroidectomy\tparathyroidectomy\tNN\tB-NP\tO' +p195616 +aS'.\t.\t.\tO\tO' +p195617 +asS'Her hematocrit was stable postoperatively .' +p195618 +(lp195619 +S'Her\tHer\tPRP$\tB-NP\tO' +p195620 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p195621 +aS'was\tbe\tVBD\tB-VP\tO' +p195622 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p195623 +aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' +p195624 +aS'.\t.\t.\tO\tO' +p195625 +asS'An intact colostomy was present .' +p195626 +(lp195627 +S'An\tAn\tDT\tB-NP\tO' +p195628 +aS'intact\tintact\tJJ\tI-NP\tO' +p195629 +aS'colostomy\tcolostomy\tNN\tI-NP\tO' +p195630 +aS'was\tbe\tVBD\tB-VP\tO' +p195631 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p195632 +aS'.\t.\t.\tO\tO' +p195633 +asS'6. Clonidine 0.3 mg / 24 hr Patch Weekly Sig : One ( 1 ) Patch Weekly Transdermal Q WED ( every Wednesday ).' +p195634 +(lp195635 +S'6.\t6.\tLS\tB-NP\tO' +p195636 +aS'Clonidine\tClonidine\tNN\tI-NP\tO' +p195637 +aS'0.3\t0.3\tCD\tI-NP\tO' +p195638 +aS'mg\tmg\tNN\tI-NP\tO' +p195639 +aS'/\t/\tSYM\tB-NP\tO' +p195640 +aS'24\t24\tCD\tB-NP\tO' +p195641 +aS'hr\thr\tNN\tI-NP\tO' +p195642 +aS'Patch\tPatch\tNNP\tI-NP\tO' +p195643 +aS'Weekly\tWeekly\tNNP\tI-NP\tO' +p195644 +aS'Sig\tSig\tNNP\tI-NP\tO' +p195645 +aS':\t:\t:\tO\tO' +p195646 +aS'One\tOne\tCD\tB-NP\tO' +p195647 +aS'(\t(\t(\tO\tO' +p195648 +aS'1\t1\tCD\tB-NP\tO' +p195649 +aS')\t)\t)\tO\tO' +p195650 +aS'Patch\tPatch\tNNP\tB-NP\tO' +p195651 +aS'Weekly\tWeekly\tNNP\tI-NP\tO' +p195652 +aS'Transdermal\tTransdermal\tNNP\tI-NP\tO' +p195653 +aS'Q\tQ\tNNP\tI-NP\tO' +p195654 +aS'WED\tWED\tVBD\tB-VP\tO' +p195655 +aS'(\t(\t(\tO\tO' +p195656 +aS'every\tevery\tDT\tB-NP\tO' +p195657 +aS'Wednesday\tWednesday\tNNP\tI-NP\tO' +p195658 +aS').\t).\tNNP\tI-NP\tO' +p195659 +asS'1) Overall , a slight decrease in the mass effect and edema associated with the postoperative changes .' +p195660 +(lp195661 +S'1)\t1)\tLS\tB-LST\tO' +p195662 +aS'Overall\tOverall\tNNP\tB-NP\tO' +p195663 +aS',\t,\t,\tO\tO' +p195664 +aS'a\ta\tDT\tB-NP\tO' +p195665 +aS'slight\tslight\tJJ\tI-NP\tO' +p195666 +aS'decrease\tdecrease\tNN\tI-NP\tO' +p195667 +aS'in\tin\tIN\tB-PP\tO' +p195668 +aS'the\tthe\tDT\tB-NP\tO' +p195669 +aS'mass\tmass\tNN\tI-NP\tO' +p195670 +aS'effect\teffect\tNN\tI-NP\tO' +p195671 +aS'and\tand\tCC\tI-NP\tO' +p195672 +aS'edema\tedema\tNN\tI-NP\tO' +p195673 +aS'associated\tassociate\tVBN\tB-VP\tO' +p195674 +aS'with\twith\tIN\tB-PP\tO' +p195675 +aS'the\tthe\tDT\tB-NP\tO' +p195676 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p195677 +aS'changes\tchange\tNNS\tI-NP\tO' +p195678 +aS'.\t.\t.\tO\tO' +p195679 +asS'Please see Dr. Villani on Monday 2016-07-25 at 10:00 in Smith 7th .' +p195680 +(lp195681 +S'Please\tPlease\tVB\tB-VP\tO' +p195682 +aS'see\tsee\tVB\tI-VP\tO' +p195683 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p195684 +aS'Villani\tVillani\tNNP\tI-NP\tO' +p195685 +aS'on\ton\tIN\tB-PP\tO' +p195686 +aS'Monday\tMonday\tNNP\tB-NP\tO' +p195687 +aS'2016-07-25\t2016-07-25\tCD\tI-NP\tO' +p195688 +aS'at\tat\tIN\tB-PP\tO' +p195689 +aS'10:00\t10:00\tCD\tB-NP\tO' +p195690 +aS'in\tin\tIN\tB-PP\tO' +p195691 +aS'Smith\tSmith\tNNP\tB-NP\tO' +p195692 +aS'7th\t7th\tNNP\tI-NP\tO' +p195693 +aS'.\t.\t.\tO\tO' +p195694 +asS'However , during the fourth cycle , Cytoxan was dropped .' +p195695 +(lp195696 +S'However\tHowever\tRB\tB-ADVP\tO' +p195697 +aS',\t,\t,\tO\tO' +p195698 +aS'during\tduring\tIN\tB-PP\tO' +p195699 +aS'the\tthe\tDT\tB-NP\tO' +p195700 +aS'fourth\tfourth\tJJ\tI-NP\tO' +p195701 +aS'cycle\tcycle\tNN\tI-NP\tO' +p195702 +aS',\t,\t,\tO\tO' +p195703 +aS'Cytoxan\tCytoxan\tNN\tB-NP\tO' +p195704 +aS'was\tbe\tVBD\tB-VP\tO' +p195705 +aS'dropped\tdrop\tVBN\tI-VP\tO' +p195706 +aS'.\t.\t.\tO\tO' +p195707 +asS'3) Cefazolin one gram IV q.8h. x 13days .' +p195708 +(lp195709 +S'3)\t3)\tLS\tB-NP\tO' +p195710 +aS'Cefazolin\tCefazolin\tNN\tI-NP\tO' +p195711 +aS'one\tone\tCD\tB-NP\tO' +p195712 +aS'gram\tgram\tNN\tI-NP\tO' +p195713 +aS'IV\tIV\tCD\tB-NP\tO' +p195714 +aS'q.8h.\tq.8h.\tNN\tI-NP\tO' +p195715 +aS'x\tx\tNN\tI-NP\tO' +p195716 +aS'13days\t13day\tNNS\tI-NP\tO' +p195717 +aS'.\t.\t.\tO\tO' +p195718 +asS'6) Serratiaurosepsis .' +p195719 +(lp195720 +S'6)\t6)\tLS\tB-NP\tO' +p195721 +aS'Serratiaurosepsis\tSerratiaurosepsis\tNN\tI-NP\tO' +p195722 +aS'.\t.\t.\tO\tO' +p195723 +asS'The patient for sleep was given Benadryl 25 to 50 mg. qhs. and was not allowed any increases in his narcotics after weaning him down to just requiring the Oxycodone .' +p195724 +(lp195725 +S'The\tThe\tDT\tB-NP\tO' +p195726 +aS'patient\tpatient\tNN\tI-NP\tO' +p195727 +aS'for\tfor\tIN\tB-PP\tO' +p195728 +aS'sleep\tsleep\tNN\tB-NP\tO' +p195729 +aS'was\tbe\tVBD\tB-VP\tO' +p195730 +aS'given\tgive\tVBN\tI-VP\tO' +p195731 +aS'Benadryl\tBenadryl\tNN\tB-NP\tO' +p195732 +aS'25\t25\tCD\tI-NP\tO' +p195733 +aS'to\tto\tTO\tI-NP\tO' +p195734 +aS'50\t50\tCD\tI-NP\tO' +p195735 +aS'mg.\tmg.\tNN\tI-NP\tO' +p195736 +aS'qhs.\tqhs.\tNN\tI-NP\tO' +p195737 +aS'and\tand\tCC\tO\tO' +p195738 +aS'was\tbe\tVBD\tB-VP\tO' +p195739 +aS'not\tnot\tRB\tI-VP\tO' +p195740 +aS'allowed\tallow\tVBN\tI-VP\tO' +p195741 +aS'any\tany\tDT\tB-NP\tO' +p195742 +aS'increases\tincrease\tNNS\tI-NP\tO' +p195743 +aS'in\tin\tIN\tB-PP\tO' +p195744 +aS'his\this\tPRP$\tB-NP\tO' +p195745 +aS'narcotics\tnarcotic\tNNS\tI-NP\tO' +p195746 +aS'after\tafter\tIN\tB-PP\tO' +p195747 +aS'weaning\twean\tVBG\tB-VP\tO' +p195748 +aS'him\thim\tPRP\tB-NP\tO' +p195749 +aS'down\tdown\tRP\tB-PRT\tO' +p195750 +aS'to\tto\tTO\tB-PP\tO' +p195751 +aS'just\tjust\tRB\tB-VP\tO' +p195752 +aS'requiring\trequire\tVBG\tI-VP\tO' +p195753 +aS'the\tthe\tDT\tB-NP\tO' +p195754 +aS'Oxycodone\tOxycodone\tNN\tI-NP\tO' +p195755 +aS'.\t.\t.\tO\tO' +p195756 +asS'She was taken to the OR for Subtotal Colectomy , G tube and ileostomy due to unresponsiveness to non-operative treatment .' +p195757 +(lp195758 +S'She\tShe\tPRP\tB-NP\tO' +p195759 +aS'was\tbe\tVBD\tB-VP\tO' +p195760 +aS'taken\ttake\tVBN\tI-VP\tO' +p195761 +aS'to\tto\tTO\tB-PP\tO' +p195762 +aS'the\tthe\tDT\tB-NP\tO' +p195763 +aS'OR\tOR\tNNP\tI-NP\tO' +p195764 +aS'for\tfor\tIN\tB-PP\tO' +p195765 +aS'Subtotal\tSubtotal\tNNP\tB-NP\tO' +p195766 +aS'Colectomy\tColectomy\tNNP\tI-NP\tO' +p195767 +aS',\t,\t,\tO\tO' +p195768 +aS'G\tG\tNN\tB-NP\tO' +p195769 +aS'tube\ttube\tNN\tI-NP\tO' +p195770 +aS'and\tand\tCC\tO\tO' +p195771 +aS'ileostomy\tileostomy\tNN\tB-NP\tO' +p195772 +aS'due\tdue\tJJ\tB-ADJP\tO' +p195773 +aS'to\tto\tTO\tB-PP\tO' +p195774 +aS'unresponsiveness\tunresponsiveness\tNN\tB-NP\tO' +p195775 +aS'to\tto\tTO\tB-PP\tO' +p195776 +aS'non-operative\tnon-operative\tJJ\tB-NP\tO' +p195777 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p195778 +aS'.\t.\t.\tO\tO' +p195779 +asS'Echo showed ef 45-50% , with mild dilatation and no significant valvular disease , and nl PAP .' +p195780 +(lp195781 +S'Echo\tEcho\tNNP\tB-NP\tO' +p195782 +aS'showed\tshow\tVBD\tB-VP\tO' +p195783 +aS'ef\tef\tNN\tB-NP\tB-protein' +p195784 +aS'45-50%\t45-50%\tNN\tI-NP\tI-protein' +p195785 +aS',\t,\t,\tO\tO' +p195786 +aS'with\twith\tIN\tB-PP\tO' +p195787 +aS'mild\tmild\tJJ\tB-NP\tO' +p195788 +aS'dilatation\tdilatation\tNN\tI-NP\tO' +p195789 +aS'and\tand\tCC\tO\tO' +p195790 +aS'no\tno\tDT\tB-NP\tO' +p195791 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p195792 +aS'valvular\tvalvular\tJJ\tI-NP\tO' +p195793 +aS'disease\tdisease\tNN\tI-NP\tO' +p195794 +aS',\t,\t,\tO\tO' +p195795 +aS'and\tand\tCC\tO\tO' +p195796 +aS'nl\tnl\tNN\tB-NP\tB-protein' +p195797 +aS'PAP\tPAP\tNN\tI-NP\tI-protein' +p195798 +aS'.\t.\t.\tO\tO' +p195799 +asS'Pls take all meds as prescribed .' +p195800 +(lp195801 +S'Pls\tPl\tNNS\tB-NP\tB-protein' +p195802 +aS'take\ttake\tVBP\tB-VP\tO' +p195803 +aS'all\tall\tDT\tB-NP\tO' +p195804 +aS'meds\tmed\tNNS\tI-NP\tO' +p195805 +aS'as\tas\tIN\tB-SBAR\tO' +p195806 +aS'prescribed\tprescribe\tVBN\tB-VP\tO' +p195807 +aS'.\t.\t.\tO\tO' +p195808 +asS'Warm and well perfused , with no cyanosis , clubbing or edema , no varicosities .' +p195809 +(lp195810 +S'Warm\tWarm\tNNP\tB-NP\tO' +p195811 +aS'and\tand\tCC\tO\tO' +p195812 +aS'well\twell\tRB\tB-ADJP\tO' +p195813 +aS'perfused\tperfuse\tVBN\tI-ADJP\tO' +p195814 +aS',\t,\t,\tO\tO' +p195815 +aS'with\twith\tIN\tB-PP\tO' +p195816 +aS'no\tno\tDT\tB-NP\tO' +p195817 +aS'cyanosis\tcyanosis\tNN\tI-NP\tO' +p195818 +aS',\t,\t,\tI-NP\tO' +p195819 +aS'clubbing\tclubbing\tNN\tI-NP\tO' +p195820 +aS'or\tor\tCC\tI-NP\tO' +p195821 +aS'edema\tedema\tNN\tI-NP\tO' +p195822 +aS',\t,\t,\tO\tO' +p195823 +aS'no\tno\tDT\tB-NP\tO' +p195824 +aS'varicosities\tvaricosity\tNNS\tI-NP\tO' +p195825 +aS'.\t.\t.\tO\tO' +p195826 +asS'you were started on a 2 week course of vancomycin to be given at hemodialysis for your line infection .' +p195827 +(lp195828 +S'you\tyou\tPRP\tB-NP\tO' +p195829 +aS'were\tbe\tVBD\tB-VP\tO' +p195830 +aS'started\tstart\tVBN\tI-VP\tO' +p195831 +aS'on\ton\tIN\tB-PP\tO' +p195832 +aS'a\ta\tDT\tB-NP\tO' +p195833 +aS'2\t2\tCD\tI-NP\tO' +p195834 +aS'week\tweek\tNN\tI-NP\tO' +p195835 +aS'course\tcourse\tNN\tI-NP\tO' +p195836 +aS'of\tof\tIN\tB-PP\tO' +p195837 +aS'vancomycin\tvancomycin\tNN\tB-NP\tO' +p195838 +aS'to\tto\tTO\tB-VP\tO' +p195839 +aS'be\tbe\tVB\tI-VP\tO' +p195840 +aS'given\tgive\tVBN\tI-VP\tO' +p195841 +aS'at\tat\tIN\tB-PP\tO' +p195842 +aS'hemodialysis\themodialysis\tNN\tB-NP\tO' +p195843 +aS'for\tfor\tIN\tB-PP\tO' +p195844 +aS'your\tyour\tPRP$\tB-NP\tO' +p195845 +aS'line\tline\tNN\tI-NP\tO' +p195846 +aS'infection\tinfection\tNN\tI-NP\tO' +p195847 +aS'.\t.\t.\tO\tO' +p195848 +asS'At this hospital he underwent an I&D ( 03-17 ) of a right foot infection and subsequently underwent' +p195849 +(lp195850 +S'At\tAt\tIN\tB-PP\tO' +p195851 +aS'this\tthis\tDT\tB-NP\tO' +p195852 +aS'hospital\thospital\tNN\tI-NP\tO' +p195853 +aS'he\the\tPRP\tB-NP\tO' +p195854 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p195855 +aS'an\tan\tDT\tB-NP\tO' +p195856 +aS'I&D\tI&D\tNN\tI-NP\tO' +p195857 +aS'(\t(\t(\tO\tO' +p195858 +aS'03-17\t03-17\tCD\tB-NP\tO' +p195859 +aS')\t)\t)\tO\tO' +p195860 +aS'of\tof\tIN\tB-PP\tO' +p195861 +aS'a\ta\tDT\tB-NP\tO' +p195862 +aS'right\tright\tJJ\tI-NP\tO' +p195863 +aS'foot\tfoot\tNN\tI-NP\tO' +p195864 +aS'infection\tinfection\tNN\tI-NP\tO' +p195865 +aS'and\tand\tCC\tO\tO' +p195866 +aS'subsequently\tsubsequently\tRB\tB-VP\tO' +p195867 +aS'underwent\tundergo\tVBD\tI-VP\tO' +p195868 +asS'Chem-7 - Na 139 , K 3.7 , Cl 99 , bicarb 28 , BUN 15 , creatinine 0.9 , glucose 89 .' +p195869 +(lp195870 +S'Chem-7\tChem-7\tNN\tB-NP\tB-protein' +p195871 +aS'-\t-\tHYPH\tO\tO' +p195872 +aS'Na\tNa\tNN\tB-NP\tB-protein' +p195873 +aS'139\t139\tCD\tI-NP\tI-protein' +p195874 +aS',\t,\t,\tO\tO' +p195875 +aS'K\tK\tNN\tB-NP\tB-cell_line' +p195876 +aS'3.7\t3.7\tCD\tI-NP\tI-cell_line' +p195877 +aS',\t,\t,\tO\tO' +p195878 +aS'Cl\tCl\tNN\tB-NP\tO' +p195879 +aS'99\t99\tCD\tI-NP\tO' +p195880 +aS',\t,\t,\tO\tO' +p195881 +aS'bicarb\tbicarb\tNN\tB-NP\tO' +p195882 +aS'28\t28\tCD\tI-NP\tO' +p195883 +aS',\t,\t,\tO\tO' +p195884 +aS'BUN\tBUN\tNNP\tB-NP\tO' +p195885 +aS'15\t15\tCD\tI-NP\tO' +p195886 +aS',\t,\t,\tO\tO' +p195887 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p195888 +aS'0.9\t0.9\tCD\tI-NP\tO' +p195889 +aS',\t,\t,\tO\tO' +p195890 +aS'glucose\tglucose\tNN\tB-NP\tO' +p195891 +aS'89\t89\tCD\tI-NP\tO' +p195892 +aS'.\t.\t.\tO\tO' +p195893 +asS'3) Anemia - patient transfusion dependant with a baseline of 28 .' +p195894 +(lp195895 +S'3)\t3)\tLS\tB-NP\tO' +p195896 +aS'Anemia\tAnemia\tNN\tI-NP\tO' +p195897 +aS'-\t-\tHYPH\tO\tO' +p195898 +aS'patient\tpatient\tNN\tB-NP\tO' +p195899 +aS'transfusion\ttransfusion\tNN\tI-NP\tO' +p195900 +aS'dependant\tdependant\tJJ\tB-ADJP\tO' +p195901 +aS'with\twith\tIN\tB-PP\tO' +p195902 +aS'a\ta\tDT\tB-NP\tO' +p195903 +aS'baseline\tbaseline\tNN\tI-NP\tO' +p195904 +aS'of\tof\tIN\tB-PP\tO' +p195905 +aS'28\t28\tCD\tB-NP\tO' +p195906 +aS'.\t.\t.\tO\tO' +p195907 +asS'Pt is a moderate risk for a needed emergent non-cardiac procedure .' +p195908 +(lp195909 +S'Pt\tPt\tNN\tB-NP\tO' +p195910 +aS'is\tbe\tVBZ\tB-VP\tO' +p195911 +aS'a\ta\tDT\tB-NP\tO' +p195912 +aS'moderate\tmoderate\tJJ\tI-NP\tO' +p195913 +aS'risk\trisk\tNN\tI-NP\tO' +p195914 +aS'for\tfor\tIN\tB-PP\tO' +p195915 +aS'a\ta\tDT\tB-NP\tO' +p195916 +aS'needed\tneed\tVBN\tI-NP\tO' +p195917 +aS'emergent\temergent\tJJ\tI-NP\tO' +p195918 +aS'non-cardiac\tnon-cardiac\tJJ\tI-NP\tO' +p195919 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p195920 +aS'.\t.\t.\tO\tO' +p195921 +asS'Clear .' +p195922 +(lp195923 +S'Clear\tClear\tJJ\tB-ADJP\tO' +p195924 +aS'.\t.\t.\tO\tO' +p195925 +asS'NOTE : This study was initially performed on the morning of 10-21 , and is being dictated on the morning of 10-22 due to PACS malfunction .' +p195926 +(lp195927 +S'NOTE\tNOTE\tNN\tB-NP\tO' +p195928 +aS':\t:\t:\tO\tO' +p195929 +aS'This\tThis\tDT\tB-NP\tO' +p195930 +aS'study\tstudy\tNN\tI-NP\tO' +p195931 +aS'was\tbe\tVBD\tB-VP\tO' +p195932 +aS'initially\tinitially\tRB\tI-VP\tO' +p195933 +aS'performed\tperform\tVBN\tI-VP\tO' +p195934 +aS'on\ton\tIN\tB-PP\tO' +p195935 +aS'the\tthe\tDT\tB-NP\tO' +p195936 +aS'morning\tmorning\tNN\tI-NP\tO' +p195937 +aS'of\tof\tIN\tB-PP\tO' +p195938 +aS'10-21\t10-21\tCD\tB-NP\tO' +p195939 +aS',\t,\t,\tO\tO' +p195940 +aS'and\tand\tCC\tO\tO' +p195941 +aS'is\tbe\tVBZ\tB-VP\tO' +p195942 +aS'being\tbe\tVBG\tI-VP\tO' +p195943 +aS'dictated\tdictate\tVBN\tI-VP\tO' +p195944 +aS'on\ton\tIN\tB-PP\tO' +p195945 +aS'the\tthe\tDT\tB-NP\tO' +p195946 +aS'morning\tmorning\tNN\tI-NP\tO' +p195947 +aS'of\tof\tIN\tB-PP\tO' +p195948 +aS'10-22\t10-22\tCD\tB-NP\tO' +p195949 +aS'due\tdue\tIN\tB-PP\tO' +p195950 +aS'to\tto\tTO\tB-PP\tO' +p195951 +aS'PACS\tPACS\tNN\tB-NP\tO' +p195952 +aS'malfunction\tmalfunction\tNN\tI-NP\tO' +p195953 +aS'.\t.\t.\tO\tO' +p195954 +asS'Although the pt is on warfarin chronically , her INR was subtherapeutic .' +p195955 +(lp195956 +S'Although\tAlthough\tIN\tB-SBAR\tO' +p195957 +aS'the\tthe\tDT\tB-NP\tO' +p195958 +aS'pt\tpt\tNN\tI-NP\tO' +p195959 +aS'is\tbe\tVBZ\tB-VP\tO' +p195960 +aS'on\ton\tIN\tB-PP\tO' +p195961 +aS'warfarin\twarfarin\tNN\tB-NP\tO' +p195962 +aS'chronically\tchronically\tRB\tB-ADVP\tO' +p195963 +aS',\t,\t,\tO\tO' +p195964 +aS'her\ther\tPRP$\tB-NP\tO' +p195965 +aS'INR\tINR\tNN\tI-NP\tB-protein' +p195966 +aS'was\tbe\tVBD\tB-VP\tO' +p195967 +aS'subtherapeutic\tsubtherapeutic\tJJ\tB-ADJP\tO' +p195968 +aS'.\t.\t.\tO\tO' +p195969 +asS'He moved all extremities .' +p195970 +(lp195971 +S'He\tHe\tPRP\tB-NP\tO' +p195972 +aS'moved\tmove\tVBD\tB-VP\tO' +p195973 +aS'all\tall\tDT\tB-NP\tO' +p195974 +aS'extremities\textremity\tNNS\tI-NP\tO' +p195975 +aS'.\t.\t.\tO\tO' +p195976 +asS'In the past , he has not been known to have a history of CNS metastases .' +p195977 +(lp195978 +S'In\tIn\tIN\tB-PP\tO' +p195979 +aS'the\tthe\tDT\tB-NP\tO' +p195980 +aS'past\tpast\tNN\tI-NP\tO' +p195981 +aS',\t,\t,\tO\tO' +p195982 +aS'he\the\tPRP\tB-NP\tO' +p195983 +aS'has\thave\tVBZ\tB-VP\tO' +p195984 +aS'not\tnot\tRB\tI-VP\tO' +p195985 +aS'been\tbe\tVBN\tI-VP\tO' +p195986 +aS'known\tknow\tVBN\tI-VP\tO' +p195987 +aS'to\tto\tTO\tI-VP\tO' +p195988 +aS'have\thave\tVB\tI-VP\tO' +p195989 +aS'a\ta\tDT\tB-NP\tO' +p195990 +aS'history\thistory\tNN\tI-NP\tO' +p195991 +aS'of\tof\tIN\tB-PP\tO' +p195992 +aS'CNS\tCNS\tNN\tB-NP\tB-protein' +p195993 +aS'metastases\tmetastasis\tNNS\tI-NP\tI-protein' +p195994 +aS'.\t.\t.\tO\tO' +p195995 +asS'The rectal examination was guaiac negative .' +p195996 +(lp195997 +S'The\tThe\tDT\tB-NP\tO' +p195998 +aS'rectal\trectal\tJJ\tI-NP\tO' +p195999 +aS'examination\texamination\tNN\tI-NP\tO' +p196000 +aS'was\tbe\tVBD\tB-VP\tO' +p196001 +aS'guaiac\tguaiac\tNN\tB-NP\tO' +p196002 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p196003 +aS'.\t.\t.\tO\tO' +p196004 +asS'13. Prilosec 20 mg Capsule , Delayed Release ( E.C. ) Sig : One ( 1 ) Capsule , Delayed Release ( E.C. ) PO once a day .' +p196005 +(lp196006 +S'13.\t13.\tCD\tB-NP\tO' +p196007 +aS'Prilosec\tPrilosec\tNNP\tI-NP\tO' +p196008 +aS'20\t20\tCD\tI-NP\tO' +p196009 +aS'mg\tmg\tNN\tI-NP\tO' +p196010 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p196011 +aS',\t,\t,\tO\tO' +p196012 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p196013 +aS'Release\tRelease\tNNP\tI-NP\tO' +p196014 +aS'(\t(\t(\tO\tO' +p196015 +aS'E.C.\tE.C.\tNNP\tB-NP\tO' +p196016 +aS')\t)\t)\tO\tO' +p196017 +aS'Sig\tSig\tNNP\tB-NP\tO' +p196018 +aS':\t:\t:\tO\tO' +p196019 +aS'One\tOne\tCD\tB-NP\tO' +p196020 +aS'(\t(\t(\tO\tO' +p196021 +aS'1\t1\tCD\tB-NP\tO' +p196022 +aS')\t)\t)\tO\tO' +p196023 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p196024 +aS',\t,\t,\tO\tO' +p196025 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p196026 +aS'Release\tRelease\tNNP\tI-NP\tO' +p196027 +aS'(\t(\t(\tO\tO' +p196028 +aS'E.C.\tE.C.\tNNP\tO\tO' +p196029 +aS')\t)\t)\tO\tO' +p196030 +aS'PO\tPO\tNN\tB-NP\tO' +p196031 +aS'once\tonce\tRB\tB-ADVP\tO' +p196032 +aS'a\ta\tDT\tB-NP\tO' +p196033 +aS'day\tday\tNN\tI-NP\tO' +p196034 +aS'.\t.\t.\tO\tO' +p196035 +asS'Sodium 136 , potassium 3.5 , chloride 98 , bicarbonate 23 , blood urea nitrogen 16 , creatinine 0.8 , glucose 142 .' +p196036 +(lp196037 +S'Sodium\tSodium\tNN\tB-NP\tB-protein' +p196038 +aS'136\t136\tCD\tI-NP\tI-protein' +p196039 +aS',\t,\t,\tO\tO' +p196040 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p196041 +aS'3.5\t3.5\tCD\tI-NP\tO' +p196042 +aS',\t,\t,\tO\tO' +p196043 +aS'chloride\tchloride\tNN\tB-NP\tO' +p196044 +aS'98\t98\tCD\tI-NP\tO' +p196045 +aS',\t,\t,\tO\tO' +p196046 +aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' +p196047 +aS'23\t23\tCD\tI-NP\tO' +p196048 +aS',\t,\t,\tO\tO' +p196049 +aS'blood\tblood\tNN\tB-NP\tO' +p196050 +aS'urea\turea\tNN\tI-NP\tO' +p196051 +aS'nitrogen\tnitrogen\tNN\tI-NP\tO' +p196052 +aS'16\t16\tCD\tI-NP\tO' +p196053 +aS',\t,\t,\tO\tO' +p196054 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p196055 +aS'0.8\t0.8\tCD\tI-NP\tO' +p196056 +aS',\t,\t,\tO\tO' +p196057 +aS'glucose\tglucose\tNN\tB-NP\tO' +p196058 +aS'142\t142\tCD\tI-NP\tO' +p196059 +aS'.\t.\t.\tO\tO' +p196060 +asS'Slightly dry mucous membranes .' +p196061 +(lp196062 +S'Slightly\tSlightly\tRB\tB-NP\tO' +p196063 +aS'dry\tdry\tJJ\tI-NP\tO' +p196064 +aS'mucous\tmucous\tJJ\tI-NP\tO' +p196065 +aS'membranes\tmembrane\tNNS\tI-NP\tO' +p196066 +aS'.\t.\t.\tO\tO' +p196067 +asS'The patient was transferred to the Coronary Care Unit after his therapeutic pericardiocentesis .' +p196068 +(lp196069 +S'The\tThe\tDT\tB-NP\tO' +p196070 +aS'patient\tpatient\tNN\tI-NP\tO' +p196071 +aS'was\tbe\tVBD\tB-VP\tO' +p196072 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p196073 +aS'to\tto\tTO\tB-PP\tO' +p196074 +aS'the\tthe\tDT\tB-NP\tO' +p196075 +aS'Coronary\tCoronary\tNNP\tI-NP\tO' +p196076 +aS'Care\tCare\tNNP\tI-NP\tO' +p196077 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p196078 +aS'after\tafter\tIN\tB-PP\tO' +p196079 +aS'his\this\tPRP$\tB-NP\tO' +p196080 +aS'therapeutic\ttherapeutic\tJJ\tI-NP\tO' +p196081 +aS'pericardiocentesis\tpericardiocentesis\tNN\tI-NP\tO' +p196082 +aS'.\t.\t.\tO\tO' +p196083 +asS'He has a sixty to seventy five pack year smoking history and drinks alcohol approximately one time per week .' +p196084 +(lp196085 +S'He\tHe\tPRP\tB-NP\tO' +p196086 +aS'has\thave\tVBZ\tB-VP\tO' +p196087 +aS'a\ta\tDT\tB-NP\tO' +p196088 +aS'sixty\tsixty\tCD\tI-NP\tO' +p196089 +aS'to\tto\tTO\tI-NP\tO' +p196090 +aS'seventy\tseventy\tCD\tI-NP\tO' +p196091 +aS'five\tfive\tCD\tI-NP\tO' +p196092 +aS'pack\tpack\tNN\tI-NP\tO' +p196093 +aS'year\tyear\tNN\tI-NP\tO' +p196094 +aS'smoking\tsmoking\tNN\tI-NP\tO' +p196095 +aS'history\thistory\tNN\tI-NP\tO' +p196096 +aS'and\tand\tCC\tO\tO' +p196097 +aS'drinks\tdrink\tVBZ\tB-VP\tO' +p196098 +aS'alcohol\talcohol\tNN\tB-NP\tO' +p196099 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p196100 +aS'one\tone\tCD\tI-NP\tO' +p196101 +aS'time\ttime\tNN\tI-NP\tO' +p196102 +aS'per\tper\tIN\tB-PP\tO' +p196103 +aS'week\tweek\tNN\tB-NP\tO' +p196104 +aS'.\t.\t.\tO\tO' +p196105 +asS'Nasopharynx benign .' +p196106 +(lp196107 +S'Nasopharynx\tNasopharynx\tNN\tB-NP\tO' +p196108 +aS'benign\tbenign\tJJ\tB-ADJP\tO' +p196109 +aS'.\t.\t.\tO\tO' +p196110 +asS'This was attributed to mild hypoxia and / or his underlying psychiatric diagnoses and he was treated with Haldol appropriately .' +p196111 +(lp196112 +S'This\tThis\tDT\tB-NP\tO' +p196113 +aS'was\tbe\tVBD\tB-VP\tO' +p196114 +aS'attributed\tattribute\tVBN\tI-VP\tO' +p196115 +aS'to\tto\tTO\tB-PP\tO' +p196116 +aS'mild\tmild\tJJ\tB-NP\tO' +p196117 +aS'hypoxia\thypoxia\tNN\tI-NP\tO' +p196118 +aS'and\tand\tCC\tO\tO' +p196119 +aS'/\t/\tSYM\tB-NP\tO' +p196120 +aS'or\tor\tCC\tO\tO' +p196121 +aS'his\this\tPRP$\tB-NP\tO' +p196122 +aS'underlying\tunderlie\tVBG\tI-NP\tO' +p196123 +aS'psychiatric\tpsychiatric\tJJ\tI-NP\tO' +p196124 +aS'diagnoses\tdiagnosis\tNNS\tI-NP\tO' +p196125 +aS'and\tand\tCC\tO\tO' +p196126 +aS'he\the\tPRP\tB-NP\tO' +p196127 +aS'was\tbe\tVBD\tB-VP\tO' +p196128 +aS'treated\ttreat\tVBN\tI-VP\tO' +p196129 +aS'with\twith\tIN\tB-PP\tO' +p196130 +aS'Haldol\tHaldol\tNN\tB-NP\tO' +p196131 +aS'appropriately\tappropriately\tRB\tB-ADVP\tO' +p196132 +aS'.\t.\t.\tO\tO' +p196133 +asS'8) History of vertebral body fractures .' +p196134 +(lp196135 +S'8)\t8)\tLS\tB-NP\tO' +p196136 +aS'History\tHistory\tNN\tI-NP\tO' +p196137 +aS'of\tof\tIN\tB-PP\tO' +p196138 +aS'vertebral\tvertebral\tJJ\tB-NP\tO' +p196139 +aS'body\tbody\tNN\tI-NP\tO' +p196140 +aS'fractures\tfracture\tNNS\tI-NP\tO' +p196141 +aS'.\t.\t.\tO\tO' +p196142 +asS'The patient 's Decadron dose was increased to 12 mg q day and he was also started on MS Contin and radiation therapy was being planned and arranged at the Petersly Hospital And Medical Center .' +p196143 +(lp196144 +S'The\tThe\tDT\tB-NP\tO' +p196145 +aS'patient\tpatient\tNN\tI-NP\tO' +p196146 +aS''s\t'\tVBZ\tB-VP\tO' +p196147 +aS'Decadron\tDecadron\tNNP\tB-NP\tO' +p196148 +aS'dose\tdose\tNN\tI-NP\tO' +p196149 +aS'was\tbe\tVBD\tB-VP\tO' +p196150 +aS'increased\tincrease\tVBN\tI-VP\tO' +p196151 +aS'to\tto\tTO\tB-PP\tO' +p196152 +aS'12\t12\tCD\tB-NP\tO' +p196153 +aS'mg\tmg\tNN\tI-NP\tO' +p196154 +aS'q\tq\tNN\tI-NP\tO' +p196155 +aS'day\tday\tNN\tI-NP\tO' +p196156 +aS'and\tand\tCC\tO\tO' +p196157 +aS'he\the\tPRP\tB-NP\tO' +p196158 +aS'was\tbe\tVBD\tB-VP\tO' +p196159 +aS'also\talso\tRB\tI-VP\tO' +p196160 +aS'started\tstart\tVBN\tI-VP\tO' +p196161 +aS'on\ton\tIN\tB-PP\tO' +p196162 +aS'MS\tMS\tNN\tB-NP\tB-protein' +p196163 +aS'Contin\tContin\tNN\tI-NP\tI-protein' +p196164 +aS'and\tand\tCC\tO\tO' +p196165 +aS'radiation\tradiation\tNN\tB-NP\tO' +p196166 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p196167 +aS'was\tbe\tVBD\tB-VP\tO' +p196168 +aS'being\tbe\tVBG\tI-VP\tO' +p196169 +aS'planned\tplan\tVBN\tI-VP\tO' +p196170 +aS'and\tand\tCC\tI-VP\tO' +p196171 +aS'arranged\tarrange\tVBN\tI-VP\tO' +p196172 +aS'at\tat\tIN\tB-PP\tO' +p196173 +aS'the\tthe\tDT\tB-NP\tO' +p196174 +aS'Petersly\tPetersly\tNNP\tI-NP\tO' +p196175 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p196176 +aS'And\tAnd\tNNP\tI-NP\tO' +p196177 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p196178 +aS'Center\tCenter\tNNP\tI-NP\tO' +p196179 +aS'.\t.\t.\tO\tO' +p196180 +asS'Richard Williams , Twin number II , was born at 31-6/7 weeks gestation by cesarean section for rupture of membranes of Twin number I and progressive preterm labor .' +p196181 +(lp196182 +S'Richard\tRichard\tNNP\tB-NP\tO' +p196183 +aS'Williams\tWilliams\tNNP\tI-NP\tO' +p196184 +aS',\t,\t,\tO\tO' +p196185 +aS'Twin\tTwin\tNNP\tB-NP\tO' +p196186 +aS'number\tnumber\tNN\tI-NP\tO' +p196187 +aS'II\tII\tCD\tI-NP\tO' +p196188 +aS',\t,\t,\tO\tO' +p196189 +aS'was\tbe\tVBD\tB-VP\tO' +p196190 +aS'born\tbear\tVBN\tI-VP\tO' +p196191 +aS'at\tat\tIN\tB-PP\tO' +p196192 +aS'31-6/7\t31-6/7\tCD\tB-NP\tO' +p196193 +aS'weeks\tweek\tNNS\tI-NP\tO' +p196194 +aS'gestation\tgestation\tNN\tI-NP\tO' +p196195 +aS'by\tby\tIN\tB-PP\tO' +p196196 +aS'cesarean\tcesarean\tJJ\tB-NP\tO' +p196197 +aS'section\tsection\tNN\tI-NP\tO' +p196198 +aS'for\tfor\tIN\tB-PP\tO' +p196199 +aS'rupture\trupture\tNN\tB-NP\tO' +p196200 +aS'of\tof\tIN\tB-PP\tO' +p196201 +aS'membranes\tmembrane\tNNS\tB-NP\tO' +p196202 +aS'of\tof\tIN\tB-PP\tO' +p196203 +aS'Twin\tTwin\tNN\tB-NP\tO' +p196204 +aS'number\tnumber\tNN\tI-NP\tO' +p196205 +aS'I\tI\tCD\tI-NP\tO' +p196206 +aS'and\tand\tCC\tO\tO' +p196207 +aS'progressive\tprogressive\tJJ\tB-NP\tO' +p196208 +aS'preterm\tpreterm\tJJ\tI-NP\tO' +p196209 +aS'labor\tlabor\tNN\tI-NP\tO' +p196210 +aS'.\t.\t.\tO\tO' +p196211 +asS'The past medical history is significant for hypertension .' +p196212 +(lp196213 +S'The\tThe\tDT\tB-NP\tO' +p196214 +aS'past\tpast\tJJ\tI-NP\tO' +p196215 +aS'medical\tmedical\tJJ\tI-NP\tO' +p196216 +aS'history\thistory\tNN\tI-NP\tO' +p196217 +aS'is\tbe\tVBZ\tB-VP\tO' +p196218 +aS'significant\tsignificant\tJJ\tB-ADJP\tO' +p196219 +aS'for\tfor\tIN\tB-PP\tO' +p196220 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p196221 +aS'.\t.\t.\tO\tO' +p196222 +asS'The patient has a small non-dominant right coronary artery , left anterior descending showed severe proximal lesion with more distal lesions of diagonal one .' +p196223 +(lp196224 +S'The\tThe\tDT\tB-NP\tO' +p196225 +aS'patient\tpatient\tNN\tI-NP\tO' +p196226 +aS'has\thave\tVBZ\tB-VP\tO' +p196227 +aS'a\ta\tDT\tB-NP\tO' +p196228 +aS'small\tsmall\tJJ\tI-NP\tO' +p196229 +aS'non-dominant\tnon-dominant\tJJ\tI-NP\tO' +p196230 +aS'right\tright\tJJ\tI-NP\tO' +p196231 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p196232 +aS'artery\tartery\tNN\tI-NP\tO' +p196233 +aS',\t,\t,\tO\tO' +p196234 +aS'left\tleave\tVBD\tB-VP\tO' +p196235 +aS'anterior\tanterior\tJJ\tB-NP\tO' +p196236 +aS'descending\tdescending\tNN\tI-NP\tO' +p196237 +aS'showed\tshow\tVBD\tB-VP\tO' +p196238 +aS'severe\tsevere\tJJ\tB-NP\tO' +p196239 +aS'proximal\tproximal\tJJ\tI-NP\tO' +p196240 +aS'lesion\tlesion\tNN\tI-NP\tO' +p196241 +aS'with\twith\tIN\tB-PP\tO' +p196242 +aS'more\tmore\tRBR\tB-NP\tO' +p196243 +aS'distal\tdistal\tJJ\tI-NP\tO' +p196244 +aS'lesions\tlesion\tNNS\tI-NP\tO' +p196245 +aS'of\tof\tIN\tB-PP\tO' +p196246 +aS'diagonal\tdiagonal\tJJ\tB-NP\tO' +p196247 +aS'one\tone\tCD\tI-NP\tO' +p196248 +aS'.\t.\t.\tO\tO' +p196249 +asS'Sodium 141 , potassium 4.4 , chloride 108 , bicarbonate 23 , BUN 57 , creatinine 0.7 , glucose 115 .' +p196250 +(lp196251 +S'Sodium\tSodium\tNN\tB-NP\tB-protein' +p196252 +aS'141\t141\tCD\tI-NP\tI-protein' +p196253 +aS',\t,\t,\tO\tO' +p196254 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p196255 +aS'4.4\t4.4\tCD\tI-NP\tO' +p196256 +aS',\t,\t,\tO\tO' +p196257 +aS'chloride\tchloride\tNN\tB-NP\tO' +p196258 +aS'108\t108\tCD\tI-NP\tO' +p196259 +aS',\t,\t,\tO\tO' +p196260 +aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' +p196261 +aS'23\t23\tCD\tI-NP\tO' +p196262 +aS',\t,\t,\tO\tO' +p196263 +aS'BUN\tBUN\tNN\tB-NP\tB-DNA' +p196264 +aS'57\t57\tCD\tI-NP\tI-DNA' +p196265 +aS',\t,\t,\tO\tO' +p196266 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p196267 +aS'0.7\t0.7\tCD\tI-NP\tO' +p196268 +aS',\t,\t,\tO\tO' +p196269 +aS'glucose\tglucose\tNN\tB-NP\tO' +p196270 +aS'115\t115\tCD\tI-NP\tO' +p196271 +aS'.\t.\t.\tO\tO' +p196272 +asS'Creatinine this am was 1.9 from 0.9 yesterday .' +p196273 +(lp196274 +S'Creatinine\tCreatinine\tNN\tB-NP\tO' +p196275 +aS'this\tthis\tDT\tB-NP\tO' +p196276 +aS'am\tam\tNN\tI-NP\tO' +p196277 +aS'was\tbe\tVBD\tB-VP\tO' +p196278 +aS'1.9\t1.9\tCD\tB-NP\tO' +p196279 +aS'from\tfrom\tIN\tB-PP\tO' +p196280 +aS'0.9\t0.9\tCD\tB-NP\tO' +p196281 +aS'yesterday\tyesterday\tNN\tB-NP\tO' +p196282 +aS'.\t.\t.\tO\tO' +p196283 +asS'She had a temperature of 98.1 , blood pressure of 130/99 , pulse of 111 , respiratory rate of 16 .' +p196284 +(lp196285 +S'She\tShe\tPRP\tB-NP\tO' +p196286 +aS'had\thave\tVBD\tB-VP\tO' +p196287 +aS'a\ta\tDT\tB-NP\tO' +p196288 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p196289 +aS'of\tof\tIN\tB-PP\tO' +p196290 +aS'98.1\t98.1\tCD\tB-NP\tO' +p196291 +aS',\t,\t,\tO\tO' +p196292 +aS'blood\tblood\tNN\tB-NP\tO' +p196293 +aS'pressure\tpressure\tNN\tI-NP\tO' +p196294 +aS'of\tof\tIN\tB-PP\tO' +p196295 +aS'130/99\t130/99\tCD\tB-NP\tO' +p196296 +aS',\t,\t,\tO\tO' +p196297 +aS'pulse\tpulse\tNN\tB-NP\tO' +p196298 +aS'of\tof\tIN\tB-PP\tO' +p196299 +aS'111\t111\tCD\tB-NP\tO' +p196300 +aS',\t,\t,\tO\tO' +p196301 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p196302 +aS'rate\trate\tNN\tI-NP\tO' +p196303 +aS'of\tof\tIN\tB-PP\tO' +p196304 +aS'16\t16\tCD\tB-NP\tO' +p196305 +aS'.\t.\t.\tO\tO' +p196306 +asS'This transfer occurred around postoperative day 8 for anticoagulation and amiodarone load .' +p196307 +(lp196308 +S'This\tThis\tDT\tB-NP\tO' +p196309 +aS'transfer\ttransfer\tNN\tI-NP\tO' +p196310 +aS'occurred\toccur\tVBD\tB-VP\tO' +p196311 +aS'around\taround\tRB\tB-NP\tO' +p196312 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p196313 +aS'day\tday\tNN\tI-NP\tO' +p196314 +aS'8\t8\tCD\tI-NP\tO' +p196315 +aS'for\tfor\tIN\tB-PP\tO' +p196316 +aS'anticoagulation\tanticoagulation\tNN\tB-NP\tO' +p196317 +aS'and\tand\tCC\tI-NP\tO' +p196318 +aS'amiodarone\tamiodarone\tNN\tI-NP\tO' +p196319 +aS'load\tload\tNN\tI-NP\tO' +p196320 +aS'.\t.\t.\tO\tO' +p196321 +asS'Dictated By : Annie D. Martinez , M.D.' +p196322 +(lp196323 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p196324 +aS'By\tBy\tIN\tB-PP\tO' +p196325 +aS':\t:\t:\tO\tO' +p196326 +aS'Annie\tAnnie\tNNP\tB-NP\tO' +p196327 +aS'D.\tD.\tNNP\tI-NP\tO' +p196328 +aS'Martinez\tMartinez\tNNP\tI-NP\tO' +p196329 +aS',\t,\t,\tO\tO' +p196330 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p196331 +asS'Deferred until the Operating Room .' +p196332 +(lp196333 +S'Deferred\tDefer\tVBN\tB-VP\tO' +p196334 +aS'until\tuntil\tIN\tB-PP\tO' +p196335 +aS'the\tthe\tDT\tB-NP\tO' +p196336 +aS'Operating\tOperating\tNNP\tI-NP\tO' +p196337 +aS'Room\tRoom\tNNP\tI-NP\tO' +p196338 +aS'.\t.\t.\tO\tO' +p196339 +asS'His blood cultures were drawn and pending .' +p196340 +(lp196341 +S'His\tHis\tPRP$\tB-NP\tO' +p196342 +aS'blood\tblood\tNN\tI-NP\tO' +p196343 +aS'cultures\tculture\tNNS\tI-NP\tO' +p196344 +aS'were\tbe\tVBD\tB-VP\tO' +p196345 +aS'drawn\tdraw\tVBN\tI-VP\tO' +p196346 +aS'and\tand\tCC\tO\tO' +p196347 +aS'pending\tpende\tVBG\tB-VP\tO' +p196348 +aS'.\t.\t.\tO\tO' +p196349 +asS'6. Atorvastatin 10 mg Tablet Sig : One ( 1 ) Tablet PO at bedtime .' +p196350 +(lp196351 +S'6.\t6.\tLS\tB-LST\tO' +p196352 +aS'Atorvastatin\tAtorvastatin\tNN\tB-NP\tO' +p196353 +aS'10\t10\tCD\tI-NP\tO' +p196354 +aS'mg\tmg\tNN\tI-NP\tO' +p196355 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p196356 +aS'Sig\tSig\tNNP\tI-NP\tO' +p196357 +aS':\t:\t:\tO\tO' +p196358 +aS'One\tOne\tCD\tB-NP\tO' +p196359 +aS'(\t(\t(\tO\tO' +p196360 +aS'1\t1\tCD\tB-NP\tO' +p196361 +aS')\t)\t)\tO\tO' +p196362 +aS'Tablet\tTablet\tNN\tB-NP\tB-protein' +p196363 +aS'PO\tPO\tNN\tI-NP\tI-protein' +p196364 +aS'at\tat\tIN\tB-PP\tO' +p196365 +aS'bedtime\tbedtime\tNN\tB-NP\tO' +p196366 +aS'.\t.\t.\tO\tO' +p196367 +asS'White blood cell count 11.0 , differential with 76 neutrophils , 2 monos , 21 lymphocytes , and no eosinophils .' +p196368 +(lp196369 +S'White\tWhite\tJJ\tB-NP\tO' +p196370 +aS'blood\tblood\tNN\tI-NP\tO' +p196371 +aS'cell\tcell\tNN\tI-NP\tO' +p196372 +aS'count\tcount\tNN\tI-NP\tO' +p196373 +aS'11.0\t11.0\tCD\tI-NP\tO' +p196374 +aS',\t,\t,\tO\tO' +p196375 +aS'differential\tdifferential\tJJ\tB-ADJP\tO' +p196376 +aS'with\twith\tIN\tB-PP\tO' +p196377 +aS'76\t76\tCD\tB-NP\tO' +p196378 +aS'neutrophils\tneutrophil\tNNS\tI-NP\tB-cell_type' +p196379 +aS',\t,\t,\tO\tO' +p196380 +aS'2\t2\tCD\tB-NP\tO' +p196381 +aS'monos\tmono\tNNS\tI-NP\tO' +p196382 +aS',\t,\t,\tO\tO' +p196383 +aS'21\t21\tCD\tB-NP\tO' +p196384 +aS'lymphocytes\tlymphocyte\tNNS\tI-NP\tB-cell_type' +p196385 +aS',\t,\t,\tO\tO' +p196386 +aS'and\tand\tCC\tO\tO' +p196387 +aS'no\tno\tDT\tB-NP\tO' +p196388 +aS'eosinophils\teosinophil\tNNS\tI-NP\tB-cell_type' +p196389 +aS'.\t.\t.\tO\tO' +p196390 +asS'There were no acute ischemic changes .' +p196391 +(lp196392 +S'There\tThere\tEX\tB-NP\tO' +p196393 +aS'were\tbe\tVBD\tB-VP\tO' +p196394 +aS'no\tno\tDT\tB-NP\tO' +p196395 +aS'acute\tacute\tJJ\tI-NP\tO' +p196396 +aS'ischemic\tischemic\tJJ\tI-NP\tO' +p196397 +aS'changes\tchange\tNNS\tI-NP\tO' +p196398 +aS'.\t.\t.\tO\tO' +p196399 +asS'Pupils were equal , round , reactive to light , anicteric .' +p196400 +(lp196401 +S'Pupils\tPupil\tNNS\tB-NP\tO' +p196402 +aS'were\tbe\tVBD\tB-VP\tO' +p196403 +aS'equal\tequal\tJJ\tB-NP\tO' +p196404 +aS',\t,\t,\tI-NP\tO' +p196405 +aS'round\tround\tJJ\tI-NP\tO' +p196406 +aS',\t,\t,\tI-NP\tO' +p196407 +aS'reactive\treactive\tJJ\tI-NP\tO' +p196408 +aS'to\tto\tTO\tI-NP\tO' +p196409 +aS'light\tlight\tJJ\tI-NP\tO' +p196410 +aS',\t,\t,\tI-NP\tO' +p196411 +aS'anicteric\tanicteric\tJJ\tI-NP\tO' +p196412 +aS'.\t.\t.\tO\tO' +p196413 +asS'The patient was given a low fat / low cholesterol diet .' +p196414 +(lp196415 +S'The\tThe\tDT\tB-NP\tO' +p196416 +aS'patient\tpatient\tNN\tI-NP\tO' +p196417 +aS'was\tbe\tVBD\tB-VP\tO' +p196418 +aS'given\tgive\tVBN\tI-VP\tO' +p196419 +aS'a\ta\tDT\tB-NP\tO' +p196420 +aS'low\tlow\tJJ\tI-NP\tO' +p196421 +aS'fat\tfat\tNN\tI-NP\tO' +p196422 +aS'/\t/\tSYM\tB-NP\tO' +p196423 +aS'low\tlow\tJJ\tI-NP\tO' +p196424 +aS'cholesterol\tcholesterol\tNN\tI-NP\tO' +p196425 +aS'diet\tdiet\tNN\tI-NP\tO' +p196426 +aS'.\t.\t.\tO\tO' +p196427 +asS'If negative , pt is scheduled for presumptively replacement of PORT on 2019-02-11 with interventional radiology ( dr. Arevalo ).' +p196428 +(lp196429 +S'If\tIf\tIN\tB-SBAR\tO' +p196430 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p196431 +aS',\t,\t,\tO\tO' +p196432 +aS'pt\tpt\tNN\tB-NP\tO' +p196433 +aS'is\tbe\tVBZ\tB-VP\tO' +p196434 +aS'scheduled\tschedule\tVBN\tI-VP\tO' +p196435 +aS'for\tfor\tIN\tB-PP\tO' +p196436 +aS'presumptively\tpresumptively\tRB\tB-NP\tO' +p196437 +aS'replacement\treplacement\tNN\tI-NP\tO' +p196438 +aS'of\tof\tIN\tB-PP\tO' +p196439 +aS'PORT\tPORT\tNN\tB-NP\tO' +p196440 +aS'on\ton\tIN\tB-PP\tO' +p196441 +aS'2019-02-11\t2019-02-11\tNN\tB-NP\tO' +p196442 +aS'with\twith\tIN\tB-PP\tO' +p196443 +aS'interventional\tinterventional\tJJ\tB-NP\tO' +p196444 +aS'radiology\tradiology\tNN\tI-NP\tO' +p196445 +aS'(\t(\t(\tO\tO' +p196446 +aS'dr.\tdr.\tNN\tB-NP\tO' +p196447 +aS'Arevalo\tArevalo\tNNP\tI-NP\tO' +p196448 +aS').\t).\tNNP\tI-NP\tO' +p196449 +asS'3. Appendectomy .' +p196450 +(lp196451 +S'3.\t3.\tLS\tB-NP\tO' +p196452 +aS'Appendectomy\tAppendectomy\tNN\tI-NP\tO' +p196453 +aS'.\t.\t.\tO\tO' +p196454 +asS'4. Left hemidiaphragmatic paralysis , history of recurrent lung infections .' +p196455 +(lp196456 +S'4.\t4.\tLS\tB-NP\tO' +p196457 +aS'Left\tLeft\tJJ\tI-NP\tO' +p196458 +aS'hemidiaphragmatic\themidiaphragmatic\tJJ\tI-NP\tO' +p196459 +aS'paralysis\tparalysis\tNN\tI-NP\tO' +p196460 +aS',\t,\t,\tO\tO' +p196461 +aS'history\thistory\tNN\tB-NP\tO' +p196462 +aS'of\tof\tIN\tB-PP\tO' +p196463 +aS'recurrent\trecurrent\tJJ\tB-NP\tO' +p196464 +aS'lung\tlung\tNN\tI-NP\tO' +p196465 +aS'infections\tinfection\tNNS\tI-NP\tO' +p196466 +aS'.\t.\t.\tO\tO' +p196467 +asS'The patient had a bone marrow biopsy which showed myeloid arrest and probable neutropenia from a drug-related cause presumed to be the sulfasalazine .' +p196468 +(lp196469 +S'The\tThe\tDT\tB-NP\tO' +p196470 +aS'patient\tpatient\tNN\tI-NP\tO' +p196471 +aS'had\thave\tVBD\tB-VP\tO' +p196472 +aS'a\ta\tDT\tB-NP\tO' +p196473 +aS'bone\tbone\tNN\tI-NP\tO' +p196474 +aS'marrow\tmarrow\tNN\tI-NP\tO' +p196475 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p196476 +aS'which\twhich\tWDT\tB-NP\tO' +p196477 +aS'showed\tshow\tVBD\tB-VP\tO' +p196478 +aS'myeloid\tmyeloid\tJJ\tB-NP\tO' +p196479 +aS'arrest\tarrest\tNN\tI-NP\tO' +p196480 +aS'and\tand\tCC\tO\tO' +p196481 +aS'probable\tprobable\tJJ\tB-NP\tO' +p196482 +aS'neutropenia\tneutropenia\tNN\tI-NP\tO' +p196483 +aS'from\tfrom\tIN\tB-PP\tO' +p196484 +aS'a\ta\tDT\tB-NP\tO' +p196485 +aS'drug-related\tdrug-related\tJJ\tI-NP\tO' +p196486 +aS'cause\tcause\tNN\tI-NP\tO' +p196487 +aS'presumed\tpresume\tVBN\tB-VP\tO' +p196488 +aS'to\tto\tTO\tI-VP\tO' +p196489 +aS'be\tbe\tVB\tI-VP\tO' +p196490 +aS'the\tthe\tDT\tB-NP\tO' +p196491 +aS'sulfasalazine\tsulfasalazine\tNN\tI-NP\tO' +p196492 +aS'.\t.\t.\tO\tO' +p196493 +asS'The plan will be to continue to try to alternate albumin and Lasix to mobilize his fluid .' +p196494 +(lp196495 +S'The\tThe\tDT\tB-NP\tO' +p196496 +aS'plan\tplan\tNN\tI-NP\tO' +p196497 +aS'will\twill\tMD\tB-VP\tO' +p196498 +aS'be\tbe\tVB\tI-VP\tO' +p196499 +aS'to\tto\tTO\tB-VP\tO' +p196500 +aS'continue\tcontinue\tVB\tI-VP\tO' +p196501 +aS'to\tto\tTO\tI-VP\tO' +p196502 +aS'try\ttry\tVB\tI-VP\tO' +p196503 +aS'to\tto\tTO\tI-VP\tO' +p196504 +aS'alternate\talternate\tVB\tI-VP\tO' +p196505 +aS'albumin\talbumin\tNN\tB-NP\tO' +p196506 +aS'and\tand\tCC\tI-NP\tO' +p196507 +aS'Lasix\tLasix\tNN\tI-NP\tO' +p196508 +aS'to\tto\tTO\tB-VP\tO' +p196509 +aS'mobilize\tmobilize\tVB\tI-VP\tO' +p196510 +aS'his\this\tPRP$\tB-NP\tO' +p196511 +aS'fluid\tfluid\tNN\tI-NP\tO' +p196512 +aS'.\t.\t.\tO\tO' +p196513 +asS'Neurology was consulted for difficulty lifting his arms .' +p196514 +(lp196515 +S'Neurology\tNeurology\tNN\tB-NP\tO' +p196516 +aS'was\tbe\tVBD\tB-VP\tO' +p196517 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p196518 +aS'for\tfor\tIN\tB-PP\tO' +p196519 +aS'difficulty\tdifficulty\tNN\tB-NP\tO' +p196520 +aS'lifting\tlift\tVBG\tB-VP\tO' +p196521 +aS'his\this\tPRP$\tB-NP\tO' +p196522 +aS'arms\tarm\tNNS\tI-NP\tO' +p196523 +aS'.\t.\t.\tO\tO' +p196524 +asS'CRYPTOGENIC CIRRHOSIS .' +p196525 +(lp196526 +S'CRYPTOGENIC\tCRYPTOGENIC\tNN\tB-NP\tO' +p196527 +aS'CIRRHOSIS\tCIRRHOSIS\tNN\tI-NP\tO' +p196528 +aS'.\t.\t.\tO\tO' +p196529 +asS'Creatinine 0.6 , SGOT 52 , bilirubin 0.5 .' +p196530 +(lp196531 +S'Creatinine\tCreatinine\tNN\tB-NP\tB-protein' +p196532 +aS'0.6\t0.6\tCD\tI-NP\tI-protein' +p196533 +aS',\t,\t,\tO\tO' +p196534 +aS'SGOT\tSGOT\tNN\tB-NP\tB-protein' +p196535 +aS'52\t52\tCD\tI-NP\tI-protein' +p196536 +aS',\t,\t,\tO\tO' +p196537 +aS'bilirubin\tbilirubin\tNN\tB-NP\tO' +p196538 +aS'0.5\t0.5\tCD\tI-NP\tO' +p196539 +aS'.\t.\t.\tO\tO' +p196540 +asS'Hearing intact to finger rub bilaterally .' +p196541 +(lp196542 +S'Hearing\tHear\tVBG\tB-VP\tO' +p196543 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p196544 +aS'to\tto\tTO\tB-VP\tO' +p196545 +aS'finger\tfinger\tVB\tI-VP\tO' +p196546 +aS'rub\trub\tNN\tB-NP\tB-protein' +p196547 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p196548 +aS'.\t.\t.\tO\tO' +p196549 +asS"With regard to the patient 's chronic obstructive pulmonary disease , the patient 's respiratory status improved throughout the remainder of her hospital course ." +p196550 +(lp196551 +S'With\tWith\tIN\tB-PP\tO' +p196552 +aS'regard\tregard\tNN\tB-NP\tO' +p196553 +aS'to\tto\tTO\tB-PP\tO' +p196554 +aS'the\tthe\tDT\tB-NP\tO' +p196555 +aS'patient\tpatient\tNN\tI-NP\tO' +p196556 +aS"'s\t's\tPOS\tB-NP\tO" +p196557 +aS'chronic\tchronic\tJJ\tI-NP\tO' +p196558 +aS'obstructive\tobstructive\tJJ\tI-NP\tO' +p196559 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p196560 +aS'disease\tdisease\tNN\tI-NP\tO' +p196561 +aS',\t,\t,\tO\tO' +p196562 +aS'the\tthe\tDT\tB-NP\tO' +p196563 +aS'patient\tpatient\tNN\tI-NP\tO' +p196564 +aS"'s\t's\tPOS\tB-NP\tO" +p196565 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p196566 +aS'status\tstatus\tNN\tI-NP\tO' +p196567 +aS'improved\timprove\tVBD\tB-VP\tO' +p196568 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p196569 +aS'the\tthe\tDT\tB-NP\tO' +p196570 +aS'remainder\tremainder\tNN\tI-NP\tO' +p196571 +aS'of\tof\tIN\tB-PP\tO' +p196572 +aS'her\ther\tPRP$\tB-NP\tO' +p196573 +aS'hospital\thospital\tNN\tI-NP\tO' +p196574 +aS'course\tcourse\tNN\tI-NP\tO' +p196575 +aS'.\t.\t.\tO\tO' +p196576 +asS'# ESRD on hemodyalisis : Renal service was consulted and HD was continued .' +p196577 +(lp196578 +S'#\t#\t#\tB-NP\tO' +p196579 +aS'ESRD\tESRD\tNN\tI-NP\tO' +p196580 +aS'on\ton\tIN\tB-PP\tO' +p196581 +aS'hemodyalisis\themodyalisis\tNN\tB-NP\tO' +p196582 +aS':\t:\t:\tO\tO' +p196583 +aS'Renal\tRenal\tJJ\tB-NP\tO' +p196584 +aS'service\tservice\tNN\tI-NP\tO' +p196585 +aS'was\tbe\tVBD\tB-VP\tO' +p196586 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p196587 +aS'and\tand\tCC\tO\tO' +p196588 +aS'HD\tHD\tNN\tB-NP\tO' +p196589 +aS'was\tbe\tVBD\tB-VP\tO' +p196590 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p196591 +aS'.\t.\t.\tO\tO' +p196592 +asS'The patient did well overnight in the Medical Intensive Care Unit .' +p196593 +(lp196594 +S'The\tThe\tDT\tB-NP\tO' +p196595 +aS'patient\tpatient\tNN\tI-NP\tO' +p196596 +aS'did\tdo\tVBD\tB-VP\tO' +p196597 +aS'well\twell\tRB\tB-ADJP\tO' +p196598 +aS'overnight\tovernight\tJJ\tI-ADJP\tO' +p196599 +aS'in\tin\tIN\tB-PP\tO' +p196600 +aS'the\tthe\tDT\tB-NP\tO' +p196601 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p196602 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p196603 +aS'Care\tCare\tNNP\tI-NP\tO' +p196604 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p196605 +aS'.\t.\t.\tO\tO' +p196606 +asS'3. History of colonic polyp times 3 , benign in 2007 , repeat colonoscopy due in 2010 .' +p196607 +(lp196608 +S'3.\t3.\tLS\tB-NP\tO' +p196609 +aS'History\tHistory\tNN\tI-NP\tO' +p196610 +aS'of\tof\tIN\tB-PP\tO' +p196611 +aS'colonic\tcolonic\tJJ\tB-NP\tO' +p196612 +aS'polyp\tpolyp\tNN\tI-NP\tO' +p196613 +aS'times\ttime\tNNS\tI-NP\tO' +p196614 +aS'3\t3\tCD\tI-NP\tO' +p196615 +aS',\t,\t,\tO\tO' +p196616 +aS'benign\tbenign\tJJ\tB-ADJP\tO' +p196617 +aS'in\tin\tIN\tB-PP\tO' +p196618 +aS'2007\t2007\tCD\tB-NP\tO' +p196619 +aS',\t,\t,\tO\tO' +p196620 +aS'repeat\trepeat\tNN\tB-NP\tO' +p196621 +aS'colonoscopy\tcolonoscopy\tNN\tI-NP\tO' +p196622 +aS'due\tdue\tJJ\tB-ADJP\tO' +p196623 +aS'in\tin\tIN\tB-PP\tO' +p196624 +aS'2010\t2010\tCD\tB-NP\tO' +p196625 +aS'.\t.\t.\tO\tO' +p196626 +asS'The patient presented to the operating room late at night on 12/01/02 and was admitted to the floor early on the morning on 12/02/02 .' +p196627 +(lp196628 +S'The\tThe\tDT\tB-NP\tO' +p196629 +aS'patient\tpatient\tNN\tI-NP\tO' +p196630 +aS'presented\tpresent\tVBN\tB-VP\tO' +p196631 +aS'to\tto\tTO\tB-PP\tO' +p196632 +aS'the\tthe\tDT\tB-NP\tO' +p196633 +aS'operating\toperating\tNN\tI-NP\tO' +p196634 +aS'room\troom\tNN\tI-NP\tO' +p196635 +aS'late\tlate\tRB\tB-ADVP\tO' +p196636 +aS'at\tat\tIN\tB-PP\tO' +p196637 +aS'night\tnight\tNN\tB-NP\tO' +p196638 +aS'on\ton\tIN\tB-PP\tO' +p196639 +aS'12/01/02\t12/01/02\tCD\tB-NP\tO' +p196640 +aS'and\tand\tCC\tO\tO' +p196641 +aS'was\tbe\tVBD\tB-VP\tO' +p196642 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p196643 +aS'to\tto\tTO\tB-PP\tO' +p196644 +aS'the\tthe\tDT\tB-NP\tO' +p196645 +aS'floor\tfloor\tNN\tI-NP\tO' +p196646 +aS'early\tearly\tRB\tB-ADVP\tO' +p196647 +aS'on\ton\tIN\tB-PP\tO' +p196648 +aS'the\tthe\tDT\tB-NP\tO' +p196649 +aS'morning\tmorning\tNN\tI-NP\tO' +p196650 +aS'on\ton\tIN\tB-PP\tO' +p196651 +aS'12/02/02\t12/02/02\tCD\tB-NP\tO' +p196652 +aS'.\t.\t.\tO\tO' +p196653 +asS'Toes upgoing bilaterally .' +p196654 +(lp196655 +S'Toes\tToe\tNNS\tB-NP\tO' +p196656 +aS'upgoing\tupgoe\tVBG\tB-VP\tO' +p196657 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p196658 +aS'.\t.\t.\tO\tO' +p196659 +asS'On admission , the sodium was 136 , potassium 3.0 , chloride 98 , CO2 20 , BUN 8 , creatinine 0.8 and glucose 94 , ALT 5 , AST 10 , LDH 166 , alkaline phosphatase 81 , total bili 0.6 , direct bili .3 , albumin 3.3 , calcium 8.8 and uric acid 3.1 .' +p196660 +(lp196661 +S'On\tOn\tIN\tB-PP\tO' +p196662 +aS'admission\tadmission\tNN\tB-NP\tO' +p196663 +aS',\t,\t,\tO\tO' +p196664 +aS'the\tthe\tDT\tB-NP\tO' +p196665 +aS'sodium\tsodium\tNN\tI-NP\tO' +p196666 +aS'was\tbe\tVBD\tB-VP\tO' +p196667 +aS'136\t136\tCD\tB-NP\tO' +p196668 +aS',\t,\t,\tO\tO' +p196669 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p196670 +aS'3.0\t3.0\tCD\tI-NP\tO' +p196671 +aS',\t,\t,\tO\tO' +p196672 +aS'chloride\tchloride\tNN\tB-NP\tO' +p196673 +aS'98\t98\tCD\tI-NP\tO' +p196674 +aS',\t,\t,\tO\tO' +p196675 +aS'CO2\tCO2\tNN\tB-NP\tO' +p196676 +aS'20\t20\tCD\tI-NP\tO' +p196677 +aS',\t,\t,\tO\tO' +p196678 +aS'BUN\tBUN\tNN\tB-NP\tB-protein' +p196679 +aS'8\t8\tCD\tI-NP\tI-protein' +p196680 +aS',\t,\t,\tO\tO' +p196681 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p196682 +aS'0.8\t0.8\tCD\tI-NP\tO' +p196683 +aS'and\tand\tCC\tO\tO' +p196684 +aS'glucose\tglucose\tNN\tB-NP\tO' +p196685 +aS'94\t94\tCD\tI-NP\tO' +p196686 +aS',\t,\t,\tO\tO' +p196687 +aS'ALT\tALT\tNN\tB-NP\tB-protein' +p196688 +aS'5\t5\tCD\tI-NP\tI-protein' +p196689 +aS',\t,\t,\tO\tO' +p196690 +aS'AST\tAST\tNN\tB-NP\tO' +p196691 +aS'10\t10\tCD\tI-NP\tO' +p196692 +aS',\t,\t,\tO\tO' +p196693 +aS'LDH\tLDH\tNN\tB-NP\tB-protein' +p196694 +aS'166\t166\tCD\tI-NP\tI-protein' +p196695 +aS',\t,\t,\tO\tO' +p196696 +aS'alkaline\talkaline\tNN\tB-NP\tO' +p196697 +aS'phosphatase\tphosphatase\tNN\tI-NP\tO' +p196698 +aS'81\t81\tCD\tI-NP\tO' +p196699 +aS',\t,\t,\tO\tO' +p196700 +aS'total\ttotal\tJJ\tB-NP\tO' +p196701 +aS'bili\tbili\tNNS\tI-NP\tO' +p196702 +aS'0.6\t0.6\tCD\tB-NP\tO' +p196703 +aS',\t,\t,\tO\tO' +p196704 +aS'direct\tdirect\tJJ\tB-NP\tO' +p196705 +aS'bili\tbili\tNN\tI-NP\tO' +p196706 +aS'.3\t.3\tNN\tI-NP\tO' +p196707 +aS',\t,\t,\tO\tO' +p196708 +aS'albumin\talbumin\tNN\tB-NP\tB-protein' +p196709 +aS'3.3\t3.3\tCD\tI-NP\tI-protein' +p196710 +aS',\t,\t,\tO\tO' +p196711 +aS'calcium\tcalcium\tNN\tB-NP\tO' +p196712 +aS'8.8\t8.8\tCD\tI-NP\tO' +p196713 +aS'and\tand\tCC\tO\tO' +p196714 +aS'uric\turic\tJJ\tB-NP\tO' +p196715 +aS'acid\tacid\tNN\tI-NP\tO' +p196716 +aS'3.1\t3.1\tCD\tI-NP\tO' +p196717 +aS'.\t.\t.\tO\tO' +p196718 +asS'The patient was hemodynamically stable overnight in the CMED CCU .' +p196719 +(lp196720 +S'The\tThe\tDT\tB-NP\tO' +p196721 +aS'patient\tpatient\tNN\tI-NP\tO' +p196722 +aS'was\tbe\tVBD\tB-VP\tO' +p196723 +aS'hemodynamically\themodynamically\tRB\tB-NP\tO' +p196724 +aS'stable\tstable\tJJ\tI-NP\tO' +p196725 +aS'overnight\tovernight\tNN\tI-NP\tO' +p196726 +aS'in\tin\tIN\tB-PP\tO' +p196727 +aS'the\tthe\tDT\tB-NP\tO' +p196728 +aS'CMED\tCMED\tVBN\tI-NP\tO' +p196729 +aS'CCU\tCCU\tNN\tI-NP\tO' +p196730 +aS'.\t.\t.\tO\tO' +p196731 +asS'Fiberoptic scope showed swelling of the right epiglottitis extending down to the right aryepiglottic fold obscuring view of the right vocal cord .' +p196732 +(lp196733 +S'Fiberoptic\tFiberoptic\tJJ\tB-NP\tO' +p196734 +aS'scope\tscope\tNN\tI-NP\tO' +p196735 +aS'showed\tshow\tVBD\tB-VP\tO' +p196736 +aS'swelling\tswelling\tNN\tB-NP\tO' +p196737 +aS'of\tof\tIN\tB-PP\tO' +p196738 +aS'the\tthe\tDT\tB-NP\tO' +p196739 +aS'right\tright\tJJ\tI-NP\tO' +p196740 +aS'epiglottitis\tepiglottitis\tNN\tI-NP\tO' +p196741 +aS'extending\textend\tVBG\tB-VP\tO' +p196742 +aS'down\tdown\tRP\tB-PRT\tO' +p196743 +aS'to\tto\tTO\tB-PP\tO' +p196744 +aS'the\tthe\tDT\tB-NP\tO' +p196745 +aS'right\tright\tJJ\tI-NP\tO' +p196746 +aS'aryepiglottic\taryepiglottic\tJJ\tI-NP\tO' +p196747 +aS'fold\tfold\tJJ\tI-NP\tO' +p196748 +aS'obscuring\tobscuring\tJJ\tI-NP\tO' +p196749 +aS'view\tview\tNN\tI-NP\tO' +p196750 +aS'of\tof\tIN\tB-PP\tO' +p196751 +aS'the\tthe\tDT\tB-NP\tO' +p196752 +aS'right\tright\tJJ\tI-NP\tO' +p196753 +aS'vocal\tvocal\tJJ\tI-NP\tO' +p196754 +aS'cord\tcord\tNN\tI-NP\tO' +p196755 +aS'.\t.\t.\tO\tO' +p196756 +asS'WIll follow up tih outpatient oncologist .' +p196757 +(lp196758 +S'WIll\tWIll\tNNP\tB-NP\tO' +p196759 +aS'follow\tfollow\tVBP\tB-VP\tO' +p196760 +aS'up\tup\tRP\tB-PRT\tO' +p196761 +aS'tih\ttih\tNN\tB-NP\tO' +p196762 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p196763 +aS'oncologist\toncologist\tNN\tI-NP\tO' +p196764 +aS'.\t.\t.\tO\tO' +p196765 +asS'Oropharynx is not injected .' +p196766 +(lp196767 +S'Oropharynx\tOropharynx\tNNP\tB-NP\tO' +p196768 +aS'is\tbe\tVBZ\tB-VP\tO' +p196769 +aS'not\tnot\tRB\tI-VP\tO' +p196770 +aS'injected\tinject\tVBN\tI-VP\tO' +p196771 +aS'.\t.\t.\tO\tO' +p196772 +asS'Transferred here for second opinion on poor prognosis .' +p196773 +(lp196774 +S'Transferred\tTransfer\tVBN\tB-VP\tO' +p196775 +aS'here\there\tRB\tB-ADVP\tO' +p196776 +aS'for\tfor\tIN\tB-PP\tO' +p196777 +aS'second\tsecond\tJJ\tB-NP\tO' +p196778 +aS'opinion\topinion\tNN\tI-NP\tO' +p196779 +aS'on\ton\tIN\tB-PP\tO' +p196780 +aS'poor\tpoor\tJJ\tB-NP\tO' +p196781 +aS'prognosis\tprognosis\tNN\tI-NP\tO' +p196782 +aS'.\t.\t.\tO\tO' +p196783 +asS'General exam at the time was notable for pale mucous membranes , left lateral eye deviation , clear lungs , 2/6 holosystolic murmur , best heard at the apex , abdomen was mildly distended but was soft and nontender and his extremities were without edema and skin without any rashes .' +p196784 +(lp196785 +S'General\tGeneral\tJJ\tB-NP\tO' +p196786 +aS'exam\texam\tNN\tI-NP\tO' +p196787 +aS'at\tat\tIN\tB-PP\tO' +p196788 +aS'the\tthe\tDT\tB-NP\tO' +p196789 +aS'time\ttime\tNN\tI-NP\tO' +p196790 +aS'was\tbe\tVBD\tB-VP\tO' +p196791 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p196792 +aS'for\tfor\tIN\tB-PP\tO' +p196793 +aS'pale\tpale\tJJ\tB-NP\tO' +p196794 +aS'mucous\tmucous\tJJ\tI-NP\tO' +p196795 +aS'membranes\tmembrane\tNNS\tI-NP\tO' +p196796 +aS',\t,\t,\tO\tO' +p196797 +aS'left\tleave\tVBD\tB-VP\tO' +p196798 +aS'lateral\tlateral\tJJ\tB-NP\tO' +p196799 +aS'eye\teye\tNN\tI-NP\tO' +p196800 +aS'deviation\tdeviation\tNN\tI-NP\tO' +p196801 +aS',\t,\t,\tO\tO' +p196802 +aS'clear\tclear\tJJ\tB-NP\tO' +p196803 +aS'lungs\tlung\tNNS\tI-NP\tO' +p196804 +aS',\t,\t,\tO\tO' +p196805 +aS'2/6\t2/6\tCD\tB-NP\tO' +p196806 +aS'holosystolic\tholosystolic\tJJ\tI-NP\tO' +p196807 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p196808 +aS',\t,\t,\tO\tO' +p196809 +aS'best\tgood\tJJS\tB-NP\tO' +p196810 +aS'heard\thear\tVBD\tB-VP\tO' +p196811 +aS'at\tat\tIN\tB-PP\tO' +p196812 +aS'the\tthe\tDT\tB-NP\tO' +p196813 +aS'apex\tapex\tNN\tI-NP\tO' +p196814 +aS',\t,\t,\tO\tO' +p196815 +aS'abdomen\tabdomen\tNN\tB-NP\tO' +p196816 +aS'was\tbe\tVBD\tB-VP\tO' +p196817 +aS'mildly\tmildly\tRB\tI-VP\tO' +p196818 +aS'distended\tdistend\tVBN\tI-VP\tO' +p196819 +aS'but\tbut\tCC\tO\tO' +p196820 +aS'was\tbe\tVBD\tB-VP\tO' +p196821 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p196822 +aS'and\tand\tCC\tI-ADJP\tO' +p196823 +aS'nontender\tnontender\tJJ\tI-ADJP\tO' +p196824 +aS'and\tand\tCC\tO\tO' +p196825 +aS'his\this\tPRP$\tB-NP\tO' +p196826 +aS'extremities\textremity\tNNS\tI-NP\tO' +p196827 +aS'were\tbe\tVBD\tB-VP\tO' +p196828 +aS'without\twithout\tIN\tB-PP\tO' +p196829 +aS'edema\tedema\tNN\tB-NP\tO' +p196830 +aS'and\tand\tCC\tI-NP\tO' +p196831 +aS'skin\tskin\tNN\tI-NP\tO' +p196832 +aS'without\twithout\tIN\tB-PP\tO' +p196833 +aS'any\tany\tDT\tB-NP\tO' +p196834 +aS'rashes\trash\tNNS\tI-NP\tO' +p196835 +aS'.\t.\t.\tO\tO' +p196836 +asS'She does have rest pain in the right foot and ankle .' +p196837 +(lp196838 +S'She\tShe\tPRP\tB-NP\tO' +p196839 +aS'does\tdo\tVBZ\tB-VP\tO' +p196840 +aS'have\thave\tVB\tI-VP\tO' +p196841 +aS'rest\trest\tNN\tB-NP\tO' +p196842 +aS'pain\tpain\tNN\tI-NP\tO' +p196843 +aS'in\tin\tIN\tB-PP\tO' +p196844 +aS'the\tthe\tDT\tB-NP\tO' +p196845 +aS'right\tright\tJJ\tI-NP\tO' +p196846 +aS'foot\tfoot\tNN\tI-NP\tO' +p196847 +aS'and\tand\tCC\tI-NP\tO' +p196848 +aS'ankle\tankle\tNN\tI-NP\tO' +p196849 +aS'.\t.\t.\tO\tO' +p196850 +asS'6) s/p cholecystectomy .' +p196851 +(lp196852 +S'6)\t6)\tLS\tB-NP\tO' +p196853 +aS's/p\ts/p\tNN\tI-NP\tO' +p196854 +aS'cholecystectomy\tcholecystectomy\tNN\tI-NP\tO' +p196855 +aS'.\t.\t.\tO\tO' +p196856 +asS'On postoperative day no. 12 the patient was noted to have fallen and subsequently dislocating the PIP joint of his left middle finger .' +p196857 +(lp196858 +S'On\tOn\tIN\tB-PP\tO' +p196859 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p196860 +aS'day\tday\tNN\tI-NP\tO' +p196861 +aS'no.\tno.\tRB\tB-ADVP\tO' +p196862 +aS'12\t12\tCD\tB-NP\tO' +p196863 +aS'the\tthe\tDT\tB-NP\tO' +p196864 +aS'patient\tpatient\tNN\tI-NP\tO' +p196865 +aS'was\tbe\tVBD\tB-VP\tO' +p196866 +aS'noted\tnote\tVBN\tI-VP\tO' +p196867 +aS'to\tto\tTO\tI-VP\tO' +p196868 +aS'have\thave\tVB\tI-VP\tO' +p196869 +aS'fallen\tfall\tVBN\tI-VP\tO' +p196870 +aS'and\tand\tCC\tO\tO' +p196871 +aS'subsequently\tsubsequently\tRB\tB-VP\tO' +p196872 +aS'dislocating\tdislocate\tVBG\tI-VP\tO' +p196873 +aS'the\tthe\tDT\tB-NP\tO' +p196874 +aS'PIP\tPIP\tNN\tI-NP\tO' +p196875 +aS'joint\tjoint\tNN\tI-NP\tO' +p196876 +aS'of\tof\tIN\tB-PP\tO' +p196877 +aS'his\this\tPRP$\tB-NP\tO' +p196878 +aS'left\tleft\tJJ\tI-NP\tO' +p196879 +aS'middle\tmiddle\tJJ\tI-NP\tO' +p196880 +aS'finger\tfinger\tNN\tI-NP\tO' +p196881 +aS'.\t.\t.\tO\tO' +p196882 +asS'Neurology evaluated pt and felt to have intact brainstem reflexes but poor prognosis .' +p196883 +(lp196884 +S'Neurology\tNeurology\tNNP\tB-NP\tO' +p196885 +aS'evaluated\tevaluate\tVBD\tB-VP\tO' +p196886 +aS'pt\tpt\tNN\tB-NP\tO' +p196887 +aS'and\tand\tCC\tO\tO' +p196888 +aS'felt\tfeel\tVBD\tB-VP\tO' +p196889 +aS'to\tto\tTO\tI-VP\tO' +p196890 +aS'have\thave\tVB\tI-VP\tO' +p196891 +aS'intact\tintact\tJJ\tB-NP\tO' +p196892 +aS'brainstem\tbrainstem\tNN\tI-NP\tO' +p196893 +aS'reflexes\treflex\tNNS\tI-NP\tO' +p196894 +aS'but\tbut\tCC\tO\tO' +p196895 +aS'poor\tpoor\tJJ\tB-NP\tO' +p196896 +aS'prognosis\tprognosis\tNN\tI-NP\tO' +p196897 +aS'.\t.\t.\tO\tO' +p196898 +asS'This helped her somewhat though she has continued to have difficulty coughing due to the pain .' +p196899 +(lp196900 +S'This\tThis\tDT\tB-NP\tO' +p196901 +aS'helped\thelp\tVBD\tB-VP\tO' +p196902 +aS'her\ther\tPRP\tB-NP\tO' +p196903 +aS'somewhat\tsomewhat\tRB\tB-ADVP\tO' +p196904 +aS'though\tthough\tIN\tB-SBAR\tO' +p196905 +aS'she\tshe\tPRP\tB-NP\tO' +p196906 +aS'has\thave\tVBZ\tB-VP\tO' +p196907 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p196908 +aS'to\tto\tTO\tI-VP\tO' +p196909 +aS'have\thave\tVB\tI-VP\tO' +p196910 +aS'difficulty\tdifficulty\tNN\tB-NP\tO' +p196911 +aS'coughing\tcough\tVBG\tB-VP\tO' +p196912 +aS'due\tdue\tJJ\tB-ADJP\tO' +p196913 +aS'to\tto\tTO\tB-PP\tO' +p196914 +aS'the\tthe\tDT\tB-NP\tO' +p196915 +aS'pain\tpain\tNN\tI-NP\tO' +p196916 +aS'.\t.\t.\tO\tO' +p196917 +asS'Moderate [ 2+ ] tricuspid regurgitation is seen .' +p196918 +(lp196919 +S'Moderate\tModerate\tJJ\tO\tO' +p196920 +aS'[\t[\t(\tO\tO' +p196921 +aS'2+\t2+\tJJ\tB-ADJP\tO' +p196922 +aS']\t]\t)\tO\tO' +p196923 +aS'tricuspid\ttricuspid\tJJ\tB-NP\tO' +p196924 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p196925 +aS'is\tbe\tVBZ\tB-VP\tO' +p196926 +aS'seen\tsee\tVBN\tI-VP\tO' +p196927 +aS'.\t.\t.\tO\tO' +p196928 +asS'Not applicable .' +p196929 +(lp196930 +S'Not\tNot\tRB\tB-ADJP\tO' +p196931 +aS'applicable\tapplicable\tJJ\tI-ADJP\tO' +p196932 +aS'.\t.\t.\tO\tO' +p196933 +asS'Chest x-rays revealed evidence of congestive heart failure .' +p196934 +(lp196935 +S'Chest\tChest\tNNP\tB-NP\tO' +p196936 +aS'x-rays\tx-ray\tNNS\tI-NP\tO' +p196937 +aS'revealed\treveal\tVBD\tB-VP\tO' +p196938 +aS'evidence\tevidence\tNN\tB-NP\tO' +p196939 +aS'of\tof\tIN\tB-PP\tO' +p196940 +aS'congestive\tcongestive\tJJ\tB-NP\tO' +p196941 +aS'heart\theart\tNN\tI-NP\tO' +p196942 +aS'failure\tfailure\tNN\tI-NP\tO' +p196943 +aS'.\t.\t.\tO\tO' +p196944 +asS'Her creatinine fell to the normal range early .' +p196945 +(lp196946 +S'Her\tHer\tPRP$\tB-NP\tO' +p196947 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p196948 +aS'fell\tfall\tVBD\tB-VP\tO' +p196949 +aS'to\tto\tTO\tB-PP\tO' +p196950 +aS'the\tthe\tDT\tB-NP\tO' +p196951 +aS'normal\tnormal\tJJ\tI-NP\tO' +p196952 +aS'range\trange\tNN\tI-NP\tO' +p196953 +aS'early\tearly\tRB\tB-ADVP\tO' +p196954 +aS'.\t.\t.\tO\tO' +p196955 +asS'Heart without gallop .' +p196956 +(lp196957 +S'Heart\tHeart\tNN\tB-NP\tO' +p196958 +aS'without\twithout\tIN\tB-PP\tO' +p196959 +aS'gallop\tgallop\tNN\tB-NP\tO' +p196960 +aS'.\t.\t.\tO\tO' +p196961 +asS'Non-healing ulcer on the right leg .' +p196962 +(lp196963 +S'Non-healing\tNon-healing\tJJ\tB-NP\tO' +p196964 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p196965 +aS'on\ton\tIN\tB-PP\tO' +p196966 +aS'the\tthe\tDT\tB-NP\tO' +p196967 +aS'right\tright\tJJ\tI-NP\tO' +p196968 +aS'leg\tleg\tNN\tI-NP\tO' +p196969 +aS'.\t.\t.\tO\tO' +p196970 +asS'This restored flow appropriately .' +p196971 +(lp196972 +S'This\tThis\tDT\tB-NP\tO' +p196973 +aS'restored\trestore\tVBD\tB-VP\tO' +p196974 +aS'flow\tflow\tNN\tB-NP\tO' +p196975 +aS'appropriately\tappropriately\tRB\tB-ADVP\tO' +p196976 +aS'.\t.\t.\tO\tO' +p196977 +asS'She denies cigarette use and ethanol use as well as a recreational drug use .' +p196978 +(lp196979 +S'She\tShe\tPRP\tB-NP\tO' +p196980 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p196981 +aS'cigarette\tcigarette\tNN\tB-NP\tO' +p196982 +aS'use\tuse\tNN\tI-NP\tO' +p196983 +aS'and\tand\tCC\tI-NP\tO' +p196984 +aS'ethanol\tethanol\tNN\tI-NP\tO' +p196985 +aS'use\tuse\tNN\tI-NP\tO' +p196986 +aS'as\tas\tRB\tB-CONJP\tO' +p196987 +aS'well\twell\tRB\tI-CONJP\tO' +p196988 +aS'as\tas\tIN\tI-CONJP\tO' +p196989 +aS'a\ta\tDT\tB-NP\tO' +p196990 +aS'recreational\trecreational\tJJ\tI-NP\tO' +p196991 +aS'drug\tdrug\tNN\tI-NP\tO' +p196992 +aS'use\tuse\tNN\tI-NP\tO' +p196993 +aS'.\t.\t.\tO\tO' +p196994 +asS'Never injected drugs .' +p196995 +(lp196996 +S'Never\tNever\tRB\tB-NP\tO' +p196997 +aS'injected\tinject\tVBN\tI-NP\tO' +p196998 +aS'drugs\tdrug\tNNS\tI-NP\tO' +p196999 +aS'.\t.\t.\tO\tO' +p197000 +asS'Signed electronically by : DR. Brandon Mangum on : WED 2016-04-13 3:17 PM' +p197001 +(lp197002 +S'Signed\tSign\tVBN\tB-VP\tO' +p197003 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p197004 +aS'by\tby\tIN\tB-PP\tO' +p197005 +aS':\t:\t:\tO\tO' +p197006 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p197007 +aS'Brandon\tBrandon\tNNP\tI-NP\tO' +p197008 +aS'Mangum\tMangum\tNNP\tI-NP\tO' +p197009 +aS'on\ton\tIN\tB-PP\tO' +p197010 +aS':\t:\t:\tO\tO' +p197011 +aS'WED\tWED\tVBD\tB-VP\tO' +p197012 +aS'2016-04-13\t2016-04-13\tCD\tB-NP\tO' +p197013 +aS'3:17\t3:17\tCD\tI-NP\tO' +p197014 +aS'PM\tPM\tNN\tI-NP\tO' +p197015 +asS'Administer iron products a minimum of 2 hours before or after a levofloxacin or ciprofloxacin dose dose' +p197016 +(lp197017 +S'Administer\tAdminister\tNN\tB-NP\tO' +p197018 +aS'iron\tiron\tNN\tI-NP\tO' +p197019 +aS'products\tproduct\tNNS\tI-NP\tO' +p197020 +aS'a\ta\tDT\tB-NP\tO' +p197021 +aS'minimum\tminimum\tNN\tI-NP\tO' +p197022 +aS'of\tof\tIN\tB-PP\tO' +p197023 +aS'2\t2\tCD\tB-NP\tO' +p197024 +aS'hours\thour\tNNS\tI-NP\tO' +p197025 +aS'before\tbefore\tIN\tB-PP\tO' +p197026 +aS'or\tor\tCC\tI-PP\tO' +p197027 +aS'after\tafter\tIN\tI-PP\tO' +p197028 +aS'a\ta\tDT\tB-NP\tO' +p197029 +aS'levofloxacin\tlevofloxacin\tNN\tI-NP\tO' +p197030 +aS'or\tor\tCC\tI-NP\tO' +p197031 +aS'ciprofloxacin\tciprofloxacin\tNN\tI-NP\tO' +p197032 +aS'dose\tdose\tNN\tI-NP\tO' +p197033 +aS'dose\tdose\tNN\tI-NP\tO' +p197034 +asS'This is to notify you that your patient , AGACHBRAUCH , RENSIAANARC arrived in the Emergency Department at Daughtersvillshamen's Hospital on 11/25/2000 01:36 AM .' +p197035 +(lp197036 +S'This\tThis\tDT\tB-NP\tO' +p197037 +aS'is\tbe\tVBZ\tB-VP\tO' +p197038 +aS'to\tto\tTO\tB-VP\tO' +p197039 +aS'notify\tnotify\tVB\tI-VP\tO' +p197040 +aS'you\tyou\tPRP\tB-NP\tO' +p197041 +aS'that\tthat\tIN\tB-SBAR\tO' +p197042 +aS'your\tyour\tPRP$\tB-NP\tO' +p197043 +aS'patient\tpatient\tNN\tI-NP\tO' +p197044 +aS',\t,\t,\tO\tO' +p197045 +aS'AGACHBRAUCH\tAGACHBRAUCH\tNN\tB-NP\tO' +p197046 +aS',\t,\t,\tO\tO' +p197047 +aS'RENSIAANARC\tRENSIAANARC\tNN\tB-NP\tO' +p197048 +aS'arrived\tarrive\tVBD\tB-VP\tO' +p197049 +aS'in\tin\tIN\tB-PP\tO' +p197050 +aS'the\tthe\tDT\tB-NP\tO' +p197051 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p197052 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p197053 +aS'at\tat\tIN\tB-PP\tO' +p197054 +aS'Daughtersvillshamen's\tDaughtersvillshamen's\tNNP\tB-NP\tO' +p197055 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p197056 +aS'on\ton\tIN\tB-PP\tO' +p197057 +aS'11/25/2000\t11/25/2000\tCD\tB-NP\tO' +p197058 +aS'01:36\t01:36\tCD\tI-NP\tO' +p197059 +aS'AM\tAM\tNN\tI-NP\tO' +p197060 +aS'.\t.\t.\tO\tO' +p197061 +asS'1. Small cirrhotic liver with what appears to be a portocaval shunt .' +p197062 +(lp197063 +S'1.\t1.\tLS\tB-NP\tO' +p197064 +aS'Small\tSmall\tJJ\tI-NP\tO' +p197065 +aS'cirrhotic\tcirrhotic\tJJ\tI-NP\tO' +p197066 +aS'liver\tliver\tNN\tI-NP\tO' +p197067 +aS'with\twith\tIN\tB-PP\tO' +p197068 +aS'what\twhat\tWP\tB-NP\tO' +p197069 +aS'appears\tappear\tVBZ\tB-VP\tO' +p197070 +aS'to\tto\tTO\tI-VP\tO' +p197071 +aS'be\tbe\tVB\tI-VP\tO' +p197072 +aS'a\ta\tDT\tB-NP\tO' +p197073 +aS'portocaval\tportocaval\tJJ\tI-NP\tO' +p197074 +aS'shunt\tshunt\tNN\tI-NP\tO' +p197075 +aS'.\t.\t.\tO\tO' +p197076 +asS'She was then sent to Franklin Medical Center 05-24 with lethargy and n/v .' +p197077 +(lp197078 +S'She\tShe\tPRP\tB-NP\tO' +p197079 +aS'was\tbe\tVBD\tB-VP\tO' +p197080 +aS'then\tthen\tRB\tI-VP\tO' +p197081 +aS'sent\tsend\tVBN\tI-VP\tO' +p197082 +aS'to\tto\tTO\tB-PP\tO' +p197083 +aS'Franklin\tFranklin\tNNP\tB-NP\tO' +p197084 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p197085 +aS'Center\tCenter\tNNP\tI-NP\tO' +p197086 +aS'05-24\t05-24\tCD\tI-NP\tO' +p197087 +aS'with\twith\tIN\tB-PP\tO' +p197088 +aS'lethargy\tlethargy\tNN\tB-NP\tO' +p197089 +aS'and\tand\tCC\tI-NP\tO' +p197090 +aS'n/v\tn/v\tNN\tI-NP\tO' +p197091 +aS'.\t.\t.\tO\tO' +p197092 +asS'Potassium 4.2 .' +p197093 +(lp197094 +S'Potassium\tPotassium\tNN\tB-NP\tO' +p197095 +aS'4.2\t4.2\tCD\tI-NP\tO' +p197096 +aS'.\t.\t.\tO\tO' +p197097 +asS'The patient 's Coumadin was continued .' +p197098 +(lp197099 +S'The\tThe\tDT\tB-NP\tO' +p197100 +aS'patient\tpatient\tNN\tI-NP\tO' +p197101 +aS''s\t'\tNNS\tI-NP\tO' +p197102 +aS'Coumadin\tCoumadin\tNN\tI-NP\tO' +p197103 +aS'was\tbe\tVBD\tB-VP\tO' +p197104 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p197105 +aS'.\t.\t.\tO\tO' +p197106 +asS'Resuscitation was terminated at 1914 on 08-27 .' +p197107 +(lp197108 +S'Resuscitation\tResuscitation\tNN\tB-NP\tO' +p197109 +aS'was\tbe\tVBD\tB-VP\tO' +p197110 +aS'terminated\tterminate\tVBN\tI-VP\tO' +p197111 +aS'at\tat\tIN\tB-PP\tO' +p197112 +aS'1914\t1914\tCD\tB-NP\tO' +p197113 +aS'on\ton\tIN\tB-PP\tO' +p197114 +aS'08-27\t08-27\tCD\tB-NP\tO' +p197115 +aS'.\t.\t.\tO\tO' +p197116 +asS'The abdomen was soft , bowel sounds of normal character , and there was mild percussion tenderness and tenderness to modest palpation in all four quadrants .' +p197117 +(lp197118 +S'The\tThe\tDT\tB-NP\tO' +p197119 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p197120 +aS'was\tbe\tVBD\tB-VP\tO' +p197121 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p197122 +aS',\t,\t,\tO\tO' +p197123 +aS'bowel\tbowel\tNN\tB-NP\tO' +p197124 +aS'sounds\tsound\tNNS\tI-NP\tO' +p197125 +aS'of\tof\tIN\tB-PP\tO' +p197126 +aS'normal\tnormal\tJJ\tB-NP\tO' +p197127 +aS'character\tcharacter\tNN\tI-NP\tO' +p197128 +aS',\t,\t,\tO\tO' +p197129 +aS'and\tand\tCC\tO\tO' +p197130 +aS'there\tthere\tEX\tB-NP\tO' +p197131 +aS'was\tbe\tVBD\tB-VP\tO' +p197132 +aS'mild\tmild\tJJ\tB-NP\tO' +p197133 +aS'percussion\tpercussion\tNN\tI-NP\tO' +p197134 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p197135 +aS'and\tand\tCC\tO\tO' +p197136 +aS'tenderness\ttenderness\tNN\tB-NP\tO' +p197137 +aS'to\tto\tTO\tB-PP\tO' +p197138 +aS'modest\tmodest\tJJ\tB-NP\tO' +p197139 +aS'palpation\tpalpation\tNN\tI-NP\tO' +p197140 +aS'in\tin\tIN\tB-PP\tO' +p197141 +aS'all\tall\tDT\tB-NP\tO' +p197142 +aS'four\tfour\tCD\tI-NP\tO' +p197143 +aS'quadrants\tquadrant\tNNS\tI-NP\tO' +p197144 +aS'.\t.\t.\tO\tO' +p197145 +asS'Ext : cool , no varicosities , 1+ pedal pulses' +p197146 +(lp197147 +S'Ext\tExt\tNNP\tB-NP\tO' +p197148 +aS':\t:\t:\tO\tO' +p197149 +aS'cool\tcool\tVB\tB-VP\tO' +p197150 +aS',\t,\t,\tO\tO' +p197151 +aS'no\tno\tDT\tB-NP\tO' +p197152 +aS'varicosities\tvaricosity\tNNS\tI-NP\tO' +p197153 +aS',\t,\t,\tO\tO' +p197154 +aS'1+\t1+\tJJ\tB-NP\tO' +p197155 +aS'pedal\tpedal\tJJ\tI-NP\tO' +p197156 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p197157 +asS'Nontender and nondistended .' +p197158 +(lp197159 +S'Nontender\tNontender\tJJ\tB-ADJP\tO' +p197160 +aS'and\tand\tCC\tI-ADJP\tO' +p197161 +aS'nondistended\tnondistended\tJJ\tI-ADJP\tO' +p197162 +aS'.\t.\t.\tO\tO' +p197163 +asS'The results can be obtained by paging me , Do A. Joasscchird , M.D. at 834-364-2251 .' +p197164 +(lp197165 +S'The\tThe\tDT\tB-NP\tO' +p197166 +aS'results\tresult\tNNS\tI-NP\tO' +p197167 +aS'can\tcan\tMD\tB-VP\tO' +p197168 +aS'be\tbe\tVB\tI-VP\tO' +p197169 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p197170 +aS'by\tby\tIN\tB-PP\tO' +p197171 +aS'paging\tpage\tVBG\tB-VP\tO' +p197172 +aS'me\tme\tPRP\tB-NP\tO' +p197173 +aS',\t,\t,\tO\tO' +p197174 +aS'Do\tDo\tNNP\tB-NP\tO' +p197175 +aS'A.\tA.\tNNP\tI-NP\tO' +p197176 +aS'Joasscchird\tJoasscchird\tNNP\tI-NP\tO' +p197177 +aS',\t,\t,\tO\tO' +p197178 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p197179 +aS'at\tat\tIN\tB-PP\tO' +p197180 +aS'834-364-2251\t834-364-2251\tCD\tB-NP\tO' +p197181 +aS'.\t.\t.\tO\tO' +p197182 +asS'On postoperative day 5 , the patient was finally weaned off of his Neo-Synephrine and diuresis was begun .' +p197183 +(lp197184 +S'On\tOn\tIN\tB-PP\tO' +p197185 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p197186 +aS'day\tday\tNN\tI-NP\tO' +p197187 +aS'5\t5\tCD\tI-NP\tO' +p197188 +aS',\t,\t,\tO\tO' +p197189 +aS'the\tthe\tDT\tB-NP\tO' +p197190 +aS'patient\tpatient\tNN\tI-NP\tO' +p197191 +aS'was\tbe\tVBD\tB-VP\tO' +p197192 +aS'finally\tfinally\tRB\tI-VP\tO' +p197193 +aS'weaned\twean\tVBN\tI-VP\tO' +p197194 +aS'off\toff\tRP\tB-PRT\tO' +p197195 +aS'of\tof\tIN\tB-PP\tO' +p197196 +aS'his\this\tPRP$\tB-NP\tO' +p197197 +aS'Neo-Synephrine\tNeo-Synephrine\tNN\tI-NP\tO' +p197198 +aS'and\tand\tCC\tI-NP\tO' +p197199 +aS'diuresis\tdiuresis\tNN\tI-NP\tO' +p197200 +aS'was\tbe\tVBD\tB-VP\tO' +p197201 +aS'begun\tbegin\tVBN\tI-VP\tO' +p197202 +aS'.\t.\t.\tO\tO' +p197203 +asS'An echocardiogram showed global hypokinesis .' +p197204 +(lp197205 +S'An\tAn\tDT\tB-NP\tO' +p197206 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p197207 +aS'showed\tshow\tVBD\tB-VP\tO' +p197208 +aS'global\tglobal\tJJ\tB-NP\tO' +p197209 +aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' +p197210 +aS'.\t.\t.\tO\tO' +p197211 +asS'This seems to trend her sodium down .' +p197212 +(lp197213 +S'This\tThis\tDT\tB-NP\tO' +p197214 +aS'seems\tseem\tVBZ\tB-VP\tO' +p197215 +aS'to\tto\tTO\tI-VP\tO' +p197216 +aS'trend\ttrend\tVB\tI-VP\tO' +p197217 +aS'her\ther\tPRP$\tB-NP\tO' +p197218 +aS'sodium\tsodium\tNN\tI-NP\tO' +p197219 +aS'down\tdown\tRP\tB-PRT\tO' +p197220 +aS'.\t.\t.\tO\tO' +p197221 +asS'No spontaneous echo contrast or thrombus is seen in the body of the left atrium or left atrial appendage .' +p197222 +(lp197223 +S'No\tNo\tDT\tB-NP\tO' +p197224 +aS'spontaneous\tspontaneous\tJJ\tI-NP\tO' +p197225 +aS'echo\techo\tJJ\tI-NP\tO' +p197226 +aS'contrast\tcontrast\tNN\tI-NP\tO' +p197227 +aS'or\tor\tCC\tI-NP\tO' +p197228 +aS'thrombus\tthrombus\tNN\tI-NP\tO' +p197229 +aS'is\tbe\tVBZ\tB-VP\tO' +p197230 +aS'seen\tsee\tVBN\tI-VP\tO' +p197231 +aS'in\tin\tIN\tB-PP\tO' +p197232 +aS'the\tthe\tDT\tB-NP\tO' +p197233 +aS'body\tbody\tNN\tI-NP\tO' +p197234 +aS'of\tof\tIN\tB-PP\tO' +p197235 +aS'the\tthe\tDT\tB-NP\tO' +p197236 +aS'left\tleft\tJJ\tI-NP\tO' +p197237 +aS'atrium\tatrium\tNN\tI-NP\tO' +p197238 +aS'or\tor\tCC\tO\tO' +p197239 +aS'left\tleave\tVBD\tB-VP\tO' +p197240 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p197241 +aS'appendage\tappendage\tNN\tI-NP\tO' +p197242 +aS'.\t.\t.\tO\tO' +p197243 +asS'Dr. Twada , his primary care physician at the SBH clinic for 10/11/01 and Dr. Fyfechird , gastroenterologist , on 10/13/01 .' +p197244 +(lp197245 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p197246 +aS'Twada\tTwada\tNNP\tI-NP\tO' +p197247 +aS',\t,\t,\tO\tO' +p197248 +aS'his\this\tPRP$\tB-NP\tO' +p197249 +aS'primary\tprimary\tJJ\tI-NP\tO' +p197250 +aS'care\tcare\tNN\tI-NP\tO' +p197251 +aS'physician\tphysician\tNN\tI-NP\tO' +p197252 +aS'at\tat\tIN\tB-PP\tO' +p197253 +aS'the\tthe\tDT\tB-NP\tO' +p197254 +aS'SBH\tSBH\tNN\tI-NP\tO' +p197255 +aS'clinic\tclinic\tNN\tI-NP\tO' +p197256 +aS'for\tfor\tIN\tB-PP\tO' +p197257 +aS'10/11/01\t10/11/01\tCD\tB-NP\tO' +p197258 +aS'and\tand\tCC\tO\tO' +p197259 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p197260 +aS'Fyfechird\tFyfechird\tNNP\tI-NP\tO' +p197261 +aS',\t,\t,\tO\tO' +p197262 +aS'gastroenterologist\tgastroenterologist\tNN\tB-NP\tO' +p197263 +aS',\t,\t,\tO\tO' +p197264 +aS'on\ton\tIN\tB-PP\tO' +p197265 +aS'10/13/01\t10/13/01\tCD\tB-NP\tO' +p197266 +aS'.\t.\t.\tO\tO' +p197267 +asS'No subjective shortness of breath .' +p197268 +(lp197269 +S'No\tNo\tDT\tB-NP\tO' +p197270 +aS'subjective\tsubjective\tJJ\tI-NP\tO' +p197271 +aS'shortness\tshortness\tNN\tI-NP\tO' +p197272 +aS'of\tof\tIN\tB-PP\tO' +p197273 +aS'breath\tbreath\tNN\tB-NP\tO' +p197274 +aS'.\t.\t.\tO\tO' +p197275 +asS'Received 2 mg dilaudid for pain o/n .' +p197276 +(lp197277 +S'Received\tReceive\tVBN\tB-VP\tO' +p197278 +aS'2\t2\tCD\tB-NP\tO' +p197279 +aS'mg\tmg\tNN\tI-NP\tO' +p197280 +aS'dilaudid\tdilaudid\tVBD\tB-VP\tO' +p197281 +aS'for\tfor\tIN\tB-PP\tO' +p197282 +aS'pain\tpain\tNN\tB-NP\tO' +p197283 +aS'o/n\to/n\tNN\tI-NP\tO' +p197284 +aS'.\t.\t.\tO\tO' +p197285 +asS'She then had a transhiatal esophagectomy which was partial , and a substernal gastric interposition as well as a jejunostomy .' +p197286 +(lp197287 +S'She\tShe\tPRP\tB-NP\tO' +p197288 +aS'then\tthen\tRB\tB-ADVP\tO' +p197289 +aS'had\thave\tVBD\tB-VP\tO' +p197290 +aS'a\ta\tDT\tB-NP\tO' +p197291 +aS'transhiatal\ttranshiatal\tJJ\tI-NP\tO' +p197292 +aS'esophagectomy\tesophagectomy\tNN\tI-NP\tO' +p197293 +aS'which\twhich\tWDT\tB-NP\tO' +p197294 +aS'was\tbe\tVBD\tB-VP\tO' +p197295 +aS'partial\tpartial\tJJ\tB-ADJP\tO' +p197296 +aS',\t,\t,\tO\tO' +p197297 +aS'and\tand\tCC\tO\tO' +p197298 +aS'a\ta\tDT\tB-NP\tO' +p197299 +aS'substernal\tsubsternal\tJJ\tI-NP\tO' +p197300 +aS'gastric\tgastric\tJJ\tI-NP\tO' +p197301 +aS'interposition\tinterposition\tNN\tI-NP\tO' +p197302 +aS'as\tas\tRB\tB-CONJP\tO' +p197303 +aS'well\twell\tRB\tI-CONJP\tO' +p197304 +aS'as\tas\tIN\tI-CONJP\tO' +p197305 +aS'a\ta\tDT\tB-NP\tO' +p197306 +aS'jejunostomy\tjejunostomy\tNN\tI-NP\tO' +p197307 +aS'.\t.\t.\tO\tO' +p197308 +asS'The neurological examination was remarkable for a peripheral neuropathy including decreased sensation in the lower extremities with decreased strength in the upper and lower extremities most pronounced in the legs and feet .' +p197309 +(lp197310 +S'The\tThe\tDT\tB-NP\tO' +p197311 +aS'neurological\tneurological\tJJ\tI-NP\tO' +p197312 +aS'examination\texamination\tNN\tI-NP\tO' +p197313 +aS'was\tbe\tVBD\tB-VP\tO' +p197314 +aS'remarkable\tremarkable\tJJ\tB-ADJP\tO' +p197315 +aS'for\tfor\tIN\tB-PP\tO' +p197316 +aS'a\ta\tDT\tB-NP\tO' +p197317 +aS'peripheral\tperipheral\tJJ\tI-NP\tO' +p197318 +aS'neuropathy\tneuropathy\tNN\tI-NP\tO' +p197319 +aS'including\tinclude\tVBG\tB-PP\tO' +p197320 +aS'decreased\tdecrease\tVBN\tB-NP\tO' +p197321 +aS'sensation\tsensation\tNN\tI-NP\tO' +p197322 +aS'in\tin\tIN\tB-PP\tO' +p197323 +aS'the\tthe\tDT\tB-NP\tO' +p197324 +aS'lower\tlow\tJJR\tI-NP\tO' +p197325 +aS'extremities\textremity\tNNS\tI-NP\tO' +p197326 +aS'with\twith\tIN\tB-PP\tO' +p197327 +aS'decreased\tdecrease\tVBN\tB-NP\tO' +p197328 +aS'strength\tstrength\tNN\tI-NP\tO' +p197329 +aS'in\tin\tIN\tB-PP\tO' +p197330 +aS'the\tthe\tDT\tB-NP\tO' +p197331 +aS'upper\tupper\tJJ\tI-NP\tO' +p197332 +aS'and\tand\tCC\tI-NP\tO' +p197333 +aS'lower\tlow\tJJR\tI-NP\tO' +p197334 +aS'extremities\textremity\tNNS\tI-NP\tO' +p197335 +aS'most\tmost\tRBS\tB-ADJP\tO' +p197336 +aS'pronounced\tpronounced\tJJ\tI-ADJP\tO' +p197337 +aS'in\tin\tIN\tB-PP\tO' +p197338 +aS'the\tthe\tDT\tB-NP\tO' +p197339 +aS'legs\tleg\tNNS\tI-NP\tO' +p197340 +aS'and\tand\tCC\tI-NP\tO' +p197341 +aS'feet\tfoot\tNNS\tI-NP\tO' +p197342 +aS'.\t.\t.\tO\tO' +p197343 +asS"Because of this , the patient 's diltiazem was stopped and she was started on tid metoprolol ." +p197344 +(lp197345 +S'Because\tBecause\tIN\tB-PP\tO' +p197346 +aS'of\tof\tIN\tI-PP\tO' +p197347 +aS'this\tthis\tDT\tB-NP\tO' +p197348 +aS',\t,\t,\tO\tO' +p197349 +aS'the\tthe\tDT\tB-NP\tO' +p197350 +aS'patient\tpatient\tNN\tI-NP\tO' +p197351 +aS"'s\t's\tPOS\tB-NP\tO" +p197352 +aS'diltiazem\tdiltiazem\tNN\tI-NP\tO' +p197353 +aS'was\tbe\tVBD\tB-VP\tO' +p197354 +aS'stopped\tstop\tVBN\tI-VP\tO' +p197355 +aS'and\tand\tCC\tO\tO' +p197356 +aS'she\tshe\tPRP\tB-NP\tO' +p197357 +aS'was\tbe\tVBD\tB-VP\tO' +p197358 +aS'started\tstart\tVBN\tI-VP\tO' +p197359 +aS'on\ton\tIN\tB-PP\tO' +p197360 +aS'tid\ttid\tNN\tB-NP\tO' +p197361 +aS'metoprolol\tmetoprolol\tNN\tI-NP\tO' +p197362 +aS'.\t.\t.\tO\tO' +p197363 +asS'left axillary node dissection , status post breast carcinoma .' +p197364 +(lp197365 +S'left\tleft\tJJ\tB-NP\tO' +p197366 +aS'axillary\taxillary\tJJ\tI-NP\tO' +p197367 +aS'node\tnode\tNN\tI-NP\tO' +p197368 +aS'dissection\tdissection\tNN\tI-NP\tO' +p197369 +aS',\t,\t,\tO\tO' +p197370 +aS'status\tstatus\tNN\tB-NP\tO' +p197371 +aS'post\tpost\tNN\tI-NP\tO' +p197372 +aS'breast\tbreast\tNN\tI-NP\tO' +p197373 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p197374 +aS'.\t.\t.\tO\tO' +p197375 +asS'The patient was then transferred to the Coronary Care Unit Service for medical management in anticipation of possible percutaneous coronary intervention later in the admission .' +p197376 +(lp197377 +S'The\tThe\tDT\tB-NP\tO' +p197378 +aS'patient\tpatient\tNN\tI-NP\tO' +p197379 +aS'was\tbe\tVBD\tB-VP\tO' +p197380 +aS'then\tthen\tRB\tI-VP\tO' +p197381 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p197382 +aS'to\tto\tTO\tB-PP\tO' +p197383 +aS'the\tthe\tDT\tB-NP\tO' +p197384 +aS'Coronary\tCoronary\tNNP\tI-NP\tO' +p197385 +aS'Care\tCare\tNNP\tI-NP\tO' +p197386 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p197387 +aS'Service\tService\tNNP\tI-NP\tO' +p197388 +aS'for\tfor\tIN\tB-PP\tO' +p197389 +aS'medical\tmedical\tJJ\tB-NP\tO' +p197390 +aS'management\tmanagement\tNN\tI-NP\tO' +p197391 +aS'in\tin\tIN\tB-PP\tO' +p197392 +aS'anticipation\tanticipation\tNN\tB-NP\tO' +p197393 +aS'of\tof\tIN\tB-PP\tO' +p197394 +aS'possible\tpossible\tJJ\tB-NP\tO' +p197395 +aS'percutaneous\tpercutaneous\tJJ\tI-NP\tO' +p197396 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p197397 +aS'intervention\tintervention\tNN\tI-NP\tO' +p197398 +aS'later\tlater\tRB\tB-ADVP\tO' +p197399 +aS'in\tin\tIN\tB-PP\tO' +p197400 +aS'the\tthe\tDT\tB-NP\tO' +p197401 +aS'admission\tadmission\tNN\tI-NP\tO' +p197402 +aS'.\t.\t.\tO\tO' +p197403 +asS'Normal RV chamber size and free wall motion .' +p197404 +(lp197405 +S'Normal\tNormal\tJJ\tB-NP\tO' +p197406 +aS'RV\tRV\tNN\tI-NP\tO' +p197407 +aS'chamber\tchamber\tNN\tI-NP\tO' +p197408 +aS'size\tsize\tNN\tI-NP\tO' +p197409 +aS'and\tand\tCC\tO\tO' +p197410 +aS'free\tfree\tJJ\tB-NP\tO' +p197411 +aS'wall\twall\tNN\tI-NP\tO' +p197412 +aS'motion\tmotion\tNN\tI-NP\tO' +p197413 +aS'.\t.\t.\tO\tO' +p197414 +asS'All sedating medications including prn narcotics were held and mental status cleared somewhat .' +p197415 +(lp197416 +S'All\tAll\tDT\tB-NP\tO' +p197417 +aS'sedating\tsedate\tVBG\tI-NP\tO' +p197418 +aS'medications\tmedication\tNNS\tI-NP\tO' +p197419 +aS'including\tinclude\tVBG\tB-PP\tO' +p197420 +aS'prn\tprn\tNN\tB-NP\tO' +p197421 +aS'narcotics\tnarcotic\tNNS\tI-NP\tO' +p197422 +aS'were\tbe\tVBD\tB-VP\tO' +p197423 +aS'held\thold\tVBN\tI-VP\tO' +p197424 +aS'and\tand\tCC\tO\tO' +p197425 +aS'mental\tmental\tJJ\tB-NP\tO' +p197426 +aS'status\tstatus\tNN\tI-NP\tO' +p197427 +aS'cleared\tclear\tVBN\tB-VP\tO' +p197428 +aS'somewhat\tsomewhat\tRB\tB-ADVP\tO' +p197429 +aS'.\t.\t.\tO\tO' +p197430 +asS'He also complains of chronic photophobia which is unchanged .' +p197431 +(lp197432 +S'He\tHe\tPRP\tB-NP\tO' +p197433 +aS'also\talso\tRB\tB-ADVP\tO' +p197434 +aS'complains\tcomplain\tVBZ\tB-VP\tO' +p197435 +aS'of\tof\tIN\tB-PP\tO' +p197436 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p197437 +aS'photophobia\tphotophobia\tNN\tI-NP\tO' +p197438 +aS'which\twhich\tWDT\tB-NP\tO' +p197439 +aS'is\tbe\tVBZ\tB-VP\tO' +p197440 +aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' +p197441 +aS'.\t.\t.\tO\tO' +p197442 +asS'The computerized tomography scan was performed and showed a right occipital hemorrhage .' +p197443 +(lp197444 +S'The\tThe\tDT\tB-NP\tO' +p197445 +aS'computerized\tcomputerized\tJJ\tI-NP\tO' +p197446 +aS'tomography\ttomography\tNN\tI-NP\tO' +p197447 +aS'scan\tscan\tNN\tI-NP\tO' +p197448 +aS'was\tbe\tVBD\tB-VP\tO' +p197449 +aS'performed\tperform\tVBN\tI-VP\tO' +p197450 +aS'and\tand\tCC\tO\tO' +p197451 +aS'showed\tshow\tVBD\tB-VP\tO' +p197452 +aS'a\ta\tDT\tB-NP\tO' +p197453 +aS'right\tright\tJJ\tI-NP\tO' +p197454 +aS'occipital\toccipital\tNN\tI-NP\tO' +p197455 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p197456 +aS'.\t.\t.\tO\tO' +p197457 +asS'maintenance chemotherapy .' +p197458 +(lp197459 +S'maintenance\tmaintenance\tNN\tB-NP\tO' +p197460 +aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' +p197461 +aS'.\t.\t.\tO\tO' +p197462 +asS'PORT was felt most likely source , and pt has had at least 2 sets of + blood cultures since it was placed .' +p197463 +(lp197464 +S'PORT\tPORT\tNN\tB-NP\tO' +p197465 +aS'was\tbe\tVBD\tB-VP\tO' +p197466 +aS'felt\tfeel\tVBN\tI-VP\tO' +p197467 +aS'most\tmost\tRBS\tB-ADVP\tO' +p197468 +aS'likely\tlikely\tRB\tI-ADVP\tO' +p197469 +aS'source\tsource\tNN\tB-NP\tO' +p197470 +aS',\t,\t,\tO\tO' +p197471 +aS'and\tand\tCC\tO\tO' +p197472 +aS'pt\tpt\tNN\tB-NP\tO' +p197473 +aS'has\thave\tVBZ\tB-VP\tO' +p197474 +aS'had\thave\tVBN\tI-VP\tO' +p197475 +aS'at\tat\tIN\tB-NP\tO' +p197476 +aS'least\tleast\tJJS\tI-NP\tO' +p197477 +aS'2\t2\tCD\tI-NP\tO' +p197478 +aS'sets\tset\tNNS\tI-NP\tO' +p197479 +aS'of\tof\tIN\tB-PP\tO' +p197480 +aS'+\t+\tSYM\tB-NP\tO' +p197481 +aS'blood\tblood\tNN\tI-NP\tO' +p197482 +aS'cultures\tculture\tNNS\tI-NP\tO' +p197483 +aS'since\tsince\tIN\tB-SBAR\tO' +p197484 +aS'it\tit\tPRP\tB-NP\tO' +p197485 +aS'was\tbe\tVBD\tB-VP\tO' +p197486 +aS'placed\tplace\tVBN\tI-VP\tO' +p197487 +aS'.\t.\t.\tO\tO' +p197488 +asS'The patient had a mild increase in her BUN and creatinine during her hospitalization which promptly returned to her baseline levels with intravenous fluids .' +p197489 +(lp197490 +S'The\tThe\tDT\tB-NP\tO' +p197491 +aS'patient\tpatient\tNN\tI-NP\tO' +p197492 +aS'had\thave\tVBD\tB-VP\tO' +p197493 +aS'a\ta\tDT\tB-NP\tO' +p197494 +aS'mild\tmild\tJJ\tI-NP\tO' +p197495 +aS'increase\tincrease\tNN\tI-NP\tO' +p197496 +aS'in\tin\tIN\tB-PP\tO' +p197497 +aS'her\ther\tPRP$\tB-NP\tO' +p197498 +aS'BUN\tBUN\tNN\tI-NP\tB-protein' +p197499 +aS'and\tand\tCC\tI-NP\tO' +p197500 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p197501 +aS'during\tduring\tIN\tB-PP\tO' +p197502 +aS'her\ther\tPRP$\tB-NP\tO' +p197503 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p197504 +aS'which\twhich\tWDT\tB-NP\tO' +p197505 +aS'promptly\tpromptly\tRB\tB-ADVP\tO' +p197506 +aS'returned\treturn\tVBD\tB-VP\tO' +p197507 +aS'to\tto\tTO\tB-PP\tO' +p197508 +aS'her\ther\tPRP$\tB-NP\tO' +p197509 +aS'baseline\tbaseline\tNN\tI-NP\tO' +p197510 +aS'levels\tlevel\tNNS\tI-NP\tO' +p197511 +aS'with\twith\tIN\tB-PP\tO' +p197512 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p197513 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p197514 +aS'.\t.\t.\tO\tO' +p197515 +asS'He was status post a rehabilitation hospitalization at the Raya Ma Den Erinmarg Hospital with a recent recrudescence of his drug abuse .' +p197516 +(lp197517 +S'He\tHe\tPRP\tB-NP\tO' +p197518 +aS'was\tbe\tVBD\tB-VP\tO' +p197519 +aS'status\tstatus\tNN\tB-NP\tO' +p197520 +aS'post\tpost\tIN\tB-PP\tO' +p197521 +aS'a\ta\tDT\tB-NP\tO' +p197522 +aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' +p197523 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p197524 +aS'at\tat\tIN\tB-PP\tO' +p197525 +aS'the\tthe\tDT\tB-NP\tO' +p197526 +aS'Raya\tRaya\tNNP\tI-NP\tO' +p197527 +aS'Ma\tMa\tNNP\tI-NP\tO' +p197528 +aS'Den\tDen\tNNP\tI-NP\tO' +p197529 +aS'Erinmarg\tErinmarg\tNNP\tI-NP\tO' +p197530 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p197531 +aS'with\twith\tIN\tB-PP\tO' +p197532 +aS'a\ta\tDT\tB-NP\tO' +p197533 +aS'recent\trecent\tJJ\tI-NP\tO' +p197534 +aS'recrudescence\trecrudescence\tNN\tI-NP\tO' +p197535 +aS'of\tof\tIN\tB-PP\tO' +p197536 +aS'his\this\tPRP$\tB-NP\tO' +p197537 +aS'drug\tdrug\tNN\tI-NP\tO' +p197538 +aS'abuse\tabuse\tNN\tI-NP\tO' +p197539 +aS'.\t.\t.\tO\tO' +p197540 +asS'The patient was taken to the Intensive Care Unit after her angiogram .' +p197541 +(lp197542 +S'The\tThe\tDT\tB-NP\tO' +p197543 +aS'patient\tpatient\tNN\tI-NP\tO' +p197544 +aS'was\tbe\tVBD\tB-VP\tO' +p197545 +aS'taken\ttake\tVBN\tI-VP\tO' +p197546 +aS'to\tto\tTO\tB-PP\tO' +p197547 +aS'the\tthe\tDT\tB-NP\tO' +p197548 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p197549 +aS'Care\tCare\tNNP\tI-NP\tO' +p197550 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p197551 +aS'after\tafter\tIN\tB-PP\tO' +p197552 +aS'her\ther\tPRP$\tB-NP\tO' +p197553 +aS'angiogram\tangiogram\tNN\tI-NP\tO' +p197554 +aS'.\t.\t.\tO\tO' +p197555 +asS'He did drink alcohol three drinks per day , no withdrawal symptoms .' +p197556 +(lp197557 +S'He\tHe\tPRP\tB-NP\tO' +p197558 +aS'did\tdo\tVBD\tB-VP\tO' +p197559 +aS'drink\tdrink\tVB\tI-VP\tO' +p197560 +aS'alcohol\talcohol\tNN\tB-NP\tO' +p197561 +aS'three\tthree\tCD\tB-NP\tO' +p197562 +aS'drinks\tdrink\tNNS\tI-NP\tO' +p197563 +aS'per\tper\tIN\tB-PP\tO' +p197564 +aS'day\tday\tNN\tB-NP\tO' +p197565 +aS',\t,\t,\tO\tO' +p197566 +aS'no\tno\tDT\tB-NP\tO' +p197567 +aS'withdrawal\twithdrawal\tNN\tI-NP\tO' +p197568 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p197569 +aS'.\t.\t.\tO\tO' +p197570 +asS'In addition, also the MRCP showed a mass near the region of the neck of the gallbladder .' +p197571 +(lp197572 +S'In\tIn\tIN\tB-PP\tO' +p197573 +aS'addition,\taddition,\tNN\tB-NP\tO' +p197574 +aS'also\talso\tRB\tB-ADVP\tO' +p197575 +aS'the\tthe\tDT\tB-NP\tO' +p197576 +aS'MRCP\tMRCP\tNN\tI-NP\tB-DNA' +p197577 +aS'showed\tshow\tVBD\tB-VP\tO' +p197578 +aS'a\ta\tDT\tB-NP\tO' +p197579 +aS'mass\tmass\tNN\tI-NP\tO' +p197580 +aS'near\tnear\tIN\tB-PP\tO' +p197581 +aS'the\tthe\tDT\tB-NP\tO' +p197582 +aS'region\tregion\tNN\tI-NP\tO' +p197583 +aS'of\tof\tIN\tB-PP\tO' +p197584 +aS'the\tthe\tDT\tB-NP\tO' +p197585 +aS'neck\tneck\tNN\tI-NP\tO' +p197586 +aS'of\tof\tIN\tB-PP\tO' +p197587 +aS'the\tthe\tDT\tB-NP\tO' +p197588 +aS'gallbladder\tgallbladder\tNN\tI-NP\tO' +p197589 +aS'.\t.\t.\tO\tO' +p197590 +asS'Serial hematocrits and abdominal exams were performed .' +p197591 +(lp197592 +S'Serial\tSerial\tJJ\tB-NP\tO' +p197593 +aS'hematocrits\thematocrit\tNNS\tI-NP\tO' +p197594 +aS'and\tand\tCC\tO\tO' +p197595 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p197596 +aS'exams\texam\tNNS\tI-NP\tO' +p197597 +aS'were\tbe\tVBD\tB-VP\tO' +p197598 +aS'performed\tperform\tVBN\tI-VP\tO' +p197599 +aS'.\t.\t.\tO\tO' +p197600 +asS'This report was created by LARDESPRABLEYL , VA 03/17/2000 04:33 PM' +p197601 +(lp197602 +S'This\tThis\tDT\tB-NP\tO' +p197603 +aS'report\treport\tNN\tI-NP\tO' +p197604 +aS'was\tbe\tVBD\tB-VP\tO' +p197605 +aS'created\tcreate\tVBN\tI-VP\tO' +p197606 +aS'by\tby\tIN\tB-PP\tO' +p197607 +aS'LARDESPRABLEYL\tLARDESPRABLEYL\tNN\tB-NP\tO' +p197608 +aS',\t,\t,\tO\tO' +p197609 +aS'VA\tVA\tNNP\tB-NP\tO' +p197610 +aS'03/17/2000\t03/17/2000\tCD\tI-NP\tO' +p197611 +aS'04:33\t04:33\tCD\tI-NP\tO' +p197612 +aS'PM\tPM\tNN\tI-NP\tO' +p197613 +asS'It was also noted that she had failure to sense with the atrial lead .' +p197614 +(lp197615 +S'It\tIt\tPRP\tB-NP\tO' +p197616 +aS'was\tbe\tVBD\tB-VP\tO' +p197617 +aS'also\talso\tRB\tI-VP\tO' +p197618 +aS'noted\tnote\tVBN\tI-VP\tO' +p197619 +aS'that\tthat\tIN\tB-SBAR\tO' +p197620 +aS'she\tshe\tPRP\tB-NP\tO' +p197621 +aS'had\thave\tVBD\tB-VP\tO' +p197622 +aS'failure\tfailure\tNN\tB-NP\tO' +p197623 +aS'to\tto\tTO\tB-VP\tO' +p197624 +aS'sense\tsense\tVB\tI-VP\tO' +p197625 +aS'with\twith\tIN\tB-PP\tO' +p197626 +aS'the\tthe\tDT\tB-NP\tO' +p197627 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p197628 +aS'lead\tlead\tNN\tI-NP\tO' +p197629 +aS'.\t.\t.\tO\tO' +p197630 +asS'He went to the bathroom on his own at 6:12 AM and then called for help at 6:15 AM .' +p197631 +(lp197632 +S'He\tHe\tPRP\tB-NP\tO' +p197633 +aS'went\tgo\tVBD\tB-VP\tO' +p197634 +aS'to\tto\tTO\tB-PP\tO' +p197635 +aS'the\tthe\tDT\tB-NP\tO' +p197636 +aS'bathroom\tbathroom\tNN\tI-NP\tO' +p197637 +aS'on\ton\tIN\tB-PP\tO' +p197638 +aS'his\this\tPRP$\tB-NP\tO' +p197639 +aS'own\town\tJJ\tI-NP\tO' +p197640 +aS'at\tat\tIN\tB-PP\tO' +p197641 +aS'6:12\t6:12\tCD\tB-NP\tO' +p197642 +aS'AM\tAM\tNN\tI-NP\tO' +p197643 +aS'and\tand\tCC\tO\tO' +p197644 +aS'then\tthen\tRB\tB-VP\tO' +p197645 +aS'called\tcall\tVBD\tI-VP\tO' +p197646 +aS'for\tfor\tIN\tB-PP\tO' +p197647 +aS'help\thelp\tNN\tB-NP\tO' +p197648 +aS'at\tat\tIN\tB-PP\tO' +p197649 +aS'6:15\t6:15\tCD\tB-NP\tO' +p197650 +aS'AM\tAM\tNN\tI-NP\tO' +p197651 +aS'.\t.\t.\tO\tO' +p197652 +asS'7. History of peptic ulcer disease .' +p197653 +(lp197654 +S'7.\t7.\tLS\tB-NP\tO' +p197655 +aS'History\tHistory\tNN\tI-NP\tO' +p197656 +aS'of\tof\tIN\tB-PP\tO' +p197657 +aS'peptic\tpeptic\tJJ\tB-NP\tO' +p197658 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p197659 +aS'disease\tdisease\tNN\tI-NP\tO' +p197660 +aS'.\t.\t.\tO\tO' +p197661 +asS'5. Immunizations received - Hepatitis B vaccine given 2009-01-22 .' +p197662 +(lp197663 +S'5.\t5.\tLS\tB-NP\tO' +p197664 +aS'Immunizations\tImmunization\tNNPS\tI-NP\tO' +p197665 +aS'received\treceive\tVBN\tB-VP\tO' +p197666 +aS'-\t-\tHYPH\tB-NP\tO' +p197667 +aS'Hepatitis\tHepatitis\tNN\tI-NP\tO' +p197668 +aS'B\tB\tNN\tI-NP\tO' +p197669 +aS'vaccine\tvaccine\tNN\tI-NP\tO' +p197670 +aS'given\tgive\tVBN\tB-VP\tO' +p197671 +aS'2009-01-22\t2009-01-22\tCD\tB-NP\tO' +p197672 +aS'.\t.\t.\tO\tO' +p197673 +asS'Patient was felt to have stage 2B disease and post-operatively , she was treated with intracavitary and external beam radiation therapy and low dose Cisplatin .' +p197674 +(lp197675 +S'Patient\tPatient\tNN\tB-NP\tO' +p197676 +aS'was\tbe\tVBD\tB-VP\tO' +p197677 +aS'felt\tfeel\tVBN\tI-VP\tO' +p197678 +aS'to\tto\tTO\tI-VP\tO' +p197679 +aS'have\thave\tVB\tI-VP\tO' +p197680 +aS'stage\tstage\tNN\tB-NP\tO' +p197681 +aS'2B\t2B\tNN\tI-NP\tO' +p197682 +aS'disease\tdisease\tNN\tI-NP\tO' +p197683 +aS'and\tand\tCC\tO\tO' +p197684 +aS'post-operatively\tpost-operatively\tRB\tB-ADVP\tO' +p197685 +aS',\t,\t,\tO\tO' +p197686 +aS'she\tshe\tPRP\tB-NP\tO' +p197687 +aS'was\tbe\tVBD\tB-VP\tO' +p197688 +aS'treated\ttreat\tVBN\tI-VP\tO' +p197689 +aS'with\twith\tIN\tB-PP\tO' +p197690 +aS'intracavitary\tintracavitary\tJJ\tB-NP\tO' +p197691 +aS'and\tand\tCC\tI-NP\tO' +p197692 +aS'external\texternal\tJJ\tI-NP\tO' +p197693 +aS'beam\tbeam\tNN\tI-NP\tO' +p197694 +aS'radiation\tradiation\tNN\tI-NP\tO' +p197695 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p197696 +aS'and\tand\tCC\tO\tO' +p197697 +aS'low\tlow\tJJ\tB-NP\tO' +p197698 +aS'dose\tdose\tNN\tI-NP\tO' +p197699 +aS'Cisplatin\tCisplatin\tNN\tI-NP\tO' +p197700 +aS'.\t.\t.\tO\tO' +p197701 +asS'This is a 70 year old gravida IV , para 4 who presented for a vaginal hysterectomy secondary to uterine prolapse and also presented for evaluation of a suspicious lesion seen on a mammogram .' +p197702 +(lp197703 +S'This\tThis\tDT\tB-NP\tO' +p197704 +aS'is\tbe\tVBZ\tB-VP\tO' +p197705 +aS'a\ta\tDT\tB-NP\tO' +p197706 +aS'70\t70\tCD\tI-NP\tO' +p197707 +aS'year\tyear\tNN\tI-NP\tO' +p197708 +aS'old\told\tJJ\tI-NP\tO' +p197709 +aS'gravida\tgravida\tNN\tI-NP\tO' +p197710 +aS'IV\tIV\tCD\tI-NP\tO' +p197711 +aS',\t,\t,\tO\tO' +p197712 +aS'para\tpara\tNN\tB-NP\tB-protein' +p197713 +aS'4\t4\tCD\tI-NP\tI-protein' +p197714 +aS'who\twho\tWP\tB-NP\tO' +p197715 +aS'presented\tpresent\tVBD\tB-VP\tO' +p197716 +aS'for\tfor\tIN\tB-PP\tO' +p197717 +aS'a\ta\tDT\tB-NP\tO' +p197718 +aS'vaginal\tvaginal\tJJ\tI-NP\tO' +p197719 +aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' +p197720 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p197721 +aS'to\tto\tTO\tB-PP\tO' +p197722 +aS'uterine\tuterine\tJJ\tB-NP\tO' +p197723 +aS'prolapse\tprolapse\tNN\tI-NP\tO' +p197724 +aS'and\tand\tCC\tO\tO' +p197725 +aS'also\talso\tRB\tB-VP\tO' +p197726 +aS'presented\tpresent\tVBD\tI-VP\tO' +p197727 +aS'for\tfor\tIN\tB-PP\tO' +p197728 +aS'evaluation\tevaluation\tNN\tB-NP\tO' +p197729 +aS'of\tof\tIN\tB-PP\tO' +p197730 +aS'a\ta\tDT\tB-NP\tO' +p197731 +aS'suspicious\tsuspicious\tJJ\tI-NP\tO' +p197732 +aS'lesion\tlesion\tNN\tI-NP\tO' +p197733 +aS'seen\tsee\tVBN\tB-VP\tO' +p197734 +aS'on\ton\tIN\tB-PP\tO' +p197735 +aS'a\ta\tDT\tB-NP\tO' +p197736 +aS'mammogram\tmammogram\tNN\tI-NP\tO' +p197737 +aS'.\t.\t.\tO\tO' +p197738 +asS'IF SIGNS AND SYMPTOMS OF INFECTION , SUCH AS FEVERS / CHILLS , PURULENT DISCHARGE FROM WOUND / INCISION SITE , INCREASED REDNESS , INCREASED PAIN , PLEASE CALL OR GO TO THE EMERGENCY ROOM .' +p197739 +(lp197740 +S'IF\tIF\tIN\tB-SBAR\tO' +p197741 +aS'SIGNS\tSIGNS\tNNPS\tB-NP\tB-protein' +p197742 +aS'AND\tAND\tCC\tI-NP\tO' +p197743 +aS'SYMPTOMS\tSYMPTOMS\tNNP\tI-NP\tO' +p197744 +aS'OF\tOF\tIN\tB-PP\tO' +p197745 +aS'INFECTION\tINFECTION\tNNP\tB-NP\tO' +p197746 +aS',\t,\t,\tO\tO' +p197747 +aS'SUCH\tSUCH\tNNP\tB-NP\tO' +p197748 +aS'AS\tAS\tNNP\tI-NP\tO' +p197749 +aS'FEVERS\tFEVERS\tNNP\tI-NP\tO' +p197750 +aS'/\t/\tSYM\tB-NP\tO' +p197751 +aS'CHILLS\tCHILLS\tNN\tI-NP\tO' +p197752 +aS',\t,\t,\tO\tO' +p197753 +aS'PURULENT\tPURULENT\tNN\tB-NP\tO' +p197754 +aS'DISCHARGE\tDISCHARGE\tNN\tI-NP\tO' +p197755 +aS'FROM\tFROM\tNN\tI-NP\tO' +p197756 +aS'WOUND\tWOUND\tNN\tI-NP\tO' +p197757 +aS'/\t/\tSYM\tB-NP\tO' +p197758 +aS'INCISION\tINCISION\tNN\tI-NP\tB-DNA' +p197759 +aS'SITE\tSITE\tNNP\tB-NP\tI-DNA' +p197760 +aS',\t,\t,\tO\tO' +p197761 +aS'INCREASED\tINCREASED\tNNP\tB-NP\tO' +p197762 +aS'REDNESS\tREDNESS\tNNP\tI-NP\tO' +p197763 +aS',\t,\t,\tO\tO' +p197764 +aS'INCREASED\tINCREASED\tNNP\tB-NP\tO' +p197765 +aS'PAIN\tPAIN\tNNP\tI-NP\tO' +p197766 +aS',\t,\t,\tO\tO' +p197767 +aS'PLEASE\tPLEASE\tNNP\tB-NP\tO' +p197768 +aS'CALL\tCALL\tNNP\tI-NP\tO' +p197769 +aS'OR\tOR\tNNP\tI-NP\tO' +p197770 +aS'GO\tGO\tNNP\tI-NP\tO' +p197771 +aS'TO\tTO\tNNP\tI-NP\tO' +p197772 +aS'THE\tTHE\tDT\tB-NP\tO' +p197773 +aS'EMERGENCY\tEMERGENCY\tNNP\tI-NP\tO' +p197774 +aS'ROOM\tROOM\tNNP\tI-NP\tO' +p197775 +aS'.\t.\t.\tO\tO' +p197776 +asS'The patient passed away at 6:45 AM on June 12 , 1998 .' +p197777 +(lp197778 +S'The\tThe\tDT\tB-NP\tO' +p197779 +aS'patient\tpatient\tNN\tI-NP\tO' +p197780 +aS'passed\tpass\tVBD\tB-VP\tO' +p197781 +aS'away\taway\tRP\tB-PRT\tO' +p197782 +aS'at\tat\tIN\tB-PP\tO' +p197783 +aS'6:45\t6:45\tCD\tB-NP\tO' +p197784 +aS'AM\tAM\tNN\tI-NP\tO' +p197785 +aS'on\ton\tIN\tB-PP\tO' +p197786 +aS'June\tJune\tNNP\tB-NP\tO' +p197787 +aS'12\t12\tCD\tI-NP\tO' +p197788 +aS',\t,\t,\tO\tO' +p197789 +aS'1998\t1998\tCD\tB-NP\tO' +p197790 +aS'.\t.\t.\tO\tO' +p197791 +asS'All of this occurred in the setting of aggressive BP management with metoprolol 25 BID , HCTZ / Triampterene ( as a replacment for lasix due to recurrent hypokalemia ), Benicar 20 mg QD , and Imdur 30 mg QD .' +p197792 +(lp197793 +S'All\tAll\tDT\tB-NP\tO' +p197794 +aS'of\tof\tIN\tB-PP\tO' +p197795 +aS'this\tthis\tDT\tB-NP\tO' +p197796 +aS'occurred\toccur\tVBD\tB-VP\tO' +p197797 +aS'in\tin\tIN\tB-PP\tO' +p197798 +aS'the\tthe\tDT\tB-NP\tO' +p197799 +aS'setting\tsetting\tNN\tI-NP\tO' +p197800 +aS'of\tof\tIN\tB-PP\tO' +p197801 +aS'aggressive\taggressive\tJJ\tB-NP\tO' +p197802 +aS'BP\tBP\tNN\tI-NP\tO' +p197803 +aS'management\tmanagement\tNN\tI-NP\tO' +p197804 +aS'with\twith\tIN\tB-PP\tO' +p197805 +aS'metoprolol\tmetoprolol\tNN\tB-NP\tO' +p197806 +aS'25\t25\tCD\tI-NP\tO' +p197807 +aS'BID\tBID\tNN\tI-NP\tO' +p197808 +aS',\t,\t,\tO\tO' +p197809 +aS'HCTZ\tHCTZ\tNN\tB-NP\tB-protein' +p197810 +aS'/\t/\tSYM\tB-NP\tO' +p197811 +aS'Triampterene\tTriampterene\tNN\tI-NP\tO' +p197812 +aS'(\t(\t(\tO\tO' +p197813 +aS'as\tas\tIN\tB-PP\tO' +p197814 +aS'a\ta\tDT\tB-NP\tO' +p197815 +aS'replacment\treplacment\tNN\tI-NP\tO' +p197816 +aS'for\tfor\tIN\tB-PP\tO' +p197817 +aS'lasix\tlasix\tNN\tB-NP\tO' +p197818 +aS'due\tdue\tJJ\tB-ADJP\tO' +p197819 +aS'to\tto\tTO\tB-PP\tO' +p197820 +aS'recurrent\trecurrent\tJJ\tB-NP\tO' +p197821 +aS'hypokalemia\thypokalemia\tNN\tI-NP\tO' +p197822 +aS'),\t),\tVBD\tB-VP\tO' +p197823 +aS'Benicar\tBenicar\tIN\tB-NP\tO' +p197824 +aS'20\t20\tCD\tI-NP\tO' +p197825 +aS'mg\tmg\tNN\tI-NP\tO' +p197826 +aS'QD\tQD\tNN\tI-NP\tO' +p197827 +aS',\t,\t,\tO\tO' +p197828 +aS'and\tand\tCC\tO\tO' +p197829 +aS'Imdur\tImdur\tNN\tB-NP\tO' +p197830 +aS'30\t30\tCD\tI-NP\tO' +p197831 +aS'mg\tmg\tNN\tI-NP\tO' +p197832 +aS'QD\tQD\tNN\tI-NP\tO' +p197833 +aS'.\t.\t.\tO\tO' +p197834 +asS'Normoactive bowel sounds , soft , mild right upper quadrant tenderness , not dissimilar from week prior , pronounced hepatomegaly with liver edge 7 cm below costal margin , midclavicular line , no splenomegaly , no CVA tenderness .' +p197835 +(lp197836 +S'Normoactive\tNormoactive\tJJ\tB-NP\tO' +p197837 +aS'bowel\tbowel\tNN\tI-NP\tO' +p197838 +aS'sounds\tsound\tNNS\tI-NP\tO' +p197839 +aS',\t,\t,\tO\tO' +p197840 +aS'soft\tsoft\tJJ\tB-NP\tO' +p197841 +aS',\t,\t,\tI-NP\tO' +p197842 +aS'mild\tmild\tJJ\tI-NP\tO' +p197843 +aS'right\tright\tJJ\tI-NP\tO' +p197844 +aS'upper\tupper\tJJ\tI-NP\tO' +p197845 +aS'quadrant\tquadrant\tJJ\tI-NP\tO' +p197846 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p197847 +aS',\t,\t,\tB-NP\tO' +p197848 +aS'not\tnot\tRB\tI-NP\tO' +p197849 +aS'dissimilar\tdissimilar\tJJ\tB-ADJP\tO' +p197850 +aS'from\tfrom\tIN\tB-PP\tO' +p197851 +aS'week\tweek\tNN\tB-NP\tO' +p197852 +aS'prior\tprior\tRB\tB-ADVP\tO' +p197853 +aS',\t,\t,\tO\tO' +p197854 +aS'pronounced\tpronounce\tVBD\tB-VP\tO' +p197855 +aS'hepatomegaly\thepatomegaly\tRB\tB-ADVP\tO' +p197856 +aS'with\twith\tIN\tB-PP\tO' +p197857 +aS'liver\tliver\tNN\tB-NP\tB-protein' +p197858 +aS'edge\tedge\tNN\tI-NP\tI-protein' +p197859 +aS'7\t7\tCD\tI-NP\tI-protein' +p197860 +aS'cm\tcm\tNN\tI-NP\tI-protein' +p197861 +aS'below\tbelow\tIN\tB-PP\tI-protein' +p197862 +aS'costal\tcostal\tJJ\tB-NP\tI-protein' +p197863 +aS'margin\tmargin\tNN\tI-NP\tI-protein' +p197864 +aS',\t,\t,\tO\tO' +p197865 +aS'midclavicular\tmidclavicular\tJJ\tB-NP\tO' +p197866 +aS'line\tline\tNN\tI-NP\tO' +p197867 +aS',\t,\t,\tO\tO' +p197868 +aS'no\tno\tDT\tB-NP\tO' +p197869 +aS'splenomegaly\tsplenomegaly\tNN\tI-NP\tO' +p197870 +aS',\t,\t,\tO\tO' +p197871 +aS'no\tno\tDT\tB-NP\tO' +p197872 +aS'CVA\tCVA\tNN\tI-NP\tO' +p197873 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p197874 +aS'.\t.\t.\tO\tO' +p197875 +asS'1. Fentanyl 75-mcg per hour patch q.72h.' +p197876 +(lp197877 +S'1.\t1.\tLS\tB-NP\tO' +p197878 +aS'Fentanyl\tFentanyl\tNN\tI-NP\tO' +p197879 +aS'75-mcg\t75-mcg\tNN\tI-NP\tO' +p197880 +aS'per\tper\tIN\tB-PP\tO' +p197881 +aS'hour\thour\tNN\tB-NP\tO' +p197882 +aS'patch\tpatch\tNN\tI-NP\tO' +p197883 +aS'q.72h.\tq.72h.\tNN\tI-NP\tO' +p197884 +asS'She has had a diagnosis of diverticulitis flairs and baseline diverticulosis flairing in 09/96 .' +p197885 +(lp197886 +S'She\tShe\tPRP\tB-NP\tO' +p197887 +aS'has\thave\tVBZ\tB-VP\tO' +p197888 +aS'had\thave\tVBN\tI-VP\tO' +p197889 +aS'a\ta\tDT\tB-NP\tO' +p197890 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p197891 +aS'of\tof\tIN\tB-PP\tO' +p197892 +aS'diverticulitis\tdiverticulitis\tNN\tB-NP\tO' +p197893 +aS'flairs\tflair\tNNS\tI-NP\tO' +p197894 +aS'and\tand\tCC\tO\tO' +p197895 +aS'baseline\tbaseline\tNN\tB-NP\tO' +p197896 +aS'diverticulosis\tdiverticulosis\tNN\tI-NP\tO' +p197897 +aS'flairing\tflairing\tNN\tI-NP\tO' +p197898 +aS'in\tin\tIN\tB-PP\tO' +p197899 +aS'09/96\t09/96\tCD\tB-NP\tO' +p197900 +aS'.\t.\t.\tO\tO' +p197901 +asS'No lymphadenopathy , no JVD .' +p197902 +(lp197903 +S'No\tNo\tDT\tB-NP\tO' +p197904 +aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' +p197905 +aS',\t,\t,\tO\tO' +p197906 +aS'no\tno\tDT\tB-NP\tO' +p197907 +aS'JVD\tJVD\tNN\tI-NP\tB-protein' +p197908 +aS'.\t.\t.\tO\tO' +p197909 +asS'The review of systems is significant for a history of dyspnea on exertion .' +p197910 +(lp197911 +S'The\tThe\tDT\tB-NP\tO' +p197912 +aS'review\treview\tNN\tI-NP\tO' +p197913 +aS'of\tof\tIN\tB-PP\tO' +p197914 +aS'systems\tsystem\tNNS\tB-NP\tO' +p197915 +aS'is\tbe\tVBZ\tB-VP\tO' +p197916 +aS'significant\tsignificant\tJJ\tB-ADJP\tO' +p197917 +aS'for\tfor\tIN\tB-PP\tO' +p197918 +aS'a\ta\tDT\tB-NP\tO' +p197919 +aS'history\thistory\tNN\tI-NP\tO' +p197920 +aS'of\tof\tIN\tB-PP\tO' +p197921 +aS'dyspnea\tdyspnea\tNN\tB-NP\tO' +p197922 +aS'on\ton\tIN\tB-PP\tO' +p197923 +aS'exertion\texertion\tNN\tB-NP\tO' +p197924 +aS'.\t.\t.\tO\tO' +p197925 +asS'6. Percocet one to two tablets q four H prn for pain .' +p197926 +(lp197927 +S'6.\t6.\tCD\tB-NP\tO' +p197928 +aS'Percocet\tPercocet\tNNP\tI-NP\tO' +p197929 +aS'one\tone\tCD\tI-NP\tO' +p197930 +aS'to\tto\tTO\tI-NP\tO' +p197931 +aS'two\ttwo\tCD\tI-NP\tO' +p197932 +aS'tablets\ttablet\tNNS\tI-NP\tO' +p197933 +aS'q\tq\tNN\tI-NP\tO' +p197934 +aS'four\tfour\tCD\tI-NP\tO' +p197935 +aS'H\tH\tNN\tI-NP\tO' +p197936 +aS'prn\tprn\tNN\tI-NP\tO' +p197937 +aS'for\tfor\tIN\tB-PP\tO' +p197938 +aS'pain\tpain\tNN\tB-NP\tO' +p197939 +aS'.\t.\t.\tO\tO' +p197940 +asS'A few days before decompensating , his mental status improved to the degree that he was able to eat normal food without aspirating .' +p197941 +(lp197942 +S'A\tA\tDT\tB-NP\tO' +p197943 +aS'few\tfew\tJJ\tI-NP\tO' +p197944 +aS'days\tday\tNNS\tI-NP\tO' +p197945 +aS'before\tbefore\tIN\tB-PP\tO' +p197946 +aS'decompensating\tdecompensate\tVBG\tB-VP\tO' +p197947 +aS',\t,\t,\tO\tO' +p197948 +aS'his\this\tPRP$\tB-NP\tO' +p197949 +aS'mental\tmental\tJJ\tI-NP\tO' +p197950 +aS'status\tstatus\tNN\tI-NP\tO' +p197951 +aS'improved\timprove\tVBN\tB-VP\tO' +p197952 +aS'to\tto\tTO\tB-PP\tO' +p197953 +aS'the\tthe\tDT\tB-NP\tO' +p197954 +aS'degree\tdegree\tNN\tI-NP\tO' +p197955 +aS'that\tthat\tIN\tB-SBAR\tO' +p197956 +aS'he\the\tPRP\tB-NP\tO' +p197957 +aS'was\tbe\tVBD\tB-VP\tO' +p197958 +aS'able\table\tJJ\tB-ADJP\tO' +p197959 +aS'to\tto\tTO\tB-VP\tO' +p197960 +aS'eat\teat\tVB\tI-VP\tO' +p197961 +aS'normal\tnormal\tJJ\tB-NP\tO' +p197962 +aS'food\tfood\tNN\tI-NP\tO' +p197963 +aS'without\twithout\tIN\tB-PP\tO' +p197964 +aS'aspirating\taspirate\tVBG\tB-VP\tO' +p197965 +aS'.\t.\t.\tO\tO' +p197966 +asS'Avandia 4 mg p.o. every day .' +p197967 +(lp197968 +S'Avandia\tAvandia\tNNP\tB-NP\tO' +p197969 +aS'4\t4\tCD\tI-NP\tO' +p197970 +aS'mg\tmg\tNN\tI-NP\tO' +p197971 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p197972 +aS'every\tevery\tDT\tB-NP\tO' +p197973 +aS'day\tday\tNN\tI-NP\tO' +p197974 +aS'.\t.\t.\tO\tO' +p197975 +asS'Hypertension , asthma , obesity , history of heart murmur , hemorrhoids , whooping cough as a child .' +p197976 +(lp197977 +S'Hypertension\tHypertension\tNN\tB-NP\tO' +p197978 +aS',\t,\t,\tO\tO' +p197979 +aS'asthma\tasthma\tNN\tB-NP\tO' +p197980 +aS',\t,\t,\tO\tO' +p197981 +aS'obesity\tobesity\tNN\tB-NP\tO' +p197982 +aS',\t,\t,\tO\tO' +p197983 +aS'history\thistory\tNN\tB-NP\tO' +p197984 +aS'of\tof\tIN\tB-PP\tO' +p197985 +aS'heart\theart\tNN\tB-NP\tO' +p197986 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p197987 +aS',\t,\t,\tO\tO' +p197988 +aS'hemorrhoids\themorrhoid\tNNS\tB-NP\tO' +p197989 +aS',\t,\t,\tO\tO' +p197990 +aS'whooping\twhooping\tJJ\tB-NP\tO' +p197991 +aS'cough\tcough\tNN\tI-NP\tO' +p197992 +aS'as\tas\tIN\tB-PP\tO' +p197993 +aS'a\ta\tDT\tB-NP\tO' +p197994 +aS'child\tchild\tNN\tI-NP\tO' +p197995 +aS'.\t.\t.\tO\tO' +p197996 +asS'The patient did well in the immediate postoperative period , however , her blood pressure remained somewhat labile .' +p197997 +(lp197998 +S'The\tThe\tDT\tB-NP\tO' +p197999 +aS'patient\tpatient\tNN\tI-NP\tO' +p198000 +aS'did\tdo\tVBD\tB-VP\tO' +p198001 +aS'well\twell\tRB\tB-ADVP\tO' +p198002 +aS'in\tin\tIN\tB-PP\tO' +p198003 +aS'the\tthe\tDT\tB-NP\tO' +p198004 +aS'immediate\timmediate\tJJ\tI-NP\tO' +p198005 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p198006 +aS'period\tperiod\tNN\tI-NP\tO' +p198007 +aS',\t,\t,\tO\tO' +p198008 +aS'however\thowever\tRB\tB-ADVP\tO' +p198009 +aS',\t,\t,\tO\tO' +p198010 +aS'her\ther\tPRP$\tB-NP\tO' +p198011 +aS'blood\tblood\tNN\tI-NP\tO' +p198012 +aS'pressure\tpressure\tNN\tI-NP\tO' +p198013 +aS'remained\tremain\tVBD\tB-VP\tO' +p198014 +aS'somewhat\tsomewhat\tRB\tB-ADJP\tO' +p198015 +aS'labile\tlabile\tJJ\tI-ADJP\tO' +p198016 +aS'.\t.\t.\tO\tO' +p198017 +asS'In his post-operative course , patient was sent to the unit and was put on perioperative Vancomycin .' +p198018 +(lp198019 +S'In\tIn\tIN\tB-PP\tO' +p198020 +aS'his\this\tPRP$\tB-NP\tO' +p198021 +aS'post-operative\tpost-operative\tJJ\tI-NP\tO' +p198022 +aS'course\tcourse\tNN\tI-NP\tO' +p198023 +aS',\t,\t,\tO\tO' +p198024 +aS'patient\tpatient\tNN\tB-NP\tO' +p198025 +aS'was\tbe\tVBD\tB-VP\tO' +p198026 +aS'sent\tsend\tVBN\tI-VP\tO' +p198027 +aS'to\tto\tTO\tB-PP\tO' +p198028 +aS'the\tthe\tDT\tB-NP\tO' +p198029 +aS'unit\tunit\tNN\tI-NP\tO' +p198030 +aS'and\tand\tCC\tO\tO' +p198031 +aS'was\tbe\tVBD\tB-VP\tO' +p198032 +aS'put\tput\tVBN\tI-VP\tO' +p198033 +aS'on\ton\tIN\tB-PP\tO' +p198034 +aS'perioperative\tperioperative\tJJ\tB-NP\tO' +p198035 +aS'Vancomycin\tVancomycin\tNN\tI-NP\tO' +p198036 +aS'.\t.\t.\tO\tO' +p198037 +asS'He did not have chest pain .' +p198038 +(lp198039 +S'He\tHe\tPRP\tB-NP\tO' +p198040 +aS'did\tdo\tVBD\tB-VP\tO' +p198041 +aS'not\tnot\tRB\tI-VP\tO' +p198042 +aS'have\thave\tVB\tI-VP\tO' +p198043 +aS'chest\tchest\tNN\tB-NP\tO' +p198044 +aS'pain\tpain\tNN\tI-NP\tO' +p198045 +aS'.\t.\t.\tO\tO' +p198046 +asS'The patient tolerated the procedure well and there are no complications .' +p198047 +(lp198048 +S'The\tThe\tDT\tB-NP\tO' +p198049 +aS'patient\tpatient\tNN\tI-NP\tO' +p198050 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p198051 +aS'the\tthe\tDT\tB-NP\tO' +p198052 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p198053 +aS'well\twell\tRB\tB-ADVP\tO' +p198054 +aS'and\tand\tCC\tO\tO' +p198055 +aS'there\tthere\tEX\tB-NP\tO' +p198056 +aS'are\tbe\tVBP\tB-VP\tO' +p198057 +aS'no\tno\tDT\tB-NP\tO' +p198058 +aS'complications\tcomplication\tNNS\tI-NP\tO' +p198059 +aS'.\t.\t.\tO\tO' +p198060 +asS'On a rectal examination she is guaiac negative , no masses and no gluteal ulcers or decubiti .' +p198061 +(lp198062 +S'On\tOn\tIN\tB-PP\tO' +p198063 +aS'a\ta\tDT\tB-NP\tO' +p198064 +aS'rectal\trectal\tJJ\tI-NP\tO' +p198065 +aS'examination\texamination\tNN\tI-NP\tO' +p198066 +aS'she\tshe\tPRP\tB-NP\tO' +p198067 +aS'is\tbe\tVBZ\tB-VP\tO' +p198068 +aS'guaiac\tguaiac\tJJ\tB-ADJP\tO' +p198069 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p198070 +aS',\t,\t,\tO\tO' +p198071 +aS'no\tno\tDT\tB-NP\tO' +p198072 +aS'masses\tmass\tNNS\tI-NP\tO' +p198073 +aS'and\tand\tCC\tO\tO' +p198074 +aS'no\tno\tDT\tB-NP\tO' +p198075 +aS'gluteal\tgluteal\tJJ\tI-NP\tO' +p198076 +aS'ulcers\tulcer\tNNS\tI-NP\tO' +p198077 +aS'or\tor\tCC\tI-NP\tO' +p198078 +aS'decubiti\tdecubiti\tNNS\tI-NP\tO' +p198079 +aS'.\t.\t.\tO\tO' +p198080 +asS'She had had no further episodes of tingling in her fingers after the initial episode which had prompted us originally to draw the ionized calcium .' +p198081 +(lp198082 +S'She\tShe\tPRP\tB-NP\tO' +p198083 +aS'had\thave\tVBD\tB-VP\tO' +p198084 +aS'had\thave\tVBN\tI-VP\tO' +p198085 +aS'no\tno\tDT\tB-NP\tO' +p198086 +aS'further\tfurther\tJJ\tI-NP\tO' +p198087 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p198088 +aS'of\tof\tIN\tB-PP\tO' +p198089 +aS'tingling\ttingle\tVBG\tB-VP\tO' +p198090 +aS'in\tin\tIN\tB-PP\tO' +p198091 +aS'her\ther\tPRP$\tB-NP\tO' +p198092 +aS'fingers\tfinger\tNNS\tI-NP\tO' +p198093 +aS'after\tafter\tIN\tB-PP\tO' +p198094 +aS'the\tthe\tDT\tB-NP\tO' +p198095 +aS'initial\tinitial\tJJ\tI-NP\tO' +p198096 +aS'episode\tepisode\tNN\tI-NP\tO' +p198097 +aS'which\twhich\tWDT\tB-NP\tO' +p198098 +aS'had\thave\tVBD\tB-VP\tO' +p198099 +aS'prompted\tprompt\tVBN\tI-VP\tO' +p198100 +aS'us\tus\tPRP\tB-NP\tO' +p198101 +aS'originally\toriginally\tRB\tB-ADVP\tO' +p198102 +aS'to\tto\tTO\tB-VP\tO' +p198103 +aS'draw\tdraw\tVB\tI-VP\tO' +p198104 +aS'the\tthe\tDT\tB-NP\tO' +p198105 +aS'ionized\tionize\tVBN\tI-NP\tO' +p198106 +aS'calcium\tcalcium\tNN\tI-NP\tO' +p198107 +aS'.\t.\t.\tO\tO' +p198108 +asS'Robert a daughter who lives in Wareham .' +p198109 +(lp198110 +S'Robert\tRobert\tNNP\tB-NP\tO' +p198111 +aS'a\ta\tDT\tB-NP\tO' +p198112 +aS'daughter\tdaughter\tNN\tI-NP\tO' +p198113 +aS'who\twho\tWP\tB-NP\tO' +p198114 +aS'lives\tlive\tVBZ\tB-VP\tO' +p198115 +aS'in\tin\tIN\tB-PP\tO' +p198116 +aS'Wareham\tWareham\tNNP\tB-NP\tO' +p198117 +aS'.\t.\t.\tO\tO' +p198118 +asS'Reconstructed portal vein followed by Roux-en-Y hepaticojejunostomy .' +p198119 +(lp198120 +S'Reconstructed\tReconstruct\tVBN\tB-NP\tO' +p198121 +aS'portal\tportal\tJJ\tI-NP\tO' +p198122 +aS'vein\tvein\tNN\tI-NP\tO' +p198123 +aS'followed\tfollow\tVBN\tB-VP\tO' +p198124 +aS'by\tby\tIN\tB-PP\tO' +p198125 +aS'Roux-en-Y\tRoux-en-Y\tNN\tB-NP\tO' +p198126 +aS'hepaticojejunostomy\thepaticojejunostomy\tNN\tI-NP\tO' +p198127 +aS'.\t.\t.\tO\tO' +p198128 +asS'Mother aged 85 , alive and well .' +p198129 +(lp198130 +S'Mother\tMother\tDT\tB-NP\tO' +p198131 +aS'aged\tage\tVBN\tI-NP\tO' +p198132 +aS'85\t85\tCD\tI-NP\tO' +p198133 +aS',\t,\t,\tO\tO' +p198134 +aS'alive\talive\tJJ\tB-ADJP\tO' +p198135 +aS'and\tand\tCC\tO\tO' +p198136 +aS'well\twell\tRB\tB-ADVP\tO' +p198137 +aS'.\t.\t.\tO\tO' +p198138 +asS'The patient is also scheduled for an appointment with Dr. Patterson approximately two weeks after her discharge from the hospital .' +p198139 +(lp198140 +S'The\tThe\tDT\tB-NP\tO' +p198141 +aS'patient\tpatient\tNN\tI-NP\tO' +p198142 +aS'is\tbe\tVBZ\tB-VP\tO' +p198143 +aS'also\talso\tRB\tI-VP\tO' +p198144 +aS'scheduled\tschedule\tVBN\tI-VP\tO' +p198145 +aS'for\tfor\tIN\tB-PP\tO' +p198146 +aS'an\tan\tDT\tB-NP\tO' +p198147 +aS'appointment\tappointment\tNN\tI-NP\tO' +p198148 +aS'with\twith\tIN\tB-PP\tO' +p198149 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p198150 +aS'Patterson\tPatterson\tNNP\tI-NP\tO' +p198151 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p198152 +aS'two\ttwo\tCD\tI-NP\tO' +p198153 +aS'weeks\tweek\tNNS\tI-NP\tO' +p198154 +aS'after\tafter\tIN\tB-PP\tO' +p198155 +aS'her\ther\tPRP$\tB-NP\tO' +p198156 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p198157 +aS'from\tfrom\tIN\tB-PP\tO' +p198158 +aS'the\tthe\tDT\tB-NP\tO' +p198159 +aS'hospital\thospital\tNN\tI-NP\tO' +p198160 +aS'.\t.\t.\tO\tO' +p198161 +asS'She was given a standing IVF order .' +p198162 +(lp198163 +S'She\tShe\tPRP\tB-NP\tO' +p198164 +aS'was\tbe\tVBD\tB-VP\tO' +p198165 +aS'given\tgive\tVBN\tI-VP\tO' +p198166 +aS'a\ta\tDT\tB-NP\tO' +p198167 +aS'standing\tstanding\tNN\tI-NP\tO' +p198168 +aS'IVF\tIVF\tNN\tI-NP\tO' +p198169 +aS'order\torder\tNN\tI-NP\tO' +p198170 +aS'.\t.\t.\tO\tO' +p198171 +asS'No heavy lifting x 3 weeks .' +p198172 +(lp198173 +S'No\tNo\tDT\tB-NP\tO' +p198174 +aS'heavy\theavy\tJJ\tI-NP\tB-protein' +p198175 +aS'lifting\tlift\tVBG\tI-NP\tI-protein' +p198176 +aS'x\tx\tNN\tI-NP\tI-protein' +p198177 +aS'3\t3\tCD\tB-NP\tI-protein' +p198178 +aS'weeks\tweek\tNNS\tI-NP\tI-protein' +p198179 +aS'.\t.\t.\tO\tO' +p198180 +asS'h / o obstructive uropathy -- UOP was erratic , but no foley was needed .' +p198181 +(lp198182 +S'h\th\tNN\tB-NP\tO' +p198183 +aS'/\t/\tSYM\tI-NP\tO' +p198184 +aS'o\to\tNN\tI-NP\tO' +p198185 +aS'obstructive\tobstructive\tJJ\tI-NP\tO' +p198186 +aS'uropathy\turopathy\tNN\tI-NP\tO' +p198187 +aS'--\t--\t:\tO\tO' +p198188 +aS'UOP\tUOP\tNN\tB-NP\tO' +p198189 +aS'was\tbe\tVBD\tB-VP\tO' +p198190 +aS'erratic\terratic\tJJ\tB-ADJP\tO' +p198191 +aS',\t,\t,\tO\tO' +p198192 +aS'but\tbut\tCC\tO\tO' +p198193 +aS'no\tno\tDT\tB-NP\tO' +p198194 +aS'foley\tfoley\tNN\tI-NP\tO' +p198195 +aS'was\tbe\tVBD\tB-VP\tO' +p198196 +aS'needed\tneed\tVBN\tI-VP\tO' +p198197 +aS'.\t.\t.\tO\tO' +p198198 +asS'Hepatitis B surface antigen negative , cystic fibrosis negative , and Group B strep unknown .' +p198199 +(lp198200 +S'Hepatitis\tHepatitis\tNN\tB-NP\tB-protein' +p198201 +aS'B\tB\tNN\tI-NP\tI-protein' +p198202 +aS'surface\tsurface\tNN\tI-NP\tI-protein' +p198203 +aS'antigen\tantigen\tNN\tI-NP\tI-protein' +p198204 +aS'negative\tnegative\tJJ\tI-NP\tO' +p198205 +aS',\t,\t,\tI-NP\tO' +p198206 +aS'cystic\tcystic\tJJ\tI-NP\tO' +p198207 +aS'fibrosis\tfibrosis\tNN\tI-NP\tO' +p198208 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p198209 +aS',\t,\t,\tO\tO' +p198210 +aS'and\tand\tCC\tO\tO' +p198211 +aS'Group\tGroup\tNN\tB-NP\tO' +p198212 +aS'B\tB\tNN\tI-NP\tO' +p198213 +aS'strep\tstrep\tNN\tI-NP\tO' +p198214 +aS'unknown\tunknown\tJJ\tB-ADJP\tO' +p198215 +aS'.\t.\t.\tO\tO' +p198216 +asS'The sternocleidomastoid and trapezius had good strength .' +p198217 +(lp198218 +S'The\tThe\tDT\tB-NP\tO' +p198219 +aS'sternocleidomastoid\tsternocleidomastoid\tJJ\tI-NP\tO' +p198220 +aS'and\tand\tCC\tI-NP\tO' +p198221 +aS'trapezius\ttrapezius\tNN\tI-NP\tO' +p198222 +aS'had\thave\tVBD\tB-VP\tO' +p198223 +aS'good\tgood\tJJ\tB-NP\tO' +p198224 +aS'strength\tstrength\tNN\tI-NP\tO' +p198225 +aS'.\t.\t.\tO\tO' +p198226 +asS'6. Status post tonsillectomy as a child .' +p198227 +(lp198228 +S'6.\t6.\tLS\tB-NP\tO' +p198229 +aS'Status\tStatus\tNNP\tI-NP\tO' +p198230 +aS'post\tpost\tNN\tI-NP\tO' +p198231 +aS'tonsillectomy\ttonsillectomy\tNN\tI-NP\tO' +p198232 +aS'as\tas\tIN\tB-PP\tO' +p198233 +aS'a\ta\tDT\tB-NP\tO' +p198234 +aS'child\tchild\tNN\tI-NP\tO' +p198235 +aS'.\t.\t.\tO\tO' +p198236 +asS'Brought in by family for ams .' +p198237 +(lp198238 +S'Brought\tBring\tVBN\tB-VP\tO' +p198239 +aS'in\tin\tIN\tB-PP\tO' +p198240 +aS'by\tby\tIN\tB-PP\tO' +p198241 +aS'family\tfamily\tNN\tB-NP\tO' +p198242 +aS'for\tfor\tIN\tB-PP\tO' +p198243 +aS'ams\tam\tNNS\tB-NP\tO' +p198244 +aS'.\t.\t.\tO\tO' +p198245 +asS'Patient is a 77 year old female with a past medical history significant for GI bleeding secondary to arteriovenous malformations , who presents with maroon stool and a hematocrit drop .' +p198246 +(lp198247 +S'Patient\tPatient\tNN\tB-NP\tO' +p198248 +aS'is\tbe\tVBZ\tB-VP\tO' +p198249 +aS'a\ta\tDT\tB-NP\tO' +p198250 +aS'77\t77\tCD\tI-NP\tO' +p198251 +aS'year\tyear\tNN\tI-NP\tO' +p198252 +aS'old\told\tJJ\tI-NP\tO' +p198253 +aS'female\tfemale\tNN\tI-NP\tO' +p198254 +aS'with\twith\tIN\tB-PP\tO' +p198255 +aS'a\ta\tDT\tB-NP\tO' +p198256 +aS'past\tpast\tJJ\tI-NP\tO' +p198257 +aS'medical\tmedical\tJJ\tI-NP\tO' +p198258 +aS'history\thistory\tNN\tI-NP\tO' +p198259 +aS'significant\tsignificant\tJJ\tB-ADJP\tO' +p198260 +aS'for\tfor\tIN\tB-PP\tO' +p198261 +aS'GI\tGI\tNN\tB-NP\tO' +p198262 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p198263 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p198264 +aS'to\tto\tTO\tB-PP\tO' +p198265 +aS'arteriovenous\tarteriovenous\tJJ\tB-NP\tO' +p198266 +aS'malformations\tmalformation\tNNS\tI-NP\tO' +p198267 +aS',\t,\t,\tO\tO' +p198268 +aS'who\twho\tWP\tB-NP\tO' +p198269 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p198270 +aS'with\twith\tIN\tB-PP\tO' +p198271 +aS'maroon\tmaroon\tNN\tB-NP\tO' +p198272 +aS'stool\tstool\tNN\tI-NP\tO' +p198273 +aS'and\tand\tCC\tO\tO' +p198274 +aS'a\ta\tDT\tB-NP\tO' +p198275 +aS'hematocrit\thematocrit\tNN\tI-NP\tB-protein' +p198276 +aS'drop\tdrop\tNN\tI-NP\tI-protein' +p198277 +aS'.\t.\t.\tO\tO' +p198278 +asS'He was edentulous .' +p198279 +(lp198280 +S'He\tHe\tPRP\tB-NP\tO' +p198281 +aS'was\tbe\tVBD\tB-VP\tO' +p198282 +aS'edentulous\tedentulous\tJJ\tB-ADJP\tO' +p198283 +aS'.\t.\t.\tO\tO' +p198284 +asS"On that day the Plastic Surgical Service performed further sternal debridement and subsequent reconstruction using bilateral pectoralis major myocutaneous advancement flaps and right superiorly rectus abdominis flap to cover the patient 's sternal wound with subsequent primary closure of that wound ." +p198285 +(lp198286 +S'On\tOn\tIN\tB-PP\tO' +p198287 +aS'that\tthat\tDT\tB-NP\tO' +p198288 +aS'day\tday\tNN\tI-NP\tO' +p198289 +aS'the\tthe\tDT\tB-NP\tO' +p198290 +aS'Plastic\tPlastic\tNNP\tI-NP\tO' +p198291 +aS'Surgical\tSurgical\tNNP\tI-NP\tO' +p198292 +aS'Service\tService\tNNP\tI-NP\tO' +p198293 +aS'performed\tperform\tVBD\tB-VP\tO' +p198294 +aS'further\tfurther\tJJ\tB-NP\tO' +p198295 +aS'sternal\tsternal\tJJ\tI-NP\tO' +p198296 +aS'debridement\tdebridement\tNN\tI-NP\tO' +p198297 +aS'and\tand\tCC\tO\tO' +p198298 +aS'subsequent\tsubsequent\tJJ\tB-NP\tO' +p198299 +aS'reconstruction\treconstruction\tNN\tI-NP\tO' +p198300 +aS'using\tuse\tVBG\tB-VP\tO' +p198301 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p198302 +aS'pectoralis\tpectoralis\tNN\tI-NP\tO' +p198303 +aS'major\tmajor\tJJ\tI-NP\tO' +p198304 +aS'myocutaneous\tmyocutaneous\tJJ\tI-NP\tO' +p198305 +aS'advancement\tadvancement\tNN\tI-NP\tO' +p198306 +aS'flaps\tflap\tNNS\tI-NP\tO' +p198307 +aS'and\tand\tCC\tO\tO' +p198308 +aS'right\tright\tJJ\tB-NP\tB-protein' +p198309 +aS'superiorly\tsuperiorly\tJJ\tI-NP\tI-protein' +p198310 +aS'rectus\trectus\tNN\tI-NP\tI-protein' +p198311 +aS'abdominis\tabdominis\tNN\tI-NP\tI-protein' +p198312 +aS'flap\tflap\tNN\tI-NP\tI-protein' +p198313 +aS'to\tto\tTO\tB-VP\tO' +p198314 +aS'cover\tcover\tVB\tI-VP\tO' +p198315 +aS'the\tthe\tDT\tB-NP\tO' +p198316 +aS'patient\tpatient\tNN\tI-NP\tO' +p198317 +aS"'s\t's\tPOS\tB-NP\tO" +p198318 +aS'sternal\tsternal\tJJ\tI-NP\tO' +p198319 +aS'wound\twound\tNN\tI-NP\tO' +p198320 +aS'with\twith\tIN\tB-PP\tO' +p198321 +aS'subsequent\tsubsequent\tJJ\tB-NP\tO' +p198322 +aS'primary\tprimary\tJJ\tI-NP\tO' +p198323 +aS'closure\tclosure\tNN\tI-NP\tO' +p198324 +aS'of\tof\tIN\tB-PP\tO' +p198325 +aS'that\tthat\tDT\tB-NP\tO' +p198326 +aS'wound\twound\tNN\tI-NP\tO' +p198327 +aS'.\t.\t.\tO\tO' +p198328 +asS'On this echocardiogram , he was again noted to not have any evidence for valvular vegetations .' +p198329 +(lp198330 +S'On\tOn\tIN\tB-PP\tO' +p198331 +aS'this\tthis\tDT\tB-NP\tO' +p198332 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p198333 +aS',\t,\t,\tO\tO' +p198334 +aS'he\the\tPRP\tB-NP\tO' +p198335 +aS'was\tbe\tVBD\tB-VP\tO' +p198336 +aS'again\tagain\tRB\tI-VP\tO' +p198337 +aS'noted\tnote\tVBN\tI-VP\tO' +p198338 +aS'to\tto\tTO\tB-VP\tO' +p198339 +aS'not\tnot\tRB\tI-VP\tO' +p198340 +aS'have\thave\tVB\tI-VP\tO' +p198341 +aS'any\tany\tDT\tB-NP\tO' +p198342 +aS'evidence\tevidence\tNN\tI-NP\tO' +p198343 +aS'for\tfor\tIN\tB-PP\tO' +p198344 +aS'valvular\tvalvular\tJJ\tB-NP\tO' +p198345 +aS'vegetations\tvegetation\tNNS\tI-NP\tO' +p198346 +aS'.\t.\t.\tO\tO' +p198347 +asS'Included Lasix , Lopressor , Coumadin , Diovan , torsemide , Flomax , Protonix , Senekot , potassium , vitamin C , iron , and a multivitamin .' +p198348 +(lp198349 +S'Included\tIncluded\tNNP\tB-NP\tO' +p198350 +aS'Lasix\tLasix\tNNP\tI-NP\tO' +p198351 +aS',\t,\t,\tO\tO' +p198352 +aS'Lopressor\tLopressor\tNNP\tB-NP\tO' +p198353 +aS',\t,\t,\tO\tO' +p198354 +aS'Coumadin\tCoumadin\tNNP\tB-NP\tO' +p198355 +aS',\t,\t,\tO\tO' +p198356 +aS'Diovan\tDiovan\tNNP\tB-NP\tO' +p198357 +aS',\t,\t,\tO\tO' +p198358 +aS'torsemide\ttorsemide\tNN\tB-NP\tO' +p198359 +aS',\t,\t,\tO\tO' +p198360 +aS'Flomax\tFlomax\tNNP\tB-NP\tO' +p198361 +aS',\t,\t,\tO\tO' +p198362 +aS'Protonix\tProtonix\tNNP\tB-NP\tO' +p198363 +aS',\t,\t,\tO\tO' +p198364 +aS'Senekot\tSenekot\tNNP\tB-NP\tO' +p198365 +aS',\t,\t,\tO\tO' +p198366 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p198367 +aS',\t,\t,\tO\tO' +p198368 +aS'vitamin\tvitamin\tNN\tB-NP\tO' +p198369 +aS'C\tC\tNN\tI-NP\tO' +p198370 +aS',\t,\t,\tO\tO' +p198371 +aS'iron\tiron\tNN\tB-NP\tO' +p198372 +aS',\t,\t,\tO\tO' +p198373 +aS'and\tand\tCC\tO\tO' +p198374 +aS'a\ta\tDT\tB-NP\tO' +p198375 +aS'multivitamin\tmultivitamin\tNN\tI-NP\tO' +p198376 +aS'.\t.\t.\tO\tO' +p198377 +asS'He had been chronicallyl vent dependent .' +p198378 +(lp198379 +S'He\tHe\tPRP\tB-NP\tO' +p198380 +aS'had\thave\tVBD\tB-VP\tO' +p198381 +aS'been\tbe\tVBN\tI-VP\tO' +p198382 +aS'chronicallyl\tchronicallyl\tJJ\tB-NP\tO' +p198383 +aS'vent\tvent\tNN\tI-NP\tO' +p198384 +aS'dependent\tdependent\tJJ\tB-ADJP\tO' +p198385 +aS'.\t.\t.\tO\tO' +p198386 +asS'The patient had no positive blood cultures during his hospitalization and remained afebrile after the second day of admission .' +p198387 +(lp198388 +S'The\tThe\tDT\tB-NP\tO' +p198389 +aS'patient\tpatient\tNN\tI-NP\tO' +p198390 +aS'had\thave\tVBD\tB-VP\tO' +p198391 +aS'no\tno\tDT\tB-NP\tO' +p198392 +aS'positive\tpositive\tJJ\tI-NP\tO' +p198393 +aS'blood\tblood\tNN\tI-NP\tO' +p198394 +aS'cultures\tculture\tNNS\tI-NP\tO' +p198395 +aS'during\tduring\tIN\tB-PP\tO' +p198396 +aS'his\this\tPRP$\tB-NP\tO' +p198397 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p198398 +aS'and\tand\tCC\tO\tO' +p198399 +aS'remained\tremain\tVBD\tB-VP\tO' +p198400 +aS'afebrile\tafebrile\tRB\tB-ADVP\tO' +p198401 +aS'after\tafter\tIN\tB-PP\tO' +p198402 +aS'the\tthe\tDT\tB-NP\tO' +p198403 +aS'second\tsecond\tJJ\tI-NP\tO' +p198404 +aS'day\tday\tNN\tI-NP\tO' +p198405 +aS'of\tof\tIN\tB-PP\tO' +p198406 +aS'admission\tadmission\tNN\tB-NP\tO' +p198407 +aS'.\t.\t.\tO\tO' +p198408 +asS'2. Atenolol 25 mg PO qd ;' +p198409 +(lp198410 +S'2.\t2.\tLS\tB-NP\tO' +p198411 +aS'Atenolol\tAtenolol\tNN\tI-NP\tO' +p198412 +aS'25\t25\tCD\tI-NP\tO' +p198413 +aS'mg\tmg\tNN\tI-NP\tO' +p198414 +aS'PO\tPO\tNN\tI-NP\tO' +p198415 +aS'qd\tqd\tNN\tI-NP\tO' +p198416 +aS';\t;\t:\tO\tO' +p198417 +asS'He had no prior cardiac history until May 1993 when on 5-24 he had crushing chest pain which radiated to his left arm .' +p198418 +(lp198419 +S'He\tHe\tPRP\tB-NP\tO' +p198420 +aS'had\thave\tVBD\tB-VP\tO' +p198421 +aS'no\tno\tDT\tB-NP\tO' +p198422 +aS'prior\tprior\tJJ\tI-NP\tO' +p198423 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p198424 +aS'history\thistory\tNN\tI-NP\tO' +p198425 +aS'until\tuntil\tIN\tB-PP\tO' +p198426 +aS'May\tMay\tNNP\tB-NP\tO' +p198427 +aS'1993\t1993\tCD\tI-NP\tO' +p198428 +aS'when\twhen\tWRB\tB-ADVP\tO' +p198429 +aS'on\ton\tIN\tB-PP\tO' +p198430 +aS'5-24\t5-24\tNN\tB-NP\tB-protein' +p198431 +aS'he\the\tPRP\tB-NP\tI-protein' +p198432 +aS'had\thave\tVBD\tB-VP\tI-protein' +p198433 +aS'crushing\tcrush\tVBG\tI-VP\tI-protein' +p198434 +aS'chest\tchest\tNN\tB-NP\tI-protein' +p198435 +aS'pain\tpain\tNN\tI-NP\tI-protein' +p198436 +aS'which\twhich\tWDT\tB-NP\tO' +p198437 +aS'radiated\tradiate\tVBD\tB-VP\tO' +p198438 +aS'to\tto\tTO\tB-PP\tO' +p198439 +aS'his\this\tPRP$\tB-NP\tO' +p198440 +aS'left\tleft\tJJ\tI-NP\tO' +p198441 +aS'arm\tarm\tNN\tI-NP\tO' +p198442 +aS'.\t.\t.\tO\tO' +p198443 +asS'His creatinine levels trended toward normal and the fractional excretion of sodium also increased indicating a resolution of the prerenal kidney failure .' +p198444 +(lp198445 +S'His\tHis\tPRP$\tB-NP\tO' +p198446 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p198447 +aS'levels\tlevel\tNNS\tI-NP\tO' +p198448 +aS'trended\ttrend\tVBN\tB-VP\tO' +p198449 +aS'toward\ttoward\tIN\tB-PP\tO' +p198450 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p198451 +aS'and\tand\tCC\tO\tO' +p198452 +aS'the\tthe\tDT\tB-NP\tO' +p198453 +aS'fractional\tfractional\tJJ\tI-NP\tO' +p198454 +aS'excretion\texcretion\tNN\tI-NP\tO' +p198455 +aS'of\tof\tIN\tB-PP\tO' +p198456 +aS'sodium\tsodium\tNN\tB-NP\tO' +p198457 +aS'also\talso\tRB\tB-ADVP\tO' +p198458 +aS'increased\tincrease\tVBD\tB-VP\tO' +p198459 +aS'indicating\tindicate\tVBG\tI-VP\tO' +p198460 +aS'a\ta\tDT\tB-NP\tO' +p198461 +aS'resolution\tresolution\tNN\tI-NP\tO' +p198462 +aS'of\tof\tIN\tB-PP\tO' +p198463 +aS'the\tthe\tDT\tB-NP\tO' +p198464 +aS'prerenal\tprerenal\tJJ\tI-NP\tO' +p198465 +aS'kidney\tkidney\tNN\tI-NP\tO' +p198466 +aS'failure\tfailure\tNN\tI-NP\tO' +p198467 +aS'.\t.\t.\tO\tO' +p198468 +asS'2. Aspiration pneumonia .' +p198469 +(lp198470 +S'2.\t2.\tLS\tB-NP\tO' +p198471 +aS'Aspiration\tAspiration\tNN\tI-NP\tO' +p198472 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p198473 +aS'.\t.\t.\tO\tO' +p198474 +asS'On 10/9/94 , she was taken back to the operating room .' +p198475 +(lp198476 +S'On\tOn\tIN\tB-PP\tO' +p198477 +aS'10/9/94\t10/9/94\tCD\tB-NP\tO' +p198478 +aS',\t,\t,\tO\tO' +p198479 +aS'she\tshe\tPRP\tB-NP\tO' +p198480 +aS'was\tbe\tVBD\tB-VP\tO' +p198481 +aS'taken\ttake\tVBN\tI-VP\tO' +p198482 +aS'back\tback\tRB\tB-ADVP\tO' +p198483 +aS'to\tto\tTO\tB-PP\tO' +p198484 +aS'the\tthe\tDT\tB-NP\tO' +p198485 +aS'operating\toperating\tNN\tI-NP\tO' +p198486 +aS'room\troom\tNN\tI-NP\tO' +p198487 +aS'.\t.\t.\tO\tO' +p198488 +asS'Chronic Kidney disease - on hemodialysis type 2 diabetes hypercholestrolemia anemia of chornic disease h/o PE , s/p PEA arrest 11-14' +p198489 +(lp198490 +S'Chronic\tChronic\tJJ\tB-NP\tO' +p198491 +aS'Kidney\tKidney\tNN\tI-NP\tO' +p198492 +aS'disease\tdisease\tNN\tI-NP\tO' +p198493 +aS'-\t-\tHYPH\tB-ADVP\tO' +p198494 +aS'on\ton\tIN\tB-PP\tO' +p198495 +aS'hemodialysis\themodialysis\tNN\tB-NP\tO' +p198496 +aS'type\ttype\tNN\tI-NP\tO' +p198497 +aS'2\t2\tCD\tI-NP\tO' +p198498 +aS'diabetes\tdiabetes\tNN\tI-NP\tO' +p198499 +aS'hypercholestrolemia\thypercholestrolemia\tNN\tI-NP\tO' +p198500 +aS'anemia\tanemia\tNN\tI-NP\tO' +p198501 +aS'of\tof\tIN\tB-PP\tO' +p198502 +aS'chornic\tchornic\tJJ\tB-NP\tO' +p198503 +aS'disease\tdisease\tNN\tI-NP\tO' +p198504 +aS'h/o\th/o\tNN\tI-NP\tO' +p198505 +aS'PE\tPE\tNN\tI-NP\tO' +p198506 +aS',\t,\t,\tO\tO' +p198507 +aS's/p\ts/p\tNN\tB-NP\tO' +p198508 +aS'PEA\tPEA\tNN\tI-NP\tO' +p198509 +aS'arrest\tarrest\tNN\tI-NP\tO' +p198510 +aS'11-14\t11-14\tCD\tI-NP\tO' +p198511 +asS'The patient is status post partial gastrectomy for peptic ulcer disease in 1965 .' +p198512 +(lp198513 +S'The\tThe\tDT\tB-NP\tO' +p198514 +aS'patient\tpatient\tNN\tI-NP\tO' +p198515 +aS'is\tbe\tVBZ\tB-VP\tO' +p198516 +aS'status\tstatus\tNN\tB-NP\tO' +p198517 +aS'post\tpost\tNN\tI-NP\tO' +p198518 +aS'partial\tpartial\tJJ\tI-NP\tO' +p198519 +aS'gastrectomy\tgastrectomy\tNN\tI-NP\tO' +p198520 +aS'for\tfor\tIN\tB-PP\tO' +p198521 +aS'peptic\tpeptic\tJJ\tB-NP\tO' +p198522 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p198523 +aS'disease\tdisease\tNN\tI-NP\tO' +p198524 +aS'in\tin\tIN\tB-PP\tO' +p198525 +aS'1965\t1965\tCD\tB-NP\tO' +p198526 +aS'.\t.\t.\tO\tO' +p198527 +asS'In particular , she feels that the pt would not want a morphine drip if it would negatively impact his respiratory function .' +p198528 +(lp198529 +S'In\tIn\tIN\tB-PP\tO' +p198530 +aS'particular\tparticular\tJJ\tB-NP\tO' +p198531 +aS',\t,\t,\tO\tO' +p198532 +aS'she\tshe\tPRP\tB-NP\tO' +p198533 +aS'feels\tfeel\tVBZ\tB-VP\tO' +p198534 +aS'that\tthat\tIN\tB-SBAR\tO' +p198535 +aS'the\tthe\tDT\tB-NP\tO' +p198536 +aS'pt\tpt\tNN\tI-NP\tO' +p198537 +aS'would\twould\tMD\tB-VP\tO' +p198538 +aS'not\tnot\tRB\tI-VP\tO' +p198539 +aS'want\twant\tVB\tI-VP\tO' +p198540 +aS'a\ta\tDT\tB-NP\tO' +p198541 +aS'morphine\tmorphine\tNN\tI-NP\tO' +p198542 +aS'drip\tdrip\tNN\tI-NP\tO' +p198543 +aS'if\tif\tIN\tB-SBAR\tO' +p198544 +aS'it\tit\tPRP\tB-NP\tO' +p198545 +aS'would\twould\tMD\tB-VP\tO' +p198546 +aS'negatively\tnegatively\tRB\tI-VP\tO' +p198547 +aS'impact\timpact\tVB\tI-VP\tO' +p198548 +aS'his\this\tPRP$\tB-NP\tO' +p198549 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p198550 +aS'function\tfunction\tNN\tI-NP\tO' +p198551 +aS'.\t.\t.\tO\tO' +p198552 +asS'Noninsulin dependent diabetes mellitus , hypertension , high cholesterol , coronary artery disease , status post myocardial infarction in 9/02 .' +p198553 +(lp198554 +S'Noninsulin\tNoninsulin\tNN\tB-NP\tB-protein' +p198555 +aS'dependent\tdependent\tJJ\tI-NP\tO' +p198556 +aS'diabetes\tdiabete\tNNS\tI-NP\tO' +p198557 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p198558 +aS',\t,\t,\tO\tO' +p198559 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p198560 +aS',\t,\t,\tO\tO' +p198561 +aS'high\thigh\tJJ\tB-NP\tO' +p198562 +aS'cholesterol\tcholesterol\tNN\tI-NP\tO' +p198563 +aS',\t,\t,\tO\tO' +p198564 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p198565 +aS'artery\tartery\tNN\tI-NP\tO' +p198566 +aS'disease\tdisease\tNN\tI-NP\tO' +p198567 +aS',\t,\t,\tO\tO' +p198568 +aS'status\tstatus\tNN\tB-NP\tO' +p198569 +aS'post\tpost\tNN\tI-NP\tO' +p198570 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p198571 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p198572 +aS'in\tin\tIN\tB-PP\tO' +p198573 +aS'9/02\t9/02\tCD\tB-NP\tO' +p198574 +aS'.\t.\t.\tO\tO' +p198575 +asS'Neck with cervical collar .' +p198576 +(lp198577 +S'Neck\tNeck\tNN\tB-NP\tO' +p198578 +aS'with\twith\tIN\tB-PP\tO' +p198579 +aS'cervical\tcervical\tJJ\tB-NP\tO' +p198580 +aS'collar\tcollar\tNN\tI-NP\tO' +p198581 +aS'.\t.\t.\tO\tO' +p198582 +asS'Plans were made for placement of a Hickman catheter and initiation of Flolan treatment .' +p198583 +(lp198584 +S'Plans\tPlan\tNNS\tB-NP\tO' +p198585 +aS'were\tbe\tVBD\tB-VP\tO' +p198586 +aS'made\tmake\tVBN\tI-VP\tO' +p198587 +aS'for\tfor\tIN\tB-PP\tO' +p198588 +aS'placement\tplacement\tNN\tB-NP\tO' +p198589 +aS'of\tof\tIN\tB-PP\tO' +p198590 +aS'a\ta\tDT\tB-NP\tO' +p198591 +aS'Hickman\tHickman\tNNP\tI-NP\tO' +p198592 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p198593 +aS'and\tand\tCC\tI-NP\tO' +p198594 +aS'initiation\tinitiation\tNN\tI-NP\tO' +p198595 +aS'of\tof\tIN\tB-PP\tO' +p198596 +aS'Flolan\tFlolan\tNN\tB-NP\tO' +p198597 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p198598 +aS'.\t.\t.\tO\tO' +p198599 +asS'Atrial fibrillation , Cellulitis , Bacteremia' +p198600 +(lp198601 +S'Atrial\tAtrial\tJJ\tB-NP\tO' +p198602 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p198603 +aS',\t,\t,\tO\tO' +p198604 +aS'Cellulitis\tCellulitis\tNNP\tB-NP\tO' +p198605 +aS',\t,\t,\tO\tO' +p198606 +aS'Bacteremia\tBacteremia\tNNP\tB-NP\tO' +p198607 +asS'CMED service was consulted and recommended wtd woulnd care and sling at all times .' +p198608 +(lp198609 +S'CMED\tCMED\tVBN\tB-NP\tO' +p198610 +aS'service\tservice\tNN\tI-NP\tO' +p198611 +aS'was\tbe\tVBD\tB-VP\tO' +p198612 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p198613 +aS'and\tand\tCC\tO\tO' +p198614 +aS'recommended\trecommend\tVBN\tB-NP\tO' +p198615 +aS'wtd\twtd\tNN\tI-NP\tO' +p198616 +aS'woulnd\twoulnd\tNN\tI-NP\tO' +p198617 +aS'care\tcare\tNN\tI-NP\tO' +p198618 +aS'and\tand\tCC\tO\tO' +p198619 +aS'sling\tsling\tVBG\tB-VP\tO' +p198620 +aS'at\tat\tIN\tB-PP\tO' +p198621 +aS'all\tall\tDT\tB-NP\tO' +p198622 +aS'times\ttime\tNNS\tI-NP\tO' +p198623 +aS'.\t.\t.\tO\tO' +p198624 +asS'The patient has baseline hypertension that was difficult to control .' +p198625 +(lp198626 +S'The\tThe\tDT\tB-NP\tO' +p198627 +aS'patient\tpatient\tNN\tI-NP\tO' +p198628 +aS'has\thave\tVBZ\tB-VP\tO' +p198629 +aS'baseline\tbaseline\tNN\tB-NP\tO' +p198630 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p198631 +aS'that\tthat\tWDT\tB-NP\tO' +p198632 +aS'was\tbe\tVBD\tB-VP\tO' +p198633 +aS'difficult\tdifficult\tJJ\tB-ADJP\tO' +p198634 +aS'to\tto\tTO\tB-PP\tO' +p198635 +aS'control\tcontrol\tNN\tB-NP\tO' +p198636 +aS'.\t.\t.\tO\tO' +p198637 +asS'5) Zaroxolyn 2.5 mg p.o. q. day .' +p198638 +(lp198639 +S'5)\t5)\tLS\tB-LST\tO' +p198640 +aS'Zaroxolyn\tZaroxolyn\tNN\tB-NP\tO' +p198641 +aS'2.5\t2.5\tCD\tI-NP\tO' +p198642 +aS'mg\tmg\tNN\tI-NP\tO' +p198643 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p198644 +aS'q.\tq.\tNN\tI-NP\tO' +p198645 +aS'day\tday\tNN\tI-NP\tO' +p198646 +aS'.\t.\t.\tO\tO' +p198647 +asS'The patient lives with his disabled wife who has a psychiatric condition .' +p198648 +(lp198649 +S'The\tThe\tDT\tB-NP\tO' +p198650 +aS'patient\tpatient\tNN\tI-NP\tO' +p198651 +aS'lives\tlive\tVBZ\tB-VP\tO' +p198652 +aS'with\twith\tIN\tB-PP\tO' +p198653 +aS'his\this\tPRP$\tB-NP\tO' +p198654 +aS'disabled\tdisabled\tJJ\tI-NP\tO' +p198655 +aS'wife\twife\tNN\tI-NP\tO' +p198656 +aS'who\twho\tWP\tB-NP\tO' +p198657 +aS'has\thave\tVBZ\tB-VP\tO' +p198658 +aS'a\ta\tDT\tB-NP\tO' +p198659 +aS'psychiatric\tpsychiatric\tJJ\tI-NP\tO' +p198660 +aS'condition\tcondition\tNN\tI-NP\tO' +p198661 +aS'.\t.\t.\tO\tO' +p198662 +asS'The left atrium is markedly dilated .' +p198663 +(lp198664 +S'The\tThe\tDT\tB-NP\tO' +p198665 +aS'left\tleft\tJJ\tI-NP\tO' +p198666 +aS'atrium\tatrium\tNN\tI-NP\tO' +p198667 +aS'is\tbe\tVBZ\tB-VP\tO' +p198668 +aS'markedly\tmarkedly\tRB\tI-VP\tO' +p198669 +aS'dilated\tdilate\tVBN\tI-VP\tO' +p198670 +aS'.\t.\t.\tO\tO' +p198671 +asS'Her hematocrit was noted to trend down after transfusion of one unit of packed red blood cells on admission .' +p198672 +(lp198673 +S'Her\tHer\tPRP$\tB-NP\tO' +p198674 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p198675 +aS'was\tbe\tVBD\tB-VP\tO' +p198676 +aS'noted\tnote\tVBN\tI-VP\tO' +p198677 +aS'to\tto\tTO\tI-VP\tO' +p198678 +aS'trend\ttrend\tVB\tI-VP\tO' +p198679 +aS'down\tdown\tRP\tB-PRT\tO' +p198680 +aS'after\tafter\tIN\tB-PP\tO' +p198681 +aS'transfusion\ttransfusion\tNN\tB-NP\tO' +p198682 +aS'of\tof\tIN\tB-PP\tO' +p198683 +aS'one\tone\tCD\tB-NP\tO' +p198684 +aS'unit\tunit\tNN\tI-NP\tO' +p198685 +aS'of\tof\tIN\tB-PP\tO' +p198686 +aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' +p198687 +aS'red\tred\tJJ\tI-NP\tI-cell_type' +p198688 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p198689 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p198690 +aS'on\ton\tIN\tB-PP\tO' +p198691 +aS'admission\tadmission\tNN\tB-NP\tO' +p198692 +aS'.\t.\t.\tO\tO' +p198693 +asS'Continue to take the insulin as you were taking prior to hospital visit .' +p198694 +(lp198695 +S'Continue\tContinue\tNNP\tB-NP\tO' +p198696 +aS'to\tto\tTO\tB-VP\tO' +p198697 +aS'take\ttake\tVB\tI-VP\tO' +p198698 +aS'the\tthe\tDT\tB-NP\tO' +p198699 +aS'insulin\tinsulin\tNN\tI-NP\tB-protein' +p198700 +aS'as\tas\tIN\tB-SBAR\tO' +p198701 +aS'you\tyou\tPRP\tB-NP\tO' +p198702 +aS'were\tbe\tVBD\tB-VP\tO' +p198703 +aS'taking\ttake\tVBG\tI-VP\tO' +p198704 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p198705 +aS'to\tto\tTO\tB-PP\tO' +p198706 +aS'hospital\thospital\tNN\tB-NP\tO' +p198707 +aS'visit\tvisit\tNN\tI-NP\tO' +p198708 +aS'.\t.\t.\tO\tO' +p198709 +asS'There was also scattered T2 hyperintense foci within the periventricular and left frontal white matter consistent with small vessel disease , gliosis or demyelination .' +p198710 +(lp198711 +S'There\tThere\tEX\tB-NP\tO' +p198712 +aS'was\tbe\tVBD\tB-VP\tO' +p198713 +aS'also\talso\tRB\tI-VP\tO' +p198714 +aS'scattered\tscatter\tVBN\tI-VP\tO' +p198715 +aS'T2\tT2\tNN\tB-NP\tO' +p198716 +aS'hyperintense\thyperintense\tJJ\tI-NP\tO' +p198717 +aS'foci\tfocus\tNNS\tI-NP\tO' +p198718 +aS'within\twithin\tIN\tB-PP\tO' +p198719 +aS'the\tthe\tDT\tB-NP\tO' +p198720 +aS'periventricular\tperiventricular\tJJ\tI-NP\tO' +p198721 +aS'and\tand\tCC\tI-NP\tO' +p198722 +aS'left\tleft\tJJ\tI-NP\tO' +p198723 +aS'frontal\tfrontal\tJJ\tI-NP\tO' +p198724 +aS'white\twhite\tJJ\tI-NP\tO' +p198725 +aS'matter\tmatter\tNN\tI-NP\tO' +p198726 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p198727 +aS'with\twith\tIN\tB-PP\tO' +p198728 +aS'small\tsmall\tJJ\tB-NP\tO' +p198729 +aS'vessel\tvessel\tNN\tI-NP\tO' +p198730 +aS'disease\tdisease\tNN\tI-NP\tO' +p198731 +aS',\t,\t,\tO\tO' +p198732 +aS'gliosis\tgliosis\tNN\tB-NP\tO' +p198733 +aS'or\tor\tCC\tI-NP\tO' +p198734 +aS'demyelination\tdemyelination\tNN\tI-NP\tO' +p198735 +aS'.\t.\t.\tO\tO' +p198736 +asS'Penicillin , Erythromycin , Valium , Compazine ,' +p198737 +(lp198738 +S'Penicillin\tPenicillin\tNN\tB-NP\tB-protein' +p198739 +aS',\t,\t,\tO\tO' +p198740 +aS'Erythromycin\tErythromycin\tNN\tB-NP\tO' +p198741 +aS',\t,\t,\tO\tO' +p198742 +aS'Valium\tValium\tNN\tB-NP\tO' +p198743 +aS',\t,\t,\tO\tO' +p198744 +aS'Compazine\tCompazine\tNN\tB-NP\tO' +p198745 +aS',\t,\t,\tO\tO' +p198746 +asS'The patient actually developed decreasing counts with white count as low as 1.75 , hematocrit as low as 26 , and platelets as low as 68 noted on 02/15/91 .' +p198747 +(lp198748 +S'The\tThe\tDT\tB-NP\tO' +p198749 +aS'patient\tpatient\tNN\tI-NP\tO' +p198750 +aS'actually\tactually\tRB\tB-ADVP\tO' +p198751 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p198752 +aS'decreasing\tdecrease\tVBG\tI-VP\tO' +p198753 +aS'counts\tcount\tNNS\tB-NP\tO' +p198754 +aS'with\twith\tIN\tB-PP\tO' +p198755 +aS'white\twhite\tJJ\tB-NP\tO' +p198756 +aS'count\tcount\tNN\tI-NP\tO' +p198757 +aS'as\tas\tRB\tB-ADJP\tO' +p198758 +aS'low\tlow\tJJ\tI-ADJP\tO' +p198759 +aS'as\tas\tIN\tB-PP\tO' +p198760 +aS'1.75\t1.75\tCD\tB-NP\tO' +p198761 +aS',\t,\t,\tO\tO' +p198762 +aS'hematocrit\thematocrit\tNN\tB-NP\tO' +p198763 +aS'as\tas\tRB\tB-ADJP\tO' +p198764 +aS'low\tlow\tJJ\tI-ADJP\tO' +p198765 +aS'as\tas\tIN\tB-PP\tO' +p198766 +aS'26\t26\tCD\tB-NP\tO' +p198767 +aS',\t,\t,\tO\tO' +p198768 +aS'and\tand\tCC\tO\tO' +p198769 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p198770 +aS'as\tas\tRB\tB-ADJP\tO' +p198771 +aS'low\tlow\tJJ\tI-ADJP\tO' +p198772 +aS'as\tas\tIN\tB-PP\tO' +p198773 +aS'68\t68\tCD\tB-NP\tO' +p198774 +aS'noted\tnote\tVBD\tB-VP\tO' +p198775 +aS'on\ton\tIN\tB-PP\tO' +p198776 +aS'02/15/91\t02/15/91\tCD\tB-NP\tO' +p198777 +aS'.\t.\t.\tO\tO' +p198778 +asS'8. Sensory - Audiology , hearing screening was performed with automated auditory brain stem responses .' +p198779 +(lp198780 +S'8.\t8.\tCD\tB-NP\tO' +p198781 +aS'Sensory\tSensory\tNNP\tI-NP\tO' +p198782 +aS'-\t-\tHYPH\tI-NP\tO' +p198783 +aS'Audiology\tAudiology\tNNP\tI-NP\tO' +p198784 +aS',\t,\t,\tO\tO' +p198785 +aS'hearing\thear\tVBG\tB-VP\tO' +p198786 +aS'screening\tscreening\tNN\tB-NP\tO' +p198787 +aS'was\tbe\tVBD\tB-VP\tO' +p198788 +aS'performed\tperform\tVBN\tI-VP\tO' +p198789 +aS'with\twith\tIN\tB-PP\tO' +p198790 +aS'automated\tautomate\tVBN\tB-NP\tO' +p198791 +aS'auditory\tauditory\tJJ\tI-NP\tO' +p198792 +aS'brain\tbrain\tNN\tI-NP\tO' +p198793 +aS'stem\tstem\tNN\tI-NP\tO' +p198794 +aS'responses\tresponse\tNNS\tI-NP\tO' +p198795 +aS'.\t.\t.\tO\tO' +p198796 +asS"Hematology - As noted previously , the patient 's hematocrit was noted to drop after transfusion with one unit of packed red blood cells on admission ." +p198797 +(lp198798 +S'Hematology\tHematology\tNN\tB-NP\tO' +p198799 +aS'-\t-\tHYPH\tB-ADJP\tO' +p198800 +aS'As\tAs\tIN\tB-SBAR\tO' +p198801 +aS'noted\tnote\tVBN\tB-VP\tO' +p198802 +aS'previously\tpreviously\tRB\tB-ADVP\tO' +p198803 +aS',\t,\t,\tO\tO' +p198804 +aS'the\tthe\tDT\tB-NP\tO' +p198805 +aS'patient\tpatient\tNN\tI-NP\tO' +p198806 +aS"'s\t's\tPOS\tB-NP\tO" +p198807 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p198808 +aS'was\tbe\tVBD\tB-VP\tO' +p198809 +aS'noted\tnote\tVBN\tI-VP\tO' +p198810 +aS'to\tto\tTO\tI-VP\tO' +p198811 +aS'drop\tdrop\tVB\tI-VP\tO' +p198812 +aS'after\tafter\tIN\tB-PP\tO' +p198813 +aS'transfusion\ttransfusion\tNN\tB-NP\tO' +p198814 +aS'with\twith\tIN\tB-PP\tO' +p198815 +aS'one\tone\tCD\tB-NP\tO' +p198816 +aS'unit\tunit\tNN\tI-NP\tO' +p198817 +aS'of\tof\tIN\tB-PP\tO' +p198818 +aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' +p198819 +aS'red\tred\tJJ\tI-NP\tI-cell_type' +p198820 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p198821 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p198822 +aS'on\ton\tIN\tB-PP\tO' +p198823 +aS'admission\tadmission\tNN\tB-NP\tO' +p198824 +aS'.\t.\t.\tO\tO' +p198825 +asS'HEENT : PERRL , left pupil smaller than right , pt will not participate in EOMI , sclera anicteric , MM dry , No OP lesions' +p198826 +(lp198827 +S'HEENT\tHEENT\tNN\tB-NP\tO' +p198828 +aS':\t:\t:\tO\tO' +p198829 +aS'PERRL\tPERRL\tNN\tB-NP\tB-protein' +p198830 +aS',\t,\t,\tO\tO' +p198831 +aS'left\tleave\tVBD\tB-VP\tO' +p198832 +aS'pupil\tpupil\tNN\tB-NP\tO' +p198833 +aS'smaller\tsmall\tJJR\tB-ADJP\tO' +p198834 +aS'than\tthan\tIN\tB-PP\tO' +p198835 +aS'right\tright\tNN\tB-NP\tO' +p198836 +aS',\t,\t,\tO\tO' +p198837 +aS'pt\tpt\tNN\tB-NP\tO' +p198838 +aS'will\twill\tMD\tB-VP\tO' +p198839 +aS'not\tnot\tRB\tI-VP\tO' +p198840 +aS'participate\tparticipate\tVB\tI-VP\tO' +p198841 +aS'in\tin\tIN\tB-PP\tO' +p198842 +aS'EOMI\tEOMI\tNN\tB-NP\tB-protein' +p198843 +aS',\t,\t,\tO\tO' +p198844 +aS'sclera\tsclera\tNN\tB-NP\tO' +p198845 +aS'anicteric\tanicteric\tJJ\tB-ADJP\tO' +p198846 +aS',\t,\t,\tO\tO' +p198847 +aS'MM\tMM\tNN\tB-NP\tO' +p198848 +aS'dry\tdry\tJJ\tB-ADJP\tO' +p198849 +aS',\t,\t,\tO\tO' +p198850 +aS'No\tNo\tDT\tB-NP\tO' +p198851 +aS'OP\tOP\tNN\tI-NP\tO' +p198852 +aS'lesions\tlesion\tNNS\tI-NP\tO' +p198853 +asS'Baby passed in both ears on 09-23 .' +p198854 +(lp198855 +S'Baby\tBaby\tNNP\tB-NP\tO' +p198856 +aS'passed\tpass\tVBD\tB-VP\tO' +p198857 +aS'in\tin\tIN\tB-PP\tO' +p198858 +aS'both\tboth\tDT\tB-NP\tO' +p198859 +aS'ears\tear\tNNS\tI-NP\tO' +p198860 +aS'on\ton\tIN\tB-PP\tO' +p198861 +aS'09-23\t09-23\tCD\tB-NP\tO' +p198862 +aS'.\t.\t.\tO\tO' +p198863 +asS'The patient continued to have episodes of rapid atrial fibrillation while on the Floor , which required continued diuresis as well as intravenous Lopressor .' +p198864 +(lp198865 +S'The\tThe\tDT\tB-NP\tO' +p198866 +aS'patient\tpatient\tNN\tI-NP\tO' +p198867 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p198868 +aS'to\tto\tTO\tI-VP\tO' +p198869 +aS'have\thave\tVB\tI-VP\tO' +p198870 +aS'episodes\tepisode\tNNS\tB-NP\tO' +p198871 +aS'of\tof\tIN\tB-PP\tO' +p198872 +aS'rapid\trapid\tJJ\tB-NP\tO' +p198873 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p198874 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p198875 +aS'while\twhile\tIN\tB-SBAR\tO' +p198876 +aS'on\ton\tIN\tB-PP\tO' +p198877 +aS'the\tthe\tDT\tB-NP\tO' +p198878 +aS'Floor\tFloor\tNN\tI-NP\tO' +p198879 +aS',\t,\t,\tO\tO' +p198880 +aS'which\twhich\tWDT\tB-NP\tO' +p198881 +aS'required\trequire\tVBD\tB-VP\tO' +p198882 +aS'continued\tcontinued\tJJ\tB-NP\tO' +p198883 +aS'diuresis\tdiuresis\tNN\tI-NP\tO' +p198884 +aS'as\tas\tRB\tB-CONJP\tO' +p198885 +aS'well\twell\tRB\tI-CONJP\tO' +p198886 +aS'as\tas\tIN\tI-CONJP\tO' +p198887 +aS'intravenous\tintravenous\tJJ\tB-NP\tB-protein' +p198888 +aS'Lopressor\tLopressor\tNN\tI-NP\tI-protein' +p198889 +aS'.\t.\t.\tO\tO' +p198890 +asS'His blood pressures remained elevated and he was hydrated with NS conservatively , given h/o CHF and dyspnea .' +p198891 +(lp198892 +S'His\tHis\tPRP$\tB-NP\tO' +p198893 +aS'blood\tblood\tNN\tI-NP\tO' +p198894 +aS'pressures\tpressure\tNNS\tI-NP\tO' +p198895 +aS'remained\tremain\tVBD\tB-VP\tO' +p198896 +aS'elevated\televate\tVBN\tI-VP\tO' +p198897 +aS'and\tand\tCC\tO\tO' +p198898 +aS'he\the\tPRP\tB-NP\tO' +p198899 +aS'was\tbe\tVBD\tB-VP\tO' +p198900 +aS'hydrated\thydrate\tVBN\tI-VP\tO' +p198901 +aS'with\twith\tIN\tB-PP\tO' +p198902 +aS'NS\tNS\tNN\tB-NP\tO' +p198903 +aS'conservatively\tconservatively\tRB\tB-ADVP\tO' +p198904 +aS',\t,\t,\tO\tO' +p198905 +aS'given\tgive\tVBN\tB-NP\tO' +p198906 +aS'h/o\th/o\tNN\tI-NP\tO' +p198907 +aS'CHF\tCHF\tNN\tI-NP\tO' +p198908 +aS'and\tand\tCC\tI-NP\tO' +p198909 +aS'dyspnea\tdyspnea\tNN\tI-NP\tO' +p198910 +aS'.\t.\t.\tO\tO' +p198911 +asS'GMS 1 Medical Service .' +p198912 +(lp198913 +S'GMS\tGMS\tNN\tB-NP\tB-protein' +p198914 +aS'1\t1\tCD\tI-NP\tI-protein' +p198915 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p198916 +aS'Service\tService\tNNP\tI-NP\tO' +p198917 +aS'.\t.\t.\tO\tO' +p198918 +asS'The patient overall continued to improve , but remained physically decompensated and the patient was transferred to Waltham/Weston Hospital Rehabilitation Hospital for intensive physical therapy .' +p198919 +(lp198920 +S'The\tThe\tDT\tB-NP\tO' +p198921 +aS'patient\tpatient\tNN\tI-NP\tO' +p198922 +aS'overall\toverall\tRB\tB-ADVP\tO' +p198923 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p198924 +aS'to\tto\tTO\tI-VP\tO' +p198925 +aS'improve\timprove\tVB\tI-VP\tO' +p198926 +aS',\t,\t,\tO\tO' +p198927 +aS'but\tbut\tCC\tO\tO' +p198928 +aS'remained\tremain\tVBD\tB-VP\tO' +p198929 +aS'physically\tphysically\tRB\tI-VP\tO' +p198930 +aS'decompensated\tdecompensate\tVBN\tI-VP\tO' +p198931 +aS'and\tand\tCC\tO\tO' +p198932 +aS'the\tthe\tDT\tB-NP\tO' +p198933 +aS'patient\tpatient\tNN\tI-NP\tO' +p198934 +aS'was\tbe\tVBD\tB-VP\tO' +p198935 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p198936 +aS'to\tto\tTO\tB-PP\tO' +p198937 +aS'Waltham/Weston\tWaltham/Weston\tNNP\tB-NP\tO' +p198938 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p198939 +aS'Rehabilitation\tRehabilitation\tNNP\tI-NP\tO' +p198940 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p198941 +aS'for\tfor\tIN\tB-PP\tO' +p198942 +aS'intensive\tintensive\tJJ\tB-NP\tO' +p198943 +aS'physical\tphysical\tJJ\tI-NP\tO' +p198944 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p198945 +aS'.\t.\t.\tO\tO' +p198946 +asS'The results of this consultation are pending at the time of dictation .' +p198947 +(lp198948 +S'The\tThe\tDT\tB-NP\tO' +p198949 +aS'results\tresult\tNNS\tI-NP\tO' +p198950 +aS'of\tof\tIN\tB-PP\tO' +p198951 +aS'this\tthis\tDT\tB-NP\tO' +p198952 +aS'consultation\tconsultation\tNN\tI-NP\tO' +p198953 +aS'are\tbe\tVBP\tB-VP\tO' +p198954 +aS'pending\tpende\tVBG\tI-VP\tO' +p198955 +aS'at\tat\tIN\tB-PP\tO' +p198956 +aS'the\tthe\tDT\tB-NP\tO' +p198957 +aS'time\ttime\tNN\tI-NP\tO' +p198958 +aS'of\tof\tIN\tB-PP\tO' +p198959 +aS'dictation\tdictation\tNN\tB-NP\tO' +p198960 +aS'.\t.\t.\tO\tO' +p198961 +asS'Normal motor strength bilaterally .' +p198962 +(lp198963 +S'Normal\tNormal\tJJ\tB-NP\tO' +p198964 +aS'motor\tmotor\tNN\tI-NP\tO' +p198965 +aS'strength\tstrength\tNN\tI-NP\tO' +p198966 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p198967 +aS'.\t.\t.\tO\tO' +p198968 +asS'She had pulmonary function tests repeated which showed an FEV1 of 36% of predicted and FVC of 56% of predicted .' +p198969 +(lp198970 +S'She\tShe\tPRP\tB-NP\tO' +p198971 +aS'had\thave\tVBD\tB-VP\tO' +p198972 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p198973 +aS'function\tfunction\tNN\tI-NP\tO' +p198974 +aS'tests\ttest\tNNS\tI-NP\tO' +p198975 +aS'repeated\trepeat\tVBN\tB-VP\tO' +p198976 +aS'which\twhich\tWDT\tB-NP\tO' +p198977 +aS'showed\tshow\tVBD\tB-VP\tO' +p198978 +aS'an\tan\tDT\tB-NP\tO' +p198979 +aS'FEV1\tFEV1\tNN\tI-NP\tO' +p198980 +aS'of\tof\tIN\tB-PP\tO' +p198981 +aS'36%\t36%\tNN\tB-NP\tO' +p198982 +aS'of\tof\tIN\tB-PP\tO' +p198983 +aS'predicted\tpredict\tVBN\tB-NP\tO' +p198984 +aS'and\tand\tCC\tI-NP\tO' +p198985 +aS'FVC\tFVC\tNN\tI-NP\tO' +p198986 +aS'of\tof\tIN\tB-PP\tO' +p198987 +aS'56%\t56%\tNN\tB-NP\tO' +p198988 +aS'of\tof\tIN\tB-PP\tO' +p198989 +aS'predicted\tpredict\tVBN\tB-NP\tO' +p198990 +aS'.\t.\t.\tO\tO' +p198991 +asS'10. Metoprolol Succinate 25 mg Tablet Sustained Release 24 hr Sig : 0.5 ( half ) Tablet Sustained Release 24 hr PO DAILY ( Daily ).' +p198992 +(lp198993 +S'10.\t10.\tLS\tB-NP\tO' +p198994 +aS'Metoprolol\tMetoprolol\tNN\tI-NP\tO' +p198995 +aS'Succinate\tSuccinate\tNN\tI-NP\tO' +p198996 +aS'25\t25\tCD\tI-NP\tO' +p198997 +aS'mg\tmg\tNN\tI-NP\tO' +p198998 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p198999 +aS'Sustained\tSustain\tVBD\tB-VP\tO' +p199000 +aS'Release\tRelease\tNNP\tB-NP\tO' +p199001 +aS'24\t24\tCD\tI-NP\tO' +p199002 +aS'hr\thr\tNN\tI-NP\tO' +p199003 +aS'Sig\tSig\tNNP\tI-NP\tO' +p199004 +aS':\t:\t:\tO\tO' +p199005 +aS'0.5\t0.5\tCD\tB-NP\tO' +p199006 +aS'(\t(\t(\tO\tO' +p199007 +aS'half\thalf\tNN\tB-NP\tO' +p199008 +aS')\t)\t)\tO\tO' +p199009 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p199010 +aS'Sustained\tSustain\tVBD\tB-VP\tO' +p199011 +aS'Release\tRelease\tNN\tB-NP\tO' +p199012 +aS'24\t24\tCD\tI-NP\tO' +p199013 +aS'hr\thr\tNN\tI-NP\tO' +p199014 +aS'PO\tPO\tNN\tI-NP\tO' +p199015 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p199016 +aS'(\t(\t(\tO\tO' +p199017 +aS'Daily\tDaily\tNNP\tB-NP\tO' +p199018 +aS').\t).\t)\tO\tO' +p199019 +asS'Admitted for diagnostic / therapeutic paracentesis and then transferred to the ICU for hypotension , confusion and anemia .' +p199020 +(lp199021 +S'Admitted\tAdmit\tVBN\tB-VP\tO' +p199022 +aS'for\tfor\tIN\tB-PP\tO' +p199023 +aS'diagnostic\tdiagnostic\tJJ\tB-NP\tO' +p199024 +aS'/\t/\tSYM\tI-NP\tO' +p199025 +aS'therapeutic\ttherapeutic\tJJ\tI-NP\tO' +p199026 +aS'paracentesis\tparacentesis\tNN\tI-NP\tO' +p199027 +aS'and\tand\tCC\tO\tO' +p199028 +aS'then\tthen\tRB\tB-VP\tO' +p199029 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p199030 +aS'to\tto\tTO\tB-PP\tO' +p199031 +aS'the\tthe\tDT\tB-NP\tO' +p199032 +aS'ICU\tICU\tNN\tI-NP\tO' +p199033 +aS'for\tfor\tIN\tB-PP\tO' +p199034 +aS'hypotension\thypotension\tNN\tB-NP\tO' +p199035 +aS',\t,\t,\tI-NP\tO' +p199036 +aS'confusion\tconfusion\tNN\tI-NP\tO' +p199037 +aS'and\tand\tCC\tI-NP\tO' +p199038 +aS'anemia\tanemia\tNN\tI-NP\tO' +p199039 +aS'.\t.\t.\tO\tO' +p199040 +asS'No assoicated Sx .' +p199041 +(lp199042 +S'No\tNo\tDT\tB-NP\tO' +p199043 +aS'assoicated\tassoicate\tVBN\tI-NP\tO' +p199044 +aS'Sx\tSx\tNNP\tI-NP\tO' +p199045 +aS'.\t.\t.\tO\tO' +p199046 +asS'Right lower lobe pneumonia .' +p199047 +(lp199048 +S'Right\tRight\tRB\tB-NP\tO' +p199049 +aS'lower\tlow\tJJR\tI-NP\tO' +p199050 +aS'lobe\tlobe\tNN\tI-NP\tO' +p199051 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p199052 +aS'.\t.\t.\tO\tO' +p199053 +asS'His most recent bone marrow biopsy revealed less than 5% of intratrabecular space involvement .' +p199054 +(lp199055 +S'His\tHis\tPRP$\tB-NP\tB-protein' +p199056 +aS'most\tmost\tRBS\tI-NP\tO' +p199057 +aS'recent\trecent\tJJ\tI-NP\tO' +p199058 +aS'bone\tbone\tNN\tI-NP\tO' +p199059 +aS'marrow\tmarrow\tNN\tI-NP\tO' +p199060 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p199061 +aS'revealed\treveal\tVBD\tB-VP\tO' +p199062 +aS'less\tless\tJJR\tB-NP\tO' +p199063 +aS'than\tthan\tIN\tI-NP\tO' +p199064 +aS'5%\t5%\tCD\tI-NP\tO' +p199065 +aS'of\tof\tIN\tB-PP\tO' +p199066 +aS'intratrabecular\tintratrabecular\tJJ\tB-NP\tO' +p199067 +aS'space\tspace\tNN\tI-NP\tO' +p199068 +aS'involvement\tinvolvement\tNN\tI-NP\tO' +p199069 +aS'.\t.\t.\tO\tO' +p199070 +asS'She was discharged on 03/18/2002 at 12:45 pm in good condition .' +p199071 +(lp199072 +S'She\tShe\tPRP\tB-NP\tO' +p199073 +aS'was\tbe\tVBD\tB-VP\tO' +p199074 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p199075 +aS'on\ton\tIN\tB-PP\tO' +p199076 +aS'03/18/2002\t03/18/2002\tCD\tB-NP\tO' +p199077 +aS'at\tat\tIN\tB-PP\tO' +p199078 +aS'12:45\t12:45\tCD\tB-NP\tO' +p199079 +aS'pm\tpm\tNN\tI-NP\tO' +p199080 +aS'in\tin\tIN\tB-PP\tO' +p199081 +aS'good\tgood\tJJ\tB-NP\tO' +p199082 +aS'condition\tcondition\tNN\tI-NP\tO' +p199083 +aS'.\t.\t.\tO\tO' +p199084 +asS'He was then transferred to the general medicine service for further management .' +p199085 +(lp199086 +S'He\tHe\tPRP\tB-NP\tO' +p199087 +aS'was\tbe\tVBD\tB-VP\tO' +p199088 +aS'then\tthen\tRB\tI-VP\tO' +p199089 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p199090 +aS'to\tto\tTO\tB-PP\tO' +p199091 +aS'the\tthe\tDT\tB-NP\tO' +p199092 +aS'general\tgeneral\tJJ\tI-NP\tO' +p199093 +aS'medicine\tmedicine\tNN\tI-NP\tO' +p199094 +aS'service\tservice\tNN\tI-NP\tO' +p199095 +aS'for\tfor\tIN\tB-PP\tO' +p199096 +aS'further\tfurther\tJJ\tB-NP\tO' +p199097 +aS'management\tmanagement\tNN\tI-NP\tO' +p199098 +aS'.\t.\t.\tO\tO' +p199099 +asS'He was transferred to CSRU for evaluation .' +p199100 +(lp199101 +S'He\tHe\tPRP\tB-NP\tO' +p199102 +aS'was\tbe\tVBD\tB-VP\tO' +p199103 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p199104 +aS'to\tto\tTO\tB-PP\tO' +p199105 +aS'CSRU\tCSRU\tNN\tB-NP\tB-protein' +p199106 +aS'for\tfor\tIN\tB-PP\tO' +p199107 +aS'evaluation\tevaluation\tNN\tB-NP\tO' +p199108 +aS'.\t.\t.\tO\tO' +p199109 +asS'She reports 2 nights with soaking NS .' +p199110 +(lp199111 +S'She\tShe\tPRP\tB-NP\tO' +p199112 +aS'reports\treport\tVBZ\tB-VP\tO' +p199113 +aS'2\t2\tCD\tB-NP\tO' +p199114 +aS'nights\tnight\tNNS\tI-NP\tO' +p199115 +aS'with\twith\tIN\tB-PP\tO' +p199116 +aS'soaking\tsoak\tVBG\tB-VP\tO' +p199117 +aS'NS\tNS\tNN\tB-NP\tO' +p199118 +aS'.\t.\t.\tO\tO' +p199119 +asS'Once she was more stable , an abdominal CT was performed to look for an abscess .' +p199120 +(lp199121 +S'Once\tOnce\tRB\tO\tO' +p199122 +aS'she\tshe\tPRP\tB-NP\tO' +p199123 +aS'was\tbe\tVBD\tB-VP\tO' +p199124 +aS'more\tmore\tRBR\tB-ADJP\tO' +p199125 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p199126 +aS',\t,\t,\tO\tO' +p199127 +aS'an\tan\tDT\tB-NP\tO' +p199128 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p199129 +aS'CT\tCT\tNN\tI-NP\tO' +p199130 +aS'was\tbe\tVBD\tB-VP\tO' +p199131 +aS'performed\tperform\tVBN\tI-VP\tO' +p199132 +aS'to\tto\tTO\tI-VP\tO' +p199133 +aS'look\tlook\tVB\tI-VP\tO' +p199134 +aS'for\tfor\tIN\tB-PP\tO' +p199135 +aS'an\tan\tDT\tB-NP\tO' +p199136 +aS'abscess\tabscess\tNN\tI-NP\tO' +p199137 +aS'.\t.\t.\tO\tO' +p199138 +asS'His admission complete blood count was notable for a white count of 11.8 , 25 polys and no bands .' +p199139 +(lp199140 +S'His\tHis\tPRP$\tB-NP\tO' +p199141 +aS'admission\tadmission\tNN\tI-NP\tO' +p199142 +aS'complete\tcomplete\tJJ\tI-NP\tO' +p199143 +aS'blood\tblood\tNN\tI-NP\tO' +p199144 +aS'count\tcount\tNN\tI-NP\tO' +p199145 +aS'was\tbe\tVBD\tB-VP\tO' +p199146 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p199147 +aS'for\tfor\tIN\tB-PP\tO' +p199148 +aS'a\ta\tDT\tB-NP\tO' +p199149 +aS'white\twhite\tJJ\tI-NP\tO' +p199150 +aS'count\tcount\tNN\tI-NP\tO' +p199151 +aS'of\tof\tIN\tB-PP\tO' +p199152 +aS'11.8\t11.8\tCD\tB-NP\tO' +p199153 +aS',\t,\t,\tO\tO' +p199154 +aS'25\t25\tCD\tB-NP\tO' +p199155 +aS'polys\tpoly\tNNS\tI-NP\tO' +p199156 +aS'and\tand\tCC\tO\tO' +p199157 +aS'no\tno\tDT\tB-NP\tO' +p199158 +aS'bands\tband\tNNS\tI-NP\tO' +p199159 +aS'.\t.\t.\tO\tO' +p199160 +asS'The patient indicates that his neighbors were making excessive noise upstairs from his dwelling , and he found it unbearable .' +p199161 +(lp199162 +S'The\tThe\tDT\tB-NP\tO' +p199163 +aS'patient\tpatient\tNN\tI-NP\tO' +p199164 +aS'indicates\tindicate\tVBZ\tB-VP\tO' +p199165 +aS'that\tthat\tIN\tB-SBAR\tO' +p199166 +aS'his\this\tPRP$\tB-NP\tO' +p199167 +aS'neighbors\tneighbor\tNNS\tI-NP\tO' +p199168 +aS'were\tbe\tVBD\tB-VP\tO' +p199169 +aS'making\tmake\tVBG\tI-VP\tO' +p199170 +aS'excessive\texcessive\tJJ\tB-NP\tO' +p199171 +aS'noise\tnoise\tNN\tI-NP\tO' +p199172 +aS'upstairs\tupstairs\tNN\tI-NP\tO' +p199173 +aS'from\tfrom\tIN\tB-PP\tO' +p199174 +aS'his\this\tPRP$\tB-NP\tO' +p199175 +aS'dwelling\tdwelling\tNN\tI-NP\tO' +p199176 +aS',\t,\t,\tO\tO' +p199177 +aS'and\tand\tCC\tO\tO' +p199178 +aS'he\the\tPRP\tB-NP\tO' +p199179 +aS'found\tfind\tVBD\tB-VP\tO' +p199180 +aS'it\tit\tPRP\tB-NP\tO' +p199181 +aS'unbearable\tunbearable\tJJ\tB-ADJP\tO' +p199182 +aS'.\t.\t.\tO\tO' +p199183 +asS'The chest was opened partially and through sub-xyphoid area it was determined that there was no evidence of tamponade .' +p199184 +(lp199185 +S'The\tThe\tDT\tB-NP\tO' +p199186 +aS'chest\tchest\tNN\tI-NP\tO' +p199187 +aS'was\tbe\tVBD\tB-VP\tO' +p199188 +aS'opened\topen\tVBN\tI-VP\tO' +p199189 +aS'partially\tpartially\tRB\tB-ADVP\tO' +p199190 +aS'and\tand\tCC\tO\tO' +p199191 +aS'through\tthrough\tIN\tB-PP\tO' +p199192 +aS'sub-xyphoid\tsub-xyphoid\tJJ\tB-NP\tO' +p199193 +aS'area\tarea\tNN\tI-NP\tO' +p199194 +aS'it\tit\tPRP\tB-NP\tO' +p199195 +aS'was\tbe\tVBD\tB-VP\tO' +p199196 +aS'determined\tdetermine\tVBN\tI-VP\tO' +p199197 +aS'that\tthat\tIN\tB-SBAR\tO' +p199198 +aS'there\tthere\tEX\tB-NP\tO' +p199199 +aS'was\tbe\tVBD\tB-VP\tO' +p199200 +aS'no\tno\tDT\tB-NP\tO' +p199201 +aS'evidence\tevidence\tNN\tI-NP\tO' +p199202 +aS'of\tof\tIN\tB-PP\tO' +p199203 +aS'tamponade\ttamponade\tNN\tB-NP\tO' +p199204 +aS'.\t.\t.\tO\tO' +p199205 +asS'16. Percocet one to two tablets p.o. q. four hours p.r.n.' +p199206 +(lp199207 +S'16.\t16.\tCD\tB-NP\tO' +p199208 +aS'Percocet\tPercocet\tNNP\tI-NP\tO' +p199209 +aS'one\tone\tCD\tI-NP\tO' +p199210 +aS'to\tto\tTO\tI-NP\tO' +p199211 +aS'two\ttwo\tCD\tI-NP\tO' +p199212 +aS'tablets\ttablet\tNNS\tI-NP\tO' +p199213 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p199214 +aS'q.\tq.\tFW\tI-NP\tO' +p199215 +aS'four\tfour\tCD\tI-NP\tO' +p199216 +aS'hours\thour\tNNS\tI-NP\tO' +p199217 +aS'p.r.n.\tp.r.n.\tRB\tB-ADVP\tO' +p199218 +asS'Sodium 137 , potassium 4.0 , blood urea nitrogen 16 , creatinine .9 , white blood cell count 4.9 , hematocrit 29.7 , platelet count 207 .' +p199219 +(lp199220 +S'Sodium\tSodium\tNN\tB-NP\tB-protein' +p199221 +aS'137\t137\tCD\tI-NP\tI-protein' +p199222 +aS',\t,\t,\tO\tO' +p199223 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p199224 +aS'4.0\t4.0\tCD\tI-NP\tO' +p199225 +aS',\t,\t,\tO\tO' +p199226 +aS'blood\tblood\tNN\tB-NP\tO' +p199227 +aS'urea\turea\tNN\tI-NP\tO' +p199228 +aS'nitrogen\tnitrogen\tNN\tI-NP\tO' +p199229 +aS'16\t16\tCD\tI-NP\tO' +p199230 +aS',\t,\t,\tO\tO' +p199231 +aS'creatinine\tcreatinine\tNN\tB-NP\tB-protein' +p199232 +aS'.9\t.9\tCD\tI-NP\tI-protein' +p199233 +aS',\t,\t,\tO\tO' +p199234 +aS'white\twhite\tJJ\tB-NP\tO' +p199235 +aS'blood\tblood\tNN\tI-NP\tO' +p199236 +aS'cell\tcell\tNN\tI-NP\tO' +p199237 +aS'count\tcount\tNN\tI-NP\tO' +p199238 +aS'4.9\t4.9\tCD\tB-NP\tO' +p199239 +aS',\t,\t,\tO\tO' +p199240 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p199241 +aS'29.7\t29.7\tCD\tI-NP\tI-protein' +p199242 +aS',\t,\t,\tO\tO' +p199243 +aS'platelet\tplatelet\tNN\tB-NP\tB-protein' +p199244 +aS'count\tcount\tNN\tI-NP\tI-protein' +p199245 +aS'207\t207\tCD\tI-NP\tI-protein' +p199246 +aS'.\t.\t.\tO\tO' +p199247 +asS'Large left ventricle , bilateral atelectasis or effusion .' +p199248 +(lp199249 +S'Large\tLarge\tJJ\tB-NP\tO' +p199250 +aS'left\tleft\tJJ\tI-NP\tO' +p199251 +aS'ventricle\tventricle\tNN\tI-NP\tO' +p199252 +aS',\t,\t,\tO\tO' +p199253 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p199254 +aS'atelectasis\tatelectasis\tNN\tI-NP\tO' +p199255 +aS'or\tor\tCC\tI-NP\tO' +p199256 +aS'effusion\teffusion\tNN\tI-NP\tO' +p199257 +aS'.\t.\t.\tO\tO' +p199258 +asS'GERD and PUD .' +p199259 +(lp199260 +S'GERD\tGERD\tNN\tB-NP\tO' +p199261 +aS'and\tand\tCC\tI-NP\tO' +p199262 +aS'PUD\tPUD\tNN\tI-NP\tO' +p199263 +aS'.\t.\t.\tO\tO' +p199264 +asS'Remarkable for colon cancer in her mother and maternal grandfather .' +p199265 +(lp199266 +S'Remarkable\tRemarkable\tJJ\tB-ADJP\tO' +p199267 +aS'for\tfor\tIN\tB-PP\tO' +p199268 +aS'colon\tcolon\tNN\tB-NP\tO' +p199269 +aS'cancer\tcancer\tNN\tI-NP\tO' +p199270 +aS'in\tin\tIN\tB-PP\tO' +p199271 +aS'her\ther\tPRP$\tB-NP\tO' +p199272 +aS'mother\tmother\tNN\tI-NP\tO' +p199273 +aS'and\tand\tCC\tI-NP\tO' +p199274 +aS'maternal\tmaternal\tJJ\tI-NP\tO' +p199275 +aS'grandfather\tgrandfather\tNN\tI-NP\tO' +p199276 +aS'.\t.\t.\tO\tO' +p199277 +asS'NC/AT .' +p199278 +(lp199279 +S'NC/AT\tNC/AT\tNN\tB-NP\tB-protein' +p199280 +aS'.\t.\t.\tO\tO' +p199281 +asS'The patient , although initially minimally responsive , went on to develop a deep comatose state .' +p199282 +(lp199283 +S'The\tThe\tDT\tB-NP\tO' +p199284 +aS'patient\tpatient\tNN\tI-NP\tO' +p199285 +aS',\t,\t,\tO\tO' +p199286 +aS'although\talthough\tIN\tB-SBAR\tO' +p199287 +aS'initially\tinitially\tRB\tB-ADJP\tO' +p199288 +aS'minimally\tminimally\tRB\tI-ADJP\tO' +p199289 +aS'responsive\tresponsive\tJJ\tI-ADJP\tO' +p199290 +aS',\t,\t,\tO\tO' +p199291 +aS'went\tgo\tVBD\tB-VP\tO' +p199292 +aS'on\ton\tRP\tB-PRT\tO' +p199293 +aS'to\tto\tTO\tB-VP\tO' +p199294 +aS'develop\tdevelop\tVB\tI-VP\tO' +p199295 +aS'a\ta\tDT\tB-NP\tO' +p199296 +aS'deep\tdeep\tJJ\tI-NP\tO' +p199297 +aS'comatose\tcomatose\tNN\tI-NP\tO' +p199298 +aS'state\tstate\tNN\tI-NP\tO' +p199299 +aS'.\t.\t.\tO\tO' +p199300 +asS'Dyazide 25/37.5 p.o. q.d. , as well as Atrovent , albuterol , and Flovent inhalers , and Swanson 60 mg p.o. b.i.d. , and Serevent 2 puffs q.12h.' +p199301 +(lp199302 +S'Dyazide\tDyazide\tNN\tB-NP\tO' +p199303 +aS'25/37.5\t25/37.5\tCD\tI-NP\tO' +p199304 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p199305 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p199306 +aS',\t,\t,\tO\tO' +p199307 +aS'as\tas\tRB\tB-CONJP\tO' +p199308 +aS'well\twell\tRB\tI-CONJP\tO' +p199309 +aS'as\tas\tIN\tI-CONJP\tO' +p199310 +aS'Atrovent\tAtrovent\tNN\tB-NP\tO' +p199311 +aS',\t,\t,\tO\tO' +p199312 +aS'albuterol\talbuterol\tNN\tB-NP\tO' +p199313 +aS',\t,\t,\tO\tO' +p199314 +aS'and\tand\tCC\tO\tO' +p199315 +aS'Flovent\tFlovent\tNNP\tB-NP\tO' +p199316 +aS'inhalers\tinhaler\tNNS\tI-NP\tO' +p199317 +aS',\t,\t,\tO\tO' +p199318 +aS'and\tand\tCC\tO\tO' +p199319 +aS'Swanson\tSwanson\tNN\tB-NP\tO' +p199320 +aS'60\t60\tCD\tI-NP\tO' +p199321 +aS'mg\tmg\tNN\tI-NP\tO' +p199322 +aS'p.o.\tp.o.\tFW\tB-ADVP\tO' +p199323 +aS'b.i.d.\tb.i.d.\tFW\tI-ADVP\tO' +p199324 +aS',\t,\t,\tO\tO' +p199325 +aS'and\tand\tCC\tO\tO' +p199326 +aS'Serevent\tSerevent\tNN\tB-NP\tO' +p199327 +aS'2\t2\tCD\tB-NP\tO' +p199328 +aS'puffs\tpuff\tNNS\tI-NP\tO' +p199329 +aS'q.12h.\tq.12h.\tNN\tB-NP\tO' +p199330 +asS'Her lungs revealed coarse breath sounds .' +p199331 +(lp199332 +S'Her\tHer\tPRP$\tB-NP\tO' +p199333 +aS'lungs\tlung\tNNS\tI-NP\tO' +p199334 +aS'revealed\treveal\tVBD\tB-VP\tO' +p199335 +aS'coarse\tcoarse\tNN\tB-NP\tO' +p199336 +aS'breath\tbreath\tNN\tI-NP\tO' +p199337 +aS'sounds\tsound\tNNS\tI-NP\tO' +p199338 +aS'.\t.\t.\tO\tO' +p199339 +asS'Abdomen : Positive bowel sounds , soft , nondistended , nontender .' +p199340 +(lp199341 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p199342 +aS':\t:\t:\tO\tO' +p199343 +aS'Positive\tPositive\tJJ\tB-NP\tO' +p199344 +aS'bowel\tbowel\tNN\tI-NP\tO' +p199345 +aS'sounds\tsound\tNNS\tI-NP\tO' +p199346 +aS',\t,\t,\tO\tO' +p199347 +aS'soft\tsoft\tJJ\tB-NP\tO' +p199348 +aS',\t,\t,\tI-NP\tO' +p199349 +aS'nondistended\tnondistended\tJJ\tI-NP\tO' +p199350 +aS',\t,\t,\tI-NP\tO' +p199351 +aS'nontender\tnontender\tJJ\tI-NP\tO' +p199352 +aS'.\t.\t.\tO\tO' +p199353 +asS'This required a transplant nephrectomy .' +p199354 +(lp199355 +S'This\tThis\tDT\tB-NP\tO' +p199356 +aS'required\trequire\tVBD\tB-VP\tO' +p199357 +aS'a\ta\tDT\tB-NP\tO' +p199358 +aS'transplant\ttransplant\tNN\tI-NP\tO' +p199359 +aS'nephrectomy\tnephrectomy\tNN\tI-NP\tO' +p199360 +aS'.\t.\t.\tO\tO' +p199361 +asS'House / Low Residue < FDI >' +p199362 +(lp199363 +S'House\tHouse\tNN\tB-NP\tO' +p199364 +aS'/\t/\tSYM\tI-NP\tO' +p199365 +aS'Low\tLow\tNN\tI-NP\tO' +p199366 +aS'Residue\tResidue\tNN\tI-NP\tO' +p199367 +aS'<\t<\tCC\tO\tO' +p199368 +aS'FDI\tFDI\tNNP\tB-NP\tO' +p199369 +aS'>\t>\t:\tO\tO' +p199370 +asS'Her pain was under good control with PO pain medications and she was deemed suitable for discharge .' +p199371 +(lp199372 +S'Her\tHer\tPRP$\tB-NP\tO' +p199373 +aS'pain\tpain\tNN\tI-NP\tO' +p199374 +aS'was\tbe\tVBD\tB-VP\tO' +p199375 +aS'under\tunder\tIN\tB-PP\tO' +p199376 +aS'good\tgood\tJJ\tB-NP\tO' +p199377 +aS'control\tcontrol\tNN\tI-NP\tO' +p199378 +aS'with\twith\tIN\tB-PP\tO' +p199379 +aS'PO\tPO\tNN\tB-NP\tO' +p199380 +aS'pain\tpain\tNN\tI-NP\tO' +p199381 +aS'medications\tmedication\tNNS\tI-NP\tO' +p199382 +aS'and\tand\tCC\tO\tO' +p199383 +aS'she\tshe\tPRP\tB-NP\tO' +p199384 +aS'was\tbe\tVBD\tB-VP\tO' +p199385 +aS'deemed\tdeem\tVBN\tI-VP\tO' +p199386 +aS'suitable\tsuitable\tJJ\tB-ADJP\tO' +p199387 +aS'for\tfor\tIN\tB-PP\tO' +p199388 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p199389 +aS'.\t.\t.\tO\tO' +p199390 +asS'She has had one pervious episode of variceal bleeding with an unclear date .' +p199391 +(lp199392 +S'She\tShe\tPRP\tB-NP\tO' +p199393 +aS'has\thave\tVBZ\tB-VP\tO' +p199394 +aS'had\thave\tVBD\tI-VP\tO' +p199395 +aS'one\tone\tCD\tB-NP\tO' +p199396 +aS'pervious\tpervious\tJJ\tI-NP\tO' +p199397 +aS'episode\tepisode\tNN\tI-NP\tO' +p199398 +aS'of\tof\tIN\tB-PP\tO' +p199399 +aS'variceal\tvariceal\tNN\tB-NP\tO' +p199400 +aS'bleeding\tbleed\tVBG\tB-VP\tO' +p199401 +aS'with\twith\tIN\tB-PP\tO' +p199402 +aS'an\tan\tDT\tB-NP\tO' +p199403 +aS'unclear\tunclear\tJJ\tI-NP\tO' +p199404 +aS'date\tdate\tNN\tI-NP\tO' +p199405 +aS'.\t.\t.\tO\tO' +p199406 +asS'Need to continue oxygen 2 liters via nasal cannula .' +p199407 +(lp199408 +S'Need\tNeed\tNN\tB-NP\tO' +p199409 +aS'to\tto\tTO\tB-VP\tO' +p199410 +aS'continue\tcontinue\tVB\tI-VP\tO' +p199411 +aS'oxygen\toxygen\tNN\tB-NP\tO' +p199412 +aS'2\t2\tCD\tB-NP\tO' +p199413 +aS'liters\tliter\tNNS\tI-NP\tO' +p199414 +aS'via\tvia\tIN\tB-PP\tO' +p199415 +aS'nasal\tnasal\tJJ\tB-NP\tO' +p199416 +aS'cannula\tcannula\tNN\tI-NP\tO' +p199417 +aS'.\t.\t.\tO\tO' +p199418 +asS'RESPIRATORY : The infant was placed on CPAP on admission to the CMED and remained on CPAP until day of life 2 at which time he weaned to nasal cannula and then subsequently to room air on day of life 3 .' +p199419 +(lp199420 +S'RESPIRATORY\tRESPIRATORY\tNN\tB-NP\tO' +p199421 +aS':\t:\t:\tO\tO' +p199422 +aS'The\tThe\tDT\tB-NP\tO' +p199423 +aS'infant\tinfant\tNN\tI-NP\tO' +p199424 +aS'was\tbe\tVBD\tB-VP\tO' +p199425 +aS'placed\tplace\tVBN\tI-VP\tO' +p199426 +aS'on\ton\tIN\tB-PP\tO' +p199427 +aS'CPAP\tCPAP\tNN\tB-NP\tB-protein' +p199428 +aS'on\ton\tIN\tB-PP\tO' +p199429 +aS'admission\tadmission\tNN\tB-NP\tO' +p199430 +aS'to\tto\tTO\tB-PP\tO' +p199431 +aS'the\tthe\tDT\tB-NP\tO' +p199432 +aS'CMED\tCMED\tNN\tI-NP\tO' +p199433 +aS'and\tand\tCC\tO\tO' +p199434 +aS'remained\tremain\tVBD\tB-VP\tO' +p199435 +aS'on\ton\tIN\tB-PP\tO' +p199436 +aS'CPAP\tCPAP\tNN\tB-NP\tB-protein' +p199437 +aS'until\tuntil\tIN\tB-PP\tO' +p199438 +aS'day\tday\tNN\tB-NP\tO' +p199439 +aS'of\tof\tIN\tB-PP\tO' +p199440 +aS'life\tlife\tNN\tB-NP\tB-protein' +p199441 +aS'2\t2\tCD\tI-NP\tI-protein' +p199442 +aS'at\tat\tIN\tB-PP\tO' +p199443 +aS'which\twhich\tWDT\tB-NP\tO' +p199444 +aS'time\ttime\tNN\tI-NP\tO' +p199445 +aS'he\the\tPRP\tB-NP\tO' +p199446 +aS'weaned\twean\tVBD\tB-VP\tO' +p199447 +aS'to\tto\tTO\tB-PP\tO' +p199448 +aS'nasal\tnasal\tJJ\tB-NP\tO' +p199449 +aS'cannula\tcannula\tNN\tI-NP\tO' +p199450 +aS'and\tand\tCC\tO\tO' +p199451 +aS'then\tthen\tRB\tB-VP\tO' +p199452 +aS'subsequently\tsubsequently\tRB\tI-VP\tO' +p199453 +aS'to\tto\tTO\tB-PP\tO' +p199454 +aS'room\troom\tNN\tB-NP\tO' +p199455 +aS'air\tair\tNN\tI-NP\tO' +p199456 +aS'on\ton\tIN\tB-PP\tO' +p199457 +aS'day\tday\tNN\tB-NP\tO' +p199458 +aS'of\tof\tIN\tB-PP\tO' +p199459 +aS'life\tlife\tNN\tB-NP\tB-protein' +p199460 +aS'3\t3\tCD\tI-NP\tI-protein' +p199461 +aS'.\t.\t.\tO\tO' +p199462 +asS'The patient was advanced to a full regular diet , which he tolerated without complication , and had adequate pain control provided via oral pain medications .' +p199463 +(lp199464 +S'The\tThe\tDT\tB-NP\tO' +p199465 +aS'patient\tpatient\tNN\tI-NP\tO' +p199466 +aS'was\tbe\tVBD\tB-VP\tO' +p199467 +aS'advanced\tadvance\tVBN\tI-VP\tO' +p199468 +aS'to\tto\tTO\tB-PP\tO' +p199469 +aS'a\ta\tDT\tB-NP\tO' +p199470 +aS'full\tfull\tJJ\tI-NP\tO' +p199471 +aS'regular\tregular\tJJ\tI-NP\tO' +p199472 +aS'diet\tdiet\tNN\tI-NP\tO' +p199473 +aS',\t,\t,\tO\tO' +p199474 +aS'which\twhich\tWDT\tB-NP\tO' +p199475 +aS'he\the\tPRP\tB-NP\tO' +p199476 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p199477 +aS'without\twithout\tIN\tB-PP\tO' +p199478 +aS'complication\tcomplication\tNN\tB-NP\tO' +p199479 +aS',\t,\t,\tO\tO' +p199480 +aS'and\tand\tCC\tO\tO' +p199481 +aS'had\thave\tVBD\tB-VP\tO' +p199482 +aS'adequate\tadequate\tJJ\tB-NP\tO' +p199483 +aS'pain\tpain\tNN\tI-NP\tO' +p199484 +aS'control\tcontrol\tNN\tI-NP\tO' +p199485 +aS'provided\tprovide\tVBN\tB-VP\tO' +p199486 +aS'via\tvia\tIN\tB-PP\tO' +p199487 +aS'oral\toral\tJJ\tB-NP\tO' +p199488 +aS'pain\tpain\tNN\tI-NP\tO' +p199489 +aS'medications\tmedication\tNNS\tI-NP\tO' +p199490 +aS'.\t.\t.\tO\tO' +p199491 +asS'2. Lisinopril , 20 mg. , po , qD .' +p199492 +(lp199493 +S'2.\t2.\tLS\tB-NP\tO' +p199494 +aS'Lisinopril\tLisinopril\tNNP\tI-NP\tO' +p199495 +aS',\t,\t,\tO\tO' +p199496 +aS'20\t20\tCD\tB-NP\tO' +p199497 +aS'mg.\tmg.\tNN\tI-NP\tO' +p199498 +aS',\t,\t,\tO\tO' +p199499 +aS'po\tpo\tNN\tB-NP\tO' +p199500 +aS',\t,\t,\tO\tO' +p199501 +aS'qD\tqD\tNN\tB-NP\tO' +p199502 +aS'.\t.\t.\tO\tO' +p199503 +asS'This was mostly described as feeling unsteady on her feet .' +p199504 +(lp199505 +S'This\tThis\tDT\tB-NP\tO' +p199506 +aS'was\tbe\tVBD\tB-VP\tO' +p199507 +aS'mostly\tmostly\tRB\tI-VP\tO' +p199508 +aS'described\tdescribe\tVBN\tI-VP\tO' +p199509 +aS'as\tas\tIN\tB-PP\tO' +p199510 +aS'feeling\tfeeling\tNN\tB-NP\tO' +p199511 +aS'unsteady\tunsteady\tJJ\tB-ADJP\tO' +p199512 +aS'on\ton\tIN\tB-PP\tO' +p199513 +aS'her\ther\tPRP$\tB-NP\tO' +p199514 +aS'feet\tfoot\tNNS\tI-NP\tO' +p199515 +aS'.\t.\t.\tO\tO' +p199516 +asS'His throat pain began 2 to 3 days prior to admission , initially treated with ibuprofen , seen in an outside hospital emergency room day prior to admission where he received IV penicillin and was sent home .' +p199517 +(lp199518 +S'His\tHis\tPRP$\tB-NP\tO' +p199519 +aS'throat\tthroat\tJJ\tI-NP\tO' +p199520 +aS'pain\tpain\tNN\tI-NP\tO' +p199521 +aS'began\tbegin\tVBD\tB-VP\tO' +p199522 +aS'2\t2\tCD\tB-NP\tO' +p199523 +aS'to\tto\tTO\tB-PP\tO' +p199524 +aS'3\t3\tCD\tB-NP\tO' +p199525 +aS'days\tday\tNNS\tI-NP\tO' +p199526 +aS'prior\tprior\tRB\tB-ADVP\tO' +p199527 +aS'to\tto\tTO\tB-PP\tO' +p199528 +aS'admission\tadmission\tNN\tB-NP\tO' +p199529 +aS',\t,\t,\tO\tO' +p199530 +aS'initially\tinitially\tRB\tB-VP\tO' +p199531 +aS'treated\ttreat\tVBN\tI-VP\tO' +p199532 +aS'with\twith\tIN\tB-PP\tO' +p199533 +aS'ibuprofen\tibuprofen\tNN\tB-NP\tO' +p199534 +aS',\t,\t,\tO\tO' +p199535 +aS'seen\tsee\tVBN\tB-VP\tO' +p199536 +aS'in\tin\tIN\tB-PP\tO' +p199537 +aS'an\tan\tDT\tB-NP\tO' +p199538 +aS'outside\toutside\tJJ\tI-NP\tO' +p199539 +aS'hospital\thospital\tNN\tI-NP\tO' +p199540 +aS'emergency\temergency\tNN\tI-NP\tO' +p199541 +aS'room\troom\tNN\tI-NP\tO' +p199542 +aS'day\tday\tNN\tI-NP\tO' +p199543 +aS'prior\tprior\tRB\tB-ADVP\tO' +p199544 +aS'to\tto\tTO\tB-PP\tO' +p199545 +aS'admission\tadmission\tNN\tB-NP\tO' +p199546 +aS'where\twhere\tWRB\tB-ADVP\tO' +p199547 +aS'he\the\tPRP\tB-NP\tO' +p199548 +aS'received\treceive\tVBD\tB-VP\tO' +p199549 +aS'IV\tIV\tCD\tB-NP\tO' +p199550 +aS'penicillin\tpenicillin\tNN\tI-NP\tO' +p199551 +aS'and\tand\tCC\tO\tO' +p199552 +aS'was\tbe\tVBD\tB-VP\tO' +p199553 +aS'sent\tsend\tVBN\tI-VP\tO' +p199554 +aS'home\thome\tNN\tB-ADVP\tO' +p199555 +aS'.\t.\t.\tO\tO' +p199556 +asS'She was admitted to the ICU for close neurosurgical and neurological observation .' +p199557 +(lp199558 +S'She\tShe\tPRP\tB-NP\tO' +p199559 +aS'was\tbe\tVBD\tB-VP\tO' +p199560 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p199561 +aS'to\tto\tTO\tB-PP\tO' +p199562 +aS'the\tthe\tDT\tB-NP\tO' +p199563 +aS'ICU\tICU\tNN\tI-NP\tO' +p199564 +aS'for\tfor\tIN\tB-PP\tO' +p199565 +aS'close\tclose\tJJ\tB-NP\tO' +p199566 +aS'neurosurgical\tneurosurgical\tJJ\tI-NP\tO' +p199567 +aS'and\tand\tCC\tI-NP\tO' +p199568 +aS'neurological\tneurological\tJJ\tI-NP\tO' +p199569 +aS'observation\tobservation\tNN\tI-NP\tO' +p199570 +aS'.\t.\t.\tO\tO' +p199571 +asS'1. Bipolar disorder .' +p199572 +(lp199573 +S'1.\t1.\tLS\tB-NP\tO' +p199574 +aS'Bipolar\tBipolar\tJJ\tI-NP\tO' +p199575 +aS'disorder\tdisorder\tNN\tI-NP\tO' +p199576 +aS'.\t.\t.\tO\tO' +p199577 +asS'Head , eyes , ears , nose , and throat examination was without bruits .' +p199578 +(lp199579 +S'Head\tHead\tRB\tB-ADVP\tO' +p199580 +aS',\t,\t,\tO\tO' +p199581 +aS'eyes\teye\tNNS\tB-NP\tO' +p199582 +aS',\t,\t,\tO\tO' +p199583 +aS'ears\tear\tNNS\tB-NP\tO' +p199584 +aS',\t,\t,\tO\tO' +p199585 +aS'nose\tnose\tNN\tB-NP\tO' +p199586 +aS',\t,\t,\tO\tO' +p199587 +aS'and\tand\tCC\tO\tO' +p199588 +aS'throat\tthroat\tNN\tB-NP\tO' +p199589 +aS'examination\texamination\tNN\tI-NP\tO' +p199590 +aS'was\tbe\tVBD\tB-VP\tO' +p199591 +aS'without\twithout\tIN\tB-PP\tO' +p199592 +aS'bruits\tbruit\tNNS\tB-NP\tO' +p199593 +aS'.\t.\t.\tO\tO' +p199594 +asS'Trivial mitral regurgitation is seen .' +p199595 +(lp199596 +S'Trivial\tTrivial\tJJ\tB-NP\tO' +p199597 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p199598 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p199599 +aS'is\tbe\tVBZ\tB-VP\tO' +p199600 +aS'seen\tsee\tVBN\tI-VP\tO' +p199601 +aS'.\t.\t.\tO\tO' +p199602 +asS'EMG studies were performed , the result is pending at the time of this dictation .' +p199603 +(lp199604 +S'EMG\tEMG\tNN\tB-NP\tO' +p199605 +aS'studies\tstudy\tNNS\tI-NP\tO' +p199606 +aS'were\tbe\tVBD\tB-VP\tO' +p199607 +aS'performed\tperform\tVBN\tI-VP\tO' +p199608 +aS',\t,\t,\tO\tO' +p199609 +aS'the\tthe\tDT\tB-NP\tO' +p199610 +aS'result\tresult\tNN\tI-NP\tO' +p199611 +aS'is\tbe\tVBZ\tB-VP\tO' +p199612 +aS'pending\tpende\tVBG\tB-ADJP\tO' +p199613 +aS'at\tat\tIN\tB-PP\tO' +p199614 +aS'the\tthe\tDT\tB-NP\tO' +p199615 +aS'time\ttime\tNN\tI-NP\tO' +p199616 +aS'of\tof\tIN\tB-PP\tO' +p199617 +aS'this\tthis\tDT\tB-NP\tO' +p199618 +aS'dictation\tdictation\tNN\tI-NP\tO' +p199619 +aS'.\t.\t.\tO\tO' +p199620 +asS'Arthrogram in the distant past showed a right rotator cuff tear and he now has increased pain in his left shoulder .' +p199621 +(lp199622 +S'Arthrogram\tArthrogram\tNN\tB-NP\tO' +p199623 +aS'in\tin\tIN\tB-PP\tO' +p199624 +aS'the\tthe\tDT\tB-NP\tO' +p199625 +aS'distant\tdistant\tJJ\tI-NP\tO' +p199626 +aS'past\tpast\tNN\tI-NP\tO' +p199627 +aS'showed\tshow\tVBD\tB-VP\tO' +p199628 +aS'a\ta\tDT\tB-NP\tO' +p199629 +aS'right\tright\tJJ\tI-NP\tO' +p199630 +aS'rotator\trotator\tNN\tI-NP\tO' +p199631 +aS'cuff\tcuff\tNN\tI-NP\tO' +p199632 +aS'tear\ttear\tNN\tI-NP\tO' +p199633 +aS'and\tand\tCC\tO\tO' +p199634 +aS'he\the\tPRP\tB-NP\tO' +p199635 +aS'now\tnow\tRB\tB-ADVP\tO' +p199636 +aS'has\thave\tVBZ\tB-VP\tO' +p199637 +aS'increased\tincrease\tVBN\tI-VP\tO' +p199638 +aS'pain\tpain\tNN\tB-NP\tO' +p199639 +aS'in\tin\tIN\tB-PP\tO' +p199640 +aS'his\this\tPRP$\tB-NP\tO' +p199641 +aS'left\tleft\tJJ\tI-NP\tO' +p199642 +aS'shoulder\tshoulder\tNN\tI-NP\tO' +p199643 +aS'.\t.\t.\tO\tO' +p199644 +asS'Aspirin .' +p199645 +(lp199646 +S'Aspirin\tAspirin\tNN\tB-NP\tO' +p199647 +aS'.\t.\t.\tO\tO' +p199648 +asS'Transient diaphoresis in MD 's office that patient attributed to heat in room .' +p199649 +(lp199650 +S'Transient\tTransient\tJJ\tB-NP\tO' +p199651 +aS'diaphoresis\tdiaphoresis\tNN\tI-NP\tO' +p199652 +aS'in\tin\tIN\tB-PP\tO' +p199653 +aS'MD\tMD\tNN\tB-NP\tO' +p199654 +aS''s\t'\tNNS\tI-NP\tO' +p199655 +aS'office\toffice\tNN\tI-NP\tO' +p199656 +aS'that\tthat\tIN\tB-SBAR\tO' +p199657 +aS'patient\tpatient\tNN\tB-NP\tO' +p199658 +aS'attributed\tattribute\tVBN\tB-VP\tO' +p199659 +aS'to\tto\tTO\tB-PP\tO' +p199660 +aS'heat\theat\tNN\tB-NP\tO' +p199661 +aS'in\tin\tIN\tB-PP\tO' +p199662 +aS'room\troom\tNN\tB-NP\tO' +p199663 +aS'.\t.\t.\tO\tO' +p199664 +asS'The patient was discharged on a regular diet .' +p199665 +(lp199666 +S'The\tThe\tDT\tB-NP\tO' +p199667 +aS'patient\tpatient\tNN\tI-NP\tO' +p199668 +aS'was\tbe\tVBD\tB-VP\tO' +p199669 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p199670 +aS'on\ton\tIN\tB-PP\tO' +p199671 +aS'a\ta\tDT\tB-NP\tO' +p199672 +aS'regular\tregular\tJJ\tI-NP\tO' +p199673 +aS'diet\tdiet\tNN\tI-NP\tO' +p199674 +aS'.\t.\t.\tO\tO' +p199675 +asS"Positive tobacco , 10 pack year history , quit for 8 years in his 40 's and now no cigarettes for one week using no pharmacal therapy ." +p199676 +(lp199677 +S'Positive\tPositive\tJJ\tB-NP\tO' +p199678 +aS'tobacco\ttobacco\tNN\tI-NP\tO' +p199679 +aS',\t,\t,\tO\tO' +p199680 +aS'10\t10\tCD\tB-NP\tO' +p199681 +aS'pack\tpack\tNN\tI-NP\tO' +p199682 +aS'year\tyear\tNN\tI-NP\tO' +p199683 +aS'history\thistory\tNN\tI-NP\tO' +p199684 +aS',\t,\t,\tO\tO' +p199685 +aS'quit\tquit\tVBD\tB-VP\tO' +p199686 +aS'for\tfor\tIN\tB-PP\tO' +p199687 +aS'8\t8\tCD\tB-NP\tO' +p199688 +aS'years\tyear\tNNS\tI-NP\tO' +p199689 +aS'in\tin\tIN\tB-PP\tO' +p199690 +aS'his\this\tPRP$\tB-NP\tO' +p199691 +aS'40\t40\tCD\tI-NP\tO' +p199692 +aS"'s\t's\tPOS\tB-NP\tO" +p199693 +aS'and\tand\tCC\tO\tO' +p199694 +aS'now\tnow\tRB\tB-ADVP\tO' +p199695 +aS'no\tno\tDT\tB-NP\tO' +p199696 +aS'cigarettes\tcigarette\tNNS\tI-NP\tO' +p199697 +aS'for\tfor\tIN\tB-PP\tO' +p199698 +aS'one\tone\tCD\tB-NP\tO' +p199699 +aS'week\tweek\tNN\tI-NP\tO' +p199700 +aS'using\tuse\tVBG\tB-VP\tO' +p199701 +aS'no\tno\tDT\tB-NP\tO' +p199702 +aS'pharmacal\tpharmacal\tJJ\tI-NP\tO' +p199703 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p199704 +aS'.\t.\t.\tO\tO' +p199705 +asS'he had a peg tube and tracheostomy prior to d/c .' +p199706 +(lp199707 +S'he\the\tPRP\tB-NP\tO' +p199708 +aS'had\thave\tVBD\tB-VP\tO' +p199709 +aS'a\ta\tDT\tB-NP\tO' +p199710 +aS'peg\tpeg\tNN\tI-NP\tO' +p199711 +aS'tube\ttube\tNN\tI-NP\tO' +p199712 +aS'and\tand\tCC\tO\tO' +p199713 +aS'tracheostomy\ttracheostomy\tNN\tB-NP\tO' +p199714 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p199715 +aS'to\tto\tTO\tB-PP\tO' +p199716 +aS'd/c\td/c\tNN\tB-NP\tO' +p199717 +aS'.\t.\t.\tO\tO' +p199718 +asS'On admission , his BUN was 13 , creatinine 1.7 , hematocrit 43 and the cholesterol was 208 .' +p199719 +(lp199720 +S'On\tOn\tIN\tB-PP\tO' +p199721 +aS'admission\tadmission\tNN\tB-NP\tO' +p199722 +aS',\t,\t,\tO\tO' +p199723 +aS'his\this\tPRP$\tB-NP\tO' +p199724 +aS'BUN\tBUN\tNN\tI-NP\tB-protein' +p199725 +aS'was\tbe\tVBD\tB-VP\tO' +p199726 +aS'13\t13\tCD\tB-NP\tO' +p199727 +aS',\t,\t,\tO\tO' +p199728 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p199729 +aS'1.7\t1.7\tCD\tI-NP\tO' +p199730 +aS',\t,\t,\tO\tO' +p199731 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-DNA' +p199732 +aS'43\t43\tCD\tI-NP\tI-DNA' +p199733 +aS'and\tand\tCC\tO\tO' +p199734 +aS'the\tthe\tDT\tB-NP\tO' +p199735 +aS'cholesterol\tcholesterol\tNN\tI-NP\tO' +p199736 +aS'was\tbe\tVBD\tB-VP\tO' +p199737 +aS'208\t208\tCD\tB-NP\tO' +p199738 +aS'.\t.\t.\tO\tO' +p199739 +asS'There are also tiny foci artifact within the cerebellum and base of the pons .' +p199740 +(lp199741 +S'There\tThere\tEX\tB-NP\tO' +p199742 +aS'are\tbe\tVBP\tB-VP\tO' +p199743 +aS'also\talso\tRB\tB-ADVP\tO' +p199744 +aS'tiny\ttiny\tJJ\tB-NP\tO' +p199745 +aS'foci\tfocus\tNNS\tI-NP\tO' +p199746 +aS'artifact\tartifact\tVBP\tB-VP\tO' +p199747 +aS'within\twithin\tIN\tB-PP\tO' +p199748 +aS'the\tthe\tDT\tB-NP\tO' +p199749 +aS'cerebellum\tcerebellum\tNN\tI-NP\tO' +p199750 +aS'and\tand\tCC\tI-NP\tO' +p199751 +aS'base\tbase\tNN\tI-NP\tO' +p199752 +aS'of\tof\tIN\tB-PP\tO' +p199753 +aS'the\tthe\tDT\tB-NP\tO' +p199754 +aS'pons\tpon\tNNS\tI-NP\tO' +p199755 +aS'.\t.\t.\tO\tO' +p199756 +asS'Left-to-right shunt across the interatrial septum .' +p199757 +(lp199758 +S'Left-to-right\tLeft-to-right\tJJ\tB-NP\tO' +p199759 +aS'shunt\tshunt\tNN\tI-NP\tO' +p199760 +aS'across\tacross\tIN\tB-PP\tO' +p199761 +aS'the\tthe\tDT\tB-NP\tO' +p199762 +aS'interatrial\tinteratrial\tJJ\tI-NP\tO' +p199763 +aS'septum\tseptum\tNN\tI-NP\tO' +p199764 +aS'.\t.\t.\tO\tO' +p199765 +asS'He had no chest pain , shortness of breath or diarrhea .' +p199766 +(lp199767 +S'He\tHe\tPRP\tB-NP\tO' +p199768 +aS'had\thave\tVBD\tB-VP\tO' +p199769 +aS'no\tno\tDT\tB-NP\tO' +p199770 +aS'chest\tchest\tNN\tI-NP\tO' +p199771 +aS'pain\tpain\tNN\tI-NP\tO' +p199772 +aS',\t,\t,\tO\tO' +p199773 +aS'shortness\tshortness\tNN\tB-NP\tO' +p199774 +aS'of\tof\tIN\tB-PP\tO' +p199775 +aS'breath\tbreath\tNN\tB-NP\tO' +p199776 +aS'or\tor\tCC\tI-NP\tO' +p199777 +aS'diarrhea\tdiarrhea\tNN\tI-NP\tO' +p199778 +aS'.\t.\t.\tO\tO' +p199779 +asS'Aspiration pneumonia .' +p199780 +(lp199781 +S'Aspiration\tAspiration\tNN\tB-NP\tO' +p199782 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p199783 +aS'.\t.\t.\tO\tO' +p199784 +asS'(1) GERD ; (2) Pneumonia with partially collapsed lung in 1999 .' +p199785 +(lp199786 +S'(1)\t(1)\tLS\tB-NP\tO' +p199787 +aS'GERD\tGERD\tNN\tI-NP\tO' +p199788 +aS';\t;\t:\tO\tO' +p199789 +aS'(2)\t(2)\tLS\tB-LST\tO' +p199790 +aS'Pneumonia\tPneumonia\tNNP\tB-NP\tO' +p199791 +aS'with\twith\tIN\tB-PP\tO' +p199792 +aS'partially\tpartially\tRB\tB-ADVP\tO' +p199793 +aS'collapsed\tcollapse\tVBD\tB-VP\tO' +p199794 +aS'lung\tlung\tNN\tB-NP\tO' +p199795 +aS'in\tin\tIN\tB-PP\tO' +p199796 +aS'1999\t1999\tCD\tB-NP\tO' +p199797 +aS'.\t.\t.\tO\tO' +p199798 +asS'Her left ventricular contraction showed akinesis of the anterior wall with dyskinesis of the apex .' +p199799 +(lp199800 +S'Her\tHer\tPRP$\tB-NP\tO' +p199801 +aS'left\tleft\tJJ\tI-NP\tO' +p199802 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p199803 +aS'contraction\tcontraction\tNN\tI-NP\tO' +p199804 +aS'showed\tshow\tVBD\tB-VP\tO' +p199805 +aS'akinesis\takinesis\tNN\tB-NP\tO' +p199806 +aS'of\tof\tIN\tB-PP\tO' +p199807 +aS'the\tthe\tDT\tB-NP\tO' +p199808 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p199809 +aS'wall\twall\tNN\tI-NP\tO' +p199810 +aS'with\twith\tIN\tB-PP\tO' +p199811 +aS'dyskinesis\tdyskinesis\tNN\tB-NP\tO' +p199812 +aS'of\tof\tIN\tB-PP\tO' +p199813 +aS'the\tthe\tDT\tB-NP\tO' +p199814 +aS'apex\tapex\tNN\tI-NP\tO' +p199815 +aS'.\t.\t.\tO\tO' +p199816 +asS'There were no clots seen on the echocardiogram .' +p199817 +(lp199818 +S'There\tThere\tEX\tB-NP\tO' +p199819 +aS'were\tbe\tVBD\tB-VP\tO' +p199820 +aS'no\tno\tDT\tB-NP\tO' +p199821 +aS'clots\tclot\tNNS\tI-NP\tO' +p199822 +aS'seen\tsee\tVBN\tB-VP\tO' +p199823 +aS'on\ton\tIN\tB-PP\tO' +p199824 +aS'the\tthe\tDT\tB-NP\tO' +p199825 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p199826 +aS'.\t.\t.\tO\tO' +p199827 +asS'Distended .' +p199828 +(lp199829 +S'Distended\tDistend\tVBN\tB-VP\tO' +p199830 +aS'.\t.\t.\tO\tO' +p199831 +asS'He has 1 son , two grandson .' +p199832 +(lp199833 +S'He\tHe\tPRP\tB-NP\tO' +p199834 +aS'has\thave\tVBZ\tB-VP\tO' +p199835 +aS'1\t1\tCD\tB-NP\tO' +p199836 +aS'son\tson\tNN\tI-NP\tO' +p199837 +aS',\t,\t,\tO\tO' +p199838 +aS'two\ttwo\tCD\tB-NP\tO' +p199839 +aS'grandson\tgrandson\tNN\tI-NP\tO' +p199840 +aS'.\t.\t.\tO\tO' +p199841 +asS'Brachial pulses equal femoral pulses and are 2+ .' +p199842 +(lp199843 +S'Brachial\tBrachial\tNNP\tB-NP\tO' +p199844 +aS'pulses\tpulse\tVBZ\tB-VP\tO' +p199845 +aS'equal\tequal\tJJ\tB-NP\tO' +p199846 +aS'femoral\tfemoral\tJJ\tI-NP\tO' +p199847 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p199848 +aS'and\tand\tCC\tO\tO' +p199849 +aS'are\tbe\tVBP\tB-VP\tO' +p199850 +aS'2+\t2+\tJJ\tB-ADJP\tO' +p199851 +aS'.\t.\t.\tO\tO' +p199852 +asS'Physical and Occupational therapy were consulted and have recommended home with services .' +p199853 +(lp199854 +S'Physical\tPhysical\tJJ\tB-NP\tO' +p199855 +aS'and\tand\tCC\tI-NP\tO' +p199856 +aS'Occupational\tOccupational\tJJ\tI-NP\tO' +p199857 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p199858 +aS'were\tbe\tVBD\tB-VP\tO' +p199859 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p199860 +aS'and\tand\tCC\tO\tO' +p199861 +aS'have\thave\tVBP\tB-VP\tO' +p199862 +aS'recommended\trecommend\tVBN\tI-VP\tO' +p199863 +aS'home\thome\tNN\tB-ADVP\tO' +p199864 +aS'with\twith\tIN\tB-PP\tO' +p199865 +aS'services\tservice\tNNS\tB-NP\tO' +p199866 +aS'.\t.\t.\tO\tO' +p199867 +asS'Tongue midline .' +p199868 +(lp199869 +S'Tongue\tTongue\tJJ\tB-NP\tO' +p199870 +aS'midline\tmidline\tNN\tI-NP\tO' +p199871 +aS'.\t.\t.\tO\tO' +p199872 +asS'22. Finasteride 5 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' +p199873 +(lp199874 +S'22.\t22.\tCD\tB-NP\tO' +p199875 +aS'Finasteride\tFinasteride\tNN\tI-NP\tO' +p199876 +aS'5\t5\tCD\tB-NP\tO' +p199877 +aS'mg\tmg\tNN\tI-NP\tO' +p199878 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p199879 +aS'Sig\tSig\tNNP\tI-NP\tO' +p199880 +aS':\t:\t:\tO\tO' +p199881 +aS'One\tOne\tCD\tB-NP\tO' +p199882 +aS'(\t(\t(\tO\tO' +p199883 +aS'1\t1\tCD\tB-NP\tO' +p199884 +aS')\t)\t)\tO\tO' +p199885 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p199886 +aS'PO\tPO\tNN\tI-NP\tO' +p199887 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p199888 +aS'(\t(\t(\tO\tO' +p199889 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p199890 +aS')\t)\t)\tO\tO' +p199891 +aS'.\t.\t.\tO\tO' +p199892 +asS'Please call ( 890 ) 541-3008 to schedule an appointment .' +p199893 +(lp199894 +S'Please\tPlease\tNN\tB-NP\tO' +p199895 +aS'call\tcall\tNN\tI-NP\tO' +p199896 +aS'(\t(\t(\tO\tO' +p199897 +aS'890\t890\tCD\tB-NP\tO' +p199898 +aS')\t)\t)\tO\tO' +p199899 +aS'541-3008\t541-3008\tCD\tB-NP\tO' +p199900 +aS'to\tto\tTO\tB-VP\tO' +p199901 +aS'schedule\tschedule\tVB\tI-VP\tO' +p199902 +aS'an\tan\tDT\tB-NP\tO' +p199903 +aS'appointment\tappointment\tNN\tI-NP\tO' +p199904 +aS'.\t.\t.\tO\tO' +p199905 +asS'# 2. History of M. kansasaii with workup by Dr. Screen at Sas General Hospital proceeding currently .' +p199906 +(lp199907 +S'#\t#\t#\tB-NP\tO' +p199908 +aS'2.\t2.\tLS\tI-NP\tO' +p199909 +aS'History\tHistory\tNN\tI-NP\tO' +p199910 +aS'of\tof\tIN\tB-PP\tO' +p199911 +aS'M.\tM.\tNNP\tB-NP\tO' +p199912 +aS'kansasaii\tkansasaii\tNNS\tI-NP\tO' +p199913 +aS'with\twith\tIN\tB-PP\tO' +p199914 +aS'workup\tworkup\tNN\tB-NP\tO' +p199915 +aS'by\tby\tIN\tB-PP\tO' +p199916 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p199917 +aS'Screen\tScreen\tNNP\tI-NP\tO' +p199918 +aS'at\tat\tIN\tB-PP\tO' +p199919 +aS'Sas\tSas\tNNP\tB-NP\tO' +p199920 +aS'General\tGeneral\tNNP\tI-NP\tO' +p199921 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p199922 +aS'proceeding\tproceed\tVBG\tB-VP\tO' +p199923 +aS'currently\tcurrently\tRB\tB-ADVP\tO' +p199924 +aS'.\t.\t.\tO\tO' +p199925 +asS'4. Norvasc 10 mg p.o. q. day .' +p199926 +(lp199927 +S'4.\t4.\tLS\tB-LST\tO' +p199928 +aS'Norvasc\tNorvasc\tNNP\tB-NP\tO' +p199929 +aS'10\t10\tCD\tI-NP\tO' +p199930 +aS'mg\tmg\tNN\tI-NP\tO' +p199931 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p199932 +aS'q.\tq.\tNN\tI-NP\tO' +p199933 +aS'day\tday\tNN\tI-NP\tO' +p199934 +aS'.\t.\t.\tO\tO' +p199935 +asS'# CAD/CHF - The patient was restarted on his home regimen prior to discharge as it was held temporarily given his acute GI bleed .' +p199936 +(lp199937 +S'#\t#\t#\tB-NP\tO' +p199938 +aS'CAD/CHF\tCAD/CHF\tNN\tI-NP\tB-protein' +p199939 +aS'-\t-\tHYPH\tO\tO' +p199940 +aS'The\tThe\tDT\tB-NP\tO' +p199941 +aS'patient\tpatient\tNN\tI-NP\tO' +p199942 +aS'was\tbe\tVBD\tB-VP\tO' +p199943 +aS'restarted\trestart\tVBN\tI-VP\tO' +p199944 +aS'on\ton\tIN\tB-PP\tO' +p199945 +aS'his\this\tPRP$\tB-NP\tO' +p199946 +aS'home\thome\tNN\tI-NP\tO' +p199947 +aS'regimen\tregimen\tNN\tI-NP\tO' +p199948 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p199949 +aS'to\tto\tTO\tB-VP\tO' +p199950 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p199951 +aS'as\tas\tIN\tB-SBAR\tO' +p199952 +aS'it\tit\tPRP\tB-NP\tO' +p199953 +aS'was\tbe\tVBD\tB-VP\tO' +p199954 +aS'held\thold\tVBN\tI-VP\tO' +p199955 +aS'temporarily\ttemporarily\tRB\tI-VP\tO' +p199956 +aS'given\tgive\tVBN\tI-VP\tO' +p199957 +aS'his\this\tPRP$\tB-NP\tO' +p199958 +aS'acute\tacute\tJJ\tI-NP\tO' +p199959 +aS'GI\tGI\tNN\tI-NP\tO' +p199960 +aS'bleed\tbleed\tNN\tI-NP\tO' +p199961 +aS'.\t.\t.\tO\tO' +p199962 +asS'Call your doctor immediately if any new symptoms develop including fevers , rash , increase in bloody urine in nephrostomy or urostomy bags , etc .' +p199963 +(lp199964 +S'Call\tCall\tVB\tB-VP\tO' +p199965 +aS'your\tyour\tPRP$\tB-NP\tO' +p199966 +aS'doctor\tdoctor\tNN\tI-NP\tO' +p199967 +aS'immediately\timmediately\tRB\tB-ADVP\tO' +p199968 +aS'if\tif\tIN\tB-SBAR\tO' +p199969 +aS'any\tany\tDT\tB-NP\tO' +p199970 +aS'new\tnew\tJJ\tI-NP\tO' +p199971 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p199972 +aS'develop\tdevelop\tVBP\tB-VP\tO' +p199973 +aS'including\tinclude\tVBG\tB-PP\tO' +p199974 +aS'fevers\tfever\tNNS\tB-NP\tO' +p199975 +aS',\t,\t,\tO\tO' +p199976 +aS'rash\trash\tNN\tB-NP\tO' +p199977 +aS',\t,\t,\tO\tO' +p199978 +aS'increase\tincrease\tNN\tB-NP\tO' +p199979 +aS'in\tin\tIN\tB-PP\tO' +p199980 +aS'bloody\tbloody\tJJ\tB-NP\tO' +p199981 +aS'urine\turine\tNN\tI-NP\tO' +p199982 +aS'in\tin\tIN\tB-PP\tO' +p199983 +aS'nephrostomy\tnephrostomy\tNN\tB-NP\tO' +p199984 +aS'or\tor\tCC\tI-NP\tO' +p199985 +aS'urostomy\turostomy\tNN\tI-NP\tO' +p199986 +aS'bags\tbag\tNNS\tI-NP\tO' +p199987 +aS',\t,\t,\tO\tO' +p199988 +aS'etc\tetc\tFW\tB-NP\tO' +p199989 +aS'.\t.\t.\tO\tO' +p199990 +asS'She has had no syncope .' +p199991 +(lp199992 +S'She\tShe\tPRP\tB-NP\tO' +p199993 +aS'has\thave\tVBZ\tB-VP\tO' +p199994 +aS'had\thave\tVBN\tI-VP\tO' +p199995 +aS'no\tno\tDT\tB-NP\tO' +p199996 +aS'syncope\tsyncope\tNN\tI-NP\tO' +p199997 +aS'.\t.\t.\tO\tO' +p199998 +asS'The patient is a 47 year old patient of Dr. Laymie Fournier and Dr. Leebjescobe in Co In Saorlirv Frea , West Virginia who was well until a bout of double pneumonia in May 1992 , at which time he was hospitalized at Centdick Naco Hospital Medical Center .' +p199999 +(lp200000 +S'The\tThe\tDT\tB-NP\tO' +p200001 +aS'patient\tpatient\tNN\tI-NP\tO' +p200002 +aS'is\tbe\tVBZ\tB-VP\tO' +p200003 +aS'a\ta\tDT\tB-NP\tO' +p200004 +aS'47\t47\tCD\tI-NP\tO' +p200005 +aS'year\tyear\tNN\tI-NP\tO' +p200006 +aS'old\told\tJJ\tI-NP\tO' +p200007 +aS'patient\tpatient\tNN\tI-NP\tO' +p200008 +aS'of\tof\tIN\tB-PP\tO' +p200009 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p200010 +aS'Laymie\tLaymie\tNNP\tI-NP\tO' +p200011 +aS'Fournier\tFournier\tNNP\tI-NP\tO' +p200012 +aS'and\tand\tCC\tO\tO' +p200013 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p200014 +aS'Leebjescobe\tLeebjescobe\tNNP\tI-NP\tO' +p200015 +aS'in\tin\tIN\tB-PP\tO' +p200016 +aS'Co\tCo\tNNP\tB-NP\tO' +p200017 +aS'In\tIn\tIN\tB-PP\tO' +p200018 +aS'Saorlirv\tSaorlirv\tNNP\tB-NP\tO' +p200019 +aS'Frea\tFrea\tNNP\tI-NP\tO' +p200020 +aS',\t,\t,\tO\tO' +p200021 +aS'West\tWest\tNNP\tB-NP\tO' +p200022 +aS'Virginia\tVirginia\tNNP\tI-NP\tO' +p200023 +aS'who\twho\tWP\tB-NP\tO' +p200024 +aS'was\tbe\tVBD\tB-VP\tO' +p200025 +aS'well\twell\tRB\tB-ADVP\tO' +p200026 +aS'until\tuntil\tIN\tB-SBAR\tO' +p200027 +aS'a\ta\tDT\tB-NP\tO' +p200028 +aS'bout\tbout\tNN\tI-NP\tO' +p200029 +aS'of\tof\tIN\tB-PP\tO' +p200030 +aS'double\tdouble\tJJ\tB-NP\tO' +p200031 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p200032 +aS'in\tin\tIN\tB-PP\tO' +p200033 +aS'May\tMay\tNNP\tB-NP\tO' +p200034 +aS'1992\t1992\tCD\tI-NP\tO' +p200035 +aS',\t,\t,\tO\tO' +p200036 +aS'at\tat\tIN\tB-PP\tO' +p200037 +aS'which\twhich\tWDT\tB-NP\tO' +p200038 +aS'time\ttime\tNN\tI-NP\tO' +p200039 +aS'he\the\tPRP\tB-NP\tO' +p200040 +aS'was\tbe\tVBD\tB-VP\tO' +p200041 +aS'hospitalized\thospitalize\tVBN\tI-VP\tO' +p200042 +aS'at\tat\tIN\tB-PP\tO' +p200043 +aS'Centdick\tCentdick\tNNP\tB-NP\tO' +p200044 +aS'Naco\tNaco\tNNP\tI-NP\tO' +p200045 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p200046 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p200047 +aS'Center\tCenter\tNNP\tI-NP\tO' +p200048 +aS'.\t.\t.\tO\tO' +p200049 +asS'Disp :* 50 Tablet (s)* Refills :* 0 *' +p200050 +(lp200051 +S'Disp\tDisp\tNN\tB-NP\tO' +p200052 +aS':*\t:*\tSYM\tI-NP\tO' +p200053 +aS'50\t50\tCD\tI-NP\tO' +p200054 +aS'Tablet\tTablet\tNN\tI-NP\tO' +p200055 +aS'(s)*\t(s)*\tSYM\tB-NP\tO' +p200056 +aS'Refills\tRefill\tNNPS\tI-NP\tO' +p200057 +aS':*\t:*\tSYM\tB-NP\tO' +p200058 +aS'0\t0\tCD\tI-NP\tO' +p200059 +aS'*\t*\tSYM\tB-NP\tO' +p200060 +asS'The patient was discharged home in stable condition and will follow up with his cardiologist and will follow up with Dr. Hemp and Dr. Signs .' +p200061 +(lp200062 +S'The\tThe\tDT\tB-NP\tO' +p200063 +aS'patient\tpatient\tNN\tI-NP\tO' +p200064 +aS'was\tbe\tVBD\tB-VP\tO' +p200065 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p200066 +aS'home\thome\tNN\tB-ADVP\tO' +p200067 +aS'in\tin\tIN\tB-PP\tO' +p200068 +aS'stable\tstable\tJJ\tB-NP\tO' +p200069 +aS'condition\tcondition\tNN\tI-NP\tO' +p200070 +aS'and\tand\tCC\tO\tO' +p200071 +aS'will\twill\tMD\tB-VP\tO' +p200072 +aS'follow\tfollow\tVB\tI-VP\tO' +p200073 +aS'up\tup\tRP\tB-PRT\tO' +p200074 +aS'with\twith\tIN\tB-PP\tO' +p200075 +aS'his\this\tPRP$\tB-NP\tO' +p200076 +aS'cardiologist\tcardiologist\tNN\tI-NP\tO' +p200077 +aS'and\tand\tCC\tO\tO' +p200078 +aS'will\twill\tMD\tB-VP\tO' +p200079 +aS'follow\tfollow\tVB\tI-VP\tO' +p200080 +aS'up\tup\tRP\tB-PRT\tO' +p200081 +aS'with\twith\tIN\tB-PP\tO' +p200082 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p200083 +aS'Hemp\tHemp\tNNP\tI-NP\tO' +p200084 +aS'and\tand\tCC\tO\tO' +p200085 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p200086 +aS'Signs\tSigns\tNNP\tI-NP\tO' +p200087 +aS'.\t.\t.\tO\tO' +p200088 +asS'Left hip shows flexion and extension 40 .' +p200089 +(lp200090 +S'Left\tLeave\tVBN\tB-NP\tO' +p200091 +aS'hip\thip\tNN\tI-NP\tO' +p200092 +aS'shows\tshow\tVBZ\tB-VP\tO' +p200093 +aS'flexion\tflexion\tNN\tB-NP\tO' +p200094 +aS'and\tand\tCC\tO\tO' +p200095 +aS'extension\textension\tNN\tB-NP\tO' +p200096 +aS'40\t40\tCD\tI-NP\tO' +p200097 +aS'.\t.\t.\tO\tO' +p200098 +asS'Toprol XL 100 mg p.o. every day .' +p200099 +(lp200100 +S'Toprol\tToprol\tNN\tB-NP\tO' +p200101 +aS'XL\tXL\tNN\tI-NP\tO' +p200102 +aS'100\t100\tCD\tI-NP\tO' +p200103 +aS'mg\tmg\tNN\tI-NP\tO' +p200104 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p200105 +aS'every\tevery\tDT\tB-NP\tO' +p200106 +aS'day\tday\tNN\tI-NP\tO' +p200107 +aS'.\t.\t.\tO\tO' +p200108 +asS'PICC line placed 2019-01-08 , this should be discontinued immediately after pt finishes the linezolid course .' +p200109 +(lp200110 +S'PICC\tPICC\tNN\tB-NP\tO' +p200111 +aS'line\tline\tNN\tI-NP\tO' +p200112 +aS'placed\tplace\tVBD\tB-VP\tO' +p200113 +aS'2019-01-08\t2019-01-08\tCD\tB-NP\tO' +p200114 +aS',\t,\t,\tO\tO' +p200115 +aS'this\tthis\tDT\tB-NP\tO' +p200116 +aS'should\tshould\tMD\tB-VP\tO' +p200117 +aS'be\tbe\tVB\tI-VP\tO' +p200118 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p200119 +aS'immediately\timmediately\tRB\tB-ADVP\tO' +p200120 +aS'after\tafter\tIN\tB-SBAR\tO' +p200121 +aS'pt\tpt\tNN\tB-NP\tO' +p200122 +aS'finishes\tfinish\tVBZ\tB-VP\tO' +p200123 +aS'the\tthe\tDT\tB-NP\tO' +p200124 +aS'linezolid\tlinezolid\tJJ\tI-NP\tO' +p200125 +aS'course\tcourse\tNN\tI-NP\tO' +p200126 +aS'.\t.\t.\tO\tO' +p200127 +asS'Serum toxic screen is negative .' +p200128 +(lp200129 +S'Serum\tSerum\tNN\tB-NP\tO' +p200130 +aS'toxic\ttoxic\tJJ\tI-NP\tO' +p200131 +aS'screen\tscreen\tNN\tI-NP\tO' +p200132 +aS'is\tbe\tVBZ\tB-VP\tO' +p200133 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p200134 +aS'.\t.\t.\tO\tO' +p200135 +asS'CV - Normal S1/S2 , irreg irreg' +p200136 +(lp200137 +S'CV\tCV\tNN\tB-NP\tO' +p200138 +aS'-\t-\tHYPH\tI-NP\tO' +p200139 +aS'Normal\tNormal\tJJ\tI-NP\tO' +p200140 +aS'S1/S2\tS1/S2\tNN\tI-NP\tO' +p200141 +aS',\t,\t,\tO\tO' +p200142 +aS'irreg\tirreg\tNN\tB-NP\tO' +p200143 +aS'irreg\tirreg\tNN\tI-NP\tO' +p200144 +asS'HEENT - NC AT .' +p200145 +(lp200146 +S'HEENT\tHEENT\tNN\tB-NP\tB-protein' +p200147 +aS'-\t-\tHYPH\tI-NP\tO' +p200148 +aS'NC\tNC\tNN\tI-NP\tB-protein' +p200149 +aS'AT\tAT\tNN\tI-NP\tI-protein' +p200150 +aS'.\t.\t.\tO\tO' +p200151 +asS'The patient was taken to the OR on POD#0 for re-exploration with incision at 2243 .' +p200152 +(lp200153 +S'The\tThe\tDT\tB-NP\tO' +p200154 +aS'patient\tpatient\tNN\tI-NP\tO' +p200155 +aS'was\tbe\tVBD\tB-VP\tO' +p200156 +aS'taken\ttake\tVBN\tI-VP\tO' +p200157 +aS'to\tto\tTO\tB-PP\tO' +p200158 +aS'the\tthe\tDT\tB-NP\tO' +p200159 +aS'OR\tOR\tNN\tI-NP\tO' +p200160 +aS'on\ton\tIN\tB-PP\tO' +p200161 +aS'POD#0\tPOD#0\tNN\tB-NP\tB-protein' +p200162 +aS'for\tfor\tIN\tB-PP\tO' +p200163 +aS're-exploration\tre-exploration\tNN\tB-NP\tO' +p200164 +aS'with\twith\tIN\tB-PP\tO' +p200165 +aS'incision\tincision\tNN\tB-NP\tO' +p200166 +aS'at\tat\tIN\tB-PP\tO' +p200167 +aS'2243\t2243\tCD\tB-NP\tO' +p200168 +aS'.\t.\t.\tO\tO' +p200169 +asS'Shower daily , let water flow over wounds , pat dry with a towel .' +p200170 +(lp200171 +S'Shower\tShower\tRBR\tB-ADVP\tO' +p200172 +aS'daily\tdaily\tRB\tI-ADVP\tO' +p200173 +aS',\t,\t,\tO\tO' +p200174 +aS'let\tlet\tVB\tB-VP\tO' +p200175 +aS'water\twater\tNN\tB-NP\tO' +p200176 +aS'flow\tflow\tNN\tI-NP\tO' +p200177 +aS'over\tover\tIN\tB-PP\tO' +p200178 +aS'wounds\twound\tNNS\tB-NP\tO' +p200179 +aS',\t,\t,\tO\tO' +p200180 +aS'pat\tpat\tNN\tB-NP\tO' +p200181 +aS'dry\tdry\tJJ\tB-ADJP\tO' +p200182 +aS'with\twith\tIN\tB-PP\tO' +p200183 +aS'a\ta\tDT\tB-NP\tO' +p200184 +aS'towel\ttowel\tNN\tI-NP\tO' +p200185 +aS'.\t.\t.\tO\tO' +p200186 +asS'Bilateral red reflexes .' +p200187 +(lp200188 +S'Bilateral\tBilateral\tJJ\tB-NP\tO' +p200189 +aS'red\tred\tJJ\tI-NP\tO' +p200190 +aS'reflexes\treflex\tNNS\tI-NP\tO' +p200191 +aS'.\t.\t.\tO\tO' +p200192 +asS'She will be discharged on AmBisome 300 mg IV q.d. for treatment of her hepatic candidiasis .' +p200193 +(lp200194 +S'She\tShe\tPRP\tB-NP\tO' +p200195 +aS'will\twill\tMD\tB-VP\tO' +p200196 +aS'be\tbe\tVB\tI-VP\tO' +p200197 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p200198 +aS'on\ton\tIN\tB-PP\tO' +p200199 +aS'AmBisome\tAmBisome\tJJ\tB-NP\tO' +p200200 +aS'300\t300\tCD\tI-NP\tO' +p200201 +aS'mg\tmg\tNN\tI-NP\tO' +p200202 +aS'IV\tIV\tCD\tB-NP\tO' +p200203 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p200204 +aS'for\tfor\tIN\tB-PP\tO' +p200205 +aS'treatment\ttreatment\tNN\tB-NP\tO' +p200206 +aS'of\tof\tIN\tB-PP\tO' +p200207 +aS'her\ther\tPRP$\tB-NP\tO' +p200208 +aS'hepatic\thepatic\tJJ\tI-NP\tO' +p200209 +aS'candidiasis\tcandidiasis\tNN\tI-NP\tO' +p200210 +aS'.\t.\t.\tO\tO' +p200211 +asS'Few inspiratory wheezes and no rhonchi .' +p200212 +(lp200213 +S'Few\tFew\tJJ\tB-NP\tO' +p200214 +aS'inspiratory\tinspiratory\tJJ\tI-NP\tO' +p200215 +aS'wheezes\twheeze\tNNS\tI-NP\tO' +p200216 +aS'and\tand\tCC\tO\tO' +p200217 +aS'no\tno\tDT\tB-NP\tO' +p200218 +aS'rhonchi\trhonchi\tNN\tI-NP\tO' +p200219 +aS'.\t.\t.\tO\tO' +p200220 +asS'She was given blow-by oxygen and stimulation .' +p200221 +(lp200222 +S'She\tShe\tPRP\tB-NP\tO' +p200223 +aS'was\tbe\tVBD\tB-VP\tO' +p200224 +aS'given\tgive\tVBN\tI-VP\tO' +p200225 +aS'blow-by\tblow-by\tJJ\tB-NP\tO' +p200226 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p200227 +aS'and\tand\tCC\tI-NP\tO' +p200228 +aS'stimulation\tstimulation\tNN\tI-NP\tO' +p200229 +aS'.\t.\t.\tO\tO' +p200230 +asS'For a short time , she seemed " locked in " .' +p200231 +(lp200232 +S'For\tFor\tIN\tB-PP\tO' +p200233 +aS'a\ta\tDT\tB-NP\tO' +p200234 +aS'short\tshort\tJJ\tI-NP\tO' +p200235 +aS'time\ttime\tNN\tI-NP\tO' +p200236 +aS',\t,\t,\tO\tO' +p200237 +aS'she\tshe\tPRP\tB-NP\tO' +p200238 +aS'seemed\tseem\tVBD\tB-VP\tO' +p200239 +aS'"\t"\t:\tO\tO' +p200240 +aS'locked\tlock\tVBN\tB-VP\tO' +p200241 +aS'in\tin\tIN\tB-PP\tO' +p200242 +aS'"\t"\tNN\tB-NP\tO' +p200243 +aS'.\t.\t.\tO\tO' +p200244 +asS'Neurological examination intact .' +p200245 +(lp200246 +S'Neurological\tNeurological\tJJ\tB-NP\tO' +p200247 +aS'examination\texamination\tNN\tI-NP\tO' +p200248 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p200249 +aS'.\t.\t.\tO\tO' +p200250 +asS'In general , he was unarousible , intubated , not on any sedation .' +p200251 +(lp200252 +S'In\tIn\tIN\tB-PP\tO' +p200253 +aS'general\tgeneral\tJJ\tB-ADJP\tO' +p200254 +aS',\t,\t,\tO\tO' +p200255 +aS'he\the\tPRP\tB-NP\tO' +p200256 +aS'was\tbe\tVBD\tB-VP\tO' +p200257 +aS'unarousible\tunarousible\tJJ\tB-ADJP\tO' +p200258 +aS',\t,\t,\tO\tO' +p200259 +aS'intubated\tintubated\tJJ\tB-ADJP\tO' +p200260 +aS',\t,\t,\tB-PP\tO' +p200261 +aS'not\tnot\tRB\tI-PP\tO' +p200262 +aS'on\ton\tIN\tB-PP\tO' +p200263 +aS'any\tany\tDT\tB-NP\tO' +p200264 +aS'sedation\tsedation\tNN\tI-NP\tO' +p200265 +aS'.\t.\t.\tO\tO' +p200266 +asS'The patient is a 55 - year-old male with recently diagnosed abdominal carcinomatosis .' +p200267 +(lp200268 +S'The\tThe\tDT\tB-NP\tO' +p200269 +aS'patient\tpatient\tNN\tI-NP\tO' +p200270 +aS'is\tbe\tVBZ\tB-VP\tO' +p200271 +aS'a\ta\tDT\tB-NP\tO' +p200272 +aS'55\t55\tCD\tI-NP\tO' +p200273 +aS'-\t-\tHYPH\tI-NP\tO' +p200274 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p200275 +aS'male\tmale\tNN\tI-NP\tO' +p200276 +aS'with\twith\tIN\tB-PP\tO' +p200277 +aS'recently\trecently\tRB\tB-NP\tO' +p200278 +aS'diagnosed\tdiagnose\tVBN\tI-NP\tO' +p200279 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p200280 +aS'carcinomatosis\tcarcinomatosis\tNN\tI-NP\tO' +p200281 +aS'.\t.\t.\tO\tO' +p200282 +asS'Patient has a seventy pack year history of smoking which he quit ten years ago and he has previously had problems with alcohol .' +p200283 +(lp200284 +S'Patient\tPatient\tNN\tB-NP\tO' +p200285 +aS'has\thave\tVBZ\tB-VP\tO' +p200286 +aS'a\ta\tDT\tB-NP\tO' +p200287 +aS'seventy\tseventy\tJJ\tI-NP\tO' +p200288 +aS'pack\tpack\tNN\tI-NP\tO' +p200289 +aS'year\tyear\tNN\tI-NP\tO' +p200290 +aS'history\thistory\tNN\tI-NP\tO' +p200291 +aS'of\tof\tIN\tB-PP\tO' +p200292 +aS'smoking\tsmoking\tNN\tB-NP\tO' +p200293 +aS'which\twhich\tWDT\tB-NP\tO' +p200294 +aS'he\the\tPRP\tB-NP\tO' +p200295 +aS'quit\tquit\tVBD\tB-VP\tO' +p200296 +aS'ten\tten\tCD\tB-NP\tO' +p200297 +aS'years\tyear\tNNS\tI-NP\tO' +p200298 +aS'ago\tago\tRB\tB-ADVP\tO' +p200299 +aS'and\tand\tCC\tO\tO' +p200300 +aS'he\the\tPRP\tB-NP\tO' +p200301 +aS'has\thave\tVBZ\tB-VP\tO' +p200302 +aS'previously\tpreviously\tRB\tI-VP\tO' +p200303 +aS'had\thave\tVBN\tI-VP\tO' +p200304 +aS'problems\tproblem\tNNS\tB-NP\tO' +p200305 +aS'with\twith\tIN\tB-PP\tO' +p200306 +aS'alcohol\talcohol\tNN\tB-NP\tO' +p200307 +aS'.\t.\t.\tO\tO' +p200308 +asS'the patient was alert and oriented x 4 .' +p200309 +(lp200310 +S'the\tthe\tDT\tB-NP\tO' +p200311 +aS'patient\tpatient\tNN\tI-NP\tO' +p200312 +aS'was\tbe\tVBD\tB-VP\tO' +p200313 +aS'alert\talert\tJJ\tB-ADJP\tO' +p200314 +aS'and\tand\tCC\tO\tO' +p200315 +aS'oriented\torient\tVBN\tB-VP\tB-protein' +p200316 +aS'x\tx\tNN\tB-NP\tI-protein' +p200317 +aS'4\t4\tCD\tI-NP\tI-protein' +p200318 +aS'.\t.\t.\tO\tO' +p200319 +asS'No masses .' +p200320 +(lp200321 +S'No\tNo\tDT\tB-NP\tO' +p200322 +aS'masses\tmass\tNNS\tI-NP\tO' +p200323 +aS'.\t.\t.\tO\tO' +p200324 +asS'In 1989 the patient was dunking a basketball and injured his right shoulder with abduction external rotation injury .' +p200325 +(lp200326 +S'In\tIn\tIN\tB-PP\tO' +p200327 +aS'1989\t1989\tCD\tB-NP\tO' +p200328 +aS'the\tthe\tDT\tB-NP\tO' +p200329 +aS'patient\tpatient\tNN\tI-NP\tO' +p200330 +aS'was\tbe\tVBD\tB-VP\tO' +p200331 +aS'dunking\tdunk\tVBG\tI-VP\tO' +p200332 +aS'a\ta\tDT\tB-NP\tO' +p200333 +aS'basketball\tbasketball\tNN\tI-NP\tO' +p200334 +aS'and\tand\tCC\tO\tO' +p200335 +aS'injured\tinjure\tVBD\tB-VP\tO' +p200336 +aS'his\this\tPRP$\tB-NP\tO' +p200337 +aS'right\tright\tJJ\tI-NP\tO' +p200338 +aS'shoulder\tshoulder\tNN\tI-NP\tO' +p200339 +aS'with\twith\tIN\tB-PP\tO' +p200340 +aS'abduction\tabduction\tNN\tB-NP\tO' +p200341 +aS'external\texternal\tJJ\tI-NP\tO' +p200342 +aS'rotation\trotation\tNN\tI-NP\tO' +p200343 +aS'injury\tinjury\tNN\tI-NP\tO' +p200344 +aS'.\t.\t.\tO\tO' +p200345 +asS'In the evening of the day of admission he was noted to be increasingly somnolent .' +p200346 +(lp200347 +S'In\tIn\tIN\tB-PP\tO' +p200348 +aS'the\tthe\tDT\tB-NP\tO' +p200349 +aS'evening\tevening\tNN\tI-NP\tO' +p200350 +aS'of\tof\tIN\tB-PP\tO' +p200351 +aS'the\tthe\tDT\tB-NP\tO' +p200352 +aS'day\tday\tNN\tI-NP\tO' +p200353 +aS'of\tof\tIN\tB-PP\tO' +p200354 +aS'admission\tadmission\tNN\tB-NP\tO' +p200355 +aS'he\the\tPRP\tB-NP\tO' +p200356 +aS'was\tbe\tVBD\tB-VP\tO' +p200357 +aS'noted\tnote\tVBN\tI-VP\tO' +p200358 +aS'to\tto\tTO\tI-VP\tO' +p200359 +aS'be\tbe\tVB\tI-VP\tO' +p200360 +aS'increasingly\tincreasingly\tRB\tB-ADJP\tO' +p200361 +aS'somnolent\tsomnolent\tJJ\tI-ADJP\tO' +p200362 +aS'.\t.\t.\tO\tO' +p200363 +asS'A week and half ago , she had a steroid injection in an efforts to ameliorate the pain .' +p200364 +(lp200365 +S'A\tA\tDT\tB-NP\tO' +p200366 +aS'week\tweek\tNN\tI-NP\tO' +p200367 +aS'and\tand\tCC\tO\tO' +p200368 +aS'half\thalf\tNN\tB-NP\tO' +p200369 +aS'ago\tago\tRB\tB-ADVP\tO' +p200370 +aS',\t,\t,\tO\tO' +p200371 +aS'she\tshe\tPRP\tB-NP\tO' +p200372 +aS'had\thave\tVBD\tB-VP\tO' +p200373 +aS'a\ta\tDT\tB-NP\tO' +p200374 +aS'steroid\tsteroid\tNN\tI-NP\tO' +p200375 +aS'injection\tinjection\tNN\tI-NP\tO' +p200376 +aS'in\tin\tIN\tB-PP\tO' +p200377 +aS'an\tan\tDT\tB-NP\tO' +p200378 +aS'efforts\teffort\tNNS\tI-NP\tO' +p200379 +aS'to\tto\tTO\tB-VP\tO' +p200380 +aS'ameliorate\tameliorate\tVB\tI-VP\tO' +p200381 +aS'the\tthe\tDT\tB-NP\tO' +p200382 +aS'pain\tpain\tNN\tI-NP\tO' +p200383 +aS'.\t.\t.\tO\tO' +p200384 +asS'The patient is an 83 - year-old male with a history of diabetes , steroid-treated polymyalgia rheumatica , hypertension , benign prostatic hypertrophy , and high cholesterol without presented to the hospital for lower extremity angiograph ; however , that was deferred due to new onset renal failure .' +p200385 +(lp200386 +S'The\tThe\tDT\tB-NP\tO' +p200387 +aS'patient\tpatient\tNN\tI-NP\tO' +p200388 +aS'is\tbe\tVBZ\tB-VP\tO' +p200389 +aS'an\tan\tDT\tB-NP\tO' +p200390 +aS'83\t83\tCD\tI-NP\tO' +p200391 +aS'-\t-\tHYPH\tI-NP\tO' +p200392 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p200393 +aS'male\tmale\tNN\tI-NP\tO' +p200394 +aS'with\twith\tIN\tB-PP\tO' +p200395 +aS'a\ta\tDT\tB-NP\tO' +p200396 +aS'history\thistory\tNN\tI-NP\tO' +p200397 +aS'of\tof\tIN\tB-PP\tO' +p200398 +aS'diabetes\tdiabetes\tNN\tB-NP\tO' +p200399 +aS',\t,\t,\tO\tO' +p200400 +aS'steroid-treated\tsteroid-treated\tJJ\tB-NP\tO' +p200401 +aS'polymyalgia\tpolymyalgia\tNN\tI-NP\tO' +p200402 +aS'rheumatica\trheumatica\tNN\tI-NP\tO' +p200403 +aS',\t,\t,\tO\tO' +p200404 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p200405 +aS',\t,\t,\tO\tO' +p200406 +aS'benign\tbenign\tJJ\tB-NP\tO' +p200407 +aS'prostatic\tprostatic\tJJ\tI-NP\tO' +p200408 +aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' +p200409 +aS',\t,\t,\tO\tO' +p200410 +aS'and\tand\tCC\tO\tO' +p200411 +aS'high\thigh\tJJ\tB-NP\tO' +p200412 +aS'cholesterol\tcholesterol\tNN\tI-NP\tO' +p200413 +aS'without\twithout\tIN\tB-PP\tO' +p200414 +aS'presented\tpresent\tVBN\tB-VP\tO' +p200415 +aS'to\tto\tTO\tB-PP\tO' +p200416 +aS'the\tthe\tDT\tB-NP\tO' +p200417 +aS'hospital\thospital\tNN\tI-NP\tO' +p200418 +aS'for\tfor\tIN\tB-PP\tO' +p200419 +aS'lower\tlow\tJJR\tB-NP\tO' +p200420 +aS'extremity\textremity\tNN\tI-NP\tO' +p200421 +aS'angiograph\tangiograph\tNN\tI-NP\tO' +p200422 +aS';\t;\t:\tO\tO' +p200423 +aS'however\thowever\tRB\tB-ADVP\tO' +p200424 +aS',\t,\t,\tO\tO' +p200425 +aS'that\tthat\tWDT\tB-NP\tO' +p200426 +aS'was\tbe\tVBD\tB-VP\tO' +p200427 +aS'deferred\tdefer\tVBN\tI-VP\tO' +p200428 +aS'due\tdue\tJJ\tB-ADJP\tO' +p200429 +aS'to\tto\tTO\tB-PP\tO' +p200430 +aS'new\tnew\tJJ\tB-NP\tO' +p200431 +aS'onset\tonset\tNN\tI-NP\tO' +p200432 +aS'renal\trenal\tJJ\tI-NP\tO' +p200433 +aS'failure\tfailure\tNN\tI-NP\tO' +p200434 +aS'.\t.\t.\tO\tO' +p200435 +asS'Attending : Michael I. Miller , M.D.' +p200436 +(lp200437 +S'Attending\tAttend\tVBG\tB-VP\tO' +p200438 +aS':\t:\t:\tO\tO' +p200439 +aS'Michael\tMichael\tNNP\tB-NP\tO' +p200440 +aS'I.\tI.\tNNP\tI-NP\tO' +p200441 +aS'Miller\tMiller\tNNP\tI-NP\tO' +p200442 +aS',\t,\t,\tO\tO' +p200443 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p200444 +asS'There is a linear right temporal calvarial fracture extending into the right temporal bones .' +p200445 +(lp200446 +S'There\tThere\tEX\tB-NP\tO' +p200447 +aS'is\tbe\tVBZ\tB-VP\tO' +p200448 +aS'a\ta\tDT\tB-NP\tO' +p200449 +aS'linear\tlinear\tJJ\tI-NP\tO' +p200450 +aS'right\tright\tJJ\tI-NP\tO' +p200451 +aS'temporal\ttemporal\tJJ\tI-NP\tO' +p200452 +aS'calvarial\tcalvarial\tJJ\tI-NP\tO' +p200453 +aS'fracture\tfracture\tNN\tI-NP\tO' +p200454 +aS'extending\textend\tVBG\tB-VP\tO' +p200455 +aS'into\tinto\tIN\tB-PP\tO' +p200456 +aS'the\tthe\tDT\tB-NP\tO' +p200457 +aS'right\tright\tJJ\tI-NP\tO' +p200458 +aS'temporal\ttemporal\tJJ\tI-NP\tO' +p200459 +aS'bones\tbone\tNNS\tI-NP\tO' +p200460 +aS'.\t.\t.\tO\tO' +p200461 +asS'It was felt that the patient possibly had a worsening of his coronary artery disease and therefore underwent cardiac catheterization on 01/17/96 .' +p200462 +(lp200463 +S'It\tIt\tPRP\tB-NP\tO' +p200464 +aS'was\tbe\tVBD\tB-VP\tO' +p200465 +aS'felt\tfeel\tVBN\tI-VP\tO' +p200466 +aS'that\tthat\tIN\tB-SBAR\tO' +p200467 +aS'the\tthe\tDT\tB-NP\tO' +p200468 +aS'patient\tpatient\tNN\tI-NP\tO' +p200469 +aS'possibly\tpossibly\tRB\tB-ADVP\tO' +p200470 +aS'had\thave\tVBD\tB-VP\tO' +p200471 +aS'a\ta\tDT\tB-NP\tO' +p200472 +aS'worsening\tworsening\tNN\tI-NP\tO' +p200473 +aS'of\tof\tIN\tB-PP\tO' +p200474 +aS'his\this\tPRP$\tB-NP\tO' +p200475 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p200476 +aS'artery\tartery\tNN\tI-NP\tO' +p200477 +aS'disease\tdisease\tNN\tI-NP\tO' +p200478 +aS'and\tand\tCC\tO\tO' +p200479 +aS'therefore\ttherefore\tRB\tB-ADVP\tO' +p200480 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p200481 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p200482 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p200483 +aS'on\ton\tIN\tB-PP\tO' +p200484 +aS'01/17/96\t01/17/96\tCD\tB-NP\tO' +p200485 +aS'.\t.\t.\tO\tO' +p200486 +asS'Responsible After Study for Causing Admission ) COPD flare' +p200487 +(lp200488 +S'Responsible\tResponsible\tJJ\tB-ADJP\tO' +p200489 +aS'After\tAfter\tIN\tB-PP\tO' +p200490 +aS'Study\tStudy\tNN\tB-NP\tO' +p200491 +aS'for\tfor\tIN\tB-PP\tO' +p200492 +aS'Causing\tCause\tVBG\tB-VP\tO' +p200493 +aS'Admission\tAdmission\tNN\tB-NP\tO' +p200494 +aS')\t)\t)\tO\tO' +p200495 +aS'COPD\tCOPD\tNN\tB-NP\tO' +p200496 +aS'flare\tflare\tNN\tI-NP\tO' +p200497 +asS'She tolerated a regular diet .' +p200498 +(lp200499 +S'She\tShe\tPRP\tB-NP\tO' +p200500 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p200501 +aS'a\ta\tDT\tB-NP\tO' +p200502 +aS'regular\tregular\tJJ\tI-NP\tO' +p200503 +aS'diet\tdiet\tNN\tI-NP\tO' +p200504 +aS'.\t.\t.\tO\tO' +p200505 +asS'Patient is a 49 year old previously healthy female , who was diagnosed in June , 1992 , with a breast carcinoma , after she presented with some breast discomfort on the left side .' +p200506 +(lp200507 +S'Patient\tPatient\tNN\tB-NP\tO' +p200508 +aS'is\tbe\tVBZ\tB-VP\tO' +p200509 +aS'a\ta\tDT\tB-NP\tO' +p200510 +aS'49\t49\tCD\tI-NP\tO' +p200511 +aS'year\tyear\tNN\tI-NP\tO' +p200512 +aS'old\told\tJJ\tI-NP\tO' +p200513 +aS'previously\tpreviously\tRB\tI-NP\tO' +p200514 +aS'healthy\thealthy\tJJ\tI-NP\tO' +p200515 +aS'female\tfemale\tNN\tI-NP\tO' +p200516 +aS',\t,\t,\tO\tO' +p200517 +aS'who\twho\tWP\tB-NP\tO' +p200518 +aS'was\tbe\tVBD\tB-VP\tO' +p200519 +aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' +p200520 +aS'in\tin\tIN\tB-PP\tO' +p200521 +aS'June\tJune\tNNP\tB-NP\tO' +p200522 +aS',\t,\t,\tO\tO' +p200523 +aS'1992\t1992\tCD\tB-NP\tO' +p200524 +aS',\t,\t,\tO\tO' +p200525 +aS'with\twith\tIN\tB-PP\tO' +p200526 +aS'a\ta\tDT\tB-NP\tO' +p200527 +aS'breast\tbreast\tNN\tI-NP\tO' +p200528 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p200529 +aS',\t,\t,\tO\tO' +p200530 +aS'after\tafter\tIN\tB-SBAR\tO' +p200531 +aS'she\tshe\tPRP\tB-NP\tO' +p200532 +aS'presented\tpresent\tVBD\tB-VP\tO' +p200533 +aS'with\twith\tIN\tB-PP\tO' +p200534 +aS'some\tsome\tDT\tB-NP\tO' +p200535 +aS'breast\tbreast\tNN\tI-NP\tO' +p200536 +aS'discomfort\tdiscomfort\tNN\tI-NP\tO' +p200537 +aS'on\ton\tIN\tB-PP\tO' +p200538 +aS'the\tthe\tDT\tB-NP\tO' +p200539 +aS'left\tleft\tJJ\tI-NP\tO' +p200540 +aS'side\tside\tNN\tI-NP\tO' +p200541 +aS'.\t.\t.\tO\tO' +p200542 +asS'Compared to the previous tracing of 2014-07-30 no significant change .' +p200543 +(lp200544 +S'Compared\tCompare\tVBN\tB-PP\tO' +p200545 +aS'to\tto\tTO\tB-PP\tO' +p200546 +aS'the\tthe\tDT\tB-NP\tO' +p200547 +aS'previous\tprevious\tJJ\tI-NP\tO' +p200548 +aS'tracing\ttracing\tNN\tI-NP\tO' +p200549 +aS'of\tof\tIN\tB-PP\tO' +p200550 +aS'2014-07-30\t2014-07-30\tCD\tB-NP\tO' +p200551 +aS'no\tno\tDT\tB-NP\tO' +p200552 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p200553 +aS'change\tchange\tNN\tI-NP\tO' +p200554 +aS'.\t.\t.\tO\tO' +p200555 +asS'Of note , this is the second time the patient has exercised in many months .' +p200556 +(lp200557 +S'Of\tOf\tIN\tB-PP\tO' +p200558 +aS'note\tnote\tNN\tB-NP\tO' +p200559 +aS',\t,\t,\tO\tO' +p200560 +aS'this\tthis\tDT\tB-NP\tO' +p200561 +aS'is\tbe\tVBZ\tB-VP\tO' +p200562 +aS'the\tthe\tDT\tB-NP\tO' +p200563 +aS'second\tsecond\tJJ\tI-NP\tO' +p200564 +aS'time\ttime\tNN\tI-NP\tO' +p200565 +aS'the\tthe\tDT\tB-NP\tO' +p200566 +aS'patient\tpatient\tNN\tI-NP\tO' +p200567 +aS'has\thave\tVBZ\tB-VP\tO' +p200568 +aS'exercised\texercise\tVBN\tI-VP\tO' +p200569 +aS'in\tin\tIN\tB-PP\tO' +p200570 +aS'many\tmany\tJJ\tB-NP\tO' +p200571 +aS'months\tmonth\tNNS\tI-NP\tO' +p200572 +aS'.\t.\t.\tO\tO' +p200573 +asS'Estimated blood loss was 100 cc and she tolerated the procedure well .' +p200574 +(lp200575 +S'Estimated\tEstimate\tVBN\tB-NP\tO' +p200576 +aS'blood\tblood\tNN\tI-NP\tO' +p200577 +aS'loss\tloss\tNN\tI-NP\tO' +p200578 +aS'was\tbe\tVBD\tB-VP\tO' +p200579 +aS'100\t100\tCD\tB-NP\tO' +p200580 +aS'cc\tcc\tNN\tI-NP\tO' +p200581 +aS'and\tand\tCC\tO\tO' +p200582 +aS'she\tshe\tPRP\tB-NP\tO' +p200583 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p200584 +aS'the\tthe\tDT\tB-NP\tO' +p200585 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p200586 +aS'well\twell\tRB\tB-ADVP\tO' +p200587 +aS'.\t.\t.\tO\tO' +p200588 +asS'He was transferred to Mass. Eye & Ear Infirmary for treatment .' +p200589 +(lp200590 +S'He\tHe\tPRP\tB-NP\tO' +p200591 +aS'was\tbe\tVBD\tB-VP\tO' +p200592 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p200593 +aS'to\tto\tTO\tB-PP\tO' +p200594 +aS'Mass.\tMass.\tNNP\tB-NP\tO' +p200595 +aS'Eye\tEye\tNNP\tI-NP\tO' +p200596 +aS'&\t&\tCC\tI-NP\tO' +p200597 +aS'Ear\tEar\tNNP\tI-NP\tO' +p200598 +aS'Infirmary\tInfirmary\tNNP\tI-NP\tO' +p200599 +aS'for\tfor\tIN\tB-PP\tO' +p200600 +aS'treatment\ttreatment\tNN\tB-NP\tO' +p200601 +aS'.\t.\t.\tO\tO' +p200602 +asS'Her abd distention and tenderness improved after bowel movement .' +p200603 +(lp200604 +S'Her\tHer\tPRP$\tB-NP\tO' +p200605 +aS'abd\tabd\tNN\tI-NP\tO' +p200606 +aS'distention\tdistention\tNN\tI-NP\tO' +p200607 +aS'and\tand\tCC\tI-NP\tO' +p200608 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p200609 +aS'improved\timprove\tVBD\tB-VP\tO' +p200610 +aS'after\tafter\tIN\tB-PP\tO' +p200611 +aS'bowel\tbowel\tNN\tB-NP\tO' +p200612 +aS'movement\tmovement\tNN\tI-NP\tO' +p200613 +aS'.\t.\t.\tO\tO' +p200614 +asS'pt was Levo 250mg x 3 days for UTI ( pyuria on admisstion ) .' +p200615 +(lp200616 +S'pt\tpt\tNN\tB-NP\tO' +p200617 +aS'was\tbe\tVBD\tB-VP\tO' +p200618 +aS'Levo\tLevo\tNNP\tB-NP\tO' +p200619 +aS'250mg\t250mg\tCD\tI-NP\tO' +p200620 +aS'x\tx\tCC\tI-NP\tO' +p200621 +aS'3\t3\tCD\tI-NP\tO' +p200622 +aS'days\tday\tNNS\tI-NP\tO' +p200623 +aS'for\tfor\tIN\tB-PP\tO' +p200624 +aS'UTI\tUTI\tNN\tB-NP\tO' +p200625 +aS'(\t(\t(\tO\tO' +p200626 +aS'pyuria\tpyuria\tNN\tB-NP\tO' +p200627 +aS'on\ton\tIN\tB-PP\tO' +p200628 +aS'admisstion\tadmisstion\tNN\tB-NP\tO' +p200629 +aS')\t)\t)\tO\tO' +p200630 +aS'.\t.\t.\tO\tO' +p200631 +asS'1. Prematurity .' +p200632 +(lp200633 +S'1.\t1.\tLS\tB-NP\tO' +p200634 +aS'Prematurity\tPrematurity\tNN\tI-NP\tO' +p200635 +aS'.\t.\t.\tO\tO' +p200636 +asS'Dr. Grendwierst 1-2 weeks , No Known Allergies' +p200637 +(lp200638 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p200639 +aS'Grendwierst\tGrendwierst\tNNP\tI-NP\tO' +p200640 +aS'1-2\t1-2\tNN\tI-NP\tO' +p200641 +aS'weeks\tweek\tNNS\tI-NP\tO' +p200642 +aS',\t,\t,\tO\tO' +p200643 +aS'No\tNo\tNNP\tB-NP\tO' +p200644 +aS'Known\tKnown\tNNP\tI-NP\tO' +p200645 +aS'Allergies\tAllergies\tNNP\tI-NP\tO' +p200646 +asS'The patient has many siblings , all of which are girls .' +p200647 +(lp200648 +S'The\tThe\tDT\tB-NP\tO' +p200649 +aS'patient\tpatient\tNN\tI-NP\tO' +p200650 +aS'has\thave\tVBZ\tB-VP\tO' +p200651 +aS'many\tmany\tJJ\tB-NP\tO' +p200652 +aS'siblings\tsibling\tNNS\tI-NP\tO' +p200653 +aS',\t,\t,\tO\tO' +p200654 +aS'all\tall\tDT\tB-NP\tO' +p200655 +aS'of\tof\tIN\tB-PP\tO' +p200656 +aS'which\twhich\tWDT\tB-NP\tO' +p200657 +aS'are\tbe\tVBP\tB-VP\tO' +p200658 +aS'girls\tgirl\tNNS\tB-NP\tO' +p200659 +aS'.\t.\t.\tO\tO' +p200660 +asS'4) h/o stab wound complicated by pneumothorax .' +p200661 +(lp200662 +S'4)\t4)\tLS\tB-NP\tO' +p200663 +aS'h/o\th/o\tNN\tI-NP\tO' +p200664 +aS'stab\tstab\tNN\tI-NP\tO' +p200665 +aS'wound\twound\tNN\tI-NP\tO' +p200666 +aS'complicated\tcomplicate\tVBN\tB-VP\tO' +p200667 +aS'by\tby\tIN\tB-PP\tO' +p200668 +aS'pneumothorax\tpneumothorax\tNN\tB-NP\tO' +p200669 +aS'.\t.\t.\tO\tO' +p200670 +asS'Sensation was intact to light touch , pin prick , and proprioception .' +p200671 +(lp200672 +S'Sensation\tSensation\tNN\tB-NP\tO' +p200673 +aS'was\tbe\tVBD\tB-VP\tO' +p200674 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p200675 +aS'to\tto\tTO\tB-PP\tO' +p200676 +aS'light\tlight\tJJ\tB-NP\tO' +p200677 +aS'touch\ttouch\tNN\tI-NP\tO' +p200678 +aS',\t,\t,\tO\tO' +p200679 +aS'pin\tpin\tNN\tB-NP\tO' +p200680 +aS'prick\tprick\tNN\tI-NP\tO' +p200681 +aS',\t,\t,\tO\tO' +p200682 +aS'and\tand\tCC\tO\tO' +p200683 +aS'proprioception\tproprioception\tNN\tB-NP\tO' +p200684 +aS'.\t.\t.\tO\tO' +p200685 +asS'Blood pressure 140/80 , heart rate 86 .' +p200686 +(lp200687 +S'Blood\tBlood\tNN\tB-NP\tO' +p200688 +aS'pressure\tpressure\tNN\tI-NP\tO' +p200689 +aS'140/80\t140/80\tCD\tI-NP\tO' +p200690 +aS',\t,\t,\tO\tO' +p200691 +aS'heart\theart\tNN\tB-NP\tO' +p200692 +aS'rate\trate\tNN\tI-NP\tO' +p200693 +aS'86\t86\tCD\tI-NP\tO' +p200694 +aS'.\t.\t.\tO\tO' +p200695 +asS"The baby 's blood type is B negative , antibody negative ." +p200696 +(lp200697 +S'The\tThe\tDT\tB-NP\tO' +p200698 +aS'baby\tbaby\tNN\tI-NP\tO' +p200699 +aS"'s\t's\tPOS\tB-NP\tO" +p200700 +aS'blood\tblood\tNN\tI-NP\tO' +p200701 +aS'type\ttype\tNN\tI-NP\tO' +p200702 +aS'is\tbe\tVBZ\tB-VP\tO' +p200703 +aS'B\tB\tNN\tB-NP\tO' +p200704 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p200705 +aS',\t,\t,\tO\tO' +p200706 +aS'antibody\tantibody\tNN\tB-NP\tO' +p200707 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p200708 +aS'.\t.\t.\tO\tO' +p200709 +asS'Much of his diffuse pain was felt to be due to this massive rhabdomyolysis .' +p200710 +(lp200711 +S'Much\tMuch\tJJ\tB-NP\tO' +p200712 +aS'of\tof\tIN\tB-PP\tO' +p200713 +aS'his\this\tPRP$\tB-NP\tO' +p200714 +aS'diffuse\tdiffuse\tJJ\tI-NP\tO' +p200715 +aS'pain\tpain\tNN\tI-NP\tO' +p200716 +aS'was\tbe\tVBD\tB-VP\tO' +p200717 +aS'felt\tfeel\tVBN\tI-VP\tO' +p200718 +aS'to\tto\tTO\tI-VP\tO' +p200719 +aS'be\tbe\tVB\tI-VP\tO' +p200720 +aS'due\tdue\tIN\tB-PP\tO' +p200721 +aS'to\tto\tTO\tB-PP\tO' +p200722 +aS'this\tthis\tDT\tB-NP\tO' +p200723 +aS'massive\tmassive\tJJ\tI-NP\tO' +p200724 +aS'rhabdomyolysis\trhabdomyolysis\tNN\tI-NP\tO' +p200725 +aS'.\t.\t.\tO\tO' +p200726 +asS'In the Newborn Nursery , he initially had a caput which increased in the amount of swelling and bruising in the subsequent 24 hours .' +p200727 +(lp200728 +S'In\tIn\tIN\tB-PP\tO' +p200729 +aS'the\tthe\tDT\tB-NP\tO' +p200730 +aS'Newborn\tNewborn\tNNP\tI-NP\tO' +p200731 +aS'Nursery\tNursery\tNNP\tI-NP\tO' +p200732 +aS',\t,\t,\tO\tO' +p200733 +aS'he\the\tPRP\tB-NP\tO' +p200734 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p200735 +aS'had\thave\tVBD\tB-VP\tO' +p200736 +aS'a\ta\tDT\tB-NP\tO' +p200737 +aS'caput\tcaput\tNN\tI-NP\tO' +p200738 +aS'which\twhich\tWDT\tB-NP\tO' +p200739 +aS'increased\tincrease\tVBD\tB-VP\tO' +p200740 +aS'in\tin\tIN\tB-PP\tO' +p200741 +aS'the\tthe\tDT\tB-NP\tO' +p200742 +aS'amount\tamount\tNN\tI-NP\tO' +p200743 +aS'of\tof\tIN\tB-PP\tO' +p200744 +aS'swelling\tswell\tVBG\tB-VP\tO' +p200745 +aS'and\tand\tCC\tI-VP\tO' +p200746 +aS'bruising\tbruise\tVBG\tI-VP\tO' +p200747 +aS'in\tin\tIN\tB-PP\tO' +p200748 +aS'the\tthe\tDT\tB-NP\tO' +p200749 +aS'subsequent\tsubsequent\tJJ\tI-NP\tO' +p200750 +aS'24\t24\tCD\tI-NP\tO' +p200751 +aS'hours\thour\tNNS\tI-NP\tO' +p200752 +aS'.\t.\t.\tO\tO' +p200753 +asS'Oral feedings were introduced as tolerated .' +p200754 +(lp200755 +S'Oral\tOral\tJJ\tB-NP\tO' +p200756 +aS'feedings\tfeeding\tNNS\tI-NP\tO' +p200757 +aS'were\tbe\tVBD\tB-VP\tO' +p200758 +aS'introduced\tintroduce\tVBN\tI-VP\tO' +p200759 +aS'as\tas\tIN\tB-SBAR\tO' +p200760 +aS'tolerated\ttolerate\tVBN\tB-VP\tO' +p200761 +aS'.\t.\t.\tO\tO' +p200762 +asS'Her Jackson-Pratt drain was removed on postoperative day number two .' +p200763 +(lp200764 +S'Her\tHer\tPRP$\tB-NP\tO' +p200765 +aS'Jackson-Pratt\tJackson-Pratt\tJJ\tI-NP\tO' +p200766 +aS'drain\tdrain\tNN\tI-NP\tO' +p200767 +aS'was\tbe\tVBD\tB-VP\tO' +p200768 +aS'removed\tremove\tVBN\tI-VP\tO' +p200769 +aS'on\ton\tIN\tB-PP\tO' +p200770 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p200771 +aS'day\tday\tNN\tI-NP\tO' +p200772 +aS'number\tnumber\tNN\tI-NP\tO' +p200773 +aS'two\ttwo\tCD\tI-NP\tO' +p200774 +aS'.\t.\t.\tO\tO' +p200775 +asS'Please make an appointment to see dr. Arois Maillliepslighsint within2-3 weeks after you leave the hospital' +p200776 +(lp200777 +S'Please\tPlease\tNN\tB-NP\tB-protein' +p200778 +aS'make\tmake\tVBP\tB-VP\tO' +p200779 +aS'an\tan\tDT\tB-NP\tO' +p200780 +aS'appointment\tappointment\tNN\tI-NP\tO' +p200781 +aS'to\tto\tTO\tB-VP\tO' +p200782 +aS'see\tsee\tVB\tI-VP\tO' +p200783 +aS'dr.\tdr.\tNNP\tB-NP\tO' +p200784 +aS'Arois\tArois\tNNP\tI-NP\tO' +p200785 +aS'Maillliepslighsint\tMaillliepslighsint\tNNP\tI-NP\tO' +p200786 +aS'within2-3\twithin2-3\tNN\tI-NP\tO' +p200787 +aS'weeks\tweek\tNNS\tI-NP\tO' +p200788 +aS'after\tafter\tIN\tB-SBAR\tO' +p200789 +aS'you\tyou\tPRP\tB-NP\tO' +p200790 +aS'leave\tleave\tVBP\tB-VP\tO' +p200791 +aS'the\tthe\tDT\tB-NP\tO' +p200792 +aS'hospital\thospital\tNN\tI-NP\tO' +p200793 +asS'Foley in place .' +p200794 +(lp200795 +S'Foley\tFoley\tNN\tB-NP\tO' +p200796 +aS'in\tin\tIN\tB-PP\tO' +p200797 +aS'place\tplace\tNN\tB-NP\tO' +p200798 +aS'.\t.\t.\tO\tO' +p200799 +asS'He tolerated the procedure well , postop however he had a grand mal seizure and was intubated and sent to the ICU .' +p200800 +(lp200801 +S'He\tHe\tPRP\tB-NP\tO' +p200802 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p200803 +aS'the\tthe\tDT\tB-NP\tO' +p200804 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p200805 +aS'well\twell\tRB\tB-ADVP\tO' +p200806 +aS',\t,\t,\tO\tO' +p200807 +aS'postop\tpostop\tVB\tB-VP\tO' +p200808 +aS'however\thowever\tRB\tB-ADVP\tO' +p200809 +aS'he\the\tPRP\tB-NP\tO' +p200810 +aS'had\thave\tVBD\tB-VP\tO' +p200811 +aS'a\ta\tDT\tB-NP\tO' +p200812 +aS'grand\tgrand\tJJ\tI-NP\tO' +p200813 +aS'mal\tmal\tJJ\tI-NP\tO' +p200814 +aS'seizure\tseizure\tNN\tI-NP\tO' +p200815 +aS'and\tand\tCC\tO\tO' +p200816 +aS'was\tbe\tVBD\tB-VP\tO' +p200817 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p200818 +aS'and\tand\tCC\tO\tO' +p200819 +aS'sent\tsend\tVBN\tB-VP\tO' +p200820 +aS'to\tto\tTO\tB-PP\tO' +p200821 +aS'the\tthe\tDT\tB-NP\tO' +p200822 +aS'ICU\tICU\tNN\tI-NP\tB-DNA' +p200823 +aS'.\t.\t.\tO\tO' +p200824 +asS'2. Potassium 20 mEq p.o. q. 12 .' +p200825 +(lp200826 +S'2.\t2.\tLS\tB-NP\tO' +p200827 +aS'Potassium\tPotassium\tNNP\tI-NP\tO' +p200828 +aS'20\t20\tCD\tI-NP\tO' +p200829 +aS'mEq\tmEq\tNN\tI-NP\tO' +p200830 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p200831 +aS'q.\tq.\tNN\tI-NP\tO' +p200832 +aS'12\t12\tCD\tI-NP\tO' +p200833 +aS'.\t.\t.\tO\tO' +p200834 +asS'He was following all commands and moving all extremities .' +p200835 +(lp200836 +S'He\tHe\tPRP\tB-NP\tO' +p200837 +aS'was\tbe\tVBD\tB-VP\tO' +p200838 +aS'following\tfollow\tVBG\tI-VP\tO' +p200839 +aS'all\tall\tDT\tB-NP\tO' +p200840 +aS'commands\tcommand\tNNS\tI-NP\tO' +p200841 +aS'and\tand\tCC\tO\tO' +p200842 +aS'moving\tmove\tVBG\tB-VP\tO' +p200843 +aS'all\tall\tDT\tB-NP\tO' +p200844 +aS'extremities\textremity\tNNS\tI-NP\tO' +p200845 +aS'.\t.\t.\tO\tO' +p200846 +asS'Accordingly she presents for operative therapy at this time .' +p200847 +(lp200848 +S'Accordingly\tAccordingly\tRB\tB-ADVP\tO' +p200849 +aS'she\tshe\tPRP\tB-NP\tO' +p200850 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p200851 +aS'for\tfor\tIN\tB-PP\tO' +p200852 +aS'operative\toperative\tJJ\tB-NP\tO' +p200853 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p200854 +aS'at\tat\tIN\tB-PP\tO' +p200855 +aS'this\tthis\tDT\tB-NP\tO' +p200856 +aS'time\ttime\tNN\tI-NP\tO' +p200857 +aS'.\t.\t.\tO\tO' +p200858 +asS'On 5/14/05 Mannitol was tapered and then d / c'd.' +p200859 +(lp200860 +S'On\tOn\tIN\tB-PP\tO' +p200861 +aS'5/14/05\t5/14/05\tCD\tB-NP\tO' +p200862 +aS'Mannitol\tMannitol\tNN\tI-NP\tO' +p200863 +aS'was\tbe\tVBD\tB-VP\tO' +p200864 +aS'tapered\ttaper\tVBN\tI-VP\tO' +p200865 +aS'and\tand\tCC\tO\tO' +p200866 +aS'then\tthen\tRB\tO\tO' +p200867 +aS'd\td\tNN\tB-NP\tO' +p200868 +aS'/\t/\tSYM\tB-VP\tO' +p200869 +aS'c'd.\tc'd.\tNN\tB-NP\tO' +p200870 +asS'A chest x-ray with bilateral patchy infiltrates likely pneumonia and UTI .' +p200871 +(lp200872 +S'A\tA\tDT\tB-NP\tO' +p200873 +aS'chest\tch\tJJS\tI-NP\tO' +p200874 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p200875 +aS'with\twith\tIN\tB-PP\tO' +p200876 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p200877 +aS'patchy\tpatchy\tNN\tI-NP\tO' +p200878 +aS'infiltrates\tinfiltrate\tVBZ\tB-VP\tO' +p200879 +aS'likely\tlikely\tRB\tB-ADJP\tO' +p200880 +aS'pneumonia\tpneumonia\tNN\tB-NP\tO' +p200881 +aS'and\tand\tCC\tI-NP\tO' +p200882 +aS'UTI\tUTI\tNN\tI-NP\tO' +p200883 +aS'.\t.\t.\tO\tO' +p200884 +asS"The patient 's creatinine improved to 1.1 with hydration ." +p200885 +(lp200886 +S'The\tThe\tDT\tB-NP\tO' +p200887 +aS'patient\tpatient\tNN\tI-NP\tO' +p200888 +aS"'s\t's\tPOS\tB-NP\tO" +p200889 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p200890 +aS'improved\timprove\tVBD\tB-VP\tO' +p200891 +aS'to\tto\tTO\tB-PP\tO' +p200892 +aS'1.1\t1.1\tCD\tB-NP\tO' +p200893 +aS'with\twith\tIN\tB-PP\tO' +p200894 +aS'hydration\thydration\tNN\tB-NP\tO' +p200895 +aS'.\t.\t.\tO\tO' +p200896 +asS'LEFT ROTATOR CUFF TEAR .' +p200897 +(lp200898 +S'LEFT\tLEFT\tNN\tB-NP\tO' +p200899 +aS'ROTATOR\tROTATOR\tNN\tI-NP\tO' +p200900 +aS'CUFF\tCUFF\tNN\tI-NP\tO' +p200901 +aS'TEAR\tTEAR\tNN\tI-NP\tO' +p200902 +aS'.\t.\t.\tO\tO' +p200903 +asS'Pathology showed grade II-III papillary adenocarcinoma of the endometrium with squamous differentiation which was focally invasive and superficial myometrium .' +p200904 +(lp200905 +S'Pathology\tPathology\tNNS\tB-NP\tO' +p200906 +aS'showed\tshow\tVBD\tB-VP\tO' +p200907 +aS'grade\tgrade\tNN\tB-NP\tO' +p200908 +aS'II-III\tII-III\tJJ\tI-NP\tO' +p200909 +aS'papillary\tpapillary\tJJ\tI-NP\tO' +p200910 +aS'adenocarcinoma\tadenocarcinoma\tNN\tI-NP\tO' +p200911 +aS'of\tof\tIN\tB-PP\tO' +p200912 +aS'the\tthe\tDT\tB-NP\tO' +p200913 +aS'endometrium\tendometrium\tNN\tI-NP\tO' +p200914 +aS'with\twith\tIN\tB-PP\tO' +p200915 +aS'squamous\tsquamous\tJJ\tB-NP\tO' +p200916 +aS'differentiation\tdifferentiation\tNN\tI-NP\tO' +p200917 +aS'which\twhich\tWDT\tB-NP\tO' +p200918 +aS'was\tbe\tVBD\tB-VP\tO' +p200919 +aS'focally\tfocally\tRB\tB-NP\tO' +p200920 +aS'invasive\tinvasive\tJJ\tI-NP\tO' +p200921 +aS'and\tand\tCC\tI-NP\tO' +p200922 +aS'superficial\tsuperficial\tJJ\tI-NP\tO' +p200923 +aS'myometrium\tmyometrium\tNN\tI-NP\tO' +p200924 +aS'.\t.\t.\tO\tO' +p200925 +asS'Upon arrival in the Emergency Room Mr. State 's saturations were in the mid 80s and he was promptly rendered more comfortable with high flow oxygen , morphine , and nitrates and intravenous Lasix .' +p200926 +(lp200927 +S'Upon\tUpon\tIN\tB-PP\tO' +p200928 +aS'arrival\tarrival\tNN\tB-NP\tO' +p200929 +aS'in\tin\tIN\tB-PP\tO' +p200930 +aS'the\tthe\tDT\tB-NP\tO' +p200931 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p200932 +aS'Room\tRoom\tNNP\tI-NP\tO' +p200933 +aS'Mr.\tMr.\tNNP\tI-NP\tO' +p200934 +aS'State\tState\tNNP\tI-NP\tO' +p200935 +aS''s\t'\tNNS\tI-NP\tO' +p200936 +aS'saturations\tsaturation\tNNS\tI-NP\tO' +p200937 +aS'were\tbe\tVBD\tB-VP\tO' +p200938 +aS'in\tin\tIN\tB-PP\tO' +p200939 +aS'the\tthe\tDT\tB-NP\tO' +p200940 +aS'mid\tmid\tJJ\tI-NP\tO' +p200941 +aS'80s\t80\tNNS\tI-NP\tO' +p200942 +aS'and\tand\tCC\tO\tO' +p200943 +aS'he\the\tPRP\tB-NP\tO' +p200944 +aS'was\tbe\tVBD\tB-VP\tO' +p200945 +aS'promptly\tpromptly\tRB\tI-VP\tO' +p200946 +aS'rendered\trender\tVBN\tI-VP\tO' +p200947 +aS'more\tmore\tRBR\tB-ADJP\tO' +p200948 +aS'comfortable\tcomfortable\tJJ\tI-ADJP\tO' +p200949 +aS'with\twith\tIN\tB-PP\tO' +p200950 +aS'high\thigh\tJJ\tB-NP\tO' +p200951 +aS'flow\tflow\tNN\tI-NP\tO' +p200952 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p200953 +aS',\t,\t,\tO\tO' +p200954 +aS'morphine\tmorphine\tNN\tB-NP\tO' +p200955 +aS',\t,\t,\tO\tO' +p200956 +aS'and\tand\tCC\tO\tO' +p200957 +aS'nitrates\tnitrate\tNNS\tB-NP\tO' +p200958 +aS'and\tand\tCC\tO\tO' +p200959 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p200960 +aS'Lasix\tLasix\tNN\tI-NP\tO' +p200961 +aS'.\t.\t.\tO\tO' +p200962 +asS'Genitourinary : Normal preterm male .' +p200963 +(lp200964 +S'Genitourinary\tGenitourinary\tJJ\tB-ADJP\tO' +p200965 +aS':\t:\t:\tO\tO' +p200966 +aS'Normal\tNormal\tJJ\tB-NP\tO' +p200967 +aS'preterm\tpreterm\tJJ\tI-NP\tO' +p200968 +aS'male\tmale\tNN\tI-NP\tO' +p200969 +aS'.\t.\t.\tO\tO' +p200970 +asS'12. s/p colonic resection secondary to perforation s/p polypectomy' +p200971 +(lp200972 +S'12.\t12.\tLS\tB-NP\tO' +p200973 +aS's/p\ts/p\tNN\tI-NP\tO' +p200974 +aS'colonic\tcolonic\tJJ\tI-NP\tO' +p200975 +aS'resection\tresection\tNN\tI-NP\tO' +p200976 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p200977 +aS'to\tto\tTO\tB-PP\tO' +p200978 +aS'perforation\tperforation\tNN\tB-NP\tO' +p200979 +aS's/p\ts/p\tNN\tI-NP\tO' +p200980 +aS'polypectomy\tpolypectomy\tNN\tI-NP\tO' +p200981 +asS'Birth weight of 4525 grams which is greater than 90th percentile ; length 54 cm which is greater than 90th percentile ; head circumference 37 cm which is greater than 90th percentile .' +p200982 +(lp200983 +S'Birth\tBirth\tNN\tB-NP\tO' +p200984 +aS'weight\tweight\tNN\tI-NP\tO' +p200985 +aS'of\tof\tIN\tB-PP\tO' +p200986 +aS'4525\t4525\tCD\tB-NP\tO' +p200987 +aS'grams\tgram\tNNS\tI-NP\tO' +p200988 +aS'which\twhich\tWDT\tB-NP\tO' +p200989 +aS'is\tbe\tVBZ\tB-VP\tO' +p200990 +aS'greater\tgreat\tJJR\tB-ADJP\tO' +p200991 +aS'than\tthan\tIN\tB-PP\tO' +p200992 +aS'90th\t90th\tJJ\tB-NP\tO' +p200993 +aS'percentile\tpercentile\tNN\tI-NP\tO' +p200994 +aS';\t;\t:\tO\tO' +p200995 +aS'length\tlength\tNN\tB-NP\tO' +p200996 +aS'54\t54\tCD\tI-NP\tO' +p200997 +aS'cm\tcm\tNN\tI-NP\tO' +p200998 +aS'which\twhich\tWDT\tB-NP\tO' +p200999 +aS'is\tbe\tVBZ\tB-VP\tO' +p201000 +aS'greater\tgreat\tJJR\tB-ADJP\tO' +p201001 +aS'than\tthan\tIN\tB-PP\tO' +p201002 +aS'90th\t90th\tJJ\tB-NP\tO' +p201003 +aS'percentile\tpercentile\tNN\tI-NP\tO' +p201004 +aS';\t;\t:\tO\tO' +p201005 +aS'head\thead\tNN\tB-NP\tO' +p201006 +aS'circumference\tcircumference\tNN\tI-NP\tO' +p201007 +aS'37\t37\tCD\tB-NP\tO' +p201008 +aS'cm\tcm\tNN\tI-NP\tO' +p201009 +aS'which\twhich\tWDT\tB-NP\tO' +p201010 +aS'is\tbe\tVBZ\tB-VP\tO' +p201011 +aS'greater\tgreat\tJJR\tB-ADJP\tO' +p201012 +aS'than\tthan\tIN\tB-PP\tO' +p201013 +aS'90th\t90th\tJJ\tB-NP\tO' +p201014 +aS'percentile\tpercentile\tNN\tI-NP\tO' +p201015 +aS'.\t.\t.\tO\tO' +p201016 +asS'The patient became more comfortable being seated upright with nebulizer treatments .' +p201017 +(lp201018 +S'The\tThe\tDT\tB-NP\tO' +p201019 +aS'patient\tpatient\tNN\tI-NP\tO' +p201020 +aS'became\tbecome\tVBD\tB-VP\tO' +p201021 +aS'more\tmore\tRBR\tB-ADJP\tO' +p201022 +aS'comfortable\tcomfortable\tJJ\tI-ADJP\tO' +p201023 +aS'being\tbe\tVBG\tB-VP\tO' +p201024 +aS'seated\tseat\tVBN\tI-VP\tO' +p201025 +aS'upright\tupright\tRB\tB-ADVP\tO' +p201026 +aS'with\twith\tIN\tB-PP\tO' +p201027 +aS'nebulizer\tnebulizer\tNN\tB-NP\tO' +p201028 +aS'treatments\ttreatment\tNNS\tI-NP\tO' +p201029 +aS'.\t.\t.\tO\tO' +p201030 +asS'Her medications are as listed below .' +p201031 +(lp201032 +S'Her\tHer\tPRP$\tB-NP\tO' +p201033 +aS'medications\tmedication\tNNS\tI-NP\tO' +p201034 +aS'are\tbe\tVBP\tB-VP\tO' +p201035 +aS'as\tas\tIN\tB-SBAR\tO' +p201036 +aS'listed\tlist\tVBN\tB-VP\tO' +p201037 +aS'below\tbelow\tIN\tB-PP\tO' +p201038 +aS'.\t.\t.\tO\tO' +p201039 +asS'3) Airway protection : He was intubated in the field for airway protection' +p201040 +(lp201041 +S'3)\t3)\tLS\tB-NP\tO' +p201042 +aS'Airway\tAirway\tNN\tI-NP\tO' +p201043 +aS'protection\tprotection\tNN\tI-NP\tO' +p201044 +aS':\t:\t:\tO\tO' +p201045 +aS'He\tHe\tPRP\tB-NP\tO' +p201046 +aS'was\tbe\tVBD\tB-VP\tO' +p201047 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p201048 +aS'in\tin\tIN\tB-PP\tO' +p201049 +aS'the\tthe\tDT\tB-NP\tO' +p201050 +aS'field\tfield\tNN\tI-NP\tO' +p201051 +aS'for\tfor\tIN\tB-PP\tO' +p201052 +aS'airway\tairway\tNN\tB-NP\tO' +p201053 +aS'protection\tprotection\tNN\tI-NP\tO' +p201054 +asS'The patient underwent thoracentesis without evidence of empyema .' +p201055 +(lp201056 +S'The\tThe\tDT\tB-NP\tO' +p201057 +aS'patient\tpatient\tNN\tI-NP\tO' +p201058 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p201059 +aS'thoracentesis\tthoracentesis\tNN\tB-NP\tO' +p201060 +aS'without\twithout\tIN\tB-PP\tO' +p201061 +aS'evidence\tevidence\tNN\tB-NP\tO' +p201062 +aS'of\tof\tIN\tB-PP\tO' +p201063 +aS'empyema\tempyema\tNN\tB-NP\tO' +p201064 +aS'.\t.\t.\tO\tO' +p201065 +asS'The finding was most consistent with metastatic disease and less likely primary CNS neoplasm such as glioblastoma .' +p201066 +(lp201067 +S'The\tThe\tDT\tB-NP\tO' +p201068 +aS'finding\tfinding\tNN\tI-NP\tO' +p201069 +aS'was\tbe\tVBD\tB-VP\tO' +p201070 +aS'most\tmost\tRBS\tB-ADJP\tO' +p201071 +aS'consistent\tconsistent\tJJ\tI-ADJP\tO' +p201072 +aS'with\twith\tIN\tB-PP\tO' +p201073 +aS'metastatic\tmetastatic\tJJ\tB-NP\tO' +p201074 +aS'disease\tdisease\tNN\tI-NP\tO' +p201075 +aS'and\tand\tCC\tO\tO' +p201076 +aS'less\tless\tRBR\tB-NP\tO' +p201077 +aS'likely\tlikely\tJJ\tI-NP\tO' +p201078 +aS'primary\tprimary\tJJ\tI-NP\tO' +p201079 +aS'CNS\tCNS\tNN\tI-NP\tO' +p201080 +aS'neoplasm\tneoplasm\tNN\tI-NP\tO' +p201081 +aS'such\tsuch\tJJ\tB-PP\tO' +p201082 +aS'as\tas\tIN\tI-PP\tO' +p201083 +aS'glioblastoma\tglioblastoma\tNN\tB-NP\tB-protein' +p201084 +aS'.\t.\t.\tO\tO' +p201085 +asS'Rectal exam was unremarkable with stool heme negative .' +p201086 +(lp201087 +S'Rectal\tRectal\tJJ\tB-NP\tO' +p201088 +aS'exam\texam\tNN\tI-NP\tO' +p201089 +aS'was\tbe\tVBD\tB-VP\tO' +p201090 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p201091 +aS'with\twith\tIN\tB-PP\tO' +p201092 +aS'stool\tstool\tNN\tB-NP\tO' +p201093 +aS'heme\theme\tNN\tI-NP\tO' +p201094 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p201095 +aS'.\t.\t.\tO\tO' +p201096 +asS'The finger-to-nose was okay on the right .' +p201097 +(lp201098 +S'The\tThe\tDT\tB-NP\tO' +p201099 +aS'finger-to-nose\tfinger-to-nose\tNN\tI-NP\tO' +p201100 +aS'was\tbe\tVBD\tB-VP\tO' +p201101 +aS'okay\tokay\tNN\tB-NP\tO' +p201102 +aS'on\ton\tIN\tB-PP\tO' +p201103 +aS'the\tthe\tDT\tB-NP\tO' +p201104 +aS'right\tright\tNN\tI-NP\tO' +p201105 +aS'.\t.\t.\tO\tO' +p201106 +asS'The baby did not turn blue at that time .' +p201107 +(lp201108 +S'The\tThe\tDT\tB-NP\tO' +p201109 +aS'baby\tbaby\tNN\tI-NP\tO' +p201110 +aS'did\tdo\tVBD\tB-VP\tO' +p201111 +aS'not\tnot\tRB\tI-VP\tO' +p201112 +aS'turn\tturn\tVB\tI-VP\tO' +p201113 +aS'blue\tblue\tJJ\tB-ADJP\tO' +p201114 +aS'at\tat\tIN\tB-PP\tO' +p201115 +aS'that\tthat\tDT\tB-NP\tO' +p201116 +aS'time\ttime\tNN\tI-NP\tO' +p201117 +aS'.\t.\t.\tO\tO' +p201118 +asS'1) Bibasilar pneumonia : Patient was treated for community-acquired pneumonia .' +p201119 +(lp201120 +S'1)\t1)\tLS\tB-NP\tO' +p201121 +aS'Bibasilar\tBibasilar\tJJ\tI-NP\tO' +p201122 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p201123 +aS':\t:\t:\tO\tO' +p201124 +aS'Patient\tPatient\tNN\tB-NP\tO' +p201125 +aS'was\tbe\tVBD\tB-VP\tO' +p201126 +aS'treated\ttreat\tVBN\tI-VP\tO' +p201127 +aS'for\tfor\tIN\tB-PP\tO' +p201128 +aS'community-acquired\tcommunity-acquired\tJJ\tB-NP\tO' +p201129 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p201130 +aS'.\t.\t.\tO\tO' +p201131 +asS'She has had no apnea , bradycardia or desaturation .' +p201132 +(lp201133 +S'She\tShe\tPRP\tB-NP\tO' +p201134 +aS'has\thave\tVBZ\tB-VP\tO' +p201135 +aS'had\thave\tVBN\tI-VP\tO' +p201136 +aS'no\tno\tDT\tB-NP\tO' +p201137 +aS'apnea\tapnea\tNN\tI-NP\tO' +p201138 +aS',\t,\t,\tI-NP\tO' +p201139 +aS'bradycardia\tbradycardia\tNN\tI-NP\tO' +p201140 +aS'or\tor\tCC\tI-NP\tO' +p201141 +aS'desaturation\tdesaturation\tNN\tI-NP\tO' +p201142 +aS'.\t.\t.\tO\tO' +p201143 +asS'Motrin and Percocet as needed .' +p201144 +(lp201145 +S'Motrin\tMotrin\tNN\tB-NP\tO' +p201146 +aS'and\tand\tCC\tI-NP\tO' +p201147 +aS'Percocet\tPercocet\tNN\tI-NP\tO' +p201148 +aS'as\tas\tIN\tB-SBAR\tO' +p201149 +aS'needed\tneed\tVBN\tB-VP\tO' +p201150 +aS'.\t.\t.\tO\tO' +p201151 +asS'Pt was continued on prophylactic heparin .' +p201152 +(lp201153 +S'Pt\tPt\tNN\tB-NP\tO' +p201154 +aS'was\tbe\tVBD\tB-VP\tO' +p201155 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p201156 +aS'on\ton\tIN\tB-PP\tO' +p201157 +aS'prophylactic\tprophylactic\tJJ\tB-NP\tO' +p201158 +aS'heparin\theparin\tNN\tI-NP\tO' +p201159 +aS'.\t.\t.\tO\tO' +p201160 +asS'No driving for at least one month .' +p201161 +(lp201162 +S'No\tNo\tDT\tB-NP\tO' +p201163 +aS'driving\tdriving\tNN\tI-NP\tO' +p201164 +aS'for\tfor\tIN\tB-PP\tO' +p201165 +aS'at\tat\tIN\tB-NP\tO' +p201166 +aS'least\tleast\tJJS\tI-NP\tO' +p201167 +aS'one\tone\tCD\tI-NP\tO' +p201168 +aS'month\tmonth\tNN\tI-NP\tO' +p201169 +aS'.\t.\t.\tO\tO' +p201170 +asS'The patient was evaluated by the Trauma Service in the emergency room , where she received four liters' +p201171 +(lp201172 +S'The\tThe\tDT\tB-NP\tO' +p201173 +aS'patient\tpatient\tNN\tI-NP\tO' +p201174 +aS'was\tbe\tVBD\tB-VP\tO' +p201175 +aS'evaluated\tevaluate\tVBN\tI-VP\tO' +p201176 +aS'by\tby\tIN\tB-PP\tO' +p201177 +aS'the\tthe\tDT\tB-NP\tO' +p201178 +aS'Trauma\tTrauma\tNNP\tI-NP\tO' +p201179 +aS'Service\tService\tNNP\tI-NP\tO' +p201180 +aS'in\tin\tIN\tB-PP\tO' +p201181 +aS'the\tthe\tDT\tB-NP\tO' +p201182 +aS'emergency\temergency\tNN\tI-NP\tO' +p201183 +aS'room\troom\tNN\tI-NP\tO' +p201184 +aS',\t,\t,\tO\tO' +p201185 +aS'where\twhere\tWRB\tB-ADVP\tO' +p201186 +aS'she\tshe\tPRP\tB-NP\tO' +p201187 +aS'received\treceive\tVBD\tB-VP\tO' +p201188 +aS'four\tfour\tCD\tB-NP\tO' +p201189 +aS'liters\tliter\tNNS\tI-NP\tO' +p201190 +asS'5. Sucralfate 1 g via nasogastric tube q.6h.' +p201191 +(lp201192 +S'5.\t5.\tLS\tB-LST\tO' +p201193 +aS'Sucralfate\tSucralfate\tNN\tB-NP\tO' +p201194 +aS'1\t1\tCD\tI-NP\tO' +p201195 +aS'g\tg\tNN\tI-NP\tO' +p201196 +aS'via\tvia\tIN\tB-PP\tO' +p201197 +aS'nasogastric\tnasogastric\tJJ\tB-NP\tO' +p201198 +aS'tube\ttube\tNN\tI-NP\tO' +p201199 +aS'q.6h.\tq.6h.\tNN\tI-NP\tO' +p201200 +asS'She does not recall falling , but does recall waking up with people surrounding her .' +p201201 +(lp201202 +S'She\tShe\tPRP\tB-NP\tO' +p201203 +aS'does\tdo\tVBZ\tB-VP\tO' +p201204 +aS'not\tnot\tRB\tI-VP\tO' +p201205 +aS'recall\trecall\tVB\tI-VP\tO' +p201206 +aS'falling\tfall\tVBG\tI-VP\tO' +p201207 +aS',\t,\t,\tO\tO' +p201208 +aS'but\tbut\tCC\tO\tO' +p201209 +aS'does\tdo\tVBZ\tB-VP\tO' +p201210 +aS'recall\trecall\tVB\tI-VP\tO' +p201211 +aS'waking\twake\tVBG\tB-VP\tO' +p201212 +aS'up\tup\tRP\tB-PRT\tO' +p201213 +aS'with\twith\tIN\tB-PP\tO' +p201214 +aS'people\tpeople\tNNS\tB-NP\tO' +p201215 +aS'surrounding\tsurround\tVBG\tB-VP\tO' +p201216 +aS'her\ther\tPRP\tB-NP\tO' +p201217 +aS'.\t.\t.\tO\tO' +p201218 +asS'Intact on left finger to nose but limited on right due to weakness' +p201219 +(lp201220 +S'Intact\tIntact\tNN\tB-NP\tO' +p201221 +aS'on\ton\tIN\tB-PP\tO' +p201222 +aS'left\tleft\tJJ\tB-NP\tO' +p201223 +aS'finger\tfinger\tNN\tI-NP\tO' +p201224 +aS'to\tto\tTO\tB-PP\tO' +p201225 +aS'nose\tnose\tNN\tB-NP\tO' +p201226 +aS'but\tbut\tCC\tO\tO' +p201227 +aS'limited\tlimit\tVBN\tB-VP\tO' +p201228 +aS'on\ton\tIN\tB-PP\tO' +p201229 +aS'right\tright\tNN\tB-NP\tO' +p201230 +aS'due\tdue\tJJ\tB-ADJP\tO' +p201231 +aS'to\tto\tTO\tB-PP\tO' +p201232 +aS'weakness\tweakness\tNN\tB-NP\tO' +p201233 +asS'no clubbing , cyanosis , or edema .' +p201234 +(lp201235 +S'no\tno\tDT\tB-NP\tO' +p201236 +aS'clubbing\tclubbing\tNN\tI-NP\tO' +p201237 +aS',\t,\t,\tO\tO' +p201238 +aS'cyanosis\tcyanosis\tNN\tB-NP\tO' +p201239 +aS',\t,\t,\tO\tO' +p201240 +aS'or\tor\tCC\tO\tO' +p201241 +aS'edema\tedema\tNN\tB-NP\tO' +p201242 +aS'.\t.\t.\tO\tO' +p201243 +asS'Mucous membranes are moist .' +p201244 +(lp201245 +S'Mucous\tMucous\tJJ\tB-NP\tO' +p201246 +aS'membranes\tmembrane\tNNS\tI-NP\tO' +p201247 +aS'are\tbe\tVBP\tB-VP\tO' +p201248 +aS'moist\tmoist\tJJ\tB-ADJP\tO' +p201249 +aS'.\t.\t.\tO\tO' +p201250 +asS'She was certified dead at 9:20 P.M.' +p201251 +(lp201252 +S'She\tShe\tPRP\tB-NP\tO' +p201253 +aS'was\tbe\tVBD\tB-VP\tO' +p201254 +aS'certified\tcertify\tVBN\tI-VP\tO' +p201255 +aS'dead\tdead\tJJ\tB-ADJP\tO' +p201256 +aS'at\tat\tIN\tB-PP\tO' +p201257 +aS'9:20\t9:20\tCD\tB-NP\tO' +p201258 +aS'P.M.\tP.M.\tNN\tI-NP\tO' +p201259 +asS'She evidently recovered from the episode after a number of minutes .' +p201260 +(lp201261 +S'She\tShe\tPRP\tB-NP\tO' +p201262 +aS'evidently\tevidently\tRB\tB-ADVP\tO' +p201263 +aS'recovered\trecover\tVBD\tB-VP\tO' +p201264 +aS'from\tfrom\tIN\tB-PP\tO' +p201265 +aS'the\tthe\tDT\tB-NP\tO' +p201266 +aS'episode\tepisode\tNN\tI-NP\tO' +p201267 +aS'after\tafter\tIN\tB-PP\tO' +p201268 +aS'a\ta\tDT\tB-NP\tO' +p201269 +aS'number\tnumber\tNN\tI-NP\tO' +p201270 +aS'of\tof\tIN\tB-PP\tO' +p201271 +aS'minutes\tminute\tNNS\tB-NP\tO' +p201272 +aS'.\t.\t.\tO\tO' +p201273 +asS'This was treated with transfer back to L&D , bimanual massage , administration of various uterotonics , namely pitocin 100 U , Methergine x 1 , Hemabate x 1 , and cytotec 1000 mcgs with minimal response .' +p201274 +(lp201275 +S'This\tThis\tDT\tB-NP\tO' +p201276 +aS'was\tbe\tVBD\tB-VP\tO' +p201277 +aS'treated\ttreat\tVBN\tI-VP\tO' +p201278 +aS'with\twith\tIN\tB-PP\tO' +p201279 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p201280 +aS'back\tback\tRB\tB-ADVP\tO' +p201281 +aS'to\tto\tTO\tB-PP\tO' +p201282 +aS'L&D\tL&D\tNN\tB-NP\tO' +p201283 +aS',\t,\t,\tO\tO' +p201284 +aS'bimanual\tbimanual\tJJ\tB-NP\tO' +p201285 +aS'massage\tmassage\tNN\tI-NP\tO' +p201286 +aS',\t,\t,\tO\tO' +p201287 +aS'administration\tadministration\tNN\tB-NP\tO' +p201288 +aS'of\tof\tIN\tB-PP\tO' +p201289 +aS'various\tvarious\tJJ\tB-NP\tO' +p201290 +aS'uterotonics\tuterotonic\tNNS\tI-NP\tO' +p201291 +aS',\t,\t,\tO\tO' +p201292 +aS'namely\tnamely\tRB\tB-ADVP\tO' +p201293 +aS'pitocin\tpitocin\tNN\tB-NP\tO' +p201294 +aS'100\t100\tCD\tI-NP\tO' +p201295 +aS'U\tU\tNN\tI-NP\tO' +p201296 +aS',\t,\t,\tO\tO' +p201297 +aS'Methergine\tMethergine\tNN\tB-NP\tB-protein' +p201298 +aS'x\tx\tSYM\tB-NP\tI-protein' +p201299 +aS'1\t1\tCD\tI-NP\tI-protein' +p201300 +aS',\t,\t,\tO\tO' +p201301 +aS'Hemabate\tHemabate\tNNP\tB-NP\tB-protein' +p201302 +aS'x\tx\tNNP\tI-NP\tI-protein' +p201303 +aS'1\t1\tCD\tI-NP\tI-protein' +p201304 +aS',\t,\t,\tO\tO' +p201305 +aS'and\tand\tCC\tO\tO' +p201306 +aS'cytotec\tcytotec\tJJ\tB-NP\tO' +p201307 +aS'1000\t1000\tCD\tI-NP\tO' +p201308 +aS'mcgs\tmcg\tNNS\tI-NP\tO' +p201309 +aS'with\twith\tIN\tB-PP\tO' +p201310 +aS'minimal\tminimal\tJJ\tB-NP\tO' +p201311 +aS'response\tresponse\tNN\tI-NP\tO' +p201312 +aS'.\t.\t.\tO\tO' +p201313 +asS'No definite evidence for significant myocardial ischemia , although cardiac enzymes were sent and he ruled out for myocardial infarction .' +p201314 +(lp201315 +S'No\tNo\tDT\tB-NP\tO' +p201316 +aS'definite\tdefinite\tJJ\tI-NP\tO' +p201317 +aS'evidence\tevidence\tNN\tI-NP\tO' +p201318 +aS'for\tfor\tIN\tB-PP\tO' +p201319 +aS'significant\tsignificant\tJJ\tB-NP\tO' +p201320 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p201321 +aS'ischemia\tischemia\tNN\tI-NP\tO' +p201322 +aS',\t,\t,\tO\tO' +p201323 +aS'although\talthough\tIN\tB-SBAR\tO' +p201324 +aS'cardiac\tcardiac\tJJ\tB-NP\tB-protein' +p201325 +aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' +p201326 +aS'were\tbe\tVBD\tB-VP\tO' +p201327 +aS'sent\tsend\tVBN\tI-VP\tO' +p201328 +aS'and\tand\tCC\tO\tO' +p201329 +aS'he\the\tPRP\tB-NP\tO' +p201330 +aS'ruled\trule\tVBD\tB-VP\tO' +p201331 +aS'out\tout\tRP\tB-PRT\tO' +p201332 +aS'for\tfor\tIN\tB-PP\tO' +p201333 +aS'myocardial\tmyocardial\tJJ\tB-NP\tO' +p201334 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p201335 +aS'.\t.\t.\tO\tO' +p201336 +asS'Albuterol nebulizer 0.5 mg. 2.5 cc. q4hours .' +p201337 +(lp201338 +S'Albuterol\tAlbuterol\tNNP\tB-NP\tO' +p201339 +aS'nebulizer\tnebulizer\tIN\tB-PP\tO' +p201340 +aS'0.5\t0.5\tCD\tB-NP\tO' +p201341 +aS'mg.\tmg.\tNN\tI-NP\tO' +p201342 +aS'2.5\t2.5\tCD\tB-NP\tO' +p201343 +aS'cc.\tcc.\tNN\tI-NP\tO' +p201344 +aS'q4hours\tq4hour\tNNS\tI-NP\tO' +p201345 +aS'.\t.\t.\tO\tO' +p201346 +asS"Following initiation of the antibiotic the patient 's white blood cell count quickly came down , and she remained afebrile ." +p201347 +(lp201348 +S'Following\tFollow\tVBG\tB-PP\tO' +p201349 +aS'initiation\tinitiation\tNN\tB-NP\tO' +p201350 +aS'of\tof\tIN\tB-PP\tO' +p201351 +aS'the\tthe\tDT\tB-NP\tO' +p201352 +aS'antibiotic\tantibiotic\tJJ\tI-NP\tO' +p201353 +aS'the\tthe\tDT\tB-NP\tO' +p201354 +aS'patient\tpatient\tNN\tI-NP\tO' +p201355 +aS"'s\t's\tPOS\tB-NP\tO" +p201356 +aS'white\twhite\tJJ\tI-NP\tO' +p201357 +aS'blood\tblood\tNN\tI-NP\tO' +p201358 +aS'cell\tcell\tNN\tI-NP\tO' +p201359 +aS'count\tcount\tNN\tI-NP\tO' +p201360 +aS'quickly\tquickly\tRB\tB-ADVP\tO' +p201361 +aS'came\tcome\tVBD\tB-VP\tO' +p201362 +aS'down\tdown\tRB\tB-ADVP\tO' +p201363 +aS',\t,\t,\tO\tO' +p201364 +aS'and\tand\tCC\tO\tO' +p201365 +aS'she\tshe\tPRP\tB-NP\tO' +p201366 +aS'remained\tremain\tVBD\tB-VP\tO' +p201367 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p201368 +aS'.\t.\t.\tO\tO' +p201369 +asS'Mitral Valve - A Wave : 1.0 m / sec' +p201370 +(lp201371 +S'Mitral\tMitral\tNNP\tB-NP\tO' +p201372 +aS'Valve\tValve\tNNP\tI-NP\tO' +p201373 +aS'-\t-\tHYPH\tB-NP\tO' +p201374 +aS'A\tA\tNNP\tI-NP\tO' +p201375 +aS'Wave\tWave\tNNP\tI-NP\tO' +p201376 +aS':\t:\t:\tO\tO' +p201377 +aS'1.0\t1.0\tCD\tB-NP\tO' +p201378 +aS'm\tm\tNN\tI-NP\tO' +p201379 +aS'/\t/\tSYM\tB-NP\tO' +p201380 +aS'sec\tsec\tNN\tB-NP\tO' +p201381 +asS'Her pain currently is 5/10 .' +p201382 +(lp201383 +S'Her\tHer\tPRP$\tB-NP\tO' +p201384 +aS'pain\tpain\tNN\tI-NP\tO' +p201385 +aS'currently\tcurrently\tRB\tB-ADVP\tO' +p201386 +aS'is\tbe\tVBZ\tB-VP\tO' +p201387 +aS'5/10\t5/10\tCD\tB-NP\tO' +p201388 +aS'.\t.\t.\tO\tO' +p201389 +asS'c) Premature ovarian failure , dxed 1967' +p201390 +(lp201391 +S'c)\tc)\tLS\tB-NP\tO' +p201392 +aS'Premature\tPremature\tJJ\tI-NP\tO' +p201393 +aS'ovarian\tovarian\tJJ\tI-NP\tO' +p201394 +aS'failure\tfailure\tNN\tI-NP\tO' +p201395 +aS',\t,\t,\tO\tO' +p201396 +aS'dxed\tdxe\tVBD\tB-VP\tO' +p201397 +aS'1967\t1967\tCD\tB-NP\tO' +p201398 +asS'4. Aspirin 325 mg p.o. q day .' +p201399 +(lp201400 +S'4.\t4.\tLS\tB-LST\tO' +p201401 +aS'Aspirin\tAspirin\tNN\tB-NP\tO' +p201402 +aS'325\t325\tCD\tI-NP\tO' +p201403 +aS'mg\tmg\tNN\tI-NP\tO' +p201404 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p201405 +aS'q\tq\tNN\tI-NP\tO' +p201406 +aS'day\tday\tNN\tI-NP\tO' +p201407 +aS'.\t.\t.\tO\tO' +p201408 +asS'She has had similar pain intermittently for last year .' +p201409 +(lp201410 +S'She\tShe\tPRP\tB-NP\tO' +p201411 +aS'has\thave\tVBZ\tB-VP\tO' +p201412 +aS'had\thave\tVBD\tI-VP\tO' +p201413 +aS'similar\tsimilar\tJJ\tB-NP\tO' +p201414 +aS'pain\tpain\tNN\tI-NP\tO' +p201415 +aS'intermittently\tintermittently\tRB\tB-ADVP\tO' +p201416 +aS'for\tfor\tIN\tB-PP\tO' +p201417 +aS'last\tlast\tJJ\tB-NP\tO' +p201418 +aS'year\tyear\tNN\tI-NP\tO' +p201419 +aS'.\t.\t.\tO\tO' +p201420 +asS'He denies any tobacco use , 2 to 3 alcohol drinks per week .' +p201421 +(lp201422 +S'He\tHe\tPRP\tB-NP\tO' +p201423 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p201424 +aS'any\tany\tDT\tB-NP\tO' +p201425 +aS'tobacco\ttobacco\tNN\tI-NP\tO' +p201426 +aS'use\tuse\tNN\tI-NP\tO' +p201427 +aS',\t,\t,\tO\tO' +p201428 +aS'2\t2\tCD\tB-NP\tO' +p201429 +aS'to\tto\tTO\tI-NP\tO' +p201430 +aS'3\t3\tCD\tI-NP\tO' +p201431 +aS'alcohol\talcohol\tNN\tI-NP\tO' +p201432 +aS'drinks\tdrink\tNNS\tI-NP\tO' +p201433 +aS'per\tper\tIN\tB-PP\tO' +p201434 +aS'week\tweek\tNN\tB-NP\tO' +p201435 +aS'.\t.\t.\tO\tO' +p201436 +asS'She had planned this attempt carefully without the knowledge of those close to her and very much expected her attempt to work .' +p201437 +(lp201438 +S'She\tShe\tPRP\tB-NP\tO' +p201439 +aS'had\thave\tVBD\tB-VP\tO' +p201440 +aS'planned\tplan\tVBN\tI-VP\tO' +p201441 +aS'this\tthis\tDT\tB-NP\tO' +p201442 +aS'attempt\tattempt\tNN\tI-NP\tO' +p201443 +aS'carefully\tcarefully\tRB\tB-ADVP\tO' +p201444 +aS'without\twithout\tIN\tB-PP\tO' +p201445 +aS'the\tthe\tDT\tB-NP\tO' +p201446 +aS'knowledge\tknowledge\tNN\tI-NP\tO' +p201447 +aS'of\tof\tIN\tB-PP\tO' +p201448 +aS'those\tthose\tDT\tB-NP\tO' +p201449 +aS'close\tclose\tJJ\tB-ADJP\tO' +p201450 +aS'to\tto\tTO\tB-PP\tO' +p201451 +aS'her\ther\tPRP\tB-NP\tO' +p201452 +aS'and\tand\tCC\tO\tO' +p201453 +aS'very\tvery\tRB\tB-ADVP\tO' +p201454 +aS'much\tmuch\tRB\tI-ADVP\tO' +p201455 +aS'expected\texpect\tVBD\tB-VP\tO' +p201456 +aS'her\ther\tPRP$\tB-NP\tO' +p201457 +aS'attempt\tattempt\tNN\tI-NP\tO' +p201458 +aS'to\tto\tTO\tB-VP\tO' +p201459 +aS'work\twork\tVB\tI-VP\tO' +p201460 +aS'.\t.\t.\tO\tO' +p201461 +asS'The patient had undergone treatment with interferon and Ribavirin .' +p201462 +(lp201463 +S'The\tThe\tDT\tB-NP\tO' +p201464 +aS'patient\tpatient\tNN\tI-NP\tO' +p201465 +aS'had\thave\tVBD\tB-VP\tO' +p201466 +aS'undergone\tundergo\tVBN\tI-VP\tO' +p201467 +aS'treatment\ttreatment\tNN\tB-NP\tO' +p201468 +aS'with\twith\tIN\tB-PP\tO' +p201469 +aS'interferon\tinterferon\tNN\tB-NP\tB-protein' +p201470 +aS'and\tand\tCC\tI-NP\tO' +p201471 +aS'Ribavirin\tRibavirin\tNN\tI-NP\tB-protein' +p201472 +aS'.\t.\t.\tO\tO' +p201473 +asS'1/6 systolic ejection murmur .' +p201474 +(lp201475 +S'1/6\t1/6\tCD\tB-NP\tO' +p201476 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p201477 +aS'ejection\tejection\tNN\tI-NP\tO' +p201478 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p201479 +aS'.\t.\t.\tO\tO' +p201480 +asS'Please followup with your primary care physician Todd 12-30 weeks of discharge .' +p201481 +(lp201482 +S'Please\tPlease\tNN\tB-NP\tO' +p201483 +aS'followup\tfollowup\tNN\tI-NP\tO' +p201484 +aS'with\twith\tIN\tB-PP\tO' +p201485 +aS'your\tyour\tPRP$\tB-NP\tO' +p201486 +aS'primary\tprimary\tJJ\tI-NP\tO' +p201487 +aS'care\tcare\tNN\tI-NP\tO' +p201488 +aS'physician\tphysician\tNN\tI-NP\tO' +p201489 +aS'Todd\tTodd\tNN\tI-NP\tO' +p201490 +aS'12-30\t12-30\tCD\tB-NP\tO' +p201491 +aS'weeks\tweek\tNNS\tI-NP\tO' +p201492 +aS'of\tof\tIN\tB-PP\tO' +p201493 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p201494 +aS'.\t.\t.\tO\tO' +p201495 +asS'Washings were sent .' +p201496 +(lp201497 +S'Washings\tWashing\tNNS\tB-NP\tO' +p201498 +aS'were\tbe\tVBD\tB-VP\tO' +p201499 +aS'sent\tsend\tVBN\tI-VP\tO' +p201500 +aS'.\t.\t.\tO\tO' +p201501 +asS'Stable postoperative cardiac and mediastinal widening .' +p201502 +(lp201503 +S'Stable\tStable\tJJ\tB-NP\tO' +p201504 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p201505 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p201506 +aS'and\tand\tCC\tI-NP\tO' +p201507 +aS'mediastinal\tmediastinal\tJJ\tI-NP\tO' +p201508 +aS'widening\twidening\tNN\tI-NP\tO' +p201509 +aS'.\t.\t.\tO\tO' +p201510 +asS'Disp :* 90 Tablet Sustained Release (s)* Refills :* 0 *' +p201511 +(lp201512 +S'Disp\tDisp\tNN\tB-NP\tO' +p201513 +aS':*\t:*\tSYM\tI-NP\tO' +p201514 +aS'90\t90\tCD\tI-NP\tO' +p201515 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p201516 +aS'Sustained\tSustained\tNNP\tI-NP\tO' +p201517 +aS'Release\tRelease\tNNP\tI-NP\tO' +p201518 +aS'(s)*\t(s)*\tSYM\tB-NP\tO' +p201519 +aS'Refills\tRefill\tNNPS\tI-NP\tO' +p201520 +aS':*\t:*\tSYM\tI-NP\tO' +p201521 +aS'0\t0\tCD\tI-NP\tO' +p201522 +aS'*\t*\tSYM\tB-NP\tO' +p201523 +asS'C7 & T1 mimimally displaced transverse process fracture' +p201524 +(lp201525 +S'C7\tC7\tNN\tB-NP\tB-protein' +p201526 +aS'&\t&\tCC\tI-NP\tO' +p201527 +aS'T1\tT1\tNN\tI-NP\tO' +p201528 +aS'mimimally\tmimimally\tRB\tB-ADVP\tO' +p201529 +aS'displaced\tdisplace\tVBD\tB-VP\tO' +p201530 +aS'transverse\ttransverse\tJJ\tB-NP\tO' +p201531 +aS'process\tprocess\tNN\tI-NP\tO' +p201532 +aS'fracture\tfracture\tNN\tI-NP\tO' +p201533 +asS'The patient 's preliminary admitting physician is DALEJESC , OIE and the preliminary admitting diagnosis is CHOLECYSTITIS .' +p201534 +(lp201535 +S'The\tThe\tDT\tB-NP\tO' +p201536 +aS'patient\tpatient\tNN\tI-NP\tO' +p201537 +aS''s\t'\tNNS\tI-NP\tO' +p201538 +aS'preliminary\tpreliminary\tJJ\tB-NP\tO' +p201539 +aS'admitting\tadmit\tVBG\tI-NP\tO' +p201540 +aS'physician\tphysician\tNN\tI-NP\tO' +p201541 +aS'is\tbe\tVBZ\tB-VP\tO' +p201542 +aS'DALEJESC\tDALEJESC\tNNP\tB-NP\tO' +p201543 +aS',\t,\t,\tO\tO' +p201544 +aS'OIE\tOIE\tNNP\tB-NP\tO' +p201545 +aS'and\tand\tCC\tO\tO' +p201546 +aS'the\tthe\tDT\tB-NP\tO' +p201547 +aS'preliminary\tpreliminary\tJJ\tI-NP\tO' +p201548 +aS'admitting\tadmit\tVBG\tI-NP\tO' +p201549 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p201550 +aS'is\tbe\tVBZ\tB-VP\tO' +p201551 +aS'CHOLECYSTITIS\tCHOLECYSTITIS\tNN\tB-NP\tO' +p201552 +aS'.\t.\t.\tO\tO' +p201553 +asS'2) You are scheduled to have your staples removed on 2013-11-20 3:00 with provider : Leah , Paula G. Wilson SURGERY ( NHB )' +p201554 +(lp201555 +S'2)\t2)\tLS\tB-LST\tO' +p201556 +aS'You\tYou\tPRP\tB-NP\tB-protein' +p201557 +aS'are\tbe\tVBP\tB-VP\tO' +p201558 +aS'scheduled\tschedule\tVBN\tI-VP\tO' +p201559 +aS'to\tto\tTO\tI-VP\tO' +p201560 +aS'have\thave\tVB\tI-VP\tO' +p201561 +aS'your\tyour\tPRP$\tB-NP\tO' +p201562 +aS'staples\tstaple\tNNS\tI-NP\tO' +p201563 +aS'removed\tremove\tVBN\tB-VP\tO' +p201564 +aS'on\ton\tIN\tB-PP\tO' +p201565 +aS'2013-11-20\t2013-11-20\tCD\tB-NP\tO' +p201566 +aS'3:00\t3:00\tCD\tI-NP\tO' +p201567 +aS'with\twith\tIN\tB-PP\tO' +p201568 +aS'provider\tprovider\tNN\tB-NP\tO' +p201569 +aS':\t:\t:\tO\tO' +p201570 +aS'Leah\tLeah\tNNP\tB-NP\tO' +p201571 +aS',\t,\t,\tO\tO' +p201572 +aS'Paula\tPaula\tNNP\tB-NP\tO' +p201573 +aS'G.\tG.\tNNP\tI-NP\tO' +p201574 +aS'Wilson\tWilson\tNNP\tI-NP\tO' +p201575 +aS'SURGERY\tSURGERY\tNNP\tI-NP\tO' +p201576 +aS'(\t(\t(\tO\tO' +p201577 +aS'NHB\tNHB\tNNP\tB-NP\tO' +p201578 +aS')\t)\t)\tO\tO' +p201579 +asS'A trough level at 20 hours after the bolus on day of discharge was 29 .' +p201580 +(lp201581 +S'A\tA\tDT\tB-NP\tO' +p201582 +aS'trough\ttrough\tNN\tI-NP\tO' +p201583 +aS'level\tlevel\tNN\tI-NP\tO' +p201584 +aS'at\tat\tIN\tB-PP\tO' +p201585 +aS'20\t20\tCD\tB-NP\tO' +p201586 +aS'hours\thour\tNNS\tI-NP\tO' +p201587 +aS'after\tafter\tIN\tB-PP\tO' +p201588 +aS'the\tthe\tDT\tB-NP\tO' +p201589 +aS'bolus\tbolus\tNN\tI-NP\tO' +p201590 +aS'on\ton\tIN\tB-PP\tO' +p201591 +aS'day\tday\tNN\tB-NP\tO' +p201592 +aS'of\tof\tIN\tB-PP\tO' +p201593 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p201594 +aS'was\tbe\tVBD\tB-VP\tO' +p201595 +aS'29\t29\tCD\tB-NP\tO' +p201596 +aS'.\t.\t.\tO\tO' +p201597 +asS'White blood cell count 11.5 , hematocrit 31.0 , platelet count 290,000 .' +p201598 +(lp201599 +S'White\tWhite\tJJ\tB-NP\tO' +p201600 +aS'blood\tblood\tNN\tI-NP\tO' +p201601 +aS'cell\tcell\tNN\tI-NP\tO' +p201602 +aS'count\tcount\tNN\tI-NP\tO' +p201603 +aS'11.5\t11.5\tCD\tB-NP\tO' +p201604 +aS',\t,\t,\tO\tO' +p201605 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p201606 +aS'31.0\t31.0\tCD\tI-NP\tI-protein' +p201607 +aS',\t,\t,\tO\tO' +p201608 +aS'platelet\tplatelet\tNN\tB-NP\tB-protein' +p201609 +aS'count\tcount\tNN\tI-NP\tI-protein' +p201610 +aS'290,000\t290,000\tCD\tI-NP\tI-protein' +p201611 +aS'.\t.\t.\tO\tO' +p201612 +asS'The patient was switched to 2 liters nasal cannula and oxygen saturating at 98 to 100 percent .' +p201613 +(lp201614 +S'The\tThe\tDT\tB-NP\tO' +p201615 +aS'patient\tpatient\tNN\tI-NP\tO' +p201616 +aS'was\tbe\tVBD\tB-VP\tO' +p201617 +aS'switched\tswitch\tVBN\tI-VP\tO' +p201618 +aS'to\tto\tTO\tB-PP\tO' +p201619 +aS'2\t2\tCD\tB-NP\tO' +p201620 +aS'liters\tliter\tNNS\tI-NP\tO' +p201621 +aS'nasal\tnasal\tJJ\tI-NP\tO' +p201622 +aS'cannula\tcannula\tNN\tI-NP\tO' +p201623 +aS'and\tand\tCC\tI-NP\tO' +p201624 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p201625 +aS'saturating\tsaturate\tVBG\tB-VP\tO' +p201626 +aS'at\tat\tIN\tB-PP\tO' +p201627 +aS'98\t98\tCD\tB-NP\tO' +p201628 +aS'to\tto\tTO\tB-PP\tO' +p201629 +aS'100\t100\tCD\tB-NP\tO' +p201630 +aS'percent\tpercent\tNN\tI-NP\tO' +p201631 +aS'.\t.\t.\tO\tO' +p201632 +asS'3. Status post transverse colectomy with anastomosis .' +p201633 +(lp201634 +S'3.\t3.\tLS\tB-LST\tO' +p201635 +aS'Status\tStatus\tNNP\tB-NP\tO' +p201636 +aS'post\tpost\tIN\tB-PP\tO' +p201637 +aS'transverse\ttransverse\tJJ\tB-NP\tO' +p201638 +aS'colectomy\tcolectomy\tNN\tI-NP\tO' +p201639 +aS'with\twith\tIN\tB-PP\tO' +p201640 +aS'anastomosis\tanastomosis\tNN\tB-NP\tO' +p201641 +aS'.\t.\t.\tO\tO' +p201642 +asS"The cardiology service simply recommended increasing the beta-blockade and maximizing the patient 's electrolyte status ." +p201643 +(lp201644 +S'The\tThe\tDT\tB-NP\tO' +p201645 +aS'cardiology\tcardiology\tNN\tI-NP\tO' +p201646 +aS'service\tservice\tNN\tI-NP\tO' +p201647 +aS'simply\tsimply\tRB\tB-ADVP\tO' +p201648 +aS'recommended\trecommend\tVBD\tB-VP\tO' +p201649 +aS'increasing\tincrease\tVBG\tI-VP\tO' +p201650 +aS'the\tthe\tDT\tB-NP\tO' +p201651 +aS'beta-blockade\tbeta-blockade\tNN\tI-NP\tO' +p201652 +aS'and\tand\tCC\tO\tO' +p201653 +aS'maximizing\tmaximize\tVBG\tB-VP\tO' +p201654 +aS'the\tthe\tDT\tB-NP\tO' +p201655 +aS'patient\tpatient\tNN\tI-NP\tO' +p201656 +aS"'s\t's\tPOS\tB-NP\tO" +p201657 +aS'electrolyte\telectrolyte\tNN\tI-NP\tO' +p201658 +aS'status\tstatus\tNN\tI-NP\tO' +p201659 +aS'.\t.\t.\tO\tO' +p201660 +asS'Status post anterior myocardial infarction in 05-93 , status post percutaneous transluminal coronary angioplasty of left anterior descending in 05-93 , hypertension , diabetes mellitus .' +p201661 +(lp201662 +S'Status\tStatus\tNNP\tB-NP\tO' +p201663 +aS'post\tpost\tVBD\tB-VP\tO' +p201664 +aS'anterior\tanterior\tJJ\tB-NP\tO' +p201665 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p201666 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p201667 +aS'in\tin\tIN\tB-PP\tO' +p201668 +aS'05-93\t05-93\tCD\tB-NP\tO' +p201669 +aS',\t,\t,\tO\tO' +p201670 +aS'status\tstatus\tNN\tB-NP\tO' +p201671 +aS'post\tpost\tVBD\tB-VP\tO' +p201672 +aS'percutaneous\tpercutaneous\tJJ\tB-NP\tO' +p201673 +aS'transluminal\ttransluminal\tJJ\tI-NP\tO' +p201674 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p201675 +aS'angioplasty\tangioplasty\tNN\tI-NP\tO' +p201676 +aS'of\tof\tIN\tB-PP\tO' +p201677 +aS'left\tleft\tJJ\tB-NP\tO' +p201678 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p201679 +aS'descending\tdescending\tNN\tI-NP\tO' +p201680 +aS'in\tin\tIN\tB-PP\tO' +p201681 +aS'05-93\t05-93\tCD\tB-NP\tO' +p201682 +aS',\t,\t,\tO\tO' +p201683 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p201684 +aS',\t,\t,\tO\tO' +p201685 +aS'diabetes\tdiabetes\tNN\tB-NP\tO' +p201686 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p201687 +aS'.\t.\t.\tO\tO' +p201688 +asS'COPD exacerpation with troponin leak likely NSTEMI secondary to demand ischemia .' +p201689 +(lp201690 +S'COPD\tCOPD\tNN\tB-NP\tO' +p201691 +aS'exacerpation\texacerpation\tNN\tI-NP\tO' +p201692 +aS'with\twith\tIN\tB-PP\tO' +p201693 +aS'troponin\ttroponin\tNN\tB-NP\tO' +p201694 +aS'leak\tleak\tNN\tI-NP\tO' +p201695 +aS'likely\tlikely\tRB\tB-NP\tO' +p201696 +aS'NSTEMI\tNSTEMI\tNN\tI-NP\tO' +p201697 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p201698 +aS'to\tto\tTO\tB-VP\tO' +p201699 +aS'demand\tdemand\tVB\tI-VP\tO' +p201700 +aS'ischemia\tischemia\tNN\tB-NP\tO' +p201701 +aS'.\t.\t.\tO\tO' +p201702 +asS'Color pink in room air .' +p201703 +(lp201704 +S'Color\tColor\tNNP\tB-NP\tO' +p201705 +aS'pink\tpink\tVB\tB-VP\tO' +p201706 +aS'in\tin\tIN\tB-PP\tO' +p201707 +aS'room\troom\tNN\tB-NP\tO' +p201708 +aS'air\tair\tNN\tI-NP\tO' +p201709 +aS'.\t.\t.\tO\tO' +p201710 +asS'- B Complex - Vitamin C - Folic Acid 1 mg Capsule QD' +p201711 +(lp201712 +S'-\t-\tHYPH\tB-NP\tO' +p201713 +aS'B\tB\tNN\tI-NP\tB-protein' +p201714 +aS'Complex\tComplex\tNN\tI-NP\tI-protein' +p201715 +aS'-\t-\tHYPH\tO\tO' +p201716 +aS'Vitamin\tVitamin\tNN\tB-NP\tB-protein' +p201717 +aS'C\tC\tNN\tI-NP\tI-protein' +p201718 +aS'-\t-\tHYPH\tB-NP\tO' +p201719 +aS'Folic\tFolic\tJJ\tI-NP\tO' +p201720 +aS'Acid\tAcid\tNN\tI-NP\tO' +p201721 +aS'1\t1\tCD\tI-NP\tO' +p201722 +aS'mg\tmg\tNN\tI-NP\tO' +p201723 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p201724 +aS'QD\tQD\tNNP\tI-NP\tO' +p201725 +asS'She was cleared to take sips of clear fluids and was to remain flat for 4 hours .' +p201726 +(lp201727 +S'She\tShe\tPRP\tB-NP\tO' +p201728 +aS'was\tbe\tVBD\tB-VP\tO' +p201729 +aS'cleared\tclear\tVBN\tI-VP\tO' +p201730 +aS'to\tto\tTO\tI-VP\tO' +p201731 +aS'take\ttake\tVB\tI-VP\tO' +p201732 +aS'sips\tsip\tNNS\tB-NP\tO' +p201733 +aS'of\tof\tIN\tB-PP\tO' +p201734 +aS'clear\tclear\tJJ\tB-NP\tO' +p201735 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p201736 +aS'and\tand\tCC\tO\tO' +p201737 +aS'was\tbe\tVBD\tB-VP\tO' +p201738 +aS'to\tto\tTO\tI-VP\tO' +p201739 +aS'remain\tremain\tVB\tI-VP\tO' +p201740 +aS'flat\tflat\tJJ\tB-ADJP\tO' +p201741 +aS'for\tfor\tIN\tB-PP\tO' +p201742 +aS'4\t4\tCD\tB-NP\tO' +p201743 +aS'hours\thour\tNNS\tI-NP\tO' +p201744 +aS'.\t.\t.\tO\tO' +p201745 +asS'There was only diffuse small vessel disease noted .' +p201746 +(lp201747 +S'There\tThere\tEX\tB-NP\tO' +p201748 +aS'was\tbe\tVBD\tB-VP\tO' +p201749 +aS'only\tonly\tRB\tB-NP\tO' +p201750 +aS'diffuse\tdiffuse\tJJ\tI-NP\tO' +p201751 +aS'small\tsmall\tJJ\tI-NP\tO' +p201752 +aS'vessel\tvessel\tNN\tI-NP\tO' +p201753 +aS'disease\tdisease\tNN\tI-NP\tO' +p201754 +aS'noted\tnote\tVBD\tB-VP\tO' +p201755 +aS'.\t.\t.\tO\tO' +p201756 +asS'The patient does have a vague history of chronic obstructive pulmonary disease , but this is felt to be inaccurate .' +p201757 +(lp201758 +S'The\tThe\tDT\tB-NP\tO' +p201759 +aS'patient\tpatient\tNN\tI-NP\tO' +p201760 +aS'does\tdo\tVBZ\tB-VP\tO' +p201761 +aS'have\thave\tVB\tI-VP\tO' +p201762 +aS'a\ta\tDT\tB-NP\tO' +p201763 +aS'vague\tvague\tJJ\tI-NP\tO' +p201764 +aS'history\thistory\tNN\tI-NP\tO' +p201765 +aS'of\tof\tIN\tB-PP\tO' +p201766 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p201767 +aS'obstructive\tobstructive\tJJ\tI-NP\tO' +p201768 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p201769 +aS'disease\tdisease\tNN\tI-NP\tO' +p201770 +aS',\t,\t,\tO\tO' +p201771 +aS'but\tbut\tCC\tO\tO' +p201772 +aS'this\tthis\tDT\tB-NP\tO' +p201773 +aS'is\tbe\tVBZ\tB-VP\tO' +p201774 +aS'felt\tfeel\tVBN\tI-VP\tO' +p201775 +aS'to\tto\tTO\tI-VP\tO' +p201776 +aS'be\tbe\tVB\tI-VP\tO' +p201777 +aS'inaccurate\tinaccurate\tJJ\tB-ADJP\tO' +p201778 +aS'.\t.\t.\tO\tO' +p201779 +asS'Pt was mentating okay , having conversations with intermittent somnolence despite hypercarbia .' +p201780 +(lp201781 +S'Pt\tPt\tNN\tB-NP\tO' +p201782 +aS'was\tbe\tVBD\tB-VP\tO' +p201783 +aS'mentating\tmentate\tVBG\tI-VP\tO' +p201784 +aS'okay\tokay\tNN\tB-NP\tO' +p201785 +aS',\t,\t,\tO\tO' +p201786 +aS'having\thave\tVBG\tB-VP\tO' +p201787 +aS'conversations\tconversation\tNNS\tB-NP\tO' +p201788 +aS'with\twith\tIN\tB-PP\tO' +p201789 +aS'intermittent\tintermittent\tJJ\tB-NP\tO' +p201790 +aS'somnolence\tsomnolence\tNN\tI-NP\tO' +p201791 +aS'despite\tdespite\tIN\tB-PP\tO' +p201792 +aS'hypercarbia\thypercarbia\tNN\tB-NP\tO' +p201793 +aS'.\t.\t.\tO\tO' +p201794 +asS'ALT 44 .' +p201795 +(lp201796 +S'ALT\tALT\tNN\tB-NP\tO' +p201797 +aS'44\t44\tCD\tI-NP\tO' +p201798 +aS'.\t.\t.\tO\tO' +p201799 +asS'He had flatus on postoperative day # 3 .' +p201800 +(lp201801 +S'He\tHe\tPRP\tB-NP\tO' +p201802 +aS'had\thave\tVBD\tB-VP\tO' +p201803 +aS'flatus\tflatus\tNN\tB-NP\tO' +p201804 +aS'on\ton\tIN\tB-PP\tO' +p201805 +aS'postoperative\tpostoperative\tJJ\tB-NP\tB-protein' +p201806 +aS'day\tday\tNN\tI-NP\tI-protein' +p201807 +aS'#\t#\t#\tB-NP\tI-protein' +p201808 +aS'3\t3\tCD\tI-NP\tI-protein' +p201809 +aS'.\t.\t.\tO\tO' +p201810 +asS'Pregnancy was also complicated by maternal history of depression for which mother received Zoloft .' +p201811 +(lp201812 +S'Pregnancy\tPregnancy\tNN\tB-NP\tO' +p201813 +aS'was\tbe\tVBD\tB-VP\tO' +p201814 +aS'also\talso\tRB\tI-VP\tO' +p201815 +aS'complicated\tcomplicate\tVBN\tI-VP\tO' +p201816 +aS'by\tby\tIN\tB-PP\tO' +p201817 +aS'maternal\tmaternal\tJJ\tB-NP\tO' +p201818 +aS'history\thistory\tNN\tI-NP\tO' +p201819 +aS'of\tof\tIN\tB-PP\tO' +p201820 +aS'depression\tdepression\tNN\tB-NP\tO' +p201821 +aS'for\tfor\tIN\tB-PP\tO' +p201822 +aS'which\twhich\tWDT\tB-NP\tO' +p201823 +aS'mother\tmother\tNN\tB-NP\tO' +p201824 +aS'received\treceive\tVBD\tB-VP\tO' +p201825 +aS'Zoloft\tZoloft\tNNP\tB-NP\tO' +p201826 +aS'.\t.\t.\tO\tO' +p201827 +asS'IN SUMMARY , the patient was considered to have severe necrotizing pancreatitis , with severe cardiac disease .' +p201828 +(lp201829 +S'IN\tIN\tIN\tB-PP\tO' +p201830 +aS'SUMMARY\tSUMMARY\tNNP\tB-NP\tO' +p201831 +aS',\t,\t,\tO\tO' +p201832 +aS'the\tthe\tDT\tB-NP\tO' +p201833 +aS'patient\tpatient\tNN\tI-NP\tO' +p201834 +aS'was\tbe\tVBD\tB-VP\tO' +p201835 +aS'considered\tconsider\tVBN\tI-VP\tO' +p201836 +aS'to\tto\tTO\tI-VP\tO' +p201837 +aS'have\thave\tVB\tI-VP\tO' +p201838 +aS'severe\tsevere\tJJ\tB-NP\tO' +p201839 +aS'necrotizing\tnecrotizing\tJJ\tI-NP\tO' +p201840 +aS'pancreatitis\tpancreatitis\tNN\tI-NP\tO' +p201841 +aS',\t,\t,\tO\tO' +p201842 +aS'with\twith\tIN\tB-PP\tO' +p201843 +aS'severe\tsevere\tJJ\tB-NP\tO' +p201844 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p201845 +aS'disease\tdisease\tNN\tI-NP\tO' +p201846 +aS'.\t.\t.\tO\tO' +p201847 +asS'MEDICATIONS : His prescriptions shall include' +p201848 +(lp201849 +S'MEDICATIONS\tMEDICATIONS\tNNS\tB-NP\tO' +p201850 +aS':\t:\t:\tO\tO' +p201851 +aS'His\tHis\tPRP$\tB-NP\tO' +p201852 +aS'prescriptions\tprescription\tNNS\tI-NP\tO' +p201853 +aS'shall\tshall\tMD\tB-VP\tO' +p201854 +aS'include\tinclude\tVB\tI-VP\tO' +p201855 +asS'On 2014-03-11 , Mr. Knueppel went to the Operating Room with Dr. Streeter .' +p201856 +(lp201857 +S'On\tOn\tIN\tB-PP\tO' +p201858 +aS'2014-03-11\t2014-03-11\tCD\tB-NP\tO' +p201859 +aS',\t,\t,\tO\tO' +p201860 +aS'Mr.\tMr.\tNNP\tB-NP\tO' +p201861 +aS'Knueppel\tKnueppel\tNNP\tI-NP\tO' +p201862 +aS'went\tgo\tVBD\tB-VP\tO' +p201863 +aS'to\tto\tTO\tB-PP\tO' +p201864 +aS'the\tthe\tDT\tB-NP\tO' +p201865 +aS'Operating\tOperating\tNNP\tI-NP\tO' +p201866 +aS'Room\tRoom\tNNP\tI-NP\tO' +p201867 +aS'with\twith\tIN\tB-PP\tO' +p201868 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p201869 +aS'Streeter\tStreeter\tNNP\tI-NP\tO' +p201870 +aS'.\t.\t.\tO\tO' +p201871 +asS'It was noted on 10/8/94 that she had a decreased range of motion in both her knees with flexion to approximately 40 degrees with maximum physical therapy .' +p201872 +(lp201873 +S'It\tIt\tPRP\tB-NP\tO' +p201874 +aS'was\tbe\tVBD\tB-VP\tO' +p201875 +aS'noted\tnote\tVBN\tI-VP\tO' +p201876 +aS'on\ton\tIN\tB-PP\tO' +p201877 +aS'10/8/94\t10/8/94\tCD\tB-NP\tO' +p201878 +aS'that\tthat\tIN\tB-SBAR\tO' +p201879 +aS'she\tshe\tPRP\tB-NP\tO' +p201880 +aS'had\thave\tVBD\tB-VP\tO' +p201881 +aS'a\ta\tDT\tB-NP\tO' +p201882 +aS'decreased\tdecrease\tVBN\tI-NP\tO' +p201883 +aS'range\trange\tNN\tI-NP\tO' +p201884 +aS'of\tof\tIN\tB-PP\tO' +p201885 +aS'motion\tmotion\tNN\tB-NP\tO' +p201886 +aS'in\tin\tIN\tB-PP\tO' +p201887 +aS'both\tboth\tCC\tO\tO' +p201888 +aS'her\ther\tPRP$\tB-NP\tO' +p201889 +aS'knees\tknee\tNNS\tI-NP\tO' +p201890 +aS'with\twith\tIN\tB-PP\tO' +p201891 +aS'flexion\tflexion\tNN\tB-NP\tO' +p201892 +aS'to\tto\tTO\tB-PP\tO' +p201893 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p201894 +aS'40\t40\tCD\tI-NP\tO' +p201895 +aS'degrees\tdegree\tNNS\tI-NP\tO' +p201896 +aS'with\twith\tIN\tB-PP\tO' +p201897 +aS'maximum\tmaximum\tJJ\tB-NP\tO' +p201898 +aS'physical\tphysical\tJJ\tI-NP\tO' +p201899 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p201900 +aS'.\t.\t.\tO\tO' +p201901 +asS'Sats 96% on room air .' +p201902 +(lp201903 +S'Sats\tSat\tNNS\tB-NP\tO' +p201904 +aS'96%\t96%\tVBP\tB-VP\tO' +p201905 +aS'on\ton\tIN\tB-PP\tO' +p201906 +aS'room\troom\tNN\tB-NP\tO' +p201907 +aS'air\tair\tNN\tI-NP\tO' +p201908 +aS'.\t.\t.\tO\tO' +p201909 +asS'Head circumference was 34.5 cm , 75th percentile , and length was 50.7 cm , also the 75th percentile .' +p201910 +(lp201911 +S'Head\tHead\tNN\tB-NP\tO' +p201912 +aS'circumference\tcircumference\tNN\tI-NP\tO' +p201913 +aS'was\tbe\tVBD\tB-VP\tO' +p201914 +aS'34.5\t34.5\tCD\tB-NP\tO' +p201915 +aS'cm\tcm\tNN\tI-NP\tO' +p201916 +aS',\t,\t,\tO\tO' +p201917 +aS'75th\t75th\tJJ\tB-NP\tO' +p201918 +aS'percentile\tpercentile\tNN\tI-NP\tO' +p201919 +aS',\t,\t,\tO\tO' +p201920 +aS'and\tand\tCC\tO\tO' +p201921 +aS'length\tlength\tNN\tB-NP\tO' +p201922 +aS'was\tbe\tVBD\tB-VP\tO' +p201923 +aS'50.7\t50.7\tCD\tB-NP\tO' +p201924 +aS'cm\tcm\tNN\tI-NP\tO' +p201925 +aS',\t,\t,\tO\tO' +p201926 +aS'also\talso\tRB\tB-ADVP\tO' +p201927 +aS'the\tthe\tDT\tB-NP\tO' +p201928 +aS'75th\t75th\tJJ\tI-NP\tO' +p201929 +aS'percentile\tpercentile\tNN\tI-NP\tO' +p201930 +aS'.\t.\t.\tO\tO' +p201931 +asS'His history is now that he has had a week of progressive left upper extremity weakness , to the point of being unable to move the left hand and one day of being unable to walk secondary to left leg weakness with a marked tendency to fall leftward .' +p201932 +(lp201933 +S'His\tHis\tPRP$\tB-NP\tO' +p201934 +aS'history\thistory\tNN\tI-NP\tO' +p201935 +aS'is\tbe\tVBZ\tB-VP\tO' +p201936 +aS'now\tnow\tRB\tB-ADVP\tO' +p201937 +aS'that\tthat\tIN\tB-SBAR\tO' +p201938 +aS'he\the\tPRP\tB-NP\tO' +p201939 +aS'has\thave\tVBZ\tB-VP\tO' +p201940 +aS'had\thave\tVBN\tI-VP\tO' +p201941 +aS'a\ta\tDT\tB-NP\tO' +p201942 +aS'week\tweek\tNN\tI-NP\tO' +p201943 +aS'of\tof\tIN\tB-PP\tO' +p201944 +aS'progressive\tprogressive\tJJ\tB-NP\tO' +p201945 +aS'left\tleft\tJJ\tI-NP\tO' +p201946 +aS'upper\tupper\tJJ\tI-NP\tO' +p201947 +aS'extremity\textremity\tNN\tI-NP\tO' +p201948 +aS'weakness\tweakness\tNN\tI-NP\tO' +p201949 +aS',\t,\t,\tO\tO' +p201950 +aS'to\tto\tTO\tB-PP\tO' +p201951 +aS'the\tthe\tDT\tB-NP\tO' +p201952 +aS'point\tpoint\tNN\tI-NP\tO' +p201953 +aS'of\tof\tIN\tB-PP\tO' +p201954 +aS'being\tbe\tVBG\tB-VP\tO' +p201955 +aS'unable\tunable\tJJ\tB-ADJP\tO' +p201956 +aS'to\tto\tTO\tB-VP\tO' +p201957 +aS'move\tmove\tVB\tI-VP\tO' +p201958 +aS'the\tthe\tDT\tB-NP\tO' +p201959 +aS'left\tleft\tJJ\tI-NP\tO' +p201960 +aS'hand\thand\tNN\tI-NP\tO' +p201961 +aS'and\tand\tCC\tO\tO' +p201962 +aS'one\tone\tCD\tB-NP\tO' +p201963 +aS'day\tday\tNN\tI-NP\tO' +p201964 +aS'of\tof\tIN\tB-PP\tO' +p201965 +aS'being\tbe\tVBG\tB-VP\tO' +p201966 +aS'unable\tunable\tJJ\tB-ADJP\tO' +p201967 +aS'to\tto\tTO\tB-VP\tO' +p201968 +aS'walk\twalk\tVB\tI-VP\tO' +p201969 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p201970 +aS'to\tto\tTO\tB-PP\tO' +p201971 +aS'left\tleft\tJJ\tB-NP\tO' +p201972 +aS'leg\tleg\tNN\tI-NP\tO' +p201973 +aS'weakness\tweakness\tNN\tI-NP\tO' +p201974 +aS'with\twith\tIN\tB-PP\tO' +p201975 +aS'a\ta\tDT\tB-NP\tO' +p201976 +aS'marked\tmarked\tJJ\tI-NP\tO' +p201977 +aS'tendency\ttendency\tNN\tI-NP\tO' +p201978 +aS'to\tto\tTO\tB-VP\tO' +p201979 +aS'fall\tfall\tVB\tI-VP\tO' +p201980 +aS'leftward\tleftward\tRB\tB-ADVP\tO' +p201981 +aS'.\t.\t.\tO\tO' +p201982 +asS'On postoperative day #2 her Foley catheter and chest tubes were discontinued .' +p201983 +(lp201984 +S'On\tOn\tIN\tB-PP\tO' +p201985 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p201986 +aS'day\tday\tNN\tI-NP\tO' +p201987 +aS'#2\t#2\tCD\tI-NP\tO' +p201988 +aS'her\ther\tPRP$\tB-NP\tO' +p201989 +aS'Foley\tFoley\tNNP\tI-NP\tO' +p201990 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p201991 +aS'and\tand\tCC\tI-NP\tO' +p201992 +aS'chest\tchest\tNN\tI-NP\tO' +p201993 +aS'tubes\ttube\tNNS\tI-NP\tO' +p201994 +aS'were\tbe\tVBD\tB-VP\tO' +p201995 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p201996 +aS'.\t.\t.\tO\tO' +p201997 +asS'4. Arthritis .' +p201998 +(lp201999 +S'4.\t4.\tLS\tB-NP\tO' +p202000 +aS'Arthritis\tArthritis\tNN\tI-NP\tO' +p202001 +aS'.\t.\t.\tO\tO' +p202002 +asS'1. Prempro .' +p202003 +(lp202004 +S'1.\t1.\tLS\tB-LST\tO' +p202005 +aS'Prempro\tPrempro\tNNP\tB-NP\tO' +p202006 +aS'.\t.\t.\tO\tO' +p202007 +asS'Most recently he was admitted to an outside hospital with a drug overdose in adult respiratory distress syndrome and ultimately found to have Candidal pericarditis which eventually led to constrictive pericarditis .' +p202008 +(lp202009 +S'Most\tMost\tRBS\tB-ADVP\tO' +p202010 +aS'recently\trecently\tRB\tI-ADVP\tO' +p202011 +aS'he\the\tPRP\tB-NP\tO' +p202012 +aS'was\tbe\tVBD\tB-VP\tO' +p202013 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p202014 +aS'to\tto\tTO\tB-PP\tO' +p202015 +aS'an\tan\tDT\tB-NP\tO' +p202016 +aS'outside\toutside\tJJ\tI-NP\tO' +p202017 +aS'hospital\thospital\tNN\tI-NP\tO' +p202018 +aS'with\twith\tIN\tB-PP\tO' +p202019 +aS'a\ta\tDT\tB-NP\tO' +p202020 +aS'drug\tdrug\tNN\tI-NP\tO' +p202021 +aS'overdose\toverdose\tNN\tI-NP\tO' +p202022 +aS'in\tin\tIN\tB-PP\tO' +p202023 +aS'adult\tadult\tJJ\tB-NP\tO' +p202024 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p202025 +aS'distress\tdistress\tNN\tI-NP\tO' +p202026 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p202027 +aS'and\tand\tCC\tO\tO' +p202028 +aS'ultimately\tultimately\tRB\tB-VP\tO' +p202029 +aS'found\tfind\tVBN\tI-VP\tO' +p202030 +aS'to\tto\tTO\tI-VP\tO' +p202031 +aS'have\thave\tVB\tI-VP\tO' +p202032 +aS'Candidal\tCandidal\tJJ\tB-NP\tO' +p202033 +aS'pericarditis\tpericarditis\tNN\tI-NP\tO' +p202034 +aS'which\twhich\tWDT\tB-NP\tO' +p202035 +aS'eventually\teventually\tRB\tB-ADVP\tO' +p202036 +aS'led\tlead\tVBD\tB-VP\tO' +p202037 +aS'to\tto\tTO\tB-PP\tO' +p202038 +aS'constrictive\tconstrictive\tJJ\tB-NP\tO' +p202039 +aS'pericarditis\tpericarditis\tNN\tI-NP\tO' +p202040 +aS'.\t.\t.\tO\tO' +p202041 +asS'Topical Bactroban to be applied three times a day to affected naris , prednisone 5 mg p.o. q.a.m. , K-Dur 10 mEq x2 p.o. q.d. , OxyContin 10 mg p.o. q.12h. , clindamycin 300 mg p.o. q.i.d. , lisinopril 10 mg p.o. q.d. , atenolol 25 mg p.o. q.d. , trazodone 100 mg p.o. q.h.s. , Prilosec 40 mg p.o. q.d , clotrimazole 1% cream topical to be applied b.i.d.' +p202042 +(lp202043 +S'Topical\tTopical\tJJ\tB-NP\tO' +p202044 +aS'Bactroban\tBactroban\tNNP\tI-NP\tO' +p202045 +aS'to\tto\tTO\tB-VP\tO' +p202046 +aS'be\tbe\tVB\tI-VP\tO' +p202047 +aS'applied\tapply\tVBN\tI-VP\tO' +p202048 +aS'three\tthree\tCD\tB-NP\tO' +p202049 +aS'times\ttime\tNNS\tI-NP\tO' +p202050 +aS'a\ta\tDT\tB-NP\tO' +p202051 +aS'day\tday\tNN\tI-NP\tO' +p202052 +aS'to\tto\tTO\tB-VP\tO' +p202053 +aS'affected\taffect\tVBN\tI-VP\tO' +p202054 +aS'naris\tnaris\tNN\tB-NP\tO' +p202055 +aS',\t,\t,\tO\tO' +p202056 +aS'prednisone\tprednisone\tNN\tB-NP\tO' +p202057 +aS'5\t5\tCD\tI-NP\tO' +p202058 +aS'mg\tmg\tNN\tI-NP\tO' +p202059 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p202060 +aS'q.a.m.\tq.a.m.\tNN\tI-NP\tO' +p202061 +aS',\t,\t,\tO\tO' +p202062 +aS'K-Dur\tK-Dur\tNN\tB-NP\tO' +p202063 +aS'10\t10\tCD\tI-NP\tO' +p202064 +aS'mEq\tmEq\tNN\tI-NP\tO' +p202065 +aS'x2\tx2\tNN\tI-NP\tO' +p202066 +aS'p.o.\tp.o.\tFW\tB-ADVP\tO' +p202067 +aS'q.d.\tq.d.\tFW\tI-ADVP\tO' +p202068 +aS',\t,\t,\tO\tO' +p202069 +aS'OxyContin\tOxyContin\tNN\tB-NP\tO' +p202070 +aS'10\t10\tCD\tI-NP\tO' +p202071 +aS'mg\tmg\tNN\tI-NP\tO' +p202072 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p202073 +aS'q.12h.\tq.12h.\tNN\tI-NP\tO' +p202074 +aS',\t,\t,\tO\tO' +p202075 +aS'clindamycin\tclindamycin\tNN\tB-NP\tO' +p202076 +aS'300\t300\tCD\tI-NP\tO' +p202077 +aS'mg\tmg\tNN\tI-NP\tO' +p202078 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p202079 +aS'q.i.d.\tq.i.d.\tNN\tI-NP\tO' +p202080 +aS',\t,\t,\tO\tO' +p202081 +aS'lisinopril\tlisinopril\tNN\tB-NP\tO' +p202082 +aS'10\t10\tCD\tI-NP\tO' +p202083 +aS'mg\tmg\tNN\tI-NP\tO' +p202084 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p202085 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p202086 +aS',\t,\t,\tO\tO' +p202087 +aS'atenolol\tatenolol\tNN\tB-NP\tO' +p202088 +aS'25\t25\tCD\tI-NP\tO' +p202089 +aS'mg\tmg\tNN\tI-NP\tO' +p202090 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p202091 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p202092 +aS',\t,\t,\tO\tO' +p202093 +aS'trazodone\ttrazodone\tNN\tB-NP\tO' +p202094 +aS'100\t100\tCD\tI-NP\tO' +p202095 +aS'mg\tmg\tNN\tI-NP\tO' +p202096 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p202097 +aS'q.h.s.\tq.h.s.\tNN\tI-NP\tO' +p202098 +aS',\t,\t,\tO\tO' +p202099 +aS'Prilosec\tPrilosec\tNNP\tB-NP\tO' +p202100 +aS'40\t40\tCD\tI-NP\tO' +p202101 +aS'mg\tmg\tNN\tI-NP\tO' +p202102 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p202103 +aS'q.d\tq.d\tNN\tI-NP\tO' +p202104 +aS',\t,\t,\tO\tO' +p202105 +aS'clotrimazole\tclotrimazole\tNN\tB-NP\tO' +p202106 +aS'1%\t1%\tNN\tI-NP\tO' +p202107 +aS'cream\tcream\tNN\tI-NP\tO' +p202108 +aS'topical\ttopical\tJJ\tB-ADJP\tO' +p202109 +aS'to\tto\tTO\tB-VP\tO' +p202110 +aS'be\tbe\tVB\tI-VP\tO' +p202111 +aS'applied\tapply\tVBN\tI-VP\tO' +p202112 +aS'b.i.d.\tb.i.d.\tRB\tB-ADVP\tO' +p202113 +asS'By discharge she was walking and taking PO's without problem .' +p202114 +(lp202115 +S'By\tBy\tIN\tB-PP\tO' +p202116 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p202117 +aS'she\tshe\tPRP\tB-NP\tO' +p202118 +aS'was\tbe\tVBD\tB-VP\tO' +p202119 +aS'walking\twalk\tVBG\tI-VP\tO' +p202120 +aS'and\tand\tCC\tI-VP\tO' +p202121 +aS'taking\ttake\tVBG\tI-VP\tO' +p202122 +aS'PO's\tPO'\tNNS\tB-NP\tO' +p202123 +aS'without\twithout\tIN\tB-PP\tO' +p202124 +aS'problem\tproblem\tNN\tB-NP\tO' +p202125 +aS'.\t.\t.\tO\tO' +p202126 +asS'On June 19 , 1998 , she was transferred to the Verg Medical Center Medical Intensive Care Unit for evaluation of possible thrombotic thrombocytopenic purpura .' +p202127 +(lp202128 +S'On\tOn\tIN\tB-PP\tO' +p202129 +aS'June\tJune\tNNP\tB-NP\tO' +p202130 +aS'19\t19\tCD\tI-NP\tO' +p202131 +aS',\t,\t,\tO\tO' +p202132 +aS'1998\t1998\tCD\tB-NP\tO' +p202133 +aS',\t,\t,\tO\tO' +p202134 +aS'she\tshe\tPRP\tB-NP\tO' +p202135 +aS'was\tbe\tVBD\tB-VP\tO' +p202136 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p202137 +aS'to\tto\tTO\tB-PP\tO' +p202138 +aS'the\tthe\tDT\tB-NP\tO' +p202139 +aS'Verg\tVerg\tNNP\tI-NP\tO' +p202140 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p202141 +aS'Center\tCenter\tNNP\tI-NP\tO' +p202142 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p202143 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p202144 +aS'Care\tCare\tNNP\tI-NP\tO' +p202145 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p202146 +aS'for\tfor\tIN\tB-PP\tO' +p202147 +aS'evaluation\tevaluation\tNN\tB-NP\tO' +p202148 +aS'of\tof\tIN\tB-PP\tO' +p202149 +aS'possible\tpossible\tJJ\tB-NP\tO' +p202150 +aS'thrombotic\tthrombotic\tJJ\tI-NP\tO' +p202151 +aS'thrombocytopenic\tthrombocytopenic\tJJ\tI-NP\tO' +p202152 +aS'purpura\tpurpura\tNN\tI-NP\tO' +p202153 +aS'.\t.\t.\tO\tO' +p202154 +asS'An ABG was done which showed pH 7.34 , pCO2 78 , pO2 92 on 2 liters .' +p202155 +(lp202156 +S'An\tAn\tDT\tB-NP\tO' +p202157 +aS'ABG\tABG\tNN\tI-NP\tO' +p202158 +aS'was\tbe\tVBD\tB-VP\tO' +p202159 +aS'done\tdo\tVBN\tI-VP\tO' +p202160 +aS'which\twhich\tWDT\tB-NP\tO' +p202161 +aS'showed\tshow\tVBD\tB-VP\tO' +p202162 +aS'pH\tpH\tNN\tB-NP\tO' +p202163 +aS'7.34\t7.34\tCD\tI-NP\tO' +p202164 +aS',\t,\t,\tO\tO' +p202165 +aS'pCO2\tpCO2\tNN\tB-NP\tO' +p202166 +aS'78\t78\tCD\tI-NP\tO' +p202167 +aS',\t,\t,\tO\tO' +p202168 +aS'pO2\tpO2\tNN\tB-NP\tO' +p202169 +aS'92\t92\tCD\tI-NP\tO' +p202170 +aS'on\ton\tIN\tB-PP\tO' +p202171 +aS'2\t2\tCD\tB-NP\tO' +p202172 +aS'liters\tliter\tNNS\tI-NP\tO' +p202173 +aS'.\t.\t.\tO\tO' +p202174 +asS'Her remained afebrile with stable vital signs .' +p202175 +(lp202176 +S'Her\tHer\tPRP$\tB-NP\tB-protein' +p202177 +aS'remained\tremain\tVBD\tB-VP\tO' +p202178 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p202179 +aS'with\twith\tIN\tB-PP\tO' +p202180 +aS'stable\tstable\tJJ\tB-NP\tO' +p202181 +aS'vital\tvital\tJJ\tI-NP\tO' +p202182 +aS'signs\tsign\tNNS\tI-NP\tO' +p202183 +aS'.\t.\t.\tO\tO' +p202184 +asS'6. Albuterol .' +p202185 +(lp202186 +S'6.\t6.\tLS\tB-LST\tO' +p202187 +aS'Albuterol\tAlbuterol\tNNP\tB-NP\tO' +p202188 +aS'.\t.\t.\tO\tO' +p202189 +asS'Given her disease prognosis and the fact that her other kidney is functioning well , no intervention was done .' +p202190 +(lp202191 +S'Given\tGive\tVBN\tB-PP\tO' +p202192 +aS'her\ther\tPRP$\tB-NP\tO' +p202193 +aS'disease\tdisease\tNN\tI-NP\tO' +p202194 +aS'prognosis\tprognosis\tNN\tI-NP\tO' +p202195 +aS'and\tand\tCC\tO\tO' +p202196 +aS'the\tthe\tDT\tB-NP\tO' +p202197 +aS'fact\tfact\tNN\tI-NP\tO' +p202198 +aS'that\tthat\tIN\tB-SBAR\tO' +p202199 +aS'her\ther\tPRP$\tB-NP\tO' +p202200 +aS'other\tother\tJJ\tI-NP\tO' +p202201 +aS'kidney\tkidney\tNN\tI-NP\tO' +p202202 +aS'is\tbe\tVBZ\tB-VP\tO' +p202203 +aS'functioning\tfunction\tVBG\tI-VP\tO' +p202204 +aS'well\twell\tRB\tB-ADVP\tO' +p202205 +aS',\t,\t,\tO\tO' +p202206 +aS'no\tno\tDT\tB-NP\tO' +p202207 +aS'intervention\tintervention\tNN\tI-NP\tO' +p202208 +aS'was\tbe\tVBD\tB-VP\tO' +p202209 +aS'done\tdo\tVBN\tI-VP\tO' +p202210 +aS'.\t.\t.\tO\tO' +p202211 +asS'Signed electronically by : DR. Lizzie Calkins on : Adeline 2009-02-06 10:27 AM' +p202212 +(lp202213 +S'Signed\tSign\tVBN\tB-VP\tO' +p202214 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p202215 +aS'by\tby\tIN\tB-PP\tO' +p202216 +aS':\t:\t:\tO\tO' +p202217 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p202218 +aS'Lizzie\tLizzie\tNNP\tI-NP\tO' +p202219 +aS'Calkins\tCalkins\tNNP\tI-NP\tO' +p202220 +aS'on\ton\tIN\tB-PP\tO' +p202221 +aS':\t:\t:\tO\tO' +p202222 +aS'Adeline\tAdeline\tNNP\tB-NP\tO' +p202223 +aS'2009-02-06\t2009-02-06\tCD\tB-NP\tO' +p202224 +aS'10:27\t10:27\tCD\tI-NP\tO' +p202225 +aS'AM\tAM\tNN\tI-NP\tO' +p202226 +asS'Left buttock area has a dressing over the sacral decubitus ulcer .' +p202227 +(lp202228 +S'Left\tLeave\tVBN\tB-NP\tO' +p202229 +aS'buttock\tbuttock\tNN\tI-NP\tO' +p202230 +aS'area\tarea\tNN\tI-NP\tO' +p202231 +aS'has\thave\tVBZ\tB-VP\tO' +p202232 +aS'a\ta\tDT\tB-NP\tO' +p202233 +aS'dressing\tdressing\tNN\tI-NP\tO' +p202234 +aS'over\tover\tIN\tB-PP\tO' +p202235 +aS'the\tthe\tDT\tB-NP\tO' +p202236 +aS'sacral\tsacral\tJJ\tI-NP\tO' +p202237 +aS'decubitus\tdecubitus\tNN\tI-NP\tO' +p202238 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p202239 +aS'.\t.\t.\tO\tO' +p202240 +asS'The abdomen was soft , nontender , nondistended with normoactive bowel sounds .' +p202241 +(lp202242 +S'The\tThe\tDT\tB-NP\tO' +p202243 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p202244 +aS'was\tbe\tVBD\tB-VP\tO' +p202245 +aS'soft\tsoft\tJJ\tB-NP\tO' +p202246 +aS',\t,\t,\tI-NP\tO' +p202247 +aS'nontender\tnontender\tJJ\tI-NP\tO' +p202248 +aS',\t,\t,\tI-NP\tO' +p202249 +aS'nondistended\tnondistended\tJJ\tI-NP\tO' +p202250 +aS'with\twith\tIN\tB-PP\tO' +p202251 +aS'normoactive\tnormoactive\tJJ\tB-NP\tO' +p202252 +aS'bowel\tbowel\tNN\tI-NP\tO' +p202253 +aS'sounds\tsound\tNNS\tI-NP\tO' +p202254 +aS'.\t.\t.\tO\tO' +p202255 +asS'Removal of tunneled cath ( previously used for tPN )' +p202256 +(lp202257 +S'Removal\tRemoval\tNN\tB-NP\tO' +p202258 +aS'of\tof\tIN\tB-PP\tO' +p202259 +aS'tunneled\ttunnel\tVBN\tB-NP\tO' +p202260 +aS'cath\tcath\tNN\tI-NP\tO' +p202261 +aS'(\t(\t(\tO\tO' +p202262 +aS'previously\tpreviously\tRB\tB-VP\tO' +p202263 +aS'used\tuse\tVBN\tI-VP\tO' +p202264 +aS'for\tfor\tIN\tB-PP\tO' +p202265 +aS'tPN\ttPN\tNN\tB-NP\tO' +p202266 +aS')\t)\t)\tO\tO' +p202267 +asS'MAY SHOWER , NO BATHS .' +p202268 +(lp202269 +S'MAY\tMAY\tNNP\tB-NP\tO' +p202270 +aS'SHOWER\tSHOWER\tNNP\tI-NP\tO' +p202271 +aS',\t,\t,\tO\tO' +p202272 +aS'NO\tNO\tNNP\tB-NP\tO' +p202273 +aS'BATHS\tBATHS\tNNP\tI-NP\tO' +p202274 +aS'.\t.\t.\tO\tO' +p202275 +asS'At the time of discharge , the patient was independent , ambulating , and functioning well .' +p202276 +(lp202277 +S'At\tAt\tIN\tB-PP\tO' +p202278 +aS'the\tthe\tDT\tB-NP\tO' +p202279 +aS'time\ttime\tNN\tI-NP\tO' +p202280 +aS'of\tof\tIN\tB-PP\tO' +p202281 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p202282 +aS',\t,\t,\tO\tO' +p202283 +aS'the\tthe\tDT\tB-NP\tO' +p202284 +aS'patient\tpatient\tNN\tI-NP\tO' +p202285 +aS'was\tbe\tVBD\tB-VP\tO' +p202286 +aS'independent\tindependent\tJJ\tB-ADJP\tO' +p202287 +aS',\t,\t,\tO\tO' +p202288 +aS'ambulating\tambulating\tJJ\tB-ADJP\tO' +p202289 +aS',\t,\t,\tO\tO' +p202290 +aS'and\tand\tCC\tO\tO' +p202291 +aS'functioning\tfunction\tVBG\tB-VP\tO' +p202292 +aS'well\twell\tRB\tB-ADVP\tO' +p202293 +aS'.\t.\t.\tO\tO' +p202294 +asS'Tricuspid regurgitation , heart failure , chronic atrial fibrillation , chronic ventricular ectopy , chronic obstructive lung disease .' +p202295 +(lp202296 +S'Tricuspid\tTricuspid\tJJ\tB-NP\tO' +p202297 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p202298 +aS',\t,\t,\tO\tO' +p202299 +aS'heart\theart\tNN\tB-NP\tO' +p202300 +aS'failure\tfailure\tNN\tI-NP\tO' +p202301 +aS',\t,\t,\tO\tO' +p202302 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p202303 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p202304 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p202305 +aS',\t,\t,\tO\tO' +p202306 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p202307 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p202308 +aS'ectopy\tectopy\tNN\tI-NP\tO' +p202309 +aS',\t,\t,\tO\tO' +p202310 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p202311 +aS'obstructive\tobstructive\tJJ\tI-NP\tO' +p202312 +aS'lung\tlung\tNN\tI-NP\tO' +p202313 +aS'disease\tdisease\tNN\tI-NP\tO' +p202314 +aS'.\t.\t.\tO\tO' +p202315 +asS'Because of the intense diffuse inflammatory reaction that had already set in , it was decided that neither distal pancreatic resection nor Roux-en-Y drainage was feasible .' +p202316 +(lp202317 +S'Because\tBecause\tIN\tB-PP\tO' +p202318 +aS'of\tof\tIN\tI-PP\tO' +p202319 +aS'the\tthe\tDT\tB-NP\tO' +p202320 +aS'intense\tintense\tJJ\tI-NP\tO' +p202321 +aS'diffuse\tdiffuse\tJJ\tI-NP\tO' +p202322 +aS'inflammatory\tinflammatory\tJJ\tI-NP\tO' +p202323 +aS'reaction\treaction\tNN\tI-NP\tO' +p202324 +aS'that\tthat\tWDT\tB-NP\tO' +p202325 +aS'had\thave\tVBD\tB-VP\tO' +p202326 +aS'already\talready\tRB\tI-VP\tO' +p202327 +aS'set\tset\tVBN\tI-VP\tO' +p202328 +aS'in\tin\tIN\tB-PRT\tO' +p202329 +aS',\t,\t,\tO\tO' +p202330 +aS'it\tit\tPRP\tB-NP\tO' +p202331 +aS'was\tbe\tVBD\tB-VP\tO' +p202332 +aS'decided\tdecide\tVBN\tI-VP\tO' +p202333 +aS'that\tthat\tIN\tB-SBAR\tO' +p202334 +aS'neither\tneither\tCC\tB-NP\tO' +p202335 +aS'distal\tdistal\tJJ\tI-NP\tO' +p202336 +aS'pancreatic\tpancreatic\tJJ\tI-NP\tO' +p202337 +aS'resection\tresection\tNN\tI-NP\tO' +p202338 +aS'nor\tnor\tCC\tO\tO' +p202339 +aS'Roux-en-Y\tRoux-en-Y\tNN\tB-NP\tO' +p202340 +aS'drainage\tdrainage\tNN\tI-NP\tO' +p202341 +aS'was\tbe\tVBD\tB-VP\tO' +p202342 +aS'feasible\tfeasible\tJJ\tB-ADJP\tO' +p202343 +aS'.\t.\t.\tO\tO' +p202344 +asS'An echocardiogram in 2011-09-05 revealed a left ventricular ejection fraction of 20 to 25% .' +p202345 +(lp202346 +S'An\tAn\tDT\tB-NP\tO' +p202347 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p202348 +aS'in\tin\tIN\tB-PP\tO' +p202349 +aS'2011-09-05\t2011-09-05\tCD\tB-NP\tO' +p202350 +aS'revealed\treveal\tVBD\tB-VP\tO' +p202351 +aS'a\ta\tDT\tB-NP\tO' +p202352 +aS'left\tleft\tJJ\tI-NP\tO' +p202353 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p202354 +aS'ejection\tejection\tNN\tI-NP\tO' +p202355 +aS'fraction\tfraction\tNN\tI-NP\tO' +p202356 +aS'of\tof\tIN\tB-PP\tO' +p202357 +aS'20\t20\tCD\tB-NP\tO' +p202358 +aS'to\tto\tTO\tB-PP\tO' +p202359 +aS'25%\t25%\tCD\tB-NP\tO' +p202360 +aS'.\t.\t.\tO\tO' +p202361 +asS'He is on ______________ 2 tabs PO qd .' +p202362 +(lp202363 +S'He\tHe\tPRP\tB-NP\tO' +p202364 +aS'is\tbe\tVBZ\tB-VP\tO' +p202365 +aS'on\ton\tIN\tB-PP\tO' +p202366 +aS'______________\t______________\tNN\tB-NP\tB-protein' +p202367 +aS'2\t2\tCD\tI-NP\tI-protein' +p202368 +aS'tabs\ttab\tNNS\tI-NP\tI-protein' +p202369 +aS'PO\tPO\tNN\tI-NP\tI-protein' +p202370 +aS'qd\tqd\tNN\tI-NP\tI-protein' +p202371 +aS'.\t.\t.\tO\tO' +p202372 +asS'She has been on Coumadin since and has continued to have occasional palpitations and mild shortness of breath .' +p202373 +(lp202374 +S'She\tShe\tPRP\tB-NP\tO' +p202375 +aS'has\thave\tVBZ\tB-VP\tO' +p202376 +aS'been\tbe\tVBN\tI-VP\tO' +p202377 +aS'on\ton\tIN\tB-PP\tO' +p202378 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p202379 +aS'since\tsince\tIN\tB-PP\tO' +p202380 +aS'and\tand\tCC\tO\tO' +p202381 +aS'has\thave\tVBZ\tB-VP\tO' +p202382 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p202383 +aS'to\tto\tTO\tI-VP\tO' +p202384 +aS'have\thave\tVB\tI-VP\tO' +p202385 +aS'occasional\toccasional\tJJ\tB-NP\tO' +p202386 +aS'palpitations\tpalpitation\tNNS\tI-NP\tO' +p202387 +aS'and\tand\tCC\tO\tO' +p202388 +aS'mild\tmild\tJJ\tB-NP\tO' +p202389 +aS'shortness\tshortness\tNN\tI-NP\tO' +p202390 +aS'of\tof\tIN\tB-PP\tO' +p202391 +aS'breath\tbreath\tNN\tB-NP\tO' +p202392 +aS'.\t.\t.\tO\tO' +p202393 +asS'Again seen is a moderate - to large - sized right pleural effusion .' +p202394 +(lp202395 +S'Again\tAgain\tRB\tB-ADVP\tO' +p202396 +aS'seen\tsee\tVBN\tB-VP\tO' +p202397 +aS'is\tbe\tVBZ\tB-VP\tO' +p202398 +aS'a\ta\tDT\tB-NP\tO' +p202399 +aS'moderate\tmoderate\tJJ\tI-NP\tO' +p202400 +aS'-\t-\tHYPH\tI-NP\tO' +p202401 +aS'to\tto\tTO\tB-PP\tO' +p202402 +aS'large\tlarge\tJJ\tB-NP\tO' +p202403 +aS'-\t-\tHYPH\tI-NP\tO' +p202404 +aS'sized\tsize\tVBN\tI-NP\tO' +p202405 +aS'right\tright\tJJ\tI-NP\tO' +p202406 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p202407 +aS'effusion\teffusion\tNN\tI-NP\tO' +p202408 +aS'.\t.\t.\tO\tO' +p202409 +asS'take medication as directed , return for severe or significantly worsening symptoms , weakness or loss of sensation work restrictions as written on accompanying form .' +p202410 +(lp202411 +S'take\ttake\tVB\tB-VP\tO' +p202412 +aS'medication\tmedication\tNN\tB-NP\tO' +p202413 +aS'as\tas\tIN\tB-SBAR\tO' +p202414 +aS'directed\tdirect\tVBN\tB-VP\tO' +p202415 +aS',\t,\t,\tO\tO' +p202416 +aS'return\treturn\tNN\tB-NP\tO' +p202417 +aS'for\tfor\tIN\tB-PP\tO' +p202418 +aS'severe\tsevere\tJJ\tB-ADJP\tO' +p202419 +aS'or\tor\tCC\tO\tO' +p202420 +aS'significantly\tsignificantly\tRB\tB-VP\tO' +p202421 +aS'worsening\tworsen\tVBG\tI-VP\tO' +p202422 +aS'symptoms\tsymptom\tNNS\tB-NP\tO' +p202423 +aS',\t,\t,\tO\tO' +p202424 +aS'weakness\tweakness\tNN\tB-NP\tO' +p202425 +aS'or\tor\tCC\tI-NP\tO' +p202426 +aS'loss\tloss\tNN\tI-NP\tO' +p202427 +aS'of\tof\tIN\tB-PP\tO' +p202428 +aS'sensation\tsensation\tNN\tB-NP\tO' +p202429 +aS'work\twork\tNN\tI-NP\tO' +p202430 +aS'restrictions\trestriction\tNNS\tI-NP\tO' +p202431 +aS'as\tas\tIN\tB-SBAR\tO' +p202432 +aS'written\twrite\tVBN\tB-VP\tO' +p202433 +aS'on\ton\tIN\tB-PP\tO' +p202434 +aS'accompanying\taccompany\tVBG\tB-VP\tO' +p202435 +aS'form\tform\tNN\tB-NP\tO' +p202436 +aS'.\t.\t.\tO\tO' +p202437 +asS'Echocardiogram June 2004 showed an EF of 77% .' +p202438 +(lp202439 +S'Echocardiogram\tEchocardiogram\tNNP\tB-NP\tO' +p202440 +aS'June\tJune\tNNP\tI-NP\tO' +p202441 +aS'2004\t2004\tCD\tI-NP\tO' +p202442 +aS'showed\tshow\tVBD\tB-VP\tO' +p202443 +aS'an\tan\tDT\tB-NP\tO' +p202444 +aS'EF\tEF\tNN\tI-NP\tB-protein' +p202445 +aS'of\tof\tIN\tB-PP\tO' +p202446 +aS'77%\t77%\tNN\tB-NP\tO' +p202447 +aS'.\t.\t.\tO\tO' +p202448 +asS"This resolved with removal of the bottle from the baby 's mouth ." +p202449 +(lp202450 +S'This\tThis\tDT\tB-NP\tO' +p202451 +aS'resolved\tresolve\tVBN\tB-VP\tO' +p202452 +aS'with\twith\tIN\tB-PP\tO' +p202453 +aS'removal\tremoval\tNN\tB-NP\tO' +p202454 +aS'of\tof\tIN\tB-PP\tO' +p202455 +aS'the\tthe\tDT\tB-NP\tO' +p202456 +aS'bottle\tbottle\tNN\tI-NP\tO' +p202457 +aS'from\tfrom\tIN\tB-PP\tO' +p202458 +aS'the\tthe\tDT\tB-NP\tO' +p202459 +aS'baby\tbaby\tNN\tI-NP\tO' +p202460 +aS"'s\t's\tPOS\tB-NP\tO" +p202461 +aS'mouth\tmouth\tNN\tI-NP\tO' +p202462 +aS'.\t.\t.\tO\tO' +p202463 +asS'The Sestamibi scan showed findings that were consistent with a parathyroid adenoma in the right lobe of the thyroid .' +p202464 +(lp202465 +S'The\tThe\tDT\tB-NP\tO' +p202466 +aS'Sestamibi\tSestamibi\tNNP\tI-NP\tO' +p202467 +aS'scan\tscan\tNN\tI-NP\tO' +p202468 +aS'showed\tshow\tVBD\tB-VP\tO' +p202469 +aS'findings\tfinding\tNNS\tB-NP\tO' +p202470 +aS'that\tthat\tWDT\tB-NP\tO' +p202471 +aS'were\tbe\tVBD\tB-VP\tO' +p202472 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p202473 +aS'with\twith\tIN\tB-PP\tO' +p202474 +aS'a\ta\tDT\tB-NP\tO' +p202475 +aS'parathyroid\tparathyroid\tJJ\tI-NP\tO' +p202476 +aS'adenoma\tadenoma\tNN\tI-NP\tO' +p202477 +aS'in\tin\tIN\tB-PP\tO' +p202478 +aS'the\tthe\tDT\tB-NP\tO' +p202479 +aS'right\tright\tJJ\tI-NP\tO' +p202480 +aS'lobe\tlobe\tNN\tI-NP\tO' +p202481 +aS'of\tof\tIN\tB-PP\tO' +p202482 +aS'the\tthe\tDT\tB-NP\tO' +p202483 +aS'thyroid\tthyroid\tNN\tI-NP\tO' +p202484 +aS'.\t.\t.\tO\tO' +p202485 +asS'2. Protonix q.d. 40 .' +p202486 +(lp202487 +S'2.\t2.\tLS\tB-NP\tO' +p202488 +aS'Protonix\tProtonix\tNNP\tI-NP\tO' +p202489 +aS'q.d.\tq.d.\tNNP\tI-NP\tO' +p202490 +aS'40\t40\tCD\tI-NP\tO' +p202491 +aS'.\t.\t.\tO\tO' +p202492 +asS'On day nine , he had a low level exercise tolerance test with Thallium which was positive for 2.5 mm horizontal depressions in II , III , and AVF , and 1.5 mm downsloping ST depressions in V5 and V6 , as well as some anteroseptal redistribution on Thallium .' +p202493 +(lp202494 +S'On\tOn\tIN\tB-PP\tO' +p202495 +aS'day\tday\tNN\tB-NP\tO' +p202496 +aS'nine\tnine\tCD\tI-NP\tO' +p202497 +aS',\t,\t,\tO\tO' +p202498 +aS'he\the\tPRP\tB-NP\tO' +p202499 +aS'had\thave\tVBD\tB-VP\tO' +p202500 +aS'a\ta\tDT\tB-NP\tO' +p202501 +aS'low\tlow\tJJ\tI-NP\tO' +p202502 +aS'level\tlevel\tNN\tI-NP\tO' +p202503 +aS'exercise\texercise\tNN\tI-NP\tO' +p202504 +aS'tolerance\ttolerance\tNN\tI-NP\tO' +p202505 +aS'test\ttest\tNN\tI-NP\tO' +p202506 +aS'with\twith\tIN\tB-PP\tO' +p202507 +aS'Thallium\tThallium\tNN\tB-NP\tO' +p202508 +aS'which\twhich\tWDT\tB-NP\tO' +p202509 +aS'was\tbe\tVBD\tB-VP\tO' +p202510 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p202511 +aS'for\tfor\tIN\tB-PP\tO' +p202512 +aS'2.5\t2.5\tCD\tB-NP\tO' +p202513 +aS'mm\tmm\tNN\tI-NP\tO' +p202514 +aS'horizontal\thorizontal\tJJ\tI-NP\tO' +p202515 +aS'depressions\tdepression\tNNS\tI-NP\tO' +p202516 +aS'in\tin\tIN\tB-PP\tO' +p202517 +aS'II\tII\tCD\tB-NP\tO' +p202518 +aS',\t,\t,\tI-NP\tO' +p202519 +aS'III\tIII\tCD\tI-NP\tO' +p202520 +aS',\t,\t,\tO\tO' +p202521 +aS'and\tand\tCC\tO\tO' +p202522 +aS'AVF\tAVF\tNN\tB-NP\tB-protein' +p202523 +aS',\t,\t,\tO\tO' +p202524 +aS'and\tand\tCC\tO\tO' +p202525 +aS'1.5\t1.5\tCD\tB-NP\tO' +p202526 +aS'mm\tmm\tNN\tI-NP\tO' +p202527 +aS'downsloping\tdownslope\tVBG\tB-VP\tO' +p202528 +aS'ST\tST\tJJ\tB-NP\tO' +p202529 +aS'depressions\tdepression\tNNS\tI-NP\tO' +p202530 +aS'in\tin\tIN\tB-PP\tO' +p202531 +aS'V5\tV5\tNN\tB-NP\tO' +p202532 +aS'and\tand\tCC\tI-NP\tO' +p202533 +aS'V6\tV6\tNN\tI-NP\tB-protein' +p202534 +aS',\t,\t,\tO\tO' +p202535 +aS'as\tas\tRB\tB-CONJP\tO' +p202536 +aS'well\twell\tRB\tI-CONJP\tO' +p202537 +aS'as\tas\tIN\tI-CONJP\tO' +p202538 +aS'some\tsome\tDT\tB-NP\tO' +p202539 +aS'anteroseptal\tanteroseptal\tJJ\tI-NP\tO' +p202540 +aS'redistribution\tredistribution\tNN\tI-NP\tO' +p202541 +aS'on\ton\tIN\tB-PP\tO' +p202542 +aS'Thallium\tThallium\tNN\tB-NP\tO' +p202543 +aS'.\t.\t.\tO\tO' +p202544 +asS'A bronchoscopy showed a tracheoesophageal fistula with an opening into the trachea above the carina and no tumor in the right upper lobe .' +p202545 +(lp202546 +S'A\tA\tDT\tB-NP\tO' +p202547 +aS'bronchoscopy\tbronchoscopy\tNN\tI-NP\tO' +p202548 +aS'showed\tshow\tVBD\tB-VP\tO' +p202549 +aS'a\ta\tDT\tB-NP\tO' +p202550 +aS'tracheoesophageal\ttracheoesophageal\tJJ\tI-NP\tO' +p202551 +aS'fistula\tfistula\tNN\tI-NP\tO' +p202552 +aS'with\twith\tIN\tB-PP\tO' +p202553 +aS'an\tan\tDT\tB-NP\tO' +p202554 +aS'opening\topening\tNN\tI-NP\tO' +p202555 +aS'into\tinto\tIN\tB-PP\tO' +p202556 +aS'the\tthe\tDT\tB-NP\tO' +p202557 +aS'trachea\ttrachea\tNN\tI-NP\tO' +p202558 +aS'above\tabove\tIN\tB-PP\tO' +p202559 +aS'the\tthe\tDT\tB-NP\tO' +p202560 +aS'carina\tcarina\tNN\tI-NP\tO' +p202561 +aS'and\tand\tCC\tO\tO' +p202562 +aS'no\tno\tDT\tB-NP\tO' +p202563 +aS'tumor\ttumor\tNN\tI-NP\tO' +p202564 +aS'in\tin\tIN\tB-PP\tO' +p202565 +aS'the\tthe\tDT\tB-NP\tO' +p202566 +aS'right\tright\tJJ\tI-NP\tO' +p202567 +aS'upper\tupper\tJJ\tI-NP\tO' +p202568 +aS'lobe\tlobe\tNN\tI-NP\tO' +p202569 +aS'.\t.\t.\tO\tO' +p202570 +asS'his risk of bleeding .' +p202571 +(lp202572 +S'his\this\tPRP$\tB-NP\tO' +p202573 +aS'risk\trisk\tNN\tI-NP\tO' +p202574 +aS'of\tof\tIN\tB-PP\tO' +p202575 +aS'bleeding\tbleed\tVBG\tB-NP\tO' +p202576 +aS'.\t.\t.\tO\tO' +p202577 +asS'18. Morphine Sulfate 15 mg Tablet Sig : 1-2 Tablets PO Q4-6H ( every 4 to 6 hours ) as needed .' +p202578 +(lp202579 +S'18.\t18.\tCD\tB-NP\tO' +p202580 +aS'Morphine\tMorphine\tNNP\tI-NP\tO' +p202581 +aS'Sulfate\tSulfate\tNNP\tI-NP\tO' +p202582 +aS'15\t15\tCD\tI-NP\tO' +p202583 +aS'mg\tmg\tNN\tI-NP\tO' +p202584 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p202585 +aS'Sig\tSig\tNNP\tI-NP\tO' +p202586 +aS':\t:\t:\tO\tO' +p202587 +aS'1-2\t1-2\tCD\tB-NP\tO' +p202588 +aS'Tablets\tTablet\tNNS\tI-NP\tO' +p202589 +aS'PO\tPO\tNN\tI-NP\tO' +p202590 +aS'Q4-6H\tQ4-6H\tNN\tI-NP\tO' +p202591 +aS'(\t(\t(\tO\tO' +p202592 +aS'every\tevery\tDT\tB-NP\tO' +p202593 +aS'4\t4\tCD\tI-NP\tO' +p202594 +aS'to\tto\tTO\tI-NP\tO' +p202595 +aS'6\t6\tCD\tI-NP\tO' +p202596 +aS'hours\thour\tNNS\tI-NP\tO' +p202597 +aS')\t)\t)\tO\tO' +p202598 +aS'as\tas\tIN\tB-SBAR\tO' +p202599 +aS'needed\tneed\tVBN\tB-VP\tO' +p202600 +aS'.\t.\t.\tO\tO' +p202601 +asS'She was extubated and recovered well in PACU .' +p202602 +(lp202603 +S'She\tShe\tPRP\tB-NP\tO' +p202604 +aS'was\tbe\tVBD\tB-VP\tO' +p202605 +aS'extubated\textubate\tVBN\tI-VP\tO' +p202606 +aS'and\tand\tCC\tO\tO' +p202607 +aS'recovered\trecover\tVBN\tB-VP\tO' +p202608 +aS'well\twell\tRB\tB-ADVP\tO' +p202609 +aS'in\tin\tIN\tB-PP\tO' +p202610 +aS'PACU\tPACU\tNN\tB-NP\tB-DNA' +p202611 +aS'.\t.\t.\tO\tO' +p202612 +asS'He developed atrial fibrillation on POD#2 with well controlled rate and hemodynamically stable .' +p202613 +(lp202614 +S'He\tHe\tPRP\tB-NP\tO' +p202615 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p202616 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p202617 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p202618 +aS'on\ton\tIN\tB-PP\tO' +p202619 +aS'POD#2\tPOD#2\tNN\tB-NP\tB-protein' +p202620 +aS'with\twith\tIN\tB-PP\tO' +p202621 +aS'well\twell\tRB\tB-NP\tO' +p202622 +aS'controlled\tcontrol\tVBN\tI-NP\tO' +p202623 +aS'rate\trate\tNN\tI-NP\tO' +p202624 +aS'and\tand\tCC\tO\tO' +p202625 +aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' +p202626 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p202627 +aS'.\t.\t.\tO\tO' +p202628 +asS'Social history is positive for smoking .' +p202629 +(lp202630 +S'Social\tSocial\tJJ\tB-NP\tO' +p202631 +aS'history\thistory\tNN\tI-NP\tO' +p202632 +aS'is\tbe\tVBZ\tB-VP\tO' +p202633 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p202634 +aS'for\tfor\tIN\tB-PP\tO' +p202635 +aS'smoking\tsmoking\tNN\tB-NP\tO' +p202636 +aS'.\t.\t.\tO\tO' +p202637 +asS'Patient is post median sternotomy .' +p202638 +(lp202639 +S'Patient\tPatient\tNN\tB-NP\tO' +p202640 +aS'is\tbe\tVBZ\tB-VP\tO' +p202641 +aS'post\tpost\tJJ\tB-NP\tO' +p202642 +aS'median\tmedian\tJJ\tI-NP\tO' +p202643 +aS'sternotomy\tsternotomy\tNN\tI-NP\tO' +p202644 +aS'.\t.\t.\tO\tO' +p202645 +asS'2) Extensive degenerative change of the cervical spine ."' +p202646 +(lp202647 +S'2)\t2)\tLS\tB-NP\tO' +p202648 +aS'Extensive\tExtensive\tJJ\tI-NP\tO' +p202649 +aS'degenerative\tdegenerative\tJJ\tI-NP\tO' +p202650 +aS'change\tchange\tNN\tI-NP\tO' +p202651 +aS'of\tof\tIN\tB-PP\tO' +p202652 +aS'the\tthe\tDT\tB-NP\tO' +p202653 +aS'cervical\tcervical\tJJ\tI-NP\tO' +p202654 +aS'spine\tspine\tNN\tI-NP\tO' +p202655 +aS'."\t."\t.\tO\tO' +p202656 +asS'In the Medicine Intensive Care Unit , the patient was initially placed on high-flow 60% oxygen face mask and they diuresed approximately 5 liters off into the intravenous Lasix .' +p202657 +(lp202658 +S'In\tIn\tIN\tB-PP\tO' +p202659 +aS'the\tthe\tDT\tB-NP\tO' +p202660 +aS'Medicine\tMedicine\tNNP\tI-NP\tO' +p202661 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p202662 +aS'Care\tCare\tNNP\tI-NP\tO' +p202663 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p202664 +aS',\t,\t,\tO\tO' +p202665 +aS'the\tthe\tDT\tB-NP\tO' +p202666 +aS'patient\tpatient\tNN\tI-NP\tO' +p202667 +aS'was\tbe\tVBD\tB-VP\tO' +p202668 +aS'initially\tinitially\tRB\tI-VP\tO' +p202669 +aS'placed\tplace\tVBN\tI-VP\tO' +p202670 +aS'on\ton\tIN\tB-PP\tO' +p202671 +aS'high-flow\thigh-flow\tJJ\tB-NP\tO' +p202672 +aS'60%\t60%\tJJ\tI-NP\tO' +p202673 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p202674 +aS'face\tface\tNN\tI-NP\tO' +p202675 +aS'mask\tmask\tNN\tI-NP\tO' +p202676 +aS'and\tand\tCC\tO\tO' +p202677 +aS'they\tthey\tPRP\tB-NP\tO' +p202678 +aS'diuresed\tdiurese\tVBD\tB-VP\tO' +p202679 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p202680 +aS'5\t5\tCD\tI-NP\tO' +p202681 +aS'liters\tliter\tNNS\tI-NP\tO' +p202682 +aS'off\toff\tRB\tB-ADVP\tO' +p202683 +aS'into\tinto\tIN\tB-PP\tO' +p202684 +aS'the\tthe\tDT\tB-NP\tO' +p202685 +aS'intravenous\tintravenous\tJJ\tI-NP\tO' +p202686 +aS'Lasix\tLasix\tNN\tI-NP\tO' +p202687 +aS'.\t.\t.\tO\tO' +p202688 +asS'She does report chills , but no fevers .' +p202689 +(lp202690 +S'She\tShe\tPRP\tB-NP\tO' +p202691 +aS'does\tdo\tVBZ\tB-VP\tO' +p202692 +aS'report\treport\tNN\tB-NP\tO' +p202693 +aS'chills\tchill\tNNS\tI-NP\tO' +p202694 +aS',\t,\t,\tO\tO' +p202695 +aS'but\tbut\tCC\tO\tO' +p202696 +aS'no\tno\tDT\tB-NP\tO' +p202697 +aS'fevers\tfever\tNNS\tI-NP\tO' +p202698 +aS'.\t.\t.\tO\tO' +p202699 +asS'She was initially noted to be somewhat anemic , and received transfusions .' +p202700 +(lp202701 +S'She\tShe\tPRP\tB-NP\tO' +p202702 +aS'was\tbe\tVBD\tB-VP\tO' +p202703 +aS'initially\tinitially\tRB\tI-VP\tO' +p202704 +aS'noted\tnote\tVBN\tI-VP\tO' +p202705 +aS'to\tto\tTO\tI-VP\tO' +p202706 +aS'be\tbe\tVB\tI-VP\tO' +p202707 +aS'somewhat\tsomewhat\tRB\tB-ADJP\tO' +p202708 +aS'anemic\tanemic\tJJ\tI-ADJP\tO' +p202709 +aS',\t,\t,\tO\tO' +p202710 +aS'and\tand\tCC\tO\tO' +p202711 +aS'received\treceive\tVBD\tB-VP\tO' +p202712 +aS'transfusions\ttransfusion\tNNS\tB-NP\tO' +p202713 +aS'.\t.\t.\tO\tO' +p202714 +asS'The patient presented with a chief complaint of CP .' +p202715 +(lp202716 +S'The\tThe\tDT\tB-NP\tO' +p202717 +aS'patient\tpatient\tNN\tI-NP\tO' +p202718 +aS'presented\tpresent\tVBD\tB-VP\tO' +p202719 +aS'with\twith\tIN\tB-PP\tO' +p202720 +aS'a\ta\tDT\tB-NP\tO' +p202721 +aS'chief\tchief\tJJ\tI-NP\tO' +p202722 +aS'complaint\tcomplaint\tNN\tI-NP\tO' +p202723 +aS'of\tof\tIN\tB-PP\tO' +p202724 +aS'CP\tCP\tNN\tB-NP\tB-DNA' +p202725 +aS'.\t.\t.\tO\tO' +p202726 +asS'This is to notify you that your patient , KATESJESC , RAI arrived in the Emergency Department at Well General Hospital on 05/01/2004 06:30 PM .' +p202727 +(lp202728 +S'This\tThis\tDT\tB-NP\tO' +p202729 +aS'is\tbe\tVBZ\tB-VP\tO' +p202730 +aS'to\tto\tTO\tB-VP\tO' +p202731 +aS'notify\tnotify\tVB\tI-VP\tO' +p202732 +aS'you\tyou\tPRP\tB-NP\tO' +p202733 +aS'that\tthat\tIN\tB-SBAR\tO' +p202734 +aS'your\tyour\tPRP$\tB-NP\tO' +p202735 +aS'patient\tpatient\tNN\tI-NP\tO' +p202736 +aS',\t,\t,\tO\tO' +p202737 +aS'KATESJESC\tKATESJESC\tNN\tB-NP\tB-protein' +p202738 +aS',\t,\t,\tO\tO' +p202739 +aS'RAI\tRAI\tNN\tB-NP\tO' +p202740 +aS'arrived\tarrive\tVBD\tB-VP\tO' +p202741 +aS'in\tin\tIN\tB-PP\tO' +p202742 +aS'the\tthe\tDT\tB-NP\tO' +p202743 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p202744 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p202745 +aS'at\tat\tIN\tB-PP\tO' +p202746 +aS'Well\tWell\tNNP\tB-NP\tO' +p202747 +aS'General\tGeneral\tNNP\tI-NP\tO' +p202748 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p202749 +aS'on\ton\tIN\tB-PP\tO' +p202750 +aS'05/01/2004\t05/01/2004\tCD\tB-NP\tO' +p202751 +aS'06:30\t06:30\tCD\tI-NP\tO' +p202752 +aS'PM\tPM\tNN\tI-NP\tO' +p202753 +aS'.\t.\t.\tO\tO' +p202754 +asS'4. Polio .' +p202755 +(lp202756 +S'4.\t4.\tLS\tB-LST\tO' +p202757 +aS'Polio\tPolio\tNNP\tB-NP\tO' +p202758 +aS'.\t.\t.\tO\tO' +p202759 +asS'Discussions were begun with the family regarding limits of supportive care .' +p202760 +(lp202761 +S'Discussions\tDiscussion\tNNS\tB-NP\tO' +p202762 +aS'were\tbe\tVBD\tB-VP\tO' +p202763 +aS'begun\tbegin\tVBN\tI-VP\tO' +p202764 +aS'with\twith\tIN\tB-PP\tO' +p202765 +aS'the\tthe\tDT\tB-NP\tO' +p202766 +aS'family\tfamily\tNN\tI-NP\tO' +p202767 +aS'regarding\tregard\tVBG\tB-PP\tO' +p202768 +aS'limits\tlimit\tNNS\tB-NP\tO' +p202769 +aS'of\tof\tIN\tB-PP\tO' +p202770 +aS'supportive\tsupportive\tJJ\tB-NP\tO' +p202771 +aS'care\tcare\tNN\tI-NP\tO' +p202772 +aS'.\t.\t.\tO\tO' +p202773 +asS'Clearly , the patient 's hemodynamic vascular status was very sensitive to dobutamine .' +p202774 +(lp202775 +S'Clearly\tClearly\tRB\tB-ADVP\tO' +p202776 +aS',\t,\t,\tO\tO' +p202777 +aS'the\tthe\tDT\tB-NP\tO' +p202778 +aS'patient\tpatient\tNN\tI-NP\tO' +p202779 +aS''s\t'\tVBZ\tB-VP\tO' +p202780 +aS'hemodynamic\themodynamic\tJJ\tB-NP\tO' +p202781 +aS'vascular\tvascular\tJJ\tI-NP\tO' +p202782 +aS'status\tstatus\tNN\tI-NP\tO' +p202783 +aS'was\tbe\tVBD\tB-VP\tO' +p202784 +aS'very\tvery\tRB\tB-ADJP\tO' +p202785 +aS'sensitive\tsensitive\tJJ\tI-ADJP\tO' +p202786 +aS'to\tto\tTO\tB-PP\tO' +p202787 +aS'dobutamine\tdobutamine\tNN\tB-NP\tO' +p202788 +aS'.\t.\t.\tO\tO' +p202789 +asS'Her pain was controlled with percocet and motrin .' +p202790 +(lp202791 +S'Her\tHer\tPRP$\tB-NP\tO' +p202792 +aS'pain\tpain\tNN\tI-NP\tO' +p202793 +aS'was\tbe\tVBD\tB-VP\tO' +p202794 +aS'controlled\tcontrol\tVBN\tI-VP\tO' +p202795 +aS'with\twith\tIN\tB-PP\tO' +p202796 +aS'percocet\tpercocet\tNN\tB-NP\tO' +p202797 +aS'and\tand\tCC\tI-NP\tO' +p202798 +aS'motrin\tmotrin\tNN\tI-NP\tO' +p202799 +aS'.\t.\t.\tO\tO' +p202800 +asS'6. Lower extremity edema .' +p202801 +(lp202802 +S'6.\t6.\tLS\tB-LST\tO' +p202803 +aS'Lower\tLow\tJJR\tB-NP\tO' +p202804 +aS'extremity\textremity\tNN\tI-NP\tO' +p202805 +aS'edema\tedema\tNN\tI-NP\tO' +p202806 +aS'.\t.\t.\tO\tO' +p202807 +asS'Good .' +p202808 +(lp202809 +S'Good\tGood\tJJ\tB-ADJP\tO' +p202810 +aS'.\t.\t.\tO\tO' +p202811 +asS'Antibiotics were switched to IV Ciprofloxacin and the patient defervesced ; however , by hospital day number seven , the patient was found to be passing very little urine through his condom catheter and electrolyte screen and electrolytes from hospital day number seven showed a BUN of 27 and a creatinine of 2.7 .' +p202812 +(lp202813 +S'Antibiotics\tAntibiotic\tNNS\tB-NP\tO' +p202814 +aS'were\tbe\tVBD\tB-VP\tO' +p202815 +aS'switched\tswitch\tVBN\tI-VP\tO' +p202816 +aS'to\tto\tTO\tB-PP\tO' +p202817 +aS'IV\tIV\tCD\tB-NP\tO' +p202818 +aS'Ciprofloxacin\tCiprofloxacin\tNN\tI-NP\tO' +p202819 +aS'and\tand\tCC\tO\tO' +p202820 +aS'the\tthe\tDT\tB-NP\tO' +p202821 +aS'patient\tpatient\tNN\tI-NP\tO' +p202822 +aS'defervesced\tdefervesce\tVBD\tB-VP\tO' +p202823 +aS';\t;\t:\tO\tO' +p202824 +aS'however\thowever\tRB\tO\tO' +p202825 +aS',\t,\t,\tO\tO' +p202826 +aS'by\tby\tIN\tB-PP\tO' +p202827 +aS'hospital\thospital\tNN\tB-NP\tO' +p202828 +aS'day\tday\tNN\tI-NP\tO' +p202829 +aS'number\tnumber\tNN\tI-NP\tO' +p202830 +aS'seven\tseven\tCD\tI-NP\tO' +p202831 +aS',\t,\t,\tO\tO' +p202832 +aS'the\tthe\tDT\tB-NP\tO' +p202833 +aS'patient\tpatient\tNN\tI-NP\tO' +p202834 +aS'was\tbe\tVBD\tB-VP\tO' +p202835 +aS'found\tfind\tVBN\tI-VP\tO' +p202836 +aS'to\tto\tTO\tI-VP\tO' +p202837 +aS'be\tbe\tVB\tI-VP\tO' +p202838 +aS'passing\tpass\tVBG\tI-VP\tO' +p202839 +aS'very\tvery\tRB\tB-NP\tO' +p202840 +aS'little\tlittle\tJJ\tI-NP\tO' +p202841 +aS'urine\turine\tNN\tI-NP\tO' +p202842 +aS'through\tthrough\tIN\tB-PP\tO' +p202843 +aS'his\this\tPRP$\tB-NP\tO' +p202844 +aS'condom\tcondom\tNN\tI-NP\tO' +p202845 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p202846 +aS'and\tand\tCC\tO\tO' +p202847 +aS'electrolyte\telectrolyte\tNN\tB-NP\tO' +p202848 +aS'screen\tscreen\tNN\tI-NP\tO' +p202849 +aS'and\tand\tCC\tO\tO' +p202850 +aS'electrolytes\telectrolyte\tNNS\tB-NP\tO' +p202851 +aS'from\tfrom\tIN\tB-PP\tO' +p202852 +aS'hospital\thospital\tNN\tB-NP\tO' +p202853 +aS'day\tday\tNN\tI-NP\tO' +p202854 +aS'number\tnumber\tNN\tI-NP\tO' +p202855 +aS'seven\tseven\tCD\tI-NP\tO' +p202856 +aS'showed\tshow\tVBD\tB-VP\tO' +p202857 +aS'a\ta\tDT\tB-NP\tO' +p202858 +aS'BUN\tBUN\tNN\tI-NP\tB-protein' +p202859 +aS'of\tof\tIN\tB-PP\tO' +p202860 +aS'27\t27\tCD\tB-NP\tO' +p202861 +aS'and\tand\tCC\tO\tO' +p202862 +aS'a\ta\tDT\tB-NP\tO' +p202863 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p202864 +aS'of\tof\tIN\tB-PP\tO' +p202865 +aS'2.7\t2.7\tCD\tB-NP\tO' +p202866 +aS'.\t.\t.\tO\tO' +p202867 +asS'She also had a recent exposure to varicella .' +p202868 +(lp202869 +S'She\tShe\tPRP\tB-NP\tO' +p202870 +aS'also\talso\tRB\tB-ADVP\tO' +p202871 +aS'had\thave\tVBD\tB-VP\tO' +p202872 +aS'a\ta\tDT\tB-NP\tO' +p202873 +aS'recent\trecent\tJJ\tI-NP\tO' +p202874 +aS'exposure\texposure\tNN\tI-NP\tO' +p202875 +aS'to\tto\tTO\tB-PP\tO' +p202876 +aS'varicella\tvaricella\tNN\tB-NP\tO' +p202877 +aS'.\t.\t.\tO\tO' +p202878 +asS'the area of hemorrhage the same , slightly more edema and mass effect .' +p202879 +(lp202880 +S'the\tthe\tDT\tB-NP\tO' +p202881 +aS'area\tarea\tNN\tI-NP\tO' +p202882 +aS'of\tof\tIN\tB-PP\tO' +p202883 +aS'hemorrhage\themorrhage\tNN\tB-NP\tO' +p202884 +aS'the\tthe\tDT\tB-NP\tO' +p202885 +aS'same\tsame\tJJ\tI-NP\tO' +p202886 +aS',\t,\t,\tI-NP\tO' +p202887 +aS'slightly\tslightly\tRB\tI-NP\tO' +p202888 +aS'more\tmore\tJJR\tI-NP\tO' +p202889 +aS'edema\tedema\tNN\tI-NP\tO' +p202890 +aS'and\tand\tCC\tI-NP\tO' +p202891 +aS'mass\tmass\tNN\tI-NP\tO' +p202892 +aS'effect\teffect\tNN\tI-NP\tO' +p202893 +aS'.\t.\t.\tO\tO' +p202894 +asS'Hearing screen was performed automated auditory brain stem responses and Baby David Stead' +p202895 +(lp202896 +S'Hearing\tHear\tVBG\tB-NP\tO' +p202897 +aS'screen\tscreen\tNN\tI-NP\tO' +p202898 +aS'was\tbe\tVBD\tB-VP\tO' +p202899 +aS'performed\tperform\tVBN\tI-VP\tO' +p202900 +aS'automated\tautomate\tVBN\tI-VP\tO' +p202901 +aS'auditory\tauditory\tJJ\tB-NP\tO' +p202902 +aS'brain\tbrain\tNN\tI-NP\tO' +p202903 +aS'stem\tstem\tNN\tI-NP\tO' +p202904 +aS'responses\tresponse\tNNS\tI-NP\tO' +p202905 +aS'and\tand\tCC\tO\tO' +p202906 +aS'Baby\tBaby\tNNP\tB-NP\tO' +p202907 +aS'David\tDavid\tNNP\tI-NP\tO' +p202908 +aS'Stead\tStead\tNNP\tI-NP\tO' +p202909 +asS'Crackles 1/3 up bilaterally .' +p202910 +(lp202911 +S'Crackles\tCrackles\tNNP\tB-NP\tO' +p202912 +aS'1/3\t1/3\tCD\tI-NP\tO' +p202913 +aS'up\tup\tRB\tB-ADVP\tO' +p202914 +aS'bilaterally\tbilaterally\tRB\tI-ADVP\tO' +p202915 +aS'.\t.\t.\tO\tO' +p202916 +asS'In setting of PE .' +p202917 +(lp202918 +S'In\tIn\tIN\tB-PP\tO' +p202919 +aS'setting\tset\tVBG\tB-VP\tO' +p202920 +aS'of\tof\tIN\tB-PP\tO' +p202921 +aS'PE\tPE\tNN\tB-NP\tO' +p202922 +aS'.\t.\t.\tO\tO' +p202923 +asS'The patient remained stable through 2010-06-29 at which point she was sent to the operating room to undergo a left radial fracture open reduction and internal fixation procedure .' +p202924 +(lp202925 +S'The\tThe\tDT\tB-NP\tO' +p202926 +aS'patient\tpatient\tNN\tI-NP\tO' +p202927 +aS'remained\tremain\tVBD\tB-VP\tO' +p202928 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p202929 +aS'through\tthrough\tIN\tB-PP\tO' +p202930 +aS'2010-06-29\t2010-06-29\tCD\tB-NP\tO' +p202931 +aS'at\tat\tIN\tB-PP\tO' +p202932 +aS'which\twhich\tWDT\tB-NP\tO' +p202933 +aS'point\tpoint\tNN\tI-NP\tO' +p202934 +aS'she\tshe\tPRP\tB-NP\tO' +p202935 +aS'was\tbe\tVBD\tB-VP\tO' +p202936 +aS'sent\tsend\tVBN\tI-VP\tO' +p202937 +aS'to\tto\tTO\tB-PP\tO' +p202938 +aS'the\tthe\tDT\tB-NP\tO' +p202939 +aS'operating\toperating\tNN\tI-NP\tO' +p202940 +aS'room\troom\tNN\tI-NP\tO' +p202941 +aS'to\tto\tTO\tB-VP\tO' +p202942 +aS'undergo\tundergo\tVB\tI-VP\tO' +p202943 +aS'a\ta\tDT\tB-NP\tO' +p202944 +aS'left\tleft\tJJ\tI-NP\tO' +p202945 +aS'radial\tradial\tJJ\tI-NP\tO' +p202946 +aS'fracture\tfracture\tNN\tI-NP\tO' +p202947 +aS'open\topen\tJJ\tI-NP\tO' +p202948 +aS'reduction\treduction\tNN\tI-NP\tO' +p202949 +aS'and\tand\tCC\tO\tO' +p202950 +aS'internal\tinternal\tJJ\tB-NP\tO' +p202951 +aS'fixation\tfixation\tNN\tI-NP\tO' +p202952 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p202953 +aS'.\t.\t.\tO\tO' +p202954 +asS'His pedal pulses are absent .' +p202955 +(lp202956 +S'His\tHis\tPRP$\tB-NP\tO' +p202957 +aS'pedal\tpedal\tJJ\tI-NP\tO' +p202958 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p202959 +aS'are\tbe\tVBP\tB-VP\tO' +p202960 +aS'absent\tabsent\tJJ\tB-ADJP\tO' +p202961 +aS'.\t.\t.\tO\tO' +p202962 +asS'Her heart rhythm is regular with a normal S1-S2 , and no murmur .' +p202963 +(lp202964 +S'Her\tHer\tPRP$\tB-NP\tO' +p202965 +aS'heart\theart\tNN\tI-NP\tO' +p202966 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p202967 +aS'is\tbe\tVBZ\tB-VP\tO' +p202968 +aS'regular\tregular\tJJ\tB-ADJP\tO' +p202969 +aS'with\twith\tIN\tB-PP\tO' +p202970 +aS'a\ta\tDT\tB-NP\tO' +p202971 +aS'normal\tnormal\tJJ\tI-NP\tO' +p202972 +aS'S1-S2\tS1-S2\tNN\tI-NP\tO' +p202973 +aS',\t,\t,\tO\tO' +p202974 +aS'and\tand\tCC\tO\tO' +p202975 +aS'no\tno\tDT\tB-NP\tO' +p202976 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p202977 +aS'.\t.\t.\tO\tO' +p202978 +asS'The vascular exam showed normal pulses bilaterally without bruits .' +p202979 +(lp202980 +S'The\tThe\tDT\tB-NP\tO' +p202981 +aS'vascular\tvascular\tJJ\tI-NP\tO' +p202982 +aS'exam\texam\tNN\tI-NP\tO' +p202983 +aS'showed\tshow\tVBD\tB-VP\tO' +p202984 +aS'normal\tnormal\tJJ\tB-NP\tO' +p202985 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p202986 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p202987 +aS'without\twithout\tIN\tB-PP\tO' +p202988 +aS'bruits\tbruit\tNNS\tB-NP\tO' +p202989 +aS'.\t.\t.\tO\tO' +p202990 +asS'These bacteria turned out to be MRSA and she was continued on her vancomycin .' +p202991 +(lp202992 +S'These\tThese\tDT\tB-NP\tO' +p202993 +aS'bacteria\tbacteria\tNNS\tI-NP\tO' +p202994 +aS'turned\tturn\tVBD\tB-VP\tO' +p202995 +aS'out\tout\tRP\tB-PRT\tO' +p202996 +aS'to\tto\tTO\tB-VP\tO' +p202997 +aS'be\tbe\tVB\tI-VP\tO' +p202998 +aS'MRSA\tMRSA\tNN\tB-NP\tO' +p202999 +aS'and\tand\tCC\tO\tO' +p203000 +aS'she\tshe\tPRP\tB-NP\tO' +p203001 +aS'was\tbe\tVBD\tB-VP\tO' +p203002 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p203003 +aS'on\ton\tIN\tB-PP\tO' +p203004 +aS'her\ther\tPRP$\tB-NP\tO' +p203005 +aS'vancomycin\tvancomycin\tNN\tI-NP\tO' +p203006 +aS'.\t.\t.\tO\tO' +p203007 +asS'The patient is a 67-year-old woman with occasional abdominal pain in the right lower quadrant and left lower quadrant .' +p203008 +(lp203009 +S'The\tThe\tDT\tB-NP\tO' +p203010 +aS'patient\tpatient\tNN\tI-NP\tO' +p203011 +aS'is\tbe\tVBZ\tB-VP\tO' +p203012 +aS'a\ta\tDT\tB-NP\tO' +p203013 +aS'67-year-old\t67-year-old\tJJ\tI-NP\tO' +p203014 +aS'woman\twoman\tNN\tI-NP\tO' +p203015 +aS'with\twith\tIN\tB-PP\tO' +p203016 +aS'occasional\toccasional\tJJ\tB-NP\tB-protein' +p203017 +aS'abdominal\tabdominal\tJJ\tI-NP\tI-protein' +p203018 +aS'pain\tpain\tNN\tI-NP\tI-protein' +p203019 +aS'in\tin\tIN\tB-PP\tO' +p203020 +aS'the\tthe\tDT\tB-NP\tO' +p203021 +aS'right\tright\tJJ\tI-NP\tO' +p203022 +aS'lower\tlow\tJJR\tI-NP\tO' +p203023 +aS'quadrant\tquadrant\tNN\tI-NP\tO' +p203024 +aS'and\tand\tCC\tO\tO' +p203025 +aS'left\tleave\tVBD\tB-VP\tO' +p203026 +aS'lower\tlow\tJJR\tB-NP\tO' +p203027 +aS'quadrant\tquadrant\tNN\tI-NP\tO' +p203028 +aS'.\t.\t.\tO\tO' +p203029 +asS'Dinner blood glucose 101 to 150 equals 2 units , 151 to 200 equals 3 units , 201 to 250 equals 6 units , 251 to 350 equals 12 units , greater than 350 equals 15 units .' +p203030 +(lp203031 +S'Dinner\tDinner\tNN\tB-NP\tO' +p203032 +aS'blood\tblood\tNN\tI-NP\tO' +p203033 +aS'glucose\tglucose\tNN\tI-NP\tO' +p203034 +aS'101\t101\tCD\tB-NP\tO' +p203035 +aS'to\tto\tTO\tI-NP\tO' +p203036 +aS'150\t150\tCD\tI-NP\tO' +p203037 +aS'equals\tequal\tNNS\tI-NP\tO' +p203038 +aS'2\t2\tCD\tB-NP\tO' +p203039 +aS'units\tunit\tNNS\tI-NP\tO' +p203040 +aS',\t,\t,\tO\tO' +p203041 +aS'151\t151\tCD\tB-NP\tB-DNA' +p203042 +aS'to\tto\tTO\tI-NP\tI-DNA' +p203043 +aS'200\t200\tCD\tI-NP\tI-DNA' +p203044 +aS'equals\tequal\tNNS\tI-NP\tI-DNA' +p203045 +aS'3\t3\tCD\tB-NP\tI-DNA' +p203046 +aS'units\tunit\tNNS\tI-NP\tI-DNA' +p203047 +aS',\t,\t,\tO\tO' +p203048 +aS'201\t201\tCD\tB-NP\tB-DNA' +p203049 +aS'to\tto\tTO\tI-NP\tI-DNA' +p203050 +aS'250\t250\tCD\tI-NP\tI-DNA' +p203051 +aS'equals\tequal\tNNS\tI-NP\tI-DNA' +p203052 +aS'6\t6\tCD\tB-NP\tI-DNA' +p203053 +aS'units\tunit\tNNS\tI-NP\tI-DNA' +p203054 +aS',\t,\t,\tO\tO' +p203055 +aS'251\t251\tCD\tB-NP\tB-DNA' +p203056 +aS'to\tto\tTO\tI-NP\tI-DNA' +p203057 +aS'350\t350\tCD\tI-NP\tI-DNA' +p203058 +aS'equals\tequal\tNNS\tI-NP\tI-DNA' +p203059 +aS'12\t12\tCD\tB-NP\tI-DNA' +p203060 +aS'units\tunit\tNNS\tI-NP\tI-DNA' +p203061 +aS',\t,\t,\tO\tO' +p203062 +aS'greater\tgreat\tJJR\tB-NP\tO' +p203063 +aS'than\tthan\tIN\tI-NP\tO' +p203064 +aS'350\t350\tCD\tI-NP\tB-DNA' +p203065 +aS'equals\tequal\tNNS\tI-NP\tI-DNA' +p203066 +aS'15\t15\tCD\tB-NP\tI-DNA' +p203067 +aS'units\tunit\tNNS\tI-NP\tI-DNA' +p203068 +aS'.\t.\t.\tO\tO' +p203069 +asS'She is allergic to Augmentin which gives her a rash .' +p203070 +(lp203071 +S'She\tShe\tPRP\tB-NP\tO' +p203072 +aS'is\tbe\tVBZ\tB-VP\tO' +p203073 +aS'allergic\tallergic\tJJ\tB-ADJP\tO' +p203074 +aS'to\tto\tTO\tB-PP\tO' +p203075 +aS'Augmentin\tAugmentin\tNN\tB-NP\tB-protein' +p203076 +aS'which\twhich\tWDT\tB-NP\tO' +p203077 +aS'gives\tgive\tVBZ\tB-VP\tO' +p203078 +aS'her\ther\tPRP\tB-NP\tO' +p203079 +aS'a\ta\tDT\tB-NP\tO' +p203080 +aS'rash\trash\tNN\tI-NP\tO' +p203081 +aS'.\t.\t.\tO\tO' +p203082 +asS'Then trach mask trials were done .' +p203083 +(lp203084 +S'Then\tThen\tRB\tB-NP\tO' +p203085 +aS'trach\ttrach\tNN\tI-NP\tO' +p203086 +aS'mask\tmask\tNN\tI-NP\tO' +p203087 +aS'trials\ttrial\tNNS\tI-NP\tO' +p203088 +aS'were\tbe\tVBD\tB-VP\tO' +p203089 +aS'done\tdo\tVBN\tI-VP\tO' +p203090 +aS'.\t.\t.\tO\tO' +p203091 +asS'Sodium was 133 , potassium was 4.2 , chloride 100 , CO2 19 , BUN 21 , creatinine 1.2 , and glucose 122 .' +p203092 +(lp203093 +S'Sodium\tSodium\tNN\tB-NP\tO' +p203094 +aS'was\tbe\tVBD\tB-VP\tO' +p203095 +aS'133\t133\tCD\tB-NP\tO' +p203096 +aS',\t,\t,\tO\tO' +p203097 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p203098 +aS'was\tbe\tVBD\tB-VP\tO' +p203099 +aS'4.2\t4.2\tCD\tB-NP\tO' +p203100 +aS',\t,\t,\tO\tO' +p203101 +aS'chloride\tchloride\tNN\tB-NP\tO' +p203102 +aS'100\t100\tCD\tI-NP\tO' +p203103 +aS',\t,\t,\tO\tO' +p203104 +aS'CO2\tCO2\tNN\tB-NP\tO' +p203105 +aS'19\t19\tCD\tI-NP\tO' +p203106 +aS',\t,\t,\tO\tO' +p203107 +aS'BUN\tBUN\tNN\tB-NP\tB-DNA' +p203108 +aS'21\t21\tCD\tI-NP\tI-DNA' +p203109 +aS',\t,\t,\tO\tO' +p203110 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p203111 +aS'1.2\t1.2\tCD\tI-NP\tO' +p203112 +aS',\t,\t,\tO\tO' +p203113 +aS'and\tand\tCC\tO\tO' +p203114 +aS'glucose\tglucose\tNN\tB-NP\tB-protein' +p203115 +aS'122\t122\tCD\tI-NP\tI-protein' +p203116 +aS'.\t.\t.\tO\tO' +p203117 +asS'There is diffuse brain atrophy and chronic microvascular infarction throughout the white matter .' +p203118 +(lp203119 +S'There\tThere\tEX\tB-NP\tO' +p203120 +aS'is\tbe\tVBZ\tB-VP\tO' +p203121 +aS'diffuse\tdiffuse\tJJ\tB-NP\tO' +p203122 +aS'brain\tbrain\tNN\tI-NP\tO' +p203123 +aS'atrophy\tatrophy\tNN\tI-NP\tO' +p203124 +aS'and\tand\tCC\tO\tO' +p203125 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p203126 +aS'microvascular\tmicrovascular\tJJ\tI-NP\tO' +p203127 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p203128 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p203129 +aS'the\tthe\tDT\tB-NP\tO' +p203130 +aS'white\twhite\tJJ\tI-NP\tO' +p203131 +aS'matter\tmatter\tNN\tI-NP\tO' +p203132 +aS'.\t.\t.\tO\tO' +p203133 +asS'I stress that she cannot be anticoagulated .' +p203134 +(lp203135 +S'I\tI\tPRP\tB-NP\tO' +p203136 +aS'stress\tstress\tVBP\tB-VP\tO' +p203137 +aS'that\tthat\tIN\tB-SBAR\tO' +p203138 +aS'she\tshe\tPRP\tB-NP\tO' +p203139 +aS'cannot\tcannot\tMD\tB-VP\tO' +p203140 +aS'be\tbe\tVB\tI-VP\tO' +p203141 +aS'anticoagulated\tanticoagulate\tVBN\tI-VP\tO' +p203142 +aS'.\t.\t.\tO\tO' +p203143 +asS'Birth weight 1865 grams .' +p203144 +(lp203145 +S'Birth\tBirth\tNN\tB-NP\tO' +p203146 +aS'weight\tweight\tNN\tI-NP\tO' +p203147 +aS'1865\t1865\tCD\tB-NP\tO' +p203148 +aS'grams\tgram\tNNS\tI-NP\tO' +p203149 +aS'.\t.\t.\tO\tO' +p203150 +asS'3. Valganciclovir 450 mg Tablet Sig : One ( 1 ) Tablet PO Q48H ( every 48 hours ) .' +p203151 +(lp203152 +S'3.\t3.\tLS\tB-NP\tO' +p203153 +aS'Valganciclovir\tValganciclovir\tNN\tI-NP\tO' +p203154 +aS'450\t450\tCD\tI-NP\tO' +p203155 +aS'mg\tmg\tNN\tI-NP\tO' +p203156 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p203157 +aS'Sig\tSig\tNNP\tI-NP\tO' +p203158 +aS':\t:\t:\tO\tO' +p203159 +aS'One\tOne\tCD\tB-NP\tO' +p203160 +aS'(\t(\t(\tO\tO' +p203161 +aS'1\t1\tCD\tB-NP\tO' +p203162 +aS')\t)\t)\tO\tO' +p203163 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p203164 +aS'PO\tPO\tNN\tI-NP\tO' +p203165 +aS'Q48H\tQ48H\tNN\tI-NP\tO' +p203166 +aS'(\t(\t(\tO\tO' +p203167 +aS'every\tevery\tDT\tB-NP\tO' +p203168 +aS'48\t48\tCD\tI-NP\tO' +p203169 +aS'hours\thour\tNNS\tI-NP\tO' +p203170 +aS')\t)\t)\tO\tO' +p203171 +aS'.\t.\t.\tO\tO' +p203172 +asS'# 1. cerebrovascular accident .' +p203173 +(lp203174 +S'#\t#\t#\tB-NP\tO' +p203175 +aS'1.\t1.\tLS\tI-NP\tO' +p203176 +aS'cerebrovascular\tcerebrovascular\tJJ\tI-NP\tO' +p203177 +aS'accident\taccident\tNN\tI-NP\tO' +p203178 +aS'.\t.\t.\tO\tO' +p203179 +asS'He had no oculocephalic reflexes .' +p203180 +(lp203181 +S'He\tHe\tPRP\tB-NP\tO' +p203182 +aS'had\thave\tVBD\tB-VP\tO' +p203183 +aS'no\tno\tDT\tB-NP\tO' +p203184 +aS'oculocephalic\toculocephalic\tJJ\tI-NP\tO' +p203185 +aS'reflexes\treflex\tNNS\tI-NP\tO' +p203186 +aS'.\t.\t.\tO\tO' +p203187 +asS'- Left LE DVT on coumadin' +p203188 +(lp203189 +S'-\t-\tHYPH\tB-NP\tO' +p203190 +aS'Left\tLeave\tVBN\tI-NP\tO' +p203191 +aS'LE\tLE\tNN\tI-NP\tB-protein' +p203192 +aS'DVT\tDVT\tNN\tI-NP\tI-protein' +p203193 +aS'on\ton\tIN\tB-PP\tO' +p203194 +aS'coumadin\tcoumadin\tNN\tB-NP\tO' +p203195 +asS'AST was 25 , alkaline phosphatase 130 , total bilirubin 3.2 , albumin 3.4 , calcium 8.8 .' +p203196 +(lp203197 +S'AST\tAST\tNN\tB-NP\tO' +p203198 +aS'was\tbe\tVBD\tB-VP\tO' +p203199 +aS'25\t25\tCD\tB-NP\tO' +p203200 +aS',\t,\t,\tO\tO' +p203201 +aS'alkaline\talkaline\tNN\tB-NP\tO' +p203202 +aS'phosphatase\tphosphatase\tNN\tI-NP\tO' +p203203 +aS'130\t130\tCD\tI-NP\tO' +p203204 +aS',\t,\t,\tO\tO' +p203205 +aS'total\ttotal\tJJ\tB-NP\tO' +p203206 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p203207 +aS'3.2\t3.2\tCD\tI-NP\tO' +p203208 +aS',\t,\t,\tO\tO' +p203209 +aS'albumin\talbumin\tNN\tB-NP\tB-protein' +p203210 +aS'3.4\t3.4\tCD\tI-NP\tI-protein' +p203211 +aS',\t,\t,\tO\tO' +p203212 +aS'calcium\tcalcium\tNN\tB-NP\tO' +p203213 +aS'8.8\t8.8\tCD\tI-NP\tO' +p203214 +aS'.\t.\t.\tO\tO' +p203215 +asS'Abdomen obese , soft , nontender without masses , no hepatosplenomegaly , positive bowel sounds without cyanosis , clubbing or edema .' +p203216 +(lp203217 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p203218 +aS'obese\tobese\tJJ\tI-NP\tO' +p203219 +aS',\t,\t,\tI-NP\tO' +p203220 +aS'soft\tsoft\tJJ\tI-NP\tO' +p203221 +aS',\t,\t,\tI-NP\tO' +p203222 +aS'nontender\tnontender\tJJ\tI-NP\tO' +p203223 +aS'without\twithout\tIN\tB-PP\tO' +p203224 +aS'masses\tmass\tNNS\tB-NP\tO' +p203225 +aS',\t,\t,\tO\tO' +p203226 +aS'no\tno\tDT\tB-NP\tO' +p203227 +aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tI-NP\tO' +p203228 +aS',\t,\t,\tO\tO' +p203229 +aS'positive\tpositive\tJJ\tB-NP\tO' +p203230 +aS'bowel\tbowel\tNN\tI-NP\tO' +p203231 +aS'sounds\tsound\tVBZ\tB-VP\tO' +p203232 +aS'without\twithout\tIN\tB-PP\tO' +p203233 +aS'cyanosis\tcyanosis\tNN\tB-NP\tO' +p203234 +aS',\t,\t,\tO\tO' +p203235 +aS'clubbing\tclubbing\tNN\tB-NP\tO' +p203236 +aS'or\tor\tCC\tI-NP\tO' +p203237 +aS'edema\tedema\tNN\tI-NP\tO' +p203238 +aS'.\t.\t.\tO\tO' +p203239 +asS'4. Bisacodyl 5 mg Tablet , Delayed Release ( E.C. ) Sig : Two ( 2 ) Tablet , Delayed Release ( E.C. ) PO DAILY ( Daily ) as needed for constipation .' +p203240 +(lp203241 +S'4.\t4.\tLS\tB-NP\tO' +p203242 +aS'Bisacodyl\tBisacodyl\tNN\tI-NP\tO' +p203243 +aS'5\t5\tCD\tI-NP\tO' +p203244 +aS'mg\tmg\tNN\tI-NP\tO' +p203245 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p203246 +aS',\t,\t,\tO\tO' +p203247 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p203248 +aS'Release\tRelease\tNNP\tI-NP\tO' +p203249 +aS'(\t(\t(\tO\tO' +p203250 +aS'E.C.\tE.C.\tNNP\tB-NP\tO' +p203251 +aS')\t)\t)\tO\tO' +p203252 +aS'Sig\tSig\tNNP\tB-NP\tO' +p203253 +aS':\t:\t:\tO\tO' +p203254 +aS'Two\tTwo\tCD\tB-NP\tO' +p203255 +aS'(\t(\t(\tO\tO' +p203256 +aS'2\t2\tCD\tB-NP\tO' +p203257 +aS')\t)\t)\tO\tO' +p203258 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p203259 +aS',\t,\t,\tO\tO' +p203260 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p203261 +aS'Release\tRelease\tNNP\tI-NP\tO' +p203262 +aS'(\t(\t(\tO\tO' +p203263 +aS'E.C.\tE.C.\tNNP\tO\tO' +p203264 +aS')\t)\t)\tO\tO' +p203265 +aS'PO\tPO\tNN\tB-NP\tO' +p203266 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p203267 +aS'(\t(\t(\tO\tO' +p203268 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p203269 +aS')\t)\t)\tO\tO' +p203270 +aS'as\tas\tIN\tB-SBAR\tO' +p203271 +aS'needed\tneed\tVBN\tB-VP\tO' +p203272 +aS'for\tfor\tIN\tB-PP\tO' +p203273 +aS'constipation\tconstipation\tNN\tB-NP\tO' +p203274 +aS'.\t.\t.\tO\tO' +p203275 +asS'Weight 2.252 kg , 65th percentile; length 46 cm , 50th percentile ; head circumference 33 cm 75th percentile .' +p203276 +(lp203277 +S'Weight\tWeight\tRB\tB-NP\tO' +p203278 +aS'2.252\t2.252\tCD\tI-NP\tO' +p203279 +aS'kg\tkg\tNN\tI-NP\tO' +p203280 +aS',\t,\t,\tO\tO' +p203281 +aS'65th\t65th\tJJ\tB-NP\tO' +p203282 +aS'percentile;\tpercentile;\tNN\tI-NP\tO' +p203283 +aS'length\tlength\tNN\tI-NP\tO' +p203284 +aS'46\t46\tCD\tI-NP\tO' +p203285 +aS'cm\tcm\tNN\tI-NP\tO' +p203286 +aS',\t,\t,\tO\tO' +p203287 +aS'50th\t50th\tJJ\tB-NP\tO' +p203288 +aS'percentile\tpercentile\tNN\tI-NP\tO' +p203289 +aS';\t;\t:\tO\tO' +p203290 +aS'head\thead\tNN\tB-NP\tO' +p203291 +aS'circumference\tcircumference\tNN\tI-NP\tO' +p203292 +aS'33\t33\tCD\tB-NP\tO' +p203293 +aS'cm\tcm\tNN\tI-NP\tO' +p203294 +aS'75th\t75th\tJJ\tI-NP\tO' +p203295 +aS'percentile\tpercentile\tNN\tI-NP\tO' +p203296 +aS'.\t.\t.\tO\tO' +p203297 +asS'There was no obstruction .' +p203298 +(lp203299 +S'There\tThere\tEX\tB-NP\tO' +p203300 +aS'was\tbe\tVBD\tB-VP\tO' +p203301 +aS'no\tno\tDT\tB-NP\tO' +p203302 +aS'obstruction\tobstruction\tNN\tI-NP\tO' +p203303 +aS'.\t.\t.\tO\tO' +p203304 +asS'Insulin regular .' +p203305 +(lp203306 +S'Insulin\tInsulin\tNN\tB-NP\tB-protein' +p203307 +aS'regular\tregular\tJJ\tB-ADJP\tO' +p203308 +aS'.\t.\t.\tO\tO' +p203309 +asS'5. Multivitamin Capsule Sig : One ( 1 ) Cap PO DAILY ( Daily ) .' +p203310 +(lp203311 +S'5.\t5.\tLS\tB-LST\tO' +p203312 +aS'Multivitamin\tMultivitamin\tNNP\tB-NP\tO' +p203313 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p203314 +aS'Sig\tSig\tNNP\tI-NP\tO' +p203315 +aS':\t:\t:\tO\tO' +p203316 +aS'One\tOne\tCD\tB-NP\tO' +p203317 +aS'(\t(\t(\tO\tO' +p203318 +aS'1\t1\tCD\tB-NP\tO' +p203319 +aS')\t)\t)\tO\tO' +p203320 +aS'Cap\tCap\tNN\tB-NP\tO' +p203321 +aS'PO\tPO\tNN\tI-NP\tO' +p203322 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p203323 +aS'(\t(\t(\tO\tO' +p203324 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p203325 +aS')\t)\t)\tO\tO' +p203326 +aS'.\t.\t.\tO\tO' +p203327 +asS'Please see Infectious Disease section for more details .' +p203328 +(lp203329 +S'Please\tPlease\tVB\tB-VP\tO' +p203330 +aS'see\tsee\tVB\tI-VP\tO' +p203331 +aS'Infectious\tInfectious\tJJ\tB-NP\tO' +p203332 +aS'Disease\tDisease\tNN\tI-NP\tO' +p203333 +aS'section\tsection\tNN\tI-NP\tO' +p203334 +aS'for\tfor\tIN\tB-PP\tO' +p203335 +aS'more\tmore\tJJR\tB-NP\tO' +p203336 +aS'details\tdetail\tNNS\tI-NP\tO' +p203337 +aS'.\t.\t.\tO\tO' +p203338 +asS'The infant did not receive any blood transfusions this hospitalization .' +p203339 +(lp203340 +S'The\tThe\tDT\tB-NP\tO' +p203341 +aS'infant\tinfant\tNN\tI-NP\tO' +p203342 +aS'did\tdo\tVBD\tB-VP\tO' +p203343 +aS'not\tnot\tRB\tI-VP\tO' +p203344 +aS'receive\treceive\tVB\tI-VP\tO' +p203345 +aS'any\tany\tDT\tB-NP\tO' +p203346 +aS'blood\tblood\tNN\tI-NP\tO' +p203347 +aS'transfusions\ttransfusion\tNNS\tI-NP\tO' +p203348 +aS'this\tthis\tDT\tB-NP\tO' +p203349 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p203350 +aS'.\t.\t.\tO\tO' +p203351 +asS'Follow up with Trauma in 3-4 weeks after your discharge .' +p203352 +(lp203353 +S'Follow\tFollow\tVB\tB-VP\tO' +p203354 +aS'up\tup\tRP\tB-PRT\tO' +p203355 +aS'with\twith\tIN\tB-PP\tO' +p203356 +aS'Trauma\tTrauma\tNNP\tB-NP\tO' +p203357 +aS'in\tin\tIN\tB-PP\tO' +p203358 +aS'3-4\t3-4\tCD\tB-NP\tO' +p203359 +aS'weeks\tweek\tNNS\tI-NP\tO' +p203360 +aS'after\tafter\tIN\tB-PP\tO' +p203361 +aS'your\tyour\tPRP$\tB-NP\tO' +p203362 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p203363 +aS'.\t.\t.\tO\tO' +p203364 +asS'LDL 56 .' +p203365 +(lp203366 +S'LDL\tLDL\tNN\tB-NP\tB-protein' +p203367 +aS'56\t56\tCD\tI-NP\tI-protein' +p203368 +aS'.\t.\t.\tO\tO' +p203369 +asS'16) Robituss in AC five to ten milliliters p.o. q.h.s. p.r.n. cough .' +p203370 +(lp203371 +S'16)\t16)\tLS\tB-LST\tO' +p203372 +aS'Robituss\tRobituss\tNNP\tB-NP\tO' +p203373 +aS'in\tin\tIN\tB-PP\tO' +p203374 +aS'AC\tAC\tNNP\tB-NP\tO' +p203375 +aS'five\tfive\tCD\tI-NP\tO' +p203376 +aS'to\tto\tTO\tI-NP\tO' +p203377 +aS'ten\tten\tCD\tI-NP\tO' +p203378 +aS'milliliters\tmilliliter\tNNS\tI-NP\tO' +p203379 +aS'p.o.\tp.o.\tFW\tB-NP\tO' +p203380 +aS'q.h.s.\tq.h.s.\tFW\tI-NP\tO' +p203381 +aS'p.r.n.\tp.r.n.\tFW\tI-NP\tO' +p203382 +aS'cough\tcough\tNN\tI-NP\tO' +p203383 +aS'.\t.\t.\tO\tO' +p203384 +asS'She remained on CPAP for a total of 24 hours at which time she transitioned to room air and continues to be stable in room air .' +p203385 +(lp203386 +S'She\tShe\tPRP\tB-NP\tO' +p203387 +aS'remained\tremain\tVBD\tB-VP\tO' +p203388 +aS'on\ton\tIN\tB-PP\tO' +p203389 +aS'CPAP\tCPAP\tNN\tB-NP\tB-protein' +p203390 +aS'for\tfor\tIN\tB-PP\tO' +p203391 +aS'a\ta\tDT\tB-NP\tO' +p203392 +aS'total\ttotal\tNN\tI-NP\tO' +p203393 +aS'of\tof\tIN\tB-PP\tO' +p203394 +aS'24\t24\tCD\tB-NP\tO' +p203395 +aS'hours\thour\tNNS\tI-NP\tO' +p203396 +aS'at\tat\tIN\tB-PP\tO' +p203397 +aS'which\twhich\tWDT\tB-NP\tO' +p203398 +aS'time\ttime\tNN\tI-NP\tO' +p203399 +aS'she\tshe\tPRP\tB-NP\tO' +p203400 +aS'transitioned\ttransitione\tVBD\tB-VP\tO' +p203401 +aS'to\tto\tTO\tB-PP\tO' +p203402 +aS'room\troom\tNN\tB-NP\tO' +p203403 +aS'air\tair\tNN\tI-NP\tO' +p203404 +aS'and\tand\tCC\tO\tO' +p203405 +aS'continues\tcontinue\tVBZ\tB-VP\tO' +p203406 +aS'to\tto\tTO\tI-VP\tO' +p203407 +aS'be\tbe\tVB\tI-VP\tO' +p203408 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p203409 +aS'in\tin\tIN\tB-PP\tO' +p203410 +aS'room\troom\tNN\tB-NP\tO' +p203411 +aS'air\tair\tNN\tI-NP\tO' +p203412 +aS'.\t.\t.\tO\tO' +p203413 +asS'She has been gently diuresed but has worsening ARF .' +p203414 +(lp203415 +S'She\tShe\tPRP\tB-NP\tO' +p203416 +aS'has\thave\tVBZ\tB-VP\tO' +p203417 +aS'been\tbe\tVBN\tI-VP\tO' +p203418 +aS'gently\tgently\tRB\tI-VP\tO' +p203419 +aS'diuresed\tdiurese\tVBN\tI-VP\tO' +p203420 +aS'but\tbut\tCC\tO\tO' +p203421 +aS'has\thave\tVBZ\tB-VP\tO' +p203422 +aS'worsening\tworsen\tVBG\tI-VP\tO' +p203423 +aS'ARF\tARF\tNN\tB-NP\tB-protein' +p203424 +aS'.\t.\t.\tO\tO' +p203425 +asS'The patient otherwise complained of no angina , no shortness of breath , no paroxysmal nocturnal dyspnea , no edema , no palpitations or symptoms of syncope .' +p203426 +(lp203427 +S'The\tThe\tDT\tB-NP\tO' +p203428 +aS'patient\tpatient\tNN\tI-NP\tO' +p203429 +aS'otherwise\totherwise\tRB\tB-ADVP\tO' +p203430 +aS'complained\tcomplain\tVBD\tB-VP\tO' +p203431 +aS'of\tof\tIN\tB-PP\tO' +p203432 +aS'no\tno\tDT\tB-NP\tO' +p203433 +aS'angina\tangina\tNN\tI-NP\tO' +p203434 +aS',\t,\t,\tO\tO' +p203435 +aS'no\tno\tDT\tB-NP\tO' +p203436 +aS'shortness\tshortness\tNN\tI-NP\tO' +p203437 +aS'of\tof\tIN\tB-PP\tO' +p203438 +aS'breath\tbreath\tNN\tB-NP\tO' +p203439 +aS',\t,\t,\tO\tO' +p203440 +aS'no\tno\tDT\tB-NP\tO' +p203441 +aS'paroxysmal\tparoxysmal\tJJ\tI-NP\tO' +p203442 +aS'nocturnal\tnocturnal\tJJ\tI-NP\tO' +p203443 +aS'dyspnea\tdyspnea\tNN\tI-NP\tO' +p203444 +aS',\t,\t,\tO\tO' +p203445 +aS'no\tno\tDT\tB-NP\tO' +p203446 +aS'edema\tedema\tNN\tI-NP\tO' +p203447 +aS',\t,\t,\tO\tO' +p203448 +aS'no\tno\tDT\tB-NP\tO' +p203449 +aS'palpitations\tpalpitation\tNNS\tI-NP\tO' +p203450 +aS'or\tor\tCC\tI-NP\tO' +p203451 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p203452 +aS'of\tof\tIN\tB-PP\tO' +p203453 +aS'syncope\tsyncope\tNN\tB-NP\tO' +p203454 +aS'.\t.\t.\tO\tO' +p203455 +asS'The patient contracted HCV 20 years ago secondary to IV drug use .' +p203456 +(lp203457 +S'The\tThe\tDT\tB-NP\tO' +p203458 +aS'patient\tpatient\tNN\tI-NP\tO' +p203459 +aS'contracted\tcontract\tVBD\tB-VP\tO' +p203460 +aS'HCV\tHCV\tNN\tB-NP\tO' +p203461 +aS'20\t20\tCD\tB-NP\tO' +p203462 +aS'years\tyear\tNNS\tI-NP\tO' +p203463 +aS'ago\tago\tRB\tB-ADJP\tO' +p203464 +aS'secondary\tsecondary\tJJ\tI-ADJP\tO' +p203465 +aS'to\tto\tTO\tB-PP\tO' +p203466 +aS'IV\tIV\tCD\tB-NP\tO' +p203467 +aS'drug\tdrug\tNN\tI-NP\tO' +p203468 +aS'use\tuse\tNN\tI-NP\tO' +p203469 +aS'.\t.\t.\tO\tO' +p203470 +asS'Patient was continued on her Toprol , her lisinopril , and her digoxin .' +p203471 +(lp203472 +S'Patient\tPatient\tNN\tB-NP\tO' +p203473 +aS'was\tbe\tVBD\tB-VP\tO' +p203474 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p203475 +aS'on\ton\tIN\tB-PP\tO' +p203476 +aS'her\ther\tPRP$\tB-NP\tO' +p203477 +aS'Toprol\tToprol\tNN\tI-NP\tO' +p203478 +aS',\t,\t,\tO\tO' +p203479 +aS'her\ther\tPRP$\tB-NP\tO' +p203480 +aS'lisinopril\tlisinopril\tNN\tI-NP\tO' +p203481 +aS',\t,\t,\tO\tO' +p203482 +aS'and\tand\tCC\tO\tO' +p203483 +aS'her\ther\tPRP$\tB-NP\tO' +p203484 +aS'digoxin\tdigoxin\tNN\tI-NP\tO' +p203485 +aS'.\t.\t.\tO\tO' +p203486 +asS'Patient was continued on nadolol ( as bp tolerated ) and lactulose )' +p203487 +(lp203488 +S'Patient\tPatient\tNN\tB-NP\tO' +p203489 +aS'was\tbe\tVBD\tB-VP\tO' +p203490 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p203491 +aS'on\ton\tIN\tB-PP\tO' +p203492 +aS'nadolol\tnadolol\tNN\tB-NP\tO' +p203493 +aS'(\t(\t(\tO\tO' +p203494 +aS'as\tas\tIN\tB-PP\tO' +p203495 +aS'bp\tbp\tNN\tB-NP\tO' +p203496 +aS'tolerated\ttolerate\tVBN\tB-VP\tO' +p203497 +aS')\t)\t)\tO\tO' +p203498 +aS'and\tand\tCC\tO\tO' +p203499 +aS'lactulose\tlactulose\tNN\tB-NP\tO' +p203500 +aS')\t)\t)\tO\tO' +p203501 +asS'Patient underwent liver biopsy on 02/16/91 and the results of this were pending when the patient died .' +p203502 +(lp203503 +S'Patient\tPatient\tNN\tB-NP\tO' +p203504 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p203505 +aS'liver\tliver\tNN\tB-NP\tO' +p203506 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p203507 +aS'on\ton\tIN\tB-PP\tO' +p203508 +aS'02/16/91\t02/16/91\tCD\tB-NP\tO' +p203509 +aS'and\tand\tCC\tO\tO' +p203510 +aS'the\tthe\tDT\tB-NP\tO' +p203511 +aS'results\tresult\tNNS\tI-NP\tO' +p203512 +aS'of\tof\tIN\tB-PP\tO' +p203513 +aS'this\tthis\tDT\tB-NP\tO' +p203514 +aS'were\tbe\tVBD\tB-VP\tO' +p203515 +aS'pending\tpende\tVBG\tI-VP\tO' +p203516 +aS'when\twhen\tWRB\tB-ADVP\tO' +p203517 +aS'the\tthe\tDT\tB-NP\tO' +p203518 +aS'patient\tpatient\tNN\tI-NP\tO' +p203519 +aS'died\tdie\tVBD\tB-VP\tO' +p203520 +aS'.\t.\t.\tO\tO' +p203521 +asS'On head , eyes , ears , nose , throat examination , pupils equal , round , reactive to light and accommodation , fundus was sharp , oral mucosa was clear .' +p203522 +(lp203523 +S'On\tOn\tIN\tB-PP\tO' +p203524 +aS'head\thead\tNN\tB-NP\tO' +p203525 +aS',\t,\t,\tO\tO' +p203526 +aS'eyes\teye\tNNS\tB-NP\tO' +p203527 +aS',\t,\t,\tO\tO' +p203528 +aS'ears\tear\tNNS\tB-NP\tO' +p203529 +aS',\t,\t,\tO\tO' +p203530 +aS'nose\tnose\tNN\tB-NP\tO' +p203531 +aS',\t,\t,\tO\tO' +p203532 +aS'throat\tthroat\tDT\tB-NP\tO' +p203533 +aS'examination\texamination\tNN\tI-NP\tO' +p203534 +aS',\t,\t,\tO\tO' +p203535 +aS'pupils\tpupil\tVBZ\tB-VP\tO' +p203536 +aS'equal\tequal\tJJ\tB-NP\tO' +p203537 +aS',\t,\t,\tI-NP\tO' +p203538 +aS'round\tround\tJJ\tI-NP\tO' +p203539 +aS',\t,\t,\tI-NP\tO' +p203540 +aS'reactive\treactive\tJJ\tI-NP\tO' +p203541 +aS'to\tto\tTO\tB-PP\tO' +p203542 +aS'light\tlight\tNN\tB-NP\tO' +p203543 +aS'and\tand\tCC\tI-NP\tO' +p203544 +aS'accommodation\taccommodation\tNN\tI-NP\tO' +p203545 +aS',\t,\t,\tO\tO' +p203546 +aS'fundus\tfundus\tNN\tB-NP\tO' +p203547 +aS'was\tbe\tVBD\tB-VP\tO' +p203548 +aS'sharp\tsharp\tJJ\tB-NP\tO' +p203549 +aS',\t,\t,\tI-NP\tO' +p203550 +aS'oral\toral\tJJ\tI-NP\tO' +p203551 +aS'mucosa\tmucosa\tNN\tI-NP\tO' +p203552 +aS'was\tbe\tVBD\tB-VP\tO' +p203553 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p203554 +aS'.\t.\t.\tO\tO' +p203555 +asS'The patient is status post appendectomy .' +p203556 +(lp203557 +S'The\tThe\tDT\tB-NP\tO' +p203558 +aS'patient\tpatient\tNN\tI-NP\tO' +p203559 +aS'is\tbe\tVBZ\tB-VP\tO' +p203560 +aS'status\tstatus\tNN\tB-NP\tO' +p203561 +aS'post\tpost\tNN\tI-NP\tO' +p203562 +aS'appendectomy\tappendectomy\tNN\tI-NP\tO' +p203563 +aS'.\t.\t.\tO\tO' +p203564 +asS'Pathology was negative for tumor and showed peritubal and periovarian adhesions .' +p203565 +(lp203566 +S'Pathology\tPathology\tNN\tB-NP\tO' +p203567 +aS'was\tbe\tVBD\tB-VP\tO' +p203568 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p203569 +aS'for\tfor\tIN\tB-PP\tO' +p203570 +aS'tumor\ttumor\tNN\tB-NP\tO' +p203571 +aS'and\tand\tCC\tO\tO' +p203572 +aS'showed\tshow\tVBD\tB-VP\tO' +p203573 +aS'peritubal\tperitubal\tJJ\tB-NP\tO' +p203574 +aS'and\tand\tCC\tI-NP\tO' +p203575 +aS'periovarian\tperiovarian\tJJ\tI-NP\tO' +p203576 +aS'adhesions\tadhesion\tNNS\tI-NP\tO' +p203577 +aS'.\t.\t.\tO\tO' +p203578 +asS'She had a 1:1 sitter at all times .' +p203579 +(lp203580 +S'She\tShe\tPRP\tB-NP\tO' +p203581 +aS'had\thave\tVBD\tB-VP\tO' +p203582 +aS'a\ta\tDT\tB-NP\tO' +p203583 +aS'1:1\t1:1\tCD\tI-NP\tO' +p203584 +aS'sitter\tsitter\tNN\tI-NP\tO' +p203585 +aS'at\tat\tIN\tB-PP\tO' +p203586 +aS'all\tall\tDT\tB-NP\tO' +p203587 +aS'times\ttime\tNNS\tI-NP\tO' +p203588 +aS'.\t.\t.\tO\tO' +p203589 +asS"On postoperative day number 1 , duplex ultrasound of the patient 's liver was performed demonstrating normal appearing portal veins and hepatic arteries ." +p203590 +(lp203591 +S'On\tOn\tIN\tB-PP\tO' +p203592 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p203593 +aS'day\tday\tNN\tI-NP\tO' +p203594 +aS'number\tnumber\tNN\tI-NP\tO' +p203595 +aS'1\t1\tCD\tI-NP\tO' +p203596 +aS',\t,\t,\tO\tO' +p203597 +aS'duplex\tduplex\tNN\tB-NP\tO' +p203598 +aS'ultrasound\tultrasound\tNN\tI-NP\tO' +p203599 +aS'of\tof\tIN\tB-PP\tO' +p203600 +aS'the\tthe\tDT\tB-NP\tO' +p203601 +aS'patient\tpatient\tNN\tI-NP\tO' +p203602 +aS"'s\t's\tPOS\tB-NP\tO" +p203603 +aS'liver\tliver\tNN\tI-NP\tO' +p203604 +aS'was\tbe\tVBD\tB-VP\tO' +p203605 +aS'performed\tperform\tVBN\tI-VP\tO' +p203606 +aS'demonstrating\tdemonstrate\tVBG\tI-VP\tO' +p203607 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p203608 +aS'appearing\tappear\tVBG\tB-VP\tO' +p203609 +aS'portal\tportal\tJJ\tB-NP\tO' +p203610 +aS'veins\tvein\tNNS\tI-NP\tO' +p203611 +aS'and\tand\tCC\tO\tO' +p203612 +aS'hepatic\thepatic\tJJ\tB-NP\tO' +p203613 +aS'arteries\tartery\tNNS\tI-NP\tO' +p203614 +aS'.\t.\t.\tO\tO' +p203615 +asS'The patient was encouraged to increase her p.o. intake .' +p203616 +(lp203617 +S'The\tThe\tDT\tB-NP\tO' +p203618 +aS'patient\tpatient\tNN\tI-NP\tO' +p203619 +aS'was\tbe\tVBD\tB-VP\tO' +p203620 +aS'encouraged\tencourage\tVBN\tI-VP\tO' +p203621 +aS'to\tto\tTO\tI-VP\tO' +p203622 +aS'increase\tincrease\tVB\tI-VP\tO' +p203623 +aS'her\ther\tPRP$\tB-NP\tO' +p203624 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p203625 +aS'intake\tintake\tNN\tI-NP\tO' +p203626 +aS'.\t.\t.\tO\tO' +p203627 +asS'A high resolution CT was requested to further evaluate for possible secondary cause of her primary pulmonary hypertension ; however , the patient refused it at this time .' +p203628 +(lp203629 +S'A\tA\tDT\tB-NP\tO' +p203630 +aS'high\thigh\tJJ\tI-NP\tO' +p203631 +aS'resolution\tresolution\tNN\tI-NP\tO' +p203632 +aS'CT\tCT\tNN\tI-NP\tO' +p203633 +aS'was\tbe\tVBD\tB-VP\tO' +p203634 +aS'requested\trequest\tVBN\tI-VP\tO' +p203635 +aS'to\tto\tTO\tB-VP\tO' +p203636 +aS'further\tfurther\tRB\tI-VP\tO' +p203637 +aS'evaluate\tevaluate\tVB\tI-VP\tO' +p203638 +aS'for\tfor\tIN\tB-PP\tO' +p203639 +aS'possible\tpossible\tJJ\tB-NP\tO' +p203640 +aS'secondary\tsecondary\tJJ\tI-NP\tO' +p203641 +aS'cause\tcause\tNN\tI-NP\tO' +p203642 +aS'of\tof\tIN\tB-PP\tO' +p203643 +aS'her\ther\tPRP$\tB-NP\tO' +p203644 +aS'primary\tprimary\tJJ\tI-NP\tO' +p203645 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p203646 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p203647 +aS';\t;\t:\tO\tO' +p203648 +aS'however\thowever\tRB\tB-ADVP\tO' +p203649 +aS',\t,\t,\tO\tO' +p203650 +aS'the\tthe\tDT\tB-NP\tO' +p203651 +aS'patient\tpatient\tNN\tI-NP\tO' +p203652 +aS'refused\trefuse\tVBD\tB-VP\tO' +p203653 +aS'it\tit\tPRP\tB-NP\tO' +p203654 +aS'at\tat\tIN\tB-PP\tO' +p203655 +aS'this\tthis\tDT\tB-NP\tO' +p203656 +aS'time\ttime\tNN\tI-NP\tO' +p203657 +aS'.\t.\t.\tO\tO' +p203658 +asS'There were no clear EEG correlate .' +p203659 +(lp203660 +S'There\tThere\tEX\tB-NP\tO' +p203661 +aS'were\tbe\tVBD\tB-VP\tO' +p203662 +aS'no\tno\tDT\tB-NP\tO' +p203663 +aS'clear\tclear\tJJ\tI-NP\tO' +p203664 +aS'EEG\tEEG\tNN\tI-NP\tO' +p203665 +aS'correlate\tcorrelate\tNN\tI-NP\tO' +p203666 +aS'.\t.\t.\tO\tO' +p203667 +asS'Ms Malek was admitted on 2015-04-16 due to altered mental status and acute right upper quadrant abdominal pain .' +p203668 +(lp203669 +S'Ms\tM\tNNS\tB-NP\tO' +p203670 +aS'Malek\tMalek\tNN\tI-NP\tO' +p203671 +aS'was\tbe\tVBD\tB-VP\tO' +p203672 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p203673 +aS'on\ton\tIN\tB-PP\tO' +p203674 +aS'2015-04-16\t2015-04-16\tCD\tB-NP\tO' +p203675 +aS'due\tdue\tJJ\tB-ADVP\tO' +p203676 +aS'to\tto\tTO\tB-PP\tO' +p203677 +aS'altered\taltered\tJJ\tB-NP\tO' +p203678 +aS'mental\tmental\tJJ\tI-NP\tO' +p203679 +aS'status\tstatus\tNN\tI-NP\tO' +p203680 +aS'and\tand\tCC\tO\tO' +p203681 +aS'acute\tacute\tJJ\tB-NP\tB-protein' +p203682 +aS'right\tright\tJJ\tI-NP\tI-protein' +p203683 +aS'upper\tupper\tJJ\tI-NP\tI-protein' +p203684 +aS'quadrant\tquadrant\tJJ\tI-NP\tI-protein' +p203685 +aS'abdominal\tabdominal\tJJ\tI-NP\tI-protein' +p203686 +aS'pain\tpain\tNN\tI-NP\tI-protein' +p203687 +aS'.\t.\t.\tO\tO' +p203688 +asS'He tolerated the operation well and was transferred from the Operating Room to the cardiothoracic ICU .' +p203689 +(lp203690 +S'He\tHe\tPRP\tB-NP\tO' +p203691 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p203692 +aS'the\tthe\tDT\tB-NP\tO' +p203693 +aS'operation\toperation\tNN\tI-NP\tO' +p203694 +aS'well\twell\tRB\tB-ADVP\tO' +p203695 +aS'and\tand\tCC\tO\tO' +p203696 +aS'was\tbe\tVBD\tB-VP\tO' +p203697 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p203698 +aS'from\tfrom\tIN\tB-PP\tO' +p203699 +aS'the\tthe\tDT\tB-NP\tO' +p203700 +aS'Operating\tOperating\tNNP\tI-NP\tO' +p203701 +aS'Room\tRoom\tNNP\tI-NP\tO' +p203702 +aS'to\tto\tTO\tB-PP\tO' +p203703 +aS'the\tthe\tDT\tB-NP\tO' +p203704 +aS'cardiothoracic\tcardiothoracic\tJJ\tI-NP\tO' +p203705 +aS'ICU\tICU\tNN\tI-NP\tO' +p203706 +aS'.\t.\t.\tO\tO' +p203707 +asS'Her abdomen was soft , nontender with good bowel sounds .' +p203708 +(lp203709 +S'Her\tHer\tPRP$\tB-NP\tO' +p203710 +aS'abdomen\tabdoman\tNNS\tI-NP\tO' +p203711 +aS'was\tbe\tVBD\tB-VP\tO' +p203712 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p203713 +aS',\t,\t,\tO\tO' +p203714 +aS'nontender\tnontender\tJJ\tB-ADJP\tO' +p203715 +aS'with\twith\tIN\tB-PP\tO' +p203716 +aS'good\tgood\tJJ\tB-NP\tO' +p203717 +aS'bowel\tbowel\tNN\tI-NP\tO' +p203718 +aS'sounds\tsound\tNNS\tI-NP\tO' +p203719 +aS'.\t.\t.\tO\tO' +p203720 +asS'Right fem to below knee pop bypass graft .' +p203721 +(lp203722 +S'Right\tRight\tNN\tB-NP\tO' +p203723 +aS'fem\tfem\tNN\tI-NP\tO' +p203724 +aS'to\tto\tTO\tB-PP\tO' +p203725 +aS'below\tbelow\tIN\tB-PP\tO' +p203726 +aS'knee\tknee\tNN\tB-NP\tO' +p203727 +aS'pop\tpop\tNN\tI-NP\tO' +p203728 +aS'bypass\tbypass\tIN\tB-PP\tO' +p203729 +aS'graft\tgraft\tNN\tB-NP\tO' +p203730 +aS'.\t.\t.\tO\tO' +p203731 +asS'Dictated By : Deborah JP Allen , M.D.' +p203732 +(lp203733 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p203734 +aS'By\tBy\tIN\tB-PP\tO' +p203735 +aS':\t:\t:\tO\tO' +p203736 +aS'Deborah\tDeborah\tNNP\tB-NP\tO' +p203737 +aS'JP\tJP\tNNP\tI-NP\tO' +p203738 +aS'Allen\tAllen\tNNP\tI-NP\tO' +p203739 +aS',\t,\t,\tO\tO' +p203740 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p203741 +asS'Recently he had documented coronary angiography based on a catheterization performed in January 1996 with moderate to diffuse atherosclerosis .' +p203742 +(lp203743 +S'Recently\tRecently\tRB\tB-ADVP\tO' +p203744 +aS'he\the\tPRP\tB-NP\tO' +p203745 +aS'had\thave\tVBD\tB-VP\tO' +p203746 +aS'documented\tdocument\tVBN\tI-VP\tO' +p203747 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p203748 +aS'angiography\tangiography\tNN\tI-NP\tO' +p203749 +aS'based\tbase\tVBN\tB-VP\tO' +p203750 +aS'on\ton\tIN\tB-PP\tO' +p203751 +aS'a\ta\tDT\tB-NP\tO' +p203752 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p203753 +aS'performed\tperform\tVBN\tB-VP\tO' +p203754 +aS'in\tin\tIN\tB-PP\tO' +p203755 +aS'January\tJanuary\tNNP\tB-NP\tO' +p203756 +aS'1996\t1996\tCD\tI-NP\tO' +p203757 +aS'with\twith\tIN\tB-PP\tO' +p203758 +aS'moderate\tmoderate\tJJ\tB-ADJP\tO' +p203759 +aS'to\tto\tTO\tB-PP\tO' +p203760 +aS'diffuse\tdiffuse\tJJ\tB-NP\tO' +p203761 +aS'atherosclerosis\tatherosclerosis\tNN\tI-NP\tO' +p203762 +aS'.\t.\t.\tO\tO' +p203763 +asS'Completed by : Oscar Jerome Julian MD 39-824 2018-11-01 @ 1610' +p203764 +(lp203765 +S'Completed\tComplete\tVBN\tB-VP\tO' +p203766 +aS'by\tby\tIN\tB-PP\tO' +p203767 +aS':\t:\t:\tO\tO' +p203768 +aS'Oscar\tOscar\tNNP\tB-NP\tO' +p203769 +aS'Jerome\tJerome\tNNP\tI-NP\tO' +p203770 +aS'Julian\tJulian\tNNP\tI-NP\tO' +p203771 +aS'MD\tMD\tNNP\tI-NP\tO' +p203772 +aS'39-824\t39-824\tCD\tI-NP\tO' +p203773 +aS'2018-11-01\t2018-11-01\tCD\tI-NP\tO' +p203774 +aS'@\t@\tNN\tI-NP\tO' +p203775 +aS'1610\t1610\tCD\tB-NP\tO' +p203776 +asS'The patient is on Nortriptyline for depression .' +p203777 +(lp203778 +S'The\tThe\tDT\tB-NP\tO' +p203779 +aS'patient\tpatient\tNN\tI-NP\tO' +p203780 +aS'is\tbe\tVBZ\tB-VP\tO' +p203781 +aS'on\ton\tIN\tB-PP\tO' +p203782 +aS'Nortriptyline\tNortriptyline\tNN\tB-NP\tO' +p203783 +aS'for\tfor\tIN\tB-PP\tO' +p203784 +aS'depression\tdepression\tNN\tB-NP\tO' +p203785 +aS'.\t.\t.\tO\tO' +p203786 +asS'She had an elevated calcium level that raised the suspicion that this mass could be a hematoma coming from a ruptured parathyroid adenoma .' +p203787 +(lp203788 +S'She\tShe\tPRP\tB-NP\tO' +p203789 +aS'had\thave\tVBD\tB-VP\tO' +p203790 +aS'an\tan\tDT\tB-NP\tO' +p203791 +aS'elevated\televated\tJJ\tI-NP\tO' +p203792 +aS'calcium\tcalcium\tNN\tI-NP\tO' +p203793 +aS'level\tlevel\tNN\tI-NP\tO' +p203794 +aS'that\tthat\tWDT\tB-NP\tO' +p203795 +aS'raised\traise\tVBD\tB-VP\tO' +p203796 +aS'the\tthe\tDT\tB-NP\tO' +p203797 +aS'suspicion\tsuspicion\tNN\tI-NP\tO' +p203798 +aS'that\tthat\tIN\tB-SBAR\tO' +p203799 +aS'this\tthis\tDT\tB-NP\tO' +p203800 +aS'mass\tmass\tNN\tI-NP\tO' +p203801 +aS'could\tcould\tMD\tB-VP\tO' +p203802 +aS'be\tbe\tVB\tI-VP\tO' +p203803 +aS'a\ta\tDT\tB-NP\tO' +p203804 +aS'hematoma\thematoma\tNN\tI-NP\tO' +p203805 +aS'coming\tcome\tVBG\tB-VP\tO' +p203806 +aS'from\tfrom\tIN\tB-PP\tO' +p203807 +aS'a\ta\tDT\tB-NP\tO' +p203808 +aS'ruptured\truptured\tJJ\tI-NP\tO' +p203809 +aS'parathyroid\tparathyroid\tJJ\tI-NP\tO' +p203810 +aS'adenoma\tadenoma\tNN\tI-NP\tO' +p203811 +aS'.\t.\t.\tO\tO' +p203812 +asS'His blood pressure remained stable and BP meds were restarted .' +p203813 +(lp203814 +S'His\tHis\tPRP$\tB-NP\tO' +p203815 +aS'blood\tblood\tNN\tI-NP\tO' +p203816 +aS'pressure\tpressure\tNN\tI-NP\tO' +p203817 +aS'remained\tremain\tVBD\tB-VP\tO' +p203818 +aS'stable\tstable\tJJ\tB-NP\tO' +p203819 +aS'and\tand\tCC\tI-NP\tO' +p203820 +aS'BP\tBP\tNN\tI-NP\tO' +p203821 +aS'meds\tmed\tNNS\tI-NP\tO' +p203822 +aS'were\tbe\tVBD\tB-VP\tO' +p203823 +aS'restarted\trestart\tVBN\tI-VP\tO' +p203824 +aS'.\t.\t.\tO\tO' +p203825 +asS'Diabetes .' +p203826 +(lp203827 +S'Diabetes\tDiabete\tNNS\tB-NP\tO' +p203828 +aS'.\t.\t.\tO\tO' +p203829 +asS'Her gas was 7.47/40/332 .' +p203830 +(lp203831 +S'Her\tHer\tPRP$\tB-NP\tO' +p203832 +aS'gas\tgas\tNN\tI-NP\tB-DNA' +p203833 +aS'was\tbe\tVBD\tB-VP\tO' +p203834 +aS'7.47/40/332\t7.47/40/332\tCD\tB-NP\tO' +p203835 +aS'.\t.\t.\tO\tO' +p203836 +asS'He was treated with nitroglycerin paste and IV Integrelin as well as Plavix .' +p203837 +(lp203838 +S'He\tHe\tPRP\tB-NP\tO' +p203839 +aS'was\tbe\tVBD\tB-VP\tO' +p203840 +aS'treated\ttreat\tVBN\tI-VP\tO' +p203841 +aS'with\twith\tIN\tB-PP\tO' +p203842 +aS'nitroglycerin\tnitroglycerin\tNN\tB-NP\tO' +p203843 +aS'paste\tpaste\tNN\tI-NP\tO' +p203844 +aS'and\tand\tCC\tO\tO' +p203845 +aS'IV\tIV\tCD\tB-NP\tO' +p203846 +aS'Integrelin\tIntegrelin\tNNP\tI-NP\tO' +p203847 +aS'as\tas\tRB\tB-CONJP\tO' +p203848 +aS'well\twell\tRB\tI-CONJP\tO' +p203849 +aS'as\tas\tIN\tI-CONJP\tO' +p203850 +aS'Plavix\tPlavix\tNNP\tB-NP\tO' +p203851 +aS'.\t.\t.\tO\tO' +p203852 +asS'Cyclosporin A level on admission was 179 .' +p203853 +(lp203854 +S'Cyclosporin\tCyclosporin\tNN\tB-NP\tO' +p203855 +aS'A\tA\tNN\tI-NP\tO' +p203856 +aS'level\tlevel\tNN\tI-NP\tO' +p203857 +aS'on\ton\tIN\tB-PP\tO' +p203858 +aS'admission\tadmission\tNN\tB-NP\tO' +p203859 +aS'was\tbe\tVBD\tB-VP\tO' +p203860 +aS'179\t179\tCD\tB-NP\tO' +p203861 +aS'.\t.\t.\tO\tO' +p203862 +asS'He did have some blood loss anemia with a hematocrit of 20.9 .' +p203863 +(lp203864 +S'He\tHe\tPRP\tB-NP\tO' +p203865 +aS'did\tdo\tVBD\tB-VP\tO' +p203866 +aS'have\thave\tVB\tI-VP\tO' +p203867 +aS'some\tsome\tDT\tB-NP\tO' +p203868 +aS'blood\tblood\tNN\tI-NP\tO' +p203869 +aS'loss\tloss\tNN\tI-NP\tO' +p203870 +aS'anemia\tanemia\tNN\tI-NP\tO' +p203871 +aS'with\twith\tIN\tB-PP\tO' +p203872 +aS'a\ta\tDT\tB-NP\tO' +p203873 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p203874 +aS'of\tof\tIN\tB-PP\tO' +p203875 +aS'20.9\t20.9\tCD\tB-NP\tO' +p203876 +aS'.\t.\t.\tO\tO' +p203877 +asS'Neck : + elevated JVD to earlobe , supple' +p203878 +(lp203879 +S'Neck\tNeck\tNN\tB-NP\tO' +p203880 +aS':\t:\t:\tO\tO' +p203881 +aS'+\t+\tSYM\tB-NP\tO' +p203882 +aS'elevated\televated\tJJ\tI-NP\tO' +p203883 +aS'JVD\tJVD\tNN\tI-NP\tO' +p203884 +aS'to\tto\tTO\tB-VP\tO' +p203885 +aS'earlobe\tearlobe\tVB\tI-VP\tO' +p203886 +aS',\t,\t,\tO\tO' +p203887 +aS'supple\tsupple\tNN\tB-NP\tO' +p203888 +asS'The patient was stable with the physical examination as described above .' +p203889 +(lp203890 +S'The\tThe\tDT\tB-NP\tO' +p203891 +aS'patient\tpatient\tNN\tI-NP\tO' +p203892 +aS'was\tbe\tVBD\tB-VP\tO' +p203893 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p203894 +aS'with\twith\tIN\tB-PP\tO' +p203895 +aS'the\tthe\tDT\tB-NP\tO' +p203896 +aS'physical\tphysical\tJJ\tI-NP\tO' +p203897 +aS'examination\texamination\tNN\tI-NP\tO' +p203898 +aS'as\tas\tIN\tB-SBAR\tO' +p203899 +aS'described\tdescribe\tVBN\tB-VP\tO' +p203900 +aS'above\tabove\tRB\tB-ADVP\tO' +p203901 +aS'.\t.\t.\tO\tO' +p203902 +asS'A TP3A inhibitor was not given for concern for dissection .' +p203903 +(lp203904 +S'A\tA\tDT\tB-NP\tO' +p203905 +aS'TP3A\tTP3A\tNN\tI-NP\tO' +p203906 +aS'inhibitor\tinhibitor\tNN\tI-NP\tO' +p203907 +aS'was\tbe\tVBD\tB-VP\tO' +p203908 +aS'not\tnot\tRB\tI-VP\tO' +p203909 +aS'given\tgive\tVBN\tI-VP\tO' +p203910 +aS'for\tfor\tIN\tB-PP\tO' +p203911 +aS'concern\tconcern\tNN\tB-NP\tO' +p203912 +aS'for\tfor\tIN\tB-PP\tO' +p203913 +aS'dissection\tdissection\tNN\tB-NP\tO' +p203914 +aS'.\t.\t.\tO\tO' +p203915 +asS'The patient had shortness of breath .' +p203916 +(lp203917 +S'The\tThe\tDT\tB-NP\tO' +p203918 +aS'patient\tpatient\tNN\tI-NP\tO' +p203919 +aS'had\thave\tVBD\tB-VP\tO' +p203920 +aS'shortness\tshortness\tNN\tB-NP\tO' +p203921 +aS'of\tof\tIN\tB-PP\tO' +p203922 +aS'breath\tbreath\tNN\tB-NP\tO' +p203923 +aS'.\t.\t.\tO\tO' +p203924 +asS'The patient was admitted to the Tau Memorial Hospital .' +p203925 +(lp203926 +S'The\tThe\tDT\tB-NP\tO' +p203927 +aS'patient\tpatient\tNN\tI-NP\tO' +p203928 +aS'was\tbe\tVBD\tB-VP\tO' +p203929 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p203930 +aS'to\tto\tTO\tB-PP\tO' +p203931 +aS'the\tthe\tDT\tB-NP\tO' +p203932 +aS'Tau\tTau\tNNP\tI-NP\tO' +p203933 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p203934 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p203935 +aS'.\t.\t.\tO\tO' +p203936 +asS'She was started on stress dose steroids .' +p203937 +(lp203938 +S'She\tShe\tPRP\tB-NP\tO' +p203939 +aS'was\tbe\tVBD\tB-VP\tO' +p203940 +aS'started\tstart\tVBN\tI-VP\tO' +p203941 +aS'on\ton\tIN\tB-PP\tO' +p203942 +aS'stress\tstress\tNN\tB-NP\tO' +p203943 +aS'dose\tdose\tNN\tI-NP\tO' +p203944 +aS'steroids\tsteroid\tNNS\tI-NP\tO' +p203945 +aS'.\t.\t.\tO\tO' +p203946 +asS'had a regular rate and rhythm with a II / VI systolic murmur at the right sternal border .' +p203947 +(lp203948 +S'had\thave\tVBD\tO\tO' +p203949 +aS'a\ta\tDT\tB-NP\tO' +p203950 +aS'regular\tregular\tJJ\tI-NP\tO' +p203951 +aS'rate\trate\tNN\tI-NP\tO' +p203952 +aS'and\tand\tCC\tI-NP\tO' +p203953 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p203954 +aS'with\twith\tIN\tB-PP\tO' +p203955 +aS'a\ta\tDT\tB-NP\tO' +p203956 +aS'II\tII\tCD\tI-NP\tO' +p203957 +aS'/\t/\tSYM\tI-NP\tO' +p203958 +aS'VI\tVI\tCD\tI-NP\tO' +p203959 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p203960 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p203961 +aS'at\tat\tIN\tB-PP\tO' +p203962 +aS'the\tthe\tDT\tB-NP\tO' +p203963 +aS'right\tright\tJJ\tI-NP\tO' +p203964 +aS'sternal\tsternal\tJJ\tI-NP\tO' +p203965 +aS'border\tborder\tNN\tI-NP\tO' +p203966 +aS'.\t.\t.\tO\tO' +p203967 +asS'The Consulting Psychiatrist recommended a minimum of 2 point restraints at all times , and recommended the patient be monitored by a sitter .' +p203968 +(lp203969 +S'The\tThe\tDT\tB-NP\tO' +p203970 +aS'Consulting\tConsulting\tNNP\tI-NP\tO' +p203971 +aS'Psychiatrist\tPsychiatrist\tNN\tI-NP\tO' +p203972 +aS'recommended\trecommend\tVBD\tB-VP\tO' +p203973 +aS'a\ta\tDT\tB-NP\tO' +p203974 +aS'minimum\tminimum\tNN\tI-NP\tO' +p203975 +aS'of\tof\tIN\tB-PP\tO' +p203976 +aS'2\t2\tCD\tB-NP\tO' +p203977 +aS'point\tpoint\tNN\tI-NP\tO' +p203978 +aS'restraints\trestraint\tNNS\tI-NP\tO' +p203979 +aS'at\tat\tIN\tB-PP\tO' +p203980 +aS'all\tall\tDT\tB-NP\tO' +p203981 +aS'times\ttime\tNNS\tI-NP\tO' +p203982 +aS',\t,\t,\tO\tO' +p203983 +aS'and\tand\tCC\tO\tO' +p203984 +aS'recommended\trecommend\tVBD\tB-VP\tO' +p203985 +aS'the\tthe\tDT\tB-NP\tO' +p203986 +aS'patient\tpatient\tNN\tI-NP\tO' +p203987 +aS'be\tbe\tVB\tB-VP\tO' +p203988 +aS'monitored\tmonitor\tVBN\tI-VP\tO' +p203989 +aS'by\tby\tIN\tB-PP\tO' +p203990 +aS'a\ta\tDT\tB-NP\tO' +p203991 +aS'sitter\tsitter\tNN\tI-NP\tO' +p203992 +aS'.\t.\t.\tO\tO' +p203993 +asS'Signed electronically by : DR. Meredith Davis on : Sandra 2014-03-13 1:53 PM' +p203994 +(lp203995 +S'Signed\tSign\tVBN\tB-VP\tO' +p203996 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p203997 +aS'by\tby\tIN\tB-PP\tO' +p203998 +aS':\t:\t:\tO\tO' +p203999 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p204000 +aS'Meredith\tMeredith\tNNP\tI-NP\tO' +p204001 +aS'Davis\tDavis\tNNP\tI-NP\tO' +p204002 +aS'on\ton\tIN\tB-PP\tO' +p204003 +aS':\t:\t:\tO\tO' +p204004 +aS'Sandra\tSandra\tNNP\tB-NP\tO' +p204005 +aS'2014-03-13\t2014-03-13\tCD\tB-NP\tO' +p204006 +aS'1:53\t1:53\tCD\tI-NP\tO' +p204007 +aS'PM\tPM\tNN\tI-NP\tO' +p204008 +asS'He was ejected from the car and landed on his face .' +p204009 +(lp204010 +S'He\tHe\tPRP\tB-NP\tO' +p204011 +aS'was\tbe\tVBD\tB-VP\tO' +p204012 +aS'ejected\teject\tVBN\tI-VP\tO' +p204013 +aS'from\tfrom\tIN\tB-PP\tO' +p204014 +aS'the\tthe\tDT\tB-NP\tO' +p204015 +aS'car\tcar\tNN\tI-NP\tO' +p204016 +aS'and\tand\tCC\tO\tO' +p204017 +aS'landed\tland\tVBD\tB-VP\tO' +p204018 +aS'on\ton\tIN\tB-PP\tO' +p204019 +aS'his\this\tPRP$\tB-NP\tO' +p204020 +aS'face\tface\tNN\tI-NP\tO' +p204021 +aS'.\t.\t.\tO\tO' +p204022 +asS'It radiates to both carotids bilaterally .' +p204023 +(lp204024 +S'It\tIt\tPRP\tB-NP\tO' +p204025 +aS'radiates\tradiate\tVBZ\tB-VP\tO' +p204026 +aS'to\tto\tTO\tB-PP\tO' +p204027 +aS'both\tboth\tDT\tB-NP\tO' +p204028 +aS'carotids\tcarotid\tNNS\tI-NP\tO' +p204029 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p204030 +aS'.\t.\t.\tO\tO' +p204031 +asS'Depending on her I/O , lasix and acetazolamide can be decreased or discontinued .' +p204032 +(lp204033 +S'Depending\tDepend\tVBG\tB-PP\tO' +p204034 +aS'on\ton\tIN\tB-PP\tO' +p204035 +aS'her\ther\tPRP$\tB-NP\tO' +p204036 +aS'I/O\tI/O\tNN\tI-NP\tB-protein' +p204037 +aS',\t,\t,\tI-NP\tO' +p204038 +aS'lasix\tlasix\tNN\tI-NP\tO' +p204039 +aS'and\tand\tCC\tI-NP\tO' +p204040 +aS'acetazolamide\tacetazolamide\tNN\tI-NP\tO' +p204041 +aS'can\tcan\tMD\tB-VP\tO' +p204042 +aS'be\tbe\tVB\tI-VP\tO' +p204043 +aS'decreased\tdecrease\tVBN\tI-VP\tO' +p204044 +aS'or\tor\tCC\tI-VP\tO' +p204045 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p204046 +aS'.\t.\t.\tO\tO' +p204047 +asS'She had a clot at the blood bank and she had BID hematocrits checked .' +p204048 +(lp204049 +S'She\tShe\tPRP\tB-NP\tO' +p204050 +aS'had\thave\tVBD\tB-VP\tO' +p204051 +aS'a\ta\tDT\tB-NP\tO' +p204052 +aS'clot\tclot\tNN\tI-NP\tO' +p204053 +aS'at\tat\tIN\tB-PP\tO' +p204054 +aS'the\tthe\tDT\tB-NP\tO' +p204055 +aS'blood\tblood\tNN\tI-NP\tO' +p204056 +aS'bank\tbank\tNN\tI-NP\tO' +p204057 +aS'and\tand\tCC\tO\tO' +p204058 +aS'she\tshe\tPRP\tB-NP\tO' +p204059 +aS'had\thave\tVBD\tB-VP\tO' +p204060 +aS'BID\tBID\tNN\tB-NP\tO' +p204061 +aS'hematocrits\thematocrit\tNNS\tI-NP\tO' +p204062 +aS'checked\tcheck\tVBD\tB-VP\tO' +p204063 +aS'.\t.\t.\tO\tO' +p204064 +asS'V , VII: Facial strength and sensation intact and symmetric .' +p204065 +(lp204066 +S'V\tV\tNNP\tB-NP\tO' +p204067 +aS',\t,\t,\tO\tO' +p204068 +aS'VII:\tVII:\tNNP\tB-NP\tO' +p204069 +aS'Facial\tFacial\tJJ\tI-NP\tO' +p204070 +aS'strength\tstrength\tNN\tI-NP\tO' +p204071 +aS'and\tand\tCC\tI-NP\tO' +p204072 +aS'sensation\tsensation\tNN\tI-NP\tO' +p204073 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p204074 +aS'and\tand\tCC\tI-ADJP\tO' +p204075 +aS'symmetric\tsymmetric\tJJ\tI-ADJP\tO' +p204076 +aS'.\t.\t.\tO\tO' +p204077 +asS'1. Pancreatitis status post endoscopic retrogram cholangiopancreatography and sphincterotomy .' +p204078 +(lp204079 +S'1.\t1.\tLS\tB-NP\tO' +p204080 +aS'Pancreatitis\tPancreatitis\tNN\tI-NP\tO' +p204081 +aS'status\tstatus\tNN\tI-NP\tO' +p204082 +aS'post\tpost\tNN\tI-NP\tO' +p204083 +aS'endoscopic\tendoscopic\tJJ\tI-NP\tO' +p204084 +aS'retrogram\tretrogram\tNN\tI-NP\tO' +p204085 +aS'cholangiopancreatography\tcholangiopancreatography\tNN\tI-NP\tO' +p204086 +aS'and\tand\tCC\tI-NP\tO' +p204087 +aS'sphincterotomy\tsphincterotomy\tNN\tI-NP\tO' +p204088 +aS'.\t.\t.\tO\tO' +p204089 +asS'Patient initially presented in 1991 with cervical lymphadenopathy , was treated with MACE / CytaBOM , and did well until 1997 , when he received six cycles of fludarabine for progressive disease .' +p204090 +(lp204091 +S'Patient\tPatient\tNN\tB-NP\tO' +p204092 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p204093 +aS'presented\tpresent\tVBD\tB-VP\tO' +p204094 +aS'in\tin\tIN\tB-PP\tO' +p204095 +aS'1991\t1991\tCD\tB-NP\tO' +p204096 +aS'with\twith\tIN\tB-PP\tO' +p204097 +aS'cervical\tcervical\tJJ\tB-NP\tO' +p204098 +aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' +p204099 +aS',\t,\t,\tO\tO' +p204100 +aS'was\tbe\tVBD\tB-VP\tO' +p204101 +aS'treated\ttreat\tVBN\tI-VP\tO' +p204102 +aS'with\twith\tIN\tB-PP\tO' +p204103 +aS'MACE\tMACE\tNN\tB-NP\tO' +p204104 +aS'/\t/\tSYM\tI-NP\tO' +p204105 +aS'CytaBOM\tCytaBOM\tNN\tI-NP\tO' +p204106 +aS',\t,\t,\tO\tO' +p204107 +aS'and\tand\tCC\tO\tO' +p204108 +aS'did\tdo\tVBD\tB-VP\tO' +p204109 +aS'well\twell\tRB\tB-ADVP\tO' +p204110 +aS'until\tuntil\tIN\tB-PP\tO' +p204111 +aS'1997\t1997\tCD\tB-NP\tO' +p204112 +aS',\t,\t,\tO\tO' +p204113 +aS'when\twhen\tWRB\tB-ADVP\tO' +p204114 +aS'he\the\tPRP\tB-NP\tO' +p204115 +aS'received\treceive\tVBD\tB-VP\tO' +p204116 +aS'six\tsix\tCD\tB-NP\tO' +p204117 +aS'cycles\tcycle\tNNS\tI-NP\tO' +p204118 +aS'of\tof\tIN\tB-PP\tO' +p204119 +aS'fludarabine\tfludarabine\tNN\tB-NP\tO' +p204120 +aS'for\tfor\tIN\tB-PP\tO' +p204121 +aS'progressive\tprogressive\tJJ\tB-NP\tO' +p204122 +aS'disease\tdisease\tNN\tI-NP\tO' +p204123 +aS'.\t.\t.\tO\tO' +p204124 +asS'The patient improved significantly and was thought to be ready for discharge by the 11th of April .' +p204125 +(lp204126 +S'The\tThe\tDT\tB-NP\tO' +p204127 +aS'patient\tpatient\tNN\tI-NP\tO' +p204128 +aS'improved\timprove\tVBD\tB-VP\tO' +p204129 +aS'significantly\tsignificantly\tRB\tB-ADVP\tO' +p204130 +aS'and\tand\tCC\tO\tO' +p204131 +aS'was\tbe\tVBD\tB-VP\tO' +p204132 +aS'thought\tthink\tVBN\tI-VP\tO' +p204133 +aS'to\tto\tTO\tI-VP\tO' +p204134 +aS'be\tbe\tVB\tI-VP\tO' +p204135 +aS'ready\tready\tJJ\tB-ADJP\tO' +p204136 +aS'for\tfor\tIN\tB-PP\tO' +p204137 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p204138 +aS'by\tby\tIN\tB-PP\tO' +p204139 +aS'the\tthe\tDT\tB-NP\tO' +p204140 +aS'11th\t11th\tNN\tI-NP\tO' +p204141 +aS'of\tof\tIN\tB-PP\tO' +p204142 +aS'April\tApril\tNNP\tB-NP\tO' +p204143 +aS'.\t.\t.\tO\tO' +p204144 +asS'3. Right upper paratracheal and prevascular lymphadenopathy as well as additional nodes in the right side of the neck .' +p204145 +(lp204146 +S'3.\t3.\tLS\tB-NP\tO' +p204147 +aS'Right\tRight\tNN\tI-NP\tO' +p204148 +aS'upper\tupper\tJJ\tI-NP\tO' +p204149 +aS'paratracheal\tparatracheal\tJJ\tI-NP\tO' +p204150 +aS'and\tand\tCC\tI-NP\tO' +p204151 +aS'prevascular\tprevascular\tJJ\tI-NP\tO' +p204152 +aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' +p204153 +aS'as\tas\tRB\tB-CONJP\tO' +p204154 +aS'well\twell\tRB\tI-CONJP\tO' +p204155 +aS'as\tas\tIN\tI-CONJP\tO' +p204156 +aS'additional\tadditional\tJJ\tB-NP\tO' +p204157 +aS'nodes\tnode\tNNS\tI-NP\tO' +p204158 +aS'in\tin\tIN\tB-PP\tO' +p204159 +aS'the\tthe\tDT\tB-NP\tO' +p204160 +aS'right\tright\tJJ\tI-NP\tO' +p204161 +aS'side\tside\tNN\tI-NP\tO' +p204162 +aS'of\tof\tIN\tB-PP\tO' +p204163 +aS'the\tthe\tDT\tB-NP\tO' +p204164 +aS'neck\tneck\tNN\tI-NP\tO' +p204165 +aS'.\t.\t.\tO\tO' +p204166 +asS'She was to follow up with Dr. Savage in the Clinic the following week .' +p204167 +(lp204168 +S'She\tShe\tPRP\tB-NP\tO' +p204169 +aS'was\tbe\tVBD\tB-VP\tO' +p204170 +aS'to\tto\tTO\tB-VP\tO' +p204171 +aS'follow\tfollow\tVB\tI-VP\tO' +p204172 +aS'up\tup\tRP\tB-PRT\tO' +p204173 +aS'with\twith\tIN\tB-PP\tO' +p204174 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p204175 +aS'Savage\tSavage\tNNP\tI-NP\tO' +p204176 +aS'in\tin\tIN\tB-PP\tO' +p204177 +aS'the\tthe\tDT\tB-NP\tO' +p204178 +aS'Clinic\tClinic\tNNP\tI-NP\tO' +p204179 +aS'the\tthe\tDT\tB-NP\tO' +p204180 +aS'following\tfollow\tVBG\tI-NP\tO' +p204181 +aS'week\tweek\tNN\tI-NP\tO' +p204182 +aS'.\t.\t.\tO\tO' +p204183 +asS'He did have past alcoholism consisting of a half a pint of brandy per day for three years but supposedly had quit in 2009-09-03 .' +p204184 +(lp204185 +S'He\tHe\tPRP\tB-NP\tO' +p204186 +aS'did\tdo\tVBD\tB-VP\tO' +p204187 +aS'have\thave\tVB\tI-VP\tO' +p204188 +aS'past\tpast\tJJ\tB-NP\tO' +p204189 +aS'alcoholism\talcoholism\tNN\tI-NP\tO' +p204190 +aS'consisting\tconsist\tVBG\tB-VP\tO' +p204191 +aS'of\tof\tIN\tB-PP\tO' +p204192 +aS'a\ta\tDT\tB-NP\tO' +p204193 +aS'half\thalf\tPDT\tI-NP\tO' +p204194 +aS'a\ta\tDT\tI-NP\tO' +p204195 +aS'pint\tpint\tNN\tI-NP\tO' +p204196 +aS'of\tof\tIN\tB-PP\tO' +p204197 +aS'brandy\tbrandy\tNN\tB-NP\tO' +p204198 +aS'per\tper\tIN\tB-PP\tO' +p204199 +aS'day\tday\tNN\tB-NP\tO' +p204200 +aS'for\tfor\tIN\tB-PP\tO' +p204201 +aS'three\tthree\tCD\tB-NP\tO' +p204202 +aS'years\tyear\tNNS\tI-NP\tO' +p204203 +aS'but\tbut\tCC\tO\tO' +p204204 +aS'supposedly\tsupposedly\tRB\tB-VP\tO' +p204205 +aS'had\thave\tVBD\tI-VP\tO' +p204206 +aS'quit\tquit\tVBN\tI-VP\tO' +p204207 +aS'in\tin\tIN\tB-PP\tO' +p204208 +aS'2009-09-03\t2009-09-03\tCD\tB-NP\tO' +p204209 +aS'.\t.\t.\tO\tO' +p204210 +asS'3. Question of history of AVN or osseous necrosis' +p204211 +(lp204212 +S'3.\t3.\tLS\tB-NP\tO' +p204213 +aS'Question\tQuestion\tNN\tI-NP\tO' +p204214 +aS'of\tof\tIN\tB-PP\tO' +p204215 +aS'history\thistory\tNN\tB-NP\tO' +p204216 +aS'of\tof\tIN\tB-PP\tO' +p204217 +aS'AVN\tAVN\tNN\tB-NP\tB-protein' +p204218 +aS'or\tor\tCC\tO\tO' +p204219 +aS'osseous\tosseous\tJJ\tB-NP\tO' +p204220 +aS'necrosis\tnecrosis\tNN\tI-NP\tO' +p204221 +asS'Soft , nontender , nondistended , without masses or organomegaly .' +p204222 +(lp204223 +S'Soft\tSoft\tRB\tB-ADVP\tO' +p204224 +aS',\t,\t,\tO\tO' +p204225 +aS'nontender\tnontender\tJJ\tB-NP\tO' +p204226 +aS',\t,\t,\tI-NP\tO' +p204227 +aS'nondistended\tnondistended\tJJ\tI-NP\tO' +p204228 +aS',\t,\t,\tO\tO' +p204229 +aS'without\twithout\tIN\tB-PP\tO' +p204230 +aS'masses\tmass\tNNS\tB-NP\tO' +p204231 +aS'or\tor\tCC\tO\tO' +p204232 +aS'organomegaly\torganomegaly\tRB\tB-ADVP\tO' +p204233 +aS'.\t.\t.\tO\tO' +p204234 +asS'He underwent right knee open synovectomy and debridement of synovial chondromatosis on 10-28-93 .' +p204235 +(lp204236 +S'He\tHe\tPRP\tB-NP\tO' +p204237 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p204238 +aS'right\tright\tJJ\tB-NP\tO' +p204239 +aS'knee\tknee\tNN\tI-NP\tO' +p204240 +aS'open\topen\tJJ\tI-NP\tO' +p204241 +aS'synovectomy\tsynovectomy\tNN\tI-NP\tO' +p204242 +aS'and\tand\tCC\tI-NP\tO' +p204243 +aS'debridement\tdebridement\tNN\tI-NP\tO' +p204244 +aS'of\tof\tIN\tB-PP\tO' +p204245 +aS'synovial\tsynovial\tJJ\tB-NP\tO' +p204246 +aS'chondromatosis\tchondromatosis\tNN\tI-NP\tO' +p204247 +aS'on\ton\tIN\tB-PP\tO' +p204248 +aS'10-28-93\t10-28-93\tCD\tB-NP\tO' +p204249 +aS'.\t.\t.\tO\tO' +p204250 +asS'Per the patient 's wishes , Dr. Dalywoo Droreite the Windgo Hospital was consulted for a second opinion regarding the management of her malignancy .' +p204251 +(lp204252 +S'Per\tPer\tIN\tB-PP\tO' +p204253 +aS'the\tthe\tDT\tB-NP\tO' +p204254 +aS'patient\tpatient\tNN\tI-NP\tO' +p204255 +aS''s\t'\tNNS\tI-NP\tO' +p204256 +aS'wishes\twish\tVBZ\tB-VP\tO' +p204257 +aS',\t,\t,\tO\tO' +p204258 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p204259 +aS'Dalywoo\tDalywoo\tNNP\tI-NP\tO' +p204260 +aS'Droreite\tDroreite\tNNP\tI-NP\tO' +p204261 +aS'the\tthe\tDT\tB-NP\tO' +p204262 +aS'Windgo\tWindgo\tNNP\tI-NP\tO' +p204263 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p204264 +aS'was\tbe\tVBD\tB-VP\tO' +p204265 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p204266 +aS'for\tfor\tIN\tB-PP\tO' +p204267 +aS'a\ta\tDT\tB-NP\tO' +p204268 +aS'second\tsecond\tJJ\tI-NP\tO' +p204269 +aS'opinion\topinion\tNN\tI-NP\tO' +p204270 +aS'regarding\tregard\tVBG\tB-VP\tO' +p204271 +aS'the\tthe\tDT\tB-NP\tO' +p204272 +aS'management\tmanagement\tNN\tI-NP\tO' +p204273 +aS'of\tof\tIN\tB-PP\tO' +p204274 +aS'her\ther\tPRP$\tB-NP\tO' +p204275 +aS'malignancy\tmalignancy\tNN\tI-NP\tO' +p204276 +aS'.\t.\t.\tO\tO' +p204277 +asS'Two years after this operation , he required a pacer implantation for sick sinus syndrome .' +p204278 +(lp204279 +S'Two\tTwo\tCD\tB-NP\tO' +p204280 +aS'years\tyear\tNNS\tI-NP\tO' +p204281 +aS'after\tafter\tIN\tB-SBAR\tO' +p204282 +aS'this\tthis\tDT\tB-NP\tO' +p204283 +aS'operation\toperation\tNN\tI-NP\tO' +p204284 +aS',\t,\t,\tO\tO' +p204285 +aS'he\the\tPRP\tB-NP\tO' +p204286 +aS'required\trequire\tVBD\tB-VP\tO' +p204287 +aS'a\ta\tDT\tB-NP\tO' +p204288 +aS'pacer\tpacer\tNN\tI-NP\tO' +p204289 +aS'implantation\timplantation\tNN\tI-NP\tO' +p204290 +aS'for\tfor\tIN\tB-PP\tO' +p204291 +aS'sick\tsick\tJJ\tB-NP\tO' +p204292 +aS'sinus\tsinus\tNN\tI-NP\tO' +p204293 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p204294 +aS'.\t.\t.\tO\tO' +p204295 +asS'Heart was normal .' +p204296 +(lp204297 +S'Heart\tHeart\tNNP\tB-NP\tO' +p204298 +aS'was\tbe\tVBD\tB-VP\tO' +p204299 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p204300 +aS'.\t.\t.\tO\tO' +p204301 +asS'1. Lasix 20 mg p.o. q. 12 .' +p204302 +(lp204303 +S'1.\t1.\tLS\tB-NP\tO' +p204304 +aS'Lasix\tLasix\tNNP\tI-NP\tO' +p204305 +aS'20\t20\tCD\tI-NP\tO' +p204306 +aS'mg\tmg\tNN\tI-NP\tO' +p204307 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p204308 +aS'q.\tq.\tNN\tI-NP\tO' +p204309 +aS'12\t12\tCD\tI-NP\tO' +p204310 +aS'.\t.\t.\tO\tO' +p204311 +asS'You have a Primary Care Physician B. Schumacher on 07-29 @ 1:45 pm .' +p204312 +(lp204313 +S'You\tYou\tPRP\tB-NP\tB-protein' +p204314 +aS'have\thave\tVBP\tB-VP\tO' +p204315 +aS'a\ta\tDT\tB-NP\tO' +p204316 +aS'Primary\tPrimary\tNNP\tI-NP\tO' +p204317 +aS'Care\tCare\tNNP\tI-NP\tO' +p204318 +aS'Physician\tPhysician\tNNP\tI-NP\tO' +p204319 +aS'B.\tB.\tNNP\tI-NP\tO' +p204320 +aS'Schumacher\tSchumacher\tNNP\tI-NP\tO' +p204321 +aS'on\ton\tIN\tB-PP\tO' +p204322 +aS'07-29\t07-29\tCD\tB-NP\tO' +p204323 +aS'@\t@\tHYPH\tI-NP\tO' +p204324 +aS'1:45\t1:45\tCD\tI-NP\tO' +p204325 +aS'pm\tpm\tNN\tI-NP\tO' +p204326 +aS'.\t.\t.\tO\tO' +p204327 +asS'Please fax results to ( 728 ) 250-3265 .' +p204328 +(lp204329 +S'Please\tPlease\tNN\tB-NP\tO' +p204330 +aS'fax\tfax\tNN\tI-NP\tO' +p204331 +aS'results\tresult\tNNS\tI-NP\tO' +p204332 +aS'to\tto\tTO\tB-PP\tO' +p204333 +aS'(\t(\t(\tO\tO' +p204334 +aS'728\t728\tCD\tB-NP\tO' +p204335 +aS')\t)\t)\tO\tO' +p204336 +aS'250-3265\t250-3265\tCD\tB-NP\tO' +p204337 +aS'.\t.\t.\tO\tO' +p204338 +asS'Disp :* 10 Capsule , Sustained Release (s)* Refills :* 0 *' +p204339 +(lp204340 +S'Disp\tDisp\tNN\tB-NP\tO' +p204341 +aS':*\t:*\tSYM\tI-NP\tO' +p204342 +aS'10\t10\tCD\tI-NP\tO' +p204343 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p204344 +aS',\t,\t,\tO\tO' +p204345 +aS'Sustained\tSustained\tNNP\tB-NP\tO' +p204346 +aS'Release\tRelease\tNNP\tI-NP\tO' +p204347 +aS'(s)*\t(s)*\tSYM\tB-NP\tO' +p204348 +aS'Refills\tRefill\tNNPS\tI-NP\tO' +p204349 +aS':*\t:*\tSYM\tI-NP\tO' +p204350 +aS'0\t0\tCD\tI-NP\tO' +p204351 +aS'*\t*\tSYM\tB-NP\tO' +p204352 +asS'4) Foot ulcer : The pt was followed by podiatry and had several further debridement of his R heel wound .' +p204353 +(lp204354 +S'4)\t4)\tLS\tB-NP\tO' +p204355 +aS'Foot\tFoot\tNN\tI-NP\tO' +p204356 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p204357 +aS':\t:\t:\tO\tO' +p204358 +aS'The\tThe\tDT\tB-NP\tO' +p204359 +aS'pt\tpt\tNN\tI-NP\tO' +p204360 +aS'was\tbe\tVBD\tB-VP\tO' +p204361 +aS'followed\tfollow\tVBN\tI-VP\tO' +p204362 +aS'by\tby\tIN\tB-PP\tO' +p204363 +aS'podiatry\tpodiatry\tNN\tB-NP\tO' +p204364 +aS'and\tand\tCC\tO\tO' +p204365 +aS'had\thave\tVBD\tB-VP\tO' +p204366 +aS'several\tseveral\tJJ\tB-NP\tO' +p204367 +aS'further\tfurther\tJJ\tI-NP\tO' +p204368 +aS'debridement\tdebridement\tNN\tI-NP\tO' +p204369 +aS'of\tof\tIN\tB-PP\tO' +p204370 +aS'his\this\tPRP$\tB-NP\tO' +p204371 +aS'R\tR\tNN\tI-NP\tO' +p204372 +aS'heel\theel\tNN\tI-NP\tO' +p204373 +aS'wound\twound\tNN\tI-NP\tO' +p204374 +aS'.\t.\t.\tO\tO' +p204375 +asS'No M/R/G .' +p204376 +(lp204377 +S'No\tNo\tDT\tB-NP\tO' +p204378 +aS'M/R/G\tM/R/G\tNN\tI-NP\tB-protein' +p204379 +aS'.\t.\t.\tO\tO' +p204380 +asS'75 y / o F with DM , COPD on 2L NC and Bipap at night p / w generalized weakness and fatigue , urinary incontinence and shaking as well as increased sputum production .' +p204381 +(lp204382 +S'75\t75\tCD\tB-NP\tO' +p204383 +aS'y\ty\tNN\tI-NP\tO' +p204384 +aS'/\t/\tSYM\tB-NP\tO' +p204385 +aS'o\to\tNN\tI-NP\tB-protein' +p204386 +aS'F\tF\tNN\tI-NP\tI-protein' +p204387 +aS'with\twith\tIN\tB-PP\tO' +p204388 +aS'DM\tDM\tNN\tB-NP\tO' +p204389 +aS',\t,\t,\tO\tO' +p204390 +aS'COPD\tCOPD\tNN\tB-NP\tO' +p204391 +aS'on\ton\tIN\tB-PP\tO' +p204392 +aS'2L\t2L\tNN\tB-NP\tO' +p204393 +aS'NC\tNC\tNN\tI-NP\tO' +p204394 +aS'and\tand\tCC\tI-NP\tO' +p204395 +aS'Bipap\tBipap\tNN\tI-NP\tO' +p204396 +aS'at\tat\tIN\tB-PP\tO' +p204397 +aS'night\tnight\tNN\tB-NP\tO' +p204398 +aS'p\tp\tNN\tI-NP\tO' +p204399 +aS'/\t/\tSYM\tB-NP\tO' +p204400 +aS'w\tw\tNN\tI-NP\tO' +p204401 +aS'generalized\tgeneralize\tVBN\tB-NP\tO' +p204402 +aS'weakness\tweakness\tNN\tI-NP\tO' +p204403 +aS'and\tand\tCC\tI-NP\tO' +p204404 +aS'fatigue\tfatigue\tNN\tI-NP\tO' +p204405 +aS',\t,\t,\tO\tO' +p204406 +aS'urinary\turinary\tJJ\tB-NP\tO' +p204407 +aS'incontinence\tincontinence\tNN\tI-NP\tO' +p204408 +aS'and\tand\tCC\tO\tO' +p204409 +aS'shaking\tshake\tVBG\tB-VP\tO' +p204410 +aS'as\tas\tRB\tB-CONJP\tO' +p204411 +aS'well\twell\tRB\tI-CONJP\tO' +p204412 +aS'as\tas\tIN\tI-CONJP\tO' +p204413 +aS'increased\tincrease\tVBN\tB-NP\tO' +p204414 +aS'sputum\tsputum\tNN\tI-NP\tO' +p204415 +aS'production\tproduction\tNN\tI-NP\tO' +p204416 +aS'.\t.\t.\tO\tO' +p204417 +asS'The patient tolerated the procedure well , there were no complications .' +p204418 +(lp204419 +S'The\tThe\tDT\tB-NP\tO' +p204420 +aS'patient\tpatient\tNN\tI-NP\tO' +p204421 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p204422 +aS'the\tthe\tDT\tB-NP\tO' +p204423 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p204424 +aS'well\twell\tRB\tB-ADVP\tO' +p204425 +aS',\t,\t,\tO\tO' +p204426 +aS'there\tthere\tEX\tB-NP\tO' +p204427 +aS'were\tbe\tVBD\tB-VP\tO' +p204428 +aS'no\tno\tDT\tB-NP\tO' +p204429 +aS'complications\tcomplication\tNNS\tI-NP\tO' +p204430 +aS'.\t.\t.\tO\tO' +p204431 +asS'No heavy lifting for 6 weeks' +p204432 +(lp204433 +S'No\tNo\tDT\tB-NP\tO' +p204434 +aS'heavy\theavy\tJJ\tI-NP\tO' +p204435 +aS'lifting\tlifting\tNN\tI-NP\tO' +p204436 +aS'for\tfor\tIN\tB-PP\tO' +p204437 +aS'6\t6\tCD\tB-NP\tO' +p204438 +aS'weeks\tweek\tNNS\tI-NP\tO' +p204439 +asS'Initial ROP screen was done on 12-02 and revealed immature retinas to zone 2 bilaterally .' +p204440 +(lp204441 +S'Initial\tInitial\tJJ\tB-NP\tO' +p204442 +aS'ROP\tROP\tNN\tI-NP\tO' +p204443 +aS'screen\tscreen\tNN\tI-NP\tO' +p204444 +aS'was\tbe\tVBD\tB-VP\tO' +p204445 +aS'done\tdo\tVBN\tI-VP\tO' +p204446 +aS'on\ton\tIN\tB-PP\tO' +p204447 +aS'12-02\t12-02\tNN\tB-NP\tO' +p204448 +aS'and\tand\tCC\tO\tO' +p204449 +aS'revealed\treveal\tVBD\tB-VP\tO' +p204450 +aS'immature\timmature\tJJ\tB-NP\tO' +p204451 +aS'retinas\tretina\tNNS\tI-NP\tO' +p204452 +aS'to\tto\tTO\tB-PP\tO' +p204453 +aS'zone\tzone\tNN\tB-NP\tB-DNA' +p204454 +aS'2\t2\tCD\tI-NP\tI-DNA' +p204455 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p204456 +aS'.\t.\t.\tO\tO' +p204457 +asS'The patient was therefore referred to the Dr. A Eu Wave .' +p204458 +(lp204459 +S'The\tThe\tDT\tB-NP\tO' +p204460 +aS'patient\tpatient\tNN\tI-NP\tO' +p204461 +aS'was\tbe\tVBD\tB-VP\tO' +p204462 +aS'therefore\ttherefore\tRB\tI-VP\tO' +p204463 +aS'referred\trefer\tVBN\tI-VP\tO' +p204464 +aS'to\tto\tTO\tB-PP\tO' +p204465 +aS'the\tthe\tDT\tB-NP\tO' +p204466 +aS'Dr.\tDr.\tNNP\tI-NP\tO' +p204467 +aS'A\tA\tNNP\tI-NP\tO' +p204468 +aS'Eu\tEu\tNNP\tI-NP\tO' +p204469 +aS'Wave\tWave\tNNP\tI-NP\tO' +p204470 +aS'.\t.\t.\tO\tO' +p204471 +asS'A catheter is seen entering the left inguinal region and coursing along the iliac vessels , terminating in the left pelvis .' +p204472 +(lp204473 +S'A\tA\tDT\tB-NP\tO' +p204474 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p204475 +aS'is\tbe\tVBZ\tB-VP\tO' +p204476 +aS'seen\tsee\tVBN\tI-VP\tO' +p204477 +aS'entering\tenter\tVBG\tI-VP\tO' +p204478 +aS'the\tthe\tDT\tB-NP\tO' +p204479 +aS'left\tleft\tJJ\tI-NP\tB-protein' +p204480 +aS'inguinal\tinguinal\tJJ\tI-NP\tI-protein' +p204481 +aS'region\tregion\tNN\tI-NP\tI-protein' +p204482 +aS'and\tand\tCC\tI-NP\tO' +p204483 +aS'coursing\tcoursing\tNN\tI-NP\tO' +p204484 +aS'along\talong\tIN\tB-PP\tO' +p204485 +aS'the\tthe\tDT\tB-NP\tO' +p204486 +aS'iliac\tiliac\tJJ\tI-NP\tO' +p204487 +aS'vessels\tvessel\tNNS\tI-NP\tO' +p204488 +aS',\t,\t,\tO\tO' +p204489 +aS'terminating\tterminate\tVBG\tB-VP\tO' +p204490 +aS'in\tin\tIN\tB-PP\tO' +p204491 +aS'the\tthe\tDT\tB-NP\tO' +p204492 +aS'left\tleft\tJJ\tI-NP\tO' +p204493 +aS'pelvis\tpelvis\tNN\tI-NP\tO' +p204494 +aS'.\t.\t.\tO\tO' +p204495 +asS'Anterior fontanel soft , open , flat , red reflex present bilaterally , palate intact .' +p204496 +(lp204497 +S'Anterior\tAnterior\tJJ\tB-NP\tO' +p204498 +aS'fontanel\tfontanel\tNN\tI-NP\tO' +p204499 +aS'soft\tsoft\tJJ\tI-NP\tO' +p204500 +aS',\t,\t,\tI-NP\tO' +p204501 +aS'open\topen\tJJ\tI-NP\tO' +p204502 +aS',\t,\t,\tI-NP\tO' +p204503 +aS'flat\tflat\tJJ\tI-NP\tO' +p204504 +aS',\t,\t,\tI-NP\tO' +p204505 +aS'red\tred\tJJ\tI-NP\tO' +p204506 +aS'reflex\treflex\tNN\tI-NP\tO' +p204507 +aS'present\tpresent\tVBP\tB-VP\tO' +p204508 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p204509 +aS',\t,\t,\tO\tO' +p204510 +aS'palate\tpalate\tNN\tB-NP\tO' +p204511 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p204512 +aS'.\t.\t.\tO\tO' +p204513 +asS'The infant is being discharged home with her parents .' +p204514 +(lp204515 +S'The\tThe\tDT\tB-NP\tO' +p204516 +aS'infant\tinfant\tNN\tI-NP\tO' +p204517 +aS'is\tbe\tVBZ\tB-VP\tO' +p204518 +aS'being\tbe\tVBG\tI-VP\tO' +p204519 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p204520 +aS'home\thome\tNN\tB-ADVP\tO' +p204521 +aS'with\twith\tIN\tB-PP\tO' +p204522 +aS'her\ther\tPRP$\tB-NP\tO' +p204523 +aS'parents\tparent\tNNS\tI-NP\tO' +p204524 +aS'.\t.\t.\tO\tO' +p204525 +asS'3. Lipitor .' +p204526 +(lp204527 +S'3.\t3.\tLS\tB-NP\tO' +p204528 +aS'Lipitor\tLipitor\tNN\tI-NP\tO' +p204529 +aS'.\t.\t.\tO\tO' +p204530 +asS'2) Previous anoxicbrain damage .' +p204531 +(lp204532 +S'2)\t2)\tLS\tB-NP\tO' +p204533 +aS'Previous\tPrevious\tJJ\tI-NP\tO' +p204534 +aS'anoxicbrain\tanoxicbrain\tNN\tI-NP\tO' +p204535 +aS'damage\tdamage\tNN\tI-NP\tO' +p204536 +aS'.\t.\t.\tO\tO' +p204537 +asS'Over the ensuing days , the patient had several episodes of confusion at night .' +p204538 +(lp204539 +S'Over\tOver\tIN\tB-PP\tO' +p204540 +aS'the\tthe\tDT\tB-NP\tO' +p204541 +aS'ensuing\tensue\tVBG\tI-NP\tO' +p204542 +aS'days\tday\tNNS\tI-NP\tO' +p204543 +aS',\t,\t,\tO\tO' +p204544 +aS'the\tthe\tDT\tB-NP\tO' +p204545 +aS'patient\tpatient\tNN\tI-NP\tO' +p204546 +aS'had\thave\tVBD\tB-VP\tO' +p204547 +aS'several\tseveral\tJJ\tB-NP\tO' +p204548 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p204549 +aS'of\tof\tIN\tB-PP\tO' +p204550 +aS'confusion\tconfusion\tNN\tB-NP\tO' +p204551 +aS'at\tat\tIN\tB-PP\tO' +p204552 +aS'night\tnight\tNN\tB-NP\tO' +p204553 +aS'.\t.\t.\tO\tO' +p204554 +asS'He underwent angiogram on 2013-08-28 , to evaluate his circulation and found at that time that the patient had a poor circulation to the left leg .' +p204555 +(lp204556 +S'He\tHe\tPRP\tB-NP\tO' +p204557 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p204558 +aS'angiogram\tangiogram\tNN\tB-NP\tO' +p204559 +aS'on\ton\tIN\tB-PP\tO' +p204560 +aS'2013-08-28\t2013-08-28\tCD\tB-NP\tO' +p204561 +aS',\t,\t,\tO\tO' +p204562 +aS'to\tto\tTO\tB-VP\tO' +p204563 +aS'evaluate\tevaluate\tVB\tI-VP\tO' +p204564 +aS'his\this\tPRP$\tB-NP\tO' +p204565 +aS'circulation\tcirculation\tNN\tI-NP\tO' +p204566 +aS'and\tand\tCC\tO\tO' +p204567 +aS'found\tfind\tVBN\tB-VP\tO' +p204568 +aS'at\tat\tIN\tB-PP\tO' +p204569 +aS'that\tthat\tDT\tB-NP\tO' +p204570 +aS'time\ttime\tNN\tI-NP\tO' +p204571 +aS'that\tthat\tIN\tB-ADVP\tO' +p204572 +aS'the\tthe\tDT\tB-NP\tO' +p204573 +aS'patient\tpatient\tNN\tI-NP\tO' +p204574 +aS'had\thave\tVBD\tB-VP\tO' +p204575 +aS'a\ta\tDT\tB-NP\tO' +p204576 +aS'poor\tpoor\tJJ\tI-NP\tO' +p204577 +aS'circulation\tcirculation\tNN\tI-NP\tO' +p204578 +aS'to\tto\tTO\tB-PP\tO' +p204579 +aS'the\tthe\tDT\tB-NP\tO' +p204580 +aS'left\tleft\tJJ\tI-NP\tO' +p204581 +aS'leg\tleg\tNN\tI-NP\tO' +p204582 +aS'.\t.\t.\tO\tO' +p204583 +asS'She was taken to the operating room on 01/16/2003 for decompression at L2 , L5 and laminectomy with posterior instrumented fusion at L3 to L5 .' +p204584 +(lp204585 +S'She\tShe\tPRP\tB-NP\tO' +p204586 +aS'was\tbe\tVBD\tB-VP\tO' +p204587 +aS'taken\ttake\tVBN\tI-VP\tO' +p204588 +aS'to\tto\tTO\tB-PP\tO' +p204589 +aS'the\tthe\tDT\tB-NP\tO' +p204590 +aS'operating\toperating\tNN\tI-NP\tO' +p204591 +aS'room\troom\tNN\tI-NP\tO' +p204592 +aS'on\ton\tIN\tB-PP\tO' +p204593 +aS'01/16/2003\t01/16/2003\tCD\tB-NP\tO' +p204594 +aS'for\tfor\tIN\tB-PP\tO' +p204595 +aS'decompression\tdecompression\tNN\tB-NP\tO' +p204596 +aS'at\tat\tIN\tB-PP\tO' +p204597 +aS'L2\tL2\tNN\tB-NP\tB-DNA' +p204598 +aS',\t,\t,\tO\tO' +p204599 +aS'L5\tL5\tNN\tB-NP\tB-DNA' +p204600 +aS'and\tand\tCC\tO\tO' +p204601 +aS'laminectomy\tlaminectomy\tNN\tB-NP\tO' +p204602 +aS'with\twith\tIN\tB-PP\tO' +p204603 +aS'posterior\tposterior\tJJ\tB-NP\tO' +p204604 +aS'instrumented\tinstrument\tVBN\tI-NP\tO' +p204605 +aS'fusion\tfusion\tNN\tI-NP\tO' +p204606 +aS'at\tat\tIN\tB-PP\tO' +p204607 +aS'L3\tL3\tNN\tB-NP\tB-DNA' +p204608 +aS'to\tto\tTO\tB-PP\tO' +p204609 +aS'L5\tL5\tNN\tB-NP\tB-DNA' +p204610 +aS'.\t.\t.\tO\tO' +p204611 +asS'7. Nephropathy .' +p204612 +(lp204613 +S'7.\t7.\tCD\tB-NP\tO' +p204614 +aS'Nephropathy\tNephropathy\tNNP\tI-NP\tO' +p204615 +aS'.\t.\t.\tO\tO' +p204616 +asS'Lumbar spinal stenosis .' +p204617 +(lp204618 +S'Lumbar\tLumbar\tJJ\tB-NP\tO' +p204619 +aS'spinal\tspinal\tJJ\tI-NP\tO' +p204620 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p204621 +aS'.\t.\t.\tO\tO' +p204622 +asS'HEENT : sclera icteric , OP clear , EOMI , PERRL .' +p204623 +(lp204624 +S'HEENT\tHEENT\tNN\tB-NP\tO' +p204625 +aS':\t:\t:\tO\tO' +p204626 +aS'sclera\tsclera\tNN\tB-NP\tO' +p204627 +aS'icteric\ticteric\tNN\tI-NP\tO' +p204628 +aS',\t,\t,\tO\tO' +p204629 +aS'OP\tOP\tNN\tB-NP\tO' +p204630 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p204631 +aS',\t,\t,\tO\tO' +p204632 +aS'EOMI\tEOMI\tNN\tB-NP\tB-protein' +p204633 +aS',\t,\t,\tO\tO' +p204634 +aS'PERRL\tPERRL\tNN\tB-NP\tB-protein' +p204635 +aS'.\t.\t.\tO\tO' +p204636 +asS'Once the decision was made to withdraw care , the pressors were discontinued .' +p204637 +(lp204638 +S'Once\tOnce\tRB\tO\tO' +p204639 +aS'the\tthe\tDT\tB-NP\tO' +p204640 +aS'decision\tdecision\tNN\tI-NP\tO' +p204641 +aS'was\tbe\tVBD\tB-VP\tO' +p204642 +aS'made\tmake\tVBN\tI-VP\tO' +p204643 +aS'to\tto\tTO\tB-VP\tO' +p204644 +aS'withdraw\twithdraw\tVB\tI-VP\tO' +p204645 +aS'care\tcare\tNN\tB-NP\tO' +p204646 +aS',\t,\t,\tO\tO' +p204647 +aS'the\tthe\tDT\tB-NP\tO' +p204648 +aS'pressors\tpressor\tNNS\tI-NP\tO' +p204649 +aS'were\tbe\tVBD\tB-VP\tO' +p204650 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p204651 +aS'.\t.\t.\tO\tO' +p204652 +asS'Pt was recently admitted 1 week ago w/ epigastric pain .' +p204653 +(lp204654 +S'Pt\tPt\tNN\tB-NP\tO' +p204655 +aS'was\tbe\tVBD\tB-VP\tO' +p204656 +aS'recently\trecently\tRB\tI-VP\tO' +p204657 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p204658 +aS'1\t1\tCD\tB-NP\tO' +p204659 +aS'week\tweek\tNN\tI-NP\tO' +p204660 +aS'ago\tago\tRB\tB-ADVP\tO' +p204661 +aS'w/\tw/\tVBD\tB-VP\tO' +p204662 +aS'epigastric\tepigastric\tJJ\tB-NP\tO' +p204663 +aS'pain\tpain\tNN\tI-NP\tO' +p204664 +aS'.\t.\t.\tO\tO' +p204665 +asS'Also of note , her liver function tests had been normal .' +p204666 +(lp204667 +S'Also\tAlso\tRB\tB-ADVP\tO' +p204668 +aS'of\tof\tIN\tB-PP\tO' +p204669 +aS'note\tnote\tNN\tB-NP\tO' +p204670 +aS',\t,\t,\tO\tO' +p204671 +aS'her\ther\tPRP$\tB-NP\tO' +p204672 +aS'liver\tliver\tNN\tI-NP\tO' +p204673 +aS'function\tfunction\tNN\tI-NP\tO' +p204674 +aS'tests\ttest\tNNS\tI-NP\tO' +p204675 +aS'had\thave\tVBD\tB-VP\tO' +p204676 +aS'been\tbe\tVBN\tI-VP\tO' +p204677 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p204678 +aS'.\t.\t.\tO\tO' +p204679 +asS'The patient was initially thought to be prerenal , and his renal status improved after hydration and increased oral intake .' +p204680 +(lp204681 +S'The\tThe\tDT\tB-NP\tO' +p204682 +aS'patient\tpatient\tNN\tI-NP\tO' +p204683 +aS'was\tbe\tVBD\tB-VP\tO' +p204684 +aS'initially\tinitially\tRB\tI-VP\tO' +p204685 +aS'thought\tthink\tVBN\tI-VP\tO' +p204686 +aS'to\tto\tTO\tI-VP\tO' +p204687 +aS'be\tbe\tVB\tI-VP\tO' +p204688 +aS'prerenal\tprerenal\tJJ\tB-ADJP\tO' +p204689 +aS',\t,\t,\tO\tO' +p204690 +aS'and\tand\tCC\tO\tO' +p204691 +aS'his\this\tPRP$\tB-NP\tO' +p204692 +aS'renal\trenal\tJJ\tI-NP\tO' +p204693 +aS'status\tstatus\tNN\tI-NP\tO' +p204694 +aS'improved\timprove\tVBD\tB-VP\tO' +p204695 +aS'after\tafter\tIN\tB-PP\tO' +p204696 +aS'hydration\thydration\tNN\tB-NP\tO' +p204697 +aS'and\tand\tCC\tO\tO' +p204698 +aS'increased\tincrease\tVBD\tB-VP\tO' +p204699 +aS'oral\toral\tJJ\tB-NP\tO' +p204700 +aS'intake\tintake\tNN\tI-NP\tO' +p204701 +aS'.\t.\t.\tO\tO' +p204702 +asS'The grunting noted on admission resolved within the first few hours after birth .' +p204703 +(lp204704 +S'The\tThe\tDT\tB-NP\tO' +p204705 +aS'grunting\tgrunting\tNN\tI-NP\tO' +p204706 +aS'noted\tnote\tVBN\tB-VP\tO' +p204707 +aS'on\ton\tIN\tB-PP\tO' +p204708 +aS'admission\tadmission\tNN\tB-NP\tO' +p204709 +aS'resolved\tresolve\tVBN\tB-VP\tO' +p204710 +aS'within\twithin\tIN\tB-PP\tO' +p204711 +aS'the\tthe\tDT\tB-NP\tO' +p204712 +aS'first\tfirst\tJJ\tI-NP\tO' +p204713 +aS'few\tfew\tJJ\tI-NP\tO' +p204714 +aS'hours\thour\tNNS\tI-NP\tO' +p204715 +aS'after\tafter\tIN\tB-PP\tO' +p204716 +aS'birth\tbirth\tNN\tB-NP\tO' +p204717 +aS'.\t.\t.\tO\tO' +p204718 +asS'Urine toxicology screen was negative .' +p204719 +(lp204720 +S'Urine\tUrine\tNN\tB-NP\tO' +p204721 +aS'toxicology\ttoxicology\tNN\tI-NP\tO' +p204722 +aS'screen\tscreen\tNN\tI-NP\tO' +p204723 +aS'was\tbe\tVBD\tB-VP\tO' +p204724 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p204725 +aS'.\t.\t.\tO\tO' +p204726 +asS'The chest was clear with normal excursion .' +p204727 +(lp204728 +S'The\tThe\tDT\tB-NP\tO' +p204729 +aS'chest\tchest\tNN\tI-NP\tO' +p204730 +aS'was\tbe\tVBD\tB-VP\tO' +p204731 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p204732 +aS'with\twith\tIN\tB-PP\tO' +p204733 +aS'normal\tnormal\tJJ\tB-NP\tO' +p204734 +aS'excursion\texcursion\tNN\tI-NP\tO' +p204735 +aS'.\t.\t.\tO\tO' +p204736 +asS'Facial twitching was described by the technologist and seen on the video .' +p204737 +(lp204738 +S'Facial\tFacial\tJJ\tB-NP\tO' +p204739 +aS'twitching\ttwitching\tNN\tI-NP\tO' +p204740 +aS'was\tbe\tVBD\tB-VP\tO' +p204741 +aS'described\tdescribe\tVBN\tI-VP\tO' +p204742 +aS'by\tby\tIN\tB-PP\tO' +p204743 +aS'the\tthe\tDT\tB-NP\tO' +p204744 +aS'technologist\ttechnologist\tNN\tI-NP\tO' +p204745 +aS'and\tand\tCC\tO\tO' +p204746 +aS'seen\tsee\tVBN\tB-VP\tO' +p204747 +aS'on\ton\tIN\tB-PP\tO' +p204748 +aS'the\tthe\tDT\tB-NP\tO' +p204749 +aS'video\tvideo\tNN\tI-NP\tO' +p204750 +aS'.\t.\t.\tO\tO' +p204751 +asS'Aortic Valve - Peak Velocity : 1.4 m / sec ( nl <= 2.0 m / sec )' +p204752 +(lp204753 +S'Aortic\tAortic\tJJ\tB-NP\tO' +p204754 +aS'Valve\tValve\tNNP\tI-NP\tO' +p204755 +aS'-\t-\tHYPH\tI-NP\tO' +p204756 +aS'Peak\tPeak\tNNP\tI-NP\tO' +p204757 +aS'Velocity\tVelocity\tNNP\tI-NP\tO' +p204758 +aS':\t:\t:\tO\tO' +p204759 +aS'1.4\t1.4\tCD\tB-NP\tO' +p204760 +aS'm\tm\tNN\tI-NP\tO' +p204761 +aS'/\t/\tSYM\tB-NP\tO' +p204762 +aS'sec\tsec\tNN\tB-NP\tO' +p204763 +aS'(\t(\t(\tO\tO' +p204764 +aS'nl\tnl\tNN\tB-NP\tO' +p204765 +aS'<=\t<=\tSYM\tO\tO' +p204766 +aS'2.0\t2.0\tCD\tB-NP\tO' +p204767 +aS'm\tm\tNN\tI-NP\tO' +p204768 +aS'/\t/\tSYM\tB-NP\tO' +p204769 +aS'sec\tsec\tNN\tI-NP\tO' +p204770 +aS')\t)\t)\tO\tO' +p204771 +asS'9. Levaquin 500 q day .' +p204772 +(lp204773 +S'9.\t9.\tCD\tB-NP\tO' +p204774 +aS'Levaquin\tLevaquin\tNNP\tI-NP\tO' +p204775 +aS'500\t500\tCD\tI-NP\tO' +p204776 +aS'q\tq\tNN\tI-NP\tO' +p204777 +aS'day\tday\tNN\tI-NP\tO' +p204778 +aS'.\t.\t.\tO\tO' +p204779 +asS'Vital signs were temperature of 98.4 , heart rate 74 , blood pressure 130/91 , respiratory rate 21 , satting 98% on room air .' +p204780 +(lp204781 +S'Vital\tVital\tJJ\tB-NP\tO' +p204782 +aS'signs\tsign\tNNS\tI-NP\tO' +p204783 +aS'were\tbe\tVBD\tB-VP\tO' +p204784 +aS'temperature\ttemperature\tNN\tB-NP\tO' +p204785 +aS'of\tof\tIN\tB-PP\tO' +p204786 +aS'98.4\t98.4\tCD\tB-NP\tO' +p204787 +aS',\t,\t,\tO\tO' +p204788 +aS'heart\theart\tNN\tB-NP\tO' +p204789 +aS'rate\trate\tNN\tI-NP\tO' +p204790 +aS'74\t74\tCD\tI-NP\tO' +p204791 +aS',\t,\t,\tO\tO' +p204792 +aS'blood\tblood\tNN\tB-NP\tO' +p204793 +aS'pressure\tpressure\tNN\tI-NP\tO' +p204794 +aS'130/91\t130/91\tCD\tI-NP\tO' +p204795 +aS',\t,\t,\tI-NP\tO' +p204796 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p204797 +aS'rate\trate\tNN\tI-NP\tO' +p204798 +aS'21\t21\tCD\tI-NP\tO' +p204799 +aS',\t,\t,\tO\tO' +p204800 +aS'satting\tsatte\tVBG\tB-VP\tO' +p204801 +aS'98%\t98%\tNN\tB-NP\tO' +p204802 +aS'on\ton\tIN\tB-PP\tO' +p204803 +aS'room\troom\tNN\tB-NP\tO' +p204804 +aS'air\tair\tNN\tI-NP\tO' +p204805 +aS'.\t.\t.\tO\tO' +p204806 +asS'Hypertension was managed with beta blocker and ACE inhibitor and Integrilin was continued post MI for 18 hours .' +p204807 +(lp204808 +S'Hypertension\tHypertension\tNN\tB-NP\tO' +p204809 +aS'was\tbe\tVBD\tB-VP\tO' +p204810 +aS'managed\tmanage\tVBN\tI-VP\tO' +p204811 +aS'with\twith\tIN\tB-PP\tO' +p204812 +aS'beta\tbeta\tSYM\tB-NP\tO' +p204813 +aS'blocker\tblocker\tNN\tI-NP\tO' +p204814 +aS'and\tand\tCC\tI-NP\tO' +p204815 +aS'ACE\tACE\tNN\tI-NP\tO' +p204816 +aS'inhibitor\tinhibitor\tNN\tI-NP\tO' +p204817 +aS'and\tand\tCC\tI-NP\tO' +p204818 +aS'Integrilin\tIntegrilin\tNN\tI-NP\tB-protein' +p204819 +aS'was\tbe\tVBD\tB-VP\tO' +p204820 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p204821 +aS'post\tpost\tIN\tB-PP\tO' +p204822 +aS'MI\tMI\tNN\tB-NP\tO' +p204823 +aS'for\tfor\tIN\tB-PP\tO' +p204824 +aS'18\t18\tCD\tB-NP\tO' +p204825 +aS'hours\thour\tNNS\tI-NP\tO' +p204826 +aS'.\t.\t.\tO\tO' +p204827 +asS'The patient also needs a repeat endoscopy and a GI follow-up appointment inapproximately two months .' +p204828 +(lp204829 +S'The\tThe\tDT\tB-NP\tO' +p204830 +aS'patient\tpatient\tNN\tI-NP\tO' +p204831 +aS'also\talso\tRB\tB-ADVP\tO' +p204832 +aS'needs\tneed\tVBZ\tB-VP\tO' +p204833 +aS'a\ta\tDT\tB-NP\tO' +p204834 +aS'repeat\trepeat\tNN\tI-NP\tO' +p204835 +aS'endoscopy\tendoscopy\tNN\tI-NP\tO' +p204836 +aS'and\tand\tCC\tO\tO' +p204837 +aS'a\ta\tDT\tB-NP\tO' +p204838 +aS'GI\tGI\tNN\tI-NP\tO' +p204839 +aS'follow-up\tfollow-up\tNN\tI-NP\tO' +p204840 +aS'appointment\tappointment\tNN\tI-NP\tO' +p204841 +aS'inapproximately\tinapproximately\tRB\tB-ADVP\tO' +p204842 +aS'two\ttwo\tCD\tB-NP\tO' +p204843 +aS'months\tmonth\tNNS\tI-NP\tO' +p204844 +aS'.\t.\t.\tO\tO' +p204845 +asS'He lives at home with his wife and son , who is 7 years old .' +p204846 +(lp204847 +S'He\tHe\tPRP\tB-NP\tO' +p204848 +aS'lives\tlive\tVBZ\tB-VP\tO' +p204849 +aS'at\tat\tIN\tB-PP\tO' +p204850 +aS'home\thome\tNN\tB-NP\tO' +p204851 +aS'with\twith\tIN\tB-PP\tO' +p204852 +aS'his\this\tPRP$\tB-NP\tO' +p204853 +aS'wife\twife\tNN\tI-NP\tO' +p204854 +aS'and\tand\tCC\tI-NP\tO' +p204855 +aS'son\tson\tNN\tI-NP\tO' +p204856 +aS',\t,\t,\tO\tO' +p204857 +aS'who\twho\tWP\tB-NP\tO' +p204858 +aS'is\tbe\tVBZ\tB-VP\tO' +p204859 +aS'7\t7\tCD\tB-NP\tO' +p204860 +aS'years\tyear\tNNS\tI-NP\tO' +p204861 +aS'old\told\tJJ\tB-ADJP\tO' +p204862 +aS'.\t.\t.\tO\tO' +p204863 +asS'She reports that it had essentially started earlier in the day with some GERD-like symptoms .' +p204864 +(lp204865 +S'She\tShe\tPRP\tB-NP\tO' +p204866 +aS'reports\treport\tVBZ\tB-VP\tO' +p204867 +aS'that\tthat\tIN\tB-SBAR\tO' +p204868 +aS'it\tit\tPRP\tB-NP\tO' +p204869 +aS'had\thave\tVBD\tB-VP\tO' +p204870 +aS'essentially\tessentially\tRB\tI-VP\tO' +p204871 +aS'started\tstart\tVBN\tI-VP\tO' +p204872 +aS'earlier\tearlier\tRBR\tB-ADVP\tO' +p204873 +aS'in\tin\tIN\tB-PP\tO' +p204874 +aS'the\tthe\tDT\tB-NP\tO' +p204875 +aS'day\tday\tNN\tI-NP\tO' +p204876 +aS'with\twith\tIN\tB-PP\tO' +p204877 +aS'some\tsome\tDT\tB-NP\tO' +p204878 +aS'GERD-like\tGERD-like\tJJ\tI-NP\tO' +p204879 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p204880 +aS'.\t.\t.\tO\tO' +p204881 +asS'Her respiratory condition remained stable and , on postoperative day four , she was deemed stable and ready to be transferred to rehabilitation for continuing postoperative care and physical' +p204882 +(lp204883 +S'Her\tHer\tPRP$\tB-NP\tO' +p204884 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p204885 +aS'condition\tcondition\tNN\tI-NP\tO' +p204886 +aS'remained\tremain\tVBD\tB-VP\tO' +p204887 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p204888 +aS'and\tand\tCC\tO\tO' +p204889 +aS',\t,\t,\tO\tO' +p204890 +aS'on\ton\tIN\tB-PP\tO' +p204891 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p204892 +aS'day\tday\tNN\tI-NP\tO' +p204893 +aS'four\tfour\tCD\tB-NP\tO' +p204894 +aS',\t,\t,\tO\tO' +p204895 +aS'she\tshe\tPRP\tB-NP\tO' +p204896 +aS'was\tbe\tVBD\tB-VP\tO' +p204897 +aS'deemed\tdeem\tVBN\tI-VP\tO' +p204898 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p204899 +aS'and\tand\tCC\tI-ADJP\tO' +p204900 +aS'ready\tready\tJJ\tI-ADJP\tO' +p204901 +aS'to\tto\tTO\tB-VP\tO' +p204902 +aS'be\tbe\tVB\tI-VP\tO' +p204903 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p204904 +aS'to\tto\tTO\tB-PP\tO' +p204905 +aS'rehabilitation\trehabilitation\tNN\tB-NP\tO' +p204906 +aS'for\tfor\tIN\tB-PP\tO' +p204907 +aS'continuing\tcontinue\tVBG\tB-NP\tO' +p204908 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p204909 +aS'care\tcare\tNN\tI-NP\tO' +p204910 +aS'and\tand\tCC\tO\tO' +p204911 +aS'physical\tphysical\tJJ\tB-ADJP\tO' +p204912 +asS'She has episodes of not breathing .' +p204913 +(lp204914 +S'She\tShe\tPRP\tB-NP\tO' +p204915 +aS'has\thave\tVBZ\tB-VP\tO' +p204916 +aS'episodes\tepisode\tNNS\tB-NP\tO' +p204917 +aS'of\tof\tIN\tB-PP\tO' +p204918 +aS'not\tnot\tRB\tB-NP\tO' +p204919 +aS'breathing\tbreathing\tNN\tI-NP\tO' +p204920 +aS'.\t.\t.\tO\tO' +p204921 +asS'SPARSE GROWTH .' +p204922 +(lp204923 +S'SPARSE\tSPARSE\tNN\tB-NP\tO' +p204924 +aS'GROWTH\tGROWTH\tNN\tI-NP\tO' +p204925 +aS'.\t.\t.\tO\tO' +p204926 +asS'OSTEOCHONDROMATOSIS , RIGHT KNEE .' +p204927 +(lp204928 +S'OSTEOCHONDROMATOSIS\tOSTEOCHONDROMATOSIS\tNNP\tB-NP\tO' +p204929 +aS',\t,\t,\tO\tO' +p204930 +aS'RIGHT\tRIGHT\tNNP\tB-NP\tO' +p204931 +aS'KNEE\tKNEE\tNNP\tI-NP\tO' +p204932 +aS'.\t.\t.\tO\tO' +p204933 +asS'On initial exam the patient was not oriented to time , seemed somewhat slow , and had difficulties generating a list of animals .' +p204934 +(lp204935 +S'On\tOn\tIN\tB-PP\tO' +p204936 +aS'initial\tinitial\tJJ\tB-NP\tO' +p204937 +aS'exam\texam\tNN\tI-NP\tO' +p204938 +aS'the\tthe\tDT\tB-NP\tO' +p204939 +aS'patient\tpatient\tNN\tI-NP\tO' +p204940 +aS'was\tbe\tVBD\tB-VP\tO' +p204941 +aS'not\tnot\tRB\tI-VP\tO' +p204942 +aS'oriented\torient\tVBN\tI-VP\tO' +p204943 +aS'to\tto\tTO\tB-PP\tO' +p204944 +aS'time\ttime\tNN\tB-NP\tO' +p204945 +aS',\t,\t,\tO\tO' +p204946 +aS'seemed\tseem\tVBD\tB-VP\tO' +p204947 +aS'somewhat\tsomewhat\tRB\tB-ADJP\tO' +p204948 +aS'slow\tslow\tJJ\tI-ADJP\tO' +p204949 +aS',\t,\t,\tO\tO' +p204950 +aS'and\tand\tCC\tO\tO' +p204951 +aS'had\thave\tVBD\tB-VP\tO' +p204952 +aS'difficulties\tdifficulty\tNNS\tB-NP\tO' +p204953 +aS'generating\tgenerate\tVBG\tB-VP\tO' +p204954 +aS'a\ta\tDT\tB-NP\tO' +p204955 +aS'list\tlist\tNN\tI-NP\tO' +p204956 +aS'of\tof\tIN\tB-PP\tO' +p204957 +aS'animals\tanimal\tNNS\tB-NP\tO' +p204958 +aS'.\t.\t.\tO\tO' +p204959 +asS'Patient is to be subsequently followed up by Dr. Memory .' +p204960 +(lp204961 +S'Patient\tPatient\tNN\tB-NP\tO' +p204962 +aS'is\tbe\tVBZ\tB-VP\tO' +p204963 +aS'to\tto\tTO\tI-VP\tO' +p204964 +aS'be\tbe\tVB\tI-VP\tO' +p204965 +aS'subsequently\tsubsequently\tRB\tI-VP\tO' +p204966 +aS'followed\tfollow\tVBN\tI-VP\tO' +p204967 +aS'up\tup\tRP\tB-PRT\tO' +p204968 +aS'by\tby\tIN\tB-PP\tO' +p204969 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p204970 +aS'Memory\tMemory\tNNP\tI-NP\tO' +p204971 +aS'.\t.\t.\tO\tO' +p204972 +asS'..... done on 02-24 , notable for mid-basilar artery high-grade stenosis .' +p204973 +(lp204974 +S'.....\t.....\t:\tO\tO' +p204975 +aS'done\tdo\tVBN\tB-VP\tO' +p204976 +aS'on\ton\tIN\tB-PP\tO' +p204977 +aS'02-24\t02-24\tJJ\tB-NP\tO' +p204978 +aS',\t,\t,\tI-NP\tO' +p204979 +aS'notable\tnotable\tJJ\tI-NP\tO' +p204980 +aS'for\tfor\tIN\tB-PP\tO' +p204981 +aS'mid-basilar\tmid-basilar\tJJ\tB-NP\tO' +p204982 +aS'artery\tartery\tNN\tI-NP\tO' +p204983 +aS'high-grade\thigh-grade\tJJ\tI-NP\tO' +p204984 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p204985 +aS'.\t.\t.\tO\tO' +p204986 +asS'321-360 mg / dL 9 Units 10 Units 8 Units 3 Units' +p204987 +(lp204988 +S'321-360\t321-360\tCD\tB-NP\tO' +p204989 +aS'mg\tmg\tNN\tI-NP\tO' +p204990 +aS'/\t/\tSYM\tB-NP\tO' +p204991 +aS'dL\tdL\tNN\tB-NP\tB-protein' +p204992 +aS'9\t9\tCD\tI-NP\tI-protein' +p204993 +aS'Units\tUnits\tNNP\tI-NP\tI-protein' +p204994 +aS'10\t10\tCD\tI-NP\tI-protein' +p204995 +aS'Units\tUnits\tNNP\tI-NP\tI-protein' +p204996 +aS'8\t8\tCD\tI-NP\tI-protein' +p204997 +aS'Units\tUnits\tNNP\tI-NP\tI-protein' +p204998 +aS'3\t3\tCD\tI-NP\tI-protein' +p204999 +aS'Units\tUnit\tNNS\tI-NP\tI-protein' +p205000 +asS'Status post tubal ligation .' +p205001 +(lp205002 +S'Status\tStatus\tNNP\tB-NP\tO' +p205003 +aS'post\tpost\tVBD\tB-VP\tO' +p205004 +aS'tubal\ttubal\tJJ\tB-NP\tO' +p205005 +aS'ligation\tligation\tNN\tI-NP\tO' +p205006 +aS'.\t.\t.\tO\tO' +p205007 +asS'Attending : Derrick L. Mayo , M.D.' +p205008 +(lp205009 +S'Attending\tAttend\tVBG\tB-VP\tO' +p205010 +aS':\t:\t:\tO\tO' +p205011 +aS'Derrick\tDerrick\tNNP\tB-NP\tO' +p205012 +aS'L.\tL.\tNNP\tI-NP\tO' +p205013 +aS'Mayo\tMayo\tNNP\tI-NP\tO' +p205014 +aS',\t,\t,\tO\tO' +p205015 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p205016 +asS'Mild ( 1+ ) MR .' +p205017 +(lp205018 +S'Mild\tMild\tNNP\tB-NP\tO' +p205019 +aS'(\t(\t(\tO\tO' +p205020 +aS'1+\t1+\tJJ\tO\tO' +p205021 +aS')\t)\t)\tO\tO' +p205022 +aS'MR\tMR\tNN\tB-NP\tB-protein' +p205023 +aS'.\t.\t.\tO\tO' +p205024 +asS'Anterior fontanelle open and flat .' +p205025 +(lp205026 +S'Anterior\tAnterior\tJJ\tB-NP\tO' +p205027 +aS'fontanelle\tfontanelle\tNN\tI-NP\tO' +p205028 +aS'open\topen\tJJ\tB-ADJP\tO' +p205029 +aS'and\tand\tCC\tI-ADJP\tO' +p205030 +aS'flat\tflat\tJJ\tI-ADJP\tO' +p205031 +aS'.\t.\t.\tO\tO' +p205032 +asS'She brought by EMS to Nantucket Cottage Hospital for furher evaluation .' +p205033 +(lp205034 +S'She\tShe\tPRP\tB-NP\tO' +p205035 +aS'brought\tbring\tVBD\tB-VP\tO' +p205036 +aS'by\tby\tIN\tB-PP\tO' +p205037 +aS'EMS\tEMS\tNNP\tB-NP\tO' +p205038 +aS'to\tto\tTO\tB-PP\tO' +p205039 +aS'Nantucket\tNantucket\tNNP\tB-NP\tO' +p205040 +aS'Cottage\tCottage\tNNP\tI-NP\tO' +p205041 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p205042 +aS'for\tfor\tIN\tB-PP\tO' +p205043 +aS'furher\tfurh\tJJR\tB-NP\tO' +p205044 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p205045 +aS'.\t.\t.\tO\tO' +p205046 +asS'The patient was kept NPO with an NG tube until postop day 14 and_____ started on clear sips with TPN for nutritional supplementation .' +p205047 +(lp205048 +S'The\tThe\tDT\tB-NP\tO' +p205049 +aS'patient\tpatient\tNN\tI-NP\tO' +p205050 +aS'was\tbe\tVBD\tB-VP\tO' +p205051 +aS'kept\tkeep\tVBN\tI-VP\tO' +p205052 +aS'NPO\tNPO\tNN\tB-NP\tB-protein' +p205053 +aS'with\twith\tIN\tB-PP\tO' +p205054 +aS'an\tan\tDT\tB-NP\tO' +p205055 +aS'NG\tNG\tNN\tI-NP\tO' +p205056 +aS'tube\ttube\tNN\tI-NP\tO' +p205057 +aS'until\tuntil\tIN\tB-PP\tO' +p205058 +aS'postop\tpostop\tNN\tB-NP\tO' +p205059 +aS'day\tday\tNN\tI-NP\tO' +p205060 +aS'14\t14\tCD\tB-NP\tO' +p205061 +aS'and_____\tand_____\tCC\tO\tO' +p205062 +aS'started\tstart\tVBN\tB-VP\tO' +p205063 +aS'on\ton\tIN\tB-PP\tO' +p205064 +aS'clear\tclear\tJJ\tB-NP\tO' +p205065 +aS'sips\tsip\tNNS\tI-NP\tO' +p205066 +aS'with\twith\tIN\tB-PP\tO' +p205067 +aS'TPN\tTPN\tNN\tB-NP\tB-protein' +p205068 +aS'for\tfor\tIN\tB-PP\tO' +p205069 +aS'nutritional\tnutritional\tJJ\tB-NP\tO' +p205070 +aS'supplementation\tsupplementation\tNN\tI-NP\tO' +p205071 +aS'.\t.\t.\tO\tO' +p205072 +asS'Femoral and distal pulses were full .' +p205073 +(lp205074 +S'Femoral\tFemoral\tJJ\tB-NP\tO' +p205075 +aS'and\tand\tCC\tI-NP\tO' +p205076 +aS'distal\tdistal\tJJ\tI-NP\tO' +p205077 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p205078 +aS'were\tbe\tVBD\tB-VP\tO' +p205079 +aS'full\tfull\tJJ\tB-ADJP\tO' +p205080 +aS'.\t.\t.\tO\tO' +p205081 +asS'- Call for appointment to ( 289 ) 411-5387 for the Trauma Clinic and Abdominal CT scan of the Abdomen in 4 weeks' +p205082 +(lp205083 +S'-\t-\tHYPH\tO\tO' +p205084 +aS'Call\tCall\tNN\tB-NP\tO' +p205085 +aS'for\tfor\tIN\tB-PP\tO' +p205086 +aS'appointment\tappointment\tNN\tB-NP\tO' +p205087 +aS'to\tto\tTO\tB-PP\tO' +p205088 +aS'(\t(\t(\tO\tO' +p205089 +aS'289\t289\tCD\tB-NP\tO' +p205090 +aS')\t)\t)\tO\tO' +p205091 +aS'411-5387\t411-5387\tCD\tB-NP\tO' +p205092 +aS'for\tfor\tIN\tB-PP\tO' +p205093 +aS'the\tthe\tDT\tB-NP\tO' +p205094 +aS'Trauma\tTrauma\tNNP\tI-NP\tO' +p205095 +aS'Clinic\tClinic\tNNP\tI-NP\tO' +p205096 +aS'and\tand\tCC\tI-NP\tO' +p205097 +aS'Abdominal\tAbdominal\tNNP\tI-NP\tO' +p205098 +aS'CT\tCT\tNN\tI-NP\tO' +p205099 +aS'scan\tscan\tNN\tI-NP\tO' +p205100 +aS'of\tof\tIN\tB-PP\tO' +p205101 +aS'the\tthe\tDT\tB-NP\tO' +p205102 +aS'Abdomen\tAbdoman\tNNS\tI-NP\tO' +p205103 +aS'in\tin\tIN\tB-PP\tO' +p205104 +aS'4\t4\tCD\tB-NP\tO' +p205105 +aS'weeks\tweek\tNNS\tI-NP\tO' +p205106 +asS'Negative for CAD .' +p205107 +(lp205108 +S'Negative\tNegative\tJJ\tB-ADJP\tO' +p205109 +aS'for\tfor\tIN\tB-PP\tO' +p205110 +aS'CAD\tCAD\tNN\tB-NP\tB-protein' +p205111 +aS'.\t.\t.\tO\tO' +p205112 +asS'Findings showed a Mallory Weiss tear , nonspecific duodenitis .' +p205113 +(lp205114 +S'Findings\tFinding\tNNS\tB-NP\tO' +p205115 +aS'showed\tshow\tVBD\tB-VP\tO' +p205116 +aS'a\ta\tDT\tB-NP\tO' +p205117 +aS'Mallory\tMallory\tNNP\tI-NP\tO' +p205118 +aS'Weiss\tWeiss\tNNP\tI-NP\tO' +p205119 +aS'tear\ttear\tNN\tI-NP\tO' +p205120 +aS',\t,\t,\tO\tO' +p205121 +aS'nonspecific\tnonspecific\tJJ\tB-NP\tO' +p205122 +aS'duodenitis\tduodenitis\tNN\tI-NP\tO' +p205123 +aS'.\t.\t.\tO\tO' +p205124 +asS'Plavix 75 mg p.o. q. day .' +p205125 +(lp205126 +S'Plavix\tPlavix\tNN\tB-NP\tO' +p205127 +aS'75\t75\tCD\tI-NP\tO' +p205128 +aS'mg\tmg\tNN\tI-NP\tO' +p205129 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p205130 +aS'q.\tq.\tNN\tI-NP\tO' +p205131 +aS'day\tday\tNN\tI-NP\tO' +p205132 +aS'.\t.\t.\tO\tO' +p205133 +asS'She then continued to do poorly and then returned on 06-19 .' +p205134 +(lp205135 +S'She\tShe\tPRP\tB-NP\tO' +p205136 +aS'then\tthen\tRB\tB-ADVP\tO' +p205137 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p205138 +aS'to\tto\tTO\tI-VP\tO' +p205139 +aS'do\tdo\tVB\tI-VP\tO' +p205140 +aS'poorly\tpoorly\tRB\tB-ADVP\tO' +p205141 +aS'and\tand\tCC\tO\tO' +p205142 +aS'then\tthen\tRB\tO\tO' +p205143 +aS'returned\treturn\tVBD\tB-VP\tO' +p205144 +aS'on\ton\tIN\tB-PP\tO' +p205145 +aS'06-19\t06-19\tCD\tB-NP\tO' +p205146 +aS'.\t.\t.\tO\tO' +p205147 +asS'She was not felt to be acutely suicidal or otherwise in need of acute psychiatric treatment .' +p205148 +(lp205149 +S'She\tShe\tPRP\tB-NP\tO' +p205150 +aS'was\tbe\tVBD\tB-VP\tO' +p205151 +aS'not\tnot\tRB\tI-VP\tO' +p205152 +aS'felt\tfeel\tVBN\tI-VP\tO' +p205153 +aS'to\tto\tTO\tI-VP\tO' +p205154 +aS'be\tbe\tVB\tI-VP\tO' +p205155 +aS'acutely\tacutely\tRB\tB-ADJP\tO' +p205156 +aS'suicidal\tsuicidal\tJJ\tI-ADJP\tO' +p205157 +aS'or\tor\tCC\tO\tO' +p205158 +aS'otherwise\totherwise\tRB\tB-ADVP\tO' +p205159 +aS'in\tin\tIN\tB-PP\tO' +p205160 +aS'need\tneed\tNN\tB-NP\tO' +p205161 +aS'of\tof\tIN\tB-PP\tO' +p205162 +aS'acute\tacute\tJJ\tB-NP\tO' +p205163 +aS'psychiatric\tpsychiatric\tJJ\tI-NP\tO' +p205164 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p205165 +aS'.\t.\t.\tO\tO' +p205166 +asS'He tolerated treatment well and was discharged in good condition .' +p205167 +(lp205168 +S'He\tHe\tPRP\tB-NP\tO' +p205169 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p205170 +aS'treatment\ttreatment\tNN\tB-NP\tO' +p205171 +aS'well\twell\tRB\tB-ADVP\tO' +p205172 +aS'and\tand\tCC\tO\tO' +p205173 +aS'was\tbe\tVBD\tB-VP\tO' +p205174 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p205175 +aS'in\tin\tIN\tB-PP\tO' +p205176 +aS'good\tgood\tJJ\tB-NP\tO' +p205177 +aS'condition\tcondition\tNN\tI-NP\tO' +p205178 +aS'.\t.\t.\tO\tO' +p205179 +asS'She also had 2 echocardiograms which revealed persistent pericardial effusions .' +p205180 +(lp205181 +S'She\tShe\tPRP\tB-NP\tO' +p205182 +aS'also\talso\tRB\tB-ADVP\tO' +p205183 +aS'had\thave\tVBD\tB-VP\tO' +p205184 +aS'2\t2\tCD\tB-NP\tO' +p205185 +aS'echocardiograms\techocardiogram\tNNS\tI-NP\tO' +p205186 +aS'which\twhich\tWDT\tB-NP\tO' +p205187 +aS'revealed\treveal\tVBD\tB-VP\tO' +p205188 +aS'persistent\tpersistent\tJJ\tB-NP\tO' +p205189 +aS'pericardial\tpericardial\tJJ\tI-NP\tO' +p205190 +aS'effusions\teffusion\tNNS\tI-NP\tO' +p205191 +aS'.\t.\t.\tO\tO' +p205192 +asS'His urine output remained at 150 to 200 cc. an hour .' +p205193 +(lp205194 +S'His\tHis\tPRP$\tB-NP\tO' +p205195 +aS'urine\turine\tNN\tI-NP\tO' +p205196 +aS'output\toutput\tNN\tI-NP\tO' +p205197 +aS'remained\tremain\tVBD\tB-VP\tO' +p205198 +aS'at\tat\tIN\tB-PP\tO' +p205199 +aS'150\t150\tCD\tB-NP\tO' +p205200 +aS'to\tto\tTO\tI-NP\tO' +p205201 +aS'200\t200\tCD\tI-NP\tO' +p205202 +aS'cc.\tcc.\tNN\tI-NP\tO' +p205203 +aS'an\tan\tDT\tB-NP\tO' +p205204 +aS'hour\thour\tNN\tI-NP\tO' +p205205 +aS'.\t.\t.\tO\tO' +p205206 +asS'9. Polyvinyl Alcohol-Povidone 1.4-0.6 % Dropperette Sig : 01-12 Drops Ophthalmic QID ( 4 times a day ) .' +p205207 +(lp205208 +S'9.\t9.\tLS\tB-NP\tO' +p205209 +aS'Polyvinyl\tPolyvinyl\tNN\tI-NP\tO' +p205210 +aS'Alcohol-Povidone\tAlcohol-Povidone\tNN\tI-NP\tO' +p205211 +aS'1.4-0.6\t1.4-0.6\tCD\tB-NP\tO' +p205212 +aS'%\t%\tNN\tI-NP\tO' +p205213 +aS'Dropperette\tDropperette\tNNP\tI-NP\tO' +p205214 +aS'Sig\tSig\tNNP\tI-NP\tO' +p205215 +aS':\t:\t:\tO\tO' +p205216 +aS'01-12\t01-12\tCD\tB-NP\tO' +p205217 +aS'Drops\tDrop\tVBZ\tB-VP\tO' +p205218 +aS'Ophthalmic\tOphthalmic\tJJ\tB-NP\tO' +p205219 +aS'QID\tQID\tNN\tI-NP\tO' +p205220 +aS'(\t(\t(\tO\tO' +p205221 +aS'4\t4\tCD\tB-NP\tO' +p205222 +aS'times\ttime\tNNS\tI-NP\tO' +p205223 +aS'a\ta\tDT\tB-NP\tO' +p205224 +aS'day\tday\tNN\tI-NP\tO' +p205225 +aS')\t)\t)\tO\tO' +p205226 +aS'.\t.\t.\tO\tO' +p205227 +asS'soft , mild tenderness R and L lower quadrants - not reproducible' +p205228 +(lp205229 +S'soft\tsoft\tJJ\tB-NP\tO' +p205230 +aS',\t,\t,\tI-NP\tO' +p205231 +aS'mild\tmild\tJJ\tI-NP\tO' +p205232 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p205233 +aS'R\tR\tNN\tI-NP\tO' +p205234 +aS'and\tand\tCC\tI-NP\tO' +p205235 +aS'L\tL\tNN\tI-NP\tO' +p205236 +aS'lower\tlow\tJJR\tB-NP\tO' +p205237 +aS'quadrants\tquadrant\tNNS\tI-NP\tO' +p205238 +aS'-\t-\tHYPH\tB-VP\tO' +p205239 +aS'not\tnot\tRB\tB-ADJP\tO' +p205240 +aS'reproducible\treproducible\tJJ\tI-ADJP\tO' +p205241 +asS'His hematocrit on 07/03 was 28.1 .' +p205242 +(lp205243 +S'His\tHis\tPRP$\tB-NP\tO' +p205244 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p205245 +aS'on\ton\tIN\tB-PP\tO' +p205246 +aS'07/03\t07/03\tCD\tB-NP\tO' +p205247 +aS'was\tbe\tVBD\tB-VP\tO' +p205248 +aS'28.1\t28.1\tCD\tB-NP\tO' +p205249 +aS'.\t.\t.\tO\tO' +p205250 +asS'He was resuscitated with Crystalloid and remained hemodynamically stable .' +p205251 +(lp205252 +S'He\tHe\tPRP\tB-NP\tO' +p205253 +aS'was\tbe\tVBD\tB-VP\tO' +p205254 +aS'resuscitated\tresuscitate\tVBN\tI-VP\tO' +p205255 +aS'with\twith\tIN\tB-PP\tO' +p205256 +aS'Crystalloid\tCrystalloid\tNN\tB-NP\tO' +p205257 +aS'and\tand\tCC\tO\tO' +p205258 +aS'remained\tremain\tVBD\tB-VP\tO' +p205259 +aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' +p205260 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p205261 +aS'.\t.\t.\tO\tO' +p205262 +asS'Due to technical quality a focal wall motion abnormality could not be fully excluded .' +p205263 +(lp205264 +S'Due\tDue\tJJ\tB-PP\tO' +p205265 +aS'to\tto\tTO\tB-PP\tO' +p205266 +aS'technical\ttechnical\tJJ\tB-NP\tO' +p205267 +aS'quality\tquality\tNN\tI-NP\tO' +p205268 +aS'a\ta\tDT\tB-NP\tO' +p205269 +aS'focal\tfocal\tJJ\tI-NP\tO' +p205270 +aS'wall\twall\tNN\tI-NP\tO' +p205271 +aS'motion\tmotion\tNN\tI-NP\tO' +p205272 +aS'abnormality\tabnormality\tNN\tI-NP\tO' +p205273 +aS'could\tcould\tMD\tB-VP\tO' +p205274 +aS'not\tnot\tRB\tI-VP\tO' +p205275 +aS'be\tbe\tVB\tI-VP\tO' +p205276 +aS'fully\tfully\tRB\tI-VP\tO' +p205277 +aS'excluded\texclude\tVBN\tI-VP\tO' +p205278 +aS'.\t.\t.\tO\tO' +p205279 +asS'She can one walk without difficulties .' +p205280 +(lp205281 +S'She\tShe\tPRP\tB-NP\tO' +p205282 +aS'can\tcan\tMD\tB-VP\tO' +p205283 +aS'one\tone\tCD\tB-NP\tO' +p205284 +aS'walk\twalk\tNN\tI-NP\tO' +p205285 +aS'without\twithout\tIN\tB-PP\tO' +p205286 +aS'difficulties\tdifficulty\tNNS\tB-NP\tO' +p205287 +aS'.\t.\t.\tO\tO' +p205288 +asS'10. Prilosec 20 mg q. day .' +p205289 +(lp205290 +S'10.\t10.\tCD\tB-NP\tO' +p205291 +aS'Prilosec\tPrilosec\tNNP\tI-NP\tO' +p205292 +aS'20\t20\tCD\tI-NP\tO' +p205293 +aS'mg\tmg\tNN\tI-NP\tO' +p205294 +aS'q.\tq.\tNN\tI-NP\tO' +p205295 +aS'day\tday\tNN\tI-NP\tO' +p205296 +aS'.\t.\t.\tO\tO' +p205297 +asS'14. Albuterol inhalers prn .' +p205298 +(lp205299 +S'14.\t14.\tLS\tB-NP\tO' +p205300 +aS'Albuterol\tAlbuterol\tNNP\tI-NP\tO' +p205301 +aS'inhalers\tinhaler\tNNS\tI-NP\tO' +p205302 +aS'prn\tprn\tNN\tI-NP\tO' +p205303 +aS'.\t.\t.\tO\tO' +p205304 +asS'The patient began neutropenic on day five of induction .' +p205305 +(lp205306 +S'The\tThe\tDT\tB-NP\tO' +p205307 +aS'patient\tpatient\tNN\tI-NP\tO' +p205308 +aS'began\tbegin\tVBD\tB-VP\tO' +p205309 +aS'neutropenic\tneutropenic\tJJ\tB-ADJP\tO' +p205310 +aS'on\ton\tIN\tB-PP\tO' +p205311 +aS'day\tday\tNN\tB-NP\tO' +p205312 +aS'five\tfive\tCD\tI-NP\tO' +p205313 +aS'of\tof\tIN\tB-PP\tO' +p205314 +aS'induction\tinduction\tNN\tB-NP\tO' +p205315 +aS'.\t.\t.\tO\tO' +p205316 +asS'The aortic arch is mildly dilated .' +p205317 +(lp205318 +S'The\tThe\tDT\tB-NP\tO' +p205319 +aS'aortic\taortic\tJJ\tI-NP\tO' +p205320 +aS'arch\tarch\tNN\tI-NP\tO' +p205321 +aS'is\tbe\tVBZ\tB-VP\tO' +p205322 +aS'mildly\tmildly\tRB\tI-VP\tO' +p205323 +aS'dilated\tdilate\tVBN\tI-VP\tO' +p205324 +aS'.\t.\t.\tO\tO' +p205325 +asS'Hypertension , hyperlipidemia , IMI in 2005 .' +p205326 +(lp205327 +S'Hypertension\tHypertension\tNN\tB-NP\tO' +p205328 +aS',\t,\t,\tO\tO' +p205329 +aS'hyperlipidemia\thyperlipidemia\tNN\tB-NP\tO' +p205330 +aS',\t,\t,\tO\tO' +p205331 +aS'IMI\tIMI\tNN\tB-NP\tB-protein' +p205332 +aS'in\tin\tIN\tB-PP\tO' +p205333 +aS'2005\t2005\tCD\tB-NP\tO' +p205334 +aS'.\t.\t.\tO\tO' +p205335 +asS'Her own mother has been with her during this stay .' +p205336 +(lp205337 +S'Her\tHer\tPRP$\tB-NP\tO' +p205338 +aS'own\town\tJJ\tI-NP\tO' +p205339 +aS'mother\tmother\tNN\tI-NP\tO' +p205340 +aS'has\thave\tVBZ\tB-VP\tO' +p205341 +aS'been\tbe\tVBN\tI-VP\tO' +p205342 +aS'with\twith\tIN\tB-PP\tO' +p205343 +aS'her\ther\tPRP\tB-NP\tO' +p205344 +aS'during\tduring\tIN\tB-PP\tO' +p205345 +aS'this\tthis\tDT\tB-NP\tO' +p205346 +aS'stay\tstay\tNN\tI-NP\tO' +p205347 +aS'.\t.\t.\tO\tO' +p205348 +asS'23. Prednisone 5 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' +p205349 +(lp205350 +S'23.\t23.\tLS\tB-NP\tO' +p205351 +aS'Prednisone\tPrednisone\tNN\tI-NP\tO' +p205352 +aS'5\t5\tCD\tI-NP\tO' +p205353 +aS'mg\tmg\tNN\tI-NP\tO' +p205354 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p205355 +aS'Sig\tSig\tNNP\tI-NP\tO' +p205356 +aS':\t:\t:\tO\tO' +p205357 +aS'One\tOne\tCD\tB-NP\tO' +p205358 +aS'(\t(\t(\tO\tO' +p205359 +aS'1\t1\tCD\tB-NP\tO' +p205360 +aS')\t)\t)\tO\tO' +p205361 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p205362 +aS'PO\tPO\tNN\tI-NP\tO' +p205363 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p205364 +aS'(\t(\t(\tO\tO' +p205365 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p205366 +aS')\t)\t)\tO\tO' +p205367 +aS'.\t.\t.\tO\tO' +p205368 +asS'Signed electronically by : DR. Marta Keever on : FRI 2013-06-21 9:40 PM' +p205369 +(lp205370 +S'Signed\tSign\tVBN\tB-VP\tO' +p205371 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p205372 +aS'by\tby\tIN\tB-PP\tO' +p205373 +aS':\t:\t:\tO\tO' +p205374 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p205375 +aS'Marta\tMarta\tNNP\tI-NP\tO' +p205376 +aS'Keever\tKeever\tNNP\tI-NP\tO' +p205377 +aS'on\ton\tIN\tB-PP\tO' +p205378 +aS':\t:\t:\tO\tO' +p205379 +aS'FRI\tFRI\tCD\tB-NP\tO' +p205380 +aS'2013-06-21\t2013-06-21\tCD\tI-NP\tO' +p205381 +aS'9:40\t9:40\tCD\tI-NP\tO' +p205382 +aS'PM\tPM\tNN\tI-NP\tO' +p205383 +asS"The patient 's chest tubes were removed on postoperative day three without incident ." +p205384 +(lp205385 +S'The\tThe\tDT\tB-NP\tO' +p205386 +aS'patient\tpatient\tNN\tI-NP\tO' +p205387 +aS"'s\t's\tPOS\tB-NP\tO" +p205388 +aS'chest\tchest\tNN\tI-NP\tO' +p205389 +aS'tubes\ttube\tNNS\tI-NP\tO' +p205390 +aS'were\tbe\tVBD\tB-VP\tO' +p205391 +aS'removed\tremove\tVBN\tI-VP\tO' +p205392 +aS'on\ton\tIN\tB-PP\tO' +p205393 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p205394 +aS'day\tday\tNN\tI-NP\tO' +p205395 +aS'three\tthree\tCD\tI-NP\tO' +p205396 +aS'without\twithout\tIN\tB-PP\tO' +p205397 +aS'incident\tincident\tNN\tB-NP\tO' +p205398 +aS'.\t.\t.\tO\tO' +p205399 +asS'A bone density scan would be recommended as an outpatient , in order to evaluate this .' +p205400 +(lp205401 +S'A\tA\tDT\tB-NP\tO' +p205402 +aS'bone\tbone\tNN\tI-NP\tO' +p205403 +aS'density\tdensity\tNN\tI-NP\tO' +p205404 +aS'scan\tscan\tNN\tI-NP\tO' +p205405 +aS'would\twould\tMD\tB-VP\tO' +p205406 +aS'be\tbe\tVB\tI-VP\tO' +p205407 +aS'recommended\trecommend\tVBN\tI-VP\tO' +p205408 +aS'as\tas\tIN\tB-PP\tO' +p205409 +aS'an\tan\tDT\tB-NP\tO' +p205410 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p205411 +aS',\t,\t,\tO\tO' +p205412 +aS'in\tin\tIN\tB-SBAR\tO' +p205413 +aS'order\torder\tNN\tO\tO' +p205414 +aS'to\tto\tTO\tB-VP\tO' +p205415 +aS'evaluate\tevaluate\tVB\tI-VP\tO' +p205416 +aS'this\tthis\tDT\tB-NP\tO' +p205417 +aS'.\t.\t.\tO\tO' +p205418 +asS'The patient 's preliminary admitting physician is REKE , ATOTA S and the preliminary diagnosis is ACS ..' +p205419 +(lp205420 +S'The\tThe\tDT\tB-NP\tO' +p205421 +aS'patient\tpatient\tNN\tI-NP\tO' +p205422 +aS''s\t'\tNNS\tI-NP\tO' +p205423 +aS'preliminary\tpreliminary\tJJ\tB-NP\tO' +p205424 +aS'admitting\tadmit\tVBG\tI-NP\tO' +p205425 +aS'physician\tphysician\tNN\tI-NP\tO' +p205426 +aS'is\tbe\tVBZ\tB-VP\tO' +p205427 +aS'REKE\tREKE\tNNP\tB-NP\tO' +p205428 +aS',\t,\t,\tO\tO' +p205429 +aS'ATOTA\tATOTA\tNNP\tB-NP\tO' +p205430 +aS'S\tS\tNNP\tI-NP\tO' +p205431 +aS'and\tand\tCC\tO\tO' +p205432 +aS'the\tthe\tDT\tB-NP\tO' +p205433 +aS'preliminary\tpreliminary\tJJ\tI-NP\tO' +p205434 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p205435 +aS'is\tbe\tVBZ\tB-VP\tO' +p205436 +aS'ACS\tACS\tNN\tB-NP\tO' +p205437 +aS'..\t..\t.\tO\tO' +p205438 +asS'The Psychiatry Service followed up extensively with the patient , and his Psychiatric progress is detailed in the Psychiatry transfer note .' +p205439 +(lp205440 +S'The\tThe\tDT\tB-NP\tO' +p205441 +aS'Psychiatry\tPsychiatry\tNNP\tI-NP\tO' +p205442 +aS'Service\tService\tNNP\tI-NP\tO' +p205443 +aS'followed\tfollow\tVBD\tB-VP\tO' +p205444 +aS'up\tup\tRP\tB-PRT\tO' +p205445 +aS'extensively\textensively\tRB\tB-ADVP\tO' +p205446 +aS'with\twith\tIN\tB-PP\tO' +p205447 +aS'the\tthe\tDT\tB-NP\tO' +p205448 +aS'patient\tpatient\tNN\tI-NP\tO' +p205449 +aS',\t,\t,\tO\tO' +p205450 +aS'and\tand\tCC\tO\tO' +p205451 +aS'his\this\tPRP$\tB-NP\tO' +p205452 +aS'Psychiatric\tPsychiatric\tJJ\tI-NP\tO' +p205453 +aS'progress\tprogress\tNN\tI-NP\tO' +p205454 +aS'is\tbe\tVBZ\tB-VP\tO' +p205455 +aS'detailed\tdetail\tVBN\tI-VP\tO' +p205456 +aS'in\tin\tIN\tB-PP\tO' +p205457 +aS'the\tthe\tDT\tB-NP\tO' +p205458 +aS'Psychiatry\tPsychiatry\tNN\tI-NP\tO' +p205459 +aS'transfer\ttransfer\tNN\tI-NP\tO' +p205460 +aS'note\tnote\tNN\tI-NP\tO' +p205461 +aS'.\t.\t.\tO\tO' +p205462 +asS'The patient began to experience urinary retention and was straight catheterized .' +p205463 +(lp205464 +S'The\tThe\tDT\tB-NP\tO' +p205465 +aS'patient\tpatient\tNN\tI-NP\tO' +p205466 +aS'began\tbegin\tVBD\tB-VP\tO' +p205467 +aS'to\tto\tTO\tI-VP\tO' +p205468 +aS'experience\texperience\tVB\tI-VP\tO' +p205469 +aS'urinary\turinary\tJJ\tB-NP\tO' +p205470 +aS'retention\tretention\tNN\tI-NP\tO' +p205471 +aS'and\tand\tCC\tO\tO' +p205472 +aS'was\tbe\tVBD\tB-VP\tO' +p205473 +aS'straight\tstraight\tRB\tI-VP\tO' +p205474 +aS'catheterized\tcatheterize\tVBN\tI-VP\tO' +p205475 +aS'.\t.\t.\tO\tO' +p205476 +asS'The patient is a 69 year-old white gentleman who is status post a coronary artery bypass graft in 1985 with a large anterior septal myocardial infarction intraoperatively .' +p205477 +(lp205478 +S'The\tThe\tDT\tB-NP\tO' +p205479 +aS'patient\tpatient\tNN\tI-NP\tO' +p205480 +aS'is\tbe\tVBZ\tB-VP\tO' +p205481 +aS'a\ta\tDT\tB-NP\tO' +p205482 +aS'69\t69\tCD\tI-NP\tO' +p205483 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p205484 +aS'white\twhite\tJJ\tI-NP\tO' +p205485 +aS'gentleman\tgentleman\tNN\tI-NP\tO' +p205486 +aS'who\twho\tWP\tB-NP\tO' +p205487 +aS'is\tbe\tVBZ\tB-VP\tO' +p205488 +aS'status\tstatus\tNN\tB-NP\tO' +p205489 +aS'post\tpost\tIN\tB-PP\tO' +p205490 +aS'a\ta\tDT\tB-NP\tO' +p205491 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p205492 +aS'artery\tartery\tNN\tI-NP\tO' +p205493 +aS'bypass\tbypass\tIN\tB-PP\tO' +p205494 +aS'graft\tgraft\tNN\tB-NP\tO' +p205495 +aS'in\tin\tIN\tB-PP\tO' +p205496 +aS'1985\t1985\tCD\tB-NP\tO' +p205497 +aS'with\twith\tIN\tB-PP\tO' +p205498 +aS'a\ta\tDT\tB-NP\tO' +p205499 +aS'large\tlarge\tJJ\tI-NP\tO' +p205500 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p205501 +aS'septal\tseptal\tJJ\tI-NP\tO' +p205502 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p205503 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p205504 +aS'intraoperatively\tintraoperatively\tRB\tB-ADVP\tO' +p205505 +aS'.\t.\t.\tO\tO' +p205506 +asS'On 5/19 , she had an echocardiogram done which was to be evaluated as an out patient .' +p205507 +(lp205508 +S'On\tOn\tIN\tB-PP\tO' +p205509 +aS'5/19\t5/19\tCD\tB-NP\tO' +p205510 +aS',\t,\t,\tO\tO' +p205511 +aS'she\tshe\tPRP\tB-NP\tO' +p205512 +aS'had\thave\tVBD\tB-VP\tO' +p205513 +aS'an\tan\tDT\tB-NP\tO' +p205514 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p205515 +aS'done\tdone\tNN\tI-NP\tO' +p205516 +aS'which\twhich\tWDT\tB-NP\tO' +p205517 +aS'was\tbe\tVBD\tB-VP\tO' +p205518 +aS'to\tto\tTO\tI-VP\tO' +p205519 +aS'be\tbe\tVB\tI-VP\tO' +p205520 +aS'evaluated\tevaluate\tVBN\tI-VP\tO' +p205521 +aS'as\tas\tIN\tB-PP\tO' +p205522 +aS'an\tan\tDT\tB-NP\tO' +p205523 +aS'out\tout\tJJ\tI-NP\tO' +p205524 +aS'patient\tpatient\tNN\tI-NP\tO' +p205525 +aS'.\t.\t.\tO\tO' +p205526 +asS'No aortic stenosis or aortic regurgitation is seen .' +p205527 +(lp205528 +S'No\tNo\tDT\tB-NP\tO' +p205529 +aS'aortic\taortic\tJJ\tI-NP\tO' +p205530 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p205531 +aS'or\tor\tCC\tO\tO' +p205532 +aS'aortic\taortic\tJJ\tB-NP\tO' +p205533 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p205534 +aS'is\tbe\tVBZ\tB-VP\tO' +p205535 +aS'seen\tsee\tVBN\tI-VP\tO' +p205536 +aS'.\t.\t.\tO\tO' +p205537 +asS'On admission included HEENT exam which was normal .' +p205538 +(lp205539 +S'On\tOn\tIN\tB-PP\tO' +p205540 +aS'admission\tadmission\tNN\tB-NP\tO' +p205541 +aS'included\tinclude\tVBD\tB-VP\tO' +p205542 +aS'HEENT\tHEENT\tNN\tB-NP\tO' +p205543 +aS'exam\texam\tNN\tI-NP\tO' +p205544 +aS'which\twhich\tWDT\tB-NP\tO' +p205545 +aS'was\tbe\tVBD\tB-VP\tO' +p205546 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p205547 +aS'.\t.\t.\tO\tO' +p205548 +asS'7. There is no pericardial effusion .' +p205549 +(lp205550 +S'7.\t7.\tLS\tB-LST\tO' +p205551 +aS'There\tThere\tEX\tB-NP\tO' +p205552 +aS'is\tbe\tVBZ\tB-VP\tO' +p205553 +aS'no\tno\tDT\tB-NP\tO' +p205554 +aS'pericardial\tpericardial\tJJ\tI-NP\tO' +p205555 +aS'effusion\teffusion\tNN\tI-NP\tO' +p205556 +aS'.\t.\t.\tO\tO' +p205557 +asS'Pt is a 78 yo male with atrial fibrillation , s/p multiple CVA s, CHF , HTN , DM2 transferred from the CMED CCU s/p intervention for cholangitis .' +p205558 +(lp205559 +S'Pt\tPt\tNN\tB-NP\tO' +p205560 +aS'is\tbe\tVBZ\tB-VP\tO' +p205561 +aS'a\ta\tDT\tB-NP\tO' +p205562 +aS'78\t78\tCD\tI-NP\tO' +p205563 +aS'yo\tyo\tNN\tI-NP\tO' +p205564 +aS'male\tmale\tJJ\tB-ADJP\tO' +p205565 +aS'with\twith\tIN\tB-PP\tO' +p205566 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p205567 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p205568 +aS',\t,\t,\tO\tO' +p205569 +aS's/p\ts/p\tNN\tB-NP\tO' +p205570 +aS'multiple\tmultiple\tJJ\tI-NP\tO' +p205571 +aS'CVA\tCVA\tNN\tI-NP\tO' +p205572 +aS's,\ts,\tNN\tI-NP\tO' +p205573 +aS'CHF\tCHF\tNN\tI-NP\tO' +p205574 +aS',\t,\t,\tO\tO' +p205575 +aS'HTN\tHTN\tNN\tB-NP\tB-protein' +p205576 +aS',\t,\t,\tO\tO' +p205577 +aS'DM2\tDM2\tNN\tB-NP\tB-protein' +p205578 +aS'transferred\ttransfer\tVBN\tB-VP\tO' +p205579 +aS'from\tfrom\tIN\tB-PP\tO' +p205580 +aS'the\tthe\tDT\tB-NP\tO' +p205581 +aS'CMED\tCMED\tVBN\tI-NP\tO' +p205582 +aS'CCU\tCCU\tNN\tI-NP\tO' +p205583 +aS's/p\ts/p\tNN\tI-NP\tO' +p205584 +aS'intervention\tintervention\tNN\tI-NP\tO' +p205585 +aS'for\tfor\tIN\tB-PP\tO' +p205586 +aS'cholangitis\tcholangitis\tNN\tB-NP\tO' +p205587 +aS'.\t.\t.\tO\tO' +p205588 +asS'Atrial fibrillation ( on Coumadin )' +p205589 +(lp205590 +S'Atrial\tAtrial\tJJ\tB-NP\tO' +p205591 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p205592 +aS'(\t(\t(\tO\tO' +p205593 +aS'on\ton\tIN\tB-PP\tO' +p205594 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p205595 +aS')\t)\t)\tO\tO' +p205596 +asS'Please schedule an appointment with your orthopedic surgeon to determine a plan for treatment .' +p205597 +(lp205598 +S'Please\tPlease\tVB\tB-VP\tO' +p205599 +aS'schedule\tschedule\tVB\tI-VP\tO' +p205600 +aS'an\tan\tDT\tB-NP\tO' +p205601 +aS'appointment\tappointment\tNN\tI-NP\tO' +p205602 +aS'with\twith\tIN\tB-PP\tO' +p205603 +aS'your\tyour\tPRP$\tB-NP\tO' +p205604 +aS'orthopedic\torthopedic\tJJ\tI-NP\tO' +p205605 +aS'surgeon\tsurgeon\tNN\tI-NP\tO' +p205606 +aS'to\tto\tTO\tB-VP\tO' +p205607 +aS'determine\tdetermine\tVB\tI-VP\tO' +p205608 +aS'a\ta\tDT\tB-NP\tO' +p205609 +aS'plan\tplan\tNN\tI-NP\tO' +p205610 +aS'for\tfor\tIN\tB-PP\tO' +p205611 +aS'treatment\ttreatment\tNN\tB-NP\tO' +p205612 +aS'.\t.\t.\tO\tO' +p205613 +asS'This is to notify you that your patient , RHALTDEALBBREUTZ , STA arrived in the Emergency Department at Oaksgekesser/ Memorial Hospital on 01/04/2001 07:21 PM .' +p205614 +(lp205615 +S'This\tThis\tDT\tB-NP\tO' +p205616 +aS'is\tbe\tVBZ\tB-VP\tO' +p205617 +aS'to\tto\tTO\tB-VP\tO' +p205618 +aS'notify\tnotify\tVB\tI-VP\tO' +p205619 +aS'you\tyou\tPRP\tB-NP\tO' +p205620 +aS'that\tthat\tIN\tB-SBAR\tO' +p205621 +aS'your\tyour\tPRP$\tB-NP\tO' +p205622 +aS'patient\tpatient\tNN\tI-NP\tO' +p205623 +aS',\t,\t,\tO\tO' +p205624 +aS'RHALTDEALBBREUTZ\tRHALTDEALBBREUTZ\tNN\tB-NP\tB-protein' +p205625 +aS',\t,\t,\tO\tO' +p205626 +aS'STA\tSTA\tNN\tB-NP\tB-protein' +p205627 +aS'arrived\tarrive\tVBD\tB-VP\tO' +p205628 +aS'in\tin\tIN\tB-PP\tO' +p205629 +aS'the\tthe\tDT\tB-NP\tO' +p205630 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p205631 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p205632 +aS'at\tat\tIN\tB-PP\tO' +p205633 +aS'Oaksgekesser/\tOaksgekesser/\tNNP\tB-NP\tO' +p205634 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p205635 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p205636 +aS'on\ton\tIN\tB-PP\tO' +p205637 +aS'01/04/2001\t01/04/2001\tCD\tB-NP\tO' +p205638 +aS'07:21\t07:21\tCD\tI-NP\tO' +p205639 +aS'PM\tPM\tNN\tI-NP\tO' +p205640 +aS'.\t.\t.\tO\tO' +p205641 +asS'A chest X-ray showed diffuse bilateral alveolar infiltrates , greater in the lower lung fields than in the upper .' +p205642 +(lp205643 +S'A\tA\tDT\tB-NP\tO' +p205644 +aS'chest\tchest\tNN\tI-NP\tO' +p205645 +aS'X-ray\tX-ray\tNN\tI-NP\tO' +p205646 +aS'showed\tshow\tVBD\tB-VP\tO' +p205647 +aS'diffuse\tdiffuse\tJJ\tB-NP\tO' +p205648 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p205649 +aS'alveolar\talveolar\tJJ\tI-NP\tO' +p205650 +aS'infiltrates\tinfiltrate\tNNS\tI-NP\tO' +p205651 +aS',\t,\t,\tO\tO' +p205652 +aS'greater\tgreat\tJJR\tB-ADJP\tO' +p205653 +aS'in\tin\tIN\tB-PP\tO' +p205654 +aS'the\tthe\tDT\tB-NP\tO' +p205655 +aS'lower\tlow\tJJR\tI-NP\tO' +p205656 +aS'lung\tlung\tNN\tI-NP\tO' +p205657 +aS'fields\tfield\tNNS\tI-NP\tO' +p205658 +aS'than\tthan\tIN\tB-PP\tO' +p205659 +aS'in\tin\tIN\tB-PP\tO' +p205660 +aS'the\tthe\tDT\tB-NP\tO' +p205661 +aS'upper\tupper\tNN\tI-NP\tO' +p205662 +aS'.\t.\t.\tO\tO' +p205663 +asS'House / 2 gm Na / Low saturated fat low cholesterol / 2 gram K+ , Renal diet < I > < FDI >' +p205664 +(lp205665 +S'House\tHouse\tNNP\tB-NP\tO' +p205666 +aS'/\t/\tSYM\tI-NP\tO' +p205667 +aS'2\t2\tCD\tI-NP\tO' +p205668 +aS'gm\tgm\tNN\tI-NP\tO' +p205669 +aS'Na\tNa\tNN\tI-NP\tO' +p205670 +aS'/\t/\tSYM\tB-NP\tO' +p205671 +aS'Low\tLow\tNN\tI-NP\tO' +p205672 +aS'saturated\tsaturate\tVBD\tB-VP\tO' +p205673 +aS'fat\tfat\tJJ\tB-NP\tO' +p205674 +aS'low\tlow\tJJ\tI-NP\tO' +p205675 +aS'cholesterol\tcholesterol\tNN\tI-NP\tO' +p205676 +aS'/\t/\tSYM\tB-NP\tO' +p205677 +aS'2\t2\tCD\tI-NP\tO' +p205678 +aS'gram\tgram\tNN\tI-NP\tO' +p205679 +aS'K+\tK+\tNN\tI-NP\tO' +p205680 +aS',\t,\t,\tO\tO' +p205681 +aS'Renal\tRenal\tJJ\tB-NP\tO' +p205682 +aS'diet\tdiet\tNN\tI-NP\tO' +p205683 +aS'<\t<\tCC\tO\tO' +p205684 +aS'I\tI\tPRP\tB-NP\tO' +p205685 +aS'>\t>\tVBP\tB-VP\tO' +p205686 +aS'<\t<\t:\tO\tB-cell_type' +p205687 +aS'FDI\tFDI\tNNP\tB-NP\tI-cell_type' +p205688 +aS'>\t>\t:\tO\tI-cell_type' +p205689 +asS'Neuro : DTR 3+ upper and lower extremities , symmetric bilaterally .' +p205690 +(lp205691 +S'Neuro\tNeuro\tNNP\tB-NP\tO' +p205692 +aS':\t:\t:\tO\tO' +p205693 +aS'DTR\tDTR\tNN\tB-NP\tO' +p205694 +aS'3+\t3+\tJJ\tI-NP\tO' +p205695 +aS'upper\tupper\tJJ\tI-NP\tO' +p205696 +aS'and\tand\tCC\tI-NP\tO' +p205697 +aS'lower\tlow\tJJR\tI-NP\tO' +p205698 +aS'extremities\textremity\tNNS\tI-NP\tO' +p205699 +aS',\t,\t,\tO\tO' +p205700 +aS'symmetric\tsymmetric\tJJ\tB-ADJP\tO' +p205701 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p205702 +aS'.\t.\t.\tO\tO' +p205703 +asS'She was seen at A Memorial Hospital where her blood pressure was measured at 240/120 and was found to have a mild left hemiparesis .' +p205704 +(lp205705 +S'She\tShe\tPRP\tB-NP\tO' +p205706 +aS'was\tbe\tVBD\tB-VP\tO' +p205707 +aS'seen\tsee\tVBN\tI-VP\tO' +p205708 +aS'at\tat\tIN\tB-PP\tO' +p205709 +aS'A\tA\tNNP\tB-NP\tO' +p205710 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p205711 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p205712 +aS'where\twhere\tWRB\tB-ADVP\tO' +p205713 +aS'her\ther\tPRP$\tB-NP\tO' +p205714 +aS'blood\tblood\tNN\tI-NP\tO' +p205715 +aS'pressure\tpressure\tNN\tI-NP\tO' +p205716 +aS'was\tbe\tVBD\tB-VP\tO' +p205717 +aS'measured\tmeasure\tVBN\tI-VP\tO' +p205718 +aS'at\tat\tIN\tB-PP\tO' +p205719 +aS'240/120\t240/120\tCD\tB-NP\tO' +p205720 +aS'and\tand\tCC\tO\tO' +p205721 +aS'was\tbe\tVBD\tB-VP\tO' +p205722 +aS'found\tfind\tVBN\tI-VP\tO' +p205723 +aS'to\tto\tTO\tI-VP\tO' +p205724 +aS'have\thave\tVB\tI-VP\tO' +p205725 +aS'a\ta\tDT\tB-NP\tO' +p205726 +aS'mild\tmild\tJJ\tI-NP\tO' +p205727 +aS'left\tleft\tJJ\tI-NP\tO' +p205728 +aS'hemiparesis\themiparesis\tNN\tI-NP\tO' +p205729 +aS'.\t.\t.\tO\tO' +p205730 +asS'It has not been sudden or acute .' +p205731 +(lp205732 +S'It\tIt\tPRP\tB-NP\tO' +p205733 +aS'has\thave\tVBZ\tB-VP\tO' +p205734 +aS'not\tnot\tRB\tI-VP\tO' +p205735 +aS'been\tbe\tVBN\tI-VP\tO' +p205736 +aS'sudden\tsudden\tJJ\tB-ADJP\tO' +p205737 +aS'or\tor\tCC\tI-ADJP\tO' +p205738 +aS'acute\tacute\tJJ\tI-ADJP\tO' +p205739 +aS'.\t.\t.\tO\tO' +p205740 +asS'4. Amoxicillin-Pot Clavulanate 875-125 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ) for 10 days .' +p205741 +(lp205742 +S'4.\t4.\tLS\tB-LST\tO' +p205743 +aS'Amoxicillin-Pot\tAmoxicillin-Pot\t:\tO\tO' +p205744 +aS'Clavulanate\tClavulanate\tVB\tB-VP\tO' +p205745 +aS'875-125\t875-125\tCD\tB-NP\tO' +p205746 +aS'mg\tmg\tNN\tI-NP\tO' +p205747 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p205748 +aS'Sig\tSig\tNNP\tI-NP\tO' +p205749 +aS':\t:\t:\tO\tO' +p205750 +aS'One\tOne\tCD\tB-NP\tO' +p205751 +aS'(\t(\t(\tO\tO' +p205752 +aS'1\t1\tCD\tB-NP\tO' +p205753 +aS')\t)\t)\tO\tO' +p205754 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p205755 +aS'PO\tPO\tNN\tI-NP\tO' +p205756 +aS'BID\tBID\tNN\tI-NP\tO' +p205757 +aS'(\t(\t(\tO\tO' +p205758 +aS'2\t2\tCD\tB-NP\tO' +p205759 +aS'times\ttime\tNNS\tI-NP\tO' +p205760 +aS'a\ta\tDT\tB-NP\tO' +p205761 +aS'day\tday\tNN\tI-NP\tO' +p205762 +aS')\t)\t)\tO\tO' +p205763 +aS'for\tfor\tIN\tB-PP\tO' +p205764 +aS'10\t10\tCD\tB-NP\tO' +p205765 +aS'days\tday\tNNS\tI-NP\tO' +p205766 +aS'.\t.\t.\tO\tO' +p205767 +asS'Urology at OSH against pulling tube because coagulopathy and may not be able to replace .' +p205768 +(lp205769 +S'Urology\tUrology\tNN\tB-NP\tO' +p205770 +aS'at\tat\tIN\tB-PP\tO' +p205771 +aS'OSH\tOSH\tNN\tB-NP\tO' +p205772 +aS'against\tagainst\tIN\tB-PP\tO' +p205773 +aS'pulling\tpull\tVBG\tB-VP\tO' +p205774 +aS'tube\ttube\tNN\tB-NP\tO' +p205775 +aS'because\tbecause\tIN\tB-SBAR\tO' +p205776 +aS'coagulopathy\tcoagulopathy\tNN\tB-NP\tO' +p205777 +aS'and\tand\tCC\tO\tO' +p205778 +aS'may\tmay\tMD\tB-VP\tO' +p205779 +aS'not\tnot\tRB\tI-VP\tO' +p205780 +aS'be\tbe\tVB\tI-VP\tO' +p205781 +aS'able\table\tJJ\tB-ADJP\tO' +p205782 +aS'to\tto\tTO\tB-VP\tO' +p205783 +aS'replace\treplace\tVB\tI-VP\tO' +p205784 +aS'.\t.\t.\tO\tO' +p205785 +asS'41 yo man with CRFs of DM Type II , high cholesterol , smoking history , family hx , HTN p / w episodes of atypical CP x 1 week , with rest and exertion .' +p205786 +(lp205787 +S'41\t41\tCD\tB-NP\tO' +p205788 +aS'yo\tyo\tNN\tI-NP\tO' +p205789 +aS'man\tman\tNN\tI-NP\tO' +p205790 +aS'with\twith\tIN\tB-PP\tO' +p205791 +aS'CRFs\tCRF\tNNS\tB-NP\tB-protein' +p205792 +aS'of\tof\tIN\tB-PP\tO' +p205793 +aS'DM\tDM\tNN\tB-NP\tB-protein' +p205794 +aS'Type\tType\tNN\tI-NP\tI-protein' +p205795 +aS'II\tII\tCD\tI-NP\tI-protein' +p205796 +aS',\t,\t,\tO\tO' +p205797 +aS'high\thigh\tJJ\tB-NP\tO' +p205798 +aS'cholesterol\tcholesterol\tNN\tI-NP\tO' +p205799 +aS',\t,\t,\tO\tO' +p205800 +aS'smoking\tsmoking\tNN\tB-NP\tO' +p205801 +aS'history\thistory\tNN\tI-NP\tO' +p205802 +aS',\t,\t,\tO\tO' +p205803 +aS'family\tfamily\tNN\tB-NP\tO' +p205804 +aS'hx\thx\tNN\tI-NP\tO' +p205805 +aS',\t,\t,\tO\tO' +p205806 +aS'HTN\tHTN\tNN\tB-NP\tB-protein' +p205807 +aS'p\tp\tNN\tI-NP\tI-protein' +p205808 +aS'/\t/\tSYM\tB-VP\tO' +p205809 +aS'w\tw\tNN\tB-NP\tO' +p205810 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p205811 +aS'of\tof\tIN\tB-PP\tO' +p205812 +aS'atypical\tatypical\tJJ\tB-NP\tB-protein' +p205813 +aS'CP\tCP\tNN\tI-NP\tI-protein' +p205814 +aS'x\tx\tSYM\tB-NP\tI-protein' +p205815 +aS'1\t1\tCD\tI-NP\tI-protein' +p205816 +aS'week\tweek\tNN\tI-NP\tI-protein' +p205817 +aS',\t,\t,\tO\tO' +p205818 +aS'with\twith\tIN\tB-PP\tO' +p205819 +aS'rest\trest\tNN\tB-NP\tO' +p205820 +aS'and\tand\tCC\tI-NP\tO' +p205821 +aS'exertion\texertion\tNN\tI-NP\tO' +p205822 +aS'.\t.\t.\tO\tO' +p205823 +asS'She has been doing Betadine paint and blow drying the area several times a day and after each bowel movement and urine without incident .' +p205824 +(lp205825 +S'She\tShe\tPRP\tB-NP\tO' +p205826 +aS'has\thave\tVBZ\tB-VP\tO' +p205827 +aS'been\tbe\tVBN\tI-VP\tO' +p205828 +aS'doing\tdo\tVBG\tI-VP\tO' +p205829 +aS'Betadine\tBetadine\tNN\tB-NP\tO' +p205830 +aS'paint\tpaint\tNN\tI-NP\tO' +p205831 +aS'and\tand\tCC\tI-NP\tO' +p205832 +aS'blow\tblow\tNN\tI-NP\tO' +p205833 +aS'drying\tdry\tVBG\tB-VP\tO' +p205834 +aS'the\tthe\tDT\tB-NP\tO' +p205835 +aS'area\tarea\tNN\tI-NP\tO' +p205836 +aS'several\tseveral\tJJ\tB-NP\tO' +p205837 +aS'times\ttime\tNNS\tI-NP\tO' +p205838 +aS'a\ta\tDT\tB-NP\tO' +p205839 +aS'day\tday\tNN\tI-NP\tO' +p205840 +aS'and\tand\tCC\tB-PP\tO' +p205841 +aS'after\tafter\tIN\tB-PP\tO' +p205842 +aS'each\teach\tDT\tB-NP\tO' +p205843 +aS'bowel\tbowel\tNN\tI-NP\tO' +p205844 +aS'movement\tmovement\tNN\tI-NP\tO' +p205845 +aS'and\tand\tCC\tI-NP\tO' +p205846 +aS'urine\turine\tNN\tI-NP\tO' +p205847 +aS'without\twithout\tIN\tB-PP\tO' +p205848 +aS'incident\tincident\tNN\tB-NP\tO' +p205849 +aS'.\t.\t.\tO\tO' +p205850 +asS'She received clear liquids in the evening and tolerated these well .' +p205851 +(lp205852 +S'She\tShe\tPRP\tB-NP\tO' +p205853 +aS'received\treceive\tVBD\tB-VP\tO' +p205854 +aS'clear\tclear\tJJ\tB-NP\tO' +p205855 +aS'liquids\tliquid\tNNS\tI-NP\tO' +p205856 +aS'in\tin\tIN\tB-PP\tO' +p205857 +aS'the\tthe\tDT\tB-NP\tO' +p205858 +aS'evening\tevening\tNN\tI-NP\tO' +p205859 +aS'and\tand\tCC\tO\tO' +p205860 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p205861 +aS'these\tthese\tDT\tB-NP\tO' +p205862 +aS'well\twell\tRB\tI-NP\tO' +p205863 +aS'.\t.\t.\tO\tO' +p205864 +asS'On 2017-09-13 , the patient was brought to the operating room and underwent a coiling with stent placement of the left carotid ophthalmic aneurysm .' +p205865 +(lp205866 +S'On\tOn\tIN\tB-PP\tO' +p205867 +aS'2017-09-13\t2017-09-13\tCD\tB-NP\tO' +p205868 +aS',\t,\t,\tO\tO' +p205869 +aS'the\tthe\tDT\tB-NP\tO' +p205870 +aS'patient\tpatient\tNN\tI-NP\tO' +p205871 +aS'was\tbe\tVBD\tB-VP\tO' +p205872 +aS'brought\tbring\tVBN\tI-VP\tO' +p205873 +aS'to\tto\tTO\tB-PP\tO' +p205874 +aS'the\tthe\tDT\tB-NP\tO' +p205875 +aS'operating\toperating\tNN\tI-NP\tO' +p205876 +aS'room\troom\tNN\tI-NP\tO' +p205877 +aS'and\tand\tCC\tO\tO' +p205878 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p205879 +aS'a\ta\tDT\tB-NP\tO' +p205880 +aS'coiling\tcoiling\tNN\tI-NP\tO' +p205881 +aS'with\twith\tIN\tB-PP\tO' +p205882 +aS'stent\tstent\tJJ\tB-NP\tO' +p205883 +aS'placement\tplacement\tNN\tI-NP\tO' +p205884 +aS'of\tof\tIN\tB-PP\tO' +p205885 +aS'the\tthe\tDT\tB-NP\tO' +p205886 +aS'left\tleft\tJJ\tI-NP\tO' +p205887 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p205888 +aS'ophthalmic\tophthalmic\tJJ\tI-NP\tO' +p205889 +aS'aneurysm\taneurysm\tNN\tI-NP\tO' +p205890 +aS'.\t.\t.\tO\tO' +p205891 +asS'She was continued on two liters of oxygen awaiting her CT scan on 06/14 and she developed a new junctional rhythm with a question of a new rub versus murmur on examination .' +p205892 +(lp205893 +S'She\tShe\tPRP\tB-NP\tO' +p205894 +aS'was\tbe\tVBD\tB-VP\tO' +p205895 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p205896 +aS'on\ton\tIN\tB-PP\tO' +p205897 +aS'two\ttwo\tCD\tB-NP\tO' +p205898 +aS'liters\tliter\tNNS\tI-NP\tO' +p205899 +aS'of\tof\tIN\tB-PP\tO' +p205900 +aS'oxygen\toxygen\tNN\tB-NP\tO' +p205901 +aS'awaiting\tawait\tVBG\tB-VP\tO' +p205902 +aS'her\ther\tPRP$\tB-NP\tO' +p205903 +aS'CT\tCT\tNN\tI-NP\tO' +p205904 +aS'scan\tscan\tNN\tI-NP\tO' +p205905 +aS'on\ton\tIN\tB-PP\tO' +p205906 +aS'06/14\t06/14\tCD\tB-NP\tO' +p205907 +aS'and\tand\tCC\tO\tO' +p205908 +aS'she\tshe\tPRP\tB-NP\tO' +p205909 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p205910 +aS'a\ta\tDT\tB-NP\tO' +p205911 +aS'new\tnew\tJJ\tI-NP\tO' +p205912 +aS'junctional\tjunctional\tJJ\tI-NP\tO' +p205913 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p205914 +aS'with\twith\tIN\tB-PP\tO' +p205915 +aS'a\ta\tDT\tB-NP\tO' +p205916 +aS'question\tquestion\tNN\tI-NP\tO' +p205917 +aS'of\tof\tIN\tB-PP\tO' +p205918 +aS'a\ta\tDT\tB-NP\tO' +p205919 +aS'new\tnew\tJJ\tI-NP\tO' +p205920 +aS'rub\trub\tNN\tI-NP\tO' +p205921 +aS'versus\tversus\tIN\tB-PP\tO' +p205922 +aS'murmur\tmurmur\tNN\tB-NP\tO' +p205923 +aS'on\ton\tIN\tB-PP\tO' +p205924 +aS'examination\texamination\tNN\tB-NP\tO' +p205925 +aS'.\t.\t.\tO\tO' +p205926 +asS'She was able to give a detailed history in an organized manner .' +p205927 +(lp205928 +S'She\tShe\tPRP\tB-NP\tO' +p205929 +aS'was\tbe\tVBD\tB-VP\tO' +p205930 +aS'able\table\tJJ\tB-ADJP\tO' +p205931 +aS'to\tto\tTO\tB-VP\tO' +p205932 +aS'give\tgive\tVB\tI-VP\tO' +p205933 +aS'a\ta\tDT\tB-NP\tO' +p205934 +aS'detailed\tdetailed\tJJ\tI-NP\tO' +p205935 +aS'history\thistory\tNN\tI-NP\tO' +p205936 +aS'in\tin\tIN\tB-PP\tO' +p205937 +aS'an\tan\tDT\tB-NP\tO' +p205938 +aS'organized\torganize\tVBN\tI-NP\tO' +p205939 +aS'manner\tmanner\tNN\tI-NP\tO' +p205940 +aS'.\t.\t.\tO\tO' +p205941 +asS'RPR nonreactive , rubella immune .' +p205942 +(lp205943 +S'RPR\tRPR\tNN\tB-NP\tB-protein' +p205944 +aS'nonreactive\tnonreactive\tJJ\tB-ADJP\tO' +p205945 +aS',\t,\t,\tO\tO' +p205946 +aS'rubella\trubella\tNN\tB-NP\tO' +p205947 +aS'immune\timmune\tJJ\tB-ADJP\tO' +p205948 +aS'.\t.\t.\tO\tO' +p205949 +asS'Heart exam revealed a soft S1 and S2 , no murmur was heard , no S3 .' +p205950 +(lp205951 +S'Heart\tHeart\tNN\tB-NP\tO' +p205952 +aS'exam\texam\tNN\tI-NP\tO' +p205953 +aS'revealed\treveal\tVBD\tB-VP\tO' +p205954 +aS'a\ta\tDT\tB-NP\tO' +p205955 +aS'soft\tsoft\tJJ\tI-NP\tO' +p205956 +aS'S1\tS1\tNN\tI-NP\tB-protein' +p205957 +aS'and\tand\tCC\tO\tO' +p205958 +aS'S2\tS2\tNN\tB-NP\tB-protein' +p205959 +aS',\t,\t,\tO\tO' +p205960 +aS'no\tno\tDT\tB-NP\tO' +p205961 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p205962 +aS'was\tbe\tVBD\tB-VP\tO' +p205963 +aS'heard\thear\tVBN\tI-VP\tO' +p205964 +aS',\t,\t,\tO\tO' +p205965 +aS'no\tno\tDT\tB-NP\tO' +p205966 +aS'S3\tS3\tNN\tI-NP\tB-protein' +p205967 +aS'.\t.\t.\tO\tO' +p205968 +asS'IV Daptomycin was continued via PICC line which was inserted on 02-20 at MWMC .' +p205969 +(lp205970 +S'IV\tIV\tCD\tB-NP\tO' +p205971 +aS'Daptomycin\tDaptomycin\tNN\tI-NP\tO' +p205972 +aS'was\tbe\tVBD\tB-VP\tO' +p205973 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p205974 +aS'via\tvia\tIN\tB-PP\tO' +p205975 +aS'PICC\tPICC\tNN\tB-NP\tB-cell_line' +p205976 +aS'line\tline\tNN\tI-NP\tI-cell_line' +p205977 +aS'which\twhich\tWDT\tB-NP\tO' +p205978 +aS'was\tbe\tVBD\tB-VP\tO' +p205979 +aS'inserted\tinsert\tVBN\tI-VP\tO' +p205980 +aS'on\ton\tIN\tB-PP\tO' +p205981 +aS'02-20\t02-20\tCD\tB-NP\tO' +p205982 +aS'at\tat\tIN\tB-PP\tO' +p205983 +aS'MWMC\tMWMC\tNN\tB-NP\tB-protein' +p205984 +aS'.\t.\t.\tO\tO' +p205985 +asS'Medications at the time of admission include Dapsone 50 mg p.o. on Monday , Wednesday and Friday , Ceftazidime 1 gram IV q. 8 hours , Cipro 750 mg p.o. b.i.d. , Acyclovir 400 mg p.o. q. day , Megastrol 80 mg p.o. t.i.d. and G-CSF 150 micrograms subcu b.i.d.' +p205986 +(lp205987 +S'Medications\tMedication\tNNS\tB-NP\tO' +p205988 +aS'at\tat\tIN\tB-PP\tO' +p205989 +aS'the\tthe\tDT\tB-NP\tO' +p205990 +aS'time\ttime\tNN\tI-NP\tO' +p205991 +aS'of\tof\tIN\tB-PP\tO' +p205992 +aS'admission\tadmission\tNN\tB-NP\tO' +p205993 +aS'include\tinclude\tVBP\tB-VP\tO' +p205994 +aS'Dapsone\tDapsone\tNN\tB-NP\tO' +p205995 +aS'50\t50\tCD\tI-NP\tO' +p205996 +aS'mg\tmg\tNN\tI-NP\tO' +p205997 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p205998 +aS'on\ton\tIN\tB-PP\tO' +p205999 +aS'Monday\tMonday\tNNP\tB-NP\tO' +p206000 +aS',\t,\t,\tO\tO' +p206001 +aS'Wednesday\tWednesday\tNNP\tB-NP\tO' +p206002 +aS'and\tand\tCC\tO\tO' +p206003 +aS'Friday\tFriday\tNNP\tB-NP\tO' +p206004 +aS',\t,\t,\tO\tO' +p206005 +aS'Ceftazidime\tCeftazidime\tNNP\tB-NP\tO' +p206006 +aS'1\t1\tCD\tI-NP\tO' +p206007 +aS'gram\tgram\tNN\tI-NP\tO' +p206008 +aS'IV\tIV\tCD\tB-NP\tO' +p206009 +aS'q.\tq.\tNN\tI-NP\tO' +p206010 +aS'8\t8\tCD\tB-NP\tO' +p206011 +aS'hours\thour\tNNS\tI-NP\tO' +p206012 +aS',\t,\t,\tO\tO' +p206013 +aS'Cipro\tCipro\tNN\tB-NP\tO' +p206014 +aS'750\t750\tCD\tI-NP\tO' +p206015 +aS'mg\tmg\tNN\tI-NP\tO' +p206016 +aS'p.o.\tp.o.\tFW\tB-ADVP\tO' +p206017 +aS'b.i.d.\tb.i.d.\tFW\tI-ADVP\tO' +p206018 +aS',\t,\t,\tO\tO' +p206019 +aS'Acyclovir\tAcyclovir\tNNP\tB-NP\tO' +p206020 +aS'400\t400\tCD\tI-NP\tO' +p206021 +aS'mg\tmg\tNN\tI-NP\tO' +p206022 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p206023 +aS'q.\tq.\tNN\tI-NP\tO' +p206024 +aS'day\tday\tNN\tI-NP\tO' +p206025 +aS',\t,\t,\tO\tO' +p206026 +aS'Megastrol\tMegastrol\tNN\tB-NP\tO' +p206027 +aS'80\t80\tCD\tI-NP\tO' +p206028 +aS'mg\tmg\tNN\tI-NP\tO' +p206029 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p206030 +aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' +p206031 +aS'and\tand\tCC\tI-NP\tO' +p206032 +aS'G-CSF\tG-CSF\tNN\tI-NP\tB-protein' +p206033 +aS'150\t150\tCD\tB-NP\tO' +p206034 +aS'micrograms\tmicrogram\tNNS\tI-NP\tO' +p206035 +aS'subcu\tsubcu\tNN\tI-NP\tO' +p206036 +aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' +p206037 +asS'The patient is discharged on Mylanta 30 cc with meals , Carafate 1 gm q. 6 , Heparin 5000 units subcutaneous b.i.d. until the patient regains full activity and IV hydration .' +p206038 +(lp206039 +S'The\tThe\tDT\tB-NP\tO' +p206040 +aS'patient\tpatient\tNN\tI-NP\tO' +p206041 +aS'is\tbe\tVBZ\tB-VP\tO' +p206042 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p206043 +aS'on\ton\tIN\tB-PP\tO' +p206044 +aS'Mylanta\tMylanta\tNNP\tB-NP\tO' +p206045 +aS'30\t30\tCD\tI-NP\tO' +p206046 +aS'cc\tcc\tNN\tI-NP\tO' +p206047 +aS'with\twith\tIN\tB-PP\tO' +p206048 +aS'meals\tmeal\tNNS\tB-NP\tO' +p206049 +aS',\t,\t,\tO\tO' +p206050 +aS'Carafate\tCarafate\tNNP\tB-NP\tO' +p206051 +aS'1\t1\tCD\tI-NP\tO' +p206052 +aS'gm\tgm\tNN\tI-NP\tO' +p206053 +aS'q.\tq.\tNN\tI-NP\tO' +p206054 +aS'6\t6\tCD\tI-NP\tO' +p206055 +aS',\t,\t,\tO\tO' +p206056 +aS'Heparin\tHeparin\tNN\tB-NP\tO' +p206057 +aS'5000\t5000\tCD\tB-NP\tO' +p206058 +aS'units\tunit\tNNS\tI-NP\tO' +p206059 +aS'subcutaneous\tsubcutaneous\tJJ\tB-NP\tO' +p206060 +aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' +p206061 +aS'until\tuntil\tIN\tB-SBAR\tO' +p206062 +aS'the\tthe\tDT\tB-NP\tO' +p206063 +aS'patient\tpatient\tNN\tI-NP\tO' +p206064 +aS'regains\tregain\tVBZ\tB-VP\tO' +p206065 +aS'full\tfull\tJJ\tB-NP\tO' +p206066 +aS'activity\tactivity\tNN\tI-NP\tO' +p206067 +aS'and\tand\tCC\tO\tO' +p206068 +aS'IV\tIV\tCD\tB-NP\tO' +p206069 +aS'hydration\thydration\tNN\tI-NP\tO' +p206070 +aS'.\t.\t.\tO\tO' +p206071 +asS'Positive edema of the left supraglottitis .' +p206072 +(lp206073 +S'Positive\tPositive\tJJ\tB-NP\tO' +p206074 +aS'edema\tedema\tNN\tI-NP\tO' +p206075 +aS'of\tof\tIN\tB-PP\tO' +p206076 +aS'the\tthe\tDT\tB-NP\tO' +p206077 +aS'left\tleft\tJJ\tI-NP\tO' +p206078 +aS'supraglottitis\tsupraglottitis\tNN\tI-NP\tO' +p206079 +aS'.\t.\t.\tO\tO' +p206080 +asS'Good , still w/ altered mental status but improving .' +p206081 +(lp206082 +S'Good\tGood\tJJ\tB-ADJP\tO' +p206083 +aS',\t,\t,\tO\tO' +p206084 +aS'still\tstill\tRB\tB-ADVP\tO' +p206085 +aS'w/\tw/\tRB\tB-VP\tO' +p206086 +aS'altered\talter\tVBN\tI-VP\tO' +p206087 +aS'mental\tmental\tJJ\tB-NP\tO' +p206088 +aS'status\tstatus\tNN\tI-NP\tO' +p206089 +aS'but\tbut\tCC\tO\tO' +p206090 +aS'improving\timproving\tNN\tB-NP\tO' +p206091 +aS'.\t.\t.\tO\tO' +p206092 +asS'241-260 mg / dL 15 Units' +p206093 +(lp206094 +S'241-260\t241-260\tCD\tB-NP\tO' +p206095 +aS'mg\tmg\tNN\tI-NP\tO' +p206096 +aS'/\t/\tSYM\tB-NP\tO' +p206097 +aS'dL\tdL\tNN\tI-NP\tO' +p206098 +aS'15\t15\tCD\tB-NP\tO' +p206099 +aS'Units\tUnit\tNNS\tI-NP\tO' +p206100 +asS'No abscesses were noted .' +p206101 +(lp206102 +S'No\tNo\tDT\tB-NP\tO' +p206103 +aS'abscesses\tabscess\tNNS\tI-NP\tO' +p206104 +aS'were\tbe\tVBD\tB-VP\tO' +p206105 +aS'noted\tnote\tVBN\tI-VP\tO' +p206106 +aS'.\t.\t.\tO\tO' +p206107 +asS'Due to her chronic diarrhea she was repleted with intravenous fluids .' +p206108 +(lp206109 +S'Due\tDue\tJJ\tB-ADJP\tO' +p206110 +aS'to\tto\tTO\tB-PP\tO' +p206111 +aS'her\ther\tPRP$\tB-NP\tO' +p206112 +aS'chronic\tchronic\tJJ\tI-NP\tO' +p206113 +aS'diarrhea\tdiarrhea\tNN\tI-NP\tO' +p206114 +aS'she\tshe\tPRP\tB-NP\tO' +p206115 +aS'was\tbe\tVBD\tB-VP\tO' +p206116 +aS'repleted\treplete\tVBN\tI-VP\tO' +p206117 +aS'with\twith\tIN\tB-PP\tO' +p206118 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p206119 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p206120 +aS'.\t.\t.\tO\tO' +p206121 +asS'4. Immunizations received : Hepatitis B vaccine was given on 2015-04-25 .' +p206122 +(lp206123 +S'4.\t4.\tLS\tB-NP\tO' +p206124 +aS'Immunizations\tImmunization\tNNS\tI-NP\tO' +p206125 +aS'received\treceive\tVBD\tB-VP\tO' +p206126 +aS':\t:\t:\tO\tO' +p206127 +aS'Hepatitis\tHepatitis\tNN\tB-NP\tO' +p206128 +aS'B\tB\tNN\tI-NP\tO' +p206129 +aS'vaccine\tvaccine\tNN\tI-NP\tO' +p206130 +aS'was\tbe\tVBD\tB-VP\tO' +p206131 +aS'given\tgive\tVBN\tI-VP\tO' +p206132 +aS'on\ton\tIN\tB-PP\tO' +p206133 +aS'2015-04-25\t2015-04-25\tCD\tB-NP\tO' +p206134 +aS'.\t.\t.\tO\tO' +p206135 +asS'She would like to arrange to have her fistula placed at Pre Health and the vascular surgeons there should be contacted regarding this .' +p206136 +(lp206137 +S'She\tShe\tPRP\tB-NP\tO' +p206138 +aS'would\twould\tMD\tB-VP\tO' +p206139 +aS'like\tlike\tVB\tI-VP\tO' +p206140 +aS'to\tto\tTO\tI-VP\tO' +p206141 +aS'arrange\tarrange\tVB\tI-VP\tO' +p206142 +aS'to\tto\tTO\tI-VP\tO' +p206143 +aS'have\thave\tVB\tI-VP\tO' +p206144 +aS'her\ther\tPRP$\tB-NP\tO' +p206145 +aS'fistula\tfistula\tNN\tI-NP\tO' +p206146 +aS'placed\tplace\tVBN\tB-VP\tO' +p206147 +aS'at\tat\tIN\tB-PP\tO' +p206148 +aS'Pre\tPre\tNNP\tB-NP\tO' +p206149 +aS'Health\tHealth\tNNP\tI-NP\tO' +p206150 +aS'and\tand\tCC\tO\tO' +p206151 +aS'the\tthe\tDT\tB-NP\tO' +p206152 +aS'vascular\tvascular\tJJ\tI-NP\tO' +p206153 +aS'surgeons\tsurgeon\tNNS\tI-NP\tO' +p206154 +aS'there\tthere\tEX\tB-NP\tO' +p206155 +aS'should\tshould\tMD\tB-VP\tO' +p206156 +aS'be\tbe\tVB\tI-VP\tO' +p206157 +aS'contacted\tcontact\tVBN\tI-VP\tO' +p206158 +aS'regarding\tregard\tVBG\tB-PP\tO' +p206159 +aS'this\tthis\tDT\tB-NP\tO' +p206160 +aS'.\t.\t.\tO\tO' +p206161 +asS'PAST MEDICAL HISTORY is remarkable for chronic lung disease due to smoking .' +p206162 +(lp206163 +S'PAST\tPAST\tNNP\tB-NP\tO' +p206164 +aS'MEDICAL\tMEDICAL\tNNP\tI-NP\tO' +p206165 +aS'HISTORY\tHISTORY\tNNP\tI-NP\tO' +p206166 +aS'is\tbe\tVBZ\tB-VP\tO' +p206167 +aS'remarkable\tremarkable\tJJ\tB-ADJP\tO' +p206168 +aS'for\tfor\tIN\tB-PP\tO' +p206169 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p206170 +aS'lung\tlung\tNN\tI-NP\tO' +p206171 +aS'disease\tdisease\tNN\tI-NP\tO' +p206172 +aS'due\tdue\tJJ\tB-ADJP\tO' +p206173 +aS'to\tto\tTO\tB-PP\tO' +p206174 +aS'smoking\tsmoking\tNN\tB-NP\tO' +p206175 +aS'.\t.\t.\tO\tO' +p206176 +asS'Also of note was the distal lateral wall hypokinesis .' +p206177 +(lp206178 +S'Also\tAlso\tRB\tB-ADVP\tO' +p206179 +aS'of\tof\tIN\tB-PP\tO' +p206180 +aS'note\tnote\tNN\tB-NP\tO' +p206181 +aS'was\tbe\tVBD\tB-VP\tO' +p206182 +aS'the\tthe\tDT\tB-NP\tO' +p206183 +aS'distal\tdistal\tJJ\tI-NP\tO' +p206184 +aS'lateral\tlateral\tJJ\tI-NP\tO' +p206185 +aS'wall\twall\tNN\tI-NP\tO' +p206186 +aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' +p206187 +aS'.\t.\t.\tO\tO' +p206188 +asS'Disp :* 5 Tablet (s)* Refills :* 0 *' +p206189 +(lp206190 +S'Disp\tDisp\tNN\tB-NP\tO' +p206191 +aS':*\t:*\tSYM\tI-NP\tO' +p206192 +aS'5\t5\tCD\tI-NP\tO' +p206193 +aS'Tablet\tTablet\tNN\tI-NP\tO' +p206194 +aS'(s)*\t(s)*\tSYM\tB-NP\tO' +p206195 +aS'Refills\tRefill\tNNPS\tI-NP\tO' +p206196 +aS':*\t:*\tSYM\tI-NP\tO' +p206197 +aS'0\t0\tCD\tI-NP\tO' +p206198 +aS'*\t*\tSYM\tB-NP\tO' +p206199 +asS'He was transferred to the Intensive Care Unit in relatively stable condition .' +p206200 +(lp206201 +S'He\tHe\tPRP\tB-NP\tO' +p206202 +aS'was\tbe\tVBD\tB-VP\tO' +p206203 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p206204 +aS'to\tto\tTO\tB-PP\tO' +p206205 +aS'the\tthe\tDT\tB-NP\tO' +p206206 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p206207 +aS'Care\tCare\tNNP\tI-NP\tO' +p206208 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p206209 +aS'in\tin\tIN\tB-PP\tO' +p206210 +aS'relatively\trelatively\tRB\tB-NP\tO' +p206211 +aS'stable\tstable\tJJ\tI-NP\tO' +p206212 +aS'condition\tcondition\tNN\tI-NP\tO' +p206213 +aS'.\t.\t.\tO\tO' +p206214 +asS'The patient was discharged to home in good condition .' +p206215 +(lp206216 +S'The\tThe\tDT\tB-NP\tO' +p206217 +aS'patient\tpatient\tNN\tI-NP\tO' +p206218 +aS'was\tbe\tVBD\tB-VP\tO' +p206219 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p206220 +aS'to\tto\tTO\tB-PP\tO' +p206221 +aS'home\thome\tNN\tB-NP\tO' +p206222 +aS'in\tin\tIN\tB-PP\tO' +p206223 +aS'good\tgood\tJJ\tB-NP\tO' +p206224 +aS'condition\tcondition\tNN\tI-NP\tO' +p206225 +aS'.\t.\t.\tO\tO' +p206226 +asS'12. Zantac 150 mg p.o. twice a day .' +p206227 +(lp206228 +S'12.\t12.\tCD\tB-NP\tO' +p206229 +aS'Zantac\tZantac\tNN\tI-NP\tO' +p206230 +aS'150\t150\tCD\tB-NP\tO' +p206231 +aS'mg\tmg\tNN\tI-NP\tO' +p206232 +aS'p.o.\tp.o.\tRB\tB-NP\tO' +p206233 +aS'twice\ttwice\tRB\tI-NP\tO' +p206234 +aS'a\ta\tDT\tI-NP\tO' +p206235 +aS'day\tday\tNN\tI-NP\tO' +p206236 +aS'.\t.\t.\tO\tO' +p206237 +asS'5 ) severe kyphosis .' +p206238 +(lp206239 +S'5\t5\tLS\tB-LST\tO' +p206240 +aS')\t)\t)\tO\tO' +p206241 +aS'severe\tsevere\tJJ\tB-NP\tO' +p206242 +aS'kyphosis\tkyphosis\tNN\tI-NP\tO' +p206243 +aS'.\t.\t.\tO\tO' +p206244 +asS'At that time , she had clear coronary arteries on coronary angiography and an ejection fraction greater than 50% .' +p206245 +(lp206246 +S'At\tAt\tIN\tB-PP\tO' +p206247 +aS'that\tthat\tDT\tB-NP\tO' +p206248 +aS'time\ttime\tNN\tI-NP\tO' +p206249 +aS',\t,\t,\tO\tO' +p206250 +aS'she\tshe\tPRP\tB-NP\tO' +p206251 +aS'had\thave\tVBD\tB-VP\tO' +p206252 +aS'clear\tclear\tJJ\tB-NP\tO' +p206253 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p206254 +aS'arteries\tartery\tNNS\tI-NP\tO' +p206255 +aS'on\ton\tIN\tB-PP\tO' +p206256 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p206257 +aS'angiography\tangiography\tNN\tI-NP\tO' +p206258 +aS'and\tand\tCC\tO\tO' +p206259 +aS'an\tan\tDT\tB-NP\tO' +p206260 +aS'ejection\tejection\tNN\tI-NP\tO' +p206261 +aS'fraction\tfraction\tNN\tI-NP\tO' +p206262 +aS'greater\tgreat\tJJR\tB-ADJP\tO' +p206263 +aS'than\tthan\tIN\tB-PP\tO' +p206264 +aS'50%\t50%\tCD\tB-NP\tO' +p206265 +aS'.\t.\t.\tO\tO' +p206266 +asS'There was no evidence of rib fracture .' +p206267 +(lp206268 +S'There\tThere\tEX\tB-NP\tO' +p206269 +aS'was\tbe\tVBD\tB-VP\tO' +p206270 +aS'no\tno\tDT\tB-NP\tO' +p206271 +aS'evidence\tevidence\tNN\tI-NP\tO' +p206272 +aS'of\tof\tIN\tB-PP\tO' +p206273 +aS'rib\trib\tNN\tB-NP\tO' +p206274 +aS'fracture\tfracture\tNN\tI-NP\tO' +p206275 +aS'.\t.\t.\tO\tO' +p206276 +asS'No white exudate .' +p206277 +(lp206278 +S'No\tNo\tDT\tB-NP\tO' +p206279 +aS'white\twhite\tJJ\tI-NP\tO' +p206280 +aS'exudate\texudate\tNN\tI-NP\tO' +p206281 +aS'.\t.\t.\tO\tO' +p206282 +asS'Right system was not intervened upon , for the PLB was unable to be crossed by wire .' +p206283 +(lp206284 +S'Right\tRight\tNN\tB-NP\tO' +p206285 +aS'system\tsystem\tNN\tI-NP\tO' +p206286 +aS'was\tbe\tVBD\tB-VP\tO' +p206287 +aS'not\tnot\tRB\tI-VP\tO' +p206288 +aS'intervened\tintervene\tVBN\tI-VP\tO' +p206289 +aS'upon\tupon\tIN\tB-PP\tO' +p206290 +aS',\t,\t,\tO\tO' +p206291 +aS'for\tfor\tIN\tB-PP\tO' +p206292 +aS'the\tthe\tDT\tB-NP\tO' +p206293 +aS'PLB\tPLB\tNN\tI-NP\tB-protein' +p206294 +aS'was\tbe\tVBD\tB-VP\tO' +p206295 +aS'unable\tunable\tJJ\tB-ADJP\tO' +p206296 +aS'to\tto\tTO\tB-VP\tO' +p206297 +aS'be\tbe\tVB\tI-VP\tO' +p206298 +aS'crossed\tcross\tVBN\tI-VP\tO' +p206299 +aS'by\tby\tIN\tB-PP\tO' +p206300 +aS'wire\twire\tNN\tB-NP\tO' +p206301 +aS'.\t.\t.\tO\tO' +p206302 +asS'Original ABG here before BiPAP was 7.19 , 102 , and 92 .' +p206303 +(lp206304 +S'Original\tOriginal\tJJ\tB-NP\tO' +p206305 +aS'ABG\tABG\tNN\tI-NP\tO' +p206306 +aS'here\there\tRB\tB-ADVP\tO' +p206307 +aS'before\tbefore\tIN\tB-PP\tO' +p206308 +aS'BiPAP\tBiPAP\tNN\tB-NP\tB-protein' +p206309 +aS'was\tbe\tVBD\tB-VP\tO' +p206310 +aS'7.19\t7.19\tCD\tB-NP\tO' +p206311 +aS',\t,\t,\tI-NP\tO' +p206312 +aS'102\t102\tCD\tI-NP\tO' +p206313 +aS',\t,\t,\tO\tO' +p206314 +aS'and\tand\tCC\tO\tO' +p206315 +aS'92\t92\tCD\tB-NP\tO' +p206316 +aS'.\t.\t.\tO\tO' +p206317 +asS'2. Megace 400 q day .' +p206318 +(lp206319 +S'2.\t2.\tLS\tB-LST\tO' +p206320 +aS'Megace\tMegace\tNNP\tB-NP\tO' +p206321 +aS'400\t400\tCD\tI-NP\tO' +p206322 +aS'q\tq\tNN\tI-NP\tO' +p206323 +aS'day\tday\tNN\tI-NP\tO' +p206324 +aS'.\t.\t.\tO\tO' +p206325 +asS'On the second hospital day the patient was doing much better and was stable from an airway perspective , so she was transferred to the General Medical Floor .' +p206326 +(lp206327 +S'On\tOn\tIN\tB-PP\tO' +p206328 +aS'the\tthe\tDT\tB-NP\tO' +p206329 +aS'second\tsecond\tJJ\tI-NP\tO' +p206330 +aS'hospital\thospital\tNN\tI-NP\tO' +p206331 +aS'day\tday\tNN\tI-NP\tO' +p206332 +aS'the\tthe\tDT\tB-NP\tO' +p206333 +aS'patient\tpatient\tNN\tI-NP\tO' +p206334 +aS'was\tbe\tVBD\tB-VP\tO' +p206335 +aS'doing\tdo\tVBG\tI-VP\tO' +p206336 +aS'much\tmuch\tRB\tB-ADJP\tO' +p206337 +aS'better\tgood\tJJR\tI-ADJP\tO' +p206338 +aS'and\tand\tCC\tO\tO' +p206339 +aS'was\tbe\tVBD\tB-VP\tO' +p206340 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p206341 +aS'from\tfrom\tIN\tB-PP\tO' +p206342 +aS'an\tan\tDT\tB-NP\tO' +p206343 +aS'airway\tairway\tNN\tI-NP\tO' +p206344 +aS'perspective\tperspective\tNN\tI-NP\tO' +p206345 +aS',\t,\t,\tO\tO' +p206346 +aS'so\tso\tIN\tB-SBAR\tO' +p206347 +aS'she\tshe\tPRP\tB-NP\tO' +p206348 +aS'was\tbe\tVBD\tB-VP\tO' +p206349 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p206350 +aS'to\tto\tTO\tB-PP\tO' +p206351 +aS'the\tthe\tDT\tB-NP\tO' +p206352 +aS'General\tGeneral\tNNP\tI-NP\tO' +p206353 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p206354 +aS'Floor\tFloor\tNNP\tI-NP\tO' +p206355 +aS'.\t.\t.\tO\tO' +p206356 +asS'Stools have been negative to trace positive and abdominal exam is reassuring .' +p206357 +(lp206358 +S'Stools\tStool\tNNS\tB-NP\tO' +p206359 +aS'have\thave\tVBP\tB-VP\tO' +p206360 +aS'been\tbe\tVBN\tI-VP\tO' +p206361 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p206362 +aS'to\tto\tTO\tB-VP\tO' +p206363 +aS'trace\ttrace\tVB\tI-VP\tO' +p206364 +aS'positive\tpositive\tJJ\tB-NP\tO' +p206365 +aS'and\tand\tCC\tI-NP\tO' +p206366 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p206367 +aS'exam\texam\tNN\tI-NP\tO' +p206368 +aS'is\tbe\tVBZ\tB-VP\tO' +p206369 +aS'reassuring\treassure\tVBG\tI-VP\tO' +p206370 +aS'.\t.\t.\tO\tO' +p206371 +asS'Pt initially was hypoxic requiring NRB for O2 sat of 94% , with any attempt to wean she would desat .' +p206372 +(lp206373 +S'Pt\tPt\tNN\tB-NP\tO' +p206374 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p206375 +aS'was\tbe\tVBD\tB-VP\tO' +p206376 +aS'hypoxic\thypoxic\tJJ\tB-NP\tO' +p206377 +aS'requiring\trequire\tVBG\tI-NP\tO' +p206378 +aS'NRB\tNRB\tNN\tI-NP\tB-protein' +p206379 +aS'for\tfor\tIN\tB-PP\tO' +p206380 +aS'O2\tO2\tNN\tB-NP\tO' +p206381 +aS'sat\tsat\tNN\tI-NP\tO' +p206382 +aS'of\tof\tIN\tB-PP\tO' +p206383 +aS'94%\t94%\tNN\tB-NP\tO' +p206384 +aS',\t,\t,\tO\tO' +p206385 +aS'with\twith\tIN\tB-PP\tO' +p206386 +aS'any\tany\tDT\tB-NP\tO' +p206387 +aS'attempt\tattempt\tNN\tI-NP\tO' +p206388 +aS'to\tto\tTO\tB-VP\tO' +p206389 +aS'wean\twean\tVB\tI-VP\tO' +p206390 +aS'she\tshe\tPRP\tB-NP\tO' +p206391 +aS'would\twould\tMD\tB-VP\tO' +p206392 +aS'desat\tdesat\tVB\tI-VP\tO' +p206393 +aS'.\t.\t.\tO\tO' +p206394 +asS'therapy .' +p206395 +(lp206396 +S'therapy\ttherapy\tNN\tB-NP\tO' +p206397 +aS'.\t.\t.\tO\tO' +p206398 +asS'His CO2 improved and he was extubated after a few days .' +p206399 +(lp206400 +S'His\tHis\tPRP$\tB-NP\tO' +p206401 +aS'CO2\tCO2\tNN\tI-NP\tB-protein' +p206402 +aS'improved\timprove\tVBD\tB-VP\tO' +p206403 +aS'and\tand\tCC\tO\tO' +p206404 +aS'he\the\tPRP\tB-NP\tO' +p206405 +aS'was\tbe\tVBD\tB-VP\tO' +p206406 +aS'extubated\textubate\tVBN\tI-VP\tO' +p206407 +aS'after\tafter\tIN\tB-PP\tO' +p206408 +aS'a\ta\tDT\tB-NP\tO' +p206409 +aS'few\tfew\tJJ\tI-NP\tO' +p206410 +aS'days\tday\tNNS\tI-NP\tO' +p206411 +aS'.\t.\t.\tO\tO' +p206412 +asS'She was placed in supplemental oxygen by shovel mask and her sats immediately improved .' +p206413 +(lp206414 +S'She\tShe\tPRP\tB-NP\tO' +p206415 +aS'was\tbe\tVBD\tB-VP\tO' +p206416 +aS'placed\tplace\tVBN\tI-VP\tO' +p206417 +aS'in\tin\tIN\tB-PP\tO' +p206418 +aS'supplemental\tsupplemental\tJJ\tB-NP\tO' +p206419 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p206420 +aS'by\tby\tIN\tB-PP\tO' +p206421 +aS'shovel\tshovel\tJJ\tB-NP\tO' +p206422 +aS'mask\tmask\tNN\tI-NP\tO' +p206423 +aS'and\tand\tCC\tO\tO' +p206424 +aS'her\ther\tPRP$\tB-NP\tO' +p206425 +aS'sats\tsat\tNNS\tI-NP\tO' +p206426 +aS'immediately\timmediately\tRB\tB-VP\tO' +p206427 +aS'improved\timprove\tVBN\tI-VP\tO' +p206428 +aS'.\t.\t.\tO\tO' +p206429 +asS'Tylenol , Ciprofloxacin and Insulin , about 16 units of NPH qa.m.' +p206430 +(lp206431 +S'Tylenol\tTylenol\tNN\tB-NP\tO' +p206432 +aS',\t,\t,\tI-NP\tO' +p206433 +aS'Ciprofloxacin\tCiprofloxacin\tNN\tI-NP\tO' +p206434 +aS'and\tand\tCC\tI-NP\tO' +p206435 +aS'Insulin\tInsulin\tNN\tI-NP\tB-protein' +p206436 +aS',\t,\t,\tO\tO' +p206437 +aS'about\tabout\tRB\tB-NP\tO' +p206438 +aS'16\t16\tCD\tI-NP\tO' +p206439 +aS'units\tunit\tNNS\tI-NP\tO' +p206440 +aS'of\tof\tIN\tB-PP\tO' +p206441 +aS'NPH\tNPH\tNN\tB-NP\tO' +p206442 +aS'qa.m.\tqa.m.\tNN\tI-NP\tO' +p206443 +asS'There was a large pericardial effusion ( up to greater than 6 cm wide anterior to the right ventricle ).' +p206444 +(lp206445 +S'There\tThere\tEX\tB-NP\tO' +p206446 +aS'was\tbe\tVBD\tB-VP\tO' +p206447 +aS'a\ta\tDT\tB-NP\tO' +p206448 +aS'large\tlarge\tJJ\tI-NP\tO' +p206449 +aS'pericardial\tpericardial\tJJ\tI-NP\tO' +p206450 +aS'effusion\teffusion\tNN\tI-NP\tO' +p206451 +aS'(\t(\t(\tO\tO' +p206452 +aS'up\tup\tRB\tB-ADVP\tO' +p206453 +aS'to\tto\tTO\tB-PP\tO' +p206454 +aS'greater\tgreat\tJJR\tB-NP\tO' +p206455 +aS'than\tthan\tIN\tI-NP\tO' +p206456 +aS'6\t6\tCD\tI-NP\tO' +p206457 +aS'cm\tcm\tNN\tI-NP\tO' +p206458 +aS'wide\twide\tJJ\tI-NP\tO' +p206459 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p206460 +aS'to\tto\tTO\tB-PP\tO' +p206461 +aS'the\tthe\tDT\tB-NP\tO' +p206462 +aS'right\tright\tJJ\tI-NP\tO' +p206463 +aS'ventricle\tventricle\tNN\tI-NP\tO' +p206464 +aS').\t).\t.\tO\tO' +p206465 +asS'Addendum to hospital course .' +p206466 +(lp206467 +S'Addendum\tAddendum\tNN\tB-NP\tO' +p206468 +aS'to\tto\tTO\tB-PP\tO' +p206469 +aS'hospital\thospital\tNN\tB-NP\tO' +p206470 +aS'course\tcourse\tNN\tI-NP\tO' +p206471 +aS'.\t.\t.\tO\tO' +p206472 +asS'She will have urology followup after her IVP .' +p206473 +(lp206474 +S'She\tShe\tPRP\tB-NP\tO' +p206475 +aS'will\twill\tMD\tB-VP\tO' +p206476 +aS'have\thave\tVB\tI-VP\tO' +p206477 +aS'urology\turology\tNN\tB-NP\tO' +p206478 +aS'followup\tfollowup\tNN\tI-NP\tO' +p206479 +aS'after\tafter\tIN\tB-PP\tO' +p206480 +aS'her\ther\tPRP$\tB-NP\tO' +p206481 +aS'IVP\tIVP\tNN\tI-NP\tB-protein' +p206482 +aS'.\t.\t.\tO\tO' +p206483 +asS'Neck : No LAD .' +p206484 +(lp206485 +S'Neck\tNeck\tNN\tB-NP\tO' +p206486 +aS':\t:\t:\tO\tO' +p206487 +aS'No\tNo\tDT\tB-NP\tO' +p206488 +aS'LAD\tLAD\tNN\tI-NP\tB-protein' +p206489 +aS'.\t.\t.\tO\tO' +p206490 +asS'2. Type 2 diabetes mellitus .' +p206491 +(lp206492 +S'2.\t2.\tLS\tO\tO' +p206493 +aS'Type\tType\tNN\tB-NP\tO' +p206494 +aS'2\t2\tCD\tI-NP\tO' +p206495 +aS'diabetes\tdiabetes\tNN\tI-NP\tO' +p206496 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p206497 +aS'.\t.\t.\tO\tO' +p206498 +asS'14. Guaifenesin 100 mg / 5 mL Liquid Sig : 01-28 teaspoons PO every six ( 6 ) hours as needed for cold symptoms .' +p206499 +(lp206500 +S'14.\t14.\tCD\tB-NP\tO' +p206501 +aS'Guaifenesin\tGuaifenesin\tNN\tI-NP\tO' +p206502 +aS'100\t100\tCD\tB-NP\tO' +p206503 +aS'mg\tmg\tNN\tI-NP\tO' +p206504 +aS'/\t/\tSYM\tB-NP\tO' +p206505 +aS'5\t5\tCD\tB-NP\tO' +p206506 +aS'mL\tmL\tNN\tI-NP\tO' +p206507 +aS'Liquid\tLiquid\tNNP\tI-NP\tO' +p206508 +aS'Sig\tSig\tNNP\tI-NP\tO' +p206509 +aS':\t:\t:\tO\tO' +p206510 +aS'01-28\t01-28\tCD\tB-NP\tO' +p206511 +aS'teaspoons\tteaspoon\tNNS\tI-NP\tO' +p206512 +aS'PO\tPO\tNN\tI-NP\tO' +p206513 +aS'every\tevery\tDT\tB-NP\tO' +p206514 +aS'six\tsix\tCD\tI-NP\tO' +p206515 +aS'(\t(\t(\tO\tO' +p206516 +aS'6\t6\tCD\tB-NP\tO' +p206517 +aS')\t)\t)\tO\tO' +p206518 +aS'hours\thour\tNNS\tB-NP\tO' +p206519 +aS'as\tas\tIN\tB-SBAR\tO' +p206520 +aS'needed\tneed\tVBN\tB-VP\tO' +p206521 +aS'for\tfor\tIN\tB-PP\tO' +p206522 +aS'cold\tcold\tJJ\tB-NP\tO' +p206523 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p206524 +aS'.\t.\t.\tO\tO' +p206525 +asS'We proceeded to do for her hyponatremia - we gave her some fluid and her urine sodium became higher than her serum sodium ; we stopped it .' +p206526 +(lp206527 +S'We\tWe\tPRP\tB-NP\tO' +p206528 +aS'proceeded\tproceed\tVBD\tB-VP\tO' +p206529 +aS'to\tto\tTO\tI-VP\tO' +p206530 +aS'do\tdo\tVB\tI-VP\tO' +p206531 +aS'for\tfor\tIN\tB-PP\tO' +p206532 +aS'her\ther\tPRP$\tB-NP\tO' +p206533 +aS'hyponatremia\thyponatremia\tNN\tI-NP\tO' +p206534 +aS'-\t-\tHYPH\tO\tO' +p206535 +aS'we\twe\tPRP\tB-NP\tO' +p206536 +aS'gave\tgive\tVBD\tB-VP\tO' +p206537 +aS'her\ther\tPRP\tB-NP\tO' +p206538 +aS'some\tsome\tDT\tB-NP\tO' +p206539 +aS'fluid\tfluid\tNN\tI-NP\tO' +p206540 +aS'and\tand\tCC\tO\tO' +p206541 +aS'her\ther\tPRP$\tB-NP\tO' +p206542 +aS'urine\turine\tNN\tI-NP\tO' +p206543 +aS'sodium\tsodium\tNN\tI-NP\tO' +p206544 +aS'became\tbecome\tVBD\tB-VP\tO' +p206545 +aS'higher\thigh\tJJR\tB-ADJP\tO' +p206546 +aS'than\tthan\tIN\tB-PP\tO' +p206547 +aS'her\ther\tPRP$\tB-NP\tO' +p206548 +aS'serum\tserum\tNN\tI-NP\tO' +p206549 +aS'sodium\tsodium\tNN\tI-NP\tO' +p206550 +aS';\t;\t:\tO\tO' +p206551 +aS'we\twe\tPRP\tB-NP\tO' +p206552 +aS'stopped\tstop\tVBD\tB-VP\tO' +p206553 +aS'it\tit\tPRP\tB-NP\tO' +p206554 +aS'.\t.\t.\tO\tO' +p206555 +asS'Percocet and Naprosyn .' +p206556 +(lp206557 +S'Percocet\tPercocet\tNN\tB-NP\tO' +p206558 +aS'and\tand\tCC\tI-NP\tO' +p206559 +aS'Naprosyn\tNaprosyn\tNN\tI-NP\tO' +p206560 +aS'.\t.\t.\tO\tO' +p206561 +asS'The sodium creatinine peaked at 2.0 and the patient was treated with boluses of intravenous fluid and intravenous albumin infusion was also administered .' +p206562 +(lp206563 +S'The\tThe\tDT\tB-NP\tO' +p206564 +aS'sodium\tsodium\tNN\tI-NP\tO' +p206565 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p206566 +aS'peaked\tpeak\tVBD\tB-VP\tO' +p206567 +aS'at\tat\tIN\tB-PP\tO' +p206568 +aS'2.0\t2.0\tCD\tB-NP\tO' +p206569 +aS'and\tand\tCC\tO\tO' +p206570 +aS'the\tthe\tDT\tB-NP\tO' +p206571 +aS'patient\tpatient\tNN\tI-NP\tO' +p206572 +aS'was\tbe\tVBD\tB-VP\tO' +p206573 +aS'treated\ttreat\tVBN\tI-VP\tO' +p206574 +aS'with\twith\tIN\tB-PP\tO' +p206575 +aS'boluses\tbolus\tNNS\tB-NP\tO' +p206576 +aS'of\tof\tIN\tB-PP\tO' +p206577 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p206578 +aS'fluid\tfluid\tNN\tI-NP\tO' +p206579 +aS'and\tand\tCC\tO\tO' +p206580 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p206581 +aS'albumin\talbumin\tNN\tI-NP\tO' +p206582 +aS'infusion\tinfusion\tNN\tI-NP\tO' +p206583 +aS'was\tbe\tVBD\tB-VP\tO' +p206584 +aS'also\talso\tRB\tI-VP\tO' +p206585 +aS'administered\tadminister\tVBN\tI-VP\tO' +p206586 +aS'.\t.\t.\tO\tO' +p206587 +asS'A trach collar was placed on 06-19 .' +p206588 +(lp206589 +S'A\tA\tDT\tB-NP\tO' +p206590 +aS'trach\ttrach\tNN\tI-NP\tO' +p206591 +aS'collar\tcollar\tNN\tI-NP\tO' +p206592 +aS'was\tbe\tVBD\tB-VP\tO' +p206593 +aS'placed\tplace\tVBN\tI-VP\tO' +p206594 +aS'on\ton\tIN\tB-PP\tO' +p206595 +aS'06-19\t06-19\tCD\tB-NP\tO' +p206596 +aS'.\t.\t.\tO\tO' +p206597 +asS'The patient 's preliminary admitting physician is SAPSCLYSS , LEO R and the preliminary diagnosis is WEAKNESS .' +p206598 +(lp206599 +S'The\tThe\tDT\tB-NP\tO' +p206600 +aS'patient\tpatient\tNN\tI-NP\tO' +p206601 +aS''s\t'\tNNS\tI-NP\tO' +p206602 +aS'preliminary\tpreliminary\tJJ\tB-NP\tO' +p206603 +aS'admitting\tadmit\tVBG\tI-NP\tO' +p206604 +aS'physician\tphysician\tNN\tI-NP\tO' +p206605 +aS'is\tbe\tVBZ\tB-VP\tO' +p206606 +aS'SAPSCLYSS\tSAPSCLYSS\tNNP\tB-NP\tO' +p206607 +aS',\t,\t,\tO\tO' +p206608 +aS'LEO\tLEO\tNNP\tB-NP\tO' +p206609 +aS'R\tR\tNNP\tI-NP\tO' +p206610 +aS'and\tand\tCC\tO\tO' +p206611 +aS'the\tthe\tDT\tB-NP\tO' +p206612 +aS'preliminary\tpreliminary\tJJ\tI-NP\tO' +p206613 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p206614 +aS'is\tbe\tVBZ\tB-VP\tO' +p206615 +aS'WEAKNESS\tWEAKNESS\tNNS\tB-NP\tO' +p206616 +aS'.\t.\t.\tO\tO' +p206617 +asS'He had a PEG tube in his left upper quadrant .' +p206618 +(lp206619 +S'He\tHe\tPRP\tB-NP\tO' +p206620 +aS'had\thave\tVBD\tB-VP\tO' +p206621 +aS'a\ta\tDT\tB-NP\tO' +p206622 +aS'PEG\tPEG\tNN\tI-NP\tO' +p206623 +aS'tube\ttube\tNN\tI-NP\tO' +p206624 +aS'in\tin\tIN\tB-PP\tO' +p206625 +aS'his\this\tPRP$\tB-NP\tO' +p206626 +aS'left\tleft\tJJ\tI-NP\tO' +p206627 +aS'upper\tupper\tJJ\tI-NP\tO' +p206628 +aS'quadrant\tquadrant\tNN\tI-NP\tO' +p206629 +aS'.\t.\t.\tO\tO' +p206630 +asS'In the Emergency Department , the patient was given nebulizer treatment , started on antibiotics for presumed chronic obstructive pulmonary disease exacerbation .' +p206631 +(lp206632 +S'In\tIn\tIN\tB-PP\tO' +p206633 +aS'the\tthe\tDT\tB-NP\tO' +p206634 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p206635 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p206636 +aS',\t,\t,\tO\tO' +p206637 +aS'the\tthe\tDT\tB-NP\tO' +p206638 +aS'patient\tpatient\tNN\tI-NP\tO' +p206639 +aS'was\tbe\tVBD\tB-VP\tO' +p206640 +aS'given\tgive\tVBN\tI-VP\tO' +p206641 +aS'nebulizer\tnebulizer\tNN\tB-NP\tO' +p206642 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p206643 +aS',\t,\t,\tO\tO' +p206644 +aS'started\tstart\tVBN\tB-VP\tO' +p206645 +aS'on\ton\tIN\tB-PP\tO' +p206646 +aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' +p206647 +aS'for\tfor\tIN\tB-PP\tO' +p206648 +aS'presumed\tpresumed\tJJ\tB-NP\tO' +p206649 +aS'chronic\tchronic\tJJ\tI-NP\tO' +p206650 +aS'obstructive\tobstructive\tJJ\tI-NP\tO' +p206651 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p206652 +aS'disease\tdisease\tNN\tI-NP\tO' +p206653 +aS'exacerbation\texacerbation\tNN\tI-NP\tO' +p206654 +aS'.\t.\t.\tO\tO' +p206655 +asS'He denies any IV drug use .' +p206656 +(lp206657 +S'He\tHe\tPRP\tB-NP\tO' +p206658 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p206659 +aS'any\tany\tDT\tB-NP\tO' +p206660 +aS'IV\tIV\tCD\tI-NP\tO' +p206661 +aS'drug\tdrug\tNN\tI-NP\tO' +p206662 +aS'use\tuse\tNN\tI-NP\tO' +p206663 +aS'.\t.\t.\tO\tO' +p206664 +asS'The patient was preoperatively treated with about a seven day course of intravenous Unasyn and postoperatively treated for approximately four days of intravenous Unasyn .' +p206665 +(lp206666 +S'The\tThe\tDT\tB-NP\tO' +p206667 +aS'patient\tpatient\tNN\tI-NP\tO' +p206668 +aS'was\tbe\tVBD\tB-VP\tO' +p206669 +aS'preoperatively\tpreoperatively\tRB\tI-VP\tO' +p206670 +aS'treated\ttreat\tVBN\tI-VP\tO' +p206671 +aS'with\twith\tIN\tB-PP\tO' +p206672 +aS'about\tabout\tRB\tB-NP\tO' +p206673 +aS'a\ta\tDT\tI-NP\tO' +p206674 +aS'seven\tseven\tCD\tI-NP\tO' +p206675 +aS'day\tday\tNN\tI-NP\tO' +p206676 +aS'course\tcourse\tNN\tI-NP\tO' +p206677 +aS'of\tof\tIN\tB-PP\tO' +p206678 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p206679 +aS'Unasyn\tUnasyn\tNN\tI-NP\tO' +p206680 +aS'and\tand\tCC\tO\tO' +p206681 +aS'postoperatively\tpostoperatively\tRB\tB-VP\tO' +p206682 +aS'treated\ttreat\tVBN\tI-VP\tO' +p206683 +aS'for\tfor\tIN\tB-PP\tO' +p206684 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p206685 +aS'four\tfour\tCD\tI-NP\tO' +p206686 +aS'days\tday\tNNS\tI-NP\tO' +p206687 +aS'of\tof\tIN\tB-PP\tO' +p206688 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p206689 +aS'Unasyn\tUnasyn\tNN\tI-NP\tO' +p206690 +aS'.\t.\t.\tO\tO' +p206691 +asS'The patient was transferred to the Respiratory Intensive Care Unit in stable condition and had an uneventful stay there .' +p206692 +(lp206693 +S'The\tThe\tDT\tB-NP\tO' +p206694 +aS'patient\tpatient\tNN\tI-NP\tO' +p206695 +aS'was\tbe\tVBD\tB-VP\tO' +p206696 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p206697 +aS'to\tto\tTO\tB-PP\tO' +p206698 +aS'the\tthe\tDT\tB-NP\tO' +p206699 +aS'Respiratory\tRespiratory\tNNP\tI-NP\tO' +p206700 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p206701 +aS'Care\tCare\tNNP\tI-NP\tO' +p206702 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p206703 +aS'in\tin\tIN\tB-PP\tO' +p206704 +aS'stable\tstable\tJJ\tB-NP\tO' +p206705 +aS'condition\tcondition\tNN\tI-NP\tO' +p206706 +aS'and\tand\tCC\tO\tO' +p206707 +aS'had\thave\tVBD\tB-VP\tO' +p206708 +aS'an\tan\tDT\tB-NP\tO' +p206709 +aS'uneventful\tuneventful\tJJ\tI-NP\tO' +p206710 +aS'stay\tstay\tNN\tI-NP\tO' +p206711 +aS'there\tthere\tRB\tB-ADVP\tO' +p206712 +aS'.\t.\t.\tO\tO' +p206713 +asS'The patient was initially n.p.o. and was then advanced to clear liquids which he tolerated .' +p206714 +(lp206715 +S'The\tThe\tDT\tB-NP\tO' +p206716 +aS'patient\tpatient\tNN\tI-NP\tO' +p206717 +aS'was\tbe\tVBD\tB-VP\tO' +p206718 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p206719 +aS'n.p.o.\tn.p.o.\tNN\tB-NP\tO' +p206720 +aS'and\tand\tCC\tO\tO' +p206721 +aS'was\tbe\tVBD\tB-VP\tO' +p206722 +aS'then\tthen\tRB\tI-VP\tO' +p206723 +aS'advanced\tadvance\tVBN\tI-VP\tO' +p206724 +aS'to\tto\tTO\tB-PP\tO' +p206725 +aS'clear\tclear\tJJ\tB-NP\tO' +p206726 +aS'liquids\tliquid\tNNS\tI-NP\tO' +p206727 +aS'which\twhich\tWDT\tB-NP\tO' +p206728 +aS'he\the\tPRP\tB-NP\tO' +p206729 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p206730 +aS'.\t.\t.\tO\tO' +p206731 +asS'The estimated blood loss was minimal and the patient received 600 cc. of intravenous fluid .' +p206732 +(lp206733 +S'The\tThe\tDT\tB-NP\tO' +p206734 +aS'estimated\testimate\tVBN\tI-NP\tO' +p206735 +aS'blood\tblood\tNN\tI-NP\tO' +p206736 +aS'loss\tloss\tNN\tI-NP\tO' +p206737 +aS'was\tbe\tVBD\tB-VP\tO' +p206738 +aS'minimal\tminimal\tJJ\tB-ADJP\tO' +p206739 +aS'and\tand\tCC\tO\tO' +p206740 +aS'the\tthe\tDT\tB-NP\tO' +p206741 +aS'patient\tpatient\tNN\tI-NP\tO' +p206742 +aS'received\treceive\tVBD\tB-VP\tO' +p206743 +aS'600\t600\tCD\tB-NP\tO' +p206744 +aS'cc.\tcc.\tNN\tI-NP\tO' +p206745 +aS'of\tof\tIN\tB-PP\tO' +p206746 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p206747 +aS'fluid\tfluid\tNN\tI-NP\tO' +p206748 +aS'.\t.\t.\tO\tO' +p206749 +asS'He completed his course of Vancomycin on 2017-08-10 .' +p206750 +(lp206751 +S'He\tHe\tPRP\tB-NP\tO' +p206752 +aS'completed\tcomplete\tVBD\tB-VP\tO' +p206753 +aS'his\this\tPRP$\tB-NP\tO' +p206754 +aS'course\tcourse\tNN\tI-NP\tO' +p206755 +aS'of\tof\tIN\tB-PP\tO' +p206756 +aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' +p206757 +aS'on\ton\tIN\tB-PP\tO' +p206758 +aS'2017-08-10\t2017-08-10\tCD\tB-NP\tO' +p206759 +aS'.\t.\t.\tO\tO' +p206760 +asS'2. HISTORY OF THYMOMA , STATUS POST RESECTION .' +p206761 +(lp206762 +S'2.\t2.\tLS\tB-NP\tO' +p206763 +aS'HISTORY\tHISTORY\tNN\tI-NP\tO' +p206764 +aS'OF\tOF\tIN\tB-PP\tO' +p206765 +aS'THYMOMA\tTHYMOMA\tNNP\tB-NP\tO' +p206766 +aS',\t,\t,\tO\tO' +p206767 +aS'STATUS\tSTATUS\tNNP\tB-NP\tO' +p206768 +aS'POST\tPOST\tNNP\tI-NP\tO' +p206769 +aS'RESECTION\tRESECTION\tNNP\tI-NP\tO' +p206770 +aS'.\t.\t.\tO\tO' +p206771 +asS'Amlodipine 5 mg q. Day .' +p206772 +(lp206773 +S'Amlodipine\tAmlodipine\tNN\tB-NP\tO' +p206774 +aS'5\t5\tCD\tI-NP\tO' +p206775 +aS'mg\tmg\tNN\tI-NP\tO' +p206776 +aS'q.\tq.\tNNP\tI-NP\tO' +p206777 +aS'Day\tDay\tNNP\tI-NP\tO' +p206778 +aS'.\t.\t.\tO\tO' +p206779 +asS'He was pronounced dead at 3:49 PM on July 15 , 1992 .' +p206780 +(lp206781 +S'He\tHe\tPRP\tB-NP\tO' +p206782 +aS'was\tbe\tVBD\tB-VP\tO' +p206783 +aS'pronounced\tpronounce\tVBN\tI-VP\tO' +p206784 +aS'dead\tdead\tJJ\tB-ADJP\tO' +p206785 +aS'at\tat\tIN\tB-PP\tO' +p206786 +aS'3:49\t3:49\tCD\tB-NP\tO' +p206787 +aS'PM\tPM\tNN\tI-NP\tO' +p206788 +aS'on\ton\tIN\tB-PP\tO' +p206789 +aS'July\tJuly\tNNP\tB-NP\tO' +p206790 +aS'15\t15\tCD\tI-NP\tO' +p206791 +aS',\t,\t,\tI-NP\tO' +p206792 +aS'1992\t1992\tCD\tI-NP\tO' +p206793 +aS'.\t.\t.\tO\tO' +p206794 +asS'Mychelia received hepatitis B vaccine on 11-02 due to unknown maternal hepatitis B surface antigen status .' +p206795 +(lp206796 +S'Mychelia\tMychelia\tNNP\tB-NP\tO' +p206797 +aS'received\treceive\tVBD\tB-VP\tO' +p206798 +aS'hepatitis\thepatitis\tNN\tB-NP\tO' +p206799 +aS'B\tB\tNN\tI-NP\tO' +p206800 +aS'vaccine\tvaccine\tNN\tI-NP\tO' +p206801 +aS'on\ton\tIN\tB-PP\tO' +p206802 +aS'11-02\t11-02\tNN\tB-NP\tO' +p206803 +aS'due\tdue\tJJ\tB-ADVP\tO' +p206804 +aS'to\tto\tTO\tB-PP\tO' +p206805 +aS'unknown\tunknown\tJJ\tB-NP\tO' +p206806 +aS'maternal\tmaternal\tJJ\tI-NP\tO' +p206807 +aS'hepatitis\thepatitis\tNN\tI-NP\tO' +p206808 +aS'B\tB\tNN\tI-NP\tO' +p206809 +aS'surface\tsurface\tNN\tI-NP\tO' +p206810 +aS'antigen\tantigen\tNN\tI-NP\tO' +p206811 +aS'status\tstatus\tNN\tI-NP\tO' +p206812 +aS'.\t.\t.\tO\tO' +p206813 +asS'The patient is a retired truck driver .' +p206814 +(lp206815 +S'The\tThe\tDT\tB-NP\tO' +p206816 +aS'patient\tpatient\tNN\tI-NP\tO' +p206817 +aS'is\tbe\tVBZ\tB-VP\tO' +p206818 +aS'a\ta\tDT\tB-NP\tO' +p206819 +aS'retired\tretired\tJJ\tI-NP\tO' +p206820 +aS'truck\ttruck\tNN\tI-NP\tO' +p206821 +aS'driver\tdriver\tNN\tI-NP\tO' +p206822 +aS'.\t.\t.\tO\tO' +p206823 +asS'The patient was subsequently referred to the Fairm of Ijordcompmac Hospital under the service of Dr. Brain .' +p206824 +(lp206825 +S'The\tThe\tDT\tB-NP\tO' +p206826 +aS'patient\tpatient\tNN\tI-NP\tO' +p206827 +aS'was\tbe\tVBD\tB-VP\tO' +p206828 +aS'subsequently\tsubsequently\tRB\tI-VP\tO' +p206829 +aS'referred\trefer\tVBN\tI-VP\tO' +p206830 +aS'to\tto\tTO\tB-PP\tO' +p206831 +aS'the\tthe\tDT\tB-NP\tO' +p206832 +aS'Fairm\tFairm\tNNP\tI-NP\tO' +p206833 +aS'of\tof\tIN\tB-PP\tO' +p206834 +aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' +p206835 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p206836 +aS'under\tunder\tIN\tB-PP\tO' +p206837 +aS'the\tthe\tDT\tB-NP\tO' +p206838 +aS'service\tservice\tNN\tI-NP\tO' +p206839 +aS'of\tof\tIN\tB-PP\tO' +p206840 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p206841 +aS'Brain\tBrain\tNNP\tI-NP\tO' +p206842 +aS'.\t.\t.\tO\tO' +p206843 +asS'# 3. History of breast cancer .' +p206844 +(lp206845 +S'#\t#\t#\tB-NP\tO' +p206846 +aS'3.\t3.\tLS\tI-NP\tO' +p206847 +aS'History\tHistory\tNN\tI-NP\tO' +p206848 +aS'of\tof\tIN\tB-PP\tO' +p206849 +aS'breast\tbreast\tNN\tB-NP\tO' +p206850 +aS'cancer\tcancer\tNN\tI-NP\tO' +p206851 +aS'.\t.\t.\tO\tO' +p206852 +asS'8. Incontinent of both stool and urine .' +p206853 +(lp206854 +S'8.\t8.\tLS\tB-LST\tO' +p206855 +aS'Incontinent\tIncontinent\tNN\tB-NP\tO' +p206856 +aS'of\tof\tIN\tB-PP\tO' +p206857 +aS'both\tboth\tCC\tO\tO' +p206858 +aS'stool\tstool\tNN\tB-NP\tO' +p206859 +aS'and\tand\tCC\tI-NP\tO' +p206860 +aS'urine\turine\tNN\tI-NP\tO' +p206861 +aS'.\t.\t.\tO\tO' +p206862 +asS'#. Pericardial effusion : unclear etiology , OSH had raised question of RV perforation from pacer , however she had a normal echo appearance of lead , no tamponade by exam .' +p206863 +(lp206864 +S'#.\t#.\tLS\tB-NP\tO' +p206865 +aS'Pericardial\tPericardial\tJJ\tI-NP\tO' +p206866 +aS'effusion\teffusion\tNN\tI-NP\tO' +p206867 +aS':\t:\t:\tO\tO' +p206868 +aS'unclear\tunclear\tJJ\tB-NP\tO' +p206869 +aS'etiology\tetiology\tNN\tI-NP\tO' +p206870 +aS',\t,\t,\tO\tO' +p206871 +aS'OSH\tOSH\tNN\tB-NP\tO' +p206872 +aS'had\thave\tVBD\tB-VP\tO' +p206873 +aS'raised\traise\tVBN\tI-VP\tO' +p206874 +aS'question\tquestion\tNN\tB-NP\tO' +p206875 +aS'of\tof\tIN\tB-PP\tO' +p206876 +aS'RV\tRV\tNN\tB-NP\tO' +p206877 +aS'perforation\tperforation\tNN\tI-NP\tO' +p206878 +aS'from\tfrom\tIN\tB-PP\tO' +p206879 +aS'pacer\tpacer\tNN\tB-NP\tO' +p206880 +aS',\t,\t,\tO\tO' +p206881 +aS'however\thowever\tRB\tB-ADVP\tO' +p206882 +aS'she\tshe\tPRP\tB-NP\tO' +p206883 +aS'had\thave\tVBD\tB-VP\tO' +p206884 +aS'a\ta\tDT\tB-NP\tO' +p206885 +aS'normal\tnormal\tJJ\tI-NP\tO' +p206886 +aS'echo\techo\tJJ\tI-NP\tO' +p206887 +aS'appearance\tappearance\tNN\tI-NP\tO' +p206888 +aS'of\tof\tIN\tB-PP\tO' +p206889 +aS'lead\tlead\tNN\tB-NP\tO' +p206890 +aS',\t,\t,\tO\tO' +p206891 +aS'no\tno\tDT\tB-NP\tO' +p206892 +aS'tamponade\ttamponade\tNN\tI-NP\tO' +p206893 +aS'by\tby\tIN\tB-PP\tO' +p206894 +aS'exam\texam\tNN\tB-NP\tO' +p206895 +aS'.\t.\t.\tO\tO' +p206896 +asS'No edema .' +p206897 +(lp206898 +S'No\tNo\tDT\tB-NP\tO' +p206899 +aS'edema\tedema\tNN\tI-NP\tO' +p206900 +aS'.\t.\t.\tO\tO' +p206901 +asS'She was started on Coumadin and had a failed attempt at DC electrical cardioversion on 11/16/96 .' +p206902 +(lp206903 +S'She\tShe\tPRP\tB-NP\tO' +p206904 +aS'was\tbe\tVBD\tB-VP\tO' +p206905 +aS'started\tstart\tVBN\tI-VP\tO' +p206906 +aS'on\ton\tIN\tB-PP\tO' +p206907 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p206908 +aS'and\tand\tCC\tO\tO' +p206909 +aS'had\thave\tVBD\tB-VP\tO' +p206910 +aS'a\ta\tDT\tB-NP\tO' +p206911 +aS'failed\tfail\tVBN\tI-NP\tO' +p206912 +aS'attempt\tattempt\tNN\tI-NP\tO' +p206913 +aS'at\tat\tIN\tB-PP\tO' +p206914 +aS'DC\tDC\tNN\tB-NP\tB-cell_type' +p206915 +aS'electrical\telectrical\tJJ\tI-NP\tO' +p206916 +aS'cardioversion\tcardioversion\tNN\tI-NP\tO' +p206917 +aS'on\ton\tIN\tB-PP\tO' +p206918 +aS'11/16/96\t11/16/96\tCD\tB-NP\tO' +p206919 +aS'.\t.\t.\tO\tO' +p206920 +asS'Of note , Hba1c done 03-04 was slightly elevated ( " borderline DM " ) at 6.3 ; this was repeated and was still pending on the day of discharge .' +p206921 +(lp206922 +S'Of\tOf\tIN\tB-PP\tO' +p206923 +aS'note\tnote\tNN\tB-NP\tO' +p206924 +aS',\t,\t,\tO\tO' +p206925 +aS'Hba1c\tHba1c\tNN\tB-NP\tB-protein' +p206926 +aS'done\tdo\tVBN\tB-VP\tO' +p206927 +aS'03-04\t03-04\tCD\tB-NP\tO' +p206928 +aS'was\tbe\tVBD\tB-VP\tO' +p206929 +aS'slightly\tslightly\tRB\tB-ADJP\tO' +p206930 +aS'elevated\televated\tJJ\tI-ADJP\tO' +p206931 +aS'(\t(\t(\tO\tO' +p206932 +aS'"\t"\t``\tO\tB-DNA' +p206933 +aS'borderline\tborderline\tJJ\tB-NP\tI-DNA' +p206934 +aS'DM\tDM\tNN\tI-NP\tI-DNA' +p206935 +aS'"\t"\t\'\'\tO\tI-DNA' +p206936 +aS')\t)\t)\tO\tO' +p206937 +aS'at\tat\tIN\tB-PP\tO' +p206938 +aS'6.3\t6.3\tCD\tB-NP\tO' +p206939 +aS';\t;\t:\tO\tO' +p206940 +aS'this\tthis\tDT\tB-NP\tO' +p206941 +aS'was\tbe\tVBD\tB-VP\tO' +p206942 +aS'repeated\trepeat\tVBN\tI-VP\tO' +p206943 +aS'and\tand\tCC\tO\tO' +p206944 +aS'was\tbe\tVBD\tB-VP\tO' +p206945 +aS'still\tstill\tRB\tI-VP\tO' +p206946 +aS'pending\tpende\tVBG\tI-VP\tO' +p206947 +aS'on\ton\tIN\tB-PP\tO' +p206948 +aS'the\tthe\tDT\tB-NP\tO' +p206949 +aS'day\tday\tNN\tI-NP\tO' +p206950 +aS'of\tof\tIN\tB-PP\tO' +p206951 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p206952 +aS'.\t.\t.\tO\tO' +p206953 +asS'Preoperatively , he had a severely dilated left ventricle with markedly diminished function .' +p206954 +(lp206955 +S'Preoperatively\tPreoperatively\tRB\tB-ADVP\tO' +p206956 +aS',\t,\t,\tO\tO' +p206957 +aS'he\the\tPRP\tB-NP\tO' +p206958 +aS'had\thave\tVBD\tB-VP\tO' +p206959 +aS'a\ta\tDT\tB-NP\tO' +p206960 +aS'severely\tseverely\tRB\tI-NP\tO' +p206961 +aS'dilated\tdilated\tJJ\tI-NP\tO' +p206962 +aS'left\tleft\tJJ\tI-NP\tO' +p206963 +aS'ventricle\tventricle\tNN\tI-NP\tO' +p206964 +aS'with\twith\tIN\tB-PP\tO' +p206965 +aS'markedly\tmarkedly\tRB\tB-NP\tO' +p206966 +aS'diminished\tdiminish\tVBN\tI-NP\tO' +p206967 +aS'function\tfunction\tNN\tI-NP\tO' +p206968 +aS'.\t.\t.\tO\tO' +p206969 +asS'She reports orthopnea with an increasing pillow requirement of 2-4 with paroxysmal nocturnal dyspnea .' +p206970 +(lp206971 +S'She\tShe\tPRP\tB-NP\tO' +p206972 +aS'reports\treport\tVBZ\tB-VP\tO' +p206973 +aS'orthopnea\torthopnea\tNN\tB-NP\tO' +p206974 +aS'with\twith\tIN\tB-PP\tO' +p206975 +aS'an\tan\tDT\tB-NP\tO' +p206976 +aS'increasing\tincrease\tVBG\tI-NP\tO' +p206977 +aS'pillow\tpillow\tNN\tI-NP\tO' +p206978 +aS'requirement\trequirement\tNN\tI-NP\tO' +p206979 +aS'of\tof\tIN\tB-PP\tO' +p206980 +aS'2-4\t2-4\tCD\tB-NP\tO' +p206981 +aS'with\twith\tIN\tB-PP\tO' +p206982 +aS'paroxysmal\tparoxysmal\tJJ\tB-NP\tO' +p206983 +aS'nocturnal\tnocturnal\tJJ\tI-NP\tO' +p206984 +aS'dyspnea\tdyspnea\tNN\tI-NP\tO' +p206985 +aS'.\t.\t.\tO\tO' +p206986 +asS'7. Peridex 15 mL swish and swallow prn .' +p206987 +(lp206988 +S'7.\t7.\tCD\tB-NP\tO' +p206989 +aS'Peridex\tPeridex\tNNP\tI-NP\tO' +p206990 +aS'15\t15\tCD\tI-NP\tO' +p206991 +aS'mL\tmL\tNN\tI-NP\tO' +p206992 +aS'swish\tswish\tNN\tI-NP\tO' +p206993 +aS'and\tand\tCC\tO\tO' +p206994 +aS'swallow\tswallow\tVB\tB-VP\tO' +p206995 +aS'prn\tprn\tNN\tB-NP\tO' +p206996 +aS'.\t.\t.\tO\tO' +p206997 +asS'5. He has received no immunizations .' +p206998 +(lp206999 +S'5.\t5.\tLS\tB-LST\tO' +p207000 +aS'He\tHe\tPRP\tB-NP\tB-DNA' +p207001 +aS'has\thave\tVBZ\tB-VP\tO' +p207002 +aS'received\treceive\tVBN\tI-VP\tO' +p207003 +aS'no\tno\tDT\tB-NP\tO' +p207004 +aS'immunizations\timmunization\tNNS\tI-NP\tO' +p207005 +aS'.\t.\t.\tO\tO' +p207006 +asS'Sodium was 142 , potassium 3.3 , chloride 99 , BUN 23 , creatinine 1.1 .' +p207007 +(lp207008 +S'Sodium\tSodium\tNN\tB-NP\tO' +p207009 +aS'was\tbe\tVBD\tB-VP\tO' +p207010 +aS'142\t142\tCD\tB-NP\tO' +p207011 +aS',\t,\t,\tO\tO' +p207012 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p207013 +aS'3.3\t3.3\tCD\tI-NP\tO' +p207014 +aS',\t,\t,\tO\tO' +p207015 +aS'chloride\tchloride\tNN\tB-NP\tO' +p207016 +aS'99\t99\tCD\tI-NP\tO' +p207017 +aS',\t,\t,\tO\tO' +p207018 +aS'BUN\tBUN\tNN\tB-NP\tB-DNA' +p207019 +aS'23\t23\tCD\tI-NP\tI-DNA' +p207020 +aS',\t,\t,\tO\tO' +p207021 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p207022 +aS'1.1\t1.1\tCD\tI-NP\tO' +p207023 +aS'.\t.\t.\tO\tO' +p207024 +asS'14. Codeine - Guaifenesin 10-100 mg / 5 mL Syrup Sig : 5-10 MLs PO Q6H ( every 6 hours ) as needed .' +p207025 +(lp207026 +S'14.\t14.\tLS\tB-NP\tO' +p207027 +aS'Codeine\tCodeine\tNN\tI-NP\tO' +p207028 +aS'-\t-\tHYPH\tO\tO' +p207029 +aS'Guaifenesin\tGuaifenesin\tNN\tB-NP\tO' +p207030 +aS'10-100\t10-100\tCD\tI-NP\tO' +p207031 +aS'mg\tmg\tNN\tI-NP\tO' +p207032 +aS'/\t/\tSYM\tB-NP\tO' +p207033 +aS'5\t5\tCD\tB-NP\tO' +p207034 +aS'mL\tmL\tNN\tI-NP\tO' +p207035 +aS'Syrup\tSyrup\tNNP\tI-NP\tO' +p207036 +aS'Sig\tSig\tNNP\tI-NP\tO' +p207037 +aS':\t:\t:\tO\tO' +p207038 +aS'5-10\t5-10\tCD\tB-NP\tO' +p207039 +aS'MLs\tML\tNNS\tI-NP\tO' +p207040 +aS'PO\tPO\tNN\tI-NP\tO' +p207041 +aS'Q6H\tQ6H\tNN\tI-NP\tO' +p207042 +aS'(\t(\t(\tO\tO' +p207043 +aS'every\tevery\tDT\tB-NP\tO' +p207044 +aS'6\t6\tCD\tI-NP\tO' +p207045 +aS'hours\thour\tNNS\tI-NP\tO' +p207046 +aS')\t)\t)\tO\tO' +p207047 +aS'as\tas\tIN\tB-SBAR\tO' +p207048 +aS'needed\tneed\tVBN\tB-VP\tO' +p207049 +aS'.\t.\t.\tO\tO' +p207050 +asS'Infant was circumcised in the newborn nursery which was healing well .' +p207051 +(lp207052 +S'Infant\tInfant\tNN\tB-NP\tO' +p207053 +aS'was\tbe\tVBD\tB-VP\tO' +p207054 +aS'circumcised\tcircumcise\tVBN\tI-VP\tO' +p207055 +aS'in\tin\tIN\tB-PP\tO' +p207056 +aS'the\tthe\tDT\tB-NP\tO' +p207057 +aS'newborn\tnewborn\tJJ\tI-NP\tO' +p207058 +aS'nursery\tnursery\tNN\tI-NP\tO' +p207059 +aS'which\twhich\tWDT\tB-NP\tO' +p207060 +aS'was\tbe\tVBD\tB-VP\tO' +p207061 +aS'healing\theal\tVBG\tI-VP\tO' +p207062 +aS'well\twell\tRB\tB-ADVP\tO' +p207063 +aS'.\t.\t.\tO\tO' +p207064 +asS'The exception is that per his PCP , Jason aspirin will be held for 2 weeks given that he was restarted on coumadin with' +p207065 +(lp207066 +S'The\tThe\tDT\tB-NP\tO' +p207067 +aS'exception\texception\tNN\tI-NP\tO' +p207068 +aS'is\tbe\tVBZ\tB-VP\tO' +p207069 +aS'that\tthat\tIN\tB-SBAR\tO' +p207070 +aS'per\tper\tIN\tB-PP\tO' +p207071 +aS'his\this\tPRP$\tB-NP\tO' +p207072 +aS'PCP\tPCP\tNN\tI-NP\tB-DNA' +p207073 +aS',\t,\t,\tO\tO' +p207074 +aS'Jason\tJason\tNNP\tB-NP\tO' +p207075 +aS'aspirin\taspirin\tNN\tI-NP\tO' +p207076 +aS'will\twill\tMD\tB-VP\tO' +p207077 +aS'be\tbe\tVB\tI-VP\tO' +p207078 +aS'held\thold\tVBN\tI-VP\tO' +p207079 +aS'for\tfor\tIN\tB-PP\tO' +p207080 +aS'2\t2\tCD\tB-NP\tO' +p207081 +aS'weeks\tweek\tNNS\tI-NP\tO' +p207082 +aS'given\tgive\tVBN\tB-PP\tO' +p207083 +aS'that\tthat\tIN\tB-SBAR\tO' +p207084 +aS'he\the\tPRP\tB-NP\tO' +p207085 +aS'was\tbe\tVBD\tB-VP\tO' +p207086 +aS'restarted\trestart\tVBN\tI-VP\tO' +p207087 +aS'on\ton\tIN\tB-PP\tO' +p207088 +aS'coumadin\tcoumadin\tNN\tB-NP\tO' +p207089 +aS'with\twith\tIN\tB-PP\tO' +p207090 +asS'We will given valium 5 mg p.o. q. 3 hours for withdrawal .' +p207091 +(lp207092 +S'We\tWe\tPRP\tB-NP\tO' +p207093 +aS'will\twill\tMD\tB-VP\tO' +p207094 +aS'given\tgive\tVBN\tI-VP\tO' +p207095 +aS'valium\tvalium\tNN\tB-NP\tO' +p207096 +aS'5\t5\tCD\tI-NP\tO' +p207097 +aS'mg\tmg\tNN\tI-NP\tO' +p207098 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p207099 +aS'q.\tq.\tNN\tI-NP\tO' +p207100 +aS'3\t3\tCD\tB-NP\tO' +p207101 +aS'hours\thour\tNNS\tI-NP\tO' +p207102 +aS'for\tfor\tIN\tB-PP\tO' +p207103 +aS'withdrawal\twithdrawal\tNN\tB-NP\tO' +p207104 +aS'.\t.\t.\tO\tO' +p207105 +asS'2. Severe gait ataxia .' +p207106 +(lp207107 +S'2.\t2.\tLS\tB-LST\tO' +p207108 +aS'Severe\tSevere\tJJ\tB-NP\tO' +p207109 +aS'gait\tgait\tVB\tB-VP\tO' +p207110 +aS'ataxia\tataxia\tNN\tB-NP\tO' +p207111 +aS'.\t.\t.\tO\tO' +p207112 +asS'Attending : Pedro D. Anderson , M.D.' +p207113 +(lp207114 +S'Attending\tAttend\tVBG\tB-VP\tO' +p207115 +aS':\t:\t:\tO\tO' +p207116 +aS'Pedro\tPedro\tNNP\tB-NP\tO' +p207117 +aS'D.\tD.\tNNP\tI-NP\tO' +p207118 +aS'Anderson\tAnderson\tNNP\tI-NP\tO' +p207119 +aS',\t,\t,\tO\tO' +p207120 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p207121 +asS'His temperatureis 98.9 .' +p207122 +(lp207123 +S'His\tHis\tPRP$\tB-NP\tO' +p207124 +aS'temperatureis\ttemperatureis\tNN\tI-NP\tO' +p207125 +aS'98.9\t98.9\tCD\tI-NP\tO' +p207126 +aS'.\t.\t.\tO\tO' +p207127 +asS'He markedly improved after a dose of Mestinon .' +p207128 +(lp207129 +S'He\tHe\tPRP\tB-NP\tO' +p207130 +aS'markedly\tmarkedly\tRB\tB-ADVP\tO' +p207131 +aS'improved\timprove\tVBD\tB-VP\tO' +p207132 +aS'after\tafter\tIN\tB-PP\tO' +p207133 +aS'a\ta\tDT\tB-NP\tO' +p207134 +aS'dose\tdose\tNN\tI-NP\tO' +p207135 +aS'of\tof\tIN\tB-PP\tO' +p207136 +aS'Mestinon\tMestinon\tNNP\tB-NP\tO' +p207137 +aS'.\t.\t.\tO\tO' +p207138 +asS'Pathology demonstrates that the pathology results of the liver were not finalized .' +p207139 +(lp207140 +S'Pathology\tPathology\tNNP\tB-NP\tO' +p207141 +aS'demonstrates\tdemonstrate\tVBZ\tB-VP\tO' +p207142 +aS'that\tthat\tIN\tB-SBAR\tO' +p207143 +aS'the\tthe\tDT\tB-NP\tO' +p207144 +aS'pathology\tpathology\tNN\tI-NP\tO' +p207145 +aS'results\tresult\tNNS\tI-NP\tO' +p207146 +aS'of\tof\tIN\tB-PP\tO' +p207147 +aS'the\tthe\tDT\tB-NP\tO' +p207148 +aS'liver\tliver\tNN\tI-NP\tO' +p207149 +aS'were\tbe\tVBD\tB-VP\tO' +p207150 +aS'not\tnot\tRB\tI-VP\tO' +p207151 +aS'finalized\tfinalize\tVBN\tI-VP\tO' +p207152 +aS'.\t.\t.\tO\tO' +p207153 +asS'The patient has a positive tobacco history , but he quit smoking over 20 years ago .' +p207154 +(lp207155 +S'The\tThe\tDT\tB-NP\tO' +p207156 +aS'patient\tpatient\tNN\tI-NP\tO' +p207157 +aS'has\thave\tVBZ\tB-VP\tO' +p207158 +aS'a\ta\tDT\tB-NP\tO' +p207159 +aS'positive\tpositive\tJJ\tI-NP\tO' +p207160 +aS'tobacco\ttobacco\tNN\tI-NP\tO' +p207161 +aS'history\thistory\tNN\tI-NP\tO' +p207162 +aS',\t,\t,\tO\tO' +p207163 +aS'but\tbut\tCC\tO\tO' +p207164 +aS'he\the\tPRP\tB-NP\tO' +p207165 +aS'quit\tquit\tVBD\tB-VP\tO' +p207166 +aS'smoking\tsmoking\tNN\tB-NP\tO' +p207167 +aS'over\tover\tIN\tB-PP\tO' +p207168 +aS'20\t20\tCD\tB-NP\tO' +p207169 +aS'years\tyear\tNNS\tI-NP\tO' +p207170 +aS'ago\tago\tRB\tB-ADVP\tO' +p207171 +aS'.\t.\t.\tO\tO' +p207172 +asS'Vancomycin 1 gm IV q12h .' +p207173 +(lp207174 +S'Vancomycin\tVancomycin\tNN\tB-NP\tO' +p207175 +aS'1\t1\tCD\tI-NP\tO' +p207176 +aS'gm\tgm\tNN\tI-NP\tO' +p207177 +aS'IV\tIV\tCD\tB-NP\tO' +p207178 +aS'q12h\tq12h\tNN\tI-NP\tO' +p207179 +aS'.\t.\t.\tO\tO' +p207180 +asS'There is a small subdural hematoma with components of pneumocephalus tracking from the mastoid air cells .' +p207181 +(lp207182 +S'There\tThere\tEX\tB-NP\tO' +p207183 +aS'is\tbe\tVBZ\tB-VP\tO' +p207184 +aS'a\ta\tDT\tB-NP\tO' +p207185 +aS'small\tsmall\tJJ\tI-NP\tO' +p207186 +aS'subdural\tsubdural\tJJ\tI-NP\tO' +p207187 +aS'hematoma\thematoma\tNN\tI-NP\tO' +p207188 +aS'with\twith\tIN\tB-PP\tO' +p207189 +aS'components\tcomponent\tNNS\tB-NP\tO' +p207190 +aS'of\tof\tIN\tB-PP\tO' +p207191 +aS'pneumocephalus\tpneumocephalus\tNN\tB-NP\tO' +p207192 +aS'tracking\ttracking\tNN\tI-NP\tO' +p207193 +aS'from\tfrom\tIN\tB-PP\tO' +p207194 +aS'the\tthe\tDT\tB-NP\tO' +p207195 +aS'mastoid\tmastoid\tJJ\tI-NP\tB-cell_type' +p207196 +aS'air\tair\tNN\tI-NP\tI-cell_type' +p207197 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p207198 +aS'.\t.\t.\tO\tO' +p207199 +asS'He was unable to move the left side of his body and felt numb on that side .' +p207200 +(lp207201 +S'He\tHe\tPRP\tB-NP\tO' +p207202 +aS'was\tbe\tVBD\tB-VP\tO' +p207203 +aS'unable\tunable\tJJ\tB-ADJP\tO' +p207204 +aS'to\tto\tTO\tB-VP\tO' +p207205 +aS'move\tmove\tVB\tI-VP\tO' +p207206 +aS'the\tthe\tDT\tB-NP\tO' +p207207 +aS'left\tleft\tJJ\tI-NP\tO' +p207208 +aS'side\tside\tNN\tI-NP\tO' +p207209 +aS'of\tof\tIN\tB-PP\tO' +p207210 +aS'his\this\tPRP$\tB-NP\tO' +p207211 +aS'body\tbody\tNN\tI-NP\tO' +p207212 +aS'and\tand\tCC\tO\tO' +p207213 +aS'felt\tfeel\tVBD\tB-VP\tO' +p207214 +aS'numb\tnumb\tNN\tB-NP\tO' +p207215 +aS'on\ton\tIN\tB-PP\tO' +p207216 +aS'that\tthat\tDT\tB-NP\tO' +p207217 +aS'side\tside\tNN\tI-NP\tO' +p207218 +aS'.\t.\t.\tO\tO' +p207219 +asS'The patient was AV paced at a rate of 88 beats per minute .' +p207220 +(lp207221 +S'The\tThe\tDT\tB-NP\tO' +p207222 +aS'patient\tpatient\tNN\tI-NP\tO' +p207223 +aS'was\tbe\tVBD\tB-VP\tO' +p207224 +aS'AV\tAV\tNN\tB-NP\tO' +p207225 +aS'paced\tpace\tVBN\tB-VP\tO' +p207226 +aS'at\tat\tIN\tB-PP\tO' +p207227 +aS'a\ta\tDT\tB-NP\tO' +p207228 +aS'rate\trate\tNN\tI-NP\tO' +p207229 +aS'of\tof\tIN\tB-PP\tO' +p207230 +aS'88\t88\tCD\tB-NP\tO' +p207231 +aS'beats\tbeat\tNNS\tI-NP\tO' +p207232 +aS'per\tper\tIN\tB-PP\tO' +p207233 +aS'minute\tminute\tNN\tB-NP\tO' +p207234 +aS'.\t.\t.\tO\tO' +p207235 +asS'In general , he was alert and in no acute distress .' +p207236 +(lp207237 +S'In\tIn\tIN\tB-PP\tO' +p207238 +aS'general\tgeneral\tJJ\tB-ADJP\tO' +p207239 +aS',\t,\t,\tO\tO' +p207240 +aS'he\the\tPRP\tB-NP\tO' +p207241 +aS'was\tbe\tVBD\tB-VP\tO' +p207242 +aS'alert\talert\tJJ\tB-ADJP\tO' +p207243 +aS'and\tand\tCC\tO\tO' +p207244 +aS'in\tin\tIN\tB-PP\tO' +p207245 +aS'no\tno\tDT\tB-NP\tO' +p207246 +aS'acute\tacute\tJJ\tI-NP\tO' +p207247 +aS'distress\tdistress\tNN\tI-NP\tO' +p207248 +aS'.\t.\t.\tO\tO' +p207249 +asS'He was admitted to the CMED , intubated for airway protection and started on both a calcium and glucagon drip .' +p207250 +(lp207251 +S'He\tHe\tPRP\tB-NP\tO' +p207252 +aS'was\tbe\tVBD\tB-VP\tO' +p207253 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p207254 +aS'to\tto\tTO\tB-PP\tO' +p207255 +aS'the\tthe\tDT\tB-NP\tO' +p207256 +aS'CMED\tCMED\tNN\tI-NP\tO' +p207257 +aS',\t,\t,\tO\tO' +p207258 +aS'intubated\tintubate\tVBN\tB-VP\tO' +p207259 +aS'for\tfor\tIN\tB-PP\tO' +p207260 +aS'airway\tairway\tNN\tB-NP\tO' +p207261 +aS'protection\tprotection\tNN\tI-NP\tO' +p207262 +aS'and\tand\tCC\tO\tO' +p207263 +aS'started\tstart\tVBD\tB-VP\tO' +p207264 +aS'on\ton\tIN\tB-PP\tO' +p207265 +aS'both\tboth\tCC\tO\tO' +p207266 +aS'a\ta\tDT\tB-NP\tO' +p207267 +aS'calcium\tcalcium\tNN\tI-NP\tO' +p207268 +aS'and\tand\tCC\tI-NP\tO' +p207269 +aS'glucagon\tglucagon\tNN\tI-NP\tO' +p207270 +aS'drip\tdrip\tNN\tI-NP\tO' +p207271 +aS'.\t.\t.\tO\tO' +p207272 +asS'an appointment was made with interventional radiology on 2019-02-11 to replace his PORT , under the assumption that his surveillance cultures from dialysis remain negative .' +p207273 +(lp207274 +S'an\tan\tDT\tB-NP\tO' +p207275 +aS'appointment\tappointment\tNN\tI-NP\tO' +p207276 +aS'was\tbe\tVBD\tB-VP\tO' +p207277 +aS'made\tmake\tVBN\tI-VP\tO' +p207278 +aS'with\twith\tIN\tB-PP\tO' +p207279 +aS'interventional\tinterventional\tJJ\tB-NP\tO' +p207280 +aS'radiology\tradiology\tNN\tI-NP\tO' +p207281 +aS'on\ton\tIN\tB-PP\tO' +p207282 +aS'2019-02-11\t2019-02-11\tCD\tB-NP\tO' +p207283 +aS'to\tto\tTO\tB-VP\tO' +p207284 +aS'replace\treplace\tVB\tI-VP\tO' +p207285 +aS'his\this\tPRP$\tB-NP\tO' +p207286 +aS'PORT\tPORT\tNN\tI-NP\tO' +p207287 +aS',\t,\t,\tO\tO' +p207288 +aS'under\tunder\tIN\tB-PP\tO' +p207289 +aS'the\tthe\tDT\tB-NP\tO' +p207290 +aS'assumption\tassumption\tNN\tI-NP\tO' +p207291 +aS'that\tthat\tIN\tB-SBAR\tO' +p207292 +aS'his\this\tPRP$\tB-NP\tB-cell_line' +p207293 +aS'surveillance\tsurveillance\tNN\tI-NP\tI-cell_line' +p207294 +aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' +p207295 +aS'from\tfrom\tIN\tB-PP\tO' +p207296 +aS'dialysis\tdialysis\tNN\tB-NP\tO' +p207297 +aS'remain\tremain\tVBP\tB-VP\tO' +p207298 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p207299 +aS'.\t.\t.\tO\tO' +p207300 +asS'Portal vein was fully patent .' +p207301 +(lp207302 +S'Portal\tPortal\tJJ\tB-NP\tO' +p207303 +aS'vein\tvein\tNN\tI-NP\tO' +p207304 +aS'was\tbe\tVBD\tB-VP\tO' +p207305 +aS'fully\tfully\tRB\tB-ADJP\tO' +p207306 +aS'patent\tpatent\tNN\tI-ADJP\tO' +p207307 +aS'.\t.\t.\tO\tO' +p207308 +asS'For 2 days PTA , he has expressed a wish to kill himself ( no clear plan , but fixing things around the house " so things will be ready when I \'m gone ").' +p207309 +(lp207310 +S'For\tFor\tIN\tB-PP\tO' +p207311 +aS'2\t2\tCD\tB-NP\tO' +p207312 +aS'days\tday\tNNS\tI-NP\tO' +p207313 +aS'PTA\tPTA\tNN\tI-NP\tB-protein' +p207314 +aS',\t,\t,\tO\tO' +p207315 +aS'he\the\tPRP\tB-NP\tO' +p207316 +aS'has\thave\tVBZ\tB-VP\tO' +p207317 +aS'expressed\texpress\tVBN\tI-VP\tO' +p207318 +aS'a\ta\tDT\tB-NP\tO' +p207319 +aS'wish\twish\tNN\tI-NP\tO' +p207320 +aS'to\tto\tTO\tB-VP\tO' +p207321 +aS'kill\tkill\tVB\tI-VP\tO' +p207322 +aS'himself\thimself\tPRP\tB-NP\tO' +p207323 +aS'(\t(\t(\tO\tO' +p207324 +aS'no\tno\tDT\tB-NP\tO' +p207325 +aS'clear\tclear\tJJ\tI-NP\tO' +p207326 +aS'plan\tplan\tNN\tI-NP\tO' +p207327 +aS',\t,\t,\tO\tO' +p207328 +aS'but\tbut\tCC\tO\tO' +p207329 +aS'fixing\tfix\tVBG\tB-VP\tO' +p207330 +aS'things\tthing\tNNS\tB-NP\tO' +p207331 +aS'around\taround\tIN\tB-PP\tO' +p207332 +aS'the\tthe\tDT\tB-NP\tO' +p207333 +aS'house\thouse\tNN\tI-NP\tO' +p207334 +aS'"\t"\t``\tO\tO' +p207335 +aS'so\tso\tRB\tB-ADVP\tO' +p207336 +aS'things\tthing\tNNS\tB-NP\tO' +p207337 +aS'will\twill\tMD\tB-VP\tO' +p207338 +aS'be\tbe\tVB\tI-VP\tO' +p207339 +aS'ready\tready\tJJ\tB-ADJP\tO' +p207340 +aS'when\twhen\tWRB\tB-ADVP\tO' +p207341 +aS'I\tI\tPRP\tB-NP\tO' +p207342 +aS"'m\t'm\tVBP\tB-VP\tO" +p207343 +aS'gone\tgo\tVBN\tI-VP\tO' +p207344 +aS'").\t").\tRB\tB-ADVP\tO' +p207345 +asS'He is able to apply his prosthesis and ambulate as well .' +p207346 +(lp207347 +S'He\tHe\tPRP\tB-NP\tO' +p207348 +aS'is\tbe\tVBZ\tB-VP\tO' +p207349 +aS'able\table\tJJ\tB-ADJP\tO' +p207350 +aS'to\tto\tTO\tB-VP\tO' +p207351 +aS'apply\tapply\tVB\tI-VP\tO' +p207352 +aS'his\this\tPRP$\tB-NP\tO' +p207353 +aS'prosthesis\tprosthesis\tNN\tI-NP\tO' +p207354 +aS'and\tand\tCC\tO\tO' +p207355 +aS'ambulate\tambulate\tVBP\tB-VP\tO' +p207356 +aS'as\tas\tRB\tB-ADVP\tO' +p207357 +aS'well\twell\tRB\tI-ADVP\tO' +p207358 +aS'.\t.\t.\tO\tO' +p207359 +asS'Please continue Ciprofloxacin antibiotic until 2019-02-14 .' +p207360 +(lp207361 +S'Please\tPlease\tVB\tB-VP\tO' +p207362 +aS'continue\tcontinue\tVB\tI-VP\tO' +p207363 +aS'Ciprofloxacin\tCiprofloxacin\tNN\tB-NP\tO' +p207364 +aS'antibiotic\tantibiotic\tNN\tI-NP\tO' +p207365 +aS'until\tuntil\tIN\tB-PP\tO' +p207366 +aS'2019-02-14\t2019-02-14\tCD\tB-NP\tO' +p207367 +aS'.\t.\t.\tO\tO' +p207368 +asS'3. History of ischemic bowel .' +p207369 +(lp207370 +S'3.\t3.\tLS\tB-NP\tO' +p207371 +aS'History\tHistory\tNN\tI-NP\tO' +p207372 +aS'of\tof\tIN\tB-PP\tO' +p207373 +aS'ischemic\tischemic\tJJ\tB-NP\tO' +p207374 +aS'bowel\tbowel\tNN\tI-NP\tO' +p207375 +aS'.\t.\t.\tO\tO' +p207376 +asS'He was anticoagulated with heparin and coumadin .' +p207377 +(lp207378 +S'He\tHe\tPRP\tB-NP\tO' +p207379 +aS'was\tbe\tVBD\tB-VP\tO' +p207380 +aS'anticoagulated\tanticoagulate\tVBN\tI-VP\tO' +p207381 +aS'with\twith\tIN\tB-PP\tO' +p207382 +aS'heparin\theparin\tNN\tB-NP\tO' +p207383 +aS'and\tand\tCC\tI-NP\tO' +p207384 +aS'coumadin\tcoumadin\tNN\tI-NP\tO' +p207385 +aS'.\t.\t.\tO\tO' +p207386 +asS'Pt underwent bronchoscopy on 11-22 following transfer to the ICU for hypoxic respiratory failure and intubation ( 7.25/52/70 on 100% NRB ) .' +p207387 +(lp207388 +S'Pt\tPt\tNN\tB-NP\tO' +p207389 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p207390 +aS'bronchoscopy\tbronchoscopy\tNN\tB-NP\tO' +p207391 +aS'on\ton\tIN\tB-PP\tO' +p207392 +aS'11-22\t11-22\tCD\tB-NP\tO' +p207393 +aS'following\tfollow\tVBG\tB-PP\tO' +p207394 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p207395 +aS'to\tto\tTO\tB-PP\tO' +p207396 +aS'the\tthe\tDT\tB-NP\tO' +p207397 +aS'ICU\tICU\tNN\tI-NP\tO' +p207398 +aS'for\tfor\tIN\tB-PP\tO' +p207399 +aS'hypoxic\thypoxic\tJJ\tB-NP\tO' +p207400 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p207401 +aS'failure\tfailure\tNN\tI-NP\tO' +p207402 +aS'and\tand\tCC\tO\tO' +p207403 +aS'intubation\tintubation\tNN\tB-NP\tO' +p207404 +aS'(\t(\t(\tO\tO' +p207405 +aS'7.25/52/70\t7.25/52/70\tCD\tB-NP\tO' +p207406 +aS'on\ton\tIN\tB-PP\tO' +p207407 +aS'100%\t100%\tCD\tB-NP\tO' +p207408 +aS'NRB\tNRB\tNN\tI-NP\tB-protein' +p207409 +aS')\t)\t)\tO\tO' +p207410 +aS'.\t.\t.\tO\tO' +p207411 +asS'Is notable for depression , and she has been followed regularly by Dr. Freiermchird of Nash Health for several months with pharmacologic treatment , which is apparently working well .' +p207412 +(lp207413 +S'Is\tBe\tVBZ\tO\tO' +p207414 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p207415 +aS'for\tfor\tIN\tB-PP\tO' +p207416 +aS'depression\tdepression\tNN\tB-NP\tO' +p207417 +aS',\t,\t,\tO\tO' +p207418 +aS'and\tand\tCC\tO\tO' +p207419 +aS'she\tshe\tPRP\tB-NP\tO' +p207420 +aS'has\thave\tVBZ\tB-VP\tO' +p207421 +aS'been\tbe\tVBN\tI-VP\tO' +p207422 +aS'followed\tfollow\tVBN\tI-VP\tO' +p207423 +aS'regularly\tregularly\tRB\tB-ADVP\tO' +p207424 +aS'by\tby\tIN\tB-PP\tO' +p207425 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p207426 +aS'Freiermchird\tFreiermchird\tNNP\tI-NP\tO' +p207427 +aS'of\tof\tIN\tB-PP\tO' +p207428 +aS'Nash\tNash\tNNP\tB-NP\tO' +p207429 +aS'Health\tHealth\tNNP\tI-NP\tO' +p207430 +aS'for\tfor\tIN\tB-PP\tO' +p207431 +aS'several\tseveral\tJJ\tB-NP\tO' +p207432 +aS'months\tmonth\tNNS\tI-NP\tO' +p207433 +aS'with\twith\tIN\tB-PP\tO' +p207434 +aS'pharmacologic\tpharmacologic\tJJ\tB-NP\tO' +p207435 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p207436 +aS',\t,\t,\tO\tO' +p207437 +aS'which\twhich\tWDT\tB-NP\tO' +p207438 +aS'is\tbe\tVBZ\tB-VP\tO' +p207439 +aS'apparently\tapparently\tRB\tI-VP\tO' +p207440 +aS'working\twork\tVBG\tI-VP\tO' +p207441 +aS'well\twell\tRB\tB-ADVP\tO' +p207442 +aS'.\t.\t.\tO\tO' +p207443 +asS'white blood cells 7 , hematocrit 42.7% , hemoglobin 14.3 , platelets 161 .' +p207444 +(lp207445 +S'white\twhite\tJJ\tB-NP\tO' +p207446 +aS'blood\tblood\tNN\tI-NP\tO' +p207447 +aS'cells\tcell\tNNS\tI-NP\tO' +p207448 +aS'7\t7\tCD\tB-NP\tO' +p207449 +aS',\t,\t,\tO\tO' +p207450 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p207451 +aS'42.7%\t42.7%\tNN\tI-NP\tI-protein' +p207452 +aS',\t,\t,\tO\tO' +p207453 +aS'hemoglobin\themoglobin\tNN\tB-NP\tB-protein' +p207454 +aS'14.3\t14.3\tCD\tI-NP\tI-protein' +p207455 +aS',\t,\t,\tO\tO' +p207456 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p207457 +aS'161\t161\tCD\tB-NP\tO' +p207458 +aS'.\t.\t.\tO\tO' +p207459 +asS'There was a 3-vessel cord .' +p207460 +(lp207461 +S'There\tThere\tEX\tB-NP\tO' +p207462 +aS'was\tbe\tVBD\tB-VP\tO' +p207463 +aS'a\ta\tDT\tB-NP\tO' +p207464 +aS'3-vessel\t3-vessel\tJJ\tI-NP\tO' +p207465 +aS'cord\tcord\tNN\tI-NP\tO' +p207466 +aS'.\t.\t.\tO\tO' +p207467 +asS'Additionally the pt should f/u with the hematology clinic .' +p207468 +(lp207469 +S'Additionally\tAdditionally\tRB\tB-ADVP\tO' +p207470 +aS'the\tthe\tDT\tB-NP\tO' +p207471 +aS'pt\tpt\tNN\tI-NP\tO' +p207472 +aS'should\tshould\tMD\tB-VP\tO' +p207473 +aS'f/u\tf/u\tVB\tI-VP\tO' +p207474 +aS'with\twith\tIN\tB-PP\tO' +p207475 +aS'the\tthe\tDT\tB-NP\tO' +p207476 +aS'hematology\thematology\tNN\tI-NP\tO' +p207477 +aS'clinic\tclinic\tNN\tI-NP\tO' +p207478 +aS'.\t.\t.\tO\tO' +p207479 +asS'Mother died of end stage renal disease .' +p207480 +(lp207481 +S'Mother\tMother\tNNP\tB-NP\tO' +p207482 +aS'died\tdie\tVBD\tB-VP\tO' +p207483 +aS'of\tof\tIN\tB-PP\tO' +p207484 +aS'end\tend\tNN\tB-NP\tO' +p207485 +aS'stage\tstage\tNN\tI-NP\tO' +p207486 +aS'renal\trenal\tJJ\tI-NP\tO' +p207487 +aS'disease\tdisease\tNN\tI-NP\tO' +p207488 +aS'.\t.\t.\tO\tO' +p207489 +asS'3. Polyvinyl Alcohol - Povidone 1.4-0.6 % Dropperette Sig : 02-25 Drops Ophthalmic PRN ( as needed ).' +p207490 +(lp207491 +S'3.\t3.\tLS\tB-NP\tO' +p207492 +aS'Polyvinyl\tPolyvinyl\tNN\tI-NP\tO' +p207493 +aS'Alcohol\tAlcohol\tNN\tI-NP\tO' +p207494 +aS'-\t-\tHYPH\tB-NP\tO' +p207495 +aS'Povidone\tPovidone\tNN\tI-NP\tO' +p207496 +aS'1.4-0.6\t1.4-0.6\tCD\tB-NP\tO' +p207497 +aS'%\t%\tNN\tI-NP\tO' +p207498 +aS'Dropperette\tDropperette\tNNP\tI-NP\tO' +p207499 +aS'Sig\tSig\tNNP\tI-NP\tO' +p207500 +aS':\t:\t:\tO\tO' +p207501 +aS'02-25\t02-25\tCD\tB-NP\tO' +p207502 +aS'Drops\tDrop\tVBZ\tB-VP\tO' +p207503 +aS'Ophthalmic\tOphthalmic\tJJ\tB-NP\tO' +p207504 +aS'PRN\tPRN\tNN\tI-NP\tO' +p207505 +aS'(\t(\t(\tO\tO' +p207506 +aS'as\tas\tIN\tB-SBAR\tO' +p207507 +aS'needed\tneed\tVBN\tB-VP\tO' +p207508 +aS').\t).\t)\tO\tO' +p207509 +asS'Please call your gastroenterologist to schedule a follow up appointment in 2 weeks .' +p207510 +(lp207511 +S'Please\tPlease\tVB\tB-VP\tO' +p207512 +aS'call\tcall\tVB\tI-VP\tO' +p207513 +aS'your\tyour\tPRP$\tB-NP\tO' +p207514 +aS'gastroenterologist\tgastroenterologist\tNN\tI-NP\tO' +p207515 +aS'to\tto\tTO\tB-VP\tO' +p207516 +aS'schedule\tschedule\tVB\tI-VP\tO' +p207517 +aS'a\ta\tDT\tB-NP\tO' +p207518 +aS'follow\tfollow\tNN\tI-NP\tO' +p207519 +aS'up\tup\tRP\tB-PRT\tO' +p207520 +aS'appointment\tappointment\tNN\tB-NP\tO' +p207521 +aS'in\tin\tIN\tB-PP\tO' +p207522 +aS'2\t2\tCD\tB-NP\tO' +p207523 +aS'weeks\tweek\tNNS\tI-NP\tO' +p207524 +aS'.\t.\t.\tO\tO' +p207525 +asS'Her thyroid was within normal limits .' +p207526 +(lp207527 +S'Her\tHer\tPRP$\tB-NP\tO' +p207528 +aS'thyroid\tthyroid\tNN\tI-NP\tO' +p207529 +aS'was\tbe\tVBD\tB-VP\tO' +p207530 +aS'within\twithin\tIN\tB-PP\tO' +p207531 +aS'normal\tnormal\tJJ\tB-NP\tO' +p207532 +aS'limits\tlimit\tNNS\tI-NP\tO' +p207533 +aS'.\t.\t.\tO\tO' +p207534 +asS'Currently , the infusion of factor 8 are going through a jugular Broviac which was placed on 05-15 for administration of factor .' +p207535 +(lp207536 +S'Currently\tCurrently\tRB\tB-ADVP\tO' +p207537 +aS',\t,\t,\tO\tO' +p207538 +aS'the\tthe\tDT\tB-NP\tO' +p207539 +aS'infusion\tinfusion\tNN\tI-NP\tO' +p207540 +aS'of\tof\tIN\tB-PP\tO' +p207541 +aS'factor\tfactor\tNN\tB-NP\tO' +p207542 +aS'8\t8\tCD\tI-NP\tO' +p207543 +aS'are\tbe\tVBP\tB-VP\tO' +p207544 +aS'going\tgo\tVBG\tI-VP\tO' +p207545 +aS'through\tthrough\tIN\tB-PP\tO' +p207546 +aS'a\ta\tDT\tB-NP\tO' +p207547 +aS'jugular\tjugular\tJJ\tI-NP\tO' +p207548 +aS'Broviac\tBroviac\tNN\tI-NP\tO' +p207549 +aS'which\twhich\tWDT\tB-NP\tO' +p207550 +aS'was\tbe\tVBD\tB-VP\tO' +p207551 +aS'placed\tplace\tVBN\tI-VP\tO' +p207552 +aS'on\ton\tIN\tB-PP\tO' +p207553 +aS'05-15\t05-15\tCD\tB-NP\tO' +p207554 +aS'for\tfor\tIN\tB-PP\tO' +p207555 +aS'administration\tadministration\tNN\tB-NP\tO' +p207556 +aS'of\tof\tIN\tB-PP\tO' +p207557 +aS'factor\tfactor\tNN\tB-NP\tO' +p207558 +aS'.\t.\t.\tO\tO' +p207559 +asS'After treatment with three cycles of fludarabine he had 90% involvement of his intratrabecular space .' +p207560 +(lp207561 +S'After\tAfter\tIN\tB-PP\tO' +p207562 +aS'treatment\ttreatment\tNN\tB-NP\tO' +p207563 +aS'with\twith\tIN\tB-PP\tO' +p207564 +aS'three\tthree\tCD\tB-NP\tO' +p207565 +aS'cycles\tcycle\tNNS\tI-NP\tO' +p207566 +aS'of\tof\tIN\tB-PP\tO' +p207567 +aS'fludarabine\tfludarabine\tNN\tB-NP\tO' +p207568 +aS'he\the\tPRP\tB-NP\tO' +p207569 +aS'had\thave\tVBD\tB-VP\tO' +p207570 +aS'90%\t90%\tCD\tB-NP\tO' +p207571 +aS'involvement\tinvolvement\tNN\tI-NP\tO' +p207572 +aS'of\tof\tIN\tB-PP\tO' +p207573 +aS'his\this\tPRP$\tB-NP\tO' +p207574 +aS'intratrabecular\tintratrabecular\tJJ\tI-NP\tO' +p207575 +aS'space\tspace\tNN\tI-NP\tO' +p207576 +aS'.\t.\t.\tO\tO' +p207577 +asS'Alert and appropriate .' +p207578 +(lp207579 +S'Alert\tAlert\tJJ\tB-ADJP\tO' +p207580 +aS'and\tand\tCC\tI-ADJP\tO' +p207581 +aS'appropriate\tappropriate\tJJ\tI-ADJP\tO' +p207582 +aS'.\t.\t.\tO\tO' +p207583 +asS'5. Placement of a right femoral arterial line .' +p207584 +(lp207585 +S'5.\t5.\tLS\tB-NP\tO' +p207586 +aS'Placement\tPlacement\tNN\tI-NP\tO' +p207587 +aS'of\tof\tIN\tB-PP\tO' +p207588 +aS'a\ta\tDT\tB-NP\tO' +p207589 +aS'right\tright\tJJ\tI-NP\tB-cell_line' +p207590 +aS'femoral\tfemoral\tJJ\tI-NP\tI-cell_line' +p207591 +aS'arterial\tarterial\tJJ\tI-NP\tI-cell_line' +p207592 +aS'line\tline\tNN\tI-NP\tI-cell_line' +p207593 +aS'.\t.\t.\tO\tO' +p207594 +asS'Clavicles intact .' +p207595 +(lp207596 +S'Clavicles\tClavicle\tNNS\tB-NP\tO' +p207597 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p207598 +aS'.\t.\t.\tO\tO' +p207599 +asS'please follow up with your primary care doctor within 4 weeks .' +p207600 +(lp207601 +S'please\tplease\tVB\tB-INTJ\tO' +p207602 +aS'follow\tfollow\tVB\tB-VP\tO' +p207603 +aS'up\tup\tRP\tB-PRT\tO' +p207604 +aS'with\twith\tIN\tB-PP\tO' +p207605 +aS'your\tyour\tPRP$\tB-NP\tO' +p207606 +aS'primary\tprimary\tJJ\tI-NP\tO' +p207607 +aS'care\tcare\tNN\tI-NP\tO' +p207608 +aS'doctor\tdoctor\tNN\tI-NP\tO' +p207609 +aS'within\twithin\tIN\tB-PP\tO' +p207610 +aS'4\t4\tCD\tB-NP\tO' +p207611 +aS'weeks\tweek\tNNS\tI-NP\tO' +p207612 +aS'.\t.\t.\tO\tO' +p207613 +asS'( 853 ) 390 1387 .' +p207614 +(lp207615 +S'(\t(\t(\tO\tO' +p207616 +aS'853\t853\tCD\tB-NP\tO' +p207617 +aS')\t)\t)\tO\tO' +p207618 +aS'390\t390\tCD\tB-NP\tO' +p207619 +aS'1387\t1387\tCD\tI-NP\tO' +p207620 +aS'.\t.\t.\tO\tO' +p207621 +asS'Lives alone second floor apartment ; son and mother nearby' +p207622 +(lp207623 +S'Lives\tLife\tNNS\tB-NP\tO' +p207624 +aS'alone\talone\tRB\tB-NP\tO' +p207625 +aS'second\tsecond\tJJ\tI-NP\tO' +p207626 +aS'floor\tfloor\tNN\tI-NP\tO' +p207627 +aS'apartment\tapartment\tNN\tI-NP\tO' +p207628 +aS';\t;\t:\tO\tO' +p207629 +aS'son\tson\tNN\tB-NP\tO' +p207630 +aS'and\tand\tCC\tI-NP\tO' +p207631 +aS'mother\tmother\tNN\tI-NP\tO' +p207632 +aS'nearby\tnearby\tRB\tB-ADVP\tO' +p207633 +asS'Dedicated MR of the neck may be helpful for more complete assessment of the neck mass and lymphadenopathy if warranted clinically .' +p207634 +(lp207635 +S'Dedicated\tDedicate\tVBN\tB-NP\tO' +p207636 +aS'MR\tMR\tNN\tI-NP\tB-protein' +p207637 +aS'of\tof\tIN\tB-PP\tO' +p207638 +aS'the\tthe\tDT\tB-NP\tO' +p207639 +aS'neck\tneck\tNN\tI-NP\tO' +p207640 +aS'may\tmay\tMD\tB-VP\tO' +p207641 +aS'be\tbe\tVB\tI-VP\tO' +p207642 +aS'helpful\thelpful\tJJ\tB-ADJP\tO' +p207643 +aS'for\tfor\tIN\tB-PP\tO' +p207644 +aS'more\tmore\tRBR\tB-NP\tO' +p207645 +aS'complete\tcomplete\tJJ\tI-NP\tO' +p207646 +aS'assessment\tassessment\tNN\tI-NP\tO' +p207647 +aS'of\tof\tIN\tB-PP\tO' +p207648 +aS'the\tthe\tDT\tB-NP\tO' +p207649 +aS'neck\tneck\tNN\tI-NP\tO' +p207650 +aS'mass\tmass\tNN\tI-NP\tO' +p207651 +aS'and\tand\tCC\tI-NP\tO' +p207652 +aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' +p207653 +aS'if\tif\tIN\tB-SBAR\tO' +p207654 +aS'warranted\twarrant\tVBN\tB-VP\tO' +p207655 +aS'clinically\tclinically\tRB\tB-ADVP\tO' +p207656 +aS'.\t.\t.\tO\tO' +p207657 +asS'She had some slight headaches which resolved with Tylenol , and the dizziness resolved as well .' +p207658 +(lp207659 +S'She\tShe\tPRP\tB-NP\tO' +p207660 +aS'had\thave\tVBD\tB-VP\tO' +p207661 +aS'some\tsome\tDT\tB-NP\tO' +p207662 +aS'slight\tslight\tJJ\tI-NP\tO' +p207663 +aS'headaches\theadache\tNNS\tI-NP\tO' +p207664 +aS'which\twhich\tWDT\tB-NP\tO' +p207665 +aS'resolved\tresolve\tVBD\tB-VP\tO' +p207666 +aS'with\twith\tIN\tB-PP\tO' +p207667 +aS'Tylenol\tTylenol\tNN\tB-NP\tO' +p207668 +aS',\t,\t,\tO\tO' +p207669 +aS'and\tand\tCC\tO\tO' +p207670 +aS'the\tthe\tDT\tB-NP\tO' +p207671 +aS'dizziness\tdizziness\tNN\tI-NP\tO' +p207672 +aS'resolved\tresolve\tVBD\tB-VP\tO' +p207673 +aS'as\tas\tRB\tB-ADVP\tO' +p207674 +aS'well\twell\tRB\tI-ADVP\tO' +p207675 +aS'.\t.\t.\tO\tO' +p207676 +asS'Incision is clean and dry .' +p207677 +(lp207678 +S'Incision\tIncision\tNN\tB-NP\tO' +p207679 +aS'is\tbe\tVBZ\tB-VP\tO' +p207680 +aS'clean\tclean\tJJ\tB-ADJP\tO' +p207681 +aS'and\tand\tCC\tI-ADJP\tO' +p207682 +aS'dry\tdry\tJJ\tI-ADJP\tO' +p207683 +aS'.\t.\t.\tO\tO' +p207684 +asS'1. Continue breast milk 24 calories of Nutramigen for concentration .' +p207685 +(lp207686 +S'1.\t1.\tLS\tB-NP\tO' +p207687 +aS'Continue\tContinue\tJJ\tI-NP\tO' +p207688 +aS'breast\tbreast\tNN\tI-NP\tO' +p207689 +aS'milk\tmilk\tNN\tI-NP\tO' +p207690 +aS'24\t24\tCD\tB-NP\tO' +p207691 +aS'calories\tcalorie\tNNS\tI-NP\tO' +p207692 +aS'of\tof\tIN\tB-PP\tO' +p207693 +aS'Nutramigen\tNutramigen\tNN\tB-NP\tO' +p207694 +aS'for\tfor\tIN\tB-PP\tO' +p207695 +aS'concentration\tconcentration\tNN\tB-NP\tO' +p207696 +aS'.\t.\t.\tO\tO' +p207697 +asS'On admission included Tylenol .' +p207698 +(lp207699 +S'On\tOn\tIN\tB-PP\tO' +p207700 +aS'admission\tadmission\tNN\tB-NP\tO' +p207701 +aS'included\tinclude\tVBD\tB-VP\tO' +p207702 +aS'Tylenol\tTylenol\tNN\tB-NP\tO' +p207703 +aS'.\t.\t.\tO\tO' +p207704 +asS'On admission was remarkable for an abdomen which was soft and non-tender .' +p207705 +(lp207706 +S'On\tOn\tIN\tB-PP\tO' +p207707 +aS'admission\tadmission\tNN\tB-NP\tO' +p207708 +aS'was\tbe\tVBD\tB-VP\tO' +p207709 +aS'remarkable\tremarkable\tJJ\tB-ADJP\tO' +p207710 +aS'for\tfor\tIN\tB-PP\tO' +p207711 +aS'an\tan\tDT\tB-NP\tO' +p207712 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p207713 +aS'which\twhich\tWDT\tB-NP\tO' +p207714 +aS'was\tbe\tVBD\tB-VP\tO' +p207715 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p207716 +aS'and\tand\tCC\tI-ADJP\tO' +p207717 +aS'non-tender\tnon-tender\tJJ\tI-ADJP\tO' +p207718 +aS'.\t.\t.\tO\tO' +p207719 +asS'Cardiovascular examination revealed tachycardic first heart sound and second heart sound .' +p207720 +(lp207721 +S'Cardiovascular\tCardiovascular\tJJ\tB-NP\tO' +p207722 +aS'examination\texamination\tNN\tI-NP\tO' +p207723 +aS'revealed\treveal\tVBD\tB-VP\tO' +p207724 +aS'tachycardic\ttachycardic\tJJ\tB-NP\tO' +p207725 +aS'first\tfirst\tJJ\tI-NP\tO' +p207726 +aS'heart\theart\tNN\tI-NP\tO' +p207727 +aS'sound\tsound\tNN\tI-NP\tO' +p207728 +aS'and\tand\tCC\tO\tO' +p207729 +aS'second\tsecond\tJJ\tB-NP\tO' +p207730 +aS'heart\theart\tNN\tI-NP\tO' +p207731 +aS'sound\tsound\tNN\tI-NP\tO' +p207732 +aS'.\t.\t.\tO\tO' +p207733 +asS'The patient is presently staying at the Gangistown Hospital Center .' +p207734 +(lp207735 +S'The\tThe\tDT\tB-NP\tO' +p207736 +aS'patient\tpatient\tNN\tI-NP\tO' +p207737 +aS'is\tbe\tVBZ\tB-VP\tO' +p207738 +aS'presently\tpresently\tRB\tI-VP\tO' +p207739 +aS'staying\tstay\tVBG\tI-VP\tO' +p207740 +aS'at\tat\tIN\tB-PP\tO' +p207741 +aS'the\tthe\tDT\tB-NP\tO' +p207742 +aS'Gangistown\tGangistown\tNNP\tI-NP\tO' +p207743 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p207744 +aS'Center\tCenter\tNNP\tI-NP\tO' +p207745 +aS'.\t.\t.\tO\tO' +p207746 +asS'(1) Insulin dependent diabetes mellitus x 15 years with no retinopathy or foot lesions .' +p207747 +(lp207748 +S'(1)\t(1)\tLS\tB-NP\tO' +p207749 +aS'Insulin\tInsulin\tNN\tI-NP\tB-protein' +p207750 +aS'dependent\tdependent\tJJ\tI-NP\tO' +p207751 +aS'diabetes\tdiabete\tNNS\tI-NP\tO' +p207752 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p207753 +aS'x\tx\tSYM\tO\tO' +p207754 +aS'15\t15\tCD\tB-NP\tO' +p207755 +aS'years\tyear\tNNS\tI-NP\tO' +p207756 +aS'with\twith\tIN\tB-PP\tO' +p207757 +aS'no\tno\tDT\tB-NP\tO' +p207758 +aS'retinopathy\tretinopathy\tNN\tI-NP\tO' +p207759 +aS'or\tor\tCC\tI-NP\tO' +p207760 +aS'foot\tfoot\tNN\tI-NP\tO' +p207761 +aS'lesions\tlesion\tNNS\tI-NP\tO' +p207762 +aS'.\t.\t.\tO\tO' +p207763 +asS'White count 12.6 , hematocrit 28.9 , platelet count 259 , PT 21.4 , PTT 40.2 , INR 3.0 , sodium 137 , potassium 4.2 , chloride 100 , CO2 27 , BUN 26 , creatinine 1.3 , glucose 120 .' +p207764 +(lp207765 +S'White\tWhite\tJJ\tB-NP\tO' +p207766 +aS'count\tcount\tNN\tI-NP\tO' +p207767 +aS'12.6\t12.6\tCD\tI-NP\tO' +p207768 +aS',\t,\t,\tO\tO' +p207769 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p207770 +aS'28.9\t28.9\tCD\tI-NP\tI-protein' +p207771 +aS',\t,\t,\tO\tO' +p207772 +aS'platelet\tplatelet\tNN\tB-NP\tB-protein' +p207773 +aS'count\tcount\tNN\tI-NP\tI-protein' +p207774 +aS'259\t259\tCD\tI-NP\tI-protein' +p207775 +aS',\t,\t,\tO\tO' +p207776 +aS'PT\tPT\tNN\tB-NP\tB-cell_line' +p207777 +aS'21.4\t21.4\tCD\tI-NP\tI-cell_line' +p207778 +aS',\t,\t,\tO\tO' +p207779 +aS'PTT\tPTT\tNN\tB-NP\tB-protein' +p207780 +aS'40.2\t40.2\tCD\tI-NP\tI-protein' +p207781 +aS',\t,\t,\tO\tO' +p207782 +aS'INR\tINR\tNN\tB-NP\tB-protein' +p207783 +aS'3.0\t3.0\tCD\tI-NP\tI-protein' +p207784 +aS',\t,\t,\tO\tO' +p207785 +aS'sodium\tsodium\tNN\tB-NP\tO' +p207786 +aS'137\t137\tCD\tI-NP\tO' +p207787 +aS',\t,\t,\tO\tO' +p207788 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p207789 +aS'4.2\t4.2\tCD\tI-NP\tO' +p207790 +aS',\t,\t,\tO\tO' +p207791 +aS'chloride\tchloride\tNN\tB-NP\tO' +p207792 +aS'100\t100\tCD\tI-NP\tO' +p207793 +aS',\t,\t,\tO\tO' +p207794 +aS'CO2\tCO2\tNN\tB-NP\tO' +p207795 +aS'27\t27\tCD\tI-NP\tO' +p207796 +aS',\t,\t,\tO\tO' +p207797 +aS'BUN\tBUN\tNN\tB-NP\tB-DNA' +p207798 +aS'26\t26\tCD\tI-NP\tI-DNA' +p207799 +aS',\t,\t,\tO\tO' +p207800 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p207801 +aS'1.3\t1.3\tCD\tI-NP\tO' +p207802 +aS',\t,\t,\tO\tO' +p207803 +aS'glucose\tglucose\tNN\tB-NP\tO' +p207804 +aS'120\t120\tCD\tI-NP\tO' +p207805 +aS'.\t.\t.\tO\tO' +p207806 +asS'At this point , patient was felt to have clinical signs consistent with brain death .' +p207807 +(lp207808 +S'At\tAt\tIN\tB-PP\tO' +p207809 +aS'this\tthis\tDT\tB-NP\tO' +p207810 +aS'point\tpoint\tNN\tI-NP\tO' +p207811 +aS',\t,\t,\tO\tO' +p207812 +aS'patient\tpatient\tNN\tB-NP\tO' +p207813 +aS'was\tbe\tVBD\tB-VP\tO' +p207814 +aS'felt\tfeel\tVBN\tI-VP\tO' +p207815 +aS'to\tto\tTO\tI-VP\tO' +p207816 +aS'have\thave\tVB\tI-VP\tO' +p207817 +aS'clinical\tclinical\tJJ\tB-NP\tO' +p207818 +aS'signs\tsign\tNNS\tI-NP\tO' +p207819 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p207820 +aS'with\twith\tIN\tB-PP\tO' +p207821 +aS'brain\tbrain\tNN\tB-NP\tO' +p207822 +aS'death\tdeath\tNN\tI-NP\tO' +p207823 +aS'.\t.\t.\tO\tO' +p207824 +asS'She was started on Prograf and CellCept in the postoperative period .' +p207825 +(lp207826 +S'She\tShe\tPRP\tB-NP\tO' +p207827 +aS'was\tbe\tVBD\tB-VP\tO' +p207828 +aS'started\tstart\tVBN\tI-VP\tO' +p207829 +aS'on\ton\tIN\tB-PP\tO' +p207830 +aS'Prograf\tPrograf\tNN\tB-NP\tO' +p207831 +aS'and\tand\tCC\tI-NP\tO' +p207832 +aS'CellCept\tCellCept\tNN\tI-NP\tO' +p207833 +aS'in\tin\tIN\tB-PP\tO' +p207834 +aS'the\tthe\tDT\tB-NP\tO' +p207835 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p207836 +aS'period\tperiod\tNN\tI-NP\tO' +p207837 +aS'.\t.\t.\tO\tO' +p207838 +asS'No atrophy was noted .' +p207839 +(lp207840 +S'No\tNo\tDT\tB-NP\tO' +p207841 +aS'atrophy\tatrophy\tNN\tI-NP\tO' +p207842 +aS'was\tbe\tVBD\tB-VP\tO' +p207843 +aS'noted\tnote\tVBN\tI-VP\tO' +p207844 +aS'.\t.\t.\tO\tO' +p207845 +asS'Question of pulmonary-renal syndrome was raised .' +p207846 +(lp207847 +S'Question\tQuestion\tNN\tB-NP\tO' +p207848 +aS'of\tof\tIN\tB-PP\tO' +p207849 +aS'pulmonary-renal\tpulmonary-renal\tJJ\tB-NP\tO' +p207850 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p207851 +aS'was\tbe\tVBD\tB-VP\tO' +p207852 +aS'raised\traise\tVBN\tI-VP\tO' +p207853 +aS'.\t.\t.\tO\tO' +p207854 +asS'6. Anemia of prematurity .' +p207855 +(lp207856 +S'6.\t6.\tLS\tB-NP\tO' +p207857 +aS'Anemia\tAnemia\tNN\tI-NP\tO' +p207858 +aS'of\tof\tIN\tB-PP\tO' +p207859 +aS'prematurity\tprematurity\tNN\tB-NP\tO' +p207860 +aS'.\t.\t.\tO\tO' +p207861 +asS'Vital signs are normal .' +p207862 +(lp207863 +S'Vital\tVital\tJJ\tB-NP\tO' +p207864 +aS'signs\tsign\tNNS\tI-NP\tO' +p207865 +aS'are\tbe\tVBP\tB-VP\tO' +p207866 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p207867 +aS'.\t.\t.\tO\tO' +p207868 +asS'Creatinine had risen to 4.3 on admission presumed secondary to sepsis and dehydration .' +p207869 +(lp207870 +S'Creatinine\tCreatinine\tNN\tB-NP\tO' +p207871 +aS'had\thave\tVBD\tB-VP\tO' +p207872 +aS'risen\trise\tVBN\tI-VP\tO' +p207873 +aS'to\tto\tTO\tB-PP\tO' +p207874 +aS'4.3\t4.3\tCD\tB-NP\tO' +p207875 +aS'on\ton\tIN\tB-PP\tO' +p207876 +aS'admission\tadmission\tNN\tB-NP\tO' +p207877 +aS'presumed\tpresume\tVBN\tB-VP\tO' +p207878 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p207879 +aS'to\tto\tTO\tB-PP\tO' +p207880 +aS'sepsis\tsepsis\tNN\tB-NP\tO' +p207881 +aS'and\tand\tCC\tI-NP\tO' +p207882 +aS'dehydration\tdehydration\tNN\tI-NP\tO' +p207883 +aS'.\t.\t.\tO\tO' +p207884 +asS'There was trace mitral regurgitation .' +p207885 +(lp207886 +S'There\tThere\tEX\tB-NP\tO' +p207887 +aS'was\tbe\tVBD\tB-VP\tO' +p207888 +aS'trace\ttrace\tNN\tB-NP\tO' +p207889 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p207890 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p207891 +aS'.\t.\t.\tO\tO' +p207892 +asS'TECHNIQUE : Axial MDCT images of the brain without IV contrast .' +p207893 +(lp207894 +S'TECHNIQUE\tTECHNIQUE\tNN\tB-NP\tO' +p207895 +aS':\t:\t:\tO\tO' +p207896 +aS'Axial\tAxial\tJJ\tB-NP\tO' +p207897 +aS'MDCT\tMDCT\tNN\tI-NP\tO' +p207898 +aS'images\timage\tNNS\tI-NP\tO' +p207899 +aS'of\tof\tIN\tB-PP\tO' +p207900 +aS'the\tthe\tDT\tB-NP\tO' +p207901 +aS'brain\tbrain\tNN\tI-NP\tO' +p207902 +aS'without\twithout\tIN\tB-PP\tO' +p207903 +aS'IV\tIV\tCD\tB-NP\tO' +p207904 +aS'contrast\tcontrast\tNN\tI-NP\tO' +p207905 +aS'.\t.\t.\tO\tO' +p207906 +asS'Neurosurgery consulted .' +p207907 +(lp207908 +S'Neurosurgery\tNeurosurgery\tNNP\tB-NP\tO' +p207909 +aS'consulted\tconsult\tVBD\tB-VP\tO' +p207910 +aS'.\t.\t.\tO\tO' +p207911 +asS'1. Levofloxacin 250 mg p.o. q.24h. x3 days .' +p207912 +(lp207913 +S'1.\t1.\tLS\tB-LST\tO' +p207914 +aS'Levofloxacin\tLevofloxacin\tNN\tB-NP\tO' +p207915 +aS'250\t250\tCD\tI-NP\tO' +p207916 +aS'mg\tmg\tNN\tI-NP\tO' +p207917 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p207918 +aS'q.24h.\tq.24h.\tNN\tI-NP\tO' +p207919 +aS'x3\tx3\tNN\tI-NP\tO' +p207920 +aS'days\tday\tNNS\tI-NP\tO' +p207921 +aS'.\t.\t.\tO\tO' +p207922 +asS'NECK : JVP not elevated .' +p207923 +(lp207924 +S'NECK\tNECK\tNN\tB-NP\tO' +p207925 +aS':\t:\t:\tO\tO' +p207926 +aS'JVP\tJVP\tNN\tB-NP\tB-protein' +p207927 +aS'not\tnot\tRB\tB-ADJP\tO' +p207928 +aS'elevated\televated\tJJ\tI-ADJP\tO' +p207929 +aS'.\t.\t.\tO\tO' +p207930 +asS'#. ID : initially had leukocytosis at admission , with chest CT showing possible underlying consolidations vs. atelectasis , levoflox started 05-24 and subsequently stopped ( no consolidations on CXR and afebrile ).' +p207931 +(lp207932 +S'#.\t#.\tJJ\tB-NP\tO' +p207933 +aS'ID\tID\tNN\tI-NP\tO' +p207934 +aS':\t:\t:\tO\tO' +p207935 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p207936 +aS'had\thave\tVBD\tB-VP\tO' +p207937 +aS'leukocytosis\tleukocytosis\tNN\tB-NP\tO' +p207938 +aS'at\tat\tIN\tB-PP\tO' +p207939 +aS'admission\tadmission\tNN\tB-NP\tO' +p207940 +aS',\t,\t,\tO\tO' +p207941 +aS'with\twith\tIN\tB-PP\tO' +p207942 +aS'chest\tchest\tNN\tB-NP\tO' +p207943 +aS'CT\tCT\tNN\tI-NP\tO' +p207944 +aS'showing\tshow\tVBG\tB-VP\tO' +p207945 +aS'possible\tpossible\tJJ\tB-NP\tO' +p207946 +aS'underlying\tunderlie\tVBG\tI-NP\tO' +p207947 +aS'consolidations\tconsolidation\tNNS\tI-NP\tO' +p207948 +aS'vs.\tvs.\tIN\tB-PP\tO' +p207949 +aS'atelectasis\tatelectasis\tNN\tB-NP\tO' +p207950 +aS',\t,\t,\tO\tO' +p207951 +aS'levoflox\tlevoflox\tNN\tB-NP\tO' +p207952 +aS'started\tstart\tVBD\tB-VP\tO' +p207953 +aS'05-24\t05-24\tCD\tB-NP\tO' +p207954 +aS'and\tand\tCC\tO\tO' +p207955 +aS'subsequently\tsubsequently\tRB\tB-VP\tO' +p207956 +aS'stopped\tstop\tVBD\tI-VP\tO' +p207957 +aS'(\t(\t(\tO\tO' +p207958 +aS'no\tno\tDT\tB-NP\tO' +p207959 +aS'consolidations\tconsolidation\tNNS\tI-NP\tO' +p207960 +aS'on\ton\tIN\tB-PP\tO' +p207961 +aS'CXR\tCXR\tNN\tB-NP\tB-protein' +p207962 +aS'and\tand\tCC\tO\tO' +p207963 +aS'afebrile\tafebrile\tJJ\tB-NP\tO' +p207964 +aS').\t).\tNN\tI-NP\tO' +p207965 +asS"The patient 's serum creatinine on the day of discharge , on 2013-05-06 , was 1.9 , but was noted to increase to" +p207966 +(lp207967 +S'The\tThe\tDT\tB-NP\tO' +p207968 +aS'patient\tpatient\tNN\tI-NP\tO' +p207969 +aS"'s\t's\tPOS\tB-NP\tO" +p207970 +aS'serum\tserum\tNN\tI-NP\tO' +p207971 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p207972 +aS'on\ton\tIN\tB-PP\tO' +p207973 +aS'the\tthe\tDT\tB-NP\tO' +p207974 +aS'day\tday\tNN\tI-NP\tO' +p207975 +aS'of\tof\tIN\tB-PP\tO' +p207976 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p207977 +aS',\t,\t,\tO\tO' +p207978 +aS'on\ton\tIN\tB-PP\tO' +p207979 +aS'2013-05-06\t2013-05-06\tCD\tB-NP\tO' +p207980 +aS',\t,\t,\tO\tO' +p207981 +aS'was\tbe\tVBD\tB-VP\tO' +p207982 +aS'1.9\t1.9\tCD\tB-NP\tO' +p207983 +aS',\t,\t,\tO\tO' +p207984 +aS'but\tbut\tCC\tO\tO' +p207985 +aS'was\tbe\tVBD\tB-VP\tO' +p207986 +aS'noted\tnote\tVBN\tI-VP\tO' +p207987 +aS'to\tto\tTO\tI-VP\tO' +p207988 +aS'increase\tincrease\tVB\tI-VP\tO' +p207989 +aS'to\tto\tTO\tO\tO' +p207990 +asS'04-24 Peripheral Bld Cx : pseudomonas as above' +p207991 +(lp207992 +S'04-24\t04-24\tCD\tB-NP\tO' +p207993 +aS'Peripheral\tPeripheral\tNNP\tI-NP\tO' +p207994 +aS'Bld\tBld\tNNP\tI-NP\tO' +p207995 +aS'Cx\tCx\tNNP\tI-NP\tO' +p207996 +aS':\t:\t:\tO\tO' +p207997 +aS'pseudomonas\tpseudomona\tNNS\tB-NP\tO' +p207998 +aS'as\tas\tIN\tB-PP\tO' +p207999 +aS'above\tabove\tIN\tI-PP\tO' +p208000 +asS'Jaundiced .' +p208001 +(lp208002 +S'Jaundiced\tJaundice\tVBN\tB-VP\tO' +p208003 +aS'.\t.\t.\tO\tO' +p208004 +asS'From Sao Tome originally .' +p208005 +(lp208006 +S'From\tFrom\tIN\tB-PP\tO' +p208007 +aS'Sao\tSao\tNNP\tB-NP\tO' +p208008 +aS'Tome\tTome\tNNP\tI-NP\tO' +p208009 +aS'originally\toriginally\tRB\tB-ADVP\tO' +p208010 +aS'.\t.\t.\tO\tO' +p208011 +asS'The abdomen was soft and non-tender with no masses or organomegaly .' +p208012 +(lp208013 +S'The\tThe\tDT\tB-NP\tO' +p208014 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p208015 +aS'was\tbe\tVBD\tB-VP\tO' +p208016 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p208017 +aS'and\tand\tCC\tI-ADJP\tO' +p208018 +aS'non-tender\tnon-tender\tJJ\tI-ADJP\tO' +p208019 +aS'with\twith\tIN\tB-PP\tO' +p208020 +aS'no\tno\tDT\tB-NP\tO' +p208021 +aS'masses\tmass\tNNS\tI-NP\tO' +p208022 +aS'or\tor\tCC\tO\tO' +p208023 +aS'organomegaly\torganomegaly\tRB\tB-ADVP\tO' +p208024 +aS'.\t.\t.\tO\tO' +p208025 +asS'Signed electronically by : DR. Stephanie Francis on : TUE 2009-12-08 4:59 PM' +p208026 +(lp208027 +S'Signed\tSign\tVBN\tB-VP\tO' +p208028 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p208029 +aS'by\tby\tIN\tB-PP\tO' +p208030 +aS':\t:\t:\tO\tO' +p208031 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p208032 +aS'Stephanie\tStephanie\tNNP\tI-NP\tO' +p208033 +aS'Francis\tFrancis\tNNP\tI-NP\tO' +p208034 +aS'on\ton\tIN\tB-PP\tO' +p208035 +aS':\t:\t:\tO\tO' +p208036 +aS'TUE\tTUE\tNN\tB-NP\tO' +p208037 +aS'2009-12-08\t2009-12-08\tCD\tI-NP\tO' +p208038 +aS'4:59\t4:59\tCD\tI-NP\tO' +p208039 +aS'PM\tPM\tNN\tI-NP\tO' +p208040 +asS'Beta blockers and diuretics were initiated on post-op day one .' +p208041 +(lp208042 +S'Beta\tBeta\tNN\tB-NP\tO' +p208043 +aS'blockers\tblocker\tNNS\tI-NP\tO' +p208044 +aS'and\tand\tCC\tI-NP\tO' +p208045 +aS'diuretics\tdiuretic\tNNS\tI-NP\tO' +p208046 +aS'were\tbe\tVBD\tB-VP\tO' +p208047 +aS'initiated\tinitiate\tVBN\tI-VP\tO' +p208048 +aS'on\ton\tIN\tB-PP\tO' +p208049 +aS'post-op\tpost-op\tJJ\tB-NP\tO' +p208050 +aS'day\tday\tNN\tI-NP\tO' +p208051 +aS'one\tone\tCD\tI-NP\tO' +p208052 +aS'.\t.\t.\tO\tO' +p208053 +asS'Normal back and extremities with stable hips , appropriate tone , skin pink with fair perfusion .' +p208054 +(lp208055 +S'Normal\tNormal\tJJ\tB-ADJP\tO' +p208056 +aS'back\tback\tRB\tB-ADVP\tO' +p208057 +aS'and\tand\tCC\tO\tO' +p208058 +aS'extremities\textremity\tNNS\tB-NP\tO' +p208059 +aS'with\twith\tIN\tB-PP\tO' +p208060 +aS'stable\tstable\tJJ\tB-NP\tO' +p208061 +aS'hips\thip\tNNS\tI-NP\tO' +p208062 +aS',\t,\t,\tO\tO' +p208063 +aS'appropriate\tappropriate\tJJ\tB-NP\tO' +p208064 +aS'tone\ttone\tNN\tI-NP\tO' +p208065 +aS',\t,\t,\tO\tO' +p208066 +aS'skin\tskin\tNN\tB-NP\tO' +p208067 +aS'pink\tpink\tNN\tI-NP\tO' +p208068 +aS'with\twith\tIN\tB-PP\tO' +p208069 +aS'fair\tfair\tJJ\tB-NP\tO' +p208070 +aS'perfusion\tperfusion\tNN\tI-NP\tO' +p208071 +aS'.\t.\t.\tO\tO' +p208072 +asS'On 2013-08-28 , the patient had a PICC line placed for a six week course of intravenous Zosyn for his foot ulcer and his Coumadin was also continued .' +p208073 +(lp208074 +S'On\tOn\tIN\tB-PP\tO' +p208075 +aS'2013-08-28\t2013-08-28\tCD\tB-NP\tO' +p208076 +aS',\t,\t,\tO\tO' +p208077 +aS'the\tthe\tDT\tB-NP\tO' +p208078 +aS'patient\tpatient\tNN\tI-NP\tO' +p208079 +aS'had\thave\tVBD\tB-VP\tO' +p208080 +aS'a\ta\tDT\tB-NP\tO' +p208081 +aS'PICC\tPICC\tNN\tI-NP\tB-cell_line' +p208082 +aS'line\tline\tNN\tI-NP\tI-cell_line' +p208083 +aS'placed\tplace\tVBN\tB-VP\tO' +p208084 +aS'for\tfor\tIN\tB-PP\tO' +p208085 +aS'a\ta\tDT\tB-NP\tO' +p208086 +aS'six\tsix\tCD\tI-NP\tO' +p208087 +aS'week\tweek\tNN\tI-NP\tO' +p208088 +aS'course\tcourse\tNN\tI-NP\tO' +p208089 +aS'of\tof\tIN\tB-PP\tO' +p208090 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p208091 +aS'Zosyn\tZosyn\tNN\tI-NP\tO' +p208092 +aS'for\tfor\tIN\tB-PP\tO' +p208093 +aS'his\this\tPRP$\tB-NP\tO' +p208094 +aS'foot\tfoot\tNN\tI-NP\tO' +p208095 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p208096 +aS'and\tand\tCC\tO\tO' +p208097 +aS'his\this\tPRP$\tB-NP\tO' +p208098 +aS'Coumadin\tCoumadin\tNN\tI-NP\tO' +p208099 +aS'was\tbe\tVBD\tB-VP\tO' +p208100 +aS'also\talso\tRB\tI-VP\tO' +p208101 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p208102 +aS'.\t.\t.\tO\tO' +p208103 +asS'The patient 's prothrombin time had been 23 early the same morning and tamponade was considered and thoracotomy instruments obtained .' +p208104 +(lp208105 +S'The\tThe\tDT\tB-NP\tO' +p208106 +aS'patient\tpatient\tNN\tI-NP\tO' +p208107 +aS''s\t'\tNNS\tI-NP\tO' +p208108 +aS'prothrombin\tprothrombin\tNN\tI-NP\tO' +p208109 +aS'time\ttime\tNN\tI-NP\tO' +p208110 +aS'had\thave\tVBD\tB-VP\tO' +p208111 +aS'been\tbe\tVBN\tI-VP\tO' +p208112 +aS'23\t23\tCD\tB-NP\tO' +p208113 +aS'early\tearly\tRB\tB-NP\tO' +p208114 +aS'the\tthe\tDT\tI-NP\tO' +p208115 +aS'same\tsame\tJJ\tI-NP\tO' +p208116 +aS'morning\tmorning\tNN\tI-NP\tO' +p208117 +aS'and\tand\tCC\tI-NP\tO' +p208118 +aS'tamponade\ttamponade\tNN\tI-NP\tO' +p208119 +aS'was\tbe\tVBD\tB-VP\tO' +p208120 +aS'considered\tconsider\tVBN\tI-VP\tO' +p208121 +aS'and\tand\tCC\tO\tO' +p208122 +aS'thoracotomy\tthoracotomy\tNN\tB-NP\tO' +p208123 +aS'instruments\tinstrument\tNNS\tI-NP\tO' +p208124 +aS'obtained\tobtain\tVBN\tB-VP\tO' +p208125 +aS'.\t.\t.\tO\tO' +p208126 +asS'2. Hypertrophic cardiomyopathy .' +p208127 +(lp208128 +S'2.\t2.\tLS\tB-NP\tO' +p208129 +aS'Hypertrophic\tHypertrophic\tJJ\tI-NP\tO' +p208130 +aS'cardiomyopathy\tcardiomyopathy\tNN\tI-NP\tO' +p208131 +aS'.\t.\t.\tO\tO' +p208132 +asS"A line could not be placed for technical reasons , however after 4L NS on the floor and 01-30 more in the ICU via peripheral IV 's she was stable ." +p208133 +(lp208134 +S'A\tA\tDT\tB-NP\tO' +p208135 +aS'line\tline\tNN\tI-NP\tO' +p208136 +aS'could\tcould\tMD\tB-VP\tO' +p208137 +aS'not\tnot\tRB\tI-VP\tO' +p208138 +aS'be\tbe\tVB\tI-VP\tO' +p208139 +aS'placed\tplace\tVBN\tI-VP\tO' +p208140 +aS'for\tfor\tIN\tB-PP\tO' +p208141 +aS'technical\ttechnical\tJJ\tB-NP\tO' +p208142 +aS'reasons\treason\tNNS\tI-NP\tO' +p208143 +aS',\t,\t,\tO\tO' +p208144 +aS'however\thowever\tRB\tB-ADVP\tO' +p208145 +aS'after\tafter\tIN\tB-PP\tO' +p208146 +aS'4L\t4L\tNN\tB-NP\tO' +p208147 +aS'NS\tNS\tNN\tI-NP\tO' +p208148 +aS'on\ton\tIN\tB-PP\tO' +p208149 +aS'the\tthe\tDT\tB-NP\tO' +p208150 +aS'floor\tfloor\tNN\tI-NP\tO' +p208151 +aS'and\tand\tCC\tO\tO' +p208152 +aS'01-30\t01-30\tCD\tB-NP\tO' +p208153 +aS'more\tmore\tJJR\tI-NP\tO' +p208154 +aS'in\tin\tIN\tB-PP\tO' +p208155 +aS'the\tthe\tDT\tB-NP\tO' +p208156 +aS'ICU\tICU\tNN\tI-NP\tB-DNA' +p208157 +aS'via\tvia\tIN\tB-PP\tO' +p208158 +aS'peripheral\tperipheral\tJJ\tB-NP\tO' +p208159 +aS'IV\tIV\tCD\tI-NP\tO' +p208160 +aS"'s\t's\tPOS\tB-NP\tO" +p208161 +aS'she\tshe\tPRP\tB-NP\tO' +p208162 +aS'was\tbe\tVBD\tB-VP\tO' +p208163 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p208164 +aS'.\t.\t.\tO\tO' +p208165 +asS'8. Nystatin 100,000 unit / mL Suspension Sig : Five ( 5 ) ML PO QID ( 4 times a day ) .' +p208166 +(lp208167 +S'8.\t8.\tCD\tB-NP\tO' +p208168 +aS'Nystatin\tNystatin\tNN\tI-NP\tO' +p208169 +aS'100,000\t100,000\tCD\tB-NP\tO' +p208170 +aS'unit\tunit\tNN\tI-NP\tO' +p208171 +aS'/\t/\tSYM\tB-NP\tO' +p208172 +aS'mL\tmL\tNN\tI-NP\tO' +p208173 +aS'Suspension\tSuspension\tNNP\tI-NP\tO' +p208174 +aS'Sig\tSig\tNNP\tI-NP\tO' +p208175 +aS':\t:\t:\tO\tO' +p208176 +aS'Five\tFive\tCD\tB-NP\tO' +p208177 +aS'(\t(\t(\tO\tO' +p208178 +aS'5\t5\tCD\tB-NP\tO' +p208179 +aS')\t)\t)\tO\tO' +p208180 +aS'ML\tML\tNN\tB-NP\tO' +p208181 +aS'PO\tPO\tNN\tI-NP\tO' +p208182 +aS'QID\tQID\tNN\tI-NP\tO' +p208183 +aS'(\t(\t(\tO\tO' +p208184 +aS'4\t4\tCD\tB-NP\tO' +p208185 +aS'times\ttime\tNNS\tI-NP\tO' +p208186 +aS'a\ta\tDT\tB-NP\tO' +p208187 +aS'day\tday\tNN\tI-NP\tO' +p208188 +aS')\t)\t)\tO\tO' +p208189 +aS'.\t.\t.\tO\tO' +p208190 +asS'Neck : Supple with JVP of 8 cm .' +p208191 +(lp208192 +S'Neck\tNeck\tNN\tB-NP\tO' +p208193 +aS':\t:\t:\tO\tO' +p208194 +aS'Supple\tSupple\tNN\tB-NP\tO' +p208195 +aS'with\twith\tIN\tB-PP\tO' +p208196 +aS'JVP\tJVP\tNN\tB-NP\tB-protein' +p208197 +aS'of\tof\tIN\tB-PP\tO' +p208198 +aS'8\t8\tCD\tB-NP\tO' +p208199 +aS'cm\tcm\tNN\tI-NP\tO' +p208200 +aS'.\t.\t.\tO\tO' +p208201 +asS'NEUROLOGIC : Alert and crying .' +p208202 +(lp208203 +S'NEUROLOGIC\tNEUROLOGIC\tNN\tB-NP\tO' +p208204 +aS':\t:\t:\tO\tO' +p208205 +aS'Alert\tAlert\tNNP\tB-NP\tO' +p208206 +aS'and\tand\tCC\tO\tO' +p208207 +aS'crying\tcry\tVBG\tB-VP\tO' +p208208 +aS'.\t.\t.\tO\tO' +p208209 +asS'Upper endoscopy x 2 .' +p208210 +(lp208211 +S'Upper\tUpper\tIN\tB-PP\tO' +p208212 +aS'endoscopy\tendoscopy\tNN\tB-NP\tB-protein' +p208213 +aS'x\tx\tSYM\tB-NP\tI-protein' +p208214 +aS'2\t2\tCD\tI-NP\tI-protein' +p208215 +aS'.\t.\t.\tO\tO' +p208216 +asS'This would disappear whenever she was awake .' +p208217 +(lp208218 +S'This\tThis\tDT\tB-NP\tO' +p208219 +aS'would\twould\tMD\tB-VP\tO' +p208220 +aS'disappear\tdisappear\tVB\tI-VP\tO' +p208221 +aS'whenever\twhenever\tWRB\tB-ADVP\tO' +p208222 +aS'she\tshe\tPRP\tB-NP\tO' +p208223 +aS'was\tbe\tVBD\tB-VP\tO' +p208224 +aS'awake\tawake\tNN\tB-NP\tO' +p208225 +aS'.\t.\t.\tO\tO' +p208226 +asS'The infant has remained in room air throughout the hospitalization .' +p208227 +(lp208228 +S'The\tThe\tDT\tB-NP\tO' +p208229 +aS'infant\tinfant\tNN\tI-NP\tO' +p208230 +aS'has\thave\tVBZ\tB-VP\tO' +p208231 +aS'remained\tremain\tVBN\tI-VP\tO' +p208232 +aS'in\tin\tIN\tB-PP\tO' +p208233 +aS'room\troom\tNN\tB-NP\tO' +p208234 +aS'air\tair\tNN\tI-NP\tO' +p208235 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p208236 +aS'the\tthe\tDT\tB-NP\tO' +p208237 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p208238 +aS'.\t.\t.\tO\tO' +p208239 +asS'The patient was moving all four extremities with ease .' +p208240 +(lp208241 +S'The\tThe\tDT\tB-NP\tO' +p208242 +aS'patient\tpatient\tNN\tI-NP\tO' +p208243 +aS'was\tbe\tVBD\tB-VP\tO' +p208244 +aS'moving\tmove\tVBG\tI-VP\tO' +p208245 +aS'all\tall\tDT\tB-NP\tO' +p208246 +aS'four\tfour\tCD\tI-NP\tO' +p208247 +aS'extremities\textremity\tNNS\tI-NP\tO' +p208248 +aS'with\twith\tIN\tB-PP\tO' +p208249 +aS'ease\tease\tNN\tB-NP\tO' +p208250 +aS'.\t.\t.\tO\tO' +p208251 +asS'No evidence of acute intracranial hemorrhage or fractures .' +p208252 +(lp208253 +S'No\tNo\tDT\tB-NP\tO' +p208254 +aS'evidence\tevidence\tNN\tI-NP\tO' +p208255 +aS'of\tof\tIN\tB-PP\tO' +p208256 +aS'acute\tacute\tJJ\tB-NP\tO' +p208257 +aS'intracranial\tintracranial\tJJ\tI-NP\tO' +p208258 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p208259 +aS'or\tor\tCC\tI-NP\tO' +p208260 +aS'fractures\tfracture\tNNS\tI-NP\tO' +p208261 +aS'.\t.\t.\tO\tO' +p208262 +asS'It was at that time that her abnormal Papanicolaou smear was obtained .' +p208263 +(lp208264 +S'It\tIt\tPRP\tB-NP\tO' +p208265 +aS'was\tbe\tVBD\tB-VP\tO' +p208266 +aS'at\tat\tIN\tB-PP\tO' +p208267 +aS'that\tthat\tDT\tB-NP\tO' +p208268 +aS'time\ttime\tNN\tI-NP\tO' +p208269 +aS'that\tthat\tIN\tB-ADVP\tO' +p208270 +aS'her\ther\tPRP$\tB-NP\tO' +p208271 +aS'abnormal\tabnormal\tJJ\tI-NP\tO' +p208272 +aS'Papanicolaou\tPapanicolaou\tNNP\tI-NP\tO' +p208273 +aS'smear\tsmear\tNN\tI-NP\tO' +p208274 +aS'was\tbe\tVBD\tB-VP\tO' +p208275 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p208276 +aS'.\t.\t.\tO\tO' +p208277 +asS'Captopril 12.5 mg p.o. three times a day .' +p208278 +(lp208279 +S'Captopril\tCaptopril\tNNP\tB-NP\tO' +p208280 +aS'12.5\t12.5\tCD\tI-NP\tO' +p208281 +aS'mg\tmg\tNN\tI-NP\tO' +p208282 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p208283 +aS'three\tthree\tCD\tB-NP\tO' +p208284 +aS'times\ttime\tNNS\tI-NP\tO' +p208285 +aS'a\ta\tDT\tB-NP\tO' +p208286 +aS'day\tday\tNN\tI-NP\tO' +p208287 +aS'.\t.\t.\tO\tO' +p208288 +asS'Started Campath in July , 2001 , complicated by lymphopenia / neutropenia and CMV infection , and underwent MUD stem cell transplant in December , 2002 .' +p208289 +(lp208290 +S'Started\tStarted\tNNP\tB-NP\tO' +p208291 +aS'Campath\tCampath\tNNP\tI-NP\tO' +p208292 +aS'in\tin\tIN\tB-PP\tO' +p208293 +aS'July\tJuly\tNNP\tB-NP\tO' +p208294 +aS',\t,\t,\tO\tO' +p208295 +aS'2001\t2001\tCD\tB-NP\tO' +p208296 +aS',\t,\t,\tO\tO' +p208297 +aS'complicated\tcomplicate\tVBN\tB-VP\tO' +p208298 +aS'by\tby\tIN\tB-PP\tO' +p208299 +aS'lymphopenia\tlymphopenia\tNN\tB-NP\tO' +p208300 +aS'/\t/\tSYM\tO\tO' +p208301 +aS'neutropenia\tneutropenia\tNN\tB-NP\tO' +p208302 +aS'and\tand\tCC\tI-NP\tO' +p208303 +aS'CMV\tCMV\tNN\tI-NP\tO' +p208304 +aS'infection\tinfection\tNN\tI-NP\tO' +p208305 +aS',\t,\t,\tO\tO' +p208306 +aS'and\tand\tCC\tO\tO' +p208307 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p208308 +aS'MUD\tMUD\tNN\tB-NP\tO' +p208309 +aS'stem\tstem\tNN\tI-NP\tO' +p208310 +aS'cell\tcell\tNN\tI-NP\tO' +p208311 +aS'transplant\ttransplant\tNN\tI-NP\tO' +p208312 +aS'in\tin\tIN\tB-PP\tO' +p208313 +aS'December\tDecember\tNNP\tB-NP\tO' +p208314 +aS',\t,\t,\tO\tO' +p208315 +aS'2002\t2002\tCD\tB-NP\tO' +p208316 +aS'.\t.\t.\tO\tO' +p208317 +asS'The patient was readmitted on 5-21-91 with a falling hematocrit from 36 to 22 , mild congestive heart failure , and guaiac positive stool .' +p208318 +(lp208319 +S'The\tThe\tDT\tB-NP\tO' +p208320 +aS'patient\tpatient\tNN\tI-NP\tO' +p208321 +aS'was\tbe\tVBD\tB-VP\tO' +p208322 +aS'readmitted\treadmitte\tVBN\tI-VP\tO' +p208323 +aS'on\ton\tIN\tB-PP\tO' +p208324 +aS'5-21-91\t5-21-91\tCD\tB-NP\tO' +p208325 +aS'with\twith\tIN\tB-PP\tO' +p208326 +aS'a\ta\tDT\tB-NP\tO' +p208327 +aS'falling\tfall\tVBG\tI-NP\tO' +p208328 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p208329 +aS'from\tfrom\tIN\tB-PP\tO' +p208330 +aS'36\t36\tCD\tB-NP\tO' +p208331 +aS'to\tto\tTO\tB-PP\tO' +p208332 +aS'22\t22\tCD\tB-NP\tO' +p208333 +aS',\t,\t,\tO\tO' +p208334 +aS'mild\tmild\tJJ\tB-NP\tO' +p208335 +aS'congestive\tcongestive\tJJ\tI-NP\tO' +p208336 +aS'heart\theart\tNN\tI-NP\tO' +p208337 +aS'failure\tfailure\tNN\tI-NP\tO' +p208338 +aS',\t,\t,\tO\tO' +p208339 +aS'and\tand\tCC\tO\tO' +p208340 +aS'guaiac\tguaiac\tJJ\tB-NP\tO' +p208341 +aS'positive\tpositive\tJJ\tI-NP\tO' +p208342 +aS'stool\tstool\tNN\tI-NP\tO' +p208343 +aS'.\t.\t.\tO\tO' +p208344 +asS'His toes were down going .' +p208345 +(lp208346 +S'His\tHis\tPRP$\tB-NP\tO' +p208347 +aS'toes\ttoe\tNNS\tI-NP\tO' +p208348 +aS'were\tbe\tVBD\tB-VP\tO' +p208349 +aS'down\tdown\tRB\tI-VP\tO' +p208350 +aS'going\tgo\tVBG\tI-VP\tO' +p208351 +aS'.\t.\t.\tO\tO' +p208352 +asS'The reading , writing , drawing clock and copying cubes were all intact .' +p208353 +(lp208354 +S'The\tThe\tDT\tB-NP\tO' +p208355 +aS'reading\treading\tNN\tI-NP\tO' +p208356 +aS',\t,\t,\tO\tO' +p208357 +aS'writing\twrite\tVBG\tB-VP\tO' +p208358 +aS',\t,\t,\tO\tO' +p208359 +aS'drawing\tdraw\tVBG\tB-VP\tO' +p208360 +aS'clock\tclock\tNN\tB-NP\tO' +p208361 +aS'and\tand\tCC\tI-NP\tO' +p208362 +aS'copying\tcopying\tNN\tI-NP\tO' +p208363 +aS'cubes\tcube\tNNS\tI-NP\tO' +p208364 +aS'were\tbe\tVBD\tB-VP\tO' +p208365 +aS'all\tall\tDT\tO\tO' +p208366 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p208367 +aS'.\t.\t.\tO\tO' +p208368 +asS'His complete blood count showed 11% bandemia with a total white count of 10 .' +p208369 +(lp208370 +S'His\tHis\tPRP$\tB-NP\tO' +p208371 +aS'complete\tcomplete\tJJ\tI-NP\tO' +p208372 +aS'blood\tblood\tNN\tI-NP\tO' +p208373 +aS'count\tcount\tNN\tI-NP\tO' +p208374 +aS'showed\tshow\tVBD\tB-VP\tO' +p208375 +aS'11%\t11%\tCD\tB-NP\tO' +p208376 +aS'bandemia\tbandemia\tNN\tI-NP\tO' +p208377 +aS'with\twith\tIN\tB-PP\tO' +p208378 +aS'a\ta\tDT\tB-NP\tO' +p208379 +aS'total\ttotal\tJJ\tI-NP\tO' +p208380 +aS'white\twhite\tJJ\tI-NP\tO' +p208381 +aS'count\tcount\tNN\tI-NP\tO' +p208382 +aS'of\tof\tIN\tB-PP\tO' +p208383 +aS'10\t10\tCD\tB-NP\tO' +p208384 +aS'.\t.\t.\tO\tO' +p208385 +asS'Compared with the findings of the prior study ( tape reviewed ) of 2009-06-05 , the LV function has improved with an improvementt in function of the apex , septal and anterior walls .' +p208386 +(lp208387 +S'Compared\tCompare\tVBN\tB-PP\tO' +p208388 +aS'with\twith\tIN\tB-PP\tO' +p208389 +aS'the\tthe\tDT\tB-NP\tO' +p208390 +aS'findings\tfinding\tNNS\tI-NP\tO' +p208391 +aS'of\tof\tIN\tB-PP\tO' +p208392 +aS'the\tthe\tDT\tB-NP\tO' +p208393 +aS'prior\tprior\tJJ\tI-NP\tO' +p208394 +aS'study\tstudy\tNN\tI-NP\tO' +p208395 +aS'(\t(\t(\tO\tO' +p208396 +aS'tape\ttape\tNN\tB-NP\tO' +p208397 +aS'reviewed\treview\tVBN\tB-VP\tO' +p208398 +aS')\t)\t)\tO\tO' +p208399 +aS'of\tof\tIN\tB-PP\tO' +p208400 +aS'2009-06-05\t2009-06-05\tCD\tB-NP\tO' +p208401 +aS',\t,\t,\tO\tO' +p208402 +aS'the\tthe\tDT\tB-NP\tO' +p208403 +aS'LV\tLV\tNN\tI-NP\tO' +p208404 +aS'function\tfunction\tNN\tI-NP\tO' +p208405 +aS'has\thave\tVBZ\tB-VP\tO' +p208406 +aS'improved\timprove\tVBN\tI-VP\tO' +p208407 +aS'with\twith\tIN\tB-PP\tO' +p208408 +aS'an\tan\tDT\tB-NP\tO' +p208409 +aS'improvementt\timprovementt\tNN\tI-NP\tO' +p208410 +aS'in\tin\tIN\tB-PP\tO' +p208411 +aS'function\tfunction\tNN\tB-NP\tO' +p208412 +aS'of\tof\tIN\tB-PP\tO' +p208413 +aS'the\tthe\tDT\tB-NP\tO' +p208414 +aS'apex\tapex\tNN\tI-NP\tO' +p208415 +aS',\t,\t,\tO\tO' +p208416 +aS'septal\tseptal\tJJ\tB-NP\tO' +p208417 +aS'and\tand\tCC\tI-NP\tO' +p208418 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p208419 +aS'walls\twall\tNNS\tI-NP\tO' +p208420 +aS'.\t.\t.\tO\tO' +p208421 +asS'Abd : Soft , ND , nontender , + BS , no guarding , no rebound , multiple well healed scars' +p208422 +(lp208423 +S'Abd\tAbd\tNN\tB-NP\tO' +p208424 +aS':\t:\t:\tO\tO' +p208425 +aS'Soft\tSoft\tNNP\tB-NP\tO' +p208426 +aS',\t,\t,\tO\tO' +p208427 +aS'ND\tND\tNN\tB-NP\tO' +p208428 +aS',\t,\t,\tO\tO' +p208429 +aS'nontender\tnontender\tNN\tB-NP\tO' +p208430 +aS',\t,\t,\tO\tO' +p208431 +aS'+\t+\tSYM\tO\tO' +p208432 +aS'BS\tBS\tNNP\tB-NP\tO' +p208433 +aS',\t,\t,\tO\tO' +p208434 +aS'no\tno\tDT\tB-NP\tO' +p208435 +aS'guarding\tguarding\tNN\tI-NP\tO' +p208436 +aS',\t,\t,\tO\tO' +p208437 +aS'no\tno\tDT\tB-NP\tO' +p208438 +aS'rebound\trebound\tNN\tI-NP\tO' +p208439 +aS',\t,\t,\tO\tO' +p208440 +aS'multiple\tmultiple\tJJ\tB-ADJP\tO' +p208441 +aS'well\twell\tRB\tB-ADVP\tO' +p208442 +aS'healed\theal\tVBD\tB-VP\tO' +p208443 +aS'scars\tscar\tNNS\tB-NP\tO' +p208444 +asS'Status post ovarian cyst resection in 1975 .' +p208445 +(lp208446 +S'Status\tStatus\tNNP\tB-NP\tO' +p208447 +aS'post\tpost\tVBD\tB-VP\tO' +p208448 +aS'ovarian\tovarian\tJJ\tB-NP\tO' +p208449 +aS'cyst\tcyst\tNN\tI-NP\tO' +p208450 +aS'resection\tresection\tNN\tI-NP\tO' +p208451 +aS'in\tin\tIN\tB-PP\tO' +p208452 +aS'1975\t1975\tCD\tB-NP\tO' +p208453 +aS'.\t.\t.\tO\tO' +p208454 +asS'Over the course of the hospitalization his CK fell in the serum .' +p208455 +(lp208456 +S'Over\tOver\tIN\tB-PP\tO' +p208457 +aS'the\tthe\tDT\tB-NP\tO' +p208458 +aS'course\tcourse\tNN\tI-NP\tO' +p208459 +aS'of\tof\tIN\tB-PP\tO' +p208460 +aS'the\tthe\tDT\tB-NP\tO' +p208461 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p208462 +aS'his\this\tPRP$\tB-NP\tO' +p208463 +aS'CK\tCK\tNN\tI-NP\tB-protein' +p208464 +aS'fell\tfall\tVBD\tB-VP\tO' +p208465 +aS'in\tin\tIN\tB-PP\tO' +p208466 +aS'the\tthe\tDT\tB-NP\tO' +p208467 +aS'serum\tserum\tNN\tI-NP\tO' +p208468 +aS'.\t.\t.\tO\tO' +p208469 +asS'No changes in the position or alignment of multiple lines and tubes' +p208470 +(lp208471 +S'No\tNo\tDT\tB-NP\tO' +p208472 +aS'changes\tchange\tNNS\tI-NP\tO' +p208473 +aS'in\tin\tIN\tB-PP\tO' +p208474 +aS'the\tthe\tDT\tB-NP\tO' +p208475 +aS'position\tposition\tNN\tI-NP\tO' +p208476 +aS'or\tor\tCC\tI-NP\tO' +p208477 +aS'alignment\talignment\tNN\tI-NP\tO' +p208478 +aS'of\tof\tIN\tB-PP\tO' +p208479 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p208480 +aS'lines\tline\tNNS\tI-NP\tO' +p208481 +aS'and\tand\tCC\tI-NP\tO' +p208482 +aS'tubes\ttube\tNNS\tI-NP\tO' +p208483 +asS'He tolerated the procedure well and was transferred to the CSRU for invasive monitoring in stable condition .' +p208484 +(lp208485 +S'He\tHe\tPRP\tB-NP\tO' +p208486 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p208487 +aS'the\tthe\tDT\tB-NP\tO' +p208488 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p208489 +aS'well\twell\tRB\tB-ADVP\tO' +p208490 +aS'and\tand\tCC\tO\tO' +p208491 +aS'was\tbe\tVBD\tB-VP\tO' +p208492 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p208493 +aS'to\tto\tTO\tB-PP\tO' +p208494 +aS'the\tthe\tDT\tB-NP\tO' +p208495 +aS'CSRU\tCSRU\tNN\tI-NP\tO' +p208496 +aS'for\tfor\tIN\tB-PP\tO' +p208497 +aS'invasive\tinvasive\tJJ\tB-NP\tO' +p208498 +aS'monitoring\tmonitoring\tNN\tI-NP\tO' +p208499 +aS'in\tin\tIN\tB-PP\tO' +p208500 +aS'stable\tstable\tJJ\tB-NP\tO' +p208501 +aS'condition\tcondition\tNN\tI-NP\tO' +p208502 +aS'.\t.\t.\tO\tO' +p208503 +asS'An extensive family meeting was held and the family agreed that it did not make sense to intubate the patient and send him to the Intensive Care Unit .' +p208504 +(lp208505 +S'An\tAn\tDT\tB-NP\tO' +p208506 +aS'extensive\textensive\tJJ\tI-NP\tO' +p208507 +aS'family\tfamily\tNN\tI-NP\tO' +p208508 +aS'meeting\tmeeting\tNN\tI-NP\tO' +p208509 +aS'was\tbe\tVBD\tB-VP\tO' +p208510 +aS'held\thold\tVBN\tI-VP\tO' +p208511 +aS'and\tand\tCC\tO\tO' +p208512 +aS'the\tthe\tDT\tB-NP\tO' +p208513 +aS'family\tfamily\tNN\tI-NP\tO' +p208514 +aS'agreed\tagree\tVBD\tB-VP\tO' +p208515 +aS'that\tthat\tIN\tB-SBAR\tO' +p208516 +aS'it\tit\tPRP\tB-NP\tO' +p208517 +aS'did\tdo\tVBD\tB-VP\tO' +p208518 +aS'not\tnot\tRB\tI-VP\tO' +p208519 +aS'make\tmake\tVB\tI-VP\tO' +p208520 +aS'sense\tsense\tNN\tB-NP\tO' +p208521 +aS'to\tto\tTO\tB-VP\tO' +p208522 +aS'intubate\tintubate\tVB\tI-VP\tO' +p208523 +aS'the\tthe\tDT\tB-NP\tO' +p208524 +aS'patient\tpatient\tNN\tI-NP\tO' +p208525 +aS'and\tand\tCC\tO\tO' +p208526 +aS'send\tsend\tVB\tB-VP\tO' +p208527 +aS'him\thim\tPRP\tB-NP\tO' +p208528 +aS'to\tto\tTO\tB-PP\tO' +p208529 +aS'the\tthe\tDT\tB-NP\tO' +p208530 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p208531 +aS'Care\tCare\tNNP\tI-NP\tO' +p208532 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p208533 +aS'.\t.\t.\tO\tO' +p208534 +asS'Had subsequent abnormal stress test and pefusion imaging showed EF 38% with perfusion defects .' +p208535 +(lp208536 +S'Had\tHave\tVBD\tB-VP\tO' +p208537 +aS'subsequent\tsubsequent\tJJ\tB-NP\tO' +p208538 +aS'abnormal\tabnormal\tJJ\tI-NP\tO' +p208539 +aS'stress\tstress\tNN\tI-NP\tO' +p208540 +aS'test\ttest\tNN\tI-NP\tO' +p208541 +aS'and\tand\tCC\tO\tO' +p208542 +aS'pefusion\tpefusion\tNN\tB-NP\tO' +p208543 +aS'imaging\timaging\tNN\tI-NP\tO' +p208544 +aS'showed\tshow\tVBD\tB-VP\tO' +p208545 +aS'EF\tEF\tNN\tB-NP\tB-protein' +p208546 +aS'38%\t38%\tNN\tI-NP\tI-protein' +p208547 +aS'with\twith\tIN\tB-PP\tO' +p208548 +aS'perfusion\tperfusion\tNN\tB-NP\tO' +p208549 +aS'defects\tdefect\tNNS\tI-NP\tO' +p208550 +aS'.\t.\t.\tO\tO' +p208551 +asS'Her PCP was thought to be negative .' +p208552 +(lp208553 +S'Her\tHer\tPRP$\tB-NP\tO' +p208554 +aS'PCP\tPCP\tNN\tI-NP\tB-DNA' +p208555 +aS'was\tbe\tVBD\tB-VP\tO' +p208556 +aS'thought\tthink\tVBN\tI-VP\tO' +p208557 +aS'to\tto\tTO\tI-VP\tO' +p208558 +aS'be\tbe\tVB\tI-VP\tO' +p208559 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p208560 +aS'.\t.\t.\tO\tO' +p208561 +asS'Electrocardiogram the following morning revealed normalization of her ST segments with evolution of Q waves .' +p208562 +(lp208563 +S'Electrocardiogram\tElectrocardiogram\tNN\tB-NP\tO' +p208564 +aS'the\tthe\tDT\tB-NP\tO' +p208565 +aS'following\tfollow\tVBG\tI-NP\tO' +p208566 +aS'morning\tmorning\tNN\tI-NP\tO' +p208567 +aS'revealed\treveal\tVBD\tB-VP\tO' +p208568 +aS'normalization\tnormalization\tNN\tB-NP\tO' +p208569 +aS'of\tof\tIN\tB-PP\tO' +p208570 +aS'her\ther\tPRP$\tB-NP\tO' +p208571 +aS'ST\tST\tNN\tI-NP\tB-protein' +p208572 +aS'segments\tsegment\tNNS\tI-NP\tI-protein' +p208573 +aS'with\twith\tIN\tB-PP\tO' +p208574 +aS'evolution\tevolution\tNN\tB-NP\tO' +p208575 +aS'of\tof\tIN\tB-PP\tO' +p208576 +aS'Q\tQ\tNN\tB-NP\tO' +p208577 +aS'waves\twave\tNNS\tI-NP\tO' +p208578 +aS'.\t.\t.\tO\tO' +p208579 +asS'He remained in normal sinus rhythm .' +p208580 +(lp208581 +S'He\tHe\tPRP\tB-NP\tO' +p208582 +aS'remained\tremain\tVBD\tB-VP\tO' +p208583 +aS'in\tin\tIN\tB-PP\tO' +p208584 +aS'normal\tnormal\tJJ\tB-NP\tO' +p208585 +aS'sinus\tsinus\tNN\tI-NP\tO' +p208586 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p208587 +aS'.\t.\t.\tO\tO' +p208588 +asS'He is transferred to Louline Mauikings Medical Center for future rehabilitation and hopeful return home with considerable support and assistance .' +p208589 +(lp208590 +S'He\tHe\tPRP\tB-NP\tO' +p208591 +aS'is\tbe\tVBZ\tB-VP\tO' +p208592 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p208593 +aS'to\tto\tTO\tB-PP\tO' +p208594 +aS'Louline\tLouline\tNNP\tB-NP\tO' +p208595 +aS'Mauikings\tMauikings\tNNP\tI-NP\tO' +p208596 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p208597 +aS'Center\tCenter\tNNP\tI-NP\tO' +p208598 +aS'for\tfor\tIN\tB-PP\tO' +p208599 +aS'future\tfuture\tJJ\tB-NP\tO' +p208600 +aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' +p208601 +aS'and\tand\tCC\tO\tO' +p208602 +aS'hopeful\thopeful\tJJ\tB-NP\tO' +p208603 +aS'return\treturn\tNN\tI-NP\tO' +p208604 +aS'home\thome\tNN\tI-NP\tO' +p208605 +aS'with\twith\tIN\tB-PP\tO' +p208606 +aS'considerable\tconsiderable\tJJ\tB-NP\tO' +p208607 +aS'support\tsupport\tNN\tI-NP\tO' +p208608 +aS'and\tand\tCC\tI-NP\tO' +p208609 +aS'assistance\tassistance\tNN\tI-NP\tO' +p208610 +aS'.\t.\t.\tO\tO' +p208611 +asS'She was started empirically on Bactrim , while culture and sensitivity results were pending and remained pending at the time of this dictation .' +p208612 +(lp208613 +S'She\tShe\tPRP\tB-NP\tO' +p208614 +aS'was\tbe\tVBD\tB-VP\tO' +p208615 +aS'started\tstart\tVBN\tI-VP\tO' +p208616 +aS'empirically\tempirically\tRB\tB-ADVP\tO' +p208617 +aS'on\ton\tIN\tB-PP\tO' +p208618 +aS'Bactrim\tBactrim\tNNP\tB-NP\tO' +p208619 +aS',\t,\t,\tO\tO' +p208620 +aS'while\twhile\tIN\tB-SBAR\tO' +p208621 +aS'culture\tculture\tNN\tB-NP\tO' +p208622 +aS'and\tand\tCC\tI-NP\tO' +p208623 +aS'sensitivity\tsensitivity\tNN\tI-NP\tO' +p208624 +aS'results\tresult\tNNS\tI-NP\tO' +p208625 +aS'were\tbe\tVBD\tB-VP\tO' +p208626 +aS'pending\tpende\tVBG\tI-VP\tO' +p208627 +aS'and\tand\tCC\tO\tO' +p208628 +aS'remained\tremain\tVBD\tB-VP\tO' +p208629 +aS'pending\tpende\tVBG\tB-ADJP\tO' +p208630 +aS'at\tat\tIN\tB-PP\tO' +p208631 +aS'the\tthe\tDT\tB-NP\tO' +p208632 +aS'time\ttime\tNN\tI-NP\tO' +p208633 +aS'of\tof\tIN\tB-PP\tO' +p208634 +aS'this\tthis\tDT\tB-NP\tO' +p208635 +aS'dictation\tdictation\tNN\tI-NP\tO' +p208636 +aS'.\t.\t.\tO\tO' +p208637 +asS'Liver edge not palpated .' +p208638 +(lp208639 +S'Liver\tLiver\tNN\tB-NP\tO' +p208640 +aS'edge\tedge\tNN\tI-NP\tO' +p208641 +aS'not\tnot\tRB\tB-VP\tO' +p208642 +aS'palpated\tpalpate\tVBN\tI-VP\tO' +p208643 +aS'.\t.\t.\tO\tO' +p208644 +asS'JP remained intact with serosainguinous drainage .' +p208645 +(lp208646 +S'JP\tJP\tNN\tB-NP\tO' +p208647 +aS'remained\tremain\tVBD\tB-VP\tO' +p208648 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p208649 +aS'with\twith\tIN\tB-PP\tO' +p208650 +aS'serosainguinous\tserosainguinous\tJJ\tB-NP\tO' +p208651 +aS'drainage\tdrainage\tNN\tI-NP\tO' +p208652 +aS'.\t.\t.\tO\tO' +p208653 +asS'She was taken postoperatively to the recovery room already making a large amount of urine .' +p208654 +(lp208655 +S'She\tShe\tPRP\tB-NP\tO' +p208656 +aS'was\tbe\tVBD\tB-VP\tO' +p208657 +aS'taken\ttake\tVBN\tI-VP\tO' +p208658 +aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' +p208659 +aS'to\tto\tTO\tB-PP\tO' +p208660 +aS'the\tthe\tDT\tB-NP\tO' +p208661 +aS'recovery\trecovery\tNN\tI-NP\tO' +p208662 +aS'room\troom\tNN\tI-NP\tO' +p208663 +aS'already\talready\tRB\tB-VP\tO' +p208664 +aS'making\tmake\tVBG\tI-VP\tO' +p208665 +aS'a\ta\tDT\tB-NP\tO' +p208666 +aS'large\tlarge\tJJ\tI-NP\tO' +p208667 +aS'amount\tamount\tNN\tI-NP\tO' +p208668 +aS'of\tof\tIN\tB-PP\tO' +p208669 +aS'urine\turine\tNN\tB-NP\tO' +p208670 +aS'.\t.\t.\tO\tO' +p208671 +asS'An electrocardiogram obtained after the code demonstrated no acute changes .' +p208672 +(lp208673 +S'An\tAn\tDT\tB-NP\tO' +p208674 +aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' +p208675 +aS'obtained\tobtain\tVBN\tB-VP\tO' +p208676 +aS'after\tafter\tIN\tB-PP\tO' +p208677 +aS'the\tthe\tDT\tB-NP\tO' +p208678 +aS'code\tcode\tNN\tI-NP\tO' +p208679 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p208680 +aS'no\tno\tDT\tB-NP\tO' +p208681 +aS'acute\tacute\tJJ\tI-NP\tO' +p208682 +aS'changes\tchange\tNNS\tI-NP\tO' +p208683 +aS'.\t.\t.\tO\tO' +p208684 +asS'Voiding and stooling appropriately .' +p208685 +(lp208686 +S'Voiding\tVoid\tVBG\tB-VP\tO' +p208687 +aS'and\tand\tCC\tI-VP\tO' +p208688 +aS'stooling\tstool\tVBG\tI-VP\tO' +p208689 +aS'appropriately\tappropriately\tRB\tB-ADVP\tO' +p208690 +aS'.\t.\t.\tO\tO' +p208691 +asS'The abdomen was soft , nontender , nondistended , positive bowel sounds .' +p208692 +(lp208693 +S'The\tThe\tDT\tB-NP\tO' +p208694 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p208695 +aS'was\tbe\tVBD\tB-VP\tO' +p208696 +aS'soft\tsoft\tJJ\tB-NP\tO' +p208697 +aS',\t,\t,\tI-NP\tO' +p208698 +aS'nontender\tnontender\tJJ\tI-NP\tO' +p208699 +aS',\t,\t,\tI-NP\tO' +p208700 +aS'nondistended\tnondistended\tJJ\tI-NP\tO' +p208701 +aS',\t,\t,\tI-NP\tO' +p208702 +aS'positive\tpositive\tJJ\tI-NP\tO' +p208703 +aS'bowel\tbowel\tNN\tI-NP\tO' +p208704 +aS'sounds\tsound\tNNS\tI-NP\tO' +p208705 +aS'.\t.\t.\tO\tO' +p208706 +asS'He was extubated that night .' +p208707 +(lp208708 +S'He\tHe\tPRP\tB-NP\tO' +p208709 +aS'was\tbe\tVBD\tB-VP\tO' +p208710 +aS'extubated\textubate\tVBN\tI-VP\tO' +p208711 +aS'that\tthat\tDT\tB-NP\tO' +p208712 +aS'night\tnight\tNN\tI-NP\tO' +p208713 +aS'.\t.\t.\tO\tO' +p208714 +asS'The patient quit smoking fifty years ago but previously was a heavy smoker , though states that she never inhaled .' +p208715 +(lp208716 +S'The\tThe\tDT\tB-NP\tO' +p208717 +aS'patient\tpatient\tNN\tI-NP\tO' +p208718 +aS'quit\tquit\tVBD\tB-VP\tO' +p208719 +aS'smoking\tsmoke\tVBG\tI-VP\tO' +p208720 +aS'fifty\tfifty\tCD\tB-NP\tO' +p208721 +aS'years\tyear\tNNS\tI-NP\tO' +p208722 +aS'ago\tago\tRB\tB-ADVP\tO' +p208723 +aS'but\tbut\tCC\tO\tO' +p208724 +aS'previously\tpreviously\tRB\tB-VP\tO' +p208725 +aS'was\tbe\tVBD\tI-VP\tO' +p208726 +aS'a\ta\tDT\tB-NP\tO' +p208727 +aS'heavy\theavy\tJJ\tI-NP\tO' +p208728 +aS'smoker\tsmoker\tNN\tI-NP\tO' +p208729 +aS',\t,\t,\tO\tO' +p208730 +aS'though\tthough\tIN\tB-SBAR\tO' +p208731 +aS'states\tstate\tNNS\tB-NP\tO' +p208732 +aS'that\tthat\tIN\tB-SBAR\tO' +p208733 +aS'she\tshe\tPRP\tB-NP\tO' +p208734 +aS'never\tnever\tRB\tB-ADVP\tO' +p208735 +aS'inhaled\tinhale\tVBD\tB-VP\tO' +p208736 +aS'.\t.\t.\tO\tO' +p208737 +asS'The family refused autopsy or post-mortem examination to deduce secondary causes of death .' +p208738 +(lp208739 +S'The\tThe\tDT\tB-NP\tO' +p208740 +aS'family\tfamily\tNN\tI-NP\tO' +p208741 +aS'refused\trefuse\tVBD\tB-VP\tO' +p208742 +aS'autopsy\tautopsy\tNN\tB-NP\tO' +p208743 +aS'or\tor\tCC\tO\tO' +p208744 +aS'post-mortem\tpost-mortem\tJJ\tB-NP\tO' +p208745 +aS'examination\texamination\tNN\tI-NP\tO' +p208746 +aS'to\tto\tTO\tB-VP\tO' +p208747 +aS'deduce\tdeduce\tVB\tI-VP\tO' +p208748 +aS'secondary\tsecondary\tJJ\tB-NP\tO' +p208749 +aS'causes\tcause\tNNS\tI-NP\tO' +p208750 +aS'of\tof\tIN\tB-PP\tO' +p208751 +aS'death\tdeath\tNN\tB-NP\tO' +p208752 +aS'.\t.\t.\tO\tO' +p208753 +asS'The patient denies any exposure to smoke , animals , unusual dust or vapors , or other asthma triggers .' +p208754 +(lp208755 +S'The\tThe\tDT\tB-NP\tO' +p208756 +aS'patient\tpatient\tNN\tI-NP\tO' +p208757 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p208758 +aS'any\tany\tDT\tB-NP\tO' +p208759 +aS'exposure\texposure\tNN\tI-NP\tO' +p208760 +aS'to\tto\tTO\tB-VP\tO' +p208761 +aS'smoke\tsmoke\tVB\tI-VP\tO' +p208762 +aS',\t,\t,\tO\tO' +p208763 +aS'animals\tanimal\tNNS\tB-NP\tO' +p208764 +aS',\t,\t,\tO\tO' +p208765 +aS'unusual\tunusual\tJJ\tB-NP\tO' +p208766 +aS'dust\tdust\tNN\tI-NP\tO' +p208767 +aS'or\tor\tCC\tI-NP\tO' +p208768 +aS'vapors\tvapor\tNNS\tI-NP\tO' +p208769 +aS',\t,\t,\tO\tO' +p208770 +aS'or\tor\tCC\tO\tO' +p208771 +aS'other\tother\tJJ\tB-NP\tO' +p208772 +aS'asthma\tasthma\tNN\tI-NP\tO' +p208773 +aS'triggers\ttrigger\tNNS\tI-NP\tO' +p208774 +aS'.\t.\t.\tO\tO' +p208775 +asS'He has been living at The Cooley Dickinson Hospital House since 2017-08-02 .' +p208776 +(lp208777 +S'He\tHe\tPRP\tB-NP\tO' +p208778 +aS'has\thave\tVBZ\tB-VP\tO' +p208779 +aS'been\tbe\tVBN\tI-VP\tO' +p208780 +aS'living\tlive\tVBG\tI-VP\tO' +p208781 +aS'at\tat\tIN\tB-PP\tO' +p208782 +aS'The\tThe\tDT\tB-NP\tO' +p208783 +aS'Cooley\tCooley\tNNP\tI-NP\tO' +p208784 +aS'Dickinson\tDickinson\tNNP\tI-NP\tO' +p208785 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p208786 +aS'House\tHouse\tNNP\tI-NP\tO' +p208787 +aS'since\tsince\tIN\tB-PP\tO' +p208788 +aS'2017-08-02\t2017-08-02\tCD\tB-NP\tO' +p208789 +aS'.\t.\t.\tO\tO' +p208790 +asS'On neurological examination , the patient was alert , oriented to time , place and person .' +p208791 +(lp208792 +S'On\tOn\tIN\tB-PP\tO' +p208793 +aS'neurological\tneurological\tJJ\tB-NP\tO' +p208794 +aS'examination\texamination\tNN\tI-NP\tO' +p208795 +aS',\t,\t,\tO\tO' +p208796 +aS'the\tthe\tDT\tB-NP\tO' +p208797 +aS'patient\tpatient\tNN\tI-NP\tO' +p208798 +aS'was\tbe\tVBD\tB-VP\tO' +p208799 +aS'alert\talert\tJJ\tB-ADJP\tO' +p208800 +aS',\t,\t,\tO\tO' +p208801 +aS'oriented\torient\tVBN\tB-VP\tO' +p208802 +aS'to\tto\tTO\tB-PP\tO' +p208803 +aS'time\ttime\tNN\tB-NP\tO' +p208804 +aS',\t,\t,\tB-NP\tO' +p208805 +aS'place\tplace\tNN\tI-NP\tO' +p208806 +aS'and\tand\tCC\tI-NP\tO' +p208807 +aS'person\tperson\tNN\tI-NP\tO' +p208808 +aS'.\t.\t.\tO\tO' +p208809 +asS'Extremities are warm , noncyanotic and nonedematous times four .' +p208810 +(lp208811 +S'Extremities\tExtremity\tNNS\tB-NP\tO' +p208812 +aS'are\tbe\tVBP\tB-VP\tO' +p208813 +aS'warm\twarm\tJJ\tB-NP\tO' +p208814 +aS',\t,\t,\tI-NP\tO' +p208815 +aS'noncyanotic\tnoncyanotic\tJJ\tI-NP\tO' +p208816 +aS'and\tand\tCC\tI-NP\tO' +p208817 +aS'nonedematous\tnonedematous\tJJ\tI-NP\tO' +p208818 +aS'times\ttime\tNNS\tI-NP\tO' +p208819 +aS'four\tfour\tCD\tI-NP\tO' +p208820 +aS'.\t.\t.\tO\tO' +p208821 +asS'Caval narrowing is seen , most likely correlation to clinical history is recommended and further evaluation of the CT or short-term ultrasounds for follow-up was recommended .' +p208822 +(lp208823 +S'Caval\tCaval\tNN\tB-NP\tO' +p208824 +aS'narrowing\tnarrowing\tNN\tI-NP\tO' +p208825 +aS'is\tbe\tVBZ\tB-VP\tO' +p208826 +aS'seen\tsee\tVBN\tI-VP\tO' +p208827 +aS',\t,\t,\tO\tO' +p208828 +aS'most\tmost\tRBS\tB-NP\tO' +p208829 +aS'likely\tlikely\tJJ\tI-NP\tO' +p208830 +aS'correlation\tcorrelation\tNN\tI-NP\tO' +p208831 +aS'to\tto\tTO\tB-PP\tO' +p208832 +aS'clinical\tclinical\tJJ\tB-NP\tO' +p208833 +aS'history\thistory\tNN\tI-NP\tO' +p208834 +aS'is\tbe\tVBZ\tB-VP\tO' +p208835 +aS'recommended\trecommend\tVBN\tI-VP\tO' +p208836 +aS'and\tand\tCC\tO\tO' +p208837 +aS'further\tfurther\tJJ\tB-NP\tO' +p208838 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p208839 +aS'of\tof\tIN\tB-PP\tO' +p208840 +aS'the\tthe\tDT\tB-NP\tO' +p208841 +aS'CT\tCT\tNN\tI-NP\tO' +p208842 +aS'or\tor\tCC\tI-NP\tO' +p208843 +aS'short-term\tshort-term\tJJ\tI-NP\tO' +p208844 +aS'ultrasounds\tultrasound\tNNS\tI-NP\tO' +p208845 +aS'for\tfor\tIN\tB-PP\tO' +p208846 +aS'follow-up\tfollow-up\tNN\tB-NP\tO' +p208847 +aS'was\tbe\tVBD\tB-VP\tO' +p208848 +aS'recommended\trecommend\tVBN\tI-VP\tO' +p208849 +aS'.\t.\t.\tO\tO' +p208850 +asS'On 2/28/00 , the patient 's diet was advanced to a low fat solids ( per pancreatitis study ) , which the patient tolerated well .' +p208851 +(lp208852 +S'On\tOn\tIN\tB-PP\tO' +p208853 +aS'2/28/00\t2/28/00\tCD\tB-NP\tO' +p208854 +aS',\t,\t,\tO\tO' +p208855 +aS'the\tthe\tDT\tB-NP\tO' +p208856 +aS'patient\tpatient\tNN\tI-NP\tO' +p208857 +aS''s\t'\tNNS\tI-NP\tO' +p208858 +aS'diet\tdiet\tNN\tI-NP\tO' +p208859 +aS'was\tbe\tVBD\tB-VP\tO' +p208860 +aS'advanced\tadvance\tVBN\tI-VP\tO' +p208861 +aS'to\tto\tTO\tB-PP\tO' +p208862 +aS'a\ta\tDT\tB-NP\tO' +p208863 +aS'low\tlow\tJJ\tI-NP\tO' +p208864 +aS'fat\tfat\tJJ\tI-NP\tO' +p208865 +aS'solids\tsolid\tNNS\tI-NP\tO' +p208866 +aS'(\t(\t(\tO\tO' +p208867 +aS'per\tper\tIN\tB-PP\tO' +p208868 +aS'pancreatitis\tpancreatitis\tNN\tB-NP\tO' +p208869 +aS'study\tstudy\tNN\tI-NP\tO' +p208870 +aS')\t)\t)\tO\tO' +p208871 +aS',\t,\t,\tO\tO' +p208872 +aS'which\twhich\tWDT\tB-NP\tO' +p208873 +aS'the\tthe\tDT\tB-NP\tO' +p208874 +aS'patient\tpatient\tNN\tI-NP\tO' +p208875 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p208876 +aS'well\twell\tRB\tB-ADVP\tO' +p208877 +aS'.\t.\t.\tO\tO' +p208878 +asS'Fingers were warm and well perfused with capillary refill less than 3 seconds .' +p208879 +(lp208880 +S'Fingers\tFinger\tNNS\tB-NP\tO' +p208881 +aS'were\tbe\tVBD\tB-VP\tO' +p208882 +aS'warm\twarm\tJJ\tB-ADJP\tO' +p208883 +aS'and\tand\tCC\tO\tO' +p208884 +aS'well\twell\tRB\tB-ADJP\tO' +p208885 +aS'perfused\tperfuse\tVBN\tI-ADJP\tO' +p208886 +aS'with\twith\tIN\tB-PP\tO' +p208887 +aS'capillary\tcapillary\tJJ\tB-NP\tO' +p208888 +aS'refill\trefill\tNN\tI-NP\tO' +p208889 +aS'less\tless\tJJR\tB-NP\tO' +p208890 +aS'than\tthan\tIN\tI-NP\tO' +p208891 +aS'3\t3\tCD\tI-NP\tO' +p208892 +aS'seconds\tsecond\tNNS\tI-NP\tO' +p208893 +aS'.\t.\t.\tO\tO' +p208894 +asS'The cranial nerves showed pupils were bilaterally active from 3 to 2 mm .' +p208895 +(lp208896 +S'The\tThe\tDT\tB-NP\tO' +p208897 +aS'cranial\tcranial\tJJ\tI-NP\tO' +p208898 +aS'nerves\tnerve\tNNS\tI-NP\tO' +p208899 +aS'showed\tshow\tVBD\tB-VP\tO' +p208900 +aS'pupils\tpupil\tNNS\tB-NP\tO' +p208901 +aS'were\tbe\tVBD\tB-VP\tO' +p208902 +aS'bilaterally\tbilaterally\tRB\tB-ADJP\tO' +p208903 +aS'active\tactive\tJJ\tI-ADJP\tO' +p208904 +aS'from\tfrom\tIN\tB-PP\tO' +p208905 +aS'3\t3\tCD\tB-NP\tO' +p208906 +aS'to\tto\tTO\tI-NP\tO' +p208907 +aS'2\t2\tCD\tI-NP\tO' +p208908 +aS'mm\tmm\tNN\tI-NP\tO' +p208909 +aS'.\t.\t.\tO\tO' +p208910 +asS'cataracts s/p removal of in Mayotte c/b enucleated CMED CSRU' +p208911 +(lp208912 +S'cataracts\tcataract\tNNS\tB-NP\tO' +p208913 +aS's/p\ts/p\tVBP\tB-VP\tO' +p208914 +aS'removal\tremoval\tNN\tB-NP\tO' +p208915 +aS'of\tof\tIN\tB-PP\tO' +p208916 +aS'in\tin\tIN\tB-PP\tO' +p208917 +aS'Mayotte\tMayotte\tNNP\tB-NP\tO' +p208918 +aS'c/b\tc/b\tNN\tI-NP\tO' +p208919 +aS'enucleated\tenucleate\tVBD\tB-VP\tO' +p208920 +aS'CMED\tCMED\tNNP\tB-NP\tO' +p208921 +aS'CSRU\tCSRU\tNNP\tI-NP\tO' +p208922 +asS'Intubation and mechanical ventilation .' +p208923 +(lp208924 +S'Intubation\tIntubation\tNN\tB-NP\tO' +p208925 +aS'and\tand\tCC\tI-NP\tO' +p208926 +aS'mechanical\tmechanical\tJJ\tI-NP\tO' +p208927 +aS'ventilation\tventilation\tNN\tI-NP\tO' +p208928 +aS'.\t.\t.\tO\tO' +p208929 +asS'This 20 year old driver was in a major motor vehicle accident and brought to the Emergency Saints Medical Center following this , with multiple trauma .' +p208930 +(lp208931 +S'This\tThis\tDT\tB-NP\tO' +p208932 +aS'20\t20\tCD\tI-NP\tO' +p208933 +aS'year\tyear\tNN\tI-NP\tO' +p208934 +aS'old\told\tJJ\tI-NP\tO' +p208935 +aS'driver\tdriver\tNN\tI-NP\tO' +p208936 +aS'was\tbe\tVBD\tB-VP\tO' +p208937 +aS'in\tin\tIN\tB-PP\tO' +p208938 +aS'a\ta\tDT\tB-NP\tO' +p208939 +aS'major\tmajor\tJJ\tI-NP\tO' +p208940 +aS'motor\tmotor\tNN\tI-NP\tO' +p208941 +aS'vehicle\tvehicle\tNN\tI-NP\tO' +p208942 +aS'accident\taccident\tNN\tI-NP\tO' +p208943 +aS'and\tand\tCC\tO\tO' +p208944 +aS'brought\tbring\tVBN\tB-VP\tO' +p208945 +aS'to\tto\tTO\tB-PP\tO' +p208946 +aS'the\tthe\tDT\tB-NP\tO' +p208947 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p208948 +aS'Saints\tSaints\tNNP\tI-NP\tO' +p208949 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p208950 +aS'Center\tCenter\tNNP\tI-NP\tO' +p208951 +aS'following\tfollow\tVBG\tB-PP\tO' +p208952 +aS'this\tthis\tDT\tB-NP\tO' +p208953 +aS',\t,\t,\tO\tO' +p208954 +aS'with\twith\tIN\tB-PP\tO' +p208955 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p208956 +aS'trauma\ttrauma\tNN\tI-NP\tO' +p208957 +aS'.\t.\t.\tO\tO' +p208958 +asS'Lines placed were a right femoral triple lumen , endotracheal tube 4.0 , arterial line , right radial line , Foley placed , peripheral intravenous line , nasogastric tube .' +p208959 +(lp208960 +S'Lines\tLine\tNNS\tB-NP\tO' +p208961 +aS'placed\tplace\tVBN\tB-VP\tO' +p208962 +aS'were\tbe\tVBD\tB-VP\tO' +p208963 +aS'a\ta\tDT\tB-NP\tO' +p208964 +aS'right\tright\tJJ\tI-NP\tO' +p208965 +aS'femoral\tfemoral\tJJ\tI-NP\tO' +p208966 +aS'triple\ttriple\tJJ\tI-NP\tO' +p208967 +aS'lumen\tlumen\tNN\tI-NP\tO' +p208968 +aS',\t,\t,\tO\tO' +p208969 +aS'endotracheal\tendotracheal\tJJ\tB-NP\tO' +p208970 +aS'tube\ttube\tNN\tI-NP\tO' +p208971 +aS'4.0\t4.0\tCD\tI-NP\tO' +p208972 +aS',\t,\t,\tO\tO' +p208973 +aS'arterial\tarterial\tJJ\tB-NP\tO' +p208974 +aS'line\tline\tNN\tI-NP\tO' +p208975 +aS',\t,\t,\tO\tO' +p208976 +aS'right\tright\tJJ\tB-NP\tB-cell_line' +p208977 +aS'radial\tradial\tJJ\tI-NP\tI-cell_line' +p208978 +aS'line\tline\tNN\tI-NP\tI-cell_line' +p208979 +aS',\t,\t,\tO\tO' +p208980 +aS'Foley\tFoley\tNNP\tB-NP\tO' +p208981 +aS'placed\tplace\tVBD\tB-VP\tO' +p208982 +aS',\t,\t,\tO\tO' +p208983 +aS'peripheral\tperipheral\tJJ\tB-NP\tO' +p208984 +aS'intravenous\tintravenous\tJJ\tI-NP\tO' +p208985 +aS'line\tline\tNN\tI-NP\tO' +p208986 +aS',\t,\t,\tO\tO' +p208987 +aS'nasogastric\tnasogastric\tJJ\tB-NP\tO' +p208988 +aS'tube\ttube\tNN\tI-NP\tO' +p208989 +aS'.\t.\t.\tO\tO' +p208990 +asS'This raised concerns for a hemorrhage , and she was transferred to Verg Medical Center emergently .' +p208991 +(lp208992 +S'This\tThis\tDT\tB-NP\tO' +p208993 +aS'raised\traise\tVBD\tB-VP\tO' +p208994 +aS'concerns\tconcern\tNNS\tB-NP\tO' +p208995 +aS'for\tfor\tIN\tB-PP\tO' +p208996 +aS'a\ta\tDT\tB-NP\tO' +p208997 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p208998 +aS',\t,\t,\tO\tO' +p208999 +aS'and\tand\tCC\tO\tO' +p209000 +aS'she\tshe\tPRP\tB-NP\tO' +p209001 +aS'was\tbe\tVBD\tB-VP\tO' +p209002 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p209003 +aS'to\tto\tTO\tB-PP\tO' +p209004 +aS'Verg\tVerg\tNNP\tB-NP\tO' +p209005 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p209006 +aS'Center\tCenter\tNNP\tI-NP\tO' +p209007 +aS'emergently\temergently\tRB\tB-ADVP\tO' +p209008 +aS'.\t.\t.\tO\tO' +p209009 +asS'5. Autograft , bone morphogenic protein , and allograft .' +p209010 +(lp209011 +S'5.\t5.\tLS\tB-LST\tO' +p209012 +aS'Autograft\tAutograft\tNN\tB-NP\tO' +p209013 +aS',\t,\t,\tO\tO' +p209014 +aS'bone\tbone\tNN\tB-NP\tB-protein' +p209015 +aS'morphogenic\tmorphogenic\tJJ\tI-NP\tI-protein' +p209016 +aS'protein\tprotein\tNN\tI-NP\tI-protein' +p209017 +aS',\t,\t,\tO\tO' +p209018 +aS'and\tand\tCC\tO\tO' +p209019 +aS'allograft\tallograft\tNN\tB-NP\tO' +p209020 +aS'.\t.\t.\tO\tO' +p209021 +asS'On January 5 , he had a chest xray with a left apicalpneumothorax but was stable on chest xray of January 7 .' +p209022 +(lp209023 +S'On\tOn\tIN\tB-PP\tO' +p209024 +aS'January\tJanuary\tNNP\tB-NP\tO' +p209025 +aS'5\t5\tCD\tI-NP\tO' +p209026 +aS',\t,\t,\tO\tO' +p209027 +aS'he\the\tPRP\tB-NP\tO' +p209028 +aS'had\thave\tVBD\tB-VP\tO' +p209029 +aS'a\ta\tDT\tB-NP\tO' +p209030 +aS'chest\tchest\tNN\tI-NP\tO' +p209031 +aS'xray\txray\tNN\tI-NP\tO' +p209032 +aS'with\twith\tIN\tB-PP\tO' +p209033 +aS'a\ta\tDT\tB-NP\tO' +p209034 +aS'left\tleft\tJJ\tI-NP\tO' +p209035 +aS'apicalpneumothorax\tapicalpneumothorax\tNN\tI-NP\tO' +p209036 +aS'but\tbut\tCC\tO\tO' +p209037 +aS'was\tbe\tVBD\tB-VP\tO' +p209038 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p209039 +aS'on\ton\tIN\tB-PP\tO' +p209040 +aS'chest\tchest\tNN\tB-NP\tO' +p209041 +aS'xray\txray\tNN\tI-NP\tO' +p209042 +aS'of\tof\tIN\tB-PP\tO' +p209043 +aS'January\tJanuary\tNNP\tB-NP\tB-protein' +p209044 +aS'7\t7\tCD\tI-NP\tI-protein' +p209045 +aS'.\t.\t.\tO\tO' +p209046 +asS'Of note , given the patient 's do not resuscitate status and the risk for bleeding , the patient 's Coumadin was stopped without incident several weeks before transfer .' +p209047 +(lp209048 +S'Of\tOf\tIN\tB-PP\tO' +p209049 +aS'note\tnote\tNN\tB-NP\tO' +p209050 +aS',\t,\t,\tO\tO' +p209051 +aS'given\tgive\tVBN\tB-PP\tO' +p209052 +aS'the\tthe\tDT\tB-NP\tO' +p209053 +aS'patient\tpatient\tNN\tI-NP\tO' +p209054 +aS''s\t'\tNNS\tI-NP\tO' +p209055 +aS'do\tdo\tVBP\tB-VP\tO' +p209056 +aS'not\tnot\tRB\tI-VP\tO' +p209057 +aS'resuscitate\tresuscitate\tVB\tI-VP\tO' +p209058 +aS'status\tstatus\tNN\tB-NP\tO' +p209059 +aS'and\tand\tCC\tO\tO' +p209060 +aS'the\tthe\tDT\tB-NP\tO' +p209061 +aS'risk\trisk\tNN\tI-NP\tO' +p209062 +aS'for\tfor\tIN\tB-PP\tO' +p209063 +aS'bleeding\tbleeding\tNN\tB-NP\tO' +p209064 +aS',\t,\t,\tO\tO' +p209065 +aS'the\tthe\tDT\tB-NP\tO' +p209066 +aS'patient\tpatient\tNN\tI-NP\tO' +p209067 +aS''s\t'\tNNS\tI-NP\tO' +p209068 +aS'Coumadin\tCoumadin\tNN\tI-NP\tO' +p209069 +aS'was\tbe\tVBD\tB-VP\tO' +p209070 +aS'stopped\tstop\tVBN\tI-VP\tO' +p209071 +aS'without\twithout\tIN\tB-PP\tO' +p209072 +aS'incident\tincident\tJJ\tB-NP\tO' +p209073 +aS'several\tseveral\tJJ\tI-NP\tO' +p209074 +aS'weeks\tweek\tNNS\tI-NP\tO' +p209075 +aS'before\tbefore\tIN\tB-PP\tO' +p209076 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p209077 +aS'.\t.\t.\tO\tO' +p209078 +asS'He had occasional episodes of rapid atrial fibrillation that were controlled with responded to IV metoprolol .' +p209079 +(lp209080 +S'He\tHe\tPRP\tB-NP\tO' +p209081 +aS'had\thave\tVBD\tB-VP\tO' +p209082 +aS'occasional\toccasional\tJJ\tB-NP\tO' +p209083 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p209084 +aS'of\tof\tIN\tB-PP\tO' +p209085 +aS'rapid\trapid\tJJ\tB-NP\tO' +p209086 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p209087 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p209088 +aS'that\tthat\tWDT\tB-NP\tO' +p209089 +aS'were\tbe\tVBD\tB-VP\tO' +p209090 +aS'controlled\tcontrol\tVBN\tI-VP\tO' +p209091 +aS'with\twith\tIN\tB-PP\tO' +p209092 +aS'responded\trespond\tVBN\tB-VP\tO' +p209093 +aS'to\tto\tTO\tB-PP\tO' +p209094 +aS'IV\tIV\tCD\tB-NP\tO' +p209095 +aS'metoprolol\tmetoprolol\tNN\tI-NP\tO' +p209096 +aS'.\t.\t.\tO\tO' +p209097 +asS'Antibiotics were discontinued on the evening of 2015-04-28 .' +p209098 +(lp209099 +S'Antibiotics\tAntibiotic\tNNS\tB-NP\tO' +p209100 +aS'were\tbe\tVBD\tB-VP\tO' +p209101 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p209102 +aS'on\ton\tIN\tB-PP\tO' +p209103 +aS'the\tthe\tDT\tB-NP\tO' +p209104 +aS'evening\tevening\tNN\tI-NP\tO' +p209105 +aS'of\tof\tIN\tB-PP\tO' +p209106 +aS'2015-04-28\t2015-04-28\tCD\tB-NP\tO' +p209107 +aS'.\t.\t.\tO\tO' +p209108 +asS'The patient was discharged to Milton/Haverhill per family request for pain and comfort ( hospice ) management .' +p209109 +(lp209110 +S'The\tThe\tDT\tB-NP\tO' +p209111 +aS'patient\tpatient\tNN\tI-NP\tO' +p209112 +aS'was\tbe\tVBD\tB-VP\tO' +p209113 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p209114 +aS'to\tto\tTO\tI-VP\tO' +p209115 +aS'Milton/Haverhill\tMilton/Haverhill\tVB\tI-VP\tO' +p209116 +aS'per\tper\tIN\tB-PP\tO' +p209117 +aS'family\tfamily\tNN\tB-NP\tO' +p209118 +aS'request\trequest\tNN\tI-NP\tO' +p209119 +aS'for\tfor\tIN\tB-PP\tO' +p209120 +aS'pain\tpain\tNN\tB-NP\tO' +p209121 +aS'and\tand\tCC\tI-NP\tO' +p209122 +aS'comfort\tcomfort\tNN\tI-NP\tO' +p209123 +aS'(\t(\t(\tO\tO' +p209124 +aS'hospice\thospice\tNN\tB-NP\tO' +p209125 +aS')\t)\t)\tO\tO' +p209126 +aS'management\tmanagement\tNN\tB-NP\tO' +p209127 +aS'.\t.\t.\tO\tO' +p209128 +asS'IV in R foot for access .' +p209129 +(lp209130 +S'IV\tIV\tCD\tB-NP\tO' +p209131 +aS'in\tin\tIN\tB-PP\tO' +p209132 +aS'R\tR\tNN\tB-NP\tO' +p209133 +aS'foot\tfoot\tNN\tI-NP\tO' +p209134 +aS'for\tfor\tIN\tB-PP\tO' +p209135 +aS'access\taccess\tNN\tB-NP\tO' +p209136 +aS'.\t.\t.\tO\tO' +p209137 +asS'Dilatation and curettage x 1 for SAB .' +p209138 +(lp209139 +S'Dilatation\tDilatation\tNN\tB-NP\tO' +p209140 +aS'and\tand\tCC\tI-NP\tO' +p209141 +aS'curettage\tcurettage\tNN\tI-NP\tB-protein' +p209142 +aS'x\tx\tSYM\tB-NP\tI-protein' +p209143 +aS'1\t1\tCD\tI-NP\tI-protein' +p209144 +aS'for\tfor\tIN\tB-PP\tO' +p209145 +aS'SAB\tSAB\tNN\tB-NP\tB-protein' +p209146 +aS'.\t.\t.\tO\tO' +p209147 +asS'Otherwise , there were no further episodes of blurred vision .' +p209148 +(lp209149 +S'Otherwise\tOtherwise\tRB\tB-ADVP\tO' +p209150 +aS',\t,\t,\tO\tO' +p209151 +aS'there\tthere\tEX\tB-NP\tO' +p209152 +aS'were\tbe\tVBD\tB-VP\tO' +p209153 +aS'no\tno\tDT\tB-NP\tO' +p209154 +aS'further\tfurther\tJJ\tI-NP\tO' +p209155 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p209156 +aS'of\tof\tIN\tB-PP\tO' +p209157 +aS'blurred\tblurred\tJJ\tB-NP\tO' +p209158 +aS'vision\tvision\tNN\tI-NP\tO' +p209159 +aS'.\t.\t.\tO\tO' +p209160 +asS'flare - steroids , cont prednisone 60 , taper slowly as tolerated , duonebs , advair , singulair , spiriva , claritin azithromycin for atypical bronchitis to complete a 5 day course , keep o2 sat 90-94 , home nocturnal CPAP not tolerated in house , does well on nc , appears ato be at baseline' +p209161 +(lp209162 +S'flare\tflare\tAFX\tB-NP\tO' +p209163 +aS'-\t-\tHYPH\tI-NP\tO' +p209164 +aS'steroids\tsteroid\tNNS\tI-NP\tO' +p209165 +aS',\t,\t,\tO\tO' +p209166 +aS'cont\tcont\tNN\tB-NP\tO' +p209167 +aS'prednisone\tprednisone\tNN\tI-NP\tO' +p209168 +aS'60\t60\tCD\tI-NP\tO' +p209169 +aS',\t,\t,\tO\tO' +p209170 +aS'taper\ttaper\tNN\tB-NP\tO' +p209171 +aS'slowly\tslowly\tRB\tB-ADVP\tO' +p209172 +aS'as\tas\tIN\tB-SBAR\tO' +p209173 +aS'tolerated\ttolerate\tVBN\tB-VP\tO' +p209174 +aS',\t,\t,\tO\tO' +p209175 +aS'duonebs\tduoneb\tNNS\tB-NP\tO' +p209176 +aS',\t,\t,\tO\tO' +p209177 +aS'advair\tadvair\tNN\tB-NP\tO' +p209178 +aS',\t,\t,\tO\tO' +p209179 +aS'singulair\tsingulair\tNN\tB-NP\tO' +p209180 +aS',\t,\t,\tO\tO' +p209181 +aS'spiriva\tspiriva\tNN\tB-NP\tO' +p209182 +aS',\t,\t,\tO\tO' +p209183 +aS'claritin\tclaritin\tNN\tB-NP\tO' +p209184 +aS'azithromycin\tazithromycin\tNN\tI-NP\tO' +p209185 +aS'for\tfor\tIN\tB-PP\tO' +p209186 +aS'atypical\tatypical\tJJ\tB-NP\tO' +p209187 +aS'bronchitis\tbronchitis\tNN\tI-NP\tO' +p209188 +aS'to\tto\tTO\tB-VP\tO' +p209189 +aS'complete\tcomplete\tVB\tI-VP\tO' +p209190 +aS'a\ta\tDT\tB-NP\tO' +p209191 +aS'5\t5\tCD\tI-NP\tO' +p209192 +aS'day\tday\tNN\tI-NP\tO' +p209193 +aS'course\tcourse\tNN\tI-NP\tO' +p209194 +aS',\t,\t,\tO\tO' +p209195 +aS'keep\tkeep\tNN\tB-NP\tO' +p209196 +aS'o2\to2\tNN\tI-NP\tO' +p209197 +aS'sat\tsit\tVBD\tB-VP\tO' +p209198 +aS'90-94\t90-94\tCD\tB-NP\tO' +p209199 +aS',\t,\t,\tO\tO' +p209200 +aS'home\thome\tNN\tB-NP\tO' +p209201 +aS'nocturnal\tnocturnal\tNN\tI-NP\tO' +p209202 +aS'CPAP\tCPAP\tNN\tI-NP\tO' +p209203 +aS'not\tnot\tRB\tB-VP\tO' +p209204 +aS'tolerated\ttolerate\tVBN\tI-VP\tO' +p209205 +aS'in\tin\tIN\tB-PP\tO' +p209206 +aS'house\thouse\tNN\tB-NP\tO' +p209207 +aS',\t,\t,\tO\tO' +p209208 +aS'does\tdo\tVBZ\tB-VP\tO' +p209209 +aS'well\twell\tRB\tB-ADVP\tO' +p209210 +aS'on\ton\tIN\tB-PP\tO' +p209211 +aS'nc\tnc\tNN\tB-NP\tO' +p209212 +aS',\t,\t,\tO\tO' +p209213 +aS'appears\tappear\tVBZ\tB-VP\tO' +p209214 +aS'ato\tato\tRB\tI-VP\tO' +p209215 +aS'be\tbe\tVB\tI-VP\tO' +p209216 +aS'at\tat\tIN\tB-PP\tO' +p209217 +aS'baseline\tbaseline\tNN\tB-NP\tO' +p209218 +asS'She was also maintained on Bactrim postoperatively and did not require ganciclovir , as she and her sister were cytomegalovirus negative .' +p209219 +(lp209220 +S'She\tShe\tPRP\tB-NP\tO' +p209221 +aS'was\tbe\tVBD\tB-VP\tO' +p209222 +aS'also\talso\tRB\tI-VP\tO' +p209223 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p209224 +aS'on\ton\tIN\tB-PP\tO' +p209225 +aS'Bactrim\tBactrim\tNNP\tB-NP\tO' +p209226 +aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' +p209227 +aS'and\tand\tCC\tO\tO' +p209228 +aS'did\tdo\tVBD\tB-VP\tO' +p209229 +aS'not\tnot\tRB\tI-VP\tO' +p209230 +aS'require\trequire\tVB\tI-VP\tO' +p209231 +aS'ganciclovir\tganciclovir\tNN\tB-NP\tO' +p209232 +aS',\t,\t,\tO\tO' +p209233 +aS'as\tas\tIN\tB-SBAR\tO' +p209234 +aS'she\tshe\tPRP\tB-NP\tO' +p209235 +aS'and\tand\tCC\tO\tO' +p209236 +aS'her\ther\tPRP$\tB-NP\tO' +p209237 +aS'sister\tsister\tNN\tI-NP\tO' +p209238 +aS'were\tbe\tVBD\tB-VP\tO' +p209239 +aS'cytomegalovirus\tcytomegalovirus\tNN\tB-NP\tO' +p209240 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p209241 +aS'.\t.\t.\tO\tO' +p209242 +asS'2) PNEUMOCYSTIS CARINII PNEUMONIA .' +p209243 +(lp209244 +S'2)\t2)\tLS\tB-NP\tO' +p209245 +aS'PNEUMOCYSTIS\tPNEUMOCYSTIS\tNN\tI-NP\tO' +p209246 +aS'CARINII\tCARINII\tNN\tI-NP\tO' +p209247 +aS'PNEUMONIA\tPNEUMONIA\tNN\tI-NP\tO' +p209248 +aS'.\t.\t.\tO\tO' +p209249 +asS'She is referred for progressive angina .' +p209250 +(lp209251 +S'She\tShe\tPRP\tB-NP\tO' +p209252 +aS'is\tbe\tVBZ\tB-VP\tO' +p209253 +aS'referred\trefer\tVBN\tI-VP\tO' +p209254 +aS'for\tfor\tIN\tB-PP\tO' +p209255 +aS'progressive\tprogressive\tJJ\tB-NP\tO' +p209256 +aS'angina\tangina\tNN\tI-NP\tO' +p209257 +aS'.\t.\t.\tO\tO' +p209258 +asS'Very weak flicker of inner canthus on left with corneal stimulation .' +p209259 +(lp209260 +S'Very\tVery\tNN\tB-NP\tO' +p209261 +aS'weak\tweak\tJJ\tI-NP\tO' +p209262 +aS'flicker\tflicker\tNN\tI-NP\tO' +p209263 +aS'of\tof\tIN\tB-PP\tO' +p209264 +aS'inner\tinner\tJJ\tB-NP\tO' +p209265 +aS'canthus\tcanthus\tNN\tI-NP\tO' +p209266 +aS'on\ton\tIN\tB-PP\tO' +p209267 +aS'left\tleave\tVBN\tB-VP\tO' +p209268 +aS'with\twith\tIN\tB-PP\tO' +p209269 +aS'corneal\tcorneal\tJJ\tB-NP\tO' +p209270 +aS'stimulation\tstimulation\tNN\tI-NP\tO' +p209271 +aS'.\t.\t.\tO\tO' +p209272 +asS'A lumbar puncture was also performed to rule out meningitis .' +p209273 +(lp209274 +S'A\tA\tDT\tB-NP\tO' +p209275 +aS'lumbar\tlumbar\tNN\tI-NP\tO' +p209276 +aS'puncture\tpuncture\tNN\tI-NP\tO' +p209277 +aS'was\tbe\tVBD\tB-VP\tO' +p209278 +aS'also\talso\tRB\tI-VP\tO' +p209279 +aS'performed\tperform\tVBN\tI-VP\tO' +p209280 +aS'to\tto\tTO\tI-VP\tO' +p209281 +aS'rule\trule\tVB\tI-VP\tO' +p209282 +aS'out\tout\tRP\tB-PRT\tO' +p209283 +aS'meningitis\tmeningitis\tNN\tB-NP\tO' +p209284 +aS'.\t.\t.\tO\tO' +p209285 +asS'It was felt that if we attempted aspirin desensitize her while an inpatient , then she would benefit from the use of aspirin and Plavix .' +p209286 +(lp209287 +S'It\tIt\tPRP\tB-NP\tO' +p209288 +aS'was\tbe\tVBD\tB-VP\tO' +p209289 +aS'felt\tfeel\tVBN\tI-VP\tO' +p209290 +aS'that\tthat\tIN\tB-SBAR\tO' +p209291 +aS'if\tif\tIN\tB-SBAR\tO' +p209292 +aS'we\twe\tPRP\tB-NP\tO' +p209293 +aS'attempted\tattempt\tVBD\tB-VP\tO' +p209294 +aS'aspirin\taspirin\tNN\tB-NP\tO' +p209295 +aS'desensitize\tdesensitize\tVB\tB-VP\tO' +p209296 +aS'her\ther\tPRP\tB-NP\tO' +p209297 +aS'while\twhile\tIN\tB-SBAR\tO' +p209298 +aS'an\tan\tDT\tB-NP\tO' +p209299 +aS'inpatient\tinpatient\tNN\tI-NP\tO' +p209300 +aS',\t,\t,\tO\tO' +p209301 +aS'then\tthen\tRB\tB-ADVP\tO' +p209302 +aS'she\tshe\tPRP\tB-NP\tO' +p209303 +aS'would\twould\tMD\tB-VP\tO' +p209304 +aS'benefit\tbenefit\tVB\tI-VP\tO' +p209305 +aS'from\tfrom\tIN\tB-PP\tO' +p209306 +aS'the\tthe\tDT\tB-NP\tO' +p209307 +aS'use\tuse\tNN\tI-NP\tO' +p209308 +aS'of\tof\tIN\tB-PP\tO' +p209309 +aS'aspirin\taspirin\tNN\tB-NP\tO' +p209310 +aS'and\tand\tCC\tI-NP\tO' +p209311 +aS'Plavix\tPlavix\tNN\tI-NP\tO' +p209312 +aS'.\t.\t.\tO\tO' +p209313 +asS'The abdomen was soft , nontender , nondistended , no visceromegaly .' +p209314 +(lp209315 +S'The\tThe\tDT\tB-NP\tO' +p209316 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p209317 +aS'was\tbe\tVBD\tB-VP\tO' +p209318 +aS'soft\tsoft\tJJ\tB-NP\tO' +p209319 +aS',\t,\t,\tI-NP\tO' +p209320 +aS'nontender\tnontender\tJJ\tI-NP\tO' +p209321 +aS',\t,\t,\tI-NP\tO' +p209322 +aS'nondistended\tnondistended\tJJ\tI-NP\tO' +p209323 +aS',\t,\t,\tO\tO' +p209324 +aS'no\tno\tDT\tB-NP\tO' +p209325 +aS'visceromegaly\tvisceromegaly\tRB\tI-NP\tO' +p209326 +aS'.\t.\t.\tO\tO' +p209327 +asS'71 yo m w/ astrocytoma on xrt and chemotx , who p/w 1 wk h/o productive cough , sick contact , hypoxic , now intubated , w/ increasing infiltrates b/l .' +p209328 +(lp209329 +S'71\t71\tCD\tB-NP\tO' +p209330 +aS'yo\tyo\tNN\tI-NP\tO' +p209331 +aS'm\tm\tNN\tI-NP\tO' +p209332 +aS'w/\tw/\tNN\tI-NP\tO' +p209333 +aS'astrocytoma\tastrocytoma\tNN\tI-NP\tO' +p209334 +aS'on\ton\tIN\tB-PP\tO' +p209335 +aS'xrt\txrt\tNN\tB-NP\tO' +p209336 +aS'and\tand\tCC\tI-NP\tO' +p209337 +aS'chemotx\tchemotx\tNN\tI-NP\tO' +p209338 +aS',\t,\t,\tO\tO' +p209339 +aS'who\twho\tWP\tB-NP\tO' +p209340 +aS'p/w\tp/w\tVBP\tB-VP\tO' +p209341 +aS'1\t1\tCD\tB-NP\tO' +p209342 +aS'wk\twk\tNN\tI-NP\tO' +p209343 +aS'h/o\th/o\tNN\tI-NP\tO' +p209344 +aS'productive\tproductive\tJJ\tI-NP\tO' +p209345 +aS'cough\tcough\tNN\tI-NP\tO' +p209346 +aS',\t,\t,\tO\tO' +p209347 +aS'sick\tsick\tJJ\tB-NP\tO' +p209348 +aS'contact\tcontact\tNN\tI-NP\tO' +p209349 +aS',\t,\t,\tO\tO' +p209350 +aS'hypoxic\thypoxic\tJJ\tB-ADJP\tO' +p209351 +aS',\t,\t,\tO\tO' +p209352 +aS'now\tnow\tRB\tB-VP\tO' +p209353 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p209354 +aS',\t,\t,\tO\tO' +p209355 +aS'w/\tw/\tNN\tB-NP\tO' +p209356 +aS'increasing\tincrease\tVBG\tB-VP\tO' +p209357 +aS'infiltrates\tinfiltrate\tNNS\tB-NP\tO' +p209358 +aS'b/l\tb/l\tNN\tI-NP\tO' +p209359 +aS'.\t.\t.\tO\tO' +p209360 +asS'10. Insulin SS and fixed dose' +p209361 +(lp209362 +S'10.\t10.\tLS\tB-NP\tO' +p209363 +aS'Insulin\tInsulin\tNN\tI-NP\tB-protein' +p209364 +aS'SS\tSS\tNN\tI-NP\tO' +p209365 +aS'and\tand\tCC\tO\tO' +p209366 +aS'fixed\tfix\tVBN\tB-VP\tO' +p209367 +aS'dose\tdose\tNN\tB-NP\tO' +p209368 +asS'Able to take care of himself; home health aide visits once a week .' +p209369 +(lp209370 +S'Able\tAble\tNN\tB-NP\tO' +p209371 +aS'to\tto\tTO\tB-VP\tO' +p209372 +aS'take\ttake\tVB\tI-VP\tO' +p209373 +aS'care\tcare\tNN\tB-NP\tO' +p209374 +aS'of\tof\tIN\tB-PP\tO' +p209375 +aS'himself;\thimself;\tNN\tB-NP\tO' +p209376 +aS'home\thome\tNN\tI-NP\tO' +p209377 +aS'health\thealth\tNN\tI-NP\tO' +p209378 +aS'aide\taide\tNN\tI-NP\tO' +p209379 +aS'visits\tvisit\tNNS\tI-NP\tO' +p209380 +aS'once\tonce\tIN\tB-SBAR\tO' +p209381 +aS'a\ta\tDT\tB-NP\tO' +p209382 +aS'week\tweek\tNN\tI-NP\tO' +p209383 +aS'.\t.\t.\tO\tO' +p209384 +asS'Signed electronically by : DR. Stephen Williams on : SAT 2015-10-24 9:46 AM' +p209385 +(lp209386 +S'Signed\tSign\tVBN\tB-VP\tO' +p209387 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p209388 +aS'by\tby\tIN\tB-PP\tO' +p209389 +aS':\t:\t:\tO\tO' +p209390 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p209391 +aS'Stephen\tStephen\tNNP\tI-NP\tO' +p209392 +aS'Williams\tWilliams\tNNP\tI-NP\tO' +p209393 +aS'on\ton\tIN\tB-PP\tO' +p209394 +aS':\t:\t:\tO\tO' +p209395 +aS'SAT\tSAT\tNN\tB-NP\tO' +p209396 +aS'2015-10-24\t2015-10-24\tCD\tI-NP\tO' +p209397 +aS'9:46\t9:46\tCD\tI-NP\tO' +p209398 +aS'AM\tAM\tNN\tI-NP\tO' +p209399 +asS'From a respiratory point of view , he is on CPAP and pressure support at 5 and 5 at 40% .' +p209400 +(lp209401 +S'From\tFrom\tIN\tB-PP\tO' +p209402 +aS'a\ta\tDT\tB-NP\tO' +p209403 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p209404 +aS'point\tpoint\tNN\tI-NP\tO' +p209405 +aS'of\tof\tIN\tB-PP\tO' +p209406 +aS'view\tview\tNN\tB-NP\tO' +p209407 +aS',\t,\t,\tO\tO' +p209408 +aS'he\the\tPRP\tB-NP\tO' +p209409 +aS'is\tbe\tVBZ\tB-VP\tO' +p209410 +aS'on\ton\tIN\tB-PP\tO' +p209411 +aS'CPAP\tCPAP\tNN\tB-NP\tB-protein' +p209412 +aS'and\tand\tCC\tO\tO' +p209413 +aS'pressure\tpressure\tNN\tB-NP\tO' +p209414 +aS'support\tsupport\tNN\tI-NP\tO' +p209415 +aS'at\tat\tIN\tB-PP\tO' +p209416 +aS'5\t5\tCD\tB-NP\tO' +p209417 +aS'and\tand\tCC\tI-NP\tO' +p209418 +aS'5\t5\tCD\tI-NP\tO' +p209419 +aS'at\tat\tIN\tB-PP\tO' +p209420 +aS'40%\t40%\tCD\tB-NP\tO' +p209421 +aS'.\t.\t.\tO\tO' +p209422 +asS'There was concern about possible pneumonia .' +p209423 +(lp209424 +S'There\tThere\tEX\tB-NP\tO' +p209425 +aS'was\tbe\tVBD\tB-VP\tO' +p209426 +aS'concern\tconcern\tNN\tB-NP\tO' +p209427 +aS'about\tabout\tIN\tB-PP\tO' +p209428 +aS'possible\tpossible\tJJ\tB-NP\tO' +p209429 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p209430 +aS'.\t.\t.\tO\tO' +p209431 +asS'No cigarettes .' +p209432 +(lp209433 +S'No\tNo\tDT\tB-NP\tO' +p209434 +aS'cigarettes\tcigarette\tNNS\tI-NP\tO' +p209435 +aS'.\t.\t.\tO\tO' +p209436 +asS'For her depression , continued on Citalopram 10 mg daily .' +p209437 +(lp209438 +S'For\tFor\tIN\tB-PP\tO' +p209439 +aS'her\ther\tPRP$\tB-NP\tO' +p209440 +aS'depression\tdepression\tNN\tI-NP\tO' +p209441 +aS',\t,\t,\tO\tO' +p209442 +aS'continued\tcontinue\tVBN\tB-VP\tO' +p209443 +aS'on\ton\tIN\tB-PP\tO' +p209444 +aS'Citalopram\tCitalopram\tNN\tB-NP\tO' +p209445 +aS'10\t10\tCD\tI-NP\tO' +p209446 +aS'mg\tmg\tNN\tI-NP\tO' +p209447 +aS'daily\tdaily\tRB\tB-ADVP\tO' +p209448 +aS'.\t.\t.\tO\tO' +p209449 +asS'Neurological examination non-focal .' +p209450 +(lp209451 +S'Neurological\tNeurological\tJJ\tB-NP\tO' +p209452 +aS'examination\texamination\tNN\tI-NP\tO' +p209453 +aS'non-focal\tnon-focal\tJJ\tB-ADJP\tO' +p209454 +aS'.\t.\t.\tO\tO' +p209455 +asS'3. SPASTIC COLON .' +p209456 +(lp209457 +S'3.\t3.\tLS\tB-NP\tO' +p209458 +aS'SPASTIC\tSPASTIC\tNN\tI-NP\tO' +p209459 +aS'COLON\tCOLON\tNN\tI-NP\tO' +p209460 +aS'.\t.\t.\tO\tO' +p209461 +asS'Intravenous antibiotics .' +p209462 +(lp209463 +S'Intravenous\tIntravenous\tJJ\tB-NP\tO' +p209464 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p209465 +aS'.\t.\t.\tO\tO' +p209466 +asS'His creatinine was 1.2 on postoperative day # 5 .' +p209467 +(lp209468 +S'His\tHis\tPRP$\tB-NP\tO' +p209469 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p209470 +aS'was\tbe\tVBD\tB-VP\tO' +p209471 +aS'1.2\t1.2\tCD\tB-NP\tO' +p209472 +aS'on\ton\tIN\tB-PP\tO' +p209473 +aS'postoperative\tpostoperative\tJJ\tB-NP\tB-protein' +p209474 +aS'day\tday\tNN\tI-NP\tI-protein' +p209475 +aS'#\t#\t#\tB-NP\tI-protein' +p209476 +aS'5\t5\tCD\tI-NP\tI-protein' +p209477 +aS'.\t.\t.\tO\tO' +p209478 +asS'His Flagyl course was extended , and Vanc / Levo were added .' +p209479 +(lp209480 +S'His\tHis\tPRP$\tB-NP\tO' +p209481 +aS'Flagyl\tFlagyl\tNN\tI-NP\tO' +p209482 +aS'course\tcourse\tNN\tI-NP\tO' +p209483 +aS'was\tbe\tVBD\tB-VP\tO' +p209484 +aS'extended\textend\tVBN\tI-VP\tO' +p209485 +aS',\t,\t,\tO\tO' +p209486 +aS'and\tand\tCC\tO\tO' +p209487 +aS'Vanc\tVanc\tNN\tB-NP\tO' +p209488 +aS'/\t/\tSYM\tB-NP\tO' +p209489 +aS'Levo\tLevo\tNN\tI-NP\tO' +p209490 +aS'were\tbe\tVBD\tB-VP\tO' +p209491 +aS'added\tadd\tVBN\tI-VP\tO' +p209492 +aS'.\t.\t.\tO\tO' +p209493 +asS'04/22/94 , mitral valve replacement and tricuspid valve reconstruction .' +p209494 +(lp209495 +S'04/22/94\t04/22/94\tCD\tB-NP\tO' +p209496 +aS',\t,\t,\tO\tO' +p209497 +aS'mitral\tmitral\tJJ\tB-NP\tO' +p209498 +aS'valve\tvalve\tNN\tI-NP\tO' +p209499 +aS'replacement\treplacement\tNN\tI-NP\tO' +p209500 +aS'and\tand\tCC\tO\tO' +p209501 +aS'tricuspid\ttricuspid\tJJ\tB-NP\tO' +p209502 +aS'valve\tvalve\tNN\tI-NP\tO' +p209503 +aS'reconstruction\treconstruction\tNN\tI-NP\tO' +p209504 +aS'.\t.\t.\tO\tO' +p209505 +asS'A regular rate and rhythm .' +p209506 +(lp209507 +S'A\tA\tDT\tB-NP\tO' +p209508 +aS'regular\tregular\tJJ\tI-NP\tO' +p209509 +aS'rate\trate\tNN\tI-NP\tO' +p209510 +aS'and\tand\tCC\tI-NP\tO' +p209511 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p209512 +aS'.\t.\t.\tO\tO' +p209513 +asS'However , she was noted to have a relatively elevated white blood cell count that remained stable over the course of her hospital stay .' +p209514 +(lp209515 +S'However\tHowever\tRB\tB-ADVP\tO' +p209516 +aS',\t,\t,\tO\tO' +p209517 +aS'she\tshe\tPRP\tB-NP\tO' +p209518 +aS'was\tbe\tVBD\tB-VP\tO' +p209519 +aS'noted\tnote\tVBN\tI-VP\tO' +p209520 +aS'to\tto\tTO\tI-VP\tO' +p209521 +aS'have\thave\tVB\tI-VP\tO' +p209522 +aS'a\ta\tDT\tB-NP\tO' +p209523 +aS'relatively\trelatively\tRB\tI-NP\tO' +p209524 +aS'elevated\televated\tJJ\tI-NP\tO' +p209525 +aS'white\twhite\tJJ\tI-NP\tO' +p209526 +aS'blood\tblood\tNN\tI-NP\tO' +p209527 +aS'cell\tcell\tNN\tI-NP\tO' +p209528 +aS'count\tcount\tNN\tI-NP\tO' +p209529 +aS'that\tthat\tWDT\tB-NP\tO' +p209530 +aS'remained\tremain\tVBD\tB-VP\tO' +p209531 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p209532 +aS'over\tover\tIN\tB-PP\tO' +p209533 +aS'the\tthe\tDT\tB-NP\tO' +p209534 +aS'course\tcourse\tNN\tI-NP\tO' +p209535 +aS'of\tof\tIN\tB-PP\tO' +p209536 +aS'her\ther\tPRP$\tB-NP\tO' +p209537 +aS'hospital\thospital\tNN\tI-NP\tO' +p209538 +aS'stay\tstay\tNN\tI-NP\tO' +p209539 +aS'.\t.\t.\tO\tO' +p209540 +asS'He has a history of peripheral neuropathy , kidney transplantation in 2003 secondary to diabetic nephropathy , as well as throat cancer in 2004 treated with local resection and radical neck dissection on the left as well as postoperative radiation .' +p209541 +(lp209542 +S'He\tHe\tPRP\tB-NP\tO' +p209543 +aS'has\thave\tVBZ\tB-VP\tO' +p209544 +aS'a\ta\tDT\tB-NP\tO' +p209545 +aS'history\thistory\tNN\tI-NP\tO' +p209546 +aS'of\tof\tIN\tB-PP\tO' +p209547 +aS'peripheral\tperipheral\tJJ\tB-NP\tO' +p209548 +aS'neuropathy\tneuropathy\tNN\tI-NP\tO' +p209549 +aS',\t,\t,\tO\tO' +p209550 +aS'kidney\tkidney\tNN\tB-NP\tO' +p209551 +aS'transplantation\ttransplantation\tNN\tI-NP\tO' +p209552 +aS'in\tin\tIN\tB-PP\tO' +p209553 +aS'2003\t2003\tCD\tB-NP\tO' +p209554 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p209555 +aS'to\tto\tTO\tB-PP\tO' +p209556 +aS'diabetic\tdiabetic\tJJ\tB-NP\tO' +p209557 +aS'nephropathy\tnephropathy\tNN\tI-NP\tO' +p209558 +aS',\t,\t,\tO\tO' +p209559 +aS'as\tas\tRB\tB-CONJP\tO' +p209560 +aS'well\twell\tRB\tI-CONJP\tO' +p209561 +aS'as\tas\tIN\tI-CONJP\tO' +p209562 +aS'throat\tthroat\tNN\tB-NP\tO' +p209563 +aS'cancer\tcancer\tNN\tI-NP\tO' +p209564 +aS'in\tin\tIN\tB-PP\tO' +p209565 +aS'2004\t2004\tCD\tB-NP\tO' +p209566 +aS'treated\ttreat\tVBN\tB-VP\tO' +p209567 +aS'with\twith\tIN\tB-PP\tO' +p209568 +aS'local\tlocal\tJJ\tB-NP\tO' +p209569 +aS'resection\tresection\tNN\tI-NP\tO' +p209570 +aS'and\tand\tCC\tI-NP\tO' +p209571 +aS'radical\tradical\tJJ\tI-NP\tO' +p209572 +aS'neck\tneck\tNN\tI-NP\tO' +p209573 +aS'dissection\tdissection\tNN\tI-NP\tO' +p209574 +aS'on\ton\tIN\tB-PP\tO' +p209575 +aS'the\tthe\tDT\tB-NP\tO' +p209576 +aS'left\tleft\tJJ\tI-NP\tO' +p209577 +aS'as\tas\tRB\tB-CONJP\tO' +p209578 +aS'well\twell\tRB\tI-CONJP\tO' +p209579 +aS'as\tas\tIN\tI-CONJP\tO' +p209580 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p209581 +aS'radiation\tradiation\tNN\tI-NP\tO' +p209582 +aS'.\t.\t.\tO\tO' +p209583 +asS'Source Endotracheal .' +p209584 +(lp209585 +S'Source\tSource\tNNP\tB-NP\tO' +p209586 +aS'Endotracheal\tEndotracheal\tNNP\tI-NP\tO' +p209587 +aS'.\t.\t.\tO\tO' +p209588 +asS'At this time , urology will coordinate removal of her nephrostomy tube with IR .' +p209589 +(lp209590 +S'At\tAt\tIN\tB-PP\tO' +p209591 +aS'this\tthis\tDT\tB-NP\tO' +p209592 +aS'time\ttime\tNN\tI-NP\tO' +p209593 +aS',\t,\t,\tO\tO' +p209594 +aS'urology\turology\tNN\tB-NP\tO' +p209595 +aS'will\twill\tMD\tB-VP\tO' +p209596 +aS'coordinate\tcoordinate\tVB\tI-VP\tO' +p209597 +aS'removal\tremoval\tNN\tB-NP\tO' +p209598 +aS'of\tof\tIN\tB-PP\tO' +p209599 +aS'her\ther\tPRP$\tB-NP\tO' +p209600 +aS'nephrostomy\tnephrostomy\tNN\tI-NP\tO' +p209601 +aS'tube\ttube\tNN\tI-NP\tO' +p209602 +aS'with\twith\tIN\tB-PP\tO' +p209603 +aS'IR\tIR\tNN\tB-NP\tB-protein' +p209604 +aS'.\t.\t.\tO\tO' +p209605 +asS'Despite being on heparin for a short time , his hematocrit remained very stable with only a small dip after the catheterization was done .' +p209606 +(lp209607 +S'Despite\tDespite\tIN\tB-PP\tO' +p209608 +aS'being\tbe\tVBG\tB-VP\tO' +p209609 +aS'on\ton\tIN\tB-PP\tO' +p209610 +aS'heparin\theparin\tNN\tB-NP\tO' +p209611 +aS'for\tfor\tIN\tB-PP\tO' +p209612 +aS'a\ta\tDT\tB-NP\tO' +p209613 +aS'short\tshort\tJJ\tI-NP\tO' +p209614 +aS'time\ttime\tNN\tI-NP\tO' +p209615 +aS',\t,\t,\tO\tO' +p209616 +aS'his\this\tPRP$\tB-NP\tO' +p209617 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p209618 +aS'remained\tremain\tVBD\tB-VP\tO' +p209619 +aS'very\tvery\tRB\tB-ADJP\tO' +p209620 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p209621 +aS'with\twith\tIN\tB-PP\tO' +p209622 +aS'only\tonly\tRB\tB-NP\tO' +p209623 +aS'a\ta\tDT\tI-NP\tO' +p209624 +aS'small\tsmall\tJJ\tI-NP\tO' +p209625 +aS'dip\tdip\tNN\tI-NP\tO' +p209626 +aS'after\tafter\tIN\tB-PP\tO' +p209627 +aS'the\tthe\tDT\tB-NP\tO' +p209628 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p209629 +aS'was\tbe\tVBD\tB-VP\tO' +p209630 +aS'done\tdo\tVBN\tI-VP\tO' +p209631 +aS'.\t.\t.\tO\tO' +p209632 +asS'At that time her JP was still in place .' +p209633 +(lp209634 +S'At\tAt\tIN\tB-PP\tO' +p209635 +aS'that\tthat\tDT\tB-NP\tO' +p209636 +aS'time\ttime\tNN\tI-NP\tO' +p209637 +aS'her\ther\tPRP$\tB-NP\tO' +p209638 +aS'JP\tJP\tNN\tI-NP\tB-protein' +p209639 +aS'was\tbe\tVBD\tB-VP\tO' +p209640 +aS'still\tstill\tRB\tB-ADVP\tO' +p209641 +aS'in\tin\tIN\tB-PP\tO' +p209642 +aS'place\tplace\tNN\tB-NP\tO' +p209643 +aS'.\t.\t.\tO\tO' +p209644 +asS'An MRI was done and this showed a signal abno in L3 L4 ? disciitis vs osteo without a definitive epidural abscess .' +p209645 +(lp209646 +S'An\tAn\tDT\tB-NP\tO' +p209647 +aS'MRI\tMRI\tNN\tI-NP\tB-protein' +p209648 +aS'was\tbe\tVBD\tB-VP\tO' +p209649 +aS'done\tdo\tVBN\tI-VP\tO' +p209650 +aS'and\tand\tCC\tO\tO' +p209651 +aS'this\tthis\tDT\tB-NP\tO' +p209652 +aS'showed\tshow\tVBD\tB-VP\tO' +p209653 +aS'a\ta\tDT\tB-NP\tO' +p209654 +aS'signal\tsignal\tNN\tI-NP\tO' +p209655 +aS'abno\tabno\tNN\tI-NP\tO' +p209656 +aS'in\tin\tIN\tB-PP\tO' +p209657 +aS'L3\tL3\tNN\tB-NP\tB-DNA' +p209658 +aS'L4\tL4\tNN\tI-NP\tI-DNA' +p209659 +aS'?\t?\t.\tO\tO' +p209660 +aS'disciitis\tdisciitis\tNN\tB-NP\tO' +p209661 +aS'vs\tvs\tCC\tI-NP\tO' +p209662 +aS'osteo\tosteo\tNN\tI-NP\tO' +p209663 +aS'without\twithout\tIN\tB-PP\tO' +p209664 +aS'a\ta\tDT\tB-NP\tO' +p209665 +aS'definitive\tdefinitive\tJJ\tI-NP\tO' +p209666 +aS'epidural\tepidural\tJJ\tI-NP\tO' +p209667 +aS'abscess\tabscess\tNN\tI-NP\tO' +p209668 +aS'.\t.\t.\tO\tO' +p209669 +asS'MRI was performed which showed diffusion abnormalities but no hyperintensity on T2 / FLAIR imaging supporting the acute onset .' +p209670 +(lp209671 +S'MRI\tMRI\tNN\tB-NP\tB-protein' +p209672 +aS'was\tbe\tVBD\tB-VP\tO' +p209673 +aS'performed\tperform\tVBN\tI-VP\tO' +p209674 +aS'which\twhich\tWDT\tB-NP\tO' +p209675 +aS'showed\tshow\tVBD\tB-VP\tO' +p209676 +aS'diffusion\tdiffusion\tNN\tB-NP\tO' +p209677 +aS'abnormalities\tabnormality\tNNS\tI-NP\tO' +p209678 +aS'but\tbut\tCC\tO\tO' +p209679 +aS'no\tno\tDT\tB-NP\tO' +p209680 +aS'hyperintensity\thyperintensity\tNN\tI-NP\tO' +p209681 +aS'on\ton\tIN\tB-PP\tO' +p209682 +aS'T2\tT2\tNN\tB-NP\tB-DNA' +p209683 +aS'/\t/\tSYM\tI-NP\tO' +p209684 +aS'FLAIR\tFLAIR\tNN\tI-NP\tO' +p209685 +aS'imaging\timaging\tNN\tI-NP\tO' +p209686 +aS'supporting\tsupport\tVBG\tB-VP\tO' +p209687 +aS'the\tthe\tDT\tB-NP\tO' +p209688 +aS'acute\tacute\tJJ\tI-NP\tO' +p209689 +aS'onset\tonset\tNN\tI-NP\tO' +p209690 +aS'.\t.\t.\tO\tO' +p209691 +asS'1. Feedings at discharge - Similac 24 kilocalories per ounce p.o. ad lib .' +p209692 +(lp209693 +S'1.\t1.\tLS\tB-NP\tO' +p209694 +aS'Feedings\tFeeding\tNNS\tI-NP\tO' +p209695 +aS'at\tat\tIN\tB-PP\tO' +p209696 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p209697 +aS'-\t-\tHYPH\tB-NP\tO' +p209698 +aS'Similac\tSimilac\tNN\tI-NP\tO' +p209699 +aS'24\t24\tCD\tB-NP\tO' +p209700 +aS'kilocalories\tkilocalorie\tNNS\tI-NP\tO' +p209701 +aS'per\tper\tIN\tB-PP\tO' +p209702 +aS'ounce\tounce\tNN\tB-NP\tO' +p209703 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p209704 +aS'ad\tad\tNN\tI-NP\tO' +p209705 +aS'lib\tlib\tNN\tI-NP\tO' +p209706 +aS'.\t.\t.\tO\tO' +p209707 +asS'She remained afebrile .' +p209708 +(lp209709 +S'She\tShe\tPRP\tB-NP\tO' +p209710 +aS'remained\tremain\tVBD\tB-VP\tO' +p209711 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p209712 +aS'.\t.\t.\tO\tO' +p209713 +asS'Attending : Andre K. Young , M.D.' +p209714 +(lp209715 +S'Attending\tAttend\tVBG\tB-VP\tO' +p209716 +aS':\t:\t:\tO\tO' +p209717 +aS'Andre\tAndre\tNNP\tB-NP\tO' +p209718 +aS'K.\tK.\tNNP\tI-NP\tO' +p209719 +aS'Young\tYoung\tNNP\tI-NP\tO' +p209720 +aS',\t,\t,\tO\tO' +p209721 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p209722 +asS'Ct of head and neck neg for fx , bleed , and dislocation .' +p209723 +(lp209724 +S'Ct\tCt\tNN\tB-NP\tO' +p209725 +aS'of\tof\tIN\tB-PP\tO' +p209726 +aS'head\thead\tNN\tB-NP\tO' +p209727 +aS'and\tand\tCC\tI-NP\tO' +p209728 +aS'neck\tneck\tNN\tI-NP\tO' +p209729 +aS'neg\tneg\tNN\tI-NP\tO' +p209730 +aS'for\tfor\tIN\tB-PP\tO' +p209731 +aS'fx\tfx\tNN\tB-NP\tO' +p209732 +aS',\t,\t,\tO\tO' +p209733 +aS'bleed\tbleed\tNN\tB-NP\tO' +p209734 +aS',\t,\t,\tO\tO' +p209735 +aS'and\tand\tCC\tO\tO' +p209736 +aS'dislocation\tdislocation\tNN\tB-NP\tO' +p209737 +aS'.\t.\t.\tO\tO' +p209738 +asS'No transfusions given .' +p209739 +(lp209740 +S'No\tNo\tDT\tB-NP\tO' +p209741 +aS'transfusions\ttransfusion\tNNS\tI-NP\tO' +p209742 +aS'given\tgive\tVBN\tB-VP\tO' +p209743 +aS'.\t.\t.\tO\tO' +p209744 +asS'There was also a blowing holosystolic murmur heard at the patient 's apex to axilla .' +p209745 +(lp209746 +S'There\tThere\tEX\tB-NP\tO' +p209747 +aS'was\tbe\tVBD\tB-VP\tO' +p209748 +aS'also\talso\tRB\tB-ADVP\tO' +p209749 +aS'a\ta\tDT\tB-NP\tO' +p209750 +aS'blowing\tblow\tVBG\tI-NP\tO' +p209751 +aS'holosystolic\tholosystolic\tJJ\tI-NP\tO' +p209752 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p209753 +aS'heard\thear\tVBN\tB-VP\tO' +p209754 +aS'at\tat\tIN\tB-PP\tO' +p209755 +aS'the\tthe\tDT\tB-NP\tO' +p209756 +aS'patient\tpatient\tNN\tI-NP\tO' +p209757 +aS''s\t'\tNNS\tI-NP\tO' +p209758 +aS'apex\tapex\tNN\tI-NP\tO' +p209759 +aS'to\tto\tTO\tB-PP\tO' +p209760 +aS'axilla\taxilla\tNN\tB-NP\tO' +p209761 +aS'.\t.\t.\tO\tO' +p209762 +asS'HYPERVENTILATION : Could not be performed .' +p209763 +(lp209764 +S'HYPERVENTILATION\tHYPERVENTILATION\tNN\tB-NP\tO' +p209765 +aS':\t:\t:\tO\tO' +p209766 +aS'Could\tCould\tMD\tB-VP\tO' +p209767 +aS'not\tnot\tRB\tI-VP\tO' +p209768 +aS'be\tbe\tVB\tI-VP\tO' +p209769 +aS'performed\tperform\tVBN\tI-VP\tO' +p209770 +aS'.\t.\t.\tO\tO' +p209771 +asS'The area of erythema on her left leg enlarged slightly and the patient was placed on Vancomycin for several days after which time her erythema again began to decrease .' +p209772 +(lp209773 +S'The\tThe\tDT\tB-NP\tO' +p209774 +aS'area\tarea\tNN\tI-NP\tO' +p209775 +aS'of\tof\tIN\tB-PP\tO' +p209776 +aS'erythema\terythema\tNN\tB-NP\tO' +p209777 +aS'on\ton\tIN\tB-PP\tO' +p209778 +aS'her\ther\tPRP$\tB-NP\tO' +p209779 +aS'left\tleft\tJJ\tI-NP\tO' +p209780 +aS'leg\tleg\tNN\tI-NP\tO' +p209781 +aS'enlarged\tenlarge\tVBD\tB-VP\tO' +p209782 +aS'slightly\tslightly\tRB\tB-ADVP\tO' +p209783 +aS'and\tand\tCC\tO\tO' +p209784 +aS'the\tthe\tDT\tB-NP\tO' +p209785 +aS'patient\tpatient\tNN\tI-NP\tO' +p209786 +aS'was\tbe\tVBD\tB-VP\tO' +p209787 +aS'placed\tplace\tVBN\tI-VP\tO' +p209788 +aS'on\ton\tIN\tB-PP\tO' +p209789 +aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' +p209790 +aS'for\tfor\tIN\tB-PP\tO' +p209791 +aS'several\tseveral\tJJ\tB-NP\tO' +p209792 +aS'days\tday\tNNS\tI-NP\tO' +p209793 +aS'after\tafter\tIN\tB-PP\tO' +p209794 +aS'which\twhich\tWDT\tB-NP\tO' +p209795 +aS'time\ttime\tNN\tB-NP\tO' +p209796 +aS'her\ther\tPRP$\tB-NP\tO' +p209797 +aS'erythema\terythema\tNN\tI-NP\tO' +p209798 +aS'again\tagain\tRB\tB-ADVP\tO' +p209799 +aS'began\tbegin\tVBD\tB-VP\tO' +p209800 +aS'to\tto\tTO\tI-VP\tO' +p209801 +aS'decrease\tdecrease\tVB\tI-VP\tO' +p209802 +aS'.\t.\t.\tO\tO' +p209803 +asS'Neurology .' +p209804 +(lp209805 +S'Neurology\tNeurology\tNNP\tB-NP\tO' +p209806 +aS'.\t.\t.\tO\tO' +p209807 +asS'8. Zinc 220 mg po every day .' +p209808 +(lp209809 +S'8.\t8.\tCD\tB-NP\tO' +p209810 +aS'Zinc\tZinc\tNN\tI-NP\tO' +p209811 +aS'220\t220\tCD\tB-NP\tO' +p209812 +aS'mg\tmg\tNN\tI-NP\tO' +p209813 +aS'po\tpo\tRB\tB-ADVP\tO' +p209814 +aS'every\tevery\tDT\tB-NP\tO' +p209815 +aS'day\tday\tNN\tI-NP\tO' +p209816 +aS'.\t.\t.\tO\tO' +p209817 +asS'3. Zantac 150 mg po b.i.d.' +p209818 +(lp209819 +S'3.\t3.\tLS\tB-LST\tO' +p209820 +aS'Zantac\tZantac\tNN\tB-NP\tO' +p209821 +aS'150\t150\tCD\tI-NP\tO' +p209822 +aS'mg\tmg\tNN\tI-NP\tO' +p209823 +aS'po\tpo\tNN\tI-NP\tO' +p209824 +aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' +p209825 +asS'He will followup with Dr. Levels in device clinic in 4 weeks .' +p209826 +(lp209827 +S'He\tHe\tPRP\tB-NP\tO' +p209828 +aS'will\twill\tMD\tB-VP\tO' +p209829 +aS'followup\tfollowup\tVB\tI-VP\tO' +p209830 +aS'with\twith\tIN\tB-PP\tO' +p209831 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p209832 +aS'Levels\tLevels\tNNP\tI-NP\tO' +p209833 +aS'in\tin\tIN\tB-PP\tO' +p209834 +aS'device\tdevice\tNN\tB-NP\tO' +p209835 +aS'clinic\tclinic\tNN\tI-NP\tO' +p209836 +aS'in\tin\tIN\tB-PP\tO' +p209837 +aS'4\t4\tCD\tB-NP\tO' +p209838 +aS'weeks\tweek\tNNS\tI-NP\tO' +p209839 +aS'.\t.\t.\tO\tO' +p209840 +asS'Pelvis film was negative .' +p209841 +(lp209842 +S'Pelvis\tPelvis\tNNP\tB-NP\tO' +p209843 +aS'film\tfilm\tNN\tI-NP\tO' +p209844 +aS'was\tbe\tVBD\tB-VP\tO' +p209845 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p209846 +aS'.\t.\t.\tO\tO' +p209847 +asS'However , his course was otherwise complicated by discovery of persistently elevated blood sugars and Endocrinology was consulted to rule out possible newly diagnosed diabetes .' +p209848 +(lp209849 +S'However\tHowever\tRB\tB-ADVP\tO' +p209850 +aS',\t,\t,\tO\tO' +p209851 +aS'his\this\tPRP$\tB-NP\tO' +p209852 +aS'course\tcourse\tNN\tI-NP\tO' +p209853 +aS'was\tbe\tVBD\tB-VP\tO' +p209854 +aS'otherwise\totherwise\tRB\tI-VP\tO' +p209855 +aS'complicated\tcomplicate\tVBN\tI-VP\tO' +p209856 +aS'by\tby\tIN\tB-PP\tO' +p209857 +aS'discovery\tdiscovery\tNN\tB-NP\tO' +p209858 +aS'of\tof\tIN\tB-PP\tO' +p209859 +aS'persistently\tpersistently\tRB\tB-NP\tO' +p209860 +aS'elevated\televated\tJJ\tI-NP\tO' +p209861 +aS'blood\tblood\tNN\tI-NP\tO' +p209862 +aS'sugars\tsugar\tNNS\tI-NP\tO' +p209863 +aS'and\tand\tCC\tO\tO' +p209864 +aS'Endocrinology\tEndocrinology\tNNP\tB-NP\tO' +p209865 +aS'was\tbe\tVBD\tB-VP\tO' +p209866 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p209867 +aS'to\tto\tTO\tI-VP\tO' +p209868 +aS'rule\trule\tVB\tI-VP\tO' +p209869 +aS'out\tout\tRP\tB-PRT\tO' +p209870 +aS'possible\tpossible\tJJ\tB-NP\tO' +p209871 +aS'newly\tnewly\tRB\tI-NP\tO' +p209872 +aS'diagnosed\tdiagnose\tVBN\tI-NP\tO' +p209873 +aS'diabetes\tdiabete\tNNS\tI-NP\tO' +p209874 +aS'.\t.\t.\tO\tO' +p209875 +asS'2. Medications - Poly-Vi-James 1 cc p.o. q. day ; Iron or Fer-In-James 0.2 cc p.o. q. day to give 2 mg / kg / day' +p209876 +(lp209877 +S'2.\t2.\tLS\tB-NP\tO' +p209878 +aS'Medications\tMedications\tNNP\tI-NP\tO' +p209879 +aS'-\t-\tHYPH\tO\tO' +p209880 +aS'Poly-Vi-James\tPoly-Vi-James\tNNP\tB-NP\tO' +p209881 +aS'1\t1\tCD\tI-NP\tO' +p209882 +aS'cc\tcc\tNN\tI-NP\tO' +p209883 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p209884 +aS'q.\tq.\tNN\tI-NP\tO' +p209885 +aS'day\tday\tNN\tI-NP\tO' +p209886 +aS';\t;\t:\tO\tO' +p209887 +aS'Iron\tIron\tNN\tB-NP\tO' +p209888 +aS'or\tor\tCC\tO\tO' +p209889 +aS'Fer-In-James\tFer-In-James\tNNP\tB-NP\tO' +p209890 +aS'0.2\t0.2\tCD\tI-NP\tO' +p209891 +aS'cc\tcc\tNN\tI-NP\tO' +p209892 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p209893 +aS'q.\tq.\tNN\tI-NP\tO' +p209894 +aS'day\tday\tNN\tI-NP\tO' +p209895 +aS'to\tto\tTO\tB-VP\tO' +p209896 +aS'give\tgive\tVB\tI-VP\tO' +p209897 +aS'2\t2\tCD\tB-NP\tO' +p209898 +aS'mg\tmg\tNN\tI-NP\tO' +p209899 +aS'/\t/\tSYM\tB-NP\tO' +p209900 +aS'kg\tkg\tNN\tI-NP\tO' +p209901 +aS'/\t/\tSYM\tB-NP\tO' +p209902 +aS'day\tday\tNN\tI-NP\tO' +p209903 +asS'The heart had a recovery regular rate and rhythm .' +p209904 +(lp209905 +S'The\tThe\tDT\tB-NP\tO' +p209906 +aS'heart\theart\tNN\tI-NP\tO' +p209907 +aS'had\thave\tVBD\tB-VP\tO' +p209908 +aS'a\ta\tDT\tB-NP\tO' +p209909 +aS'recovery\trecovery\tNN\tI-NP\tO' +p209910 +aS'regular\tregular\tJJ\tI-NP\tO' +p209911 +aS'rate\trate\tNN\tI-NP\tO' +p209912 +aS'and\tand\tCC\tI-NP\tO' +p209913 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p209914 +aS'.\t.\t.\tO\tO' +p209915 +asS'Extremities - no edema .' +p209916 +(lp209917 +S'Extremities\tExtremity\tNNS\tB-NP\tO' +p209918 +aS'-\t-\t:\tO\tO' +p209919 +aS'no\tno\tDT\tB-NP\tO' +p209920 +aS'edema\tedema\tNN\tI-NP\tO' +p209921 +aS'.\t.\t.\tO\tO' +p209922 +asS'Biapical lung scarring and mild bronchiectasis are present .' +p209923 +(lp209924 +S'Biapical\tBiapical\tJJ\tB-NP\tO' +p209925 +aS'lung\tlung\tNN\tI-NP\tO' +p209926 +aS'scarring\tscar\tVBG\tB-VP\tO' +p209927 +aS'and\tand\tCC\tO\tO' +p209928 +aS'mild\tmild\tJJ\tB-NP\tO' +p209929 +aS'bronchiectasis\tbronchiectasis\tNN\tI-NP\tO' +p209930 +aS'are\tbe\tVBP\tB-VP\tO' +p209931 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p209932 +aS'.\t.\t.\tO\tO' +p209933 +asS'The patient had no further angina .' +p209934 +(lp209935 +S'The\tThe\tDT\tB-NP\tO' +p209936 +aS'patient\tpatient\tNN\tI-NP\tO' +p209937 +aS'had\thave\tVBD\tB-VP\tO' +p209938 +aS'no\tno\tDT\tB-NP\tO' +p209939 +aS'further\tfurther\tJJ\tI-NP\tO' +p209940 +aS'angina\tangina\tNN\tI-NP\tO' +p209941 +aS'.\t.\t.\tO\tO' +p209942 +asS'Labs on admission from outside hospital , CBC notable for a white count of 21.9 with hematocrit of 36.3 and normal platelets .' +p209943 +(lp209944 +S'Labs\tLab\tNNS\tB-NP\tB-protein' +p209945 +aS'on\ton\tIN\tB-PP\tO' +p209946 +aS'admission\tadmission\tNN\tB-NP\tO' +p209947 +aS'from\tfrom\tIN\tB-PP\tO' +p209948 +aS'outside\toutside\tJJ\tB-NP\tO' +p209949 +aS'hospital\thospital\tNN\tI-NP\tO' +p209950 +aS',\t,\t,\tO\tO' +p209951 +aS'CBC\tCBC\tNN\tB-NP\tO' +p209952 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p209953 +aS'for\tfor\tIN\tB-PP\tO' +p209954 +aS'a\ta\tDT\tB-NP\tO' +p209955 +aS'white\twhite\tJJ\tI-NP\tO' +p209956 +aS'count\tcount\tNN\tI-NP\tO' +p209957 +aS'of\tof\tIN\tB-PP\tO' +p209958 +aS'21.9\t21.9\tCD\tB-NP\tO' +p209959 +aS'with\twith\tIN\tB-PP\tO' +p209960 +aS'hematocrit\thematocrit\tNN\tB-NP\tO' +p209961 +aS'of\tof\tIN\tB-PP\tO' +p209962 +aS'36.3\t36.3\tCD\tB-NP\tO' +p209963 +aS'and\tand\tCC\tO\tO' +p209964 +aS'normal\tnormal\tJJ\tB-NP\tB-cell_type' +p209965 +aS'platelets\tplatelet\tNNS\tI-NP\tI-cell_type' +p209966 +aS'.\t.\t.\tO\tO' +p209967 +asS'His Jackson-Pratt drained about 35-40 cc per day and was discontinued on postoperative day # 3 .' +p209968 +(lp209969 +S'His\tHis\tPRP$\tB-NP\tB-protein' +p209970 +aS'Jackson-Pratt\tJackson-Pratt\tNNP\tI-NP\tO' +p209971 +aS'drained\tdrain\tVBD\tB-VP\tO' +p209972 +aS'about\tabout\tRB\tB-NP\tO' +p209973 +aS'35-40\t35-40\tCD\tI-NP\tO' +p209974 +aS'cc\tcc\tNN\tI-NP\tO' +p209975 +aS'per\tper\tIN\tB-PP\tO' +p209976 +aS'day\tday\tNN\tB-NP\tO' +p209977 +aS'and\tand\tCC\tO\tO' +p209978 +aS'was\tbe\tVBD\tB-VP\tO' +p209979 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p209980 +aS'on\ton\tIN\tB-PP\tO' +p209981 +aS'postoperative\tpostoperative\tJJ\tB-NP\tB-protein' +p209982 +aS'day\tday\tNN\tI-NP\tI-protein' +p209983 +aS'#\t#\t#\tB-NP\tI-protein' +p209984 +aS'3\t3\tCD\tI-NP\tI-protein' +p209985 +aS'.\t.\t.\tO\tO' +p209986 +asS'Intraoperative frozen section of the distal and proximal common bile duct in the' +p209987 +(lp209988 +S'Intraoperative\tIntraoperative\tJJ\tB-NP\tO' +p209989 +aS'frozen\tfrozen\tJJ\tI-NP\tO' +p209990 +aS'section\tsection\tNN\tI-NP\tO' +p209991 +aS'of\tof\tIN\tB-PP\tO' +p209992 +aS'the\tthe\tDT\tB-NP\tO' +p209993 +aS'distal\tdistal\tJJ\tI-NP\tO' +p209994 +aS'and\tand\tCC\tI-NP\tO' +p209995 +aS'proximal\tproximal\tJJ\tI-NP\tO' +p209996 +aS'common\tcommon\tJJ\tI-NP\tO' +p209997 +aS'bile\tbile\tNN\tI-NP\tO' +p209998 +aS'duct\tduct\tNN\tI-NP\tO' +p209999 +aS'in\tin\tIN\tB-PP\tO' +p210000 +aS'the\tthe\tDT\tB-NP\tO' +p210001 +asS'The patient had been advised to limit his physical exercise ; no heavy exertion .' +p210002 +(lp210003 +S'The\tThe\tDT\tB-NP\tO' +p210004 +aS'patient\tpatient\tNN\tI-NP\tO' +p210005 +aS'had\thave\tVBD\tB-VP\tO' +p210006 +aS'been\tbe\tVBN\tI-VP\tO' +p210007 +aS'advised\tadvise\tVBN\tI-VP\tO' +p210008 +aS'to\tto\tTO\tI-VP\tO' +p210009 +aS'limit\tlimit\tVB\tI-VP\tO' +p210010 +aS'his\this\tPRP$\tB-NP\tO' +p210011 +aS'physical\tphysical\tJJ\tI-NP\tO' +p210012 +aS'exercise\texercise\tNN\tI-NP\tO' +p210013 +aS';\t;\t:\tO\tO' +p210014 +aS'no\tno\tDT\tB-NP\tO' +p210015 +aS'heavy\theavy\tJJ\tI-NP\tO' +p210016 +aS'exertion\texertion\tNN\tI-NP\tO' +p210017 +aS'.\t.\t.\tO\tO' +p210018 +asS'Please call the office at ( 854 ) 787-3243 for an appointment .' +p210019 +(lp210020 +S'Please\tPlease\tVB\tB-VP\tO' +p210021 +aS'call\tcall\tVB\tI-VP\tO' +p210022 +aS'the\tthe\tDT\tB-NP\tO' +p210023 +aS'office\toffice\tNN\tI-NP\tO' +p210024 +aS'at\tat\tIN\tB-PP\tO' +p210025 +aS'(\t(\t(\tO\tO' +p210026 +aS'854\t854\tCD\tB-NP\tO' +p210027 +aS')\t)\t)\tO\tO' +p210028 +aS'787-3243\t787-3243\tCD\tB-NP\tO' +p210029 +aS'for\tfor\tIN\tB-PP\tO' +p210030 +aS'an\tan\tDT\tB-NP\tO' +p210031 +aS'appointment\tappointment\tNN\tI-NP\tO' +p210032 +aS'.\t.\t.\tO\tO' +p210033 +asS'No smoking for last 5 years .' +p210034 +(lp210035 +S'No\tNo\tDT\tB-NP\tO' +p210036 +aS'smoking\tsmoking\tNN\tI-NP\tO' +p210037 +aS'for\tfor\tIN\tB-PP\tO' +p210038 +aS'last\tlast\tJJ\tB-NP\tO' +p210039 +aS'5\t5\tCD\tI-NP\tO' +p210040 +aS'years\tyear\tNNS\tI-NP\tO' +p210041 +aS'.\t.\t.\tO\tO' +p210042 +asS'Mr. Finger was admitted for what appeared to be a stroke syndrome involving his left middle cerebral artery territory .' +p210043 +(lp210044 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p210045 +aS'Finger\tFinger\tNNP\tI-NP\tO' +p210046 +aS'was\tbe\tVBD\tB-VP\tO' +p210047 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p210048 +aS'for\tfor\tIN\tB-PP\tO' +p210049 +aS'what\twhat\tWP\tB-NP\tO' +p210050 +aS'appeared\tappear\tVBD\tB-VP\tO' +p210051 +aS'to\tto\tTO\tI-VP\tO' +p210052 +aS'be\tbe\tVB\tI-VP\tO' +p210053 +aS'a\ta\tDT\tB-NP\tO' +p210054 +aS'stroke\tstroke\tNN\tI-NP\tO' +p210055 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p210056 +aS'involving\tinvolve\tVBG\tB-VP\tO' +p210057 +aS'his\this\tPRP$\tB-NP\tO' +p210058 +aS'left\tleft\tJJ\tI-NP\tO' +p210059 +aS'middle\tmiddle\tJJ\tI-NP\tO' +p210060 +aS'cerebral\tcerebral\tJJ\tI-NP\tO' +p210061 +aS'artery\tartery\tNN\tI-NP\tO' +p210062 +aS'territory\tterritory\tNN\tI-NP\tO' +p210063 +aS'.\t.\t.\tO\tO' +p210064 +asS'She denied any changes in bowel habits .' +p210065 +(lp210066 +S'She\tShe\tPRP\tB-NP\tO' +p210067 +aS'denied\tdeny\tVBD\tB-VP\tO' +p210068 +aS'any\tany\tDT\tB-NP\tO' +p210069 +aS'changes\tchange\tNNS\tI-NP\tO' +p210070 +aS'in\tin\tIN\tB-PP\tO' +p210071 +aS'bowel\tbowel\tNN\tB-NP\tO' +p210072 +aS'habits\thabit\tNNS\tI-NP\tO' +p210073 +aS'.\t.\t.\tO\tO' +p210074 +asS'Upon presentation it was unclear when last time was that patient took meds , but hypertension likely d/t inability to take meds in setting of N/V .' +p210075 +(lp210076 +S'Upon\tUpon\tIN\tB-PP\tO' +p210077 +aS'presentation\tpresentation\tNN\tB-NP\tO' +p210078 +aS'it\tit\tPRP\tB-NP\tO' +p210079 +aS'was\tbe\tVBD\tB-VP\tO' +p210080 +aS'unclear\tunclear\tJJ\tB-ADJP\tO' +p210081 +aS'when\twhen\tWRB\tB-ADVP\tO' +p210082 +aS'last\tlast\tJJ\tB-NP\tO' +p210083 +aS'time\ttime\tNN\tI-NP\tO' +p210084 +aS'was\tbe\tVBD\tB-VP\tO' +p210085 +aS'that\tthat\tDT\tB-NP\tO' +p210086 +aS'patient\tpatient\tNN\tI-NP\tO' +p210087 +aS'took\ttake\tVBD\tB-VP\tO' +p210088 +aS'meds\tmed\tNNS\tB-NP\tO' +p210089 +aS',\t,\t,\tO\tO' +p210090 +aS'but\tbut\tCC\tO\tO' +p210091 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p210092 +aS'likely\tlikely\tRB\tB-ADVP\tO' +p210093 +aS'd/t\td/t\tVBD\tB-VP\tO' +p210094 +aS'inability\tinability\tNN\tB-NP\tO' +p210095 +aS'to\tto\tTO\tB-VP\tO' +p210096 +aS'take\ttake\tVB\tI-VP\tO' +p210097 +aS'meds\tmed\tNNS\tB-NP\tO' +p210098 +aS'in\tin\tIN\tB-PP\tO' +p210099 +aS'setting\tset\tVBG\tB-VP\tO' +p210100 +aS'of\tof\tIN\tB-PP\tO' +p210101 +aS'N/V\tN/V\tNN\tB-NP\tO' +p210102 +aS'.\t.\t.\tO\tO' +p210103 +asS'The patient 's low serum albumin is also contributing to her extensive edema .' +p210104 +(lp210105 +S'The\tThe\tDT\tB-NP\tO' +p210106 +aS'patient\tpatient\tNN\tI-NP\tO' +p210107 +aS''s\t'\tNNS\tI-NP\tO' +p210108 +aS'low\tlow\tJJ\tI-NP\tO' +p210109 +aS'serum\tserum\tNN\tI-NP\tB-protein' +p210110 +aS'albumin\talbumin\tNN\tI-NP\tI-protein' +p210111 +aS'is\tbe\tVBZ\tB-VP\tO' +p210112 +aS'also\talso\tRB\tI-VP\tO' +p210113 +aS'contributing\tcontribute\tVBG\tI-VP\tO' +p210114 +aS'to\tto\tTO\tB-PP\tO' +p210115 +aS'her\ther\tPRP$\tB-NP\tO' +p210116 +aS'extensive\textensive\tJJ\tI-NP\tO' +p210117 +aS'edema\tedema\tNN\tI-NP\tO' +p210118 +aS'.\t.\t.\tO\tO' +p210119 +asS'No lymphadenopathy .' +p210120 +(lp210121 +S'No\tNo\tDT\tB-NP\tO' +p210122 +aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' +p210123 +aS'.\t.\t.\tO\tO' +p210124 +asS'Right-sided ptosis , right eye not reactive to light , cataract present , patient blind in that eye , left eye reactive to light , cataract also present in that eye .' +p210125 +(lp210126 +S'Right-sided\tRight-sided\tJJ\tB-NP\tO' +p210127 +aS'ptosis\tptosis\tNN\tI-NP\tO' +p210128 +aS',\t,\t,\tO\tO' +p210129 +aS'right\tright\tJJ\tB-NP\tO' +p210130 +aS'eye\teye\tNN\tI-NP\tO' +p210131 +aS'not\tnot\tRB\tB-ADJP\tO' +p210132 +aS'reactive\treactive\tJJ\tI-ADJP\tO' +p210133 +aS'to\tto\tTO\tB-PP\tO' +p210134 +aS'light\tlight\tNN\tB-NP\tO' +p210135 +aS',\t,\t,\tO\tO' +p210136 +aS'cataract\tcataract\tNN\tB-NP\tO' +p210137 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p210138 +aS',\t,\t,\tO\tO' +p210139 +aS'patient\tpatient\tNN\tB-NP\tO' +p210140 +aS'blind\tblind\tNN\tI-NP\tO' +p210141 +aS'in\tin\tIN\tB-PP\tO' +p210142 +aS'that\tthat\tDT\tB-NP\tO' +p210143 +aS'eye\teye\tNN\tI-NP\tO' +p210144 +aS',\t,\t,\tO\tO' +p210145 +aS'left\tleave\tVBD\tB-VP\tO' +p210146 +aS'eye\teye\tNN\tB-NP\tO' +p210147 +aS'reactive\treactive\tJJ\tB-ADJP\tO' +p210148 +aS'to\tto\tTO\tB-PP\tO' +p210149 +aS'light\tlight\tJJ\tB-ADJP\tO' +p210150 +aS',\t,\t,\tO\tO' +p210151 +aS'cataract\tcataract\tVB\tB-VP\tO' +p210152 +aS'also\talso\tRB\tB-ADVP\tO' +p210153 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p210154 +aS'in\tin\tIN\tB-PP\tO' +p210155 +aS'that\tthat\tDT\tB-NP\tO' +p210156 +aS'eye\teye\tNN\tI-NP\tO' +p210157 +aS'.\t.\t.\tO\tO' +p210158 +asS'Quit tobacco in 2016-09-30 .' +p210159 +(lp210160 +S'Quit\tQuit\tNN\tB-NP\tO' +p210161 +aS'tobacco\ttobacco\tNN\tI-NP\tO' +p210162 +aS'in\tin\tIN\tB-PP\tO' +p210163 +aS'2016-09-30\t2016-09-30\tCD\tB-NP\tO' +p210164 +aS'.\t.\t.\tO\tO' +p210165 +asS'In general he was an intubated elderly frail appearing white male with blood about his face .' +p210166 +(lp210167 +S'In\tIn\tIN\tB-PP\tO' +p210168 +aS'general\tgeneral\tJJ\tB-ADJP\tO' +p210169 +aS'he\the\tPRP\tB-NP\tO' +p210170 +aS'was\tbe\tVBD\tB-VP\tO' +p210171 +aS'an\tan\tDT\tB-NP\tO' +p210172 +aS'intubated\tintubated\tJJ\tI-NP\tO' +p210173 +aS'elderly\telderly\tJJ\tI-NP\tO' +p210174 +aS'frail\tfrail\tNN\tI-NP\tO' +p210175 +aS'appearing\tappear\tVBG\tB-VP\tO' +p210176 +aS'white\twhite\tJJ\tB-NP\tO' +p210177 +aS'male\tmale\tNN\tI-NP\tO' +p210178 +aS'with\twith\tIN\tB-PP\tO' +p210179 +aS'blood\tblood\tNN\tB-NP\tO' +p210180 +aS'about\tabout\tIN\tB-PP\tO' +p210181 +aS'his\this\tPRP$\tB-NP\tO' +p210182 +aS'face\tface\tNN\tI-NP\tO' +p210183 +aS'.\t.\t.\tO\tO' +p210184 +asS'No wheezes or rhonci appreciated .' +p210185 +(lp210186 +S'No\tNo\tDT\tB-NP\tO' +p210187 +aS'wheezes\twheeze\tNNS\tI-NP\tO' +p210188 +aS'or\tor\tCC\tI-NP\tO' +p210189 +aS'rhonci\trhonci\tNNS\tI-NP\tO' +p210190 +aS'appreciated\tappreciate\tVBN\tB-VP\tO' +p210191 +aS'.\t.\t.\tO\tO' +p210192 +asS'7. Status post tonsil and adenoid surgery .' +p210193 +(lp210194 +S'7.\t7.\tLS\tB-NP\tO' +p210195 +aS'Status\tStatus\tNNP\tI-NP\tO' +p210196 +aS'post\tpost\tNN\tI-NP\tO' +p210197 +aS'tonsil\ttonsil\tNN\tI-NP\tO' +p210198 +aS'and\tand\tCC\tO\tO' +p210199 +aS'adenoid\tadenoid\tJJ\tB-NP\tO' +p210200 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p210201 +aS'.\t.\t.\tO\tO' +p210202 +asS'His Coumadin was held at the time given the bleeding , even though it was important to keep his INR 2.5-3.5 , given his artificial valve it was felt that the risk of continued bleeding was to great to continue the Coumadin .' +p210203 +(lp210204 +S'His\tHis\tPRP$\tB-NP\tO' +p210205 +aS'Coumadin\tCoumadin\tNN\tI-NP\tO' +p210206 +aS'was\tbe\tVBD\tB-VP\tO' +p210207 +aS'held\thold\tVBN\tI-VP\tO' +p210208 +aS'at\tat\tIN\tB-PP\tO' +p210209 +aS'the\tthe\tDT\tB-NP\tO' +p210210 +aS'time\ttime\tNN\tI-NP\tO' +p210211 +aS'given\tgive\tVBN\tB-VP\tO' +p210212 +aS'the\tthe\tDT\tB-NP\tO' +p210213 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p210214 +aS',\t,\t,\tO\tO' +p210215 +aS'even\teven\tRB\tB-SBAR\tO' +p210216 +aS'though\tthough\tIN\tI-SBAR\tO' +p210217 +aS'it\tit\tPRP\tB-NP\tO' +p210218 +aS'was\tbe\tVBD\tB-VP\tO' +p210219 +aS'important\timportant\tJJ\tB-ADJP\tO' +p210220 +aS'to\tto\tTO\tB-VP\tO' +p210221 +aS'keep\tkeep\tVB\tI-VP\tO' +p210222 +aS'his\this\tPRP$\tB-NP\tO' +p210223 +aS'INR\tINR\tNN\tI-NP\tO' +p210224 +aS'2.5-3.5\t2.5-3.5\tCD\tI-NP\tO' +p210225 +aS',\t,\t,\tO\tO' +p210226 +aS'given\tgive\tVBN\tB-VP\tO' +p210227 +aS'his\this\tPRP$\tB-NP\tO' +p210228 +aS'artificial\tartificial\tJJ\tI-NP\tO' +p210229 +aS'valve\tvalve\tNN\tI-NP\tO' +p210230 +aS'it\tit\tPRP\tB-NP\tO' +p210231 +aS'was\tbe\tVBD\tB-VP\tO' +p210232 +aS'felt\tfeel\tVBN\tI-VP\tO' +p210233 +aS'that\tthat\tIN\tB-SBAR\tO' +p210234 +aS'the\tthe\tDT\tB-NP\tO' +p210235 +aS'risk\trisk\tNN\tI-NP\tO' +p210236 +aS'of\tof\tIN\tB-PP\tO' +p210237 +aS'continued\tcontinued\tJJ\tB-NP\tO' +p210238 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p210239 +aS'was\tbe\tVBD\tB-VP\tO' +p210240 +aS'to\tto\tTO\tB-VP\tO' +p210241 +aS'great\tgreat\tVB\tI-VP\tO' +p210242 +aS'to\tto\tTO\tI-VP\tO' +p210243 +aS'continue\tcontinue\tVB\tI-VP\tO' +p210244 +aS'the\tthe\tDT\tB-NP\tO' +p210245 +aS'Coumadin\tCoumadin\tNN\tI-NP\tO' +p210246 +aS'.\t.\t.\tO\tO' +p210247 +asS'Please see the operative report for full details .' +p210248 +(lp210249 +S'Please\tPlease\tVB\tB-VP\tO' +p210250 +aS'see\tsee\tVB\tI-VP\tO' +p210251 +aS'the\tthe\tDT\tB-NP\tO' +p210252 +aS'operative\toperative\tJJ\tI-NP\tO' +p210253 +aS'report\treport\tNN\tI-NP\tO' +p210254 +aS'for\tfor\tIN\tB-PP\tO' +p210255 +aS'full\tfull\tJJ\tB-NP\tO' +p210256 +aS'details\tdetail\tNNS\tI-NP\tO' +p210257 +aS'.\t.\t.\tO\tO' +p210258 +asS'6. Neoral 100 mg twice a day .' +p210259 +(lp210260 +S'6.\t6.\tCD\tB-NP\tO' +p210261 +aS'Neoral\tNeoral\tJJ\tI-NP\tO' +p210262 +aS'100\t100\tCD\tI-NP\tO' +p210263 +aS'mg\tmg\tNN\tI-NP\tO' +p210264 +aS'twice\ttwice\tRB\tB-NP\tO' +p210265 +aS'a\ta\tDT\tI-NP\tO' +p210266 +aS'day\tday\tNN\tI-NP\tO' +p210267 +aS'.\t.\t.\tO\tO' +p210268 +asS'She is anicteric without rash or HEENT .' +p210269 +(lp210270 +S'She\tShe\tPRP\tB-NP\tO' +p210271 +aS'is\tbe\tVBZ\tB-VP\tO' +p210272 +aS'anicteric\tanicteric\tJJ\tB-ADJP\tO' +p210273 +aS'without\twithout\tIN\tB-PP\tO' +p210274 +aS'rash\trash\tNN\tB-NP\tO' +p210275 +aS'or\tor\tCC\tI-NP\tO' +p210276 +aS'HEENT\tHEENT\tNN\tI-NP\tB-protein' +p210277 +aS'.\t.\t.\tO\tO' +p210278 +asS'Levofloxacin 500 mg p.o. q. day .' +p210279 +(lp210280 +S'Levofloxacin\tLevofloxacin\tNN\tB-NP\tO' +p210281 +aS'500\t500\tCD\tI-NP\tO' +p210282 +aS'mg\tmg\tNN\tI-NP\tO' +p210283 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p210284 +aS'q.\tq.\tNN\tI-NP\tO' +p210285 +aS'day\tday\tNN\tI-NP\tO' +p210286 +aS'.\t.\t.\tO\tO' +p210287 +asS'He is on Coumadin which is to be continued for six weeks .' +p210288 +(lp210289 +S'He\tHe\tPRP\tB-NP\tO' +p210290 +aS'is\tbe\tVBZ\tB-VP\tO' +p210291 +aS'on\ton\tIN\tB-PP\tO' +p210292 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p210293 +aS'which\twhich\tWDT\tB-NP\tO' +p210294 +aS'is\tbe\tVBZ\tB-VP\tO' +p210295 +aS'to\tto\tTO\tI-VP\tO' +p210296 +aS'be\tbe\tVB\tI-VP\tO' +p210297 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p210298 +aS'for\tfor\tIN\tB-PP\tO' +p210299 +aS'six\tsix\tCD\tB-NP\tO' +p210300 +aS'weeks\tweek\tNNS\tI-NP\tO' +p210301 +aS'.\t.\t.\tO\tO' +p210302 +asS'He had no appreciable ascites .' +p210303 +(lp210304 +S'He\tHe\tPRP\tB-NP\tO' +p210305 +aS'had\thave\tVBD\tB-VP\tO' +p210306 +aS'no\tno\tDT\tB-NP\tO' +p210307 +aS'appreciable\tappreciable\tJJ\tI-NP\tO' +p210308 +aS'ascites\tascite\tNNS\tI-NP\tO' +p210309 +aS'.\t.\t.\tO\tO' +p210310 +asS'Appropriate .' +p210311 +(lp210312 +S'Appropriate\tAppropriate\tJJ\tB-ADJP\tO' +p210313 +aS'.\t.\t.\tO\tO' +p210314 +asS'Multiple past suicide attempts .' +p210315 +(lp210316 +S'Multiple\tMultiple\tJJ\tB-NP\tO' +p210317 +aS'past\tpast\tJJ\tI-NP\tO' +p210318 +aS'suicide\tsuicide\tNN\tI-NP\tO' +p210319 +aS'attempts\tattempt\tNNS\tI-NP\tO' +p210320 +aS'.\t.\t.\tO\tO' +p210321 +asS'Cranial nerves II through XII were intact .' +p210322 +(lp210323 +S'Cranial\tCranial\tNNP\tB-NP\tO' +p210324 +aS'nerves\tnerve\tVBZ\tB-VP\tO' +p210325 +aS'II\tII\tCD\tB-NP\tO' +p210326 +aS'through\tthrough\tIN\tB-PP\tO' +p210327 +aS'XII\tXII\tNN\tB-NP\tB-DNA' +p210328 +aS'were\tbe\tVBD\tB-VP\tO' +p210329 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p210330 +aS'.\t.\t.\tO\tO' +p210331 +asS'She remained very depressed at her inpatient admission and refractory to treatment .' +p210332 +(lp210333 +S'She\tShe\tPRP\tB-NP\tO' +p210334 +aS'remained\tremain\tVBD\tB-VP\tO' +p210335 +aS'very\tvery\tRB\tB-ADJP\tO' +p210336 +aS'depressed\tdepress\tVBN\tI-ADJP\tO' +p210337 +aS'at\tat\tIN\tB-PP\tO' +p210338 +aS'her\ther\tPRP$\tB-NP\tO' +p210339 +aS'inpatient\tinpatient\tNN\tI-NP\tO' +p210340 +aS'admission\tadmission\tNN\tI-NP\tO' +p210341 +aS'and\tand\tCC\tO\tO' +p210342 +aS'refractory\trefractory\tJJ\tB-ADJP\tO' +p210343 +aS'to\tto\tTO\tB-PP\tO' +p210344 +aS'treatment\ttreatment\tNN\tB-NP\tO' +p210345 +aS'.\t.\t.\tO\tO' +p210346 +asS'Mr. Roach was n.p.o. from the time of his admission .' +p210347 +(lp210348 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p210349 +aS'Roach\tRoach\tNNP\tI-NP\tO' +p210350 +aS'was\tbe\tVBD\tB-VP\tO' +p210351 +aS'n.p.o.\tn.p.o.\tRB\tB-ADVP\tO' +p210352 +aS'from\tfrom\tIN\tB-PP\tO' +p210353 +aS'the\tthe\tDT\tB-NP\tO' +p210354 +aS'time\ttime\tNN\tI-NP\tO' +p210355 +aS'of\tof\tIN\tB-PP\tO' +p210356 +aS'his\this\tPRP$\tB-NP\tO' +p210357 +aS'admission\tadmission\tNN\tI-NP\tO' +p210358 +aS'.\t.\t.\tO\tO' +p210359 +asS'On the lower extremity , could wiggle toes , flexor and plantar , 3+/5 , quadriceps 4/5 on the left .' +p210360 +(lp210361 +S'On\tOn\tIN\tB-PP\tO' +p210362 +aS'the\tthe\tDT\tB-NP\tO' +p210363 +aS'lower\tlow\tJJR\tI-NP\tO' +p210364 +aS'extremity\textremity\tNN\tI-NP\tO' +p210365 +aS',\t,\t,\tO\tO' +p210366 +aS'could\tcould\tMD\tB-VP\tO' +p210367 +aS'wiggle\twiggle\tVB\tI-VP\tO' +p210368 +aS'toes\ttoe\tNNS\tB-NP\tO' +p210369 +aS',\t,\t,\tO\tO' +p210370 +aS'flexor\tflexor\tNN\tB-NP\tO' +p210371 +aS'and\tand\tCC\tI-NP\tO' +p210372 +aS'plantar\tplantar\tNN\tI-NP\tO' +p210373 +aS',\t,\t,\tO\tO' +p210374 +aS'3+/5\t3+/5\tCD\tB-NP\tO' +p210375 +aS',\t,\t,\tO\tO' +p210376 +aS'quadriceps\tquadricep\tVBZ\tB-VP\tO' +p210377 +aS'4/5\t4/5\tCD\tB-NP\tO' +p210378 +aS'on\ton\tIN\tB-PP\tO' +p210379 +aS'the\tthe\tDT\tB-NP\tO' +p210380 +aS'left\tleft\tNN\tI-NP\tO' +p210381 +aS'.\t.\t.\tO\tO' +p210382 +asS'Chest tube showed 30 cc per hour over the last four hours .' +p210383 +(lp210384 +S'Chest\tCh\tJJS\tB-NP\tO' +p210385 +aS'tube\ttube\tNN\tI-NP\tO' +p210386 +aS'showed\tshow\tVBD\tB-VP\tO' +p210387 +aS'30\t30\tCD\tB-NP\tO' +p210388 +aS'cc\tcc\tNN\tI-NP\tO' +p210389 +aS'per\tper\tIN\tB-PP\tO' +p210390 +aS'hour\thour\tNN\tB-NP\tO' +p210391 +aS'over\tover\tIN\tB-PP\tO' +p210392 +aS'the\tthe\tDT\tB-NP\tO' +p210393 +aS'last\tlast\tJJ\tI-NP\tO' +p210394 +aS'four\tfour\tCD\tI-NP\tO' +p210395 +aS'hours\thour\tNNS\tI-NP\tO' +p210396 +aS'.\t.\t.\tO\tO' +p210397 +asS'Calcium Acetate 1340 mg tid with meals' +p210398 +(lp210399 +S'Calcium\tCalcium\tNN\tB-NP\tO' +p210400 +aS'Acetate\tAcetate\tNN\tI-NP\tO' +p210401 +aS'1340\t1340\tCD\tI-NP\tO' +p210402 +aS'mg\tmg\tNN\tI-NP\tO' +p210403 +aS'tid\ttid\tNN\tI-NP\tO' +p210404 +aS'with\twith\tIN\tB-PP\tO' +p210405 +aS'meals\tmeal\tNNS\tB-NP\tO' +p210406 +asS'She did not require further straight catheterization .' +p210407 +(lp210408 +S'She\tShe\tPRP\tB-NP\tO' +p210409 +aS'did\tdo\tVBD\tB-VP\tO' +p210410 +aS'not\tnot\tRB\tI-VP\tO' +p210411 +aS'require\trequire\tVB\tI-VP\tO' +p210412 +aS'further\tfar\tJJR\tB-NP\tO' +p210413 +aS'straight\tstraight\tJJ\tI-NP\tO' +p210414 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p210415 +aS'.\t.\t.\tO\tO' +p210416 +asS'She no longer observes that belief system .' +p210417 +(lp210418 +S'She\tShe\tPRP\tB-NP\tO' +p210419 +aS'no\tno\tRB\tB-NP\tO' +p210420 +aS'longer\tlong\tJJR\tI-NP\tO' +p210421 +aS'observes\tobserve\tNNS\tI-NP\tO' +p210422 +aS'that\tthat\tIN\tB-SBAR\tO' +p210423 +aS'belief\tbelief\tNN\tB-NP\tO' +p210424 +aS'system\tsystem\tNN\tI-NP\tO' +p210425 +aS'.\t.\t.\tO\tO' +p210426 +asS'Laboratory data revealed a sodium of 139 , potassium 3.4 , chloride 101 , bicarbonate 28 , BUN 11 , creatinine 1.2 , glucose 151 .' +p210427 +(lp210428 +S'Laboratory\tLaboratory\tNN\tB-NP\tO' +p210429 +aS'data\tdatum\tNNS\tI-NP\tO' +p210430 +aS'revealed\treveal\tVBD\tB-VP\tO' +p210431 +aS'a\ta\tDT\tB-NP\tO' +p210432 +aS'sodium\tsodium\tNN\tI-NP\tO' +p210433 +aS'of\tof\tIN\tB-PP\tO' +p210434 +aS'139\t139\tCD\tB-NP\tO' +p210435 +aS',\t,\t,\tO\tO' +p210436 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p210437 +aS'3.4\t3.4\tCD\tI-NP\tO' +p210438 +aS',\t,\t,\tO\tO' +p210439 +aS'chloride\tchloride\tNN\tB-NP\tO' +p210440 +aS'101\t101\tCD\tI-NP\tO' +p210441 +aS',\t,\t,\tO\tO' +p210442 +aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' +p210443 +aS'28\t28\tCD\tI-NP\tO' +p210444 +aS',\t,\t,\tO\tO' +p210445 +aS'BUN\tBUN\tNN\tB-NP\tB-DNA' +p210446 +aS'11\t11\tCD\tI-NP\tI-DNA' +p210447 +aS',\t,\t,\tO\tO' +p210448 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p210449 +aS'1.2\t1.2\tCD\tI-NP\tO' +p210450 +aS',\t,\t,\tO\tO' +p210451 +aS'glucose\tglucose\tNN\tB-NP\tO' +p210452 +aS'151\t151\tCD\tI-NP\tO' +p210453 +aS'.\t.\t.\tO\tO' +p210454 +asS'As described above the patient was transfused an additional 2 units in the Intensive Care Unit and the patient also received an upper endoscopy study and her varices were banded .' +p210455 +(lp210456 +S'As\tAs\tIN\tB-SBAR\tO' +p210457 +aS'described\tdescribe\tVBN\tB-VP\tO' +p210458 +aS'above\tabove\tIN\tB-PP\tO' +p210459 +aS'the\tthe\tDT\tB-NP\tO' +p210460 +aS'patient\tpatient\tNN\tI-NP\tO' +p210461 +aS'was\tbe\tVBD\tB-VP\tO' +p210462 +aS'transfused\ttransfuse\tVBN\tI-VP\tO' +p210463 +aS'an\tan\tDT\tB-NP\tO' +p210464 +aS'additional\tadditional\tJJ\tI-NP\tO' +p210465 +aS'2\t2\tCD\tI-NP\tO' +p210466 +aS'units\tunit\tNNS\tI-NP\tO' +p210467 +aS'in\tin\tIN\tB-PP\tO' +p210468 +aS'the\tthe\tDT\tB-NP\tO' +p210469 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p210470 +aS'Care\tCare\tNNP\tI-NP\tO' +p210471 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p210472 +aS'and\tand\tCC\tO\tO' +p210473 +aS'the\tthe\tDT\tB-NP\tO' +p210474 +aS'patient\tpatient\tNN\tI-NP\tO' +p210475 +aS'also\talso\tRB\tB-ADVP\tO' +p210476 +aS'received\treceive\tVBD\tB-VP\tO' +p210477 +aS'an\tan\tDT\tB-NP\tO' +p210478 +aS'upper\tupper\tJJ\tI-NP\tO' +p210479 +aS'endoscopy\tendoscopy\tNN\tI-NP\tO' +p210480 +aS'study\tstudy\tNN\tI-NP\tO' +p210481 +aS'and\tand\tCC\tO\tO' +p210482 +aS'her\ther\tPRP$\tB-NP\tO' +p210483 +aS'varices\tvarix\tNNS\tI-NP\tO' +p210484 +aS'were\tbe\tVBD\tB-VP\tO' +p210485 +aS'banded\tband\tVBN\tI-VP\tO' +p210486 +aS'.\t.\t.\tO\tO' +p210487 +asS'A neurosurgery consult was obtained .' +p210488 +(lp210489 +S'A\tA\tDT\tB-NP\tO' +p210490 +aS'neurosurgery\tneurosurgery\tNN\tI-NP\tO' +p210491 +aS'consult\tconsult\tNN\tI-NP\tO' +p210492 +aS'was\tbe\tVBD\tB-VP\tO' +p210493 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p210494 +aS'.\t.\t.\tO\tO' +p210495 +asS'4. State newborn screening - Last on 2009-01-07 , all within normal range .' +p210496 +(lp210497 +S'4.\t4.\tLS\tB-NP\tO' +p210498 +aS'State\tState\tNN\tI-NP\tO' +p210499 +aS'newborn\tnewborn\tJJ\tI-NP\tO' +p210500 +aS'screening\tscreening\tNN\tI-NP\tO' +p210501 +aS'-\t-\tHYPH\tB-VP\tO' +p210502 +aS'Last\tLast\tJJ\tB-ADJP\tO' +p210503 +aS'on\ton\tIN\tB-PP\tO' +p210504 +aS'2009-01-07\t2009-01-07\tCD\tB-NP\tO' +p210505 +aS',\t,\t,\tO\tO' +p210506 +aS'all\tall\tDT\tB-NP\tO' +p210507 +aS'within\twithin\tIN\tB-PP\tO' +p210508 +aS'normal\tnormal\tJJ\tB-NP\tO' +p210509 +aS'range\trange\tNN\tI-NP\tO' +p210510 +aS'.\t.\t.\tO\tO' +p210511 +asS'In addition , he was transfused .' +p210512 +(lp210513 +S'In\tIn\tIN\tB-PP\tO' +p210514 +aS'addition\taddition\tNN\tB-NP\tO' +p210515 +aS',\t,\t,\tO\tO' +p210516 +aS'he\the\tPRP\tB-NP\tO' +p210517 +aS'was\tbe\tVBD\tB-VP\tO' +p210518 +aS'transfused\ttransfuse\tVBN\tI-VP\tO' +p210519 +aS'.\t.\t.\tO\tO' +p210520 +asS'The mean heart rate was 68 .' +p210521 +(lp210522 +S'The\tThe\tDT\tB-NP\tO' +p210523 +aS'mean\tmean\tJJ\tI-NP\tO' +p210524 +aS'heart\theart\tNN\tI-NP\tO' +p210525 +aS'rate\trate\tNN\tI-NP\tO' +p210526 +aS'was\tbe\tVBD\tB-VP\tO' +p210527 +aS'68\t68\tCD\tB-NP\tO' +p210528 +aS'.\t.\t.\tO\tO' +p210529 +asS'He had a history of COPD for which he is on baseline 2 liters of 02 by nasal cannula at home and Albuterol and Atrovent MDI s p.r.n. at home .' +p210530 +(lp210531 +S'He\tHe\tPRP\tB-NP\tO' +p210532 +aS'had\thave\tVBD\tB-VP\tO' +p210533 +aS'a\ta\tDT\tB-NP\tO' +p210534 +aS'history\thistory\tNN\tI-NP\tO' +p210535 +aS'of\tof\tIN\tB-PP\tO' +p210536 +aS'COPD\tCOPD\tNN\tB-NP\tO' +p210537 +aS'for\tfor\tIN\tB-PP\tO' +p210538 +aS'which\twhich\tWDT\tB-NP\tO' +p210539 +aS'he\the\tPRP\tB-NP\tO' +p210540 +aS'is\tbe\tVBZ\tB-VP\tO' +p210541 +aS'on\ton\tIN\tB-PP\tO' +p210542 +aS'baseline\tbaseline\tNN\tB-NP\tO' +p210543 +aS'2\t2\tCD\tB-NP\tO' +p210544 +aS'liters\tliter\tNNS\tI-NP\tO' +p210545 +aS'of\tof\tIN\tB-PP\tO' +p210546 +aS'02\t02\tCD\tB-NP\tO' +p210547 +aS'by\tby\tIN\tB-PP\tO' +p210548 +aS'nasal\tnasal\tJJ\tB-NP\tO' +p210549 +aS'cannula\tcannula\tNN\tI-NP\tO' +p210550 +aS'at\tat\tIN\tB-PP\tO' +p210551 +aS'home\thome\tNN\tB-NP\tO' +p210552 +aS'and\tand\tCC\tI-NP\tO' +p210553 +aS'Albuterol\tAlbuterol\tNN\tI-NP\tO' +p210554 +aS'and\tand\tCC\tI-NP\tO' +p210555 +aS'Atrovent\tAtrovent\tNN\tI-NP\tO' +p210556 +aS'MDI\tMDI\tNN\tI-NP\tO' +p210557 +aS's\ts\tVBZ\tB-VP\tO' +p210558 +aS'p.r.n.\tp.r.n.\tNN\tB-NP\tO' +p210559 +aS'at\tat\tIN\tB-PP\tO' +p210560 +aS'home\thome\tNN\tB-NP\tO' +p210561 +aS'.\t.\t.\tO\tO' +p210562 +asS'She has absolutely no neurologic disease in past .' +p210563 +(lp210564 +S'She\tShe\tPRP\tB-NP\tO' +p210565 +aS'has\thave\tVBZ\tB-VP\tO' +p210566 +aS'absolutely\tabsolutely\tRB\tB-NP\tO' +p210567 +aS'no\tno\tDT\tI-NP\tO' +p210568 +aS'neurologic\tneurologic\tJJ\tI-NP\tO' +p210569 +aS'disease\tdisease\tNN\tI-NP\tO' +p210570 +aS'in\tin\tIN\tB-PP\tO' +p210571 +aS'past\tpast\tNN\tB-NP\tO' +p210572 +aS'.\t.\t.\tO\tO' +p210573 +asS'No clubbing or cyanosis .' +p210574 +(lp210575 +S'No\tNo\tDT\tB-NP\tO' +p210576 +aS'clubbing\tclubbing\tNN\tI-NP\tO' +p210577 +aS'or\tor\tCC\tI-NP\tO' +p210578 +aS'cyanosis\tcyanosis\tNN\tI-NP\tO' +p210579 +aS'.\t.\t.\tO\tO' +p210580 +asS'______________ capsule 1 po. tid .' +p210581 +(lp210582 +S'______________\t______________\tNN\tB-NP\tO' +p210583 +aS'capsule\tcapsule\tNN\tI-NP\tO' +p210584 +aS'1\t1\tCD\tI-NP\tO' +p210585 +aS'po.\tpo.\tNN\tI-NP\tO' +p210586 +aS'tid\ttid\tNN\tI-NP\tO' +p210587 +aS'.\t.\t.\tO\tO' +p210588 +asS'# Corynebacterium bacteremia : presumably Corynebacterium in epidural abscess as well .' +p210589 +(lp210590 +S'#\t#\t#\tB-NP\tO' +p210591 +aS'Corynebacterium\tCorynebacterium\tNNP\tI-NP\tO' +p210592 +aS'bacteremia\tbacteremia\tNN\tI-NP\tO' +p210593 +aS':\t:\t:\tO\tO' +p210594 +aS'presumably\tpresumably\tRB\tB-NP\tO' +p210595 +aS'Corynebacterium\tCorynebacterium\tNN\tI-NP\tO' +p210596 +aS'in\tin\tIN\tB-PP\tO' +p210597 +aS'epidural\tepidural\tJJ\tB-NP\tO' +p210598 +aS'abscess\tabscess\tNN\tI-NP\tO' +p210599 +aS'as\tas\tRB\tB-ADVP\tO' +p210600 +aS'well\twell\tRB\tI-ADVP\tO' +p210601 +aS'.\t.\t.\tO\tO' +p210602 +asS'Signed electronically by : DR. Dorothy Desalvo on : WED 2017-04-26 7:22 AM' +p210603 +(lp210604 +S'Signed\tSign\tVBN\tB-VP\tO' +p210605 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p210606 +aS'by\tby\tIN\tB-PP\tO' +p210607 +aS':\t:\t:\tO\tO' +p210608 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p210609 +aS'Dorothy\tDorothy\tNNP\tI-NP\tO' +p210610 +aS'Desalvo\tDesalvo\tNNP\tI-NP\tO' +p210611 +aS'on\ton\tIN\tB-PP\tO' +p210612 +aS':\t:\t:\tO\tO' +p210613 +aS'WED\tWED\tVBD\tB-VP\tO' +p210614 +aS'2017-04-26\t2017-04-26\tCD\tB-NP\tO' +p210615 +aS'7:22\t7:22\tCD\tI-NP\tO' +p210616 +aS'AM\tAM\tNN\tI-NP\tO' +p210617 +asS'The patient was admitted to the Neurologic Service for workup of his tumor .' +p210618 +(lp210619 +S'The\tThe\tDT\tB-NP\tO' +p210620 +aS'patient\tpatient\tNN\tI-NP\tO' +p210621 +aS'was\tbe\tVBD\tB-VP\tO' +p210622 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p210623 +aS'to\tto\tTO\tB-PP\tO' +p210624 +aS'the\tthe\tDT\tB-NP\tO' +p210625 +aS'Neurologic\tNeurologic\tNNP\tI-NP\tO' +p210626 +aS'Service\tService\tNNP\tI-NP\tO' +p210627 +aS'for\tfor\tIN\tB-PP\tO' +p210628 +aS'workup\tworkup\tNN\tB-NP\tO' +p210629 +aS'of\tof\tIN\tB-PP\tO' +p210630 +aS'his\this\tPRP$\tB-NP\tO' +p210631 +aS'tumor\ttumor\tNN\tI-NP\tO' +p210632 +aS'.\t.\t.\tO\tO' +p210633 +asS'The extra ocular movements were full with mild terminal nystagmus , 2-3 beats , in the right lateral gaze .' +p210634 +(lp210635 +S'The\tThe\tDT\tB-NP\tO' +p210636 +aS'extra\textra\tJJ\tI-NP\tO' +p210637 +aS'ocular\tocular\tJJ\tI-NP\tO' +p210638 +aS'movements\tmovement\tNNS\tI-NP\tO' +p210639 +aS'were\tbe\tVBD\tB-VP\tO' +p210640 +aS'full\tfull\tJJ\tB-ADJP\tO' +p210641 +aS'with\twith\tIN\tB-PP\tO' +p210642 +aS'mild\tmild\tJJ\tB-NP\tO' +p210643 +aS'terminal\tterminal\tJJ\tI-NP\tO' +p210644 +aS'nystagmus\tnystagmus\tNN\tI-NP\tO' +p210645 +aS',\t,\t,\tO\tO' +p210646 +aS'2-3\t2-3\tCD\tB-NP\tO' +p210647 +aS'beats\tbeat\tNNS\tI-NP\tO' +p210648 +aS',\t,\t,\tO\tO' +p210649 +aS'in\tin\tIN\tB-PP\tO' +p210650 +aS'the\tthe\tDT\tB-NP\tO' +p210651 +aS'right\tright\tJJ\tI-NP\tO' +p210652 +aS'lateral\tlateral\tJJ\tI-NP\tO' +p210653 +aS'gaze\tgaze\tNN\tI-NP\tO' +p210654 +aS'.\t.\t.\tO\tO' +p210655 +asS'Her beta blocker was progressively increased , and her nitroglycerin drip was weaned down .' +p210656 +(lp210657 +S'Her\tHer\tPRP$\tB-NP\tO' +p210658 +aS'beta\tbeta\tNN\tI-NP\tO' +p210659 +aS'blocker\tblocker\tNN\tI-NP\tO' +p210660 +aS'was\tbe\tVBD\tB-VP\tO' +p210661 +aS'progressively\tprogressively\tRB\tI-VP\tO' +p210662 +aS'increased\tincrease\tVBN\tI-VP\tO' +p210663 +aS',\t,\t,\tO\tO' +p210664 +aS'and\tand\tCC\tO\tO' +p210665 +aS'her\ther\tPRP$\tB-NP\tO' +p210666 +aS'nitroglycerin\tnitroglycerin\tNN\tI-NP\tO' +p210667 +aS'drip\tdrip\tNN\tI-NP\tO' +p210668 +aS'was\tbe\tVBD\tB-VP\tO' +p210669 +aS'weaned\twean\tVBN\tI-VP\tO' +p210670 +aS'down\tdown\tRB\tB-ADVP\tO' +p210671 +aS'.\t.\t.\tO\tO' +p210672 +asS'It is aggravated by activity and improved by sitting or lying down .' +p210673 +(lp210674 +S'It\tIt\tPRP\tB-NP\tO' +p210675 +aS'is\tbe\tVBZ\tB-VP\tO' +p210676 +aS'aggravated\taggravate\tVBN\tI-VP\tO' +p210677 +aS'by\tby\tIN\tB-PP\tO' +p210678 +aS'activity\tactivity\tNN\tB-NP\tO' +p210679 +aS'and\tand\tCC\tO\tO' +p210680 +aS'improved\timprove\tVBN\tB-VP\tO' +p210681 +aS'by\tby\tIN\tB-PP\tO' +p210682 +aS'sitting\tsit\tVBG\tB-VP\tO' +p210683 +aS'or\tor\tCC\tI-VP\tO' +p210684 +aS'lying\tlie\tVBG\tI-VP\tO' +p210685 +aS'down\tdown\tRP\tB-PRT\tO' +p210686 +aS'.\t.\t.\tO\tO' +p210687 +asS'Attending : Steve M. Estes , M.D.' +p210688 +(lp210689 +S'Attending\tAttend\tVBG\tB-VP\tO' +p210690 +aS':\t:\t:\tO\tO' +p210691 +aS'Steve\tSteve\tNNP\tB-NP\tO' +p210692 +aS'M.\tM.\tNNP\tI-NP\tO' +p210693 +aS'Estes\tEstes\tNNP\tI-NP\tO' +p210694 +aS',\t,\t,\tO\tO' +p210695 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p210696 +asS'He remained fluid overloaded and a swan catheter was placed .' +p210697 +(lp210698 +S'He\tHe\tPRP\tB-NP\tO' +p210699 +aS'remained\tremain\tVBD\tB-VP\tO' +p210700 +aS'fluid\tfluid\tNN\tB-NP\tO' +p210701 +aS'overloaded\toverload\tVBN\tB-VP\tO' +p210702 +aS'and\tand\tCC\tO\tO' +p210703 +aS'a\ta\tDT\tB-NP\tO' +p210704 +aS'swan\tswan\tNN\tI-NP\tO' +p210705 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p210706 +aS'was\tbe\tVBD\tB-VP\tO' +p210707 +aS'placed\tplace\tVBN\tI-VP\tO' +p210708 +aS'.\t.\t.\tO\tO' +p210709 +asS'Triplet number one is still in the Neonatal Intensive Care Unit and triplet number three is home with family and there is also a 2 year-old sibling .' +p210710 +(lp210711 +S'Triplet\tTriplet\tNN\tB-NP\tO' +p210712 +aS'number\tnumber\tNN\tI-NP\tO' +p210713 +aS'one\tone\tCD\tI-NP\tO' +p210714 +aS'is\tbe\tVBZ\tB-VP\tO' +p210715 +aS'still\tstill\tRB\tB-ADVP\tO' +p210716 +aS'in\tin\tIN\tB-PP\tO' +p210717 +aS'the\tthe\tDT\tB-NP\tO' +p210718 +aS'Neonatal\tNeonatal\tNNP\tI-NP\tO' +p210719 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p210720 +aS'Care\tCare\tNNP\tI-NP\tO' +p210721 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p210722 +aS'and\tand\tCC\tO\tO' +p210723 +aS'triplet\ttriplet\tVB\tB-VP\tO' +p210724 +aS'number\tnumber\tNN\tB-NP\tO' +p210725 +aS'three\tthree\tCD\tI-NP\tO' +p210726 +aS'is\tbe\tVBZ\tB-VP\tO' +p210727 +aS'home\thome\tNN\tB-ADVP\tO' +p210728 +aS'with\twith\tIN\tB-PP\tO' +p210729 +aS'family\tfamily\tNN\tB-NP\tO' +p210730 +aS'and\tand\tCC\tO\tO' +p210731 +aS'there\tthere\tEX\tB-NP\tO' +p210732 +aS'is\tbe\tVBZ\tB-VP\tO' +p210733 +aS'also\talso\tRB\tB-ADVP\tO' +p210734 +aS'a\ta\tDT\tB-NP\tO' +p210735 +aS'2\t2\tCD\tI-NP\tO' +p210736 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p210737 +aS'sibling\tsibling\tNN\tI-NP\tO' +p210738 +aS'.\t.\t.\tO\tO' +p210739 +asS'Right hip osteoarthritis , status post right total hip replacement on 4/17/93 .' +p210740 +(lp210741 +S'Right\tRight\tNN\tB-NP\tO' +p210742 +aS'hip\thip\tNN\tI-NP\tO' +p210743 +aS'osteoarthritis\tosteoarthritis\tNN\tI-NP\tO' +p210744 +aS',\t,\t,\tO\tO' +p210745 +aS'status\tstatus\tNN\tB-NP\tO' +p210746 +aS'post\tpost\tVBD\tB-VP\tO' +p210747 +aS'right\tright\tJJ\tB-NP\tO' +p210748 +aS'total\ttotal\tJJ\tI-NP\tO' +p210749 +aS'hip\thip\tNN\tI-NP\tO' +p210750 +aS'replacement\treplacement\tNN\tI-NP\tO' +p210751 +aS'on\ton\tIN\tB-PP\tO' +p210752 +aS'4/17/93\t4/17/93\tCD\tB-NP\tO' +p210753 +aS'.\t.\t.\tO\tO' +p210754 +asS'She was able to fix and follow with her eyes , respond to commands .' +p210755 +(lp210756 +S'She\tShe\tPRP\tB-NP\tO' +p210757 +aS'was\tbe\tVBD\tB-VP\tO' +p210758 +aS'able\table\tJJ\tB-ADJP\tO' +p210759 +aS'to\tto\tTO\tB-VP\tO' +p210760 +aS'fix\tfix\tVB\tI-VP\tO' +p210761 +aS'and\tand\tCC\tO\tO' +p210762 +aS'follow\tfollow\tVB\tB-VP\tO' +p210763 +aS'with\twith\tIN\tB-PP\tO' +p210764 +aS'her\ther\tPRP$\tB-NP\tO' +p210765 +aS'eyes\teye\tNNS\tI-NP\tO' +p210766 +aS',\t,\t,\tO\tO' +p210767 +aS'respond\trespond\tVBP\tB-VP\tO' +p210768 +aS'to\tto\tTO\tB-PP\tO' +p210769 +aS'commands\tcommand\tNNS\tB-NP\tO' +p210770 +aS'.\t.\t.\tO\tO' +p210771 +asS'Social History : divorced truck driver' +p210772 +(lp210773 +S'Social\tSocial\tNNP\tB-NP\tO' +p210774 +aS'History\tHistory\tNNP\tI-NP\tO' +p210775 +aS':\t:\t:\tO\tO' +p210776 +aS'divorced\tdivorced\tJJ\tB-NP\tO' +p210777 +aS'truck\ttruck\tNN\tI-NP\tO' +p210778 +aS'driver\tdriver\tNN\tI-NP\tO' +p210779 +asS'On postop day number two she was also afebrile and had not passed any flatus yet .' +p210780 +(lp210781 +S'On\tOn\tIN\tB-PP\tO' +p210782 +aS'postop\tpostop\tJJ\tB-NP\tO' +p210783 +aS'day\tday\tNN\tI-NP\tO' +p210784 +aS'number\tnumber\tNN\tI-NP\tO' +p210785 +aS'two\ttwo\tCD\tB-NP\tO' +p210786 +aS'she\tshe\tPRP\tB-NP\tO' +p210787 +aS'was\tbe\tVBD\tB-VP\tO' +p210788 +aS'also\talso\tRB\tB-ADVP\tO' +p210789 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p210790 +aS'and\tand\tCC\tO\tO' +p210791 +aS'had\thave\tVBD\tB-VP\tO' +p210792 +aS'not\tnot\tRB\tI-VP\tO' +p210793 +aS'passed\tpass\tVBN\tI-VP\tO' +p210794 +aS'any\tany\tDT\tB-NP\tO' +p210795 +aS'flatus\tflatus\tNN\tI-NP\tO' +p210796 +aS'yet\tyet\tRB\tB-ADVP\tO' +p210797 +aS'.\t.\t.\tO\tO' +p210798 +asS'Patient was not a TIPS candidate .' +p210799 +(lp210800 +S'Patient\tPatient\tNN\tB-NP\tO' +p210801 +aS'was\tbe\tVBD\tB-VP\tO' +p210802 +aS'not\tnot\tRB\tO\tO' +p210803 +aS'a\ta\tDT\tB-NP\tO' +p210804 +aS'TIPS\tTIPS\tNN\tI-NP\tO' +p210805 +aS'candidate\tcandidate\tNN\tI-NP\tO' +p210806 +aS'.\t.\t.\tO\tO' +p210807 +asS'Multivitamins And Folate ( Stuart Prenatal With Folate ) ; Fluoxetine ( Prozac )' +p210808 +(lp210809 +S'Multivitamins\tMultivitamin\tNNS\tB-NP\tO' +p210810 +aS'And\tAnd\tCC\tO\tO' +p210811 +aS'Folate\tFolate\tNNP\tB-NP\tO' +p210812 +aS'(\t(\t(\tO\tO' +p210813 +aS'Stuart\tStuart\tNNP\tB-NP\tO' +p210814 +aS'Prenatal\tPrenatal\tNNP\tI-NP\tO' +p210815 +aS'With\tWith\tIN\tB-PP\tO' +p210816 +aS'Folate\tFolate\tNNP\tB-NP\tO' +p210817 +aS')\t)\t)\tO\tO' +p210818 +aS';\t;\t:\tO\tO' +p210819 +aS'Fluoxetine\tFluoxetine\tNN\tB-NP\tO' +p210820 +aS'(\t(\t(\tO\tO' +p210821 +aS'Prozac\tProzac\tNN\tB-NP\tO' +p210822 +aS')\t)\t)\tO\tO' +p210823 +asS'Abdomen was distended , tympanitic , mildly tender epigastrium and right lower quadrant .' +p210824 +(lp210825 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p210826 +aS'was\tbe\tVBD\tB-VP\tO' +p210827 +aS'distended\tdistend\tVBN\tI-VP\tO' +p210828 +aS',\t,\t,\tO\tO' +p210829 +aS'tympanitic\ttympanitic\tJJ\tB-NP\tO' +p210830 +aS',\t,\t,\tI-NP\tO' +p210831 +aS'mildly\tmildly\tRB\tI-NP\tO' +p210832 +aS'tender\ttender\tNN\tI-NP\tO' +p210833 +aS'epigastrium\tepigastrium\tNN\tI-NP\tO' +p210834 +aS'and\tand\tCC\tO\tO' +p210835 +aS'right\tright\tRB\tB-NP\tO' +p210836 +aS'lower\tlow\tJJR\tI-NP\tO' +p210837 +aS'quadrant\tquadrant\tNN\tI-NP\tO' +p210838 +aS'.\t.\t.\tO\tO' +p210839 +asS'She is approximately 10 kg up her overall body weight .' +p210840 +(lp210841 +S'She\tShe\tPRP\tB-NP\tO' +p210842 +aS'is\tbe\tVBZ\tB-VP\tO' +p210843 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p210844 +aS'10\t10\tCD\tI-NP\tO' +p210845 +aS'kg\tkg\tNN\tI-NP\tO' +p210846 +aS'up\tup\tRP\tB-ADVP\tO' +p210847 +aS'her\ther\tPRP$\tB-NP\tO' +p210848 +aS'overall\toverall\tJJ\tI-NP\tO' +p210849 +aS'body\tbody\tNN\tI-NP\tO' +p210850 +aS'weight\tweight\tNN\tI-NP\tO' +p210851 +aS'.\t.\t.\tO\tO' +p210852 +asS'Her pulmonary examination shows she has bronchial breath sounds with dry crackles at the bases .' +p210853 +(lp210854 +S'Her\tHer\tPRP$\tB-NP\tO' +p210855 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p210856 +aS'examination\texamination\tNN\tI-NP\tO' +p210857 +aS'shows\tshow\tVBZ\tB-VP\tO' +p210858 +aS'she\tshe\tPRP\tB-NP\tO' +p210859 +aS'has\thave\tVBZ\tB-VP\tO' +p210860 +aS'bronchial\tbronchial\tJJ\tB-NP\tO' +p210861 +aS'breath\tbreath\tNN\tI-NP\tO' +p210862 +aS'sounds\tsound\tVBZ\tB-VP\tO' +p210863 +aS'with\twith\tIN\tB-PP\tO' +p210864 +aS'dry\tdry\tJJ\tB-NP\tO' +p210865 +aS'crackles\tcrackle\tNNS\tI-NP\tO' +p210866 +aS'at\tat\tIN\tB-PP\tO' +p210867 +aS'the\tthe\tDT\tB-NP\tO' +p210868 +aS'bases\tbase\tNNS\tI-NP\tO' +p210869 +aS'.\t.\t.\tO\tO' +p210870 +asS'A computerized tomography scan had showed multiple lacunes , right greater than left , and the deep gray and white matters suspicious for proximal middle cerebral artery stem occlusion or stenosis .' +p210871 +(lp210872 +S'A\tA\tDT\tB-NP\tO' +p210873 +aS'computerized\tcomputerized\tJJ\tI-NP\tO' +p210874 +aS'tomography\ttomography\tNN\tI-NP\tO' +p210875 +aS'scan\tscan\tNN\tI-NP\tO' +p210876 +aS'had\thave\tVBD\tB-VP\tO' +p210877 +aS'showed\tshow\tVBN\tI-VP\tO' +p210878 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p210879 +aS'lacunes\tlacune\tNNS\tI-NP\tO' +p210880 +aS',\t,\t,\tO\tO' +p210881 +aS'right\tright\tRB\tB-ADVP\tO' +p210882 +aS'greater\tgreat\tJJR\tI-ADVP\tO' +p210883 +aS'than\tthan\tIN\tB-PP\tO' +p210884 +aS'left\tleft\tJJ\tB-ADJP\tO' +p210885 +aS',\t,\t,\tO\tO' +p210886 +aS'and\tand\tCC\tO\tO' +p210887 +aS'the\tthe\tDT\tB-NP\tO' +p210888 +aS'deep\tdeep\tJJ\tI-NP\tO' +p210889 +aS'gray\tgray\tJJ\tI-NP\tO' +p210890 +aS'and\tand\tCC\tI-NP\tO' +p210891 +aS'white\twhite\tJJ\tI-NP\tO' +p210892 +aS'matters\tmatter\tNNS\tI-NP\tO' +p210893 +aS'suspicious\tsuspicious\tJJ\tB-ADJP\tO' +p210894 +aS'for\tfor\tIN\tB-PP\tO' +p210895 +aS'proximal\tproximal\tJJ\tB-NP\tO' +p210896 +aS'middle\tmiddle\tJJ\tI-NP\tO' +p210897 +aS'cerebral\tcerebral\tJJ\tI-NP\tO' +p210898 +aS'artery\tartery\tNN\tI-NP\tO' +p210899 +aS'stem\tstem\tNN\tI-NP\tO' +p210900 +aS'occlusion\tocclusion\tNN\tI-NP\tO' +p210901 +aS'or\tor\tCC\tI-NP\tO' +p210902 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p210903 +aS'.\t.\t.\tO\tO' +p210904 +asS'Mediastinal and hilar contours are within normal limits .' +p210905 +(lp210906 +S'Mediastinal\tMediastinal\tJJ\tB-NP\tO' +p210907 +aS'and\tand\tCC\tI-NP\tO' +p210908 +aS'hilar\thilar\tJJ\tI-NP\tO' +p210909 +aS'contours\tcontour\tNNS\tI-NP\tO' +p210910 +aS'are\tbe\tVBP\tB-VP\tO' +p210911 +aS'within\twithin\tIN\tB-PP\tO' +p210912 +aS'normal\tnormal\tJJ\tB-NP\tO' +p210913 +aS'limits\tlimit\tNNS\tI-NP\tO' +p210914 +aS'.\t.\t.\tO\tO' +p210915 +asS'Heavy EtOH ( 12 beers several times a week ).' +p210916 +(lp210917 +S'Heavy\tHeavy\tJJ\tB-NP\tO' +p210918 +aS'EtOH\tEtOH\tNN\tI-NP\tO' +p210919 +aS'(\t(\t(\tO\tO' +p210920 +aS'12\t12\tCD\tB-NP\tO' +p210921 +aS'beers\tbeer\tNNS\tI-NP\tO' +p210922 +aS'several\tseveral\tJJ\tB-NP\tO' +p210923 +aS'times\ttime\tNNS\tI-NP\tO' +p210924 +aS'a\ta\tDT\tB-NP\tO' +p210925 +aS'week\tweek\tNN\tI-NP\tO' +p210926 +aS').\t).\t.\tO\tO' +p210927 +asS'She was admitted to Box Memorial Hospital Nursing Home for further evaluation .' +p210928 +(lp210929 +S'She\tShe\tPRP\tB-NP\tO' +p210930 +aS'was\tbe\tVBD\tB-VP\tO' +p210931 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p210932 +aS'to\tto\tTO\tB-PP\tO' +p210933 +aS'Box\tBox\tNNP\tB-NP\tO' +p210934 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p210935 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p210936 +aS'Nursing\tNursing\tNNP\tI-NP\tO' +p210937 +aS'Home\tHome\tNNP\tI-NP\tO' +p210938 +aS'for\tfor\tIN\tB-PP\tO' +p210939 +aS'further\tfurther\tJJ\tB-NP\tO' +p210940 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p210941 +aS'.\t.\t.\tO\tO' +p210942 +asS'Her lungs remained clear to auscultation bilaterally throughout the remainder of her hospital course .' +p210943 +(lp210944 +S'Her\tHer\tPRP$\tB-NP\tO' +p210945 +aS'lungs\tlung\tNNS\tI-NP\tO' +p210946 +aS'remained\tremain\tVBD\tB-VP\tO' +p210947 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p210948 +aS'to\tto\tTO\tB-PP\tO' +p210949 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p210950 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p210951 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p210952 +aS'the\tthe\tDT\tB-NP\tO' +p210953 +aS'remainder\tremainder\tNN\tI-NP\tO' +p210954 +aS'of\tof\tIN\tB-PP\tO' +p210955 +aS'her\ther\tPRP$\tB-NP\tO' +p210956 +aS'hospital\thospital\tNN\tI-NP\tO' +p210957 +aS'course\tcourse\tNN\tI-NP\tO' +p210958 +aS'.\t.\t.\tO\tO' +p210959 +asS'Pulses are 2+ and symmetrical .' +p210960 +(lp210961 +S'Pulses\tPulse\tNNS\tB-NP\tO' +p210962 +aS'are\tbe\tVBP\tB-VP\tO' +p210963 +aS'2+\t2+\tJJ\tB-ADJP\tO' +p210964 +aS'and\tand\tCC\tI-ADJP\tO' +p210965 +aS'symmetrical\tsymmetrical\tJJ\tI-ADJP\tO' +p210966 +aS'.\t.\t.\tO\tO' +p210967 +asS'- Avoid contact sport until seen in the Clinic' +p210968 +(lp210969 +S'-\t-\tHYPH\tB-NP\tO' +p210970 +aS'Avoid\tAvoid\tJJ\tI-NP\tO' +p210971 +aS'contact\tcontact\tNN\tI-NP\tO' +p210972 +aS'sport\tsport\tNN\tI-NP\tO' +p210973 +aS'until\tuntil\tIN\tB-SBAR\tO' +p210974 +aS'seen\tsee\tVBN\tB-VP\tO' +p210975 +aS'in\tin\tIN\tB-PP\tO' +p210976 +aS'the\tthe\tDT\tB-NP\tO' +p210977 +aS'Clinic\tClinic\tNNP\tI-NP\tO' +p210978 +asS'Normal neurologic exam on admission , then lethargic on 9/6/93 at 17:45 , then patient became unresponsive , areflexic and limp at 9/6/93 , at 17:45 to 22:00 .' +p210979 +(lp210980 +S'Normal\tNormal\tJJ\tB-NP\tO' +p210981 +aS'neurologic\tneurologic\tJJ\tI-NP\tO' +p210982 +aS'exam\texam\tNN\tI-NP\tO' +p210983 +aS'on\ton\tIN\tB-PP\tO' +p210984 +aS'admission\tadmission\tNN\tB-NP\tO' +p210985 +aS',\t,\t,\tO\tO' +p210986 +aS'then\tthen\tRB\tB-ADJP\tO' +p210987 +aS'lethargic\tlethargic\tJJ\tI-ADJP\tO' +p210988 +aS'on\ton\tIN\tB-PP\tO' +p210989 +aS'9/6/93\t9/6/93\tCD\tB-NP\tO' +p210990 +aS'at\tat\tIN\tB-PP\tO' +p210991 +aS'17:45\t17:45\tCD\tB-NP\tO' +p210992 +aS',\t,\t,\tO\tO' +p210993 +aS'then\tthen\tRB\tB-ADVP\tO' +p210994 +aS'patient\tpatient\tNN\tB-NP\tO' +p210995 +aS'became\tbecome\tVBD\tB-VP\tO' +p210996 +aS'unresponsive\tunresponsive\tJJ\tB-NP\tO' +p210997 +aS',\t,\t,\tI-NP\tO' +p210998 +aS'areflexic\tareflexic\tJJ\tI-NP\tO' +p210999 +aS'and\tand\tCC\tI-NP\tO' +p211000 +aS'limp\tlimp\tNN\tI-NP\tO' +p211001 +aS'at\tat\tIN\tB-PP\tO' +p211002 +aS'9/6/93\t9/6/93\tCD\tB-NP\tO' +p211003 +aS',\t,\t,\tO\tO' +p211004 +aS'at\tat\tIN\tB-PP\tO' +p211005 +aS'17:45\t17:45\tCD\tB-NP\tO' +p211006 +aS'to\tto\tTO\tB-PP\tO' +p211007 +aS'22:00\t22:00\tCD\tB-NP\tO' +p211008 +aS'.\t.\t.\tO\tO' +p211009 +asS'Angio-Jet percutaneous transluminal coronary angioplasty and stenting was performed on proximal left anterior descending artery and the percutaneous transluminal coronary angioplasty was performed on first diagonal with good results .' +p211010 +(lp211011 +S'Angio-Jet\tAngio-Jet\tJJ\tB-NP\tO' +p211012 +aS'percutaneous\tpercutaneous\tJJ\tI-NP\tO' +p211013 +aS'transluminal\ttransluminal\tJJ\tI-NP\tO' +p211014 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p211015 +aS'angioplasty\tangioplasty\tNN\tI-NP\tO' +p211016 +aS'and\tand\tCC\tI-NP\tO' +p211017 +aS'stenting\tstenting\tNN\tI-NP\tO' +p211018 +aS'was\tbe\tVBD\tB-VP\tO' +p211019 +aS'performed\tperform\tVBN\tI-VP\tO' +p211020 +aS'on\ton\tIN\tB-PP\tO' +p211021 +aS'proximal\tproximal\tJJ\tB-NP\tO' +p211022 +aS'left\tleft\tJJ\tI-NP\tO' +p211023 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p211024 +aS'descending\tdescend\tVBG\tI-NP\tO' +p211025 +aS'artery\tartery\tNN\tI-NP\tO' +p211026 +aS'and\tand\tCC\tO\tO' +p211027 +aS'the\tthe\tDT\tB-NP\tO' +p211028 +aS'percutaneous\tpercutaneous\tJJ\tI-NP\tO' +p211029 +aS'transluminal\ttransluminal\tJJ\tI-NP\tO' +p211030 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p211031 +aS'angioplasty\tangioplasty\tNN\tI-NP\tO' +p211032 +aS'was\tbe\tVBD\tB-VP\tO' +p211033 +aS'performed\tperform\tVBN\tI-VP\tO' +p211034 +aS'on\ton\tIN\tB-PP\tO' +p211035 +aS'first\tfirst\tJJ\tB-NP\tO' +p211036 +aS'diagonal\tdiagonal\tJJ\tI-NP\tO' +p211037 +aS'with\twith\tIN\tB-PP\tO' +p211038 +aS'good\tgood\tJJ\tB-NP\tO' +p211039 +aS'results\tresult\tNNS\tI-NP\tO' +p211040 +aS'.\t.\t.\tO\tO' +p211041 +asS'The right heart catheterization revealed pulmonary capillary wedge pressure of 4 , cardiac output of 8 , and cardiac index of 3.8 , he had an RA pressure of 10 , RV pressure of 43/4 , PA pressure of 37/10 .' +p211042 +(lp211043 +S'The\tThe\tDT\tB-NP\tO' +p211044 +aS'right\tright\tJJ\tI-NP\tO' +p211045 +aS'heart\theart\tNN\tI-NP\tO' +p211046 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p211047 +aS'revealed\treveal\tVBD\tB-VP\tO' +p211048 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p211049 +aS'capillary\tcapillary\tJJ\tI-NP\tO' +p211050 +aS'wedge\twedge\tNN\tI-NP\tO' +p211051 +aS'pressure\tpressure\tNN\tI-NP\tO' +p211052 +aS'of\tof\tIN\tB-PP\tO' +p211053 +aS'4\t4\tCD\tB-NP\tO' +p211054 +aS',\t,\t,\tO\tO' +p211055 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p211056 +aS'output\toutput\tNN\tI-NP\tO' +p211057 +aS'of\tof\tIN\tB-PP\tO' +p211058 +aS'8\t8\tCD\tB-NP\tO' +p211059 +aS',\t,\t,\tO\tO' +p211060 +aS'and\tand\tCC\tO\tO' +p211061 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p211062 +aS'index\tindex\tNN\tI-NP\tO' +p211063 +aS'of\tof\tIN\tB-PP\tO' +p211064 +aS'3.8\t3.8\tCD\tB-NP\tO' +p211065 +aS',\t,\t,\tO\tO' +p211066 +aS'he\the\tPRP\tB-NP\tO' +p211067 +aS'had\thave\tVBD\tB-VP\tO' +p211068 +aS'an\tan\tDT\tB-NP\tO' +p211069 +aS'RA\tRA\tNN\tI-NP\tO' +p211070 +aS'pressure\tpressure\tNN\tI-NP\tO' +p211071 +aS'of\tof\tIN\tB-PP\tO' +p211072 +aS'10\t10\tCD\tB-NP\tO' +p211073 +aS',\t,\t,\tO\tO' +p211074 +aS'RV\tRV\tNN\tB-NP\tO' +p211075 +aS'pressure\tpressure\tNN\tI-NP\tO' +p211076 +aS'of\tof\tIN\tB-PP\tO' +p211077 +aS'43/4\t43/4\tCD\tB-NP\tO' +p211078 +aS',\t,\t,\tO\tO' +p211079 +aS'PA\tPA\tNN\tB-NP\tO' +p211080 +aS'pressure\tpressure\tNN\tI-NP\tO' +p211081 +aS'of\tof\tIN\tB-PP\tO' +p211082 +aS'37/10\t37/10\tCD\tB-NP\tO' +p211083 +aS'.\t.\t.\tO\tO' +p211084 +asS'15. Coumadin 3 mg Tablet Sig : One ( 1 ) Tablet PO once a day .' +p211085 +(lp211086 +S'15.\t15.\tLS\tB-LST\tO' +p211087 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p211088 +aS'3\t3\tCD\tI-NP\tO' +p211089 +aS'mg\tmg\tNN\tI-NP\tO' +p211090 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p211091 +aS'Sig\tSig\tNNP\tI-NP\tO' +p211092 +aS':\t:\t:\tO\tO' +p211093 +aS'One\tOne\tCD\tB-NP\tO' +p211094 +aS'(\t(\t(\tO\tO' +p211095 +aS'1\t1\tCD\tB-NP\tO' +p211096 +aS')\t)\t)\tO\tO' +p211097 +aS'Tablet\tTablet\tNN\tB-NP\tB-protein' +p211098 +aS'PO\tPO\tNN\tI-NP\tI-protein' +p211099 +aS'once\tonce\tRB\tO\tO' +p211100 +aS'a\ta\tDT\tB-NP\tO' +p211101 +aS'day\tday\tNN\tI-NP\tO' +p211102 +aS'.\t.\t.\tO\tO' +p211103 +asS'He was flaccid bilaterally .' +p211104 +(lp211105 +S'He\tHe\tPRP\tB-NP\tO' +p211106 +aS'was\tbe\tVBD\tB-VP\tO' +p211107 +aS'flaccid\tflaccid\tNN\tB-NP\tO' +p211108 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p211109 +aS'.\t.\t.\tO\tO' +p211110 +asS'It is extremely important for you to take these medications .' +p211111 +(lp211112 +S'It\tIt\tPRP\tB-NP\tO' +p211113 +aS'is\tbe\tVBZ\tB-VP\tO' +p211114 +aS'extremely\textremely\tRB\tB-ADJP\tO' +p211115 +aS'important\timportant\tJJ\tI-ADJP\tO' +p211116 +aS'for\tfor\tIN\tB-SBAR\tO' +p211117 +aS'you\tyou\tPRP\tB-NP\tO' +p211118 +aS'to\tto\tTO\tB-VP\tO' +p211119 +aS'take\ttake\tVB\tI-VP\tO' +p211120 +aS'these\tthese\tDT\tB-NP\tO' +p211121 +aS'medications\tmedication\tNNS\tI-NP\tO' +p211122 +aS'.\t.\t.\tO\tO' +p211123 +asS'He was not a candidate for subcutaneous heparin as we were concerned of an intracranial hemorrhage .' +p211124 +(lp211125 +S'He\tHe\tPRP\tB-NP\tO' +p211126 +aS'was\tbe\tVBD\tB-VP\tO' +p211127 +aS'not\tnot\tRB\tO\tO' +p211128 +aS'a\ta\tDT\tB-NP\tO' +p211129 +aS'candidate\tcandidate\tNN\tI-NP\tO' +p211130 +aS'for\tfor\tIN\tB-PP\tO' +p211131 +aS'subcutaneous\tsubcutaneous\tJJ\tB-NP\tO' +p211132 +aS'heparin\theparin\tNN\tI-NP\tO' +p211133 +aS'as\tas\tIN\tB-SBAR\tO' +p211134 +aS'we\twe\tPRP\tB-NP\tO' +p211135 +aS'were\tbe\tVBD\tB-VP\tO' +p211136 +aS'concerned\tconcern\tVBN\tB-ADJP\tO' +p211137 +aS'of\tof\tIN\tB-PP\tO' +p211138 +aS'an\tan\tDT\tB-NP\tO' +p211139 +aS'intracranial\tintracranial\tJJ\tI-NP\tO' +p211140 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p211141 +aS'.\t.\t.\tO\tO' +p211142 +asS'Pt. was initially admitted to CCU on 2017-09-03 , transferred to Pendleton on 2017-09-05 , triggered on 2017-09-10 for hypotension with BP 67/38 and transferred back to CCU on 2017-09-10 .' +p211143 +(lp211144 +S'Pt.\tPt.\tNN\tB-NP\tO' +p211145 +aS'was\tbe\tVBD\tB-VP\tO' +p211146 +aS'initially\tinitially\tRB\tI-VP\tO' +p211147 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p211148 +aS'to\tto\tTO\tB-PP\tO' +p211149 +aS'CCU\tCCU\tNN\tB-NP\tB-protein' +p211150 +aS'on\ton\tIN\tB-PP\tO' +p211151 +aS'2017-09-03\t2017-09-03\tCD\tB-NP\tO' +p211152 +aS',\t,\t,\tO\tO' +p211153 +aS'transferred\ttransfer\tVBN\tB-VP\tO' +p211154 +aS'to\tto\tTO\tB-PP\tO' +p211155 +aS'Pendleton\tPendleton\tNNP\tB-NP\tO' +p211156 +aS'on\ton\tIN\tB-PP\tO' +p211157 +aS'2017-09-05\t2017-09-05\tCD\tB-NP\tO' +p211158 +aS',\t,\t,\tO\tO' +p211159 +aS'triggered\ttrigger\tVBN\tB-VP\tO' +p211160 +aS'on\ton\tIN\tB-PP\tO' +p211161 +aS'2017-09-10\t2017-09-10\tCD\tB-NP\tO' +p211162 +aS'for\tfor\tIN\tB-PP\tO' +p211163 +aS'hypotension\thypotension\tNN\tB-NP\tO' +p211164 +aS'with\twith\tIN\tB-PP\tO' +p211165 +aS'BP\tBP\tNN\tB-NP\tB-protein' +p211166 +aS'67/38\t67/38\tCD\tI-NP\tI-protein' +p211167 +aS'and\tand\tCC\tO\tO' +p211168 +aS'transferred\ttransfer\tVBD\tB-VP\tO' +p211169 +aS'back\tback\tRB\tB-ADVP\tO' +p211170 +aS'to\tto\tTO\tB-PP\tO' +p211171 +aS'CCU\tCCU\tNN\tB-NP\tB-protein' +p211172 +aS'on\ton\tIN\tB-PP\tO' +p211173 +aS'2017-09-10\t2017-09-10\tCD\tB-NP\tO' +p211174 +aS'.\t.\t.\tO\tO' +p211175 +asS"This was discussed at length in several family meetings involving the patient 's wife , son , primary care doctor , ICU attending , and neurology consultant in the presence of a Asian interpreter ." +p211176 +(lp211177 +S'This\tThis\tDT\tB-NP\tO' +p211178 +aS'was\tbe\tVBD\tB-VP\tO' +p211179 +aS'discussed\tdiscuss\tVBN\tI-VP\tO' +p211180 +aS'at\tat\tIN\tB-PP\tO' +p211181 +aS'length\tlength\tNN\tB-NP\tO' +p211182 +aS'in\tin\tIN\tB-PP\tO' +p211183 +aS'several\tseveral\tJJ\tB-NP\tO' +p211184 +aS'family\tfamily\tNN\tI-NP\tO' +p211185 +aS'meetings\tmeeting\tNNS\tI-NP\tO' +p211186 +aS'involving\tinvolve\tVBG\tB-VP\tO' +p211187 +aS'the\tthe\tDT\tB-NP\tO' +p211188 +aS'patient\tpatient\tNN\tI-NP\tO' +p211189 +aS"'s\t's\tPOS\tB-NP\tO" +p211190 +aS'wife\twife\tNN\tI-NP\tO' +p211191 +aS',\t,\t,\tO\tO' +p211192 +aS'son\tson\tNN\tB-NP\tO' +p211193 +aS',\t,\t,\tO\tO' +p211194 +aS'primary\tprimary\tJJ\tB-NP\tO' +p211195 +aS'care\tcare\tNN\tI-NP\tO' +p211196 +aS'doctor\tdoctor\tNN\tI-NP\tO' +p211197 +aS',\t,\t,\tO\tO' +p211198 +aS'ICU\tICU\tNN\tB-NP\tB-protein' +p211199 +aS'attending\tattend\tVBG\tB-VP\tO' +p211200 +aS',\t,\t,\tO\tO' +p211201 +aS'and\tand\tCC\tO\tO' +p211202 +aS'neurology\tneurology\tNN\tB-NP\tO' +p211203 +aS'consultant\tconsultant\tNN\tI-NP\tO' +p211204 +aS'in\tin\tIN\tB-PP\tO' +p211205 +aS'the\tthe\tDT\tI-PP\tO' +p211206 +aS'presence\tpresence\tNN\tI-PP\tO' +p211207 +aS'of\tof\tIN\tI-PP\tO' +p211208 +aS'a\ta\tDT\tB-NP\tO' +p211209 +aS'Asian\tAsian\tJJ\tI-NP\tO' +p211210 +aS'interpreter\tinterpreter\tNN\tI-NP\tO' +p211211 +aS'.\t.\t.\tO\tO' +p211212 +asS'The patient is an 81 year old female with a history of cerebrovascular accident , atrial fibrillation , hypothyroidism and dementia who is status post laparoscopic cholecystectomy one week ago who currently presents with a 4 day history of no bowel movement .' +p211213 +(lp211214 +S'The\tThe\tDT\tB-NP\tO' +p211215 +aS'patient\tpatient\tNN\tI-NP\tO' +p211216 +aS'is\tbe\tVBZ\tB-VP\tO' +p211217 +aS'an\tan\tDT\tB-NP\tO' +p211218 +aS'81\t81\tCD\tI-NP\tO' +p211219 +aS'year\tyear\tNN\tI-NP\tO' +p211220 +aS'old\told\tJJ\tI-NP\tO' +p211221 +aS'female\tfemale\tNN\tI-NP\tO' +p211222 +aS'with\twith\tIN\tB-PP\tO' +p211223 +aS'a\ta\tDT\tB-NP\tO' +p211224 +aS'history\thistory\tNN\tI-NP\tO' +p211225 +aS'of\tof\tIN\tB-PP\tO' +p211226 +aS'cerebrovascular\tcerebrovascular\tJJ\tB-NP\tO' +p211227 +aS'accident\taccident\tNN\tI-NP\tO' +p211228 +aS',\t,\t,\tO\tO' +p211229 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p211230 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p211231 +aS',\t,\t,\tO\tO' +p211232 +aS'hypothyroidism\thypothyroidism\tNN\tB-NP\tO' +p211233 +aS'and\tand\tCC\tI-NP\tO' +p211234 +aS'dementia\tdementia\tNN\tI-NP\tO' +p211235 +aS'who\twho\tWP\tB-NP\tO' +p211236 +aS'is\tbe\tVBZ\tB-VP\tO' +p211237 +aS'status\tstatus\tNN\tB-NP\tO' +p211238 +aS'post\tpost\tNN\tI-NP\tO' +p211239 +aS'laparoscopic\tlaparoscopic\tJJ\tI-NP\tO' +p211240 +aS'cholecystectomy\tcholecystectomy\tNN\tI-NP\tO' +p211241 +aS'one\tone\tCD\tB-NP\tO' +p211242 +aS'week\tweek\tNN\tI-NP\tO' +p211243 +aS'ago\tago\tRB\tB-ADVP\tO' +p211244 +aS'who\twho\tWP\tB-NP\tO' +p211245 +aS'currently\tcurrently\tRB\tB-ADVP\tO' +p211246 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p211247 +aS'with\twith\tIN\tB-PP\tO' +p211248 +aS'a\ta\tDT\tB-NP\tO' +p211249 +aS'4\t4\tCD\tI-NP\tO' +p211250 +aS'day\tday\tNN\tI-NP\tO' +p211251 +aS'history\thistory\tNN\tI-NP\tO' +p211252 +aS'of\tof\tIN\tB-PP\tO' +p211253 +aS'no\tno\tDT\tB-NP\tO' +p211254 +aS'bowel\tbowel\tNN\tI-NP\tO' +p211255 +aS'movement\tmovement\tNN\tI-NP\tO' +p211256 +aS'.\t.\t.\tO\tO' +p211257 +asS'4. Oxycodone-Acetaminophen 5-325 mg Tablet Sig : 1-2 Tablets PO Q4H ( every 4 hours ) as needed for pain .' +p211258 +(lp211259 +S'4.\t4.\tLS\tB-NP\tO' +p211260 +aS'Oxycodone-Acetaminophen\tOxycodone-Acetaminophen\tNN\tI-NP\tO' +p211261 +aS'5-325\t5-325\tCD\tI-NP\tO' +p211262 +aS'mg\tmg\tNN\tI-NP\tO' +p211263 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p211264 +aS'Sig\tSig\tNNP\tI-NP\tO' +p211265 +aS':\t:\t:\tO\tO' +p211266 +aS'1-2\t1-2\tCD\tB-NP\tO' +p211267 +aS'Tablets\tTablet\tNNS\tI-NP\tO' +p211268 +aS'PO\tPO\tNN\tI-NP\tO' +p211269 +aS'Q4H\tQ4H\tNN\tI-NP\tO' +p211270 +aS'(\t(\t(\tO\tO' +p211271 +aS'every\tevery\tDT\tB-NP\tO' +p211272 +aS'4\t4\tCD\tI-NP\tO' +p211273 +aS'hours\thour\tNNS\tI-NP\tO' +p211274 +aS')\t)\t)\tO\tO' +p211275 +aS'as\tas\tIN\tB-SBAR\tO' +p211276 +aS'needed\tneed\tVBN\tB-VP\tO' +p211277 +aS'for\tfor\tIN\tB-PP\tO' +p211278 +aS'pain\tpain\tNN\tB-NP\tO' +p211279 +aS'.\t.\t.\tO\tO' +p211280 +asS'1) EXTENSIVE POSTERIOR CIRCULATION INFARCTION .' +p211281 +(lp211282 +S'1)\t1)\tLS\tB-NP\tO' +p211283 +aS'EXTENSIVE\tEXTENSIVE\tNN\tI-NP\tO' +p211284 +aS'POSTERIOR\tPOSTERIOR\tNN\tI-NP\tO' +p211285 +aS'CIRCULATION\tCIRCULATION\tNN\tI-NP\tO' +p211286 +aS'INFARCTION\tINFARCTION\tNN\tI-NP\tO' +p211287 +aS'.\t.\t.\tO\tO' +p211288 +asS'The CT scan was revealed and , on second analysis , it was thought that it was suspicious for a subarachnoid hemorrhage in the suprasellar cistern .' +p211289 +(lp211290 +S'The\tThe\tDT\tB-NP\tO' +p211291 +aS'CT\tCT\tNN\tI-NP\tO' +p211292 +aS'scan\tscan\tNN\tI-NP\tO' +p211293 +aS'was\tbe\tVBD\tB-VP\tO' +p211294 +aS'revealed\treveal\tVBN\tI-VP\tO' +p211295 +aS'and\tand\tCC\tO\tO' +p211296 +aS',\t,\t,\tO\tO' +p211297 +aS'on\ton\tIN\tB-PP\tO' +p211298 +aS'second\tsecond\tJJ\tB-NP\tO' +p211299 +aS'analysis\tanalysis\tNN\tI-NP\tO' +p211300 +aS',\t,\t,\tO\tO' +p211301 +aS'it\tit\tPRP\tB-NP\tO' +p211302 +aS'was\tbe\tVBD\tB-VP\tO' +p211303 +aS'thought\tthink\tVBN\tI-VP\tO' +p211304 +aS'that\tthat\tIN\tB-SBAR\tO' +p211305 +aS'it\tit\tPRP\tB-NP\tO' +p211306 +aS'was\tbe\tVBD\tB-VP\tO' +p211307 +aS'suspicious\tsuspicious\tJJ\tB-ADJP\tO' +p211308 +aS'for\tfor\tIN\tB-PP\tO' +p211309 +aS'a\ta\tDT\tB-NP\tO' +p211310 +aS'subarachnoid\tsubarachnoid\tJJ\tI-NP\tO' +p211311 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p211312 +aS'in\tin\tIN\tB-PP\tO' +p211313 +aS'the\tthe\tDT\tB-NP\tO' +p211314 +aS'suprasellar\tsuprasellar\tJJ\tI-NP\tO' +p211315 +aS'cistern\tcistern\tNN\tI-NP\tO' +p211316 +aS'.\t.\t.\tO\tO' +p211317 +asS'There are several areas of brain edema identified in the left frontal and parietal lobe and both temporal lobes , which are suspicious for areas of metastatic disease with surrounding edema .' +p211318 +(lp211319 +S'There\tThere\tEX\tB-NP\tO' +p211320 +aS'are\tbe\tVBP\tB-VP\tO' +p211321 +aS'several\tseveral\tJJ\tB-NP\tO' +p211322 +aS'areas\tarea\tNNS\tI-NP\tO' +p211323 +aS'of\tof\tIN\tB-PP\tO' +p211324 +aS'brain\tbrain\tNN\tB-NP\tO' +p211325 +aS'edema\tedema\tNN\tI-NP\tO' +p211326 +aS'identified\tidentify\tVBN\tB-VP\tO' +p211327 +aS'in\tin\tIN\tB-PP\tO' +p211328 +aS'the\tthe\tDT\tB-NP\tO' +p211329 +aS'left\tleft\tJJ\tI-NP\tO' +p211330 +aS'frontal\tfrontal\tJJ\tI-NP\tO' +p211331 +aS'and\tand\tCC\tI-NP\tO' +p211332 +aS'parietal\tparietal\tJJ\tI-NP\tO' +p211333 +aS'lobe\tlobe\tNN\tI-NP\tO' +p211334 +aS'and\tand\tCC\tO\tO' +p211335 +aS'both\tboth\tDT\tB-NP\tO' +p211336 +aS'temporal\ttemporal\tJJ\tI-NP\tO' +p211337 +aS'lobes\tlobe\tNNS\tI-NP\tO' +p211338 +aS',\t,\t,\tO\tO' +p211339 +aS'which\twhich\tWDT\tB-NP\tO' +p211340 +aS'are\tbe\tVBP\tB-VP\tO' +p211341 +aS'suspicious\tsuspicious\tJJ\tB-ADJP\tO' +p211342 +aS'for\tfor\tIN\tB-PP\tO' +p211343 +aS'areas\tarea\tNNS\tB-NP\tO' +p211344 +aS'of\tof\tIN\tB-PP\tO' +p211345 +aS'metastatic\tmetastatic\tJJ\tB-NP\tO' +p211346 +aS'disease\tdisease\tNN\tI-NP\tO' +p211347 +aS'with\twith\tIN\tB-PP\tO' +p211348 +aS'surrounding\tsurround\tVBG\tB-VP\tO' +p211349 +aS'edema\tedema\tNN\tB-NP\tO' +p211350 +aS'.\t.\t.\tO\tO' +p211351 +asS'4. Anemia , transfusion dependent every three months .' +p211352 +(lp211353 +S'4.\t4.\tLS\tB-LST\tO' +p211354 +aS'Anemia\tAnemia\tNN\tB-NP\tO' +p211355 +aS',\t,\t,\tO\tO' +p211356 +aS'transfusion\ttransfusion\tNN\tB-NP\tO' +p211357 +aS'dependent\tdependent\tJJ\tI-NP\tO' +p211358 +aS'every\tevery\tDT\tB-NP\tO' +p211359 +aS'three\tthree\tCD\tI-NP\tO' +p211360 +aS'months\tmonth\tNNS\tI-NP\tO' +p211361 +aS'.\t.\t.\tO\tO' +p211362 +asS'She also had climbing bilirubin and low grade temp and was started on Zosyn for suspected biliary obstruction and ascending cholangitis coverage .' +p211363 +(lp211364 +S'She\tShe\tPRP\tB-NP\tO' +p211365 +aS'also\talso\tRB\tB-ADVP\tO' +p211366 +aS'had\thave\tVBD\tB-VP\tO' +p211367 +aS'climbing\tclimb\tVBG\tI-VP\tO' +p211368 +aS'bilirubin\tbilirubin\tNN\tB-NP\tO' +p211369 +aS'and\tand\tCC\tO\tO' +p211370 +aS'low\tlow\tJJ\tB-NP\tO' +p211371 +aS'grade\tgrade\tNN\tI-NP\tO' +p211372 +aS'temp\ttemp\tNN\tI-NP\tO' +p211373 +aS'and\tand\tCC\tO\tO' +p211374 +aS'was\tbe\tVBD\tB-VP\tO' +p211375 +aS'started\tstart\tVBN\tI-VP\tO' +p211376 +aS'on\ton\tIN\tB-PP\tO' +p211377 +aS'Zosyn\tZosyn\tNN\tB-NP\tO' +p211378 +aS'for\tfor\tIN\tB-PP\tO' +p211379 +aS'suspected\tsuspect\tVBN\tB-NP\tO' +p211380 +aS'biliary\tbiliary\tJJ\tI-NP\tO' +p211381 +aS'obstruction\tobstruction\tNN\tI-NP\tO' +p211382 +aS'and\tand\tCC\tO\tO' +p211383 +aS'ascending\tascend\tVBG\tB-VP\tO' +p211384 +aS'cholangitis\tcholangitis\tNN\tB-NP\tO' +p211385 +aS'coverage\tcoverage\tNN\tI-NP\tO' +p211386 +aS'.\t.\t.\tO\tO' +p211387 +asS'He was instructed not to restart these until seen by Dr. Ercek .' +p211388 +(lp211389 +S'He\tHe\tPRP\tB-NP\tO' +p211390 +aS'was\tbe\tVBD\tB-VP\tO' +p211391 +aS'instructed\tinstruct\tVBN\tI-VP\tO' +p211392 +aS'not\tnot\tRB\tO\tO' +p211393 +aS'to\tto\tTO\tB-VP\tO' +p211394 +aS'restart\trestart\tVB\tI-VP\tO' +p211395 +aS'these\tthese\tDT\tB-NP\tO' +p211396 +aS'until\tuntil\tIN\tB-SBAR\tO' +p211397 +aS'seen\tsee\tVBN\tB-VP\tO' +p211398 +aS'by\tby\tIN\tB-PP\tO' +p211399 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p211400 +aS'Ercek\tErcek\tNNP\tI-NP\tO' +p211401 +aS'.\t.\t.\tO\tO' +p211402 +asS'2. Status post coronary artery bypass graft times four .' +p211403 +(lp211404 +S'2.\t2.\tLS\tB-LST\tO' +p211405 +aS'Status\tStatus\tNNP\tB-NP\tO' +p211406 +aS'post\tpost\tIN\tB-PP\tO' +p211407 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p211408 +aS'artery\tartery\tNN\tI-NP\tO' +p211409 +aS'bypass\tbypass\tIN\tB-PP\tO' +p211410 +aS'graft\tgraft\tNN\tB-NP\tO' +p211411 +aS'times\ttime\tNNS\tI-NP\tO' +p211412 +aS'four\tfour\tCD\tB-NP\tO' +p211413 +aS'.\t.\t.\tO\tO' +p211414 +asS'She has no known drug allergy .' +p211415 +(lp211416 +S'She\tShe\tPRP\tB-NP\tO' +p211417 +aS'has\thave\tVBZ\tB-VP\tO' +p211418 +aS'no\tno\tDT\tB-NP\tO' +p211419 +aS'known\tknow\tVBN\tI-NP\tO' +p211420 +aS'drug\tdrug\tNN\tI-NP\tO' +p211421 +aS'allergy\tallergy\tNN\tI-NP\tO' +p211422 +aS'.\t.\t.\tO\tO' +p211423 +asS'Dictated By : Raymond Q. Martinez , M.D.' +p211424 +(lp211425 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p211426 +aS'By\tBy\tIN\tB-PP\tO' +p211427 +aS':\t:\t:\tO\tO' +p211428 +aS'Raymond\tRaymond\tNNP\tB-NP\tO' +p211429 +aS'Q.\tQ.\tNNP\tI-NP\tO' +p211430 +aS'Martinez\tMartinez\tNNP\tI-NP\tO' +p211431 +aS',\t,\t,\tO\tO' +p211432 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p211433 +asS'Palate and clavicles intact .' +p211434 +(lp211435 +S'Palate\tPalate\tNN\tB-NP\tO' +p211436 +aS'and\tand\tCC\tI-NP\tO' +p211437 +aS'clavicles\tclavicle\tNNS\tI-NP\tO' +p211438 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p211439 +aS'.\t.\t.\tO\tO' +p211440 +asS'Mother with throat cancer .' +p211441 +(lp211442 +S'Mother\tMother\tDT\tB-NP\tO' +p211443 +aS'with\twith\tIN\tB-PP\tO' +p211444 +aS'throat\tthroat\tDT\tB-NP\tO' +p211445 +aS'cancer\tcancer\tNN\tI-NP\tO' +p211446 +aS'.\t.\t.\tO\tO' +p211447 +asS'Final neurologic assessment was that the patient was unlikely to regain meaningful neurologic functioning .' +p211448 +(lp211449 +S'Final\tFinal\tJJ\tB-NP\tO' +p211450 +aS'neurologic\tneurologic\tJJ\tI-NP\tO' +p211451 +aS'assessment\tassessment\tNN\tI-NP\tO' +p211452 +aS'was\tbe\tVBD\tB-VP\tO' +p211453 +aS'that\tthat\tIN\tB-SBAR\tO' +p211454 +aS'the\tthe\tDT\tB-NP\tO' +p211455 +aS'patient\tpatient\tNN\tI-NP\tO' +p211456 +aS'was\tbe\tVBD\tB-VP\tO' +p211457 +aS'unlikely\tunlikely\tJJ\tB-ADJP\tO' +p211458 +aS'to\tto\tTO\tB-VP\tO' +p211459 +aS'regain\tregain\tVB\tI-VP\tO' +p211460 +aS'meaningful\tmeaningful\tJJ\tB-NP\tO' +p211461 +aS'neurologic\tneurologic\tJJ\tI-NP\tO' +p211462 +aS'functioning\tfunctioning\tNN\tI-NP\tO' +p211463 +aS'.\t.\t.\tO\tO' +p211464 +asS'2+ pitting edema to knees B/L .' +p211465 +(lp211466 +S'2+\t2+\tJJ\tB-NP\tO' +p211467 +aS'pitting\tpit\tVBG\tI-NP\tO' +p211468 +aS'edema\tedema\tNN\tI-NP\tO' +p211469 +aS'to\tto\tTO\tB-PP\tO' +p211470 +aS'knees\tknee\tNNS\tB-NP\tO' +p211471 +aS'B/L\tB/L\tNN\tI-NP\tO' +p211472 +aS'.\t.\t.\tO\tO' +p211473 +asS'His left forearm was also grossly deformed .' +p211474 +(lp211475 +S'His\tHis\tPRP$\tB-NP\tO' +p211476 +aS'left\tleft\tJJ\tI-NP\tO' +p211477 +aS'forearm\tforearm\tNN\tI-NP\tO' +p211478 +aS'was\tbe\tVBD\tB-VP\tO' +p211479 +aS'also\talso\tRB\tB-ADVP\tO' +p211480 +aS'grossly\tgrossly\tRB\tB-VP\tO' +p211481 +aS'deformed\tdeform\tVBN\tI-VP\tO' +p211482 +aS'.\t.\t.\tO\tO' +p211483 +asS'The MRI of your knee showed a meniscal tear .' +p211484 +(lp211485 +S'The\tThe\tDT\tB-NP\tO' +p211486 +aS'MRI\tMRI\tNN\tI-NP\tB-protein' +p211487 +aS'of\tof\tIN\tB-PP\tO' +p211488 +aS'your\tyour\tPRP$\tB-NP\tO' +p211489 +aS'knee\tknee\tNN\tI-NP\tO' +p211490 +aS'showed\tshow\tVBD\tB-VP\tO' +p211491 +aS'a\ta\tDT\tB-NP\tO' +p211492 +aS'meniscal\tmeniscal\tJJ\tI-NP\tO' +p211493 +aS'tear\ttear\tNN\tI-NP\tO' +p211494 +aS'.\t.\t.\tO\tO' +p211495 +asS'Wife states that he would NOT want to be recussitated , and that OSH placed ETT before asking her .' +p211496 +(lp211497 +S'Wife\tWife\tNNP\tB-NP\tO' +p211498 +aS'states\tstate\tVBZ\tB-VP\tO' +p211499 +aS'that\tthat\tIN\tB-SBAR\tO' +p211500 +aS'he\the\tPRP\tB-NP\tO' +p211501 +aS'would\twould\tMD\tB-VP\tO' +p211502 +aS'NOT\tNOT\tNNP\tB-NP\tO' +p211503 +aS'want\twant\tVB\tB-VP\tO' +p211504 +aS'to\tto\tTO\tI-VP\tO' +p211505 +aS'be\tbe\tVB\tI-VP\tO' +p211506 +aS'recussitated\trecussitate\tVBN\tI-VP\tO' +p211507 +aS',\t,\t,\tO\tO' +p211508 +aS'and\tand\tCC\tO\tO' +p211509 +aS'that\tthat\tIN\tB-SBAR\tO' +p211510 +aS'OSH\tOSH\tNN\tB-NP\tB-protein' +p211511 +aS'placed\tplace\tVBD\tB-VP\tO' +p211512 +aS'ETT\tETT\tNN\tB-NP\tO' +p211513 +aS'before\tbefore\tIN\tB-PP\tO' +p211514 +aS'asking\task\tVBG\tB-VP\tO' +p211515 +aS'her\ther\tPRP\tB-NP\tO' +p211516 +aS'.\t.\t.\tO\tO' +p211517 +asS'The head was normocephalic and atraumatic .' +p211518 +(lp211519 +S'The\tThe\tDT\tB-NP\tO' +p211520 +aS'head\thead\tNN\tI-NP\tO' +p211521 +aS'was\tbe\tVBD\tB-VP\tO' +p211522 +aS'normocephalic\tnormocephalic\tJJ\tB-ADJP\tO' +p211523 +aS'and\tand\tCC\tI-ADJP\tO' +p211524 +aS'atraumatic\tatraumatic\tJJ\tI-ADJP\tO' +p211525 +aS'.\t.\t.\tO\tO' +p211526 +asS'Speech was fluent but slow , and there was long response latencies before she would initiate speech .' +p211527 +(lp211528 +S'Speech\tSpeech\tNN\tB-NP\tO' +p211529 +aS'was\tbe\tVBD\tB-VP\tO' +p211530 +aS'fluent\tfluent\tJJ\tB-ADJP\tO' +p211531 +aS'but\tbut\tCC\tI-ADJP\tO' +p211532 +aS'slow\tslow\tJJ\tI-ADJP\tO' +p211533 +aS',\t,\t,\tO\tO' +p211534 +aS'and\tand\tCC\tO\tO' +p211535 +aS'there\tthere\tEX\tB-NP\tO' +p211536 +aS'was\tbe\tVBD\tB-VP\tO' +p211537 +aS'long\tlong\tJJ\tB-NP\tO' +p211538 +aS'response\tresponse\tNN\tI-NP\tO' +p211539 +aS'latencies\tlatency\tNNS\tI-NP\tO' +p211540 +aS'before\tbefore\tIN\tB-SBAR\tO' +p211541 +aS'she\tshe\tPRP\tB-NP\tO' +p211542 +aS'would\twould\tMD\tB-VP\tO' +p211543 +aS'initiate\tinitiate\tVB\tI-VP\tO' +p211544 +aS'speech\tspeech\tNN\tB-NP\tO' +p211545 +aS'.\t.\t.\tO\tO' +p211546 +asS'CT PELVIS ( 07-17 ) An abnormal loop of slightly dilated small bowel with fecalization and possible bowel wall thickening .' +p211547 +(lp211548 +S'CT\tCT\tNN\tB-NP\tO' +p211549 +aS'PELVIS\tPELVIS\tNN\tI-NP\tO' +p211550 +aS'(\t(\t(\tO\tO' +p211551 +aS'07-17\t07-17\tCD\tB-NP\tO' +p211552 +aS')\t)\t)\tO\tO' +p211553 +aS'An\tAn\tDT\tB-NP\tO' +p211554 +aS'abnormal\tabnormal\tJJ\tI-NP\tO' +p211555 +aS'loop\tloop\tNN\tI-NP\tO' +p211556 +aS'of\tof\tIN\tB-PP\tO' +p211557 +aS'slightly\tslightly\tRB\tB-NP\tO' +p211558 +aS'dilated\tdilate\tVBN\tI-NP\tO' +p211559 +aS'small\tsmall\tJJ\tI-NP\tO' +p211560 +aS'bowel\tbowel\tNN\tI-NP\tO' +p211561 +aS'with\twith\tIN\tB-PP\tO' +p211562 +aS'fecalization\tfecalization\tNN\tB-NP\tO' +p211563 +aS'and\tand\tCC\tO\tO' +p211564 +aS'possible\tpossible\tJJ\tB-NP\tO' +p211565 +aS'bowel\tbowel\tNN\tI-NP\tO' +p211566 +aS'wall\twall\tNN\tI-NP\tO' +p211567 +aS'thickening\tthickening\tNN\tI-NP\tO' +p211568 +aS'.\t.\t.\tO\tO' +p211569 +asS'We gave the patient bathroom privileges .' +p211570 +(lp211571 +S'We\tWe\tPRP\tB-NP\tO' +p211572 +aS'gave\tgive\tVBD\tB-VP\tO' +p211573 +aS'the\tthe\tDT\tB-NP\tO' +p211574 +aS'patient\tpatient\tNN\tI-NP\tO' +p211575 +aS'bathroom\tbathroom\tNN\tI-NP\tO' +p211576 +aS'privileges\tprivilege\tNNS\tI-NP\tO' +p211577 +aS'.\t.\t.\tO\tO' +p211578 +asS'1. Prematurity 32 and 4/7 weeks , Twin #1 .' +p211579 +(lp211580 +S'1.\t1.\tLS\tB-NP\tO' +p211581 +aS'Prematurity\tPrematurity\tNNP\tI-NP\tO' +p211582 +aS'32\t32\tCD\tI-NP\tO' +p211583 +aS'and\tand\tCC\tI-NP\tO' +p211584 +aS'4/7\t4/7\tCD\tI-NP\tO' +p211585 +aS'weeks\tweek\tNNS\tI-NP\tO' +p211586 +aS',\t,\t,\tO\tO' +p211587 +aS'Twin\tTwin\tNNP\tB-NP\tO' +p211588 +aS'#1\t#1\tCD\tI-NP\tO' +p211589 +aS'.\t.\t.\tO\tO' +p211590 +asS'A complete blood count , electrolytes , BUN and creatinine were within normal limits .' +p211591 +(lp211592 +S'A\tA\tDT\tB-NP\tO' +p211593 +aS'complete\tcomplete\tJJ\tI-NP\tO' +p211594 +aS'blood\tblood\tNN\tI-NP\tO' +p211595 +aS'count\tcount\tNN\tI-NP\tO' +p211596 +aS',\t,\t,\tO\tO' +p211597 +aS'electrolytes\telectrolyte\tNNS\tB-NP\tO' +p211598 +aS',\t,\t,\tO\tO' +p211599 +aS'BUN\tBUN\tNN\tB-NP\tB-protein' +p211600 +aS'and\tand\tCC\tI-NP\tO' +p211601 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p211602 +aS'were\tbe\tVBD\tB-VP\tO' +p211603 +aS'within\twithin\tIN\tB-PP\tO' +p211604 +aS'normal\tnormal\tJJ\tB-NP\tO' +p211605 +aS'limits\tlimit\tNNS\tI-NP\tO' +p211606 +aS'.\t.\t.\tO\tO' +p211607 +asS'And Infectious disease consult was immediately made .' +p211608 +(lp211609 +S'And\tAnd\tCC\tO\tO' +p211610 +aS'Infectious\tInfectious\tJJ\tB-NP\tO' +p211611 +aS'disease\tdisease\tNN\tI-NP\tO' +p211612 +aS'consult\tconsult\tNN\tI-NP\tO' +p211613 +aS'was\tbe\tVBD\tB-VP\tO' +p211614 +aS'immediately\timmediately\tRB\tI-VP\tO' +p211615 +aS'made\tmake\tVBN\tI-VP\tO' +p211616 +aS'.\t.\t.\tO\tO' +p211617 +asS'4. Coumadin 6.25 mg once a day .' +p211618 +(lp211619 +S'4.\t4.\tLS\tB-NP\tO' +p211620 +aS'Coumadin\tCoumadin\tNN\tI-NP\tO' +p211621 +aS'6.25\t6.25\tCD\tI-NP\tO' +p211622 +aS'mg\tmg\tNN\tI-NP\tO' +p211623 +aS'once\tonce\tRB\tB-ADVP\tO' +p211624 +aS'a\ta\tDT\tB-NP\tO' +p211625 +aS'day\tday\tNN\tI-NP\tO' +p211626 +aS'.\t.\t.\tO\tO' +p211627 +asS'1. Chronic obstructive pulmonary disease exacerbation .' +p211628 +(lp211629 +S'1.\t1.\tLS\tB-NP\tO' +p211630 +aS'Chronic\tChronic\tJJ\tI-NP\tO' +p211631 +aS'obstructive\tobstructive\tJJ\tI-NP\tO' +p211632 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p211633 +aS'disease\tdisease\tNN\tI-NP\tO' +p211634 +aS'exacerbation\texacerbation\tNN\tI-NP\tO' +p211635 +aS'.\t.\t.\tO\tO' +p211636 +asS'In PM extubated , transferred to floor 2016-03-23 .' +p211637 +(lp211638 +S'In\tIn\tIN\tB-PP\tO' +p211639 +aS'PM\tPM\tNN\tB-NP\tO' +p211640 +aS'extubated\textubate\tVBN\tB-VP\tO' +p211641 +aS',\t,\t,\tO\tO' +p211642 +aS'transferred\ttransfer\tVBN\tB-VP\tO' +p211643 +aS'to\tto\tTO\tB-PP\tO' +p211644 +aS'floor\tfloor\tNN\tB-NP\tO' +p211645 +aS'2016-03-23\t2016-03-23\tCD\tI-NP\tO' +p211646 +aS'.\t.\t.\tO\tO' +p211647 +asS'Ri Strength is a 40 year old man with a history of GERD , who presents with abdominal pain of seven days duration .' +p211648 +(lp211649 +S'Ri\tRi\tNNP\tB-NP\tO' +p211650 +aS'Strength\tStrength\tNNP\tI-NP\tO' +p211651 +aS'is\tbe\tVBZ\tB-VP\tO' +p211652 +aS'a\ta\tDT\tB-NP\tO' +p211653 +aS'40\t40\tCD\tI-NP\tO' +p211654 +aS'year\tyear\tNN\tI-NP\tO' +p211655 +aS'old\told\tJJ\tI-NP\tO' +p211656 +aS'man\tman\tNN\tI-NP\tO' +p211657 +aS'with\twith\tIN\tB-PP\tO' +p211658 +aS'a\ta\tDT\tB-NP\tO' +p211659 +aS'history\thistory\tNN\tI-NP\tO' +p211660 +aS'of\tof\tIN\tB-PP\tO' +p211661 +aS'GERD\tGERD\tNNP\tB-NP\tO' +p211662 +aS',\t,\t,\tO\tO' +p211663 +aS'who\twho\tWP\tB-NP\tO' +p211664 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p211665 +aS'with\twith\tIN\tB-PP\tO' +p211666 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p211667 +aS'pain\tpain\tNN\tI-NP\tO' +p211668 +aS'of\tof\tIN\tB-PP\tO' +p211669 +aS'seven\tseven\tCD\tB-NP\tO' +p211670 +aS'days\tday\tNNS\tI-NP\tO' +p211671 +aS'duration\tduration\tNN\tI-NP\tO' +p211672 +aS'.\t.\t.\tO\tO' +p211673 +asS'The patient was employed as a salesman .' +p211674 +(lp211675 +S'The\tThe\tDT\tB-NP\tO' +p211676 +aS'patient\tpatient\tNN\tI-NP\tO' +p211677 +aS'was\tbe\tVBD\tB-VP\tO' +p211678 +aS'employed\temploy\tVBN\tI-VP\tO' +p211679 +aS'as\tas\tIN\tB-PP\tO' +p211680 +aS'a\ta\tDT\tB-NP\tO' +p211681 +aS'salesman\tsalesman\tNN\tI-NP\tO' +p211682 +aS'.\t.\t.\tO\tO' +p211683 +asS'Maternal history notable for hypothyroidism on Levoxyl .' +p211684 +(lp211685 +S'Maternal\tMaternal\tJJ\tB-NP\tO' +p211686 +aS'history\thistory\tNN\tI-NP\tO' +p211687 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p211688 +aS'for\tfor\tIN\tB-PP\tO' +p211689 +aS'hypothyroidism\thypothyroidism\tNN\tB-NP\tO' +p211690 +aS'on\ton\tIN\tB-PP\tO' +p211691 +aS'Levoxyl\tLevoxyl\tNN\tB-NP\tO' +p211692 +aS'.\t.\t.\tO\tO' +p211693 +asS'On November 30 , a family meeting with patient 's daughter and spouse , along with primary oncologist , Dr. Tomedankell Bile , attending physician , Dr. Mellerny Close , and house staff , was held to discuss patient 's critical condition and inability to prevent progression of skin , sinus and neurological Acanthamoeba infection on maximal antimicrobial therapy .' +p211694 +(lp211695 +S'On\tOn\tIN\tB-PP\tO' +p211696 +aS'November\tNovember\tNNP\tB-NP\tO' +p211697 +aS'30\t30\tCD\tI-NP\tO' +p211698 +aS',\t,\t,\tO\tO' +p211699 +aS'a\ta\tDT\tB-NP\tO' +p211700 +aS'family\tfamily\tNN\tI-NP\tO' +p211701 +aS'meeting\tmeeting\tNN\tI-NP\tO' +p211702 +aS'with\twith\tIN\tB-PP\tO' +p211703 +aS'patient\tpatient\tNN\tB-NP\tO' +p211704 +aS''s\t'\tNNS\tI-NP\tO' +p211705 +aS'daughter\tdaughter\tNN\tI-NP\tO' +p211706 +aS'and\tand\tCC\tI-NP\tO' +p211707 +aS'spouse\tspouse\tNN\tI-NP\tO' +p211708 +aS',\t,\t,\tO\tO' +p211709 +aS'along\talong\tIN\tB-PP\tO' +p211710 +aS'with\twith\tIN\tB-PP\tO' +p211711 +aS'primary\tprimary\tJJ\tB-NP\tO' +p211712 +aS'oncologist\toncologist\tNN\tI-NP\tO' +p211713 +aS',\t,\t,\tO\tO' +p211714 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p211715 +aS'Tomedankell\tTomedankell\tNNP\tI-NP\tO' +p211716 +aS'Bile\tBile\tNNP\tI-NP\tO' +p211717 +aS',\t,\t,\tO\tO' +p211718 +aS'attending\tattend\tVBG\tB-VP\tO' +p211719 +aS'physician\tphysician\tNN\tB-NP\tO' +p211720 +aS',\t,\t,\tO\tO' +p211721 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p211722 +aS'Mellerny\tMellerny\tNNP\tI-NP\tO' +p211723 +aS'Close\tClose\tNNP\tI-NP\tO' +p211724 +aS',\t,\t,\tO\tO' +p211725 +aS'and\tand\tCC\tO\tO' +p211726 +aS'house\thouse\tNN\tB-NP\tO' +p211727 +aS'staff\tstaff\tNN\tI-NP\tO' +p211728 +aS',\t,\t,\tO\tO' +p211729 +aS'was\tbe\tVBD\tB-VP\tO' +p211730 +aS'held\thold\tVBN\tI-VP\tO' +p211731 +aS'to\tto\tTO\tI-VP\tO' +p211732 +aS'discuss\tdiscuss\tVB\tI-VP\tO' +p211733 +aS'patient\tpatient\tNN\tB-NP\tO' +p211734 +aS''s\t'\tNNS\tI-NP\tO' +p211735 +aS'critical\tcritical\tJJ\tB-NP\tO' +p211736 +aS'condition\tcondition\tNN\tI-NP\tO' +p211737 +aS'and\tand\tCC\tI-NP\tO' +p211738 +aS'inability\tinability\tNN\tI-NP\tO' +p211739 +aS'to\tto\tTO\tB-VP\tO' +p211740 +aS'prevent\tprevent\tVB\tI-VP\tO' +p211741 +aS'progression\tprogression\tNN\tB-NP\tO' +p211742 +aS'of\tof\tIN\tB-PP\tO' +p211743 +aS'skin\tskin\tNN\tB-NP\tO' +p211744 +aS',\t,\t,\tO\tO' +p211745 +aS'sinus\tsinus\tNN\tB-NP\tO' +p211746 +aS'and\tand\tCC\tO\tO' +p211747 +aS'neurological\tneurological\tJJ\tB-NP\tO' +p211748 +aS'Acanthamoeba\tAcanthamoeba\tNNP\tI-NP\tO' +p211749 +aS'infection\tinfection\tNN\tI-NP\tO' +p211750 +aS'on\ton\tIN\tB-PP\tO' +p211751 +aS'maximal\tmaximal\tJJ\tB-NP\tO' +p211752 +aS'antimicrobial\tantimicrobial\tJJ\tI-NP\tO' +p211753 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p211754 +aS'.\t.\t.\tO\tO' +p211755 +asS'# Depression - continued home regimen' +p211756 +(lp211757 +S'#\t#\t#\tB-NP\tO' +p211758 +aS'Depression\tDepression\tNN\tI-NP\tO' +p211759 +aS'-\t-\tHYPH\tO\tO' +p211760 +aS'continued\tcontinue\tVBN\tB-NP\tO' +p211761 +aS'home\thome\tNN\tI-NP\tO' +p211762 +aS'regimen\tregimen\tNN\tI-NP\tO' +p211763 +asS'This medication should be continued as an outpatient at least while the bleed has time to clear up , with planned titration up to 1000 mg bid on 04-05 .' +p211764 +(lp211765 +S'This\tThis\tDT\tB-NP\tO' +p211766 +aS'medication\tmedication\tNN\tI-NP\tO' +p211767 +aS'should\tshould\tMD\tB-VP\tO' +p211768 +aS'be\tbe\tVB\tI-VP\tO' +p211769 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p211770 +aS'as\tas\tIN\tB-PP\tO' +p211771 +aS'an\tan\tDT\tB-NP\tO' +p211772 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p211773 +aS'at\tat\tIN\tB-ADVP\tO' +p211774 +aS'least\tleast\tJJS\tI-ADVP\tO' +p211775 +aS'while\twhile\tIN\tB-SBAR\tO' +p211776 +aS'the\tthe\tDT\tB-NP\tO' +p211777 +aS'bleed\tbleed\tNN\tI-NP\tO' +p211778 +aS'has\thave\tVBZ\tB-VP\tO' +p211779 +aS'time\ttime\tNN\tB-NP\tO' +p211780 +aS'to\tto\tTO\tB-VP\tO' +p211781 +aS'clear\tclear\tVB\tI-VP\tO' +p211782 +aS'up\tup\tRP\tB-PRT\tO' +p211783 +aS',\t,\t,\tO\tO' +p211784 +aS'with\twith\tIN\tB-PP\tO' +p211785 +aS'planned\tplan\tVBN\tB-NP\tO' +p211786 +aS'titration\ttitration\tNN\tI-NP\tO' +p211787 +aS'up\tup\tIN\tB-NP\tO' +p211788 +aS'to\tto\tTO\tI-NP\tO' +p211789 +aS'1000\t1000\tCD\tI-NP\tO' +p211790 +aS'mg\tmg\tNN\tI-NP\tO' +p211791 +aS'bid\tbid\tRB\tB-ADVP\tO' +p211792 +aS'on\ton\tIN\tB-PP\tO' +p211793 +aS'04-05\t04-05\tCD\tB-NP\tO' +p211794 +aS'.\t.\t.\tO\tO' +p211795 +asS'His oxygenation and symptoms remained stable and again tolerated p.o. without difficulty .' +p211796 +(lp211797 +S'His\tHis\tPRP$\tB-NP\tO' +p211798 +aS'oxygenation\toxygenation\tNN\tI-NP\tO' +p211799 +aS'and\tand\tCC\tI-NP\tO' +p211800 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p211801 +aS'remained\tremain\tVBD\tB-VP\tO' +p211802 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p211803 +aS'and\tand\tCC\tO\tO' +p211804 +aS'again\tagain\tRB\tB-NP\tO' +p211805 +aS'tolerated\ttolerate\tVBN\tI-NP\tO' +p211806 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p211807 +aS'without\twithout\tIN\tB-PP\tO' +p211808 +aS'difficulty\tdifficulty\tNN\tB-NP\tO' +p211809 +aS'.\t.\t.\tO\tO' +p211810 +asS'Transferred today from Ez Ephtro Health Center on LMWH for R / O PE vs pneumonia vs tumor invasion .' +p211811 +(lp211812 +S'Transferred\tTransfer\tVBN\tB-VP\tO' +p211813 +aS'today\ttoday\tNN\tB-NP\tO' +p211814 +aS'from\tfrom\tIN\tB-PP\tO' +p211815 +aS'Ez\tEz\tNNP\tB-NP\tO' +p211816 +aS'Ephtro\tEphtro\tNNP\tI-NP\tO' +p211817 +aS'Health\tHealth\tNNP\tI-NP\tO' +p211818 +aS'Center\tCenter\tNNP\tI-NP\tO' +p211819 +aS'on\ton\tIN\tB-PP\tO' +p211820 +aS'LMWH\tLMWH\tNNP\tB-NP\tO' +p211821 +aS'for\tfor\tIN\tB-PP\tO' +p211822 +aS'R\tR\tNN\tB-NP\tB-protein' +p211823 +aS'/\t/\tSYM\tI-NP\tO' +p211824 +aS'O\tO\tNN\tI-NP\tO' +p211825 +aS'PE\tPE\tNN\tI-NP\tO' +p211826 +aS'vs\tvs\tIN\tB-PP\tO' +p211827 +aS'pneumonia\tpneumonia\tNN\tB-NP\tO' +p211828 +aS'vs\tvs\tCC\tI-NP\tO' +p211829 +aS'tumor\ttumor\tNN\tI-NP\tO' +p211830 +aS'invasion\tinvasion\tNN\tI-NP\tO' +p211831 +aS'.\t.\t.\tO\tO' +p211832 +asS'Potassium Chloride 20 mEq PO BID' +p211833 +(lp211834 +S'Potassium\tPotassium\tNN\tB-NP\tO' +p211835 +aS'Chloride\tChloride\tNN\tI-NP\tO' +p211836 +aS'20\t20\tCD\tI-NP\tO' +p211837 +aS'mEq\tmEq\tNN\tI-NP\tO' +p211838 +aS'PO\tPO\tNN\tI-NP\tO' +p211839 +aS'BID\tBID\tNN\tI-NP\tO' +p211840 +asS'Satisfactory .' +p211841 +(lp211842 +S'Satisfactory\tSatisfactory\tJJ\tB-ADJP\tO' +p211843 +aS'.\t.\t.\tO\tO' +p211844 +asS'At this point , he was ready to be discharged to rehabilitation .' +p211845 +(lp211846 +S'At\tAt\tIN\tB-PP\tO' +p211847 +aS'this\tthis\tDT\tB-NP\tO' +p211848 +aS'point\tpoint\tNN\tI-NP\tO' +p211849 +aS',\t,\t,\tO\tO' +p211850 +aS'he\the\tPRP\tB-NP\tO' +p211851 +aS'was\tbe\tVBD\tB-VP\tO' +p211852 +aS'ready\tready\tJJ\tB-ADJP\tO' +p211853 +aS'to\tto\tTO\tB-VP\tO' +p211854 +aS'be\tbe\tVB\tI-VP\tO' +p211855 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p211856 +aS'to\tto\tTO\tB-PP\tO' +p211857 +aS'rehabilitation\trehabilitation\tNN\tB-NP\tO' +p211858 +aS'.\t.\t.\tO\tO' +p211859 +asS'Regular , rate and rhythm .' +p211860 +(lp211861 +S'Regular\tRegular\tJJ\tB-NP\tO' +p211862 +aS',\t,\t,\tI-NP\tO' +p211863 +aS'rate\trate\tNN\tI-NP\tO' +p211864 +aS'and\tand\tCC\tI-NP\tO' +p211865 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p211866 +aS'.\t.\t.\tO\tO' +p211867 +asS"1. CAD s/p LAD stent in ' 98 + RCA stet in ' 00 with repeat RCA stent in ' 04 ." +p211868 +(lp211869 +S'1.\t1.\tLS\tB-NP\tO' +p211870 +aS'CAD\tCAD\tNN\tI-NP\tO' +p211871 +aS's/p\ts/p\tNN\tI-NP\tO' +p211872 +aS'LAD\tLAD\tNN\tI-NP\tO' +p211873 +aS'stent\tstent\tNN\tI-NP\tO' +p211874 +aS'in\tin\tIN\tB-PP\tO' +p211875 +aS"'\t'\tSYM\tB-NP\tO" +p211876 +aS'98\t98\tCD\tI-NP\tO' +p211877 +aS'+\t+\tSYM\tI-NP\tO' +p211878 +aS'RCA\tRCA\tNN\tI-NP\tO' +p211879 +aS'stet\tstet\tNN\tI-NP\tO' +p211880 +aS'in\tin\tIN\tB-PP\tO' +p211881 +aS"'\t'\t``\tO\tO" +p211882 +aS'00\t00\tCD\tB-NP\tO' +p211883 +aS'with\twith\tIN\tB-PP\tO' +p211884 +aS'repeat\trepeat\tNN\tB-NP\tO' +p211885 +aS'RCA\tRCA\tNN\tI-NP\tO' +p211886 +aS'stent\tstent\tNN\tI-NP\tO' +p211887 +aS'in\tin\tIN\tB-PP\tO' +p211888 +aS"'\t'\t''\tO\tO" +p211889 +aS'04\t04\tCD\tB-NP\tO' +p211890 +aS'.\t.\t.\tO\tO' +p211891 +asS'ekg = normal , cxr normal , ddimer / cardiac enzymes negative' +p211892 +(lp211893 +S'ekg\tekg\tNN\tB-NP\tO' +p211894 +aS'=\t=\tSYM\tB-VP\tO' +p211895 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p211896 +aS',\t,\t,\tO\tO' +p211897 +aS'cxr\tcxr\tNN\tB-NP\tO' +p211898 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p211899 +aS',\t,\t,\tO\tO' +p211900 +aS'ddimer\tddimer\tNN\tB-NP\tO' +p211901 +aS'/\t/\tSYM\tB-VP\tO' +p211902 +aS'cardiac\tcardiac\tJJ\tB-NP\tB-protein' +p211903 +aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' +p211904 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p211905 +asS'No history of sexually transmitted disease , no history of domestic violence .' +p211906 +(lp211907 +S'No\tNo\tDT\tB-NP\tO' +p211908 +aS'history\thistory\tNN\tI-NP\tO' +p211909 +aS'of\tof\tIN\tB-PP\tO' +p211910 +aS'sexually\tsexually\tRB\tB-NP\tO' +p211911 +aS'transmitted\ttransmit\tVBN\tI-NP\tO' +p211912 +aS'disease\tdisease\tNN\tI-NP\tO' +p211913 +aS',\t,\t,\tO\tO' +p211914 +aS'no\tno\tDT\tB-NP\tO' +p211915 +aS'history\thistory\tNN\tI-NP\tO' +p211916 +aS'of\tof\tIN\tB-PP\tO' +p211917 +aS'domestic\tdomestic\tJJ\tB-NP\tO' +p211918 +aS'violence\tviolence\tNN\tI-NP\tO' +p211919 +aS'.\t.\t.\tO\tO' +p211920 +asS'Fax number is ( 617 ) 455-4585 .' +p211921 +(lp211922 +S'Fax\tFax\tNN\tB-NP\tB-protein' +p211923 +aS'number\tnumber\tNN\tI-NP\tO' +p211924 +aS'is\tbe\tVBZ\tB-VP\tO' +p211925 +aS'(\t(\t(\tO\tO' +p211926 +aS'617\t617\tCD\tB-NP\tO' +p211927 +aS')\t)\t)\tO\tO' +p211928 +aS'455-4585\t455-4585\tCD\tB-NP\tO' +p211929 +aS'.\t.\t.\tO\tO' +p211930 +asS'The patient had completed her antibiotic course while in house .' +p211931 +(lp211932 +S'The\tThe\tDT\tB-NP\tO' +p211933 +aS'patient\tpatient\tNN\tI-NP\tO' +p211934 +aS'had\thave\tVBD\tB-VP\tO' +p211935 +aS'completed\tcomplete\tVBN\tI-VP\tO' +p211936 +aS'her\ther\tPRP$\tB-NP\tO' +p211937 +aS'antibiotic\tantibiotic\tJJ\tI-NP\tO' +p211938 +aS'course\tcourse\tNN\tI-NP\tO' +p211939 +aS'while\twhile\tIN\tB-SBAR\tO' +p211940 +aS'in\tin\tIN\tB-PP\tO' +p211941 +aS'house\thouse\tNN\tB-NP\tO' +p211942 +aS'.\t.\t.\tO\tO' +p211943 +asS'There is severe mitral annular calcification .' +p211944 +(lp211945 +S'There\tThere\tEX\tB-NP\tO' +p211946 +aS'is\tbe\tVBZ\tB-VP\tO' +p211947 +aS'severe\tsevere\tJJ\tB-NP\tO' +p211948 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p211949 +aS'annular\tannular\tJJ\tI-NP\tO' +p211950 +aS'calcification\tcalcification\tNN\tI-NP\tO' +p211951 +aS'.\t.\t.\tO\tO' +p211952 +asS'This is an addendum to the discharge summary that was dictated earlier this morning .' +p211953 +(lp211954 +S'This\tThis\tDT\tB-NP\tO' +p211955 +aS'is\tbe\tVBZ\tB-VP\tO' +p211956 +aS'an\tan\tDT\tB-NP\tO' +p211957 +aS'addendum\taddendum\tNN\tI-NP\tO' +p211958 +aS'to\tto\tTO\tB-PP\tO' +p211959 +aS'the\tthe\tDT\tB-NP\tO' +p211960 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p211961 +aS'summary\tsummary\tNN\tI-NP\tO' +p211962 +aS'that\tthat\tWDT\tB-NP\tO' +p211963 +aS'was\tbe\tVBD\tB-VP\tO' +p211964 +aS'dictated\tdictate\tVBN\tI-VP\tO' +p211965 +aS'earlier\tearlier\tRBR\tB-NP\tO' +p211966 +aS'this\tthis\tDT\tI-NP\tO' +p211967 +aS'morning\tmorning\tNN\tI-NP\tO' +p211968 +aS'.\t.\t.\tO\tO' +p211969 +asS'The small bowel follow through was within normal limits .' +p211970 +(lp211971 +S'The\tThe\tDT\tB-NP\tO' +p211972 +aS'small\tsmall\tJJ\tI-NP\tO' +p211973 +aS'bowel\tbowel\tNN\tI-NP\tO' +p211974 +aS'follow\tfollow\tNN\tI-NP\tO' +p211975 +aS'through\tthrough\tIN\tB-NP\tO' +p211976 +aS'was\tbe\tVBD\tB-VP\tO' +p211977 +aS'within\twithin\tIN\tB-PP\tO' +p211978 +aS'normal\tnormal\tJJ\tB-NP\tO' +p211979 +aS'limits\tlimit\tNNS\tI-NP\tO' +p211980 +aS'.\t.\t.\tO\tO' +p211981 +asS'Toprol XL 100 mg daily , Hydralazine 25 mg daily , Lasix 40 mg twice a day , digoxin 0.75 mg daily , Lovenox 40 mg twice daily subcutaneously and albuterol p.r.n.' +p211982 +(lp211983 +S'Toprol\tToprol\tNN\tB-NP\tO' +p211984 +aS'XL\tXL\tNN\tI-NP\tO' +p211985 +aS'100\t100\tCD\tI-NP\tO' +p211986 +aS'mg\tmg\tNN\tI-NP\tO' +p211987 +aS'daily\tdaily\tJJ\tB-ADJP\tO' +p211988 +aS',\t,\t,\tO\tO' +p211989 +aS'Hydralazine\tHydralazine\tNN\tB-NP\tO' +p211990 +aS'25\t25\tCD\tI-NP\tO' +p211991 +aS'mg\tmg\tNN\tI-NP\tO' +p211992 +aS'daily\tdaily\tRB\tB-ADVP\tO' +p211993 +aS',\t,\t,\tO\tO' +p211994 +aS'Lasix\tLasix\tNNP\tB-NP\tO' +p211995 +aS'40\t40\tCD\tI-NP\tO' +p211996 +aS'mg\tmg\tNN\tI-NP\tO' +p211997 +aS'twice\ttwice\tRB\tB-NP\tO' +p211998 +aS'a\ta\tDT\tI-NP\tO' +p211999 +aS'day\tday\tNN\tI-NP\tO' +p212000 +aS',\t,\t,\tO\tO' +p212001 +aS'digoxin\tdigoxin\tNN\tB-NP\tO' +p212002 +aS'0.75\t0.75\tCD\tI-NP\tO' +p212003 +aS'mg\tmg\tNN\tI-NP\tO' +p212004 +aS'daily\tdaily\tRB\tB-ADVP\tO' +p212005 +aS',\t,\t,\tO\tO' +p212006 +aS'Lovenox\tLovenox\tNNP\tB-NP\tO' +p212007 +aS'40\t40\tCD\tI-NP\tO' +p212008 +aS'mg\tmg\tNN\tI-NP\tO' +p212009 +aS'twice\ttwice\tRB\tB-ADVP\tO' +p212010 +aS'daily\tdaily\tRB\tI-ADVP\tO' +p212011 +aS'subcutaneously\tsubcutaneously\tRB\tI-ADVP\tO' +p212012 +aS'and\tand\tCC\tO\tO' +p212013 +aS'albuterol\talbuterol\tNN\tB-NP\tO' +p212014 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p212015 +asS'His ambulation was minimal and always with assistance but he had a transurethral resection of the prostate on 09/14/96 .' +p212016 +(lp212017 +S'His\tHis\tPRP$\tB-NP\tO' +p212018 +aS'ambulation\tambulation\tNN\tI-NP\tO' +p212019 +aS'was\tbe\tVBD\tB-VP\tO' +p212020 +aS'minimal\tminimal\tJJ\tB-ADJP\tO' +p212021 +aS'and\tand\tCC\tO\tO' +p212022 +aS'always\talways\tRB\tB-ADVP\tO' +p212023 +aS'with\twith\tIN\tB-PP\tO' +p212024 +aS'assistance\tassistance\tNN\tB-NP\tO' +p212025 +aS'but\tbut\tCC\tO\tO' +p212026 +aS'he\the\tPRP\tB-NP\tO' +p212027 +aS'had\thave\tVBD\tB-VP\tO' +p212028 +aS'a\ta\tDT\tB-NP\tO' +p212029 +aS'transurethral\ttransurethral\tJJ\tI-NP\tO' +p212030 +aS'resection\tresection\tNN\tI-NP\tO' +p212031 +aS'of\tof\tIN\tB-PP\tO' +p212032 +aS'the\tthe\tDT\tB-NP\tO' +p212033 +aS'prostate\tprostate\tNN\tI-NP\tO' +p212034 +aS'on\ton\tIN\tB-PP\tO' +p212035 +aS'09/14/96\t09/14/96\tCD\tB-NP\tO' +p212036 +aS'.\t.\t.\tO\tO' +p212037 +asS'Rinse well .' +p212038 +(lp212039 +S'Rinse\tRinse\tNN\tB-NP\tO' +p212040 +aS'well\twell\tRB\tB-ADVP\tO' +p212041 +aS'.\t.\t.\tO\tO' +p212042 +asS'12. Status post PEG tube placement 2017-07-21' +p212043 +(lp212044 +S'12.\t12.\tLS\tB-LST\tO' +p212045 +aS'Status\tStatus\tNNP\tB-NP\tO' +p212046 +aS'post\tpost\tIN\tB-PP\tO' +p212047 +aS'PEG\tPEG\tNNP\tB-NP\tO' +p212048 +aS'tube\ttube\tNN\tI-NP\tO' +p212049 +aS'placement\tplacement\tNN\tI-NP\tO' +p212050 +aS'2017-07-21\t2017-07-21\tCD\tI-NP\tO' +p212051 +asS'His saturations improved quickly on 100% non-rebreather mask within 15 to 20 minutes .' +p212052 +(lp212053 +S'His\tHis\tPRP$\tB-NP\tO' +p212054 +aS'saturations\tsaturation\tNNS\tI-NP\tO' +p212055 +aS'improved\timprove\tVBD\tB-VP\tO' +p212056 +aS'quickly\tquickly\tRB\tB-ADVP\tO' +p212057 +aS'on\ton\tIN\tB-PP\tO' +p212058 +aS'100%\t100%\tCD\tB-NP\tO' +p212059 +aS'non-rebreather\tnon-rebreather\tJJ\tI-NP\tO' +p212060 +aS'mask\tmask\tNN\tI-NP\tO' +p212061 +aS'within\twithin\tIN\tB-PP\tO' +p212062 +aS'15\t15\tCD\tB-NP\tO' +p212063 +aS'to\tto\tTO\tI-NP\tO' +p212064 +aS'20\t20\tCD\tI-NP\tO' +p212065 +aS'minutes\tminute\tNNS\tI-NP\tO' +p212066 +aS'.\t.\t.\tO\tO' +p212067 +asS'Follow-up CT was obtained the second day of admission .' +p212068 +(lp212069 +S'Follow-up\tFollow-up\tJJ\tB-NP\tO' +p212070 +aS'CT\tCT\tNN\tI-NP\tO' +p212071 +aS'was\tbe\tVBD\tB-VP\tO' +p212072 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p212073 +aS'the\tthe\tDT\tB-NP\tO' +p212074 +aS'second\tsecond\tJJ\tI-NP\tO' +p212075 +aS'day\tday\tNN\tI-NP\tO' +p212076 +aS'of\tof\tIN\tB-PP\tO' +p212077 +aS'admission\tadmission\tNN\tB-NP\tO' +p212078 +aS'.\t.\t.\tO\tO' +p212079 +asS'On the day prior to admission , the patient 's family noted that " he looked yellow " and presented to the Lorough Medical Center 's Emergency Department this after noon .' +p212080 +(lp212081 +S'On\tOn\tIN\tB-PP\tO' +p212082 +aS'the\tthe\tDT\tB-NP\tO' +p212083 +aS'day\tday\tNN\tI-NP\tO' +p212084 +aS'prior\tprior\tRB\tB-ADVP\tO' +p212085 +aS'to\tto\tTO\tB-PP\tO' +p212086 +aS'admission\tadmission\tNN\tB-NP\tO' +p212087 +aS',\t,\t,\tO\tO' +p212088 +aS'the\tthe\tDT\tB-NP\tO' +p212089 +aS'patient\tpatient\tNN\tI-NP\tO' +p212090 +aS''s\t'\tNNS\tI-NP\tO' +p212091 +aS'family\tfamily\tNN\tI-NP\tO' +p212092 +aS'noted\tnote\tVBD\tB-VP\tO' +p212093 +aS'that\tthat\tIN\tB-SBAR\tO' +p212094 +aS'"\t"\tCC\tO\tO' +p212095 +aS'he\the\tPRP\tB-NP\tO' +p212096 +aS'looked\tlook\tVBD\tB-VP\tO' +p212097 +aS'yellow\tyellow\tJJ\tB-NP\tO' +p212098 +aS'"\t"\tNN\tI-NP\tO' +p212099 +aS'and\tand\tCC\tO\tO' +p212100 +aS'presented\tpresent\tVBN\tB-VP\tO' +p212101 +aS'to\tto\tTO\tB-PP\tO' +p212102 +aS'the\tthe\tDT\tB-NP\tO' +p212103 +aS'Lorough\tLorough\tNNP\tI-NP\tO' +p212104 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p212105 +aS'Center\tCenter\tNNP\tI-NP\tO' +p212106 +aS''s\t'\tNNS\tI-NP\tO' +p212107 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p212108 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p212109 +aS'this\tthis\tDT\tB-NP\tO' +p212110 +aS'after\tafter\tIN\tB-PP\tO' +p212111 +aS'noon\tnoon\tNN\tB-NP\tO' +p212112 +aS'.\t.\t.\tO\tO' +p212113 +asS'1+ lower extremity edema .' +p212114 +(lp212115 +S'1+\t1+\tLS\tB-LST\tO' +p212116 +aS'lower\tlow\tJJR\tB-NP\tO' +p212117 +aS'extremity\textremity\tNN\tI-NP\tO' +p212118 +aS'edema\tedema\tNN\tI-NP\tO' +p212119 +aS'.\t.\t.\tO\tO' +p212120 +asS'Her memory was fully intact for short-term recollection of three out of three objects at five minutes with excellent naming , repetition , proverb interpretation , and ability to follow commands .' +p212121 +(lp212122 +S'Her\tHer\tPRP$\tB-NP\tO' +p212123 +aS'memory\tmemory\tNN\tI-NP\tO' +p212124 +aS'was\tbe\tVBD\tB-VP\tO' +p212125 +aS'fully\tfully\tRB\tB-ADJP\tO' +p212126 +aS'intact\tintact\tJJ\tI-ADJP\tO' +p212127 +aS'for\tfor\tIN\tB-PP\tO' +p212128 +aS'short-term\tshort-term\tJJ\tB-NP\tO' +p212129 +aS'recollection\trecollection\tNN\tI-NP\tO' +p212130 +aS'of\tof\tIN\tB-PP\tO' +p212131 +aS'three\tthree\tCD\tB-NP\tO' +p212132 +aS'out\tout\tIN\tI-NP\tO' +p212133 +aS'of\tof\tIN\tI-NP\tO' +p212134 +aS'three\tthree\tCD\tI-NP\tO' +p212135 +aS'objects\tobject\tNNS\tI-NP\tO' +p212136 +aS'at\tat\tIN\tB-PP\tO' +p212137 +aS'five\tfive\tCD\tB-NP\tO' +p212138 +aS'minutes\tminute\tNNS\tI-NP\tO' +p212139 +aS'with\twith\tIN\tB-PP\tO' +p212140 +aS'excellent\texcellent\tJJ\tB-NP\tO' +p212141 +aS'naming\tnaming\tNN\tI-NP\tO' +p212142 +aS',\t,\t,\tO\tO' +p212143 +aS'repetition\trepetition\tNN\tB-NP\tO' +p212144 +aS',\t,\t,\tO\tO' +p212145 +aS'proverb\tproverb\tNN\tB-NP\tO' +p212146 +aS'interpretation\tinterpretation\tNN\tI-NP\tO' +p212147 +aS',\t,\t,\tO\tO' +p212148 +aS'and\tand\tCC\tO\tO' +p212149 +aS'ability\tability\tNN\tB-NP\tO' +p212150 +aS'to\tto\tTO\tB-VP\tO' +p212151 +aS'follow\tfollow\tVB\tI-VP\tO' +p212152 +aS'commands\tcommand\tNNS\tB-NP\tO' +p212153 +aS'.\t.\t.\tO\tO' +p212154 +asS'Plastic surgery was asked to evaluate the patient .' +p212155 +(lp212156 +S'Plastic\tPlastic\tJJ\tB-NP\tO' +p212157 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p212158 +aS'was\tbe\tVBD\tB-VP\tO' +p212159 +aS'asked\task\tVBN\tI-VP\tO' +p212160 +aS'to\tto\tTO\tI-VP\tO' +p212161 +aS'evaluate\tevaluate\tVB\tI-VP\tO' +p212162 +aS'the\tthe\tDT\tB-NP\tO' +p212163 +aS'patient\tpatient\tNN\tI-NP\tO' +p212164 +aS'.\t.\t.\tO\tO' +p212165 +asS'Lungs were clear to auscultation bilaterally , anteriorly and laterally .' +p212166 +(lp212167 +S'Lungs\tLung\tNNS\tB-NP\tO' +p212168 +aS'were\tbe\tVBD\tB-VP\tO' +p212169 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p212170 +aS'to\tto\tTO\tB-PP\tO' +p212171 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p212172 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p212173 +aS',\t,\t,\tO\tO' +p212174 +aS'anteriorly\tanteriorly\tRB\tB-ADVP\tO' +p212175 +aS'and\tand\tCC\tI-ADVP\tO' +p212176 +aS'laterally\tlaterally\tRB\tI-ADVP\tO' +p212177 +aS'.\t.\t.\tO\tO' +p212178 +asS'Percutaneous angioplasty of the right coronary artery , 4/9/95 .' +p212179 +(lp212180 +S'Percutaneous\tPercutaneous\tJJ\tB-NP\tO' +p212181 +aS'angioplasty\tangioplasty\tNN\tI-NP\tO' +p212182 +aS'of\tof\tIN\tB-PP\tO' +p212183 +aS'the\tthe\tDT\tB-NP\tO' +p212184 +aS'right\tright\tJJ\tI-NP\tO' +p212185 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p212186 +aS'artery\tartery\tNN\tI-NP\tO' +p212187 +aS',\t,\t,\tO\tO' +p212188 +aS'4/9/95\t4/9/95\tCD\tB-NP\tO' +p212189 +aS'.\t.\t.\tO\tO' +p212190 +asS'Briefly , she was originally diagnosed in April 1993 with lung carcinoma .' +p212191 +(lp212192 +S'Briefly\tBriefly\tRB\tB-ADVP\tO' +p212193 +aS',\t,\t,\tO\tO' +p212194 +aS'she\tshe\tPRP\tB-NP\tO' +p212195 +aS'was\tbe\tVBD\tB-VP\tO' +p212196 +aS'originally\toriginally\tRB\tI-VP\tO' +p212197 +aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' +p212198 +aS'in\tin\tIN\tB-PP\tO' +p212199 +aS'April\tApril\tNNP\tB-NP\tO' +p212200 +aS'1993\t1993\tCD\tI-NP\tO' +p212201 +aS'with\twith\tIN\tB-PP\tO' +p212202 +aS'lung\tlung\tNN\tB-NP\tO' +p212203 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p212204 +aS'.\t.\t.\tO\tO' +p212205 +asS'She has a history of easy bruis ability .' +p212206 +(lp212207 +S'She\tShe\tPRP\tB-NP\tO' +p212208 +aS'has\thave\tVBZ\tB-VP\tO' +p212209 +aS'a\ta\tDT\tB-NP\tO' +p212210 +aS'history\thistory\tNN\tI-NP\tO' +p212211 +aS'of\tof\tIN\tB-PP\tO' +p212212 +aS'easy\teasy\tJJ\tB-NP\tO' +p212213 +aS'bruis\tbruis\tNN\tI-NP\tO' +p212214 +aS'ability\tability\tNN\tI-NP\tO' +p212215 +aS'.\t.\t.\tO\tO' +p212216 +asS'The patient has a history of hypertension , coronary artery disease , previous myocardial infarction in 1983 , hypothyroidism , history of breast cancer and history of colon cancer .' +p212217 +(lp212218 +S'The\tThe\tDT\tB-NP\tO' +p212219 +aS'patient\tpatient\tNN\tI-NP\tO' +p212220 +aS'has\thave\tVBZ\tB-VP\tO' +p212221 +aS'a\ta\tDT\tB-NP\tO' +p212222 +aS'history\thistory\tNN\tI-NP\tO' +p212223 +aS'of\tof\tIN\tB-PP\tO' +p212224 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p212225 +aS',\t,\t,\tO\tO' +p212226 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p212227 +aS'artery\tartery\tNN\tI-NP\tO' +p212228 +aS'disease\tdisease\tNN\tI-NP\tO' +p212229 +aS',\t,\t,\tO\tO' +p212230 +aS'previous\tprevious\tJJ\tB-NP\tO' +p212231 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p212232 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p212233 +aS'in\tin\tIN\tB-PP\tO' +p212234 +aS'1983\t1983\tCD\tB-NP\tO' +p212235 +aS',\t,\t,\tO\tO' +p212236 +aS'hypothyroidism\thypothyroidism\tNN\tB-NP\tO' +p212237 +aS',\t,\t,\tO\tO' +p212238 +aS'history\thistory\tNN\tB-NP\tO' +p212239 +aS'of\tof\tIN\tB-PP\tO' +p212240 +aS'breast\tbreast\tNN\tB-NP\tO' +p212241 +aS'cancer\tcancer\tNN\tI-NP\tO' +p212242 +aS'and\tand\tCC\tO\tO' +p212243 +aS'history\thistory\tNN\tB-NP\tO' +p212244 +aS'of\tof\tIN\tB-PP\tO' +p212245 +aS'colon\tcolon\tNN\tB-NP\tO' +p212246 +aS'cancer\tcancer\tNN\tI-NP\tO' +p212247 +aS'.\t.\t.\tO\tO' +p212248 +asS'CBC , white count 6.7 , hematocrit 37.4 , platelets 280 .' +p212249 +(lp212250 +S'CBC\tCBC\tNN\tB-NP\tB-protein' +p212251 +aS',\t,\t,\tO\tO' +p212252 +aS'white\twhite\tJJ\tB-NP\tO' +p212253 +aS'count\tcount\tNN\tI-NP\tO' +p212254 +aS'6.7\t6.7\tCD\tI-NP\tO' +p212255 +aS',\t,\t,\tO\tO' +p212256 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p212257 +aS'37.4\t37.4\tCD\tI-NP\tI-protein' +p212258 +aS',\t,\t,\tO\tO' +p212259 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p212260 +aS'280\t280\tCD\tB-NP\tO' +p212261 +aS'.\t.\t.\tO\tO' +p212262 +asS'The patient went to the operating room on 2/14/03 for repair of the hernia .' +p212263 +(lp212264 +S'The\tThe\tDT\tB-NP\tO' +p212265 +aS'patient\tpatient\tNN\tI-NP\tO' +p212266 +aS'went\tgo\tVBD\tB-VP\tO' +p212267 +aS'to\tto\tTO\tB-PP\tO' +p212268 +aS'the\tthe\tDT\tB-NP\tO' +p212269 +aS'operating\toperating\tNN\tI-NP\tO' +p212270 +aS'room\troom\tNN\tI-NP\tO' +p212271 +aS'on\ton\tIN\tB-PP\tO' +p212272 +aS'2/14/03\t2/14/03\tCD\tB-NP\tO' +p212273 +aS'for\tfor\tIN\tB-PP\tO' +p212274 +aS'repair\trepair\tNN\tB-NP\tO' +p212275 +aS'of\tof\tIN\tB-PP\tO' +p212276 +aS'the\tthe\tDT\tB-NP\tO' +p212277 +aS'hernia\thernia\tNN\tI-NP\tO' +p212278 +aS'.\t.\t.\tO\tO' +p212279 +asS'There were no electrolytes or mineral abnormalities that could explain his delirium .' +p212280 +(lp212281 +S'There\tThere\tEX\tB-NP\tO' +p212282 +aS'were\tbe\tVBD\tB-VP\tO' +p212283 +aS'no\tno\tDT\tB-NP\tO' +p212284 +aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' +p212285 +aS'or\tor\tCC\tI-NP\tO' +p212286 +aS'mineral\tmineral\tNN\tI-NP\tO' +p212287 +aS'abnormalities\tabnormality\tNNS\tI-NP\tO' +p212288 +aS'that\tthat\tWDT\tB-NP\tO' +p212289 +aS'could\tcould\tMD\tB-VP\tO' +p212290 +aS'explain\texplain\tVB\tI-VP\tO' +p212291 +aS'his\this\tPRP$\tB-NP\tO' +p212292 +aS'delirium\tdelirium\tNN\tI-NP\tO' +p212293 +aS'.\t.\t.\tO\tO' +p212294 +asS'He tolerated the procedure well .' +p212295 +(lp212296 +S'He\tHe\tPRP\tB-NP\tO' +p212297 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p212298 +aS'the\tthe\tDT\tB-NP\tO' +p212299 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p212300 +aS'well\twell\tRB\tB-ADVP\tO' +p212301 +aS'.\t.\t.\tO\tO' +p212302 +asS'The abdomen was soft , nontender , nondistended , with normal active bowel sounds .' +p212303 +(lp212304 +S'The\tThe\tDT\tB-NP\tO' +p212305 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p212306 +aS'was\tbe\tVBD\tB-VP\tO' +p212307 +aS'soft\tsoft\tJJ\tB-NP\tO' +p212308 +aS',\t,\t,\tI-NP\tO' +p212309 +aS'nontender\tnontender\tJJ\tI-NP\tO' +p212310 +aS',\t,\t,\tI-NP\tO' +p212311 +aS'nondistended\tnondistended\tJJ\tI-NP\tO' +p212312 +aS',\t,\t,\tO\tO' +p212313 +aS'with\twith\tIN\tB-PP\tO' +p212314 +aS'normal\tnormal\tJJ\tB-NP\tO' +p212315 +aS'active\tactive\tJJ\tI-NP\tO' +p212316 +aS'bowel\tbowel\tNN\tI-NP\tO' +p212317 +aS'sounds\tsound\tNNS\tI-NP\tO' +p212318 +aS'.\t.\t.\tO\tO' +p212319 +asS'The patient was sent to the CCU and underwent aspirin desensitization protocol , which she tolerated well .' +p212320 +(lp212321 +S'The\tThe\tDT\tB-NP\tO' +p212322 +aS'patient\tpatient\tNN\tI-NP\tO' +p212323 +aS'was\tbe\tVBD\tB-VP\tO' +p212324 +aS'sent\tsend\tVBN\tI-VP\tO' +p212325 +aS'to\tto\tTO\tB-PP\tO' +p212326 +aS'the\tthe\tDT\tB-NP\tO' +p212327 +aS'CCU\tCCU\tNN\tI-NP\tB-DNA' +p212328 +aS'and\tand\tCC\tO\tO' +p212329 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p212330 +aS'aspirin\taspirin\tNN\tB-NP\tO' +p212331 +aS'desensitization\tdesensitization\tNN\tI-NP\tO' +p212332 +aS'protocol\tprotocol\tNN\tI-NP\tO' +p212333 +aS',\t,\t,\tO\tO' +p212334 +aS'which\twhich\tWDT\tB-NP\tO' +p212335 +aS'she\tshe\tPRP\tB-NP\tO' +p212336 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p212337 +aS'well\twell\tRB\tB-ADVP\tO' +p212338 +aS'.\t.\t.\tO\tO' +p212339 +asS'Her captopril was discontinued , and she was given two IV fluid boluses with appropriate response .' +p212340 +(lp212341 +S'Her\tHer\tPRP$\tB-NP\tO' +p212342 +aS'captopril\tcaptopril\tNN\tI-NP\tO' +p212343 +aS'was\tbe\tVBD\tB-VP\tO' +p212344 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p212345 +aS',\t,\t,\tO\tO' +p212346 +aS'and\tand\tCC\tO\tO' +p212347 +aS'she\tshe\tPRP\tB-NP\tO' +p212348 +aS'was\tbe\tVBD\tB-VP\tO' +p212349 +aS'given\tgive\tVBN\tI-VP\tO' +p212350 +aS'two\ttwo\tCD\tB-NP\tO' +p212351 +aS'IV\tIV\tCD\tI-NP\tO' +p212352 +aS'fluid\tfluid\tNN\tI-NP\tO' +p212353 +aS'boluses\tbolus\tNNS\tI-NP\tO' +p212354 +aS'with\twith\tIN\tB-PP\tO' +p212355 +aS'appropriate\tappropriate\tJJ\tB-NP\tO' +p212356 +aS'response\tresponse\tNN\tI-NP\tO' +p212357 +aS'.\t.\t.\tO\tO' +p212358 +asS'Repeat CXR showed improvement of the effusion and on discharge he had been breathing well on room air without complications' +p212359 +(lp212360 +S'Repeat\tRepeat\tNN\tB-NP\tO' +p212361 +aS'CXR\tCXR\tNN\tI-NP\tO' +p212362 +aS'showed\tshow\tVBD\tB-VP\tO' +p212363 +aS'improvement\timprovement\tNN\tB-NP\tO' +p212364 +aS'of\tof\tIN\tB-PP\tO' +p212365 +aS'the\tthe\tDT\tB-NP\tO' +p212366 +aS'effusion\teffusion\tNN\tI-NP\tO' +p212367 +aS'and\tand\tCC\tB-PP\tO' +p212368 +aS'on\ton\tIN\tB-PP\tO' +p212369 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p212370 +aS'he\the\tPRP\tB-NP\tO' +p212371 +aS'had\thave\tVBD\tB-VP\tO' +p212372 +aS'been\tbe\tVBN\tI-VP\tO' +p212373 +aS'breathing\tbreathe\tVBG\tI-VP\tO' +p212374 +aS'well\twell\tRB\tB-ADVP\tO' +p212375 +aS'on\ton\tIN\tB-PP\tO' +p212376 +aS'room\troom\tNN\tB-NP\tO' +p212377 +aS'air\tair\tNN\tI-NP\tO' +p212378 +aS'without\twithout\tIN\tB-PP\tO' +p212379 +aS'complications\tcomplication\tNNS\tB-NP\tO' +p212380 +asS'The jugular venous pressure was elevated at 6 cm above the sternal angle .' +p212381 +(lp212382 +S'The\tThe\tDT\tB-NP\tO' +p212383 +aS'jugular\tjugular\tJJ\tI-NP\tO' +p212384 +aS'venous\tvenous\tJJ\tI-NP\tO' +p212385 +aS'pressure\tpressure\tNN\tI-NP\tO' +p212386 +aS'was\tbe\tVBD\tB-VP\tO' +p212387 +aS'elevated\televate\tVBN\tI-VP\tO' +p212388 +aS'at\tat\tIN\tB-PP\tO' +p212389 +aS'6\t6\tCD\tB-NP\tO' +p212390 +aS'cm\tcm\tNN\tI-NP\tO' +p212391 +aS'above\tabove\tIN\tB-PP\tO' +p212392 +aS'the\tthe\tDT\tB-NP\tO' +p212393 +aS'sternal\tsternal\tJJ\tI-NP\tO' +p212394 +aS'angle\tangle\tNN\tI-NP\tO' +p212395 +aS'.\t.\t.\tO\tO' +p212396 +asS'2) ASPIRATION PNEUMONIA .' +p212397 +(lp212398 +S'2)\t2)\tLS\tB-NP\tO' +p212399 +aS'ASPIRATION\tASPIRATION\tNN\tI-NP\tO' +p212400 +aS'PNEUMONIA\tPNEUMONIA\tNN\tI-NP\tO' +p212401 +aS'.\t.\t.\tO\tO' +p212402 +asS'He was asked to follow up with Dr. Riale Tables , his cardiologist , in a period of 1 to 2 weeks ; he also works at Necrestneysagiles Medical Center .' +p212403 +(lp212404 +S'He\tHe\tPRP\tB-NP\tO' +p212405 +aS'was\tbe\tVBD\tB-VP\tO' +p212406 +aS'asked\task\tVBN\tI-VP\tO' +p212407 +aS'to\tto\tTO\tI-VP\tO' +p212408 +aS'follow\tfollow\tVB\tI-VP\tO' +p212409 +aS'up\tup\tRP\tB-PRT\tO' +p212410 +aS'with\twith\tIN\tB-PP\tO' +p212411 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p212412 +aS'Riale\tRiale\tNNP\tI-NP\tO' +p212413 +aS'Tables\tTables\tNNP\tI-NP\tO' +p212414 +aS',\t,\t,\tO\tO' +p212415 +aS'his\this\tPRP$\tB-NP\tO' +p212416 +aS'cardiologist\tcardiologist\tNN\tI-NP\tO' +p212417 +aS',\t,\t,\tO\tO' +p212418 +aS'in\tin\tIN\tB-PP\tO' +p212419 +aS'a\ta\tDT\tB-NP\tO' +p212420 +aS'period\tperiod\tNN\tI-NP\tO' +p212421 +aS'of\tof\tIN\tB-PP\tO' +p212422 +aS'1\t1\tCD\tB-NP\tO' +p212423 +aS'to\tto\tTO\tI-NP\tO' +p212424 +aS'2\t2\tCD\tI-NP\tO' +p212425 +aS'weeks\tweek\tNNS\tI-NP\tO' +p212426 +aS';\t;\t:\tO\tO' +p212427 +aS'he\the\tPRP\tB-NP\tO' +p212428 +aS'also\talso\tRB\tB-ADVP\tO' +p212429 +aS'works\twork\tVBZ\tB-VP\tO' +p212430 +aS'at\tat\tIN\tB-PP\tO' +p212431 +aS'Necrestneysagiles\tNecrestneysagiles\tNNP\tB-NP\tO' +p212432 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p212433 +aS'Center\tCenter\tNNP\tI-NP\tO' +p212434 +aS'.\t.\t.\tO\tO' +p212435 +asS'On HD2 , cardiac clearance was obtained by Dr. Sanchez .' +p212436 +(lp212437 +S'On\tOn\tIN\tB-PP\tO' +p212438 +aS'HD2\tHD2\tNN\tB-NP\tB-protein' +p212439 +aS',\t,\t,\tO\tO' +p212440 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p212441 +aS'clearance\tclearance\tNN\tI-NP\tO' +p212442 +aS'was\tbe\tVBD\tB-VP\tO' +p212443 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p212444 +aS'by\tby\tIN\tB-PP\tO' +p212445 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p212446 +aS'Sanchez\tSanchez\tNNP\tI-NP\tO' +p212447 +aS'.\t.\t.\tO\tO' +p212448 +asS'5. Gallstone pancreatitis .' +p212449 +(lp212450 +S'5.\t5.\tLS\tB-NP\tO' +p212451 +aS'Gallstone\tGallstone\tNN\tI-NP\tO' +p212452 +aS'pancreatitis\tpancreatitis\tNN\tI-NP\tO' +p212453 +aS'.\t.\t.\tO\tO' +p212454 +asS'These can be restarted when it is deemed reasonable , in view of her acute disease and recently elevated liver enzymes .' +p212455 +(lp212456 +S'These\tThese\tDT\tB-NP\tO' +p212457 +aS'can\tcan\tMD\tB-VP\tO' +p212458 +aS'be\tbe\tVB\tI-VP\tO' +p212459 +aS'restarted\trestart\tVBN\tI-VP\tO' +p212460 +aS'when\twhen\tWRB\tB-ADVP\tO' +p212461 +aS'it\tit\tPRP\tB-NP\tO' +p212462 +aS'is\tbe\tVBZ\tB-VP\tO' +p212463 +aS'deemed\tdeem\tVBN\tI-VP\tO' +p212464 +aS'reasonable\treasonable\tJJ\tB-ADJP\tO' +p212465 +aS',\t,\t,\tO\tO' +p212466 +aS'in\tin\tIN\tB-PP\tO' +p212467 +aS'view\tview\tNN\tB-NP\tO' +p212468 +aS'of\tof\tIN\tB-PP\tO' +p212469 +aS'her\ther\tPRP$\tB-NP\tO' +p212470 +aS'acute\tacute\tJJ\tI-NP\tO' +p212471 +aS'disease\tdisease\tNN\tI-NP\tO' +p212472 +aS'and\tand\tCC\tO\tO' +p212473 +aS'recently\trecently\tRB\tB-VP\tO' +p212474 +aS'elevated\televate\tVBN\tB-NP\tO' +p212475 +aS'liver\tliver\tNN\tI-NP\tB-protein' +p212476 +aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' +p212477 +aS'.\t.\t.\tO\tO' +p212478 +asS'Reflexes were trace in the upper extremities and absent in the knees with downgoing toes bilaterally .' +p212479 +(lp212480 +S'Reflexes\tReflex\tNNS\tB-NP\tO' +p212481 +aS'were\tbe\tVBD\tB-VP\tO' +p212482 +aS'trace\ttrace\tNN\tB-NP\tO' +p212483 +aS'in\tin\tIN\tB-PP\tO' +p212484 +aS'the\tthe\tDT\tB-NP\tO' +p212485 +aS'upper\tupper\tJJ\tI-NP\tO' +p212486 +aS'extremities\textremity\tNNS\tI-NP\tO' +p212487 +aS'and\tand\tCC\tO\tO' +p212488 +aS'absent\tabsent\tJJ\tB-ADJP\tO' +p212489 +aS'in\tin\tIN\tB-PP\tO' +p212490 +aS'the\tthe\tDT\tB-NP\tO' +p212491 +aS'knees\tknee\tNNS\tI-NP\tO' +p212492 +aS'with\twith\tIN\tB-PP\tO' +p212493 +aS'downgoing\tdowngoe\tVBG\tB-VP\tO' +p212494 +aS'toes\ttoe\tNNS\tB-NP\tO' +p212495 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p212496 +aS'.\t.\t.\tO\tO' +p212497 +asS'abd : soft , nt,nd , nabs' +p212498 +(lp212499 +S'abd\tabd\tLS\tB-LST\tO' +p212500 +aS':\t:\t:\tO\tO' +p212501 +aS'soft\tsoft\tJJ\tB-NP\tO' +p212502 +aS',\t,\t,\tI-NP\tO' +p212503 +aS'nt,nd\tnt,nd\tNN\tI-NP\tO' +p212504 +aS',\t,\t,\tO\tO' +p212505 +aS'nabs\tnab\tNNS\tB-NP\tO' +p212506 +asS'CRI 03-30 HTN and DM nephropathy , with baseline creatinine 4-4.5' +p212507 +(lp212508 +S'CRI\tCRI\tNN\tB-NP\tO' +p212509 +aS'03-30\t03-30\tCD\tI-NP\tO' +p212510 +aS'HTN\tHTN\tNN\tI-NP\tO' +p212511 +aS'and\tand\tCC\tI-NP\tO' +p212512 +aS'DM\tDM\tNN\tI-NP\tO' +p212513 +aS'nephropathy\tnephropathy\tNN\tI-NP\tO' +p212514 +aS',\t,\t,\tO\tO' +p212515 +aS'with\twith\tIN\tB-PP\tO' +p212516 +aS'baseline\tbaseline\tNN\tB-NP\tO' +p212517 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p212518 +aS'4-4.5\t4-4.5\tCD\tI-NP\tO' +p212519 +asS'All sedating medications were held and serial ABGs were trended to follow the resolution of the metabolic alkalosis .' +p212520 +(lp212521 +S'All\tAll\tDT\tB-NP\tO' +p212522 +aS'sedating\tsedate\tVBG\tI-NP\tO' +p212523 +aS'medications\tmedication\tNNS\tI-NP\tO' +p212524 +aS'were\tbe\tVBD\tB-VP\tO' +p212525 +aS'held\thold\tVBN\tI-VP\tO' +p212526 +aS'and\tand\tCC\tO\tO' +p212527 +aS'serial\tserial\tJJ\tB-NP\tO' +p212528 +aS'ABGs\tABG\tNNS\tI-NP\tO' +p212529 +aS'were\tbe\tVBD\tB-VP\tO' +p212530 +aS'trended\ttrend\tVBN\tI-VP\tO' +p212531 +aS'to\tto\tTO\tI-VP\tO' +p212532 +aS'follow\tfollow\tVB\tI-VP\tO' +p212533 +aS'the\tthe\tDT\tB-NP\tO' +p212534 +aS'resolution\tresolution\tNN\tI-NP\tO' +p212535 +aS'of\tof\tIN\tB-PP\tO' +p212536 +aS'the\tthe\tDT\tB-NP\tO' +p212537 +aS'metabolic\tmetabolic\tJJ\tI-NP\tO' +p212538 +aS'alkalosis\talkalosis\tNN\tI-NP\tO' +p212539 +aS'.\t.\t.\tO\tO' +p212540 +asS'He had undergone C-spine surgery for spinal stenosis with a question of myelopathy and radiculopathy in 1992 with residual spastic paresis and monoparesis of the left upper extremity , but was ambulatory until a day prior to admission .' +p212541 +(lp212542 +S'He\tHe\tPRP\tB-NP\tO' +p212543 +aS'had\thave\tVBD\tB-VP\tO' +p212544 +aS'undergone\tundergo\tVBN\tI-VP\tO' +p212545 +aS'C-spine\tC-spine\tNN\tB-NP\tO' +p212546 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p212547 +aS'for\tfor\tIN\tB-PP\tO' +p212548 +aS'spinal\tspinal\tJJ\tB-NP\tO' +p212549 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p212550 +aS'with\twith\tIN\tB-PP\tO' +p212551 +aS'a\ta\tDT\tB-NP\tO' +p212552 +aS'question\tquestion\tNN\tI-NP\tO' +p212553 +aS'of\tof\tIN\tB-PP\tO' +p212554 +aS'myelopathy\tmyelopathy\tJJ\tB-NP\tO' +p212555 +aS'and\tand\tCC\tI-NP\tO' +p212556 +aS'radiculopathy\tradiculopathy\tNN\tI-NP\tO' +p212557 +aS'in\tin\tIN\tB-PP\tO' +p212558 +aS'1992\t1992\tCD\tB-NP\tO' +p212559 +aS'with\twith\tIN\tB-PP\tO' +p212560 +aS'residual\tresidual\tJJ\tB-NP\tO' +p212561 +aS'spastic\tspastic\tJJ\tI-NP\tO' +p212562 +aS'paresis\tparesis\tNN\tI-NP\tO' +p212563 +aS'and\tand\tCC\tI-NP\tO' +p212564 +aS'monoparesis\tmonoparesis\tNN\tI-NP\tO' +p212565 +aS'of\tof\tIN\tB-PP\tO' +p212566 +aS'the\tthe\tDT\tB-NP\tO' +p212567 +aS'left\tleft\tJJ\tI-NP\tO' +p212568 +aS'upper\tupper\tJJ\tI-NP\tO' +p212569 +aS'extremity\textremity\tNN\tI-NP\tO' +p212570 +aS',\t,\t,\tO\tO' +p212571 +aS'but\tbut\tCC\tO\tO' +p212572 +aS'was\tbe\tVBD\tB-VP\tO' +p212573 +aS'ambulatory\tambulatory\tJJ\tB-ADJP\tO' +p212574 +aS'until\tuntil\tIN\tB-SBAR\tO' +p212575 +aS'a\ta\tDT\tB-NP\tO' +p212576 +aS'day\tday\tNN\tI-NP\tO' +p212577 +aS'prior\tprior\tRB\tB-ADVP\tO' +p212578 +aS'to\tto\tTO\tB-PP\tO' +p212579 +aS'admission\tadmission\tNN\tB-NP\tO' +p212580 +aS'.\t.\t.\tO\tO' +p212581 +asS'Patient was transfused 1 unit of platelets on 2014-04-08 for platelet count of 66 .' +p212582 +(lp212583 +S'Patient\tPatient\tNN\tB-NP\tO' +p212584 +aS'was\tbe\tVBD\tB-VP\tO' +p212585 +aS'transfused\ttransfuse\tVBN\tI-VP\tO' +p212586 +aS'1\t1\tCD\tB-NP\tO' +p212587 +aS'unit\tunit\tNN\tI-NP\tO' +p212588 +aS'of\tof\tIN\tB-PP\tO' +p212589 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p212590 +aS'on\ton\tIN\tB-PP\tO' +p212591 +aS'2014-04-08\t2014-04-08\tCD\tB-NP\tO' +p212592 +aS'for\tfor\tIN\tB-PP\tO' +p212593 +aS'platelet\tplatelet\tNN\tB-NP\tO' +p212594 +aS'count\tcount\tNN\tI-NP\tO' +p212595 +aS'of\tof\tIN\tB-PP\tO' +p212596 +aS'66\t66\tCD\tB-NP\tO' +p212597 +aS'.\t.\t.\tO\tO' +p212598 +asS'The mother was followed closely and received betamethasone 2011-08-22 .' +p212599 +(lp212600 +S'The\tThe\tDT\tB-NP\tO' +p212601 +aS'mother\tmother\tNN\tI-NP\tO' +p212602 +aS'was\tbe\tVBD\tB-VP\tO' +p212603 +aS'followed\tfollow\tVBN\tI-VP\tO' +p212604 +aS'closely\tclosely\tRB\tB-ADVP\tO' +p212605 +aS'and\tand\tCC\tO\tO' +p212606 +aS'received\treceive\tVBD\tB-VP\tO' +p212607 +aS'betamethasone\tbetamethasone\tNN\tB-NP\tO' +p212608 +aS'2011-08-22\t2011-08-22\tCD\tI-NP\tO' +p212609 +aS'.\t.\t.\tO\tO' +p212610 +asS'An attempt was also made to reduce the patient 's large number of medications and the patient 's Os-Cal , multivitamin , Lasix and Colace were discontinued .' +p212611 +(lp212612 +S'An\tAn\tDT\tB-NP\tO' +p212613 +aS'attempt\tattempt\tNN\tI-NP\tO' +p212614 +aS'was\tbe\tVBD\tB-VP\tO' +p212615 +aS'also\talso\tRB\tI-VP\tO' +p212616 +aS'made\tmake\tVBN\tI-VP\tO' +p212617 +aS'to\tto\tTO\tI-VP\tO' +p212618 +aS'reduce\treduce\tVB\tI-VP\tO' +p212619 +aS'the\tthe\tDT\tB-NP\tO' +p212620 +aS'patient\tpatient\tNN\tI-NP\tO' +p212621 +aS''s\t'\tNNS\tI-NP\tO' +p212622 +aS'large\tlarge\tJJ\tB-NP\tO' +p212623 +aS'number\tnumber\tNN\tI-NP\tO' +p212624 +aS'of\tof\tIN\tB-PP\tO' +p212625 +aS'medications\tmedication\tNNS\tB-NP\tO' +p212626 +aS'and\tand\tCC\tO\tO' +p212627 +aS'the\tthe\tDT\tB-NP\tO' +p212628 +aS'patient\tpatient\tNN\tI-NP\tO' +p212629 +aS''s\t'\tNNS\tI-NP\tO' +p212630 +aS'Os-Cal\tOs-Cal\tJJ\tB-ADJP\tO' +p212631 +aS',\t,\t,\tO\tO' +p212632 +aS'multivitamin\tmultivitamin\tNN\tB-NP\tO' +p212633 +aS',\t,\t,\tO\tO' +p212634 +aS'Lasix\tLasix\tNNP\tB-NP\tO' +p212635 +aS'and\tand\tCC\tI-NP\tO' +p212636 +aS'Colace\tColace\tNNP\tI-NP\tO' +p212637 +aS'were\tbe\tVBD\tB-VP\tO' +p212638 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p212639 +aS'.\t.\t.\tO\tO' +p212640 +asS'MRI , as discussed , was done at outside hospital and demonstrated large ventricles .' +p212641 +(lp212642 +S'MRI\tMRI\tNN\tB-NP\tB-protein' +p212643 +aS',\t,\t,\tO\tO' +p212644 +aS'as\tas\tIN\tB-SBAR\tO' +p212645 +aS'discussed\tdiscuss\tVBN\tB-VP\tO' +p212646 +aS',\t,\t,\tO\tO' +p212647 +aS'was\tbe\tVBD\tB-VP\tO' +p212648 +aS'done\tdo\tVBN\tI-VP\tO' +p212649 +aS'at\tat\tIN\tB-PP\tO' +p212650 +aS'outside\toutside\tJJ\tB-NP\tO' +p212651 +aS'hospital\thospital\tNN\tI-NP\tO' +p212652 +aS'and\tand\tCC\tO\tO' +p212653 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p212654 +aS'large\tlarge\tJJ\tB-NP\tO' +p212655 +aS'ventricles\tventricle\tNNS\tI-NP\tO' +p212656 +aS'.\t.\t.\tO\tO' +p212657 +asS'She has completed up to the tenth grade of high school .' +p212658 +(lp212659 +S'She\tShe\tPRP\tB-NP\tO' +p212660 +aS'has\thave\tVBZ\tB-VP\tO' +p212661 +aS'completed\tcomplete\tVBN\tI-VP\tO' +p212662 +aS'up\tup\tRP\tB-PRT\tO' +p212663 +aS'to\tto\tTO\tB-PP\tO' +p212664 +aS'the\tthe\tDT\tB-NP\tO' +p212665 +aS'tenth\ttenth\tNN\tI-NP\tO' +p212666 +aS'grade\tgrade\tNN\tI-NP\tO' +p212667 +aS'of\tof\tIN\tB-PP\tO' +p212668 +aS'high\thigh\tJJ\tB-NP\tO' +p212669 +aS'school\tschool\tNN\tI-NP\tO' +p212670 +aS'.\t.\t.\tO\tO' +p212671 +asS'We decided given her age that she would not be a good candidate for cardioversion for her afib nor would she be a good candidate for coumadin .' +p212672 +(lp212673 +S'We\tWe\tPRP\tB-NP\tO' +p212674 +aS'decided\tdecide\tVBD\tB-VP\tO' +p212675 +aS'given\tgive\tVBN\tI-VP\tO' +p212676 +aS'her\ther\tPRP$\tB-NP\tO' +p212677 +aS'age\tage\tNN\tI-NP\tO' +p212678 +aS'that\tthat\tIN\tB-SBAR\tO' +p212679 +aS'she\tshe\tPRP\tB-NP\tO' +p212680 +aS'would\twould\tMD\tB-VP\tO' +p212681 +aS'not\tnot\tRB\tI-VP\tO' +p212682 +aS'be\tbe\tVB\tI-VP\tO' +p212683 +aS'a\ta\tDT\tB-NP\tO' +p212684 +aS'good\tgood\tJJ\tI-NP\tO' +p212685 +aS'candidate\tcandidate\tNN\tI-NP\tO' +p212686 +aS'for\tfor\tIN\tB-PP\tO' +p212687 +aS'cardioversion\tcardioversion\tNN\tB-NP\tO' +p212688 +aS'for\tfor\tIN\tB-PP\tO' +p212689 +aS'her\ther\tPRP$\tB-NP\tO' +p212690 +aS'afib\tafib\tNN\tI-NP\tO' +p212691 +aS'nor\tnor\tCC\tO\tO' +p212692 +aS'would\twould\tMD\tO\tO' +p212693 +aS'she\tshe\tPRP\tB-NP\tO' +p212694 +aS'be\tbe\tVB\tB-VP\tO' +p212695 +aS'a\ta\tDT\tB-NP\tO' +p212696 +aS'good\tgood\tJJ\tI-NP\tO' +p212697 +aS'candidate\tcandidate\tNN\tI-NP\tO' +p212698 +aS'for\tfor\tIN\tB-PP\tO' +p212699 +aS'coumadin\tcoumadin\tNN\tB-NP\tO' +p212700 +aS'.\t.\t.\tO\tO' +p212701 +asS'The patient should follow-up with his orthopedic surgeon at the next convenient time to determine the length of duration of his casting .' +p212702 +(lp212703 +S'The\tThe\tDT\tB-NP\tO' +p212704 +aS'patient\tpatient\tNN\tI-NP\tO' +p212705 +aS'should\tshould\tMD\tB-VP\tO' +p212706 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p212707 +aS'with\twith\tIN\tB-PP\tO' +p212708 +aS'his\this\tPRP$\tB-NP\tO' +p212709 +aS'orthopedic\torthopedic\tJJ\tI-NP\tO' +p212710 +aS'surgeon\tsurgeon\tNN\tI-NP\tO' +p212711 +aS'at\tat\tIN\tB-PP\tO' +p212712 +aS'the\tthe\tDT\tB-NP\tO' +p212713 +aS'next\tnext\tJJ\tI-NP\tO' +p212714 +aS'convenient\tconvenient\tJJ\tI-NP\tO' +p212715 +aS'time\ttime\tNN\tI-NP\tO' +p212716 +aS'to\tto\tTO\tB-VP\tO' +p212717 +aS'determine\tdetermine\tVB\tI-VP\tO' +p212718 +aS'the\tthe\tDT\tB-NP\tO' +p212719 +aS'length\tlength\tNN\tI-NP\tO' +p212720 +aS'of\tof\tIN\tB-PP\tO' +p212721 +aS'duration\tduration\tNN\tB-NP\tO' +p212722 +aS'of\tof\tIN\tB-PP\tO' +p212723 +aS'his\this\tPRP$\tB-NP\tO' +p212724 +aS'casting\tcasting\tNN\tI-NP\tO' +p212725 +aS'.\t.\t.\tO\tO' +p212726 +asS'Migraines .' +p212727 +(lp212728 +S'Migraines\tMigraine\tNNS\tB-NP\tO' +p212729 +aS'.\t.\t.\tO\tO' +p212730 +asS'1. Unstable angina .' +p212731 +(lp212732 +S'1.\t1.\tLS\tB-NP\tO' +p212733 +aS'Unstable\tUnstable\tJJ\tI-NP\tO' +p212734 +aS'angina\tangina\tNN\tI-NP\tO' +p212735 +aS'.\t.\t.\tO\tO' +p212736 +asS'RRR .' +p212737 +(lp212738 +S'RRR\tRRR\tNN\tB-NP\tB-protein' +p212739 +aS'.\t.\t.\tO\tO' +p212740 +asS'She was initiated on a bowel regimen and had no further incidents of diarrhea or constipation .' +p212741 +(lp212742 +S'She\tShe\tPRP\tB-NP\tO' +p212743 +aS'was\tbe\tVBD\tB-VP\tO' +p212744 +aS'initiated\tinitiate\tVBN\tI-VP\tO' +p212745 +aS'on\ton\tIN\tB-PP\tO' +p212746 +aS'a\ta\tDT\tB-NP\tO' +p212747 +aS'bowel\tbowel\tNN\tI-NP\tO' +p212748 +aS'regimen\tregimen\tNN\tI-NP\tO' +p212749 +aS'and\tand\tCC\tO\tO' +p212750 +aS'had\thave\tVBD\tB-VP\tO' +p212751 +aS'no\tno\tDT\tB-NP\tO' +p212752 +aS'further\tfurther\tJJ\tI-NP\tO' +p212753 +aS'incidents\tincident\tNNS\tI-NP\tO' +p212754 +aS'of\tof\tIN\tB-PP\tO' +p212755 +aS'diarrhea\tdiarrhea\tNN\tB-NP\tO' +p212756 +aS'or\tor\tCC\tI-NP\tO' +p212757 +aS'constipation\tconstipation\tNN\tI-NP\tO' +p212758 +aS'.\t.\t.\tO\tO' +p212759 +asS'BUN 27 , with a creatinine of .9 , glucose was 182 , but otherwise electrolytes were normal .' +p212760 +(lp212761 +S'BUN\tBUN\tNN\tB-NP\tB-protein' +p212762 +aS'27\t27\tCD\tI-NP\tI-protein' +p212763 +aS',\t,\t,\tO\tO' +p212764 +aS'with\twith\tIN\tB-PP\tO' +p212765 +aS'a\ta\tDT\tB-NP\tO' +p212766 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p212767 +aS'of\tof\tIN\tB-PP\tO' +p212768 +aS'.9\t.9\tNN\tB-NP\tO' +p212769 +aS',\t,\t,\tO\tO' +p212770 +aS'glucose\tglucose\tNN\tB-NP\tB-protein' +p212771 +aS'was\tbe\tVBD\tB-VP\tI-protein' +p212772 +aS'182\t182\tCD\tB-NP\tI-protein' +p212773 +aS',\t,\t,\tO\tO' +p212774 +aS'but\tbut\tCC\tO\tO' +p212775 +aS'otherwise\totherwise\tRB\tB-NP\tO' +p212776 +aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' +p212777 +aS'were\tbe\tVBD\tB-VP\tO' +p212778 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p212779 +aS'.\t.\t.\tO\tO' +p212780 +asS'5. Flovent .' +p212781 +(lp212782 +S'5.\t5.\tLS\tB-LST\tO' +p212783 +aS'Flovent\tFlovent\tNNP\tB-NP\tO' +p212784 +aS'.\t.\t.\tO\tO' +p212785 +asS'She is an obese , elderly woman in no acute distress .' +p212786 +(lp212787 +S'She\tShe\tPRP\tB-NP\tO' +p212788 +aS'is\tbe\tVBZ\tB-VP\tO' +p212789 +aS'an\tan\tDT\tB-NP\tO' +p212790 +aS'obese\tobese\tJJ\tI-NP\tO' +p212791 +aS',\t,\t,\tI-NP\tO' +p212792 +aS'elderly\telderly\tJJ\tI-NP\tO' +p212793 +aS'woman\twoman\tNN\tI-NP\tO' +p212794 +aS'in\tin\tIN\tB-PP\tO' +p212795 +aS'no\tno\tDT\tB-NP\tO' +p212796 +aS'acute\tacute\tJJ\tI-NP\tO' +p212797 +aS'distress\tdistress\tNN\tI-NP\tO' +p212798 +aS'.\t.\t.\tO\tO' +p212799 +asS'Significant for glaucoma , right knee arthroscopic surgery in 1988 , appendectomy , dilation and curettage times two , and a hiatus hernia .' +p212800 +(lp212801 +S'Significant\tSignificant\tJJ\tB-ADJP\tO' +p212802 +aS'for\tfor\tIN\tB-PP\tO' +p212803 +aS'glaucoma\tglaucoma\tNN\tB-NP\tO' +p212804 +aS',\t,\t,\tO\tO' +p212805 +aS'right\tright\tJJ\tB-NP\tO' +p212806 +aS'knee\tknee\tNN\tI-NP\tO' +p212807 +aS'arthroscopic\tarthroscopic\tJJ\tI-NP\tO' +p212808 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p212809 +aS'in\tin\tIN\tB-PP\tO' +p212810 +aS'1988\t1988\tCD\tB-NP\tO' +p212811 +aS',\t,\t,\tO\tO' +p212812 +aS'appendectomy\tappendectomy\tNN\tB-NP\tO' +p212813 +aS',\t,\t,\tO\tO' +p212814 +aS'dilation\tdilation\tNN\tB-NP\tO' +p212815 +aS'and\tand\tCC\tO\tO' +p212816 +aS'curettage\tcurettage\tNN\tB-NP\tO' +p212817 +aS'times\ttime\tNNS\tI-NP\tO' +p212818 +aS'two\ttwo\tCD\tB-NP\tO' +p212819 +aS',\t,\t,\tO\tO' +p212820 +aS'and\tand\tCC\tO\tO' +p212821 +aS'a\ta\tDT\tB-NP\tO' +p212822 +aS'hiatus\thiatus\tNN\tI-NP\tO' +p212823 +aS'hernia\thernia\tNN\tI-NP\tO' +p212824 +aS'.\t.\t.\tO\tO' +p212825 +asS'Hydrochlorothiazide 25 mg q.d. and Decadron 25 mg b.i.d.' +p212826 +(lp212827 +S'Hydrochlorothiazide\tHydrochlorothiazide\tNN\tB-NP\tO' +p212828 +aS'25\t25\tCD\tI-NP\tO' +p212829 +aS'mg\tmg\tNN\tI-NP\tO' +p212830 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p212831 +aS'and\tand\tCC\tO\tO' +p212832 +aS'Decadron\tDecadron\tNNP\tB-NP\tO' +p212833 +aS'25\t25\tCD\tI-NP\tO' +p212834 +aS'mg\tmg\tNN\tI-NP\tO' +p212835 +aS'b.i.d.\tb.i.d.\t.\tO\tO' +p212836 +asS'In Hospital he was seen by both Speech Therapy , physical therapy , and the Uspend Harmemewood Medical Center Congestive Heart Failure Nurse Practitioner Program .' +p212837 +(lp212838 +S'In\tIn\tIN\tB-PP\tO' +p212839 +aS'Hospital\tHospital\tNN\tB-NP\tO' +p212840 +aS'he\the\tPRP\tB-NP\tO' +p212841 +aS'was\tbe\tVBD\tB-VP\tO' +p212842 +aS'seen\tsee\tVBN\tI-VP\tO' +p212843 +aS'by\tby\tIN\tB-PP\tO' +p212844 +aS'both\tboth\tCC\tO\tO' +p212845 +aS'Speech\tSpeech\tNN\tB-NP\tO' +p212846 +aS'Therapy\tTherapy\tNN\tI-NP\tO' +p212847 +aS',\t,\t,\tO\tO' +p212848 +aS'physical\tphysical\tJJ\tB-NP\tO' +p212849 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p212850 +aS',\t,\t,\tO\tO' +p212851 +aS'and\tand\tCC\tO\tO' +p212852 +aS'the\tthe\tDT\tB-NP\tO' +p212853 +aS'Uspend\tUspend\tNNP\tI-NP\tO' +p212854 +aS'Harmemewood\tHarmemewood\tNNP\tI-NP\tO' +p212855 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p212856 +aS'Center\tCenter\tNNP\tI-NP\tO' +p212857 +aS'Congestive\tCongestive\tNNP\tI-NP\tO' +p212858 +aS'Heart\tHeart\tNNP\tI-NP\tO' +p212859 +aS'Failure\tFailure\tNNP\tI-NP\tO' +p212860 +aS'Nurse\tNurse\tNNP\tI-NP\tO' +p212861 +aS'Practitioner\tPractitioner\tNNP\tI-NP\tO' +p212862 +aS'Program\tProgram\tNNP\tI-NP\tO' +p212863 +aS'.\t.\t.\tO\tO' +p212864 +asS'2. Multifocal hemorrhagic contusions and surrounding edema are largely unchanged .' +p212865 +(lp212866 +S'2.\t2.\tLS\tB-NP\tO' +p212867 +aS'Multifocal\tMultifocal\tJJ\tI-NP\tO' +p212868 +aS'hemorrhagic\themorrhagic\tJJ\tI-NP\tO' +p212869 +aS'contusions\tcontusion\tNNS\tI-NP\tO' +p212870 +aS'and\tand\tCC\tO\tO' +p212871 +aS'surrounding\tsurround\tVBG\tB-VP\tO' +p212872 +aS'edema\tedema\tNN\tB-NP\tO' +p212873 +aS'are\tbe\tVBP\tB-VP\tO' +p212874 +aS'largely\tlargely\tRB\tB-ADJP\tO' +p212875 +aS'unchanged\tunchanged\tJJ\tI-ADJP\tO' +p212876 +aS'.\t.\t.\tO\tO' +p212877 +asS'The patient also had a head CT scan in the Emergency Department before coming to the Unit which reported no recent bleed and no change from a prior CT scan done on 2011-03-04 .' +p212878 +(lp212879 +S'The\tThe\tDT\tB-NP\tO' +p212880 +aS'patient\tpatient\tNN\tI-NP\tO' +p212881 +aS'also\talso\tRB\tB-ADVP\tO' +p212882 +aS'had\thave\tVBD\tB-VP\tO' +p212883 +aS'a\ta\tDT\tB-NP\tO' +p212884 +aS'head\thead\tNN\tI-NP\tO' +p212885 +aS'CT\tCT\tNN\tI-NP\tO' +p212886 +aS'scan\tscan\tNN\tI-NP\tO' +p212887 +aS'in\tin\tIN\tB-PP\tO' +p212888 +aS'the\tthe\tDT\tB-NP\tO' +p212889 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p212890 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p212891 +aS'before\tbefore\tIN\tB-PP\tO' +p212892 +aS'coming\tcome\tVBG\tB-VP\tO' +p212893 +aS'to\tto\tTO\tB-PP\tO' +p212894 +aS'the\tthe\tDT\tB-NP\tO' +p212895 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p212896 +aS'which\twhich\tWDT\tB-NP\tO' +p212897 +aS'reported\treport\tVBD\tB-VP\tO' +p212898 +aS'no\tno\tDT\tB-NP\tO' +p212899 +aS'recent\trecent\tJJ\tI-NP\tO' +p212900 +aS'bleed\tbleed\tNN\tI-NP\tO' +p212901 +aS'and\tand\tCC\tO\tO' +p212902 +aS'no\tno\tDT\tB-NP\tO' +p212903 +aS'change\tchange\tNN\tI-NP\tO' +p212904 +aS'from\tfrom\tIN\tB-PP\tO' +p212905 +aS'a\ta\tDT\tB-NP\tO' +p212906 +aS'prior\tprior\tJJ\tI-NP\tO' +p212907 +aS'CT\tCT\tNN\tI-NP\tO' +p212908 +aS'scan\tscan\tNN\tI-NP\tO' +p212909 +aS'done\tdo\tVBN\tB-VP\tO' +p212910 +aS'on\ton\tIN\tB-PP\tO' +p212911 +aS'2011-03-04\t2011-03-04\tCD\tB-NP\tO' +p212912 +aS'.\t.\t.\tO\tO' +p212913 +asS'Patient will also continue on her Wellbutrin and Imitrex as needed for migraines .' +p212914 +(lp212915 +S'Patient\tPatient\tNN\tB-NP\tO' +p212916 +aS'will\twill\tMD\tB-VP\tO' +p212917 +aS'also\talso\tRB\tI-VP\tO' +p212918 +aS'continue\tcontinue\tVB\tI-VP\tO' +p212919 +aS'on\ton\tIN\tB-PP\tO' +p212920 +aS'her\ther\tPRP$\tB-NP\tO' +p212921 +aS'Wellbutrin\tWellbutrin\tNN\tI-NP\tO' +p212922 +aS'and\tand\tCC\tI-NP\tO' +p212923 +aS'Imitrex\tImitrex\tNN\tI-NP\tO' +p212924 +aS'as\tas\tIN\tB-SBAR\tO' +p212925 +aS'needed\tneed\tVBN\tB-VP\tO' +p212926 +aS'for\tfor\tIN\tB-PP\tO' +p212927 +aS'migraines\tmigraine\tNNS\tB-NP\tO' +p212928 +aS'.\t.\t.\tO\tO' +p212929 +asS'The abdomen was distended with active bowel sounds .' +p212930 +(lp212931 +S'The\tThe\tDT\tB-NP\tO' +p212932 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p212933 +aS'was\tbe\tVBD\tB-VP\tO' +p212934 +aS'distended\tdistend\tVBN\tI-VP\tO' +p212935 +aS'with\twith\tIN\tB-PP\tO' +p212936 +aS'active\tactive\tJJ\tB-NP\tO' +p212937 +aS'bowel\tbowel\tNN\tI-NP\tO' +p212938 +aS'sounds\tsound\tNNS\tI-NP\tO' +p212939 +aS'.\t.\t.\tO\tO' +p212940 +asS'She is status post angiography today .' +p212941 +(lp212942 +S'She\tShe\tPRP\tB-NP\tO' +p212943 +aS'is\tbe\tVBZ\tB-VP\tO' +p212944 +aS'status\tstatus\tNN\tB-NP\tO' +p212945 +aS'post\tpost\tNN\tI-NP\tO' +p212946 +aS'angiography\tangiography\tNN\tI-NP\tO' +p212947 +aS'today\ttoday\tNN\tB-NP\tO' +p212948 +aS'.\t.\t.\tO\tO' +p212949 +asS'By the time the patient arrived at the Oaksgekesser/ Memorial Hospital Emergency Room he was in moderate respiratory distress .' +p212950 +(lp212951 +S'By\tBy\tIN\tB-PP\tO' +p212952 +aS'the\tthe\tDT\tB-NP\tO' +p212953 +aS'time\ttime\tNN\tI-NP\tO' +p212954 +aS'the\tthe\tDT\tB-NP\tO' +p212955 +aS'patient\tpatient\tNN\tI-NP\tO' +p212956 +aS'arrived\tarrive\tVBD\tB-VP\tO' +p212957 +aS'at\tat\tIN\tB-PP\tO' +p212958 +aS'the\tthe\tDT\tB-NP\tO' +p212959 +aS'Oaksgekesser/\tOaksgekesser/\tNNP\tI-NP\tO' +p212960 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p212961 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p212962 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p212963 +aS'Room\tRoom\tNNP\tI-NP\tO' +p212964 +aS'he\the\tPRP\tB-NP\tO' +p212965 +aS'was\tbe\tVBD\tB-VP\tO' +p212966 +aS'in\tin\tIN\tB-PP\tO' +p212967 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p212968 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p212969 +aS'distress\tdistress\tNN\tI-NP\tO' +p212970 +aS'.\t.\t.\tO\tO' +p212971 +asS'This issue resolved .' +p212972 +(lp212973 +S'This\tThis\tDT\tB-NP\tO' +p212974 +aS'issue\tissue\tNN\tI-NP\tO' +p212975 +aS'resolved\tresolve\tVBD\tB-VP\tO' +p212976 +aS'.\t.\t.\tO\tO' +p212977 +asS'She had expressed these wishes in writing on several legal forms from the state of Jose Pineston , as well as in discussions with her loved ones .' +p212978 +(lp212979 +S'She\tShe\tPRP\tB-NP\tO' +p212980 +aS'had\thave\tVBD\tB-VP\tO' +p212981 +aS'expressed\texpress\tVBN\tI-VP\tO' +p212982 +aS'these\tthese\tDT\tB-NP\tO' +p212983 +aS'wishes\twish\tNNS\tI-NP\tO' +p212984 +aS'in\tin\tIN\tB-PP\tO' +p212985 +aS'writing\twrite\tVBG\tB-VP\tO' +p212986 +aS'on\ton\tIN\tB-PP\tO' +p212987 +aS'several\tseveral\tJJ\tB-NP\tO' +p212988 +aS'legal\tlegal\tJJ\tI-NP\tO' +p212989 +aS'forms\tform\tNNS\tI-NP\tO' +p212990 +aS'from\tfrom\tIN\tB-PP\tO' +p212991 +aS'the\tthe\tDT\tB-NP\tO' +p212992 +aS'state\tstate\tNN\tI-NP\tO' +p212993 +aS'of\tof\tIN\tB-PP\tO' +p212994 +aS'Jose\tJose\tNNP\tB-NP\tO' +p212995 +aS'Pineston\tPineston\tNNP\tI-NP\tO' +p212996 +aS',\t,\t,\tO\tO' +p212997 +aS'as\tas\tRB\tB-CONJP\tO' +p212998 +aS'well\twell\tRB\tI-CONJP\tO' +p212999 +aS'as\tas\tIN\tI-CONJP\tO' +p213000 +aS'in\tin\tIN\tB-PP\tO' +p213001 +aS'discussions\tdiscussion\tNNS\tB-NP\tO' +p213002 +aS'with\twith\tIN\tB-PP\tO' +p213003 +aS'her\ther\tPRP$\tB-NP\tO' +p213004 +aS'loved\tloved\tJJ\tI-NP\tO' +p213005 +aS'ones\tone\tNNS\tI-NP\tO' +p213006 +aS'.\t.\t.\tO\tO' +p213007 +asS'This was obtained on the day of discharge , however , due to residual contrast in the colon from the patient 's prior abdominal CT scan , the exam was postponed after a scout film was obtained .' +p213008 +(lp213009 +S'This\tThis\tDT\tB-NP\tO' +p213010 +aS'was\tbe\tVBD\tB-VP\tO' +p213011 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p213012 +aS'on\ton\tIN\tB-PP\tO' +p213013 +aS'the\tthe\tDT\tB-NP\tO' +p213014 +aS'day\tday\tNN\tI-NP\tO' +p213015 +aS'of\tof\tIN\tB-PP\tO' +p213016 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p213017 +aS',\t,\t,\tO\tO' +p213018 +aS'however\thowever\tRB\tB-ADVP\tO' +p213019 +aS',\t,\t,\tO\tO' +p213020 +aS'due\tdue\tJJ\tB-PP\tO' +p213021 +aS'to\tto\tTO\tB-PP\tO' +p213022 +aS'residual\tresidual\tJJ\tB-NP\tO' +p213023 +aS'contrast\tcontrast\tNN\tI-NP\tO' +p213024 +aS'in\tin\tIN\tB-PP\tO' +p213025 +aS'the\tthe\tDT\tB-NP\tO' +p213026 +aS'colon\tcolon\tNN\tI-NP\tO' +p213027 +aS'from\tfrom\tIN\tB-PP\tO' +p213028 +aS'the\tthe\tDT\tB-NP\tO' +p213029 +aS'patient\tpatient\tNN\tI-NP\tO' +p213030 +aS''s\t'\tNNS\tI-NP\tO' +p213031 +aS'prior\tprior\tJJ\tB-NP\tO' +p213032 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p213033 +aS'CT\tCT\tNN\tI-NP\tO' +p213034 +aS'scan\tscan\tNN\tI-NP\tO' +p213035 +aS',\t,\t,\tO\tO' +p213036 +aS'the\tthe\tDT\tB-NP\tO' +p213037 +aS'exam\texam\tNN\tI-NP\tO' +p213038 +aS'was\tbe\tVBD\tB-VP\tO' +p213039 +aS'postponed\tpostpone\tVBN\tI-VP\tO' +p213040 +aS'after\tafter\tIN\tB-PP\tO' +p213041 +aS'a\ta\tDT\tB-NP\tO' +p213042 +aS'scout\tscout\tNN\tI-NP\tO' +p213043 +aS'film\tfilm\tNN\tI-NP\tO' +p213044 +aS'was\tbe\tVBD\tB-VP\tO' +p213045 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p213046 +aS'.\t.\t.\tO\tO' +p213047 +asS'The patient was alert and oriented throughout the admission ; however , by personality , he is somewhat cantankerous and demanding of the nurses .' +p213048 +(lp213049 +S'The\tThe\tDT\tB-NP\tO' +p213050 +aS'patient\tpatient\tNN\tI-NP\tO' +p213051 +aS'was\tbe\tVBD\tB-VP\tO' +p213052 +aS'alert\talert\tJJ\tB-ADJP\tO' +p213053 +aS'and\tand\tCC\tO\tO' +p213054 +aS'oriented\torient\tVBN\tB-VP\tO' +p213055 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p213056 +aS'the\tthe\tDT\tB-NP\tO' +p213057 +aS'admission\tadmission\tNN\tI-NP\tO' +p213058 +aS';\t;\t:\tO\tO' +p213059 +aS'however\thowever\tRB\tB-ADVP\tO' +p213060 +aS',\t,\t,\tO\tO' +p213061 +aS'by\tby\tIN\tB-PP\tO' +p213062 +aS'personality\tpersonality\tNN\tB-NP\tO' +p213063 +aS',\t,\t,\tO\tO' +p213064 +aS'he\the\tPRP\tB-NP\tO' +p213065 +aS'is\tbe\tVBZ\tB-VP\tO' +p213066 +aS'somewhat\tsomewhat\tRB\tB-ADJP\tO' +p213067 +aS'cantankerous\tcantankerous\tJJ\tI-ADJP\tO' +p213068 +aS'and\tand\tCC\tO\tO' +p213069 +aS'demanding\tdemand\tVBG\tB-VP\tO' +p213070 +aS'of\tof\tIN\tB-PP\tO' +p213071 +aS'the\tthe\tDT\tB-NP\tO' +p213072 +aS'nurses\tnurse\tNNS\tI-NP\tO' +p213073 +aS'.\t.\t.\tO\tO' +p213074 +asS'Unremarkable pregnancy except for minor fullness of the left renal pelvis reported during the week prior to delivery .' +p213075 +(lp213076 +S'Unremarkable\tUnremarkable\tJJ\tB-NP\tO' +p213077 +aS'pregnancy\tpregnancy\tNN\tI-NP\tO' +p213078 +aS'except\texcept\tIN\tB-PP\tO' +p213079 +aS'for\tfor\tIN\tB-PP\tO' +p213080 +aS'minor\tminor\tJJ\tB-NP\tO' +p213081 +aS'fullness\tfullness\tNN\tI-NP\tO' +p213082 +aS'of\tof\tIN\tB-PP\tO' +p213083 +aS'the\tthe\tDT\tB-NP\tO' +p213084 +aS'left\tleft\tJJ\tI-NP\tO' +p213085 +aS'renal\trenal\tJJ\tI-NP\tO' +p213086 +aS'pelvis\tpelvis\tNN\tI-NP\tO' +p213087 +aS'reported\treport\tVBN\tB-VP\tO' +p213088 +aS'during\tduring\tIN\tB-PP\tO' +p213089 +aS'the\tthe\tDT\tB-NP\tO' +p213090 +aS'week\tweek\tNN\tI-NP\tO' +p213091 +aS'prior\tprior\tRB\tB-ADVP\tO' +p213092 +aS'to\tto\tTO\tB-PP\tO' +p213093 +aS'delivery\tdelivery\tNN\tB-NP\tO' +p213094 +aS'.\t.\t.\tO\tO' +p213095 +asS'1st cytology negative .' +p213096 +(lp213097 +S'1st\t1st\tJJ\tB-NP\tO' +p213098 +aS'cytology\tcytology\tNN\tI-NP\tO' +p213099 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p213100 +aS'.\t.\t.\tO\tO' +p213101 +asS'The decision was made to start the patient on lisinopril , and the initial dose of 7.5 mg was increased to 10 mg daily by the day of discharge in order to control his pressure more tightly .' +p213102 +(lp213103 +S'The\tThe\tDT\tB-NP\tO' +p213104 +aS'decision\tdecision\tNN\tI-NP\tO' +p213105 +aS'was\tbe\tVBD\tB-VP\tO' +p213106 +aS'made\tmake\tVBN\tI-VP\tO' +p213107 +aS'to\tto\tTO\tB-VP\tO' +p213108 +aS'start\tstart\tVB\tI-VP\tO' +p213109 +aS'the\tthe\tDT\tB-NP\tO' +p213110 +aS'patient\tpatient\tNN\tI-NP\tO' +p213111 +aS'on\ton\tIN\tB-PP\tO' +p213112 +aS'lisinopril\tlisinopril\tNN\tB-NP\tO' +p213113 +aS',\t,\t,\tO\tO' +p213114 +aS'and\tand\tCC\tO\tO' +p213115 +aS'the\tthe\tDT\tB-NP\tO' +p213116 +aS'initial\tinitial\tJJ\tI-NP\tO' +p213117 +aS'dose\tdose\tNN\tI-NP\tO' +p213118 +aS'of\tof\tIN\tB-PP\tO' +p213119 +aS'7.5\t7.5\tCD\tB-NP\tO' +p213120 +aS'mg\tmg\tNN\tI-NP\tO' +p213121 +aS'was\tbe\tVBD\tB-VP\tO' +p213122 +aS'increased\tincrease\tVBN\tI-VP\tO' +p213123 +aS'to\tto\tTO\tB-PP\tO' +p213124 +aS'10\t10\tCD\tB-NP\tO' +p213125 +aS'mg\tmg\tNN\tI-NP\tO' +p213126 +aS'daily\tdaily\tRB\tB-ADVP\tO' +p213127 +aS'by\tby\tIN\tB-PP\tO' +p213128 +aS'the\tthe\tDT\tB-NP\tO' +p213129 +aS'day\tday\tNN\tI-NP\tO' +p213130 +aS'of\tof\tIN\tB-PP\tO' +p213131 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p213132 +aS'in\tin\tIN\tB-SBAR\tO' +p213133 +aS'order\torder\tNN\tO\tO' +p213134 +aS'to\tto\tTO\tB-VP\tO' +p213135 +aS'control\tcontrol\tVB\tI-VP\tO' +p213136 +aS'his\this\tPRP$\tB-NP\tO' +p213137 +aS'pressure\tpressure\tNN\tI-NP\tO' +p213138 +aS'more\tmore\tRBR\tB-ADVP\tO' +p213139 +aS'tightly\ttightly\tRB\tI-ADVP\tO' +p213140 +aS'.\t.\t.\tO\tO' +p213141 +asS'This pregnancy was complicate by triplet gestation , cervical shortening , and pregnancy induced hypertension .' +p213142 +(lp213143 +S'This\tThis\tDT\tB-NP\tO' +p213144 +aS'pregnancy\tpregnancy\tNN\tI-NP\tO' +p213145 +aS'was\tbe\tVBD\tB-VP\tO' +p213146 +aS'complicate\tcomplicate\tJJ\tB-ADJP\tO' +p213147 +aS'by\tby\tIN\tB-PP\tO' +p213148 +aS'triplet\ttriplet\tJJ\tB-NP\tO' +p213149 +aS'gestation\tgestation\tNN\tI-NP\tO' +p213150 +aS',\t,\t,\tO\tO' +p213151 +aS'cervical\tcervical\tJJ\tB-NP\tO' +p213152 +aS'shortening\tshortening\tNN\tI-NP\tO' +p213153 +aS',\t,\t,\tO\tO' +p213154 +aS'and\tand\tCC\tO\tO' +p213155 +aS'pregnancy\tpregnancy\tNN\tB-NP\tO' +p213156 +aS'induced\tinduce\tVBD\tB-VP\tO' +p213157 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p213158 +aS'.\t.\t.\tO\tO' +p213159 +asS'#. CHF : normal EF on TTE so possibly with diastolic dysfunction , ruled out for MI' +p213160 +(lp213161 +S'#.\t#.\tJJ\tB-NP\tO' +p213162 +aS'CHF\tCHF\tNN\tI-NP\tO' +p213163 +aS':\t:\t:\tO\tO' +p213164 +aS'normal\tnormal\tJJ\tB-NP\tO' +p213165 +aS'EF\tEF\tNN\tI-NP\tO' +p213166 +aS'on\ton\tIN\tB-PP\tO' +p213167 +aS'TTE\tTTE\tNN\tB-NP\tO' +p213168 +aS'so\tso\tRB\tB-ADVP\tO' +p213169 +aS'possibly\tpossibly\tRB\tI-ADVP\tO' +p213170 +aS'with\twith\tIN\tB-PP\tO' +p213171 +aS'diastolic\tdiastolic\tJJ\tB-NP\tO' +p213172 +aS'dysfunction\tdysfunction\tNN\tI-NP\tO' +p213173 +aS',\t,\t,\tO\tO' +p213174 +aS'ruled\trule\tVBD\tB-VP\tO' +p213175 +aS'out\tout\tRP\tB-PRT\tO' +p213176 +aS'for\tfor\tIN\tB-PP\tO' +p213177 +aS'MI\tMI\tNN\tB-NP\tO' +p213178 +asS'He started to notice inflammation of his L calf / leg worse 2 days prior to presentation .' +p213179 +(lp213180 +S'He\tHe\tPRP\tB-NP\tO' +p213181 +aS'started\tstart\tVBD\tB-VP\tO' +p213182 +aS'to\tto\tTO\tI-VP\tO' +p213183 +aS'notice\tnotice\tVB\tI-VP\tO' +p213184 +aS'inflammation\tinflammation\tNN\tB-NP\tO' +p213185 +aS'of\tof\tIN\tB-PP\tO' +p213186 +aS'his\this\tPRP$\tB-NP\tB-protein' +p213187 +aS'L\tL\tNN\tI-NP\tI-protein' +p213188 +aS'calf\tcalf\tNN\tI-NP\tI-protein' +p213189 +aS'/\t/\tSYM\tB-VP\tO' +p213190 +aS'leg\tleg\tNN\tB-NP\tO' +p213191 +aS'worse\tworse\tJJR\tI-NP\tO' +p213192 +aS'2\t2\tCD\tI-NP\tO' +p213193 +aS'days\tday\tNNS\tI-NP\tO' +p213194 +aS'prior\tprior\tRB\tB-ADVP\tO' +p213195 +aS'to\tto\tTO\tB-PP\tO' +p213196 +aS'presentation\tpresentation\tNN\tB-NP\tO' +p213197 +aS'.\t.\t.\tO\tO' +p213198 +asS'Continue to monitor for sign of infection .' +p213199 +(lp213200 +S'Continue\tContinue\tNNP\tB-NP\tO' +p213201 +aS'to\tto\tTO\tB-VP\tO' +p213202 +aS'monitor\tmonitor\tVB\tI-VP\tO' +p213203 +aS'for\tfor\tIN\tB-PP\tO' +p213204 +aS'sign\tsign\tNN\tB-NP\tO' +p213205 +aS'of\tof\tIN\tB-PP\tO' +p213206 +aS'infection\tinfection\tNN\tB-NP\tO' +p213207 +aS'.\t.\t.\tO\tO' +p213208 +asS'The differential diagnoses at this point consisted of hematoma vs. neoplasm vs. an abscess vs. a thyroid tumor .' +p213209 +(lp213210 +S'The\tThe\tDT\tB-NP\tO' +p213211 +aS'differential\tdifferential\tJJ\tI-NP\tO' +p213212 +aS'diagnoses\tdiagnosis\tNNS\tI-NP\tO' +p213213 +aS'at\tat\tIN\tB-PP\tO' +p213214 +aS'this\tthis\tDT\tB-NP\tO' +p213215 +aS'point\tpoint\tNN\tI-NP\tO' +p213216 +aS'consisted\tconsist\tVBD\tB-VP\tO' +p213217 +aS'of\tof\tIN\tB-PP\tO' +p213218 +aS'hematoma\thematoma\tNN\tB-NP\tO' +p213219 +aS'vs.\tvs.\tCC\tB-PP\tO' +p213220 +aS'neoplasm\tneoplasm\tNN\tB-NP\tO' +p213221 +aS'vs.\tvs.\tIN\tB-PP\tO' +p213222 +aS'an\tan\tDT\tB-NP\tO' +p213223 +aS'abscess\tabscess\tNN\tI-NP\tO' +p213224 +aS'vs.\tvs.\tIN\tB-PP\tO' +p213225 +aS'a\ta\tDT\tB-NP\tO' +p213226 +aS'thyroid\tthyroid\tJJ\tI-NP\tO' +p213227 +aS'tumor\ttumor\tNN\tI-NP\tO' +p213228 +aS'.\t.\t.\tO\tO' +p213229 +asS'4. Hypoxia .' +p213230 +(lp213231 +S'4.\t4.\tLS\tB-NP\tO' +p213232 +aS'Hypoxia\tHypoxia\tNN\tI-NP\tO' +p213233 +aS'.\t.\t.\tO\tO' +p213234 +asS'In terms of exploring his visual space , he was able to look to the left , and it was not possible to elicit clear evidence for a field deficit .' +p213235 +(lp213236 +S'In\tIn\tIN\tB-PP\tO' +p213237 +aS'terms\tterm\tNNS\tB-NP\tO' +p213238 +aS'of\tof\tIN\tB-PP\tO' +p213239 +aS'exploring\texplore\tVBG\tB-VP\tO' +p213240 +aS'his\this\tPRP$\tB-NP\tO' +p213241 +aS'visual\tvisual\tJJ\tI-NP\tO' +p213242 +aS'space\tspace\tNN\tI-NP\tO' +p213243 +aS',\t,\t,\tO\tO' +p213244 +aS'he\the\tPRP\tB-NP\tO' +p213245 +aS'was\tbe\tVBD\tB-VP\tO' +p213246 +aS'able\table\tJJ\tB-ADJP\tO' +p213247 +aS'to\tto\tTO\tB-VP\tO' +p213248 +aS'look\tlook\tVB\tI-VP\tO' +p213249 +aS'to\tto\tTO\tB-PP\tO' +p213250 +aS'the\tthe\tDT\tB-NP\tO' +p213251 +aS'left\tleft\tNN\tI-NP\tO' +p213252 +aS',\t,\t,\tO\tO' +p213253 +aS'and\tand\tCC\tO\tO' +p213254 +aS'it\tit\tPRP\tB-NP\tO' +p213255 +aS'was\tbe\tVBD\tB-VP\tO' +p213256 +aS'not\tnot\tRB\tO\tO' +p213257 +aS'possible\tpossible\tJJ\tB-ADJP\tO' +p213258 +aS'to\tto\tTO\tB-VP\tO' +p213259 +aS'elicit\telicit\tVB\tI-VP\tO' +p213260 +aS'clear\tclear\tJJ\tB-NP\tO' +p213261 +aS'evidence\tevidence\tNN\tI-NP\tO' +p213262 +aS'for\tfor\tIN\tB-PP\tO' +p213263 +aS'a\ta\tDT\tB-NP\tO' +p213264 +aS'field\tfield\tNN\tI-NP\tO' +p213265 +aS'deficit\tdeficit\tNN\tI-NP\tO' +p213266 +aS'.\t.\t.\tO\tO' +p213267 +asS'She is obese .' +p213268 +(lp213269 +S'She\tShe\tPRP\tB-NP\tO' +p213270 +aS'is\tbe\tVBZ\tB-VP\tO' +p213271 +aS'obese\tobese\tJJ\tB-ADJP\tO' +p213272 +aS'.\t.\t.\tO\tO' +p213273 +asS'Since 2/21 , he has had increasing weight loss of 30-49 pounds , night sweats which he attributed to the prednisone and increased fatigue and myalgias .' +p213274 +(lp213275 +S'Since\tSince\tIN\tB-PP\tO' +p213276 +aS'2/21\t2/21\tCD\tB-NP\tO' +p213277 +aS',\t,\t,\tO\tO' +p213278 +aS'he\the\tPRP\tB-NP\tO' +p213279 +aS'has\thave\tVBZ\tB-VP\tO' +p213280 +aS'had\thave\tVBN\tI-VP\tO' +p213281 +aS'increasing\tincrease\tVBG\tB-NP\tO' +p213282 +aS'weight\tweight\tNN\tI-NP\tO' +p213283 +aS'loss\tloss\tNN\tI-NP\tO' +p213284 +aS'of\tof\tIN\tB-PP\tO' +p213285 +aS'30-49\t30-49\tCD\tB-NP\tO' +p213286 +aS'pounds\tpound\tNNS\tI-NP\tO' +p213287 +aS',\t,\t,\tO\tO' +p213288 +aS'night\tnight\tNN\tB-NP\tO' +p213289 +aS'sweats\tsweat\tNNS\tI-NP\tO' +p213290 +aS'which\twhich\tWDT\tB-NP\tO' +p213291 +aS'he\the\tPRP\tB-NP\tO' +p213292 +aS'attributed\tattribute\tVBD\tB-VP\tO' +p213293 +aS'to\tto\tTO\tB-PP\tO' +p213294 +aS'the\tthe\tDT\tB-NP\tO' +p213295 +aS'prednisone\tprednisone\tNN\tI-NP\tO' +p213296 +aS'and\tand\tCC\tO\tO' +p213297 +aS'increased\tincrease\tVBD\tB-VP\tO' +p213298 +aS'fatigue\tfatigue\tNN\tB-NP\tO' +p213299 +aS'and\tand\tCC\tI-NP\tO' +p213300 +aS'myalgias\tmyalgia\tNNS\tI-NP\tO' +p213301 +aS'.\t.\t.\tO\tO' +p213302 +asS'There is no hepatosplenomegaly .' +p213303 +(lp213304 +S'There\tThere\tEX\tB-NP\tO' +p213305 +aS'is\tbe\tVBZ\tB-VP\tO' +p213306 +aS'no\tno\tDT\tB-NP\tO' +p213307 +aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tI-NP\tO' +p213308 +aS'.\t.\t.\tO\tO' +p213309 +asS'T - waves were also noted to be inverted in I and AVL .' +p213310 +(lp213311 +S'T\tT\tNN\tB-NP\tO' +p213312 +aS'-\t-\tHYPH\tI-NP\tO' +p213313 +aS'waves\twave\tNNS\tI-NP\tO' +p213314 +aS'were\tbe\tVBD\tB-VP\tO' +p213315 +aS'also\talso\tRB\tI-VP\tO' +p213316 +aS'noted\tnote\tVBN\tI-VP\tO' +p213317 +aS'to\tto\tTO\tI-VP\tO' +p213318 +aS'be\tbe\tVB\tI-VP\tO' +p213319 +aS'inverted\tinvert\tVBN\tI-VP\tO' +p213320 +aS'in\tin\tIN\tB-PP\tO' +p213321 +aS'I\tI\tNN\tB-NP\tO' +p213322 +aS'and\tand\tCC\tI-NP\tO' +p213323 +aS'AVL\tAVL\tNN\tI-NP\tO' +p213324 +aS'.\t.\t.\tO\tO' +p213325 +asS'Trazodone 50 mg. qhs. multivitamins 1 po. qd .' +p213326 +(lp213327 +S'Trazodone\tTrazodone\tNN\tB-NP\tO' +p213328 +aS'50\t50\tCD\tI-NP\tO' +p213329 +aS'mg.\tmg.\tNN\tI-NP\tO' +p213330 +aS'qhs.\tqhs.\tNN\tI-NP\tO' +p213331 +aS'multivitamins\tmultivitamin\tNNS\tI-NP\tO' +p213332 +aS'1\t1\tCD\tI-NP\tO' +p213333 +aS'po.\tpo.\tNN\tI-NP\tO' +p213334 +aS'qd\tqd\tNN\tI-NP\tO' +p213335 +aS'.\t.\t.\tO\tO' +p213336 +asS'3. Knee surgery .' +p213337 +(lp213338 +S'3.\t3.\tLS\tB-NP\tO' +p213339 +aS'Knee\tKnee\tNN\tI-NP\tO' +p213340 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p213341 +aS'.\t.\t.\tO\tO' +p213342 +asS'6. CHOLANGITIS .' +p213343 +(lp213344 +S'6.\t6.\tLS\tB-NP\tO' +p213345 +aS'CHOLANGITIS\tCHOLANGITIS\tNN\tI-NP\tO' +p213346 +aS'.\t.\t.\tO\tO' +p213347 +asS'Fibrinogen was 346 .' +p213348 +(lp213349 +S'Fibrinogen\tFibrinogen\tNN\tB-NP\tB-protein' +p213350 +aS'was\tbe\tVBD\tB-VP\tO' +p213351 +aS'346\t346\tCD\tB-NP\tO' +p213352 +aS'.\t.\t.\tO\tO' +p213353 +asS'Chest X-Ray was unremarkable .' +p213354 +(lp213355 +S'Chest\tChest\tNNP\tB-NP\tO' +p213356 +aS'X-Ray\tX-Ray\tNNP\tI-NP\tO' +p213357 +aS'was\tbe\tVBD\tB-VP\tO' +p213358 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p213359 +aS'.\t.\t.\tO\tO' +p213360 +asS'An invasive moderately differentiated adenocarcinoma was noted in the transverse colon at 80 cm .' +p213361 +(lp213362 +S'An\tAn\tDT\tB-NP\tO' +p213363 +aS'invasive\tinvasive\tJJ\tI-NP\tO' +p213364 +aS'moderately\tmoderately\tRB\tI-NP\tO' +p213365 +aS'differentiated\tdifferentiate\tVBN\tI-NP\tO' +p213366 +aS'adenocarcinoma\tadenocarcinoma\tNN\tI-NP\tO' +p213367 +aS'was\tbe\tVBD\tB-VP\tO' +p213368 +aS'noted\tnote\tVBN\tI-VP\tO' +p213369 +aS'in\tin\tIN\tB-PP\tO' +p213370 +aS'the\tthe\tDT\tB-NP\tO' +p213371 +aS'transverse\ttransverse\tJJ\tI-NP\tO' +p213372 +aS'colon\tcolon\tNN\tI-NP\tO' +p213373 +aS'at\tat\tIN\tB-PP\tO' +p213374 +aS'80\t80\tCD\tB-NP\tO' +p213375 +aS'cm\tcm\tNN\tI-NP\tO' +p213376 +aS'.\t.\t.\tO\tO' +p213377 +asS'If you need additional information please call 639-873-2993 .' +p213378 +(lp213379 +S'If\tIf\tIN\tB-SBAR\tO' +p213380 +aS'you\tyou\tPRP\tB-NP\tO' +p213381 +aS'need\tneed\tVBP\tB-VP\tO' +p213382 +aS'additional\tadditional\tJJ\tB-NP\tO' +p213383 +aS'information\tinformation\tNN\tI-NP\tO' +p213384 +aS'please\tplease\tNN\tI-NP\tO' +p213385 +aS'call\tcall\tNN\tI-NP\tO' +p213386 +aS'639-873-2993\t639-873-2993\tCD\tI-NP\tO' +p213387 +aS'.\t.\t.\tO\tO' +p213388 +asS'He will probably need potassium and magnesium replacement .' +p213389 +(lp213390 +S'He\tHe\tPRP\tB-NP\tO' +p213391 +aS'will\twill\tMD\tB-VP\tO' +p213392 +aS'probably\tprobably\tRB\tI-VP\tO' +p213393 +aS'need\tneed\tVB\tI-VP\tO' +p213394 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p213395 +aS'and\tand\tCC\tI-NP\tO' +p213396 +aS'magnesium\tmagnesium\tNN\tI-NP\tO' +p213397 +aS'replacement\treplacement\tNN\tI-NP\tO' +p213398 +aS'.\t.\t.\tO\tO' +p213399 +asS"The patient 's blood pressures remained stable during his stay ." +p213400 +(lp213401 +S'The\tThe\tDT\tB-NP\tO' +p213402 +aS'patient\tpatient\tNN\tI-NP\tO' +p213403 +aS"'s\t's\tPOS\tB-NP\tO" +p213404 +aS'blood\tblood\tNN\tI-NP\tO' +p213405 +aS'pressures\tpressure\tNNS\tI-NP\tO' +p213406 +aS'remained\tremain\tVBD\tB-VP\tO' +p213407 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p213408 +aS'during\tduring\tIN\tB-PP\tO' +p213409 +aS'his\this\tPRP$\tB-NP\tO' +p213410 +aS'stay\tstay\tNN\tI-NP\tO' +p213411 +aS'.\t.\t.\tO\tO' +p213412 +asS'Attending : Patricia H Leonard , M.D.' +p213413 +(lp213414 +S'Attending\tAttend\tVBG\tB-VP\tO' +p213415 +aS':\t:\t:\tO\tO' +p213416 +aS'Patricia\tPatricia\tNNP\tB-NP\tO' +p213417 +aS'H\tH\tNNP\tI-NP\tO' +p213418 +aS'Leonard\tLeonard\tNNP\tI-NP\tO' +p213419 +aS',\t,\t,\tO\tO' +p213420 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p213421 +asS'Her hematocrit was 37.2 with a white blood count of 6.6 .' +p213422 +(lp213423 +S'Her\tHer\tPRP$\tB-NP\tO' +p213424 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p213425 +aS'was\tbe\tVBD\tB-VP\tO' +p213426 +aS'37.2\t37.2\tCD\tB-NP\tO' +p213427 +aS'with\twith\tIN\tB-PP\tO' +p213428 +aS'a\ta\tDT\tB-NP\tO' +p213429 +aS'white\twhite\tJJ\tI-NP\tO' +p213430 +aS'blood\tblood\tNN\tI-NP\tO' +p213431 +aS'count\tcount\tNN\tI-NP\tO' +p213432 +aS'of\tof\tIN\tB-PP\tO' +p213433 +aS'6.6\t6.6\tCD\tB-NP\tO' +p213434 +aS'.\t.\t.\tO\tO' +p213435 +asS'The electrocardiogram showed normal sinus rhythm with old Q wave inferior myocardial infarction .' +p213436 +(lp213437 +S'The\tThe\tDT\tB-NP\tO' +p213438 +aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' +p213439 +aS'showed\tshow\tVBD\tB-VP\tO' +p213440 +aS'normal\tnormal\tJJ\tB-NP\tO' +p213441 +aS'sinus\tsinus\tNN\tI-NP\tO' +p213442 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p213443 +aS'with\twith\tIN\tB-PP\tO' +p213444 +aS'old\told\tJJ\tB-NP\tB-DNA' +p213445 +aS'Q\tQ\tNN\tI-NP\tI-DNA' +p213446 +aS'wave\twave\tVBP\tB-VP\tO' +p213447 +aS'inferior\tinferior\tJJ\tB-NP\tO' +p213448 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p213449 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p213450 +aS'.\t.\t.\tO\tO' +p213451 +asS'The fluid culture was no growth to date .' +p213452 +(lp213453 +S'The\tThe\tDT\tB-NP\tO' +p213454 +aS'fluid\tfluid\tNN\tI-NP\tO' +p213455 +aS'culture\tculture\tNN\tI-NP\tO' +p213456 +aS'was\tbe\tVBD\tB-VP\tO' +p213457 +aS'no\tno\tDT\tB-NP\tO' +p213458 +aS'growth\tgrowth\tNN\tI-NP\tO' +p213459 +aS'to\tto\tTO\tB-PP\tO' +p213460 +aS'date\tdate\tNN\tB-NP\tO' +p213461 +aS'.\t.\t.\tO\tO' +p213462 +asS'Mildly hypoactive bowelsounds .' +p213463 +(lp213464 +S'Mildly\tMildly\tRB\tB-NP\tO' +p213465 +aS'hypoactive\thypoactive\tJJ\tI-NP\tO' +p213466 +aS'bowelsounds\tbowelsound\tNNS\tI-NP\tO' +p213467 +aS'.\t.\t.\tO\tO' +p213468 +asS'No beta blockers was started because of his history of hypertension with beta blockers and because his blood pressure of only 110/70 .' +p213469 +(lp213470 +S'No\tNo\tDT\tB-NP\tO' +p213471 +aS'beta\tbeta\tNN\tI-NP\tO' +p213472 +aS'blockers\tblocker\tNNS\tI-NP\tO' +p213473 +aS'was\tbe\tVBD\tB-VP\tO' +p213474 +aS'started\tstart\tVBN\tI-VP\tO' +p213475 +aS'because\tbecause\tIN\tB-PP\tO' +p213476 +aS'of\tof\tIN\tI-PP\tO' +p213477 +aS'his\this\tPRP$\tB-NP\tO' +p213478 +aS'history\thistory\tNN\tI-NP\tO' +p213479 +aS'of\tof\tIN\tB-PP\tO' +p213480 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p213481 +aS'with\twith\tIN\tB-PP\tO' +p213482 +aS'beta\tbeta\tNN\tB-NP\tO' +p213483 +aS'blockers\tblocker\tNNS\tI-NP\tO' +p213484 +aS'and\tand\tCC\tO\tO' +p213485 +aS'because\tbecause\tIN\tB-SBAR\tO' +p213486 +aS'his\this\tPRP$\tB-NP\tO' +p213487 +aS'blood\tblood\tNN\tI-NP\tO' +p213488 +aS'pressure\tpressure\tNN\tI-NP\tO' +p213489 +aS'of\tof\tIN\tB-PP\tO' +p213490 +aS'only\tonly\tRB\tB-NP\tO' +p213491 +aS'110/70\t110/70\tCD\tI-NP\tO' +p213492 +aS'.\t.\t.\tO\tO' +p213493 +asS'Per notes , pathology demonstrated biliary ductal adenocarcinoma ( T3N0M0 ) stage Margit .' +p213494 +(lp213495 +S'Per\tPer\tNN\tB-NP\tO' +p213496 +aS'notes\tnote\tNNS\tI-NP\tO' +p213497 +aS',\t,\t,\tO\tO' +p213498 +aS'pathology\tpathology\tNN\tB-NP\tO' +p213499 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p213500 +aS'biliary\tbiliary\tJJ\tB-NP\tO' +p213501 +aS'ductal\tductal\tJJ\tI-NP\tO' +p213502 +aS'adenocarcinoma\tadenocarcinoma\tNN\tI-NP\tO' +p213503 +aS'(\t(\t(\tO\tO' +p213504 +aS'T3N0M0\tT3N0M0\tNN\tB-NP\tO' +p213505 +aS')\t)\t)\tO\tO' +p213506 +aS'stage\tstage\tNN\tB-NP\tO' +p213507 +aS'Margit\tMargit\tNN\tI-NP\tO' +p213508 +aS'.\t.\t.\tO\tO' +p213509 +asS'The infant emerged vigorous , was dried , bulb suctioned and given free flow oxygen .' +p213510 +(lp213511 +S'The\tThe\tDT\tB-NP\tO' +p213512 +aS'infant\tinfant\tNN\tI-NP\tO' +p213513 +aS'emerged\temerge\tVBD\tB-VP\tO' +p213514 +aS'vigorous\tvigorous\tJJ\tB-ADJP\tO' +p213515 +aS',\t,\t,\tO\tO' +p213516 +aS'was\tbe\tVBD\tB-VP\tO' +p213517 +aS'dried\tdry\tVBN\tI-VP\tO' +p213518 +aS',\t,\t,\tO\tO' +p213519 +aS'bulb\tbulb\tNN\tB-NP\tO' +p213520 +aS'suctioned\tsuctione\tVBN\tB-VP\tO' +p213521 +aS'and\tand\tCC\tO\tO' +p213522 +aS'given\tgive\tVBN\tB-VP\tO' +p213523 +aS'free\tfree\tJJ\tB-NP\tO' +p213524 +aS'flow\tflow\tNN\tI-NP\tO' +p213525 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p213526 +aS'.\t.\t.\tO\tO' +p213527 +asS'3. Hypercholesterolemia .' +p213528 +(lp213529 +S'3.\t3.\tLS\tB-NP\tO' +p213530 +aS'Hypercholesterolemia\tHypercholesterolemia\tNN\tI-NP\tO' +p213531 +aS'.\t.\t.\tO\tO' +p213532 +asS'Glucose 114 .' +p213533 +(lp213534 +S'Glucose\tGlucose\tNN\tB-NP\tB-protein' +p213535 +aS'114\t114\tCD\tI-NP\tI-protein' +p213536 +aS'.\t.\t.\tO\tO' +p213537 +asS'The does was titrated to the patient 's need for comfort and was eventually tapered .' +p213538 +(lp213539 +S'The\tThe\tDT\tB-NP\tO' +p213540 +aS'does\tdo\tVBZ\tB-VP\tO' +p213541 +aS'was\tbe\tVBD\tI-VP\tO' +p213542 +aS'titrated\ttitrate\tVBN\tI-VP\tO' +p213543 +aS'to\tto\tTO\tB-PP\tO' +p213544 +aS'the\tthe\tDT\tB-NP\tO' +p213545 +aS'patient\tpatient\tNN\tI-NP\tO' +p213546 +aS''s\t'\tNNS\tI-NP\tO' +p213547 +aS'need\tneed\tVBP\tB-VP\tO' +p213548 +aS'for\tfor\tIN\tB-PP\tO' +p213549 +aS'comfort\tcomfort\tNN\tB-NP\tO' +p213550 +aS'and\tand\tCC\tO\tO' +p213551 +aS'was\tbe\tVBD\tB-VP\tO' +p213552 +aS'eventually\teventually\tRB\tI-VP\tO' +p213553 +aS'tapered\ttaper\tVBN\tI-VP\tO' +p213554 +aS'.\t.\t.\tO\tO' +p213555 +asS'On postoperative day three , it was apparent that , despite an oxygen saturation of 99% on three liters , that the patient was still in a respiratory acidosis , and he received aggressive pulmonary toilette .' +p213556 +(lp213557 +S'On\tOn\tIN\tB-PP\tO' +p213558 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p213559 +aS'day\tday\tNN\tI-NP\tO' +p213560 +aS'three\tthree\tCD\tI-NP\tO' +p213561 +aS',\t,\t,\tO\tO' +p213562 +aS'it\tit\tPRP\tB-NP\tO' +p213563 +aS'was\tbe\tVBD\tB-VP\tO' +p213564 +aS'apparent\tapparent\tJJ\tB-ADJP\tO' +p213565 +aS'that\tthat\tIN\tB-SBAR\tO' +p213566 +aS',\t,\t,\tO\tO' +p213567 +aS'despite\tdespite\tIN\tB-PP\tO' +p213568 +aS'an\tan\tDT\tB-NP\tO' +p213569 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p213570 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p213571 +aS'of\tof\tIN\tB-PP\tO' +p213572 +aS'99%\t99%\tCD\tB-NP\tO' +p213573 +aS'on\ton\tIN\tB-PP\tO' +p213574 +aS'three\tthree\tCD\tB-NP\tO' +p213575 +aS'liters\tliter\tNNS\tI-NP\tO' +p213576 +aS',\t,\t,\tO\tO' +p213577 +aS'that\tthat\tIN\tB-SBAR\tO' +p213578 +aS'the\tthe\tDT\tB-NP\tO' +p213579 +aS'patient\tpatient\tNN\tI-NP\tO' +p213580 +aS'was\tbe\tVBD\tB-VP\tO' +p213581 +aS'still\tstill\tRB\tB-ADVP\tO' +p213582 +aS'in\tin\tIN\tB-PP\tO' +p213583 +aS'a\ta\tDT\tB-NP\tO' +p213584 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p213585 +aS'acidosis\tacidosis\tNN\tI-NP\tO' +p213586 +aS',\t,\t,\tO\tO' +p213587 +aS'and\tand\tCC\tO\tO' +p213588 +aS'he\the\tPRP\tB-NP\tO' +p213589 +aS'received\treceive\tVBD\tB-VP\tO' +p213590 +aS'aggressive\taggressive\tJJ\tB-NP\tO' +p213591 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p213592 +aS'toilette\ttoilette\tNN\tI-NP\tO' +p213593 +aS'.\t.\t.\tO\tO' +p213594 +asS'She was able to tolerate diet , ambulate , having a bowel movement and dischargo home in good conditions .' +p213595 +(lp213596 +S'She\tShe\tPRP\tB-NP\tO' +p213597 +aS'was\tbe\tVBD\tB-VP\tO' +p213598 +aS'able\table\tJJ\tB-ADJP\tO' +p213599 +aS'to\tto\tTO\tB-VP\tO' +p213600 +aS'tolerate\ttolerate\tVB\tI-VP\tO' +p213601 +aS'diet\tdiet\tNN\tB-NP\tO' +p213602 +aS',\t,\t,\tO\tO' +p213603 +aS'ambulate\tambulate\tVBP\tB-VP\tO' +p213604 +aS',\t,\t,\tO\tO' +p213605 +aS'having\thave\tVBG\tB-VP\tO' +p213606 +aS'a\ta\tDT\tB-NP\tO' +p213607 +aS'bowel\tbowel\tNN\tI-NP\tO' +p213608 +aS'movement\tmovement\tNN\tI-NP\tO' +p213609 +aS'and\tand\tCC\tI-NP\tO' +p213610 +aS'dischargo\tdischargo\tNN\tI-NP\tO' +p213611 +aS'home\thome\tNN\tI-NP\tO' +p213612 +aS'in\tin\tIN\tB-PP\tO' +p213613 +aS'good\tgood\tJJ\tB-NP\tO' +p213614 +aS'conditions\tcondition\tNNS\tI-NP\tO' +p213615 +aS'.\t.\t.\tO\tO' +p213616 +asS'The patient has a history of neurogenic bladder and , therefore , she required a Foley catheterization .' +p213617 +(lp213618 +S'The\tThe\tDT\tB-NP\tO' +p213619 +aS'patient\tpatient\tNN\tI-NP\tO' +p213620 +aS'has\thave\tVBZ\tB-VP\tO' +p213621 +aS'a\ta\tDT\tB-NP\tO' +p213622 +aS'history\thistory\tNN\tI-NP\tO' +p213623 +aS'of\tof\tIN\tB-PP\tO' +p213624 +aS'neurogenic\tneurogenic\tJJ\tB-NP\tO' +p213625 +aS'bladder\tbladder\tNN\tI-NP\tO' +p213626 +aS'and\tand\tCC\tO\tO' +p213627 +aS',\t,\t,\tO\tO' +p213628 +aS'therefore\ttherefore\tRB\tB-ADVP\tO' +p213629 +aS',\t,\t,\tO\tO' +p213630 +aS'she\tshe\tPRP\tB-NP\tO' +p213631 +aS'required\trequire\tVBD\tB-VP\tO' +p213632 +aS'a\ta\tDT\tB-NP\tO' +p213633 +aS'Foley\tFoley\tNNP\tI-NP\tO' +p213634 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p213635 +aS'.\t.\t.\tO\tO' +p213636 +asS'On 9-28-92 , the patient will return for chemotherapy and she will follow up with her primary doctor , Dr. Jescspald , for repeat PT and Coumadin dosing on Monday , 9-14-02 .' +p213637 +(lp213638 +S'On\tOn\tIN\tB-PP\tO' +p213639 +aS'9-28-92\t9-28-92\tCD\tB-NP\tO' +p213640 +aS',\t,\t,\tO\tO' +p213641 +aS'the\tthe\tDT\tB-NP\tO' +p213642 +aS'patient\tpatient\tNN\tI-NP\tO' +p213643 +aS'will\twill\tMD\tB-VP\tO' +p213644 +aS'return\treturn\tVB\tI-VP\tO' +p213645 +aS'for\tfor\tIN\tB-PP\tO' +p213646 +aS'chemotherapy\tchemotherapy\tNN\tB-NP\tO' +p213647 +aS'and\tand\tCC\tO\tO' +p213648 +aS'she\tshe\tPRP\tB-NP\tO' +p213649 +aS'will\twill\tMD\tB-VP\tO' +p213650 +aS'follow\tfollow\tVB\tI-VP\tO' +p213651 +aS'up\tup\tRP\tB-PRT\tO' +p213652 +aS'with\twith\tIN\tB-PP\tO' +p213653 +aS'her\ther\tPRP$\tB-NP\tO' +p213654 +aS'primary\tprimary\tJJ\tI-NP\tO' +p213655 +aS'doctor\tdoctor\tNN\tI-NP\tO' +p213656 +aS',\t,\t,\tO\tO' +p213657 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p213658 +aS'Jescspald\tJescspald\tNNP\tI-NP\tO' +p213659 +aS',\t,\t,\tO\tO' +p213660 +aS'for\tfor\tIN\tB-PP\tO' +p213661 +aS'repeat\trepeat\tNN\tB-NP\tO' +p213662 +aS'PT\tPT\tNN\tI-NP\tO' +p213663 +aS'and\tand\tCC\tO\tO' +p213664 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p213665 +aS'dosing\tdosing\tNN\tI-NP\tO' +p213666 +aS'on\ton\tIN\tB-PP\tO' +p213667 +aS'Monday\tMonday\tNNP\tB-NP\tO' +p213668 +aS',\t,\t,\tO\tO' +p213669 +aS'9-14-02\t9-14-02\tCD\tB-NP\tO' +p213670 +aS'.\t.\t.\tO\tO' +p213671 +asS'EKG showed normal sinus rhythm with left ventricular hypertrophy and incomplete left bundle branch block .' +p213672 +(lp213673 +S'EKG\tEKG\tNN\tB-NP\tB-protein' +p213674 +aS'showed\tshow\tVBD\tB-VP\tO' +p213675 +aS'normal\tnormal\tJJ\tB-NP\tO' +p213676 +aS'sinus\tsinus\tNN\tI-NP\tO' +p213677 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p213678 +aS'with\twith\tIN\tB-PP\tO' +p213679 +aS'left\tleft\tJJ\tB-NP\tO' +p213680 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p213681 +aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' +p213682 +aS'and\tand\tCC\tO\tO' +p213683 +aS'incomplete\tincomplete\tJJ\tB-NP\tO' +p213684 +aS'left\tleft\tJJ\tI-NP\tO' +p213685 +aS'bundle\tbundle\tNN\tI-NP\tO' +p213686 +aS'branch\tbranch\tNN\tI-NP\tO' +p213687 +aS'block\tblock\tNN\tI-NP\tO' +p213688 +aS'.\t.\t.\tO\tO' +p213689 +asS'There was no neck vein distension or carotid bruits .' +p213690 +(lp213691 +S'There\tThere\tEX\tB-NP\tO' +p213692 +aS'was\tbe\tVBD\tB-VP\tO' +p213693 +aS'no\tno\tDT\tB-NP\tO' +p213694 +aS'neck\tneck\tNN\tI-NP\tO' +p213695 +aS'vein\tvein\tNN\tI-NP\tO' +p213696 +aS'distension\tdistension\tNN\tI-NP\tO' +p213697 +aS'or\tor\tCC\tI-NP\tO' +p213698 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p213699 +aS'bruits\tbruit\tNNS\tI-NP\tO' +p213700 +aS'.\t.\t.\tO\tO' +p213701 +asS'5. Status post cadaveric kidney transplant in 2012-09-21 .' +p213702 +(lp213703 +S'5.\t5.\tLS\tB-LST\tO' +p213704 +aS'Status\tStatus\tNNP\tB-NP\tO' +p213705 +aS'post\tpost\tIN\tB-PP\tO' +p213706 +aS'cadaveric\tcadaveric\tJJ\tB-NP\tO' +p213707 +aS'kidney\tkidney\tNN\tI-NP\tO' +p213708 +aS'transplant\ttransplant\tNN\tI-NP\tO' +p213709 +aS'in\tin\tIN\tB-PP\tO' +p213710 +aS'2012-09-21\t2012-09-21\tCD\tB-NP\tO' +p213711 +aS'.\t.\t.\tO\tO' +p213712 +asS'Temperature is 98.3 F. ; pulse is 76 ; blood pressure 113/52 ; breathing 18 ; 98% on room air .' +p213713 +(lp213714 +S'Temperature\tTemperature\tNN\tB-NP\tO' +p213715 +aS'is\tbe\tVBZ\tB-VP\tO' +p213716 +aS'98.3\t98.3\tCD\tB-NP\tO' +p213717 +aS'F.\tF.\tNNP\tI-NP\tO' +p213718 +aS';\t;\t:\tO\tO' +p213719 +aS'pulse\tpulse\tNN\tB-NP\tO' +p213720 +aS'is\tbe\tVBZ\tB-VP\tO' +p213721 +aS'76\t76\tCD\tB-NP\tO' +p213722 +aS';\t;\t:\tO\tO' +p213723 +aS'blood\tblood\tNN\tB-NP\tO' +p213724 +aS'pressure\tpressure\tNN\tI-NP\tO' +p213725 +aS'113/52\t113/52\tCD\tI-NP\tO' +p213726 +aS';\t;\t:\tO\tO' +p213727 +aS'breathing\tbreathing\tNN\tB-NP\tO' +p213728 +aS'18\t18\tCD\tI-NP\tO' +p213729 +aS';\t;\t:\tO\tO' +p213730 +aS'98%\t98%\tCD\tB-NP\tO' +p213731 +aS'on\ton\tIN\tB-PP\tO' +p213732 +aS'room\troom\tNN\tB-NP\tO' +p213733 +aS'air\tair\tNN\tI-NP\tO' +p213734 +aS'.\t.\t.\tO\tO' +p213735 +asS'The patient presented with a chief complaint of ABD PAIN .' +p213736 +(lp213737 +S'The\tThe\tDT\tB-NP\tO' +p213738 +aS'patient\tpatient\tNN\tI-NP\tO' +p213739 +aS'presented\tpresent\tVBD\tB-VP\tO' +p213740 +aS'with\twith\tIN\tB-PP\tO' +p213741 +aS'a\ta\tDT\tB-NP\tO' +p213742 +aS'chief\tchief\tJJ\tI-NP\tO' +p213743 +aS'complaint\tcomplaint\tNN\tI-NP\tO' +p213744 +aS'of\tof\tIN\tB-PP\tO' +p213745 +aS'ABD\tABD\tNN\tB-NP\tB-protein' +p213746 +aS'PAIN\tPAIN\tNN\tI-NP\tI-protein' +p213747 +aS'.\t.\t.\tO\tO' +p213748 +asS'Patient 's renal function returned to normal over several days , however .' +p213749 +(lp213750 +S'Patient\tPatient\tNN\tB-NP\tO' +p213751 +aS''s\t'\tNNS\tI-NP\tO' +p213752 +aS'renal\trenal\tJJ\tB-NP\tO' +p213753 +aS'function\tfunction\tNN\tI-NP\tO' +p213754 +aS'returned\treturn\tVBD\tB-VP\tO' +p213755 +aS'to\tto\tTO\tB-PP\tO' +p213756 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p213757 +aS'over\tover\tIN\tB-PP\tO' +p213758 +aS'several\tseveral\tJJ\tB-NP\tO' +p213759 +aS'days\tday\tNNS\tI-NP\tO' +p213760 +aS',\t,\t,\tO\tO' +p213761 +aS'however\thowever\tRB\tB-ADVP\tO' +p213762 +aS'.\t.\t.\tO\tO' +p213763 +asS'Past surgical history is notable of D and C in 1980 and cyst excision .' +p213764 +(lp213765 +S'Past\tPast\tJJ\tB-NP\tO' +p213766 +aS'surgical\tsurgical\tJJ\tI-NP\tO' +p213767 +aS'history\thistory\tNN\tI-NP\tO' +p213768 +aS'is\tbe\tVBZ\tB-VP\tO' +p213769 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p213770 +aS'of\tof\tIN\tB-PP\tO' +p213771 +aS'D\tD\tNN\tB-NP\tO' +p213772 +aS'and\tand\tCC\tI-NP\tO' +p213773 +aS'C\tC\tNN\tI-NP\tO' +p213774 +aS'in\tin\tIN\tB-PP\tO' +p213775 +aS'1980\t1980\tCD\tB-NP\tO' +p213776 +aS'and\tand\tCC\tO\tO' +p213777 +aS'cyst\tcyst\tNN\tB-NP\tO' +p213778 +aS'excision\texcision\tNN\tI-NP\tO' +p213779 +aS'.\t.\t.\tO\tO' +p213780 +asS'He was discharged in stable condition .' +p213781 +(lp213782 +S'He\tHe\tPRP\tB-NP\tO' +p213783 +aS'was\tbe\tVBD\tB-VP\tO' +p213784 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p213785 +aS'in\tin\tIN\tB-PP\tO' +p213786 +aS'stable\tstable\tJJ\tB-NP\tO' +p213787 +aS'condition\tcondition\tNN\tI-NP\tO' +p213788 +aS'.\t.\t.\tO\tO' +p213789 +asS'He was weaned from the ventilator and successfully extubated .' +p213790 +(lp213791 +S'He\tHe\tPRP\tB-NP\tO' +p213792 +aS'was\tbe\tVBD\tB-VP\tO' +p213793 +aS'weaned\twean\tVBN\tI-VP\tO' +p213794 +aS'from\tfrom\tIN\tB-PP\tO' +p213795 +aS'the\tthe\tDT\tB-NP\tO' +p213796 +aS'ventilator\tventilator\tNN\tI-NP\tO' +p213797 +aS'and\tand\tCC\tO\tO' +p213798 +aS'successfully\tsuccessfully\tRB\tB-VP\tO' +p213799 +aS'extubated\textubate\tVBN\tI-VP\tO' +p213800 +aS'.\t.\t.\tO\tO' +p213801 +asS'NO GROWTH .' +p213802 +(lp213803 +S'NO\tNO\tNN\tB-NP\tO' +p213804 +aS'GROWTH\tGROWTH\tNN\tI-NP\tO' +p213805 +aS'.\t.\t.\tO\tO' +p213806 +asS'Abdomen was soft , nontender , nondistended .' +p213807 +(lp213808 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p213809 +aS'was\tbe\tVBD\tB-VP\tO' +p213810 +aS'soft\tsoft\tJJ\tB-NP\tO' +p213811 +aS',\t,\t,\tI-NP\tO' +p213812 +aS'nontender\tnontender\tJJ\tI-NP\tO' +p213813 +aS',\t,\t,\tI-NP\tO' +p213814 +aS'nondistended\tnondistended\tJJ\tI-NP\tO' +p213815 +aS'.\t.\t.\tO\tO' +p213816 +asS'There are no known drug allergies .' +p213817 +(lp213818 +S'There\tThere\tEX\tB-NP\tO' +p213819 +aS'are\tbe\tVBP\tB-VP\tO' +p213820 +aS'no\tno\tDT\tB-NP\tO' +p213821 +aS'known\tknow\tVBN\tI-NP\tO' +p213822 +aS'drug\tdrug\tNN\tI-NP\tO' +p213823 +aS'allergies\tallergy\tNNS\tI-NP\tO' +p213824 +aS'.\t.\t.\tO\tO' +p213825 +asS'On the evening of the 18th , the patient continued to remain hemodynamically stable , although his oxygenation was clearly deteriorating and more marginal .' +p213826 +(lp213827 +S'On\tOn\tIN\tB-PP\tO' +p213828 +aS'the\tthe\tDT\tB-NP\tO' +p213829 +aS'evening\tevening\tNN\tI-NP\tO' +p213830 +aS'of\tof\tIN\tB-PP\tO' +p213831 +aS'the\tthe\tDT\tB-NP\tO' +p213832 +aS'18th\t18th\tNN\tI-NP\tO' +p213833 +aS',\t,\t,\tO\tO' +p213834 +aS'the\tthe\tDT\tB-NP\tO' +p213835 +aS'patient\tpatient\tNN\tI-NP\tO' +p213836 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p213837 +aS'to\tto\tTO\tI-VP\tO' +p213838 +aS'remain\tremain\tVB\tI-VP\tO' +p213839 +aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' +p213840 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p213841 +aS',\t,\t,\tO\tO' +p213842 +aS'although\talthough\tIN\tB-SBAR\tO' +p213843 +aS'his\this\tPRP$\tB-NP\tO' +p213844 +aS'oxygenation\toxygenation\tNN\tI-NP\tO' +p213845 +aS'was\tbe\tVBD\tB-VP\tO' +p213846 +aS'clearly\tclearly\tRB\tI-VP\tO' +p213847 +aS'deteriorating\tdeteriorate\tVBG\tI-VP\tO' +p213848 +aS'and\tand\tCC\tO\tO' +p213849 +aS'more\tmore\tRBR\tB-ADJP\tO' +p213850 +aS'marginal\tmarginal\tJJ\tI-ADJP\tO' +p213851 +aS'.\t.\t.\tO\tO' +p213852 +asS'Disp : *14 Tablet( s )*' +p213853 +(lp213854 +S'Disp\tDisp\tNN\tB-NP\tO' +p213855 +aS':\t:\t:\tO\tO' +p213856 +aS'*14\t*14\tCD\tB-NP\tO' +p213857 +aS'Tablet(\tTablet(\t(\tI-NP\tO' +p213858 +aS's\ts\tNN\tI-NP\tO' +p213859 +aS')*\t)*\tSYM\tB-NP\tO' +p213860 +asS'9. Left UE markedly more edematous than right UE , this could be from fracture , or there could be a clot , an abscess in the area also a possiblity .' +p213861 +(lp213862 +S'9.\t9.\tLS\tB-LST\tO' +p213863 +aS'Left\tLeft\tNNP\tB-NP\tO' +p213864 +aS'UE\tUE\tNNP\tI-NP\tO' +p213865 +aS'markedly\tmarkedly\tRB\tB-ADJP\tO' +p213866 +aS'more\tmore\tRBR\tI-ADJP\tO' +p213867 +aS'edematous\tedematous\tJJ\tI-ADJP\tO' +p213868 +aS'than\tthan\tIN\tB-PP\tO' +p213869 +aS'right\tright\tJJ\tB-NP\tO' +p213870 +aS'UE\tUE\tNN\tI-NP\tO' +p213871 +aS',\t,\t,\tO\tO' +p213872 +aS'this\tthis\tDT\tB-NP\tO' +p213873 +aS'could\tcould\tMD\tB-VP\tO' +p213874 +aS'be\tbe\tVB\tI-VP\tO' +p213875 +aS'from\tfrom\tIN\tB-PP\tO' +p213876 +aS'fracture\tfracture\tNN\tB-NP\tO' +p213877 +aS',\t,\t,\tO\tO' +p213878 +aS'or\tor\tCC\tO\tO' +p213879 +aS'there\tthere\tEX\tB-NP\tO' +p213880 +aS'could\tcould\tMD\tB-VP\tO' +p213881 +aS'be\tbe\tVB\tI-VP\tO' +p213882 +aS'a\ta\tDT\tB-NP\tO' +p213883 +aS'clot\tclot\tNN\tI-NP\tO' +p213884 +aS',\t,\t,\tO\tO' +p213885 +aS'an\tan\tDT\tB-NP\tO' +p213886 +aS'abscess\tabscess\tNN\tI-NP\tO' +p213887 +aS'in\tin\tIN\tB-PP\tO' +p213888 +aS'the\tthe\tDT\tB-NP\tO' +p213889 +aS'area\tarea\tNN\tI-NP\tO' +p213890 +aS'also\talso\tRB\tB-ADVP\tO' +p213891 +aS'a\ta\tDT\tB-NP\tO' +p213892 +aS'possiblity\tpossiblity\tNN\tI-NP\tO' +p213893 +aS'.\t.\t.\tO\tO' +p213894 +asS'Right thyroid papillary carcinoma .' +p213895 +(lp213896 +S'Right\tRight\tRB\tB-NP\tO' +p213897 +aS'thyroid\tthyroid\tJJ\tI-NP\tO' +p213898 +aS'papillary\tpapillary\tJJ\tI-NP\tO' +p213899 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p213900 +aS'.\t.\t.\tO\tO' +p213901 +asS'father died at 57 of heart problems brother died at age 7 of "leaky valve" sister with CAD/CABG' +p213902 +(lp213903 +S'father\tfather\tNN\tB-NP\tO' +p213904 +aS'died\tdie\tVBD\tB-VP\tO' +p213905 +aS'at\tat\tIN\tB-PP\tO' +p213906 +aS'57\t57\tCD\tB-NP\tO' +p213907 +aS'of\tof\tIN\tB-PP\tO' +p213908 +aS'heart\theart\tNN\tB-NP\tO' +p213909 +aS'problems\tproblem\tNNS\tI-NP\tO' +p213910 +aS'brother\tbrother\tNN\tI-NP\tO' +p213911 +aS'died\tdie\tVBD\tB-VP\tO' +p213912 +aS'at\tat\tIN\tB-PP\tO' +p213913 +aS'age\tage\tNN\tB-NP\tO' +p213914 +aS'7\t7\tCD\tI-NP\tO' +p213915 +aS'of\tof\tIN\tB-PP\tO' +p213916 +aS'"leaky\t"leaky\tJJ\tB-NP\tO' +p213917 +aS'valve"\tvalve"\tNN\tI-NP\tO' +p213918 +aS'sister\tsister\tNN\tI-NP\tO' +p213919 +aS'with\twith\tIN\tB-PP\tO' +p213920 +aS'CAD/CABG\tCAD/CABG\tNN\tB-NP\tO' +p213921 +asS'The patient had a temperature of 101.6 on postoperative day two .' +p213922 +(lp213923 +S'The\tThe\tDT\tB-NP\tO' +p213924 +aS'patient\tpatient\tNN\tI-NP\tO' +p213925 +aS'had\thave\tVBD\tB-VP\tO' +p213926 +aS'a\ta\tDT\tB-NP\tO' +p213927 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p213928 +aS'of\tof\tIN\tB-PP\tO' +p213929 +aS'101.6\t101.6\tCD\tB-NP\tO' +p213930 +aS'on\ton\tIN\tB-PP\tO' +p213931 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p213932 +aS'day\tday\tNN\tI-NP\tO' +p213933 +aS'two\ttwo\tCD\tI-NP\tO' +p213934 +aS'.\t.\t.\tO\tO' +p213935 +asS'No history of abnormal Pap smears .' +p213936 +(lp213937 +S'No\tNo\tDT\tB-NP\tO' +p213938 +aS'history\thistory\tNN\tI-NP\tO' +p213939 +aS'of\tof\tIN\tB-PP\tO' +p213940 +aS'abnormal\tabnormal\tJJ\tB-NP\tO' +p213941 +aS'Pap\tPap\tNN\tI-NP\tO' +p213942 +aS'smears\tsmear\tNNS\tI-NP\tO' +p213943 +aS'.\t.\t.\tO\tO' +p213944 +asS'The patient denied loss of consciousness , no bowel or bladder incontinence .' +p213945 +(lp213946 +S'The\tThe\tDT\tB-NP\tO' +p213947 +aS'patient\tpatient\tNN\tI-NP\tO' +p213948 +aS'denied\tdeny\tVBD\tB-VP\tO' +p213949 +aS'loss\tloss\tNN\tB-NP\tO' +p213950 +aS'of\tof\tIN\tB-PP\tO' +p213951 +aS'consciousness\tconsciousness\tNN\tB-NP\tO' +p213952 +aS',\t,\t,\tO\tO' +p213953 +aS'no\tno\tDT\tB-NP\tO' +p213954 +aS'bowel\tbowel\tNN\tI-NP\tO' +p213955 +aS'or\tor\tCC\tI-NP\tO' +p213956 +aS'bladder\tbladder\tNN\tI-NP\tO' +p213957 +aS'incontinence\tincontinence\tNN\tI-NP\tO' +p213958 +aS'.\t.\t.\tO\tO' +p213959 +asS'Her sclera were nonicteric .' +p213960 +(lp213961 +S'Her\tHer\tPRP$\tB-NP\tO' +p213962 +aS'sclera\tsclera\tNN\tI-NP\tO' +p213963 +aS'were\tbe\tVBD\tB-VP\tO' +p213964 +aS'nonicteric\tnonicteric\tJJ\tB-ADJP\tO' +p213965 +aS'.\t.\t.\tO\tO' +p213966 +asS'The right knee examination showed some effusion .' +p213967 +(lp213968 +S'The\tThe\tDT\tB-NP\tO' +p213969 +aS'right\tright\tJJ\tI-NP\tO' +p213970 +aS'knee\tknee\tNN\tI-NP\tO' +p213971 +aS'examination\texamination\tNN\tI-NP\tO' +p213972 +aS'showed\tshow\tVBD\tB-VP\tO' +p213973 +aS'some\tsome\tDT\tB-NP\tO' +p213974 +aS'effusion\teffusion\tNN\tI-NP\tO' +p213975 +aS'.\t.\t.\tO\tO' +p213976 +asS'He did have burst of atrial fibrillation and was started on a Amiodarone gtt .' +p213977 +(lp213978 +S'He\tHe\tPRP\tB-NP\tO' +p213979 +aS'did\tdo\tVBD\tB-VP\tO' +p213980 +aS'have\thave\tVB\tI-VP\tO' +p213981 +aS'burst\tburst\tNN\tB-NP\tO' +p213982 +aS'of\tof\tIN\tB-PP\tO' +p213983 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p213984 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p213985 +aS'and\tand\tCC\tO\tO' +p213986 +aS'was\tbe\tVBD\tB-VP\tO' +p213987 +aS'started\tstart\tVBN\tI-VP\tO' +p213988 +aS'on\ton\tIN\tB-PP\tO' +p213989 +aS'a\ta\tDT\tB-NP\tO' +p213990 +aS'Amiodarone\tAmiodarone\tNN\tI-NP\tO' +p213991 +aS'gtt\tgtt\tNN\tI-NP\tO' +p213992 +aS'.\t.\t.\tO\tO' +p213993 +asS'She has been suffering from this problem for the last few weeks .' +p213994 +(lp213995 +S'She\tShe\tPRP\tB-NP\tO' +p213996 +aS'has\thave\tVBZ\tB-VP\tO' +p213997 +aS'been\tbe\tVBN\tI-VP\tO' +p213998 +aS'suffering\tsuffer\tVBG\tI-VP\tO' +p213999 +aS'from\tfrom\tIN\tB-PP\tO' +p214000 +aS'this\tthis\tDT\tB-NP\tO' +p214001 +aS'problem\tproblem\tNN\tI-NP\tO' +p214002 +aS'for\tfor\tIN\tB-PP\tO' +p214003 +aS'the\tthe\tDT\tB-NP\tO' +p214004 +aS'last\tlast\tJJ\tI-NP\tO' +p214005 +aS'few\tfew\tJJ\tI-NP\tO' +p214006 +aS'weeks\tweek\tNNS\tI-NP\tO' +p214007 +aS'.\t.\t.\tO\tO' +p214008 +asS'She is unable to run without losing urine .' +p214009 +(lp214010 +S'She\tShe\tPRP\tB-NP\tO' +p214011 +aS'is\tbe\tVBZ\tB-VP\tO' +p214012 +aS'unable\tunable\tJJ\tB-ADJP\tO' +p214013 +aS'to\tto\tTO\tB-VP\tO' +p214014 +aS'run\trun\tVB\tI-VP\tO' +p214015 +aS'without\twithout\tIN\tB-PP\tO' +p214016 +aS'losing\tlose\tVBG\tB-VP\tO' +p214017 +aS'urine\turine\tNN\tB-NP\tO' +p214018 +aS'.\t.\t.\tO\tO' +p214019 +asS'stable .' +p214020 +(lp214021 +S'stable\tstable\tJJ\tB-ADJP\tO' +p214022 +aS'.\t.\t.\tO\tO' +p214023 +asS'Her metoprolol dose was increased from 25 mg PO bid to 50 mg PO bid then 75 mg PO tid .' +p214024 +(lp214025 +S'Her\tHer\tPRP$\tB-NP\tO' +p214026 +aS'metoprolol\tmetoprolol\tNN\tI-NP\tO' +p214027 +aS'dose\tdose\tNN\tI-NP\tO' +p214028 +aS'was\tbe\tVBD\tB-VP\tO' +p214029 +aS'increased\tincrease\tVBN\tI-VP\tO' +p214030 +aS'from\tfrom\tIN\tB-PP\tO' +p214031 +aS'25\t25\tCD\tB-NP\tO' +p214032 +aS'mg\tmg\tNN\tI-NP\tO' +p214033 +aS'PO\tPO\tNN\tI-NP\tO' +p214034 +aS'bid\tbid\tNN\tI-NP\tO' +p214035 +aS'to\tto\tTO\tB-PP\tO' +p214036 +aS'50\t50\tCD\tB-NP\tO' +p214037 +aS'mg\tmg\tNN\tI-NP\tO' +p214038 +aS'PO\tPO\tNN\tI-NP\tO' +p214039 +aS'bid\tbid\tVBD\tB-VP\tO' +p214040 +aS'then\tthen\tRB\tB-ADVP\tO' +p214041 +aS'75\t75\tCD\tB-NP\tO' +p214042 +aS'mg\tmg\tNN\tI-NP\tO' +p214043 +aS'PO\tPO\tNN\tI-NP\tO' +p214044 +aS'tid\ttid\tNN\tI-NP\tO' +p214045 +aS'.\t.\t.\tO\tO' +p214046 +asS'FBS less than 200 = 0 units of CZI FBS 201-250 = 2 units of CZI FBS 251-300 = 4 units of CZI FBS 301-350 = 6 units of CZI FBS 351-400 = 8 units of CZI FBS greater than 400 = 10 units of CZI .' +p214047 +(lp214048 +S'FBS\tFBS\tNNS\tB-NP\tB-protein' +p214049 +aS'less\tless\tJJR\tB-NP\tO' +p214050 +aS'than\tthan\tIN\tI-NP\tO' +p214051 +aS'200\t200\tCD\tI-NP\tO' +p214052 +aS'=\t=\tJJ\tI-NP\tO' +p214053 +aS'0\t0\tCD\tI-NP\tO' +p214054 +aS'units\tunit\tNNS\tI-NP\tO' +p214055 +aS'of\tof\tIN\tB-PP\tO' +p214056 +aS'CZI\tCZI\tNNP\tB-NP\tO' +p214057 +aS'FBS\tFBS\tNNP\tI-NP\tO' +p214058 +aS'201-250\t201-250\tCD\tI-NP\tO' +p214059 +aS'=\t=\tJJ\tI-NP\tO' +p214060 +aS'2\t2\tCD\tI-NP\tO' +p214061 +aS'units\tunit\tNNS\tI-NP\tO' +p214062 +aS'of\tof\tIN\tB-PP\tO' +p214063 +aS'CZI\tCZI\tNNP\tB-NP\tO' +p214064 +aS'FBS\tFBS\tNNP\tI-NP\tO' +p214065 +aS'251-300\t251-300\tCD\tI-NP\tO' +p214066 +aS'=\t=\tJJ\tI-NP\tO' +p214067 +aS'4\t4\tCD\tI-NP\tO' +p214068 +aS'units\tunit\tNNS\tI-NP\tO' +p214069 +aS'of\tof\tIN\tB-PP\tO' +p214070 +aS'CZI\tCZI\tNN\tB-NP\tB-protein' +p214071 +aS'FBS\tFBS\tNN\tI-NP\tI-protein' +p214072 +aS'301-350\t301-350\tCD\tI-NP\tI-protein' +p214073 +aS'=\t=\tJJ\tI-NP\tI-protein' +p214074 +aS'6\t6\tCD\tI-NP\tI-protein' +p214075 +aS'units\tunit\tNNS\tI-NP\tI-protein' +p214076 +aS'of\tof\tIN\tB-PP\tO' +p214077 +aS'CZI\tCZI\tNNP\tB-NP\tO' +p214078 +aS'FBS\tFBS\tNNP\tI-NP\tO' +p214079 +aS'351-400\t351-400\tNN\tI-NP\tO' +p214080 +aS'=\t=\tSYM\tB-VP\tO' +p214081 +aS'8\t8\tCD\tB-NP\tO' +p214082 +aS'units\tunit\tNNS\tI-NP\tO' +p214083 +aS'of\tof\tIN\tB-PP\tO' +p214084 +aS'CZI\tCZI\tNN\tB-NP\tB-protein' +p214085 +aS'FBS\tFBS\tNNP\tI-NP\tI-protein' +p214086 +aS'greater\tgreat\tJJR\tB-ADJP\tO' +p214087 +aS'than\tthan\tIN\tB-PP\tO' +p214088 +aS'400\t400\tCD\tB-NP\tO' +p214089 +aS'=\t=\tJJ\tI-NP\tO' +p214090 +aS'10\t10\tCD\tI-NP\tO' +p214091 +aS'units\tunit\tNNS\tI-NP\tO' +p214092 +aS'of\tof\tIN\tB-PP\tO' +p214093 +aS'CZI\tCZI\tNN\tB-NP\tB-protein' +p214094 +aS'.\t.\t.\tO\tO' +p214095 +asS'She also received hepatitis B immune globulin on 11-02 .' +p214096 +(lp214097 +S'She\tShe\tPRP\tB-NP\tO' +p214098 +aS'also\talso\tRB\tB-ADVP\tO' +p214099 +aS'received\treceive\tVBD\tB-VP\tO' +p214100 +aS'hepatitis\thepatitis\tNN\tB-NP\tB-protein' +p214101 +aS'B\tB\tNN\tI-NP\tI-protein' +p214102 +aS'immune\timmune\tJJ\tI-NP\tI-protein' +p214103 +aS'globulin\tglobulin\tNN\tI-NP\tI-protein' +p214104 +aS'on\ton\tIN\tB-PP\tO' +p214105 +aS'11-02\t11-02\tCD\tB-NP\tO' +p214106 +aS'.\t.\t.\tO\tO' +p214107 +asS'Patient continued to do very well , ambulating , following the diet .' +p214108 +(lp214109 +S'Patient\tPatient\tNN\tB-NP\tO' +p214110 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p214111 +aS'to\tto\tTO\tI-VP\tO' +p214112 +aS'do\tdo\tVB\tI-VP\tO' +p214113 +aS'very\tvery\tRB\tB-ADVP\tO' +p214114 +aS'well\twell\tRB\tI-ADVP\tO' +p214115 +aS',\t,\t,\tO\tO' +p214116 +aS'ambulating\tambulate\tVBG\tB-VP\tO' +p214117 +aS',\t,\t,\tO\tO' +p214118 +aS'following\tfollow\tVBG\tB-PP\tO' +p214119 +aS'the\tthe\tDT\tB-NP\tO' +p214120 +aS'diet\tdiet\tNN\tI-NP\tO' +p214121 +aS'.\t.\t.\tO\tO' +p214122 +asS'SHE WAS TRANSFERED TO THE FLOOR POST-OP DAY 2 WHERE SHE HAD BEEN AFEBRILE WITH NORMAL VITALS , MAKING GOOD URINE , AND TOLERATING A REGULAR DIET .' +p214123 +(lp214124 +S'SHE\tSHE\tNNP\tB-NP\tO' +p214125 +aS'WAS\tWAS\tNNP\tI-NP\tO' +p214126 +aS'TRANSFERED\tTRANSFERED\tNNP\tI-NP\tO' +p214127 +aS'TO\tTO\tTO\tB-PP\tO' +p214128 +aS'THE\tTHE\tDT\tB-NP\tO' +p214129 +aS'FLOOR\tFLOOR\tNN\tI-NP\tO' +p214130 +aS'POST-OP\tPOST-OP\tNN\tI-NP\tO' +p214131 +aS'DAY\tDAY\tNN\tI-NP\tO' +p214132 +aS'2\t2\tCD\tI-NP\tO' +p214133 +aS'WHERE\tWHERE\tNNP\tI-NP\tO' +p214134 +aS'SHE\tSHE\tNNP\tI-NP\tO' +p214135 +aS'HAD\tHAD\tNNP\tI-NP\tO' +p214136 +aS'BEEN\tBEEN\tNNP\tI-NP\tO' +p214137 +aS'AFEBRILE\tAFEBRILE\tNNP\tI-NP\tO' +p214138 +aS'WITH\tWITH\tNNP\tI-NP\tO' +p214139 +aS'NORMAL\tNORMAL\tNNP\tI-NP\tO' +p214140 +aS'VITALS\tVITALS\tNNP\tI-NP\tO' +p214141 +aS',\t,\t,\tO\tO' +p214142 +aS'MAKING\tMAKING\tNNP\tB-NP\tO' +p214143 +aS'GOOD\tGOOD\tNNP\tI-NP\tO' +p214144 +aS'URINE\tURINE\tNNP\tI-NP\tO' +p214145 +aS',\t,\t,\tO\tO' +p214146 +aS'AND\tAND\tCC\tO\tO' +p214147 +aS'TOLERATING\tTOLERATING\tNN\tB-NP\tO' +p214148 +aS'A\tA\tNN\tI-NP\tO' +p214149 +aS'REGULAR\tREGULAR\tNN\tI-NP\tO' +p214150 +aS'DIET\tDIET\tNN\tI-NP\tO' +p214151 +aS'.\t.\t.\tO\tO' +p214152 +asS'4. Non insulin dependent diabetes mellitus .' +p214153 +(lp214154 +S'4.\t4.\tLS\tB-NP\tO' +p214155 +aS'Non\tNon\tNN\tI-NP\tB-protein' +p214156 +aS'insulin\tinsulin\tNN\tI-NP\tI-protein' +p214157 +aS'dependent\tdependent\tJJ\tI-NP\tO' +p214158 +aS'diabetes\tdiabete\tNNS\tI-NP\tO' +p214159 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p214160 +aS'.\t.\t.\tO\tO' +p214161 +asS"Vascular surgery was also asked to evaluate the patient 's right lower extremity blood flow ." +p214162 +(lp214163 +S'Vascular\tVascular\tJJ\tB-NP\tO' +p214164 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p214165 +aS'was\tbe\tVBD\tB-VP\tO' +p214166 +aS'also\talso\tRB\tI-VP\tO' +p214167 +aS'asked\task\tVBN\tI-VP\tO' +p214168 +aS'to\tto\tTO\tB-VP\tO' +p214169 +aS'evaluate\tevaluate\tVB\tI-VP\tO' +p214170 +aS'the\tthe\tDT\tB-NP\tO' +p214171 +aS'patient\tpatient\tNN\tI-NP\tO' +p214172 +aS"'s\t's\tPOS\tB-NP\tO" +p214173 +aS'right\tright\tJJ\tI-NP\tO' +p214174 +aS'lower\tlow\tJJR\tI-NP\tO' +p214175 +aS'extremity\textremity\tNN\tI-NP\tO' +p214176 +aS'blood\tblood\tNN\tI-NP\tO' +p214177 +aS'flow\tflow\tNN\tI-NP\tO' +p214178 +aS'.\t.\t.\tO\tO' +p214179 +asS'Normal tone and activity .' +p214180 +(lp214181 +S'Normal\tNormal\tJJ\tB-NP\tO' +p214182 +aS'tone\ttone\tNN\tI-NP\tO' +p214183 +aS'and\tand\tCC\tI-NP\tO' +p214184 +aS'activity\tactivity\tNN\tI-NP\tO' +p214185 +aS'.\t.\t.\tO\tO' +p214186 +asS'Finger sticks were in the 150 s when acutely agitated , therefore , it was not determined that glucose levels were contributory .' +p214187 +(lp214188 +S'Finger\tFinger\tNN\tB-NP\tO' +p214189 +aS'sticks\tstick\tNNS\tI-NP\tO' +p214190 +aS'were\tbe\tVBD\tB-VP\tO' +p214191 +aS'in\tin\tIN\tB-PP\tO' +p214192 +aS'the\tthe\tDT\tB-NP\tO' +p214193 +aS'150\t150\tCD\tI-NP\tO' +p214194 +aS's\ts\tNN\tI-NP\tO' +p214195 +aS'when\twhen\tWRB\tB-ADVP\tO' +p214196 +aS'acutely\tacutely\tRB\tB-VP\tO' +p214197 +aS'agitated\tagitate\tVBN\tI-VP\tO' +p214198 +aS',\t,\t,\tO\tO' +p214199 +aS'therefore\ttherefore\tRB\tB-ADVP\tO' +p214200 +aS',\t,\t,\tO\tO' +p214201 +aS'it\tit\tPRP\tB-NP\tO' +p214202 +aS'was\tbe\tVBD\tB-VP\tO' +p214203 +aS'not\tnot\tRB\tI-VP\tO' +p214204 +aS'determined\tdetermine\tVBN\tI-VP\tO' +p214205 +aS'that\tthat\tIN\tB-SBAR\tO' +p214206 +aS'glucose\tglucose\tNN\tB-NP\tO' +p214207 +aS'levels\tlevel\tNNS\tI-NP\tO' +p214208 +aS'were\tbe\tVBD\tB-VP\tO' +p214209 +aS'contributory\tcontributory\tJJ\tB-ADJP\tO' +p214210 +aS'.\t.\t.\tO\tO' +p214211 +asS'The mitral valve leaflets were mildly thickened .' +p214212 +(lp214213 +S'The\tThe\tDT\tB-NP\tO' +p214214 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p214215 +aS'valve\tvalve\tNN\tI-NP\tO' +p214216 +aS'leaflets\tleaflet\tNNS\tI-NP\tO' +p214217 +aS'were\tbe\tVBD\tB-VP\tO' +p214218 +aS'mildly\tmildly\tRB\tI-VP\tO' +p214219 +aS'thickened\tthicken\tVBN\tI-VP\tO' +p214220 +aS'.\t.\t.\tO\tO' +p214221 +asS'1. Stable appearance of confluent areas of increased T2 signal in the periventricular white matter , consistent with severe demyelinating disease .' +p214222 +(lp214223 +S'1.\t1.\tLS\tB-NP\tO' +p214224 +aS'Stable\tStable\tJJ\tI-NP\tO' +p214225 +aS'appearance\tappearance\tNN\tI-NP\tO' +p214226 +aS'of\tof\tIN\tB-PP\tO' +p214227 +aS'confluent\tconfluent\tJJ\tB-NP\tO' +p214228 +aS'areas\tarea\tNNS\tI-NP\tO' +p214229 +aS'of\tof\tIN\tB-PP\tO' +p214230 +aS'increased\tincrease\tVBN\tB-NP\tO' +p214231 +aS'T2\tT2\tNN\tI-NP\tO' +p214232 +aS'signal\tsignal\tNN\tI-NP\tO' +p214233 +aS'in\tin\tIN\tB-PP\tO' +p214234 +aS'the\tthe\tDT\tB-NP\tO' +p214235 +aS'periventricular\tperiventricular\tJJ\tI-NP\tO' +p214236 +aS'white\twhite\tJJ\tI-NP\tO' +p214237 +aS'matter\tmatter\tNN\tI-NP\tO' +p214238 +aS',\t,\t,\tO\tO' +p214239 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p214240 +aS'with\twith\tIN\tB-PP\tO' +p214241 +aS'severe\tsevere\tJJ\tB-NP\tO' +p214242 +aS'demyelinating\tdemyelinate\tVBG\tI-NP\tO' +p214243 +aS'disease\tdisease\tNN\tI-NP\tO' +p214244 +aS'.\t.\t.\tO\tO' +p214245 +asS'Brother has diabetes mellitus .' +p214246 +(lp214247 +S'Brother\tBrother\tNNP\tB-NP\tO' +p214248 +aS'has\thave\tVBZ\tB-VP\tO' +p214249 +aS'diabetes\tdiabetes\tNN\tB-NP\tO' +p214250 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p214251 +aS'.\t.\t.\tO\tO' +p214252 +asS'50 pack year smoking history , still smoking currently .' +p214253 +(lp214254 +S'50\t50\tCD\tB-NP\tO' +p214255 +aS'pack\tpack\tNN\tI-NP\tO' +p214256 +aS'year\tyear\tNN\tI-NP\tO' +p214257 +aS'smoking\tsmoking\tNN\tI-NP\tO' +p214258 +aS'history\thistory\tNN\tI-NP\tO' +p214259 +aS',\t,\t,\tO\tO' +p214260 +aS'still\tstill\tRB\tB-ADVP\tO' +p214261 +aS'smoking\tsmoke\tVBG\tB-VP\tO' +p214262 +aS'currently\tcurrently\tRB\tB-ADVP\tO' +p214263 +aS'.\t.\t.\tO\tO' +p214264 +asS'An echocardiogram was scheduled and Cardiology was consulted .' +p214265 +(lp214266 +S'An\tAn\tDT\tB-NP\tO' +p214267 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p214268 +aS'was\tbe\tVBD\tB-VP\tO' +p214269 +aS'scheduled\tschedule\tVBN\tI-VP\tO' +p214270 +aS'and\tand\tCC\tO\tO' +p214271 +aS'Cardiology\tCardiology\tNN\tB-NP\tO' +p214272 +aS'was\tbe\tVBD\tB-VP\tO' +p214273 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p214274 +aS'.\t.\t.\tO\tO' +p214275 +asS'Early this morning before breakfast her BS was reportedly 145 , and after LOC , her BS was reportedly 207 .' +p214276 +(lp214277 +S'Early\tEarly\tRB\tB-NP\tO' +p214278 +aS'this\tthis\tDT\tI-NP\tO' +p214279 +aS'morning\tmorning\tNN\tI-NP\tO' +p214280 +aS'before\tbefore\tIN\tB-PP\tO' +p214281 +aS'breakfast\tbreakfast\tNN\tB-NP\tO' +p214282 +aS'her\ther\tPRP$\tB-NP\tO' +p214283 +aS'BS\tBS\tNN\tI-NP\tO' +p214284 +aS'was\tbe\tVBD\tB-VP\tO' +p214285 +aS'reportedly\treportedly\tRB\tB-ADVP\tO' +p214286 +aS'145\t145\tCD\tB-NP\tO' +p214287 +aS',\t,\t,\tB-PP\tO' +p214288 +aS'and\tand\tCC\tI-PP\tO' +p214289 +aS'after\tafter\tIN\tB-PP\tO' +p214290 +aS'LOC\tLOC\tNN\tB-NP\tO' +p214291 +aS',\t,\t,\tO\tO' +p214292 +aS'her\ther\tPRP$\tB-NP\tO' +p214293 +aS'BS\tBS\tNN\tI-NP\tO' +p214294 +aS'was\tbe\tVBD\tB-VP\tO' +p214295 +aS'reportedly\treportedly\tRB\tB-ADVP\tO' +p214296 +aS'207\t207\tCD\tB-NP\tO' +p214297 +aS'.\t.\t.\tO\tO' +p214298 +asS'The pupils were round and regular .' +p214299 +(lp214300 +S'The\tThe\tDT\tB-NP\tO' +p214301 +aS'pupils\tpupil\tNNS\tI-NP\tO' +p214302 +aS'were\tbe\tVBD\tB-VP\tO' +p214303 +aS'round\tround\tJJ\tB-ADJP\tO' +p214304 +aS'and\tand\tCC\tI-ADJP\tO' +p214305 +aS'regular\tregular\tJJ\tI-ADJP\tO' +p214306 +aS'.\t.\t.\tO\tO' +p214307 +asS'The patient is hard of hearing .' +p214308 +(lp214309 +S'The\tThe\tDT\tB-NP\tO' +p214310 +aS'patient\tpatient\tNN\tI-NP\tO' +p214311 +aS'is\tbe\tVBZ\tB-VP\tO' +p214312 +aS'hard\thard\tJJ\tB-ADJP\tO' +p214313 +aS'of\tof\tIN\tB-PP\tO' +p214314 +aS'hearing\thearing\tNN\tB-NP\tO' +p214315 +aS'.\t.\t.\tO\tO' +p214316 +asS'The day following this episode , EKG showed loss of R wave progression in anterior leads and Q waves in leads III and AVF consistent with anteroseptal myocardial infarction .' +p214317 +(lp214318 +S'The\tThe\tDT\tB-NP\tO' +p214319 +aS'day\tday\tNN\tI-NP\tO' +p214320 +aS'following\tfollow\tVBG\tB-PP\tO' +p214321 +aS'this\tthis\tDT\tB-NP\tO' +p214322 +aS'episode\tepisode\tNN\tI-NP\tO' +p214323 +aS',\t,\t,\tO\tO' +p214324 +aS'EKG\tEKG\tNN\tB-NP\tB-protein' +p214325 +aS'showed\tshow\tVBD\tB-VP\tO' +p214326 +aS'loss\tloss\tNN\tB-NP\tO' +p214327 +aS'of\tof\tIN\tB-PP\tO' +p214328 +aS'R\tR\tNN\tB-NP\tO' +p214329 +aS'wave\twave\tNN\tI-NP\tO' +p214330 +aS'progression\tprogression\tNN\tI-NP\tO' +p214331 +aS'in\tin\tIN\tB-PP\tO' +p214332 +aS'anterior\tanterior\tJJ\tB-NP\tO' +p214333 +aS'leads\tlead\tNNS\tI-NP\tO' +p214334 +aS'and\tand\tCC\tO\tO' +p214335 +aS'Q\tQ\tNN\tB-NP\tO' +p214336 +aS'waves\twave\tNNS\tI-NP\tO' +p214337 +aS'in\tin\tIN\tB-PP\tO' +p214338 +aS'leads\tlead\tNNS\tB-NP\tO' +p214339 +aS'III\tIII\tCD\tB-NP\tO' +p214340 +aS'and\tand\tCC\tO\tO' +p214341 +aS'AVF\tAVF\tNN\tB-NP\tO' +p214342 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p214343 +aS'with\twith\tIN\tB-PP\tO' +p214344 +aS'anteroseptal\tanteroseptal\tJJ\tB-NP\tO' +p214345 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p214346 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p214347 +aS'.\t.\t.\tO\tO' +p214348 +asS'At the request of her family , she will be transferred closer to her home in Wyoming , to Women and' +p214349 +(lp214350 +S'At\tAt\tIN\tB-PP\tO' +p214351 +aS'the\tthe\tDT\tB-NP\tO' +p214352 +aS'request\trequest\tNN\tI-NP\tO' +p214353 +aS'of\tof\tIN\tB-PP\tO' +p214354 +aS'her\ther\tPRP$\tB-NP\tO' +p214355 +aS'family\tfamily\tNN\tI-NP\tO' +p214356 +aS',\t,\t,\tO\tO' +p214357 +aS'she\tshe\tPRP\tB-NP\tO' +p214358 +aS'will\twill\tMD\tB-VP\tO' +p214359 +aS'be\tbe\tVB\tI-VP\tO' +p214360 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p214361 +aS'closer\tcloser\tRBR\tB-ADVP\tO' +p214362 +aS'to\tto\tTO\tB-PP\tO' +p214363 +aS'her\ther\tPRP$\tB-NP\tO' +p214364 +aS'home\thome\tNN\tI-NP\tO' +p214365 +aS'in\tin\tIN\tB-PP\tO' +p214366 +aS'Wyoming\tWyoming\tNNP\tB-NP\tO' +p214367 +aS',\t,\t,\tO\tO' +p214368 +aS'to\tto\tTO\tB-PP\tO' +p214369 +aS'Women\tWoman\tNNS\tB-NP\tO' +p214370 +aS'and\tand\tCC\tO\tO' +p214371 +asS'2. Combivent meter-dosed inhaler 2 puffs q.4h. weaning to albuterol meter-dosed inhaler 2 puffs q.4h.' +p214372 +(lp214373 +S'2.\t2.\tLS\tB-NP\tO' +p214374 +aS'Combivent\tCombivent\tNNP\tI-NP\tO' +p214375 +aS'meter-dosed\tmeter-dosed\tJJ\tI-NP\tO' +p214376 +aS'inhaler\tinhaler\tNN\tI-NP\tO' +p214377 +aS'2\t2\tCD\tB-NP\tO' +p214378 +aS'puffs\tpuff\tNNS\tI-NP\tO' +p214379 +aS'q.4h.\tq.4h.\tNN\tI-NP\tO' +p214380 +aS'weaning\twean\tVBG\tB-VP\tO' +p214381 +aS'to\tto\tTO\tB-PP\tO' +p214382 +aS'albuterol\talbuterol\tNN\tB-NP\tO' +p214383 +aS'meter-dosed\tmeter-dosed\tJJ\tI-NP\tO' +p214384 +aS'inhaler\tinhaler\tNN\tI-NP\tO' +p214385 +aS'2\t2\tCD\tB-NP\tO' +p214386 +aS'puffs\tpuff\tNNS\tI-NP\tO' +p214387 +aS'q.4h.\tq.4h.\tNN\tB-NP\tO' +p214388 +asS'The did well in the ICU .' +p214389 +(lp214390 +S'The\tThe\tDT\tB-NP\tO' +p214391 +aS'did\tdo\tVBD\tB-VP\tO' +p214392 +aS'well\twell\tRB\tB-ADVP\tO' +p214393 +aS'in\tin\tIN\tB-PP\tO' +p214394 +aS'the\tthe\tDT\tB-NP\tO' +p214395 +aS'ICU\tICU\tNN\tI-NP\tB-DNA' +p214396 +aS'.\t.\t.\tO\tO' +p214397 +asS'7/2/1928 .' +p214398 +(lp214399 +S'7/2/1928\t7/2/1928\tCD\tB-NP\tO' +p214400 +aS'.\t.\t.\tO\tO' +p214401 +asS'The RCA occlusion was successfully dilated and sent using a 3.0 X 23 mm Duet with post stent dilatation up to 16 atmospheres .' +p214402 +(lp214403 +S'The\tThe\tDT\tB-NP\tO' +p214404 +aS'RCA\tRCA\tNN\tI-NP\tO' +p214405 +aS'occlusion\tocclusion\tNN\tI-NP\tO' +p214406 +aS'was\tbe\tVBD\tB-VP\tO' +p214407 +aS'successfully\tsuccessfully\tRB\tI-VP\tO' +p214408 +aS'dilated\tdilate\tVBN\tI-VP\tO' +p214409 +aS'and\tand\tCC\tO\tO' +p214410 +aS'sent\tsend\tVBN\tB-VP\tO' +p214411 +aS'using\tuse\tVBG\tB-VP\tO' +p214412 +aS'a\ta\tDT\tB-NP\tO' +p214413 +aS'3.0\t3.0\tCD\tI-NP\tO' +p214414 +aS'X\tX\tSYM\tI-NP\tO' +p214415 +aS'23\t23\tCD\tI-NP\tO' +p214416 +aS'mm\tmm\tNN\tI-NP\tO' +p214417 +aS'Duet\tDuet\tNN\tI-NP\tO' +p214418 +aS'with\twith\tIN\tB-PP\tO' +p214419 +aS'post\tpost\tNN\tB-NP\tO' +p214420 +aS'stent\tstent\tJJ\tI-NP\tO' +p214421 +aS'dilatation\tdilatation\tNN\tI-NP\tO' +p214422 +aS'up\tup\tIN\tB-NP\tO' +p214423 +aS'to\tto\tTO\tI-NP\tO' +p214424 +aS'16\t16\tCD\tI-NP\tO' +p214425 +aS'atmospheres\tatmosphere\tNNS\tI-NP\tO' +p214426 +aS'.\t.\t.\tO\tO' +p214427 +asS'Reflex - 1+ / 4 in upper extremity , 2+ / 4 at patellar , trace ankle .' +p214428 +(lp214429 +S'Reflex\tReflex\tNN\tB-NP\tO' +p214430 +aS'-\t-\tHYPH\tO\tO' +p214431 +aS'1+\t1+\tSYM\tB-NP\tO' +p214432 +aS'/\t/\tSYM\tB-VP\tO' +p214433 +aS'4\t4\tCD\tB-NP\tO' +p214434 +aS'in\tin\tIN\tB-PP\tO' +p214435 +aS'upper\tupper\tJJ\tB-NP\tO' +p214436 +aS'extremity\textremity\tNN\tI-NP\tO' +p214437 +aS',\t,\t,\tO\tO' +p214438 +aS'2+\t2+\tJJ\tB-NP\tO' +p214439 +aS'/\t/\tSYM\tI-NP\tO' +p214440 +aS'4\t4\tCD\tI-NP\tO' +p214441 +aS'at\tat\tIN\tB-PP\tO' +p214442 +aS'patellar\tpatellar\tNN\tB-NP\tO' +p214443 +aS',\t,\t,\tO\tO' +p214444 +aS'trace\ttrace\tNN\tB-NP\tO' +p214445 +aS'ankle\tankle\tNN\tI-NP\tO' +p214446 +aS'.\t.\t.\tO\tO' +p214447 +asS'Toe upgoing on right only .' +p214448 +(lp214449 +S'Toe\tToe\tNN\tB-NP\tO' +p214450 +aS'upgoing\tupgoe\tVBG\tB-VP\tO' +p214451 +aS'on\ton\tIN\tB-PP\tO' +p214452 +aS'right\tright\tRB\tB-ADVP\tO' +p214453 +aS'only\tonly\tRB\tI-ADVP\tO' +p214454 +aS'.\t.\t.\tO\tO' +p214455 +asS'This triplet required only blow by oxygen and routine care in delivery room .' +p214456 +(lp214457 +S'This\tThis\tDT\tB-NP\tO' +p214458 +aS'triplet\ttriplet\tNN\tI-NP\tO' +p214459 +aS'required\trequire\tVBD\tB-VP\tO' +p214460 +aS'only\tonly\tRB\tB-ADVP\tO' +p214461 +aS'blow\tblow\tJJ\tB-ADJP\tO' +p214462 +aS'by\tby\tIN\tB-PP\tO' +p214463 +aS'oxygen\toxygen\tNN\tB-NP\tO' +p214464 +aS'and\tand\tCC\tO\tO' +p214465 +aS'routine\troutine\tJJ\tB-NP\tO' +p214466 +aS'care\tcare\tNN\tI-NP\tO' +p214467 +aS'in\tin\tIN\tB-PP\tO' +p214468 +aS'delivery\tdelivery\tNN\tB-NP\tO' +p214469 +aS'room\troom\tNN\tI-NP\tO' +p214470 +aS'.\t.\t.\tO\tO' +p214471 +asS'It appears that FNA was performed but was non-diagnostic ( probably because anaplastic tumors tend to be necrotic ) .' +p214472 +(lp214473 +S'It\tIt\tPRP\tB-NP\tO' +p214474 +aS'appears\tappear\tVBZ\tB-VP\tO' +p214475 +aS'that\tthat\tIN\tB-SBAR\tO' +p214476 +aS'FNA\tFNA\tNN\tB-NP\tB-protein' +p214477 +aS'was\tbe\tVBD\tB-VP\tO' +p214478 +aS'performed\tperform\tVBN\tI-VP\tO' +p214479 +aS'but\tbut\tCC\tO\tO' +p214480 +aS'was\tbe\tVBD\tB-VP\tO' +p214481 +aS'non-diagnostic\tnon-diagnostic\tJJ\tB-ADJP\tO' +p214482 +aS'(\t(\t(\tO\tO' +p214483 +aS'probably\tprobably\tRB\tB-ADVP\tO' +p214484 +aS'because\tbecause\tIN\tB-SBAR\tO' +p214485 +aS'anaplastic\tanaplastic\tJJ\tB-NP\tO' +p214486 +aS'tumors\ttumor\tNNS\tI-NP\tO' +p214487 +aS'tend\ttend\tVBP\tB-VP\tO' +p214488 +aS'to\tto\tTO\tI-VP\tO' +p214489 +aS'be\tbe\tVB\tI-VP\tO' +p214490 +aS'necrotic\tnecrotic\tJJ\tB-ADJP\tO' +p214491 +aS')\t)\t)\tO\tO' +p214492 +aS'.\t.\t.\tO\tO' +p214493 +asS'No Restrictions Activity - As tolerated' +p214494 +(lp214495 +S'No\tNo\tDT\tB-NP\tO' +p214496 +aS'Restrictions\tRestriction\tNNS\tI-NP\tO' +p214497 +aS'Activity\tActivity\tNN\tI-NP\tO' +p214498 +aS'-\t-\tHYPH\tO\tO' +p214499 +aS'As\tAs\tIN\tB-SBAR\tO' +p214500 +aS'tolerated\ttolerate\tVBN\tB-VP\tO' +p214501 +asS'He gradually improved but had recurrent angina requiring cardiac catheterization , demonstrating 90% left main , 95% ostial LAD and 30 to 40% mid-LAD with an occluded RCA .' +p214502 +(lp214503 +S'He\tHe\tPRP\tB-NP\tO' +p214504 +aS'gradually\tgradually\tRB\tB-ADVP\tO' +p214505 +aS'improved\timprove\tVBD\tB-VP\tO' +p214506 +aS'but\tbut\tCC\tI-VP\tO' +p214507 +aS'had\thave\tVBD\tI-VP\tO' +p214508 +aS'recurrent\trecurrent\tJJ\tB-NP\tO' +p214509 +aS'angina\tangina\tNN\tI-NP\tO' +p214510 +aS'requiring\trequire\tVBG\tB-VP\tO' +p214511 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p214512 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p214513 +aS',\t,\t,\tO\tO' +p214514 +aS'demonstrating\tdemonstrate\tVBG\tB-VP\tO' +p214515 +aS'90%\t90%\tCD\tB-NP\tO' +p214516 +aS'left\tleave\tVBD\tB-VP\tO' +p214517 +aS'main\tmain\tJJ\tB-NP\tO' +p214518 +aS',\t,\t,\tI-NP\tO' +p214519 +aS'95%\t95%\tJJ\tI-NP\tO' +p214520 +aS'ostial\tostial\tJJ\tI-NP\tO' +p214521 +aS'LAD\tLAD\tNN\tI-NP\tO' +p214522 +aS'and\tand\tCC\tO\tO' +p214523 +aS'30\t30\tCD\tB-NP\tO' +p214524 +aS'to\tto\tTO\tI-NP\tO' +p214525 +aS'40%\t40%\tCD\tI-NP\tO' +p214526 +aS'mid-LAD\tmid-LAD\tNN\tI-NP\tO' +p214527 +aS'with\twith\tIN\tB-PP\tO' +p214528 +aS'an\tan\tDT\tB-NP\tO' +p214529 +aS'occluded\tocclude\tVBN\tI-NP\tO' +p214530 +aS'RCA\tRCA\tNN\tI-NP\tB-protein' +p214531 +aS'.\t.\t.\tO\tO' +p214532 +asS'9. Nifedipine 30 mg Tablet Sustained Release Sig : One ( 1 ) Tablet Sustained Release PO DAILY ( Daily ).' +p214533 +(lp214534 +S'9.\t9.\tCD\tB-NP\tO' +p214535 +aS'Nifedipine\tNifedipine\tNN\tI-NP\tO' +p214536 +aS'30\t30\tCD\tB-NP\tO' +p214537 +aS'mg\tmg\tNN\tI-NP\tO' +p214538 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p214539 +aS'Sustained\tSustained\tNNP\tI-NP\tO' +p214540 +aS'Release\tRelease\tNNP\tI-NP\tO' +p214541 +aS'Sig\tSig\tNNP\tI-NP\tB-protein' +p214542 +aS':\t:\t:\tO\tO' +p214543 +aS'One\tOne\tCD\tB-NP\tO' +p214544 +aS'(\t(\t(\tO\tO' +p214545 +aS'1\t1\tCD\tB-NP\tO' +p214546 +aS')\t)\t)\tO\tO' +p214547 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p214548 +aS'Sustained\tSustained\tNNP\tI-NP\tO' +p214549 +aS'Release\tRelease\tNNP\tI-NP\tO' +p214550 +aS'PO\tPO\tNNP\tI-NP\tO' +p214551 +aS'DAILY\tDAILY\tNNP\tI-NP\tO' +p214552 +aS'(\t(\t(\tO\tO' +p214553 +aS'Daily\tDaily\tNNP\tB-NP\tO' +p214554 +aS').\t).\t)\tO\tO' +p214555 +asS'A HIDA scan at the other hospital did not show filling of the gallbladder indicating some sort of' +p214556 +(lp214557 +S'A\tA\tDT\tB-NP\tO' +p214558 +aS'HIDA\tHIDA\tNN\tI-NP\tO' +p214559 +aS'scan\tscan\tNN\tI-NP\tO' +p214560 +aS'at\tat\tIN\tB-PP\tO' +p214561 +aS'the\tthe\tDT\tB-NP\tO' +p214562 +aS'other\tother\tJJ\tI-NP\tO' +p214563 +aS'hospital\thospital\tNN\tI-NP\tO' +p214564 +aS'did\tdo\tVBD\tB-VP\tO' +p214565 +aS'not\tnot\tRB\tI-VP\tO' +p214566 +aS'show\tshow\tVB\tI-VP\tO' +p214567 +aS'filling\tfilling\tNN\tB-NP\tO' +p214568 +aS'of\tof\tIN\tB-PP\tO' +p214569 +aS'the\tthe\tDT\tB-NP\tO' +p214570 +aS'gallbladder\tgallbladder\tNN\tI-NP\tO' +p214571 +aS'indicating\tindicate\tVBG\tB-VP\tO' +p214572 +aS'some\tsome\tDT\tB-NP\tO' +p214573 +aS'sort\tsort\tNN\tI-NP\tO' +p214574 +aS'of\tof\tIN\tB-PP\tO' +p214575 +asS'She reports that her BP was read at 60/48 after her fall .' +p214576 +(lp214577 +S'She\tShe\tPRP\tB-NP\tO' +p214578 +aS'reports\treport\tVBZ\tB-VP\tO' +p214579 +aS'that\tthat\tIN\tB-SBAR\tO' +p214580 +aS'her\ther\tPRP$\tB-NP\tO' +p214581 +aS'BP\tBP\tNN\tI-NP\tO' +p214582 +aS'was\tbe\tVBD\tB-VP\tO' +p214583 +aS'read\tread\tVBN\tI-VP\tO' +p214584 +aS'at\tat\tIN\tB-PP\tO' +p214585 +aS'60/48\t60/48\tCD\tB-NP\tO' +p214586 +aS'after\tafter\tIN\tB-PP\tO' +p214587 +aS'her\ther\tPRP$\tB-NP\tO' +p214588 +aS'fall\tfall\tNN\tI-NP\tO' +p214589 +aS'.\t.\t.\tO\tO' +p214590 +asS'13. Pantoprazole 40 mg Tablet , Delayed Release ( E.C. ) Sig : One ( 1 ) Tablet , Delayed Release ( E.C. ) PO Q24H ( every 24 hours ) .' +p214591 +(lp214592 +S'13.\t13.\tLS\tB-NP\tO' +p214593 +aS'Pantoprazole\tPantoprazole\tNN\tI-NP\tO' +p214594 +aS'40\t40\tCD\tI-NP\tO' +p214595 +aS'mg\tmg\tNN\tI-NP\tO' +p214596 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p214597 +aS',\t,\t,\tO\tO' +p214598 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p214599 +aS'Release\tRelease\tNNP\tI-NP\tO' +p214600 +aS'(\t(\t(\tO\tO' +p214601 +aS'E.C.\tE.C.\tNNP\tB-NP\tO' +p214602 +aS')\t)\t)\tO\tO' +p214603 +aS'Sig\tSig\tNNP\tB-NP\tO' +p214604 +aS':\t:\t:\tO\tO' +p214605 +aS'One\tOne\tCD\tB-NP\tO' +p214606 +aS'(\t(\t(\tO\tO' +p214607 +aS'1\t1\tCD\tB-NP\tO' +p214608 +aS')\t)\t)\tO\tO' +p214609 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p214610 +aS',\t,\t,\tO\tO' +p214611 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p214612 +aS'Release\tRelease\tNNP\tI-NP\tO' +p214613 +aS'(\t(\t(\tO\tO' +p214614 +aS'E.C.\tE.C.\tNNP\tO\tO' +p214615 +aS')\t)\t)\tO\tO' +p214616 +aS'PO\tPO\tNN\tB-NP\tO' +p214617 +aS'Q24H\tQ24H\tNN\tI-NP\tO' +p214618 +aS'(\t(\t(\tO\tO' +p214619 +aS'every\tevery\tDT\tB-NP\tO' +p214620 +aS'24\t24\tCD\tI-NP\tO' +p214621 +aS'hours\thour\tNNS\tI-NP\tO' +p214622 +aS')\t)\t)\tO\tO' +p214623 +aS'.\t.\t.\tO\tO' +p214624 +asS'8. Versed drip .' +p214625 +(lp214626 +S'8.\t8.\tLS\tB-NP\tO' +p214627 +aS'Versed\tVerse\tVBN\tI-NP\tO' +p214628 +aS'drip\tdrip\tNN\tI-NP\tO' +p214629 +aS'.\t.\t.\tO\tO' +p214630 +asS'Opens eyes spontaneously , withdraws to painful stimulus .' +p214631 +(lp214632 +S'Opens\tOpen\tVBZ\tB-VP\tO' +p214633 +aS'eyes\teye\tNNS\tB-NP\tO' +p214634 +aS'spontaneously\tspontaneously\tRB\tB-ADVP\tO' +p214635 +aS',\t,\t,\tO\tO' +p214636 +aS'withdraws\twithdraw\tNNS\tB-NP\tO' +p214637 +aS'to\tto\tTO\tB-PP\tO' +p214638 +aS'painful\tpainful\tJJ\tB-NP\tO' +p214639 +aS'stimulus\tstimulus\tNN\tI-NP\tO' +p214640 +aS'.\t.\t.\tO\tO' +p214641 +asS'Includes hypertension and chronic obstructive pulmonary disease .' +p214642 +(lp214643 +S'Includes\tInclude\tVBZ\tB-VP\tO' +p214644 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p214645 +aS'and\tand\tCC\tI-NP\tO' +p214646 +aS'chronic\tchronic\tJJ\tI-NP\tO' +p214647 +aS'obstructive\tobstructive\tJJ\tI-NP\tO' +p214648 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p214649 +aS'disease\tdisease\tNN\tI-NP\tO' +p214650 +aS'.\t.\t.\tO\tO' +p214651 +asS'Patient reports persistent mild right upper quadrant discomfort , recent poor appetite .' +p214652 +(lp214653 +S'Patient\tPatient\tNN\tB-NP\tO' +p214654 +aS'reports\treport\tVBZ\tB-VP\tO' +p214655 +aS'persistent\tpersistent\tJJ\tB-NP\tO' +p214656 +aS'mild\tmild\tJJ\tI-NP\tO' +p214657 +aS'right\tright\tJJ\tI-NP\tO' +p214658 +aS'upper\tupper\tJJ\tI-NP\tO' +p214659 +aS'quadrant\tquadrant\tJJ\tI-NP\tO' +p214660 +aS'discomfort\tdiscomfort\tNN\tI-NP\tO' +p214661 +aS',\t,\t,\tO\tO' +p214662 +aS'recent\trecent\tJJ\tB-NP\tO' +p214663 +aS'poor\tpoor\tJJ\tI-NP\tO' +p214664 +aS'appetite\tappetite\tNN\tI-NP\tO' +p214665 +aS'.\t.\t.\tO\tO' +p214666 +asS'The left circumflex coronary artery was 50% proximally , 90% obtuse marginal #3 .' +p214667 +(lp214668 +S'The\tThe\tDT\tB-NP\tO' +p214669 +aS'left\tleft\tJJ\tI-NP\tO' +p214670 +aS'circumflex\tcircumflex\tNN\tI-NP\tO' +p214671 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p214672 +aS'artery\tartery\tNN\tI-NP\tO' +p214673 +aS'was\tbe\tVBD\tB-VP\tO' +p214674 +aS'50%\t50%\tCD\tB-NP\tO' +p214675 +aS'proximally\tproximally\tRB\tB-ADVP\tO' +p214676 +aS',\t,\t,\tO\tO' +p214677 +aS'90%\t90%\tCD\tB-NP\tO' +p214678 +aS'obtuse\tobtuse\tNN\tI-NP\tO' +p214679 +aS'marginal\tmarginal\tJJ\tI-NP\tO' +p214680 +aS'#3\t#3\tNN\tI-NP\tO' +p214681 +aS'.\t.\t.\tO\tO' +p214682 +asS'After evaluation and a discussion with Dr. Gunter , it was determined that the patient no longer needed anticoagulation since there was no aortic thrombus but only an aortic plaque , and there was no anterior/apical akinesis noted .' +p214683 +(lp214684 +S'After\tAfter\tIN\tB-PP\tO' +p214685 +aS'evaluation\tevaluation\tNN\tB-NP\tO' +p214686 +aS'and\tand\tCC\tO\tO' +p214687 +aS'a\ta\tDT\tB-NP\tO' +p214688 +aS'discussion\tdiscussion\tNN\tI-NP\tO' +p214689 +aS'with\twith\tIN\tB-PP\tO' +p214690 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p214691 +aS'Gunter\tGunter\tNNP\tI-NP\tO' +p214692 +aS',\t,\t,\tO\tO' +p214693 +aS'it\tit\tPRP\tB-NP\tO' +p214694 +aS'was\tbe\tVBD\tB-VP\tO' +p214695 +aS'determined\tdetermine\tVBN\tI-VP\tO' +p214696 +aS'that\tthat\tIN\tB-SBAR\tO' +p214697 +aS'the\tthe\tDT\tB-NP\tO' +p214698 +aS'patient\tpatient\tNN\tI-NP\tO' +p214699 +aS'no\tno\tRB\tB-ADVP\tO' +p214700 +aS'longer\tlonger\tRBR\tI-ADVP\tO' +p214701 +aS'needed\tneed\tVBN\tB-NP\tO' +p214702 +aS'anticoagulation\tanticoagulation\tNN\tI-NP\tO' +p214703 +aS'since\tsince\tIN\tB-SBAR\tO' +p214704 +aS'there\tthere\tEX\tB-NP\tO' +p214705 +aS'was\tbe\tVBD\tB-VP\tO' +p214706 +aS'no\tno\tDT\tB-NP\tO' +p214707 +aS'aortic\taortic\tJJ\tI-NP\tO' +p214708 +aS'thrombus\tthrombus\tNN\tI-NP\tO' +p214709 +aS'but\tbut\tCC\tO\tO' +p214710 +aS'only\tonly\tRB\tB-NP\tO' +p214711 +aS'an\tan\tDT\tI-NP\tO' +p214712 +aS'aortic\taortic\tJJ\tI-NP\tO' +p214713 +aS'plaque\tplaque\tNN\tI-NP\tO' +p214714 +aS',\t,\t,\tO\tO' +p214715 +aS'and\tand\tCC\tO\tO' +p214716 +aS'there\tthere\tEX\tB-NP\tO' +p214717 +aS'was\tbe\tVBD\tB-VP\tO' +p214718 +aS'no\tno\tDT\tB-NP\tO' +p214719 +aS'anterior/apical\tanterior/apical\tJJ\tI-NP\tO' +p214720 +aS'akinesis\takinesis\tNN\tI-NP\tO' +p214721 +aS'noted\tnote\tVBD\tB-VP\tO' +p214722 +aS'.\t.\t.\tO\tO' +p214723 +asS'There was trace aortic insufficiency .' +p214724 +(lp214725 +S'There\tThere\tEX\tB-NP\tO' +p214726 +aS'was\tbe\tVBD\tB-VP\tO' +p214727 +aS'trace\ttrace\tNN\tB-NP\tO' +p214728 +aS'aortic\taortic\tJJ\tI-NP\tO' +p214729 +aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' +p214730 +aS'.\t.\t.\tO\tO' +p214731 +asS'Transferred to intensive care unit .' +p214732 +(lp214733 +S'Transferred\tTransfer\tVBN\tB-VP\tO' +p214734 +aS'to\tto\tTO\tB-PP\tO' +p214735 +aS'intensive\tintensive\tJJ\tB-NP\tO' +p214736 +aS'care\tcare\tNN\tI-NP\tO' +p214737 +aS'unit\tunit\tNN\tI-NP\tO' +p214738 +aS'.\t.\t.\tO\tO' +p214739 +asS'The patient was admitted with a diagnosis of prostate CA , for fluid rehydration .' +p214740 +(lp214741 +S'The\tThe\tDT\tB-NP\tO' +p214742 +aS'patient\tpatient\tNN\tI-NP\tO' +p214743 +aS'was\tbe\tVBD\tB-VP\tO' +p214744 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p214745 +aS'with\twith\tIN\tB-PP\tO' +p214746 +aS'a\ta\tDT\tB-NP\tO' +p214747 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p214748 +aS'of\tof\tIN\tB-PP\tO' +p214749 +aS'prostate\tprostate\tNN\tB-NP\tO' +p214750 +aS'CA\tCA\tNN\tI-NP\tO' +p214751 +aS',\t,\t,\tO\tO' +p214752 +aS'for\tfor\tIN\tB-PP\tO' +p214753 +aS'fluid\tfluid\tNN\tB-NP\tO' +p214754 +aS'rehydration\trehydration\tNN\tI-NP\tO' +p214755 +aS'.\t.\t.\tO\tO' +p214756 +asS"+ children ( husband Gracia 't quantify )." +p214757 +(lp214758 +S'+\t+\tSYM\tO\tO' +p214759 +aS'children\tchild\tNNS\tB-NP\tO' +p214760 +aS'(\t(\t(\tO\tO' +p214761 +aS'husband\thusband\tNN\tB-NP\tO' +p214762 +aS'Gracia\tGracia\tNNP\tI-NP\tO' +p214763 +aS"'t\t't\tPOS\tB-NP\tO" +p214764 +aS'quantify\tquantify\tVBP\tB-VP\tO' +p214765 +aS').\t).\t)\tO\tO' +p214766 +asS'It was decided to have the patient 's medical and oncological issues managed at Windgo Hospital .' +p214767 +(lp214768 +S'It\tIt\tPRP\tB-NP\tO' +p214769 +aS'was\tbe\tVBD\tB-VP\tO' +p214770 +aS'decided\tdecide\tVBN\tI-VP\tO' +p214771 +aS'to\tto\tTO\tI-VP\tO' +p214772 +aS'have\thave\tVB\tI-VP\tO' +p214773 +aS'the\tthe\tDT\tB-NP\tO' +p214774 +aS'patient\tpatient\tNN\tI-NP\tO' +p214775 +aS''s\t'\tNNS\tI-NP\tO' +p214776 +aS'medical\tmedical\tJJ\tB-NP\tO' +p214777 +aS'and\tand\tCC\tI-NP\tO' +p214778 +aS'oncological\toncological\tJJ\tI-NP\tO' +p214779 +aS'issues\tissue\tNNS\tI-NP\tO' +p214780 +aS'managed\tmanage\tVBD\tB-VP\tO' +p214781 +aS'at\tat\tIN\tB-PP\tO' +p214782 +aS'Windgo\tWindgo\tNNP\tB-NP\tO' +p214783 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p214784 +aS'.\t.\t.\tO\tO' +p214785 +asS'MRI would be more sensitive for the detection of acute infarction .' +p214786 +(lp214787 +S'MRI\tMRI\tNN\tB-NP\tB-protein' +p214788 +aS'would\twould\tMD\tB-VP\tO' +p214789 +aS'be\tbe\tVB\tI-VP\tO' +p214790 +aS'more\tmore\tRBR\tB-ADJP\tO' +p214791 +aS'sensitive\tsensitive\tJJ\tI-ADJP\tO' +p214792 +aS'for\tfor\tIN\tB-PP\tO' +p214793 +aS'the\tthe\tDT\tB-NP\tO' +p214794 +aS'detection\tdetection\tNN\tI-NP\tO' +p214795 +aS'of\tof\tIN\tB-PP\tO' +p214796 +aS'acute\tacute\tJJ\tB-NP\tO' +p214797 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p214798 +aS'.\t.\t.\tO\tO' +p214799 +asS'--- No real utility in MIBI / cath prior to procedure gien previous caths with no significant lesions to be intervened on .' +p214800 +(lp214801 +S'---\t---\tSYM\tO\tO' +p214802 +aS'No\tNo\tDT\tB-NP\tO' +p214803 +aS'real\treal\tJJ\tI-NP\tO' +p214804 +aS'utility\tutility\tNN\tI-NP\tO' +p214805 +aS'in\tin\tIN\tB-PP\tO' +p214806 +aS'MIBI\tMIBI\tNN\tB-NP\tB-protein' +p214807 +aS'/\t/\tSYM\tB-NP\tO' +p214808 +aS'cath\tcath\tNN\tI-NP\tO' +p214809 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p214810 +aS'to\tto\tTO\tB-VP\tO' +p214811 +aS'procedure\tprocedure\tVB\tI-VP\tO' +p214812 +aS'gien\tgien\tJJ\tB-NP\tO' +p214813 +aS'previous\tprevious\tJJ\tI-NP\tO' +p214814 +aS'caths\tcath\tNNS\tI-NP\tO' +p214815 +aS'with\twith\tIN\tB-PP\tO' +p214816 +aS'no\tno\tDT\tB-NP\tO' +p214817 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p214818 +aS'lesions\tlesion\tNNS\tI-NP\tO' +p214819 +aS'to\tto\tTO\tB-VP\tO' +p214820 +aS'be\tbe\tVB\tI-VP\tO' +p214821 +aS'intervened\tintervene\tVBN\tI-VP\tO' +p214822 +aS'on\ton\tRP\tB-PRT\tO' +p214823 +aS'.\t.\t.\tO\tO' +p214824 +asS'The patient was also covered with Erythromycin and Gentamicin for coverage of community acquired pneumonias and gram negative rods .' +p214825 +(lp214826 +S'The\tThe\tDT\tB-NP\tO' +p214827 +aS'patient\tpatient\tNN\tI-NP\tO' +p214828 +aS'was\tbe\tVBD\tB-VP\tO' +p214829 +aS'also\talso\tRB\tI-VP\tO' +p214830 +aS'covered\tcover\tVBN\tI-VP\tO' +p214831 +aS'with\twith\tIN\tB-PP\tO' +p214832 +aS'Erythromycin\tErythromycin\tNN\tB-NP\tO' +p214833 +aS'and\tand\tCC\tI-NP\tO' +p214834 +aS'Gentamicin\tGentamicin\tNN\tI-NP\tO' +p214835 +aS'for\tfor\tIN\tB-PP\tO' +p214836 +aS'coverage\tcoverage\tNN\tB-NP\tO' +p214837 +aS'of\tof\tIN\tB-PP\tO' +p214838 +aS'community\tcommunity\tNN\tB-NP\tO' +p214839 +aS'acquired\tacquire\tVBN\tB-NP\tO' +p214840 +aS'pneumonias\tpneumonia\tNNS\tI-NP\tO' +p214841 +aS'and\tand\tCC\tO\tO' +p214842 +aS'gram\tgram\tNN\tB-NP\tO' +p214843 +aS'negative\tnegative\tJJ\tI-NP\tO' +p214844 +aS'rods\trod\tNNS\tI-NP\tO' +p214845 +aS'.\t.\t.\tO\tO' +p214846 +asS'The patient did well at home with decreasing fever and good appetite until the night prior to admission when he developed fever and chills .' +p214847 +(lp214848 +S'The\tThe\tDT\tB-NP\tO' +p214849 +aS'patient\tpatient\tNN\tI-NP\tO' +p214850 +aS'did\tdo\tVBD\tB-VP\tO' +p214851 +aS'well\twell\tRB\tB-ADVP\tO' +p214852 +aS'at\tat\tIN\tB-PP\tO' +p214853 +aS'home\thome\tNN\tB-NP\tO' +p214854 +aS'with\twith\tIN\tB-PP\tO' +p214855 +aS'decreasing\tdecrease\tVBG\tB-VP\tO' +p214856 +aS'fever\tfever\tNN\tB-NP\tO' +p214857 +aS'and\tand\tCC\tO\tO' +p214858 +aS'good\tgood\tJJ\tB-NP\tO' +p214859 +aS'appetite\tappetite\tNN\tI-NP\tO' +p214860 +aS'until\tuntil\tIN\tB-SBAR\tO' +p214861 +aS'the\tthe\tDT\tB-NP\tO' +p214862 +aS'night\tnight\tNN\tI-NP\tO' +p214863 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p214864 +aS'to\tto\tTO\tB-PP\tO' +p214865 +aS'admission\tadmission\tNN\tB-NP\tO' +p214866 +aS'when\twhen\tWRB\tB-ADVP\tO' +p214867 +aS'he\the\tPRP\tB-NP\tO' +p214868 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p214869 +aS'fever\tfever\tNN\tB-NP\tO' +p214870 +aS'and\tand\tCC\tI-NP\tO' +p214871 +aS'chills\tchill\tNNS\tI-NP\tO' +p214872 +aS'.\t.\t.\tO\tO' +p214873 +asS'The patient 's antibiotics were discontinued with the thought that prolonged antibiotics only put her at more risk for infection .' +p214874 +(lp214875 +S'The\tThe\tDT\tB-NP\tO' +p214876 +aS'patient\tpatient\tNN\tI-NP\tO' +p214877 +aS''s\t'\tNNS\tI-NP\tO' +p214878 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p214879 +aS'were\tbe\tVBD\tB-VP\tO' +p214880 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p214881 +aS'with\twith\tIN\tB-PP\tO' +p214882 +aS'the\tthe\tDT\tB-NP\tO' +p214883 +aS'thought\tthought\tNN\tI-NP\tO' +p214884 +aS'that\tthat\tIN\tB-SBAR\tO' +p214885 +aS'prolonged\tprolonged\tJJ\tB-NP\tO' +p214886 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p214887 +aS'only\tonly\tRB\tB-ADVP\tO' +p214888 +aS'put\tput\tVBP\tB-VP\tO' +p214889 +aS'her\ther\tPRP\tB-NP\tO' +p214890 +aS'at\tat\tIN\tB-PP\tO' +p214891 +aS'more\tmore\tJJR\tB-NP\tO' +p214892 +aS'risk\trisk\tNN\tI-NP\tO' +p214893 +aS'for\tfor\tIN\tB-PP\tO' +p214894 +aS'infection\tinfection\tNN\tB-NP\tO' +p214895 +aS'.\t.\t.\tO\tO' +p214896 +asS"The patient 's postoperative course was notable for an elevation in white blood cell count peaking at 30.0 on postoperative day number two ." +p214897 +(lp214898 +S'The\tThe\tDT\tB-NP\tO' +p214899 +aS'patient\tpatient\tNN\tI-NP\tO' +p214900 +aS"'s\t's\tPOS\tB-NP\tO" +p214901 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p214902 +aS'course\tcourse\tNN\tI-NP\tO' +p214903 +aS'was\tbe\tVBD\tB-VP\tO' +p214904 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p214905 +aS'for\tfor\tIN\tB-PP\tO' +p214906 +aS'an\tan\tDT\tB-NP\tO' +p214907 +aS'elevation\televation\tNN\tI-NP\tO' +p214908 +aS'in\tin\tIN\tB-PP\tO' +p214909 +aS'white\twhite\tJJ\tB-NP\tB-cell_type' +p214910 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p214911 +aS'cell\tcell\tNN\tI-NP\tI-cell_type' +p214912 +aS'count\tcount\tNN\tI-NP\tO' +p214913 +aS'peaking\tpeak\tVBG\tB-VP\tO' +p214914 +aS'at\tat\tIN\tB-PP\tO' +p214915 +aS'30.0\t30.0\tCD\tB-NP\tO' +p214916 +aS'on\ton\tIN\tB-PP\tO' +p214917 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p214918 +aS'day\tday\tNN\tI-NP\tO' +p214919 +aS'number\tnumber\tNN\tI-NP\tO' +p214920 +aS'two\ttwo\tCD\tI-NP\tO' +p214921 +aS'.\t.\t.\tO\tO' +p214922 +asS'Permission for a postmortem examination was granted .' +p214923 +(lp214924 +S'Permission\tPermission\tNN\tB-NP\tO' +p214925 +aS'for\tfor\tIN\tB-PP\tO' +p214926 +aS'a\ta\tDT\tB-NP\tO' +p214927 +aS'postmortem\tpostmortem\tNN\tI-NP\tO' +p214928 +aS'examination\texamination\tNN\tI-NP\tO' +p214929 +aS'was\tbe\tVBD\tB-VP\tO' +p214930 +aS'granted\tgrant\tVBN\tI-VP\tO' +p214931 +aS'.\t.\t.\tO\tO' +p214932 +asS'Thus , he was discharged on postoperative day number eight in good condition with a well healed left shoulder wound and doing well with occupational therapy with plans for him to follow-up with Dr. Necessary .' +p214933 +(lp214934 +S'Thus\tThus\tRB\tB-ADVP\tO' +p214935 +aS',\t,\t,\tO\tO' +p214936 +aS'he\the\tPRP\tB-NP\tO' +p214937 +aS'was\tbe\tVBD\tB-VP\tO' +p214938 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p214939 +aS'on\ton\tIN\tB-PP\tO' +p214940 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p214941 +aS'day\tday\tNN\tI-NP\tO' +p214942 +aS'number\tnumber\tNN\tI-NP\tO' +p214943 +aS'eight\teight\tCD\tI-NP\tO' +p214944 +aS'in\tin\tIN\tB-PP\tO' +p214945 +aS'good\tgood\tJJ\tB-NP\tO' +p214946 +aS'condition\tcondition\tNN\tI-NP\tO' +p214947 +aS'with\twith\tIN\tB-PP\tO' +p214948 +aS'a\ta\tDT\tB-NP\tO' +p214949 +aS'well\twell\tRB\tI-NP\tO' +p214950 +aS'healed\theal\tVBN\tI-NP\tO' +p214951 +aS'left\tleft\tJJ\tI-NP\tO' +p214952 +aS'shoulder\tshoulder\tNN\tI-NP\tO' +p214953 +aS'wound\twound\tNN\tI-NP\tO' +p214954 +aS'and\tand\tCC\tO\tO' +p214955 +aS'doing\tdo\tVBG\tB-VP\tO' +p214956 +aS'well\twell\tRB\tB-ADVP\tO' +p214957 +aS'with\twith\tIN\tB-PP\tO' +p214958 +aS'occupational\toccupational\tJJ\tB-NP\tO' +p214959 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p214960 +aS'with\twith\tIN\tB-PP\tO' +p214961 +aS'plans\tplan\tNNS\tB-NP\tO' +p214962 +aS'for\tfor\tIN\tB-SBAR\tO' +p214963 +aS'him\thim\tPRP\tB-NP\tO' +p214964 +aS'to\tto\tTO\tB-VP\tO' +p214965 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p214966 +aS'with\twith\tIN\tB-PP\tO' +p214967 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p214968 +aS'Necessary\tNecessary\tNNP\tI-NP\tO' +p214969 +aS'.\t.\t.\tO\tO' +p214970 +asS'She remained afebrile and hemodynamically .' +p214971 +(lp214972 +S'She\tShe\tPRP\tB-NP\tO' +p214973 +aS'remained\tremain\tVBD\tB-VP\tO' +p214974 +aS'afebrile\tafebrile\tRB\tB-ADVP\tO' +p214975 +aS'and\tand\tCC\tI-ADVP\tO' +p214976 +aS'hemodynamically\themodynamically\tRB\tI-ADVP\tO' +p214977 +aS'.\t.\t.\tO\tO' +p214978 +asS'Abdomen - Normal .' +p214979 +(lp214980 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p214981 +aS'-\t-\t:\tO\tO' +p214982 +aS'Normal\tNormal\tJJ\tB-ADJP\tO' +p214983 +aS'.\t.\t.\tO\tO' +p214984 +asS'To rehabilitation .' +p214985 +(lp214986 +S'To\tTo\tTO\tB-PP\tO' +p214987 +aS'rehabilitation\trehabilitation\tNN\tB-NP\tO' +p214988 +aS'.\t.\t.\tO\tO' +p214989 +asS'Now living at the DBT House on Treva Williamson in Westborough .' +p214990 +(lp214991 +S'Now\tNow\tRB\tB-ADVP\tO' +p214992 +aS'living\tlive\tVBG\tB-VP\tO' +p214993 +aS'at\tat\tIN\tB-PP\tO' +p214994 +aS'the\tthe\tDT\tB-NP\tO' +p214995 +aS'DBT\tDBT\tNNP\tI-NP\tO' +p214996 +aS'House\tHouse\tNNP\tI-NP\tO' +p214997 +aS'on\ton\tIN\tB-PP\tO' +p214998 +aS'Treva\tTreva\tNNP\tB-NP\tO' +p214999 +aS'Williamson\tWilliamson\tNNP\tI-NP\tO' +p215000 +aS'in\tin\tIN\tB-PP\tO' +p215001 +aS'Westborough\tWestborough\tNNP\tB-NP\tO' +p215002 +aS'.\t.\t.\tO\tO' +p215003 +asS"By mother 's report , a maternal cousin also has an absent septum pellucidum ." +p215004 +(lp215005 +S'By\tBy\tIN\tB-PP\tO' +p215006 +aS'mother\tmother\tNN\tB-NP\tO' +p215007 +aS"'s\t's\tPOS\tB-NP\tO" +p215008 +aS'report\treport\tNN\tI-NP\tO' +p215009 +aS',\t,\t,\tO\tO' +p215010 +aS'a\ta\tDT\tB-NP\tO' +p215011 +aS'maternal\tmaternal\tJJ\tI-NP\tO' +p215012 +aS'cousin\tcousin\tNN\tI-NP\tO' +p215013 +aS'also\talso\tRB\tB-ADVP\tO' +p215014 +aS'has\thave\tVBZ\tB-VP\tO' +p215015 +aS'an\tan\tDT\tB-NP\tO' +p215016 +aS'absent\tabsent\tJJ\tI-NP\tO' +p215017 +aS'septum\tseptum\tNN\tI-NP\tO' +p215018 +aS'pellucidum\tpellucidum\tNN\tI-NP\tO' +p215019 +aS'.\t.\t.\tO\tO' +p215020 +asS'He underwent an xray of the L femur which did not suggest an acute fracture .' +p215021 +(lp215022 +S'He\tHe\tPRP\tB-NP\tO' +p215023 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p215024 +aS'an\tan\tDT\tB-NP\tO' +p215025 +aS'xray\txray\tNN\tI-NP\tO' +p215026 +aS'of\tof\tIN\tB-PP\tO' +p215027 +aS'the\tthe\tDT\tB-NP\tO' +p215028 +aS'L\tL\tNN\tI-NP\tO' +p215029 +aS'femur\tfemur\tNN\tI-NP\tO' +p215030 +aS'which\twhich\tWDT\tB-NP\tO' +p215031 +aS'did\tdo\tVBD\tB-VP\tO' +p215032 +aS'not\tnot\tRB\tI-VP\tO' +p215033 +aS'suggest\tsuggest\tVB\tI-VP\tO' +p215034 +aS'an\tan\tDT\tB-NP\tO' +p215035 +aS'acute\tacute\tJJ\tI-NP\tO' +p215036 +aS'fracture\tfracture\tNN\tI-NP\tO' +p215037 +aS'.\t.\t.\tO\tO' +p215038 +asS'MRI showed a large fluid filled abdomen with a relatively small mass measuring about 5 to 6 cm in the right pelvis .' +p215039 +(lp215040 +S'MRI\tMRI\tNN\tB-NP\tO' +p215041 +aS'showed\tshow\tVBD\tB-VP\tO' +p215042 +aS'a\ta\tDT\tB-NP\tO' +p215043 +aS'large\tlarge\tJJ\tI-NP\tO' +p215044 +aS'fluid\tfluid\tNN\tI-NP\tO' +p215045 +aS'filled\tfill\tVBN\tB-VP\tO' +p215046 +aS'abdomen\tabdoman\tNNS\tB-NP\tO' +p215047 +aS'with\twith\tIN\tB-PP\tO' +p215048 +aS'a\ta\tDT\tB-NP\tO' +p215049 +aS'relatively\trelatively\tRB\tI-NP\tO' +p215050 +aS'small\tsmall\tJJ\tI-NP\tO' +p215051 +aS'mass\tmass\tNN\tI-NP\tO' +p215052 +aS'measuring\tmeasure\tVBG\tB-VP\tO' +p215053 +aS'about\tabout\tRB\tB-NP\tO' +p215054 +aS'5\t5\tCD\tI-NP\tO' +p215055 +aS'to\tto\tTO\tI-NP\tO' +p215056 +aS'6\t6\tCD\tI-NP\tO' +p215057 +aS'cm\tcm\tNN\tI-NP\tO' +p215058 +aS'in\tin\tIN\tB-PP\tO' +p215059 +aS'the\tthe\tDT\tB-NP\tO' +p215060 +aS'right\tright\tJJ\tI-NP\tO' +p215061 +aS'pelvis\tpelvis\tNN\tI-NP\tO' +p215062 +aS'.\t.\t.\tO\tO' +p215063 +asS'Initial blood gas was 7.31/46/500/77 .' +p215064 +(lp215065 +S'Initial\tInitial\tJJ\tB-NP\tO' +p215066 +aS'blood\tblood\tNN\tI-NP\tO' +p215067 +aS'gas\tgas\tNN\tI-NP\tO' +p215068 +aS'was\tbe\tVBD\tB-VP\tO' +p215069 +aS'7.31/46/500/77\t7.31/46/500/77\tCD\tB-NP\tO' +p215070 +aS'.\t.\t.\tO\tO' +p215071 +asS'He will be maintained on Levofloxacin for prophylaxis against SBP .' +p215072 +(lp215073 +S'He\tHe\tPRP\tB-NP\tO' +p215074 +aS'will\twill\tMD\tB-VP\tO' +p215075 +aS'be\tbe\tVB\tI-VP\tO' +p215076 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p215077 +aS'on\ton\tIN\tB-PP\tO' +p215078 +aS'Levofloxacin\tLevofloxacin\tNN\tB-NP\tO' +p215079 +aS'for\tfor\tIN\tB-PP\tO' +p215080 +aS'prophylaxis\tprophylaxis\tNN\tB-NP\tO' +p215081 +aS'against\tagainst\tIN\tB-PP\tO' +p215082 +aS'SBP\tSBP\tNN\tB-NP\tB-protein' +p215083 +aS'.\t.\t.\tO\tO' +p215084 +asS'Normal LA size .' +p215085 +(lp215086 +S'Normal\tNormal\tJJ\tB-NP\tO' +p215087 +aS'LA\tLA\tNN\tI-NP\tO' +p215088 +aS'size\tsize\tNN\tI-NP\tO' +p215089 +aS'.\t.\t.\tO\tO' +p215090 +asS'Poor effort , no wheezes , rales , or rhonchi .' +p215091 +(lp215092 +S'Poor\tPoor\tNN\tB-NP\tO' +p215093 +aS'effort\teffort\tNN\tI-NP\tO' +p215094 +aS',\t,\t,\tO\tO' +p215095 +aS'no\tno\tDT\tB-NP\tO' +p215096 +aS'wheezes\twheeze\tNNS\tI-NP\tO' +p215097 +aS',\t,\t,\tO\tO' +p215098 +aS'rales\trale\tNNS\tB-NP\tO' +p215099 +aS',\t,\t,\tO\tO' +p215100 +aS'or\tor\tCC\tO\tO' +p215101 +aS'rhonchi\trhonchi\tNN\tB-NP\tO' +p215102 +aS'.\t.\t.\tO\tO' +p215103 +asS'29. Memantine 5 mg Tablet Sig : One ( 1 ) Tablet PO daily ( ) .' +p215104 +(lp215105 +S'29.\t29.\tCD\tB-NP\tO' +p215106 +aS'Memantine\tMemantine\tNN\tI-NP\tO' +p215107 +aS'5\t5\tCD\tB-NP\tO' +p215108 +aS'mg\tmg\tNN\tI-NP\tO' +p215109 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p215110 +aS'Sig\tSig\tNNP\tI-NP\tO' +p215111 +aS':\t:\t:\tO\tO' +p215112 +aS'One\tOne\tCD\tB-NP\tO' +p215113 +aS'(\t(\t(\tO\tO' +p215114 +aS'1\t1\tCD\tB-NP\tO' +p215115 +aS')\t)\t)\tO\tO' +p215116 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p215117 +aS'PO\tPO\tNN\tI-NP\tO' +p215118 +aS'daily\tdaily\tJJ\tI-NP\tO' +p215119 +aS'(\t(\t(\tO\tO' +p215120 +aS')\t)\t)\tO\tO' +p215121 +aS'.\t.\t.\tO\tO' +p215122 +asS'Control of the super-celiac aorta was obtained , and both left and right sided " Mattox " maneuvers were performed .' +p215123 +(lp215124 +S'Control\tControl\tNN\tB-NP\tO' +p215125 +aS'of\tof\tIN\tB-PP\tO' +p215126 +aS'the\tthe\tDT\tB-NP\tO' +p215127 +aS'super-celiac\tsuper-celiac\tJJ\tI-NP\tO' +p215128 +aS'aorta\taorta\tNN\tI-NP\tO' +p215129 +aS'was\tbe\tVBD\tB-VP\tO' +p215130 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p215131 +aS',\t,\t,\tO\tO' +p215132 +aS'and\tand\tCC\tO\tO' +p215133 +aS'both\tboth\tCC\tO\tO' +p215134 +aS'left\tleft\tJJ\tB-NP\tO' +p215135 +aS'and\tand\tCC\tI-NP\tO' +p215136 +aS'right\tright\tJJ\tI-NP\tO' +p215137 +aS'sided\tsided\tJJ\tI-NP\tO' +p215138 +aS'"\t"\tNN\tI-NP\tO' +p215139 +aS'Mattox\tMattox\tNNP\tI-NP\tO' +p215140 +aS'"\t"\tCC\tO\tO' +p215141 +aS'maneuvers\tmaneuver\tNNS\tB-NP\tO' +p215142 +aS'were\tbe\tVBD\tB-VP\tO' +p215143 +aS'performed\tperform\tVBN\tI-VP\tO' +p215144 +aS'.\t.\t.\tO\tO' +p215145 +asS'ABG ( 7.42 / 38 / 88 ) was performed , 80 mg lasix was given and the patietn had foley placed and had good urine output and good mentation .' +p215146 +(lp215147 +S'ABG\tABG\tNN\tB-NP\tO' +p215148 +aS'(\t(\t(\tO\tO' +p215149 +aS'7.42\t7.42\tCD\tB-NP\tO' +p215150 +aS'/\t/\tSYM\tI-NP\tO' +p215151 +aS'38\t38\tCD\tI-NP\tO' +p215152 +aS'/\t/\tSYM\tI-NP\tO' +p215153 +aS'88\t88\tCD\tI-NP\tO' +p215154 +aS')\t)\t)\tO\tO' +p215155 +aS'was\tbe\tVBD\tB-VP\tO' +p215156 +aS'performed\tperform\tVBN\tI-VP\tO' +p215157 +aS',\t,\t,\tO\tO' +p215158 +aS'80\t80\tCD\tB-NP\tO' +p215159 +aS'mg\tmg\tNN\tI-NP\tO' +p215160 +aS'lasix\tlasix\tNN\tI-NP\tO' +p215161 +aS'was\tbe\tVBD\tB-VP\tO' +p215162 +aS'given\tgive\tVBN\tI-VP\tO' +p215163 +aS'and\tand\tCC\tO\tO' +p215164 +aS'the\tthe\tDT\tB-NP\tO' +p215165 +aS'patietn\tpatietn\tNN\tI-NP\tO' +p215166 +aS'had\thave\tVBD\tB-VP\tO' +p215167 +aS'foley\tfoley\tJJ\tI-VP\tO' +p215168 +aS'placed\tplace\tVBN\tI-VP\tO' +p215169 +aS'and\tand\tCC\tO\tO' +p215170 +aS'had\thave\tVBD\tB-VP\tO' +p215171 +aS'good\tgood\tJJ\tB-NP\tO' +p215172 +aS'urine\turine\tNN\tI-NP\tO' +p215173 +aS'output\toutput\tNN\tI-NP\tO' +p215174 +aS'and\tand\tCC\tO\tO' +p215175 +aS'good\tgood\tJJ\tB-NP\tO' +p215176 +aS'mentation\tmentation\tNN\tI-NP\tO' +p215177 +aS'.\t.\t.\tO\tO' +p215178 +asS'10. Cephalexin 500 mg Capsule Sig : One ( 1 ) Capsule PO Q6H ( every 6 hours ) for 6 days : please complete full course .' +p215179 +(lp215180 +S'10.\t10.\tLS\tB-NP\tO' +p215181 +aS'Cephalexin\tCephalexin\tNN\tI-NP\tO' +p215182 +aS'500\t500\tCD\tI-NP\tO' +p215183 +aS'mg\tmg\tNN\tI-NP\tO' +p215184 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p215185 +aS'Sig\tSig\tNNP\tI-NP\tO' +p215186 +aS':\t:\t:\tO\tO' +p215187 +aS'One\tOne\tCD\tB-NP\tO' +p215188 +aS'(\t(\t(\tO\tO' +p215189 +aS'1\t1\tCD\tB-NP\tO' +p215190 +aS')\t)\t)\tO\tO' +p215191 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p215192 +aS'PO\tPO\tNN\tI-NP\tO' +p215193 +aS'Q6H\tQ6H\tNN\tI-NP\tO' +p215194 +aS'(\t(\t(\tO\tO' +p215195 +aS'every\tevery\tDT\tB-NP\tO' +p215196 +aS'6\t6\tCD\tI-NP\tO' +p215197 +aS'hours\thour\tNNS\tI-NP\tO' +p215198 +aS')\t)\t)\tO\tO' +p215199 +aS'for\tfor\tIN\tB-PP\tO' +p215200 +aS'6\t6\tCD\tB-NP\tO' +p215201 +aS'days\tday\tNNS\tI-NP\tO' +p215202 +aS':\t:\t:\tO\tO' +p215203 +aS'please\tplease\tVB\tB-VP\tO' +p215204 +aS'complete\tcomplete\tJJ\tB-NP\tO' +p215205 +aS'full\tfull\tJJ\tI-NP\tO' +p215206 +aS'course\tcourse\tNN\tI-NP\tO' +p215207 +aS'.\t.\t.\tO\tO' +p215208 +asS'IV PPI was given and the GI team was consulted and she was scheduled for colonoscopy and EGD on the morning of 6/8 .' +p215209 +(lp215210 +S'IV\tIV\tCD\tB-NP\tO' +p215211 +aS'PPI\tPPI\tNN\tI-NP\tO' +p215212 +aS'was\tbe\tVBD\tB-VP\tO' +p215213 +aS'given\tgive\tVBN\tI-VP\tO' +p215214 +aS'and\tand\tCC\tO\tO' +p215215 +aS'the\tthe\tDT\tB-NP\tO' +p215216 +aS'GI\tGI\tNN\tI-NP\tO' +p215217 +aS'team\tteam\tNN\tI-NP\tO' +p215218 +aS'was\tbe\tVBD\tB-VP\tO' +p215219 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p215220 +aS'and\tand\tCC\tO\tO' +p215221 +aS'she\tshe\tPRP\tB-NP\tO' +p215222 +aS'was\tbe\tVBD\tB-VP\tO' +p215223 +aS'scheduled\tschedule\tVBN\tI-VP\tO' +p215224 +aS'for\tfor\tIN\tB-PP\tO' +p215225 +aS'colonoscopy\tcolonoscopy\tNN\tB-NP\tO' +p215226 +aS'and\tand\tCC\tI-NP\tO' +p215227 +aS'EGD\tEGD\tNN\tI-NP\tB-protein' +p215228 +aS'on\ton\tIN\tB-PP\tO' +p215229 +aS'the\tthe\tDT\tB-NP\tO' +p215230 +aS'morning\tmorning\tNN\tI-NP\tO' +p215231 +aS'of\tof\tIN\tB-PP\tO' +p215232 +aS'6/8\t6/8\tCD\tB-NP\tO' +p215233 +aS'.\t.\t.\tO\tO' +p215234 +asS'On exploration of the abdomen revealed significant nodularity of the liver indicating of advanced cirrhosis .' +p215235 +(lp215236 +S'On\tOn\tIN\tB-PP\tO' +p215237 +aS'exploration\texploration\tNN\tB-NP\tO' +p215238 +aS'of\tof\tIN\tB-PP\tO' +p215239 +aS'the\tthe\tDT\tB-NP\tO' +p215240 +aS'abdomen\tabdoman\tNNS\tI-NP\tO' +p215241 +aS'revealed\treveal\tVBD\tB-VP\tO' +p215242 +aS'significant\tsignificant\tJJ\tB-NP\tO' +p215243 +aS'nodularity\tnodularity\tNN\tI-NP\tO' +p215244 +aS'of\tof\tIN\tB-PP\tO' +p215245 +aS'the\tthe\tDT\tB-NP\tO' +p215246 +aS'liver\tliver\tNN\tI-NP\tO' +p215247 +aS'indicating\tindicate\tVBG\tB-VP\tO' +p215248 +aS'of\tof\tIN\tB-PP\tO' +p215249 +aS'advanced\tadvance\tVBN\tB-NP\tO' +p215250 +aS'cirrhosis\tcirrhosis\tNN\tI-NP\tO' +p215251 +aS'.\t.\t.\tO\tO' +p215252 +asS'Arterial blood gas at 11 a.m. was 7.33/46/115 .' +p215253 +(lp215254 +S'Arterial\tArterial\tJJ\tB-NP\tO' +p215255 +aS'blood\tblood\tNN\tI-NP\tO' +p215256 +aS'gas\tgas\tNN\tI-NP\tO' +p215257 +aS'at\tat\tIN\tB-PP\tO' +p215258 +aS'11\t11\tCD\tB-NP\tO' +p215259 +aS'a.m.\ta.m.\tNN\tI-NP\tO' +p215260 +aS'was\tbe\tVBD\tB-VP\tO' +p215261 +aS'7.33/46/115\t7.33/46/115\tCD\tB-NP\tO' +p215262 +aS'.\t.\t.\tO\tO' +p215263 +asS'This was discontinued on day of life two to maintain a mean arterial pressure of greater than 33 .' +p215264 +(lp215265 +S'This\tThis\tDT\tB-NP\tO' +p215266 +aS'was\tbe\tVBD\tB-VP\tO' +p215267 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p215268 +aS'on\ton\tIN\tB-PP\tO' +p215269 +aS'day\tday\tNN\tB-NP\tO' +p215270 +aS'of\tof\tIN\tB-PP\tO' +p215271 +aS'life\tlife\tNN\tB-NP\tO' +p215272 +aS'two\ttwo\tCD\tI-NP\tO' +p215273 +aS'to\tto\tTO\tB-VP\tO' +p215274 +aS'maintain\tmaintain\tVB\tI-VP\tO' +p215275 +aS'a\ta\tDT\tB-NP\tO' +p215276 +aS'mean\tmean\tJJ\tI-NP\tO' +p215277 +aS'arterial\tarterial\tJJ\tI-NP\tO' +p215278 +aS'pressure\tpressure\tNN\tI-NP\tO' +p215279 +aS'of\tof\tIN\tB-PP\tO' +p215280 +aS'greater\tgreat\tJJR\tB-NP\tO' +p215281 +aS'than\tthan\tIN\tI-NP\tO' +p215282 +aS'33\t33\tCD\tI-NP\tO' +p215283 +aS'.\t.\t.\tO\tO' +p215284 +asS'His J tube is now functioning .' +p215285 +(lp215286 +S'His\tHis\tPRP$\tB-NP\tO' +p215287 +aS'J\tJ\tNN\tI-NP\tO' +p215288 +aS'tube\ttube\tNN\tI-NP\tO' +p215289 +aS'is\tbe\tVBZ\tB-VP\tO' +p215290 +aS'now\tnow\tRB\tI-VP\tO' +p215291 +aS'functioning\tfunction\tVBG\tI-VP\tO' +p215292 +aS'.\t.\t.\tO\tO' +p215293 +asS'3. Folic acid 1 mg q. d.' +p215294 +(lp215295 +S'3.\t3.\tLS\tB-NP\tO' +p215296 +aS'Folic\tFolic\tJJ\tI-NP\tO' +p215297 +aS'acid\tacid\tNN\tI-NP\tO' +p215298 +aS'1\t1\tCD\tI-NP\tO' +p215299 +aS'mg\tmg\tNN\tI-NP\tO' +p215300 +aS'q.\tq.\tNN\tI-NP\tO' +p215301 +aS'd.\td.\tNN\tI-NP\tO' +p215302 +asS'In December 1990 she had a lumpectomy , from left breast , and XRT x 35 .' +p215303 +(lp215304 +S'In\tIn\tIN\tB-PP\tO' +p215305 +aS'December\tDecember\tNNP\tB-NP\tO' +p215306 +aS'1990\t1990\tCD\tI-NP\tO' +p215307 +aS'she\tshe\tPRP\tB-NP\tO' +p215308 +aS'had\thave\tVBD\tB-VP\tO' +p215309 +aS'a\ta\tDT\tB-NP\tO' +p215310 +aS'lumpectomy\tlumpectomy\tNN\tI-NP\tO' +p215311 +aS',\t,\t,\tO\tO' +p215312 +aS'from\tfrom\tIN\tB-PP\tO' +p215313 +aS'left\tleft\tJJ\tB-NP\tO' +p215314 +aS'breast\tbreast\tNN\tI-NP\tO' +p215315 +aS',\t,\t,\tO\tO' +p215316 +aS'and\tand\tCC\tO\tO' +p215317 +aS'XRT\tXRT\tNN\tB-NP\tB-protein' +p215318 +aS'x\tx\tSYM\tO\tI-protein' +p215319 +aS'35\t35\tCD\tB-NP\tI-protein' +p215320 +aS'.\t.\t.\tO\tO' +p215321 +asS'Admission laboratories included a hematocrit of 43.3 and white blood cell count of 25.2 , normal electrolytes and amylase of 98 .' +p215322 +(lp215323 +S'Admission\tAdmission\tNN\tB-NP\tO' +p215324 +aS'laboratories\tlaboratory\tNNS\tI-NP\tO' +p215325 +aS'included\tinclude\tVBD\tB-VP\tO' +p215326 +aS'a\ta\tDT\tB-NP\tO' +p215327 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p215328 +aS'of\tof\tIN\tB-PP\tO' +p215329 +aS'43.3\t43.3\tCD\tB-NP\tO' +p215330 +aS'and\tand\tCC\tO\tO' +p215331 +aS'white\twhite\tJJ\tB-NP\tO' +p215332 +aS'blood\tblood\tNN\tI-NP\tO' +p215333 +aS'cell\tcell\tNN\tI-NP\tO' +p215334 +aS'count\tcount\tNN\tI-NP\tO' +p215335 +aS'of\tof\tIN\tB-PP\tO' +p215336 +aS'25.2\t25.2\tCD\tB-NP\tO' +p215337 +aS',\t,\t,\tO\tO' +p215338 +aS'normal\tnormal\tJJ\tB-NP\tO' +p215339 +aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' +p215340 +aS'and\tand\tCC\tO\tO' +p215341 +aS'amylase\tamylase\tNN\tB-NP\tB-protein' +p215342 +aS'of\tof\tIN\tB-PP\tO' +p215343 +aS'98\t98\tCD\tB-NP\tO' +p215344 +aS'.\t.\t.\tO\tO' +p215345 +asS'Cervical spine imaging demonstrated no evidence of cervical spine injury .' +p215346 +(lp215347 +S'Cervical\tCervical\tJJ\tB-NP\tO' +p215348 +aS'spine\tspine\tNN\tI-NP\tO' +p215349 +aS'imaging\timaging\tNN\tI-NP\tO' +p215350 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p215351 +aS'no\tno\tDT\tB-NP\tO' +p215352 +aS'evidence\tevidence\tNN\tI-NP\tO' +p215353 +aS'of\tof\tIN\tB-PP\tO' +p215354 +aS'cervical\tcervical\tJJ\tB-NP\tO' +p215355 +aS'spine\tspine\tNN\tI-NP\tO' +p215356 +aS'injury\tinjury\tNN\tI-NP\tO' +p215357 +aS'.\t.\t.\tO\tO' +p215358 +asS'She should follow-up with Dr. Ryna Jescdrig as well as Dr. Lenni Lung in the Vascular Surgery Department in approximately three to four weeks .' +p215359 +(lp215360 +S'She\tShe\tPRP\tB-NP\tO' +p215361 +aS'should\tshould\tMD\tB-VP\tO' +p215362 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p215363 +aS'with\twith\tIN\tB-PP\tO' +p215364 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p215365 +aS'Ryna\tRyna\tNNP\tI-NP\tO' +p215366 +aS'Jescdrig\tJescdrig\tNNP\tI-NP\tO' +p215367 +aS'as\tas\tRB\tB-CONJP\tO' +p215368 +aS'well\twell\tRB\tI-CONJP\tO' +p215369 +aS'as\tas\tIN\tI-CONJP\tO' +p215370 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p215371 +aS'Lenni\tLenni\tNNP\tI-NP\tO' +p215372 +aS'Lung\tLung\tNNP\tI-NP\tO' +p215373 +aS'in\tin\tIN\tB-PP\tO' +p215374 +aS'the\tthe\tDT\tB-NP\tO' +p215375 +aS'Vascular\tVascular\tNNP\tI-NP\tO' +p215376 +aS'Surgery\tSurgery\tNNP\tI-NP\tO' +p215377 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p215378 +aS'in\tin\tIN\tB-PP\tO' +p215379 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p215380 +aS'three\tthree\tCD\tI-NP\tO' +p215381 +aS'to\tto\tTO\tI-NP\tO' +p215382 +aS'four\tfour\tCD\tI-NP\tO' +p215383 +aS'weeks\tweek\tNNS\tI-NP\tO' +p215384 +aS'.\t.\t.\tO\tO' +p215385 +asS'4. Car seat position and screening : Not applicable .' +p215386 +(lp215387 +S'4.\t4.\tLS\tB-NP\tO' +p215388 +aS'Car\tCar\tNN\tI-NP\tB-protein' +p215389 +aS'seat\tseat\tNN\tI-NP\tO' +p215390 +aS'position\tposition\tNN\tI-NP\tO' +p215391 +aS'and\tand\tCC\tI-NP\tO' +p215392 +aS'screening\tscreening\tNN\tI-NP\tO' +p215393 +aS':\t:\t:\tO\tO' +p215394 +aS'Not\tNot\tRB\tB-ADJP\tO' +p215395 +aS'applicable\tapplicable\tJJ\tI-ADJP\tO' +p215396 +aS'.\t.\t.\tO\tO' +p215397 +asS'Examination showed a right upper mid small breast mass which was detected actually by Dr. Para .' +p215398 +(lp215399 +S'Examination\tExamination\tNN\tB-NP\tO' +p215400 +aS'showed\tshow\tVBD\tB-VP\tO' +p215401 +aS'a\ta\tDT\tB-NP\tO' +p215402 +aS'right\tright\tJJ\tI-NP\tO' +p215403 +aS'upper\tupper\tJJ\tI-NP\tO' +p215404 +aS'mid\tmid\tJJ\tI-NP\tO' +p215405 +aS'small\tsmall\tJJ\tI-NP\tO' +p215406 +aS'breast\tbreast\tNN\tI-NP\tO' +p215407 +aS'mass\tmass\tNN\tI-NP\tO' +p215408 +aS'which\twhich\tWDT\tB-NP\tO' +p215409 +aS'was\tbe\tVBD\tB-VP\tO' +p215410 +aS'detected\tdetect\tVBN\tI-VP\tO' +p215411 +aS'actually\tactually\tRB\tB-ADVP\tO' +p215412 +aS'by\tby\tIN\tB-PP\tO' +p215413 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p215414 +aS'Para\tPara\tNNP\tI-NP\tO' +p215415 +aS'.\t.\t.\tO\tO' +p215416 +asS'1 ) IRON DEFICIENCY ANEMIA , COLONOSCOPY IN 1990 FOLLOWED BY HEMATOLOGY ONCOLOGY THROUGH LYMPNANIER HEALTH SERVICES , DR. NUMBER .' +p215417 +(lp215418 +S'1\t1\tLS\tB-LST\tO' +p215419 +aS')\t)\t)\tO\tO' +p215420 +aS'IRON\tIRON\tNN\tB-NP\tO' +p215421 +aS'DEFICIENCY\tDEFICIENCY\tNN\tI-NP\tO' +p215422 +aS'ANEMIA\tANEMIA\tNN\tI-NP\tO' +p215423 +aS',\t,\t,\tO\tO' +p215424 +aS'COLONOSCOPY\tCOLONOSCOPY\tNNP\tB-NP\tO' +p215425 +aS'IN\tIN\tNNP\tI-NP\tO' +p215426 +aS'1990\t1990\tCD\tI-NP\tO' +p215427 +aS'FOLLOWED\tFOLLOWED\tNNP\tI-NP\tO' +p215428 +aS'BY\tBY\tNNP\tI-NP\tO' +p215429 +aS'HEMATOLOGY\tHEMATOLOGY\tNNP\tI-NP\tO' +p215430 +aS'ONCOLOGY\tONCOLOGY\tNNP\tI-NP\tO' +p215431 +aS'THROUGH\tTHROUGH\tNNP\tI-NP\tO' +p215432 +aS'LYMPNANIER\tLYMPNANIER\tNNP\tI-NP\tO' +p215433 +aS'HEALTH\tHEALTH\tNNP\tI-NP\tO' +p215434 +aS'SERVICES\tSERVICES\tNNP\tI-NP\tO' +p215435 +aS',\t,\t,\tO\tO' +p215436 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p215437 +aS'NUMBER\tNUMBER\tNNP\tI-NP\tO' +p215438 +aS'.\t.\t.\tO\tO' +p215439 +asS"The patient 's mental status waxed and waned there ." +p215440 +(lp215441 +S'The\tThe\tDT\tB-NP\tO' +p215442 +aS'patient\tpatient\tNN\tI-NP\tO' +p215443 +aS"'s\t's\tPOS\tB-NP\tO" +p215444 +aS'mental\tmental\tJJ\tI-NP\tO' +p215445 +aS'status\tstatus\tNN\tI-NP\tO' +p215446 +aS'waxed\twax\tVBD\tB-VP\tO' +p215447 +aS'and\tand\tCC\tO\tO' +p215448 +aS'waned\twan\tVBD\tB-VP\tO' +p215449 +aS'there\tthere\tRB\tB-ADVP\tO' +p215450 +aS'.\t.\t.\tO\tO' +p215451 +asS'Please take all over your medications .' +p215452 +(lp215453 +S'Please\tPlease\tVB\tB-VP\tO' +p215454 +aS'take\ttake\tVB\tI-VP\tO' +p215455 +aS'all\tall\tDT\tB-NP\tO' +p215456 +aS'over\tover\tIN\tB-PP\tO' +p215457 +aS'your\tyour\tPRP$\tB-NP\tO' +p215458 +aS'medications\tmedication\tNNS\tI-NP\tO' +p215459 +aS'.\t.\t.\tO\tO' +p215460 +asS'Abd CT showed stable findings compared to 12/10/04 except for distended right colon consistent with ileus .' +p215461 +(lp215462 +S'Abd\tAbd\tNN\tB-NP\tO' +p215463 +aS'CT\tCT\tNN\tI-NP\tO' +p215464 +aS'showed\tshow\tVBD\tB-VP\tO' +p215465 +aS'stable\tstable\tJJ\tB-NP\tO' +p215466 +aS'findings\tfinding\tNNS\tI-NP\tO' +p215467 +aS'compared\tcompare\tVBN\tB-VP\tO' +p215468 +aS'to\tto\tTO\tB-PP\tO' +p215469 +aS'12/10/04\t12/10/04\tCD\tB-NP\tO' +p215470 +aS'except\texcept\tIN\tB-PP\tO' +p215471 +aS'for\tfor\tIN\tB-PP\tO' +p215472 +aS'distended\tdistended\tJJ\tB-NP\tO' +p215473 +aS'right\tright\tJJ\tI-NP\tO' +p215474 +aS'colon\tcolon\tNN\tI-NP\tO' +p215475 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p215476 +aS'with\twith\tIN\tB-PP\tO' +p215477 +aS'ileus\tileus\tNN\tB-NP\tO' +p215478 +aS'.\t.\t.\tO\tO' +p215479 +asS'1) Albuterol inhaler two puffs q.i.d. p.r.n. breathing difficulties .' +p215480 +(lp215481 +S'1)\t1)\tLS\tB-NP\tO' +p215482 +aS'Albuterol\tAlbuterol\tNN\tI-NP\tO' +p215483 +aS'inhaler\tinhaler\tIN\tB-PP\tO' +p215484 +aS'two\ttwo\tCD\tB-NP\tO' +p215485 +aS'puffs\tpuff\tNNS\tI-NP\tO' +p215486 +aS'q.i.d.\tq.i.d.\tVBP\tB-VP\tO' +p215487 +aS'p.r.n.\tp.r.n.\tNN\tB-NP\tO' +p215488 +aS'breathing\tbreathing\tNN\tI-NP\tO' +p215489 +aS'difficulties\tdifficulty\tNNS\tI-NP\tO' +p215490 +aS'.\t.\t.\tO\tO' +p215491 +asS'Postoperative changes of the sternum and media stinum were seen and no acute pulmonary disease was visualized .' +p215492 +(lp215493 +S'Postoperative\tPostoperative\tJJ\tB-NP\tO' +p215494 +aS'changes\tchange\tNNS\tI-NP\tO' +p215495 +aS'of\tof\tIN\tB-PP\tO' +p215496 +aS'the\tthe\tDT\tB-NP\tO' +p215497 +aS'sternum\tsternum\tNN\tI-NP\tO' +p215498 +aS'and\tand\tCC\tI-NP\tO' +p215499 +aS'media\tmedium\tNNS\tI-NP\tO' +p215500 +aS'stinum\tstinum\tNN\tI-NP\tO' +p215501 +aS'were\tbe\tVBD\tB-VP\tO' +p215502 +aS'seen\tsee\tVBN\tI-VP\tO' +p215503 +aS'and\tand\tCC\tO\tO' +p215504 +aS'no\tno\tDT\tB-NP\tO' +p215505 +aS'acute\tacute\tJJ\tI-NP\tO' +p215506 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p215507 +aS'disease\tdisease\tNN\tI-NP\tO' +p215508 +aS'was\tbe\tVBD\tB-VP\tO' +p215509 +aS'visualized\tvisualize\tVBN\tI-VP\tO' +p215510 +aS'.\t.\t.\tO\tO' +p215511 +asS'The dens is intact .' +p215512 +(lp215513 +S'The\tThe\tDT\tB-NP\tO' +p215514 +aS'dens\tden\tNNS\tI-NP\tO' +p215515 +aS'is\tbe\tVBZ\tB-VP\tO' +p215516 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p215517 +aS'.\t.\t.\tO\tO' +p215518 +asS'2. Oxycodone 5 mg Tablet Sig : Two ( 2 ) Tablet PO Q4H ( every 4 hours ) as needed for pain .' +p215519 +(lp215520 +S'2.\t2.\tLS\tB-NP\tO' +p215521 +aS'Oxycodone\tOxycodone\tNN\tI-NP\tO' +p215522 +aS'5\t5\tCD\tI-NP\tO' +p215523 +aS'mg\tmg\tNN\tI-NP\tO' +p215524 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p215525 +aS'Sig\tSig\tNNP\tI-NP\tO' +p215526 +aS':\t:\t:\tO\tO' +p215527 +aS'Two\tTwo\tCD\tB-NP\tO' +p215528 +aS'(\t(\t(\tO\tO' +p215529 +aS'2\t2\tCD\tO\tO' +p215530 +aS')\t)\t)\tO\tO' +p215531 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p215532 +aS'PO\tPO\tNN\tI-NP\tO' +p215533 +aS'Q4H\tQ4H\tNN\tI-NP\tO' +p215534 +aS'(\t(\t(\tO\tO' +p215535 +aS'every\tevery\tDT\tB-NP\tO' +p215536 +aS'4\t4\tCD\tI-NP\tO' +p215537 +aS'hours\thour\tNNS\tI-NP\tO' +p215538 +aS')\t)\t)\tO\tO' +p215539 +aS'as\tas\tIN\tB-SBAR\tO' +p215540 +aS'needed\tneed\tVBN\tB-VP\tO' +p215541 +aS'for\tfor\tIN\tB-PP\tO' +p215542 +aS'pain\tpain\tNN\tB-NP\tO' +p215543 +aS'.\t.\t.\tO\tO' +p215544 +asS'Recent CT scan showed destruction of L femoral neck .' +p215545 +(lp215546 +S'Recent\tRecent\tJJ\tB-NP\tO' +p215547 +aS'CT\tCT\tNN\tI-NP\tO' +p215548 +aS'scan\tscan\tNN\tI-NP\tO' +p215549 +aS'showed\tshow\tVBD\tB-VP\tO' +p215550 +aS'destruction\tdestruction\tNN\tB-NP\tO' +p215551 +aS'of\tof\tIN\tB-PP\tO' +p215552 +aS'L\tL\tNN\tB-NP\tB-protein' +p215553 +aS'femoral\tfemoral\tJJ\tI-NP\tI-protein' +p215554 +aS'neck\tneck\tNN\tI-NP\tI-protein' +p215555 +aS'.\t.\t.\tO\tO' +p215556 +asS'A lipid panel was checked and found to be within normal limits , although it was noted this was in the post MI setting and the lipid panel could be falsely low .' +p215557 +(lp215558 +S'A\tA\tDT\tB-NP\tO' +p215559 +aS'lipid\tlipid\tNN\tI-NP\tO' +p215560 +aS'panel\tpanel\tNN\tI-NP\tO' +p215561 +aS'was\tbe\tVBD\tB-VP\tO' +p215562 +aS'checked\tcheck\tVBN\tI-VP\tO' +p215563 +aS'and\tand\tCC\tO\tO' +p215564 +aS'found\tfind\tVBN\tB-VP\tO' +p215565 +aS'to\tto\tTO\tI-VP\tO' +p215566 +aS'be\tbe\tVB\tI-VP\tO' +p215567 +aS'within\twithin\tIN\tB-PP\tO' +p215568 +aS'normal\tnormal\tJJ\tB-NP\tO' +p215569 +aS'limits\tlimit\tNNS\tI-NP\tO' +p215570 +aS',\t,\t,\tO\tO' +p215571 +aS'although\talthough\tIN\tB-SBAR\tO' +p215572 +aS'it\tit\tPRP\tB-NP\tO' +p215573 +aS'was\tbe\tVBD\tB-VP\tO' +p215574 +aS'noted\tnote\tVBN\tI-VP\tO' +p215575 +aS'this\tthis\tDT\tB-NP\tO' +p215576 +aS'was\tbe\tVBD\tB-VP\tO' +p215577 +aS'in\tin\tIN\tB-PP\tO' +p215578 +aS'the\tthe\tDT\tB-NP\tO' +p215579 +aS'post\tpost\tNN\tI-NP\tO' +p215580 +aS'MI\tMI\tNN\tI-NP\tO' +p215581 +aS'setting\tsetting\tNN\tI-NP\tO' +p215582 +aS'and\tand\tCC\tO\tO' +p215583 +aS'the\tthe\tDT\tB-NP\tO' +p215584 +aS'lipid\tlipid\tNN\tI-NP\tO' +p215585 +aS'panel\tpanel\tNN\tI-NP\tO' +p215586 +aS'could\tcould\tMD\tB-VP\tO' +p215587 +aS'be\tbe\tVB\tI-VP\tO' +p215588 +aS'falsely\tfalsely\tRB\tB-ADJP\tO' +p215589 +aS'low\tlow\tJJ\tI-ADJP\tO' +p215590 +aS'.\t.\t.\tO\tO' +p215591 +asS'Additional smaller non-obstructing right renal stones .' +p215592 +(lp215593 +S'Additional\tAdditional\tJJ\tB-NP\tO' +p215594 +aS'smaller\tsmall\tJJR\tI-NP\tO' +p215595 +aS'non-obstructing\tnon-obstructing\tJJ\tI-NP\tO' +p215596 +aS'right\tright\tNN\tI-NP\tO' +p215597 +aS'renal\trenal\tJJ\tI-NP\tO' +p215598 +aS'stones\tstone\tNNS\tI-NP\tO' +p215599 +aS'.\t.\t.\tO\tO' +p215600 +asS'Justin Searle a 60-year-old man with a long history of chronic prostatitis status post two transurethral resection of the prostate procedures in 2007 and 1998 .' +p215601 +(lp215602 +S'Justin\tJustin\tNNP\tB-NP\tO' +p215603 +aS'Searle\tSearle\tNNP\tI-NP\tO' +p215604 +aS'a\ta\tDT\tB-NP\tO' +p215605 +aS'60-year-old\t60-year-old\tJJ\tI-NP\tO' +p215606 +aS'man\tman\tNN\tI-NP\tO' +p215607 +aS'with\twith\tIN\tB-PP\tO' +p215608 +aS'a\ta\tDT\tB-NP\tO' +p215609 +aS'long\tlong\tJJ\tI-NP\tO' +p215610 +aS'history\thistory\tNN\tI-NP\tO' +p215611 +aS'of\tof\tIN\tB-PP\tO' +p215612 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p215613 +aS'prostatitis\tprostatitis\tNN\tI-NP\tO' +p215614 +aS'status\tstatus\tNN\tI-NP\tO' +p215615 +aS'post\tpost\tIN\tB-PP\tO' +p215616 +aS'two\ttwo\tCD\tB-NP\tO' +p215617 +aS'transurethral\ttransurethral\tJJ\tI-NP\tO' +p215618 +aS'resection\tresection\tNN\tI-NP\tO' +p215619 +aS'of\tof\tIN\tB-PP\tO' +p215620 +aS'the\tthe\tDT\tB-NP\tO' +p215621 +aS'prostate\tprostate\tNN\tI-NP\tO' +p215622 +aS'procedures\tprocedure\tNNS\tI-NP\tO' +p215623 +aS'in\tin\tIN\tB-PP\tO' +p215624 +aS'2007\t2007\tCD\tB-NP\tO' +p215625 +aS'and\tand\tCC\tI-NP\tO' +p215626 +aS'1998\t1998\tCD\tI-NP\tO' +p215627 +aS'.\t.\t.\tO\tO' +p215628 +asS'active labor .' +p215629 +(lp215630 +S'active\tactive\tJJ\tB-NP\tO' +p215631 +aS'labor\tlabor\tNN\tI-NP\tO' +p215632 +aS'.\t.\t.\tO\tO' +p215633 +asS'Percodan and codeine .' +p215634 +(lp215635 +S'Percodan\tPercodan\tNN\tB-NP\tO' +p215636 +aS'and\tand\tCC\tI-NP\tO' +p215637 +aS'codeine\tcodeine\tNN\tI-NP\tO' +p215638 +aS'.\t.\t.\tO\tO' +p215639 +asS'The patient will be discharged home on Zantac , Simethicone , and preoperative medications with follow-up with Dr. Ur in two weeks .' +p215640 +(lp215641 +S'The\tThe\tDT\tB-NP\tO' +p215642 +aS'patient\tpatient\tNN\tI-NP\tO' +p215643 +aS'will\twill\tMD\tB-VP\tO' +p215644 +aS'be\tbe\tVB\tI-VP\tO' +p215645 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p215646 +aS'home\thome\tNN\tB-ADVP\tO' +p215647 +aS'on\ton\tIN\tB-PP\tO' +p215648 +aS'Zantac\tZantac\tNN\tB-NP\tO' +p215649 +aS',\t,\t,\tO\tO' +p215650 +aS'Simethicone\tSimethicone\tNN\tB-NP\tO' +p215651 +aS',\t,\t,\tO\tO' +p215652 +aS'and\tand\tCC\tO\tO' +p215653 +aS'preoperative\tpreoperative\tJJ\tB-NP\tO' +p215654 +aS'medications\tmedication\tNNS\tI-NP\tO' +p215655 +aS'with\twith\tIN\tB-PP\tO' +p215656 +aS'follow-up\tfollow-up\tNN\tB-NP\tO' +p215657 +aS'with\twith\tIN\tB-PP\tO' +p215658 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p215659 +aS'Ur\tUr\tNNP\tI-NP\tO' +p215660 +aS'in\tin\tIN\tB-PP\tO' +p215661 +aS'two\ttwo\tCD\tB-NP\tO' +p215662 +aS'weeks\tweek\tNNS\tI-NP\tO' +p215663 +aS'.\t.\t.\tO\tO' +p215664 +asS'No retropharyngeal fluid is identified .' +p215665 +(lp215666 +S'No\tNo\tDT\tB-NP\tO' +p215667 +aS'retropharyngeal\tretropharyngeal\tJJ\tI-NP\tO' +p215668 +aS'fluid\tfluid\tNN\tI-NP\tO' +p215669 +aS'is\tbe\tVBZ\tB-VP\tO' +p215670 +aS'identified\tidentify\tVBN\tI-VP\tO' +p215671 +aS'.\t.\t.\tO\tO' +p215672 +asS'He was also started on his preoperative medications of Amlodipine and Losartan with improvement of his blood pressure .' +p215673 +(lp215674 +S'He\tHe\tPRP\tB-NP\tO' +p215675 +aS'was\tbe\tVBD\tB-VP\tO' +p215676 +aS'also\talso\tRB\tI-VP\tO' +p215677 +aS'started\tstart\tVBN\tI-VP\tO' +p215678 +aS'on\ton\tIN\tB-PP\tO' +p215679 +aS'his\this\tPRP$\tB-NP\tO' +p215680 +aS'preoperative\tpreoperative\tJJ\tI-NP\tO' +p215681 +aS'medications\tmedication\tNNS\tI-NP\tO' +p215682 +aS'of\tof\tIN\tB-PP\tO' +p215683 +aS'Amlodipine\tAmlodipine\tNN\tB-NP\tO' +p215684 +aS'and\tand\tCC\tI-NP\tO' +p215685 +aS'Losartan\tLosartan\tNN\tI-NP\tO' +p215686 +aS'with\twith\tIN\tB-PP\tO' +p215687 +aS'improvement\timprovement\tNN\tB-NP\tO' +p215688 +aS'of\tof\tIN\tB-PP\tO' +p215689 +aS'his\this\tPRP$\tB-NP\tO' +p215690 +aS'blood\tblood\tNN\tI-NP\tO' +p215691 +aS'pressure\tpressure\tNN\tI-NP\tO' +p215692 +aS'.\t.\t.\tO\tO' +p215693 +asS'No bleeding in her urine or stool .' +p215694 +(lp215695 +S'No\tNo\tDT\tB-NP\tO' +p215696 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p215697 +aS'in\tin\tIN\tB-PP\tO' +p215698 +aS'her\ther\tPRP$\tB-NP\tO' +p215699 +aS'urine\turine\tNN\tI-NP\tO' +p215700 +aS'or\tor\tCC\tI-NP\tO' +p215701 +aS'stool\tstool\tNN\tI-NP\tO' +p215702 +aS'.\t.\t.\tO\tO' +p215703 +asS'She was seen in the emergency room here on 08/31/04 where they performed an abdominal CT that showed a 14 x 14 x 10 cm pelvic mass with multiple enlarged lymph nodes .' +p215704 +(lp215705 +S'She\tShe\tPRP\tB-NP\tO' +p215706 +aS'was\tbe\tVBD\tB-VP\tO' +p215707 +aS'seen\tsee\tVBN\tI-VP\tO' +p215708 +aS'in\tin\tIN\tB-PP\tO' +p215709 +aS'the\tthe\tDT\tB-NP\tO' +p215710 +aS'emergency\temergency\tNN\tI-NP\tO' +p215711 +aS'room\troom\tNN\tI-NP\tO' +p215712 +aS'here\there\tRB\tB-ADVP\tO' +p215713 +aS'on\ton\tIN\tB-PP\tO' +p215714 +aS'08/31/04\t08/31/04\tCD\tB-NP\tO' +p215715 +aS'where\twhere\tWRB\tB-ADVP\tO' +p215716 +aS'they\tthey\tPRP\tB-NP\tO' +p215717 +aS'performed\tperform\tVBD\tB-VP\tO' +p215718 +aS'an\tan\tDT\tB-NP\tO' +p215719 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p215720 +aS'CT\tCT\tNN\tI-NP\tO' +p215721 +aS'that\tthat\tWDT\tB-NP\tO' +p215722 +aS'showed\tshow\tVBD\tB-VP\tO' +p215723 +aS'a\ta\tDT\tB-NP\tO' +p215724 +aS'14\t14\tCD\tI-NP\tO' +p215725 +aS'x\tx\tSYM\tI-NP\tO' +p215726 +aS'14\t14\tCD\tI-NP\tO' +p215727 +aS'x\tx\tSYM\tI-NP\tO' +p215728 +aS'10\t10\tCD\tI-NP\tO' +p215729 +aS'cm\tcm\tNN\tI-NP\tO' +p215730 +aS'pelvic\tpelvic\tJJ\tI-NP\tO' +p215731 +aS'mass\tmass\tNN\tI-NP\tO' +p215732 +aS'with\twith\tIN\tB-PP\tO' +p215733 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p215734 +aS'enlarged\tenlarged\tJJ\tI-NP\tO' +p215735 +aS'lymph\tlymph\tNN\tI-NP\tO' +p215736 +aS'nodes\tnode\tNNS\tI-NP\tO' +p215737 +aS'.\t.\t.\tO\tO' +p215738 +asS'At present , she can walk one to two blocks before having to stop because of shortness of breath .' +p215739 +(lp215740 +S'At\tAt\tIN\tB-PP\tO' +p215741 +aS'present\tpresent\tNN\tB-NP\tO' +p215742 +aS',\t,\t,\tO\tO' +p215743 +aS'she\tshe\tPRP\tB-NP\tO' +p215744 +aS'can\tcan\tMD\tB-VP\tO' +p215745 +aS'walk\twalk\tVB\tI-VP\tO' +p215746 +aS'one\tone\tCD\tB-NP\tO' +p215747 +aS'to\tto\tTO\tI-NP\tO' +p215748 +aS'two\ttwo\tCD\tI-NP\tO' +p215749 +aS'blocks\tblock\tNNS\tI-NP\tO' +p215750 +aS'before\tbefore\tIN\tB-PP\tO' +p215751 +aS'having\thave\tVBG\tB-VP\tO' +p215752 +aS'to\tto\tTO\tI-VP\tO' +p215753 +aS'stop\tstop\tVB\tI-VP\tO' +p215754 +aS'because\tbecause\tIN\tB-PP\tO' +p215755 +aS'of\tof\tIN\tI-PP\tO' +p215756 +aS'shortness\tshortness\tNN\tB-NP\tO' +p215757 +aS'of\tof\tIN\tB-PP\tO' +p215758 +aS'breath\tbreath\tNN\tB-NP\tO' +p215759 +aS'.\t.\t.\tO\tO' +p215760 +asS'3. Atorvastatin 10 mg p.o. q. day .' +p215761 +(lp215762 +S'3.\t3.\tLS\tB-LST\tO' +p215763 +aS'Atorvastatin\tAtorvastatin\tNN\tB-NP\tO' +p215764 +aS'10\t10\tCD\tI-NP\tO' +p215765 +aS'mg\tmg\tNN\tI-NP\tO' +p215766 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p215767 +aS'q.\tq.\tNN\tI-NP\tO' +p215768 +aS'day\tday\tNN\tI-NP\tO' +p215769 +aS'.\t.\t.\tO\tO' +p215770 +asS'He improved clinically with defervescence , decreased white blood cell count to 10,000 with resolution of left shift , and some decrease in abdominal distention on exam .' +p215771 +(lp215772 +S'He\tHe\tPRP\tB-NP\tO' +p215773 +aS'improved\timprove\tVBD\tB-VP\tO' +p215774 +aS'clinically\tclinically\tRB\tB-ADVP\tO' +p215775 +aS'with\twith\tIN\tB-PP\tO' +p215776 +aS'defervescence\tdefervescence\tNN\tB-NP\tO' +p215777 +aS',\t,\t,\tO\tO' +p215778 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p215779 +aS'white\twhite\tJJ\tB-NP\tB-cell_type' +p215780 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p215781 +aS'cell\tcell\tNN\tI-NP\tI-cell_type' +p215782 +aS'count\tcount\tNN\tI-NP\tO' +p215783 +aS'to\tto\tTO\tB-PP\tO' +p215784 +aS'10,000\t10,000\tCD\tB-NP\tO' +p215785 +aS'with\twith\tIN\tB-PP\tO' +p215786 +aS'resolution\tresolution\tNN\tB-NP\tO' +p215787 +aS'of\tof\tIN\tB-PP\tO' +p215788 +aS'left\tleft\tJJ\tB-NP\tO' +p215789 +aS'shift\tshift\tNN\tI-NP\tO' +p215790 +aS',\t,\t,\tO\tO' +p215791 +aS'and\tand\tCC\tO\tO' +p215792 +aS'some\tsome\tDT\tB-NP\tO' +p215793 +aS'decrease\tdecrease\tNN\tI-NP\tO' +p215794 +aS'in\tin\tIN\tB-PP\tO' +p215795 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p215796 +aS'distention\tdistention\tNN\tI-NP\tO' +p215797 +aS'on\ton\tIN\tB-PP\tO' +p215798 +aS'exam\texam\tNN\tB-NP\tO' +p215799 +aS'.\t.\t.\tO\tO' +p215800 +asS'Nicholas seizures , no LOC , no head or neck trauma .' +p215801 +(lp215802 +S'Nicholas\tNichola\tNNS\tB-NP\tO' +p215803 +aS'seizures\tseizure\tNNS\tI-NP\tO' +p215804 +aS',\t,\t,\tO\tO' +p215805 +aS'no\tno\tDT\tB-NP\tO' +p215806 +aS'LOC\tLOC\tNNP\tI-NP\tO' +p215807 +aS',\t,\t,\tO\tO' +p215808 +aS'no\tno\tDT\tB-NP\tO' +p215809 +aS'head\thead\tNN\tI-NP\tO' +p215810 +aS'or\tor\tCC\tI-NP\tO' +p215811 +aS'neck\tneck\tNN\tI-NP\tO' +p215812 +aS'trauma\ttrauma\tNN\tI-NP\tO' +p215813 +aS'.\t.\t.\tO\tO' +p215814 +asS'The discharge is to home .' +p215815 +(lp215816 +S'The\tThe\tDT\tB-NP\tO' +p215817 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p215818 +aS'is\tbe\tVBZ\tB-VP\tO' +p215819 +aS'to\tto\tTO\tB-PP\tO' +p215820 +aS'home\thome\tNN\tB-NP\tO' +p215821 +aS'.\t.\t.\tO\tO' +p215822 +asS'The patient was initially started on D10 / W at 80 cc / kg / day .' +p215823 +(lp215824 +S'The\tThe\tDT\tB-NP\tO' +p215825 +aS'patient\tpatient\tNN\tI-NP\tO' +p215826 +aS'was\tbe\tVBD\tB-VP\tO' +p215827 +aS'initially\tinitially\tRB\tI-VP\tO' +p215828 +aS'started\tstart\tVBN\tI-VP\tO' +p215829 +aS'on\ton\tIN\tB-PP\tO' +p215830 +aS'D10\tD10\tNN\tB-NP\tB-protein' +p215831 +aS'/\t/\tSYM\tB-NP\tO' +p215832 +aS'W\tW\tNN\tI-NP\tO' +p215833 +aS'at\tat\tIN\tB-PP\tO' +p215834 +aS'80\t80\tCD\tB-NP\tO' +p215835 +aS'cc\tcc\tNN\tI-NP\tO' +p215836 +aS'/\t/\tSYM\tB-NP\tO' +p215837 +aS'kg\tkg\tNN\tI-NP\tO' +p215838 +aS'/\t/\tSYM\tB-NP\tO' +p215839 +aS'day\tday\tNN\tI-NP\tO' +p215840 +aS'.\t.\t.\tO\tO' +p215841 +asS'She did well on the ward and was discharged on her ninth postoperative day .' +p215842 +(lp215843 +S'She\tShe\tPRP\tB-NP\tO' +p215844 +aS'did\tdo\tVBD\tB-VP\tO' +p215845 +aS'well\twell\tRB\tB-ADVP\tO' +p215846 +aS'on\ton\tIN\tB-PP\tO' +p215847 +aS'the\tthe\tDT\tB-NP\tO' +p215848 +aS'ward\tward\tNN\tI-NP\tO' +p215849 +aS'and\tand\tCC\tO\tO' +p215850 +aS'was\tbe\tVBD\tB-VP\tO' +p215851 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p215852 +aS'on\ton\tIN\tB-PP\tO' +p215853 +aS'her\ther\tPRP\tB-NP\tO' +p215854 +aS'ninth\tninth\tJJ\tI-NP\tO' +p215855 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p215856 +aS'day\tday\tNN\tI-NP\tO' +p215857 +aS'.\t.\t.\tO\tO' +p215858 +asS'Your patient was admitted under the care of REEFRAUP , JA Y with a preliminary diagnosis of SYNCOPE .' +p215859 +(lp215860 +S'Your\tYour\tPRP$\tB-NP\tO' +p215861 +aS'patient\tpatient\tNN\tI-NP\tO' +p215862 +aS'was\tbe\tVBD\tB-VP\tO' +p215863 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p215864 +aS'under\tunder\tIN\tB-PP\tO' +p215865 +aS'the\tthe\tDT\tB-NP\tO' +p215866 +aS'care\tcare\tNN\tI-NP\tO' +p215867 +aS'of\tof\tIN\tB-PP\tO' +p215868 +aS'REEFRAUP\tREEFRAUP\tNN\tB-NP\tO' +p215869 +aS',\t,\t,\tO\tO' +p215870 +aS'JA\tJA\tNNP\tB-NP\tO' +p215871 +aS'Y\tY\tNNP\tI-NP\tO' +p215872 +aS'with\twith\tIN\tB-PP\tO' +p215873 +aS'a\ta\tDT\tB-NP\tO' +p215874 +aS'preliminary\tpreliminary\tJJ\tI-NP\tO' +p215875 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p215876 +aS'of\tof\tIN\tB-PP\tO' +p215877 +aS'SYNCOPE\tSYNCOPE\tNN\tB-NP\tO' +p215878 +aS'.\t.\t.\tO\tO' +p215879 +asS'Patient needs to continue the tube feed nutrition until re-assessed by the nutrionist .' +p215880 +(lp215881 +S'Patient\tPatient\tNN\tB-NP\tO' +p215882 +aS'needs\tneed\tVBZ\tB-VP\tO' +p215883 +aS'to\tto\tTO\tI-VP\tO' +p215884 +aS'continue\tcontinue\tVB\tI-VP\tO' +p215885 +aS'the\tthe\tDT\tB-NP\tO' +p215886 +aS'tube\ttube\tNN\tI-NP\tO' +p215887 +aS'feed\tfeed\tNN\tI-NP\tO' +p215888 +aS'nutrition\tnutrition\tNN\tI-NP\tO' +p215889 +aS'until\tuntil\tIN\tB-SBAR\tO' +p215890 +aS're-assessed\tre-assess\tVBN\tB-VP\tO' +p215891 +aS'by\tby\tIN\tB-PP\tO' +p215892 +aS'the\tthe\tDT\tB-NP\tO' +p215893 +aS'nutrionist\tnutrionist\tNN\tI-NP\tO' +p215894 +aS'.\t.\t.\tO\tO' +p215895 +asS'Oncologist is Dr. Rowles .' +p215896 +(lp215897 +S'Oncologist\tOncologist\tNNP\tB-NP\tO' +p215898 +aS'is\tbe\tVBZ\tB-VP\tO' +p215899 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p215900 +aS'Rowles\tRowles\tNNP\tI-NP\tO' +p215901 +aS'.\t.\t.\tO\tO' +p215902 +asS'At that time , cholangiogram confirmed that there was a distal stricture of the common bile duct .' +p215903 +(lp215904 +S'At\tAt\tIN\tB-PP\tO' +p215905 +aS'that\tthat\tDT\tB-NP\tO' +p215906 +aS'time\ttime\tNN\tI-NP\tO' +p215907 +aS',\t,\t,\tO\tO' +p215908 +aS'cholangiogram\tcholangiogram\tNN\tB-NP\tO' +p215909 +aS'confirmed\tconfirm\tVBD\tB-VP\tO' +p215910 +aS'that\tthat\tIN\tB-SBAR\tO' +p215911 +aS'there\tthere\tEX\tB-NP\tO' +p215912 +aS'was\tbe\tVBD\tB-VP\tO' +p215913 +aS'a\ta\tDT\tB-NP\tO' +p215914 +aS'distal\tdistal\tJJ\tI-NP\tO' +p215915 +aS'stricture\tstricture\tNN\tI-NP\tO' +p215916 +aS'of\tof\tIN\tB-PP\tO' +p215917 +aS'the\tthe\tDT\tB-NP\tO' +p215918 +aS'common\tcommon\tJJ\tI-NP\tO' +p215919 +aS'bile\tbile\tNN\tI-NP\tO' +p215920 +aS'duct\tduct\tNN\tI-NP\tO' +p215921 +aS'.\t.\t.\tO\tO' +p215922 +asS'The patient was seen at the Ochtuheihugh Put University Medical Center and then he was referred to the Purckecation Balpoingdelt Pabarnes- Campa Memorial Hospital .' +p215923 +(lp215924 +S'The\tThe\tDT\tB-NP\tO' +p215925 +aS'patient\tpatient\tNN\tI-NP\tO' +p215926 +aS'was\tbe\tVBD\tB-VP\tO' +p215927 +aS'seen\tsee\tVBN\tI-VP\tO' +p215928 +aS'at\tat\tIN\tB-PP\tO' +p215929 +aS'the\tthe\tDT\tB-NP\tO' +p215930 +aS'Ochtuheihugh\tOchtuheihugh\tNNP\tI-NP\tO' +p215931 +aS'Put\tPut\tNNP\tI-NP\tO' +p215932 +aS'University\tUniversity\tNNP\tI-NP\tO' +p215933 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p215934 +aS'Center\tCenter\tNNP\tI-NP\tO' +p215935 +aS'and\tand\tCC\tO\tO' +p215936 +aS'then\tthen\tRB\tB-ADVP\tO' +p215937 +aS'he\the\tPRP\tB-NP\tO' +p215938 +aS'was\tbe\tVBD\tB-VP\tO' +p215939 +aS'referred\trefer\tVBN\tI-VP\tO' +p215940 +aS'to\tto\tTO\tB-PP\tO' +p215941 +aS'the\tthe\tDT\tB-NP\tO' +p215942 +aS'Purckecation\tPurckecation\tNNP\tI-NP\tO' +p215943 +aS'Balpoingdelt\tBalpoingdelt\tNNP\tI-NP\tO' +p215944 +aS'Pabarnes-\tPabarnes-\tNNP\tI-NP\tO' +p215945 +aS'Campa\tCampa\tNNP\tI-NP\tO' +p215946 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p215947 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p215948 +aS'.\t.\t.\tO\tO' +p215949 +asS'She is normocephalic otherwise .' +p215950 +(lp215951 +S'She\tShe\tPRP\tB-NP\tO' +p215952 +aS'is\tbe\tVBZ\tB-VP\tO' +p215953 +aS'normocephalic\tnormocephalic\tJJ\tB-ADJP\tO' +p215954 +aS'otherwise\totherwise\tRB\tB-ADVP\tO' +p215955 +aS'.\t.\t.\tO\tO' +p215956 +asS'Umbilical ring intact .' +p215957 +(lp215958 +S'Umbilical\tUmbilical\tJJ\tB-NP\tO' +p215959 +aS'ring\tring\tNN\tI-NP\tO' +p215960 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p215961 +aS'.\t.\t.\tO\tO' +p215962 +asS'These were thought to be consistent either with pneumonia or asymmetric pulmonary edema .' +p215963 +(lp215964 +S'These\tThese\tDT\tB-NP\tO' +p215965 +aS'were\tbe\tVBD\tB-VP\tO' +p215966 +aS'thought\tthink\tVBN\tI-VP\tO' +p215967 +aS'to\tto\tTO\tI-VP\tO' +p215968 +aS'be\tbe\tVB\tI-VP\tO' +p215969 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p215970 +aS'either\teither\tCC\tB-PP\tO' +p215971 +aS'with\twith\tIN\tI-PP\tO' +p215972 +aS'pneumonia\tpneumonia\tNN\tB-NP\tO' +p215973 +aS'or\tor\tCC\tO\tO' +p215974 +aS'asymmetric\tasymmetric\tJJ\tB-NP\tO' +p215975 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p215976 +aS'edema\tedema\tNN\tI-NP\tO' +p215977 +aS'.\t.\t.\tO\tO' +p215978 +asS'Blood cultures were done for a possible rectosigmoid mass or fistula and a CT showed questionable abscess versus tumor in the left lower quadrant .' +p215979 +(lp215980 +S'Blood\tBlood\tNN\tB-NP\tB-cell_line' +p215981 +aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' +p215982 +aS'were\tbe\tVBD\tB-VP\tO' +p215983 +aS'done\tdo\tVBN\tI-VP\tO' +p215984 +aS'for\tfor\tIN\tB-PP\tO' +p215985 +aS'a\ta\tDT\tB-NP\tO' +p215986 +aS'possible\tpossible\tJJ\tI-NP\tO' +p215987 +aS'rectosigmoid\trectosigmoid\tJJ\tI-NP\tO' +p215988 +aS'mass\tmass\tNN\tI-NP\tO' +p215989 +aS'or\tor\tCC\tI-NP\tO' +p215990 +aS'fistula\tfistula\tNN\tI-NP\tO' +p215991 +aS'and\tand\tCC\tO\tO' +p215992 +aS'a\ta\tDT\tB-NP\tO' +p215993 +aS'CT\tCT\tNN\tI-NP\tO' +p215994 +aS'showed\tshow\tVBD\tB-VP\tO' +p215995 +aS'questionable\tquestionable\tJJ\tB-NP\tO' +p215996 +aS'abscess\tabscess\tNN\tI-NP\tO' +p215997 +aS'versus\tversus\tIN\tB-PP\tO' +p215998 +aS'tumor\ttumor\tNN\tB-NP\tO' +p215999 +aS'in\tin\tIN\tB-PP\tO' +p216000 +aS'the\tthe\tDT\tB-NP\tO' +p216001 +aS'left\tleft\tJJ\tI-NP\tO' +p216002 +aS'lower\tlow\tJJR\tI-NP\tO' +p216003 +aS'quadrant\tquadrant\tNN\tI-NP\tO' +p216004 +aS'.\t.\t.\tO\tO' +p216005 +asS'Jennifer Martin , North Dakota 07287' +p216006 +(lp216007 +S'Jennifer\tJennifer\tNNP\tB-NP\tO' +p216008 +aS'Martin\tMartin\tNNP\tI-NP\tO' +p216009 +aS',\t,\t,\tO\tO' +p216010 +aS'North\tNorth\tNNP\tB-NP\tO' +p216011 +aS'Dakota\tDakota\tNNP\tI-NP\tO' +p216012 +aS'07287\t07287\tCD\tI-NP\tO' +p216013 +asS'This is a 57-year-old female status post ERT with recurrence of a pelvic mass and resection at an outside hospital in 06/22 .' +p216014 +(lp216015 +S'This\tThis\tDT\tB-NP\tO' +p216016 +aS'is\tbe\tVBZ\tB-VP\tO' +p216017 +aS'a\ta\tDT\tB-NP\tO' +p216018 +aS'57-year-old\t57-year-old\tJJ\tI-NP\tO' +p216019 +aS'female\tfemale\tJJ\tI-NP\tO' +p216020 +aS'status\tstatus\tNN\tI-NP\tO' +p216021 +aS'post\tpost\tNN\tI-NP\tO' +p216022 +aS'ERT\tERT\tNN\tI-NP\tO' +p216023 +aS'with\twith\tIN\tB-PP\tO' +p216024 +aS'recurrence\trecurrence\tNN\tB-NP\tO' +p216025 +aS'of\tof\tIN\tB-PP\tO' +p216026 +aS'a\ta\tDT\tB-NP\tO' +p216027 +aS'pelvic\tpelvic\tJJ\tI-NP\tO' +p216028 +aS'mass\tmass\tNN\tI-NP\tO' +p216029 +aS'and\tand\tCC\tI-NP\tO' +p216030 +aS'resection\tresection\tNN\tI-NP\tO' +p216031 +aS'at\tat\tIN\tB-PP\tO' +p216032 +aS'an\tan\tDT\tB-NP\tO' +p216033 +aS'outside\toutside\tJJ\tI-NP\tO' +p216034 +aS'hospital\thospital\tNN\tI-NP\tO' +p216035 +aS'in\tin\tIN\tB-PP\tO' +p216036 +aS'06/22\t06/22\tCD\tB-NP\tO' +p216037 +aS'.\t.\t.\tO\tO' +p216038 +asS'Received phototherapy from 07-27 to 2013-07-28 for a peak bilirubin of 8.1 .' +p216039 +(lp216040 +S'Received\tReceive\tVBN\tB-NP\tO' +p216041 +aS'phototherapy\tphototherapy\tNN\tI-NP\tO' +p216042 +aS'from\tfrom\tIN\tB-PP\tO' +p216043 +aS'07-27\t07-27\tCD\tB-NP\tO' +p216044 +aS'to\tto\tTO\tB-PP\tO' +p216045 +aS'2013-07-28\t2013-07-28\tCD\tB-NP\tO' +p216046 +aS'for\tfor\tIN\tB-PP\tO' +p216047 +aS'a\ta\tDT\tB-NP\tO' +p216048 +aS'peak\tpeak\tJJ\tI-NP\tO' +p216049 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p216050 +aS'of\tof\tIN\tB-PP\tO' +p216051 +aS'8.1\t8.1\tCD\tB-NP\tO' +p216052 +aS'.\t.\t.\tO\tO' +p216053 +asS'The patient has a family history of prostate cancer and stroke but no history of migraines .' +p216054 +(lp216055 +S'The\tThe\tDT\tB-NP\tO' +p216056 +aS'patient\tpatient\tNN\tI-NP\tO' +p216057 +aS'has\thave\tVBZ\tB-VP\tO' +p216058 +aS'a\ta\tDT\tB-NP\tO' +p216059 +aS'family\tfamily\tNN\tI-NP\tO' +p216060 +aS'history\thistory\tNN\tI-NP\tO' +p216061 +aS'of\tof\tIN\tB-PP\tO' +p216062 +aS'prostate\tprostate\tNN\tB-NP\tO' +p216063 +aS'cancer\tcancer\tNN\tI-NP\tO' +p216064 +aS'and\tand\tCC\tO\tO' +p216065 +aS'stroke\tstroke\tNN\tB-NP\tO' +p216066 +aS'but\tbut\tCC\tO\tO' +p216067 +aS'no\tno\tDT\tB-NP\tO' +p216068 +aS'history\thistory\tNN\tI-NP\tO' +p216069 +aS'of\tof\tIN\tB-PP\tO' +p216070 +aS'migraines\tmigraine\tNNS\tB-NP\tO' +p216071 +aS'.\t.\t.\tO\tO' +p216072 +asS'8. Pramipexole 0.25 mg Tablet Sig : Six ( 6 ) Tablet PO TID ( 3 times a day ) .' +p216073 +(lp216074 +S'8.\t8.\tCD\tB-NP\tO' +p216075 +aS'Pramipexole\tPramipexole\tNN\tI-NP\tO' +p216076 +aS'0.25\t0.25\tCD\tB-NP\tO' +p216077 +aS'mg\tmg\tNN\tI-NP\tO' +p216078 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p216079 +aS'Sig\tSig\tNNP\tI-NP\tO' +p216080 +aS':\t:\t:\tO\tO' +p216081 +aS'Six\tSix\tCD\tB-NP\tO' +p216082 +aS'(\t(\t(\tO\tO' +p216083 +aS'6\t6\tCD\tB-NP\tO' +p216084 +aS')\t)\t)\tO\tO' +p216085 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p216086 +aS'PO\tPO\tNN\tI-NP\tO' +p216087 +aS'TID\tTID\tNN\tI-NP\tO' +p216088 +aS'(\t(\t(\tO\tO' +p216089 +aS'3\t3\tCD\tB-NP\tO' +p216090 +aS'times\ttime\tNNS\tI-NP\tO' +p216091 +aS'a\ta\tDT\tB-NP\tO' +p216092 +aS'day\tday\tNN\tI-NP\tO' +p216093 +aS')\t)\t)\tO\tO' +p216094 +aS'.\t.\t.\tO\tO' +p216095 +asS'The patient was begun on anticoagulation therapy for a target INR of 2.5 .' +p216096 +(lp216097 +S'The\tThe\tDT\tB-NP\tO' +p216098 +aS'patient\tpatient\tNN\tI-NP\tO' +p216099 +aS'was\tbe\tVBD\tB-VP\tO' +p216100 +aS'begun\tbegin\tVBN\tI-VP\tO' +p216101 +aS'on\ton\tIN\tB-PP\tO' +p216102 +aS'anticoagulation\tanticoagulation\tNN\tB-NP\tO' +p216103 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p216104 +aS'for\tfor\tIN\tB-PP\tO' +p216105 +aS'a\ta\tDT\tB-NP\tO' +p216106 +aS'target\ttarget\tNN\tI-NP\tO' +p216107 +aS'INR\tINR\tNN\tI-NP\tO' +p216108 +aS'of\tof\tIN\tB-PP\tO' +p216109 +aS'2.5\t2.5\tCD\tB-NP\tO' +p216110 +aS'.\t.\t.\tO\tO' +p216111 +asS'3. Klebsiella pneumonia .' +p216112 +(lp216113 +S'3.\t3.\tLS\tB-NP\tO' +p216114 +aS'Klebsiella\tKlebsiella\tNN\tI-NP\tO' +p216115 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p216116 +aS'.\t.\t.\tO\tO' +p216117 +asS'A follow up examination should be scheduled for the week of 06-20 .' +p216118 +(lp216119 +S'A\tA\tDT\tB-NP\tO' +p216120 +aS'follow\tfollow\tNN\tI-NP\tO' +p216121 +aS'up\tup\tRP\tB-PRT\tO' +p216122 +aS'examination\texamination\tNN\tB-NP\tO' +p216123 +aS'should\tshould\tMD\tB-VP\tO' +p216124 +aS'be\tbe\tVB\tI-VP\tO' +p216125 +aS'scheduled\tschedule\tVBN\tI-VP\tO' +p216126 +aS'for\tfor\tIN\tB-PP\tO' +p216127 +aS'the\tthe\tDT\tB-NP\tO' +p216128 +aS'week\tweek\tNN\tI-NP\tO' +p216129 +aS'of\tof\tIN\tB-PP\tO' +p216130 +aS'06-20\t06-20\tCD\tB-NP\tO' +p216131 +aS'.\t.\t.\tO\tO' +p216132 +asS'He does of BuSpar , Trazodone and Haldol were continued and were adjusted by Psychiatry .' +p216133 +(lp216134 +S'He\tHe\tPRP\tB-NP\tO' +p216135 +aS'does\tdo\tVBZ\tB-VP\tO' +p216136 +aS'of\tof\tIN\tB-PP\tO' +p216137 +aS'BuSpar\tBuSpar\tNNP\tB-NP\tO' +p216138 +aS',\t,\t,\tI-NP\tO' +p216139 +aS'Trazodone\tTrazodone\tNNP\tI-NP\tO' +p216140 +aS'and\tand\tCC\tI-NP\tO' +p216141 +aS'Haldol\tHaldol\tNNP\tI-NP\tO' +p216142 +aS'were\tbe\tVBD\tB-VP\tO' +p216143 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p216144 +aS'and\tand\tCC\tO\tO' +p216145 +aS'were\tbe\tVBD\tB-VP\tO' +p216146 +aS'adjusted\tadjust\tVBN\tI-VP\tO' +p216147 +aS'by\tby\tIN\tB-PP\tO' +p216148 +aS'Psychiatry\tPsychiatry\tNN\tB-NP\tO' +p216149 +aS'.\t.\t.\tO\tO' +p216150 +asS'The left atrium is mildly dilated .' +p216151 +(lp216152 +S'The\tThe\tDT\tB-NP\tO' +p216153 +aS'left\tleft\tJJ\tI-NP\tO' +p216154 +aS'atrium\tatrium\tNN\tI-NP\tO' +p216155 +aS'is\tbe\tVBZ\tB-VP\tO' +p216156 +aS'mildly\tmildly\tRB\tI-VP\tO' +p216157 +aS'dilated\tdilate\tVBN\tI-VP\tO' +p216158 +aS'.\t.\t.\tO\tO' +p216159 +asS'His left ventricle ejection showed diffuse hypokinesis .' +p216160 +(lp216161 +S'His\tHis\tPRP$\tB-NP\tO' +p216162 +aS'left\tleft\tJJ\tI-NP\tO' +p216163 +aS'ventricle\tventricle\tNN\tI-NP\tO' +p216164 +aS'ejection\tejection\tNN\tI-NP\tO' +p216165 +aS'showed\tshow\tVBD\tB-VP\tO' +p216166 +aS'diffuse\tdiffuse\tJJ\tB-NP\tO' +p216167 +aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' +p216168 +aS'.\t.\t.\tO\tO' +p216169 +asS'On the night of admission and thereafter , she was noted to have a very stridorous sounding breathing when the patient was asleep .' +p216170 +(lp216171 +S'On\tOn\tIN\tB-PP\tO' +p216172 +aS'the\tthe\tDT\tB-NP\tO' +p216173 +aS'night\tnight\tNN\tI-NP\tO' +p216174 +aS'of\tof\tIN\tB-PP\tO' +p216175 +aS'admission\tadmission\tNN\tB-NP\tO' +p216176 +aS'and\tand\tCC\tO\tO' +p216177 +aS'thereafter\tthereafter\tRB\tB-ADVP\tO' +p216178 +aS',\t,\t,\tO\tO' +p216179 +aS'she\tshe\tPRP\tB-NP\tO' +p216180 +aS'was\tbe\tVBD\tB-VP\tO' +p216181 +aS'noted\tnote\tVBN\tI-VP\tO' +p216182 +aS'to\tto\tTO\tI-VP\tO' +p216183 +aS'have\thave\tVB\tI-VP\tO' +p216184 +aS'a\ta\tDT\tB-NP\tO' +p216185 +aS'very\tvery\tRB\tI-NP\tO' +p216186 +aS'stridorous\tstridorous\tJJ\tI-NP\tO' +p216187 +aS'sounding\tsound\tVBG\tI-NP\tO' +p216188 +aS'breathing\tbreathing\tNN\tI-NP\tO' +p216189 +aS'when\twhen\tWRB\tB-ADVP\tO' +p216190 +aS'the\tthe\tDT\tB-NP\tO' +p216191 +aS'patient\tpatient\tNN\tI-NP\tO' +p216192 +aS'was\tbe\tVBD\tB-VP\tO' +p216193 +aS'asleep\tasleep\tRB\tB-ADVP\tO' +p216194 +aS'.\t.\t.\tO\tO' +p216195 +asS'Disp :* 100 Tablet (s)* Refills :* 2 *' +p216196 +(lp216197 +S'Disp\tDisp\tNN\tB-NP\tO' +p216198 +aS':*\t:*\tSYM\tI-NP\tO' +p216199 +aS'100\t100\tCD\tI-NP\tO' +p216200 +aS'Tablet\tTablet\tNN\tI-NP\tO' +p216201 +aS'(s)*\t(s)*\tSYM\tI-NP\tO' +p216202 +aS'Refills\tRefill\tNNPS\tI-NP\tO' +p216203 +aS':*\t:*\tSYM\tB-NP\tO' +p216204 +aS'2\t2\tCD\tB-NP\tO' +p216205 +aS'*\t*\tSYM\tB-NP\tO' +p216206 +asS'given a low-residual diet .' +p216207 +(lp216208 +S'given\tgive\tVBN\tB-PP\tO' +p216209 +aS'a\ta\tDT\tB-NP\tO' +p216210 +aS'low-residual\tlow-residual\tJJ\tI-NP\tO' +p216211 +aS'diet\tdiet\tNN\tI-NP\tO' +p216212 +aS'.\t.\t.\tO\tO' +p216213 +asS'That has been stable .' +p216214 +(lp216215 +S'That\tThat\tDT\tB-NP\tO' +p216216 +aS'has\thave\tVBZ\tB-VP\tO' +p216217 +aS'been\tbe\tVBN\tI-VP\tO' +p216218 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p216219 +aS'.\t.\t.\tO\tO' +p216220 +asS'Carotids 2+ bilaterally without bruits .' +p216221 +(lp216222 +S'Carotids\tCarotid\tNNS\tB-NP\tO' +p216223 +aS'2+\t2+\tJJ\tB-ADJP\tO' +p216224 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p216225 +aS'without\twithout\tIN\tB-PP\tO' +p216226 +aS'bruits\tbruit\tNNS\tB-NP\tO' +p216227 +aS'.\t.\t.\tO\tO' +p216228 +asS'She has been taking Zantac , and the pH of her NG tube residuals have been in the 5 to 8 range .' +p216229 +(lp216230 +S'She\tShe\tPRP\tB-NP\tO' +p216231 +aS'has\thave\tVBZ\tB-VP\tO' +p216232 +aS'been\tbe\tVBN\tI-VP\tO' +p216233 +aS'taking\ttake\tVBG\tI-VP\tO' +p216234 +aS'Zantac\tZantac\tNN\tB-NP\tO' +p216235 +aS',\t,\t,\tO\tO' +p216236 +aS'and\tand\tCC\tO\tO' +p216237 +aS'the\tthe\tDT\tB-NP\tO' +p216238 +aS'pH\tpH\tNN\tI-NP\tO' +p216239 +aS'of\tof\tIN\tB-PP\tO' +p216240 +aS'her\ther\tPRP$\tB-NP\tO' +p216241 +aS'NG\tNG\tNN\tI-NP\tO' +p216242 +aS'tube\ttube\tNN\tI-NP\tO' +p216243 +aS'residuals\tresidual\tNNS\tI-NP\tO' +p216244 +aS'have\thave\tVBP\tB-VP\tO' +p216245 +aS'been\tbe\tVBN\tI-VP\tO' +p216246 +aS'in\tin\tIN\tB-PP\tO' +p216247 +aS'the\tthe\tDT\tB-NP\tO' +p216248 +aS'5\t5\tCD\tI-NP\tO' +p216249 +aS'to\tto\tTO\tI-NP\tO' +p216250 +aS'8\t8\tCD\tI-NP\tO' +p216251 +aS'range\trange\tNN\tI-NP\tO' +p216252 +aS'.\t.\t.\tO\tO' +p216253 +asS'Mitral valve repair .' +p216254 +(lp216255 +S'Mitral\tMitral\tJJ\tB-NP\tO' +p216256 +aS'valve\tvalve\tNN\tI-NP\tO' +p216257 +aS'repair\trepair\tNN\tI-NP\tO' +p216258 +aS'.\t.\t.\tO\tO' +p216259 +asS'He had a transthoracic echocardiogram the day after admission showing an ejection fraction of greater than 60 percent .' +p216260 +(lp216261 +S'He\tHe\tPRP\tB-NP\tO' +p216262 +aS'had\thave\tVBD\tB-VP\tO' +p216263 +aS'a\ta\tDT\tB-NP\tO' +p216264 +aS'transthoracic\ttransthoracic\tJJ\tI-NP\tO' +p216265 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p216266 +aS'the\tthe\tDT\tB-NP\tO' +p216267 +aS'day\tday\tNN\tI-NP\tO' +p216268 +aS'after\tafter\tIN\tB-PP\tO' +p216269 +aS'admission\tadmission\tNN\tB-NP\tO' +p216270 +aS'showing\tshow\tVBG\tB-VP\tO' +p216271 +aS'an\tan\tDT\tB-NP\tO' +p216272 +aS'ejection\tejection\tNN\tI-NP\tO' +p216273 +aS'fraction\tfraction\tNN\tI-NP\tO' +p216274 +aS'of\tof\tIN\tB-PP\tO' +p216275 +aS'greater\tgreat\tJJR\tB-NP\tO' +p216276 +aS'than\tthan\tIN\tI-NP\tO' +p216277 +aS'60\t60\tCD\tI-NP\tO' +p216278 +aS'percent\tpercent\tNN\tI-NP\tO' +p216279 +aS'.\t.\t.\tO\tO' +p216280 +asS'4. Nitroglycerin sublingual 0.3 mg p.r.n.' +p216281 +(lp216282 +S'4.\t4.\tLS\tB-NP\tO' +p216283 +aS'Nitroglycerin\tNitroglycerin\tNN\tI-NP\tO' +p216284 +aS'sublingual\tsublingual\tJJ\tI-NP\tO' +p216285 +aS'0.3\t0.3\tCD\tI-NP\tO' +p216286 +aS'mg\tmg\tNN\tI-NP\tO' +p216287 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p216288 +asS'She was kept in the hospital for an additional 24 hours for further evaluation .' +p216289 +(lp216290 +S'She\tShe\tPRP\tB-NP\tO' +p216291 +aS'was\tbe\tVBD\tB-VP\tO' +p216292 +aS'kept\tkeep\tVBN\tI-VP\tO' +p216293 +aS'in\tin\tIN\tB-PP\tO' +p216294 +aS'the\tthe\tDT\tB-NP\tO' +p216295 +aS'hospital\thospital\tNN\tI-NP\tO' +p216296 +aS'for\tfor\tIN\tB-PP\tO' +p216297 +aS'an\tan\tDT\tB-NP\tO' +p216298 +aS'additional\tadditional\tJJ\tI-NP\tO' +p216299 +aS'24\t24\tCD\tI-NP\tO' +p216300 +aS'hours\thour\tNNS\tI-NP\tO' +p216301 +aS'for\tfor\tIN\tB-PP\tO' +p216302 +aS'further\tfurther\tJJ\tB-NP\tO' +p216303 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p216304 +aS'.\t.\t.\tO\tO' +p216305 +asS'Stella , Kendra B .' +p216306 +(lp216307 +S'Stella\tStella\tNNP\tB-NP\tO' +p216308 +aS',\t,\t,\tO\tO' +p216309 +aS'Kendra\tKendra\tNNP\tB-NP\tO' +p216310 +aS'B\tB\tNNP\tI-NP\tO' +p216311 +aS'.\t.\t.\tO\tO' +p216312 +asS'Anticoagulation was not recommended .' +p216313 +(lp216314 +S'Anticoagulation\tAnticoagulation\tNN\tB-NP\tO' +p216315 +aS'was\tbe\tVBD\tB-VP\tO' +p216316 +aS'not\tnot\tRB\tI-VP\tO' +p216317 +aS'recommended\trecommend\tVBN\tI-VP\tO' +p216318 +aS'.\t.\t.\tO\tO' +p216319 +asS'She was started on p.o. medicines and her first Belmont-Gardner drain was pulled due to scant output .' +p216320 +(lp216321 +S'She\tShe\tPRP\tB-NP\tO' +p216322 +aS'was\tbe\tVBD\tB-VP\tO' +p216323 +aS'started\tstart\tVBN\tI-VP\tO' +p216324 +aS'on\ton\tIN\tB-PP\tO' +p216325 +aS'p.o.\tp.o.\tNN\tB-NP\tO' +p216326 +aS'medicines\tmedicine\tNNS\tI-NP\tO' +p216327 +aS'and\tand\tCC\tO\tO' +p216328 +aS'her\ther\tPRP$\tB-NP\tO' +p216329 +aS'first\tfirst\tJJ\tI-NP\tO' +p216330 +aS'Belmont-Gardner\tBelmont-Gardner\tNNP\tI-NP\tO' +p216331 +aS'drain\tdrain\tNN\tI-NP\tO' +p216332 +aS'was\tbe\tVBD\tB-VP\tO' +p216333 +aS'pulled\tpull\tVBN\tI-VP\tO' +p216334 +aS'due\tdue\tJJ\tB-ADJP\tO' +p216335 +aS'to\tto\tTO\tB-PP\tO' +p216336 +aS'scant\tscant\tJJ\tB-NP\tO' +p216337 +aS'output\toutput\tNN\tI-NP\tO' +p216338 +aS'.\t.\t.\tO\tO' +p216339 +asS'The patient subsequently did well , chest tubes were removed at the appropriate time , pacing wires removed at the appropriate time .' +p216340 +(lp216341 +S'The\tThe\tDT\tB-NP\tO' +p216342 +aS'patient\tpatient\tNN\tI-NP\tO' +p216343 +aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' +p216344 +aS'did\tdo\tVBD\tB-VP\tO' +p216345 +aS'well\twell\tRB\tB-ADVP\tO' +p216346 +aS',\t,\t,\tO\tO' +p216347 +aS'chest\tchest\tNN\tB-NP\tO' +p216348 +aS'tubes\ttube\tNNS\tI-NP\tO' +p216349 +aS'were\tbe\tVBD\tB-VP\tO' +p216350 +aS'removed\tremove\tVBN\tI-VP\tO' +p216351 +aS'at\tat\tIN\tB-PP\tO' +p216352 +aS'the\tthe\tDT\tB-NP\tO' +p216353 +aS'appropriate\tappropriate\tJJ\tI-NP\tO' +p216354 +aS'time\ttime\tNN\tI-NP\tO' +p216355 +aS',\t,\t,\tO\tO' +p216356 +aS'pacing\tpace\tVBG\tB-VP\tO' +p216357 +aS'wires\twire\tNNS\tB-NP\tO' +p216358 +aS'removed\tremove\tVBN\tB-VP\tO' +p216359 +aS'at\tat\tIN\tB-PP\tO' +p216360 +aS'the\tthe\tDT\tB-NP\tO' +p216361 +aS'appropriate\tappropriate\tJJ\tI-NP\tO' +p216362 +aS'time\ttime\tNN\tI-NP\tO' +p216363 +aS'.\t.\t.\tO\tO' +p216364 +asS'Negative for any history of sudden death or coronary artery disease .' +p216365 +(lp216366 +S'Negative\tNegative\tJJ\tB-ADJP\tO' +p216367 +aS'for\tfor\tIN\tB-PP\tO' +p216368 +aS'any\tany\tDT\tB-NP\tO' +p216369 +aS'history\thistory\tNN\tI-NP\tO' +p216370 +aS'of\tof\tIN\tB-PP\tO' +p216371 +aS'sudden\tsudden\tJJ\tB-NP\tO' +p216372 +aS'death\tdeath\tNN\tI-NP\tO' +p216373 +aS'or\tor\tCC\tO\tO' +p216374 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p216375 +aS'artery\tartery\tNN\tI-NP\tO' +p216376 +aS'disease\tdisease\tNN\tI-NP\tO' +p216377 +aS'.\t.\t.\tO\tO' +p216378 +asS'consistent with adynamic ileus .' +p216379 +(lp216380 +S'consistent\tconsistent\tJJ\tB-ADJP\tO' +p216381 +aS'with\twith\tIN\tB-PP\tO' +p216382 +aS'adynamic\tadynamic\tJJ\tB-NP\tO' +p216383 +aS'ileus\tileus\tNN\tI-NP\tO' +p216384 +aS'.\t.\t.\tO\tO' +p216385 +asS'Named 10 animals in 1 minute , no perseveration , but no further animals after 30 secs .' +p216386 +(lp216387 +S'Named\tNamed\tNNP\tB-NP\tO' +p216388 +aS'10\t10\tCD\tI-NP\tO' +p216389 +aS'animals\tanimal\tNNS\tI-NP\tO' +p216390 +aS'in\tin\tIN\tB-PP\tO' +p216391 +aS'1\t1\tCD\tB-NP\tO' +p216392 +aS'minute\tminute\tNN\tI-NP\tO' +p216393 +aS',\t,\t,\tO\tO' +p216394 +aS'no\tno\tDT\tB-NP\tO' +p216395 +aS'perseveration\tperseveration\tNN\tI-NP\tO' +p216396 +aS',\t,\t,\tO\tO' +p216397 +aS'but\tbut\tCC\tO\tO' +p216398 +aS'no\tno\tDT\tB-NP\tO' +p216399 +aS'further\tfurther\tJJ\tI-NP\tO' +p216400 +aS'animals\tanimal\tNNS\tI-NP\tO' +p216401 +aS'after\tafter\tIN\tB-PP\tO' +p216402 +aS'30\t30\tCD\tB-NP\tO' +p216403 +aS'secs\tsec\tNNS\tI-NP\tO' +p216404 +aS'.\t.\t.\tO\tO' +p216405 +asS"Subsequent prostatic biopsy revealed a Gleason 's IV , plus V tumor and the CT showed an irregular large prostate with tumor invasion into the bladder and evidence of bilateral retroperitoneal lymph node spread ." +p216406 +(lp216407 +S'Subsequent\tSubsequent\tJJ\tB-NP\tO' +p216408 +aS'prostatic\tprostatic\tJJ\tI-NP\tO' +p216409 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p216410 +aS'revealed\treveal\tVBD\tB-VP\tO' +p216411 +aS'a\ta\tDT\tB-NP\tO' +p216412 +aS'Gleason\tGleason\tNNP\tI-NP\tO' +p216413 +aS"'s\t's\tPOS\tB-NP\tO" +p216414 +aS'IV\tIV\tNN\tI-NP\tO' +p216415 +aS',\t,\t,\tO\tO' +p216416 +aS'plus\tplus\tCC\tO\tO' +p216417 +aS'V\tV\tNN\tB-NP\tO' +p216418 +aS'tumor\ttumor\tNN\tI-NP\tO' +p216419 +aS'and\tand\tCC\tO\tO' +p216420 +aS'the\tthe\tDT\tB-NP\tO' +p216421 +aS'CT\tCT\tNN\tI-NP\tO' +p216422 +aS'showed\tshow\tVBD\tB-VP\tO' +p216423 +aS'an\tan\tDT\tB-NP\tO' +p216424 +aS'irregular\tirregular\tJJ\tI-NP\tO' +p216425 +aS'large\tlarge\tJJ\tI-NP\tO' +p216426 +aS'prostate\tprostate\tNN\tI-NP\tO' +p216427 +aS'with\twith\tIN\tB-PP\tO' +p216428 +aS'tumor\ttumor\tNN\tB-NP\tO' +p216429 +aS'invasion\tinvasion\tNN\tI-NP\tO' +p216430 +aS'into\tinto\tIN\tB-PP\tO' +p216431 +aS'the\tthe\tDT\tB-NP\tO' +p216432 +aS'bladder\tbladder\tNN\tI-NP\tO' +p216433 +aS'and\tand\tCC\tI-NP\tO' +p216434 +aS'evidence\tevidence\tNN\tI-NP\tO' +p216435 +aS'of\tof\tIN\tB-PP\tO' +p216436 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p216437 +aS'retroperitoneal\tretroperitoneal\tJJ\tI-NP\tO' +p216438 +aS'lymph\tlymph\tNN\tI-NP\tO' +p216439 +aS'node\tnode\tNN\tI-NP\tO' +p216440 +aS'spread\tspread\tNN\tI-NP\tO' +p216441 +aS'.\t.\t.\tO\tO' +p216442 +asS'In addition , Mr. State has an anterior mediastinal mass 2x2x1.7 cm. by recent computerized tomography scan without surrounding or adjacent adenopathy or parenchymal lung disease apart from bronchiectasis .' +p216443 +(lp216444 +S'In\tIn\tIN\tB-PP\tO' +p216445 +aS'addition\taddition\tNN\tB-NP\tO' +p216446 +aS',\t,\t,\tO\tO' +p216447 +aS'Mr.\tMr.\tNNP\tB-NP\tO' +p216448 +aS'State\tState\tNNP\tI-NP\tO' +p216449 +aS'has\thave\tVBZ\tB-VP\tO' +p216450 +aS'an\tan\tDT\tB-NP\tO' +p216451 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p216452 +aS'mediastinal\tmediastinal\tJJ\tI-NP\tO' +p216453 +aS'mass\tmass\tNN\tI-NP\tO' +p216454 +aS'2x2x1.7\t2x2x1.7\tCD\tI-NP\tO' +p216455 +aS'cm.\tcm.\tNN\tI-NP\tO' +p216456 +aS'by\tby\tIN\tB-PP\tO' +p216457 +aS'recent\trecent\tJJ\tB-NP\tO' +p216458 +aS'computerized\tcomputerized\tJJ\tI-NP\tO' +p216459 +aS'tomography\ttomography\tNN\tI-NP\tO' +p216460 +aS'scan\tscan\tNN\tI-NP\tO' +p216461 +aS'without\twithout\tIN\tB-PP\tO' +p216462 +aS'surrounding\tsurround\tVBG\tB-VP\tO' +p216463 +aS'or\tor\tCC\tO\tO' +p216464 +aS'adjacent\tadjacent\tJJ\tB-NP\tO' +p216465 +aS'adenopathy\tadenopathy\tJJ\tI-NP\tO' +p216466 +aS'or\tor\tCC\tI-NP\tO' +p216467 +aS'parenchymal\tparenchymal\tJJ\tI-NP\tO' +p216468 +aS'lung\tlung\tNN\tI-NP\tO' +p216469 +aS'disease\tdisease\tNN\tI-NP\tO' +p216470 +aS'apart\tapart\tRB\tB-ADVP\tO' +p216471 +aS'from\tfrom\tIN\tB-PP\tO' +p216472 +aS'bronchiectasis\tbronchiectasis\tNN\tB-NP\tO' +p216473 +aS'.\t.\t.\tO\tO' +p216474 +asS'She will need pulmonary function studies as an outpatient as these were not done in the hospital .' +p216475 +(lp216476 +S'She\tShe\tPRP\tB-NP\tO' +p216477 +aS'will\twill\tMD\tB-VP\tO' +p216478 +aS'need\tneed\tVB\tI-VP\tO' +p216479 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p216480 +aS'function\tfunction\tNN\tI-NP\tO' +p216481 +aS'studies\tstudy\tNNS\tI-NP\tO' +p216482 +aS'as\tas\tIN\tB-PP\tO' +p216483 +aS'an\tan\tDT\tB-NP\tO' +p216484 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p216485 +aS'as\tas\tIN\tB-PP\tO' +p216486 +aS'these\tthese\tDT\tB-NP\tO' +p216487 +aS'were\tbe\tVBD\tB-VP\tO' +p216488 +aS'not\tnot\tRB\tI-VP\tO' +p216489 +aS'done\tdo\tVBN\tI-VP\tO' +p216490 +aS'in\tin\tIN\tB-PP\tO' +p216491 +aS'the\tthe\tDT\tB-NP\tO' +p216492 +aS'hospital\thospital\tNN\tI-NP\tO' +p216493 +aS'.\t.\t.\tO\tO' +p216494 +asS'Respiratory distress - On 10-12 , the patient was transferred to Medicine Intensive Care Unit secondary to respiratory distress .' +p216495 +(lp216496 +S'Respiratory\tRespiratory\tJJ\tB-NP\tO' +p216497 +aS'distress\tdistress\tNN\tI-NP\tO' +p216498 +aS'-\t-\tHYPH\tB-ADVP\tO' +p216499 +aS'On\tOn\tIN\tB-PP\tO' +p216500 +aS'10-12\t10-12\tCD\tB-NP\tO' +p216501 +aS',\t,\t,\tO\tO' +p216502 +aS'the\tthe\tDT\tB-NP\tO' +p216503 +aS'patient\tpatient\tNN\tI-NP\tO' +p216504 +aS'was\tbe\tVBD\tB-VP\tO' +p216505 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p216506 +aS'to\tto\tTO\tB-PP\tO' +p216507 +aS'Medicine\tMedicine\tNNP\tB-NP\tO' +p216508 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p216509 +aS'Care\tCare\tNNP\tI-NP\tO' +p216510 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p216511 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p216512 +aS'to\tto\tTO\tB-PP\tO' +p216513 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p216514 +aS'distress\tdistress\tNN\tI-NP\tO' +p216515 +aS'.\t.\t.\tO\tO' +p216516 +asS'She will obviously need to be weaned as tolerated .' +p216517 +(lp216518 +S'She\tShe\tPRP\tB-NP\tO' +p216519 +aS'will\twill\tMD\tB-VP\tO' +p216520 +aS'obviously\tobviously\tRB\tI-VP\tO' +p216521 +aS'need\tneed\tVB\tI-VP\tO' +p216522 +aS'to\tto\tTO\tI-VP\tO' +p216523 +aS'be\tbe\tVB\tI-VP\tO' +p216524 +aS'weaned\twean\tVBN\tI-VP\tO' +p216525 +aS'as\tas\tIN\tB-SBAR\tO' +p216526 +aS'tolerated\ttolerate\tVBN\tB-VP\tO' +p216527 +aS'.\t.\t.\tO\tO' +p216528 +asS'The patient was instructed to return to Fairm of Ijordcompmac Hospital if he developed any signs of wound infection such a erythema , drainage , or increasing incisional pain .' +p216529 +(lp216530 +S'The\tThe\tDT\tB-NP\tO' +p216531 +aS'patient\tpatient\tNN\tI-NP\tO' +p216532 +aS'was\tbe\tVBD\tB-VP\tO' +p216533 +aS'instructed\tinstruct\tVBN\tI-VP\tO' +p216534 +aS'to\tto\tTO\tI-VP\tO' +p216535 +aS'return\treturn\tVB\tI-VP\tO' +p216536 +aS'to\tto\tTO\tB-PP\tO' +p216537 +aS'Fairm\tFairm\tNNP\tB-NP\tO' +p216538 +aS'of\tof\tIN\tB-PP\tO' +p216539 +aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' +p216540 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p216541 +aS'if\tif\tIN\tB-SBAR\tO' +p216542 +aS'he\the\tPRP\tB-NP\tO' +p216543 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p216544 +aS'any\tany\tDT\tB-NP\tO' +p216545 +aS'signs\tsign\tNNS\tI-NP\tO' +p216546 +aS'of\tof\tIN\tB-PP\tO' +p216547 +aS'wound\twound\tNN\tB-NP\tO' +p216548 +aS'infection\tinfection\tNN\tI-NP\tO' +p216549 +aS'such\tsuch\tPDT\tB-NP\tO' +p216550 +aS'a\ta\tDT\tI-NP\tO' +p216551 +aS'erythema\terythema\tNN\tI-NP\tO' +p216552 +aS',\t,\t,\tO\tO' +p216553 +aS'drainage\tdrainage\tNN\tB-NP\tO' +p216554 +aS',\t,\t,\tO\tO' +p216555 +aS'or\tor\tCC\tO\tO' +p216556 +aS'increasing\tincrease\tVBG\tB-VP\tO' +p216557 +aS'incisional\tincisional\tJJ\tB-NP\tO' +p216558 +aS'pain\tpain\tNN\tI-NP\tO' +p216559 +aS'.\t.\t.\tO\tO' +p216560 +asS'When laying flat , her sats decreased to 50% on 30% FIO2 , PEEP of 10 , and pressure support of 5 .' +p216561 +(lp216562 +S'When\tWhen\tWRB\tB-ADVP\tO' +p216563 +aS'laying\tlay\tVBG\tB-VP\tO' +p216564 +aS'flat\tflat\tJJ\tB-ADJP\tO' +p216565 +aS',\t,\t,\tO\tO' +p216566 +aS'her\ther\tPRP$\tB-NP\tO' +p216567 +aS'sats\tsat\tNNS\tI-NP\tO' +p216568 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p216569 +aS'to\tto\tTO\tB-PP\tO' +p216570 +aS'50%\t50%\tCD\tB-NP\tO' +p216571 +aS'on\ton\tIN\tB-PP\tO' +p216572 +aS'30%\t30%\tCD\tB-NP\tO' +p216573 +aS'FIO2\tFIO2\tNN\tI-NP\tO' +p216574 +aS',\t,\t,\tO\tO' +p216575 +aS'PEEP\tPEEP\tNN\tB-NP\tB-protein' +p216576 +aS'of\tof\tIN\tB-PP\tO' +p216577 +aS'10\t10\tCD\tB-NP\tO' +p216578 +aS',\t,\t,\tO\tO' +p216579 +aS'and\tand\tCC\tO\tO' +p216580 +aS'pressure\tpressure\tNN\tB-NP\tO' +p216581 +aS'support\tsupport\tNN\tI-NP\tO' +p216582 +aS'of\tof\tIN\tB-PP\tO' +p216583 +aS'5\t5\tCD\tB-NP\tO' +p216584 +aS'.\t.\t.\tO\tO' +p216585 +asS'Extremities revealed 1+ bipedal edema on admission .' +p216586 +(lp216587 +S'Extremities\tExtremity\tNNS\tB-NP\tO' +p216588 +aS'revealed\treveal\tVBD\tB-VP\tO' +p216589 +aS'1+\t1+\tJJ\tB-NP\tO' +p216590 +aS'bipedal\tbipedal\tJJ\tI-NP\tO' +p216591 +aS'edema\tedema\tNN\tI-NP\tO' +p216592 +aS'on\ton\tIN\tB-PP\tO' +p216593 +aS'admission\tadmission\tNN\tB-NP\tO' +p216594 +aS'.\t.\t.\tO\tO' +p216595 +asS'His urine and serum tox screens were notable only for benzos , otherwise negative .' +p216596 +(lp216597 +S'His\tHis\tPRP$\tB-NP\tO' +p216598 +aS'urine\turine\tNN\tI-NP\tO' +p216599 +aS'and\tand\tCC\tI-NP\tO' +p216600 +aS'serum\tserum\tNN\tI-NP\tO' +p216601 +aS'tox\ttox\tNN\tI-NP\tO' +p216602 +aS'screens\tscreen\tNNS\tI-NP\tO' +p216603 +aS'were\tbe\tVBD\tB-VP\tO' +p216604 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p216605 +aS'only\tonly\tRB\tB-ADVP\tO' +p216606 +aS'for\tfor\tIN\tB-PP\tO' +p216607 +aS'benzos\tbenzo\tNNS\tB-NP\tO' +p216608 +aS',\t,\t,\tO\tO' +p216609 +aS'otherwise\totherwise\tRB\tB-ADJP\tO' +p216610 +aS'negative\tnegative\tJJ\tI-ADJP\tO' +p216611 +aS'.\t.\t.\tO\tO' +p216612 +asS'After initial trauma assessment and initiation of resuscitation , a CT scan was performed .' +p216613 +(lp216614 +S'After\tAfter\tIN\tB-PP\tO' +p216615 +aS'initial\tinitial\tJJ\tB-NP\tO' +p216616 +aS'trauma\ttrauma\tNN\tI-NP\tO' +p216617 +aS'assessment\tassessment\tNN\tI-NP\tO' +p216618 +aS'and\tand\tCC\tI-NP\tO' +p216619 +aS'initiation\tinitiation\tNN\tI-NP\tO' +p216620 +aS'of\tof\tIN\tB-PP\tO' +p216621 +aS'resuscitation\tresuscitation\tNN\tB-NP\tO' +p216622 +aS',\t,\t,\tO\tO' +p216623 +aS'a\ta\tDT\tB-NP\tO' +p216624 +aS'CT\tCT\tNN\tI-NP\tO' +p216625 +aS'scan\tscan\tNN\tI-NP\tO' +p216626 +aS'was\tbe\tVBD\tB-VP\tO' +p216627 +aS'performed\tperform\tVBN\tI-VP\tO' +p216628 +aS'.\t.\t.\tO\tO' +p216629 +asS'Troponins rose at admission , however CK and MB trending Mcewen wat time of admission to medical service .' +p216630 +(lp216631 +S'Troponins\tTroponin\tNNS\tB-NP\tO' +p216632 +aS'rose\trise\tVBD\tB-VP\tO' +p216633 +aS'at\tat\tIN\tB-PP\tO' +p216634 +aS'admission\tadmission\tNN\tB-NP\tO' +p216635 +aS',\t,\t,\tO\tO' +p216636 +aS'however\thowever\tRB\tB-NP\tO' +p216637 +aS'CK\tCK\tNN\tI-NP\tO' +p216638 +aS'and\tand\tCC\tI-NP\tO' +p216639 +aS'MB\tMB\tNN\tI-NP\tB-protein' +p216640 +aS'trending\ttrend\tVBG\tB-VP\tO' +p216641 +aS'Mcewen\tMcewen\tNNP\tB-NP\tO' +p216642 +aS'wat\twat\tNN\tI-NP\tO' +p216643 +aS'time\ttime\tNN\tI-NP\tO' +p216644 +aS'of\tof\tIN\tB-PP\tO' +p216645 +aS'admission\tadmission\tNN\tB-NP\tO' +p216646 +aS'to\tto\tTO\tB-PP\tO' +p216647 +aS'medical\tmedical\tJJ\tB-NP\tO' +p216648 +aS'service\tservice\tNN\tI-NP\tO' +p216649 +aS'.\t.\t.\tO\tO' +p216650 +asS'64-year-old G5P5 postmenopausal for 10 years with a history of two months of progressive abdominal distention , crampy abdominal pain , urinary frequency and diarrhea .' +p216651 +(lp216652 +S'64-year-old\t64-year-old\tJJ\tB-NP\tO' +p216653 +aS'G5P5\tG5P5\tNN\tI-NP\tO' +p216654 +aS'postmenopausal\tpostmenopausal\tJJ\tB-ADJP\tO' +p216655 +aS'for\tfor\tIN\tB-PP\tO' +p216656 +aS'10\t10\tCD\tB-NP\tO' +p216657 +aS'years\tyear\tNNS\tI-NP\tO' +p216658 +aS'with\twith\tIN\tB-PP\tO' +p216659 +aS'a\ta\tDT\tB-NP\tO' +p216660 +aS'history\thistory\tNN\tI-NP\tO' +p216661 +aS'of\tof\tIN\tB-PP\tO' +p216662 +aS'two\ttwo\tCD\tB-NP\tO' +p216663 +aS'months\tmonth\tNNS\tI-NP\tO' +p216664 +aS'of\tof\tIN\tB-PP\tO' +p216665 +aS'progressive\tprogressive\tJJ\tB-NP\tO' +p216666 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p216667 +aS'distention\tdistention\tNN\tI-NP\tO' +p216668 +aS',\t,\t,\tO\tO' +p216669 +aS'crampy\tcrampy\tJJ\tB-NP\tB-protein' +p216670 +aS'abdominal\tabdominal\tJJ\tI-NP\tI-protein' +p216671 +aS'pain\tpain\tNN\tI-NP\tI-protein' +p216672 +aS',\t,\t,\tO\tO' +p216673 +aS'urinary\turinary\tJJ\tB-NP\tO' +p216674 +aS'frequency\tfrequency\tNN\tI-NP\tO' +p216675 +aS'and\tand\tCC\tI-NP\tO' +p216676 +aS'diarrhea\tdiarrhea\tNN\tI-NP\tO' +p216677 +aS'.\t.\t.\tO\tO' +p216678 +asS'You can call 576-598-7570 if you need to reschedule .' +p216679 +(lp216680 +S'You\tYou\tPRP\tB-NP\tB-protein' +p216681 +aS'can\tcan\tMD\tB-VP\tO' +p216682 +aS'call\tcall\tVB\tI-VP\tO' +p216683 +aS'576-598-7570\t576-598-7570\tCD\tB-NP\tO' +p216684 +aS'if\tif\tIN\tB-SBAR\tO' +p216685 +aS'you\tyou\tPRP\tB-NP\tO' +p216686 +aS'need\tneed\tVBP\tB-VP\tO' +p216687 +aS'to\tto\tTO\tI-VP\tO' +p216688 +aS'reschedule\treschedule\tVB\tI-VP\tO' +p216689 +aS'.\t.\t.\tO\tO' +p216690 +asS'She was discharged on the following medications .' +p216691 +(lp216692 +S'She\tShe\tPRP\tB-NP\tO' +p216693 +aS'was\tbe\tVBD\tB-VP\tO' +p216694 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p216695 +aS'on\ton\tIN\tB-PP\tO' +p216696 +aS'the\tthe\tDT\tB-NP\tO' +p216697 +aS'following\tfollow\tVBG\tI-NP\tO' +p216698 +aS'medications\tmedication\tNNS\tI-NP\tO' +p216699 +aS'.\t.\t.\tO\tO' +p216700 +asS'He is also on a Fentanyl patch , 100 mcg q 72 hours .' +p216701 +(lp216702 +S'He\tHe\tPRP\tB-NP\tO' +p216703 +aS'is\tbe\tVBZ\tB-VP\tO' +p216704 +aS'also\talso\tRB\tB-ADVP\tO' +p216705 +aS'on\ton\tIN\tB-PP\tO' +p216706 +aS'a\ta\tDT\tB-NP\tO' +p216707 +aS'Fentanyl\tFentanyl\tNN\tI-NP\tO' +p216708 +aS'patch\tpatch\tNN\tI-NP\tO' +p216709 +aS',\t,\t,\tO\tO' +p216710 +aS'100\t100\tCD\tB-NP\tO' +p216711 +aS'mcg\tmcg\tNN\tI-NP\tO' +p216712 +aS'q\tq\tNN\tI-NP\tO' +p216713 +aS'72\t72\tCD\tB-NP\tO' +p216714 +aS'hours\thour\tNNS\tI-NP\tO' +p216715 +aS'.\t.\t.\tO\tO' +p216716 +asS'The past medical history was significant for left shoulder surgery in 2014-03-06 for repair of a " minor rotator cuff tear " and removal of osteophytes .' +p216717 +(lp216718 +S'The\tThe\tDT\tB-NP\tO' +p216719 +aS'past\tpast\tJJ\tI-NP\tO' +p216720 +aS'medical\tmedical\tJJ\tI-NP\tO' +p216721 +aS'history\thistory\tNN\tI-NP\tO' +p216722 +aS'was\tbe\tVBD\tB-VP\tO' +p216723 +aS'significant\tsignificant\tJJ\tB-ADJP\tO' +p216724 +aS'for\tfor\tIN\tB-PP\tO' +p216725 +aS'left\tleft\tJJ\tB-NP\tO' +p216726 +aS'shoulder\tshoulder\tNN\tI-NP\tO' +p216727 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p216728 +aS'in\tin\tIN\tB-PP\tO' +p216729 +aS'2014-03-06\t2014-03-06\tCD\tB-NP\tO' +p216730 +aS'for\tfor\tIN\tB-PP\tO' +p216731 +aS'repair\trepair\tNN\tB-NP\tO' +p216732 +aS'of\tof\tIN\tB-PP\tO' +p216733 +aS'a\ta\tDT\tB-NP\tO' +p216734 +aS'"\t"\t``\tI-NP\tB-cell_type' +p216735 +aS'minor\tminor\tJJ\tI-NP\tI-cell_type' +p216736 +aS'rotator\trotator\tNN\tI-NP\tI-cell_type' +p216737 +aS'cuff\tcuff\tNN\tI-NP\tI-cell_type' +p216738 +aS'tear\ttear\tNN\tI-NP\tI-cell_type' +p216739 +aS'"\t"\t\'\'\tO\tI-cell_type' +p216740 +aS'and\tand\tCC\tO\tO' +p216741 +aS'removal\tremoval\tNN\tB-NP\tO' +p216742 +aS'of\tof\tIN\tB-PP\tO' +p216743 +aS'osteophytes\tosteophyte\tNNS\tB-NP\tB-cell_type' +p216744 +aS'.\t.\t.\tO\tO' +p216745 +asS'7. Pantoprazole 40 mg Tablet , Delayed Release ( E.C. ) Sig : One ( 1 ) Tablet , Delayed Release ( E.C. ) PO Q24H ( every 24 hours ) .' +p216746 +(lp216747 +S'7.\t7.\tCD\tB-NP\tO' +p216748 +aS'Pantoprazole\tPantoprazole\tNN\tI-NP\tO' +p216749 +aS'40\t40\tCD\tB-NP\tO' +p216750 +aS'mg\tmg\tNN\tI-NP\tO' +p216751 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p216752 +aS',\t,\t,\tO\tO' +p216753 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p216754 +aS'Release\tRelease\tNNP\tI-NP\tO' +p216755 +aS'(\t(\t(\tO\tO' +p216756 +aS'E.C.\tE.C.\tNNP\tB-NP\tO' +p216757 +aS')\t)\t)\tO\tO' +p216758 +aS'Sig\tSig\tNNP\tB-NP\tO' +p216759 +aS':\t:\t:\tO\tO' +p216760 +aS'One\tOne\tCD\tB-NP\tO' +p216761 +aS'(\t(\t(\tO\tO' +p216762 +aS'1\t1\tCD\tB-NP\tO' +p216763 +aS')\t)\t)\tO\tO' +p216764 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p216765 +aS',\t,\t,\tO\tO' +p216766 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p216767 +aS'Release\tRelease\tNNP\tI-NP\tO' +p216768 +aS'(\t(\t(\tO\tO' +p216769 +aS'E.C.\tE.C.\tNNP\tO\tO' +p216770 +aS')\t)\t)\tO\tO' +p216771 +aS'PO\tPO\tNN\tB-NP\tO' +p216772 +aS'Q24H\tQ24H\tNN\tI-NP\tO' +p216773 +aS'(\t(\t(\tO\tO' +p216774 +aS'every\tevery\tDT\tB-NP\tO' +p216775 +aS'24\t24\tCD\tI-NP\tO' +p216776 +aS'hours\thour\tNNS\tI-NP\tO' +p216777 +aS')\t)\t)\tO\tO' +p216778 +aS'.\t.\t.\tO\tO' +p216779 +asS'Left cataract .' +p216780 +(lp216781 +S'Left\tLeft\tJJ\tB-NP\tO' +p216782 +aS'cataract\tcataract\tNN\tI-NP\tO' +p216783 +aS'.\t.\t.\tO\tO' +p216784 +asS'She describes the chest tightness as substernal and epigastric .' +p216785 +(lp216786 +S'She\tShe\tPRP\tB-NP\tO' +p216787 +aS'describes\tdescribe\tVBZ\tB-VP\tO' +p216788 +aS'the\tthe\tDT\tB-NP\tO' +p216789 +aS'chest\tch\tJJS\tI-NP\tO' +p216790 +aS'tightness\ttightness\tNN\tI-NP\tO' +p216791 +aS'as\tas\tIN\tB-PP\tO' +p216792 +aS'substernal\tsubsternal\tJJ\tB-ADJP\tO' +p216793 +aS'and\tand\tCC\tI-ADJP\tO' +p216794 +aS'epigastric\tepigastric\tJJ\tI-ADJP\tO' +p216795 +aS'.\t.\t.\tO\tO' +p216796 +asS'Once the patient had remained off of inotropics for approximately 24 hours , he had been given diuretics and Ace inhibitors and remained hemodynamically stable he was transferred from the Intensive Care Unit to the Telemetry floor on postoperative day six .' +p216797 +(lp216798 +S'Once\tOnce\tRB\tO\tO' +p216799 +aS'the\tthe\tDT\tB-NP\tO' +p216800 +aS'patient\tpatient\tNN\tI-NP\tO' +p216801 +aS'had\thave\tVBD\tB-VP\tO' +p216802 +aS'remained\tremain\tVBN\tI-VP\tO' +p216803 +aS'off\toff\tRP\tB-PRT\tO' +p216804 +aS'of\tof\tIN\tB-PP\tO' +p216805 +aS'inotropics\tinotropic\tNNS\tB-NP\tO' +p216806 +aS'for\tfor\tIN\tB-PP\tO' +p216807 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p216808 +aS'24\t24\tCD\tI-NP\tO' +p216809 +aS'hours\thour\tNNS\tI-NP\tO' +p216810 +aS',\t,\t,\tO\tO' +p216811 +aS'he\the\tPRP\tB-NP\tO' +p216812 +aS'had\thave\tVBD\tB-VP\tO' +p216813 +aS'been\tbe\tVBN\tI-VP\tO' +p216814 +aS'given\tgive\tVBN\tI-VP\tO' +p216815 +aS'diuretics\tdiuretic\tNNS\tB-NP\tO' +p216816 +aS'and\tand\tCC\tO\tO' +p216817 +aS'Ace\tAce\tNNP\tB-NP\tO' +p216818 +aS'inhibitors\tinhibitor\tNNS\tI-NP\tO' +p216819 +aS'and\tand\tCC\tO\tO' +p216820 +aS'remained\tremain\tVBD\tB-VP\tO' +p216821 +aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' +p216822 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p216823 +aS'he\the\tPRP\tB-NP\tO' +p216824 +aS'was\tbe\tVBD\tB-VP\tO' +p216825 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p216826 +aS'from\tfrom\tIN\tB-PP\tO' +p216827 +aS'the\tthe\tDT\tB-NP\tO' +p216828 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p216829 +aS'Care\tCare\tNNP\tI-NP\tO' +p216830 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p216831 +aS'to\tto\tTO\tB-PP\tO' +p216832 +aS'the\tthe\tDT\tB-NP\tO' +p216833 +aS'Telemetry\tTelemetry\tNNP\tI-NP\tO' +p216834 +aS'floor\tfloor\tNN\tI-NP\tO' +p216835 +aS'on\ton\tIN\tB-PP\tO' +p216836 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p216837 +aS'day\tday\tNN\tI-NP\tO' +p216838 +aS'six\tsix\tCD\tI-NP\tO' +p216839 +aS'.\t.\t.\tO\tO' +p216840 +asS'The patient was discharged home with Santea Gehawhi General Hospital care and instructed to follow up .' +p216841 +(lp216842 +S'The\tThe\tDT\tB-NP\tO' +p216843 +aS'patient\tpatient\tNN\tI-NP\tO' +p216844 +aS'was\tbe\tVBD\tB-VP\tO' +p216845 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p216846 +aS'home\thome\tNN\tB-ADVP\tO' +p216847 +aS'with\twith\tIN\tB-PP\tO' +p216848 +aS'Santea\tSantea\tNNP\tB-NP\tO' +p216849 +aS'Gehawhi\tGehawhi\tNNP\tI-NP\tO' +p216850 +aS'General\tGeneral\tNNP\tI-NP\tO' +p216851 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p216852 +aS'care\tcare\tNN\tI-NP\tO' +p216853 +aS'and\tand\tCC\tO\tO' +p216854 +aS'instructed\tinstruct\tVBN\tB-VP\tO' +p216855 +aS'to\tto\tTO\tB-VP\tO' +p216856 +aS'follow\tfollow\tVB\tI-VP\tO' +p216857 +aS'up\tup\tRP\tB-PRT\tO' +p216858 +aS'.\t.\t.\tO\tO' +p216859 +asS'The patient was also given supplemental tube feedings to supplement her calories and caloric intake .' +p216860 +(lp216861 +S'The\tThe\tDT\tB-NP\tO' +p216862 +aS'patient\tpatient\tNN\tI-NP\tO' +p216863 +aS'was\tbe\tVBD\tB-VP\tO' +p216864 +aS'also\talso\tRB\tI-VP\tO' +p216865 +aS'given\tgive\tVBN\tI-VP\tO' +p216866 +aS'supplemental\tsupplemental\tJJ\tB-NP\tO' +p216867 +aS'tube\ttube\tNN\tI-NP\tO' +p216868 +aS'feedings\tfeeding\tNNS\tI-NP\tO' +p216869 +aS'to\tto\tTO\tB-VP\tO' +p216870 +aS'supplement\tsupplement\tVB\tI-VP\tO' +p216871 +aS'her\ther\tPRP$\tB-NP\tO' +p216872 +aS'calories\tcalorie\tNNS\tI-NP\tO' +p216873 +aS'and\tand\tCC\tO\tO' +p216874 +aS'caloric\tcaloric\tJJ\tB-NP\tO' +p216875 +aS'intake\tintake\tNN\tI-NP\tO' +p216876 +aS'.\t.\t.\tO\tO' +p216877 +asS'The patient was also seen by Dr. Nusc from General Surgery for evaluation of micro calcifications in the right breast .' +p216878 +(lp216879 +S'The\tThe\tDT\tB-NP\tO' +p216880 +aS'patient\tpatient\tNN\tI-NP\tO' +p216881 +aS'was\tbe\tVBD\tB-VP\tO' +p216882 +aS'also\talso\tRB\tI-VP\tO' +p216883 +aS'seen\tsee\tVBN\tI-VP\tO' +p216884 +aS'by\tby\tIN\tB-PP\tO' +p216885 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p216886 +aS'Nusc\tNusc\tNNP\tI-NP\tO' +p216887 +aS'from\tfrom\tIN\tB-PP\tO' +p216888 +aS'General\tGeneral\tNNP\tB-NP\tO' +p216889 +aS'Surgery\tSurgery\tNNP\tI-NP\tO' +p216890 +aS'for\tfor\tIN\tB-PP\tO' +p216891 +aS'evaluation\tevaluation\tNN\tB-NP\tO' +p216892 +aS'of\tof\tIN\tB-PP\tO' +p216893 +aS'micro\tmicro\tNN\tB-NP\tO' +p216894 +aS'calcifications\tcalcification\tNNS\tI-NP\tO' +p216895 +aS'in\tin\tIN\tB-PP\tO' +p216896 +aS'the\tthe\tDT\tB-NP\tO' +p216897 +aS'right\tright\tJJ\tI-NP\tO' +p216898 +aS'breast\tbreast\tNN\tI-NP\tO' +p216899 +aS'.\t.\t.\tO\tO' +p216900 +asS'4. Bactrim double strength one tablet once daily .' +p216901 +(lp216902 +S'4.\t4.\tLS\tB-NP\tO' +p216903 +aS'Bactrim\tBactrim\tNNP\tI-NP\tO' +p216904 +aS'double\tdouble\tJJ\tI-NP\tO' +p216905 +aS'strength\tstrength\tNN\tI-NP\tO' +p216906 +aS'one\tone\tCD\tB-NP\tO' +p216907 +aS'tablet\ttablet\tNN\tI-NP\tO' +p216908 +aS'once\tonce\tRB\tB-ADVP\tO' +p216909 +aS'daily\tdaily\tRB\tI-ADVP\tO' +p216910 +aS'.\t.\t.\tO\tO' +p216911 +asS'Abd : mildly distended , hypoactive BS , soft , no HSM' +p216912 +(lp216913 +S'Abd\tAbd\tNN\tB-NP\tO' +p216914 +aS':\t:\t:\tO\tO' +p216915 +aS'mildly\tmildly\tRB\tB-NP\tO' +p216916 +aS'distended\tdistended\tJJ\tI-NP\tO' +p216917 +aS',\t,\t,\tI-NP\tO' +p216918 +aS'hypoactive\thypoactive\tJJ\tI-NP\tO' +p216919 +aS'BS\tBS\tNNP\tI-NP\tO' +p216920 +aS',\t,\t,\tO\tO' +p216921 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p216922 +aS',\t,\t,\tO\tO' +p216923 +aS'no\tno\tDT\tB-NP\tO' +p216924 +aS'HSM\tHSM\tNN\tI-NP\tB-protein' +p216925 +asS'On initial questioning , however , the patient denies any recent losses .' +p216926 +(lp216927 +S'On\tOn\tIN\tB-PP\tO' +p216928 +aS'initial\tinitial\tJJ\tB-NP\tO' +p216929 +aS'questioning\tquestioning\tNN\tI-NP\tO' +p216930 +aS',\t,\t,\tO\tO' +p216931 +aS'however\thowever\tRB\tB-ADVP\tO' +p216932 +aS',\t,\t,\tO\tO' +p216933 +aS'the\tthe\tDT\tB-NP\tO' +p216934 +aS'patient\tpatient\tNN\tI-NP\tO' +p216935 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p216936 +aS'any\tany\tDT\tB-NP\tO' +p216937 +aS'recent\trecent\tJJ\tI-NP\tO' +p216938 +aS'losses\tloss\tNNS\tI-NP\tO' +p216939 +aS'.\t.\t.\tO\tO' +p216940 +asS'Urine output during the prior two hours had been 50cc and 24cc .' +p216941 +(lp216942 +S'Urine\tUrine\tNN\tB-NP\tO' +p216943 +aS'output\toutput\tNN\tI-NP\tO' +p216944 +aS'during\tduring\tIN\tB-PP\tO' +p216945 +aS'the\tthe\tDT\tB-NP\tO' +p216946 +aS'prior\tprior\tJJ\tI-NP\tO' +p216947 +aS'two\ttwo\tCD\tI-NP\tO' +p216948 +aS'hours\thour\tNNS\tI-NP\tO' +p216949 +aS'had\thave\tVBD\tB-VP\tO' +p216950 +aS'been\tbe\tVBN\tI-VP\tO' +p216951 +aS'50cc\t50cc\tCD\tB-NP\tO' +p216952 +aS'and\tand\tCC\tO\tO' +p216953 +aS'24cc\t24cc\tNN\tB-NP\tO' +p216954 +aS'.\t.\t.\tO\tO' +p216955 +asS'He was given 4 amps of calcium gluconate , and started on a Calcium gtt .' +p216956 +(lp216957 +S'He\tHe\tPRP\tB-NP\tO' +p216958 +aS'was\tbe\tVBD\tB-VP\tO' +p216959 +aS'given\tgive\tVBN\tI-VP\tO' +p216960 +aS'4\t4\tCD\tB-NP\tO' +p216961 +aS'amps\tamp\tNNS\tI-NP\tO' +p216962 +aS'of\tof\tIN\tB-PP\tO' +p216963 +aS'calcium\tcalcium\tNN\tB-NP\tO' +p216964 +aS'gluconate\tgluconate\tNN\tI-NP\tO' +p216965 +aS',\t,\t,\tO\tO' +p216966 +aS'and\tand\tCC\tO\tO' +p216967 +aS'started\tstart\tVBD\tB-VP\tO' +p216968 +aS'on\ton\tIN\tB-PP\tO' +p216969 +aS'a\ta\tDT\tB-NP\tO' +p216970 +aS'Calcium\tCalcium\tNN\tI-NP\tO' +p216971 +aS'gtt\tgtt\tNN\tI-NP\tO' +p216972 +aS'.\t.\t.\tO\tO' +p216973 +asS'Blood cultures and sputum cultures were sent .' +p216974 +(lp216975 +S'Blood\tBlood\tNN\tB-NP\tO' +p216976 +aS'cultures\tculture\tNNS\tI-NP\tO' +p216977 +aS'and\tand\tCC\tO\tO' +p216978 +aS'sputum\tsputum\tNN\tB-NP\tO' +p216979 +aS'cultures\tculture\tNNS\tI-NP\tO' +p216980 +aS'were\tbe\tVBD\tB-VP\tO' +p216981 +aS'sent\tsend\tVBN\tI-VP\tO' +p216982 +aS'.\t.\t.\tO\tO' +p216983 +asS'11. status post cataract surgery ,' +p216984 +(lp216985 +S'11.\t11.\tLS\tB-NP\tO' +p216986 +aS'status\tstatus\tNN\tI-NP\tO' +p216987 +aS'post\tpost\tNN\tI-NP\tO' +p216988 +aS'cataract\tcataract\tNN\tI-NP\tO' +p216989 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p216990 +aS',\t,\t,\tO\tO' +p216991 +asS'By POD# 05-29 she was having high residuals on TF s, so TPN was reinitiated .' +p216992 +(lp216993 +S'By\tBy\tIN\tB-PP\tO' +p216994 +aS'POD#\tPOD#\tNN\tB-NP\tO' +p216995 +aS'05-29\t05-29\tCD\tI-NP\tO' +p216996 +aS'she\tshe\tPRP\tB-NP\tO' +p216997 +aS'was\tbe\tVBD\tB-VP\tO' +p216998 +aS'having\thave\tVBG\tI-VP\tO' +p216999 +aS'high\thigh\tJJ\tB-NP\tO' +p217000 +aS'residuals\tresidual\tNNS\tI-NP\tO' +p217001 +aS'on\ton\tIN\tB-PP\tO' +p217002 +aS'TF\tTF\tNN\tB-NP\tB-protein' +p217003 +aS's,\ts,\tNN\tI-NP\tI-protein' +p217004 +aS'so\tso\tIN\tB-SBAR\tO' +p217005 +aS'TPN\tTPN\tNN\tB-NP\tB-protein' +p217006 +aS'was\tbe\tVBD\tB-VP\tO' +p217007 +aS'reinitiated\treinitiate\tVBN\tI-VP\tO' +p217008 +aS'.\t.\t.\tO\tO' +p217009 +asS'He has been weaned off IV fluids and has been maintaining good blood glucose .' +p217010 +(lp217011 +S'He\tHe\tPRP\tB-NP\tO' +p217012 +aS'has\thave\tVBZ\tB-VP\tO' +p217013 +aS'been\tbe\tVBN\tI-VP\tO' +p217014 +aS'weaned\twean\tVBN\tI-VP\tO' +p217015 +aS'off\toff\tIN\tB-PP\tO' +p217016 +aS'IV\tIV\tCD\tB-NP\tO' +p217017 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p217018 +aS'and\tand\tCC\tO\tO' +p217019 +aS'has\thave\tVBZ\tB-VP\tO' +p217020 +aS'been\tbe\tVBN\tI-VP\tO' +p217021 +aS'maintaining\tmaintain\tVBG\tI-VP\tO' +p217022 +aS'good\tgood\tJJ\tB-NP\tO' +p217023 +aS'blood\tblood\tNN\tI-NP\tO' +p217024 +aS'glucose\tglucose\tNN\tI-NP\tO' +p217025 +aS'.\t.\t.\tO\tO' +p217026 +asS'If you develop recurrent chest pain , shortness of breath , or any other concerning symptoms , call your doctor or return to the hospital .' +p217027 +(lp217028 +S'If\tIf\tIN\tB-SBAR\tO' +p217029 +aS'you\tyou\tPRP\tB-NP\tO' +p217030 +aS'develop\tdevelop\tVBP\tB-VP\tO' +p217031 +aS'recurrent\trecurrent\tJJ\tB-NP\tO' +p217032 +aS'chest\tchest\tNN\tI-NP\tO' +p217033 +aS'pain\tpain\tNN\tI-NP\tO' +p217034 +aS',\t,\t,\tO\tO' +p217035 +aS'shortness\tshortness\tNN\tB-NP\tO' +p217036 +aS'of\tof\tIN\tB-PP\tO' +p217037 +aS'breath\tbreath\tNN\tB-NP\tO' +p217038 +aS',\t,\t,\tO\tO' +p217039 +aS'or\tor\tCC\tO\tO' +p217040 +aS'any\tany\tDT\tB-NP\tO' +p217041 +aS'other\tother\tJJ\tI-NP\tO' +p217042 +aS'concerning\tconcern\tVBG\tI-NP\tO' +p217043 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p217044 +aS',\t,\t,\tO\tO' +p217045 +aS'call\tcall\tVB\tB-VP\tO' +p217046 +aS'your\tyour\tPRP$\tB-NP\tO' +p217047 +aS'doctor\tdoctor\tNN\tI-NP\tO' +p217048 +aS'or\tor\tCC\tO\tO' +p217049 +aS'return\treturn\tVB\tB-VP\tO' +p217050 +aS'to\tto\tTO\tB-PP\tO' +p217051 +aS'the\tthe\tDT\tB-NP\tO' +p217052 +aS'hospital\thospital\tNN\tI-NP\tO' +p217053 +aS'.\t.\t.\tO\tO' +p217054 +asS'From a CMED CCU point of view , he gets straight cathed every other day .' +p217055 +(lp217056 +S'From\tFrom\tIN\tB-PP\tO' +p217057 +aS'a\ta\tDT\tB-NP\tO' +p217058 +aS'CMED\tCMED\tJJ\tI-NP\tO' +p217059 +aS'CCU\tCCU\tNN\tI-NP\tO' +p217060 +aS'point\tpoint\tNN\tI-NP\tO' +p217061 +aS'of\tof\tIN\tB-PP\tO' +p217062 +aS'view\tview\tNN\tB-NP\tO' +p217063 +aS',\t,\t,\tO\tO' +p217064 +aS'he\the\tPRP\tB-NP\tO' +p217065 +aS'gets\tget\tVBZ\tB-VP\tO' +p217066 +aS'straight\tstraight\tRB\tI-VP\tO' +p217067 +aS'cathed\tcathe\tVBN\tI-VP\tO' +p217068 +aS'every\tevery\tDT\tB-NP\tO' +p217069 +aS'other\tother\tJJ\tI-NP\tO' +p217070 +aS'day\tday\tNN\tI-NP\tO' +p217071 +aS'.\t.\t.\tO\tO' +p217072 +asS'8. Phenazopyridine HCl 100 mg Tablet Sig : One ( 1 ) Tablet PO TID ( 3 times a day ) for 3 days .' +p217073 +(lp217074 +S'8.\t8.\tCD\tB-NP\tO' +p217075 +aS'Phenazopyridine\tPhenazopyridine\tNN\tI-NP\tO' +p217076 +aS'HCl\tHCl\tNN\tI-NP\tO' +p217077 +aS'100\t100\tCD\tI-NP\tO' +p217078 +aS'mg\tmg\tNN\tI-NP\tO' +p217079 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p217080 +aS'Sig\tSig\tNNP\tI-NP\tO' +p217081 +aS':\t:\t:\tO\tO' +p217082 +aS'One\tOne\tCD\tB-NP\tO' +p217083 +aS'(\t(\t(\tO\tO' +p217084 +aS'1\t1\tCD\tB-NP\tO' +p217085 +aS')\t)\t)\tO\tO' +p217086 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p217087 +aS'PO\tPO\tNN\tI-NP\tO' +p217088 +aS'TID\tTID\tNN\tI-NP\tO' +p217089 +aS'(\t(\t(\tO\tO' +p217090 +aS'3\t3\tCD\tB-NP\tO' +p217091 +aS'times\ttime\tNNS\tI-NP\tO' +p217092 +aS'a\ta\tDT\tB-NP\tO' +p217093 +aS'day\tday\tNN\tI-NP\tO' +p217094 +aS')\t)\t)\tO\tO' +p217095 +aS'for\tfor\tIN\tB-PP\tO' +p217096 +aS'3\t3\tCD\tB-NP\tO' +p217097 +aS'days\tday\tNNS\tI-NP\tO' +p217098 +aS'.\t.\t.\tO\tO' +p217099 +asS'The initial EKG showed normal sinus rhythm at a rate of 71 with a normal axis and evidence of first-degree AV block with prolonged PR interval of 238 milliseconds .' +p217100 +(lp217101 +S'The\tThe\tDT\tB-NP\tO' +p217102 +aS'initial\tinitial\tJJ\tI-NP\tO' +p217103 +aS'EKG\tEKG\tNN\tI-NP\tO' +p217104 +aS'showed\tshow\tVBD\tB-VP\tO' +p217105 +aS'normal\tnormal\tJJ\tB-NP\tO' +p217106 +aS'sinus\tsinus\tNN\tI-NP\tO' +p217107 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p217108 +aS'at\tat\tIN\tB-PP\tO' +p217109 +aS'a\ta\tDT\tB-NP\tO' +p217110 +aS'rate\trate\tNN\tI-NP\tO' +p217111 +aS'of\tof\tIN\tB-PP\tO' +p217112 +aS'71\t71\tCD\tB-NP\tO' +p217113 +aS'with\twith\tIN\tB-PP\tO' +p217114 +aS'a\ta\tDT\tB-NP\tO' +p217115 +aS'normal\tnormal\tJJ\tI-NP\tO' +p217116 +aS'axis\taxis\tNN\tI-NP\tO' +p217117 +aS'and\tand\tCC\tI-NP\tO' +p217118 +aS'evidence\tevidence\tNN\tI-NP\tO' +p217119 +aS'of\tof\tIN\tB-PP\tO' +p217120 +aS'first-degree\tfirst-degree\tJJ\tB-NP\tO' +p217121 +aS'AV\tAV\tNN\tI-NP\tO' +p217122 +aS'block\tblock\tNN\tI-NP\tO' +p217123 +aS'with\twith\tIN\tB-PP\tO' +p217124 +aS'prolonged\tprolonged\tJJ\tB-NP\tO' +p217125 +aS'PR\tPR\tNN\tI-NP\tO' +p217126 +aS'interval\tinterval\tNN\tI-NP\tO' +p217127 +aS'of\tof\tIN\tB-PP\tO' +p217128 +aS'238\t238\tCD\tB-NP\tO' +p217129 +aS'milliseconds\tmillisecond\tNNS\tI-NP\tO' +p217130 +aS'.\t.\t.\tO\tO' +p217131 +asS'3. Nexium 40 mg po every day .' +p217132 +(lp217133 +S'3.\t3.\tLS\tB-NP\tO' +p217134 +aS'Nexium\tNexium\tNNP\tI-NP\tO' +p217135 +aS'40\t40\tCD\tI-NP\tO' +p217136 +aS'mg\tmg\tNN\tI-NP\tO' +p217137 +aS'po\tpo\tRB\tB-ADVP\tO' +p217138 +aS'every\tevery\tDT\tB-NP\tO' +p217139 +aS'day\tday\tNN\tI-NP\tO' +p217140 +aS'.\t.\t.\tO\tO' +p217141 +asS'Keep incision clean and dry , may shower Wed .' +p217142 +(lp217143 +S'Keep\tKeep\tNN\tB-NP\tO' +p217144 +aS'incision\tincision\tNN\tI-NP\tO' +p217145 +aS'clean\tclean\tJJ\tB-ADJP\tO' +p217146 +aS'and\tand\tCC\tI-ADJP\tO' +p217147 +aS'dry\tdry\tJJ\tI-ADJP\tO' +p217148 +aS',\t,\t,\tO\tO' +p217149 +aS'may\tmay\tMD\tB-VP\tO' +p217150 +aS'shower\tshower\tVB\tI-VP\tO' +p217151 +aS'Wed\tWed\tNNP\tB-NP\tO' +p217152 +aS'.\t.\t.\tO\tO' +p217153 +asS'The sensory examination was intact to light touch .' +p217154 +(lp217155 +S'The\tThe\tDT\tB-NP\tO' +p217156 +aS'sensory\tsensory\tJJ\tI-NP\tO' +p217157 +aS'examination\texamination\tNN\tI-NP\tO' +p217158 +aS'was\tbe\tVBD\tB-VP\tO' +p217159 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p217160 +aS'to\tto\tTO\tB-PP\tO' +p217161 +aS'light\tlight\tJJ\tB-NP\tO' +p217162 +aS'touch\ttouch\tNN\tI-NP\tO' +p217163 +aS'.\t.\t.\tO\tO' +p217164 +asS'Patient has a history for terrible vasculopathy s/p recent right BKA with dry gangrene of the distal stump .' +p217165 +(lp217166 +S'Patient\tPatient\tNN\tB-NP\tO' +p217167 +aS'has\thave\tVBZ\tB-VP\tO' +p217168 +aS'a\ta\tDT\tB-NP\tO' +p217169 +aS'history\thistory\tNN\tI-NP\tO' +p217170 +aS'for\tfor\tIN\tB-PP\tO' +p217171 +aS'terrible\tterrible\tJJ\tB-NP\tO' +p217172 +aS'vasculopathy\tvasculopathy\tNN\tI-NP\tO' +p217173 +aS's/p\ts/p\tNN\tI-NP\tO' +p217174 +aS'recent\trecent\tJJ\tI-NP\tO' +p217175 +aS'right\tright\tJJ\tI-NP\tO' +p217176 +aS'BKA\tBKA\tNN\tI-NP\tO' +p217177 +aS'with\twith\tIN\tB-PP\tO' +p217178 +aS'dry\tdry\tJJ\tB-NP\tO' +p217179 +aS'gangrene\tgangrene\tNN\tI-NP\tO' +p217180 +aS'of\tof\tIN\tB-PP\tO' +p217181 +aS'the\tthe\tDT\tB-NP\tO' +p217182 +aS'distal\tdistal\tJJ\tI-NP\tO' +p217183 +aS'stump\tstump\tNN\tI-NP\tO' +p217184 +aS'.\t.\t.\tO\tO' +p217185 +asS'69% polys , 60% lymphs , 10% monos , 5% eos .' +p217186 +(lp217187 +S'69%\t69%\tCD\tB-NP\tO' +p217188 +aS'polys\tpoly\tNNS\tI-NP\tO' +p217189 +aS',\t,\t,\tO\tO' +p217190 +aS'60%\t60%\tNN\tB-NP\tO' +p217191 +aS'lymphs\tlymph\tNNS\tI-NP\tO' +p217192 +aS',\t,\t,\tO\tO' +p217193 +aS'10%\t10%\tCD\tB-NP\tO' +p217194 +aS'monos\tmono\tNNS\tI-NP\tO' +p217195 +aS',\t,\t,\tO\tO' +p217196 +aS'5%\t5%\tCD\tB-NP\tO' +p217197 +aS'eos\teo\tNNS\tI-NP\tO' +p217198 +aS'.\t.\t.\tO\tO' +p217199 +asS'Angio site was clean , dry , and intact without bleeding or drainage .' +p217200 +(lp217201 +S'Angio\tAngio\tNN\tB-NP\tO' +p217202 +aS'site\tsite\tNN\tI-NP\tO' +p217203 +aS'was\tbe\tVBD\tB-VP\tO' +p217204 +aS'clean\tclean\tJJ\tB-ADJP\tO' +p217205 +aS',\t,\t,\tO\tO' +p217206 +aS'dry\tdry\tJJ\tB-ADJP\tO' +p217207 +aS',\t,\t,\tO\tO' +p217208 +aS'and\tand\tCC\tO\tO' +p217209 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p217210 +aS'without\twithout\tIN\tB-PP\tO' +p217211 +aS'bleeding\tbleed\tVBG\tB-VP\tO' +p217212 +aS'or\tor\tCC\tB-NP\tO' +p217213 +aS'drainage\tdrainage\tNN\tI-NP\tO' +p217214 +aS'.\t.\t.\tO\tO' +p217215 +asS'Cardiology Report ECHO Study Date of 2014-05-11' +p217216 +(lp217217 +S'Cardiology\tCardiology\tNNP\tB-NP\tO' +p217218 +aS'Report\tReport\tNNP\tI-NP\tO' +p217219 +aS'ECHO\tECHO\tNNP\tI-NP\tO' +p217220 +aS'Study\tStudy\tNNP\tI-NP\tO' +p217221 +aS'Date\tDate\tNNP\tI-NP\tO' +p217222 +aS'of\tof\tIN\tB-PP\tO' +p217223 +aS'2014-05-11\t2014-05-11\tCD\tB-NP\tO' +p217224 +asS'The patient was transferred to the regular floor .' +p217225 +(lp217226 +S'The\tThe\tDT\tB-NP\tO' +p217227 +aS'patient\tpatient\tNN\tI-NP\tO' +p217228 +aS'was\tbe\tVBD\tB-VP\tO' +p217229 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p217230 +aS'to\tto\tTO\tB-PP\tO' +p217231 +aS'the\tthe\tDT\tB-NP\tO' +p217232 +aS'regular\tregular\tJJ\tI-NP\tO' +p217233 +aS'floor\tfloor\tNN\tI-NP\tO' +p217234 +aS'.\t.\t.\tO\tO' +p217235 +asS'He underwent a joint procedure by Otolaryngology and Plastic Surgery .' +p217236 +(lp217237 +S'He\tHe\tPRP\tB-NP\tO' +p217238 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p217239 +aS'a\ta\tDT\tB-NP\tO' +p217240 +aS'joint\tjoint\tJJ\tI-NP\tO' +p217241 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p217242 +aS'by\tby\tIN\tB-PP\tO' +p217243 +aS'Otolaryngology\tOtolaryngology\tNNP\tB-NP\tO' +p217244 +aS'and\tand\tCC\tI-NP\tO' +p217245 +aS'Plastic\tPlastic\tNNP\tI-NP\tO' +p217246 +aS'Surgery\tSurgery\tNNP\tI-NP\tO' +p217247 +aS'.\t.\t.\tO\tO' +p217248 +asS'The chest pain persisted afterwards and a relook catheterization was performed that revealed no occlusions .' +p217249 +(lp217250 +S'The\tThe\tDT\tB-NP\tO' +p217251 +aS'chest\tchest\tNN\tI-NP\tO' +p217252 +aS'pain\tpain\tNN\tI-NP\tO' +p217253 +aS'persisted\tpersist\tVBD\tB-VP\tO' +p217254 +aS'afterwards\tafterwards\tRB\tB-ADVP\tO' +p217255 +aS'and\tand\tCC\tO\tO' +p217256 +aS'a\ta\tDT\tB-NP\tO' +p217257 +aS'relook\trelook\tNN\tI-NP\tO' +p217258 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p217259 +aS'was\tbe\tVBD\tB-VP\tO' +p217260 +aS'performed\tperform\tVBN\tI-VP\tO' +p217261 +aS'that\tthat\tWDT\tB-NP\tO' +p217262 +aS'revealed\treveal\tVBD\tB-VP\tO' +p217263 +aS'no\tno\tDT\tB-NP\tO' +p217264 +aS'occlusions\tocclusion\tNNS\tI-NP\tO' +p217265 +aS'.\t.\t.\tO\tO' +p217266 +asS'Nexium , 20 mg PO daily .' +p217267 +(lp217268 +S'Nexium\tNexium\tNN\tB-NP\tO' +p217269 +aS',\t,\t,\tO\tO' +p217270 +aS'20\t20\tCD\tB-NP\tO' +p217271 +aS'mg\tmg\tNN\tI-NP\tO' +p217272 +aS'PO\tPO\tNN\tI-NP\tO' +p217273 +aS'daily\tdaily\tRB\tB-ADVP\tO' +p217274 +aS'.\t.\t.\tO\tO' +p217275 +asS'The patient was switched to ampicillin , gentamicin , and clindamycin , according to the culture , Enterococci and Staphylococcus in the wound .' +p217276 +(lp217277 +S'The\tThe\tDT\tB-NP\tO' +p217278 +aS'patient\tpatient\tNN\tI-NP\tO' +p217279 +aS'was\tbe\tVBD\tB-VP\tO' +p217280 +aS'switched\tswitch\tVBN\tI-VP\tO' +p217281 +aS'to\tto\tTO\tB-PP\tO' +p217282 +aS'ampicillin\tampicillin\tNN\tB-NP\tO' +p217283 +aS',\t,\t,\tO\tO' +p217284 +aS'gentamicin\tgentamicin\tNN\tB-NP\tO' +p217285 +aS',\t,\t,\tO\tO' +p217286 +aS'and\tand\tCC\tO\tO' +p217287 +aS'clindamycin\tclindamycin\tNN\tB-NP\tO' +p217288 +aS',\t,\t,\tO\tO' +p217289 +aS'according\taccord\tVBG\tB-PP\tO' +p217290 +aS'to\tto\tTO\tB-PP\tO' +p217291 +aS'the\tthe\tDT\tB-NP\tO' +p217292 +aS'culture\tculture\tNN\tI-NP\tO' +p217293 +aS',\t,\t,\tO\tO' +p217294 +aS'Enterococci\tEnterococci\tNNP\tB-NP\tO' +p217295 +aS'and\tand\tCC\tI-NP\tO' +p217296 +aS'Staphylococcus\tStaphylococcus\tNNP\tI-NP\tO' +p217297 +aS'in\tin\tIN\tB-PP\tO' +p217298 +aS'the\tthe\tDT\tB-NP\tO' +p217299 +aS'wound\twound\tNN\tI-NP\tO' +p217300 +aS'.\t.\t.\tO\tO' +p217301 +asS'He was noted to have an episode of desaturation into the 80% range while sleeping .' +p217302 +(lp217303 +S'He\tHe\tPRP\tB-NP\tO' +p217304 +aS'was\tbe\tVBD\tB-VP\tO' +p217305 +aS'noted\tnote\tVBN\tI-VP\tO' +p217306 +aS'to\tto\tTO\tI-VP\tO' +p217307 +aS'have\thave\tVB\tI-VP\tO' +p217308 +aS'an\tan\tDT\tB-NP\tO' +p217309 +aS'episode\tepisode\tNN\tI-NP\tO' +p217310 +aS'of\tof\tIN\tB-PP\tO' +p217311 +aS'desaturation\tdesaturation\tNN\tB-NP\tO' +p217312 +aS'into\tinto\tIN\tB-PP\tO' +p217313 +aS'the\tthe\tDT\tB-NP\tO' +p217314 +aS'80%\t80%\tCD\tI-NP\tO' +p217315 +aS'range\trange\tNN\tI-NP\tO' +p217316 +aS'while\twhile\tIN\tB-SBAR\tO' +p217317 +aS'sleeping\tsleep\tVBG\tB-VP\tO' +p217318 +aS'.\t.\t.\tO\tO' +p217319 +asS'Chest xray was consistent with pleurodesis .' +p217320 +(lp217321 +S'Chest\tCh\tJJS\tB-NP\tO' +p217322 +aS'xray\txray\tNN\tI-NP\tO' +p217323 +aS'was\tbe\tVBD\tB-VP\tO' +p217324 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p217325 +aS'with\twith\tIN\tB-PP\tO' +p217326 +aS'pleurodesis\tpleurodesis\tNN\tB-NP\tO' +p217327 +aS'.\t.\t.\tO\tO' +p217328 +asS'On 2011-10-24 postoperative day six consultation heart failure cardiology service was obtained .' +p217329 +(lp217330 +S'On\tOn\tIN\tB-PP\tO' +p217331 +aS'2011-10-24\t2011-10-24\tCD\tB-NP\tO' +p217332 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p217333 +aS'day\tday\tNN\tI-NP\tO' +p217334 +aS'six\tsix\tCD\tI-NP\tO' +p217335 +aS'consultation\tconsultation\tNN\tI-NP\tO' +p217336 +aS'heart\theart\tNN\tI-NP\tO' +p217337 +aS'failure\tfailure\tNN\tI-NP\tO' +p217338 +aS'cardiology\tcardiology\tNN\tI-NP\tO' +p217339 +aS'service\tservice\tNN\tI-NP\tO' +p217340 +aS'was\tbe\tVBD\tB-VP\tO' +p217341 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p217342 +aS'.\t.\t.\tO\tO' +p217343 +asS'2. Left rib 8 through 12 fractures .' +p217344 +(lp217345 +S'2.\t2.\tLS\tB-NP\tO' +p217346 +aS'Left\tLeft\tNN\tI-NP\tB-protein' +p217347 +aS'rib\trib\tNN\tI-NP\tI-protein' +p217348 +aS'8\t8\tCD\tI-NP\tI-protein' +p217349 +aS'through\tthrough\tIN\tI-NP\tO' +p217350 +aS'12\t12\tCD\tI-NP\tO' +p217351 +aS'fractures\tfracture\tNNS\tI-NP\tO' +p217352 +aS'.\t.\t.\tO\tO' +p217353 +asS'No history of cancer .' +p217354 +(lp217355 +S'No\tNo\tDT\tB-NP\tO' +p217356 +aS'history\thistory\tNN\tI-NP\tO' +p217357 +aS'of\tof\tIN\tB-PP\tO' +p217358 +aS'cancer\tcancer\tNN\tB-NP\tO' +p217359 +aS'.\t.\t.\tO\tO' +p217360 +asS'Mr. Freeman maintained stable hemodynamics with a normal sinus rhythm throughout his postoperative course .' +p217361 +(lp217362 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p217363 +aS'Freeman\tFreeman\tNNP\tI-NP\tO' +p217364 +aS'maintained\tmaintain\tVBD\tB-VP\tO' +p217365 +aS'stable\tstable\tJJ\tB-NP\tO' +p217366 +aS'hemodynamics\themodynamic\tNNS\tI-NP\tO' +p217367 +aS'with\twith\tIN\tB-PP\tO' +p217368 +aS'a\ta\tDT\tB-NP\tO' +p217369 +aS'normal\tnormal\tJJ\tI-NP\tO' +p217370 +aS'sinus\tsinus\tNN\tI-NP\tO' +p217371 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p217372 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p217373 +aS'his\this\tPRP$\tB-NP\tO' +p217374 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p217375 +aS'course\tcourse\tNN\tI-NP\tO' +p217376 +aS'.\t.\t.\tO\tO' +p217377 +asS'Cultures from urine drawn from the nephrostomy tube are currently growing > 100K GNR , possibly of two colony morphologies , speciation and sensitivity pending .' +p217378 +(lp217379 +S'Cultures\tCulture\tNNS\tB-NP\tO' +p217380 +aS'from\tfrom\tIN\tB-PP\tO' +p217381 +aS'urine\turine\tNN\tB-NP\tO' +p217382 +aS'drawn\tdraw\tVBN\tB-VP\tO' +p217383 +aS'from\tfrom\tIN\tB-PP\tO' +p217384 +aS'the\tthe\tDT\tB-NP\tO' +p217385 +aS'nephrostomy\tnephrostomy\tNN\tI-NP\tO' +p217386 +aS'tube\ttube\tNN\tI-NP\tO' +p217387 +aS'are\tbe\tVBP\tB-VP\tO' +p217388 +aS'currently\tcurrently\tRB\tI-VP\tO' +p217389 +aS'growing\tgrow\tVBG\tI-VP\tO' +p217390 +aS'>\t>\tJJR\tB-NP\tO' +p217391 +aS'100K\t100K\tNNP\tI-NP\tO' +p217392 +aS'GNR\tGNR\tNNP\tI-NP\tO' +p217393 +aS',\t,\t,\tO\tO' +p217394 +aS'possibly\tpossibly\tRB\tB-ADVP\tO' +p217395 +aS'of\tof\tIN\tB-PP\tO' +p217396 +aS'two\ttwo\tCD\tB-NP\tO' +p217397 +aS'colony\tcolony\tNN\tI-NP\tO' +p217398 +aS'morphologies\tmorphology\tNNS\tI-NP\tO' +p217399 +aS',\t,\t,\tO\tO' +p217400 +aS'speciation\tspeciation\tNN\tB-NP\tO' +p217401 +aS'and\tand\tCC\tI-NP\tO' +p217402 +aS'sensitivity\tsensitivity\tNN\tI-NP\tO' +p217403 +aS'pending\tpending\tNN\tI-NP\tO' +p217404 +aS'.\t.\t.\tO\tO' +p217405 +asS'Motor was 5/5 .' +p217406 +(lp217407 +S'Motor\tMotor\tNNP\tB-NP\tO' +p217408 +aS'was\tbe\tVBD\tB-VP\tO' +p217409 +aS'5/5\t5/5\tCD\tB-NP\tO' +p217410 +aS'.\t.\t.\tO\tO' +p217411 +asS'Dr. Scaher Grend , RAMMCO 8/20 , 3:30pm scheduled , No Known Allergies' +p217412 +(lp217413 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p217414 +aS'Scaher\tScaher\tNNP\tI-NP\tO' +p217415 +aS'Grend\tGrend\tNNP\tI-NP\tO' +p217416 +aS',\t,\t,\tO\tO' +p217417 +aS'RAMMCO\tRAMMCO\tNNP\tB-NP\tO' +p217418 +aS'8/20\t8/20\tCD\tI-NP\tO' +p217419 +aS',\t,\t,\tO\tO' +p217420 +aS'3:30pm\t3:30pm\tNN\tB-NP\tO' +p217421 +aS'scheduled\tschedule\tVBN\tB-VP\tO' +p217422 +aS',\t,\t,\tO\tO' +p217423 +aS'No\tNo\tNNP\tB-NP\tO' +p217424 +aS'Known\tKnown\tNNP\tI-NP\tO' +p217425 +aS'Allergies\tAllergies\tNNP\tI-NP\tO' +p217426 +asS'Dyazide one p.o. q.d. Propanolol 5 mg. p.o. t.i.d. Isordil 5 mg. p.o. t.i.d. Glaucoma drops .' +p217427 +(lp217428 +S'Dyazide\tDyazide\tNN\tB-NP\tO' +p217429 +aS'one\tone\tCD\tI-NP\tO' +p217430 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p217431 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p217432 +aS'Propanolol\tPropanolol\tNN\tI-NP\tO' +p217433 +aS'5\t5\tCD\tI-NP\tO' +p217434 +aS'mg.\tmg.\tNN\tI-NP\tO' +p217435 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p217436 +aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' +p217437 +aS'Isordil\tIsordil\tNN\tI-NP\tO' +p217438 +aS'5\t5\tCD\tI-NP\tO' +p217439 +aS'mg.\tmg.\tNN\tI-NP\tO' +p217440 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p217441 +aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' +p217442 +aS'Glaucoma\tGlaucoma\tNN\tI-NP\tO' +p217443 +aS'drops\tdrop\tNNS\tI-NP\tO' +p217444 +aS'.\t.\t.\tO\tO' +p217445 +asS'The somatostatin and the midodrine were discontinued and the regimen of Lasix and spironolactone was started for diuresis .' +p217446 +(lp217447 +S'The\tThe\tDT\tB-NP\tO' +p217448 +aS'somatostatin\tsomatostatin\tNN\tI-NP\tO' +p217449 +aS'and\tand\tCC\tO\tO' +p217450 +aS'the\tthe\tDT\tB-NP\tO' +p217451 +aS'midodrine\tmidodrine\tNN\tI-NP\tO' +p217452 +aS'were\tbe\tVBD\tB-VP\tO' +p217453 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p217454 +aS'and\tand\tCC\tO\tO' +p217455 +aS'the\tthe\tDT\tB-NP\tO' +p217456 +aS'regimen\tregimen\tNN\tI-NP\tO' +p217457 +aS'of\tof\tIN\tB-PP\tO' +p217458 +aS'Lasix\tLasix\tNN\tB-NP\tO' +p217459 +aS'and\tand\tCC\tI-NP\tO' +p217460 +aS'spironolactone\tspironolactone\tNN\tI-NP\tO' +p217461 +aS'was\tbe\tVBD\tB-VP\tO' +p217462 +aS'started\tstart\tVBN\tI-VP\tO' +p217463 +aS'for\tfor\tIN\tB-PP\tO' +p217464 +aS'diuresis\tdiuresis\tNN\tB-NP\tO' +p217465 +aS'.\t.\t.\tO\tO' +p217466 +asS'Chest xray is still consistent with volume overload .' +p217467 +(lp217468 +S'Chest\tCh\tJJS\tB-NP\tO' +p217469 +aS'xray\txray\tNN\tI-NP\tO' +p217470 +aS'is\tbe\tVBZ\tB-VP\tO' +p217471 +aS'still\tstill\tRB\tB-ADVP\tO' +p217472 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p217473 +aS'with\twith\tIN\tB-PP\tO' +p217474 +aS'volume\tvolume\tNN\tB-NP\tO' +p217475 +aS'overload\toverload\tNN\tI-NP\tO' +p217476 +aS'.\t.\t.\tO\tO' +p217477 +asS'9. Port-a-Cath placement for IV hydration in setting of short gut syndrome , complicated by clotting x 4 , requiring replacement' +p217478 +(lp217479 +S'9.\t9.\tLS\tB-NP\tO' +p217480 +aS'Port-a-Cath\tPort-a-Cath\tNN\tI-NP\tO' +p217481 +aS'placement\tplacement\tNN\tI-NP\tO' +p217482 +aS'for\tfor\tIN\tB-PP\tO' +p217483 +aS'IV\tIV\tCD\tB-NP\tO' +p217484 +aS'hydration\thydration\tNN\tI-NP\tO' +p217485 +aS'in\tin\tIN\tB-PP\tO' +p217486 +aS'setting\tsetting\tNN\tB-NP\tO' +p217487 +aS'of\tof\tIN\tB-PP\tO' +p217488 +aS'short\tshort\tJJ\tB-NP\tO' +p217489 +aS'gut\tgut\tNN\tI-NP\tO' +p217490 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p217491 +aS',\t,\t,\tO\tO' +p217492 +aS'complicated\tcomplicate\tVBN\tB-VP\tO' +p217493 +aS'by\tby\tIN\tB-PP\tO' +p217494 +aS'clotting\tclot\tVBG\tB-VP\tO' +p217495 +aS'x\tx\tNN\tB-NP\tO' +p217496 +aS'4\t4\tCD\tI-NP\tO' +p217497 +aS',\t,\t,\tO\tO' +p217498 +aS'requiring\trequire\tVBG\tB-VP\tO' +p217499 +aS'replacement\treplacement\tNN\tB-NP\tO' +p217500 +asS'He developed extensive posturing .' +p217501 +(lp217502 +S'He\tHe\tPRP\tB-NP\tO' +p217503 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p217504 +aS'extensive\textensive\tJJ\tB-NP\tO' +p217505 +aS'posturing\tposturing\tNN\tI-NP\tO' +p217506 +aS'.\t.\t.\tO\tO' +p217507 +asS'The patient has had multiple myeloma since 1990 .' +p217508 +(lp217509 +S'The\tThe\tDT\tB-NP\tO' +p217510 +aS'patient\tpatient\tNN\tI-NP\tO' +p217511 +aS'has\thave\tVBZ\tB-VP\tO' +p217512 +aS'had\thave\tVBN\tI-VP\tO' +p217513 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p217514 +aS'myeloma\tmyeloma\tNN\tI-NP\tO' +p217515 +aS'since\tsince\tIN\tB-PP\tO' +p217516 +aS'1990\t1990\tCD\tB-NP\tO' +p217517 +aS'.\t.\t.\tO\tO' +p217518 +asS'3. Albuterol inhaler one to two puffs q. four to six hours p.r.n.' +p217519 +(lp217520 +S'3.\t3.\tLS\tB-LST\tO' +p217521 +aS'Albuterol\tAlbuterol\tNNP\tB-NP\tO' +p217522 +aS'inhaler\tinhaler\tIN\tB-PP\tO' +p217523 +aS'one\tone\tCD\tB-NP\tO' +p217524 +aS'to\tto\tTO\tI-NP\tO' +p217525 +aS'two\ttwo\tCD\tI-NP\tO' +p217526 +aS'puffs\tpuff\tNNS\tI-NP\tO' +p217527 +aS'q.\tq.\tRB\tB-NP\tO' +p217528 +aS'four\tfour\tCD\tI-NP\tO' +p217529 +aS'to\tto\tTO\tI-NP\tO' +p217530 +aS'six\tsix\tCD\tI-NP\tO' +p217531 +aS'hours\thour\tNNS\tI-NP\tO' +p217532 +aS'p.r.n.\tp.r.n.\tRB\tB-ADVP\tO' +p217533 +asS'This is an 83 y/o female with moderate AS , s/p MVR 27 years ago , s/p PPM , DM , CHF , p/w dsypnea and increased work of breathing x 4-5 days .' +p217534 +(lp217535 +S'This\tThis\tDT\tB-NP\tO' +p217536 +aS'is\tbe\tVBZ\tB-VP\tO' +p217537 +aS'an\tan\tDT\tB-NP\tO' +p217538 +aS'83\t83\tCD\tI-NP\tO' +p217539 +aS'y/o\ty/o\tNN\tI-NP\tO' +p217540 +aS'female\tfemale\tJJ\tB-ADJP\tO' +p217541 +aS'with\twith\tIN\tB-PP\tO' +p217542 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p217543 +aS'AS\tAS\tNN\tI-NP\tO' +p217544 +aS',\t,\t,\tO\tO' +p217545 +aS's/p\ts/p\tNN\tB-NP\tO' +p217546 +aS'MVR\tMVR\tNN\tI-NP\tO' +p217547 +aS'27\t27\tCD\tB-NP\tO' +p217548 +aS'years\tyear\tNNS\tI-NP\tO' +p217549 +aS'ago\tago\tIN\tB-ADVP\tO' +p217550 +aS',\t,\t,\tO\tO' +p217551 +aS's/p\ts/p\tNN\tB-NP\tO' +p217552 +aS'PPM\tPPM\tNN\tI-NP\tO' +p217553 +aS',\t,\t,\tO\tO' +p217554 +aS'DM\tDM\tNN\tB-NP\tO' +p217555 +aS',\t,\t,\tO\tO' +p217556 +aS'CHF\tCHF\tNN\tB-NP\tB-protein' +p217557 +aS',\t,\t,\tO\tO' +p217558 +aS'p/w\tp/w\tNN\tB-NP\tO' +p217559 +aS'dsypnea\tdsypnea\tNN\tI-NP\tO' +p217560 +aS'and\tand\tCC\tO\tO' +p217561 +aS'increased\tincrease\tVBN\tB-NP\tO' +p217562 +aS'work\twork\tNN\tI-NP\tO' +p217563 +aS'of\tof\tIN\tB-PP\tO' +p217564 +aS'breathing\tbreathing\tNN\tB-NP\tO' +p217565 +aS'x\tx\tSYM\tO\tO' +p217566 +aS'4-5\t4-5\tCD\tB-NP\tO' +p217567 +aS'days\tday\tNNS\tI-NP\tO' +p217568 +aS'.\t.\t.\tO\tO' +p217569 +asS'- Ischemic colitis and ischemic liver 2017-06-22 ( post air embolism from post mediastinal exploration )' +p217570 +(lp217571 +S'-\t-\tHYPH\tB-NP\tO' +p217572 +aS'Ischemic\tIschemic\tJJ\tI-NP\tO' +p217573 +aS'colitis\tcolitis\tNN\tI-NP\tO' +p217574 +aS'and\tand\tCC\tO\tO' +p217575 +aS'ischemic\tischemic\tJJ\tB-NP\tO' +p217576 +aS'liver\tliver\tNN\tI-NP\tO' +p217577 +aS'2017-06-22\t2017-06-22\tCD\tI-NP\tO' +p217578 +aS'(\t(\t(\tO\tO' +p217579 +aS'post\tpost\tNN\tB-NP\tO' +p217580 +aS'air\tair\tNN\tI-NP\tO' +p217581 +aS'embolism\tembolism\tNN\tI-NP\tO' +p217582 +aS'from\tfrom\tIN\tB-PP\tO' +p217583 +aS'post\tpost\tJJ\tB-NP\tO' +p217584 +aS'mediastinal\tmediastinal\tJJ\tI-NP\tO' +p217585 +aS'exploration\texploration\tNN\tI-NP\tO' +p217586 +aS')\t)\t)\tO\tO' +p217587 +asS'Workup continued to be negative .' +p217588 +(lp217589 +S'Workup\tWorkup\tNNP\tB-NP\tO' +p217590 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p217591 +aS'to\tto\tTO\tI-VP\tO' +p217592 +aS'be\tbe\tVB\tI-VP\tO' +p217593 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p217594 +aS'.\t.\t.\tO\tO' +p217595 +asS'No chest pain .' +p217596 +(lp217597 +S'No\tNo\tDT\tB-NP\tO' +p217598 +aS'chest\tchest\tNN\tI-NP\tO' +p217599 +aS'pain\tpain\tNN\tI-NP\tO' +p217600 +aS'.\t.\t.\tO\tO' +p217601 +asS'You were admitted with a low blood pressure and developed a fever .' +p217602 +(lp217603 +S'You\tYou\tPRP\tB-NP\tO' +p217604 +aS'were\tbe\tVBD\tB-VP\tO' +p217605 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p217606 +aS'with\twith\tIN\tB-PP\tO' +p217607 +aS'a\ta\tDT\tB-NP\tO' +p217608 +aS'low\tlow\tJJ\tI-NP\tO' +p217609 +aS'blood\tblood\tNN\tI-NP\tO' +p217610 +aS'pressure\tpressure\tNN\tI-NP\tO' +p217611 +aS'and\tand\tCC\tO\tO' +p217612 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p217613 +aS'a\ta\tDT\tB-NP\tO' +p217614 +aS'fever\tfever\tNN\tI-NP\tO' +p217615 +aS'.\t.\t.\tO\tO' +p217616 +asS'The osseous structures are unremarkable .' +p217617 +(lp217618 +S'The\tThe\tDT\tB-NP\tO' +p217619 +aS'osseous\tosseous\tJJ\tI-NP\tO' +p217620 +aS'structures\tstructure\tNNS\tI-NP\tO' +p217621 +aS'are\tbe\tVBP\tB-VP\tO' +p217622 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p217623 +aS'.\t.\t.\tO\tO' +p217624 +asS"ASA was held and may be restarted if Hct stable in clinic at the PCP 's discretion ." +p217625 +(lp217626 +S'ASA\tASA\tNN\tB-NP\tO' +p217627 +aS'was\tbe\tVBD\tB-VP\tO' +p217628 +aS'held\thold\tVBN\tI-VP\tO' +p217629 +aS'and\tand\tCC\tO\tO' +p217630 +aS'may\tmay\tMD\tB-VP\tO' +p217631 +aS'be\tbe\tVB\tI-VP\tO' +p217632 +aS'restarted\trestart\tVBN\tI-VP\tO' +p217633 +aS'if\tif\tIN\tB-SBAR\tO' +p217634 +aS'Hct\tHct\tNN\tB-NP\tO' +p217635 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p217636 +aS'in\tin\tIN\tB-PP\tO' +p217637 +aS'clinic\tclinic\tNN\tB-NP\tO' +p217638 +aS'at\tat\tIN\tB-PP\tO' +p217639 +aS'the\tthe\tDT\tB-NP\tO' +p217640 +aS'PCP\tPCP\tNN\tI-NP\tO' +p217641 +aS"'s\t's\tPOS\tB-NP\tO" +p217642 +aS'discretion\tdiscretion\tNN\tI-NP\tO' +p217643 +aS'.\t.\t.\tO\tO' +p217644 +asS'11. Abdominal abscesses .' +p217645 +(lp217646 +S'11.\t11.\tLS\tB-NP\tO' +p217647 +aS'Abdominal\tAbdominal\tJJ\tI-NP\tO' +p217648 +aS'abscesses\tabscess\tNNS\tI-NP\tO' +p217649 +aS'.\t.\t.\tO\tO' +p217650 +asS'The patient underwent an angioplasty of his SMA from 90-20% residual .' +p217651 +(lp217652 +S'The\tThe\tDT\tB-NP\tO' +p217653 +aS'patient\tpatient\tNN\tI-NP\tO' +p217654 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p217655 +aS'an\tan\tDT\tB-NP\tO' +p217656 +aS'angioplasty\tangioplasty\tNN\tI-NP\tO' +p217657 +aS'of\tof\tIN\tB-PP\tO' +p217658 +aS'his\this\tPRP$\tB-NP\tO' +p217659 +aS'SMA\tSMA\tNN\tI-NP\tB-protein' +p217660 +aS'from\tfrom\tIN\tB-PP\tO' +p217661 +aS'90-20%\t90-20%\tCD\tB-NP\tO' +p217662 +aS'residual\tresidual\tJJ\tI-NP\tO' +p217663 +aS'.\t.\t.\tO\tO' +p217664 +asS'Angiocele was intact without hematoma , and she exhibited strong pedal pulses on the right side .' +p217665 +(lp217666 +S'Angiocele\tAngiocele\tNNP\tB-NP\tO' +p217667 +aS'was\tbe\tVBD\tB-VP\tO' +p217668 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p217669 +aS'without\twithout\tIN\tB-PP\tO' +p217670 +aS'hematoma\thematoma\tNN\tB-NP\tO' +p217671 +aS',\t,\t,\tO\tO' +p217672 +aS'and\tand\tCC\tO\tO' +p217673 +aS'she\tshe\tPRP\tB-NP\tO' +p217674 +aS'exhibited\texhibit\tVBD\tB-VP\tO' +p217675 +aS'strong\tstrong\tJJ\tB-NP\tO' +p217676 +aS'pedal\tpedal\tJJ\tI-NP\tO' +p217677 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p217678 +aS'on\ton\tIN\tB-PP\tO' +p217679 +aS'the\tthe\tDT\tB-NP\tO' +p217680 +aS'right\tright\tJJ\tI-NP\tO' +p217681 +aS'side\tside\tNN\tI-NP\tO' +p217682 +aS'.\t.\t.\tO\tO' +p217683 +asS'She is presently receiving breast milk or special care formula 24 cal at 150 mls per kilo per day with tolerance .' +p217684 +(lp217685 +S'She\tShe\tPRP\tB-NP\tO' +p217686 +aS'is\tbe\tVBZ\tB-VP\tO' +p217687 +aS'presently\tpresently\tRB\tI-VP\tO' +p217688 +aS'receiving\treceive\tVBG\tI-VP\tO' +p217689 +aS'breast\tbreast\tNN\tB-NP\tO' +p217690 +aS'milk\tmilk\tNN\tI-NP\tO' +p217691 +aS'or\tor\tCC\tO\tO' +p217692 +aS'special\tspecial\tJJ\tB-NP\tO' +p217693 +aS'care\tcare\tNN\tI-NP\tO' +p217694 +aS'formula\tformula\tNN\tI-NP\tO' +p217695 +aS'24\t24\tCD\tB-NP\tO' +p217696 +aS'cal\tcal\tNN\tI-NP\tO' +p217697 +aS'at\tat\tIN\tB-PP\tO' +p217698 +aS'150\t150\tCD\tB-NP\tO' +p217699 +aS'mls\tml\tNNS\tI-NP\tO' +p217700 +aS'per\tper\tIN\tB-PP\tO' +p217701 +aS'kilo\tkilo\tNN\tB-NP\tO' +p217702 +aS'per\tper\tIN\tB-PP\tO' +p217703 +aS'day\tday\tNN\tB-NP\tO' +p217704 +aS'with\twith\tIN\tB-PP\tO' +p217705 +aS'tolerance\ttolerance\tNN\tB-NP\tO' +p217706 +aS'.\t.\t.\tO\tO' +p217707 +asS'On physical exam , the patient was awake , alert , and oriented times 3 .' +p217708 +(lp217709 +S'On\tOn\tIN\tB-PP\tO' +p217710 +aS'physical\tphysical\tJJ\tB-NP\tO' +p217711 +aS'exam\texam\tNN\tI-NP\tO' +p217712 +aS',\t,\t,\tO\tO' +p217713 +aS'the\tthe\tDT\tB-NP\tO' +p217714 +aS'patient\tpatient\tNN\tI-NP\tO' +p217715 +aS'was\tbe\tVBD\tB-VP\tO' +p217716 +aS'awake\tawake\tRB\tB-ADVP\tO' +p217717 +aS',\t,\t,\tO\tO' +p217718 +aS'alert\talert\tNN\tB-NP\tO' +p217719 +aS',\t,\t,\tO\tO' +p217720 +aS'and\tand\tCC\tO\tO' +p217721 +aS'oriented\torient\tVBN\tB-VP\tO' +p217722 +aS'times\ttime\tNNS\tB-NP\tO' +p217723 +aS'3\t3\tCD\tI-NP\tO' +p217724 +aS'.\t.\t.\tO\tO' +p217725 +asS'She weaned from cardiopulmonary bypass with good hemodynamics .' +p217726 +(lp217727 +S'She\tShe\tPRP\tB-NP\tO' +p217728 +aS'weaned\twean\tVBD\tB-VP\tO' +p217729 +aS'from\tfrom\tIN\tB-PP\tO' +p217730 +aS'cardiopulmonary\tcardiopulmonary\tJJ\tB-NP\tO' +p217731 +aS'bypass\tbypass\tNN\tI-NP\tO' +p217732 +aS'with\twith\tIN\tB-PP\tO' +p217733 +aS'good\tgood\tJJ\tB-NP\tO' +p217734 +aS'hemodynamics\themodynamic\tNNS\tI-NP\tO' +p217735 +aS'.\t.\t.\tO\tO' +p217736 +asS'She will need repeated dilantin troughs with one time dose when trough is subtherapeutic .' +p217737 +(lp217738 +S'She\tShe\tPRP\tB-NP\tO' +p217739 +aS'will\twill\tMD\tB-VP\tO' +p217740 +aS'need\tneed\tVB\tI-VP\tO' +p217741 +aS'repeated\trepeat\tVBN\tB-NP\tO' +p217742 +aS'dilantin\tdilantin\tNN\tI-NP\tO' +p217743 +aS'troughs\ttrough\tNNS\tI-NP\tO' +p217744 +aS'with\twith\tIN\tB-PP\tO' +p217745 +aS'one\tone\tCD\tB-NP\tO' +p217746 +aS'time\ttime\tNN\tI-NP\tO' +p217747 +aS'dose\tdose\tNN\tI-NP\tO' +p217748 +aS'when\twhen\tWRB\tB-ADVP\tO' +p217749 +aS'trough\ttrough\tNN\tB-NP\tO' +p217750 +aS'is\tbe\tVBZ\tB-VP\tO' +p217751 +aS'subtherapeutic\tsubtherapeutic\tJJ\tB-ADJP\tO' +p217752 +aS'.\t.\t.\tO\tO' +p217753 +asS'The sepsis protocol was aborted .' +p217754 +(lp217755 +S'The\tThe\tDT\tB-NP\tO' +p217756 +aS'sepsis\tsepsis\tNN\tI-NP\tO' +p217757 +aS'protocol\tprotocol\tNN\tI-NP\tO' +p217758 +aS'was\tbe\tVBD\tB-VP\tO' +p217759 +aS'aborted\tabort\tVBN\tI-VP\tO' +p217760 +aS'.\t.\t.\tO\tO' +p217761 +asS'Vancomycin 1 gm IV q 36 hours ( last dose at 2000 on 08-13 ) .' +p217762 +(lp217763 +S'Vancomycin\tVancomycin\tNN\tB-NP\tO' +p217764 +aS'1\t1\tCD\tI-NP\tO' +p217765 +aS'gm\tgm\tNN\tI-NP\tO' +p217766 +aS'IV\tIV\tCD\tB-NP\tO' +p217767 +aS'q\tq\tNN\tI-NP\tO' +p217768 +aS'36\t36\tCD\tB-NP\tO' +p217769 +aS'hours\thour\tNNS\tI-NP\tO' +p217770 +aS'(\t(\t(\tO\tO' +p217771 +aS'last\tlast\tJJ\tB-NP\tO' +p217772 +aS'dose\tdose\tNN\tI-NP\tO' +p217773 +aS'at\tat\tIN\tB-PP\tO' +p217774 +aS'2000\t2000\tCD\tB-NP\tO' +p217775 +aS'on\ton\tIN\tB-PP\tO' +p217776 +aS'08-13\t08-13\tCD\tB-NP\tO' +p217777 +aS')\t)\t)\tO\tO' +p217778 +aS'.\t.\t.\tO\tO' +p217779 +asS'Pupils equal , round , and reactive to light , extraocular movements , fundi bilaterally without exudate or hemorrhage .' +p217780 +(lp217781 +S'Pupils\tPupil\tNNS\tB-NP\tO' +p217782 +aS'equal\tequal\tJJ\tB-ADJP\tO' +p217783 +aS',\t,\t,\tO\tO' +p217784 +aS'round\tround\tJJ\tB-ADJP\tO' +p217785 +aS',\t,\t,\tO\tO' +p217786 +aS'and\tand\tCC\tO\tO' +p217787 +aS'reactive\treactive\tJJ\tB-ADJP\tO' +p217788 +aS'to\tto\tTO\tB-PP\tO' +p217789 +aS'light\tlight\tJJ\tB-NP\tO' +p217790 +aS',\t,\t,\tI-NP\tO' +p217791 +aS'extraocular\textraocular\tJJ\tI-NP\tO' +p217792 +aS'movements\tmovement\tNNS\tI-NP\tO' +p217793 +aS',\t,\t,\tO\tO' +p217794 +aS'fundi\tfundi\tNN\tB-NP\tO' +p217795 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p217796 +aS'without\twithout\tIN\tB-PP\tO' +p217797 +aS'exudate\texudate\tNN\tB-NP\tO' +p217798 +aS'or\tor\tCC\tI-NP\tO' +p217799 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p217800 +aS'.\t.\t.\tO\tO' +p217801 +asS'Cardiovascular : Regular rate & rhythm + S1/S2 .' +p217802 +(lp217803 +S'Cardiovascular\tCardiovascular\tJJ\tB-ADJP\tO' +p217804 +aS':\t:\t:\tO\tO' +p217805 +aS'Regular\tRegular\tJJ\tB-NP\tO' +p217806 +aS'rate\trate\tNN\tI-NP\tO' +p217807 +aS'&\t&\tCC\tI-NP\tO' +p217808 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p217809 +aS'+\t+\tSYM\tB-NP\tO' +p217810 +aS'S1/S2\tS1/S2\tNN\tI-NP\tO' +p217811 +aS'.\t.\t.\tO\tO' +p217812 +asS'eval for alignment , post op changes' +p217813 +(lp217814 +S'eval\teval\tNN\tB-NP\tO' +p217815 +aS'for\tfor\tIN\tB-PP\tO' +p217816 +aS'alignment\talignment\tNN\tB-NP\tO' +p217817 +aS',\t,\t,\tO\tO' +p217818 +aS'post\tpost\tJJ\tB-NP\tO' +p217819 +aS'op\top\tNN\tI-NP\tO' +p217820 +aS'changes\tchange\tNNS\tI-NP\tO' +p217821 +asS'4. Endo - TSH was 4.7 and normal .' +p217822 +(lp217823 +S'4.\t4.\tLS\tB-LST\tO' +p217824 +aS'Endo\tEndo\tAFX\tO\tB-protein' +p217825 +aS'-\t-\tHYPH\tO\tO' +p217826 +aS'TSH\tTSH\tNN\tB-NP\tO' +p217827 +aS'was\tbe\tVBD\tB-VP\tO' +p217828 +aS'4.7\t4.7\tCD\tB-NP\tO' +p217829 +aS'and\tand\tCC\tO\tO' +p217830 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p217831 +aS'.\t.\t.\tO\tO' +p217832 +asS'5. Apnea of prematurity .' +p217833 +(lp217834 +S'5.\t5.\tLS\tB-NP\tO' +p217835 +aS'Apnea\tApnea\tNN\tI-NP\tO' +p217836 +aS'of\tof\tIN\tB-PP\tO' +p217837 +aS'prematurity\tprematurity\tNN\tB-NP\tO' +p217838 +aS'.\t.\t.\tO\tO' +p217839 +asS'Bilateral breath sounds were clear and equal .' +p217840 +(lp217841 +S'Bilateral\tBilateral\tJJ\tB-NP\tO' +p217842 +aS'breath\tbreath\tNN\tI-NP\tO' +p217843 +aS'sounds\tsound\tNNS\tI-NP\tO' +p217844 +aS'were\tbe\tVBD\tB-VP\tO' +p217845 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p217846 +aS'and\tand\tCC\tI-ADJP\tO' +p217847 +aS'equal\tequal\tJJ\tI-ADJP\tO' +p217848 +aS'.\t.\t.\tO\tO' +p217849 +asS'She may require a repeat upper endoscopy study to see if she needs any rebanding .' +p217850 +(lp217851 +S'She\tShe\tPRP\tB-NP\tO' +p217852 +aS'may\tmay\tMD\tB-VP\tO' +p217853 +aS'require\trequire\tVB\tI-VP\tO' +p217854 +aS'a\ta\tDT\tB-NP\tO' +p217855 +aS'repeat\trepeat\tNN\tI-NP\tO' +p217856 +aS'upper\tupper\tJJ\tI-NP\tO' +p217857 +aS'endoscopy\tendoscopy\tNN\tI-NP\tO' +p217858 +aS'study\tstudy\tNN\tI-NP\tO' +p217859 +aS'to\tto\tTO\tB-VP\tO' +p217860 +aS'see\tsee\tVB\tI-VP\tO' +p217861 +aS'if\tif\tIN\tB-SBAR\tO' +p217862 +aS'she\tshe\tPRP\tB-NP\tO' +p217863 +aS'needs\tneed\tVBZ\tB-VP\tO' +p217864 +aS'any\tany\tDT\tB-NP\tO' +p217865 +aS'rebanding\trebanding\tNN\tI-NP\tO' +p217866 +aS'.\t.\t.\tO\tO' +p217867 +asS'The patient also complained of frequent vomiting at least once a day , occasionally associated with ingestion of her medications , but sometimes associated with ambulation .' +p217868 +(lp217869 +S'The\tThe\tDT\tB-NP\tO' +p217870 +aS'patient\tpatient\tNN\tI-NP\tO' +p217871 +aS'also\talso\tRB\tB-ADVP\tO' +p217872 +aS'complained\tcomplain\tVBD\tB-VP\tO' +p217873 +aS'of\tof\tIN\tB-PP\tO' +p217874 +aS'frequent\tfrequent\tJJ\tB-NP\tO' +p217875 +aS'vomiting\tvomiting\tNN\tI-NP\tO' +p217876 +aS'at\tat\tIN\tB-ADVP\tO' +p217877 +aS'least\tleast\tJJS\tI-ADVP\tO' +p217878 +aS'once\tonce\tRB\tI-ADVP\tO' +p217879 +aS'a\ta\tDT\tB-NP\tO' +p217880 +aS'day\tday\tNN\tI-NP\tO' +p217881 +aS',\t,\t,\tO\tO' +p217882 +aS'occasionally\toccasionally\tRB\tB-VP\tO' +p217883 +aS'associated\tassociate\tVBN\tI-VP\tO' +p217884 +aS'with\twith\tIN\tB-PP\tO' +p217885 +aS'ingestion\tingestion\tNN\tB-NP\tO' +p217886 +aS'of\tof\tIN\tB-PP\tO' +p217887 +aS'her\ther\tPRP$\tB-NP\tO' +p217888 +aS'medications\tmedication\tNNS\tI-NP\tO' +p217889 +aS',\t,\t,\tO\tO' +p217890 +aS'but\tbut\tCC\tO\tO' +p217891 +aS'sometimes\tsometimes\tRB\tB-VP\tO' +p217892 +aS'associated\tassociate\tVBN\tI-VP\tO' +p217893 +aS'with\twith\tIN\tB-PP\tO' +p217894 +aS'ambulation\tambulation\tNN\tB-NP\tO' +p217895 +aS'.\t.\t.\tO\tO' +p217896 +asS'4. Alcohol abuse .' +p217897 +(lp217898 +S'4.\t4.\tLS\tB-NP\tO' +p217899 +aS'Alcohol\tAlcohol\tNN\tI-NP\tO' +p217900 +aS'abuse\tabuse\tNN\tI-NP\tO' +p217901 +aS'.\t.\t.\tO\tO' +p217902 +asS'She was admitted and evaluated by the cardiac surgery service after having undergone cardiac catheterization which revealed a 70% stenosis of her left circumflex artery , 50% stenosis of the left anterior descending and 10% stenosis of the right coronary artery .' +p217903 +(lp217904 +S'She\tShe\tPRP\tB-NP\tO' +p217905 +aS'was\tbe\tVBD\tB-VP\tO' +p217906 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p217907 +aS'and\tand\tCC\tI-VP\tO' +p217908 +aS'evaluated\tevaluate\tVBN\tI-VP\tO' +p217909 +aS'by\tby\tIN\tB-PP\tO' +p217910 +aS'the\tthe\tDT\tB-NP\tO' +p217911 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p217912 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p217913 +aS'service\tservice\tNN\tI-NP\tO' +p217914 +aS'after\tafter\tIN\tB-PP\tO' +p217915 +aS'having\thave\tVBG\tB-VP\tO' +p217916 +aS'undergone\tundergo\tVBN\tI-VP\tO' +p217917 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p217918 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p217919 +aS'which\twhich\tWDT\tB-NP\tO' +p217920 +aS'revealed\treveal\tVBD\tB-VP\tO' +p217921 +aS'a\ta\tDT\tB-NP\tO' +p217922 +aS'70%\t70%\tJJ\tI-NP\tO' +p217923 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p217924 +aS'of\tof\tIN\tB-PP\tO' +p217925 +aS'her\ther\tPRP$\tB-NP\tO' +p217926 +aS'left\tleft\tJJ\tI-NP\tO' +p217927 +aS'circumflex\tcircumflex\tNN\tI-NP\tO' +p217928 +aS'artery\tartery\tNN\tI-NP\tO' +p217929 +aS',\t,\t,\tO\tO' +p217930 +aS'50%\t50%\tCD\tB-NP\tO' +p217931 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p217932 +aS'of\tof\tIN\tB-PP\tO' +p217933 +aS'the\tthe\tDT\tB-NP\tO' +p217934 +aS'left\tleft\tJJ\tI-NP\tO' +p217935 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p217936 +aS'descending\tdescending\tNN\tI-NP\tO' +p217937 +aS'and\tand\tCC\tO\tO' +p217938 +aS'10%\t10%\tCD\tB-NP\tO' +p217939 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p217940 +aS'of\tof\tIN\tB-PP\tO' +p217941 +aS'the\tthe\tDT\tB-NP\tO' +p217942 +aS'right\tright\tJJ\tI-NP\tO' +p217943 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p217944 +aS'artery\tartery\tNN\tI-NP\tO' +p217945 +aS'.\t.\t.\tO\tO' +p217946 +asS'Peak serum bilirubin occurred on day of life #4 , a total of 10.0/0.3 direct .' +p217947 +(lp217948 +S'Peak\tPeak\tJJ\tB-NP\tO' +p217949 +aS'serum\tserum\tNN\tI-NP\tO' +p217950 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p217951 +aS'occurred\toccur\tVBD\tB-VP\tO' +p217952 +aS'on\ton\tIN\tB-PP\tO' +p217953 +aS'day\tday\tNN\tB-NP\tO' +p217954 +aS'of\tof\tIN\tB-PP\tO' +p217955 +aS'life\tlife\tNN\tB-NP\tO' +p217956 +aS'#4\t#4\tCD\tI-NP\tO' +p217957 +aS',\t,\t,\tO\tO' +p217958 +aS'a\ta\tDT\tB-NP\tO' +p217959 +aS'total\ttotal\tNN\tI-NP\tO' +p217960 +aS'of\tof\tIN\tB-PP\tO' +p217961 +aS'10.0/0.3\t10.0/0.3\tCD\tB-NP\tO' +p217962 +aS'direct\tdirect\tJJ\tI-NP\tO' +p217963 +aS'.\t.\t.\tO\tO' +p217964 +asS'A ruptured aneurysm or pseudoaneurysm at the junction of the graft and arch was diagnosed and this was subsequently repaired .' +p217965 +(lp217966 +S'A\tA\tDT\tB-NP\tO' +p217967 +aS'ruptured\truptured\tJJ\tI-NP\tO' +p217968 +aS'aneurysm\taneurysm\tNN\tI-NP\tO' +p217969 +aS'or\tor\tCC\tI-NP\tO' +p217970 +aS'pseudoaneurysm\tpseudoaneurysm\tNN\tI-NP\tO' +p217971 +aS'at\tat\tIN\tB-PP\tO' +p217972 +aS'the\tthe\tDT\tB-NP\tO' +p217973 +aS'junction\tjunction\tNN\tI-NP\tO' +p217974 +aS'of\tof\tIN\tB-PP\tO' +p217975 +aS'the\tthe\tDT\tB-NP\tO' +p217976 +aS'graft\tgraft\tNN\tI-NP\tO' +p217977 +aS'and\tand\tCC\tI-NP\tO' +p217978 +aS'arch\tarch\tNN\tI-NP\tO' +p217979 +aS'was\tbe\tVBD\tB-VP\tO' +p217980 +aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' +p217981 +aS'and\tand\tCC\tO\tO' +p217982 +aS'this\tthis\tDT\tB-NP\tO' +p217983 +aS'was\tbe\tVBD\tB-VP\tO' +p217984 +aS'subsequently\tsubsequently\tRB\tI-VP\tO' +p217985 +aS'repaired\trepair\tVBN\tI-VP\tO' +p217986 +aS'.\t.\t.\tO\tO' +p217987 +asS'Normal neonatal reflexes .' +p217988 +(lp217989 +S'Normal\tNormal\tJJ\tB-NP\tO' +p217990 +aS'neonatal\tneonatal\tJJ\tI-NP\tO' +p217991 +aS'reflexes\treflex\tNNS\tI-NP\tO' +p217992 +aS'.\t.\t.\tO\tO' +p217993 +asS'The patient was admitted to the cardiology service and commenced amiodarone loading .' +p217994 +(lp217995 +S'The\tThe\tDT\tB-NP\tO' +p217996 +aS'patient\tpatient\tNN\tI-NP\tO' +p217997 +aS'was\tbe\tVBD\tB-VP\tO' +p217998 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p217999 +aS'to\tto\tTO\tB-PP\tO' +p218000 +aS'the\tthe\tDT\tB-NP\tO' +p218001 +aS'cardiology\tcardiology\tNN\tI-NP\tO' +p218002 +aS'service\tservice\tNN\tI-NP\tO' +p218003 +aS'and\tand\tCC\tO\tO' +p218004 +aS'commenced\tcommence\tVBD\tB-VP\tO' +p218005 +aS'amiodarone\tamiodarone\tNN\tB-NP\tO' +p218006 +aS'loading\tloading\tNN\tI-NP\tO' +p218007 +aS'.\t.\t.\tO\tO' +p218008 +asS'She was given 4L of fluid boluses and transfered to the CMED CSRU .' +p218009 +(lp218010 +S'She\tShe\tPRP\tB-NP\tO' +p218011 +aS'was\tbe\tVBD\tB-VP\tO' +p218012 +aS'given\tgive\tVBN\tI-VP\tO' +p218013 +aS'4L\t4L\tNN\tB-NP\tO' +p218014 +aS'of\tof\tIN\tB-PP\tO' +p218015 +aS'fluid\tfluid\tNN\tB-NP\tO' +p218016 +aS'boluses\tbolus\tNNS\tI-NP\tO' +p218017 +aS'and\tand\tCC\tO\tO' +p218018 +aS'transfered\ttransfer\tVBN\tB-VP\tO' +p218019 +aS'to\tto\tTO\tB-PP\tO' +p218020 +aS'the\tthe\tDT\tB-NP\tO' +p218021 +aS'CMED\tCMED\tNNP\tI-NP\tO' +p218022 +aS'CSRU\tCSRU\tNNP\tI-NP\tO' +p218023 +aS'.\t.\t.\tO\tO' +p218024 +asS'The patient was continued on his iron supplements .' +p218025 +(lp218026 +S'The\tThe\tDT\tB-NP\tO' +p218027 +aS'patient\tpatient\tNN\tI-NP\tO' +p218028 +aS'was\tbe\tVBD\tB-VP\tO' +p218029 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p218030 +aS'on\ton\tIN\tB-PP\tO' +p218031 +aS'his\this\tPRP$\tB-NP\tB-DNA' +p218032 +aS'iron\tiron\tNN\tI-NP\tI-DNA' +p218033 +aS'supplements\tsupplement\tNNS\tI-NP\tI-DNA' +p218034 +aS'.\t.\t.\tO\tO' +p218035 +asS'The liver function tests showed an alkaline phosphatase of 303 , LDH 310 , SGOT 66 , albumin 2.5 .' +p218036 +(lp218037 +S'The\tThe\tDT\tB-NP\tO' +p218038 +aS'liver\tliver\tNN\tI-NP\tO' +p218039 +aS'function\tfunction\tNN\tI-NP\tO' +p218040 +aS'tests\ttest\tNNS\tI-NP\tO' +p218041 +aS'showed\tshow\tVBD\tB-VP\tO' +p218042 +aS'an\tan\tDT\tB-NP\tO' +p218043 +aS'alkaline\talkaline\tNN\tI-NP\tB-protein' +p218044 +aS'phosphatase\tphosphatase\tNN\tI-NP\tI-protein' +p218045 +aS'of\tof\tIN\tB-PP\tO' +p218046 +aS'303\t303\tCD\tB-NP\tO' +p218047 +aS',\t,\t,\tO\tO' +p218048 +aS'LDH\tLDH\tNN\tB-NP\tB-protein' +p218049 +aS'310\t310\tCD\tI-NP\tI-protein' +p218050 +aS',\t,\t,\tO\tO' +p218051 +aS'SGOT\tSGOT\tNN\tB-NP\tB-DNA' +p218052 +aS'66\t66\tCD\tI-NP\tI-DNA' +p218053 +aS',\t,\t,\tO\tO' +p218054 +aS'albumin\talbumin\tNN\tB-NP\tO' +p218055 +aS'2.5\t2.5\tCD\tI-NP\tO' +p218056 +aS'.\t.\t.\tO\tO' +p218057 +asS'2. Neoral 25 mg three times a day .' +p218058 +(lp218059 +S'2.\t2.\tLS\tB-NP\tO' +p218060 +aS'Neoral\tNeoral\tJJ\tI-NP\tO' +p218061 +aS'25\t25\tCD\tI-NP\tO' +p218062 +aS'mg\tmg\tNN\tI-NP\tO' +p218063 +aS'three\tthree\tCD\tB-NP\tO' +p218064 +aS'times\ttime\tNNS\tI-NP\tO' +p218065 +aS'a\ta\tDT\tB-NP\tO' +p218066 +aS'day\tday\tNN\tI-NP\tO' +p218067 +aS'.\t.\t.\tO\tO' +p218068 +asS'He is awake , alert , and oriented times 3 and pleasant .' +p218069 +(lp218070 +S'He\tHe\tPRP\tB-NP\tO' +p218071 +aS'is\tbe\tVBZ\tB-VP\tO' +p218072 +aS'awake\tawake\tJJ\tB-ADJP\tO' +p218073 +aS',\t,\t,\tO\tO' +p218074 +aS'alert\talert\tJJ\tB-ADJP\tO' +p218075 +aS',\t,\t,\tO\tO' +p218076 +aS'and\tand\tCC\tO\tO' +p218077 +aS'oriented\torient\tVBN\tB-VP\tO' +p218078 +aS'times\ttime\tNNS\tB-NP\tO' +p218079 +aS'3\t3\tCD\tI-NP\tO' +p218080 +aS'and\tand\tCC\tO\tO' +p218081 +aS'pleasant\tpleasant\tNN\tB-NP\tO' +p218082 +aS'.\t.\t.\tO\tO' +p218083 +asS'Exception was a ten beat run of ventricular tachycardia which was thought to be ischemic in origin and treated with nitrates and Lidocaine .' +p218084 +(lp218085 +S'Exception\tException\tNN\tB-NP\tO' +p218086 +aS'was\tbe\tVBD\tB-VP\tO' +p218087 +aS'a\ta\tDT\tB-NP\tO' +p218088 +aS'ten\tten\tCD\tI-NP\tO' +p218089 +aS'beat\tbeat\tNN\tI-NP\tO' +p218090 +aS'run\trun\tNN\tI-NP\tO' +p218091 +aS'of\tof\tIN\tB-PP\tO' +p218092 +aS'ventricular\tventricular\tJJ\tB-NP\tO' +p218093 +aS'tachycardia\ttachycardia\tNN\tI-NP\tO' +p218094 +aS'which\twhich\tWDT\tB-NP\tO' +p218095 +aS'was\tbe\tVBD\tB-VP\tO' +p218096 +aS'thought\tthink\tVBN\tI-VP\tO' +p218097 +aS'to\tto\tTO\tI-VP\tO' +p218098 +aS'be\tbe\tVB\tI-VP\tO' +p218099 +aS'ischemic\tischemic\tJJ\tB-ADJP\tO' +p218100 +aS'in\tin\tIN\tB-PP\tO' +p218101 +aS'origin\torigin\tNN\tB-NP\tO' +p218102 +aS'and\tand\tCC\tO\tO' +p218103 +aS'treated\ttreat\tVBN\tB-VP\tO' +p218104 +aS'with\twith\tIN\tB-PP\tO' +p218105 +aS'nitrates\tnitrate\tNNS\tB-NP\tO' +p218106 +aS'and\tand\tCC\tI-NP\tO' +p218107 +aS'Lidocaine\tLidocaine\tNN\tI-NP\tO' +p218108 +aS'.\t.\t.\tO\tO' +p218109 +asS'IUP at 36 weeks , delivered' +p218110 +(lp218111 +S'IUP\tIUP\tNN\tB-NP\tO' +p218112 +aS'at\tat\tIN\tB-PP\tO' +p218113 +aS'36\t36\tCD\tB-NP\tO' +p218114 +aS'weeks\tweek\tNNS\tI-NP\tO' +p218115 +aS',\t,\t,\tO\tO' +p218116 +aS'delivered\tdeliver\tVBN\tB-VP\tO' +p218117 +asS'The patient was scheduled for discharge to rehab .' +p218118 +(lp218119 +S'The\tThe\tDT\tB-NP\tO' +p218120 +aS'patient\tpatient\tNN\tI-NP\tO' +p218121 +aS'was\tbe\tVBD\tB-VP\tO' +p218122 +aS'scheduled\tschedule\tVBN\tI-VP\tO' +p218123 +aS'for\tfor\tIN\tB-PP\tO' +p218124 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p218125 +aS'to\tto\tTO\tB-VP\tO' +p218126 +aS'rehab\trehab\tVB\tI-VP\tO' +p218127 +aS'.\t.\t.\tO\tO' +p218128 +asS'HEENT exam revealed sclerae to be injected .' +p218129 +(lp218130 +S'HEENT\tHEENT\tNN\tB-NP\tO' +p218131 +aS'exam\texam\tNN\tI-NP\tO' +p218132 +aS'revealed\treveal\tVBD\tB-VP\tO' +p218133 +aS'sclerae\tsclerae\tNNS\tB-NP\tO' +p218134 +aS'to\tto\tTO\tB-VP\tO' +p218135 +aS'be\tbe\tVB\tI-VP\tO' +p218136 +aS'injected\tinject\tVBN\tI-VP\tO' +p218137 +aS'.\t.\t.\tO\tO' +p218138 +asS'MOnday for staple removal .' +p218139 +(lp218140 +S'MOnday\tMOnday\tNNP\tB-NP\tO' +p218141 +aS'for\tfor\tIN\tB-PP\tO' +p218142 +aS'staple\tstaple\tJJ\tB-NP\tO' +p218143 +aS'removal\tremoval\tNN\tI-NP\tO' +p218144 +aS'.\t.\t.\tO\tO' +p218145 +asS'The patient had no pronator drift .' +p218146 +(lp218147 +S'The\tThe\tDT\tB-NP\tO' +p218148 +aS'patient\tpatient\tNN\tI-NP\tO' +p218149 +aS'had\thave\tVBD\tB-VP\tO' +p218150 +aS'no\tno\tDT\tB-NP\tO' +p218151 +aS'pronator\tpronator\tNN\tI-NP\tO' +p218152 +aS'drift\tdrift\tNN\tI-NP\tO' +p218153 +aS'.\t.\t.\tO\tO' +p218154 +asS'The other daughter was recently in a car accident and underwent surgery at Saint Vincent Hospital .' +p218155 +(lp218156 +S'The\tThe\tDT\tB-NP\tO' +p218157 +aS'other\tother\tJJ\tI-NP\tO' +p218158 +aS'daughter\tdaughter\tNN\tI-NP\tO' +p218159 +aS'was\tbe\tVBD\tB-VP\tO' +p218160 +aS'recently\trecently\tRB\tB-ADVP\tO' +p218161 +aS'in\tin\tIN\tB-PP\tO' +p218162 +aS'a\ta\tDT\tB-NP\tO' +p218163 +aS'car\tcar\tNN\tI-NP\tO' +p218164 +aS'accident\taccident\tNN\tI-NP\tO' +p218165 +aS'and\tand\tCC\tO\tO' +p218166 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p218167 +aS'surgery\tsurgery\tNN\tB-NP\tO' +p218168 +aS'at\tat\tIN\tB-PP\tO' +p218169 +aS'Saint\tSaint\tNNP\tB-NP\tO' +p218170 +aS'Vincent\tVincent\tNNP\tI-NP\tO' +p218171 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p218172 +aS'.\t.\t.\tO\tO' +p218173 +asS'She had post-infarction angina , was transferred here for angiography and possible percutaneous transluminal coronary angioplasty .' +p218174 +(lp218175 +S'She\tShe\tPRP\tB-NP\tO' +p218176 +aS'had\thave\tVBD\tB-VP\tO' +p218177 +aS'post-infarction\tpost-infarction\tJJ\tB-NP\tO' +p218178 +aS'angina\tangina\tNN\tI-NP\tO' +p218179 +aS',\t,\t,\tO\tO' +p218180 +aS'was\tbe\tVBD\tB-VP\tO' +p218181 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p218182 +aS'here\there\tRB\tB-ADVP\tO' +p218183 +aS'for\tfor\tIN\tB-PP\tO' +p218184 +aS'angiography\tangiography\tNN\tB-NP\tO' +p218185 +aS'and\tand\tCC\tO\tO' +p218186 +aS'possible\tpossible\tJJ\tB-NP\tO' +p218187 +aS'percutaneous\tpercutaneous\tJJ\tI-NP\tO' +p218188 +aS'transluminal\ttransluminal\tJJ\tI-NP\tO' +p218189 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p218190 +aS'angioplasty\tangioplasty\tNN\tI-NP\tO' +p218191 +aS'.\t.\t.\tO\tO' +p218192 +asS'History of colon cancer status post hemicolectomy .' +p218193 +(lp218194 +S'History\tHistory\tNN\tB-NP\tO' +p218195 +aS'of\tof\tIN\tB-PP\tO' +p218196 +aS'colon\tcolon\tNN\tB-NP\tO' +p218197 +aS'cancer\tcancer\tNN\tI-NP\tO' +p218198 +aS'status\tstatus\tNN\tI-NP\tO' +p218199 +aS'post\tpost\tNN\tI-NP\tO' +p218200 +aS'hemicolectomy\themicolectomy\tNN\tI-NP\tO' +p218201 +aS'.\t.\t.\tO\tO' +p218202 +asS'Regular rate , no murmurs , rubs , or gallops .' +p218203 +(lp218204 +S'Regular\tRegular\tJJ\tB-NP\tO' +p218205 +aS'rate\trate\tNN\tI-NP\tO' +p218206 +aS',\t,\t,\tO\tO' +p218207 +aS'no\tno\tDT\tB-NP\tO' +p218208 +aS'murmurs\tmurmur\tNNS\tI-NP\tO' +p218209 +aS',\t,\t,\tO\tO' +p218210 +aS'rubs\trub\tNNS\tB-NP\tO' +p218211 +aS',\t,\t,\tO\tO' +p218212 +aS'or\tor\tCC\tO\tO' +p218213 +aS'gallops\tgallop\tNNS\tB-NP\tO' +p218214 +aS'.\t.\t.\tO\tO' +p218215 +asS'Impression was that this was an 83-year-old female with cardiac history , dyspnea on exertion , increased calcium and hyperparathyroidism who presents for parathyroidectomy .' +p218216 +(lp218217 +S'Impression\tImpression\tNN\tB-NP\tO' +p218218 +aS'was\tbe\tVBD\tB-VP\tO' +p218219 +aS'that\tthat\tIN\tB-SBAR\tO' +p218220 +aS'this\tthis\tDT\tB-NP\tO' +p218221 +aS'was\tbe\tVBD\tB-VP\tO' +p218222 +aS'an\tan\tDT\tB-NP\tO' +p218223 +aS'83-year-old\t83-year-old\tJJ\tI-NP\tO' +p218224 +aS'female\tfemale\tNN\tI-NP\tO' +p218225 +aS'with\twith\tIN\tB-PP\tO' +p218226 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p218227 +aS'history\thistory\tNN\tI-NP\tO' +p218228 +aS',\t,\t,\tO\tO' +p218229 +aS'dyspnea\tdyspnea\tNN\tB-NP\tO' +p218230 +aS'on\ton\tIN\tB-PP\tO' +p218231 +aS'exertion\texertion\tNN\tB-NP\tO' +p218232 +aS',\t,\t,\tO\tO' +p218233 +aS'increased\tincrease\tVBN\tB-NP\tO' +p218234 +aS'calcium\tcalcium\tNN\tI-NP\tO' +p218235 +aS'and\tand\tCC\tI-NP\tO' +p218236 +aS'hyperparathyroidism\thyperparathyroidism\tNN\tI-NP\tO' +p218237 +aS'who\twho\tWP\tB-NP\tO' +p218238 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p218239 +aS'for\tfor\tIN\tB-PP\tO' +p218240 +aS'parathyroidectomy\tparathyroidectomy\tNN\tB-NP\tO' +p218241 +aS'.\t.\t.\tO\tO' +p218242 +asS'Her pacemaker was set to a VVI mode which sensed appropriately .' +p218243 +(lp218244 +S'Her\tHer\tPRP$\tB-NP\tO' +p218245 +aS'pacemaker\tpacemaker\tNN\tI-NP\tO' +p218246 +aS'was\tbe\tVBD\tB-VP\tO' +p218247 +aS'set\tset\tVBN\tI-VP\tO' +p218248 +aS'to\tto\tTO\tB-PP\tO' +p218249 +aS'a\ta\tDT\tB-NP\tO' +p218250 +aS'VVI\tVVI\tNN\tI-NP\tO' +p218251 +aS'mode\tmode\tNN\tI-NP\tO' +p218252 +aS'which\twhich\tWDT\tB-NP\tO' +p218253 +aS'sensed\tsense\tVBD\tB-VP\tO' +p218254 +aS'appropriately\tappropriately\tRB\tB-ADVP\tO' +p218255 +aS'.\t.\t.\tO\tO' +p218256 +asS'Left lung clear from basal atelectasis .' +p218257 +(lp218258 +S'Left\tLeft\tJJ\tB-NP\tO' +p218259 +aS'lung\tlung\tNN\tI-NP\tO' +p218260 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p218261 +aS'from\tfrom\tIN\tB-PP\tO' +p218262 +aS'basal\tbasal\tJJ\tB-NP\tO' +p218263 +aS'atelectasis\tatelectasis\tNN\tI-NP\tO' +p218264 +aS'.\t.\t.\tO\tO' +p218265 +asS'The patient is a 64-year-old female with 3-vessel disease who was admitted to the Coronary Care Unit Service for Western Mass .' +p218266 +(lp218267 +S'The\tThe\tDT\tB-NP\tO' +p218268 +aS'patient\tpatient\tNN\tI-NP\tO' +p218269 +aS'is\tbe\tVBZ\tB-VP\tO' +p218270 +aS'a\ta\tDT\tB-NP\tO' +p218271 +aS'64-year-old\t64-year-old\tJJ\tI-NP\tO' +p218272 +aS'female\tfemale\tNN\tI-NP\tO' +p218273 +aS'with\twith\tIN\tB-PP\tO' +p218274 +aS'3-vessel\t3-vessel\tJJ\tB-NP\tO' +p218275 +aS'disease\tdisease\tNN\tI-NP\tO' +p218276 +aS'who\twho\tWP\tB-NP\tO' +p218277 +aS'was\tbe\tVBD\tB-VP\tO' +p218278 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p218279 +aS'to\tto\tTO\tB-PP\tO' +p218280 +aS'the\tthe\tDT\tB-NP\tO' +p218281 +aS'Coronary\tCoronary\tNNP\tI-NP\tO' +p218282 +aS'Care\tCare\tNNP\tI-NP\tO' +p218283 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p218284 +aS'Service\tService\tNNP\tI-NP\tO' +p218285 +aS'for\tfor\tIN\tB-PP\tO' +p218286 +aS'Western\tWestern\tNNP\tB-NP\tO' +p218287 +aS'Mass\tMass\tNNP\tI-NP\tO' +p218288 +aS'.\t.\t.\tO\tO' +p218289 +asS'Positive alcohol abuse in the distant past .' +p218290 +(lp218291 +S'Positive\tPositive\tJJ\tB-NP\tO' +p218292 +aS'alcohol\talcohol\tNN\tI-NP\tO' +p218293 +aS'abuse\tabuse\tNN\tI-NP\tO' +p218294 +aS'in\tin\tIN\tB-PP\tO' +p218295 +aS'the\tthe\tDT\tB-NP\tO' +p218296 +aS'distant\tdistant\tJJ\tI-NP\tO' +p218297 +aS'past\tpast\tNN\tI-NP\tO' +p218298 +aS'.\t.\t.\tO\tO' +p218299 +asS'Stage 3C papillary serous carcinoma of the ovary .' +p218300 +(lp218301 +S'Stage\tStage\tNN\tB-NP\tO' +p218302 +aS'3C\t3C\tNN\tI-NP\tO' +p218303 +aS'papillary\tpapillary\tJJ\tI-NP\tO' +p218304 +aS'serous\tserous\tJJ\tI-NP\tO' +p218305 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p218306 +aS'of\tof\tIN\tB-PP\tO' +p218307 +aS'the\tthe\tDT\tB-NP\tO' +p218308 +aS'ovary\tovary\tNN\tI-NP\tO' +p218309 +aS'.\t.\t.\tO\tO' +p218310 +asS'4. Chronic hypertension .' +p218311 +(lp218312 +S'4.\t4.\tLS\tB-NP\tO' +p218313 +aS'Chronic\tChronic\tJJ\tI-NP\tO' +p218314 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p218315 +aS'.\t.\t.\tO\tO' +p218316 +asS'warm , smooth , no rashes' +p218317 +(lp218318 +S'warm\twarm\tJJ\tB-NP\tO' +p218319 +aS',\t,\t,\tI-NP\tO' +p218320 +aS'smooth\tsmooth\tJJ\tI-NP\tO' +p218321 +aS',\t,\t,\tO\tO' +p218322 +aS'no\tno\tDT\tB-NP\tO' +p218323 +aS'rashes\trash\tNNS\tI-NP\tO' +p218324 +asS'The patient had constrictive pericarditis that was relieved by his surgical procedure .' +p218325 +(lp218326 +S'The\tThe\tDT\tB-NP\tO' +p218327 +aS'patient\tpatient\tNN\tI-NP\tO' +p218328 +aS'had\thave\tVBD\tB-VP\tO' +p218329 +aS'constrictive\tconstrictive\tJJ\tB-NP\tO' +p218330 +aS'pericarditis\tpericarditis\tNN\tI-NP\tO' +p218331 +aS'that\tthat\tWDT\tB-NP\tO' +p218332 +aS'was\tbe\tVBD\tB-VP\tO' +p218333 +aS'relieved\trelieve\tVBN\tI-VP\tO' +p218334 +aS'by\tby\tIN\tB-PP\tO' +p218335 +aS'his\this\tPRP$\tB-NP\tO' +p218336 +aS'surgical\tsurgical\tJJ\tI-NP\tO' +p218337 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p218338 +aS'.\t.\t.\tO\tO' +p218339 +asS'On the floor the patient intially was imporved , but has plateaued , responding to simple commands and verbalizing groans but no real speech .' +p218340 +(lp218341 +S'On\tOn\tIN\tB-PP\tO' +p218342 +aS'the\tthe\tDT\tB-NP\tO' +p218343 +aS'floor\tfloor\tNN\tI-NP\tO' +p218344 +aS'the\tthe\tDT\tB-NP\tO' +p218345 +aS'patient\tpatient\tNN\tI-NP\tO' +p218346 +aS'intially\tintially\tRB\tB-ADVP\tO' +p218347 +aS'was\tbe\tVBD\tB-VP\tO' +p218348 +aS'imporved\timporve\tVBN\tI-VP\tO' +p218349 +aS',\t,\t,\tO\tO' +p218350 +aS'but\tbut\tCC\tO\tO' +p218351 +aS'has\thave\tVBZ\tB-VP\tO' +p218352 +aS'plateaued\tplateaue\tVBN\tI-VP\tO' +p218353 +aS',\t,\t,\tO\tO' +p218354 +aS'responding\trespond\tVBG\tB-VP\tO' +p218355 +aS'to\tto\tTO\tB-PP\tO' +p218356 +aS'simple\tsimple\tJJ\tB-NP\tO' +p218357 +aS'commands\tcommand\tNNS\tI-NP\tO' +p218358 +aS'and\tand\tCC\tO\tO' +p218359 +aS'verbalizing\tverbalize\tVBG\tB-VP\tO' +p218360 +aS'groans\tgroan\tNNS\tB-NP\tO' +p218361 +aS'but\tbut\tCC\tO\tO' +p218362 +aS'no\tno\tDT\tB-NP\tO' +p218363 +aS'real\treal\tJJ\tI-NP\tO' +p218364 +aS'speech\tspeech\tNN\tI-NP\tO' +p218365 +aS'.\t.\t.\tO\tO' +p218366 +asS'2. To be followed by William Scheidel of Neurological Rehabilitation .' +p218367 +(lp218368 +S'2.\t2.\tLS\tB-LST\tO' +p218369 +aS'To\tTo\tTO\tB-VP\tO' +p218370 +aS'be\tbe\tVB\tI-VP\tO' +p218371 +aS'followed\tfollow\tVBN\tI-VP\tO' +p218372 +aS'by\tby\tIN\tB-PP\tO' +p218373 +aS'William\tWilliam\tNNP\tB-NP\tO' +p218374 +aS'Scheidel\tScheidel\tNNP\tI-NP\tO' +p218375 +aS'of\tof\tIN\tB-PP\tO' +p218376 +aS'Neurological\tNeurological\tNNP\tB-NP\tO' +p218377 +aS'Rehabilitation\tRehabilitation\tNNP\tI-NP\tO' +p218378 +aS'.\t.\t.\tO\tO' +p218379 +asS'On May 5 , 2005 the patient was taken to the operating room for a right parietal occipital craniotomy and debulking of the tumor using stulz neuro navigation .' +p218380 +(lp218381 +S'On\tOn\tIN\tB-PP\tO' +p218382 +aS'May\tMay\tNNP\tB-NP\tO' +p218383 +aS'5\t5\tCD\tI-NP\tO' +p218384 +aS',\t,\t,\tI-NP\tO' +p218385 +aS'2005\t2005\tCD\tI-NP\tO' +p218386 +aS'the\tthe\tDT\tB-NP\tO' +p218387 +aS'patient\tpatient\tNN\tI-NP\tO' +p218388 +aS'was\tbe\tVBD\tB-VP\tO' +p218389 +aS'taken\ttake\tVBN\tI-VP\tO' +p218390 +aS'to\tto\tTO\tB-PP\tO' +p218391 +aS'the\tthe\tDT\tB-NP\tO' +p218392 +aS'operating\toperating\tNN\tI-NP\tO' +p218393 +aS'room\troom\tNN\tI-NP\tO' +p218394 +aS'for\tfor\tIN\tB-PP\tO' +p218395 +aS'a\ta\tDT\tB-NP\tO' +p218396 +aS'right\tright\tJJ\tI-NP\tO' +p218397 +aS'parietal\tparietal\tJJ\tI-NP\tO' +p218398 +aS'occipital\toccipital\tNN\tI-NP\tO' +p218399 +aS'craniotomy\tcraniotomy\tNN\tI-NP\tO' +p218400 +aS'and\tand\tCC\tI-NP\tO' +p218401 +aS'debulking\tdebulking\tNN\tI-NP\tO' +p218402 +aS'of\tof\tIN\tB-PP\tO' +p218403 +aS'the\tthe\tDT\tB-NP\tO' +p218404 +aS'tumor\ttumor\tNN\tI-NP\tO' +p218405 +aS'using\tuse\tVBG\tB-VP\tO' +p218406 +aS'stulz\tstulz\tNN\tB-NP\tO' +p218407 +aS'neuro\tneuro\tNN\tI-NP\tO' +p218408 +aS'navigation\tnavigation\tNN\tI-NP\tO' +p218409 +aS'.\t.\t.\tO\tO' +p218410 +asS'exam was nonfocal , and there was no significant lymphadenopathy .' +p218411 +(lp218412 +S'exam\texam\tNN\tB-NP\tO' +p218413 +aS'was\tbe\tVBD\tB-VP\tO' +p218414 +aS'nonfocal\tnonfocal\tJJ\tB-ADJP\tO' +p218415 +aS',\t,\t,\tO\tO' +p218416 +aS'and\tand\tCC\tO\tO' +p218417 +aS'there\tthere\tEX\tB-NP\tO' +p218418 +aS'was\tbe\tVBD\tB-VP\tO' +p218419 +aS'no\tno\tDT\tB-NP\tO' +p218420 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p218421 +aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' +p218422 +aS'.\t.\t.\tO\tO' +p218423 +asS'The hypotension was likely due to volume depletion caused by her diarrhea / loose stools in addition to decreased PO intake secondary to her GERD and thrush .' +p218424 +(lp218425 +S'The\tThe\tDT\tB-NP\tO' +p218426 +aS'hypotension\thypotension\tNN\tI-NP\tO' +p218427 +aS'was\tbe\tVBD\tB-VP\tO' +p218428 +aS'likely\tlikely\tRB\tB-ADJP\tO' +p218429 +aS'due\tdue\tIN\tB-PP\tO' +p218430 +aS'to\tto\tTO\tB-PP\tO' +p218431 +aS'volume\tvolume\tNN\tB-NP\tO' +p218432 +aS'depletion\tdepletion\tNN\tI-NP\tO' +p218433 +aS'caused\tcause\tVBN\tB-VP\tO' +p218434 +aS'by\tby\tIN\tB-PP\tO' +p218435 +aS'her\ther\tPRP$\tB-NP\tO' +p218436 +aS'diarrhea\tdiarrhea\tNN\tI-NP\tO' +p218437 +aS'/\t/\tSYM\tB-NP\tO' +p218438 +aS'loose\tloose\tJJ\tI-NP\tO' +p218439 +aS'stools\tstool\tNNS\tI-NP\tO' +p218440 +aS'in\tin\tIN\tB-PP\tO' +p218441 +aS'addition\taddition\tNN\tB-NP\tO' +p218442 +aS'to\tto\tTO\tB-PP\tO' +p218443 +aS'decreased\tdecrease\tVBN\tB-NP\tO' +p218444 +aS'PO\tPO\tNN\tI-NP\tO' +p218445 +aS'intake\tintake\tNN\tI-NP\tO' +p218446 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p218447 +aS'to\tto\tTO\tB-PP\tO' +p218448 +aS'her\ther\tPRP$\tB-NP\tO' +p218449 +aS'GERD\tGERD\tNN\tI-NP\tO' +p218450 +aS'and\tand\tCC\tI-NP\tO' +p218451 +aS'thrush\tthrush\tNN\tI-NP\tO' +p218452 +aS'.\t.\t.\tO\tO' +p218453 +asS'By postop day 1 , the patient was awake , in no distress , and appeared lucid prior to extubation .' +p218454 +(lp218455 +S'By\tBy\tIN\tB-PP\tO' +p218456 +aS'postop\tpostop\tNN\tB-NP\tO' +p218457 +aS'day\tday\tNN\tI-NP\tO' +p218458 +aS'1\t1\tCD\tI-NP\tO' +p218459 +aS',\t,\t,\tO\tO' +p218460 +aS'the\tthe\tDT\tB-NP\tO' +p218461 +aS'patient\tpatient\tNN\tI-NP\tO' +p218462 +aS'was\tbe\tVBD\tB-VP\tO' +p218463 +aS'awake\tawake\tRB\tB-ADVP\tO' +p218464 +aS',\t,\t,\tO\tO' +p218465 +aS'in\tin\tIN\tB-PP\tO' +p218466 +aS'no\tno\tDT\tB-NP\tO' +p218467 +aS'distress\tdistress\tNN\tI-NP\tO' +p218468 +aS',\t,\t,\tO\tO' +p218469 +aS'and\tand\tCC\tO\tO' +p218470 +aS'appeared\tappear\tVBD\tB-VP\tO' +p218471 +aS'lucid\tlucid\tJJ\tB-NP\tO' +p218472 +aS'prior\tprior\tJJ\tI-NP\tO' +p218473 +aS'to\tto\tTO\tB-PP\tO' +p218474 +aS'extubation\textubation\tNN\tB-NP\tO' +p218475 +aS'.\t.\t.\tO\tO' +p218476 +asS'The abdomen was soft and nontender .' +p218477 +(lp218478 +S'The\tThe\tDT\tB-NP\tO' +p218479 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p218480 +aS'was\tbe\tVBD\tB-VP\tO' +p218481 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p218482 +aS'and\tand\tCC\tI-ADJP\tO' +p218483 +aS'nontender\tnontender\tJJ\tI-ADJP\tO' +p218484 +aS'.\t.\t.\tO\tO' +p218485 +asS'9. Ipratropium Bromide 17 mcg / Actuation Aerosol Sig : Two ( 2 ) Puff Inhalation Q4-6H ( every 4 to 6 hours ) as needed .' +p218486 +(lp218487 +S'9.\t9.\tLS\tB-NP\tO' +p218488 +aS'Ipratropium\tIpratropium\tNNP\tI-NP\tO' +p218489 +aS'Bromide\tBromide\tNNP\tI-NP\tO' +p218490 +aS'17\t17\tCD\tI-NP\tO' +p218491 +aS'mcg\tmcg\tNN\tI-NP\tO' +p218492 +aS'/\t/\tSYM\tB-NP\tO' +p218493 +aS'Actuation\tActuation\tNN\tI-NP\tO' +p218494 +aS'Aerosol\tAerosol\tNNP\tI-NP\tO' +p218495 +aS'Sig\tSig\tNNP\tI-NP\tO' +p218496 +aS':\t:\t:\tO\tO' +p218497 +aS'Two\tTwo\tCD\tB-NP\tO' +p218498 +aS'(\t(\t(\tO\tO' +p218499 +aS'2\t2\tCD\tO\tO' +p218500 +aS')\t)\t)\tO\tO' +p218501 +aS'Puff\tPuff\tNN\tB-NP\tO' +p218502 +aS'Inhalation\tInhalation\tNN\tI-NP\tO' +p218503 +aS'Q4-6H\tQ4-6H\tNN\tI-NP\tO' +p218504 +aS'(\t(\t(\tO\tO' +p218505 +aS'every\tevery\tDT\tB-NP\tO' +p218506 +aS'4\t4\tCD\tI-NP\tO' +p218507 +aS'to\tto\tTO\tI-NP\tO' +p218508 +aS'6\t6\tCD\tI-NP\tO' +p218509 +aS'hours\thour\tNNS\tI-NP\tO' +p218510 +aS')\t)\t)\tO\tO' +p218511 +aS'as\tas\tIN\tB-SBAR\tO' +p218512 +aS'needed\tneed\tVBN\tB-VP\tO' +p218513 +aS'.\t.\t.\tO\tO' +p218514 +asS'Please conitnue to keep hands elevated in bed until follow up appointment with plastic surgery .' +p218515 +(lp218516 +S'Please\tPlease\tVB\tB-VP\tO' +p218517 +aS'conitnue\tconitnue\tNN\tB-NP\tO' +p218518 +aS'to\tto\tTO\tB-VP\tO' +p218519 +aS'keep\tkeep\tVB\tI-VP\tO' +p218520 +aS'hands\thand\tNNS\tB-NP\tO' +p218521 +aS'elevated\televate\tVBN\tB-VP\tO' +p218522 +aS'in\tin\tIN\tB-PP\tO' +p218523 +aS'bed\tbed\tNN\tB-NP\tO' +p218524 +aS'until\tuntil\tIN\tB-PP\tO' +p218525 +aS'follow\tfollow\tNN\tB-VP\tO' +p218526 +aS'up\tup\tRP\tB-PRT\tO' +p218527 +aS'appointment\tappointment\tNN\tB-NP\tO' +p218528 +aS'with\twith\tIN\tB-PP\tO' +p218529 +aS'plastic\tplastic\tNN\tB-NP\tO' +p218530 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p218531 +aS'.\t.\t.\tO\tO' +p218532 +asS'He was given Zosyn for empiric treatment .' +p218533 +(lp218534 +S'He\tHe\tPRP\tB-NP\tO' +p218535 +aS'was\tbe\tVBD\tB-VP\tO' +p218536 +aS'given\tgive\tVBN\tI-VP\tO' +p218537 +aS'Zosyn\tZosyn\tNNP\tB-NP\tO' +p218538 +aS'for\tfor\tIN\tB-PP\tO' +p218539 +aS'empiric\tempiric\tJJ\tB-NP\tO' +p218540 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p218541 +aS'.\t.\t.\tO\tO' +p218542 +asS'The oropharynx was within normal limits with fillings and a partial upper plate .' +p218543 +(lp218544 +S'The\tThe\tDT\tB-NP\tO' +p218545 +aS'oropharynx\toropharynx\tNN\tI-NP\tO' +p218546 +aS'was\tbe\tVBD\tB-VP\tO' +p218547 +aS'within\twithin\tIN\tB-PP\tO' +p218548 +aS'normal\tnormal\tJJ\tB-NP\tO' +p218549 +aS'limits\tlimit\tNNS\tI-NP\tO' +p218550 +aS'with\twith\tIN\tB-PP\tO' +p218551 +aS'fillings\tfilling\tNNS\tB-NP\tO' +p218552 +aS'and\tand\tCC\tO\tO' +p218553 +aS'a\ta\tDT\tB-NP\tO' +p218554 +aS'partial\tpartial\tJJ\tI-NP\tO' +p218555 +aS'upper\tupper\tJJ\tI-NP\tO' +p218556 +aS'plate\tplate\tNN\tI-NP\tO' +p218557 +aS'.\t.\t.\tO\tO' +p218558 +asS'Speech was fluent .' +p218559 +(lp218560 +S'Speech\tSpeech\tNN\tB-NP\tO' +p218561 +aS'was\tbe\tVBD\tB-VP\tO' +p218562 +aS'fluent\tfluent\tJJ\tB-ADJP\tO' +p218563 +aS'.\t.\t.\tO\tO' +p218564 +asS'At that time , she was afebrile and her vital signs were stable .' +p218565 +(lp218566 +S'At\tAt\tIN\tB-PP\tO' +p218567 +aS'that\tthat\tDT\tB-NP\tO' +p218568 +aS'time\ttime\tNN\tI-NP\tO' +p218569 +aS',\t,\t,\tO\tO' +p218570 +aS'she\tshe\tPRP\tB-NP\tO' +p218571 +aS'was\tbe\tVBD\tB-VP\tO' +p218572 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p218573 +aS'and\tand\tCC\tO\tO' +p218574 +aS'her\ther\tPRP$\tB-NP\tO' +p218575 +aS'vital\tvital\tJJ\tI-NP\tO' +p218576 +aS'signs\tsign\tNNS\tI-NP\tO' +p218577 +aS'were\tbe\tVBD\tB-VP\tO' +p218578 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p218579 +aS'.\t.\t.\tO\tO' +p218580 +asS'She was standing and walking with her friend , who " had to catch her from falling down " as she toppled towards the right .' +p218581 +(lp218582 +S'She\tShe\tPRP\tB-NP\tO' +p218583 +aS'was\tbe\tVBD\tB-VP\tO' +p218584 +aS'standing\tstand\tVBG\tI-VP\tO' +p218585 +aS'and\tand\tCC\tI-VP\tO' +p218586 +aS'walking\twalk\tVBG\tI-VP\tO' +p218587 +aS'with\twith\tIN\tB-PP\tO' +p218588 +aS'her\ther\tPRP$\tB-NP\tO' +p218589 +aS'friend\tfriend\tNN\tI-NP\tO' +p218590 +aS',\t,\t,\tO\tO' +p218591 +aS'who\twho\tWP\tB-NP\tO' +p218592 +aS'"\t"\tVBP\tB-VP\tO' +p218593 +aS'had\thave\tVBD\tI-VP\tO' +p218594 +aS'to\tto\tTO\tI-VP\tO' +p218595 +aS'catch\tcatch\tVB\tI-VP\tO' +p218596 +aS'her\ther\tPRP\tB-NP\tO' +p218597 +aS'from\tfrom\tIN\tB-PP\tO' +p218598 +aS'falling\tfall\tVBG\tB-VP\tO' +p218599 +aS'down\tdown\tRP\tB-PRT\tO' +p218600 +aS'"\t"\t:\tO\tO' +p218601 +aS'as\tas\tIN\tB-SBAR\tO' +p218602 +aS'she\tshe\tPRP\tB-NP\tO' +p218603 +aS'toppled\ttopple\tVBD\tB-VP\tO' +p218604 +aS'towards\ttowards\tIN\tB-PP\tO' +p218605 +aS'the\tthe\tDT\tB-NP\tO' +p218606 +aS'right\tright\tNN\tI-NP\tO' +p218607 +aS'.\t.\t.\tO\tO' +p218608 +asS'Dopamine was discontinued on day one .' +p218609 +(lp218610 +S'Dopamine\tDopamine\tNN\tB-NP\tO' +p218611 +aS'was\tbe\tVBD\tB-VP\tO' +p218612 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p218613 +aS'on\ton\tIN\tB-PP\tO' +p218614 +aS'day\tday\tNN\tB-NP\tO' +p218615 +aS'one\tone\tCD\tI-NP\tO' +p218616 +aS'.\t.\t.\tO\tO' +p218617 +asS'Her groin exam was unchanged .' +p218618 +(lp218619 +S'Her\tHer\tPRP$\tB-NP\tO' +p218620 +aS'groin\tgroin\tNN\tI-NP\tO' +p218621 +aS'exam\texam\tNN\tI-NP\tO' +p218622 +aS'was\tbe\tVBD\tB-VP\tO' +p218623 +aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' +p218624 +aS'.\t.\t.\tO\tO' +p218625 +asS'There was a large left pleural effusion however .' +p218626 +(lp218627 +S'There\tThere\tEX\tB-NP\tO' +p218628 +aS'was\tbe\tVBD\tB-VP\tO' +p218629 +aS'a\ta\tDT\tB-NP\tO' +p218630 +aS'large\tlarge\tJJ\tI-NP\tO' +p218631 +aS'left\tleft\tJJ\tI-NP\tO' +p218632 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p218633 +aS'effusion\teffusion\tNN\tI-NP\tO' +p218634 +aS'however\thowever\tRB\tB-ADVP\tO' +p218635 +aS'.\t.\t.\tO\tO' +p218636 +asS'She has not found any relieve with any over the counter medications .' +p218637 +(lp218638 +S'She\tShe\tPRP\tB-NP\tO' +p218639 +aS'has\thave\tVBZ\tB-VP\tO' +p218640 +aS'not\tnot\tRB\tI-VP\tO' +p218641 +aS'found\tfind\tVBN\tI-VP\tO' +p218642 +aS'any\tany\tDT\tB-NP\tO' +p218643 +aS'relieve\trelieve\tNN\tI-NP\tO' +p218644 +aS'with\twith\tIN\tB-PP\tO' +p218645 +aS'any\tany\tDT\tB-NP\tO' +p218646 +aS'over\tover\tIN\tB-PP\tO' +p218647 +aS'the\tthe\tDT\tB-NP\tO' +p218648 +aS'counter\tcounter\tNN\tI-NP\tO' +p218649 +aS'medications\tmedication\tNNS\tI-NP\tO' +p218650 +aS'.\t.\t.\tO\tO' +p218651 +asS'Plan for pt to complete total of 28 day course of therapy for PCP , James will be completed on 01-16 .' +p218652 +(lp218653 +S'Plan\tPlan\tNN\tB-NP\tO' +p218654 +aS'for\tfor\tIN\tB-PP\tO' +p218655 +aS'pt\tpt\tNN\tB-NP\tO' +p218656 +aS'to\tto\tTO\tB-VP\tO' +p218657 +aS'complete\tcomplete\tVB\tI-VP\tO' +p218658 +aS'total\ttotal\tNN\tB-NP\tO' +p218659 +aS'of\tof\tIN\tB-PP\tO' +p218660 +aS'28\t28\tCD\tB-NP\tO' +p218661 +aS'day\tday\tNN\tI-NP\tO' +p218662 +aS'course\tcourse\tNN\tI-NP\tO' +p218663 +aS'of\tof\tIN\tB-PP\tO' +p218664 +aS'therapy\ttherapy\tNN\tB-NP\tO' +p218665 +aS'for\tfor\tIN\tB-PP\tO' +p218666 +aS'PCP\tPCP\tNN\tB-NP\tB-protein' +p218667 +aS',\t,\t,\tO\tO' +p218668 +aS'James\tJames\tNNP\tB-NP\tO' +p218669 +aS'will\twill\tMD\tB-VP\tO' +p218670 +aS'be\tbe\tVB\tI-VP\tO' +p218671 +aS'completed\tcomplete\tVBN\tI-VP\tO' +p218672 +aS'on\ton\tIN\tB-PP\tO' +p218673 +aS'01-16\t01-16\tCD\tB-NP\tO' +p218674 +aS'.\t.\t.\tO\tO' +p218675 +asS'34 yo G3P3 with pelvic organ prolapse after her second delivery; after her third delivery it became much worse .' +p218676 +(lp218677 +S'34\t34\tCD\tB-NP\tO' +p218678 +aS'yo\tyo\tNN\tI-NP\tO' +p218679 +aS'G3P3\tG3P3\tNN\tI-NP\tO' +p218680 +aS'with\twith\tIN\tB-PP\tO' +p218681 +aS'pelvic\tpelvic\tJJ\tB-NP\tO' +p218682 +aS'organ\torgan\tNN\tI-NP\tO' +p218683 +aS'prolapse\tprolapse\tNN\tI-NP\tO' +p218684 +aS'after\tafter\tIN\tB-PP\tO' +p218685 +aS'her\ther\tPRP$\tB-NP\tO' +p218686 +aS'second\tsecond\tJJ\tI-NP\tO' +p218687 +aS'delivery;\tdelivery;\tNN\tI-NP\tO' +p218688 +aS'after\tafter\tIN\tB-PP\tO' +p218689 +aS'her\ther\tPRP$\tB-NP\tO' +p218690 +aS'third\tthird\tJJ\tI-NP\tO' +p218691 +aS'delivery\tdelivery\tNN\tI-NP\tO' +p218692 +aS'it\tit\tPRP\tB-NP\tO' +p218693 +aS'became\tbecome\tVBD\tB-VP\tO' +p218694 +aS'much\tmuch\tRB\tB-ADJP\tO' +p218695 +aS'worse\tworse\tJJR\tI-ADJP\tO' +p218696 +aS'.\t.\t.\tO\tO' +p218697 +asS'She also fell into a coma once again .' +p218698 +(lp218699 +S'She\tShe\tPRP\tB-NP\tO' +p218700 +aS'also\talso\tRB\tB-ADVP\tO' +p218701 +aS'fell\tfall\tVBD\tB-VP\tO' +p218702 +aS'into\tinto\tIN\tB-PP\tO' +p218703 +aS'a\ta\tDT\tB-NP\tO' +p218704 +aS'coma\tcoma\tNN\tI-NP\tO' +p218705 +aS'once\tonce\tRB\tB-ADVP\tO' +p218706 +aS'again\tagain\tRB\tI-ADVP\tO' +p218707 +aS'.\t.\t.\tO\tO' +p218708 +asS'She fell on her R side and had a great deal of pain in her R arm and hip .' +p218709 +(lp218710 +S'She\tShe\tPRP\tB-NP\tO' +p218711 +aS'fell\tfall\tVBD\tB-VP\tO' +p218712 +aS'on\ton\tIN\tB-PP\tO' +p218713 +aS'her\ther\tPRP$\tB-NP\tO' +p218714 +aS'R\tR\tNN\tI-NP\tO' +p218715 +aS'side\tside\tNN\tI-NP\tO' +p218716 +aS'and\tand\tCC\tO\tO' +p218717 +aS'had\thave\tVBD\tB-VP\tO' +p218718 +aS'a\ta\tDT\tB-NP\tO' +p218719 +aS'great\tgreat\tJJ\tI-NP\tO' +p218720 +aS'deal\tdeal\tNN\tI-NP\tO' +p218721 +aS'of\tof\tIN\tB-PP\tO' +p218722 +aS'pain\tpain\tNN\tB-NP\tO' +p218723 +aS'in\tin\tIN\tB-PP\tO' +p218724 +aS'her\ther\tPRP$\tB-NP\tO' +p218725 +aS'R\tR\tNN\tI-NP\tB-protein' +p218726 +aS'arm\tarm\tNN\tI-NP\tI-protein' +p218727 +aS'and\tand\tCC\tI-NP\tO' +p218728 +aS'hip\thip\tNN\tI-NP\tO' +p218729 +aS'.\t.\t.\tO\tO' +p218730 +asS'Lives in nursing home .' +p218731 +(lp218732 +S'Lives\tLife\tNNS\tB-NP\tO' +p218733 +aS'in\tin\tIN\tB-PP\tO' +p218734 +aS'nursing\tnursing\tNN\tB-NP\tO' +p218735 +aS'home\thome\tNN\tI-NP\tO' +p218736 +aS'.\t.\t.\tO\tO' +p218737 +asS'1. Factor 8 deficiency .' +p218738 +(lp218739 +S'1.\t1.\tLS\tB-NP\tO' +p218740 +aS'Factor\tFactor\tNN\tI-NP\tO' +p218741 +aS'8\t8\tCD\tI-NP\tO' +p218742 +aS'deficiency\tdeficiency\tNN\tI-NP\tO' +p218743 +aS'.\t.\t.\tO\tO' +p218744 +asS'5. Depression .' +p218745 +(lp218746 +S'5.\t5.\tLS\tB-NP\tO' +p218747 +aS'Depression\tDepression\tNN\tI-NP\tO' +p218748 +aS'.\t.\t.\tO\tO' +p218749 +asS'NKDA .' +p218750 +(lp218751 +S'NKDA\tNKDA\tNN\tB-NP\tB-protein' +p218752 +aS'.\t.\t.\tO\tO' +p218753 +asS'Asthma flare and bronchitis .' +p218754 +(lp218755 +S'Asthma\tAsthma\tNN\tB-NP\tO' +p218756 +aS'flare\tflare\tNN\tI-NP\tO' +p218757 +aS'and\tand\tCC\tI-NP\tO' +p218758 +aS'bronchitis\tbronchitis\tNN\tI-NP\tO' +p218759 +aS'.\t.\t.\tO\tO' +p218760 +asS'general surgery was consulted and the patient was taken to the OR for exploratory laproratomy .' +p218761 +(lp218762 +S'general\tgeneral\tJJ\tB-NP\tO' +p218763 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p218764 +aS'was\tbe\tVBD\tB-VP\tO' +p218765 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p218766 +aS'and\tand\tCC\tO\tO' +p218767 +aS'the\tthe\tDT\tB-NP\tO' +p218768 +aS'patient\tpatient\tNN\tI-NP\tO' +p218769 +aS'was\tbe\tVBD\tB-VP\tO' +p218770 +aS'taken\ttake\tVBN\tI-VP\tO' +p218771 +aS'to\tto\tTO\tB-PP\tO' +p218772 +aS'the\tthe\tDT\tB-NP\tO' +p218773 +aS'OR\tOR\tNN\tI-NP\tO' +p218774 +aS'for\tfor\tIN\tB-PP\tO' +p218775 +aS'exploratory\texploratory\tJJ\tB-NP\tO' +p218776 +aS'laproratomy\tlaproratomy\tNN\tI-NP\tO' +p218777 +aS'.\t.\t.\tO\tO' +p218778 +asS'Had thoracentesis by interventional pumonology on 2015-07-01 revealing almost 2 L of serous exudative fluid .' +p218779 +(lp218780 +S'Had\tHave\tVBD\tB-VP\tO' +p218781 +aS'thoracentesis\tthoracentesis\tNN\tB-NP\tO' +p218782 +aS'by\tby\tIN\tB-PP\tO' +p218783 +aS'interventional\tinterventional\tJJ\tB-NP\tO' +p218784 +aS'pumonology\tpumonology\tNN\tI-NP\tO' +p218785 +aS'on\ton\tIN\tB-PP\tO' +p218786 +aS'2015-07-01\t2015-07-01\tCD\tB-NP\tO' +p218787 +aS'revealing\treveal\tVBG\tB-VP\tO' +p218788 +aS'almost\talmost\tRB\tB-NP\tO' +p218789 +aS'2\t2\tCD\tI-NP\tO' +p218790 +aS'L\tL\tNN\tI-NP\tO' +p218791 +aS'of\tof\tIN\tB-PP\tO' +p218792 +aS'serous\tserous\tJJ\tB-NP\tO' +p218793 +aS'exudative\texudative\tJJ\tI-NP\tO' +p218794 +aS'fluid\tfluid\tNN\tI-NP\tO' +p218795 +aS'.\t.\t.\tO\tO' +p218796 +asS'Abdomen : protuberant , nt/nd , nabs' +p218797 +(lp218798 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p218799 +aS':\t:\t:\tO\tO' +p218800 +aS'protuberant\tprotuberant\tNN\tB-NP\tO' +p218801 +aS',\t,\t,\tO\tO' +p218802 +aS'nt/nd\tnt/nd\tNN\tB-NP\tO' +p218803 +aS',\t,\t,\tO\tO' +p218804 +aS'nabs\tnab\tNNS\tB-NP\tO' +p218805 +asS'Signed electronically by : DR. Dalila Talbot on : Robert 2010-09-23 4:07 PM' +p218806 +(lp218807 +S'Signed\tSign\tVBN\tB-VP\tO' +p218808 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p218809 +aS'by\tby\tIN\tB-PP\tO' +p218810 +aS':\t:\t:\tO\tO' +p218811 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p218812 +aS'Dalila\tDalila\tNNP\tI-NP\tO' +p218813 +aS'Talbot\tTalbot\tNNP\tI-NP\tO' +p218814 +aS'on\ton\tIN\tB-PP\tO' +p218815 +aS':\t:\t:\tO\tO' +p218816 +aS'Robert\tRobert\tNNP\tB-NP\tO' +p218817 +aS'2010-09-23\t2010-09-23\tCD\tB-NP\tO' +p218818 +aS'4:07\t4:07\tCD\tI-NP\tO' +p218819 +aS'PM\tPM\tNN\tI-NP\tO' +p218820 +asS'Type II diabetes .' +p218821 +(lp218822 +S'Type\tType\tNN\tB-NP\tO' +p218823 +aS'II\tII\tCD\tI-NP\tO' +p218824 +aS'diabetes\tdiabete\tNNS\tI-NP\tO' +p218825 +aS'.\t.\t.\tO\tO' +p218826 +asS'Dictated By : Julie H. Bullock , M.D.' +p218827 +(lp218828 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p218829 +aS'By\tBy\tIN\tB-PP\tO' +p218830 +aS':\t:\t:\tO\tO' +p218831 +aS'Julie\tJulie\tNNP\tB-NP\tO' +p218832 +aS'H.\tH.\tNNP\tI-NP\tO' +p218833 +aS'Bullock\tBullock\tNNP\tI-NP\tO' +p218834 +aS',\t,\t,\tO\tO' +p218835 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p218836 +asS'6. Percocet 5/325 one to two tablets p.o. q. four to six hours p.r.n.' +p218837 +(lp218838 +S'6.\t6.\tCD\tB-NP\tO' +p218839 +aS'Percocet\tPercocet\tNNP\tI-NP\tO' +p218840 +aS'5/325\t5/325\tCD\tI-NP\tO' +p218841 +aS'one\tone\tCD\tI-NP\tO' +p218842 +aS'to\tto\tTO\tI-NP\tO' +p218843 +aS'two\ttwo\tCD\tI-NP\tO' +p218844 +aS'tablets\ttablet\tNNS\tI-NP\tO' +p218845 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p218846 +aS'q.\tq.\tFW\tI-NP\tO' +p218847 +aS'four\tfour\tCD\tI-NP\tO' +p218848 +aS'to\tto\tTO\tI-NP\tO' +p218849 +aS'six\tsix\tCD\tI-NP\tO' +p218850 +aS'hours\thour\tNNS\tI-NP\tO' +p218851 +aS'p.r.n.\tp.r.n.\tRB\tB-ADVP\tO' +p218852 +asS'Intravenous antibiotics were discontinued and the patient was continued on p.o. Vancomycin .' +p218853 +(lp218854 +S'Intravenous\tIntravenous\tJJ\tB-NP\tO' +p218855 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p218856 +aS'were\tbe\tVBD\tB-VP\tO' +p218857 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p218858 +aS'and\tand\tCC\tO\tO' +p218859 +aS'the\tthe\tDT\tB-NP\tO' +p218860 +aS'patient\tpatient\tNN\tI-NP\tO' +p218861 +aS'was\tbe\tVBD\tB-VP\tO' +p218862 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p218863 +aS'on\ton\tIN\tB-PP\tO' +p218864 +aS'p.o.\tp.o.\tFW\tB-NP\tO' +p218865 +aS'Vancomycin\tVancomycin\tNN\tI-NP\tO' +p218866 +aS'.\t.\t.\tO\tO' +p218867 +asS'SOCIAL HISTORY : The patient denied tobacco .' +p218868 +(lp218869 +S'SOCIAL\tSOCIAL\tJJ\tB-NP\tO' +p218870 +aS'HISTORY\tHISTORY\tNN\tI-NP\tO' +p218871 +aS':\t:\t:\tO\tO' +p218872 +aS'The\tThe\tDT\tB-NP\tO' +p218873 +aS'patient\tpatient\tNN\tI-NP\tO' +p218874 +aS'denied\tdeny\tVBD\tB-VP\tO' +p218875 +aS'tobacco\ttobacco\tNN\tB-NP\tO' +p218876 +aS'.\t.\t.\tO\tO' +p218877 +asS'She was anticoagulated with heparin and after several days Coumadin was started .' +p218878 +(lp218879 +S'She\tShe\tPRP\tB-NP\tO' +p218880 +aS'was\tbe\tVBD\tB-VP\tO' +p218881 +aS'anticoagulated\tanticoagulate\tVBN\tI-VP\tO' +p218882 +aS'with\twith\tIN\tB-PP\tO' +p218883 +aS'heparin\theparin\tNN\tB-NP\tO' +p218884 +aS'and\tand\tCC\tB-PP\tO' +p218885 +aS'after\tafter\tIN\tB-PP\tO' +p218886 +aS'several\tseveral\tJJ\tB-NP\tO' +p218887 +aS'days\tday\tNNS\tI-NP\tO' +p218888 +aS'Coumadin\tCoumadin\tNN\tI-NP\tO' +p218889 +aS'was\tbe\tVBD\tB-VP\tO' +p218890 +aS'started\tstart\tVBN\tI-VP\tO' +p218891 +aS'.\t.\t.\tO\tO' +p218892 +asS'The patient was nonverbal , but was able to open her eyes and nod .' +p218893 +(lp218894 +S'The\tThe\tDT\tB-NP\tO' +p218895 +aS'patient\tpatient\tNN\tI-NP\tO' +p218896 +aS'was\tbe\tVBD\tB-VP\tO' +p218897 +aS'nonverbal\tnonverbal\tJJ\tB-ADJP\tO' +p218898 +aS',\t,\t,\tO\tO' +p218899 +aS'but\tbut\tCC\tO\tO' +p218900 +aS'was\tbe\tVBD\tB-VP\tO' +p218901 +aS'able\table\tJJ\tB-ADJP\tO' +p218902 +aS'to\tto\tTO\tB-VP\tO' +p218903 +aS'open\topen\tVB\tI-VP\tO' +p218904 +aS'her\ther\tPRP$\tB-NP\tO' +p218905 +aS'eyes\teye\tNNS\tI-NP\tO' +p218906 +aS'and\tand\tCC\tI-NP\tO' +p218907 +aS'nod\tnod\tNN\tI-NP\tO' +p218908 +aS'.\t.\t.\tO\tO' +p218909 +asS'Prior to discharge the patient also underwent an audiogram as a baseline hearing test while the patient was to stay on long term intravenous antibiotics .' +p218910 +(lp218911 +S'Prior\tPrior\tRB\tB-ADVP\tO' +p218912 +aS'to\tto\tTO\tB-VP\tO' +p218913 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p218914 +aS'the\tthe\tDT\tB-NP\tO' +p218915 +aS'patient\tpatient\tNN\tI-NP\tO' +p218916 +aS'also\talso\tRB\tB-ADVP\tO' +p218917 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p218918 +aS'an\tan\tDT\tB-NP\tO' +p218919 +aS'audiogram\taudiogram\tNN\tI-NP\tO' +p218920 +aS'as\tas\tIN\tB-PP\tO' +p218921 +aS'a\ta\tDT\tB-NP\tO' +p218922 +aS'baseline\tbaseline\tNN\tI-NP\tO' +p218923 +aS'hearing\thearing\tNN\tI-NP\tO' +p218924 +aS'test\ttest\tNN\tI-NP\tO' +p218925 +aS'while\twhile\tIN\tB-SBAR\tO' +p218926 +aS'the\tthe\tDT\tB-NP\tO' +p218927 +aS'patient\tpatient\tNN\tI-NP\tO' +p218928 +aS'was\tbe\tVBD\tB-VP\tO' +p218929 +aS'to\tto\tTO\tB-VP\tO' +p218930 +aS'stay\tstay\tVB\tI-VP\tO' +p218931 +aS'on\ton\tIN\tB-PP\tO' +p218932 +aS'long\tlong\tJJ\tB-NP\tO' +p218933 +aS'term\tterm\tNN\tI-NP\tO' +p218934 +aS'intravenous\tintravenous\tJJ\tI-NP\tO' +p218935 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p218936 +aS'.\t.\t.\tO\tO' +p218937 +asS'A mmamogram showed no change on right , but new biopsy was positive .' +p218938 +(lp218939 +S'A\tA\tDT\tB-NP\tO' +p218940 +aS'mmamogram\tmmamogram\tNN\tI-NP\tO' +p218941 +aS'showed\tshow\tVBD\tB-VP\tO' +p218942 +aS'no\tno\tDT\tB-NP\tO' +p218943 +aS'change\tchange\tNN\tI-NP\tO' +p218944 +aS'on\ton\tIN\tB-PP\tO' +p218945 +aS'right\tright\tNN\tB-NP\tO' +p218946 +aS',\t,\t,\tO\tO' +p218947 +aS'but\tbut\tCC\tO\tO' +p218948 +aS'new\tnew\tJJ\tB-NP\tO' +p218949 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p218950 +aS'was\tbe\tVBD\tB-VP\tO' +p218951 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p218952 +aS'.\t.\t.\tO\tO' +p218953 +asS'His operation was complicated by severe coagulopathy requiring fifty-nine units of packed red blood cells , 64 units of FFP and 34 units of platelets .' +p218954 +(lp218955 +S'His\tHis\tPRP$\tB-NP\tO' +p218956 +aS'operation\toperation\tNN\tI-NP\tO' +p218957 +aS'was\tbe\tVBD\tB-VP\tO' +p218958 +aS'complicated\tcomplicate\tVBN\tI-VP\tO' +p218959 +aS'by\tby\tIN\tB-PP\tO' +p218960 +aS'severe\tsevere\tJJ\tB-NP\tO' +p218961 +aS'coagulopathy\tcoagulopathy\tNN\tI-NP\tO' +p218962 +aS'requiring\trequire\tVBG\tB-VP\tO' +p218963 +aS'fifty-nine\tfifty-nine\tJJ\tB-NP\tO' +p218964 +aS'units\tunit\tNNS\tI-NP\tO' +p218965 +aS'of\tof\tIN\tB-PP\tO' +p218966 +aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' +p218967 +aS'red\tred\tJJ\tI-NP\tI-cell_type' +p218968 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p218969 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p218970 +aS',\t,\t,\tO\tO' +p218971 +aS'64\t64\tCD\tB-NP\tO' +p218972 +aS'units\tunit\tNNS\tI-NP\tO' +p218973 +aS'of\tof\tIN\tB-PP\tO' +p218974 +aS'FFP\tFFP\tNN\tB-NP\tO' +p218975 +aS'and\tand\tCC\tO\tO' +p218976 +aS'34\t34\tCD\tB-NP\tO' +p218977 +aS'units\tunit\tNNS\tI-NP\tO' +p218978 +aS'of\tof\tIN\tB-PP\tO' +p218979 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p218980 +aS'.\t.\t.\tO\tO' +p218981 +asS'5. The aortic valve leaflets ( 3 ) appear structurally normal with good leaflet excursion .' +p218982 +(lp218983 +S'5.\t5.\tLS\tB-LST\tO' +p218984 +aS'The\tThe\tDT\tB-NP\tO' +p218985 +aS'aortic\taortic\tJJ\tI-NP\tO' +p218986 +aS'valve\tvalve\tNN\tI-NP\tO' +p218987 +aS'leaflets\tleaflet\tNNS\tI-NP\tO' +p218988 +aS'(\t(\t(\tO\tO' +p218989 +aS'3\t3\tCD\tB-NP\tO' +p218990 +aS')\t)\t)\tO\tO' +p218991 +aS'appear\tappear\tVBP\tB-VP\tO' +p218992 +aS'structurally\tstructurally\tRB\tB-ADJP\tO' +p218993 +aS'normal\tnormal\tJJ\tI-ADJP\tO' +p218994 +aS'with\twith\tIN\tB-PP\tO' +p218995 +aS'good\tgood\tJJ\tB-NP\tO' +p218996 +aS'leaflet\tleaflet\tNN\tI-NP\tO' +p218997 +aS'excursion\texcursion\tNN\tI-NP\tO' +p218998 +aS'.\t.\t.\tO\tO' +p218999 +asS'equivalent which was relieved by sublingual nitroglycerin .' +p219000 +(lp219001 +S'equivalent\tequivalent\tJJ\tB-ADJP\tO' +p219002 +aS'which\twhich\tWDT\tB-NP\tO' +p219003 +aS'was\tbe\tVBD\tB-VP\tO' +p219004 +aS'relieved\trelieve\tVBN\tI-VP\tO' +p219005 +aS'by\tby\tIN\tB-PP\tO' +p219006 +aS'sublingual\tsublingual\tJJ\tB-NP\tO' +p219007 +aS'nitroglycerin\tnitroglycerin\tNN\tI-NP\tO' +p219008 +aS'.\t.\t.\tO\tO' +p219009 +asS'1 day PTA , pt developed stridorous breathing and respiratory distress .' +p219010 +(lp219011 +S'1\t1\tCD\tB-NP\tO' +p219012 +aS'day\tday\tNN\tI-NP\tO' +p219013 +aS'PTA\tPTA\tNN\tI-NP\tO' +p219014 +aS',\t,\t,\tO\tO' +p219015 +aS'pt\tpt\tNN\tB-NP\tO' +p219016 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p219017 +aS'stridorous\tstridorous\tJJ\tB-NP\tO' +p219018 +aS'breathing\tbreathing\tNN\tI-NP\tO' +p219019 +aS'and\tand\tCC\tO\tO' +p219020 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p219021 +aS'distress\tdistress\tNN\tI-NP\tO' +p219022 +aS'.\t.\t.\tO\tO' +p219023 +asS'Given no evidence of hemodynamic instability , lysis was not required .' +p219024 +(lp219025 +S'Given\tGive\tVBN\tB-VP\tO' +p219026 +aS'no\tno\tDT\tB-NP\tO' +p219027 +aS'evidence\tevidence\tNN\tI-NP\tO' +p219028 +aS'of\tof\tIN\tB-PP\tO' +p219029 +aS'hemodynamic\themodynamic\tJJ\tB-NP\tO' +p219030 +aS'instability\tinstability\tNN\tI-NP\tO' +p219031 +aS',\t,\t,\tO\tO' +p219032 +aS'lysis\tlysis\tNN\tB-NP\tO' +p219033 +aS'was\tbe\tVBD\tB-VP\tO' +p219034 +aS'not\tnot\tRB\tI-VP\tO' +p219035 +aS'required\trequire\tVBN\tI-VP\tO' +p219036 +aS'.\t.\t.\tO\tO' +p219037 +asS'Medications , metabolic disturbances , and infection are among the most common causes .' +p219038 +(lp219039 +S'Medications\tMedication\tNNS\tB-NP\tO' +p219040 +aS',\t,\t,\tO\tO' +p219041 +aS'metabolic\tmetabolic\tJJ\tB-NP\tO' +p219042 +aS'disturbances\tdisturbance\tNNS\tI-NP\tO' +p219043 +aS',\t,\t,\tO\tO' +p219044 +aS'and\tand\tCC\tO\tO' +p219045 +aS'infection\tinfection\tNN\tB-NP\tO' +p219046 +aS'are\tbe\tVBP\tB-VP\tO' +p219047 +aS'among\tamong\tIN\tB-PP\tO' +p219048 +aS'the\tthe\tDT\tB-NP\tO' +p219049 +aS'most\tmost\tRBS\tI-NP\tO' +p219050 +aS'common\tcommon\tJJ\tI-NP\tO' +p219051 +aS'causes\tcause\tNNS\tI-NP\tO' +p219052 +aS'.\t.\t.\tO\tO' +p219053 +asS'Attending : Willa D Garcia , M.D.' +p219054 +(lp219055 +S'Attending\tAttend\tVBG\tB-VP\tO' +p219056 +aS':\t:\t:\tO\tO' +p219057 +aS'Willa\tWilla\tNNP\tB-NP\tO' +p219058 +aS'D\tD\tNNP\tI-NP\tO' +p219059 +aS'Garcia\tGarcia\tNNP\tI-NP\tO' +p219060 +aS',\t,\t,\tO\tO' +p219061 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p219062 +asS'# F/E/N - NPO initially while on BIPAP and now low sodium cardiac diet .' +p219063 +(lp219064 +S'#\t#\t#\tB-NP\tO' +p219065 +aS'F/E/N\tF/E/N\tNN\tI-NP\tB-protein' +p219066 +aS'-\t-\tHYPH\tB-NP\tO' +p219067 +aS'NPO\tNPO\tNN\tI-NP\tB-protein' +p219068 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p219069 +aS'while\twhile\tIN\tB-SBAR\tO' +p219070 +aS'on\ton\tIN\tB-PP\tO' +p219071 +aS'BIPAP\tBIPAP\tNN\tB-NP\tB-protein' +p219072 +aS'and\tand\tCC\tO\tO' +p219073 +aS'now\tnow\tRB\tB-ADVP\tO' +p219074 +aS'low\tlow\tJJ\tB-NP\tO' +p219075 +aS'sodium\tsodium\tNN\tI-NP\tO' +p219076 +aS'cardiac\tcardiac\tNN\tI-NP\tO' +p219077 +aS'diet\tdiet\tNN\tI-NP\tO' +p219078 +aS'.\t.\t.\tO\tO' +p219079 +asS'In addition the patient requires occupational therapy and physical therapy .' +p219080 +(lp219081 +S'In\tIn\tIN\tB-PP\tO' +p219082 +aS'addition\taddition\tNN\tB-NP\tO' +p219083 +aS'the\tthe\tDT\tB-NP\tO' +p219084 +aS'patient\tpatient\tNN\tI-NP\tO' +p219085 +aS'requires\trequire\tVBZ\tB-VP\tO' +p219086 +aS'occupational\toccupational\tJJ\tB-NP\tO' +p219087 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p219088 +aS'and\tand\tCC\tO\tO' +p219089 +aS'physical\tphysical\tJJ\tB-NP\tO' +p219090 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p219091 +aS'.\t.\t.\tO\tO' +p219092 +asS'She is a well-developed , well-nourished female .' +p219093 +(lp219094 +S'She\tShe\tPRP\tB-NP\tO' +p219095 +aS'is\tbe\tVBZ\tB-VP\tO' +p219096 +aS'a\ta\tDT\tB-NP\tO' +p219097 +aS'well-developed\twell-developed\tJJ\tI-NP\tO' +p219098 +aS',\t,\t,\tI-NP\tO' +p219099 +aS'well-nourished\twell-nourished\tJJ\tI-NP\tO' +p219100 +aS'female\tfemale\tNN\tI-NP\tO' +p219101 +aS'.\t.\t.\tO\tO' +p219102 +asS'9. Lipitor 10 mg p.o. once per day .' +p219103 +(lp219104 +S'9.\t9.\tCD\tB-NP\tO' +p219105 +aS'Lipitor\tLipitor\tNN\tI-NP\tO' +p219106 +aS'10\t10\tCD\tB-NP\tO' +p219107 +aS'mg\tmg\tNN\tI-NP\tO' +p219108 +aS'p.o.\tp.o.\tRB\tB-ADVP\tO' +p219109 +aS'once\tonce\tRB\tI-ADVP\tO' +p219110 +aS'per\tper\tIN\tB-PP\tO' +p219111 +aS'day\tday\tNN\tB-NP\tO' +p219112 +aS'.\t.\t.\tO\tO' +p219113 +asS'Development of small loculated pleural fluid collection along the periphery of the left major fissure or so-called pseudotumor , consistent with the recent chest x-ray .' +p219114 +(lp219115 +S'Development\tDevelopment\tNN\tB-NP\tO' +p219116 +aS'of\tof\tIN\tB-PP\tO' +p219117 +aS'small\tsmall\tJJ\tB-NP\tO' +p219118 +aS'loculated\tloculate\tVBN\tI-NP\tO' +p219119 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p219120 +aS'fluid\tfluid\tNN\tI-NP\tO' +p219121 +aS'collection\tcollection\tNN\tI-NP\tO' +p219122 +aS'along\talong\tIN\tB-PP\tO' +p219123 +aS'the\tthe\tDT\tB-NP\tO' +p219124 +aS'periphery\tperiphery\tNN\tI-NP\tO' +p219125 +aS'of\tof\tIN\tB-PP\tO' +p219126 +aS'the\tthe\tDT\tB-NP\tO' +p219127 +aS'left\tleft\tJJ\tI-NP\tO' +p219128 +aS'major\tmajor\tJJ\tI-NP\tO' +p219129 +aS'fissure\tfissure\tNN\tI-NP\tO' +p219130 +aS'or\tor\tCC\tO\tO' +p219131 +aS'so-called\tso-called\tJJ\tB-NP\tO' +p219132 +aS'pseudotumor\tpseudotumor\tNN\tI-NP\tO' +p219133 +aS',\t,\t,\tO\tO' +p219134 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p219135 +aS'with\twith\tIN\tB-PP\tO' +p219136 +aS'the\tthe\tDT\tB-NP\tO' +p219137 +aS'recent\trecent\tJJ\tI-NP\tO' +p219138 +aS'chest\tchest\tNN\tI-NP\tO' +p219139 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p219140 +aS'.\t.\t.\tO\tO' +p219141 +asS'He was then referred to the CMED CCU for assessment and management of the increased bleeding .' +p219142 +(lp219143 +S'He\tHe\tPRP\tB-NP\tO' +p219144 +aS'was\tbe\tVBD\tB-VP\tO' +p219145 +aS'then\tthen\tRB\tI-VP\tO' +p219146 +aS'referred\trefer\tVBN\tI-VP\tO' +p219147 +aS'to\tto\tTO\tB-PP\tO' +p219148 +aS'the\tthe\tDT\tB-NP\tO' +p219149 +aS'CMED\tCMED\tVBN\tI-NP\tO' +p219150 +aS'CCU\tCCU\tNN\tI-NP\tO' +p219151 +aS'for\tfor\tIN\tB-PP\tO' +p219152 +aS'assessment\tassessment\tNN\tB-NP\tO' +p219153 +aS'and\tand\tCC\tI-NP\tO' +p219154 +aS'management\tmanagement\tNN\tI-NP\tO' +p219155 +aS'of\tof\tIN\tB-PP\tO' +p219156 +aS'the\tthe\tDT\tB-NP\tO' +p219157 +aS'increased\tincrease\tVBN\tI-NP\tO' +p219158 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p219159 +aS'.\t.\t.\tO\tO' +p219160 +asS'Fetal screens , O positive , antibody negative , RPR nonreactive , rubella immune , hepatitis surface antigen negative , GBS unknown .' +p219161 +(lp219162 +S'Fetal\tFetal\tJJ\tB-NP\tO' +p219163 +aS'screens\tscreen\tNNS\tI-NP\tO' +p219164 +aS',\t,\t,\tO\tO' +p219165 +aS'O\tO\tNN\tB-NP\tO' +p219166 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p219167 +aS',\t,\t,\tO\tO' +p219168 +aS'antibody\tantibody\tNN\tB-NP\tO' +p219169 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p219170 +aS',\t,\t,\tO\tO' +p219171 +aS'RPR\tRPR\tNN\tB-NP\tB-protein' +p219172 +aS'nonreactive\tnonreactive\tJJ\tB-ADJP\tO' +p219173 +aS',\t,\t,\tO\tO' +p219174 +aS'rubella\trubella\tNN\tB-NP\tO' +p219175 +aS'immune\timmune\tJJ\tB-ADJP\tO' +p219176 +aS',\t,\t,\tO\tO' +p219177 +aS'hepatitis\thepatitis\tNN\tB-NP\tB-protein' +p219178 +aS'surface\tsurface\tNN\tI-NP\tI-protein' +p219179 +aS'antigen\tantigen\tNN\tI-NP\tI-protein' +p219180 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p219181 +aS',\t,\t,\tO\tO' +p219182 +aS'GBS\tGBS\tNNP\tB-NP\tO' +p219183 +aS'unknown\tunknown\tJJ\tB-ADJP\tO' +p219184 +aS'.\t.\t.\tO\tO' +p219185 +asS'On 08/05 it was noted that his platelet count had fallen from 171,000 to 54,000 ; this was thought to be associated with intravenous Heparin and indeed , when Heparin was discontinued , since it had been restarted after surgery , his platelet count rebounded to normal .' +p219186 +(lp219187 +S'On\tOn\tIN\tB-PP\tO' +p219188 +aS'08/05\t08/05\tCD\tB-NP\tO' +p219189 +aS'it\tit\tPRP\tB-NP\tO' +p219190 +aS'was\tbe\tVBD\tB-VP\tO' +p219191 +aS'noted\tnote\tVBN\tI-VP\tO' +p219192 +aS'that\tthat\tIN\tB-SBAR\tO' +p219193 +aS'his\this\tPRP$\tB-NP\tO' +p219194 +aS'platelet\tplatelet\tNN\tI-NP\tO' +p219195 +aS'count\tcount\tNN\tI-NP\tO' +p219196 +aS'had\thave\tVBD\tB-VP\tO' +p219197 +aS'fallen\tfall\tVBN\tI-VP\tO' +p219198 +aS'from\tfrom\tIN\tB-PP\tO' +p219199 +aS'171,000\t171,000\tCD\tB-NP\tO' +p219200 +aS'to\tto\tTO\tB-PP\tO' +p219201 +aS'54,000\t54,000\tCD\tB-NP\tO' +p219202 +aS';\t;\t:\tO\tO' +p219203 +aS'this\tthis\tDT\tB-NP\tO' +p219204 +aS'was\tbe\tVBD\tB-VP\tO' +p219205 +aS'thought\tthink\tVBN\tI-VP\tO' +p219206 +aS'to\tto\tTO\tI-VP\tO' +p219207 +aS'be\tbe\tVB\tI-VP\tO' +p219208 +aS'associated\tassociate\tVBN\tI-VP\tO' +p219209 +aS'with\twith\tIN\tB-PP\tO' +p219210 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p219211 +aS'Heparin\tHeparin\tNN\tI-NP\tO' +p219212 +aS'and\tand\tCC\tO\tO' +p219213 +aS'indeed\tindeed\tRB\tB-ADVP\tO' +p219214 +aS',\t,\t,\tO\tO' +p219215 +aS'when\twhen\tWRB\tB-ADVP\tO' +p219216 +aS'Heparin\tHeparin\tNN\tB-NP\tO' +p219217 +aS'was\tbe\tVBD\tB-VP\tO' +p219218 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p219219 +aS',\t,\t,\tO\tO' +p219220 +aS'since\tsince\tIN\tB-SBAR\tO' +p219221 +aS'it\tit\tPRP\tB-NP\tO' +p219222 +aS'had\thave\tVBD\tB-VP\tO' +p219223 +aS'been\tbe\tVBN\tI-VP\tO' +p219224 +aS'restarted\trestart\tVBN\tI-VP\tO' +p219225 +aS'after\tafter\tIN\tB-PP\tO' +p219226 +aS'surgery\tsurgery\tNN\tB-NP\tO' +p219227 +aS',\t,\t,\tO\tO' +p219228 +aS'his\this\tPRP$\tB-NP\tO' +p219229 +aS'platelet\tplatelet\tNN\tI-NP\tO' +p219230 +aS'count\tcount\tNN\tI-NP\tO' +p219231 +aS'rebounded\trebound\tVBD\tB-VP\tO' +p219232 +aS'to\tto\tTO\tB-PP\tO' +p219233 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p219234 +aS'.\t.\t.\tO\tO' +p219235 +asS'She continued to have increasing respiratory distress with hypoxia .' +p219236 +(lp219237 +S'She\tShe\tPRP\tB-NP\tO' +p219238 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p219239 +aS'to\tto\tTO\tI-VP\tO' +p219240 +aS'have\thave\tVB\tI-VP\tO' +p219241 +aS'increasing\tincrease\tVBG\tI-VP\tO' +p219242 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p219243 +aS'distress\tdistress\tNN\tI-NP\tO' +p219244 +aS'with\twith\tIN\tB-PP\tO' +p219245 +aS'hypoxia\thypoxia\tNN\tB-NP\tO' +p219246 +aS'.\t.\t.\tO\tO' +p219247 +asS'Infectious disease consult was obtained and recommendation was to switch from voriconazole to itraconazole , on which there was more existing data on treatment of Acanthamoeba infection .' +p219248 +(lp219249 +S'Infectious\tInfectious\tJJ\tB-NP\tO' +p219250 +aS'disease\tdisease\tNN\tI-NP\tO' +p219251 +aS'consult\tconsult\tNN\tI-NP\tO' +p219252 +aS'was\tbe\tVBD\tB-VP\tO' +p219253 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p219254 +aS'and\tand\tCC\tO\tO' +p219255 +aS'recommendation\trecommendation\tNN\tB-NP\tO' +p219256 +aS'was\tbe\tVBD\tB-VP\tO' +p219257 +aS'to\tto\tTO\tB-VP\tO' +p219258 +aS'switch\tswitch\tVB\tI-VP\tO' +p219259 +aS'from\tfrom\tIN\tB-PP\tO' +p219260 +aS'voriconazole\tvoriconazole\tNN\tB-NP\tO' +p219261 +aS'to\tto\tTO\tB-PP\tO' +p219262 +aS'itraconazole\titraconazole\tNN\tB-NP\tO' +p219263 +aS',\t,\t,\tO\tO' +p219264 +aS'on\ton\tIN\tB-PP\tO' +p219265 +aS'which\twhich\tWDT\tB-NP\tO' +p219266 +aS'there\tthere\tEX\tB-NP\tO' +p219267 +aS'was\tbe\tVBD\tB-VP\tO' +p219268 +aS'more\tmore\tJJR\tB-NP\tO' +p219269 +aS'existing\texist\tVBG\tI-NP\tO' +p219270 +aS'data\tdatum\tNNS\tI-NP\tO' +p219271 +aS'on\ton\tIN\tB-PP\tO' +p219272 +aS'treatment\ttreatment\tNN\tB-NP\tO' +p219273 +aS'of\tof\tIN\tB-PP\tO' +p219274 +aS'Acanthamoeba\tAcanthamoeba\tNN\tB-NP\tO' +p219275 +aS'infection\tinfection\tNN\tI-NP\tO' +p219276 +aS'.\t.\t.\tO\tO' +p219277 +asS'Path consistent with renal cell carcinoma of chromophobe type with Carter nuclear grade of 4/4 .' +p219278 +(lp219279 +S'Path\tPath\tNN\tB-NP\tO' +p219280 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p219281 +aS'with\twith\tIN\tB-PP\tO' +p219282 +aS'renal\trenal\tJJ\tB-NP\tO' +p219283 +aS'cell\tcell\tNN\tI-NP\tO' +p219284 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p219285 +aS'of\tof\tIN\tB-PP\tO' +p219286 +aS'chromophobe\tchromophobe\tNN\tB-NP\tO' +p219287 +aS'type\ttype\tNN\tI-NP\tO' +p219288 +aS'with\twith\tIN\tB-PP\tO' +p219289 +aS'Carter\tCarter\tNN\tB-NP\tO' +p219290 +aS'nuclear\tnuclear\tJJ\tI-NP\tO' +p219291 +aS'grade\tgrade\tNN\tI-NP\tO' +p219292 +aS'of\tof\tIN\tB-PP\tO' +p219293 +aS'4/4\t4/4\tCD\tB-NP\tO' +p219294 +aS'.\t.\t.\tO\tO' +p219295 +asS'At Noughwell Entanbon Health , her temperature was 101 , pulse 135 , blood pressure 94/74 , respiratory rate 20 .' +p219296 +(lp219297 +S'At\tAt\tIN\tB-PP\tO' +p219298 +aS'Noughwell\tNoughwell\tNNP\tB-NP\tO' +p219299 +aS'Entanbon\tEntanbon\tNNP\tI-NP\tO' +p219300 +aS'Health\tHealth\tNNP\tI-NP\tO' +p219301 +aS',\t,\t,\tO\tO' +p219302 +aS'her\ther\tPRP$\tB-NP\tO' +p219303 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p219304 +aS'was\tbe\tVBD\tB-VP\tO' +p219305 +aS'101\t101\tCD\tB-NP\tO' +p219306 +aS',\t,\t,\tO\tO' +p219307 +aS'pulse\tpulse\tNN\tB-NP\tO' +p219308 +aS'135\t135\tCD\tI-NP\tO' +p219309 +aS',\t,\t,\tO\tO' +p219310 +aS'blood\tblood\tNN\tB-NP\tO' +p219311 +aS'pressure\tpressure\tNN\tI-NP\tO' +p219312 +aS'94/74\t94/74\tCD\tI-NP\tO' +p219313 +aS',\t,\t,\tO\tO' +p219314 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p219315 +aS'rate\trate\tNN\tI-NP\tO' +p219316 +aS'20\t20\tCD\tI-NP\tO' +p219317 +aS'.\t.\t.\tO\tO' +p219318 +asS"A Pulmonary consultation was obtained to evaluate for possible etiology of the patient 's hypotension ." +p219319 +(lp219320 +S'A\tA\tDT\tB-NP\tO' +p219321 +aS'Pulmonary\tPulmonary\tJJ\tI-NP\tO' +p219322 +aS'consultation\tconsultation\tNN\tI-NP\tO' +p219323 +aS'was\tbe\tVBD\tB-VP\tO' +p219324 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p219325 +aS'to\tto\tTO\tI-VP\tO' +p219326 +aS'evaluate\tevaluate\tVB\tI-VP\tO' +p219327 +aS'for\tfor\tIN\tB-PP\tO' +p219328 +aS'possible\tpossible\tJJ\tB-NP\tO' +p219329 +aS'etiology\tetiology\tNN\tI-NP\tO' +p219330 +aS'of\tof\tIN\tB-PP\tO' +p219331 +aS'the\tthe\tDT\tB-NP\tO' +p219332 +aS'patient\tpatient\tNN\tI-NP\tO' +p219333 +aS"'s\t's\tPOS\tB-NP\tO" +p219334 +aS'hypotension\thypotension\tNN\tI-NP\tO' +p219335 +aS'.\t.\t.\tO\tO' +p219336 +asS'4. Bilateral renal cysts .' +p219337 +(lp219338 +S'4.\t4.\tLS\tB-NP\tO' +p219339 +aS'Bilateral\tBilateral\tJJ\tI-NP\tO' +p219340 +aS'renal\trenal\tJJ\tI-NP\tO' +p219341 +aS'cysts\tcyst\tNNS\tI-NP\tO' +p219342 +aS'.\t.\t.\tO\tO' +p219343 +asS'Last menstrual period was at age fifty , the patient is not on hormonal replacement and she has a four history of uterine prolapse .' +p219344 +(lp219345 +S'Last\tLast\tJJ\tB-NP\tO' +p219346 +aS'menstrual\tmenstrual\tJJ\tI-NP\tO' +p219347 +aS'period\tperiod\tNN\tI-NP\tO' +p219348 +aS'was\tbe\tVBD\tB-VP\tO' +p219349 +aS'at\tat\tIN\tB-PP\tO' +p219350 +aS'age\tage\tNN\tB-NP\tO' +p219351 +aS'fifty\tfifty\tCD\tI-NP\tO' +p219352 +aS',\t,\t,\tO\tO' +p219353 +aS'the\tthe\tDT\tB-NP\tO' +p219354 +aS'patient\tpatient\tNN\tI-NP\tO' +p219355 +aS'is\tbe\tVBZ\tB-VP\tO' +p219356 +aS'not\tnot\tRB\tO\tO' +p219357 +aS'on\ton\tIN\tB-PP\tO' +p219358 +aS'hormonal\thormonal\tJJ\tB-NP\tO' +p219359 +aS'replacement\treplacement\tNN\tI-NP\tO' +p219360 +aS'and\tand\tCC\tO\tO' +p219361 +aS'she\tshe\tPRP\tB-NP\tO' +p219362 +aS'has\thave\tVBZ\tB-VP\tO' +p219363 +aS'a\ta\tDT\tB-NP\tO' +p219364 +aS'four\tfour\tCD\tI-NP\tO' +p219365 +aS'history\thistory\tNN\tI-NP\tO' +p219366 +aS'of\tof\tIN\tB-PP\tO' +p219367 +aS'uterine\tuterine\tJJ\tB-NP\tO' +p219368 +aS'prolapse\tprolapse\tNN\tI-NP\tO' +p219369 +aS'.\t.\t.\tO\tO' +p219370 +asS'White count 4.1 , hematocrit 23 , platelets 144 .' +p219371 +(lp219372 +S'White\tWhite\tJJ\tB-NP\tO' +p219373 +aS'count\tcount\tNN\tI-NP\tO' +p219374 +aS'4.1\t4.1\tNN\tI-NP\tO' +p219375 +aS',\t,\t,\tO\tO' +p219376 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p219377 +aS'23\t23\tCD\tI-NP\tI-protein' +p219378 +aS',\t,\t,\tO\tO' +p219379 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p219380 +aS'144\t144\tCD\tB-NP\tO' +p219381 +aS'.\t.\t.\tO\tO' +p219382 +asS'Her pacer wires in correct position .' +p219383 +(lp219384 +S'Her\tHer\tPRP$\tB-NP\tO' +p219385 +aS'pacer\tpacer\tNN\tI-NP\tO' +p219386 +aS'wires\twire\tVBZ\tB-VP\tO' +p219387 +aS'in\tin\tIN\tB-PP\tO' +p219388 +aS'correct\tcorrect\tJJ\tB-NP\tO' +p219389 +aS'position\tposition\tNN\tI-NP\tO' +p219390 +aS'.\t.\t.\tO\tO' +p219391 +asS'mylanta 15 cc mixed with Viscous lidocaine every 8 hours if needed for severe pain only can use mylanta without lidocaine more frequently bland diet , no caffeine , chilli , or alcohol ...' +p219392 +(lp219393 +S'mylanta\tmylanta\tSYM\tO\tO' +p219394 +aS'15\t15\tCD\tB-NP\tO' +p219395 +aS'cc\tcc\tNN\tI-NP\tO' +p219396 +aS'mixed\tmix\tVBN\tB-VP\tO' +p219397 +aS'with\twith\tIN\tB-PP\tO' +p219398 +aS'Viscous\tViscous\tJJ\tB-NP\tO' +p219399 +aS'lidocaine\tlidocaine\tNN\tI-NP\tO' +p219400 +aS'every\tevery\tDT\tB-NP\tO' +p219401 +aS'8\t8\tCD\tI-NP\tO' +p219402 +aS'hours\thour\tNNS\tI-NP\tO' +p219403 +aS'if\tif\tIN\tB-SBAR\tO' +p219404 +aS'needed\tneed\tVBN\tB-VP\tO' +p219405 +aS'for\tfor\tIN\tB-PP\tO' +p219406 +aS'severe\tsevere\tJJ\tB-NP\tO' +p219407 +aS'pain\tpain\tNN\tI-NP\tO' +p219408 +aS'only\tonly\tRB\tB-ADVP\tO' +p219409 +aS'can\tcan\tMD\tB-VP\tO' +p219410 +aS'use\tuse\tVB\tI-VP\tO' +p219411 +aS'mylanta\tmylanta\tNN\tB-NP\tO' +p219412 +aS'without\twithout\tIN\tB-PP\tO' +p219413 +aS'lidocaine\tlidocaine\tNN\tB-NP\tO' +p219414 +aS'more\tmore\tRBR\tB-ADVP\tO' +p219415 +aS'frequently\tfrequently\tRB\tI-ADVP\tO' +p219416 +aS'bland\tbland\tVB\tB-VP\tO' +p219417 +aS'diet\tdiet\tNN\tB-NP\tO' +p219418 +aS',\t,\t,\tO\tO' +p219419 +aS'no\tno\tDT\tB-NP\tO' +p219420 +aS'caffeine\tcaffeine\tNN\tI-NP\tO' +p219421 +aS',\t,\t,\tO\tO' +p219422 +aS'chilli\tchilli\tNNS\tB-NP\tO' +p219423 +aS',\t,\t,\tO\tO' +p219424 +aS'or\tor\tCC\tO\tO' +p219425 +aS'alcohol\talcohol\tNN\tB-NP\tO' +p219426 +aS'...\t...\t:\tO\tO' +p219427 +asS'Take 2 hours before or 2 hours after dairy products .' +p219428 +(lp219429 +S'Take\tTake\tVB\tB-VP\tO' +p219430 +aS'2\t2\tCD\tB-NP\tO' +p219431 +aS'hours\thour\tNNS\tI-NP\tO' +p219432 +aS'before\tbefore\tIN\tB-PP\tO' +p219433 +aS'or\tor\tCC\tB-NP\tO' +p219434 +aS'2\t2\tCD\tI-NP\tO' +p219435 +aS'hours\thour\tNNS\tI-NP\tO' +p219436 +aS'after\tafter\tIN\tB-PP\tO' +p219437 +aS'dairy\tdairy\tNN\tB-NP\tO' +p219438 +aS'products\tproduct\tNNS\tI-NP\tO' +p219439 +aS'.\t.\t.\tO\tO' +p219440 +asS'Positioning limits assessment of alignment due to extreme head tilting to the right , but this is likely the best obtainable secondary to intubation and nasogastric tube placement .' +p219441 +(lp219442 +S'Positioning\tPosition\tVBG\tB-VP\tO' +p219443 +aS'limits\tlimit\tNNS\tB-NP\tO' +p219444 +aS'assessment\tassessment\tNN\tI-NP\tO' +p219445 +aS'of\tof\tIN\tB-PP\tO' +p219446 +aS'alignment\talignment\tNN\tB-NP\tO' +p219447 +aS'due\tdue\tJJ\tB-ADJP\tO' +p219448 +aS'to\tto\tTO\tB-PP\tO' +p219449 +aS'extreme\textreme\tJJ\tB-NP\tO' +p219450 +aS'head\thead\tNN\tI-NP\tO' +p219451 +aS'tilting\ttilt\tVBG\tB-VP\tO' +p219452 +aS'to\tto\tTO\tB-PP\tO' +p219453 +aS'the\tthe\tDT\tB-NP\tO' +p219454 +aS'right\tright\tNN\tI-NP\tO' +p219455 +aS',\t,\t,\tO\tO' +p219456 +aS'but\tbut\tCC\tO\tO' +p219457 +aS'this\tthis\tDT\tB-NP\tO' +p219458 +aS'is\tbe\tVBZ\tB-VP\tO' +p219459 +aS'likely\tlikely\tRB\tB-ADJP\tO' +p219460 +aS'the\tthe\tDT\tB-NP\tO' +p219461 +aS'best\tgood\tJJS\tI-NP\tO' +p219462 +aS'obtainable\tobtainable\tJJ\tI-NP\tO' +p219463 +aS'secondary\tsecondary\tJJ\tI-NP\tO' +p219464 +aS'to\tto\tTO\tB-PP\tO' +p219465 +aS'intubation\tintubation\tNN\tB-NP\tO' +p219466 +aS'and\tand\tCC\tO\tO' +p219467 +aS'nasogastric\tnasogastric\tJJ\tB-NP\tO' +p219468 +aS'tube\ttube\tNN\tI-NP\tO' +p219469 +aS'placement\tplacement\tNN\tI-NP\tO' +p219470 +aS'.\t.\t.\tO\tO' +p219471 +asS'Abd : normal size , nd , no scars , nl bs , soft , nt , palp liver' +p219472 +(lp219473 +S'Abd\tAbd\tNN\tB-NP\tO' +p219474 +aS':\t:\t:\tO\tO' +p219475 +aS'normal\tnormal\tJJ\tB-NP\tO' +p219476 +aS'size\tsize\tNN\tI-NP\tO' +p219477 +aS',\t,\t,\tO\tO' +p219478 +aS'nd\tnd\tNN\tB-NP\tO' +p219479 +aS',\t,\t,\tO\tO' +p219480 +aS'no\tno\tDT\tB-NP\tO' +p219481 +aS'scars\tscar\tNNS\tI-NP\tO' +p219482 +aS',\t,\t,\tO\tO' +p219483 +aS'nl\tnl\tNN\tB-NP\tO' +p219484 +aS'bs\tb\tNNS\tI-NP\tO' +p219485 +aS',\t,\t,\tO\tO' +p219486 +aS'soft\tsoft\tJJ\tB-NP\tO' +p219487 +aS',\t,\t,\tI-NP\tO' +p219488 +aS'nt\tnt\tNN\tI-NP\tO' +p219489 +aS',\t,\t,\tO\tO' +p219490 +aS'palp\tpalp\tNN\tB-NP\tO' +p219491 +aS'liver\tliver\tNN\tI-NP\tO' +p219492 +asS'8. Colace 100 mg p.o. twice a day .' +p219493 +(lp219494 +S'8.\t8.\tCD\tB-NP\tO' +p219495 +aS'Colace\tColace\tNNP\tI-NP\tO' +p219496 +aS'100\t100\tCD\tI-NP\tO' +p219497 +aS'mg\tmg\tNN\tI-NP\tO' +p219498 +aS'p.o.\tp.o.\tRB\tB-NP\tO' +p219499 +aS'twice\ttwice\tRB\tI-NP\tO' +p219500 +aS'a\ta\tDT\tI-NP\tO' +p219501 +aS'day\tday\tNN\tI-NP\tO' +p219502 +aS'.\t.\t.\tO\tO' +p219503 +asS'Soon after transfer , patient had a large post partum hemorrhage .' +p219504 +(lp219505 +S'Soon\tSoon\tRB\tB-ADVP\tO' +p219506 +aS'after\tafter\tIN\tB-PP\tO' +p219507 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p219508 +aS',\t,\t,\tO\tO' +p219509 +aS'patient\tpatient\tNN\tB-NP\tO' +p219510 +aS'had\thave\tVBD\tB-VP\tO' +p219511 +aS'a\ta\tDT\tB-NP\tO' +p219512 +aS'large\tlarge\tJJ\tI-NP\tO' +p219513 +aS'post\tpost\tNN\tI-NP\tO' +p219514 +aS'partum\tpartum\tNN\tI-NP\tO' +p219515 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p219516 +aS'.\t.\t.\tO\tO' +p219517 +asS'She was transferred here for further care .' +p219518 +(lp219519 +S'She\tShe\tPRP\tB-NP\tO' +p219520 +aS'was\tbe\tVBD\tB-VP\tO' +p219521 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p219522 +aS'here\there\tRB\tB-ADVP\tO' +p219523 +aS'for\tfor\tIN\tB-PP\tO' +p219524 +aS'further\tfurther\tJJ\tB-NP\tO' +p219525 +aS'care\tcare\tNN\tI-NP\tO' +p219526 +aS'.\t.\t.\tO\tO' +p219527 +asS"However , when asked if she thinks he would want comfort measures even if it meant that his respiratory status would worsen , the pt 's daughter says that he would not ." +p219528 +(lp219529 +S'However\tHowever\tRB\tB-ADVP\tO' +p219530 +aS',\t,\t,\tO\tO' +p219531 +aS'when\twhen\tWRB\tB-ADVP\tO' +p219532 +aS'asked\task\tVBN\tB-VP\tO' +p219533 +aS'if\tif\tIN\tB-SBAR\tO' +p219534 +aS'she\tshe\tPRP\tB-NP\tO' +p219535 +aS'thinks\tthink\tVBZ\tB-VP\tO' +p219536 +aS'he\the\tPRP\tB-NP\tO' +p219537 +aS'would\twould\tMD\tB-VP\tO' +p219538 +aS'want\twant\tVB\tI-VP\tO' +p219539 +aS'comfort\tcomfort\tNN\tB-NP\tO' +p219540 +aS'measures\tmeasure\tNNS\tI-NP\tO' +p219541 +aS'even\teven\tRB\tB-SBAR\tO' +p219542 +aS'if\tif\tIN\tI-SBAR\tO' +p219543 +aS'it\tit\tPRP\tB-NP\tO' +p219544 +aS'meant\tmean\tVBD\tB-VP\tO' +p219545 +aS'that\tthat\tIN\tB-SBAR\tO' +p219546 +aS'his\this\tPRP$\tB-NP\tO' +p219547 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p219548 +aS'status\tstatus\tNN\tI-NP\tO' +p219549 +aS'would\twould\tMD\tB-VP\tO' +p219550 +aS'worsen\tworsen\tVB\tI-VP\tO' +p219551 +aS',\t,\t,\tO\tO' +p219552 +aS'the\tthe\tDT\tB-NP\tO' +p219553 +aS'pt\tpt\tNN\tI-NP\tO' +p219554 +aS"'s\t's\tPOS\tB-NP\tO" +p219555 +aS'daughter\tdaughter\tNN\tI-NP\tO' +p219556 +aS'says\tsay\tVBZ\tB-VP\tO' +p219557 +aS'that\tthat\tIN\tB-SBAR\tO' +p219558 +aS'he\the\tPRP\tB-NP\tO' +p219559 +aS'would\twould\tMD\tB-VP\tO' +p219560 +aS'not\tnot\tRB\tO\tO' +p219561 +aS'.\t.\t.\tO\tO' +p219562 +asS'Her vaginal pack was removed on the second postoperative day as well as the Foley catheter .' +p219563 +(lp219564 +S'Her\tHer\tPRP$\tB-NP\tO' +p219565 +aS'vaginal\tvaginal\tJJ\tI-NP\tO' +p219566 +aS'pack\tpack\tNN\tI-NP\tO' +p219567 +aS'was\tbe\tVBD\tB-VP\tO' +p219568 +aS'removed\tremove\tVBN\tI-VP\tO' +p219569 +aS'on\ton\tIN\tB-PP\tO' +p219570 +aS'the\tthe\tDT\tB-NP\tO' +p219571 +aS'second\tsecond\tJJ\tI-NP\tO' +p219572 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p219573 +aS'day\tday\tNN\tI-NP\tO' +p219574 +aS'as\tas\tRB\tB-CONJP\tO' +p219575 +aS'well\twell\tRB\tI-CONJP\tO' +p219576 +aS'as\tas\tIN\tI-CONJP\tO' +p219577 +aS'the\tthe\tDT\tB-NP\tO' +p219578 +aS'Foley\tFoley\tNNP\tI-NP\tO' +p219579 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p219580 +aS'.\t.\t.\tO\tO' +p219581 +asS'She also underwent US that revealed patent portal and hepatic vessels .' +p219582 +(lp219583 +S'She\tShe\tPRP\tB-NP\tO' +p219584 +aS'also\talso\tRB\tB-ADVP\tO' +p219585 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p219586 +aS'US\tUS\tNNP\tB-NP\tO' +p219587 +aS'that\tthat\tWDT\tB-NP\tO' +p219588 +aS'revealed\treveal\tVBD\tB-VP\tO' +p219589 +aS'patent\tpatent\tNN\tB-NP\tO' +p219590 +aS'portal\tportal\tJJ\tI-NP\tO' +p219591 +aS'and\tand\tCC\tI-NP\tO' +p219592 +aS'hepatic\thepatic\tJJ\tI-NP\tB-cell_type' +p219593 +aS'vessels\tvessel\tNNS\tI-NP\tI-cell_type' +p219594 +aS'.\t.\t.\tO\tO' +p219595 +asS'Extremities show no edema , 2+ dorsalis pedis ,' +p219596 +(lp219597 +S'Extremities\tExtremity\tNNS\tB-NP\tO' +p219598 +aS'show\tshow\tVBP\tB-VP\tO' +p219599 +aS'no\tno\tDT\tB-NP\tO' +p219600 +aS'edema\tedema\tNN\tI-NP\tO' +p219601 +aS',\t,\t,\tO\tO' +p219602 +aS'2+\t2+\tJJ\tB-NP\tO' +p219603 +aS'dorsalis\tdorsalis\tNN\tI-NP\tO' +p219604 +aS'pedis\tpedis\tNN\tI-NP\tO' +p219605 +aS',\t,\t,\tO\tO' +p219606 +asS'There are complex (> 4 mm ) atheroma in the descending thoracic aorta .' +p219607 +(lp219608 +S'There\tThere\tEX\tB-NP\tO' +p219609 +aS'are\tbe\tVBP\tB-VP\tO' +p219610 +aS'complex\tcomplex\tJJ\tB-NP\tO' +p219611 +aS'(>\t(>\tSYM\tI-NP\tO' +p219612 +aS'4\t4\tCD\tI-NP\tO' +p219613 +aS'mm\tmm\tNN\tI-NP\tO' +p219614 +aS')\t)\t)\tO\tO' +p219615 +aS'atheroma\tatheroma\tNN\tB-NP\tO' +p219616 +aS'in\tin\tIN\tB-PP\tO' +p219617 +aS'the\tthe\tDT\tB-NP\tO' +p219618 +aS'descending\tdescend\tVBG\tI-NP\tO' +p219619 +aS'thoracic\tthoracic\tJJ\tI-NP\tO' +p219620 +aS'aorta\taorta\tNN\tI-NP\tO' +p219621 +aS'.\t.\t.\tO\tO' +p219622 +asS'xray - no evidence of fracture' +p219623 +(lp219624 +S'xray\txray\tSYM\tB-NP\tO' +p219625 +aS'-\t-\t:\tO\tO' +p219626 +aS'no\tno\tDT\tB-NP\tO' +p219627 +aS'evidence\tevidence\tNN\tI-NP\tO' +p219628 +aS'of\tof\tIN\tB-PP\tO' +p219629 +aS'fracture\tfracture\tNN\tB-NP\tO' +p219630 +asS'17. Protonix 40 mg Tablet , Delayed Release ( E.C. ) Sig : One ( 1 ) Tablet , Delayed Release ( E.C. ) PO twice a day .' +p219631 +(lp219632 +S'17.\t17.\tCD\tB-NP\tO' +p219633 +aS'Protonix\tProtonix\tNNP\tI-NP\tO' +p219634 +aS'40\t40\tCD\tI-NP\tO' +p219635 +aS'mg\tmg\tNN\tI-NP\tO' +p219636 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p219637 +aS',\t,\t,\tO\tO' +p219638 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p219639 +aS'Release\tRelease\tNNP\tI-NP\tO' +p219640 +aS'(\t(\t(\tO\tO' +p219641 +aS'E.C.\tE.C.\tNNP\tB-NP\tO' +p219642 +aS')\t)\t)\tO\tO' +p219643 +aS'Sig\tSig\tNNP\tB-NP\tO' +p219644 +aS':\t:\t:\tO\tO' +p219645 +aS'One\tOne\tCD\tB-NP\tO' +p219646 +aS'(\t(\t(\tO\tO' +p219647 +aS'1\t1\tCD\tB-NP\tO' +p219648 +aS')\t)\t)\tO\tO' +p219649 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p219650 +aS',\t,\t,\tO\tO' +p219651 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p219652 +aS'Release\tRelease\tNNP\tI-NP\tO' +p219653 +aS'(\t(\t(\tO\tO' +p219654 +aS'E.C.\tE.C.\tNNP\tO\tO' +p219655 +aS')\t)\t)\tO\tO' +p219656 +aS'PO\tPO\tNN\tB-NP\tO' +p219657 +aS'twice\ttwice\tRB\tB-NP\tO' +p219658 +aS'a\ta\tDT\tI-NP\tO' +p219659 +aS'day\tday\tNN\tI-NP\tO' +p219660 +aS'.\t.\t.\tO\tO' +p219661 +asS'5. Pulmonary emboli .' +p219662 +(lp219663 +S'5.\t5.\tLS\tB-NP\tO' +p219664 +aS'Pulmonary\tPulmonary\tNNP\tI-NP\tO' +p219665 +aS'emboli\temboli\tNNP\tI-NP\tO' +p219666 +aS'.\t.\t.\tO\tO' +p219667 +asS'1. No evidence of pulmonary embolism .' +p219668 +(lp219669 +S'1.\t1.\tLS\tB-LST\tO' +p219670 +aS'No\tNo\tDT\tB-NP\tO' +p219671 +aS'evidence\tevidence\tNN\tI-NP\tO' +p219672 +aS'of\tof\tIN\tB-PP\tO' +p219673 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p219674 +aS'embolism\tembolism\tNN\tI-NP\tO' +p219675 +aS'.\t.\t.\tO\tO' +p219676 +asS'Is significant for a father who had a stroke and also suffered from hypertension .' +p219677 +(lp219678 +S'Is\tBe\tVBZ\tO\tO' +p219679 +aS'significant\tsignificant\tJJ\tB-ADJP\tO' +p219680 +aS'for\tfor\tIN\tB-PP\tO' +p219681 +aS'a\ta\tDT\tB-NP\tO' +p219682 +aS'father\tfather\tNN\tI-NP\tO' +p219683 +aS'who\twho\tWP\tB-NP\tO' +p219684 +aS'had\thave\tVBD\tB-VP\tO' +p219685 +aS'a\ta\tDT\tB-NP\tO' +p219686 +aS'stroke\tstroke\tNN\tI-NP\tO' +p219687 +aS'and\tand\tCC\tO\tO' +p219688 +aS'also\talso\tRB\tB-ADVP\tO' +p219689 +aS'suffered\tsuffer\tVBD\tB-VP\tO' +p219690 +aS'from\tfrom\tIN\tB-PP\tO' +p219691 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p219692 +aS'.\t.\t.\tO\tO' +p219693 +asS'decrease breath sounds bases .' +p219694 +(lp219695 +S'decrease\tdecrease\tNN\tB-NP\tO' +p219696 +aS'breath\tbreath\tNN\tI-NP\tO' +p219697 +aS'sounds\tsound\tVBZ\tB-VP\tO' +p219698 +aS'bases\tbase\tNNS\tB-NP\tO' +p219699 +aS'.\t.\t.\tO\tO' +p219700 +asS'Abdominal CT revealed a 3.0 to 4.0 centimeter lesion in the pancreatic head .' +p219701 +(lp219702 +S'Abdominal\tAbdominal\tJJ\tB-NP\tO' +p219703 +aS'CT\tCT\tNN\tI-NP\tO' +p219704 +aS'revealed\treveal\tVBD\tB-VP\tO' +p219705 +aS'a\ta\tDT\tB-NP\tO' +p219706 +aS'3.0\t3.0\tCD\tI-NP\tO' +p219707 +aS'to\tto\tTO\tI-NP\tO' +p219708 +aS'4.0\t4.0\tCD\tI-NP\tO' +p219709 +aS'centimeter\tcentimeter\tNN\tI-NP\tO' +p219710 +aS'lesion\tlesion\tNN\tI-NP\tO' +p219711 +aS'in\tin\tIN\tB-PP\tO' +p219712 +aS'the\tthe\tDT\tB-NP\tO' +p219713 +aS'pancreatic\tpancreatic\tJJ\tI-NP\tO' +p219714 +aS'head\thead\tNN\tI-NP\tO' +p219715 +aS'.\t.\t.\tO\tO' +p219716 +asS'Disp :* 30 Tablet Sustained Release 24 hr (s)* Refills :* 0 *' +p219717 +(lp219718 +S'Disp\tDisp\tNN\tB-NP\tO' +p219719 +aS':*\t:*\tSYM\tI-NP\tO' +p219720 +aS'30\t30\tCD\tI-NP\tO' +p219721 +aS'Tablet\tTablet\tNN\tI-NP\tO' +p219722 +aS'Sustained\tSustain\tVBD\tB-VP\tO' +p219723 +aS'Release\tRelease\tNN\tB-NP\tO' +p219724 +aS'24\t24\tCD\tI-NP\tO' +p219725 +aS'hr\thr\tNN\tI-NP\tO' +p219726 +aS'(s)*\t(s)*\tSYM\tB-NP\tO' +p219727 +aS'Refills\tRefill\tNNPS\tI-NP\tO' +p219728 +aS':*\t:*\tSYM\tI-NP\tO' +p219729 +aS'0\t0\tCD\tI-NP\tO' +p219730 +aS'*\t*\tSYM\tB-NP\tO' +p219731 +asS'Pink and well perfused .' +p219732 +(lp219733 +S'Pink\tPink\tNNP\tB-NP\tO' +p219734 +aS'and\tand\tCC\tO\tO' +p219735 +aS'well\twell\tRB\tB-ADJP\tO' +p219736 +aS'perfused\tperfuse\tVBN\tI-ADJP\tO' +p219737 +aS'.\t.\t.\tO\tO' +p219738 +asS'The symptoms were associated with diaphoresis and shortness of breath but no nausea or vomiting .' +p219739 +(lp219740 +S'The\tThe\tDT\tB-NP\tO' +p219741 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p219742 +aS'were\tbe\tVBD\tB-VP\tO' +p219743 +aS'associated\tassociate\tVBN\tI-VP\tO' +p219744 +aS'with\twith\tIN\tB-PP\tO' +p219745 +aS'diaphoresis\tdiaphoresis\tNN\tB-NP\tO' +p219746 +aS'and\tand\tCC\tI-NP\tO' +p219747 +aS'shortness\tshortness\tNN\tI-NP\tO' +p219748 +aS'of\tof\tIN\tB-PP\tO' +p219749 +aS'breath\tbreath\tNN\tB-NP\tO' +p219750 +aS'but\tbut\tCC\tO\tO' +p219751 +aS'no\tno\tDT\tB-NP\tO' +p219752 +aS'nausea\tnausea\tNN\tI-NP\tO' +p219753 +aS'or\tor\tCC\tI-NP\tO' +p219754 +aS'vomiting\tvomiting\tNN\tI-NP\tO' +p219755 +aS'.\t.\t.\tO\tO' +p219756 +asS'She was also placed on on low dose spironolactone as a K sparing diuretic and for BP control in addition to Toprol XL 25 mg QD for her coronary disease .' +p219757 +(lp219758 +S'She\tShe\tPRP\tB-NP\tO' +p219759 +aS'was\tbe\tVBD\tB-VP\tO' +p219760 +aS'also\talso\tRB\tI-VP\tO' +p219761 +aS'placed\tplace\tVBN\tI-VP\tO' +p219762 +aS'on\ton\tRP\tB-PRT\tO' +p219763 +aS'on\ton\tIN\tB-PP\tO' +p219764 +aS'low\tlow\tJJ\tB-NP\tO' +p219765 +aS'dose\tdose\tNN\tI-NP\tO' +p219766 +aS'spironolactone\tspironolactone\tNN\tI-NP\tO' +p219767 +aS'as\tas\tIN\tB-PP\tO' +p219768 +aS'a\ta\tDT\tB-NP\tO' +p219769 +aS'K\tK\tNN\tI-NP\tO' +p219770 +aS'sparing\tspar\tVBG\tB-VP\tO' +p219771 +aS'diuretic\tdiuretic\tJJ\tB-ADJP\tO' +p219772 +aS'and\tand\tCC\tO\tO' +p219773 +aS'for\tfor\tIN\tB-PP\tO' +p219774 +aS'BP\tBP\tNN\tB-NP\tO' +p219775 +aS'control\tcontrol\tNN\tI-NP\tO' +p219776 +aS'in\tin\tIN\tB-PP\tO' +p219777 +aS'addition\taddition\tNN\tB-NP\tO' +p219778 +aS'to\tto\tTO\tB-PP\tO' +p219779 +aS'Toprol\tToprol\tNN\tB-NP\tO' +p219780 +aS'XL\tXL\tNN\tI-NP\tO' +p219781 +aS'25\t25\tCD\tI-NP\tO' +p219782 +aS'mg\tmg\tNN\tI-NP\tO' +p219783 +aS'QD\tQD\tNN\tI-NP\tO' +p219784 +aS'for\tfor\tIN\tB-PP\tO' +p219785 +aS'her\ther\tPRP$\tB-NP\tO' +p219786 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p219787 +aS'disease\tdisease\tNN\tI-NP\tO' +p219788 +aS'.\t.\t.\tO\tO' +p219789 +asS'18. Alteplase for catheter clearance 2 mg IV once times one dose for indwelling PermCath .' +p219790 +(lp219791 +S'18.\t18.\tLS\tB-NP\tO' +p219792 +aS'Alteplase\tAlteplase\tNN\tI-NP\tB-protein' +p219793 +aS'for\tfor\tIN\tB-PP\tO' +p219794 +aS'catheter\tcatheter\tNN\tB-NP\tB-protein' +p219795 +aS'clearance\tclearance\tNN\tI-NP\tI-protein' +p219796 +aS'2\t2\tCD\tI-NP\tI-protein' +p219797 +aS'mg\tmg\tNN\tI-NP\tI-protein' +p219798 +aS'IV\tIV\tCD\tB-NP\tI-protein' +p219799 +aS'once\tonce\tIN\tB-SBAR\tO' +p219800 +aS'times\ttime\tNNS\tB-NP\tO' +p219801 +aS'one\tone\tCD\tB-NP\tO' +p219802 +aS'dose\tdose\tNN\tI-NP\tO' +p219803 +aS'for\tfor\tIN\tB-PP\tO' +p219804 +aS'indwelling\tindwell\tVBG\tB-VP\tO' +p219805 +aS'PermCath\tPermCath\tNN\tB-NP\tO' +p219806 +aS'.\t.\t.\tO\tO' +p219807 +asS'Degenerative changes including multilevel central spinal stenosis .' +p219808 +(lp219809 +S'Degenerative\tDegenerative\tJJ\tB-NP\tO' +p219810 +aS'changes\tchange\tNNS\tI-NP\tO' +p219811 +aS'including\tinclude\tVBG\tB-PP\tO' +p219812 +aS'multilevel\tmultilevel\tJJ\tB-NP\tO' +p219813 +aS'central\tcentral\tJJ\tI-NP\tO' +p219814 +aS'spinal\tspinal\tJJ\tI-NP\tO' +p219815 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p219816 +aS'.\t.\t.\tO\tO' +p219817 +asS'You will be contacted by the gastrointestinal doctors Pat Barrow the removal of your biliary stent in 6 weeks .' +p219818 +(lp219819 +S'You\tYou\tPRP\tB-NP\tB-protein' +p219820 +aS'will\twill\tMD\tB-VP\tO' +p219821 +aS'be\tbe\tVB\tI-VP\tO' +p219822 +aS'contacted\tcontact\tVBN\tI-VP\tO' +p219823 +aS'by\tby\tIN\tB-PP\tO' +p219824 +aS'the\tthe\tDT\tB-NP\tO' +p219825 +aS'gastrointestinal\tgastrointestinal\tJJ\tI-NP\tO' +p219826 +aS'doctors\tdoctor\tNNS\tI-NP\tO' +p219827 +aS'Pat\tPat\tNNP\tI-NP\tO' +p219828 +aS'Barrow\tBarrow\tNNP\tI-NP\tO' +p219829 +aS'the\tthe\tDT\tB-NP\tO' +p219830 +aS'removal\tremoval\tNN\tI-NP\tO' +p219831 +aS'of\tof\tIN\tB-PP\tO' +p219832 +aS'your\tyour\tPRP$\tB-NP\tO' +p219833 +aS'biliary\tbiliary\tJJ\tI-NP\tO' +p219834 +aS'stent\tstent\tNN\tI-NP\tO' +p219835 +aS'in\tin\tIN\tB-PP\tO' +p219836 +aS'6\t6\tCD\tB-NP\tO' +p219837 +aS'weeks\tweek\tNNS\tI-NP\tO' +p219838 +aS'.\t.\t.\tO\tO' +p219839 +asS'According to the family this iansicoria was old .' +p219840 +(lp219841 +S'According\tAccord\tVBG\tB-PP\tO' +p219842 +aS'to\tto\tTO\tB-PP\tO' +p219843 +aS'the\tthe\tDT\tB-NP\tO' +p219844 +aS'family\tfamily\tNN\tI-NP\tO' +p219845 +aS'this\tthis\tDT\tB-NP\tO' +p219846 +aS'iansicoria\tiansicoria\tNN\tI-NP\tO' +p219847 +aS'was\tbe\tVBD\tB-VP\tO' +p219848 +aS'old\told\tJJ\tB-ADJP\tO' +p219849 +aS'.\t.\t.\tO\tO' +p219850 +asS'A chest X-ray documented a progressing left lower lobe infiltrate .' +p219851 +(lp219852 +S'A\tA\tDT\tB-NP\tO' +p219853 +aS'chest\tchest\tNN\tI-NP\tO' +p219854 +aS'X-ray\tX-ray\tNN\tI-NP\tO' +p219855 +aS'documented\tdocument\tVBD\tB-VP\tO' +p219856 +aS'a\ta\tDT\tB-NP\tO' +p219857 +aS'progressing\tprogressing\tNN\tI-NP\tO' +p219858 +aS'left\tleave\tVBD\tB-VP\tO' +p219859 +aS'lower\tlow\tJJR\tB-NP\tO' +p219860 +aS'lobe\tlobe\tNN\tI-NP\tO' +p219861 +aS'infiltrate\tinfiltrate\tNN\tI-NP\tO' +p219862 +aS'.\t.\t.\tO\tO' +p219863 +asS'5. Feeding jejunostomy .' +p219864 +(lp219865 +S'5.\t5.\tLS\tB-NP\tO' +p219866 +aS'Feeding\tFeeding\tNN\tI-NP\tO' +p219867 +aS'jejunostomy\tjejunostomy\tNN\tI-NP\tO' +p219868 +aS'.\t.\t.\tO\tO' +p219869 +asS'The patient is instructed to not shower or bath until one week .' +p219870 +(lp219871 +S'The\tThe\tDT\tB-NP\tO' +p219872 +aS'patient\tpatient\tNN\tI-NP\tO' +p219873 +aS'is\tbe\tVBZ\tB-VP\tO' +p219874 +aS'instructed\tinstruct\tVBN\tI-VP\tO' +p219875 +aS'to\tto\tTO\tB-VP\tO' +p219876 +aS'not\tnot\tRB\tI-VP\tO' +p219877 +aS'shower\tshower\tVB\tI-VP\tO' +p219878 +aS'or\tor\tCC\tO\tO' +p219879 +aS'bath\tbath\tNN\tB-NP\tO' +p219880 +aS'until\tuntil\tIN\tB-SBAR\tO' +p219881 +aS'one\tone\tCD\tB-NP\tO' +p219882 +aS'week\tweek\tNN\tI-NP\tO' +p219883 +aS'.\t.\t.\tO\tO' +p219884 +asS'No sign of infeciton at this time .' +p219885 +(lp219886 +S'No\tNo\tDT\tB-NP\tO' +p219887 +aS'sign\tsign\tNN\tI-NP\tO' +p219888 +aS'of\tof\tIN\tB-PP\tO' +p219889 +aS'infeciton\tinfeciton\tNN\tB-NP\tO' +p219890 +aS'at\tat\tIN\tB-PP\tO' +p219891 +aS'this\tthis\tDT\tB-NP\tO' +p219892 +aS'time\ttime\tNN\tI-NP\tO' +p219893 +aS'.\t.\t.\tO\tO' +p219894 +asS'ID was consulted for both the abd abcess and possible meningitis given the large amount of wbc in the csf cultures .' +p219895 +(lp219896 +S'ID\tID\tNN\tB-NP\tO' +p219897 +aS'was\tbe\tVBD\tB-VP\tO' +p219898 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p219899 +aS'for\tfor\tIN\tB-PP\tO' +p219900 +aS'both\tboth\tCC\tO\tO' +p219901 +aS'the\tthe\tDT\tB-NP\tO' +p219902 +aS'abd\tabd\tNN\tI-NP\tO' +p219903 +aS'abcess\tabcess\tNN\tI-NP\tO' +p219904 +aS'and\tand\tCC\tO\tO' +p219905 +aS'possible\tpossible\tJJ\tB-NP\tO' +p219906 +aS'meningitis\tmeningitis\tNN\tI-NP\tO' +p219907 +aS'given\tgive\tVBN\tB-PP\tO' +p219908 +aS'the\tthe\tDT\tB-NP\tO' +p219909 +aS'large\tlarge\tJJ\tI-NP\tO' +p219910 +aS'amount\tamount\tNN\tI-NP\tO' +p219911 +aS'of\tof\tIN\tB-PP\tO' +p219912 +aS'wbc\twbc\tNN\tB-NP\tO' +p219913 +aS'in\tin\tIN\tB-PP\tO' +p219914 +aS'the\tthe\tDT\tB-NP\tO' +p219915 +aS'csf\tcsf\tNN\tI-NP\tB-cell_line' +p219916 +aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' +p219917 +aS'.\t.\t.\tO\tO' +p219918 +asS'Calcium carbonate 500 mg p.o. t.i.d. , Mag oxide 400 mg p.o. times one dose , potassium chloride repleted 40 mEq times one dose .' +p219919 +(lp219920 +S'Calcium\tCalcium\tNN\tB-NP\tO' +p219921 +aS'carbonate\tcarbonate\tNN\tI-NP\tO' +p219922 +aS'500\t500\tCD\tI-NP\tO' +p219923 +aS'mg\tmg\tNN\tI-NP\tO' +p219924 +aS'p.o.\tp.o.\tFW\tB-ADVP\tO' +p219925 +aS't.i.d.\tt.i.d.\tFW\tI-ADVP\tO' +p219926 +aS',\t,\t,\tO\tO' +p219927 +aS'Mag\tMag\tNNP\tB-NP\tO' +p219928 +aS'oxide\toxide\tNN\tI-NP\tO' +p219929 +aS'400\t400\tCD\tI-NP\tO' +p219930 +aS'mg\tmg\tNN\tI-NP\tO' +p219931 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p219932 +aS'times\ttime\tNNS\tI-NP\tO' +p219933 +aS'one\tone\tCD\tB-NP\tO' +p219934 +aS'dose\tdose\tNN\tI-NP\tO' +p219935 +aS',\t,\t,\tO\tO' +p219936 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p219937 +aS'chloride\tchloride\tNN\tI-NP\tO' +p219938 +aS'repleted\treplete\tVBD\tB-VP\tO' +p219939 +aS'40\t40\tCD\tB-NP\tO' +p219940 +aS'mEq\tmEq\tNN\tI-NP\tO' +p219941 +aS'times\ttime\tNNS\tI-NP\tO' +p219942 +aS'one\tone\tCD\tB-NP\tO' +p219943 +aS'dose\tdose\tNN\tI-NP\tO' +p219944 +aS'.\t.\t.\tO\tO' +p219945 +asS'Digoxin 0.125 , discontinued one month prior to admission , Toprol XL 100 mg daily , Trazodone 50 mg once daily , Lipitor 10 mg daily , Diovan 40 mg daily , Atrovent / Albuterol prn , Pulmicort , Coumadin 2.5 mg daily , Vitamin E , Vitamin C , iron supplement .' +p219946 +(lp219947 +S'Digoxin\tDigoxin\tNN\tB-NP\tO' +p219948 +aS'0.125\t0.125\tCD\tI-NP\tO' +p219949 +aS',\t,\t,\tO\tO' +p219950 +aS'discontinued\tdiscontinue\tVBD\tB-VP\tO' +p219951 +aS'one\tone\tCD\tB-NP\tO' +p219952 +aS'month\tmonth\tNN\tI-NP\tO' +p219953 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p219954 +aS'to\tto\tTO\tB-PP\tO' +p219955 +aS'admission\tadmission\tNN\tB-NP\tO' +p219956 +aS',\t,\t,\tO\tO' +p219957 +aS'Toprol\tToprol\tNNP\tB-NP\tO' +p219958 +aS'XL\tXL\tNNP\tI-NP\tO' +p219959 +aS'100\t100\tCD\tI-NP\tO' +p219960 +aS'mg\tmg\tNN\tI-NP\tO' +p219961 +aS'daily\tdaily\tRB\tB-ADVP\tO' +p219962 +aS',\t,\t,\tO\tO' +p219963 +aS'Trazodone\tTrazodone\tNN\tB-NP\tO' +p219964 +aS'50\t50\tCD\tI-NP\tO' +p219965 +aS'mg\tmg\tNN\tI-NP\tO' +p219966 +aS'once\tonce\tRB\tB-ADVP\tO' +p219967 +aS'daily\tdaily\tRB\tI-ADVP\tO' +p219968 +aS',\t,\t,\tO\tO' +p219969 +aS'Lipitor\tLipitor\tNN\tB-NP\tO' +p219970 +aS'10\t10\tCD\tI-NP\tO' +p219971 +aS'mg\tmg\tNN\tI-NP\tO' +p219972 +aS'daily\tdaily\tRB\tB-ADVP\tO' +p219973 +aS',\t,\t,\tO\tO' +p219974 +aS'Diovan\tDiovan\tNNP\tB-NP\tO' +p219975 +aS'40\t40\tCD\tI-NP\tO' +p219976 +aS'mg\tmg\tNN\tI-NP\tO' +p219977 +aS'daily\tdaily\tJJ\tI-NP\tO' +p219978 +aS',\t,\t,\tO\tO' +p219979 +aS'Atrovent\tAtrovent\tNN\tB-NP\tO' +p219980 +aS'/\t/\tSYM\tI-NP\tO' +p219981 +aS'Albuterol\tAlbuterol\tNN\tI-NP\tO' +p219982 +aS'prn\tprn\tNN\tI-NP\tO' +p219983 +aS',\t,\t,\tO\tO' +p219984 +aS'Pulmicort\tPulmicort\tNNP\tB-NP\tO' +p219985 +aS',\t,\t,\tI-NP\tO' +p219986 +aS'Coumadin\tCoumadin\tNNP\tI-NP\tO' +p219987 +aS'2.5\t2.5\tCD\tI-NP\tO' +p219988 +aS'mg\tmg\tNN\tI-NP\tO' +p219989 +aS'daily\tdaily\tRB\tB-ADVP\tO' +p219990 +aS',\t,\t,\tO\tO' +p219991 +aS'Vitamin\tVitamin\tNNP\tB-NP\tO' +p219992 +aS'E\tE\tNNP\tI-NP\tO' +p219993 +aS',\t,\t,\tO\tO' +p219994 +aS'Vitamin\tVitamin\tNNP\tB-NP\tO' +p219995 +aS'C\tC\tNNP\tI-NP\tO' +p219996 +aS',\t,\t,\tO\tO' +p219997 +aS'iron\tiron\tNN\tB-NP\tO' +p219998 +aS'supplement\tsupplement\tNN\tI-NP\tO' +p219999 +aS'.\t.\t.\tO\tO' +p220000 +asS'The patient had an echocardiogram on day two of admission , which revealed a mildly dilated left atrium , mild symmetric LVH , normal LV cavity size , mild region LV systolic dysfunction , arresting regional wall motion abnormality including focal apical hypokinesis , a normal right ventricular chamber size and free wall motion , a moderately dilated aortic root , a mildly dilated ascending aorta , normal aortic valve leaflet , normal mitral valve leaflet and no pericardial effusions .' +p220001 +(lp220002 +S'The\tThe\tDT\tB-NP\tO' +p220003 +aS'patient\tpatient\tNN\tI-NP\tO' +p220004 +aS'had\thave\tVBD\tB-VP\tO' +p220005 +aS'an\tan\tDT\tB-NP\tO' +p220006 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p220007 +aS'on\ton\tIN\tB-PP\tO' +p220008 +aS'day\tday\tNN\tB-NP\tO' +p220009 +aS'two\ttwo\tCD\tI-NP\tO' +p220010 +aS'of\tof\tIN\tB-PP\tO' +p220011 +aS'admission\tadmission\tNN\tB-NP\tO' +p220012 +aS',\t,\t,\tO\tO' +p220013 +aS'which\twhich\tWDT\tB-NP\tO' +p220014 +aS'revealed\treveal\tVBD\tB-VP\tO' +p220015 +aS'a\ta\tDT\tB-NP\tO' +p220016 +aS'mildly\tmildly\tRB\tI-NP\tO' +p220017 +aS'dilated\tdilate\tVBN\tI-NP\tO' +p220018 +aS'left\tleft\tJJ\tI-NP\tO' +p220019 +aS'atrium\tatrium\tNN\tI-NP\tO' +p220020 +aS',\t,\t,\tO\tO' +p220021 +aS'mild\tmild\tJJ\tB-NP\tO' +p220022 +aS'symmetric\tsymmetric\tJJ\tI-NP\tO' +p220023 +aS'LVH\tLVH\tNN\tI-NP\tO' +p220024 +aS',\t,\t,\tO\tO' +p220025 +aS'normal\tnormal\tJJ\tB-NP\tO' +p220026 +aS'LV\tLV\tNN\tI-NP\tO' +p220027 +aS'cavity\tcavity\tNN\tI-NP\tO' +p220028 +aS'size\tsize\tNN\tI-NP\tO' +p220029 +aS',\t,\t,\tO\tO' +p220030 +aS'mild\tmild\tJJ\tB-NP\tO' +p220031 +aS'region\tregion\tNN\tI-NP\tO' +p220032 +aS'LV\tLV\tNN\tI-NP\tO' +p220033 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p220034 +aS'dysfunction\tdysfunction\tNN\tI-NP\tO' +p220035 +aS',\t,\t,\tO\tO' +p220036 +aS'arresting\tarrest\tVBG\tB-VP\tO' +p220037 +aS'regional\tregional\tJJ\tB-NP\tO' +p220038 +aS'wall\twall\tNN\tI-NP\tO' +p220039 +aS'motion\tmotion\tNN\tI-NP\tO' +p220040 +aS'abnormality\tabnormality\tNN\tI-NP\tO' +p220041 +aS'including\tinclude\tVBG\tB-PP\tO' +p220042 +aS'focal\tfocal\tJJ\tB-NP\tO' +p220043 +aS'apical\tapical\tJJ\tI-NP\tO' +p220044 +aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' +p220045 +aS',\t,\t,\tO\tO' +p220046 +aS'a\ta\tDT\tB-NP\tO' +p220047 +aS'normal\tnormal\tJJ\tI-NP\tO' +p220048 +aS'right\tright\tJJ\tI-NP\tO' +p220049 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p220050 +aS'chamber\tchamber\tNN\tI-NP\tO' +p220051 +aS'size\tsize\tNN\tI-NP\tO' +p220052 +aS'and\tand\tCC\tO\tO' +p220053 +aS'free\tfree\tJJ\tB-NP\tO' +p220054 +aS'wall\twall\tNN\tI-NP\tO' +p220055 +aS'motion\tmotion\tNN\tI-NP\tO' +p220056 +aS',\t,\t,\tO\tO' +p220057 +aS'a\ta\tDT\tB-NP\tO' +p220058 +aS'moderately\tmoderately\tRB\tI-NP\tO' +p220059 +aS'dilated\tdilated\tJJ\tI-NP\tO' +p220060 +aS'aortic\taortic\tJJ\tI-NP\tO' +p220061 +aS'root\troot\tNN\tI-NP\tO' +p220062 +aS',\t,\t,\tO\tO' +p220063 +aS'a\ta\tDT\tB-NP\tO' +p220064 +aS'mildly\tmildly\tRB\tI-NP\tO' +p220065 +aS'dilated\tdilated\tJJ\tI-NP\tO' +p220066 +aS'ascending\tascend\tVBG\tI-NP\tO' +p220067 +aS'aorta\taorta\tNN\tI-NP\tO' +p220068 +aS',\t,\t,\tO\tO' +p220069 +aS'normal\tnormal\tJJ\tB-NP\tO' +p220070 +aS'aortic\taortic\tJJ\tI-NP\tO' +p220071 +aS'valve\tvalve\tNN\tI-NP\tO' +p220072 +aS'leaflet\tleaflet\tNN\tI-NP\tO' +p220073 +aS',\t,\t,\tO\tO' +p220074 +aS'normal\tnormal\tJJ\tB-NP\tO' +p220075 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p220076 +aS'valve\tvalve\tNN\tI-NP\tO' +p220077 +aS'leaflet\tleaflet\tNN\tI-NP\tO' +p220078 +aS'and\tand\tCC\tO\tO' +p220079 +aS'no\tno\tDT\tB-NP\tO' +p220080 +aS'pericardial\tpericardial\tJJ\tI-NP\tO' +p220081 +aS'effusions\teffusion\tNNS\tI-NP\tO' +p220082 +aS'.\t.\t.\tO\tO' +p220083 +asS'1. Phenytoin Sodium Extended 100 mg Capsule Sig : One ( 1 ) Capsule PO TID ( 3 times a day ) for 1 months .' +p220084 +(lp220085 +S'1.\t1.\tLS\tB-NP\tO' +p220086 +aS'Phenytoin\tPhenytoin\tNN\tI-NP\tO' +p220087 +aS'Sodium\tSodium\tNN\tI-NP\tO' +p220088 +aS'Extended\tExtend\tVBD\tB-VP\tO' +p220089 +aS'100\t100\tCD\tB-NP\tO' +p220090 +aS'mg\tmg\tNN\tI-NP\tO' +p220091 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p220092 +aS'Sig\tSig\tNNP\tI-NP\tO' +p220093 +aS':\t:\t:\tO\tO' +p220094 +aS'One\tOne\tCD\tB-NP\tO' +p220095 +aS'(\t(\t(\tO\tO' +p220096 +aS'1\t1\tCD\tB-NP\tO' +p220097 +aS')\t)\t)\tO\tO' +p220098 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p220099 +aS'PO\tPO\tNNP\tI-NP\tO' +p220100 +aS'TID\tTID\tNNP\tI-NP\tO' +p220101 +aS'(\t(\t(\tO\tO' +p220102 +aS'3\t3\tCD\tB-NP\tO' +p220103 +aS'times\ttime\tNNS\tI-NP\tO' +p220104 +aS'a\ta\tDT\tB-NP\tO' +p220105 +aS'day\tday\tNN\tI-NP\tO' +p220106 +aS')\t)\t)\tO\tO' +p220107 +aS'for\tfor\tIN\tB-PP\tO' +p220108 +aS'1\t1\tCD\tB-NP\tO' +p220109 +aS'months\tmonth\tNNS\tI-NP\tO' +p220110 +aS'.\t.\t.\tO\tO' +p220111 +asS'Therefore , he was admitted for C4-C5 and C5-C6 anterior diskectomy with autologous bone graft and instrumented fusion .' +p220112 +(lp220113 +S'Therefore\tTherefore\tRB\tB-ADVP\tO' +p220114 +aS',\t,\t,\tO\tO' +p220115 +aS'he\the\tPRP\tB-NP\tO' +p220116 +aS'was\tbe\tVBD\tB-VP\tO' +p220117 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p220118 +aS'for\tfor\tIN\tB-PP\tO' +p220119 +aS'C4-C5\tC4-C5\tNN\tB-NP\tB-DNA' +p220120 +aS'and\tand\tCC\tI-NP\tO' +p220121 +aS'C5-C6\tC5-C6\tNN\tI-NP\tB-DNA' +p220122 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p220123 +aS'diskectomy\tdiskectomy\tNN\tI-NP\tO' +p220124 +aS'with\twith\tIN\tB-PP\tO' +p220125 +aS'autologous\tautologous\tJJ\tB-NP\tO' +p220126 +aS'bone\tbone\tNN\tI-NP\tO' +p220127 +aS'graft\tgraft\tNN\tI-NP\tO' +p220128 +aS'and\tand\tCC\tO\tO' +p220129 +aS'instrumented\tinstrumented\tJJ\tB-NP\tO' +p220130 +aS'fusion\tfusion\tNN\tI-NP\tO' +p220131 +aS'.\t.\t.\tO\tO' +p220132 +asS'Prednisone 20 mg q. Day .' +p220133 +(lp220134 +S'Prednisone\tPrednisone\tNN\tB-NP\tO' +p220135 +aS'20\t20\tCD\tI-NP\tO' +p220136 +aS'mg\tmg\tNN\tI-NP\tO' +p220137 +aS'q.\tq.\tNNP\tI-NP\tO' +p220138 +aS'Day\tDay\tNNP\tI-NP\tO' +p220139 +aS'.\t.\t.\tO\tO' +p220140 +asS'Minimal bleeding .' +p220141 +(lp220142 +S'Minimal\tMinimal\tJJ\tB-NP\tO' +p220143 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p220144 +aS'.\t.\t.\tO\tO' +p220145 +asS'Briefly , she is an 86 year old woman who has suffered multiple cardioembolic cerebral infarctions in multiple arterial territories .' +p220146 +(lp220147 +S'Briefly\tBriefly\tRB\tB-ADVP\tO' +p220148 +aS',\t,\t,\tO\tO' +p220149 +aS'she\tshe\tPRP\tB-NP\tO' +p220150 +aS'is\tbe\tVBZ\tB-VP\tO' +p220151 +aS'an\tan\tDT\tB-NP\tO' +p220152 +aS'86\t86\tCD\tI-NP\tO' +p220153 +aS'year\tyear\tNN\tI-NP\tO' +p220154 +aS'old\told\tJJ\tI-NP\tO' +p220155 +aS'woman\twoman\tNN\tI-NP\tO' +p220156 +aS'who\twho\tWP\tB-NP\tO' +p220157 +aS'has\thave\tVBZ\tB-VP\tO' +p220158 +aS'suffered\tsuffer\tVBN\tI-VP\tO' +p220159 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p220160 +aS'cardioembolic\tcardioembolic\tJJ\tI-NP\tO' +p220161 +aS'cerebral\tcerebral\tJJ\tI-NP\tO' +p220162 +aS'infarctions\tinfarction\tNNS\tI-NP\tO' +p220163 +aS'in\tin\tIN\tB-PP\tO' +p220164 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p220165 +aS'arterial\tarterial\tJJ\tI-NP\tO' +p220166 +aS'territories\tterritory\tNNS\tI-NP\tO' +p220167 +aS'.\t.\t.\tO\tO' +p220168 +asS'12. Hydralazine 25 mg Tablet Sig : 1.5 Tablets PO TID ( 3 times a day ).' +p220169 +(lp220170 +S'12.\t12.\tCD\tB-NP\tO' +p220171 +aS'Hydralazine\tHydralazine\tNN\tI-NP\tO' +p220172 +aS'25\t25\tCD\tB-NP\tO' +p220173 +aS'mg\tmg\tNN\tI-NP\tO' +p220174 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p220175 +aS'Sig\tSig\tNNP\tI-NP\tO' +p220176 +aS':\t:\t:\tO\tO' +p220177 +aS'1.5\t1.5\tCD\tB-NP\tO' +p220178 +aS'Tablets\tTablet\tNNS\tI-NP\tO' +p220179 +aS'PO\tPO\tNN\tI-NP\tO' +p220180 +aS'TID\tTID\tNN\tI-NP\tO' +p220181 +aS'(\t(\t(\tO\tO' +p220182 +aS'3\t3\tCD\tB-NP\tO' +p220183 +aS'times\ttime\tNNS\tI-NP\tO' +p220184 +aS'a\ta\tDT\tB-NP\tO' +p220185 +aS'day\tday\tNN\tI-NP\tO' +p220186 +aS').\t).\t.\tO\tO' +p220187 +asS'The patient is a 31 year old gravida 0 with stage IV endometrial cancer and stage III-C ovarian cancer vs metastatic endometrial cancer for line 2 , cycle 1 chemotherapy .' +p220188 +(lp220189 +S'The\tThe\tDT\tB-NP\tO' +p220190 +aS'patient\tpatient\tNN\tI-NP\tO' +p220191 +aS'is\tbe\tVBZ\tB-VP\tO' +p220192 +aS'a\ta\tDT\tB-NP\tO' +p220193 +aS'31\t31\tCD\tI-NP\tO' +p220194 +aS'year\tyear\tNN\tI-NP\tO' +p220195 +aS'old\told\tJJ\tI-NP\tO' +p220196 +aS'gravida\tgravida\tNN\tI-NP\tO' +p220197 +aS'0\t0\tCD\tI-NP\tO' +p220198 +aS'with\twith\tIN\tB-PP\tO' +p220199 +aS'stage\tstage\tNN\tB-NP\tO' +p220200 +aS'IV\tIV\tCD\tI-NP\tO' +p220201 +aS'endometrial\tendometrial\tJJ\tI-NP\tO' +p220202 +aS'cancer\tcancer\tNN\tI-NP\tO' +p220203 +aS'and\tand\tCC\tI-NP\tO' +p220204 +aS'stage\tstage\tNN\tI-NP\tO' +p220205 +aS'III-C\tIII-C\tNN\tI-NP\tO' +p220206 +aS'ovarian\tovarian\tJJ\tI-NP\tO' +p220207 +aS'cancer\tcancer\tNN\tI-NP\tO' +p220208 +aS'vs\tvs\tIN\tB-PP\tO' +p220209 +aS'metastatic\tmetastatic\tJJ\tB-NP\tO' +p220210 +aS'endometrial\tendometrial\tJJ\tI-NP\tO' +p220211 +aS'cancer\tcancer\tNN\tI-NP\tO' +p220212 +aS'for\tfor\tIN\tB-PP\tO' +p220213 +aS'line\tline\tNN\tB-NP\tO' +p220214 +aS'2\t2\tCD\tI-NP\tO' +p220215 +aS',\t,\t,\tO\tO' +p220216 +aS'cycle\tcycle\tNN\tB-NP\tO' +p220217 +aS'1\t1\tCD\tI-NP\tO' +p220218 +aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' +p220219 +aS'.\t.\t.\tO\tO' +p220220 +asS'130/82 and heart rate 80 .' +p220221 +(lp220222 +S'130/82\t130/82\tCD\tB-NP\tO' +p220223 +aS'and\tand\tCC\tI-NP\tO' +p220224 +aS'heart\theart\tNN\tI-NP\tO' +p220225 +aS'rate\trate\tNN\tI-NP\tO' +p220226 +aS'80\t80\tCD\tI-NP\tO' +p220227 +aS'.\t.\t.\tO\tO' +p220228 +asS'The patient had o.d. glaucoma surgery , 1400 hours , on May 12th , 1992 .' +p220229 +(lp220230 +S'The\tThe\tDT\tB-NP\tO' +p220231 +aS'patient\tpatient\tNN\tI-NP\tO' +p220232 +aS'had\thave\tVBD\tB-VP\tO' +p220233 +aS'o.d.\to.d.\tVBN\tI-VP\tO' +p220234 +aS'glaucoma\tglaucoma\tNN\tB-NP\tO' +p220235 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p220236 +aS',\t,\t,\tO\tO' +p220237 +aS'1400\t1400\tCD\tB-NP\tO' +p220238 +aS'hours\thour\tNNS\tI-NP\tO' +p220239 +aS',\t,\t,\tO\tO' +p220240 +aS'on\ton\tIN\tB-PP\tO' +p220241 +aS'May\tMay\tNNP\tB-NP\tO' +p220242 +aS'12th\t12th\tCD\tI-NP\tO' +p220243 +aS',\t,\t,\tI-NP\tO' +p220244 +aS'1992\t1992\tCD\tI-NP\tO' +p220245 +aS'.\t.\t.\tO\tO' +p220246 +asS'Her abdomen was obese and had positive bowel sounds .' +p220247 +(lp220248 +S'Her\tHer\tPRP$\tB-NP\tO' +p220249 +aS'abdomen\tabdoman\tNNS\tI-NP\tO' +p220250 +aS'was\tbe\tVBD\tB-VP\tO' +p220251 +aS'obese\tobese\tJJ\tB-ADJP\tO' +p220252 +aS'and\tand\tCC\tO\tO' +p220253 +aS'had\thave\tVBD\tB-VP\tO' +p220254 +aS'positive\tpositive\tJJ\tB-NP\tO' +p220255 +aS'bowel\tbowel\tNN\tI-NP\tO' +p220256 +aS'sounds\tsound\tNNS\tI-NP\tO' +p220257 +aS'.\t.\t.\tO\tO' +p220258 +asS'The patient is a 70-year-old female with cryptogenic cirrhosis .' +p220259 +(lp220260 +S'The\tThe\tDT\tB-NP\tO' +p220261 +aS'patient\tpatient\tNN\tI-NP\tO' +p220262 +aS'is\tbe\tVBZ\tB-VP\tO' +p220263 +aS'a\ta\tDT\tB-NP\tO' +p220264 +aS'70-year-old\t70-year-old\tJJ\tI-NP\tO' +p220265 +aS'female\tfemale\tNN\tI-NP\tO' +p220266 +aS'with\twith\tIN\tB-PP\tO' +p220267 +aS'cryptogenic\tcryptogenic\tJJ\tB-NP\tO' +p220268 +aS'cirrhosis\tcirrhosis\tNN\tI-NP\tO' +p220269 +aS'.\t.\t.\tO\tO' +p220270 +asS'Renal function gradually improved and Cr trended down from peak of 7.6 to 1.4 .' +p220271 +(lp220272 +S'Renal\tRenal\tJJ\tB-NP\tO' +p220273 +aS'function\tfunction\tNN\tI-NP\tO' +p220274 +aS'gradually\tgradually\tRB\tB-VP\tO' +p220275 +aS'improved\timprove\tVBN\tI-VP\tO' +p220276 +aS'and\tand\tCC\tO\tO' +p220277 +aS'Cr\tCr\tNNP\tB-NP\tO' +p220278 +aS'trended\ttrend\tVBD\tB-VP\tO' +p220279 +aS'down\tdown\tRB\tB-ADVP\tO' +p220280 +aS'from\tfrom\tIN\tB-PP\tO' +p220281 +aS'peak\tpeak\tNN\tB-NP\tO' +p220282 +aS'of\tof\tIN\tB-PP\tO' +p220283 +aS'7.6\t7.6\tCD\tB-NP\tO' +p220284 +aS'to\tto\tTO\tB-PP\tO' +p220285 +aS'1.4\t1.4\tCD\tB-NP\tO' +p220286 +aS'.\t.\t.\tO\tO' +p220287 +asS'He is married and lives in Burbank Hospital .' +p220288 +(lp220289 +S'He\tHe\tPRP\tB-NP\tO' +p220290 +aS'is\tbe\tVBZ\tB-VP\tO' +p220291 +aS'married\tmarried\tJJ\tB-ADJP\tO' +p220292 +aS'and\tand\tCC\tO\tO' +p220293 +aS'lives\tlife\tNNS\tB-NP\tO' +p220294 +aS'in\tin\tIN\tB-PP\tO' +p220295 +aS'Burbank\tBurbank\tNNP\tB-NP\tO' +p220296 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p220297 +aS'.\t.\t.\tO\tO' +p220298 +asS'An inferior vena cava filter was considered but was deferred , as it was felt that Mr. Roach was too unstable to undergo the procedure .' +p220299 +(lp220300 +S'An\tAn\tDT\tB-NP\tO' +p220301 +aS'inferior\tinferior\tJJ\tI-NP\tO' +p220302 +aS'vena\tvena\tNN\tI-NP\tO' +p220303 +aS'cava\tcava\tNN\tI-NP\tO' +p220304 +aS'filter\tfilter\tNN\tI-NP\tO' +p220305 +aS'was\tbe\tVBD\tB-VP\tO' +p220306 +aS'considered\tconsider\tVBN\tI-VP\tO' +p220307 +aS'but\tbut\tCC\tO\tO' +p220308 +aS'was\tbe\tVBD\tB-VP\tO' +p220309 +aS'deferred\tdefer\tVBN\tI-VP\tO' +p220310 +aS',\t,\t,\tO\tO' +p220311 +aS'as\tas\tIN\tB-SBAR\tO' +p220312 +aS'it\tit\tPRP\tB-NP\tO' +p220313 +aS'was\tbe\tVBD\tB-VP\tO' +p220314 +aS'felt\tfeel\tVBN\tI-VP\tO' +p220315 +aS'that\tthat\tIN\tB-SBAR\tO' +p220316 +aS'Mr.\tMr.\tNNP\tB-NP\tO' +p220317 +aS'Roach\tRoach\tNNP\tI-NP\tO' +p220318 +aS'was\tbe\tVBD\tB-VP\tO' +p220319 +aS'too\ttoo\tRB\tB-ADJP\tO' +p220320 +aS'unstable\tunstable\tJJ\tI-ADJP\tO' +p220321 +aS'to\tto\tTO\tB-VP\tO' +p220322 +aS'undergo\tundergo\tVB\tI-VP\tO' +p220323 +aS'the\tthe\tDT\tB-NP\tO' +p220324 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p220325 +aS'.\t.\t.\tO\tO' +p220326 +asS'No results from this were sent .' +p220327 +(lp220328 +S'No\tNo\tDT\tB-NP\tO' +p220329 +aS'results\tresult\tNNS\tI-NP\tO' +p220330 +aS'from\tfrom\tIN\tB-PP\tO' +p220331 +aS'this\tthis\tDT\tB-NP\tO' +p220332 +aS'were\tbe\tVBD\tB-VP\tO' +p220333 +aS'sent\tsend\tVBN\tI-VP\tO' +p220334 +aS'.\t.\t.\tO\tO' +p220335 +asS'2) Mitral regurgitation , 2+ on July of 1998 echocardiogram .' +p220336 +(lp220337 +S'2)\t2)\tLS\tB-NP\tO' +p220338 +aS'Mitral\tMitral\tJJ\tI-NP\tO' +p220339 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p220340 +aS',\t,\t,\tO\tO' +p220341 +aS'2+\t2+\tJJ\tB-ADJP\tO' +p220342 +aS'on\ton\tIN\tB-PP\tO' +p220343 +aS'July\tJuly\tNNP\tB-NP\tO' +p220344 +aS'of\tof\tIN\tB-PP\tO' +p220345 +aS'1998\t1998\tCD\tB-NP\tO' +p220346 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p220347 +aS'.\t.\t.\tO\tO' +p220348 +asS'His X-rays show advanced osteoarthritis of his right hip .' +p220349 +(lp220350 +S'His\tHis\tPRP$\tB-NP\tO' +p220351 +aS'X-rays\tX-ray\tNNS\tI-NP\tO' +p220352 +aS'show\tshow\tVBP\tB-VP\tO' +p220353 +aS'advanced\tadvance\tVBN\tI-VP\tO' +p220354 +aS'osteoarthritis\tosteoarthritis\tNN\tB-NP\tO' +p220355 +aS'of\tof\tIN\tB-PP\tO' +p220356 +aS'his\this\tPRP$\tB-NP\tO' +p220357 +aS'right\tright\tJJ\tI-NP\tO' +p220358 +aS'hip\thip\tNN\tI-NP\tO' +p220359 +aS'.\t.\t.\tO\tO' +p220360 +asS'The patient was transferred to the Cardiac Care Unit where he had a peak CPK of 5,042 and 26.7% MB's .' +p220361 +(lp220362 +S'The\tThe\tDT\tB-NP\tO' +p220363 +aS'patient\tpatient\tNN\tI-NP\tO' +p220364 +aS'was\tbe\tVBD\tB-VP\tO' +p220365 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p220366 +aS'to\tto\tTO\tB-PP\tO' +p220367 +aS'the\tthe\tDT\tB-NP\tO' +p220368 +aS'Cardiac\tCardiac\tNNP\tI-NP\tO' +p220369 +aS'Care\tCare\tNNP\tI-NP\tO' +p220370 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p220371 +aS'where\twhere\tWRB\tB-ADVP\tO' +p220372 +aS'he\the\tPRP\tB-NP\tO' +p220373 +aS'had\thave\tVBD\tB-VP\tO' +p220374 +aS'a\ta\tDT\tB-NP\tO' +p220375 +aS'peak\tpeak\tJJ\tI-NP\tO' +p220376 +aS'CPK\tCPK\tNN\tI-NP\tB-protein' +p220377 +aS'of\tof\tIN\tB-PP\tO' +p220378 +aS'5,042\t5,042\tCD\tB-NP\tO' +p220379 +aS'and\tand\tCC\tI-NP\tO' +p220380 +aS'26.7%\t26.7%\tCD\tI-NP\tO' +p220381 +aS'MB's\tMB'\tNNS\tI-NP\tO' +p220382 +aS'.\t.\t.\tO\tO' +p220383 +asS'Percocet one to two whenever necessary q. four to six hours for pain .' +p220384 +(lp220385 +S'Percocet\tPercocet\tIN\tB-PP\tO' +p220386 +aS'one\tone\tCD\tB-NP\tO' +p220387 +aS'to\tto\tTO\tB-PP\tO' +p220388 +aS'two\ttwo\tCD\tB-NP\tO' +p220389 +aS'whenever\twhenever\tWRB\tB-ADVP\tO' +p220390 +aS'necessary\tnecessary\tJJ\tB-NP\tO' +p220391 +aS'q.\tq.\tNN\tI-NP\tO' +p220392 +aS'four\tfour\tCD\tB-NP\tO' +p220393 +aS'to\tto\tTO\tI-NP\tO' +p220394 +aS'six\tsix\tCD\tI-NP\tO' +p220395 +aS'hours\thour\tNNS\tI-NP\tO' +p220396 +aS'for\tfor\tIN\tB-PP\tO' +p220397 +aS'pain\tpain\tNN\tB-NP\tO' +p220398 +aS'.\t.\t.\tO\tO' +p220399 +asS'Umbilical cord with Braintree jelly cysts but also with pink tubular discoloration at base .' +p220400 +(lp220401 +S'Umbilical\tUmbilical\tJJ\tB-NP\tO' +p220402 +aS'cord\tcord\tNN\tI-NP\tO' +p220403 +aS'with\twith\tIN\tB-PP\tO' +p220404 +aS'Braintree\tBraintree\tNNP\tB-NP\tO' +p220405 +aS'jelly\tjelly\tNNP\tI-NP\tO' +p220406 +aS'cysts\tcyst\tNNS\tI-NP\tO' +p220407 +aS'but\tbut\tCC\tB-CONJP\tO' +p220408 +aS'also\talso\tRB\tI-CONJP\tO' +p220409 +aS'with\twith\tIN\tB-PP\tO' +p220410 +aS'pink\tpink\tJJ\tB-NP\tO' +p220411 +aS'tubular\ttubular\tJJ\tI-NP\tO' +p220412 +aS'discoloration\tdiscoloration\tNN\tI-NP\tO' +p220413 +aS'at\tat\tIN\tB-PP\tO' +p220414 +aS'base\tbase\tNN\tB-NP\tO' +p220415 +aS'.\t.\t.\tO\tO' +p220416 +asS'On admission , Thomas was well-appearing though slightly sleepy with jaundice .' +p220417 +(lp220418 +S'On\tOn\tIN\tB-PP\tO' +p220419 +aS'admission\tadmission\tNN\tB-NP\tO' +p220420 +aS',\t,\t,\tO\tO' +p220421 +aS'Thomas\tThomas\tNNP\tB-NP\tO' +p220422 +aS'was\tbe\tVBD\tB-VP\tO' +p220423 +aS'well-appearing\twell-appearing\tJJ\tB-ADJP\tO' +p220424 +aS'though\tthough\tIN\tB-SBAR\tO' +p220425 +aS'slightly\tslightly\tRB\tB-ADJP\tO' +p220426 +aS'sleepy\tsleepy\tJJ\tI-ADJP\tO' +p220427 +aS'with\twith\tIN\tB-PP\tO' +p220428 +aS'jaundice\tjaundice\tNN\tB-NP\tO' +p220429 +aS'.\t.\t.\tO\tO' +p220430 +asS'There is decreased intraventricular blood , compared to the previous study , and there are no signs of hydrocephalus .' +p220431 +(lp220432 +S'There\tThere\tEX\tB-NP\tO' +p220433 +aS'is\tbe\tVBZ\tB-VP\tO' +p220434 +aS'decreased\tdecrease\tVBN\tI-VP\tO' +p220435 +aS'intraventricular\tintraventricular\tJJ\tB-NP\tO' +p220436 +aS'blood\tblood\tNN\tI-NP\tO' +p220437 +aS',\t,\t,\tO\tO' +p220438 +aS'compared\tcompare\tVBN\tB-PP\tO' +p220439 +aS'to\tto\tTO\tB-PP\tO' +p220440 +aS'the\tthe\tDT\tB-NP\tO' +p220441 +aS'previous\tprevious\tJJ\tI-NP\tO' +p220442 +aS'study\tstudy\tNN\tI-NP\tO' +p220443 +aS',\t,\t,\tO\tO' +p220444 +aS'and\tand\tCC\tO\tO' +p220445 +aS'there\tthere\tEX\tB-NP\tO' +p220446 +aS'are\tbe\tVBP\tB-VP\tO' +p220447 +aS'no\tno\tDT\tB-NP\tO' +p220448 +aS'signs\tsign\tNNS\tI-NP\tO' +p220449 +aS'of\tof\tIN\tB-PP\tO' +p220450 +aS'hydrocephalus\thydrocephalus\tNN\tB-NP\tO' +p220451 +aS'.\t.\t.\tO\tO' +p220452 +asS'She still had no localizing signs of infection and culture data was negative to be negative .' +p220453 +(lp220454 +S'She\tShe\tPRP\tB-NP\tO' +p220455 +aS'still\tstill\tRB\tB-ADVP\tO' +p220456 +aS'had\thave\tVBD\tB-VP\tO' +p220457 +aS'no\tno\tDT\tB-NP\tO' +p220458 +aS'localizing\tlocalize\tVBG\tI-NP\tO' +p220459 +aS'signs\tsign\tNNS\tI-NP\tO' +p220460 +aS'of\tof\tIN\tB-PP\tO' +p220461 +aS'infection\tinfection\tNN\tB-NP\tO' +p220462 +aS'and\tand\tCC\tI-NP\tO' +p220463 +aS'culture\tculture\tNN\tI-NP\tO' +p220464 +aS'data\tdatum\tNNS\tI-NP\tO' +p220465 +aS'was\tbe\tVBD\tB-VP\tO' +p220466 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p220467 +aS'to\tto\tTO\tB-VP\tO' +p220468 +aS'be\tbe\tVB\tI-VP\tO' +p220469 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p220470 +aS'.\t.\t.\tO\tO' +p220471 +asS'She had received a full course of Flolan teaching and reported that she and her husband felt comfortable with the administration of the medication at home .' +p220472 +(lp220473 +S'She\tShe\tPRP\tB-NP\tO' +p220474 +aS'had\thave\tVBD\tB-VP\tO' +p220475 +aS'received\treceive\tVBN\tI-VP\tO' +p220476 +aS'a\ta\tDT\tB-NP\tO' +p220477 +aS'full\tfull\tJJ\tI-NP\tO' +p220478 +aS'course\tcourse\tNN\tI-NP\tO' +p220479 +aS'of\tof\tIN\tB-PP\tO' +p220480 +aS'Flolan\tFlolan\tNN\tB-NP\tO' +p220481 +aS'teaching\tteaching\tNN\tI-NP\tO' +p220482 +aS'and\tand\tCC\tO\tO' +p220483 +aS'reported\treport\tVBD\tB-VP\tO' +p220484 +aS'that\tthat\tIN\tB-SBAR\tO' +p220485 +aS'she\tshe\tPRP\tB-NP\tO' +p220486 +aS'and\tand\tCC\tO\tO' +p220487 +aS'her\ther\tPRP$\tB-NP\tO' +p220488 +aS'husband\thusband\tNN\tI-NP\tO' +p220489 +aS'felt\tfeel\tVBD\tB-VP\tO' +p220490 +aS'comfortable\tcomfortable\tJJ\tB-ADJP\tO' +p220491 +aS'with\twith\tIN\tB-PP\tO' +p220492 +aS'the\tthe\tDT\tB-NP\tO' +p220493 +aS'administration\tadministration\tNN\tI-NP\tO' +p220494 +aS'of\tof\tIN\tB-PP\tO' +p220495 +aS'the\tthe\tDT\tB-NP\tO' +p220496 +aS'medication\tmedication\tNN\tI-NP\tO' +p220497 +aS'at\tat\tIN\tB-PP\tO' +p220498 +aS'home\thome\tNN\tB-NP\tO' +p220499 +aS'.\t.\t.\tO\tO' +p220500 +asS'2. Potassium Chloride 20 mEq Packet Sig : One ( 1 ) Packet PO once a day for 2 weeks .' +p220501 +(lp220502 +S'2.\t2.\tLS\tB-NP\tO' +p220503 +aS'Potassium\tPotassium\tNN\tI-NP\tO' +p220504 +aS'Chloride\tChloride\tNN\tI-NP\tO' +p220505 +aS'20\t20\tCD\tI-NP\tO' +p220506 +aS'mEq\tmEq\tNN\tI-NP\tO' +p220507 +aS'Packet\tPacket\tNNP\tI-NP\tO' +p220508 +aS'Sig\tSig\tNNP\tI-NP\tO' +p220509 +aS':\t:\t:\tO\tO' +p220510 +aS'One\tOne\tCD\tB-NP\tO' +p220511 +aS'(\t(\t(\tO\tO' +p220512 +aS'1\t1\tCD\tB-NP\tO' +p220513 +aS')\t)\t)\tO\tO' +p220514 +aS'Packet\tPacket\tNN\tB-NP\tB-protein' +p220515 +aS'PO\tPO\tNN\tI-NP\tI-protein' +p220516 +aS'once\tonce\tRB\tO\tO' +p220517 +aS'a\ta\tDT\tB-NP\tO' +p220518 +aS'day\tday\tNN\tI-NP\tO' +p220519 +aS'for\tfor\tIN\tB-PP\tO' +p220520 +aS'2\t2\tCD\tB-NP\tO' +p220521 +aS'weeks\tweek\tNNS\tI-NP\tO' +p220522 +aS'.\t.\t.\tO\tO' +p220523 +asS'Patient did receive an ICD during this hospital admission without complication .' +p220524 +(lp220525 +S'Patient\tPatient\tNN\tB-NP\tO' +p220526 +aS'did\tdo\tVBD\tB-VP\tO' +p220527 +aS'receive\treceive\tVB\tI-VP\tO' +p220528 +aS'an\tan\tDT\tB-NP\tO' +p220529 +aS'ICD\tICD\tNN\tI-NP\tB-protein' +p220530 +aS'during\tduring\tIN\tB-PP\tO' +p220531 +aS'this\tthis\tDT\tB-NP\tO' +p220532 +aS'hospital\thospital\tNN\tI-NP\tO' +p220533 +aS'admission\tadmission\tNN\tI-NP\tO' +p220534 +aS'without\twithout\tIN\tB-PP\tO' +p220535 +aS'complication\tcomplication\tNN\tB-NP\tO' +p220536 +aS'.\t.\t.\tO\tO' +p220537 +asS'She arrived at Mediplex Rehab Hospital Hospital on 07-01 for 1 day of nausea and vomiting and was found to be febrile to 99 at that time .' +p220538 +(lp220539 +S'She\tShe\tPRP\tB-NP\tO' +p220540 +aS'arrived\tarrive\tVBD\tB-VP\tO' +p220541 +aS'at\tat\tIN\tB-PP\tO' +p220542 +aS'Mediplex\tMediplex\tNNP\tB-NP\tO' +p220543 +aS'Rehab\tRehab\tNNP\tI-NP\tO' +p220544 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p220545 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p220546 +aS'on\ton\tIN\tB-PP\tO' +p220547 +aS'07-01\t07-01\tCD\tB-NP\tO' +p220548 +aS'for\tfor\tIN\tB-PP\tO' +p220549 +aS'1\t1\tCD\tB-NP\tO' +p220550 +aS'day\tday\tNN\tI-NP\tO' +p220551 +aS'of\tof\tIN\tB-PP\tO' +p220552 +aS'nausea\tnausea\tNN\tB-NP\tO' +p220553 +aS'and\tand\tCC\tI-NP\tO' +p220554 +aS'vomiting\tvomiting\tNN\tI-NP\tO' +p220555 +aS'and\tand\tCC\tO\tO' +p220556 +aS'was\tbe\tVBD\tB-VP\tO' +p220557 +aS'found\tfind\tVBN\tI-VP\tO' +p220558 +aS'to\tto\tTO\tI-VP\tO' +p220559 +aS'be\tbe\tVB\tI-VP\tO' +p220560 +aS'febrile\tfebrile\tJJ\tB-ADJP\tO' +p220561 +aS'to\tto\tTO\tB-PP\tO' +p220562 +aS'99\t99\tCD\tB-NP\tO' +p220563 +aS'at\tat\tIN\tB-PP\tO' +p220564 +aS'that\tthat\tDT\tB-NP\tO' +p220565 +aS'time\ttime\tNN\tI-NP\tO' +p220566 +aS'.\t.\t.\tO\tO' +p220567 +asS'The patient has a poor nutritional status with hypoalbuminemia .' +p220568 +(lp220569 +S'The\tThe\tDT\tB-NP\tO' +p220570 +aS'patient\tpatient\tNN\tI-NP\tO' +p220571 +aS'has\thave\tVBZ\tB-VP\tO' +p220572 +aS'a\ta\tDT\tB-NP\tO' +p220573 +aS'poor\tpoor\tJJ\tI-NP\tO' +p220574 +aS'nutritional\tnutritional\tJJ\tI-NP\tO' +p220575 +aS'status\tstatus\tNN\tI-NP\tO' +p220576 +aS'with\twith\tIN\tB-PP\tO' +p220577 +aS'hypoalbuminemia\thypoalbuminemia\tNN\tB-NP\tO' +p220578 +aS'.\t.\t.\tO\tO' +p220579 +asS'No frank abscesses .' +p220580 +(lp220581 +S'No\tNo\tDT\tB-NP\tO' +p220582 +aS'frank\tfrank\tNN\tI-NP\tO' +p220583 +aS'abscesses\tabscess\tNNS\tI-NP\tO' +p220584 +aS'.\t.\t.\tO\tO' +p220585 +asS'Right hip , osteoarthritis .' +p220586 +(lp220587 +S'Right\tRight\tRB\tB-ADVP\tO' +p220588 +aS'hip\thip\tNN\tI-ADVP\tO' +p220589 +aS',\t,\t,\tO\tO' +p220590 +aS'osteoarthritis\tosteoarthritis\tNN\tB-NP\tO' +p220591 +aS'.\t.\t.\tO\tO' +p220592 +asS'The patient had reported an approximately 30 pound weight loss in six weeks .' +p220593 +(lp220594 +S'The\tThe\tDT\tB-NP\tO' +p220595 +aS'patient\tpatient\tNN\tI-NP\tO' +p220596 +aS'had\thave\tVBD\tB-VP\tO' +p220597 +aS'reported\treport\tVBN\tI-VP\tO' +p220598 +aS'an\tan\tDT\tB-NP\tO' +p220599 +aS'approximately\tapproximately\tRB\tI-NP\tO' +p220600 +aS'30\t30\tCD\tI-NP\tO' +p220601 +aS'pound\tpound\tNN\tI-NP\tO' +p220602 +aS'weight\tweight\tNN\tI-NP\tO' +p220603 +aS'loss\tloss\tNN\tI-NP\tO' +p220604 +aS'in\tin\tIN\tB-PP\tO' +p220605 +aS'six\tsix\tCD\tB-NP\tO' +p220606 +aS'weeks\tweek\tNNS\tI-NP\tO' +p220607 +aS'.\t.\t.\tO\tO' +p220608 +asS'ABG that evening was 7.29/51/56 on 4L NC and early the next morning , was 7.25/62/64 on NRB .' +p220609 +(lp220610 +S'ABG\tABG\tNN\tB-NP\tO' +p220611 +aS'that\tthat\tIN\tB-SBAR\tO' +p220612 +aS'evening\tevening\tNN\tB-NP\tO' +p220613 +aS'was\tbe\tVBD\tB-VP\tO' +p220614 +aS'7.29/51/56\t7.29/51/56\tCD\tB-NP\tO' +p220615 +aS'on\ton\tIN\tB-PP\tO' +p220616 +aS'4L\t4L\tNN\tB-NP\tO' +p220617 +aS'NC\tNC\tNN\tI-NP\tO' +p220618 +aS'and\tand\tCC\tO\tO' +p220619 +aS'early\tearly\tRB\tB-NP\tO' +p220620 +aS'the\tthe\tDT\tI-NP\tO' +p220621 +aS'next\tnext\tJJ\tI-NP\tO' +p220622 +aS'morning\tmorning\tNN\tI-NP\tO' +p220623 +aS',\t,\t,\tO\tO' +p220624 +aS'was\tbe\tVBD\tB-VP\tO' +p220625 +aS'7.25/62/64\t7.25/62/64\tCD\tB-NP\tO' +p220626 +aS'on\ton\tIN\tB-PP\tO' +p220627 +aS'NRB\tNRB\tNN\tB-NP\tB-protein' +p220628 +aS'.\t.\t.\tO\tO' +p220629 +asS'9. Vitamin C 500 mg po bid .' +p220630 +(lp220631 +S'9.\t9.\tLS\tB-NP\tO' +p220632 +aS'Vitamin\tVitamin\tNN\tI-NP\tO' +p220633 +aS'C\tC\tNN\tI-NP\tO' +p220634 +aS'500\t500\tCD\tI-NP\tO' +p220635 +aS'mg\tmg\tNN\tI-NP\tO' +p220636 +aS'po\tpo\tNN\tI-NP\tO' +p220637 +aS'bid\tbid\tNN\tI-NP\tO' +p220638 +aS'.\t.\t.\tO\tO' +p220639 +asS'She needs her dose on 5/22/92 .' +p220640 +(lp220641 +S'She\tShe\tPRP\tB-NP\tO' +p220642 +aS'needs\tneed\tVBZ\tB-VP\tO' +p220643 +aS'her\ther\tPRP$\tB-NP\tO' +p220644 +aS'dose\tdose\tNN\tI-NP\tO' +p220645 +aS'on\ton\tIN\tB-PP\tO' +p220646 +aS'5/22/92\t5/22/92\tCD\tB-NP\tO' +p220647 +aS'.\t.\t.\tO\tO' +p220648 +asS'Risk discussed with family .' +p220649 +(lp220650 +S'Risk\tRisk\tNN\tB-NP\tO' +p220651 +aS'discussed\tdiscuss\tVBN\tB-VP\tO' +p220652 +aS'with\twith\tIN\tB-PP\tO' +p220653 +aS'family\tfamily\tNN\tB-NP\tO' +p220654 +aS'.\t.\t.\tO\tO' +p220655 +asS'17. Zantac 150 p.o. twice a day .' +p220656 +(lp220657 +S'17.\t17.\tCD\tB-NP\tO' +p220658 +aS'Zantac\tZantac\tNN\tI-NP\tO' +p220659 +aS'150\t150\tCD\tB-NP\tO' +p220660 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p220661 +aS'twice\ttwice\tRB\tB-NP\tO' +p220662 +aS'a\ta\tDT\tI-NP\tO' +p220663 +aS'day\tday\tNN\tI-NP\tO' +p220664 +aS'.\t.\t.\tO\tO' +p220665 +asS'There appeared to be a new T-wave inversion in V4 .' +p220666 +(lp220667 +S'There\tThere\tEX\tB-NP\tO' +p220668 +aS'appeared\tappear\tVBD\tB-VP\tO' +p220669 +aS'to\tto\tTO\tI-VP\tO' +p220670 +aS'be\tbe\tVB\tI-VP\tO' +p220671 +aS'a\ta\tDT\tB-NP\tO' +p220672 +aS'new\tnew\tJJ\tI-NP\tO' +p220673 +aS'T-wave\tT-wave\tNN\tI-NP\tO' +p220674 +aS'inversion\tinversion\tNN\tI-NP\tO' +p220675 +aS'in\tin\tIN\tB-PP\tO' +p220676 +aS'V4\tV4\tNN\tB-NP\tB-protein' +p220677 +aS'.\t.\t.\tO\tO' +p220678 +asS'The patient was admitted to the Fairm of Ijordcompmac Hospital , on the Neurological Surgery Service of Lupevickette L. Ca , M.D.' +p220679 +(lp220680 +S'The\tThe\tDT\tB-NP\tO' +p220681 +aS'patient\tpatient\tNN\tI-NP\tO' +p220682 +aS'was\tbe\tVBD\tB-VP\tO' +p220683 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p220684 +aS'to\tto\tTO\tB-PP\tO' +p220685 +aS'the\tthe\tDT\tB-NP\tO' +p220686 +aS'Fairm\tFairm\tNNP\tI-NP\tO' +p220687 +aS'of\tof\tIN\tB-PP\tO' +p220688 +aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' +p220689 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p220690 +aS',\t,\t,\tO\tO' +p220691 +aS'on\ton\tIN\tB-PP\tO' +p220692 +aS'the\tthe\tDT\tB-NP\tO' +p220693 +aS'Neurological\tNeurological\tNNP\tI-NP\tO' +p220694 +aS'Surgery\tSurgery\tNNP\tI-NP\tO' +p220695 +aS'Service\tService\tNNP\tI-NP\tO' +p220696 +aS'of\tof\tIN\tB-PP\tO' +p220697 +aS'Lupevickette\tLupevickette\tNNP\tB-NP\tO' +p220698 +aS'L.\tL.\tNNP\tI-NP\tO' +p220699 +aS'Ca\tCa\tNNP\tI-NP\tO' +p220700 +aS',\t,\t,\tO\tO' +p220701 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p220702 +asS'He was in mild respiratory distress and a diagnosis of transient tachypnea of the newborn was made .' +p220703 +(lp220704 +S'He\tHe\tPRP\tB-NP\tO' +p220705 +aS'was\tbe\tVBD\tB-VP\tO' +p220706 +aS'in\tin\tIN\tB-PP\tO' +p220707 +aS'mild\tmild\tJJ\tB-NP\tO' +p220708 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p220709 +aS'distress\tdistress\tNN\tI-NP\tO' +p220710 +aS'and\tand\tCC\tO\tO' +p220711 +aS'a\ta\tDT\tB-NP\tO' +p220712 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p220713 +aS'of\tof\tIN\tB-PP\tO' +p220714 +aS'transient\ttransient\tJJ\tB-NP\tO' +p220715 +aS'tachypnea\ttachypnea\tNN\tI-NP\tO' +p220716 +aS'of\tof\tIN\tB-PP\tO' +p220717 +aS'the\tthe\tDT\tB-NP\tO' +p220718 +aS'newborn\tnewborn\tNN\tI-NP\tO' +p220719 +aS'was\tbe\tVBD\tB-VP\tO' +p220720 +aS'made\tmake\tVBN\tI-VP\tO' +p220721 +aS'.\t.\t.\tO\tO' +p220722 +asS'The patient was discharged on 9-12-92 , with the approval of her attending physiciana , Dr. Porriede Friednantflirt .' +p220723 +(lp220724 +S'The\tThe\tDT\tB-NP\tO' +p220725 +aS'patient\tpatient\tNN\tI-NP\tO' +p220726 +aS'was\tbe\tVBD\tB-VP\tO' +p220727 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p220728 +aS'on\ton\tIN\tB-PP\tO' +p220729 +aS'9-12-92\t9-12-92\tCD\tB-NP\tO' +p220730 +aS',\t,\t,\tO\tO' +p220731 +aS'with\twith\tIN\tB-PP\tO' +p220732 +aS'the\tthe\tDT\tB-NP\tO' +p220733 +aS'approval\tapproval\tNN\tI-NP\tO' +p220734 +aS'of\tof\tIN\tB-PP\tO' +p220735 +aS'her\ther\tPRP$\tB-NP\tO' +p220736 +aS'attending\tattend\tVBG\tI-NP\tO' +p220737 +aS'physiciana\tphysiciana\tNN\tI-NP\tO' +p220738 +aS',\t,\t,\tO\tO' +p220739 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p220740 +aS'Porriede\tPorriede\tNNP\tI-NP\tO' +p220741 +aS'Friednantflirt\tFriednantflirt\tNNP\tI-NP\tO' +p220742 +aS'.\t.\t.\tO\tO' +p220743 +asS'Premature female .' +p220744 +(lp220745 +S'Premature\tPremature\tJJ\tB-NP\tO' +p220746 +aS'female\tfemale\tNN\tI-NP\tO' +p220747 +aS'.\t.\t.\tO\tO' +p220748 +asS'CXR also showed small pleural effusion and attempt was made to tap it , but pt did not tolerate the procedure and asked that it be deferred .' +p220749 +(lp220750 +S'CXR\tCXR\tNN\tB-NP\tB-protein' +p220751 +aS'also\talso\tRB\tB-ADVP\tO' +p220752 +aS'showed\tshow\tVBD\tB-VP\tO' +p220753 +aS'small\tsmall\tJJ\tB-NP\tO' +p220754 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p220755 +aS'effusion\teffusion\tNN\tI-NP\tO' +p220756 +aS'and\tand\tCC\tI-NP\tO' +p220757 +aS'attempt\tattempt\tNN\tI-NP\tO' +p220758 +aS'was\tbe\tVBD\tB-VP\tO' +p220759 +aS'made\tmake\tVBN\tI-VP\tO' +p220760 +aS'to\tto\tTO\tB-VP\tO' +p220761 +aS'tap\ttap\tVB\tI-VP\tO' +p220762 +aS'it\tit\tPRP\tB-NP\tO' +p220763 +aS',\t,\t,\tO\tO' +p220764 +aS'but\tbut\tCC\tO\tO' +p220765 +aS'pt\tpt\tNN\tB-NP\tO' +p220766 +aS'did\tdo\tVBD\tB-VP\tO' +p220767 +aS'not\tnot\tRB\tI-VP\tO' +p220768 +aS'tolerate\ttolerate\tVB\tI-VP\tO' +p220769 +aS'the\tthe\tDT\tB-NP\tO' +p220770 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p220771 +aS'and\tand\tCC\tO\tO' +p220772 +aS'asked\task\tVBD\tB-VP\tO' +p220773 +aS'that\tthat\tIN\tB-SBAR\tO' +p220774 +aS'it\tit\tPRP\tB-NP\tO' +p220775 +aS'be\tbe\tVB\tB-VP\tO' +p220776 +aS'deferred\tdefer\tVBN\tI-VP\tO' +p220777 +aS'.\t.\t.\tO\tO' +p220778 +asS'1. Prematurity at 30-6/7 weeks .' +p220779 +(lp220780 +S'1.\t1.\tLS\tB-NP\tO' +p220781 +aS'Prematurity\tPrematurity\tNN\tI-NP\tO' +p220782 +aS'at\tat\tIN\tB-PP\tO' +p220783 +aS'30-6/7\t30-6/7\tCD\tB-NP\tO' +p220784 +aS'weeks\tweek\tNNS\tI-NP\tO' +p220785 +aS'.\t.\t.\tO\tO' +p220786 +asS'She has had one gram per day proteinuria with normal creatinine .' +p220787 +(lp220788 +S'She\tShe\tPRP\tB-NP\tO' +p220789 +aS'has\thave\tVBZ\tB-VP\tO' +p220790 +aS'had\thave\tVBD\tI-VP\tO' +p220791 +aS'one\tone\tCD\tB-NP\tO' +p220792 +aS'gram\tgram\tNN\tI-NP\tO' +p220793 +aS'per\tper\tIN\tB-PP\tO' +p220794 +aS'day\tday\tNN\tB-NP\tO' +p220795 +aS'proteinuria\tproteinuria\tNN\tI-NP\tO' +p220796 +aS'with\twith\tIN\tB-PP\tO' +p220797 +aS'normal\tnormal\tJJ\tB-NP\tO' +p220798 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p220799 +aS'.\t.\t.\tO\tO' +p220800 +asS'She has had at least two bleeding episodes in the past , mostly described as being accompanied by generalized weakness .' +p220801 +(lp220802 +S'She\tShe\tPRP\tB-NP\tO' +p220803 +aS'has\thave\tVBZ\tB-VP\tO' +p220804 +aS'had\thave\tVBN\tI-VP\tO' +p220805 +aS'at\tat\tIN\tB-NP\tO' +p220806 +aS'least\tleast\tJJS\tI-NP\tO' +p220807 +aS'two\ttwo\tCD\tI-NP\tO' +p220808 +aS'bleeding\tbleed\tVBG\tI-NP\tO' +p220809 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p220810 +aS'in\tin\tIN\tB-PP\tO' +p220811 +aS'the\tthe\tDT\tB-NP\tO' +p220812 +aS'past\tpast\tNN\tI-NP\tO' +p220813 +aS',\t,\t,\tO\tO' +p220814 +aS'mostly\tmostly\tRB\tB-VP\tO' +p220815 +aS'described\tdescribe\tVBN\tI-VP\tO' +p220816 +aS'as\tas\tIN\tB-PP\tO' +p220817 +aS'being\tbe\tVBG\tB-VP\tO' +p220818 +aS'accompanied\taccompany\tVBN\tI-VP\tO' +p220819 +aS'by\tby\tIN\tB-PP\tO' +p220820 +aS'generalized\tgeneralize\tVBN\tB-NP\tO' +p220821 +aS'weakness\tweakness\tNN\tI-NP\tO' +p220822 +aS'.\t.\t.\tO\tO' +p220823 +asS'The patient will follow up with Dr. Ther Ludzjesc at Shiekeu Hospital Medical Centers in Connecticut .' +p220824 +(lp220825 +S'The\tThe\tDT\tB-NP\tO' +p220826 +aS'patient\tpatient\tNN\tI-NP\tO' +p220827 +aS'will\twill\tMD\tB-VP\tO' +p220828 +aS'follow\tfollow\tVB\tI-VP\tO' +p220829 +aS'up\tup\tRP\tB-PRT\tO' +p220830 +aS'with\twith\tIN\tB-PP\tO' +p220831 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p220832 +aS'Ther\tTher\tNNP\tI-NP\tO' +p220833 +aS'Ludzjesc\tLudzjesc\tNNP\tI-NP\tO' +p220834 +aS'at\tat\tIN\tB-PP\tO' +p220835 +aS'Shiekeu\tShiekeu\tNNP\tB-NP\tO' +p220836 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p220837 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p220838 +aS'Centers\tCenter\tNNPS\tI-NP\tO' +p220839 +aS'in\tin\tIN\tB-PP\tO' +p220840 +aS'Connecticut\tConnecticut\tNNP\tB-NP\tO' +p220841 +aS'.\t.\t.\tO\tO' +p220842 +asS'He was initially continued on aspirin , Plavix , beta blocker , statin , and ACE inhibitor .' +p220843 +(lp220844 +S'He\tHe\tPRP\tB-NP\tO' +p220845 +aS'was\tbe\tVBD\tB-VP\tO' +p220846 +aS'initially\tinitially\tRB\tI-VP\tO' +p220847 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p220848 +aS'on\ton\tIN\tB-PP\tO' +p220849 +aS'aspirin\taspirin\tNN\tB-NP\tO' +p220850 +aS',\t,\t,\tO\tO' +p220851 +aS'Plavix\tPlavix\tNN\tB-NP\tO' +p220852 +aS',\t,\t,\tO\tO' +p220853 +aS'beta\tbeta\tNN\tB-NP\tO' +p220854 +aS'blocker\tblocker\tNN\tI-NP\tO' +p220855 +aS',\t,\t,\tO\tO' +p220856 +aS'statin\tstatin\tNN\tB-NP\tO' +p220857 +aS',\t,\t,\tO\tO' +p220858 +aS'and\tand\tCC\tO\tO' +p220859 +aS'ACE\tACE\tNN\tB-NP\tO' +p220860 +aS'inhibitor\tinhibitor\tNN\tI-NP\tO' +p220861 +aS'.\t.\t.\tO\tO' +p220862 +asS'Medications include Fer-In-Norman , vitamin E 5 international units each day and caffeine citrate once a day .' +p220863 +(lp220864 +S'Medications\tMedication\tNNS\tB-NP\tO' +p220865 +aS'include\tinclude\tVBP\tB-VP\tO' +p220866 +aS'Fer-In-Norman\tFer-In-Norman\tNNP\tB-NP\tO' +p220867 +aS',\t,\t,\tO\tO' +p220868 +aS'vitamin\tvitamin\tNN\tB-NP\tO' +p220869 +aS'E\tE\tNN\tI-NP\tO' +p220870 +aS'5\t5\tCD\tI-NP\tO' +p220871 +aS'international\tinternational\tJJ\tI-NP\tO' +p220872 +aS'units\tunit\tNNS\tI-NP\tO' +p220873 +aS'each\teach\tDT\tB-NP\tO' +p220874 +aS'day\tday\tNN\tI-NP\tO' +p220875 +aS'and\tand\tCC\tO\tO' +p220876 +aS'caffeine\tcaffeine\tNN\tB-NP\tO' +p220877 +aS'citrate\tcitrate\tVBP\tB-VP\tO' +p220878 +aS'once\tonce\tRB\tB-ADVP\tO' +p220879 +aS'a\ta\tDT\tB-NP\tO' +p220880 +aS'day\tday\tNN\tI-NP\tO' +p220881 +aS'.\t.\t.\tO\tO' +p220882 +asS'Therefore we switched her Cimetidine to Prilosec .' +p220883 +(lp220884 +S'Therefore\tTherefore\tRB\tB-ADVP\tO' +p220885 +aS'we\twe\tPRP\tB-NP\tO' +p220886 +aS'switched\tswitch\tVBD\tB-VP\tO' +p220887 +aS'her\ther\tPRP$\tB-NP\tO' +p220888 +aS'Cimetidine\tCimetidine\tNN\tI-NP\tO' +p220889 +aS'to\tto\tTO\tB-PP\tO' +p220890 +aS'Prilosec\tPrilosec\tNNP\tB-NP\tO' +p220891 +aS'.\t.\t.\tO\tO' +p220892 +asS'The patient had a spinal cord stimulator placed on 07/21/99 .' +p220893 +(lp220894 +S'The\tThe\tDT\tB-NP\tO' +p220895 +aS'patient\tpatient\tNN\tI-NP\tO' +p220896 +aS'had\thave\tVBD\tB-VP\tO' +p220897 +aS'a\ta\tDT\tB-NP\tO' +p220898 +aS'spinal\tspinal\tJJ\tI-NP\tO' +p220899 +aS'cord\tcord\tNN\tI-NP\tO' +p220900 +aS'stimulator\tstimulator\tNN\tI-NP\tO' +p220901 +aS'placed\tplace\tVBN\tB-VP\tO' +p220902 +aS'on\ton\tIN\tB-PP\tO' +p220903 +aS'07/21/99\t07/21/99\tCD\tB-NP\tO' +p220904 +aS'.\t.\t.\tO\tO' +p220905 +asS'On 05-05-92 she was noted to convert to atrial fibrillation which resolved spontaneously a few days later .' +p220906 +(lp220907 +S'On\tOn\tIN\tB-PP\tO' +p220908 +aS'05-05-92\t05-05-92\tCD\tB-NP\tO' +p220909 +aS'she\tshe\tPRP\tB-NP\tO' +p220910 +aS'was\tbe\tVBD\tB-VP\tO' +p220911 +aS'noted\tnote\tVBN\tI-VP\tO' +p220912 +aS'to\tto\tTO\tI-VP\tO' +p220913 +aS'convert\tconvert\tVB\tI-VP\tO' +p220914 +aS'to\tto\tTO\tB-PP\tO' +p220915 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p220916 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p220917 +aS'which\twhich\tWDT\tB-NP\tO' +p220918 +aS'resolved\tresolve\tVBD\tB-VP\tO' +p220919 +aS'spontaneously\tspontaneously\tRB\tB-NP\tO' +p220920 +aS'a\ta\tDT\tI-NP\tO' +p220921 +aS'few\tfew\tJJ\tI-NP\tO' +p220922 +aS'days\tday\tNNS\tI-NP\tO' +p220923 +aS'later\tlater\tRB\tB-ADVP\tO' +p220924 +aS'.\t.\t.\tO\tO' +p220925 +asS'No appreciable pneumothorax or pleural effusions' +p220926 +(lp220927 +S'No\tNo\tDT\tB-NP\tO' +p220928 +aS'appreciable\tappreciable\tJJ\tI-NP\tO' +p220929 +aS'pneumothorax\tpneumothorax\tNN\tI-NP\tO' +p220930 +aS'or\tor\tCC\tO\tO' +p220931 +aS'pleural\tpleural\tJJ\tB-NP\tO' +p220932 +aS'effusions\teffusion\tNNS\tI-NP\tO' +p220933 +asS'Mother died of MI at age 55 .' +p220934 +(lp220935 +S'Mother\tMother\tNNP\tB-NP\tO' +p220936 +aS'died\tdie\tVBD\tB-VP\tO' +p220937 +aS'of\tof\tIN\tB-PP\tO' +p220938 +aS'MI\tMI\tNN\tB-NP\tO' +p220939 +aS'at\tat\tIN\tB-PP\tO' +p220940 +aS'age\tage\tNN\tB-NP\tO' +p220941 +aS'55\t55\tCD\tI-NP\tO' +p220942 +aS'.\t.\t.\tO\tO' +p220943 +asS'- h/o LLE DVT on coumadin' +p220944 +(lp220945 +S'-\t-\tHYPH\tB-NP\tO' +p220946 +aS'h/o\th/o\tNN\tI-NP\tO' +p220947 +aS'LLE\tLLE\tNN\tI-NP\tO' +p220948 +aS'DVT\tDVT\tNN\tI-NP\tO' +p220949 +aS'on\ton\tIN\tB-PP\tO' +p220950 +aS'coumadin\tcoumadin\tNN\tB-NP\tO' +p220951 +asS'He had one positive blood culture for Vancomycin resistant enterococcus .' +p220952 +(lp220953 +S'He\tHe\tPRP\tB-NP\tO' +p220954 +aS'had\thave\tVBD\tB-VP\tO' +p220955 +aS'one\tone\tCD\tB-NP\tO' +p220956 +aS'positive\tpositive\tJJ\tI-NP\tO' +p220957 +aS'blood\tblood\tNN\tI-NP\tO' +p220958 +aS'culture\tculture\tNN\tI-NP\tO' +p220959 +aS'for\tfor\tIN\tB-PP\tO' +p220960 +aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' +p220961 +aS'resistant\tresistant\tJJ\tI-NP\tO' +p220962 +aS'enterococcus\tenterococcus\tNN\tI-NP\tO' +p220963 +aS'.\t.\t.\tO\tO' +p220964 +asS'1 ) Follow-up esophageal biopsy results' +p220965 +(lp220966 +S'1\t1\tLS\tB-LST\tO' +p220967 +aS')\t)\t)\tO\tO' +p220968 +aS'Follow-up\tFollow-up\tJJ\tB-NP\tO' +p220969 +aS'esophageal\tesophageal\tJJ\tI-NP\tO' +p220970 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p220971 +aS'results\tresult\tNNS\tI-NP\tO' +p220972 +asS'The review of the pathology from Bri Health confirmed a high grade adenocarcinoma .' +p220973 +(lp220974 +S'The\tThe\tDT\tB-NP\tO' +p220975 +aS'review\treview\tNN\tI-NP\tO' +p220976 +aS'of\tof\tIN\tB-PP\tO' +p220977 +aS'the\tthe\tDT\tB-NP\tO' +p220978 +aS'pathology\tpathology\tNN\tI-NP\tO' +p220979 +aS'from\tfrom\tIN\tB-PP\tO' +p220980 +aS'Bri\tBri\tNNP\tB-NP\tO' +p220981 +aS'Health\tHealth\tNNP\tI-NP\tO' +p220982 +aS'confirmed\tconfirm\tVBD\tB-VP\tO' +p220983 +aS'a\ta\tDT\tB-NP\tO' +p220984 +aS'high\thigh\tJJ\tI-NP\tO' +p220985 +aS'grade\tgrade\tNN\tI-NP\tO' +p220986 +aS'adenocarcinoma\tadenocarcinoma\tNN\tI-NP\tO' +p220987 +aS'.\t.\t.\tO\tO' +p220988 +asS'On postoperative day #one , she was then stable with no complaints .' +p220989 +(lp220990 +S'On\tOn\tIN\tB-PP\tO' +p220991 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p220992 +aS'day\tday\tNN\tI-NP\tO' +p220993 +aS'#one\t#one\tNN\tI-NP\tO' +p220994 +aS',\t,\t,\tO\tO' +p220995 +aS'she\tshe\tPRP\tB-NP\tO' +p220996 +aS'was\tbe\tVBD\tB-VP\tO' +p220997 +aS'then\tthen\tRB\tB-ADJP\tO' +p220998 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p220999 +aS'with\twith\tIN\tB-PP\tO' +p221000 +aS'no\tno\tDT\tB-NP\tO' +p221001 +aS'complaints\tcomplaint\tNNS\tI-NP\tO' +p221002 +aS'.\t.\t.\tO\tO' +p221003 +asS'The patient remained asymptomatic from a CHF stand point and felt much better after the transfusions .' +p221004 +(lp221005 +S'The\tThe\tDT\tB-NP\tO' +p221006 +aS'patient\tpatient\tNN\tI-NP\tO' +p221007 +aS'remained\tremain\tVBD\tB-VP\tO' +p221008 +aS'asymptomatic\tasymptomatic\tJJ\tB-ADJP\tO' +p221009 +aS'from\tfrom\tIN\tB-PP\tO' +p221010 +aS'a\ta\tDT\tB-NP\tO' +p221011 +aS'CHF\tCHF\tNN\tI-NP\tO' +p221012 +aS'stand\tstand\tNN\tI-NP\tO' +p221013 +aS'point\tpoint\tNN\tI-NP\tO' +p221014 +aS'and\tand\tCC\tO\tO' +p221015 +aS'felt\tfeel\tVBD\tB-VP\tO' +p221016 +aS'much\tmuch\tRB\tB-ADJP\tO' +p221017 +aS'better\tgood\tJJR\tI-ADJP\tO' +p221018 +aS'after\tafter\tIN\tB-PP\tO' +p221019 +aS'the\tthe\tDT\tB-NP\tO' +p221020 +aS'transfusions\ttransfusion\tNNS\tI-NP\tO' +p221021 +aS'.\t.\t.\tO\tO' +p221022 +asS'No alcohol use .' +p221023 +(lp221024 +S'No\tNo\tDT\tB-NP\tO' +p221025 +aS'alcohol\talcohol\tNN\tI-NP\tO' +p221026 +aS'use\tuse\tNN\tI-NP\tO' +p221027 +aS'.\t.\t.\tO\tO' +p221028 +asS'The infant was intubated soon after admission to the CMED CSRU and received two doses of surfactant .' +p221029 +(lp221030 +S'The\tThe\tDT\tB-NP\tO' +p221031 +aS'infant\tinfant\tNN\tI-NP\tO' +p221032 +aS'was\tbe\tVBD\tB-VP\tO' +p221033 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p221034 +aS'soon\tsoon\tRB\tB-ADVP\tO' +p221035 +aS'after\tafter\tIN\tB-SBAR\tO' +p221036 +aS'admission\tadmission\tNN\tB-NP\tO' +p221037 +aS'to\tto\tTO\tB-PP\tO' +p221038 +aS'the\tthe\tDT\tB-NP\tO' +p221039 +aS'CMED\tCMED\tNNP\tI-NP\tO' +p221040 +aS'CSRU\tCSRU\tNNP\tI-NP\tO' +p221041 +aS'and\tand\tCC\tO\tO' +p221042 +aS'received\treceive\tVBD\tB-VP\tO' +p221043 +aS'two\ttwo\tCD\tB-NP\tO' +p221044 +aS'doses\tdose\tNNS\tI-NP\tO' +p221045 +aS'of\tof\tIN\tB-PP\tO' +p221046 +aS'surfactant\tsurfactant\tNN\tB-NP\tO' +p221047 +aS'.\t.\t.\tO\tO' +p221048 +asS'His respiratory status improved .' +p221049 +(lp221050 +S'His\tHis\tPRP$\tB-NP\tO' +p221051 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p221052 +aS'status\tstatus\tNN\tI-NP\tO' +p221053 +aS'improved\timprove\tVBD\tB-VP\tO' +p221054 +aS'.\t.\t.\tO\tO' +p221055 +asS'At the Ingree and Ot of Weamanshy Medical Center , she underwent an emergent CT scan with IV contrast .' +p221056 +(lp221057 +S'At\tAt\tIN\tB-PP\tO' +p221058 +aS'the\tthe\tDT\tB-NP\tO' +p221059 +aS'Ingree\tIngree\tNNP\tI-NP\tO' +p221060 +aS'and\tand\tCC\tI-NP\tO' +p221061 +aS'Ot\tOt\tNNP\tI-NP\tO' +p221062 +aS'of\tof\tIN\tB-PP\tO' +p221063 +aS'Weamanshy\tWeamanshy\tNNP\tB-NP\tO' +p221064 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p221065 +aS'Center\tCenter\tNNP\tI-NP\tO' +p221066 +aS',\t,\t,\tO\tO' +p221067 +aS'she\tshe\tPRP\tB-NP\tO' +p221068 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p221069 +aS'an\tan\tDT\tB-NP\tO' +p221070 +aS'emergent\temergent\tJJ\tI-NP\tO' +p221071 +aS'CT\tCT\tNN\tI-NP\tO' +p221072 +aS'scan\tscan\tNN\tI-NP\tO' +p221073 +aS'with\twith\tIN\tB-PP\tO' +p221074 +aS'IV\tIV\tCD\tB-NP\tO' +p221075 +aS'contrast\tcontrast\tNN\tI-NP\tO' +p221076 +aS'.\t.\t.\tO\tO' +p221077 +asS'His reflexes were symmetric with upgoing toes .' +p221078 +(lp221079 +S'His\tHis\tPRP$\tB-NP\tO' +p221080 +aS'reflexes\treflex\tNNS\tI-NP\tO' +p221081 +aS'were\tbe\tVBD\tB-VP\tO' +p221082 +aS'symmetric\tsymmetric\tJJ\tB-ADJP\tO' +p221083 +aS'with\twith\tIN\tB-PP\tO' +p221084 +aS'upgoing\tupgoe\tVBG\tB-VP\tO' +p221085 +aS'toes\ttoe\tNNS\tB-NP\tO' +p221086 +aS'.\t.\t.\tO\tO' +p221087 +asS'Aorta intact .' +p221088 +(lp221089 +S'Aorta\tAorta\tNN\tB-NP\tO' +p221090 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p221091 +aS'.\t.\t.\tO\tO' +p221092 +asS'Accordingly he was referred for further evaluation .' +p221093 +(lp221094 +S'Accordingly\tAccordingly\tRB\tB-ADVP\tO' +p221095 +aS'he\the\tPRP\tB-NP\tO' +p221096 +aS'was\tbe\tVBD\tB-VP\tO' +p221097 +aS'referred\trefer\tVBN\tI-VP\tO' +p221098 +aS'for\tfor\tIN\tB-PP\tO' +p221099 +aS'further\tfurther\tJJ\tB-NP\tO' +p221100 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p221101 +aS'.\t.\t.\tO\tO' +p221102 +asS'The patient denies tobacco and / or alcohol use .' +p221103 +(lp221104 +S'The\tThe\tDT\tB-NP\tO' +p221105 +aS'patient\tpatient\tNN\tI-NP\tO' +p221106 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p221107 +aS'tobacco\ttobacco\tNN\tB-NP\tO' +p221108 +aS'and\tand\tCC\tO\tO' +p221109 +aS'/\t/\tSYM\tB-NP\tO' +p221110 +aS'or\tor\tCC\tO\tO' +p221111 +aS'alcohol\talcohol\tNN\tB-NP\tO' +p221112 +aS'use\tuse\tNN\tI-NP\tO' +p221113 +aS'.\t.\t.\tO\tO' +p221114 +asS'She was in no apparent distress , tired , easily arousable older female .' +p221115 +(lp221116 +S'She\tShe\tPRP\tB-NP\tO' +p221117 +aS'was\tbe\tVBD\tB-VP\tO' +p221118 +aS'in\tin\tIN\tB-PP\tO' +p221119 +aS'no\tno\tDT\tB-NP\tO' +p221120 +aS'apparent\tapparent\tJJ\tI-NP\tO' +p221121 +aS'distress\tdistress\tNN\tI-NP\tO' +p221122 +aS',\t,\t,\tO\tO' +p221123 +aS'tired\ttire\tVBN\tB-VP\tO' +p221124 +aS',\t,\t,\tB-NP\tO' +p221125 +aS'easily\teasily\tRB\tI-NP\tO' +p221126 +aS'arousable\tarousable\tJJ\tI-NP\tO' +p221127 +aS'older\told\tJJR\tI-NP\tO' +p221128 +aS'female\tfemale\tJJ\tI-NP\tO' +p221129 +aS'.\t.\t.\tO\tO' +p221130 +asS'Spinal stenosis .' +p221131 +(lp221132 +S'Spinal\tSpinal\tJJ\tB-NP\tO' +p221133 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p221134 +aS'.\t.\t.\tO\tO' +p221135 +asS'Abnormal Laboratory Result ; Abnormal Pap Test ; Monilial Vaginitis' +p221136 +(lp221137 +S'Abnormal\tAbnormal\tNNP\tB-NP\tO' +p221138 +aS'Laboratory\tLaboratory\tNNP\tI-NP\tO' +p221139 +aS'Result\tResult\tNNP\tI-NP\tO' +p221140 +aS';\t;\t:\tO\tO' +p221141 +aS'Abnormal\tAbnormal\tNNP\tB-NP\tO' +p221142 +aS'Pap\tPap\tNNP\tI-NP\tO' +p221143 +aS'Test\tTest\tNNP\tI-NP\tO' +p221144 +aS';\t;\t:\tO\tO' +p221145 +aS'Monilial\tMonilial\tNNP\tB-NP\tO' +p221146 +aS'Vaginitis\tVaginitis\tNNP\tI-NP\tO' +p221147 +asS'The patient was taken to the OR on postop day 5 for emergent exploratory laparotomy that disclosed a small bowel enterotomy with 2 liters of bilious fluid within the peritoneum .' +p221148 +(lp221149 +S'The\tThe\tDT\tB-NP\tO' +p221150 +aS'patient\tpatient\tNN\tI-NP\tO' +p221151 +aS'was\tbe\tVBD\tB-VP\tO' +p221152 +aS'taken\ttake\tVBN\tI-VP\tO' +p221153 +aS'to\tto\tTO\tB-PP\tO' +p221154 +aS'the\tthe\tDT\tB-NP\tO' +p221155 +aS'OR\tOR\tNN\tI-NP\tO' +p221156 +aS'on\ton\tIN\tB-PP\tO' +p221157 +aS'postop\tpostop\tNN\tB-NP\tO' +p221158 +aS'day\tday\tNN\tI-NP\tO' +p221159 +aS'5\t5\tCD\tI-NP\tO' +p221160 +aS'for\tfor\tIN\tB-PP\tO' +p221161 +aS'emergent\temergent\tJJ\tB-NP\tO' +p221162 +aS'exploratory\texploratory\tJJ\tI-NP\tO' +p221163 +aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' +p221164 +aS'that\tthat\tWDT\tB-NP\tO' +p221165 +aS'disclosed\tdisclose\tVBD\tB-VP\tO' +p221166 +aS'a\ta\tDT\tB-NP\tO' +p221167 +aS'small\tsmall\tJJ\tI-NP\tO' +p221168 +aS'bowel\tbowel\tNN\tI-NP\tO' +p221169 +aS'enterotomy\tenterotomy\tNN\tI-NP\tO' +p221170 +aS'with\twith\tIN\tB-PP\tO' +p221171 +aS'2\t2\tCD\tB-NP\tO' +p221172 +aS'liters\tliter\tNNS\tI-NP\tO' +p221173 +aS'of\tof\tIN\tB-PP\tO' +p221174 +aS'bilious\tbilious\tJJ\tB-NP\tO' +p221175 +aS'fluid\tfluid\tNN\tI-NP\tO' +p221176 +aS'within\twithin\tIN\tB-PP\tO' +p221177 +aS'the\tthe\tDT\tB-NP\tO' +p221178 +aS'peritoneum\tperitoneum\tNN\tI-NP\tO' +p221179 +aS'.\t.\t.\tO\tO' +p221180 +asS'Old TWI V4-6 .' +p221181 +(lp221182 +S'Old\tOld\tNNP\tB-NP\tO' +p221183 +aS'TWI\tTWI\tNNP\tI-NP\tO' +p221184 +aS'V4-6\tV4-6\tNNP\tI-NP\tO' +p221185 +aS'.\t.\t.\tO\tO' +p221186 +asS'Hypotension - This was likely secondary to volume depletion in the setting of a diarrheal and viral respiratory syndrome .' +p221187 +(lp221188 +S'Hypotension\tHypotension\tNN\tB-NP\tO' +p221189 +aS'-\t-\tHYPH\tO\tO' +p221190 +aS'This\tThis\tDT\tB-NP\tO' +p221191 +aS'was\tbe\tVBD\tB-VP\tO' +p221192 +aS'likely\tlikely\tRB\tB-ADJP\tO' +p221193 +aS'secondary\tsecondary\tJJ\tI-ADJP\tO' +p221194 +aS'to\tto\tTO\tB-PP\tO' +p221195 +aS'volume\tvolume\tNN\tB-NP\tO' +p221196 +aS'depletion\tdepletion\tNN\tI-NP\tO' +p221197 +aS'in\tin\tIN\tB-PP\tO' +p221198 +aS'the\tthe\tDT\tB-NP\tO' +p221199 +aS'setting\tsetting\tNN\tI-NP\tO' +p221200 +aS'of\tof\tIN\tB-PP\tO' +p221201 +aS'a\ta\tDT\tB-NP\tO' +p221202 +aS'diarrheal\tdiarrheal\tNN\tI-NP\tO' +p221203 +aS'and\tand\tCC\tO\tO' +p221204 +aS'viral\tviral\tJJ\tB-NP\tO' +p221205 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p221206 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p221207 +aS'.\t.\t.\tO\tO' +p221208 +asS'They last a few seconds on the left side and are not associated with sweating , nausea , vomiting or syncope .' +p221209 +(lp221210 +S'They\tThey\tPRP\tB-NP\tO' +p221211 +aS'last\tlast\tVBP\tB-VP\tO' +p221212 +aS'a\ta\tDT\tB-NP\tO' +p221213 +aS'few\tfew\tJJ\tI-NP\tO' +p221214 +aS'seconds\tsecond\tNNS\tI-NP\tO' +p221215 +aS'on\ton\tIN\tB-PP\tO' +p221216 +aS'the\tthe\tDT\tB-NP\tO' +p221217 +aS'left\tleft\tJJ\tI-NP\tO' +p221218 +aS'side\tside\tNN\tI-NP\tO' +p221219 +aS'and\tand\tCC\tO\tO' +p221220 +aS'are\tbe\tVBP\tB-VP\tO' +p221221 +aS'not\tnot\tRB\tI-VP\tO' +p221222 +aS'associated\tassociate\tVBN\tI-VP\tO' +p221223 +aS'with\twith\tIN\tB-PP\tO' +p221224 +aS'sweating\tsweating\tNN\tB-NP\tO' +p221225 +aS',\t,\t,\tI-NP\tO' +p221226 +aS'nausea\tnausea\tNN\tI-NP\tO' +p221227 +aS',\t,\t,\tI-NP\tO' +p221228 +aS'vomiting\tvomiting\tNN\tI-NP\tO' +p221229 +aS'or\tor\tCC\tI-NP\tO' +p221230 +aS'syncope\tsyncope\tNN\tI-NP\tO' +p221231 +aS'.\t.\t.\tO\tO' +p221232 +asS'1. Congestive heart failure .' +p221233 +(lp221234 +S'1.\t1.\tLS\tB-NP\tO' +p221235 +aS'Congestive\tCongestive\tJJ\tI-NP\tO' +p221236 +aS'heart\theart\tNN\tI-NP\tO' +p221237 +aS'failure\tfailure\tNN\tI-NP\tO' +p221238 +aS'.\t.\t.\tO\tO' +p221239 +asS'These liver function tests will be followed closely as an outpatient .' +p221240 +(lp221241 +S'These\tThese\tDT\tB-NP\tO' +p221242 +aS'liver\tliver\tNN\tI-NP\tO' +p221243 +aS'function\tfunction\tNN\tI-NP\tO' +p221244 +aS'tests\ttest\tNNS\tI-NP\tO' +p221245 +aS'will\twill\tMD\tB-VP\tO' +p221246 +aS'be\tbe\tVB\tI-VP\tO' +p221247 +aS'followed\tfollow\tVBN\tI-VP\tO' +p221248 +aS'closely\tclosely\tRB\tB-ADVP\tO' +p221249 +aS'as\tas\tIN\tB-PP\tO' +p221250 +aS'an\tan\tDT\tB-NP\tO' +p221251 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p221252 +aS'.\t.\t.\tO\tO' +p221253 +asS'Is notable for an inferior myocardial infarction , restrictive and obstructive lung disease with an FEV1 of .9 and FVC of 1.34 and a moderate at best response to bronchodilators , and a negative sestamibi scan in May , 1999 apart from a severe fixed inferolateral defect , systolic dysfunction with recent echocardiography revealing an LVID of 62 mm. and ejection fraction of 28 percent , moderate mitral regurgitation and mild-to-moderate aortic stenosis with a peak gradient of 33 and a mean gradient of 19 and a valve area of 1.4 cm. squared .' +p221254 +(lp221255 +S'Is\tBe\tVBZ\tO\tO' +p221256 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p221257 +aS'for\tfor\tIN\tB-PP\tO' +p221258 +aS'an\tan\tDT\tB-NP\tO' +p221259 +aS'inferior\tinferior\tJJ\tI-NP\tO' +p221260 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p221261 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p221262 +aS',\t,\t,\tO\tO' +p221263 +aS'restrictive\trestrictive\tJJ\tB-NP\tO' +p221264 +aS'and\tand\tCC\tI-NP\tO' +p221265 +aS'obstructive\tobstructive\tJJ\tI-NP\tO' +p221266 +aS'lung\tlung\tNN\tI-NP\tO' +p221267 +aS'disease\tdisease\tNN\tI-NP\tO' +p221268 +aS'with\twith\tIN\tB-PP\tO' +p221269 +aS'an\tan\tDT\tB-NP\tO' +p221270 +aS'FEV1\tFEV1\tNN\tI-NP\tO' +p221271 +aS'of\tof\tIN\tB-PP\tO' +p221272 +aS'.9\t.9\tNN\tB-NP\tO' +p221273 +aS'and\tand\tCC\tI-NP\tO' +p221274 +aS'FVC\tFVC\tNN\tI-NP\tO' +p221275 +aS'of\tof\tIN\tB-PP\tO' +p221276 +aS'1.34\t1.34\tCD\tB-NP\tO' +p221277 +aS'and\tand\tCC\tO\tO' +p221278 +aS'a\ta\tDT\tB-NP\tO' +p221279 +aS'moderate\tmoderate\tJJ\tI-NP\tO' +p221280 +aS'at\tat\tIN\tB-PP\tO' +p221281 +aS'best\tgood\tJJS\tB-NP\tO' +p221282 +aS'response\tresponse\tNN\tI-NP\tO' +p221283 +aS'to\tto\tTO\tB-PP\tO' +p221284 +aS'bronchodilators\tbronchodilator\tNNS\tB-NP\tO' +p221285 +aS',\t,\t,\tO\tO' +p221286 +aS'and\tand\tCC\tO\tO' +p221287 +aS'a\ta\tDT\tB-NP\tO' +p221288 +aS'negative\tnegative\tJJ\tI-NP\tO' +p221289 +aS'sestamibi\tsestamibi\tNN\tI-NP\tO' +p221290 +aS'scan\tscan\tNN\tI-NP\tO' +p221291 +aS'in\tin\tIN\tB-PP\tO' +p221292 +aS'May\tMay\tNNP\tB-NP\tO' +p221293 +aS',\t,\t,\tO\tO' +p221294 +aS'1999\t1999\tCD\tB-NP\tO' +p221295 +aS'apart\tapart\tRB\tB-ADVP\tO' +p221296 +aS'from\tfrom\tIN\tB-PP\tO' +p221297 +aS'a\ta\tDT\tB-NP\tO' +p221298 +aS'severe\tsevere\tJJ\tI-NP\tO' +p221299 +aS'fixed\tfixed\tJJ\tI-NP\tO' +p221300 +aS'inferolateral\tinferolateral\tJJ\tI-NP\tO' +p221301 +aS'defect\tdefect\tNN\tI-NP\tO' +p221302 +aS',\t,\t,\tO\tO' +p221303 +aS'systolic\tsystolic\tJJ\tB-NP\tO' +p221304 +aS'dysfunction\tdysfunction\tNN\tI-NP\tO' +p221305 +aS'with\twith\tIN\tB-PP\tO' +p221306 +aS'recent\trecent\tJJ\tB-NP\tO' +p221307 +aS'echocardiography\techocardiography\tNN\tI-NP\tO' +p221308 +aS'revealing\treveal\tVBG\tB-VP\tO' +p221309 +aS'an\tan\tDT\tB-NP\tO' +p221310 +aS'LVID\tLVID\tNN\tI-NP\tO' +p221311 +aS'of\tof\tIN\tB-PP\tO' +p221312 +aS'62\t62\tCD\tB-NP\tO' +p221313 +aS'mm.\tmm.\tNN\tI-NP\tO' +p221314 +aS'and\tand\tCC\tI-NP\tO' +p221315 +aS'ejection\tejection\tNN\tI-NP\tO' +p221316 +aS'fraction\tfraction\tNN\tI-NP\tO' +p221317 +aS'of\tof\tIN\tB-PP\tO' +p221318 +aS'28\t28\tCD\tB-NP\tO' +p221319 +aS'percent\tpercent\tNN\tI-NP\tO' +p221320 +aS',\t,\t,\tO\tO' +p221321 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p221322 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p221323 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p221324 +aS'and\tand\tCC\tO\tO' +p221325 +aS'mild-to-moderate\tmild-to-moderate\tJJ\tB-NP\tO' +p221326 +aS'aortic\taortic\tJJ\tI-NP\tO' +p221327 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p221328 +aS'with\twith\tIN\tB-PP\tO' +p221329 +aS'a\ta\tDT\tB-NP\tO' +p221330 +aS'peak\tpeak\tJJ\tI-NP\tO' +p221331 +aS'gradient\tgradient\tNN\tI-NP\tO' +p221332 +aS'of\tof\tIN\tB-PP\tO' +p221333 +aS'33\t33\tCD\tB-NP\tO' +p221334 +aS'and\tand\tCC\tO\tO' +p221335 +aS'a\ta\tDT\tB-NP\tO' +p221336 +aS'mean\tmean\tJJ\tI-NP\tO' +p221337 +aS'gradient\tgradient\tNN\tI-NP\tO' +p221338 +aS'of\tof\tIN\tB-PP\tO' +p221339 +aS'19\t19\tCD\tB-NP\tO' +p221340 +aS'and\tand\tCC\tO\tO' +p221341 +aS'a\ta\tDT\tB-NP\tO' +p221342 +aS'valve\tvalve\tJJ\tI-NP\tO' +p221343 +aS'area\tarea\tNN\tI-NP\tO' +p221344 +aS'of\tof\tIN\tB-PP\tO' +p221345 +aS'1.4\t1.4\tCD\tB-NP\tO' +p221346 +aS'cm.\tcm.\tNN\tI-NP\tO' +p221347 +aS'squared\tsquare\tVBD\tB-VP\tO' +p221348 +aS'.\t.\t.\tO\tO' +p221349 +asS'The acute onset of chest pain was initially very concerning for a PE , however the Chest CT demonstrated multifocal consolidation consistent with a bacterial PNA .' +p221350 +(lp221351 +S'The\tThe\tDT\tB-NP\tO' +p221352 +aS'acute\tacute\tJJ\tI-NP\tO' +p221353 +aS'onset\tonset\tNN\tI-NP\tO' +p221354 +aS'of\tof\tIN\tB-PP\tO' +p221355 +aS'chest\tchest\tNN\tB-NP\tO' +p221356 +aS'pain\tpain\tNN\tI-NP\tO' +p221357 +aS'was\tbe\tVBD\tB-VP\tO' +p221358 +aS'initially\tinitially\tRB\tI-VP\tO' +p221359 +aS'very\tvery\tRB\tI-VP\tO' +p221360 +aS'concerning\tconcern\tVBG\tI-VP\tO' +p221361 +aS'for\tfor\tIN\tB-PP\tO' +p221362 +aS'a\ta\tDT\tB-NP\tO' +p221363 +aS'PE\tPE\tNN\tI-NP\tO' +p221364 +aS',\t,\t,\tO\tO' +p221365 +aS'however\thowever\tRB\tB-ADVP\tO' +p221366 +aS'the\tthe\tDT\tB-NP\tO' +p221367 +aS'Chest\tChest\tNNP\tI-NP\tO' +p221368 +aS'CT\tCT\tNN\tI-NP\tO' +p221369 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p221370 +aS'multifocal\tmultifocal\tJJ\tB-NP\tO' +p221371 +aS'consolidation\tconsolidation\tNN\tI-NP\tO' +p221372 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p221373 +aS'with\twith\tIN\tB-PP\tO' +p221374 +aS'a\ta\tDT\tB-NP\tO' +p221375 +aS'bacterial\tbacterial\tJJ\tI-NP\tO' +p221376 +aS'PNA\tPNA\tNN\tI-NP\tO' +p221377 +aS'.\t.\t.\tO\tO' +p221378 +asS'He received a two week course of broad spectrum antibiotics and will be maintained on Levofloxacin IV for prophylaxis against SBP .' +p221379 +(lp221380 +S'He\tHe\tPRP\tB-NP\tO' +p221381 +aS'received\treceive\tVBD\tB-VP\tO' +p221382 +aS'a\ta\tDT\tB-NP\tO' +p221383 +aS'two\ttwo\tCD\tI-NP\tO' +p221384 +aS'week\tweek\tNN\tI-NP\tO' +p221385 +aS'course\tcourse\tNN\tI-NP\tO' +p221386 +aS'of\tof\tIN\tB-PP\tO' +p221387 +aS'broad\tbroad\tJJ\tB-NP\tO' +p221388 +aS'spectrum\tspectrum\tNN\tI-NP\tO' +p221389 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p221390 +aS'and\tand\tCC\tO\tO' +p221391 +aS'will\twill\tMD\tB-VP\tO' +p221392 +aS'be\tbe\tVB\tI-VP\tO' +p221393 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p221394 +aS'on\ton\tIN\tB-PP\tO' +p221395 +aS'Levofloxacin\tLevofloxacin\tNN\tB-NP\tB-protein' +p221396 +aS'IV\tIV\tCD\tI-NP\tI-protein' +p221397 +aS'for\tfor\tIN\tB-PP\tO' +p221398 +aS'prophylaxis\tprophylaxis\tNN\tB-NP\tO' +p221399 +aS'against\tagainst\tIN\tB-PP\tO' +p221400 +aS'SBP\tSBP\tNN\tB-NP\tB-protein' +p221401 +aS'.\t.\t.\tO\tO' +p221402 +asS'The abdominal CT revealed mesenteric adenopathy , normal bowels , hepatosplenomegaly , and ? fatty liver .' +p221403 +(lp221404 +S'The\tThe\tDT\tB-NP\tO' +p221405 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p221406 +aS'CT\tCT\tNN\tI-NP\tO' +p221407 +aS'revealed\treveal\tVBD\tB-VP\tO' +p221408 +aS'mesenteric\tmesenteric\tJJ\tB-NP\tO' +p221409 +aS'adenopathy\tadenopathy\tNN\tI-NP\tO' +p221410 +aS',\t,\t,\tO\tO' +p221411 +aS'normal\tnormal\tJJ\tB-NP\tO' +p221412 +aS'bowels\tbowel\tNNS\tI-NP\tO' +p221413 +aS',\t,\t,\tO\tO' +p221414 +aS'hepatosplenomegaly\thepatosplenomegaly\tRB\tB-ADVP\tO' +p221415 +aS',\t,\t,\tO\tO' +p221416 +aS'and\tand\tCC\tO\tO' +p221417 +aS'?\t?\t.\tO\tO' +p221418 +aS'fatty\tfatty\tJJ\tB-NP\tO' +p221419 +aS'liver\tliver\tNN\tI-NP\tO' +p221420 +aS'.\t.\t.\tO\tO' +p221421 +asS'Signed electronically by : DR. Richard Gray on : Tommy 2013-02-17 12:05 AM' +p221422 +(lp221423 +S'Signed\tSign\tVBN\tB-VP\tO' +p221424 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p221425 +aS'by\tby\tIN\tB-PP\tO' +p221426 +aS':\t:\t:\tO\tO' +p221427 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p221428 +aS'Richard\tRichard\tNNP\tI-NP\tO' +p221429 +aS'Gray\tGray\tNNP\tI-NP\tO' +p221430 +aS'on\ton\tIN\tB-PP\tO' +p221431 +aS':\t:\t:\tO\tO' +p221432 +aS'Tommy\tTommy\tNNP\tB-NP\tO' +p221433 +aS'2013-02-17\t2013-02-17\tCD\tB-NP\tO' +p221434 +aS'12:05\t12:05\tCD\tI-NP\tO' +p221435 +aS'AM\tAM\tNN\tI-NP\tO' +p221436 +asS'5. Aspirin 81 mg Tablet , Delayed Release ( E.C. ) Sig : One ( 1 ) Tablet , Delayed Release ( E.C. ) PO DAILY ( Daily ) .' +p221437 +(lp221438 +S'5.\t5.\tLS\tB-NP\tO' +p221439 +aS'Aspirin\tAspirin\tNN\tI-NP\tO' +p221440 +aS'81\t81\tCD\tB-NP\tO' +p221441 +aS'mg\tmg\tNN\tI-NP\tO' +p221442 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p221443 +aS',\t,\t,\tO\tO' +p221444 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p221445 +aS'Release\tRelease\tNNP\tI-NP\tO' +p221446 +aS'(\t(\t(\tO\tO' +p221447 +aS'E.C.\tE.C.\tNNP\tB-NP\tO' +p221448 +aS')\t)\t)\tO\tO' +p221449 +aS'Sig\tSig\tNNP\tB-NP\tO' +p221450 +aS':\t:\t:\tO\tO' +p221451 +aS'One\tOne\tCD\tB-NP\tO' +p221452 +aS'(\t(\t(\tO\tO' +p221453 +aS'1\t1\tCD\tB-NP\tO' +p221454 +aS')\t)\t)\tO\tO' +p221455 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p221456 +aS',\t,\t,\tO\tO' +p221457 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p221458 +aS'Release\tRelease\tNNP\tI-NP\tO' +p221459 +aS'(\t(\t(\tO\tO' +p221460 +aS'E.C.\tE.C.\tNNP\tO\tO' +p221461 +aS')\t)\t)\tO\tO' +p221462 +aS'PO\tPO\tNN\tB-NP\tO' +p221463 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p221464 +aS'(\t(\t(\tO\tO' +p221465 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p221466 +aS')\t)\t)\tO\tO' +p221467 +aS'.\t.\t.\tO\tO' +p221468 +asS'She then suffered rigidity with jaw clenching and tongue biting secondary to Fentanyl administration and was transferred to the CMED CCU for close observation .' +p221469 +(lp221470 +S'She\tShe\tPRP\tB-NP\tO' +p221471 +aS'then\tthen\tRB\tB-ADVP\tO' +p221472 +aS'suffered\tsuffer\tVBD\tB-VP\tO' +p221473 +aS'rigidity\trigidity\tNN\tB-NP\tO' +p221474 +aS'with\twith\tIN\tB-PP\tO' +p221475 +aS'jaw\tjaw\tNN\tB-NP\tO' +p221476 +aS'clenching\tclenching\tNN\tI-NP\tO' +p221477 +aS'and\tand\tCC\tO\tO' +p221478 +aS'tongue\ttongue\tNN\tB-NP\tO' +p221479 +aS'biting\tbiting\tNN\tI-NP\tO' +p221480 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p221481 +aS'to\tto\tTO\tB-PP\tO' +p221482 +aS'Fentanyl\tFentanyl\tNN\tB-NP\tO' +p221483 +aS'administration\tadministration\tNN\tI-NP\tO' +p221484 +aS'and\tand\tCC\tO\tO' +p221485 +aS'was\tbe\tVBD\tB-VP\tO' +p221486 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p221487 +aS'to\tto\tTO\tB-PP\tO' +p221488 +aS'the\tthe\tDT\tB-NP\tO' +p221489 +aS'CMED\tCMED\tVBN\tI-NP\tO' +p221490 +aS'CCU\tCCU\tNN\tI-NP\tO' +p221491 +aS'for\tfor\tIN\tB-PP\tO' +p221492 +aS'close\tclose\tJJ\tB-NP\tO' +p221493 +aS'observation\tobservation\tNN\tI-NP\tO' +p221494 +aS'.\t.\t.\tO\tO' +p221495 +asS'3. Aspirin 325 mg Tablet Sig : One ( 1 ) Tablet PO QD ( once a day ) for 7 days .' +p221496 +(lp221497 +S'3.\t3.\tLS\tB-NP\tO' +p221498 +aS'Aspirin\tAspirin\tNN\tI-NP\tO' +p221499 +aS'325\t325\tCD\tI-NP\tO' +p221500 +aS'mg\tmg\tNN\tI-NP\tO' +p221501 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p221502 +aS'Sig\tSig\tNNP\tI-NP\tO' +p221503 +aS':\t:\t:\tO\tO' +p221504 +aS'One\tOne\tCD\tB-NP\tO' +p221505 +aS'(\t(\t(\tO\tO' +p221506 +aS'1\t1\tCD\tB-NP\tO' +p221507 +aS')\t)\t)\tO\tO' +p221508 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p221509 +aS'PO\tPO\tNN\tI-NP\tO' +p221510 +aS'QD\tQD\tNN\tI-NP\tO' +p221511 +aS'(\t(\t(\tO\tO' +p221512 +aS'once\tonce\tRB\tB-ADVP\tO' +p221513 +aS'a\ta\tDT\tB-NP\tO' +p221514 +aS'day\tday\tNN\tI-NP\tO' +p221515 +aS')\t)\t)\tO\tO' +p221516 +aS'for\tfor\tIN\tB-PP\tO' +p221517 +aS'7\t7\tCD\tB-NP\tO' +p221518 +aS'days\tday\tNNS\tI-NP\tO' +p221519 +aS'.\t.\t.\tO\tO' +p221520 +asS'The patient will followup with Dr. Fede Duhenile in two weeks in Dr. Duhenile 's office .' +p221521 +(lp221522 +S'The\tThe\tDT\tB-NP\tO' +p221523 +aS'patient\tpatient\tNN\tI-NP\tO' +p221524 +aS'will\twill\tMD\tB-VP\tO' +p221525 +aS'followup\tfollowup\tVB\tI-VP\tO' +p221526 +aS'with\twith\tIN\tB-PP\tO' +p221527 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p221528 +aS'Fede\tFede\tNNP\tI-NP\tO' +p221529 +aS'Duhenile\tDuhenile\tNNP\tI-NP\tO' +p221530 +aS'in\tin\tIN\tB-PP\tO' +p221531 +aS'two\ttwo\tCD\tB-NP\tO' +p221532 +aS'weeks\tweek\tNNS\tI-NP\tO' +p221533 +aS'in\tin\tIN\tB-PP\tO' +p221534 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p221535 +aS'Duhenile\tDuhenile\tNNP\tI-NP\tO' +p221536 +aS''s\t'\tNNS\tI-NP\tO' +p221537 +aS'office\toffice\tNN\tI-NP\tO' +p221538 +aS'.\t.\t.\tO\tO' +p221539 +asS'Apgars were 8 at one minute and 8 at five minutes .' +p221540 +(lp221541 +S'Apgars\tApgar\tNNS\tB-NP\tO' +p221542 +aS'were\tbe\tVBD\tB-VP\tO' +p221543 +aS'8\t8\tCD\tB-NP\tO' +p221544 +aS'at\tat\tIN\tB-PP\tO' +p221545 +aS'one\tone\tCD\tB-NP\tO' +p221546 +aS'minute\tminute\tNN\tI-NP\tO' +p221547 +aS'and\tand\tCC\tO\tO' +p221548 +aS'8\t8\tCD\tB-NP\tO' +p221549 +aS'at\tat\tIN\tB-PP\tO' +p221550 +aS'five\tfive\tCD\tB-NP\tO' +p221551 +aS'minutes\tminute\tNNS\tI-NP\tO' +p221552 +aS'.\t.\t.\tO\tO' +p221553 +asS'She was started on anticoagulation given the positive D-dimer .' +p221554 +(lp221555 +S'She\tShe\tPRP\tB-NP\tO' +p221556 +aS'was\tbe\tVBD\tB-VP\tO' +p221557 +aS'started\tstart\tVBN\tI-VP\tO' +p221558 +aS'on\ton\tIN\tB-PP\tO' +p221559 +aS'anticoagulation\tanticoagulation\tNN\tB-NP\tO' +p221560 +aS'given\tgive\tVBN\tB-PP\tO' +p221561 +aS'the\tthe\tDT\tB-NP\tO' +p221562 +aS'positive\tpositive\tJJ\tI-NP\tB-protein' +p221563 +aS'D-dimer\tD-dimer\tNN\tI-NP\tI-protein' +p221564 +aS'.\t.\t.\tO\tO' +p221565 +asS'Right bundle-branch block .' +p221566 +(lp221567 +S'Right\tRight\tNN\tB-NP\tO' +p221568 +aS'bundle-branch\tbundle-branch\tNN\tI-NP\tO' +p221569 +aS'block\tblock\tNN\tI-NP\tO' +p221570 +aS'.\t.\t.\tO\tO' +p221571 +asS'The patient requested an outside second opinion , as she was reluctant to undergo hysterectomy at this time .' +p221572 +(lp221573 +S'The\tThe\tDT\tB-NP\tO' +p221574 +aS'patient\tpatient\tNN\tI-NP\tO' +p221575 +aS'requested\trequest\tVBD\tB-VP\tO' +p221576 +aS'an\tan\tDT\tB-NP\tO' +p221577 +aS'outside\toutside\tJJ\tI-NP\tO' +p221578 +aS'second\tsecond\tJJ\tI-NP\tO' +p221579 +aS'opinion\topinion\tNN\tI-NP\tO' +p221580 +aS',\t,\t,\tO\tO' +p221581 +aS'as\tas\tIN\tB-SBAR\tO' +p221582 +aS'she\tshe\tPRP\tB-NP\tO' +p221583 +aS'was\tbe\tVBD\tB-VP\tO' +p221584 +aS'reluctant\treluctant\tJJ\tB-ADJP\tO' +p221585 +aS'to\tto\tTO\tB-VP\tO' +p221586 +aS'undergo\tundergo\tVB\tI-VP\tO' +p221587 +aS'hysterectomy\thysterectomy\tNN\tB-NP\tO' +p221588 +aS'at\tat\tIN\tB-PP\tO' +p221589 +aS'this\tthis\tDT\tB-NP\tO' +p221590 +aS'time\ttime\tNN\tI-NP\tO' +p221591 +aS'.\t.\t.\tO\tO' +p221592 +asS'The patient is a 83 yo man with a history of past intracranial hemorrhages ( most recent 07-01 with R-frontal hemorrhage ) who presented with gradually slowing of mentation and increased gait instability since one week .' +p221593 +(lp221594 +S'The\tThe\tDT\tB-NP\tO' +p221595 +aS'patient\tpatient\tNN\tI-NP\tO' +p221596 +aS'is\tbe\tVBZ\tB-VP\tO' +p221597 +aS'a\ta\tDT\tB-NP\tO' +p221598 +aS'83\t83\tCD\tI-NP\tO' +p221599 +aS'yo\tyo\tNN\tI-NP\tO' +p221600 +aS'man\tman\tNN\tI-NP\tO' +p221601 +aS'with\twith\tIN\tB-PP\tO' +p221602 +aS'a\ta\tDT\tB-NP\tO' +p221603 +aS'history\thistory\tNN\tI-NP\tO' +p221604 +aS'of\tof\tIN\tB-PP\tO' +p221605 +aS'past\tpast\tJJ\tB-NP\tO' +p221606 +aS'intracranial\tintracranial\tJJ\tI-NP\tO' +p221607 +aS'hemorrhages\themorrhage\tNNS\tI-NP\tO' +p221608 +aS'(\t(\t(\tO\tO' +p221609 +aS'most\tmost\tRBS\tB-ADJP\tO' +p221610 +aS'recent\trecent\tJJ\tI-ADJP\tO' +p221611 +aS'07-01\t07-01\tCD\tB-NP\tO' +p221612 +aS'with\twith\tIN\tB-PP\tO' +p221613 +aS'R-frontal\tR-frontal\tJJ\tB-NP\tO' +p221614 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p221615 +aS')\t)\t)\tO\tO' +p221616 +aS'who\twho\tWP\tB-NP\tO' +p221617 +aS'presented\tpresent\tVBD\tB-VP\tO' +p221618 +aS'with\twith\tIN\tB-PP\tO' +p221619 +aS'gradually\tgradually\tRB\tB-ADVP\tO' +p221620 +aS'slowing\tslow\tVBG\tB-VP\tO' +p221621 +aS'of\tof\tIN\tB-PP\tO' +p221622 +aS'mentation\tmentation\tNN\tB-NP\tO' +p221623 +aS'and\tand\tCC\tO\tO' +p221624 +aS'increased\tincrease\tVBD\tB-VP\tO' +p221625 +aS'gait\tgait\tNN\tB-NP\tO' +p221626 +aS'instability\tinstability\tNN\tI-NP\tO' +p221627 +aS'since\tsince\tIN\tB-PP\tO' +p221628 +aS'one\tone\tCD\tB-NP\tO' +p221629 +aS'week\tweek\tNN\tI-NP\tO' +p221630 +aS'.\t.\t.\tO\tO' +p221631 +asS'He denied any shortness of breath and had oxygen saturations in the 90 s on room air .' +p221632 +(lp221633 +S'He\tHe\tPRP\tB-NP\tO' +p221634 +aS'denied\tdeny\tVBD\tB-VP\tO' +p221635 +aS'any\tany\tDT\tB-NP\tO' +p221636 +aS'shortness\tshortness\tNN\tI-NP\tO' +p221637 +aS'of\tof\tIN\tB-PP\tO' +p221638 +aS'breath\tbreath\tNN\tB-NP\tO' +p221639 +aS'and\tand\tCC\tO\tO' +p221640 +aS'had\thave\tVBD\tB-VP\tO' +p221641 +aS'oxygen\toxygen\tNN\tB-NP\tO' +p221642 +aS'saturations\tsaturation\tNNS\tI-NP\tO' +p221643 +aS'in\tin\tIN\tB-PP\tO' +p221644 +aS'the\tthe\tDT\tB-NP\tO' +p221645 +aS'90\t90\tCD\tI-NP\tO' +p221646 +aS's\ts\tNN\tI-NP\tO' +p221647 +aS'on\ton\tIN\tB-PP\tO' +p221648 +aS'room\troom\tNN\tB-NP\tO' +p221649 +aS'air\tair\tNN\tI-NP\tO' +p221650 +aS'.\t.\t.\tO\tO' +p221651 +asS'His prothrombin time and partial thromboplastin time were normal .' +p221652 +(lp221653 +S'His\tHis\tPRP$\tB-NP\tO' +p221654 +aS'prothrombin\tprothrombin\tNN\tI-NP\tO' +p221655 +aS'time\ttime\tNN\tI-NP\tO' +p221656 +aS'and\tand\tCC\tO\tO' +p221657 +aS'partial\tpartial\tJJ\tB-NP\tO' +p221658 +aS'thromboplastin\tthromboplastin\tNN\tI-NP\tO' +p221659 +aS'time\ttime\tNN\tI-NP\tO' +p221660 +aS'were\tbe\tVBD\tB-VP\tO' +p221661 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p221662 +aS'.\t.\t.\tO\tO' +p221663 +asS'However , the patient has noted some abdominal pain , intermittent times a couple of days , none on the day of admission .' +p221664 +(lp221665 +S'However\tHowever\tRB\tB-ADVP\tO' +p221666 +aS',\t,\t,\tO\tO' +p221667 +aS'the\tthe\tDT\tB-NP\tO' +p221668 +aS'patient\tpatient\tNN\tI-NP\tO' +p221669 +aS'has\thave\tVBZ\tB-VP\tO' +p221670 +aS'noted\tnote\tVBN\tI-VP\tO' +p221671 +aS'some\tsome\tDT\tB-NP\tO' +p221672 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p221673 +aS'pain\tpain\tNN\tI-NP\tO' +p221674 +aS',\t,\t,\tO\tO' +p221675 +aS'intermittent\tintermittent\tJJ\tB-NP\tO' +p221676 +aS'times\ttime\tNNS\tI-NP\tO' +p221677 +aS'a\ta\tDT\tB-NP\tO' +p221678 +aS'couple\tcouple\tNN\tI-NP\tO' +p221679 +aS'of\tof\tIN\tB-PP\tO' +p221680 +aS'days\tday\tNNS\tB-NP\tO' +p221681 +aS',\t,\t,\tO\tO' +p221682 +aS'none\tnone\tNN\tB-NP\tO' +p221683 +aS'on\ton\tIN\tB-PP\tO' +p221684 +aS'the\tthe\tDT\tB-NP\tO' +p221685 +aS'day\tday\tNN\tI-NP\tO' +p221686 +aS'of\tof\tIN\tB-PP\tO' +p221687 +aS'admission\tadmission\tNN\tB-NP\tO' +p221688 +aS'.\t.\t.\tO\tO' +p221689 +asS'He was preadmitted for cardiac clearance by Dr. Lair , his cardiologist .' +p221690 +(lp221691 +S'He\tHe\tPRP\tB-NP\tO' +p221692 +aS'was\tbe\tVBD\tB-VP\tO' +p221693 +aS'preadmitted\tpreadmitte\tVBN\tI-VP\tO' +p221694 +aS'for\tfor\tIN\tB-PP\tO' +p221695 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p221696 +aS'clearance\tclearance\tNN\tI-NP\tO' +p221697 +aS'by\tby\tIN\tB-PP\tO' +p221698 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p221699 +aS'Lair\tLair\tNNP\tI-NP\tO' +p221700 +aS',\t,\t,\tO\tO' +p221701 +aS'his\this\tPRP$\tB-NP\tO' +p221702 +aS'cardiologist\tcardiologist\tNN\tI-NP\tO' +p221703 +aS'.\t.\t.\tO\tO' +p221704 +asS'She was initially started on 80 cc per kilo per day of D10W .' +p221705 +(lp221706 +S'She\tShe\tPRP\tB-NP\tO' +p221707 +aS'was\tbe\tVBD\tB-VP\tO' +p221708 +aS'initially\tinitially\tRB\tI-VP\tO' +p221709 +aS'started\tstart\tVBN\tI-VP\tO' +p221710 +aS'on\ton\tIN\tB-PP\tO' +p221711 +aS'80\t80\tCD\tB-NP\tO' +p221712 +aS'cc\tcc\tNN\tI-NP\tO' +p221713 +aS'per\tper\tIN\tB-PP\tO' +p221714 +aS'kilo\tkilo\tNN\tB-NP\tO' +p221715 +aS'per\tper\tIN\tB-PP\tO' +p221716 +aS'day\tday\tNN\tB-NP\tO' +p221717 +aS'of\tof\tIN\tB-PP\tO' +p221718 +aS'D10W\tD10W\tNN\tB-NP\tB-protein' +p221719 +aS'.\t.\t.\tO\tO' +p221720 +asS'There was also evidence of subcortical dysfunction on the right side .' +p221721 +(lp221722 +S'There\tThere\tEX\tB-NP\tO' +p221723 +aS'was\tbe\tVBD\tB-VP\tO' +p221724 +aS'also\talso\tRB\tB-ADVP\tO' +p221725 +aS'evidence\tevidence\tNN\tB-NP\tO' +p221726 +aS'of\tof\tIN\tB-PP\tO' +p221727 +aS'subcortical\tsubcortical\tJJ\tB-NP\tO' +p221728 +aS'dysfunction\tdysfunction\tNN\tI-NP\tO' +p221729 +aS'on\ton\tIN\tB-PP\tO' +p221730 +aS'the\tthe\tDT\tB-NP\tO' +p221731 +aS'right\tright\tJJ\tI-NP\tO' +p221732 +aS'side\tside\tNN\tI-NP\tO' +p221733 +aS'.\t.\t.\tO\tO' +p221734 +asS'v / q at outside hospital read as low prob. leni 's here neg. d/c'ed on levo / flagyl for presumed post-obstructive pneumonia .' +p221735 +(lp221736 +S'v\tv\tNN\tB-NP\tO' +p221737 +aS'/\t/\tSYM\tI-NP\tO' +p221738 +aS'q\tq\tNN\tI-NP\tO' +p221739 +aS'at\tat\tIN\tB-PP\tO' +p221740 +aS'outside\toutside\tJJ\tB-NP\tO' +p221741 +aS'hospital\thospital\tNN\tI-NP\tO' +p221742 +aS'read\tread\tVBN\tB-VP\tO' +p221743 +aS'as\tas\tIN\tB-PP\tO' +p221744 +aS'low\tlow\tJJ\tB-NP\tO' +p221745 +aS'prob.\tprob.\tNN\tI-NP\tO' +p221746 +aS'leni\tleni\tNN\tI-NP\tO' +p221747 +aS''s\t'\tNNS\tI-NP\tO' +p221748 +aS'here\there\tRB\tB-ADVP\tO' +p221749 +aS'neg.\tneg.\tRB\tB-VP\tO' +p221750 +aS'd/c'ed\td/c'e\tVBN\tI-VP\tO' +p221751 +aS'on\ton\tIN\tB-PP\tO' +p221752 +aS'levo\tlevo\tNN\tB-NP\tO' +p221753 +aS'/\t/\tSYM\tB-NP\tO' +p221754 +aS'flagyl\tflagyl\tNN\tI-NP\tO' +p221755 +aS'for\tfor\tIN\tB-PP\tO' +p221756 +aS'presumed\tpresume\tVBN\tB-NP\tO' +p221757 +aS'post-obstructive\tpost-obstructive\tJJ\tI-NP\tO' +p221758 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p221759 +aS'.\t.\t.\tO\tO' +p221760 +asS'1. Metastatic breast cancer end stage .' +p221761 +(lp221762 +S'1.\t1.\tLS\tB-NP\tO' +p221763 +aS'Metastatic\tMetastatic\tJJ\tI-NP\tO' +p221764 +aS'breast\tbreast\tNN\tI-NP\tO' +p221765 +aS'cancer\tcancer\tNN\tI-NP\tO' +p221766 +aS'end\tend\tNN\tI-NP\tO' +p221767 +aS'stage\tstage\tNN\tI-NP\tO' +p221768 +aS'.\t.\t.\tO\tO' +p221769 +asS'6) Call with any questions or concerns .' +p221770 +(lp221771 +S'6)\t6)\tLS\tB-LST\tO' +p221772 +aS'Call\tCall\tNN\tB-NP\tO' +p221773 +aS'with\twith\tIN\tB-PP\tO' +p221774 +aS'any\tany\tDT\tB-NP\tO' +p221775 +aS'questions\tquestion\tNNS\tI-NP\tO' +p221776 +aS'or\tor\tCC\tI-NP\tO' +p221777 +aS'concerns\tconcern\tNNS\tI-NP\tO' +p221778 +aS'.\t.\t.\tO\tO' +p221779 +asS'Bactrim , she gets hives .' +p221780 +(lp221781 +S'Bactrim\tBactrim\tNNP\tB-NP\tO' +p221782 +aS',\t,\t,\tO\tO' +p221783 +aS'she\tshe\tPRP\tB-NP\tO' +p221784 +aS'gets\tget\tVBZ\tB-VP\tO' +p221785 +aS'hives\thive\tNNS\tB-NP\tO' +p221786 +aS'.\t.\t.\tO\tO' +p221787 +asS'Today she only complains of some SOB , which she says remains largely unchanged over the past few days .' +p221788 +(lp221789 +S'Today\tToday\tNN\tB-NP\tO' +p221790 +aS'she\tshe\tPRP\tB-NP\tO' +p221791 +aS'only\tonly\tRB\tB-ADVP\tO' +p221792 +aS'complains\tcomplain\tVBZ\tB-VP\tO' +p221793 +aS'of\tof\tIN\tB-PP\tO' +p221794 +aS'some\tsome\tDT\tB-NP\tO' +p221795 +aS'SOB\tSOB\tNN\tI-NP\tB-protein' +p221796 +aS',\t,\t,\tO\tO' +p221797 +aS'which\twhich\tWDT\tB-NP\tO' +p221798 +aS'she\tshe\tPRP\tB-NP\tO' +p221799 +aS'says\tsay\tVBZ\tB-VP\tO' +p221800 +aS'remains\tremain\tVBZ\tB-VP\tO' +p221801 +aS'largely\tlargely\tRB\tB-ADJP\tO' +p221802 +aS'unchanged\tunchanged\tJJ\tI-ADJP\tO' +p221803 +aS'over\tover\tIN\tB-PP\tO' +p221804 +aS'the\tthe\tDT\tB-NP\tO' +p221805 +aS'past\tpast\tJJ\tI-NP\tO' +p221806 +aS'few\tfew\tJJ\tI-NP\tO' +p221807 +aS'days\tday\tNNS\tI-NP\tO' +p221808 +aS'.\t.\t.\tO\tO' +p221809 +asS'4) Coronary artery calcification .' +p221810 +(lp221811 +S'4)\t4)\tLS\tB-NP\tO' +p221812 +aS'Coronary\tCoronary\tJJ\tI-NP\tO' +p221813 +aS'artery\tartery\tNN\tI-NP\tO' +p221814 +aS'calcification\tcalcification\tNN\tI-NP\tO' +p221815 +aS'.\t.\t.\tO\tO' +p221816 +asS'Of note , the patient also underwent tubal ligation at the time of cesarean section .' +p221817 +(lp221818 +S'Of\tOf\tIN\tB-PP\tO' +p221819 +aS'note\tnote\tNN\tB-NP\tO' +p221820 +aS',\t,\t,\tO\tO' +p221821 +aS'the\tthe\tDT\tB-NP\tO' +p221822 +aS'patient\tpatient\tNN\tI-NP\tO' +p221823 +aS'also\talso\tRB\tB-ADVP\tO' +p221824 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p221825 +aS'tubal\ttubal\tJJ\tB-NP\tO' +p221826 +aS'ligation\tligation\tNN\tI-NP\tO' +p221827 +aS'at\tat\tIN\tB-PP\tO' +p221828 +aS'the\tthe\tDT\tB-NP\tO' +p221829 +aS'time\ttime\tNN\tI-NP\tO' +p221830 +aS'of\tof\tIN\tB-PP\tO' +p221831 +aS'cesarean\tcesarean\tJJ\tB-NP\tO' +p221832 +aS'section\tsection\tNN\tI-NP\tO' +p221833 +aS'.\t.\t.\tO\tO' +p221834 +asS'Signed electronically by : DR. Dorothy L. Brennan on : Russell 2011-01-27 11:38 AM' +p221835 +(lp221836 +S'Signed\tSign\tVBN\tB-VP\tO' +p221837 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p221838 +aS'by\tby\tIN\tB-PP\tO' +p221839 +aS':\t:\t:\tO\tO' +p221840 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p221841 +aS'Dorothy\tDorothy\tNNP\tI-NP\tO' +p221842 +aS'L.\tL.\tNNP\tI-NP\tO' +p221843 +aS'Brennan\tBrennan\tNNP\tI-NP\tO' +p221844 +aS'on\ton\tIN\tB-PP\tO' +p221845 +aS':\t:\t:\tO\tO' +p221846 +aS'Russell\tRussell\tNNP\tB-NP\tO' +p221847 +aS'2011-01-27\t2011-01-27\tCD\tB-NP\tO' +p221848 +aS'11:38\t11:38\tCD\tI-NP\tO' +p221849 +aS'AM\tAM\tNN\tI-NP\tO' +p221850 +asS'Resting regional wall motion abnormalities include mild inferior hypokinesis .' +p221851 +(lp221852 +S'Resting\tRest\tVBG\tB-VP\tO' +p221853 +aS'regional\tregional\tJJ\tB-NP\tO' +p221854 +aS'wall\twall\tNN\tI-NP\tO' +p221855 +aS'motion\tmotion\tNN\tI-NP\tO' +p221856 +aS'abnormalities\tabnormality\tNNS\tI-NP\tO' +p221857 +aS'include\tinclude\tVBP\tB-VP\tO' +p221858 +aS'mild\tmild\tJJ\tB-NP\tO' +p221859 +aS'inferior\tinferior\tJJ\tI-NP\tO' +p221860 +aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' +p221861 +aS'.\t.\t.\tO\tO' +p221862 +asS'She was again discharged home in stable condition .' +p221863 +(lp221864 +S'She\tShe\tPRP\tB-NP\tO' +p221865 +aS'was\tbe\tVBD\tB-VP\tO' +p221866 +aS'again\tagain\tRB\tI-VP\tO' +p221867 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p221868 +aS'home\thome\tNN\tB-NP\tO' +p221869 +aS'in\tin\tIN\tB-PP\tO' +p221870 +aS'stable\tstable\tJJ\tB-NP\tO' +p221871 +aS'condition\tcondition\tNN\tI-NP\tO' +p221872 +aS'.\t.\t.\tO\tO' +p221873 +asS'7. Blood loss requiring transfusion .' +p221874 +(lp221875 +S'7.\t7.\tLS\tB-NP\tO' +p221876 +aS'Blood\tBlood\tNN\tI-NP\tO' +p221877 +aS'loss\tloss\tNN\tI-NP\tO' +p221878 +aS'requiring\trequire\tVBG\tB-VP\tO' +p221879 +aS'transfusion\ttransfusion\tNN\tB-NP\tO' +p221880 +aS'.\t.\t.\tO\tO' +p221881 +asS'Ileal conduit is not well evaluated .' +p221882 +(lp221883 +S'Ileal\tIleal\tJJ\tB-NP\tO' +p221884 +aS'conduit\tconduit\tNN\tI-NP\tO' +p221885 +aS'is\tbe\tVBZ\tB-VP\tO' +p221886 +aS'not\tnot\tRB\tI-VP\tO' +p221887 +aS'well\twell\tRB\tI-VP\tO' +p221888 +aS'evaluated\tevaluate\tVBN\tI-VP\tO' +p221889 +aS'.\t.\t.\tO\tO' +p221890 +asS'18. Insulin sliding scale Insulin SC Sliding Scale Q6H Regular Glucose Insulin Dose 0-60 mg / dL 01-20 amp D50 61-120 mg / dL 0 Units 121-140 mg / dL 3 Units 141-160 mg/dL 5 Units 161-180 mg/dL 7' +p221891 +(lp221892 +S'18.\t18.\tCD\tB-NP\tO' +p221893 +aS'Insulin\tInsulin\tNN\tI-NP\tB-protein' +p221894 +aS'sliding\tslide\tVBG\tB-VP\tO' +p221895 +aS'scale\tscale\tNN\tB-NP\tO' +p221896 +aS'Insulin\tInsulin\tNNP\tI-NP\tO' +p221897 +aS'SC\tSC\tNNP\tI-NP\tO' +p221898 +aS'Sliding\tSliding\tNNP\tI-NP\tO' +p221899 +aS'Scale\tScale\tNNP\tI-NP\tO' +p221900 +aS'Q6H\tQ6H\tNN\tI-NP\tO' +p221901 +aS'Regular\tRegular\tJJ\tI-NP\tO' +p221902 +aS'Glucose\tGlucose\tNN\tI-NP\tO' +p221903 +aS'Insulin\tInsulin\tNN\tI-NP\tO' +p221904 +aS'Dose\tDose\tNN\tI-NP\tO' +p221905 +aS'0-60\t0-60\tCD\tI-NP\tO' +p221906 +aS'mg\tmg\tNN\tI-NP\tO' +p221907 +aS'/\t/\tSYM\tB-NP\tO' +p221908 +aS'dL\tdL\tNN\tB-NP\tO' +p221909 +aS'01-20\t01-20\tCD\tI-NP\tO' +p221910 +aS'amp\tamp\tNN\tI-NP\tO' +p221911 +aS'D50\tD50\tNN\tI-NP\tO' +p221912 +aS'61-120\t61-120\tCD\tI-NP\tO' +p221913 +aS'mg\tmg\tNN\tI-NP\tO' +p221914 +aS'/\t/\tSYM\tB-NP\tO' +p221915 +aS'dL\tdL\tNN\tB-NP\tO' +p221916 +aS'0\t0\tCD\tI-NP\tO' +p221917 +aS'Units\tUnit\tVBZ\tB-VP\tO' +p221918 +aS'121-140\t121-140\tCD\tB-NP\tO' +p221919 +aS'mg\tmg\tNN\tI-NP\tO' +p221920 +aS'/\t/\tSYM\tB-NP\tO' +p221921 +aS'dL\tdL\tNN\tB-NP\tO' +p221922 +aS'3\t3\tCD\tI-NP\tO' +p221923 +aS'Units\tUnit\tVBZ\tB-VP\tO' +p221924 +aS'141-160\t141-160\tCD\tB-NP\tO' +p221925 +aS'mg/dL\tmg/dL\tNN\tI-NP\tO' +p221926 +aS'5\t5\tCD\tI-NP\tO' +p221927 +aS'Units\tUnit\tVBZ\tB-VP\tO' +p221928 +aS'161-180\t161-180\tCD\tB-NP\tO' +p221929 +aS'mg/dL\tmg/dL\tNN\tI-NP\tO' +p221930 +aS'7\t7\tCD\tB-NP\tO' +p221931 +asS'The patient was transferred to an outside hospital where she was noted to have a 50 point discrepancy in her upper extremity blood pressures , right greater than left .' +p221932 +(lp221933 +S'The\tThe\tDT\tB-NP\tO' +p221934 +aS'patient\tpatient\tNN\tI-NP\tO' +p221935 +aS'was\tbe\tVBD\tB-VP\tO' +p221936 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p221937 +aS'to\tto\tTO\tB-PP\tO' +p221938 +aS'an\tan\tDT\tB-NP\tO' +p221939 +aS'outside\toutside\tJJ\tI-NP\tO' +p221940 +aS'hospital\thospital\tNN\tI-NP\tO' +p221941 +aS'where\twhere\tWRB\tB-ADVP\tO' +p221942 +aS'she\tshe\tPRP\tB-NP\tO' +p221943 +aS'was\tbe\tVBD\tB-VP\tO' +p221944 +aS'noted\tnote\tVBN\tI-VP\tO' +p221945 +aS'to\tto\tTO\tI-VP\tO' +p221946 +aS'have\thave\tVB\tI-VP\tO' +p221947 +aS'a\ta\tDT\tB-NP\tO' +p221948 +aS'50\t50\tCD\tI-NP\tO' +p221949 +aS'point\tpoint\tNN\tI-NP\tO' +p221950 +aS'discrepancy\tdiscrepancy\tNN\tI-NP\tO' +p221951 +aS'in\tin\tIN\tB-PP\tO' +p221952 +aS'her\ther\tPRP$\tB-NP\tO' +p221953 +aS'upper\tupper\tJJ\tI-NP\tO' +p221954 +aS'extremity\textremity\tNN\tI-NP\tO' +p221955 +aS'blood\tblood\tNN\tI-NP\tO' +p221956 +aS'pressures\tpressure\tNNS\tI-NP\tO' +p221957 +aS',\t,\t,\tO\tO' +p221958 +aS'right\tright\tRB\tB-ADVP\tO' +p221959 +aS'greater\tgreat\tJJR\tI-ADVP\tO' +p221960 +aS'than\tthan\tIN\tB-PP\tO' +p221961 +aS'left\tleft\tJJ\tB-ADJP\tO' +p221962 +aS'.\t.\t.\tO\tO' +p221963 +asS'Lives with husband and 4 y.o. son .' +p221964 +(lp221965 +S'Lives\tLife\tNNS\tB-NP\tO' +p221966 +aS'with\twith\tIN\tB-PP\tO' +p221967 +aS'husband\thusband\tNN\tB-NP\tO' +p221968 +aS'and\tand\tCC\tO\tO' +p221969 +aS'4\t4\tCD\tB-NP\tO' +p221970 +aS'y.o.\ty.o.\tNN\tI-NP\tO' +p221971 +aS'son\tson\tNN\tI-NP\tO' +p221972 +aS'.\t.\t.\tO\tO' +p221973 +asS'Please see a doctor if you feel dizzy , or have blood in your stool again .' +p221974 +(lp221975 +S'Please\tPlease\tVB\tB-VP\tO' +p221976 +aS'see\tsee\tVB\tI-VP\tO' +p221977 +aS'a\ta\tDT\tB-NP\tO' +p221978 +aS'doctor\tdoctor\tNN\tI-NP\tO' +p221979 +aS'if\tif\tIN\tB-SBAR\tO' +p221980 +aS'you\tyou\tPRP\tB-NP\tO' +p221981 +aS'feel\tfeel\tVBP\tB-VP\tO' +p221982 +aS'dizzy\tdizzy\tJJ\tB-ADJP\tO' +p221983 +aS',\t,\t,\tO\tO' +p221984 +aS'or\tor\tCC\tO\tO' +p221985 +aS'have\thave\tVBP\tB-VP\tO' +p221986 +aS'blood\tblood\tNN\tB-NP\tO' +p221987 +aS'in\tin\tIN\tB-PP\tO' +p221988 +aS'your\tyour\tPRP$\tB-NP\tO' +p221989 +aS'stool\tstool\tNN\tI-NP\tO' +p221990 +aS'again\tagain\tRB\tB-ADVP\tO' +p221991 +aS'.\t.\t.\tO\tO' +p221992 +asS'He was started on Neupogen , 400 mcg. subq. q.d.' +p221993 +(lp221994 +S'He\tHe\tPRP\tB-NP\tO' +p221995 +aS'was\tbe\tVBD\tB-VP\tO' +p221996 +aS'started\tstart\tVBN\tI-VP\tO' +p221997 +aS'on\ton\tIN\tB-PP\tO' +p221998 +aS'Neupogen\tNeupogen\tNN\tB-NP\tO' +p221999 +aS',\t,\t,\tO\tO' +p222000 +aS'400\t400\tCD\tB-NP\tO' +p222001 +aS'mcg.\tmcg.\tNN\tI-NP\tO' +p222002 +aS'subq.\tsubq.\tNN\tI-NP\tO' +p222003 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p222004 +asS'An intracranial pressure monitoring bolt had been placed by the Neurosurgery Service staff during the laparotomy .' +p222005 +(lp222006 +S'An\tAn\tDT\tB-NP\tO' +p222007 +aS'intracranial\tintracranial\tJJ\tI-NP\tO' +p222008 +aS'pressure\tpressure\tNN\tI-NP\tO' +p222009 +aS'monitoring\tmonitoring\tNN\tI-NP\tO' +p222010 +aS'bolt\tbolt\tNN\tI-NP\tO' +p222011 +aS'had\thave\tVBD\tB-VP\tO' +p222012 +aS'been\tbe\tVBN\tI-VP\tO' +p222013 +aS'placed\tplace\tVBN\tI-VP\tO' +p222014 +aS'by\tby\tIN\tB-PP\tO' +p222015 +aS'the\tthe\tDT\tB-NP\tO' +p222016 +aS'Neurosurgery\tNeurosurgery\tNNP\tI-NP\tO' +p222017 +aS'Service\tService\tNNP\tI-NP\tO' +p222018 +aS'staff\tstaff\tNN\tI-NP\tO' +p222019 +aS'during\tduring\tIN\tB-PP\tO' +p222020 +aS'the\tthe\tDT\tB-NP\tO' +p222021 +aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' +p222022 +aS'.\t.\t.\tO\tO' +p222023 +asS'He does admit to cocaine use last night .' +p222024 +(lp222025 +S'He\tHe\tPRP\tB-NP\tO' +p222026 +aS'does\tdo\tVBZ\tB-VP\tO' +p222027 +aS'admit\tadmit\tVB\tI-VP\tO' +p222028 +aS'to\tto\tTO\tB-PP\tO' +p222029 +aS'cocaine\tcocaine\tNN\tB-NP\tO' +p222030 +aS'use\tuse\tNN\tI-NP\tO' +p222031 +aS'last\tlast\tJJ\tB-NP\tO' +p222032 +aS'night\tnight\tNN\tI-NP\tO' +p222033 +aS'.\t.\t.\tO\tO' +p222034 +asS'Consulting General Surgeon was Asha Vengloan , M.D.' +p222035 +(lp222036 +S'Consulting\tConsult\tVBG\tB-VP\tO' +p222037 +aS'General\tGeneral\tNNP\tB-NP\tO' +p222038 +aS'Surgeon\tSurgeon\tNNP\tI-NP\tO' +p222039 +aS'was\tbe\tVBD\tB-VP\tO' +p222040 +aS'Asha\tAsha\tNNP\tB-NP\tO' +p222041 +aS'Vengloan\tVengloan\tNNP\tI-NP\tO' +p222042 +aS',\t,\t,\tO\tO' +p222043 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p222044 +asS'2. Diagnostic laryngoscopy and biopsy .' +p222045 +(lp222046 +S'2.\t2.\tLS\tB-NP\tO' +p222047 +aS'Diagnostic\tDiagnostic\tJJ\tI-NP\tO' +p222048 +aS'laryngoscopy\tlaryngoscopy\tNN\tI-NP\tO' +p222049 +aS'and\tand\tCC\tI-NP\tO' +p222050 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p222051 +aS'.\t.\t.\tO\tO' +p222052 +asS'1. Evista 60 mg p.o. daily .' +p222053 +(lp222054 +S'1.\t1.\tLS\tB-LST\tO' +p222055 +aS'Evista\tEvista\tNNP\tB-NP\tO' +p222056 +aS'60\t60\tCD\tI-NP\tO' +p222057 +aS'mg\tmg\tNN\tI-NP\tO' +p222058 +aS'p.o.\tp.o.\tRB\tB-ADVP\tO' +p222059 +aS'daily\tdaily\tRB\tI-ADVP\tO' +p222060 +aS'.\t.\t.\tO\tO' +p222061 +asS'The patient was admitted to the hospital on July 12th for a chole with a principle diagnosis of recurrent biliary colic .' +p222062 +(lp222063 +S'The\tThe\tDT\tB-NP\tO' +p222064 +aS'patient\tpatient\tNN\tI-NP\tO' +p222065 +aS'was\tbe\tVBD\tB-VP\tO' +p222066 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p222067 +aS'to\tto\tTO\tB-PP\tO' +p222068 +aS'the\tthe\tDT\tB-NP\tO' +p222069 +aS'hospital\thospital\tNN\tI-NP\tO' +p222070 +aS'on\ton\tIN\tB-PP\tO' +p222071 +aS'July\tJuly\tNNP\tB-NP\tO' +p222072 +aS'12th\t12th\tCD\tI-NP\tO' +p222073 +aS'for\tfor\tIN\tB-PP\tO' +p222074 +aS'a\ta\tDT\tB-NP\tO' +p222075 +aS'chole\tchole\tNN\tI-NP\tO' +p222076 +aS'with\twith\tIN\tB-PP\tO' +p222077 +aS'a\ta\tDT\tB-NP\tO' +p222078 +aS'principle\tprinciple\tJJ\tI-NP\tO' +p222079 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p222080 +aS'of\tof\tIN\tB-PP\tO' +p222081 +aS'recurrent\trecurrent\tJJ\tB-NP\tO' +p222082 +aS'biliary\tbiliary\tJJ\tI-NP\tO' +p222083 +aS'colic\tcolic\tNN\tI-NP\tO' +p222084 +aS'.\t.\t.\tO\tO' +p222085 +asS'There was a distal ulnar and radial fracture as well as a left mid-shaft comminuted fracture of the femur .' +p222086 +(lp222087 +S'There\tThere\tEX\tB-NP\tO' +p222088 +aS'was\tbe\tVBD\tB-VP\tO' +p222089 +aS'a\ta\tDT\tB-NP\tO' +p222090 +aS'distal\tdistal\tJJ\tI-NP\tO' +p222091 +aS'ulnar\tulnar\tJJ\tI-NP\tO' +p222092 +aS'and\tand\tCC\tI-NP\tO' +p222093 +aS'radial\tradial\tJJ\tI-NP\tO' +p222094 +aS'fracture\tfracture\tNN\tI-NP\tO' +p222095 +aS'as\tas\tRB\tB-CONJP\tO' +p222096 +aS'well\twell\tRB\tI-CONJP\tO' +p222097 +aS'as\tas\tIN\tI-CONJP\tO' +p222098 +aS'a\ta\tDT\tB-NP\tO' +p222099 +aS'left\tleft\tJJ\tI-NP\tO' +p222100 +aS'mid-shaft\tmid-shaft\tJJ\tI-NP\tO' +p222101 +aS'comminuted\tcomminute\tVBN\tI-NP\tO' +p222102 +aS'fracture\tfracture\tNN\tI-NP\tO' +p222103 +aS'of\tof\tIN\tB-PP\tO' +p222104 +aS'the\tthe\tDT\tB-NP\tO' +p222105 +aS'femur\tfemur\tNN\tI-NP\tO' +p222106 +aS'.\t.\t.\tO\tO' +p222107 +asS'Home Under Care Of Home Health Agency' +p222108 +(lp222109 +S'Home\tHome\tNNP\tB-NP\tO' +p222110 +aS'Under\tUnder\tNNP\tI-NP\tO' +p222111 +aS'Care\tCare\tNNP\tI-NP\tO' +p222112 +aS'Of\tOf\tNNP\tI-NP\tO' +p222113 +aS'Home\tHome\tNNP\tI-NP\tO' +p222114 +aS'Health\tHealth\tNNP\tI-NP\tO' +p222115 +aS'Agency\tAgency\tNNP\tI-NP\tO' +p222116 +asS'Cardiac , normal S1 , S2 , no murmurs , rubs or gallops .' +p222117 +(lp222118 +S'Cardiac\tCardiac\tJJ\tB-NP\tO' +p222119 +aS',\t,\t,\tI-NP\tO' +p222120 +aS'normal\tnormal\tJJ\tI-NP\tO' +p222121 +aS'S1\tS1\tNN\tI-NP\tO' +p222122 +aS',\t,\t,\tO\tO' +p222123 +aS'S2\tS2\tNN\tB-NP\tB-protein' +p222124 +aS',\t,\t,\tO\tO' +p222125 +aS'no\tno\tDT\tB-NP\tO' +p222126 +aS'murmurs\tmurmur\tNNS\tI-NP\tO' +p222127 +aS',\t,\t,\tI-NP\tO' +p222128 +aS'rubs\trub\tNNS\tI-NP\tO' +p222129 +aS'or\tor\tCC\tI-NP\tO' +p222130 +aS'gallops\tgallop\tNNS\tI-NP\tO' +p222131 +aS'.\t.\t.\tO\tO' +p222132 +asS'SECONDARY DIAGNOSES INCLUDE PERICARDIAL EFFUSION , PULMONARY LYMPHANGITIC SPREAD , AND LIVER AND SPLEEN METASTASES .' +p222133 +(lp222134 +S'SECONDARY\tSECONDARY\tNN\tB-NP\tO' +p222135 +aS'DIAGNOSES\tDIAGNOSES\tVBZ\tB-VP\tO' +p222136 +aS'INCLUDE\tINCLUDE\tNN\tB-NP\tO' +p222137 +aS'PERICARDIAL\tPERICARDIAL\tNN\tI-NP\tO' +p222138 +aS'EFFUSION\tEFFUSION\tNN\tI-NP\tO' +p222139 +aS',\t,\t,\tO\tO' +p222140 +aS'PULMONARY\tPULMONARY\tNN\tB-NP\tO' +p222141 +aS'LYMPHANGITIC\tLYMPHANGITIC\tNN\tI-NP\tO' +p222142 +aS'SPREAD\tSPREAD\tNN\tI-NP\tO' +p222143 +aS',\t,\t,\tO\tO' +p222144 +aS'AND\tAND\tCC\tO\tO' +p222145 +aS'LIVER\tLIVER\tNN\tB-NP\tB-protein' +p222146 +aS'AND\tAND\tCC\tI-NP\tO' +p222147 +aS'SPLEEN\tSPLEEN\tNN\tI-NP\tB-protein' +p222148 +aS'METASTASES\tMETASTASES\tNNS\tI-NP\tI-protein' +p222149 +aS'.\t.\t.\tO\tO' +p222150 +asS'10) Senna tablets , two tablets p.o. b.i.d.' +p222151 +(lp222152 +S'10)\t10)\tLS\tB-NP\tO' +p222153 +aS'Senna\tSenna\tNNP\tI-NP\tO' +p222154 +aS'tablets\ttablet\tNNS\tI-NP\tO' +p222155 +aS',\t,\t,\tO\tO' +p222156 +aS'two\ttwo\tCD\tB-NP\tO' +p222157 +aS'tablets\ttablet\tNNS\tI-NP\tO' +p222158 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p222159 +aS'b.i.d.\tb.i.d.\tFW\tI-NP\tO' +p222160 +asS'She was slightly tachycardic .' +p222161 +(lp222162 +S'She\tShe\tPRP\tB-NP\tO' +p222163 +aS'was\tbe\tVBD\tB-VP\tO' +p222164 +aS'slightly\tslightly\tRB\tB-ADJP\tO' +p222165 +aS'tachycardic\ttachycardic\tJJ\tI-ADJP\tO' +p222166 +aS'.\t.\t.\tO\tO' +p222167 +asS'He is healthy looking .' +p222168 +(lp222169 +S'He\tHe\tPRP\tB-NP\tO' +p222170 +aS'is\tbe\tVBZ\tB-VP\tO' +p222171 +aS'healthy\thealthy\tJJ\tB-ADJP\tO' +p222172 +aS'looking\tlook\tVBG\tB-VP\tO' +p222173 +aS'.\t.\t.\tO\tO' +p222174 +asS'On January 1 , a chest tube was placed for a loculated pleural effusion .' +p222175 +(lp222176 +S'On\tOn\tIN\tB-PP\tO' +p222177 +aS'January\tJanuary\tNNP\tB-NP\tO' +p222178 +aS'1\t1\tCD\tI-NP\tO' +p222179 +aS',\t,\t,\tO\tO' +p222180 +aS'a\ta\tDT\tB-NP\tO' +p222181 +aS'chest\tchest\tNN\tI-NP\tO' +p222182 +aS'tube\ttube\tNN\tI-NP\tO' +p222183 +aS'was\tbe\tVBD\tB-VP\tO' +p222184 +aS'placed\tplace\tVBN\tI-VP\tO' +p222185 +aS'for\tfor\tIN\tB-PP\tO' +p222186 +aS'a\ta\tDT\tB-NP\tO' +p222187 +aS'loculated\tloculated\tJJ\tI-NP\tO' +p222188 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p222189 +aS'effusion\teffusion\tNN\tI-NP\tO' +p222190 +aS'.\t.\t.\tO\tO' +p222191 +asS'There were no clear epileptiform discharges .' +p222192 +(lp222193 +S'There\tThere\tEX\tB-NP\tO' +p222194 +aS'were\tbe\tVBD\tB-VP\tO' +p222195 +aS'no\tno\tDT\tB-NP\tO' +p222196 +aS'clear\tclear\tJJ\tI-NP\tO' +p222197 +aS'epileptiform\tepileptiform\tNN\tI-NP\tO' +p222198 +aS'discharges\tdischarge\tNNS\tI-NP\tO' +p222199 +aS'.\t.\t.\tO\tO' +p222200 +asS'Bystanders report that he was assaulted about 20 minutes earlier and the nature of the assault was not known .' +p222201 +(lp222202 +S'Bystanders\tBystander\tNNS\tB-NP\tO' +p222203 +aS'report\treport\tVBP\tB-VP\tO' +p222204 +aS'that\tthat\tIN\tB-SBAR\tO' +p222205 +aS'he\the\tPRP\tB-NP\tO' +p222206 +aS'was\tbe\tVBD\tB-VP\tO' +p222207 +aS'assaulted\tassault\tVBN\tI-VP\tO' +p222208 +aS'about\tabout\tIN\tB-NP\tO' +p222209 +aS'20\t20\tCD\tI-NP\tO' +p222210 +aS'minutes\tminute\tNNS\tI-NP\tO' +p222211 +aS'earlier\tearlier\tRBR\tB-ADVP\tO' +p222212 +aS'and\tand\tCC\tO\tO' +p222213 +aS'the\tthe\tDT\tB-NP\tO' +p222214 +aS'nature\tnature\tNN\tI-NP\tO' +p222215 +aS'of\tof\tIN\tB-PP\tO' +p222216 +aS'the\tthe\tDT\tB-NP\tO' +p222217 +aS'assault\tassault\tNN\tI-NP\tO' +p222218 +aS'was\tbe\tVBD\tB-VP\tO' +p222219 +aS'not\tnot\tRB\tI-VP\tO' +p222220 +aS'known\tknow\tVBN\tI-VP\tO' +p222221 +aS'.\t.\t.\tO\tO' +p222222 +asS'She is admitted now for a neuro-interventional radiology procedure to decrease the likelihood of epistaxis on Coumadin .' +p222223 +(lp222224 +S'She\tShe\tPRP\tB-NP\tO' +p222225 +aS'is\tbe\tVBZ\tB-VP\tO' +p222226 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p222227 +aS'now\tnow\tRB\tB-ADVP\tO' +p222228 +aS'for\tfor\tIN\tB-PP\tO' +p222229 +aS'a\ta\tDT\tB-NP\tO' +p222230 +aS'neuro-interventional\tneuro-interventional\tJJ\tI-NP\tO' +p222231 +aS'radiology\tradiology\tNN\tI-NP\tO' +p222232 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p222233 +aS'to\tto\tTO\tB-VP\tO' +p222234 +aS'decrease\tdecrease\tVB\tI-VP\tO' +p222235 +aS'the\tthe\tDT\tB-NP\tO' +p222236 +aS'likelihood\tlikelihood\tNN\tI-NP\tO' +p222237 +aS'of\tof\tIN\tB-PP\tO' +p222238 +aS'epistaxis\tepistaxis\tNN\tB-NP\tO' +p222239 +aS'on\ton\tIN\tB-PP\tO' +p222240 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p222241 +aS'.\t.\t.\tO\tO' +p222242 +asS'No coronary artery disease .' +p222243 +(lp222244 +S'No\tNo\tDT\tB-NP\tO' +p222245 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p222246 +aS'artery\tartery\tNN\tI-NP\tO' +p222247 +aS'disease\tdisease\tNN\tI-NP\tO' +p222248 +aS'.\t.\t.\tO\tO' +p222249 +asS'His hemoglobin A1C was sent and it was pending at the time of discharge .' +p222250 +(lp222251 +S'His\tHis\tPRP$\tB-NP\tO' +p222252 +aS'hemoglobin\themoglobin\tNN\tI-NP\tB-protein' +p222253 +aS'A1C\tA1C\tNN\tI-NP\tO' +p222254 +aS'was\tbe\tVBD\tB-VP\tO' +p222255 +aS'sent\tsend\tVBN\tI-VP\tO' +p222256 +aS'and\tand\tCC\tO\tO' +p222257 +aS'it\tit\tPRP\tB-NP\tO' +p222258 +aS'was\tbe\tVBD\tB-VP\tO' +p222259 +aS'pending\tpende\tVBG\tI-VP\tO' +p222260 +aS'at\tat\tIN\tB-PP\tO' +p222261 +aS'the\tthe\tDT\tB-NP\tO' +p222262 +aS'time\ttime\tNN\tI-NP\tO' +p222263 +aS'of\tof\tIN\tB-PP\tO' +p222264 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p222265 +aS'.\t.\t.\tO\tO' +p222266 +asS'With history , will go for cardiac catheterization evaluation .' +p222267 +(lp222268 +S'With\tWith\tIN\tB-PP\tO' +p222269 +aS'history\thistory\tNN\tB-NP\tO' +p222270 +aS',\t,\t,\tO\tO' +p222271 +aS'will\twill\tMD\tB-VP\tO' +p222272 +aS'go\tgo\tVB\tI-VP\tO' +p222273 +aS'for\tfor\tIN\tB-PP\tO' +p222274 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p222275 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p222276 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p222277 +aS'.\t.\t.\tO\tO' +p222278 +asS'Reg rate , nl S1 & S2 , no m/r/g' +p222279 +(lp222280 +S'Reg\tReg\tNN\tB-NP\tO' +p222281 +aS'rate\trate\tNN\tI-NP\tO' +p222282 +aS',\t,\t,\tO\tO' +p222283 +aS'nl\tnl\tNN\tB-NP\tB-protein' +p222284 +aS'S1\tS1\tNN\tI-NP\tI-protein' +p222285 +aS'&\t&\tCC\tI-NP\tI-protein' +p222286 +aS'S2\tS2\tNN\tI-NP\tI-protein' +p222287 +aS',\t,\t,\tO\tO' +p222288 +aS'no\tno\tDT\tB-NP\tO' +p222289 +aS'm/r/g\tm/r/g\tNN\tI-NP\tO' +p222290 +asS'She denied any pain and was not answering questions at the time .' +p222291 +(lp222292 +S'She\tShe\tPRP\tB-NP\tO' +p222293 +aS'denied\tdeny\tVBD\tB-VP\tO' +p222294 +aS'any\tany\tDT\tB-NP\tO' +p222295 +aS'pain\tpain\tNN\tI-NP\tO' +p222296 +aS'and\tand\tCC\tO\tO' +p222297 +aS'was\tbe\tVBD\tB-VP\tO' +p222298 +aS'not\tnot\tRB\tI-VP\tO' +p222299 +aS'answering\tanswer\tVBG\tI-VP\tO' +p222300 +aS'questions\tquestion\tNNS\tB-NP\tO' +p222301 +aS'at\tat\tIN\tB-PP\tO' +p222302 +aS'the\tthe\tDT\tB-NP\tO' +p222303 +aS'time\ttime\tNN\tI-NP\tO' +p222304 +aS'.\t.\t.\tO\tO' +p222305 +asS'The patient was subsequently transferred to the floor on postoperative day five in stable and good condition .' +p222306 +(lp222307 +S'The\tThe\tDT\tB-NP\tO' +p222308 +aS'patient\tpatient\tNN\tI-NP\tO' +p222309 +aS'was\tbe\tVBD\tB-VP\tO' +p222310 +aS'subsequently\tsubsequently\tRB\tI-VP\tO' +p222311 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p222312 +aS'to\tto\tTO\tB-PP\tO' +p222313 +aS'the\tthe\tDT\tB-NP\tO' +p222314 +aS'floor\tfloor\tNN\tI-NP\tO' +p222315 +aS'on\ton\tIN\tB-PP\tO' +p222316 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p222317 +aS'day\tday\tNN\tI-NP\tO' +p222318 +aS'five\tfive\tCD\tI-NP\tO' +p222319 +aS'in\tin\tIN\tB-PP\tO' +p222320 +aS'stable\tstable\tJJ\tB-NP\tO' +p222321 +aS'and\tand\tCC\tI-NP\tO' +p222322 +aS'good\tgood\tJJ\tI-NP\tO' +p222323 +aS'condition\tcondition\tNN\tI-NP\tO' +p222324 +aS'.\t.\t.\tO\tO' +p222325 +asS'Therefore , dopa was stopped .' +p222326 +(lp222327 +S'Therefore\tTherefore\tRB\tB-ADVP\tO' +p222328 +aS',\t,\t,\tO\tO' +p222329 +aS'dopa\tdopa\tNN\tB-NP\tO' +p222330 +aS'was\tbe\tVBD\tB-VP\tO' +p222331 +aS'stopped\tstop\tVBN\tI-VP\tO' +p222332 +aS'.\t.\t.\tO\tO' +p222333 +asS'He was taken to the operating room where he underwent a mini-thoracotomy with closure of his patent foramen ovale ( PFO ) .' +p222334 +(lp222335 +S'He\tHe\tPRP\tB-NP\tO' +p222336 +aS'was\tbe\tVBD\tB-VP\tO' +p222337 +aS'taken\ttake\tVBN\tI-VP\tO' +p222338 +aS'to\tto\tTO\tB-PP\tO' +p222339 +aS'the\tthe\tDT\tB-NP\tO' +p222340 +aS'operating\toperating\tNN\tI-NP\tO' +p222341 +aS'room\troom\tNN\tI-NP\tO' +p222342 +aS'where\twhere\tWRB\tB-ADVP\tO' +p222343 +aS'he\the\tPRP\tB-NP\tO' +p222344 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p222345 +aS'a\ta\tDT\tB-NP\tO' +p222346 +aS'mini-thoracotomy\tmini-thoracotomy\tNN\tI-NP\tO' +p222347 +aS'with\twith\tIN\tB-PP\tO' +p222348 +aS'closure\tclosure\tNN\tB-NP\tO' +p222349 +aS'of\tof\tIN\tB-PP\tO' +p222350 +aS'his\this\tPRP$\tB-NP\tO' +p222351 +aS'patent\tpatent\tNN\tI-NP\tO' +p222352 +aS'foramen\tforaman\tNNS\tI-NP\tO' +p222353 +aS'ovale\tovale\tNN\tI-NP\tO' +p222354 +aS'(\t(\t(\tO\tO' +p222355 +aS'PFO\tPFO\tNN\tB-NP\tB-protein' +p222356 +aS')\t)\t)\tO\tO' +p222357 +aS'.\t.\t.\tO\tO' +p222358 +asS'An ultrasound showed normal gallbladder with no wall thickening but a dilated common bile duct of 8 mm measured on CT scan .' +p222359 +(lp222360 +S'An\tAn\tDT\tB-NP\tO' +p222361 +aS'ultrasound\tultrasound\tNN\tI-NP\tO' +p222362 +aS'showed\tshow\tVBD\tB-VP\tO' +p222363 +aS'normal\tnormal\tJJ\tB-NP\tO' +p222364 +aS'gallbladder\tgallbladder\tNN\tI-NP\tO' +p222365 +aS'with\twith\tIN\tB-PP\tO' +p222366 +aS'no\tno\tDT\tB-NP\tO' +p222367 +aS'wall\twall\tNN\tI-NP\tO' +p222368 +aS'thickening\tthickening\tNN\tI-NP\tO' +p222369 +aS'but\tbut\tCC\tO\tO' +p222370 +aS'a\ta\tDT\tB-NP\tO' +p222371 +aS'dilated\tdilated\tJJ\tI-NP\tO' +p222372 +aS'common\tcommon\tJJ\tI-NP\tO' +p222373 +aS'bile\tbile\tNN\tI-NP\tO' +p222374 +aS'duct\tduct\tNN\tI-NP\tO' +p222375 +aS'of\tof\tIN\tB-PP\tO' +p222376 +aS'8\t8\tCD\tB-NP\tO' +p222377 +aS'mm\tmm\tNN\tI-NP\tO' +p222378 +aS'measured\tmeasure\tVBN\tB-VP\tO' +p222379 +aS'on\ton\tIN\tB-PP\tO' +p222380 +aS'CT\tCT\tNN\tB-NP\tO' +p222381 +aS'scan\tscan\tNN\tI-NP\tO' +p222382 +aS'.\t.\t.\tO\tO' +p222383 +asS'# Hypernatremia - Improved from OSH .' +p222384 +(lp222385 +S'#\t#\t#\tB-NP\tO' +p222386 +aS'Hypernatremia\tHypernatremia\tNN\tI-NP\tO' +p222387 +aS'-\t-\tHYPH\tO\tO' +p222388 +aS'Improved\tImprove\tVBN\tB-VP\tO' +p222389 +aS'from\tfrom\tIN\tB-PP\tO' +p222390 +aS'OSH\tOSH\tNN\tB-NP\tB-protein' +p222391 +aS'.\t.\t.\tO\tO' +p222392 +asS'inferior left weak .' +p222393 +(lp222394 +S'inferior\tinferior\tRB\tB-ADVP\tO' +p222395 +aS'left\tleave\tVBD\tB-VP\tO' +p222396 +aS'weak\tweak\tJJ\tB-ADJP\tO' +p222397 +aS'.\t.\t.\tO\tO' +p222398 +asS'Overnight on HD 3 , pt became mildly agitated and an ABG was drawn which showed a severe resp acidosis and BiPAP was initiated .' +p222399 +(lp222400 +S'Overnight\tOvernight\tNN\tB-NP\tO' +p222401 +aS'on\ton\tIN\tB-PP\tO' +p222402 +aS'HD\tHD\tNN\tB-NP\tB-protein' +p222403 +aS'3\t3\tCD\tI-NP\tI-protein' +p222404 +aS',\t,\t,\tO\tO' +p222405 +aS'pt\tpt\tNN\tB-NP\tO' +p222406 +aS'became\tbecome\tVBD\tB-VP\tO' +p222407 +aS'mildly\tmildly\tRB\tB-ADJP\tO' +p222408 +aS'agitated\tagitate\tVBN\tI-ADJP\tO' +p222409 +aS'and\tand\tCC\tO\tO' +p222410 +aS'an\tan\tDT\tB-NP\tO' +p222411 +aS'ABG\tABG\tNN\tI-NP\tO' +p222412 +aS'was\tbe\tVBD\tB-VP\tO' +p222413 +aS'drawn\tdraw\tVBN\tI-VP\tO' +p222414 +aS'which\twhich\tWDT\tB-NP\tO' +p222415 +aS'showed\tshow\tVBD\tB-VP\tO' +p222416 +aS'a\ta\tDT\tB-NP\tO' +p222417 +aS'severe\tsevere\tJJ\tI-NP\tO' +p222418 +aS'resp\tresp\tNN\tI-NP\tO' +p222419 +aS'acidosis\tacidosis\tNN\tI-NP\tO' +p222420 +aS'and\tand\tCC\tI-NP\tO' +p222421 +aS'BiPAP\tBiPAP\tNN\tI-NP\tB-protein' +p222422 +aS'was\tbe\tVBD\tB-VP\tO' +p222423 +aS'initiated\tinitiate\tVBN\tI-VP\tO' +p222424 +aS'.\t.\t.\tO\tO' +p222425 +asS'The patient was initially on several antibiotics included Cefepime , Vancomycin , Ciprofloxacin , Ambazone and Flagyl .' +p222426 +(lp222427 +S'The\tThe\tDT\tB-NP\tO' +p222428 +aS'patient\tpatient\tNN\tI-NP\tO' +p222429 +aS'was\tbe\tVBD\tB-VP\tO' +p222430 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p222431 +aS'on\ton\tIN\tB-PP\tO' +p222432 +aS'several\tseveral\tJJ\tB-NP\tO' +p222433 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p222434 +aS'included\tinclude\tVBD\tB-VP\tO' +p222435 +aS'Cefepime\tCefepime\tNN\tB-NP\tO' +p222436 +aS',\t,\t,\tI-NP\tO' +p222437 +aS'Vancomycin\tVancomycin\tNN\tI-NP\tO' +p222438 +aS',\t,\t,\tI-NP\tO' +p222439 +aS'Ciprofloxacin\tCiprofloxacin\tNN\tI-NP\tO' +p222440 +aS',\t,\t,\tI-NP\tO' +p222441 +aS'Ambazone\tAmbazone\tNN\tI-NP\tO' +p222442 +aS'and\tand\tCC\tI-NP\tO' +p222443 +aS'Flagyl\tFlagyl\tNN\tI-NP\tO' +p222444 +aS'.\t.\t.\tO\tO' +p222445 +asS'Further testing revealed hyperparathyroidism as evidenced by an elevated PTH .' +p222446 +(lp222447 +S'Further\tFurther\tJJ\tB-NP\tO' +p222448 +aS'testing\ttesting\tNN\tI-NP\tO' +p222449 +aS'revealed\treveal\tVBD\tB-VP\tO' +p222450 +aS'hyperparathyroidism\thyperparathyroidism\tNN\tB-NP\tO' +p222451 +aS'as\tas\tIN\tB-SBAR\tO' +p222452 +aS'evidenced\tevidence\tVBN\tB-VP\tO' +p222453 +aS'by\tby\tIN\tB-PP\tO' +p222454 +aS'an\tan\tDT\tB-NP\tO' +p222455 +aS'elevated\televated\tJJ\tI-NP\tO' +p222456 +aS'PTH\tPTH\tNN\tI-NP\tO' +p222457 +aS'.\t.\t.\tO\tO' +p222458 +asS'Alcohol level was 199 .' +p222459 +(lp222460 +S'Alcohol\tAlcohol\tNN\tB-NP\tO' +p222461 +aS'level\tlevel\tNN\tI-NP\tO' +p222462 +aS'was\tbe\tVBD\tB-VP\tO' +p222463 +aS'199\t199\tCD\tB-NP\tO' +p222464 +aS'.\t.\t.\tO\tO' +p222465 +asS'Instructions to follow up with his primary care physician on the Heather after discharge .' +p222466 +(lp222467 +S'Instructions\tInstruction\tNNS\tB-NP\tO' +p222468 +aS'to\tto\tTO\tB-VP\tO' +p222469 +aS'follow\tfollow\tVB\tI-VP\tO' +p222470 +aS'up\tup\tRP\tB-PRT\tO' +p222471 +aS'with\twith\tIN\tB-PP\tO' +p222472 +aS'his\this\tPRP$\tB-NP\tO' +p222473 +aS'primary\tprimary\tJJ\tI-NP\tO' +p222474 +aS'care\tcare\tNN\tI-NP\tO' +p222475 +aS'physician\tphysician\tNN\tI-NP\tO' +p222476 +aS'on\ton\tIN\tB-PP\tO' +p222477 +aS'the\tthe\tDT\tB-NP\tO' +p222478 +aS'Heather\tHeather\tNN\tI-NP\tO' +p222479 +aS'after\tafter\tIN\tB-PP\tO' +p222480 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p222481 +aS'.\t.\t.\tO\tO' +p222482 +asS'and flagyl for total of 4 days .' +p222483 +(lp222484 +S'and\tand\tCC\tO\tO' +p222485 +aS'flagyl\tflagyl\tNN\tB-NP\tO' +p222486 +aS'for\tfor\tIN\tB-PP\tO' +p222487 +aS'total\ttotal\tNN\tB-NP\tO' +p222488 +aS'of\tof\tIN\tB-PP\tO' +p222489 +aS'4\t4\tCD\tB-NP\tO' +p222490 +aS'days\tday\tNNS\tI-NP\tO' +p222491 +aS'.\t.\t.\tO\tO' +p222492 +asS"She works as a teacher 's aid in Cambridge ." +p222493 +(lp222494 +S'She\tShe\tPRP\tB-NP\tO' +p222495 +aS'works\twork\tVBZ\tB-VP\tO' +p222496 +aS'as\tas\tIN\tB-PP\tO' +p222497 +aS'a\ta\tDT\tB-NP\tO' +p222498 +aS'teacher\tteacher\tNN\tI-NP\tO' +p222499 +aS"'s\t's\tPOS\tB-NP\tO" +p222500 +aS'aid\taid\tNN\tI-NP\tO' +p222501 +aS'in\tin\tIN\tB-PP\tO' +p222502 +aS'Cambridge\tCambridge\tNNP\tB-NP\tO' +p222503 +aS'.\t.\t.\tO\tO' +p222504 +asS'The patient tolerated the procedure well and was transferred to the unit , intubated on Milrinone , Levophed and Propofol drips .' +p222505 +(lp222506 +S'The\tThe\tDT\tB-NP\tO' +p222507 +aS'patient\tpatient\tNN\tI-NP\tO' +p222508 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p222509 +aS'the\tthe\tDT\tB-NP\tO' +p222510 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p222511 +aS'well\twell\tRB\tB-ADVP\tO' +p222512 +aS'and\tand\tCC\tO\tO' +p222513 +aS'was\tbe\tVBD\tB-VP\tO' +p222514 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p222515 +aS'to\tto\tTO\tB-PP\tO' +p222516 +aS'the\tthe\tDT\tB-NP\tO' +p222517 +aS'unit\tunit\tNN\tI-NP\tO' +p222518 +aS',\t,\t,\tO\tO' +p222519 +aS'intubated\tintubate\tVBN\tB-VP\tO' +p222520 +aS'on\ton\tIN\tB-PP\tO' +p222521 +aS'Milrinone\tMilrinone\tNN\tB-NP\tO' +p222522 +aS',\t,\t,\tO\tO' +p222523 +aS'Levophed\tLevophed\tJJ\tB-NP\tO' +p222524 +aS'and\tand\tCC\tI-NP\tO' +p222525 +aS'Propofol\tPropofol\tNN\tI-NP\tO' +p222526 +aS'drips\tdrip\tNNS\tI-NP\tO' +p222527 +aS'.\t.\t.\tO\tO' +p222528 +asS'69 year old man with s/p Off Pump CABG' +p222529 +(lp222530 +S'69\t69\tCD\tB-NP\tO' +p222531 +aS'year\tyear\tNN\tI-NP\tO' +p222532 +aS'old\told\tJJ\tI-NP\tO' +p222533 +aS'man\tman\tNN\tI-NP\tO' +p222534 +aS'with\twith\tIN\tB-PP\tO' +p222535 +aS's/p\ts/p\tNN\tB-NP\tO' +p222536 +aS'Off\tOff\tNNP\tI-NP\tO' +p222537 +aS'Pump\tPump\tNNP\tI-NP\tO' +p222538 +aS'CABG\tCABG\tNNP\tI-NP\tO' +p222539 +asS'No epileptiform features were seen .' +p222540 +(lp222541 +S'No\tNo\tDT\tB-NP\tO' +p222542 +aS'epileptiform\tepileptiform\tNN\tI-NP\tO' +p222543 +aS'features\tfeature\tNNS\tI-NP\tO' +p222544 +aS'were\tbe\tVBD\tB-VP\tO' +p222545 +aS'seen\tsee\tVBN\tI-VP\tO' +p222546 +aS'.\t.\t.\tO\tO' +p222547 +asS'3. H. pylori positive , status post therapy ;' +p222548 +(lp222549 +S'3.\t3.\tLS\tB-NP\tO' +p222550 +aS'H.\tH.\tNN\tI-NP\tO' +p222551 +aS'pylori\tpylori\tNN\tI-NP\tO' +p222552 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p222553 +aS',\t,\t,\tO\tO' +p222554 +aS'status\tstatus\tNN\tB-NP\tO' +p222555 +aS'post\tpost\tNN\tI-NP\tO' +p222556 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p222557 +aS';\t;\t:\tO\tO' +p222558 +asS'Please follow-up with your cardiologist within 2 weeks of leaving the hospital .' +p222559 +(lp222560 +S'Please\tPlease\tNN\tB-NP\tO' +p222561 +aS'follow-up\tfollow-up\tNN\tI-NP\tO' +p222562 +aS'with\twith\tIN\tB-PP\tO' +p222563 +aS'your\tyour\tPRP$\tB-NP\tO' +p222564 +aS'cardiologist\tcardiologist\tNN\tI-NP\tO' +p222565 +aS'within\twithin\tIN\tB-PP\tO' +p222566 +aS'2\t2\tCD\tB-NP\tO' +p222567 +aS'weeks\tweek\tNNS\tI-NP\tO' +p222568 +aS'of\tof\tIN\tB-PP\tO' +p222569 +aS'leaving\tleave\tVBG\tB-VP\tO' +p222570 +aS'the\tthe\tDT\tB-NP\tO' +p222571 +aS'hospital\thospital\tNN\tI-NP\tO' +p222572 +aS'.\t.\t.\tO\tO' +p222573 +asS'DNR , NO CPR , may intubate for airway protection , call son .' +p222574 +(lp222575 +S'DNR\tDNR\tNN\tB-NP\tB-protein' +p222576 +aS',\t,\t,\tO\tO' +p222577 +aS'NO\tNO\tNN\tB-NP\tB-protein' +p222578 +aS'CPR\tCPR\tNN\tI-NP\tI-protein' +p222579 +aS',\t,\t,\tO\tO' +p222580 +aS'may\tmay\tMD\tB-VP\tO' +p222581 +aS'intubate\tintubate\tVB\tI-VP\tO' +p222582 +aS'for\tfor\tIN\tB-PP\tO' +p222583 +aS'airway\tairway\tNN\tB-NP\tO' +p222584 +aS'protection\tprotection\tNN\tI-NP\tO' +p222585 +aS',\t,\t,\tO\tO' +p222586 +aS'call\tcall\tNN\tB-NP\tO' +p222587 +aS'son\tson\tNN\tI-NP\tO' +p222588 +aS'.\t.\t.\tO\tO' +p222589 +asS'The patient was transferred to the Intensive Care Unit in stable condition on Neo-Synephrine infusion .' +p222590 +(lp222591 +S'The\tThe\tDT\tB-NP\tO' +p222592 +aS'patient\tpatient\tNN\tI-NP\tO' +p222593 +aS'was\tbe\tVBD\tB-VP\tO' +p222594 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p222595 +aS'to\tto\tTO\tB-PP\tO' +p222596 +aS'the\tthe\tDT\tB-NP\tO' +p222597 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p222598 +aS'Care\tCare\tNNP\tI-NP\tO' +p222599 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p222600 +aS'in\tin\tIN\tB-PP\tO' +p222601 +aS'stable\tstable\tJJ\tB-NP\tO' +p222602 +aS'condition\tcondition\tNN\tI-NP\tO' +p222603 +aS'on\ton\tIN\tB-PP\tO' +p222604 +aS'Neo-Synephrine\tNeo-Synephrine\tJJ\tB-NP\tO' +p222605 +aS'infusion\tinfusion\tNN\tI-NP\tO' +p222606 +aS'.\t.\t.\tO\tO' +p222607 +asS'2. METASTATIC COLON CARCINOMA .' +p222608 +(lp222609 +S'2.\t2.\tLS\tB-NP\tO' +p222610 +aS'METASTATIC\tMETASTATIC\tNN\tI-NP\tO' +p222611 +aS'COLON\tCOLON\tNN\tI-NP\tO' +p222612 +aS'CARCINOMA\tCARCINOMA\tNN\tI-NP\tO' +p222613 +aS'.\t.\t.\tO\tO' +p222614 +asS'The patient appeared to have no deficits at the time of discharge .' +p222615 +(lp222616 +S'The\tThe\tDT\tB-NP\tO' +p222617 +aS'patient\tpatient\tNN\tI-NP\tO' +p222618 +aS'appeared\tappear\tVBD\tB-VP\tO' +p222619 +aS'to\tto\tTO\tI-VP\tO' +p222620 +aS'have\thave\tVB\tI-VP\tO' +p222621 +aS'no\tno\tDT\tB-NP\tO' +p222622 +aS'deficits\tdeficit\tNNS\tI-NP\tO' +p222623 +aS'at\tat\tIN\tB-PP\tO' +p222624 +aS'the\tthe\tDT\tB-NP\tO' +p222625 +aS'time\ttime\tNN\tI-NP\tO' +p222626 +aS'of\tof\tIN\tB-PP\tO' +p222627 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p222628 +aS'.\t.\t.\tO\tO' +p222629 +asS'The pt was given ceftriaxone / azithromycin / vancomycin in Deanna .' +p222630 +(lp222631 +S'The\tThe\tDT\tB-NP\tO' +p222632 +aS'pt\tpt\tNN\tI-NP\tO' +p222633 +aS'was\tbe\tVBD\tB-VP\tO' +p222634 +aS'given\tgive\tVBN\tI-VP\tO' +p222635 +aS'ceftriaxone\tceftriaxone\tNN\tB-NP\tO' +p222636 +aS'/\t/\tSYM\tO\tO' +p222637 +aS'azithromycin\tazithromycin\tNN\tB-NP\tO' +p222638 +aS'/\t/\tSYM\tI-NP\tO' +p222639 +aS'vancomycin\tvancomycin\tNN\tI-NP\tO' +p222640 +aS'in\tin\tIN\tB-PP\tO' +p222641 +aS'Deanna\tDeanna\tNNP\tB-NP\tO' +p222642 +aS'.\t.\t.\tO\tO' +p222643 +asS'The regimen included cyclophosphamide , daunorubicin , prednisone , Vincristine and PEG-asparaginase .' +p222644 +(lp222645 +S'The\tThe\tDT\tB-NP\tO' +p222646 +aS'regimen\tregimen\tNN\tI-NP\tO' +p222647 +aS'included\tinclude\tVBD\tB-VP\tO' +p222648 +aS'cyclophosphamide\tcyclophosphamide\tNN\tB-NP\tO' +p222649 +aS',\t,\t,\tI-NP\tO' +p222650 +aS'daunorubicin\tdaunorubicin\tNN\tI-NP\tO' +p222651 +aS',\t,\t,\tI-NP\tO' +p222652 +aS'prednisone\tprednisone\tNN\tI-NP\tO' +p222653 +aS',\t,\t,\tI-NP\tO' +p222654 +aS'Vincristine\tVincristine\tNN\tI-NP\tO' +p222655 +aS'and\tand\tCC\tI-NP\tO' +p222656 +aS'PEG-asparaginase\tPEG-asparaginase\tNN\tI-NP\tB-protein' +p222657 +aS'.\t.\t.\tO\tO' +p222658 +asS'In general , she was a thin well-appearing woman in no acute distress .' +p222659 +(lp222660 +S'In\tIn\tIN\tB-PP\tO' +p222661 +aS'general\tgeneral\tJJ\tB-ADJP\tO' +p222662 +aS',\t,\t,\tO\tO' +p222663 +aS'she\tshe\tPRP\tB-NP\tO' +p222664 +aS'was\tbe\tVBD\tB-VP\tO' +p222665 +aS'a\ta\tDT\tB-NP\tO' +p222666 +aS'thin\tthin\tJJ\tI-NP\tO' +p222667 +aS'well-appearing\twell-appearing\tJJ\tI-NP\tO' +p222668 +aS'woman\twoman\tNN\tI-NP\tO' +p222669 +aS'in\tin\tIN\tB-PP\tO' +p222670 +aS'no\tno\tDT\tB-NP\tO' +p222671 +aS'acute\tacute\tJJ\tI-NP\tO' +p222672 +aS'distress\tdistress\tNN\tI-NP\tO' +p222673 +aS'.\t.\t.\tO\tO' +p222674 +asS'The patient was an elderly woman in no acute distress .' +p222675 +(lp222676 +S'The\tThe\tDT\tB-NP\tO' +p222677 +aS'patient\tpatient\tNN\tI-NP\tO' +p222678 +aS'was\tbe\tVBD\tB-VP\tO' +p222679 +aS'an\tan\tDT\tB-NP\tO' +p222680 +aS'elderly\telderly\tJJ\tI-NP\tO' +p222681 +aS'woman\twoman\tNN\tI-NP\tO' +p222682 +aS'in\tin\tIN\tB-PP\tO' +p222683 +aS'no\tno\tDT\tB-NP\tO' +p222684 +aS'acute\tacute\tJJ\tI-NP\tO' +p222685 +aS'distress\tdistress\tNN\tI-NP\tO' +p222686 +aS'.\t.\t.\tO\tO' +p222687 +asS'Intermittent maternal hypertension noted but without proteinuria .' +p222688 +(lp222689 +S'Intermittent\tIntermittent\tJJ\tB-NP\tO' +p222690 +aS'maternal\tmaternal\tJJ\tI-NP\tO' +p222691 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p222692 +aS'noted\tnote\tVBD\tB-VP\tO' +p222693 +aS'but\tbut\tCC\tO\tO' +p222694 +aS'without\twithout\tIN\tB-PP\tO' +p222695 +aS'proteinuria\tproteinuria\tNN\tB-NP\tO' +p222696 +aS'.\t.\t.\tO\tO' +p222697 +asS'She is stable for discharge to rehab .' +p222698 +(lp222699 +S'She\tShe\tPRP\tB-NP\tO' +p222700 +aS'is\tbe\tVBZ\tB-VP\tO' +p222701 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p222702 +aS'for\tfor\tIN\tB-PP\tO' +p222703 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p222704 +aS'to\tto\tTO\tB-VP\tO' +p222705 +aS'rehab\trehab\tVB\tI-VP\tO' +p222706 +aS'.\t.\t.\tO\tO' +p222707 +asS'Alert and oriented to person and place , no asterixis or tremor .' +p222708 +(lp222709 +S'Alert\tAlert\tNNP\tB-NP\tO' +p222710 +aS'and\tand\tCC\tO\tO' +p222711 +aS'oriented\torient\tVBN\tB-VP\tO' +p222712 +aS'to\tto\tTO\tB-PP\tO' +p222713 +aS'person\tperson\tNN\tB-NP\tO' +p222714 +aS'and\tand\tCC\tI-NP\tO' +p222715 +aS'place\tplace\tNN\tI-NP\tO' +p222716 +aS',\t,\t,\tO\tO' +p222717 +aS'no\tno\tDT\tB-NP\tO' +p222718 +aS'asterixis\tasterixis\tNN\tI-NP\tO' +p222719 +aS'or\tor\tCC\tI-NP\tO' +p222720 +aS'tremor\ttremor\tNN\tI-NP\tO' +p222721 +aS'.\t.\t.\tO\tO' +p222722 +asS'Ext - 2 + edema to knees , warm 2 + pulses , pain in R arm and R hip' +p222723 +(lp222724 +S'Ext\tExt\tNN\tB-NP\tB-protein' +p222725 +aS'-\t-\tHYPH\tI-NP\tI-protein' +p222726 +aS'2\t2\tCD\tI-NP\tI-protein' +p222727 +aS'+\t+\tSYM\tI-NP\tO' +p222728 +aS'edema\tedema\tNN\tI-NP\tO' +p222729 +aS'to\tto\tTO\tB-PP\tO' +p222730 +aS'knees\tknee\tNNS\tB-NP\tO' +p222731 +aS',\t,\t,\tO\tO' +p222732 +aS'warm\twarm\tNN\tB-NP\tO' +p222733 +aS'2\t2\tCD\tI-NP\tO' +p222734 +aS'+\t+\tSYM\tI-NP\tO' +p222735 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p222736 +aS',\t,\t,\tO\tO' +p222737 +aS'pain\tpain\tNN\tB-NP\tO' +p222738 +aS'in\tin\tIN\tB-PP\tO' +p222739 +aS'R\tR\tNN\tB-NP\tO' +p222740 +aS'arm\tarm\tNN\tI-NP\tO' +p222741 +aS'and\tand\tCC\tO\tO' +p222742 +aS'R\tR\tNN\tB-NP\tB-protein' +p222743 +aS'hip\thip\tNN\tI-NP\tI-protein' +p222744 +asS'Sodium 138 , potassium 4.2 , chloride 98 , BUN 21 , creatinine 0.7 , glucose 117 , white blood cell count 13,200 , hematocrit 22.5 , platelet count 40,000 .' +p222745 +(lp222746 +S'Sodium\tSodium\tNN\tB-NP\tB-protein' +p222747 +aS'138\t138\tCD\tI-NP\tI-protein' +p222748 +aS',\t,\t,\tO\tO' +p222749 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p222750 +aS'4.2\t4.2\tCD\tI-NP\tO' +p222751 +aS',\t,\t,\tO\tO' +p222752 +aS'chloride\tchloride\tNN\tB-NP\tO' +p222753 +aS'98\t98\tCD\tI-NP\tO' +p222754 +aS',\t,\t,\tO\tO' +p222755 +aS'BUN\tBUN\tNN\tB-NP\tB-DNA' +p222756 +aS'21\t21\tCD\tI-NP\tI-DNA' +p222757 +aS',\t,\t,\tO\tO' +p222758 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p222759 +aS'0.7\t0.7\tCD\tI-NP\tO' +p222760 +aS',\t,\t,\tO\tO' +p222761 +aS'glucose\tglucose\tNN\tB-NP\tO' +p222762 +aS'117\t117\tCD\tI-NP\tO' +p222763 +aS',\t,\t,\tO\tO' +p222764 +aS'white\twhite\tJJ\tB-NP\tO' +p222765 +aS'blood\tblood\tNN\tI-NP\tO' +p222766 +aS'cell\tcell\tNN\tI-NP\tO' +p222767 +aS'count\tcount\tNN\tI-NP\tO' +p222768 +aS'13,200\t13,200\tCD\tB-NP\tO' +p222769 +aS',\t,\t,\tO\tO' +p222770 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p222771 +aS'22.5\t22.5\tCD\tI-NP\tI-protein' +p222772 +aS',\t,\t,\tO\tO' +p222773 +aS'platelet\tplatelet\tNN\tB-NP\tB-protein' +p222774 +aS'count\tcount\tNN\tI-NP\tI-protein' +p222775 +aS'40,000\t40,000\tCD\tI-NP\tI-protein' +p222776 +aS'.\t.\t.\tO\tO' +p222777 +asS'multiple stigmata of burns on the left arm and chest .' +p222778 +(lp222779 +S'multiple\tmultiple\tJJ\tB-NP\tO' +p222780 +aS'stigmata\tstigma\tNNS\tI-NP\tO' +p222781 +aS'of\tof\tIN\tB-PP\tO' +p222782 +aS'burns\tburn\tNNS\tB-NP\tO' +p222783 +aS'on\ton\tIN\tB-PP\tO' +p222784 +aS'the\tthe\tDT\tB-NP\tO' +p222785 +aS'left\tleft\tJJ\tI-NP\tO' +p222786 +aS'arm\tarm\tNN\tI-NP\tO' +p222787 +aS'and\tand\tCC\tI-NP\tO' +p222788 +aS'chest\tchest\tNN\tI-NP\tO' +p222789 +aS'.\t.\t.\tO\tO' +p222790 +asS'Tibialis 3 on the left , 5+ on the right .' +p222791 +(lp222792 +S'Tibialis\tTibialis\tNNP\tB-NP\tO' +p222793 +aS'3\t3\tCD\tI-NP\tO' +p222794 +aS'on\ton\tIN\tB-PP\tO' +p222795 +aS'the\tthe\tDT\tB-NP\tO' +p222796 +aS'left\tleft\tJJ\tI-NP\tO' +p222797 +aS',\t,\t,\tI-NP\tO' +p222798 +aS'5+\t5+\tJJ\tI-NP\tO' +p222799 +aS'on\ton\tIN\tB-PP\tO' +p222800 +aS'the\tthe\tDT\tB-NP\tO' +p222801 +aS'right\tright\tNN\tI-NP\tO' +p222802 +aS'.\t.\t.\tO\tO' +p222803 +asS'1. Levothyroxine .' +p222804 +(lp222805 +S'1.\t1.\tLS\tB-NP\tO' +p222806 +aS'Levothyroxine\tLevothyroxine\tNN\tI-NP\tO' +p222807 +aS'.\t.\t.\tO\tO' +p222808 +asS'Corneal reflexes and oculocephalic reflexes were absent .' +p222809 +(lp222810 +S'Corneal\tCorneal\tJJ\tB-NP\tO' +p222811 +aS'reflexes\treflex\tNNS\tI-NP\tO' +p222812 +aS'and\tand\tCC\tO\tO' +p222813 +aS'oculocephalic\toculocephalic\tJJ\tB-NP\tO' +p222814 +aS'reflexes\treflex\tNNS\tI-NP\tO' +p222815 +aS'were\tbe\tVBD\tB-VP\tO' +p222816 +aS'absent\tabsent\tJJ\tB-ADJP\tO' +p222817 +aS'.\t.\t.\tO\tO' +p222818 +asS'1 ) Amiodarone 400 mg p.o. q. day .' +p222819 +(lp222820 +S'1\t1\tLS\tB-LST\tO' +p222821 +aS')\t)\t)\tO\tO' +p222822 +aS'Amiodarone\tAmiodarone\tNN\tB-NP\tO' +p222823 +aS'400\t400\tCD\tI-NP\tO' +p222824 +aS'mg\tmg\tNN\tI-NP\tO' +p222825 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p222826 +aS'q.\tq.\tNN\tI-NP\tO' +p222827 +aS'day\tday\tNN\tI-NP\tO' +p222828 +aS'.\t.\t.\tO\tO' +p222829 +asS'XI: Sternocleidomastoid and trapezius normal bilaterally .' +p222830 +(lp222831 +S'XI:\tXI:\tNNP\tB-NP\tO' +p222832 +aS'Sternocleidomastoid\tSternocleidomastoid\tNNP\tI-NP\tO' +p222833 +aS'and\tand\tCC\tO\tO' +p222834 +aS'trapezius\ttrapezius\tNN\tB-NP\tO' +p222835 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p222836 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p222837 +aS'.\t.\t.\tO\tO' +p222838 +asS'Her PTT at that time was 67.8 .' +p222839 +(lp222840 +S'Her\tHer\tPRP$\tB-NP\tO' +p222841 +aS'PTT\tPTT\tNN\tI-NP\tO' +p222842 +aS'at\tat\tIN\tB-PP\tO' +p222843 +aS'that\tthat\tDT\tB-NP\tO' +p222844 +aS'time\ttime\tNN\tI-NP\tO' +p222845 +aS'was\tbe\tVBD\tB-VP\tO' +p222846 +aS'67.8\t67.8\tCD\tB-NP\tO' +p222847 +aS'.\t.\t.\tO\tO' +p222848 +asS'The infant does not require a new blood transfusion .' +p222849 +(lp222850 +S'The\tThe\tDT\tB-NP\tO' +p222851 +aS'infant\tinfant\tNN\tI-NP\tO' +p222852 +aS'does\tdo\tVBZ\tB-VP\tO' +p222853 +aS'not\tnot\tRB\tI-VP\tO' +p222854 +aS'require\trequire\tVB\tI-VP\tO' +p222855 +aS'a\ta\tDT\tB-NP\tO' +p222856 +aS'new\tnew\tJJ\tI-NP\tO' +p222857 +aS'blood\tblood\tNN\tI-NP\tO' +p222858 +aS'transfusion\ttransfusion\tNN\tI-NP\tO' +p222859 +aS'.\t.\t.\tO\tO' +p222860 +asS'It is likely that she has pulmonary hypertension from her lung disease , and so this is a consideration .' +p222861 +(lp222862 +S'It\tIt\tPRP\tB-NP\tO' +p222863 +aS'is\tbe\tVBZ\tB-VP\tO' +p222864 +aS'likely\tlikely\tJJ\tB-ADJP\tO' +p222865 +aS'that\tthat\tIN\tB-SBAR\tO' +p222866 +aS'she\tshe\tPRP\tB-NP\tO' +p222867 +aS'has\thave\tVBZ\tB-VP\tO' +p222868 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p222869 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p222870 +aS'from\tfrom\tIN\tB-PP\tO' +p222871 +aS'her\ther\tPRP$\tB-NP\tO' +p222872 +aS'lung\tlung\tNN\tI-NP\tO' +p222873 +aS'disease\tdisease\tNN\tI-NP\tO' +p222874 +aS',\t,\t,\tO\tO' +p222875 +aS'and\tand\tCC\tO\tO' +p222876 +aS'so\tso\tRB\tB-ADVP\tO' +p222877 +aS'this\tthis\tDT\tB-NP\tO' +p222878 +aS'is\tbe\tVBZ\tB-VP\tO' +p222879 +aS'a\ta\tDT\tB-NP\tO' +p222880 +aS'consideration\tconsideration\tNN\tI-NP\tO' +p222881 +aS'.\t.\t.\tO\tO' +p222882 +asS'Abd - Soft , nontender , mild distension , normoactive bowel sounds' +p222883 +(lp222884 +S'Abd\tAbd\tNNP\tB-NP\tO' +p222885 +aS'-\t-\tHYPH\tI-NP\tO' +p222886 +aS'Soft\tSoft\tNNP\tI-NP\tO' +p222887 +aS',\t,\t,\tO\tO' +p222888 +aS'nontender\tnontender\tJJ\tB-NP\tO' +p222889 +aS',\t,\t,\tI-NP\tO' +p222890 +aS'mild\tmild\tJJ\tI-NP\tO' +p222891 +aS'distension\tdistension\tNN\tI-NP\tO' +p222892 +aS',\t,\t,\tO\tO' +p222893 +aS'normoactive\tnormoactive\tJJ\tB-NP\tO' +p222894 +aS'bowel\tbowel\tNN\tI-NP\tO' +p222895 +aS'sounds\tsound\tNNS\tI-NP\tO' +p222896 +asS'There is small amount of mucosal thickening in the sphenoid sinuses .' +p222897 +(lp222898 +S'There\tThere\tEX\tB-NP\tO' +p222899 +aS'is\tbe\tVBZ\tB-VP\tO' +p222900 +aS'small\tsmall\tJJ\tB-NP\tO' +p222901 +aS'amount\tamount\tNN\tI-NP\tO' +p222902 +aS'of\tof\tIN\tB-PP\tO' +p222903 +aS'mucosal\tmucosal\tJJ\tB-NP\tO' +p222904 +aS'thickening\tthickening\tNN\tI-NP\tO' +p222905 +aS'in\tin\tIN\tB-PP\tO' +p222906 +aS'the\tthe\tDT\tB-NP\tO' +p222907 +aS'sphenoid\tsphenoid\tJJ\tI-NP\tO' +p222908 +aS'sinuses\tsinus\tNNS\tI-NP\tO' +p222909 +aS'.\t.\t.\tO\tO' +p222910 +asS'In addition , she is to follow up with her primary care physician to check her prothrombin time / INR as well as calcium , albumin and phosphate levels .' +p222911 +(lp222912 +S'In\tIn\tIN\tB-PP\tO' +p222913 +aS'addition\taddition\tNN\tB-NP\tO' +p222914 +aS',\t,\t,\tO\tO' +p222915 +aS'she\tshe\tPRP\tB-NP\tO' +p222916 +aS'is\tbe\tVBZ\tB-VP\tO' +p222917 +aS'to\tto\tTO\tB-VP\tO' +p222918 +aS'follow\tfollow\tVB\tI-VP\tO' +p222919 +aS'up\tup\tRP\tB-PRT\tO' +p222920 +aS'with\twith\tIN\tB-PP\tO' +p222921 +aS'her\ther\tPRP$\tB-NP\tO' +p222922 +aS'primary\tprimary\tJJ\tI-NP\tO' +p222923 +aS'care\tcare\tNN\tI-NP\tO' +p222924 +aS'physician\tphysician\tNN\tI-NP\tO' +p222925 +aS'to\tto\tTO\tB-VP\tO' +p222926 +aS'check\tcheck\tVB\tI-VP\tO' +p222927 +aS'her\ther\tPRP$\tB-NP\tO' +p222928 +aS'prothrombin\tprothrombin\tNN\tI-NP\tO' +p222929 +aS'time\ttime\tNN\tI-NP\tO' +p222930 +aS'/\t/\tSYM\tB-NP\tO' +p222931 +aS'INR\tINR\tNN\tI-NP\tB-protein' +p222932 +aS'as\tas\tRB\tB-CONJP\tO' +p222933 +aS'well\twell\tRB\tI-CONJP\tO' +p222934 +aS'as\tas\tIN\tI-CONJP\tO' +p222935 +aS'calcium\tcalcium\tNN\tB-NP\tO' +p222936 +aS',\t,\t,\tI-NP\tO' +p222937 +aS'albumin\talbumin\tNN\tI-NP\tO' +p222938 +aS'and\tand\tCC\tI-NP\tO' +p222939 +aS'phosphate\tphosphate\tNN\tI-NP\tO' +p222940 +aS'levels\tlevel\tNNS\tI-NP\tO' +p222941 +aS'.\t.\t.\tO\tO' +p222942 +asS'Positive tenderness over the distal half of the left rib cage .' +p222943 +(lp222944 +S'Positive\tPositive\tJJ\tB-NP\tO' +p222945 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p222946 +aS'over\tover\tIN\tB-PP\tO' +p222947 +aS'the\tthe\tDT\tB-NP\tO' +p222948 +aS'distal\tdistal\tJJ\tI-NP\tO' +p222949 +aS'half\thalf\tNN\tI-NP\tO' +p222950 +aS'of\tof\tIN\tB-PP\tO' +p222951 +aS'the\tthe\tDT\tB-NP\tO' +p222952 +aS'left\tleft\tJJ\tI-NP\tO' +p222953 +aS'rib\trib\tNN\tI-NP\tO' +p222954 +aS'cage\tcage\tNN\tI-NP\tO' +p222955 +aS'.\t.\t.\tO\tO' +p222956 +asS"Before this age ( and for the first 24 months of the child 's life ) immunization against influenza is recommended for household contacts and out of home caregivers ." +p222957 +(lp222958 +S'Before\tBefore\tIN\tB-SBAR\tO' +p222959 +aS'this\tthis\tDT\tB-NP\tO' +p222960 +aS'age\tage\tNN\tI-NP\tO' +p222961 +aS'(\t(\t(\tO\tO' +p222962 +aS'and\tand\tCC\tO\tO' +p222963 +aS'for\tfor\tIN\tB-PP\tO' +p222964 +aS'the\tthe\tDT\tB-NP\tO' +p222965 +aS'first\tfirst\tJJ\tI-NP\tO' +p222966 +aS'24\t24\tCD\tI-NP\tO' +p222967 +aS'months\tmonth\tNNS\tI-NP\tO' +p222968 +aS'of\tof\tIN\tB-PP\tO' +p222969 +aS'the\tthe\tDT\tB-NP\tO' +p222970 +aS'child\tchild\tNN\tI-NP\tO' +p222971 +aS"'s\t's\tPOS\tB-NP\tO" +p222972 +aS'life\tlife\tNN\tI-NP\tO' +p222973 +aS')\t)\t)\tO\tO' +p222974 +aS'immunization\timmunization\tNN\tB-NP\tO' +p222975 +aS'against\tagainst\tIN\tB-PP\tO' +p222976 +aS'influenza\tinfluenza\tNN\tB-NP\tO' +p222977 +aS'is\tbe\tVBZ\tB-VP\tO' +p222978 +aS'recommended\trecommend\tVBN\tI-VP\tO' +p222979 +aS'for\tfor\tIN\tB-PP\tO' +p222980 +aS'household\thousehold\tNN\tB-NP\tO' +p222981 +aS'contacts\tcontact\tNNS\tI-NP\tO' +p222982 +aS'and\tand\tCC\tB-PP\tO' +p222983 +aS'out\tout\tIN\tB-PP\tO' +p222984 +aS'of\tof\tIN\tB-PP\tO' +p222985 +aS'home\thome\tNN\tB-NP\tO' +p222986 +aS'caregivers\tcaregiver\tNNS\tI-NP\tO' +p222987 +aS'.\t.\t.\tO\tO' +p222988 +asS'Percocet for pain .' +p222989 +(lp222990 +S'Percocet\tPercocet\tNN\tB-NP\tO' +p222991 +aS'for\tfor\tIN\tB-PP\tO' +p222992 +aS'pain\tpain\tNN\tB-NP\tO' +p222993 +aS'.\t.\t.\tO\tO' +p222994 +asS'4. Metoprolol Tartrate 25 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ).' +p222995 +(lp222996 +S'4.\t4.\tLS\tB-NP\tO' +p222997 +aS'Metoprolol\tMetoprolol\tNN\tI-NP\tO' +p222998 +aS'Tartrate\tTartrate\tNN\tI-NP\tO' +p222999 +aS'25\t25\tCD\tI-NP\tO' +p223000 +aS'mg\tmg\tNN\tI-NP\tO' +p223001 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p223002 +aS'Sig\tSig\tNNP\tI-NP\tO' +p223003 +aS':\t:\t:\tO\tO' +p223004 +aS'One\tOne\tCD\tB-NP\tO' +p223005 +aS'(\t(\t(\tO\tO' +p223006 +aS'1\t1\tCD\tB-NP\tO' +p223007 +aS')\t)\t)\tO\tO' +p223008 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p223009 +aS'PO\tPO\tNN\tI-NP\tO' +p223010 +aS'BID\tBID\tNN\tI-NP\tO' +p223011 +aS'(\t(\t(\tO\tO' +p223012 +aS'2\t2\tCD\tB-NP\tO' +p223013 +aS'times\ttime\tNNS\tI-NP\tO' +p223014 +aS'a\ta\tDT\tB-NP\tO' +p223015 +aS'day\tday\tNN\tI-NP\tO' +p223016 +aS').\t).\t.\tO\tO' +p223017 +asS'Keep wounds clean and dry .' +p223018 +(lp223019 +S'Keep\tKeep\tNN\tB-NP\tO' +p223020 +aS'wounds\twound\tNNS\tI-NP\tO' +p223021 +aS'clean\tclean\tJJ\tB-ADJP\tO' +p223022 +aS'and\tand\tCC\tI-ADJP\tO' +p223023 +aS'dry\tdry\tJJ\tI-ADJP\tO' +p223024 +aS'.\t.\t.\tO\tO' +p223025 +asS'15. Multivitamin Capsule Sig : One ( 1 ) Cap PO DAILY ( Daily ) .' +p223026 +(lp223027 +S'15.\t15.\tLS\tB-LST\tO' +p223028 +aS'Multivitamin\tMultivitamin\tNNP\tB-NP\tO' +p223029 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p223030 +aS'Sig\tSig\tNNP\tI-NP\tO' +p223031 +aS':\t:\t:\tO\tO' +p223032 +aS'One\tOne\tCD\tB-NP\tO' +p223033 +aS'(\t(\t(\tO\tO' +p223034 +aS'1\t1\tCD\tB-NP\tO' +p223035 +aS')\t)\t)\tO\tO' +p223036 +aS'Cap\tCap\tNN\tB-NP\tO' +p223037 +aS'PO\tPO\tNN\tI-NP\tO' +p223038 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p223039 +aS'(\t(\t(\tO\tO' +p223040 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p223041 +aS')\t)\t)\tO\tO' +p223042 +aS'.\t.\t.\tO\tO' +p223043 +asS'She had a left internal mammary artery graft to the left anterior descending , saphenous vein graft to the obtuse marginal 1 and a saphenous vein graft to the obtuse marginal 2 .' +p223044 +(lp223045 +S'She\tShe\tPRP\tB-NP\tO' +p223046 +aS'had\thave\tVBD\tB-VP\tO' +p223047 +aS'a\ta\tDT\tB-NP\tO' +p223048 +aS'left\tleft\tJJ\tI-NP\tO' +p223049 +aS'internal\tinternal\tJJ\tI-NP\tO' +p223050 +aS'mammary\tmammary\tJJ\tI-NP\tO' +p223051 +aS'artery\tartery\tNN\tI-NP\tO' +p223052 +aS'graft\tgraft\tNN\tI-NP\tO' +p223053 +aS'to\tto\tTO\tB-PP\tO' +p223054 +aS'the\tthe\tDT\tB-NP\tO' +p223055 +aS'left\tleft\tJJ\tI-NP\tO' +p223056 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p223057 +aS'descending\tdescending\tNN\tI-NP\tO' +p223058 +aS',\t,\t,\tO\tO' +p223059 +aS'saphenous\tsaphenous\tJJ\tB-NP\tO' +p223060 +aS'vein\tvein\tNN\tI-NP\tO' +p223061 +aS'graft\tgraft\tNN\tI-NP\tO' +p223062 +aS'to\tto\tTO\tB-PP\tO' +p223063 +aS'the\tthe\tDT\tB-NP\tO' +p223064 +aS'obtuse\tobtuse\tNN\tI-NP\tO' +p223065 +aS'marginal\tmarginal\tNN\tI-NP\tO' +p223066 +aS'1\t1\tCD\tI-NP\tO' +p223067 +aS'and\tand\tCC\tO\tO' +p223068 +aS'a\ta\tDT\tB-NP\tO' +p223069 +aS'saphenous\tsaphenous\tJJ\tI-NP\tO' +p223070 +aS'vein\tvein\tNN\tI-NP\tO' +p223071 +aS'graft\tgraft\tNN\tI-NP\tO' +p223072 +aS'to\tto\tTO\tB-PP\tO' +p223073 +aS'the\tthe\tDT\tB-NP\tO' +p223074 +aS'obtuse\tobtuse\tNN\tI-NP\tO' +p223075 +aS'marginal\tmarginal\tJJ\tI-NP\tO' +p223076 +aS'2\t2\tCD\tI-NP\tO' +p223077 +aS'.\t.\t.\tO\tO' +p223078 +asS'Plastic did not feel that patient had any compartment syndrome and recommended aggresive upper extremity elevation for swelling reduction .' +p223079 +(lp223080 +S'Plastic\tPlastic\tNNP\tB-NP\tO' +p223081 +aS'did\tdo\tVBD\tB-VP\tO' +p223082 +aS'not\tnot\tRB\tI-VP\tO' +p223083 +aS'feel\tfeel\tVB\tI-VP\tO' +p223084 +aS'that\tthat\tDT\tB-NP\tO' +p223085 +aS'patient\tpatient\tNN\tI-NP\tO' +p223086 +aS'had\thave\tVBD\tB-VP\tO' +p223087 +aS'any\tany\tDT\tB-NP\tO' +p223088 +aS'compartment\tcompartment\tNN\tI-NP\tO' +p223089 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p223090 +aS'and\tand\tCC\tO\tO' +p223091 +aS'recommended\trecommend\tVBD\tB-VP\tO' +p223092 +aS'aggresive\taggresive\tJJ\tB-NP\tO' +p223093 +aS'upper\tupper\tJJ\tI-NP\tO' +p223094 +aS'extremity\textremity\tNN\tI-NP\tO' +p223095 +aS'elevation\televation\tNN\tI-NP\tO' +p223096 +aS'for\tfor\tIN\tB-PP\tO' +p223097 +aS'swelling\tswell\tVBG\tB-VP\tO' +p223098 +aS'reduction\treduction\tNN\tB-NP\tO' +p223099 +aS'.\t.\t.\tO\tO' +p223100 +asS'This is in comparison to 2015-09-27 EKG .' +p223101 +(lp223102 +S'This\tThis\tDT\tB-NP\tO' +p223103 +aS'is\tbe\tVBZ\tB-VP\tO' +p223104 +aS'in\tin\tIN\tB-PP\tO' +p223105 +aS'comparison\tcomparison\tNN\tB-NP\tO' +p223106 +aS'to\tto\tTO\tB-PP\tO' +p223107 +aS'2015-09-27\t2015-09-27\tCD\tB-NP\tO' +p223108 +aS'EKG\tEKG\tNN\tI-NP\tO' +p223109 +aS'.\t.\t.\tO\tO' +p223110 +asS'9. Haldol .' +p223111 +(lp223112 +S'9.\t9.\tLS\tB-LST\tO' +p223113 +aS'Haldol\tHaldol\tNNP\tB-NP\tO' +p223114 +aS'.\t.\t.\tO\tO' +p223115 +asS'There was no evidence of diarrhea during medical Lawrence Memorial Hospital stay .' +p223116 +(lp223117 +S'There\tThere\tEX\tB-NP\tO' +p223118 +aS'was\tbe\tVBD\tB-VP\tO' +p223119 +aS'no\tno\tDT\tB-NP\tO' +p223120 +aS'evidence\tevidence\tNN\tI-NP\tO' +p223121 +aS'of\tof\tIN\tB-PP\tO' +p223122 +aS'diarrhea\tdiarrhea\tNN\tB-NP\tO' +p223123 +aS'during\tduring\tIN\tB-PP\tO' +p223124 +aS'medical\tmedical\tJJ\tB-NP\tO' +p223125 +aS'Lawrence\tLawrence\tNNP\tI-NP\tO' +p223126 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p223127 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p223128 +aS'stay\tstay\tNN\tI-NP\tO' +p223129 +aS'.\t.\t.\tO\tO' +p223130 +asS'He did note multiple female sexual partners , although described using condoms except with his wife .' +p223131 +(lp223132 +S'He\tHe\tPRP\tB-NP\tO' +p223133 +aS'did\tdo\tVBD\tB-VP\tO' +p223134 +aS'note\tnote\tVB\tI-VP\tO' +p223135 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p223136 +aS'female\tfemale\tJJ\tI-NP\tO' +p223137 +aS'sexual\tsexual\tJJ\tI-NP\tO' +p223138 +aS'partners\tpartner\tNNS\tI-NP\tO' +p223139 +aS',\t,\t,\tO\tO' +p223140 +aS'although\talthough\tIN\tB-SBAR\tO' +p223141 +aS'described\tdescribe\tVBN\tB-VP\tO' +p223142 +aS'using\tuse\tVBG\tB-VP\tO' +p223143 +aS'condoms\tcondom\tNNS\tB-NP\tO' +p223144 +aS'except\texcept\tIN\tB-PP\tO' +p223145 +aS'with\twith\tIN\tB-PP\tO' +p223146 +aS'his\this\tPRP$\tB-NP\tO' +p223147 +aS'wife\twife\tNN\tI-NP\tO' +p223148 +aS'.\t.\t.\tO\tO' +p223149 +asS'Patient did not require pressors .' +p223150 +(lp223151 +S'Patient\tPatient\tNN\tB-NP\tO' +p223152 +aS'did\tdo\tVBD\tB-VP\tO' +p223153 +aS'not\tnot\tRB\tI-VP\tO' +p223154 +aS'require\trequire\tVB\tI-VP\tO' +p223155 +aS'pressors\tpressor\tNNS\tB-NP\tO' +p223156 +aS'.\t.\t.\tO\tO' +p223157 +asS'Carotid Stenosis s/p Left Carotid Stenting' +p223158 +(lp223159 +S'Carotid\tCarotid\tNNP\tB-NP\tO' +p223160 +aS'Stenosis\tStenosis\tNNP\tI-NP\tO' +p223161 +aS's/p\ts/p\tNN\tI-NP\tO' +p223162 +aS'Left\tLeft\tNNP\tI-NP\tO' +p223163 +aS'Carotid\tCarotid\tNNP\tI-NP\tO' +p223164 +aS'Stenting\tStenting\tNNP\tI-NP\tO' +p223165 +asS'When patient was distracted , some maneuvers were not painful .' +p223166 +(lp223167 +S'When\tWhen\tWRB\tB-ADVP\tO' +p223168 +aS'patient\tpatient\tNN\tB-NP\tO' +p223169 +aS'was\tbe\tVBD\tB-VP\tO' +p223170 +aS'distracted\tdistract\tVBN\tI-VP\tO' +p223171 +aS',\t,\t,\tO\tO' +p223172 +aS'some\tsome\tDT\tB-NP\tO' +p223173 +aS'maneuvers\tmaneuver\tNNS\tI-NP\tO' +p223174 +aS'were\tbe\tVBD\tB-VP\tO' +p223175 +aS'not\tnot\tRB\tO\tO' +p223176 +aS'painful\tpainful\tJJ\tB-ADJP\tO' +p223177 +aS'.\t.\t.\tO\tO' +p223178 +asS'PAST MEDICAL HISTORY included polycythemia vera .' +p223179 +(lp223180 +S'PAST\tPAST\tNNP\tB-NP\tO' +p223181 +aS'MEDICAL\tMEDICAL\tNNP\tI-NP\tO' +p223182 +aS'HISTORY\tHISTORY\tNNP\tI-NP\tO' +p223183 +aS'included\tinclude\tVBD\tB-VP\tO' +p223184 +aS'polycythemia\tpolycythemia\tNN\tB-NP\tO' +p223185 +aS'vera\tvera\tNN\tI-NP\tO' +p223186 +aS'.\t.\t.\tO\tO' +p223187 +asS'The patient lives alone .' +p223188 +(lp223189 +S'The\tThe\tDT\tB-NP\tO' +p223190 +aS'patient\tpatient\tNN\tI-NP\tO' +p223191 +aS'lives\tlive\tVBZ\tB-VP\tO' +p223192 +aS'alone\talone\tRB\tB-ADVP\tO' +p223193 +aS'.\t.\t.\tO\tO' +p223194 +asS'On the second hospital day on the General Medical Floor the patient had marked rebound to palpation of her abdomen .' +p223195 +(lp223196 +S'On\tOn\tIN\tB-PP\tO' +p223197 +aS'the\tthe\tDT\tB-NP\tO' +p223198 +aS'second\tsecond\tJJ\tI-NP\tO' +p223199 +aS'hospital\thospital\tNN\tI-NP\tO' +p223200 +aS'day\tday\tNN\tI-NP\tO' +p223201 +aS'on\ton\tIN\tB-PP\tO' +p223202 +aS'the\tthe\tDT\tB-NP\tO' +p223203 +aS'General\tGeneral\tNNP\tI-NP\tO' +p223204 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p223205 +aS'Floor\tFloor\tNNP\tI-NP\tO' +p223206 +aS'the\tthe\tDT\tB-NP\tO' +p223207 +aS'patient\tpatient\tNN\tI-NP\tO' +p223208 +aS'had\thave\tVBD\tB-VP\tO' +p223209 +aS'marked\tmark\tVBN\tI-VP\tO' +p223210 +aS'rebound\trebound\tNN\tB-NP\tO' +p223211 +aS'to\tto\tTO\tB-PP\tO' +p223212 +aS'palpation\tpalpation\tNN\tB-NP\tO' +p223213 +aS'of\tof\tIN\tB-PP\tO' +p223214 +aS'her\ther\tPRP$\tB-NP\tO' +p223215 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p223216 +aS'.\t.\t.\tO\tO' +p223217 +asS'D-sticks have been stable . Infant is allowed to ad lib breast feed which he is doing vigorously .' +p223218 +(lp223219 +S'D-sticks\tD-stick\tNNS\tB-NP\tO' +p223220 +aS'have\thave\tVBP\tB-VP\tO' +p223221 +aS'been\tbe\tVBN\tI-VP\tO' +p223222 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p223223 +aS'.\t.\t.\tO\tO' +p223224 +aS'Infant\tInfant\tNNP\tB-NP\tO' +p223225 +aS'is\tbe\tVBZ\tB-VP\tO' +p223226 +aS'allowed\tallow\tVBN\tI-VP\tO' +p223227 +aS'to\tto\tTO\tB-PP\tO' +p223228 +aS'ad\tad\tNN\tB-NP\tO' +p223229 +aS'lib\tlib\tNN\tI-NP\tO' +p223230 +aS'breast\tbreast\tNN\tI-NP\tO' +p223231 +aS'feed\tfeed\tNN\tI-NP\tO' +p223232 +aS'which\twhich\tWDT\tB-NP\tO' +p223233 +aS'he\the\tPRP\tB-NP\tO' +p223234 +aS'is\tbe\tVBZ\tB-VP\tO' +p223235 +aS'doing\tdo\tVBG\tI-VP\tO' +p223236 +aS'vigorously\tvigorously\tRB\tB-ADVP\tO' +p223237 +aS'.\t.\t.\tO\tO' +p223238 +asS'1. Please continue your previous diabetes medications' +p223239 +(lp223240 +S'1.\t1.\tLS\tB-NP\tO' +p223241 +aS'Please\tPlease\tNN\tI-NP\tB-protein' +p223242 +aS'continue\tcontinue\tVB\tB-VP\tO' +p223243 +aS'your\tyour\tPRP$\tB-NP\tO' +p223244 +aS'previous\tprevious\tJJ\tI-NP\tO' +p223245 +aS'diabetes\tdiabetes\tNN\tI-NP\tO' +p223246 +aS'medications\tmedication\tNNS\tI-NP\tO' +p223247 +asS'Diabetes mellitus , pneumonia , sepsis , respiratory failure , pleural effusion , postoperative encephalopathy , postoperative myocardial infarction , and thrombocytopenia .' +p223248 +(lp223249 +S'Diabetes\tDiabetes\tNN\tB-NP\tO' +p223250 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p223251 +aS',\t,\t,\tO\tO' +p223252 +aS'pneumonia\tpneumonia\tNN\tB-NP\tO' +p223253 +aS',\t,\t,\tO\tO' +p223254 +aS'sepsis\tsepsis\tNN\tB-NP\tO' +p223255 +aS',\t,\t,\tO\tO' +p223256 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p223257 +aS'failure\tfailure\tNN\tI-NP\tO' +p223258 +aS',\t,\t,\tO\tO' +p223259 +aS'pleural\tpleural\tJJ\tB-NP\tO' +p223260 +aS'effusion\teffusion\tNN\tI-NP\tO' +p223261 +aS',\t,\t,\tO\tO' +p223262 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p223263 +aS'encephalopathy\tencephalopathy\tNN\tI-NP\tO' +p223264 +aS',\t,\t,\tO\tO' +p223265 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p223266 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p223267 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p223268 +aS',\t,\t,\tO\tO' +p223269 +aS'and\tand\tCC\tO\tO' +p223270 +aS'thrombocytopenia\tthrombocytopenia\tNN\tB-NP\tO' +p223271 +aS'.\t.\t.\tO\tO' +p223272 +asS'She was maintained on a ventilator and ventilated according to ARDSNet protocol .' +p223273 +(lp223274 +S'She\tShe\tPRP\tB-NP\tO' +p223275 +aS'was\tbe\tVBD\tB-VP\tO' +p223276 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p223277 +aS'on\ton\tIN\tB-PP\tO' +p223278 +aS'a\ta\tDT\tB-NP\tO' +p223279 +aS'ventilator\tventilator\tNN\tI-NP\tO' +p223280 +aS'and\tand\tCC\tO\tO' +p223281 +aS'ventilated\tventilate\tVBD\tB-VP\tO' +p223282 +aS'according\taccord\tVBG\tI-VP\tO' +p223283 +aS'to\tto\tTO\tI-VP\tO' +p223284 +aS'ARDSNet\tARDSNet\tVB\tI-VP\tO' +p223285 +aS'protocol\tprotocol\tNN\tB-NP\tO' +p223286 +aS'.\t.\t.\tO\tO' +p223287 +asS'3. The infant passed a car seat positioning test on 2013-05-11 .' +p223288 +(lp223289 +S'3.\t3.\tLS\tB-LST\tO' +p223290 +aS'The\tThe\tDT\tB-NP\tO' +p223291 +aS'infant\tinfant\tNN\tI-NP\tO' +p223292 +aS'passed\tpass\tVBD\tB-VP\tO' +p223293 +aS'a\ta\tDT\tB-NP\tO' +p223294 +aS'car\tcar\tNN\tI-NP\tO' +p223295 +aS'seat\tseat\tNN\tI-NP\tO' +p223296 +aS'positioning\tposition\tVBG\tB-VP\tO' +p223297 +aS'test\ttest\tNN\tB-NP\tO' +p223298 +aS'on\ton\tIN\tB-PP\tO' +p223299 +aS'2013-05-11\t2013-05-11\tCD\tB-NP\tO' +p223300 +aS'.\t.\t.\tO\tO' +p223301 +asS'He went to Padrugmoff Hospital Emergency Room .' +p223302 +(lp223303 +S'He\tHe\tPRP\tB-NP\tO' +p223304 +aS'went\tgo\tVBD\tB-VP\tO' +p223305 +aS'to\tto\tTO\tB-PP\tO' +p223306 +aS'Padrugmoff\tPadrugmoff\tNNP\tB-NP\tO' +p223307 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p223308 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p223309 +aS'Room\tRoom\tNNP\tI-NP\tO' +p223310 +aS'.\t.\t.\tO\tO' +p223311 +asS'Cardiovascular revealed a regular rate and rhythm , heart sounds muffled , no murmurs .' +p223312 +(lp223313 +S'Cardiovascular\tCardiovascular\tNNP\tB-NP\tO' +p223314 +aS'revealed\treveal\tVBD\tB-VP\tO' +p223315 +aS'a\ta\tDT\tB-NP\tO' +p223316 +aS'regular\tregular\tJJ\tI-NP\tO' +p223317 +aS'rate\trate\tNN\tI-NP\tO' +p223318 +aS'and\tand\tCC\tI-NP\tO' +p223319 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p223320 +aS',\t,\t,\tO\tO' +p223321 +aS'heart\theart\tNN\tB-NP\tO' +p223322 +aS'sounds\tsound\tVBZ\tB-VP\tO' +p223323 +aS'muffled\tmuffled\tJJ\tB-ADJP\tO' +p223324 +aS',\t,\t,\tO\tO' +p223325 +aS'no\tno\tDT\tB-NP\tO' +p223326 +aS'murmurs\tmurmur\tNNS\tI-NP\tO' +p223327 +aS'.\t.\t.\tO\tO' +p223328 +asS'He had no further episodes of AFIB while on po Amiodarone .' +p223329 +(lp223330 +S'He\tHe\tPRP\tB-NP\tO' +p223331 +aS'had\thave\tVBD\tB-VP\tO' +p223332 +aS'no\tno\tDT\tB-NP\tO' +p223333 +aS'further\tfurther\tJJ\tI-NP\tO' +p223334 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p223335 +aS'of\tof\tIN\tB-PP\tO' +p223336 +aS'AFIB\tAFIB\tNN\tB-NP\tB-protein' +p223337 +aS'while\twhile\tIN\tB-SBAR\tO' +p223338 +aS'on\ton\tIN\tB-PP\tO' +p223339 +aS'po\tpo\tNN\tB-NP\tO' +p223340 +aS'Amiodarone\tAmiodarone\tNNP\tI-NP\tO' +p223341 +aS'.\t.\t.\tO\tO' +p223342 +asS'Later in her hospital course , the pt complained of hip pain .' +p223343 +(lp223344 +S'Later\tLater\tRB\tB-ADVP\tO' +p223345 +aS'in\tin\tIN\tB-PP\tO' +p223346 +aS'her\ther\tPRP$\tB-NP\tO' +p223347 +aS'hospital\thospital\tNN\tI-NP\tO' +p223348 +aS'course\tcourse\tNN\tI-NP\tO' +p223349 +aS',\t,\t,\tO\tO' +p223350 +aS'the\tthe\tDT\tB-NP\tO' +p223351 +aS'pt\tpt\tNN\tI-NP\tO' +p223352 +aS'complained\tcomplain\tVBD\tB-VP\tO' +p223353 +aS'of\tof\tIN\tB-PP\tO' +p223354 +aS'hip\thip\tNN\tB-NP\tO' +p223355 +aS'pain\tpain\tNN\tI-NP\tO' +p223356 +aS'.\t.\t.\tO\tO' +p223357 +asS'Her steroid doses were slowly tapered over her hospital course , and her Prograf level was adjusted to maintain therapeutic values between 10 and 15 .' +p223358 +(lp223359 +S'Her\tHer\tPRP$\tB-NP\tO' +p223360 +aS'steroid\tsteroid\tNN\tI-NP\tO' +p223361 +aS'doses\tdose\tNNS\tI-NP\tO' +p223362 +aS'were\tbe\tVBD\tB-VP\tO' +p223363 +aS'slowly\tslowly\tRB\tI-VP\tO' +p223364 +aS'tapered\ttaper\tVBN\tI-VP\tO' +p223365 +aS'over\tover\tIN\tB-PP\tO' +p223366 +aS'her\ther\tPRP$\tB-NP\tO' +p223367 +aS'hospital\thospital\tNN\tI-NP\tO' +p223368 +aS'course\tcourse\tNN\tI-NP\tO' +p223369 +aS',\t,\t,\tO\tO' +p223370 +aS'and\tand\tCC\tO\tO' +p223371 +aS'her\ther\tPRP$\tB-NP\tO' +p223372 +aS'Prograf\tPrograf\tNN\tI-NP\tO' +p223373 +aS'level\tlevel\tNN\tI-NP\tO' +p223374 +aS'was\tbe\tVBD\tB-VP\tO' +p223375 +aS'adjusted\tadjust\tVBN\tI-VP\tO' +p223376 +aS'to\tto\tTO\tB-VP\tO' +p223377 +aS'maintain\tmaintain\tVB\tI-VP\tO' +p223378 +aS'therapeutic\ttherapeutic\tJJ\tB-NP\tO' +p223379 +aS'values\tvalue\tNNS\tI-NP\tO' +p223380 +aS'between\tbetween\tIN\tB-PP\tO' +p223381 +aS'10\t10\tCD\tB-NP\tO' +p223382 +aS'and\tand\tCC\tI-NP\tO' +p223383 +aS'15\t15\tCD\tI-NP\tO' +p223384 +aS'.\t.\t.\tO\tO' +p223385 +asS'1) Unresponsiveness : This is likely due todrug overdose ( known oxycontin use , (+) BNZ on tox screen ).' +p223386 +(lp223387 +S'1)\t1)\tLS\tB-NP\tO' +p223388 +aS'Unresponsiveness\tUnresponsiveness\tNN\tI-NP\tO' +p223389 +aS':\t:\t:\tO\tO' +p223390 +aS'This\tThis\tDT\tB-NP\tO' +p223391 +aS'is\tbe\tVBZ\tB-VP\tO' +p223392 +aS'likely\tlikely\tJJ\tB-NP\tO' +p223393 +aS'due\tdue\tJJ\tI-NP\tO' +p223394 +aS'todrug\ttodrug\tNN\tI-NP\tO' +p223395 +aS'overdose\toverdose\tNN\tI-NP\tO' +p223396 +aS'(\t(\t(\tO\tO' +p223397 +aS'known\tknow\tVBN\tB-NP\tO' +p223398 +aS'oxycontin\toxycontin\tNN\tI-NP\tO' +p223399 +aS'use\tuse\tNN\tI-NP\tO' +p223400 +aS',\t,\t,\tO\tO' +p223401 +aS'(+)\t(+)\tLS\tB-NP\tB-protein' +p223402 +aS'BNZ\tBNZ\tNN\tI-NP\tI-protein' +p223403 +aS'on\ton\tIN\tB-PP\tO' +p223404 +aS'tox\ttox\tNN\tB-NP\tO' +p223405 +aS'screen\tscreen\tNN\tI-NP\tO' +p223406 +aS').\t).\t.\tO\tO' +p223407 +asS'The patient had a D-dimer greater than 1000 with lower extremity non-invasive studies which were positive for a small right common femoral clot .' +p223408 +(lp223409 +S'The\tThe\tDT\tB-NP\tO' +p223410 +aS'patient\tpatient\tNN\tI-NP\tO' +p223411 +aS'had\thave\tVBD\tB-VP\tO' +p223412 +aS'a\ta\tDT\tB-NP\tO' +p223413 +aS'D-dimer\tD-dimer\tNN\tI-NP\tB-protein' +p223414 +aS'greater\tgreat\tJJR\tB-ADJP\tO' +p223415 +aS'than\tthan\tIN\tB-PP\tO' +p223416 +aS'1000\t1000\tCD\tB-NP\tO' +p223417 +aS'with\twith\tIN\tB-PP\tO' +p223418 +aS'lower\tlow\tJJR\tB-NP\tO' +p223419 +aS'extremity\textremity\tNN\tI-NP\tO' +p223420 +aS'non-invasive\tnon-invasive\tJJ\tI-NP\tO' +p223421 +aS'studies\tstudy\tNNS\tI-NP\tO' +p223422 +aS'which\twhich\tWDT\tB-NP\tO' +p223423 +aS'were\tbe\tVBD\tB-VP\tO' +p223424 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p223425 +aS'for\tfor\tIN\tB-PP\tO' +p223426 +aS'a\ta\tDT\tB-NP\tO' +p223427 +aS'small\tsmall\tJJ\tI-NP\tO' +p223428 +aS'right\tright\tJJ\tI-NP\tO' +p223429 +aS'common\tcommon\tJJ\tI-NP\tO' +p223430 +aS'femoral\tfemoral\tJJ\tI-NP\tO' +p223431 +aS'clot\tclot\tNN\tI-NP\tO' +p223432 +aS'.\t.\t.\tO\tO' +p223433 +asS'Partial thyroidectomy , herniorrhaphy , percutaneous transluminal coronary angioplasty of the RCA in 2005 , left knee surgery as well as tonsil and adenoid surgery .' +p223434 +(lp223435 +S'Partial\tPartial\tJJ\tB-NP\tO' +p223436 +aS'thyroidectomy\tthyroidectomy\tNN\tI-NP\tO' +p223437 +aS',\t,\t,\tO\tO' +p223438 +aS'herniorrhaphy\therniorrhaphy\tNN\tB-NP\tO' +p223439 +aS',\t,\t,\tO\tO' +p223440 +aS'percutaneous\tpercutaneous\tJJ\tB-NP\tO' +p223441 +aS'transluminal\ttransluminal\tJJ\tI-NP\tO' +p223442 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p223443 +aS'angioplasty\tangioplasty\tNN\tI-NP\tO' +p223444 +aS'of\tof\tIN\tB-PP\tO' +p223445 +aS'the\tthe\tDT\tB-NP\tO' +p223446 +aS'RCA\tRCA\tNN\tI-NP\tB-protein' +p223447 +aS'in\tin\tIN\tB-PP\tO' +p223448 +aS'2005\t2005\tCD\tB-NP\tO' +p223449 +aS',\t,\t,\tO\tO' +p223450 +aS'left\tleave\tVBD\tB-VP\tO' +p223451 +aS'knee\tknee\tNN\tB-NP\tO' +p223452 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p223453 +aS'as\tas\tRB\tB-CONJP\tO' +p223454 +aS'well\twell\tRB\tI-CONJP\tO' +p223455 +aS'as\tas\tIN\tI-CONJP\tO' +p223456 +aS'tonsil\ttonsil\tNN\tB-NP\tO' +p223457 +aS'and\tand\tCC\tO\tO' +p223458 +aS'adenoid\tadenoid\tJJ\tB-NP\tO' +p223459 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p223460 +aS'.\t.\t.\tO\tO' +p223461 +asS'The patient was terminally extubated on a morphine drip and ativan titrated for agonal breathing and discomfort ; scopolamine was used as an adjunct to control secretions and appeared comfortable when he died at 12:27 pm on 2017-03-04 .' +p223462 +(lp223463 +S'The\tThe\tDT\tB-NP\tO' +p223464 +aS'patient\tpatient\tNN\tI-NP\tO' +p223465 +aS'was\tbe\tVBD\tB-VP\tO' +p223466 +aS'terminally\tterminally\tRB\tI-VP\tO' +p223467 +aS'extubated\textubate\tVBN\tI-VP\tO' +p223468 +aS'on\ton\tIN\tB-PP\tO' +p223469 +aS'a\ta\tDT\tB-NP\tO' +p223470 +aS'morphine\tmorphine\tNN\tI-NP\tO' +p223471 +aS'drip\tdrip\tNN\tI-NP\tO' +p223472 +aS'and\tand\tCC\tI-NP\tO' +p223473 +aS'ativan\tativan\tNN\tI-NP\tO' +p223474 +aS'titrated\ttitrate\tVBN\tB-VP\tO' +p223475 +aS'for\tfor\tIN\tB-PP\tO' +p223476 +aS'agonal\tagonal\tJJ\tB-NP\tO' +p223477 +aS'breathing\tbreathing\tNN\tI-NP\tO' +p223478 +aS'and\tand\tCC\tI-NP\tO' +p223479 +aS'discomfort\tdiscomfort\tNN\tI-NP\tO' +p223480 +aS';\t;\t:\tO\tO' +p223481 +aS'scopolamine\tscopolamine\tNN\tB-NP\tO' +p223482 +aS'was\tbe\tVBD\tB-VP\tO' +p223483 +aS'used\tuse\tVBN\tI-VP\tO' +p223484 +aS'as\tas\tIN\tB-PP\tO' +p223485 +aS'an\tan\tDT\tB-NP\tO' +p223486 +aS'adjunct\tadjunct\tNN\tI-NP\tO' +p223487 +aS'to\tto\tTO\tB-PP\tO' +p223488 +aS'control\tcontrol\tNN\tB-NP\tO' +p223489 +aS'secretions\tsecretion\tNNS\tI-NP\tO' +p223490 +aS'and\tand\tCC\tO\tO' +p223491 +aS'appeared\tappear\tVBD\tB-VP\tO' +p223492 +aS'comfortable\tcomfortable\tJJ\tB-ADJP\tO' +p223493 +aS'when\twhen\tWRB\tB-ADVP\tO' +p223494 +aS'he\the\tPRP\tB-NP\tO' +p223495 +aS'died\tdie\tVBD\tB-VP\tO' +p223496 +aS'at\tat\tIN\tB-PP\tO' +p223497 +aS'12:27\t12:27\tCD\tB-NP\tO' +p223498 +aS'pm\tpm\tNN\tI-NP\tO' +p223499 +aS'on\ton\tIN\tB-PP\tO' +p223500 +aS'2017-03-04\t2017-03-04\tCD\tB-NP\tO' +p223501 +aS'.\t.\t.\tO\tO' +p223502 +asS'1. Craniotomy for meningoma , February , 1994 ;' +p223503 +(lp223504 +S'1.\t1.\tLS\tB-NP\tO' +p223505 +aS'Craniotomy\tCraniotomy\tNN\tI-NP\tO' +p223506 +aS'for\tfor\tIN\tB-PP\tO' +p223507 +aS'meningoma\tmeningoma\tNN\tB-NP\tO' +p223508 +aS',\t,\t,\tO\tO' +p223509 +aS'February\tFebruary\tNNP\tB-NP\tO' +p223510 +aS',\t,\t,\tO\tO' +p223511 +aS'1994\t1994\tCD\tB-NP\tO' +p223512 +aS';\t;\t:\tO\tO' +p223513 +asS'Chest x-ray revealed minimal left base atelectasis and elevation of left hemidiaphragm .' +p223514 +(lp223515 +S'Chest\tCh\tJJS\tB-NP\tO' +p223516 +aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' +p223517 +aS'revealed\treveal\tVBD\tB-VP\tO' +p223518 +aS'minimal\tminimal\tJJ\tB-NP\tO' +p223519 +aS'left\tleft\tJJ\tI-NP\tO' +p223520 +aS'base\tbase\tNN\tI-NP\tO' +p223521 +aS'atelectasis\tatelectasis\tNN\tI-NP\tO' +p223522 +aS'and\tand\tCC\tI-NP\tO' +p223523 +aS'elevation\televation\tNN\tI-NP\tO' +p223524 +aS'of\tof\tIN\tB-PP\tO' +p223525 +aS'left\tleft\tJJ\tB-NP\tO' +p223526 +aS'hemidiaphragm\themidiaphragm\tNN\tI-NP\tO' +p223527 +aS'.\t.\t.\tO\tO' +p223528 +asS'The rectovaginal examination is normal .' +p223529 +(lp223530 +S'The\tThe\tDT\tB-NP\tO' +p223531 +aS'rectovaginal\trectovaginal\tJJ\tI-NP\tO' +p223532 +aS'examination\texamination\tNN\tI-NP\tO' +p223533 +aS'is\tbe\tVBZ\tB-VP\tO' +p223534 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p223535 +aS'.\t.\t.\tO\tO' +p223536 +asS'On 06-30 , the patient was evaluated by Occupational Therapy and fitted for a left upper extremity splint .' +p223537 +(lp223538 +S'On\tOn\tIN\tB-PP\tO' +p223539 +aS'06-30\t06-30\tCD\tB-NP\tO' +p223540 +aS',\t,\t,\tO\tO' +p223541 +aS'the\tthe\tDT\tB-NP\tO' +p223542 +aS'patient\tpatient\tNN\tI-NP\tO' +p223543 +aS'was\tbe\tVBD\tB-VP\tO' +p223544 +aS'evaluated\tevaluate\tVBN\tI-VP\tO' +p223545 +aS'by\tby\tIN\tB-PP\tO' +p223546 +aS'Occupational\tOccupational\tJJ\tB-NP\tO' +p223547 +aS'Therapy\tTherapy\tNN\tI-NP\tO' +p223548 +aS'and\tand\tCC\tO\tO' +p223549 +aS'fitted\tfit\tVBN\tB-VP\tO' +p223550 +aS'for\tfor\tIN\tB-PP\tO' +p223551 +aS'a\ta\tDT\tB-NP\tO' +p223552 +aS'left\tleft\tJJ\tI-NP\tO' +p223553 +aS'upper\tupper\tJJ\tI-NP\tO' +p223554 +aS'extremity\textremity\tNN\tI-NP\tO' +p223555 +aS'splint\tsplint\tNN\tI-NP\tO' +p223556 +aS'.\t.\t.\tO\tO' +p223557 +asS'She did have brief chest pain twice during this admission that did not correlate with electrocardiogram changes .' +p223558 +(lp223559 +S'She\tShe\tPRP\tB-NP\tO' +p223560 +aS'did\tdo\tVBD\tB-VP\tO' +p223561 +aS'have\thave\tVB\tI-VP\tO' +p223562 +aS'brief\tbrief\tJJ\tB-NP\tO' +p223563 +aS'chest\tchest\tNN\tI-NP\tO' +p223564 +aS'pain\tpain\tNN\tI-NP\tO' +p223565 +aS'twice\ttwice\tRB\tB-ADVP\tO' +p223566 +aS'during\tduring\tIN\tB-PP\tO' +p223567 +aS'this\tthis\tDT\tB-NP\tO' +p223568 +aS'admission\tadmission\tNN\tI-NP\tO' +p223569 +aS'that\tthat\tWDT\tB-NP\tO' +p223570 +aS'did\tdo\tVBD\tB-VP\tO' +p223571 +aS'not\tnot\tRB\tI-VP\tO' +p223572 +aS'correlate\tcorrelate\tVB\tI-VP\tO' +p223573 +aS'with\twith\tIN\tB-PP\tO' +p223574 +aS'electrocardiogram\telectrocardiogram\tNN\tB-NP\tO' +p223575 +aS'changes\tchange\tNNS\tI-NP\tO' +p223576 +aS'.\t.\t.\tO\tO' +p223577 +asS'The patient states that she has no idea why she was brought to the Emergency Department and denies any symptoms .' +p223578 +(lp223579 +S'The\tThe\tDT\tB-NP\tO' +p223580 +aS'patient\tpatient\tNN\tI-NP\tO' +p223581 +aS'states\tstate\tVBZ\tB-VP\tO' +p223582 +aS'that\tthat\tIN\tB-SBAR\tO' +p223583 +aS'she\tshe\tPRP\tB-NP\tO' +p223584 +aS'has\thave\tVBZ\tB-VP\tO' +p223585 +aS'no\tno\tDT\tB-NP\tO' +p223586 +aS'idea\tidea\tNN\tI-NP\tO' +p223587 +aS'why\twhy\tWRB\tB-ADVP\tO' +p223588 +aS'she\tshe\tPRP\tB-NP\tO' +p223589 +aS'was\tbe\tVBD\tB-VP\tO' +p223590 +aS'brought\tbring\tVBN\tI-VP\tO' +p223591 +aS'to\tto\tTO\tB-PP\tO' +p223592 +aS'the\tthe\tDT\tB-NP\tO' +p223593 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p223594 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p223595 +aS'and\tand\tCC\tO\tO' +p223596 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p223597 +aS'any\tany\tDT\tB-NP\tO' +p223598 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p223599 +aS'.\t.\t.\tO\tO' +p223600 +asS'Otherwise , the past medical history was insignificant .' +p223601 +(lp223602 +S'Otherwise\tOtherwise\tRB\tB-ADVP\tO' +p223603 +aS',\t,\t,\tO\tO' +p223604 +aS'the\tthe\tDT\tB-NP\tO' +p223605 +aS'past\tpast\tJJ\tI-NP\tO' +p223606 +aS'medical\tmedical\tJJ\tI-NP\tO' +p223607 +aS'history\thistory\tNN\tI-NP\tO' +p223608 +aS'was\tbe\tVBD\tB-VP\tO' +p223609 +aS'insignificant\tinsignificant\tJJ\tB-ADJP\tO' +p223610 +aS'.\t.\t.\tO\tO' +p223611 +asS'1. Diabetes type 2 treated with oral medication .' +p223612 +(lp223613 +S'1.\t1.\tLS\tB-NP\tO' +p223614 +aS'Diabetes\tDiabetes\tNN\tI-NP\tO' +p223615 +aS'type\ttype\tNN\tI-NP\tO' +p223616 +aS'2\t2\tCD\tI-NP\tO' +p223617 +aS'treated\ttreat\tVBN\tB-VP\tO' +p223618 +aS'with\twith\tIN\tB-PP\tO' +p223619 +aS'oral\toral\tJJ\tB-NP\tO' +p223620 +aS'medication\tmedication\tNN\tI-NP\tO' +p223621 +aS'.\t.\t.\tO\tO' +p223622 +asS'His foot ulcers continued to develop , and the patient complained of pain in his feet ; primarily at night .' +p223623 +(lp223624 +S'His\tHis\tPRP$\tB-NP\tO' +p223625 +aS'foot\tfoot\tNN\tI-NP\tO' +p223626 +aS'ulcers\tulcer\tNNS\tI-NP\tO' +p223627 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p223628 +aS'to\tto\tTO\tI-VP\tO' +p223629 +aS'develop\tdevelop\tVB\tI-VP\tO' +p223630 +aS',\t,\t,\tO\tO' +p223631 +aS'and\tand\tCC\tO\tO' +p223632 +aS'the\tthe\tDT\tB-NP\tO' +p223633 +aS'patient\tpatient\tNN\tI-NP\tO' +p223634 +aS'complained\tcomplain\tVBD\tB-VP\tO' +p223635 +aS'of\tof\tIN\tB-PP\tO' +p223636 +aS'pain\tpain\tNN\tB-NP\tO' +p223637 +aS'in\tin\tIN\tB-PP\tO' +p223638 +aS'his\this\tPRP$\tB-NP\tO' +p223639 +aS'feet\tfoot\tNNS\tI-NP\tO' +p223640 +aS';\t;\t:\tO\tO' +p223641 +aS'primarily\tprimarily\tRB\tB-ADVP\tO' +p223642 +aS'at\tat\tIN\tB-PP\tO' +p223643 +aS'night\tnight\tNN\tB-NP\tO' +p223644 +aS'.\t.\t.\tO\tO' +p223645 +asS'Dr. Ca Shuff , FIH Oregon Dr. Ille Kote' +p223646 +(lp223647 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p223648 +aS'Ca\tCa\tNNP\tI-NP\tO' +p223649 +aS'Shuff\tShuff\tNNP\tI-NP\tO' +p223650 +aS',\t,\t,\tO\tO' +p223651 +aS'FIH\tFIH\tNNP\tB-NP\tO' +p223652 +aS'Oregon\tOregon\tNNP\tI-NP\tO' +p223653 +aS'Dr.\tDr.\tNNP\tI-NP\tO' +p223654 +aS'Ille\tIlle\tNNP\tI-NP\tO' +p223655 +aS'Kote\tKote\tNNP\tI-NP\tO' +p223656 +asS'The operative report shows that there was an abnormal area below the trachea to the left which represented a cavity between the esophagus , trachea , aorta , and spine that was full of clot .' +p223657 +(lp223658 +S'The\tThe\tDT\tB-NP\tO' +p223659 +aS'operative\toperative\tJJ\tI-NP\tO' +p223660 +aS'report\treport\tNN\tI-NP\tO' +p223661 +aS'shows\tshow\tVBZ\tB-VP\tO' +p223662 +aS'that\tthat\tIN\tB-SBAR\tO' +p223663 +aS'there\tthere\tEX\tB-NP\tO' +p223664 +aS'was\tbe\tVBD\tB-VP\tO' +p223665 +aS'an\tan\tDT\tB-NP\tO' +p223666 +aS'abnormal\tabnormal\tJJ\tI-NP\tO' +p223667 +aS'area\tarea\tNN\tI-NP\tO' +p223668 +aS'below\tbelow\tIN\tB-PP\tO' +p223669 +aS'the\tthe\tDT\tB-NP\tO' +p223670 +aS'trachea\ttrachea\tNN\tI-NP\tO' +p223671 +aS'to\tto\tTO\tB-PP\tO' +p223672 +aS'the\tthe\tDT\tB-NP\tO' +p223673 +aS'left\tleft\tNN\tI-NP\tO' +p223674 +aS'which\twhich\tWDT\tB-NP\tO' +p223675 +aS'represented\trepresent\tVBD\tB-VP\tO' +p223676 +aS'a\ta\tDT\tB-NP\tO' +p223677 +aS'cavity\tcavity\tNN\tI-NP\tO' +p223678 +aS'between\tbetween\tIN\tB-PP\tO' +p223679 +aS'the\tthe\tDT\tB-NP\tO' +p223680 +aS'esophagus\tesophagus\tNN\tI-NP\tO' +p223681 +aS',\t,\t,\tO\tO' +p223682 +aS'trachea\ttrachea\tNN\tB-NP\tO' +p223683 +aS',\t,\t,\tO\tO' +p223684 +aS'aorta\taorta\tNN\tB-NP\tO' +p223685 +aS',\t,\t,\tO\tO' +p223686 +aS'and\tand\tCC\tO\tO' +p223687 +aS'spine\tspine\tNN\tB-NP\tO' +p223688 +aS'that\tthat\tWDT\tB-NP\tO' +p223689 +aS'was\tbe\tVBD\tB-VP\tO' +p223690 +aS'full\tfull\tJJ\tB-ADJP\tO' +p223691 +aS'of\tof\tIN\tB-PP\tO' +p223692 +aS'clot\tclot\tNN\tB-NP\tO' +p223693 +aS'.\t.\t.\tO\tO' +p223694 +asS'Her BP remained stable .' +p223695 +(lp223696 +S'Her\tHer\tPRP$\tB-NP\tB-protein' +p223697 +aS'BP\tBP\tNN\tI-NP\tI-protein' +p223698 +aS'remained\tremain\tVBD\tB-VP\tO' +p223699 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p223700 +aS'.\t.\t.\tO\tO' +p223701 +asS'There is no pulmonary process to exclude her from the transplant list as noted by the Pulmonary service .' +p223702 +(lp223703 +S'There\tThere\tEX\tB-NP\tO' +p223704 +aS'is\tbe\tVBZ\tB-VP\tO' +p223705 +aS'no\tno\tDT\tB-NP\tO' +p223706 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p223707 +aS'process\tprocess\tNN\tI-NP\tO' +p223708 +aS'to\tto\tTO\tB-VP\tO' +p223709 +aS'exclude\texclude\tVB\tI-VP\tO' +p223710 +aS'her\ther\tPRP\tB-NP\tO' +p223711 +aS'from\tfrom\tIN\tB-PP\tO' +p223712 +aS'the\tthe\tDT\tB-NP\tO' +p223713 +aS'transplant\ttransplant\tNN\tI-NP\tO' +p223714 +aS'list\tlist\tNN\tI-NP\tO' +p223715 +aS'as\tas\tIN\tB-SBAR\tO' +p223716 +aS'noted\tnote\tVBN\tB-VP\tO' +p223717 +aS'by\tby\tIN\tB-PP\tO' +p223718 +aS'the\tthe\tDT\tB-NP\tO' +p223719 +aS'Pulmonary\tPulmonary\tJJ\tI-NP\tO' +p223720 +aS'service\tservice\tNN\tI-NP\tO' +p223721 +aS'.\t.\t.\tO\tO' +p223722 +asS'Warm and well perfused .' +p223723 +(lp223724 +S'Warm\tWarm\tNNP\tB-NP\tO' +p223725 +aS'and\tand\tCC\tO\tO' +p223726 +aS'well\twell\tRB\tB-ADJP\tO' +p223727 +aS'perfused\tperfuse\tVBN\tI-ADJP\tO' +p223728 +aS'.\t.\t.\tO\tO' +p223729 +asS'6. Senna 8.6 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ) as needed .' +p223730 +(lp223731 +S'6.\t6.\tCD\tB-NP\tO' +p223732 +aS'Senna\tSenna\tNNP\tI-NP\tO' +p223733 +aS'8.6\t8.6\tCD\tI-NP\tO' +p223734 +aS'mg\tmg\tNN\tI-NP\tO' +p223735 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p223736 +aS'Sig\tSig\tNNP\tI-NP\tO' +p223737 +aS':\t:\t:\tO\tO' +p223738 +aS'One\tOne\tCD\tB-NP\tO' +p223739 +aS'(\t(\t(\tO\tO' +p223740 +aS'1\t1\tCD\tB-NP\tO' +p223741 +aS')\t)\t)\tO\tO' +p223742 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p223743 +aS'PO\tPO\tNN\tI-NP\tO' +p223744 +aS'BID\tBID\tNN\tI-NP\tO' +p223745 +aS'(\t(\t(\tO\tO' +p223746 +aS'2\t2\tCD\tB-NP\tO' +p223747 +aS'times\ttime\tNNS\tI-NP\tO' +p223748 +aS'a\ta\tDT\tB-NP\tO' +p223749 +aS'day\tday\tNN\tI-NP\tO' +p223750 +aS')\t)\t)\tO\tO' +p223751 +aS'as\tas\tIN\tB-SBAR\tO' +p223752 +aS'needed\tneed\tVBN\tB-VP\tO' +p223753 +aS'.\t.\t.\tO\tO' +p223754 +asS'Skin exam revealed a right posterior parietal scalp nodle measuring 2 x 3 cm which was very firm .' +p223755 +(lp223756 +S'Skin\tSkin\tNN\tB-NP\tO' +p223757 +aS'exam\texam\tNN\tI-NP\tO' +p223758 +aS'revealed\treveal\tVBD\tB-VP\tO' +p223759 +aS'a\ta\tDT\tB-NP\tO' +p223760 +aS'right\tright\tJJ\tI-NP\tO' +p223761 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p223762 +aS'parietal\tparietal\tJJ\tI-NP\tO' +p223763 +aS'scalp\tscalp\tNN\tI-NP\tO' +p223764 +aS'nodle\tnodle\tNN\tI-NP\tO' +p223765 +aS'measuring\tmeasure\tVBG\tB-VP\tO' +p223766 +aS'2\t2\tCD\tB-NP\tO' +p223767 +aS'x\tx\tSYM\tI-NP\tO' +p223768 +aS'3\t3\tCD\tI-NP\tO' +p223769 +aS'cm\tcm\tNN\tI-NP\tO' +p223770 +aS'which\twhich\tWDT\tB-NP\tO' +p223771 +aS'was\tbe\tVBD\tB-VP\tO' +p223772 +aS'very\tvery\tRB\tB-ADJP\tO' +p223773 +aS'firm\tfirm\tJJ\tI-ADJP\tO' +p223774 +aS'.\t.\t.\tO\tO' +p223775 +asS'Responsible After Study for Causing Admission ) Atypical chest pain' +p223776 +(lp223777 +S'Responsible\tResponsible\tJJ\tB-ADJP\tO' +p223778 +aS'After\tAfter\tIN\tB-PP\tO' +p223779 +aS'Study\tStudy\tNN\tB-NP\tO' +p223780 +aS'for\tfor\tIN\tB-PP\tO' +p223781 +aS'Causing\tCause\tVBG\tB-NP\tO' +p223782 +aS'Admission\tAdmission\tNN\tI-NP\tO' +p223783 +aS')\t)\t)\tI-NP\tO' +p223784 +aS'Atypical\tAtypical\tJJ\tI-NP\tO' +p223785 +aS'chest\tchest\tNN\tI-NP\tO' +p223786 +aS'pain\tpain\tNN\tI-NP\tO' +p223787 +asS'Pleural fluid pH is 7.29 , glucose 91 , total protein3.1 , LDH 296 , 70 white blood cells , 50 red blood cells .' +p223788 +(lp223789 +S'Pleural\tPleural\tJJ\tB-NP\tO' +p223790 +aS'fluid\tfluid\tNN\tI-NP\tO' +p223791 +aS'pH\tpH\tNN\tI-NP\tO' +p223792 +aS'is\tbe\tVBZ\tB-VP\tO' +p223793 +aS'7.29\t7.29\tCD\tB-NP\tO' +p223794 +aS',\t,\t,\tO\tO' +p223795 +aS'glucose\tglucose\tNN\tB-NP\tB-protein' +p223796 +aS'91\t91\tCD\tI-NP\tI-protein' +p223797 +aS',\t,\t,\tO\tO' +p223798 +aS'total\ttotal\tJJ\tB-NP\tO' +p223799 +aS'protein3.1\tprotein3.1\tNN\tI-NP\tO' +p223800 +aS',\t,\t,\tO\tO' +p223801 +aS'LDH\tLDH\tNN\tB-NP\tB-DNA' +p223802 +aS'296\t296\tCD\tI-NP\tI-DNA' +p223803 +aS',\t,\t,\tI-NP\tO' +p223804 +aS'70\t70\tCD\tI-NP\tO' +p223805 +aS'white\twhite\tJJ\tI-NP\tO' +p223806 +aS'blood\tblood\tNN\tI-NP\tO' +p223807 +aS'cells\tcell\tNNS\tI-NP\tO' +p223808 +aS',\t,\t,\tO\tO' +p223809 +aS'50\t50\tCD\tB-NP\tO' +p223810 +aS'red\tred\tJJ\tI-NP\tO' +p223811 +aS'blood\tblood\tNN\tI-NP\tO' +p223812 +aS'cells\tcell\tNNS\tI-NP\tO' +p223813 +aS'.\t.\t.\tO\tO' +p223814 +asS'CSF tube labeled # 4 was notable for CSF color pink , CSF turbidity slight , CSF xanthochromia yes , CSF RBCs 3,900 , CSF white blood cells 3 , CSF neutrophils 61 , CSF bands 3 , CSF lymphs 31 , CSF monos 1 , CSF eos 3 , CSF basos 1 .' +p223815 +(lp223816 +S'CSF\tCSF\tNN\tB-NP\tB-protein' +p223817 +aS'tube\ttube\tNN\tI-NP\tI-protein' +p223818 +aS'labeled\tlabel\tVBN\tB-VP\tI-protein' +p223819 +aS'#\t#\t#\tB-NP\tI-protein' +p223820 +aS'4\t4\tCD\tI-NP\tI-protein' +p223821 +aS'was\tbe\tVBD\tB-VP\tO' +p223822 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p223823 +aS'for\tfor\tIN\tB-PP\tO' +p223824 +aS'CSF\tCSF\tNN\tB-NP\tB-protein' +p223825 +aS'color\tcolor\tNN\tI-NP\tO' +p223826 +aS'pink\tpink\tNN\tI-NP\tO' +p223827 +aS',\t,\t,\tO\tO' +p223828 +aS'CSF\tCSF\tNN\tB-NP\tB-protein' +p223829 +aS'turbidity\tturbidity\tNN\tI-NP\tO' +p223830 +aS'slight\tslight\tNN\tI-NP\tO' +p223831 +aS',\t,\t,\tO\tO' +p223832 +aS'CSF\tCSF\tNN\tB-NP\tB-protein' +p223833 +aS'xanthochromia\txanthochromia\tNN\tI-NP\tO' +p223834 +aS'yes\tye\tNNS\tI-NP\tO' +p223835 +aS',\t,\t,\tO\tO' +p223836 +aS'CSF\tCSF\tNN\tB-NP\tB-protein' +p223837 +aS'RBCs\tRBC\tNNS\tI-NP\tI-protein' +p223838 +aS'3,900\t3,900\tCD\tB-NP\tI-protein' +p223839 +aS',\t,\t,\tO\tO' +p223840 +aS'CSF\tCSF\tNN\tB-NP\tB-protein' +p223841 +aS'white\twhite\tJJ\tI-NP\tO' +p223842 +aS'blood\tblood\tNN\tI-NP\tO' +p223843 +aS'cells\tcell\tNNS\tI-NP\tO' +p223844 +aS'3\t3\tCD\tB-NP\tO' +p223845 +aS',\t,\t,\tO\tO' +p223846 +aS'CSF\tCSF\tNN\tB-NP\tB-protein' +p223847 +aS'neutrophils\tneutrophil\tNNS\tI-NP\tI-protein' +p223848 +aS'61\t61\tCD\tB-NP\tI-protein' +p223849 +aS',\t,\t,\tO\tO' +p223850 +aS'CSF\tCSF\tNN\tB-NP\tB-protein' +p223851 +aS'bands\tband\tNNS\tI-NP\tI-protein' +p223852 +aS'3\t3\tCD\tB-NP\tI-protein' +p223853 +aS',\t,\t,\tO\tO' +p223854 +aS'CSF\tCSF\tNN\tB-NP\tB-protein' +p223855 +aS'lymphs\tlymph\tNNS\tI-NP\tI-protein' +p223856 +aS'31\t31\tCD\tB-NP\tI-protein' +p223857 +aS',\t,\t,\tO\tO' +p223858 +aS'CSF\tCSF\tNN\tB-NP\tB-protein' +p223859 +aS'monos\tmono\tNNS\tI-NP\tI-protein' +p223860 +aS'1\t1\tCD\tB-NP\tI-protein' +p223861 +aS',\t,\t,\tO\tO' +p223862 +aS'CSF\tCSF\tNN\tB-NP\tB-protein' +p223863 +aS'eos\teo\tNNS\tI-NP\tI-protein' +p223864 +aS'3\t3\tCD\tB-NP\tI-protein' +p223865 +aS',\t,\t,\tO\tO' +p223866 +aS'CSF\tCSF\tNN\tB-NP\tB-protein' +p223867 +aS'basos\tbaso\tNNS\tI-NP\tI-protein' +p223868 +aS'1\t1\tCD\tB-NP\tI-protein' +p223869 +aS'.\t.\t.\tO\tO' +p223870 +asS'1. Non-small cell lung cancer s/p XRT and chemotherapy in Western Sahara , s/p right pneumonectomy in 2016-09-21 for recurrence .' +p223871 +(lp223872 +S'1.\t1.\tLS\tB-NP\tO' +p223873 +aS'Non-small\tNon-small\tJJ\tI-NP\tO' +p223874 +aS'cell\tcell\tNN\tI-NP\tO' +p223875 +aS'lung\tlung\tNN\tI-NP\tO' +p223876 +aS'cancer\tcancer\tNN\tI-NP\tO' +p223877 +aS's/p\ts/p\tNN\tI-NP\tO' +p223878 +aS'XRT\tXRT\tNN\tI-NP\tO' +p223879 +aS'and\tand\tCC\tO\tO' +p223880 +aS'chemotherapy\tchemotherapy\tNN\tB-NP\tO' +p223881 +aS'in\tin\tIN\tB-PP\tO' +p223882 +aS'Western\tWestern\tNNP\tB-NP\tO' +p223883 +aS'Sahara\tSahara\tNNP\tI-NP\tO' +p223884 +aS',\t,\t,\tO\tO' +p223885 +aS's/p\ts/p\tNN\tB-NP\tO' +p223886 +aS'right\tright\tJJ\tI-NP\tO' +p223887 +aS'pneumonectomy\tpneumonectomy\tNN\tI-NP\tO' +p223888 +aS'in\tin\tIN\tB-PP\tO' +p223889 +aS'2016-09-21\t2016-09-21\tCD\tB-NP\tO' +p223890 +aS'for\tfor\tIN\tB-PP\tO' +p223891 +aS'recurrence\trecurrence\tNN\tB-NP\tO' +p223892 +aS'.\t.\t.\tO\tO' +p223893 +asS'Late 03-23 found with afib and RVR , given beta blocker with min. response , started dilt. drip .' +p223894 +(lp223895 +S'Late\tLate\tRB\tB-NP\tO' +p223896 +aS'03-23\t03-23\tCD\tI-NP\tO' +p223897 +aS'found\tfind\tVBN\tB-VP\tO' +p223898 +aS'with\twith\tIN\tB-PP\tO' +p223899 +aS'afib\tafib\tNN\tB-NP\tO' +p223900 +aS'and\tand\tCC\tI-NP\tO' +p223901 +aS'RVR\tRVR\tNN\tI-NP\tB-protein' +p223902 +aS',\t,\t,\tO\tO' +p223903 +aS'given\tgive\tVBN\tB-PP\tO' +p223904 +aS'beta\tbeta\tSYM\tB-NP\tO' +p223905 +aS'blocker\tblocker\tNN\tB-NP\tO' +p223906 +aS'with\twith\tIN\tB-PP\tO' +p223907 +aS'min.\tmin.\tNN\tB-NP\tO' +p223908 +aS'response\tresponse\tNN\tI-NP\tO' +p223909 +aS',\t,\t,\tO\tO' +p223910 +aS'started\tstart\tVBD\tB-VP\tO' +p223911 +aS'dilt.\tdilt.\tJJ\tB-NP\tO' +p223912 +aS'drip\tdrip\tNN\tI-NP\tO' +p223913 +aS'.\t.\t.\tO\tO' +p223914 +asS'Disp :* 90 Tablet (s)* Refills :* 0 *' +p223915 +(lp223916 +S'Disp\tDisp\tNN\tB-NP\tO' +p223917 +aS':*\t:*\tSYM\tI-NP\tO' +p223918 +aS'90\t90\tCD\tI-NP\tO' +p223919 +aS'Tablet\tTablet\tNN\tI-NP\tO' +p223920 +aS'(s)*\t(s)*\tSYM\tB-NP\tO' +p223921 +aS'Refills\tRefill\tNNPS\tI-NP\tO' +p223922 +aS':*\t:*\tSYM\tI-NP\tO' +p223923 +aS'0\t0\tCD\tI-NP\tO' +p223924 +aS'*\t*\tSYM\tB-NP\tO' +p223925 +asS'4. Acute myocardial infarction .' +p223926 +(lp223927 +S'4.\t4.\tLS\tB-NP\tO' +p223928 +aS'Acute\tAcute\tJJ\tI-NP\tO' +p223929 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p223930 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p223931 +aS'.\t.\t.\tO\tO' +p223932 +asS'She was ultimately changed to Levaquin for a possible early pneumonia pending cultures .' +p223933 +(lp223934 +S'She\tShe\tPRP\tB-NP\tO' +p223935 +aS'was\tbe\tVBD\tB-VP\tO' +p223936 +aS'ultimately\tultimately\tRB\tI-VP\tO' +p223937 +aS'changed\tchange\tVBN\tI-VP\tO' +p223938 +aS'to\tto\tTO\tB-PP\tO' +p223939 +aS'Levaquin\tLevaquin\tNNP\tB-NP\tO' +p223940 +aS'for\tfor\tIN\tB-PP\tO' +p223941 +aS'a\ta\tDT\tB-NP\tO' +p223942 +aS'possible\tpossible\tJJ\tI-NP\tO' +p223943 +aS'early\tearly\tJJ\tI-NP\tO' +p223944 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p223945 +aS'pending\tpende\tVBG\tB-PP\tO' +p223946 +aS'cultures\tculture\tNNS\tB-NP\tO' +p223947 +aS'.\t.\t.\tO\tO' +p223948 +asS'Does not ambulate .' +p223949 +(lp223950 +S'Does\tDo\tVBZ\tB-VP\tO' +p223951 +aS'not\tnot\tRB\tI-VP\tO' +p223952 +aS'ambulate\tambulate\tVB\tI-VP\tO' +p223953 +aS'.\t.\t.\tO\tO' +p223954 +asS'1. Hypercholesterolemia .' +p223955 +(lp223956 +S'1.\t1.\tLS\tB-NP\tO' +p223957 +aS'Hypercholesterolemia\tHypercholesterolemia\tNN\tI-NP\tO' +p223958 +aS'.\t.\t.\tO\tO' +p223959 +asS'Positive for cigarettes of 40 pack / years quit in 1990.' +p223960 +(lp223961 +S'Positive\tPositive\tJJ\tB-ADJP\tO' +p223962 +aS'for\tfor\tIN\tB-PP\tO' +p223963 +aS'cigarettes\tcigarette\tNNS\tB-NP\tO' +p223964 +aS'of\tof\tIN\tB-PP\tO' +p223965 +aS'40\t40\tCD\tB-NP\tO' +p223966 +aS'pack\tpack\tNN\tI-NP\tO' +p223967 +aS'/\t/\tSYM\tB-NP\tO' +p223968 +aS'years\tyear\tNNS\tI-NP\tO' +p223969 +aS'quit\tquit\tVBP\tB-VP\tO' +p223970 +aS'in\tin\tIN\tB-PP\tO' +p223971 +aS'1990.\t1990.\tCD\tB-NP\tO' +p223972 +asS'During the Mass. Mental Health Center Medical Intensive Care Unit stay , the patient was found to exquisitely preload dependent and responded well to aggressive fluids as needed to maintain her blood pressure with a systolic of greater than 90 .' +p223973 +(lp223974 +S'During\tDuring\tIN\tB-PP\tO' +p223975 +aS'the\tthe\tDT\tB-NP\tO' +p223976 +aS'Mass.\tMass.\tNNP\tI-NP\tO' +p223977 +aS'Mental\tMental\tNNP\tI-NP\tO' +p223978 +aS'Health\tHealth\tNNP\tI-NP\tO' +p223979 +aS'Center\tCenter\tNNP\tI-NP\tO' +p223980 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p223981 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p223982 +aS'Care\tCare\tNNP\tI-NP\tO' +p223983 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p223984 +aS'stay\tstay\tNN\tI-NP\tO' +p223985 +aS',\t,\t,\tO\tO' +p223986 +aS'the\tthe\tDT\tB-NP\tO' +p223987 +aS'patient\tpatient\tNN\tI-NP\tO' +p223988 +aS'was\tbe\tVBD\tB-VP\tO' +p223989 +aS'found\tfind\tVBN\tI-VP\tO' +p223990 +aS'to\tto\tTO\tI-VP\tO' +p223991 +aS'exquisitely\texquisitely\tRB\tI-VP\tO' +p223992 +aS'preload\tpreload\tVB\tI-VP\tO' +p223993 +aS'dependent\tdependent\tJJ\tB-ADJP\tO' +p223994 +aS'and\tand\tCC\tO\tO' +p223995 +aS'responded\trespond\tVBD\tB-VP\tO' +p223996 +aS'well\twell\tRB\tB-ADVP\tO' +p223997 +aS'to\tto\tTO\tB-PP\tO' +p223998 +aS'aggressive\taggressive\tJJ\tB-NP\tO' +p223999 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p224000 +aS'as\tas\tIN\tB-SBAR\tO' +p224001 +aS'needed\tneed\tVBN\tB-VP\tO' +p224002 +aS'to\tto\tTO\tB-VP\tO' +p224003 +aS'maintain\tmaintain\tVB\tI-VP\tO' +p224004 +aS'her\ther\tPRP$\tB-NP\tO' +p224005 +aS'blood\tblood\tNN\tI-NP\tO' +p224006 +aS'pressure\tpressure\tNN\tI-NP\tO' +p224007 +aS'with\twith\tIN\tB-PP\tO' +p224008 +aS'a\ta\tDT\tB-NP\tO' +p224009 +aS'systolic\tsystolic\tNN\tI-NP\tO' +p224010 +aS'of\tof\tIN\tB-PP\tO' +p224011 +aS'greater\tgreat\tJJR\tB-NP\tO' +p224012 +aS'than\tthan\tIN\tI-NP\tO' +p224013 +aS'90\t90\tCD\tI-NP\tO' +p224014 +aS'.\t.\t.\tO\tO' +p224015 +asS'JP drain was cultured on 12/11/03 along with aurine culture .' +p224016 +(lp224017 +S'JP\tJP\tNN\tB-NP\tB-protein' +p224018 +aS'drain\tdrain\tNN\tI-NP\tI-protein' +p224019 +aS'was\tbe\tVBD\tB-VP\tO' +p224020 +aS'cultured\tculture\tVBN\tI-VP\tO' +p224021 +aS'on\ton\tIN\tB-PP\tO' +p224022 +aS'12/11/03\t12/11/03\tCD\tB-NP\tO' +p224023 +aS'along\talong\tIN\tB-PP\tO' +p224024 +aS'with\twith\tIN\tB-PP\tO' +p224025 +aS'aurine\taurine\tNN\tB-NP\tO' +p224026 +aS'culture\tculture\tNN\tI-NP\tO' +p224027 +aS'.\t.\t.\tO\tO' +p224028 +asS'INSULIN DEPENDENT DIABETES MELLITUS .' +p224029 +(lp224030 +S'INSULIN\tINSULIN\tNNP\tB-NP\tB-protein' +p224031 +aS'DEPENDENT\tDEPENDENT\tNNP\tI-NP\tO' +p224032 +aS'DIABETES\tDIABETES\tNNP\tI-NP\tO' +p224033 +aS'MELLITUS\tMELLITUS\tNNP\tI-NP\tO' +p224034 +aS'.\t.\t.\tO\tO' +p224035 +asS'DTRs showed a mild decrease in left biceps and brachioradialis reflexes , otherwise normal tone , symmetrical reflexes , downgoing toes .' +p224036 +(lp224037 +S'DTRs\tDTR\tNNS\tB-NP\tB-DNA' +p224038 +aS'showed\tshow\tVBD\tB-VP\tO' +p224039 +aS'a\ta\tDT\tB-NP\tO' +p224040 +aS'mild\tmild\tJJ\tI-NP\tO' +p224041 +aS'decrease\tdecrease\tNN\tI-NP\tO' +p224042 +aS'in\tin\tIN\tB-PP\tO' +p224043 +aS'left\tleft\tJJ\tB-NP\tO' +p224044 +aS'biceps\tbicep\tNNS\tI-NP\tO' +p224045 +aS'and\tand\tCC\tO\tO' +p224046 +aS'brachioradialis\tbrachioradialis\tNN\tB-NP\tO' +p224047 +aS'reflexes\treflex\tNNS\tI-NP\tO' +p224048 +aS',\t,\t,\tO\tO' +p224049 +aS'otherwise\totherwise\tRB\tB-NP\tO' +p224050 +aS'normal\tnormal\tJJ\tI-NP\tO' +p224051 +aS'tone\ttone\tNN\tI-NP\tO' +p224052 +aS',\t,\t,\tO\tO' +p224053 +aS'symmetrical\tsymmetrical\tJJ\tB-NP\tO' +p224054 +aS'reflexes\treflex\tNNS\tI-NP\tO' +p224055 +aS',\t,\t,\tO\tO' +p224056 +aS'downgoing\tdowngoe\tVBG\tB-VP\tO' +p224057 +aS'toes\ttoe\tNNS\tB-NP\tO' +p224058 +aS'.\t.\t.\tO\tO' +p224059 +asS'Warm , dry , premature infant , active with exam , mild respiratory distress at rest .' +p224060 +(lp224061 +S'Warm\tWarm\tNNP\tB-NP\tO' +p224062 +aS',\t,\t,\tO\tO' +p224063 +aS'dry\tdry\tJJ\tB-NP\tO' +p224064 +aS',\t,\t,\tI-NP\tO' +p224065 +aS'premature\tpremature\tJJ\tI-NP\tO' +p224066 +aS'infant\tinfant\tNN\tI-NP\tO' +p224067 +aS',\t,\t,\tO\tO' +p224068 +aS'active\tactive\tJJ\tB-ADJP\tO' +p224069 +aS'with\twith\tIN\tB-PP\tO' +p224070 +aS'exam\texam\tNN\tB-NP\tO' +p224071 +aS',\t,\t,\tO\tO' +p224072 +aS'mild\tmild\tJJ\tB-NP\tO' +p224073 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p224074 +aS'distress\tdistress\tNN\tI-NP\tO' +p224075 +aS'at\tat\tIN\tB-PP\tO' +p224076 +aS'rest\trest\tNN\tB-NP\tO' +p224077 +aS'.\t.\t.\tO\tO' +p224078 +asS'2. Levofloxacin 500 mg Tablet Sig : One ( 1 ) Tablet PO Q24H ( every 24 hours ) for 4 days : last dose will be Nolen , 06-23 .' +p224079 +(lp224080 +S'2.\t2.\tLS\tB-LST\tO' +p224081 +aS'Levofloxacin\tLevofloxacin\tNNP\tB-NP\tO' +p224082 +aS'500\t500\tCD\tI-NP\tO' +p224083 +aS'mg\tmg\tNN\tI-NP\tO' +p224084 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p224085 +aS'Sig\tSig\tNNP\tI-NP\tO' +p224086 +aS':\t:\t:\tO\tO' +p224087 +aS'One\tOne\tCD\tB-NP\tO' +p224088 +aS'(\t(\t(\tO\tO' +p224089 +aS'1\t1\tCD\tB-NP\tO' +p224090 +aS')\t)\t)\tO\tO' +p224091 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p224092 +aS'PO\tPO\tNN\tI-NP\tO' +p224093 +aS'Q24H\tQ24H\tNN\tI-NP\tO' +p224094 +aS'(\t(\t(\tO\tO' +p224095 +aS'every\tevery\tDT\tB-NP\tO' +p224096 +aS'24\t24\tCD\tI-NP\tO' +p224097 +aS'hours\thour\tNNS\tI-NP\tO' +p224098 +aS')\t)\t)\tO\tO' +p224099 +aS'for\tfor\tIN\tB-PP\tO' +p224100 +aS'4\t4\tCD\tB-NP\tO' +p224101 +aS'days\tday\tNNS\tI-NP\tO' +p224102 +aS':\t:\t:\tO\tO' +p224103 +aS'last\tlast\tJJ\tB-NP\tO' +p224104 +aS'dose\tdose\tNN\tI-NP\tO' +p224105 +aS'will\twill\tMD\tB-VP\tO' +p224106 +aS'be\tbe\tVB\tI-VP\tO' +p224107 +aS'Nolen\tNolen\tVBN\tI-VP\tO' +p224108 +aS',\t,\t,\tO\tO' +p224109 +aS'06-23\t06-23\tCD\tB-NP\tO' +p224110 +aS'.\t.\t.\tO\tO' +p224111 +asS'He required some gavage feeds through day of life #4 , and has been all po since day of life #5 .' +p224112 +(lp224113 +S'He\tHe\tPRP\tB-NP\tO' +p224114 +aS'required\trequire\tVBD\tB-VP\tO' +p224115 +aS'some\tsome\tDT\tB-NP\tO' +p224116 +aS'gavage\tgavage\tNN\tI-NP\tO' +p224117 +aS'feeds\tfeed\tVBZ\tB-VP\tO' +p224118 +aS'through\tthrough\tIN\tB-PP\tO' +p224119 +aS'day\tday\tNN\tB-NP\tO' +p224120 +aS'of\tof\tIN\tB-PP\tO' +p224121 +aS'life\tlife\tNN\tB-NP\tO' +p224122 +aS'#4\t#4\tNN\tI-NP\tO' +p224123 +aS',\t,\t,\tO\tO' +p224124 +aS'and\tand\tCC\tO\tO' +p224125 +aS'has\thave\tVBZ\tB-VP\tO' +p224126 +aS'been\tbe\tVBN\tI-VP\tO' +p224127 +aS'all\tall\tDT\tB-NP\tO' +p224128 +aS'po\tpo\tNN\tI-NP\tO' +p224129 +aS'since\tsince\tIN\tB-PP\tO' +p224130 +aS'day\tday\tNN\tB-NP\tO' +p224131 +aS'of\tof\tIN\tB-PP\tO' +p224132 +aS'life\tlife\tNN\tB-NP\tO' +p224133 +aS'#5\t#5\tCD\tI-NP\tO' +p224134 +aS'.\t.\t.\tO\tO' +p224135 +asS'Mucous membranes were moist and pink .' +p224136 +(lp224137 +S'Mucous\tMucous\tJJ\tB-NP\tO' +p224138 +aS'membranes\tmembrane\tNNS\tI-NP\tO' +p224139 +aS'were\tbe\tVBD\tB-VP\tO' +p224140 +aS'moist\tmoist\tNN\tB-NP\tO' +p224141 +aS'and\tand\tCC\tI-NP\tO' +p224142 +aS'pink\tpink\tNN\tI-NP\tO' +p224143 +aS'.\t.\t.\tO\tO' +p224144 +asS'The baby demonstrated mild physiologic jaundice with a serum bilirubin obtained on day of life three which was 6.7 with a direct of 0.2 .' +p224145 +(lp224146 +S'The\tThe\tDT\tB-NP\tO' +p224147 +aS'baby\tbaby\tNN\tI-NP\tO' +p224148 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p224149 +aS'mild\tmild\tJJ\tB-NP\tO' +p224150 +aS'physiologic\tphysiologic\tJJ\tI-NP\tO' +p224151 +aS'jaundice\tjaundice\tNN\tI-NP\tO' +p224152 +aS'with\twith\tIN\tB-PP\tO' +p224153 +aS'a\ta\tDT\tB-NP\tO' +p224154 +aS'serum\tserum\tNN\tI-NP\tO' +p224155 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p224156 +aS'obtained\tobtain\tVBN\tB-VP\tO' +p224157 +aS'on\ton\tIN\tB-PP\tO' +p224158 +aS'day\tday\tNN\tB-NP\tO' +p224159 +aS'of\tof\tIN\tB-PP\tO' +p224160 +aS'life\tlife\tNN\tB-NP\tO' +p224161 +aS'three\tthree\tCD\tI-NP\tO' +p224162 +aS'which\twhich\tWDT\tB-NP\tO' +p224163 +aS'was\tbe\tVBD\tB-VP\tO' +p224164 +aS'6.7\t6.7\tCD\tB-NP\tO' +p224165 +aS'with\twith\tIN\tB-PP\tO' +p224166 +aS'a\ta\tDT\tB-NP\tO' +p224167 +aS'direct\tdirect\tNN\tI-NP\tO' +p224168 +aS'of\tof\tIN\tB-PP\tO' +p224169 +aS'0.2\t0.2\tCD\tB-NP\tO' +p224170 +aS'.\t.\t.\tO\tO' +p224171 +asS'The patient is being treated with preoperative neoadjuvant chemotherapy using 5 FU , Vinblastine , Cisplatinum and concomitant radiation therapy .' +p224172 +(lp224173 +S'The\tThe\tDT\tB-NP\tO' +p224174 +aS'patient\tpatient\tNN\tI-NP\tO' +p224175 +aS'is\tbe\tVBZ\tB-VP\tO' +p224176 +aS'being\tbe\tVBG\tI-VP\tO' +p224177 +aS'treated\ttreat\tVBN\tI-VP\tO' +p224178 +aS'with\twith\tIN\tB-PP\tO' +p224179 +aS'preoperative\tpreoperative\tJJ\tB-NP\tO' +p224180 +aS'neoadjuvant\tneoadjuvant\tJJ\tI-NP\tO' +p224181 +aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' +p224182 +aS'using\tuse\tVBG\tB-VP\tO' +p224183 +aS'5\t5\tCD\tB-NP\tO' +p224184 +aS'FU\tFU\tNN\tI-NP\tO' +p224185 +aS',\t,\t,\tO\tO' +p224186 +aS'Vinblastine\tVinblastine\tNN\tB-NP\tO' +p224187 +aS',\t,\t,\tO\tO' +p224188 +aS'Cisplatinum\tCisplatinum\tNN\tB-NP\tO' +p224189 +aS'and\tand\tCC\tO\tO' +p224190 +aS'concomitant\tconcomitant\tJJ\tB-NP\tO' +p224191 +aS'radiation\tradiation\tNN\tI-NP\tO' +p224192 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p224193 +aS'.\t.\t.\tO\tO' +p224194 +asS'Noted in the chart are legal documents .' +p224195 +(lp224196 +S'Noted\tNote\tVBN\tB-VP\tO' +p224197 +aS'in\tin\tIN\tB-PP\tO' +p224198 +aS'the\tthe\tDT\tB-NP\tO' +p224199 +aS'chart\tchart\tNN\tI-NP\tO' +p224200 +aS'are\tbe\tVBP\tB-VP\tO' +p224201 +aS'legal\tlegal\tJJ\tB-NP\tO' +p224202 +aS'documents\tdocument\tNNS\tI-NP\tO' +p224203 +aS'.\t.\t.\tO\tO' +p224204 +asS'Aspirin 325 mg q.d. , Plavix 75 mg q.d. , Lipitor 20 mg q.d. , nitroglycerin 0.3 mg sublingually p.r.n. chest pain or pressure or shortness of breath , lisinopril hydrochlorothiazide 20 / 12.5 mg q.d. , atenolol 25 mg q.d.' +p224205 +(lp224206 +S'Aspirin\tAspirin\tNN\tB-NP\tO' +p224207 +aS'325\t325\tCD\tI-NP\tO' +p224208 +aS'mg\tmg\tNN\tI-NP\tO' +p224209 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p224210 +aS',\t,\t,\tO\tO' +p224211 +aS'Plavix\tPlavix\tNNP\tB-NP\tO' +p224212 +aS'75\t75\tCD\tI-NP\tO' +p224213 +aS'mg\tmg\tNN\tI-NP\tO' +p224214 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p224215 +aS',\t,\t,\tO\tO' +p224216 +aS'Lipitor\tLipitor\tNNP\tB-NP\tO' +p224217 +aS'20\t20\tCD\tI-NP\tO' +p224218 +aS'mg\tmg\tNN\tI-NP\tO' +p224219 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p224220 +aS',\t,\t,\tO\tO' +p224221 +aS'nitroglycerin\tnitroglycerin\tNN\tB-NP\tB-protein' +p224222 +aS'0.3\t0.3\tCD\tI-NP\tI-protein' +p224223 +aS'mg\tmg\tNN\tI-NP\tI-protein' +p224224 +aS'sublingually\tsublingually\tRB\tB-NP\tI-protein' +p224225 +aS'p.r.n.\tp.r.n.\tFW\tI-NP\tI-protein' +p224226 +aS'chest\tchest\tNN\tI-NP\tI-protein' +p224227 +aS'pain\tpain\tNN\tI-NP\tI-protein' +p224228 +aS'or\tor\tCC\tO\tO' +p224229 +aS'pressure\tpressure\tNN\tB-NP\tO' +p224230 +aS'or\tor\tCC\tI-NP\tO' +p224231 +aS'shortness\tshortness\tNN\tI-NP\tO' +p224232 +aS'of\tof\tIN\tB-PP\tO' +p224233 +aS'breath\tbreath\tNN\tB-NP\tO' +p224234 +aS',\t,\t,\tO\tO' +p224235 +aS'lisinopril\tlisinopril\tNN\tB-NP\tO' +p224236 +aS'hydrochlorothiazide\thydrochlorothiazide\tNN\tI-NP\tO' +p224237 +aS'20\t20\tCD\tI-NP\tO' +p224238 +aS'/\t/\tSYM\tI-NP\tO' +p224239 +aS'12.5\t12.5\tCD\tI-NP\tO' +p224240 +aS'mg\tmg\tNN\tI-NP\tO' +p224241 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p224242 +aS',\t,\t,\tO\tO' +p224243 +aS'atenolol\tatenolol\tNN\tB-NP\tO' +p224244 +aS'25\t25\tCD\tI-NP\tO' +p224245 +aS'mg\tmg\tNN\tI-NP\tO' +p224246 +aS'q.d.\tq.d.\t.\tO\tO' +p224247 +asS'The patient is a 65 year old Portuguese male with a history of an anterior myocardial infarction i May 1993 and is status post a percutaneous transluminal coronary angioplasty of the LAD who presented on 10-24-93 with crushing substernal chest pain and shortness of breath .' +p224248 +(lp224249 +S'The\tThe\tDT\tB-NP\tO' +p224250 +aS'patient\tpatient\tNN\tI-NP\tO' +p224251 +aS'is\tbe\tVBZ\tB-VP\tO' +p224252 +aS'a\ta\tDT\tB-NP\tO' +p224253 +aS'65\t65\tCD\tI-NP\tO' +p224254 +aS'year\tyear\tNN\tI-NP\tO' +p224255 +aS'old\told\tJJ\tI-NP\tO' +p224256 +aS'Portuguese\tPortuguese\tNN\tI-NP\tO' +p224257 +aS'male\tmale\tJJ\tB-ADJP\tO' +p224258 +aS'with\twith\tIN\tB-PP\tO' +p224259 +aS'a\ta\tDT\tB-NP\tO' +p224260 +aS'history\thistory\tNN\tI-NP\tO' +p224261 +aS'of\tof\tIN\tB-PP\tO' +p224262 +aS'an\tan\tDT\tB-NP\tO' +p224263 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p224264 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p224265 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p224266 +aS'i\ti\tNN\tI-NP\tO' +p224267 +aS'May\tMay\tNNP\tB-NP\tO' +p224268 +aS'1993\t1993\tCD\tI-NP\tO' +p224269 +aS'and\tand\tCC\tO\tO' +p224270 +aS'is\tbe\tVBZ\tB-VP\tO' +p224271 +aS'status\tstatus\tNN\tB-NP\tO' +p224272 +aS'post\tpost\tIN\tB-PP\tO' +p224273 +aS'a\ta\tDT\tB-NP\tO' +p224274 +aS'percutaneous\tpercutaneous\tJJ\tI-NP\tO' +p224275 +aS'transluminal\ttransluminal\tJJ\tI-NP\tO' +p224276 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p224277 +aS'angioplasty\tangioplasty\tNN\tI-NP\tO' +p224278 +aS'of\tof\tIN\tB-PP\tO' +p224279 +aS'the\tthe\tDT\tB-NP\tO' +p224280 +aS'LAD\tLAD\tNN\tI-NP\tB-protein' +p224281 +aS'who\twho\tWP\tB-NP\tO' +p224282 +aS'presented\tpresent\tVBD\tB-VP\tO' +p224283 +aS'on\ton\tIN\tB-PP\tO' +p224284 +aS'10-24-93\t10-24-93\tCD\tB-NP\tO' +p224285 +aS'with\twith\tIN\tB-PP\tO' +p224286 +aS'crushing\tcrush\tVBG\tB-VP\tO' +p224287 +aS'substernal\tsubsternal\tJJ\tB-NP\tO' +p224288 +aS'chest\tchest\tNN\tI-NP\tO' +p224289 +aS'pain\tpain\tNN\tI-NP\tO' +p224290 +aS'and\tand\tCC\tI-NP\tO' +p224291 +aS'shortness\tshortness\tNN\tI-NP\tO' +p224292 +aS'of\tof\tIN\tB-PP\tO' +p224293 +aS'breath\tbreath\tNN\tB-NP\tO' +p224294 +aS'.\t.\t.\tO\tO' +p224295 +asS'These results exclude both melanoma and hematopoietic neoplasms .' +p224296 +(lp224297 +S'These\tThese\tDT\tB-NP\tO' +p224298 +aS'results\tresult\tNNS\tI-NP\tO' +p224299 +aS'exclude\texclude\tVBP\tB-VP\tO' +p224300 +aS'both\tboth\tCC\tO\tO' +p224301 +aS'melanoma\tmelanoma\tNN\tB-NP\tO' +p224302 +aS'and\tand\tCC\tO\tO' +p224303 +aS'hematopoietic\thematopoietic\tJJ\tB-NP\tB-cell_type' +p224304 +aS'neoplasms\tneoplasm\tNNS\tI-NP\tI-cell_type' +p224305 +aS'.\t.\t.\tO\tO' +p224306 +asS'The patient had undergone two abdominal procedures following explantation .' +p224307 +(lp224308 +S'The\tThe\tDT\tB-NP\tO' +p224309 +aS'patient\tpatient\tNN\tI-NP\tO' +p224310 +aS'had\thave\tVBD\tB-VP\tO' +p224311 +aS'undergone\tundergo\tVBN\tI-VP\tO' +p224312 +aS'two\ttwo\tCD\tB-NP\tO' +p224313 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p224314 +aS'procedures\tprocedure\tNNS\tI-NP\tO' +p224315 +aS'following\tfollow\tVBG\tB-PP\tO' +p224316 +aS'explantation\texplantation\tNN\tB-NP\tO' +p224317 +aS'.\t.\t.\tO\tO' +p224318 +asS'The patient had no known drug allergies .' +p224319 +(lp224320 +S'The\tThe\tDT\tB-NP\tO' +p224321 +aS'patient\tpatient\tNN\tI-NP\tO' +p224322 +aS'had\thave\tVBD\tB-VP\tO' +p224323 +aS'no\tno\tDT\tB-NP\tO' +p224324 +aS'known\tknow\tVBN\tI-NP\tO' +p224325 +aS'drug\tdrug\tNN\tI-NP\tO' +p224326 +aS'allergies\tallergy\tNNS\tI-NP\tO' +p224327 +aS'.\t.\t.\tO\tO' +p224328 +asS'He had emesis times three of 75 cc of coffee ground material .' +p224329 +(lp224330 +S'He\tHe\tPRP\tB-NP\tO' +p224331 +aS'had\thave\tVBD\tB-VP\tO' +p224332 +aS'emesis\temesis\tNN\tB-NP\tO' +p224333 +aS'times\ttime\tNNS\tI-NP\tO' +p224334 +aS'three\tthree\tCD\tI-NP\tO' +p224335 +aS'of\tof\tIN\tI-NP\tO' +p224336 +aS'75\t75\tCD\tI-NP\tO' +p224337 +aS'cc\tcc\tNN\tI-NP\tO' +p224338 +aS'of\tof\tIN\tB-PP\tO' +p224339 +aS'coffee\tcoffee\tNN\tB-NP\tO' +p224340 +aS'ground\tground\tNN\tI-NP\tO' +p224341 +aS'material\tmaterial\tNN\tI-NP\tO' +p224342 +aS'.\t.\t.\tO\tO' +p224343 +asS'Previously employed as a security guard at a nuclear power plant .' +p224344 +(lp224345 +S'Previously\tPreviously\tRB\tB-ADVP\tO' +p224346 +aS'employed\temploy\tVBN\tB-VP\tO' +p224347 +aS'as\tas\tIN\tB-PP\tO' +p224348 +aS'a\ta\tDT\tB-NP\tO' +p224349 +aS'security\tsecurity\tNN\tI-NP\tO' +p224350 +aS'guard\tguard\tNN\tI-NP\tO' +p224351 +aS'at\tat\tIN\tB-PP\tO' +p224352 +aS'a\ta\tDT\tB-NP\tO' +p224353 +aS'nuclear\tnuclear\tJJ\tI-NP\tO' +p224354 +aS'power\tpower\tNN\tI-NP\tO' +p224355 +aS'plant\tplant\tNN\tI-NP\tO' +p224356 +aS'.\t.\t.\tO\tO' +p224357 +asS'Also with multiple masses consistent with metastasis .' +p224358 +(lp224359 +S'Also\tAlso\tRB\tB-ADVP\tO' +p224360 +aS'with\twith\tIN\tB-PP\tO' +p224361 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p224362 +aS'masses\tmass\tNNS\tI-NP\tO' +p224363 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p224364 +aS'with\twith\tIN\tB-PP\tO' +p224365 +aS'metastasis\tmetastasis\tNN\tB-NP\tO' +p224366 +aS'.\t.\t.\tO\tO' +p224367 +asS'Patient was maintained on insulin , D10 and glucagon drips to maintain her hemodynamics .' +p224368 +(lp224369 +S'Patient\tPatient\tNN\tB-NP\tO' +p224370 +aS'was\tbe\tVBD\tB-VP\tO' +p224371 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p224372 +aS'on\ton\tIN\tB-PP\tO' +p224373 +aS'insulin\tinsulin\tNN\tB-NP\tB-protein' +p224374 +aS',\t,\t,\tI-NP\tO' +p224375 +aS'D10\tD10\tNN\tI-NP\tB-protein' +p224376 +aS'and\tand\tCC\tI-NP\tO' +p224377 +aS'glucagon\tglucagon\tNN\tI-NP\tO' +p224378 +aS'drips\tdrip\tNNS\tI-NP\tO' +p224379 +aS'to\tto\tTO\tB-VP\tO' +p224380 +aS'maintain\tmaintain\tVB\tI-VP\tO' +p224381 +aS'her\ther\tPRP$\tB-NP\tO' +p224382 +aS'hemodynamics\themodynamic\tNNS\tI-NP\tO' +p224383 +aS'.\t.\t.\tO\tO' +p224384 +asS'She was tolerating a regular diet .' +p224385 +(lp224386 +S'She\tShe\tPRP\tB-NP\tO' +p224387 +aS'was\tbe\tVBD\tB-VP\tO' +p224388 +aS'tolerating\ttolerate\tVBG\tI-VP\tO' +p224389 +aS'a\ta\tDT\tB-NP\tO' +p224390 +aS'regular\tregular\tJJ\tI-NP\tO' +p224391 +aS'diet\tdiet\tNN\tI-NP\tO' +p224392 +aS'.\t.\t.\tO\tO' +p224393 +asS'Leave white strips above your incisions in place , allow them to fall off on their own .' +p224394 +(lp224395 +S'Leave\tLeave\tVB\tB-VP\tO' +p224396 +aS'white\twhite\tJJ\tB-NP\tO' +p224397 +aS'strips\tstrip\tNNS\tI-NP\tO' +p224398 +aS'above\tabove\tIN\tB-PP\tO' +p224399 +aS'your\tyour\tPRP$\tB-NP\tO' +p224400 +aS'incisions\tincision\tNNS\tI-NP\tO' +p224401 +aS'in\tin\tIN\tB-PP\tO' +p224402 +aS'place\tplace\tNN\tB-NP\tO' +p224403 +aS',\t,\t,\tO\tO' +p224404 +aS'allow\tallow\tVB\tB-VP\tO' +p224405 +aS'them\tthem\tPRP\tB-NP\tO' +p224406 +aS'to\tto\tTO\tB-VP\tO' +p224407 +aS'fall\tfall\tVB\tI-VP\tO' +p224408 +aS'off\toff\tRP\tB-PRT\tO' +p224409 +aS'on\ton\tIN\tB-PP\tO' +p224410 +aS'their\ttheir\tPRP$\tB-NP\tO' +p224411 +aS'own\town\tJJ\tI-NP\tO' +p224412 +aS'.\t.\t.\tO\tO' +p224413 +asS'In the am , she was found to have a hct of 24 , down from 32 and plts 35 , down from 72 .' +p224414 +(lp224415 +S'In\tIn\tIN\tB-PP\tO' +p224416 +aS'the\tthe\tDT\tB-NP\tO' +p224417 +aS'am\tam\tNN\tI-NP\tO' +p224418 +aS',\t,\t,\tO\tO' +p224419 +aS'she\tshe\tPRP\tB-NP\tO' +p224420 +aS'was\tbe\tVBD\tB-VP\tO' +p224421 +aS'found\tfind\tVBN\tI-VP\tO' +p224422 +aS'to\tto\tTO\tI-VP\tO' +p224423 +aS'have\thave\tVB\tI-VP\tO' +p224424 +aS'a\ta\tDT\tB-NP\tO' +p224425 +aS'hct\thct\tNN\tI-NP\tO' +p224426 +aS'of\tof\tIN\tB-PP\tO' +p224427 +aS'24\t24\tCD\tB-NP\tO' +p224428 +aS',\t,\t,\tO\tO' +p224429 +aS'down\tdown\tRB\tB-ADVP\tO' +p224430 +aS'from\tfrom\tIN\tB-PP\tO' +p224431 +aS'32\t32\tCD\tB-NP\tO' +p224432 +aS'and\tand\tCC\tO\tO' +p224433 +aS'plts\tplt\tNNS\tB-NP\tO' +p224434 +aS'35\t35\tCD\tB-NP\tO' +p224435 +aS',\t,\t,\tO\tO' +p224436 +aS'down\tdown\tRB\tB-ADVP\tO' +p224437 +aS'from\tfrom\tIN\tB-PP\tO' +p224438 +aS'72\t72\tCD\tB-NP\tO' +p224439 +aS'.\t.\t.\tO\tO' +p224440 +asS'Recent chest x-ray shows resolving right lower lobe pneumonia .' +p224441 +(lp224442 +S'Recent\tRecent\tJJ\tB-NP\tO' +p224443 +aS'chest\tchest\tNN\tI-NP\tO' +p224444 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p224445 +aS'shows\tshow\tVBZ\tB-VP\tO' +p224446 +aS'resolving\tresolve\tVBG\tI-VP\tO' +p224447 +aS'right\tright\tRB\tB-NP\tO' +p224448 +aS'lower\tlow\tJJR\tI-NP\tO' +p224449 +aS'lobe\tlobe\tNN\tI-NP\tO' +p224450 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p224451 +aS'.\t.\t.\tO\tO' +p224452 +asS'Then stop taking the medication .' +p224453 +(lp224454 +S'Then\tThen\tRB\tO\tO' +p224455 +aS'stop\tstop\tVB\tB-VP\tO' +p224456 +aS'taking\ttake\tVBG\tI-VP\tO' +p224457 +aS'the\tthe\tDT\tB-NP\tO' +p224458 +aS'medication\tmedication\tNN\tI-NP\tO' +p224459 +aS'.\t.\t.\tO\tO' +p224460 +asS"Patient then did well on a trach mask and was transferred to rehab on the day of admission but now returns with tachycardia to the 120 's , and fever to 102 degrees F ." +p224461 +(lp224462 +S'Patient\tPatient\tNN\tB-NP\tO' +p224463 +aS'then\tthen\tRB\tB-ADVP\tO' +p224464 +aS'did\tdo\tVBD\tB-VP\tO' +p224465 +aS'well\twell\tRB\tB-ADVP\tO' +p224466 +aS'on\ton\tIN\tB-PP\tO' +p224467 +aS'a\ta\tDT\tB-NP\tO' +p224468 +aS'trach\ttrach\tNN\tI-NP\tO' +p224469 +aS'mask\tmask\tNN\tI-NP\tO' +p224470 +aS'and\tand\tCC\tO\tO' +p224471 +aS'was\tbe\tVBD\tB-VP\tO' +p224472 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p224473 +aS'to\tto\tTO\tI-VP\tO' +p224474 +aS'rehab\trehab\tVB\tI-VP\tO' +p224475 +aS'on\ton\tIN\tB-PP\tO' +p224476 +aS'the\tthe\tDT\tB-NP\tO' +p224477 +aS'day\tday\tNN\tI-NP\tO' +p224478 +aS'of\tof\tIN\tB-PP\tO' +p224479 +aS'admission\tadmission\tNN\tB-NP\tO' +p224480 +aS'but\tbut\tCC\tO\tO' +p224481 +aS'now\tnow\tRB\tB-VP\tO' +p224482 +aS'returns\treturn\tVBZ\tI-VP\tO' +p224483 +aS'with\twith\tIN\tB-PP\tO' +p224484 +aS'tachycardia\ttachycardia\tNN\tB-NP\tO' +p224485 +aS'to\tto\tTO\tB-PP\tO' +p224486 +aS'the\tthe\tDT\tB-NP\tO' +p224487 +aS'120\t120\tCD\tI-NP\tO' +p224488 +aS"'s\t's\tPOS\tB-NP\tO" +p224489 +aS',\t,\t,\tO\tO' +p224490 +aS'and\tand\tCC\tO\tO' +p224491 +aS'fever\tfever\tNN\tB-NP\tO' +p224492 +aS'to\tto\tTO\tB-PP\tO' +p224493 +aS'102\t102\tCD\tB-NP\tO' +p224494 +aS'degrees\tdegree\tNNS\tI-NP\tO' +p224495 +aS'F\tF\tNN\tI-NP\tO' +p224496 +aS'.\t.\t.\tO\tO' +p224497 +asS'Meds at transfer : Levoxyl , Celexa , Folate , Lopressor , Colace , RISS , B12 , Protonix , Lasix , Zocor , Verapamil , Lovenox , Lisinopril' +p224498 +(lp224499 +S'Meds\tMed\tNNS\tB-NP\tO' +p224500 +aS'at\tat\tIN\tB-PP\tO' +p224501 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p224502 +aS':\t:\t:\tO\tO' +p224503 +aS'Levoxyl\tLevoxyl\tNNP\tB-NP\tO' +p224504 +aS',\t,\t,\tO\tO' +p224505 +aS'Celexa\tCelexa\tNNP\tB-NP\tO' +p224506 +aS',\t,\t,\tO\tO' +p224507 +aS'Folate\tFolate\tNNP\tB-NP\tO' +p224508 +aS',\t,\t,\tO\tO' +p224509 +aS'Lopressor\tLopressor\tNNP\tB-NP\tO' +p224510 +aS',\t,\t,\tO\tO' +p224511 +aS'Colace\tColace\tNNP\tB-NP\tO' +p224512 +aS',\t,\t,\tO\tO' +p224513 +aS'RISS\tRISS\tNNP\tB-NP\tO' +p224514 +aS',\t,\t,\tO\tO' +p224515 +aS'B12\tB12\tNNP\tB-NP\tB-protein' +p224516 +aS',\t,\t,\tO\tO' +p224517 +aS'Protonix\tProtonix\tNNP\tB-NP\tO' +p224518 +aS',\t,\t,\tO\tO' +p224519 +aS'Lasix\tLasix\tNNP\tB-NP\tO' +p224520 +aS',\t,\t,\tO\tO' +p224521 +aS'Zocor\tZocor\tNNP\tB-NP\tO' +p224522 +aS',\t,\t,\tO\tO' +p224523 +aS'Verapamil\tVerapamil\tNNP\tB-NP\tO' +p224524 +aS',\t,\t,\tO\tO' +p224525 +aS'Lovenox\tLovenox\tNNP\tB-NP\tO' +p224526 +aS',\t,\t,\tO\tO' +p224527 +aS'Lisinopril\tLisinopril\tNNP\tB-NP\tO' +p224528 +asS'She was transiently in sinus rhythm , but atrial fibrillation recurred .' +p224529 +(lp224530 +S'She\tShe\tPRP\tB-NP\tO' +p224531 +aS'was\tbe\tVBD\tB-VP\tO' +p224532 +aS'transiently\ttransiently\tRB\tB-ADVP\tO' +p224533 +aS'in\tin\tIN\tB-PP\tO' +p224534 +aS'sinus\tsinus\tNN\tB-NP\tO' +p224535 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p224536 +aS',\t,\t,\tO\tO' +p224537 +aS'but\tbut\tCC\tO\tO' +p224538 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p224539 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p224540 +aS'recurred\trecur\tVBD\tB-VP\tO' +p224541 +aS'.\t.\t.\tO\tO' +p224542 +asS'There was no diarrhea on 10/20 .' +p224543 +(lp224544 +S'There\tThere\tEX\tB-NP\tO' +p224545 +aS'was\tbe\tVBD\tB-VP\tO' +p224546 +aS'no\tno\tDT\tB-NP\tO' +p224547 +aS'diarrhea\tdiarrhea\tNN\tI-NP\tO' +p224548 +aS'on\ton\tIN\tB-PP\tO' +p224549 +aS'10/20\t10/20\tCD\tB-NP\tO' +p224550 +aS'.\t.\t.\tO\tO' +p224551 +asS'The patient gradually improved on the current therapy and was quite awake and alert , though still appeared to have some evidence of dementia and disorientation .' +p224552 +(lp224553 +S'The\tThe\tDT\tB-NP\tO' +p224554 +aS'patient\tpatient\tNN\tI-NP\tO' +p224555 +aS'gradually\tgradually\tRB\tB-VP\tO' +p224556 +aS'improved\timprove\tVBN\tI-VP\tO' +p224557 +aS'on\ton\tIN\tB-PP\tO' +p224558 +aS'the\tthe\tDT\tB-NP\tO' +p224559 +aS'current\tcurrent\tJJ\tI-NP\tO' +p224560 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p224561 +aS'and\tand\tCC\tO\tO' +p224562 +aS'was\tbe\tVBD\tB-VP\tO' +p224563 +aS'quite\tquite\tRB\tB-NP\tO' +p224564 +aS'awake\tawake\tNN\tI-NP\tO' +p224565 +aS'and\tand\tCC\tI-NP\tO' +p224566 +aS'alert\talert\tNN\tI-NP\tO' +p224567 +aS',\t,\t,\tO\tO' +p224568 +aS'though\tthough\tIN\tB-SBAR\tO' +p224569 +aS'still\tstill\tRB\tB-ADVP\tO' +p224570 +aS'appeared\tappear\tVBD\tB-VP\tO' +p224571 +aS'to\tto\tTO\tI-VP\tO' +p224572 +aS'have\thave\tVB\tI-VP\tO' +p224573 +aS'some\tsome\tDT\tB-NP\tO' +p224574 +aS'evidence\tevidence\tNN\tI-NP\tO' +p224575 +aS'of\tof\tIN\tB-PP\tO' +p224576 +aS'dementia\tdementia\tNN\tB-NP\tO' +p224577 +aS'and\tand\tCC\tI-NP\tO' +p224578 +aS'disorientation\tdisorientation\tNN\tI-NP\tO' +p224579 +aS'.\t.\t.\tO\tO' +p224580 +asS'Chemistry on admission showed a sodium of 141 , potassium of 4.3 , chloride of 107 , bicarbonate of 25 , BUN of 4 , creatinine of 0.6 and a sugar of 177 .' +p224581 +(lp224582 +S'Chemistry\tChemistry\tNN\tB-NP\tO' +p224583 +aS'on\ton\tIN\tB-PP\tO' +p224584 +aS'admission\tadmission\tNN\tB-NP\tO' +p224585 +aS'showed\tshow\tVBD\tB-VP\tO' +p224586 +aS'a\ta\tDT\tB-NP\tO' +p224587 +aS'sodium\tsodium\tNN\tI-NP\tO' +p224588 +aS'of\tof\tIN\tB-PP\tO' +p224589 +aS'141\t141\tCD\tB-NP\tO' +p224590 +aS',\t,\t,\tO\tO' +p224591 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p224592 +aS'of\tof\tIN\tB-PP\tO' +p224593 +aS'4.3\t4.3\tNN\tB-NP\tO' +p224594 +aS',\t,\t,\tO\tO' +p224595 +aS'chloride\tchloride\tNN\tB-NP\tO' +p224596 +aS'of\tof\tIN\tB-PP\tO' +p224597 +aS'107\t107\tCD\tB-NP\tO' +p224598 +aS',\t,\t,\tO\tO' +p224599 +aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' +p224600 +aS'of\tof\tIN\tB-PP\tO' +p224601 +aS'25\t25\tCD\tB-NP\tO' +p224602 +aS',\t,\t,\tO\tO' +p224603 +aS'BUN\tBUN\tNN\tB-NP\tO' +p224604 +aS'of\tof\tIN\tB-PP\tO' +p224605 +aS'4\t4\tCD\tB-NP\tO' +p224606 +aS',\t,\t,\tO\tO' +p224607 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p224608 +aS'of\tof\tIN\tB-PP\tO' +p224609 +aS'0.6\t0.6\tCD\tB-NP\tO' +p224610 +aS'and\tand\tCC\tO\tO' +p224611 +aS'a\ta\tDT\tB-NP\tO' +p224612 +aS'sugar\tsugar\tNN\tI-NP\tO' +p224613 +aS'of\tof\tIN\tB-PP\tO' +p224614 +aS'177\t177\tCD\tB-NP\tO' +p224615 +aS'.\t.\t.\tO\tO' +p224616 +asS'Given the results of this cardiac catheterization , which were not significantly changed from his previous cardiac catheterization prior to the PTCA , it was elected to attempt to medically manage the patient .' +p224617 +(lp224618 +S'Given\tGive\tVBN\tB-PP\tO' +p224619 +aS'the\tthe\tDT\tB-NP\tO' +p224620 +aS'results\tresult\tNNS\tI-NP\tO' +p224621 +aS'of\tof\tIN\tB-PP\tO' +p224622 +aS'this\tthis\tDT\tB-NP\tO' +p224623 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p224624 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p224625 +aS',\t,\t,\tO\tO' +p224626 +aS'which\twhich\tWDT\tB-NP\tO' +p224627 +aS'were\tbe\tVBD\tB-VP\tO' +p224628 +aS'not\tnot\tRB\tO\tO' +p224629 +aS'significantly\tsignificantly\tRB\tB-ADJP\tO' +p224630 +aS'changed\tchange\tVBN\tI-ADJP\tO' +p224631 +aS'from\tfrom\tIN\tB-PP\tO' +p224632 +aS'his\this\tPRP$\tB-NP\tO' +p224633 +aS'previous\tprevious\tJJ\tI-NP\tO' +p224634 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p224635 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p224636 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p224637 +aS'to\tto\tTO\tB-PP\tO' +p224638 +aS'the\tthe\tDT\tB-NP\tO' +p224639 +aS'PTCA\tPTCA\tNN\tI-NP\tB-protein' +p224640 +aS',\t,\t,\tO\tO' +p224641 +aS'it\tit\tPRP\tB-NP\tO' +p224642 +aS'was\tbe\tVBD\tB-VP\tO' +p224643 +aS'elected\telect\tVBN\tI-VP\tO' +p224644 +aS'to\tto\tTO\tI-VP\tO' +p224645 +aS'attempt\tattempt\tVB\tI-VP\tO' +p224646 +aS'to\tto\tTO\tB-VP\tO' +p224647 +aS'medically\tmedically\tRB\tI-VP\tO' +p224648 +aS'manage\tmanage\tVB\tI-VP\tO' +p224649 +aS'the\tthe\tDT\tB-NP\tO' +p224650 +aS'patient\tpatient\tNN\tI-NP\tO' +p224651 +aS'.\t.\t.\tO\tO' +p224652 +asS'Dictated By : Marcelene R. Brennan , M.D.' +p224653 +(lp224654 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p224655 +aS'By\tBy\tIN\tB-PP\tO' +p224656 +aS':\t:\t:\tO\tO' +p224657 +aS'Marcelene\tMarcelene\tNNP\tB-NP\tO' +p224658 +aS'R.\tR.\tNNP\tI-NP\tO' +p224659 +aS'Brennan\tBrennan\tNNP\tI-NP\tO' +p224660 +aS',\t,\t,\tO\tO' +p224661 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p224662 +asS'There was an intra-atrial shunt from the right to the left through a patent foramen ovale .' +p224663 +(lp224664 +S'There\tThere\tEX\tB-NP\tO' +p224665 +aS'was\tbe\tVBD\tB-VP\tO' +p224666 +aS'an\tan\tDT\tB-NP\tO' +p224667 +aS'intra-atrial\tintra-atrial\tJJ\tI-NP\tO' +p224668 +aS'shunt\tshunt\tNN\tI-NP\tO' +p224669 +aS'from\tfrom\tIN\tB-PP\tO' +p224670 +aS'the\tthe\tDT\tB-NP\tO' +p224671 +aS'right\tright\tNN\tI-NP\tO' +p224672 +aS'to\tto\tTO\tB-PP\tO' +p224673 +aS'the\tthe\tDT\tB-NP\tO' +p224674 +aS'left\tleave\tVBN\tI-NP\tO' +p224675 +aS'through\tthrough\tIN\tB-PP\tO' +p224676 +aS'a\ta\tDT\tB-NP\tO' +p224677 +aS'patent\tpatent\tNN\tI-NP\tO' +p224678 +aS'foramen\tforamen\tNN\tI-NP\tO' +p224679 +aS'ovale\tovale\tNN\tI-NP\tO' +p224680 +aS'.\t.\t.\tO\tO' +p224681 +asS'ADULT RESPIRATORY DISTRESS SYNDROME .' +p224682 +(lp224683 +S'ADULT\tADULT\tNNP\tB-NP\tO' +p224684 +aS'RESPIRATORY\tRESPIRATORY\tNNP\tI-NP\tO' +p224685 +aS'DISTRESS\tDISTRESS\tNNP\tI-NP\tO' +p224686 +aS'SYNDROME\tSYNDROME\tNNP\tI-NP\tO' +p224687 +aS'.\t.\t.\tO\tO' +p224688 +asS'Neck supple , no lesions .' +p224689 +(lp224690 +S'Neck\tNeck\tNN\tB-NP\tO' +p224691 +aS'supple\tsupple\tNN\tI-NP\tO' +p224692 +aS',\t,\t,\tO\tO' +p224693 +aS'no\tno\tDT\tB-NP\tO' +p224694 +aS'lesions\tlesion\tNNS\tI-NP\tO' +p224695 +aS'.\t.\t.\tO\tO' +p224696 +asS'Chest clear to auscultation bilaterally .' +p224697 +(lp224698 +S'Chest\tChest\tRBS\tB-ADJP\tO' +p224699 +aS'clear\tclear\tJJ\tI-ADJP\tO' +p224700 +aS'to\tto\tTO\tB-PP\tO' +p224701 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p224702 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p224703 +aS'.\t.\t.\tO\tO' +p224704 +asS'12. Sepsis .' +p224705 +(lp224706 +S'12.\t12.\tLS\tB-LST\tO' +p224707 +aS'Sepsis\tSepsis\tNNP\tB-NP\tO' +p224708 +aS'.\t.\t.\tO\tO' +p224709 +asS'No definite changes since the MR of in 2011-05-15 .' +p224710 +(lp224711 +S'No\tNo\tDT\tB-NP\tO' +p224712 +aS'definite\tdefinite\tJJ\tI-NP\tO' +p224713 +aS'changes\tchange\tNNS\tI-NP\tO' +p224714 +aS'since\tsince\tIN\tB-PP\tO' +p224715 +aS'the\tthe\tDT\tB-NP\tO' +p224716 +aS'MR\tMR\tNN\tI-NP\tB-protein' +p224717 +aS'of\tof\tIN\tB-PP\tO' +p224718 +aS'in\tin\tIN\tB-PP\tO' +p224719 +aS'2011-05-15\t2011-05-15\tCD\tB-NP\tO' +p224720 +aS'.\t.\t.\tO\tO' +p224721 +asS'The only medications she is on are Paxil 30 mg p.o. q.day , Doxepin 25 mg p.o. q.day , and Klonopin 2 mg p.o. q.h.s.' +p224722 +(lp224723 +S'The\tThe\tDT\tB-NP\tO' +p224724 +aS'only\tonly\tJJ\tI-NP\tO' +p224725 +aS'medications\tmedication\tNNS\tI-NP\tO' +p224726 +aS'she\tshe\tPRP\tB-NP\tO' +p224727 +aS'is\tbe\tVBZ\tB-VP\tO' +p224728 +aS'on\ton\tIN\tB-ADVP\tO' +p224729 +aS'are\tbe\tVBP\tB-VP\tO' +p224730 +aS'Paxil\tPaxil\tNNP\tB-NP\tO' +p224731 +aS'30\t30\tCD\tI-NP\tO' +p224732 +aS'mg\tmg\tNN\tI-NP\tO' +p224733 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p224734 +aS'q.day\tq.day\tNN\tI-NP\tO' +p224735 +aS',\t,\t,\tO\tO' +p224736 +aS'Doxepin\tDoxepin\tNNP\tB-NP\tO' +p224737 +aS'25\t25\tCD\tI-NP\tO' +p224738 +aS'mg\tmg\tNN\tI-NP\tO' +p224739 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p224740 +aS'q.day\tq.day\tNN\tI-NP\tO' +p224741 +aS',\t,\t,\tO\tO' +p224742 +aS'and\tand\tCC\tO\tO' +p224743 +aS'Klonopin\tKlonopin\tNN\tB-NP\tB-protein' +p224744 +aS'2\t2\tCD\tI-NP\tI-protein' +p224745 +aS'mg\tmg\tNN\tI-NP\tO' +p224746 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p224747 +aS'q.h.s.\tq.h.s.\tNN\tI-NP\tO' +p224748 +asS'Patient is a 72 year old female with known carotid stenosis , and recent carotid noninvasives at an outside hospital , which showed 90% left sided stenosis .' +p224749 +(lp224750 +S'Patient\tPatient\tNN\tB-NP\tO' +p224751 +aS'is\tbe\tVBZ\tB-VP\tO' +p224752 +aS'a\ta\tDT\tB-NP\tO' +p224753 +aS'72\t72\tCD\tI-NP\tO' +p224754 +aS'year\tyear\tNN\tI-NP\tO' +p224755 +aS'old\told\tJJ\tI-NP\tO' +p224756 +aS'female\tfemale\tNN\tI-NP\tO' +p224757 +aS'with\twith\tIN\tB-PP\tO' +p224758 +aS'known\tknow\tVBN\tB-NP\tO' +p224759 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p224760 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p224761 +aS',\t,\t,\tO\tO' +p224762 +aS'and\tand\tCC\tO\tO' +p224763 +aS'recent\trecent\tJJ\tB-NP\tO' +p224764 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p224765 +aS'noninvasives\tnoninvasive\tNNS\tI-NP\tO' +p224766 +aS'at\tat\tIN\tB-PP\tO' +p224767 +aS'an\tan\tDT\tB-NP\tO' +p224768 +aS'outside\toutside\tJJ\tI-NP\tO' +p224769 +aS'hospital\thospital\tNN\tI-NP\tO' +p224770 +aS',\t,\t,\tO\tO' +p224771 +aS'which\twhich\tWDT\tB-NP\tO' +p224772 +aS'showed\tshow\tVBD\tB-VP\tO' +p224773 +aS'90%\t90%\tCD\tB-NP\tO' +p224774 +aS'left\tleft\tJJ\tI-NP\tO' +p224775 +aS'sided\tsided\tJJ\tI-NP\tO' +p224776 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p224777 +aS'.\t.\t.\tO\tO' +p224778 +asS'He was later seen by Dr. Flo Cuchkote at the Ph University Of Medical Center and diagnosed with progressive supranuclear palsy .' +p224779 +(lp224780 +S'He\tHe\tPRP\tB-NP\tO' +p224781 +aS'was\tbe\tVBD\tB-VP\tO' +p224782 +aS'later\tlater\tRB\tI-VP\tO' +p224783 +aS'seen\tsee\tVBN\tI-VP\tO' +p224784 +aS'by\tby\tIN\tB-PP\tO' +p224785 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p224786 +aS'Flo\tFlo\tNNP\tI-NP\tO' +p224787 +aS'Cuchkote\tCuchkote\tNNP\tI-NP\tO' +p224788 +aS'at\tat\tIN\tB-PP\tO' +p224789 +aS'the\tthe\tDT\tB-NP\tO' +p224790 +aS'Ph\tPh\tNNP\tI-NP\tO' +p224791 +aS'University\tUniversity\tNNP\tI-NP\tO' +p224792 +aS'Of\tOf\tNNP\tI-NP\tO' +p224793 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p224794 +aS'Center\tCenter\tNNP\tI-NP\tO' +p224795 +aS'and\tand\tCC\tO\tO' +p224796 +aS'diagnosed\tdiagnose\tVBN\tB-VP\tO' +p224797 +aS'with\twith\tIN\tB-PP\tO' +p224798 +aS'progressive\tprogressive\tJJ\tB-NP\tO' +p224799 +aS'supranuclear\tsupranuclear\tJJ\tI-NP\tO' +p224800 +aS'palsy\tpalsy\tNN\tI-NP\tO' +p224801 +aS'.\t.\t.\tO\tO' +p224802 +asS'1. Term , appropriate for gestational age , male neonate .' +p224803 +(lp224804 +S'1.\t1.\tLS\tB-NP\tO' +p224805 +aS'Term\tTerm\tNN\tI-NP\tO' +p224806 +aS',\t,\t,\tO\tO' +p224807 +aS'appropriate\tappropriate\tJJ\tB-ADJP\tO' +p224808 +aS'for\tfor\tIN\tB-PP\tO' +p224809 +aS'gestational\tgestational\tJJ\tB-NP\tO' +p224810 +aS'age\tage\tNN\tI-NP\tO' +p224811 +aS',\t,\t,\tO\tO' +p224812 +aS'male\tmale\tJJ\tB-NP\tO' +p224813 +aS'neonate\tneonate\tNN\tI-NP\tO' +p224814 +aS'.\t.\t.\tO\tO' +p224815 +asS'Cardiology was consulted to evaluate this and felt that the changes seen on the EKG were not significant .' +p224816 +(lp224817 +S'Cardiology\tCardiology\tNN\tB-NP\tO' +p224818 +aS'was\tbe\tVBD\tB-VP\tO' +p224819 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p224820 +aS'to\tto\tTO\tI-VP\tO' +p224821 +aS'evaluate\tevaluate\tVB\tI-VP\tO' +p224822 +aS'this\tthis\tDT\tB-NP\tO' +p224823 +aS'and\tand\tCC\tO\tO' +p224824 +aS'felt\tfeel\tVBD\tB-VP\tO' +p224825 +aS'that\tthat\tIN\tB-SBAR\tO' +p224826 +aS'the\tthe\tDT\tB-NP\tO' +p224827 +aS'changes\tchange\tNNS\tI-NP\tO' +p224828 +aS'seen\tsee\tVBN\tB-VP\tO' +p224829 +aS'on\ton\tIN\tB-PP\tO' +p224830 +aS'the\tthe\tDT\tB-NP\tO' +p224831 +aS'EKG\tEKG\tNN\tI-NP\tB-protein' +p224832 +aS'were\tbe\tVBD\tB-VP\tO' +p224833 +aS'not\tnot\tRB\tO\tO' +p224834 +aS'significant\tsignificant\tJJ\tB-ADJP\tO' +p224835 +aS'.\t.\t.\tO\tO' +p224836 +asS'He remained stable from a cardiac fashion .' +p224837 +(lp224838 +S'He\tHe\tPRP\tB-NP\tO' +p224839 +aS'remained\tremain\tVBD\tB-VP\tO' +p224840 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p224841 +aS'from\tfrom\tIN\tB-PP\tO' +p224842 +aS'a\ta\tDT\tB-NP\tO' +p224843 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p224844 +aS'fashion\tfashion\tNN\tI-NP\tO' +p224845 +aS'.\t.\t.\tO\tO' +p224846 +asS'CV : Irregularly irregular rhytmm , no m/r/g' +p224847 +(lp224848 +S'CV\tCV\tNN\tB-NP\tO' +p224849 +aS':\t:\t:\tO\tO' +p224850 +aS'Irregularly\tIrregularly\tRB\tB-NP\tO' +p224851 +aS'irregular\tirregular\tJJ\tI-NP\tO' +p224852 +aS'rhytmm\trhytmm\tNN\tI-NP\tO' +p224853 +aS',\t,\t,\tO\tO' +p224854 +aS'no\tno\tDT\tB-NP\tO' +p224855 +aS'm/r/g\tm/r/g\tNN\tI-NP\tO' +p224856 +asS'There will be further addendum .' +p224857 +(lp224858 +S'There\tThere\tEX\tB-NP\tO' +p224859 +aS'will\twill\tMD\tB-VP\tO' +p224860 +aS'be\tbe\tVB\tI-VP\tO' +p224861 +aS'further\tfurther\tJJ\tB-NP\tO' +p224862 +aS'addendum\taddendum\tNN\tI-NP\tO' +p224863 +aS'.\t.\t.\tO\tO' +p224864 +asS'6. Cholelithiasis .' +p224865 +(lp224866 +S'6.\t6.\tLS\tB-NP\tO' +p224867 +aS'Cholelithiasis\tCholelithiasis\tNN\tI-NP\tO' +p224868 +aS'.\t.\t.\tO\tO' +p224869 +asS'Initial EKG showed ST depressions , but cardiac enzymes were not elevated .' +p224870 +(lp224871 +S'Initial\tInitial\tJJ\tB-NP\tO' +p224872 +aS'EKG\tEKG\tNN\tI-NP\tO' +p224873 +aS'showed\tshow\tVBD\tB-VP\tO' +p224874 +aS'ST\tST\tNN\tB-NP\tO' +p224875 +aS'depressions\tdepression\tNNS\tI-NP\tO' +p224876 +aS',\t,\t,\tO\tO' +p224877 +aS'but\tbut\tCC\tO\tO' +p224878 +aS'cardiac\tcardiac\tJJ\tB-NP\tB-protein' +p224879 +aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' +p224880 +aS'were\tbe\tVBD\tB-VP\tO' +p224881 +aS'not\tnot\tRB\tI-VP\tO' +p224882 +aS'elevated\televate\tVBN\tI-VP\tO' +p224883 +aS'.\t.\t.\tO\tO' +p224884 +asS'Synthroid , Prilosec 20 mg p.o. , Fioricet , Celebrex .' +p224885 +(lp224886 +S'Synthroid\tSynthroid\tNNP\tB-NP\tO' +p224887 +aS',\t,\t,\tO\tO' +p224888 +aS'Prilosec\tPrilosec\tNNP\tB-NP\tO' +p224889 +aS'20\t20\tCD\tI-NP\tO' +p224890 +aS'mg\tmg\tNN\tI-NP\tO' +p224891 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p224892 +aS',\t,\t,\tO\tO' +p224893 +aS'Fioricet\tFioricet\tNNP\tB-NP\tO' +p224894 +aS',\t,\t,\tO\tO' +p224895 +aS'Celebrex\tCelebrex\tNNP\tB-NP\tO' +p224896 +aS'.\t.\t.\tO\tO' +p224897 +asS'However , he became progressively more mentally obtunded .' +p224898 +(lp224899 +S'However\tHowever\tRB\tB-ADVP\tO' +p224900 +aS',\t,\t,\tO\tO' +p224901 +aS'he\the\tPRP\tB-NP\tO' +p224902 +aS'became\tbecome\tVBD\tB-VP\tO' +p224903 +aS'progressively\tprogressively\tRB\tB-ADJP\tO' +p224904 +aS'more\tmore\tRBR\tI-ADJP\tO' +p224905 +aS'mentally\tmentally\tRB\tI-ADJP\tO' +p224906 +aS'obtunded\tobtund\tVBN\tI-ADJP\tO' +p224907 +aS'.\t.\t.\tO\tO' +p224908 +asS'No hip click .' +p224909 +(lp224910 +S'No\tNo\tDT\tB-NP\tO' +p224911 +aS'hip\thip\tNN\tI-NP\tO' +p224912 +aS'click\tclick\tNN\tI-NP\tO' +p224913 +aS'.\t.\t.\tO\tO' +p224914 +asS'He had daily transfusions of FFP and blood , and continued coagulopathy .' +p224915 +(lp224916 +S'He\tHe\tPRP\tB-NP\tO' +p224917 +aS'had\thave\tVBD\tB-VP\tO' +p224918 +aS'daily\tdaily\tJJ\tB-NP\tO' +p224919 +aS'transfusions\ttransfusion\tNNS\tI-NP\tO' +p224920 +aS'of\tof\tIN\tB-PP\tO' +p224921 +aS'FFP\tFFP\tNN\tB-NP\tB-protein' +p224922 +aS'and\tand\tCC\tI-NP\tO' +p224923 +aS'blood\tblood\tNN\tI-NP\tO' +p224924 +aS',\t,\t,\tO\tO' +p224925 +aS'and\tand\tCC\tO\tO' +p224926 +aS'continued\tcontinued\tJJ\tB-NP\tO' +p224927 +aS'coagulopathy\tcoagulopathy\tNN\tI-NP\tO' +p224928 +aS'.\t.\t.\tO\tO' +p224929 +asS"Carpal tunnel syndrome , Hypertension , Hyperlipidemia , Arthritis , h/o Bell's Palsy , HOH , s/p Tonsillectomy" +p224930 +(lp224931 +S'Carpal\tCarpal\tJJ\tB-NP\tO' +p224932 +aS'tunnel\ttunnel\tNN\tI-NP\tO' +p224933 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p224934 +aS',\t,\t,\tO\tO' +p224935 +aS'Hypertension\tHypertension\tNN\tB-NP\tO' +p224936 +aS',\t,\t,\tO\tO' +p224937 +aS'Hyperlipidemia\tHyperlipidemia\tNN\tB-NP\tO' +p224938 +aS',\t,\t,\tO\tO' +p224939 +aS'Arthritis\tArthritis\tNN\tB-NP\tO' +p224940 +aS',\t,\t,\tO\tO' +p224941 +aS'h/o\th/o\tNN\tB-NP\tO' +p224942 +aS"Bell's\tBell's\tNNP\tI-NP\tO" +p224943 +aS'Palsy\tPalsy\tNNP\tI-NP\tO' +p224944 +aS',\t,\t,\tO\tO' +p224945 +aS'HOH\tHOH\tNN\tB-NP\tB-protein' +p224946 +aS',\t,\t,\tO\tO' +p224947 +aS's/p\ts/p\tNN\tB-NP\tO' +p224948 +aS'Tonsillectomy\tTonsillectomy\tNN\tI-NP\tO' +p224949 +asS'( Reference Range-Negative ) .' +p224950 +(lp224951 +S'(\t(\t(\tO\tO' +p224952 +aS'Reference\tReference\tNN\tB-NP\tO' +p224953 +aS'Range-Negative\tRange-Negative\tJJ\tB-ADJP\tO' +p224954 +aS')\t)\t)\tO\tO' +p224955 +aS'.\t.\t.\tO\tO' +p224956 +asS'EFW = 7# .' +p224957 +(lp224958 +S'EFW\tEFW\tNN\tB-NP\tB-protein' +p224959 +aS'=\t=\tSYM\tB-VP\tI-protein' +p224960 +aS'7#\t7#\tCD\tB-NP\tI-protein' +p224961 +aS'.\t.\t.\tO\tO' +p224962 +asS'3. diabetes mellitus .' +p224963 +(lp224964 +S'3.\t3.\tLS\tB-NP\tO' +p224965 +aS'diabetes\tdiabetes\tNN\tI-NP\tO' +p224966 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p224967 +aS'.\t.\t.\tO\tO' +p224968 +asS'influenza to protect the infant .' +p224969 +(lp224970 +S'influenza\tinfluenza\tNN\tB-NP\tO' +p224971 +aS'to\tto\tTO\tB-VP\tO' +p224972 +aS'protect\tprotect\tVB\tI-VP\tO' +p224973 +aS'the\tthe\tDT\tB-NP\tO' +p224974 +aS'infant\tinfant\tNN\tI-NP\tO' +p224975 +aS'.\t.\t.\tO\tO' +p224976 +asS'Eventually , her plasma exchange was tapered to a smaller and smaller dose each day and then discontinued altogether after July 27 , 1999 .' +p224977 +(lp224978 +S'Eventually\tEventually\tRB\tB-ADVP\tO' +p224979 +aS',\t,\t,\tO\tO' +p224980 +aS'her\ther\tPRP$\tB-NP\tO' +p224981 +aS'plasma\tplasma\tNN\tI-NP\tO' +p224982 +aS'exchange\texchange\tNN\tI-NP\tO' +p224983 +aS'was\tbe\tVBD\tB-VP\tO' +p224984 +aS'tapered\ttaper\tVBN\tI-VP\tO' +p224985 +aS'to\tto\tTO\tB-PP\tO' +p224986 +aS'a\ta\tDT\tB-NP\tO' +p224987 +aS'smaller\tsmall\tJJR\tI-NP\tO' +p224988 +aS'and\tand\tCC\tI-NP\tO' +p224989 +aS'smaller\tsmall\tJJR\tI-NP\tO' +p224990 +aS'dose\tdose\tNN\tI-NP\tO' +p224991 +aS'each\teach\tDT\tB-NP\tO' +p224992 +aS'day\tday\tNN\tI-NP\tO' +p224993 +aS'and\tand\tCC\tO\tO' +p224994 +aS'then\tthen\tRB\tB-VP\tO' +p224995 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p224996 +aS'altogether\taltogether\tRB\tB-ADVP\tO' +p224997 +aS'after\tafter\tIN\tB-PP\tO' +p224998 +aS'July\tJuly\tNNP\tB-NP\tO' +p224999 +aS'27\t27\tCD\tI-NP\tO' +p225000 +aS',\t,\t,\tI-NP\tO' +p225001 +aS'1999\t1999\tCD\tI-NP\tO' +p225002 +aS'.\t.\t.\tO\tO' +p225003 +asS'Aside from low lung volumes , the lungs are clear .' +p225004 +(lp225005 +S'Aside\tAside\tRB\tB-ADVP\tO' +p225006 +aS'from\tfrom\tIN\tB-PP\tO' +p225007 +aS'low\tlow\tJJ\tB-NP\tO' +p225008 +aS'lung\tlung\tNN\tI-NP\tO' +p225009 +aS'volumes\tvolume\tNNS\tI-NP\tO' +p225010 +aS',\t,\t,\tO\tO' +p225011 +aS'the\tthe\tDT\tB-NP\tO' +p225012 +aS'lungs\tlung\tNNS\tI-NP\tO' +p225013 +aS'are\tbe\tVBP\tB-VP\tO' +p225014 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p225015 +aS'.\t.\t.\tO\tO' +p225016 +asS'Smoked 3 packs per day x 17 years .' +p225017 +(lp225018 +S'Smoked\tSmoke\tVBN\tB-VP\tO' +p225019 +aS'3\t3\tCD\tB-NP\tO' +p225020 +aS'packs\tpack\tNNS\tI-NP\tO' +p225021 +aS'per\tper\tIN\tB-PP\tO' +p225022 +aS'day\tday\tNN\tB-NP\tO' +p225023 +aS'x\tx\tSYM\tO\tO' +p225024 +aS'17\t17\tCD\tB-NP\tO' +p225025 +aS'years\tyear\tNNS\tI-NP\tO' +p225026 +aS'.\t.\t.\tO\tO' +p225027 +asS'This is the normal dose that she puts out too .' +p225028 +(lp225029 +S'This\tThis\tDT\tB-NP\tO' +p225030 +aS'is\tbe\tVBZ\tB-VP\tO' +p225031 +aS'the\tthe\tDT\tB-NP\tO' +p225032 +aS'normal\tnormal\tJJ\tI-NP\tO' +p225033 +aS'dose\tdose\tNN\tI-NP\tO' +p225034 +aS'that\tthat\tIN\tB-SBAR\tO' +p225035 +aS'she\tshe\tPRP\tB-NP\tO' +p225036 +aS'puts\tput\tVBZ\tB-VP\tO' +p225037 +aS'out\tout\tRP\tB-PRT\tO' +p225038 +aS'too\ttoo\tRB\tB-ADVP\tO' +p225039 +aS'.\t.\t.\tO\tO' +p225040 +asS'Married to a very supportive wife .' +p225041 +(lp225042 +S'Married\tMarry\tVBN\tB-VP\tO' +p225043 +aS'to\tto\tTO\tB-PP\tO' +p225044 +aS'a\ta\tDT\tB-NP\tO' +p225045 +aS'very\tvery\tRB\tI-NP\tO' +p225046 +aS'supportive\tsupportive\tJJ\tI-NP\tO' +p225047 +aS'wife\twife\tNN\tI-NP\tO' +p225048 +aS'.\t.\t.\tO\tO' +p225049 +asS'Per daughter these symptoms are typical of COPD flare .' +p225050 +(lp225051 +S'Per\tPer\tNNP\tB-NP\tO' +p225052 +aS'daughter\tdaughter\tVB\tB-VP\tO' +p225053 +aS'these\tthese\tDT\tB-NP\tO' +p225054 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p225055 +aS'are\tbe\tVBP\tB-VP\tO' +p225056 +aS'typical\ttypical\tJJ\tB-ADJP\tO' +p225057 +aS'of\tof\tIN\tB-PP\tO' +p225058 +aS'COPD\tCOPD\tNN\tB-NP\tB-DNA' +p225059 +aS'flare\tflare\tNN\tI-NP\tI-DNA' +p225060 +aS'.\t.\t.\tO\tO' +p225061 +asS'Otherwise , she is in normal sinus rhythm and has been hemodynamically stable throughout her hospitalization .' +p225062 +(lp225063 +S'Otherwise\tOtherwise\tRB\tB-ADVP\tO' +p225064 +aS',\t,\t,\tO\tO' +p225065 +aS'she\tshe\tPRP\tB-NP\tO' +p225066 +aS'is\tbe\tVBZ\tB-VP\tO' +p225067 +aS'in\tin\tIN\tB-PP\tO' +p225068 +aS'normal\tnormal\tJJ\tB-NP\tO' +p225069 +aS'sinus\tsinus\tNN\tI-NP\tO' +p225070 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p225071 +aS'and\tand\tCC\tO\tO' +p225072 +aS'has\thave\tVBZ\tB-VP\tO' +p225073 +aS'been\tbe\tVBN\tI-VP\tO' +p225074 +aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' +p225075 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p225076 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p225077 +aS'her\ther\tPRP$\tB-NP\tO' +p225078 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p225079 +aS'.\t.\t.\tO\tO' +p225080 +asS'Mary studies c/w transudate .' +p225081 +(lp225082 +S'Mary\tMary\tJJ\tB-NP\tO' +p225083 +aS'studies\tstudy\tNNS\tI-NP\tO' +p225084 +aS'c/w\tc/w\tNN\tI-NP\tO' +p225085 +aS'transudate\ttransudate\tNN\tI-NP\tO' +p225086 +aS'.\t.\t.\tO\tO' +p225087 +asS'He was transferred to the floor but a few days later began to show signs of respiratory distress and was transferred back to the CMED CSRU for reintubation for likely aspiration event leading to worsening pneumonia as well as some component of pulm edema .' +p225088 +(lp225089 +S'He\tHe\tPRP\tB-NP\tO' +p225090 +aS'was\tbe\tVBD\tB-VP\tO' +p225091 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p225092 +aS'to\tto\tTO\tB-PP\tO' +p225093 +aS'the\tthe\tDT\tB-NP\tO' +p225094 +aS'floor\tfloor\tNN\tI-NP\tO' +p225095 +aS'but\tbut\tCC\tO\tO' +p225096 +aS'a\ta\tDT\tB-NP\tO' +p225097 +aS'few\tfew\tJJ\tI-NP\tO' +p225098 +aS'days\tday\tNNS\tI-NP\tO' +p225099 +aS'later\tlater\tRB\tB-ADVP\tO' +p225100 +aS'began\tbegin\tVBD\tB-VP\tO' +p225101 +aS'to\tto\tTO\tI-VP\tO' +p225102 +aS'show\tshow\tVB\tI-VP\tO' +p225103 +aS'signs\tsign\tNNS\tB-NP\tO' +p225104 +aS'of\tof\tIN\tB-PP\tO' +p225105 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p225106 +aS'distress\tdistress\tNN\tI-NP\tO' +p225107 +aS'and\tand\tCC\tO\tO' +p225108 +aS'was\tbe\tVBD\tB-VP\tO' +p225109 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p225110 +aS'back\tback\tRB\tB-ADVP\tO' +p225111 +aS'to\tto\tTO\tB-PP\tO' +p225112 +aS'the\tthe\tDT\tB-NP\tO' +p225113 +aS'CMED\tCMED\tVBN\tI-NP\tO' +p225114 +aS'CSRU\tCSRU\tNN\tI-NP\tO' +p225115 +aS'for\tfor\tIN\tB-PP\tO' +p225116 +aS'reintubation\treintubation\tNN\tB-NP\tO' +p225117 +aS'for\tfor\tIN\tB-PP\tO' +p225118 +aS'likely\tlikely\tJJ\tB-NP\tO' +p225119 +aS'aspiration\taspiration\tNN\tI-NP\tO' +p225120 +aS'event\tevent\tNN\tI-NP\tO' +p225121 +aS'leading\tlead\tVBG\tB-VP\tO' +p225122 +aS'to\tto\tTO\tB-PP\tO' +p225123 +aS'worsening\tworsen\tVBG\tB-VP\tO' +p225124 +aS'pneumonia\tpneumonia\tNN\tB-NP\tO' +p225125 +aS'as\tas\tRB\tB-CONJP\tO' +p225126 +aS'well\twell\tRB\tI-CONJP\tO' +p225127 +aS'as\tas\tIN\tI-CONJP\tO' +p225128 +aS'some\tsome\tDT\tB-NP\tO' +p225129 +aS'component\tcomponent\tNN\tI-NP\tO' +p225130 +aS'of\tof\tIN\tB-PP\tO' +p225131 +aS'pulm\tpulm\tNN\tB-NP\tO' +p225132 +aS'edema\tedema\tNN\tI-NP\tO' +p225133 +aS'.\t.\t.\tO\tO' +p225134 +asS'Signed electronically by : DR. Eugene Offutt on : MON 2019-10-07 12:44 PM' +p225135 +(lp225136 +S'Signed\tSign\tVBN\tB-VP\tO' +p225137 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p225138 +aS'by\tby\tIN\tB-PP\tO' +p225139 +aS':\t:\t:\tO\tO' +p225140 +aS'DR.\tDR.\tNNP\tB-NP\tB-DNA' +p225141 +aS'Eugene\tEugene\tNNP\tI-NP\tI-DNA' +p225142 +aS'Offutt\tOffutt\tNNP\tI-NP\tO' +p225143 +aS'on\ton\tIN\tB-PP\tO' +p225144 +aS':\t:\t:\tO\tO' +p225145 +aS'MON\tMON\tNN\tB-NP\tO' +p225146 +aS'2019-10-07\t2019-10-07\tCD\tI-NP\tO' +p225147 +aS'12:44\t12:44\tCD\tI-NP\tO' +p225148 +aS'PM\tPM\tNN\tI-NP\tO' +p225149 +asS'PT was 14.6 , PTT 77 with an INR of 1.4 .' +p225150 +(lp225151 +S'PT\tPT\tNN\tB-NP\tO' +p225152 +aS'was\tbe\tVBD\tB-VP\tO' +p225153 +aS'14.6\t14.6\tCD\tB-NP\tO' +p225154 +aS',\t,\t,\tO\tO' +p225155 +aS'PTT\tPTT\tNN\tB-NP\tO' +p225156 +aS'77\t77\tCD\tI-NP\tO' +p225157 +aS'with\twith\tIN\tB-PP\tO' +p225158 +aS'an\tan\tDT\tB-NP\tO' +p225159 +aS'INR\tINR\tNN\tI-NP\tB-protein' +p225160 +aS'of\tof\tIN\tB-PP\tO' +p225161 +aS'1.4\t1.4\tCD\tB-NP\tO' +p225162 +aS'.\t.\t.\tO\tO' +p225163 +asS'She received prn haldol w/ little effect and improved as her infection cleared .' +p225164 +(lp225165 +S'She\tShe\tPRP\tB-NP\tO' +p225166 +aS'received\treceive\tVBD\tB-VP\tO' +p225167 +aS'prn\tprn\tNN\tB-NP\tO' +p225168 +aS'haldol\thaldol\tNN\tI-NP\tO' +p225169 +aS'w/\tw/\tNN\tI-NP\tO' +p225170 +aS'little\tlittle\tJJ\tI-NP\tO' +p225171 +aS'effect\teffect\tNN\tI-NP\tO' +p225172 +aS'and\tand\tCC\tO\tO' +p225173 +aS'improved\timprove\tVBN\tB-VP\tO' +p225174 +aS'as\tas\tIN\tB-PP\tO' +p225175 +aS'her\ther\tPRP$\tB-NP\tO' +p225176 +aS'infection\tinfection\tNN\tI-NP\tO' +p225177 +aS'cleared\tclear\tVBD\tB-VP\tO' +p225178 +aS'.\t.\t.\tO\tO' +p225179 +asS'On physical examination the patient was both chronically and acutely ill , dyspneic , mildly febrile and with coarse rales in both bases .' +p225180 +(lp225181 +S'On\tOn\tIN\tB-PP\tO' +p225182 +aS'physical\tphysical\tJJ\tB-NP\tO' +p225183 +aS'examination\texamination\tNN\tI-NP\tO' +p225184 +aS'the\tthe\tDT\tB-NP\tO' +p225185 +aS'patient\tpatient\tNN\tI-NP\tO' +p225186 +aS'was\tbe\tVBD\tB-VP\tO' +p225187 +aS'both\tboth\tCC\tO\tO' +p225188 +aS'chronically\tchronically\tRB\tB-ADVP\tO' +p225189 +aS'and\tand\tCC\tO\tO' +p225190 +aS'acutely\tacutely\tRB\tB-ADJP\tO' +p225191 +aS'ill\till\tJJ\tI-ADJP\tO' +p225192 +aS',\t,\t,\tO\tO' +p225193 +aS'dyspneic\tdyspneic\tJJ\tB-ADJP\tO' +p225194 +aS',\t,\t,\tO\tO' +p225195 +aS'mildly\tmildly\tRB\tB-ADJP\tO' +p225196 +aS'febrile\tfebrile\tJJ\tI-ADJP\tO' +p225197 +aS'and\tand\tCC\tO\tO' +p225198 +aS'with\twith\tIN\tB-PP\tO' +p225199 +aS'coarse\tcoarse\tNN\tB-NP\tO' +p225200 +aS'rales\trale\tNNS\tI-NP\tO' +p225201 +aS'in\tin\tIN\tB-PP\tO' +p225202 +aS'both\tboth\tDT\tB-NP\tO' +p225203 +aS'bases\tbase\tNNS\tI-NP\tO' +p225204 +aS'.\t.\t.\tO\tO' +p225205 +asS'He was taken immediately post-operatively to the CSRU .' +p225206 +(lp225207 +S'He\tHe\tPRP\tB-NP\tO' +p225208 +aS'was\tbe\tVBD\tB-VP\tO' +p225209 +aS'taken\ttake\tVBN\tI-VP\tO' +p225210 +aS'immediately\timmediately\tRB\tB-ADJP\tO' +p225211 +aS'post-operatively\tpost-operatively\tRB\tI-ADJP\tO' +p225212 +aS'to\tto\tTO\tB-PP\tO' +p225213 +aS'the\tthe\tDT\tB-NP\tO' +p225214 +aS'CSRU\tCSRU\tNN\tI-NP\tB-DNA' +p225215 +aS'.\t.\t.\tO\tO' +p225216 +asS'Patient continued getting Acyclovir , Prednisone , MMF one gram b.i.d .' +p225217 +(lp225218 +S'Patient\tPatient\tNN\tB-NP\tO' +p225219 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p225220 +aS'getting\tget\tVBG\tI-VP\tO' +p225221 +aS'Acyclovir\tAcyclovir\tNN\tB-NP\tO' +p225222 +aS',\t,\t,\tO\tO' +p225223 +aS'Prednisone\tPrednisone\tNN\tB-NP\tO' +p225224 +aS',\t,\t,\tO\tO' +p225225 +aS'MMF\tMMF\tNN\tB-NP\tO' +p225226 +aS'one\tone\tCD\tI-NP\tO' +p225227 +aS'gram\tgram\tNN\tI-NP\tO' +p225228 +aS'b.i.d\tb.i.d\tNN\tI-NP\tO' +p225229 +aS'.\t.\t.\tO\tO' +p225230 +asS'Blood cultures and urine cultures were all negative .' +p225231 +(lp225232 +S'Blood\tBlood\tNN\tB-NP\tO' +p225233 +aS'cultures\tculture\tNNS\tI-NP\tO' +p225234 +aS'and\tand\tCC\tO\tO' +p225235 +aS'urine\turine\tNN\tB-NP\tB-cell_line' +p225236 +aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' +p225237 +aS'were\tbe\tVBD\tB-VP\tO' +p225238 +aS'all\tall\tDT\tO\tO' +p225239 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p225240 +aS'.\t.\t.\tO\tO' +p225241 +asS'His abdomen was negative .' +p225242 +(lp225243 +S'His\tHis\tPRP$\tB-NP\tO' +p225244 +aS'abdomen\tabdoman\tNNS\tI-NP\tO' +p225245 +aS'was\tbe\tVBD\tB-VP\tO' +p225246 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p225247 +aS'.\t.\t.\tO\tO' +p225248 +asS'The patient suffered some mild weakness which was attributed to stenosis of the distal right internal carotid artery .' +p225249 +(lp225250 +S'The\tThe\tDT\tB-NP\tO' +p225251 +aS'patient\tpatient\tNN\tI-NP\tO' +p225252 +aS'suffered\tsuffer\tVBD\tB-VP\tO' +p225253 +aS'some\tsome\tDT\tB-NP\tO' +p225254 +aS'mild\tmild\tJJ\tI-NP\tO' +p225255 +aS'weakness\tweakness\tNN\tI-NP\tO' +p225256 +aS'which\twhich\tWDT\tB-NP\tO' +p225257 +aS'was\tbe\tVBD\tB-VP\tO' +p225258 +aS'attributed\tattribute\tVBN\tI-VP\tO' +p225259 +aS'to\tto\tTO\tB-PP\tO' +p225260 +aS'stenosis\tstenosis\tNN\tB-NP\tO' +p225261 +aS'of\tof\tIN\tB-PP\tO' +p225262 +aS'the\tthe\tDT\tB-NP\tO' +p225263 +aS'distal\tdistal\tJJ\tI-NP\tO' +p225264 +aS'right\tright\tJJ\tI-NP\tO' +p225265 +aS'internal\tinternal\tJJ\tI-NP\tO' +p225266 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p225267 +aS'artery\tartery\tNN\tI-NP\tO' +p225268 +aS'.\t.\t.\tO\tO' +p225269 +asS'The Operating Room cultures at that point were positive for Crinobactermium with sputum cultures being sensitive for yeast and gram positive cocci in clusters .' +p225270 +(lp225271 +S'The\tThe\tDT\tB-NP\tO' +p225272 +aS'Operating\tOperating\tNNP\tI-NP\tB-cell_line' +p225273 +aS'Room\tRoom\tNNP\tI-NP\tI-cell_line' +p225274 +aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' +p225275 +aS'at\tat\tIN\tB-PP\tO' +p225276 +aS'that\tthat\tDT\tB-NP\tO' +p225277 +aS'point\tpoint\tNN\tI-NP\tO' +p225278 +aS'were\tbe\tVBD\tB-VP\tO' +p225279 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p225280 +aS'for\tfor\tIN\tB-PP\tO' +p225281 +aS'Crinobactermium\tCrinobactermium\tNN\tB-NP\tO' +p225282 +aS'with\twith\tIN\tB-PP\tO' +p225283 +aS'sputum\tsputum\tNN\tB-NP\tO' +p225284 +aS'cultures\tculture\tNNS\tI-NP\tO' +p225285 +aS'being\tbe\tVBG\tB-VP\tO' +p225286 +aS'sensitive\tsensitive\tJJ\tB-ADJP\tO' +p225287 +aS'for\tfor\tIN\tB-PP\tO' +p225288 +aS'yeast\tyeast\tNN\tB-NP\tO' +p225289 +aS'and\tand\tCC\tI-NP\tO' +p225290 +aS'gram\tgram\tNN\tI-NP\tO' +p225291 +aS'positive\tpositive\tJJ\tI-NP\tO' +p225292 +aS'cocci\tcoccus\tNNS\tI-NP\tO' +p225293 +aS'in\tin\tIN\tB-PP\tO' +p225294 +aS'clusters\tcluster\tNNS\tB-NP\tO' +p225295 +aS'.\t.\t.\tO\tO' +p225296 +asS'There is no evidence of intraaxial or extraaxial hemorrhage , mass effect , shift of normally midline structures , or acute major or minor vascular territorial infarction .' +p225297 +(lp225298 +S'There\tThere\tEX\tB-NP\tO' +p225299 +aS'is\tbe\tVBZ\tB-VP\tO' +p225300 +aS'no\tno\tDT\tB-NP\tO' +p225301 +aS'evidence\tevidence\tNN\tI-NP\tO' +p225302 +aS'of\tof\tIN\tB-PP\tO' +p225303 +aS'intraaxial\tintraaxial\tJJ\tB-NP\tO' +p225304 +aS'or\tor\tCC\tI-NP\tO' +p225305 +aS'extraaxial\textraaxial\tJJ\tI-NP\tO' +p225306 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p225307 +aS',\t,\t,\tO\tO' +p225308 +aS'mass\tmass\tNN\tB-NP\tO' +p225309 +aS'effect\teffect\tNN\tI-NP\tO' +p225310 +aS',\t,\t,\tO\tO' +p225311 +aS'shift\tshift\tNN\tB-NP\tO' +p225312 +aS'of\tof\tIN\tB-PP\tO' +p225313 +aS'normally\tnormally\tRB\tB-NP\tO' +p225314 +aS'midline\tmidline\tNN\tI-NP\tO' +p225315 +aS'structures\tstructure\tNNS\tI-NP\tO' +p225316 +aS',\t,\t,\tO\tO' +p225317 +aS'or\tor\tCC\tO\tO' +p225318 +aS'acute\tacute\tJJ\tB-NP\tO' +p225319 +aS'major\tmajor\tJJ\tI-NP\tO' +p225320 +aS'or\tor\tCC\tI-NP\tO' +p225321 +aS'minor\tminor\tJJ\tI-NP\tO' +p225322 +aS'vascular\tvascular\tJJ\tI-NP\tO' +p225323 +aS'territorial\tterritorial\tNN\tI-NP\tO' +p225324 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p225325 +aS'.\t.\t.\tO\tO' +p225326 +asS'2) Call with fever >101 , redness or drainage from incision , or weight gain more than 2 pounds in one day or five pounds in one week .' +p225327 +(lp225328 +S'2)\t2)\tLS\tB-LST\tO' +p225329 +aS'Call\tCall\tNN\tB-NP\tO' +p225330 +aS'with\twith\tIN\tB-PP\tO' +p225331 +aS'fever\tfever\tNN\tB-NP\tO' +p225332 +aS'>101\t>101\tNN\tI-NP\tO' +p225333 +aS',\t,\t,\tO\tO' +p225334 +aS'redness\tredness\tNN\tB-NP\tO' +p225335 +aS'or\tor\tCC\tO\tO' +p225336 +aS'drainage\tdrainage\tNN\tB-NP\tO' +p225337 +aS'from\tfrom\tIN\tB-PP\tO' +p225338 +aS'incision\tincision\tNN\tB-NP\tO' +p225339 +aS',\t,\t,\tO\tO' +p225340 +aS'or\tor\tCC\tO\tO' +p225341 +aS'weight\tweight\tNN\tB-NP\tO' +p225342 +aS'gain\tgain\tNN\tI-NP\tO' +p225343 +aS'more\tmore\tJJR\tB-NP\tO' +p225344 +aS'than\tthan\tIN\tI-NP\tO' +p225345 +aS'2\t2\tCD\tI-NP\tO' +p225346 +aS'pounds\tpound\tNNS\tI-NP\tO' +p225347 +aS'in\tin\tIN\tB-PP\tO' +p225348 +aS'one\tone\tCD\tB-NP\tO' +p225349 +aS'day\tday\tNN\tI-NP\tO' +p225350 +aS'or\tor\tCC\tO\tO' +p225351 +aS'five\tfive\tCD\tB-NP\tO' +p225352 +aS'pounds\tpound\tNNS\tI-NP\tO' +p225353 +aS'in\tin\tIN\tB-PP\tO' +p225354 +aS'one\tone\tCD\tB-NP\tO' +p225355 +aS'week\tweek\tNN\tI-NP\tO' +p225356 +aS'.\t.\t.\tO\tO' +p225357 +asS'There was a tiny amount of free air .' +p225358 +(lp225359 +S'There\tThere\tEX\tB-NP\tO' +p225360 +aS'was\tbe\tVBD\tB-VP\tO' +p225361 +aS'a\ta\tDT\tB-NP\tO' +p225362 +aS'tiny\ttiny\tJJ\tI-NP\tO' +p225363 +aS'amount\tamount\tNN\tI-NP\tO' +p225364 +aS'of\tof\tIN\tB-PP\tO' +p225365 +aS'free\tfree\tJJ\tB-NP\tO' +p225366 +aS'air\tair\tNN\tI-NP\tO' +p225367 +aS'.\t.\t.\tO\tO' +p225368 +asS'Cough , rhinorrhea , dehydration .' +p225369 +(lp225370 +S'Cough\tCough\tNN\tB-NP\tO' +p225371 +aS',\t,\t,\tO\tO' +p225372 +aS'rhinorrhea\trhinorrhea\tNN\tB-NP\tO' +p225373 +aS',\t,\t,\tO\tO' +p225374 +aS'dehydration\tdehydration\tNN\tB-NP\tO' +p225375 +aS'.\t.\t.\tO\tO' +p225376 +asS'9. Lactulose 30 cc p.o. q.6h. p.r.n. for constipation .' +p225377 +(lp225378 +S'9.\t9.\tCD\tB-NP\tO' +p225379 +aS'Lactulose\tLactulose\tNN\tI-NP\tO' +p225380 +aS'30\t30\tCD\tB-NP\tO' +p225381 +aS'cc\tcc\tNN\tI-NP\tO' +p225382 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p225383 +aS'q.6h.\tq.6h.\tNN\tI-NP\tO' +p225384 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p225385 +aS'for\tfor\tIN\tB-PP\tO' +p225386 +aS'constipation\tconstipation\tNN\tB-NP\tO' +p225387 +aS'.\t.\t.\tO\tO' +p225388 +asS'1. Left breast status post radical mastectomy in 2002 with adjuvant Tamoxifen for five years .' +p225389 +(lp225390 +S'1.\t1.\tLS\tB-NP\tO' +p225391 +aS'Left\tLeave\tVBN\tI-NP\tO' +p225392 +aS'breast\tbreast\tNN\tI-NP\tO' +p225393 +aS'status\tstatus\tNN\tI-NP\tO' +p225394 +aS'post\tpost\tNN\tI-NP\tO' +p225395 +aS'radical\tradical\tJJ\tI-NP\tO' +p225396 +aS'mastectomy\tmastectomy\tNN\tI-NP\tO' +p225397 +aS'in\tin\tIN\tB-PP\tO' +p225398 +aS'2002\t2002\tCD\tB-NP\tO' +p225399 +aS'with\twith\tIN\tB-PP\tO' +p225400 +aS'adjuvant\tadjuvant\tJJ\tB-NP\tO' +p225401 +aS'Tamoxifen\tTamoxifen\tNN\tI-NP\tO' +p225402 +aS'for\tfor\tIN\tB-PP\tO' +p225403 +aS'five\tfive\tCD\tB-NP\tO' +p225404 +aS'years\tyear\tNNS\tI-NP\tO' +p225405 +aS'.\t.\t.\tO\tO' +p225406 +asS'In 2011-05-02 , he was requiring more ativan to control his seizures , and was increasingly disoriented and forgetful with headaches .' +p225407 +(lp225408 +S'In\tIn\tIN\tB-PP\tO' +p225409 +aS'2011-05-02\t2011-05-02\tCD\tB-NP\tO' +p225410 +aS',\t,\t,\tO\tO' +p225411 +aS'he\the\tPRP\tB-NP\tO' +p225412 +aS'was\tbe\tVBD\tB-VP\tO' +p225413 +aS'requiring\trequire\tVBG\tI-VP\tO' +p225414 +aS'more\tmore\tJJR\tB-NP\tO' +p225415 +aS'ativan\tativan\tNN\tI-NP\tO' +p225416 +aS'to\tto\tTO\tB-VP\tO' +p225417 +aS'control\tcontrol\tVB\tI-VP\tO' +p225418 +aS'his\this\tPRP$\tB-NP\tO' +p225419 +aS'seizures\tseizure\tNNS\tI-NP\tO' +p225420 +aS',\t,\t,\tO\tO' +p225421 +aS'and\tand\tCC\tO\tO' +p225422 +aS'was\tbe\tVBD\tB-VP\tO' +p225423 +aS'increasingly\tincreasingly\tRB\tB-ADJP\tO' +p225424 +aS'disoriented\tdisoriented\tJJ\tI-ADJP\tO' +p225425 +aS'and\tand\tCC\tI-ADJP\tO' +p225426 +aS'forgetful\tforgetful\tJJ\tI-ADJP\tO' +p225427 +aS'with\twith\tIN\tB-PP\tO' +p225428 +aS'headaches\theadache\tNNS\tB-NP\tO' +p225429 +aS'.\t.\t.\tO\tO' +p225430 +asS'FVC was 1.6 or 58 percent of predicted and FEV1 0.95 or 45 percent of predicted .' +p225431 +(lp225432 +S'FVC\tFVC\tNN\tB-NP\tO' +p225433 +aS'was\tbe\tVBD\tB-VP\tO' +p225434 +aS'1.6\t1.6\tCD\tB-NP\tO' +p225435 +aS'or\tor\tCC\tI-NP\tO' +p225436 +aS'58\t58\tCD\tI-NP\tO' +p225437 +aS'percent\tpercent\tNN\tI-NP\tO' +p225438 +aS'of\tof\tIN\tB-PP\tO' +p225439 +aS'predicted\tpredict\tVBN\tB-NP\tO' +p225440 +aS'and\tand\tCC\tI-NP\tO' +p225441 +aS'FEV1\tFEV1\tNN\tI-NP\tO' +p225442 +aS'0.95\t0.95\tCD\tI-NP\tO' +p225443 +aS'or\tor\tCC\tI-NP\tO' +p225444 +aS'45\t45\tCD\tI-NP\tO' +p225445 +aS'percent\tpercent\tNN\tI-NP\tO' +p225446 +aS'of\tof\tIN\tB-PP\tO' +p225447 +aS'predicted\tpredict\tVBN\tB-NP\tO' +p225448 +aS'.\t.\t.\tO\tO' +p225449 +asS'See below for contact information .' +p225450 +(lp225451 +S'See\tSee\tVB\tB-VP\tO' +p225452 +aS'below\tbelow\tIN\tB-PP\tO' +p225453 +aS'for\tfor\tIN\tB-PP\tO' +p225454 +aS'contact\tcontact\tNN\tB-NP\tO' +p225455 +aS'information\tinformation\tNN\tI-NP\tO' +p225456 +aS'.\t.\t.\tO\tO' +p225457 +asS'He will be scheduled for an MRI scan , Neurology consult , and an EEG next week as an out patient .' +p225458 +(lp225459 +S'He\tHe\tPRP\tB-NP\tO' +p225460 +aS'will\twill\tMD\tB-VP\tO' +p225461 +aS'be\tbe\tVB\tI-VP\tO' +p225462 +aS'scheduled\tschedule\tVBN\tI-VP\tO' +p225463 +aS'for\tfor\tIN\tB-PP\tO' +p225464 +aS'an\tan\tDT\tB-NP\tO' +p225465 +aS'MRI\tMRI\tNN\tI-NP\tO' +p225466 +aS'scan\tscan\tNN\tI-NP\tO' +p225467 +aS',\t,\t,\tO\tO' +p225468 +aS'Neurology\tNeurology\tNNP\tB-NP\tO' +p225469 +aS'consult\tconsult\tNN\tI-NP\tO' +p225470 +aS',\t,\t,\tO\tO' +p225471 +aS'and\tand\tCC\tO\tO' +p225472 +aS'an\tan\tDT\tB-NP\tO' +p225473 +aS'EEG\tEEG\tNN\tI-NP\tB-protein' +p225474 +aS'next\tnext\tJJ\tB-NP\tI-protein' +p225475 +aS'week\tweek\tNN\tI-NP\tI-protein' +p225476 +aS'as\tas\tIN\tB-PP\tO' +p225477 +aS'an\tan\tDT\tB-NP\tO' +p225478 +aS'out\tout\tJJ\tI-NP\tO' +p225479 +aS'patient\tpatient\tNN\tI-NP\tO' +p225480 +aS'.\t.\t.\tO\tO' +p225481 +asS'The patient had an MRI at an outside hospital which showed enlarged lateral ventricles and the possible diagnosis of normal pressure hydrocephalus was entertained and the patient was admitted for diagnostic lumbar puncture .' +p225482 +(lp225483 +S'The\tThe\tDT\tB-NP\tO' +p225484 +aS'patient\tpatient\tNN\tI-NP\tO' +p225485 +aS'had\thave\tVBD\tB-VP\tO' +p225486 +aS'an\tan\tDT\tB-NP\tO' +p225487 +aS'MRI\tMRI\tNN\tI-NP\tO' +p225488 +aS'at\tat\tIN\tB-PP\tO' +p225489 +aS'an\tan\tDT\tB-NP\tO' +p225490 +aS'outside\toutside\tJJ\tI-NP\tO' +p225491 +aS'hospital\thospital\tNN\tI-NP\tO' +p225492 +aS'which\twhich\tWDT\tB-NP\tO' +p225493 +aS'showed\tshow\tVBD\tB-VP\tO' +p225494 +aS'enlarged\tenlarged\tJJ\tB-NP\tO' +p225495 +aS'lateral\tlateral\tJJ\tI-NP\tO' +p225496 +aS'ventricles\tventricle\tNNS\tI-NP\tO' +p225497 +aS'and\tand\tCC\tO\tO' +p225498 +aS'the\tthe\tDT\tB-NP\tO' +p225499 +aS'possible\tpossible\tJJ\tI-NP\tO' +p225500 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p225501 +aS'of\tof\tIN\tB-PP\tO' +p225502 +aS'normal\tnormal\tJJ\tB-NP\tO' +p225503 +aS'pressure\tpressure\tNN\tI-NP\tO' +p225504 +aS'hydrocephalus\thydrocephalus\tNN\tI-NP\tO' +p225505 +aS'was\tbe\tVBD\tB-VP\tO' +p225506 +aS'entertained\tentertain\tVBN\tI-VP\tO' +p225507 +aS'and\tand\tCC\tO\tO' +p225508 +aS'the\tthe\tDT\tB-NP\tO' +p225509 +aS'patient\tpatient\tNN\tI-NP\tO' +p225510 +aS'was\tbe\tVBD\tB-VP\tO' +p225511 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p225512 +aS'for\tfor\tIN\tB-PP\tO' +p225513 +aS'diagnostic\tdiagnostic\tJJ\tB-NP\tO' +p225514 +aS'lumbar\tlumbar\tNN\tI-NP\tO' +p225515 +aS'puncture\tpuncture\tNN\tI-NP\tO' +p225516 +aS'.\t.\t.\tO\tO' +p225517 +asS'She was intially treated with erythromycin for pro-motility as she had a bad reaction to reglan in the past .' +p225518 +(lp225519 +S'She\tShe\tPRP\tB-NP\tO' +p225520 +aS'was\tbe\tVBD\tB-VP\tO' +p225521 +aS'intially\tintially\tRB\tI-VP\tO' +p225522 +aS'treated\ttreat\tVBN\tI-VP\tO' +p225523 +aS'with\twith\tIN\tB-PP\tO' +p225524 +aS'erythromycin\terythromycin\tNN\tB-NP\tO' +p225525 +aS'for\tfor\tIN\tB-PP\tO' +p225526 +aS'pro-motility\tpro-motility\tNN\tB-NP\tO' +p225527 +aS'as\tas\tIN\tB-SBAR\tO' +p225528 +aS'she\tshe\tPRP\tB-NP\tO' +p225529 +aS'had\thave\tVBD\tB-VP\tO' +p225530 +aS'a\ta\tDT\tB-NP\tO' +p225531 +aS'bad\tbad\tJJ\tI-NP\tO' +p225532 +aS'reaction\treaction\tNN\tI-NP\tO' +p225533 +aS'to\tto\tTO\tB-VP\tO' +p225534 +aS'reglan\treglan\tVB\tI-VP\tO' +p225535 +aS'in\tin\tIN\tB-PP\tO' +p225536 +aS'the\tthe\tDT\tB-NP\tO' +p225537 +aS'past\tpast\tNN\tI-NP\tO' +p225538 +aS'.\t.\t.\tO\tO' +p225539 +asS'The patient presented with a chief complaint of SSCP .' +p225540 +(lp225541 +S'The\tThe\tDT\tB-NP\tO' +p225542 +aS'patient\tpatient\tNN\tI-NP\tO' +p225543 +aS'presented\tpresent\tVBD\tB-VP\tO' +p225544 +aS'with\twith\tIN\tB-PP\tO' +p225545 +aS'a\ta\tDT\tB-NP\tO' +p225546 +aS'chief\tchief\tJJ\tI-NP\tO' +p225547 +aS'complaint\tcomplaint\tNN\tI-NP\tO' +p225548 +aS'of\tof\tIN\tB-PP\tO' +p225549 +aS'SSCP\tSSCP\tNN\tB-NP\tB-protein' +p225550 +aS'.\t.\t.\tO\tO' +p225551 +asS'Had expected prolonged post-op extubation in PACU given COPD history , as with colon CA resection surgery .' +p225552 +(lp225553 +S'Had\tHave\tVBD\tB-VP\tO' +p225554 +aS'expected\texpect\tVBN\tI-VP\tO' +p225555 +aS'prolonged\tprolonged\tJJ\tB-NP\tO' +p225556 +aS'post-op\tpost-op\tJJ\tI-NP\tO' +p225557 +aS'extubation\textubation\tNN\tI-NP\tO' +p225558 +aS'in\tin\tIN\tB-PP\tO' +p225559 +aS'PACU\tPACU\tNN\tB-NP\tO' +p225560 +aS'given\tgive\tVBN\tI-NP\tO' +p225561 +aS'COPD\tCOPD\tNN\tI-NP\tO' +p225562 +aS'history\thistory\tNN\tI-NP\tO' +p225563 +aS',\t,\t,\tO\tO' +p225564 +aS'as\tas\tIN\tB-PP\tO' +p225565 +aS'with\twith\tIN\tB-PP\tO' +p225566 +aS'colon\tcolon\tNN\tB-NP\tO' +p225567 +aS'CA\tCA\tNN\tI-NP\tO' +p225568 +aS'resection\tresection\tNN\tI-NP\tO' +p225569 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p225570 +aS'.\t.\t.\tO\tO' +p225571 +asS'The patient can have voiding trials at rehab and he is being maintained on Flomax .' +p225572 +(lp225573 +S'The\tThe\tDT\tB-NP\tO' +p225574 +aS'patient\tpatient\tNN\tI-NP\tO' +p225575 +aS'can\tcan\tMD\tB-VP\tO' +p225576 +aS'have\thave\tVB\tI-VP\tO' +p225577 +aS'voiding\tvoid\tVBG\tI-VP\tO' +p225578 +aS'trials\ttrial\tNNS\tB-NP\tO' +p225579 +aS'at\tat\tIN\tB-PP\tO' +p225580 +aS'rehab\trehab\tNN\tB-NP\tO' +p225581 +aS'and\tand\tCC\tO\tO' +p225582 +aS'he\the\tPRP\tB-NP\tO' +p225583 +aS'is\tbe\tVBZ\tB-VP\tO' +p225584 +aS'being\tbe\tVBG\tI-VP\tO' +p225585 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p225586 +aS'on\ton\tIN\tB-PP\tO' +p225587 +aS'Flomax\tFlomax\tNN\tB-NP\tO' +p225588 +aS'.\t.\t.\tO\tO' +p225589 +asS'Motor : Normal bulk and tone bilaterally .' +p225590 +(lp225591 +S'Motor\tMotor\tNN\tB-NP\tO' +p225592 +aS':\t:\t:\tO\tO' +p225593 +aS'Normal\tNormal\tJJ\tB-NP\tO' +p225594 +aS'bulk\tbulk\tNN\tI-NP\tO' +p225595 +aS'and\tand\tCC\tI-NP\tO' +p225596 +aS'tone\ttone\tNN\tI-NP\tO' +p225597 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p225598 +aS'.\t.\t.\tO\tO' +p225599 +asS'1. Type II diabetes mellitus diagnosed 06/94 , well-controlled with last hemoglobin A1C 6.2' +p225600 +(lp225601 +S'1.\t1.\tLS\tB-NP\tO' +p225602 +aS'Type\tType\tNN\tI-NP\tB-protein' +p225603 +aS'II\tII\tCD\tI-NP\tI-protein' +p225604 +aS'diabetes\tdiabete\tNNS\tI-NP\tI-protein' +p225605 +aS'mellitus\tmellitus\tNN\tI-NP\tI-protein' +p225606 +aS'diagnosed\tdiagnose\tVBN\tB-VP\tI-protein' +p225607 +aS'06/94\t06/94\tCD\tB-NP\tI-protein' +p225608 +aS',\t,\t,\tO\tO' +p225609 +aS'well-controlled\twell-controlled\tJJ\tB-ADJP\tO' +p225610 +aS'with\twith\tIN\tB-PP\tO' +p225611 +aS'last\tlast\tJJ\tB-NP\tO' +p225612 +aS'hemoglobin\themoglobin\tNN\tI-NP\tO' +p225613 +aS'A1C\tA1C\tNN\tI-NP\tO' +p225614 +aS'6.2\t6.2\tCD\tI-NP\tO' +p225615 +asS'Mr. Vessels is a 49-year-old man status post orthotopic heart transplantation in 1991 at Dautenorwe Stuart Erec Hillpa Of Hospital who is admitted with dyspnea and severe heart failure .' +p225616 +(lp225617 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p225618 +aS'Vessels\tVessels\tNNP\tI-NP\tO' +p225619 +aS'is\tbe\tVBZ\tB-VP\tO' +p225620 +aS'a\ta\tDT\tB-NP\tO' +p225621 +aS'49-year-old\t49-year-old\tJJ\tI-NP\tO' +p225622 +aS'man\tman\tNN\tI-NP\tO' +p225623 +aS'status\tstatus\tNN\tI-NP\tO' +p225624 +aS'post\tpost\tNN\tI-NP\tO' +p225625 +aS'orthotopic\torthotopic\tJJ\tI-NP\tO' +p225626 +aS'heart\theart\tNN\tI-NP\tO' +p225627 +aS'transplantation\ttransplantation\tNN\tI-NP\tO' +p225628 +aS'in\tin\tIN\tB-PP\tO' +p225629 +aS'1991\t1991\tCD\tB-NP\tO' +p225630 +aS'at\tat\tIN\tB-PP\tO' +p225631 +aS'Dautenorwe\tDautenorwe\tNNP\tB-NP\tO' +p225632 +aS'Stuart\tStuart\tNNP\tI-NP\tO' +p225633 +aS'Erec\tErec\tNNP\tI-NP\tO' +p225634 +aS'Hillpa\tHillpa\tNNP\tI-NP\tO' +p225635 +aS'Of\tOf\tNNP\tI-NP\tO' +p225636 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p225637 +aS'who\twho\tWP\tB-NP\tO' +p225638 +aS'is\tbe\tVBZ\tB-VP\tO' +p225639 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p225640 +aS'with\twith\tIN\tB-PP\tO' +p225641 +aS'dyspnea\tdyspnea\tNN\tB-NP\tO' +p225642 +aS'and\tand\tCC\tO\tO' +p225643 +aS'severe\tsevere\tJJ\tB-NP\tO' +p225644 +aS'heart\theart\tNN\tI-NP\tO' +p225645 +aS'failure\tfailure\tNN\tI-NP\tO' +p225646 +aS'.\t.\t.\tO\tO' +p225647 +asS'The ventricles do not appear dilated relative to the sulci , and there is no shift of normally midline structures .' +p225648 +(lp225649 +S'The\tThe\tDT\tB-NP\tO' +p225650 +aS'ventricles\tventricle\tNNS\tI-NP\tO' +p225651 +aS'do\tdo\tVBP\tB-VP\tO' +p225652 +aS'not\tnot\tRB\tI-VP\tO' +p225653 +aS'appear\tappear\tVB\tI-VP\tO' +p225654 +aS'dilated\tdilate\tVBN\tI-VP\tO' +p225655 +aS'relative\trelative\tJJ\tB-ADVP\tO' +p225656 +aS'to\tto\tTO\tB-PP\tO' +p225657 +aS'the\tthe\tDT\tB-NP\tO' +p225658 +aS'sulci\tsulcus\tNNS\tI-NP\tO' +p225659 +aS',\t,\t,\tO\tO' +p225660 +aS'and\tand\tCC\tO\tO' +p225661 +aS'there\tthere\tEX\tB-NP\tO' +p225662 +aS'is\tbe\tVBZ\tB-VP\tO' +p225663 +aS'no\tno\tDT\tB-NP\tO' +p225664 +aS'shift\tshift\tNN\tI-NP\tO' +p225665 +aS'of\tof\tIN\tB-PP\tO' +p225666 +aS'normally\tnormally\tRB\tB-NP\tO' +p225667 +aS'midline\tmidline\tNN\tI-NP\tO' +p225668 +aS'structures\tstructure\tNNS\tI-NP\tO' +p225669 +aS'.\t.\t.\tO\tO' +p225670 +asS'6. Metoprolol Tartrate 25 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ).' +p225671 +(lp225672 +S'6.\t6.\tLS\tB-NP\tO' +p225673 +aS'Metoprolol\tMetoprolol\tNN\tI-NP\tO' +p225674 +aS'Tartrate\tTartrate\tNN\tI-NP\tO' +p225675 +aS'25\t25\tCD\tI-NP\tO' +p225676 +aS'mg\tmg\tNN\tI-NP\tO' +p225677 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p225678 +aS'Sig\tSig\tNNP\tI-NP\tO' +p225679 +aS':\t:\t:\tO\tO' +p225680 +aS'One\tOne\tCD\tB-NP\tO' +p225681 +aS'(\t(\t(\tO\tO' +p225682 +aS'1\t1\tCD\tB-NP\tO' +p225683 +aS')\t)\t)\tO\tO' +p225684 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p225685 +aS'PO\tPO\tNN\tI-NP\tO' +p225686 +aS'BID\tBID\tNN\tI-NP\tO' +p225687 +aS'(\t(\t(\tO\tO' +p225688 +aS'2\t2\tCD\tB-NP\tO' +p225689 +aS'times\ttime\tNNS\tI-NP\tO' +p225690 +aS'a\ta\tDT\tB-NP\tO' +p225691 +aS'day\tday\tNN\tI-NP\tO' +p225692 +aS').\t).\t.\tO\tO' +p225693 +asS'She was hemodynamically stable upon admission with normal blood pressures and heart rate .' +p225694 +(lp225695 +S'She\tShe\tPRP\tB-NP\tO' +p225696 +aS'was\tbe\tVBD\tB-VP\tO' +p225697 +aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' +p225698 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p225699 +aS'upon\tupon\tIN\tB-PP\tO' +p225700 +aS'admission\tadmission\tNN\tB-NP\tO' +p225701 +aS'with\twith\tIN\tB-PP\tO' +p225702 +aS'normal\tnormal\tJJ\tB-NP\tO' +p225703 +aS'blood\tblood\tNN\tI-NP\tO' +p225704 +aS'pressures\tpressure\tNNS\tI-NP\tO' +p225705 +aS'and\tand\tCC\tO\tO' +p225706 +aS'heart\theart\tNN\tB-NP\tO' +p225707 +aS'rate\trate\tNN\tI-NP\tO' +p225708 +aS'.\t.\t.\tO\tO' +p225709 +asS'The patient was planned for a 7 day course of stress dose steroids followed by a return to her basal predinisone / fludrocortisone dose .' +p225710 +(lp225711 +S'The\tThe\tDT\tB-NP\tO' +p225712 +aS'patient\tpatient\tNN\tI-NP\tO' +p225713 +aS'was\tbe\tVBD\tB-VP\tO' +p225714 +aS'planned\tplan\tVBN\tI-VP\tO' +p225715 +aS'for\tfor\tIN\tB-PP\tO' +p225716 +aS'a\ta\tDT\tB-NP\tO' +p225717 +aS'7\t7\tCD\tI-NP\tO' +p225718 +aS'day\tday\tNN\tI-NP\tO' +p225719 +aS'course\tcourse\tNN\tI-NP\tO' +p225720 +aS'of\tof\tIN\tB-PP\tO' +p225721 +aS'stress\tstress\tNN\tB-NP\tO' +p225722 +aS'dose\tdose\tNN\tI-NP\tO' +p225723 +aS'steroids\tsteroid\tNNS\tI-NP\tO' +p225724 +aS'followed\tfollow\tVBN\tB-VP\tO' +p225725 +aS'by\tby\tIN\tB-PP\tO' +p225726 +aS'a\ta\tDT\tB-NP\tO' +p225727 +aS'return\treturn\tNN\tI-NP\tO' +p225728 +aS'to\tto\tTO\tB-PP\tO' +p225729 +aS'her\ther\tPRP$\tB-NP\tO' +p225730 +aS'basal\tbasal\tJJ\tI-NP\tO' +p225731 +aS'predinisone\tpredinisone\tNN\tI-NP\tO' +p225732 +aS'/\t/\tSYM\tB-VP\tO' +p225733 +aS'fludrocortisone\tfludrocortisone\tNN\tB-NP\tO' +p225734 +aS'dose\tdose\tNN\tI-NP\tO' +p225735 +aS'.\t.\t.\tO\tO' +p225736 +asS'Hepatitis serologies were negative and the pt was eventually felt to have had shock liver from her hypotensive episode as the transaminitis resolved over time .' +p225737 +(lp225738 +S'Hepatitis\tHepatitis\tNN\tB-NP\tO' +p225739 +aS'serologies\tserology\tNNS\tI-NP\tO' +p225740 +aS'were\tbe\tVBD\tB-VP\tO' +p225741 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p225742 +aS'and\tand\tCC\tO\tO' +p225743 +aS'the\tthe\tDT\tB-NP\tO' +p225744 +aS'pt\tpt\tNN\tI-NP\tO' +p225745 +aS'was\tbe\tVBD\tB-VP\tO' +p225746 +aS'eventually\teventually\tRB\tI-VP\tO' +p225747 +aS'felt\tfeel\tVBN\tI-VP\tO' +p225748 +aS'to\tto\tTO\tI-VP\tO' +p225749 +aS'have\thave\tVB\tI-VP\tO' +p225750 +aS'had\thave\tVBN\tI-VP\tO' +p225751 +aS'shock\tshock\tNN\tB-NP\tO' +p225752 +aS'liver\tliver\tNN\tI-NP\tO' +p225753 +aS'from\tfrom\tIN\tB-PP\tO' +p225754 +aS'her\ther\tPRP$\tB-NP\tO' +p225755 +aS'hypotensive\thypotensive\tJJ\tI-NP\tO' +p225756 +aS'episode\tepisode\tNN\tI-NP\tO' +p225757 +aS'as\tas\tIN\tB-PP\tO' +p225758 +aS'the\tthe\tDT\tB-NP\tO' +p225759 +aS'transaminitis\ttransaminitis\tNN\tI-NP\tO' +p225760 +aS'resolved\tresolve\tVBN\tB-VP\tO' +p225761 +aS'over\tover\tIN\tB-PP\tO' +p225762 +aS'time\ttime\tNN\tB-NP\tO' +p225763 +aS'.\t.\t.\tO\tO' +p225764 +asS'Ruled out for MI .' +p225765 +(lp225766 +S'Ruled\tRule\tVBN\tB-VP\tO' +p225767 +aS'out\tout\tRP\tB-PRT\tO' +p225768 +aS'for\tfor\tIN\tB-PP\tO' +p225769 +aS'MI\tMI\tNN\tB-NP\tO' +p225770 +aS'.\t.\t.\tO\tO' +p225771 +asS'On vit C. and zinc as well to aid w/ wound healing .' +p225772 +(lp225773 +S'On\tOn\tIN\tB-PP\tO' +p225774 +aS'vit\tvit\tNN\tB-NP\tO' +p225775 +aS'C.\tC.\tNN\tI-NP\tO' +p225776 +aS'and\tand\tCC\tI-NP\tO' +p225777 +aS'zinc\tzinc\tNN\tI-NP\tO' +p225778 +aS'as\tas\tRB\tB-ADVP\tO' +p225779 +aS'well\twell\tRB\tI-ADVP\tO' +p225780 +aS'to\tto\tTO\tB-VP\tO' +p225781 +aS'aid\taid\tVB\tI-VP\tO' +p225782 +aS'w/\tw/\tNN\tB-NP\tO' +p225783 +aS'wound\twound\tNN\tI-NP\tO' +p225784 +aS'healing\thealing\tNN\tI-NP\tO' +p225785 +aS'.\t.\t.\tO\tO' +p225786 +asS'After extubation her o2 requirement was down to 1L NC with sats in mid 90s .' +p225787 +(lp225788 +S'After\tAfter\tIN\tB-PP\tO' +p225789 +aS'extubation\textubation\tNN\tB-NP\tO' +p225790 +aS'her\ther\tPRP$\tB-NP\tO' +p225791 +aS'o2\to2\tNN\tI-NP\tO' +p225792 +aS'requirement\trequirement\tNN\tI-NP\tO' +p225793 +aS'was\tbe\tVBD\tB-VP\tO' +p225794 +aS'down\tdown\tRB\tB-ADVP\tO' +p225795 +aS'to\tto\tTO\tB-PP\tO' +p225796 +aS'1L\t1L\tNN\tB-NP\tO' +p225797 +aS'NC\tNC\tNN\tI-NP\tO' +p225798 +aS'with\twith\tIN\tB-PP\tO' +p225799 +aS'sats\tsat\tNNS\tB-NP\tO' +p225800 +aS'in\tin\tIN\tB-PP\tO' +p225801 +aS'mid\tmid\tJJ\tB-NP\tO' +p225802 +aS'90s\t90\tNNS\tI-NP\tO' +p225803 +aS'.\t.\t.\tO\tO' +p225804 +asS'Included a white blood count of 140,000 , 7% polys , 1% bands , 3% lymphs , 1% monos , 2 basos , 4 blasts , 76% pearl monocytes , 6% meta 's , 3 nucleated red blood cells .' +p225805 +(lp225806 +S'Included\tInclude\tVBD\tB-VP\tO' +p225807 +aS'a\ta\tDT\tB-NP\tO' +p225808 +aS'white\twhite\tJJ\tI-NP\tO' +p225809 +aS'blood\tblood\tNN\tI-NP\tO' +p225810 +aS'count\tcount\tNN\tI-NP\tO' +p225811 +aS'of\tof\tIN\tB-PP\tO' +p225812 +aS'140,000\t140,000\tCD\tB-NP\tO' +p225813 +aS',\t,\t,\tO\tO' +p225814 +aS'7%\t7%\tCD\tB-NP\tO' +p225815 +aS'polys\tpoly\tNNS\tI-NP\tO' +p225816 +aS',\t,\t,\tO\tO' +p225817 +aS'1%\t1%\tNN\tB-NP\tO' +p225818 +aS'bands\tband\tNNS\tI-NP\tO' +p225819 +aS',\t,\t,\tO\tO' +p225820 +aS'3%\t3%\tNN\tB-NP\tO' +p225821 +aS'lymphs\tlymph\tNNS\tI-NP\tO' +p225822 +aS',\t,\t,\tO\tO' +p225823 +aS'1%\t1%\tNN\tB-NP\tO' +p225824 +aS'monos\tmono\tNNS\tI-NP\tO' +p225825 +aS',\t,\t,\tO\tO' +p225826 +aS'2\t2\tCD\tB-NP\tO' +p225827 +aS'basos\tbaso\tNNS\tI-NP\tO' +p225828 +aS',\t,\t,\tO\tO' +p225829 +aS'4\t4\tCD\tB-NP\tO' +p225830 +aS'blasts\tblast\tNNS\tI-NP\tO' +p225831 +aS',\t,\t,\tO\tO' +p225832 +aS'76%\t76%\tCD\tB-NP\tO' +p225833 +aS'pearl\tpearl\tNN\tI-NP\tO' +p225834 +aS'monocytes\tmonocyte\tNNS\tI-NP\tO' +p225835 +aS',\t,\t,\tO\tO' +p225836 +aS'6%\t6%\tCD\tB-NP\tO' +p225837 +aS'meta\tmeta\tJJ\tI-NP\tO' +p225838 +aS''s\t'\tNNS\tI-NP\tO' +p225839 +aS',\t,\t,\tO\tO' +p225840 +aS'3\t3\tCD\tB-NP\tO' +p225841 +aS'nucleated\tnucleated\tJJ\tI-NP\tO' +p225842 +aS'red\tred\tJJ\tI-NP\tO' +p225843 +aS'blood\tblood\tNN\tI-NP\tO' +p225844 +aS'cells\tcell\tNNS\tI-NP\tO' +p225845 +aS'.\t.\t.\tO\tO' +p225846 +asS'Heart has a regular rate and rhythm .' +p225847 +(lp225848 +S'Heart\tHeart\tNNP\tB-NP\tO' +p225849 +aS'has\thave\tVBZ\tB-VP\tO' +p225850 +aS'a\ta\tDT\tB-NP\tO' +p225851 +aS'regular\tregular\tJJ\tI-NP\tO' +p225852 +aS'rate\trate\tNN\tI-NP\tO' +p225853 +aS'and\tand\tCC\tI-NP\tO' +p225854 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p225855 +aS'.\t.\t.\tO\tO' +p225856 +asS'The neurological examination was appropriate for age with normal tone and strength and appropriate reflexes .' +p225857 +(lp225858 +S'The\tThe\tDT\tB-NP\tO' +p225859 +aS'neurological\tneurological\tJJ\tI-NP\tO' +p225860 +aS'examination\texamination\tNN\tI-NP\tO' +p225861 +aS'was\tbe\tVBD\tB-VP\tO' +p225862 +aS'appropriate\tappropriate\tJJ\tB-ADJP\tO' +p225863 +aS'for\tfor\tIN\tB-PP\tO' +p225864 +aS'age\tage\tNN\tB-NP\tO' +p225865 +aS'with\twith\tIN\tB-PP\tO' +p225866 +aS'normal\tnormal\tJJ\tB-NP\tO' +p225867 +aS'tone\ttone\tNN\tI-NP\tO' +p225868 +aS'and\tand\tCC\tI-NP\tO' +p225869 +aS'strength\tstrength\tNN\tI-NP\tO' +p225870 +aS'and\tand\tCC\tO\tO' +p225871 +aS'appropriate\tappropriate\tJJ\tB-NP\tO' +p225872 +aS'reflexes\treflex\tNNS\tI-NP\tO' +p225873 +aS'.\t.\t.\tO\tO' +p225874 +asS'Pt had multiple head CT s which ruled out progression of astrocytoma .' +p225875 +(lp225876 +S'Pt\tPt\tNN\tB-NP\tO' +p225877 +aS'had\thave\tVBD\tB-VP\tO' +p225878 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p225879 +aS'head\thead\tNN\tI-NP\tO' +p225880 +aS'CT\tCT\tNN\tI-NP\tO' +p225881 +aS's\ts\tNNS\tI-NP\tO' +p225882 +aS'which\twhich\tWDT\tB-NP\tO' +p225883 +aS'ruled\trule\tVBD\tB-VP\tO' +p225884 +aS'out\tout\tRP\tB-PRT\tO' +p225885 +aS'progression\tprogression\tNN\tB-NP\tO' +p225886 +aS'of\tof\tIN\tB-PP\tO' +p225887 +aS'astrocytoma\tastrocytoma\tNN\tB-NP\tO' +p225888 +aS'.\t.\t.\tO\tO' +p225889 +asS'1. Hydroxyzine HCl 10 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' +p225890 +(lp225891 +S'1.\t1.\tLS\tB-NP\tO' +p225892 +aS'Hydroxyzine\tHydroxyzine\tNN\tI-NP\tO' +p225893 +aS'HCl\tHCl\tNN\tI-NP\tO' +p225894 +aS'10\t10\tCD\tI-NP\tO' +p225895 +aS'mg\tmg\tNN\tI-NP\tO' +p225896 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p225897 +aS'Sig\tSig\tNNP\tI-NP\tO' +p225898 +aS':\t:\t:\tO\tO' +p225899 +aS'One\tOne\tCD\tB-NP\tO' +p225900 +aS'(\t(\t(\tO\tO' +p225901 +aS'1\t1\tCD\tB-NP\tO' +p225902 +aS')\t)\t)\tO\tO' +p225903 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p225904 +aS'PO\tPO\tNN\tI-NP\tO' +p225905 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p225906 +aS'(\t(\t(\tO\tO' +p225907 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p225908 +aS')\t)\t)\tO\tO' +p225909 +aS'.\t.\t.\tO\tO' +p225910 +asS'No edema with 2+ pulses .' +p225911 +(lp225912 +S'No\tNo\tDT\tB-NP\tO' +p225913 +aS'edema\tedema\tNN\tI-NP\tO' +p225914 +aS'with\twith\tIN\tB-PP\tO' +p225915 +aS'2+\t2+\tJJ\tB-NP\tO' +p225916 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p225917 +aS'.\t.\t.\tO\tO' +p225918 +asS'Signed electronically by : DR. Kate Gentry on : MON 2011-03-07 4:08 PM' +p225919 +(lp225920 +S'Signed\tSign\tVBN\tB-VP\tO' +p225921 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p225922 +aS'by\tby\tIN\tB-PP\tO' +p225923 +aS':\t:\t:\tO\tO' +p225924 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p225925 +aS'Kate\tKate\tNNP\tI-NP\tO' +p225926 +aS'Gentry\tGentry\tNNP\tI-NP\tO' +p225927 +aS'on\ton\tIN\tB-PP\tO' +p225928 +aS':\t:\t:\tO\tO' +p225929 +aS'MON\tMON\tNN\tB-NP\tO' +p225930 +aS'2011-03-07\t2011-03-07\tCD\tI-NP\tO' +p225931 +aS'4:08\t4:08\tCD\tI-NP\tO' +p225932 +aS'PM\tPM\tNN\tI-NP\tO' +p225933 +asS'Subsequently , zosyn was added .' +p225934 +(lp225935 +S'Subsequently\tSubsequently\tRB\tB-ADVP\tO' +p225936 +aS',\t,\t,\tO\tO' +p225937 +aS'zosyn\tzosyn\tNN\tB-NP\tO' +p225938 +aS'was\tbe\tVBD\tB-VP\tO' +p225939 +aS'added\tadd\tVBN\tI-VP\tO' +p225940 +aS'.\t.\t.\tO\tO' +p225941 +asS'4. State Newborn Screen was sent on day of life 3 .' +p225942 +(lp225943 +S'4.\t4.\tLS\tB-LST\tO' +p225944 +aS'State\tState\tNNP\tB-NP\tO' +p225945 +aS'Newborn\tNewborn\tNNP\tI-NP\tO' +p225946 +aS'Screen\tScreen\tNNP\tI-NP\tO' +p225947 +aS'was\tbe\tVBD\tB-VP\tO' +p225948 +aS'sent\tsend\tVBN\tI-VP\tO' +p225949 +aS'on\ton\tIN\tB-PP\tO' +p225950 +aS'day\tday\tNN\tB-NP\tO' +p225951 +aS'of\tof\tIN\tB-PP\tO' +p225952 +aS'life\tlife\tNN\tB-NP\tB-protein' +p225953 +aS'3\t3\tCD\tI-NP\tI-protein' +p225954 +aS'.\t.\t.\tO\tO' +p225955 +asS'Syncope .' +p225956 +(lp225957 +S'Syncope\tSyncope\tNN\tB-NP\tO' +p225958 +aS'.\t.\t.\tO\tO' +p225959 +asS'She worked as an occupational therapist at a professional center for handicapped children .' +p225960 +(lp225961 +S'She\tShe\tPRP\tB-NP\tO' +p225962 +aS'worked\twork\tVBD\tB-VP\tO' +p225963 +aS'as\tas\tIN\tB-PP\tO' +p225964 +aS'an\tan\tDT\tB-NP\tO' +p225965 +aS'occupational\toccupational\tJJ\tI-NP\tO' +p225966 +aS'therapist\ttherapist\tNN\tI-NP\tO' +p225967 +aS'at\tat\tIN\tB-PP\tO' +p225968 +aS'a\ta\tDT\tB-NP\tO' +p225969 +aS'professional\tprofessional\tJJ\tI-NP\tO' +p225970 +aS'center\tcenter\tNN\tI-NP\tO' +p225971 +aS'for\tfor\tIN\tB-PP\tO' +p225972 +aS'handicapped\thandicap\tVBN\tB-NP\tO' +p225973 +aS'children\tchild\tNNS\tI-NP\tO' +p225974 +aS'.\t.\t.\tO\tO' +p225975 +asS'Abdomen is soft , nontender , and nondistended .' +p225976 +(lp225977 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p225978 +aS'is\tbe\tVBZ\tB-VP\tO' +p225979 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p225980 +aS',\t,\t,\tO\tO' +p225981 +aS'nontender\tnontender\tJJ\tB-ADJP\tO' +p225982 +aS',\t,\t,\tO\tO' +p225983 +aS'and\tand\tCC\tO\tO' +p225984 +aS'nondistended\tnondistended\tJJ\tB-ADJP\tO' +p225985 +aS'.\t.\t.\tO\tO' +p225986 +asS'Question of penicillin and sulfa drugs leading to a rash .' +p225987 +(lp225988 +S'Question\tQuestion\tNN\tB-NP\tO' +p225989 +aS'of\tof\tIN\tB-PP\tO' +p225990 +aS'penicillin\tpenicillin\tNN\tB-NP\tB-protein' +p225991 +aS'and\tand\tCC\tI-NP\tO' +p225992 +aS'sulfa\tsulfa\tNN\tI-NP\tO' +p225993 +aS'drugs\tdrug\tNNS\tI-NP\tO' +p225994 +aS'leading\tlead\tVBG\tB-VP\tO' +p225995 +aS'to\tto\tTO\tB-PP\tO' +p225996 +aS'a\ta\tDT\tB-NP\tO' +p225997 +aS'rash\trash\tNN\tI-NP\tO' +p225998 +aS'.\t.\t.\tO\tO' +p225999 +asS'The patient was given an aspirin and Plavix and in addition started on a beta Elmore , Maxine ACE inhibitor , and these were titrated up as her blood pressure tolerated .' +p226000 +(lp226001 +S'The\tThe\tDT\tB-NP\tO' +p226002 +aS'patient\tpatient\tNN\tI-NP\tO' +p226003 +aS'was\tbe\tVBD\tB-VP\tO' +p226004 +aS'given\tgive\tVBN\tI-VP\tO' +p226005 +aS'an\tan\tDT\tB-NP\tO' +p226006 +aS'aspirin\taspirin\tNN\tI-NP\tO' +p226007 +aS'and\tand\tCC\tI-NP\tO' +p226008 +aS'Plavix\tPlavix\tNN\tI-NP\tO' +p226009 +aS'and\tand\tCC\tO\tO' +p226010 +aS'in\tin\tIN\tB-PP\tO' +p226011 +aS'addition\taddition\tNN\tB-NP\tO' +p226012 +aS'started\tstart\tVBN\tB-VP\tO' +p226013 +aS'on\ton\tIN\tB-PP\tO' +p226014 +aS'a\ta\tDT\tB-NP\tO' +p226015 +aS'beta\tbeta\tNN\tI-NP\tO' +p226016 +aS'Elmore\tElmore\tNNP\tB-NP\tO' +p226017 +aS',\t,\t,\tO\tO' +p226018 +aS'Maxine\tMaxine\tNNP\tB-NP\tO' +p226019 +aS'ACE\tACE\tNNP\tI-NP\tO' +p226020 +aS'inhibitor\tinhibitor\tNN\tI-NP\tO' +p226021 +aS',\t,\t,\tO\tO' +p226022 +aS'and\tand\tCC\tO\tO' +p226023 +aS'these\tthese\tDT\tB-NP\tO' +p226024 +aS'were\tbe\tVBD\tB-VP\tO' +p226025 +aS'titrated\ttitrate\tVBN\tI-VP\tO' +p226026 +aS'up\tup\tRP\tB-PRT\tO' +p226027 +aS'as\tas\tIN\tB-PP\tO' +p226028 +aS'her\ther\tPRP$\tB-NP\tO' +p226029 +aS'blood\tblood\tNN\tI-NP\tO' +p226030 +aS'pressure\tpressure\tNN\tI-NP\tO' +p226031 +aS'tolerated\ttolerate\tVBN\tB-VP\tO' +p226032 +aS'.\t.\t.\tO\tO' +p226033 +asS'Clindamycin / Erythromycin Base / Amoxicillin / Keflex / Wellbutrin' +p226034 +(lp226035 +S'Clindamycin\tClindamycin\tNN\tB-NP\tO' +p226036 +aS'/\t/\tSYM\tI-NP\tO' +p226037 +aS'Erythromycin\tErythromycin\tNN\tI-NP\tB-protein' +p226038 +aS'Base\tBase\tNN\tI-NP\tI-protein' +p226039 +aS'/\t/\tSYM\tB-NP\tO' +p226040 +aS'Amoxicillin\tAmoxicillin\tNN\tI-NP\tB-protein' +p226041 +aS'/\t/\tSYM\tI-NP\tO' +p226042 +aS'Keflex\tKeflex\tNN\tI-NP\tO' +p226043 +aS'/\t/\tSYM\tO\tO' +p226044 +aS'Wellbutrin\tWellbutrin\tNN\tB-NP\tO' +p226045 +asS'The neurological examination is nonfocal .' +p226046 +(lp226047 +S'The\tThe\tDT\tB-NP\tO' +p226048 +aS'neurological\tneurological\tJJ\tI-NP\tO' +p226049 +aS'examination\texamination\tNN\tI-NP\tO' +p226050 +aS'is\tbe\tVBZ\tB-VP\tO' +p226051 +aS'nonfocal\tnonfocal\tJJ\tB-ADJP\tO' +p226052 +aS'.\t.\t.\tO\tO' +p226053 +asS'She remained on IV antibiotics x 14 days and required pressors for the first few days post-op .' +p226054 +(lp226055 +S'She\tShe\tPRP\tB-NP\tO' +p226056 +aS'remained\tremain\tVBD\tB-VP\tO' +p226057 +aS'on\ton\tIN\tB-PP\tO' +p226058 +aS'IV\tIV\tCD\tB-NP\tO' +p226059 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p226060 +aS'x\tx\tSYM\tB-NP\tO' +p226061 +aS'14\t14\tCD\tB-NP\tO' +p226062 +aS'days\tday\tNNS\tI-NP\tO' +p226063 +aS'and\tand\tCC\tO\tO' +p226064 +aS'required\trequire\tVBN\tB-NP\tO' +p226065 +aS'pressors\tpressor\tNNS\tI-NP\tO' +p226066 +aS'for\tfor\tIN\tB-PP\tO' +p226067 +aS'the\tthe\tDT\tB-NP\tO' +p226068 +aS'first\tfirst\tJJ\tI-NP\tO' +p226069 +aS'few\tfew\tJJ\tI-NP\tO' +p226070 +aS'days\tday\tNNS\tI-NP\tO' +p226071 +aS'post-op\tpost-op\tJJ\tB-ADJP\tO' +p226072 +aS'.\t.\t.\tO\tO' +p226073 +asS'The patient was afebrile .' +p226074 +(lp226075 +S'The\tThe\tDT\tB-NP\tO' +p226076 +aS'patient\tpatient\tNN\tI-NP\tO' +p226077 +aS'was\tbe\tVBD\tB-VP\tO' +p226078 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p226079 +aS'.\t.\t.\tO\tO' +p226080 +asS'There are non-specific ST T wave changes.' +p226081 +(lp226082 +S'There\tThere\tEX\tB-NP\tO' +p226083 +aS'are\tbe\tVBP\tB-VP\tO' +p226084 +aS'non-specific\tnon-specific\tJJ\tB-NP\tO' +p226085 +aS'ST\tST\tNN\tI-NP\tO' +p226086 +aS'T\tT\tNN\tI-NP\tO' +p226087 +aS'wave\twave\tNN\tI-NP\tO' +p226088 +aS'changes.\tchanges.\tNNS\tI-NP\tO' +p226089 +asS'The patient denied angina , syncope , preceding worsening orthopnea , paroxysmal nocturnal dyspnea , palpitations , chest pain , hematemesis or melena .' +p226090 +(lp226091 +S'The\tThe\tDT\tB-NP\tO' +p226092 +aS'patient\tpatient\tNN\tI-NP\tO' +p226093 +aS'denied\tdeny\tVBD\tB-VP\tO' +p226094 +aS'angina\tangina\tNN\tB-NP\tO' +p226095 +aS',\t,\t,\tO\tO' +p226096 +aS'syncope\tsyncope\tNN\tB-NP\tO' +p226097 +aS',\t,\t,\tO\tO' +p226098 +aS'preceding\tprecede\tVBG\tB-VP\tO' +p226099 +aS'worsening\tworsen\tVBG\tB-NP\tO' +p226100 +aS'orthopnea\torthopnea\tNN\tI-NP\tO' +p226101 +aS',\t,\t,\tO\tO' +p226102 +aS'paroxysmal\tparoxysmal\tJJ\tB-NP\tO' +p226103 +aS'nocturnal\tnocturnal\tJJ\tI-NP\tO' +p226104 +aS'dyspnea\tdyspnea\tNN\tI-NP\tO' +p226105 +aS',\t,\t,\tO\tO' +p226106 +aS'palpitations\tpalpitation\tNNS\tB-NP\tO' +p226107 +aS',\t,\t,\tO\tO' +p226108 +aS'chest\tchest\tNN\tB-NP\tO' +p226109 +aS'pain\tpain\tNN\tI-NP\tO' +p226110 +aS',\t,\t,\tO\tO' +p226111 +aS'hematemesis\thematemesis\tNN\tB-NP\tO' +p226112 +aS'or\tor\tCC\tI-NP\tO' +p226113 +aS'melena\tmelena\tNN\tI-NP\tO' +p226114 +aS'.\t.\t.\tO\tO' +p226115 +asS'Fournier 's gangrene versus necrotizing fasciitis .' +p226116 +(lp226117 +S'Fournier\tFourni\tJJR\tB-NP\tO' +p226118 +aS''s\t'\tNNS\tI-NP\tO' +p226119 +aS'gangrene\tgangrene\tNN\tI-NP\tO' +p226120 +aS'versus\tversus\tIN\tB-PP\tO' +p226121 +aS'necrotizing\tnecrotize\tVBG\tB-VP\tO' +p226122 +aS'fasciitis\tfasciitis\tNN\tB-NP\tO' +p226123 +aS'.\t.\t.\tO\tO' +p226124 +asS'The neurological examination aside from the blind right eye was unremarkable .' +p226125 +(lp226126 +S'The\tThe\tDT\tB-NP\tO' +p226127 +aS'neurological\tneurological\tJJ\tI-NP\tO' +p226128 +aS'examination\texamination\tNN\tI-NP\tO' +p226129 +aS'aside\taside\tRB\tB-ADVP\tO' +p226130 +aS'from\tfrom\tIN\tB-PP\tO' +p226131 +aS'the\tthe\tDT\tB-NP\tO' +p226132 +aS'blind\tblind\tJJ\tI-NP\tO' +p226133 +aS'right\tright\tJJ\tI-NP\tO' +p226134 +aS'eye\teye\tNN\tI-NP\tO' +p226135 +aS'was\tbe\tVBD\tB-VP\tO' +p226136 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p226137 +aS'.\t.\t.\tO\tO' +p226138 +asS'Examination post intubation but off intubations showed clinical evidence of elevated intracranial pressure and brainstem compression .' +p226139 +(lp226140 +S'Examination\tExamination\tNN\tB-NP\tO' +p226141 +aS'post\tpost\tNN\tI-NP\tO' +p226142 +aS'intubation\tintubation\tNN\tI-NP\tO' +p226143 +aS'but\tbut\tCC\tB-PP\tO' +p226144 +aS'off\toff\tIN\tB-PP\tO' +p226145 +aS'intubations\tintubation\tNNS\tB-NP\tO' +p226146 +aS'showed\tshow\tVBD\tB-VP\tO' +p226147 +aS'clinical\tclinical\tJJ\tB-NP\tO' +p226148 +aS'evidence\tevidence\tNN\tI-NP\tO' +p226149 +aS'of\tof\tIN\tB-PP\tO' +p226150 +aS'elevated\televated\tJJ\tB-NP\tO' +p226151 +aS'intracranial\tintracranial\tJJ\tI-NP\tO' +p226152 +aS'pressure\tpressure\tNN\tI-NP\tO' +p226153 +aS'and\tand\tCC\tI-NP\tO' +p226154 +aS'brainstem\tbrainstem\tNN\tI-NP\tO' +p226155 +aS'compression\tcompression\tNN\tI-NP\tO' +p226156 +aS'.\t.\t.\tO\tO' +p226157 +asS"1. Continue advancing fluid volume to support infant 's weight gain needs ." +p226158 +(lp226159 +S'1.\t1.\tLS\tB-NP\tO' +p226160 +aS'Continue\tContinue\tNN\tI-NP\tO' +p226161 +aS'advancing\tadvance\tVBG\tB-VP\tO' +p226162 +aS'fluid\tfluid\tJJ\tB-NP\tO' +p226163 +aS'volume\tvolume\tNN\tI-NP\tO' +p226164 +aS'to\tto\tTO\tB-VP\tO' +p226165 +aS'support\tsupport\tVB\tI-VP\tO' +p226166 +aS'infant\tinfant\tNN\tB-NP\tO' +p226167 +aS"'s\t's\tPOS\tB-NP\tO" +p226168 +aS'weight\tweight\tNN\tI-NP\tO' +p226169 +aS'gain\tgain\tNN\tI-NP\tO' +p226170 +aS'needs\tneed\tNNS\tI-NP\tO' +p226171 +aS'.\t.\t.\tO\tO' +p226172 +asS'She has complaints of nausea and vomiting as well as left upper quadrant pain on and off getting progressively worse over the past month .' +p226173 +(lp226174 +S'She\tShe\tPRP\tB-NP\tO' +p226175 +aS'has\thave\tVBZ\tB-VP\tO' +p226176 +aS'complaints\tcomplaint\tNNS\tB-NP\tO' +p226177 +aS'of\tof\tIN\tB-PP\tO' +p226178 +aS'nausea\tnausea\tNN\tB-NP\tO' +p226179 +aS'and\tand\tCC\tO\tO' +p226180 +aS'vomiting\tvomit\tVBG\tB-VP\tO' +p226181 +aS'as\tas\tRB\tB-CONJP\tO' +p226182 +aS'well\twell\tRB\tI-CONJP\tO' +p226183 +aS'as\tas\tIN\tI-CONJP\tO' +p226184 +aS'left\tleft\tJJ\tB-NP\tB-protein' +p226185 +aS'upper\tupper\tJJ\tI-NP\tI-protein' +p226186 +aS'quadrant\tquadrant\tJJ\tI-NP\tI-protein' +p226187 +aS'pain\tpain\tNN\tI-NP\tI-protein' +p226188 +aS'on\ton\tIN\tB-PP\tO' +p226189 +aS'and\tand\tCC\tI-PP\tO' +p226190 +aS'off\toff\tIN\tI-PP\tO' +p226191 +aS'getting\tget\tVBG\tB-VP\tO' +p226192 +aS'progressively\tprogressively\tRB\tB-ADJP\tO' +p226193 +aS'worse\tworse\tJJR\tI-ADJP\tO' +p226194 +aS'over\tover\tIN\tB-PP\tO' +p226195 +aS'the\tthe\tDT\tB-NP\tO' +p226196 +aS'past\tpast\tJJ\tI-NP\tO' +p226197 +aS'month\tmonth\tNN\tI-NP\tO' +p226198 +aS'.\t.\t.\tO\tO' +p226199 +asS'anemia Afib ( 19 episodes since 2017-12-02 , as documented on pacer interogation 2018-04-04 )' +p226200 +(lp226201 +S'anemia\tanemia\tNN\tB-NP\tO' +p226202 +aS'Afib\tAfib\tNN\tI-NP\tO' +p226203 +aS'(\t(\t(\tO\tO' +p226204 +aS'19\t19\tCD\tB-NP\tO' +p226205 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p226206 +aS'since\tsince\tIN\tB-PP\tO' +p226207 +aS'2017-12-02\t2017-12-02\tCD\tB-NP\tO' +p226208 +aS',\t,\t,\tO\tO' +p226209 +aS'as\tas\tIN\tB-SBAR\tO' +p226210 +aS'documented\tdocument\tVBN\tB-VP\tO' +p226211 +aS'on\ton\tIN\tB-PP\tO' +p226212 +aS'pacer\tpacer\tNN\tB-NP\tO' +p226213 +aS'interogation\tinterogation\tNN\tI-NP\tO' +p226214 +aS'2018-04-04\t2018-04-04\tCD\tI-NP\tO' +p226215 +aS')\t)\t)\tO\tO' +p226216 +asS'To Quinidine , Procardia , and sulfa antibiotics .' +p226217 +(lp226218 +S'To\tTo\tTO\tB-PP\tO' +p226219 +aS'Quinidine\tQuinidine\tNN\tB-NP\tO' +p226220 +aS',\t,\t,\tO\tO' +p226221 +aS'Procardia\tProcardia\tNNP\tB-NP\tO' +p226222 +aS',\t,\t,\tO\tO' +p226223 +aS'and\tand\tCC\tO\tO' +p226224 +aS'sulfa\tsulfa\tNN\tB-NP\tO' +p226225 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p226226 +aS'.\t.\t.\tO\tO' +p226227 +asS'COPD and R pleural effusion , off oxygen and stable .' +p226228 +(lp226229 +S'COPD\tCOPD\tNN\tB-NP\tO' +p226230 +aS'and\tand\tCC\tI-NP\tO' +p226231 +aS'R\tR\tNN\tI-NP\tO' +p226232 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p226233 +aS'effusion\teffusion\tNN\tI-NP\tO' +p226234 +aS',\t,\t,\tO\tO' +p226235 +aS'off\toff\tIN\tB-PP\tO' +p226236 +aS'oxygen\toxygen\tNN\tB-NP\tO' +p226237 +aS'and\tand\tCC\tI-NP\tO' +p226238 +aS'stable\tstable\tNN\tI-NP\tO' +p226239 +aS'.\t.\t.\tO\tO' +p226240 +asS'Humalog sliding scale insulin .' +p226241 +(lp226242 +S'Humalog\tHumalog\tNN\tB-NP\tB-protein' +p226243 +aS'sliding\tslide\tVBG\tB-VP\tI-protein' +p226244 +aS'scale\tscale\tNN\tB-NP\tI-protein' +p226245 +aS'insulin\tinsulin\tNN\tI-NP\tI-protein' +p226246 +aS'.\t.\t.\tO\tO' +p226247 +asS'The patient will follow-up with Cardiology in one months time for further management of her coronary artery disease and further evaluation of her remaining RCA lesions .' +p226248 +(lp226249 +S'The\tThe\tDT\tB-NP\tO' +p226250 +aS'patient\tpatient\tNN\tI-NP\tO' +p226251 +aS'will\twill\tMD\tB-VP\tO' +p226252 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p226253 +aS'with\twith\tIN\tB-PP\tO' +p226254 +aS'Cardiology\tCardiology\tNNP\tB-NP\tO' +p226255 +aS'in\tin\tIN\tB-PP\tO' +p226256 +aS'one\tone\tCD\tB-NP\tO' +p226257 +aS'months\tmonth\tNNS\tI-NP\tO' +p226258 +aS'time\ttime\tNN\tB-NP\tO' +p226259 +aS'for\tfor\tIN\tB-PP\tO' +p226260 +aS'further\tfurther\tJJ\tB-NP\tO' +p226261 +aS'management\tmanagement\tNN\tI-NP\tO' +p226262 +aS'of\tof\tIN\tB-PP\tO' +p226263 +aS'her\ther\tPRP$\tB-NP\tO' +p226264 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p226265 +aS'artery\tartery\tNN\tI-NP\tO' +p226266 +aS'disease\tdisease\tNN\tI-NP\tO' +p226267 +aS'and\tand\tCC\tO\tO' +p226268 +aS'further\tfurther\tJJ\tB-NP\tO' +p226269 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p226270 +aS'of\tof\tIN\tB-PP\tO' +p226271 +aS'her\ther\tPRP$\tB-NP\tO' +p226272 +aS'remaining\tremain\tVBG\tI-NP\tO' +p226273 +aS'RCA\tRCA\tNN\tI-NP\tO' +p226274 +aS'lesions\tlesion\tNNS\tI-NP\tO' +p226275 +aS'.\t.\t.\tO\tO' +p226276 +asS'SHE HAS BEEN WATCHED BY A SITTER AT ALL TIMES .' +p226277 +(lp226278 +S'SHE\tSHE\tNN\tB-NP\tO' +p226279 +aS'HAS\tHAS\tNN\tI-NP\tO' +p226280 +aS'BEEN\tBEEN\tNN\tI-NP\tO' +p226281 +aS'WATCHED\tWATCHED\tVBD\tB-VP\tO' +p226282 +aS'BY\tBY\tNN\tB-NP\tO' +p226283 +aS'A\tA\tNN\tI-NP\tO' +p226284 +aS'SITTER\tSITTER\tNN\tI-NP\tO' +p226285 +aS'AT\tAT\tNN\tI-NP\tO' +p226286 +aS'ALL\tALL\tNN\tI-NP\tO' +p226287 +aS'TIMES\tTIMES\tNN\tI-NP\tO' +p226288 +aS'.\t.\t.\tO\tO' +p226289 +asS'About two weeks prior to admission the patient developed mid back pain , burning in nature with radiation around the right lower ribs .' +p226290 +(lp226291 +S'About\tAbout\tIN\tB-NP\tO' +p226292 +aS'two\ttwo\tCD\tI-NP\tO' +p226293 +aS'weeks\tweek\tNNS\tI-NP\tO' +p226294 +aS'prior\tprior\tRB\tB-ADVP\tO' +p226295 +aS'to\tto\tTO\tB-VP\tO' +p226296 +aS'admission\tadmission\tVB\tI-VP\tO' +p226297 +aS'the\tthe\tDT\tB-NP\tO' +p226298 +aS'patient\tpatient\tNN\tI-NP\tO' +p226299 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p226300 +aS'mid\tmid\tJJ\tB-NP\tO' +p226301 +aS'back\tback\tJJ\tI-NP\tO' +p226302 +aS'pain\tpain\tNN\tI-NP\tO' +p226303 +aS',\t,\t,\tO\tO' +p226304 +aS'burning\tburn\tVBG\tB-VP\tO' +p226305 +aS'in\tin\tIN\tB-PP\tO' +p226306 +aS'nature\tnature\tNN\tB-NP\tO' +p226307 +aS'with\twith\tIN\tB-PP\tO' +p226308 +aS'radiation\tradiation\tNN\tB-NP\tO' +p226309 +aS'around\taround\tIN\tB-PP\tO' +p226310 +aS'the\tthe\tDT\tB-NP\tO' +p226311 +aS'right\tright\tJJ\tI-NP\tB-protein' +p226312 +aS'lower\tlow\tJJR\tI-NP\tI-protein' +p226313 +aS'ribs\trib\tNNS\tI-NP\tI-protein' +p226314 +aS'.\t.\t.\tO\tO' +p226315 +asS'The pathology report suggested that the area was involved with radiation esophagitis and focal ulceration .' +p226316 +(lp226317 +S'The\tThe\tDT\tB-NP\tO' +p226318 +aS'pathology\tpathology\tNN\tI-NP\tO' +p226319 +aS'report\treport\tNN\tI-NP\tO' +p226320 +aS'suggested\tsuggest\tVBD\tB-VP\tO' +p226321 +aS'that\tthat\tIN\tB-SBAR\tO' +p226322 +aS'the\tthe\tDT\tB-NP\tO' +p226323 +aS'area\tarea\tNN\tI-NP\tO' +p226324 +aS'was\tbe\tVBD\tB-VP\tO' +p226325 +aS'involved\tinvolve\tVBN\tI-VP\tO' +p226326 +aS'with\twith\tIN\tB-PP\tO' +p226327 +aS'radiation\tradiation\tNN\tB-NP\tO' +p226328 +aS'esophagitis\tesophagitis\tNN\tI-NP\tO' +p226329 +aS'and\tand\tCC\tO\tO' +p226330 +aS'focal\tfocal\tJJ\tB-NP\tO' +p226331 +aS'ulceration\tulceration\tNN\tI-NP\tO' +p226332 +aS'.\t.\t.\tO\tO' +p226333 +asS'Echo , MRA ( r / o dissection ) , urine catecholamines and VMA .' +p226334 +(lp226335 +S'Echo\tEcho\tRB\tB-ADVP\tO' +p226336 +aS',\t,\t,\tO\tO' +p226337 +aS'MRA\tMRA\tNN\tB-NP\tB-protein' +p226338 +aS'(\t(\t(\tO\tO' +p226339 +aS'r\tr\tNN\tB-NP\tO' +p226340 +aS'/\t/\tSYM\tO\tO' +p226341 +aS'o\to\tNN\tB-NP\tO' +p226342 +aS'dissection\tdissection\tNN\tI-NP\tO' +p226343 +aS')\t)\t)\tO\tO' +p226344 +aS',\t,\t,\tO\tO' +p226345 +aS'urine\turine\tNN\tB-NP\tO' +p226346 +aS'catecholamines\tcatecholamine\tNNS\tI-NP\tO' +p226347 +aS'and\tand\tCC\tO\tO' +p226348 +aS'VMA\tVMA\tNN\tB-NP\tB-protein' +p226349 +aS'.\t.\t.\tO\tO' +p226350 +asS'Cimetidine 300 mg. intravenous q6hours .' +p226351 +(lp226352 +S'Cimetidine\tCimetidine\tNN\tB-NP\tO' +p226353 +aS'300\t300\tCD\tI-NP\tO' +p226354 +aS'mg.\tmg.\tNN\tI-NP\tO' +p226355 +aS'intravenous\tintravenous\tJJ\tI-NP\tO' +p226356 +aS'q6hours\tq6hour\tNNS\tI-NP\tO' +p226357 +aS'.\t.\t.\tO\tO' +p226358 +asS'quitting smoking , and he appears motivated to do so , as well as to cut down on his drinking .' +p226359 +(lp226360 +S'quitting\tquit\tVBG\tB-VP\tO' +p226361 +aS'smoking\tsmoking\tNN\tB-NP\tO' +p226362 +aS',\t,\t,\tO\tO' +p226363 +aS'and\tand\tCC\tO\tO' +p226364 +aS'he\the\tPRP\tB-NP\tO' +p226365 +aS'appears\tappear\tVBZ\tB-VP\tO' +p226366 +aS'motivated\tmotivate\tVBN\tI-VP\tO' +p226367 +aS'to\tto\tTO\tI-VP\tO' +p226368 +aS'do\tdo\tVB\tI-VP\tO' +p226369 +aS'so\tso\tRB\tB-ADVP\tO' +p226370 +aS',\t,\t,\tO\tO' +p226371 +aS'as\tas\tRB\tB-CONJP\tO' +p226372 +aS'well\twell\tRB\tI-CONJP\tO' +p226373 +aS'as\tas\tIN\tI-CONJP\tO' +p226374 +aS'to\tto\tTO\tB-VP\tO' +p226375 +aS'cut\tcut\tVB\tI-VP\tO' +p226376 +aS'down\tdown\tRP\tB-PRT\tO' +p226377 +aS'on\ton\tIN\tB-PP\tO' +p226378 +aS'his\this\tPRP$\tB-NP\tO' +p226379 +aS'drinking\tdrinking\tNN\tI-NP\tO' +p226380 +aS'.\t.\t.\tO\tO' +p226381 +asS'Apgar scores were 8 at 1 minute and 9 at 5 minutes .' +p226382 +(lp226383 +S'Apgar\tApgar\tNN\tB-NP\tO' +p226384 +aS'scores\tscore\tNNS\tI-NP\tO' +p226385 +aS'were\tbe\tVBD\tB-VP\tO' +p226386 +aS'8\t8\tCD\tB-NP\tO' +p226387 +aS'at\tat\tIN\tB-PP\tO' +p226388 +aS'1\t1\tCD\tB-NP\tO' +p226389 +aS'minute\tminute\tNN\tI-NP\tO' +p226390 +aS'and\tand\tCC\tO\tO' +p226391 +aS'9\t9\tCD\tB-NP\tO' +p226392 +aS'at\tat\tIN\tB-PP\tO' +p226393 +aS'5\t5\tCD\tB-NP\tO' +p226394 +aS'minutes\tminute\tNNS\tI-NP\tO' +p226395 +aS'.\t.\t.\tO\tO' +p226396 +asS'Gastrointestinal revealed soft , nontender , and nondistended .' +p226397 +(lp226398 +S'Gastrointestinal\tGastrointestinal\tNNP\tB-NP\tO' +p226399 +aS'revealed\treveal\tVBD\tB-VP\tO' +p226400 +aS'soft\tsoft\tJJ\tB-NP\tO' +p226401 +aS',\t,\t,\tI-NP\tO' +p226402 +aS'nontender\tnontender\tJJ\tI-NP\tO' +p226403 +aS',\t,\t,\tI-NP\tO' +p226404 +aS'and\tand\tCC\tI-NP\tO' +p226405 +aS'nondistended\tnondistended\tJJ\tI-NP\tO' +p226406 +aS'.\t.\t.\tO\tO' +p226407 +asS'4) Failure to thrive and weight loss' +p226408 +(lp226409 +S'4)\t4)\tLS\tB-NP\tO' +p226410 +aS'Failure\tFailure\tNN\tI-NP\tO' +p226411 +aS'to\tto\tTO\tB-PP\tO' +p226412 +aS'thrive\tthrive\tNN\tB-NP\tO' +p226413 +aS'and\tand\tCC\tI-NP\tO' +p226414 +aS'weight\tweight\tNN\tI-NP\tO' +p226415 +aS'loss\tloss\tNN\tI-NP\tO' +p226416 +asS'No driving for approximately one month' +p226417 +(lp226418 +S'No\tNo\tDT\tB-NP\tO' +p226419 +aS'driving\tdriving\tNN\tI-NP\tO' +p226420 +aS'for\tfor\tIN\tB-PP\tO' +p226421 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p226422 +aS'one\tone\tCD\tI-NP\tO' +p226423 +aS'month\tmonth\tNN\tI-NP\tO' +p226424 +asS'Eventually , his IV steroids were transitioned to a p.o. steroid taper , which he tolerated well , and was discharged on a steroid taper also with CMED CSRU follow-up as an outpatient .' +p226425 +(lp226426 +S'Eventually\tEventually\tRB\tB-ADVP\tO' +p226427 +aS',\t,\t,\tO\tO' +p226428 +aS'his\this\tPRP$\tB-NP\tO' +p226429 +aS'IV\tIV\tCD\tI-NP\tO' +p226430 +aS'steroids\tsteroid\tNNS\tI-NP\tO' +p226431 +aS'were\tbe\tVBD\tB-VP\tO' +p226432 +aS'transitioned\ttransitione\tVBN\tI-VP\tO' +p226433 +aS'to\tto\tTO\tB-PP\tO' +p226434 +aS'a\ta\tDT\tB-NP\tO' +p226435 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p226436 +aS'steroid\tsteroid\tNN\tI-NP\tO' +p226437 +aS'taper\ttaper\tNN\tI-NP\tO' +p226438 +aS',\t,\t,\tO\tO' +p226439 +aS'which\twhich\tWDT\tB-NP\tO' +p226440 +aS'he\the\tPRP\tB-NP\tO' +p226441 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p226442 +aS'well\twell\tRB\tB-ADVP\tO' +p226443 +aS',\t,\t,\tO\tO' +p226444 +aS'and\tand\tCC\tO\tO' +p226445 +aS'was\tbe\tVBD\tB-VP\tO' +p226446 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p226447 +aS'on\ton\tIN\tB-PP\tO' +p226448 +aS'a\ta\tDT\tB-NP\tO' +p226449 +aS'steroid\tsteroid\tNN\tI-NP\tO' +p226450 +aS'taper\ttaper\tNN\tI-NP\tO' +p226451 +aS'also\talso\tRB\tB-ADVP\tO' +p226452 +aS'with\twith\tIN\tB-PP\tO' +p226453 +aS'CMED\tCMED\tNNP\tB-NP\tO' +p226454 +aS'CSRU\tCSRU\tNNP\tI-NP\tO' +p226455 +aS'follow-up\tfollow-up\tNN\tI-NP\tO' +p226456 +aS'as\tas\tIN\tB-PP\tO' +p226457 +aS'an\tan\tDT\tB-NP\tO' +p226458 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p226459 +aS'.\t.\t.\tO\tO' +p226460 +asS'1) No evidence of fracture of the cervical spine .' +p226461 +(lp226462 +S'1)\t1)\tLS\tB-LST\tO' +p226463 +aS'No\tNo\tDT\tB-NP\tO' +p226464 +aS'evidence\tevidence\tNN\tI-NP\tO' +p226465 +aS'of\tof\tIN\tB-PP\tO' +p226466 +aS'fracture\tfracture\tNN\tB-NP\tO' +p226467 +aS'of\tof\tIN\tB-PP\tO' +p226468 +aS'the\tthe\tDT\tB-NP\tO' +p226469 +aS'cervical\tcervical\tJJ\tI-NP\tO' +p226470 +aS'spine\tspine\tNN\tI-NP\tO' +p226471 +aS'.\t.\t.\tO\tO' +p226472 +asS'1) CV ( R ) finished amio IV load then started on po , agressive lytes ; although interrogation showed >100 episodes of VT ( as / x ) , pt prefers med therapy as opposed to ablation ( I ) enzymes mildly elevated but not actively ischemic ; lipids , ASA , statin , BB ; Adenosine thal 1/4 and echo 1/4 to look for signs of ischemia as active cause for VT ( P ) JVP at angle of jaw 1/4 --> giving 20 Lasix ; dig level 1/4 1.3 --> 1/2 dose as on Amio' +p226473 +(lp226474 +S'1)\t1)\tLS\tB-LST\tO' +p226475 +aS'CV\tCV\tNN\tB-NP\tO' +p226476 +aS'(\t(\t(\tO\tO' +p226477 +aS'R\tR\tNN\tB-NP\tO' +p226478 +aS')\t)\t)\tO\tO' +p226479 +aS'finished\tfinish\tVBD\tB-VP\tO' +p226480 +aS'amio\tamio\tNN\tB-NP\tO' +p226481 +aS'IV\tIV\tCD\tI-NP\tO' +p226482 +aS'load\tload\tNN\tI-NP\tO' +p226483 +aS'then\tthen\tRB\tB-ADVP\tO' +p226484 +aS'started\tstart\tVBD\tB-VP\tO' +p226485 +aS'on\ton\tIN\tB-PP\tO' +p226486 +aS'po\tpo\tNN\tB-NP\tO' +p226487 +aS',\t,\t,\tO\tO' +p226488 +aS'agressive\tagressive\tJJ\tB-NP\tO' +p226489 +aS'lytes\tlyte\tNNS\tI-NP\tO' +p226490 +aS';\t;\t:\tO\tO' +p226491 +aS'although\talthough\tIN\tB-SBAR\tO' +p226492 +aS'interrogation\tinterrogation\tNN\tB-NP\tO' +p226493 +aS'showed\tshow\tVBD\tB-VP\tO' +p226494 +aS'>100\t>100\tCD\tB-NP\tO' +p226495 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p226496 +aS'of\tof\tIN\tB-PP\tO' +p226497 +aS'VT\tVT\tNN\tB-NP\tO' +p226498 +aS'(\t(\t(\tO\tO' +p226499 +aS'as\tas\tIN\tB-PP\tO' +p226500 +aS'/\t/\tSYM\tB-NP\tO' +p226501 +aS'x\tx\tNN\tI-NP\tO' +p226502 +aS')\t)\t)\tO\tO' +p226503 +aS',\t,\t,\tO\tO' +p226504 +aS'pt\tpt\tNN\tB-NP\tO' +p226505 +aS'prefers\tprefer\tVBZ\tB-VP\tO' +p226506 +aS'med\tme\tVBN\tB-NP\tO' +p226507 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p226508 +aS'as\tas\tIN\tB-SBAR\tO' +p226509 +aS'opposed\toppose\tVBN\tB-VP\tO' +p226510 +aS'to\tto\tTO\tB-PP\tO' +p226511 +aS'ablation\tablation\tNN\tB-NP\tB-protein' +p226512 +aS'(\t(\t(\tO\tI-protein' +p226513 +aS'I\tI\tNN\tB-NP\tI-protein' +p226514 +aS')\t)\t)\tO\tI-protein' +p226515 +aS'enzymes\tenzyme\tNNS\tB-NP\tI-protein' +p226516 +aS'mildly\tmildly\tRB\tB-ADJP\tO' +p226517 +aS'elevated\televated\tJJ\tI-ADJP\tO' +p226518 +aS'but\tbut\tCC\tO\tO' +p226519 +aS'not\tnot\tRB\tB-ADJP\tO' +p226520 +aS'actively\tactively\tRB\tI-ADJP\tO' +p226521 +aS'ischemic\tischemic\tJJ\tI-ADJP\tO' +p226522 +aS';\t;\t:\tO\tO' +p226523 +aS'lipids\tlipid\tNNS\tB-NP\tO' +p226524 +aS',\t,\t,\tO\tO' +p226525 +aS'ASA\tASA\tNN\tB-NP\tO' +p226526 +aS',\t,\t,\tO\tO' +p226527 +aS'statin\tstatin\tNN\tB-NP\tO' +p226528 +aS',\t,\t,\tO\tO' +p226529 +aS'BB\tBB\tNNP\tB-NP\tO' +p226530 +aS';\t;\t:\tO\tO' +p226531 +aS'Adenosine\tAdenosine\tNN\tB-NP\tO' +p226532 +aS'thal\tthal\tIN\tB-PP\tO' +p226533 +aS'1/4\t1/4\tCD\tB-NP\tO' +p226534 +aS'and\tand\tCC\tO\tO' +p226535 +aS'echo\techo\tVB\tB-VP\tO' +p226536 +aS'1/4\t1/4\tCD\tB-NP\tO' +p226537 +aS'to\tto\tTO\tB-VP\tO' +p226538 +aS'look\tlook\tVB\tI-VP\tO' +p226539 +aS'for\tfor\tIN\tB-PP\tO' +p226540 +aS'signs\tsign\tNNS\tB-NP\tO' +p226541 +aS'of\tof\tIN\tB-PP\tO' +p226542 +aS'ischemia\tischemia\tNN\tB-NP\tO' +p226543 +aS'as\tas\tIN\tB-PP\tO' +p226544 +aS'active\tactive\tJJ\tB-NP\tO' +p226545 +aS'cause\tcause\tNN\tI-NP\tO' +p226546 +aS'for\tfor\tIN\tB-PP\tO' +p226547 +aS'VT\tVT\tNN\tB-NP\tB-protein' +p226548 +aS'(\t(\t(\tO\tI-protein' +p226549 +aS'P\tP\tNN\tB-NP\tI-protein' +p226550 +aS')\t)\t)\tO\tI-protein' +p226551 +aS'JVP\tJVP\tNN\tB-NP\tI-protein' +p226552 +aS'at\tat\tIN\tB-PP\tO' +p226553 +aS'angle\tangle\tNN\tB-NP\tO' +p226554 +aS'of\tof\tIN\tB-PP\tO' +p226555 +aS'jaw\tjaw\tNN\tB-NP\tB-protein' +p226556 +aS'1/4\t1/4\tCD\tI-NP\tI-protein' +p226557 +aS'-->\t-->\tSYM\tB-NP\tO' +p226558 +aS'giving\tgive\tVBG\tB-VP\tO' +p226559 +aS'20\t20\tCD\tB-NP\tO' +p226560 +aS'Lasix\tLasix\tNNP\tI-NP\tO' +p226561 +aS';\t;\t:\tO\tO' +p226562 +aS'dig\tdig\tNN\tB-NP\tO' +p226563 +aS'level\tlevel\tNN\tI-NP\tO' +p226564 +aS'1/4\t1/4\tCD\tB-NP\tO' +p226565 +aS'1.3\t1.3\tCD\tI-NP\tO' +p226566 +aS'-->\t-->\tSYM\tB-NP\tO' +p226567 +aS'1/2\t1/2\tCD\tB-NP\tO' +p226568 +aS'dose\tdose\tNN\tI-NP\tO' +p226569 +aS'as\tas\tIN\tB-PP\tO' +p226570 +aS'on\ton\tIN\tB-PP\tO' +p226571 +aS'Amio\tAmio\tNNP\tB-NP\tO' +p226572 +asS'Pt d / c'd home in stable condition .' +p226573 +(lp226574 +S'Pt\tPt\tNN\tB-NP\tB-protein' +p226575 +aS'd\td\tNN\tI-NP\tI-protein' +p226576 +aS'/\t/\tSYM\tB-NP\tO' +p226577 +aS'c'd\tc'd\tNN\tI-NP\tO' +p226578 +aS'home\thome\tNN\tI-NP\tO' +p226579 +aS'in\tin\tIN\tB-PP\tO' +p226580 +aS'stable\tstable\tJJ\tB-NP\tO' +p226581 +aS'condition\tcondition\tNN\tI-NP\tO' +p226582 +aS'.\t.\t.\tO\tO' +p226583 +asS'Her renal function also remained stable in the perioperative period .' +p226584 +(lp226585 +S'Her\tHer\tPRP$\tB-NP\tO' +p226586 +aS'renal\trenal\tJJ\tI-NP\tO' +p226587 +aS'function\tfunction\tNN\tI-NP\tO' +p226588 +aS'also\talso\tRB\tB-ADVP\tO' +p226589 +aS'remained\tremain\tVBD\tB-VP\tO' +p226590 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p226591 +aS'in\tin\tIN\tB-PP\tO' +p226592 +aS'the\tthe\tDT\tB-NP\tO' +p226593 +aS'perioperative\tperioperative\tJJ\tI-NP\tO' +p226594 +aS'period\tperiod\tNN\tI-NP\tO' +p226595 +aS'.\t.\t.\tO\tO' +p226596 +asS'The patient also experienced a feeling of moving back and forth when lying down with neck extended during the magnetic resonance imaging study and also in bed .' +p226597 +(lp226598 +S'The\tThe\tDT\tB-NP\tO' +p226599 +aS'patient\tpatient\tNN\tI-NP\tO' +p226600 +aS'also\talso\tRB\tB-ADVP\tO' +p226601 +aS'experienced\texperience\tVBD\tB-VP\tO' +p226602 +aS'a\ta\tDT\tB-NP\tO' +p226603 +aS'feeling\tfeeling\tNN\tI-NP\tO' +p226604 +aS'of\tof\tIN\tB-PP\tO' +p226605 +aS'moving\tmove\tVBG\tB-VP\tO' +p226606 +aS'back\tback\tRB\tB-ADVP\tO' +p226607 +aS'and\tand\tCC\tI-ADVP\tO' +p226608 +aS'forth\tforth\tRB\tI-ADVP\tO' +p226609 +aS'when\twhen\tWRB\tB-ADVP\tO' +p226610 +aS'lying\tlie\tVBG\tB-VP\tO' +p226611 +aS'down\tdown\tRP\tB-PRT\tO' +p226612 +aS'with\twith\tIN\tB-PP\tO' +p226613 +aS'neck\tneck\tNN\tB-NP\tO' +p226614 +aS'extended\textend\tVBN\tB-VP\tO' +p226615 +aS'during\tduring\tIN\tB-PP\tO' +p226616 +aS'the\tthe\tDT\tB-NP\tO' +p226617 +aS'magnetic\tmagnetic\tJJ\tI-NP\tO' +p226618 +aS'resonance\tresonance\tNN\tI-NP\tO' +p226619 +aS'imaging\timaging\tNN\tI-NP\tO' +p226620 +aS'study\tstudy\tNN\tI-NP\tO' +p226621 +aS'and\tand\tCC\tO\tO' +p226622 +aS'also\talso\tRB\tB-ADVP\tO' +p226623 +aS'in\tin\tIN\tB-PP\tO' +p226624 +aS'bed\tbed\tNN\tB-NP\tO' +p226625 +aS'.\t.\t.\tO\tO' +p226626 +asS'A CXR was performed the evening of 5/16 , showing moderate sized bilateral pleural effusions , stable cardiomegaly and a possible RLL infiltrate .' +p226627 +(lp226628 +S'A\tA\tDT\tB-NP\tO' +p226629 +aS'CXR\tCXR\tNN\tI-NP\tB-protein' +p226630 +aS'was\tbe\tVBD\tB-VP\tO' +p226631 +aS'performed\tperform\tVBN\tI-VP\tO' +p226632 +aS'the\tthe\tDT\tB-NP\tO' +p226633 +aS'evening\tevening\tNN\tI-NP\tO' +p226634 +aS'of\tof\tIN\tB-PP\tO' +p226635 +aS'5/16\t5/16\tCD\tB-NP\tO' +p226636 +aS',\t,\t,\tO\tO' +p226637 +aS'showing\tshow\tVBG\tB-VP\tO' +p226638 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p226639 +aS'sized\tsize\tVBN\tI-NP\tO' +p226640 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p226641 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p226642 +aS'effusions\teffusion\tNNS\tI-NP\tO' +p226643 +aS',\t,\t,\tO\tO' +p226644 +aS'stable\tstable\tJJ\tB-NP\tO' +p226645 +aS'cardiomegaly\tcardiomegaly\tNN\tI-NP\tO' +p226646 +aS'and\tand\tCC\tO\tO' +p226647 +aS'a\ta\tDT\tB-NP\tO' +p226648 +aS'possible\tpossible\tJJ\tI-NP\tO' +p226649 +aS'RLL\tRLL\tNN\tI-NP\tO' +p226650 +aS'infiltrate\tinfiltrate\tNN\tI-NP\tO' +p226651 +aS'.\t.\t.\tO\tO' +p226652 +asS'Transferred in urgently for cabg with Dr. Howard .' +p226653 +(lp226654 +S'Transferred\tTransfer\tVBN\tB-VP\tO' +p226655 +aS'in\tin\tIN\tB-PP\tO' +p226656 +aS'urgently\turgently\tRB\tB-ADVP\tO' +p226657 +aS'for\tfor\tIN\tB-PP\tO' +p226658 +aS'cabg\tcabg\tNN\tB-NP\tO' +p226659 +aS'with\twith\tIN\tB-PP\tO' +p226660 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p226661 +aS'Howard\tHoward\tNNP\tI-NP\tO' +p226662 +aS'.\t.\t.\tO\tO' +p226663 +asS'Her shortness of breath and dyspnea on exertion has been progressive for the past several years .' +p226664 +(lp226665 +S'Her\tHer\tPRP$\tB-NP\tO' +p226666 +aS'shortness\tshortness\tNN\tI-NP\tO' +p226667 +aS'of\tof\tIN\tB-PP\tO' +p226668 +aS'breath\tbreath\tNN\tB-NP\tO' +p226669 +aS'and\tand\tCC\tI-NP\tO' +p226670 +aS'dyspnea\tdyspnea\tNN\tI-NP\tO' +p226671 +aS'on\ton\tIN\tB-PP\tO' +p226672 +aS'exertion\texertion\tNN\tB-NP\tO' +p226673 +aS'has\thave\tVBZ\tB-VP\tO' +p226674 +aS'been\tbe\tVBN\tI-VP\tO' +p226675 +aS'progressive\tprogressive\tJJ\tB-ADJP\tO' +p226676 +aS'for\tfor\tIN\tB-PP\tO' +p226677 +aS'the\tthe\tDT\tB-NP\tO' +p226678 +aS'past\tpast\tJJ\tI-NP\tO' +p226679 +aS'several\tseveral\tJJ\tI-NP\tO' +p226680 +aS'years\tyear\tNNS\tI-NP\tO' +p226681 +aS'.\t.\t.\tO\tO' +p226682 +asS'He denied any contact with TB positive patients .' +p226683 +(lp226684 +S'He\tHe\tPRP\tB-NP\tO' +p226685 +aS'denied\tdeny\tVBD\tB-VP\tO' +p226686 +aS'any\tany\tDT\tB-NP\tO' +p226687 +aS'contact\tcontact\tNN\tI-NP\tO' +p226688 +aS'with\twith\tIN\tB-PP\tO' +p226689 +aS'TB\tTB\tNN\tB-NP\tO' +p226690 +aS'positive\tpositive\tJJ\tI-NP\tO' +p226691 +aS'patients\tpatient\tNNS\tI-NP\tO' +p226692 +aS'.\t.\t.\tO\tO' +p226693 +asS'A diet by mouth was initiated .' +p226694 +(lp226695 +S'A\tA\tDT\tB-NP\tO' +p226696 +aS'diet\tdiet\tNN\tI-NP\tO' +p226697 +aS'by\tby\tIN\tB-PP\tO' +p226698 +aS'mouth\tmouth\tNN\tB-NP\tO' +p226699 +aS'was\tbe\tVBD\tB-VP\tO' +p226700 +aS'initiated\tinitiate\tVBN\tI-VP\tO' +p226701 +aS'.\t.\t.\tO\tO' +p226702 +asS'IV ampicillin , chloramphenicol , ceftriaxone , and culture were sent .' +p226703 +(lp226704 +S'IV\tIV\tCD\tB-NP\tO' +p226705 +aS'ampicillin\tampicillin\tNN\tI-NP\tO' +p226706 +aS',\t,\t,\tO\tO' +p226707 +aS'chloramphenicol\tchloramphenicol\tNN\tB-NP\tO' +p226708 +aS',\t,\t,\tO\tO' +p226709 +aS'ceftriaxone\tceftriaxone\tNN\tB-NP\tO' +p226710 +aS',\t,\t,\tO\tO' +p226711 +aS'and\tand\tCC\tO\tO' +p226712 +aS'culture\tculture\tNN\tB-NP\tO' +p226713 +aS'were\tbe\tVBD\tB-VP\tO' +p226714 +aS'sent\tsend\tVBN\tI-VP\tO' +p226715 +aS'.\t.\t.\tO\tO' +p226716 +asS'groups tested in the upper and lower extremities .' +p226717 +(lp226718 +S'groups\tgroup\tNNS\tB-NP\tO' +p226719 +aS'tested\ttest\tVBN\tB-VP\tO' +p226720 +aS'in\tin\tIN\tB-PP\tO' +p226721 +aS'the\tthe\tDT\tB-NP\tO' +p226722 +aS'upper\tupper\tJJ\tI-NP\tO' +p226723 +aS'and\tand\tCC\tI-NP\tO' +p226724 +aS'lower\tlow\tJJR\tI-NP\tO' +p226725 +aS'extremities\textremity\tNNS\tI-NP\tO' +p226726 +aS'.\t.\t.\tO\tO' +p226727 +asS'However , the family said the patient has been on steroids for several weeks .' +p226728 +(lp226729 +S'However\tHowever\tRB\tB-ADVP\tO' +p226730 +aS',\t,\t,\tO\tO' +p226731 +aS'the\tthe\tDT\tB-NP\tO' +p226732 +aS'family\tfamily\tNN\tI-NP\tO' +p226733 +aS'said\tsay\tVBD\tB-VP\tO' +p226734 +aS'the\tthe\tDT\tB-NP\tO' +p226735 +aS'patient\tpatient\tNN\tI-NP\tO' +p226736 +aS'has\thave\tVBZ\tB-VP\tO' +p226737 +aS'been\tbe\tVBN\tI-VP\tO' +p226738 +aS'on\ton\tIN\tB-PP\tO' +p226739 +aS'steroids\tsteroid\tNNS\tB-NP\tO' +p226740 +aS'for\tfor\tIN\tB-PP\tO' +p226741 +aS'several\tseveral\tJJ\tB-NP\tO' +p226742 +aS'weeks\tweek\tNNS\tI-NP\tO' +p226743 +aS'.\t.\t.\tO\tO' +p226744 +asS'She has been treated with Vanceril for chronic obstructive pulmonary disease .' +p226745 +(lp226746 +S'She\tShe\tPRP\tB-NP\tO' +p226747 +aS'has\thave\tVBZ\tB-VP\tO' +p226748 +aS'been\tbe\tVBN\tI-VP\tO' +p226749 +aS'treated\ttreat\tVBN\tI-VP\tO' +p226750 +aS'with\twith\tIN\tB-PP\tO' +p226751 +aS'Vanceril\tVanceril\tNNP\tB-NP\tO' +p226752 +aS'for\tfor\tIN\tB-PP\tO' +p226753 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p226754 +aS'obstructive\tobstructive\tJJ\tI-NP\tO' +p226755 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p226756 +aS'disease\tdisease\tNN\tI-NP\tO' +p226757 +aS'.\t.\t.\tO\tO' +p226758 +asS'2. He will follow-up with his primary care physician , Dr. Blake , in two weeks .' +p226759 +(lp226760 +S'2.\t2.\tLS\tB-LST\tO' +p226761 +aS'He\tHe\tPRP\tB-NP\tO' +p226762 +aS'will\twill\tMD\tB-VP\tO' +p226763 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p226764 +aS'with\twith\tIN\tB-PP\tO' +p226765 +aS'his\this\tPRP$\tB-NP\tO' +p226766 +aS'primary\tprimary\tJJ\tI-NP\tO' +p226767 +aS'care\tcare\tNN\tI-NP\tO' +p226768 +aS'physician\tphysician\tNN\tI-NP\tO' +p226769 +aS',\t,\t,\tO\tO' +p226770 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p226771 +aS'Blake\tBlake\tNNP\tI-NP\tO' +p226772 +aS',\t,\t,\tO\tO' +p226773 +aS'in\tin\tIN\tB-PP\tO' +p226774 +aS'two\ttwo\tCD\tB-NP\tO' +p226775 +aS'weeks\tweek\tNNS\tI-NP\tO' +p226776 +aS'.\t.\t.\tO\tO' +p226777 +asS'Baby Girl Kathryn Frazier , triplet III , delivered at 32 - 5/7 weeks gestation was admitted to the newborn intensive care unit for management of prematurity .' +p226778 +(lp226779 +S'Baby\tBaby\tNNP\tB-NP\tO' +p226780 +aS'Girl\tGirl\tNNP\tI-NP\tO' +p226781 +aS'Kathryn\tKathryn\tNNP\tI-NP\tO' +p226782 +aS'Frazier\tFrazier\tNNP\tI-NP\tO' +p226783 +aS',\t,\t,\tO\tO' +p226784 +aS'triplet\ttriplet\tNN\tB-NP\tB-protein' +p226785 +aS'III\tIII\tCD\tI-NP\tI-protein' +p226786 +aS',\t,\t,\tO\tO' +p226787 +aS'delivered\tdeliver\tVBN\tB-VP\tO' +p226788 +aS'at\tat\tIN\tB-PP\tO' +p226789 +aS'32\t32\tCD\tB-NP\tO' +p226790 +aS'-\t-\tHYPH\tI-NP\tO' +p226791 +aS'5/7\t5/7\tCD\tI-NP\tO' +p226792 +aS'weeks\tweek\tNNS\tI-NP\tO' +p226793 +aS'gestation\tgestation\tNN\tI-NP\tO' +p226794 +aS'was\tbe\tVBD\tB-VP\tO' +p226795 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p226796 +aS'to\tto\tTO\tB-PP\tO' +p226797 +aS'the\tthe\tDT\tB-NP\tO' +p226798 +aS'newborn\tnewborn\tJJ\tI-NP\tO' +p226799 +aS'intensive\tintensive\tJJ\tI-NP\tO' +p226800 +aS'care\tcare\tNN\tI-NP\tO' +p226801 +aS'unit\tunit\tNN\tI-NP\tO' +p226802 +aS'for\tfor\tIN\tB-PP\tO' +p226803 +aS'management\tmanagement\tNN\tB-NP\tO' +p226804 +aS'of\tof\tIN\tB-PP\tO' +p226805 +aS'prematurity\tprematurity\tNN\tB-NP\tO' +p226806 +aS'.\t.\t.\tO\tO' +p226807 +asS'His potassium was 3.7 and his hematocrit 33 .' +p226808 +(lp226809 +S'His\tHis\tPRP$\tB-NP\tO' +p226810 +aS'potassium\tpotassium\tNN\tI-NP\tO' +p226811 +aS'was\tbe\tVBD\tB-VP\tO' +p226812 +aS'3.7\t3.7\tCD\tB-NP\tO' +p226813 +aS'and\tand\tCC\tO\tO' +p226814 +aS'his\this\tPRP$\tB-NP\tO' +p226815 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p226816 +aS'33\t33\tCD\tI-NP\tO' +p226817 +aS'.\t.\t.\tO\tO' +p226818 +asS'The sagittal T1 images demonstrate several areas of high signal along the sulci bilaterally which could be secondary to subarachnoid hemorrhages .' +p226819 +(lp226820 +S'The\tThe\tDT\tB-NP\tO' +p226821 +aS'sagittal\tsagittal\tJJ\tI-NP\tO' +p226822 +aS'T1\tT1\tNN\tI-NP\tO' +p226823 +aS'images\timage\tNNS\tI-NP\tO' +p226824 +aS'demonstrate\tdemonstrate\tVBP\tB-VP\tO' +p226825 +aS'several\tseveral\tJJ\tB-NP\tO' +p226826 +aS'areas\tarea\tNNS\tI-NP\tO' +p226827 +aS'of\tof\tIN\tB-PP\tO' +p226828 +aS'high\thigh\tJJ\tB-NP\tO' +p226829 +aS'signal\tsignal\tNN\tI-NP\tO' +p226830 +aS'along\talong\tIN\tB-PP\tO' +p226831 +aS'the\tthe\tDT\tB-NP\tO' +p226832 +aS'sulci\tsulci\tNN\tI-NP\tO' +p226833 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p226834 +aS'which\twhich\tWDT\tB-NP\tO' +p226835 +aS'could\tcould\tMD\tB-VP\tO' +p226836 +aS'be\tbe\tVB\tI-VP\tO' +p226837 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p226838 +aS'to\tto\tTO\tB-PP\tO' +p226839 +aS'subarachnoid\tsubarachnoid\tJJ\tB-NP\tO' +p226840 +aS'hemorrhages\themorrhage\tNNS\tI-NP\tO' +p226841 +aS'.\t.\t.\tO\tO' +p226842 +asS'Mother has a prior history of mitral valve prolapse .' +p226843 +(lp226844 +S'Mother\tMother\tNNP\tB-NP\tO' +p226845 +aS'has\thave\tVBZ\tB-VP\tO' +p226846 +aS'a\ta\tDT\tB-NP\tO' +p226847 +aS'prior\tprior\tJJ\tI-NP\tO' +p226848 +aS'history\thistory\tNN\tI-NP\tO' +p226849 +aS'of\tof\tIN\tB-PP\tO' +p226850 +aS'mitral\tmitral\tJJ\tB-NP\tO' +p226851 +aS'valve\tvalve\tNN\tI-NP\tO' +p226852 +aS'prolapse\tprolapse\tNN\tI-NP\tO' +p226853 +aS'.\t.\t.\tO\tO' +p226854 +asS'There was little or no aortic valve gradient .' +p226855 +(lp226856 +S'There\tThere\tEX\tB-NP\tO' +p226857 +aS'was\tbe\tVBD\tB-VP\tO' +p226858 +aS'little\tlittle\tJJ\tB-NP\tO' +p226859 +aS'or\tor\tCC\tI-NP\tO' +p226860 +aS'no\tno\tDT\tI-NP\tO' +p226861 +aS'aortic\taortic\tJJ\tI-NP\tO' +p226862 +aS'valve\tvalve\tNN\tI-NP\tO' +p226863 +aS'gradient\tgradient\tNN\tI-NP\tO' +p226864 +aS'.\t.\t.\tO\tO' +p226865 +asS"Pt has had two recent neg head CT s , so unlikely the etiology of the patient 's MS change ." +p226866 +(lp226867 +S'Pt\tPt\tNN\tB-NP\tO' +p226868 +aS'has\thave\tVBZ\tB-VP\tO' +p226869 +aS'had\thave\tVBD\tI-VP\tO' +p226870 +aS'two\ttwo\tCD\tB-NP\tO' +p226871 +aS'recent\trecent\tJJ\tI-NP\tO' +p226872 +aS'neg\tneg\tNN\tI-NP\tO' +p226873 +aS'head\thead\tNN\tI-NP\tO' +p226874 +aS'CT\tCT\tNN\tI-NP\tO' +p226875 +aS's\ts\tNNS\tI-NP\tO' +p226876 +aS',\t,\t,\tO\tO' +p226877 +aS'so\tso\tRB\tB-ADJP\tO' +p226878 +aS'unlikely\tunlikely\tJJ\tI-ADJP\tO' +p226879 +aS'the\tthe\tDT\tB-NP\tO' +p226880 +aS'etiology\tetiology\tNN\tI-NP\tO' +p226881 +aS'of\tof\tIN\tB-PP\tO' +p226882 +aS'the\tthe\tDT\tB-NP\tO' +p226883 +aS'patient\tpatient\tNN\tI-NP\tO' +p226884 +aS"'s\t's\tPOS\tB-NP\tO" +p226885 +aS'MS\tMS\tNN\tI-NP\tO' +p226886 +aS'change\tchange\tNN\tI-NP\tO' +p226887 +aS'.\t.\t.\tO\tO' +p226888 +asS'Non-toxic multinodular goiter .' +p226889 +(lp226890 +S'Non-toxic\tNon-toxic\tJJ\tB-NP\tO' +p226891 +aS'multinodular\tmultinodular\tJJ\tI-NP\tO' +p226892 +aS'goiter\tgoiter\tNN\tI-NP\tO' +p226893 +aS'.\t.\t.\tO\tO' +p226894 +asS'3. Docusate Sodium 100 mg Capsule Sig : One ( 1 ) Capsule PO BID ( 2 times a day ) .' +p226895 +(lp226896 +S'3.\t3.\tLS\tB-NP\tO' +p226897 +aS'Docusate\tDocusate\tNN\tI-NP\tO' +p226898 +aS'Sodium\tSodium\tNN\tI-NP\tO' +p226899 +aS'100\t100\tCD\tI-NP\tO' +p226900 +aS'mg\tmg\tNN\tI-NP\tO' +p226901 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p226902 +aS'Sig\tSig\tNNP\tI-NP\tO' +p226903 +aS':\t:\t:\tO\tO' +p226904 +aS'One\tOne\tCD\tB-NP\tO' +p226905 +aS'(\t(\t(\tO\tO' +p226906 +aS'1\t1\tCD\tB-NP\tO' +p226907 +aS')\t)\t)\tO\tO' +p226908 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p226909 +aS'PO\tPO\tNNP\tI-NP\tO' +p226910 +aS'BID\tBID\tNNP\tI-NP\tO' +p226911 +aS'(\t(\t(\tO\tO' +p226912 +aS'2\t2\tCD\tB-NP\tO' +p226913 +aS'times\ttime\tNNS\tI-NP\tO' +p226914 +aS'a\ta\tDT\tB-NP\tO' +p226915 +aS'day\tday\tNN\tI-NP\tO' +p226916 +aS')\t)\t)\tO\tO' +p226917 +aS'.\t.\t.\tO\tO' +p226918 +asS'No nystagmus .' +p226919 +(lp226920 +S'No\tNo\tDT\tB-NP\tO' +p226921 +aS'nystagmus\tnystagmus\tNN\tI-NP\tO' +p226922 +aS'.\t.\t.\tO\tO' +p226923 +asS'The carotid pulses were brisk bilaterally .' +p226924 +(lp226925 +S'The\tThe\tDT\tB-NP\tO' +p226926 +aS'carotid\tcarotid\tJJ\tI-NP\tO' +p226927 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p226928 +aS'were\tbe\tVBD\tB-VP\tO' +p226929 +aS'brisk\tbrisk\tJJ\tB-ADJP\tO' +p226930 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p226931 +aS'.\t.\t.\tO\tO' +p226932 +asS'Primarily Togolese speaking , wheelchair bound and lives alone but cared for entirely by her daughter .' +p226933 +(lp226934 +S'Primarily\tPrimarily\tRB\tB-NP\tO' +p226935 +aS'Togolese\tTogolese\tJJ\tI-NP\tO' +p226936 +aS'speaking\tspeaking\tNN\tI-NP\tO' +p226937 +aS',\t,\t,\tO\tO' +p226938 +aS'wheelchair\twheelchair\tNN\tB-NP\tO' +p226939 +aS'bound\tbind\tVBD\tB-VP\tO' +p226940 +aS'and\tand\tCC\tO\tO' +p226941 +aS'lives\tlife\tNNS\tB-NP\tO' +p226942 +aS'alone\talone\tRB\tB-ADVP\tO' +p226943 +aS'but\tbut\tCC\tO\tO' +p226944 +aS'cared\tcare\tVBD\tB-VP\tO' +p226945 +aS'for\tfor\tIN\tB-PP\tO' +p226946 +aS'entirely\tentirely\tRB\tB-ADVP\tO' +p226947 +aS'by\tby\tIN\tB-PP\tO' +p226948 +aS'her\ther\tPRP$\tB-NP\tO' +p226949 +aS'daughter\tdaughter\tNN\tI-NP\tO' +p226950 +aS'.\t.\t.\tO\tO' +p226951 +asS'There was still concern for her effusion contributing to her SOB at the OSH so she was transferred for drainage and treatment of CHF .' +p226952 +(lp226953 +S'There\tThere\tEX\tB-NP\tO' +p226954 +aS'was\tbe\tVBD\tB-VP\tO' +p226955 +aS'still\tstill\tRB\tB-ADVP\tO' +p226956 +aS'concern\tconcern\tNN\tB-NP\tO' +p226957 +aS'for\tfor\tIN\tB-PP\tO' +p226958 +aS'her\ther\tPRP$\tB-NP\tO' +p226959 +aS'effusion\teffusion\tNN\tI-NP\tO' +p226960 +aS'contributing\tcontribute\tVBG\tB-VP\tO' +p226961 +aS'to\tto\tTO\tB-PP\tO' +p226962 +aS'her\ther\tPRP$\tB-NP\tO' +p226963 +aS'SOB\tSOB\tNN\tI-NP\tB-protein' +p226964 +aS'at\tat\tIN\tB-PP\tO' +p226965 +aS'the\tthe\tDT\tB-NP\tO' +p226966 +aS'OSH\tOSH\tNN\tI-NP\tB-DNA' +p226967 +aS'so\tso\tIN\tB-SBAR\tI-DNA' +p226968 +aS'she\tshe\tPRP\tB-NP\tI-DNA' +p226969 +aS'was\tbe\tVBD\tB-VP\tO' +p226970 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p226971 +aS'for\tfor\tIN\tB-PP\tO' +p226972 +aS'drainage\tdrainage\tNN\tB-NP\tO' +p226973 +aS'and\tand\tCC\tI-NP\tO' +p226974 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p226975 +aS'of\tof\tIN\tB-PP\tO' +p226976 +aS'CHF\tCHF\tNN\tB-NP\tB-protein' +p226977 +aS'.\t.\t.\tO\tO' +p226978 +asS'1 ) PRESYNCOPE .' +p226979 +(lp226980 +S'1\t1\tLS\tB-LST\tO' +p226981 +aS')\t)\t)\tO\tO' +p226982 +aS'PRESYNCOPE\tPRESYNCOPE\tNN\tB-NP\tO' +p226983 +aS'.\t.\t.\tO\tO' +p226984 +asS'Signed electronically by : DR. Jennifer Applebee on : Sandra 2016-07-21 9:54 PM' +p226985 +(lp226986 +S'Signed\tSign\tVBN\tB-VP\tO' +p226987 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p226988 +aS'by\tby\tIN\tB-PP\tO' +p226989 +aS':\t:\t:\tO\tO' +p226990 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p226991 +aS'Jennifer\tJennifer\tNNP\tI-NP\tO' +p226992 +aS'Applebee\tApplebee\tNNP\tI-NP\tO' +p226993 +aS'on\ton\tIN\tB-PP\tO' +p226994 +aS':\t:\t:\tO\tO' +p226995 +aS'Sandra\tSandra\tNNP\tB-NP\tO' +p226996 +aS'2016-07-21\t2016-07-21\tCD\tB-NP\tO' +p226997 +aS'9:54\t9:54\tCD\tI-NP\tO' +p226998 +aS'PM\tPM\tNN\tI-NP\tO' +p226999 +asS'Patient remained hemodynamically stable during and after the upper endoscopy and his hematocrit remained above 30 following this until the point of discharge .' +p227000 +(lp227001 +S'Patient\tPatient\tNN\tB-NP\tO' +p227002 +aS'remained\tremain\tVBD\tB-VP\tO' +p227003 +aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' +p227004 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p227005 +aS'during\tduring\tIN\tB-PP\tO' +p227006 +aS'and\tand\tCC\tI-PP\tO' +p227007 +aS'after\tafter\tIN\tI-PP\tO' +p227008 +aS'the\tthe\tDT\tB-NP\tO' +p227009 +aS'upper\tupper\tJJ\tI-NP\tO' +p227010 +aS'endoscopy\tendoscopy\tNN\tI-NP\tO' +p227011 +aS'and\tand\tCC\tO\tO' +p227012 +aS'his\this\tPRP$\tB-NP\tO' +p227013 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p227014 +aS'remained\tremain\tVBD\tB-VP\tO' +p227015 +aS'above\tabove\tIN\tB-PP\tO' +p227016 +aS'30\t30\tCD\tB-NP\tO' +p227017 +aS'following\tfollow\tVBG\tB-PP\tO' +p227018 +aS'this\tthis\tDT\tB-NP\tO' +p227019 +aS'until\tuntil\tIN\tB-PP\tO' +p227020 +aS'the\tthe\tDT\tB-NP\tO' +p227021 +aS'point\tpoint\tNN\tI-NP\tO' +p227022 +aS'of\tof\tIN\tB-PP\tO' +p227023 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p227024 +aS'.\t.\t.\tO\tO' +p227025 +asS'see Dr. Rodriguez in 1-2 weeks see Dr. Laura in 4 weeks' +p227026 +(lp227027 +S'see\tsee\tVB\tB-VP\tO' +p227028 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p227029 +aS'Rodriguez\tRodriguez\tNNP\tI-NP\tO' +p227030 +aS'in\tin\tIN\tB-PP\tO' +p227031 +aS'1-2\t1-2\tCD\tB-NP\tO' +p227032 +aS'weeks\tweek\tNNS\tI-NP\tO' +p227033 +aS'see\tsee\tVBP\tB-VP\tO' +p227034 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p227035 +aS'Laura\tLaura\tNNP\tI-NP\tO' +p227036 +aS'in\tin\tIN\tB-PP\tO' +p227037 +aS'4\t4\tCD\tB-NP\tO' +p227038 +aS'weeks\tweek\tNNS\tI-NP\tO' +p227039 +asS'Colace , Senna , Dulcolax , Tylenol , oxycodone as needed , Ambien , and Protonix .' +p227040 +(lp227041 +S'Colace\tColace\tNNP\tB-NP\tO' +p227042 +aS',\t,\t,\tO\tO' +p227043 +aS'Senna\tSenna\tNNP\tB-NP\tO' +p227044 +aS',\t,\t,\tO\tO' +p227045 +aS'Dulcolax\tDulcolax\tNNP\tB-NP\tO' +p227046 +aS',\t,\t,\tO\tO' +p227047 +aS'Tylenol\tTylenol\tNNP\tB-NP\tO' +p227048 +aS',\t,\t,\tO\tO' +p227049 +aS'oxycodone\toxycodone\tNN\tB-NP\tO' +p227050 +aS'as\tas\tIN\tB-SBAR\tO' +p227051 +aS'needed\tneed\tVBN\tB-VP\tO' +p227052 +aS',\t,\t,\tO\tO' +p227053 +aS'Ambien\tAmbien\tNNP\tB-NP\tO' +p227054 +aS',\t,\t,\tO\tO' +p227055 +aS'and\tand\tCC\tO\tO' +p227056 +aS'Protonix\tProtonix\tNNP\tB-NP\tO' +p227057 +aS'.\t.\t.\tO\tO' +p227058 +asS'He otherwise had a fairly uncomplicated postoperative course .' +p227059 +(lp227060 +S'He\tHe\tPRP\tB-NP\tO' +p227061 +aS'otherwise\totherwise\tRB\tB-ADVP\tO' +p227062 +aS'had\thave\tVBD\tB-VP\tO' +p227063 +aS'a\ta\tDT\tB-NP\tO' +p227064 +aS'fairly\tfairly\tRB\tI-NP\tO' +p227065 +aS'uncomplicated\tuncomplicated\tJJ\tI-NP\tO' +p227066 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p227067 +aS'course\tcourse\tNN\tI-NP\tO' +p227068 +aS'.\t.\t.\tO\tO' +p227069 +asS'Included normal CBC , BUN 47 , creatinine 2.4 up from baseline of about 1.5 .' +p227070 +(lp227071 +S'Included\tInclude\tVBN\tB-NP\tO' +p227072 +aS'normal\tnormal\tJJ\tI-NP\tO' +p227073 +aS'CBC\tCBC\tNN\tI-NP\tO' +p227074 +aS',\t,\t,\tO\tO' +p227075 +aS'BUN\tBUN\tNN\tB-NP\tB-DNA' +p227076 +aS'47\t47\tCD\tI-NP\tI-DNA' +p227077 +aS',\t,\t,\tO\tO' +p227078 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p227079 +aS'2.4\t2.4\tCD\tI-NP\tO' +p227080 +aS'up\tup\tRB\tB-ADVP\tO' +p227081 +aS'from\tfrom\tIN\tB-PP\tO' +p227082 +aS'baseline\tbaseline\tNN\tB-NP\tO' +p227083 +aS'of\tof\tIN\tB-PP\tO' +p227084 +aS'about\tabout\tIN\tB-NP\tO' +p227085 +aS'1.5\t1.5\tCD\tI-NP\tO' +p227086 +aS'.\t.\t.\tO\tO' +p227087 +asS'Extremity examination revealed no clubbing , cyanosis , or edema .' +p227088 +(lp227089 +S'Extremity\tExtremity\tNN\tB-NP\tO' +p227090 +aS'examination\texamination\tNN\tI-NP\tO' +p227091 +aS'revealed\treveal\tVBD\tB-VP\tO' +p227092 +aS'no\tno\tDT\tB-NP\tO' +p227093 +aS'clubbing\tclubbing\tNN\tI-NP\tO' +p227094 +aS',\t,\t,\tO\tO' +p227095 +aS'cyanosis\tcyanosis\tNN\tB-NP\tO' +p227096 +aS',\t,\t,\tO\tO' +p227097 +aS'or\tor\tCC\tO\tO' +p227098 +aS'edema\tedema\tNN\tB-NP\tO' +p227099 +aS'.\t.\t.\tO\tO' +p227100 +asS'Transferred to unit and urgently intubated .' +p227101 +(lp227102 +S'Transferred\tTransfer\tVBN\tB-VP\tO' +p227103 +aS'to\tto\tTO\tB-PP\tO' +p227104 +aS'unit\tunit\tNN\tB-NP\tO' +p227105 +aS'and\tand\tCC\tO\tO' +p227106 +aS'urgently\turgently\tRB\tB-VP\tO' +p227107 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p227108 +aS'.\t.\t.\tO\tO' +p227109 +asS'No site of active bleeding was seen .' +p227110 +(lp227111 +S'No\tNo\tDT\tB-NP\tO' +p227112 +aS'site\tsite\tNN\tI-NP\tO' +p227113 +aS'of\tof\tIN\tB-PP\tO' +p227114 +aS'active\tactive\tJJ\tB-NP\tO' +p227115 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p227116 +aS'was\tbe\tVBD\tB-VP\tO' +p227117 +aS'seen\tsee\tVBN\tI-VP\tO' +p227118 +aS'.\t.\t.\tO\tO' +p227119 +asS'Her heparin was discontinued when it was noted that she was bleeding per rectum and her PTT drifted to a normal range of 35 by postoperative day # 3 .' +p227120 +(lp227121 +S'Her\tHer\tPRP$\tB-NP\tO' +p227122 +aS'heparin\theparin\tNN\tI-NP\tO' +p227123 +aS'was\tbe\tVBD\tB-VP\tO' +p227124 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p227125 +aS'when\twhen\tWRB\tB-ADVP\tO' +p227126 +aS'it\tit\tPRP\tB-NP\tO' +p227127 +aS'was\tbe\tVBD\tB-VP\tO' +p227128 +aS'noted\tnote\tVBN\tI-VP\tO' +p227129 +aS'that\tthat\tIN\tB-SBAR\tO' +p227130 +aS'she\tshe\tPRP\tB-NP\tO' +p227131 +aS'was\tbe\tVBD\tB-VP\tO' +p227132 +aS'bleeding\tbleed\tVBG\tI-VP\tO' +p227133 +aS'per\tper\tIN\tB-PP\tO' +p227134 +aS'rectum\trectum\tNN\tB-NP\tO' +p227135 +aS'and\tand\tCC\tO\tO' +p227136 +aS'her\ther\tPRP$\tB-NP\tO' +p227137 +aS'PTT\tPTT\tNN\tI-NP\tO' +p227138 +aS'drifted\tdrift\tVBD\tB-VP\tO' +p227139 +aS'to\tto\tTO\tB-PP\tO' +p227140 +aS'a\ta\tDT\tB-NP\tO' +p227141 +aS'normal\tnormal\tJJ\tI-NP\tO' +p227142 +aS'range\trange\tNN\tI-NP\tO' +p227143 +aS'of\tof\tIN\tB-PP\tO' +p227144 +aS'35\t35\tCD\tB-NP\tO' +p227145 +aS'by\tby\tIN\tB-PP\tO' +p227146 +aS'postoperative\tpostoperative\tJJ\tB-NP\tB-protein' +p227147 +aS'day\tday\tNN\tI-NP\tI-protein' +p227148 +aS'#\t#\t#\tB-NP\tI-protein' +p227149 +aS'3\t3\tCD\tI-NP\tI-protein' +p227150 +aS'.\t.\t.\tO\tO' +p227151 +asS'You can shower when you get home .' +p227152 +(lp227153 +S'You\tYou\tPRP\tB-NP\tB-protein' +p227154 +aS'can\tcan\tMD\tB-VP\tO' +p227155 +aS'shower\tshower\tVB\tI-VP\tO' +p227156 +aS'when\twhen\tWRB\tB-ADVP\tO' +p227157 +aS'you\tyou\tPRP\tB-NP\tO' +p227158 +aS'get\tget\tVBP\tB-VP\tO' +p227159 +aS'home\thome\tRB\tB-ADVP\tO' +p227160 +aS'.\t.\t.\tO\tO' +p227161 +asS'LV systolic function appears depressed .' +p227162 +(lp227163 +S'LV\tLV\tNN\tB-NP\tO' +p227164 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p227165 +aS'function\tfunction\tNN\tI-NP\tO' +p227166 +aS'appears\tappear\tVBZ\tB-VP\tO' +p227167 +aS'depressed\tdepress\tVBN\tI-VP\tO' +p227168 +aS'.\t.\t.\tO\tO' +p227169 +asS'While she was in Brottlake Medical Center , she developed new onset stridor , and an ENT consult was obtained .' +p227170 +(lp227171 +S'While\tWhile\tIN\tB-SBAR\tO' +p227172 +aS'she\tshe\tPRP\tB-NP\tO' +p227173 +aS'was\tbe\tVBD\tB-VP\tO' +p227174 +aS'in\tin\tIN\tB-PP\tO' +p227175 +aS'Brottlake\tBrottlake\tNNP\tB-NP\tO' +p227176 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p227177 +aS'Center\tCenter\tNNP\tI-NP\tO' +p227178 +aS',\t,\t,\tO\tO' +p227179 +aS'she\tshe\tPRP\tB-NP\tO' +p227180 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p227181 +aS'new\tnew\tJJ\tB-NP\tO' +p227182 +aS'onset\tonset\tNN\tI-NP\tO' +p227183 +aS'stridor\tstridor\tNN\tI-NP\tO' +p227184 +aS',\t,\t,\tO\tO' +p227185 +aS'and\tand\tCC\tO\tO' +p227186 +aS'an\tan\tDT\tB-NP\tO' +p227187 +aS'ENT\tENT\tNN\tI-NP\tO' +p227188 +aS'consult\tconsult\tNN\tI-NP\tO' +p227189 +aS'was\tbe\tVBD\tB-VP\tO' +p227190 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p227191 +aS'.\t.\t.\tO\tO' +p227192 +asS'The GI consult team continued to follow her .' +p227193 +(lp227194 +S'The\tThe\tDT\tB-NP\tO' +p227195 +aS'GI\tGI\tNN\tI-NP\tO' +p227196 +aS'consult\tconsult\tNN\tI-NP\tO' +p227197 +aS'team\tteam\tNN\tI-NP\tO' +p227198 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p227199 +aS'to\tto\tTO\tI-VP\tO' +p227200 +aS'follow\tfollow\tVB\tI-VP\tO' +p227201 +aS'her\ther\tPRP\tB-NP\tO' +p227202 +aS'.\t.\t.\tO\tO' +p227203 +asS'4. Bactrim 1 single-strength tablet p.o. q.d.' +p227204 +(lp227205 +S'4.\t4.\tLS\tB-LST\tO' +p227206 +aS'Bactrim\tBactrim\tNNP\tB-NP\tO' +p227207 +aS'1\t1\tCD\tI-NP\tO' +p227208 +aS'single-strength\tsingle-strength\tJJ\tI-NP\tO' +p227209 +aS'tablet\ttablet\tNN\tI-NP\tO' +p227210 +aS'p.o.\tp.o.\tFW\tB-ADVP\tO' +p227211 +aS'q.d.\tq.d.\tFW\tI-ADVP\tO' +p227212 +asS'She has not required hemodialysis at this time .' +p227213 +(lp227214 +S'She\tShe\tPRP\tB-NP\tO' +p227215 +aS'has\thave\tVBZ\tB-VP\tO' +p227216 +aS'not\tnot\tRB\tI-VP\tO' +p227217 +aS'required\trequire\tVBN\tI-VP\tO' +p227218 +aS'hemodialysis\themodialysis\tNN\tB-NP\tO' +p227219 +aS'at\tat\tIN\tB-PP\tO' +p227220 +aS'this\tthis\tDT\tB-NP\tO' +p227221 +aS'time\ttime\tNN\tI-NP\tO' +p227222 +aS'.\t.\t.\tO\tO' +p227223 +asS'DISCHARGE SUMMARY ADDENDUM : The patient during her admission from 2015-01-19 to 2015-01-22 during that admission she had an echocardiogram which revealed essentially an ejection fraction of 40% with a patent foramen ovale mildly dilated left atrium .' +p227224 +(lp227225 +S'DISCHARGE\tDISCHARGE\tNN\tB-NP\tO' +p227226 +aS'SUMMARY\tSUMMARY\tNN\tI-NP\tO' +p227227 +aS'ADDENDUM\tADDENDUM\tNN\tI-NP\tO' +p227228 +aS':\t:\t:\tO\tO' +p227229 +aS'The\tThe\tDT\tB-NP\tO' +p227230 +aS'patient\tpatient\tNN\tI-NP\tO' +p227231 +aS'during\tduring\tIN\tB-PP\tO' +p227232 +aS'her\ther\tPRP$\tB-NP\tO' +p227233 +aS'admission\tadmission\tNN\tI-NP\tO' +p227234 +aS'from\tfrom\tIN\tB-PP\tO' +p227235 +aS'2015-01-19\t2015-01-19\tCD\tB-NP\tO' +p227236 +aS'to\tto\tTO\tB-PP\tO' +p227237 +aS'2015-01-22\t2015-01-22\tCD\tB-NP\tO' +p227238 +aS'during\tduring\tIN\tB-PP\tO' +p227239 +aS'that\tthat\tDT\tB-NP\tO' +p227240 +aS'admission\tadmission\tNN\tI-NP\tO' +p227241 +aS'she\tshe\tPRP\tB-NP\tO' +p227242 +aS'had\thave\tVBD\tB-VP\tO' +p227243 +aS'an\tan\tDT\tB-NP\tO' +p227244 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p227245 +aS'which\twhich\tWDT\tB-NP\tO' +p227246 +aS'revealed\treveal\tVBD\tB-VP\tO' +p227247 +aS'essentially\tessentially\tRB\tB-ADVP\tO' +p227248 +aS'an\tan\tDT\tB-NP\tO' +p227249 +aS'ejection\tejection\tNN\tI-NP\tO' +p227250 +aS'fraction\tfraction\tNN\tI-NP\tO' +p227251 +aS'of\tof\tIN\tB-PP\tO' +p227252 +aS'40%\t40%\tNN\tB-NP\tO' +p227253 +aS'with\twith\tIN\tB-PP\tO' +p227254 +aS'a\ta\tDT\tB-NP\tO' +p227255 +aS'patent\tpatent\tNN\tI-NP\tO' +p227256 +aS'foramen\tforaman\tNNS\tI-NP\tO' +p227257 +aS'ovale\tovale\tNN\tI-NP\tO' +p227258 +aS'mildly\tmildly\tRB\tB-ADVP\tO' +p227259 +aS'dilated\tdilate\tVBD\tB-VP\tO' +p227260 +aS'left\tleft\tJJ\tB-NP\tO' +p227261 +aS'atrium\tatrium\tNN\tI-NP\tO' +p227262 +aS'.\t.\t.\tO\tO' +p227263 +asS'10. Anastrozole 1 mg Tablet Sig : One ( 1 ) Tablet PO daily ( ) .' +p227264 +(lp227265 +S'10.\t10.\tLS\tB-LST\tO' +p227266 +aS'Anastrozole\tAnastrozole\tNN\tB-NP\tO' +p227267 +aS'1\t1\tCD\tI-NP\tO' +p227268 +aS'mg\tmg\tNN\tI-NP\tO' +p227269 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p227270 +aS'Sig\tSig\tNNP\tI-NP\tO' +p227271 +aS':\t:\t:\tO\tO' +p227272 +aS'One\tOne\tCD\tB-NP\tO' +p227273 +aS'(\t(\t(\tO\tO' +p227274 +aS'1\t1\tCD\tB-NP\tO' +p227275 +aS')\t)\t)\tO\tO' +p227276 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p227277 +aS'PO\tPO\tNN\tI-NP\tO' +p227278 +aS'daily\tdaily\tJJ\tI-NP\tO' +p227279 +aS'(\t(\t(\tO\tO' +p227280 +aS')\t)\t)\tO\tO' +p227281 +aS'.\t.\t.\tO\tO' +p227282 +asS'He was admitted on 2016-11-21 following his surgery .' +p227283 +(lp227284 +S'He\tHe\tPRP\tB-NP\tO' +p227285 +aS'was\tbe\tVBD\tB-VP\tO' +p227286 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p227287 +aS'on\ton\tIN\tB-PP\tO' +p227288 +aS'2016-11-21\t2016-11-21\tCD\tB-NP\tO' +p227289 +aS'following\tfollow\tVBG\tB-PP\tO' +p227290 +aS'his\this\tPRP$\tB-NP\tO' +p227291 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p227292 +aS'.\t.\t.\tO\tO' +p227293 +asS'The patient did have an evaluation of electrocardiogram done by Cardiology which was negative and had laboratory results for rule out myocardial infarction which were also negative .' +p227294 +(lp227295 +S'The\tThe\tDT\tB-NP\tO' +p227296 +aS'patient\tpatient\tNN\tI-NP\tO' +p227297 +aS'did\tdo\tVBD\tB-VP\tO' +p227298 +aS'have\thave\tVB\tI-VP\tO' +p227299 +aS'an\tan\tDT\tB-NP\tO' +p227300 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p227301 +aS'of\tof\tIN\tB-PP\tO' +p227302 +aS'electrocardiogram\telectrocardiogram\tNN\tB-NP\tO' +p227303 +aS'done\tdo\tVBN\tB-VP\tO' +p227304 +aS'by\tby\tIN\tB-PP\tO' +p227305 +aS'Cardiology\tCardiology\tNN\tB-NP\tO' +p227306 +aS'which\twhich\tWDT\tB-NP\tO' +p227307 +aS'was\tbe\tVBD\tB-VP\tO' +p227308 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p227309 +aS'and\tand\tCC\tO\tO' +p227310 +aS'had\thave\tVBD\tB-VP\tO' +p227311 +aS'laboratory\tlaboratory\tNN\tB-NP\tO' +p227312 +aS'results\tresult\tNNS\tI-NP\tO' +p227313 +aS'for\tfor\tIN\tB-PP\tO' +p227314 +aS'rule\trule\tNN\tB-NP\tO' +p227315 +aS'out\tout\tIN\tB-PP\tO' +p227316 +aS'myocardial\tmyocardial\tJJ\tB-NP\tO' +p227317 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p227318 +aS'which\twhich\tWDT\tB-NP\tO' +p227319 +aS'were\tbe\tVBD\tB-VP\tO' +p227320 +aS'also\talso\tRB\tB-ADVP\tO' +p227321 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p227322 +aS'.\t.\t.\tO\tO' +p227323 +asS'Allowing for the limitations of this noncontrast study , the liver , pancreas , adrenals , stomach are unremarkable .' +p227324 +(lp227325 +S'Allowing\tAllow\tVBG\tB-VP\tO' +p227326 +aS'for\tfor\tIN\tB-PP\tO' +p227327 +aS'the\tthe\tDT\tB-NP\tO' +p227328 +aS'limitations\tlimitation\tNNS\tI-NP\tO' +p227329 +aS'of\tof\tIN\tB-PP\tO' +p227330 +aS'this\tthis\tDT\tB-NP\tO' +p227331 +aS'noncontrast\tnoncontrast\tJJ\tI-NP\tO' +p227332 +aS'study\tstudy\tNN\tI-NP\tO' +p227333 +aS',\t,\t,\tO\tO' +p227334 +aS'the\tthe\tDT\tB-NP\tO' +p227335 +aS'liver\tliver\tNN\tI-NP\tO' +p227336 +aS',\t,\t,\tO\tO' +p227337 +aS'pancreas\tpancreas\tNN\tB-NP\tO' +p227338 +aS',\t,\t,\tO\tO' +p227339 +aS'adrenals\tadrenal\tNNS\tB-NP\tO' +p227340 +aS',\t,\t,\tO\tO' +p227341 +aS'stomach\tstomach\tNN\tB-NP\tO' +p227342 +aS'are\tbe\tVBP\tB-VP\tO' +p227343 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p227344 +aS'.\t.\t.\tO\tO' +p227345 +asS'L frontal ICP bolt was placed by neurosurgery under sterile conditions on antibiotics .' +p227346 +(lp227347 +S'L\tL\tNN\tB-NP\tO' +p227348 +aS'frontal\tfrontal\tJJ\tI-NP\tO' +p227349 +aS'ICP\tICP\tNN\tI-NP\tO' +p227350 +aS'bolt\tbolt\tNN\tI-NP\tO' +p227351 +aS'was\tbe\tVBD\tB-VP\tO' +p227352 +aS'placed\tplace\tVBN\tI-VP\tO' +p227353 +aS'by\tby\tIN\tB-PP\tO' +p227354 +aS'neurosurgery\tneurosurgery\tNN\tB-NP\tO' +p227355 +aS'under\tunder\tIN\tB-PP\tO' +p227356 +aS'sterile\tsterile\tJJ\tB-NP\tO' +p227357 +aS'conditions\tcondition\tNNS\tI-NP\tO' +p227358 +aS'on\ton\tIN\tB-PP\tO' +p227359 +aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' +p227360 +aS'.\t.\t.\tO\tO' +p227361 +asS'8. Lasix 20 mg po per day .' +p227362 +(lp227363 +S'8.\t8.\tCD\tB-NP\tO' +p227364 +aS'Lasix\tLasix\tNNP\tI-NP\tO' +p227365 +aS'20\t20\tCD\tI-NP\tO' +p227366 +aS'mg\tmg\tNN\tI-NP\tO' +p227367 +aS'po\tpo\tNN\tI-NP\tO' +p227368 +aS'per\tper\tIN\tB-PP\tO' +p227369 +aS'day\tday\tNN\tB-NP\tO' +p227370 +aS'.\t.\t.\tO\tO' +p227371 +asS'Results of the catheterization indicated the patient had three vessel disease and was a candidate for coronary artery bypass graft .' +p227372 +(lp227373 +S'Results\tResult\tNNS\tB-NP\tO' +p227374 +aS'of\tof\tIN\tB-PP\tO' +p227375 +aS'the\tthe\tDT\tB-NP\tO' +p227376 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p227377 +aS'indicated\tindicate\tVBD\tB-VP\tO' +p227378 +aS'the\tthe\tDT\tB-NP\tO' +p227379 +aS'patient\tpatient\tNN\tI-NP\tO' +p227380 +aS'had\thave\tVBD\tB-VP\tO' +p227381 +aS'three\tthree\tCD\tB-NP\tO' +p227382 +aS'vessel\tvessel\tNN\tI-NP\tO' +p227383 +aS'disease\tdisease\tNN\tI-NP\tO' +p227384 +aS'and\tand\tCC\tO\tO' +p227385 +aS'was\tbe\tVBD\tB-VP\tO' +p227386 +aS'a\ta\tDT\tB-NP\tO' +p227387 +aS'candidate\tcandidate\tNN\tI-NP\tO' +p227388 +aS'for\tfor\tIN\tB-PP\tO' +p227389 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p227390 +aS'artery\tartery\tNN\tI-NP\tO' +p227391 +aS'bypass\tbypass\tIN\tB-PP\tO' +p227392 +aS'graft\tgraft\tNN\tB-NP\tO' +p227393 +aS'.\t.\t.\tO\tO' +p227394 +asS'Sensory .' +p227395 +(lp227396 +S'Sensory\tSensory\tJJ\tB-ADJP\tO' +p227397 +aS'.\t.\t.\tO\tO' +p227398 +asS'4. Flovent 220 mcg 2 puffs q.12h.' +p227399 +(lp227400 +S'4.\t4.\tLS\tB-NP\tO' +p227401 +aS'Flovent\tFlovent\tNNP\tI-NP\tO' +p227402 +aS'220\t220\tCD\tI-NP\tO' +p227403 +aS'mcg\tmcg\tNN\tI-NP\tO' +p227404 +aS'2\t2\tCD\tB-NP\tO' +p227405 +aS'puffs\tpuff\tNNS\tI-NP\tO' +p227406 +aS'q.12h.\tq.12h.\tNN\tB-NP\tO' +p227407 +asS'Grandmother with diabetes .' +p227408 +(lp227409 +S'Grandmother\tGrandmother\tNN\tB-NP\tO' +p227410 +aS'with\twith\tIN\tB-PP\tO' +p227411 +aS'diabetes\tdiabetes\tNN\tB-NP\tO' +p227412 +aS'.\t.\t.\tO\tO' +p227413 +asS'8. Calcium Acetate 667 mg Capsule Sig : One ( 1 ) Capsule PO TID W/MEALS ( 3 TIMES A DAY WITH MEALS ) .' +p227414 +(lp227415 +S'8.\t8.\tCD\tB-NP\tO' +p227416 +aS'Calcium\tCalcium\tNNP\tI-NP\tO' +p227417 +aS'Acetate\tAcetate\tNNP\tI-NP\tO' +p227418 +aS'667\t667\tCD\tI-NP\tO' +p227419 +aS'mg\tmg\tNN\tI-NP\tO' +p227420 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p227421 +aS'Sig\tSig\tNNP\tI-NP\tO' +p227422 +aS':\t:\t:\tO\tO' +p227423 +aS'One\tOne\tCD\tB-NP\tO' +p227424 +aS'(\t(\t(\tO\tO' +p227425 +aS'1\t1\tCD\tB-NP\tO' +p227426 +aS')\t)\t)\tO\tO' +p227427 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p227428 +aS'PO\tPO\tNNP\tI-NP\tO' +p227429 +aS'TID\tTID\tNNP\tI-NP\tO' +p227430 +aS'W/MEALS\tW/MEALS\tNNP\tI-NP\tO' +p227431 +aS'(\t(\t(\tO\tO' +p227432 +aS'3\t3\tCD\tB-NP\tO' +p227433 +aS'TIMES\tTIMES\tNN\tI-NP\tO' +p227434 +aS'A\tA\tNN\tI-NP\tO' +p227435 +aS'DAY\tDAY\tNN\tI-NP\tO' +p227436 +aS'WITH\tWITH\tNN\tI-NP\tO' +p227437 +aS'MEALS\tMEALS\tNN\tI-NP\tO' +p227438 +aS')\t)\t)\tO\tO' +p227439 +aS'.\t.\t.\tO\tO' +p227440 +asS'Sclerae were anicteric .' +p227441 +(lp227442 +S'Sclerae\tSclerae\tNNP\tB-NP\tO' +p227443 +aS'were\tbe\tVBD\tB-VP\tO' +p227444 +aS'anicteric\tanicteric\tJJ\tB-ADJP\tO' +p227445 +aS'.\t.\t.\tO\tO' +p227446 +asS'HDL 30 .' +p227447 +(lp227448 +S'HDL\tHDL\tNN\tB-NP\tO' +p227449 +aS'30\t30\tCD\tI-NP\tO' +p227450 +aS'.\t.\t.\tO\tO' +p227451 +asS'A nasogastric tube is seen coiling in the stomach .' +p227452 +(lp227453 +S'A\tA\tDT\tB-NP\tO' +p227454 +aS'nasogastric\tnasogastric\tJJ\tI-NP\tO' +p227455 +aS'tube\ttube\tNN\tI-NP\tO' +p227456 +aS'is\tbe\tVBZ\tB-VP\tO' +p227457 +aS'seen\tsee\tVBN\tI-VP\tO' +p227458 +aS'coiling\tcoiling\tNN\tB-NP\tO' +p227459 +aS'in\tin\tIN\tB-PP\tO' +p227460 +aS'the\tthe\tDT\tB-NP\tO' +p227461 +aS'stomach\tstomach\tNN\tI-NP\tO' +p227462 +aS'.\t.\t.\tO\tO' +p227463 +asS'He is now preop for a coronary artery bypass graft .' +p227464 +(lp227465 +S'He\tHe\tPRP\tB-NP\tO' +p227466 +aS'is\tbe\tVBZ\tB-VP\tO' +p227467 +aS'now\tnow\tRB\tI-VP\tO' +p227468 +aS'preop\tpreop\tVB\tI-VP\tO' +p227469 +aS'for\tfor\tIN\tB-PP\tO' +p227470 +aS'a\ta\tDT\tB-NP\tO' +p227471 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p227472 +aS'artery\tartery\tNN\tI-NP\tO' +p227473 +aS'bypass\tbypass\tIN\tB-PP\tO' +p227474 +aS'graft\tgraft\tNN\tB-NP\tO' +p227475 +aS'.\t.\t.\tO\tO' +p227476 +asS'Non-focal , alert and oriented x3 , 5/5 motor strength in the upper extremities and lower extremities , Babinski reflex , toes are downgoing .' +p227477 +(lp227478 +S'Non-focal\tNon-focal\tJJ\tB-NP\tO' +p227479 +aS',\t,\t,\tI-NP\tO' +p227480 +aS'alert\talert\tJJ\tI-NP\tO' +p227481 +aS'and\tand\tCC\tI-NP\tO' +p227482 +aS'oriented\torient\tVBN\tI-NP\tO' +p227483 +aS'x3\tx3\tNN\tI-NP\tO' +p227484 +aS',\t,\t,\tO\tO' +p227485 +aS'5/5\t5/5\tCD\tB-NP\tO' +p227486 +aS'motor\tmotor\tNN\tI-NP\tO' +p227487 +aS'strength\tstrength\tNN\tI-NP\tO' +p227488 +aS'in\tin\tIN\tB-PP\tO' +p227489 +aS'the\tthe\tDT\tB-NP\tO' +p227490 +aS'upper\tupper\tJJ\tI-NP\tO' +p227491 +aS'extremities\textremity\tNNS\tI-NP\tO' +p227492 +aS'and\tand\tCC\tO\tO' +p227493 +aS'lower\tlow\tJJR\tB-NP\tO' +p227494 +aS'extremities\textremity\tNNS\tI-NP\tO' +p227495 +aS',\t,\t,\tO\tO' +p227496 +aS'Babinski\tBabinski\tNNP\tB-NP\tO' +p227497 +aS'reflex\treflex\tNN\tI-NP\tO' +p227498 +aS',\t,\t,\tO\tO' +p227499 +aS'toes\ttoe\tNNS\tB-NP\tO' +p227500 +aS'are\tbe\tVBP\tB-VP\tO' +p227501 +aS'downgoing\tdowngoe\tVBG\tI-VP\tO' +p227502 +aS'.\t.\t.\tO\tO' +p227503 +asS'ALT 52 .' +p227504 +(lp227505 +S'ALT\tALT\tNN\tB-NP\tO' +p227506 +aS'52\t52\tCD\tI-NP\tO' +p227507 +aS'.\t.\t.\tO\tO' +p227508 +asS'In the CMED CSRU , repeated attempts to place lines were unsuccessful .' +p227509 +(lp227510 +S'In\tIn\tIN\tB-PP\tO' +p227511 +aS'the\tthe\tDT\tB-NP\tO' +p227512 +aS'CMED\tCMED\tNNP\tI-NP\tO' +p227513 +aS'CSRU\tCSRU\tNNP\tI-NP\tO' +p227514 +aS',\t,\t,\tO\tO' +p227515 +aS'repeated\trepeat\tVBD\tB-VP\tO' +p227516 +aS'attempts\tattempt\tNNS\tB-NP\tO' +p227517 +aS'to\tto\tTO\tB-PP\tO' +p227518 +aS'place\tplace\tNN\tB-NP\tO' +p227519 +aS'lines\tline\tNNS\tI-NP\tO' +p227520 +aS'were\tbe\tVBD\tB-VP\tO' +p227521 +aS'unsuccessful\tunsuccessful\tJJ\tB-ADJP\tO' +p227522 +aS'.\t.\t.\tO\tO' +p227523 +asS'His pain here has been controlled , initially on Oxycontin with morphine for breakthrough pain .' +p227524 +(lp227525 +S'His\tHis\tPRP$\tB-NP\tO' +p227526 +aS'pain\tpain\tNN\tI-NP\tO' +p227527 +aS'here\there\tRB\tB-ADVP\tO' +p227528 +aS'has\thave\tVBZ\tB-VP\tO' +p227529 +aS'been\tbe\tVBN\tI-VP\tO' +p227530 +aS'controlled\tcontrol\tVBN\tI-VP\tO' +p227531 +aS',\t,\t,\tO\tO' +p227532 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p227533 +aS'on\ton\tIN\tB-PP\tO' +p227534 +aS'Oxycontin\tOxycontin\tNN\tB-NP\tB-protein' +p227535 +aS'with\twith\tIN\tB-PP\tO' +p227536 +aS'morphine\tmorphine\tNN\tB-NP\tO' +p227537 +aS'for\tfor\tIN\tB-PP\tO' +p227538 +aS'breakthrough\tbreakthrough\tNN\tB-NP\tO' +p227539 +aS'pain\tpain\tNN\tI-NP\tO' +p227540 +aS'.\t.\t.\tO\tO' +p227541 +asS'Sensory exam showed some leftsided errors with pinprick and proprioception .' +p227542 +(lp227543 +S'Sensory\tSensory\tJJ\tB-NP\tO' +p227544 +aS'exam\texam\tNN\tI-NP\tO' +p227545 +aS'showed\tshow\tVBD\tB-VP\tO' +p227546 +aS'some\tsome\tDT\tB-NP\tO' +p227547 +aS'leftsided\tleftsided\tJJ\tI-NP\tO' +p227548 +aS'errors\terror\tNNS\tI-NP\tO' +p227549 +aS'with\twith\tIN\tB-PP\tO' +p227550 +aS'pinprick\tpinprick\tNN\tB-NP\tO' +p227551 +aS'and\tand\tCC\tI-NP\tO' +p227552 +aS'proprioception\tproprioception\tNN\tI-NP\tO' +p227553 +aS'.\t.\t.\tO\tO' +p227554 +asS'The patient also at that time was followed by Cardiology and for preoperative evaluation had a stress test which was positive and he became diaphoretic but denied any chest pain .' +p227555 +(lp227556 +S'The\tThe\tDT\tB-NP\tO' +p227557 +aS'patient\tpatient\tNN\tI-NP\tO' +p227558 +aS'also\talso\tRB\tB-ADVP\tO' +p227559 +aS'at\tat\tIN\tB-PP\tO' +p227560 +aS'that\tthat\tDT\tB-NP\tO' +p227561 +aS'time\ttime\tNN\tI-NP\tO' +p227562 +aS'was\tbe\tVBD\tB-VP\tO' +p227563 +aS'followed\tfollow\tVBN\tI-VP\tO' +p227564 +aS'by\tby\tIN\tB-PP\tO' +p227565 +aS'Cardiology\tCardiology\tNN\tB-NP\tO' +p227566 +aS'and\tand\tCC\tB-PP\tO' +p227567 +aS'for\tfor\tIN\tB-PP\tO' +p227568 +aS'preoperative\tpreoperative\tJJ\tB-NP\tO' +p227569 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p227570 +aS'had\thave\tVBD\tB-VP\tO' +p227571 +aS'a\ta\tDT\tB-NP\tO' +p227572 +aS'stress\tstress\tNN\tI-NP\tO' +p227573 +aS'test\ttest\tNN\tI-NP\tO' +p227574 +aS'which\twhich\tWDT\tB-NP\tO' +p227575 +aS'was\tbe\tVBD\tB-VP\tO' +p227576 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p227577 +aS'and\tand\tCC\tO\tO' +p227578 +aS'he\the\tPRP\tB-NP\tO' +p227579 +aS'became\tbecome\tVBD\tB-VP\tO' +p227580 +aS'diaphoretic\tdiaphoretic\tJJ\tB-ADJP\tO' +p227581 +aS'but\tbut\tCC\tO\tO' +p227582 +aS'denied\tdeny\tVBD\tB-VP\tO' +p227583 +aS'any\tany\tDT\tB-NP\tO' +p227584 +aS'chest\tch\tJJS\tI-NP\tO' +p227585 +aS'pain\tpain\tNN\tI-NP\tO' +p227586 +aS'.\t.\t.\tO\tO' +p227587 +asS'Left Ventricle - Septal Wall Thickness : 0.8 cm ( nl 0.6 - 1.1 cm )' +p227588 +(lp227589 +S'Left\tLeft\tNNP\tB-NP\tO' +p227590 +aS'Ventricle\tVentricle\tNNP\tI-NP\tO' +p227591 +aS'-\t-\tHYPH\tB-NP\tO' +p227592 +aS'Septal\tSeptal\tNNP\tI-NP\tO' +p227593 +aS'Wall\tWall\tNNP\tI-NP\tO' +p227594 +aS'Thickness\tThickness\tNNP\tI-NP\tO' +p227595 +aS':\t:\t:\tO\tO' +p227596 +aS'0.8\t0.8\tCD\tB-NP\tO' +p227597 +aS'cm\tcm\tNN\tI-NP\tO' +p227598 +aS'(\t(\t(\tO\tO' +p227599 +aS'nl\tnl\tNN\tB-NP\tB-protein' +p227600 +aS'0.6\t0.6\tCD\tI-NP\tI-protein' +p227601 +aS'-\t-\tHYPH\tO\tO' +p227602 +aS'1.1\t1.1\tCD\tB-NP\tO' +p227603 +aS'cm\tcm\tNN\tI-NP\tO' +p227604 +aS')\t)\t)\tO\tO' +p227605 +asS'Signed electronically by : DR. Ruby von der Smith on: WED 2015-12-09 3:34 PM' +p227606 +(lp227607 +S'Signed\tSign\tVBN\tB-VP\tO' +p227608 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p227609 +aS'by\tby\tIN\tB-PP\tO' +p227610 +aS':\t:\t:\tO\tO' +p227611 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p227612 +aS'Ruby\tRuby\tNNP\tI-NP\tO' +p227613 +aS'von\tvon\tNNP\tI-NP\tO' +p227614 +aS'der\tder\tNNP\tI-NP\tO' +p227615 +aS'Smith\tSmith\tNNP\tI-NP\tO' +p227616 +aS'on:\ton:\t:\tO\tO' +p227617 +aS'WED\tWED\tVBD\tB-VP\tO' +p227618 +aS'2015-12-09\t2015-12-09\tCD\tB-NP\tO' +p227619 +aS'3:34\t3:34\tCD\tI-NP\tO' +p227620 +aS'PM\tPM\tNN\tI-NP\tO' +p227621 +asS'The patient 's physical examination revealed a well-developed , well-nourished white female in no apparent distress .' +p227622 +(lp227623 +S'The\tThe\tDT\tB-NP\tO' +p227624 +aS'patient\tpatient\tNN\tI-NP\tO' +p227625 +aS''s\t'\tNNS\tI-NP\tO' +p227626 +aS'physical\tphysical\tJJ\tI-NP\tO' +p227627 +aS'examination\texamination\tNN\tI-NP\tO' +p227628 +aS'revealed\treveal\tVBD\tB-VP\tO' +p227629 +aS'a\ta\tDT\tB-NP\tO' +p227630 +aS'well-developed\twell-developed\tJJ\tI-NP\tO' +p227631 +aS',\t,\t,\tI-NP\tO' +p227632 +aS'well-nourished\twell-nourished\tJJ\tI-NP\tO' +p227633 +aS'white\twhite\tJJ\tI-NP\tO' +p227634 +aS'female\tfemale\tNN\tI-NP\tO' +p227635 +aS'in\tin\tIN\tB-PP\tO' +p227636 +aS'no\tno\tDT\tB-NP\tO' +p227637 +aS'apparent\tapparent\tJJ\tI-NP\tO' +p227638 +aS'distress\tdistress\tNN\tI-NP\tO' +p227639 +aS'.\t.\t.\tO\tO' +p227640 +asS"Given the sudden unexpected nature of patient 's death , the medical examiner was contacted and the case was accepted ." +p227641 +(lp227642 +S'Given\tGive\tVBN\tB-PP\tO' +p227643 +aS'the\tthe\tDT\tB-NP\tO' +p227644 +aS'sudden\tsudden\tJJ\tI-NP\tO' +p227645 +aS'unexpected\tunexpected\tJJ\tI-NP\tO' +p227646 +aS'nature\tnature\tNN\tI-NP\tO' +p227647 +aS'of\tof\tIN\tB-PP\tO' +p227648 +aS'patient\tpatient\tNN\tB-NP\tO' +p227649 +aS"'s\t's\tPOS\tB-NP\tO" +p227650 +aS'death\tdeath\tNN\tI-NP\tO' +p227651 +aS',\t,\t,\tO\tO' +p227652 +aS'the\tthe\tDT\tB-NP\tO' +p227653 +aS'medical\tmedical\tJJ\tI-NP\tO' +p227654 +aS'examiner\texaminer\tNN\tI-NP\tO' +p227655 +aS'was\tbe\tVBD\tB-VP\tO' +p227656 +aS'contacted\tcontact\tVBN\tI-VP\tO' +p227657 +aS'and\tand\tCC\tO\tO' +p227658 +aS'the\tthe\tDT\tB-NP\tO' +p227659 +aS'case\tcase\tNN\tI-NP\tO' +p227660 +aS'was\tbe\tVBD\tB-VP\tO' +p227661 +aS'accepted\taccept\tVBN\tI-VP\tO' +p227662 +aS'.\t.\t.\tO\tO' +p227663 +asS'Postoperatively the patient was transported to the cardiac surgery recovery unit on Milrinone , Neo-Synephrine and Levophed drip .' +p227664 +(lp227665 +S'Postoperatively\tPostoperatively\tRB\tB-ADVP\tO' +p227666 +aS'the\tthe\tDT\tB-NP\tO' +p227667 +aS'patient\tpatient\tNN\tI-NP\tO' +p227668 +aS'was\tbe\tVBD\tB-VP\tO' +p227669 +aS'transported\ttransport\tVBN\tI-VP\tO' +p227670 +aS'to\tto\tTO\tB-PP\tO' +p227671 +aS'the\tthe\tDT\tB-NP\tO' +p227672 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p227673 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p227674 +aS'recovery\trecovery\tNN\tI-NP\tO' +p227675 +aS'unit\tunit\tNN\tI-NP\tO' +p227676 +aS'on\ton\tIN\tB-PP\tO' +p227677 +aS'Milrinone\tMilrinone\tNN\tB-NP\tO' +p227678 +aS',\t,\t,\tO\tO' +p227679 +aS'Neo-Synephrine\tNeo-Synephrine\tNN\tB-NP\tO' +p227680 +aS'and\tand\tCC\tO\tO' +p227681 +aS'Levophed\tLevophed\tJJ\tB-NP\tO' +p227682 +aS'drip\tdrip\tNN\tI-NP\tO' +p227683 +aS'.\t.\t.\tO\tO' +p227684 +asS'Your patient was admitted under the care of SAPSCLYSS , LEO R with a preliminary diagnosis of PNEUMONIA , .' +p227685 +(lp227686 +S'Your\tYour\tPRP$\tB-NP\tO' +p227687 +aS'patient\tpatient\tNN\tI-NP\tO' +p227688 +aS'was\tbe\tVBD\tB-VP\tO' +p227689 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p227690 +aS'under\tunder\tIN\tB-PP\tO' +p227691 +aS'the\tthe\tDT\tB-NP\tO' +p227692 +aS'care\tcare\tNN\tI-NP\tO' +p227693 +aS'of\tof\tIN\tB-PP\tO' +p227694 +aS'SAPSCLYSS\tSAPSCLYSS\tNNP\tB-NP\tO' +p227695 +aS',\t,\t,\tO\tO' +p227696 +aS'LEO\tLEO\tNNP\tB-NP\tO' +p227697 +aS'R\tR\tNNP\tI-NP\tO' +p227698 +aS'with\twith\tIN\tB-PP\tO' +p227699 +aS'a\ta\tDT\tB-NP\tO' +p227700 +aS'preliminary\tpreliminary\tJJ\tI-NP\tO' +p227701 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p227702 +aS'of\tof\tIN\tB-PP\tO' +p227703 +aS'PNEUMONIA\tPNEUMONIA\tNN\tB-NP\tO' +p227704 +aS',\t,\t,\tO\tO' +p227705 +aS'.\t.\t.\tO\tO' +p227706 +asS'These episodes of atrial fibrillation have diminished and she has been in sinus rhythm for over 24 hours now .' +p227707 +(lp227708 +S'These\tThese\tDT\tB-NP\tO' +p227709 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p227710 +aS'of\tof\tIN\tB-PP\tO' +p227711 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p227712 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p227713 +aS'have\thave\tVBP\tB-VP\tO' +p227714 +aS'diminished\tdiminish\tVBN\tI-VP\tO' +p227715 +aS'and\tand\tCC\tO\tO' +p227716 +aS'she\tshe\tPRP\tB-NP\tO' +p227717 +aS'has\thave\tVBZ\tB-VP\tO' +p227718 +aS'been\tbe\tVBN\tI-VP\tO' +p227719 +aS'in\tin\tIN\tB-PP\tO' +p227720 +aS'sinus\tsinus\tNN\tB-NP\tO' +p227721 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p227722 +aS'for\tfor\tIN\tB-PP\tO' +p227723 +aS'over\tover\tIN\tB-NP\tO' +p227724 +aS'24\t24\tCD\tI-NP\tO' +p227725 +aS'hours\thour\tNNS\tI-NP\tO' +p227726 +aS'now\tnow\tRB\tB-ADVP\tO' +p227727 +aS'.\t.\t.\tO\tO' +p227728 +asS'She was also continued on steroids given evidence of severe airway obstruction .' +p227729 +(lp227730 +S'She\tShe\tPRP\tB-NP\tO' +p227731 +aS'was\tbe\tVBD\tB-VP\tO' +p227732 +aS'also\talso\tRB\tI-VP\tO' +p227733 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p227734 +aS'on\ton\tIN\tB-PP\tO' +p227735 +aS'steroids\tsteroid\tNNS\tB-NP\tO' +p227736 +aS'given\tgive\tVBN\tB-VP\tO' +p227737 +aS'evidence\tevidence\tNN\tB-NP\tO' +p227738 +aS'of\tof\tIN\tB-PP\tO' +p227739 +aS'severe\tsevere\tJJ\tB-NP\tO' +p227740 +aS'airway\tairway\tNN\tI-NP\tO' +p227741 +aS'obstruction\tobstruction\tNN\tI-NP\tO' +p227742 +aS'.\t.\t.\tO\tO' +p227743 +asS'The tunneled catheter line was changed over a wire and the tip was also negative .' +p227744 +(lp227745 +S'The\tThe\tDT\tB-NP\tO' +p227746 +aS'tunneled\ttunnel\tVBN\tI-NP\tB-cell_line' +p227747 +aS'catheter\tcatheter\tNN\tI-NP\tI-cell_line' +p227748 +aS'line\tline\tNN\tI-NP\tI-cell_line' +p227749 +aS'was\tbe\tVBD\tB-VP\tO' +p227750 +aS'changed\tchange\tVBN\tI-VP\tO' +p227751 +aS'over\tover\tIN\tB-PP\tO' +p227752 +aS'a\ta\tDT\tB-NP\tO' +p227753 +aS'wire\twire\tNN\tI-NP\tO' +p227754 +aS'and\tand\tCC\tO\tO' +p227755 +aS'the\tthe\tDT\tB-NP\tO' +p227756 +aS'tip\ttip\tNN\tI-NP\tO' +p227757 +aS'was\tbe\tVBD\tB-VP\tO' +p227758 +aS'also\talso\tRB\tB-ADVP\tO' +p227759 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p227760 +aS'.\t.\t.\tO\tO' +p227761 +asS'The patient is a 50-year-old female with history of low back pain radiating to both legs .' +p227762 +(lp227763 +S'The\tThe\tDT\tB-NP\tO' +p227764 +aS'patient\tpatient\tNN\tI-NP\tO' +p227765 +aS'is\tbe\tVBZ\tB-VP\tO' +p227766 +aS'a\ta\tDT\tB-NP\tO' +p227767 +aS'50-year-old\t50-year-old\tJJ\tI-NP\tO' +p227768 +aS'female\tfemale\tNN\tI-NP\tO' +p227769 +aS'with\twith\tIN\tB-PP\tO' +p227770 +aS'history\thistory\tNN\tB-NP\tO' +p227771 +aS'of\tof\tIN\tB-PP\tO' +p227772 +aS'low\tlow\tJJ\tB-NP\tO' +p227773 +aS'back\tback\tJJ\tI-NP\tO' +p227774 +aS'pain\tpain\tNN\tI-NP\tO' +p227775 +aS'radiating\tradiate\tVBG\tB-VP\tO' +p227776 +aS'to\tto\tTO\tB-PP\tO' +p227777 +aS'both\tboth\tDT\tB-NP\tO' +p227778 +aS'legs\tleg\tNNS\tI-NP\tO' +p227779 +aS'.\t.\t.\tO\tO' +p227780 +asS'He was seen by physical therapy prior to discharge .' +p227781 +(lp227782 +S'He\tHe\tPRP\tB-NP\tO' +p227783 +aS'was\tbe\tVBD\tB-VP\tO' +p227784 +aS'seen\tsee\tVBN\tI-VP\tO' +p227785 +aS'by\tby\tIN\tB-PP\tO' +p227786 +aS'physical\tphysical\tJJ\tB-NP\tO' +p227787 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p227788 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p227789 +aS'to\tto\tTO\tB-VP\tO' +p227790 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p227791 +aS'.\t.\t.\tO\tO' +p227792 +asS'Patient remains in congestive heart failure , though it may be slightly improved compared to the prior study .' +p227793 +(lp227794 +S'Patient\tPatient\tNN\tB-NP\tO' +p227795 +aS'remains\tremain\tVBZ\tB-VP\tO' +p227796 +aS'in\tin\tIN\tB-PP\tO' +p227797 +aS'congestive\tcongestive\tJJ\tB-NP\tO' +p227798 +aS'heart\theart\tNN\tI-NP\tO' +p227799 +aS'failure\tfailure\tNN\tI-NP\tO' +p227800 +aS',\t,\t,\tO\tO' +p227801 +aS'though\tthough\tIN\tB-SBAR\tO' +p227802 +aS'it\tit\tPRP\tB-NP\tO' +p227803 +aS'may\tmay\tMD\tB-VP\tO' +p227804 +aS'be\tbe\tVB\tI-VP\tO' +p227805 +aS'slightly\tslightly\tRB\tI-VP\tO' +p227806 +aS'improved\timprove\tVBN\tI-VP\tO' +p227807 +aS'compared\tcompare\tVBN\tB-PP\tO' +p227808 +aS'to\tto\tTO\tB-PP\tO' +p227809 +aS'the\tthe\tDT\tB-NP\tO' +p227810 +aS'prior\tprior\tJJ\tI-NP\tO' +p227811 +aS'study\tstudy\tNN\tI-NP\tO' +p227812 +aS'.\t.\t.\tO\tO' +p227813 +asS'Do not lift more than 10 lbs. for 2 months .' +p227814 +(lp227815 +S'Do\tDo\tVBP\tB-VP\tO' +p227816 +aS'not\tnot\tRB\tI-VP\tO' +p227817 +aS'lift\tlift\tVB\tI-VP\tO' +p227818 +aS'more\tmore\tJJR\tB-NP\tO' +p227819 +aS'than\tthan\tIN\tI-NP\tO' +p227820 +aS'10\t10\tCD\tI-NP\tO' +p227821 +aS'lbs.\tlbs.\tNN\tI-NP\tO' +p227822 +aS'for\tfor\tIN\tB-PP\tO' +p227823 +aS'2\t2\tCD\tB-NP\tO' +p227824 +aS'months\tmonth\tNNS\tI-NP\tO' +p227825 +aS'.\t.\t.\tO\tO' +p227826 +asS'Pt is now transferred to the FICU for further care .' +p227827 +(lp227828 +S'Pt\tPt\tNN\tB-NP\tO' +p227829 +aS'is\tbe\tVBZ\tB-VP\tO' +p227830 +aS'now\tnow\tRB\tI-VP\tO' +p227831 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p227832 +aS'to\tto\tTO\tB-PP\tO' +p227833 +aS'the\tthe\tDT\tB-NP\tO' +p227834 +aS'FICU\tFICU\tNN\tI-NP\tO' +p227835 +aS'for\tfor\tIN\tB-PP\tO' +p227836 +aS'further\tfurther\tJJ\tB-NP\tO' +p227837 +aS'care\tcare\tNN\tI-NP\tO' +p227838 +aS'.\t.\t.\tO\tO' +p227839 +asS'Metoprolol Tartrate 75 mg PO TID' +p227840 +(lp227841 +S'Metoprolol\tMetoprolol\tNN\tB-NP\tO' +p227842 +aS'Tartrate\tTartrate\tNN\tI-NP\tO' +p227843 +aS'75\t75\tCD\tI-NP\tO' +p227844 +aS'mg\tmg\tNN\tI-NP\tO' +p227845 +aS'PO\tPO\tNN\tI-NP\tO' +p227846 +aS'TID\tTID\tNN\tI-NP\tO' +p227847 +asS'This revealed papillary thyroid cancer and the patient received radioactive iodine ablation .' +p227848 +(lp227849 +S'This\tThis\tDT\tB-NP\tO' +p227850 +aS'revealed\treveal\tVBD\tB-VP\tO' +p227851 +aS'papillary\tpapillary\tJJ\tB-NP\tO' +p227852 +aS'thyroid\tthyroid\tNN\tI-NP\tO' +p227853 +aS'cancer\tcancer\tNN\tI-NP\tO' +p227854 +aS'and\tand\tCC\tO\tO' +p227855 +aS'the\tthe\tDT\tB-NP\tO' +p227856 +aS'patient\tpatient\tNN\tI-NP\tO' +p227857 +aS'received\treceive\tVBD\tB-VP\tO' +p227858 +aS'radioactive\tradioactive\tJJ\tB-NP\tO' +p227859 +aS'iodine\tiodine\tNN\tI-NP\tO' +p227860 +aS'ablation\tablation\tNN\tI-NP\tO' +p227861 +aS'.\t.\t.\tO\tO' +p227862 +asS'Briefly , the patient was taken to the operating room to repair his critical aortic stenosis , his coronary artery disease and his significantly dilated ascending aortic aneurysm .' +p227863 +(lp227864 +S'Briefly\tBriefly\tNNP\tB-NP\tO' +p227865 +aS',\t,\t,\tO\tO' +p227866 +aS'the\tthe\tDT\tB-NP\tO' +p227867 +aS'patient\tpatient\tNN\tI-NP\tO' +p227868 +aS'was\tbe\tVBD\tB-VP\tO' +p227869 +aS'taken\ttake\tVBN\tI-VP\tO' +p227870 +aS'to\tto\tTO\tB-PP\tO' +p227871 +aS'the\tthe\tDT\tB-NP\tO' +p227872 +aS'operating\toperating\tNN\tI-NP\tO' +p227873 +aS'room\troom\tNN\tI-NP\tO' +p227874 +aS'to\tto\tTO\tB-VP\tO' +p227875 +aS'repair\trepair\tVB\tI-VP\tO' +p227876 +aS'his\this\tPRP$\tB-NP\tO' +p227877 +aS'critical\tcritical\tJJ\tI-NP\tO' +p227878 +aS'aortic\taortic\tJJ\tI-NP\tO' +p227879 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p227880 +aS',\t,\t,\tO\tO' +p227881 +aS'his\this\tPRP$\tB-NP\tO' +p227882 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p227883 +aS'artery\tartery\tNN\tI-NP\tO' +p227884 +aS'disease\tdisease\tNN\tI-NP\tO' +p227885 +aS'and\tand\tCC\tO\tO' +p227886 +aS'his\this\tPRP$\tB-NP\tO' +p227887 +aS'significantly\tsignificantly\tRB\tI-NP\tO' +p227888 +aS'dilated\tdilate\tVBN\tI-NP\tO' +p227889 +aS'ascending\tascend\tVBG\tI-NP\tO' +p227890 +aS'aortic\taortic\tJJ\tB-NP\tO' +p227891 +aS'aneurysm\taneurysm\tNN\tI-NP\tO' +p227892 +aS'.\t.\t.\tO\tO' +p227893 +asS'Attending : James F. Bard , M.D.' +p227894 +(lp227895 +S'Attending\tAttend\tVBG\tB-VP\tO' +p227896 +aS':\t:\t:\tO\tO' +p227897 +aS'James\tJames\tNNP\tB-NP\tO' +p227898 +aS'F.\tF.\tNNP\tI-NP\tO' +p227899 +aS'Bard\tBard\tNNP\tI-NP\tO' +p227900 +aS',\t,\t,\tO\tO' +p227901 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p227902 +asS'The myocardial perfusion images show no definite evidence of ischemia .' +p227903 +(lp227904 +S'The\tThe\tDT\tB-NP\tO' +p227905 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p227906 +aS'perfusion\tperfusion\tNN\tI-NP\tO' +p227907 +aS'images\timage\tNNS\tI-NP\tO' +p227908 +aS'show\tshow\tVBP\tB-VP\tO' +p227909 +aS'no\tno\tDT\tB-NP\tO' +p227910 +aS'definite\tdefinite\tJJ\tI-NP\tO' +p227911 +aS'evidence\tevidence\tNN\tI-NP\tO' +p227912 +aS'of\tof\tIN\tB-PP\tO' +p227913 +aS'ischemia\tischemia\tNN\tB-NP\tO' +p227914 +aS'.\t.\t.\tO\tO' +p227915 +asS'His amylase trended down .' +p227916 +(lp227917 +S'His\tHis\tPRP$\tB-NP\tO' +p227918 +aS'amylase\tamylase\tNN\tI-NP\tB-protein' +p227919 +aS'trended\ttrend\tVBD\tB-VP\tO' +p227920 +aS'down\tdown\tRB\tB-ADVP\tO' +p227921 +aS'.\t.\t.\tO\tO' +p227922 +asS'Scattered bibasilar rales , no wheezes .' +p227923 +(lp227924 +S'Scattered\tScatter\tVBN\tB-NP\tO' +p227925 +aS'bibasilar\tbibasilar\tJJ\tI-NP\tO' +p227926 +aS'rales\trale\tNNS\tI-NP\tO' +p227927 +aS',\t,\t,\tO\tO' +p227928 +aS'no\tno\tDT\tB-NP\tO' +p227929 +aS'wheezes\twheeze\tNNS\tI-NP\tO' +p227930 +aS'.\t.\t.\tO\tO' +p227931 +asS'He was tachycardic with an initial blood pressure of 120 / palpable .' +p227932 +(lp227933 +S'He\tHe\tPRP\tB-NP\tO' +p227934 +aS'was\tbe\tVBD\tB-VP\tO' +p227935 +aS'tachycardic\ttachycardic\tJJ\tB-ADJP\tO' +p227936 +aS'with\twith\tIN\tB-PP\tO' +p227937 +aS'an\tan\tDT\tB-NP\tO' +p227938 +aS'initial\tinitial\tJJ\tI-NP\tO' +p227939 +aS'blood\tblood\tNN\tI-NP\tO' +p227940 +aS'pressure\tpressure\tNN\tI-NP\tO' +p227941 +aS'of\tof\tIN\tB-PP\tO' +p227942 +aS'120\t120\tCD\tB-NP\tO' +p227943 +aS'/\t/\tSYM\tB-ADJP\tO' +p227944 +aS'palpable\tpalpable\tJJ\tI-ADJP\tO' +p227945 +aS'.\t.\t.\tO\tO' +p227946 +asS'A foley catheter was inserted given her mutiple episodes of incontinence that were adding to skin irritation .' +p227947 +(lp227948 +S'A\tA\tDT\tB-NP\tO' +p227949 +aS'foley\tfoley\tJJ\tI-NP\tO' +p227950 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p227951 +aS'was\tbe\tVBD\tB-VP\tO' +p227952 +aS'inserted\tinsert\tVBN\tI-VP\tO' +p227953 +aS'given\tgive\tVBN\tI-VP\tO' +p227954 +aS'her\ther\tPRP$\tB-NP\tO' +p227955 +aS'mutiple\tmutiple\tJJ\tI-NP\tO' +p227956 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p227957 +aS'of\tof\tIN\tB-PP\tO' +p227958 +aS'incontinence\tincontinence\tNN\tB-NP\tO' +p227959 +aS'that\tthat\tWDT\tB-NP\tO' +p227960 +aS'were\tbe\tVBD\tB-VP\tO' +p227961 +aS'adding\tadd\tVBG\tI-VP\tO' +p227962 +aS'to\tto\tTO\tB-PP\tO' +p227963 +aS'skin\tskin\tNN\tB-NP\tO' +p227964 +aS'irritation\tirritation\tNN\tI-NP\tO' +p227965 +aS'.\t.\t.\tO\tO' +p227966 +asS'Platelets 253 thousand .' +p227967 +(lp227968 +S'Platelets\tPlatelet\tNNS\tB-NP\tO' +p227969 +aS'253\t253\tCD\tB-NP\tO' +p227970 +aS'thousand\tthousand\tCD\tI-NP\tO' +p227971 +aS'.\t.\t.\tO\tO' +p227972 +asS'He was seen by physical therapy and will need to follow up with orthopaedics upon discharge for repeat evaluation .' +p227973 +(lp227974 +S'He\tHe\tPRP\tB-NP\tO' +p227975 +aS'was\tbe\tVBD\tB-VP\tO' +p227976 +aS'seen\tsee\tVBN\tI-VP\tO' +p227977 +aS'by\tby\tIN\tB-PP\tO' +p227978 +aS'physical\tphysical\tJJ\tB-NP\tO' +p227979 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p227980 +aS'and\tand\tCC\tO\tO' +p227981 +aS'will\twill\tMD\tB-VP\tO' +p227982 +aS'need\tneed\tVB\tI-VP\tO' +p227983 +aS'to\tto\tTO\tI-VP\tO' +p227984 +aS'follow\tfollow\tVB\tI-VP\tO' +p227985 +aS'up\tup\tRP\tB-PRT\tO' +p227986 +aS'with\twith\tIN\tB-PP\tO' +p227987 +aS'orthopaedics\torthopaedic\tNNS\tB-NP\tO' +p227988 +aS'upon\tupon\tIN\tB-PP\tO' +p227989 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p227990 +aS'for\tfor\tIN\tB-PP\tO' +p227991 +aS'repeat\trepeat\tNN\tB-NP\tO' +p227992 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p227993 +aS'.\t.\t.\tO\tO' +p227994 +asS'EF 55% and inf / post HK .' +p227995 +(lp227996 +S'EF\tEF\tNN\tB-NP\tB-protein' +p227997 +aS'55%\t55%\tNN\tI-NP\tI-protein' +p227998 +aS'and\tand\tCC\tI-NP\tO' +p227999 +aS'inf\tinf\tNN\tI-NP\tO' +p228000 +aS'/\t/\tSYM\tI-NP\tO' +p228001 +aS'post\tpost\tNN\tI-NP\tO' +p228002 +aS'HK\tHK\tNN\tI-NP\tO' +p228003 +aS'.\t.\t.\tO\tO' +p228004 +asS'Central line attempted but never placed' +p228005 +(lp228006 +S'Central\tCentral\tJJ\tB-NP\tO' +p228007 +aS'line\tline\tNN\tI-NP\tO' +p228008 +aS'attempted\tattempt\tVBD\tB-VP\tO' +p228009 +aS'but\tbut\tCC\tO\tO' +p228010 +aS'never\tnever\tRB\tB-VP\tO' +p228011 +aS'placed\tplace\tVBN\tI-VP\tO' +p228012 +asS'Given no other risk factors or likely causes , the most likely etiology for his embolus is DVT from the left leg .' +p228013 +(lp228014 +S'Given\tGive\tVBN\tB-PP\tO' +p228015 +aS'no\tno\tDT\tB-NP\tO' +p228016 +aS'other\tother\tJJ\tI-NP\tO' +p228017 +aS'risk\trisk\tNN\tI-NP\tB-protein' +p228018 +aS'factors\tfactor\tNNS\tI-NP\tI-protein' +p228019 +aS'or\tor\tCC\tO\tO' +p228020 +aS'likely\tlikely\tJJ\tB-NP\tO' +p228021 +aS'causes\tcause\tNNS\tI-NP\tO' +p228022 +aS',\t,\t,\tO\tO' +p228023 +aS'the\tthe\tDT\tB-NP\tO' +p228024 +aS'most\tmost\tRBS\tI-NP\tO' +p228025 +aS'likely\tlikely\tJJ\tI-NP\tO' +p228026 +aS'etiology\tetiology\tNN\tI-NP\tO' +p228027 +aS'for\tfor\tIN\tB-PP\tO' +p228028 +aS'his\this\tPRP$\tB-NP\tO' +p228029 +aS'embolus\tembolus\tNN\tI-NP\tO' +p228030 +aS'is\tbe\tVBZ\tB-VP\tO' +p228031 +aS'DVT\tDVT\tNN\tB-NP\tO' +p228032 +aS'from\tfrom\tIN\tB-PP\tO' +p228033 +aS'the\tthe\tDT\tB-NP\tO' +p228034 +aS'left\tleft\tJJ\tI-NP\tO' +p228035 +aS'leg\tleg\tNN\tI-NP\tO' +p228036 +aS'.\t.\t.\tO\tO' +p228037 +asS'Oropharynx is clear without lymphadenopathyin the neck .' +p228038 +(lp228039 +S'Oropharynx\tOropharynx\tNNP\tB-NP\tO' +p228040 +aS'is\tbe\tVBZ\tB-VP\tO' +p228041 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p228042 +aS'without\twithout\tIN\tB-PP\tO' +p228043 +aS'lymphadenopathyin\tlymphadenopathyin\tNN\tB-NP\tO' +p228044 +aS'the\tthe\tDT\tB-NP\tO' +p228045 +aS'neck\tneck\tNN\tI-NP\tO' +p228046 +aS'.\t.\t.\tO\tO' +p228047 +asS'1. Trimethoprim - Sulfamethoxazole 80-400 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' +p228048 +(lp228049 +S'1.\t1.\tLS\tB-NP\tO' +p228050 +aS'Trimethoprim\tTrimethoprim\tNN\tI-NP\tO' +p228051 +aS'-\t-\tHYPH\tO\tO' +p228052 +aS'Sulfamethoxazole\tSulfamethoxazole\tNN\tB-NP\tO' +p228053 +aS'80-400\t80-400\tCD\tI-NP\tO' +p228054 +aS'mg\tmg\tNN\tI-NP\tO' +p228055 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p228056 +aS'Sig\tSig\tNNP\tI-NP\tO' +p228057 +aS':\t:\t:\tO\tO' +p228058 +aS'One\tOne\tCD\tB-NP\tO' +p228059 +aS'(\t(\t(\tO\tO' +p228060 +aS'1\t1\tCD\tB-NP\tO' +p228061 +aS')\t)\t)\tO\tO' +p228062 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p228063 +aS'PO\tPO\tNN\tI-NP\tO' +p228064 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p228065 +aS'(\t(\t(\tO\tO' +p228066 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p228067 +aS')\t)\t)\tO\tO' +p228068 +aS'.\t.\t.\tO\tO' +p228069 +asS'The postoperative period was complicated by transient swallowing difficulty , increasing left sided weakness and urinary retention .' +p228070 +(lp228071 +S'The\tThe\tDT\tB-NP\tO' +p228072 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p228073 +aS'period\tperiod\tNN\tI-NP\tO' +p228074 +aS'was\tbe\tVBD\tB-VP\tO' +p228075 +aS'complicated\tcomplicate\tVBN\tI-VP\tO' +p228076 +aS'by\tby\tIN\tB-PP\tO' +p228077 +aS'transient\ttransient\tJJ\tB-NP\tO' +p228078 +aS'swallowing\tswallow\tVBG\tI-NP\tO' +p228079 +aS'difficulty\tdifficulty\tNN\tI-NP\tO' +p228080 +aS',\t,\t,\tO\tO' +p228081 +aS'increasing\tincrease\tVBG\tB-VP\tO' +p228082 +aS'left\tleft\tJJ\tB-NP\tO' +p228083 +aS'sided\tsided\tJJ\tI-NP\tO' +p228084 +aS'weakness\tweakness\tNN\tI-NP\tO' +p228085 +aS'and\tand\tCC\tO\tO' +p228086 +aS'urinary\turinary\tJJ\tB-NP\tO' +p228087 +aS'retention\tretention\tNN\tI-NP\tO' +p228088 +aS'.\t.\t.\tO\tO' +p228089 +asS'She was weaned off her pressors on 02-21 and maintained her pressure w/out additional fluid boluses .' +p228090 +(lp228091 +S'She\tShe\tPRP\tB-NP\tO' +p228092 +aS'was\tbe\tVBD\tB-VP\tO' +p228093 +aS'weaned\twean\tVBN\tI-VP\tO' +p228094 +aS'off\toff\tRP\tB-PRT\tO' +p228095 +aS'her\ther\tPRP$\tB-NP\tO' +p228096 +aS'pressors\tpressor\tNNS\tI-NP\tO' +p228097 +aS'on\ton\tIN\tB-PP\tO' +p228098 +aS'02-21\t02-21\tNN\tB-NP\tO' +p228099 +aS'and\tand\tCC\tO\tO' +p228100 +aS'maintained\tmaintain\tVBD\tB-VP\tO' +p228101 +aS'her\ther\tPRP$\tB-NP\tO' +p228102 +aS'pressure\tpressure\tNN\tI-NP\tO' +p228103 +aS'w/out\tw/out\tIN\tB-PP\tO' +p228104 +aS'additional\tadditional\tJJ\tB-NP\tO' +p228105 +aS'fluid\tfluid\tNN\tI-NP\tO' +p228106 +aS'boluses\tbolus\tNNS\tI-NP\tO' +p228107 +aS'.\t.\t.\tO\tO' +p228108 +asS"On 05-13 , the patient 's respiratory status declined further ." +p228109 +(lp228110 +S'On\tOn\tIN\tB-PP\tO' +p228111 +aS'05-13\t05-13\tCD\tB-NP\tO' +p228112 +aS',\t,\t,\tO\tO' +p228113 +aS'the\tthe\tDT\tB-NP\tO' +p228114 +aS'patient\tpatient\tNN\tI-NP\tO' +p228115 +aS"'s\t's\tPOS\tB-NP\tO" +p228116 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p228117 +aS'status\tstatus\tNN\tI-NP\tO' +p228118 +aS'declined\tdecline\tVBD\tB-VP\tO' +p228119 +aS'further\tfurther\tRBR\tB-ADVP\tO' +p228120 +aS'.\t.\t.\tO\tO' +p228121 +asS'The patient was treated with 2 liters of intravenous fluids with a bump in her systolic blood pressure to the 90 s.' +p228122 +(lp228123 +S'The\tThe\tDT\tB-NP\tO' +p228124 +aS'patient\tpatient\tNN\tI-NP\tO' +p228125 +aS'was\tbe\tVBD\tB-VP\tO' +p228126 +aS'treated\ttreat\tVBN\tI-VP\tO' +p228127 +aS'with\twith\tIN\tB-PP\tO' +p228128 +aS'2\t2\tCD\tB-NP\tO' +p228129 +aS'liters\tliter\tNNS\tI-NP\tO' +p228130 +aS'of\tof\tIN\tB-PP\tO' +p228131 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p228132 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p228133 +aS'with\twith\tIN\tB-PP\tO' +p228134 +aS'a\ta\tDT\tB-NP\tO' +p228135 +aS'bump\tbump\tNN\tI-NP\tO' +p228136 +aS'in\tin\tIN\tB-PP\tO' +p228137 +aS'her\ther\tPRP$\tB-NP\tO' +p228138 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p228139 +aS'blood\tblood\tNN\tI-NP\tO' +p228140 +aS'pressure\tpressure\tNN\tI-NP\tO' +p228141 +aS'to\tto\tTO\tB-PP\tO' +p228142 +aS'the\tthe\tDT\tB-NP\tO' +p228143 +aS'90\t90\tCD\tI-NP\tO' +p228144 +aS's.\ts.\tNNS\tI-NP\tO' +p228145 +asS'Serial CK s were followed with a CK peak of 433 .' +p228146 +(lp228147 +S'Serial\tSerial\tJJ\tB-NP\tO' +p228148 +aS'CK\tCK\tNN\tI-NP\tO' +p228149 +aS's\ts\tNNS\tI-NP\tO' +p228150 +aS'were\tbe\tVBD\tB-VP\tO' +p228151 +aS'followed\tfollow\tVBN\tI-VP\tO' +p228152 +aS'with\twith\tIN\tB-PP\tO' +p228153 +aS'a\ta\tDT\tB-NP\tO' +p228154 +aS'CK\tCK\tNN\tI-NP\tB-protein' +p228155 +aS'peak\tpeak\tNN\tI-NP\tI-protein' +p228156 +aS'of\tof\tIN\tB-PP\tO' +p228157 +aS'433\t433\tCD\tB-NP\tO' +p228158 +aS'.\t.\t.\tO\tO' +p228159 +asS'The patient worked with Physical Therapy and was able to ambulate without difficulty .' +p228160 +(lp228161 +S'The\tThe\tDT\tB-NP\tO' +p228162 +aS'patient\tpatient\tNN\tI-NP\tO' +p228163 +aS'worked\twork\tVBD\tB-VP\tO' +p228164 +aS'with\twith\tIN\tB-PP\tO' +p228165 +aS'Physical\tPhysical\tJJ\tB-NP\tO' +p228166 +aS'Therapy\tTherapy\tNN\tI-NP\tO' +p228167 +aS'and\tand\tCC\tO\tO' +p228168 +aS'was\tbe\tVBD\tB-VP\tO' +p228169 +aS'able\table\tJJ\tB-ADJP\tO' +p228170 +aS'to\tto\tTO\tB-VP\tO' +p228171 +aS'ambulate\tambulate\tVB\tI-VP\tO' +p228172 +aS'without\twithout\tIN\tB-PP\tO' +p228173 +aS'difficulty\tdifficulty\tNN\tB-NP\tO' +p228174 +aS'.\t.\t.\tO\tO' +p228175 +asS'Ms. Tikrhalt is an 86 year old female , previously healthy , who presents with a 3 month history of dysphagia .' +p228176 +(lp228177 +S'Ms.\tMs.\tNNP\tB-NP\tO' +p228178 +aS'Tikrhalt\tTikrhalt\tNNP\tI-NP\tO' +p228179 +aS'is\tbe\tVBZ\tB-VP\tO' +p228180 +aS'an\tan\tDT\tB-NP\tO' +p228181 +aS'86\t86\tCD\tI-NP\tO' +p228182 +aS'year\tyear\tNN\tI-NP\tO' +p228183 +aS'old\told\tJJ\tI-NP\tO' +p228184 +aS'female\tfemale\tNN\tI-NP\tO' +p228185 +aS',\t,\t,\tO\tO' +p228186 +aS'previously\tpreviously\tRB\tB-ADJP\tO' +p228187 +aS'healthy\thealthy\tJJ\tI-ADJP\tO' +p228188 +aS',\t,\t,\tO\tO' +p228189 +aS'who\twho\tWP\tB-NP\tO' +p228190 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p228191 +aS'with\twith\tIN\tB-PP\tO' +p228192 +aS'a\ta\tDT\tB-NP\tO' +p228193 +aS'3\t3\tCD\tI-NP\tO' +p228194 +aS'month\tmonth\tNN\tI-NP\tO' +p228195 +aS'history\thistory\tNN\tI-NP\tO' +p228196 +aS'of\tof\tIN\tB-PP\tO' +p228197 +aS'dysphagia\tdysphagia\tNN\tB-NP\tO' +p228198 +aS'.\t.\t.\tO\tO' +p228199 +asS'Brother with gastric ca .' +p228200 +(lp228201 +S'Brother\tBrother\tDT\tB-NP\tO' +p228202 +aS'with\twith\tIN\tB-PP\tO' +p228203 +aS'gastric\tgastric\tJJ\tB-NP\tO' +p228204 +aS'ca\tca\tNN\tI-NP\tO' +p228205 +aS'.\t.\t.\tO\tO' +p228206 +asS'Second set 12 hours apart , showed no changes .' +p228207 +(lp228208 +S'Second\tSecond\tJJ\tB-NP\tO' +p228209 +aS'set\tset\tNN\tI-NP\tO' +p228210 +aS'12\t12\tCD\tB-NP\tO' +p228211 +aS'hours\thour\tNNS\tI-NP\tO' +p228212 +aS'apart\tapart\tRB\tB-ADVP\tO' +p228213 +aS',\t,\t,\tO\tO' +p228214 +aS'showed\tshow\tVBD\tB-VP\tO' +p228215 +aS'no\tno\tDT\tB-NP\tO' +p228216 +aS'changes\tchange\tNNS\tI-NP\tO' +p228217 +aS'.\t.\t.\tO\tO' +p228218 +asS'Married , lives with husband .' +p228219 +(lp228220 +S'Married\tMarried\tNNP\tB-NP\tO' +p228221 +aS',\t,\t,\tO\tO' +p228222 +aS'lives\tlive\tVBZ\tB-VP\tO' +p228223 +aS'with\twith\tIN\tB-PP\tO' +p228224 +aS'husband\thusband\tNN\tB-NP\tO' +p228225 +aS'.\t.\t.\tO\tO' +p228226 +asS'He was discharged home with a Foley catheter and he will follow-up with Dr. Ross in one to two weeks .' +p228227 +(lp228228 +S'He\tHe\tPRP\tB-NP\tO' +p228229 +aS'was\tbe\tVBD\tB-VP\tO' +p228230 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p228231 +aS'home\thome\tNN\tB-ADVP\tO' +p228232 +aS'with\twith\tIN\tB-PP\tO' +p228233 +aS'a\ta\tDT\tB-NP\tO' +p228234 +aS'Foley\tFoley\tNNP\tI-NP\tO' +p228235 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p228236 +aS'and\tand\tCC\tO\tO' +p228237 +aS'he\the\tPRP\tB-NP\tO' +p228238 +aS'will\twill\tMD\tB-VP\tO' +p228239 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p228240 +aS'with\twith\tIN\tB-PP\tO' +p228241 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p228242 +aS'Ross\tRoss\tNNP\tI-NP\tO' +p228243 +aS'in\tin\tIN\tB-PP\tO' +p228244 +aS'one\tone\tCD\tB-NP\tO' +p228245 +aS'to\tto\tTO\tI-NP\tO' +p228246 +aS'two\ttwo\tCD\tI-NP\tO' +p228247 +aS'weeks\tweek\tNNS\tI-NP\tO' +p228248 +aS'.\t.\t.\tO\tO' +p228249 +asS'He has a left arm graft placed for access three weeks ago which is used for blood drawing and IV medications .' +p228250 +(lp228251 +S'He\tHe\tPRP\tB-NP\tO' +p228252 +aS'has\thave\tVBZ\tB-VP\tO' +p228253 +aS'a\ta\tDT\tB-NP\tO' +p228254 +aS'left\tleft\tJJ\tI-NP\tO' +p228255 +aS'arm\tarm\tNN\tI-NP\tO' +p228256 +aS'graft\tgraft\tNN\tI-NP\tO' +p228257 +aS'placed\tplace\tVBN\tB-VP\tO' +p228258 +aS'for\tfor\tIN\tB-PP\tO' +p228259 +aS'access\taccess\tNN\tB-NP\tO' +p228260 +aS'three\tthree\tCD\tB-NP\tO' +p228261 +aS'weeks\tweek\tNNS\tI-NP\tO' +p228262 +aS'ago\tago\tIN\tB-ADVP\tO' +p228263 +aS'which\twhich\tWDT\tB-NP\tO' +p228264 +aS'is\tbe\tVBZ\tB-VP\tO' +p228265 +aS'used\tuse\tVBN\tI-VP\tO' +p228266 +aS'for\tfor\tIN\tB-PP\tO' +p228267 +aS'blood\tblood\tNN\tB-NP\tO' +p228268 +aS'drawing\tdrawing\tNN\tI-NP\tO' +p228269 +aS'and\tand\tCC\tO\tO' +p228270 +aS'IV\tIV\tCD\tB-NP\tO' +p228271 +aS'medications\tmedication\tNNS\tI-NP\tO' +p228272 +aS'.\t.\t.\tO\tO' +p228273 +asS'47 yo F w/ h/o steroid-induced hyperglycemia , SLE w/ h/o pericarditis , transverse myelitis w/ paraplegia and neurogenic bladder s/p urostomy w/ ileal conduit , h/o ureteropelvic stone and urosepsis , and h/o RLE DVT admitted 11-29 w/ left pyelo and right 8 mm proximal ureteral stone w/ right hydro s/p perc urostomy tube to relieve right hydro .' +p228274 +(lp228275 +S'47\t47\tCD\tB-NP\tO' +p228276 +aS'yo\tyo\tNN\tI-NP\tO' +p228277 +aS'F\tF\tNN\tI-NP\tO' +p228278 +aS'w/\tw/\tNN\tI-NP\tO' +p228279 +aS'h/o\th/o\tNN\tI-NP\tO' +p228280 +aS'steroid-induced\tsteroid-induced\tJJ\tI-NP\tO' +p228281 +aS'hyperglycemia\thyperglycemia\tNN\tI-NP\tO' +p228282 +aS',\t,\t,\tO\tO' +p228283 +aS'SLE\tSLE\tNN\tB-NP\tO' +p228284 +aS'w/\tw/\tNN\tI-NP\tO' +p228285 +aS'h/o\th/o\tNN\tI-NP\tO' +p228286 +aS'pericarditis\tpericarditis\tNN\tI-NP\tO' +p228287 +aS',\t,\t,\tO\tO' +p228288 +aS'transverse\ttransverse\tJJ\tB-NP\tO' +p228289 +aS'myelitis\tmyelitis\tNN\tI-NP\tO' +p228290 +aS'w/\tw/\tNN\tI-NP\tO' +p228291 +aS'paraplegia\tparaplegia\tNN\tI-NP\tO' +p228292 +aS'and\tand\tCC\tO\tO' +p228293 +aS'neurogenic\tneurogenic\tJJ\tB-NP\tO' +p228294 +aS'bladder\tbladder\tNN\tI-NP\tO' +p228295 +aS's/p\ts/p\tNN\tI-NP\tO' +p228296 +aS'urostomy\turostomy\tNN\tI-NP\tO' +p228297 +aS'w/\tw/\tNN\tI-NP\tO' +p228298 +aS'ileal\tileal\tJJ\tI-NP\tO' +p228299 +aS'conduit\tconduit\tNN\tI-NP\tO' +p228300 +aS',\t,\t,\tO\tO' +p228301 +aS'h/o\th/o\tNN\tB-NP\tO' +p228302 +aS'ureteropelvic\tureteropelvic\tJJ\tI-NP\tO' +p228303 +aS'stone\tstone\tNN\tI-NP\tO' +p228304 +aS'and\tand\tCC\tI-NP\tO' +p228305 +aS'urosepsis\turosepsis\tNN\tI-NP\tO' +p228306 +aS',\t,\t,\tO\tO' +p228307 +aS'and\tand\tCC\tO\tO' +p228308 +aS'h/o\th/o\tNN\tB-NP\tO' +p228309 +aS'RLE\tRLE\tNN\tI-NP\tO' +p228310 +aS'DVT\tDVT\tNN\tI-NP\tO' +p228311 +aS'admitted\tadmit\tVBD\tB-VP\tO' +p228312 +aS'11-29\t11-29\tCD\tB-NP\tO' +p228313 +aS'w/\tw/\tNN\tI-NP\tO' +p228314 +aS'left\tleave\tVBD\tB-VP\tO' +p228315 +aS'pyelo\tpyelo\tNN\tB-NP\tO' +p228316 +aS'and\tand\tCC\tI-NP\tO' +p228317 +aS'right\tright\tJJ\tI-NP\tO' +p228318 +aS'8\t8\tCD\tI-NP\tO' +p228319 +aS'mm\tmm\tNN\tI-NP\tO' +p228320 +aS'proximal\tproximal\tJJ\tI-NP\tO' +p228321 +aS'ureteral\tureteral\tJJ\tI-NP\tO' +p228322 +aS'stone\tstone\tNN\tI-NP\tO' +p228323 +aS'w/\tw/\tNN\tI-NP\tO' +p228324 +aS'right\tright\tJJ\tI-NP\tO' +p228325 +aS'hydro\thydro\tNN\tI-NP\tO' +p228326 +aS's/p\ts/p\tNN\tI-NP\tO' +p228327 +aS'perc\tperc\tNN\tI-NP\tO' +p228328 +aS'urostomy\turostomy\tNN\tI-NP\tO' +p228329 +aS'tube\ttube\tNN\tI-NP\tO' +p228330 +aS'to\tto\tTO\tB-VP\tO' +p228331 +aS'relieve\trelieve\tVB\tI-VP\tO' +p228332 +aS'right\tright\tJJ\tB-NP\tO' +p228333 +aS'hydro\thydro\tNN\tI-NP\tO' +p228334 +aS'.\t.\t.\tO\tO' +p228335 +asS'Cardiac exam was regular S1 and S2 , no murmur .' +p228336 +(lp228337 +S'Cardiac\tCardiac\tJJ\tB-NP\tO' +p228338 +aS'exam\texam\tNN\tI-NP\tO' +p228339 +aS'was\tbe\tVBD\tB-VP\tO' +p228340 +aS'regular\tregular\tJJ\tB-NP\tO' +p228341 +aS'S1\tS1\tNN\tI-NP\tB-protein' +p228342 +aS'and\tand\tCC\tO\tO' +p228343 +aS'S2\tS2\tNN\tB-NP\tB-protein' +p228344 +aS',\t,\t,\tO\tO' +p228345 +aS'no\tno\tDT\tB-NP\tO' +p228346 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p228347 +aS'.\t.\t.\tO\tO' +p228348 +asS'The left atrium is normal in size .' +p228349 +(lp228350 +S'The\tThe\tDT\tB-NP\tO' +p228351 +aS'left\tleft\tJJ\tI-NP\tO' +p228352 +aS'atrium\tatrium\tNN\tI-NP\tO' +p228353 +aS'is\tbe\tVBZ\tB-VP\tO' +p228354 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p228355 +aS'in\tin\tIN\tB-PP\tO' +p228356 +aS'size\tsize\tNN\tB-NP\tO' +p228357 +aS'.\t.\t.\tO\tO' +p228358 +asS'6. Oxygen 2 liters nasal cannula with ambulating as needed .' +p228359 +(lp228360 +S'6.\t6.\tLS\tB-NP\tO' +p228361 +aS'Oxygen\tOxygen\tNN\tI-NP\tO' +p228362 +aS'2\t2\tCD\tB-NP\tO' +p228363 +aS'liters\tliter\tNNS\tI-NP\tO' +p228364 +aS'nasal\tnasal\tJJ\tB-NP\tO' +p228365 +aS'cannula\tcannula\tNN\tI-NP\tO' +p228366 +aS'with\twith\tIN\tB-PP\tO' +p228367 +aS'ambulating\tambulate\tVBG\tB-VP\tO' +p228368 +aS'as\tas\tIN\tB-SBAR\tO' +p228369 +aS'needed\tneed\tVBN\tB-VP\tO' +p228370 +aS'.\t.\t.\tO\tO' +p228371 +asS'Return to the ED for worsening chest pain , shortness of breath , nausea / vomiting , fever / chills , weakness / dizziness/numbness , or any other problems .' +p228372 +(lp228373 +S'Return\tReturn\tNN\tB-NP\tO' +p228374 +aS'to\tto\tTO\tB-PP\tO' +p228375 +aS'the\tthe\tDT\tB-NP\tO' +p228376 +aS'ED\tED\tNNP\tI-NP\tO' +p228377 +aS'for\tfor\tIN\tB-PP\tO' +p228378 +aS'worsening\tworsen\tVBG\tB-VP\tO' +p228379 +aS'chest\tchest\tNN\tB-NP\tO' +p228380 +aS'pain\tpain\tNN\tI-NP\tO' +p228381 +aS',\t,\t,\tO\tO' +p228382 +aS'shortness\tshortness\tNN\tB-NP\tO' +p228383 +aS'of\tof\tIN\tB-PP\tO' +p228384 +aS'breath\tbreath\tNN\tB-NP\tO' +p228385 +aS',\t,\t,\tO\tO' +p228386 +aS'nausea\tnausea\tNN\tB-NP\tO' +p228387 +aS'/\t/\tSYM\tB-VP\tO' +p228388 +aS'vomiting\tvomiting\tNN\tB-NP\tO' +p228389 +aS',\t,\t,\tO\tO' +p228390 +aS'fever\tfever\tNN\tB-NP\tO' +p228391 +aS'/\t/\tSYM\tI-NP\tO' +p228392 +aS'chills\tchill\tNNS\tI-NP\tO' +p228393 +aS',\t,\t,\tO\tO' +p228394 +aS'weakness\tweakness\tNN\tB-NP\tO' +p228395 +aS'/\t/\tSYM\tI-NP\tO' +p228396 +aS'dizziness/numbness\tdizziness/numbness\tNN\tI-NP\tO' +p228397 +aS',\t,\t,\tO\tO' +p228398 +aS'or\tor\tCC\tO\tO' +p228399 +aS'any\tany\tDT\tB-NP\tO' +p228400 +aS'other\tother\tJJ\tI-NP\tO' +p228401 +aS'problems\tproblem\tNNS\tI-NP\tO' +p228402 +aS'.\t.\t.\tO\tO' +p228403 +asS'She did not notice any blood / urine / emesis / stool in the bed .' +p228404 +(lp228405 +S'She\tShe\tPRP\tB-NP\tO' +p228406 +aS'did\tdo\tVBD\tB-VP\tO' +p228407 +aS'not\tnot\tRB\tI-VP\tO' +p228408 +aS'notice\tnotice\tVB\tI-VP\tO' +p228409 +aS'any\tany\tDT\tB-NP\tO' +p228410 +aS'blood\tblood\tNN\tI-NP\tO' +p228411 +aS'/\t/\tSYM\tB-NP\tO' +p228412 +aS'urine\turine\tNN\tI-NP\tO' +p228413 +aS'/\t/\tSYM\tI-NP\tO' +p228414 +aS'emesis\temesis\tNN\tI-NP\tO' +p228415 +aS'/\t/\tSYM\tB-NP\tO' +p228416 +aS'stool\tstool\tNN\tI-NP\tO' +p228417 +aS'in\tin\tIN\tB-PP\tO' +p228418 +aS'the\tthe\tDT\tB-NP\tO' +p228419 +aS'bed\tbed\tNN\tI-NP\tO' +p228420 +aS'.\t.\t.\tO\tO' +p228421 +asS'Notable for coronary artery disease , coronary allograft vasculopathy , hyperlipidemia , peripheral vascular disease , CMV infection , hypertension , depression , and tricuspid regurgitation .' +p228422 +(lp228423 +S'Notable\tNotable\tJJ\tB-ADJP\tO' +p228424 +aS'for\tfor\tIN\tB-PP\tO' +p228425 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p228426 +aS'artery\tartery\tNN\tI-NP\tO' +p228427 +aS'disease\tdisease\tNN\tI-NP\tO' +p228428 +aS',\t,\t,\tO\tO' +p228429 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p228430 +aS'allograft\tallograft\tNN\tI-NP\tO' +p228431 +aS'vasculopathy\tvasculopathy\tNN\tI-NP\tO' +p228432 +aS',\t,\t,\tO\tO' +p228433 +aS'hyperlipidemia\thyperlipidemia\tNN\tB-NP\tO' +p228434 +aS',\t,\t,\tO\tO' +p228435 +aS'peripheral\tperipheral\tJJ\tB-NP\tO' +p228436 +aS'vascular\tvascular\tJJ\tI-NP\tO' +p228437 +aS'disease\tdisease\tNN\tI-NP\tO' +p228438 +aS',\t,\t,\tO\tO' +p228439 +aS'CMV\tCMV\tNN\tB-NP\tO' +p228440 +aS'infection\tinfection\tNN\tI-NP\tO' +p228441 +aS',\t,\t,\tO\tO' +p228442 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p228443 +aS',\t,\t,\tO\tO' +p228444 +aS'depression\tdepression\tNN\tB-NP\tO' +p228445 +aS',\t,\t,\tO\tO' +p228446 +aS'and\tand\tCC\tO\tO' +p228447 +aS'tricuspid\ttricuspid\tJJ\tB-NP\tO' +p228448 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p228449 +aS'.\t.\t.\tO\tO' +p228450 +asS'3. Gastroesophageal reflux disease with esophageal dilatation for stricture .' +p228451 +(lp228452 +S'3.\t3.\tLS\tB-NP\tO' +p228453 +aS'Gastroesophageal\tGastroesophageal\tJJ\tI-NP\tO' +p228454 +aS'reflux\treflux\tNN\tI-NP\tO' +p228455 +aS'disease\tdisease\tNN\tI-NP\tO' +p228456 +aS'with\twith\tIN\tB-PP\tO' +p228457 +aS'esophageal\tesophageal\tJJ\tB-NP\tO' +p228458 +aS'dilatation\tdilatation\tNN\tI-NP\tO' +p228459 +aS'for\tfor\tIN\tB-PP\tO' +p228460 +aS'stricture\tstricture\tNN\tB-NP\tO' +p228461 +aS'.\t.\t.\tO\tO' +p228462 +asS'The patient however spends most of his time at bedrest due to decubiti ulcer disease .' +p228463 +(lp228464 +S'The\tThe\tDT\tB-NP\tO' +p228465 +aS'patient\tpatient\tNN\tI-NP\tO' +p228466 +aS'however\thowever\tRB\tB-ADVP\tO' +p228467 +aS'spends\tspend\tVBZ\tB-VP\tO' +p228468 +aS'most\tmost\tJJS\tB-NP\tO' +p228469 +aS'of\tof\tIN\tB-PP\tO' +p228470 +aS'his\this\tPRP$\tB-NP\tO' +p228471 +aS'time\ttime\tNN\tI-NP\tO' +p228472 +aS'at\tat\tIN\tB-PP\tO' +p228473 +aS'bedrest\tbedrest\tNN\tB-NP\tO' +p228474 +aS'due\tdue\tJJ\tB-ADJP\tO' +p228475 +aS'to\tto\tTO\tB-VP\tO' +p228476 +aS'decubiti\tdecubiti\tVB\tI-VP\tO' +p228477 +aS'ulcer\tulcer\tNN\tB-NP\tO' +p228478 +aS'disease\tdisease\tNN\tI-NP\tO' +p228479 +aS'.\t.\t.\tO\tO' +p228480 +asS'Sodium 140 , potassium 5.2 , BUN 38 , creatinine .7 , TSH 1.8 , Digoxin level less than 0.2 .' +p228481 +(lp228482 +S'Sodium\tSodium\tNN\tB-NP\tB-protein' +p228483 +aS'140\t140\tCD\tI-NP\tI-protein' +p228484 +aS',\t,\t,\tO\tO' +p228485 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p228486 +aS'5.2\t5.2\tCD\tI-NP\tO' +p228487 +aS',\t,\t,\tO\tO' +p228488 +aS'BUN\tBUN\tNN\tB-NP\tB-DNA' +p228489 +aS'38\t38\tCD\tI-NP\tI-DNA' +p228490 +aS',\t,\t,\tO\tO' +p228491 +aS'creatinine\tcreatinine\tNN\tB-NP\tB-protein' +p228492 +aS'.7\t.7\tCD\tI-NP\tI-protein' +p228493 +aS',\t,\t,\tO\tO' +p228494 +aS'TSH\tTSH\tNN\tB-NP\tB-protein' +p228495 +aS'1.8\t1.8\tCD\tI-NP\tI-protein' +p228496 +aS',\t,\t,\tO\tO' +p228497 +aS'Digoxin\tDigoxin\tNN\tB-NP\tO' +p228498 +aS'level\tlevel\tNN\tI-NP\tO' +p228499 +aS'less\tless\tJJR\tB-ADJP\tO' +p228500 +aS'than\tthan\tIN\tB-PP\tO' +p228501 +aS'0.2\t0.2\tCD\tB-NP\tO' +p228502 +aS'.\t.\t.\tO\tO' +p228503 +asS'At the time of discharge , the patient has a urinary tract infection .' +p228504 +(lp228505 +S'At\tAt\tIN\tB-PP\tO' +p228506 +aS'the\tthe\tDT\tB-NP\tO' +p228507 +aS'time\ttime\tNN\tI-NP\tO' +p228508 +aS'of\tof\tIN\tB-PP\tO' +p228509 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p228510 +aS',\t,\t,\tO\tO' +p228511 +aS'the\tthe\tDT\tB-NP\tO' +p228512 +aS'patient\tpatient\tNN\tI-NP\tO' +p228513 +aS'has\thave\tVBZ\tB-VP\tO' +p228514 +aS'a\ta\tDT\tB-NP\tO' +p228515 +aS'urinary\turinary\tJJ\tI-NP\tO' +p228516 +aS'tract\ttract\tNN\tI-NP\tO' +p228517 +aS'infection\tinfection\tNN\tI-NP\tO' +p228518 +aS'.\t.\t.\tO\tO' +p228519 +asS'White blood cell count is 7.65 , hematocrit of 42 and platelets of 345 .' +p228520 +(lp228521 +S'White\tWhite\tJJ\tB-NP\tO' +p228522 +aS'blood\tblood\tNN\tI-NP\tO' +p228523 +aS'cell\tcell\tNN\tI-NP\tO' +p228524 +aS'count\tcount\tNN\tI-NP\tO' +p228525 +aS'is\tbe\tVBZ\tB-VP\tO' +p228526 +aS'7.65\t7.65\tCD\tB-NP\tO' +p228527 +aS',\t,\t,\tO\tO' +p228528 +aS'hematocrit\thematocrit\tNN\tB-NP\tO' +p228529 +aS'of\tof\tIN\tB-PP\tO' +p228530 +aS'42\t42\tCD\tB-NP\tO' +p228531 +aS'and\tand\tCC\tO\tO' +p228532 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p228533 +aS'of\tof\tIN\tB-PP\tO' +p228534 +aS'345\t345\tCD\tB-NP\tO' +p228535 +aS'.\t.\t.\tO\tO' +p228536 +asS'She was able to flex her knees to 90 degrees by that time .' +p228537 +(lp228538 +S'She\tShe\tPRP\tB-NP\tO' +p228539 +aS'was\tbe\tVBD\tB-VP\tO' +p228540 +aS'able\table\tJJ\tB-ADJP\tO' +p228541 +aS'to\tto\tTO\tB-VP\tO' +p228542 +aS'flex\tflex\tVB\tI-VP\tO' +p228543 +aS'her\ther\tPRP$\tB-NP\tO' +p228544 +aS'knees\tknee\tNNS\tI-NP\tO' +p228545 +aS'to\tto\tTO\tB-PP\tO' +p228546 +aS'90\t90\tCD\tB-NP\tO' +p228547 +aS'degrees\tdegree\tNNS\tI-NP\tO' +p228548 +aS'by\tby\tIN\tB-PP\tO' +p228549 +aS'that\tthat\tDT\tB-NP\tO' +p228550 +aS'time\ttime\tNN\tI-NP\tO' +p228551 +aS'.\t.\t.\tO\tO' +p228552 +asS'Extremities revealed left lower extremity was hypoplastic .' +p228553 +(lp228554 +S'Extremities\tExtremity\tNNS\tB-NP\tO' +p228555 +aS'revealed\treveal\tVBD\tB-VP\tO' +p228556 +aS'left\tleft\tRB\tB-NP\tO' +p228557 +aS'lower\tlow\tJJR\tI-NP\tO' +p228558 +aS'extremity\textremity\tNN\tI-NP\tO' +p228559 +aS'was\tbe\tVBD\tB-VP\tO' +p228560 +aS'hypoplastic\thypoplastic\tJJ\tB-ADJP\tO' +p228561 +aS'.\t.\t.\tO\tO' +p228562 +asS'The patient underwent a sleep study , the first part , which showed that he had 75 respiratory events observed with apnea , hypopnea index of 11 an hour .' +p228563 +(lp228564 +S'The\tThe\tDT\tB-NP\tO' +p228565 +aS'patient\tpatient\tNN\tI-NP\tO' +p228566 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p228567 +aS'a\ta\tDT\tB-NP\tO' +p228568 +aS'sleep\tsleep\tJJ\tI-NP\tO' +p228569 +aS'study\tstudy\tNN\tI-NP\tO' +p228570 +aS',\t,\t,\tO\tO' +p228571 +aS'the\tthe\tDT\tB-NP\tO' +p228572 +aS'first\tfirst\tJJ\tI-NP\tO' +p228573 +aS'part\tpart\tNN\tI-NP\tO' +p228574 +aS',\t,\t,\tO\tO' +p228575 +aS'which\twhich\tWDT\tB-NP\tO' +p228576 +aS'showed\tshow\tVBD\tB-VP\tO' +p228577 +aS'that\tthat\tIN\tB-SBAR\tO' +p228578 +aS'he\the\tPRP\tB-NP\tO' +p228579 +aS'had\thave\tVBD\tB-VP\tO' +p228580 +aS'75\t75\tCD\tB-NP\tO' +p228581 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p228582 +aS'events\tevent\tNNS\tI-NP\tO' +p228583 +aS'observed\tobserve\tVBN\tB-VP\tO' +p228584 +aS'with\twith\tIN\tB-PP\tO' +p228585 +aS'apnea\tapnea\tNN\tB-NP\tO' +p228586 +aS',\t,\t,\tO\tO' +p228587 +aS'hypopnea\thypopnea\tNN\tB-NP\tO' +p228588 +aS'index\tindex\tNN\tI-NP\tO' +p228589 +aS'of\tof\tIN\tB-PP\tO' +p228590 +aS'11\t11\tCD\tB-NP\tO' +p228591 +aS'an\tan\tDT\tB-NP\tO' +p228592 +aS'hour\thour\tNN\tI-NP\tO' +p228593 +aS'.\t.\t.\tO\tO' +p228594 +asS'15. Bisacodyl 5 mg Tablet , Delayed Release ( E.C. ) Sig : Two ( 2 ) Tablet , Delayed Release ( E.C. ) PO BID ( 2 times a day ) as needed .' +p228595 +(lp228596 +S'15.\t15.\tLS\tB-NP\tO' +p228597 +aS'Bisacodyl\tBisacodyl\tNN\tI-NP\tO' +p228598 +aS'5\t5\tCD\tI-NP\tO' +p228599 +aS'mg\tmg\tNN\tI-NP\tO' +p228600 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p228601 +aS',\t,\t,\tO\tO' +p228602 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p228603 +aS'Release\tRelease\tNNP\tI-NP\tO' +p228604 +aS'(\t(\t(\tO\tO' +p228605 +aS'E.C.\tE.C.\tNNP\tB-NP\tO' +p228606 +aS')\t)\t)\tO\tO' +p228607 +aS'Sig\tSig\tNNP\tB-NP\tO' +p228608 +aS':\t:\t:\tO\tO' +p228609 +aS'Two\tTwo\tCD\tB-NP\tO' +p228610 +aS'(\t(\t(\tO\tO' +p228611 +aS'2\t2\tCD\tB-NP\tO' +p228612 +aS')\t)\t)\tO\tO' +p228613 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p228614 +aS',\t,\t,\tO\tO' +p228615 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p228616 +aS'Release\tRelease\tNNP\tI-NP\tO' +p228617 +aS'(\t(\t(\tO\tO' +p228618 +aS'E.C.\tE.C.\tNNP\tO\tO' +p228619 +aS')\t)\t)\tO\tO' +p228620 +aS'PO\tPO\tNN\tB-NP\tO' +p228621 +aS'BID\tBID\tNN\tI-NP\tO' +p228622 +aS'(\t(\t(\tO\tO' +p228623 +aS'2\t2\tCD\tB-NP\tO' +p228624 +aS'times\ttime\tNNS\tI-NP\tO' +p228625 +aS'a\ta\tDT\tB-NP\tO' +p228626 +aS'day\tday\tNN\tI-NP\tO' +p228627 +aS')\t)\t)\tO\tO' +p228628 +aS'as\tas\tIN\tB-SBAR\tO' +p228629 +aS'needed\tneed\tVBN\tB-VP\tO' +p228630 +aS'.\t.\t.\tO\tO' +p228631 +asS'The diffusion images demonstrate no evidence of slow diffusion to indicate acute infarct .' +p228632 +(lp228633 +S'The\tThe\tDT\tB-NP\tO' +p228634 +aS'diffusion\tdiffusion\tNN\tI-NP\tO' +p228635 +aS'images\timage\tNNS\tI-NP\tO' +p228636 +aS'demonstrate\tdemonstrate\tVBP\tB-VP\tO' +p228637 +aS'no\tno\tDT\tB-NP\tO' +p228638 +aS'evidence\tevidence\tNN\tI-NP\tO' +p228639 +aS'of\tof\tIN\tB-PP\tO' +p228640 +aS'slow\tslow\tJJ\tB-NP\tO' +p228641 +aS'diffusion\tdiffusion\tNN\tI-NP\tO' +p228642 +aS'to\tto\tTO\tB-VP\tO' +p228643 +aS'indicate\tindicate\tVB\tI-VP\tO' +p228644 +aS'acute\tacute\tJJ\tB-NP\tO' +p228645 +aS'infarct\tinfarct\tNN\tI-NP\tO' +p228646 +aS'.\t.\t.\tO\tO' +p228647 +asS'She did not exhibit psychotic symptoms .' +p228648 +(lp228649 +S'She\tShe\tPRP\tB-NP\tO' +p228650 +aS'did\tdo\tVBD\tB-VP\tO' +p228651 +aS'not\tnot\tRB\tI-VP\tO' +p228652 +aS'exhibit\texhibit\tVB\tI-VP\tO' +p228653 +aS'psychotic\tpsychotic\tJJ\tB-NP\tO' +p228654 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p228655 +aS'.\t.\t.\tO\tO' +p228656 +asS'Her neck is slightly tender with a firm thyroid , but no masses or bruits .' +p228657 +(lp228658 +S'Her\tHer\tPRP$\tB-NP\tO' +p228659 +aS'neck\tneck\tNN\tI-NP\tO' +p228660 +aS'is\tbe\tVBZ\tB-VP\tO' +p228661 +aS'slightly\tslightly\tRB\tI-VP\tO' +p228662 +aS'tender\ttender\tVB\tI-VP\tO' +p228663 +aS'with\twith\tIN\tB-PP\tO' +p228664 +aS'a\ta\tDT\tB-NP\tO' +p228665 +aS'firm\tfirm\tJJ\tI-NP\tO' +p228666 +aS'thyroid\tthyroid\tNN\tI-NP\tO' +p228667 +aS',\t,\t,\tO\tO' +p228668 +aS'but\tbut\tCC\tO\tO' +p228669 +aS'no\tno\tDT\tB-NP\tO' +p228670 +aS'masses\tmass\tNNS\tI-NP\tO' +p228671 +aS'or\tor\tCC\tI-NP\tO' +p228672 +aS'bruits\tbruit\tNNS\tI-NP\tO' +p228673 +aS'.\t.\t.\tO\tO' +p228674 +asS'Although there was never any bacteria isolated from the blood you had some bacteria in the urine which you are being treated for .' +p228675 +(lp228676 +S'Although\tAlthough\tIN\tB-SBAR\tO' +p228677 +aS'there\tthere\tEX\tB-NP\tO' +p228678 +aS'was\tbe\tVBD\tB-VP\tO' +p228679 +aS'never\tnever\tRB\tB-ADVP\tO' +p228680 +aS'any\tany\tDT\tB-NP\tO' +p228681 +aS'bacteria\tbacteria\tNNS\tI-NP\tO' +p228682 +aS'isolated\tisolate\tVBN\tB-VP\tO' +p228683 +aS'from\tfrom\tIN\tB-PP\tO' +p228684 +aS'the\tthe\tDT\tB-NP\tO' +p228685 +aS'blood\tblood\tNN\tI-NP\tO' +p228686 +aS'you\tyou\tPRP\tB-NP\tO' +p228687 +aS'had\thave\tVBD\tB-VP\tO' +p228688 +aS'some\tsome\tDT\tB-NP\tO' +p228689 +aS'bacteria\tbacteria\tNNS\tI-NP\tO' +p228690 +aS'in\tin\tIN\tB-PP\tO' +p228691 +aS'the\tthe\tDT\tB-NP\tO' +p228692 +aS'urine\turine\tNN\tI-NP\tO' +p228693 +aS'which\twhich\tWDT\tB-NP\tO' +p228694 +aS'you\tyou\tPRP\tB-NP\tO' +p228695 +aS'are\tbe\tVBP\tB-VP\tO' +p228696 +aS'being\tbe\tVBG\tI-VP\tO' +p228697 +aS'treated\ttreat\tVBN\tI-VP\tO' +p228698 +aS'for\tfor\tIN\tB-PP\tO' +p228699 +aS'.\t.\t.\tO\tO' +p228700 +asS'His work up included acetylcholine esterase , receptor antibodies , thyroglobulin antibody is pending .' +p228701 +(lp228702 +S'His\tHis\tPRP$\tB-NP\tO' +p228703 +aS'work\twork\tNN\tI-NP\tO' +p228704 +aS'up\tup\tRB\tB-ADVP\tO' +p228705 +aS'included\tinclude\tVBD\tB-VP\tO' +p228706 +aS'acetylcholine\tacetylcholine\tNN\tB-NP\tB-protein' +p228707 +aS'esterase\testerase\tNN\tI-NP\tI-protein' +p228708 +aS',\t,\t,\tO\tO' +p228709 +aS'receptor\treceptor\tNN\tB-NP\tB-protein' +p228710 +aS'antibodies\tantibody\tNNS\tI-NP\tI-protein' +p228711 +aS',\t,\t,\tO\tO' +p228712 +aS'thyroglobulin\tthyroglobulin\tNN\tB-NP\tB-protein' +p228713 +aS'antibody\tantibody\tNN\tI-NP\tI-protein' +p228714 +aS'is\tbe\tVBZ\tB-VP\tO' +p228715 +aS'pending\tpende\tVBG\tB-ADJP\tO' +p228716 +aS'.\t.\t.\tO\tO' +p228717 +asS'On admission to hospital patient had Hct of 29.2 .' +p228718 +(lp228719 +S'On\tOn\tIN\tB-PP\tO' +p228720 +aS'admission\tadmission\tNN\tB-NP\tO' +p228721 +aS'to\tto\tTO\tB-PP\tO' +p228722 +aS'hospital\thospital\tNN\tB-NP\tO' +p228723 +aS'patient\tpatient\tNN\tI-NP\tO' +p228724 +aS'had\thave\tVBD\tB-VP\tO' +p228725 +aS'Hct\tHct\tNN\tB-NP\tO' +p228726 +aS'of\tof\tIN\tB-PP\tO' +p228727 +aS'29.2\t29.2\tCD\tB-NP\tO' +p228728 +aS'.\t.\t.\tO\tO' +p228729 +asS'She was pleasant , in no acute distress ; blood pressure 130/60 ; heart rate 66 ; respirations 18 ; temperature 98 .' +p228730 +(lp228731 +S'She\tShe\tPRP\tB-NP\tO' +p228732 +aS'was\tbe\tVBD\tB-VP\tO' +p228733 +aS'pleasant\tpleasant\tJJ\tB-ADJP\tO' +p228734 +aS',\t,\t,\tO\tO' +p228735 +aS'in\tin\tIN\tB-PP\tO' +p228736 +aS'no\tno\tDT\tB-NP\tO' +p228737 +aS'acute\tacute\tJJ\tI-NP\tO' +p228738 +aS'distress\tdistress\tNN\tI-NP\tO' +p228739 +aS';\t;\t:\tO\tO' +p228740 +aS'blood\tblood\tNN\tB-NP\tO' +p228741 +aS'pressure\tpressure\tNN\tI-NP\tO' +p228742 +aS'130/60\t130/60\tCD\tI-NP\tO' +p228743 +aS';\t;\t:\tO\tO' +p228744 +aS'heart\theart\tNN\tB-NP\tO' +p228745 +aS'rate\trate\tNN\tI-NP\tO' +p228746 +aS'66\t66\tCD\tI-NP\tO' +p228747 +aS';\t;\t:\tO\tO' +p228748 +aS'respirations\trespiration\tNNS\tB-NP\tO' +p228749 +aS'18\t18\tCD\tB-NP\tO' +p228750 +aS';\t;\t:\tO\tO' +p228751 +aS'temperature\ttemperature\tNN\tB-NP\tO' +p228752 +aS'98\t98\tCD\tI-NP\tO' +p228753 +aS'.\t.\t.\tO\tO' +p228754 +asS'UPON PRESENTATION TO THE HOSPITAL AND INTIAL WORK-UP , THE PATIENT WAS IMMEDIATELY TAKEN TO THE OPERATING ROOM FOR AN EXPLORATORY LAPORATOMY .' +p228755 +(lp228756 +S'UPON\tUPON\tNN\tB-NP\tO' +p228757 +aS'PRESENTATION\tPRESENTATION\tNN\tI-NP\tO' +p228758 +aS'TO\tTO\tTO\tB-PP\tO' +p228759 +aS'THE\tTHE\tDT\tB-NP\tO' +p228760 +aS'HOSPITAL\tHOSPITAL\tJJ\tI-NP\tO' +p228761 +aS'AND\tAND\tCC\tI-NP\tO' +p228762 +aS'INTIAL\tINTIAL\tJJ\tI-NP\tB-protein' +p228763 +aS'WORK-UP\tWORK-UP\tNN\tI-NP\tI-protein' +p228764 +aS',\t,\t,\tO\tO' +p228765 +aS'THE\tTHE\tDT\tB-NP\tO' +p228766 +aS'PATIENT\tPATIENT\tNNP\tI-NP\tO' +p228767 +aS'WAS\tWAS\tNNP\tI-NP\tO' +p228768 +aS'IMMEDIATELY\tIMMEDIATELY\tNNP\tI-NP\tO' +p228769 +aS'TAKEN\tTAKEN\tNNP\tI-NP\tO' +p228770 +aS'TO\tTO\tTO\tB-PP\tO' +p228771 +aS'THE\tTHE\tDT\tB-NP\tO' +p228772 +aS'OPERATING\tOPERATING\tVBG\tI-NP\tO' +p228773 +aS'ROOM\tROOM\tNN\tI-NP\tO' +p228774 +aS'FOR\tFOR\tNN\tI-NP\tO' +p228775 +aS'AN\tAN\tNN\tI-NP\tO' +p228776 +aS'EXPLORATORY\tEXPLORATORY\tNN\tI-NP\tO' +p228777 +aS'LAPORATOMY\tLAPORATOMY\tNN\tI-NP\tO' +p228778 +aS'.\t.\t.\tO\tO' +p228779 +asS'She had a normal S1 and S2 and regular rate and rhythm with no murmurs .' +p228780 +(lp228781 +S'She\tShe\tPRP\tB-NP\tO' +p228782 +aS'had\thave\tVBD\tB-VP\tO' +p228783 +aS'a\ta\tDT\tB-NP\tO' +p228784 +aS'normal\tnormal\tJJ\tI-NP\tO' +p228785 +aS'S1\tS1\tNN\tI-NP\tB-protein' +p228786 +aS'and\tand\tCC\tO\tO' +p228787 +aS'S2\tS2\tNN\tB-NP\tB-protein' +p228788 +aS'and\tand\tCC\tO\tO' +p228789 +aS'regular\tregular\tJJ\tB-NP\tO' +p228790 +aS'rate\trate\tNN\tI-NP\tO' +p228791 +aS'and\tand\tCC\tO\tO' +p228792 +aS'rhythm\trhythm\tNN\tB-NP\tO' +p228793 +aS'with\twith\tIN\tB-PP\tO' +p228794 +aS'no\tno\tDT\tB-NP\tO' +p228795 +aS'murmurs\tmurmur\tNNS\tI-NP\tO' +p228796 +aS'.\t.\t.\tO\tO' +p228797 +asS'Baby boy Liles is the 2.985 kg product of a 34 week gestation born to a 30-year-old G3 , P0 , now 1 mother .' +p228798 +(lp228799 +S'Baby\tBaby\tNNP\tB-NP\tO' +p228800 +aS'boy\tboy\tNNP\tI-NP\tO' +p228801 +aS'Liles\tLiles\tNNP\tI-NP\tO' +p228802 +aS'is\tbe\tVBZ\tB-VP\tO' +p228803 +aS'the\tthe\tDT\tB-NP\tO' +p228804 +aS'2.985\t2.985\tCD\tI-NP\tO' +p228805 +aS'kg\tkg\tNN\tI-NP\tO' +p228806 +aS'product\tproduct\tNN\tI-NP\tO' +p228807 +aS'of\tof\tIN\tB-PP\tO' +p228808 +aS'a\ta\tDT\tB-NP\tO' +p228809 +aS'34\t34\tCD\tI-NP\tO' +p228810 +aS'week\tweek\tNN\tI-NP\tO' +p228811 +aS'gestation\tgestation\tNN\tI-NP\tO' +p228812 +aS'born\tbear\tVBN\tB-VP\tO' +p228813 +aS'to\tto\tTO\tB-PP\tO' +p228814 +aS'a\ta\tDT\tB-NP\tO' +p228815 +aS'30-year-old\t30-year-old\tJJ\tI-NP\tO' +p228816 +aS'G3\tG3\tNN\tI-NP\tO' +p228817 +aS',\t,\t,\tO\tO' +p228818 +aS'P0\tP0\tNN\tB-NP\tB-DNA' +p228819 +aS',\t,\t,\tO\tO' +p228820 +aS'now\tnow\tRB\tB-ADVP\tO' +p228821 +aS'1\t1\tCD\tB-NP\tO' +p228822 +aS'mother\tmother\tNN\tI-NP\tO' +p228823 +aS'.\t.\t.\tO\tO' +p228824 +asS'We anticipate that he represents a good rehab potential .' +p228825 +(lp228826 +S'We\tWe\tPRP\tB-NP\tO' +p228827 +aS'anticipate\tanticipate\tVBP\tB-VP\tO' +p228828 +aS'that\tthat\tIN\tB-SBAR\tO' +p228829 +aS'he\the\tPRP\tB-NP\tO' +p228830 +aS'represents\trepresent\tVBZ\tB-VP\tO' +p228831 +aS'a\ta\tDT\tB-NP\tO' +p228832 +aS'good\tgood\tJJ\tI-NP\tO' +p228833 +aS'rehab\trehab\tNN\tI-NP\tO' +p228834 +aS'potential\tpotential\tNN\tI-NP\tO' +p228835 +aS'.\t.\t.\tO\tO' +p228836 +asS'7. Docusate Sodium 100 mg Capsule Sig : One ( 1 ) Capsule PO BID ( 2 times a day ).' +p228837 +(lp228838 +S'7.\t7.\tCD\tB-NP\tO' +p228839 +aS'Docusate\tDocusate\tNNP\tI-NP\tO' +p228840 +aS'Sodium\tSodium\tNNP\tI-NP\tO' +p228841 +aS'100\t100\tCD\tI-NP\tO' +p228842 +aS'mg\tmg\tNN\tI-NP\tO' +p228843 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p228844 +aS'Sig\tSig\tNNP\tI-NP\tO' +p228845 +aS':\t:\t:\tO\tO' +p228846 +aS'One\tOne\tCD\tB-NP\tO' +p228847 +aS'(\t(\t(\tO\tO' +p228848 +aS'1\t1\tCD\tB-NP\tO' +p228849 +aS')\t)\t)\tO\tO' +p228850 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p228851 +aS'PO\tPO\tNNP\tI-NP\tO' +p228852 +aS'BID\tBID\tNNP\tI-NP\tO' +p228853 +aS'(\t(\t(\tO\tO' +p228854 +aS'2\t2\tCD\tB-NP\tO' +p228855 +aS'times\ttime\tNNS\tI-NP\tO' +p228856 +aS'a\ta\tDT\tB-NP\tO' +p228857 +aS'day\tday\tNN\tI-NP\tO' +p228858 +aS').\t).\t.\tO\tO' +p228859 +asS'Lives wth husband .' +p228860 +(lp228861 +S'Lives\tLive\tVBZ\tB-VP\tO' +p228862 +aS'wth\twth\tNN\tB-NP\tO' +p228863 +aS'husband\thusband\tNN\tI-NP\tO' +p228864 +aS'.\t.\t.\tO\tO' +p228865 +asS'Attending : Michael V. Hamlett , M.D.' +p228866 +(lp228867 +S'Attending\tAttend\tVBG\tB-VP\tO' +p228868 +aS':\t:\t:\tO\tO' +p228869 +aS'Michael\tMichael\tNNP\tB-NP\tO' +p228870 +aS'V.\tV.\tNNP\tI-NP\tO' +p228871 +aS'Hamlett\tHamlett\tNNP\tI-NP\tO' +p228872 +aS',\t,\t,\tO\tO' +p228873 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p228874 +asS'The patient generally had good urine output .' +p228875 +(lp228876 +S'The\tThe\tDT\tB-NP\tO' +p228877 +aS'patient\tpatient\tNN\tI-NP\tO' +p228878 +aS'generally\tgenerally\tRB\tB-ADVP\tO' +p228879 +aS'had\thave\tVBD\tB-VP\tO' +p228880 +aS'good\tgood\tJJ\tB-NP\tO' +p228881 +aS'urine\turine\tNN\tI-NP\tO' +p228882 +aS'output\toutput\tNN\tI-NP\tO' +p228883 +aS'.\t.\t.\tO\tO' +p228884 +asS'The patient was given one Amp of D50 for each acucheck for blood sugars of less than 40 .' +p228885 +(lp228886 +S'The\tThe\tDT\tB-NP\tO' +p228887 +aS'patient\tpatient\tNN\tI-NP\tO' +p228888 +aS'was\tbe\tVBD\tB-VP\tO' +p228889 +aS'given\tgive\tVBN\tI-VP\tO' +p228890 +aS'one\tone\tCD\tB-NP\tO' +p228891 +aS'Amp\tAmp\tNN\tI-NP\tO' +p228892 +aS'of\tof\tIN\tB-PP\tO' +p228893 +aS'D50\tD50\tNN\tB-NP\tB-protein' +p228894 +aS'for\tfor\tIN\tB-PP\tO' +p228895 +aS'each\teach\tDT\tB-NP\tO' +p228896 +aS'acucheck\tacucheck\tNN\tI-NP\tO' +p228897 +aS'for\tfor\tIN\tB-PP\tO' +p228898 +aS'blood\tblood\tNN\tB-NP\tO' +p228899 +aS'sugars\tsugar\tNNS\tI-NP\tO' +p228900 +aS'of\tof\tIN\tB-PP\tO' +p228901 +aS'less\tless\tJJR\tB-NP\tO' +p228902 +aS'than\tthan\tIN\tI-NP\tO' +p228903 +aS'40\t40\tCD\tI-NP\tO' +p228904 +aS'.\t.\t.\tO\tO' +p228905 +asS'Of note , he is anti-coagulated for an artificial heart valve .' +p228906 +(lp228907 +S'Of\tOf\tIN\tB-PP\tO' +p228908 +aS'note\tnote\tNN\tB-NP\tO' +p228909 +aS',\t,\t,\tO\tO' +p228910 +aS'he\the\tPRP\tB-NP\tO' +p228911 +aS'is\tbe\tVBZ\tB-VP\tO' +p228912 +aS'anti-coagulated\tanti-coagulated\tJJ\tB-ADJP\tO' +p228913 +aS'for\tfor\tIN\tB-PP\tO' +p228914 +aS'an\tan\tDT\tB-NP\tO' +p228915 +aS'artificial\tartificial\tJJ\tI-NP\tO' +p228916 +aS'heart\theart\tNN\tI-NP\tO' +p228917 +aS'valve\tvalve\tNN\tI-NP\tO' +p228918 +aS'.\t.\t.\tO\tO' +p228919 +asS'The touch , pain , and position sense were all intact .' +p228920 +(lp228921 +S'The\tThe\tDT\tB-NP\tO' +p228922 +aS'touch\ttouch\tNN\tI-NP\tO' +p228923 +aS',\t,\t,\tO\tO' +p228924 +aS'pain\tpain\tNN\tB-NP\tO' +p228925 +aS',\t,\t,\tO\tO' +p228926 +aS'and\tand\tCC\tO\tO' +p228927 +aS'position\tposition\tNN\tB-NP\tO' +p228928 +aS'sense\tsense\tNN\tI-NP\tO' +p228929 +aS'were\tbe\tVBD\tB-VP\tO' +p228930 +aS'all\tall\tDT\tO\tO' +p228931 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p228932 +aS'.\t.\t.\tO\tO' +p228933 +asS'Due to persistent gastric secretions , an nasogastric tube was placed for decompression .' +p228934 +(lp228935 +S'Due\tDue\tJJ\tB-PP\tO' +p228936 +aS'to\tto\tTO\tB-PP\tO' +p228937 +aS'persistent\tpersistent\tJJ\tB-NP\tO' +p228938 +aS'gastric\tgastric\tJJ\tI-NP\tO' +p228939 +aS'secretions\tsecretion\tNNS\tI-NP\tO' +p228940 +aS',\t,\t,\tO\tO' +p228941 +aS'an\tan\tDT\tB-NP\tO' +p228942 +aS'nasogastric\tnasogastric\tJJ\tI-NP\tO' +p228943 +aS'tube\ttube\tNN\tI-NP\tO' +p228944 +aS'was\tbe\tVBD\tB-VP\tO' +p228945 +aS'placed\tplace\tVBN\tI-VP\tO' +p228946 +aS'for\tfor\tIN\tB-PP\tO' +p228947 +aS'decompression\tdecompression\tNN\tB-NP\tO' +p228948 +aS'.\t.\t.\tO\tO' +p228949 +asS'Clear anterolaterally .' +p228950 +(lp228951 +S'Clear\tClear\tVB\tB-VP\tO' +p228952 +aS'anterolaterally\tanterolaterally\tRB\tB-ADVP\tO' +p228953 +aS'.\t.\t.\tO\tO' +p228954 +asS'Intubated for failure to protect airway , transferred to ICU .' +p228955 +(lp228956 +S'Intubated\tIntubate\tVBN\tB-VP\tO' +p228957 +aS'for\tfor\tIN\tB-PP\tO' +p228958 +aS'failure\tfailure\tNN\tB-NP\tO' +p228959 +aS'to\tto\tTO\tB-VP\tO' +p228960 +aS'protect\tprotect\tVB\tI-VP\tO' +p228961 +aS'airway\tairway\tNN\tB-NP\tO' +p228962 +aS',\t,\t,\tO\tO' +p228963 +aS'transferred\ttransfer\tVBN\tB-VP\tO' +p228964 +aS'to\tto\tTO\tB-PP\tO' +p228965 +aS'ICU\tICU\tNN\tB-NP\tB-protein' +p228966 +aS'.\t.\t.\tO\tO' +p228967 +asS'Heart : regular rate , normal s1s2 , no murmur or rub' +p228968 +(lp228969 +S'Heart\tHeart\tNN\tB-NP\tO' +p228970 +aS':\t:\t:\tO\tO' +p228971 +aS'regular\tregular\tJJ\tB-NP\tO' +p228972 +aS'rate\trate\tNN\tI-NP\tO' +p228973 +aS',\t,\t,\tO\tO' +p228974 +aS'normal\tnormal\tJJ\tB-NP\tO' +p228975 +aS's1s2\ts1s2\tNN\tI-NP\tO' +p228976 +aS',\t,\t,\tO\tO' +p228977 +aS'no\tno\tDT\tB-NP\tO' +p228978 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p228979 +aS'or\tor\tCC\tI-NP\tO' +p228980 +aS'rub\trub\tNN\tI-NP\tO' +p228981 +asS'AV fistula on right .' +p228982 +(lp228983 +S'AV\tAV\tNN\tB-NP\tO' +p228984 +aS'fistula\tfistula\tNN\tI-NP\tO' +p228985 +aS'on\ton\tIN\tB-PP\tO' +p228986 +aS'right\tright\tNN\tB-NP\tO' +p228987 +aS'.\t.\t.\tO\tO' +p228988 +asS'White blood count 4.36 , hematocrit 26.1 with platelets of 107,000 , MCV 81 .' +p228989 +(lp228990 +S'White\tWhite\tJJ\tB-NP\tO' +p228991 +aS'blood\tblood\tNN\tI-NP\tO' +p228992 +aS'count\tcount\tNN\tI-NP\tO' +p228993 +aS'4.36\t4.36\tCD\tI-NP\tO' +p228994 +aS',\t,\t,\tO\tO' +p228995 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p228996 +aS'26.1\t26.1\tCD\tI-NP\tI-protein' +p228997 +aS'with\twith\tIN\tB-PP\tO' +p228998 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p228999 +aS'of\tof\tIN\tB-PP\tO' +p229000 +aS'107,000\t107,000\tCD\tB-NP\tO' +p229001 +aS',\t,\t,\tO\tO' +p229002 +aS'MCV\tMCV\tNN\tB-NP\tO' +p229003 +aS'81\t81\tCD\tI-NP\tO' +p229004 +aS'.\t.\t.\tO\tO' +p229005 +asS'She received 4units of FFP which decreased her INR to 2.2 and then 2 more units during the tap .' +p229006 +(lp229007 +S'She\tShe\tPRP\tB-NP\tO' +p229008 +aS'received\treceive\tVBD\tB-VP\tO' +p229009 +aS'4units\t4unit\tNNS\tB-NP\tO' +p229010 +aS'of\tof\tIN\tB-PP\tO' +p229011 +aS'FFP\tFFP\tNN\tB-NP\tB-protein' +p229012 +aS'which\twhich\tWDT\tB-NP\tO' +p229013 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p229014 +aS'her\ther\tPRP$\tB-NP\tO' +p229015 +aS'INR\tINR\tNN\tI-NP\tB-protein' +p229016 +aS'to\tto\tTO\tB-PP\tO' +p229017 +aS'2.2\t2.2\tCD\tB-NP\tO' +p229018 +aS'and\tand\tCC\tO\tO' +p229019 +aS'then\tthen\tRB\tB-NP\tO' +p229020 +aS'2\t2\tCD\tI-NP\tO' +p229021 +aS'more\tmore\tJJR\tI-NP\tO' +p229022 +aS'units\tunit\tNNS\tI-NP\tO' +p229023 +aS'during\tduring\tIN\tB-PP\tO' +p229024 +aS'the\tthe\tDT\tB-NP\tO' +p229025 +aS'tap\ttap\tNN\tI-NP\tB-protein' +p229026 +aS'.\t.\t.\tO\tO' +p229027 +asS'She tolerated beta blockade which was slowly advanced as tolerated .' +p229028 +(lp229029 +S'She\tShe\tPRP\tB-NP\tO' +p229030 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p229031 +aS'beta\tbeta\tNN\tB-NP\tO' +p229032 +aS'blockade\tblockade\tNN\tI-NP\tO' +p229033 +aS'which\twhich\tWDT\tB-NP\tO' +p229034 +aS'was\tbe\tVBD\tB-VP\tO' +p229035 +aS'slowly\tslowly\tRB\tI-VP\tO' +p229036 +aS'advanced\tadvance\tVBN\tI-VP\tO' +p229037 +aS'as\tas\tIN\tB-SBAR\tO' +p229038 +aS'tolerated\ttolerate\tVBN\tB-VP\tO' +p229039 +aS'.\t.\t.\tO\tO' +p229040 +asS'141 / 5.6 / 104 / 24 / 23 / 0.8 / 118 .' +p229041 +(lp229042 +S'141\t141\tCD\tB-NP\tO' +p229043 +aS'/\t/\tSYM\tI-NP\tO' +p229044 +aS'5.6\t5.6\tCD\tI-NP\tO' +p229045 +aS'/\t/\tSYM\tI-NP\tO' +p229046 +aS'104\t104\tCD\tI-NP\tO' +p229047 +aS'/\t/\tSYM\tI-NP\tO' +p229048 +aS'24\t24\tCD\tI-NP\tO' +p229049 +aS'/\t/\tSYM\tI-NP\tO' +p229050 +aS'23\t23\tCD\tI-NP\tO' +p229051 +aS'/\t/\tSYM\tI-NP\tO' +p229052 +aS'0.8\t0.8\tCD\tI-NP\tO' +p229053 +aS'/\t/\tSYM\tI-NP\tO' +p229054 +aS'118\t118\tCD\tI-NP\tO' +p229055 +aS'.\t.\t.\tO\tO' +p229056 +asS'9. Lisinopril 5 mg p.o. once per day .' +p229057 +(lp229058 +S'9.\t9.\tCD\tB-NP\tO' +p229059 +aS'Lisinopril\tLisinopril\tNNP\tI-NP\tO' +p229060 +aS'5\t5\tCD\tI-NP\tO' +p229061 +aS'mg\tmg\tNN\tI-NP\tO' +p229062 +aS'p.o.\tp.o.\tRB\tB-ADVP\tO' +p229063 +aS'once\tonce\tRB\tI-ADVP\tO' +p229064 +aS'per\tper\tIN\tB-PP\tO' +p229065 +aS'day\tday\tNN\tB-NP\tO' +p229066 +aS'.\t.\t.\tO\tO' +p229067 +asS'Low cholesterol , low fat diet .' +p229068 +(lp229069 +S'Low\tLow\tJJ\tB-NP\tO' +p229070 +aS'cholesterol\tcholesterol\tNN\tI-NP\tO' +p229071 +aS',\t,\t,\tO\tO' +p229072 +aS'low\tlow\tJJ\tB-NP\tO' +p229073 +aS'fat\tfat\tNN\tI-NP\tO' +p229074 +aS'diet\tdiet\tNN\tI-NP\tO' +p229075 +aS'.\t.\t.\tO\tO' +p229076 +asS'Discharge weight is 2.37 kg , head circumference 32 cm , length 47 cm .' +p229077 +(lp229078 +S'Discharge\tDischarge\tNN\tB-NP\tO' +p229079 +aS'weight\tweight\tNN\tI-NP\tO' +p229080 +aS'is\tbe\tVBZ\tB-VP\tO' +p229081 +aS'2.37\t2.37\tCD\tB-NP\tO' +p229082 +aS'kg\tkg\tNN\tI-NP\tO' +p229083 +aS',\t,\t,\tO\tO' +p229084 +aS'head\thead\tNN\tB-NP\tO' +p229085 +aS'circumference\tcircumference\tNN\tI-NP\tO' +p229086 +aS'32\t32\tCD\tI-NP\tO' +p229087 +aS'cm\tcm\tNN\tI-NP\tO' +p229088 +aS',\t,\t,\tO\tO' +p229089 +aS'length\tlength\tNN\tB-NP\tO' +p229090 +aS'47\t47\tCD\tI-NP\tO' +p229091 +aS'cm\tcm\tNN\tI-NP\tO' +p229092 +aS'.\t.\t.\tO\tO' +p229093 +asS'Toxicology screen at Sephsandpot Center revealed Cocaine and Quinine .' +p229094 +(lp229095 +S'Toxicology\tToxicology\tNNP\tB-NP\tO' +p229096 +aS'screen\tscreen\tNN\tI-NP\tO' +p229097 +aS'at\tat\tIN\tB-PP\tO' +p229098 +aS'Sephsandpot\tSephsandpot\tNNP\tB-NP\tO' +p229099 +aS'Center\tCenter\tNNP\tI-NP\tO' +p229100 +aS'revealed\treveal\tVBD\tB-VP\tO' +p229101 +aS'Cocaine\tCocaine\tNN\tB-NP\tO' +p229102 +aS'and\tand\tCC\tI-NP\tO' +p229103 +aS'Quinine\tQuinine\tNN\tI-NP\tO' +p229104 +aS'.\t.\t.\tO\tO' +p229105 +asS'At about 2:30 pm , he was found to have worsening mental status .' +p229106 +(lp229107 +S'At\tAt\tIN\tB-PP\tO' +p229108 +aS'about\tabout\tIN\tB-NP\tO' +p229109 +aS'2:30\t2:30\tCD\tI-NP\tO' +p229110 +aS'pm\tpm\tNN\tI-NP\tO' +p229111 +aS',\t,\t,\tO\tO' +p229112 +aS'he\the\tPRP\tB-NP\tO' +p229113 +aS'was\tbe\tVBD\tB-VP\tO' +p229114 +aS'found\tfind\tVBN\tI-VP\tO' +p229115 +aS'to\tto\tTO\tI-VP\tO' +p229116 +aS'have\thave\tVB\tI-VP\tO' +p229117 +aS'worsening\tworsen\tVBG\tI-VP\tO' +p229118 +aS'mental\tmental\tJJ\tB-NP\tO' +p229119 +aS'status\tstatus\tNN\tI-NP\tO' +p229120 +aS'.\t.\t.\tO\tO' +p229121 +asS'On the evening of hospital day four , Mr. Roach had an acute episode whereby his central venous pressure rose sharply and immediately followed by a period of asystole .' +p229122 +(lp229123 +S'On\tOn\tIN\tB-PP\tO' +p229124 +aS'the\tthe\tDT\tB-NP\tO' +p229125 +aS'evening\tevening\tNN\tI-NP\tO' +p229126 +aS'of\tof\tIN\tB-PP\tO' +p229127 +aS'hospital\thospital\tNN\tB-NP\tO' +p229128 +aS'day\tday\tNN\tI-NP\tO' +p229129 +aS'four\tfour\tCD\tI-NP\tO' +p229130 +aS',\t,\t,\tO\tO' +p229131 +aS'Mr.\tMr.\tNNP\tB-NP\tO' +p229132 +aS'Roach\tRoach\tNNP\tI-NP\tO' +p229133 +aS'had\thave\tVBD\tB-VP\tO' +p229134 +aS'an\tan\tDT\tB-NP\tO' +p229135 +aS'acute\tacute\tJJ\tI-NP\tO' +p229136 +aS'episode\tepisode\tNN\tI-NP\tO' +p229137 +aS'whereby\twhereby\tWRB\tB-ADVP\tO' +p229138 +aS'his\this\tPRP$\tB-NP\tO' +p229139 +aS'central\tcentral\tJJ\tI-NP\tO' +p229140 +aS'venous\tvenous\tJJ\tI-NP\tO' +p229141 +aS'pressure\tpressure\tNN\tI-NP\tO' +p229142 +aS'rose\trise\tVBD\tB-VP\tO' +p229143 +aS'sharply\tsharply\tRB\tB-VP\tO' +p229144 +aS'and\tand\tCC\tI-VP\tO' +p229145 +aS'immediately\timmediately\tRB\tI-VP\tO' +p229146 +aS'followed\tfollow\tVBN\tI-VP\tO' +p229147 +aS'by\tby\tIN\tB-PP\tO' +p229148 +aS'a\ta\tDT\tB-NP\tO' +p229149 +aS'period\tperiod\tNN\tI-NP\tO' +p229150 +aS'of\tof\tIN\tB-PP\tO' +p229151 +aS'asystole\tasystole\tNN\tB-NP\tO' +p229152 +aS'.\t.\t.\tO\tO' +p229153 +asS'The patient was noted to be able to wiggle her fingers with intact flexor , extensor , abductor , and adductor function .' +p229154 +(lp229155 +S'The\tThe\tDT\tB-NP\tO' +p229156 +aS'patient\tpatient\tNN\tI-NP\tO' +p229157 +aS'was\tbe\tVBD\tB-VP\tO' +p229158 +aS'noted\tnote\tVBN\tI-VP\tO' +p229159 +aS'to\tto\tTO\tI-VP\tO' +p229160 +aS'be\tbe\tVB\tI-VP\tO' +p229161 +aS'able\table\tJJ\tB-ADJP\tO' +p229162 +aS'to\tto\tTO\tB-VP\tO' +p229163 +aS'wiggle\twiggle\tVB\tI-VP\tO' +p229164 +aS'her\ther\tPRP$\tB-NP\tO' +p229165 +aS'fingers\tfinger\tNNS\tI-NP\tO' +p229166 +aS'with\twith\tIN\tB-PP\tO' +p229167 +aS'intact\tintact\tJJ\tB-NP\tO' +p229168 +aS'flexor\tflexor\tNN\tI-NP\tO' +p229169 +aS',\t,\t,\tO\tO' +p229170 +aS'extensor\textensor\tNN\tB-NP\tO' +p229171 +aS',\t,\t,\tO\tO' +p229172 +aS'abductor\tabductor\tNN\tB-NP\tO' +p229173 +aS',\t,\t,\tO\tO' +p229174 +aS'and\tand\tCC\tO\tO' +p229175 +aS'adductor\tadductor\tNN\tB-NP\tO' +p229176 +aS'function\tfunction\tNN\tI-NP\tO' +p229177 +aS'.\t.\t.\tO\tO' +p229178 +asS'Discharge weight is 2040 gm , the head circumference is 32 cm and the length is 46 cm. .' +p229179 +(lp229180 +S'Discharge\tDischarge\tNN\tB-NP\tO' +p229181 +aS'weight\tweight\tNN\tI-NP\tO' +p229182 +aS'is\tbe\tVBZ\tB-VP\tO' +p229183 +aS'2040\t2040\tCD\tB-NP\tO' +p229184 +aS'gm\tgm\tNN\tI-NP\tO' +p229185 +aS',\t,\t,\tO\tO' +p229186 +aS'the\tthe\tDT\tB-NP\tO' +p229187 +aS'head\thead\tNN\tI-NP\tO' +p229188 +aS'circumference\tcircumference\tNN\tI-NP\tO' +p229189 +aS'is\tbe\tVBZ\tB-VP\tO' +p229190 +aS'32\t32\tCD\tB-NP\tO' +p229191 +aS'cm\tcm\tNN\tI-NP\tO' +p229192 +aS'and\tand\tCC\tO\tO' +p229193 +aS'the\tthe\tDT\tB-NP\tO' +p229194 +aS'length\tlength\tNN\tI-NP\tO' +p229195 +aS'is\tbe\tVBZ\tB-VP\tO' +p229196 +aS'46\t46\tCD\tB-NP\tO' +p229197 +aS'cm.\tcm.\tNN\tI-NP\tO' +p229198 +aS'.\t.\t.\tO\tO' +p229199 +asS'Dictated By : Donna Q Fisher , M.D.' +p229200 +(lp229201 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p229202 +aS'By\tBy\tIN\tB-PP\tO' +p229203 +aS':\t:\t:\tO\tO' +p229204 +aS'Donna\tDonna\tNNP\tB-NP\tO' +p229205 +aS'Q\tQ\tNNP\tI-NP\tO' +p229206 +aS'Fisher\tFisher\tNNP\tI-NP\tO' +p229207 +aS',\t,\t,\tO\tO' +p229208 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p229209 +asS'On admission , the patient denies any suicidal or homicidal ideation .' +p229210 +(lp229211 +S'On\tOn\tIN\tB-PP\tO' +p229212 +aS'admission\tadmission\tNN\tB-NP\tO' +p229213 +aS',\t,\t,\tO\tO' +p229214 +aS'the\tthe\tDT\tB-NP\tO' +p229215 +aS'patient\tpatient\tNN\tI-NP\tO' +p229216 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p229217 +aS'any\tany\tDT\tB-NP\tO' +p229218 +aS'suicidal\tsuicidal\tJJ\tI-NP\tO' +p229219 +aS'or\tor\tCC\tI-NP\tO' +p229220 +aS'homicidal\thomicidal\tJJ\tI-NP\tO' +p229221 +aS'ideation\tideation\tNN\tI-NP\tO' +p229222 +aS'.\t.\t.\tO\tO' +p229223 +asS'The neuro-oncologist felt that because of the tremendous tumor burden that was likely causing his symptoms the patient will require open debulking as well as obtaining issue for a pathologic diagnosis .' +p229224 +(lp229225 +S'The\tThe\tDT\tB-NP\tO' +p229226 +aS'neuro-oncologist\tneuro-oncologist\tNN\tI-NP\tO' +p229227 +aS'felt\tfeel\tVBD\tB-VP\tO' +p229228 +aS'that\tthat\tIN\tB-SBAR\tO' +p229229 +aS'because\tbecause\tIN\tB-PP\tO' +p229230 +aS'of\tof\tIN\tI-PP\tO' +p229231 +aS'the\tthe\tDT\tB-NP\tO' +p229232 +aS'tremendous\ttremendous\tJJ\tI-NP\tO' +p229233 +aS'tumor\ttumor\tNN\tI-NP\tO' +p229234 +aS'burden\tburden\tNN\tI-NP\tO' +p229235 +aS'that\tthat\tWDT\tB-NP\tO' +p229236 +aS'was\tbe\tVBD\tB-VP\tO' +p229237 +aS'likely\tlikely\tRB\tI-VP\tO' +p229238 +aS'causing\tcause\tVBG\tI-VP\tO' +p229239 +aS'his\this\tPRP$\tB-NP\tO' +p229240 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p229241 +aS'the\tthe\tDT\tB-NP\tO' +p229242 +aS'patient\tpatient\tNN\tI-NP\tO' +p229243 +aS'will\twill\tMD\tB-VP\tO' +p229244 +aS'require\trequire\tVB\tI-VP\tO' +p229245 +aS'open\topen\tJJ\tB-NP\tO' +p229246 +aS'debulking\tdebulking\tNN\tI-NP\tO' +p229247 +aS'as\tas\tRB\tB-CONJP\tO' +p229248 +aS'well\twell\tRB\tI-CONJP\tO' +p229249 +aS'as\tas\tIN\tI-CONJP\tO' +p229250 +aS'obtaining\tobtain\tVBG\tB-VP\tO' +p229251 +aS'issue\tissue\tNN\tB-NP\tO' +p229252 +aS'for\tfor\tIN\tB-PP\tO' +p229253 +aS'a\ta\tDT\tB-NP\tO' +p229254 +aS'pathologic\tpathologic\tJJ\tI-NP\tO' +p229255 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p229256 +aS'.\t.\t.\tO\tO' +p229257 +asS'3. Docusate Sodium 100 mg Capsule Sig : One ( 1 ) Capsule PO BID ( 2 times a day ).' +p229258 +(lp229259 +S'3.\t3.\tLS\tB-NP\tO' +p229260 +aS'Docusate\tDocusate\tNN\tI-NP\tO' +p229261 +aS'Sodium\tSodium\tNN\tI-NP\tO' +p229262 +aS'100\t100\tCD\tI-NP\tO' +p229263 +aS'mg\tmg\tNN\tI-NP\tO' +p229264 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p229265 +aS'Sig\tSig\tNNP\tI-NP\tO' +p229266 +aS':\t:\t:\tO\tO' +p229267 +aS'One\tOne\tCD\tB-NP\tO' +p229268 +aS'(\t(\t(\tO\tO' +p229269 +aS'1\t1\tCD\tB-NP\tO' +p229270 +aS')\t)\t)\tO\tO' +p229271 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p229272 +aS'PO\tPO\tNNP\tI-NP\tO' +p229273 +aS'BID\tBID\tNNP\tI-NP\tO' +p229274 +aS'(\t(\t(\tO\tO' +p229275 +aS'2\t2\tCD\tB-NP\tO' +p229276 +aS'times\ttime\tNNS\tI-NP\tO' +p229277 +aS'a\ta\tDT\tB-NP\tO' +p229278 +aS'day\tday\tNN\tI-NP\tO' +p229279 +aS').\t).\t.\tO\tO' +p229280 +asS'Vitals reportedly HR 88-98 , BP 150/80 .' +p229281 +(lp229282 +S'Vitals\tVital\tNNS\tB-NP\tO' +p229283 +aS'reportedly\treportedly\tRB\tB-ADVP\tO' +p229284 +aS'HR\tHR\tNN\tB-NP\tO' +p229285 +aS'88-98\t88-98\tCD\tI-NP\tO' +p229286 +aS',\t,\t,\tO\tO' +p229287 +aS'BP\tBP\tNN\tB-NP\tO' +p229288 +aS'150/80\t150/80\tCD\tI-NP\tO' +p229289 +aS'.\t.\t.\tO\tO' +p229290 +asS'Reported to a local ED was found to have BP up to 200/100 .' +p229291 +(lp229292 +S'Reported\tReport\tVBN\tB-VP\tO' +p229293 +aS'to\tto\tTO\tB-PP\tO' +p229294 +aS'a\ta\tDT\tB-NP\tO' +p229295 +aS'local\tlocal\tJJ\tI-NP\tO' +p229296 +aS'ED\tED\tNN\tI-NP\tO' +p229297 +aS'was\tbe\tVBD\tB-VP\tO' +p229298 +aS'found\tfind\tVBN\tI-VP\tO' +p229299 +aS'to\tto\tTO\tI-VP\tO' +p229300 +aS'have\thave\tVB\tI-VP\tO' +p229301 +aS'BP\tBP\tNN\tB-NP\tO' +p229302 +aS'up\tup\tIN\tB-PP\tO' +p229303 +aS'to\tto\tTO\tB-PP\tO' +p229304 +aS'200/100\t200/100\tCD\tB-NP\tO' +p229305 +aS'.\t.\t.\tO\tO' +p229306 +asS'The patient began to spike and a blood culture grew out Staphylococcusaureus .' +p229307 +(lp229308 +S'The\tThe\tDT\tB-NP\tO' +p229309 +aS'patient\tpatient\tNN\tI-NP\tO' +p229310 +aS'began\tbegin\tVBD\tB-VP\tO' +p229311 +aS'to\tto\tTO\tI-VP\tO' +p229312 +aS'spike\tspike\tVB\tI-VP\tO' +p229313 +aS'and\tand\tCC\tO\tO' +p229314 +aS'a\ta\tDT\tB-NP\tO' +p229315 +aS'blood\tblood\tNN\tI-NP\tO' +p229316 +aS'culture\tculture\tNN\tI-NP\tO' +p229317 +aS'grew\tgrow\tVBD\tB-VP\tO' +p229318 +aS'out\tout\tRP\tB-PRT\tO' +p229319 +aS'Staphylococcusaureus\tStaphylococcusaureus\tNNP\tB-NP\tO' +p229320 +aS'.\t.\t.\tO\tO' +p229321 +asS'Lovenox .' +p229322 +(lp229323 +S'Lovenox\tLovenox\tNN\tB-NP\tO' +p229324 +aS'.\t.\t.\tO\tO' +p229325 +asS'He does not drink alcohol .' +p229326 +(lp229327 +S'He\tHe\tPRP\tB-NP\tO' +p229328 +aS'does\tdo\tVBZ\tB-VP\tO' +p229329 +aS'not\tnot\tRB\tI-VP\tO' +p229330 +aS'drink\tdrink\tVB\tI-VP\tO' +p229331 +aS'alcohol\talcohol\tNN\tB-NP\tO' +p229332 +aS'.\t.\t.\tO\tO' +p229333 +asS'The patient was prepped and draped in a sterile fashion , and 1150 cc of fluid were drained .' +p229334 +(lp229335 +S'The\tThe\tDT\tB-NP\tO' +p229336 +aS'patient\tpatient\tNN\tI-NP\tO' +p229337 +aS'was\tbe\tVBD\tB-VP\tO' +p229338 +aS'prepped\tpreppe\tVBN\tI-VP\tO' +p229339 +aS'and\tand\tCC\tO\tO' +p229340 +aS'draped\tdrape\tVBN\tB-VP\tO' +p229341 +aS'in\tin\tIN\tB-PP\tO' +p229342 +aS'a\ta\tDT\tB-NP\tO' +p229343 +aS'sterile\tsterile\tJJ\tI-NP\tO' +p229344 +aS'fashion\tfashion\tNN\tI-NP\tO' +p229345 +aS',\t,\t,\tO\tO' +p229346 +aS'and\tand\tCC\tO\tO' +p229347 +aS'1150\t1150\tCD\tB-NP\tO' +p229348 +aS'cc\tcc\tNN\tI-NP\tO' +p229349 +aS'of\tof\tIN\tB-PP\tO' +p229350 +aS'fluid\tfluid\tNN\tB-NP\tO' +p229351 +aS'were\tbe\tVBD\tB-VP\tO' +p229352 +aS'drained\tdrain\tVBN\tI-VP\tO' +p229353 +aS'.\t.\t.\tO\tO' +p229354 +asS'She had worsening abdominal pain on exam .' +p229355 +(lp229356 +S'She\tShe\tPRP\tB-NP\tO' +p229357 +aS'had\thave\tVBD\tB-VP\tO' +p229358 +aS'worsening\tworsen\tVBG\tI-VP\tO' +p229359 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p229360 +aS'pain\tpain\tNN\tI-NP\tO' +p229361 +aS'on\ton\tIN\tB-PP\tO' +p229362 +aS'exam\texam\tNN\tB-NP\tO' +p229363 +aS'.\t.\t.\tO\tO' +p229364 +asS'Dr.Demby secretary will contact patient at home the week after discharge to schedule this for the end of January .' +p229365 +(lp229366 +S'Dr.Demby\tDr.Demby\tNN\tB-NP\tO' +p229367 +aS'secretary\tsecretary\tNN\tI-NP\tO' +p229368 +aS'will\twill\tMD\tB-VP\tO' +p229369 +aS'contact\tcontact\tVB\tI-VP\tO' +p229370 +aS'patient\tpatient\tNN\tB-NP\tO' +p229371 +aS'at\tat\tIN\tB-PP\tO' +p229372 +aS'home\thome\tNN\tB-NP\tO' +p229373 +aS'the\tthe\tDT\tB-NP\tO' +p229374 +aS'week\tweek\tNN\tI-NP\tO' +p229375 +aS'after\tafter\tIN\tB-SBAR\tO' +p229376 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p229377 +aS'to\tto\tTO\tB-VP\tO' +p229378 +aS'schedule\tschedule\tVB\tI-VP\tO' +p229379 +aS'this\tthis\tDT\tB-NP\tO' +p229380 +aS'for\tfor\tIN\tB-PP\tO' +p229381 +aS'the\tthe\tDT\tB-NP\tO' +p229382 +aS'end\tend\tNN\tI-NP\tO' +p229383 +aS'of\tof\tIN\tB-PP\tO' +p229384 +aS'January\tJanuary\tNNP\tB-NP\tO' +p229385 +aS'.\t.\t.\tO\tO' +p229386 +asS'He therefore decided to take his life with a gun which he had found in the house .' +p229387 +(lp229388 +S'He\tHe\tPRP\tB-NP\tO' +p229389 +aS'therefore\ttherefore\tRB\tB-ADVP\tO' +p229390 +aS'decided\tdecide\tVBD\tB-VP\tO' +p229391 +aS'to\tto\tTO\tI-VP\tO' +p229392 +aS'take\ttake\tVB\tI-VP\tO' +p229393 +aS'his\this\tPRP$\tB-NP\tO' +p229394 +aS'life\tlife\tNN\tI-NP\tO' +p229395 +aS'with\twith\tIN\tB-PP\tO' +p229396 +aS'a\ta\tDT\tB-NP\tO' +p229397 +aS'gun\tgun\tNN\tI-NP\tO' +p229398 +aS'which\twhich\tWDT\tB-NP\tO' +p229399 +aS'he\the\tPRP\tB-NP\tO' +p229400 +aS'had\thave\tVBD\tB-VP\tO' +p229401 +aS'found\tfind\tVBN\tI-VP\tO' +p229402 +aS'in\tin\tIN\tB-PP\tO' +p229403 +aS'the\tthe\tDT\tB-NP\tO' +p229404 +aS'house\thouse\tNN\tI-NP\tO' +p229405 +aS'.\t.\t.\tO\tO' +p229406 +asS'> 400 mg / dL Notify M.D. Notify M.D. Notify M.D. Notify M.D.' +p229407 +(lp229408 +S'>\t>\tSYM\tO\tO' +p229409 +aS'400\t400\tCD\tB-NP\tO' +p229410 +aS'mg\tmg\tNN\tI-NP\tO' +p229411 +aS'/\t/\tSYM\tB-NP\tO' +p229412 +aS'dL\tdL\tNN\tI-NP\tO' +p229413 +aS'Notify\tNotify\tNNP\tI-NP\tO' +p229414 +aS'M.D.\tM.D.\tNNP\tI-NP\tO' +p229415 +aS'Notify\tNotify\tNNP\tI-NP\tO' +p229416 +aS'M.D.\tM.D.\tNNP\tI-NP\tO' +p229417 +aS'Notify\tNotify\tNNP\tI-NP\tO' +p229418 +aS'M.D.\tM.D.\tNNP\tI-NP\tO' +p229419 +aS'Notify\tNotify\tNNP\tI-NP\tO' +p229420 +aS'M.D.\tM.D.\tNNP\tI-NP\tO' +p229421 +asS'C5-6 disc herniation with cord compression and myelopathy .' +p229422 +(lp229423 +S'C5-6\tC5-6\tNN\tB-NP\tO' +p229424 +aS'disc\tdisc\tNN\tI-NP\tO' +p229425 +aS'herniation\therniation\tNN\tI-NP\tO' +p229426 +aS'with\twith\tIN\tB-PP\tO' +p229427 +aS'cord\tcord\tNN\tB-NP\tO' +p229428 +aS'compression\tcompression\tNN\tI-NP\tO' +p229429 +aS'and\tand\tCC\tI-NP\tO' +p229430 +aS'myelopathy\tmyelopathy\tNN\tI-NP\tO' +p229431 +aS'.\t.\t.\tO\tO' +p229432 +asS'The patient was instructed to take 20 mg at 11 pm the night before her next chemotherapy and 8 am on the morning of chemotherapy .' +p229433 +(lp229434 +S'The\tThe\tDT\tB-NP\tO' +p229435 +aS'patient\tpatient\tNN\tI-NP\tO' +p229436 +aS'was\tbe\tVBD\tB-VP\tO' +p229437 +aS'instructed\tinstruct\tVBN\tI-VP\tO' +p229438 +aS'to\tto\tTO\tI-VP\tO' +p229439 +aS'take\ttake\tVB\tI-VP\tO' +p229440 +aS'20\t20\tCD\tB-NP\tO' +p229441 +aS'mg\tmg\tNN\tI-NP\tO' +p229442 +aS'at\tat\tIN\tB-PP\tO' +p229443 +aS'11\t11\tCD\tB-NP\tO' +p229444 +aS'pm\tpm\tNN\tI-NP\tO' +p229445 +aS'the\tthe\tDT\tB-NP\tO' +p229446 +aS'night\tnight\tNN\tI-NP\tO' +p229447 +aS'before\tbefore\tIN\tB-PP\tO' +p229448 +aS'her\ther\tPRP$\tB-NP\tO' +p229449 +aS'next\tnext\tJJ\tI-NP\tO' +p229450 +aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' +p229451 +aS'and\tand\tCC\tO\tO' +p229452 +aS'8\t8\tCD\tB-NP\tO' +p229453 +aS'am\tam\tNN\tI-NP\tO' +p229454 +aS'on\ton\tIN\tB-PP\tO' +p229455 +aS'the\tthe\tDT\tB-NP\tO' +p229456 +aS'morning\tmorning\tNN\tI-NP\tO' +p229457 +aS'of\tof\tIN\tB-PP\tO' +p229458 +aS'chemotherapy\tchemotherapy\tNN\tB-NP\tO' +p229459 +aS'.\t.\t.\tO\tO' +p229460 +asS'However , the epidural had the consequence of causing a bit of a hypotension in the patient and the patient was admitted to the Surgical ICU for the first postoperative day .' +p229461 +(lp229462 +S'However\tHowever\tRB\tB-ADVP\tO' +p229463 +aS',\t,\t,\tO\tO' +p229464 +aS'the\tthe\tDT\tB-NP\tO' +p229465 +aS'epidural\tepidural\tNN\tI-NP\tO' +p229466 +aS'had\thave\tVBD\tB-VP\tO' +p229467 +aS'the\tthe\tDT\tB-NP\tO' +p229468 +aS'consequence\tconsequence\tNN\tI-NP\tO' +p229469 +aS'of\tof\tIN\tB-PP\tO' +p229470 +aS'causing\tcause\tVBG\tB-VP\tO' +p229471 +aS'a\ta\tDT\tB-NP\tO' +p229472 +aS'bit\tbit\tNN\tI-NP\tO' +p229473 +aS'of\tof\tIN\tB-PP\tO' +p229474 +aS'a\ta\tDT\tB-NP\tO' +p229475 +aS'hypotension\thypotension\tNN\tI-NP\tO' +p229476 +aS'in\tin\tIN\tB-PP\tO' +p229477 +aS'the\tthe\tDT\tB-NP\tO' +p229478 +aS'patient\tpatient\tNN\tI-NP\tO' +p229479 +aS'and\tand\tCC\tO\tO' +p229480 +aS'the\tthe\tDT\tB-NP\tO' +p229481 +aS'patient\tpatient\tNN\tI-NP\tO' +p229482 +aS'was\tbe\tVBD\tB-VP\tO' +p229483 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p229484 +aS'to\tto\tTO\tB-PP\tO' +p229485 +aS'the\tthe\tDT\tB-NP\tO' +p229486 +aS'Surgical\tSurgical\tJJ\tI-NP\tO' +p229487 +aS'ICU\tICU\tNN\tI-NP\tO' +p229488 +aS'for\tfor\tIN\tB-PP\tO' +p229489 +aS'the\tthe\tDT\tB-NP\tO' +p229490 +aS'first\tfirst\tJJ\tI-NP\tO' +p229491 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p229492 +aS'day\tday\tNN\tI-NP\tO' +p229493 +aS'.\t.\t.\tO\tO' +p229494 +asS'He was given bag mask ventilation with good response .' +p229495 +(lp229496 +S'He\tHe\tPRP\tB-NP\tO' +p229497 +aS'was\tbe\tVBD\tB-VP\tO' +p229498 +aS'given\tgive\tVBN\tI-VP\tO' +p229499 +aS'bag\tbag\tNN\tB-NP\tO' +p229500 +aS'mask\tmask\tNN\tI-NP\tO' +p229501 +aS'ventilation\tventilation\tNN\tI-NP\tO' +p229502 +aS'with\twith\tIN\tB-PP\tO' +p229503 +aS'good\tgood\tJJ\tB-NP\tO' +p229504 +aS'response\tresponse\tNN\tI-NP\tO' +p229505 +aS'.\t.\t.\tO\tO' +p229506 +asS'His chest X-ray was normal .' +p229507 +(lp229508 +S'His\tHis\tPRP$\tB-NP\tO' +p229509 +aS'chest\tchest\tNN\tI-NP\tO' +p229510 +aS'X-ray\tX-ray\tNN\tI-NP\tO' +p229511 +aS'was\tbe\tVBD\tB-VP\tO' +p229512 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p229513 +aS'.\t.\t.\tO\tO' +p229514 +asS"PMH : Hypertension , Hyperlipidemia , Diabetes Mellitus , Hypothyroid , h/o Bilateral DVT 's, Pleural disorder ? Sarcoidosis , Gastritis , B12 deficiency , Chronic renal insufficiency , s/p Appendectomy , s/p Lap cholectomy , s/p Total abdominal hysterectomy" +p229515 +(lp229516 +S'PMH\tPMH\tNN\tB-NP\tO' +p229517 +aS':\t:\t:\tO\tO' +p229518 +aS'Hypertension\tHypertension\tNN\tB-NP\tO' +p229519 +aS',\t,\t,\tO\tO' +p229520 +aS'Hyperlipidemia\tHyperlipidemia\tNNP\tB-NP\tO' +p229521 +aS',\t,\t,\tO\tO' +p229522 +aS'Diabetes\tDiabetes\tNNP\tB-NP\tO' +p229523 +aS'Mellitus\tMellitus\tNNP\tI-NP\tO' +p229524 +aS',\t,\t,\tO\tO' +p229525 +aS'Hypothyroid\tHypothyroid\tNNP\tB-NP\tO' +p229526 +aS',\t,\t,\tO\tO' +p229527 +aS'h/o\th/o\tDT\tB-NP\tO' +p229528 +aS'Bilateral\tBilateral\tNNP\tI-NP\tO' +p229529 +aS'DVT\tDVT\tNNP\tI-NP\tO' +p229530 +aS"'s,\t's,\tPOS\tB-NP\tO" +p229531 +aS'Pleural\tPleural\tJJ\tI-NP\tO' +p229532 +aS'disorder\tdisorder\tNN\tI-NP\tO' +p229533 +aS'?\t?\t.\tO\tO' +p229534 +aS'Sarcoidosis\tSarcoidosis\tNN\tB-NP\tO' +p229535 +aS',\t,\t,\tO\tO' +p229536 +aS'Gastritis\tGastritis\tNN\tB-NP\tO' +p229537 +aS',\t,\t,\tO\tO' +p229538 +aS'B12\tB12\tNN\tB-NP\tB-protein' +p229539 +aS'deficiency\tdeficiency\tNN\tI-NP\tO' +p229540 +aS',\t,\t,\tO\tO' +p229541 +aS'Chronic\tChronic\tNNP\tB-NP\tO' +p229542 +aS'renal\trenal\tJJ\tI-NP\tO' +p229543 +aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' +p229544 +aS',\t,\t,\tO\tO' +p229545 +aS's/p\ts/p\tNN\tB-NP\tO' +p229546 +aS'Appendectomy\tAppendectomy\tNNP\tI-NP\tO' +p229547 +aS',\t,\t,\tO\tO' +p229548 +aS's/p\ts/p\tNN\tB-NP\tO' +p229549 +aS'Lap\tLap\tNN\tI-NP\tO' +p229550 +aS'cholectomy\tcholectomy\tNN\tI-NP\tO' +p229551 +aS',\t,\t,\tO\tO' +p229552 +aS's/p\ts/p\tNN\tB-NP\tO' +p229553 +aS'Total\tTotal\tJJ\tI-NP\tO' +p229554 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p229555 +aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' +p229556 +asS'MSO4 for CP .' +p229557 +(lp229558 +S'MSO4\tMSO4\tNN\tB-NP\tB-protein' +p229559 +aS'for\tfor\tIN\tB-PP\tO' +p229560 +aS'CP\tCP\tNN\tB-NP\tB-DNA' +p229561 +aS'.\t.\t.\tO\tO' +p229562 +asS'## Suspected glaucoma in left CMED CSRU , turned out to be capsular ossification or a secondary cataract , corrected w/ laser surgery' +p229563 +(lp229564 +S'##\t##\t#\tB-NP\tO' +p229565 +aS'Suspected\tSuspect\tVBN\tI-NP\tO' +p229566 +aS'glaucoma\tglaucoma\tNN\tI-NP\tO' +p229567 +aS'in\tin\tIN\tB-PP\tO' +p229568 +aS'left\tleft\tJJ\tB-NP\tO' +p229569 +aS'CMED\tCMED\tNNP\tI-NP\tO' +p229570 +aS'CSRU\tCSRU\tNNP\tI-NP\tO' +p229571 +aS',\t,\t,\tO\tO' +p229572 +aS'turned\tturn\tVBD\tB-VP\tO' +p229573 +aS'out\tout\tRP\tB-PRT\tO' +p229574 +aS'to\tto\tTO\tB-VP\tO' +p229575 +aS'be\tbe\tVB\tI-VP\tO' +p229576 +aS'capsular\tcapsular\tJJ\tB-NP\tO' +p229577 +aS'ossification\tossification\tNN\tI-NP\tO' +p229578 +aS'or\tor\tCC\tO\tO' +p229579 +aS'a\ta\tDT\tB-NP\tO' +p229580 +aS'secondary\tsecondary\tJJ\tI-NP\tO' +p229581 +aS'cataract\tcataract\tNN\tI-NP\tO' +p229582 +aS',\t,\t,\tO\tO' +p229583 +aS'corrected\tcorrect\tVBD\tB-VP\tO' +p229584 +aS'w/\tw/\tNN\tB-NP\tO' +p229585 +aS'laser\tlaser\tNN\tI-NP\tO' +p229586 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p229587 +asS'His white count had bumped from 8.3 on admission to 18.5 , on 4/27 .' +p229588 +(lp229589 +S'His\tHis\tPRP$\tB-NP\tO' +p229590 +aS'white\twhite\tJJ\tI-NP\tO' +p229591 +aS'count\tcount\tNN\tI-NP\tO' +p229592 +aS'had\thave\tVBD\tB-VP\tO' +p229593 +aS'bumped\tbump\tVBN\tI-VP\tO' +p229594 +aS'from\tfrom\tIN\tB-PP\tO' +p229595 +aS'8.3\t8.3\tCD\tB-NP\tO' +p229596 +aS'on\ton\tIN\tB-PP\tO' +p229597 +aS'admission\tadmission\tNN\tB-NP\tO' +p229598 +aS'to\tto\tTO\tB-PP\tO' +p229599 +aS'18.5\t18.5\tCD\tB-NP\tO' +p229600 +aS',\t,\t,\tO\tO' +p229601 +aS'on\ton\tIN\tB-PP\tO' +p229602 +aS'4/27\t4/27\tCD\tB-NP\tO' +p229603 +aS'.\t.\t.\tO\tO' +p229604 +asS'ALT was 53 .' +p229605 +(lp229606 +S'ALT\tALT\tNN\tB-NP\tO' +p229607 +aS'was\tbe\tVBD\tB-VP\tO' +p229608 +aS'53\t53\tCD\tB-NP\tO' +p229609 +aS'.\t.\t.\tO\tO' +p229610 +asS"The patient 's Foley was discontinued ." +p229611 +(lp229612 +S'The\tThe\tDT\tB-NP\tO' +p229613 +aS'patient\tpatient\tNN\tI-NP\tO' +p229614 +aS"'s\t's\tPOS\tB-NP\tO" +p229615 +aS'Foley\tFoley\tNN\tI-NP\tO' +p229616 +aS'was\tbe\tVBD\tB-VP\tO' +p229617 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p229618 +aS'.\t.\t.\tO\tO' +p229619 +asS'During this admission , two CT scans had shown a question of an enlargement of the head of his pancreas' +p229620 +(lp229621 +S'During\tDuring\tIN\tB-PP\tO' +p229622 +aS'this\tthis\tDT\tB-NP\tO' +p229623 +aS'admission\tadmission\tNN\tI-NP\tO' +p229624 +aS',\t,\t,\tO\tO' +p229625 +aS'two\ttwo\tCD\tB-NP\tO' +p229626 +aS'CT\tCT\tNN\tI-NP\tO' +p229627 +aS'scans\tscan\tNNS\tI-NP\tO' +p229628 +aS'had\thave\tVBD\tB-VP\tO' +p229629 +aS'shown\tshow\tVBN\tI-VP\tO' +p229630 +aS'a\ta\tDT\tB-NP\tO' +p229631 +aS'question\tquestion\tNN\tI-NP\tO' +p229632 +aS'of\tof\tIN\tB-PP\tO' +p229633 +aS'an\tan\tDT\tB-NP\tO' +p229634 +aS'enlargement\tenlargement\tNN\tI-NP\tO' +p229635 +aS'of\tof\tIN\tB-PP\tO' +p229636 +aS'the\tthe\tDT\tB-NP\tO' +p229637 +aS'head\thead\tNN\tI-NP\tO' +p229638 +aS'of\tof\tIN\tB-PP\tO' +p229639 +aS'his\this\tPRP$\tB-NP\tO' +p229640 +aS'pancreas\tpancreas\tNN\tI-NP\tO' +p229641 +asS'Her urine output decreased to nearly zero .' +p229642 +(lp229643 +S'Her\tHer\tPRP$\tB-NP\tO' +p229644 +aS'urine\turine\tNN\tI-NP\tO' +p229645 +aS'output\toutput\tNN\tI-NP\tO' +p229646 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p229647 +aS'to\tto\tTO\tB-PP\tO' +p229648 +aS'nearly\tnearly\tRB\tB-NP\tO' +p229649 +aS'zero\tzero\tCD\tI-NP\tO' +p229650 +aS'.\t.\t.\tO\tO' +p229651 +asS'Cardiac catheterization revealed a totally occluded RCA with collaterals , an 80 percent LAD lesion extending distally which was angioplastied but no stent was placed .' +p229652 +(lp229653 +S'Cardiac\tCardiac\tJJ\tB-NP\tO' +p229654 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p229655 +aS'revealed\treveal\tVBD\tB-VP\tO' +p229656 +aS'a\ta\tDT\tB-NP\tO' +p229657 +aS'totally\ttotally\tRB\tI-NP\tO' +p229658 +aS'occluded\tocclude\tVBN\tI-NP\tO' +p229659 +aS'RCA\tRCA\tNN\tI-NP\tB-protein' +p229660 +aS'with\twith\tIN\tB-PP\tO' +p229661 +aS'collaterals\tcollateral\tNNS\tB-NP\tO' +p229662 +aS',\t,\t,\tO\tO' +p229663 +aS'an\tan\tDT\tB-NP\tO' +p229664 +aS'80\t80\tCD\tI-NP\tO' +p229665 +aS'percent\tpercent\tNN\tI-NP\tO' +p229666 +aS'LAD\tLAD\tNN\tI-NP\tO' +p229667 +aS'lesion\tlesion\tNN\tI-NP\tO' +p229668 +aS'extending\textend\tVBG\tB-VP\tO' +p229669 +aS'distally\tdistally\tRB\tB-ADVP\tO' +p229670 +aS'which\twhich\tWDT\tB-NP\tO' +p229671 +aS'was\tbe\tVBD\tB-VP\tO' +p229672 +aS'angioplastied\tangioplastie\tVBN\tI-VP\tO' +p229673 +aS'but\tbut\tCC\tO\tO' +p229674 +aS'no\tno\tDT\tB-NP\tO' +p229675 +aS'stent\tstent\tNN\tI-NP\tO' +p229676 +aS'was\tbe\tVBD\tB-VP\tO' +p229677 +aS'placed\tplace\tVBN\tI-VP\tO' +p229678 +aS'.\t.\t.\tO\tO' +p229679 +asS'This is an abnormal EEG due to the presence of a low voltage and slow background consistent with a severe encephalopathy of toxic , metabolic , or anoxic etiology .' +p229680 +(lp229681 +S'This\tThis\tDT\tB-NP\tO' +p229682 +aS'is\tbe\tVBZ\tB-VP\tO' +p229683 +aS'an\tan\tDT\tB-NP\tO' +p229684 +aS'abnormal\tabnormal\tJJ\tI-NP\tO' +p229685 +aS'EEG\tEEG\tNN\tI-NP\tO' +p229686 +aS'due\tdue\tJJ\tB-PP\tO' +p229687 +aS'to\tto\tTO\tB-PP\tO' +p229688 +aS'the\tthe\tDT\tB-NP\tO' +p229689 +aS'presence\tpresence\tNN\tI-NP\tO' +p229690 +aS'of\tof\tIN\tB-PP\tO' +p229691 +aS'a\ta\tDT\tB-NP\tO' +p229692 +aS'low\tlow\tJJ\tI-NP\tO' +p229693 +aS'voltage\tvoltage\tNN\tI-NP\tO' +p229694 +aS'and\tand\tCC\tO\tO' +p229695 +aS'slow\tslow\tJJ\tB-NP\tO' +p229696 +aS'background\tbackground\tNN\tI-NP\tO' +p229697 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p229698 +aS'with\twith\tIN\tB-PP\tO' +p229699 +aS'a\ta\tDT\tB-NP\tO' +p229700 +aS'severe\tsevere\tJJ\tI-NP\tO' +p229701 +aS'encephalopathy\tencephalopathy\tNN\tI-NP\tO' +p229702 +aS'of\tof\tIN\tB-PP\tO' +p229703 +aS'toxic\ttoxic\tJJ\tB-NP\tO' +p229704 +aS',\t,\t,\tI-NP\tO' +p229705 +aS'metabolic\tmetabolic\tJJ\tI-NP\tO' +p229706 +aS',\t,\t,\tI-NP\tO' +p229707 +aS'or\tor\tCC\tI-NP\tO' +p229708 +aS'anoxic\tanoxic\tJJ\tI-NP\tO' +p229709 +aS'etiology\tetiology\tNN\tI-NP\tO' +p229710 +aS'.\t.\t.\tO\tO' +p229711 +asS'Dictated By : Jason L Parra , M.D.' +p229712 +(lp229713 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p229714 +aS'By\tBy\tIN\tB-PP\tO' +p229715 +aS':\t:\t:\tO\tO' +p229716 +aS'Jason\tJason\tNNP\tB-NP\tO' +p229717 +aS'L\tL\tNNP\tI-NP\tO' +p229718 +aS'Parra\tParra\tNNP\tI-NP\tO' +p229719 +aS',\t,\t,\tO\tO' +p229720 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p229721 +asS'7.1 , hematocrit of 30.8 , platelets 90 .' +p229722 +(lp229723 +S'7.1\t7.1\tCD\tB-NP\tO' +p229724 +aS',\t,\t,\tO\tO' +p229725 +aS'hematocrit\thematocrit\tNN\tB-NP\tO' +p229726 +aS'of\tof\tIN\tB-PP\tO' +p229727 +aS'30.8\t30.8\tCD\tB-NP\tO' +p229728 +aS',\t,\t,\tO\tO' +p229729 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p229730 +aS'90\t90\tCD\tB-NP\tO' +p229731 +aS'.\t.\t.\tO\tO' +p229732 +asS'Intially after being transferred from the ICU to the medicine service the patient was mentating appropriately .' +p229733 +(lp229734 +S'Intially\tIntially\tRB\tB-ADVP\tO' +p229735 +aS'after\tafter\tIN\tB-PP\tO' +p229736 +aS'being\tbe\tVBG\tB-VP\tO' +p229737 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p229738 +aS'from\tfrom\tIN\tB-PP\tO' +p229739 +aS'the\tthe\tDT\tB-NP\tO' +p229740 +aS'ICU\tICU\tNN\tI-NP\tB-protein' +p229741 +aS'to\tto\tTO\tB-PP\tO' +p229742 +aS'the\tthe\tDT\tB-NP\tO' +p229743 +aS'medicine\tmedicine\tNN\tI-NP\tO' +p229744 +aS'service\tservice\tNN\tI-NP\tO' +p229745 +aS'the\tthe\tDT\tB-NP\tO' +p229746 +aS'patient\tpatient\tNN\tI-NP\tO' +p229747 +aS'was\tbe\tVBD\tB-VP\tO' +p229748 +aS'mentating\tmentate\tVBG\tI-VP\tO' +p229749 +aS'appropriately\tappropriately\tRB\tB-ADVP\tO' +p229750 +aS'.\t.\t.\tO\tO' +p229751 +asS'Her speech was fluent with no phasic or praxic problems , dysarthric .' +p229752 +(lp229753 +S'Her\tHer\tPRP$\tB-NP\tO' +p229754 +aS'speech\tspeech\tNN\tI-NP\tO' +p229755 +aS'was\tbe\tVBD\tB-VP\tO' +p229756 +aS'fluent\tfluent\tJJ\tB-ADJP\tO' +p229757 +aS'with\twith\tIN\tB-PP\tO' +p229758 +aS'no\tno\tDT\tB-NP\tO' +p229759 +aS'phasic\tphasic\tJJ\tI-NP\tO' +p229760 +aS'or\tor\tCC\tI-NP\tO' +p229761 +aS'praxic\tpraxic\tJJ\tI-NP\tO' +p229762 +aS'problems\tproblem\tNNS\tI-NP\tO' +p229763 +aS',\t,\t,\tO\tO' +p229764 +aS'dysarthric\tdysarthric\tJJ\tB-ADJP\tO' +p229765 +aS'.\t.\t.\tO\tO' +p229766 +asS'2017-04-02 instent restenosis status post brachytherapy .' +p229767 +(lp229768 +S'2017-04-02\t2017-04-02\tCD\tB-NP\tO' +p229769 +aS'instent\tinstent\tJJ\tI-NP\tO' +p229770 +aS'restenosis\trestenosis\tNN\tI-NP\tO' +p229771 +aS'status\tstatus\tNN\tI-NP\tO' +p229772 +aS'post\tpost\tNN\tI-NP\tO' +p229773 +aS'brachytherapy\tbrachytherapy\tNN\tI-NP\tO' +p229774 +aS'.\t.\t.\tO\tO' +p229775 +asS'Mother was on clindamycin since 11-04 .' +p229776 +(lp229777 +S'Mother\tMother\tDT\tB-NP\tO' +p229778 +aS'was\tbe\tVBD\tB-VP\tO' +p229779 +aS'on\ton\tIN\tB-PP\tO' +p229780 +aS'clindamycin\tclindamycin\tNN\tB-NP\tO' +p229781 +aS'since\tsince\tIN\tB-PP\tO' +p229782 +aS'11-04\t11-04\tCD\tB-NP\tO' +p229783 +aS'.\t.\t.\tO\tO' +p229784 +asS'She is discharged to rehab on POD# 27/18 .' +p229785 +(lp229786 +S'She\tShe\tPRP\tB-NP\tO' +p229787 +aS'is\tbe\tVBZ\tB-VP\tO' +p229788 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p229789 +aS'to\tto\tTO\tI-VP\tO' +p229790 +aS'rehab\trehab\tVB\tI-VP\tO' +p229791 +aS'on\ton\tIN\tB-PP\tO' +p229792 +aS'POD#\tPOD#\tNNP\tB-NP\tO' +p229793 +aS'27/18\t27/18\tCD\tI-NP\tO' +p229794 +aS'.\t.\t.\tO\tO' +p229795 +asS'The first imaging study that was done at Hahnemann General Hospital was a MRCP which revealed an enhanced thickened gallbladder wall consistent with chronic cholecystitis .' +p229796 +(lp229797 +S'The\tThe\tDT\tB-NP\tO' +p229798 +aS'first\tfirst\tJJ\tI-NP\tO' +p229799 +aS'imaging\timaging\tNN\tI-NP\tO' +p229800 +aS'study\tstudy\tNN\tI-NP\tO' +p229801 +aS'that\tthat\tWDT\tB-NP\tO' +p229802 +aS'was\tbe\tVBD\tB-VP\tO' +p229803 +aS'done\tdo\tVBN\tI-VP\tO' +p229804 +aS'at\tat\tIN\tB-PP\tO' +p229805 +aS'Hahnemann\tHahnemann\tNNP\tB-NP\tO' +p229806 +aS'General\tGeneral\tNNP\tI-NP\tO' +p229807 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p229808 +aS'was\tbe\tVBD\tB-VP\tO' +p229809 +aS'a\ta\tDT\tB-NP\tO' +p229810 +aS'MRCP\tMRCP\tNN\tI-NP\tB-protein' +p229811 +aS'which\twhich\tWDT\tB-NP\tO' +p229812 +aS'revealed\treveal\tVBD\tB-VP\tO' +p229813 +aS'an\tan\tDT\tB-NP\tO' +p229814 +aS'enhanced\tenhance\tVBN\tI-NP\tO' +p229815 +aS'thickened\tthicken\tVBN\tI-NP\tO' +p229816 +aS'gallbladder\tgallbladder\tNN\tI-NP\tO' +p229817 +aS'wall\twall\tNN\tI-NP\tO' +p229818 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p229819 +aS'with\twith\tIN\tB-PP\tO' +p229820 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p229821 +aS'cholecystitis\tcholecystitis\tNN\tI-NP\tO' +p229822 +aS'.\t.\t.\tO\tO' +p229823 +asS'Motor examination he had a weak withdrawal to nail bed pressure in both hands .' +p229824 +(lp229825 +S'Motor\tMotor\tNN\tB-NP\tO' +p229826 +aS'examination\texamination\tNN\tI-NP\tO' +p229827 +aS'he\the\tPRP\tB-NP\tO' +p229828 +aS'had\thave\tVBD\tB-VP\tO' +p229829 +aS'a\ta\tDT\tB-NP\tO' +p229830 +aS'weak\tweak\tJJ\tI-NP\tO' +p229831 +aS'withdrawal\twithdrawal\tNN\tI-NP\tO' +p229832 +aS'to\tto\tTO\tB-VP\tO' +p229833 +aS'nail\tnail\tVB\tI-VP\tO' +p229834 +aS'bed\tbed\tNN\tB-NP\tO' +p229835 +aS'pressure\tpressure\tNN\tI-NP\tO' +p229836 +aS'in\tin\tIN\tB-PP\tO' +p229837 +aS'both\tboth\tDT\tB-NP\tO' +p229838 +aS'hands\thand\tNNS\tI-NP\tO' +p229839 +aS'.\t.\t.\tO\tO' +p229840 +asS'Prilosec 20 mg. po. qd .' +p229841 +(lp229842 +S'Prilosec\tPrilosec\tRB\tB-NP\tO' +p229843 +aS'20\t20\tCD\tI-NP\tO' +p229844 +aS'mg.\tmg.\tNN\tI-NP\tO' +p229845 +aS'po.\tpo.\tNN\tI-NP\tO' +p229846 +aS'qd\tqd\tNN\tI-NP\tO' +p229847 +aS'.\t.\t.\tO\tO' +p229848 +asS'He was intubated with pressor support of 25 , and PEEP of 12.5 with 70% FIO2 .' +p229849 +(lp229850 +S'He\tHe\tPRP\tB-NP\tO' +p229851 +aS'was\tbe\tVBD\tB-VP\tO' +p229852 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p229853 +aS'with\twith\tIN\tB-PP\tO' +p229854 +aS'pressor\tpressor\tNN\tB-NP\tO' +p229855 +aS'support\tsupport\tNN\tI-NP\tO' +p229856 +aS'of\tof\tIN\tB-PP\tO' +p229857 +aS'25\t25\tCD\tB-NP\tO' +p229858 +aS',\t,\t,\tO\tO' +p229859 +aS'and\tand\tCC\tO\tO' +p229860 +aS'PEEP\tPEEP\tNN\tB-NP\tB-protein' +p229861 +aS'of\tof\tIN\tB-PP\tO' +p229862 +aS'12.5\t12.5\tCD\tB-NP\tO' +p229863 +aS'with\twith\tIN\tB-PP\tO' +p229864 +aS'70%\t70%\tJJ\tB-NP\tO' +p229865 +aS'FIO2\tFIO2\tNN\tI-NP\tO' +p229866 +aS'.\t.\t.\tO\tO' +p229867 +asS'3. Diltiazem 240 mg once daily .' +p229868 +(lp229869 +S'3.\t3.\tLS\tB-NP\tO' +p229870 +aS'Diltiazem\tDiltiazem\tNN\tI-NP\tO' +p229871 +aS'240\t240\tCD\tI-NP\tO' +p229872 +aS'mg\tmg\tNN\tI-NP\tO' +p229873 +aS'once\tonce\tRB\tB-ADVP\tO' +p229874 +aS'daily\tdaily\tRB\tI-ADVP\tO' +p229875 +aS'.\t.\t.\tO\tO' +p229876 +asS'Lungs : transmitted upper airway stridor; otherwise clear' +p229877 +(lp229878 +S'Lungs\tLung\tNNS\tB-NP\tO' +p229879 +aS':\t:\t:\tO\tO' +p229880 +aS'transmitted\ttransmit\tVBN\tB-VP\tO' +p229881 +aS'upper\tupper\tJJ\tB-NP\tO' +p229882 +aS'airway\tairway\tNN\tI-NP\tO' +p229883 +aS'stridor;\tstridor;\tNN\tI-NP\tO' +p229884 +aS'otherwise\totherwise\tRB\tB-ADJP\tO' +p229885 +aS'clear\tclear\tJJ\tI-ADJP\tO' +p229886 +asS'3. Small occipital subdural hemorrhage , resolved' +p229887 +(lp229888 +S'3.\t3.\tLS\tB-NP\tO' +p229889 +aS'Small\tSmall\tJJ\tI-NP\tO' +p229890 +aS'occipital\toccipital\tJJ\tI-NP\tO' +p229891 +aS'subdural\tsubdural\tJJ\tI-NP\tO' +p229892 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p229893 +aS',\t,\t,\tO\tO' +p229894 +aS'resolved\tresolve\tVBD\tB-VP\tO' +p229895 +asS'She had also reported a weight loss of 15 pounds over the past two months .' +p229896 +(lp229897 +S'She\tShe\tPRP\tB-NP\tO' +p229898 +aS'had\thave\tVBD\tB-VP\tO' +p229899 +aS'also\talso\tRB\tI-VP\tO' +p229900 +aS'reported\treport\tVBN\tI-VP\tO' +p229901 +aS'a\ta\tDT\tB-NP\tO' +p229902 +aS'weight\tweight\tNN\tI-NP\tO' +p229903 +aS'loss\tloss\tNN\tI-NP\tO' +p229904 +aS'of\tof\tIN\tB-PP\tO' +p229905 +aS'15\t15\tCD\tB-NP\tO' +p229906 +aS'pounds\tpound\tNNS\tI-NP\tO' +p229907 +aS'over\tover\tIN\tB-PP\tO' +p229908 +aS'the\tthe\tDT\tB-NP\tO' +p229909 +aS'past\tpast\tJJ\tI-NP\tO' +p229910 +aS'two\ttwo\tCD\tI-NP\tO' +p229911 +aS'months\tmonth\tNNS\tI-NP\tO' +p229912 +aS'.\t.\t.\tO\tO' +p229913 +asS'By the 2th the patient was feeling very well and desired to transfer or discharge to home .' +p229914 +(lp229915 +S'By\tBy\tIN\tB-PP\tO' +p229916 +aS'the\tthe\tDT\tB-NP\tO' +p229917 +aS'2th\t2th\tNN\tI-NP\tO' +p229918 +aS'the\tthe\tDT\tB-NP\tO' +p229919 +aS'patient\tpatient\tNN\tI-NP\tO' +p229920 +aS'was\tbe\tVBD\tB-VP\tO' +p229921 +aS'feeling\tfeel\tVBG\tI-VP\tO' +p229922 +aS'very\tvery\tRB\tB-ADVP\tO' +p229923 +aS'well\twell\tRB\tI-ADVP\tO' +p229924 +aS'and\tand\tCC\tO\tO' +p229925 +aS'desired\tdesire\tVBN\tB-VP\tO' +p229926 +aS'to\tto\tTO\tB-VP\tO' +p229927 +aS'transfer\ttransfer\tVB\tI-VP\tO' +p229928 +aS'or\tor\tCC\tI-VP\tO' +p229929 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p229930 +aS'to\tto\tTO\tB-PP\tO' +p229931 +aS'home\thome\tNN\tB-NP\tO' +p229932 +aS'.\t.\t.\tO\tO' +p229933 +asS'No cath done , but echo 05-07 showed EF 60-65% , stenotic mech. valve , mean gradient 33 mm , decreased disc motion , mobile mass in LVOT , mild AI , mild to moderate MR , trace TR. Referred for surgical evaluation .' +p229934 +(lp229935 +S'No\tNo\tDT\tB-NP\tO' +p229936 +aS'cath\tcath\tNN\tI-NP\tO' +p229937 +aS'done\tdo\tVBN\tB-VP\tO' +p229938 +aS',\t,\t,\tO\tO' +p229939 +aS'but\tbut\tCC\tO\tO' +p229940 +aS'echo\techo\tNN\tB-NP\tO' +p229941 +aS'05-07\t05-07\tCD\tI-NP\tO' +p229942 +aS'showed\tshow\tVBD\tB-VP\tO' +p229943 +aS'EF\tEF\tNN\tB-NP\tO' +p229944 +aS'60-65%\t60-65%\tJJ\tI-NP\tO' +p229945 +aS',\t,\t,\tI-NP\tO' +p229946 +aS'stenotic\tstenotic\tJJ\tI-NP\tO' +p229947 +aS'mech.\tmech.\tNN\tI-NP\tO' +p229948 +aS'valve\tvalve\tNN\tI-NP\tO' +p229949 +aS',\t,\t,\tO\tO' +p229950 +aS'mean\tmean\tJJ\tB-NP\tO' +p229951 +aS'gradient\tgradient\tNN\tI-NP\tO' +p229952 +aS'33\t33\tCD\tI-NP\tO' +p229953 +aS'mm\tmm\tNN\tI-NP\tO' +p229954 +aS',\t,\t,\tO\tO' +p229955 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p229956 +aS'disc\tdisc\tNN\tB-NP\tO' +p229957 +aS'motion\tmotion\tNN\tI-NP\tO' +p229958 +aS',\t,\t,\tO\tO' +p229959 +aS'mobile\tmobile\tJJ\tB-NP\tO' +p229960 +aS'mass\tmass\tNN\tI-NP\tO' +p229961 +aS'in\tin\tIN\tB-PP\tO' +p229962 +aS'LVOT\tLVOT\tNN\tB-NP\tO' +p229963 +aS',\t,\t,\tO\tO' +p229964 +aS'mild\tmild\tJJ\tB-NP\tO' +p229965 +aS'AI\tAI\tNN\tI-NP\tO' +p229966 +aS',\t,\t,\tO\tO' +p229967 +aS'mild\tmild\tJJ\tB-ADJP\tO' +p229968 +aS'to\tto\tTO\tB-PP\tO' +p229969 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p229970 +aS'MR\tMR\tNN\tI-NP\tB-protein' +p229971 +aS',\t,\t,\tO\tO' +p229972 +aS'trace\ttrace\tNN\tB-NP\tO' +p229973 +aS'TR.\tTR.\tNNP\tI-NP\tO' +p229974 +aS'Referred\tReferred\tNNP\tI-NP\tO' +p229975 +aS'for\tfor\tIN\tB-PP\tO' +p229976 +aS'surgical\tsurgical\tJJ\tB-NP\tO' +p229977 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p229978 +aS'.\t.\t.\tO\tO' +p229979 +asS'She was later sent to rehab , but returned early in April with increased cough with exertion with fever to 101 .' +p229980 +(lp229981 +S'She\tShe\tPRP\tB-NP\tO' +p229982 +aS'was\tbe\tVBD\tB-VP\tO' +p229983 +aS'later\tlater\tRB\tI-VP\tO' +p229984 +aS'sent\tsend\tVBN\tI-VP\tO' +p229985 +aS'to\tto\tTO\tI-VP\tO' +p229986 +aS'rehab\trehab\tVB\tI-VP\tO' +p229987 +aS',\t,\t,\tO\tO' +p229988 +aS'but\tbut\tCC\tO\tO' +p229989 +aS'returned\treturn\tVBD\tB-VP\tO' +p229990 +aS'early\tearly\tRB\tB-ADVP\tO' +p229991 +aS'in\tin\tIN\tB-PP\tO' +p229992 +aS'April\tApril\tNNP\tB-NP\tO' +p229993 +aS'with\twith\tIN\tB-PP\tO' +p229994 +aS'increased\tincrease\tVBN\tB-NP\tO' +p229995 +aS'cough\tcough\tNN\tI-NP\tO' +p229996 +aS'with\twith\tIN\tB-PP\tO' +p229997 +aS'exertion\texertion\tNN\tB-NP\tO' +p229998 +aS'with\twith\tIN\tB-PP\tO' +p229999 +aS'fever\tfever\tNN\tB-NP\tO' +p230000 +aS'to\tto\tTO\tB-PP\tO' +p230001 +aS'101\t101\tCD\tB-NP\tO' +p230002 +aS'.\t.\t.\tO\tO' +p230003 +asS'Ext : no edema / cyanosis , 2+ peripheral pulses , small 1 cm abrasion on R knee , no active bleeding , no brusing , no limited' +p230004 +(lp230005 +S'Ext\tExt\tNN\tB-NP\tO' +p230006 +aS':\t:\t:\tO\tO' +p230007 +aS'no\tno\tDT\tB-NP\tO' +p230008 +aS'edema\tedema\tNN\tI-NP\tO' +p230009 +aS'/\t/\tSYM\tB-NP\tO' +p230010 +aS'cyanosis\tcyanosis\tNN\tI-NP\tO' +p230011 +aS',\t,\t,\tO\tO' +p230012 +aS'2+\t2+\tJJ\tB-NP\tO' +p230013 +aS'peripheral\tperipheral\tJJ\tI-NP\tO' +p230014 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p230015 +aS',\t,\t,\tO\tO' +p230016 +aS'small\tsmall\tJJ\tB-NP\tO' +p230017 +aS'1\t1\tCD\tI-NP\tO' +p230018 +aS'cm\tcm\tNN\tI-NP\tO' +p230019 +aS'abrasion\tabrasion\tNN\tI-NP\tO' +p230020 +aS'on\ton\tIN\tB-PP\tO' +p230021 +aS'R\tR\tNN\tB-NP\tO' +p230022 +aS'knee\tknee\tNN\tI-NP\tO' +p230023 +aS',\t,\t,\tO\tO' +p230024 +aS'no\tno\tDT\tB-NP\tO' +p230025 +aS'active\tactive\tJJ\tI-NP\tO' +p230026 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p230027 +aS',\t,\t,\tO\tO' +p230028 +aS'no\tno\tDT\tB-NP\tO' +p230029 +aS'brusing\tbrusing\tNN\tI-NP\tO' +p230030 +aS',\t,\t,\tO\tO' +p230031 +aS'no\tno\tDT\tB-NP\tO' +p230032 +aS'limited\tlimited\tJJ\tI-NP\tO' +p230033 +asS'A peripheral intravenous line was started on Labor Day in the a.m. No respiratory distress was noted .' +p230034 +(lp230035 +S'A\tA\tDT\tB-NP\tO' +p230036 +aS'peripheral\tperipheral\tJJ\tI-NP\tB-cell_line' +p230037 +aS'intravenous\tintravenous\tJJ\tI-NP\tI-cell_line' +p230038 +aS'line\tline\tNN\tI-NP\tI-cell_line' +p230039 +aS'was\tbe\tVBD\tB-VP\tO' +p230040 +aS'started\tstart\tVBN\tI-VP\tO' +p230041 +aS'on\ton\tIN\tB-PP\tO' +p230042 +aS'Labor\tLabor\tNNP\tB-NP\tO' +p230043 +aS'Day\tDay\tNNP\tI-NP\tO' +p230044 +aS'in\tin\tIN\tB-PP\tO' +p230045 +aS'the\tthe\tDT\tB-NP\tO' +p230046 +aS'a.m.\ta.m.\tNN\tI-NP\tO' +p230047 +aS'No\tNo\tDT\tB-NP\tO' +p230048 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p230049 +aS'distress\tdistress\tNN\tI-NP\tO' +p230050 +aS'was\tbe\tVBD\tB-VP\tO' +p230051 +aS'noted\tnote\tVBN\tI-VP\tO' +p230052 +aS'.\t.\t.\tO\tO' +p230053 +asS'The patient is a 50 year-old female with a history of bilateral lung nodules dating back to the July of 1995 discovered on a work-up for an adrenal abnormality .' +p230054 +(lp230055 +S'The\tThe\tDT\tB-NP\tO' +p230056 +aS'patient\tpatient\tNN\tI-NP\tO' +p230057 +aS'is\tbe\tVBZ\tB-VP\tO' +p230058 +aS'a\ta\tDT\tB-NP\tO' +p230059 +aS'50\t50\tCD\tI-NP\tO' +p230060 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p230061 +aS'female\tfemale\tNN\tI-NP\tO' +p230062 +aS'with\twith\tIN\tB-PP\tO' +p230063 +aS'a\ta\tDT\tB-NP\tO' +p230064 +aS'history\thistory\tNN\tI-NP\tO' +p230065 +aS'of\tof\tIN\tB-PP\tO' +p230066 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p230067 +aS'lung\tlung\tNN\tI-NP\tO' +p230068 +aS'nodules\tnodule\tNNS\tI-NP\tO' +p230069 +aS'dating\tdate\tVBG\tB-VP\tO' +p230070 +aS'back\tback\tRB\tB-ADVP\tO' +p230071 +aS'to\tto\tTO\tB-PP\tO' +p230072 +aS'the\tthe\tDT\tB-NP\tO' +p230073 +aS'July\tJuly\tNNP\tI-NP\tO' +p230074 +aS'of\tof\tIN\tB-PP\tO' +p230075 +aS'1995\t1995\tCD\tB-NP\tO' +p230076 +aS'discovered\tdiscover\tVBN\tB-VP\tO' +p230077 +aS'on\ton\tIN\tB-PP\tO' +p230078 +aS'a\ta\tDT\tB-NP\tO' +p230079 +aS'work-up\twork-up\tNN\tI-NP\tO' +p230080 +aS'for\tfor\tIN\tB-PP\tO' +p230081 +aS'an\tan\tDT\tB-NP\tO' +p230082 +aS'adrenal\tadrenal\tJJ\tI-NP\tO' +p230083 +aS'abnormality\tabnormality\tNN\tI-NP\tO' +p230084 +aS'.\t.\t.\tO\tO' +p230085 +asS'1) Shower , wash incisions with mild soap and water and pat dry .' +p230086 +(lp230087 +S'1)\t1)\tLS\tB-LST\tO' +p230088 +aS'Shower\tShower\tNNP\tB-NP\tO' +p230089 +aS',\t,\t,\tO\tO' +p230090 +aS'wash\twash\tNN\tB-NP\tO' +p230091 +aS'incisions\tincision\tNNS\tI-NP\tO' +p230092 +aS'with\twith\tIN\tB-PP\tO' +p230093 +aS'mild\tmild\tJJ\tB-NP\tO' +p230094 +aS'soap\tsoap\tNN\tI-NP\tO' +p230095 +aS'and\tand\tCC\tO\tO' +p230096 +aS'water\twater\tNN\tB-NP\tO' +p230097 +aS'and\tand\tCC\tI-NP\tO' +p230098 +aS'pat\tpat\tNN\tI-NP\tO' +p230099 +aS'dry\tdry\tNN\tI-NP\tO' +p230100 +aS'.\t.\t.\tO\tO' +p230101 +asS'Her tracheostomy is functioning well , and we have had no problems with it .' +p230102 +(lp230103 +S'Her\tHer\tPRP$\tB-NP\tO' +p230104 +aS'tracheostomy\ttracheostomy\tNN\tI-NP\tO' +p230105 +aS'is\tbe\tVBZ\tB-VP\tO' +p230106 +aS'functioning\tfunction\tVBG\tI-VP\tO' +p230107 +aS'well\twell\tRB\tB-ADVP\tO' +p230108 +aS',\t,\t,\tO\tO' +p230109 +aS'and\tand\tCC\tO\tO' +p230110 +aS'we\twe\tPRP\tB-NP\tO' +p230111 +aS'have\thave\tVBP\tB-VP\tO' +p230112 +aS'had\thave\tVBN\tI-VP\tO' +p230113 +aS'no\tno\tDT\tB-NP\tO' +p230114 +aS'problems\tproblem\tNNS\tI-NP\tO' +p230115 +aS'with\twith\tIN\tB-PP\tO' +p230116 +aS'it\tit\tPRP\tB-NP\tO' +p230117 +aS'.\t.\t.\tO\tO' +p230118 +asS'You will also take lovenox subcutaneous injections tomorrow , 2019-02-10 .' +p230119 +(lp230120 +S'You\tYou\tPRP\tB-NP\tB-protein' +p230121 +aS'will\twill\tMD\tB-VP\tO' +p230122 +aS'also\talso\tRB\tI-VP\tO' +p230123 +aS'take\ttake\tVB\tI-VP\tO' +p230124 +aS'lovenox\tlovenox\tNN\tB-NP\tO' +p230125 +aS'subcutaneous\tsubcutaneous\tJJ\tI-NP\tO' +p230126 +aS'injections\tinjection\tNNS\tI-NP\tO' +p230127 +aS'tomorrow\ttomorrow\tNN\tB-NP\tO' +p230128 +aS',\t,\t,\tO\tO' +p230129 +aS'2019-02-10\t2019-02-10\tCD\tB-NP\tO' +p230130 +aS'.\t.\t.\tO\tO' +p230131 +asS'He had no pain and did not require any pain medications .' +p230132 +(lp230133 +S'He\tHe\tPRP\tB-NP\tO' +p230134 +aS'had\thave\tVBD\tB-VP\tO' +p230135 +aS'no\tno\tDT\tB-NP\tO' +p230136 +aS'pain\tpain\tNN\tI-NP\tO' +p230137 +aS'and\tand\tCC\tO\tO' +p230138 +aS'did\tdo\tVBD\tB-VP\tO' +p230139 +aS'not\tnot\tRB\tI-VP\tO' +p230140 +aS'require\trequire\tVB\tI-VP\tO' +p230141 +aS'any\tany\tDT\tB-NP\tO' +p230142 +aS'pain\tpain\tNN\tI-NP\tO' +p230143 +aS'medications\tmedication\tNNS\tI-NP\tO' +p230144 +aS'.\t.\t.\tO\tO' +p230145 +asS'On insertion she was found to be retaining 1400 cc of urine , so the foley catheter was left in .' +p230146 +(lp230147 +S'On\tOn\tIN\tB-PP\tO' +p230148 +aS'insertion\tinsertion\tNN\tB-NP\tO' +p230149 +aS'she\tshe\tPRP\tB-NP\tO' +p230150 +aS'was\tbe\tVBD\tB-VP\tO' +p230151 +aS'found\tfind\tVBN\tI-VP\tO' +p230152 +aS'to\tto\tTO\tI-VP\tO' +p230153 +aS'be\tbe\tVB\tI-VP\tO' +p230154 +aS'retaining\tretain\tVBG\tI-VP\tO' +p230155 +aS'1400\t1400\tCD\tB-NP\tO' +p230156 +aS'cc\tcc\tNN\tI-NP\tO' +p230157 +aS'of\tof\tIN\tB-PP\tO' +p230158 +aS'urine\turine\tNN\tB-NP\tO' +p230159 +aS',\t,\t,\tO\tO' +p230160 +aS'so\tso\tIN\tO\tO' +p230161 +aS'the\tthe\tDT\tB-NP\tO' +p230162 +aS'foley\tfoley\tJJ\tI-NP\tO' +p230163 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p230164 +aS'was\tbe\tVBD\tB-VP\tO' +p230165 +aS'left\tleave\tVBN\tI-VP\tO' +p230166 +aS'in\tin\tRP\tB-PRT\tO' +p230167 +aS'.\t.\t.\tO\tO' +p230168 +asS'Not assoc with exertion ( pt has active lifestyle ) .' +p230169 +(lp230170 +S'Not\tNot\tRB\tB-NP\tO' +p230171 +aS'assoc\tassoc\tNN\tI-NP\tO' +p230172 +aS'with\twith\tIN\tB-PP\tO' +p230173 +aS'exertion\texertion\tNN\tB-NP\tO' +p230174 +aS'(\t(\t(\tO\tO' +p230175 +aS'pt\tpt\tNN\tB-NP\tO' +p230176 +aS'has\thave\tVBZ\tB-VP\tO' +p230177 +aS'active\tactive\tJJ\tB-NP\tO' +p230178 +aS'lifestyle\tlifestyle\tNN\tI-NP\tO' +p230179 +aS')\t)\t)\tO\tO' +p230180 +aS'.\t.\t.\tO\tO' +p230181 +asS'Chronic encephalomalacic changes at the right frontal lobe and right parietal / occipital region are unchanged in appearance since 2018-11-27 .' +p230182 +(lp230183 +S'Chronic\tChronic\tJJ\tB-NP\tO' +p230184 +aS'encephalomalacic\tencephalomalacic\tJJ\tI-NP\tO' +p230185 +aS'changes\tchange\tNNS\tI-NP\tO' +p230186 +aS'at\tat\tIN\tB-PP\tO' +p230187 +aS'the\tthe\tDT\tB-NP\tO' +p230188 +aS'right\tright\tJJ\tI-NP\tO' +p230189 +aS'frontal\tfrontal\tJJ\tI-NP\tO' +p230190 +aS'lobe\tlobe\tNN\tI-NP\tO' +p230191 +aS'and\tand\tCC\tO\tO' +p230192 +aS'right\tright\tJJ\tB-NP\tO' +p230193 +aS'parietal\tparietal\tNN\tI-NP\tO' +p230194 +aS'/\t/\tSYM\tB-VP\tO' +p230195 +aS'occipital\toccipital\tNN\tB-NP\tB-protein' +p230196 +aS'region\tregion\tNN\tI-NP\tI-protein' +p230197 +aS'are\tbe\tVBP\tB-VP\tO' +p230198 +aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' +p230199 +aS'in\tin\tIN\tB-PP\tO' +p230200 +aS'appearance\tappearance\tNN\tB-NP\tO' +p230201 +aS'since\tsince\tIN\tB-PP\tO' +p230202 +aS'2018-11-27\t2018-11-27\tCD\tB-NP\tO' +p230203 +aS'.\t.\t.\tO\tO' +p230204 +asS'Mother was admitted to the Nantucket Cottage Hospital from Lawrence General Hospital Hospital on 05-01 with cervical effacement and preterm labor .' +p230205 +(lp230206 +S'Mother\tMother\tDT\tB-NP\tO' +p230207 +aS'was\tbe\tVBD\tB-VP\tO' +p230208 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p230209 +aS'to\tto\tTO\tB-PP\tO' +p230210 +aS'the\tthe\tDT\tB-NP\tO' +p230211 +aS'Nantucket\tNantucket\tNNP\tI-NP\tO' +p230212 +aS'Cottage\tCottage\tNNP\tI-NP\tO' +p230213 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p230214 +aS'from\tfrom\tIN\tB-PP\tO' +p230215 +aS'Lawrence\tLawrence\tNNP\tB-NP\tO' +p230216 +aS'General\tGeneral\tNNP\tI-NP\tO' +p230217 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p230218 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p230219 +aS'on\ton\tIN\tB-PP\tO' +p230220 +aS'05-01\t05-01\tCD\tB-NP\tO' +p230221 +aS'with\twith\tIN\tB-PP\tO' +p230222 +aS'cervical\tcervical\tJJ\tB-NP\tO' +p230223 +aS'effacement\teffacement\tNN\tI-NP\tO' +p230224 +aS'and\tand\tCC\tO\tO' +p230225 +aS'preterm\tpreterm\tJJ\tB-NP\tO' +p230226 +aS'labor\tlabor\tNN\tI-NP\tO' +p230227 +aS'.\t.\t.\tO\tO' +p230228 +asS'There was no known incontinence .' +p230229 +(lp230230 +S'There\tThere\tEX\tB-NP\tO' +p230231 +aS'was\tbe\tVBD\tB-VP\tO' +p230232 +aS'no\tno\tDT\tB-NP\tO' +p230233 +aS'known\tknow\tVBN\tI-NP\tO' +p230234 +aS'incontinence\tincontinence\tNN\tI-NP\tO' +p230235 +aS'.\t.\t.\tO\tO' +p230236 +asS'4. Warfarin 1 mg Tablet Sig : One ( 1 ) Tablet PO HS ( at bedtime ) .' +p230237 +(lp230238 +S'4.\t4.\tLS\tB-LST\tO' +p230239 +aS'Warfarin\tWarfarin\tNNP\tB-NP\tO' +p230240 +aS'1\t1\tCD\tI-NP\tO' +p230241 +aS'mg\tmg\tNN\tI-NP\tO' +p230242 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p230243 +aS'Sig\tSig\tNNP\tI-NP\tO' +p230244 +aS':\t:\t:\tO\tO' +p230245 +aS'One\tOne\tCD\tB-NP\tO' +p230246 +aS'(\t(\t(\tO\tO' +p230247 +aS'1\t1\tCD\tB-NP\tO' +p230248 +aS')\t)\t)\tO\tO' +p230249 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p230250 +aS'PO\tPO\tNN\tI-NP\tO' +p230251 +aS'HS\tHS\tNN\tI-NP\tO' +p230252 +aS'(\t(\t(\tO\tO' +p230253 +aS'at\tat\tIN\tB-PP\tO' +p230254 +aS'bedtime\tbedtime\tNN\tB-NP\tO' +p230255 +aS')\t)\t)\tO\tO' +p230256 +aS'.\t.\t.\tO\tO' +p230257 +asS'Hct also remained stable .' +p230258 +(lp230259 +S'Hct\tHct\tNN\tB-NP\tB-protein' +p230260 +aS'also\talso\tRB\tB-ADVP\tO' +p230261 +aS'remained\tremain\tVBD\tB-VP\tO' +p230262 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p230263 +aS'.\t.\t.\tO\tO' +p230264 +asS'Bilateral feet externally rotated .' +p230265 +(lp230266 +S'Bilateral\tBilateral\tJJ\tB-NP\tO' +p230267 +aS'feet\tfoot\tNNS\tI-NP\tO' +p230268 +aS'externally\texternally\tRB\tB-VP\tO' +p230269 +aS'rotated\trotate\tVBN\tI-VP\tO' +p230270 +aS'.\t.\t.\tO\tO' +p230271 +asS'6. ESRD on HD - Pt has ESRD secondary to her DM and is on HD .' +p230272 +(lp230273 +S'6.\t6.\tLS\tB-NP\tO' +p230274 +aS'ESRD\tESRD\tNN\tI-NP\tO' +p230275 +aS'on\ton\tIN\tB-PP\tO' +p230276 +aS'HD\tHD\tNN\tB-NP\tO' +p230277 +aS'-\t-\tHYPH\tB-NP\tO' +p230278 +aS'Pt\tPt\tNN\tI-NP\tO' +p230279 +aS'has\thave\tVBZ\tB-VP\tO' +p230280 +aS'ESRD\tESRD\tVBN\tI-VP\tO' +p230281 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p230282 +aS'to\tto\tTO\tB-PP\tO' +p230283 +aS'her\ther\tPRP$\tB-NP\tO' +p230284 +aS'DM\tDM\tNN\tI-NP\tO' +p230285 +aS'and\tand\tCC\tO\tO' +p230286 +aS'is\tbe\tVBZ\tB-VP\tO' +p230287 +aS'on\ton\tIN\tB-PP\tO' +p230288 +aS'HD\tHD\tNN\tB-NP\tO' +p230289 +aS'.\t.\t.\tO\tO' +p230290 +asS'He was taken to the Cardiac Catheterization Laboratory which showed multi-vessel disease and Cardiothoracic Surgery was consulted .' +p230291 +(lp230292 +S'He\tHe\tPRP\tB-NP\tO' +p230293 +aS'was\tbe\tVBD\tB-VP\tO' +p230294 +aS'taken\ttake\tVBN\tI-VP\tO' +p230295 +aS'to\tto\tTO\tB-PP\tO' +p230296 +aS'the\tthe\tDT\tB-NP\tO' +p230297 +aS'Cardiac\tCardiac\tNNP\tI-NP\tO' +p230298 +aS'Catheterization\tCatheterization\tNNP\tI-NP\tO' +p230299 +aS'Laboratory\tLaboratory\tNNP\tI-NP\tO' +p230300 +aS'which\twhich\tWDT\tB-NP\tO' +p230301 +aS'showed\tshow\tVBD\tB-VP\tO' +p230302 +aS'multi-vessel\tmulti-vessel\tJJ\tB-NP\tO' +p230303 +aS'disease\tdisease\tNN\tI-NP\tO' +p230304 +aS'and\tand\tCC\tO\tO' +p230305 +aS'Cardiothoracic\tCardiothoracic\tNNP\tB-NP\tO' +p230306 +aS'Surgery\tSurgery\tNNP\tI-NP\tO' +p230307 +aS'was\tbe\tVBD\tB-VP\tO' +p230308 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p230309 +aS'.\t.\t.\tO\tO' +p230310 +asS'There was evidence of cord compression .' +p230311 +(lp230312 +S'There\tThere\tEX\tB-NP\tO' +p230313 +aS'was\tbe\tVBD\tB-VP\tO' +p230314 +aS'evidence\tevidence\tNN\tB-NP\tO' +p230315 +aS'of\tof\tIN\tB-PP\tO' +p230316 +aS'cord\tcord\tNN\tB-NP\tO' +p230317 +aS'compression\tcompression\tNN\tI-NP\tO' +p230318 +aS'.\t.\t.\tO\tO' +p230319 +asS'The family understood that this was a life saving procedure and only carried with it approximately 50% chance of success .' +p230320 +(lp230321 +S'The\tThe\tDT\tB-NP\tO' +p230322 +aS'family\tfamily\tNN\tI-NP\tO' +p230323 +aS'understood\tunderstand\tVBD\tB-VP\tO' +p230324 +aS'that\tthat\tIN\tB-SBAR\tO' +p230325 +aS'this\tthis\tDT\tB-NP\tO' +p230326 +aS'was\tbe\tVBD\tB-VP\tO' +p230327 +aS'a\ta\tDT\tB-NP\tO' +p230328 +aS'life\tlife\tNN\tI-NP\tO' +p230329 +aS'saving\tsave\tVBG\tB-VP\tO' +p230330 +aS'procedure\tprocedure\tNN\tB-NP\tO' +p230331 +aS'and\tand\tCC\tO\tO' +p230332 +aS'only\tonly\tRB\tB-VP\tO' +p230333 +aS'carried\tcarry\tVBD\tI-VP\tO' +p230334 +aS'with\twith\tIN\tB-PP\tO' +p230335 +aS'it\tit\tPRP\tB-NP\tO' +p230336 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p230337 +aS'50%\t50%\tCD\tI-NP\tO' +p230338 +aS'chance\tchance\tNN\tI-NP\tO' +p230339 +aS'of\tof\tIN\tB-PP\tO' +p230340 +aS'success\tsuccess\tNN\tB-NP\tO' +p230341 +aS'.\t.\t.\tO\tO' +p230342 +asS'1. Insulin-dependent diabetes .' +p230343 +(lp230344 +S'1.\t1.\tLS\tB-NP\tO' +p230345 +aS'Insulin-dependent\tInsulin-dependent\tJJ\tI-NP\tO' +p230346 +aS'diabetes\tdiabete\tNNS\tI-NP\tO' +p230347 +aS'.\t.\t.\tO\tO' +p230348 +asS'He had a transthoracic echocardiogram which revealed no vegetations .' +p230349 +(lp230350 +S'He\tHe\tPRP\tB-NP\tO' +p230351 +aS'had\thave\tVBD\tB-VP\tO' +p230352 +aS'a\ta\tDT\tB-NP\tO' +p230353 +aS'transthoracic\ttransthoracic\tJJ\tI-NP\tO' +p230354 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p230355 +aS'which\twhich\tWDT\tB-NP\tO' +p230356 +aS'revealed\treveal\tVBD\tB-VP\tO' +p230357 +aS'no\tno\tDT\tB-NP\tO' +p230358 +aS'vegetations\tvegetation\tNNS\tI-NP\tO' +p230359 +aS'.\t.\t.\tO\tO' +p230360 +asS'1. Gestational carrier for brother and his wife ( donor eggs ).' +p230361 +(lp230362 +S'1.\t1.\tLS\tB-NP\tO' +p230363 +aS'Gestational\tGestational\tJJ\tI-NP\tO' +p230364 +aS'carrier\tcarrier\tNN\tI-NP\tO' +p230365 +aS'for\tfor\tIN\tB-PP\tO' +p230366 +aS'brother\tbrother\tNN\tB-NP\tO' +p230367 +aS'and\tand\tCC\tO\tO' +p230368 +aS'his\this\tPRP$\tB-NP\tO' +p230369 +aS'wife\twife\tNN\tI-NP\tO' +p230370 +aS'(\t(\t(\tO\tO' +p230371 +aS'donor\tdonor\tNN\tB-NP\tO' +p230372 +aS'eggs\tegg\tNNS\tI-NP\tO' +p230373 +aS').\t).\tVBP\tB-VP\tO' +p230374 +asS'5. Congestive heart failure .' +p230375 +(lp230376 +S'5.\t5.\tLS\tB-NP\tO' +p230377 +aS'Congestive\tCongestive\tJJ\tI-NP\tO' +p230378 +aS'heart\theart\tNN\tI-NP\tO' +p230379 +aS'failure\tfailure\tNN\tI-NP\tO' +p230380 +aS'.\t.\t.\tO\tO' +p230381 +asS'The tears in the transverse mesocolon and colon serosa were repaired .' +p230382 +(lp230383 +S'The\tThe\tDT\tB-NP\tO' +p230384 +aS'tears\ttear\tNNS\tI-NP\tO' +p230385 +aS'in\tin\tIN\tB-PP\tO' +p230386 +aS'the\tthe\tDT\tB-NP\tO' +p230387 +aS'transverse\ttransverse\tJJ\tI-NP\tO' +p230388 +aS'mesocolon\tmesocolon\tNN\tI-NP\tO' +p230389 +aS'and\tand\tCC\tI-NP\tO' +p230390 +aS'colon\tcolon\tNN\tI-NP\tO' +p230391 +aS'serosa\tserosa\tNN\tI-NP\tO' +p230392 +aS'were\tbe\tVBD\tB-VP\tO' +p230393 +aS'repaired\trepair\tVBN\tI-VP\tO' +p230394 +aS'.\t.\t.\tO\tO' +p230395 +asS'On exam she is afebrile .' +p230396 +(lp230397 +S'On\tOn\tIN\tB-PP\tO' +p230398 +aS'exam\texam\tNN\tB-NP\tO' +p230399 +aS'she\tshe\tPRP\tB-NP\tO' +p230400 +aS'is\tbe\tVBZ\tB-VP\tO' +p230401 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p230402 +aS'.\t.\t.\tO\tO' +p230403 +asS'His airway and symptoms continued to improve and remained stable .' +p230404 +(lp230405 +S'His\tHis\tPRP$\tB-NP\tO' +p230406 +aS'airway\tairway\tNN\tI-NP\tO' +p230407 +aS'and\tand\tCC\tI-NP\tO' +p230408 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p230409 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p230410 +aS'to\tto\tTO\tI-VP\tO' +p230411 +aS'improve\timprove\tVB\tI-VP\tO' +p230412 +aS'and\tand\tCC\tO\tO' +p230413 +aS'remained\tremain\tVBD\tB-VP\tO' +p230414 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p230415 +aS'.\t.\t.\tO\tO' +p230416 +asS'MD to dose daily .' +p230417 +(lp230418 +S'MD\tMD\tNN\tB-NP\tO' +p230419 +aS'to\tto\tTO\tB-PP\tO' +p230420 +aS'dose\tdose\tNN\tB-NP\tO' +p230421 +aS'daily\tdaily\tRB\tB-ADVP\tO' +p230422 +aS'.\t.\t.\tO\tO' +p230423 +asS'He demonstrated poor ability for abstract thinking .' +p230424 +(lp230425 +S'He\tHe\tPRP\tB-NP\tO' +p230426 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p230427 +aS'poor\tpoor\tJJ\tB-NP\tO' +p230428 +aS'ability\tability\tNN\tI-NP\tO' +p230429 +aS'for\tfor\tIN\tB-PP\tO' +p230430 +aS'abstract\tabstract\tJJ\tB-NP\tO' +p230431 +aS'thinking\tthinking\tNN\tI-NP\tO' +p230432 +aS'.\t.\t.\tO\tO' +p230433 +asS'2. She is status post cholecystectomy .' +p230434 +(lp230435 +S'2.\t2.\tLS\tB-NP\tO' +p230436 +aS'She\tShe\tNN\tI-NP\tB-protein' +p230437 +aS'is\tbe\tVBZ\tB-VP\tO' +p230438 +aS'status\tstatus\tNN\tB-NP\tO' +p230439 +aS'post\tpost\tNN\tI-NP\tO' +p230440 +aS'cholecystectomy\tcholecystectomy\tNN\tI-NP\tO' +p230441 +aS'.\t.\t.\tO\tO' +p230442 +asS'Improvement has correlated w/ tapering of steroids , one of the causes in the differential .' +p230443 +(lp230444 +S'Improvement\tImprovement\tNN\tB-NP\tO' +p230445 +aS'has\thave\tVBZ\tB-VP\tO' +p230446 +aS'correlated\tcorrelate\tVBN\tI-VP\tO' +p230447 +aS'w/\tw/\tNN\tB-NP\tO' +p230448 +aS'tapering\ttapering\tNN\tI-NP\tO' +p230449 +aS'of\tof\tIN\tB-PP\tO' +p230450 +aS'steroids\tsteroid\tNNS\tB-NP\tO' +p230451 +aS',\t,\t,\tO\tO' +p230452 +aS'one\tone\tCD\tB-NP\tO' +p230453 +aS'of\tof\tIN\tB-PP\tO' +p230454 +aS'the\tthe\tDT\tB-NP\tO' +p230455 +aS'causes\tcause\tNNS\tI-NP\tO' +p230456 +aS'in\tin\tIN\tB-PP\tO' +p230457 +aS'the\tthe\tDT\tB-NP\tO' +p230458 +aS'differential\tdifferential\tJJ\tI-NP\tO' +p230459 +aS'.\t.\t.\tO\tO' +p230460 +asS'Abdomen is soft and nontender without hepatosplenomegaly or mass .' +p230461 +(lp230462 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p230463 +aS'is\tbe\tVBZ\tB-VP\tO' +p230464 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p230465 +aS'and\tand\tCC\tI-ADJP\tO' +p230466 +aS'nontender\tnontender\tJJ\tI-ADJP\tO' +p230467 +aS'without\twithout\tIN\tB-PP\tO' +p230468 +aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tB-NP\tO' +p230469 +aS'or\tor\tCC\tI-NP\tO' +p230470 +aS'mass\tmass\tNN\tI-NP\tO' +p230471 +aS'.\t.\t.\tO\tO' +p230472 +asS'1) MENORRHAGIA .' +p230473 +(lp230474 +S'1)\t1)\tLS\tB-NP\tO' +p230475 +aS'MENORRHAGIA\tMENORRHAGIA\tNN\tI-NP\tO' +p230476 +aS'.\t.\t.\tO\tO' +p230477 +asS'She was without the ability to move her left lower extremity with decreased sensation in the left leg .' +p230478 +(lp230479 +S'She\tShe\tPRP\tB-NP\tO' +p230480 +aS'was\tbe\tVBD\tB-VP\tO' +p230481 +aS'without\twithout\tIN\tB-PP\tO' +p230482 +aS'the\tthe\tDT\tB-NP\tO' +p230483 +aS'ability\tability\tNN\tI-NP\tO' +p230484 +aS'to\tto\tTO\tB-VP\tO' +p230485 +aS'move\tmove\tVB\tI-VP\tO' +p230486 +aS'her\ther\tPRP$\tB-NP\tO' +p230487 +aS'left\tleft\tJJ\tI-NP\tO' +p230488 +aS'lower\tlow\tJJR\tI-NP\tO' +p230489 +aS'extremity\textremity\tNN\tI-NP\tO' +p230490 +aS'with\twith\tIN\tB-PP\tO' +p230491 +aS'decreased\tdecrease\tVBN\tB-NP\tO' +p230492 +aS'sensation\tsensation\tNN\tI-NP\tO' +p230493 +aS'in\tin\tIN\tB-PP\tO' +p230494 +aS'the\tthe\tDT\tB-NP\tO' +p230495 +aS'left\tleft\tJJ\tI-NP\tO' +p230496 +aS'leg\tleg\tNN\tI-NP\tO' +p230497 +aS'.\t.\t.\tO\tO' +p230498 +asS'Moving toward home hospice .' +p230499 +(lp230500 +S'Moving\tMove\tVBG\tB-VP\tO' +p230501 +aS'toward\ttoward\tIN\tB-PP\tO' +p230502 +aS'home\thome\tNN\tB-NP\tO' +p230503 +aS'hospice\thospice\tNN\tI-NP\tO' +p230504 +aS'.\t.\t.\tO\tO' +p230505 +asS'Necrotizing pancreatitis .' +p230506 +(lp230507 +S'Necrotizing\tNecrotize\tVBG\tB-VP\tO' +p230508 +aS'pancreatitis\tpancreatitis\tNN\tB-NP\tO' +p230509 +aS'.\t.\t.\tO\tO' +p230510 +asS'This can be evaluated further and is not a problem at this time .' +p230511 +(lp230512 +S'This\tThis\tDT\tB-NP\tO' +p230513 +aS'can\tcan\tMD\tB-VP\tO' +p230514 +aS'be\tbe\tVB\tI-VP\tO' +p230515 +aS'evaluated\tevaluate\tVBN\tI-VP\tO' +p230516 +aS'further\tfurther\tRBR\tB-ADVP\tO' +p230517 +aS'and\tand\tCC\tO\tO' +p230518 +aS'is\tbe\tVBZ\tB-VP\tO' +p230519 +aS'not\tnot\tRB\tO\tO' +p230520 +aS'a\ta\tDT\tB-NP\tO' +p230521 +aS'problem\tproblem\tNN\tI-NP\tO' +p230522 +aS'at\tat\tIN\tB-PP\tO' +p230523 +aS'this\tthis\tDT\tB-NP\tO' +p230524 +aS'time\ttime\tNN\tI-NP\tO' +p230525 +aS'.\t.\t.\tO\tO' +p230526 +asS'She is married .' +p230527 +(lp230528 +S'She\tShe\tPRP\tB-NP\tO' +p230529 +aS'is\tbe\tVBZ\tB-VP\tO' +p230530 +aS'married\tmarry\tVBN\tI-VP\tO' +p230531 +aS'.\t.\t.\tO\tO' +p230532 +asS'The proximal RCA was totally occluded with good left to right collaterals .' +p230533 +(lp230534 +S'The\tThe\tDT\tB-NP\tO' +p230535 +aS'proximal\tproximal\tJJ\tI-NP\tO' +p230536 +aS'RCA\tRCA\tNN\tI-NP\tO' +p230537 +aS'was\tbe\tVBD\tB-VP\tO' +p230538 +aS'totally\ttotally\tRB\tI-VP\tO' +p230539 +aS'occluded\tocclude\tVBN\tI-VP\tO' +p230540 +aS'with\twith\tIN\tB-PP\tO' +p230541 +aS'good\tgood\tJJ\tB-NP\tO' +p230542 +aS'left\tleft\tNN\tI-NP\tO' +p230543 +aS'to\tto\tTO\tB-PP\tO' +p230544 +aS'right\tright\tJJ\tB-NP\tO' +p230545 +aS'collaterals\tcollateral\tNNS\tI-NP\tO' +p230546 +aS'.\t.\t.\tO\tO' +p230547 +asS'No restrictions .' +p230548 +(lp230549 +S'No\tNo\tDT\tB-NP\tO' +p230550 +aS'restrictions\trestriction\tNNS\tI-NP\tO' +p230551 +aS'.\t.\t.\tO\tO' +p230552 +asS'The sputum Gram stain showed a few polys and no organisms .' +p230553 +(lp230554 +S'The\tThe\tDT\tB-NP\tO' +p230555 +aS'sputum\tsputum\tNN\tI-NP\tO' +p230556 +aS'Gram\tGram\tNN\tI-NP\tO' +p230557 +aS'stain\tstain\tNN\tI-NP\tO' +p230558 +aS'showed\tshow\tVBD\tB-VP\tO' +p230559 +aS'a\ta\tDT\tB-NP\tO' +p230560 +aS'few\tfew\tJJ\tI-NP\tO' +p230561 +aS'polys\tpoly\tNNS\tI-NP\tO' +p230562 +aS'and\tand\tCC\tO\tO' +p230563 +aS'no\tno\tDT\tB-NP\tO' +p230564 +aS'organisms\torganism\tNNS\tI-NP\tO' +p230565 +aS'.\t.\t.\tO\tO' +p230566 +asS'In general the patient was resting comfortably in bed with a visible tremor of her right hand and foot .' +p230567 +(lp230568 +S'In\tIn\tIN\tB-PP\tO' +p230569 +aS'general\tgeneral\tJJ\tB-ADJP\tO' +p230570 +aS'the\tthe\tDT\tB-NP\tO' +p230571 +aS'patient\tpatient\tNN\tI-NP\tO' +p230572 +aS'was\tbe\tVBD\tB-VP\tO' +p230573 +aS'resting\trest\tVBG\tI-VP\tO' +p230574 +aS'comfortably\tcomfortably\tRB\tB-ADVP\tO' +p230575 +aS'in\tin\tIN\tB-PP\tO' +p230576 +aS'bed\tbed\tNN\tB-NP\tO' +p230577 +aS'with\twith\tIN\tB-PP\tO' +p230578 +aS'a\ta\tDT\tB-NP\tO' +p230579 +aS'visible\tvisible\tJJ\tI-NP\tO' +p230580 +aS'tremor\ttremor\tNN\tI-NP\tO' +p230581 +aS'of\tof\tIN\tB-PP\tO' +p230582 +aS'her\ther\tPRP$\tB-NP\tO' +p230583 +aS'right\tright\tJJ\tI-NP\tO' +p230584 +aS'hand\thand\tNN\tI-NP\tO' +p230585 +aS'and\tand\tCC\tI-NP\tO' +p230586 +aS'foot\tfoot\tNN\tI-NP\tO' +p230587 +aS'.\t.\t.\tO\tO' +p230588 +asS'On 2013-09-08 , patient pulled out peg tube .' +p230589 +(lp230590 +S'On\tOn\tIN\tB-PP\tO' +p230591 +aS'2013-09-08\t2013-09-08\tCD\tB-NP\tO' +p230592 +aS',\t,\t,\tO\tO' +p230593 +aS'patient\tpatient\tNN\tB-NP\tO' +p230594 +aS'pulled\tpull\tVBD\tB-VP\tO' +p230595 +aS'out\tout\tRP\tB-PRT\tO' +p230596 +aS'peg\tpeg\tNN\tB-NP\tO' +p230597 +aS'tube\ttube\tNN\tI-NP\tO' +p230598 +aS'.\t.\t.\tO\tO' +p230599 +asS'The patient has a macrocytosis .' +p230600 +(lp230601 +S'The\tThe\tDT\tB-NP\tO' +p230602 +aS'patient\tpatient\tNN\tI-NP\tO' +p230603 +aS'has\thave\tVBZ\tB-VP\tO' +p230604 +aS'a\ta\tDT\tB-NP\tO' +p230605 +aS'macrocytosis\tmacrocytosis\tNN\tI-NP\tO' +p230606 +aS'.\t.\t.\tO\tO' +p230607 +asS'8. Ocuvite Tablet Sig : One ( 1 ) Tablet PO once a day .' +p230608 +(lp230609 +S'8.\t8.\tCD\tB-NP\tO' +p230610 +aS'Ocuvite\tOcuvite\tNNP\tI-NP\tO' +p230611 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p230612 +aS'Sig\tSig\tNNP\tI-NP\tO' +p230613 +aS':\t:\t:\tO\tO' +p230614 +aS'One\tOne\tCD\tB-NP\tO' +p230615 +aS'(\t(\t(\tO\tO' +p230616 +aS'1\t1\tCD\tB-NP\tO' +p230617 +aS')\t)\t)\tO\tO' +p230618 +aS'Tablet\tTablet\tNN\tB-NP\tB-protein' +p230619 +aS'PO\tPO\tNN\tI-NP\tI-protein' +p230620 +aS'once\tonce\tRB\tO\tO' +p230621 +aS'a\ta\tDT\tB-NP\tO' +p230622 +aS'day\tday\tNN\tI-NP\tO' +p230623 +aS'.\t.\t.\tO\tO' +p230624 +asS'He was gently diuresed towards his preoperative weight .' +p230625 +(lp230626 +S'He\tHe\tPRP\tB-NP\tO' +p230627 +aS'was\tbe\tVBD\tB-VP\tO' +p230628 +aS'gently\tgently\tRB\tI-VP\tO' +p230629 +aS'diuresed\tdiurese\tVBN\tI-VP\tO' +p230630 +aS'towards\ttowards\tIN\tB-PP\tO' +p230631 +aS'his\this\tPRP$\tB-NP\tO' +p230632 +aS'preoperative\tpreoperative\tJJ\tI-NP\tO' +p230633 +aS'weight\tweight\tNN\tI-NP\tO' +p230634 +aS'.\t.\t.\tO\tO' +p230635 +asS'Coronary angiogram .' +p230636 +(lp230637 +S'Coronary\tCoronary\tJJ\tB-NP\tO' +p230638 +aS'angiogram\tangiogram\tNN\tI-NP\tO' +p230639 +aS'.\t.\t.\tO\tO' +p230640 +asS'This is to notify you that your patient , CIENNE , GUTAOI arrived in the Emergency Department at Well General Hospital on 12/19/2006 08:13 PM .' +p230641 +(lp230642 +S'This\tThis\tDT\tB-NP\tO' +p230643 +aS'is\tbe\tVBZ\tB-VP\tO' +p230644 +aS'to\tto\tTO\tB-VP\tO' +p230645 +aS'notify\tnotify\tVB\tI-VP\tO' +p230646 +aS'you\tyou\tPRP\tB-NP\tO' +p230647 +aS'that\tthat\tIN\tB-SBAR\tO' +p230648 +aS'your\tyour\tPRP$\tB-NP\tO' +p230649 +aS'patient\tpatient\tNN\tI-NP\tO' +p230650 +aS',\t,\t,\tO\tO' +p230651 +aS'CIENNE\tCIENNE\tNN\tB-NP\tO' +p230652 +aS',\t,\t,\tO\tO' +p230653 +aS'GUTAOI\tGUTAOI\tNN\tB-NP\tO' +p230654 +aS'arrived\tarrive\tVBD\tB-VP\tO' +p230655 +aS'in\tin\tIN\tB-PP\tO' +p230656 +aS'the\tthe\tDT\tB-NP\tO' +p230657 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p230658 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p230659 +aS'at\tat\tIN\tB-PP\tO' +p230660 +aS'Well\tWell\tNNP\tB-NP\tO' +p230661 +aS'General\tGeneral\tNNP\tI-NP\tO' +p230662 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p230663 +aS'on\ton\tIN\tB-PP\tO' +p230664 +aS'12/19/2006\t12/19/2006\tCD\tB-NP\tO' +p230665 +aS'08:13\t08:13\tCD\tI-NP\tO' +p230666 +aS'PM\tPM\tNN\tI-NP\tO' +p230667 +aS'.\t.\t.\tO\tO' +p230668 +asS'Signed electronically by : DR. Brenda JM. Espinosa on : Maxine 2015-09-10 1:57 PM' +p230669 +(lp230670 +S'Signed\tSign\tVBN\tB-VP\tO' +p230671 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p230672 +aS'by\tby\tIN\tB-PP\tO' +p230673 +aS':\t:\t:\tO\tO' +p230674 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p230675 +aS'Brenda\tBrenda\tNNP\tI-NP\tO' +p230676 +aS'JM.\tJM.\tNNP\tI-NP\tO' +p230677 +aS'Espinosa\tEspinosa\tNNP\tI-NP\tO' +p230678 +aS'on\ton\tIN\tB-PP\tO' +p230679 +aS':\t:\t:\tO\tO' +p230680 +aS'Maxine\tMaxine\tNN\tB-NP\tO' +p230681 +aS'2015-09-10\t2015-09-10\tCD\tI-NP\tO' +p230682 +aS'1:57\t1:57\tCD\tI-NP\tO' +p230683 +aS'PM\tPM\tNN\tI-NP\tO' +p230684 +asS"Morphine was administered to insure patient 's comfort ." +p230685 +(lp230686 +S'Morphine\tMorphine\tNN\tB-NP\tO' +p230687 +aS'was\tbe\tVBD\tB-VP\tO' +p230688 +aS'administered\tadminister\tVBN\tI-VP\tO' +p230689 +aS'to\tto\tTO\tI-VP\tO' +p230690 +aS'insure\tinsure\tVB\tI-VP\tO' +p230691 +aS'patient\tpatient\tNN\tB-NP\tO' +p230692 +aS"'s\t's\tPOS\tB-NP\tO" +p230693 +aS'comfort\tcomfort\tNN\tI-NP\tO' +p230694 +aS'.\t.\t.\tO\tO' +p230695 +asS'Neck : Supple with full range of motion , no lymphadenopathy nor thyromegaly .' +p230696 +(lp230697 +S'Neck\tNeck\tNN\tB-NP\tO' +p230698 +aS':\t:\t:\tO\tO' +p230699 +aS'Supple\tSupple\tNN\tB-NP\tO' +p230700 +aS'with\twith\tIN\tB-PP\tO' +p230701 +aS'full\tfull\tJJ\tB-NP\tO' +p230702 +aS'range\trange\tNN\tI-NP\tO' +p230703 +aS'of\tof\tIN\tB-PP\tO' +p230704 +aS'motion\tmotion\tNN\tB-NP\tO' +p230705 +aS',\t,\t,\tO\tO' +p230706 +aS'no\tno\tDT\tB-NP\tO' +p230707 +aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' +p230708 +aS'nor\tnor\tCC\tO\tO' +p230709 +aS'thyromegaly\tthyromegaly\tRB\tB-ADVP\tO' +p230710 +aS'.\t.\t.\tO\tO' +p230711 +asS'18. Maalox 200-200-20 mg / 5 mL Suspension Sig : Fifteen ( 15 ) ML PO PRN ( as needed ) .' +p230712 +(lp230713 +S'18.\t18.\tCD\tB-NP\tO' +p230714 +aS'Maalox\tMaalox\tNNP\tI-NP\tO' +p230715 +aS'200-200-20\t200-200-20\tCD\tI-NP\tO' +p230716 +aS'mg\tmg\tNN\tI-NP\tO' +p230717 +aS'/\t/\tSYM\tB-NP\tO' +p230718 +aS'5\t5\tCD\tB-NP\tO' +p230719 +aS'mL\tmL\tNN\tI-NP\tO' +p230720 +aS'Suspension\tSuspension\tNNP\tI-NP\tO' +p230721 +aS'Sig\tSig\tNNP\tI-NP\tO' +p230722 +aS':\t:\t:\tO\tO' +p230723 +aS'Fifteen\tFifteen\tCD\tB-NP\tO' +p230724 +aS'(\t(\t(\tO\tO' +p230725 +aS'15\t15\tCD\tB-NP\tO' +p230726 +aS')\t)\t)\tO\tO' +p230727 +aS'ML\tML\tNN\tB-NP\tO' +p230728 +aS'PO\tPO\tNN\tI-NP\tO' +p230729 +aS'PRN\tPRN\tNN\tI-NP\tO' +p230730 +aS'(\t(\t(\tO\tO' +p230731 +aS'as\tas\tIN\tB-SBAR\tO' +p230732 +aS'needed\tneed\tVBN\tB-VP\tO' +p230733 +aS')\t)\t)\tO\tO' +p230734 +aS'.\t.\t.\tO\tO' +p230735 +asS'The patient was discharged home in stable condition on postoperative day six .' +p230736 +(lp230737 +S'The\tThe\tDT\tB-NP\tO' +p230738 +aS'patient\tpatient\tNN\tI-NP\tO' +p230739 +aS'was\tbe\tVBD\tB-VP\tO' +p230740 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p230741 +aS'home\thome\tNN\tB-ADVP\tO' +p230742 +aS'in\tin\tIN\tB-PP\tO' +p230743 +aS'stable\tstable\tJJ\tB-NP\tO' +p230744 +aS'condition\tcondition\tNN\tI-NP\tO' +p230745 +aS'on\ton\tIN\tB-PP\tO' +p230746 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p230747 +aS'day\tday\tNN\tI-NP\tO' +p230748 +aS'six\tsix\tCD\tI-NP\tO' +p230749 +aS'.\t.\t.\tO\tO' +p230750 +asS'Left sided weakness , slurred speech .' +p230751 +(lp230752 +S'Left\tLeave\tVBN\tB-NP\tO' +p230753 +aS'sided\tsided\tJJ\tI-NP\tO' +p230754 +aS'weakness\tweakness\tNN\tI-NP\tO' +p230755 +aS',\t,\t,\tO\tO' +p230756 +aS'slurred\tslur\tVBD\tB-VP\tO' +p230757 +aS'speech\tspeech\tNN\tB-NP\tO' +p230758 +aS'.\t.\t.\tO\tO' +p230759 +asS'This 68 year old white male who had a seven to eight year history of knee pain .' +p230760 +(lp230761 +S'This\tThis\tDT\tB-NP\tO' +p230762 +aS'68\t68\tCD\tI-NP\tO' +p230763 +aS'year\tyear\tNN\tI-NP\tO' +p230764 +aS'old\told\tJJ\tI-NP\tO' +p230765 +aS'white\twhite\tJJ\tI-NP\tO' +p230766 +aS'male\tmale\tNN\tI-NP\tO' +p230767 +aS'who\twho\tWP\tB-NP\tO' +p230768 +aS'had\thave\tVBD\tB-VP\tO' +p230769 +aS'a\ta\tDT\tB-NP\tO' +p230770 +aS'seven\tseven\tCD\tI-NP\tO' +p230771 +aS'to\tto\tTO\tI-NP\tO' +p230772 +aS'eight\teight\tCD\tI-NP\tO' +p230773 +aS'year\tyear\tNN\tI-NP\tO' +p230774 +aS'history\thistory\tNN\tI-NP\tO' +p230775 +aS'of\tof\tIN\tB-PP\tO' +p230776 +aS'knee\tknee\tNN\tB-NP\tO' +p230777 +aS'pain\tpain\tNN\tI-NP\tO' +p230778 +aS'.\t.\t.\tO\tO' +p230779 +asS'6. EtOH use : unclear how much , monitor on CIWA for signs of withdrawal , ativan prn' +p230780 +(lp230781 +S'6.\t6.\tLS\tB-NP\tO' +p230782 +aS'EtOH\tEtOH\tNN\tI-NP\tO' +p230783 +aS'use\tuse\tNN\tI-NP\tO' +p230784 +aS':\t:\t:\tO\tO' +p230785 +aS'unclear\tunclear\tJJ\tB-ADJP\tO' +p230786 +aS'how\thow\tWRB\tB-ADVP\tO' +p230787 +aS'much\tmuch\tRB\tI-ADVP\tO' +p230788 +aS',\t,\t,\tO\tO' +p230789 +aS'monitor\tmonitor\tNN\tB-NP\tO' +p230790 +aS'on\ton\tIN\tB-PP\tO' +p230791 +aS'CIWA\tCIWA\tNNP\tB-NP\tO' +p230792 +aS'for\tfor\tIN\tB-PP\tO' +p230793 +aS'signs\tsign\tNNS\tB-NP\tO' +p230794 +aS'of\tof\tIN\tB-PP\tO' +p230795 +aS'withdrawal\twithdrawal\tNN\tB-NP\tO' +p230796 +aS',\t,\t,\tO\tO' +p230797 +aS'ativan\tativan\tNN\tB-NP\tO' +p230798 +aS'prn\tprn\tNN\tI-NP\tO' +p230799 +asS"This was felt to be likely 03-15 intravascular volume depletion since the pt 's albumin was so low and he was third spacing all of his fluid ." +p230800 +(lp230801 +S'This\tThis\tDT\tB-NP\tO' +p230802 +aS'was\tbe\tVBD\tB-VP\tO' +p230803 +aS'felt\tfeel\tVBN\tI-VP\tO' +p230804 +aS'to\tto\tTO\tI-VP\tO' +p230805 +aS'be\tbe\tVB\tI-VP\tO' +p230806 +aS'likely\tlikely\tJJ\tB-ADJP\tO' +p230807 +aS'03-15\t03-15\tCD\tB-NP\tO' +p230808 +aS'intravascular\tintravascular\tJJ\tI-NP\tO' +p230809 +aS'volume\tvolume\tNN\tI-NP\tO' +p230810 +aS'depletion\tdepletion\tNN\tI-NP\tO' +p230811 +aS'since\tsince\tIN\tB-PP\tO' +p230812 +aS'the\tthe\tDT\tB-NP\tO' +p230813 +aS'pt\tpt\tNN\tI-NP\tO' +p230814 +aS"'s\t's\tPOS\tB-NP\tO" +p230815 +aS'albumin\talbumin\tNN\tI-NP\tO' +p230816 +aS'was\tbe\tVBD\tB-VP\tO' +p230817 +aS'so\tso\tRB\tB-ADJP\tO' +p230818 +aS'low\tlow\tJJ\tI-ADJP\tO' +p230819 +aS'and\tand\tCC\tO\tO' +p230820 +aS'he\the\tPRP\tB-NP\tO' +p230821 +aS'was\tbe\tVBD\tB-VP\tO' +p230822 +aS'third\tthird\tJJ\tB-NP\tO' +p230823 +aS'spacing\tspacing\tNN\tI-NP\tO' +p230824 +aS'all\tall\tDT\tB-NP\tO' +p230825 +aS'of\tof\tIN\tB-PP\tO' +p230826 +aS'his\this\tPRP$\tB-NP\tO' +p230827 +aS'fluid\tfluid\tNN\tI-NP\tO' +p230828 +aS'.\t.\t.\tO\tO' +p230829 +asS'The patient 's family was involved and they decided to opt for DNR / DNI in view of the poor prognosis .' +p230830 +(lp230831 +S'The\tThe\tDT\tB-NP\tO' +p230832 +aS'patient\tpatient\tNN\tI-NP\tO' +p230833 +aS''s\t'\tNNS\tI-NP\tO' +p230834 +aS'family\tfamily\tNN\tI-NP\tO' +p230835 +aS'was\tbe\tVBD\tB-VP\tO' +p230836 +aS'involved\tinvolve\tVBN\tI-VP\tO' +p230837 +aS'and\tand\tCC\tO\tO' +p230838 +aS'they\tthey\tPRP\tB-NP\tO' +p230839 +aS'decided\tdecide\tVBD\tB-VP\tO' +p230840 +aS'to\tto\tTO\tI-VP\tO' +p230841 +aS'opt\topt\tVB\tI-VP\tO' +p230842 +aS'for\tfor\tIN\tB-PP\tO' +p230843 +aS'DNR\tDNR\tNN\tB-NP\tB-protein' +p230844 +aS'/\t/\tSYM\tB-NP\tO' +p230845 +aS'DNI\tDNI\tNN\tI-NP\tO' +p230846 +aS'in\tin\tIN\tB-PP\tO' +p230847 +aS'view\tview\tNN\tB-NP\tO' +p230848 +aS'of\tof\tIN\tB-PP\tO' +p230849 +aS'the\tthe\tDT\tB-NP\tO' +p230850 +aS'poor\tpoor\tJJ\tI-NP\tO' +p230851 +aS'prognosis\tprognosis\tNN\tI-NP\tO' +p230852 +aS'.\t.\t.\tO\tO' +p230853 +asS'6. Atenolol 25 mg Tablet Sig : 0.5 Tablet PO DAILY ( Daily ) .' +p230854 +(lp230855 +S'6.\t6.\tCD\tB-NP\tO' +p230856 +aS'Atenolol\tAtenolol\tNN\tI-NP\tO' +p230857 +aS'25\t25\tCD\tB-NP\tO' +p230858 +aS'mg\tmg\tNN\tI-NP\tO' +p230859 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p230860 +aS'Sig\tSig\tNNP\tI-NP\tO' +p230861 +aS':\t:\t:\tO\tO' +p230862 +aS'0.5\t0.5\tCD\tB-NP\tO' +p230863 +aS'Tablet\tTablet\tNN\tI-NP\tO' +p230864 +aS'PO\tPO\tNN\tI-NP\tO' +p230865 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p230866 +aS'(\t(\t(\tO\tO' +p230867 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p230868 +aS')\t)\t)\tO\tO' +p230869 +aS'.\t.\t.\tO\tO' +p230870 +asS'He had good hemodynamics .' +p230871 +(lp230872 +S'He\tHe\tPRP\tB-NP\tO' +p230873 +aS'had\thave\tVBD\tB-VP\tO' +p230874 +aS'good\tgood\tJJ\tB-NP\tO' +p230875 +aS'hemodynamics\themodynamic\tNNS\tI-NP\tO' +p230876 +aS'.\t.\t.\tO\tO' +p230877 +asS'He is a drowsy , elderly white male lying with O2 on , asking to be scratched .' +p230878 +(lp230879 +S'He\tHe\tPRP\tB-NP\tB-DNA' +p230880 +aS'is\tbe\tVBZ\tB-VP\tO' +p230881 +aS'a\ta\tDT\tB-NP\tO' +p230882 +aS'drowsy\tdrowsy\tJJ\tI-NP\tO' +p230883 +aS',\t,\t,\tI-NP\tO' +p230884 +aS'elderly\telderly\tJJ\tI-NP\tO' +p230885 +aS'white\twhite\tJJ\tI-NP\tO' +p230886 +aS'male\tmale\tNN\tI-NP\tO' +p230887 +aS'lying\tlie\tVBG\tB-VP\tO' +p230888 +aS'with\twith\tIN\tB-PP\tO' +p230889 +aS'O2\tO2\tNN\tB-NP\tB-protein' +p230890 +aS'on\ton\tIN\tB-PP\tO' +p230891 +aS',\t,\t,\tO\tO' +p230892 +aS'asking\task\tVBG\tB-VP\tO' +p230893 +aS'to\tto\tTO\tI-VP\tO' +p230894 +aS'be\tbe\tVB\tI-VP\tO' +p230895 +aS'scratched\tscratch\tVBN\tI-VP\tO' +p230896 +aS'.\t.\t.\tO\tO' +p230897 +asS'6-Cocaine intoxication .' +p230898 +(lp230899 +S'6-Cocaine\t6-Cocaine\tNN\tB-NP\tO' +p230900 +aS'intoxication\tintoxication\tNN\tI-NP\tO' +p230901 +aS'.\t.\t.\tO\tO' +p230902 +asS'He was weaned from oxygen requirement and was continued on normal saline boluses and' +p230903 +(lp230904 +S'He\tHe\tPRP\tB-NP\tO' +p230905 +aS'was\tbe\tVBD\tB-VP\tO' +p230906 +aS'weaned\twean\tVBN\tI-VP\tO' +p230907 +aS'from\tfrom\tIN\tB-PP\tO' +p230908 +aS'oxygen\toxygen\tNN\tB-NP\tO' +p230909 +aS'requirement\trequirement\tNN\tI-NP\tO' +p230910 +aS'and\tand\tCC\tO\tO' +p230911 +aS'was\tbe\tVBD\tB-VP\tO' +p230912 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p230913 +aS'on\ton\tIN\tB-PP\tO' +p230914 +aS'normal\tnormal\tJJ\tB-NP\tO' +p230915 +aS'saline\tsaline\tNN\tI-NP\tO' +p230916 +aS'boluses\tbolus\tNNS\tI-NP\tO' +p230917 +aS'and\tand\tCC\tO\tO' +p230918 +asS'During evaluation of her neurologic status , it was determined that for several months prior to admission , the patient has been too unsteady to ambulate .' +p230919 +(lp230920 +S'During\tDuring\tIN\tB-PP\tO' +p230921 +aS'evaluation\tevaluation\tNN\tB-NP\tO' +p230922 +aS'of\tof\tIN\tB-PP\tO' +p230923 +aS'her\ther\tPRP$\tB-NP\tO' +p230924 +aS'neurologic\tneurologic\tJJ\tI-NP\tO' +p230925 +aS'status\tstatus\tNN\tI-NP\tO' +p230926 +aS',\t,\t,\tO\tO' +p230927 +aS'it\tit\tPRP\tB-NP\tO' +p230928 +aS'was\tbe\tVBD\tB-VP\tO' +p230929 +aS'determined\tdetermine\tVBN\tI-VP\tO' +p230930 +aS'that\tthat\tIN\tB-SBAR\tO' +p230931 +aS'for\tfor\tIN\tB-PP\tO' +p230932 +aS'several\tseveral\tJJ\tB-NP\tO' +p230933 +aS'months\tmonth\tNNS\tI-NP\tO' +p230934 +aS'prior\tprior\tRB\tB-ADVP\tO' +p230935 +aS'to\tto\tTO\tB-PP\tO' +p230936 +aS'admission\tadmission\tNN\tB-NP\tO' +p230937 +aS',\t,\t,\tO\tO' +p230938 +aS'the\tthe\tDT\tB-NP\tO' +p230939 +aS'patient\tpatient\tNN\tI-NP\tO' +p230940 +aS'has\thave\tVBZ\tB-VP\tO' +p230941 +aS'been\tbe\tVBN\tI-VP\tO' +p230942 +aS'too\ttoo\tRB\tB-ADJP\tO' +p230943 +aS'unsteady\tunsteady\tJJ\tI-ADJP\tO' +p230944 +aS'to\tto\tTO\tB-VP\tO' +p230945 +aS'ambulate\tambulate\tVB\tI-VP\tO' +p230946 +aS'.\t.\t.\tO\tO' +p230947 +asS'The patient 's preliminary admitting physician is SCIMEWHILDAJESC , LA R and the preliminary diagnosis is DEHYDRATION ..' +p230948 +(lp230949 +S'The\tThe\tDT\tB-NP\tO' +p230950 +aS'patient\tpatient\tNN\tI-NP\tO' +p230951 +aS''s\t'\tNNS\tI-NP\tO' +p230952 +aS'preliminary\tpreliminary\tJJ\tB-NP\tO' +p230953 +aS'admitting\tadmit\tVBG\tI-NP\tO' +p230954 +aS'physician\tphysician\tNN\tI-NP\tO' +p230955 +aS'is\tbe\tVBZ\tB-VP\tO' +p230956 +aS'SCIMEWHILDAJESC\tSCIMEWHILDAJESC\tNNP\tB-NP\tO' +p230957 +aS',\t,\t,\tO\tO' +p230958 +aS'LA\tLA\tNNP\tB-NP\tO' +p230959 +aS'R\tR\tNNP\tI-NP\tO' +p230960 +aS'and\tand\tCC\tO\tO' +p230961 +aS'the\tthe\tDT\tB-NP\tO' +p230962 +aS'preliminary\tpreliminary\tJJ\tI-NP\tO' +p230963 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p230964 +aS'is\tbe\tVBZ\tB-VP\tO' +p230965 +aS'DEHYDRATION\tDEHYDRATION\tNN\tB-NP\tO' +p230966 +aS'..\t..\t.\tO\tO' +p230967 +asS'This was concerning for early sepsis given RLL PNA .' +p230968 +(lp230969 +S'This\tThis\tDT\tB-NP\tO' +p230970 +aS'was\tbe\tVBD\tB-VP\tO' +p230971 +aS'concerning\tconcern\tVBG\tI-VP\tO' +p230972 +aS'for\tfor\tIN\tB-PP\tO' +p230973 +aS'early\tearly\tJJ\tB-NP\tO' +p230974 +aS'sepsis\tsepsis\tNN\tI-NP\tO' +p230975 +aS'given\tgive\tVBN\tB-VP\tO' +p230976 +aS'RLL\tRLL\tNN\tB-NP\tO' +p230977 +aS'PNA\tPNA\tNN\tI-NP\tO' +p230978 +aS'.\t.\t.\tO\tO' +p230979 +asS'Monitor wounds for signs of infection . Please call with any concerns or questions .' +p230980 +(lp230981 +S'Monitor\tMonitor\tNN\tB-NP\tO' +p230982 +aS'wounds\twound\tNNS\tI-NP\tO' +p230983 +aS'for\tfor\tIN\tB-PP\tO' +p230984 +aS'signs\tsign\tNNS\tB-NP\tO' +p230985 +aS'of\tof\tIN\tB-PP\tO' +p230986 +aS'infection\tinfection\tNN\tB-NP\tO' +p230987 +aS'.\t.\t.\tO\tO' +p230988 +aS'Please\tPlease\tNN\tB-NP\tO' +p230989 +aS'call\tcall\tNN\tI-NP\tO' +p230990 +aS'with\twith\tIN\tB-PP\tO' +p230991 +aS'any\tany\tDT\tB-NP\tO' +p230992 +aS'concerns\tconcern\tNNS\tI-NP\tO' +p230993 +aS'or\tor\tCC\tI-NP\tO' +p230994 +aS'questions\tquestion\tNNS\tI-NP\tO' +p230995 +aS'.\t.\t.\tO\tO' +p230996 +asS'Cardiology consult of the infant on 04-18 .' +p230997 +(lp230998 +S'Cardiology\tCardiology\tNN\tB-NP\tO' +p230999 +aS'consult\tconsult\tNN\tI-NP\tO' +p231000 +aS'of\tof\tIN\tB-PP\tO' +p231001 +aS'the\tthe\tDT\tB-NP\tO' +p231002 +aS'infant\tinfant\tNN\tI-NP\tO' +p231003 +aS'on\ton\tIN\tB-PP\tO' +p231004 +aS'04-18\t04-18\tCD\tB-NP\tO' +p231005 +aS'.\t.\t.\tO\tO' +p231006 +asS'Extremities had multiple bilateral lower extremity excoriations .' +p231007 +(lp231008 +S'Extremities\tExtremity\tNNS\tB-NP\tO' +p231009 +aS'had\thave\tVBD\tB-VP\tO' +p231010 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p231011 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p231012 +aS'lower\tlow\tJJR\tI-NP\tO' +p231013 +aS'extremity\textremity\tNN\tI-NP\tO' +p231014 +aS'excoriations\texcoriation\tNNS\tI-NP\tO' +p231015 +aS'.\t.\t.\tO\tO' +p231016 +asS'A repeat CMV hypercapture , negative for presence of CMV .' +p231017 +(lp231018 +S'A\tA\tDT\tB-NP\tO' +p231019 +aS'repeat\trepeat\tNN\tI-NP\tO' +p231020 +aS'CMV\tCMV\tNN\tI-NP\tO' +p231021 +aS'hypercapture\thypercapture\tNN\tI-NP\tO' +p231022 +aS',\t,\t,\tO\tO' +p231023 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p231024 +aS'for\tfor\tIN\tB-PP\tO' +p231025 +aS'presence\tpresence\tNN\tB-NP\tO' +p231026 +aS'of\tof\tIN\tB-PP\tO' +p231027 +aS'CMV\tCMV\tNN\tB-NP\tO' +p231028 +aS'.\t.\t.\tO\tO' +p231029 +asS'This most likely relates to hypertensive hemorrhage , as opposed to a ruptured right middle cerebral artery aneurysm .' +p231030 +(lp231031 +S'This\tThis\tDT\tB-NP\tO' +p231032 +aS'most\tmost\tRBS\tI-NP\tO' +p231033 +aS'likely\tlikely\tJJ\tI-NP\tO' +p231034 +aS'relates\trelate\tNNS\tI-NP\tO' +p231035 +aS'to\tto\tTO\tB-PP\tO' +p231036 +aS'hypertensive\thypertensive\tJJ\tB-NP\tO' +p231037 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p231038 +aS',\t,\t,\tO\tO' +p231039 +aS'as\tas\tIN\tB-SBAR\tO' +p231040 +aS'opposed\toppose\tVBN\tB-VP\tO' +p231041 +aS'to\tto\tTO\tB-PP\tO' +p231042 +aS'a\ta\tDT\tB-NP\tO' +p231043 +aS'ruptured\trupture\tVBN\tI-NP\tO' +p231044 +aS'right\tright\tJJ\tI-NP\tO' +p231045 +aS'middle\tmiddle\tJJ\tI-NP\tO' +p231046 +aS'cerebral\tcerebral\tJJ\tI-NP\tO' +p231047 +aS'artery\tartery\tNN\tI-NP\tO' +p231048 +aS'aneurysm\taneurysm\tNN\tI-NP\tO' +p231049 +aS'.\t.\t.\tO\tO' +p231050 +asS'2. Advair 500/50 two puffs b.i.d.' +p231051 +(lp231052 +S'2.\t2.\tLS\tB-LST\tO' +p231053 +aS'Advair\tAdvair\tNNP\tB-NP\tO' +p231054 +aS'500/50\t500/50\tCD\tB-NP\tO' +p231055 +aS'two\ttwo\tCD\tI-NP\tO' +p231056 +aS'puffs\tpuff\tNNS\tI-NP\tO' +p231057 +aS'b.i.d.\tb.i.d.\tRB\tB-ADVP\tO' +p231058 +asS'White blood cell count on admission 6.1 , INR on admission 1.0 , relevant imaging .' +p231059 +(lp231060 +S'White\tWhite\tJJ\tB-NP\tO' +p231061 +aS'blood\tblood\tNN\tI-NP\tO' +p231062 +aS'cell\tcell\tNN\tI-NP\tO' +p231063 +aS'count\tcount\tNN\tI-NP\tO' +p231064 +aS'on\ton\tIN\tB-PP\tO' +p231065 +aS'admission\tadmission\tNN\tB-NP\tO' +p231066 +aS'6.1\t6.1\tCD\tI-NP\tO' +p231067 +aS',\t,\t,\tO\tO' +p231068 +aS'INR\tINR\tNN\tB-NP\tB-protein' +p231069 +aS'on\ton\tIN\tB-PP\tO' +p231070 +aS'admission\tadmission\tNN\tB-NP\tO' +p231071 +aS'1.0\t1.0\tCD\tI-NP\tO' +p231072 +aS',\t,\t,\tO\tO' +p231073 +aS'relevant\trelevant\tJJ\tB-NP\tO' +p231074 +aS'imaging\timaging\tNN\tI-NP\tO' +p231075 +aS'.\t.\t.\tO\tO' +p231076 +asS'The next several days were remarkable for events in which the patient was quite agitated and was evaluated by Psychiatry and treated with Ativan .' +p231077 +(lp231078 +S'The\tThe\tDT\tB-NP\tO' +p231079 +aS'next\tnext\tJJ\tI-NP\tO' +p231080 +aS'several\tseveral\tJJ\tI-NP\tO' +p231081 +aS'days\tday\tNNS\tI-NP\tO' +p231082 +aS'were\tbe\tVBD\tB-VP\tO' +p231083 +aS'remarkable\tremarkable\tJJ\tB-ADJP\tO' +p231084 +aS'for\tfor\tIN\tB-PP\tO' +p231085 +aS'events\tevent\tNNS\tB-NP\tO' +p231086 +aS'in\tin\tIN\tB-PP\tO' +p231087 +aS'which\twhich\tWDT\tB-NP\tO' +p231088 +aS'the\tthe\tDT\tB-NP\tO' +p231089 +aS'patient\tpatient\tNN\tI-NP\tO' +p231090 +aS'was\tbe\tVBD\tB-VP\tO' +p231091 +aS'quite\tquite\tRB\tI-VP\tO' +p231092 +aS'agitated\tagitate\tVBN\tI-VP\tO' +p231093 +aS'and\tand\tCC\tO\tO' +p231094 +aS'was\tbe\tVBD\tB-VP\tO' +p231095 +aS'evaluated\tevaluate\tVBN\tI-VP\tO' +p231096 +aS'by\tby\tIN\tB-PP\tO' +p231097 +aS'Psychiatry\tPsychiatry\tNN\tB-NP\tO' +p231098 +aS'and\tand\tCC\tO\tO' +p231099 +aS'treated\ttreat\tVBN\tB-VP\tO' +p231100 +aS'with\twith\tIN\tB-PP\tO' +p231101 +aS'Ativan\tAtivan\tNNP\tB-NP\tO' +p231102 +aS'.\t.\t.\tO\tO' +p231103 +asS'Prothrombin time is 15.9 with an INR of 1.7 .' +p231104 +(lp231105 +S'Prothrombin\tProthrombin\tNN\tB-NP\tO' +p231106 +aS'time\ttime\tNN\tI-NP\tO' +p231107 +aS'is\tbe\tVBZ\tB-VP\tO' +p231108 +aS'15.9\t15.9\tCD\tB-NP\tO' +p231109 +aS'with\twith\tIN\tB-PP\tO' +p231110 +aS'an\tan\tDT\tB-NP\tO' +p231111 +aS'INR\tINR\tNN\tI-NP\tB-protein' +p231112 +aS'of\tof\tIN\tB-PP\tO' +p231113 +aS'1.7\t1.7\tCD\tB-NP\tO' +p231114 +aS'.\t.\t.\tO\tO' +p231115 +asS'The patient had BiPAP initiated once she reached the unit , but did not tolerate it , becoming apneic and obstructing .' +p231116 +(lp231117 +S'The\tThe\tDT\tB-NP\tO' +p231118 +aS'patient\tpatient\tNN\tI-NP\tO' +p231119 +aS'had\thave\tVBD\tB-VP\tO' +p231120 +aS'BiPAP\tBiPAP\tNN\tB-NP\tB-protein' +p231121 +aS'initiated\tinitiate\tVBN\tB-VP\tO' +p231122 +aS'once\tonce\tIN\tB-SBAR\tO' +p231123 +aS'she\tshe\tPRP\tB-NP\tO' +p231124 +aS'reached\treach\tVBD\tB-VP\tO' +p231125 +aS'the\tthe\tDT\tB-NP\tO' +p231126 +aS'unit\tunit\tNN\tI-NP\tO' +p231127 +aS',\t,\t,\tO\tO' +p231128 +aS'but\tbut\tCC\tO\tO' +p231129 +aS'did\tdo\tVBD\tB-VP\tO' +p231130 +aS'not\tnot\tRB\tI-VP\tO' +p231131 +aS'tolerate\ttolerate\tVB\tI-VP\tO' +p231132 +aS'it\tit\tPRP\tB-NP\tO' +p231133 +aS',\t,\t,\tO\tO' +p231134 +aS'becoming\tbecome\tVBG\tB-VP\tO' +p231135 +aS'apneic\tapneic\tJJ\tB-ADJP\tO' +p231136 +aS'and\tand\tCC\tI-ADJP\tO' +p231137 +aS'obstructing\tobstructing\tJJ\tI-ADJP\tO' +p231138 +aS'.\t.\t.\tO\tO' +p231139 +asS'The patient was a 63 year old female with long-standing history of polycythemia vera , managed medically , who on a routine follow-up examination complained of left side pain and had an ultrasound that demonstrated a complex left renal mass .' +p231140 +(lp231141 +S'The\tThe\tDT\tB-NP\tO' +p231142 +aS'patient\tpatient\tNN\tI-NP\tO' +p231143 +aS'was\tbe\tVBD\tB-VP\tO' +p231144 +aS'a\ta\tDT\tB-NP\tO' +p231145 +aS'63\t63\tCD\tI-NP\tO' +p231146 +aS'year\tyear\tNN\tI-NP\tO' +p231147 +aS'old\told\tJJ\tI-NP\tO' +p231148 +aS'female\tfemale\tNN\tI-NP\tO' +p231149 +aS'with\twith\tIN\tB-PP\tO' +p231150 +aS'long-standing\tlong-standing\tJJ\tB-NP\tO' +p231151 +aS'history\thistory\tNN\tI-NP\tO' +p231152 +aS'of\tof\tIN\tB-PP\tO' +p231153 +aS'polycythemia\tpolycythemia\tNN\tB-NP\tO' +p231154 +aS'vera\tvera\tNN\tI-NP\tO' +p231155 +aS',\t,\t,\tO\tO' +p231156 +aS'managed\tmanage\tVBD\tB-VP\tO' +p231157 +aS'medically\tmedically\tRB\tB-ADVP\tO' +p231158 +aS',\t,\t,\tO\tO' +p231159 +aS'who\twho\tWP\tB-NP\tO' +p231160 +aS'on\ton\tIN\tB-PP\tO' +p231161 +aS'a\ta\tDT\tB-NP\tO' +p231162 +aS'routine\troutine\tJJ\tI-NP\tO' +p231163 +aS'follow-up\tfollow-up\tNN\tI-NP\tO' +p231164 +aS'examination\texamination\tNN\tI-NP\tO' +p231165 +aS'complained\tcomplain\tVBD\tB-VP\tO' +p231166 +aS'of\tof\tIN\tB-PP\tO' +p231167 +aS'left\tleft\tJJ\tB-NP\tO' +p231168 +aS'side\tside\tNN\tI-NP\tO' +p231169 +aS'pain\tpain\tNN\tI-NP\tO' +p231170 +aS'and\tand\tCC\tO\tO' +p231171 +aS'had\thave\tVBD\tB-VP\tO' +p231172 +aS'an\tan\tDT\tB-NP\tO' +p231173 +aS'ultrasound\tultrasound\tNN\tI-NP\tO' +p231174 +aS'that\tthat\tWDT\tB-NP\tO' +p231175 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p231176 +aS'a\ta\tDT\tB-NP\tO' +p231177 +aS'complex\tcomplex\tJJ\tI-NP\tO' +p231178 +aS'left\tleft\tJJ\tI-NP\tO' +p231179 +aS'renal\trenal\tJJ\tI-NP\tO' +p231180 +aS'mass\tmass\tNN\tI-NP\tO' +p231181 +aS'.\t.\t.\tO\tO' +p231182 +asS'However , over the course of the hospital stay these decreased both in frequency and severity .' +p231183 +(lp231184 +S'However\tHowever\tRB\tB-ADVP\tO' +p231185 +aS',\t,\t,\tO\tO' +p231186 +aS'over\tover\tIN\tB-PP\tO' +p231187 +aS'the\tthe\tDT\tB-NP\tO' +p231188 +aS'course\tcourse\tNN\tI-NP\tO' +p231189 +aS'of\tof\tIN\tB-PP\tO' +p231190 +aS'the\tthe\tDT\tB-NP\tO' +p231191 +aS'hospital\thospital\tNN\tI-NP\tO' +p231192 +aS'stay\tstay\tNN\tI-NP\tO' +p231193 +aS'these\tthese\tDT\tB-NP\tO' +p231194 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p231195 +aS'both\tboth\tCC\tO\tO' +p231196 +aS'in\tin\tIN\tB-PP\tO' +p231197 +aS'frequency\tfrequency\tNN\tB-NP\tO' +p231198 +aS'and\tand\tCC\tI-NP\tO' +p231199 +aS'severity\tseverity\tNN\tI-NP\tO' +p231200 +aS'.\t.\t.\tO\tO' +p231201 +asS'Physical examination is read off the admitting note from the Intensive Care Unit team and is not reflective of the examination by this dictator .' +p231202 +(lp231203 +S'Physical\tPhysical\tJJ\tB-NP\tO' +p231204 +aS'examination\texamination\tNN\tI-NP\tO' +p231205 +aS'is\tbe\tVBZ\tB-VP\tO' +p231206 +aS'read\tread\tVBN\tI-VP\tO' +p231207 +aS'off\toff\tIN\tB-PP\tO' +p231208 +aS'the\tthe\tDT\tB-NP\tO' +p231209 +aS'admitting\tadmit\tVBG\tI-NP\tO' +p231210 +aS'note\tnote\tNN\tI-NP\tO' +p231211 +aS'from\tfrom\tIN\tB-PP\tO' +p231212 +aS'the\tthe\tDT\tB-NP\tO' +p231213 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p231214 +aS'Care\tCare\tNNP\tI-NP\tO' +p231215 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p231216 +aS'team\tteam\tNN\tI-NP\tO' +p231217 +aS'and\tand\tCC\tO\tO' +p231218 +aS'is\tbe\tVBZ\tB-VP\tO' +p231219 +aS'not\tnot\tRB\tO\tO' +p231220 +aS'reflective\treflective\tJJ\tB-ADJP\tO' +p231221 +aS'of\tof\tIN\tB-PP\tO' +p231222 +aS'the\tthe\tDT\tB-NP\tO' +p231223 +aS'examination\texamination\tNN\tI-NP\tO' +p231224 +aS'by\tby\tIN\tB-PP\tO' +p231225 +aS'this\tthis\tDT\tB-NP\tO' +p231226 +aS'dictator\tdictator\tNN\tI-NP\tO' +p231227 +aS'.\t.\t.\tO\tO' +p231228 +asS'There is also an old right frontal lobe cortical infarction .' +p231229 +(lp231230 +S'There\tThere\tEX\tB-NP\tO' +p231231 +aS'is\tbe\tVBZ\tB-VP\tO' +p231232 +aS'also\talso\tRB\tB-ADVP\tO' +p231233 +aS'an\tan\tDT\tB-NP\tO' +p231234 +aS'old\told\tJJ\tI-NP\tO' +p231235 +aS'right\tright\tJJ\tI-NP\tO' +p231236 +aS'frontal\tfrontal\tJJ\tI-NP\tO' +p231237 +aS'lobe\tlobe\tNN\tI-NP\tO' +p231238 +aS'cortical\tcortical\tJJ\tI-NP\tO' +p231239 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p231240 +aS'.\t.\t.\tO\tO' +p231241 +asS'Constitutional : alert & oriented x 3 .' +p231242 +(lp231243 +S'Constitutional\tConstitutional\tNNP\tB-NP\tO' +p231244 +aS':\t:\t:\tO\tO' +p231245 +aS'alert\talert\tJJ\tB-NP\tO' +p231246 +aS'&\t&\tCC\tI-NP\tO' +p231247 +aS'oriented\torient\tVBN\tI-NP\tO' +p231248 +aS'x\tx\tNN\tI-NP\tO' +p231249 +aS'3\t3\tCD\tI-NP\tO' +p231250 +aS'.\t.\t.\tO\tO' +p231251 +asS'In consultation with his family , it was decided that enough support had been done .' +p231252 +(lp231253 +S'In\tIn\tIN\tB-PP\tO' +p231254 +aS'consultation\tconsultation\tNN\tB-NP\tO' +p231255 +aS'with\twith\tIN\tB-PP\tO' +p231256 +aS'his\this\tPRP$\tB-NP\tO' +p231257 +aS'family\tfamily\tNN\tI-NP\tO' +p231258 +aS',\t,\t,\tO\tO' +p231259 +aS'it\tit\tPRP\tB-NP\tO' +p231260 +aS'was\tbe\tVBD\tB-VP\tO' +p231261 +aS'decided\tdecide\tVBN\tI-VP\tO' +p231262 +aS'that\tthat\tIN\tB-SBAR\tO' +p231263 +aS'enough\tenough\tJJ\tB-NP\tO' +p231264 +aS'support\tsupport\tNN\tI-NP\tO' +p231265 +aS'had\thave\tVBD\tB-VP\tO' +p231266 +aS'been\tbe\tVBN\tI-VP\tO' +p231267 +aS'done\tdo\tVBN\tI-VP\tO' +p231268 +aS'.\t.\t.\tO\tO' +p231269 +asS'In general , she is extremely tachypneic , difficulty in speaking words .' +p231270 +(lp231271 +S'In\tIn\tIN\tB-PP\tO' +p231272 +aS'general\tgeneral\tJJ\tB-ADJP\tO' +p231273 +aS',\t,\t,\tO\tO' +p231274 +aS'she\tshe\tPRP\tB-NP\tO' +p231275 +aS'is\tbe\tVBZ\tB-VP\tO' +p231276 +aS'extremely\textremely\tRB\tB-ADJP\tO' +p231277 +aS'tachypneic\ttachypneic\tJJ\tI-ADJP\tO' +p231278 +aS',\t,\t,\tO\tO' +p231279 +aS'difficulty\tdifficulty\tNN\tB-NP\tO' +p231280 +aS'in\tin\tIN\tB-PP\tO' +p231281 +aS'speaking\tspeak\tVBG\tB-VP\tO' +p231282 +aS'words\tword\tNNS\tB-NP\tO' +p231283 +aS'.\t.\t.\tO\tO' +p231284 +asS'5. Trazodone at bedtime .' +p231285 +(lp231286 +S'5.\t5.\tLS\tB-NP\tO' +p231287 +aS'Trazodone\tTrazodone\tNN\tI-NP\tO' +p231288 +aS'at\tat\tIN\tB-PP\tO' +p231289 +aS'bedtime\tbedtime\tNN\tB-NP\tO' +p231290 +aS'.\t.\t.\tO\tO' +p231291 +asS'Skin breakdown between toes .' +p231292 +(lp231293 +S'Skin\tSkin\tNN\tB-NP\tO' +p231294 +aS'breakdown\tbreakdown\tNN\tI-NP\tO' +p231295 +aS'between\tbetween\tIN\tB-PP\tO' +p231296 +aS'toes\ttoe\tNNS\tB-NP\tO' +p231297 +aS'.\t.\t.\tO\tO' +p231298 +asS'CVS : RRR . Normal S1 , S2 .' +p231299 +(lp231300 +S'CVS\tCVS\tNN\tB-NP\tO' +p231301 +aS':\t:\t:\tO\tO' +p231302 +aS'RRR\tRRR\tNN\tB-NP\tB-protein' +p231303 +aS'.\t.\t.\tO\tO' +p231304 +aS'Normal\tNormal\tJJ\tB-NP\tO' +p231305 +aS'S1\tS1\tNN\tI-NP\tO' +p231306 +aS',\t,\t,\tO\tO' +p231307 +aS'S2\tS2\tNN\tB-NP\tB-protein' +p231308 +aS'.\t.\t.\tO\tO' +p231309 +asS'2. Divalproex Sodium 500 mg Tablet , Delayed Release ( E.C. ) Sig : One ( 1 ) Tablet , Delayed Release ( E.C. ) PO BID ( 2 times a day ) .' +p231310 +(lp231311 +S'2.\t2.\tLS\tB-NP\tO' +p231312 +aS'Divalproex\tDivalproex\tNNP\tI-NP\tO' +p231313 +aS'Sodium\tSodium\tNNP\tI-NP\tO' +p231314 +aS'500\t500\tCD\tI-NP\tO' +p231315 +aS'mg\tmg\tNN\tI-NP\tO' +p231316 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p231317 +aS',\t,\t,\tO\tO' +p231318 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p231319 +aS'Release\tRelease\tNNP\tI-NP\tO' +p231320 +aS'(\t(\t(\tO\tO' +p231321 +aS'E.C.\tE.C.\tNNP\tB-NP\tO' +p231322 +aS')\t)\t)\tO\tO' +p231323 +aS'Sig\tSig\tNNP\tB-NP\tO' +p231324 +aS':\t:\t:\tO\tO' +p231325 +aS'One\tOne\tCD\tB-NP\tO' +p231326 +aS'(\t(\t(\tO\tO' +p231327 +aS'1\t1\tCD\tB-NP\tO' +p231328 +aS')\t)\t)\tO\tO' +p231329 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p231330 +aS',\t,\t,\tO\tO' +p231331 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p231332 +aS'Release\tRelease\tNNP\tI-NP\tO' +p231333 +aS'(\t(\t(\tO\tO' +p231334 +aS'E.C.\tE.C.\tNNP\tO\tO' +p231335 +aS')\t)\t)\tO\tO' +p231336 +aS'PO\tPO\tNN\tB-NP\tO' +p231337 +aS'BID\tBID\tNN\tI-NP\tO' +p231338 +aS'(\t(\t(\tO\tO' +p231339 +aS'2\t2\tCD\tB-NP\tO' +p231340 +aS'times\ttime\tNNS\tI-NP\tO' +p231341 +aS'a\ta\tDT\tB-NP\tO' +p231342 +aS'day\tday\tNN\tI-NP\tO' +p231343 +aS')\t)\t)\tO\tO' +p231344 +aS'.\t.\t.\tO\tO' +p231345 +asS'Percocet 1 to 2 tabs q. 4 to 6 hours prn .' +p231346 +(lp231347 +S'Percocet\tPercocet\tNN\tB-NP\tO' +p231348 +aS'1\t1\tCD\tI-NP\tO' +p231349 +aS'to\tto\tTO\tI-NP\tO' +p231350 +aS'2\t2\tCD\tI-NP\tO' +p231351 +aS'tabs\ttab\tNNS\tI-NP\tO' +p231352 +aS'q.\tq.\tNN\tI-NP\tO' +p231353 +aS'4\t4\tCD\tB-NP\tO' +p231354 +aS'to\tto\tTO\tI-NP\tO' +p231355 +aS'6\t6\tCD\tI-NP\tO' +p231356 +aS'hours\thour\tNNS\tI-NP\tO' +p231357 +aS'prn\tprn\tVBP\tB-VP\tO' +p231358 +aS'.\t.\t.\tO\tO' +p231359 +asS'He continued to make minimal urine throughout the hospitalization .' +p231360 +(lp231361 +S'He\tHe\tPRP\tB-NP\tO' +p231362 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p231363 +aS'to\tto\tTO\tI-VP\tO' +p231364 +aS'make\tmake\tVB\tI-VP\tO' +p231365 +aS'minimal\tminimal\tJJ\tB-NP\tO' +p231366 +aS'urine\turine\tNN\tI-NP\tO' +p231367 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p231368 +aS'the\tthe\tDT\tB-NP\tO' +p231369 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p231370 +aS'.\t.\t.\tO\tO' +p231371 +asS'She also complains of increased shortness of breath for the preceding month and now presents for mediastinal exploration and resection of her probable metastatic mass .' +p231372 +(lp231373 +S'She\tShe\tPRP\tB-NP\tO' +p231374 +aS'also\talso\tRB\tB-ADVP\tO' +p231375 +aS'complains\tcomplain\tVBZ\tB-VP\tO' +p231376 +aS'of\tof\tIN\tB-PP\tO' +p231377 +aS'increased\tincrease\tVBN\tB-NP\tO' +p231378 +aS'shortness\tshortness\tNN\tI-NP\tO' +p231379 +aS'of\tof\tIN\tB-PP\tO' +p231380 +aS'breath\tbreath\tNN\tB-NP\tO' +p231381 +aS'for\tfor\tIN\tB-PP\tO' +p231382 +aS'the\tthe\tDT\tB-NP\tO' +p231383 +aS'preceding\tprecede\tVBG\tI-NP\tO' +p231384 +aS'month\tmonth\tNN\tI-NP\tO' +p231385 +aS'and\tand\tCC\tO\tO' +p231386 +aS'now\tnow\tRB\tB-VP\tO' +p231387 +aS'presents\tpresent\tVBZ\tI-VP\tO' +p231388 +aS'for\tfor\tIN\tB-PP\tO' +p231389 +aS'mediastinal\tmediastinal\tJJ\tB-NP\tO' +p231390 +aS'exploration\texploration\tNN\tI-NP\tO' +p231391 +aS'and\tand\tCC\tI-NP\tO' +p231392 +aS'resection\tresection\tNN\tI-NP\tO' +p231393 +aS'of\tof\tIN\tB-PP\tO' +p231394 +aS'her\ther\tPRP$\tB-NP\tO' +p231395 +aS'probable\tprobable\tJJ\tI-NP\tO' +p231396 +aS'metastatic\tmetastatic\tJJ\tI-NP\tO' +p231397 +aS'mass\tmass\tNN\tI-NP\tO' +p231398 +aS'.\t.\t.\tO\tO' +p231399 +asS'Pertinent Results : see dc summary' +p231400 +(lp231401 +S'Pertinent\tPertinent\tJJ\tB-NP\tO' +p231402 +aS'Results\tResult\tNNS\tI-NP\tO' +p231403 +aS':\t:\t:\tO\tO' +p231404 +aS'see\tsee\tVB\tB-VP\tO' +p231405 +aS'dc\tdc\tNN\tB-NP\tO' +p231406 +aS'summary\tsummary\tNN\tI-NP\tO' +p231407 +asS'6. Heme .' +p231408 +(lp231409 +S'6.\t6.\tLS\tB-LST\tO' +p231410 +aS'Heme\tHeme\tNNP\tB-NP\tB-protein' +p231411 +aS'.\t.\t.\tO\tO' +p231412 +asS'Echo prior to scheduled cath showed mild LVH , inferior HK , EF 40% , mild MR , mild LAE .' +p231413 +(lp231414 +S'Echo\tEcho\tNNP\tB-NP\tO' +p231415 +aS'prior\tprior\tRB\tB-ADVP\tO' +p231416 +aS'to\tto\tTO\tB-PP\tO' +p231417 +aS'scheduled\tschedule\tVBN\tB-NP\tO' +p231418 +aS'cath\tcath\tNN\tI-NP\tO' +p231419 +aS'showed\tshow\tVBD\tB-VP\tO' +p231420 +aS'mild\tmild\tJJ\tB-NP\tO' +p231421 +aS'LVH\tLVH\tNN\tI-NP\tO' +p231422 +aS',\t,\t,\tO\tO' +p231423 +aS'inferior\tinferior\tJJ\tB-NP\tO' +p231424 +aS'HK\tHK\tNN\tI-NP\tO' +p231425 +aS',\t,\t,\tO\tO' +p231426 +aS'EF\tEF\tNN\tB-NP\tB-protein' +p231427 +aS'40%\t40%\tCD\tI-NP\tI-protein' +p231428 +aS',\t,\t,\tO\tO' +p231429 +aS'mild\tmild\tJJ\tB-NP\tO' +p231430 +aS'MR\tMR\tNN\tI-NP\tB-protein' +p231431 +aS',\t,\t,\tO\tO' +p231432 +aS'mild\tmild\tJJ\tB-NP\tO' +p231433 +aS'LAE\tLAE\tNN\tI-NP\tO' +p231434 +aS'.\t.\t.\tO\tO' +p231435 +asS'The patient was subsequently admitted to the Trauma Service on 2010-06-28 under the direction of Dr. Lowery .' +p231436 +(lp231437 +S'The\tThe\tDT\tB-NP\tO' +p231438 +aS'patient\tpatient\tNN\tI-NP\tO' +p231439 +aS'was\tbe\tVBD\tB-VP\tO' +p231440 +aS'subsequently\tsubsequently\tRB\tI-VP\tO' +p231441 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p231442 +aS'to\tto\tTO\tB-PP\tO' +p231443 +aS'the\tthe\tDT\tB-NP\tO' +p231444 +aS'Trauma\tTrauma\tNNP\tI-NP\tO' +p231445 +aS'Service\tService\tNNP\tI-NP\tO' +p231446 +aS'on\ton\tIN\tB-PP\tO' +p231447 +aS'2010-06-28\t2010-06-28\tCD\tB-NP\tO' +p231448 +aS'under\tunder\tIN\tB-PP\tO' +p231449 +aS'the\tthe\tDT\tB-NP\tO' +p231450 +aS'direction\tdirection\tNN\tI-NP\tO' +p231451 +aS'of\tof\tIN\tB-PP\tO' +p231452 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p231453 +aS'Lowery\tLowery\tNNP\tI-NP\tO' +p231454 +aS'.\t.\t.\tO\tO' +p231455 +asS'In the past , he has been very depressed and has seen a counselor at Greenfield Community College Community Health .' +p231456 +(lp231457 +S'In\tIn\tIN\tB-PP\tO' +p231458 +aS'the\tthe\tDT\tB-NP\tO' +p231459 +aS'past\tpast\tNN\tI-NP\tO' +p231460 +aS',\t,\t,\tO\tO' +p231461 +aS'he\the\tPRP\tB-NP\tO' +p231462 +aS'has\thave\tVBZ\tB-VP\tO' +p231463 +aS'been\tbe\tVBN\tI-VP\tO' +p231464 +aS'very\tvery\tRB\tB-ADJP\tO' +p231465 +aS'depressed\tdepressed\tJJ\tI-ADJP\tO' +p231466 +aS'and\tand\tCC\tO\tO' +p231467 +aS'has\thave\tVBZ\tB-VP\tO' +p231468 +aS'seen\tsee\tVBN\tI-VP\tO' +p231469 +aS'a\ta\tDT\tB-NP\tO' +p231470 +aS'counselor\tcounselor\tNN\tI-NP\tO' +p231471 +aS'at\tat\tIN\tB-PP\tO' +p231472 +aS'Greenfield\tGreenfield\tNNP\tB-NP\tO' +p231473 +aS'Community\tCommunity\tNNP\tI-NP\tO' +p231474 +aS'College\tCollege\tNNP\tI-NP\tO' +p231475 +aS'Community\tCommunity\tNNP\tI-NP\tO' +p231476 +aS'Health\tHealth\tNNP\tI-NP\tO' +p231477 +aS'.\t.\t.\tO\tO' +p231478 +asS'A CT abd showed 8mm obstructing stone , hydro with stranding consistent with pylonephritis .' +p231479 +(lp231480 +S'A\tA\tDT\tB-NP\tO' +p231481 +aS'CT\tCT\tNN\tI-NP\tO' +p231482 +aS'abd\tabd\tNN\tI-NP\tO' +p231483 +aS'showed\tshow\tVBD\tB-VP\tO' +p231484 +aS'8mm\t8mm\tNN\tB-NP\tO' +p231485 +aS'obstructing\tobstruct\tVBG\tB-VP\tO' +p231486 +aS'stone\tstone\tNN\tB-NP\tO' +p231487 +aS',\t,\t,\tO\tO' +p231488 +aS'hydro\thydro\tNN\tB-NP\tO' +p231489 +aS'with\twith\tIN\tB-PP\tO' +p231490 +aS'stranding\tstrand\tVBG\tB-VP\tO' +p231491 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p231492 +aS'with\twith\tIN\tB-PP\tO' +p231493 +aS'pylonephritis\tpylonephritis\tNN\tB-NP\tO' +p231494 +aS'.\t.\t.\tO\tO' +p231495 +asS'Diffuse bronchial breath sounds , no wheezes .' +p231496 +(lp231497 +S'Diffuse\tDiffuse\tNN\tB-NP\tO' +p231498 +aS'bronchial\tbronchial\tJJ\tI-NP\tO' +p231499 +aS'breath\tbreath\tNN\tI-NP\tO' +p231500 +aS'sounds\tsound\tNNS\tI-NP\tO' +p231501 +aS',\t,\t,\tO\tO' +p231502 +aS'no\tno\tDT\tB-NP\tO' +p231503 +aS'wheezes\twheeze\tNNS\tI-NP\tO' +p231504 +aS'.\t.\t.\tO\tO' +p231505 +asS'Fich cardiac output was 3.0 and indexed 2.0 .' +p231506 +(lp231507 +S'Fich\tFich\tJJ\tB-NP\tO' +p231508 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p231509 +aS'output\toutput\tNN\tI-NP\tO' +p231510 +aS'was\tbe\tVBD\tB-VP\tO' +p231511 +aS'3.0\t3.0\tCD\tB-NP\tO' +p231512 +aS'and\tand\tCC\tO\tO' +p231513 +aS'indexed\tindex\tVBD\tB-VP\tO' +p231514 +aS'2.0\t2.0\tCD\tB-NP\tO' +p231515 +aS'.\t.\t.\tO\tO' +p231516 +asS'The Courtney , SPEP , and anticardiolipin antibody were all negative .' +p231517 +(lp231518 +S'The\tThe\tDT\tB-NP\tO' +p231519 +aS'Courtney\tCourtney\tNN\tI-NP\tO' +p231520 +aS',\t,\t,\tO\tO' +p231521 +aS'SPEP\tSPEP\tNN\tB-NP\tB-protein' +p231522 +aS',\t,\t,\tO\tO' +p231523 +aS'and\tand\tCC\tO\tO' +p231524 +aS'anticardiolipin\tanticardiolipin\tNN\tB-NP\tB-protein' +p231525 +aS'antibody\tantibody\tNN\tI-NP\tI-protein' +p231526 +aS'were\tbe\tVBD\tB-VP\tO' +p231527 +aS'all\tall\tDT\tO\tO' +p231528 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p231529 +aS'.\t.\t.\tO\tO' +p231530 +asS'5. Levothyroxine 100 micrograms p.o. q. day .' +p231531 +(lp231532 +S'5.\t5.\tLS\tB-LST\tO' +p231533 +aS'Levothyroxine\tLevothyroxine\tNNP\tB-NP\tO' +p231534 +aS'100\t100\tCD\tI-NP\tO' +p231535 +aS'micrograms\tmicrogram\tNNS\tI-NP\tO' +p231536 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p231537 +aS'q.\tq.\tNN\tI-NP\tO' +p231538 +aS'day\tday\tNN\tI-NP\tO' +p231539 +aS'.\t.\t.\tO\tO' +p231540 +asS'Restricted diffusion in left frontotemporal region in the distribution of the right middle cerebral artery indicating acute infarct .' +p231541 +(lp231542 +S'Restricted\tRestrict\tVBN\tB-NP\tO' +p231543 +aS'diffusion\tdiffusion\tNN\tI-NP\tO' +p231544 +aS'in\tin\tIN\tB-PP\tO' +p231545 +aS'left\tleft\tJJ\tB-NP\tB-DNA' +p231546 +aS'frontotemporal\tfrontotemporal\tJJ\tI-NP\tI-DNA' +p231547 +aS'region\tregion\tNN\tI-NP\tI-DNA' +p231548 +aS'in\tin\tIN\tB-PP\tO' +p231549 +aS'the\tthe\tDT\tB-NP\tO' +p231550 +aS'distribution\tdistribution\tNN\tI-NP\tO' +p231551 +aS'of\tof\tIN\tB-PP\tO' +p231552 +aS'the\tthe\tDT\tB-NP\tO' +p231553 +aS'right\tright\tJJ\tI-NP\tO' +p231554 +aS'middle\tmiddle\tJJ\tI-NP\tO' +p231555 +aS'cerebral\tcerebral\tJJ\tI-NP\tO' +p231556 +aS'artery\tartery\tNN\tI-NP\tO' +p231557 +aS'indicating\tindicate\tVBG\tB-VP\tO' +p231558 +aS'acute\tacute\tJJ\tB-NP\tO' +p231559 +aS'infarct\tinfarct\tNN\tI-NP\tO' +p231560 +aS'.\t.\t.\tO\tO' +p231561 +asS'No further history was ever gained about his cardiac arrest throughout his hospitalization .' +p231562 +(lp231563 +S'No\tNo\tDT\tB-NP\tO' +p231564 +aS'further\tfurther\tJJ\tI-NP\tO' +p231565 +aS'history\thistory\tNN\tI-NP\tO' +p231566 +aS'was\tbe\tVBD\tB-VP\tO' +p231567 +aS'ever\tever\tRB\tI-VP\tO' +p231568 +aS'gained\tgain\tVBN\tI-VP\tO' +p231569 +aS'about\tabout\tIN\tB-PP\tO' +p231570 +aS'his\this\tPRP$\tB-NP\tO' +p231571 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p231572 +aS'arrest\tarrest\tNN\tI-NP\tO' +p231573 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p231574 +aS'his\this\tPRP$\tB-NP\tO' +p231575 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p231576 +aS'.\t.\t.\tO\tO' +p231577 +asS'He was deemed to be too lethargic and sleepy to be extubated on postoperative day number zero .' +p231578 +(lp231579 +S'He\tHe\tPRP\tB-NP\tO' +p231580 +aS'was\tbe\tVBD\tB-VP\tO' +p231581 +aS'deemed\tdeem\tVBN\tI-VP\tO' +p231582 +aS'to\tto\tTO\tI-VP\tO' +p231583 +aS'be\tbe\tVB\tI-VP\tO' +p231584 +aS'too\ttoo\tRB\tB-ADJP\tO' +p231585 +aS'lethargic\tlethargic\tJJ\tI-ADJP\tO' +p231586 +aS'and\tand\tCC\tI-ADJP\tO' +p231587 +aS'sleepy\tsleepy\tJJ\tI-ADJP\tO' +p231588 +aS'to\tto\tTO\tB-VP\tO' +p231589 +aS'be\tbe\tVB\tI-VP\tO' +p231590 +aS'extubated\textubate\tVBN\tI-VP\tO' +p231591 +aS'on\ton\tIN\tB-PP\tO' +p231592 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p231593 +aS'day\tday\tNN\tI-NP\tO' +p231594 +aS'number\tnumber\tNN\tI-NP\tO' +p231595 +aS'zero\tzero\tCD\tI-NP\tO' +p231596 +aS'.\t.\t.\tO\tO' +p231597 +asS'However , on 2017-03-01 at 6 am the pt was found with labored respirations ( rr = 24 ) and SaO2 89% , which improved to only SaO290 - 91% on 100% NRB .' +p231598 +(lp231599 +S'However\tHowever\tRB\tB-ADVP\tO' +p231600 +aS',\t,\t,\tO\tO' +p231601 +aS'on\ton\tIN\tB-PP\tO' +p231602 +aS'2017-03-01\t2017-03-01\tCD\tB-NP\tO' +p231603 +aS'at\tat\tIN\tB-PP\tO' +p231604 +aS'6\t6\tCD\tB-NP\tO' +p231605 +aS'am\tam\tNN\tI-NP\tO' +p231606 +aS'the\tthe\tDT\tB-NP\tO' +p231607 +aS'pt\tpt\tNN\tI-NP\tO' +p231608 +aS'was\tbe\tVBD\tB-VP\tO' +p231609 +aS'found\tfind\tVBN\tI-VP\tO' +p231610 +aS'with\twith\tIN\tB-PP\tO' +p231611 +aS'labored\tlabor\tVBN\tB-NP\tO' +p231612 +aS'respirations\trespiration\tNNS\tI-NP\tO' +p231613 +aS'(\t(\t(\tO\tO' +p231614 +aS'rr\trr\tNN\tB-NP\tO' +p231615 +aS'=\t=\tSYM\tB-VP\tO' +p231616 +aS'24\t24\tCD\tB-NP\tO' +p231617 +aS')\t)\t)\tO\tO' +p231618 +aS'and\tand\tCC\tO\tO' +p231619 +aS'SaO2\tSaO2\tNN\tB-NP\tB-protein' +p231620 +aS'89%\t89%\tNN\tI-NP\tI-protein' +p231621 +aS',\t,\t,\tO\tO' +p231622 +aS'which\twhich\tWDT\tB-NP\tO' +p231623 +aS'improved\timprove\tVBD\tB-VP\tO' +p231624 +aS'to\tto\tTO\tB-PP\tO' +p231625 +aS'only\tonly\tRB\tB-NP\tO' +p231626 +aS'SaO290\tSaO290\tNN\tI-NP\tB-protein' +p231627 +aS'-\t-\tHYPH\tO\tO' +p231628 +aS'91%\t91%\tNN\tB-NP\tO' +p231629 +aS'on\ton\tIN\tB-PP\tO' +p231630 +aS'100%\t100%\tCD\tB-NP\tO' +p231631 +aS'NRB\tNRB\tNN\tI-NP\tB-protein' +p231632 +aS'.\t.\t.\tO\tO' +p231633 +asS'3. Status post skin graft to chest incision .' +p231634 +(lp231635 +S'3.\t3.\tLS\tB-NP\tO' +p231636 +aS'Status\tStatus\tNNP\tI-NP\tO' +p231637 +aS'post\tpost\tNN\tI-NP\tO' +p231638 +aS'skin\tskin\tNN\tI-NP\tO' +p231639 +aS'graft\tgraft\tNN\tI-NP\tO' +p231640 +aS'to\tto\tTO\tB-PP\tO' +p231641 +aS'chest\tchest\tNN\tB-NP\tO' +p231642 +aS'incision\tincision\tNN\tI-NP\tO' +p231643 +aS'.\t.\t.\tO\tO' +p231644 +asS'7) High amylase : He was admitted on 03-23 with elevated amylase but non-elevated lipase .' +p231645 +(lp231646 +S'7)\t7)\tLS\tB-NP\tO' +p231647 +aS'High\tHigh\tJJ\tI-NP\tB-protein' +p231648 +aS'amylase\tamylase\tNN\tI-NP\tI-protein' +p231649 +aS':\t:\t:\tO\tO' +p231650 +aS'He\tHe\tPRP\tB-NP\tO' +p231651 +aS'was\tbe\tVBD\tB-VP\tO' +p231652 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p231653 +aS'on\ton\tIN\tB-PP\tO' +p231654 +aS'03-23\t03-23\tCD\tB-NP\tO' +p231655 +aS'with\twith\tIN\tB-PP\tO' +p231656 +aS'elevated\televated\tJJ\tB-NP\tO' +p231657 +aS'amylase\tamylase\tNN\tI-NP\tB-protein' +p231658 +aS'but\tbut\tCC\tO\tI-protein' +p231659 +aS'non-elevated\tnon-elevated\tJJ\tB-NP\tI-protein' +p231660 +aS'lipase\tlipase\tNN\tI-NP\tI-protein' +p231661 +aS'.\t.\t.\tO\tO' +p231662 +asS'She also has a cough with a small amount of white sputum .' +p231663 +(lp231664 +S'She\tShe\tPRP\tB-NP\tO' +p231665 +aS'also\talso\tRB\tB-ADVP\tO' +p231666 +aS'has\thave\tVBZ\tB-VP\tO' +p231667 +aS'a\ta\tDT\tB-NP\tO' +p231668 +aS'cough\tcough\tNN\tI-NP\tO' +p231669 +aS'with\twith\tIN\tB-PP\tO' +p231670 +aS'a\ta\tDT\tB-NP\tO' +p231671 +aS'small\tsmall\tJJ\tI-NP\tO' +p231672 +aS'amount\tamount\tNN\tI-NP\tO' +p231673 +aS'of\tof\tIN\tB-PP\tO' +p231674 +aS'white\twhite\tJJ\tB-NP\tO' +p231675 +aS'sputum\tsputum\tNN\tI-NP\tO' +p231676 +aS'.\t.\t.\tO\tO' +p231677 +asS'This report was created by SHUFF , RONRIN 02/03/2004 07:23 PM' +p231678 +(lp231679 +S'This\tThis\tDT\tB-NP\tO' +p231680 +aS'report\treport\tNN\tI-NP\tO' +p231681 +aS'was\tbe\tVBD\tB-VP\tO' +p231682 +aS'created\tcreate\tVBN\tI-VP\tO' +p231683 +aS'by\tby\tIN\tB-PP\tO' +p231684 +aS'SHUFF\tSHUFF\tNN\tB-NP\tB-protein' +p231685 +aS',\t,\t,\tO\tO' +p231686 +aS'RONRIN\tRONRIN\tNN\tB-NP\tO' +p231687 +aS'02/03/2004\t02/03/2004\tCD\tI-NP\tO' +p231688 +aS'07:23\t07:23\tCD\tI-NP\tO' +p231689 +aS'PM\tPM\tNN\tI-NP\tO' +p231690 +asS'Stent placement of the RCA on October 15 , 1999 .' +p231691 +(lp231692 +S'Stent\tStent\tJJ\tB-NP\tO' +p231693 +aS'placement\tplacement\tNN\tI-NP\tO' +p231694 +aS'of\tof\tIN\tB-PP\tO' +p231695 +aS'the\tthe\tDT\tB-NP\tO' +p231696 +aS'RCA\tRCA\tNN\tI-NP\tB-protein' +p231697 +aS'on\ton\tIN\tB-PP\tO' +p231698 +aS'October\tOctober\tNNP\tB-NP\tO' +p231699 +aS'15\t15\tCD\tI-NP\tO' +p231700 +aS',\t,\t,\tI-NP\tO' +p231701 +aS'1999\t1999\tCD\tI-NP\tO' +p231702 +aS'.\t.\t.\tO\tO' +p231703 +asS'8. Chronic renal insufficiency with a b/l creatinine of 1.4 .' +p231704 +(lp231705 +S'8.\t8.\tLS\tB-NP\tO' +p231706 +aS'Chronic\tChronic\tJJ\tI-NP\tO' +p231707 +aS'renal\trenal\tJJ\tI-NP\tO' +p231708 +aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' +p231709 +aS'with\twith\tIN\tB-PP\tO' +p231710 +aS'a\ta\tDT\tB-NP\tO' +p231711 +aS'b/l\tb/l\tNN\tI-NP\tO' +p231712 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p231713 +aS'of\tof\tIN\tB-PP\tO' +p231714 +aS'1.4\t1.4\tCD\tB-NP\tO' +p231715 +aS'.\t.\t.\tO\tO' +p231716 +asS'Indeterminate frontal plane QRS axis .' +p231717 +(lp231718 +S'Indeterminate\tIndeterminate\tJJ\tB-NP\tO' +p231719 +aS'frontal\tfrontal\tJJ\tI-NP\tO' +p231720 +aS'plane\tplane\tNN\tI-NP\tO' +p231721 +aS'QRS\tQRS\tNN\tI-NP\tO' +p231722 +aS'axis\taxis\tNN\tI-NP\tO' +p231723 +aS'.\t.\t.\tO\tO' +p231724 +asS'The patient will be also followed by Dr. Joseet Gelineau of the Neurology Service at Ph University Of Medical Center .' +p231725 +(lp231726 +S'The\tThe\tDT\tB-NP\tO' +p231727 +aS'patient\tpatient\tNN\tI-NP\tO' +p231728 +aS'will\twill\tMD\tB-VP\tO' +p231729 +aS'be\tbe\tVB\tI-VP\tO' +p231730 +aS'also\talso\tRB\tI-VP\tO' +p231731 +aS'followed\tfollow\tVBN\tI-VP\tO' +p231732 +aS'by\tby\tIN\tB-PP\tO' +p231733 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p231734 +aS'Joseet\tJoseet\tNNP\tI-NP\tO' +p231735 +aS'Gelineau\tGelineau\tNNP\tI-NP\tO' +p231736 +aS'of\tof\tIN\tB-PP\tO' +p231737 +aS'the\tthe\tDT\tB-NP\tO' +p231738 +aS'Neurology\tNeurology\tNNP\tI-NP\tO' +p231739 +aS'Service\tService\tNNP\tI-NP\tO' +p231740 +aS'at\tat\tIN\tB-PP\tO' +p231741 +aS'Ph\tPh\tNNP\tB-NP\tO' +p231742 +aS'University\tUniversity\tNNP\tI-NP\tO' +p231743 +aS'Of\tOf\tNNP\tI-NP\tO' +p231744 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p231745 +aS'Center\tCenter\tNNP\tI-NP\tO' +p231746 +aS'.\t.\t.\tO\tO' +p231747 +asS'There was no evidence of LA dilatation .' +p231748 +(lp231749 +S'There\tThere\tEX\tB-NP\tO' +p231750 +aS'was\tbe\tVBD\tB-VP\tO' +p231751 +aS'no\tno\tDT\tB-NP\tO' +p231752 +aS'evidence\tevidence\tNN\tI-NP\tO' +p231753 +aS'of\tof\tIN\tB-PP\tO' +p231754 +aS'LA\tLA\tNN\tB-NP\tO' +p231755 +aS'dilatation\tdilatation\tNN\tI-NP\tO' +p231756 +aS'.\t.\t.\tO\tO' +p231757 +asS'General : Patient is in no acute distress .' +p231758 +(lp231759 +S'General\tGeneral\tNNP\tB-NP\tO' +p231760 +aS':\t:\t:\tO\tO' +p231761 +aS'Patient\tPatient\tNN\tB-NP\tO' +p231762 +aS'is\tbe\tVBZ\tB-VP\tO' +p231763 +aS'in\tin\tIN\tB-PP\tO' +p231764 +aS'no\tno\tDT\tB-NP\tO' +p231765 +aS'acute\tacute\tJJ\tI-NP\tO' +p231766 +aS'distress\tdistress\tNN\tI-NP\tO' +p231767 +aS'.\t.\t.\tO\tO' +p231768 +asS'Audiology : Hearing screening was performed with automated auditory brain stem responses .' +p231769 +(lp231770 +S'Audiology\tAudiology\tNNP\tB-NP\tO' +p231771 +aS':\t:\t:\tO\tO' +p231772 +aS'Hearing\tHear\tVBG\tB-VP\tO' +p231773 +aS'screening\tscreening\tNN\tB-NP\tO' +p231774 +aS'was\tbe\tVBD\tB-VP\tO' +p231775 +aS'performed\tperform\tVBN\tI-VP\tO' +p231776 +aS'with\twith\tIN\tB-PP\tO' +p231777 +aS'automated\tautomate\tVBN\tB-NP\tO' +p231778 +aS'auditory\tauditory\tJJ\tI-NP\tO' +p231779 +aS'brain\tbrain\tNN\tI-NP\tO' +p231780 +aS'stem\tstem\tNN\tI-NP\tO' +p231781 +aS'responses\tresponse\tNNS\tI-NP\tO' +p231782 +aS'.\t.\t.\tO\tO' +p231783 +asS'He underwent PICC line placement on 06-18 .' +p231784 +(lp231785 +S'He\tHe\tPRP\tB-NP\tO' +p231786 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p231787 +aS'PICC\tPICC\tNN\tB-NP\tO' +p231788 +aS'line\tline\tNN\tI-NP\tO' +p231789 +aS'placement\tplacement\tNN\tI-NP\tO' +p231790 +aS'on\ton\tIN\tB-PP\tO' +p231791 +aS'06-18\t06-18\tCD\tB-NP\tO' +p231792 +aS'.\t.\t.\tO\tO' +p231793 +asS'6. Coagulase negative bacteremia .' +p231794 +(lp231795 +S'6.\t6.\tLS\tB-NP\tO' +p231796 +aS'Coagulase\tCoagulase\tNN\tI-NP\tB-protein' +p231797 +aS'negative\tnegative\tJJ\tI-NP\tO' +p231798 +aS'bacteremia\tbacteremia\tNN\tI-NP\tO' +p231799 +aS'.\t.\t.\tO\tO' +p231800 +asS'Initially was placed on continuous positive airway pressure 40% oxygen .' +p231801 +(lp231802 +S'Initially\tInitially\tRB\tB-ADVP\tO' +p231803 +aS'was\tbe\tVBD\tB-VP\tO' +p231804 +aS'placed\tplace\tVBN\tI-VP\tO' +p231805 +aS'on\ton\tIN\tB-PP\tO' +p231806 +aS'continuous\tcontinuous\tJJ\tB-NP\tO' +p231807 +aS'positive\tpositive\tJJ\tI-NP\tO' +p231808 +aS'airway\tairway\tNN\tI-NP\tO' +p231809 +aS'pressure\tpressure\tNN\tI-NP\tO' +p231810 +aS'40%\t40%\tCD\tI-NP\tO' +p231811 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p231812 +aS'.\t.\t.\tO\tO' +p231813 +asS'He does not use a cane and he requires a bannister for going up and down stairs .' +p231814 +(lp231815 +S'He\tHe\tPRP\tB-NP\tO' +p231816 +aS'does\tdo\tVBZ\tB-VP\tO' +p231817 +aS'not\tnot\tRB\tI-VP\tO' +p231818 +aS'use\tuse\tVB\tI-VP\tO' +p231819 +aS'a\ta\tDT\tB-NP\tO' +p231820 +aS'cane\tcane\tNN\tI-NP\tO' +p231821 +aS'and\tand\tCC\tO\tO' +p231822 +aS'he\the\tPRP\tB-NP\tO' +p231823 +aS'requires\trequire\tVBZ\tB-VP\tO' +p231824 +aS'a\ta\tDT\tB-NP\tO' +p231825 +aS'bannister\tbannister\tNN\tI-NP\tO' +p231826 +aS'for\tfor\tIN\tB-PP\tO' +p231827 +aS'going\tgo\tVBG\tB-VP\tO' +p231828 +aS'up\tup\tRB\tB-ADVP\tO' +p231829 +aS'and\tand\tCC\tI-ADVP\tO' +p231830 +aS'down\tdown\tRB\tI-ADVP\tO' +p231831 +aS'stairs\tstair\tNNS\tB-NP\tO' +p231832 +aS'.\t.\t.\tO\tO' +p231833 +asS'Respiratory revealed bibasilar rales .' +p231834 +(lp231835 +S'Respiratory\tRespiratory\tNNP\tB-NP\tO' +p231836 +aS'revealed\treveal\tVBD\tB-VP\tO' +p231837 +aS'bibasilar\tbibasilar\tJJ\tB-NP\tO' +p231838 +aS'rales\trale\tNNS\tI-NP\tO' +p231839 +aS'.\t.\t.\tO\tO' +p231840 +asS'16. Hydrocodone 5 mg with Tylenol , one to two tablets every four hours p.r.n. pain .' +p231841 +(lp231842 +S'16.\t16.\tCD\tB-NP\tO' +p231843 +aS'Hydrocodone\tHydrocodone\tNN\tI-NP\tO' +p231844 +aS'5\t5\tCD\tB-NP\tO' +p231845 +aS'mg\tmg\tNN\tI-NP\tO' +p231846 +aS'with\twith\tIN\tB-PP\tO' +p231847 +aS'Tylenol\tTylenol\tNN\tB-NP\tO' +p231848 +aS',\t,\t,\tO\tO' +p231849 +aS'one\tone\tCD\tB-NP\tO' +p231850 +aS'to\tto\tTO\tI-NP\tO' +p231851 +aS'two\ttwo\tCD\tI-NP\tO' +p231852 +aS'tablets\ttablet\tNNS\tI-NP\tO' +p231853 +aS'every\tevery\tDT\tB-NP\tO' +p231854 +aS'four\tfour\tCD\tI-NP\tO' +p231855 +aS'hours\thour\tNNS\tI-NP\tO' +p231856 +aS'p.r.n.\tp.r.n.\tJJ\tI-NP\tO' +p231857 +aS'pain\tpain\tNN\tI-NP\tO' +p231858 +aS'.\t.\t.\tO\tO' +p231859 +asS'The patient was brought to the cardiothoracic Intensive Care Unit in stable condition on minimal pressor support .' +p231860 +(lp231861 +S'The\tThe\tDT\tB-NP\tO' +p231862 +aS'patient\tpatient\tNN\tI-NP\tO' +p231863 +aS'was\tbe\tVBD\tB-VP\tO' +p231864 +aS'brought\tbring\tVBN\tI-VP\tO' +p231865 +aS'to\tto\tTO\tB-PP\tO' +p231866 +aS'the\tthe\tDT\tB-NP\tO' +p231867 +aS'cardiothoracic\tcardiothoracic\tJJ\tI-NP\tB-DNA' +p231868 +aS'Intensive\tIntensive\tJJ\tI-NP\tI-DNA' +p231869 +aS'Care\tCare\tNNP\tI-NP\tI-DNA' +p231870 +aS'Unit\tUnit\tNNP\tI-NP\tI-DNA' +p231871 +aS'in\tin\tIN\tB-PP\tO' +p231872 +aS'stable\tstable\tJJ\tB-NP\tO' +p231873 +aS'condition\tcondition\tNN\tI-NP\tO' +p231874 +aS'on\ton\tIN\tB-PP\tO' +p231875 +aS'minimal\tminimal\tJJ\tB-NP\tO' +p231876 +aS'pressor\tpressor\tNN\tI-NP\tO' +p231877 +aS'support\tsupport\tNN\tI-NP\tO' +p231878 +aS'.\t.\t.\tO\tO' +p231879 +asS'This is to notify you that your patient , KAYSLANCE , ICEROYLN arrived in the Emergency Department at Bri Health on 03/17/2003 02:52 AM .' +p231880 +(lp231881 +S'This\tThis\tDT\tB-NP\tO' +p231882 +aS'is\tbe\tVBZ\tB-VP\tO' +p231883 +aS'to\tto\tTO\tB-VP\tO' +p231884 +aS'notify\tnotify\tVB\tI-VP\tO' +p231885 +aS'you\tyou\tPRP\tB-NP\tO' +p231886 +aS'that\tthat\tIN\tB-SBAR\tO' +p231887 +aS'your\tyour\tPRP$\tB-NP\tO' +p231888 +aS'patient\tpatient\tNN\tI-NP\tO' +p231889 +aS',\t,\t,\tO\tO' +p231890 +aS'KAYSLANCE\tKAYSLANCE\tNN\tB-NP\tO' +p231891 +aS',\t,\t,\tO\tO' +p231892 +aS'ICEROYLN\tICEROYLN\tNN\tB-NP\tB-protein' +p231893 +aS'arrived\tarrive\tVBD\tB-VP\tO' +p231894 +aS'in\tin\tIN\tB-PP\tO' +p231895 +aS'the\tthe\tDT\tB-NP\tO' +p231896 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p231897 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p231898 +aS'at\tat\tIN\tB-PP\tO' +p231899 +aS'Bri\tBri\tNNP\tB-NP\tO' +p231900 +aS'Health\tHealth\tNNP\tI-NP\tO' +p231901 +aS'on\ton\tIN\tB-PP\tO' +p231902 +aS'03/17/2003\t03/17/2003\tCD\tB-NP\tO' +p231903 +aS'02:52\t02:52\tCD\tI-NP\tO' +p231904 +aS'AM\tAM\tNN\tI-NP\tO' +p231905 +aS'.\t.\t.\tO\tO' +p231906 +asS'Blood pressure 162/76 .' +p231907 +(lp231908 +S'Blood\tBlood\tNN\tB-NP\tO' +p231909 +aS'pressure\tpressure\tNN\tI-NP\tO' +p231910 +aS'162/76\t162/76\tCD\tI-NP\tO' +p231911 +aS'.\t.\t.\tO\tO' +p231912 +asS'There is no mitral valve prolapse .' +p231913 +(lp231914 +S'There\tThere\tEX\tB-NP\tO' +p231915 +aS'is\tbe\tVBZ\tB-VP\tO' +p231916 +aS'no\tno\tDT\tB-NP\tO' +p231917 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p231918 +aS'valve\tvalve\tNN\tI-NP\tO' +p231919 +aS'prolapse\tprolapse\tNN\tI-NP\tO' +p231920 +aS'.\t.\t.\tO\tO' +p231921 +asS'These infants were delivered by repeat cesarean section , this twin emerged with good tone , color , and cry .' +p231922 +(lp231923 +S'These\tThese\tDT\tB-NP\tO' +p231924 +aS'infants\tinfant\tNNS\tI-NP\tO' +p231925 +aS'were\tbe\tVBD\tB-VP\tO' +p231926 +aS'delivered\tdeliver\tVBN\tI-VP\tO' +p231927 +aS'by\tby\tIN\tB-PP\tO' +p231928 +aS'repeat\trepeat\tNN\tB-NP\tO' +p231929 +aS'cesarean\tcesarean\tJJ\tI-NP\tO' +p231930 +aS'section\tsection\tNN\tI-NP\tO' +p231931 +aS',\t,\t,\tO\tO' +p231932 +aS'this\tthis\tDT\tB-NP\tO' +p231933 +aS'twin\ttwin\tNN\tI-NP\tO' +p231934 +aS'emerged\temerge\tVBD\tB-VP\tO' +p231935 +aS'with\twith\tIN\tB-PP\tO' +p231936 +aS'good\tgood\tJJ\tB-NP\tO' +p231937 +aS'tone\ttone\tNN\tI-NP\tO' +p231938 +aS',\t,\t,\tO\tO' +p231939 +aS'color\tcolor\tNN\tB-NP\tO' +p231940 +aS',\t,\t,\tO\tO' +p231941 +aS'and\tand\tCC\tO\tO' +p231942 +aS'cry\tcry\tNN\tB-NP\tO' +p231943 +aS'.\t.\t.\tO\tO' +p231944 +asS'Patient was found to have a new humerus fracture distal to the hardware on film this admission .' +p231945 +(lp231946 +S'Patient\tPatient\tNN\tB-NP\tO' +p231947 +aS'was\tbe\tVBD\tB-VP\tO' +p231948 +aS'found\tfind\tVBN\tI-VP\tO' +p231949 +aS'to\tto\tTO\tI-VP\tO' +p231950 +aS'have\thave\tVB\tI-VP\tO' +p231951 +aS'a\ta\tDT\tB-NP\tO' +p231952 +aS'new\tnew\tJJ\tI-NP\tO' +p231953 +aS'humerus\thumerus\tJJ\tI-NP\tO' +p231954 +aS'fracture\tfracture\tNN\tI-NP\tO' +p231955 +aS'distal\tdistal\tJJ\tB-ADJP\tO' +p231956 +aS'to\tto\tTO\tB-PP\tO' +p231957 +aS'the\tthe\tDT\tB-NP\tO' +p231958 +aS'hardware\thardware\tNN\tI-NP\tO' +p231959 +aS'on\ton\tIN\tB-PP\tO' +p231960 +aS'film\tfilm\tNN\tB-NP\tO' +p231961 +aS'this\tthis\tDT\tB-NP\tO' +p231962 +aS'admission\tadmission\tNN\tI-NP\tO' +p231963 +aS'.\t.\t.\tO\tO' +p231964 +asS'3) ADULT RESPIRATORY DISTRESS SYNDROME .' +p231965 +(lp231966 +S'3)\t3)\tLS\tB-NP\tO' +p231967 +aS'ADULT\tADULT\tNN\tI-NP\tO' +p231968 +aS'RESPIRATORY\tRESPIRATORY\tNN\tI-NP\tO' +p231969 +aS'DISTRESS\tDISTRESS\tNN\tI-NP\tO' +p231970 +aS'SYNDROME\tSYNDROME\tNN\tI-NP\tO' +p231971 +aS'.\t.\t.\tO\tO' +p231972 +asS'Within the limits of this non-contrast study , the liver , gallbladder , pancreas , spleen , adrenal glands , kidneys , stomach , and small bowel loops are within normal limits .' +p231973 +(lp231974 +S'Within\tWithin\tIN\tB-PP\tO' +p231975 +aS'the\tthe\tDT\tB-NP\tO' +p231976 +aS'limits\tlimit\tNNS\tI-NP\tO' +p231977 +aS'of\tof\tIN\tB-PP\tO' +p231978 +aS'this\tthis\tDT\tB-NP\tO' +p231979 +aS'non-contrast\tnon-contrast\tJJ\tI-NP\tO' +p231980 +aS'study\tstudy\tNN\tI-NP\tO' +p231981 +aS',\t,\t,\tO\tO' +p231982 +aS'the\tthe\tDT\tB-NP\tO' +p231983 +aS'liver\tliver\tNN\tI-NP\tO' +p231984 +aS',\t,\t,\tO\tO' +p231985 +aS'gallbladder\tgallbladder\tNN\tB-NP\tO' +p231986 +aS',\t,\t,\tO\tO' +p231987 +aS'pancreas\tpancreas\tNN\tB-NP\tO' +p231988 +aS',\t,\t,\tO\tO' +p231989 +aS'spleen\tspleen\tNN\tB-NP\tO' +p231990 +aS',\t,\t,\tO\tO' +p231991 +aS'adrenal\tadrenal\tJJ\tB-NP\tO' +p231992 +aS'glands\tgland\tNNS\tI-NP\tO' +p231993 +aS',\t,\t,\tO\tO' +p231994 +aS'kidneys\tkidney\tNNS\tB-NP\tO' +p231995 +aS',\t,\t,\tO\tO' +p231996 +aS'stomach\tstomach\tNN\tB-NP\tO' +p231997 +aS',\t,\t,\tO\tO' +p231998 +aS'and\tand\tCC\tO\tO' +p231999 +aS'small\tsmall\tJJ\tB-NP\tO' +p232000 +aS'bowel\tbowel\tNN\tI-NP\tO' +p232001 +aS'loops\tloop\tNNS\tI-NP\tO' +p232002 +aS'are\tbe\tVBP\tB-VP\tO' +p232003 +aS'within\twithin\tIN\tB-PP\tO' +p232004 +aS'normal\tnormal\tJJ\tB-NP\tO' +p232005 +aS'limits\tlimit\tNNS\tI-NP\tO' +p232006 +aS'.\t.\t.\tO\tO' +p232007 +asS'Further cultures from sputum and urine revealed yeast sensitive to Diflucan , which was administered shortly after .' +p232008 +(lp232009 +S'Further\tFar\tJJR\tB-NP\tO' +p232010 +aS'cultures\tculture\tNNS\tI-NP\tO' +p232011 +aS'from\tfrom\tIN\tB-PP\tO' +p232012 +aS'sputum\tsputum\tNN\tB-NP\tO' +p232013 +aS'and\tand\tCC\tI-NP\tO' +p232014 +aS'urine\turine\tNN\tI-NP\tO' +p232015 +aS'revealed\treveal\tVBD\tB-VP\tO' +p232016 +aS'yeast\tyeast\tNN\tB-NP\tO' +p232017 +aS'sensitive\tsensitive\tJJ\tB-ADJP\tO' +p232018 +aS'to\tto\tTO\tB-PP\tO' +p232019 +aS'Diflucan\tDiflucan\tNNP\tB-NP\tO' +p232020 +aS',\t,\t,\tO\tO' +p232021 +aS'which\twhich\tWDT\tB-NP\tO' +p232022 +aS'was\tbe\tVBD\tB-VP\tO' +p232023 +aS'administered\tadminister\tVBN\tI-VP\tO' +p232024 +aS'shortly\tshortly\tRB\tB-ADVP\tO' +p232025 +aS'after\tafter\tIN\tB-PP\tO' +p232026 +aS'.\t.\t.\tO\tO' +p232027 +asS'Admitted 05-08 to cardiology service for surgical work-up .' +p232028 +(lp232029 +S'Admitted\tAdmit\tVBN\tB-VP\tO' +p232030 +aS'05-08\t05-08\tCD\tB-NP\tO' +p232031 +aS'to\tto\tTO\tB-PP\tO' +p232032 +aS'cardiology\tcardiology\tNN\tB-NP\tO' +p232033 +aS'service\tservice\tNN\tI-NP\tO' +p232034 +aS'for\tfor\tIN\tB-PP\tO' +p232035 +aS'surgical\tsurgical\tJJ\tB-NP\tO' +p232036 +aS'work-up\twork-up\tNN\tI-NP\tO' +p232037 +aS'.\t.\t.\tO\tO' +p232038 +asS'He has followed this family in the past and will see her in follow-up .' +p232039 +(lp232040 +S'He\tHe\tPRP\tB-NP\tO' +p232041 +aS'has\thave\tVBZ\tB-VP\tO' +p232042 +aS'followed\tfollow\tVBN\tI-VP\tO' +p232043 +aS'this\tthis\tDT\tB-NP\tO' +p232044 +aS'family\tfamily\tNN\tI-NP\tO' +p232045 +aS'in\tin\tIN\tB-PP\tO' +p232046 +aS'the\tthe\tDT\tB-NP\tO' +p232047 +aS'past\tpast\tNN\tI-NP\tO' +p232048 +aS'and\tand\tCC\tO\tO' +p232049 +aS'will\twill\tMD\tB-VP\tO' +p232050 +aS'see\tsee\tVB\tI-VP\tO' +p232051 +aS'her\ther\tPRP\tB-NP\tO' +p232052 +aS'in\tin\tIN\tB-PP\tO' +p232053 +aS'follow-up\tfollow-up\tNN\tB-NP\tO' +p232054 +aS'.\t.\t.\tO\tO' +p232055 +asS'Medications on Admission : vancomycin 1g IV q48' +p232056 +(lp232057 +S'Medications\tMedication\tNNS\tB-NP\tO' +p232058 +aS'on\ton\tIN\tB-PP\tO' +p232059 +aS'Admission\tAdmission\tNN\tB-NP\tO' +p232060 +aS':\t:\t:\tO\tO' +p232061 +aS'vancomycin\tvancomycin\tNN\tB-NP\tO' +p232062 +aS'1g\t1g\tNN\tI-NP\tO' +p232063 +aS'IV\tIV\tCD\tB-NP\tO' +p232064 +aS'q48\tq48\tCD\tI-NP\tO' +p232065 +asS'She says she has had this intermittently with hot summers in the past .' +p232066 +(lp232067 +S'She\tShe\tPRP\tB-NP\tO' +p232068 +aS'says\tsay\tVBZ\tB-VP\tO' +p232069 +aS'she\tshe\tPRP\tB-NP\tO' +p232070 +aS'has\thave\tVBZ\tB-VP\tO' +p232071 +aS'had\thave\tVBN\tI-VP\tO' +p232072 +aS'this\tthis\tDT\tB-NP\tO' +p232073 +aS'intermittently\tintermittently\tRB\tB-ADVP\tO' +p232074 +aS'with\twith\tIN\tB-PP\tO' +p232075 +aS'hot\thot\tJJ\tB-NP\tO' +p232076 +aS'summers\tsummer\tNNS\tI-NP\tO' +p232077 +aS'in\tin\tIN\tB-PP\tO' +p232078 +aS'the\tthe\tDT\tB-NP\tO' +p232079 +aS'past\tpast\tNN\tI-NP\tO' +p232080 +aS'.\t.\t.\tO\tO' +p232081 +asS'1. Feeds .' +p232082 +(lp232083 +S'1.\t1.\tLS\tB-NP\tO' +p232084 +aS'Feeds\tFeed\tNNS\tI-NP\tO' +p232085 +aS'.\t.\t.\tO\tO' +p232086 +asS'Pregnancy was uncomplicated until the day of delivery when mother presented to HealthSouth New England Rehab Hospital Hospital with bleeding and was sent home .' +p232087 +(lp232088 +S'Pregnancy\tPregnancy\tNN\tB-NP\tO' +p232089 +aS'was\tbe\tVBD\tB-VP\tO' +p232090 +aS'uncomplicated\tuncomplicated\tJJ\tB-ADJP\tO' +p232091 +aS'until\tuntil\tIN\tB-SBAR\tO' +p232092 +aS'the\tthe\tDT\tB-NP\tO' +p232093 +aS'day\tday\tNN\tI-NP\tO' +p232094 +aS'of\tof\tIN\tB-PP\tO' +p232095 +aS'delivery\tdelivery\tNN\tB-NP\tO' +p232096 +aS'when\twhen\tWRB\tB-ADVP\tO' +p232097 +aS'mother\tmother\tNN\tB-NP\tO' +p232098 +aS'presented\tpresent\tVBN\tB-VP\tO' +p232099 +aS'to\tto\tTO\tB-PP\tO' +p232100 +aS'HealthSouth\tHealthSouth\tNNP\tB-NP\tO' +p232101 +aS'New\tNew\tNNP\tI-NP\tO' +p232102 +aS'England\tEngland\tNNP\tI-NP\tO' +p232103 +aS'Rehab\tRehab\tNNP\tI-NP\tO' +p232104 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p232105 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p232106 +aS'with\twith\tIN\tB-PP\tO' +p232107 +aS'bleeding\tbleeding\tNN\tB-NP\tO' +p232108 +aS'and\tand\tCC\tO\tO' +p232109 +aS'was\tbe\tVBD\tB-VP\tO' +p232110 +aS'sent\tsend\tVBN\tI-VP\tO' +p232111 +aS'home\thome\tNN\tB-ADVP\tO' +p232112 +aS'.\t.\t.\tO\tO' +p232113 +asS'14. Zinc sulfate 220 mg p.o. q day .' +p232114 +(lp232115 +S'14.\t14.\tLS\tB-NP\tO' +p232116 +aS'Zinc\tZinc\tNN\tI-NP\tO' +p232117 +aS'sulfate\tsulfate\tNN\tI-NP\tO' +p232118 +aS'220\t220\tCD\tI-NP\tO' +p232119 +aS'mg\tmg\tNN\tI-NP\tO' +p232120 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p232121 +aS'q\tq\tNN\tI-NP\tO' +p232122 +aS'day\tday\tNN\tI-NP\tO' +p232123 +aS'.\t.\t.\tO\tO' +p232124 +asS'Mild irreg. ctx .' +p232125 +(lp232126 +S'Mild\tMild\tNNP\tB-NP\tO' +p232127 +aS'irreg.\tirreg.\tFW\tI-NP\tO' +p232128 +aS'ctx\tctx\tNN\tI-NP\tO' +p232129 +aS'.\t.\t.\tO\tO' +p232130 +asS'please call your primary doctor Edmund Starke once your are discharge from the hospital' +p232131 +(lp232132 +S'please\tplease\tVB\tB-VP\tO' +p232133 +aS'call\tcall\tVB\tI-VP\tO' +p232134 +aS'your\tyour\tPRP$\tB-NP\tO' +p232135 +aS'primary\tprimary\tJJ\tI-NP\tO' +p232136 +aS'doctor\tdoctor\tNN\tI-NP\tO' +p232137 +aS'Edmund\tEdmund\tNNP\tI-NP\tO' +p232138 +aS'Starke\tStarke\tNNP\tI-NP\tO' +p232139 +aS'once\tonce\tRB\tB-ADVP\tO' +p232140 +aS'your\tyour\tPRP$\tB-NP\tO' +p232141 +aS'are\tbe\tVBP\tB-VP\tO' +p232142 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p232143 +aS'from\tfrom\tIN\tB-PP\tO' +p232144 +aS'the\tthe\tDT\tB-NP\tO' +p232145 +aS'hospital\thospital\tNN\tI-NP\tO' +p232146 +asS'Mr. Patient will be discharged to home .' +p232147 +(lp232148 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p232149 +aS'Patient\tPatient\tNNP\tI-NP\tO' +p232150 +aS'will\twill\tMD\tB-VP\tO' +p232151 +aS'be\tbe\tVB\tI-VP\tO' +p232152 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p232153 +aS'to\tto\tTO\tB-PP\tO' +p232154 +aS'home\thome\tNN\tB-NP\tO' +p232155 +aS'.\t.\t.\tO\tO' +p232156 +asS'and is less of an aspiration risk .' +p232157 +(lp232158 +S'and\tand\tCC\tO\tO' +p232159 +aS'is\tbe\tVBZ\tB-VP\tO' +p232160 +aS'less\tless\tJJR\tB-NP\tO' +p232161 +aS'of\tof\tIN\tB-PP\tO' +p232162 +aS'an\tan\tDT\tB-NP\tO' +p232163 +aS'aspiration\taspiration\tNN\tI-NP\tO' +p232164 +aS'risk\trisk\tNN\tI-NP\tO' +p232165 +aS'.\t.\t.\tO\tO' +p232166 +asS'She was pain free on the day of discharge .' +p232167 +(lp232168 +S'She\tShe\tPRP\tB-NP\tO' +p232169 +aS'was\tbe\tVBD\tB-VP\tO' +p232170 +aS'pain\tpain\tNN\tB-NP\tO' +p232171 +aS'free\tfree\tJJ\tB-ADJP\tO' +p232172 +aS'on\ton\tIN\tB-PP\tO' +p232173 +aS'the\tthe\tDT\tB-NP\tO' +p232174 +aS'day\tday\tNN\tI-NP\tO' +p232175 +aS'of\tof\tIN\tB-PP\tO' +p232176 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p232177 +aS'.\t.\t.\tO\tO' +p232178 +asS'Derm initially reviewed and thought that it was not c/w hypersensitivity rxn .' +p232179 +(lp232180 +S'Derm\tDerm\tNN\tB-NP\tO' +p232181 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p232182 +aS'reviewed\treview\tVBD\tB-VP\tO' +p232183 +aS'and\tand\tCC\tI-VP\tO' +p232184 +aS'thought\tthink\tVBD\tI-VP\tO' +p232185 +aS'that\tthat\tIN\tB-SBAR\tO' +p232186 +aS'it\tit\tPRP\tB-NP\tO' +p232187 +aS'was\tbe\tVBD\tB-VP\tO' +p232188 +aS'not\tnot\tRB\tI-VP\tO' +p232189 +aS'c/w\tc/w\tVB\tI-VP\tO' +p232190 +aS'hypersensitivity\thypersensitivity\tNN\tB-NP\tO' +p232191 +aS'rxn\trxn\tNN\tI-NP\tO' +p232192 +aS'.\t.\t.\tO\tO' +p232193 +asS'3. Cardiovascular .' +p232194 +(lp232195 +S'3.\t3.\tLS\tB-LST\tO' +p232196 +aS'Cardiovascular\tCardiovascular\tNNP\tB-NP\tO' +p232197 +aS'.\t.\t.\tO\tO' +p232198 +asS'Soft , mildly distended , and tympanic with midepigastric tenderness to palpation and no rebound .' +p232199 +(lp232200 +S'Soft\tSoft\tRB\tB-ADVP\tO' +p232201 +aS',\t,\t,\tO\tO' +p232202 +aS'mildly\tmildly\tRB\tB-VP\tO' +p232203 +aS'distended\tdistend\tVBN\tI-VP\tO' +p232204 +aS',\t,\t,\tO\tO' +p232205 +aS'and\tand\tCC\tO\tO' +p232206 +aS'tympanic\ttympanic\tNN\tB-NP\tO' +p232207 +aS'with\twith\tIN\tB-PP\tO' +p232208 +aS'midepigastric\tmidepigastric\tJJ\tB-NP\tO' +p232209 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p232210 +aS'to\tto\tTO\tB-PP\tO' +p232211 +aS'palpation\tpalpation\tNN\tB-NP\tO' +p232212 +aS'and\tand\tCC\tO\tO' +p232213 +aS'no\tno\tDT\tB-NP\tO' +p232214 +aS'rebound\trebound\tNN\tI-NP\tO' +p232215 +aS'.\t.\t.\tO\tO' +p232216 +asS'Total bilirubin was 12 and direct bilirubin 8 .' +p232217 +(lp232218 +S'Total\tTotal\tJJ\tB-NP\tO' +p232219 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p232220 +aS'was\tbe\tVBD\tB-VP\tO' +p232221 +aS'12\t12\tCD\tB-NP\tO' +p232222 +aS'and\tand\tCC\tO\tO' +p232223 +aS'direct\tdirect\tJJ\tB-NP\tO' +p232224 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p232225 +aS'8\t8\tCD\tI-NP\tO' +p232226 +aS'.\t.\t.\tO\tO' +p232227 +asS'Please follow up with Dr. Wires on Monday .' +p232228 +(lp232229 +S'Please\tPlease\tVB\tB-VP\tO' +p232230 +aS'follow\tfollow\tVB\tI-VP\tO' +p232231 +aS'up\tup\tRP\tB-PRT\tO' +p232232 +aS'with\twith\tIN\tB-PP\tO' +p232233 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p232234 +aS'Wires\tWires\tNNP\tI-NP\tO' +p232235 +aS'on\ton\tIN\tB-PP\tO' +p232236 +aS'Monday\tMonday\tNNP\tB-NP\tO' +p232237 +aS'.\t.\t.\tO\tO' +p232238 +asS'He was actually extubated on 07-09 , but then reintubated one hour later due to hypoxia .' +p232239 +(lp232240 +S'He\tHe\tPRP\tB-NP\tO' +p232241 +aS'was\tbe\tVBD\tB-VP\tO' +p232242 +aS'actually\tactually\tRB\tI-VP\tO' +p232243 +aS'extubated\textubate\tVBN\tI-VP\tO' +p232244 +aS'on\ton\tIN\tB-PP\tO' +p232245 +aS'07-09\t07-09\tCD\tB-NP\tO' +p232246 +aS',\t,\t,\tO\tO' +p232247 +aS'but\tbut\tCC\tO\tO' +p232248 +aS'then\tthen\tRB\tB-VP\tO' +p232249 +aS'reintubated\treintubate\tVBD\tI-VP\tO' +p232250 +aS'one\tone\tCD\tB-NP\tO' +p232251 +aS'hour\thour\tNN\tI-NP\tO' +p232252 +aS'later\tlater\tRB\tB-ADJP\tO' +p232253 +aS'due\tdue\tJJ\tI-ADJP\tO' +p232254 +aS'to\tto\tTO\tB-PP\tO' +p232255 +aS'hypoxia\thypoxia\tNN\tB-NP\tO' +p232256 +aS'.\t.\t.\tO\tO' +p232257 +asS'He is also on Flovent MDI at home as well .' +p232258 +(lp232259 +S'He\tHe\tPRP\tB-NP\tO' +p232260 +aS'is\tbe\tVBZ\tB-VP\tO' +p232261 +aS'also\talso\tRB\tB-ADVP\tO' +p232262 +aS'on\ton\tIN\tB-PP\tO' +p232263 +aS'Flovent\tFlovent\tNNP\tB-NP\tO' +p232264 +aS'MDI\tMDI\tNN\tI-NP\tO' +p232265 +aS'at\tat\tIN\tB-PP\tO' +p232266 +aS'home\thome\tNN\tB-NP\tO' +p232267 +aS'as\tas\tRB\tB-ADVP\tO' +p232268 +aS'well\twell\tRB\tI-ADVP\tO' +p232269 +aS'.\t.\t.\tO\tO' +p232270 +asS'Neurosurgery was consulted , however the neurosurgeons felt that there was no surgical option , since even in the case of cerebellar swelling , there would be no improvement from decompensation .' +p232271 +(lp232272 +S'Neurosurgery\tNeurosurgery\tNN\tB-NP\tO' +p232273 +aS'was\tbe\tVBD\tB-VP\tO' +p232274 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p232275 +aS',\t,\t,\tO\tO' +p232276 +aS'however\thowever\tRB\tB-ADVP\tO' +p232277 +aS'the\tthe\tDT\tB-NP\tO' +p232278 +aS'neurosurgeons\tneurosurgeon\tNNS\tI-NP\tO' +p232279 +aS'felt\tfeel\tVBD\tB-VP\tO' +p232280 +aS'that\tthat\tIN\tB-SBAR\tO' +p232281 +aS'there\tthere\tEX\tB-NP\tO' +p232282 +aS'was\tbe\tVBD\tB-VP\tO' +p232283 +aS'no\tno\tDT\tB-NP\tO' +p232284 +aS'surgical\tsurgical\tJJ\tI-NP\tO' +p232285 +aS'option\toption\tNN\tI-NP\tO' +p232286 +aS',\t,\t,\tO\tO' +p232287 +aS'since\tsince\tIN\tB-SBAR\tO' +p232288 +aS'even\teven\tRB\tB-ADVP\tO' +p232289 +aS'in\tin\tIN\tB-PP\tO' +p232290 +aS'the\tthe\tDT\tB-NP\tO' +p232291 +aS'case\tcase\tNN\tI-NP\tO' +p232292 +aS'of\tof\tIN\tB-PP\tO' +p232293 +aS'cerebellar\tcerebellar\tJJ\tB-NP\tO' +p232294 +aS'swelling\tswelling\tNN\tI-NP\tO' +p232295 +aS',\t,\t,\tO\tO' +p232296 +aS'there\tthere\tEX\tB-NP\tO' +p232297 +aS'would\twould\tMD\tB-VP\tO' +p232298 +aS'be\tbe\tVB\tI-VP\tO' +p232299 +aS'no\tno\tDT\tB-NP\tO' +p232300 +aS'improvement\timprovement\tNN\tI-NP\tO' +p232301 +aS'from\tfrom\tIN\tB-PP\tO' +p232302 +aS'decompensation\tdecompensation\tNN\tB-NP\tO' +p232303 +aS'.\t.\t.\tO\tO' +p232304 +asS'Abd : soft , slightly distended , nontender , +BS' +p232305 +(lp232306 +S'Abd\tAbd\tNN\tB-NP\tO' +p232307 +aS':\t:\t:\tO\tO' +p232308 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p232309 +aS',\t,\t,\tO\tO' +p232310 +aS'slightly\tslightly\tRB\tB-VP\tO' +p232311 +aS'distended\tdistend\tVBN\tI-VP\tO' +p232312 +aS',\t,\t,\tO\tO' +p232313 +aS'nontender\tnontender\tJJ\tB-ADJP\tO' +p232314 +aS',\t,\t,\tO\tO' +p232315 +aS'+BS\t+BS\tNNP\tB-NP\tO' +p232316 +asS'2. Pantoprazole 40 mg Tablet , Delayed Release ( E.C. ) Sig : One ( 1 ) Tablet , Delayed Release ( E.C. ) PO twice a day .' +p232317 +(lp232318 +S'2.\t2.\tLS\tB-NP\tO' +p232319 +aS'Pantoprazole\tPantoprazole\tNN\tI-NP\tO' +p232320 +aS'40\t40\tCD\tI-NP\tO' +p232321 +aS'mg\tmg\tNN\tI-NP\tO' +p232322 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p232323 +aS',\t,\t,\tO\tO' +p232324 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p232325 +aS'Release\tRelease\tNNP\tI-NP\tO' +p232326 +aS'(\t(\t(\tO\tO' +p232327 +aS'E.C.\tE.C.\tNNP\tB-NP\tO' +p232328 +aS')\t)\t)\tO\tO' +p232329 +aS'Sig\tSig\tNNP\tB-NP\tO' +p232330 +aS':\t:\t:\tO\tO' +p232331 +aS'One\tOne\tCD\tB-NP\tO' +p232332 +aS'(\t(\t(\tO\tO' +p232333 +aS'1\t1\tCD\tB-NP\tO' +p232334 +aS')\t)\t)\tO\tO' +p232335 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p232336 +aS',\t,\t,\tO\tO' +p232337 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p232338 +aS'Release\tRelease\tNNP\tI-NP\tO' +p232339 +aS'(\t(\t(\tO\tO' +p232340 +aS'E.C.\tE.C.\tNNP\tO\tO' +p232341 +aS')\t)\t)\tO\tO' +p232342 +aS'PO\tPO\tNN\tB-NP\tO' +p232343 +aS'twice\ttwice\tRB\tB-NP\tO' +p232344 +aS'a\ta\tDT\tI-NP\tO' +p232345 +aS'day\tday\tNN\tI-NP\tO' +p232346 +aS'.\t.\t.\tO\tO' +p232347 +asS'She says the pain is sharp in character , and radiates with a shock like intensity down the right leg .' +p232348 +(lp232349 +S'She\tShe\tPRP\tB-NP\tO' +p232350 +aS'says\tsay\tVBZ\tB-VP\tO' +p232351 +aS'the\tthe\tDT\tB-NP\tO' +p232352 +aS'pain\tpain\tNN\tI-NP\tO' +p232353 +aS'is\tbe\tVBZ\tB-VP\tO' +p232354 +aS'sharp\tsharp\tJJ\tB-ADJP\tO' +p232355 +aS'in\tin\tIN\tB-PP\tO' +p232356 +aS'character\tcharacter\tNN\tB-NP\tO' +p232357 +aS',\t,\t,\tO\tO' +p232358 +aS'and\tand\tCC\tO\tO' +p232359 +aS'radiates\tradiate\tVBZ\tB-VP\tO' +p232360 +aS'with\twith\tIN\tB-PP\tO' +p232361 +aS'a\ta\tDT\tB-NP\tO' +p232362 +aS'shock\tshock\tNN\tI-NP\tO' +p232363 +aS'like\tlike\tIN\tB-PP\tO' +p232364 +aS'intensity\tintensity\tNN\tB-NP\tO' +p232365 +aS'down\tdown\tIN\tB-PP\tO' +p232366 +aS'the\tthe\tDT\tB-NP\tO' +p232367 +aS'right\tright\tJJ\tI-NP\tO' +p232368 +aS'leg\tleg\tNN\tI-NP\tO' +p232369 +aS'.\t.\t.\tO\tO' +p232370 +asS'Abdomen - soft , non-tender without organomegaly or masses .' +p232371 +(lp232372 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p232373 +aS'-\t-\tHYPH\tB-PP\tO' +p232374 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p232375 +aS',\t,\t,\tO\tO' +p232376 +aS'non-tender\tnon-tender\tJJ\tB-ADJP\tO' +p232377 +aS'without\twithout\tIN\tB-PP\tO' +p232378 +aS'organomegaly\torganomegaly\tNN\tB-NP\tO' +p232379 +aS'or\tor\tCC\tI-NP\tO' +p232380 +aS'masses\tmass\tNNS\tI-NP\tO' +p232381 +aS'.\t.\t.\tO\tO' +p232382 +asS'An EEG showed mild encephalopathy , but no other findings .' +p232383 +(lp232384 +S'An\tAn\tDT\tB-NP\tO' +p232385 +aS'EEG\tEEG\tNN\tI-NP\tB-protein' +p232386 +aS'showed\tshow\tVBD\tB-VP\tO' +p232387 +aS'mild\tmild\tJJ\tB-NP\tO' +p232388 +aS'encephalopathy\tencephalopathy\tNN\tI-NP\tO' +p232389 +aS',\t,\t,\tO\tO' +p232390 +aS'but\tbut\tCC\tO\tO' +p232391 +aS'no\tno\tDT\tB-NP\tO' +p232392 +aS'other\tother\tJJ\tI-NP\tO' +p232393 +aS'findings\tfinding\tNNS\tI-NP\tO' +p232394 +aS'.\t.\t.\tO\tO' +p232395 +asS'7. Doxepin .' +p232396 +(lp232397 +S'7.\t7.\tCD\tB-NP\tO' +p232398 +aS'Doxepin\tDoxepin\tNNP\tI-NP\tO' +p232399 +aS'.\t.\t.\tO\tO' +p232400 +asS'He presents now for possible reoperative coronary artery bypass graft .' +p232401 +(lp232402 +S'He\tHe\tPRP\tB-NP\tO' +p232403 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p232404 +aS'now\tnow\tRB\tB-ADVP\tO' +p232405 +aS'for\tfor\tIN\tB-PP\tO' +p232406 +aS'possible\tpossible\tJJ\tB-NP\tO' +p232407 +aS'reoperative\treoperative\tJJ\tI-NP\tO' +p232408 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p232409 +aS'artery\tartery\tNN\tI-NP\tO' +p232410 +aS'bypass\tbypass\tIN\tB-PP\tO' +p232411 +aS'graft\tgraft\tNN\tB-NP\tO' +p232412 +aS'.\t.\t.\tO\tO' +p232413 +asS'He will have levels drawn at dialysis and be dosed with vancomycin as appropriate .' +p232414 +(lp232415 +S'He\tHe\tPRP\tB-NP\tO' +p232416 +aS'will\twill\tMD\tB-VP\tO' +p232417 +aS'have\thave\tVB\tI-VP\tO' +p232418 +aS'levels\tlevel\tNNS\tB-NP\tO' +p232419 +aS'drawn\tdraw\tVBN\tB-VP\tO' +p232420 +aS'at\tat\tIN\tB-PP\tO' +p232421 +aS'dialysis\tdialysis\tNN\tB-NP\tO' +p232422 +aS'and\tand\tCC\tO\tO' +p232423 +aS'be\tbe\tVB\tB-VP\tO' +p232424 +aS'dosed\tdose\tVBN\tI-VP\tO' +p232425 +aS'with\twith\tIN\tB-PP\tO' +p232426 +aS'vancomycin\tvancomycin\tNN\tB-NP\tO' +p232427 +aS'as\tas\tIN\tB-PP\tO' +p232428 +aS'appropriate\tappropriate\tJJ\tB-ADJP\tO' +p232429 +aS'.\t.\t.\tO\tO' +p232430 +asS'After approximately one hour , he presented to the Bristol County Tuberculosis Hospital Dana-Farber Cancer Institute Campus where he ruled in for a non-ST elevation MI with a CK of 438 with a peak CK MB of 19.8 and troponin that peaked at 10.2 .' +p232431 +(lp232432 +S'After\tAfter\tIN\tB-PP\tO' +p232433 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p232434 +aS'one\tone\tCD\tI-NP\tO' +p232435 +aS'hour\thour\tNN\tI-NP\tO' +p232436 +aS',\t,\t,\tO\tO' +p232437 +aS'he\the\tPRP\tB-NP\tO' +p232438 +aS'presented\tpresent\tVBD\tB-VP\tO' +p232439 +aS'to\tto\tTO\tB-PP\tO' +p232440 +aS'the\tthe\tDT\tB-NP\tO' +p232441 +aS'Bristol\tBristol\tNNP\tI-NP\tO' +p232442 +aS'County\tCounty\tNNP\tI-NP\tO' +p232443 +aS'Tuberculosis\tTuberculosis\tNNP\tI-NP\tO' +p232444 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p232445 +aS'Dana-Farber\tDana-Farber\tNNP\tI-NP\tO' +p232446 +aS'Cancer\tCancer\tNNP\tI-NP\tO' +p232447 +aS'Institute\tInstitute\tNNP\tI-NP\tO' +p232448 +aS'Campus\tCampus\tNNP\tI-NP\tO' +p232449 +aS'where\twhere\tWRB\tB-ADVP\tO' +p232450 +aS'he\the\tPRP\tB-NP\tO' +p232451 +aS'ruled\trule\tVBD\tB-VP\tO' +p232452 +aS'in\tin\tRP\tB-PRT\tO' +p232453 +aS'for\tfor\tIN\tB-PP\tO' +p232454 +aS'a\ta\tDT\tB-NP\tO' +p232455 +aS'non-ST\tnon-ST\tJJ\tI-NP\tO' +p232456 +aS'elevation\televation\tNN\tI-NP\tO' +p232457 +aS'MI\tMI\tNN\tI-NP\tO' +p232458 +aS'with\twith\tIN\tB-PP\tO' +p232459 +aS'a\ta\tDT\tB-NP\tO' +p232460 +aS'CK\tCK\tNN\tI-NP\tO' +p232461 +aS'of\tof\tIN\tB-PP\tO' +p232462 +aS'438\t438\tCD\tB-NP\tO' +p232463 +aS'with\twith\tIN\tB-PP\tO' +p232464 +aS'a\ta\tDT\tB-NP\tO' +p232465 +aS'peak\tpeak\tJJ\tI-NP\tO' +p232466 +aS'CK\tCK\tNN\tI-NP\tO' +p232467 +aS'MB\tMB\tNN\tI-NP\tO' +p232468 +aS'of\tof\tIN\tB-PP\tO' +p232469 +aS'19.8\t19.8\tCD\tB-NP\tO' +p232470 +aS'and\tand\tCC\tO\tO' +p232471 +aS'troponin\ttroponin\tNN\tB-NP\tO' +p232472 +aS'that\tthat\tWDT\tB-NP\tO' +p232473 +aS'peaked\tpeak\tVBD\tB-VP\tO' +p232474 +aS'at\tat\tIN\tB-PP\tO' +p232475 +aS'10.2\t10.2\tCD\tB-NP\tO' +p232476 +aS'.\t.\t.\tO\tO' +p232477 +asS'Infectious work-up was negative .' +p232478 +(lp232479 +S'Infectious\tInfectious\tJJ\tB-NP\tO' +p232480 +aS'work-up\twork-up\tNN\tI-NP\tO' +p232481 +aS'was\tbe\tVBD\tB-VP\tO' +p232482 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p232483 +aS'.\t.\t.\tO\tO' +p232484 +asS'The patient was to be discharged to home .' +p232485 +(lp232486 +S'The\tThe\tDT\tB-NP\tO' +p232487 +aS'patient\tpatient\tNN\tI-NP\tO' +p232488 +aS'was\tbe\tVBD\tB-VP\tO' +p232489 +aS'to\tto\tTO\tI-VP\tO' +p232490 +aS'be\tbe\tVB\tI-VP\tO' +p232491 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p232492 +aS'to\tto\tTO\tB-PP\tO' +p232493 +aS'home\thome\tNN\tB-NP\tO' +p232494 +aS'.\t.\t.\tO\tO' +p232495 +asS'Physical examination revealed afebrile , respiratory rate of 23 , heart rate of 113 , blood pressure 130s/90s .' +p232496 +(lp232497 +S'Physical\tPhysical\tJJ\tB-NP\tO' +p232498 +aS'examination\texamination\tNN\tI-NP\tO' +p232499 +aS'revealed\treveal\tVBD\tB-VP\tO' +p232500 +aS'afebrile\tafebrile\tJJ\tB-NP\tO' +p232501 +aS',\t,\t,\tI-NP\tO' +p232502 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p232503 +aS'rate\trate\tNN\tI-NP\tO' +p232504 +aS'of\tof\tIN\tB-PP\tO' +p232505 +aS'23\t23\tCD\tB-NP\tO' +p232506 +aS',\t,\t,\tO\tO' +p232507 +aS'heart\theart\tNN\tB-NP\tO' +p232508 +aS'rate\trate\tNN\tI-NP\tO' +p232509 +aS'of\tof\tIN\tB-PP\tO' +p232510 +aS'113\t113\tCD\tB-NP\tO' +p232511 +aS',\t,\t,\tO\tO' +p232512 +aS'blood\tblood\tNN\tB-NP\tO' +p232513 +aS'pressure\tpressure\tNN\tI-NP\tO' +p232514 +aS'130s/90s\t130s/90\tNNS\tI-NP\tO' +p232515 +aS'.\t.\t.\tO\tO' +p232516 +asS'At that time the patient underwent debridement of his facial wounds and debridement of his right hand and forearm with application of artificial skin which is the dermagraft TC .' +p232517 +(lp232518 +S'At\tAt\tIN\tB-PP\tO' +p232519 +aS'that\tthat\tDT\tB-NP\tO' +p232520 +aS'time\ttime\tNN\tI-NP\tO' +p232521 +aS'the\tthe\tDT\tB-NP\tO' +p232522 +aS'patient\tpatient\tNN\tI-NP\tO' +p232523 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p232524 +aS'debridement\tdebridement\tNN\tB-NP\tO' +p232525 +aS'of\tof\tIN\tB-PP\tO' +p232526 +aS'his\this\tPRP$\tB-NP\tO' +p232527 +aS'facial\tfacial\tJJ\tI-NP\tO' +p232528 +aS'wounds\twound\tNNS\tI-NP\tO' +p232529 +aS'and\tand\tCC\tO\tO' +p232530 +aS'debridement\tdebridement\tNN\tB-NP\tO' +p232531 +aS'of\tof\tIN\tB-PP\tO' +p232532 +aS'his\this\tPRP$\tB-NP\tO' +p232533 +aS'right\tright\tJJ\tI-NP\tO' +p232534 +aS'hand\thand\tNN\tI-NP\tO' +p232535 +aS'and\tand\tCC\tI-NP\tO' +p232536 +aS'forearm\tforearm\tNN\tI-NP\tO' +p232537 +aS'with\twith\tIN\tB-PP\tO' +p232538 +aS'application\tapplication\tNN\tB-NP\tO' +p232539 +aS'of\tof\tIN\tB-PP\tO' +p232540 +aS'artificial\tartificial\tJJ\tB-NP\tO' +p232541 +aS'skin\tskin\tNN\tI-NP\tO' +p232542 +aS'which\twhich\tWDT\tB-NP\tO' +p232543 +aS'is\tbe\tVBZ\tB-VP\tO' +p232544 +aS'the\tthe\tDT\tB-NP\tO' +p232545 +aS'dermagraft\tdermagraft\tNN\tI-NP\tO' +p232546 +aS'TC\tTC\tNN\tI-NP\tO' +p232547 +aS'.\t.\t.\tO\tO' +p232548 +asS'He had an magnetic resonance imaging performed on October 18 , 1996 .' +p232549 +(lp232550 +S'He\tHe\tPRP\tB-NP\tO' +p232551 +aS'had\thave\tVBD\tB-VP\tO' +p232552 +aS'an\tan\tDT\tB-NP\tO' +p232553 +aS'magnetic\tmagnetic\tJJ\tI-NP\tO' +p232554 +aS'resonance\tresonance\tNN\tI-NP\tO' +p232555 +aS'imaging\timaging\tNN\tI-NP\tO' +p232556 +aS'performed\tperform\tVBN\tB-VP\tO' +p232557 +aS'on\ton\tIN\tB-PP\tO' +p232558 +aS'October\tOctober\tNNP\tB-NP\tO' +p232559 +aS'18\t18\tCD\tI-NP\tO' +p232560 +aS',\t,\t,\tI-NP\tO' +p232561 +aS'1996\t1996\tCD\tI-NP\tO' +p232562 +aS'.\t.\t.\tO\tO' +p232563 +asS'Call his office to make an appointment .' +p232564 +(lp232565 +S'Call\tCall\tVB\tB-VP\tO' +p232566 +aS'his\this\tPRP$\tB-NP\tO' +p232567 +aS'office\toffice\tNN\tI-NP\tO' +p232568 +aS'to\tto\tTO\tB-VP\tO' +p232569 +aS'make\tmake\tVB\tI-VP\tO' +p232570 +aS'an\tan\tDT\tB-NP\tO' +p232571 +aS'appointment\tappointment\tNN\tI-NP\tO' +p232572 +aS'.\t.\t.\tO\tO' +p232573 +asS'Sutures are proximated .' +p232574 +(lp232575 +S'Sutures\tSuture\tNNS\tB-NP\tO' +p232576 +aS'are\tbe\tVBP\tB-VP\tO' +p232577 +aS'proximated\tproximate\tVBN\tI-VP\tO' +p232578 +aS'.\t.\t.\tO\tO' +p232579 +asS'As mentioned above he has a cord compression and is on steroids .' +p232580 +(lp232581 +S'As\tAs\tIN\tB-SBAR\tO' +p232582 +aS'mentioned\tmention\tVBN\tB-VP\tO' +p232583 +aS'above\tabove\tIN\tB-PP\tO' +p232584 +aS'he\the\tPRP\tB-NP\tO' +p232585 +aS'has\thave\tVBZ\tB-VP\tO' +p232586 +aS'a\ta\tDT\tB-NP\tO' +p232587 +aS'cord\tcord\tNN\tI-NP\tO' +p232588 +aS'compression\tcompression\tNN\tI-NP\tO' +p232589 +aS'and\tand\tCC\tO\tO' +p232590 +aS'is\tbe\tVBZ\tB-VP\tO' +p232591 +aS'on\ton\tIN\tB-PP\tO' +p232592 +aS'steroids\tsteroid\tNNS\tB-NP\tO' +p232593 +aS'.\t.\t.\tO\tO' +p232594 +asS'Initially the differential was thought to include shock liver from hypotension , hepatitis , cholangitis or choledocholithiasis .' +p232595 +(lp232596 +S'Initially\tInitially\tRB\tB-ADVP\tO' +p232597 +aS'the\tthe\tDT\tB-NP\tO' +p232598 +aS'differential\tdifferential\tJJ\tI-NP\tO' +p232599 +aS'was\tbe\tVBD\tB-VP\tO' +p232600 +aS'thought\tthink\tVBN\tI-VP\tO' +p232601 +aS'to\tto\tTO\tI-VP\tO' +p232602 +aS'include\tinclude\tVB\tI-VP\tO' +p232603 +aS'shock\tshock\tNN\tB-NP\tO' +p232604 +aS'liver\tliver\tNN\tI-NP\tO' +p232605 +aS'from\tfrom\tIN\tB-PP\tO' +p232606 +aS'hypotension\thypotension\tNN\tB-NP\tO' +p232607 +aS',\t,\t,\tI-NP\tO' +p232608 +aS'hepatitis\thepatitis\tNN\tI-NP\tO' +p232609 +aS',\t,\t,\tI-NP\tO' +p232610 +aS'cholangitis\tcholangitis\tNN\tI-NP\tO' +p232611 +aS'or\tor\tCC\tI-NP\tO' +p232612 +aS'choledocholithiasis\tcholedocholithiasis\tNN\tI-NP\tO' +p232613 +aS'.\t.\t.\tO\tO' +p232614 +asS'Urine cultures returned with 10-100,000 organisms coag negative staph .' +p232615 +(lp232616 +S'Urine\tUrine\tNN\tB-NP\tB-cell_line' +p232617 +aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' +p232618 +aS'returned\treturn\tVBD\tB-VP\tO' +p232619 +aS'with\twith\tIN\tB-PP\tO' +p232620 +aS'10-100,000\t10-100,000\tCD\tB-NP\tO' +p232621 +aS'organisms\torganism\tNNS\tI-NP\tO' +p232622 +aS'coag\tcoag\tVBP\tB-VP\tO' +p232623 +aS'negative\tnegative\tJJ\tB-NP\tO' +p232624 +aS'staph\tstaph\tNN\tI-NP\tO' +p232625 +aS'.\t.\t.\tO\tO' +p232626 +asS'Metoprolol 37.5 mg q 12 hours ( last dose 07/25 in AM )' +p232627 +(lp232628 +S'Metoprolol\tMetoprolol\tNN\tB-NP\tO' +p232629 +aS'37.5\t37.5\tCD\tI-NP\tO' +p232630 +aS'mg\tmg\tNN\tI-NP\tO' +p232631 +aS'q\tq\tNN\tI-NP\tO' +p232632 +aS'12\t12\tCD\tB-NP\tO' +p232633 +aS'hours\thour\tNNS\tI-NP\tO' +p232634 +aS'(\t(\t(\tO\tO' +p232635 +aS'last\tlast\tJJ\tB-NP\tO' +p232636 +aS'dose\tdose\tNN\tI-NP\tO' +p232637 +aS'07/25\t07/25\tCD\tI-NP\tO' +p232638 +aS'in\tin\tIN\tB-PP\tO' +p232639 +aS'AM\tAM\tNN\tB-NP\tO' +p232640 +aS')\t)\t)\tO\tO' +p232641 +asS'8-Pancreatitis .' +p232642 +(lp232643 +S'8-Pancreatitis\t8-Pancreatitis\tNN\tB-NP\tO' +p232644 +aS'.\t.\t.\tO\tO' +p232645 +asS'Positive for diabetes mellitus .' +p232646 +(lp232647 +S'Positive\tPositive\tJJ\tB-ADJP\tO' +p232648 +aS'for\tfor\tIN\tB-PP\tO' +p232649 +aS'diabetes\tdiabetes\tNN\tB-NP\tO' +p232650 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p232651 +aS'.\t.\t.\tO\tO' +p232652 +asS'Complications has mainly included myelosuppression and mucositis .' +p232653 +(lp232654 +S'Complications\tComplication\tNNS\tB-NP\tO' +p232655 +aS'has\thave\tVBZ\tB-VP\tO' +p232656 +aS'mainly\tmainly\tRB\tI-VP\tO' +p232657 +aS'included\tinclude\tVBN\tI-VP\tO' +p232658 +aS'myelosuppression\tmyelosuppression\tNN\tB-NP\tO' +p232659 +aS'and\tand\tCC\tI-NP\tO' +p232660 +aS'mucositis\tmucositis\tNN\tI-NP\tO' +p232661 +aS'.\t.\t.\tO\tO' +p232662 +asS'She was guaiac negative .' +p232663 +(lp232664 +S'She\tShe\tPRP\tB-NP\tO' +p232665 +aS'was\tbe\tVBD\tB-VP\tO' +p232666 +aS'guaiac\tguaiac\tNN\tB-NP\tO' +p232667 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p232668 +aS'.\t.\t.\tO\tO' +p232669 +asS'He had bilateral breath sounds that were clear and equal .' +p232670 +(lp232671 +S'He\tHe\tPRP\tB-NP\tO' +p232672 +aS'had\thave\tVBD\tB-VP\tO' +p232673 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p232674 +aS'breath\tbreath\tNN\tI-NP\tO' +p232675 +aS'sounds\tsound\tNNS\tI-NP\tO' +p232676 +aS'that\tthat\tWDT\tB-NP\tO' +p232677 +aS'were\tbe\tVBD\tB-VP\tO' +p232678 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p232679 +aS'and\tand\tCC\tI-ADJP\tO' +p232680 +aS'equal\tequal\tJJ\tI-ADJP\tO' +p232681 +aS'.\t.\t.\tO\tO' +p232682 +asS'Today , the patient was found in the bathroom and became hypoxic with saturations in the 80 s and was responsive to oxygen , but was still tachypneic without improvement and was placed on nonrebreather .' +p232683 +(lp232684 +S'Today\tToday\tNN\tB-NP\tO' +p232685 +aS',\t,\t,\tO\tO' +p232686 +aS'the\tthe\tDT\tB-NP\tO' +p232687 +aS'patient\tpatient\tNN\tI-NP\tO' +p232688 +aS'was\tbe\tVBD\tB-VP\tO' +p232689 +aS'found\tfind\tVBN\tI-VP\tO' +p232690 +aS'in\tin\tIN\tB-PP\tO' +p232691 +aS'the\tthe\tDT\tB-NP\tO' +p232692 +aS'bathroom\tbathroom\tNN\tI-NP\tO' +p232693 +aS'and\tand\tCC\tO\tO' +p232694 +aS'became\tbecome\tVBD\tB-VP\tO' +p232695 +aS'hypoxic\thypoxic\tJJ\tB-ADJP\tO' +p232696 +aS'with\twith\tIN\tB-PP\tO' +p232697 +aS'saturations\tsaturation\tNNS\tB-NP\tO' +p232698 +aS'in\tin\tIN\tB-PP\tO' +p232699 +aS'the\tthe\tDT\tB-NP\tO' +p232700 +aS'80\t80\tCD\tI-NP\tO' +p232701 +aS's\ts\tNN\tI-NP\tO' +p232702 +aS'and\tand\tCC\tO\tO' +p232703 +aS'was\tbe\tVBD\tB-VP\tO' +p232704 +aS'responsive\tresponsive\tJJ\tB-ADJP\tO' +p232705 +aS'to\tto\tTO\tB-PP\tO' +p232706 +aS'oxygen\toxygen\tNN\tB-NP\tO' +p232707 +aS',\t,\t,\tO\tO' +p232708 +aS'but\tbut\tCC\tO\tO' +p232709 +aS'was\tbe\tVBD\tB-VP\tO' +p232710 +aS'still\tstill\tRB\tB-ADVP\tO' +p232711 +aS'tachypneic\ttachypneic\tJJ\tB-ADJP\tO' +p232712 +aS'without\twithout\tIN\tB-PP\tO' +p232713 +aS'improvement\timprovement\tNN\tB-NP\tO' +p232714 +aS'and\tand\tCC\tO\tO' +p232715 +aS'was\tbe\tVBD\tB-VP\tO' +p232716 +aS'placed\tplace\tVBN\tI-VP\tO' +p232717 +aS'on\ton\tIN\tB-PP\tO' +p232718 +aS'nonrebreather\tnonrebreather\tNN\tB-NP\tO' +p232719 +aS'.\t.\t.\tO\tO' +p232720 +asS'Dr. Tland , 462-352-5678 1-2 weeks please call for appointment if not made ,' +p232721 +(lp232722 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p232723 +aS'Tland\tTland\tNNP\tI-NP\tO' +p232724 +aS',\t,\t,\tO\tO' +p232725 +aS'462-352-5678\t462-352-5678\tCD\tB-NP\tO' +p232726 +aS'1-2\t1-2\tCD\tI-NP\tO' +p232727 +aS'weeks\tweek\tNNS\tI-NP\tO' +p232728 +aS'please\tplease\tNN\tI-NP\tO' +p232729 +aS'call\tcall\tVBP\tB-VP\tO' +p232730 +aS'for\tfor\tIN\tB-PP\tO' +p232731 +aS'appointment\tappointment\tNN\tB-NP\tO' +p232732 +aS'if\tif\tIN\tB-SBAR\tO' +p232733 +aS'not\tnot\tRB\tO\tO' +p232734 +aS'made\tmake\tVBN\tB-VP\tO' +p232735 +aS',\t,\t,\tO\tO' +p232736 +asS'Nodularities in the common bile duct visualized by endoscopic retrograde cholangiopancreatography was also worrisome for cholangiocarcinoma and the patient was admitted to the Blue General Surgery Service for possible surgical interventions .' +p232737 +(lp232738 +S'Nodularities\tNodularity\tNNS\tB-NP\tO' +p232739 +aS'in\tin\tIN\tB-PP\tO' +p232740 +aS'the\tthe\tDT\tB-NP\tO' +p232741 +aS'common\tcommon\tJJ\tI-NP\tO' +p232742 +aS'bile\tbile\tNN\tI-NP\tO' +p232743 +aS'duct\tduct\tNN\tI-NP\tO' +p232744 +aS'visualized\tvisualize\tVBN\tB-VP\tO' +p232745 +aS'by\tby\tIN\tB-PP\tO' +p232746 +aS'endoscopic\tendoscopic\tJJ\tB-NP\tO' +p232747 +aS'retrograde\tretrograde\tJJ\tI-NP\tO' +p232748 +aS'cholangiopancreatography\tcholangiopancreatography\tNN\tI-NP\tO' +p232749 +aS'was\tbe\tVBD\tB-VP\tO' +p232750 +aS'also\talso\tRB\tB-ADVP\tO' +p232751 +aS'worrisome\tworrisome\tJJ\tB-ADJP\tO' +p232752 +aS'for\tfor\tIN\tB-PP\tO' +p232753 +aS'cholangiocarcinoma\tcholangiocarcinoma\tNN\tB-NP\tO' +p232754 +aS'and\tand\tCC\tO\tO' +p232755 +aS'the\tthe\tDT\tB-NP\tO' +p232756 +aS'patient\tpatient\tNN\tI-NP\tO' +p232757 +aS'was\tbe\tVBD\tB-VP\tO' +p232758 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p232759 +aS'to\tto\tTO\tB-PP\tO' +p232760 +aS'the\tthe\tDT\tB-NP\tO' +p232761 +aS'Blue\tBlue\tNNP\tI-NP\tO' +p232762 +aS'General\tGeneral\tNNP\tI-NP\tO' +p232763 +aS'Surgery\tSurgery\tNNP\tI-NP\tO' +p232764 +aS'Service\tService\tNNP\tI-NP\tO' +p232765 +aS'for\tfor\tIN\tB-PP\tO' +p232766 +aS'possible\tpossible\tJJ\tB-NP\tO' +p232767 +aS'surgical\tsurgical\tJJ\tI-NP\tO' +p232768 +aS'interventions\tintervention\tNNS\tI-NP\tO' +p232769 +aS'.\t.\t.\tO\tO' +p232770 +asS'A positive , antibody negative , hepatitis B surface antigen negative , RPR nonreactive , rubella immune , GBS unknown .' +p232771 +(lp232772 +S'A\tA\tDT\tB-NP\tO' +p232773 +aS'positive\tpositive\tJJ\tI-NP\tO' +p232774 +aS',\t,\t,\tI-NP\tO' +p232775 +aS'antibody\tantibody\tNN\tI-NP\tO' +p232776 +aS'negative\tnegative\tJJ\tI-NP\tO' +p232777 +aS',\t,\t,\tO\tO' +p232778 +aS'hepatitis\thepatitis\tNN\tB-NP\tB-protein' +p232779 +aS'B\tB\tNN\tI-NP\tI-protein' +p232780 +aS'surface\tsurface\tNN\tI-NP\tI-protein' +p232781 +aS'antigen\tantigen\tNN\tI-NP\tI-protein' +p232782 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p232783 +aS',\t,\t,\tO\tO' +p232784 +aS'RPR\tRPR\tNN\tB-NP\tB-protein' +p232785 +aS'nonreactive\tnonreactive\tJJ\tB-ADJP\tO' +p232786 +aS',\t,\t,\tO\tO' +p232787 +aS'rubella\trubella\tNN\tB-NP\tO' +p232788 +aS'immune\timmune\tJJ\tI-NP\tO' +p232789 +aS',\t,\t,\tO\tO' +p232790 +aS'GBS\tGBS\tNNP\tB-NP\tO' +p232791 +aS'unknown\tunknown\tJJ\tB-ADJP\tO' +p232792 +aS'.\t.\t.\tO\tO' +p232793 +asS'She was NPO while intubated and recived tube feedings for nutrition .' +p232794 +(lp232795 +S'She\tShe\tPRP\tB-NP\tO' +p232796 +aS'was\tbe\tVBD\tB-VP\tO' +p232797 +aS'NPO\tNPO\tNN\tB-NP\tB-protein' +p232798 +aS'while\twhile\tIN\tB-SBAR\tO' +p232799 +aS'intubated\tintubated\tJJ\tB-NP\tO' +p232800 +aS'and\tand\tCC\tI-NP\tO' +p232801 +aS'recived\trecive\tVBN\tI-NP\tO' +p232802 +aS'tube\ttube\tNN\tI-NP\tO' +p232803 +aS'feedings\tfeeding\tNNS\tI-NP\tO' +p232804 +aS'for\tfor\tIN\tB-PP\tO' +p232805 +aS'nutrition\tnutrition\tNN\tB-NP\tO' +p232806 +aS'.\t.\t.\tO\tO' +p232807 +asS'He continued to be afebrile and otherwise very stable .' +p232808 +(lp232809 +S'He\tHe\tPRP\tB-NP\tO' +p232810 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p232811 +aS'to\tto\tTO\tI-VP\tO' +p232812 +aS'be\tbe\tVB\tI-VP\tO' +p232813 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p232814 +aS'and\tand\tCC\tO\tO' +p232815 +aS'otherwise\totherwise\tRB\tB-ADJP\tO' +p232816 +aS'very\tvery\tRB\tI-ADJP\tO' +p232817 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p232818 +aS'.\t.\t.\tO\tO' +p232819 +asS'A left and right heart catheterization and coronary angiogram revealed aortic 120/70 , mean 95 , PA 26/10 , mean 17 , PC 7 , RV 26/6 , RA 4 , cardiac output 5.7 , index 3.8 .' +p232820 +(lp232821 +S'A\tA\tDT\tB-NP\tO' +p232822 +aS'left\tleft\tJJ\tI-NP\tO' +p232823 +aS'and\tand\tCC\tI-NP\tO' +p232824 +aS'right\tright\tJJ\tI-NP\tO' +p232825 +aS'heart\theart\tNN\tI-NP\tO' +p232826 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p232827 +aS'and\tand\tCC\tI-NP\tO' +p232828 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p232829 +aS'angiogram\tangiogram\tNN\tI-NP\tO' +p232830 +aS'revealed\treveal\tVBD\tB-VP\tO' +p232831 +aS'aortic\taortic\tJJ\tB-NP\tO' +p232832 +aS'120/70\t120/70\tCD\tI-NP\tO' +p232833 +aS',\t,\t,\tO\tO' +p232834 +aS'mean\tmean\tNN\tB-NP\tO' +p232835 +aS'95\t95\tCD\tI-NP\tO' +p232836 +aS',\t,\t,\tO\tO' +p232837 +aS'PA\tPA\tNN\tB-NP\tB-DNA' +p232838 +aS'26/10\t26/10\tCD\tI-NP\tI-DNA' +p232839 +aS',\t,\t,\tO\tO' +p232840 +aS'mean\tmean\tNN\tB-NP\tO' +p232841 +aS'17\t17\tCD\tI-NP\tO' +p232842 +aS',\t,\t,\tO\tO' +p232843 +aS'PC\tPC\tNN\tB-NP\tB-protein' +p232844 +aS'7\t7\tCD\tI-NP\tI-protein' +p232845 +aS',\t,\t,\tO\tO' +p232846 +aS'RV\tRV\tNN\tB-NP\tB-protein' +p232847 +aS'26/6\t26/6\tCD\tI-NP\tI-protein' +p232848 +aS',\t,\t,\tO\tO' +p232849 +aS'RA\tRA\tNN\tB-NP\tB-protein' +p232850 +aS'4\t4\tCD\tI-NP\tI-protein' +p232851 +aS',\t,\t,\tO\tO' +p232852 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p232853 +aS'output\toutput\tNN\tI-NP\tO' +p232854 +aS'5.7\t5.7\tCD\tI-NP\tO' +p232855 +aS',\t,\t,\tO\tO' +p232856 +aS'index\tindex\tNN\tB-NP\tO' +p232857 +aS'3.8\t3.8\tCD\tI-NP\tO' +p232858 +aS'.\t.\t.\tO\tO' +p232859 +asS'Dr. Santdel Head Call ASAP to schedule in 2 weeks .' +p232860 +(lp232861 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p232862 +aS'Santdel\tSantdel\tNNP\tI-NP\tO' +p232863 +aS'Head\tHead\tNNP\tI-NP\tO' +p232864 +aS'Call\tCall\tNNP\tI-NP\tO' +p232865 +aS'ASAP\tASAP\tNNP\tI-NP\tO' +p232866 +aS'to\tto\tTO\tB-PP\tO' +p232867 +aS'schedule\tschedule\tNN\tB-NP\tO' +p232868 +aS'in\tin\tIN\tB-PP\tO' +p232869 +aS'2\t2\tCD\tB-NP\tO' +p232870 +aS'weeks\tweek\tNNS\tI-NP\tO' +p232871 +aS'.\t.\t.\tO\tO' +p232872 +asS'Given her hypertension which was very difficult to control , it was felt that she had renal artery stenosis and thus she underwent MRA of the kidney which showed severe right renal artery stenosis at its origin .' +p232873 +(lp232874 +S'Given\tGive\tVBN\tB-PP\tO' +p232875 +aS'her\ther\tPRP$\tB-NP\tO' +p232876 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p232877 +aS'which\twhich\tWDT\tB-NP\tO' +p232878 +aS'was\tbe\tVBD\tB-VP\tO' +p232879 +aS'very\tvery\tRB\tB-ADJP\tO' +p232880 +aS'difficult\tdifficult\tJJ\tI-ADJP\tO' +p232881 +aS'to\tto\tTO\tB-PP\tO' +p232882 +aS'control\tcontrol\tNN\tB-NP\tO' +p232883 +aS',\t,\t,\tO\tO' +p232884 +aS'it\tit\tPRP\tB-NP\tO' +p232885 +aS'was\tbe\tVBD\tB-VP\tO' +p232886 +aS'felt\tfeel\tVBN\tI-VP\tO' +p232887 +aS'that\tthat\tIN\tB-SBAR\tO' +p232888 +aS'she\tshe\tPRP\tB-NP\tO' +p232889 +aS'had\thave\tVBD\tB-VP\tO' +p232890 +aS'renal\trenal\tJJ\tB-NP\tO' +p232891 +aS'artery\tartery\tNN\tI-NP\tO' +p232892 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p232893 +aS'and\tand\tCC\tO\tO' +p232894 +aS'thus\tthus\tRB\tO\tO' +p232895 +aS'she\tshe\tPRP\tB-NP\tO' +p232896 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p232897 +aS'MRA\tMRA\tNN\tB-NP\tO' +p232898 +aS'of\tof\tIN\tB-PP\tO' +p232899 +aS'the\tthe\tDT\tB-NP\tO' +p232900 +aS'kidney\tkidney\tNN\tI-NP\tO' +p232901 +aS'which\twhich\tWDT\tB-NP\tO' +p232902 +aS'showed\tshow\tVBD\tB-VP\tO' +p232903 +aS'severe\tsevere\tJJ\tB-NP\tO' +p232904 +aS'right\tright\tJJ\tI-NP\tO' +p232905 +aS'renal\trenal\tJJ\tI-NP\tO' +p232906 +aS'artery\tartery\tNN\tI-NP\tO' +p232907 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p232908 +aS'at\tat\tIN\tB-PP\tO' +p232909 +aS'its\tits\tPRP$\tB-NP\tO' +p232910 +aS'origin\torigin\tNN\tI-NP\tO' +p232911 +aS'.\t.\t.\tO\tO' +p232912 +asS'The patient tolerated the procedure well without complication and was transferred to the Cardiac' +p232913 +(lp232914 +S'The\tThe\tDT\tB-NP\tO' +p232915 +aS'patient\tpatient\tNN\tI-NP\tO' +p232916 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p232917 +aS'the\tthe\tDT\tB-NP\tO' +p232918 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p232919 +aS'well\twell\tRB\tB-ADVP\tO' +p232920 +aS'without\twithout\tIN\tB-PP\tO' +p232921 +aS'complication\tcomplication\tNN\tB-NP\tO' +p232922 +aS'and\tand\tCC\tO\tO' +p232923 +aS'was\tbe\tVBD\tB-VP\tO' +p232924 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p232925 +aS'to\tto\tTO\tB-PP\tO' +p232926 +aS'the\tthe\tDT\tB-NP\tO' +p232927 +aS'Cardiac\tCardiac\tNN\tI-NP\tO' +p232928 +asS'ABNORMALITY #1: Throughout the recording there were frequent bursts of generalized theta and delta slowing .' +p232929 +(lp232930 +S'ABNORMALITY\tABNORMALITY\tNN\tB-NP\tO' +p232931 +aS'#1:\t#1:\t:\tO\tO' +p232932 +aS'Throughout\tThroughout\tIN\tB-PP\tO' +p232933 +aS'the\tthe\tDT\tB-NP\tO' +p232934 +aS'recording\trecording\tNN\tI-NP\tO' +p232935 +aS'there\tthere\tEX\tB-NP\tO' +p232936 +aS'were\tbe\tVBD\tB-VP\tO' +p232937 +aS'frequent\tfrequent\tJJ\tB-NP\tO' +p232938 +aS'bursts\tburst\tNNS\tI-NP\tO' +p232939 +aS'of\tof\tIN\tB-PP\tO' +p232940 +aS'generalized\tgeneralize\tVBN\tB-NP\tO' +p232941 +aS'theta\ttheta\tNN\tI-NP\tO' +p232942 +aS'and\tand\tCC\tI-NP\tO' +p232943 +aS'delta\tdelta\tNN\tI-NP\tO' +p232944 +aS'slowing\tslowing\tNN\tI-NP\tO' +p232945 +aS'.\t.\t.\tO\tO' +p232946 +asS'Toes are upgoing on the right .' +p232947 +(lp232948 +S'Toes\tToe\tNNS\tB-NP\tO' +p232949 +aS'are\tbe\tVBP\tB-VP\tO' +p232950 +aS'upgoing\tupgoe\tVBG\tI-VP\tO' +p232951 +aS'on\ton\tIN\tB-PP\tO' +p232952 +aS'the\tthe\tDT\tB-NP\tO' +p232953 +aS'right\tright\tNN\tI-NP\tO' +p232954 +aS'.\t.\t.\tO\tO' +p232955 +asS'Cardiovascular exam revealed a regular rate and rhythm without murmur .' +p232956 +(lp232957 +S'Cardiovascular\tCardiovascular\tJJ\tB-NP\tO' +p232958 +aS'exam\texam\tNN\tI-NP\tO' +p232959 +aS'revealed\treveal\tVBD\tB-VP\tO' +p232960 +aS'a\ta\tDT\tB-NP\tO' +p232961 +aS'regular\tregular\tJJ\tI-NP\tO' +p232962 +aS'rate\trate\tNN\tI-NP\tO' +p232963 +aS'and\tand\tCC\tI-NP\tO' +p232964 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p232965 +aS'without\twithout\tIN\tB-PP\tO' +p232966 +aS'murmur\tmurmur\tNN\tB-NP\tO' +p232967 +aS'.\t.\t.\tO\tO' +p232968 +asS'If fevers , chills , nausea , vomiting , diarrhea , increasing pain with food please call Dr. Gaetzfreierm 's office or PCP .' +p232969 +(lp232970 +S'If\tIf\tIN\tB-SBAR\tO' +p232971 +aS'fevers\tfever\tNNS\tB-NP\tO' +p232972 +aS',\t,\t,\tO\tO' +p232973 +aS'chills\tchill\tNNS\tB-NP\tO' +p232974 +aS',\t,\t,\tO\tO' +p232975 +aS'nausea\tnausea\tNN\tB-NP\tO' +p232976 +aS',\t,\t,\tO\tO' +p232977 +aS'vomiting\tvomiting\tNN\tB-NP\tO' +p232978 +aS',\t,\t,\tO\tO' +p232979 +aS'diarrhea\tdiarrhea\tNN\tB-NP\tO' +p232980 +aS',\t,\t,\tO\tO' +p232981 +aS'increasing\tincrease\tVBG\tB-VP\tO' +p232982 +aS'pain\tpain\tNN\tB-NP\tO' +p232983 +aS'with\twith\tIN\tB-PP\tO' +p232984 +aS'food\tfood\tNN\tB-NP\tO' +p232985 +aS'please\tplease\tNN\tI-NP\tO' +p232986 +aS'call\tcall\tNN\tI-NP\tO' +p232987 +aS'Dr.\tDr.\tNNP\tI-NP\tO' +p232988 +aS'Gaetzfreierm\tGaetzfreierm\tNNP\tI-NP\tO' +p232989 +aS''s\t'\tNNS\tI-NP\tO' +p232990 +aS'office\toffice\tNN\tI-NP\tO' +p232991 +aS'or\tor\tCC\tI-NP\tO' +p232992 +aS'PCP\tPCP\tNN\tI-NP\tB-protein' +p232993 +aS'.\t.\t.\tO\tO' +p232994 +asS'The patient was afebrile with stable vital signs .' +p232995 +(lp232996 +S'The\tThe\tDT\tB-NP\tO' +p232997 +aS'patient\tpatient\tNN\tI-NP\tO' +p232998 +aS'was\tbe\tVBD\tB-VP\tO' +p232999 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p233000 +aS'with\twith\tIN\tB-PP\tO' +p233001 +aS'stable\tstable\tJJ\tB-NP\tO' +p233002 +aS'vital\tvital\tJJ\tI-NP\tO' +p233003 +aS'signs\tsign\tNNS\tI-NP\tO' +p233004 +aS'.\t.\t.\tO\tO' +p233005 +asS'Pt will need I/Os monitored to goal even to slightly negative as she was diursed 4.8 L during her CMED stay .' +p233006 +(lp233007 +S'Pt\tPt\tNN\tB-NP\tO' +p233008 +aS'will\twill\tMD\tB-VP\tO' +p233009 +aS'need\tneed\tVB\tI-VP\tO' +p233010 +aS'I/Os\tI/O\tNNS\tB-NP\tB-protein' +p233011 +aS'monitored\tmonitor\tVBN\tB-VP\tO' +p233012 +aS'to\tto\tTO\tB-PP\tO' +p233013 +aS'goal\tgoal\tNN\tB-NP\tO' +p233014 +aS'even\teven\tRB\tB-ADVP\tO' +p233015 +aS'to\tto\tTO\tB-PP\tO' +p233016 +aS'slightly\tslightly\tRB\tB-ADJP\tO' +p233017 +aS'negative\tnegative\tJJ\tI-ADJP\tO' +p233018 +aS'as\tas\tIN\tB-SBAR\tO' +p233019 +aS'she\tshe\tPRP\tB-NP\tO' +p233020 +aS'was\tbe\tVBD\tB-VP\tO' +p233021 +aS'diursed\tdiurse\tVBN\tI-VP\tO' +p233022 +aS'4.8\t4.8\tCD\tB-NP\tO' +p233023 +aS'L\tL\tNN\tI-NP\tO' +p233024 +aS'during\tduring\tIN\tB-PP\tO' +p233025 +aS'her\ther\tPRP$\tB-NP\tO' +p233026 +aS'CMED\tCMED\tJJ\tI-NP\tO' +p233027 +aS'stay\tstay\tNN\tI-NP\tO' +p233028 +aS'.\t.\t.\tO\tO' +p233029 +asS'She is to be followed up by General Surgery .' +p233030 +(lp233031 +S'She\tShe\tPRP\tB-NP\tO' +p233032 +aS'is\tbe\tVBZ\tB-VP\tO' +p233033 +aS'to\tto\tTO\tI-VP\tO' +p233034 +aS'be\tbe\tVB\tI-VP\tO' +p233035 +aS'followed\tfollow\tVBN\tI-VP\tO' +p233036 +aS'up\tup\tRP\tB-PRT\tO' +p233037 +aS'by\tby\tIN\tB-PP\tO' +p233038 +aS'General\tGeneral\tNNP\tB-NP\tO' +p233039 +aS'Surgery\tSurgery\tNNP\tI-NP\tO' +p233040 +aS'.\t.\t.\tO\tO' +p233041 +asS'Delivery was by cesarean section under spinal anesthesia for pre-eclampsia .' +p233042 +(lp233043 +S'Delivery\tDelivery\tNN\tB-NP\tO' +p233044 +aS'was\tbe\tVBD\tB-VP\tO' +p233045 +aS'by\tby\tIN\tB-PP\tO' +p233046 +aS'cesarean\tcesarean\tJJ\tB-NP\tO' +p233047 +aS'section\tsection\tNN\tI-NP\tO' +p233048 +aS'under\tunder\tIN\tB-PP\tO' +p233049 +aS'spinal\tspinal\tJJ\tB-NP\tO' +p233050 +aS'anesthesia\tanesthesia\tNN\tI-NP\tO' +p233051 +aS'for\tfor\tIN\tB-PP\tO' +p233052 +aS'pre-eclampsia\tpre-eclampsia\tNN\tB-NP\tO' +p233053 +aS'.\t.\t.\tO\tO' +p233054 +asS'Dictated By : Sarah G Sheahan , M.D.' +p233055 +(lp233056 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p233057 +aS'By\tBy\tIN\tB-PP\tO' +p233058 +aS':\t:\t:\tO\tO' +p233059 +aS'Sarah\tSarah\tNNP\tB-NP\tO' +p233060 +aS'G\tG\tNNP\tI-NP\tO' +p233061 +aS'Sheahan\tSheahan\tNNP\tI-NP\tO' +p233062 +aS',\t,\t,\tO\tO' +p233063 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p233064 +asS'The patient 's WBC trended down to 10.7 at discharge from a peak of 13 on 04/07 .' +p233065 +(lp233066 +S'The\tThe\tDT\tB-NP\tO' +p233067 +aS'patient\tpatient\tNN\tI-NP\tO' +p233068 +aS''s\t'\tNNS\tI-NP\tO' +p233069 +aS'WBC\tWBC\tNNP\tB-NP\tO' +p233070 +aS'trended\ttrend\tVBD\tB-VP\tO' +p233071 +aS'down\tdown\tRB\tB-ADVP\tO' +p233072 +aS'to\tto\tTO\tB-PP\tO' +p233073 +aS'10.7\t10.7\tCD\tB-NP\tO' +p233074 +aS'at\tat\tIN\tB-PP\tO' +p233075 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p233076 +aS'from\tfrom\tIN\tB-PP\tO' +p233077 +aS'a\ta\tDT\tB-NP\tO' +p233078 +aS'peak\tpeak\tNN\tI-NP\tO' +p233079 +aS'of\tof\tIN\tB-PP\tO' +p233080 +aS'13\t13\tCD\tB-NP\tO' +p233081 +aS'on\ton\tIN\tB-PP\tO' +p233082 +aS'04/07\t04/07\tCD\tB-NP\tO' +p233083 +aS'.\t.\t.\tO\tO' +p233084 +asS'She underwent coronary artery bypass graft times two with saphenous vein graft on 29 March 1998 .' +p233085 +(lp233086 +S'She\tShe\tPRP\tB-NP\tO' +p233087 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p233088 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p233089 +aS'artery\tartery\tNN\tI-NP\tO' +p233090 +aS'bypass\tbypass\tIN\tB-PP\tO' +p233091 +aS'graft\tgraft\tNN\tB-NP\tO' +p233092 +aS'times\ttime\tNNS\tI-NP\tO' +p233093 +aS'two\ttwo\tCD\tB-NP\tO' +p233094 +aS'with\twith\tIN\tB-PP\tO' +p233095 +aS'saphenous\tsaphenous\tJJ\tB-NP\tO' +p233096 +aS'vein\tvein\tNN\tI-NP\tO' +p233097 +aS'graft\tgraft\tNN\tI-NP\tO' +p233098 +aS'on\ton\tIN\tB-PP\tO' +p233099 +aS'29\t29\tCD\tB-NP\tO' +p233100 +aS'March\tMarch\tNNP\tI-NP\tO' +p233101 +aS'1998\t1998\tCD\tI-NP\tO' +p233102 +aS'.\t.\t.\tO\tO' +p233103 +asS'There was no diplopia , visual loss , speech abnormality or sensory change in her history .' +p233104 +(lp233105 +S'There\tThere\tEX\tB-NP\tO' +p233106 +aS'was\tbe\tVBD\tB-VP\tO' +p233107 +aS'no\tno\tDT\tB-NP\tO' +p233108 +aS'diplopia\tdiplopia\tNN\tI-NP\tO' +p233109 +aS',\t,\t,\tO\tO' +p233110 +aS'visual\tvisual\tJJ\tB-NP\tO' +p233111 +aS'loss\tloss\tNN\tI-NP\tO' +p233112 +aS',\t,\t,\tO\tO' +p233113 +aS'speech\tspeech\tNN\tB-NP\tO' +p233114 +aS'abnormality\tabnormality\tNN\tI-NP\tO' +p233115 +aS'or\tor\tCC\tO\tO' +p233116 +aS'sensory\tsensory\tJJ\tB-NP\tO' +p233117 +aS'change\tchange\tNN\tI-NP\tO' +p233118 +aS'in\tin\tIN\tB-PP\tO' +p233119 +aS'her\ther\tPRP$\tB-NP\tO' +p233120 +aS'history\thistory\tNN\tI-NP\tO' +p233121 +aS'.\t.\t.\tO\tO' +p233122 +asS"Reportedly she has been evaluated at Shriner's Hospital for Crippled Children , HealthSouth Braintree Rehab Hospital , and possibly St. Elizabeth's Medical Center of Boston ." +p233123 +(lp233124 +S'Reportedly\tReportedly\tRB\tB-ADVP\tO' +p233125 +aS'she\tshe\tPRP\tB-NP\tO' +p233126 +aS'has\thave\tVBZ\tB-VP\tO' +p233127 +aS'been\tbe\tVBN\tI-VP\tO' +p233128 +aS'evaluated\tevaluate\tVBN\tI-VP\tO' +p233129 +aS'at\tat\tIN\tB-PP\tO' +p233130 +aS"Shriner's\tShriner's\tNNP\tB-NP\tO" +p233131 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p233132 +aS'for\tfor\tIN\tB-PP\tO' +p233133 +aS'Crippled\tCrippled\tNNP\tB-NP\tO' +p233134 +aS'Children\tChildren\tNNP\tI-NP\tO' +p233135 +aS',\t,\t,\tO\tO' +p233136 +aS'HealthSouth\tHealthSouth\tNNP\tB-NP\tO' +p233137 +aS'Braintree\tBraintree\tNNP\tI-NP\tO' +p233138 +aS'Rehab\tRehab\tNNP\tI-NP\tO' +p233139 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p233140 +aS',\t,\t,\tO\tO' +p233141 +aS'and\tand\tCC\tO\tO' +p233142 +aS'possibly\tpossibly\tRB\tB-ADVP\tO' +p233143 +aS'St.\tSt.\tNNP\tB-NP\tO' +p233144 +aS"Elizabeth's\tElizabeth's\tNNP\tI-NP\tO" +p233145 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p233146 +aS'Center\tCenter\tNNP\tI-NP\tO' +p233147 +aS'of\tof\tIN\tB-PP\tO' +p233148 +aS'Boston\tBoston\tNNP\tB-NP\tO' +p233149 +aS'.\t.\t.\tO\tO' +p233150 +asS'She noted that she had increased pain in her lower back , which she attributed to her arthritis .' +p233151 +(lp233152 +S'She\tShe\tPRP\tB-NP\tO' +p233153 +aS'noted\tnote\tVBD\tB-VP\tO' +p233154 +aS'that\tthat\tIN\tB-SBAR\tO' +p233155 +aS'she\tshe\tPRP\tB-NP\tO' +p233156 +aS'had\thave\tVBD\tB-VP\tO' +p233157 +aS'increased\tincrease\tVBN\tI-VP\tO' +p233158 +aS'pain\tpain\tNN\tB-NP\tO' +p233159 +aS'in\tin\tIN\tB-PP\tO' +p233160 +aS'her\ther\tPRP$\tB-NP\tO' +p233161 +aS'lower\tlow\tJJR\tI-NP\tO' +p233162 +aS'back\tback\tNN\tI-NP\tO' +p233163 +aS',\t,\t,\tO\tO' +p233164 +aS'which\twhich\tWDT\tB-NP\tO' +p233165 +aS'she\tshe\tPRP\tB-NP\tO' +p233166 +aS'attributed\tattribute\tVBD\tB-VP\tO' +p233167 +aS'to\tto\tTO\tB-PP\tO' +p233168 +aS'her\ther\tPRP$\tB-NP\tO' +p233169 +aS'arthritis\tarthritis\tNN\tI-NP\tO' +p233170 +aS'.\t.\t.\tO\tO' +p233171 +asS'2. Moderate knee joint effusion with possible ganglion cyst at the insertion of the PCL .' +p233172 +(lp233173 +S'2.\t2.\tLS\tB-LST\tO' +p233174 +aS'Moderate\tModerate\tNNP\tB-NP\tO' +p233175 +aS'knee\tknee\tVB\tB-VP\tO' +p233176 +aS'joint\tjoint\tJJ\tB-NP\tO' +p233177 +aS'effusion\teffusion\tNN\tI-NP\tO' +p233178 +aS'with\twith\tIN\tB-PP\tO' +p233179 +aS'possible\tpossible\tJJ\tB-NP\tO' +p233180 +aS'ganglion\tganglion\tNN\tI-NP\tO' +p233181 +aS'cyst\tcyst\tNN\tI-NP\tO' +p233182 +aS'at\tat\tIN\tB-PP\tO' +p233183 +aS'the\tthe\tDT\tB-NP\tO' +p233184 +aS'insertion\tinsertion\tNN\tI-NP\tO' +p233185 +aS'of\tof\tIN\tB-PP\tO' +p233186 +aS'the\tthe\tDT\tB-NP\tO' +p233187 +aS'PCL\tPCL\tNN\tI-NP\tB-protein' +p233188 +aS'.\t.\t.\tO\tO' +p233189 +asS'A repeat CAT scan of the head was performed .' +p233190 +(lp233191 +S'A\tA\tDT\tB-NP\tO' +p233192 +aS'repeat\trepeat\tNN\tI-NP\tO' +p233193 +aS'CAT\tCAT\tNN\tI-NP\tO' +p233194 +aS'scan\tscan\tNN\tI-NP\tO' +p233195 +aS'of\tof\tIN\tB-PP\tO' +p233196 +aS'the\tthe\tDT\tB-NP\tO' +p233197 +aS'head\thead\tNN\tI-NP\tO' +p233198 +aS'was\tbe\tVBD\tB-VP\tO' +p233199 +aS'performed\tperform\tVBN\tI-VP\tO' +p233200 +aS'.\t.\t.\tO\tO' +p233201 +asS'The patient was discharged with follow-up with his Hematologist , Dr. Eci Area and Rheumatologist , Dr. Taange Peter , and Cardiologist , Dr. Peter .' +p233202 +(lp233203 +S'The\tThe\tDT\tB-NP\tO' +p233204 +aS'patient\tpatient\tNN\tI-NP\tO' +p233205 +aS'was\tbe\tVBD\tB-VP\tO' +p233206 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p233207 +aS'with\twith\tIN\tB-PP\tO' +p233208 +aS'follow-up\tfollow-up\tNN\tB-NP\tO' +p233209 +aS'with\twith\tIN\tB-PP\tO' +p233210 +aS'his\this\tPRP$\tB-NP\tO' +p233211 +aS'Hematologist\tHematologist\tNNP\tI-NP\tO' +p233212 +aS',\t,\t,\tO\tO' +p233213 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p233214 +aS'Eci\tEci\tNNP\tI-NP\tO' +p233215 +aS'Area\tArea\tNNP\tI-NP\tO' +p233216 +aS'and\tand\tCC\tO\tO' +p233217 +aS'Rheumatologist\tRheumatologist\tNNP\tB-NP\tO' +p233218 +aS',\t,\t,\tO\tO' +p233219 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p233220 +aS'Taange\tTaange\tNNP\tI-NP\tO' +p233221 +aS'Peter\tPeter\tNNP\tI-NP\tO' +p233222 +aS',\t,\t,\tO\tO' +p233223 +aS'and\tand\tCC\tO\tO' +p233224 +aS'Cardiologist\tCardiologist\tNNP\tB-NP\tO' +p233225 +aS',\t,\t,\tO\tO' +p233226 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p233227 +aS'Peter\tPeter\tNNP\tI-NP\tO' +p233228 +aS'.\t.\t.\tO\tO' +p233229 +asS'Ultrasound without clot .' +p233230 +(lp233231 +S'Ultrasound\tUltrasound\tNN\tB-NP\tO' +p233232 +aS'without\twithout\tIN\tB-PP\tO' +p233233 +aS'clot\tclot\tNN\tB-NP\tO' +p233234 +aS'.\t.\t.\tO\tO' +p233235 +asS'Other concerns during his stay was his kidney function , due to his renal transplant in 2003 .' +p233236 +(lp233237 +S'Other\tOther\tJJ\tB-NP\tO' +p233238 +aS'concerns\tconcern\tNNS\tI-NP\tO' +p233239 +aS'during\tduring\tIN\tB-PP\tO' +p233240 +aS'his\this\tPRP$\tB-NP\tO' +p233241 +aS'stay\tstay\tNN\tI-NP\tO' +p233242 +aS'was\tbe\tVBD\tB-VP\tO' +p233243 +aS'his\this\tPRP$\tB-NP\tO' +p233244 +aS'kidney\tkidney\tNN\tI-NP\tO' +p233245 +aS'function\tfunction\tNN\tI-NP\tO' +p233246 +aS',\t,\t,\tO\tO' +p233247 +aS'due\tdue\tIN\tB-PP\tO' +p233248 +aS'to\tto\tTO\tB-PP\tO' +p233249 +aS'his\this\tPRP$\tB-NP\tO' +p233250 +aS'renal\trenal\tJJ\tI-NP\tO' +p233251 +aS'transplant\ttransplant\tNN\tI-NP\tO' +p233252 +aS'in\tin\tIN\tB-PP\tO' +p233253 +aS'2003\t2003\tCD\tB-NP\tO' +p233254 +aS'.\t.\t.\tO\tO' +p233255 +asS'12. Prednisone 10 mg Tablet Sig : 1-2 Tablets PO DAILY ( Daily ) for 4 days : Please take two pills for one day starting 11-17 , then take one pill for three days .' +p233256 +(lp233257 +S'12.\t12.\tCD\tB-NP\tO' +p233258 +aS'Prednisone\tPrednisone\tNN\tI-NP\tO' +p233259 +aS'10\t10\tCD\tB-NP\tO' +p233260 +aS'mg\tmg\tNN\tI-NP\tO' +p233261 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p233262 +aS'Sig\tSig\tNNP\tI-NP\tO' +p233263 +aS':\t:\t:\tO\tO' +p233264 +aS'1-2\t1-2\tCD\tB-NP\tO' +p233265 +aS'Tablets\tTablet\tNNS\tI-NP\tO' +p233266 +aS'PO\tPO\tNN\tI-NP\tO' +p233267 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p233268 +aS'(\t(\t(\tO\tO' +p233269 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p233270 +aS')\t)\t)\tO\tO' +p233271 +aS'for\tfor\tIN\tB-PP\tO' +p233272 +aS'4\t4\tCD\tB-NP\tO' +p233273 +aS'days\tday\tNNS\tI-NP\tO' +p233274 +aS':\t:\t:\tO\tO' +p233275 +aS'Please\tPlease\tNN\tB-NP\tB-protein' +p233276 +aS'take\ttake\tVB\tB-VP\tO' +p233277 +aS'two\ttwo\tCD\tB-NP\tO' +p233278 +aS'pills\tpill\tNNS\tI-NP\tO' +p233279 +aS'for\tfor\tIN\tB-PP\tO' +p233280 +aS'one\tone\tCD\tB-NP\tO' +p233281 +aS'day\tday\tNN\tI-NP\tO' +p233282 +aS'starting\tstart\tVBG\tB-VP\tO' +p233283 +aS'11-17\t11-17\tCD\tB-NP\tO' +p233284 +aS',\t,\t,\tO\tO' +p233285 +aS'then\tthen\tRB\tO\tO' +p233286 +aS'take\ttake\tVB\tB-VP\tO' +p233287 +aS'one\tone\tCD\tB-NP\tO' +p233288 +aS'pill\tpill\tNN\tI-NP\tO' +p233289 +aS'for\tfor\tIN\tB-PP\tO' +p233290 +aS'three\tthree\tCD\tB-NP\tO' +p233291 +aS'days\tday\tNNS\tI-NP\tO' +p233292 +aS'.\t.\t.\tO\tO' +p233293 +asS'The Troponin I was less than .4 and the creatine kinase was 114 .' +p233294 +(lp233295 +S'The\tThe\tDT\tB-NP\tO' +p233296 +aS'Troponin\tTroponin\tNN\tI-NP\tB-protein' +p233297 +aS'I\tI\tPRP\tB-NP\tI-protein' +p233298 +aS'was\tbe\tVBD\tB-VP\tO' +p233299 +aS'less\tless\tJJR\tB-ADJP\tO' +p233300 +aS'than\tthan\tIN\tB-PP\tO' +p233301 +aS'.4\t.4\tNN\tB-NP\tO' +p233302 +aS'and\tand\tCC\tO\tO' +p233303 +aS'the\tthe\tDT\tB-NP\tO' +p233304 +aS'creatine\tcreatine\tNN\tI-NP\tB-protein' +p233305 +aS'kinase\tkinase\tNN\tI-NP\tI-protein' +p233306 +aS'was\tbe\tVBD\tB-VP\tO' +p233307 +aS'114\t114\tCD\tB-NP\tO' +p233308 +aS'.\t.\t.\tO\tO' +p233309 +asS'Will check creatinine this afternoon .' +p233310 +(lp233311 +S'Will\tWill\tMD\tB-VP\tO' +p233312 +aS'check\tcheck\tVB\tI-VP\tO' +p233313 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p233314 +aS'this\tthis\tDT\tB-NP\tO' +p233315 +aS'afternoon\tafternoon\tNN\tI-NP\tO' +p233316 +aS'.\t.\t.\tO\tO' +p233317 +asS'Cardiac : Regular rate and rhythm , normal S1 , S2 .' +p233318 +(lp233319 +S'Cardiac\tCardiac\tJJ\tB-ADJP\tO' +p233320 +aS':\t:\t:\tO\tO' +p233321 +aS'Regular\tRegular\tJJ\tB-NP\tO' +p233322 +aS'rate\trate\tNN\tI-NP\tO' +p233323 +aS'and\tand\tCC\tI-NP\tO' +p233324 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p233325 +aS',\t,\t,\tO\tO' +p233326 +aS'normal\tnormal\tJJ\tB-NP\tO' +p233327 +aS'S1\tS1\tNN\tI-NP\tO' +p233328 +aS',\t,\t,\tO\tO' +p233329 +aS'S2\tS2\tNN\tB-NP\tB-protein' +p233330 +aS'.\t.\t.\tO\tO' +p233331 +asS'On postoperative day two , her Foley was discontinued .' +p233332 +(lp233333 +S'On\tOn\tIN\tB-PP\tO' +p233334 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p233335 +aS'day\tday\tNN\tI-NP\tO' +p233336 +aS'two\ttwo\tCD\tB-NP\tO' +p233337 +aS',\t,\t,\tO\tO' +p233338 +aS'her\ther\tPRP$\tB-NP\tO' +p233339 +aS'Foley\tFoley\tNNP\tI-NP\tO' +p233340 +aS'was\tbe\tVBD\tB-VP\tO' +p233341 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p233342 +aS'.\t.\t.\tO\tO' +p233343 +asS'Prenatal screens include blood type O negative .' +p233344 +(lp233345 +S'Prenatal\tPrenatal\tJJ\tB-NP\tO' +p233346 +aS'screens\tscreen\tNNS\tI-NP\tO' +p233347 +aS'include\tinclude\tVBP\tB-VP\tO' +p233348 +aS'blood\tblood\tNN\tB-NP\tO' +p233349 +aS'type\ttype\tNN\tI-NP\tO' +p233350 +aS'O\tO\tNN\tI-NP\tO' +p233351 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p233352 +aS'.\t.\t.\tO\tO' +p233353 +asS'Please continue Mr. David Montero for one month to fight his blood borne infection , to prevent seeding of his aortic graft and continue Bactrim for ten days after discharge to treat the E. coli in his urine .' +p233354 +(lp233355 +S'Please\tPlease\tNNP\tB-NP\tO' +p233356 +aS'continue\tcontinue\tVBP\tB-VP\tO' +p233357 +aS'Mr.\tMr.\tNNP\tB-NP\tO' +p233358 +aS'David\tDavid\tNNP\tI-NP\tO' +p233359 +aS'Montero\tMontero\tNNP\tI-NP\tO' +p233360 +aS'for\tfor\tIN\tB-PP\tO' +p233361 +aS'one\tone\tCD\tB-NP\tO' +p233362 +aS'month\tmonth\tNN\tI-NP\tO' +p233363 +aS'to\tto\tTO\tB-VP\tO' +p233364 +aS'fight\tfight\tVB\tI-VP\tO' +p233365 +aS'his\this\tPRP$\tB-NP\tO' +p233366 +aS'blood\tblood\tNN\tI-NP\tO' +p233367 +aS'borne\tborne\tNN\tI-NP\tO' +p233368 +aS'infection\tinfection\tNN\tI-NP\tO' +p233369 +aS',\t,\t,\tO\tO' +p233370 +aS'to\tto\tTO\tB-VP\tO' +p233371 +aS'prevent\tprevent\tVB\tI-VP\tO' +p233372 +aS'seeding\tseeding\tNN\tB-NP\tO' +p233373 +aS'of\tof\tIN\tB-PP\tO' +p233374 +aS'his\this\tPRP$\tB-NP\tO' +p233375 +aS'aortic\taortic\tJJ\tI-NP\tO' +p233376 +aS'graft\tgraft\tNN\tI-NP\tO' +p233377 +aS'and\tand\tCC\tO\tO' +p233378 +aS'continue\tcontinue\tVB\tB-VP\tO' +p233379 +aS'Bactrim\tBactrim\tNNP\tB-NP\tO' +p233380 +aS'for\tfor\tIN\tB-PP\tO' +p233381 +aS'ten\tten\tCD\tB-NP\tO' +p233382 +aS'days\tday\tNNS\tI-NP\tO' +p233383 +aS'after\tafter\tIN\tB-PP\tO' +p233384 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p233385 +aS'to\tto\tTO\tB-VP\tO' +p233386 +aS'treat\ttreat\tVB\tI-VP\tO' +p233387 +aS'the\tthe\tDT\tB-NP\tO' +p233388 +aS'E.\tE.\tNNP\tI-NP\tO' +p233389 +aS'coli\tcoli\tNNP\tI-NP\tO' +p233390 +aS'in\tin\tIN\tB-PP\tO' +p233391 +aS'his\this\tPRP$\tB-NP\tO' +p233392 +aS'urine\turine\tNN\tI-NP\tO' +p233393 +aS'.\t.\t.\tO\tO' +p233394 +asS'The patient was seen at the Leonard Morse/Metrowest Medical Center on 09-28 .' +p233395 +(lp233396 +S'The\tThe\tDT\tB-NP\tO' +p233397 +aS'patient\tpatient\tNN\tI-NP\tO' +p233398 +aS'was\tbe\tVBD\tB-VP\tO' +p233399 +aS'seen\tsee\tVBN\tI-VP\tO' +p233400 +aS'at\tat\tIN\tB-PP\tO' +p233401 +aS'the\tthe\tDT\tB-NP\tO' +p233402 +aS'Leonard\tLeonard\tNNP\tI-NP\tO' +p233403 +aS'Morse/Metrowest\tMorse/Metrowest\tNNP\tI-NP\tO' +p233404 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p233405 +aS'Center\tCenter\tNNP\tI-NP\tO' +p233406 +aS'on\ton\tIN\tB-PP\tO' +p233407 +aS'09-28\t09-28\tCD\tB-NP\tO' +p233408 +aS'.\t.\t.\tO\tO' +p233409 +asS'She had left lower leg varicose veins , no venous cords , and bilateral 2+ pedal pulses .' +p233410 +(lp233411 +S'She\tShe\tPRP\tB-NP\tO' +p233412 +aS'had\thave\tVBD\tB-VP\tO' +p233413 +aS'left\tleave\tVBN\tI-VP\tO' +p233414 +aS'lower\tlow\tJJR\tB-NP\tO' +p233415 +aS'leg\tleg\tNN\tI-NP\tO' +p233416 +aS'varicose\tvaricose\tNN\tI-NP\tO' +p233417 +aS'veins\tvein\tNNS\tI-NP\tO' +p233418 +aS',\t,\t,\tO\tO' +p233419 +aS'no\tno\tDT\tB-NP\tO' +p233420 +aS'venous\tvenous\tJJ\tI-NP\tO' +p233421 +aS'cords\tcord\tNNS\tI-NP\tO' +p233422 +aS',\t,\t,\tO\tO' +p233423 +aS'and\tand\tCC\tO\tO' +p233424 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p233425 +aS'2+\t2+\tJJ\tI-NP\tO' +p233426 +aS'pedal\tpedal\tJJ\tI-NP\tO' +p233427 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p233428 +aS'.\t.\t.\tO\tO' +p233429 +asS'Today , 2011-10-31 , postoperative day 13 the patient remains stable and ready for discharge to home .' +p233430 +(lp233431 +S'Today\tToday\tNN\tB-NP\tO' +p233432 +aS',\t,\t,\tO\tO' +p233433 +aS'2011-10-31\t2011-10-31\tCD\tB-NP\tO' +p233434 +aS',\t,\t,\tO\tO' +p233435 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p233436 +aS'day\tday\tNN\tI-NP\tO' +p233437 +aS'13\t13\tCD\tI-NP\tO' +p233438 +aS'the\tthe\tDT\tB-NP\tO' +p233439 +aS'patient\tpatient\tNN\tI-NP\tO' +p233440 +aS'remains\tremain\tVBZ\tB-VP\tO' +p233441 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p233442 +aS'and\tand\tCC\tI-ADJP\tO' +p233443 +aS'ready\tready\tJJ\tI-ADJP\tO' +p233444 +aS'for\tfor\tIN\tB-PP\tO' +p233445 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p233446 +aS'to\tto\tTO\tB-PP\tO' +p233447 +aS'home\thome\tNN\tB-NP\tO' +p233448 +aS'.\t.\t.\tO\tO' +p233449 +asS'This failed , despite one shock at 300 joules and two shocks at 360 joules .' +p233450 +(lp233451 +S'This\tThis\tDT\tB-NP\tO' +p233452 +aS'failed\tfail\tVBD\tB-VP\tO' +p233453 +aS',\t,\t,\tO\tO' +p233454 +aS'despite\tdespite\tIN\tB-PP\tO' +p233455 +aS'one\tone\tCD\tB-NP\tO' +p233456 +aS'shock\tshock\tNN\tI-NP\tO' +p233457 +aS'at\tat\tIN\tB-PP\tO' +p233458 +aS'300\t300\tCD\tB-NP\tO' +p233459 +aS'joules\tjoule\tNNS\tI-NP\tO' +p233460 +aS'and\tand\tCC\tO\tO' +p233461 +aS'two\ttwo\tCD\tB-NP\tO' +p233462 +aS'shocks\tshock\tNNS\tI-NP\tO' +p233463 +aS'at\tat\tIN\tB-PP\tO' +p233464 +aS'360\t360\tCD\tB-NP\tO' +p233465 +aS'joules\tjoule\tNNS\tI-NP\tO' +p233466 +aS'.\t.\t.\tO\tO' +p233467 +asS'The patient was on Levoxyl at home as her home dose for hyperthyroidism .' +p233468 +(lp233469 +S'The\tThe\tDT\tB-NP\tO' +p233470 +aS'patient\tpatient\tNN\tI-NP\tO' +p233471 +aS'was\tbe\tVBD\tB-VP\tO' +p233472 +aS'on\ton\tIN\tB-PP\tO' +p233473 +aS'Levoxyl\tLevoxyl\tNN\tB-NP\tO' +p233474 +aS'at\tat\tIN\tB-PP\tO' +p233475 +aS'home\thome\tNN\tB-NP\tO' +p233476 +aS'as\tas\tIN\tB-PP\tO' +p233477 +aS'her\ther\tPRP$\tB-NP\tO' +p233478 +aS'home\thome\tNN\tI-NP\tO' +p233479 +aS'dose\tdose\tNN\tI-NP\tO' +p233480 +aS'for\tfor\tIN\tB-PP\tO' +p233481 +aS'hyperthyroidism\thyperthyroidism\tNN\tB-NP\tO' +p233482 +aS'.\t.\t.\tO\tO' +p233483 +asS'At the time of discharge the patient was alert and oriented x3 and able to swallow pureed and thick diet without a problem .' +p233484 +(lp233485 +S'At\tAt\tIN\tB-PP\tO' +p233486 +aS'the\tthe\tDT\tB-NP\tO' +p233487 +aS'time\ttime\tNN\tI-NP\tO' +p233488 +aS'of\tof\tIN\tB-PP\tO' +p233489 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p233490 +aS'the\tthe\tDT\tB-NP\tO' +p233491 +aS'patient\tpatient\tNN\tI-NP\tO' +p233492 +aS'was\tbe\tVBD\tB-VP\tO' +p233493 +aS'alert\talert\tJJ\tB-NP\tO' +p233494 +aS'and\tand\tCC\tI-NP\tO' +p233495 +aS'oriented\toriented\tJJ\tI-NP\tO' +p233496 +aS'x3\tx3\tNN\tI-NP\tO' +p233497 +aS'and\tand\tCC\tO\tO' +p233498 +aS'able\table\tJJ\tB-ADJP\tO' +p233499 +aS'to\tto\tTO\tB-VP\tO' +p233500 +aS'swallow\tswallow\tVB\tI-VP\tO' +p233501 +aS'pureed\tpureed\tNN\tB-NP\tO' +p233502 +aS'and\tand\tCC\tO\tO' +p233503 +aS'thick\tthick\tJJ\tB-NP\tO' +p233504 +aS'diet\tdiet\tNN\tI-NP\tO' +p233505 +aS'without\twithout\tIN\tB-PP\tO' +p233506 +aS'a\ta\tDT\tB-NP\tO' +p233507 +aS'problem\tproblem\tNN\tI-NP\tO' +p233508 +aS'.\t.\t.\tO\tO' +p233509 +asS'Also ileal cecal resection , MDR showed that Cisplatin and VP 16 were more effective .' +p233510 +(lp233511 +S'Also\tAlso\tRB\tB-NP\tO' +p233512 +aS'ileal\tileal\tJJ\tI-NP\tO' +p233513 +aS'cecal\tcecal\tJJ\tI-NP\tO' +p233514 +aS'resection\tresection\tNN\tI-NP\tO' +p233515 +aS',\t,\t,\tO\tO' +p233516 +aS'MDR\tMDR\tNN\tB-NP\tB-protein' +p233517 +aS'showed\tshow\tVBD\tB-VP\tO' +p233518 +aS'that\tthat\tIN\tB-SBAR\tO' +p233519 +aS'Cisplatin\tCisplatin\tNN\tB-NP\tB-protein' +p233520 +aS'and\tand\tCC\tO\tO' +p233521 +aS'VP\tVP\tNN\tB-NP\tB-protein' +p233522 +aS'16\t16\tCD\tI-NP\tI-protein' +p233523 +aS'were\tbe\tVBD\tB-VP\tO' +p233524 +aS'more\tmore\tRBR\tB-ADJP\tO' +p233525 +aS'effective\teffective\tJJ\tI-ADJP\tO' +p233526 +aS'.\t.\t.\tO\tO' +p233527 +asS'Pulmonary artery pressure was markedly elevated at 120/60 .' +p233528 +(lp233529 +S'Pulmonary\tPulmonary\tJJ\tB-NP\tO' +p233530 +aS'artery\tartery\tNN\tI-NP\tO' +p233531 +aS'pressure\tpressure\tNN\tI-NP\tO' +p233532 +aS'was\tbe\tVBD\tB-VP\tO' +p233533 +aS'markedly\tmarkedly\tRB\tI-VP\tO' +p233534 +aS'elevated\televate\tVBN\tI-VP\tO' +p233535 +aS'at\tat\tIN\tB-PP\tO' +p233536 +aS'120/60\t120/60\tCD\tB-NP\tO' +p233537 +aS'.\t.\t.\tO\tO' +p233538 +asS'It just needed a unit that could have more sensitivity in the atrial mode .' +p233539 +(lp233540 +S'It\tIt\tPRP\tB-NP\tO' +p233541 +aS'just\tjust\tRB\tB-ADVP\tO' +p233542 +aS'needed\tneed\tVBD\tB-VP\tO' +p233543 +aS'a\ta\tDT\tB-NP\tO' +p233544 +aS'unit\tunit\tNN\tI-NP\tO' +p233545 +aS'that\tthat\tWDT\tB-NP\tO' +p233546 +aS'could\tcould\tMD\tB-VP\tO' +p233547 +aS'have\thave\tVB\tI-VP\tO' +p233548 +aS'more\tmore\tJJR\tB-NP\tO' +p233549 +aS'sensitivity\tsensitivity\tNN\tI-NP\tO' +p233550 +aS'in\tin\tIN\tB-PP\tO' +p233551 +aS'the\tthe\tDT\tB-NP\tO' +p233552 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p233553 +aS'mode\tmode\tNN\tI-NP\tO' +p233554 +aS'.\t.\t.\tO\tO' +p233555 +asS'As planned - continued consultation by Light and Endocrine' +p233556 +(lp233557 +S'As\tAs\tIN\tB-SBAR\tO' +p233558 +aS'planned\tplan\tVBN\tB-VP\tO' +p233559 +aS'-\t-\tHYPH\tB-PP\tO' +p233560 +aS'continued\tcontinue\tVBN\tB-NP\tO' +p233561 +aS'consultation\tconsultation\tNN\tI-NP\tO' +p233562 +aS'by\tby\tIN\tB-PP\tO' +p233563 +aS'Light\tLight\tNN\tB-NP\tO' +p233564 +aS'and\tand\tCC\tO\tO' +p233565 +aS'Endocrine\tEndocrine\tJJ\tB-ADJP\tO' +p233566 +asS'Then , noted to be volume overloaded and diuresed with lasix .' +p233567 +(lp233568 +S'Then\tThen\tRB\tB-ADVP\tO' +p233569 +aS',\t,\t,\tO\tO' +p233570 +aS'noted\tnote\tVBD\tB-VP\tO' +p233571 +aS'to\tto\tTO\tI-VP\tO' +p233572 +aS'be\tbe\tVB\tI-VP\tO' +p233573 +aS'volume\tvolume\tNN\tB-NP\tO' +p233574 +aS'overloaded\toverload\tVBN\tB-VP\tO' +p233575 +aS'and\tand\tCC\tI-VP\tO' +p233576 +aS'diuresed\tdiurese\tVBN\tI-VP\tO' +p233577 +aS'with\twith\tIN\tB-PP\tO' +p233578 +aS'lasix\tlasix\tNN\tB-NP\tO' +p233579 +aS'.\t.\t.\tO\tO' +p233580 +asS'She was without any adenopathy .' +p233581 +(lp233582 +S'She\tShe\tPRP\tB-NP\tO' +p233583 +aS'was\tbe\tVBD\tB-VP\tO' +p233584 +aS'without\twithout\tIN\tB-PP\tO' +p233585 +aS'any\tany\tDT\tB-NP\tO' +p233586 +aS'adenopathy\tadenopathy\tNN\tI-NP\tO' +p233587 +aS'.\t.\t.\tO\tO' +p233588 +asS'2. Oxycodone-Acetaminophen 5-325 mg Tablet Sig : 1-2 Tablets PO Q4-6H ( every 4 to 6 hours ) as needed .' +p233589 +(lp233590 +S'2.\t2.\tCD\tB-NP\tO' +p233591 +aS'Oxycodone-Acetaminophen\tOxycodone-Acetaminophen\tJJ\tI-NP\tO' +p233592 +aS'5-325\t5-325\tCD\tI-NP\tO' +p233593 +aS'mg\tmg\tNN\tI-NP\tO' +p233594 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p233595 +aS'Sig\tSig\tNNP\tI-NP\tO' +p233596 +aS':\t:\t:\tO\tO' +p233597 +aS'1-2\t1-2\tCD\tB-NP\tO' +p233598 +aS'Tablets\tTablet\tNNS\tI-NP\tO' +p233599 +aS'PO\tPO\tNN\tI-NP\tO' +p233600 +aS'Q4-6H\tQ4-6H\tNN\tI-NP\tO' +p233601 +aS'(\t(\t(\tO\tO' +p233602 +aS'every\tevery\tDT\tB-NP\tO' +p233603 +aS'4\t4\tCD\tI-NP\tO' +p233604 +aS'to\tto\tTO\tI-NP\tO' +p233605 +aS'6\t6\tCD\tI-NP\tO' +p233606 +aS'hours\thour\tNNS\tI-NP\tO' +p233607 +aS')\t)\t)\tO\tO' +p233608 +aS'as\tas\tIN\tB-SBAR\tO' +p233609 +aS'needed\tneed\tVBN\tB-VP\tO' +p233610 +aS'.\t.\t.\tO\tO' +p233611 +asS'Her Doxepin has recently been increased .' +p233612 +(lp233613 +S'Her\tHer\tPRP$\tB-NP\tO' +p233614 +aS'Doxepin\tDoxepin\tNNP\tI-NP\tO' +p233615 +aS'has\thave\tVBZ\tB-VP\tO' +p233616 +aS'recently\trecently\tRB\tI-VP\tO' +p233617 +aS'been\tbe\tVBN\tI-VP\tO' +p233618 +aS'increased\tincrease\tVBN\tI-VP\tO' +p233619 +aS'.\t.\t.\tO\tO' +p233620 +asS'4. Postoperative anemia .' +p233621 +(lp233622 +S'4.\t4.\tLS\tB-NP\tO' +p233623 +aS'Postoperative\tPostoperative\tJJ\tI-NP\tO' +p233624 +aS'anemia\tanemia\tNN\tI-NP\tO' +p233625 +aS'.\t.\t.\tO\tO' +p233626 +asS'For surgical incision and left arm' +p233627 +(lp233628 +S'For\tFor\tIN\tB-PP\tO' +p233629 +aS'surgical\tsurgical\tJJ\tB-NP\tO' +p233630 +aS'incision\tincision\tNN\tI-NP\tO' +p233631 +aS'and\tand\tCC\tO\tO' +p233632 +aS'left\tleave\tVBD\tB-VP\tO' +p233633 +aS'arm\tarm\tNN\tB-NP\tO' +p233634 +asS'B/L lower ext duplex us and a cta were performed , both of which were negative .' +p233635 +(lp233636 +S'B/L\tB/L\tNN\tB-NP\tO' +p233637 +aS'lower\tlow\tJJR\tI-NP\tO' +p233638 +aS'ext\text\tJJ\tI-NP\tO' +p233639 +aS'duplex\tduplex\tNN\tI-NP\tO' +p233640 +aS'us\tus\tPRP\tB-NP\tO' +p233641 +aS'and\tand\tCC\tO\tO' +p233642 +aS'a\ta\tDT\tB-NP\tO' +p233643 +aS'cta\tcta\tNN\tI-NP\tO' +p233644 +aS'were\tbe\tVBD\tB-VP\tO' +p233645 +aS'performed\tperform\tVBN\tI-VP\tO' +p233646 +aS',\t,\t,\tO\tO' +p233647 +aS'both\tboth\tDT\tB-NP\tO' +p233648 +aS'of\tof\tIN\tB-PP\tO' +p233649 +aS'which\twhich\tWDT\tB-NP\tO' +p233650 +aS'were\tbe\tVBD\tB-VP\tO' +p233651 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p233652 +aS'.\t.\t.\tO\tO' +p233653 +asS'She is on hydrochlorothiazide 50 mg p.o. q day .' +p233654 +(lp233655 +S'She\tShe\tPRP\tB-NP\tO' +p233656 +aS'is\tbe\tVBZ\tB-VP\tO' +p233657 +aS'on\ton\tIN\tB-PP\tO' +p233658 +aS'hydrochlorothiazide\thydrochlorothiazide\tNN\tB-NP\tO' +p233659 +aS'50\t50\tCD\tI-NP\tO' +p233660 +aS'mg\tmg\tNN\tI-NP\tO' +p233661 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p233662 +aS'q\tq\tNN\tI-NP\tO' +p233663 +aS'day\tday\tNN\tI-NP\tO' +p233664 +aS'.\t.\t.\tO\tO' +p233665 +asS'Twin #1 was noted to be in a breech presentation .' +p233666 +(lp233667 +S'Twin\tTwin\tNN\tB-NP\tB-protein' +p233668 +aS'#1\t#1\tNN\tI-NP\tI-protein' +p233669 +aS'was\tbe\tVBD\tB-VP\tO' +p233670 +aS'noted\tnote\tVBN\tI-VP\tO' +p233671 +aS'to\tto\tTO\tI-VP\tO' +p233672 +aS'be\tbe\tVB\tI-VP\tO' +p233673 +aS'in\tin\tIN\tB-PP\tO' +p233674 +aS'a\ta\tDT\tB-NP\tO' +p233675 +aS'breech\tbreech\tNN\tI-NP\tO' +p233676 +aS'presentation\tpresentation\tNN\tI-NP\tO' +p233677 +aS'.\t.\t.\tO\tO' +p233678 +asS'White count 20.0 , hematocrit 52 , platelets 439 .' +p233679 +(lp233680 +S'White\tWhite\tJJ\tB-NP\tO' +p233681 +aS'count\tcount\tNN\tI-NP\tO' +p233682 +aS'20.0\t20.0\tCD\tI-NP\tO' +p233683 +aS',\t,\t,\tO\tO' +p233684 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p233685 +aS'52\t52\tCD\tI-NP\tI-protein' +p233686 +aS',\t,\t,\tO\tO' +p233687 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p233688 +aS'439\t439\tCD\tB-NP\tO' +p233689 +aS'.\t.\t.\tO\tO' +p233690 +asS'Liver function tests : ALT 38 , AST 34 , alk phos is 107 , albumin is 3.2 , peak bili is 0.3 , amylase 31 , and lipase is 32 .' +p233691 +(lp233692 +S'Liver\tLiver\tNN\tB-NP\tO' +p233693 +aS'function\tfunction\tNN\tI-NP\tO' +p233694 +aS'tests\ttest\tNNS\tI-NP\tO' +p233695 +aS':\t:\t:\tO\tO' +p233696 +aS'ALT\tALT\tNN\tB-NP\tO' +p233697 +aS'38\t38\tCD\tI-NP\tO' +p233698 +aS',\t,\t,\tO\tO' +p233699 +aS'AST\tAST\tNN\tB-NP\tO' +p233700 +aS'34\t34\tCD\tI-NP\tO' +p233701 +aS',\t,\t,\tO\tO' +p233702 +aS'alk\talk\tNN\tB-NP\tO' +p233703 +aS'phos\tpho\tNNS\tI-NP\tO' +p233704 +aS'is\tbe\tVBZ\tB-VP\tO' +p233705 +aS'107\t107\tCD\tB-NP\tO' +p233706 +aS',\t,\t,\tO\tO' +p233707 +aS'albumin\talbumin\tNN\tB-NP\tB-protein' +p233708 +aS'is\tbe\tVBZ\tB-VP\tO' +p233709 +aS'3.2\t3.2\tCD\tB-NP\tO' +p233710 +aS',\t,\t,\tO\tO' +p233711 +aS'peak\tpeak\tJJ\tB-NP\tO' +p233712 +aS'bili\tbili\tNN\tI-NP\tO' +p233713 +aS'is\tbe\tVBZ\tB-VP\tO' +p233714 +aS'0.3\t0.3\tCD\tB-NP\tO' +p233715 +aS',\t,\t,\tO\tO' +p233716 +aS'amylase\tamylase\tNN\tB-NP\tB-protein' +p233717 +aS'31\t31\tCD\tI-NP\tI-protein' +p233718 +aS',\t,\t,\tO\tO' +p233719 +aS'and\tand\tCC\tO\tO' +p233720 +aS'lipase\tlipase\tNN\tB-NP\tO' +p233721 +aS'is\tbe\tVBZ\tB-VP\tO' +p233722 +aS'32\t32\tCD\tB-NP\tO' +p233723 +aS'.\t.\t.\tO\tO' +p233724 +asS'Seen by PMD on 12-14 w/ symptoms of cough productive of yellow sputum , which wife also had , prescribed zpak w/o improvement .' +p233725 +(lp233726 +S'Seen\tSeen\tNN\tB-NP\tO' +p233727 +aS'by\tby\tIN\tB-PP\tO' +p233728 +aS'PMD\tPMD\tNN\tB-NP\tO' +p233729 +aS'on\ton\tIN\tB-PP\tO' +p233730 +aS'12-14\t12-14\tCD\tB-NP\tO' +p233731 +aS'w/\tw/\tNN\tI-NP\tO' +p233732 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p233733 +aS'of\tof\tIN\tB-PP\tO' +p233734 +aS'cough\tcough\tNN\tB-NP\tO' +p233735 +aS'productive\tproductive\tJJ\tB-ADJP\tO' +p233736 +aS'of\tof\tIN\tB-PP\tO' +p233737 +aS'yellow\tyellow\tJJ\tB-NP\tO' +p233738 +aS'sputum\tsputum\tNN\tI-NP\tO' +p233739 +aS',\t,\t,\tO\tO' +p233740 +aS'which\twhich\tWDT\tB-NP\tO' +p233741 +aS'wife\twife\tVBP\tB-VP\tO' +p233742 +aS'also\talso\tRB\tB-ADVP\tO' +p233743 +aS'had\thave\tVBD\tB-VP\tO' +p233744 +aS',\t,\t,\tO\tO' +p233745 +aS'prescribed\tprescribe\tVBD\tB-VP\tO' +p233746 +aS'zpak\tzpak\tNN\tB-NP\tO' +p233747 +aS'w/o\tw/o\tNN\tI-NP\tO' +p233748 +aS'improvement\timprovement\tNN\tI-NP\tO' +p233749 +aS'.\t.\t.\tO\tO' +p233750 +asS'This report was created by SUMCHIRDKAYSMAVVEINDREPS , YERTREY 09/16/2004 05:53 PM' +p233751 +(lp233752 +S'This\tThis\tDT\tB-NP\tO' +p233753 +aS'report\treport\tNN\tI-NP\tO' +p233754 +aS'was\tbe\tVBD\tB-VP\tO' +p233755 +aS'created\tcreate\tVBN\tI-VP\tO' +p233756 +aS'by\tby\tIN\tB-PP\tO' +p233757 +aS'SUMCHIRDKAYSMAVVEINDREPS\tSUMCHIRDKAYSMAVVEINDREPS\tNNP\tB-NP\tO' +p233758 +aS',\t,\t,\tO\tO' +p233759 +aS'YERTREY\tYERTREY\tNNP\tB-NP\tO' +p233760 +aS'09/16/2004\t09/16/2004\tCD\tB-NP\tO' +p233761 +aS'05:53\t05:53\tCD\tI-NP\tO' +p233762 +aS'PM\tPM\tNN\tI-NP\tO' +p233763 +asS'likely exacerbation possibly from URI / pneumonia .' +p233764 +(lp233765 +S'likely\tlikely\tRB\tB-NP\tO' +p233766 +aS'exacerbation\texacerbation\tNN\tI-NP\tO' +p233767 +aS'possibly\tpossibly\tRB\tB-ADVP\tO' +p233768 +aS'from\tfrom\tIN\tB-PP\tO' +p233769 +aS'URI\tURI\tNN\tB-NP\tB-protein' +p233770 +aS'/\t/\tSYM\tB-NP\tO' +p233771 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p233772 +aS'.\t.\t.\tO\tO' +p233773 +asS'Low dose beta blockade was eventually resumed .' +p233774 +(lp233775 +S'Low\tLow\tJJ\tB-NP\tO' +p233776 +aS'dose\tdose\tNN\tI-NP\tO' +p233777 +aS'beta\tbeta\tNN\tI-NP\tO' +p233778 +aS'blockade\tblockade\tNN\tI-NP\tO' +p233779 +aS'was\tbe\tVBD\tB-VP\tO' +p233780 +aS'eventually\teventually\tRB\tI-VP\tO' +p233781 +aS'resumed\tresume\tVBN\tI-VP\tO' +p233782 +aS'.\t.\t.\tO\tO' +p233783 +asS'In addition , over the last couple of days prior to discharge , the patient did appear a little bit icteric .' +p233784 +(lp233785 +S'In\tIn\tIN\tB-PP\tO' +p233786 +aS'addition\taddition\tNN\tB-NP\tO' +p233787 +aS',\t,\t,\tO\tO' +p233788 +aS'over\tover\tIN\tB-PP\tO' +p233789 +aS'the\tthe\tDT\tB-NP\tO' +p233790 +aS'last\tlast\tJJ\tI-NP\tO' +p233791 +aS'couple\tcouple\tNN\tI-NP\tO' +p233792 +aS'of\tof\tIN\tB-PP\tO' +p233793 +aS'days\tday\tNNS\tB-NP\tO' +p233794 +aS'prior\tprior\tRB\tB-ADVP\tO' +p233795 +aS'to\tto\tTO\tB-VP\tO' +p233796 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p233797 +aS',\t,\t,\tO\tO' +p233798 +aS'the\tthe\tDT\tB-NP\tO' +p233799 +aS'patient\tpatient\tNN\tI-NP\tO' +p233800 +aS'did\tdo\tVBD\tB-VP\tO' +p233801 +aS'appear\tappear\tVB\tI-VP\tO' +p233802 +aS'a\ta\tDT\tB-NP\tO' +p233803 +aS'little\tlittle\tJJ\tI-NP\tO' +p233804 +aS'bit\tbit\tNN\tI-NP\tO' +p233805 +aS'icteric\ticteric\tJJ\tB-ADJP\tO' +p233806 +aS'.\t.\t.\tO\tO' +p233807 +asS'We will consider psychiatry consult in the future to assess for underlying anxiety disorder or depression .' +p233808 +(lp233809 +S'We\tWe\tPRP\tB-NP\tO' +p233810 +aS'will\twill\tMD\tB-VP\tO' +p233811 +aS'consider\tconsider\tVB\tI-VP\tO' +p233812 +aS'psychiatry\tpsychiatry\tNN\tB-NP\tO' +p233813 +aS'consult\tconsult\tNN\tI-NP\tO' +p233814 +aS'in\tin\tIN\tB-PP\tO' +p233815 +aS'the\tthe\tDT\tB-NP\tO' +p233816 +aS'future\tfuture\tNN\tI-NP\tO' +p233817 +aS'to\tto\tTO\tB-VP\tO' +p233818 +aS'assess\tassess\tVB\tI-VP\tO' +p233819 +aS'for\tfor\tIN\tB-PP\tO' +p233820 +aS'underlying\tunderlie\tVBG\tB-VP\tO' +p233821 +aS'anxiety\tanxiety\tNN\tB-NP\tO' +p233822 +aS'disorder\tdisorder\tNN\tI-NP\tO' +p233823 +aS'or\tor\tCC\tI-NP\tO' +p233824 +aS'depression\tdepression\tNN\tI-NP\tO' +p233825 +aS'.\t.\t.\tO\tO' +p233826 +asS'A regular rate .' +p233827 +(lp233828 +S'A\tA\tDT\tB-NP\tO' +p233829 +aS'regular\tregular\tJJ\tI-NP\tO' +p233830 +aS'rate\trate\tNN\tI-NP\tO' +p233831 +aS'.\t.\t.\tO\tO' +p233832 +asS'The patient did not have any carotid bruits , abdominal bruits or femoral bruits .' +p233833 +(lp233834 +S'The\tThe\tDT\tB-NP\tO' +p233835 +aS'patient\tpatient\tNN\tI-NP\tO' +p233836 +aS'did\tdo\tVBD\tB-VP\tO' +p233837 +aS'not\tnot\tRB\tI-VP\tO' +p233838 +aS'have\thave\tVB\tI-VP\tO' +p233839 +aS'any\tany\tDT\tB-NP\tO' +p233840 +aS'carotid\tcarotid\tJJ\tI-NP\tO' +p233841 +aS'bruits\tbruit\tNNS\tI-NP\tO' +p233842 +aS',\t,\t,\tO\tO' +p233843 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p233844 +aS'bruits\tbruit\tNNS\tI-NP\tO' +p233845 +aS'or\tor\tCC\tO\tO' +p233846 +aS'femoral\tfemoral\tJJ\tB-NP\tO' +p233847 +aS'bruits\tbruit\tNNS\tI-NP\tO' +p233848 +aS'.\t.\t.\tO\tO' +p233849 +asS'Review of systems was negative for history of opportunistic infections or prior hospitalizations .' +p233850 +(lp233851 +S'Review\tReview\tNN\tB-NP\tO' +p233852 +aS'of\tof\tIN\tB-PP\tO' +p233853 +aS'systems\tsystem\tNNS\tB-NP\tO' +p233854 +aS'was\tbe\tVBD\tB-VP\tO' +p233855 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p233856 +aS'for\tfor\tIN\tB-PP\tO' +p233857 +aS'history\thistory\tNN\tB-NP\tO' +p233858 +aS'of\tof\tIN\tB-PP\tO' +p233859 +aS'opportunistic\topportunistic\tJJ\tB-NP\tO' +p233860 +aS'infections\tinfection\tNNS\tI-NP\tO' +p233861 +aS'or\tor\tCC\tO\tO' +p233862 +aS'prior\tprior\tJJ\tB-NP\tO' +p233863 +aS'hospitalizations\thospitalization\tNNS\tI-NP\tO' +p233864 +aS'.\t.\t.\tO\tO' +p233865 +asS'Reason : Please r/o acute process .' +p233866 +(lp233867 +S'Reason\tReason\tNNP\tB-NP\tO' +p233868 +aS':\t:\t:\tO\tO' +p233869 +aS'Please\tPlease\tNNP\tB-NP\tO' +p233870 +aS'r/o\tr/o\tAFX\tB-NP\tO' +p233871 +aS'acute\tacute\tJJ\tI-NP\tO' +p233872 +aS'process\tprocess\tNN\tI-NP\tO' +p233873 +aS'.\t.\t.\tO\tO' +p233874 +asS'STAGE TWO OF HER SURGERY WILL BE DONE IN 3 WEEKS .' +p233875 +(lp233876 +S'STAGE\tSTAGE\tNN\tB-NP\tO' +p233877 +aS'TWO\tTWO\tNN\tI-NP\tO' +p233878 +aS'OF\tOF\tIN\tB-PP\tO' +p233879 +aS'HER\tHER\tNN\tB-NP\tO' +p233880 +aS'SURGERY\tSURGERY\tNN\tI-NP\tO' +p233881 +aS'WILL\tWILL\tMD\tB-VP\tO' +p233882 +aS'BE\tBE\tVB\tI-VP\tO' +p233883 +aS'DONE\tDONE\tNN\tB-NP\tO' +p233884 +aS'IN\tIN\tIN\tB-PP\tO' +p233885 +aS'3\t3\tCD\tB-NP\tO' +p233886 +aS'WEEKS\tWEEKS\tNN\tI-NP\tO' +p233887 +aS'.\t.\t.\tO\tO' +p233888 +asS'Regular , s1,s2 .' +p233889 +(lp233890 +S'Regular\tRegular\tJJ\tB-NP\tO' +p233891 +aS',\t,\t,\tI-NP\tO' +p233892 +aS's1,s2\ts1,s2\tNN\tI-NP\tB-protein' +p233893 +aS'.\t.\t.\tO\tO' +p233894 +asS'2. 7-4-93 , exploratory laparotomy , irrigation and debridement , pancreatic drainage placement , gastrostomy tube , jejunostomy , cholecystostomy , placement of right subclavian Quinton catheter ,' +p233895 +(lp233896 +S'2.\t2.\tLS\tB-NP\tO' +p233897 +aS'7-4-93\t7-4-93\tCD\tI-NP\tO' +p233898 +aS',\t,\t,\tO\tO' +p233899 +aS'exploratory\texploratory\tJJ\tB-NP\tO' +p233900 +aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' +p233901 +aS',\t,\t,\tO\tO' +p233902 +aS'irrigation\tirrigation\tNN\tB-NP\tO' +p233903 +aS'and\tand\tCC\tI-NP\tO' +p233904 +aS'debridement\tdebridement\tNN\tI-NP\tO' +p233905 +aS',\t,\t,\tO\tO' +p233906 +aS'pancreatic\tpancreatic\tJJ\tB-NP\tO' +p233907 +aS'drainage\tdrainage\tNN\tI-NP\tO' +p233908 +aS'placement\tplacement\tNN\tI-NP\tO' +p233909 +aS',\t,\t,\tO\tO' +p233910 +aS'gastrostomy\tgastrostomy\tNN\tB-NP\tO' +p233911 +aS'tube\ttube\tNN\tI-NP\tO' +p233912 +aS',\t,\t,\tO\tO' +p233913 +aS'jejunostomy\tjejunostomy\tNN\tB-NP\tO' +p233914 +aS',\t,\t,\tO\tO' +p233915 +aS'cholecystostomy\tcholecystostomy\tNN\tB-NP\tO' +p233916 +aS',\t,\t,\tO\tO' +p233917 +aS'placement\tplacement\tNN\tB-NP\tO' +p233918 +aS'of\tof\tIN\tB-PP\tO' +p233919 +aS'right\tright\tJJ\tB-NP\tO' +p233920 +aS'subclavian\tsubclavian\tJJ\tI-NP\tO' +p233921 +aS'Quinton\tQuinton\tNNP\tI-NP\tO' +p233922 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p233923 +aS',\t,\t,\tO\tO' +p233924 +asS'Atorvastatin 10 mg Tablet Sig : One ( 1 ) Tablet PO at bedtime .' +p233925 +(lp233926 +S'Atorvastatin\tAtorvastatin\tNN\tB-NP\tO' +p233927 +aS'10\t10\tCD\tI-NP\tO' +p233928 +aS'mg\tmg\tNN\tI-NP\tO' +p233929 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p233930 +aS'Sig\tSig\tNNP\tI-NP\tO' +p233931 +aS':\t:\t:\tO\tO' +p233932 +aS'One\tOne\tCD\tB-NP\tO' +p233933 +aS'(\t(\t(\tO\tO' +p233934 +aS'1\t1\tCD\tB-NP\tO' +p233935 +aS')\t)\t)\tO\tO' +p233936 +aS'Tablet\tTablet\tNN\tB-NP\tB-protein' +p233937 +aS'PO\tPO\tNN\tI-NP\tI-protein' +p233938 +aS'at\tat\tIN\tB-PP\tO' +p233939 +aS'bedtime\tbedtime\tNN\tB-NP\tO' +p233940 +aS'.\t.\t.\tO\tO' +p233941 +asS'The patient had a recent admission earlier in the month and he was discharged on 2015-09-10 , after undergoing cardiac catheterization .' +p233942 +(lp233943 +S'The\tThe\tDT\tB-NP\tO' +p233944 +aS'patient\tpatient\tNN\tI-NP\tO' +p233945 +aS'had\thave\tVBD\tB-VP\tO' +p233946 +aS'a\ta\tDT\tB-NP\tO' +p233947 +aS'recent\trecent\tJJ\tI-NP\tO' +p233948 +aS'admission\tadmission\tNN\tI-NP\tO' +p233949 +aS'earlier\tearlier\tRB\tB-ADVP\tO' +p233950 +aS'in\tin\tIN\tB-PP\tO' +p233951 +aS'the\tthe\tDT\tB-NP\tO' +p233952 +aS'month\tmonth\tNN\tI-NP\tO' +p233953 +aS'and\tand\tCC\tO\tO' +p233954 +aS'he\the\tPRP\tB-NP\tO' +p233955 +aS'was\tbe\tVBD\tB-VP\tO' +p233956 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p233957 +aS'on\ton\tIN\tB-PP\tO' +p233958 +aS'2015-09-10\t2015-09-10\tCD\tB-NP\tO' +p233959 +aS',\t,\t,\tO\tO' +p233960 +aS'after\tafter\tIN\tB-PP\tO' +p233961 +aS'undergoing\tundergo\tVBG\tB-VP\tO' +p233962 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p233963 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p233964 +aS'.\t.\t.\tO\tO' +p233965 +asS'A non contrast head CT scan was obtained and CT revealed severe cerebral edema with thalamic mid brain , pons , medullar low attenuation , diffuse cerebral edema , loss of gray white matter differentiation .' +p233966 +(lp233967 +S'A\tA\tDT\tB-NP\tO' +p233968 +aS'non\tnon\tJJ\tI-NP\tO' +p233969 +aS'contrast\tcontrast\tNN\tI-NP\tO' +p233970 +aS'head\thead\tNN\tI-NP\tO' +p233971 +aS'CT\tCT\tNN\tI-NP\tO' +p233972 +aS'scan\tscan\tNN\tI-NP\tO' +p233973 +aS'was\tbe\tVBD\tB-VP\tO' +p233974 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p233975 +aS'and\tand\tCC\tO\tO' +p233976 +aS'CT\tCT\tNN\tB-NP\tO' +p233977 +aS'revealed\treveal\tVBD\tB-VP\tO' +p233978 +aS'severe\tsevere\tJJ\tB-NP\tO' +p233979 +aS'cerebral\tcerebral\tJJ\tI-NP\tO' +p233980 +aS'edema\tedema\tNN\tI-NP\tO' +p233981 +aS'with\twith\tIN\tB-PP\tO' +p233982 +aS'thalamic\tthalamic\tJJ\tB-NP\tO' +p233983 +aS'mid\tmid\tJJ\tI-NP\tO' +p233984 +aS'brain\tbrain\tNN\tI-NP\tO' +p233985 +aS',\t,\t,\tO\tO' +p233986 +aS'pons\tpon\tNNS\tB-NP\tO' +p233987 +aS',\t,\t,\tO\tO' +p233988 +aS'medullar\tmedullar\tJJ\tB-NP\tO' +p233989 +aS'low\tlow\tJJ\tI-NP\tO' +p233990 +aS'attenuation\tattenuation\tNN\tI-NP\tO' +p233991 +aS',\t,\t,\tO\tO' +p233992 +aS'diffuse\tdiffuse\tJJ\tB-NP\tO' +p233993 +aS'cerebral\tcerebral\tJJ\tI-NP\tO' +p233994 +aS'edema\tedema\tNN\tI-NP\tO' +p233995 +aS',\t,\t,\tO\tO' +p233996 +aS'loss\tloss\tNN\tB-NP\tO' +p233997 +aS'of\tof\tIN\tB-PP\tO' +p233998 +aS'gray\tgray\tJJ\tB-NP\tO' +p233999 +aS'white\twhite\tJJ\tI-NP\tO' +p234000 +aS'matter\tmatter\tNN\tI-NP\tO' +p234001 +aS'differentiation\tdifferentiation\tNN\tI-NP\tO' +p234002 +aS'.\t.\t.\tO\tO' +p234003 +asS'Signed electronically by : DR. Ron Scott on : WED 2019-11-27 7:42 AM' +p234004 +(lp234005 +S'Signed\tSign\tVBN\tB-VP\tO' +p234006 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p234007 +aS'by\tby\tIN\tB-PP\tO' +p234008 +aS':\t:\t:\tO\tO' +p234009 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p234010 +aS'Ron\tRon\tNNP\tI-NP\tO' +p234011 +aS'Scott\tScott\tNNP\tI-NP\tO' +p234012 +aS'on\ton\tIN\tB-PP\tO' +p234013 +aS':\t:\t:\tO\tO' +p234014 +aS'WED\tWED\tVBD\tB-VP\tO' +p234015 +aS'2019-11-27\t2019-11-27\tCD\tB-NP\tO' +p234016 +aS'7:42\t7:42\tCD\tI-NP\tO' +p234017 +aS'AM\tAM\tNN\tI-NP\tO' +p234018 +asS'MMF 1000 mg b.i.d. .' +p234019 +(lp234020 +S'MMF\tMMF\tIN\tB-PP\tO' +p234021 +aS'1000\t1000\tCD\tB-NP\tO' +p234022 +aS'mg\tmg\tNN\tI-NP\tO' +p234023 +aS'b.i.d.\tb.i.d.\tRB\tB-ADVP\tO' +p234024 +aS'.\t.\t.\tO\tO' +p234025 +asS'Pulses were 2+ and symmetrical , no clubbing , cyanosis or edema .' +p234026 +(lp234027 +S'Pulses\tPulse\tNNS\tB-NP\tO' +p234028 +aS'were\tbe\tVBD\tB-VP\tO' +p234029 +aS'2+\t2+\tJJ\tB-ADJP\tO' +p234030 +aS'and\tand\tCC\tI-ADJP\tO' +p234031 +aS'symmetrical\tsymmetrical\tJJ\tI-ADJP\tO' +p234032 +aS',\t,\t,\tO\tO' +p234033 +aS'no\tno\tDT\tB-NP\tO' +p234034 +aS'clubbing\tclubbing\tNN\tI-NP\tO' +p234035 +aS',\t,\t,\tI-NP\tO' +p234036 +aS'cyanosis\tcyanosis\tNN\tI-NP\tO' +p234037 +aS'or\tor\tCC\tI-NP\tO' +p234038 +aS'edema\tedema\tNN\tI-NP\tO' +p234039 +aS'.\t.\t.\tO\tO' +p234040 +asS'intact .' +p234041 +(lp234042 +S'intact\tintact\tJJ\tB-ADJP\tO' +p234043 +aS'.\t.\t.\tO\tO' +p234044 +asS'This is worse when she has asthma flares .' +p234045 +(lp234046 +S'This\tThis\tDT\tB-NP\tO' +p234047 +aS'is\tbe\tVBZ\tB-VP\tO' +p234048 +aS'worse\tworse\tJJR\tB-ADJP\tO' +p234049 +aS'when\twhen\tWRB\tB-ADVP\tO' +p234050 +aS'she\tshe\tPRP\tB-NP\tO' +p234051 +aS'has\thave\tVBZ\tB-VP\tO' +p234052 +aS'asthma\tasthma\tNN\tB-NP\tO' +p234053 +aS'flares\tflare\tNNS\tI-NP\tO' +p234054 +aS'.\t.\t.\tO\tO' +p234055 +asS'History of high blood pressure , enlarged heart .' +p234056 +(lp234057 +S'History\tHistory\tNN\tB-NP\tO' +p234058 +aS'of\tof\tIN\tB-PP\tO' +p234059 +aS'high\thigh\tJJ\tB-NP\tO' +p234060 +aS'blood\tblood\tNN\tI-NP\tO' +p234061 +aS'pressure\tpressure\tNN\tI-NP\tO' +p234062 +aS',\t,\t,\tO\tO' +p234063 +aS'enlarged\tenlarge\tVBD\tB-VP\tO' +p234064 +aS'heart\theart\tNN\tB-NP\tO' +p234065 +aS'.\t.\t.\tO\tO' +p234066 +asS'Gag was symmetric .' +p234067 +(lp234068 +S'Gag\tGag\tNN\tB-NP\tB-protein' +p234069 +aS'was\tbe\tVBD\tB-VP\tO' +p234070 +aS'symmetric\tsymmetric\tJJ\tB-ADJP\tO' +p234071 +aS'.\t.\t.\tO\tO' +p234072 +asS'Last week , she had copious amounts of stool in the range of 500 cc to 1000 cc of liquid stool per day .' +p234073 +(lp234074 +S'Last\tLast\tJJ\tB-NP\tO' +p234075 +aS'week\tweek\tNN\tI-NP\tO' +p234076 +aS',\t,\t,\tO\tO' +p234077 +aS'she\tshe\tPRP\tB-NP\tO' +p234078 +aS'had\thave\tVBD\tB-VP\tO' +p234079 +aS'copious\tcopious\tJJ\tB-NP\tO' +p234080 +aS'amounts\tamount\tNNS\tI-NP\tO' +p234081 +aS'of\tof\tIN\tB-PP\tO' +p234082 +aS'stool\tstool\tNN\tB-NP\tO' +p234083 +aS'in\tin\tIN\tB-PP\tO' +p234084 +aS'the\tthe\tDT\tB-NP\tO' +p234085 +aS'range\trange\tNN\tI-NP\tO' +p234086 +aS'of\tof\tIN\tB-PP\tO' +p234087 +aS'500\t500\tCD\tB-NP\tO' +p234088 +aS'cc\tcc\tNN\tI-NP\tO' +p234089 +aS'to\tto\tTO\tB-PP\tO' +p234090 +aS'1000\t1000\tCD\tB-NP\tO' +p234091 +aS'cc\tcc\tNN\tI-NP\tO' +p234092 +aS'of\tof\tIN\tB-PP\tO' +p234093 +aS'liquid\tliquid\tJJ\tB-NP\tO' +p234094 +aS'stool\tstool\tNN\tI-NP\tO' +p234095 +aS'per\tper\tIN\tB-PP\tO' +p234096 +aS'day\tday\tNN\tB-NP\tO' +p234097 +aS'.\t.\t.\tO\tO' +p234098 +asS'Dr. Sheets (( 506 ) 858 7552) on 2015-10-26 at 10 am .' +p234099 +(lp234100 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p234101 +aS'Sheets\tSheet\tNNPS\tI-NP\tO' +p234102 +aS'((\t((\t(\tO\tO' +p234103 +aS'506\t506\tCD\tB-NP\tO' +p234104 +aS')\t)\t)\tO\tO' +p234105 +aS'858\t858\tCD\tB-NP\tO' +p234106 +aS'7552)\t7552)\tCD\tI-NP\tO' +p234107 +aS'on\ton\tIN\tB-PP\tO' +p234108 +aS'2015-10-26\t2015-10-26\tCD\tB-NP\tO' +p234109 +aS'at\tat\tIN\tB-PP\tO' +p234110 +aS'10\t10\tCD\tB-NP\tO' +p234111 +aS'am\tam\tNN\tI-NP\tO' +p234112 +aS'.\t.\t.\tO\tO' +p234113 +asS'F/U with Rau .' +p234114 +(lp234115 +S'F/U\tF/U\tNN\tB-NP\tO' +p234116 +aS'with\twith\tIN\tB-PP\tO' +p234117 +aS'Rau\tRau\tNNP\tB-NP\tO' +p234118 +aS'.\t.\t.\tO\tO' +p234119 +asS'Signed electronically by : DR. Muriel Zech on : WED 2015-11-04 11:30 AM' +p234120 +(lp234121 +S'Signed\tSign\tVBN\tB-VP\tO' +p234122 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p234123 +aS'by\tby\tIN\tB-PP\tO' +p234124 +aS':\t:\t:\tO\tO' +p234125 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p234126 +aS'Muriel\tMuriel\tNNP\tI-NP\tO' +p234127 +aS'Zech\tZech\tNNP\tI-NP\tO' +p234128 +aS'on\ton\tIN\tB-PP\tO' +p234129 +aS':\t:\t:\tO\tO' +p234130 +aS'WED\tWED\tVBD\tB-VP\tO' +p234131 +aS'2015-11-04\t2015-11-04\tCD\tB-NP\tO' +p234132 +aS'11:30\t11:30\tCD\tI-NP\tO' +p234133 +aS'AM\tAM\tNN\tI-NP\tO' +p234134 +asS'Developed renal failure with Cr peak of 2.9.' +p234135 +(lp234136 +S'Developed\tDevelop\tVBN\tB-NP\tO' +p234137 +aS'renal\trenal\tJJ\tI-NP\tO' +p234138 +aS'failure\tfailure\tNN\tI-NP\tO' +p234139 +aS'with\twith\tIN\tB-PP\tO' +p234140 +aS'Cr\tCr\tNN\tB-NP\tO' +p234141 +aS'peak\tpeak\tNN\tI-NP\tO' +p234142 +aS'of\tof\tIN\tB-PP\tO' +p234143 +aS'2.9.\t2.9.\tCD\tB-NP\tO' +p234144 +asS'She had no further hallucinations since stopping the Ifex .' +p234145 +(lp234146 +S'She\tShe\tPRP\tB-NP\tO' +p234147 +aS'had\thave\tVBD\tB-VP\tO' +p234148 +aS'no\tno\tDT\tB-NP\tO' +p234149 +aS'further\tfurther\tJJ\tI-NP\tO' +p234150 +aS'hallucinations\thallucination\tNNS\tI-NP\tO' +p234151 +aS'since\tsince\tIN\tB-PP\tO' +p234152 +aS'stopping\tstop\tVBG\tB-VP\tO' +p234153 +aS'the\tthe\tDT\tB-NP\tO' +p234154 +aS'Ifex\tIfex\tNNP\tI-NP\tO' +p234155 +aS'.\t.\t.\tO\tO' +p234156 +asS'On 1/12/92 near total gastrectomy with retrocolic Bill-Roth II gastrojejunostomy , portal node dissection , repair of ventral hernia , and needle jejunostomy tube placement .' +p234157 +(lp234158 +S'On\tOn\tIN\tB-PP\tO' +p234159 +aS'1/12/92\t1/12/92\tCD\tB-NP\tO' +p234160 +aS'near\tnear\tIN\tB-PP\tO' +p234161 +aS'total\ttotal\tJJ\tB-NP\tO' +p234162 +aS'gastrectomy\tgastrectomy\tNN\tI-NP\tO' +p234163 +aS'with\twith\tIN\tB-PP\tO' +p234164 +aS'retrocolic\tretrocolic\tJJ\tB-NP\tO' +p234165 +aS'Bill-Roth\tBill-Roth\tNN\tI-NP\tO' +p234166 +aS'II\tII\tCD\tI-NP\tO' +p234167 +aS'gastrojejunostomy\tgastrojejunostomy\tNN\tI-NP\tO' +p234168 +aS',\t,\t,\tO\tO' +p234169 +aS'portal\tportal\tJJ\tB-NP\tO' +p234170 +aS'node\tnode\tNN\tI-NP\tO' +p234171 +aS'dissection\tdissection\tNN\tI-NP\tO' +p234172 +aS',\t,\t,\tO\tO' +p234173 +aS'repair\trepair\tNN\tB-NP\tO' +p234174 +aS'of\tof\tIN\tB-PP\tO' +p234175 +aS'ventral\tventral\tJJ\tB-NP\tO' +p234176 +aS'hernia\thernia\tNN\tI-NP\tO' +p234177 +aS',\t,\t,\tO\tO' +p234178 +aS'and\tand\tCC\tO\tO' +p234179 +aS'needle\tneedle\tNN\tB-NP\tO' +p234180 +aS'jejunostomy\tjejunostomy\tNN\tI-NP\tO' +p234181 +aS'tube\ttube\tNN\tI-NP\tO' +p234182 +aS'placement\tplacement\tNN\tI-NP\tO' +p234183 +aS'.\t.\t.\tO\tO' +p234184 +asS'Chest x-ray showed a question of left lung opacity .' +p234185 +(lp234186 +S'Chest\tCh\tJJS\tB-NP\tO' +p234187 +aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' +p234188 +aS'showed\tshow\tVBD\tB-VP\tO' +p234189 +aS'a\ta\tDT\tB-NP\tO' +p234190 +aS'question\tquestion\tNN\tI-NP\tO' +p234191 +aS'of\tof\tIN\tB-PP\tO' +p234192 +aS'left\tleft\tJJ\tB-NP\tO' +p234193 +aS'lung\tlung\tNN\tI-NP\tO' +p234194 +aS'opacity\topacity\tNN\tI-NP\tO' +p234195 +aS'.\t.\t.\tO\tO' +p234196 +asS'She had a low bicarb likely due to renal wasting but there is an anion gap present .' +p234197 +(lp234198 +S'She\tShe\tPRP\tB-NP\tO' +p234199 +aS'had\thave\tVBD\tB-VP\tO' +p234200 +aS'a\ta\tDT\tB-NP\tO' +p234201 +aS'low\tlow\tJJ\tI-NP\tO' +p234202 +aS'bicarb\tbicarb\tNN\tI-NP\tO' +p234203 +aS'likely\tlikely\tRB\tB-ADJP\tO' +p234204 +aS'due\tdue\tIN\tB-PP\tO' +p234205 +aS'to\tto\tTO\tB-PP\tO' +p234206 +aS'renal\trenal\tJJ\tB-NP\tO' +p234207 +aS'wasting\twasting\tNN\tI-NP\tO' +p234208 +aS'but\tbut\tCC\tO\tO' +p234209 +aS'there\tthere\tEX\tB-NP\tO' +p234210 +aS'is\tbe\tVBZ\tB-VP\tO' +p234211 +aS'an\tan\tDT\tB-NP\tO' +p234212 +aS'anion\tanion\tNN\tI-NP\tO' +p234213 +aS'gap\tgap\tNN\tI-NP\tO' +p234214 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p234215 +aS'.\t.\t.\tO\tO' +p234216 +asS'6. Acetaminophen 325 mg Tablet Sig : 1-2 Tablets PO Q4-6H ( every 4 to 6 hours ) as needed .' +p234217 +(lp234218 +S'6.\t6.\tCD\tB-NP\tO' +p234219 +aS'Acetaminophen\tAcetaminophen\tNN\tI-NP\tO' +p234220 +aS'325\t325\tCD\tB-NP\tO' +p234221 +aS'mg\tmg\tNN\tI-NP\tO' +p234222 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p234223 +aS'Sig\tSig\tNNP\tI-NP\tO' +p234224 +aS':\t:\t:\tO\tO' +p234225 +aS'1-2\t1-2\tCD\tB-NP\tO' +p234226 +aS'Tablets\tTablet\tNNS\tI-NP\tO' +p234227 +aS'PO\tPO\tNN\tI-NP\tO' +p234228 +aS'Q4-6H\tQ4-6H\tNN\tI-NP\tO' +p234229 +aS'(\t(\t(\tO\tO' +p234230 +aS'every\tevery\tDT\tB-NP\tO' +p234231 +aS'4\t4\tCD\tI-NP\tO' +p234232 +aS'to\tto\tTO\tI-NP\tO' +p234233 +aS'6\t6\tCD\tI-NP\tO' +p234234 +aS'hours\thour\tNNS\tI-NP\tO' +p234235 +aS')\t)\t)\tO\tO' +p234236 +aS'as\tas\tIN\tB-SBAR\tO' +p234237 +aS'needed\tneed\tVBN\tB-VP\tO' +p234238 +aS'.\t.\t.\tO\tO' +p234239 +asS'She was treated briefly with levofloxacin because of the gram-positive cocci in her sputum culture ; however , her symptoms were felt to be consistent with a viral upper respiratory infection , and levofloxacin was continued at the time of discharge .' +p234240 +(lp234241 +S'She\tShe\tPRP\tB-NP\tO' +p234242 +aS'was\tbe\tVBD\tB-VP\tO' +p234243 +aS'treated\ttreat\tVBN\tI-VP\tO' +p234244 +aS'briefly\tbriefly\tRB\tB-ADVP\tO' +p234245 +aS'with\twith\tIN\tB-PP\tO' +p234246 +aS'levofloxacin\tlevofloxacin\tNN\tB-NP\tO' +p234247 +aS'because\tbecause\tIN\tB-PP\tO' +p234248 +aS'of\tof\tIN\tI-PP\tO' +p234249 +aS'the\tthe\tDT\tB-NP\tO' +p234250 +aS'gram-positive\tgram-positive\tJJ\tI-NP\tO' +p234251 +aS'cocci\tcoccus\tNNS\tI-NP\tO' +p234252 +aS'in\tin\tIN\tB-PP\tO' +p234253 +aS'her\ther\tPRP$\tB-NP\tO' +p234254 +aS'sputum\tsputum\tNN\tI-NP\tO' +p234255 +aS'culture\tculture\tNN\tI-NP\tO' +p234256 +aS';\t;\t:\tO\tO' +p234257 +aS'however\thowever\tRB\tB-ADVP\tO' +p234258 +aS',\t,\t,\tO\tO' +p234259 +aS'her\ther\tPRP$\tB-NP\tO' +p234260 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p234261 +aS'were\tbe\tVBD\tB-VP\tO' +p234262 +aS'felt\tfeel\tVBN\tI-VP\tO' +p234263 +aS'to\tto\tTO\tI-VP\tO' +p234264 +aS'be\tbe\tVB\tI-VP\tO' +p234265 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p234266 +aS'with\twith\tIN\tB-PP\tO' +p234267 +aS'a\ta\tDT\tB-NP\tO' +p234268 +aS'viral\tviral\tJJ\tI-NP\tO' +p234269 +aS'upper\tupper\tJJ\tI-NP\tO' +p234270 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p234271 +aS'infection\tinfection\tNN\tI-NP\tO' +p234272 +aS',\t,\t,\tO\tO' +p234273 +aS'and\tand\tCC\tO\tO' +p234274 +aS'levofloxacin\tlevofloxacin\tNN\tB-NP\tO' +p234275 +aS'was\tbe\tVBD\tB-VP\tO' +p234276 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p234277 +aS'at\tat\tIN\tB-PP\tO' +p234278 +aS'the\tthe\tDT\tB-NP\tO' +p234279 +aS'time\ttime\tNN\tI-NP\tO' +p234280 +aS'of\tof\tIN\tB-PP\tO' +p234281 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p234282 +aS'.\t.\t.\tO\tO' +p234283 +asS'Please follow up with your primary care physician within the next week .' +p234284 +(lp234285 +S'Please\tPlease\tVB\tB-VP\tO' +p234286 +aS'follow\tfollow\tVB\tI-VP\tO' +p234287 +aS'up\tup\tRP\tB-PRT\tO' +p234288 +aS'with\twith\tIN\tB-PP\tO' +p234289 +aS'your\tyour\tPRP$\tB-NP\tO' +p234290 +aS'primary\tprimary\tJJ\tI-NP\tO' +p234291 +aS'care\tcare\tNN\tI-NP\tO' +p234292 +aS'physician\tphysician\tNN\tI-NP\tO' +p234293 +aS'within\twithin\tIN\tB-PP\tO' +p234294 +aS'the\tthe\tDT\tB-NP\tO' +p234295 +aS'next\tnext\tJJ\tI-NP\tO' +p234296 +aS'week\tweek\tNN\tI-NP\tO' +p234297 +aS'.\t.\t.\tO\tO' +p234298 +asS'4) Zaroxolyn 0.25 mg p.o. q. day .' +p234299 +(lp234300 +S'4)\t4)\tLS\tB-LST\tO' +p234301 +aS'Zaroxolyn\tZaroxolyn\tNN\tB-NP\tO' +p234302 +aS'0.25\t0.25\tCD\tI-NP\tO' +p234303 +aS'mg\tmg\tNN\tI-NP\tO' +p234304 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p234305 +aS'q.\tq.\tNN\tI-NP\tO' +p234306 +aS'day\tday\tNN\tI-NP\tO' +p234307 +aS'.\t.\t.\tO\tO' +p234308 +asS'The patient quit smoking approximately fourteen years ago after a four pack per year history .' +p234309 +(lp234310 +S'The\tThe\tDT\tB-NP\tO' +p234311 +aS'patient\tpatient\tNN\tI-NP\tO' +p234312 +aS'quit\tquit\tVBD\tB-VP\tO' +p234313 +aS'smoking\tsmoke\tVBG\tI-VP\tO' +p234314 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p234315 +aS'fourteen\tfourteen\tCD\tI-NP\tO' +p234316 +aS'years\tyear\tNNS\tI-NP\tO' +p234317 +aS'ago\tago\tRB\tB-ADVP\tO' +p234318 +aS'after\tafter\tIN\tB-PP\tO' +p234319 +aS'a\ta\tDT\tB-NP\tO' +p234320 +aS'four\tfour\tCD\tI-NP\tO' +p234321 +aS'pack\tpack\tNN\tI-NP\tO' +p234322 +aS'per\tper\tIN\tB-PP\tO' +p234323 +aS'year\tyear\tNN\tB-NP\tO' +p234324 +aS'history\thistory\tNN\tB-NP\tO' +p234325 +aS'.\t.\t.\tO\tO' +p234326 +asS'16. Levothyroxine Sodium 75 mcg IV DAILY' +p234327 +(lp234328 +S'16.\t16.\tLS\tB-NP\tO' +p234329 +aS'Levothyroxine\tLevothyroxine\tNNP\tI-NP\tO' +p234330 +aS'Sodium\tSodium\tNNP\tI-NP\tO' +p234331 +aS'75\t75\tCD\tI-NP\tO' +p234332 +aS'mcg\tmcg\tNN\tI-NP\tO' +p234333 +aS'IV\tIV\tCD\tB-NP\tO' +p234334 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p234335 +asS'The patient recovered well status post these two procedures .' +p234336 +(lp234337 +S'The\tThe\tDT\tB-NP\tO' +p234338 +aS'patient\tpatient\tNN\tI-NP\tO' +p234339 +aS'recovered\trecover\tVBD\tB-VP\tO' +p234340 +aS'well\twell\tRB\tB-NP\tO' +p234341 +aS'status\tstatus\tNN\tI-NP\tO' +p234342 +aS'post\tpost\tIN\tB-PP\tO' +p234343 +aS'these\tthese\tDT\tB-NP\tO' +p234344 +aS'two\ttwo\tCD\tI-NP\tO' +p234345 +aS'procedures\tprocedure\tNNS\tI-NP\tO' +p234346 +aS'.\t.\t.\tO\tO' +p234347 +asS'He is being discharged , most likely , to Falmouth Hospital .' +p234348 +(lp234349 +S'He\tHe\tPRP\tB-NP\tO' +p234350 +aS'is\tbe\tVBZ\tB-VP\tO' +p234351 +aS'being\tbe\tVBG\tI-VP\tO' +p234352 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p234353 +aS',\t,\t,\tO\tO' +p234354 +aS'most\tmost\tRBS\tB-ADVP\tO' +p234355 +aS'likely\tlikely\tRB\tI-ADVP\tO' +p234356 +aS',\t,\t,\tO\tO' +p234357 +aS'to\tto\tTO\tB-PP\tO' +p234358 +aS'Falmouth\tFalmouth\tNNP\tB-NP\tO' +p234359 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p234360 +aS'.\t.\t.\tO\tO' +p234361 +asS'This procedure was performed by Dr. Kevin Taussig and assisted by Dr. Carla Solan .' +p234362 +(lp234363 +S'This\tThis\tDT\tB-NP\tO' +p234364 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p234365 +aS'was\tbe\tVBD\tB-VP\tO' +p234366 +aS'performed\tperform\tVBN\tI-VP\tO' +p234367 +aS'by\tby\tIN\tB-PP\tO' +p234368 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p234369 +aS'Kevin\tKevin\tNNP\tI-NP\tO' +p234370 +aS'Taussig\tTaussig\tNNP\tI-NP\tO' +p234371 +aS'and\tand\tCC\tO\tO' +p234372 +aS'assisted\tassist\tVBN\tB-VP\tO' +p234373 +aS'by\tby\tIN\tB-PP\tO' +p234374 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p234375 +aS'Carla\tCarla\tNNP\tI-NP\tO' +p234376 +aS'Solan\tSolan\tNNP\tI-NP\tO' +p234377 +aS'.\t.\t.\tO\tO' +p234378 +asS'It appears that his diet was regulated at rehab but there is concern for medication non-compliance at rehab , per previous discharge summaries .' +p234379 +(lp234380 +S'It\tIt\tPRP\tB-NP\tO' +p234381 +aS'appears\tappear\tVBZ\tB-VP\tO' +p234382 +aS'that\tthat\tIN\tB-SBAR\tO' +p234383 +aS'his\this\tPRP$\tB-NP\tO' +p234384 +aS'diet\tdiet\tNN\tI-NP\tO' +p234385 +aS'was\tbe\tVBD\tB-VP\tO' +p234386 +aS'regulated\tregulate\tVBN\tI-VP\tO' +p234387 +aS'at\tat\tIN\tB-PP\tO' +p234388 +aS'rehab\trehab\tNN\tB-NP\tO' +p234389 +aS'but\tbut\tCC\tO\tO' +p234390 +aS'there\tthere\tEX\tB-NP\tO' +p234391 +aS'is\tbe\tVBZ\tB-VP\tO' +p234392 +aS'concern\tconcern\tNN\tB-NP\tO' +p234393 +aS'for\tfor\tIN\tB-PP\tO' +p234394 +aS'medication\tmedication\tNN\tB-NP\tO' +p234395 +aS'non-compliance\tnon-compliance\tNN\tI-NP\tO' +p234396 +aS'at\tat\tIN\tB-PP\tO' +p234397 +aS'rehab\trehab\tNN\tB-NP\tO' +p234398 +aS',\t,\t,\tO\tO' +p234399 +aS'per\tper\tIN\tB-PP\tO' +p234400 +aS'previous\tprevious\tJJ\tB-NP\tO' +p234401 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p234402 +aS'summaries\tsummary\tNNS\tI-NP\tO' +p234403 +aS'.\t.\t.\tO\tO' +p234404 +asS'The patient will schedule with the Pain Clinic regarding upcoming epidural pump placement .' +p234405 +(lp234406 +S'The\tThe\tDT\tB-NP\tO' +p234407 +aS'patient\tpatient\tNN\tI-NP\tO' +p234408 +aS'will\twill\tMD\tB-VP\tO' +p234409 +aS'schedule\tschedule\tVB\tI-VP\tO' +p234410 +aS'with\twith\tIN\tB-PP\tO' +p234411 +aS'the\tthe\tDT\tB-NP\tO' +p234412 +aS'Pain\tPain\tNNP\tI-NP\tO' +p234413 +aS'Clinic\tClinic\tNNP\tI-NP\tO' +p234414 +aS'regarding\tregard\tVBG\tB-PP\tO' +p234415 +aS'upcoming\tupcome\tVBG\tB-VP\tO' +p234416 +aS'epidural\tepidural\tJJ\tB-NP\tO' +p234417 +aS'pump\tpump\tNN\tI-NP\tO' +p234418 +aS'placement\tplacement\tNN\tI-NP\tO' +p234419 +aS'.\t.\t.\tO\tO' +p234420 +asS'75 yo F with CAD s/p stenting , VT , SSS s/p pacer , COPD , presented to OSH 2016-03-21 with foot ulceration .' +p234421 +(lp234422 +S'75\t75\tCD\tB-NP\tO' +p234423 +aS'yo\tyo\tNN\tI-NP\tO' +p234424 +aS'F\tF\tNN\tI-NP\tO' +p234425 +aS'with\twith\tIN\tB-PP\tO' +p234426 +aS'CAD\tCAD\tNN\tB-NP\tO' +p234427 +aS's/p\ts/p\tNN\tI-NP\tO' +p234428 +aS'stenting\tstenting\tNN\tI-NP\tO' +p234429 +aS',\t,\t,\tO\tO' +p234430 +aS'VT\tVT\tNN\tB-NP\tO' +p234431 +aS',\t,\t,\tO\tO' +p234432 +aS'SSS\tSSS\tNN\tB-NP\tO' +p234433 +aS's/p\ts/p\tNN\tI-NP\tO' +p234434 +aS'pacer\tpacer\tNN\tI-NP\tO' +p234435 +aS',\t,\t,\tO\tO' +p234436 +aS'COPD\tCOPD\tNN\tB-NP\tO' +p234437 +aS',\t,\t,\tO\tO' +p234438 +aS'presented\tpresent\tVBN\tB-VP\tO' +p234439 +aS'to\tto\tTO\tB-PP\tO' +p234440 +aS'OSH\tOSH\tNN\tB-NP\tO' +p234441 +aS'2016-03-21\t2016-03-21\tCD\tI-NP\tO' +p234442 +aS'with\twith\tIN\tB-PP\tO' +p234443 +aS'foot\tfoot\tNN\tB-NP\tO' +p234444 +aS'ulceration\tulceration\tNN\tI-NP\tO' +p234445 +aS'.\t.\t.\tO\tO' +p234446 +asS'Within a few hours , he woke neurologically intact and was extubated .' +p234447 +(lp234448 +S'Within\tWithin\tIN\tB-PP\tO' +p234449 +aS'a\ta\tDT\tB-NP\tO' +p234450 +aS'few\tfew\tJJ\tI-NP\tO' +p234451 +aS'hours\thour\tNNS\tI-NP\tO' +p234452 +aS',\t,\t,\tO\tO' +p234453 +aS'he\the\tPRP\tB-NP\tO' +p234454 +aS'woke\twake\tVBD\tB-VP\tO' +p234455 +aS'neurologically\tneurologically\tRB\tB-ADJP\tO' +p234456 +aS'intact\tintact\tJJ\tI-ADJP\tO' +p234457 +aS'and\tand\tCC\tO\tO' +p234458 +aS'was\tbe\tVBD\tB-VP\tO' +p234459 +aS'extubated\textubate\tVBN\tI-VP\tO' +p234460 +aS'.\t.\t.\tO\tO' +p234461 +asS'? COPD vs atelectasis as cause of hypoxia .' +p234462 +(lp234463 +S'?\t?\t.\tO\tO' +p234464 +aS'COPD\tCOPD\tNN\tB-NP\tO' +p234465 +aS'vs\tvs\tCC\tI-NP\tO' +p234466 +aS'atelectasis\tatelectasis\tNN\tI-NP\tO' +p234467 +aS'as\tas\tIN\tB-PP\tO' +p234468 +aS'cause\tcause\tNN\tB-NP\tO' +p234469 +aS'of\tof\tIN\tB-PP\tO' +p234470 +aS'hypoxia\thypoxia\tNN\tB-NP\tO' +p234471 +aS'.\t.\t.\tO\tO' +p234472 +asS'Abdomen benign with no hepatosplenomegaly or masses .' +p234473 +(lp234474 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p234475 +aS'benign\tbenign\tJJ\tB-ADJP\tO' +p234476 +aS'with\twith\tIN\tB-PP\tO' +p234477 +aS'no\tno\tDT\tB-NP\tO' +p234478 +aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tI-NP\tO' +p234479 +aS'or\tor\tCC\tI-NP\tO' +p234480 +aS'masses\tmass\tNNS\tI-NP\tO' +p234481 +aS'.\t.\t.\tO\tO' +p234482 +asS'There are three aortic valve leaflets .' +p234483 +(lp234484 +S'There\tThere\tEX\tB-NP\tO' +p234485 +aS'are\tbe\tVBP\tB-VP\tO' +p234486 +aS'three\tthree\tCD\tB-NP\tO' +p234487 +aS'aortic\taortic\tJJ\tI-NP\tO' +p234488 +aS'valve\tvalve\tNN\tI-NP\tO' +p234489 +aS'leaflets\tleaflet\tNNS\tI-NP\tO' +p234490 +aS'.\t.\t.\tO\tO' +p234491 +asS'Two days after this event , she underwent an echocardiogram which was significant for slightly depressed left ventricular systolic function with severe posterior wall hypokinesis .' +p234492 +(lp234493 +S'Two\tTwo\tCD\tB-NP\tO' +p234494 +aS'days\tday\tNNS\tI-NP\tO' +p234495 +aS'after\tafter\tIN\tB-PP\tO' +p234496 +aS'this\tthis\tDT\tB-NP\tO' +p234497 +aS'event\tevent\tNN\tI-NP\tO' +p234498 +aS',\t,\t,\tO\tO' +p234499 +aS'she\tshe\tPRP\tB-NP\tO' +p234500 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p234501 +aS'an\tan\tDT\tB-NP\tO' +p234502 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p234503 +aS'which\twhich\tWDT\tB-NP\tO' +p234504 +aS'was\tbe\tVBD\tB-VP\tO' +p234505 +aS'significant\tsignificant\tJJ\tB-ADJP\tO' +p234506 +aS'for\tfor\tIN\tB-PP\tO' +p234507 +aS'slightly\tslightly\tRB\tB-NP\tO' +p234508 +aS'depressed\tdepressed\tJJ\tI-NP\tO' +p234509 +aS'left\tleft\tJJ\tI-NP\tO' +p234510 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p234511 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p234512 +aS'function\tfunction\tNN\tI-NP\tO' +p234513 +aS'with\twith\tIN\tB-PP\tO' +p234514 +aS'severe\tsevere\tJJ\tB-NP\tO' +p234515 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p234516 +aS'wall\twall\tNN\tI-NP\tO' +p234517 +aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' +p234518 +aS'.\t.\t.\tO\tO' +p234519 +asS'Aspirin 325 , he was restarted on a PPI , also on iron , vitamin C , Lopressor 12.5 b.i.d .' +p234520 +(lp234521 +S'Aspirin\tAspirin\tNN\tB-NP\tO' +p234522 +aS'325\t325\tCD\tI-NP\tO' +p234523 +aS',\t,\t,\tO\tO' +p234524 +aS'he\the\tPRP\tB-NP\tO' +p234525 +aS'was\tbe\tVBD\tB-VP\tO' +p234526 +aS'restarted\trestart\tVBN\tI-VP\tO' +p234527 +aS'on\ton\tIN\tB-PP\tO' +p234528 +aS'a\ta\tDT\tB-NP\tO' +p234529 +aS'PPI\tPPI\tNN\tI-NP\tB-protein' +p234530 +aS',\t,\t,\tO\tO' +p234531 +aS'also\talso\tRB\tB-ADVP\tO' +p234532 +aS'on\ton\tIN\tB-PP\tO' +p234533 +aS'iron\tiron\tNN\tB-NP\tO' +p234534 +aS',\t,\t,\tO\tO' +p234535 +aS'vitamin\tvitamin\tNN\tB-NP\tO' +p234536 +aS'C\tC\tNN\tI-NP\tO' +p234537 +aS',\t,\t,\tO\tO' +p234538 +aS'Lopressor\tLopressor\tNN\tB-NP\tO' +p234539 +aS'12.5\t12.5\tCD\tI-NP\tO' +p234540 +aS'b.i.d\tb.i.d\tNN\tI-NP\tO' +p234541 +aS'.\t.\t.\tO\tO' +p234542 +asS'( 658 ) 842-8661 .' +p234543 +(lp234544 +S'(\t(\t(\tO\tO' +p234545 +aS'658\t658\tCD\tB-NP\tO' +p234546 +aS')\t)\t)\tO\tO' +p234547 +aS'842-8661\t842-8661\tCD\tB-NP\tO' +p234548 +aS'.\t.\t.\tO\tO' +p234549 +asS'Rule out sepsis with antibiotic .' +p234550 +(lp234551 +S'Rule\tRule\tNNP\tB-VP\tO' +p234552 +aS'out\tout\tRP\tB-PRT\tO' +p234553 +aS'sepsis\tsepsis\tNN\tB-NP\tO' +p234554 +aS'with\twith\tIN\tB-PP\tO' +p234555 +aS'antibiotic\tantibiotic\tNN\tB-NP\tO' +p234556 +aS'.\t.\t.\tO\tO' +p234557 +asS'His pulse exam was intact .' +p234558 +(lp234559 +S'His\tHis\tPRP$\tB-NP\tO' +p234560 +aS'pulse\tpulse\tNN\tI-NP\tO' +p234561 +aS'exam\texam\tNN\tI-NP\tO' +p234562 +aS'was\tbe\tVBD\tB-VP\tO' +p234563 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p234564 +aS'.\t.\t.\tO\tO' +p234565 +asS'2. Morphine Sulfate 1 mg intravenous p.r.n.' +p234566 +(lp234567 +S'2.\t2.\tLS\tB-NP\tO' +p234568 +aS'Morphine\tMorphine\tNN\tI-NP\tO' +p234569 +aS'Sulfate\tSulfate\tNN\tI-NP\tO' +p234570 +aS'1\t1\tCD\tI-NP\tO' +p234571 +aS'mg\tmg\tNN\tI-NP\tO' +p234572 +aS'intravenous\tintravenous\tJJ\tI-NP\tO' +p234573 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p234574 +asS'2. Coronary artery disease .' +p234575 +(lp234576 +S'2.\t2.\tLS\tB-NP\tO' +p234577 +aS'Coronary\tCoronary\tJJ\tI-NP\tO' +p234578 +aS'artery\tartery\tNN\tI-NP\tO' +p234579 +aS'disease\tdisease\tNN\tI-NP\tO' +p234580 +aS'.\t.\t.\tO\tO' +p234581 +asS'The risk factors were addressed .' +p234582 +(lp234583 +S'The\tThe\tDT\tB-NP\tO' +p234584 +aS'risk\trisk\tNN\tI-NP\tO' +p234585 +aS'factors\tfactor\tNNS\tI-NP\tO' +p234586 +aS'were\tbe\tVBD\tB-VP\tO' +p234587 +aS'addressed\taddress\tVBN\tI-VP\tO' +p234588 +aS'.\t.\t.\tO\tO' +p234589 +asS'Bilateral crackles at bases and midlungs , elevated JVP , trace bilateral ankle edema , and CXR with diffuse opacities suggest possible pulmonary edema , likely secondary to acute MI .' +p234590 +(lp234591 +S'Bilateral\tBilateral\tJJ\tB-NP\tO' +p234592 +aS'crackles\tcrackle\tNNS\tI-NP\tO' +p234593 +aS'at\tat\tIN\tB-PP\tO' +p234594 +aS'bases\tbase\tNNS\tB-NP\tO' +p234595 +aS'and\tand\tCC\tI-NP\tO' +p234596 +aS'midlungs\tmidlung\tNNS\tI-NP\tO' +p234597 +aS',\t,\t,\tO\tO' +p234598 +aS'elevated\televate\tVBN\tB-VP\tO' +p234599 +aS'JVP\tJVP\tNNP\tB-NP\tO' +p234600 +aS',\t,\t,\tO\tO' +p234601 +aS'trace\ttrace\tNN\tB-NP\tO' +p234602 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p234603 +aS'ankle\tankle\tNN\tI-NP\tO' +p234604 +aS'edema\tedema\tNN\tI-NP\tO' +p234605 +aS',\t,\t,\tO\tO' +p234606 +aS'and\tand\tCC\tO\tO' +p234607 +aS'CXR\tCXR\tNN\tB-NP\tB-protein' +p234608 +aS'with\twith\tIN\tB-PP\tO' +p234609 +aS'diffuse\tdiffuse\tJJ\tB-NP\tO' +p234610 +aS'opacities\topacity\tNNS\tI-NP\tO' +p234611 +aS'suggest\tsuggest\tVBP\tB-VP\tO' +p234612 +aS'possible\tpossible\tJJ\tB-NP\tO' +p234613 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p234614 +aS'edema\tedema\tNN\tI-NP\tO' +p234615 +aS',\t,\t,\tO\tO' +p234616 +aS'likely\tlikely\tRB\tB-ADJP\tO' +p234617 +aS'secondary\tsecondary\tJJ\tI-ADJP\tO' +p234618 +aS'to\tto\tTO\tB-PP\tO' +p234619 +aS'acute\tacute\tJJ\tB-NP\tO' +p234620 +aS'MI\tMI\tNN\tI-NP\tO' +p234621 +aS'.\t.\t.\tO\tO' +p234622 +asS'Carotid upstroke was normal .' +p234623 +(lp234624 +S'Carotid\tCarotid\tNNP\tB-NP\tO' +p234625 +aS'upstroke\tupstroke\tVBD\tB-VP\tO' +p234626 +aS'was\tbe\tVBD\tB-VP\tO' +p234627 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p234628 +aS'.\t.\t.\tO\tO' +p234629 +asS'There was bran atrophy and right temporal encephalomalacia .' +p234630 +(lp234631 +S'There\tThere\tEX\tB-NP\tO' +p234632 +aS'was\tbe\tVBD\tB-VP\tO' +p234633 +aS'bran\tbran\tNN\tB-NP\tO' +p234634 +aS'atrophy\tatrophy\tNN\tI-NP\tO' +p234635 +aS'and\tand\tCC\tO\tO' +p234636 +aS'right\tright\tJJ\tB-NP\tO' +p234637 +aS'temporal\ttemporal\tJJ\tI-NP\tO' +p234638 +aS'encephalomalacia\tencephalomalacia\tNN\tI-NP\tO' +p234639 +aS'.\t.\t.\tO\tO' +p234640 +asS'She was quite able to climb stairs on her own in the hospital .' +p234641 +(lp234642 +S'She\tShe\tPRP\tB-NP\tO' +p234643 +aS'was\tbe\tVBD\tB-VP\tO' +p234644 +aS'quite\tquite\tRB\tB-ADJP\tO' +p234645 +aS'able\table\tJJ\tI-ADJP\tO' +p234646 +aS'to\tto\tTO\tB-VP\tO' +p234647 +aS'climb\tclimb\tVB\tI-VP\tO' +p234648 +aS'stairs\tstair\tNNS\tB-NP\tO' +p234649 +aS'on\ton\tIN\tB-PP\tO' +p234650 +aS'her\ther\tPRP$\tB-NP\tO' +p234651 +aS'own\town\tJJ\tI-NP\tO' +p234652 +aS'in\tin\tIN\tB-PP\tO' +p234653 +aS'the\tthe\tDT\tB-NP\tO' +p234654 +aS'hospital\thospital\tNN\tI-NP\tO' +p234655 +aS'.\t.\t.\tO\tO' +p234656 +asS'We obtained sensitivities of his wound bacteria .' +p234657 +(lp234658 +S'We\tWe\tPRP\tB-NP\tO' +p234659 +aS'obtained\tobtain\tVBD\tB-VP\tO' +p234660 +aS'sensitivities\tsensitivity\tNNS\tB-NP\tO' +p234661 +aS'of\tof\tIN\tB-PP\tO' +p234662 +aS'his\this\tPRP$\tB-NP\tO' +p234663 +aS'wound\twound\tNN\tI-NP\tO' +p234664 +aS'bacteria\tbacteria\tNNS\tI-NP\tO' +p234665 +aS'.\t.\t.\tO\tO' +p234666 +asS'4. Duloxetine 30 mg Capsule , Delayed Release ( E.C. ) Sig : One ( 1 ) Capsule , Delayed Release ( E.C. ) PO BID ( 2 times a day ) .' +p234667 +(lp234668 +S'4.\t4.\tLS\tB-NP\tO' +p234669 +aS'Duloxetine\tDuloxetine\tNN\tI-NP\tO' +p234670 +aS'30\t30\tCD\tB-NP\tO' +p234671 +aS'mg\tmg\tNN\tI-NP\tO' +p234672 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p234673 +aS',\t,\t,\tO\tO' +p234674 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p234675 +aS'Release\tRelease\tNNP\tI-NP\tO' +p234676 +aS'(\t(\t(\tO\tO' +p234677 +aS'E.C.\tE.C.\tNNP\tB-NP\tO' +p234678 +aS')\t)\t)\tO\tO' +p234679 +aS'Sig\tSig\tNNP\tB-NP\tO' +p234680 +aS':\t:\t:\tO\tO' +p234681 +aS'One\tOne\tCD\tB-NP\tO' +p234682 +aS'(\t(\t(\tO\tO' +p234683 +aS'1\t1\tCD\tB-NP\tO' +p234684 +aS')\t)\t)\tO\tO' +p234685 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p234686 +aS',\t,\t,\tO\tO' +p234687 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p234688 +aS'Release\tRelease\tNNP\tI-NP\tO' +p234689 +aS'(\t(\t(\tO\tO' +p234690 +aS'E.C.\tE.C.\tNNP\tO\tO' +p234691 +aS')\t)\t)\tO\tO' +p234692 +aS'PO\tPO\tNN\tB-NP\tO' +p234693 +aS'BID\tBID\tNN\tI-NP\tO' +p234694 +aS'(\t(\t(\tO\tO' +p234695 +aS'2\t2\tCD\tB-NP\tO' +p234696 +aS'times\ttime\tNNS\tI-NP\tO' +p234697 +aS'a\ta\tDT\tB-NP\tO' +p234698 +aS'day\tday\tNN\tI-NP\tO' +p234699 +aS')\t)\t)\tO\tO' +p234700 +aS'.\t.\t.\tO\tO' +p234701 +asS'The patient was weaned off an Epinephrine drip .' +p234702 +(lp234703 +S'The\tThe\tDT\tB-NP\tO' +p234704 +aS'patient\tpatient\tNN\tI-NP\tO' +p234705 +aS'was\tbe\tVBD\tB-VP\tO' +p234706 +aS'weaned\twean\tVBN\tI-VP\tO' +p234707 +aS'off\toff\tRP\tB-PRT\tO' +p234708 +aS'an\tan\tDT\tB-NP\tO' +p234709 +aS'Epinephrine\tEpinephrine\tNN\tI-NP\tO' +p234710 +aS'drip\tdrip\tNN\tI-NP\tO' +p234711 +aS'.\t.\t.\tO\tO' +p234712 +asS'Until this time he should be kept on three times daily wet to dry dressing changes .' +p234713 +(lp234714 +S'Until\tUntil\tIN\tB-PP\tO' +p234715 +aS'this\tthis\tDT\tB-NP\tO' +p234716 +aS'time\ttime\tNN\tI-NP\tO' +p234717 +aS'he\the\tPRP\tB-NP\tO' +p234718 +aS'should\tshould\tMD\tB-VP\tO' +p234719 +aS'be\tbe\tVB\tI-VP\tO' +p234720 +aS'kept\tkeep\tVBN\tI-VP\tO' +p234721 +aS'on\ton\tIN\tB-PP\tO' +p234722 +aS'three\tthree\tCD\tB-NP\tO' +p234723 +aS'times\ttime\tNNS\tI-NP\tO' +p234724 +aS'daily\tdaily\tRB\tI-NP\tO' +p234725 +aS'wet\twet\tJJ\tI-ADJP\tO' +p234726 +aS'to\tto\tTO\tB-PP\tO' +p234727 +aS'dry\tdry\tJJ\tB-NP\tO' +p234728 +aS'dressing\tdressing\tNN\tI-NP\tO' +p234729 +aS'changes\tchange\tNNS\tI-NP\tO' +p234730 +aS'.\t.\t.\tO\tO' +p234731 +asS'In the emergency room , the patient 's temperature was 98.8 degrees , heart rate 73 , respiratory rate 18 , oxygen saturation 98% on room air .' +p234732 +(lp234733 +S'In\tIn\tIN\tB-PP\tO' +p234734 +aS'the\tthe\tDT\tB-NP\tO' +p234735 +aS'emergency\temergency\tNN\tI-NP\tO' +p234736 +aS'room\troom\tNN\tI-NP\tO' +p234737 +aS',\t,\t,\tO\tO' +p234738 +aS'the\tthe\tDT\tB-NP\tO' +p234739 +aS'patient\tpatient\tNN\tI-NP\tO' +p234740 +aS''s\t'\tNNS\tI-NP\tO' +p234741 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p234742 +aS'was\tbe\tVBD\tB-VP\tO' +p234743 +aS'98.8\t98.8\tCD\tB-NP\tO' +p234744 +aS'degrees\tdegree\tNNS\tI-NP\tO' +p234745 +aS',\t,\t,\tO\tO' +p234746 +aS'heart\theart\tNN\tB-NP\tO' +p234747 +aS'rate\trate\tNN\tI-NP\tO' +p234748 +aS'73\t73\tCD\tI-NP\tO' +p234749 +aS',\t,\t,\tO\tO' +p234750 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p234751 +aS'rate\trate\tNN\tI-NP\tO' +p234752 +aS'18\t18\tCD\tI-NP\tO' +p234753 +aS',\t,\t,\tO\tO' +p234754 +aS'oxygen\toxygen\tNN\tB-NP\tO' +p234755 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p234756 +aS'98%\t98%\tNN\tI-NP\tO' +p234757 +aS'on\ton\tIN\tB-PP\tO' +p234758 +aS'room\troom\tNN\tB-NP\tO' +p234759 +aS'air\tair\tNN\tI-NP\tO' +p234760 +aS'.\t.\t.\tO\tO' +p234761 +asS'Attending : Joyce V. Seidel , M.D.' +p234762 +(lp234763 +S'Attending\tAttend\tVBG\tB-VP\tO' +p234764 +aS':\t:\t:\tO\tO' +p234765 +aS'Joyce\tJoyce\tNNP\tB-NP\tO' +p234766 +aS'V.\tV.\tNNP\tI-NP\tO' +p234767 +aS'Seidel\tSeidel\tNNP\tI-NP\tO' +p234768 +aS',\t,\t,\tO\tO' +p234769 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p234770 +asS'She was dialysed but was slightly limited by hypotension .' +p234771 +(lp234772 +S'She\tShe\tPRP\tB-NP\tO' +p234773 +aS'was\tbe\tVBD\tB-VP\tO' +p234774 +aS'dialysed\tdialyse\tVBN\tI-VP\tO' +p234775 +aS'but\tbut\tCC\tO\tO' +p234776 +aS'was\tbe\tVBD\tB-VP\tO' +p234777 +aS'slightly\tslightly\tRB\tI-VP\tO' +p234778 +aS'limited\tlimit\tVBN\tI-VP\tO' +p234779 +aS'by\tby\tIN\tB-PP\tO' +p234780 +aS'hypotension\thypotension\tNN\tB-NP\tO' +p234781 +aS'.\t.\t.\tO\tO' +p234782 +asS'Patient did well post-operatively , continued to have a right sided deficit , and Physical Therapy and Occupational Therapy visited the patient , worked with the patient , and determined that patient needed rehabilitation with Physical Therapy .' +p234783 +(lp234784 +S'Patient\tPatient\tNN\tB-NP\tO' +p234785 +aS'did\tdo\tVBD\tB-VP\tO' +p234786 +aS'well\twell\tRB\tB-ADVP\tO' +p234787 +aS'post-operatively\tpost-operatively\tRB\tI-ADVP\tO' +p234788 +aS',\t,\t,\tO\tO' +p234789 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p234790 +aS'to\tto\tTO\tI-VP\tO' +p234791 +aS'have\thave\tVB\tI-VP\tO' +p234792 +aS'a\ta\tDT\tB-NP\tO' +p234793 +aS'right\tright\tJJ\tI-NP\tO' +p234794 +aS'sided\tsided\tJJ\tI-NP\tO' +p234795 +aS'deficit\tdeficit\tNN\tI-NP\tO' +p234796 +aS',\t,\t,\tO\tO' +p234797 +aS'and\tand\tCC\tO\tO' +p234798 +aS'Physical\tPhysical\tJJ\tB-NP\tO' +p234799 +aS'Therapy\tTherapy\tNN\tI-NP\tO' +p234800 +aS'and\tand\tCC\tO\tO' +p234801 +aS'Occupational\tOccupational\tJJ\tB-NP\tO' +p234802 +aS'Therapy\tTherapy\tNN\tI-NP\tO' +p234803 +aS'visited\tvisit\tVBD\tB-VP\tO' +p234804 +aS'the\tthe\tDT\tB-NP\tO' +p234805 +aS'patient\tpatient\tNN\tI-NP\tO' +p234806 +aS',\t,\t,\tO\tO' +p234807 +aS'worked\twork\tVBD\tB-VP\tO' +p234808 +aS'with\twith\tIN\tB-PP\tO' +p234809 +aS'the\tthe\tDT\tB-NP\tO' +p234810 +aS'patient\tpatient\tNN\tI-NP\tO' +p234811 +aS',\t,\t,\tO\tO' +p234812 +aS'and\tand\tCC\tO\tO' +p234813 +aS'determined\tdetermine\tVBD\tB-VP\tO' +p234814 +aS'that\tthat\tIN\tB-SBAR\tO' +p234815 +aS'patient\tpatient\tNN\tB-NP\tO' +p234816 +aS'needed\tneed\tVBD\tB-VP\tO' +p234817 +aS'rehabilitation\trehabilitation\tNN\tB-NP\tO' +p234818 +aS'with\twith\tIN\tB-PP\tO' +p234819 +aS'Physical\tPhysical\tJJ\tB-NP\tO' +p234820 +aS'Therapy\tTherapy\tNN\tI-NP\tO' +p234821 +aS'.\t.\t.\tO\tO' +p234822 +asS'The patient was found at cardiac catheterization to have mild diffuse instent restenosis in the mid stent , otherwise hemodynamically normal and the coronary arteries otherwise were without flow-limiting stenoses .' +p234823 +(lp234824 +S'The\tThe\tDT\tB-NP\tO' +p234825 +aS'patient\tpatient\tNN\tI-NP\tO' +p234826 +aS'was\tbe\tVBD\tB-VP\tO' +p234827 +aS'found\tfind\tVBN\tI-VP\tO' +p234828 +aS'at\tat\tIN\tB-PP\tO' +p234829 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p234830 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p234831 +aS'to\tto\tTO\tB-VP\tO' +p234832 +aS'have\thave\tVB\tI-VP\tO' +p234833 +aS'mild\tmild\tJJ\tB-NP\tO' +p234834 +aS'diffuse\tdiffuse\tJJ\tI-NP\tO' +p234835 +aS'instent\tinstent\tJJ\tI-NP\tO' +p234836 +aS'restenosis\trestenosis\tNN\tI-NP\tO' +p234837 +aS'in\tin\tIN\tB-PP\tO' +p234838 +aS'the\tthe\tDT\tB-NP\tO' +p234839 +aS'mid\tmid\tJJ\tI-NP\tO' +p234840 +aS'stent\tstent\tNN\tI-NP\tO' +p234841 +aS',\t,\t,\tO\tO' +p234842 +aS'otherwise\totherwise\tRB\tB-ADVP\tO' +p234843 +aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' +p234844 +aS'normal\tnormal\tJJ\tI-ADJP\tO' +p234845 +aS'and\tand\tCC\tO\tO' +p234846 +aS'the\tthe\tDT\tB-NP\tO' +p234847 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p234848 +aS'arteries\tartery\tNNS\tI-NP\tO' +p234849 +aS'otherwise\totherwise\tRB\tB-ADVP\tO' +p234850 +aS'were\tbe\tVBD\tB-VP\tO' +p234851 +aS'without\twithout\tIN\tB-PP\tO' +p234852 +aS'flow-limiting\tflow-limiting\tJJ\tB-NP\tO' +p234853 +aS'stenoses\tstenosis\tNNS\tI-NP\tO' +p234854 +aS'.\t.\t.\tO\tO' +p234855 +asS'Dr. Amesin had a long discussion with the patient 's daughters revolving primarily around issues of the patient 's compliance .' +p234856 +(lp234857 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p234858 +aS'Amesin\tAmesin\tNNP\tI-NP\tO' +p234859 +aS'had\thave\tVBD\tB-VP\tO' +p234860 +aS'a\ta\tDT\tB-NP\tO' +p234861 +aS'long\tlong\tJJ\tI-NP\tO' +p234862 +aS'discussion\tdiscussion\tNN\tI-NP\tO' +p234863 +aS'with\twith\tIN\tB-PP\tO' +p234864 +aS'the\tthe\tDT\tB-NP\tO' +p234865 +aS'patient\tpatient\tNN\tI-NP\tO' +p234866 +aS''s\t'\tVBZ\tB-VP\tO' +p234867 +aS'daughters\tdaughter\tNNS\tB-NP\tO' +p234868 +aS'revolving\trevolve\tVBG\tB-VP\tO' +p234869 +aS'primarily\tprimarily\tRB\tB-ADVP\tO' +p234870 +aS'around\taround\tIN\tB-PP\tO' +p234871 +aS'issues\tissue\tNNS\tB-NP\tO' +p234872 +aS'of\tof\tIN\tB-PP\tO' +p234873 +aS'the\tthe\tDT\tB-NP\tO' +p234874 +aS'patient\tpatient\tNN\tI-NP\tO' +p234875 +aS''s\t'\tNNS\tI-NP\tO' +p234876 +aS'compliance\tcompliance\tNN\tI-NP\tO' +p234877 +aS'.\t.\t.\tO\tO' +p234878 +asS'The patient was never placed on caffeine .' +p234879 +(lp234880 +S'The\tThe\tDT\tB-NP\tO' +p234881 +aS'patient\tpatient\tNN\tI-NP\tO' +p234882 +aS'was\tbe\tVBD\tB-VP\tO' +p234883 +aS'never\tnever\tRB\tI-VP\tO' +p234884 +aS'placed\tplace\tVBN\tI-VP\tO' +p234885 +aS'on\ton\tIN\tB-PP\tO' +p234886 +aS'caffeine\tcaffeine\tNN\tB-NP\tO' +p234887 +aS'.\t.\t.\tO\tO' +p234888 +asS'On postoperative day number seven , the patient was tolerating her clear liquid diet and her tube feeds .' +p234889 +(lp234890 +S'On\tOn\tIN\tB-PP\tO' +p234891 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p234892 +aS'day\tday\tNN\tI-NP\tO' +p234893 +aS'number\tnumber\tNN\tI-NP\tO' +p234894 +aS'seven\tseven\tCD\tB-NP\tO' +p234895 +aS',\t,\t,\tO\tO' +p234896 +aS'the\tthe\tDT\tB-NP\tO' +p234897 +aS'patient\tpatient\tNN\tI-NP\tO' +p234898 +aS'was\tbe\tVBD\tB-VP\tO' +p234899 +aS'tolerating\ttolerate\tVBG\tI-VP\tO' +p234900 +aS'her\ther\tPRP$\tB-NP\tO' +p234901 +aS'clear\tclear\tJJ\tI-NP\tO' +p234902 +aS'liquid\tliquid\tNN\tI-NP\tO' +p234903 +aS'diet\tdiet\tNN\tI-NP\tO' +p234904 +aS'and\tand\tCC\tO\tO' +p234905 +aS'her\ther\tPRP$\tB-NP\tO' +p234906 +aS'tube\ttube\tNN\tI-NP\tO' +p234907 +aS'feeds\tfeed\tNNS\tI-NP\tO' +p234908 +aS'.\t.\t.\tO\tO' +p234909 +asS'+ Haskell sign , right upper quadrant tenderness .' +p234910 +(lp234911 +S'+\t+\tSYM\tO\tO' +p234912 +aS'Haskell\tHaskell\tNNP\tB-NP\tO' +p234913 +aS'sign\tsign\tNN\tI-NP\tO' +p234914 +aS',\t,\t,\tO\tO' +p234915 +aS'right\tright\tJJ\tB-NP\tO' +p234916 +aS'upper\tupper\tJJ\tI-NP\tO' +p234917 +aS'quadrant\tquadrant\tJJ\tI-NP\tO' +p234918 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p234919 +aS'.\t.\t.\tO\tO' +p234920 +asS'4. Naproxen p.r.n. as well as several vitamins and supplements .' +p234921 +(lp234922 +S'4.\t4.\tLS\tB-NP\tO' +p234923 +aS'Naproxen\tNaproxen\tNNP\tI-NP\tO' +p234924 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p234925 +aS'as\tas\tRB\tB-CONJP\tO' +p234926 +aS'well\twell\tRB\tI-CONJP\tO' +p234927 +aS'as\tas\tIN\tI-CONJP\tO' +p234928 +aS'several\tseveral\tJJ\tB-NP\tO' +p234929 +aS'vitamins\tvitamin\tNNS\tI-NP\tO' +p234930 +aS'and\tand\tCC\tI-NP\tO' +p234931 +aS'supplements\tsupplement\tNNS\tI-NP\tO' +p234932 +aS'.\t.\t.\tO\tO' +p234933 +asS'No rebound or guarding .' +p234934 +(lp234935 +S'No\tNo\tDT\tB-NP\tO' +p234936 +aS'rebound\trebound\tNN\tI-NP\tO' +p234937 +aS'or\tor\tCC\tI-NP\tO' +p234938 +aS'guarding\tguarding\tNN\tI-NP\tO' +p234939 +aS'.\t.\t.\tO\tO' +p234940 +asS'A small right pleural effusion has decreased in size .' +p234941 +(lp234942 +S'A\tA\tDT\tB-NP\tO' +p234943 +aS'small\tsmall\tJJ\tI-NP\tO' +p234944 +aS'right\tright\tJJ\tI-NP\tO' +p234945 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p234946 +aS'effusion\teffusion\tNN\tI-NP\tO' +p234947 +aS'has\thave\tVBZ\tB-VP\tO' +p234948 +aS'decreased\tdecrease\tVBN\tI-VP\tO' +p234949 +aS'in\tin\tIN\tB-PP\tO' +p234950 +aS'size\tsize\tNN\tB-NP\tO' +p234951 +aS'.\t.\t.\tO\tO' +p234952 +asS'2. Donepezil 5 mg Tablet Sig : Two ( 2 ) Tablet PO HS ( at bedtime ) .' +p234953 +(lp234954 +S'2.\t2.\tLS\tB-LST\tO' +p234955 +aS'Donepezil\tDonepezil\tNNP\tB-NP\tO' +p234956 +aS'5\t5\tCD\tI-NP\tO' +p234957 +aS'mg\tmg\tNN\tI-NP\tO' +p234958 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p234959 +aS'Sig\tSig\tNNP\tI-NP\tO' +p234960 +aS':\t:\t:\tO\tO' +p234961 +aS'Two\tTwo\tCD\tB-NP\tO' +p234962 +aS'(\t(\t(\tO\tO' +p234963 +aS'2\t2\tCD\tO\tO' +p234964 +aS')\t)\t)\tO\tO' +p234965 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p234966 +aS'PO\tPO\tNN\tI-NP\tO' +p234967 +aS'HS\tHS\tNN\tI-NP\tO' +p234968 +aS'(\t(\t(\tO\tO' +p234969 +aS'at\tat\tIN\tB-PP\tO' +p234970 +aS'bedtime\tbedtime\tNN\tB-NP\tO' +p234971 +aS')\t)\t)\tO\tO' +p234972 +aS'.\t.\t.\tO\tO' +p234973 +asS'Endoscopy showed multiple angio ectasias throughout the stomach .' +p234974 +(lp234975 +S'Endoscopy\tEndoscopy\tNNP\tB-NP\tO' +p234976 +aS'showed\tshow\tVBD\tB-VP\tO' +p234977 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p234978 +aS'angio\tangio\tNN\tI-NP\tO' +p234979 +aS'ectasias\tectasia\tNNS\tI-NP\tO' +p234980 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p234981 +aS'the\tthe\tDT\tB-NP\tO' +p234982 +aS'stomach\tstomach\tNN\tI-NP\tO' +p234983 +aS'.\t.\t.\tO\tO' +p234984 +asS'She was placed on BiPAP for comfort at 30% FiO2 , 5 PEEP , 12 PS .' +p234985 +(lp234986 +S'She\tShe\tPRP\tB-NP\tO' +p234987 +aS'was\tbe\tVBD\tB-VP\tO' +p234988 +aS'placed\tplace\tVBN\tI-VP\tO' +p234989 +aS'on\ton\tIN\tB-PP\tO' +p234990 +aS'BiPAP\tBiPAP\tNN\tB-NP\tB-protein' +p234991 +aS'for\tfor\tIN\tB-PP\tO' +p234992 +aS'comfort\tcomfort\tNN\tB-NP\tO' +p234993 +aS'at\tat\tIN\tB-PP\tO' +p234994 +aS'30%\t30%\tCD\tB-NP\tO' +p234995 +aS'FiO2\tFiO2\tCD\tI-NP\tO' +p234996 +aS',\t,\t,\tO\tO' +p234997 +aS'5\t5\tCD\tB-NP\tO' +p234998 +aS'PEEP\tPEEP\tNN\tI-NP\tO' +p234999 +aS',\t,\t,\tO\tO' +p235000 +aS'12\t12\tCD\tB-NP\tO' +p235001 +aS'PS\tPS\tNNS\tI-NP\tO' +p235002 +aS'.\t.\t.\tO\tO' +p235003 +asS'Information was very limited regarding the circumstances of his cardiac arrest .' +p235004 +(lp235005 +S'Information\tInformation\tNN\tB-NP\tO' +p235006 +aS'was\tbe\tVBD\tB-VP\tO' +p235007 +aS'very\tvery\tRB\tB-ADJP\tO' +p235008 +aS'limited\tlimit\tVBN\tI-ADJP\tO' +p235009 +aS'regarding\tregard\tVBG\tB-VP\tO' +p235010 +aS'the\tthe\tDT\tB-NP\tO' +p235011 +aS'circumstances\tcircumstance\tNNS\tI-NP\tO' +p235012 +aS'of\tof\tIN\tB-PP\tO' +p235013 +aS'his\this\tPRP$\tB-NP\tO' +p235014 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p235015 +aS'arrest\tarrest\tNN\tI-NP\tO' +p235016 +aS'.\t.\t.\tO\tO' +p235017 +asS'Can give 40 lasix PO if having any weight gain or shortness of breath .' +p235018 +(lp235019 +S'Can\tCan\tMD\tB-VP\tO' +p235020 +aS'give\tgive\tVB\tI-VP\tO' +p235021 +aS'40\t40\tCD\tB-NP\tO' +p235022 +aS'lasix\tlasix\tCD\tI-NP\tO' +p235023 +aS'PO\tPO\tNN\tI-NP\tO' +p235024 +aS'if\tif\tIN\tB-SBAR\tO' +p235025 +aS'having\thave\tVBG\tB-VP\tO' +p235026 +aS'any\tany\tDT\tB-NP\tO' +p235027 +aS'weight\tweight\tNN\tI-NP\tO' +p235028 +aS'gain\tgain\tNN\tI-NP\tO' +p235029 +aS'or\tor\tCC\tI-NP\tO' +p235030 +aS'shortness\tshortness\tNN\tI-NP\tO' +p235031 +aS'of\tof\tIN\tB-PP\tO' +p235032 +aS'breath\tbreath\tNN\tB-NP\tO' +p235033 +aS'.\t.\t.\tO\tO' +p235034 +asS'2. Tetracycline for acne .' +p235035 +(lp235036 +S'2.\t2.\tLS\tB-NP\tO' +p235037 +aS'Tetracycline\tTetracycline\tNN\tI-NP\tO' +p235038 +aS'for\tfor\tIN\tB-PP\tO' +p235039 +aS'acne\tacne\tNN\tB-NP\tO' +p235040 +aS'.\t.\t.\tO\tO' +p235041 +asS'HCV cirrhosis c/b esophageal varices , ascites , partial portal vein thrombosis' +p235042 +(lp235043 +S'HCV\tHCV\tNN\tB-NP\tO' +p235044 +aS'cirrhosis\tcirrhosis\tNN\tI-NP\tO' +p235045 +aS'c/b\tc/b\tNN\tI-NP\tO' +p235046 +aS'esophageal\tesophageal\tJJ\tI-NP\tO' +p235047 +aS'varices\tvarix\tNNS\tI-NP\tO' +p235048 +aS',\t,\t,\tO\tO' +p235049 +aS'ascites\tascite\tNNS\tB-NP\tO' +p235050 +aS',\t,\t,\tO\tO' +p235051 +aS'partial\tpartial\tJJ\tB-NP\tO' +p235052 +aS'portal\tportal\tJJ\tI-NP\tO' +p235053 +aS'vein\tvein\tNN\tI-NP\tO' +p235054 +aS'thrombosis\tthrombosis\tNN\tI-NP\tO' +p235055 +asS'Her letter was referred to Dr. Earllamarg Para who saw her in the office and recommended vaginal hysterectomy .' +p235056 +(lp235057 +S'Her\tHer\tPRP$\tB-NP\tO' +p235058 +aS'letter\tletter\tNN\tI-NP\tO' +p235059 +aS'was\tbe\tVBD\tB-VP\tO' +p235060 +aS'referred\trefer\tVBN\tI-VP\tO' +p235061 +aS'to\tto\tTO\tB-PP\tO' +p235062 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p235063 +aS'Earllamarg\tEarllamarg\tNNP\tI-NP\tO' +p235064 +aS'Para\tPara\tNNP\tI-NP\tO' +p235065 +aS'who\twho\tWP\tB-NP\tO' +p235066 +aS'saw\tsee\tVBD\tB-VP\tO' +p235067 +aS'her\ther\tPRP\tB-NP\tO' +p235068 +aS'in\tin\tIN\tB-PP\tO' +p235069 +aS'the\tthe\tDT\tB-NP\tO' +p235070 +aS'office\toffice\tNN\tI-NP\tO' +p235071 +aS'and\tand\tCC\tO\tO' +p235072 +aS'recommended\trecommend\tVBD\tB-VP\tO' +p235073 +aS'vaginal\tvaginal\tJJ\tB-NP\tO' +p235074 +aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' +p235075 +aS'.\t.\t.\tO\tO' +p235076 +asS'Incisions had Steri-Strips , open to air , clean and dry .' +p235077 +(lp235078 +S'Incisions\tIncision\tNNS\tB-NP\tO' +p235079 +aS'had\thave\tVBD\tB-VP\tO' +p235080 +aS'Steri-Strips\tSteri-Strips\tJJ\tB-ADJP\tO' +p235081 +aS',\t,\t,\tO\tO' +p235082 +aS'open\topen\tJJ\tB-ADJP\tO' +p235083 +aS'to\tto\tTO\tB-PP\tO' +p235084 +aS'air\tair\tNN\tB-NP\tO' +p235085 +aS',\t,\t,\tO\tO' +p235086 +aS'clean\tclean\tJJ\tB-ADJP\tO' +p235087 +aS'and\tand\tCC\tI-ADJP\tO' +p235088 +aS'dry\tdry\tJJ\tI-ADJP\tO' +p235089 +aS'.\t.\t.\tO\tO' +p235090 +asS'PT 9.5/10.0 , PTT 23.9 .' +p235091 +(lp235092 +S'PT\tPT\tNN\tB-NP\tB-protein' +p235093 +aS'9.5/10.0\t9.5/10.0\tCD\tI-NP\tI-protein' +p235094 +aS',\t,\t,\tO\tO' +p235095 +aS'PTT\tPTT\tNN\tB-NP\tB-protein' +p235096 +aS'23.9\t23.9\tCD\tI-NP\tI-protein' +p235097 +aS'.\t.\t.\tO\tO' +p235098 +asS'( I ) ROMI negative .' +p235099 +(lp235100 +S'(\t(\t(\tB-LST\tO' +p235101 +aS'I\tI\tLS\tI-LST\tO' +p235102 +aS')\t)\t)\tO\tO' +p235103 +aS'ROMI\tROMI\tNN\tB-NP\tO' +p235104 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p235105 +aS'.\t.\t.\tO\tO' +p235106 +asS'These were treated with Vancomycin .' +p235107 +(lp235108 +S'These\tThese\tDT\tB-NP\tO' +p235109 +aS'were\tbe\tVBD\tB-VP\tO' +p235110 +aS'treated\ttreat\tVBN\tI-VP\tO' +p235111 +aS'with\twith\tIN\tB-PP\tO' +p235112 +aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' +p235113 +aS'.\t.\t.\tO\tO' +p235114 +asS'Esophageal varices .' +p235115 +(lp235116 +S'Esophageal\tEsophageal\tJJ\tB-NP\tO' +p235117 +aS'varices\tvarix\tNNS\tI-NP\tO' +p235118 +aS'.\t.\t.\tO\tO' +p235119 +asS"# Ulcerative colitis -- The patient 's Asacol was originally held but restarted the day prior to discharge per GI ." +p235120 +(lp235121 +S'#\t#\t#\tB-NP\tO' +p235122 +aS'Ulcerative\tUlcerative\tJJ\tI-NP\tO' +p235123 +aS'colitis\tcolitis\tNN\tI-NP\tO' +p235124 +aS'--\t--\t:\tO\tO' +p235125 +aS'The\tThe\tDT\tB-NP\tO' +p235126 +aS'patient\tpatient\tNN\tI-NP\tO' +p235127 +aS"'s\t's\tPOS\tB-NP\tO" +p235128 +aS'Asacol\tAsacol\tNN\tI-NP\tO' +p235129 +aS'was\tbe\tVBD\tB-VP\tO' +p235130 +aS'originally\toriginally\tRB\tI-VP\tO' +p235131 +aS'held\thold\tVBN\tI-VP\tO' +p235132 +aS'but\tbut\tCC\tO\tO' +p235133 +aS'restarted\trestart\tVBD\tB-VP\tO' +p235134 +aS'the\tthe\tDT\tB-NP\tO' +p235135 +aS'day\tday\tNN\tI-NP\tO' +p235136 +aS'prior\tprior\tRB\tB-ADVP\tO' +p235137 +aS'to\tto\tTO\tB-VP\tO' +p235138 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p235139 +aS'per\tper\tIN\tB-PP\tO' +p235140 +aS'GI\tGI\tNN\tB-NP\tO' +p235141 +aS'.\t.\t.\tO\tO' +p235142 +asS'At that time , it was felt that the patient was likely having a repeat GI bleed and while he was hemodynamically stable , he had evidently lost a substantial amount of blood .' +p235143 +(lp235144 +S'At\tAt\tIN\tB-PP\tO' +p235145 +aS'that\tthat\tDT\tB-NP\tO' +p235146 +aS'time\ttime\tNN\tI-NP\tO' +p235147 +aS',\t,\t,\tO\tO' +p235148 +aS'it\tit\tPRP\tB-NP\tO' +p235149 +aS'was\tbe\tVBD\tB-VP\tO' +p235150 +aS'felt\tfeel\tVBN\tI-VP\tO' +p235151 +aS'that\tthat\tIN\tB-SBAR\tO' +p235152 +aS'the\tthe\tDT\tB-NP\tO' +p235153 +aS'patient\tpatient\tNN\tI-NP\tO' +p235154 +aS'was\tbe\tVBD\tB-VP\tO' +p235155 +aS'likely\tlikely\tRB\tI-VP\tO' +p235156 +aS'having\thave\tVBG\tI-VP\tO' +p235157 +aS'a\ta\tDT\tB-NP\tO' +p235158 +aS'repeat\trepeat\tNN\tI-NP\tO' +p235159 +aS'GI\tGI\tNN\tI-NP\tO' +p235160 +aS'bleed\tbleed\tNN\tI-NP\tO' +p235161 +aS'and\tand\tCC\tO\tO' +p235162 +aS'while\twhile\tIN\tB-SBAR\tO' +p235163 +aS'he\the\tPRP\tB-NP\tO' +p235164 +aS'was\tbe\tVBD\tB-VP\tO' +p235165 +aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' +p235166 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p235167 +aS',\t,\t,\tO\tO' +p235168 +aS'he\the\tPRP\tB-NP\tO' +p235169 +aS'had\thave\tVBD\tB-VP\tO' +p235170 +aS'evidently\tevidently\tRB\tI-VP\tO' +p235171 +aS'lost\tlose\tVBN\tI-VP\tO' +p235172 +aS'a\ta\tDT\tB-NP\tO' +p235173 +aS'substantial\tsubstantial\tJJ\tI-NP\tO' +p235174 +aS'amount\tamount\tNN\tI-NP\tO' +p235175 +aS'of\tof\tIN\tB-PP\tO' +p235176 +aS'blood\tblood\tNN\tB-NP\tO' +p235177 +aS'.\t.\t.\tO\tO' +p235178 +asS'She refused the Taxol therapy so that was not done .' +p235179 +(lp235180 +S'She\tShe\tPRP\tB-NP\tO' +p235181 +aS'refused\trefuse\tVBD\tB-VP\tO' +p235182 +aS'the\tthe\tDT\tB-NP\tO' +p235183 +aS'Taxol\tTaxol\tNN\tI-NP\tO' +p235184 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p235185 +aS'so\tso\tIN\tB-ADVP\tO' +p235186 +aS'that\tthat\tDT\tB-NP\tO' +p235187 +aS'was\tbe\tVBD\tB-VP\tO' +p235188 +aS'not\tnot\tRB\tI-VP\tO' +p235189 +aS'done\tdo\tVBN\tI-VP\tO' +p235190 +aS'.\t.\t.\tO\tO' +p235191 +asS'He has one son and lives in a nursing home .' +p235192 +(lp235193 +S'He\tHe\tPRP\tB-NP\tO' +p235194 +aS'has\thave\tVBZ\tB-VP\tO' +p235195 +aS'one\tone\tCD\tB-NP\tO' +p235196 +aS'son\tson\tNN\tI-NP\tO' +p235197 +aS'and\tand\tCC\tI-NP\tO' +p235198 +aS'lives\tlife\tNNS\tI-NP\tO' +p235199 +aS'in\tin\tIN\tB-PP\tO' +p235200 +aS'a\ta\tDT\tB-NP\tO' +p235201 +aS'nursing\tnursing\tNN\tI-NP\tO' +p235202 +aS'home\thome\tNN\tI-NP\tO' +p235203 +aS'.\t.\t.\tO\tO' +p235204 +asS'Flaccid paralysis of bilateral lower extremities .' +p235205 +(lp235206 +S'Flaccid\tFlaccid\tNN\tB-NP\tO' +p235207 +aS'paralysis\tparalysis\tNN\tI-NP\tO' +p235208 +aS'of\tof\tIN\tB-PP\tO' +p235209 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p235210 +aS'lower\tlow\tJJR\tI-NP\tO' +p235211 +aS'extremities\textremity\tNNS\tI-NP\tO' +p235212 +aS'.\t.\t.\tO\tO' +p235213 +asS'CXR 10-30 : Left lower lobe atelectasis has partially cleared .' +p235214 +(lp235215 +S'CXR\tCXR\tNN\tB-NP\tO' +p235216 +aS'10-30\t10-30\tCD\tI-NP\tO' +p235217 +aS':\t:\t:\tO\tO' +p235218 +aS'Left\tLeft\tNN\tB-NP\tO' +p235219 +aS'lower\tlow\tJJR\tI-NP\tO' +p235220 +aS'lobe\tlobe\tNN\tI-NP\tO' +p235221 +aS'atelectasis\tatelectasis\tNN\tI-NP\tO' +p235222 +aS'has\thave\tVBZ\tB-VP\tO' +p235223 +aS'partially\tpartially\tRB\tI-VP\tO' +p235224 +aS'cleared\tclear\tVBN\tI-VP\tO' +p235225 +aS'.\t.\t.\tO\tO' +p235226 +asS'You will have a banding procedure in 9 days .' +p235227 +(lp235228 +S'You\tYou\tPRP\tB-NP\tB-protein' +p235229 +aS'will\twill\tMD\tB-VP\tO' +p235230 +aS'have\thave\tVB\tI-VP\tO' +p235231 +aS'a\ta\tDT\tB-NP\tO' +p235232 +aS'banding\tbanding\tNN\tI-NP\tO' +p235233 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p235234 +aS'in\tin\tIN\tB-PP\tO' +p235235 +aS'9\t9\tCD\tB-NP\tO' +p235236 +aS'days\tday\tNNS\tI-NP\tO' +p235237 +aS'.\t.\t.\tO\tO' +p235238 +asS'For her rhythm , amiodarone was discontinued as she was maintained in sinus rhythm after moving to the floor .' +p235239 +(lp235240 +S'For\tFor\tIN\tB-PP\tO' +p235241 +aS'her\ther\tPRP$\tB-NP\tO' +p235242 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p235243 +aS',\t,\t,\tO\tO' +p235244 +aS'amiodarone\tamiodarone\tNN\tB-NP\tO' +p235245 +aS'was\tbe\tVBD\tB-VP\tO' +p235246 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p235247 +aS'as\tas\tIN\tB-SBAR\tO' +p235248 +aS'she\tshe\tPRP\tB-NP\tO' +p235249 +aS'was\tbe\tVBD\tB-VP\tO' +p235250 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p235251 +aS'in\tin\tIN\tB-PP\tO' +p235252 +aS'sinus\tsinus\tNN\tB-NP\tO' +p235253 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p235254 +aS'after\tafter\tIN\tB-PP\tO' +p235255 +aS'moving\tmove\tVBG\tB-VP\tO' +p235256 +aS'to\tto\tTO\tB-PP\tO' +p235257 +aS'the\tthe\tDT\tB-NP\tO' +p235258 +aS'floor\tfloor\tNN\tI-NP\tO' +p235259 +aS'.\t.\t.\tO\tO' +p235260 +asS'In the John , he was found to be in hypotensive atrial fibrillation .' +p235261 +(lp235262 +S'In\tIn\tIN\tB-PP\tO' +p235263 +aS'the\tthe\tDT\tB-NP\tO' +p235264 +aS'John\tJohn\tNNP\tI-NP\tO' +p235265 +aS',\t,\t,\tO\tO' +p235266 +aS'he\the\tPRP\tB-NP\tO' +p235267 +aS'was\tbe\tVBD\tB-VP\tO' +p235268 +aS'found\tfind\tVBN\tI-VP\tO' +p235269 +aS'to\tto\tTO\tI-VP\tO' +p235270 +aS'be\tbe\tVB\tI-VP\tO' +p235271 +aS'in\tin\tIN\tB-PP\tO' +p235272 +aS'hypotensive\thypotensive\tJJ\tB-NP\tO' +p235273 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p235274 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p235275 +aS'.\t.\t.\tO\tO' +p235276 +asS'Overall left ventricular systolic function cannot be reliably assessed .' +p235277 +(lp235278 +S'Overall\tOverall\tRB\tB-ADVP\tO' +p235279 +aS'left\tleave\tVBD\tB-VP\tO' +p235280 +aS'ventricular\tventricular\tJJ\tB-NP\tO' +p235281 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p235282 +aS'function\tfunction\tNN\tI-NP\tO' +p235283 +aS'cannot\tcannot\tMD\tB-VP\tO' +p235284 +aS'be\tbe\tVB\tI-VP\tO' +p235285 +aS'reliably\treliably\tRB\tI-VP\tO' +p235286 +aS'assessed\tassess\tVBN\tI-VP\tO' +p235287 +aS'.\t.\t.\tO\tO' +p235288 +asS'The next day the patient 's mental status came back to baseline and he remained free of angina .' +p235289 +(lp235290 +S'The\tThe\tDT\tB-NP\tO' +p235291 +aS'next\tnext\tJJ\tI-NP\tO' +p235292 +aS'day\tday\tNN\tI-NP\tO' +p235293 +aS'the\tthe\tDT\tB-NP\tO' +p235294 +aS'patient\tpatient\tNN\tI-NP\tO' +p235295 +aS''s\t'\tNNS\tI-NP\tO' +p235296 +aS'mental\tmental\tJJ\tB-NP\tO' +p235297 +aS'status\tstatus\tNN\tI-NP\tO' +p235298 +aS'came\tcome\tVBD\tB-VP\tO' +p235299 +aS'back\tback\tRB\tB-ADVP\tO' +p235300 +aS'to\tto\tTO\tB-PP\tO' +p235301 +aS'baseline\tbaseline\tNN\tB-NP\tO' +p235302 +aS'and\tand\tCC\tO\tO' +p235303 +aS'he\the\tPRP\tB-NP\tO' +p235304 +aS'remained\tremain\tVBD\tB-VP\tO' +p235305 +aS'free\tfree\tJJ\tB-ADJP\tO' +p235306 +aS'of\tof\tIN\tB-PP\tO' +p235307 +aS'angina\tangina\tNN\tB-NP\tO' +p235308 +aS'.\t.\t.\tO\tO' +p235309 +asS'Her nephrostomy tube was draining clear yellow urine at the time of d/c .' +p235310 +(lp235311 +S'Her\tHer\tPRP$\tB-NP\tO' +p235312 +aS'nephrostomy\tnephrostomy\tNN\tI-NP\tO' +p235313 +aS'tube\ttube\tNN\tI-NP\tO' +p235314 +aS'was\tbe\tVBD\tB-VP\tO' +p235315 +aS'draining\tdrain\tVBG\tI-VP\tO' +p235316 +aS'clear\tclear\tJJ\tB-NP\tO' +p235317 +aS'yellow\tyellow\tJJ\tI-NP\tO' +p235318 +aS'urine\turine\tNN\tI-NP\tO' +p235319 +aS'at\tat\tIN\tB-PP\tO' +p235320 +aS'the\tthe\tDT\tB-NP\tO' +p235321 +aS'time\ttime\tNN\tI-NP\tO' +p235322 +aS'of\tof\tIN\tB-PP\tO' +p235323 +aS'd/c\td/c\tNN\tB-NP\tO' +p235324 +aS'.\t.\t.\tO\tO' +p235325 +asS'The patient is a seventy-one year old white female with stenotic area on her mid sigmoid , noticed on barium enema .' +p235326 +(lp235327 +S'The\tThe\tDT\tB-NP\tO' +p235328 +aS'patient\tpatient\tNN\tI-NP\tO' +p235329 +aS'is\tbe\tVBZ\tB-VP\tO' +p235330 +aS'a\ta\tDT\tB-NP\tO' +p235331 +aS'seventy-one\tseventy-one\tJJ\tI-NP\tO' +p235332 +aS'year\tyear\tNN\tI-NP\tO' +p235333 +aS'old\told\tJJ\tI-NP\tO' +p235334 +aS'white\twhite\tJJ\tI-NP\tO' +p235335 +aS'female\tfemale\tNN\tI-NP\tO' +p235336 +aS'with\twith\tIN\tB-PP\tO' +p235337 +aS'stenotic\tstenotic\tJJ\tB-NP\tO' +p235338 +aS'area\tarea\tNN\tI-NP\tO' +p235339 +aS'on\ton\tIN\tB-PP\tO' +p235340 +aS'her\ther\tPRP$\tB-NP\tO' +p235341 +aS'mid\tmid\tJJ\tI-NP\tO' +p235342 +aS'sigmoid\tsigmoid\tNN\tI-NP\tO' +p235343 +aS',\t,\t,\tO\tO' +p235344 +aS'noticed\tnotice\tVBN\tB-VP\tO' +p235345 +aS'on\ton\tIN\tB-PP\tO' +p235346 +aS'barium\tbarium\tNN\tB-NP\tO' +p235347 +aS'enema\tenema\tNN\tI-NP\tO' +p235348 +aS'.\t.\t.\tO\tO' +p235349 +asS'The patient is a 72-year-old right-handed gentleman with a history of coronary artery disease status post myocardial infarction in 1984 .' +p235350 +(lp235351 +S'The\tThe\tDT\tB-NP\tO' +p235352 +aS'patient\tpatient\tNN\tI-NP\tO' +p235353 +aS'is\tbe\tVBZ\tB-VP\tO' +p235354 +aS'a\ta\tDT\tB-NP\tO' +p235355 +aS'72-year-old\t72-year-old\tJJ\tI-NP\tO' +p235356 +aS'right-handed\tright-handed\tJJ\tI-NP\tO' +p235357 +aS'gentleman\tgentleman\tNN\tI-NP\tO' +p235358 +aS'with\twith\tIN\tB-PP\tO' +p235359 +aS'a\ta\tDT\tB-NP\tO' +p235360 +aS'history\thistory\tNN\tI-NP\tO' +p235361 +aS'of\tof\tIN\tB-PP\tO' +p235362 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p235363 +aS'artery\tartery\tNN\tI-NP\tO' +p235364 +aS'disease\tdisease\tNN\tI-NP\tO' +p235365 +aS'status\tstatus\tNN\tI-NP\tO' +p235366 +aS'post\tpost\tNN\tI-NP\tO' +p235367 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p235368 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p235369 +aS'in\tin\tIN\tB-PP\tO' +p235370 +aS'1984\t1984\tCD\tB-NP\tO' +p235371 +aS'.\t.\t.\tO\tO' +p235372 +asS'Head computerized tomography scan on 10/19 : 3 centimeter hyperdensity within the right putamenal area in the right external capsusle consistent with intra-parenchymal hematoma with mild local mass effect and surrounding edema .' +p235373 +(lp235374 +S'Head\tHead\tJJ\tB-NP\tO' +p235375 +aS'computerized\tcomputerized\tJJ\tI-NP\tO' +p235376 +aS'tomography\ttomography\tNN\tI-NP\tO' +p235377 +aS'scan\tscan\tNN\tI-NP\tO' +p235378 +aS'on\ton\tIN\tB-PP\tO' +p235379 +aS'10/19\t10/19\tCD\tB-NP\tO' +p235380 +aS':\t:\t:\tO\tO' +p235381 +aS'3\t3\tCD\tB-NP\tO' +p235382 +aS'centimeter\tcentimeter\tNN\tI-NP\tO' +p235383 +aS'hyperdensity\thyperdensity\tNN\tI-NP\tO' +p235384 +aS'within\twithin\tIN\tB-PP\tO' +p235385 +aS'the\tthe\tDT\tB-NP\tO' +p235386 +aS'right\tright\tJJ\tI-NP\tO' +p235387 +aS'putamenal\tputamenal\tJJ\tI-NP\tO' +p235388 +aS'area\tarea\tNN\tI-NP\tO' +p235389 +aS'in\tin\tIN\tB-PP\tO' +p235390 +aS'the\tthe\tDT\tB-NP\tO' +p235391 +aS'right\tright\tJJ\tI-NP\tO' +p235392 +aS'external\texternal\tJJ\tI-NP\tO' +p235393 +aS'capsusle\tcapsusle\tNN\tI-NP\tO' +p235394 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p235395 +aS'with\twith\tIN\tB-PP\tO' +p235396 +aS'intra-parenchymal\tintra-parenchymal\tJJ\tB-NP\tO' +p235397 +aS'hematoma\thematoma\tNN\tI-NP\tO' +p235398 +aS'with\twith\tIN\tB-PP\tO' +p235399 +aS'mild\tmild\tJJ\tB-NP\tO' +p235400 +aS'local\tlocal\tJJ\tI-NP\tO' +p235401 +aS'mass\tmass\tNN\tI-NP\tO' +p235402 +aS'effect\teffect\tNN\tI-NP\tO' +p235403 +aS'and\tand\tCC\tO\tO' +p235404 +aS'surrounding\tsurround\tVBG\tB-VP\tO' +p235405 +aS'edema\tedema\tNN\tB-NP\tO' +p235406 +aS'.\t.\t.\tO\tO' +p235407 +asS'She has a Greenfield filter in place , and this is her only DVT prophylaxis .' +p235408 +(lp235409 +S'She\tShe\tPRP\tB-NP\tO' +p235410 +aS'has\thave\tVBZ\tB-VP\tO' +p235411 +aS'a\ta\tDT\tB-NP\tO' +p235412 +aS'Greenfield\tGreenfield\tNNP\tI-NP\tO' +p235413 +aS'filter\tfilter\tNN\tI-NP\tO' +p235414 +aS'in\tin\tIN\tB-PP\tO' +p235415 +aS'place\tplace\tNN\tB-NP\tO' +p235416 +aS',\t,\t,\tO\tO' +p235417 +aS'and\tand\tCC\tO\tO' +p235418 +aS'this\tthis\tDT\tB-NP\tO' +p235419 +aS'is\tbe\tVBZ\tB-VP\tO' +p235420 +aS'her\ther\tPRP$\tB-NP\tO' +p235421 +aS'only\tonly\tJJ\tI-NP\tO' +p235422 +aS'DVT\tDVT\tNN\tI-NP\tO' +p235423 +aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' +p235424 +aS'.\t.\t.\tO\tO' +p235425 +asS'Etiology of these enhancing lesions is uncertain , but could be atypical manifestations of demyelination .' +p235426 +(lp235427 +S'Etiology\tEtiology\tNN\tB-NP\tO' +p235428 +aS'of\tof\tIN\tB-PP\tO' +p235429 +aS'these\tthese\tDT\tB-NP\tO' +p235430 +aS'enhancing\tenhance\tVBG\tI-NP\tO' +p235431 +aS'lesions\tlesion\tNNS\tI-NP\tO' +p235432 +aS'is\tbe\tVBZ\tB-VP\tO' +p235433 +aS'uncertain\tuncertain\tJJ\tB-ADJP\tO' +p235434 +aS',\t,\t,\tO\tO' +p235435 +aS'but\tbut\tCC\tO\tO' +p235436 +aS'could\tcould\tMD\tB-VP\tO' +p235437 +aS'be\tbe\tVB\tI-VP\tO' +p235438 +aS'atypical\tatypical\tJJ\tB-NP\tO' +p235439 +aS'manifestations\tmanifestation\tNNS\tI-NP\tO' +p235440 +aS'of\tof\tIN\tB-PP\tO' +p235441 +aS'demyelination\tdemyelination\tNN\tB-NP\tO' +p235442 +aS'.\t.\t.\tO\tO' +p235443 +asS'Guaiac positive maroon stool in Deanna .' +p235444 +(lp235445 +S'Guaiac\tGuaiac\tJJ\tB-NP\tO' +p235446 +aS'positive\tpositive\tJJ\tI-NP\tO' +p235447 +aS'maroon\tmaroon\tNN\tI-NP\tO' +p235448 +aS'stool\tstool\tNN\tI-NP\tO' +p235449 +aS'in\tin\tIN\tB-PP\tO' +p235450 +aS'Deanna\tDeanna\tNNP\tB-NP\tO' +p235451 +aS'.\t.\t.\tO\tO' +p235452 +asS'At that time , she also had cat scratch fever and she had resection of an abscess in the left lower extremity .' +p235453 +(lp235454 +S'At\tAt\tIN\tB-PP\tO' +p235455 +aS'that\tthat\tDT\tB-NP\tO' +p235456 +aS'time\ttime\tNN\tI-NP\tO' +p235457 +aS',\t,\t,\tO\tO' +p235458 +aS'she\tshe\tPRP\tB-NP\tO' +p235459 +aS'also\talso\tRB\tB-ADVP\tO' +p235460 +aS'had\thave\tVBD\tB-VP\tO' +p235461 +aS'cat\tcat\tNN\tB-NP\tO' +p235462 +aS'scratch\tscratch\tNN\tI-NP\tO' +p235463 +aS'fever\tfever\tNN\tI-NP\tO' +p235464 +aS'and\tand\tCC\tO\tO' +p235465 +aS'she\tshe\tPRP\tB-NP\tO' +p235466 +aS'had\thave\tVBD\tB-VP\tO' +p235467 +aS'resection\tresection\tNN\tB-NP\tO' +p235468 +aS'of\tof\tIN\tB-PP\tO' +p235469 +aS'an\tan\tDT\tB-NP\tO' +p235470 +aS'abscess\tabscess\tNN\tI-NP\tO' +p235471 +aS'in\tin\tIN\tB-PP\tO' +p235472 +aS'the\tthe\tDT\tB-NP\tO' +p235473 +aS'left\tleft\tJJ\tI-NP\tO' +p235474 +aS'lower\tlow\tJJR\tI-NP\tO' +p235475 +aS'extremity\textremity\tNN\tI-NP\tO' +p235476 +aS'.\t.\t.\tO\tO' +p235477 +asS'She also developed lower extremity edema as well as left upper extremity swelling associated with increased shortness of breath on exertion .' +p235478 +(lp235479 +S'She\tShe\tPRP\tB-NP\tO' +p235480 +aS'also\talso\tRB\tB-ADVP\tO' +p235481 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p235482 +aS'lower\tlow\tJJR\tB-NP\tO' +p235483 +aS'extremity\textremity\tNN\tI-NP\tO' +p235484 +aS'edema\tedema\tNN\tI-NP\tO' +p235485 +aS'as\tas\tRB\tB-CONJP\tO' +p235486 +aS'well\twell\tRB\tI-CONJP\tO' +p235487 +aS'as\tas\tIN\tI-CONJP\tO' +p235488 +aS'left\tleft\tJJ\tB-NP\tO' +p235489 +aS'upper\tupper\tJJ\tI-NP\tO' +p235490 +aS'extremity\textremity\tNN\tI-NP\tO' +p235491 +aS'swelling\tswelling\tNN\tI-NP\tO' +p235492 +aS'associated\tassociate\tVBN\tB-VP\tO' +p235493 +aS'with\twith\tIN\tB-PP\tO' +p235494 +aS'increased\tincrease\tVBN\tB-NP\tO' +p235495 +aS'shortness\tshortness\tNN\tI-NP\tO' +p235496 +aS'of\tof\tIN\tB-PP\tO' +p235497 +aS'breath\tbreath\tNN\tB-NP\tO' +p235498 +aS'on\ton\tIN\tB-PP\tO' +p235499 +aS'exertion\texertion\tNN\tB-NP\tO' +p235500 +aS'.\t.\t.\tO\tO' +p235501 +asS'2. Right upper lobe lung opacities which appear confluent , most suggestive of infectious etiology , however , cannot entirely exclude metastatic lesions .' +p235502 +(lp235503 +S'2.\t2.\tLS\tB-NP\tO' +p235504 +aS'Right\tRight\tNN\tI-NP\tO' +p235505 +aS'upper\tupper\tJJ\tI-NP\tO' +p235506 +aS'lobe\tlobe\tNN\tI-NP\tO' +p235507 +aS'lung\tlung\tNN\tI-NP\tO' +p235508 +aS'opacities\topacity\tNNS\tI-NP\tO' +p235509 +aS'which\twhich\tWDT\tB-NP\tO' +p235510 +aS'appear\tappear\tVBP\tB-VP\tO' +p235511 +aS'confluent\tconfluent\tJJ\tB-ADJP\tO' +p235512 +aS',\t,\t,\tO\tO' +p235513 +aS'most\tmost\tRBS\tB-ADJP\tO' +p235514 +aS'suggestive\tsuggestive\tJJ\tI-ADJP\tO' +p235515 +aS'of\tof\tIN\tB-PP\tO' +p235516 +aS'infectious\tinfectious\tJJ\tB-NP\tO' +p235517 +aS'etiology\tetiology\tNN\tI-NP\tO' +p235518 +aS',\t,\t,\tO\tO' +p235519 +aS'however\thowever\tRB\tB-ADVP\tO' +p235520 +aS',\t,\t,\tO\tO' +p235521 +aS'cannot\tcannot\tNN\tB-NP\tO' +p235522 +aS'entirely\tentirely\tRB\tB-ADVP\tO' +p235523 +aS'exclude\texclude\tVBP\tB-VP\tO' +p235524 +aS'metastatic\tmetastatic\tJJ\tB-NP\tO' +p235525 +aS'lesions\tlesion\tNNS\tI-NP\tO' +p235526 +aS'.\t.\t.\tO\tO' +p235527 +asS'Atrovent .' +p235528 +(lp235529 +S'Atrovent\tAtrovent\tNNP\tB-NP\tO' +p235530 +aS'.\t.\t.\tO\tO' +p235531 +asS'6) Toprol XL 50 mg p.o. q. day .' +p235532 +(lp235533 +S'6)\t6)\tLS\tB-NP\tO' +p235534 +aS'Toprol\tToprol\tNNP\tI-NP\tO' +p235535 +aS'XL\tXL\tNNP\tI-NP\tO' +p235536 +aS'50\t50\tCD\tI-NP\tO' +p235537 +aS'mg\tmg\tNN\tI-NP\tO' +p235538 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p235539 +aS'q.\tq.\tNN\tI-NP\tO' +p235540 +aS'day\tday\tNN\tI-NP\tO' +p235541 +aS'.\t.\t.\tO\tO' +p235542 +asS'Since she was at high risk for both local and metastatic recurrence of her tumor , she received both systemic chemotherapy and radiation therapy .' +p235543 +(lp235544 +S'Since\tSince\tIN\tB-SBAR\tO' +p235545 +aS'she\tshe\tPRP\tB-NP\tO' +p235546 +aS'was\tbe\tVBD\tB-VP\tO' +p235547 +aS'at\tat\tIN\tB-PP\tO' +p235548 +aS'high\thigh\tJJ\tB-NP\tO' +p235549 +aS'risk\trisk\tNN\tI-NP\tO' +p235550 +aS'for\tfor\tIN\tB-PP\tO' +p235551 +aS'both\tboth\tCC\tB-NP\tO' +p235552 +aS'local\tlocal\tJJ\tI-NP\tO' +p235553 +aS'and\tand\tCC\tI-NP\tO' +p235554 +aS'metastatic\tmetastatic\tJJ\tI-NP\tO' +p235555 +aS'recurrence\trecurrence\tNN\tI-NP\tO' +p235556 +aS'of\tof\tIN\tB-PP\tO' +p235557 +aS'her\ther\tPRP$\tB-NP\tO' +p235558 +aS'tumor\ttumor\tNN\tI-NP\tO' +p235559 +aS',\t,\t,\tO\tO' +p235560 +aS'she\tshe\tPRP\tB-NP\tO' +p235561 +aS'received\treceive\tVBD\tB-VP\tO' +p235562 +aS'both\tboth\tCC\tO\tO' +p235563 +aS'systemic\tsystemic\tJJ\tB-NP\tO' +p235564 +aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' +p235565 +aS'and\tand\tCC\tI-NP\tO' +p235566 +aS'radiation\tradiation\tNN\tI-NP\tO' +p235567 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p235568 +aS'.\t.\t.\tO\tO' +p235569 +asS'Subsequent biliary stent was placed after the removal of the stone .' +p235570 +(lp235571 +S'Subsequent\tSubsequent\tJJ\tB-NP\tO' +p235572 +aS'biliary\tbiliary\tJJ\tI-NP\tO' +p235573 +aS'stent\tstent\tNN\tI-NP\tO' +p235574 +aS'was\tbe\tVBD\tB-VP\tO' +p235575 +aS'placed\tplace\tVBN\tI-VP\tO' +p235576 +aS'after\tafter\tIN\tB-PP\tO' +p235577 +aS'the\tthe\tDT\tB-NP\tO' +p235578 +aS'removal\tremoval\tNN\tI-NP\tO' +p235579 +aS'of\tof\tIN\tB-PP\tO' +p235580 +aS'the\tthe\tDT\tB-NP\tO' +p235581 +aS'stone\tstone\tNN\tI-NP\tO' +p235582 +aS'.\t.\t.\tO\tO' +p235583 +asS'She wishes to get her radiation in O and has spoken to her primary care physician regarding this .' +p235584 +(lp235585 +S'She\tShe\tPRP\tB-NP\tO' +p235586 +aS'wishes\twish\tVBZ\tB-VP\tO' +p235587 +aS'to\tto\tTO\tI-VP\tO' +p235588 +aS'get\tget\tVB\tI-VP\tO' +p235589 +aS'her\ther\tPRP$\tB-NP\tO' +p235590 +aS'radiation\tradiation\tNN\tI-NP\tO' +p235591 +aS'in\tin\tIN\tB-PP\tO' +p235592 +aS'O\tO\tNN\tB-NP\tO' +p235593 +aS'and\tand\tCC\tO\tO' +p235594 +aS'has\thave\tVBZ\tB-VP\tO' +p235595 +aS'spoken\tspeak\tVBN\tI-VP\tO' +p235596 +aS'to\tto\tTO\tB-PP\tO' +p235597 +aS'her\ther\tPRP$\tB-NP\tO' +p235598 +aS'primary\tprimary\tJJ\tI-NP\tO' +p235599 +aS'care\tcare\tNN\tI-NP\tO' +p235600 +aS'physician\tphysician\tNN\tI-NP\tO' +p235601 +aS'regarding\tregard\tVBG\tB-VP\tO' +p235602 +aS'this\tthis\tDT\tB-NP\tO' +p235603 +aS'.\t.\t.\tO\tO' +p235604 +asS'MICRO : sputum 12-27 : grm stn and cx negative' +p235605 +(lp235606 +S'MICRO\tMICRO\tNN\tB-NP\tB-protein' +p235607 +aS':\t:\t:\tO\tO' +p235608 +aS'sputum\tsputum\tNN\tB-NP\tO' +p235609 +aS'12-27\t12-27\tCD\tI-NP\tO' +p235610 +aS':\t:\t:\tO\tO' +p235611 +aS'grm\tgrm\tNN\tB-NP\tO' +p235612 +aS'stn\tstn\tNN\tI-NP\tO' +p235613 +aS'and\tand\tCC\tO\tO' +p235614 +aS'cx\tcx\tNN\tB-NP\tO' +p235615 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p235616 +asS'Lungs had scant crackles at the left base and middle field ; otherwise clear .' +p235617 +(lp235618 +S'Lungs\tLung\tNNS\tB-NP\tO' +p235619 +aS'had\thave\tVBD\tB-VP\tO' +p235620 +aS'scant\tscant\tJJ\tB-NP\tO' +p235621 +aS'crackles\tcrackle\tNNS\tI-NP\tO' +p235622 +aS'at\tat\tIN\tB-PP\tO' +p235623 +aS'the\tthe\tDT\tB-NP\tO' +p235624 +aS'left\tleft\tJJ\tI-NP\tO' +p235625 +aS'base\tbase\tNN\tI-NP\tO' +p235626 +aS'and\tand\tCC\tO\tO' +p235627 +aS'middle\tmiddle\tJJ\tB-NP\tO' +p235628 +aS'field\tfield\tNN\tI-NP\tO' +p235629 +aS';\t;\t:\tO\tO' +p235630 +aS'otherwise\totherwise\tRB\tB-ADJP\tO' +p235631 +aS'clear\tclear\tJJ\tI-ADJP\tO' +p235632 +aS'.\t.\t.\tO\tO' +p235633 +asS'He was restarted on Coumadin for his low ejection fraction and started on diuresis with IV Lasix for two days and then switched to an oral Lasix regimen .' +p235634 +(lp235635 +S'He\tHe\tPRP\tB-NP\tO' +p235636 +aS'was\tbe\tVBD\tB-VP\tO' +p235637 +aS'restarted\trestart\tVBN\tI-VP\tO' +p235638 +aS'on\ton\tIN\tB-PP\tO' +p235639 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p235640 +aS'for\tfor\tIN\tB-PP\tO' +p235641 +aS'his\this\tPRP$\tB-NP\tO' +p235642 +aS'low\tlow\tJJ\tI-NP\tO' +p235643 +aS'ejection\tejection\tNN\tI-NP\tO' +p235644 +aS'fraction\tfraction\tNN\tI-NP\tO' +p235645 +aS'and\tand\tCC\tO\tO' +p235646 +aS'started\tstart\tVBN\tB-VP\tO' +p235647 +aS'on\ton\tIN\tB-PP\tO' +p235648 +aS'diuresis\tdiuresis\tNN\tB-NP\tO' +p235649 +aS'with\twith\tIN\tB-PP\tO' +p235650 +aS'IV\tIV\tCD\tB-NP\tO' +p235651 +aS'Lasix\tLasix\tNNP\tI-NP\tO' +p235652 +aS'for\tfor\tIN\tB-PP\tO' +p235653 +aS'two\ttwo\tCD\tB-NP\tO' +p235654 +aS'days\tday\tNNS\tI-NP\tO' +p235655 +aS'and\tand\tCC\tO\tO' +p235656 +aS'then\tthen\tRB\tB-ADVP\tO' +p235657 +aS'switched\tswitch\tVBD\tB-VP\tO' +p235658 +aS'to\tto\tTO\tB-PP\tO' +p235659 +aS'an\tan\tDT\tB-NP\tO' +p235660 +aS'oral\toral\tJJ\tI-NP\tO' +p235661 +aS'Lasix\tLasix\tNNP\tI-NP\tO' +p235662 +aS'regimen\tregimen\tNN\tI-NP\tO' +p235663 +aS'.\t.\t.\tO\tO' +p235664 +asS"Just prior to discharge on 11-14 , pt 's BP was found to be 70/40 P70 s just after receiving her am BP meds ." +p235665 +(lp235666 +S'Just\tJust\tRB\tB-ADJP\tO' +p235667 +aS'prior\tprior\tJJ\tI-ADJP\tO' +p235668 +aS'to\tto\tTO\tB-VP\tO' +p235669 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p235670 +aS'on\ton\tIN\tB-PP\tO' +p235671 +aS'11-14\t11-14\tNN\tB-NP\tO' +p235672 +aS',\t,\t,\tO\tO' +p235673 +aS'pt\tpt\tNN\tB-NP\tO' +p235674 +aS"'s\t's\tPOS\tB-NP\tO" +p235675 +aS'BP\tBP\tNN\tI-NP\tO' +p235676 +aS'was\tbe\tVBD\tB-VP\tO' +p235677 +aS'found\tfind\tVBN\tI-VP\tO' +p235678 +aS'to\tto\tTO\tI-VP\tO' +p235679 +aS'be\tbe\tVB\tI-VP\tO' +p235680 +aS'70/40\t70/40\tCD\tB-NP\tO' +p235681 +aS'P70\tP70\tNN\tI-NP\tB-protein' +p235682 +aS's\ts\tNNS\tI-NP\tI-protein' +p235683 +aS'just\tjust\tRB\tB-ADVP\tO' +p235684 +aS'after\tafter\tIN\tB-PP\tO' +p235685 +aS'receiving\treceive\tVBG\tB-VP\tO' +p235686 +aS'her\ther\tPRP$\tB-NP\tO' +p235687 +aS'am\tam\tNN\tI-NP\tO' +p235688 +aS'BP\tBP\tNN\tI-NP\tO' +p235689 +aS'meds\tmed\tNNS\tI-NP\tO' +p235690 +aS'.\t.\t.\tO\tO' +p235691 +asS'1) Rapid atrial fibrillation with demand ischemia' +p235692 +(lp235693 +S'1)\t1)\tLS\tB-NP\tO' +p235694 +aS'Rapid\tRapid\tJJ\tI-NP\tO' +p235695 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p235696 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p235697 +aS'with\twith\tIN\tB-PP\tO' +p235698 +aS'demand\tdemand\tNN\tB-NP\tO' +p235699 +aS'ischemia\tischemia\tNN\tI-NP\tO' +p235700 +asS'He had repeated bouts of small-volume emesis that may have been secondary to reflux .' +p235701 +(lp235702 +S'He\tHe\tPRP\tB-NP\tO' +p235703 +aS'had\thave\tVBD\tB-VP\tO' +p235704 +aS'repeated\trepeat\tVBN\tI-VP\tO' +p235705 +aS'bouts\tbout\tNNS\tB-NP\tO' +p235706 +aS'of\tof\tIN\tB-PP\tO' +p235707 +aS'small-volume\tsmall-volume\tNN\tB-NP\tO' +p235708 +aS'emesis\temesis\tNN\tI-NP\tO' +p235709 +aS'that\tthat\tWDT\tB-NP\tO' +p235710 +aS'may\tmay\tMD\tB-VP\tO' +p235711 +aS'have\thave\tVB\tI-VP\tO' +p235712 +aS'been\tbe\tVBN\tI-VP\tO' +p235713 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p235714 +aS'to\tto\tTO\tB-VP\tO' +p235715 +aS'reflux\treflux\tVB\tI-VP\tO' +p235716 +aS'.\t.\t.\tO\tO' +p235717 +asS'A lytic area is again seen in the L5 vertebral body but unchanged from prior examination .' +p235718 +(lp235719 +S'A\tA\tDT\tB-NP\tO' +p235720 +aS'lytic\tlytic\tJJ\tI-NP\tO' +p235721 +aS'area\tarea\tNN\tI-NP\tO' +p235722 +aS'is\tbe\tVBZ\tB-VP\tO' +p235723 +aS'again\tagain\tRB\tI-VP\tO' +p235724 +aS'seen\tsee\tVBN\tI-VP\tO' +p235725 +aS'in\tin\tIN\tB-PP\tO' +p235726 +aS'the\tthe\tDT\tB-NP\tO' +p235727 +aS'L5\tL5\tNN\tI-NP\tB-DNA' +p235728 +aS'vertebral\tvertebral\tJJ\tI-NP\tO' +p235729 +aS'body\tbody\tNN\tI-NP\tO' +p235730 +aS'but\tbut\tCC\tO\tO' +p235731 +aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' +p235732 +aS'from\tfrom\tIN\tB-PP\tO' +p235733 +aS'prior\tprior\tJJ\tB-NP\tO' +p235734 +aS'examination\texamination\tNN\tI-NP\tO' +p235735 +aS'.\t.\t.\tO\tO' +p235736 +asS'bilateral cardiac catheterization .' +p235737 +(lp235738 +S'bilateral\tbilateral\tJJ\tB-NP\tO' +p235739 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p235740 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p235741 +aS'.\t.\t.\tO\tO' +p235742 +asS'The patient was maintained on supplemental oxygen and sputum production was maximized with the help of an Acapella device and respiratory therapy .' +p235743 +(lp235744 +S'The\tThe\tDT\tB-NP\tO' +p235745 +aS'patient\tpatient\tNN\tI-NP\tO' +p235746 +aS'was\tbe\tVBD\tB-VP\tO' +p235747 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p235748 +aS'on\ton\tIN\tB-PP\tO' +p235749 +aS'supplemental\tsupplemental\tJJ\tB-NP\tO' +p235750 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p235751 +aS'and\tand\tCC\tI-NP\tO' +p235752 +aS'sputum\tsputum\tNN\tI-NP\tO' +p235753 +aS'production\tproduction\tNN\tI-NP\tO' +p235754 +aS'was\tbe\tVBD\tB-VP\tO' +p235755 +aS'maximized\tmaximize\tVBN\tI-VP\tO' +p235756 +aS'with\twith\tIN\tB-PP\tO' +p235757 +aS'the\tthe\tDT\tB-NP\tO' +p235758 +aS'help\thelp\tNN\tI-NP\tO' +p235759 +aS'of\tof\tIN\tB-PP\tO' +p235760 +aS'an\tan\tDT\tB-NP\tO' +p235761 +aS'Acapella\tAcapella\tNN\tI-NP\tO' +p235762 +aS'device\tdevice\tNN\tI-NP\tO' +p235763 +aS'and\tand\tCC\tO\tO' +p235764 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p235765 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p235766 +aS'.\t.\t.\tO\tO' +p235767 +asS'Mr. Nina activity is ad lib .' +p235768 +(lp235769 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p235770 +aS'Nina\tNina\tNNP\tI-NP\tO' +p235771 +aS'activity\tactivity\tNN\tI-NP\tO' +p235772 +aS'is\tbe\tVBZ\tB-VP\tO' +p235773 +aS'ad\tad\tNN\tB-NP\tO' +p235774 +aS'lib\tlib\tNN\tI-NP\tO' +p235775 +aS'.\t.\t.\tO\tO' +p235776 +asS'CMED CSRU transfer .' +p235777 +(lp235778 +S'CMED\tCMED\tVBN\tB-NP\tO' +p235779 +aS'CSRU\tCSRU\tNN\tI-NP\tO' +p235780 +aS'transfer\ttransfer\tNN\tI-NP\tO' +p235781 +aS'.\t.\t.\tO\tO' +p235782 +asS'8. Cataracts , status post bilateral repair .' +p235783 +(lp235784 +S'8.\t8.\tCD\tB-NP\tO' +p235785 +aS'Cataracts\tCataract\tNNS\tI-NP\tO' +p235786 +aS',\t,\t,\tO\tO' +p235787 +aS'status\tstatus\tNN\tB-NP\tO' +p235788 +aS'post\tpost\tNN\tI-NP\tO' +p235789 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p235790 +aS'repair\trepair\tNN\tI-NP\tO' +p235791 +aS'.\t.\t.\tO\tO' +p235792 +asS'He tolerated this well , was sent home , and now returns for his mitral valve repair .' +p235793 +(lp235794 +S'He\tHe\tPRP\tB-NP\tO' +p235795 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p235796 +aS'this\tthis\tDT\tB-NP\tO' +p235797 +aS'well\twell\tNN\tI-NP\tO' +p235798 +aS',\t,\t,\tO\tO' +p235799 +aS'was\tbe\tVBD\tB-VP\tO' +p235800 +aS'sent\tsend\tVBN\tI-VP\tO' +p235801 +aS'home\thome\tNN\tB-ADVP\tO' +p235802 +aS',\t,\t,\tO\tO' +p235803 +aS'and\tand\tCC\tO\tO' +p235804 +aS'now\tnow\tRB\tB-VP\tO' +p235805 +aS'returns\treturn\tVBZ\tI-VP\tO' +p235806 +aS'for\tfor\tIN\tB-PP\tO' +p235807 +aS'his\this\tPRP$\tB-NP\tO' +p235808 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p235809 +aS'valve\tvalve\tJJ\tI-NP\tO' +p235810 +aS'repair\trepair\tNN\tI-NP\tO' +p235811 +aS'.\t.\t.\tO\tO' +p235812 +asS'Dictated By : Mark D. Eng , M.D.' +p235813 +(lp235814 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p235815 +aS'By\tBy\tIN\tB-PP\tO' +p235816 +aS':\t:\t:\tO\tO' +p235817 +aS'Mark\tMark\tNNP\tB-NP\tO' +p235818 +aS'D.\tD.\tNNP\tI-NP\tO' +p235819 +aS'Eng\tEng\tNNP\tI-NP\tO' +p235820 +aS',\t,\t,\tO\tO' +p235821 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p235822 +asS'10. Percocet one to two tablets p.o. q.4-6h. p.r.n.' +p235823 +(lp235824 +S'10.\t10.\tCD\tB-NP\tO' +p235825 +aS'Percocet\tPercocet\tNNP\tI-NP\tO' +p235826 +aS'one\tone\tCD\tI-NP\tO' +p235827 +aS'to\tto\tTO\tI-NP\tO' +p235828 +aS'two\ttwo\tCD\tI-NP\tO' +p235829 +aS'tablets\ttablet\tNNS\tI-NP\tO' +p235830 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p235831 +aS'q.4-6h.\tq.4-6h.\tNN\tI-NP\tO' +p235832 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p235833 +asS'His pathology came back as a large grade IV glioma .' +p235834 +(lp235835 +S'His\tHis\tPRP$\tB-NP\tO' +p235836 +aS'pathology\tpathology\tNN\tI-NP\tO' +p235837 +aS'came\tcome\tVBD\tB-VP\tO' +p235838 +aS'back\tback\tRB\tB-ADVP\tO' +p235839 +aS'as\tas\tIN\tB-PP\tO' +p235840 +aS'a\ta\tDT\tB-NP\tO' +p235841 +aS'large\tlarge\tJJ\tI-NP\tO' +p235842 +aS'grade\tgrade\tNN\tI-NP\tO' +p235843 +aS'IV\tIV\tCD\tI-NP\tO' +p235844 +aS'glioma\tglioma\tNN\tI-NP\tO' +p235845 +aS'.\t.\t.\tO\tO' +p235846 +asS'Sulfa causes rash .' +p235847 +(lp235848 +S'Sulfa\tSulfa\tNN\tB-NP\tO' +p235849 +aS'causes\tcause\tVBZ\tB-VP\tO' +p235850 +aS'rash\trash\tNN\tB-NP\tO' +p235851 +aS'.\t.\t.\tO\tO' +p235852 +asS'On the 16th , a urine culture was obtained and did grow out greater than 100,000 colonies of E. coli which was intermittently resistant to Ciprofloxacin .' +p235853 +(lp235854 +S'On\tOn\tIN\tB-PP\tO' +p235855 +aS'the\tthe\tDT\tB-NP\tO' +p235856 +aS'16th\t16th\tNN\tI-NP\tO' +p235857 +aS',\t,\t,\tO\tO' +p235858 +aS'a\ta\tDT\tB-NP\tO' +p235859 +aS'urine\turine\tNN\tI-NP\tO' +p235860 +aS'culture\tculture\tNN\tI-NP\tO' +p235861 +aS'was\tbe\tVBD\tB-VP\tO' +p235862 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p235863 +aS'and\tand\tCC\tO\tO' +p235864 +aS'did\tdo\tVBD\tB-VP\tO' +p235865 +aS'grow\tgrow\tVB\tI-VP\tO' +p235866 +aS'out\tout\tRP\tB-PRT\tO' +p235867 +aS'greater\tgreat\tJJR\tB-NP\tO' +p235868 +aS'than\tthan\tIN\tI-NP\tO' +p235869 +aS'100,000\t100,000\tCD\tI-NP\tO' +p235870 +aS'colonies\tcolony\tNNS\tI-NP\tO' +p235871 +aS'of\tof\tIN\tB-PP\tO' +p235872 +aS'E.\tE.\tNNP\tB-NP\tO' +p235873 +aS'coli\tcoli\tNNS\tI-NP\tO' +p235874 +aS'which\twhich\tWDT\tB-NP\tO' +p235875 +aS'was\tbe\tVBD\tB-VP\tO' +p235876 +aS'intermittently\tintermittently\tRB\tB-ADJP\tO' +p235877 +aS'resistant\tresistant\tJJ\tI-ADJP\tO' +p235878 +aS'to\tto\tTO\tB-PP\tO' +p235879 +aS'Ciprofloxacin\tCiprofloxacin\tNN\tB-NP\tO' +p235880 +aS'.\t.\t.\tO\tO' +p235881 +asS'Skin normal .' +p235882 +(lp235883 +S'Skin\tSkin\tNN\tB-NP\tO' +p235884 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p235885 +aS'.\t.\t.\tO\tO' +p235886 +asS'Mental status improved during times when propofol was held .' +p235887 +(lp235888 +S'Mental\tMental\tJJ\tB-NP\tO' +p235889 +aS'status\tstatus\tNN\tI-NP\tO' +p235890 +aS'improved\timprove\tVBN\tB-VP\tO' +p235891 +aS'during\tduring\tIN\tB-PP\tO' +p235892 +aS'times\ttime\tNNS\tB-NP\tO' +p235893 +aS'when\twhen\tWRB\tB-ADVP\tO' +p235894 +aS'propofol\tpropofol\tNN\tB-NP\tO' +p235895 +aS'was\tbe\tVBD\tB-VP\tO' +p235896 +aS'held\thold\tVBN\tI-VP\tO' +p235897 +aS'.\t.\t.\tO\tO' +p235898 +asS'Ever since the pulmonary embolus she has been on oxygen .' +p235899 +(lp235900 +S'Ever\tEver\tRB\tB-PP\tO' +p235901 +aS'since\tsince\tIN\tI-PP\tO' +p235902 +aS'the\tthe\tDT\tB-NP\tO' +p235903 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p235904 +aS'embolus\tembolus\tNN\tI-NP\tO' +p235905 +aS'she\tshe\tPRP\tB-NP\tO' +p235906 +aS'has\thave\tVBZ\tB-VP\tO' +p235907 +aS'been\tbe\tVBN\tI-VP\tO' +p235908 +aS'on\ton\tIN\tB-PP\tO' +p235909 +aS'oxygen\toxygen\tNN\tB-NP\tO' +p235910 +aS'.\t.\t.\tO\tO' +p235911 +asS'Bilateral pleural effusion were seen with associated compression atelectasis .' +p235912 +(lp235913 +S'Bilateral\tBilateral\tJJ\tB-NP\tO' +p235914 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p235915 +aS'effusion\teffusion\tNN\tI-NP\tO' +p235916 +aS'were\tbe\tVBD\tB-VP\tO' +p235917 +aS'seen\tsee\tVBN\tI-VP\tO' +p235918 +aS'with\twith\tIN\tB-PP\tO' +p235919 +aS'associated\tassociate\tVBN\tB-NP\tO' +p235920 +aS'compression\tcompression\tNN\tI-NP\tO' +p235921 +aS'atelectasis\tatelectasis\tNN\tI-NP\tO' +p235922 +aS'.\t.\t.\tO\tO' +p235923 +asS'Of note , his CD4 count was less than 200 last winter .' +p235924 +(lp235925 +S'Of\tOf\tIN\tB-PP\tO' +p235926 +aS'note\tnote\tNN\tB-NP\tO' +p235927 +aS',\t,\t,\tO\tO' +p235928 +aS'his\this\tPRP$\tB-NP\tO' +p235929 +aS'CD4\tCD4\tNN\tI-NP\tB-protein' +p235930 +aS'count\tcount\tNN\tI-NP\tO' +p235931 +aS'was\tbe\tVBD\tB-VP\tO' +p235932 +aS'less\tless\tJJR\tB-NP\tO' +p235933 +aS'than\tthan\tIN\tI-NP\tO' +p235934 +aS'200\t200\tCD\tI-NP\tO' +p235935 +aS'last\tlast\tJJ\tB-NP\tO' +p235936 +aS'winter\twinter\tNN\tI-NP\tO' +p235937 +aS'.\t.\t.\tO\tO' +p235938 +asS'Following the operation , he was brought to the CSRU for invasive monitoring .' +p235939 +(lp235940 +S'Following\tFollow\tVBG\tB-PP\tO' +p235941 +aS'the\tthe\tDT\tB-NP\tO' +p235942 +aS'operation\toperation\tNN\tI-NP\tO' +p235943 +aS',\t,\t,\tO\tO' +p235944 +aS'he\the\tPRP\tB-NP\tO' +p235945 +aS'was\tbe\tVBD\tB-VP\tO' +p235946 +aS'brought\tbring\tVBN\tI-VP\tO' +p235947 +aS'to\tto\tTO\tB-PP\tO' +p235948 +aS'the\tthe\tDT\tB-NP\tO' +p235949 +aS'CSRU\tCSRU\tNN\tI-NP\tO' +p235950 +aS'for\tfor\tIN\tB-PP\tO' +p235951 +aS'invasive\tinvasive\tJJ\tB-NP\tO' +p235952 +aS'monitoring\tmonitoring\tNN\tI-NP\tO' +p235953 +aS'.\t.\t.\tO\tO' +p235954 +asS'3. Atrial fibrillation .' +p235955 +(lp235956 +S'3.\t3.\tLS\tB-NP\tO' +p235957 +aS'Atrial\tAtrial\tJJ\tI-NP\tO' +p235958 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p235959 +aS'.\t.\t.\tO\tO' +p235960 +asS'If clinically indicated a TEE would be better able to define an abnormality of the aortic valve .' +p235961 +(lp235962 +S'If\tIf\tIN\tB-SBAR\tO' +p235963 +aS'clinically\tclinically\tRB\tB-ADVP\tO' +p235964 +aS'indicated\tindicate\tVBD\tB-VP\tO' +p235965 +aS'a\ta\tDT\tB-NP\tO' +p235966 +aS'TEE\tTEE\tNN\tI-NP\tO' +p235967 +aS'would\twould\tMD\tB-VP\tO' +p235968 +aS'be\tbe\tVB\tI-VP\tO' +p235969 +aS'better\tgood\tJJR\tB-ADJP\tO' +p235970 +aS'able\table\tJJ\tI-ADJP\tO' +p235971 +aS'to\tto\tTO\tB-VP\tO' +p235972 +aS'define\tdefine\tVB\tI-VP\tO' +p235973 +aS'an\tan\tDT\tB-NP\tO' +p235974 +aS'abnormality\tabnormality\tNN\tI-NP\tO' +p235975 +aS'of\tof\tIN\tB-PP\tO' +p235976 +aS'the\tthe\tDT\tB-NP\tO' +p235977 +aS'aortic\taortic\tJJ\tI-NP\tO' +p235978 +aS'valve\tvalve\tNN\tI-NP\tO' +p235979 +aS'.\t.\t.\tO\tO' +p235980 +asS'She averaged 2-3 apnea episodes a day with bradycardia and desaturations .' +p235981 +(lp235982 +S'She\tShe\tPRP\tB-NP\tO' +p235983 +aS'averaged\taverage\tVBD\tB-VP\tO' +p235984 +aS'2-3\t2-3\tCD\tB-NP\tO' +p235985 +aS'apnea\tapnea\tNN\tI-NP\tO' +p235986 +aS'episodes\tepisode\tVBZ\tB-VP\tO' +p235987 +aS'a\ta\tDT\tB-NP\tO' +p235988 +aS'day\tday\tNN\tI-NP\tO' +p235989 +aS'with\twith\tIN\tB-PP\tO' +p235990 +aS'bradycardia\tbradycardia\tNN\tB-NP\tO' +p235991 +aS'and\tand\tCC\tI-NP\tO' +p235992 +aS'desaturations\tdesaturation\tNNS\tI-NP\tO' +p235993 +aS'.\t.\t.\tO\tO' +p235994 +asS'Since the previous tracing of 2018-03-15 atrial pacing is a new finding .' +p235995 +(lp235996 +S'Since\tSince\tIN\tB-SBAR\tO' +p235997 +aS'the\tthe\tDT\tB-NP\tO' +p235998 +aS'previous\tprevious\tJJ\tI-NP\tO' +p235999 +aS'tracing\ttracing\tNN\tI-NP\tO' +p236000 +aS'of\tof\tIN\tB-PP\tO' +p236001 +aS'2018-03-15\t2018-03-15\tCD\tB-NP\tO' +p236002 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p236003 +aS'pacing\tpacing\tNN\tI-NP\tO' +p236004 +aS'is\tbe\tVBZ\tB-VP\tO' +p236005 +aS'a\ta\tDT\tB-NP\tO' +p236006 +aS'new\tnew\tJJ\tI-NP\tO' +p236007 +aS'finding\tfinding\tNN\tI-NP\tO' +p236008 +aS'.\t.\t.\tO\tO' +p236009 +asS'Fibroid uterus status post embolization on 2009-01-07 .' +p236010 +(lp236011 +S'Fibroid\tFibroid\tJJ\tB-NP\tO' +p236012 +aS'uterus\tuterus\tNN\tI-NP\tO' +p236013 +aS'status\tstatus\tNN\tI-NP\tO' +p236014 +aS'post\tpost\tNN\tI-NP\tO' +p236015 +aS'embolization\tembolization\tNN\tI-NP\tO' +p236016 +aS'on\ton\tIN\tB-PP\tO' +p236017 +aS'2009-01-07\t2009-01-07\tCD\tB-NP\tO' +p236018 +aS'.\t.\t.\tO\tO' +p236019 +asS'He did have an episode of a prolonged sinus pause in the recovery room , which resulted in transient loss of consciousness .' +p236020 +(lp236021 +S'He\tHe\tPRP\tB-NP\tO' +p236022 +aS'did\tdo\tVBD\tB-VP\tO' +p236023 +aS'have\thave\tVB\tI-VP\tO' +p236024 +aS'an\tan\tDT\tB-NP\tO' +p236025 +aS'episode\tepisode\tNN\tI-NP\tO' +p236026 +aS'of\tof\tIN\tB-PP\tO' +p236027 +aS'a\ta\tDT\tB-NP\tO' +p236028 +aS'prolonged\tprolong\tVBN\tI-NP\tO' +p236029 +aS'sinus\tsinus\tNN\tI-NP\tO' +p236030 +aS'pause\tpause\tNN\tI-NP\tO' +p236031 +aS'in\tin\tIN\tB-PP\tO' +p236032 +aS'the\tthe\tDT\tB-NP\tO' +p236033 +aS'recovery\trecovery\tNN\tI-NP\tO' +p236034 +aS'room\troom\tNN\tI-NP\tO' +p236035 +aS',\t,\t,\tO\tO' +p236036 +aS'which\twhich\tWDT\tB-NP\tO' +p236037 +aS'resulted\tresult\tVBD\tB-VP\tO' +p236038 +aS'in\tin\tIN\tB-PP\tO' +p236039 +aS'transient\ttransient\tJJ\tB-NP\tO' +p236040 +aS'loss\tloss\tNN\tI-NP\tO' +p236041 +aS'of\tof\tIN\tB-PP\tO' +p236042 +aS'consciousness\tconsciousness\tNN\tB-NP\tO' +p236043 +aS'.\t.\t.\tO\tO' +p236044 +asS'All efforts were directed to his comfort and he died on July 1 , 1992 .' +p236045 +(lp236046 +S'All\tAll\tDT\tB-NP\tO' +p236047 +aS'efforts\teffort\tNNS\tI-NP\tO' +p236048 +aS'were\tbe\tVBD\tB-VP\tO' +p236049 +aS'directed\tdirect\tVBN\tI-VP\tO' +p236050 +aS'to\tto\tTO\tB-PP\tO' +p236051 +aS'his\this\tPRP$\tB-NP\tO' +p236052 +aS'comfort\tcomfort\tNN\tI-NP\tO' +p236053 +aS'and\tand\tCC\tO\tO' +p236054 +aS'he\the\tPRP\tB-NP\tO' +p236055 +aS'died\tdie\tVBD\tB-VP\tO' +p236056 +aS'on\ton\tIN\tB-PP\tO' +p236057 +aS'July\tJuly\tNNP\tB-NP\tO' +p236058 +aS'1\t1\tCD\tI-NP\tO' +p236059 +aS',\t,\t,\tI-NP\tO' +p236060 +aS'1992\t1992\tCD\tI-NP\tO' +p236061 +aS'.\t.\t.\tO\tO' +p236062 +asS'She is to follow up with her primary care physician in one week .' +p236063 +(lp236064 +S'She\tShe\tPRP\tB-NP\tO' +p236065 +aS'is\tbe\tVBZ\tB-VP\tO' +p236066 +aS'to\tto\tTO\tB-VP\tO' +p236067 +aS'follow\tfollow\tVB\tI-VP\tO' +p236068 +aS'up\tup\tRP\tB-PRT\tO' +p236069 +aS'with\twith\tIN\tB-PP\tO' +p236070 +aS'her\ther\tPRP$\tB-NP\tO' +p236071 +aS'primary\tprimary\tJJ\tI-NP\tO' +p236072 +aS'care\tcare\tNN\tI-NP\tO' +p236073 +aS'physician\tphysician\tNN\tI-NP\tO' +p236074 +aS'in\tin\tIN\tB-PP\tO' +p236075 +aS'one\tone\tCD\tB-NP\tO' +p236076 +aS'week\tweek\tNN\tI-NP\tO' +p236077 +aS'.\t.\t.\tO\tO' +p236078 +asS'The patient denied any fevers , chills , chest pain , shortness of breath or dysuria but does state she had her usual migraine headache the night prior to admission .' +p236079 +(lp236080 +S'The\tThe\tDT\tB-NP\tO' +p236081 +aS'patient\tpatient\tNN\tI-NP\tO' +p236082 +aS'denied\tdeny\tVBD\tB-VP\tO' +p236083 +aS'any\tany\tDT\tB-NP\tO' +p236084 +aS'fevers\tfever\tNNS\tI-NP\tO' +p236085 +aS',\t,\t,\tO\tO' +p236086 +aS'chills\tchill\tNNS\tB-NP\tO' +p236087 +aS',\t,\t,\tO\tO' +p236088 +aS'chest\tchest\tNN\tB-NP\tO' +p236089 +aS'pain\tpain\tNN\tI-NP\tO' +p236090 +aS',\t,\t,\tO\tO' +p236091 +aS'shortness\tshortness\tNN\tB-NP\tO' +p236092 +aS'of\tof\tIN\tB-PP\tO' +p236093 +aS'breath\tbreath\tNN\tB-NP\tO' +p236094 +aS'or\tor\tCC\tI-NP\tO' +p236095 +aS'dysuria\tdysuria\tNN\tI-NP\tO' +p236096 +aS'but\tbut\tCC\tO\tO' +p236097 +aS'does\tdo\tVBZ\tB-VP\tO' +p236098 +aS'state\tstate\tVB\tI-VP\tO' +p236099 +aS'she\tshe\tPRP\tB-NP\tO' +p236100 +aS'had\thave\tVBD\tB-VP\tO' +p236101 +aS'her\ther\tPRP$\tB-NP\tO' +p236102 +aS'usual\tusual\tJJ\tI-NP\tO' +p236103 +aS'migraine\tmigraine\tNN\tI-NP\tO' +p236104 +aS'headache\theadache\tVBP\tB-VP\tO' +p236105 +aS'the\tthe\tDT\tB-NP\tO' +p236106 +aS'night\tnight\tNN\tI-NP\tO' +p236107 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p236108 +aS'to\tto\tTO\tB-PP\tO' +p236109 +aS'admission\tadmission\tNN\tB-NP\tO' +p236110 +aS'.\t.\t.\tO\tO' +p236111 +asS'She is status post cadaveric renal allograft in 03/93 , and she subsequently underwent an early postoperative transplant nephrectomy secondary to rupture .' +p236112 +(lp236113 +S'She\tShe\tPRP\tB-NP\tO' +p236114 +aS'is\tbe\tVBZ\tB-VP\tO' +p236115 +aS'status\tstatus\tJJ\tB-ADJP\tO' +p236116 +aS'post\tpost\tIN\tB-PP\tO' +p236117 +aS'cadaveric\tcadaveric\tJJ\tB-NP\tO' +p236118 +aS'renal\trenal\tJJ\tI-NP\tO' +p236119 +aS'allograft\tallograft\tNN\tI-NP\tO' +p236120 +aS'in\tin\tIN\tB-PP\tO' +p236121 +aS'03/93\t03/93\tCD\tB-NP\tO' +p236122 +aS',\t,\t,\tO\tO' +p236123 +aS'and\tand\tCC\tO\tO' +p236124 +aS'she\tshe\tPRP\tB-NP\tO' +p236125 +aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' +p236126 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p236127 +aS'an\tan\tDT\tB-NP\tO' +p236128 +aS'early\tearly\tJJ\tI-NP\tO' +p236129 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p236130 +aS'transplant\ttransplant\tNN\tI-NP\tO' +p236131 +aS'nephrectomy\tnephrectomy\tNN\tI-NP\tO' +p236132 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p236133 +aS'to\tto\tTO\tB-VP\tO' +p236134 +aS'rupture\trupture\tVB\tI-VP\tO' +p236135 +aS'.\t.\t.\tO\tO' +p236136 +asS'The patient is an obese male in no acute distress .' +p236137 +(lp236138 +S'The\tThe\tDT\tB-NP\tO' +p236139 +aS'patient\tpatient\tNN\tI-NP\tO' +p236140 +aS'is\tbe\tVBZ\tB-VP\tO' +p236141 +aS'an\tan\tDT\tB-NP\tO' +p236142 +aS'obese\tobese\tJJ\tI-NP\tO' +p236143 +aS'male\tmale\tNN\tI-NP\tO' +p236144 +aS'in\tin\tIN\tB-PP\tO' +p236145 +aS'no\tno\tDT\tB-NP\tO' +p236146 +aS'acute\tacute\tJJ\tI-NP\tO' +p236147 +aS'distress\tdistress\tNN\tI-NP\tO' +p236148 +aS'.\t.\t.\tO\tO' +p236149 +asS'Normal first heart sounds and second heart sounds .' +p236150 +(lp236151 +S'Normal\tNormal\tJJ\tB-NP\tO' +p236152 +aS'first\tfirst\tJJ\tI-NP\tO' +p236153 +aS'heart\theart\tNN\tI-NP\tO' +p236154 +aS'sounds\tsound\tNNS\tI-NP\tO' +p236155 +aS'and\tand\tCC\tO\tO' +p236156 +aS'second\tsecond\tJJ\tB-NP\tO' +p236157 +aS'heart\theart\tNN\tI-NP\tO' +p236158 +aS'sounds\tsound\tNNS\tI-NP\tO' +p236159 +aS'.\t.\t.\tO\tO' +p236160 +asS'Three liters of clear green fluid were found in the abdominal cavity .' +p236161 +(lp236162 +S'Three\tThree\tCD\tB-NP\tO' +p236163 +aS'liters\tliter\tNNS\tI-NP\tO' +p236164 +aS'of\tof\tIN\tB-PP\tO' +p236165 +aS'clear\tclear\tJJ\tB-NP\tO' +p236166 +aS'green\tgreen\tJJ\tI-NP\tO' +p236167 +aS'fluid\tfluid\tNN\tI-NP\tO' +p236168 +aS'were\tbe\tVBD\tB-VP\tO' +p236169 +aS'found\tfind\tVBN\tI-VP\tO' +p236170 +aS'in\tin\tIN\tB-PP\tO' +p236171 +aS'the\tthe\tDT\tB-NP\tO' +p236172 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p236173 +aS'cavity\tcavity\tNN\tI-NP\tO' +p236174 +aS'.\t.\t.\tO\tO' +p236175 +asS'He was put on Pepcid for GI prophylaxis .' +p236176 +(lp236177 +S'He\tHe\tPRP\tB-NP\tO' +p236178 +aS'was\tbe\tVBD\tB-VP\tO' +p236179 +aS'put\tput\tVBN\tI-VP\tO' +p236180 +aS'on\ton\tIN\tB-PP\tO' +p236181 +aS'Pepcid\tPepcid\tNN\tB-NP\tO' +p236182 +aS'for\tfor\tIN\tB-PP\tO' +p236183 +aS'GI\tGI\tNN\tB-NP\tO' +p236184 +aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' +p236185 +aS'.\t.\t.\tO\tO' +p236186 +asS'She had an uneventful night .' +p236187 +(lp236188 +S'She\tShe\tPRP\tB-NP\tO' +p236189 +aS'had\thave\tVBD\tB-VP\tO' +p236190 +aS'an\tan\tDT\tB-NP\tO' +p236191 +aS'uneventful\tuneventful\tJJ\tI-NP\tO' +p236192 +aS'night\tnight\tNN\tI-NP\tO' +p236193 +aS'.\t.\t.\tO\tO' +p236194 +asS'He stabilized from this , but on the fifth while continuing to have extremely ventilator requirement .' +p236195 +(lp236196 +S'He\tHe\tPRP\tB-NP\tO' +p236197 +aS'stabilized\tstabilize\tVBD\tB-VP\tO' +p236198 +aS'from\tfrom\tIN\tB-PP\tO' +p236199 +aS'this\tthis\tDT\tB-NP\tO' +p236200 +aS',\t,\t,\tO\tO' +p236201 +aS'but\tbut\tCC\tO\tO' +p236202 +aS'on\ton\tIN\tB-PP\tO' +p236203 +aS'the\tthe\tDT\tB-NP\tO' +p236204 +aS'fifth\tfifth\tNN\tI-NP\tO' +p236205 +aS'while\twhile\tIN\tB-SBAR\tO' +p236206 +aS'continuing\tcontinue\tVBG\tB-VP\tO' +p236207 +aS'to\tto\tTO\tI-VP\tO' +p236208 +aS'have\thave\tVB\tI-VP\tO' +p236209 +aS'extremely\textremely\tRB\tB-NP\tO' +p236210 +aS'ventilator\tventilator\tNN\tI-NP\tO' +p236211 +aS'requirement\trequirement\tNN\tI-NP\tO' +p236212 +aS'.\t.\t.\tO\tO' +p236213 +asS'There was no rebound and no hepatosplenomegaly .' +p236214 +(lp236215 +S'There\tThere\tEX\tB-NP\tO' +p236216 +aS'was\tbe\tVBD\tB-VP\tO' +p236217 +aS'no\tno\tDT\tB-NP\tO' +p236218 +aS'rebound\trebound\tNN\tI-NP\tO' +p236219 +aS'and\tand\tCC\tO\tO' +p236220 +aS'no\tno\tDT\tB-NP\tO' +p236221 +aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tI-NP\tO' +p236222 +aS'.\t.\t.\tO\tO' +p236223 +asS'The percutaneous drainage catheter continued to have high output .' +p236224 +(lp236225 +S'The\tThe\tDT\tB-NP\tO' +p236226 +aS'percutaneous\tpercutaneous\tJJ\tI-NP\tO' +p236227 +aS'drainage\tdrainage\tNN\tI-NP\tO' +p236228 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p236229 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p236230 +aS'to\tto\tTO\tI-VP\tO' +p236231 +aS'have\thave\tVB\tI-VP\tO' +p236232 +aS'high\thigh\tJJ\tB-NP\tO' +p236233 +aS'output\toutput\tNN\tI-NP\tO' +p236234 +aS'.\t.\t.\tO\tO' +p236235 +asS'Follow up with Dr. Pilcher , Dr. Donnie , and Dr. Harris upon discharge .' +p236236 +(lp236237 +S'Follow\tFollow\tVB\tB-VP\tO' +p236238 +aS'up\tup\tRP\tB-PRT\tO' +p236239 +aS'with\twith\tIN\tB-PP\tO' +p236240 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p236241 +aS'Pilcher\tPilcher\tNNP\tI-NP\tO' +p236242 +aS',\t,\t,\tO\tO' +p236243 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p236244 +aS'Donnie\tDonnie\tNNP\tI-NP\tO' +p236245 +aS',\t,\t,\tO\tO' +p236246 +aS'and\tand\tCC\tO\tO' +p236247 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p236248 +aS'Harris\tHarris\tNNP\tI-NP\tO' +p236249 +aS'upon\tupon\tIN\tB-PP\tO' +p236250 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p236251 +aS'.\t.\t.\tO\tO' +p236252 +asS'Metastatic bladder CA now in remission s/p chemo/xrt s/p cystectomy and ileal loop urinary diversion and also radical prstatectomy with bilateral pelvic lymph node dissection .' +p236253 +(lp236254 +S'Metastatic\tMetastatic\tJJ\tB-NP\tO' +p236255 +aS'bladder\tbladder\tNN\tI-NP\tO' +p236256 +aS'CA\tCA\tNN\tI-NP\tO' +p236257 +aS'now\tnow\tRB\tB-ADVP\tO' +p236258 +aS'in\tin\tIN\tB-PP\tO' +p236259 +aS'remission\tremission\tNN\tB-NP\tO' +p236260 +aS's/p\ts/p\tNN\tI-NP\tO' +p236261 +aS'chemo/xrt\tchemo/xrt\tNN\tI-NP\tO' +p236262 +aS's/p\ts/p\tNN\tI-NP\tO' +p236263 +aS'cystectomy\tcystectomy\tNN\tI-NP\tO' +p236264 +aS'and\tand\tCC\tO\tO' +p236265 +aS'ileal\tileal\tJJ\tB-NP\tO' +p236266 +aS'loop\tloop\tNN\tI-NP\tO' +p236267 +aS'urinary\turinary\tJJ\tI-NP\tO' +p236268 +aS'diversion\tdiversion\tNN\tI-NP\tO' +p236269 +aS'and\tand\tCC\tO\tO' +p236270 +aS'also\talso\tRB\tB-ADVP\tO' +p236271 +aS'radical\tradical\tJJ\tB-NP\tO' +p236272 +aS'prstatectomy\tprstatectomy\tNN\tI-NP\tO' +p236273 +aS'with\twith\tIN\tB-PP\tO' +p236274 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p236275 +aS'pelvic\tpelvic\tJJ\tI-NP\tO' +p236276 +aS'lymph\tlymph\tNN\tI-NP\tO' +p236277 +aS'node\tnode\tNN\tI-NP\tO' +p236278 +aS'dissection\tdissection\tNN\tI-NP\tO' +p236279 +aS'.\t.\t.\tO\tO' +p236280 +asS'The motor exam-moves all four extremities easily and on command .' +p236281 +(lp236282 +S'The\tThe\tDT\tB-NP\tO' +p236283 +aS'motor\tmotor\tNN\tI-NP\tO' +p236284 +aS'exam-moves\texam-move\tVBZ\tB-VP\tO' +p236285 +aS'all\tall\tDT\tB-NP\tO' +p236286 +aS'four\tfour\tCD\tI-NP\tO' +p236287 +aS'extremities\textremity\tNNS\tI-NP\tO' +p236288 +aS'easily\teasily\tRB\tB-ADVP\tO' +p236289 +aS'and\tand\tCC\tO\tO' +p236290 +aS'on\ton\tIN\tB-PP\tO' +p236291 +aS'command\tcommand\tNN\tB-NP\tO' +p236292 +aS'.\t.\t.\tO\tO' +p236293 +asS'He is allergic to Penicillin , Inderal , and also to Procan .' +p236294 +(lp236295 +S'He\tHe\tPRP\tB-NP\tO' +p236296 +aS'is\tbe\tVBZ\tB-VP\tO' +p236297 +aS'allergic\tallergic\tJJ\tB-ADJP\tO' +p236298 +aS'to\tto\tTO\tB-PP\tO' +p236299 +aS'Penicillin\tPenicillin\tNNP\tB-NP\tO' +p236300 +aS',\t,\t,\tO\tO' +p236301 +aS'Inderal\tInderal\tNNP\tB-NP\tO' +p236302 +aS',\t,\t,\tO\tO' +p236303 +aS'and\tand\tCC\tO\tO' +p236304 +aS'also\talso\tRB\tB-ADVP\tO' +p236305 +aS'to\tto\tTO\tB-PP\tO' +p236306 +aS'Procan\tProcan\tNNP\tB-NP\tO' +p236307 +aS'.\t.\t.\tO\tO' +p236308 +asS"A family meeting was held on hospital day #4 which included the pt 's closest family members , her hepatologist , Dr. Steidl , her PCP , Dr. Popoff and the ICU team ." +p236309 +(lp236310 +S'A\tA\tDT\tB-NP\tO' +p236311 +aS'family\tfamily\tNN\tI-NP\tO' +p236312 +aS'meeting\tmeeting\tNN\tI-NP\tO' +p236313 +aS'was\tbe\tVBD\tB-VP\tO' +p236314 +aS'held\thold\tVBN\tI-VP\tO' +p236315 +aS'on\ton\tIN\tB-PP\tO' +p236316 +aS'hospital\thospital\tNN\tB-NP\tO' +p236317 +aS'day\tday\tNN\tI-NP\tO' +p236318 +aS'#4\t#4\tCD\tI-NP\tO' +p236319 +aS'which\twhich\tWDT\tB-NP\tO' +p236320 +aS'included\tinclude\tVBD\tB-VP\tO' +p236321 +aS'the\tthe\tDT\tB-NP\tO' +p236322 +aS'pt\tpt\tNN\tI-NP\tB-protein' +p236323 +aS"'s\t's\tPOS\tB-NP\tI-protein" +p236324 +aS'closest\tclose\tJJS\tI-NP\tI-protein' +p236325 +aS'family\tfamily\tNN\tI-NP\tI-protein' +p236326 +aS'members\tmember\tNNS\tI-NP\tI-protein' +p236327 +aS',\t,\t,\tO\tO' +p236328 +aS'her\ther\tPRP$\tB-NP\tO' +p236329 +aS'hepatologist\thepatologist\tNN\tI-NP\tO' +p236330 +aS',\t,\t,\tO\tO' +p236331 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p236332 +aS'Steidl\tSteidl\tNNP\tI-NP\tO' +p236333 +aS',\t,\t,\tO\tO' +p236334 +aS'her\ther\tPRP$\tB-NP\tO' +p236335 +aS'PCP\tPCP\tNN\tI-NP\tB-DNA' +p236336 +aS',\t,\t,\tO\tO' +p236337 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p236338 +aS'Popoff\tPopoff\tNNP\tI-NP\tO' +p236339 +aS'and\tand\tCC\tO\tO' +p236340 +aS'the\tthe\tDT\tB-NP\tO' +p236341 +aS'ICU\tICU\tNN\tI-NP\tB-protein' +p236342 +aS'team\tteam\tNN\tI-NP\tI-protein' +p236343 +aS'.\t.\t.\tO\tO' +p236344 +asS'She will be followed in the Centu Fairgmer Queen Medical Center .' +p236345 +(lp236346 +S'She\tShe\tPRP\tB-NP\tO' +p236347 +aS'will\twill\tMD\tB-VP\tO' +p236348 +aS'be\tbe\tVB\tI-VP\tO' +p236349 +aS'followed\tfollow\tVBN\tI-VP\tO' +p236350 +aS'in\tin\tIN\tB-PP\tO' +p236351 +aS'the\tthe\tDT\tB-NP\tO' +p236352 +aS'Centu\tCentu\tNNP\tI-NP\tO' +p236353 +aS'Fairgmer\tFairgmer\tNNP\tI-NP\tO' +p236354 +aS'Queen\tQueen\tNNP\tI-NP\tO' +p236355 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p236356 +aS'Center\tCenter\tNNP\tI-NP\tO' +p236357 +aS'.\t.\t.\tO\tO' +p236358 +asS'She was eventually stabilized and transfered out of the ICU to the medical Mary Lane Hospital .' +p236359 +(lp236360 +S'She\tShe\tPRP\tB-NP\tO' +p236361 +aS'was\tbe\tVBD\tB-VP\tO' +p236362 +aS'eventually\teventually\tRB\tI-VP\tO' +p236363 +aS'stabilized\tstabilize\tVBN\tI-VP\tO' +p236364 +aS'and\tand\tCC\tI-VP\tO' +p236365 +aS'transfered\ttransfer\tVBN\tI-VP\tO' +p236366 +aS'out\tout\tIN\tB-PP\tO' +p236367 +aS'of\tof\tIN\tB-PP\tO' +p236368 +aS'the\tthe\tDT\tB-NP\tO' +p236369 +aS'ICU\tICU\tNN\tI-NP\tB-protein' +p236370 +aS'to\tto\tTO\tB-PP\tO' +p236371 +aS'the\tthe\tDT\tB-NP\tO' +p236372 +aS'medical\tmedical\tJJ\tI-NP\tO' +p236373 +aS'Mary\tMary\tNNP\tI-NP\tO' +p236374 +aS'Lane\tLane\tNNP\tI-NP\tO' +p236375 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p236376 +aS'.\t.\t.\tO\tO' +p236377 +asS'They understand that there is no ICU at WIH and no further advanced pulmonary support can be offered .' +p236378 +(lp236379 +S'They\tThey\tPRP\tB-NP\tO' +p236380 +aS'understand\tunderstand\tVBP\tB-VP\tO' +p236381 +aS'that\tthat\tIN\tB-SBAR\tO' +p236382 +aS'there\tthere\tEX\tB-NP\tO' +p236383 +aS'is\tbe\tVBZ\tB-VP\tO' +p236384 +aS'no\tno\tDT\tB-NP\tO' +p236385 +aS'ICU\tICU\tNN\tI-NP\tB-protein' +p236386 +aS'at\tat\tIN\tB-PP\tO' +p236387 +aS'WIH\tWIH\tNN\tB-NP\tO' +p236388 +aS'and\tand\tCC\tO\tO' +p236389 +aS'no\tno\tDT\tB-NP\tO' +p236390 +aS'further\tfurther\tJJ\tI-NP\tO' +p236391 +aS'advanced\tadvanced\tJJ\tI-NP\tO' +p236392 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p236393 +aS'support\tsupport\tNN\tI-NP\tO' +p236394 +aS'can\tcan\tMD\tB-VP\tO' +p236395 +aS'be\tbe\tVB\tI-VP\tO' +p236396 +aS'offered\toffer\tVBN\tI-VP\tO' +p236397 +aS'.\t.\t.\tO\tO' +p236398 +asS'Neurology evaluated the baby and found the baby to have a normal neurological examination .' +p236399 +(lp236400 +S'Neurology\tNeurology\tNNP\tB-NP\tO' +p236401 +aS'evaluated\tevaluate\tVBD\tB-VP\tO' +p236402 +aS'the\tthe\tDT\tB-NP\tO' +p236403 +aS'baby\tbaby\tNN\tI-NP\tO' +p236404 +aS'and\tand\tCC\tO\tO' +p236405 +aS'found\tfind\tVBD\tB-VP\tO' +p236406 +aS'the\tthe\tDT\tB-NP\tO' +p236407 +aS'baby\tbaby\tNN\tI-NP\tO' +p236408 +aS'to\tto\tTO\tB-VP\tO' +p236409 +aS'have\thave\tVB\tI-VP\tO' +p236410 +aS'a\ta\tDT\tB-NP\tO' +p236411 +aS'normal\tnormal\tJJ\tI-NP\tO' +p236412 +aS'neurological\tneurological\tJJ\tI-NP\tO' +p236413 +aS'examination\texamination\tNN\tI-NP\tO' +p236414 +aS'.\t.\t.\tO\tO' +p236415 +asS'These findings may reflect thrombus within the left and right hepatic veins .' +p236416 +(lp236417 +S'These\tThese\tDT\tB-NP\tO' +p236418 +aS'findings\tfinding\tNNS\tI-NP\tO' +p236419 +aS'may\tmay\tMD\tB-VP\tO' +p236420 +aS'reflect\treflect\tVB\tI-VP\tO' +p236421 +aS'thrombus\tthrombus\tNN\tB-NP\tO' +p236422 +aS'within\twithin\tIN\tB-PP\tO' +p236423 +aS'the\tthe\tDT\tB-NP\tO' +p236424 +aS'left\tleft\tJJ\tI-NP\tO' +p236425 +aS'and\tand\tCC\tI-NP\tO' +p236426 +aS'right\tright\tJJ\tI-NP\tO' +p236427 +aS'hepatic\thepatic\tJJ\tI-NP\tO' +p236428 +aS'veins\tvein\tNNS\tI-NP\tO' +p236429 +aS'.\t.\t.\tO\tO' +p236430 +asS'She sleeps in a chair up right for the last 2 1/2 years secondary to osteoarthritis .' +p236431 +(lp236432 +S'She\tShe\tPRP\tB-NP\tO' +p236433 +aS'sleeps\tsleep\tVBZ\tB-VP\tO' +p236434 +aS'in\tin\tIN\tB-PP\tO' +p236435 +aS'a\ta\tDT\tB-NP\tO' +p236436 +aS'chair\tchair\tNN\tI-NP\tO' +p236437 +aS'up\tup\tRB\tB-ADVP\tO' +p236438 +aS'right\tright\tRB\tI-ADVP\tO' +p236439 +aS'for\tfor\tIN\tB-PP\tO' +p236440 +aS'the\tthe\tDT\tB-NP\tO' +p236441 +aS'last\tlast\tJJ\tI-NP\tO' +p236442 +aS'2\t2\tCD\tI-NP\tO' +p236443 +aS'1/2\t1/2\tCD\tI-NP\tO' +p236444 +aS'years\tyear\tNNS\tI-NP\tO' +p236445 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p236446 +aS'to\tto\tTO\tB-PP\tO' +p236447 +aS'osteoarthritis\tosteoarthritis\tNN\tB-NP\tO' +p236448 +aS'.\t.\t.\tO\tO' +p236449 +asS'Family did not want a chest tube placed and decided to make the pt CMO measures .' +p236450 +(lp236451 +S'Family\tFamily\tRB\tB-ADVP\tO' +p236452 +aS'did\tdo\tVBD\tB-VP\tO' +p236453 +aS'not\tnot\tRB\tI-VP\tO' +p236454 +aS'want\twant\tVB\tI-VP\tO' +p236455 +aS'a\ta\tDT\tB-NP\tO' +p236456 +aS'chest\tchest\tNN\tI-NP\tO' +p236457 +aS'tube\ttube\tNN\tI-NP\tO' +p236458 +aS'placed\tplace\tVBD\tB-VP\tO' +p236459 +aS'and\tand\tCC\tO\tO' +p236460 +aS'decided\tdecide\tVBD\tB-VP\tO' +p236461 +aS'to\tto\tTO\tI-VP\tO' +p236462 +aS'make\tmake\tVB\tI-VP\tO' +p236463 +aS'the\tthe\tDT\tB-NP\tO' +p236464 +aS'pt\tpt\tNN\tI-NP\tO' +p236465 +aS'CMO\tCMO\tNN\tI-NP\tO' +p236466 +aS'measures\tmeasure\tNNS\tI-NP\tO' +p236467 +aS'.\t.\t.\tO\tO' +p236468 +asS'Call Trauma Clinic to coordinate the study , result and appointment dates (( 289 ) 411-5387 ).' +p236469 +(lp236470 +S'Call\tCall\tNNP\tB-NP\tO' +p236471 +aS'Trauma\tTrauma\tNNP\tI-NP\tO' +p236472 +aS'Clinic\tClinic\tNNP\tI-NP\tO' +p236473 +aS'to\tto\tTO\tB-VP\tO' +p236474 +aS'coordinate\tcoordinate\tVB\tI-VP\tO' +p236475 +aS'the\tthe\tDT\tB-NP\tO' +p236476 +aS'study\tstudy\tNN\tI-NP\tO' +p236477 +aS',\t,\t,\tI-NP\tO' +p236478 +aS'result\tresult\tNN\tI-NP\tO' +p236479 +aS'and\tand\tCC\tI-NP\tO' +p236480 +aS'appointment\tappointment\tNN\tI-NP\tO' +p236481 +aS'dates\tdate\tNNS\tI-NP\tO' +p236482 +aS'((\t((\t(\tO\tO' +p236483 +aS'289\t289\tCD\tB-NP\tO' +p236484 +aS')\t)\t)\tO\tO' +p236485 +aS'411-5387\t411-5387\tCD\tB-NP\tO' +p236486 +aS').\t).\t)\tO\tO' +p236487 +asS'Mesenteric angiograpm w/ coil embolization of bleeding vessel .' +p236488 +(lp236489 +S'Mesenteric\tMesenteric\tJJ\tB-NP\tO' +p236490 +aS'angiograpm\tangiograpm\tNN\tI-NP\tO' +p236491 +aS'w/\tw/\tNN\tI-NP\tO' +p236492 +aS'coil\tcoil\tNN\tI-NP\tO' +p236493 +aS'embolization\tembolization\tNN\tI-NP\tO' +p236494 +aS'of\tof\tIN\tB-PP\tO' +p236495 +aS'bleeding\tbleed\tVBG\tB-VP\tO' +p236496 +aS'vessel\tvessel\tNN\tB-NP\tO' +p236497 +aS'.\t.\t.\tO\tO' +p236498 +asS'Phototherapy was discontinued on 2019-01-04 for a bilirubin of 12.1 , and a rebound bilirubin will be checked on 01-05 .' +p236499 +(lp236500 +S'Phototherapy\tPhototherapy\tNN\tB-NP\tO' +p236501 +aS'was\tbe\tVBD\tB-VP\tO' +p236502 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p236503 +aS'on\ton\tIN\tB-PP\tO' +p236504 +aS'2019-01-04\t2019-01-04\tCD\tB-NP\tO' +p236505 +aS'for\tfor\tIN\tB-PP\tO' +p236506 +aS'a\ta\tDT\tB-NP\tO' +p236507 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p236508 +aS'of\tof\tIN\tB-PP\tO' +p236509 +aS'12.1\t12.1\tCD\tB-NP\tO' +p236510 +aS',\t,\t,\tO\tO' +p236511 +aS'and\tand\tCC\tO\tO' +p236512 +aS'a\ta\tDT\tB-NP\tO' +p236513 +aS'rebound\trebound\tJJ\tI-NP\tO' +p236514 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p236515 +aS'will\twill\tMD\tB-VP\tO' +p236516 +aS'be\tbe\tVB\tI-VP\tO' +p236517 +aS'checked\tcheck\tVBN\tI-VP\tO' +p236518 +aS'on\ton\tIN\tB-PP\tO' +p236519 +aS'01-05\t01-05\tCD\tB-NP\tO' +p236520 +aS'.\t.\t.\tO\tO' +p236521 +asS'Positive occasional alcohol use , occasional pot and crystal meth , but negative IV drug use .' +p236522 +(lp236523 +S'Positive\tPositive\tJJ\tB-NP\tO' +p236524 +aS'occasional\toccasional\tJJ\tI-NP\tO' +p236525 +aS'alcohol\talcohol\tNN\tI-NP\tO' +p236526 +aS'use\tuse\tNN\tI-NP\tO' +p236527 +aS',\t,\t,\tO\tO' +p236528 +aS'occasional\toccasional\tJJ\tB-NP\tO' +p236529 +aS'pot\tpot\tNN\tI-NP\tO' +p236530 +aS'and\tand\tCC\tO\tO' +p236531 +aS'crystal\tcrystal\tJJ\tB-NP\tO' +p236532 +aS'meth\tmeth\tNN\tI-NP\tO' +p236533 +aS',\t,\t,\tO\tO' +p236534 +aS'but\tbut\tCC\tO\tO' +p236535 +aS'negative\tnegative\tJJ\tB-NP\tO' +p236536 +aS'IV\tIV\tCD\tI-NP\tO' +p236537 +aS'drug\tdrug\tNN\tI-NP\tO' +p236538 +aS'use\tuse\tNN\tI-NP\tO' +p236539 +aS'.\t.\t.\tO\tO' +p236540 +asS'parenting .' +p236541 +(lp236542 +S'parenting\tparent\tVBG\tB-VP\tO' +p236543 +aS'.\t.\t.\tO\tO' +p236544 +asS'He also had a penetrating injury to the right eye , which had rendered him blind 10 years previously .' +p236545 +(lp236546 +S'He\tHe\tPRP\tB-NP\tO' +p236547 +aS'also\talso\tRB\tB-ADVP\tO' +p236548 +aS'had\thave\tVBD\tB-VP\tO' +p236549 +aS'a\ta\tDT\tB-NP\tO' +p236550 +aS'penetrating\tpenetrate\tVBG\tI-NP\tO' +p236551 +aS'injury\tinjury\tNN\tI-NP\tO' +p236552 +aS'to\tto\tTO\tB-PP\tO' +p236553 +aS'the\tthe\tDT\tB-NP\tO' +p236554 +aS'right\tright\tJJ\tI-NP\tO' +p236555 +aS'eye\teye\tNN\tI-NP\tO' +p236556 +aS',\t,\t,\tO\tO' +p236557 +aS'which\twhich\tWDT\tB-NP\tO' +p236558 +aS'had\thave\tVBD\tB-VP\tO' +p236559 +aS'rendered\trender\tVBN\tI-VP\tO' +p236560 +aS'him\thim\tPRP\tB-NP\tO' +p236561 +aS'blind\tblind\tJJ\tB-ADJP\tO' +p236562 +aS'10\t10\tCD\tB-NP\tO' +p236563 +aS'years\tyear\tNNS\tI-NP\tO' +p236564 +aS'previously\tpreviously\tRB\tB-ADVP\tO' +p236565 +aS'.\t.\t.\tO\tO' +p236566 +asS'05-11- Urine culture : no growth ( final )' +p236567 +(lp236568 +S'05-11-\t05-11-\tCD\tB-NP\tO' +p236569 +aS'Urine\tUrine\tNNP\tI-NP\tO' +p236570 +aS'culture\tculture\tNN\tI-NP\tO' +p236571 +aS':\t:\t:\tO\tO' +p236572 +aS'no\tno\tDT\tB-NP\tO' +p236573 +aS'growth\tgrowth\tNN\tI-NP\tO' +p236574 +aS'(\t(\t(\tO\tO' +p236575 +aS'final\tfinal\tJJ\tB-ADJP\tO' +p236576 +aS')\t)\t)\tO\tO' +p236577 +asS'Review of systems : denies any fever , chills , weight loss , visual changes , hearing changes , dysphagia , tingling , numbness , bowel-bladder dysfunction , chest pain , shortness of breath , abdominal pain , dysuria , hematuria , or bright red blood per rectum .' +p236578 +(lp236579 +S'Review\tReview\tNN\tB-NP\tO' +p236580 +aS'of\tof\tIN\tB-PP\tO' +p236581 +aS'systems\tsystem\tNNS\tB-NP\tO' +p236582 +aS':\t:\t:\tO\tO' +p236583 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p236584 +aS'any\tany\tDT\tB-NP\tO' +p236585 +aS'fever\tfever\tNN\tI-NP\tO' +p236586 +aS',\t,\t,\tO\tO' +p236587 +aS'chills\tchill\tNNS\tB-NP\tO' +p236588 +aS',\t,\t,\tO\tO' +p236589 +aS'weight\tweight\tNN\tB-NP\tO' +p236590 +aS'loss\tloss\tNN\tI-NP\tO' +p236591 +aS',\t,\t,\tO\tO' +p236592 +aS'visual\tvisual\tJJ\tB-NP\tO' +p236593 +aS'changes\tchange\tNNS\tI-NP\tO' +p236594 +aS',\t,\t,\tO\tO' +p236595 +aS'hearing\thearing\tNN\tB-NP\tO' +p236596 +aS'changes\tchange\tNNS\tI-NP\tO' +p236597 +aS',\t,\t,\tO\tO' +p236598 +aS'dysphagia\tdysphagia\tNN\tB-NP\tO' +p236599 +aS',\t,\t,\tO\tO' +p236600 +aS'tingling\ttingling\tNN\tB-NP\tO' +p236601 +aS',\t,\t,\tO\tO' +p236602 +aS'numbness\tnumbness\tNN\tB-NP\tO' +p236603 +aS',\t,\t,\tO\tO' +p236604 +aS'bowel-bladder\tbowel-bladder\tNN\tB-NP\tO' +p236605 +aS'dysfunction\tdysfunction\tNN\tI-NP\tO' +p236606 +aS',\t,\t,\tO\tO' +p236607 +aS'chest\tchest\tNN\tB-NP\tO' +p236608 +aS'pain\tpain\tNN\tI-NP\tO' +p236609 +aS',\t,\t,\tO\tO' +p236610 +aS'shortness\tshortness\tNN\tB-NP\tO' +p236611 +aS'of\tof\tIN\tB-PP\tO' +p236612 +aS'breath\tbreath\tNN\tB-NP\tO' +p236613 +aS',\t,\t,\tO\tO' +p236614 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p236615 +aS'pain\tpain\tNN\tI-NP\tO' +p236616 +aS',\t,\t,\tO\tO' +p236617 +aS'dysuria\tdysuria\tNN\tB-NP\tO' +p236618 +aS',\t,\t,\tO\tO' +p236619 +aS'hematuria\thematuria\tNN\tB-NP\tO' +p236620 +aS',\t,\t,\tO\tO' +p236621 +aS'or\tor\tCC\tO\tO' +p236622 +aS'bright\tbright\tJJ\tB-NP\tO' +p236623 +aS'red\tred\tJJ\tI-NP\tO' +p236624 +aS'blood\tblood\tNN\tI-NP\tO' +p236625 +aS'per\tper\tIN\tB-PP\tO' +p236626 +aS'rectum\trectum\tNN\tB-NP\tO' +p236627 +aS'.\t.\t.\tO\tO' +p236628 +asS'1. Myelodysplastic syndrome .' +p236629 +(lp236630 +S'1.\t1.\tLS\tB-NP\tO' +p236631 +aS'Myelodysplastic\tMyelodysplastic\tJJ\tI-NP\tO' +p236632 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p236633 +aS'.\t.\t.\tO\tO' +p236634 +asS'He had low grade temperatures , though did not spike a high temperature during his hospital course .' +p236635 +(lp236636 +S'He\tHe\tPRP\tB-NP\tO' +p236637 +aS'had\thave\tVBD\tB-VP\tO' +p236638 +aS'low\tlow\tJJ\tB-NP\tO' +p236639 +aS'grade\tgrade\tNN\tI-NP\tO' +p236640 +aS'temperatures\ttemperature\tNNS\tI-NP\tO' +p236641 +aS',\t,\t,\tO\tO' +p236642 +aS'though\tthough\tIN\tB-SBAR\tO' +p236643 +aS'did\tdo\tVBD\tB-VP\tO' +p236644 +aS'not\tnot\tRB\tI-VP\tO' +p236645 +aS'spike\tspike\tVB\tI-VP\tO' +p236646 +aS'a\ta\tDT\tB-NP\tO' +p236647 +aS'high\thigh\tJJ\tI-NP\tO' +p236648 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p236649 +aS'during\tduring\tIN\tB-PP\tO' +p236650 +aS'his\this\tPRP$\tB-NP\tO' +p236651 +aS'hospital\thospital\tNN\tI-NP\tO' +p236652 +aS'course\tcourse\tNN\tI-NP\tO' +p236653 +aS'.\t.\t.\tO\tO' +p236654 +asS'In addition , he remained agitated .' +p236655 +(lp236656 +S'In\tIn\tIN\tB-PP\tO' +p236657 +aS'addition\taddition\tNN\tB-NP\tO' +p236658 +aS',\t,\t,\tO\tO' +p236659 +aS'he\the\tPRP\tB-NP\tO' +p236660 +aS'remained\tremain\tVBD\tB-VP\tO' +p236661 +aS'agitated\tagitate\tVBN\tI-VP\tO' +p236662 +aS'.\t.\t.\tO\tO' +p236663 +asS'Neck , no jugulovenous distension , carotids , no bruit in either right or left carotid artery .' +p236664 +(lp236665 +S'Neck\tNeck\tNNP\tB-NP\tO' +p236666 +aS',\t,\t,\tO\tO' +p236667 +aS'no\tno\tDT\tB-NP\tO' +p236668 +aS'jugulovenous\tjugulovenous\tJJ\tI-NP\tO' +p236669 +aS'distension\tdistension\tNN\tI-NP\tO' +p236670 +aS',\t,\t,\tO\tO' +p236671 +aS'carotids\tcarotid\tNNS\tB-NP\tO' +p236672 +aS',\t,\t,\tO\tO' +p236673 +aS'no\tno\tDT\tB-NP\tO' +p236674 +aS'bruit\tbruit\tNN\tI-NP\tO' +p236675 +aS'in\tin\tIN\tB-PP\tO' +p236676 +aS'either\teither\tCC\tB-NP\tO' +p236677 +aS'right\tright\tJJ\tI-NP\tO' +p236678 +aS'or\tor\tCC\tI-NP\tO' +p236679 +aS'left\tleft\tJJ\tI-NP\tO' +p236680 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p236681 +aS'artery\tartery\tNN\tI-NP\tO' +p236682 +aS'.\t.\t.\tO\tO' +p236683 +asS'Call your primary care doctor Joanne Dennen for follow up appointments .' +p236684 +(lp236685 +S'Call\tCall\tVB\tB-VP\tO' +p236686 +aS'your\tyour\tPRP$\tB-NP\tO' +p236687 +aS'primary\tprimary\tJJ\tI-NP\tO' +p236688 +aS'care\tcare\tNN\tI-NP\tO' +p236689 +aS'doctor\tdoctor\tNN\tI-NP\tO' +p236690 +aS'Joanne\tJoanne\tNNP\tI-NP\tO' +p236691 +aS'Dennen\tDennen\tNNP\tI-NP\tO' +p236692 +aS'for\tfor\tIN\tB-PP\tO' +p236693 +aS'follow\tfollow\tNN\tB-NP\tO' +p236694 +aS'up\tup\tRP\tB-PRT\tO' +p236695 +aS'appointments\tappointment\tNNS\tB-NP\tO' +p236696 +aS'.\t.\t.\tO\tO' +p236697 +asS'Patient presented after episode of hypotension and syncope on Mass. Mental Health Center 5 .' +p236698 +(lp236699 +S'Patient\tPatient\tNN\tB-NP\tO' +p236700 +aS'presented\tpresent\tVBD\tB-VP\tO' +p236701 +aS'after\tafter\tIN\tB-PP\tO' +p236702 +aS'episode\tepisode\tNN\tB-NP\tO' +p236703 +aS'of\tof\tIN\tB-PP\tO' +p236704 +aS'hypotension\thypotension\tNN\tB-NP\tO' +p236705 +aS'and\tand\tCC\tI-NP\tO' +p236706 +aS'syncope\tsyncope\tNN\tI-NP\tO' +p236707 +aS'on\ton\tIN\tB-PP\tO' +p236708 +aS'Mass.\tMass.\tNNP\tB-NP\tO' +p236709 +aS'Mental\tMental\tNNP\tI-NP\tO' +p236710 +aS'Health\tHealth\tNNP\tI-NP\tO' +p236711 +aS'Center\tCenter\tNNP\tI-NP\tO' +p236712 +aS'5\t5\tCD\tI-NP\tO' +p236713 +aS'.\t.\t.\tO\tO' +p236714 +asS'4. HISTORY OF OVARIAN CYST RESECTION , 1975 .' +p236715 +(lp236716 +S'4.\t4.\tLS\tB-NP\tO' +p236717 +aS'HISTORY\tHISTORY\tNN\tI-NP\tO' +p236718 +aS'OF\tOF\tIN\tB-PP\tO' +p236719 +aS'OVARIAN\tOVARIAN\tNN\tB-NP\tO' +p236720 +aS'CYST\tCYST\tNN\tI-NP\tO' +p236721 +aS'RESECTION\tRESECTION\tNN\tI-NP\tO' +p236722 +aS',\t,\t,\tO\tO' +p236723 +aS'1975\t1975\tCD\tB-NP\tO' +p236724 +aS'.\t.\t.\tO\tO' +p236725 +asS'Rigid sigmoidoscopy revealed no obvious mucosal abnormalities but during the time of the procedure 22cc of mucous like stool was evacuated with a large amount of gas .' +p236726 +(lp236727 +S'Rigid\tRigid\tJJ\tB-NP\tO' +p236728 +aS'sigmoidoscopy\tsigmoidoscopy\tNN\tI-NP\tO' +p236729 +aS'revealed\treveal\tVBD\tB-VP\tO' +p236730 +aS'no\tno\tDT\tB-NP\tO' +p236731 +aS'obvious\tobvious\tJJ\tI-NP\tO' +p236732 +aS'mucosal\tmucosal\tJJ\tI-NP\tO' +p236733 +aS'abnormalities\tabnormality\tNNS\tI-NP\tO' +p236734 +aS'but\tbut\tCC\tB-PP\tO' +p236735 +aS'during\tduring\tIN\tB-PP\tO' +p236736 +aS'the\tthe\tDT\tB-NP\tO' +p236737 +aS'time\ttime\tNN\tI-NP\tO' +p236738 +aS'of\tof\tIN\tB-PP\tO' +p236739 +aS'the\tthe\tDT\tB-NP\tO' +p236740 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p236741 +aS'22cc\t22cc\tNN\tI-NP\tO' +p236742 +aS'of\tof\tIN\tB-PP\tO' +p236743 +aS'mucous\tmucous\tNN\tB-NP\tO' +p236744 +aS'like\tlike\tIN\tB-PP\tO' +p236745 +aS'stool\tstool\tNN\tB-NP\tO' +p236746 +aS'was\tbe\tVBD\tB-VP\tO' +p236747 +aS'evacuated\tevacuate\tVBN\tI-VP\tO' +p236748 +aS'with\twith\tIN\tB-PP\tO' +p236749 +aS'a\ta\tDT\tB-NP\tO' +p236750 +aS'large\tlarge\tJJ\tI-NP\tO' +p236751 +aS'amount\tamount\tNN\tI-NP\tO' +p236752 +aS'of\tof\tIN\tB-PP\tO' +p236753 +aS'gas\tgas\tNN\tB-NP\tB-DNA' +p236754 +aS'.\t.\t.\tO\tO' +p236755 +asS'Dictated By : Barbara B. Phillips , M.D.' +p236756 +(lp236757 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p236758 +aS'By\tBy\tIN\tB-PP\tO' +p236759 +aS':\t:\t:\tO\tO' +p236760 +aS'Barbara\tBarbara\tNNP\tB-NP\tO' +p236761 +aS'B.\tB.\tNNP\tI-NP\tO' +p236762 +aS'Phillips\tPhillips\tNNP\tI-NP\tO' +p236763 +aS',\t,\t,\tO\tO' +p236764 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p236765 +asS'Signed electronically by : DR. Richard Carlson on : SUN 2011-02-20 1:40 PM' +p236766 +(lp236767 +S'Signed\tSign\tVBN\tB-VP\tO' +p236768 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p236769 +aS'by\tby\tIN\tB-PP\tO' +p236770 +aS':\t:\t:\tO\tO' +p236771 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p236772 +aS'Richard\tRichard\tNNP\tI-NP\tO' +p236773 +aS'Carlson\tCarlson\tNNP\tI-NP\tO' +p236774 +aS'on\ton\tIN\tB-PP\tO' +p236775 +aS':\t:\t:\tO\tO' +p236776 +aS'SUN\tSUN\tNN\tB-NP\tO' +p236777 +aS'2011-02-20\t2011-02-20\tCD\tI-NP\tO' +p236778 +aS'1:40\t1:40\tCD\tI-NP\tO' +p236779 +aS'PM\tPM\tNN\tI-NP\tO' +p236780 +asS'The patient was admitted to the Intensive Care Unit for an insulin drip and frequent blood sugar monitoring and Chem-7 monitoring .' +p236781 +(lp236782 +S'The\tThe\tDT\tB-NP\tO' +p236783 +aS'patient\tpatient\tNN\tI-NP\tO' +p236784 +aS'was\tbe\tVBD\tB-VP\tO' +p236785 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p236786 +aS'to\tto\tTO\tB-PP\tO' +p236787 +aS'the\tthe\tDT\tB-NP\tO' +p236788 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p236789 +aS'Care\tCare\tNNP\tI-NP\tO' +p236790 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p236791 +aS'for\tfor\tIN\tB-PP\tO' +p236792 +aS'an\tan\tDT\tB-NP\tO' +p236793 +aS'insulin\tinsulin\tNN\tI-NP\tO' +p236794 +aS'drip\tdrip\tNN\tI-NP\tO' +p236795 +aS'and\tand\tCC\tO\tO' +p236796 +aS'frequent\tfrequent\tJJ\tB-NP\tO' +p236797 +aS'blood\tblood\tNN\tI-NP\tO' +p236798 +aS'sugar\tsugar\tNN\tI-NP\tO' +p236799 +aS'monitoring\tmonitoring\tNN\tI-NP\tO' +p236800 +aS'and\tand\tCC\tO\tO' +p236801 +aS'Chem-7\tChem-7\tNN\tB-NP\tO' +p236802 +aS'monitoring\tmonitoring\tNN\tI-NP\tO' +p236803 +aS'.\t.\t.\tO\tO' +p236804 +asS'The blood gas showed a pO2 of 56 , pCO2 of 48 and pH of 7.47 .' +p236805 +(lp236806 +S'The\tThe\tDT\tB-NP\tO' +p236807 +aS'blood\tblood\tNN\tI-NP\tO' +p236808 +aS'gas\tgas\tNN\tI-NP\tO' +p236809 +aS'showed\tshow\tVBD\tB-VP\tO' +p236810 +aS'a\ta\tDT\tB-NP\tO' +p236811 +aS'pO2\tpO2\tNN\tI-NP\tO' +p236812 +aS'of\tof\tIN\tB-PP\tO' +p236813 +aS'56\t56\tCD\tB-NP\tO' +p236814 +aS',\t,\t,\tO\tO' +p236815 +aS'pCO2\tpCO2\tNN\tB-NP\tO' +p236816 +aS'of\tof\tIN\tB-PP\tO' +p236817 +aS'48\t48\tCD\tB-NP\tO' +p236818 +aS'and\tand\tCC\tO\tO' +p236819 +aS'pH\tpH\tNN\tB-NP\tO' +p236820 +aS'of\tof\tIN\tB-PP\tO' +p236821 +aS'7.47\t7.47\tCD\tB-NP\tO' +p236822 +aS'.\t.\t.\tO\tO' +p236823 +asS'A nutrition consult was obtained on 06-22 .' +p236824 +(lp236825 +S'A\tA\tDT\tB-NP\tO' +p236826 +aS'nutrition\tnutrition\tNN\tI-NP\tO' +p236827 +aS'consult\tconsult\tNN\tI-NP\tO' +p236828 +aS'was\tbe\tVBD\tB-VP\tO' +p236829 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p236830 +aS'on\ton\tIN\tB-PP\tO' +p236831 +aS'06-22\t06-22\tCD\tB-NP\tO' +p236832 +aS'.\t.\t.\tO\tO' +p236833 +asS"The patient 's only issue was his hypertension ." +p236834 +(lp236835 +S'The\tThe\tDT\tB-NP\tO' +p236836 +aS'patient\tpatient\tNN\tI-NP\tO' +p236837 +aS"'s\t's\tPOS\tB-NP\tO" +p236838 +aS'only\tonly\tJJ\tI-NP\tO' +p236839 +aS'issue\tissue\tNN\tI-NP\tO' +p236840 +aS'was\tbe\tVBD\tB-VP\tO' +p236841 +aS'his\this\tPRP$\tB-NP\tO' +p236842 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p236843 +aS'.\t.\t.\tO\tO' +p236844 +asS'This likely is not concerning of pancreatic process .' +p236845 +(lp236846 +S'This\tThis\tDT\tB-NP\tO' +p236847 +aS'likely\tlikely\tRB\tB-ADJP\tO' +p236848 +aS'is\tbe\tVBZ\tB-VP\tO' +p236849 +aS'not\tnot\tRB\tI-VP\tO' +p236850 +aS'concerning\tconcern\tVBG\tI-VP\tO' +p236851 +aS'of\tof\tIN\tB-PP\tO' +p236852 +aS'pancreatic\tpancreatic\tJJ\tB-NP\tO' +p236853 +aS'process\tprocess\tNN\tI-NP\tO' +p236854 +aS'.\t.\t.\tO\tO' +p236855 +asS'Soft , nontender , nondistended , normal active bowel sounds .' +p236856 +(lp236857 +S'Soft\tSoft\tRB\tB-ADVP\tO' +p236858 +aS',\t,\t,\tO\tO' +p236859 +aS'nontender\tnontender\tJJ\tB-NP\tO' +p236860 +aS',\t,\t,\tI-NP\tO' +p236861 +aS'nondistended\tnondistended\tJJ\tI-NP\tO' +p236862 +aS',\t,\t,\tI-NP\tO' +p236863 +aS'normal\tnormal\tJJ\tI-NP\tO' +p236864 +aS'active\tactive\tJJ\tI-NP\tO' +p236865 +aS'bowel\tbowel\tNN\tI-NP\tO' +p236866 +aS'sounds\tsound\tNNS\tI-NP\tO' +p236867 +aS'.\t.\t.\tO\tO' +p236868 +asS'Tylenol and ibuprofen were also added for better control .' +p236869 +(lp236870 +S'Tylenol\tTylenol\tNN\tB-NP\tO' +p236871 +aS'and\tand\tCC\tI-NP\tO' +p236872 +aS'ibuprofen\tibuprofen\tNN\tI-NP\tO' +p236873 +aS'were\tbe\tVBD\tB-VP\tO' +p236874 +aS'also\talso\tRB\tI-VP\tO' +p236875 +aS'added\tadd\tVBN\tI-VP\tO' +p236876 +aS'for\tfor\tIN\tB-PP\tO' +p236877 +aS'better\tgood\tJJR\tB-NP\tO' +p236878 +aS'control\tcontrol\tNN\tI-NP\tO' +p236879 +aS'.\t.\t.\tO\tO' +p236880 +asS'She is on an aspirin .' +p236881 +(lp236882 +S'She\tShe\tPRP\tB-NP\tO' +p236883 +aS'is\tbe\tVBZ\tB-VP\tO' +p236884 +aS'on\ton\tIN\tB-PP\tO' +p236885 +aS'an\tan\tDT\tB-NP\tO' +p236886 +aS'aspirin\taspirin\tNN\tI-NP\tO' +p236887 +aS'.\t.\t.\tO\tO' +p236888 +asS'3. Multiple hypodense liver lesions which are mildly enhancing , most consistent with metastatic disease .' +p236889 +(lp236890 +S'3.\t3.\tLS\tB-NP\tO' +p236891 +aS'Multiple\tMultiple\tJJ\tI-NP\tO' +p236892 +aS'hypodense\thypodense\tNN\tI-NP\tO' +p236893 +aS'liver\tliver\tNN\tI-NP\tO' +p236894 +aS'lesions\tlesion\tNNS\tI-NP\tO' +p236895 +aS'which\twhich\tWDT\tB-NP\tO' +p236896 +aS'are\tbe\tVBP\tB-VP\tO' +p236897 +aS'mildly\tmildly\tRB\tI-VP\tO' +p236898 +aS'enhancing\tenhance\tVBG\tI-VP\tO' +p236899 +aS',\t,\t,\tO\tO' +p236900 +aS'most\tmost\tRBS\tB-ADJP\tO' +p236901 +aS'consistent\tconsistent\tJJ\tI-ADJP\tO' +p236902 +aS'with\twith\tIN\tB-PP\tO' +p236903 +aS'metastatic\tmetastatic\tJJ\tB-NP\tO' +p236904 +aS'disease\tdisease\tNN\tI-NP\tO' +p236905 +aS'.\t.\t.\tO\tO' +p236906 +asS'Mychelia Boyd was born at 28-2/7 weeks gestation and delivered due to unstoppable premature labor .' +p236907 +(lp236908 +S'Mychelia\tMychelia\tNNP\tB-NP\tO' +p236909 +aS'Boyd\tBoyd\tNNP\tI-NP\tO' +p236910 +aS'was\tbe\tVBD\tB-VP\tO' +p236911 +aS'born\tbear\tVBN\tI-VP\tO' +p236912 +aS'at\tat\tIN\tB-PP\tO' +p236913 +aS'28-2/7\t28-2/7\tCD\tB-NP\tO' +p236914 +aS'weeks\tweek\tNNS\tI-NP\tO' +p236915 +aS'gestation\tgestation\tNN\tI-NP\tO' +p236916 +aS'and\tand\tCC\tO\tO' +p236917 +aS'delivered\tdeliver\tVBN\tB-VP\tO' +p236918 +aS'due\tdue\tJJ\tB-ADJP\tO' +p236919 +aS'to\tto\tTO\tB-PP\tO' +p236920 +aS'unstoppable\tunstoppable\tJJ\tB-NP\tO' +p236921 +aS'premature\tpremature\tJJ\tI-NP\tO' +p236922 +aS'labor\tlabor\tNN\tI-NP\tO' +p236923 +aS'.\t.\t.\tO\tO' +p236924 +asS'premature rupture of membranes .' +p236925 +(lp236926 +S'premature\tpremature\tJJ\tB-NP\tO' +p236927 +aS'rupture\trupture\tNN\tI-NP\tO' +p236928 +aS'of\tof\tIN\tB-PP\tO' +p236929 +aS'membranes\tmembrane\tNNS\tB-NP\tO' +p236930 +aS'.\t.\t.\tO\tO' +p236931 +asS'he was given ASA and bblocker .' +p236932 +(lp236933 +S'he\the\tPRP\tB-NP\tO' +p236934 +aS'was\tbe\tVBD\tB-VP\tO' +p236935 +aS'given\tgive\tVBN\tI-VP\tO' +p236936 +aS'ASA\tASA\tNN\tB-NP\tO' +p236937 +aS'and\tand\tCC\tI-NP\tO' +p236938 +aS'bblocker\tbblocker\tNN\tI-NP\tO' +p236939 +aS'.\t.\t.\tO\tO' +p236940 +asS'She was transferred to recovery room in stable condition .' +p236941 +(lp236942 +S'She\tShe\tPRP\tB-NP\tO' +p236943 +aS'was\tbe\tVBD\tB-VP\tO' +p236944 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p236945 +aS'to\tto\tTO\tB-PP\tO' +p236946 +aS'recovery\trecovery\tNN\tB-NP\tO' +p236947 +aS'room\troom\tNN\tI-NP\tO' +p236948 +aS'in\tin\tIN\tB-PP\tO' +p236949 +aS'stable\tstable\tJJ\tB-NP\tO' +p236950 +aS'condition\tcondition\tNN\tI-NP\tO' +p236951 +aS'.\t.\t.\tO\tO' +p236952 +asS'She was placed on pressors to maintain a MAP > 55 .' +p236953 +(lp236954 +S'She\tShe\tPRP\tB-NP\tO' +p236955 +aS'was\tbe\tVBD\tB-VP\tO' +p236956 +aS'placed\tplace\tVBN\tI-VP\tO' +p236957 +aS'on\ton\tIN\tB-PP\tO' +p236958 +aS'pressors\tpressor\tNNS\tB-NP\tO' +p236959 +aS'to\tto\tTO\tB-VP\tO' +p236960 +aS'maintain\tmaintain\tVB\tI-VP\tO' +p236961 +aS'a\ta\tDT\tB-NP\tO' +p236962 +aS'MAP\tMAP\tNN\tI-NP\tB-protein' +p236963 +aS'>\t>\tJJR\tB-NP\tO' +p236964 +aS'55\t55\tCD\tI-NP\tO' +p236965 +aS'.\t.\t.\tO\tO' +p236966 +asS'No hepatosplenomegally .' +p236967 +(lp236968 +S'No\tNo\tDT\tB-NP\tO' +p236969 +aS'hepatosplenomegally\thepatosplenomegally\tNN\tI-NP\tO' +p236970 +aS'.\t.\t.\tO\tO' +p236971 +asS'GI was consulted and performed Endoscopy under general anesthesia which revealed a non bleeding ulcer and gastritis .' +p236972 +(lp236973 +S'GI\tGI\tNN\tB-NP\tO' +p236974 +aS'was\tbe\tVBD\tB-VP\tO' +p236975 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p236976 +aS'and\tand\tCC\tO\tO' +p236977 +aS'performed\tperform\tVBN\tB-VP\tO' +p236978 +aS'Endoscopy\tEndoscopy\tNNP\tB-NP\tO' +p236979 +aS'under\tunder\tIN\tB-PP\tO' +p236980 +aS'general\tgeneral\tJJ\tB-NP\tO' +p236981 +aS'anesthesia\tanesthesia\tNN\tI-NP\tO' +p236982 +aS'which\twhich\tWDT\tB-NP\tO' +p236983 +aS'revealed\treveal\tVBD\tB-VP\tO' +p236984 +aS'a\ta\tDT\tB-NP\tO' +p236985 +aS'non\tnon\tJJ\tI-NP\tO' +p236986 +aS'bleeding\tbleed\tVBG\tI-NP\tO' +p236987 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p236988 +aS'and\tand\tCC\tI-NP\tO' +p236989 +aS'gastritis\tgastritis\tNN\tI-NP\tO' +p236990 +aS'.\t.\t.\tO\tO' +p236991 +asS'Extremities showed no edema .' +p236992 +(lp236993 +S'Extremities\tExtremity\tNNS\tB-NP\tO' +p236994 +aS'showed\tshow\tVBD\tB-VP\tO' +p236995 +aS'no\tno\tDT\tB-NP\tO' +p236996 +aS'edema\tedema\tNN\tI-NP\tO' +p236997 +aS'.\t.\t.\tO\tO' +p236998 +asS'Following discontinuation of the bactrim the patient defervesced , and remained normotensive .' +p236999 +(lp237000 +S'Following\tFollow\tVBG\tB-PP\tO' +p237001 +aS'discontinuation\tdiscontinuation\tNN\tB-NP\tO' +p237002 +aS'of\tof\tIN\tB-PP\tO' +p237003 +aS'the\tthe\tDT\tB-NP\tO' +p237004 +aS'bactrim\tbactrim\tNN\tI-NP\tO' +p237005 +aS'the\tthe\tDT\tB-NP\tO' +p237006 +aS'patient\tpatient\tNN\tI-NP\tO' +p237007 +aS'defervesced\tdefervesce\tVBD\tB-VP\tO' +p237008 +aS',\t,\t,\tO\tO' +p237009 +aS'and\tand\tCC\tO\tO' +p237010 +aS'remained\tremain\tVBD\tB-VP\tO' +p237011 +aS'normotensive\tnormotensive\tJJ\tB-ADJP\tO' +p237012 +aS'.\t.\t.\tO\tO' +p237013 +asS'Peri-Colace , two capsules PO b.i.d.; Dulcolax , 10 mg. PR q.day , p.r.n. constipation .' +p237014 +(lp237015 +S'Peri-Colace\tPeri-Colace\tNNP\tB-NP\tO' +p237016 +aS',\t,\t,\tO\tO' +p237017 +aS'two\ttwo\tCD\tB-NP\tO' +p237018 +aS'capsules\tcapsule\tNNS\tI-NP\tO' +p237019 +aS'PO\tPO\tNN\tI-NP\tO' +p237020 +aS'b.i.d.;\tb.i.d.;\tNN\tI-NP\tO' +p237021 +aS'Dulcolax\tDulcolax\tNN\tI-NP\tO' +p237022 +aS',\t,\t,\tO\tO' +p237023 +aS'10\t10\tCD\tB-NP\tO' +p237024 +aS'mg.\tmg.\tNN\tI-NP\tO' +p237025 +aS'PR\tPR\tNN\tI-NP\tO' +p237026 +aS'q.day\tq.day\tNN\tI-NP\tO' +p237027 +aS',\t,\t,\tO\tO' +p237028 +aS'p.r.n.\tp.r.n.\tNN\tB-NP\tO' +p237029 +aS'constipation\tconstipation\tNN\tI-NP\tO' +p237030 +aS'.\t.\t.\tO\tO' +p237031 +asS'He was also followed by Podiatry and Vascular Surgery .' +p237032 +(lp237033 +S'He\tHe\tPRP\tB-NP\tO' +p237034 +aS'was\tbe\tVBD\tB-VP\tO' +p237035 +aS'also\talso\tRB\tI-VP\tO' +p237036 +aS'followed\tfollow\tVBN\tI-VP\tO' +p237037 +aS'by\tby\tIN\tB-PP\tO' +p237038 +aS'Podiatry\tPodiatry\tNNP\tB-NP\tO' +p237039 +aS'and\tand\tCC\tO\tO' +p237040 +aS'Vascular\tVascular\tNNP\tB-NP\tO' +p237041 +aS'Surgery\tSurgery\tNNP\tI-NP\tO' +p237042 +aS'.\t.\t.\tO\tO' +p237043 +asS'Free water deficit over 48 hours was given , plus maintenance , plus adjusting the ongoing losses .' +p237044 +(lp237045 +S'Free\tFree\tJJ\tB-NP\tO' +p237046 +aS'water\twater\tNN\tI-NP\tO' +p237047 +aS'deficit\tdeficit\tNN\tI-NP\tO' +p237048 +aS'over\tover\tIN\tB-PP\tO' +p237049 +aS'48\t48\tCD\tB-NP\tO' +p237050 +aS'hours\thour\tNNS\tI-NP\tO' +p237051 +aS'was\tbe\tVBD\tB-VP\tO' +p237052 +aS'given\tgive\tVBN\tI-VP\tO' +p237053 +aS',\t,\t,\tO\tO' +p237054 +aS'plus\tplus\tCC\tB-PP\tO' +p237055 +aS'maintenance\tmaintenance\tNN\tB-NP\tO' +p237056 +aS',\t,\t,\tO\tO' +p237057 +aS'plus\tplus\tCC\tO\tO' +p237058 +aS'adjusting\tadjust\tVBG\tB-VP\tO' +p237059 +aS'the\tthe\tDT\tB-NP\tO' +p237060 +aS'ongoing\tongoing\tJJ\tI-NP\tO' +p237061 +aS'losses\tloss\tNNS\tI-NP\tO' +p237062 +aS'.\t.\t.\tO\tO' +p237063 +asS'She has been appropriate for gestational age .' +p237064 +(lp237065 +S'She\tShe\tPRP\tB-NP\tO' +p237066 +aS'has\thave\tVBZ\tB-VP\tO' +p237067 +aS'been\tbe\tVBN\tI-VP\tO' +p237068 +aS'appropriate\tappropriate\tJJ\tB-ADJP\tO' +p237069 +aS'for\tfor\tIN\tB-PP\tO' +p237070 +aS'gestational\tgestational\tJJ\tB-NP\tO' +p237071 +aS'age\tage\tNN\tI-NP\tO' +p237072 +aS'.\t.\t.\tO\tO' +p237073 +asS'5. Borderline splenomegaly .' +p237074 +(lp237075 +S'5.\t5.\tLS\tB-NP\tO' +p237076 +aS'Borderline\tBorderline\tNN\tI-NP\tO' +p237077 +aS'splenomegaly\tsplenomegaly\tNN\tI-NP\tO' +p237078 +aS'.\t.\t.\tO\tO' +p237079 +asS'He had a blood pressure of 148 to 162/45 to 54 .' +p237080 +(lp237081 +S'He\tHe\tPRP\tB-NP\tO' +p237082 +aS'had\thave\tVBD\tB-VP\tO' +p237083 +aS'a\ta\tDT\tB-NP\tO' +p237084 +aS'blood\tblood\tNN\tI-NP\tO' +p237085 +aS'pressure\tpressure\tNN\tI-NP\tO' +p237086 +aS'of\tof\tIN\tB-PP\tO' +p237087 +aS'148\t148\tCD\tB-NP\tO' +p237088 +aS'to\tto\tTO\tB-PP\tO' +p237089 +aS'162/45\t162/45\tCD\tB-NP\tO' +p237090 +aS'to\tto\tTO\tB-PP\tO' +p237091 +aS'54\t54\tCD\tB-NP\tO' +p237092 +aS'.\t.\t.\tO\tO' +p237093 +asS'Elevated left hemidiaphragm of uncertain etiology or duration .' +p237094 +(lp237095 +S'Elevated\tElevate\tVBN\tB-VP\tO' +p237096 +aS'left\tleave\tVBD\tB-VP\tO' +p237097 +aS'hemidiaphragm\themidiaphragm\tNN\tB-NP\tO' +p237098 +aS'of\tof\tIN\tB-PP\tO' +p237099 +aS'uncertain\tuncertain\tJJ\tB-NP\tO' +p237100 +aS'etiology\tetiology\tNN\tI-NP\tO' +p237101 +aS'or\tor\tCC\tI-NP\tO' +p237102 +aS'duration\tduration\tNN\tI-NP\tO' +p237103 +aS'.\t.\t.\tO\tO' +p237104 +asS'Approximately one liter of brownish fluid was obtained and sent for culture .' +p237105 +(lp237106 +S'Approximately\tApproximately\tRB\tB-NP\tO' +p237107 +aS'one\tone\tCD\tI-NP\tO' +p237108 +aS'liter\tliter\tNN\tI-NP\tO' +p237109 +aS'of\tof\tIN\tB-PP\tO' +p237110 +aS'brownish\tbrownish\tJJ\tB-NP\tO' +p237111 +aS'fluid\tfluid\tNN\tI-NP\tO' +p237112 +aS'was\tbe\tVBD\tB-VP\tO' +p237113 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p237114 +aS'and\tand\tCC\tO\tO' +p237115 +aS'sent\tsend\tVBN\tB-VP\tO' +p237116 +aS'for\tfor\tIN\tB-PP\tO' +p237117 +aS'culture\tculture\tNN\tB-NP\tO' +p237118 +aS'.\t.\t.\tO\tO' +p237119 +asS'His tone was increased on the left side and he had diminished pin prick and light touch in his left upper extremity and slightly in his left lower extremity with a similar finding for vibratory sense , but in an unreliable pattern .' +p237120 +(lp237121 +S'His\tHis\tPRP$\tB-NP\tO' +p237122 +aS'tone\ttone\tNN\tI-NP\tO' +p237123 +aS'was\tbe\tVBD\tB-VP\tO' +p237124 +aS'increased\tincrease\tVBN\tI-VP\tO' +p237125 +aS'on\ton\tIN\tB-PP\tO' +p237126 +aS'the\tthe\tDT\tB-NP\tO' +p237127 +aS'left\tleft\tJJ\tI-NP\tO' +p237128 +aS'side\tside\tNN\tI-NP\tO' +p237129 +aS'and\tand\tCC\tO\tO' +p237130 +aS'he\the\tPRP\tB-NP\tO' +p237131 +aS'had\thave\tVBD\tB-VP\tO' +p237132 +aS'diminished\tdiminish\tVBN\tI-VP\tO' +p237133 +aS'pin\tpin\tNN\tB-NP\tO' +p237134 +aS'prick\tprick\tNN\tI-NP\tO' +p237135 +aS'and\tand\tCC\tO\tO' +p237136 +aS'light\tlight\tNN\tB-NP\tO' +p237137 +aS'touch\ttouch\tNN\tI-NP\tO' +p237138 +aS'in\tin\tIN\tB-PP\tO' +p237139 +aS'his\this\tPRP$\tB-NP\tO' +p237140 +aS'left\tleft\tJJ\tI-NP\tO' +p237141 +aS'upper\tupper\tJJ\tI-NP\tO' +p237142 +aS'extremity\textremity\tNN\tI-NP\tO' +p237143 +aS'and\tand\tCC\tO\tO' +p237144 +aS'slightly\tslightly\tRB\tB-ADVP\tO' +p237145 +aS'in\tin\tIN\tB-PP\tO' +p237146 +aS'his\this\tPRP$\tB-NP\tO' +p237147 +aS'left\tleave\tVBD\tB-VP\tO' +p237148 +aS'lower\tlow\tJJR\tB-NP\tO' +p237149 +aS'extremity\textremity\tNN\tI-NP\tO' +p237150 +aS'with\twith\tIN\tB-PP\tO' +p237151 +aS'a\ta\tDT\tB-NP\tO' +p237152 +aS'similar\tsimilar\tJJ\tI-NP\tO' +p237153 +aS'finding\tfinding\tNN\tI-NP\tO' +p237154 +aS'for\tfor\tIN\tB-PP\tO' +p237155 +aS'vibratory\tvibratory\tJJ\tB-NP\tO' +p237156 +aS'sense\tsense\tNN\tI-NP\tO' +p237157 +aS',\t,\t,\tO\tO' +p237158 +aS'but\tbut\tCC\tO\tO' +p237159 +aS'in\tin\tIN\tB-PP\tO' +p237160 +aS'an\tan\tDT\tB-NP\tO' +p237161 +aS'unreliable\tunreliable\tJJ\tI-NP\tO' +p237162 +aS'pattern\tpattern\tNN\tI-NP\tO' +p237163 +aS'.\t.\t.\tO\tO' +p237164 +asS'She was brought to the CMED CSRU for further evaluation .' +p237165 +(lp237166 +S'She\tShe\tPRP\tB-NP\tO' +p237167 +aS'was\tbe\tVBD\tB-VP\tO' +p237168 +aS'brought\tbring\tVBN\tI-VP\tO' +p237169 +aS'to\tto\tTO\tB-PP\tO' +p237170 +aS'the\tthe\tDT\tB-NP\tO' +p237171 +aS'CMED\tCMED\tVBN\tI-NP\tO' +p237172 +aS'CSRU\tCSRU\tNN\tI-NP\tO' +p237173 +aS'for\tfor\tIN\tB-PP\tO' +p237174 +aS'further\tfurther\tJJ\tB-NP\tO' +p237175 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p237176 +aS'.\t.\t.\tO\tO' +p237177 +asS'He had recurrent pain and went to the Catheter Laboratory where a proximal right coronary artery lesion was angioplastied .' +p237178 +(lp237179 +S'He\tHe\tPRP\tB-NP\tO' +p237180 +aS'had\thave\tVBD\tB-VP\tO' +p237181 +aS'recurrent\trecurrent\tJJ\tB-NP\tO' +p237182 +aS'pain\tpain\tNN\tI-NP\tO' +p237183 +aS'and\tand\tCC\tO\tO' +p237184 +aS'went\tgo\tVBD\tB-VP\tO' +p237185 +aS'to\tto\tTO\tB-PP\tO' +p237186 +aS'the\tthe\tDT\tB-NP\tO' +p237187 +aS'Catheter\tCatheter\tNNP\tI-NP\tO' +p237188 +aS'Laboratory\tLaboratory\tNNP\tI-NP\tO' +p237189 +aS'where\twhere\tWRB\tB-ADVP\tO' +p237190 +aS'a\ta\tDT\tB-NP\tO' +p237191 +aS'proximal\tproximal\tJJ\tI-NP\tO' +p237192 +aS'right\tright\tJJ\tI-NP\tO' +p237193 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p237194 +aS'artery\tartery\tNN\tI-NP\tO' +p237195 +aS'lesion\tlesion\tNN\tI-NP\tO' +p237196 +aS'was\tbe\tVBD\tB-VP\tO' +p237197 +aS'angioplastied\tangioplastie\tVBN\tI-VP\tO' +p237198 +aS'.\t.\t.\tO\tO' +p237199 +asS'Her central line was removed given the concern for a line infection .' +p237200 +(lp237201 +S'Her\tHer\tPRP$\tB-NP\tB-cell_line' +p237202 +aS'central\tcentral\tJJ\tI-NP\tI-cell_line' +p237203 +aS'line\tline\tNN\tI-NP\tI-cell_line' +p237204 +aS'was\tbe\tVBD\tB-VP\tO' +p237205 +aS'removed\tremove\tVBN\tI-VP\tO' +p237206 +aS'given\tgive\tVBN\tB-PP\tO' +p237207 +aS'the\tthe\tDT\tB-NP\tO' +p237208 +aS'concern\tconcern\tNN\tI-NP\tO' +p237209 +aS'for\tfor\tIN\tB-PP\tO' +p237210 +aS'a\ta\tDT\tB-NP\tO' +p237211 +aS'line\tline\tNN\tI-NP\tO' +p237212 +aS'infection\tinfection\tNN\tI-NP\tO' +p237213 +aS'.\t.\t.\tO\tO' +p237214 +asS'No phototherapy was required .' +p237215 +(lp237216 +S'No\tNo\tDT\tB-NP\tO' +p237217 +aS'phototherapy\tphototherapy\tNN\tI-NP\tO' +p237218 +aS'was\tbe\tVBD\tB-VP\tO' +p237219 +aS'required\trequire\tVBN\tI-VP\tO' +p237220 +aS'.\t.\t.\tO\tO' +p237221 +asS'The complete blood count on admission showed a white blood cell count of 8.0 , hematocrit 54.0% , platelet count 190,000 , 11' +p237222 +(lp237223 +S'The\tThe\tDT\tB-NP\tO' +p237224 +aS'complete\tcomplete\tJJ\tI-NP\tO' +p237225 +aS'blood\tblood\tNN\tI-NP\tO' +p237226 +aS'count\tcount\tNN\tI-NP\tO' +p237227 +aS'on\ton\tIN\tB-PP\tO' +p237228 +aS'admission\tadmission\tNN\tB-NP\tO' +p237229 +aS'showed\tshow\tVBD\tB-VP\tO' +p237230 +aS'a\ta\tDT\tB-NP\tO' +p237231 +aS'white\twhite\tJJ\tI-NP\tO' +p237232 +aS'blood\tblood\tNN\tI-NP\tO' +p237233 +aS'cell\tcell\tNN\tI-NP\tO' +p237234 +aS'count\tcount\tNN\tI-NP\tO' +p237235 +aS'of\tof\tIN\tB-PP\tO' +p237236 +aS'8.0\t8.0\tCD\tB-NP\tO' +p237237 +aS',\t,\t,\tO\tO' +p237238 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p237239 +aS'54.0%\t54.0%\tCD\tI-NP\tI-protein' +p237240 +aS',\t,\t,\tO\tO' +p237241 +aS'platelet\tplatelet\tNN\tB-NP\tO' +p237242 +aS'count\tcount\tNN\tI-NP\tO' +p237243 +aS'190,000\t190,000\tCD\tI-NP\tO' +p237244 +aS',\t,\t,\tI-NP\tO' +p237245 +aS'11\t11\tCD\tI-NP\tO' +p237246 +asS'She desired surgical therapy .' +p237247 +(lp237248 +S'She\tShe\tPRP\tB-NP\tO' +p237249 +aS'desired\tdesire\tVBD\tB-VP\tO' +p237250 +aS'surgical\tsurgical\tJJ\tB-NP\tO' +p237251 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p237252 +aS'.\t.\t.\tO\tO' +p237253 +asS'Ativan 0.5 mg p.o. b.i.d. p.r.n. anxiety .' +p237254 +(lp237255 +S'Ativan\tAtivan\tIN\tB-PP\tO' +p237256 +aS'0.5\t0.5\tCD\tB-NP\tO' +p237257 +aS'mg\tmg\tNN\tI-NP\tO' +p237258 +aS'p.o.\tp.o.\tFW\tB-NP\tO' +p237259 +aS'b.i.d.\tb.i.d.\tFW\tI-NP\tO' +p237260 +aS'p.r.n.\tp.r.n.\tFW\tI-NP\tO' +p237261 +aS'anxiety\tanxiety\tNN\tI-NP\tO' +p237262 +aS'.\t.\t.\tO\tO' +p237263 +asS'He also had encephalopathy during that period .' +p237264 +(lp237265 +S'He\tHe\tPRP\tB-NP\tO' +p237266 +aS'also\talso\tRB\tB-ADVP\tO' +p237267 +aS'had\thave\tVBD\tB-VP\tO' +p237268 +aS'encephalopathy\tencephalopathy\tNN\tB-NP\tO' +p237269 +aS'during\tduring\tIN\tB-PP\tO' +p237270 +aS'that\tthat\tDT\tB-NP\tO' +p237271 +aS'period\tperiod\tNN\tI-NP\tO' +p237272 +aS'.\t.\t.\tO\tO' +p237273 +asS'She has been on ciprofloxacin proph for about 1 year .' +p237274 +(lp237275 +S'She\tShe\tPRP\tB-NP\tO' +p237276 +aS'has\thave\tVBZ\tB-VP\tO' +p237277 +aS'been\tbe\tVBN\tI-VP\tO' +p237278 +aS'on\ton\tIN\tB-PP\tO' +p237279 +aS'ciprofloxacin\tciprofloxacin\tNN\tB-NP\tO' +p237280 +aS'proph\tproph\tNN\tI-NP\tO' +p237281 +aS'for\tfor\tIN\tB-PP\tO' +p237282 +aS'about\tabout\tRB\tB-NP\tO' +p237283 +aS'1\t1\tCD\tI-NP\tO' +p237284 +aS'year\tyear\tNN\tI-NP\tO' +p237285 +aS'.\t.\t.\tO\tO' +p237286 +asS'Signed electronically by : DR. Lance GRAY on : Maxine 2013-08-01 12:50 PM' +p237287 +(lp237288 +S'Signed\tSign\tVBN\tB-VP\tO' +p237289 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p237290 +aS'by\tby\tIN\tB-PP\tO' +p237291 +aS':\t:\t:\tO\tO' +p237292 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p237293 +aS'Lance\tLance\tNNP\tI-NP\tO' +p237294 +aS'GRAY\tGRAY\tNNP\tI-NP\tO' +p237295 +aS'on\ton\tIN\tB-PP\tO' +p237296 +aS':\t:\t:\tO\tO' +p237297 +aS'Maxine\tMaxine\tNN\tB-NP\tO' +p237298 +aS'2013-08-01\t2013-08-01\tCD\tI-NP\tO' +p237299 +aS'12:50\t12:50\tCD\tI-NP\tO' +p237300 +aS'PM\tPM\tNN\tI-NP\tO' +p237301 +asS'6. History of diabetic foot ulcer .' +p237302 +(lp237303 +S'6.\t6.\tLS\tB-NP\tO' +p237304 +aS'History\tHistory\tNN\tI-NP\tO' +p237305 +aS'of\tof\tIN\tB-PP\tO' +p237306 +aS'diabetic\tdiabetic\tJJ\tB-NP\tO' +p237307 +aS'foot\tfoot\tNN\tI-NP\tO' +p237308 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p237309 +aS'.\t.\t.\tO\tO' +p237310 +asS'He was transfused and then evaluated by GI .' +p237311 +(lp237312 +S'He\tHe\tPRP\tB-NP\tO' +p237313 +aS'was\tbe\tVBD\tB-VP\tO' +p237314 +aS'transfused\ttransfuse\tVBN\tI-VP\tO' +p237315 +aS'and\tand\tCC\tO\tO' +p237316 +aS'then\tthen\tRB\tB-VP\tO' +p237317 +aS'evaluated\tevaluate\tVBN\tI-VP\tO' +p237318 +aS'by\tby\tIN\tB-PP\tO' +p237319 +aS'GI\tGI\tNN\tB-NP\tO' +p237320 +aS'.\t.\t.\tO\tO' +p237321 +asS'Signed electronically by : DR. Kenneth Wilford on : Maxine 2012-08-16 12:22 PM' +p237322 +(lp237323 +S'Signed\tSign\tVBN\tB-VP\tO' +p237324 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p237325 +aS'by\tby\tIN\tB-PP\tO' +p237326 +aS':\t:\t:\tO\tO' +p237327 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p237328 +aS'Kenneth\tKenneth\tNNP\tI-NP\tO' +p237329 +aS'Wilford\tWilford\tNNP\tI-NP\tO' +p237330 +aS'on\ton\tIN\tB-PP\tO' +p237331 +aS':\t:\t:\tO\tO' +p237332 +aS'Maxine\tMaxine\tNN\tB-NP\tO' +p237333 +aS'2012-08-16\t2012-08-16\tCD\tI-NP\tO' +p237334 +aS'12:22\t12:22\tCD\tI-NP\tO' +p237335 +aS'PM\tPM\tNN\tI-NP\tO' +p237336 +asS'Epiglottitis / supraglottitis .' +p237337 +(lp237338 +S'Epiglottitis\tEpiglottitis\tNN\tB-NP\tO' +p237339 +aS'/\t/\tSYM\tI-NP\tO' +p237340 +aS'supraglottitis\tsupraglottitis\tNN\tI-NP\tO' +p237341 +aS'.\t.\t.\tO\tO' +p237342 +asS'She was transferred to the CMED where the patient was continued on the MUST protocol with goais of CVP 10-12 , SVO2 greater than 70% .' +p237343 +(lp237344 +S'She\tShe\tPRP\tB-NP\tO' +p237345 +aS'was\tbe\tVBD\tB-VP\tO' +p237346 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p237347 +aS'to\tto\tTO\tB-PP\tO' +p237348 +aS'the\tthe\tDT\tB-NP\tO' +p237349 +aS'CMED\tCMED\tVBN\tI-NP\tO' +p237350 +aS'where\twhere\tWRB\tB-ADVP\tO' +p237351 +aS'the\tthe\tDT\tB-NP\tO' +p237352 +aS'patient\tpatient\tNN\tI-NP\tO' +p237353 +aS'was\tbe\tVBD\tB-VP\tO' +p237354 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p237355 +aS'on\ton\tIN\tB-PP\tO' +p237356 +aS'the\tthe\tDT\tB-NP\tO' +p237357 +aS'MUST\tMUST\tNN\tI-NP\tO' +p237358 +aS'protocol\tprotocol\tNN\tI-NP\tO' +p237359 +aS'with\twith\tIN\tB-PP\tO' +p237360 +aS'goais\tgoais\tNN\tB-NP\tO' +p237361 +aS'of\tof\tIN\tB-PP\tO' +p237362 +aS'CVP\tCVP\tNN\tB-NP\tO' +p237363 +aS'10-12\t10-12\tCD\tI-NP\tO' +p237364 +aS',\t,\t,\tO\tO' +p237365 +aS'SVO2\tSVO2\tNN\tB-NP\tB-protein' +p237366 +aS'greater\tgreat\tJJR\tB-ADJP\tO' +p237367 +aS'than\tthan\tIN\tB-PP\tO' +p237368 +aS'70%\t70%\tCD\tB-NP\tO' +p237369 +aS'.\t.\t.\tO\tO' +p237370 +asS'Gastric biopsy : negative for H. pylori .' +p237371 +(lp237372 +S'Gastric\tGastric\tJJ\tB-NP\tO' +p237373 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p237374 +aS':\t:\t:\tO\tO' +p237375 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p237376 +aS'for\tfor\tIN\tB-PP\tO' +p237377 +aS'H.\tH.\tNN\tB-NP\tO' +p237378 +aS'pylori\tpylori\tNN\tI-NP\tO' +p237379 +aS'.\t.\t.\tO\tO' +p237380 +asS'Shortness of breath - Though the patient denied shortness of breath on admission , a progress note from' +p237381 +(lp237382 +S'Shortness\tShortness\tNN\tB-NP\tO' +p237383 +aS'of\tof\tIN\tB-PP\tO' +p237384 +aS'breath\tbreath\tNN\tB-NP\tO' +p237385 +aS'-\t-\tHYPH\tB-ADJP\tO' +p237386 +aS'Though\tThough\tIN\tB-SBAR\tO' +p237387 +aS'the\tthe\tDT\tB-NP\tO' +p237388 +aS'patient\tpatient\tNN\tI-NP\tO' +p237389 +aS'denied\tdeny\tVBD\tB-VP\tO' +p237390 +aS'shortness\tshortness\tNN\tB-NP\tO' +p237391 +aS'of\tof\tIN\tB-PP\tO' +p237392 +aS'breath\tbreath\tNN\tB-NP\tO' +p237393 +aS'on\ton\tIN\tB-PP\tO' +p237394 +aS'admission\tadmission\tNN\tB-NP\tO' +p237395 +aS',\t,\t,\tO\tO' +p237396 +aS'a\ta\tDT\tB-NP\tO' +p237397 +aS'progress\tprogress\tNN\tI-NP\tO' +p237398 +aS'note\tnote\tNN\tI-NP\tO' +p237399 +aS'from\tfrom\tIN\tB-PP\tO' +p237400 +asS'Was on a Heparin and nitroglycerin drip with only intermittent relief .' +p237401 +(lp237402 +S'Was\tWa\tNNS\tB-NP\tB-protein' +p237403 +aS'on\ton\tIN\tB-PP\tO' +p237404 +aS'a\ta\tDT\tB-NP\tO' +p237405 +aS'Heparin\tHeparin\tNN\tI-NP\tO' +p237406 +aS'and\tand\tCC\tI-NP\tO' +p237407 +aS'nitroglycerin\tnitroglycerin\tNN\tI-NP\tO' +p237408 +aS'drip\tdrip\tNN\tI-NP\tO' +p237409 +aS'with\twith\tIN\tB-PP\tO' +p237410 +aS'only\tonly\tJJ\tB-NP\tO' +p237411 +aS'intermittent\tintermittent\tJJ\tI-NP\tO' +p237412 +aS'relief\trelief\tNN\tI-NP\tO' +p237413 +aS'.\t.\t.\tO\tO' +p237414 +asS'16. Vancomycin 1 gm IV as needed for vancomycin level less than 15 .' +p237415 +(lp237416 +S'16.\t16.\tCD\tB-NP\tO' +p237417 +aS'Vancomycin\tVancomycin\tNN\tI-NP\tO' +p237418 +aS'1\t1\tCD\tB-NP\tO' +p237419 +aS'gm\tgm\tNN\tI-NP\tO' +p237420 +aS'IV\tIV\tCD\tB-NP\tO' +p237421 +aS'as\tas\tIN\tB-SBAR\tO' +p237422 +aS'needed\tneed\tVBN\tB-VP\tO' +p237423 +aS'for\tfor\tIN\tB-PP\tO' +p237424 +aS'vancomycin\tvancomycin\tNN\tB-NP\tO' +p237425 +aS'level\tlevel\tNN\tI-NP\tO' +p237426 +aS'less\tless\tJJR\tB-ADJP\tO' +p237427 +aS'than\tthan\tIN\tB-PP\tO' +p237428 +aS'15\t15\tCD\tB-NP\tO' +p237429 +aS'.\t.\t.\tO\tO' +p237430 +asS'Alkaline phosphatase 78 which all have significantly decreased since postoperative day number 1 .' +p237431 +(lp237432 +S'Alkaline\tAlkaline\tNN\tB-NP\tO' +p237433 +aS'phosphatase\tphosphatase\tNN\tI-NP\tO' +p237434 +aS'78\t78\tCD\tI-NP\tO' +p237435 +aS'which\twhich\tWDT\tB-NP\tO' +p237436 +aS'all\tall\tDT\tO\tO' +p237437 +aS'have\thave\tVBP\tB-VP\tO' +p237438 +aS'significantly\tsignificantly\tRB\tI-VP\tO' +p237439 +aS'decreased\tdecrease\tVBN\tI-VP\tO' +p237440 +aS'since\tsince\tIN\tB-PP\tO' +p237441 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p237442 +aS'day\tday\tNN\tI-NP\tO' +p237443 +aS'number\tnumber\tNN\tI-NP\tO' +p237444 +aS'1\t1\tCD\tI-NP\tO' +p237445 +aS'.\t.\t.\tO\tO' +p237446 +asS'Pt admitted to medical floor in hemodynamically stable condition without specific complaints .' +p237447 +(lp237448 +S'Pt\tPt\tNN\tB-NP\tO' +p237449 +aS'admitted\tadmit\tVBD\tB-VP\tO' +p237450 +aS'to\tto\tTO\tB-PP\tO' +p237451 +aS'medical\tmedical\tJJ\tB-NP\tO' +p237452 +aS'floor\tfloor\tNN\tI-NP\tO' +p237453 +aS'in\tin\tIN\tB-PP\tO' +p237454 +aS'hemodynamically\themodynamically\tRB\tB-NP\tO' +p237455 +aS'stable\tstable\tJJ\tI-NP\tO' +p237456 +aS'condition\tcondition\tNN\tI-NP\tO' +p237457 +aS'without\twithout\tIN\tB-PP\tO' +p237458 +aS'specific\tspecific\tJJ\tB-NP\tO' +p237459 +aS'complaints\tcomplaint\tNNS\tI-NP\tO' +p237460 +aS'.\t.\t.\tO\tO' +p237461 +asS'10. History of lower gastrointestinal bleed in 2009-06-05 .' +p237462 +(lp237463 +S'10.\t10.\tLS\tB-NP\tO' +p237464 +aS'History\tHistory\tNN\tI-NP\tO' +p237465 +aS'of\tof\tIN\tB-PP\tO' +p237466 +aS'lower\tlow\tJJR\tB-NP\tO' +p237467 +aS'gastrointestinal\tgastrointestinal\tJJ\tI-NP\tO' +p237468 +aS'bleed\tbleed\tNN\tI-NP\tO' +p237469 +aS'in\tin\tIN\tB-PP\tO' +p237470 +aS'2009-06-05\t2009-06-05\tCD\tB-NP\tO' +p237471 +aS'.\t.\t.\tO\tO' +p237472 +asS'Patient will be admitted to psychiatry service' +p237473 +(lp237474 +S'Patient\tPatient\tNN\tB-NP\tO' +p237475 +aS'will\twill\tMD\tB-VP\tO' +p237476 +aS'be\tbe\tVB\tI-VP\tO' +p237477 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p237478 +aS'to\tto\tTO\tB-VP\tO' +p237479 +aS'psychiatry\tpsychiatry\tVB\tI-VP\tO' +p237480 +aS'service\tservice\tNN\tB-NP\tO' +p237481 +asS'Pt became more encephalopathic during her hospital course .' +p237482 +(lp237483 +S'Pt\tPt\tNN\tB-NP\tO' +p237484 +aS'became\tbecome\tVBD\tB-VP\tO' +p237485 +aS'more\tmore\tRBR\tB-ADJP\tO' +p237486 +aS'encephalopathic\tencephalopathic\tJJ\tI-ADJP\tO' +p237487 +aS'during\tduring\tIN\tB-PP\tO' +p237488 +aS'her\ther\tPRP$\tB-NP\tO' +p237489 +aS'hospital\thospital\tNN\tI-NP\tO' +p237490 +aS'course\tcourse\tNN\tI-NP\tO' +p237491 +aS'.\t.\t.\tO\tO' +p237492 +asS'4. Plavix 75 mg p.o. q.d. which has been discontinued prior to surgery .' +p237493 +(lp237494 +S'4.\t4.\tLS\tB-NP\tO' +p237495 +aS'Plavix\tPlavix\tNNP\tI-NP\tO' +p237496 +aS'75\t75\tCD\tI-NP\tO' +p237497 +aS'mg\tmg\tNN\tI-NP\tO' +p237498 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p237499 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p237500 +aS'which\twhich\tWDT\tB-NP\tO' +p237501 +aS'has\thave\tVBZ\tB-VP\tO' +p237502 +aS'been\tbe\tVBN\tI-VP\tO' +p237503 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p237504 +aS'prior\tprior\tRB\tB-ADVP\tO' +p237505 +aS'to\tto\tTO\tB-PP\tO' +p237506 +aS'surgery\tsurgery\tNN\tB-NP\tO' +p237507 +aS'.\t.\t.\tO\tO' +p237508 +asS'The patient was discharged to home and is supposed to follow up with Dr. Shuffburle of Gastroenterology for work up of his bright red blood per rectum and is supposed to follow up with Dr. Amesin of Cardiology and Dr. Shuffpasc of Dingclearf Alllirefaith Memorial Hospital .' +p237509 +(lp237510 +S'The\tThe\tDT\tB-NP\tO' +p237511 +aS'patient\tpatient\tNN\tI-NP\tO' +p237512 +aS'was\tbe\tVBD\tB-VP\tO' +p237513 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p237514 +aS'to\tto\tTO\tB-PP\tO' +p237515 +aS'home\thome\tNN\tB-NP\tO' +p237516 +aS'and\tand\tCC\tO\tO' +p237517 +aS'is\tbe\tVBZ\tB-VP\tO' +p237518 +aS'supposed\tsuppose\tVBN\tI-VP\tO' +p237519 +aS'to\tto\tTO\tI-VP\tO' +p237520 +aS'follow\tfollow\tVB\tI-VP\tO' +p237521 +aS'up\tup\tRP\tB-PRT\tO' +p237522 +aS'with\twith\tIN\tB-PP\tO' +p237523 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p237524 +aS'Shuffburle\tShuffburle\tNNP\tI-NP\tO' +p237525 +aS'of\tof\tIN\tB-PP\tO' +p237526 +aS'Gastroenterology\tGastroenterology\tNNP\tB-NP\tO' +p237527 +aS'for\tfor\tIN\tB-PP\tO' +p237528 +aS'work\twork\tNN\tB-NP\tO' +p237529 +aS'up\tup\tRB\tB-ADVP\tO' +p237530 +aS'of\tof\tIN\tB-PP\tO' +p237531 +aS'his\this\tPRP$\tB-NP\tO' +p237532 +aS'bright\tbright\tJJ\tI-NP\tO' +p237533 +aS'red\tred\tJJ\tI-NP\tO' +p237534 +aS'blood\tblood\tNN\tI-NP\tO' +p237535 +aS'per\tper\tIN\tB-PP\tO' +p237536 +aS'rectum\trectum\tNN\tB-NP\tO' +p237537 +aS'and\tand\tCC\tO\tO' +p237538 +aS'is\tbe\tVBZ\tB-VP\tO' +p237539 +aS'supposed\tsuppose\tVBN\tI-VP\tO' +p237540 +aS'to\tto\tTO\tI-VP\tO' +p237541 +aS'follow\tfollow\tVB\tI-VP\tO' +p237542 +aS'up\tup\tRP\tB-PRT\tO' +p237543 +aS'with\twith\tIN\tB-PP\tO' +p237544 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p237545 +aS'Amesin\tAmesin\tNNP\tI-NP\tO' +p237546 +aS'of\tof\tIN\tB-PP\tO' +p237547 +aS'Cardiology\tCardiology\tNNP\tB-NP\tO' +p237548 +aS'and\tand\tCC\tO\tO' +p237549 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p237550 +aS'Shuffpasc\tShuffpasc\tNNP\tI-NP\tO' +p237551 +aS'of\tof\tIN\tB-PP\tO' +p237552 +aS'Dingclearf\tDingclearf\tNNP\tB-NP\tO' +p237553 +aS'Alllirefaith\tAlllirefaith\tNNP\tI-NP\tO' +p237554 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p237555 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p237556 +aS'.\t.\t.\tO\tO' +p237557 +asS'If the patient experiences any chest pain , shortness of breath , nausea , vomiting , fevers , chills , please return to the emergency room .' +p237558 +(lp237559 +S'If\tIf\tIN\tB-SBAR\tO' +p237560 +aS'the\tthe\tDT\tB-NP\tO' +p237561 +aS'patient\tpatient\tNN\tI-NP\tO' +p237562 +aS'experiences\texperience\tVBZ\tB-VP\tO' +p237563 +aS'any\tany\tDT\tB-NP\tO' +p237564 +aS'chest\tch\tJJS\tI-NP\tO' +p237565 +aS'pain\tpain\tNN\tI-NP\tO' +p237566 +aS',\t,\t,\tO\tO' +p237567 +aS'shortness\tshortness\tNN\tB-NP\tO' +p237568 +aS'of\tof\tIN\tB-PP\tO' +p237569 +aS'breath\tbreath\tNN\tB-NP\tO' +p237570 +aS',\t,\t,\tO\tO' +p237571 +aS'nausea\tnausea\tNN\tB-NP\tO' +p237572 +aS',\t,\t,\tO\tO' +p237573 +aS'vomiting\tvomit\tVBG\tB-VP\tO' +p237574 +aS',\t,\t,\tO\tO' +p237575 +aS'fevers\tfever\tNNS\tB-NP\tO' +p237576 +aS',\t,\t,\tO\tO' +p237577 +aS'chills\tchill\tNNS\tB-NP\tO' +p237578 +aS',\t,\t,\tO\tO' +p237579 +aS'please\tplease\tVB\tB-VP\tO' +p237580 +aS'return\treturn\tNN\tB-NP\tO' +p237581 +aS'to\tto\tTO\tB-PP\tO' +p237582 +aS'the\tthe\tDT\tB-NP\tO' +p237583 +aS'emergency\temergency\tNN\tI-NP\tO' +p237584 +aS'room\troom\tNN\tI-NP\tO' +p237585 +aS'.\t.\t.\tO\tO' +p237586 +asS'He was seen by Dr. Seen and Dr. Seen as an out-patient .' +p237587 +(lp237588 +S'He\tHe\tPRP\tB-NP\tO' +p237589 +aS'was\tbe\tVBD\tB-VP\tO' +p237590 +aS'seen\tsee\tVBN\tI-VP\tO' +p237591 +aS'by\tby\tIN\tB-PP\tO' +p237592 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p237593 +aS'Seen\tSeen\tNNP\tI-NP\tO' +p237594 +aS'and\tand\tCC\tO\tO' +p237595 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p237596 +aS'Seen\tSeen\tNNP\tI-NP\tO' +p237597 +aS'as\tas\tIN\tB-PP\tO' +p237598 +aS'an\tan\tDT\tB-NP\tO' +p237599 +aS'out-patient\tout-patient\tNN\tI-NP\tO' +p237600 +aS'.\t.\t.\tO\tO' +p237601 +asS'3. 2014-09-24 left MCA stroke leaving him with right facial droop' +p237602 +(lp237603 +S'3.\t3.\tLS\tB-LST\tO' +p237604 +aS'2014-09-24\t2014-09-24\t:\tO\tO' +p237605 +aS'left\tleave\tVBN\tB-VP\tO' +p237606 +aS'MCA\tMCA\tNNP\tB-NP\tO' +p237607 +aS'stroke\tstroke\tVBD\tB-VP\tO' +p237608 +aS'leaving\tleave\tVBG\tI-VP\tO' +p237609 +aS'him\thim\tPRP\tB-NP\tO' +p237610 +aS'with\twith\tIN\tB-PP\tO' +p237611 +aS'right\tright\tJJ\tB-NP\tO' +p237612 +aS'facial\tfacial\tJJ\tI-NP\tO' +p237613 +aS'droop\tdroop\tNN\tI-NP\tO' +p237614 +asS'Electrocardiogram shows sinus bradycardia with Digitalis effect .' +p237615 +(lp237616 +S'Electrocardiogram\tElectrocardiogram\tNN\tB-NP\tO' +p237617 +aS'shows\tshow\tVBZ\tB-VP\tO' +p237618 +aS'sinus\tsinus\tNN\tB-NP\tO' +p237619 +aS'bradycardia\tbradycardia\tNN\tI-NP\tO' +p237620 +aS'with\twith\tIN\tB-PP\tO' +p237621 +aS'Digitalis\tDigitalis\tNNP\tB-NP\tO' +p237622 +aS'effect\teffect\tNN\tI-NP\tO' +p237623 +aS'.\t.\t.\tO\tO' +p237624 +asS'temperature 99.8 , pulse 86 , respiratory rate 18 .' +p237625 +(lp237626 +S'temperature\ttemperature\tNN\tB-NP\tO' +p237627 +aS'99.8\t99.8\tCD\tI-NP\tO' +p237628 +aS',\t,\t,\tO\tO' +p237629 +aS'pulse\tpulse\tNN\tB-NP\tO' +p237630 +aS'86\t86\tCD\tI-NP\tO' +p237631 +aS',\t,\t,\tO\tO' +p237632 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p237633 +aS'rate\trate\tNN\tI-NP\tO' +p237634 +aS'18\t18\tCD\tI-NP\tO' +p237635 +aS'.\t.\t.\tO\tO' +p237636 +asS'Signed electronically by : DR. Bernice Jenkins on : FRI 2011-10-07 4:01 PM' +p237637 +(lp237638 +S'Signed\tSign\tVBN\tB-VP\tO' +p237639 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p237640 +aS'by\tby\tIN\tB-PP\tO' +p237641 +aS':\t:\t:\tO\tO' +p237642 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p237643 +aS'Bernice\tBernice\tNNP\tI-NP\tO' +p237644 +aS'Jenkins\tJenkins\tNNP\tI-NP\tO' +p237645 +aS'on\ton\tIN\tB-PP\tO' +p237646 +aS':\t:\t:\tO\tO' +p237647 +aS'FRI\tFRI\tCD\tB-NP\tO' +p237648 +aS'2011-10-07\t2011-10-07\tCD\tI-NP\tO' +p237649 +aS'4:01\t4:01\tCD\tI-NP\tO' +p237650 +aS'PM\tPM\tNN\tI-NP\tO' +p237651 +asS'If you would like an WGH primary care physician , please call the Eghelas Medical Centers at 265-573-2272 .' +p237652 +(lp237653 +S'If\tIf\tIN\tB-SBAR\tO' +p237654 +aS'you\tyou\tPRP\tB-NP\tO' +p237655 +aS'would\twould\tMD\tB-VP\tO' +p237656 +aS'like\tlike\tVB\tI-VP\tO' +p237657 +aS'an\tan\tDT\tB-NP\tO' +p237658 +aS'WGH\tWGH\tNN\tI-NP\tO' +p237659 +aS'primary\tprimary\tJJ\tI-NP\tO' +p237660 +aS'care\tcare\tNN\tI-NP\tO' +p237661 +aS'physician\tphysician\tNN\tI-NP\tO' +p237662 +aS',\t,\t,\tO\tO' +p237663 +aS'please\tplease\tVB\tB-INTJ\tO' +p237664 +aS'call\tcall\tVB\tB-VP\tO' +p237665 +aS'the\tthe\tDT\tB-NP\tO' +p237666 +aS'Eghelas\tEghelas\tNNP\tI-NP\tO' +p237667 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p237668 +aS'Centers\tCenter\tNNPS\tI-NP\tO' +p237669 +aS'at\tat\tIN\tB-PP\tO' +p237670 +aS'265-573-2272\t265-573-2272\tCD\tB-NP\tO' +p237671 +aS'.\t.\t.\tO\tO' +p237672 +asS'The lungs were clear to auscultation bilaterally , without rales or wheezes .' +p237673 +(lp237674 +S'The\tThe\tDT\tB-NP\tO' +p237675 +aS'lungs\tlung\tNNS\tI-NP\tO' +p237676 +aS'were\tbe\tVBD\tB-VP\tO' +p237677 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p237678 +aS'to\tto\tTO\tB-PP\tO' +p237679 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p237680 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p237681 +aS',\t,\t,\tO\tO' +p237682 +aS'without\twithout\tIN\tB-PP\tO' +p237683 +aS'rales\trale\tNNS\tB-NP\tO' +p237684 +aS'or\tor\tCC\tI-NP\tO' +p237685 +aS'wheezes\twheeze\tNNS\tI-NP\tO' +p237686 +aS'.\t.\t.\tO\tO' +p237687 +asS'Upon arrival , they found the patient in bed , with notes nearby , listing his funeral home preferences and information on his next of kin .' +p237688 +(lp237689 +S'Upon\tUpon\tIN\tB-PP\tO' +p237690 +aS'arrival\tarrival\tNN\tB-NP\tO' +p237691 +aS',\t,\t,\tO\tO' +p237692 +aS'they\tthey\tPRP\tB-NP\tO' +p237693 +aS'found\tfind\tVBD\tB-VP\tO' +p237694 +aS'the\tthe\tDT\tB-NP\tO' +p237695 +aS'patient\tpatient\tNN\tI-NP\tO' +p237696 +aS'in\tin\tIN\tB-PP\tO' +p237697 +aS'bed\tbed\tNN\tB-NP\tO' +p237698 +aS',\t,\t,\tO\tO' +p237699 +aS'with\twith\tIN\tB-PP\tO' +p237700 +aS'notes\tnote\tNNS\tB-NP\tO' +p237701 +aS'nearby\tnearby\tRB\tB-ADVP\tO' +p237702 +aS',\t,\t,\tO\tO' +p237703 +aS'listing\tlist\tVBG\tB-VP\tO' +p237704 +aS'his\this\tPRP$\tB-NP\tO' +p237705 +aS'funeral\tfuneral\tJJ\tI-NP\tO' +p237706 +aS'home\thome\tNN\tI-NP\tO' +p237707 +aS'preferences\tpreference\tNNS\tI-NP\tO' +p237708 +aS'and\tand\tCC\tI-NP\tO' +p237709 +aS'information\tinformation\tNN\tI-NP\tO' +p237710 +aS'on\ton\tIN\tB-PP\tO' +p237711 +aS'his\this\tPRP$\tB-NP\tO' +p237712 +aS'next\tnext\tNN\tI-NP\tO' +p237713 +aS'of\tof\tIN\tB-PP\tO' +p237714 +aS'kin\tkin\tNN\tB-NP\tO' +p237715 +aS'.\t.\t.\tO\tO' +p237716 +asS'Thoracics agreed to no need for pigtail placement .' +p237717 +(lp237718 +S'Thoracics\tThoracic\tNNS\tB-NP\tO' +p237719 +aS'agreed\tagree\tVBD\tB-VP\tO' +p237720 +aS'to\tto\tTO\tB-PP\tO' +p237721 +aS'no\tno\tDT\tB-NP\tO' +p237722 +aS'need\tneed\tNN\tI-NP\tO' +p237723 +aS'for\tfor\tIN\tB-PP\tO' +p237724 +aS'pigtail\tpigtail\tNN\tB-NP\tO' +p237725 +aS'placement\tplacement\tNN\tI-NP\tO' +p237726 +aS'.\t.\t.\tO\tO' +p237727 +asS'His uric acid was up at 97 , his total bilirubin was up at 1.8 , his LDH was 428 , his phosphorus was 1.2 , calcium 8.6 , Digoxin level was 1.0 , potassium on admission was 2.9 , sodium 135 , BUN and creatinine 13/1.6 , and sugar of 267 .' +p237728 +(lp237729 +S'His\tHis\tPRP$\tB-NP\tO' +p237730 +aS'uric\turic\tJJ\tI-NP\tO' +p237731 +aS'acid\tacid\tNN\tI-NP\tO' +p237732 +aS'was\tbe\tVBD\tB-VP\tO' +p237733 +aS'up\tup\tRB\tB-ADVP\tO' +p237734 +aS'at\tat\tIN\tB-PP\tO' +p237735 +aS'97\t97\tCD\tB-NP\tO' +p237736 +aS',\t,\t,\tO\tO' +p237737 +aS'his\this\tPRP$\tB-NP\tO' +p237738 +aS'total\ttotal\tJJ\tI-NP\tO' +p237739 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p237740 +aS'was\tbe\tVBD\tB-VP\tO' +p237741 +aS'up\tup\tRB\tB-ADVP\tO' +p237742 +aS'at\tat\tIN\tB-PP\tO' +p237743 +aS'1.8\t1.8\tCD\tB-NP\tO' +p237744 +aS',\t,\t,\tO\tO' +p237745 +aS'his\this\tPRP$\tB-NP\tO' +p237746 +aS'LDH\tLDH\tNN\tI-NP\tB-protein' +p237747 +aS'was\tbe\tVBD\tB-VP\tO' +p237748 +aS'428\t428\tCD\tB-NP\tO' +p237749 +aS',\t,\t,\tO\tO' +p237750 +aS'his\this\tPRP$\tB-NP\tO' +p237751 +aS'phosphorus\tphosphorus\tNN\tI-NP\tO' +p237752 +aS'was\tbe\tVBD\tB-VP\tO' +p237753 +aS'1.2\t1.2\tCD\tB-NP\tO' +p237754 +aS',\t,\t,\tO\tO' +p237755 +aS'calcium\tcalcium\tNN\tB-NP\tO' +p237756 +aS'8.6\t8.6\tCD\tI-NP\tO' +p237757 +aS',\t,\t,\tO\tO' +p237758 +aS'Digoxin\tDigoxin\tNN\tB-NP\tO' +p237759 +aS'level\tlevel\tNN\tI-NP\tO' +p237760 +aS'was\tbe\tVBD\tB-VP\tO' +p237761 +aS'1.0\t1.0\tCD\tB-NP\tO' +p237762 +aS',\t,\t,\tO\tO' +p237763 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p237764 +aS'on\ton\tIN\tB-PP\tO' +p237765 +aS'admission\tadmission\tNN\tB-NP\tO' +p237766 +aS'was\tbe\tVBD\tB-VP\tO' +p237767 +aS'2.9\t2.9\tCD\tB-NP\tO' +p237768 +aS',\t,\t,\tO\tO' +p237769 +aS'sodium\tsodium\tNN\tB-NP\tO' +p237770 +aS'135\t135\tCD\tI-NP\tO' +p237771 +aS',\t,\t,\tO\tO' +p237772 +aS'BUN\tBUN\tNN\tB-NP\tB-protein' +p237773 +aS'and\tand\tCC\tO\tO' +p237774 +aS'creatinine\tcreatinine\tNN\tB-NP\tB-protein' +p237775 +aS'13/1.6\t13/1.6\tCD\tI-NP\tI-protein' +p237776 +aS',\t,\t,\tO\tO' +p237777 +aS'and\tand\tCC\tO\tO' +p237778 +aS'sugar\tsugar\tNN\tB-NP\tO' +p237779 +aS'of\tof\tIN\tB-PP\tO' +p237780 +aS'267\t267\tCD\tB-NP\tO' +p237781 +aS'.\t.\t.\tO\tO' +p237782 +asS'The patient presents now with progressive dyspnea , but no anginal pain .' +p237783 +(lp237784 +S'The\tThe\tDT\tB-NP\tO' +p237785 +aS'patient\tpatient\tNN\tI-NP\tO' +p237786 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p237787 +aS'now\tnow\tRB\tB-ADVP\tO' +p237788 +aS'with\twith\tIN\tB-PP\tO' +p237789 +aS'progressive\tprogressive\tJJ\tB-NP\tO' +p237790 +aS'dyspnea\tdyspnea\tNN\tI-NP\tO' +p237791 +aS',\t,\t,\tO\tO' +p237792 +aS'but\tbut\tCC\tO\tO' +p237793 +aS'no\tno\tDT\tB-NP\tO' +p237794 +aS'anginal\tanginal\tJJ\tI-NP\tO' +p237795 +aS'pain\tpain\tNN\tI-NP\tO' +p237796 +aS'.\t.\t.\tO\tO' +p237797 +asS'# DMI : Pt on sliding scale as inpatient and taking NPH 2 units BID at home .' +p237798 +(lp237799 +S'#\t#\t#\tB-NP\tO' +p237800 +aS'DMI\tDMI\tNN\tI-NP\tO' +p237801 +aS':\t:\t:\tO\tO' +p237802 +aS'Pt\tPt\tNN\tB-NP\tO' +p237803 +aS'on\ton\tIN\tB-PP\tO' +p237804 +aS'sliding\tslide\tVBG\tB-VP\tO' +p237805 +aS'scale\tscale\tNN\tB-NP\tO' +p237806 +aS'as\tas\tIN\tB-PP\tO' +p237807 +aS'inpatient\tinpatient\tNN\tB-NP\tO' +p237808 +aS'and\tand\tCC\tO\tO' +p237809 +aS'taking\ttake\tVBG\tB-VP\tO' +p237810 +aS'NPH\tNPH\tNN\tB-NP\tB-protein' +p237811 +aS'2\t2\tCD\tI-NP\tI-protein' +p237812 +aS'units\tunit\tNNS\tI-NP\tO' +p237813 +aS'BID\tBID\tNN\tI-NP\tO' +p237814 +aS'at\tat\tIN\tB-PP\tO' +p237815 +aS'home\thome\tNN\tB-NP\tO' +p237816 +aS'.\t.\t.\tO\tO' +p237817 +asS'The patient was treated with Tylenol orally as well as Ativan for anxiety that she had about going home .' +p237818 +(lp237819 +S'The\tThe\tDT\tB-NP\tO' +p237820 +aS'patient\tpatient\tNN\tI-NP\tO' +p237821 +aS'was\tbe\tVBD\tB-VP\tO' +p237822 +aS'treated\ttreat\tVBN\tI-VP\tO' +p237823 +aS'with\twith\tIN\tB-PP\tO' +p237824 +aS'Tylenol\tTylenol\tNN\tB-NP\tO' +p237825 +aS'orally\torally\tRB\tO\tO' +p237826 +aS'as\tas\tRB\tB-CONJP\tO' +p237827 +aS'well\twell\tRB\tI-CONJP\tO' +p237828 +aS'as\tas\tIN\tI-CONJP\tO' +p237829 +aS'Ativan\tAtivan\tNNP\tB-NP\tO' +p237830 +aS'for\tfor\tIN\tB-PP\tO' +p237831 +aS'anxiety\tanxiety\tNN\tB-NP\tO' +p237832 +aS'that\tthat\tIN\tB-SBAR\tO' +p237833 +aS'she\tshe\tPRP\tB-NP\tO' +p237834 +aS'had\thave\tVBD\tB-VP\tO' +p237835 +aS'about\tabout\tIN\tB-PP\tO' +p237836 +aS'going\tgo\tVBG\tB-VP\tO' +p237837 +aS'home\thome\tNN\tB-NP\tO' +p237838 +aS'.\t.\t.\tO\tO' +p237839 +asS'The patient reports dizziness intermittently times several months now increasing in frequency described as episodes where she feels faint .' +p237840 +(lp237841 +S'The\tThe\tDT\tB-NP\tO' +p237842 +aS'patient\tpatient\tNN\tI-NP\tO' +p237843 +aS'reports\treport\tVBZ\tB-VP\tO' +p237844 +aS'dizziness\tdizziness\tNN\tB-NP\tO' +p237845 +aS'intermittently\tintermittently\tRB\tB-ADVP\tO' +p237846 +aS'times\ttime\tVBZ\tB-VP\tO' +p237847 +aS'several\tseveral\tJJ\tB-NP\tO' +p237848 +aS'months\tmonth\tNNS\tI-NP\tO' +p237849 +aS'now\tnow\tRB\tB-ADVP\tO' +p237850 +aS'increasing\tincrease\tVBG\tB-VP\tO' +p237851 +aS'in\tin\tIN\tB-PP\tO' +p237852 +aS'frequency\tfrequency\tNN\tB-NP\tO' +p237853 +aS'described\tdescribe\tVBN\tB-VP\tO' +p237854 +aS'as\tas\tIN\tB-PP\tO' +p237855 +aS'episodes\tepisode\tNNS\tB-NP\tO' +p237856 +aS'where\twhere\tWRB\tB-ADVP\tO' +p237857 +aS'she\tshe\tPRP\tB-NP\tO' +p237858 +aS'feels\tfeel\tVBZ\tB-VP\tO' +p237859 +aS'faint\tfaint\tJJ\tB-ADJP\tO' +p237860 +aS'.\t.\t.\tO\tO' +p237861 +asS'As a matter of fact the patient made remarkable progress given the severity of his disease condition prior to the operation .' +p237862 +(lp237863 +S'As\tAs\tIN\tB-PP\tO' +p237864 +aS'a\ta\tDT\tB-NP\tO' +p237865 +aS'matter\tmatter\tNN\tI-NP\tO' +p237866 +aS'of\tof\tIN\tB-PP\tO' +p237867 +aS'fact\tfact\tNN\tB-NP\tO' +p237868 +aS'the\tthe\tDT\tB-NP\tO' +p237869 +aS'patient\tpatient\tNN\tI-NP\tO' +p237870 +aS'made\tmake\tVBD\tB-VP\tO' +p237871 +aS'remarkable\tremarkable\tJJ\tB-NP\tO' +p237872 +aS'progress\tprogress\tNN\tI-NP\tO' +p237873 +aS'given\tgive\tVBN\tB-PP\tO' +p237874 +aS'the\tthe\tDT\tB-NP\tO' +p237875 +aS'severity\tseverity\tNN\tI-NP\tO' +p237876 +aS'of\tof\tIN\tB-PP\tO' +p237877 +aS'his\this\tPRP$\tB-NP\tO' +p237878 +aS'disease\tdisease\tNN\tI-NP\tO' +p237879 +aS'condition\tcondition\tNN\tI-NP\tO' +p237880 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p237881 +aS'to\tto\tTO\tB-PP\tO' +p237882 +aS'the\tthe\tDT\tB-NP\tO' +p237883 +aS'operation\toperation\tNN\tI-NP\tO' +p237884 +aS'.\t.\t.\tO\tO' +p237885 +asS'2. Coronary artery disease status post NQWMI 02-25 , s/p LAD angioplasty and stent 05-26 . Known non-dominant 90% RCA lesion not intervened upon .' +p237886 +(lp237887 +S'2.\t2.\tLS\tB-NP\tO' +p237888 +aS'Coronary\tCoronary\tJJ\tI-NP\tO' +p237889 +aS'artery\tartery\tNN\tI-NP\tO' +p237890 +aS'disease\tdisease\tNN\tI-NP\tO' +p237891 +aS'status\tstatus\tNN\tI-NP\tO' +p237892 +aS'post\tpost\tNN\tI-NP\tO' +p237893 +aS'NQWMI\tNQWMI\tNN\tI-NP\tO' +p237894 +aS'02-25\t02-25\tCD\tI-NP\tO' +p237895 +aS',\t,\t,\tO\tO' +p237896 +aS's/p\ts/p\tNN\tB-NP\tO' +p237897 +aS'LAD\tLAD\tNN\tI-NP\tO' +p237898 +aS'angioplasty\tangioplasty\tNN\tI-NP\tO' +p237899 +aS'and\tand\tCC\tO\tO' +p237900 +aS'stent\tstent\tNN\tB-NP\tO' +p237901 +aS'05-26\t05-26\tCD\tI-NP\tO' +p237902 +aS'.\t.\t.\tI-NP\tO' +p237903 +aS'Known\tKnown\tNNP\tI-NP\tO' +p237904 +aS'non-dominant\tnon-dominant\tJJ\tI-NP\tO' +p237905 +aS'90%\t90%\tNN\tI-NP\tO' +p237906 +aS'RCA\tRCA\tNN\tI-NP\tO' +p237907 +aS'lesion\tlesion\tNN\tI-NP\tO' +p237908 +aS'not\tnot\tRB\tO\tO' +p237909 +aS'intervened\tintervene\tVBD\tB-VP\tO' +p237910 +aS'upon\tupon\tIN\tB-PP\tO' +p237911 +aS'.\t.\t.\tO\tO' +p237912 +asS'There were diffuse ST segment and T-wave abnormalities , which were nonspecific .' +p237913 +(lp237914 +S'There\tThere\tEX\tB-NP\tO' +p237915 +aS'were\tbe\tVBD\tB-VP\tO' +p237916 +aS'diffuse\tdiffuse\tJJ\tB-NP\tO' +p237917 +aS'ST\tST\tNN\tI-NP\tO' +p237918 +aS'segment\tsegment\tNN\tI-NP\tO' +p237919 +aS'and\tand\tCC\tI-NP\tO' +p237920 +aS'T-wave\tT-wave\tNN\tI-NP\tO' +p237921 +aS'abnormalities\tabnormality\tNNS\tI-NP\tO' +p237922 +aS',\t,\t,\tO\tO' +p237923 +aS'which\twhich\tWDT\tB-NP\tO' +p237924 +aS'were\tbe\tVBD\tB-VP\tO' +p237925 +aS'nonspecific\tnonspecific\tJJ\tB-ADJP\tO' +p237926 +aS'.\t.\t.\tO\tO' +p237927 +asS'Due to the unknown group B Strep status and prematurity , Raymond was evaluated for sepsis .' +p237928 +(lp237929 +S'Due\tDue\tJJ\tB-PP\tO' +p237930 +aS'to\tto\tTO\tI-PP\tO' +p237931 +aS'the\tthe\tDT\tB-NP\tO' +p237932 +aS'unknown\tunknown\tJJ\tI-NP\tO' +p237933 +aS'group\tgroup\tNN\tI-NP\tO' +p237934 +aS'B\tB\tNN\tI-NP\tO' +p237935 +aS'Strep\tStrep\tNN\tI-NP\tO' +p237936 +aS'status\tstatus\tNN\tI-NP\tO' +p237937 +aS'and\tand\tCC\tO\tO' +p237938 +aS'prematurity\tprematurity\tNN\tB-NP\tO' +p237939 +aS',\t,\t,\tO\tO' +p237940 +aS'Raymond\tRaymond\tNNP\tB-NP\tO' +p237941 +aS'was\tbe\tVBD\tB-VP\tO' +p237942 +aS'evaluated\tevaluate\tVBN\tI-VP\tO' +p237943 +aS'for\tfor\tIN\tB-PP\tO' +p237944 +aS'sepsis\tsepsis\tNN\tB-NP\tO' +p237945 +aS'.\t.\t.\tO\tO' +p237946 +asS'46 - yo-man w/ active cocaine use presents w/ LE edema .' +p237947 +(lp237948 +S'46\t46\tCD\tB-NP\tO' +p237949 +aS'-\t-\tHYPH\tI-NP\tO' +p237950 +aS'yo-man\tyo-man\tJJ\tI-NP\tO' +p237951 +aS'w/\tw/\tNN\tI-NP\tO' +p237952 +aS'active\tactive\tJJ\tI-NP\tO' +p237953 +aS'cocaine\tcocaine\tNN\tI-NP\tO' +p237954 +aS'use\tuse\tNN\tI-NP\tO' +p237955 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p237956 +aS'w/\tw/\tNN\tB-NP\tO' +p237957 +aS'LE\tLE\tNN\tI-NP\tO' +p237958 +aS'edema\tedema\tNN\tI-NP\tO' +p237959 +aS'.\t.\t.\tO\tO' +p237960 +asS'her activities of daily living .' +p237961 +(lp237962 +S'her\ther\tPRP$\tB-NP\tO' +p237963 +aS'activities\tactivity\tNNS\tI-NP\tO' +p237964 +aS'of\tof\tIN\tB-PP\tO' +p237965 +aS'daily\tdaily\tJJ\tB-NP\tO' +p237966 +aS'living\tliving\tNN\tI-NP\tO' +p237967 +aS'.\t.\t.\tO\tO' +p237968 +asS"Initially , the patient 's etiology of seizure was not quite clear , but thought possibly secondary to alcohol and benzodiazepine withdrawal ." +p237969 +(lp237970 +S'Initially\tInitially\tRB\tB-ADVP\tO' +p237971 +aS',\t,\t,\tO\tO' +p237972 +aS'the\tthe\tDT\tB-NP\tO' +p237973 +aS'patient\tpatient\tNN\tI-NP\tO' +p237974 +aS"'s\t's\tPOS\tB-NP\tO" +p237975 +aS'etiology\tetiology\tNN\tI-NP\tO' +p237976 +aS'of\tof\tIN\tB-PP\tO' +p237977 +aS'seizure\tseizure\tNN\tB-NP\tO' +p237978 +aS'was\tbe\tVBD\tB-VP\tO' +p237979 +aS'not\tnot\tRB\tO\tO' +p237980 +aS'quite\tquite\tRB\tB-ADJP\tO' +p237981 +aS'clear\tclear\tJJ\tI-ADJP\tO' +p237982 +aS',\t,\t,\tO\tO' +p237983 +aS'but\tbut\tCC\tO\tO' +p237984 +aS'thought\tthink\tVBD\tB-VP\tO' +p237985 +aS'possibly\tpossibly\tRB\tB-ADJP\tO' +p237986 +aS'secondary\tsecondary\tJJ\tI-ADJP\tO' +p237987 +aS'to\tto\tTO\tB-PP\tO' +p237988 +aS'alcohol\talcohol\tNN\tB-NP\tO' +p237989 +aS'and\tand\tCC\tI-NP\tO' +p237990 +aS'benzodiazepine\tbenzodiazepine\tNN\tI-NP\tO' +p237991 +aS'withdrawal\twithdrawal\tNN\tI-NP\tO' +p237992 +aS'.\t.\t.\tO\tO' +p237993 +asS'The heart rate was regular without murmur , and pulses were 2+ and symmetrical .' +p237994 +(lp237995 +S'The\tThe\tDT\tB-NP\tO' +p237996 +aS'heart\theart\tNN\tI-NP\tO' +p237997 +aS'rate\trate\tNN\tI-NP\tO' +p237998 +aS'was\tbe\tVBD\tB-VP\tO' +p237999 +aS'regular\tregular\tJJ\tB-ADJP\tO' +p238000 +aS'without\twithout\tIN\tB-PP\tO' +p238001 +aS'murmur\tmurmur\tNN\tB-NP\tO' +p238002 +aS',\t,\t,\tO\tO' +p238003 +aS'and\tand\tCC\tO\tO' +p238004 +aS'pulses\tpulse\tNNS\tB-NP\tO' +p238005 +aS'were\tbe\tVBD\tB-VP\tO' +p238006 +aS'2+\t2+\tJJ\tB-ADJP\tO' +p238007 +aS'and\tand\tCC\tI-ADJP\tO' +p238008 +aS'symmetrical\tsymmetrical\tJJ\tI-ADJP\tO' +p238009 +aS'.\t.\t.\tO\tO' +p238010 +asS'6. Midazolam 1 mg/mL Solution Sig : 1-2 mg Injection Q2H ( every 2 hours ) as needed for comfort .' +p238011 +(lp238012 +S'6.\t6.\tCD\tB-NP\tO' +p238013 +aS'Midazolam\tMidazolam\tNN\tI-NP\tO' +p238014 +aS'1\t1\tCD\tB-NP\tO' +p238015 +aS'mg/mL\tmg/mL\tNN\tI-NP\tO' +p238016 +aS'Solution\tSolution\tNNP\tI-NP\tO' +p238017 +aS'Sig\tSig\tNNP\tI-NP\tO' +p238018 +aS':\t:\t:\tO\tO' +p238019 +aS'1-2\t1-2\tCD\tB-NP\tO' +p238020 +aS'mg\tmg\tNN\tI-NP\tO' +p238021 +aS'Injection\tInjection\tNN\tI-NP\tO' +p238022 +aS'Q2H\tQ2H\tNN\tI-NP\tO' +p238023 +aS'(\t(\t(\tO\tO' +p238024 +aS'every\tevery\tDT\tB-NP\tO' +p238025 +aS'2\t2\tCD\tI-NP\tO' +p238026 +aS'hours\thour\tNNS\tI-NP\tO' +p238027 +aS')\t)\t)\tO\tO' +p238028 +aS'as\tas\tIN\tB-SBAR\tO' +p238029 +aS'needed\tneed\tVBN\tB-VP\tO' +p238030 +aS'for\tfor\tIN\tB-PP\tO' +p238031 +aS'comfort\tcomfort\tNN\tB-NP\tO' +p238032 +aS'.\t.\t.\tO\tO' +p238033 +asS'The mother has 3 older children who are alive and well .' +p238034 +(lp238035 +S'The\tThe\tDT\tB-NP\tO' +p238036 +aS'mother\tmother\tNN\tI-NP\tO' +p238037 +aS'has\thave\tVBZ\tB-VP\tO' +p238038 +aS'3\t3\tCD\tB-NP\tO' +p238039 +aS'older\told\tJJR\tI-NP\tO' +p238040 +aS'children\tchild\tNNS\tI-NP\tO' +p238041 +aS'who\twho\tWP\tB-NP\tO' +p238042 +aS'are\tbe\tVBP\tB-VP\tO' +p238043 +aS'alive\talive\tJJ\tB-ADJP\tO' +p238044 +aS'and\tand\tCC\tO\tO' +p238045 +aS'well\twell\tRB\tB-ADVP\tO' +p238046 +aS'.\t.\t.\tO\tO' +p238047 +asS'Patient was treated with 14 days of levoflox .' +p238048 +(lp238049 +S'Patient\tPatient\tNN\tB-NP\tO' +p238050 +aS'was\tbe\tVBD\tB-VP\tO' +p238051 +aS'treated\ttreat\tVBN\tI-VP\tO' +p238052 +aS'with\twith\tIN\tB-PP\tO' +p238053 +aS'14\t14\tCD\tB-NP\tO' +p238054 +aS'days\tday\tNNS\tI-NP\tO' +p238055 +aS'of\tof\tIN\tB-PP\tO' +p238056 +aS'levoflox\tlevoflox\tNN\tB-NP\tO' +p238057 +aS'.\t.\t.\tO\tO' +p238058 +asS'Other than the addition of Amiodarone 200 mg daily , will be the same as her admission medications .' +p238059 +(lp238060 +S'Other\tOther\tJJ\tB-ADJP\tO' +p238061 +aS'than\tthan\tIN\tB-PP\tO' +p238062 +aS'the\tthe\tDT\tB-NP\tO' +p238063 +aS'addition\taddition\tNN\tI-NP\tO' +p238064 +aS'of\tof\tIN\tB-PP\tO' +p238065 +aS'Amiodarone\tAmiodarone\tNN\tB-NP\tO' +p238066 +aS'200\t200\tCD\tI-NP\tO' +p238067 +aS'mg\tmg\tNN\tI-NP\tO' +p238068 +aS'daily\tdaily\tRB\tB-ADVP\tO' +p238069 +aS',\t,\t,\tO\tO' +p238070 +aS'will\twill\tMD\tB-VP\tO' +p238071 +aS'be\tbe\tVB\tI-VP\tO' +p238072 +aS'the\tthe\tDT\tB-NP\tO' +p238073 +aS'same\tsame\tJJ\tI-NP\tO' +p238074 +aS'as\tas\tIN\tB-PP\tO' +p238075 +aS'her\ther\tPRP$\tB-NP\tO' +p238076 +aS'admission\tadmission\tNN\tI-NP\tO' +p238077 +aS'medications\tmedication\tNNS\tI-NP\tO' +p238078 +aS'.\t.\t.\tO\tO' +p238079 +asS'She also noted increased dyspnea on exertion .' +p238080 +(lp238081 +S'She\tShe\tPRP\tB-NP\tO' +p238082 +aS'also\talso\tRB\tB-ADVP\tO' +p238083 +aS'noted\tnote\tVBD\tB-VP\tO' +p238084 +aS'increased\tincrease\tVBN\tB-NP\tO' +p238085 +aS'dyspnea\tdyspnea\tNN\tI-NP\tO' +p238086 +aS'on\ton\tIN\tB-PP\tO' +p238087 +aS'exertion\texertion\tNN\tB-NP\tO' +p238088 +aS'.\t.\t.\tO\tO' +p238089 +asS'She denies any history of elicit drug use .' +p238090 +(lp238091 +S'She\tShe\tPRP\tB-NP\tO' +p238092 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p238093 +aS'any\tany\tDT\tB-NP\tO' +p238094 +aS'history\thistory\tNN\tI-NP\tO' +p238095 +aS'of\tof\tIN\tB-PP\tO' +p238096 +aS'elicit\telicit\tJJ\tB-NP\tO' +p238097 +aS'drug\tdrug\tNN\tI-NP\tO' +p238098 +aS'use\tuse\tNN\tI-NP\tO' +p238099 +aS'.\t.\t.\tO\tO' +p238100 +asS'She should have a follow-up echocardiogram .' +p238101 +(lp238102 +S'She\tShe\tPRP\tB-NP\tO' +p238103 +aS'should\tshould\tMD\tB-VP\tO' +p238104 +aS'have\thave\tVB\tI-VP\tO' +p238105 +aS'a\ta\tDT\tB-NP\tO' +p238106 +aS'follow-up\tfollow-up\tJJ\tI-NP\tO' +p238107 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p238108 +aS'.\t.\t.\tO\tO' +p238109 +asS'MEDICATIONS at the time of discharge are G-CSF 300 micrograms subcu q. day , Acyclovir 200 mg p.o. b.i.d. , Erythromycin 500 mg p.o. b.i.d. , Dapsone 50 mg p.o. Monday , Wednesday and Friday , Imodium 1-2 tablets p.o. q. 6 hours p.r.n. , Nystatin 5 cc swish and swallow q.i.d. , Serax 50 mg p.o. q. 6 hours p.r.n. and Kay-Ceil 40 mEq p.o. b.i.d.' +p238110 +(lp238111 +S'MEDICATIONS\tMEDICATIONS\tNNS\tB-NP\tO' +p238112 +aS'at\tat\tIN\tB-PP\tO' +p238113 +aS'the\tthe\tDT\tB-NP\tO' +p238114 +aS'time\ttime\tNN\tI-NP\tO' +p238115 +aS'of\tof\tIN\tB-PP\tO' +p238116 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p238117 +aS'are\tbe\tVBP\tB-VP\tO' +p238118 +aS'G-CSF\tG-CSF\tNN\tB-NP\tB-protein' +p238119 +aS'300\t300\tCD\tB-NP\tO' +p238120 +aS'micrograms\tmicrogram\tNNS\tI-NP\tO' +p238121 +aS'subcu\tsubcu\tNN\tI-NP\tO' +p238122 +aS'q.\tq.\tNN\tI-NP\tO' +p238123 +aS'day\tday\tNN\tI-NP\tO' +p238124 +aS',\t,\t,\tO\tO' +p238125 +aS'Acyclovir\tAcyclovir\tNN\tB-NP\tO' +p238126 +aS'200\t200\tCD\tI-NP\tO' +p238127 +aS'mg\tmg\tNN\tI-NP\tO' +p238128 +aS'p.o.\tp.o.\tFW\tB-ADVP\tO' +p238129 +aS'b.i.d.\tb.i.d.\tFW\tI-ADVP\tO' +p238130 +aS',\t,\t,\tO\tO' +p238131 +aS'Erythromycin\tErythromycin\tNN\tB-NP\tO' +p238132 +aS'500\t500\tCD\tI-NP\tO' +p238133 +aS'mg\tmg\tNN\tI-NP\tO' +p238134 +aS'p.o.\tp.o.\tFW\tB-ADVP\tO' +p238135 +aS'b.i.d.\tb.i.d.\tFW\tI-ADVP\tO' +p238136 +aS',\t,\t,\tO\tO' +p238137 +aS'Dapsone\tDapsone\tNN\tB-NP\tO' +p238138 +aS'50\t50\tCD\tI-NP\tO' +p238139 +aS'mg\tmg\tNN\tI-NP\tO' +p238140 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p238141 +aS'Monday\tMonday\tNNP\tB-NP\tO' +p238142 +aS',\t,\t,\tO\tO' +p238143 +aS'Wednesday\tWednesday\tNNP\tB-NP\tO' +p238144 +aS'and\tand\tCC\tO\tO' +p238145 +aS'Friday\tFriday\tNNP\tB-NP\tO' +p238146 +aS',\t,\t,\tO\tO' +p238147 +aS'Imodium\tImodium\tNNP\tB-NP\tO' +p238148 +aS'1-2\t1-2\tCD\tI-NP\tO' +p238149 +aS'tablets\ttablet\tNNS\tI-NP\tO' +p238150 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p238151 +aS'q.\tq.\tNN\tI-NP\tO' +p238152 +aS'6\t6\tCD\tB-NP\tO' +p238153 +aS'hours\thour\tNNS\tI-NP\tO' +p238154 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p238155 +aS',\t,\t,\tO\tO' +p238156 +aS'Nystatin\tNystatin\tNN\tB-NP\tB-protein' +p238157 +aS'5\t5\tCD\tI-NP\tI-protein' +p238158 +aS'cc\tcc\tNN\tI-NP\tO' +p238159 +aS'swish\tswish\tVB\tB-VP\tO' +p238160 +aS'and\tand\tCC\tI-VP\tO' +p238161 +aS'swallow\tswallow\tVB\tI-VP\tO' +p238162 +aS'q.i.d.\tq.i.d.\tNN\tB-NP\tO' +p238163 +aS',\t,\t,\tO\tO' +p238164 +aS'Serax\tSerax\tNN\tB-NP\tO' +p238165 +aS'50\t50\tCD\tI-NP\tO' +p238166 +aS'mg\tmg\tNN\tI-NP\tO' +p238167 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p238168 +aS'q.\tq.\tNN\tI-NP\tO' +p238169 +aS'6\t6\tCD\tB-NP\tO' +p238170 +aS'hours\thour\tNNS\tI-NP\tO' +p238171 +aS'p.r.n.\tp.r.n.\tRB\tB-ADVP\tO' +p238172 +aS'and\tand\tCC\tO\tO' +p238173 +aS'Kay-Ceil\tKay-Ceil\tNNP\tB-NP\tO' +p238174 +aS'40\t40\tCD\tI-NP\tO' +p238175 +aS'mEq\tmEq\tNN\tI-NP\tO' +p238176 +aS'p.o.\tp.o.\tFW\tB-ADVP\tO' +p238177 +aS'b.i.d.\tb.i.d.\tFW\tI-ADVP\tO' +p238178 +asS'Periodic urinalysis should be conducted to monitor the development of possible urinary tract infection .' +p238179 +(lp238180 +S'Periodic\tPeriodic\tJJ\tB-NP\tO' +p238181 +aS'urinalysis\turinalysis\tNN\tI-NP\tO' +p238182 +aS'should\tshould\tMD\tB-VP\tO' +p238183 +aS'be\tbe\tVB\tI-VP\tO' +p238184 +aS'conducted\tconduct\tVBN\tI-VP\tO' +p238185 +aS'to\tto\tTO\tI-VP\tO' +p238186 +aS'monitor\tmonitor\tVB\tI-VP\tO' +p238187 +aS'the\tthe\tDT\tB-NP\tO' +p238188 +aS'development\tdevelopment\tNN\tI-NP\tO' +p238189 +aS'of\tof\tIN\tB-PP\tO' +p238190 +aS'possible\tpossible\tJJ\tB-NP\tO' +p238191 +aS'urinary\turinary\tJJ\tI-NP\tO' +p238192 +aS'tract\ttract\tNN\tI-NP\tO' +p238193 +aS'infection\tinfection\tNN\tI-NP\tO' +p238194 +aS'.\t.\t.\tO\tO' +p238195 +asS"The infants are legally under the parents ' names and they are involved with the infant 's care ." +p238196 +(lp238197 +S'The\tThe\tDT\tB-NP\tO' +p238198 +aS'infants\tinfant\tNNS\tI-NP\tO' +p238199 +aS'are\tbe\tVBP\tB-VP\tO' +p238200 +aS'legally\tlegally\tRB\tB-ADVP\tO' +p238201 +aS'under\tunder\tIN\tB-PP\tO' +p238202 +aS'the\tthe\tDT\tB-NP\tO' +p238203 +aS'parents\tparent\tNNS\tI-NP\tO' +p238204 +aS"'\t'\tPOS\tB-NP\tO" +p238205 +aS'names\tname\tNNS\tI-NP\tO' +p238206 +aS'and\tand\tCC\tO\tO' +p238207 +aS'they\tthey\tPRP\tB-NP\tO' +p238208 +aS'are\tbe\tVBP\tB-VP\tO' +p238209 +aS'involved\tinvolve\tVBN\tI-VP\tO' +p238210 +aS'with\twith\tIN\tB-PP\tO' +p238211 +aS'the\tthe\tDT\tB-NP\tO' +p238212 +aS'infant\tinfant\tNN\tI-NP\tO' +p238213 +aS"'s\t's\tPOS\tB-NP\tO" +p238214 +aS'care\tcare\tNN\tI-NP\tO' +p238215 +aS'.\t.\t.\tO\tO' +p238216 +asS'The patient transfused 2 units on 10/15/97 for a hematocrit of 27.6 .' +p238217 +(lp238218 +S'The\tThe\tDT\tB-NP\tO' +p238219 +aS'patient\tpatient\tNN\tI-NP\tO' +p238220 +aS'transfused\ttransfuse\tVBN\tB-VP\tO' +p238221 +aS'2\t2\tCD\tB-NP\tO' +p238222 +aS'units\tunit\tNNS\tI-NP\tO' +p238223 +aS'on\ton\tIN\tB-PP\tO' +p238224 +aS'10/15/97\t10/15/97\tCD\tB-NP\tO' +p238225 +aS'for\tfor\tIN\tB-PP\tO' +p238226 +aS'a\ta\tDT\tB-NP\tO' +p238227 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p238228 +aS'of\tof\tIN\tB-PP\tO' +p238229 +aS'27.6\t27.6\tCD\tB-NP\tO' +p238230 +aS'.\t.\t.\tO\tO' +p238231 +asS'1. Unasyn 3 grams intravenous every six hours .' +p238232 +(lp238233 +S'1.\t1.\tLS\tB-LST\tO' +p238234 +aS'Unasyn\tUnasyn\tIN\tB-PP\tO' +p238235 +aS'3\t3\tCD\tB-NP\tO' +p238236 +aS'grams\tgram\tNNS\tI-NP\tO' +p238237 +aS'intravenous\tintravenous\tJJ\tB-ADJP\tO' +p238238 +aS'every\tevery\tDT\tB-NP\tO' +p238239 +aS'six\tsix\tCD\tI-NP\tO' +p238240 +aS'hours\thour\tNNS\tI-NP\tO' +p238241 +aS'.\t.\t.\tO\tO' +p238242 +asS'Theo-dur 300 mg. po. bid .' +p238243 +(lp238244 +S'Theo-dur\tTheo-dur\tRB\tB-NP\tO' +p238245 +aS'300\t300\tCD\tI-NP\tO' +p238246 +aS'mg.\tmg.\tNN\tI-NP\tO' +p238247 +aS'po.\tpo.\tNN\tI-NP\tO' +p238248 +aS'bid\tbid\tNN\tI-NP\tO' +p238249 +aS'.\t.\t.\tO\tO' +p238250 +asS'The patient had a history from 7/12/01 of a normal white blood cell count , with a normal absolute neutrophil count .' +p238251 +(lp238252 +S'The\tThe\tDT\tB-NP\tO' +p238253 +aS'patient\tpatient\tNN\tI-NP\tO' +p238254 +aS'had\thave\tVBD\tB-VP\tO' +p238255 +aS'a\ta\tDT\tB-NP\tO' +p238256 +aS'history\thistory\tNN\tI-NP\tO' +p238257 +aS'from\tfrom\tIN\tB-PP\tO' +p238258 +aS'7/12/01\t7/12/01\tCD\tB-NP\tO' +p238259 +aS'of\tof\tIN\tB-PP\tO' +p238260 +aS'a\ta\tDT\tB-NP\tO' +p238261 +aS'normal\tnormal\tJJ\tI-NP\tO' +p238262 +aS'white\twhite\tJJ\tI-NP\tO' +p238263 +aS'blood\tblood\tNN\tI-NP\tO' +p238264 +aS'cell\tcell\tNN\tI-NP\tO' +p238265 +aS'count\tcount\tNN\tI-NP\tO' +p238266 +aS',\t,\t,\tO\tO' +p238267 +aS'with\twith\tIN\tB-PP\tO' +p238268 +aS'a\ta\tDT\tB-NP\tO' +p238269 +aS'normal\tnormal\tJJ\tI-NP\tO' +p238270 +aS'absolute\tabsolute\tJJ\tI-NP\tO' +p238271 +aS'neutrophil\tneutrophil\tNN\tI-NP\tO' +p238272 +aS'count\tcount\tNN\tI-NP\tO' +p238273 +aS'.\t.\t.\tO\tO' +p238274 +asS'12. PE 2018-11-17 leading to PEA arrest' +p238275 +(lp238276 +S'12.\t12.\tCD\tB-NP\tO' +p238277 +aS'PE\tPE\tNN\tI-NP\tO' +p238278 +aS'2018-11-17\t2018-11-17\tCD\tB-NP\tO' +p238279 +aS'leading\tlead\tVBG\tB-VP\tO' +p238280 +aS'to\tto\tTO\tB-PP\tO' +p238281 +aS'PEA\tPEA\tNN\tB-NP\tO' +p238282 +aS'arrest\tarrest\tNN\tI-NP\tO' +p238283 +asS'## Urostomy s/p ileal loop conduit in 2007 for neurogenic bladder w/ persistent leak' +p238284 +(lp238285 +S'##\t##\t#\tB-NP\tO' +p238286 +aS'Urostomy\tUrostomy\tNN\tI-NP\tO' +p238287 +aS's/p\ts/p\tNN\tI-NP\tO' +p238288 +aS'ileal\tileal\tJJ\tI-NP\tO' +p238289 +aS'loop\tloop\tNN\tI-NP\tO' +p238290 +aS'conduit\tconduit\tNN\tI-NP\tO' +p238291 +aS'in\tin\tIN\tB-PP\tO' +p238292 +aS'2007\t2007\tCD\tB-NP\tO' +p238293 +aS'for\tfor\tIN\tB-PP\tO' +p238294 +aS'neurogenic\tneurogenic\tJJ\tB-NP\tB-protein' +p238295 +aS'bladder\tbladder\tNN\tI-NP\tI-protein' +p238296 +aS'w/\tw/\tNN\tI-NP\tI-protein' +p238297 +aS'persistent\tpersistent\tJJ\tI-NP\tI-protein' +p238298 +aS'leak\tleak\tNN\tI-NP\tI-protein' +p238299 +asS'His penis had a 1/2 cm ulcer with yellowish discharge .' +p238300 +(lp238301 +S'His\tHis\tPRP$\tB-NP\tO' +p238302 +aS'penis\tpenis\tNN\tI-NP\tO' +p238303 +aS'had\thave\tVBD\tB-VP\tO' +p238304 +aS'a\ta\tDT\tB-NP\tO' +p238305 +aS'1/2\t1/2\tCD\tI-NP\tO' +p238306 +aS'cm\tcm\tNN\tI-NP\tO' +p238307 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p238308 +aS'with\twith\tIN\tB-PP\tO' +p238309 +aS'yellowish\tyellowish\tJJ\tB-NP\tO' +p238310 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p238311 +aS'.\t.\t.\tO\tO' +p238312 +asS'Large for gestational age appearance of an infant with tachypnea , grunting and flaring .' +p238313 +(lp238314 +S'Large\tLarge\tJJ\tB-ADJP\tO' +p238315 +aS'for\tfor\tIN\tB-PP\tO' +p238316 +aS'gestational\tgestational\tJJ\tB-NP\tO' +p238317 +aS'age\tage\tNN\tI-NP\tO' +p238318 +aS'appearance\tappearance\tNN\tI-NP\tO' +p238319 +aS'of\tof\tIN\tB-PP\tO' +p238320 +aS'an\tan\tDT\tB-NP\tO' +p238321 +aS'infant\tinfant\tNN\tI-NP\tO' +p238322 +aS'with\twith\tIN\tB-PP\tO' +p238323 +aS'tachypnea\ttachypnea\tNN\tB-NP\tO' +p238324 +aS',\t,\t,\tI-NP\tO' +p238325 +aS'grunting\tgrunting\tNN\tI-NP\tO' +p238326 +aS'and\tand\tCC\tI-NP\tO' +p238327 +aS'flaring\tflaring\tNN\tI-NP\tO' +p238328 +aS'.\t.\t.\tO\tO' +p238329 +asS'The patient was discharged home on 2/29/00 , with much improvement of his symptoms .' +p238330 +(lp238331 +S'The\tThe\tDT\tB-NP\tO' +p238332 +aS'patient\tpatient\tNN\tI-NP\tO' +p238333 +aS'was\tbe\tVBD\tB-VP\tO' +p238334 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p238335 +aS'home\thome\tNN\tB-ADVP\tO' +p238336 +aS'on\ton\tIN\tB-PP\tO' +p238337 +aS'2/29/00\t2/29/00\tCD\tB-NP\tO' +p238338 +aS',\t,\t,\tO\tO' +p238339 +aS'with\twith\tIN\tB-PP\tO' +p238340 +aS'much\tmuch\tJJ\tB-NP\tO' +p238341 +aS'improvement\timprovement\tNN\tI-NP\tO' +p238342 +aS'of\tof\tIN\tB-PP\tO' +p238343 +aS'his\this\tPRP$\tB-NP\tO' +p238344 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p238345 +aS'.\t.\t.\tO\tO' +p238346 +asS'The infant admitted to the Neonatal Intensive Care Unit for a dextrose stick of 20 in the delivery room .' +p238347 +(lp238348 +S'The\tThe\tDT\tB-NP\tO' +p238349 +aS'infant\tinfant\tNN\tI-NP\tO' +p238350 +aS'admitted\tadmit\tVBN\tB-VP\tO' +p238351 +aS'to\tto\tTO\tB-PP\tO' +p238352 +aS'the\tthe\tDT\tB-NP\tO' +p238353 +aS'Neonatal\tNeonatal\tNNP\tI-NP\tO' +p238354 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p238355 +aS'Care\tCare\tNNP\tI-NP\tO' +p238356 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p238357 +aS'for\tfor\tIN\tB-PP\tO' +p238358 +aS'a\ta\tDT\tB-NP\tO' +p238359 +aS'dextrose\tdextrose\tNN\tI-NP\tO' +p238360 +aS'stick\tstick\tNN\tI-NP\tO' +p238361 +aS'of\tof\tIN\tB-PP\tO' +p238362 +aS'20\t20\tCD\tB-NP\tO' +p238363 +aS'in\tin\tIN\tB-PP\tO' +p238364 +aS'the\tthe\tDT\tB-NP\tO' +p238365 +aS'delivery\tdelivery\tNN\tI-NP\tO' +p238366 +aS'room\troom\tNN\tI-NP\tO' +p238367 +aS'.\t.\t.\tO\tO' +p238368 +asS'Given normal pituitary tests thus far and normal optic nerve , no evidence of septic optic dysplasia .' +p238369 +(lp238370 +S'Given\tGive\tVBN\tB-NP\tO' +p238371 +aS'normal\tnormal\tJJ\tI-NP\tO' +p238372 +aS'pituitary\tpituitary\tJJ\tI-NP\tO' +p238373 +aS'tests\ttest\tNNS\tI-NP\tO' +p238374 +aS'thus\tthus\tRB\tB-ADVP\tO' +p238375 +aS'far\tfar\tRB\tI-ADVP\tO' +p238376 +aS'and\tand\tCC\tO\tO' +p238377 +aS'normal\tnormal\tJJ\tB-NP\tO' +p238378 +aS'optic\toptic\tJJ\tI-NP\tO' +p238379 +aS'nerve\tnerve\tNN\tI-NP\tO' +p238380 +aS',\t,\t,\tO\tO' +p238381 +aS'no\tno\tDT\tB-NP\tO' +p238382 +aS'evidence\tevidence\tNN\tI-NP\tO' +p238383 +aS'of\tof\tIN\tB-PP\tO' +p238384 +aS'septic\tseptic\tJJ\tB-NP\tO' +p238385 +aS'optic\toptic\tJJ\tI-NP\tO' +p238386 +aS'dysplasia\tdysplasia\tNN\tI-NP\tO' +p238387 +aS'.\t.\t.\tO\tO' +p238388 +asS'It was consistent with a hematoma .' +p238389 +(lp238390 +S'It\tIt\tPRP\tB-NP\tO' +p238391 +aS'was\tbe\tVBD\tB-VP\tO' +p238392 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p238393 +aS'with\twith\tIN\tB-PP\tO' +p238394 +aS'a\ta\tDT\tB-NP\tO' +p238395 +aS'hematoma\thematoma\tNN\tI-NP\tO' +p238396 +aS'.\t.\t.\tO\tO' +p238397 +asS'He also had a 50% LAD stenosis , a 100% large DT stenosis and a nondominant RCA with left RCA collaterals .' +p238398 +(lp238399 +S'He\tHe\tPRP\tB-NP\tO' +p238400 +aS'also\talso\tRB\tB-ADVP\tO' +p238401 +aS'had\thave\tVBD\tB-VP\tO' +p238402 +aS'a\ta\tDT\tB-NP\tO' +p238403 +aS'50%\t50%\tJJ\tI-NP\tO' +p238404 +aS'LAD\tLAD\tNN\tI-NP\tO' +p238405 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p238406 +aS',\t,\t,\tO\tO' +p238407 +aS'a\ta\tDT\tB-NP\tO' +p238408 +aS'100%\t100%\tJJ\tI-NP\tO' +p238409 +aS'large\tlarge\tJJ\tI-NP\tO' +p238410 +aS'DT\tDT\tNN\tI-NP\tO' +p238411 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p238412 +aS'and\tand\tCC\tO\tO' +p238413 +aS'a\ta\tDT\tB-NP\tO' +p238414 +aS'nondominant\tnondominant\tJJ\tI-NP\tO' +p238415 +aS'RCA\tRCA\tNN\tI-NP\tO' +p238416 +aS'with\twith\tIN\tB-PP\tO' +p238417 +aS'left\tleft\tJJ\tB-NP\tO' +p238418 +aS'RCA\tRCA\tNN\tI-NP\tO' +p238419 +aS'collaterals\tcollateral\tNNS\tI-NP\tO' +p238420 +aS'.\t.\t.\tO\tO' +p238421 +asS'The patient was then advanced to oral intake which he tolerated without complication .' +p238422 +(lp238423 +S'The\tThe\tDT\tB-NP\tO' +p238424 +aS'patient\tpatient\tNN\tI-NP\tO' +p238425 +aS'was\tbe\tVBD\tB-VP\tO' +p238426 +aS'then\tthen\tRB\tI-VP\tO' +p238427 +aS'advanced\tadvance\tVBN\tI-VP\tO' +p238428 +aS'to\tto\tTO\tB-PP\tO' +p238429 +aS'oral\toral\tJJ\tB-NP\tO' +p238430 +aS'intake\tintake\tNN\tI-NP\tO' +p238431 +aS'which\twhich\tWDT\tB-NP\tO' +p238432 +aS'he\the\tPRP\tB-NP\tO' +p238433 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p238434 +aS'without\twithout\tIN\tB-PP\tO' +p238435 +aS'complication\tcomplication\tNN\tB-NP\tO' +p238436 +aS'.\t.\t.\tO\tO' +p238437 +asS'The patient 's creatinine ______________ kinase peaked at 56,160 with negative MB percentages .' +p238438 +(lp238439 +S'The\tThe\tDT\tB-NP\tO' +p238440 +aS'patient\tpatient\tNN\tI-NP\tO' +p238441 +aS''s\t'\tNNS\tI-NP\tO' +p238442 +aS'creatinine\tcreatinine\tNN\tI-NP\tB-protein' +p238443 +aS'______________\t______________\tNN\tI-NP\tI-protein' +p238444 +aS'kinase\tkinase\tNN\tI-NP\tI-protein' +p238445 +aS'peaked\tpeak\tVBD\tB-VP\tO' +p238446 +aS'at\tat\tIN\tB-PP\tO' +p238447 +aS'56,160\t56,160\tCD\tB-NP\tO' +p238448 +aS'with\twith\tIN\tB-PP\tO' +p238449 +aS'negative\tnegative\tJJ\tB-NP\tO' +p238450 +aS'MB\tMB\tNN\tI-NP\tO' +p238451 +aS'percentages\tpercentage\tNNS\tI-NP\tO' +p238452 +aS'.\t.\t.\tO\tO' +p238453 +asS'Hypertension for 20 years , high cholesterol , coronary artery disease with episodes of angina , no history of myocardial infarction , exercise treadmill or evaluation .' +p238454 +(lp238455 +S'Hypertension\tHypertension\tNN\tB-NP\tO' +p238456 +aS'for\tfor\tIN\tB-PP\tO' +p238457 +aS'20\t20\tCD\tB-NP\tO' +p238458 +aS'years\tyear\tNNS\tI-NP\tO' +p238459 +aS',\t,\t,\tO\tO' +p238460 +aS'high\thigh\tJJ\tB-NP\tO' +p238461 +aS'cholesterol\tcholesterol\tNN\tI-NP\tO' +p238462 +aS',\t,\t,\tO\tO' +p238463 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p238464 +aS'artery\tartery\tNN\tI-NP\tO' +p238465 +aS'disease\tdisease\tNN\tI-NP\tO' +p238466 +aS'with\twith\tIN\tB-PP\tO' +p238467 +aS'episodes\tepisode\tNNS\tB-NP\tO' +p238468 +aS'of\tof\tIN\tB-PP\tO' +p238469 +aS'angina\tangina\tNN\tB-NP\tO' +p238470 +aS',\t,\t,\tO\tO' +p238471 +aS'no\tno\tDT\tB-NP\tO' +p238472 +aS'history\thistory\tNN\tI-NP\tO' +p238473 +aS'of\tof\tIN\tB-PP\tO' +p238474 +aS'myocardial\tmyocardial\tJJ\tB-NP\tO' +p238475 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p238476 +aS',\t,\t,\tO\tO' +p238477 +aS'exercise\texercise\tNN\tB-NP\tO' +p238478 +aS'treadmill\ttreadmill\tNN\tI-NP\tO' +p238479 +aS'or\tor\tCC\tI-NP\tO' +p238480 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p238481 +aS'.\t.\t.\tO\tO' +p238482 +asS'3 ) HYPOTHYROIDISM .' +p238483 +(lp238484 +S'3\t3\tLS\tB-LST\tO' +p238485 +aS')\t)\t)\tO\tO' +p238486 +aS'HYPOTHYROIDISM\tHYPOTHYROIDISM\tNN\tB-NP\tO' +p238487 +aS'.\t.\t.\tO\tO' +p238488 +asS'Reason : 72 male s/p fall down 20 stairs' +p238489 +(lp238490 +S'Reason\tReason\tNNP\tB-NP\tO' +p238491 +aS':\t:\t:\tO\tO' +p238492 +aS'72\t72\tCD\tB-NP\tO' +p238493 +aS'male\tmale\tJJ\tI-NP\tO' +p238494 +aS's/p\ts/p\tNN\tI-NP\tO' +p238495 +aS'fall\tfall\tVBP\tB-VP\tO' +p238496 +aS'down\tdown\tRB\tB-ADVP\tO' +p238497 +aS'20\t20\tCD\tB-NP\tO' +p238498 +aS'stairs\tstair\tNNS\tI-NP\tO' +p238499 +asS'Anatomic correlation would be of interest if clinically indicated .' +p238500 +(lp238501 +S'Anatomic\tAnatomic\tJJ\tB-NP\tO' +p238502 +aS'correlation\tcorrelation\tNN\tI-NP\tO' +p238503 +aS'would\twould\tMD\tB-VP\tO' +p238504 +aS'be\tbe\tVB\tI-VP\tO' +p238505 +aS'of\tof\tIN\tB-PP\tO' +p238506 +aS'interest\tinterest\tNN\tB-NP\tO' +p238507 +aS'if\tif\tIN\tB-SBAR\tO' +p238508 +aS'clinically\tclinically\tRB\tB-ADVP\tO' +p238509 +aS'indicated\tindicate\tVBN\tB-VP\tO' +p238510 +aS'.\t.\t.\tO\tO' +p238511 +asS'However , there were bilateral bilateral renal bruits and femoral bruits .' +p238512 +(lp238513 +S'However\tHowever\tRB\tB-ADVP\tO' +p238514 +aS',\t,\t,\tO\tO' +p238515 +aS'there\tthere\tEX\tB-NP\tO' +p238516 +aS'were\tbe\tVBD\tB-VP\tO' +p238517 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p238518 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p238519 +aS'renal\trenal\tJJ\tI-NP\tO' +p238520 +aS'bruits\tbruit\tNNS\tI-NP\tO' +p238521 +aS'and\tand\tCC\tO\tO' +p238522 +aS'femoral\tfemoral\tJJ\tB-NP\tO' +p238523 +aS'bruits\tbruit\tNNS\tI-NP\tO' +p238524 +aS'.\t.\t.\tO\tO' +p238525 +asS'He remained total parenteral nutrition-dependent throughout his hospital course .' +p238526 +(lp238527 +S'He\tHe\tPRP\tB-NP\tO' +p238528 +aS'remained\tremain\tVBD\tB-VP\tO' +p238529 +aS'total\ttotal\tJJ\tB-NP\tO' +p238530 +aS'parenteral\tparenteral\tJJ\tI-NP\tO' +p238531 +aS'nutrition-dependent\tnutrition-dependent\tJJ\tI-NP\tO' +p238532 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p238533 +aS'his\this\tPRP$\tB-NP\tO' +p238534 +aS'hospital\thospital\tNN\tI-NP\tO' +p238535 +aS'course\tcourse\tNN\tI-NP\tO' +p238536 +aS'.\t.\t.\tO\tO' +p238537 +asS'Warm and well perfused , with no cyanosis , clubbing or edema .' +p238538 +(lp238539 +S'Warm\tWarm\tNNP\tB-NP\tO' +p238540 +aS'and\tand\tCC\tO\tO' +p238541 +aS'well\twell\tRB\tB-ADJP\tO' +p238542 +aS'perfused\tperfuse\tVBN\tI-ADJP\tO' +p238543 +aS',\t,\t,\tO\tO' +p238544 +aS'with\twith\tIN\tB-PP\tO' +p238545 +aS'no\tno\tDT\tB-NP\tO' +p238546 +aS'cyanosis\tcyanosis\tNN\tI-NP\tO' +p238547 +aS',\t,\t,\tI-NP\tO' +p238548 +aS'clubbing\tclubbing\tNN\tI-NP\tO' +p238549 +aS'or\tor\tCC\tI-NP\tO' +p238550 +aS'edema\tedema\tNN\tI-NP\tO' +p238551 +aS'.\t.\t.\tO\tO' +p238552 +asS'His hip flexion was 4+ on the right and 4- on the left ; extension 5 on the right , 4+ on the left ; knee flexion evidently trace on the right and 4- on the left with knee extension 5- on the left , 5 on the right ; knee flexion 4- on the left , trace on the right ; ankle dorsi flexion 4- on the left , trace on the right .' +p238553 +(lp238554 +S'His\tHis\tPRP$\tB-NP\tO' +p238555 +aS'hip\thip\tNN\tI-NP\tO' +p238556 +aS'flexion\tflexion\tNN\tI-NP\tO' +p238557 +aS'was\tbe\tVBD\tB-VP\tO' +p238558 +aS'4+\t4+\tJJ\tB-ADJP\tO' +p238559 +aS'on\ton\tIN\tB-PP\tO' +p238560 +aS'the\tthe\tDT\tB-NP\tO' +p238561 +aS'right\tright\tJJ\tI-NP\tO' +p238562 +aS'and\tand\tCC\tI-NP\tO' +p238563 +aS'4-\t4-\tJJ\tI-NP\tO' +p238564 +aS'on\ton\tIN\tB-PP\tO' +p238565 +aS'the\tthe\tDT\tB-NP\tO' +p238566 +aS'left\tleft\tNN\tI-NP\tO' +p238567 +aS';\t;\t:\tO\tO' +p238568 +aS'extension\textension\tNN\tB-NP\tO' +p238569 +aS'5\t5\tCD\tI-NP\tO' +p238570 +aS'on\ton\tIN\tB-PP\tO' +p238571 +aS'the\tthe\tDT\tB-NP\tO' +p238572 +aS'right\tright\tNN\tI-NP\tO' +p238573 +aS',\t,\t,\tO\tO' +p238574 +aS'4+\t4+\tJJ\tB-ADJP\tO' +p238575 +aS'on\ton\tIN\tB-PP\tO' +p238576 +aS'the\tthe\tDT\tB-NP\tO' +p238577 +aS'left\tleft\tNN\tI-NP\tO' +p238578 +aS';\t;\t:\tO\tO' +p238579 +aS'knee\tknee\tNN\tB-NP\tO' +p238580 +aS'flexion\tflexion\tNN\tI-NP\tO' +p238581 +aS'evidently\tevidently\tRB\tB-ADVP\tO' +p238582 +aS'trace\ttrace\tVBP\tB-VP\tO' +p238583 +aS'on\ton\tIN\tB-PP\tO' +p238584 +aS'the\tthe\tDT\tB-NP\tO' +p238585 +aS'right\tright\tJJ\tI-NP\tO' +p238586 +aS'and\tand\tCC\tI-NP\tO' +p238587 +aS'4-\t4-\tJJ\tI-NP\tO' +p238588 +aS'on\ton\tIN\tB-PP\tO' +p238589 +aS'the\tthe\tDT\tB-NP\tO' +p238590 +aS'left\tleft\tNN\tI-NP\tO' +p238591 +aS'with\twith\tIN\tB-PP\tO' +p238592 +aS'knee\tknee\tNN\tB-NP\tB-protein' +p238593 +aS'extension\textension\tNN\tI-NP\tI-protein' +p238594 +aS'5-\t5-\tCD\tI-NP\tI-protein' +p238595 +aS'on\ton\tIN\tB-PP\tO' +p238596 +aS'the\tthe\tDT\tB-NP\tO' +p238597 +aS'left\tleft\tNN\tI-NP\tO' +p238598 +aS',\t,\t,\tO\tO' +p238599 +aS'5\t5\tCD\tB-NP\tO' +p238600 +aS'on\ton\tIN\tB-PP\tO' +p238601 +aS'the\tthe\tDT\tB-NP\tO' +p238602 +aS'right\tright\tNN\tI-NP\tO' +p238603 +aS';\t;\t:\tO\tO' +p238604 +aS'knee\tknee\tNN\tB-NP\tO' +p238605 +aS'flexion\tflexion\tNN\tI-NP\tO' +p238606 +aS'4-\t4-\tNN\tI-NP\tO' +p238607 +aS'on\ton\tIN\tB-PP\tO' +p238608 +aS'the\tthe\tDT\tB-NP\tO' +p238609 +aS'left\tleft\tNN\tI-NP\tO' +p238610 +aS',\t,\t,\tO\tO' +p238611 +aS'trace\ttrace\tNN\tB-NP\tO' +p238612 +aS'on\ton\tIN\tB-PP\tO' +p238613 +aS'the\tthe\tDT\tB-NP\tO' +p238614 +aS'right\tright\tNN\tI-NP\tO' +p238615 +aS';\t;\t:\tO\tO' +p238616 +aS'ankle\tankle\tNN\tB-NP\tO' +p238617 +aS'dorsi\tdorsi\tNN\tI-NP\tO' +p238618 +aS'flexion\tflexion\tNN\tI-NP\tO' +p238619 +aS'4-\t4-\tNN\tI-NP\tO' +p238620 +aS'on\ton\tIN\tB-PP\tO' +p238621 +aS'the\tthe\tDT\tB-NP\tO' +p238622 +aS'left\tleft\tNN\tI-NP\tO' +p238623 +aS',\t,\t,\tO\tO' +p238624 +aS'trace\ttrace\tNN\tB-NP\tO' +p238625 +aS'on\ton\tIN\tB-PP\tO' +p238626 +aS'the\tthe\tDT\tB-NP\tO' +p238627 +aS'right\tright\tNN\tI-NP\tO' +p238628 +aS'.\t.\t.\tO\tO' +p238629 +asS'Neurosurgery was consulted but due to the severity of the bleed surgery was not considered an option .' +p238630 +(lp238631 +S'Neurosurgery\tNeurosurgery\tNN\tB-NP\tO' +p238632 +aS'was\tbe\tVBD\tB-VP\tO' +p238633 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p238634 +aS'but\tbut\tCC\tO\tO' +p238635 +aS'due\tdue\tJJ\tB-ADJP\tO' +p238636 +aS'to\tto\tTO\tB-PP\tO' +p238637 +aS'the\tthe\tDT\tB-NP\tO' +p238638 +aS'severity\tseverity\tNN\tI-NP\tO' +p238639 +aS'of\tof\tIN\tB-PP\tO' +p238640 +aS'the\tthe\tDT\tB-NP\tO' +p238641 +aS'bleed\tbleed\tNN\tI-NP\tO' +p238642 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p238643 +aS'was\tbe\tVBD\tB-VP\tO' +p238644 +aS'not\tnot\tRB\tI-VP\tO' +p238645 +aS'considered\tconsider\tVBN\tI-VP\tO' +p238646 +aS'an\tan\tDT\tB-NP\tO' +p238647 +aS'option\toption\tNN\tI-NP\tO' +p238648 +aS'.\t.\t.\tO\tO' +p238649 +asS'She is 5 foot 4 inches and 159 pounds .' +p238650 +(lp238651 +S'She\tShe\tPRP\tB-NP\tO' +p238652 +aS'is\tbe\tVBZ\tB-VP\tO' +p238653 +aS'5\t5\tCD\tB-NP\tO' +p238654 +aS'foot\tfoot\tNN\tI-NP\tO' +p238655 +aS'4\t4\tCD\tB-NP\tO' +p238656 +aS'inches\tinch\tNNS\tI-NP\tO' +p238657 +aS'and\tand\tCC\tO\tO' +p238658 +aS'159\t159\tCD\tB-NP\tO' +p238659 +aS'pounds\tpound\tNNS\tI-NP\tO' +p238660 +aS'.\t.\t.\tO\tO' +p238661 +asS'Disp :* qs syringe * Refills :* 0 *' +p238662 +(lp238663 +S'Disp\tDisp\tNN\tB-NP\tO' +p238664 +aS':*\t:*\tSYM\tI-NP\tO' +p238665 +aS'qs\tq\tNNS\tI-NP\tO' +p238666 +aS'syringe\tsyringe\tNN\tI-NP\tO' +p238667 +aS'*\t*\tSYM\tB-NP\tO' +p238668 +aS'Refills\tRefill\tNNPS\tI-NP\tO' +p238669 +aS':*\t:*\tSYM\tI-NP\tO' +p238670 +aS'0\t0\tCD\tI-NP\tO' +p238671 +aS'*\t*\tSYM\tB-NP\tO' +p238672 +asS'As above , and once transferred to the floor , patient had fingersticks monitored every four hours with a sliding scale .' +p238673 +(lp238674 +S'As\tAs\tIN\tB-PP\tO' +p238675 +aS'above\tabove\tRB\tB-ADVP\tO' +p238676 +aS',\t,\t,\tO\tO' +p238677 +aS'and\tand\tCC\tO\tO' +p238678 +aS'once\tonce\tRB\tB-VP\tO' +p238679 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p238680 +aS'to\tto\tTO\tB-PP\tO' +p238681 +aS'the\tthe\tDT\tB-NP\tO' +p238682 +aS'floor\tfloor\tNN\tI-NP\tO' +p238683 +aS',\t,\t,\tO\tO' +p238684 +aS'patient\tpatient\tNN\tB-NP\tO' +p238685 +aS'had\thave\tVBD\tB-VP\tO' +p238686 +aS'fingersticks\tfingerstick\tNNS\tB-NP\tO' +p238687 +aS'monitored\tmonitor\tVBD\tB-VP\tO' +p238688 +aS'every\tevery\tDT\tB-NP\tO' +p238689 +aS'four\tfour\tCD\tI-NP\tO' +p238690 +aS'hours\thour\tNNS\tI-NP\tO' +p238691 +aS'with\twith\tIN\tB-PP\tO' +p238692 +aS'a\ta\tDT\tB-NP\tO' +p238693 +aS'sliding\tslide\tVBG\tI-NP\tO' +p238694 +aS'scale\tscale\tNN\tI-NP\tO' +p238695 +aS'.\t.\t.\tO\tO' +p238696 +asS'1. Coreg 6.25 mg po bid' +p238697 +(lp238698 +S'1.\t1.\tLS\tB-LST\tO' +p238699 +aS'Coreg\tCoreg\tNNP\tB-NP\tO' +p238700 +aS'6.25\t6.25\tCD\tI-NP\tO' +p238701 +aS'mg\tmg\tNN\tI-NP\tO' +p238702 +aS'po\tpo\tNN\tI-NP\tO' +p238703 +aS'bid\tbid\tNN\tI-NP\tO' +p238704 +asS'Initial differential was 35 polys and zero bands , not suspicious for infectious condition .' +p238705 +(lp238706 +S'Initial\tInitial\tJJ\tB-NP\tO' +p238707 +aS'differential\tdifferential\tJJ\tI-NP\tO' +p238708 +aS'was\tbe\tVBD\tB-VP\tO' +p238709 +aS'35\t35\tCD\tB-NP\tO' +p238710 +aS'polys\tpoly\tNNS\tI-NP\tO' +p238711 +aS'and\tand\tCC\tO\tO' +p238712 +aS'zero\tzero\tCD\tB-NP\tO' +p238713 +aS'bands\tband\tNNS\tI-NP\tO' +p238714 +aS',\t,\t,\tO\tO' +p238715 +aS'not\tnot\tRB\tB-ADJP\tO' +p238716 +aS'suspicious\tsuspicious\tJJ\tI-ADJP\tO' +p238717 +aS'for\tfor\tIN\tB-PP\tO' +p238718 +aS'infectious\tinfectious\tJJ\tB-NP\tO' +p238719 +aS'condition\tcondition\tNN\tI-NP\tO' +p238720 +aS'.\t.\t.\tO\tO' +p238721 +asS'- Lung cancer - Non-small cell lung cancer stage IIIA , status post weekly carboplatin and Taxol chemotherapy with XRT for seven weeks followed by surgery on 2015-04-14 .' +p238722 +(lp238723 +S'-\t-\tHYPH\tB-NP\tO' +p238724 +aS'Lung\tLung\tNN\tI-NP\tO' +p238725 +aS'cancer\tcancer\tNN\tI-NP\tO' +p238726 +aS'-\t-\tHYPH\tB-NP\tO' +p238727 +aS'Non-small\tNon-small\tJJ\tI-NP\tO' +p238728 +aS'cell\tcell\tNN\tI-NP\tO' +p238729 +aS'lung\tlung\tNN\tI-NP\tO' +p238730 +aS'cancer\tcancer\tNN\tI-NP\tO' +p238731 +aS'stage\tstage\tNN\tI-NP\tO' +p238732 +aS'IIIA\tIIIA\tNN\tI-NP\tO' +p238733 +aS',\t,\t,\tO\tO' +p238734 +aS'status\tstatus\tNN\tB-NP\tB-protein' +p238735 +aS'post\tpost\tNN\tI-NP\tI-protein' +p238736 +aS'weekly\tweekly\tJJ\tI-NP\tI-protein' +p238737 +aS'carboplatin\tcarboplatin\tNN\tI-NP\tI-protein' +p238738 +aS'and\tand\tCC\tI-NP\tO' +p238739 +aS'Taxol\tTaxol\tNN\tI-NP\tO' +p238740 +aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' +p238741 +aS'with\twith\tIN\tB-PP\tO' +p238742 +aS'XRT\tXRT\tNN\tB-NP\tB-protein' +p238743 +aS'for\tfor\tIN\tB-PP\tO' +p238744 +aS'seven\tseven\tCD\tB-NP\tO' +p238745 +aS'weeks\tweek\tNNS\tI-NP\tO' +p238746 +aS'followed\tfollow\tVBN\tB-VP\tO' +p238747 +aS'by\tby\tIN\tB-PP\tO' +p238748 +aS'surgery\tsurgery\tNN\tB-NP\tO' +p238749 +aS'on\ton\tIN\tB-PP\tO' +p238750 +aS'2015-04-14\t2015-04-14\tCD\tB-NP\tO' +p238751 +aS'.\t.\t.\tO\tO' +p238752 +asS'The patient is a 23 year old female , status post fall from standing position after slipping on ice .' +p238753 +(lp238754 +S'The\tThe\tDT\tB-NP\tO' +p238755 +aS'patient\tpatient\tNN\tI-NP\tO' +p238756 +aS'is\tbe\tVBZ\tB-VP\tO' +p238757 +aS'a\ta\tDT\tB-NP\tO' +p238758 +aS'23\t23\tCD\tI-NP\tO' +p238759 +aS'year\tyear\tNN\tI-NP\tO' +p238760 +aS'old\told\tJJ\tI-NP\tO' +p238761 +aS'female\tfemale\tNN\tI-NP\tO' +p238762 +aS',\t,\t,\tO\tO' +p238763 +aS'status\tstatus\tNN\tB-NP\tO' +p238764 +aS'post\tpost\tNN\tI-NP\tO' +p238765 +aS'fall\tfall\tNN\tI-NP\tO' +p238766 +aS'from\tfrom\tIN\tB-PP\tO' +p238767 +aS'standing\tstand\tVBG\tB-VP\tO' +p238768 +aS'position\tposition\tNN\tB-NP\tO' +p238769 +aS'after\tafter\tIN\tB-PP\tO' +p238770 +aS'slipping\tslip\tVBG\tB-VP\tO' +p238771 +aS'on\ton\tIN\tB-PP\tO' +p238772 +aS'ice\tice\tNN\tB-NP\tO' +p238773 +aS'.\t.\t.\tO\tO' +p238774 +asS'CHEST : Port a cath in R chest , no erythema or tenderness .' +p238775 +(lp238776 +S'CHEST\tCHEST\tNN\tB-NP\tO' +p238777 +aS':\t:\t:\tO\tO' +p238778 +aS'Port\tPort\tNN\tB-NP\tO' +p238779 +aS'a\ta\tDT\tB-NP\tO' +p238780 +aS'cath\tcath\tNN\tI-NP\tO' +p238781 +aS'in\tin\tIN\tB-PP\tO' +p238782 +aS'R\tR\tNN\tB-NP\tO' +p238783 +aS'chest\tchest\tNN\tI-NP\tO' +p238784 +aS',\t,\t,\tO\tO' +p238785 +aS'no\tno\tDT\tB-NP\tO' +p238786 +aS'erythema\terythema\tNN\tI-NP\tO' +p238787 +aS'or\tor\tCC\tI-NP\tO' +p238788 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p238789 +aS'.\t.\t.\tO\tO' +p238790 +asS'Seen by VNA and noted to be tachycardic and sent to Middleboroughfor evaluation .' +p238791 +(lp238792 +S'Seen\tSeen\tNN\tB-NP\tO' +p238793 +aS'by\tby\tIN\tB-PP\tO' +p238794 +aS'VNA\tVNA\tNN\tB-NP\tB-protein' +p238795 +aS'and\tand\tCC\tO\tO' +p238796 +aS'noted\tnote\tVBN\tB-VP\tO' +p238797 +aS'to\tto\tTO\tI-VP\tO' +p238798 +aS'be\tbe\tVB\tI-VP\tO' +p238799 +aS'tachycardic\ttachycardic\tJJ\tB-ADJP\tO' +p238800 +aS'and\tand\tCC\tO\tO' +p238801 +aS'sent\tsend\tVBN\tB-VP\tO' +p238802 +aS'to\tto\tTO\tB-PP\tO' +p238803 +aS'Middleboroughfor\tMiddleboroughfor\tNN\tB-NP\tO' +p238804 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p238805 +aS'.\t.\t.\tO\tO' +p238806 +asS'Previously treated for CAP as outpt but hypoxia continued to progress .' +p238807 +(lp238808 +S'Previously\tPreviously\tRB\tB-ADVP\tO' +p238809 +aS'treated\ttreat\tVBN\tB-VP\tO' +p238810 +aS'for\tfor\tIN\tB-PP\tO' +p238811 +aS'CAP\tCAP\tNN\tB-NP\tB-protein' +p238812 +aS'as\tas\tIN\tB-PP\tO' +p238813 +aS'outpt\toutpt\tNN\tB-NP\tO' +p238814 +aS'but\tbut\tCC\tO\tO' +p238815 +aS'hypoxia\thypoxia\tNN\tB-NP\tO' +p238816 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p238817 +aS'to\tto\tTO\tI-VP\tO' +p238818 +aS'progress\tprogress\tVB\tI-VP\tO' +p238819 +aS'.\t.\t.\tO\tO' +p238820 +asS'As previously noted , there is associated volume loss , thinning of the corpus callosum , and slight widening of the ventricles .' +p238821 +(lp238822 +S'As\tAs\tIN\tB-SBAR\tO' +p238823 +aS'previously\tpreviously\tRB\tB-ADVP\tO' +p238824 +aS'noted\tnote\tVBN\tB-VP\tO' +p238825 +aS',\t,\t,\tO\tO' +p238826 +aS'there\tthere\tEX\tB-NP\tO' +p238827 +aS'is\tbe\tVBZ\tB-VP\tO' +p238828 +aS'associated\tassociate\tVBN\tI-VP\tO' +p238829 +aS'volume\tvolume\tNN\tB-NP\tO' +p238830 +aS'loss\tloss\tNN\tI-NP\tO' +p238831 +aS',\t,\t,\tO\tO' +p238832 +aS'thinning\tthin\tVBG\tB-VP\tO' +p238833 +aS'of\tof\tIN\tB-PP\tO' +p238834 +aS'the\tthe\tDT\tB-NP\tO' +p238835 +aS'corpus\tcorpus\tNN\tI-NP\tO' +p238836 +aS'callosum\tcallosum\tNN\tI-NP\tO' +p238837 +aS',\t,\t,\tO\tO' +p238838 +aS'and\tand\tCC\tO\tO' +p238839 +aS'slight\tslight\tJJ\tB-NP\tO' +p238840 +aS'widening\twidening\tNN\tI-NP\tO' +p238841 +aS'of\tof\tIN\tB-PP\tO' +p238842 +aS'the\tthe\tDT\tB-NP\tO' +p238843 +aS'ventricles\tventricle\tNNS\tI-NP\tO' +p238844 +aS'.\t.\t.\tO\tO' +p238845 +asS'A nondysmorphic preterm 35 week gestation male .' +p238846 +(lp238847 +S'A\tA\tDT\tB-NP\tO' +p238848 +aS'nondysmorphic\tnondysmorphic\tJJ\tI-NP\tO' +p238849 +aS'preterm\tpreterm\tNN\tI-NP\tO' +p238850 +aS'35\t35\tCD\tI-NP\tO' +p238851 +aS'week\tweek\tNN\tI-NP\tO' +p238852 +aS'gestation\tgestation\tNN\tI-NP\tO' +p238853 +aS'male\tmale\tNN\tI-NP\tO' +p238854 +aS'.\t.\t.\tO\tO' +p238855 +asS'On right heart catheterization , the patient was noted to have elevated right-sided and left-sided filling pressures with a pulmonary capillary wedge pressure of 19 and a right atrial pressure of 16 .' +p238856 +(lp238857 +S'On\tOn\tIN\tB-PP\tO' +p238858 +aS'right\tright\tJJ\tB-NP\tO' +p238859 +aS'heart\theart\tNN\tI-NP\tO' +p238860 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p238861 +aS',\t,\t,\tO\tO' +p238862 +aS'the\tthe\tDT\tB-NP\tO' +p238863 +aS'patient\tpatient\tNN\tI-NP\tO' +p238864 +aS'was\tbe\tVBD\tB-VP\tO' +p238865 +aS'noted\tnote\tVBN\tI-VP\tO' +p238866 +aS'to\tto\tTO\tI-VP\tO' +p238867 +aS'have\thave\tVB\tI-VP\tO' +p238868 +aS'elevated\televate\tVBN\tI-VP\tO' +p238869 +aS'right-sided\tright-sided\tJJ\tB-NP\tO' +p238870 +aS'and\tand\tCC\tI-NP\tO' +p238871 +aS'left-sided\tleft-sided\tJJ\tI-NP\tO' +p238872 +aS'filling\tfilling\tNN\tI-NP\tO' +p238873 +aS'pressures\tpressure\tNNS\tI-NP\tO' +p238874 +aS'with\twith\tIN\tB-PP\tO' +p238875 +aS'a\ta\tDT\tB-NP\tO' +p238876 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p238877 +aS'capillary\tcapillary\tJJ\tI-NP\tO' +p238878 +aS'wedge\twedge\tNN\tI-NP\tO' +p238879 +aS'pressure\tpressure\tNN\tI-NP\tO' +p238880 +aS'of\tof\tIN\tB-PP\tO' +p238881 +aS'19\t19\tCD\tB-NP\tO' +p238882 +aS'and\tand\tCC\tO\tO' +p238883 +aS'a\ta\tDT\tB-NP\tO' +p238884 +aS'right\tright\tJJ\tI-NP\tO' +p238885 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p238886 +aS'pressure\tpressure\tNN\tI-NP\tO' +p238887 +aS'of\tof\tIN\tB-PP\tO' +p238888 +aS'16\t16\tCD\tB-NP\tO' +p238889 +aS'.\t.\t.\tO\tO' +p238890 +asS'Right upper extremity examination demonstrated intact motor , sensory , and vascular function .' +p238891 +(lp238892 +S'Right\tRight\tRB\tB-NP\tO' +p238893 +aS'upper\tupper\tJJ\tI-NP\tO' +p238894 +aS'extremity\textremity\tNN\tI-NP\tO' +p238895 +aS'examination\texamination\tNN\tI-NP\tO' +p238896 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p238897 +aS'intact\tintact\tJJ\tB-NP\tO' +p238898 +aS'motor\tmotor\tNN\tI-NP\tO' +p238899 +aS',\t,\t,\tO\tO' +p238900 +aS'sensory\tsensory\tNN\tB-NP\tO' +p238901 +aS',\t,\t,\tO\tO' +p238902 +aS'and\tand\tCC\tO\tO' +p238903 +aS'vascular\tvascular\tJJ\tB-NP\tO' +p238904 +aS'function\tfunction\tNN\tI-NP\tO' +p238905 +aS'.\t.\t.\tO\tO' +p238906 +asS'2. rupture of left renal vein ,' +p238907 +(lp238908 +S'2.\t2.\tLS\tB-NP\tO' +p238909 +aS'rupture\trupture\tNN\tI-NP\tO' +p238910 +aS'of\tof\tIN\tB-PP\tO' +p238911 +aS'left\tleft\tJJ\tB-NP\tO' +p238912 +aS'renal\trenal\tJJ\tI-NP\tO' +p238913 +aS'vein\tvein\tNN\tI-NP\tO' +p238914 +aS',\t,\t,\tO\tO' +p238915 +asS'She had no problems with this .' +p238916 +(lp238917 +S'She\tShe\tPRP\tB-NP\tO' +p238918 +aS'had\thave\tVBD\tB-VP\tO' +p238919 +aS'no\tno\tDT\tB-NP\tO' +p238920 +aS'problems\tproblem\tNNS\tI-NP\tO' +p238921 +aS'with\twith\tIN\tB-PP\tO' +p238922 +aS'this\tthis\tDT\tB-NP\tO' +p238923 +aS'.\t.\t.\tO\tO' +p238924 +asS'No aortic regurgitation is seen .' +p238925 +(lp238926 +S'No\tNo\tDT\tB-NP\tO' +p238927 +aS'aortic\taortic\tJJ\tI-NP\tO' +p238928 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p238929 +aS'is\tbe\tVBZ\tB-VP\tO' +p238930 +aS'seen\tsee\tVBN\tI-VP\tO' +p238931 +aS'.\t.\t.\tO\tO' +p238932 +asS'5. Arthritis s/p " pin placement " in left foot 05-01' +p238933 +(lp238934 +S'5.\t5.\tLS\tB-NP\tO' +p238935 +aS'Arthritis\tArthritis\tNN\tI-NP\tB-DNA' +p238936 +aS's/p\ts/p\tNN\tI-NP\tI-DNA' +p238937 +aS'"\t"\t\'\'\tI-NP\tI-DNA' +p238938 +aS'pin\tpin\tNN\tI-NP\tI-DNA' +p238939 +aS'placement\tplacement\tNN\tI-NP\tI-DNA' +p238940 +aS'"\t"\t\'\'\tO\tI-DNA' +p238941 +aS'in\tin\tIN\tB-PP\tO' +p238942 +aS'left\tleft\tJJ\tB-NP\tO' +p238943 +aS'foot\tfoot\tNN\tI-NP\tO' +p238944 +aS'05-01\t05-01\tCD\tI-NP\tO' +p238945 +asS'Extremities on the right , she has a II+ femoral , no distal pulses beyond that .' +p238946 +(lp238947 +S'Extremities\tExtremity\tNNS\tB-NP\tO' +p238948 +aS'on\ton\tIN\tB-PP\tO' +p238949 +aS'the\tthe\tDT\tB-NP\tO' +p238950 +aS'right\tright\tNN\tI-NP\tO' +p238951 +aS',\t,\t,\tO\tO' +p238952 +aS'she\tshe\tPRP\tB-NP\tO' +p238953 +aS'has\thave\tVBZ\tB-VP\tO' +p238954 +aS'a\ta\tDT\tB-NP\tO' +p238955 +aS'II+\tII+\tJJ\tI-NP\tO' +p238956 +aS'femoral\tfemoral\tJJ\tI-NP\tO' +p238957 +aS',\t,\t,\tO\tO' +p238958 +aS'no\tno\tDT\tB-NP\tO' +p238959 +aS'distal\tdistal\tJJ\tI-NP\tO' +p238960 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p238961 +aS'beyond\tbeyond\tIN\tB-PP\tO' +p238962 +aS'that\tthat\tDT\tB-NP\tO' +p238963 +aS'.\t.\t.\tO\tO' +p238964 +asS'Heart rate 69 to 80 .' +p238965 +(lp238966 +S'Heart\tHeart\tNN\tB-NP\tO' +p238967 +aS'rate\trate\tNN\tI-NP\tO' +p238968 +aS'69\t69\tCD\tB-NP\tO' +p238969 +aS'to\tto\tTO\tB-PP\tO' +p238970 +aS'80\t80\tCD\tB-NP\tO' +p238971 +aS'.\t.\t.\tO\tO' +p238972 +asS'Signed electronically by : DR. Kisha Jones on : Jose 2010-07-01 8:27 AM' +p238973 +(lp238974 +S'Signed\tSign\tVBN\tB-VP\tO' +p238975 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p238976 +aS'by\tby\tIN\tB-PP\tO' +p238977 +aS':\t:\t:\tO\tO' +p238978 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p238979 +aS'Kisha\tKisha\tNNP\tI-NP\tO' +p238980 +aS'Jones\tJones\tNNP\tI-NP\tO' +p238981 +aS'on\ton\tIN\tB-PP\tO' +p238982 +aS':\t:\t:\tO\tO' +p238983 +aS'Jose\tJose\tNNP\tB-NP\tO' +p238984 +aS'2010-07-01\t2010-07-01\tCD\tB-NP\tO' +p238985 +aS'8:27\t8:27\tCD\tI-NP\tO' +p238986 +aS'AM\tAM\tNN\tI-NP\tO' +p238987 +asS'This report was created by WAGES , THAA 01/12/2005 09:18 AM' +p238988 +(lp238989 +S'This\tThis\tDT\tB-NP\tO' +p238990 +aS'report\treport\tNN\tI-NP\tO' +p238991 +aS'was\tbe\tVBD\tB-VP\tO' +p238992 +aS'created\tcreate\tVBN\tI-VP\tO' +p238993 +aS'by\tby\tIN\tB-PP\tO' +p238994 +aS'WAGES\tWAGES\tNNP\tB-NP\tO' +p238995 +aS',\t,\t,\tO\tO' +p238996 +aS'THAA\tTHAA\tNNP\tB-NP\tO' +p238997 +aS'01/12/2005\t01/12/2005\tCD\tB-NP\tO' +p238998 +aS'09:18\t09:18\tCD\tI-NP\tO' +p238999 +aS'AM\tAM\tNN\tI-NP\tO' +p239000 +asS'4. Right anterior tibial laceration .' +p239001 +(lp239002 +S'4.\t4.\tLS\tB-NP\tO' +p239003 +aS'Right\tRight\tNN\tI-NP\tO' +p239004 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p239005 +aS'tibial\ttibial\tJJ\tI-NP\tO' +p239006 +aS'laceration\tlaceration\tNN\tI-NP\tO' +p239007 +aS'.\t.\t.\tO\tO' +p239008 +asS'He had mild copper wiring .' +p239009 +(lp239010 +S'He\tHe\tPRP\tB-NP\tO' +p239011 +aS'had\thave\tVBD\tB-VP\tO' +p239012 +aS'mild\tmild\tJJ\tB-NP\tO' +p239013 +aS'copper\tcopper\tNN\tI-NP\tO' +p239014 +aS'wiring\twiring\tNN\tI-NP\tO' +p239015 +aS'.\t.\t.\tO\tO' +p239016 +asS'Heparin discontinued on 01-01 when INR was 2.0 .' +p239017 +(lp239018 +S'Heparin\tHeparin\tNN\tB-NP\tO' +p239019 +aS'discontinued\tdiscontinue\tVBD\tB-VP\tO' +p239020 +aS'on\ton\tIN\tB-PP\tO' +p239021 +aS'01-01\t01-01\tCD\tB-NP\tO' +p239022 +aS'when\twhen\tWRB\tB-ADVP\tO' +p239023 +aS'INR\tINR\tNN\tB-NP\tB-protein' +p239024 +aS'was\tbe\tVBD\tB-VP\tO' +p239025 +aS'2.0\t2.0\tCD\tB-NP\tO' +p239026 +aS'.\t.\t.\tO\tO' +p239027 +asS'In addition , the patient did have slightly elevated blood sugars over the last couple of days and has required an insulin sliding scale and basal insulin to maintain his blood sugars at a more appropriate level .' +p239028 +(lp239029 +S'In\tIn\tIN\tB-PP\tO' +p239030 +aS'addition\taddition\tNN\tB-NP\tO' +p239031 +aS',\t,\t,\tO\tO' +p239032 +aS'the\tthe\tDT\tB-NP\tO' +p239033 +aS'patient\tpatient\tNN\tI-NP\tO' +p239034 +aS'did\tdo\tVBD\tB-VP\tO' +p239035 +aS'have\thave\tVB\tI-VP\tO' +p239036 +aS'slightly\tslightly\tRB\tB-NP\tO' +p239037 +aS'elevated\televated\tJJ\tI-NP\tO' +p239038 +aS'blood\tblood\tNN\tI-NP\tO' +p239039 +aS'sugars\tsugar\tNNS\tI-NP\tO' +p239040 +aS'over\tover\tIN\tB-PP\tO' +p239041 +aS'the\tthe\tDT\tB-NP\tO' +p239042 +aS'last\tlast\tJJ\tI-NP\tO' +p239043 +aS'couple\tcouple\tNN\tI-NP\tO' +p239044 +aS'of\tof\tIN\tB-PP\tO' +p239045 +aS'days\tday\tNNS\tB-NP\tO' +p239046 +aS'and\tand\tCC\tO\tO' +p239047 +aS'has\thave\tVBZ\tB-VP\tO' +p239048 +aS'required\trequire\tVBN\tI-VP\tO' +p239049 +aS'an\tan\tDT\tB-NP\tO' +p239050 +aS'insulin\tinsulin\tNN\tI-NP\tB-protein' +p239051 +aS'sliding\tslide\tVBG\tB-VP\tO' +p239052 +aS'scale\tscale\tNN\tB-NP\tO' +p239053 +aS'and\tand\tCC\tO\tO' +p239054 +aS'basal\tbasal\tJJ\tB-NP\tO' +p239055 +aS'insulin\tinsulin\tNN\tI-NP\tO' +p239056 +aS'to\tto\tTO\tB-VP\tO' +p239057 +aS'maintain\tmaintain\tVB\tI-VP\tO' +p239058 +aS'his\this\tPRP$\tB-NP\tO' +p239059 +aS'blood\tblood\tNN\tI-NP\tO' +p239060 +aS'sugars\tsugar\tNNS\tI-NP\tO' +p239061 +aS'at\tat\tIN\tB-PP\tO' +p239062 +aS'a\ta\tDT\tB-NP\tO' +p239063 +aS'more\tmore\tRBR\tI-NP\tO' +p239064 +aS'appropriate\tappropriate\tJJ\tI-NP\tO' +p239065 +aS'level\tlevel\tNN\tI-NP\tO' +p239066 +aS'.\t.\t.\tO\tO' +p239067 +asS'INDICATION : CABG with chest tube in place .' +p239068 +(lp239069 +S'INDICATION\tINDICATION\tNN\tB-NP\tO' +p239070 +aS':\t:\t:\tO\tO' +p239071 +aS'CABG\tCABG\tNN\tB-NP\tO' +p239072 +aS'with\twith\tIN\tB-PP\tO' +p239073 +aS'chest\tchest\tNN\tB-NP\tO' +p239074 +aS'tube\ttube\tNN\tI-NP\tO' +p239075 +aS'in\tin\tIN\tB-PP\tO' +p239076 +aS'place\tplace\tNN\tB-NP\tO' +p239077 +aS'.\t.\t.\tO\tO' +p239078 +asS'It either ended in 2011-04-11 or continued through 2011-05-11 with use of Augmentin ; and , by report , lasted until 06-07 .' +p239079 +(lp239080 +S'It\tIt\tPRP\tB-NP\tO' +p239081 +aS'either\teither\tCC\tO\tO' +p239082 +aS'ended\tend\tVBN\tB-VP\tO' +p239083 +aS'in\tin\tIN\tB-PP\tO' +p239084 +aS'2011-04-11\t2011-04-11\tCD\tB-NP\tO' +p239085 +aS'or\tor\tCC\tO\tO' +p239086 +aS'continued\tcontinue\tVBN\tB-VP\tO' +p239087 +aS'through\tthrough\tIN\tB-PP\tO' +p239088 +aS'2011-05-11\t2011-05-11\tCD\tB-NP\tO' +p239089 +aS'with\twith\tIN\tB-PP\tO' +p239090 +aS'use\tuse\tNN\tB-NP\tO' +p239091 +aS'of\tof\tIN\tB-PP\tO' +p239092 +aS'Augmentin\tAugmentin\tNN\tB-NP\tB-protein' +p239093 +aS';\t;\t:\tO\tO' +p239094 +aS'and\tand\tCC\tO\tO' +p239095 +aS',\t,\t,\tO\tO' +p239096 +aS'by\tby\tIN\tB-PP\tO' +p239097 +aS'report\treport\tNN\tB-NP\tO' +p239098 +aS',\t,\t,\tO\tO' +p239099 +aS'lasted\tlast\tVBN\tB-VP\tO' +p239100 +aS'until\tuntil\tIN\tB-PP\tO' +p239101 +aS'06-07\t06-07\tCD\tB-NP\tO' +p239102 +aS'.\t.\t.\tO\tO' +p239103 +asS'The patient is allergic to Percodan , which gives him itchiness .' +p239104 +(lp239105 +S'The\tThe\tDT\tB-NP\tO' +p239106 +aS'patient\tpatient\tNN\tI-NP\tO' +p239107 +aS'is\tbe\tVBZ\tB-VP\tO' +p239108 +aS'allergic\tallergic\tJJ\tB-ADJP\tO' +p239109 +aS'to\tto\tTO\tB-PP\tO' +p239110 +aS'Percodan\tPercodan\tNNP\tB-NP\tO' +p239111 +aS',\t,\t,\tO\tO' +p239112 +aS'which\twhich\tWDT\tB-NP\tO' +p239113 +aS'gives\tgive\tVBZ\tB-VP\tO' +p239114 +aS'him\thim\tPRP\tB-NP\tO' +p239115 +aS'itchiness\titchiness\tNN\tB-NP\tO' +p239116 +aS'.\t.\t.\tO\tO' +p239117 +asS'This is to notify you that your patient , JESCWIERST , MA arrived in the Emergency Department at Ro Woodma Healthcare on 04/04/2002 01:09 AM .' +p239118 +(lp239119 +S'This\tThis\tDT\tB-NP\tO' +p239120 +aS'is\tbe\tVBZ\tB-VP\tO' +p239121 +aS'to\tto\tTO\tB-VP\tO' +p239122 +aS'notify\tnotify\tVB\tI-VP\tO' +p239123 +aS'you\tyou\tPRP\tB-NP\tO' +p239124 +aS'that\tthat\tIN\tB-SBAR\tO' +p239125 +aS'your\tyour\tPRP$\tB-NP\tO' +p239126 +aS'patient\tpatient\tNN\tI-NP\tO' +p239127 +aS',\t,\t,\tO\tO' +p239128 +aS'JESCWIERST\tJESCWIERST\tNN\tB-NP\tO' +p239129 +aS',\t,\t,\tO\tO' +p239130 +aS'MA\tMA\tJJ\tB-NP\tO' +p239131 +aS'arrived\tarrive\tVBN\tB-VP\tO' +p239132 +aS'in\tin\tIN\tB-PP\tO' +p239133 +aS'the\tthe\tDT\tB-NP\tO' +p239134 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p239135 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p239136 +aS'at\tat\tIN\tB-PP\tO' +p239137 +aS'Ro\tRo\tNNP\tB-NP\tO' +p239138 +aS'Woodma\tWoodma\tNNP\tI-NP\tO' +p239139 +aS'Healthcare\tHealthcare\tNNP\tI-NP\tO' +p239140 +aS'on\ton\tIN\tB-PP\tO' +p239141 +aS'04/04/2002\t04/04/2002\tCD\tB-NP\tO' +p239142 +aS'01:09\t01:09\tCD\tI-NP\tO' +p239143 +aS'AM\tAM\tNN\tI-NP\tO' +p239144 +aS'.\t.\t.\tO\tO' +p239145 +asS'The patient was also started on Bactrim one double strength tablet q.o.d. as prophylaxis for Pneumocystis carinii pneumonia while on her high dose steroids .' +p239146 +(lp239147 +S'The\tThe\tDT\tB-NP\tO' +p239148 +aS'patient\tpatient\tNN\tI-NP\tO' +p239149 +aS'was\tbe\tVBD\tB-VP\tO' +p239150 +aS'also\talso\tRB\tI-VP\tO' +p239151 +aS'started\tstart\tVBN\tI-VP\tO' +p239152 +aS'on\ton\tIN\tB-PP\tO' +p239153 +aS'Bactrim\tBactrim\tNNP\tB-NP\tO' +p239154 +aS'one\tone\tCD\tI-NP\tO' +p239155 +aS'double\tdouble\tJJ\tI-NP\tO' +p239156 +aS'strength\tstrength\tNN\tI-NP\tO' +p239157 +aS'tablet\ttablet\tNN\tI-NP\tO' +p239158 +aS'q.o.d.\tq.o.d.\tVBN\tB-VP\tO' +p239159 +aS'as\tas\tIN\tB-PP\tO' +p239160 +aS'prophylaxis\tprophylaxis\tNN\tB-NP\tO' +p239161 +aS'for\tfor\tIN\tB-PP\tO' +p239162 +aS'Pneumocystis\tPneumocystis\tNN\tB-NP\tO' +p239163 +aS'carinii\tcarinii\tNN\tI-NP\tO' +p239164 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p239165 +aS'while\twhile\tIN\tB-SBAR\tO' +p239166 +aS'on\ton\tIN\tB-PP\tO' +p239167 +aS'her\ther\tPRP$\tB-NP\tO' +p239168 +aS'high\thigh\tJJ\tI-NP\tO' +p239169 +aS'dose\tdose\tNN\tI-NP\tO' +p239170 +aS'steroids\tsteroid\tNNS\tI-NP\tO' +p239171 +aS'.\t.\t.\tO\tO' +p239172 +asS'Of note , he had a recent kidney biopsy on 2018-07-30 and his Cr bumped from 4.7 to 5.7 .' +p239173 +(lp239174 +S'Of\tOf\tIN\tB-PP\tO' +p239175 +aS'note\tnote\tNN\tB-NP\tO' +p239176 +aS',\t,\t,\tO\tO' +p239177 +aS'he\the\tPRP\tB-NP\tO' +p239178 +aS'had\thave\tVBD\tB-VP\tO' +p239179 +aS'a\ta\tDT\tB-NP\tO' +p239180 +aS'recent\trecent\tJJ\tI-NP\tO' +p239181 +aS'kidney\tkidney\tNN\tI-NP\tO' +p239182 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p239183 +aS'on\ton\tIN\tB-PP\tO' +p239184 +aS'2018-07-30\t2018-07-30\tCD\tB-NP\tO' +p239185 +aS'and\tand\tCC\tO\tO' +p239186 +aS'his\this\tPRP$\tB-NP\tO' +p239187 +aS'Cr\tCr\tNN\tI-NP\tO' +p239188 +aS'bumped\tbump\tVBN\tB-VP\tO' +p239189 +aS'from\tfrom\tIN\tB-PP\tO' +p239190 +aS'4.7\t4.7\tCD\tB-NP\tO' +p239191 +aS'to\tto\tTO\tB-PP\tO' +p239192 +aS'5.7\t5.7\tCD\tB-NP\tO' +p239193 +aS'.\t.\t.\tO\tO' +p239194 +asS'PT and PTT were 12 and 26 .' +p239195 +(lp239196 +S'PT\tPT\tNN\tB-NP\tO' +p239197 +aS'and\tand\tCC\tI-NP\tO' +p239198 +aS'PTT\tPTT\tNN\tI-NP\tO' +p239199 +aS'were\tbe\tVBD\tB-VP\tO' +p239200 +aS'12\t12\tCD\tB-NP\tO' +p239201 +aS'and\tand\tCC\tI-NP\tO' +p239202 +aS'26\t26\tCD\tI-NP\tO' +p239203 +aS'.\t.\t.\tO\tO' +p239204 +asS'He will follow up with Dr Fisher the general surgeon in two weeks and follow up in the brain tumor clinic in two weeks for stitch removal .' +p239205 +(lp239206 +S'He\tHe\tPRP\tB-NP\tO' +p239207 +aS'will\twill\tMD\tB-VP\tO' +p239208 +aS'follow\tfollow\tVB\tI-VP\tO' +p239209 +aS'up\tup\tRP\tB-PRT\tO' +p239210 +aS'with\twith\tIN\tB-PP\tO' +p239211 +aS'Dr\tDr\tNNP\tB-NP\tO' +p239212 +aS'Fisher\tFisher\tNNP\tI-NP\tO' +p239213 +aS'the\tthe\tDT\tB-NP\tO' +p239214 +aS'general\tgeneral\tJJ\tI-NP\tO' +p239215 +aS'surgeon\tsurgeon\tNN\tI-NP\tO' +p239216 +aS'in\tin\tIN\tB-PP\tO' +p239217 +aS'two\ttwo\tCD\tB-NP\tO' +p239218 +aS'weeks\tweek\tNNS\tI-NP\tO' +p239219 +aS'and\tand\tCC\tO\tO' +p239220 +aS'follow\tfollow\tVB\tB-VP\tO' +p239221 +aS'up\tup\tRP\tB-PRT\tO' +p239222 +aS'in\tin\tIN\tB-PP\tO' +p239223 +aS'the\tthe\tDT\tB-NP\tO' +p239224 +aS'brain\tbrain\tNN\tI-NP\tO' +p239225 +aS'tumor\ttumor\tNN\tI-NP\tO' +p239226 +aS'clinic\tclinic\tNN\tI-NP\tO' +p239227 +aS'in\tin\tIN\tB-PP\tO' +p239228 +aS'two\ttwo\tCD\tB-NP\tO' +p239229 +aS'weeks\tweek\tNNS\tI-NP\tO' +p239230 +aS'for\tfor\tIN\tB-PP\tO' +p239231 +aS'stitch\tstitch\tNN\tB-NP\tO' +p239232 +aS'removal\tremoval\tNN\tI-NP\tO' +p239233 +aS'.\t.\t.\tO\tO' +p239234 +asS'10ml NS followed by 1ml of 100 units/ml heparin ( 100 units heparin ) each lumen QD and PRN .' +p239235 +(lp239236 +S'10ml\t10ml\tCD\tB-NP\tO' +p239237 +aS'NS\tNS\tNN\tI-NP\tO' +p239238 +aS'followed\tfollow\tVBN\tB-VP\tO' +p239239 +aS'by\tby\tIN\tB-PP\tO' +p239240 +aS'1ml\t1ml\tNN\tB-NP\tO' +p239241 +aS'of\tof\tIN\tB-PP\tO' +p239242 +aS'100\t100\tCD\tB-NP\tO' +p239243 +aS'units/ml\tunits/ml\tNN\tI-NP\tO' +p239244 +aS'heparin\theparin\tNN\tI-NP\tO' +p239245 +aS'(\t(\t(\tO\tO' +p239246 +aS'100\t100\tCD\tB-NP\tO' +p239247 +aS'units\tunit\tNNS\tI-NP\tO' +p239248 +aS'heparin\theparin\tNN\tI-NP\tO' +p239249 +aS')\t)\t)\tO\tO' +p239250 +aS'each\teach\tDT\tB-NP\tO' +p239251 +aS'lumen\tlumen\tNN\tI-NP\tO' +p239252 +aS'QD\tQD\tNN\tI-NP\tO' +p239253 +aS'and\tand\tCC\tI-NP\tO' +p239254 +aS'PRN\tPRN\tNN\tI-NP\tB-protein' +p239255 +aS'.\t.\t.\tO\tO' +p239256 +asS'Apgars were 8 and 8 .' +p239257 +(lp239258 +S'Apgars\tApgar\tNNS\tB-NP\tO' +p239259 +aS'were\tbe\tVBD\tB-VP\tO' +p239260 +aS'8\t8\tCD\tB-NP\tO' +p239261 +aS'and\tand\tCC\tI-NP\tO' +p239262 +aS'8\t8\tCD\tI-NP\tO' +p239263 +aS'.\t.\t.\tO\tO' +p239264 +asS'Other issues of the patient are chronic and most likely will be followed up in hospitals closer to the patient 's home .' +p239265 +(lp239266 +S'Other\tOther\tJJ\tB-NP\tO' +p239267 +aS'issues\tissue\tNNS\tI-NP\tO' +p239268 +aS'of\tof\tIN\tB-PP\tO' +p239269 +aS'the\tthe\tDT\tB-NP\tO' +p239270 +aS'patient\tpatient\tNN\tI-NP\tO' +p239271 +aS'are\tbe\tVBP\tB-VP\tO' +p239272 +aS'chronic\tchronic\tJJ\tB-ADJP\tO' +p239273 +aS'and\tand\tCC\tO\tO' +p239274 +aS'most\tmost\tRBS\tB-ADVP\tO' +p239275 +aS'likely\tlikely\tRB\tI-ADVP\tO' +p239276 +aS'will\twill\tMD\tB-VP\tO' +p239277 +aS'be\tbe\tVB\tI-VP\tO' +p239278 +aS'followed\tfollow\tVBN\tI-VP\tO' +p239279 +aS'up\tup\tRP\tB-PRT\tO' +p239280 +aS'in\tin\tIN\tB-PP\tO' +p239281 +aS'hospitals\thospital\tNNS\tB-NP\tO' +p239282 +aS'closer\tcloser\tRBR\tB-ADVP\tO' +p239283 +aS'to\tto\tTO\tB-PP\tO' +p239284 +aS'the\tthe\tDT\tB-NP\tO' +p239285 +aS'patient\tpatient\tNN\tI-NP\tO' +p239286 +aS''s\t'\tNNS\tI-NP\tO' +p239287 +aS'home\thome\tNN\tI-NP\tO' +p239288 +aS'.\t.\t.\tO\tO' +p239289 +asS'Her hearing got progressively worse and the sound of static increased .' +p239290 +(lp239291 +S'Her\tHer\tPRP$\tB-NP\tO' +p239292 +aS'hearing\thearing\tNN\tI-NP\tO' +p239293 +aS'got\tget\tVBD\tB-VP\tO' +p239294 +aS'progressively\tprogressively\tRB\tB-ADJP\tO' +p239295 +aS'worse\tworse\tJJR\tI-ADJP\tO' +p239296 +aS'and\tand\tCC\tO\tO' +p239297 +aS'the\tthe\tDT\tB-NP\tO' +p239298 +aS'sound\tsound\tNN\tI-NP\tO' +p239299 +aS'of\tof\tIN\tB-PP\tO' +p239300 +aS'static\tstatic\tJJ\tB-NP\tO' +p239301 +aS'increased\tincrease\tVBN\tB-VP\tO' +p239302 +aS'.\t.\t.\tO\tO' +p239303 +asS'is unremarkable .' +p239304 +(lp239305 +S'is\tbe\tVBZ\tB-VP\tO' +p239306 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p239307 +aS'.\t.\t.\tO\tO' +p239308 +asS'8. Ibuprofen 400 mg Tablet Sig : Two ( 2 ) Tablet PO Q8H ( every 8 hours ) as needed .' +p239309 +(lp239310 +S'8.\t8.\tCD\tB-NP\tO' +p239311 +aS'Ibuprofen\tIbuprofen\tNN\tI-NP\tO' +p239312 +aS'400\t400\tCD\tB-NP\tO' +p239313 +aS'mg\tmg\tNN\tI-NP\tO' +p239314 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p239315 +aS'Sig\tSig\tNNP\tI-NP\tO' +p239316 +aS':\t:\t:\tO\tO' +p239317 +aS'Two\tTwo\tCD\tB-NP\tO' +p239318 +aS'(\t(\t(\tO\tO' +p239319 +aS'2\t2\tCD\tO\tO' +p239320 +aS')\t)\t)\tO\tO' +p239321 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p239322 +aS'PO\tPO\tNN\tI-NP\tO' +p239323 +aS'Q8H\tQ8H\tNN\tI-NP\tO' +p239324 +aS'(\t(\t(\tO\tO' +p239325 +aS'every\tevery\tDT\tB-NP\tO' +p239326 +aS'8\t8\tCD\tI-NP\tO' +p239327 +aS'hours\thour\tNNS\tI-NP\tO' +p239328 +aS')\t)\t)\tO\tO' +p239329 +aS'as\tas\tIN\tB-SBAR\tO' +p239330 +aS'needed\tneed\tVBN\tB-VP\tO' +p239331 +aS'.\t.\t.\tO\tO' +p239332 +asS'Cardiac showed a regular rate and rhythm , S1 and S2 .' +p239333 +(lp239334 +S'Cardiac\tCardiac\tNN\tB-NP\tO' +p239335 +aS'showed\tshow\tVBD\tB-VP\tO' +p239336 +aS'a\ta\tDT\tB-NP\tO' +p239337 +aS'regular\tregular\tJJ\tI-NP\tO' +p239338 +aS'rate\trate\tNN\tI-NP\tO' +p239339 +aS'and\tand\tCC\tO\tO' +p239340 +aS'rhythm\trhythm\tNN\tB-NP\tO' +p239341 +aS',\t,\t,\tO\tO' +p239342 +aS'S1\tS1\tNN\tB-NP\tB-protein' +p239343 +aS'and\tand\tCC\tO\tO' +p239344 +aS'S2\tS2\tNN\tB-NP\tB-protein' +p239345 +aS'.\t.\t.\tO\tO' +p239346 +asS'Dropped from 42.7 to 36 in setting of anticoagulation for saddle PE and IV fluids .' +p239347 +(lp239348 +S'Dropped\tDrop\tVBN\tB-VP\tO' +p239349 +aS'from\tfrom\tIN\tB-PP\tO' +p239350 +aS'42.7\t42.7\tCD\tB-NP\tO' +p239351 +aS'to\tto\tTO\tB-PP\tO' +p239352 +aS'36\t36\tCD\tB-NP\tO' +p239353 +aS'in\tin\tIN\tB-PP\tO' +p239354 +aS'setting\tsetting\tNN\tB-NP\tO' +p239355 +aS'of\tof\tIN\tB-PP\tO' +p239356 +aS'anticoagulation\tanticoagulation\tNN\tB-NP\tO' +p239357 +aS'for\tfor\tIN\tB-PP\tO' +p239358 +aS'saddle\tsaddle\tJJ\tB-NP\tO' +p239359 +aS'PE\tPE\tNN\tI-NP\tO' +p239360 +aS'and\tand\tCC\tO\tO' +p239361 +aS'IV\tIV\tCD\tB-NP\tO' +p239362 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p239363 +aS'.\t.\t.\tO\tO' +p239364 +asS'Comfortable respiratory pattern .' +p239365 +(lp239366 +S'Comfortable\tComfortable\tJJ\tB-NP\tO' +p239367 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p239368 +aS'pattern\tpattern\tNN\tI-NP\tO' +p239369 +aS'.\t.\t.\tO\tO' +p239370 +asS'One week prior to presentation , he had chest pain leading to a repeat catheterization at Springfield on 07-30 which showed narrowing of the stent and an ejection fraction of approximately 20% .' +p239371 +(lp239372 +S'One\tOne\tCD\tB-NP\tO' +p239373 +aS'week\tweek\tNN\tI-NP\tO' +p239374 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p239375 +aS'to\tto\tTO\tB-PP\tO' +p239376 +aS'presentation\tpresentation\tNN\tB-NP\tO' +p239377 +aS',\t,\t,\tO\tO' +p239378 +aS'he\the\tPRP\tB-NP\tO' +p239379 +aS'had\thave\tVBD\tB-VP\tO' +p239380 +aS'chest\tchest\tNN\tB-NP\tO' +p239381 +aS'pain\tpain\tNN\tI-NP\tO' +p239382 +aS'leading\tlead\tVBG\tB-VP\tO' +p239383 +aS'to\tto\tTO\tB-PP\tO' +p239384 +aS'a\ta\tDT\tB-NP\tO' +p239385 +aS'repeat\trepeat\tNN\tI-NP\tO' +p239386 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p239387 +aS'at\tat\tIN\tB-PP\tO' +p239388 +aS'Springfield\tSpringfield\tNNP\tB-NP\tO' +p239389 +aS'on\ton\tIN\tB-PP\tO' +p239390 +aS'07-30\t07-30\tCD\tB-NP\tO' +p239391 +aS'which\twhich\tWDT\tB-NP\tO' +p239392 +aS'showed\tshow\tVBD\tB-VP\tO' +p239393 +aS'narrowing\tnarrow\tVBG\tB-NP\tO' +p239394 +aS'of\tof\tIN\tB-PP\tO' +p239395 +aS'the\tthe\tDT\tB-NP\tO' +p239396 +aS'stent\tstent\tNN\tI-NP\tO' +p239397 +aS'and\tand\tCC\tO\tO' +p239398 +aS'an\tan\tDT\tB-NP\tO' +p239399 +aS'ejection\tejection\tNN\tI-NP\tO' +p239400 +aS'fraction\tfraction\tNN\tI-NP\tO' +p239401 +aS'of\tof\tIN\tB-PP\tO' +p239402 +aS'approximately\tapproximately\tRB\tB-ADJP\tO' +p239403 +aS'20%\t20%\tJJ\tI-ADJP\tO' +p239404 +aS'.\t.\t.\tO\tO' +p239405 +asS'The patient was originally diagnosed in 06/98 during a routine physical when he was noted to have a white blood cell count of 20,000 , weight loss , and swelling in his neck and groin .' +p239406 +(lp239407 +S'The\tThe\tDT\tB-NP\tO' +p239408 +aS'patient\tpatient\tNN\tI-NP\tO' +p239409 +aS'was\tbe\tVBD\tB-VP\tO' +p239410 +aS'originally\toriginally\tRB\tI-VP\tO' +p239411 +aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' +p239412 +aS'in\tin\tIN\tB-PP\tO' +p239413 +aS'06/98\t06/98\tCD\tB-NP\tO' +p239414 +aS'during\tduring\tIN\tB-PP\tO' +p239415 +aS'a\ta\tDT\tB-NP\tO' +p239416 +aS'routine\troutine\tJJ\tI-NP\tO' +p239417 +aS'physical\tphysical\tNN\tI-NP\tO' +p239418 +aS'when\twhen\tWRB\tB-ADVP\tO' +p239419 +aS'he\the\tPRP\tB-NP\tO' +p239420 +aS'was\tbe\tVBD\tB-VP\tO' +p239421 +aS'noted\tnote\tVBN\tI-VP\tO' +p239422 +aS'to\tto\tTO\tI-VP\tO' +p239423 +aS'have\thave\tVB\tI-VP\tO' +p239424 +aS'a\ta\tDT\tB-NP\tO' +p239425 +aS'white\twhite\tJJ\tI-NP\tO' +p239426 +aS'blood\tblood\tNN\tI-NP\tO' +p239427 +aS'cell\tcell\tNN\tI-NP\tO' +p239428 +aS'count\tcount\tNN\tI-NP\tO' +p239429 +aS'of\tof\tIN\tB-PP\tO' +p239430 +aS'20,000\t20,000\tCD\tB-NP\tO' +p239431 +aS',\t,\t,\tO\tO' +p239432 +aS'weight\tweight\tNN\tB-NP\tO' +p239433 +aS'loss\tloss\tNN\tI-NP\tO' +p239434 +aS',\t,\t,\tO\tO' +p239435 +aS'and\tand\tCC\tO\tO' +p239436 +aS'swelling\tswell\tVBG\tB-VP\tO' +p239437 +aS'in\tin\tIN\tB-PP\tO' +p239438 +aS'his\this\tPRP$\tB-NP\tO' +p239439 +aS'neck\tneck\tNN\tI-NP\tO' +p239440 +aS'and\tand\tCC\tI-NP\tO' +p239441 +aS'groin\tgroin\tNN\tI-NP\tO' +p239442 +aS'.\t.\t.\tO\tO' +p239443 +asS'Regular , normal S1 and S2 , no murmurs , gallops or rubs .' +p239444 +(lp239445 +S'Regular\tRegular\tJJ\tB-NP\tO' +p239446 +aS',\t,\t,\tI-NP\tO' +p239447 +aS'normal\tnormal\tJJ\tI-NP\tO' +p239448 +aS'S1\tS1\tNN\tI-NP\tB-protein' +p239449 +aS'and\tand\tCC\tO\tO' +p239450 +aS'S2\tS2\tNN\tB-NP\tB-protein' +p239451 +aS',\t,\t,\tO\tO' +p239452 +aS'no\tno\tDT\tB-NP\tO' +p239453 +aS'murmurs\tmurmur\tNNS\tI-NP\tO' +p239454 +aS',\t,\t,\tI-NP\tO' +p239455 +aS'gallops\tgallop\tNNS\tI-NP\tO' +p239456 +aS'or\tor\tCC\tI-NP\tO' +p239457 +aS'rubs\trub\tNNS\tI-NP\tO' +p239458 +aS'.\t.\t.\tO\tO' +p239459 +asS'11. Atorvastatin 20 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' +p239460 +(lp239461 +S'11.\t11.\tCD\tB-NP\tO' +p239462 +aS'Atorvastatin\tAtorvastatin\tIN\tI-NP\tO' +p239463 +aS'20\t20\tCD\tI-NP\tO' +p239464 +aS'mg\tmg\tNN\tI-NP\tO' +p239465 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p239466 +aS'Sig\tSig\tNNP\tI-NP\tO' +p239467 +aS':\t:\t:\tO\tO' +p239468 +aS'One\tOne\tCD\tB-NP\tO' +p239469 +aS'(\t(\t(\tO\tO' +p239470 +aS'1\t1\tCD\tB-NP\tO' +p239471 +aS')\t)\t)\tO\tO' +p239472 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p239473 +aS'PO\tPO\tNN\tI-NP\tO' +p239474 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p239475 +aS'(\t(\t(\tO\tO' +p239476 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p239477 +aS')\t)\t)\tO\tO' +p239478 +aS'.\t.\t.\tO\tO' +p239479 +asS'Discharged home 05-19 with instructions to f/u in vascular clinic .' +p239480 +(lp239481 +S'Discharged\tDischarged\tJJ\tB-NP\tO' +p239482 +aS'home\thome\tNN\tI-NP\tO' +p239483 +aS'05-19\t05-19\tCD\tI-NP\tO' +p239484 +aS'with\twith\tIN\tB-PP\tO' +p239485 +aS'instructions\tinstruction\tNNS\tB-NP\tO' +p239486 +aS'to\tto\tTO\tB-VP\tO' +p239487 +aS'f/u\tf/u\tVB\tI-VP\tO' +p239488 +aS'in\tin\tIN\tB-PP\tO' +p239489 +aS'vascular\tvascular\tJJ\tB-NP\tO' +p239490 +aS'clinic\tclinic\tNN\tI-NP\tO' +p239491 +aS'.\t.\t.\tO\tO' +p239492 +asS'3. State newborn screen was sent on 2013-07-26 and is pending .' +p239493 +(lp239494 +S'3.\t3.\tLS\tB-NP\tO' +p239495 +aS'State\tState\tNN\tI-NP\tO' +p239496 +aS'newborn\tnewborn\tJJ\tI-NP\tO' +p239497 +aS'screen\tscreen\tNN\tI-NP\tO' +p239498 +aS'was\tbe\tVBD\tB-VP\tO' +p239499 +aS'sent\tsend\tVBN\tI-VP\tO' +p239500 +aS'on\ton\tIN\tB-PP\tO' +p239501 +aS'2013-07-26\t2013-07-26\tCD\tB-NP\tO' +p239502 +aS'and\tand\tCC\tO\tO' +p239503 +aS'is\tbe\tVBZ\tB-VP\tO' +p239504 +aS'pending\tpende\tVBG\tB-ADJP\tO' +p239505 +aS'.\t.\t.\tO\tO' +p239506 +asS'The patient was alert and oriented times three with N. Ramirez Coma Scale of 15 on arrival .' +p239507 +(lp239508 +S'The\tThe\tDT\tB-NP\tO' +p239509 +aS'patient\tpatient\tNN\tI-NP\tO' +p239510 +aS'was\tbe\tVBD\tB-VP\tO' +p239511 +aS'alert\talert\tJJ\tB-ADJP\tO' +p239512 +aS'and\tand\tCC\tO\tO' +p239513 +aS'oriented\torient\tVBN\tB-VP\tO' +p239514 +aS'times\ttime\tNNS\tB-NP\tO' +p239515 +aS'three\tthree\tCD\tB-NP\tO' +p239516 +aS'with\twith\tIN\tB-PP\tO' +p239517 +aS'N.\tN.\tNNP\tB-NP\tO' +p239518 +aS'Ramirez\tRamirez\tNNP\tI-NP\tO' +p239519 +aS'Coma\tComa\tNNP\tI-NP\tO' +p239520 +aS'Scale\tScale\tNNP\tI-NP\tO' +p239521 +aS'of\tof\tIN\tB-PP\tO' +p239522 +aS'15\t15\tCD\tB-NP\tO' +p239523 +aS'on\ton\tIN\tB-PP\tO' +p239524 +aS'arrival\tarrival\tNN\tB-NP\tO' +p239525 +aS'.\t.\t.\tO\tO' +p239526 +asS'She is a positive tobacco user .' +p239527 +(lp239528 +S'She\tShe\tPRP\tB-NP\tO' +p239529 +aS'is\tbe\tVBZ\tB-VP\tO' +p239530 +aS'a\ta\tDT\tB-NP\tO' +p239531 +aS'positive\tpositive\tJJ\tI-NP\tO' +p239532 +aS'tobacco\ttobacco\tNN\tI-NP\tO' +p239533 +aS'user\tuser\tNN\tI-NP\tO' +p239534 +aS'.\t.\t.\tO\tO' +p239535 +asS'She developed leukocytosis and transaminasemia .' +p239536 +(lp239537 +S'She\tShe\tPRP\tB-NP\tO' +p239538 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p239539 +aS'leukocytosis\tleukocytosis\tNN\tB-NP\tO' +p239540 +aS'and\tand\tCC\tI-NP\tO' +p239541 +aS'transaminasemia\ttransaminasemia\tNN\tI-NP\tO' +p239542 +aS'.\t.\t.\tO\tO' +p239543 +asS'Full term pregnancy , s/p SVD' +p239544 +(lp239545 +S'Full\tFull\tJJ\tB-NP\tO' +p239546 +aS'term\tterm\tNN\tI-NP\tO' +p239547 +aS'pregnancy\tpregnancy\tNN\tI-NP\tO' +p239548 +aS',\t,\t,\tO\tO' +p239549 +aS's/p\ts/p\tNN\tB-NP\tO' +p239550 +aS'SVD\tSVD\tNN\tI-NP\tO' +p239551 +asS'-- CIWAs were 0 throughout admission' +p239552 +(lp239553 +S'--\t--\t:\tO\tO' +p239554 +aS'CIWAs\tCIWA\tNNS\tB-NP\tB-protein' +p239555 +aS'were\tbe\tVBD\tB-VP\tO' +p239556 +aS'0\t0\tCD\tB-NP\tO' +p239557 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p239558 +aS'admission\tadmission\tNN\tB-NP\tO' +p239559 +asS'No evidence of cervical spine fracture .' +p239560 +(lp239561 +S'No\tNo\tDT\tB-NP\tO' +p239562 +aS'evidence\tevidence\tNN\tI-NP\tO' +p239563 +aS'of\tof\tIN\tB-PP\tO' +p239564 +aS'cervical\tcervical\tJJ\tB-NP\tO' +p239565 +aS'spine\tspine\tNN\tI-NP\tO' +p239566 +aS'fracture\tfracture\tNN\tI-NP\tO' +p239567 +aS'.\t.\t.\tO\tO' +p239568 +asS'Hematology was consulted .' +p239569 +(lp239570 +S'Hematology\tHematology\tNN\tB-NP\tO' +p239571 +aS'was\tbe\tVBD\tB-VP\tO' +p239572 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p239573 +aS'.\t.\t.\tO\tO' +p239574 +asS'UE strength intact but poor motor movements due to loss of sensation .' +p239575 +(lp239576 +S'UE\tUE\tNN\tB-NP\tO' +p239577 +aS'strength\tstrength\tNN\tI-NP\tO' +p239578 +aS'intact\tintact\tJJ\tI-NP\tO' +p239579 +aS'but\tbut\tCC\tI-NP\tO' +p239580 +aS'poor\tpoor\tJJ\tI-NP\tO' +p239581 +aS'motor\tmotor\tNN\tI-NP\tO' +p239582 +aS'movements\tmovement\tNNS\tI-NP\tO' +p239583 +aS'due\tdue\tJJ\tB-ADJP\tO' +p239584 +aS'to\tto\tTO\tB-PP\tO' +p239585 +aS'loss\tloss\tNN\tB-NP\tO' +p239586 +aS'of\tof\tIN\tB-PP\tO' +p239587 +aS'sensation\tsensation\tNN\tB-NP\tO' +p239588 +aS'.\t.\t.\tO\tO' +p239589 +asS'Similarly , outpatient PT was recommended for his gait difficulties from his previous strokes .' +p239590 +(lp239591 +S'Similarly\tSimilarly\tRB\tB-ADVP\tO' +p239592 +aS',\t,\t,\tO\tO' +p239593 +aS'outpatient\toutpatient\tNN\tB-NP\tO' +p239594 +aS'PT\tPT\tNN\tI-NP\tO' +p239595 +aS'was\tbe\tVBD\tB-VP\tO' +p239596 +aS'recommended\trecommend\tVBN\tI-VP\tO' +p239597 +aS'for\tfor\tIN\tB-PP\tO' +p239598 +aS'his\this\tPRP$\tB-NP\tO' +p239599 +aS'gait\tgait\tNN\tI-NP\tO' +p239600 +aS'difficulties\tdifficulty\tNNS\tI-NP\tO' +p239601 +aS'from\tfrom\tIN\tB-PP\tO' +p239602 +aS'his\this\tPRP$\tB-NP\tO' +p239603 +aS'previous\tprevious\tJJ\tI-NP\tO' +p239604 +aS'strokes\tstroke\tNNS\tI-NP\tO' +p239605 +aS'.\t.\t.\tO\tO' +p239606 +asS'total vaginal hysterectomy; combined anterior-posterior colporrhaphy with posterior mesh; subpubic urethral sling; sacrospinous colpopexy exploratory laparotomy' +p239607 +(lp239608 +S'total\ttotal\tJJ\tB-NP\tO' +p239609 +aS'vaginal\tvaginal\tJJ\tI-NP\tO' +p239610 +aS'hysterectomy;\thysterectomy;\tNN\tI-NP\tO' +p239611 +aS'combined\tcombined\tJJ\tI-NP\tO' +p239612 +aS'anterior-posterior\tanterior-posterior\tJJ\tI-NP\tO' +p239613 +aS'colporrhaphy\tcolporrhaphy\tNN\tI-NP\tO' +p239614 +aS'with\twith\tIN\tB-PP\tO' +p239615 +aS'posterior\tposterior\tJJ\tB-NP\tO' +p239616 +aS'mesh;\tmesh;\tNN\tI-NP\tO' +p239617 +aS'subpubic\tsubpubic\tJJ\tI-NP\tO' +p239618 +aS'urethral\turethral\tJJ\tI-NP\tO' +p239619 +aS'sling;\tsling;\tNN\tI-NP\tO' +p239620 +aS'sacrospinous\tsacrospinous\tJJ\tI-NP\tO' +p239621 +aS'colpopexy\tcolpopexy\tNN\tI-NP\tO' +p239622 +aS'exploratory\texploratory\tNN\tI-NP\tO' +p239623 +aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' +p239624 +asS"MRI head was obtained to further w/u patient 's apparent cognitive decline ." +p239625 +(lp239626 +S'MRI\tMRI\tNN\tB-NP\tO' +p239627 +aS'head\thead\tNN\tI-NP\tO' +p239628 +aS'was\tbe\tVBD\tB-VP\tO' +p239629 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p239630 +aS'to\tto\tTO\tB-PP\tO' +p239631 +aS'further\tfurther\tJJ\tB-NP\tO' +p239632 +aS'w/u\tw/u\tNN\tI-NP\tO' +p239633 +aS'patient\tpatient\tNN\tI-NP\tO' +p239634 +aS"'s\t's\tPOS\tB-NP\tO" +p239635 +aS'apparent\tapparent\tJJ\tI-NP\tO' +p239636 +aS'cognitive\tcognitive\tJJ\tI-NP\tO' +p239637 +aS'decline\tdecline\tNN\tI-NP\tO' +p239638 +aS'.\t.\t.\tO\tO' +p239639 +asS'Keep vancomycin trough between 10-20 , but not less due to desensitization .' +p239640 +(lp239641 +S'Keep\tKeep\tNN\tB-NP\tO' +p239642 +aS'vancomycin\tvancomycin\tNN\tI-NP\tO' +p239643 +aS'trough\ttrough\tNN\tI-NP\tO' +p239644 +aS'between\tbetween\tIN\tB-PP\tO' +p239645 +aS'10-20\t10-20\tCD\tB-NP\tO' +p239646 +aS',\t,\t,\tO\tO' +p239647 +aS'but\tbut\tCC\tO\tO' +p239648 +aS'not\tnot\tRB\tB-ADJP\tO' +p239649 +aS'less\tless\tRBR\tI-ADJP\tO' +p239650 +aS'due\tdue\tJJ\tI-ADJP\tO' +p239651 +aS'to\tto\tTO\tB-PP\tO' +p239652 +aS'desensitization\tdesensitization\tNN\tB-NP\tO' +p239653 +aS'.\t.\t.\tO\tO' +p239654 +asS'She was started on some Miconazole Cream .' +p239655 +(lp239656 +S'She\tShe\tPRP\tB-NP\tO' +p239657 +aS'was\tbe\tVBD\tB-VP\tO' +p239658 +aS'started\tstart\tVBN\tI-VP\tO' +p239659 +aS'on\ton\tIN\tB-PP\tO' +p239660 +aS'some\tsome\tDT\tB-NP\tO' +p239661 +aS'Miconazole\tMiconazole\tNNP\tI-NP\tO' +p239662 +aS'Cream\tCream\tNNP\tI-NP\tO' +p239663 +aS'.\t.\t.\tO\tO' +p239664 +asS'The patient had two drains placed after a prolonged course and difficult procedure .' +p239665 +(lp239666 +S'The\tThe\tDT\tB-NP\tO' +p239667 +aS'patient\tpatient\tNN\tI-NP\tO' +p239668 +aS'had\thave\tVBD\tB-VP\tO' +p239669 +aS'two\ttwo\tCD\tB-NP\tO' +p239670 +aS'drains\tdrain\tNNS\tI-NP\tO' +p239671 +aS'placed\tplace\tVBN\tB-VP\tO' +p239672 +aS'after\tafter\tIN\tB-PP\tO' +p239673 +aS'a\ta\tDT\tB-NP\tO' +p239674 +aS'prolonged\tprolong\tVBN\tI-NP\tO' +p239675 +aS'course\tcourse\tNN\tI-NP\tO' +p239676 +aS'and\tand\tCC\tI-NP\tO' +p239677 +aS'difficult\tdifficult\tJJ\tI-NP\tO' +p239678 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p239679 +aS'.\t.\t.\tO\tO' +p239680 +asS'She has remained stable with no acute events .' +p239681 +(lp239682 +S'She\tShe\tPRP\tB-NP\tO' +p239683 +aS'has\thave\tVBZ\tB-VP\tO' +p239684 +aS'remained\tremain\tVBN\tI-VP\tO' +p239685 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p239686 +aS'with\twith\tIN\tB-PP\tO' +p239687 +aS'no\tno\tDT\tB-NP\tO' +p239688 +aS'acute\tacute\tJJ\tI-NP\tO' +p239689 +aS'events\tevent\tNNS\tI-NP\tO' +p239690 +aS'.\t.\t.\tO\tO' +p239691 +asS'Conditions , Infections , Complications , affecting Treatment / Stay liver hemangioma , bph , gout , meningioma , gerd , episodic vertigo , s / p r colectomy , subtotal colectomy' +p239692 +(lp239693 +S'Conditions\tCondition\tNNS\tB-NP\tO' +p239694 +aS',\t,\t,\tO\tO' +p239695 +aS'Infections\tInfection\tNNS\tB-NP\tO' +p239696 +aS',\t,\t,\tO\tO' +p239697 +aS'Complications\tComplication\tNNS\tB-NP\tO' +p239698 +aS',\t,\t,\tO\tO' +p239699 +aS'affecting\taffect\tVBG\tB-VP\tO' +p239700 +aS'Treatment\tTreatment\tNN\tB-NP\tO' +p239701 +aS'/\t/\tSYM\tO\tO' +p239702 +aS'Stay\tStay\tNN\tB-NP\tO' +p239703 +aS'liver\tliver\tNN\tI-NP\tO' +p239704 +aS'hemangioma\themangioma\tNN\tI-NP\tO' +p239705 +aS',\t,\t,\tO\tO' +p239706 +aS'bph\tbph\tNN\tB-NP\tO' +p239707 +aS',\t,\t,\tO\tO' +p239708 +aS'gout\tgout\tNN\tB-NP\tO' +p239709 +aS',\t,\t,\tO\tO' +p239710 +aS'meningioma\tmeningioma\tNN\tB-NP\tO' +p239711 +aS',\t,\t,\tO\tO' +p239712 +aS'gerd\tgerd\tNN\tB-NP\tO' +p239713 +aS',\t,\t,\tO\tO' +p239714 +aS'episodic\tepisodic\tJJ\tB-NP\tO' +p239715 +aS'vertigo\tvertigo\tNN\tI-NP\tO' +p239716 +aS',\t,\t,\tO\tO' +p239717 +aS's\ts\tNN\tB-NP\tB-protein' +p239718 +aS'/\t/\tSYM\tI-NP\tI-protein' +p239719 +aS'p\tp\tNN\tI-NP\tI-protein' +p239720 +aS'r\tr\tNN\tI-NP\tI-protein' +p239721 +aS'colectomy\tcolectomy\tNN\tI-NP\tO' +p239722 +aS',\t,\t,\tO\tO' +p239723 +aS'subtotal\tsubtotal\tJJ\tB-NP\tO' +p239724 +aS'colectomy\tcolectomy\tNN\tI-NP\tO' +p239725 +asS'Examination on admission to the Coronary Care Unit revealed blood pressure was 100/57 , with a mean arterial pressure of 75 , heart rate was sinus rhythm at 75 , temperature was 97.6 , oxygen saturation was 99% on assist control with a tidal volume of 600 on 60% FIO2 , 5 of positive end-expiratory pressure .' +p239726 +(lp239727 +S'Examination\tExamination\tNN\tB-NP\tO' +p239728 +aS'on\ton\tIN\tB-PP\tO' +p239729 +aS'admission\tadmission\tNN\tB-NP\tO' +p239730 +aS'to\tto\tTO\tB-PP\tO' +p239731 +aS'the\tthe\tDT\tB-NP\tO' +p239732 +aS'Coronary\tCoronary\tNNP\tI-NP\tO' +p239733 +aS'Care\tCare\tNNP\tI-NP\tO' +p239734 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p239735 +aS'revealed\treveal\tVBD\tB-VP\tO' +p239736 +aS'blood\tblood\tNN\tB-NP\tO' +p239737 +aS'pressure\tpressure\tNN\tI-NP\tO' +p239738 +aS'was\tbe\tVBD\tB-VP\tO' +p239739 +aS'100/57\t100/57\tCD\tB-NP\tO' +p239740 +aS',\t,\t,\tO\tO' +p239741 +aS'with\twith\tIN\tB-PP\tO' +p239742 +aS'a\ta\tDT\tB-NP\tO' +p239743 +aS'mean\tmean\tJJ\tI-NP\tO' +p239744 +aS'arterial\tarterial\tJJ\tI-NP\tO' +p239745 +aS'pressure\tpressure\tNN\tI-NP\tO' +p239746 +aS'of\tof\tIN\tB-PP\tO' +p239747 +aS'75\t75\tCD\tB-NP\tO' +p239748 +aS',\t,\t,\tO\tO' +p239749 +aS'heart\theart\tNN\tB-NP\tO' +p239750 +aS'rate\trate\tNN\tI-NP\tO' +p239751 +aS'was\tbe\tVBD\tB-VP\tO' +p239752 +aS'sinus\tsinus\tJJ\tB-NP\tO' +p239753 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p239754 +aS'at\tat\tIN\tB-PP\tO' +p239755 +aS'75\t75\tCD\tB-NP\tO' +p239756 +aS',\t,\t,\tO\tO' +p239757 +aS'temperature\ttemperature\tNN\tB-NP\tO' +p239758 +aS'was\tbe\tVBD\tB-VP\tO' +p239759 +aS'97.6\t97.6\tCD\tB-NP\tO' +p239760 +aS',\t,\t,\tO\tO' +p239761 +aS'oxygen\toxygen\tNN\tB-NP\tO' +p239762 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p239763 +aS'was\tbe\tVBD\tB-VP\tO' +p239764 +aS'99%\t99%\tCD\tB-NP\tO' +p239765 +aS'on\ton\tIN\tB-PP\tO' +p239766 +aS'assist\tassist\tNN\tB-NP\tO' +p239767 +aS'control\tcontrol\tNN\tI-NP\tO' +p239768 +aS'with\twith\tIN\tB-PP\tO' +p239769 +aS'a\ta\tDT\tB-NP\tO' +p239770 +aS'tidal\ttidal\tJJ\tI-NP\tO' +p239771 +aS'volume\tvolume\tNN\tI-NP\tO' +p239772 +aS'of\tof\tIN\tB-PP\tO' +p239773 +aS'600\t600\tCD\tB-NP\tO' +p239774 +aS'on\ton\tIN\tB-PP\tO' +p239775 +aS'60%\t60%\tNN\tB-NP\tO' +p239776 +aS'FIO2\tFIO2\tCD\tI-NP\tO' +p239777 +aS',\t,\t,\tI-NP\tO' +p239778 +aS'5\t5\tCD\tI-NP\tO' +p239779 +aS'of\tof\tIN\tB-PP\tO' +p239780 +aS'positive\tpositive\tJJ\tB-NP\tO' +p239781 +aS'end-expiratory\tend-expiratory\tJJ\tI-NP\tO' +p239782 +aS'pressure\tpressure\tNN\tI-NP\tO' +p239783 +aS'.\t.\t.\tO\tO' +p239784 +asS'LUNGS : Clear to auscultation bilaterally .' +p239785 +(lp239786 +S'LUNGS\tLUNGS\tNN\tB-NP\tO' +p239787 +aS':\t:\t:\tO\tO' +p239788 +aS'Clear\tClear\tJJ\tB-ADJP\tO' +p239789 +aS'to\tto\tTO\tB-PP\tO' +p239790 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p239791 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p239792 +aS'.\t.\t.\tO\tO' +p239793 +asS'She has not had any alcoholic beverages during this pregnancy .' +p239794 +(lp239795 +S'She\tShe\tPRP\tB-NP\tO' +p239796 +aS'has\thave\tVBZ\tB-VP\tO' +p239797 +aS'not\tnot\tRB\tI-VP\tO' +p239798 +aS'had\thave\tVBN\tI-VP\tO' +p239799 +aS'any\tany\tDT\tB-NP\tO' +p239800 +aS'alcoholic\talcoholic\tJJ\tI-NP\tO' +p239801 +aS'beverages\tbeverage\tNNS\tI-NP\tO' +p239802 +aS'during\tduring\tIN\tB-PP\tO' +p239803 +aS'this\tthis\tDT\tB-NP\tO' +p239804 +aS'pregnancy\tpregnancy\tNN\tI-NP\tO' +p239805 +aS'.\t.\t.\tO\tO' +p239806 +asS'8. Lactulose 10 g / 15 mL Syrup Sig : Sixty ( 60 ) ML PO EVERY THURSDAY ( ) .' +p239807 +(lp239808 +S'8.\t8.\tCD\tB-NP\tO' +p239809 +aS'Lactulose\tLactulose\tNN\tI-NP\tO' +p239810 +aS'10\t10\tCD\tB-NP\tO' +p239811 +aS'g\tg\tNN\tI-NP\tO' +p239812 +aS'/\t/\tSYM\tB-NP\tO' +p239813 +aS'15\t15\tCD\tI-NP\tO' +p239814 +aS'mL\tmL\tNN\tI-NP\tO' +p239815 +aS'Syrup\tSyrup\tNNP\tI-NP\tO' +p239816 +aS'Sig\tSig\tNNP\tI-NP\tO' +p239817 +aS':\t:\t:\tO\tO' +p239818 +aS'Sixty\tSixty\tCD\tB-NP\tO' +p239819 +aS'(\t(\t(\tO\tO' +p239820 +aS'60\t60\tCD\tO\tO' +p239821 +aS')\t)\t)\tO\tO' +p239822 +aS'ML\tML\tNN\tB-NP\tO' +p239823 +aS'PO\tPO\tNN\tI-NP\tO' +p239824 +aS'EVERY\tEVERY\tNN\tI-NP\tO' +p239825 +aS'THURSDAY\tTHURSDAY\tNN\tI-NP\tO' +p239826 +aS'(\t(\t(\tO\tO' +p239827 +aS')\t)\t)\tO\tO' +p239828 +aS'.\t.\t.\tO\tO' +p239829 +asS'Her chest demonstrated bibasilar crackles .' +p239830 +(lp239831 +S'Her\tHer\tPRP$\tB-NP\tO' +p239832 +aS'chest\tchest\tNN\tI-NP\tO' +p239833 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p239834 +aS'bibasilar\tbibasilar\tJJ\tB-NP\tO' +p239835 +aS'crackles\tcrackle\tNNS\tI-NP\tO' +p239836 +aS'.\t.\t.\tO\tO' +p239837 +asS'Infants hospital .' +p239838 +(lp239839 +S'Infants\tInfant\tNNS\tB-NP\tO' +p239840 +aS'hospital\thospital\tNN\tI-NP\tO' +p239841 +aS'.\t.\t.\tO\tO' +p239842 +asS'He has complained of fatigue , anorexia , and a 10-pound weight loss in the last four months .' +p239843 +(lp239844 +S'He\tHe\tPRP\tB-NP\tO' +p239845 +aS'has\thave\tVBZ\tB-VP\tO' +p239846 +aS'complained\tcomplain\tVBN\tI-VP\tO' +p239847 +aS'of\tof\tIN\tB-PP\tO' +p239848 +aS'fatigue\tfatigue\tNN\tB-NP\tO' +p239849 +aS',\t,\t,\tO\tO' +p239850 +aS'anorexia\tanorexia\tNN\tB-NP\tO' +p239851 +aS',\t,\t,\tO\tO' +p239852 +aS'and\tand\tCC\tO\tO' +p239853 +aS'a\ta\tDT\tB-NP\tO' +p239854 +aS'10-pound\t10-pound\tJJ\tI-NP\tO' +p239855 +aS'weight\tweight\tNN\tI-NP\tO' +p239856 +aS'loss\tloss\tNN\tI-NP\tO' +p239857 +aS'in\tin\tIN\tB-PP\tO' +p239858 +aS'the\tthe\tDT\tB-NP\tO' +p239859 +aS'last\tlast\tJJ\tI-NP\tO' +p239860 +aS'four\tfour\tCD\tI-NP\tO' +p239861 +aS'months\tmonth\tNNS\tI-NP\tO' +p239862 +aS'.\t.\t.\tO\tO' +p239863 +asS'However , his rate proved difficult to control despite metoprolol and diltiazam .' +p239864 +(lp239865 +S'However\tHowever\tRB\tB-ADVP\tO' +p239866 +aS',\t,\t,\tO\tO' +p239867 +aS'his\this\tPRP$\tB-NP\tO' +p239868 +aS'rate\trate\tNN\tI-NP\tO' +p239869 +aS'proved\tprove\tVBD\tB-VP\tO' +p239870 +aS'difficult\tdifficult\tJJ\tB-ADJP\tO' +p239871 +aS'to\tto\tTO\tB-VP\tO' +p239872 +aS'control\tcontrol\tVB\tI-VP\tO' +p239873 +aS'despite\tdespite\tIN\tB-PP\tO' +p239874 +aS'metoprolol\tmetoprolol\tNN\tB-NP\tO' +p239875 +aS'and\tand\tCC\tI-NP\tO' +p239876 +aS'diltiazam\tdiltiazam\tNN\tI-NP\tO' +p239877 +aS'.\t.\t.\tO\tO' +p239878 +asS'3. Acute renal failure .' +p239879 +(lp239880 +S'3.\t3.\tLS\tB-NP\tO' +p239881 +aS'Acute\tAcute\tJJ\tI-NP\tO' +p239882 +aS'renal\trenal\tJJ\tI-NP\tO' +p239883 +aS'failure\tfailure\tNN\tI-NP\tO' +p239884 +aS'.\t.\t.\tO\tO' +p239885 +asS'2. Multivitamins Tablet , Chewable Sig : One ( 1 ) Cap PO DAILY ( Daily ) .' +p239886 +(lp239887 +S'2.\t2.\tLS\tB-LST\tO' +p239888 +aS'Multivitamins\tMultivitamins\tNNP\tB-NP\tO' +p239889 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p239890 +aS',\t,\t,\tO\tO' +p239891 +aS'Chewable\tChewable\tNNP\tB-NP\tO' +p239892 +aS'Sig\tSig\tNNP\tI-NP\tO' +p239893 +aS':\t:\t:\tO\tO' +p239894 +aS'One\tOne\tCD\tB-NP\tO' +p239895 +aS'(\t(\t(\tO\tO' +p239896 +aS'1\t1\tCD\tB-NP\tO' +p239897 +aS')\t)\t)\tO\tO' +p239898 +aS'Cap\tCap\tNN\tB-NP\tO' +p239899 +aS'PO\tPO\tNN\tI-NP\tO' +p239900 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p239901 +aS'(\t(\t(\tO\tO' +p239902 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p239903 +aS')\t)\t)\tO\tO' +p239904 +aS'.\t.\t.\tO\tO' +p239905 +asS'History of colon cancer , chronic obstructive pulmonary disease , obesity , hypertension , history of myocardial infarction .' +p239906 +(lp239907 +S'History\tHistory\tNN\tB-NP\tO' +p239908 +aS'of\tof\tIN\tB-PP\tO' +p239909 +aS'colon\tcolon\tNN\tB-NP\tO' +p239910 +aS'cancer\tcancer\tNN\tI-NP\tO' +p239911 +aS',\t,\t,\tO\tO' +p239912 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p239913 +aS'obstructive\tobstructive\tJJ\tI-NP\tO' +p239914 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p239915 +aS'disease\tdisease\tNN\tI-NP\tO' +p239916 +aS',\t,\t,\tO\tO' +p239917 +aS'obesity\tobesity\tNN\tB-NP\tO' +p239918 +aS',\t,\t,\tO\tO' +p239919 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p239920 +aS',\t,\t,\tO\tO' +p239921 +aS'history\thistory\tNN\tB-NP\tO' +p239922 +aS'of\tof\tIN\tB-PP\tO' +p239923 +aS'myocardial\tmyocardial\tJJ\tB-NP\tO' +p239924 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p239925 +aS'.\t.\t.\tO\tO' +p239926 +asS'8. Paranoia / Depression , h/o auditory hallucinations , ? mania' +p239927 +(lp239928 +S'8.\t8.\tCD\tB-NP\tO' +p239929 +aS'Paranoia\tParanoia\tNNP\tI-NP\tO' +p239930 +aS'/\t/\tSYM\tI-NP\tO' +p239931 +aS'Depression\tDepression\tNN\tI-NP\tO' +p239932 +aS',\t,\t,\tO\tO' +p239933 +aS'h/o\th/o\tVBP\tB-VP\tO' +p239934 +aS'auditory\tauditory\tJJ\tB-NP\tO' +p239935 +aS'hallucinations\thallucination\tNNS\tI-NP\tO' +p239936 +aS',\t,\t,\tO\tO' +p239937 +aS'?\t?\t.\tO\tO' +p239938 +aS'mania\tmania\tNN\tB-NP\tO' +p239939 +asS'Close monitoring demonstrated his blood pressure to be stable and within an acceptable rang on his dosage regimen .' +p239940 +(lp239941 +S'Close\tClose\tJJ\tB-NP\tO' +p239942 +aS'monitoring\tmonitoring\tNN\tI-NP\tO' +p239943 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p239944 +aS'his\this\tPRP$\tB-NP\tO' +p239945 +aS'blood\tblood\tNN\tI-NP\tO' +p239946 +aS'pressure\tpressure\tNN\tI-NP\tO' +p239947 +aS'to\tto\tTO\tB-VP\tO' +p239948 +aS'be\tbe\tVB\tI-VP\tO' +p239949 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p239950 +aS'and\tand\tCC\tB-PP\tO' +p239951 +aS'within\twithin\tIN\tB-PP\tO' +p239952 +aS'an\tan\tDT\tB-NP\tO' +p239953 +aS'acceptable\tacceptable\tJJ\tI-NP\tO' +p239954 +aS'rang\trang\tNN\tI-NP\tO' +p239955 +aS'on\ton\tIN\tB-PP\tO' +p239956 +aS'his\this\tPRP$\tB-NP\tO' +p239957 +aS'dosage\tdosage\tNN\tI-NP\tO' +p239958 +aS'regimen\tregimen\tNN\tI-NP\tO' +p239959 +aS'.\t.\t.\tO\tO' +p239960 +asS'The patient was advanced per protocol to an immunosuppressive regimen of prednisone , Neoral , and CellCept .' +p239961 +(lp239962 +S'The\tThe\tDT\tB-NP\tO' +p239963 +aS'patient\tpatient\tNN\tI-NP\tO' +p239964 +aS'was\tbe\tVBD\tB-VP\tO' +p239965 +aS'advanced\tadvance\tVBN\tI-VP\tO' +p239966 +aS'per\tper\tIN\tB-PP\tO' +p239967 +aS'protocol\tprotocol\tNN\tB-NP\tO' +p239968 +aS'to\tto\tTO\tB-PP\tO' +p239969 +aS'an\tan\tDT\tB-NP\tO' +p239970 +aS'immunosuppressive\timmunosuppressive\tJJ\tI-NP\tO' +p239971 +aS'regimen\tregimen\tNN\tI-NP\tO' +p239972 +aS'of\tof\tIN\tB-PP\tO' +p239973 +aS'prednisone\tprednisone\tNN\tB-NP\tO' +p239974 +aS',\t,\t,\tO\tO' +p239975 +aS'Neoral\tNeoral\tNN\tB-NP\tO' +p239976 +aS',\t,\t,\tO\tO' +p239977 +aS'and\tand\tCC\tO\tO' +p239978 +aS'CellCept\tCellCept\tNNP\tB-NP\tO' +p239979 +aS'.\t.\t.\tO\tO' +p239980 +asS'As tolerated .' +p239981 +(lp239982 +S'As\tAs\tIN\tB-SBAR\tO' +p239983 +aS'tolerated\ttolerate\tVBN\tB-VP\tO' +p239984 +aS'.\t.\t.\tO\tO' +p239985 +asS'The abdomen was soft and nondistended .' +p239986 +(lp239987 +S'The\tThe\tDT\tB-NP\tO' +p239988 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p239989 +aS'was\tbe\tVBD\tB-VP\tO' +p239990 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p239991 +aS'and\tand\tCC\tI-ADJP\tO' +p239992 +aS'nondistended\tnondistended\tJJ\tI-ADJP\tO' +p239993 +aS'.\t.\t.\tO\tO' +p239994 +asS'Made full code again on 12-30 after family meeting with son .' +p239995 +(lp239996 +S'Made\tMake\tVBN\tB-VP\tO' +p239997 +aS'full\tfull\tJJ\tB-NP\tO' +p239998 +aS'code\tcode\tNN\tI-NP\tO' +p239999 +aS'again\tagain\tRB\tB-ADVP\tO' +p240000 +aS'on\ton\tIN\tB-PP\tO' +p240001 +aS'12-30\t12-30\tCD\tB-NP\tO' +p240002 +aS'after\tafter\tIN\tB-PP\tO' +p240003 +aS'family\tfamily\tNN\tB-NP\tO' +p240004 +aS'meeting\tmeeting\tNN\tI-NP\tO' +p240005 +aS'with\twith\tIN\tB-PP\tO' +p240006 +aS'son\tson\tNN\tB-NP\tO' +p240007 +aS'.\t.\t.\tO\tO' +p240008 +asS'Renal function remained normal .' +p240009 +(lp240010 +S'Renal\tRenal\tJJ\tB-NP\tO' +p240011 +aS'function\tfunction\tNN\tI-NP\tO' +p240012 +aS'remained\tremain\tVBD\tB-VP\tO' +p240013 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p240014 +aS'.\t.\t.\tO\tO' +p240015 +asS'The patient is to return to the hospital on Monday for follow-up .' +p240016 +(lp240017 +S'The\tThe\tDT\tB-NP\tO' +p240018 +aS'patient\tpatient\tNN\tI-NP\tO' +p240019 +aS'is\tbe\tVBZ\tB-VP\tO' +p240020 +aS'to\tto\tTO\tB-VP\tO' +p240021 +aS'return\treturn\tVB\tI-VP\tO' +p240022 +aS'to\tto\tTO\tB-PP\tO' +p240023 +aS'the\tthe\tDT\tB-NP\tO' +p240024 +aS'hospital\thospital\tNN\tI-NP\tO' +p240025 +aS'on\ton\tIN\tB-PP\tO' +p240026 +aS'Monday\tMonday\tNNP\tB-NP\tO' +p240027 +aS'for\tfor\tIN\tB-PP\tO' +p240028 +aS'follow-up\tfollow-up\tNN\tB-NP\tO' +p240029 +aS'.\t.\t.\tO\tO' +p240030 +asS'Tachycardic , nl S1 and S2' +p240031 +(lp240032 +S'Tachycardic\tTachycardic\tJJ\tB-NP\tO' +p240033 +aS',\t,\t,\tI-NP\tO' +p240034 +aS'nl\tnl\tNN\tI-NP\tB-protein' +p240035 +aS'S1\tS1\tNN\tI-NP\tI-protein' +p240036 +aS'and\tand\tCC\tO\tO' +p240037 +aS'S2\tS2\tNN\tB-NP\tB-protein' +p240038 +asS'As Mr. Douglass has improved from his initial stroke , he has become more lucid' +p240039 +(lp240040 +S'As\tAs\tIN\tB-SBAR\tO' +p240041 +aS'Mr.\tMr.\tNNP\tB-NP\tO' +p240042 +aS'Douglass\tDouglass\tNNP\tI-NP\tO' +p240043 +aS'has\thave\tVBZ\tB-VP\tO' +p240044 +aS'improved\timprove\tVBN\tI-VP\tO' +p240045 +aS'from\tfrom\tIN\tB-PP\tO' +p240046 +aS'his\this\tPRP$\tB-NP\tO' +p240047 +aS'initial\tinitial\tJJ\tI-NP\tO' +p240048 +aS'stroke\tstroke\tNN\tI-NP\tO' +p240049 +aS',\t,\t,\tO\tO' +p240050 +aS'he\the\tPRP\tB-NP\tO' +p240051 +aS'has\thave\tVBZ\tB-VP\tO' +p240052 +aS'become\tbecome\tVBN\tI-VP\tO' +p240053 +aS'more\tmore\tRBR\tB-ADJP\tO' +p240054 +aS'lucid\tlucid\tJJ\tI-ADJP\tO' +p240055 +asS'3) Previous myocardial infarction .' +p240056 +(lp240057 +S'3)\t3)\tLS\tB-NP\tO' +p240058 +aS'Previous\tPrevious\tJJ\tI-NP\tO' +p240059 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p240060 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p240061 +aS'.\t.\t.\tO\tO' +p240062 +asS'Discharge INR 1.8 .' +p240063 +(lp240064 +S'Discharge\tDischarge\tNNP\tB-NP\tO' +p240065 +aS'INR\tINR\tNNP\tI-NP\tO' +p240066 +aS'1.8\t1.8\tCD\tI-NP\tO' +p240067 +aS'.\t.\t.\tO\tO' +p240068 +asS'No tobacco , alcohol or drug use .' +p240069 +(lp240070 +S'No\tNo\tDT\tB-NP\tO' +p240071 +aS'tobacco\ttobacco\tNN\tI-NP\tO' +p240072 +aS',\t,\t,\tI-NP\tO' +p240073 +aS'alcohol\talcohol\tNN\tI-NP\tO' +p240074 +aS'or\tor\tCC\tI-NP\tO' +p240075 +aS'drug\tdrug\tNN\tI-NP\tO' +p240076 +aS'use\tuse\tNN\tI-NP\tO' +p240077 +aS'.\t.\t.\tO\tO' +p240078 +asS'She has had attacks treated with antibiotics in the past notably in 12/96 and 08/97 .' +p240079 +(lp240080 +S'She\tShe\tPRP\tB-NP\tO' +p240081 +aS'has\thave\tVBZ\tB-VP\tO' +p240082 +aS'had\thave\tVBN\tI-VP\tO' +p240083 +aS'attacks\tattack\tNNS\tB-NP\tO' +p240084 +aS'treated\ttreat\tVBN\tB-VP\tO' +p240085 +aS'with\twith\tIN\tB-PP\tO' +p240086 +aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' +p240087 +aS'in\tin\tIN\tB-PP\tO' +p240088 +aS'the\tthe\tDT\tB-NP\tO' +p240089 +aS'past\tpast\tNN\tI-NP\tO' +p240090 +aS'notably\tnotably\tRB\tB-ADVP\tO' +p240091 +aS'in\tin\tIN\tB-PP\tO' +p240092 +aS'12/96\t12/96\tCD\tB-NP\tO' +p240093 +aS'and\tand\tCC\tI-NP\tO' +p240094 +aS'08/97\t08/97\tCD\tI-NP\tO' +p240095 +aS'.\t.\t.\tO\tO' +p240096 +asS'It was felt most appropriate for him to have an outpatient GI workup , and his PCP was contacted and will arrange for outpatient colonoscopy .' +p240097 +(lp240098 +S'It\tIt\tPRP\tB-NP\tO' +p240099 +aS'was\tbe\tVBD\tB-VP\tO' +p240100 +aS'felt\tfeel\tVBN\tI-VP\tO' +p240101 +aS'most\tmost\tRBS\tB-ADJP\tO' +p240102 +aS'appropriate\tappropriate\tJJ\tI-ADJP\tO' +p240103 +aS'for\tfor\tIN\tB-SBAR\tO' +p240104 +aS'him\thim\tPRP\tB-NP\tO' +p240105 +aS'to\tto\tTO\tB-VP\tO' +p240106 +aS'have\thave\tVB\tI-VP\tO' +p240107 +aS'an\tan\tDT\tB-NP\tO' +p240108 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p240109 +aS'GI\tGI\tNN\tI-NP\tO' +p240110 +aS'workup\tworkup\tNN\tI-NP\tO' +p240111 +aS',\t,\t,\tO\tO' +p240112 +aS'and\tand\tCC\tO\tO' +p240113 +aS'his\this\tPRP$\tB-NP\tO' +p240114 +aS'PCP\tPCP\tNN\tI-NP\tB-DNA' +p240115 +aS'was\tbe\tVBD\tB-VP\tO' +p240116 +aS'contacted\tcontact\tVBN\tI-VP\tO' +p240117 +aS'and\tand\tCC\tO\tO' +p240118 +aS'will\twill\tMD\tB-VP\tO' +p240119 +aS'arrange\tarrange\tVB\tI-VP\tO' +p240120 +aS'for\tfor\tIN\tB-PP\tO' +p240121 +aS'outpatient\toutpatient\tNN\tB-NP\tO' +p240122 +aS'colonoscopy\tcolonoscopy\tNN\tI-NP\tO' +p240123 +aS'.\t.\t.\tO\tO' +p240124 +asS'She was noted at this time to have hyperglycemia requiring two subcutaneous doses of insulin and a decreased glucose infusion rate to achieve euglycemia .' +p240125 +(lp240126 +S'She\tShe\tPRP\tB-NP\tO' +p240127 +aS'was\tbe\tVBD\tB-VP\tO' +p240128 +aS'noted\tnote\tVBN\tI-VP\tO' +p240129 +aS'at\tat\tIN\tB-PP\tO' +p240130 +aS'this\tthis\tDT\tB-NP\tO' +p240131 +aS'time\ttime\tNN\tI-NP\tO' +p240132 +aS'to\tto\tTO\tB-VP\tO' +p240133 +aS'have\thave\tVB\tI-VP\tO' +p240134 +aS'hyperglycemia\thyperglycemia\tNN\tB-NP\tO' +p240135 +aS'requiring\trequire\tVBG\tB-VP\tO' +p240136 +aS'two\ttwo\tCD\tB-NP\tO' +p240137 +aS'subcutaneous\tsubcutaneous\tJJ\tI-NP\tO' +p240138 +aS'doses\tdose\tNNS\tI-NP\tO' +p240139 +aS'of\tof\tIN\tB-PP\tO' +p240140 +aS'insulin\tinsulin\tNN\tB-NP\tB-protein' +p240141 +aS'and\tand\tCC\tO\tO' +p240142 +aS'a\ta\tDT\tB-NP\tO' +p240143 +aS'decreased\tdecrease\tVBN\tI-NP\tO' +p240144 +aS'glucose\tglucose\tNN\tI-NP\tO' +p240145 +aS'infusion\tinfusion\tNN\tI-NP\tO' +p240146 +aS'rate\trate\tNN\tI-NP\tO' +p240147 +aS'to\tto\tTO\tB-VP\tO' +p240148 +aS'achieve\tachieve\tVB\tI-VP\tO' +p240149 +aS'euglycemia\teuglycemia\tNN\tB-NP\tO' +p240150 +aS'.\t.\t.\tO\tO' +p240151 +asS'10. Protonix 40 mg q. day .' +p240152 +(lp240153 +S'10.\t10.\tCD\tB-NP\tO' +p240154 +aS'Protonix\tProtonix\tNNP\tI-NP\tO' +p240155 +aS'40\t40\tCD\tI-NP\tO' +p240156 +aS'mg\tmg\tNN\tI-NP\tO' +p240157 +aS'q.\tq.\tNN\tI-NP\tO' +p240158 +aS'day\tday\tNN\tI-NP\tO' +p240159 +aS'.\t.\t.\tO\tO' +p240160 +asS'White blood cell count of 24.409 and platelets of 956,000 .' +p240161 +(lp240162 +S'White\tWhite\tJJ\tB-NP\tO' +p240163 +aS'blood\tblood\tNN\tI-NP\tO' +p240164 +aS'cell\tcell\tNN\tI-NP\tO' +p240165 +aS'count\tcount\tNN\tI-NP\tO' +p240166 +aS'of\tof\tIN\tB-PP\tO' +p240167 +aS'24.409\t24.409\tCD\tB-NP\tO' +p240168 +aS'and\tand\tCC\tO\tO' +p240169 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p240170 +aS'of\tof\tIN\tB-PP\tO' +p240171 +aS'956,000\t956,000\tCD\tB-NP\tO' +p240172 +aS'.\t.\t.\tO\tO' +p240173 +asS'Do not use creams , lotions , or powders on wounds .' +p240174 +(lp240175 +S'Do\tDo\tVBP\tB-VP\tO' +p240176 +aS'not\tnot\tRB\tI-VP\tO' +p240177 +aS'use\tuse\tVB\tI-VP\tO' +p240178 +aS'creams\tcream\tNNS\tB-NP\tO' +p240179 +aS',\t,\t,\tO\tO' +p240180 +aS'lotions\tlotion\tNNS\tB-NP\tO' +p240181 +aS',\t,\t,\tO\tO' +p240182 +aS'or\tor\tCC\tO\tO' +p240183 +aS'powders\tpowder\tNNS\tB-NP\tO' +p240184 +aS'on\ton\tIN\tB-PP\tO' +p240185 +aS'wounds\twound\tNNS\tB-NP\tO' +p240186 +aS'.\t.\t.\tO\tO' +p240187 +asS'His wound continued to heal well and by POD #6 a VAC dressing was placed .' +p240188 +(lp240189 +S'His\tHis\tPRP$\tB-NP\tO' +p240190 +aS'wound\twound\tNN\tI-NP\tO' +p240191 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p240192 +aS'to\tto\tTO\tI-VP\tO' +p240193 +aS'heal\theal\tVB\tI-VP\tO' +p240194 +aS'well\twell\tRB\tB-ADVP\tO' +p240195 +aS'and\tand\tCC\tO\tO' +p240196 +aS'by\tby\tIN\tB-PP\tO' +p240197 +aS'POD\tPOD\tNN\tB-NP\tB-protein' +p240198 +aS'#6\t#6\tCD\tI-NP\tI-protein' +p240199 +aS'a\ta\tDT\tB-NP\tO' +p240200 +aS'VAC\tVAC\tNN\tI-NP\tO' +p240201 +aS'dressing\tdressing\tNN\tI-NP\tO' +p240202 +aS'was\tbe\tVBD\tB-VP\tO' +p240203 +aS'placed\tplace\tVBN\tI-VP\tO' +p240204 +aS'.\t.\t.\tO\tO' +p240205 +asS'She has only social alcohol use .' +p240206 +(lp240207 +S'She\tShe\tPRP\tB-NP\tO' +p240208 +aS'has\thave\tVBZ\tB-VP\tO' +p240209 +aS'only\tonly\tRB\tB-NP\tO' +p240210 +aS'social\tsocial\tJJ\tI-NP\tO' +p240211 +aS'alcohol\talcohol\tNN\tI-NP\tO' +p240212 +aS'use\tuse\tNN\tI-NP\tO' +p240213 +aS'.\t.\t.\tO\tO' +p240214 +asS'Amylase was 87 .' +p240215 +(lp240216 +S'Amylase\tAmylase\tNN\tB-NP\tB-protein' +p240217 +aS'was\tbe\tVBD\tB-VP\tO' +p240218 +aS'87\t87\tCD\tB-NP\tO' +p240219 +aS'.\t.\t.\tO\tO' +p240220 +asS'23. Gabapentin 300 mg Capsule Sig : One ( 1 ) Capsule PO BID ( 2 times a day ) .' +p240221 +(lp240222 +S'23.\t23.\tLS\tB-NP\tO' +p240223 +aS'Gabapentin\tGabapentin\tNN\tI-NP\tB-protein' +p240224 +aS'300\t300\tCD\tI-NP\tI-protein' +p240225 +aS'mg\tmg\tNN\tI-NP\tI-protein' +p240226 +aS'Capsule\tCapsule\tNNP\tI-NP\tI-protein' +p240227 +aS'Sig\tSig\tNNP\tI-NP\tI-protein' +p240228 +aS':\t:\t:\tO\tO' +p240229 +aS'One\tOne\tCD\tB-NP\tO' +p240230 +aS'(\t(\t(\tO\tO' +p240231 +aS'1\t1\tCD\tB-NP\tO' +p240232 +aS')\t)\t)\tO\tO' +p240233 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p240234 +aS'PO\tPO\tNNP\tI-NP\tO' +p240235 +aS'BID\tBID\tNNP\tI-NP\tO' +p240236 +aS'(\t(\t(\tO\tO' +p240237 +aS'2\t2\tCD\tB-NP\tO' +p240238 +aS'times\ttime\tNNS\tI-NP\tO' +p240239 +aS'a\ta\tDT\tB-NP\tO' +p240240 +aS'day\tday\tNN\tI-NP\tO' +p240241 +aS')\t)\t)\tO\tO' +p240242 +aS'.\t.\t.\tO\tO' +p240243 +asS'Patient presented to his private medical doctor in Gewestster with transient calf pain on walking less than fifty yards .' +p240244 +(lp240245 +S'Patient\tPatient\tNN\tB-NP\tO' +p240246 +aS'presented\tpresent\tVBN\tB-VP\tO' +p240247 +aS'to\tto\tTO\tB-PP\tO' +p240248 +aS'his\this\tPRP$\tB-NP\tO' +p240249 +aS'private\tprivate\tJJ\tI-NP\tO' +p240250 +aS'medical\tmedical\tJJ\tI-NP\tO' +p240251 +aS'doctor\tdoctor\tNN\tI-NP\tO' +p240252 +aS'in\tin\tIN\tB-PP\tO' +p240253 +aS'Gewestster\tGewestster\tNN\tB-NP\tO' +p240254 +aS'with\twith\tIN\tB-PP\tO' +p240255 +aS'transient\ttransient\tJJ\tB-NP\tO' +p240256 +aS'calf\tcalf\tNN\tI-NP\tO' +p240257 +aS'pain\tpain\tNN\tI-NP\tO' +p240258 +aS'on\ton\tIN\tB-PP\tO' +p240259 +aS'walking\twalk\tVBG\tB-VP\tO' +p240260 +aS'less\tless\tJJR\tB-NP\tO' +p240261 +aS'than\tthan\tIN\tI-NP\tO' +p240262 +aS'fifty\tfifty\tCD\tI-NP\tO' +p240263 +aS'yards\tyard\tNNS\tI-NP\tO' +p240264 +aS'.\t.\t.\tO\tO' +p240265 +asS'Diffuse adenopathy was noted at that time and an attempt was made at axillary node biopsy which was aborted secondary to positioning difficulty and difficult intubation .' +p240266 +(lp240267 +S'Diffuse\tDiffuse\tNN\tB-NP\tO' +p240268 +aS'adenopathy\tadenopathy\tNN\tI-NP\tO' +p240269 +aS'was\tbe\tVBD\tB-VP\tO' +p240270 +aS'noted\tnote\tVBN\tI-VP\tO' +p240271 +aS'at\tat\tIN\tB-PP\tO' +p240272 +aS'that\tthat\tDT\tB-NP\tO' +p240273 +aS'time\ttime\tNN\tI-NP\tO' +p240274 +aS'and\tand\tCC\tO\tO' +p240275 +aS'an\tan\tDT\tB-NP\tO' +p240276 +aS'attempt\tattempt\tNN\tI-NP\tO' +p240277 +aS'was\tbe\tVBD\tB-VP\tO' +p240278 +aS'made\tmake\tVBN\tI-VP\tO' +p240279 +aS'at\tat\tIN\tB-PP\tO' +p240280 +aS'axillary\taxillary\tJJ\tB-NP\tO' +p240281 +aS'node\tnode\tNN\tI-NP\tO' +p240282 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p240283 +aS'which\twhich\tWDT\tB-NP\tO' +p240284 +aS'was\tbe\tVBD\tB-VP\tO' +p240285 +aS'aborted\tabort\tVBN\tI-VP\tO' +p240286 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p240287 +aS'to\tto\tTO\tB-PP\tO' +p240288 +aS'positioning\tposition\tVBG\tB-VP\tO' +p240289 +aS'difficulty\tdifficulty\tNN\tB-NP\tO' +p240290 +aS'and\tand\tCC\tO\tO' +p240291 +aS'difficult\tdifficult\tJJ\tB-NP\tO' +p240292 +aS'intubation\tintubation\tNN\tI-NP\tO' +p240293 +aS'.\t.\t.\tO\tO' +p240294 +asS'Her INR dropped to 1.6 prior to surgery , and her PTT was in the mid 80s prior to surgery .' +p240295 +(lp240296 +S'Her\tHer\tPRP$\tB-NP\tO' +p240297 +aS'INR\tINR\tNN\tI-NP\tB-protein' +p240298 +aS'dropped\tdrop\tVBD\tB-VP\tO' +p240299 +aS'to\tto\tTO\tB-PP\tO' +p240300 +aS'1.6\t1.6\tCD\tB-NP\tO' +p240301 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p240302 +aS'to\tto\tTO\tB-PP\tO' +p240303 +aS'surgery\tsurgery\tNN\tB-NP\tO' +p240304 +aS',\t,\t,\tO\tO' +p240305 +aS'and\tand\tCC\tO\tO' +p240306 +aS'her\ther\tPRP$\tB-NP\tO' +p240307 +aS'PTT\tPTT\tNN\tI-NP\tO' +p240308 +aS'was\tbe\tVBD\tB-VP\tO' +p240309 +aS'in\tin\tIN\tB-PP\tO' +p240310 +aS'the\tthe\tDT\tB-NP\tO' +p240311 +aS'mid\tmid\tJJ\tI-NP\tO' +p240312 +aS'80s\t80\tNNS\tI-NP\tO' +p240313 +aS'prior\tprior\tRB\tB-ADVP\tO' +p240314 +aS'to\tto\tTO\tB-PP\tO' +p240315 +aS'surgery\tsurgery\tNN\tB-NP\tO' +p240316 +aS'.\t.\t.\tO\tO' +p240317 +asS'Echocardiogram , neurovascular ultrasound .' +p240318 +(lp240319 +S'Echocardiogram\tEchocardiogram\tNN\tB-NP\tO' +p240320 +aS',\t,\t,\tO\tO' +p240321 +aS'neurovascular\tneurovascular\tJJ\tB-NP\tO' +p240322 +aS'ultrasound\tultrasound\tNN\tI-NP\tO' +p240323 +aS'.\t.\t.\tO\tO' +p240324 +asS'During initial evaluation for a coronary artery bypass graft , 80% to 90% of the right coronary artery stenosis was found ; for which she underwent a right internal carotid artery stent .' +p240325 +(lp240326 +S'During\tDuring\tIN\tB-PP\tO' +p240327 +aS'initial\tinitial\tJJ\tB-NP\tO' +p240328 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p240329 +aS'for\tfor\tIN\tB-PP\tO' +p240330 +aS'a\ta\tDT\tB-NP\tO' +p240331 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p240332 +aS'artery\tartery\tNN\tI-NP\tO' +p240333 +aS'bypass\tbypass\tIN\tB-PP\tO' +p240334 +aS'graft\tgraft\tNN\tB-NP\tO' +p240335 +aS',\t,\t,\tO\tO' +p240336 +aS'80%\t80%\tCD\tB-NP\tO' +p240337 +aS'to\tto\tTO\tB-PP\tO' +p240338 +aS'90%\t90%\tCD\tB-NP\tO' +p240339 +aS'of\tof\tIN\tB-PP\tO' +p240340 +aS'the\tthe\tDT\tB-NP\tO' +p240341 +aS'right\tright\tJJ\tI-NP\tO' +p240342 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p240343 +aS'artery\tartery\tNN\tI-NP\tO' +p240344 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p240345 +aS'was\tbe\tVBD\tB-VP\tO' +p240346 +aS'found\tfind\tVBN\tI-VP\tO' +p240347 +aS';\t;\t:\tO\tO' +p240348 +aS'for\tfor\tIN\tB-PP\tO' +p240349 +aS'which\twhich\tWDT\tB-NP\tO' +p240350 +aS'she\tshe\tPRP\tB-NP\tO' +p240351 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p240352 +aS'a\ta\tDT\tB-NP\tO' +p240353 +aS'right\tright\tJJ\tI-NP\tO' +p240354 +aS'internal\tinternal\tJJ\tI-NP\tO' +p240355 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p240356 +aS'artery\tartery\tNN\tI-NP\tO' +p240357 +aS'stent\tstent\tNN\tI-NP\tO' +p240358 +aS'.\t.\t.\tO\tO' +p240359 +asS'Chem-7 was within normal limits .' +p240360 +(lp240361 +S'Chem-7\tChem-7\tNN\tB-NP\tB-protein' +p240362 +aS'was\tbe\tVBD\tB-VP\tO' +p240363 +aS'within\twithin\tIN\tB-PP\tO' +p240364 +aS'normal\tnormal\tJJ\tB-NP\tO' +p240365 +aS'limits\tlimit\tNNS\tI-NP\tO' +p240366 +aS'.\t.\t.\tO\tO' +p240367 +asS'Attending : Woodrow Y Williams , M.D.' +p240368 +(lp240369 +S'Attending\tAttend\tVBG\tB-VP\tO' +p240370 +aS':\t:\t:\tO\tO' +p240371 +aS'Woodrow\tWoodrow\tNNP\tB-NP\tO' +p240372 +aS'Y\tY\tNNP\tI-NP\tO' +p240373 +aS'Williams\tWilliams\tNNP\tI-NP\tO' +p240374 +aS',\t,\t,\tO\tO' +p240375 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p240376 +asS'Upon transfer to the Intensive Care Unit the pt was started on heparin gtt .' +p240377 +(lp240378 +S'Upon\tUpon\tIN\tB-PP\tO' +p240379 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p240380 +aS'to\tto\tTO\tB-PP\tO' +p240381 +aS'the\tthe\tDT\tB-NP\tO' +p240382 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p240383 +aS'Care\tCare\tNNP\tI-NP\tO' +p240384 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p240385 +aS'the\tthe\tDT\tB-NP\tO' +p240386 +aS'pt\tpt\tNN\tI-NP\tO' +p240387 +aS'was\tbe\tVBD\tB-VP\tO' +p240388 +aS'started\tstart\tVBN\tI-VP\tO' +p240389 +aS'on\ton\tIN\tB-PP\tO' +p240390 +aS'heparin\theparin\tNN\tB-NP\tO' +p240391 +aS'gtt\tgtt\tNN\tI-NP\tO' +p240392 +aS'.\t.\t.\tO\tO' +p240393 +asS'The right calf site had minimal ooze and no hematomas or bruits .' +p240394 +(lp240395 +S'The\tThe\tDT\tB-NP\tO' +p240396 +aS'right\tright\tJJ\tI-NP\tB-DNA' +p240397 +aS'calf\tcalf\tNN\tI-NP\tI-DNA' +p240398 +aS'site\tsite\tNN\tI-NP\tI-DNA' +p240399 +aS'had\thave\tVBD\tB-VP\tO' +p240400 +aS'minimal\tminimal\tJJ\tB-NP\tO' +p240401 +aS'ooze\tooze\tNN\tI-NP\tO' +p240402 +aS'and\tand\tCC\tO\tO' +p240403 +aS'no\tno\tDT\tB-NP\tO' +p240404 +aS'hematomas\thematoma\tNNS\tI-NP\tO' +p240405 +aS'or\tor\tCC\tI-NP\tO' +p240406 +aS'bruits\tbruit\tNNS\tI-NP\tO' +p240407 +aS'.\t.\t.\tO\tO' +p240408 +asS'The patient had a white blood cell count of 9.5 , a hematocrit of 34.5 , a platelet count of 194 .' +p240409 +(lp240410 +S'The\tThe\tDT\tB-NP\tO' +p240411 +aS'patient\tpatient\tNN\tI-NP\tO' +p240412 +aS'had\thave\tVBD\tB-VP\tO' +p240413 +aS'a\ta\tDT\tB-NP\tO' +p240414 +aS'white\twhite\tJJ\tI-NP\tO' +p240415 +aS'blood\tblood\tNN\tI-NP\tO' +p240416 +aS'cell\tcell\tNN\tI-NP\tO' +p240417 +aS'count\tcount\tNN\tI-NP\tO' +p240418 +aS'of\tof\tIN\tB-PP\tO' +p240419 +aS'9.5\t9.5\tCD\tB-NP\tO' +p240420 +aS',\t,\t,\tO\tO' +p240421 +aS'a\ta\tDT\tB-NP\tO' +p240422 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p240423 +aS'of\tof\tIN\tB-PP\tO' +p240424 +aS'34.5\t34.5\tCD\tB-NP\tO' +p240425 +aS',\t,\t,\tO\tO' +p240426 +aS'a\ta\tDT\tB-NP\tO' +p240427 +aS'platelet\tplatelet\tNN\tI-NP\tO' +p240428 +aS'count\tcount\tNN\tI-NP\tO' +p240429 +aS'of\tof\tIN\tB-PP\tO' +p240430 +aS'194\t194\tCD\tB-NP\tO' +p240431 +aS'.\t.\t.\tO\tO' +p240432 +asS'This will be followed by a trial of Coumadin , and then by mitral commissurotomy or replacement and probable tricuspid annuloplasty by Dr. Riemund C. Wave .' +p240433 +(lp240434 +S'This\tThis\tDT\tB-NP\tO' +p240435 +aS'will\twill\tMD\tB-VP\tO' +p240436 +aS'be\tbe\tVB\tI-VP\tO' +p240437 +aS'followed\tfollow\tVBN\tI-VP\tO' +p240438 +aS'by\tby\tIN\tB-PP\tO' +p240439 +aS'a\ta\tDT\tB-NP\tO' +p240440 +aS'trial\ttrial\tNN\tI-NP\tO' +p240441 +aS'of\tof\tIN\tB-PP\tO' +p240442 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p240443 +aS',\t,\t,\tO\tO' +p240444 +aS'and\tand\tCC\tO\tO' +p240445 +aS'then\tthen\tRB\tB-ADVP\tO' +p240446 +aS'by\tby\tIN\tB-PP\tO' +p240447 +aS'mitral\tmitral\tJJ\tB-NP\tO' +p240448 +aS'commissurotomy\tcommissurotomy\tNN\tI-NP\tO' +p240449 +aS'or\tor\tCC\tI-NP\tO' +p240450 +aS'replacement\treplacement\tNN\tI-NP\tO' +p240451 +aS'and\tand\tCC\tO\tO' +p240452 +aS'probable\tprobable\tJJ\tB-NP\tO' +p240453 +aS'tricuspid\ttricuspid\tJJ\tI-NP\tO' +p240454 +aS'annuloplasty\tannuloplasty\tNN\tI-NP\tO' +p240455 +aS'by\tby\tIN\tB-PP\tO' +p240456 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p240457 +aS'Riemund\tRiemund\tNNP\tI-NP\tO' +p240458 +aS'C.\tC.\tNNP\tI-NP\tO' +p240459 +aS'Wave\tWave\tNNP\tI-NP\tO' +p240460 +aS'.\t.\t.\tO\tO' +p240461 +asS'This was repaired and stay sutures are in place .' +p240462 +(lp240463 +S'This\tThis\tDT\tB-NP\tO' +p240464 +aS'was\tbe\tVBD\tB-VP\tO' +p240465 +aS'repaired\trepair\tVBN\tI-VP\tO' +p240466 +aS'and\tand\tCC\tO\tO' +p240467 +aS'stay\tstay\tNN\tB-NP\tO' +p240468 +aS'sutures\tsuture\tNNS\tI-NP\tO' +p240469 +aS'are\tbe\tVBP\tB-VP\tO' +p240470 +aS'in\tin\tIN\tB-PP\tO' +p240471 +aS'place\tplace\tNN\tB-NP\tO' +p240472 +aS'.\t.\t.\tO\tO' +p240473 +asS'The cultures grew out enterobacter cloacae .' +p240474 +(lp240475 +S'The\tThe\tDT\tB-NP\tO' +p240476 +aS'cultures\tculture\tNNS\tI-NP\tO' +p240477 +aS'grew\tgrow\tVBD\tB-VP\tO' +p240478 +aS'out\tout\tRP\tB-PRT\tO' +p240479 +aS'enterobacter\tenterobacter\tNN\tB-NP\tO' +p240480 +aS'cloacae\tcloaca\tNNS\tI-NP\tO' +p240481 +aS'.\t.\t.\tO\tO' +p240482 +asS'Admission white blood count 4.3 , hematocrit 31.0 , electrolytes were all within normal limits , glucose 218 , prothrombin time on admission was 15.1 with INR of 1.5 , partial thromboplastin time 23.3 .' +p240483 +(lp240484 +S'Admission\tAdmission\tNN\tB-NP\tO' +p240485 +aS'white\twhite\tJJ\tI-NP\tO' +p240486 +aS'blood\tblood\tNN\tI-NP\tO' +p240487 +aS'count\tcount\tNN\tI-NP\tO' +p240488 +aS'4.3\t4.3\tCD\tI-NP\tO' +p240489 +aS',\t,\t,\tO\tO' +p240490 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p240491 +aS'31.0\t31.0\tCD\tI-NP\tI-protein' +p240492 +aS',\t,\t,\tO\tO' +p240493 +aS'electrolytes\telectrolyte\tNNS\tB-NP\tO' +p240494 +aS'were\tbe\tVBD\tB-VP\tO' +p240495 +aS'all\tall\tDT\tO\tO' +p240496 +aS'within\twithin\tIN\tB-PP\tO' +p240497 +aS'normal\tnormal\tJJ\tB-NP\tO' +p240498 +aS'limits\tlimit\tNNS\tI-NP\tO' +p240499 +aS',\t,\t,\tO\tO' +p240500 +aS'glucose\tglucose\tNN\tB-NP\tO' +p240501 +aS'218\t218\tCD\tI-NP\tO' +p240502 +aS',\t,\t,\tO\tO' +p240503 +aS'prothrombin\tprothrombin\tNN\tB-NP\tO' +p240504 +aS'time\ttime\tNN\tI-NP\tO' +p240505 +aS'on\ton\tIN\tB-PP\tO' +p240506 +aS'admission\tadmission\tNN\tB-NP\tO' +p240507 +aS'was\tbe\tVBD\tB-VP\tO' +p240508 +aS'15.1\t15.1\tCD\tB-NP\tO' +p240509 +aS'with\twith\tIN\tB-PP\tO' +p240510 +aS'INR\tINR\tNN\tB-NP\tB-protein' +p240511 +aS'of\tof\tIN\tB-PP\tO' +p240512 +aS'1.5\t1.5\tCD\tB-NP\tO' +p240513 +aS',\t,\t,\tO\tO' +p240514 +aS'partial\tpartial\tJJ\tB-NP\tO' +p240515 +aS'thromboplastin\tthromboplastin\tNN\tI-NP\tO' +p240516 +aS'time\ttime\tNN\tI-NP\tO' +p240517 +aS'23.3\t23.3\tCD\tB-NP\tO' +p240518 +aS'.\t.\t.\tO\tO' +p240519 +asS'She was diagnosed in 1991 during the birth of her child .' +p240520 +(lp240521 +S'She\tShe\tPRP\tB-NP\tO' +p240522 +aS'was\tbe\tVBD\tB-VP\tO' +p240523 +aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' +p240524 +aS'in\tin\tIN\tB-PP\tO' +p240525 +aS'1991\t1991\tCD\tB-NP\tO' +p240526 +aS'during\tduring\tIN\tB-PP\tO' +p240527 +aS'the\tthe\tDT\tB-NP\tO' +p240528 +aS'birth\tbirth\tNN\tI-NP\tO' +p240529 +aS'of\tof\tIN\tB-PP\tO' +p240530 +aS'her\ther\tPRP$\tB-NP\tO' +p240531 +aS'child\tchild\tNN\tI-NP\tO' +p240532 +aS'.\t.\t.\tO\tO' +p240533 +asS'The day prior to admission , he experienced dyspnea on exertion , and on the day of admission he collapsed and complained of substantial weakness .' +p240534 +(lp240535 +S'The\tThe\tDT\tB-NP\tO' +p240536 +aS'day\tday\tNN\tI-NP\tO' +p240537 +aS'prior\tprior\tRB\tB-ADVP\tO' +p240538 +aS'to\tto\tTO\tB-PP\tO' +p240539 +aS'admission\tadmission\tNN\tB-NP\tO' +p240540 +aS',\t,\t,\tO\tO' +p240541 +aS'he\the\tPRP\tB-NP\tO' +p240542 +aS'experienced\texperience\tVBD\tB-VP\tO' +p240543 +aS'dyspnea\tdyspnea\tNN\tB-NP\tO' +p240544 +aS'on\ton\tIN\tB-PP\tO' +p240545 +aS'exertion\texertion\tNN\tB-NP\tO' +p240546 +aS',\t,\t,\tB-PP\tO' +p240547 +aS'and\tand\tCC\tI-PP\tO' +p240548 +aS'on\ton\tIN\tB-PP\tO' +p240549 +aS'the\tthe\tDT\tB-NP\tO' +p240550 +aS'day\tday\tNN\tI-NP\tO' +p240551 +aS'of\tof\tIN\tB-PP\tO' +p240552 +aS'admission\tadmission\tNN\tB-NP\tO' +p240553 +aS'he\the\tPRP\tB-NP\tO' +p240554 +aS'collapsed\tcollapse\tVBD\tB-VP\tO' +p240555 +aS'and\tand\tCC\tO\tO' +p240556 +aS'complained\tcomplain\tVBD\tB-VP\tO' +p240557 +aS'of\tof\tIN\tB-PP\tO' +p240558 +aS'substantial\tsubstantial\tJJ\tB-NP\tO' +p240559 +aS'weakness\tweakness\tNN\tI-NP\tO' +p240560 +aS'.\t.\t.\tO\tO' +p240561 +asS"Over the following 5 days , the patient 's creatinine improved marginally to 2.7 ." +p240562 +(lp240563 +S'Over\tOver\tIN\tB-PP\tO' +p240564 +aS'the\tthe\tDT\tB-NP\tO' +p240565 +aS'following\tfollow\tVBG\tI-NP\tO' +p240566 +aS'5\t5\tCD\tI-NP\tO' +p240567 +aS'days\tday\tNNS\tI-NP\tO' +p240568 +aS',\t,\t,\tO\tO' +p240569 +aS'the\tthe\tDT\tB-NP\tO' +p240570 +aS'patient\tpatient\tNN\tI-NP\tO' +p240571 +aS"'s\t's\tPOS\tB-NP\tO" +p240572 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p240573 +aS'improved\timprove\tVBD\tB-VP\tO' +p240574 +aS'marginally\tmarginally\tRB\tB-ADVP\tO' +p240575 +aS'to\tto\tTO\tB-PP\tO' +p240576 +aS'2.7\t2.7\tCD\tB-NP\tO' +p240577 +aS'.\t.\t.\tO\tO' +p240578 +asS'She lives alone .' +p240579 +(lp240580 +S'She\tShe\tPRP\tB-NP\tO' +p240581 +aS'lives\tlive\tVBZ\tB-VP\tO' +p240582 +aS'alone\talone\tRB\tB-ADVP\tO' +p240583 +aS'.\t.\t.\tO\tO' +p240584 +asS'No le edema .' +p240585 +(lp240586 +S'No\tNo\tDT\tB-NP\tO' +p240587 +aS'le\tle\tJJ\tI-NP\tO' +p240588 +aS'edema\tedema\tNN\tI-NP\tO' +p240589 +aS'.\t.\t.\tO\tO' +p240590 +asS'On physical examination , she was a very pleasant , moderately obese female in no apparent distress .' +p240591 +(lp240592 +S'On\tOn\tIN\tB-PP\tO' +p240593 +aS'physical\tphysical\tJJ\tB-NP\tO' +p240594 +aS'examination\texamination\tNN\tI-NP\tO' +p240595 +aS',\t,\t,\tO\tO' +p240596 +aS'she\tshe\tPRP\tB-NP\tO' +p240597 +aS'was\tbe\tVBD\tB-VP\tO' +p240598 +aS'a\ta\tDT\tB-NP\tO' +p240599 +aS'very\tvery\tRB\tI-NP\tO' +p240600 +aS'pleasant\tpleasant\tJJ\tI-NP\tO' +p240601 +aS',\t,\t,\tI-NP\tO' +p240602 +aS'moderately\tmoderately\tRB\tI-NP\tO' +p240603 +aS'obese\tobese\tJJ\tI-NP\tO' +p240604 +aS'female\tfemale\tNN\tI-NP\tO' +p240605 +aS'in\tin\tIN\tB-PP\tO' +p240606 +aS'no\tno\tDT\tB-NP\tO' +p240607 +aS'apparent\tapparent\tJJ\tI-NP\tO' +p240608 +aS'distress\tdistress\tNN\tI-NP\tO' +p240609 +aS'.\t.\t.\tO\tO' +p240610 +asS'Hepatitis B vaccine given 06-17 .' +p240611 +(lp240612 +S'Hepatitis\tHepatitis\tNN\tB-NP\tO' +p240613 +aS'B\tB\tNN\tI-NP\tO' +p240614 +aS'vaccine\tvaccine\tNN\tI-NP\tO' +p240615 +aS'given\tgive\tVBN\tB-VP\tO' +p240616 +aS'06-17\t06-17\tCD\tB-NP\tO' +p240617 +aS'.\t.\t.\tO\tO' +p240618 +asS'The patient was started on Amphotericine at .6 mg / kg for a total of 250 mg for positive blood cultures for candida .' +p240619 +(lp240620 +S'The\tThe\tDT\tB-NP\tO' +p240621 +aS'patient\tpatient\tNN\tI-NP\tO' +p240622 +aS'was\tbe\tVBD\tB-VP\tO' +p240623 +aS'started\tstart\tVBN\tI-VP\tO' +p240624 +aS'on\ton\tIN\tB-PP\tO' +p240625 +aS'Amphotericine\tAmphotericine\tNN\tB-NP\tO' +p240626 +aS'at\tat\tIN\tB-PP\tO' +p240627 +aS'.6\t.6\tCD\tB-NP\tO' +p240628 +aS'mg\tmg\tNN\tI-NP\tO' +p240629 +aS'/\t/\tSYM\tB-NP\tO' +p240630 +aS'kg\tkg\tNN\tI-NP\tO' +p240631 +aS'for\tfor\tIN\tB-PP\tO' +p240632 +aS'a\ta\tDT\tB-NP\tO' +p240633 +aS'total\ttotal\tNN\tI-NP\tO' +p240634 +aS'of\tof\tIN\tB-PP\tO' +p240635 +aS'250\t250\tCD\tB-NP\tO' +p240636 +aS'mg\tmg\tNN\tI-NP\tO' +p240637 +aS'for\tfor\tIN\tB-PP\tO' +p240638 +aS'positive\tpositive\tJJ\tB-NP\tO' +p240639 +aS'blood\tblood\tNN\tI-NP\tO' +p240640 +aS'cultures\tculture\tNNS\tI-NP\tO' +p240641 +aS'for\tfor\tIN\tB-PP\tO' +p240642 +aS'candida\tcandida\tNN\tB-NP\tO' +p240643 +aS'.\t.\t.\tO\tO' +p240644 +asS'2016-03-22 CXR : moderate cardiomegaly without CHF , no effusions , left retrocardiac opacity consistent with atelectasis vs. consolidation' +p240645 +(lp240646 +S'2016-03-22\t2016-03-22\tCD\tB-NP\tO' +p240647 +aS'CXR\tCXR\tNN\tI-NP\tB-protein' +p240648 +aS':\t:\t:\tO\tO' +p240649 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p240650 +aS'cardiomegaly\tcardiomegaly\tNN\tI-NP\tO' +p240651 +aS'without\twithout\tIN\tB-PP\tO' +p240652 +aS'CHF\tCHF\tNN\tB-NP\tB-protein' +p240653 +aS',\t,\t,\tO\tO' +p240654 +aS'no\tno\tDT\tB-NP\tO' +p240655 +aS'effusions\teffusion\tNNS\tI-NP\tO' +p240656 +aS',\t,\t,\tO\tO' +p240657 +aS'left\tleave\tVBD\tB-VP\tO' +p240658 +aS'retrocardiac\tretrocardiac\tJJ\tB-NP\tO' +p240659 +aS'opacity\topacity\tNN\tI-NP\tO' +p240660 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p240661 +aS'with\twith\tIN\tB-PP\tO' +p240662 +aS'atelectasis\tatelectasis\tNN\tB-NP\tO' +p240663 +aS'vs.\tvs.\tIN\tB-PP\tO' +p240664 +aS'consolidation\tconsolidation\tNN\tB-NP\tO' +p240665 +asS'The patient is to be discharged to home .' +p240666 +(lp240667 +S'The\tThe\tDT\tB-NP\tO' +p240668 +aS'patient\tpatient\tNN\tI-NP\tO' +p240669 +aS'is\tbe\tVBZ\tB-VP\tO' +p240670 +aS'to\tto\tTO\tI-VP\tO' +p240671 +aS'be\tbe\tVB\tI-VP\tO' +p240672 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p240673 +aS'to\tto\tTO\tB-PP\tO' +p240674 +aS'home\thome\tNN\tB-NP\tO' +p240675 +aS'.\t.\t.\tO\tO' +p240676 +asS'However , given the long duration of the symptoms and negative workup in the past , it was thought to be unlikely .' +p240677 +(lp240678 +S'However\tHowever\tRB\tB-ADVP\tO' +p240679 +aS',\t,\t,\tO\tO' +p240680 +aS'given\tgive\tVBN\tB-PP\tO' +p240681 +aS'the\tthe\tDT\tB-NP\tO' +p240682 +aS'long\tlong\tJJ\tI-NP\tO' +p240683 +aS'duration\tduration\tNN\tI-NP\tO' +p240684 +aS'of\tof\tIN\tB-PP\tO' +p240685 +aS'the\tthe\tDT\tB-NP\tO' +p240686 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p240687 +aS'and\tand\tCC\tO\tO' +p240688 +aS'negative\tnegative\tJJ\tB-NP\tO' +p240689 +aS'workup\tworkup\tNN\tI-NP\tO' +p240690 +aS'in\tin\tIN\tB-PP\tO' +p240691 +aS'the\tthe\tDT\tB-NP\tO' +p240692 +aS'past\tpast\tNN\tI-NP\tO' +p240693 +aS',\t,\t,\tO\tO' +p240694 +aS'it\tit\tPRP\tB-NP\tO' +p240695 +aS'was\tbe\tVBD\tB-VP\tO' +p240696 +aS'thought\tthink\tVBN\tI-VP\tO' +p240697 +aS'to\tto\tTO\tI-VP\tO' +p240698 +aS'be\tbe\tVB\tI-VP\tO' +p240699 +aS'unlikely\tunlikely\tJJ\tB-ADJP\tO' +p240700 +aS'.\t.\t.\tO\tO' +p240701 +asS'16. Tacrolimus 5 mg Capsule Sig : Two ( 2 ) Capsule PO Q12H ( every 12 hours ) .' +p240702 +(lp240703 +S'16.\t16.\tCD\tB-NP\tO' +p240704 +aS'Tacrolimus\tTacrolimus\tNNP\tI-NP\tO' +p240705 +aS'5\t5\tCD\tI-NP\tO' +p240706 +aS'mg\tmg\tNN\tI-NP\tO' +p240707 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p240708 +aS'Sig\tSig\tNNP\tI-NP\tO' +p240709 +aS':\t:\t:\tO\tO' +p240710 +aS'Two\tTwo\tCD\tB-NP\tO' +p240711 +aS'(\t(\t(\tO\tO' +p240712 +aS'2\t2\tCD\tB-NP\tO' +p240713 +aS')\t)\t)\tO\tO' +p240714 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p240715 +aS'PO\tPO\tNN\tI-NP\tO' +p240716 +aS'Q12H\tQ12H\tNN\tI-NP\tO' +p240717 +aS'(\t(\t(\tO\tO' +p240718 +aS'every\tevery\tDT\tB-NP\tO' +p240719 +aS'12\t12\tCD\tI-NP\tO' +p240720 +aS'hours\thour\tNNS\tI-NP\tO' +p240721 +aS')\t)\t)\tO\tO' +p240722 +aS'.\t.\t.\tO\tO' +p240723 +asS'Ins / outs and electrolytes were monitored and were not abnormal ; he was on a bowel regimen , VD boots and PUD prophylaxis with protonix during the admission .' +p240724 +(lp240725 +S'Ins\tIn\tNNS\tB-NP\tB-protein' +p240726 +aS'/\t/\tSYM\tB-NP\tO' +p240727 +aS'outs\tout\tNNS\tI-NP\tO' +p240728 +aS'and\tand\tCC\tI-NP\tO' +p240729 +aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' +p240730 +aS'were\tbe\tVBD\tB-VP\tO' +p240731 +aS'monitored\tmonitor\tVBN\tI-VP\tO' +p240732 +aS'and\tand\tCC\tO\tO' +p240733 +aS'were\tbe\tVBD\tB-VP\tO' +p240734 +aS'not\tnot\tRB\tO\tO' +p240735 +aS'abnormal\tabnormal\tJJ\tB-ADJP\tO' +p240736 +aS';\t;\t:\tO\tO' +p240737 +aS'he\the\tPRP\tB-NP\tO' +p240738 +aS'was\tbe\tVBD\tB-VP\tO' +p240739 +aS'on\ton\tIN\tB-PP\tO' +p240740 +aS'a\ta\tDT\tB-NP\tO' +p240741 +aS'bowel\tbowel\tNN\tI-NP\tO' +p240742 +aS'regimen\tregimen\tNN\tI-NP\tO' +p240743 +aS',\t,\t,\tO\tO' +p240744 +aS'VD\tVD\tNN\tB-NP\tO' +p240745 +aS'boots\tboot\tNNS\tI-NP\tO' +p240746 +aS'and\tand\tCC\tO\tO' +p240747 +aS'PUD\tPUD\tNN\tB-NP\tO' +p240748 +aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' +p240749 +aS'with\twith\tIN\tB-PP\tO' +p240750 +aS'protonix\tprotonix\tNN\tB-NP\tO' +p240751 +aS'during\tduring\tIN\tB-PP\tO' +p240752 +aS'the\tthe\tDT\tB-NP\tO' +p240753 +aS'admission\tadmission\tNN\tI-NP\tO' +p240754 +aS'.\t.\t.\tO\tO' +p240755 +asS'We believe that the patient is able to be discharged and to follow up with Dr. Sandra Rose , addiction services as an outpatient .' +p240756 +(lp240757 +S'We\tWe\tPRP\tB-NP\tO' +p240758 +aS'believe\tbelieve\tVBP\tB-VP\tO' +p240759 +aS'that\tthat\tIN\tB-SBAR\tO' +p240760 +aS'the\tthe\tDT\tB-NP\tO' +p240761 +aS'patient\tpatient\tNN\tI-NP\tO' +p240762 +aS'is\tbe\tVBZ\tB-VP\tO' +p240763 +aS'able\table\tJJ\tB-ADJP\tO' +p240764 +aS'to\tto\tTO\tB-VP\tO' +p240765 +aS'be\tbe\tVB\tI-VP\tO' +p240766 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p240767 +aS'and\tand\tCC\tO\tO' +p240768 +aS'to\tto\tTO\tB-VP\tO' +p240769 +aS'follow\tfollow\tVB\tI-VP\tO' +p240770 +aS'up\tup\tRP\tB-PRT\tO' +p240771 +aS'with\twith\tIN\tB-PP\tO' +p240772 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p240773 +aS'Sandra\tSandra\tNNP\tI-NP\tO' +p240774 +aS'Rose\tRose\tNNP\tI-NP\tO' +p240775 +aS',\t,\t,\tO\tO' +p240776 +aS'addiction\taddiction\tNN\tB-NP\tO' +p240777 +aS'services\tservice\tNNS\tI-NP\tO' +p240778 +aS'as\tas\tIN\tB-PP\tO' +p240779 +aS'an\tan\tDT\tB-NP\tO' +p240780 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p240781 +aS'.\t.\t.\tO\tO' +p240782 +asS'He was sent home with a PICC line and IV antibiotics .' +p240783 +(lp240784 +S'He\tHe\tPRP\tB-NP\tO' +p240785 +aS'was\tbe\tVBD\tB-VP\tO' +p240786 +aS'sent\tsend\tVBN\tI-VP\tO' +p240787 +aS'home\thome\tNN\tB-ADVP\tO' +p240788 +aS'with\twith\tIN\tB-PP\tO' +p240789 +aS'a\ta\tDT\tB-NP\tO' +p240790 +aS'PICC\tPICC\tNN\tI-NP\tB-cell_line' +p240791 +aS'line\tline\tNN\tI-NP\tI-cell_line' +p240792 +aS'and\tand\tCC\tO\tO' +p240793 +aS'IV\tIV\tCD\tB-NP\tO' +p240794 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p240795 +aS'.\t.\t.\tO\tO' +p240796 +asS'Prior to this patient could walk upstairs but now cannot .' +p240797 +(lp240798 +S'Prior\tPrior\tRB\tB-ADVP\tO' +p240799 +aS'to\tto\tTO\tB-PP\tO' +p240800 +aS'this\tthis\tDT\tB-NP\tO' +p240801 +aS'patient\tpatient\tNN\tI-NP\tO' +p240802 +aS'could\tcould\tMD\tB-VP\tO' +p240803 +aS'walk\twalk\tVB\tI-VP\tO' +p240804 +aS'upstairs\tupstairs\tRB\tB-ADVP\tO' +p240805 +aS'but\tbut\tCC\tI-ADVP\tO' +p240806 +aS'now\tnow\tRB\tI-ADVP\tO' +p240807 +aS'cannot\tcannot\tRB\tI-ADVP\tO' +p240808 +aS'.\t.\t.\tO\tO' +p240809 +asS'The cefotaxime was discontinued since no infection was identified .' +p240810 +(lp240811 +S'The\tThe\tDT\tB-NP\tO' +p240812 +aS'cefotaxime\tcefotaxime\tNN\tI-NP\tO' +p240813 +aS'was\tbe\tVBD\tB-VP\tO' +p240814 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p240815 +aS'since\tsince\tIN\tB-PP\tO' +p240816 +aS'no\tno\tDT\tB-NP\tO' +p240817 +aS'infection\tinfection\tNN\tI-NP\tO' +p240818 +aS'was\tbe\tVBD\tB-VP\tO' +p240819 +aS'identified\tidentify\tVBN\tI-VP\tO' +p240820 +aS'.\t.\t.\tO\tO' +p240821 +asS'Foley catheter for strict monitoring of ins and outs .' +p240822 +(lp240823 +S'Foley\tFoley\tJJ\tB-NP\tO' +p240824 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p240825 +aS'for\tfor\tIN\tB-PP\tO' +p240826 +aS'strict\tstrict\tJJ\tB-NP\tO' +p240827 +aS'monitoring\tmonitoring\tNN\tI-NP\tO' +p240828 +aS'of\tof\tIN\tB-PP\tO' +p240829 +aS'ins\tin\tNNS\tB-NP\tO' +p240830 +aS'and\tand\tCC\tI-NP\tO' +p240831 +aS'outs\tout\tNNS\tI-NP\tO' +p240832 +aS'.\t.\t.\tO\tO' +p240833 +asS'The patient was seen by both Gastroenterology and Oncology .' +p240834 +(lp240835 +S'The\tThe\tDT\tB-NP\tO' +p240836 +aS'patient\tpatient\tNN\tI-NP\tO' +p240837 +aS'was\tbe\tVBD\tB-VP\tO' +p240838 +aS'seen\tsee\tVBN\tI-VP\tO' +p240839 +aS'by\tby\tIN\tB-PP\tO' +p240840 +aS'both\tboth\tDT\tB-NP\tO' +p240841 +aS'Gastroenterology\tGastroenterology\tNNP\tI-NP\tO' +p240842 +aS'and\tand\tCC\tI-NP\tO' +p240843 +aS'Oncology\tOncology\tNNP\tI-NP\tO' +p240844 +aS'.\t.\t.\tO\tO' +p240845 +asS'On the second hospital day , her gait continued to be markedly unstable , although with no consistent pattern in terms of weakness or directionality of falling , and she continued to have no reproducible upper extremity or lower extremity ataxia or dysmetria .' +p240846 +(lp240847 +S'On\tOn\tIN\tB-PP\tO' +p240848 +aS'the\tthe\tDT\tB-NP\tO' +p240849 +aS'second\tsecond\tJJ\tI-NP\tO' +p240850 +aS'hospital\thospital\tNN\tI-NP\tO' +p240851 +aS'day\tday\tNN\tI-NP\tO' +p240852 +aS',\t,\t,\tO\tO' +p240853 +aS'her\ther\tPRP$\tB-NP\tO' +p240854 +aS'gait\tgait\tNN\tI-NP\tO' +p240855 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p240856 +aS'to\tto\tTO\tI-VP\tO' +p240857 +aS'be\tbe\tVB\tI-VP\tO' +p240858 +aS'markedly\tmarkedly\tRB\tB-ADJP\tO' +p240859 +aS'unstable\tunstable\tJJ\tI-ADJP\tO' +p240860 +aS',\t,\t,\tO\tO' +p240861 +aS'although\talthough\tIN\tB-SBAR\tO' +p240862 +aS'with\twith\tIN\tB-PP\tO' +p240863 +aS'no\tno\tDT\tB-NP\tO' +p240864 +aS'consistent\tconsistent\tJJ\tI-NP\tO' +p240865 +aS'pattern\tpattern\tNN\tI-NP\tO' +p240866 +aS'in\tin\tIN\tB-PP\tO' +p240867 +aS'terms\tterm\tNNS\tB-NP\tO' +p240868 +aS'of\tof\tIN\tB-PP\tO' +p240869 +aS'weakness\tweakness\tNN\tB-NP\tO' +p240870 +aS'or\tor\tCC\tI-NP\tO' +p240871 +aS'directionality\tdirectionality\tNN\tI-NP\tO' +p240872 +aS'of\tof\tIN\tB-PP\tO' +p240873 +aS'falling\tfall\tVBG\tB-NP\tO' +p240874 +aS',\t,\t,\tO\tO' +p240875 +aS'and\tand\tCC\tO\tO' +p240876 +aS'she\tshe\tPRP\tB-NP\tO' +p240877 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p240878 +aS'to\tto\tTO\tI-VP\tO' +p240879 +aS'have\thave\tVB\tI-VP\tO' +p240880 +aS'no\tno\tDT\tB-NP\tO' +p240881 +aS'reproducible\treproducible\tJJ\tI-NP\tO' +p240882 +aS'upper\tupper\tJJ\tI-NP\tO' +p240883 +aS'extremity\textremity\tNN\tI-NP\tO' +p240884 +aS'or\tor\tCC\tO\tO' +p240885 +aS'lower\tlow\tJJR\tB-NP\tO' +p240886 +aS'extremity\textremity\tNN\tI-NP\tO' +p240887 +aS'ataxia\tataxia\tNN\tI-NP\tO' +p240888 +aS'or\tor\tCC\tI-NP\tO' +p240889 +aS'dysmetria\tdysmetria\tNN\tI-NP\tO' +p240890 +aS'.\t.\t.\tO\tO' +p240891 +asS'The mother had received a complete course of betamethasone prior to delivery .' +p240892 +(lp240893 +S'The\tThe\tDT\tB-NP\tO' +p240894 +aS'mother\tmother\tNN\tI-NP\tO' +p240895 +aS'had\thave\tVBD\tB-VP\tO' +p240896 +aS'received\treceive\tVBN\tI-VP\tO' +p240897 +aS'a\ta\tDT\tB-NP\tO' +p240898 +aS'complete\tcomplete\tJJ\tI-NP\tO' +p240899 +aS'course\tcourse\tNN\tI-NP\tO' +p240900 +aS'of\tof\tIN\tB-PP\tO' +p240901 +aS'betamethasone\tbetamethasone\tNN\tB-NP\tO' +p240902 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p240903 +aS'to\tto\tTO\tB-PP\tO' +p240904 +aS'delivery\tdelivery\tNN\tB-NP\tO' +p240905 +aS'.\t.\t.\tO\tO' +p240906 +asS'This report was created by AYREKEMPE , NONOK 01/09/2002 05:09 PM' +p240907 +(lp240908 +S'This\tThis\tDT\tB-NP\tO' +p240909 +aS'report\treport\tNN\tI-NP\tO' +p240910 +aS'was\tbe\tVBD\tB-VP\tO' +p240911 +aS'created\tcreate\tVBN\tI-VP\tO' +p240912 +aS'by\tby\tIN\tB-PP\tO' +p240913 +aS'AYREKEMPE\tAYREKEMPE\tNN\tB-NP\tO' +p240914 +aS',\t,\t,\tO\tO' +p240915 +aS'NONOK\tNONOK\tNN\tB-NP\tO' +p240916 +aS'01/09/2002\t01/09/2002\tCD\tI-NP\tO' +p240917 +aS'05:09\t05:09\tCD\tI-NP\tO' +p240918 +aS'PM\tPM\tNN\tI-NP\tO' +p240919 +asS'2. Aspirin / dipyridamole 25/200 mg capsules taken two times a day .' +p240920 +(lp240921 +S'2.\t2.\tLS\tB-NP\tO' +p240922 +aS'Aspirin\tAspirin\tNN\tI-NP\tO' +p240923 +aS'/\t/\tSYM\tB-VP\tO' +p240924 +aS'dipyridamole\tdipyridamole\tNN\tB-NP\tO' +p240925 +aS'25/200\t25/200\tCD\tI-NP\tO' +p240926 +aS'mg\tmg\tNN\tI-NP\tO' +p240927 +aS'capsules\tcapsule\tNNS\tI-NP\tO' +p240928 +aS'taken\ttake\tVBN\tB-VP\tO' +p240929 +aS'two\ttwo\tCD\tB-NP\tO' +p240930 +aS'times\ttime\tNNS\tI-NP\tO' +p240931 +aS'a\ta\tDT\tB-NP\tO' +p240932 +aS'day\tday\tNN\tI-NP\tO' +p240933 +aS'.\t.\t.\tO\tO' +p240934 +asS'This was thought to be related to musculoskeletal .' +p240935 +(lp240936 +S'This\tThis\tDT\tB-NP\tO' +p240937 +aS'was\tbe\tVBD\tB-VP\tO' +p240938 +aS'thought\tthink\tVBN\tI-VP\tO' +p240939 +aS'to\tto\tTO\tI-VP\tO' +p240940 +aS'be\tbe\tVB\tI-VP\tO' +p240941 +aS'related\trelated\tJJ\tB-ADJP\tO' +p240942 +aS'to\tto\tTO\tB-PP\tO' +p240943 +aS'musculoskeletal\tmusculoskeletal\tJJ\tB-ADJP\tO' +p240944 +aS'.\t.\t.\tO\tO' +p240945 +asS'Mr. Roach was on Pneumo boots spontaneous compression devices for deep venous thrombosis prophylaxis .' +p240946 +(lp240947 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p240948 +aS'Roach\tRoach\tNNP\tI-NP\tO' +p240949 +aS'was\tbe\tVBD\tB-VP\tO' +p240950 +aS'on\ton\tIN\tB-PP\tO' +p240951 +aS'Pneumo\tPneumo\tNNP\tB-NP\tO' +p240952 +aS'boots\tboot\tNNS\tI-NP\tO' +p240953 +aS'spontaneous\tspontaneous\tJJ\tB-NP\tO' +p240954 +aS'compression\tcompression\tNN\tI-NP\tO' +p240955 +aS'devices\tdevice\tNNS\tI-NP\tO' +p240956 +aS'for\tfor\tIN\tB-PP\tO' +p240957 +aS'deep\tdeep\tJJ\tB-NP\tO' +p240958 +aS'venous\tvenous\tJJ\tI-NP\tO' +p240959 +aS'thrombosis\tthrombosis\tNN\tI-NP\tO' +p240960 +aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' +p240961 +aS'.\t.\t.\tO\tO' +p240962 +asS'His EKG was notable for right bundle branch block , left axis deviation , but was in sinus rhythm .' +p240963 +(lp240964 +S'His\tHis\tPRP$\tB-NP\tO' +p240965 +aS'EKG\tEKG\tNN\tI-NP\tB-protein' +p240966 +aS'was\tbe\tVBD\tB-VP\tO' +p240967 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p240968 +aS'for\tfor\tIN\tB-PP\tO' +p240969 +aS'right\tright\tJJ\tB-NP\tO' +p240970 +aS'bundle\tbundle\tNN\tI-NP\tO' +p240971 +aS'branch\tbranch\tNN\tI-NP\tO' +p240972 +aS'block\tblock\tNN\tI-NP\tO' +p240973 +aS',\t,\t,\tO\tO' +p240974 +aS'left\tleave\tVBD\tB-VP\tO' +p240975 +aS'axis\taxis\tNN\tB-NP\tO' +p240976 +aS'deviation\tdeviation\tNN\tI-NP\tO' +p240977 +aS',\t,\t,\tO\tO' +p240978 +aS'but\tbut\tCC\tO\tO' +p240979 +aS'was\tbe\tVBD\tB-VP\tO' +p240980 +aS'in\tin\tIN\tB-PP\tO' +p240981 +aS'sinus\tsinus\tNN\tB-NP\tO' +p240982 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p240983 +aS'.\t.\t.\tO\tO' +p240984 +asS'Cardiac size is normal .' +p240985 +(lp240986 +S'Cardiac\tCardiac\tJJ\tB-NP\tO' +p240987 +aS'size\tsize\tNN\tI-NP\tO' +p240988 +aS'is\tbe\tVBZ\tB-VP\tO' +p240989 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p240990 +aS'.\t.\t.\tO\tO' +p240991 +asS'Deep tendon reflexes were symmetrical in all extremities .' +p240992 +(lp240993 +S'Deep\tDeep\tJJ\tB-NP\tO' +p240994 +aS'tendon\ttendon\tNN\tI-NP\tO' +p240995 +aS'reflexes\treflex\tNNS\tI-NP\tO' +p240996 +aS'were\tbe\tVBD\tB-VP\tO' +p240997 +aS'symmetrical\tsymmetrical\tJJ\tB-ADJP\tO' +p240998 +aS'in\tin\tIN\tB-PP\tO' +p240999 +aS'all\tall\tDT\tB-NP\tO' +p241000 +aS'extremities\textremity\tNNS\tI-NP\tO' +p241001 +aS'.\t.\t.\tO\tO' +p241002 +asS'Transferred to floor on day of admission with no acute medical issues ; awaiting psych eval .' +p241003 +(lp241004 +S'Transferred\tTransfer\tVBN\tB-VP\tO' +p241005 +aS'to\tto\tTO\tB-PP\tO' +p241006 +aS'floor\tfloor\tNN\tB-NP\tO' +p241007 +aS'on\ton\tIN\tB-PP\tO' +p241008 +aS'day\tday\tNN\tB-NP\tO' +p241009 +aS'of\tof\tIN\tB-PP\tO' +p241010 +aS'admission\tadmission\tNN\tB-NP\tO' +p241011 +aS'with\twith\tIN\tB-PP\tO' +p241012 +aS'no\tno\tDT\tB-NP\tO' +p241013 +aS'acute\tacute\tJJ\tI-NP\tO' +p241014 +aS'medical\tmedical\tJJ\tI-NP\tO' +p241015 +aS'issues\tissue\tNNS\tI-NP\tO' +p241016 +aS';\t;\t:\tO\tO' +p241017 +aS'awaiting\tawait\tVBG\tB-VP\tO' +p241018 +aS'psych\tpsych\tNN\tB-NP\tO' +p241019 +aS'eval\teval\tNN\tI-NP\tO' +p241020 +aS'.\t.\t.\tO\tO' +p241021 +asS'Pt was therefore discharged home in stable condition , voiding , ambulating and eating without difficulty .' +p241022 +(lp241023 +S'Pt\tPt\tNN\tB-NP\tO' +p241024 +aS'was\tbe\tVBD\tB-VP\tO' +p241025 +aS'therefore\ttherefore\tRB\tI-VP\tO' +p241026 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p241027 +aS'home\thome\tNN\tB-NP\tO' +p241028 +aS'in\tin\tIN\tB-PP\tO' +p241029 +aS'stable\tstable\tJJ\tB-NP\tO' +p241030 +aS'condition\tcondition\tNN\tI-NP\tO' +p241031 +aS',\t,\t,\tO\tO' +p241032 +aS'voiding\tvoiding\tNN\tB-NP\tO' +p241033 +aS',\t,\t,\tO\tO' +p241034 +aS'ambulating\tambulate\tVBG\tB-VP\tO' +p241035 +aS'and\tand\tCC\tI-VP\tO' +p241036 +aS'eating\teat\tVBG\tI-VP\tO' +p241037 +aS'without\twithout\tIN\tB-PP\tO' +p241038 +aS'difficulty\tdifficulty\tNN\tB-NP\tO' +p241039 +aS'.\t.\t.\tO\tO' +p241040 +asS'He did well in immediate post-op period was extubated and on POD1 he was transferred to the step down floor .' +p241041 +(lp241042 +S'He\tHe\tPRP\tB-NP\tO' +p241043 +aS'did\tdo\tVBD\tB-VP\tO' +p241044 +aS'well\twell\tRB\tB-ADVP\tO' +p241045 +aS'in\tin\tIN\tB-PP\tO' +p241046 +aS'immediate\timmediate\tJJ\tB-NP\tO' +p241047 +aS'post-op\tpost-op\tJJ\tI-NP\tO' +p241048 +aS'period\tperiod\tNN\tI-NP\tO' +p241049 +aS'was\tbe\tVBD\tB-VP\tO' +p241050 +aS'extubated\textubate\tVBN\tI-VP\tO' +p241051 +aS'and\tand\tCC\tO\tO' +p241052 +aS'on\ton\tIN\tB-PP\tO' +p241053 +aS'POD1\tPOD1\tNN\tB-NP\tB-protein' +p241054 +aS'he\the\tPRP\tB-NP\tO' +p241055 +aS'was\tbe\tVBD\tB-VP\tO' +p241056 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p241057 +aS'to\tto\tTO\tB-PP\tO' +p241058 +aS'the\tthe\tDT\tB-NP\tO' +p241059 +aS'step\tstep\tNN\tI-NP\tO' +p241060 +aS'down\tdown\tIN\tB-PP\tO' +p241061 +aS'floor\tfloor\tNN\tB-NP\tO' +p241062 +aS'.\t.\t.\tO\tO' +p241063 +asS'3. Metoprolol Tartrate 50 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ).' +p241064 +(lp241065 +S'3.\t3.\tLS\tB-NP\tO' +p241066 +aS'Metoprolol\tMetoprolol\tNN\tI-NP\tO' +p241067 +aS'Tartrate\tTartrate\tNN\tI-NP\tO' +p241068 +aS'50\t50\tCD\tI-NP\tO' +p241069 +aS'mg\tmg\tNN\tI-NP\tO' +p241070 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p241071 +aS'Sig\tSig\tNNP\tI-NP\tO' +p241072 +aS':\t:\t:\tO\tO' +p241073 +aS'One\tOne\tCD\tB-NP\tO' +p241074 +aS'(\t(\t(\tO\tO' +p241075 +aS'1\t1\tCD\tB-NP\tO' +p241076 +aS')\t)\t)\tO\tO' +p241077 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p241078 +aS'PO\tPO\tNN\tI-NP\tO' +p241079 +aS'BID\tBID\tNN\tI-NP\tO' +p241080 +aS'(\t(\t(\tO\tO' +p241081 +aS'2\t2\tCD\tB-NP\tO' +p241082 +aS'times\ttime\tNNS\tI-NP\tO' +p241083 +aS'a\ta\tDT\tB-NP\tO' +p241084 +aS'day\tday\tNN\tI-NP\tO' +p241085 +aS').\t).\t.\tO\tO' +p241086 +asS'There were some very rare atrial premature contractions .' +p241087 +(lp241088 +S'There\tThere\tEX\tB-NP\tO' +p241089 +aS'were\tbe\tVBD\tB-VP\tO' +p241090 +aS'some\tsome\tDT\tB-NP\tO' +p241091 +aS'very\tvery\tRB\tI-NP\tO' +p241092 +aS'rare\trare\tJJ\tI-NP\tO' +p241093 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p241094 +aS'premature\tpremature\tJJ\tI-NP\tO' +p241095 +aS'contractions\tcontraction\tNNS\tI-NP\tO' +p241096 +aS'.\t.\t.\tO\tO' +p241097 +asS'LDAMC services were set-up for care of his IR drains .' +p241098 +(lp241099 +S'LDAMC\tLDAMC\tNN\tB-NP\tO' +p241100 +aS'services\tservice\tNNS\tI-NP\tO' +p241101 +aS'were\tbe\tVBD\tB-VP\tO' +p241102 +aS'set-up\tset-up\tJJ\tB-ADJP\tO' +p241103 +aS'for\tfor\tIN\tB-PP\tO' +p241104 +aS'care\tcare\tNN\tB-NP\tO' +p241105 +aS'of\tof\tIN\tB-PP\tO' +p241106 +aS'his\this\tPRP$\tB-NP\tO' +p241107 +aS'IR\tIR\tNN\tI-NP\tB-protein' +p241108 +aS'drains\tdrain\tNNS\tI-NP\tI-protein' +p241109 +aS'.\t.\t.\tO\tO' +p241110 +asS'The history is also notable for gallstones , kidney stones , episodic tachycardia , chronic pancreatitis .' +p241111 +(lp241112 +S'The\tThe\tDT\tB-NP\tO' +p241113 +aS'history\thistory\tNN\tI-NP\tO' +p241114 +aS'is\tbe\tVBZ\tB-VP\tO' +p241115 +aS'also\talso\tRB\tB-ADVP\tO' +p241116 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p241117 +aS'for\tfor\tIN\tB-PP\tO' +p241118 +aS'gallstones\tgallstone\tNNS\tB-NP\tO' +p241119 +aS',\t,\t,\tO\tO' +p241120 +aS'kidney\tkidney\tNN\tB-NP\tO' +p241121 +aS'stones\tstone\tNNS\tI-NP\tO' +p241122 +aS',\t,\t,\tO\tO' +p241123 +aS'episodic\tepisodic\tJJ\tB-NP\tO' +p241124 +aS'tachycardia\ttachycardia\tNN\tI-NP\tO' +p241125 +aS',\t,\t,\tO\tO' +p241126 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p241127 +aS'pancreatitis\tpancreatitis\tNN\tI-NP\tO' +p241128 +aS'.\t.\t.\tO\tO' +p241129 +asS'He had bilateral femoral bruits and he had one plus popliteal pulses .' +p241130 +(lp241131 +S'He\tHe\tPRP\tB-NP\tO' +p241132 +aS'had\thave\tVBD\tB-VP\tO' +p241133 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p241134 +aS'femoral\tfemoral\tJJ\tI-NP\tO' +p241135 +aS'bruits\tbruit\tNNS\tI-NP\tO' +p241136 +aS'and\tand\tCC\tO\tO' +p241137 +aS'he\the\tPRP\tB-NP\tO' +p241138 +aS'had\thave\tVBD\tB-VP\tO' +p241139 +aS'one\tone\tCD\tB-NP\tO' +p241140 +aS'plus\tplus\tCC\tO\tO' +p241141 +aS'popliteal\tpopliteal\tJJ\tB-NP\tO' +p241142 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p241143 +aS'.\t.\t.\tO\tO' +p241144 +asS'6. Pravastatin 20 mg p.o. once per day .' +p241145 +(lp241146 +S'6.\t6.\tLS\tB-NP\tO' +p241147 +aS'Pravastatin\tPravastatin\tNN\tI-NP\tO' +p241148 +aS'20\t20\tCD\tI-NP\tO' +p241149 +aS'mg\tmg\tNN\tI-NP\tO' +p241150 +aS'p.o.\tp.o.\tRB\tB-ADVP\tO' +p241151 +aS'once\tonce\tRB\tI-ADVP\tO' +p241152 +aS'per\tper\tIN\tB-PP\tO' +p241153 +aS'day\tday\tNN\tB-NP\tO' +p241154 +aS'.\t.\t.\tO\tO' +p241155 +asS'No defect noted during procedure .' +p241156 +(lp241157 +S'No\tNo\tDT\tB-NP\tO' +p241158 +aS'defect\tdefect\tNN\tI-NP\tO' +p241159 +aS'noted\tnote\tVBN\tB-VP\tO' +p241160 +aS'during\tduring\tIN\tB-PP\tO' +p241161 +aS'procedure\tprocedure\tNN\tB-NP\tO' +p241162 +aS'.\t.\t.\tO\tO' +p241163 +asS'In the absence of history of malignancy , this is statistically benign .' +p241164 +(lp241165 +S'In\tIn\tIN\tB-PP\tO' +p241166 +aS'the\tthe\tDT\tB-NP\tO' +p241167 +aS'absence\tabsence\tNN\tI-NP\tO' +p241168 +aS'of\tof\tIN\tB-PP\tO' +p241169 +aS'history\thistory\tNN\tB-NP\tO' +p241170 +aS'of\tof\tIN\tB-PP\tO' +p241171 +aS'malignancy\tmalignancy\tNN\tB-NP\tO' +p241172 +aS',\t,\t,\tO\tO' +p241173 +aS'this\tthis\tDT\tB-NP\tO' +p241174 +aS'is\tbe\tVBZ\tB-VP\tO' +p241175 +aS'statistically\tstatistically\tRB\tB-ADJP\tO' +p241176 +aS'benign\tbenign\tJJ\tI-ADJP\tO' +p241177 +aS'.\t.\t.\tO\tO' +p241178 +asS'Sternum was stable .' +p241179 +(lp241180 +S'Sternum\tSternum\tNNP\tB-NP\tO' +p241181 +aS'was\tbe\tVBD\tB-VP\tO' +p241182 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p241183 +aS'.\t.\t.\tO\tO' +p241184 +asS'He had no increase in his congestive heart failure symptoms , no chest pain , and no hemoptysis or changed in arthritis .' +p241185 +(lp241186 +S'He\tHe\tPRP\tB-NP\tO' +p241187 +aS'had\thave\tVBD\tB-VP\tO' +p241188 +aS'no\tno\tDT\tB-NP\tO' +p241189 +aS'increase\tincrease\tNN\tI-NP\tO' +p241190 +aS'in\tin\tIN\tB-PP\tO' +p241191 +aS'his\this\tPRP$\tB-NP\tO' +p241192 +aS'congestive\tcongestive\tJJ\tI-NP\tO' +p241193 +aS'heart\theart\tNN\tI-NP\tO' +p241194 +aS'failure\tfailure\tNN\tI-NP\tO' +p241195 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p241196 +aS',\t,\t,\tO\tO' +p241197 +aS'no\tno\tDT\tB-NP\tO' +p241198 +aS'chest\tchest\tNN\tI-NP\tO' +p241199 +aS'pain\tpain\tNN\tI-NP\tO' +p241200 +aS',\t,\t,\tO\tO' +p241201 +aS'and\tand\tCC\tO\tO' +p241202 +aS'no\tno\tDT\tB-NP\tO' +p241203 +aS'hemoptysis\themoptysis\tNN\tI-NP\tO' +p241204 +aS'or\tor\tCC\tO\tO' +p241205 +aS'changed\tchange\tVBN\tB-VP\tO' +p241206 +aS'in\tin\tIN\tB-PP\tO' +p241207 +aS'arthritis\tarthritis\tNN\tB-NP\tO' +p241208 +aS'.\t.\t.\tO\tO' +p241209 +asS'11) Comm : Family very involved at bedside , evaluating rehab today' +p241210 +(lp241211 +S'11)\t11)\tCD\tB-NP\tO' +p241212 +aS'Comm\tComm\tNNP\tI-NP\tO' +p241213 +aS':\t:\t:\tO\tO' +p241214 +aS'Family\tFamily\tRB\tB-ADJP\tO' +p241215 +aS'very\tvery\tRB\tI-ADJP\tO' +p241216 +aS'involved\tinvolve\tVBN\tI-ADJP\tO' +p241217 +aS'at\tat\tIN\tB-PP\tO' +p241218 +aS'bedside\tbedside\tNN\tB-NP\tO' +p241219 +aS',\t,\t,\tO\tO' +p241220 +aS'evaluating\tevaluate\tVBG\tB-VP\tO' +p241221 +aS'rehab\trehab\tNN\tB-NP\tO' +p241222 +aS'today\ttoday\tNN\tB-NP\tO' +p241223 +asS'Dictated By : John T Hall , M.D.' +p241224 +(lp241225 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p241226 +aS'By\tBy\tIN\tB-PP\tO' +p241227 +aS':\t:\t:\tO\tO' +p241228 +aS'John\tJohn\tNNP\tB-NP\tO' +p241229 +aS'T\tT\tNNP\tI-NP\tO' +p241230 +aS'Hall\tHall\tNNP\tI-NP\tO' +p241231 +aS',\t,\t,\tO\tO' +p241232 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p241233 +asS'Gestational carrier for brother and sister-in-law as noted above .' +p241234 +(lp241235 +S'Gestational\tGestational\tJJ\tB-NP\tO' +p241236 +aS'carrier\tcarrier\tNN\tI-NP\tO' +p241237 +aS'for\tfor\tIN\tB-PP\tO' +p241238 +aS'brother\tbrother\tNN\tB-NP\tO' +p241239 +aS'and\tand\tCC\tI-NP\tO' +p241240 +aS'sister-in-law\tsister-in-law\tNN\tI-NP\tO' +p241241 +aS'as\tas\tIN\tB-SBAR\tO' +p241242 +aS'noted\tnote\tVBN\tB-VP\tO' +p241243 +aS'above\tabove\tRB\tB-ADVP\tO' +p241244 +aS'.\t.\t.\tO\tO' +p241245 +asS'He smokes one pack per day .' +p241246 +(lp241247 +S'He\tHe\tPRP\tB-NP\tO' +p241248 +aS'smokes\tsmoke\tVBZ\tB-VP\tO' +p241249 +aS'one\tone\tCD\tB-NP\tO' +p241250 +aS'pack\tpack\tNN\tI-NP\tO' +p241251 +aS'per\tper\tIN\tB-PP\tO' +p241252 +aS'day\tday\tNN\tB-NP\tO' +p241253 +aS'.\t.\t.\tO\tO' +p241254 +asS'She has nausea with Codeine otherwise no known drug allergies .' +p241255 +(lp241256 +S'She\tShe\tPRP\tB-NP\tO' +p241257 +aS'has\thave\tVBZ\tB-VP\tO' +p241258 +aS'nausea\tnausea\tNN\tB-NP\tO' +p241259 +aS'with\twith\tIN\tB-PP\tO' +p241260 +aS'Codeine\tCodeine\tNN\tB-NP\tO' +p241261 +aS'otherwise\totherwise\tRB\tB-NP\tO' +p241262 +aS'no\tno\tDT\tI-NP\tO' +p241263 +aS'known\tknow\tVBN\tI-NP\tO' +p241264 +aS'drug\tdrug\tNN\tI-NP\tO' +p241265 +aS'allergies\tallergy\tNNS\tI-NP\tO' +p241266 +aS'.\t.\t.\tO\tO' +p241267 +asS'Patient subsequently was transferred back to the CMED CCU on 2017-01-13 for further monitoring .' +p241268 +(lp241269 +S'Patient\tPatient\tNN\tB-NP\tO' +p241270 +aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' +p241271 +aS'was\tbe\tVBD\tB-VP\tO' +p241272 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p241273 +aS'back\tback\tRB\tB-ADVP\tO' +p241274 +aS'to\tto\tTO\tB-PP\tO' +p241275 +aS'the\tthe\tDT\tB-NP\tO' +p241276 +aS'CMED\tCMED\tVBN\tI-NP\tO' +p241277 +aS'CCU\tCCU\tNN\tI-NP\tO' +p241278 +aS'on\ton\tIN\tB-PP\tO' +p241279 +aS'2017-01-13\t2017-01-13\tCD\tB-NP\tO' +p241280 +aS'for\tfor\tIN\tB-PP\tO' +p241281 +aS'further\tfurther\tJJ\tB-NP\tO' +p241282 +aS'monitoring\tmonitoring\tNN\tI-NP\tO' +p241283 +aS'.\t.\t.\tO\tO' +p241284 +asS'CMED CCU change include discontinuation of coumadin secondary to inc risk of upper GI bleed .' +p241285 +(lp241286 +S'CMED\tCMED\tVBN\tB-NP\tO' +p241287 +aS'CCU\tCCU\tNN\tI-NP\tO' +p241288 +aS'change\tchange\tNN\tI-NP\tO' +p241289 +aS'include\tinclude\tVBP\tB-VP\tO' +p241290 +aS'discontinuation\tdiscontinuation\tNN\tB-NP\tO' +p241291 +aS'of\tof\tIN\tB-PP\tO' +p241292 +aS'coumadin\tcoumadin\tNN\tB-NP\tO' +p241293 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p241294 +aS'to\tto\tTO\tB-PP\tO' +p241295 +aS'inc\tinc\tNN\tB-NP\tO' +p241296 +aS'risk\trisk\tNN\tI-NP\tO' +p241297 +aS'of\tof\tIN\tB-PP\tO' +p241298 +aS'upper\tupper\tJJ\tB-NP\tO' +p241299 +aS'GI\tGI\tNN\tI-NP\tO' +p241300 +aS'bleed\tbleed\tNN\tI-NP\tO' +p241301 +aS'.\t.\t.\tO\tO' +p241302 +asS'Weaned to extubation on POD #2 and off all drips .' +p241303 +(lp241304 +S'Weaned\tWean\tVBN\tB-VP\tO' +p241305 +aS'to\tto\tTO\tB-PP\tO' +p241306 +aS'extubation\textubation\tNN\tB-NP\tO' +p241307 +aS'on\ton\tIN\tB-PP\tO' +p241308 +aS'POD\tPOD\tNN\tB-NP\tB-protein' +p241309 +aS'#2\t#2\tNN\tI-NP\tI-protein' +p241310 +aS'and\tand\tCC\tB-PP\tO' +p241311 +aS'off\toff\tIN\tB-PP\tO' +p241312 +aS'all\tall\tDT\tB-NP\tO' +p241313 +aS'drips\tdrip\tNNS\tI-NP\tO' +p241314 +aS'.\t.\t.\tO\tO' +p241315 +asS'Cystectomy , 1992 and 1998 .' +p241316 +(lp241317 +S'Cystectomy\tCystectomy\tNN\tB-NP\tO' +p241318 +aS',\t,\t,\tO\tO' +p241319 +aS'1992\t1992\tCD\tB-NP\tO' +p241320 +aS'and\tand\tCC\tI-NP\tO' +p241321 +aS'1998\t1998\tCD\tI-NP\tO' +p241322 +aS'.\t.\t.\tO\tO' +p241323 +asS'This is a 49-year-old gravida III , para II , status post uterine artery embolization on 2009-01-07 due to uterine fibroids , with continued abdominal pain and CT scan revealing fluid and gas in the endometrial cavity .' +p241324 +(lp241325 +S'This\tThis\tDT\tB-NP\tO' +p241326 +aS'is\tbe\tVBZ\tB-VP\tO' +p241327 +aS'a\ta\tDT\tB-NP\tO' +p241328 +aS'49-year-old\t49-year-old\tJJ\tI-NP\tO' +p241329 +aS'gravida\tgravida\tNN\tI-NP\tO' +p241330 +aS'III\tIII\tCD\tI-NP\tO' +p241331 +aS',\t,\t,\tO\tO' +p241332 +aS'para\tpara\tNN\tB-NP\tO' +p241333 +aS'II\tII\tCD\tI-NP\tO' +p241334 +aS',\t,\t,\tO\tO' +p241335 +aS'status\tstatus\tNN\tB-NP\tO' +p241336 +aS'post\tpost\tNN\tI-NP\tO' +p241337 +aS'uterine\tuterine\tJJ\tI-NP\tO' +p241338 +aS'artery\tartery\tNN\tI-NP\tO' +p241339 +aS'embolization\tembolization\tNN\tI-NP\tO' +p241340 +aS'on\ton\tIN\tB-PP\tO' +p241341 +aS'2009-01-07\t2009-01-07\tCD\tB-NP\tO' +p241342 +aS'due\tdue\tJJ\tB-ADVP\tO' +p241343 +aS'to\tto\tTO\tB-PP\tO' +p241344 +aS'uterine\tuterine\tJJ\tB-NP\tO' +p241345 +aS'fibroids\tfibroid\tNNS\tI-NP\tO' +p241346 +aS',\t,\t,\tO\tO' +p241347 +aS'with\twith\tIN\tB-PP\tO' +p241348 +aS'continued\tcontinue\tVBN\tB-NP\tO' +p241349 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p241350 +aS'pain\tpain\tNN\tI-NP\tO' +p241351 +aS'and\tand\tCC\tI-NP\tO' +p241352 +aS'CT\tCT\tNN\tI-NP\tO' +p241353 +aS'scan\tscan\tNN\tI-NP\tO' +p241354 +aS'revealing\treveal\tVBG\tB-VP\tO' +p241355 +aS'fluid\tfluid\tNN\tB-NP\tO' +p241356 +aS'and\tand\tCC\tI-NP\tO' +p241357 +aS'gas\tgas\tNN\tI-NP\tB-DNA' +p241358 +aS'in\tin\tIN\tB-PP\tO' +p241359 +aS'the\tthe\tDT\tB-NP\tO' +p241360 +aS'endometrial\tendometrial\tJJ\tI-NP\tO' +p241361 +aS'cavity\tcavity\tNN\tI-NP\tO' +p241362 +aS'.\t.\t.\tO\tO' +p241363 +asS'It was increased to 65% with pO2 of 81 .' +p241364 +(lp241365 +S'It\tIt\tPRP\tB-NP\tO' +p241366 +aS'was\tbe\tVBD\tB-VP\tO' +p241367 +aS'increased\tincrease\tVBN\tI-VP\tO' +p241368 +aS'to\tto\tTO\tB-VP\tO' +p241369 +aS'65%\t65%\tVB\tI-VP\tO' +p241370 +aS'with\twith\tIN\tB-PP\tO' +p241371 +aS'pO2\tpO2\tNN\tB-NP\tO' +p241372 +aS'of\tof\tIN\tB-PP\tO' +p241373 +aS'81\t81\tCD\tB-NP\tO' +p241374 +aS'.\t.\t.\tO\tO' +p241375 +asS'11. Throat cancer status post right neck dissection and XRT in 2004 .' +p241376 +(lp241377 +S'11.\t11.\tLS\tB-NP\tO' +p241378 +aS'Throat\tThroat\tNN\tI-NP\tO' +p241379 +aS'cancer\tcancer\tNN\tI-NP\tO' +p241380 +aS'status\tstatus\tNN\tI-NP\tO' +p241381 +aS'post\tpost\tNN\tI-NP\tO' +p241382 +aS'right\tright\tJJ\tI-NP\tO' +p241383 +aS'neck\tneck\tNN\tI-NP\tO' +p241384 +aS'dissection\tdissection\tNN\tI-NP\tO' +p241385 +aS'and\tand\tCC\tI-NP\tO' +p241386 +aS'XRT\tXRT\tNN\tI-NP\tO' +p241387 +aS'in\tin\tIN\tB-PP\tO' +p241388 +aS'2004\t2004\tCD\tB-NP\tO' +p241389 +aS'.\t.\t.\tO\tO' +p241390 +asS'She continued to improve , with mobilization of fluid .' +p241391 +(lp241392 +S'She\tShe\tPRP\tB-NP\tO' +p241393 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p241394 +aS'to\tto\tTO\tI-VP\tO' +p241395 +aS'improve\timprove\tVB\tI-VP\tO' +p241396 +aS',\t,\t,\tO\tO' +p241397 +aS'with\twith\tIN\tB-PP\tO' +p241398 +aS'mobilization\tmobilization\tNN\tB-NP\tO' +p241399 +aS'of\tof\tIN\tB-PP\tO' +p241400 +aS'fluid\tfluid\tNN\tB-NP\tO' +p241401 +aS'.\t.\t.\tO\tO' +p241402 +asS'On post-op day five he appeared to have left arm phlebitis and was started on antibiotics .' +p241403 +(lp241404 +S'On\tOn\tIN\tB-PP\tO' +p241405 +aS'post-op\tpost-op\tJJ\tB-NP\tO' +p241406 +aS'day\tday\tNN\tI-NP\tO' +p241407 +aS'five\tfive\tCD\tI-NP\tO' +p241408 +aS'he\the\tPRP\tB-NP\tO' +p241409 +aS'appeared\tappear\tVBD\tB-VP\tO' +p241410 +aS'to\tto\tTO\tI-VP\tO' +p241411 +aS'have\thave\tVB\tI-VP\tO' +p241412 +aS'left\tleave\tVBN\tI-VP\tO' +p241413 +aS'arm\tarm\tNN\tB-NP\tO' +p241414 +aS'phlebitis\tphlebitis\tNN\tI-NP\tO' +p241415 +aS'and\tand\tCC\tO\tO' +p241416 +aS'was\tbe\tVBD\tB-VP\tO' +p241417 +aS'started\tstart\tVBN\tI-VP\tO' +p241418 +aS'on\ton\tIN\tB-PP\tO' +p241419 +aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' +p241420 +aS'.\t.\t.\tO\tO' +p241421 +asS'She is now admitted for her second course of that therapy .' +p241422 +(lp241423 +S'She\tShe\tPRP\tB-NP\tO' +p241424 +aS'is\tbe\tVBZ\tB-VP\tO' +p241425 +aS'now\tnow\tRB\tI-VP\tO' +p241426 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p241427 +aS'for\tfor\tIN\tB-PP\tO' +p241428 +aS'her\ther\tPRP$\tB-NP\tO' +p241429 +aS'second\tsecond\tJJ\tI-NP\tO' +p241430 +aS'course\tcourse\tNN\tI-NP\tO' +p241431 +aS'of\tof\tIN\tB-PP\tO' +p241432 +aS'that\tthat\tDT\tB-NP\tO' +p241433 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p241434 +aS'.\t.\t.\tO\tO' +p241435 +asS'68 year old right handed man with multiple vascular risk factors , including 2 previous strokes and two myocardial infarctions , hypertension and hypercholesterolemia , who presents with acute onset right sided hemiplegia and dysarthria .' +p241436 +(lp241437 +S'68\t68\tCD\tB-NP\tO' +p241438 +aS'year\tyear\tNN\tI-NP\tO' +p241439 +aS'old\told\tJJ\tI-NP\tO' +p241440 +aS'right\tright\tJJ\tI-NP\tO' +p241441 +aS'handed\thanded\tJJ\tI-NP\tO' +p241442 +aS'man\tman\tNN\tI-NP\tO' +p241443 +aS'with\twith\tIN\tB-PP\tO' +p241444 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p241445 +aS'vascular\tvascular\tJJ\tI-NP\tB-protein' +p241446 +aS'risk\trisk\tNN\tI-NP\tI-protein' +p241447 +aS'factors\tfactor\tNNS\tI-NP\tI-protein' +p241448 +aS',\t,\t,\tO\tO' +p241449 +aS'including\tinclude\tVBG\tB-PP\tO' +p241450 +aS'2\t2\tCD\tB-NP\tO' +p241451 +aS'previous\tprevious\tJJ\tI-NP\tO' +p241452 +aS'strokes\tstroke\tNNS\tI-NP\tO' +p241453 +aS'and\tand\tCC\tO\tO' +p241454 +aS'two\ttwo\tCD\tB-NP\tO' +p241455 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p241456 +aS'infarctions\tinfarction\tNNS\tI-NP\tO' +p241457 +aS',\t,\t,\tO\tO' +p241458 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p241459 +aS'and\tand\tCC\tI-NP\tO' +p241460 +aS'hypercholesterolemia\thypercholesterolemia\tNN\tI-NP\tO' +p241461 +aS',\t,\t,\tO\tO' +p241462 +aS'who\twho\tWP\tB-NP\tO' +p241463 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p241464 +aS'with\twith\tIN\tB-PP\tO' +p241465 +aS'acute\tacute\tJJ\tB-NP\tO' +p241466 +aS'onset\tonset\tNN\tI-NP\tO' +p241467 +aS'right\tright\tJJ\tI-NP\tO' +p241468 +aS'sided\tsided\tJJ\tI-NP\tO' +p241469 +aS'hemiplegia\themiplegia\tNN\tI-NP\tO' +p241470 +aS'and\tand\tCC\tI-NP\tO' +p241471 +aS'dysarthria\tdysarthria\tNN\tI-NP\tO' +p241472 +aS'.\t.\t.\tO\tO' +p241473 +asS'This is to notify you that your patient , JEM , ON arrived in the Emergency Department at Bri Health on 05/08/2000 07:57 PM .' +p241474 +(lp241475 +S'This\tThis\tDT\tB-NP\tO' +p241476 +aS'is\tbe\tVBZ\tB-VP\tO' +p241477 +aS'to\tto\tTO\tB-VP\tO' +p241478 +aS'notify\tnotify\tVB\tI-VP\tO' +p241479 +aS'you\tyou\tPRP\tB-NP\tO' +p241480 +aS'that\tthat\tIN\tB-SBAR\tO' +p241481 +aS'your\tyour\tPRP$\tB-NP\tO' +p241482 +aS'patient\tpatient\tNN\tI-NP\tO' +p241483 +aS',\t,\t,\tO\tO' +p241484 +aS'JEM\tJEM\tNN\tB-NP\tB-protein' +p241485 +aS',\t,\t,\tO\tO' +p241486 +aS'ON\tON\tNNP\tB-NP\tO' +p241487 +aS'arrived\tarrive\tVBD\tB-VP\tO' +p241488 +aS'in\tin\tIN\tB-PP\tO' +p241489 +aS'the\tthe\tDT\tB-NP\tO' +p241490 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p241491 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p241492 +aS'at\tat\tIN\tB-PP\tO' +p241493 +aS'Bri\tBri\tNNP\tB-NP\tO' +p241494 +aS'Health\tHealth\tNNP\tI-NP\tO' +p241495 +aS'on\ton\tIN\tB-PP\tO' +p241496 +aS'05/08/2000\t05/08/2000\tCD\tB-NP\tO' +p241497 +aS'07:57\t07:57\tCD\tI-NP\tO' +p241498 +aS'PM\tPM\tNN\tI-NP\tO' +p241499 +aS'.\t.\t.\tO\tO' +p241500 +asS'Per family , besides the dyspnea and SOB , the patient has had no other symptoms , including f/c/s , CP , palpitations , abd pain , n/v/diarrhea .' +p241501 +(lp241502 +S'Per\tPer\tNNP\tB-NP\tO' +p241503 +aS'family\tfamily\tNN\tI-NP\tO' +p241504 +aS',\t,\t,\tO\tO' +p241505 +aS'besides\tbesides\tIN\tB-PP\tO' +p241506 +aS'the\tthe\tDT\tB-NP\tO' +p241507 +aS'dyspnea\tdyspnea\tNN\tI-NP\tO' +p241508 +aS'and\tand\tCC\tI-NP\tO' +p241509 +aS'SOB\tSOB\tNN\tI-NP\tB-protein' +p241510 +aS',\t,\t,\tO\tO' +p241511 +aS'the\tthe\tDT\tB-NP\tO' +p241512 +aS'patient\tpatient\tNN\tI-NP\tO' +p241513 +aS'has\thave\tVBZ\tB-VP\tO' +p241514 +aS'had\thave\tVBN\tI-VP\tO' +p241515 +aS'no\tno\tDT\tB-NP\tO' +p241516 +aS'other\tother\tJJ\tI-NP\tO' +p241517 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p241518 +aS',\t,\t,\tO\tO' +p241519 +aS'including\tinclude\tVBG\tB-PP\tO' +p241520 +aS'f/c/s\tf/c/\tNNS\tB-NP\tO' +p241521 +aS',\t,\t,\tO\tO' +p241522 +aS'CP\tCP\tNN\tB-NP\tB-DNA' +p241523 +aS',\t,\t,\tO\tO' +p241524 +aS'palpitations\tpalpitation\tNNS\tB-NP\tO' +p241525 +aS',\t,\t,\tO\tO' +p241526 +aS'abd\tabd\tNN\tB-NP\tO' +p241527 +aS'pain\tpain\tNN\tI-NP\tO' +p241528 +aS',\t,\t,\tO\tO' +p241529 +aS'n/v/diarrhea\tn/v/diarrhea\tNN\tB-NP\tO' +p241530 +aS'.\t.\t.\tO\tO' +p241531 +asS'Could have still seeding of nephrostomy tube .' +p241532 +(lp241533 +S'Could\tCould\tMD\tB-VP\tO' +p241534 +aS'have\thave\tVB\tI-VP\tO' +p241535 +aS'still\tstill\tRB\tI-VP\tO' +p241536 +aS'seeding\tseed\tVBG\tI-VP\tO' +p241537 +aS'of\tof\tIN\tB-PP\tO' +p241538 +aS'nephrostomy\tnephrostomy\tNN\tB-NP\tO' +p241539 +aS'tube\ttube\tNN\tI-NP\tO' +p241540 +aS'.\t.\t.\tO\tO' +p241541 +asS'She presented to a Wood Emergency Department six days prior to admission .' +p241542 +(lp241543 +S'She\tShe\tPRP\tB-NP\tO' +p241544 +aS'presented\tpresent\tVBD\tB-VP\tO' +p241545 +aS'to\tto\tTO\tB-PP\tO' +p241546 +aS'a\ta\tDT\tB-NP\tO' +p241547 +aS'Wood\tWood\tNNP\tI-NP\tO' +p241548 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p241549 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p241550 +aS'six\tsix\tCD\tB-NP\tO' +p241551 +aS'days\tday\tNNS\tI-NP\tO' +p241552 +aS'prior\tprior\tRB\tB-ADVP\tO' +p241553 +aS'to\tto\tTO\tB-PP\tO' +p241554 +aS'admission\tadmission\tNN\tB-NP\tO' +p241555 +aS'.\t.\t.\tO\tO' +p241556 +asS'There was an S4 , no S3 , grade II/VI apical murmur in systole , no rubs .' +p241557 +(lp241558 +S'There\tThere\tEX\tB-NP\tO' +p241559 +aS'was\tbe\tVBD\tB-VP\tO' +p241560 +aS'an\tan\tDT\tB-NP\tO' +p241561 +aS'S4\tS4\tNN\tI-NP\tB-protein' +p241562 +aS',\t,\t,\tO\tO' +p241563 +aS'no\tno\tDT\tB-NP\tO' +p241564 +aS'S3\tS3\tNN\tI-NP\tB-protein' +p241565 +aS',\t,\t,\tO\tO' +p241566 +aS'grade\tgrade\tNN\tB-NP\tO' +p241567 +aS'II/VI\tII/VI\tNN\tI-NP\tO' +p241568 +aS'apical\tapical\tJJ\tI-NP\tO' +p241569 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p241570 +aS'in\tin\tIN\tB-PP\tO' +p241571 +aS'systole\tsystole\tNN\tB-NP\tO' +p241572 +aS',\t,\t,\tO\tO' +p241573 +aS'no\tno\tDT\tB-NP\tO' +p241574 +aS'rubs\trub\tNNS\tI-NP\tO' +p241575 +aS'.\t.\t.\tO\tO' +p241576 +asS'Orientation : Oriented to person , place , and date .' +p241577 +(lp241578 +S'Orientation\tOrientation\tNN\tB-NP\tO' +p241579 +aS':\t:\t:\tO\tO' +p241580 +aS'Oriented\tOrient\tVBN\tB-VP\tO' +p241581 +aS'to\tto\tTO\tB-PP\tO' +p241582 +aS'person\tperson\tNN\tB-NP\tO' +p241583 +aS',\t,\t,\tO\tO' +p241584 +aS'place\tplace\tNN\tB-NP\tO' +p241585 +aS',\t,\t,\tO\tO' +p241586 +aS'and\tand\tCC\tO\tO' +p241587 +aS'date\tdate\tNN\tB-NP\tO' +p241588 +aS'.\t.\t.\tO\tO' +p241589 +asS'Signed electronically by : DR. Cynthia Short on : MON 2016-02-22 8:16 AM' +p241590 +(lp241591 +S'Signed\tSign\tVBN\tB-VP\tO' +p241592 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p241593 +aS'by\tby\tIN\tB-PP\tO' +p241594 +aS':\t:\t:\tO\tO' +p241595 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p241596 +aS'Cynthia\tCynthia\tNNP\tI-NP\tO' +p241597 +aS'Short\tShort\tNNP\tI-NP\tO' +p241598 +aS'on\ton\tIN\tB-PP\tO' +p241599 +aS':\t:\t:\tO\tO' +p241600 +aS'MON\tMON\tNN\tB-NP\tO' +p241601 +aS'2016-02-22\t2016-02-22\tCD\tI-NP\tO' +p241602 +aS'8:16\t8:16\tCD\tI-NP\tO' +p241603 +aS'AM\tAM\tNN\tI-NP\tO' +p241604 +asS'Steroids were discontinued .' +p241605 +(lp241606 +S'Steroids\tSteroid\tNNS\tB-NP\tO' +p241607 +aS'were\tbe\tVBD\tB-VP\tO' +p241608 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p241609 +aS'.\t.\t.\tO\tO' +p241610 +asS'Dictated By : William A. Hunter , M.D.' +p241611 +(lp241612 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p241613 +aS'By\tBy\tIN\tB-PP\tO' +p241614 +aS':\t:\t:\tO\tO' +p241615 +aS'William\tWilliam\tNNP\tB-NP\tO' +p241616 +aS'A.\tA.\tNNP\tI-NP\tO' +p241617 +aS'Hunter\tHunter\tNNP\tI-NP\tO' +p241618 +aS',\t,\t,\tO\tO' +p241619 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p241620 +asS'He had a repeat total resection in 4/04 by Dr. Peter Hoadley at Hallmark Health System which revealed anaplastic oligodendroglioma grade III .' +p241621 +(lp241622 +S'He\tHe\tPRP\tB-NP\tO' +p241623 +aS'had\thave\tVBD\tB-VP\tO' +p241624 +aS'a\ta\tDT\tB-NP\tO' +p241625 +aS'repeat\trepeat\tNN\tI-NP\tO' +p241626 +aS'total\ttotal\tJJ\tI-NP\tO' +p241627 +aS'resection\tresection\tNN\tI-NP\tO' +p241628 +aS'in\tin\tIN\tB-PP\tO' +p241629 +aS'4/04\t4/04\tCD\tB-NP\tO' +p241630 +aS'by\tby\tIN\tB-PP\tO' +p241631 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p241632 +aS'Peter\tPeter\tNNP\tI-NP\tO' +p241633 +aS'Hoadley\tHoadley\tNNP\tI-NP\tO' +p241634 +aS'at\tat\tIN\tB-PP\tO' +p241635 +aS'Hallmark\tHallmark\tNNP\tB-NP\tO' +p241636 +aS'Health\tHealth\tNNP\tI-NP\tO' +p241637 +aS'System\tSystem\tNNP\tI-NP\tO' +p241638 +aS'which\twhich\tWDT\tB-NP\tO' +p241639 +aS'revealed\treveal\tVBD\tB-VP\tO' +p241640 +aS'anaplastic\tanaplastic\tJJ\tB-NP\tO' +p241641 +aS'oligodendroglioma\toligodendroglioma\tNN\tI-NP\tO' +p241642 +aS'grade\tgrade\tNN\tI-NP\tO' +p241643 +aS'III\tIII\tCD\tI-NP\tO' +p241644 +aS'.\t.\t.\tO\tO' +p241645 +asS'The head , eyes , ears , nose , throat and neck examinations were unremarkable .' +p241646 +(lp241647 +S'The\tThe\tDT\tB-NP\tO' +p241648 +aS'head\thead\tNN\tI-NP\tO' +p241649 +aS',\t,\t,\tO\tO' +p241650 +aS'eyes\teye\tNNS\tB-NP\tO' +p241651 +aS',\t,\t,\tO\tO' +p241652 +aS'ears\tear\tNNS\tB-NP\tO' +p241653 +aS',\t,\t,\tO\tO' +p241654 +aS'nose\tnose\tNN\tB-NP\tO' +p241655 +aS',\t,\t,\tO\tO' +p241656 +aS'throat\tthroat\tNN\tB-NP\tO' +p241657 +aS'and\tand\tCC\tI-NP\tO' +p241658 +aS'neck\tneck\tNN\tI-NP\tO' +p241659 +aS'examinations\texamination\tNNS\tI-NP\tO' +p241660 +aS'were\tbe\tVBD\tB-VP\tO' +p241661 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p241662 +aS'.\t.\t.\tO\tO' +p241663 +asS'on 05-26 he continued to c/o of epigastric pain had a chest x-ray done to due to decreased lung sounds .' +p241664 +(lp241665 +S'on\ton\tIN\tB-PP\tO' +p241666 +aS'05-26\t05-26\tCD\tB-NP\tO' +p241667 +aS'he\the\tPRP\tB-NP\tO' +p241668 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p241669 +aS'to\tto\tTO\tB-PP\tO' +p241670 +aS'c/o\tc/o\tNN\tB-NP\tO' +p241671 +aS'of\tof\tIN\tB-PP\tO' +p241672 +aS'epigastric\tepigastric\tJJ\tB-NP\tB-protein' +p241673 +aS'pain\tpain\tNN\tI-NP\tI-protein' +p241674 +aS'had\thave\tVBD\tB-VP\tO' +p241675 +aS'a\ta\tDT\tB-NP\tO' +p241676 +aS'chest\tchest\tNN\tI-NP\tO' +p241677 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p241678 +aS'done\tdo\tVBN\tB-VP\tO' +p241679 +aS'to\tto\tTO\tB-PP\tO' +p241680 +aS'due\tdue\tJJ\tB-PP\tO' +p241681 +aS'to\tto\tTO\tB-PP\tO' +p241682 +aS'decreased\tdecrease\tVBN\tB-NP\tO' +p241683 +aS'lung\tlung\tNN\tI-NP\tO' +p241684 +aS'sounds\tsound\tNNS\tI-NP\tO' +p241685 +aS'.\t.\t.\tO\tO' +p241686 +asS'A Panorex x-ray of his two teeth were obtained and a Dental Consultation was done .' +p241687 +(lp241688 +S'A\tA\tDT\tB-NP\tO' +p241689 +aS'Panorex\tPanorex\tNNP\tI-NP\tO' +p241690 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p241691 +aS'of\tof\tIN\tB-PP\tO' +p241692 +aS'his\this\tPRP$\tB-NP\tO' +p241693 +aS'two\ttwo\tCD\tI-NP\tO' +p241694 +aS'teeth\ttooth\tNNS\tI-NP\tO' +p241695 +aS'were\tbe\tVBD\tB-VP\tO' +p241696 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p241697 +aS'and\tand\tCC\tO\tO' +p241698 +aS'a\ta\tDT\tB-NP\tO' +p241699 +aS'Dental\tDental\tJJ\tI-NP\tO' +p241700 +aS'Consultation\tConsultation\tNN\tI-NP\tO' +p241701 +aS'was\tbe\tVBD\tB-VP\tO' +p241702 +aS'done\tdo\tVBN\tI-VP\tO' +p241703 +aS'.\t.\t.\tO\tO' +p241704 +asS'No JVD .' +p241705 +(lp241706 +S'No\tNo\tDT\tB-NP\tO' +p241707 +aS'JVD\tJVD\tNN\tI-NP\tB-protein' +p241708 +aS'.\t.\t.\tO\tO' +p241709 +asS'A paraphimosis was noted and treated by Dr. Ryna Jescdrig .' +p241710 +(lp241711 +S'A\tA\tDT\tB-NP\tO' +p241712 +aS'paraphimosis\tparaphimosis\tNN\tI-NP\tO' +p241713 +aS'was\tbe\tVBD\tB-VP\tO' +p241714 +aS'noted\tnote\tVBN\tI-VP\tO' +p241715 +aS'and\tand\tCC\tI-VP\tO' +p241716 +aS'treated\ttreat\tVBN\tI-VP\tO' +p241717 +aS'by\tby\tIN\tB-PP\tO' +p241718 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p241719 +aS'Ryna\tRyna\tNNP\tI-NP\tO' +p241720 +aS'Jescdrig\tJescdrig\tNNP\tI-NP\tO' +p241721 +aS'.\t.\t.\tO\tO' +p241722 +asS'The MRA of the intracranial circulation demonstrated gross patency of the internal carotid arteries bilaterally and the basilar arteries .' +p241723 +(lp241724 +S'The\tThe\tDT\tB-NP\tO' +p241725 +aS'MRA\tMRA\tNN\tI-NP\tB-protein' +p241726 +aS'of\tof\tIN\tB-PP\tO' +p241727 +aS'the\tthe\tDT\tB-NP\tO' +p241728 +aS'intracranial\tintracranial\tJJ\tI-NP\tO' +p241729 +aS'circulation\tcirculation\tNN\tI-NP\tO' +p241730 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p241731 +aS'gross\tgross\tJJ\tB-NP\tO' +p241732 +aS'patency\tpatency\tNN\tI-NP\tO' +p241733 +aS'of\tof\tIN\tB-PP\tO' +p241734 +aS'the\tthe\tDT\tB-NP\tO' +p241735 +aS'internal\tinternal\tJJ\tI-NP\tO' +p241736 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p241737 +aS'arteries\tartery\tNNS\tI-NP\tO' +p241738 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p241739 +aS'and\tand\tCC\tO\tO' +p241740 +aS'the\tthe\tDT\tB-NP\tO' +p241741 +aS'basilar\tbasilar\tJJ\tI-NP\tO' +p241742 +aS'arteries\tartery\tNNS\tI-NP\tO' +p241743 +aS'.\t.\t.\tO\tO' +p241744 +asS'Right external auditory canal was occluded bycerumen and left external auditory canal clear with tympanic membrane intact .' +p241745 +(lp241746 +S'Right\tRight\tRB\tB-NP\tO' +p241747 +aS'external\texternal\tJJ\tI-NP\tO' +p241748 +aS'auditory\tauditory\tJJ\tI-NP\tO' +p241749 +aS'canal\tcanal\tNN\tI-NP\tO' +p241750 +aS'was\tbe\tVBD\tB-VP\tO' +p241751 +aS'occluded\tocclude\tVBN\tI-VP\tO' +p241752 +aS'bycerumen\tbyceruman\tNNS\tB-NP\tO' +p241753 +aS'and\tand\tCC\tO\tO' +p241754 +aS'left\tleave\tVBD\tB-VP\tO' +p241755 +aS'external\texternal\tJJ\tB-NP\tO' +p241756 +aS'auditory\tauditory\tJJ\tI-NP\tO' +p241757 +aS'canal\tcanal\tNN\tI-NP\tO' +p241758 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p241759 +aS'with\twith\tIN\tB-PP\tO' +p241760 +aS'tympanic\ttympanic\tJJ\tB-NP\tO' +p241761 +aS'membrane\tmembrane\tNN\tI-NP\tO' +p241762 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p241763 +aS'.\t.\t.\tO\tO' +p241764 +asS'She was started on vancomycin , levofloxacin , Flagyl , doxycycline and fluconazole .' +p241765 +(lp241766 +S'She\tShe\tPRP\tB-NP\tO' +p241767 +aS'was\tbe\tVBD\tB-VP\tO' +p241768 +aS'started\tstart\tVBN\tI-VP\tO' +p241769 +aS'on\ton\tIN\tB-PP\tO' +p241770 +aS'vancomycin\tvancomycin\tNN\tB-NP\tO' +p241771 +aS',\t,\t,\tI-NP\tO' +p241772 +aS'levofloxacin\tlevofloxacin\tNN\tI-NP\tO' +p241773 +aS',\t,\t,\tI-NP\tO' +p241774 +aS'Flagyl\tFlagyl\tNN\tI-NP\tO' +p241775 +aS',\t,\t,\tI-NP\tO' +p241776 +aS'doxycycline\tdoxycycline\tNN\tI-NP\tO' +p241777 +aS'and\tand\tCC\tI-NP\tO' +p241778 +aS'fluconazole\tfluconazole\tNN\tI-NP\tO' +p241779 +aS'.\t.\t.\tO\tO' +p241780 +asS'He remained hemodynamically stable but of note , would not tolerate a transesophageal echo because of anxiety-he would not swallow the probe .' +p241781 +(lp241782 +S'He\tHe\tPRP\tB-NP\tO' +p241783 +aS'remained\tremain\tVBD\tB-VP\tO' +p241784 +aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' +p241785 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p241786 +aS'but\tbut\tCC\tO\tO' +p241787 +aS'of\tof\tIN\tB-PP\tO' +p241788 +aS'note\tnote\tNN\tB-NP\tO' +p241789 +aS',\t,\t,\tO\tO' +p241790 +aS'would\twould\tMD\tB-VP\tO' +p241791 +aS'not\tnot\tRB\tI-VP\tO' +p241792 +aS'tolerate\ttolerate\tVB\tI-VP\tO' +p241793 +aS'a\ta\tDT\tB-NP\tO' +p241794 +aS'transesophageal\ttransesophageal\tJJ\tI-NP\tO' +p241795 +aS'echo\techo\tNN\tI-NP\tO' +p241796 +aS'because\tbecause\tIN\tB-PP\tO' +p241797 +aS'of\tof\tIN\tI-PP\tO' +p241798 +aS'anxiety-he\tanxiety-he\tNN\tB-NP\tO' +p241799 +aS'would\twould\tMD\tB-VP\tO' +p241800 +aS'not\tnot\tRB\tI-VP\tO' +p241801 +aS'swallow\tswallow\tVB\tI-VP\tO' +p241802 +aS'the\tthe\tDT\tB-NP\tO' +p241803 +aS'probe\tprobe\tNN\tI-NP\tO' +p241804 +aS'.\t.\t.\tO\tO' +p241805 +asS'This has been evaluated by Dr. Screen at Sas General Hospital and probably relates to her lung xray .' +p241806 +(lp241807 +S'This\tThis\tDT\tB-NP\tO' +p241808 +aS'has\thave\tVBZ\tB-VP\tO' +p241809 +aS'been\tbe\tVBN\tI-VP\tO' +p241810 +aS'evaluated\tevaluate\tVBN\tI-VP\tO' +p241811 +aS'by\tby\tIN\tB-PP\tO' +p241812 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p241813 +aS'Screen\tScreen\tNNP\tI-NP\tO' +p241814 +aS'at\tat\tIN\tB-PP\tO' +p241815 +aS'Sas\tSas\tNNP\tB-NP\tO' +p241816 +aS'General\tGeneral\tNNP\tI-NP\tO' +p241817 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p241818 +aS'and\tand\tCC\tO\tO' +p241819 +aS'probably\tprobably\tRB\tB-ADVP\tO' +p241820 +aS'relates\trelate\tVBZ\tB-VP\tO' +p241821 +aS'to\tto\tTO\tB-PP\tO' +p241822 +aS'her\ther\tPRP$\tB-NP\tO' +p241823 +aS'lung\tlung\tNN\tI-NP\tO' +p241824 +aS'xray\txray\tNN\tI-NP\tO' +p241825 +aS'.\t.\t.\tO\tO' +p241826 +asS'The infant was started on Ampicillin and Gentamycin at the time of admission for sepsis risk factor .' +p241827 +(lp241828 +S'The\tThe\tDT\tB-NP\tO' +p241829 +aS'infant\tinfant\tNN\tI-NP\tO' +p241830 +aS'was\tbe\tVBD\tB-VP\tO' +p241831 +aS'started\tstart\tVBN\tI-VP\tO' +p241832 +aS'on\ton\tIN\tB-PP\tO' +p241833 +aS'Ampicillin\tAmpicillin\tNN\tB-NP\tO' +p241834 +aS'and\tand\tCC\tI-NP\tO' +p241835 +aS'Gentamycin\tGentamycin\tNN\tI-NP\tO' +p241836 +aS'at\tat\tIN\tB-PP\tO' +p241837 +aS'the\tthe\tDT\tB-NP\tO' +p241838 +aS'time\ttime\tNN\tI-NP\tO' +p241839 +aS'of\tof\tIN\tB-PP\tO' +p241840 +aS'admission\tadmission\tNN\tB-NP\tO' +p241841 +aS'for\tfor\tIN\tB-PP\tO' +p241842 +aS'sepsis\tsepsis\tNN\tB-NP\tO' +p241843 +aS'risk\trisk\tNN\tI-NP\tO' +p241844 +aS'factor\tfactor\tNN\tI-NP\tO' +p241845 +aS'.\t.\t.\tO\tO' +p241846 +asS'Motor - Decreased tone on right arm .' +p241847 +(lp241848 +S'Motor\tMotor\tNN\tB-NP\tO' +p241849 +aS'-\t-\tHYPH\tB-PP\tO' +p241850 +aS'Decreased\tDecrease\tVBN\tB-NP\tO' +p241851 +aS'tone\ttone\tNN\tI-NP\tO' +p241852 +aS'on\ton\tIN\tB-PP\tO' +p241853 +aS'right\tright\tJJ\tB-NP\tO' +p241854 +aS'arm\tarm\tNN\tI-NP\tO' +p241855 +aS'.\t.\t.\tO\tO' +p241856 +asS'The results of that consultation and potential esophagogastroduodenoscopy are pending at the time of dictation .' +p241857 +(lp241858 +S'The\tThe\tDT\tB-NP\tO' +p241859 +aS'results\tresult\tNNS\tI-NP\tO' +p241860 +aS'of\tof\tIN\tB-PP\tO' +p241861 +aS'that\tthat\tDT\tB-NP\tO' +p241862 +aS'consultation\tconsultation\tNN\tI-NP\tO' +p241863 +aS'and\tand\tCC\tI-NP\tO' +p241864 +aS'potential\tpotential\tJJ\tI-NP\tO' +p241865 +aS'esophagogastroduodenoscopy\tesophagogastroduodenoscopy\tNN\tI-NP\tO' +p241866 +aS'are\tbe\tVBP\tB-VP\tO' +p241867 +aS'pending\tpende\tVBG\tI-VP\tO' +p241868 +aS'at\tat\tIN\tB-PP\tO' +p241869 +aS'the\tthe\tDT\tB-NP\tO' +p241870 +aS'time\ttime\tNN\tI-NP\tO' +p241871 +aS'of\tof\tIN\tB-PP\tO' +p241872 +aS'dictation\tdictation\tNN\tB-NP\tO' +p241873 +aS'.\t.\t.\tO\tO' +p241874 +asS'- metoprolol 50 mg po daily' +p241875 +(lp241876 +S'-\t-\tHYPH\tB-NP\tO' +p241877 +aS'metoprolol\tmetoprolol\tNN\tI-NP\tO' +p241878 +aS'50\t50\tCD\tI-NP\tO' +p241879 +aS'mg\tmg\tNN\tI-NP\tO' +p241880 +aS'po\tpo\tNN\tI-NP\tO' +p241881 +aS'daily\tdaily\tRB\tB-ADVP\tO' +p241882 +asS'CV : RRR S1-S2 , no murmur .' +p241883 +(lp241884 +S'CV\tCV\tNN\tB-NP\tO' +p241885 +aS':\t:\t:\tO\tO' +p241886 +aS'RRR\tRRR\tNN\tB-NP\tB-protein' +p241887 +aS'S1-S2\tS1-S2\tNN\tI-NP\tI-protein' +p241888 +aS',\t,\t,\tO\tO' +p241889 +aS'no\tno\tDT\tB-NP\tO' +p241890 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p241891 +aS'.\t.\t.\tO\tO' +p241892 +asS'11. Question of transient ischemic attack .' +p241893 +(lp241894 +S'11.\t11.\tLS\tB-NP\tO' +p241895 +aS'Question\tQuestion\tNN\tI-NP\tO' +p241896 +aS'of\tof\tIN\tB-PP\tO' +p241897 +aS'transient\ttransient\tJJ\tB-NP\tO' +p241898 +aS'ischemic\tischemic\tJJ\tI-NP\tO' +p241899 +aS'attack\tattack\tNN\tI-NP\tO' +p241900 +aS'.\t.\t.\tO\tO' +p241901 +asS'No corneal , gag , oculocephalic , and oculovestibular reflexes were elicited .' +p241902 +(lp241903 +S'No\tNo\tDT\tB-NP\tO' +p241904 +aS'corneal\tcorneal\tNN\tI-NP\tO' +p241905 +aS',\t,\t,\tO\tO' +p241906 +aS'gag\tgag\tNN\tB-NP\tO' +p241907 +aS',\t,\t,\tO\tO' +p241908 +aS'oculocephalic\toculocephalic\tJJ\tB-ADJP\tO' +p241909 +aS',\t,\t,\tO\tO' +p241910 +aS'and\tand\tCC\tO\tO' +p241911 +aS'oculovestibular\toculovestibular\tJJ\tB-NP\tB-protein' +p241912 +aS'reflexes\treflex\tNNS\tI-NP\tI-protein' +p241913 +aS'were\tbe\tVBD\tB-VP\tO' +p241914 +aS'elicited\telicit\tVBN\tI-VP\tO' +p241915 +aS'.\t.\t.\tO\tO' +p241916 +asS'4. Systemic lupus erythematosus in remission' +p241917 +(lp241918 +S'4.\t4.\tLS\tB-NP\tO' +p241919 +aS'Systemic\tSystemic\tJJ\tI-NP\tO' +p241920 +aS'lupus\tlupus\tNN\tI-NP\tO' +p241921 +aS'erythematosus\terythematosus\tNN\tI-NP\tO' +p241922 +aS'in\tin\tIN\tB-PP\tO' +p241923 +aS'remission\tremission\tNN\tB-NP\tO' +p241924 +asS'Her abdomen was obese and distended with good bowel sounds , large ventral hernia .' +p241925 +(lp241926 +S'Her\tHer\tPRP$\tB-NP\tO' +p241927 +aS'abdomen\tabdoman\tNNS\tI-NP\tO' +p241928 +aS'was\tbe\tVBD\tB-VP\tO' +p241929 +aS'obese\tobese\tJJ\tB-ADJP\tO' +p241930 +aS'and\tand\tCC\tI-ADJP\tO' +p241931 +aS'distended\tdistended\tJJ\tI-ADJP\tO' +p241932 +aS'with\twith\tIN\tB-PP\tO' +p241933 +aS'good\tgood\tJJ\tB-NP\tO' +p241934 +aS'bowel\tbowel\tNN\tI-NP\tO' +p241935 +aS'sounds\tsound\tNNS\tI-NP\tO' +p241936 +aS',\t,\t,\tO\tO' +p241937 +aS'large\tlarge\tJJ\tB-NP\tO' +p241938 +aS'ventral\tventral\tJJ\tI-NP\tO' +p241939 +aS'hernia\thernia\tNN\tI-NP\tO' +p241940 +aS'.\t.\t.\tO\tO' +p241941 +asS'Erythematous eruption on 80% of body , not much change from week prior .' +p241942 +(lp241943 +S'Erythematous\tErythematous\tJJ\tB-NP\tO' +p241944 +aS'eruption\teruption\tNN\tI-NP\tO' +p241945 +aS'on\ton\tIN\tB-PP\tO' +p241946 +aS'80%\t80%\tNN\tB-NP\tO' +p241947 +aS'of\tof\tIN\tB-PP\tO' +p241948 +aS'body\tbody\tNN\tB-NP\tO' +p241949 +aS',\t,\t,\tB-NP\tO' +p241950 +aS'not\tnot\tRB\tI-NP\tO' +p241951 +aS'much\tmuch\tJJ\tB-NP\tO' +p241952 +aS'change\tchange\tNN\tI-NP\tO' +p241953 +aS'from\tfrom\tIN\tB-PP\tO' +p241954 +aS'week\tweek\tNN\tB-NP\tO' +p241955 +aS'prior\tprior\tRB\tB-ADVP\tO' +p241956 +aS'.\t.\t.\tO\tO' +p241957 +asS'She had a head CT that was negative .' +p241958 +(lp241959 +S'She\tShe\tPRP\tB-NP\tO' +p241960 +aS'had\thave\tVBD\tB-VP\tO' +p241961 +aS'a\ta\tDT\tB-NP\tO' +p241962 +aS'head\thead\tNN\tI-NP\tO' +p241963 +aS'CT\tCT\tNN\tI-NP\tO' +p241964 +aS'that\tthat\tWDT\tB-NP\tO' +p241965 +aS'was\tbe\tVBD\tB-VP\tO' +p241966 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p241967 +aS'.\t.\t.\tO\tO' +p241968 +asS'Please note that evaluation by the swallowing therapist , showed that the patient is aspirating at this time , but there is great hope from the nature of her deficit and the good movements of her tongue that normal swallowing should return soon .' +p241969 +(lp241970 +S'Please\tPlease\tNN\tB-NP\tB-protein' +p241971 +aS'note\tnote\tVBP\tB-VP\tO' +p241972 +aS'that\tthat\tIN\tB-SBAR\tO' +p241973 +aS'evaluation\tevaluation\tNN\tB-NP\tO' +p241974 +aS'by\tby\tIN\tB-PP\tO' +p241975 +aS'the\tthe\tDT\tB-NP\tO' +p241976 +aS'swallowing\tswallow\tVBG\tI-NP\tO' +p241977 +aS'therapist\ttherapist\tNN\tI-NP\tO' +p241978 +aS',\t,\t,\tO\tO' +p241979 +aS'showed\tshow\tVBD\tB-VP\tO' +p241980 +aS'that\tthat\tIN\tB-SBAR\tO' +p241981 +aS'the\tthe\tDT\tB-NP\tO' +p241982 +aS'patient\tpatient\tNN\tI-NP\tO' +p241983 +aS'is\tbe\tVBZ\tB-VP\tO' +p241984 +aS'aspirating\taspirate\tVBG\tI-VP\tO' +p241985 +aS'at\tat\tIN\tB-PP\tO' +p241986 +aS'this\tthis\tDT\tB-NP\tO' +p241987 +aS'time\ttime\tNN\tI-NP\tO' +p241988 +aS',\t,\t,\tO\tO' +p241989 +aS'but\tbut\tCC\tO\tO' +p241990 +aS'there\tthere\tEX\tB-NP\tO' +p241991 +aS'is\tbe\tVBZ\tB-VP\tO' +p241992 +aS'great\tgreat\tJJ\tB-NP\tO' +p241993 +aS'hope\thope\tNN\tI-NP\tO' +p241994 +aS'from\tfrom\tIN\tB-PP\tO' +p241995 +aS'the\tthe\tDT\tB-NP\tO' +p241996 +aS'nature\tnature\tNN\tI-NP\tO' +p241997 +aS'of\tof\tIN\tB-PP\tO' +p241998 +aS'her\ther\tPRP$\tB-NP\tO' +p241999 +aS'deficit\tdeficit\tNN\tI-NP\tO' +p242000 +aS'and\tand\tCC\tO\tO' +p242001 +aS'the\tthe\tDT\tB-NP\tO' +p242002 +aS'good\tgood\tJJ\tI-NP\tO' +p242003 +aS'movements\tmovement\tNNS\tI-NP\tO' +p242004 +aS'of\tof\tIN\tB-PP\tO' +p242005 +aS'her\ther\tPRP$\tB-NP\tO' +p242006 +aS'tongue\ttongue\tNN\tI-NP\tO' +p242007 +aS'that\tthat\tIN\tB-SBAR\tO' +p242008 +aS'normal\tnormal\tJJ\tB-NP\tO' +p242009 +aS'swallowing\tswallow\tVBG\tI-NP\tO' +p242010 +aS'should\tshould\tMD\tB-VP\tO' +p242011 +aS'return\treturn\tVB\tI-VP\tO' +p242012 +aS'soon\tsoon\tRB\tB-ADVP\tO' +p242013 +aS'.\t.\t.\tO\tO' +p242014 +asS'6. Calcium carbonate 500 mg p.o. q.d.' +p242015 +(lp242016 +S'6.\t6.\tLS\tB-NP\tO' +p242017 +aS'Calcium\tCalcium\tNN\tI-NP\tO' +p242018 +aS'carbonate\tcarbonate\tNN\tI-NP\tO' +p242019 +aS'500\t500\tCD\tI-NP\tO' +p242020 +aS'mg\tmg\tNN\tI-NP\tO' +p242021 +aS'p.o.\tp.o.\tFW\tB-ADVP\tO' +p242022 +aS'q.d.\tq.d.\tFW\tI-ADVP\tO' +p242023 +asS'He should also continue having a snack at midnight if able .' +p242024 +(lp242025 +S'He\tHe\tPRP\tB-NP\tO' +p242026 +aS'should\tshould\tMD\tB-VP\tO' +p242027 +aS'also\talso\tRB\tI-VP\tO' +p242028 +aS'continue\tcontinue\tVB\tI-VP\tO' +p242029 +aS'having\thave\tVBG\tI-VP\tO' +p242030 +aS'a\ta\tDT\tB-NP\tO' +p242031 +aS'snack\tsnack\tNN\tI-NP\tO' +p242032 +aS'at\tat\tIN\tB-PP\tO' +p242033 +aS'midnight\tmidnight\tNN\tB-NP\tO' +p242034 +aS'if\tif\tIN\tB-SBAR\tO' +p242035 +aS'able\table\tJJ\tB-ADJP\tO' +p242036 +aS'.\t.\t.\tO\tO' +p242037 +asS'Anemia - This is a chronic problem .' +p242038 +(lp242039 +S'Anemia\tAnemia\tNN\tB-NP\tO' +p242040 +aS'-\t-\tHYPH\tO\tO' +p242041 +aS'This\tThis\tDT\tB-NP\tO' +p242042 +aS'is\tbe\tVBZ\tB-VP\tO' +p242043 +aS'a\ta\tDT\tB-NP\tO' +p242044 +aS'chronic\tchronic\tJJ\tI-NP\tO' +p242045 +aS'problem\tproblem\tNN\tI-NP\tO' +p242046 +aS'.\t.\t.\tO\tO' +p242047 +asS'He became profoundly thrombocytopenic , and ultimately was admitted to the hospital on 2/15 with headache and weakness .' +p242048 +(lp242049 +S'He\tHe\tPRP\tB-NP\tO' +p242050 +aS'became\tbecome\tVBD\tB-VP\tO' +p242051 +aS'profoundly\tprofoundly\tRB\tB-ADJP\tO' +p242052 +aS'thrombocytopenic\tthrombocytopenic\tJJ\tI-ADJP\tO' +p242053 +aS',\t,\t,\tO\tO' +p242054 +aS'and\tand\tCC\tO\tO' +p242055 +aS'ultimately\tultimately\tRB\tB-VP\tO' +p242056 +aS'was\tbe\tVBD\tI-VP\tO' +p242057 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p242058 +aS'to\tto\tTO\tB-PP\tO' +p242059 +aS'the\tthe\tDT\tB-NP\tO' +p242060 +aS'hospital\thospital\tNN\tI-NP\tO' +p242061 +aS'on\ton\tIN\tB-PP\tO' +p242062 +aS'2/15\t2/15\tCD\tB-NP\tO' +p242063 +aS'with\twith\tIN\tB-PP\tO' +p242064 +aS'headache\theadache\tNN\tB-NP\tO' +p242065 +aS'and\tand\tCC\tI-NP\tO' +p242066 +aS'weakness\tweakness\tNN\tI-NP\tO' +p242067 +aS'.\t.\t.\tO\tO' +p242068 +asS'The patient will follow-up with Dr. Friednantflirt .' +p242069 +(lp242070 +S'The\tThe\tDT\tB-NP\tO' +p242071 +aS'patient\tpatient\tNN\tI-NP\tO' +p242072 +aS'will\twill\tMD\tB-VP\tO' +p242073 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p242074 +aS'with\twith\tIN\tB-PP\tO' +p242075 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p242076 +aS'Friednantflirt\tFriednantflirt\tNNP\tI-NP\tO' +p242077 +aS'.\t.\t.\tO\tO' +p242078 +asS'Warm , well perfused .' +p242079 +(lp242080 +S'Warm\tWarm\tNNP\tB-NP\tO' +p242081 +aS',\t,\t,\tO\tO' +p242082 +aS'well\twell\tRB\tB-VP\tO' +p242083 +aS'perfused\tperfuse\tVBN\tI-VP\tO' +p242084 +aS'.\t.\t.\tO\tO' +p242085 +asS'Reexploration of vaginal surgical area pelvic angiography' +p242086 +(lp242087 +S'Reexploration\tReexploration\tNN\tB-NP\tO' +p242088 +aS'of\tof\tIN\tB-PP\tO' +p242089 +aS'vaginal\tvaginal\tJJ\tB-NP\tO' +p242090 +aS'surgical\tsurgical\tJJ\tI-NP\tO' +p242091 +aS'area\tarea\tNN\tI-NP\tO' +p242092 +aS'pelvic\tpelvic\tJJ\tI-NP\tO' +p242093 +aS'angiography\tangiography\tNN\tI-NP\tO' +p242094 +asS'The patient 's electrolytes and fluids were monitored closely during his admission .' +p242095 +(lp242096 +S'The\tThe\tDT\tB-NP\tO' +p242097 +aS'patient\tpatient\tNN\tI-NP\tO' +p242098 +aS''s\t'\tVBZ\tB-VP\tO' +p242099 +aS'electrolytes\telectrolyte\tNNS\tB-NP\tO' +p242100 +aS'and\tand\tCC\tI-NP\tO' +p242101 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p242102 +aS'were\tbe\tVBD\tB-VP\tO' +p242103 +aS'monitored\tmonitor\tVBN\tI-VP\tO' +p242104 +aS'closely\tclosely\tRB\tB-ADVP\tO' +p242105 +aS'during\tduring\tIN\tB-PP\tO' +p242106 +aS'his\this\tPRP$\tB-NP\tO' +p242107 +aS'admission\tadmission\tNN\tI-NP\tO' +p242108 +aS'.\t.\t.\tO\tO' +p242109 +asS'While in the Oaksgekesser/ Memorial Hospital the patient on 4/4/99 complained of mild epigastric discomfort because he was put in Cimetidine while in the Intensive Care Unit for prophylaxis against peptic ulcer disease .' +p242110 +(lp242111 +S'While\tWhile\tIN\tB-SBAR\tO' +p242112 +aS'in\tin\tIN\tB-PP\tO' +p242113 +aS'the\tthe\tDT\tB-NP\tO' +p242114 +aS'Oaksgekesser/\tOaksgekesser/\tNNP\tI-NP\tO' +p242115 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p242116 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p242117 +aS'the\tthe\tDT\tB-NP\tO' +p242118 +aS'patient\tpatient\tNN\tI-NP\tO' +p242119 +aS'on\ton\tIN\tB-PP\tO' +p242120 +aS'4/4/99\t4/4/99\tCD\tB-NP\tO' +p242121 +aS'complained\tcomplain\tVBD\tB-VP\tO' +p242122 +aS'of\tof\tIN\tB-PP\tO' +p242123 +aS'mild\tmild\tJJ\tB-NP\tO' +p242124 +aS'epigastric\tepigastric\tJJ\tI-NP\tO' +p242125 +aS'discomfort\tdiscomfort\tNN\tI-NP\tO' +p242126 +aS'because\tbecause\tIN\tB-SBAR\tO' +p242127 +aS'he\the\tPRP\tB-NP\tO' +p242128 +aS'was\tbe\tVBD\tB-VP\tO' +p242129 +aS'put\tput\tVBN\tI-VP\tO' +p242130 +aS'in\tin\tIN\tB-PP\tO' +p242131 +aS'Cimetidine\tCimetidine\tNN\tB-NP\tO' +p242132 +aS'while\twhile\tIN\tB-SBAR\tO' +p242133 +aS'in\tin\tIN\tB-PP\tO' +p242134 +aS'the\tthe\tDT\tB-NP\tO' +p242135 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p242136 +aS'Care\tCare\tNNP\tI-NP\tO' +p242137 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p242138 +aS'for\tfor\tIN\tB-PP\tO' +p242139 +aS'prophylaxis\tprophylaxis\tNN\tB-NP\tO' +p242140 +aS'against\tagainst\tIN\tB-PP\tO' +p242141 +aS'peptic\tpeptic\tJJ\tB-NP\tO' +p242142 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p242143 +aS'disease\tdisease\tNN\tI-NP\tO' +p242144 +aS'.\t.\t.\tO\tO' +p242145 +asS'Stool for C.diff toxin was sent x 1 and was negative .' +p242146 +(lp242147 +S'Stool\tStool\tNN\tB-NP\tO' +p242148 +aS'for\tfor\tIN\tB-PP\tO' +p242149 +aS'C.diff\tC.diff\tNN\tB-NP\tB-protein' +p242150 +aS'toxin\ttoxin\tNN\tI-NP\tI-protein' +p242151 +aS'was\tbe\tVBD\tB-VP\tO' +p242152 +aS'sent\tsend\tVBN\tI-VP\tO' +p242153 +aS'x\tx\tSYM\tB-NP\tO' +p242154 +aS'1\t1\tCD\tI-NP\tO' +p242155 +aS'and\tand\tCC\tO\tO' +p242156 +aS'was\tbe\tVBD\tB-VP\tO' +p242157 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p242158 +aS'.\t.\t.\tO\tO' +p242159 +asS'Right thalamic hemorrhage , hypertension , diabetes mellitus .' +p242160 +(lp242161 +S'Right\tRight\tRB\tB-NP\tO' +p242162 +aS'thalamic\tthalamic\tJJ\tI-NP\tO' +p242163 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p242164 +aS',\t,\t,\tO\tO' +p242165 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p242166 +aS',\t,\t,\tO\tO' +p242167 +aS'diabetes\tdiabetes\tNN\tB-NP\tO' +p242168 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p242169 +aS'.\t.\t.\tO\tO' +p242170 +asS'Patient had peripheral IV x1 placed and right femoral line placed in the Matthew .' +p242171 +(lp242172 +S'Patient\tPatient\tNN\tB-NP\tO' +p242173 +aS'had\thave\tVBD\tB-VP\tO' +p242174 +aS'peripheral\tperipheral\tJJ\tB-NP\tO' +p242175 +aS'IV\tIV\tCD\tI-NP\tO' +p242176 +aS'x1\tx1\tNN\tI-NP\tO' +p242177 +aS'placed\tplace\tVBN\tB-NP\tO' +p242178 +aS'and\tand\tCC\tI-NP\tO' +p242179 +aS'right\tright\tJJ\tI-NP\tO' +p242180 +aS'femoral\tfemoral\tJJ\tI-NP\tO' +p242181 +aS'line\tline\tNN\tI-NP\tO' +p242182 +aS'placed\tplace\tVBN\tB-VP\tO' +p242183 +aS'in\tin\tIN\tB-PP\tO' +p242184 +aS'the\tthe\tDT\tB-NP\tO' +p242185 +aS'Matthew\tMatthew\tNNP\tI-NP\tO' +p242186 +aS'.\t.\t.\tO\tO' +p242187 +asS'South Cove Community Health Center at 5368 W. Sixth Rd. , Burlington , Oregon 55832 ; telephone number ( 391-5273 .' +p242188 +(lp242189 +S'South\tSouth\tNNP\tB-NP\tO' +p242190 +aS'Cove\tCove\tNNP\tI-NP\tO' +p242191 +aS'Community\tCommunity\tNNP\tI-NP\tO' +p242192 +aS'Health\tHealth\tNNP\tI-NP\tO' +p242193 +aS'Center\tCenter\tNNP\tI-NP\tO' +p242194 +aS'at\tat\tIN\tB-PP\tO' +p242195 +aS'5368\t5368\tCD\tB-NP\tO' +p242196 +aS'W.\tW.\tNNP\tI-NP\tO' +p242197 +aS'Sixth\tSixth\tNNP\tI-NP\tO' +p242198 +aS'Rd.\tRd.\tNNP\tI-NP\tO' +p242199 +aS',\t,\t,\tO\tO' +p242200 +aS'Burlington\tBurlington\tNNP\tB-NP\tO' +p242201 +aS',\t,\t,\tO\tO' +p242202 +aS'Oregon\tOregon\tNNP\tB-NP\tO' +p242203 +aS'55832\t55832\tCD\tI-NP\tO' +p242204 +aS';\t;\t:\tO\tO' +p242205 +aS'telephone\ttelephone\tNN\tB-NP\tO' +p242206 +aS'number\tnumber\tNN\tI-NP\tO' +p242207 +aS'(\t(\t(\tO\tO' +p242208 +aS'391-5273\t391-5273\tCD\tB-NP\tO' +p242209 +aS'.\t.\t.\tO\tO' +p242210 +asS'The patient was transfused two units and an esophagogastroduodenoscopy done where it showed gastritis , candidal esophagitis and portal hypertensive gastropathy without varices .' +p242211 +(lp242212 +S'The\tThe\tDT\tB-NP\tO' +p242213 +aS'patient\tpatient\tNN\tI-NP\tO' +p242214 +aS'was\tbe\tVBD\tB-VP\tO' +p242215 +aS'transfused\ttransfuse\tVBN\tI-VP\tO' +p242216 +aS'two\ttwo\tCD\tB-NP\tO' +p242217 +aS'units\tunit\tNNS\tI-NP\tO' +p242218 +aS'and\tand\tCC\tO\tO' +p242219 +aS'an\tan\tDT\tB-NP\tO' +p242220 +aS'esophagogastroduodenoscopy\tesophagogastroduodenoscopy\tNN\tI-NP\tO' +p242221 +aS'done\tdo\tVBN\tB-VP\tO' +p242222 +aS'where\twhere\tWRB\tB-ADVP\tO' +p242223 +aS'it\tit\tPRP\tB-NP\tO' +p242224 +aS'showed\tshow\tVBD\tB-VP\tO' +p242225 +aS'gastritis\tgastritis\tNN\tB-NP\tO' +p242226 +aS',\t,\t,\tO\tO' +p242227 +aS'candidal\tcandidal\tNN\tB-NP\tO' +p242228 +aS'esophagitis\tesophagitis\tNN\tI-NP\tO' +p242229 +aS'and\tand\tCC\tO\tO' +p242230 +aS'portal\tportal\tJJ\tB-NP\tO' +p242231 +aS'hypertensive\thypertensive\tJJ\tI-NP\tO' +p242232 +aS'gastropathy\tgastropathy\tNN\tI-NP\tO' +p242233 +aS'without\twithout\tIN\tB-PP\tO' +p242234 +aS'varices\tvarix\tNNS\tB-NP\tO' +p242235 +aS'.\t.\t.\tO\tO' +p242236 +asS'Patient was placed on vancomycin 1 gm IV q12 and zosyn .' +p242237 +(lp242238 +S'Patient\tPatient\tNN\tB-NP\tO' +p242239 +aS'was\tbe\tVBD\tB-VP\tO' +p242240 +aS'placed\tplace\tVBN\tI-VP\tO' +p242241 +aS'on\ton\tIN\tB-PP\tO' +p242242 +aS'vancomycin\tvancomycin\tNN\tB-NP\tO' +p242243 +aS'1\t1\tCD\tI-NP\tO' +p242244 +aS'gm\tgm\tNN\tI-NP\tO' +p242245 +aS'IV\tIV\tCD\tB-NP\tO' +p242246 +aS'q12\tq12\tNN\tI-NP\tO' +p242247 +aS'and\tand\tCC\tI-NP\tO' +p242248 +aS'zosyn\tzosyn\tNN\tI-NP\tO' +p242249 +aS'.\t.\t.\tO\tO' +p242250 +asS'2. Ativan prn .' +p242251 +(lp242252 +S'2.\t2.\tLS\tB-NP\tO' +p242253 +aS'Ativan\tAtivan\tNNP\tI-NP\tO' +p242254 +aS'prn\tprn\tNN\tI-NP\tO' +p242255 +aS'.\t.\t.\tO\tO' +p242256 +asS'1. Feeds - Breastfeeding ad lib , supplementing with Enfamil 24 or breastmilk 24 cal / oz made with 1 tsp of Enfamil powder per 100 cc of breastmilk .' +p242257 +(lp242258 +S'1.\t1.\tLS\tB-NP\tO' +p242259 +aS'Feeds\tFeed\tNNPS\tI-NP\tO' +p242260 +aS'-\t-\tHYPH\tO\tO' +p242261 +aS'Breastfeeding\tBreastfeed\tVBG\tB-VP\tO' +p242262 +aS'ad\tad\tNN\tB-NP\tO' +p242263 +aS'lib\tlib\tNN\tI-NP\tO' +p242264 +aS',\t,\t,\tO\tO' +p242265 +aS'supplementing\tsupplement\tVBG\tB-VP\tO' +p242266 +aS'with\twith\tIN\tB-PP\tO' +p242267 +aS'Enfamil\tEnfamil\tNN\tB-NP\tO' +p242268 +aS'24\t24\tCD\tI-NP\tO' +p242269 +aS'or\tor\tCC\tO\tO' +p242270 +aS'breastmilk\tbreastmilk\tNN\tB-NP\tO' +p242271 +aS'24\t24\tCD\tI-NP\tO' +p242272 +aS'cal\tcal\tNN\tI-NP\tO' +p242273 +aS'/\t/\tSYM\tB-NP\tO' +p242274 +aS'oz\toz\tNN\tI-NP\tO' +p242275 +aS'made\tmake\tVBN\tB-VP\tO' +p242276 +aS'with\twith\tIN\tB-PP\tO' +p242277 +aS'1\t1\tCD\tB-NP\tO' +p242278 +aS'tsp\ttsp\tNN\tI-NP\tO' +p242279 +aS'of\tof\tIN\tB-PP\tO' +p242280 +aS'Enfamil\tEnfamil\tNN\tB-NP\tO' +p242281 +aS'powder\tpowder\tNN\tI-NP\tO' +p242282 +aS'per\tper\tIN\tB-PP\tO' +p242283 +aS'100\t100\tCD\tB-NP\tO' +p242284 +aS'cc\tcc\tNN\tI-NP\tO' +p242285 +aS'of\tof\tIN\tB-PP\tO' +p242286 +aS'breastmilk\tbreastmilk\tNN\tB-NP\tO' +p242287 +aS'.\t.\t.\tO\tO' +p242288 +asS'1. Metastatic gallbladder cancer .' +p242289 +(lp242290 +S'1.\t1.\tLS\tB-NP\tO' +p242291 +aS'Metastatic\tMetastatic\tJJ\tI-NP\tO' +p242292 +aS'gallbladder\tgallbladder\tNN\tI-NP\tO' +p242293 +aS'cancer\tcancer\tNN\tI-NP\tO' +p242294 +aS'.\t.\t.\tO\tO' +p242295 +asS'The right ventricle appeared to be acceptable .' +p242296 +(lp242297 +S'The\tThe\tDT\tB-NP\tO' +p242298 +aS'right\tright\tJJ\tI-NP\tO' +p242299 +aS'ventricle\tventricle\tNN\tI-NP\tO' +p242300 +aS'appeared\tappear\tVBD\tB-VP\tO' +p242301 +aS'to\tto\tTO\tI-VP\tO' +p242302 +aS'be\tbe\tVB\tI-VP\tO' +p242303 +aS'acceptable\tacceptable\tJJ\tB-ADJP\tO' +p242304 +aS'.\t.\t.\tO\tO' +p242305 +asS'The anterior and posterior of the frontal sinus was fractured with communication with the ethmoid air cells , presumably caused air in the orbit .' +p242306 +(lp242307 +S'The\tThe\tDT\tB-NP\tO' +p242308 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p242309 +aS'and\tand\tCC\tI-NP\tO' +p242310 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p242311 +aS'of\tof\tIN\tB-PP\tO' +p242312 +aS'the\tthe\tDT\tB-NP\tO' +p242313 +aS'frontal\tfrontal\tJJ\tI-NP\tO' +p242314 +aS'sinus\tsinus\tNN\tI-NP\tO' +p242315 +aS'was\tbe\tVBD\tB-VP\tO' +p242316 +aS'fractured\tfracture\tVBN\tI-VP\tO' +p242317 +aS'with\twith\tIN\tB-PP\tO' +p242318 +aS'communication\tcommunication\tNN\tB-NP\tO' +p242319 +aS'with\twith\tIN\tB-PP\tO' +p242320 +aS'the\tthe\tDT\tB-NP\tO' +p242321 +aS'ethmoid\tethmoid\tJJ\tI-NP\tB-cell_type' +p242322 +aS'air\tair\tNN\tI-NP\tI-cell_type' +p242323 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p242324 +aS',\t,\t,\tO\tO' +p242325 +aS'presumably\tpresumably\tRB\tB-ADVP\tO' +p242326 +aS'caused\tcause\tVBD\tB-VP\tO' +p242327 +aS'air\tair\tNN\tB-NP\tO' +p242328 +aS'in\tin\tIN\tB-PP\tO' +p242329 +aS'the\tthe\tDT\tB-NP\tO' +p242330 +aS'orbit\torbit\tNN\tI-NP\tO' +p242331 +aS'.\t.\t.\tO\tO' +p242332 +asS'FINAL SENSITIVITIES .' +p242333 +(lp242334 +S'FINAL\tFINAL\tJJ\tB-NP\tO' +p242335 +aS'SENSITIVITIES\tSENSITIVITIES\tNNS\tI-NP\tO' +p242336 +aS'.\t.\t.\tO\tO' +p242337 +asS'Attending : Leroy F Stalnaker , M.D.' +p242338 +(lp242339 +S'Attending\tAttend\tVBG\tB-VP\tO' +p242340 +aS':\t:\t:\tO\tO' +p242341 +aS'Leroy\tLeroy\tNNP\tB-NP\tO' +p242342 +aS'F\tF\tNNP\tI-NP\tO' +p242343 +aS'Stalnaker\tStalnaker\tNNP\tI-NP\tO' +p242344 +aS',\t,\t,\tO\tO' +p242345 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p242346 +asS'3. Lasix 20 mg po qd' +p242347 +(lp242348 +S'3.\t3.\tLS\tB-NP\tO' +p242349 +aS'Lasix\tLasix\tNN\tI-NP\tO' +p242350 +aS'20\t20\tCD\tI-NP\tO' +p242351 +aS'mg\tmg\tNN\tI-NP\tO' +p242352 +aS'po\tpo\tNN\tI-NP\tO' +p242353 +aS'qd\tqd\tNN\tI-NP\tO' +p242354 +asS'UCx grew proteus and her abx were changed to levaquin alone and she remained afebrile for > 24hr on this regimen .' +p242355 +(lp242356 +S'UCx\tUCx\tNN\tB-NP\tO' +p242357 +aS'grew\tgrow\tVBD\tB-VP\tO' +p242358 +aS'proteus\tproteus\tNN\tB-NP\tO' +p242359 +aS'and\tand\tCC\tO\tO' +p242360 +aS'her\ther\tPRP$\tB-NP\tO' +p242361 +aS'abx\tabx\tNN\tI-NP\tO' +p242362 +aS'were\tbe\tVBD\tB-VP\tO' +p242363 +aS'changed\tchange\tVBN\tI-VP\tO' +p242364 +aS'to\tto\tTO\tB-PP\tO' +p242365 +aS'levaquin\tlevaquin\tNN\tB-NP\tO' +p242366 +aS'alone\talone\tRB\tB-ADVP\tO' +p242367 +aS'and\tand\tCC\tO\tO' +p242368 +aS'she\tshe\tPRP\tB-NP\tO' +p242369 +aS'remained\tremain\tVBD\tB-VP\tO' +p242370 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p242371 +aS'for\tfor\tIN\tB-PP\tO' +p242372 +aS'>\t>\tJJR\tB-NP\tO' +p242373 +aS'24hr\t24hr\tNN\tI-NP\tO' +p242374 +aS'on\ton\tIN\tB-PP\tO' +p242375 +aS'this\tthis\tDT\tB-NP\tO' +p242376 +aS'regimen\tregimen\tNN\tI-NP\tO' +p242377 +aS'.\t.\t.\tO\tO' +p242378 +asS'This was per report of Vencor Hospital .' +p242379 +(lp242380 +S'This\tThis\tDT\tB-NP\tO' +p242381 +aS'was\tbe\tVBD\tB-VP\tO' +p242382 +aS'per\tper\tIN\tB-PP\tO' +p242383 +aS'report\treport\tNN\tB-NP\tO' +p242384 +aS'of\tof\tIN\tB-PP\tO' +p242385 +aS'Vencor\tVencor\tNNP\tB-NP\tO' +p242386 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p242387 +aS'.\t.\t.\tO\tO' +p242388 +asS'The patient denies any drug allergies .' +p242389 +(lp242390 +S'The\tThe\tDT\tB-NP\tO' +p242391 +aS'patient\tpatient\tNN\tI-NP\tO' +p242392 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p242393 +aS'any\tany\tDT\tB-NP\tO' +p242394 +aS'drug\tdrug\tNN\tI-NP\tO' +p242395 +aS'allergies\tallergy\tNNS\tI-NP\tO' +p242396 +aS'.\t.\t.\tO\tO' +p242397 +asS'No further electrolytes have been measured .' +p242398 +(lp242399 +S'No\tNo\tDT\tB-NP\tO' +p242400 +aS'further\tfurther\tJJ\tI-NP\tO' +p242401 +aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' +p242402 +aS'have\thave\tVBP\tB-VP\tO' +p242403 +aS'been\tbe\tVBN\tI-VP\tO' +p242404 +aS'measured\tmeasure\tVBN\tI-VP\tO' +p242405 +aS'.\t.\t.\tO\tO' +p242406 +asS'Fingerstick QACHS , 3 AM Insulin SC Fixed Dose Orders' +p242407 +(lp242408 +S'Fingerstick\tFingerstick\tNNP\tB-NP\tO' +p242409 +aS'QACHS\tQACHS\tNNP\tI-NP\tO' +p242410 +aS',\t,\t,\tO\tO' +p242411 +aS'3\t3\tCD\tB-NP\tO' +p242412 +aS'AM\tAM\tNNP\tI-NP\tO' +p242413 +aS'Insulin\tInsulin\tNNP\tI-NP\tO' +p242414 +aS'SC\tSC\tNNP\tI-NP\tO' +p242415 +aS'Fixed\tFixed\tNNP\tI-NP\tO' +p242416 +aS'Dose\tDose\tNNP\tI-NP\tO' +p242417 +aS'Orders\tOrders\tNNP\tI-NP\tO' +p242418 +asS'The most recent was done on May 4 , 1995 .' +p242419 +(lp242420 +S'The\tThe\tDT\tB-NP\tO' +p242421 +aS'most\tmost\tRBS\tI-NP\tO' +p242422 +aS'recent\trecent\tJJ\tI-NP\tO' +p242423 +aS'was\tbe\tVBD\tB-VP\tO' +p242424 +aS'done\tdo\tVBN\tI-VP\tO' +p242425 +aS'on\ton\tIN\tB-PP\tO' +p242426 +aS'May\tMay\tNNP\tB-NP\tO' +p242427 +aS'4\t4\tCD\tI-NP\tO' +p242428 +aS',\t,\t,\tI-NP\tO' +p242429 +aS'1995\t1995\tCD\tI-NP\tO' +p242430 +aS'.\t.\t.\tO\tO' +p242431 +asS'She was followed by psychiatry in consultation while she was on the medical floor .' +p242432 +(lp242433 +S'She\tShe\tPRP\tB-NP\tO' +p242434 +aS'was\tbe\tVBD\tB-VP\tO' +p242435 +aS'followed\tfollow\tVBN\tI-VP\tO' +p242436 +aS'by\tby\tIN\tB-PP\tO' +p242437 +aS'psychiatry\tpsychiatry\tNN\tB-NP\tO' +p242438 +aS'in\tin\tIN\tB-PP\tO' +p242439 +aS'consultation\tconsultation\tNN\tB-NP\tO' +p242440 +aS'while\twhile\tIN\tB-SBAR\tO' +p242441 +aS'she\tshe\tPRP\tB-NP\tO' +p242442 +aS'was\tbe\tVBD\tB-VP\tO' +p242443 +aS'on\ton\tIN\tB-PP\tO' +p242444 +aS'the\tthe\tDT\tB-NP\tO' +p242445 +aS'medical\tmedical\tJJ\tI-NP\tO' +p242446 +aS'floor\tfloor\tNN\tI-NP\tO' +p242447 +aS'.\t.\t.\tO\tO' +p242448 +asS'2. For pulmonary , the patient had a good O2 saturations on room air .' +p242449 +(lp242450 +S'2.\t2.\tLS\tB-LST\tO' +p242451 +aS'For\tFor\tIN\tB-PP\tO' +p242452 +aS'pulmonary\tpulmonary\tJJ\tB-ADJP\tO' +p242453 +aS',\t,\t,\tO\tO' +p242454 +aS'the\tthe\tDT\tB-NP\tO' +p242455 +aS'patient\tpatient\tNN\tI-NP\tO' +p242456 +aS'had\thave\tVBD\tB-VP\tO' +p242457 +aS'a\ta\tDT\tB-NP\tO' +p242458 +aS'good\tgood\tJJ\tI-NP\tO' +p242459 +aS'O2\tO2\tNN\tI-NP\tO' +p242460 +aS'saturations\tsaturation\tNNS\tI-NP\tO' +p242461 +aS'on\ton\tIN\tB-PP\tO' +p242462 +aS'room\troom\tNN\tB-NP\tO' +p242463 +aS'air\tair\tNN\tI-NP\tO' +p242464 +aS'.\t.\t.\tO\tO' +p242465 +asS'A. Instructions : with Dr. Matthew in 2-3 weeks with Dr. Dellinger in 2-3 weeks with Dr. les Gokey in 4 weeks' +p242466 +(lp242467 +S'A.\tA.\tNN\tB-NP\tO' +p242468 +aS'Instructions\tInstruction\tNNS\tI-NP\tO' +p242469 +aS':\t:\t:\tO\tO' +p242470 +aS'with\twith\tIN\tB-PP\tO' +p242471 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p242472 +aS'Matthew\tMatthew\tNNP\tI-NP\tO' +p242473 +aS'in\tin\tIN\tB-PP\tO' +p242474 +aS'2-3\t2-3\tCD\tB-NP\tO' +p242475 +aS'weeks\tweek\tNNS\tI-NP\tO' +p242476 +aS'with\twith\tIN\tB-PP\tO' +p242477 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p242478 +aS'Dellinger\tDellinger\tNNP\tI-NP\tO' +p242479 +aS'in\tin\tIN\tB-PP\tO' +p242480 +aS'2-3\t2-3\tCD\tB-NP\tO' +p242481 +aS'weeks\tweek\tNNS\tI-NP\tO' +p242482 +aS'with\twith\tIN\tB-PP\tO' +p242483 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p242484 +aS'les\tle\tVBZ\tB-VP\tO' +p242485 +aS'Gokey\tGokey\tNNP\tB-NP\tO' +p242486 +aS'in\tin\tIN\tB-PP\tO' +p242487 +aS'4\t4\tCD\tB-NP\tO' +p242488 +aS'weeks\tweek\tNNS\tI-NP\tO' +p242489 +asS'The patient 's past medical history is significant for allergies , depression and anxiety , pleural thickening / asbestosis , chronic left bundle branch block , tonsillectomy , adenoidectomy , vein stripping ( 1968 ) , left wrist fracture ( 1994 ) , and hypercholesterolemia .' +p242490 +(lp242491 +S'The\tThe\tDT\tB-NP\tO' +p242492 +aS'patient\tpatient\tNN\tI-NP\tO' +p242493 +aS''s\t'\tNNS\tI-NP\tO' +p242494 +aS'past\tpast\tIN\tB-PP\tO' +p242495 +aS'medical\tmedical\tJJ\tB-NP\tO' +p242496 +aS'history\thistory\tNN\tI-NP\tO' +p242497 +aS'is\tbe\tVBZ\tB-VP\tO' +p242498 +aS'significant\tsignificant\tJJ\tB-ADJP\tO' +p242499 +aS'for\tfor\tIN\tB-PP\tO' +p242500 +aS'allergies\tallergy\tNNS\tB-NP\tO' +p242501 +aS',\t,\t,\tO\tO' +p242502 +aS'depression\tdepression\tNN\tB-NP\tO' +p242503 +aS'and\tand\tCC\tI-NP\tO' +p242504 +aS'anxiety\tanxiety\tNN\tI-NP\tO' +p242505 +aS',\t,\t,\tO\tO' +p242506 +aS'pleural\tpleural\tJJ\tB-NP\tO' +p242507 +aS'thickening\tthickening\tNN\tI-NP\tO' +p242508 +aS'/\t/\tSYM\tB-NP\tO' +p242509 +aS'asbestosis\tasbestosis\tNN\tI-NP\tO' +p242510 +aS',\t,\t,\tO\tO' +p242511 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p242512 +aS'left\tleft\tJJ\tI-NP\tO' +p242513 +aS'bundle\tbundle\tNN\tI-NP\tO' +p242514 +aS'branch\tbranch\tNN\tI-NP\tO' +p242515 +aS'block\tblock\tNN\tI-NP\tO' +p242516 +aS',\t,\t,\tO\tO' +p242517 +aS'tonsillectomy\ttonsillectomy\tNN\tB-NP\tO' +p242518 +aS',\t,\t,\tO\tO' +p242519 +aS'adenoidectomy\tadenoidectomy\tNN\tB-NP\tO' +p242520 +aS',\t,\t,\tO\tO' +p242521 +aS'vein\tvein\tNN\tB-NP\tO' +p242522 +aS'stripping\tstripping\tNN\tI-NP\tO' +p242523 +aS'(\t(\t(\tO\tO' +p242524 +aS'1968\t1968\tCD\tB-NP\tO' +p242525 +aS')\t)\t)\tO\tO' +p242526 +aS',\t,\t,\tO\tO' +p242527 +aS'left\tleave\tVBD\tB-VP\tO' +p242528 +aS'wrist\twrist\tNN\tB-NP\tO' +p242529 +aS'fracture\tfracture\tNN\tI-NP\tO' +p242530 +aS'(\t(\t(\tO\tO' +p242531 +aS'1994\t1994\tCD\tB-NP\tO' +p242532 +aS')\t)\t)\tO\tO' +p242533 +aS',\t,\t,\tO\tO' +p242534 +aS'and\tand\tCC\tO\tO' +p242535 +aS'hypercholesterolemia\thypercholesterolemia\tNN\tB-NP\tO' +p242536 +aS'.\t.\t.\tO\tO' +p242537 +asS'Consent for autopsy was denied .' +p242538 +(lp242539 +S'Consent\tConsent\tNN\tB-NP\tO' +p242540 +aS'for\tfor\tIN\tB-PP\tO' +p242541 +aS'autopsy\tautopsy\tNN\tB-NP\tO' +p242542 +aS'was\tbe\tVBD\tB-VP\tO' +p242543 +aS'denied\tdeny\tVBN\tI-VP\tO' +p242544 +aS'.\t.\t.\tO\tO' +p242545 +asS'Negative for tobacco , drugs , or domestic violence .' +p242546 +(lp242547 +S'Negative\tNegative\tJJ\tB-ADJP\tO' +p242548 +aS'for\tfor\tIN\tB-PP\tO' +p242549 +aS'tobacco\ttobacco\tNN\tB-NP\tO' +p242550 +aS',\t,\t,\tO\tO' +p242551 +aS'drugs\tdrug\tNNS\tB-NP\tO' +p242552 +aS',\t,\t,\tO\tO' +p242553 +aS'or\tor\tCC\tO\tO' +p242554 +aS'domestic\tdomestic\tJJ\tB-NP\tO' +p242555 +aS'violence\tviolence\tNN\tI-NP\tO' +p242556 +aS'.\t.\t.\tO\tO' +p242557 +asS'BP meds held while was unstable .' +p242558 +(lp242559 +S'BP\tBP\tNN\tB-NP\tO' +p242560 +aS'meds\tmed\tNNS\tI-NP\tO' +p242561 +aS'held\thold\tVBN\tB-VP\tO' +p242562 +aS'while\twhile\tIN\tB-SBAR\tO' +p242563 +aS'was\tbe\tVBD\tB-VP\tO' +p242564 +aS'unstable\tunstable\tJJ\tB-ADJP\tO' +p242565 +aS'.\t.\t.\tO\tO' +p242566 +asS'3. Motrin 400 mg p.o. b.i.d. p.r.n. pain .' +p242567 +(lp242568 +S'3.\t3.\tLS\tB-NP\tO' +p242569 +aS'Motrin\tMotrin\tNN\tI-NP\tO' +p242570 +aS'400\t400\tCD\tI-NP\tO' +p242571 +aS'mg\tmg\tNN\tI-NP\tO' +p242572 +aS'p.o.\tp.o.\tFW\tB-NP\tO' +p242573 +aS'b.i.d.\tb.i.d.\tFW\tI-NP\tO' +p242574 +aS'p.r.n.\tp.r.n.\tFW\tI-NP\tO' +p242575 +aS'pain\tpain\tNN\tI-NP\tO' +p242576 +aS'.\t.\t.\tO\tO' +p242577 +asS'The margins do not appear to extend into the foramina transversaria .' +p242578 +(lp242579 +S'The\tThe\tDT\tB-NP\tO' +p242580 +aS'margins\tmargin\tNNS\tI-NP\tO' +p242581 +aS'do\tdo\tVBP\tB-VP\tO' +p242582 +aS'not\tnot\tRB\tI-VP\tO' +p242583 +aS'appear\tappear\tVB\tI-VP\tO' +p242584 +aS'to\tto\tTO\tI-VP\tO' +p242585 +aS'extend\textend\tVB\tI-VP\tO' +p242586 +aS'into\tinto\tIN\tB-PP\tO' +p242587 +aS'the\tthe\tDT\tB-NP\tO' +p242588 +aS'foramina\tforamina\tNN\tI-NP\tO' +p242589 +aS'transversaria\ttransversaria\tNN\tI-NP\tO' +p242590 +aS'.\t.\t.\tO\tO' +p242591 +asS'The patient also appeared to have stool from his Jackson-Pratt site and right oblique incision .' +p242592 +(lp242593 +S'The\tThe\tDT\tB-NP\tO' +p242594 +aS'patient\tpatient\tNN\tI-NP\tO' +p242595 +aS'also\talso\tRB\tB-ADVP\tO' +p242596 +aS'appeared\tappear\tVBD\tB-VP\tO' +p242597 +aS'to\tto\tTO\tI-VP\tO' +p242598 +aS'have\thave\tVB\tI-VP\tO' +p242599 +aS'stool\tstool\tNN\tB-NP\tO' +p242600 +aS'from\tfrom\tIN\tB-PP\tO' +p242601 +aS'his\this\tPRP$\tB-NP\tB-DNA' +p242602 +aS'Jackson-Pratt\tJackson-Pratt\tJJ\tI-NP\tI-DNA' +p242603 +aS'site\tsite\tNN\tI-NP\tI-DNA' +p242604 +aS'and\tand\tCC\tO\tO' +p242605 +aS'right\tright\tJJ\tB-NP\tO' +p242606 +aS'oblique\toblique\tJJ\tI-NP\tO' +p242607 +aS'incision\tincision\tNN\tI-NP\tO' +p242608 +aS'.\t.\t.\tO\tO' +p242609 +asS'During his postoperative course , he did not suffer from any arrhythmias nor did he have any episode of hypotension .' +p242610 +(lp242611 +S'During\tDuring\tIN\tB-PP\tO' +p242612 +aS'his\this\tPRP$\tB-NP\tO' +p242613 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p242614 +aS'course\tcourse\tNN\tI-NP\tO' +p242615 +aS',\t,\t,\tO\tO' +p242616 +aS'he\the\tPRP\tB-NP\tO' +p242617 +aS'did\tdo\tVBD\tB-VP\tO' +p242618 +aS'not\tnot\tRB\tI-VP\tO' +p242619 +aS'suffer\tsuffer\tVB\tI-VP\tO' +p242620 +aS'from\tfrom\tIN\tB-PP\tO' +p242621 +aS'any\tany\tDT\tB-NP\tO' +p242622 +aS'arrhythmias\tarrhythmia\tNNS\tI-NP\tO' +p242623 +aS'nor\tnor\tCC\tO\tO' +p242624 +aS'did\tdo\tVBD\tO\tO' +p242625 +aS'he\the\tPRP\tB-NP\tO' +p242626 +aS'have\thave\tVB\tB-VP\tO' +p242627 +aS'any\tany\tDT\tB-NP\tO' +p242628 +aS'episode\tepisode\tNN\tI-NP\tO' +p242629 +aS'of\tof\tIN\tB-PP\tO' +p242630 +aS'hypotension\thypotension\tNN\tB-NP\tO' +p242631 +aS'.\t.\t.\tO\tO' +p242632 +asS'8. Bisacodyl 5 mg Tablet , Delayed Release ( E.C. ) Sig : Two ( 2 ) Tablet , Delayed Release ( E.C. ) PO DAILY ( Daily ) as needed for constipation .' +p242633 +(lp242634 +S'8.\t8.\tCD\tB-NP\tO' +p242635 +aS'Bisacodyl\tBisacodyl\tNN\tI-NP\tO' +p242636 +aS'5\t5\tCD\tB-NP\tO' +p242637 +aS'mg\tmg\tNN\tI-NP\tO' +p242638 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p242639 +aS',\t,\t,\tO\tO' +p242640 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p242641 +aS'Release\tRelease\tNNP\tI-NP\tO' +p242642 +aS'(\t(\t(\tO\tO' +p242643 +aS'E.C.\tE.C.\tNNP\tB-NP\tO' +p242644 +aS')\t)\t)\tO\tO' +p242645 +aS'Sig\tSig\tNNP\tB-NP\tO' +p242646 +aS':\t:\t:\tO\tO' +p242647 +aS'Two\tTwo\tCD\tB-NP\tO' +p242648 +aS'(\t(\t(\tO\tO' +p242649 +aS'2\t2\tCD\tB-NP\tO' +p242650 +aS')\t)\t)\tO\tO' +p242651 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p242652 +aS',\t,\t,\tO\tO' +p242653 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p242654 +aS'Release\tRelease\tNNP\tI-NP\tO' +p242655 +aS'(\t(\t(\tO\tO' +p242656 +aS'E.C.\tE.C.\tNNP\tO\tO' +p242657 +aS')\t)\t)\tO\tO' +p242658 +aS'PO\tPO\tNN\tB-NP\tO' +p242659 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p242660 +aS'(\t(\t(\tO\tO' +p242661 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p242662 +aS')\t)\t)\tO\tO' +p242663 +aS'as\tas\tIN\tB-SBAR\tO' +p242664 +aS'needed\tneed\tVBN\tB-VP\tO' +p242665 +aS'for\tfor\tIN\tB-PP\tO' +p242666 +aS'constipation\tconstipation\tNN\tB-NP\tO' +p242667 +aS'.\t.\t.\tO\tO' +p242668 +asS'regular rhythm with no murmur , rub or gallop .' +p242669 +(lp242670 +S'regular\tregular\tJJ\tB-NP\tO' +p242671 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p242672 +aS'with\twith\tIN\tB-PP\tO' +p242673 +aS'no\tno\tDT\tB-NP\tO' +p242674 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p242675 +aS',\t,\t,\tI-NP\tO' +p242676 +aS'rub\trub\tNN\tI-NP\tO' +p242677 +aS'or\tor\tCC\tI-NP\tO' +p242678 +aS'gallop\tgallop\tNN\tI-NP\tO' +p242679 +aS'.\t.\t.\tO\tO' +p242680 +asS'Follow up with Dr. Marcia Bender to be arranged by the patient .' +p242681 +(lp242682 +S'Follow\tFollow\tVB\tB-VP\tO' +p242683 +aS'up\tup\tRP\tB-PRT\tO' +p242684 +aS'with\twith\tIN\tB-PP\tO' +p242685 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p242686 +aS'Marcia\tMarcia\tNNP\tI-NP\tO' +p242687 +aS'Bender\tBender\tNNP\tI-NP\tO' +p242688 +aS'to\tto\tTO\tB-VP\tO' +p242689 +aS'be\tbe\tVB\tI-VP\tO' +p242690 +aS'arranged\tarrange\tVBN\tI-VP\tO' +p242691 +aS'by\tby\tIN\tB-PP\tO' +p242692 +aS'the\tthe\tDT\tB-NP\tO' +p242693 +aS'patient\tpatient\tNN\tI-NP\tO' +p242694 +aS'.\t.\t.\tO\tO' +p242695 +asS'V1 through V3 , diminished light touch and pinprick in the left side .' +p242696 +(lp242697 +S'V1\tV1\tNN\tB-NP\tO' +p242698 +aS'through\tthrough\tIN\tB-PP\tO' +p242699 +aS'V3\tV3\tNN\tB-NP\tB-protein' +p242700 +aS',\t,\t,\tO\tO' +p242701 +aS'diminished\tdiminish\tVBD\tB-VP\tO' +p242702 +aS'light\tlight\tJJ\tB-NP\tO' +p242703 +aS'touch\ttouch\tNN\tI-NP\tO' +p242704 +aS'and\tand\tCC\tI-NP\tO' +p242705 +aS'pinprick\tpinprick\tNN\tI-NP\tO' +p242706 +aS'in\tin\tIN\tB-PP\tO' +p242707 +aS'the\tthe\tDT\tB-NP\tO' +p242708 +aS'left\tleft\tJJ\tI-NP\tO' +p242709 +aS'side\tside\tNN\tI-NP\tO' +p242710 +aS'.\t.\t.\tO\tO' +p242711 +asS'Infant transported to Neonatal Intensive Care Unit on facial CPAP .' +p242712 +(lp242713 +S'Infant\tInfant\tNN\tB-NP\tO' +p242714 +aS'transported\ttransport\tVBN\tB-VP\tO' +p242715 +aS'to\tto\tTO\tB-PP\tO' +p242716 +aS'Neonatal\tNeonatal\tNNP\tB-NP\tO' +p242717 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p242718 +aS'Care\tCare\tNNP\tI-NP\tO' +p242719 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p242720 +aS'on\ton\tIN\tB-PP\tO' +p242721 +aS'facial\tfacial\tJJ\tB-NP\tO' +p242722 +aS'CPAP\tCPAP\tNN\tI-NP\tB-protein' +p242723 +aS'.\t.\t.\tO\tO' +p242724 +asS'Administer iron products a minimum of 2 hours before or after a levofloxacin or ciprofloxacin dose dose If on tube feeds , please cycle ( hold 1 hr before to 2 hr after ) Take 2 hours before or 2 hours after dairy products .' +p242725 +(lp242726 +S'Administer\tAdminister\tNN\tB-NP\tO' +p242727 +aS'iron\tiron\tNN\tI-NP\tO' +p242728 +aS'products\tproduct\tNNS\tI-NP\tO' +p242729 +aS'a\ta\tDT\tB-NP\tO' +p242730 +aS'minimum\tminimum\tNN\tI-NP\tO' +p242731 +aS'of\tof\tIN\tB-PP\tO' +p242732 +aS'2\t2\tCD\tB-NP\tO' +p242733 +aS'hours\thour\tNNS\tI-NP\tO' +p242734 +aS'before\tbefore\tIN\tB-PP\tO' +p242735 +aS'or\tor\tCC\tI-PP\tO' +p242736 +aS'after\tafter\tIN\tI-PP\tO' +p242737 +aS'a\ta\tDT\tB-NP\tO' +p242738 +aS'levofloxacin\tlevofloxacin\tNN\tI-NP\tO' +p242739 +aS'or\tor\tCC\tI-NP\tO' +p242740 +aS'ciprofloxacin\tciprofloxacin\tNN\tI-NP\tO' +p242741 +aS'dose\tdose\tNN\tI-NP\tO' +p242742 +aS'dose\tdose\tNN\tI-NP\tO' +p242743 +aS'If\tIf\tIN\tB-SBAR\tO' +p242744 +aS'on\ton\tIN\tB-PP\tO' +p242745 +aS'tube\ttube\tNN\tB-NP\tO' +p242746 +aS'feeds\tfeed\tNNS\tI-NP\tO' +p242747 +aS',\t,\t,\tO\tO' +p242748 +aS'please\tplease\tNN\tB-NP\tO' +p242749 +aS'cycle\tcycle\tNN\tI-NP\tO' +p242750 +aS'(\t(\t(\tO\tO' +p242751 +aS'hold\thold\tNN\tB-NP\tO' +p242752 +aS'1\t1\tCD\tI-NP\tO' +p242753 +aS'hr\thr\tNN\tI-NP\tO' +p242754 +aS'before\tbefore\tIN\tB-PP\tO' +p242755 +aS'to\tto\tTO\tB-PP\tO' +p242756 +aS'2\t2\tCD\tB-NP\tO' +p242757 +aS'hr\thr\tNN\tI-NP\tO' +p242758 +aS'after\tafter\tIN\tB-SBAR\tO' +p242759 +aS')\t)\t)\tO\tO' +p242760 +aS'Take\tTake\tNN\tB-NP\tO' +p242761 +aS'2\t2\tCD\tB-NP\tO' +p242762 +aS'hours\thour\tNNS\tI-NP\tO' +p242763 +aS'before\tbefore\tIN\tB-PP\tO' +p242764 +aS'or\tor\tCC\tB-NP\tO' +p242765 +aS'2\t2\tCD\tI-NP\tO' +p242766 +aS'hours\thour\tNNS\tI-NP\tO' +p242767 +aS'after\tafter\tIN\tB-PP\tO' +p242768 +aS'dairy\tdairy\tNN\tB-NP\tO' +p242769 +aS'products\tproduct\tNNS\tI-NP\tO' +p242770 +aS'.\t.\t.\tO\tO' +p242771 +asS'There is more rightward mediastinal shift , suggesting new atelectasis in the right lung .' +p242772 +(lp242773 +S'There\tThere\tEX\tB-NP\tO' +p242774 +aS'is\tbe\tVBZ\tB-VP\tO' +p242775 +aS'more\tmore\tRBR\tB-NP\tO' +p242776 +aS'rightward\trightward\tJJ\tI-NP\tO' +p242777 +aS'mediastinal\tmediastinal\tJJ\tI-NP\tO' +p242778 +aS'shift\tshift\tNN\tI-NP\tO' +p242779 +aS',\t,\t,\tO\tO' +p242780 +aS'suggesting\tsuggest\tVBG\tB-VP\tO' +p242781 +aS'new\tnew\tJJ\tB-NP\tO' +p242782 +aS'atelectasis\tatelectasis\tNN\tI-NP\tO' +p242783 +aS'in\tin\tIN\tB-PP\tO' +p242784 +aS'the\tthe\tDT\tB-NP\tO' +p242785 +aS'right\tright\tJJ\tI-NP\tO' +p242786 +aS'lung\tlung\tNN\tI-NP\tO' +p242787 +aS'.\t.\t.\tO\tO' +p242788 +asS'A CBC and blood culture obtained on admission .' +p242789 +(lp242790 +S'A\tA\tDT\tB-NP\tO' +p242791 +aS'CBC\tCBC\tNN\tI-NP\tB-protein' +p242792 +aS'and\tand\tCC\tI-NP\tO' +p242793 +aS'blood\tblood\tNN\tI-NP\tO' +p242794 +aS'culture\tculture\tNN\tI-NP\tO' +p242795 +aS'obtained\tobtain\tVBN\tB-VP\tO' +p242796 +aS'on\ton\tIN\tB-PP\tO' +p242797 +aS'admission\tadmission\tNN\tB-NP\tO' +p242798 +aS'.\t.\t.\tO\tO' +p242799 +asS'She did quite well with Physical Therapy and was ambulating with a walker and crutches by 7/3/90 .' +p242800 +(lp242801 +S'She\tShe\tPRP\tB-NP\tO' +p242802 +aS'did\tdo\tVBD\tB-VP\tO' +p242803 +aS'quite\tquite\tRB\tB-ADVP\tO' +p242804 +aS'well\twell\tRB\tI-ADVP\tO' +p242805 +aS'with\twith\tIN\tB-PP\tO' +p242806 +aS'Physical\tPhysical\tJJ\tB-NP\tO' +p242807 +aS'Therapy\tTherapy\tNN\tI-NP\tO' +p242808 +aS'and\tand\tCC\tO\tO' +p242809 +aS'was\tbe\tVBD\tB-VP\tO' +p242810 +aS'ambulating\tambulate\tVBG\tI-VP\tO' +p242811 +aS'with\twith\tIN\tB-PP\tO' +p242812 +aS'a\ta\tDT\tB-NP\tO' +p242813 +aS'walker\twalker\tNN\tI-NP\tO' +p242814 +aS'and\tand\tCC\tI-NP\tO' +p242815 +aS'crutches\tcrutch\tNNS\tI-NP\tO' +p242816 +aS'by\tby\tIN\tB-PP\tO' +p242817 +aS'7/3/90\t7/3/90\tCD\tB-NP\tO' +p242818 +aS'.\t.\t.\tO\tO' +p242819 +asS'6. Pantoprazole 40 mg Tablet , Delayed Release ( E.C. ) Sig : 0.5 Tablet , Delayed Release ( E.C. ) PO Q24H ( every 24 hours ) .' +p242820 +(lp242821 +S'6.\t6.\tLS\tB-NP\tO' +p242822 +aS'Pantoprazole\tPantoprazole\tNN\tI-NP\tO' +p242823 +aS'40\t40\tCD\tI-NP\tO' +p242824 +aS'mg\tmg\tNN\tI-NP\tO' +p242825 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p242826 +aS',\t,\t,\tO\tO' +p242827 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p242828 +aS'Release\tRelease\tNNP\tI-NP\tO' +p242829 +aS'(\t(\t(\tO\tO' +p242830 +aS'E.C.\tE.C.\tNNP\tB-NP\tO' +p242831 +aS')\t)\t)\tO\tO' +p242832 +aS'Sig\tSig\tNNP\tB-NP\tO' +p242833 +aS':\t:\t:\tO\tO' +p242834 +aS'0.5\t0.5\tCD\tB-NP\tO' +p242835 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p242836 +aS',\t,\t,\tO\tO' +p242837 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p242838 +aS'Release\tRelease\tNNP\tI-NP\tO' +p242839 +aS'(\t(\t(\tO\tO' +p242840 +aS'E.C.\tE.C.\tNNP\tO\tO' +p242841 +aS')\t)\t)\tO\tO' +p242842 +aS'PO\tPO\tNN\tB-NP\tO' +p242843 +aS'Q24H\tQ24H\tNN\tI-NP\tO' +p242844 +aS'(\t(\t(\tO\tO' +p242845 +aS'every\tevery\tDT\tB-NP\tO' +p242846 +aS'24\t24\tCD\tI-NP\tO' +p242847 +aS'hours\thour\tNNS\tI-NP\tO' +p242848 +aS')\t)\t)\tO\tO' +p242849 +aS'.\t.\t.\tO\tO' +p242850 +asS'Prominent salivary glands bilaterally .' +p242851 +(lp242852 +S'Prominent\tProminent\tJJ\tB-NP\tO' +p242853 +aS'salivary\tsalivary\tJJ\tI-NP\tO' +p242854 +aS'glands\tgland\tNNS\tI-NP\tO' +p242855 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p242856 +aS'.\t.\t.\tO\tO' +p242857 +asS'D-dimer in the emergency room was greater than 1000 and a right common femoral clot was seen .' +p242858 +(lp242859 +S'D-dimer\tD-dimer\tNN\tB-NP\tO' +p242860 +aS'in\tin\tIN\tB-PP\tO' +p242861 +aS'the\tthe\tDT\tB-NP\tO' +p242862 +aS'emergency\temergency\tNN\tI-NP\tO' +p242863 +aS'room\troom\tNN\tI-NP\tO' +p242864 +aS'was\tbe\tVBD\tB-VP\tO' +p242865 +aS'greater\tgreat\tJJR\tB-ADJP\tO' +p242866 +aS'than\tthan\tIN\tB-PP\tO' +p242867 +aS'1000\t1000\tCD\tB-NP\tO' +p242868 +aS'and\tand\tCC\tO\tO' +p242869 +aS'a\ta\tDT\tB-NP\tO' +p242870 +aS'right\tright\tJJ\tI-NP\tO' +p242871 +aS'common\tcommon\tJJ\tI-NP\tO' +p242872 +aS'femoral\tfemoral\tJJ\tI-NP\tO' +p242873 +aS'clot\tclot\tNN\tI-NP\tO' +p242874 +aS'was\tbe\tVBD\tB-VP\tO' +p242875 +aS'seen\tsee\tVBN\tI-VP\tO' +p242876 +aS'.\t.\t.\tO\tO' +p242877 +asS'Employment : on short term disability , has boat which he enjoys as hobby' +p242878 +(lp242879 +S'Employment\tEmployment\tNN\tB-NP\tO' +p242880 +aS':\t:\t:\tO\tO' +p242881 +aS'on\ton\tIN\tB-PP\tO' +p242882 +aS'short\tshort\tJJ\tB-NP\tO' +p242883 +aS'term\tterm\tNN\tI-NP\tO' +p242884 +aS'disability\tdisability\tNN\tI-NP\tO' +p242885 +aS',\t,\t,\tO\tO' +p242886 +aS'has\thave\tVBZ\tB-VP\tO' +p242887 +aS'boat\tboat\tNN\tB-NP\tO' +p242888 +aS'which\twhich\tWDT\tB-NP\tO' +p242889 +aS'he\the\tPRP\tB-NP\tO' +p242890 +aS'enjoys\tenjoy\tVBZ\tB-VP\tO' +p242891 +aS'as\tas\tIN\tB-PP\tO' +p242892 +aS'hobby\thobby\tNN\tB-NP\tO' +p242893 +asS'She had a normal pelvic examination and CT scan in February of 1993 but one month prior to this admission starting bleeding per vagina .' +p242894 +(lp242895 +S'She\tShe\tPRP\tB-NP\tO' +p242896 +aS'had\thave\tVBD\tB-VP\tO' +p242897 +aS'a\ta\tDT\tB-NP\tO' +p242898 +aS'normal\tnormal\tJJ\tI-NP\tO' +p242899 +aS'pelvic\tpelvic\tJJ\tI-NP\tO' +p242900 +aS'examination\texamination\tNN\tI-NP\tO' +p242901 +aS'and\tand\tCC\tI-NP\tO' +p242902 +aS'CT\tCT\tNN\tI-NP\tO' +p242903 +aS'scan\tscan\tNN\tI-NP\tO' +p242904 +aS'in\tin\tIN\tB-PP\tO' +p242905 +aS'February\tFebruary\tNNP\tB-NP\tO' +p242906 +aS'of\tof\tIN\tB-PP\tO' +p242907 +aS'1993\t1993\tCD\tB-NP\tO' +p242908 +aS'but\tbut\tCC\tO\tO' +p242909 +aS'one\tone\tCD\tB-NP\tO' +p242910 +aS'month\tmonth\tNN\tI-NP\tO' +p242911 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p242912 +aS'to\tto\tTO\tB-PP\tO' +p242913 +aS'this\tthis\tDT\tB-NP\tO' +p242914 +aS'admission\tadmission\tNN\tI-NP\tO' +p242915 +aS'starting\tstart\tVBG\tB-PP\tO' +p242916 +aS'bleeding\tbleed\tVBG\tB-VP\tO' +p242917 +aS'per\tper\tIN\tB-PP\tO' +p242918 +aS'vagina\tvagina\tNN\tB-NP\tO' +p242919 +aS'.\t.\t.\tO\tO' +p242920 +asS'The workup to rule out secondary cause of hypertension given the patient 's young age and the difficulty controlling the blood pressure was started as an inpatient and will be completed by Dr. ______________as an outpatient .' +p242921 +(lp242922 +S'The\tThe\tDT\tB-NP\tO' +p242923 +aS'workup\tworkup\tNN\tI-NP\tO' +p242924 +aS'to\tto\tTO\tB-VP\tO' +p242925 +aS'rule\trule\tVB\tI-VP\tO' +p242926 +aS'out\tout\tRP\tB-PRT\tO' +p242927 +aS'secondary\tsecondary\tJJ\tB-NP\tO' +p242928 +aS'cause\tcause\tNN\tI-NP\tO' +p242929 +aS'of\tof\tIN\tB-PP\tO' +p242930 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p242931 +aS'given\tgive\tVBN\tB-VP\tO' +p242932 +aS'the\tthe\tDT\tB-NP\tO' +p242933 +aS'patient\tpatient\tNN\tI-NP\tO' +p242934 +aS''s\t'\tNNS\tI-NP\tO' +p242935 +aS'young\tyoung\tJJ\tB-NP\tO' +p242936 +aS'age\tage\tNN\tI-NP\tO' +p242937 +aS'and\tand\tCC\tO\tO' +p242938 +aS'the\tthe\tDT\tB-NP\tO' +p242939 +aS'difficulty\tdifficulty\tNN\tI-NP\tO' +p242940 +aS'controlling\tcontrol\tVBG\tB-VP\tO' +p242941 +aS'the\tthe\tDT\tB-NP\tO' +p242942 +aS'blood\tblood\tNN\tI-NP\tO' +p242943 +aS'pressure\tpressure\tNN\tI-NP\tO' +p242944 +aS'was\tbe\tVBD\tB-VP\tO' +p242945 +aS'started\tstart\tVBN\tI-VP\tO' +p242946 +aS'as\tas\tIN\tB-PP\tO' +p242947 +aS'an\tan\tDT\tB-NP\tO' +p242948 +aS'inpatient\tinpatient\tNN\tI-NP\tO' +p242949 +aS'and\tand\tCC\tO\tO' +p242950 +aS'will\twill\tMD\tB-VP\tO' +p242951 +aS'be\tbe\tVB\tI-VP\tO' +p242952 +aS'completed\tcomplete\tVBN\tI-VP\tO' +p242953 +aS'by\tby\tIN\tB-PP\tO' +p242954 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p242955 +aS'______________as\t______________a\tVBZ\tB-VP\tO' +p242956 +aS'an\tan\tDT\tB-NP\tO' +p242957 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p242958 +aS'.\t.\t.\tO\tO' +p242959 +asS'There was artificial rupture of membranes was performed at the delivery .' +p242960 +(lp242961 +S'There\tThere\tEX\tB-NP\tO' +p242962 +aS'was\tbe\tVBD\tB-VP\tO' +p242963 +aS'artificial\tartificial\tJJ\tB-NP\tO' +p242964 +aS'rupture\trupture\tNN\tI-NP\tO' +p242965 +aS'of\tof\tIN\tB-PP\tO' +p242966 +aS'membranes\tmembrane\tNNS\tB-NP\tO' +p242967 +aS'was\tbe\tVBD\tB-VP\tO' +p242968 +aS'performed\tperform\tVBN\tI-VP\tO' +p242969 +aS'at\tat\tIN\tB-PP\tO' +p242970 +aS'the\tthe\tDT\tB-NP\tO' +p242971 +aS'delivery\tdelivery\tNN\tI-NP\tO' +p242972 +aS'.\t.\t.\tO\tO' +p242973 +asS'On pressor to hold mean 60 .' +p242974 +(lp242975 +S'On\tOn\tIN\tB-PP\tO' +p242976 +aS'pressor\tpressor\tNN\tB-NP\tO' +p242977 +aS'to\tto\tTO\tB-VP\tO' +p242978 +aS'hold\thold\tVB\tI-VP\tO' +p242979 +aS'mean\tmean\tNN\tB-NP\tO' +p242980 +aS'60\t60\tCD\tI-NP\tO' +p242981 +aS'.\t.\t.\tO\tO' +p242982 +asS'17. Tacrolimus 1 mg Capsule Sig : Two ( 2 ) Capsule PO twice a day .' +p242983 +(lp242984 +S'17.\t17.\tCD\tB-NP\tO' +p242985 +aS'Tacrolimus\tTacrolimus\tNNP\tI-NP\tO' +p242986 +aS'1\t1\tCD\tI-NP\tO' +p242987 +aS'mg\tmg\tNN\tI-NP\tO' +p242988 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p242989 +aS'Sig\tSig\tNNP\tI-NP\tO' +p242990 +aS':\t:\t:\tO\tO' +p242991 +aS'Two\tTwo\tCD\tB-NP\tO' +p242992 +aS'(\t(\t(\tO\tO' +p242993 +aS'2\t2\tCD\tB-NP\tO' +p242994 +aS')\t)\t)\tO\tO' +p242995 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p242996 +aS'PO\tPO\tNNP\tI-NP\tO' +p242997 +aS'twice\ttwice\tRB\tB-NP\tO' +p242998 +aS'a\ta\tDT\tI-NP\tO' +p242999 +aS'day\tday\tNN\tI-NP\tO' +p243000 +aS'.\t.\t.\tO\tO' +p243001 +asS'Senokot two tablets po. bid or Metamucil one tablespoon po. bid .' +p243002 +(lp243003 +S'Senokot\tSenokot\tNNP\tB-NP\tO' +p243004 +aS'two\ttwo\tCD\tI-NP\tO' +p243005 +aS'tablets\ttablet\tNNS\tI-NP\tO' +p243006 +aS'po.\tpo.\tNN\tI-NP\tO' +p243007 +aS'bid\tbid\tNN\tI-NP\tO' +p243008 +aS'or\tor\tCC\tO\tO' +p243009 +aS'Metamucil\tMetamucil\tNN\tB-NP\tO' +p243010 +aS'one\tone\tCD\tI-NP\tO' +p243011 +aS'tablespoon\ttablespoon\tNN\tI-NP\tO' +p243012 +aS'po.\tpo.\tNN\tI-NP\tO' +p243013 +aS'bid\tbid\tNN\tI-NP\tO' +p243014 +aS'.\t.\t.\tO\tO' +p243015 +asS'He had complete loss of synthetic and conjugation function of the liver with rising bilirubin and falling albumin with dependence on transfusion for support of his prothrombin time .' +p243016 +(lp243017 +S'He\tHe\tPRP\tB-NP\tO' +p243018 +aS'had\thave\tVBD\tB-VP\tO' +p243019 +aS'complete\tcomplete\tJJ\tB-NP\tO' +p243020 +aS'loss\tloss\tNN\tI-NP\tO' +p243021 +aS'of\tof\tIN\tB-PP\tO' +p243022 +aS'synthetic\tsynthetic\tJJ\tB-NP\tO' +p243023 +aS'and\tand\tCC\tI-NP\tO' +p243024 +aS'conjugation\tconjugation\tNN\tI-NP\tO' +p243025 +aS'function\tfunction\tNN\tI-NP\tO' +p243026 +aS'of\tof\tIN\tB-PP\tO' +p243027 +aS'the\tthe\tDT\tB-NP\tO' +p243028 +aS'liver\tliver\tNN\tI-NP\tO' +p243029 +aS'with\twith\tIN\tB-PP\tO' +p243030 +aS'rising\trise\tVBG\tB-NP\tO' +p243031 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p243032 +aS'and\tand\tCC\tO\tO' +p243033 +aS'falling\tfall\tVBG\tB-NP\tO' +p243034 +aS'albumin\talbumin\tNN\tI-NP\tO' +p243035 +aS'with\twith\tIN\tB-PP\tO' +p243036 +aS'dependence\tdependence\tNN\tB-NP\tO' +p243037 +aS'on\ton\tIN\tB-PP\tO' +p243038 +aS'transfusion\ttransfusion\tNN\tB-NP\tO' +p243039 +aS'for\tfor\tIN\tB-PP\tO' +p243040 +aS'support\tsupport\tNN\tB-NP\tO' +p243041 +aS'of\tof\tIN\tB-PP\tO' +p243042 +aS'his\this\tPRP$\tB-NP\tO' +p243043 +aS'prothrombin\tprothrombin\tNN\tI-NP\tO' +p243044 +aS'time\ttime\tNN\tI-NP\tO' +p243045 +aS'.\t.\t.\tO\tO' +p243046 +asS'The patient found that if she took the aspirin in the evening with her Benadryl that she takes for sleep , that the asthma exacerbation did not occur .' +p243047 +(lp243048 +S'The\tThe\tDT\tB-NP\tO' +p243049 +aS'patient\tpatient\tNN\tI-NP\tO' +p243050 +aS'found\tfind\tVBD\tB-VP\tO' +p243051 +aS'that\tthat\tIN\tB-SBAR\tO' +p243052 +aS'if\tif\tIN\tB-SBAR\tO' +p243053 +aS'she\tshe\tPRP\tB-NP\tO' +p243054 +aS'took\ttake\tVBD\tB-VP\tO' +p243055 +aS'the\tthe\tDT\tB-NP\tO' +p243056 +aS'aspirin\taspirin\tNN\tI-NP\tO' +p243057 +aS'in\tin\tIN\tB-PP\tO' +p243058 +aS'the\tthe\tDT\tB-NP\tO' +p243059 +aS'evening\tevening\tNN\tI-NP\tO' +p243060 +aS'with\twith\tIN\tB-PP\tO' +p243061 +aS'her\ther\tPRP$\tB-NP\tO' +p243062 +aS'Benadryl\tBenadryl\tNN\tI-NP\tO' +p243063 +aS'that\tthat\tIN\tB-SBAR\tO' +p243064 +aS'she\tshe\tPRP\tB-NP\tO' +p243065 +aS'takes\ttake\tVBZ\tB-VP\tO' +p243066 +aS'for\tfor\tIN\tB-PP\tO' +p243067 +aS'sleep\tsleep\tNN\tB-NP\tO' +p243068 +aS',\t,\t,\tO\tO' +p243069 +aS'that\tthat\tIN\tB-SBAR\tO' +p243070 +aS'the\tthe\tDT\tB-NP\tO' +p243071 +aS'asthma\tasthma\tNN\tI-NP\tO' +p243072 +aS'exacerbation\texacerbation\tNN\tI-NP\tO' +p243073 +aS'did\tdo\tVBD\tB-VP\tO' +p243074 +aS'not\tnot\tRB\tI-VP\tO' +p243075 +aS'occur\toccur\tVB\tI-VP\tO' +p243076 +aS'.\t.\t.\tO\tO' +p243077 +asS'Blood pressure 84/43 with a mean of 59 .' +p243078 +(lp243079 +S'Blood\tBlood\tNN\tB-NP\tO' +p243080 +aS'pressure\tpressure\tNN\tI-NP\tO' +p243081 +aS'84/43\t84/43\tCD\tI-NP\tO' +p243082 +aS'with\twith\tIN\tB-PP\tO' +p243083 +aS'a\ta\tDT\tB-NP\tO' +p243084 +aS'mean\tmean\tNN\tI-NP\tO' +p243085 +aS'of\tof\tIN\tB-PP\tO' +p243086 +aS'59\t59\tCD\tB-NP\tO' +p243087 +aS'.\t.\t.\tO\tO' +p243088 +asS'Make an appointment with Dr. Aguirre for 1-2 weeks .' +p243089 +(lp243090 +S'Make\tMake\tVB\tB-VP\tO' +p243091 +aS'an\tan\tDT\tB-NP\tO' +p243092 +aS'appointment\tappointment\tNN\tI-NP\tO' +p243093 +aS'with\twith\tIN\tB-PP\tO' +p243094 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p243095 +aS'Aguirre\tAguirre\tNNP\tI-NP\tO' +p243096 +aS'for\tfor\tIN\tB-PP\tO' +p243097 +aS'1-2\t1-2\tCD\tB-NP\tO' +p243098 +aS'weeks\tweek\tNNS\tI-NP\tO' +p243099 +aS'.\t.\t.\tO\tO' +p243100 +asS'12. Prednisone 5 mg once daily .' +p243101 +(lp243102 +S'12.\t12.\tCD\tB-NP\tO' +p243103 +aS'Prednisone\tPrednisone\tNN\tI-NP\tO' +p243104 +aS'5\t5\tCD\tB-NP\tO' +p243105 +aS'mg\tmg\tNN\tI-NP\tO' +p243106 +aS'once\tonce\tRB\tB-ADVP\tO' +p243107 +aS'daily\tdaily\tRB\tI-ADVP\tO' +p243108 +aS'.\t.\t.\tO\tO' +p243109 +asS'She was set to be discharged to home on 11-28 , on postoperative day seven .' +p243110 +(lp243111 +S'She\tShe\tPRP\tB-NP\tO' +p243112 +aS'was\tbe\tVBD\tB-VP\tO' +p243113 +aS'set\tset\tVBN\tI-VP\tO' +p243114 +aS'to\tto\tTO\tI-VP\tO' +p243115 +aS'be\tbe\tVB\tI-VP\tO' +p243116 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p243117 +aS'to\tto\tTO\tB-PP\tO' +p243118 +aS'home\thome\tNN\tB-NP\tO' +p243119 +aS'on\ton\tIN\tB-PP\tO' +p243120 +aS'11-28\t11-28\tCD\tB-NP\tO' +p243121 +aS',\t,\t,\tO\tO' +p243122 +aS'on\ton\tIN\tB-PP\tO' +p243123 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p243124 +aS'day\tday\tNN\tI-NP\tO' +p243125 +aS'seven\tseven\tCD\tI-NP\tO' +p243126 +aS'.\t.\t.\tO\tO' +p243127 +asS'However , just prior to admission to Mass. Eye & Ear Infirmary he had another acute decompensation with CHF exacerbation .' +p243128 +(lp243129 +S'However\tHowever\tRB\tB-ADVP\tO' +p243130 +aS',\t,\t,\tO\tO' +p243131 +aS'just\tjust\tRB\tB-NP\tO' +p243132 +aS'prior\tprior\tJJ\tI-NP\tO' +p243133 +aS'to\tto\tTO\tB-PP\tO' +p243134 +aS'admission\tadmission\tNN\tB-NP\tO' +p243135 +aS'to\tto\tTO\tB-PP\tO' +p243136 +aS'Mass.\tMass.\tNNP\tB-NP\tO' +p243137 +aS'Eye\tEye\tNNP\tI-NP\tO' +p243138 +aS'&\t&\tCC\tI-NP\tO' +p243139 +aS'Ear\tEar\tNNP\tI-NP\tO' +p243140 +aS'Infirmary\tInfirmary\tNNP\tI-NP\tO' +p243141 +aS'he\the\tPRP\tB-NP\tO' +p243142 +aS'had\thave\tVBD\tB-VP\tO' +p243143 +aS'another\tanother\tDT\tB-NP\tO' +p243144 +aS'acute\tacute\tJJ\tI-NP\tO' +p243145 +aS'decompensation\tdecompensation\tNN\tI-NP\tO' +p243146 +aS'with\twith\tIN\tB-PP\tO' +p243147 +aS'CHF\tCHF\tNN\tB-NP\tO' +p243148 +aS'exacerbation\texacerbation\tNN\tI-NP\tO' +p243149 +aS'.\t.\t.\tO\tO' +p243150 +asS'This must be carefully checked despite the standing order for potassium .' +p243151 +(lp243152 +S'This\tThis\tDT\tB-NP\tO' +p243153 +aS'must\tmust\tMD\tB-VP\tO' +p243154 +aS'be\tbe\tVB\tI-VP\tO' +p243155 +aS'carefully\tcarefully\tRB\tI-VP\tO' +p243156 +aS'checked\tcheck\tVBN\tI-VP\tO' +p243157 +aS'despite\tdespite\tIN\tB-PP\tO' +p243158 +aS'the\tthe\tDT\tB-NP\tO' +p243159 +aS'standing\tstanding\tNN\tI-NP\tO' +p243160 +aS'order\torder\tNN\tI-NP\tO' +p243161 +aS'for\tfor\tIN\tB-PP\tO' +p243162 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p243163 +aS'.\t.\t.\tO\tO' +p243164 +asS'Is called out of the FICU as has been been HD and stable HCT .' +p243165 +(lp243166 +S'Is\tBe\tVBZ\tO\tO' +p243167 +aS'called\tcall\tVBN\tB-VP\tO' +p243168 +aS'out\tout\tIN\tB-PP\tO' +p243169 +aS'of\tof\tIN\tB-PP\tO' +p243170 +aS'the\tthe\tDT\tB-NP\tO' +p243171 +aS'FICU\tFICU\tNN\tI-NP\tO' +p243172 +aS'as\tas\tIN\tB-SBAR\tO' +p243173 +aS'has\thave\tVBZ\tB-VP\tO' +p243174 +aS'been\tbe\tVBN\tI-VP\tO' +p243175 +aS'been\tbe\tVBN\tI-VP\tO' +p243176 +aS'HD\tHD\tNN\tB-NP\tO' +p243177 +aS'and\tand\tCC\tO\tO' +p243178 +aS'stable\tstable\tJJ\tB-NP\tO' +p243179 +aS'HCT\tHCT\tNN\tI-NP\tO' +p243180 +aS'.\t.\t.\tO\tO' +p243181 +asS'Cranial nerves intact .' +p243182 +(lp243183 +S'Cranial\tCranial\tNNP\tB-NP\tO' +p243184 +aS'nerves\tnerve\tVBZ\tB-VP\tO' +p243185 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p243186 +aS'.\t.\t.\tO\tO' +p243187 +asS'5. Paraplegia secondary to HTLV from a trip to the Bahamas five to six years ago .' +p243188 +(lp243189 +S'5.\t5.\tLS\tB-LST\tO' +p243190 +aS'Paraplegia\tParaplegia\tNNP\tB-NP\tO' +p243191 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p243192 +aS'to\tto\tTO\tB-PP\tO' +p243193 +aS'HTLV\tHTLV\tNN\tB-NP\tB-protein' +p243194 +aS'from\tfrom\tIN\tB-PP\tO' +p243195 +aS'a\ta\tDT\tB-NP\tO' +p243196 +aS'trip\ttrip\tNN\tI-NP\tO' +p243197 +aS'to\tto\tTO\tB-PP\tO' +p243198 +aS'the\tthe\tDT\tB-NP\tO' +p243199 +aS'Bahamas\tBahama\tNNPS\tI-NP\tO' +p243200 +aS'five\tfive\tCD\tI-NP\tO' +p243201 +aS'to\tto\tTO\tI-NP\tO' +p243202 +aS'six\tsix\tCD\tI-NP\tO' +p243203 +aS'years\tyear\tNNS\tI-NP\tO' +p243204 +aS'ago\tago\tRB\tB-ADVP\tO' +p243205 +aS'.\t.\t.\tO\tO' +p243206 +asS'The patient continued to be followed by the Electrophysiology Service , who determined that the patient was demonstrating severe vasal sensitivity with bradycardia necessitating pacemaker placement .' +p243207 +(lp243208 +S'The\tThe\tDT\tB-NP\tO' +p243209 +aS'patient\tpatient\tNN\tI-NP\tO' +p243210 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p243211 +aS'to\tto\tTO\tI-VP\tO' +p243212 +aS'be\tbe\tVB\tI-VP\tO' +p243213 +aS'followed\tfollow\tVBN\tI-VP\tO' +p243214 +aS'by\tby\tIN\tB-PP\tO' +p243215 +aS'the\tthe\tDT\tB-NP\tO' +p243216 +aS'Electrophysiology\tElectrophysiology\tNNP\tI-NP\tO' +p243217 +aS'Service\tService\tNNP\tI-NP\tO' +p243218 +aS',\t,\t,\tO\tO' +p243219 +aS'who\twho\tWP\tB-NP\tO' +p243220 +aS'determined\tdetermine\tVBD\tB-VP\tO' +p243221 +aS'that\tthat\tIN\tB-SBAR\tO' +p243222 +aS'the\tthe\tDT\tB-NP\tO' +p243223 +aS'patient\tpatient\tNN\tI-NP\tO' +p243224 +aS'was\tbe\tVBD\tB-VP\tO' +p243225 +aS'demonstrating\tdemonstrate\tVBG\tI-VP\tO' +p243226 +aS'severe\tsevere\tJJ\tB-NP\tO' +p243227 +aS'vasal\tvasal\tJJ\tI-NP\tO' +p243228 +aS'sensitivity\tsensitivity\tNN\tI-NP\tO' +p243229 +aS'with\twith\tIN\tB-PP\tO' +p243230 +aS'bradycardia\tbradycardia\tNN\tB-NP\tO' +p243231 +aS'necessitating\tnecessitate\tVBG\tB-VP\tO' +p243232 +aS'pacemaker\tpacemaker\tNN\tB-NP\tO' +p243233 +aS'placement\tplacement\tNN\tI-NP\tO' +p243234 +aS'.\t.\t.\tO\tO' +p243235 +asS'Carotid angiography revealed left internal carotid stenosis of 90% , right internal carotid artery " critical stenosis " .' +p243236 +(lp243237 +S'Carotid\tCarotid\tJJ\tB-NP\tO' +p243238 +aS'angiography\tangiography\tNN\tI-NP\tO' +p243239 +aS'revealed\treveal\tVBD\tB-VP\tO' +p243240 +aS'left\tleft\tJJ\tB-NP\tO' +p243241 +aS'internal\tinternal\tJJ\tI-NP\tO' +p243242 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p243243 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p243244 +aS'of\tof\tIN\tB-PP\tO' +p243245 +aS'90%\t90%\tCD\tB-NP\tO' +p243246 +aS',\t,\t,\tO\tO' +p243247 +aS'right\tright\tJJ\tB-NP\tO' +p243248 +aS'internal\tinternal\tJJ\tI-NP\tO' +p243249 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p243250 +aS'artery\tartery\tNN\tI-NP\tO' +p243251 +aS'"\t"\tCC\tO\tO' +p243252 +aS'critical\tcritical\tJJ\tB-NP\tO' +p243253 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p243254 +aS'"\t"\tNN\tI-NP\tO' +p243255 +aS'.\t.\t.\tO\tO' +p243256 +asS'The patient did have a slight bit of confusion early in post-extubation course which cleared .' +p243257 +(lp243258 +S'The\tThe\tDT\tB-NP\tO' +p243259 +aS'patient\tpatient\tNN\tI-NP\tO' +p243260 +aS'did\tdo\tVBD\tB-VP\tO' +p243261 +aS'have\thave\tVB\tI-VP\tO' +p243262 +aS'a\ta\tDT\tB-NP\tO' +p243263 +aS'slight\tslight\tJJ\tI-NP\tO' +p243264 +aS'bit\tbit\tNN\tI-NP\tO' +p243265 +aS'of\tof\tIN\tB-PP\tO' +p243266 +aS'confusion\tconfusion\tNN\tB-NP\tO' +p243267 +aS'early\tearly\tRB\tB-ADVP\tO' +p243268 +aS'in\tin\tIN\tB-PP\tO' +p243269 +aS'post-extubation\tpost-extubation\tJJ\tB-NP\tO' +p243270 +aS'course\tcourse\tNN\tI-NP\tO' +p243271 +aS'which\twhich\tWDT\tB-NP\tO' +p243272 +aS'cleared\tclear\tVBD\tB-VP\tO' +p243273 +aS'.\t.\t.\tO\tO' +p243274 +asS'NAD , cooperative and conversant , able to ambulate independently around room using crutches' +p243275 +(lp243276 +S'NAD\tNAD\tNN\tB-NP\tO' +p243277 +aS',\t,\t,\tO\tO' +p243278 +aS'cooperative\tcooperative\tJJ\tB-ADJP\tO' +p243279 +aS'and\tand\tCC\tI-ADJP\tO' +p243280 +aS'conversant\tconversant\tJJ\tI-ADJP\tO' +p243281 +aS',\t,\t,\tO\tO' +p243282 +aS'able\table\tJJ\tB-ADJP\tO' +p243283 +aS'to\tto\tTO\tB-VP\tO' +p243284 +aS'ambulate\tambulate\tVB\tI-VP\tO' +p243285 +aS'independently\tindependently\tRB\tB-ADVP\tO' +p243286 +aS'around\taround\tIN\tB-PP\tO' +p243287 +aS'room\troom\tNN\tB-NP\tO' +p243288 +aS'using\tuse\tVBG\tB-VP\tO' +p243289 +aS'crutches\tcrutch\tNNS\tB-NP\tO' +p243290 +asS'Required restraints to prevent DC of pertinent therapies while in the ICU .' +p243291 +(lp243292 +S'Required\tRequire\tVBN\tB-NP\tO' +p243293 +aS'restraints\trestraint\tNNS\tI-NP\tO' +p243294 +aS'to\tto\tTO\tB-VP\tO' +p243295 +aS'prevent\tprevent\tVB\tI-VP\tO' +p243296 +aS'DC\tDC\tNN\tB-NP\tB-cell_type' +p243297 +aS'of\tof\tIN\tB-PP\tO' +p243298 +aS'pertinent\tpertinent\tJJ\tB-NP\tO' +p243299 +aS'therapies\ttherapy\tNNS\tI-NP\tO' +p243300 +aS'while\twhile\tIN\tB-SBAR\tO' +p243301 +aS'in\tin\tIN\tB-PP\tO' +p243302 +aS'the\tthe\tDT\tB-NP\tO' +p243303 +aS'ICU\tICU\tNN\tI-NP\tB-DNA' +p243304 +aS'.\t.\t.\tO\tO' +p243305 +asS'Abdomen : Positive bowel sounds , soft , nontender , nondistended , no masses , no hepatosplenomegaly .' +p243306 +(lp243307 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p243308 +aS':\t:\t:\tO\tO' +p243309 +aS'Positive\tPositive\tJJ\tB-NP\tO' +p243310 +aS'bowel\tbowel\tNN\tI-NP\tO' +p243311 +aS'sounds\tsound\tNNS\tI-NP\tO' +p243312 +aS',\t,\t,\tO\tO' +p243313 +aS'soft\tsoft\tJJ\tB-NP\tO' +p243314 +aS',\t,\t,\tI-NP\tO' +p243315 +aS'nontender\tnontender\tJJ\tI-NP\tO' +p243316 +aS',\t,\t,\tI-NP\tO' +p243317 +aS'nondistended\tnondistended\tJJ\tI-NP\tO' +p243318 +aS',\t,\t,\tO\tO' +p243319 +aS'no\tno\tDT\tB-NP\tO' +p243320 +aS'masses\tmass\tNNS\tI-NP\tO' +p243321 +aS',\t,\t,\tO\tO' +p243322 +aS'no\tno\tDT\tB-NP\tO' +p243323 +aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tI-NP\tO' +p243324 +aS'.\t.\t.\tO\tO' +p243325 +asS'Transfer from Rehab Hospital of the Cape & Islands Hospital for an endoscopic retrogram cholangiopancreatography .' +p243326 +(lp243327 +S'Transfer\tTransfer\tNNP\tB-NP\tO' +p243328 +aS'from\tfrom\tIN\tB-PP\tO' +p243329 +aS'Rehab\tRehab\tNNP\tB-NP\tO' +p243330 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p243331 +aS'of\tof\tIN\tB-PP\tO' +p243332 +aS'the\tthe\tDT\tB-NP\tO' +p243333 +aS'Cape\tCape\tNNP\tI-NP\tO' +p243334 +aS'&\t&\tCC\tI-NP\tO' +p243335 +aS'Islands\tIslands\tNNP\tI-NP\tO' +p243336 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p243337 +aS'for\tfor\tIN\tB-PP\tO' +p243338 +aS'an\tan\tDT\tB-NP\tO' +p243339 +aS'endoscopic\tendoscopic\tJJ\tI-NP\tO' +p243340 +aS'retrogram\tretrogram\tNN\tI-NP\tO' +p243341 +aS'cholangiopancreatography\tcholangiopancreatography\tNN\tI-NP\tO' +p243342 +aS'.\t.\t.\tO\tO' +p243343 +asS'Patient was also given multivites .' +p243344 +(lp243345 +S'Patient\tPatient\tNN\tB-NP\tO' +p243346 +aS'was\tbe\tVBD\tB-VP\tO' +p243347 +aS'also\talso\tRB\tI-VP\tO' +p243348 +aS'given\tgive\tVBN\tI-VP\tO' +p243349 +aS'multivites\tmultivite\tNNS\tB-NP\tO' +p243350 +aS'.\t.\t.\tO\tO' +p243351 +asS'INR was 1.2 , partial thromboplastin time was 23.7 , and prothrombin time was 13.4 .' +p243352 +(lp243353 +S'INR\tINR\tNN\tB-NP\tB-protein' +p243354 +aS'was\tbe\tVBD\tB-VP\tO' +p243355 +aS'1.2\t1.2\tCD\tB-NP\tO' +p243356 +aS',\t,\t,\tO\tO' +p243357 +aS'partial\tpartial\tJJ\tB-NP\tO' +p243358 +aS'thromboplastin\tthromboplastin\tNN\tI-NP\tO' +p243359 +aS'time\ttime\tNN\tI-NP\tO' +p243360 +aS'was\tbe\tVBD\tB-VP\tO' +p243361 +aS'23.7\t23.7\tCD\tB-NP\tO' +p243362 +aS',\t,\t,\tO\tO' +p243363 +aS'and\tand\tCC\tO\tO' +p243364 +aS'prothrombin\tprothrombin\tNN\tB-NP\tO' +p243365 +aS'time\ttime\tNN\tI-NP\tO' +p243366 +aS'was\tbe\tVBD\tB-VP\tO' +p243367 +aS'13.4\t13.4\tCD\tB-NP\tO' +p243368 +aS'.\t.\t.\tO\tO' +p243369 +asS'The Monica stay was complicated by runs of afib to 133 requiring IV lopressor .' +p243370 +(lp243371 +S'The\tThe\tDT\tB-NP\tO' +p243372 +aS'Monica\tMonica\tNNP\tI-NP\tO' +p243373 +aS'stay\tstay\tNN\tI-NP\tO' +p243374 +aS'was\tbe\tVBD\tB-VP\tO' +p243375 +aS'complicated\tcomplicate\tVBN\tI-VP\tO' +p243376 +aS'by\tby\tIN\tB-PP\tO' +p243377 +aS'runs\trun\tNNS\tB-NP\tO' +p243378 +aS'of\tof\tIN\tB-PP\tO' +p243379 +aS'afib\tafib\tNN\tB-NP\tO' +p243380 +aS'to\tto\tTO\tB-PP\tO' +p243381 +aS'133\t133\tCD\tB-NP\tO' +p243382 +aS'requiring\trequire\tVBG\tB-VP\tO' +p243383 +aS'IV\tIV\tCD\tB-NP\tO' +p243384 +aS'lopressor\tlopressor\tNN\tI-NP\tO' +p243385 +aS'.\t.\t.\tO\tO' +p243386 +asS'The anticoagulation was stopped due to concern for postoperative bleeding .' +p243387 +(lp243388 +S'The\tThe\tDT\tB-NP\tO' +p243389 +aS'anticoagulation\tanticoagulation\tNN\tI-NP\tO' +p243390 +aS'was\tbe\tVBD\tB-VP\tO' +p243391 +aS'stopped\tstop\tVBN\tI-VP\tO' +p243392 +aS'due\tdue\tJJ\tB-ADJP\tO' +p243393 +aS'to\tto\tTO\tB-PP\tO' +p243394 +aS'concern\tconcern\tNN\tB-NP\tO' +p243395 +aS'for\tfor\tIN\tB-PP\tO' +p243396 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p243397 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p243398 +aS'.\t.\t.\tO\tO' +p243399 +asS'3. Prozac 20 mg p.o. once daily .' +p243400 +(lp243401 +S'3.\t3.\tLS\tB-NP\tO' +p243402 +aS'Prozac\tProzac\tNN\tI-NP\tO' +p243403 +aS'20\t20\tCD\tI-NP\tO' +p243404 +aS'mg\tmg\tNN\tI-NP\tO' +p243405 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p243406 +aS'once\tonce\tRB\tB-ADVP\tO' +p243407 +aS'daily\tdaily\tRB\tI-ADVP\tO' +p243408 +aS'.\t.\t.\tO\tO' +p243409 +asS'A leiomyosarcoma was resected after embolization of the splenic artery .' +p243410 +(lp243411 +S'A\tA\tDT\tB-NP\tO' +p243412 +aS'leiomyosarcoma\tleiomyosarcoma\tNN\tI-NP\tO' +p243413 +aS'was\tbe\tVBD\tB-VP\tO' +p243414 +aS'resected\tresecte\tVBN\tI-VP\tO' +p243415 +aS'after\tafter\tIN\tB-PP\tO' +p243416 +aS'embolization\tembolization\tNN\tB-NP\tO' +p243417 +aS'of\tof\tIN\tB-PP\tO' +p243418 +aS'the\tthe\tDT\tB-NP\tO' +p243419 +aS'splenic\tsplenic\tJJ\tI-NP\tO' +p243420 +aS'artery\tartery\tNN\tI-NP\tO' +p243421 +aS'.\t.\t.\tO\tO' +p243422 +asS'She is to not lift anything greater than ten pounds for six weeks .' +p243423 +(lp243424 +S'She\tShe\tPRP\tB-NP\tO' +p243425 +aS'is\tbe\tVBZ\tB-VP\tO' +p243426 +aS'to\tto\tTO\tB-VP\tO' +p243427 +aS'not\tnot\tRB\tI-VP\tO' +p243428 +aS'lift\tlift\tVB\tI-VP\tO' +p243429 +aS'anything\tanything\tNN\tB-NP\tO' +p243430 +aS'greater\tgreat\tJJR\tB-ADJP\tO' +p243431 +aS'than\tthan\tIN\tB-PP\tO' +p243432 +aS'ten\tten\tCD\tB-NP\tO' +p243433 +aS'pounds\tpound\tNNS\tI-NP\tO' +p243434 +aS'for\tfor\tIN\tB-PP\tO' +p243435 +aS'six\tsix\tCD\tB-NP\tO' +p243436 +aS'weeks\tweek\tNNS\tI-NP\tO' +p243437 +aS'.\t.\t.\tO\tO' +p243438 +asS'She used Danocrine for approximately nine months and was pain free , but was unable to tolerate the side effects .' +p243439 +(lp243440 +S'She\tShe\tPRP\tB-NP\tO' +p243441 +aS'used\tuse\tVBD\tB-VP\tO' +p243442 +aS'Danocrine\tDanocrine\tNNP\tB-NP\tO' +p243443 +aS'for\tfor\tIN\tB-PP\tO' +p243444 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p243445 +aS'nine\tnine\tCD\tI-NP\tO' +p243446 +aS'months\tmonth\tNNS\tI-NP\tO' +p243447 +aS'and\tand\tCC\tO\tO' +p243448 +aS'was\tbe\tVBD\tB-VP\tO' +p243449 +aS'pain\tpain\tNN\tB-NP\tO' +p243450 +aS'free\tfree\tJJ\tB-ADJP\tO' +p243451 +aS',\t,\t,\tO\tO' +p243452 +aS'but\tbut\tCC\tO\tO' +p243453 +aS'was\tbe\tVBD\tB-VP\tO' +p243454 +aS'unable\tunable\tJJ\tB-ADJP\tO' +p243455 +aS'to\tto\tTO\tB-VP\tO' +p243456 +aS'tolerate\ttolerate\tVB\tI-VP\tO' +p243457 +aS'the\tthe\tDT\tB-NP\tO' +p243458 +aS'side\tside\tNN\tI-NP\tO' +p243459 +aS'effects\teffect\tNNS\tI-NP\tO' +p243460 +aS'.\t.\t.\tO\tO' +p243461 +asS'His NPH was recently increased today ( 10/23/97 ) to 24 units in the a.m. and 14 units in the p.m. with CZI sliding-scale coverage .' +p243462 +(lp243463 +S'His\tHis\tPRP$\tB-NP\tO' +p243464 +aS'NPH\tNPH\tNN\tI-NP\tB-protein' +p243465 +aS'was\tbe\tVBD\tB-VP\tO' +p243466 +aS'recently\trecently\tRB\tI-VP\tO' +p243467 +aS'increased\tincrease\tVBN\tI-VP\tO' +p243468 +aS'today\ttoday\tNN\tB-NP\tO' +p243469 +aS'(\t(\t(\tO\tO' +p243470 +aS'10/23/97\t10/23/97\tCD\tB-NP\tO' +p243471 +aS')\t)\t)\tO\tO' +p243472 +aS'to\tto\tTO\tB-PP\tO' +p243473 +aS'24\t24\tCD\tB-NP\tO' +p243474 +aS'units\tunit\tNNS\tI-NP\tO' +p243475 +aS'in\tin\tIN\tB-PP\tO' +p243476 +aS'the\tthe\tDT\tB-NP\tO' +p243477 +aS'a.m.\ta.m.\tNN\tI-NP\tO' +p243478 +aS'and\tand\tCC\tO\tO' +p243479 +aS'14\t14\tCD\tB-NP\tO' +p243480 +aS'units\tunit\tNNS\tI-NP\tO' +p243481 +aS'in\tin\tIN\tB-PP\tO' +p243482 +aS'the\tthe\tDT\tB-NP\tO' +p243483 +aS'p.m.\tp.m.\tNN\tI-NP\tO' +p243484 +aS'with\twith\tIN\tB-PP\tO' +p243485 +aS'CZI\tCZI\tNN\tB-NP\tO' +p243486 +aS'sliding-scale\tsliding-scale\tJJ\tI-NP\tO' +p243487 +aS'coverage\tcoverage\tNN\tI-NP\tO' +p243488 +aS'.\t.\t.\tO\tO' +p243489 +asS'Exam notable for hyperactive bowel sounds with abd distention and tenderness to palpation at LLQ and RLQ .' +p243490 +(lp243491 +S'Exam\tExam\tNN\tB-NP\tO' +p243492 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p243493 +aS'for\tfor\tIN\tB-PP\tO' +p243494 +aS'hyperactive\thyperactive\tJJ\tB-NP\tO' +p243495 +aS'bowel\tbowel\tNN\tI-NP\tO' +p243496 +aS'sounds\tsound\tVBZ\tB-VP\tO' +p243497 +aS'with\twith\tIN\tB-PP\tO' +p243498 +aS'abd\tabd\tNN\tB-NP\tO' +p243499 +aS'distention\tdistention\tNN\tI-NP\tO' +p243500 +aS'and\tand\tCC\tO\tO' +p243501 +aS'tenderness\ttenderness\tNN\tB-NP\tO' +p243502 +aS'to\tto\tTO\tB-PP\tO' +p243503 +aS'palpation\tpalpation\tNN\tB-NP\tO' +p243504 +aS'at\tat\tIN\tB-PP\tO' +p243505 +aS'LLQ\tLLQ\tNN\tB-NP\tB-protein' +p243506 +aS'and\tand\tCC\tI-NP\tO' +p243507 +aS'RLQ\tRLQ\tNN\tI-NP\tB-protein' +p243508 +aS'.\t.\t.\tO\tO' +p243509 +asS'Three days ago , he developed dyspnea on exertion when climbing stairs , assoc w/ 2-pillow orthopnea and PND .' +p243510 +(lp243511 +S'Three\tThree\tCD\tB-NP\tO' +p243512 +aS'days\tday\tNNS\tI-NP\tO' +p243513 +aS'ago\tago\tRB\tB-ADVP\tO' +p243514 +aS',\t,\t,\tO\tO' +p243515 +aS'he\the\tPRP\tB-NP\tO' +p243516 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p243517 +aS'dyspnea\tdyspnea\tNN\tB-NP\tO' +p243518 +aS'on\ton\tIN\tB-PP\tO' +p243519 +aS'exertion\texertion\tNN\tB-NP\tO' +p243520 +aS'when\twhen\tWRB\tB-ADVP\tO' +p243521 +aS'climbing\tclimb\tVBG\tB-NP\tO' +p243522 +aS'stairs\tstair\tNNS\tI-NP\tO' +p243523 +aS',\t,\t,\tO\tO' +p243524 +aS'assoc\tassoc\tNN\tB-NP\tO' +p243525 +aS'w/\tw/\tNN\tI-NP\tO' +p243526 +aS'2-pillow\t2-pillow\tJJ\tI-NP\tO' +p243527 +aS'orthopnea\torthopnea\tNN\tI-NP\tO' +p243528 +aS'and\tand\tCC\tI-NP\tO' +p243529 +aS'PND\tPND\tNN\tI-NP\tO' +p243530 +aS'.\t.\t.\tO\tO' +p243531 +asS'The patient was referred to Ph University Of Medical Center for rule out transient ischemic attack and rule out stroke .' +p243532 +(lp243533 +S'The\tThe\tDT\tB-NP\tO' +p243534 +aS'patient\tpatient\tNN\tI-NP\tO' +p243535 +aS'was\tbe\tVBD\tB-VP\tO' +p243536 +aS'referred\trefer\tVBN\tI-VP\tO' +p243537 +aS'to\tto\tTO\tB-PP\tO' +p243538 +aS'Ph\tPh\tNNP\tB-NP\tO' +p243539 +aS'University\tUniversity\tNNP\tI-NP\tO' +p243540 +aS'Of\tOf\tNNP\tI-NP\tO' +p243541 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p243542 +aS'Center\tCenter\tNNP\tI-NP\tO' +p243543 +aS'for\tfor\tIN\tB-PP\tO' +p243544 +aS'rule\trule\tNN\tB-NP\tO' +p243545 +aS'out\tout\tIN\tB-PP\tO' +p243546 +aS'transient\ttransient\tJJ\tB-NP\tO' +p243547 +aS'ischemic\tischemic\tJJ\tI-NP\tO' +p243548 +aS'attack\tattack\tNN\tI-NP\tO' +p243549 +aS'and\tand\tCC\tI-NP\tO' +p243550 +aS'rule\trule\tNN\tI-NP\tO' +p243551 +aS'out\tout\tIN\tB-PP\tO' +p243552 +aS'stroke\tstroke\tNN\tB-NP\tO' +p243553 +aS'.\t.\t.\tO\tO' +p243554 +asS'LENNI BREUTZOLN , M.D. .' +p243555 +(lp243556 +S'LENNI\tLENNI\tNNP\tB-NP\tO' +p243557 +aS'BREUTZOLN\tBREUTZOLN\tNNP\tI-NP\tO' +p243558 +aS',\t,\t,\tO\tO' +p243559 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p243560 +aS'.\t.\t.\tO\tO' +p243561 +asS'He used to be able to walk with a walker , and the past few days has required a wheelchair .' +p243562 +(lp243563 +S'He\tHe\tPRP\tB-NP\tO' +p243564 +aS'used\tuse\tVBD\tB-VP\tO' +p243565 +aS'to\tto\tTO\tI-VP\tO' +p243566 +aS'be\tbe\tVB\tI-VP\tO' +p243567 +aS'able\table\tJJ\tB-ADJP\tO' +p243568 +aS'to\tto\tTO\tB-VP\tO' +p243569 +aS'walk\twalk\tVB\tI-VP\tO' +p243570 +aS'with\twith\tIN\tB-PP\tO' +p243571 +aS'a\ta\tDT\tB-NP\tO' +p243572 +aS'walker\twalker\tNN\tI-NP\tO' +p243573 +aS',\t,\t,\tO\tO' +p243574 +aS'and\tand\tCC\tO\tO' +p243575 +aS'the\tthe\tDT\tB-NP\tO' +p243576 +aS'past\tpast\tJJ\tI-NP\tO' +p243577 +aS'few\tfew\tJJ\tI-NP\tO' +p243578 +aS'days\tday\tNNS\tI-NP\tO' +p243579 +aS'has\thave\tVBZ\tB-VP\tO' +p243580 +aS'required\trequire\tVBN\tI-VP\tO' +p243581 +aS'a\ta\tDT\tB-NP\tO' +p243582 +aS'wheelchair\twheelchair\tNN\tI-NP\tO' +p243583 +aS'.\t.\t.\tO\tO' +p243584 +asS'II / VI systolic ejection murmur at left sternal border , positive S3 , question of S4 , otherwise point of maximal impulse was laterally displaced .' +p243585 +(lp243586 +S'II\tII\tCD\tB-NP\tO' +p243587 +aS'/\t/\tSYM\tI-NP\tO' +p243588 +aS'VI\tVI\tCD\tI-NP\tO' +p243589 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p243590 +aS'ejection\tejection\tNN\tI-NP\tO' +p243591 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p243592 +aS'at\tat\tIN\tB-PP\tO' +p243593 +aS'left\tleft\tJJ\tB-NP\tO' +p243594 +aS'sternal\tsternal\tJJ\tI-NP\tO' +p243595 +aS'border\tborder\tNN\tI-NP\tO' +p243596 +aS',\t,\t,\tO\tO' +p243597 +aS'positive\tpositive\tJJ\tB-NP\tB-protein' +p243598 +aS'S3\tS3\tNN\tI-NP\tI-protein' +p243599 +aS',\t,\t,\tO\tO' +p243600 +aS'question\tquestion\tNN\tB-NP\tO' +p243601 +aS'of\tof\tIN\tB-PP\tO' +p243602 +aS'S4\tS4\tNN\tB-NP\tB-protein' +p243603 +aS',\t,\t,\tO\tO' +p243604 +aS'otherwise\totherwise\tJJ\tB-NP\tO' +p243605 +aS'point\tpoint\tNN\tI-NP\tO' +p243606 +aS'of\tof\tIN\tB-PP\tO' +p243607 +aS'maximal\tmaximal\tJJ\tB-NP\tO' +p243608 +aS'impulse\timpulse\tNN\tI-NP\tO' +p243609 +aS'was\tbe\tVBD\tB-VP\tO' +p243610 +aS'laterally\tlaterally\tRB\tI-VP\tO' +p243611 +aS'displaced\tdisplace\tVBN\tI-VP\tO' +p243612 +aS'.\t.\t.\tO\tO' +p243613 +asS'Chronic inflammatory demyelinating polyradiculopathy .' +p243614 +(lp243615 +S'Chronic\tChronic\tJJ\tB-NP\tO' +p243616 +aS'inflammatory\tinflammatory\tJJ\tI-NP\tO' +p243617 +aS'demyelinating\tdemyelinate\tVBG\tI-NP\tO' +p243618 +aS'polyradiculopathy\tpolyradiculopathy\tNN\tI-NP\tO' +p243619 +aS'.\t.\t.\tO\tO' +p243620 +asS'She has severe sleep apnea and falls asleep midsentence .' +p243621 +(lp243622 +S'She\tShe\tPRP\tB-NP\tO' +p243623 +aS'has\thave\tVBZ\tB-VP\tO' +p243624 +aS'severe\tsevere\tJJ\tB-NP\tO' +p243625 +aS'sleep\tsleep\tNN\tI-NP\tO' +p243626 +aS'apnea\tapnea\tNN\tI-NP\tO' +p243627 +aS'and\tand\tCC\tO\tO' +p243628 +aS'falls\tfall\tVBZ\tB-VP\tO' +p243629 +aS'asleep\tasleep\tJJ\tB-NP\tO' +p243630 +aS'midsentence\tmidsentence\tNN\tI-NP\tO' +p243631 +aS'.\t.\t.\tO\tO' +p243632 +asS'IF SIGNS AND SYMPTOMS OF WOUND INFECTION , SUCH AS SUDDEN FEVER , INCREASED PAIN , NAUSEA / VOMITING , PURULENT DISCHARGE , PLEASE GO TO THE EMERGENCY ROOM OR CALL .' +p243633 +(lp243634 +S'IF\tIF\tIN\tB-SBAR\tO' +p243635 +aS'SIGNS\tSIGNS\tNNP\tB-NP\tO' +p243636 +aS'AND\tAND\tCC\tI-NP\tO' +p243637 +aS'SYMPTOMS\tSYMPTOMS\tNNP\tI-NP\tO' +p243638 +aS'OF\tOF\tIN\tB-PP\tO' +p243639 +aS'WOUND\tWOUND\tNNP\tB-NP\tO' +p243640 +aS'INFECTION\tINFECTION\tNNP\tI-NP\tO' +p243641 +aS',\t,\t,\tO\tO' +p243642 +aS'SUCH\tSUCH\tNNP\tB-NP\tO' +p243643 +aS'AS\tAS\tNNP\tI-NP\tO' +p243644 +aS'SUDDEN\tSUDDEN\tNNP\tI-NP\tO' +p243645 +aS'FEVER\tFEVER\tNNP\tI-NP\tO' +p243646 +aS',\t,\t,\tO\tO' +p243647 +aS'INCREASED\tINCREASED\tNNP\tB-NP\tO' +p243648 +aS'PAIN\tPAIN\tNNP\tI-NP\tO' +p243649 +aS',\t,\t,\tO\tO' +p243650 +aS'NAUSEA\tNAUSEA\tNN\tB-NP\tB-protein' +p243651 +aS'/\t/\tSYM\tI-NP\tO' +p243652 +aS'VOMITING\tVOMITING\tNN\tI-NP\tO' +p243653 +aS',\t,\t,\tO\tO' +p243654 +aS'PURULENT\tPURULENT\tNNP\tB-NP\tO' +p243655 +aS'DISCHARGE\tDISCHARGE\tNNP\tI-NP\tO' +p243656 +aS',\t,\t,\tO\tO' +p243657 +aS'PLEASE\tPLEASE\tNNP\tB-NP\tO' +p243658 +aS'GO\tGO\tNNP\tI-NP\tO' +p243659 +aS'TO\tTO\tTO\tB-PP\tO' +p243660 +aS'THE\tTHE\tDT\tB-NP\tO' +p243661 +aS'EMERGENCY\tEMERGENCY\tNN\tI-NP\tO' +p243662 +aS'ROOM\tROOM\tNN\tI-NP\tO' +p243663 +aS'OR\tOR\tNN\tI-NP\tO' +p243664 +aS'CALL\tCALL\tNN\tI-NP\tO' +p243665 +aS'.\t.\t.\tO\tO' +p243666 +asS'The patient was then admitted to the medical Intensive Care Unit for observation of his blood pressure and then transferred to our service on medicine when the blood pressures remained stable overnight .' +p243667 +(lp243668 +S'The\tThe\tDT\tB-NP\tO' +p243669 +aS'patient\tpatient\tNN\tI-NP\tO' +p243670 +aS'was\tbe\tVBD\tB-VP\tO' +p243671 +aS'then\tthen\tRB\tI-VP\tO' +p243672 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p243673 +aS'to\tto\tTO\tB-PP\tO' +p243674 +aS'the\tthe\tDT\tB-NP\tO' +p243675 +aS'medical\tmedical\tJJ\tI-NP\tO' +p243676 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p243677 +aS'Care\tCare\tNNP\tI-NP\tO' +p243678 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p243679 +aS'for\tfor\tIN\tB-PP\tO' +p243680 +aS'observation\tobservation\tNN\tB-NP\tO' +p243681 +aS'of\tof\tIN\tB-PP\tO' +p243682 +aS'his\this\tPRP$\tB-NP\tO' +p243683 +aS'blood\tblood\tNN\tI-NP\tO' +p243684 +aS'pressure\tpressure\tNN\tI-NP\tO' +p243685 +aS'and\tand\tCC\tO\tO' +p243686 +aS'then\tthen\tRB\tB-VP\tO' +p243687 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p243688 +aS'to\tto\tTO\tB-PP\tO' +p243689 +aS'our\tour\tPRP$\tB-NP\tO' +p243690 +aS'service\tservice\tNN\tI-NP\tO' +p243691 +aS'on\ton\tIN\tB-PP\tO' +p243692 +aS'medicine\tmedicine\tNN\tB-NP\tO' +p243693 +aS'when\twhen\tWRB\tB-ADVP\tO' +p243694 +aS'the\tthe\tDT\tB-NP\tO' +p243695 +aS'blood\tblood\tNN\tI-NP\tO' +p243696 +aS'pressures\tpressure\tNNS\tI-NP\tO' +p243697 +aS'remained\tremain\tVBD\tB-VP\tO' +p243698 +aS'stable\tstable\tJJ\tB-NP\tO' +p243699 +aS'overnight\tovernight\tNN\tI-NP\tO' +p243700 +aS'.\t.\t.\tO\tO' +p243701 +asS'He had no evidence of spontaneous bacterial peritonitis .' +p243702 +(lp243703 +S'He\tHe\tPRP\tB-NP\tO' +p243704 +aS'had\thave\tVBD\tB-VP\tO' +p243705 +aS'no\tno\tDT\tB-NP\tO' +p243706 +aS'evidence\tevidence\tNN\tI-NP\tO' +p243707 +aS'of\tof\tIN\tB-PP\tO' +p243708 +aS'spontaneous\tspontaneous\tJJ\tB-NP\tO' +p243709 +aS'bacterial\tbacterial\tJJ\tI-NP\tO' +p243710 +aS'peritonitis\tperitonitis\tNN\tI-NP\tO' +p243711 +aS'.\t.\t.\tO\tO' +p243712 +asS'Coronary angiography , exercise tolerance test with Thallium .' +p243713 +(lp243714 +S'Coronary\tCoronary\tJJ\tB-NP\tO' +p243715 +aS'angiography\tangiography\tNN\tI-NP\tO' +p243716 +aS',\t,\t,\tO\tO' +p243717 +aS'exercise\texercise\tNN\tB-NP\tO' +p243718 +aS'tolerance\ttolerance\tNN\tI-NP\tO' +p243719 +aS'test\ttest\tNN\tI-NP\tO' +p243720 +aS'with\twith\tIN\tB-PP\tO' +p243721 +aS'Thallium\tThallium\tNN\tB-NP\tO' +p243722 +aS'.\t.\t.\tO\tO' +p243723 +asS'There was no calf tenderness and lower extremity arterial non-invasive studies were negative .' +p243724 +(lp243725 +S'There\tThere\tEX\tB-NP\tO' +p243726 +aS'was\tbe\tVBD\tB-VP\tO' +p243727 +aS'no\tno\tDT\tB-NP\tO' +p243728 +aS'calf\tcalf\tNN\tI-NP\tO' +p243729 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p243730 +aS'and\tand\tCC\tO\tO' +p243731 +aS'lower\tlow\tJJR\tB-NP\tO' +p243732 +aS'extremity\textremity\tNN\tI-NP\tO' +p243733 +aS'arterial\tarterial\tJJ\tI-NP\tO' +p243734 +aS'non-invasive\tnon-invasive\tJJ\tI-NP\tO' +p243735 +aS'studies\tstudy\tNNS\tI-NP\tO' +p243736 +aS'were\tbe\tVBD\tB-VP\tO' +p243737 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p243738 +aS'.\t.\t.\tO\tO' +p243739 +asS'EXT : No edema .' +p243740 +(lp243741 +S'EXT\tEXT\tNN\tB-NP\tO' +p243742 +aS':\t:\t:\tO\tO' +p243743 +aS'No\tNo\tDT\tB-NP\tO' +p243744 +aS'edema\tedema\tNN\tI-NP\tO' +p243745 +aS'.\t.\t.\tO\tO' +p243746 +asS'Since her tube feeds have been changed from full strength Nephro to Jevity , her diarrhea has resolved .' +p243747 +(lp243748 +S'Since\tSince\tIN\tB-PP\tO' +p243749 +aS'her\ther\tPRP$\tB-NP\tO' +p243750 +aS'tube\ttube\tNN\tI-NP\tO' +p243751 +aS'feeds\tfeed\tNNS\tI-NP\tO' +p243752 +aS'have\thave\tVBP\tB-VP\tO' +p243753 +aS'been\tbe\tVBN\tI-VP\tO' +p243754 +aS'changed\tchange\tVBN\tI-VP\tO' +p243755 +aS'from\tfrom\tIN\tB-PP\tO' +p243756 +aS'full\tfull\tJJ\tB-NP\tO' +p243757 +aS'strength\tstrength\tNN\tI-NP\tO' +p243758 +aS'Nephro\tNephro\tNN\tI-NP\tO' +p243759 +aS'to\tto\tTO\tB-PP\tO' +p243760 +aS'Jevity\tJevity\tNN\tB-NP\tO' +p243761 +aS',\t,\t,\tO\tO' +p243762 +aS'her\ther\tPRP$\tB-NP\tO' +p243763 +aS'diarrhea\tdiarrhea\tNN\tI-NP\tO' +p243764 +aS'has\thave\tVBZ\tB-VP\tO' +p243765 +aS'resolved\tresolve\tVBN\tI-VP\tO' +p243766 +aS'.\t.\t.\tO\tO' +p243767 +asS'Report any fever greater than 101' +p243768 +(lp243769 +S'Report\tReport\tVB\tB-VP\tO' +p243770 +aS'any\tany\tDT\tB-NP\tO' +p243771 +aS'fever\tfever\tRB\tI-NP\tO' +p243772 +aS'greater\tgreat\tJJR\tI-NP\tO' +p243773 +aS'than\tthan\tIN\tI-NP\tO' +p243774 +aS'101\t101\tCD\tI-NP\tO' +p243775 +asS'05-14- Blood cultures : no growth to date on 4/4 bottles' +p243776 +(lp243777 +S'05-14-\t05-14-\tCD\tB-NP\tO' +p243778 +aS'Blood\tBlood\tNNP\tI-NP\tO' +p243779 +aS'cultures\tculture\tNNS\tI-NP\tO' +p243780 +aS':\t:\t:\tO\tO' +p243781 +aS'no\tno\tDT\tB-NP\tO' +p243782 +aS'growth\tgrowth\tNN\tI-NP\tO' +p243783 +aS'to\tto\tTO\tB-PP\tO' +p243784 +aS'date\tdate\tNN\tB-NP\tO' +p243785 +aS'on\ton\tIN\tB-PP\tO' +p243786 +aS'4/4\t4/4\tCD\tB-NP\tO' +p243787 +aS'bottles\tbottle\tNNS\tI-NP\tO' +p243788 +asS'Please note this information may have been updated on the inpatient unit .' +p243789 +(lp243790 +S'Please\tPlease\tNN\tB-NP\tO' +p243791 +aS'note\tnote\tNN\tI-NP\tO' +p243792 +aS'this\tthis\tDT\tB-NP\tO' +p243793 +aS'information\tinformation\tNN\tI-NP\tO' +p243794 +aS'may\tmay\tMD\tB-VP\tO' +p243795 +aS'have\thave\tVB\tI-VP\tO' +p243796 +aS'been\tbe\tVBN\tI-VP\tO' +p243797 +aS'updated\tupdate\tVBN\tI-VP\tO' +p243798 +aS'on\ton\tIN\tB-PP\tO' +p243799 +aS'the\tthe\tDT\tB-NP\tO' +p243800 +aS'inpatient\tinpatient\tNN\tI-NP\tO' +p243801 +aS'unit\tunit\tNN\tI-NP\tO' +p243802 +aS'.\t.\t.\tO\tO' +p243803 +asS'His pain was adequately controlled with oral medications .' +p243804 +(lp243805 +S'His\tHis\tPRP$\tB-NP\tO' +p243806 +aS'pain\tpain\tNN\tI-NP\tO' +p243807 +aS'was\tbe\tVBD\tB-VP\tO' +p243808 +aS'adequately\tadequately\tRB\tI-VP\tO' +p243809 +aS'controlled\tcontrol\tVBN\tI-VP\tO' +p243810 +aS'with\twith\tIN\tB-PP\tO' +p243811 +aS'oral\toral\tJJ\tB-NP\tO' +p243812 +aS'medications\tmedication\tNNS\tI-NP\tO' +p243813 +aS'.\t.\t.\tO\tO' +p243814 +asS'Heart sounds normal .' +p243815 +(lp243816 +S'Heart\tHeart\tNNP\tB-NP\tO' +p243817 +aS'sounds\tsound\tVBZ\tB-VP\tO' +p243818 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p243819 +aS'.\t.\t.\tO\tO' +p243820 +asS'1. Prematurity at 34 weeks gestation .' +p243821 +(lp243822 +S'1.\t1.\tLS\tB-NP\tO' +p243823 +aS'Prematurity\tPrematurity\tNN\tI-NP\tO' +p243824 +aS'at\tat\tIN\tB-PP\tO' +p243825 +aS'34\t34\tCD\tB-NP\tO' +p243826 +aS'weeks\tweek\tNNS\tI-NP\tO' +p243827 +aS'gestation\tgestation\tNN\tI-NP\tO' +p243828 +aS'.\t.\t.\tO\tO' +p243829 +asS'The patient also required red blood cell transfusions , approximately two units every seven to ten days to maintain her hematocrit .' +p243830 +(lp243831 +S'The\tThe\tDT\tB-NP\tO' +p243832 +aS'patient\tpatient\tNN\tI-NP\tO' +p243833 +aS'also\talso\tRB\tB-ADVP\tO' +p243834 +aS'required\trequire\tVBD\tB-VP\tO' +p243835 +aS'red\tred\tJJ\tB-NP\tO' +p243836 +aS'blood\tblood\tNN\tI-NP\tO' +p243837 +aS'cell\tcell\tNN\tI-NP\tO' +p243838 +aS'transfusions\ttransfusion\tNNS\tI-NP\tO' +p243839 +aS',\t,\t,\tO\tO' +p243840 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p243841 +aS'two\ttwo\tCD\tI-NP\tO' +p243842 +aS'units\tunit\tNNS\tI-NP\tO' +p243843 +aS'every\tevery\tDT\tB-NP\tO' +p243844 +aS'seven\tseven\tCD\tI-NP\tO' +p243845 +aS'to\tto\tTO\tI-NP\tO' +p243846 +aS'ten\tten\tCD\tI-NP\tO' +p243847 +aS'days\tday\tNNS\tI-NP\tO' +p243848 +aS'to\tto\tTO\tB-VP\tO' +p243849 +aS'maintain\tmaintain\tVB\tI-VP\tO' +p243850 +aS'her\ther\tPRP$\tB-NP\tO' +p243851 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p243852 +aS'.\t.\t.\tO\tO' +p243853 +asS'White count was 27.3 with 16% bands .' +p243854 +(lp243855 +S'White\tWhite\tJJ\tB-NP\tO' +p243856 +aS'count\tcount\tNN\tI-NP\tO' +p243857 +aS'was\tbe\tVBD\tB-VP\tO' +p243858 +aS'27.3\t27.3\tCD\tB-NP\tO' +p243859 +aS'with\twith\tIN\tB-PP\tO' +p243860 +aS'16%\t16%\tCD\tB-NP\tO' +p243861 +aS'bands\tband\tNNS\tI-NP\tO' +p243862 +aS'.\t.\t.\tO\tO' +p243863 +asS'1. Status post cadaveric pancreas transplant .' +p243864 +(lp243865 +S'1.\t1.\tLS\tB-LST\tO' +p243866 +aS'Status\tStatus\tNNP\tB-NP\tO' +p243867 +aS'post\tpost\tIN\tB-PP\tO' +p243868 +aS'cadaveric\tcadaveric\tJJ\tB-NP\tO' +p243869 +aS'pancreas\tpancreas\tNN\tI-NP\tO' +p243870 +aS'transplant\ttransplant\tNN\tI-NP\tO' +p243871 +aS'.\t.\t.\tO\tO' +p243872 +asS'Temporary foley was placed and on 2013-09-11 ,' +p243873 +(lp243874 +S'Temporary\tTemporary\tJJ\tB-NP\tO' +p243875 +aS'foley\tfoley\tNN\tI-NP\tO' +p243876 +aS'was\tbe\tVBD\tB-VP\tO' +p243877 +aS'placed\tplace\tVBN\tI-VP\tO' +p243878 +aS'and\tand\tCC\tO\tO' +p243879 +aS'on\ton\tIN\tB-PP\tO' +p243880 +aS'2013-09-11\t2013-09-11\tCD\tB-NP\tO' +p243881 +aS',\t,\t,\tO\tO' +p243882 +asS'Focal consolidation in the medial aspect of the right lower lung' +p243883 +(lp243884 +S'Focal\tFocal\tJJ\tB-NP\tO' +p243885 +aS'consolidation\tconsolidation\tNN\tI-NP\tO' +p243886 +aS'in\tin\tIN\tB-PP\tO' +p243887 +aS'the\tthe\tDT\tB-NP\tO' +p243888 +aS'medial\tmedial\tJJ\tI-NP\tO' +p243889 +aS'aspect\taspect\tNN\tI-NP\tO' +p243890 +aS'of\tof\tIN\tB-PP\tO' +p243891 +aS'the\tthe\tDT\tB-NP\tO' +p243892 +aS'right\tright\tJJ\tI-NP\tO' +p243893 +aS'lower\tlow\tJJR\tI-NP\tO' +p243894 +aS'lung\tlung\tNN\tI-NP\tO' +p243895 +asS'Caffeine was discontinued on day of life #19 .' +p243896 +(lp243897 +S'Caffeine\tCaffeine\tNN\tB-NP\tO' +p243898 +aS'was\tbe\tVBD\tB-VP\tO' +p243899 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p243900 +aS'on\ton\tIN\tB-PP\tO' +p243901 +aS'day\tday\tNN\tB-NP\tO' +p243902 +aS'of\tof\tIN\tB-PP\tO' +p243903 +aS'life\tlife\tNN\tB-NP\tO' +p243904 +aS'#19\t#19\tCD\tI-NP\tO' +p243905 +aS'.\t.\t.\tO\tO' +p243906 +asS'The extremities were normal in appearance .' +p243907 +(lp243908 +S'The\tThe\tDT\tB-NP\tO' +p243909 +aS'extremities\textremity\tNNS\tI-NP\tO' +p243910 +aS'were\tbe\tVBD\tB-VP\tO' +p243911 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p243912 +aS'in\tin\tIN\tB-PP\tO' +p243913 +aS'appearance\tappearance\tNN\tB-NP\tO' +p243914 +aS'.\t.\t.\tO\tO' +p243915 +asS'It is doubtful that she has chronic PE , but this is one consideration .' +p243916 +(lp243917 +S'It\tIt\tPRP\tB-NP\tO' +p243918 +aS'is\tbe\tVBZ\tB-VP\tO' +p243919 +aS'doubtful\tdoubtful\tJJ\tB-ADJP\tO' +p243920 +aS'that\tthat\tIN\tB-SBAR\tO' +p243921 +aS'she\tshe\tPRP\tB-NP\tO' +p243922 +aS'has\thave\tVBZ\tB-VP\tO' +p243923 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p243924 +aS'PE\tPE\tNN\tI-NP\tO' +p243925 +aS',\t,\t,\tO\tO' +p243926 +aS'but\tbut\tCC\tO\tO' +p243927 +aS'this\tthis\tDT\tB-NP\tO' +p243928 +aS'is\tbe\tVBZ\tB-VP\tO' +p243929 +aS'one\tone\tCD\tB-NP\tO' +p243930 +aS'consideration\tconsideration\tNN\tI-NP\tO' +p243931 +aS'.\t.\t.\tO\tO' +p243932 +asS"The patient 's postoperative course was for the most part unremarkable ." +p243933 +(lp243934 +S'The\tThe\tDT\tB-NP\tO' +p243935 +aS'patient\tpatient\tNN\tI-NP\tO' +p243936 +aS"'s\t's\tPOS\tB-NP\tO" +p243937 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p243938 +aS'course\tcourse\tNN\tI-NP\tO' +p243939 +aS'was\tbe\tVBD\tB-VP\tO' +p243940 +aS'for\tfor\tIN\tB-PP\tO' +p243941 +aS'the\tthe\tDT\tB-NP\tO' +p243942 +aS'most\tmost\tJJS\tI-NP\tO' +p243943 +aS'part\tpart\tNN\tI-NP\tO' +p243944 +aS'unremarkable\tunremarkable\tJJ\tI-NP\tO' +p243945 +aS'.\t.\t.\tO\tO' +p243946 +asS'He remained in the Intensive Care Unit for two days but was hemodynamically stable throughout .' +p243947 +(lp243948 +S'He\tHe\tPRP\tB-NP\tO' +p243949 +aS'remained\tremain\tVBD\tB-VP\tO' +p243950 +aS'in\tin\tIN\tB-PP\tO' +p243951 +aS'the\tthe\tDT\tB-NP\tO' +p243952 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p243953 +aS'Care\tCare\tNNP\tI-NP\tO' +p243954 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p243955 +aS'for\tfor\tIN\tB-PP\tO' +p243956 +aS'two\ttwo\tCD\tB-NP\tO' +p243957 +aS'days\tday\tNNS\tI-NP\tO' +p243958 +aS'but\tbut\tCC\tO\tO' +p243959 +aS'was\tbe\tVBD\tB-VP\tO' +p243960 +aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' +p243961 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p243962 +aS'throughout\tthroughout\tIN\tB-ADVP\tO' +p243963 +aS'.\t.\t.\tO\tO' +p243964 +asS'The infant emerged limp and without spontaneous respiratory effort .' +p243965 +(lp243966 +S'The\tThe\tDT\tB-NP\tO' +p243967 +aS'infant\tinfant\tNN\tI-NP\tO' +p243968 +aS'emerged\temerge\tVBD\tB-VP\tO' +p243969 +aS'limp\tlimp\tNN\tB-NP\tO' +p243970 +aS'and\tand\tCC\tO\tO' +p243971 +aS'without\twithout\tIN\tB-PP\tO' +p243972 +aS'spontaneous\tspontaneous\tJJ\tB-NP\tO' +p243973 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p243974 +aS'effort\teffort\tNN\tI-NP\tO' +p243975 +aS'.\t.\t.\tO\tO' +p243976 +asS'Diabetes ; hypertension ; hyperlipidemia .' +p243977 +(lp243978 +S'Diabetes\tDiabete\tNNS\tB-NP\tO' +p243979 +aS';\t;\t:\tO\tO' +p243980 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p243981 +aS';\t;\t:\tO\tO' +p243982 +aS'hyperlipidemia\thyperlipidemia\tNN\tB-NP\tO' +p243983 +aS'.\t.\t.\tO\tO' +p243984 +asS'Clear chest .' +p243985 +(lp243986 +S'Clear\tClear\tJJ\tB-NP\tO' +p243987 +aS'chest\tchest\tNN\tI-NP\tO' +p243988 +aS'.\t.\t.\tO\tO' +p243989 +asS'Aricept 10 mg qd , Aspirin 81 mg qd , Folic acid , Gabapentin 200 mg tid , Lopressor 12.5 mg bid , Lisinopril 5 mg qd , Daptomycin 420 mg IV qd , Protonix 40 mg qd , Seroquel 50 mg tid , Heparin 5000 units SQ tid , Colace 100 mg bid , Lactulose 15 mg bid , Comtan 200 mg qd , Mirapex 1.5 mg tid , Sinemet 50 / 200 mg tid' +p243990 +(lp243991 +S'Aricept\tAricept\tIN\tB-PP\tO' +p243992 +aS'10\t10\tCD\tB-NP\tO' +p243993 +aS'mg\tmg\tNN\tI-NP\tO' +p243994 +aS'qd\tqd\tNN\tI-NP\tO' +p243995 +aS',\t,\t,\tO\tO' +p243996 +aS'Aspirin\tAspirin\tNN\tB-NP\tO' +p243997 +aS'81\t81\tCD\tI-NP\tO' +p243998 +aS'mg\tmg\tNN\tI-NP\tO' +p243999 +aS'qd\tqd\tNN\tI-NP\tO' +p244000 +aS',\t,\t,\tO\tO' +p244001 +aS'Folic\tFolic\tJJ\tB-NP\tO' +p244002 +aS'acid\tacid\tNN\tI-NP\tO' +p244003 +aS',\t,\t,\tO\tO' +p244004 +aS'Gabapentin\tGabapentin\tNN\tB-NP\tO' +p244005 +aS'200\t200\tCD\tI-NP\tO' +p244006 +aS'mg\tmg\tNN\tI-NP\tO' +p244007 +aS'tid\ttid\tNN\tI-NP\tO' +p244008 +aS',\t,\t,\tO\tO' +p244009 +aS'Lopressor\tLopressor\tNN\tB-NP\tO' +p244010 +aS'12.5\t12.5\tCD\tI-NP\tO' +p244011 +aS'mg\tmg\tNN\tI-NP\tO' +p244012 +aS'bid\tbid\tRB\tB-ADVP\tO' +p244013 +aS',\t,\t,\tO\tO' +p244014 +aS'Lisinopril\tLisinopril\tNNP\tB-NP\tO' +p244015 +aS'5\t5\tCD\tI-NP\tO' +p244016 +aS'mg\tmg\tNN\tI-NP\tO' +p244017 +aS'qd\tqd\tNN\tI-NP\tO' +p244018 +aS',\t,\t,\tO\tO' +p244019 +aS'Daptomycin\tDaptomycin\tNN\tB-NP\tO' +p244020 +aS'420\t420\tCD\tI-NP\tO' +p244021 +aS'mg\tmg\tNN\tI-NP\tO' +p244022 +aS'IV\tIV\tCD\tB-NP\tO' +p244023 +aS'qd\tqd\tNN\tI-NP\tO' +p244024 +aS',\t,\t,\tO\tO' +p244025 +aS'Protonix\tProtonix\tNNP\tB-NP\tO' +p244026 +aS'40\t40\tCD\tI-NP\tO' +p244027 +aS'mg\tmg\tNN\tI-NP\tO' +p244028 +aS'qd\tqd\tNN\tI-NP\tO' +p244029 +aS',\t,\t,\tO\tO' +p244030 +aS'Seroquel\tSeroquel\tNNP\tB-NP\tO' +p244031 +aS'50\t50\tCD\tI-NP\tO' +p244032 +aS'mg\tmg\tNN\tI-NP\tO' +p244033 +aS'tid\ttid\tNN\tI-NP\tO' +p244034 +aS',\t,\t,\tO\tO' +p244035 +aS'Heparin\tHeparin\tNN\tB-NP\tO' +p244036 +aS'5000\t5000\tCD\tI-NP\tO' +p244037 +aS'units\tunit\tNNS\tI-NP\tO' +p244038 +aS'SQ\tSQ\tNN\tI-NP\tO' +p244039 +aS'tid\ttid\tNN\tI-NP\tO' +p244040 +aS',\t,\t,\tO\tO' +p244041 +aS'Colace\tColace\tNNP\tB-NP\tO' +p244042 +aS'100\t100\tCD\tI-NP\tO' +p244043 +aS'mg\tmg\tNN\tI-NP\tO' +p244044 +aS'bid\tbid\tRB\tB-ADVP\tO' +p244045 +aS',\t,\t,\tO\tO' +p244046 +aS'Lactulose\tLactulose\tNN\tB-NP\tO' +p244047 +aS'15\t15\tCD\tI-NP\tO' +p244048 +aS'mg\tmg\tNN\tI-NP\tO' +p244049 +aS'bid\tbid\tRB\tB-ADVP\tO' +p244050 +aS',\t,\t,\tO\tO' +p244051 +aS'Comtan\tComtan\tNNP\tB-NP\tO' +p244052 +aS'200\t200\tCD\tI-NP\tO' +p244053 +aS'mg\tmg\tNN\tI-NP\tO' +p244054 +aS'qd\tqd\tNN\tI-NP\tO' +p244055 +aS',\t,\t,\tO\tO' +p244056 +aS'Mirapex\tMirapex\tNNP\tB-NP\tO' +p244057 +aS'1.5\t1.5\tCD\tI-NP\tO' +p244058 +aS'mg\tmg\tNN\tI-NP\tO' +p244059 +aS'tid\ttid\tNN\tI-NP\tO' +p244060 +aS',\t,\t,\tO\tO' +p244061 +aS'Sinemet\tSinemet\tNN\tB-NP\tO' +p244062 +aS'50\t50\tCD\tI-NP\tO' +p244063 +aS'/\t/\tSYM\tI-NP\tO' +p244064 +aS'200\t200\tCD\tI-NP\tO' +p244065 +aS'mg\tmg\tNN\tI-NP\tO' +p244066 +aS'tid\ttid\tNN\tI-NP\tO' +p244067 +asS'Insertion of intra-aortic balloon pump .' +p244068 +(lp244069 +S'Insertion\tInsertion\tNN\tB-NP\tO' +p244070 +aS'of\tof\tIN\tB-PP\tO' +p244071 +aS'intra-aortic\tintra-aortic\tJJ\tB-NP\tO' +p244072 +aS'balloon\tballoon\tNN\tI-NP\tO' +p244073 +aS'pump\tpump\tNN\tI-NP\tO' +p244074 +aS'.\t.\t.\tO\tO' +p244075 +asS'She was continued on her antibiotics , and was afebrile until hospital day number five , when she had a temperature spike to 102.3 .' +p244076 +(lp244077 +S'She\tShe\tPRP\tB-NP\tO' +p244078 +aS'was\tbe\tVBD\tB-VP\tO' +p244079 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p244080 +aS'on\ton\tIN\tB-PP\tO' +p244081 +aS'her\ther\tPRP$\tB-NP\tO' +p244082 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p244083 +aS',\t,\t,\tO\tO' +p244084 +aS'and\tand\tCC\tO\tO' +p244085 +aS'was\tbe\tVBD\tB-VP\tO' +p244086 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p244087 +aS'until\tuntil\tIN\tB-SBAR\tO' +p244088 +aS'hospital\thospital\tNN\tB-NP\tO' +p244089 +aS'day\tday\tNN\tI-NP\tO' +p244090 +aS'number\tnumber\tNN\tI-NP\tO' +p244091 +aS'five\tfive\tCD\tB-NP\tO' +p244092 +aS',\t,\t,\tO\tO' +p244093 +aS'when\twhen\tWRB\tB-ADVP\tO' +p244094 +aS'she\tshe\tPRP\tB-NP\tO' +p244095 +aS'had\thave\tVBD\tB-VP\tO' +p244096 +aS'a\ta\tDT\tB-NP\tO' +p244097 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p244098 +aS'spike\tspike\tNN\tI-NP\tO' +p244099 +aS'to\tto\tTO\tB-PP\tO' +p244100 +aS'102.3\t102.3\tCD\tB-NP\tO' +p244101 +aS'.\t.\t.\tO\tO' +p244102 +asS'5. Nitropaste , one-half inch to chest wall , q6h.' +p244103 +(lp244104 +S'5.\t5.\tLS\tB-LST\tO' +p244105 +aS'Nitropaste\tNitropaste\tNNP\tB-NP\tO' +p244106 +aS',\t,\t,\tO\tO' +p244107 +aS'one-half\tone-half\tJJ\tB-NP\tO' +p244108 +aS'inch\tinch\tNN\tI-NP\tO' +p244109 +aS'to\tto\tTO\tB-VP\tO' +p244110 +aS'chest\tchest\tVB\tI-VP\tO' +p244111 +aS'wall\twall\tNN\tB-NP\tO' +p244112 +aS',\t,\t,\tO\tO' +p244113 +aS'q6h.\tq6h.\tNN\tB-NP\tO' +p244114 +asS'Sudafed 30 po. bid .' +p244115 +(lp244116 +S'Sudafed\tSudafe\tVBN\tB-NP\tO' +p244117 +aS'30\t30\tCD\tI-NP\tO' +p244118 +aS'po.\tpo.\tNN\tI-NP\tO' +p244119 +aS'bid\tbid\tNN\tI-NP\tO' +p244120 +aS'.\t.\t.\tO\tO' +p244121 +asS'He was advanced to clears which he tolerated and was restarted on a low residue diet .' +p244122 +(lp244123 +S'He\tHe\tPRP\tB-NP\tO' +p244124 +aS'was\tbe\tVBD\tB-VP\tO' +p244125 +aS'advanced\tadvance\tVBN\tI-VP\tO' +p244126 +aS'to\tto\tTO\tB-PP\tO' +p244127 +aS'clears\tclear\tNNS\tB-NP\tO' +p244128 +aS'which\twhich\tWDT\tB-NP\tO' +p244129 +aS'he\the\tPRP\tB-NP\tO' +p244130 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p244131 +aS'and\tand\tCC\tO\tO' +p244132 +aS'was\tbe\tVBD\tB-VP\tO' +p244133 +aS'restarted\trestart\tVBN\tI-VP\tO' +p244134 +aS'on\ton\tIN\tB-PP\tO' +p244135 +aS'a\ta\tDT\tB-NP\tO' +p244136 +aS'low\tlow\tJJ\tI-NP\tO' +p244137 +aS'residue\tresidue\tNN\tI-NP\tO' +p244138 +aS'diet\tdiet\tNN\tI-NP\tO' +p244139 +aS'.\t.\t.\tO\tO' +p244140 +asS'- Pt placed on captopril 25 tid , lopressor 12.5 BID and NTG paste SS , achieving normal BP w / in 5 hrs of adm to floor .' +p244141 +(lp244142 +S'-\t-\tHYPH\tB-NP\tO' +p244143 +aS'Pt\tPt\tNN\tI-NP\tO' +p244144 +aS'placed\tplace\tVBN\tB-VP\tO' +p244145 +aS'on\ton\tIN\tB-PP\tO' +p244146 +aS'captopril\tcaptopril\tNN\tB-NP\tO' +p244147 +aS'25\t25\tCD\tI-NP\tO' +p244148 +aS'tid\ttid\tNN\tI-NP\tO' +p244149 +aS',\t,\t,\tO\tO' +p244150 +aS'lopressor\tlopressor\tNN\tB-NP\tO' +p244151 +aS'12.5\t12.5\tCD\tI-NP\tO' +p244152 +aS'BID\tBID\tNN\tI-NP\tO' +p244153 +aS'and\tand\tCC\tI-NP\tO' +p244154 +aS'NTG\tNTG\tNN\tI-NP\tB-protein' +p244155 +aS'paste\tpaste\tNN\tI-NP\tI-protein' +p244156 +aS'SS\tSS\tNN\tI-NP\tI-protein' +p244157 +aS',\t,\t,\tO\tO' +p244158 +aS'achieving\tachieve\tVBG\tB-VP\tO' +p244159 +aS'normal\tnormal\tJJ\tB-NP\tO' +p244160 +aS'BP\tBP\tNN\tI-NP\tO' +p244161 +aS'w\tw\tNN\tI-NP\tO' +p244162 +aS'/\t/\tSYM\tB-NP\tO' +p244163 +aS'in\tin\tIN\tB-PP\tO' +p244164 +aS'5\t5\tCD\tB-NP\tO' +p244165 +aS'hrs\thr\tNNS\tI-NP\tO' +p244166 +aS'of\tof\tIN\tB-PP\tO' +p244167 +aS'adm\tadm\tNN\tB-NP\tO' +p244168 +aS'to\tto\tTO\tB-PP\tO' +p244169 +aS'floor\tfloor\tNN\tB-NP\tO' +p244170 +aS'.\t.\t.\tO\tO' +p244171 +asS'Pt has HTN , measured BP home 200/100 .' +p244172 +(lp244173 +S'Pt\tPt\tNN\tB-NP\tO' +p244174 +aS'has\thave\tVBZ\tB-VP\tO' +p244175 +aS'HTN\tHTN\tNN\tB-NP\tB-protein' +p244176 +aS',\t,\t,\tO\tO' +p244177 +aS'measured\tmeasure\tVBD\tB-VP\tO' +p244178 +aS'BP\tBP\tNN\tB-NP\tO' +p244179 +aS'home\thome\tNN\tI-NP\tO' +p244180 +aS'200/100\t200/100\tCD\tI-NP\tO' +p244181 +aS'.\t.\t.\tO\tO' +p244182 +asS"CBC was benign with 22,000 whites , 80 poly 's, 0 bands , 15 lymphs ." +p244183 +(lp244184 +S'CBC\tCBC\tNN\tB-NP\tB-protein' +p244185 +aS'was\tbe\tVBD\tB-VP\tO' +p244186 +aS'benign\tbenign\tJJ\tB-ADJP\tO' +p244187 +aS'with\twith\tIN\tB-PP\tO' +p244188 +aS'22,000\t22,000\tCD\tB-NP\tO' +p244189 +aS'whites\twhite\tNNS\tI-NP\tO' +p244190 +aS',\t,\t,\tO\tO' +p244191 +aS'80\t80\tCD\tB-NP\tO' +p244192 +aS'poly\tpoly\tNN\tI-NP\tO' +p244193 +aS"'s,\t's,\tPOS\tB-NP\tO" +p244194 +aS'0\t0\tCD\tI-NP\tO' +p244195 +aS'bands\tband\tNNS\tI-NP\tO' +p244196 +aS',\t,\t,\tO\tO' +p244197 +aS'15\t15\tCD\tB-NP\tO' +p244198 +aS'lymphs\tlymph\tNNS\tI-NP\tO' +p244199 +aS'.\t.\t.\tO\tO' +p244200 +asS'HTN elev. lipids hypothyroidism back pain' +p244201 +(lp244202 +S'HTN\tHTN\tNN\tB-NP\tO' +p244203 +aS'elev.\telev.\tNN\tI-NP\tO' +p244204 +aS'lipids\tlipid\tNNS\tI-NP\tO' +p244205 +aS'hypothyroidism\thypothyroidism\tNN\tI-NP\tO' +p244206 +aS'back\tback\tRB\tB-ADVP\tO' +p244207 +aS'pain\tpain\tNN\tB-NP\tO' +p244208 +asS'The cranial nerves showed full visual fields without extinction , pupils 5 to 3 bilaterally and equal , disks flat , lower left facial decreased sensation to temperature , pin prick on the left V1 through V3 , tongue deviates to the left , good gag , decreased shrug on the left .' +p244209 +(lp244210 +S'The\tThe\tDT\tB-NP\tO' +p244211 +aS'cranial\tcranial\tJJ\tI-NP\tO' +p244212 +aS'nerves\tnerve\tNNS\tI-NP\tO' +p244213 +aS'showed\tshow\tVBD\tB-VP\tO' +p244214 +aS'full\tfull\tJJ\tB-NP\tO' +p244215 +aS'visual\tvisual\tJJ\tI-NP\tO' +p244216 +aS'fields\tfield\tNNS\tI-NP\tO' +p244217 +aS'without\twithout\tIN\tB-PP\tO' +p244218 +aS'extinction\textinction\tNN\tB-NP\tO' +p244219 +aS',\t,\t,\tO\tO' +p244220 +aS'pupils\tpupil\tNNS\tB-NP\tO' +p244221 +aS'5\t5\tCD\tI-NP\tO' +p244222 +aS'to\tto\tTO\tI-NP\tO' +p244223 +aS'3\t3\tCD\tI-NP\tO' +p244224 +aS'bilaterally\tbilaterally\tRB\tI-NP\tO' +p244225 +aS'and\tand\tCC\tI-NP\tO' +p244226 +aS'equal\tequal\tJJ\tI-NP\tO' +p244227 +aS',\t,\t,\tO\tO' +p244228 +aS'disks\tdisk\tNNS\tB-NP\tO' +p244229 +aS'flat\tflat\tJJ\tB-ADJP\tO' +p244230 +aS',\t,\t,\tO\tO' +p244231 +aS'lower\tlow\tJJR\tB-ADVP\tO' +p244232 +aS'left\tleave\tVBD\tB-VP\tO' +p244233 +aS'facial\tfacial\tJJ\tB-NP\tO' +p244234 +aS'decreased\tdecrease\tVBN\tI-NP\tO' +p244235 +aS'sensation\tsensation\tNN\tI-NP\tO' +p244236 +aS'to\tto\tTO\tB-PP\tO' +p244237 +aS'temperature\ttemperature\tNN\tB-NP\tO' +p244238 +aS',\t,\t,\tO\tO' +p244239 +aS'pin\tpin\tNN\tB-NP\tO' +p244240 +aS'prick\tprick\tNN\tI-NP\tO' +p244241 +aS'on\ton\tIN\tB-PP\tO' +p244242 +aS'the\tthe\tDT\tB-NP\tO' +p244243 +aS'left\tleft\tJJ\tI-NP\tO' +p244244 +aS'V1\tV1\tNN\tI-NP\tO' +p244245 +aS'through\tthrough\tIN\tB-PP\tO' +p244246 +aS'V3\tV3\tNN\tB-NP\tB-protein' +p244247 +aS',\t,\t,\tO\tO' +p244248 +aS'tongue\ttongue\tNN\tB-NP\tO' +p244249 +aS'deviates\tdeviate\tVBZ\tB-VP\tO' +p244250 +aS'to\tto\tTO\tB-PP\tO' +p244251 +aS'the\tthe\tDT\tB-NP\tO' +p244252 +aS'left\tleft\tJJ\tI-NP\tO' +p244253 +aS',\t,\t,\tI-NP\tO' +p244254 +aS'good\tgood\tJJ\tI-NP\tO' +p244255 +aS'gag\tgag\tNN\tI-NP\tO' +p244256 +aS',\t,\t,\tO\tO' +p244257 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p244258 +aS'shrug\tshrug\tNN\tB-NP\tO' +p244259 +aS'on\ton\tIN\tB-PP\tO' +p244260 +aS'the\tthe\tDT\tB-NP\tO' +p244261 +aS'left\tleft\tNN\tI-NP\tO' +p244262 +aS'.\t.\t.\tO\tO' +p244263 +asS'General : WD/WN male in NAD' +p244264 +(lp244265 +S'General\tGeneral\tNNP\tB-NP\tO' +p244266 +aS':\t:\t:\tO\tO' +p244267 +aS'WD/WN\tWD/WN\tNN\tB-NP\tO' +p244268 +aS'male\tmale\tNN\tI-NP\tO' +p244269 +aS'in\tin\tIN\tB-PP\tO' +p244270 +aS'NAD\tNAD\tNN\tB-NP\tO' +p244271 +asS'Na 145 , K 4.3 , Cl 110 , tCO2 25 .' +p244272 +(lp244273 +S'Na\tNa\tNN\tB-NP\tB-protein' +p244274 +aS'145\t145\tCD\tI-NP\tI-protein' +p244275 +aS',\t,\t,\tO\tO' +p244276 +aS'K\tK\tNN\tB-NP\tB-cell_line' +p244277 +aS'4.3\t4.3\tNN\tI-NP\tI-cell_line' +p244278 +aS',\t,\t,\tO\tO' +p244279 +aS'Cl\tCl\tNN\tB-NP\tB-protein' +p244280 +aS'110\t110\tCD\tI-NP\tI-protein' +p244281 +aS',\t,\t,\tO\tO' +p244282 +aS'tCO2\ttCO2\tNN\tB-NP\tO' +p244283 +aS'25\t25\tCD\tI-NP\tO' +p244284 +aS'.\t.\t.\tO\tO' +p244285 +asS'Anus patent .' +p244286 +(lp244287 +S'Anus\tAnus\tDT\tB-NP\tO' +p244288 +aS'patent\tpatent\tNN\tI-NP\tO' +p244289 +aS'.\t.\t.\tO\tO' +p244290 +asS'She was discharged on fioricet and dilantin .' +p244291 +(lp244292 +S'She\tShe\tPRP\tB-NP\tO' +p244293 +aS'was\tbe\tVBD\tB-VP\tO' +p244294 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p244295 +aS'on\ton\tIN\tB-PP\tO' +p244296 +aS'fioricet\tfioricet\tNN\tB-NP\tO' +p244297 +aS'and\tand\tCC\tI-NP\tO' +p244298 +aS'dilantin\tdilantin\tNN\tI-NP\tO' +p244299 +aS'.\t.\t.\tO\tO' +p244300 +asS'The patient was noted to be independently ambulatory and was productive of adequate amounts of urine .' +p244301 +(lp244302 +S'The\tThe\tDT\tB-NP\tO' +p244303 +aS'patient\tpatient\tNN\tI-NP\tO' +p244304 +aS'was\tbe\tVBD\tB-VP\tO' +p244305 +aS'noted\tnote\tVBN\tI-VP\tO' +p244306 +aS'to\tto\tTO\tI-VP\tO' +p244307 +aS'be\tbe\tVB\tI-VP\tO' +p244308 +aS'independently\tindependently\tRB\tB-ADJP\tO' +p244309 +aS'ambulatory\tambulatory\tJJ\tI-ADJP\tO' +p244310 +aS'and\tand\tCC\tO\tO' +p244311 +aS'was\tbe\tVBD\tB-VP\tO' +p244312 +aS'productive\tproductive\tJJ\tB-ADJP\tO' +p244313 +aS'of\tof\tIN\tB-PP\tO' +p244314 +aS'adequate\tadequate\tJJ\tB-NP\tO' +p244315 +aS'amounts\tamount\tNNS\tI-NP\tO' +p244316 +aS'of\tof\tIN\tB-PP\tO' +p244317 +aS'urine\turine\tNN\tB-NP\tO' +p244318 +aS'.\t.\t.\tO\tO' +p244319 +asS'This is to notify you that your patient , SCOBE , RYLALON arrived in the Emergency Department at Oaksgekesser/ Memorial Hospital on 07/10/2002 11:45 AM .' +p244320 +(lp244321 +S'This\tThis\tDT\tB-NP\tO' +p244322 +aS'is\tbe\tVBZ\tB-VP\tO' +p244323 +aS'to\tto\tTO\tB-VP\tO' +p244324 +aS'notify\tnotify\tVB\tI-VP\tO' +p244325 +aS'you\tyou\tPRP\tB-NP\tO' +p244326 +aS'that\tthat\tIN\tB-SBAR\tO' +p244327 +aS'your\tyour\tPRP$\tB-NP\tO' +p244328 +aS'patient\tpatient\tNN\tI-NP\tO' +p244329 +aS',\t,\t,\tO\tO' +p244330 +aS'SCOBE\tSCOBE\tNN\tB-NP\tB-protein' +p244331 +aS',\t,\t,\tO\tO' +p244332 +aS'RYLALON\tRYLALON\tNN\tB-NP\tO' +p244333 +aS'arrived\tarrive\tVBD\tB-VP\tO' +p244334 +aS'in\tin\tIN\tB-PP\tO' +p244335 +aS'the\tthe\tDT\tB-NP\tO' +p244336 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p244337 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p244338 +aS'at\tat\tIN\tB-PP\tO' +p244339 +aS'Oaksgekesser/\tOaksgekesser/\tNNP\tB-NP\tO' +p244340 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p244341 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p244342 +aS'on\ton\tIN\tB-PP\tO' +p244343 +aS'07/10/2002\t07/10/2002\tCD\tB-NP\tO' +p244344 +aS'11:45\t11:45\tCD\tI-NP\tO' +p244345 +aS'AM\tAM\tNN\tI-NP\tO' +p244346 +aS'.\t.\t.\tO\tO' +p244347 +asS'VQ was indeterminate .' +p244348 +(lp244349 +S'VQ\tVQ\tNN\tB-NP\tB-protein' +p244350 +aS'was\tbe\tVBD\tB-VP\tO' +p244351 +aS'indeterminate\tindeterminate\tJJ\tB-ADJP\tO' +p244352 +aS'.\t.\t.\tO\tO' +p244353 +asS'a.fib with RVR - Has ppm , so can have lot of nodal agents .' +p244354 +(lp244355 +S'a.fib\ta.fib\tNN\tB-NP\tO' +p244356 +aS'with\twith\tIN\tB-PP\tO' +p244357 +aS'RVR\tRVR\tNN\tB-NP\tB-protein' +p244358 +aS'-\t-\tHYPH\tB-NP\tO' +p244359 +aS'Has\tHas\tNNP\tI-NP\tO' +p244360 +aS'ppm\tppm\tNN\tI-NP\tO' +p244361 +aS',\t,\t,\tO\tO' +p244362 +aS'so\tso\tRB\tB-ADVP\tO' +p244363 +aS'can\tcan\tMD\tB-VP\tO' +p244364 +aS'have\thave\tVB\tI-VP\tO' +p244365 +aS'lot\tlot\tNN\tB-NP\tO' +p244366 +aS'of\tof\tIN\tB-PP\tO' +p244367 +aS'nodal\tnodal\tJJ\tB-NP\tO' +p244368 +aS'agents\tagent\tNNS\tI-NP\tO' +p244369 +aS'.\t.\t.\tO\tO' +p244370 +asS'In John , BP 80/60 , HR 80 .' +p244371 +(lp244372 +S'In\tIn\tIN\tB-PP\tO' +p244373 +aS'John\tJohn\tNNP\tB-NP\tO' +p244374 +aS',\t,\t,\tO\tO' +p244375 +aS'BP\tBP\tNNP\tB-NP\tO' +p244376 +aS'80/60\t80/60\tCD\tI-NP\tO' +p244377 +aS',\t,\t,\tO\tO' +p244378 +aS'HR\tHR\tNN\tB-NP\tB-protein' +p244379 +aS'80\t80\tCD\tI-NP\tI-protein' +p244380 +aS'.\t.\t.\tO\tO' +p244381 +asS'Her left knee is slightly erythematous compared to the right but not impressive .' +p244382 +(lp244383 +S'Her\tHer\tPRP$\tB-NP\tO' +p244384 +aS'left\tleft\tJJ\tI-NP\tO' +p244385 +aS'knee\tknee\tNN\tI-NP\tO' +p244386 +aS'is\tbe\tVBZ\tB-VP\tO' +p244387 +aS'slightly\tslightly\tRB\tB-ADJP\tO' +p244388 +aS'erythematous\terythematous\tJJ\tI-ADJP\tO' +p244389 +aS'compared\tcompare\tVBN\tB-PP\tO' +p244390 +aS'to\tto\tTO\tB-PP\tO' +p244391 +aS'the\tthe\tDT\tB-NP\tO' +p244392 +aS'right\tright\tJJ\tI-NP\tO' +p244393 +aS'but\tbut\tCC\tO\tO' +p244394 +aS'not\tnot\tRB\tB-ADJP\tO' +p244395 +aS'impressive\timpressive\tJJ\tI-ADJP\tO' +p244396 +aS'.\t.\t.\tO\tO' +p244397 +asS'While in the ICU he developed seizures , requiring large amounts of intravenous Valium to break his seizures , and he was maintained on Tegretol and Dilantin .' +p244398 +(lp244399 +S'While\tWhile\tIN\tB-SBAR\tO' +p244400 +aS'in\tin\tIN\tB-PP\tO' +p244401 +aS'the\tthe\tDT\tB-NP\tO' +p244402 +aS'ICU\tICU\tNN\tI-NP\tB-DNA' +p244403 +aS'he\the\tPRP\tB-NP\tO' +p244404 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p244405 +aS'seizures\tseizure\tNNS\tB-NP\tO' +p244406 +aS',\t,\t,\tO\tO' +p244407 +aS'requiring\trequire\tVBG\tB-VP\tO' +p244408 +aS'large\tlarge\tJJ\tB-NP\tO' +p244409 +aS'amounts\tamount\tNNS\tI-NP\tO' +p244410 +aS'of\tof\tIN\tB-PP\tO' +p244411 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p244412 +aS'Valium\tValium\tNN\tI-NP\tO' +p244413 +aS'to\tto\tTO\tB-VP\tO' +p244414 +aS'break\tbreak\tVB\tI-VP\tO' +p244415 +aS'his\this\tPRP$\tB-NP\tO' +p244416 +aS'seizures\tseizure\tNNS\tI-NP\tO' +p244417 +aS',\t,\t,\tO\tO' +p244418 +aS'and\tand\tCC\tO\tO' +p244419 +aS'he\the\tPRP\tB-NP\tO' +p244420 +aS'was\tbe\tVBD\tB-VP\tO' +p244421 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p244422 +aS'on\ton\tIN\tB-PP\tO' +p244423 +aS'Tegretol\tTegretol\tNN\tB-NP\tO' +p244424 +aS'and\tand\tCC\tI-NP\tO' +p244425 +aS'Dilantin\tDilantin\tNN\tI-NP\tB-protein' +p244426 +aS'.\t.\t.\tO\tO' +p244427 +asS'3. Norvasc .' +p244428 +(lp244429 +S'3.\t3.\tLS\tB-NP\tO' +p244430 +aS'Norvasc\tNorvasc\tNN\tI-NP\tO' +p244431 +aS'.\t.\t.\tO\tO' +p244432 +asS'Continued to have recurrent fevers .' +p244433 +(lp244434 +S'Continued\tContinue\tVBN\tB-VP\tO' +p244435 +aS'to\tto\tTO\tI-VP\tO' +p244436 +aS'have\thave\tVB\tI-VP\tO' +p244437 +aS'recurrent\trecurrent\tJJ\tB-NP\tO' +p244438 +aS'fevers\tfever\tNNS\tI-NP\tO' +p244439 +aS'.\t.\t.\tO\tO' +p244440 +asS'Formerly smoked 3 packs per day x 25 years ; 2 cigars per day x approximately 6 months .' +p244441 +(lp244442 +S'Formerly\tFormerly\tRB\tB-ADVP\tO' +p244443 +aS'smoked\tsmoke\tVBD\tB-VP\tO' +p244444 +aS'3\t3\tCD\tB-NP\tO' +p244445 +aS'packs\tpack\tNNS\tI-NP\tO' +p244446 +aS'per\tper\tIN\tB-PP\tO' +p244447 +aS'day\tday\tNN\tB-NP\tO' +p244448 +aS'x\tx\tSYM\tO\tO' +p244449 +aS'25\t25\tCD\tB-NP\tO' +p244450 +aS'years\tyear\tNNS\tI-NP\tO' +p244451 +aS';\t;\t:\tO\tO' +p244452 +aS'2\t2\tCD\tB-NP\tO' +p244453 +aS'cigars\tcigar\tNNS\tI-NP\tO' +p244454 +aS'per\tper\tIN\tB-PP\tO' +p244455 +aS'day\tday\tNN\tB-NP\tO' +p244456 +aS'x\tx\tCC\tO\tO' +p244457 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p244458 +aS'6\t6\tCD\tI-NP\tO' +p244459 +aS'months\tmonth\tNNS\tI-NP\tO' +p244460 +aS'.\t.\t.\tO\tO' +p244461 +asS'Mr. Breutzfarstxei was recently diagnosed with acquired immunodeficiency syndrome when he had Pneumocystis carinii pneumonia on 01/17/91 .' +p244462 +(lp244463 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p244464 +aS'Breutzfarstxei\tBreutzfarstxei\tNNP\tI-NP\tO' +p244465 +aS'was\tbe\tVBD\tB-VP\tO' +p244466 +aS'recently\trecently\tRB\tI-VP\tO' +p244467 +aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' +p244468 +aS'with\twith\tIN\tB-PP\tO' +p244469 +aS'acquired\tacquire\tVBN\tB-NP\tO' +p244470 +aS'immunodeficiency\timmunodeficiency\tNN\tI-NP\tO' +p244471 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p244472 +aS'when\twhen\tWRB\tB-ADVP\tO' +p244473 +aS'he\the\tPRP\tB-NP\tO' +p244474 +aS'had\thave\tVBD\tB-VP\tO' +p244475 +aS'Pneumocystis\tPneumocystis\tNN\tB-NP\tO' +p244476 +aS'carinii\tcarinii\tNN\tI-NP\tO' +p244477 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p244478 +aS'on\ton\tIN\tB-PP\tO' +p244479 +aS'01/17/91\t01/17/91\tCD\tB-NP\tO' +p244480 +aS'.\t.\t.\tO\tO' +p244481 +asS'POD# 23/14 she recieved a cystoscopy which revealed no leak .' +p244482 +(lp244483 +S'POD#\tPOD#\tNN\tB-NP\tO' +p244484 +aS'23/14\t23/14\tCD\tI-NP\tO' +p244485 +aS'she\tshe\tPRP\tB-NP\tO' +p244486 +aS'recieved\trecieve\tVBD\tB-VP\tO' +p244487 +aS'a\ta\tDT\tB-NP\tO' +p244488 +aS'cystoscopy\tcystoscopy\tNN\tI-NP\tO' +p244489 +aS'which\twhich\tWDT\tB-NP\tO' +p244490 +aS'revealed\treveal\tVBD\tB-VP\tO' +p244491 +aS'no\tno\tDT\tB-NP\tO' +p244492 +aS'leak\tleak\tNN\tI-NP\tO' +p244493 +aS'.\t.\t.\tO\tO' +p244494 +asS'He was started on Pyridium .' +p244495 +(lp244496 +S'He\tHe\tPRP\tB-NP\tO' +p244497 +aS'was\tbe\tVBD\tB-VP\tO' +p244498 +aS'started\tstart\tVBN\tI-VP\tO' +p244499 +aS'on\ton\tIN\tB-PP\tO' +p244500 +aS'Pyridium\tPyridium\tNN\tB-NP\tO' +p244501 +aS'.\t.\t.\tO\tO' +p244502 +asS'Lungs clear bilaterally with slightly decreased breath sounds on the right but symmetric chest rise and fall .' +p244503 +(lp244504 +S'Lungs\tLung\tNNS\tB-NP\tO' +p244505 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p244506 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p244507 +aS'with\twith\tIN\tB-PP\tO' +p244508 +aS'slightly\tslightly\tRB\tB-NP\tO' +p244509 +aS'decreased\tdecrease\tVBN\tI-NP\tO' +p244510 +aS'breath\tbreath\tNN\tI-NP\tO' +p244511 +aS'sounds\tsound\tNNS\tI-NP\tO' +p244512 +aS'on\ton\tIN\tB-PP\tO' +p244513 +aS'the\tthe\tDT\tB-NP\tO' +p244514 +aS'right\tright\tJJ\tI-NP\tO' +p244515 +aS'but\tbut\tCC\tI-NP\tO' +p244516 +aS'symmetric\tsymmetric\tJJ\tI-NP\tO' +p244517 +aS'chest\tchest\tNN\tI-NP\tO' +p244518 +aS'rise\trise\tNN\tI-NP\tO' +p244519 +aS'and\tand\tCC\tI-NP\tO' +p244520 +aS'fall\tfall\tNN\tI-NP\tO' +p244521 +aS'.\t.\t.\tO\tO' +p244522 +asS'He then underwent a CT scan to rule out a PE .' +p244523 +(lp244524 +S'He\tHe\tPRP\tB-NP\tO' +p244525 +aS'then\tthen\tRB\tB-ADVP\tO' +p244526 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p244527 +aS'a\ta\tDT\tB-NP\tO' +p244528 +aS'CT\tCT\tNN\tI-NP\tO' +p244529 +aS'scan\tscan\tNN\tI-NP\tO' +p244530 +aS'to\tto\tTO\tB-VP\tO' +p244531 +aS'rule\trule\tVB\tI-VP\tO' +p244532 +aS'out\tout\tRP\tB-PRT\tO' +p244533 +aS'a\ta\tDT\tB-NP\tO' +p244534 +aS'PE\tPE\tNN\tI-NP\tO' +p244535 +aS'.\t.\t.\tO\tO' +p244536 +asS'He has a history of drinking which he discontinued in May .' +p244537 +(lp244538 +S'He\tHe\tPRP\tB-NP\tO' +p244539 +aS'has\thave\tVBZ\tB-VP\tO' +p244540 +aS'a\ta\tDT\tB-NP\tO' +p244541 +aS'history\thistory\tNN\tI-NP\tO' +p244542 +aS'of\tof\tIN\tB-PP\tO' +p244543 +aS'drinking\tdrinking\tNN\tB-NP\tO' +p244544 +aS'which\twhich\tWDT\tB-NP\tO' +p244545 +aS'he\the\tPRP\tB-NP\tO' +p244546 +aS'discontinued\tdiscontinue\tVBD\tB-VP\tO' +p244547 +aS'in\tin\tIN\tB-PP\tO' +p244548 +aS'May\tMay\tNNP\tB-NP\tO' +p244549 +aS'.\t.\t.\tO\tO' +p244550 +asS'7. Fluticasone - Salmeterol 250-50 mcg / Dose Disk with Device Sig : One ( 1 ) Disk with Device Inhalation BID ( 2 times a day ).' +p244551 +(lp244552 +S'7.\t7.\tLS\tB-NP\tO' +p244553 +aS'Fluticasone\tFluticasone\tNN\tI-NP\tO' +p244554 +aS'-\t-\tHYPH\tO\tO' +p244555 +aS'Salmeterol\tSalmeterol\tNN\tB-NP\tO' +p244556 +aS'250-50\t250-50\tCD\tI-NP\tO' +p244557 +aS'mcg\tmcg\tNN\tI-NP\tO' +p244558 +aS'/\t/\tSYM\tB-NP\tO' +p244559 +aS'Dose\tDose\tNN\tI-NP\tO' +p244560 +aS'Disk\tDisk\tNN\tI-NP\tO' +p244561 +aS'with\twith\tIN\tB-PP\tO' +p244562 +aS'Device\tDevice\tNNP\tB-NP\tO' +p244563 +aS'Sig\tSig\tNNP\tI-NP\tO' +p244564 +aS':\t:\t:\tO\tO' +p244565 +aS'One\tOne\tCD\tB-NP\tO' +p244566 +aS'(\t(\t(\tO\tO' +p244567 +aS'1\t1\tCD\tB-NP\tO' +p244568 +aS')\t)\t)\tO\tO' +p244569 +aS'Disk\tDisk\tNN\tB-NP\tO' +p244570 +aS'with\twith\tIN\tB-PP\tO' +p244571 +aS'Device\tDevice\tNN\tB-NP\tO' +p244572 +aS'Inhalation\tInhalation\tNN\tI-NP\tO' +p244573 +aS'BID\tBID\tNN\tI-NP\tO' +p244574 +aS'(\t(\t(\tO\tO' +p244575 +aS'2\t2\tCD\tB-NP\tO' +p244576 +aS'times\ttime\tNNS\tI-NP\tO' +p244577 +aS'a\ta\tDT\tB-NP\tO' +p244578 +aS'day\tday\tNN\tI-NP\tO' +p244579 +aS').\t).\t.\tO\tO' +p244580 +asS'14. Tube feedings ; Mr. Knueppel is to be discharged on tube feeds , Promote , with fiber full-strength at 80 cc per hour around the clock .' +p244581 +(lp244582 +S'14.\t14.\tLS\tB-NP\tO' +p244583 +aS'Tube\tTube\tNNP\tI-NP\tO' +p244584 +aS'feedings\tfeeding\tNNS\tI-NP\tO' +p244585 +aS';\t;\t:\tO\tO' +p244586 +aS'Mr.\tMr.\tNNP\tB-NP\tO' +p244587 +aS'Knueppel\tKnueppel\tNNP\tI-NP\tO' +p244588 +aS'is\tbe\tVBZ\tB-VP\tO' +p244589 +aS'to\tto\tTO\tI-VP\tO' +p244590 +aS'be\tbe\tVB\tI-VP\tO' +p244591 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p244592 +aS'on\ton\tIN\tB-PP\tO' +p244593 +aS'tube\ttube\tNN\tB-NP\tO' +p244594 +aS'feeds\tfeed\tNNS\tI-NP\tO' +p244595 +aS',\t,\t,\tO\tO' +p244596 +aS'Promote\tPromote\tNNP\tB-NP\tO' +p244597 +aS',\t,\t,\tO\tO' +p244598 +aS'with\twith\tIN\tB-PP\tO' +p244599 +aS'fiber\tfiber\tNN\tB-NP\tO' +p244600 +aS'full-strength\tfull-strength\tJJ\tB-ADJP\tO' +p244601 +aS'at\tat\tIN\tB-PP\tO' +p244602 +aS'80\t80\tCD\tB-NP\tO' +p244603 +aS'cc\tcc\tNN\tI-NP\tO' +p244604 +aS'per\tper\tIN\tB-PP\tO' +p244605 +aS'hour\thour\tNN\tB-NP\tO' +p244606 +aS'around\taround\tIN\tB-PP\tO' +p244607 +aS'the\tthe\tDT\tB-NP\tO' +p244608 +aS'clock\tclock\tNN\tI-NP\tO' +p244609 +aS'.\t.\t.\tO\tO' +p244610 +asS'3. He was also discharged home with Visiting Nurse Association for Physical Therapy evaluation of home safety .' +p244611 +(lp244612 +S'3.\t3.\tLS\tB-LST\tO' +p244613 +aS'He\tHe\tPRP\tB-NP\tO' +p244614 +aS'was\tbe\tVBD\tB-VP\tO' +p244615 +aS'also\talso\tRB\tI-VP\tO' +p244616 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p244617 +aS'home\thome\tNN\tB-ADVP\tO' +p244618 +aS'with\twith\tIN\tB-PP\tO' +p244619 +aS'Visiting\tVisiting\tNNP\tB-NP\tO' +p244620 +aS'Nurse\tNurse\tNNP\tI-NP\tO' +p244621 +aS'Association\tAssociation\tNNP\tI-NP\tO' +p244622 +aS'for\tfor\tIN\tB-PP\tO' +p244623 +aS'Physical\tPhysical\tNNP\tB-NP\tO' +p244624 +aS'Therapy\tTherapy\tNNP\tI-NP\tO' +p244625 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p244626 +aS'of\tof\tIN\tB-PP\tO' +p244627 +aS'home\thome\tNN\tB-NP\tO' +p244628 +aS'safety\tsafety\tNN\tI-NP\tO' +p244629 +aS'.\t.\t.\tO\tO' +p244630 +asS'EKG showed atrial fibrillation , moderate ventricular response , right ventricular hypertrophy , right axis deviation .' +p244631 +(lp244632 +S'EKG\tEKG\tNN\tB-NP\tB-protein' +p244633 +aS'showed\tshow\tVBD\tB-VP\tO' +p244634 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p244635 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p244636 +aS',\t,\t,\tO\tO' +p244637 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p244638 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p244639 +aS'response\tresponse\tNN\tI-NP\tO' +p244640 +aS',\t,\t,\tO\tO' +p244641 +aS'right\tright\tJJ\tB-NP\tO' +p244642 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p244643 +aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' +p244644 +aS',\t,\t,\tO\tO' +p244645 +aS'right\tright\tJJ\tB-NP\tO' +p244646 +aS'axis\taxis\tNN\tI-NP\tO' +p244647 +aS'deviation\tdeviation\tNN\tI-NP\tO' +p244648 +aS'.\t.\t.\tO\tO' +p244649 +asS'He was doing exceptionally well at discharge with plans to follow up with Dr. Rhalttland .' +p244650 +(lp244651 +S'He\tHe\tPRP\tB-NP\tO' +p244652 +aS'was\tbe\tVBD\tB-VP\tO' +p244653 +aS'doing\tdo\tVBG\tI-VP\tO' +p244654 +aS'exceptionally\texceptionally\tRB\tB-ADVP\tO' +p244655 +aS'well\twell\tRB\tI-ADVP\tO' +p244656 +aS'at\tat\tIN\tB-PP\tO' +p244657 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p244658 +aS'with\twith\tIN\tB-PP\tO' +p244659 +aS'plans\tplan\tNNS\tB-NP\tO' +p244660 +aS'to\tto\tTO\tB-VP\tO' +p244661 +aS'follow\tfollow\tVB\tI-VP\tO' +p244662 +aS'up\tup\tRP\tB-PRT\tO' +p244663 +aS'with\twith\tIN\tB-PP\tO' +p244664 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p244665 +aS'Rhalttland\tRhalttland\tNNP\tI-NP\tO' +p244666 +aS'.\t.\t.\tO\tO' +p244667 +asS'There is mild pulmonary artery systolic hypertension .' +p244668 +(lp244669 +S'There\tThere\tEX\tB-NP\tO' +p244670 +aS'is\tbe\tVBZ\tB-VP\tO' +p244671 +aS'mild\tmild\tJJ\tB-NP\tO' +p244672 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p244673 +aS'artery\tartery\tNN\tI-NP\tO' +p244674 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p244675 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p244676 +aS'.\t.\t.\tO\tO' +p244677 +asS'The left ventricular inflow pattern suggests impaired relaxation .' +p244678 +(lp244679 +S'The\tThe\tDT\tB-NP\tO' +p244680 +aS'left\tleft\tJJ\tI-NP\tO' +p244681 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p244682 +aS'inflow\tinflow\tNN\tI-NP\tO' +p244683 +aS'pattern\tpattern\tNN\tI-NP\tO' +p244684 +aS'suggests\tsuggest\tVBZ\tB-VP\tO' +p244685 +aS'impaired\timpaired\tJJ\tB-NP\tO' +p244686 +aS'relaxation\trelaxation\tNN\tI-NP\tO' +p244687 +aS'.\t.\t.\tO\tO' +p244688 +asS'Global left ventricular systolic function appeared grossly preserved .' +p244689 +(lp244690 +S'Global\tGlobal\tJJ\tB-NP\tO' +p244691 +aS'left\tleft\tJJ\tI-NP\tO' +p244692 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p244693 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p244694 +aS'function\tfunction\tNN\tI-NP\tO' +p244695 +aS'appeared\tappear\tVBD\tB-VP\tO' +p244696 +aS'grossly\tgrossly\tRB\tI-VP\tO' +p244697 +aS'preserved\tpreserve\tVBN\tI-VP\tO' +p244698 +aS'.\t.\t.\tO\tO' +p244699 +asS'Normal mitral valve leaflets .' +p244700 +(lp244701 +S'Normal\tNormal\tJJ\tB-NP\tO' +p244702 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p244703 +aS'valve\tvalve\tNN\tI-NP\tO' +p244704 +aS'leaflets\tleaflet\tNNS\tI-NP\tO' +p244705 +aS'.\t.\t.\tO\tO' +p244706 +asS'HD # 01-20 She was monitored closely in the CMED .' +p244707 +(lp244708 +S'HD\tHD\tNN\tB-NP\tO' +p244709 +aS'#\t#\t#\tI-NP\tO' +p244710 +aS'01-20\t01-20\tCD\tI-NP\tO' +p244711 +aS'She\tShe\tPRP\tB-NP\tO' +p244712 +aS'was\tbe\tVBD\tB-VP\tO' +p244713 +aS'monitored\tmonitor\tVBN\tI-VP\tO' +p244714 +aS'closely\tclosely\tRB\tB-ADVP\tO' +p244715 +aS'in\tin\tIN\tB-PP\tO' +p244716 +aS'the\tthe\tDT\tB-NP\tO' +p244717 +aS'CMED\tCMED\tNN\tI-NP\tO' +p244718 +aS'.\t.\t.\tO\tO' +p244719 +asS'Genitalia normal .' +p244720 +(lp244721 +S'Genitalia\tGenitalia\tNN\tB-NP\tO' +p244722 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p244723 +aS'.\t.\t.\tO\tO' +p244724 +asS'Ensure Liquid Sig : 0.5 to 1 can PO three times a day .' +p244725 +(lp244726 +S'Ensure\tEnsure\tNNP\tB-NP\tO' +p244727 +aS'Liquid\tLiquid\tNNP\tI-NP\tO' +p244728 +aS'Sig\tSig\tNNP\tI-NP\tO' +p244729 +aS':\t:\t:\tO\tO' +p244730 +aS'0.5\t0.5\tCD\tB-NP\tO' +p244731 +aS'to\tto\tTO\tI-NP\tO' +p244732 +aS'1\t1\tCD\tI-NP\tO' +p244733 +aS'can\tcan\tMD\tB-VP\tO' +p244734 +aS'PO\tPO\tVB\tI-VP\tO' +p244735 +aS'three\tthree\tCD\tB-NP\tO' +p244736 +aS'times\ttime\tNNS\tI-NP\tO' +p244737 +aS'a\ta\tDT\tB-NP\tO' +p244738 +aS'day\tday\tNN\tI-NP\tO' +p244739 +aS'.\t.\t.\tO\tO' +p244740 +asS'd) Alopecia areata and totalis , dxed 1970s' +p244741 +(lp244742 +S'd)\td)\tLS\tB-NP\tO' +p244743 +aS'Alopecia\tAlopecia\tNNP\tI-NP\tO' +p244744 +aS'areata\tareata\tNN\tI-NP\tO' +p244745 +aS'and\tand\tCC\tI-NP\tO' +p244746 +aS'totalis\ttotalis\tNN\tI-NP\tO' +p244747 +aS',\t,\t,\tO\tO' +p244748 +aS'dxed\tdxe\tVBD\tB-VP\tO' +p244749 +aS'1970s\t1970\tNNS\tB-NP\tO' +p244750 +asS'He received an Angio-Seal to the right common femoral artery .' +p244751 +(lp244752 +S'He\tHe\tPRP\tB-NP\tO' +p244753 +aS'received\treceive\tVBD\tB-VP\tO' +p244754 +aS'an\tan\tDT\tB-NP\tO' +p244755 +aS'Angio-Seal\tAngio-Seal\tJJ\tI-NP\tO' +p244756 +aS'to\tto\tTO\tB-PP\tO' +p244757 +aS'the\tthe\tDT\tB-NP\tO' +p244758 +aS'right\tright\tJJ\tI-NP\tO' +p244759 +aS'common\tcommon\tJJ\tI-NP\tO' +p244760 +aS'femoral\tfemoral\tJJ\tI-NP\tO' +p244761 +aS'artery\tartery\tNN\tI-NP\tO' +p244762 +aS'.\t.\t.\tO\tO' +p244763 +asS'The patient was given aspirin 325 mg p.o. q.d.' +p244764 +(lp244765 +S'The\tThe\tDT\tB-NP\tO' +p244766 +aS'patient\tpatient\tNN\tI-NP\tO' +p244767 +aS'was\tbe\tVBD\tB-VP\tO' +p244768 +aS'given\tgive\tVBN\tI-VP\tO' +p244769 +aS'aspirin\taspirin\tNN\tB-NP\tO' +p244770 +aS'325\t325\tCD\tI-NP\tO' +p244771 +aS'mg\tmg\tNN\tI-NP\tO' +p244772 +aS'p.o.\tp.o.\tFW\tB-ADVP\tO' +p244773 +aS'q.d.\tq.d.\tFW\tI-ADVP\tO' +p244774 +asS'In the duodenum , a small AVM was noted in the second portion of the duodenum and was cauterized .' +p244775 +(lp244776 +S'In\tIn\tIN\tB-PP\tO' +p244777 +aS'the\tthe\tDT\tB-NP\tO' +p244778 +aS'duodenum\tduodenum\tNN\tI-NP\tO' +p244779 +aS',\t,\t,\tO\tO' +p244780 +aS'a\ta\tDT\tB-NP\tO' +p244781 +aS'small\tsmall\tJJ\tI-NP\tO' +p244782 +aS'AVM\tAVM\tNN\tI-NP\tO' +p244783 +aS'was\tbe\tVBD\tB-VP\tO' +p244784 +aS'noted\tnote\tVBN\tI-VP\tO' +p244785 +aS'in\tin\tIN\tB-PP\tO' +p244786 +aS'the\tthe\tDT\tB-NP\tO' +p244787 +aS'second\tsecond\tJJ\tI-NP\tO' +p244788 +aS'portion\tportion\tNN\tI-NP\tO' +p244789 +aS'of\tof\tIN\tB-PP\tO' +p244790 +aS'the\tthe\tDT\tB-NP\tO' +p244791 +aS'duodenum\tduodenum\tNN\tI-NP\tO' +p244792 +aS'and\tand\tCC\tO\tO' +p244793 +aS'was\tbe\tVBD\tB-VP\tO' +p244794 +aS'cauterized\tcauterize\tVBN\tI-VP\tO' +p244795 +aS'.\t.\t.\tO\tO' +p244796 +asS'Since the ativan , her facial twitching has apparently improved , but she continues to have hand twitches .' +p244797 +(lp244798 +S'Since\tSince\tIN\tB-SBAR\tO' +p244799 +aS'the\tthe\tDT\tB-NP\tO' +p244800 +aS'ativan\tativan\tNN\tI-NP\tO' +p244801 +aS',\t,\t,\tO\tO' +p244802 +aS'her\ther\tPRP$\tB-NP\tO' +p244803 +aS'facial\tfacial\tJJ\tI-NP\tO' +p244804 +aS'twitching\ttwitching\tNN\tI-NP\tO' +p244805 +aS'has\thave\tVBZ\tB-VP\tO' +p244806 +aS'apparently\tapparently\tRB\tI-VP\tO' +p244807 +aS'improved\timprove\tVBN\tI-VP\tO' +p244808 +aS',\t,\t,\tO\tO' +p244809 +aS'but\tbut\tCC\tO\tO' +p244810 +aS'she\tshe\tPRP\tB-NP\tO' +p244811 +aS'continues\tcontinue\tVBZ\tB-VP\tO' +p244812 +aS'to\tto\tTO\tI-VP\tO' +p244813 +aS'have\thave\tVB\tI-VP\tO' +p244814 +aS'hand\thand\tNN\tB-NP\tO' +p244815 +aS'twitches\ttwitch\tNNS\tI-NP\tO' +p244816 +aS'.\t.\t.\tO\tO' +p244817 +asS'The ovary showed papillary serous adeno with omental involvement consistent with an endometroid adenocarcinoma .' +p244818 +(lp244819 +S'The\tThe\tDT\tB-NP\tO' +p244820 +aS'ovary\tovary\tNN\tI-NP\tO' +p244821 +aS'showed\tshow\tVBD\tB-VP\tO' +p244822 +aS'papillary\tpapillary\tJJ\tB-NP\tO' +p244823 +aS'serous\tserous\tJJ\tI-NP\tO' +p244824 +aS'adeno\tadeno\tNN\tI-NP\tO' +p244825 +aS'with\twith\tIN\tB-PP\tO' +p244826 +aS'omental\tomental\tJJ\tB-NP\tO' +p244827 +aS'involvement\tinvolvement\tNN\tI-NP\tO' +p244828 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p244829 +aS'with\twith\tIN\tB-PP\tO' +p244830 +aS'an\tan\tDT\tB-NP\tO' +p244831 +aS'endometroid\tendometroid\tJJ\tI-NP\tO' +p244832 +aS'adenocarcinoma\tadenocarcinoma\tNN\tI-NP\tO' +p244833 +aS'.\t.\t.\tO\tO' +p244834 +asS'If you need additional information please call 613-870-0699 .' +p244835 +(lp244836 +S'If\tIf\tIN\tB-SBAR\tO' +p244837 +aS'you\tyou\tPRP\tB-NP\tO' +p244838 +aS'need\tneed\tVBP\tB-VP\tO' +p244839 +aS'additional\tadditional\tJJ\tB-NP\tO' +p244840 +aS'information\tinformation\tNN\tI-NP\tO' +p244841 +aS'please\tplease\tNN\tI-NP\tO' +p244842 +aS'call\tcall\tNN\tI-NP\tO' +p244843 +aS'613-870-0699\t613-870-0699\tCD\tI-NP\tO' +p244844 +aS'.\t.\t.\tO\tO' +p244845 +asS'Neuro : CN II-XII intact , no dysdiadokinesis .' +p244846 +(lp244847 +S'Neuro\tNeuro\tNNP\tB-NP\tO' +p244848 +aS':\t:\t:\tO\tO' +p244849 +aS'CN\tCN\tNN\tB-NP\tO' +p244850 +aS'II-XII\tII-XII\tNN\tI-NP\tO' +p244851 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p244852 +aS',\t,\t,\tO\tO' +p244853 +aS'no\tno\tDT\tB-NP\tO' +p244854 +aS'dysdiadokinesis\tdysdiadokinesis\tNN\tI-NP\tO' +p244855 +aS'.\t.\t.\tO\tO' +p244856 +asS'He has multiple decubiti on his buttocks and penis .' +p244857 +(lp244858 +S'He\tHe\tPRP\tB-NP\tO' +p244859 +aS'has\thave\tVBZ\tB-VP\tO' +p244860 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p244861 +aS'decubiti\tdecubiti\tNN\tI-NP\tO' +p244862 +aS'on\ton\tIN\tB-PP\tO' +p244863 +aS'his\this\tPRP$\tB-NP\tO' +p244864 +aS'buttocks\tbuttock\tNNS\tI-NP\tO' +p244865 +aS'and\tand\tCC\tI-NP\tO' +p244866 +aS'penis\tpeni\tNNS\tI-NP\tO' +p244867 +aS'.\t.\t.\tO\tO' +p244868 +asS'On his previous admission , Terrance received hepatitis B vaccine on 2018-05-09 .' +p244869 +(lp244870 +S'On\tOn\tIN\tB-PP\tO' +p244871 +aS'his\this\tPRP$\tB-NP\tO' +p244872 +aS'previous\tprevious\tJJ\tI-NP\tO' +p244873 +aS'admission\tadmission\tNN\tI-NP\tO' +p244874 +aS',\t,\t,\tO\tO' +p244875 +aS'Terrance\tTerrance\tNNP\tB-NP\tO' +p244876 +aS'received\treceive\tVBD\tB-VP\tO' +p244877 +aS'hepatitis\thepatitis\tNN\tB-NP\tO' +p244878 +aS'B\tB\tNN\tI-NP\tO' +p244879 +aS'vaccine\tvaccine\tNN\tI-NP\tO' +p244880 +aS'on\ton\tIN\tB-PP\tO' +p244881 +aS'2018-05-09\t2018-05-09\tCD\tB-NP\tO' +p244882 +aS'.\t.\t.\tO\tO' +p244883 +asS'The patient had another echo on 2017-09-14 with no new changes .' +p244884 +(lp244885 +S'The\tThe\tDT\tB-NP\tO' +p244886 +aS'patient\tpatient\tNN\tI-NP\tO' +p244887 +aS'had\thave\tVBD\tB-VP\tO' +p244888 +aS'another\tanother\tDT\tB-NP\tO' +p244889 +aS'echo\techo\tNN\tI-NP\tO' +p244890 +aS'on\ton\tIN\tB-PP\tO' +p244891 +aS'2017-09-14\t2017-09-14\tCD\tB-NP\tO' +p244892 +aS'with\twith\tIN\tB-PP\tO' +p244893 +aS'no\tno\tDT\tB-NP\tO' +p244894 +aS'new\tnew\tJJ\tI-NP\tO' +p244895 +aS'changes\tchange\tNNS\tI-NP\tO' +p244896 +aS'.\t.\t.\tO\tO' +p244897 +asS'She had been doing reasonably well until December of 1993 when she presented with persistent and worsening cough and near strangulation on attempts at eating solids or drinking liquids .' +p244898 +(lp244899 +S'She\tShe\tPRP\tB-NP\tO' +p244900 +aS'had\thave\tVBD\tB-VP\tO' +p244901 +aS'been\tbe\tVBN\tI-VP\tO' +p244902 +aS'doing\tdo\tVBG\tI-VP\tO' +p244903 +aS'reasonably\treasonably\tRB\tB-ADVP\tO' +p244904 +aS'well\twell\tRB\tI-ADVP\tO' +p244905 +aS'until\tuntil\tIN\tB-SBAR\tO' +p244906 +aS'December\tDecember\tNNP\tB-NP\tO' +p244907 +aS'of\tof\tIN\tB-PP\tO' +p244908 +aS'1993\t1993\tCD\tB-NP\tO' +p244909 +aS'when\twhen\tWRB\tB-ADVP\tO' +p244910 +aS'she\tshe\tPRP\tB-NP\tO' +p244911 +aS'presented\tpresent\tVBD\tB-VP\tO' +p244912 +aS'with\twith\tIN\tB-PP\tO' +p244913 +aS'persistent\tpersistent\tJJ\tB-NP\tO' +p244914 +aS'and\tand\tCC\tI-NP\tO' +p244915 +aS'worsening\tworsening\tJJ\tI-NP\tO' +p244916 +aS'cough\tcough\tNN\tI-NP\tO' +p244917 +aS'and\tand\tCC\tI-NP\tO' +p244918 +aS'near\tnear\tJJ\tI-NP\tO' +p244919 +aS'strangulation\tstrangulation\tNN\tI-NP\tO' +p244920 +aS'on\ton\tIN\tB-PP\tO' +p244921 +aS'attempts\tattempt\tNNS\tB-NP\tO' +p244922 +aS'at\tat\tIN\tB-PP\tO' +p244923 +aS'eating\teat\tVBG\tB-VP\tO' +p244924 +aS'solids\tsolid\tNNS\tB-NP\tO' +p244925 +aS'or\tor\tCC\tI-NP\tO' +p244926 +aS'drinking\tdrinking\tNN\tI-NP\tO' +p244927 +aS'liquids\tliquid\tNNS\tI-NP\tO' +p244928 +aS'.\t.\t.\tO\tO' +p244929 +asS'He had multiple sources of yeast .' +p244930 +(lp244931 +S'He\tHe\tPRP\tB-NP\tO' +p244932 +aS'had\thave\tVBD\tB-VP\tO' +p244933 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p244934 +aS'sources\tsource\tNNS\tI-NP\tO' +p244935 +aS'of\tof\tIN\tB-PP\tO' +p244936 +aS'yeast\tyeast\tNN\tB-NP\tO' +p244937 +aS'.\t.\t.\tO\tO' +p244938 +asS'other symptoms which are concerning to you .' +p244939 +(lp244940 +S'other\tother\tJJ\tB-NP\tO' +p244941 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p244942 +aS'which\twhich\tWDT\tB-NP\tO' +p244943 +aS'are\tbe\tVBP\tB-VP\tO' +p244944 +aS'concerning\tconcern\tVBG\tI-VP\tO' +p244945 +aS'to\tto\tTO\tB-PP\tO' +p244946 +aS'you\tyou\tPRP\tB-NP\tO' +p244947 +aS'.\t.\t.\tO\tO' +p244948 +asS'11. Furosemide 10 mg / mL Solution Sig : Forty ( 40 ) mg Injection BID ( 2 times a day ).' +p244949 +(lp244950 +S'11.\t11.\tCD\tB-NP\tO' +p244951 +aS'Furosemide\tFurosemide\tNN\tI-NP\tO' +p244952 +aS'10\t10\tCD\tB-NP\tO' +p244953 +aS'mg\tmg\tNN\tI-NP\tO' +p244954 +aS'/\t/\tSYM\tB-NP\tO' +p244955 +aS'mL\tmL\tNN\tI-NP\tO' +p244956 +aS'Solution\tSolution\tNNP\tI-NP\tO' +p244957 +aS'Sig\tSig\tNNP\tI-NP\tO' +p244958 +aS':\t:\t:\tO\tO' +p244959 +aS'Forty\tForty\tCD\tB-NP\tO' +p244960 +aS'(\t(\t(\tO\tO' +p244961 +aS'40\t40\tCD\tB-NP\tO' +p244962 +aS')\t)\t)\tO\tO' +p244963 +aS'mg\tmg\tNN\tB-NP\tO' +p244964 +aS'Injection\tInjection\tNN\tI-NP\tO' +p244965 +aS'BID\tBID\tNN\tI-NP\tO' +p244966 +aS'(\t(\t(\tO\tO' +p244967 +aS'2\t2\tCD\tB-NP\tO' +p244968 +aS'times\ttime\tNNS\tI-NP\tO' +p244969 +aS'a\ta\tDT\tB-NP\tO' +p244970 +aS'day\tday\tNN\tI-NP\tO' +p244971 +aS').\t).\t.\tO\tO' +p244972 +asS"In addition , the patient 's urine output improved dramatically with hydration therapy , suggesting her low urine output was secondary to decreased cardiac output secondary to low preload ." +p244973 +(lp244974 +S'In\tIn\tIN\tB-PP\tO' +p244975 +aS'addition\taddition\tNN\tB-NP\tO' +p244976 +aS',\t,\t,\tO\tO' +p244977 +aS'the\tthe\tDT\tB-NP\tO' +p244978 +aS'patient\tpatient\tNN\tI-NP\tO' +p244979 +aS"'s\t's\tPOS\tB-NP\tO" +p244980 +aS'urine\turine\tNN\tI-NP\tO' +p244981 +aS'output\toutput\tNN\tI-NP\tO' +p244982 +aS'improved\timprove\tVBD\tB-VP\tO' +p244983 +aS'dramatically\tdramatically\tRB\tB-ADVP\tO' +p244984 +aS'with\twith\tIN\tB-PP\tO' +p244985 +aS'hydration\thydration\tNN\tB-NP\tO' +p244986 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p244987 +aS',\t,\t,\tO\tO' +p244988 +aS'suggesting\tsuggest\tVBG\tB-VP\tO' +p244989 +aS'her\ther\tPRP$\tB-NP\tO' +p244990 +aS'low\tlow\tJJ\tI-NP\tO' +p244991 +aS'urine\turine\tNN\tI-NP\tO' +p244992 +aS'output\toutput\tNN\tI-NP\tO' +p244993 +aS'was\tbe\tVBD\tB-VP\tO' +p244994 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p244995 +aS'to\tto\tTO\tB-PP\tO' +p244996 +aS'decreased\tdecrease\tVBN\tB-NP\tO' +p244997 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p244998 +aS'output\toutput\tNN\tI-NP\tO' +p244999 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p245000 +aS'to\tto\tTO\tB-PP\tO' +p245001 +aS'low\tlow\tJJ\tB-NP\tO' +p245002 +aS'preload\tpreload\tNN\tI-NP\tO' +p245003 +aS'.\t.\t.\tO\tO' +p245004 +asS'They felt that her presentation was secondary to delirium and was multifactorial .' +p245005 +(lp245006 +S'They\tThey\tPRP\tB-NP\tO' +p245007 +aS'felt\tfeel\tVBD\tB-VP\tO' +p245008 +aS'that\tthat\tIN\tB-SBAR\tO' +p245009 +aS'her\ther\tPRP$\tB-NP\tO' +p245010 +aS'presentation\tpresentation\tNN\tI-NP\tO' +p245011 +aS'was\tbe\tVBD\tB-VP\tO' +p245012 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p245013 +aS'to\tto\tTO\tB-PP\tO' +p245014 +aS'delirium\tdelirium\tNN\tB-NP\tO' +p245015 +aS'and\tand\tCC\tO\tO' +p245016 +aS'was\tbe\tVBD\tB-VP\tO' +p245017 +aS'multifactorial\tmultifactorial\tJJ\tB-ADJP\tO' +p245018 +aS'.\t.\t.\tO\tO' +p245019 +asS'Prominent sutures in this young patient , the right calvarial suture extending into the right temporal bones appears more prominent than its counterpart on the left , however , does not appear to represent an acute fracture .' +p245020 +(lp245021 +S'Prominent\tProminent\tJJ\tB-NP\tO' +p245022 +aS'sutures\tsuture\tNNS\tI-NP\tO' +p245023 +aS'in\tin\tIN\tB-PP\tO' +p245024 +aS'this\tthis\tDT\tB-NP\tO' +p245025 +aS'young\tyoung\tJJ\tI-NP\tO' +p245026 +aS'patient\tpatient\tNN\tI-NP\tO' +p245027 +aS',\t,\t,\tO\tO' +p245028 +aS'the\tthe\tDT\tB-NP\tO' +p245029 +aS'right\tright\tJJ\tI-NP\tO' +p245030 +aS'calvarial\tcalvarial\tJJ\tI-NP\tO' +p245031 +aS'suture\tsuture\tNN\tI-NP\tO' +p245032 +aS'extending\textend\tVBG\tB-VP\tO' +p245033 +aS'into\tinto\tIN\tB-PP\tO' +p245034 +aS'the\tthe\tDT\tB-NP\tO' +p245035 +aS'right\tright\tJJ\tI-NP\tO' +p245036 +aS'temporal\ttemporal\tJJ\tI-NP\tO' +p245037 +aS'bones\tbone\tNNS\tI-NP\tO' +p245038 +aS'appears\tappear\tVBZ\tB-VP\tO' +p245039 +aS'more\tmore\tRBR\tB-ADJP\tO' +p245040 +aS'prominent\tprominent\tJJ\tI-ADJP\tO' +p245041 +aS'than\tthan\tIN\tB-PP\tO' +p245042 +aS'its\tits\tPRP$\tB-NP\tO' +p245043 +aS'counterpart\tcounterpart\tNN\tI-NP\tO' +p245044 +aS'on\ton\tIN\tB-PP\tO' +p245045 +aS'the\tthe\tDT\tB-NP\tO' +p245046 +aS'left\tleft\tNN\tI-NP\tO' +p245047 +aS',\t,\t,\tO\tO' +p245048 +aS'however\thowever\tRB\tB-ADVP\tO' +p245049 +aS',\t,\t,\tO\tO' +p245050 +aS'does\tdo\tVBZ\tB-VP\tO' +p245051 +aS'not\tnot\tRB\tI-VP\tO' +p245052 +aS'appear\tappear\tVB\tI-VP\tO' +p245053 +aS'to\tto\tTO\tI-VP\tO' +p245054 +aS'represent\trepresent\tVB\tI-VP\tO' +p245055 +aS'an\tan\tDT\tB-NP\tO' +p245056 +aS'acute\tacute\tJJ\tI-NP\tO' +p245057 +aS'fracture\tfracture\tNN\tI-NP\tO' +p245058 +aS'.\t.\t.\tO\tO' +p245059 +asS'Transverse colectomy for tumor .' +p245060 +(lp245061 +S'Transverse\tTransverse\tJJ\tB-NP\tO' +p245062 +aS'colectomy\tcolectomy\tNN\tI-NP\tO' +p245063 +aS'for\tfor\tIN\tB-PP\tO' +p245064 +aS'tumor\ttumor\tNN\tB-NP\tO' +p245065 +aS'.\t.\t.\tO\tO' +p245066 +asS'Strength was 5/5 in bilateral upper extremities and bilateral lower extremities in detail .' +p245067 +(lp245068 +S'Strength\tStrength\tNN\tB-NP\tO' +p245069 +aS'was\tbe\tVBD\tB-VP\tO' +p245070 +aS'5/5\t5/5\tCD\tB-NP\tO' +p245071 +aS'in\tin\tIN\tB-PP\tO' +p245072 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p245073 +aS'upper\tupper\tJJ\tI-NP\tO' +p245074 +aS'extremities\textremity\tNNS\tI-NP\tO' +p245075 +aS'and\tand\tCC\tO\tO' +p245076 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p245077 +aS'lower\tlow\tJJR\tI-NP\tO' +p245078 +aS'extremities\textremity\tNNS\tI-NP\tO' +p245079 +aS'in\tin\tIN\tB-PP\tO' +p245080 +aS'detail\tdetail\tNN\tB-NP\tO' +p245081 +aS'.\t.\t.\tO\tO' +p245082 +asS'Vitamin E 400 international units q.d.' +p245083 +(lp245084 +S'Vitamin\tVitamin\tNN\tB-NP\tB-protein' +p245085 +aS'E\tE\tNN\tI-NP\tI-protein' +p245086 +aS'400\t400\tCD\tI-NP\tI-protein' +p245087 +aS'international\tinternational\tJJ\tI-NP\tI-protein' +p245088 +aS'units\tunit\tNNS\tI-NP\tI-protein' +p245089 +aS'q.d.\tq.d.\t.\tO\tO' +p245090 +asS'Denies change in ET , chest pain , SOB .' +p245091 +(lp245092 +S'Denies\tDeny\tNNS\tB-NP\tO' +p245093 +aS'change\tchange\tNN\tI-NP\tO' +p245094 +aS'in\tin\tIN\tB-PP\tO' +p245095 +aS'ET\tET\tNN\tB-NP\tO' +p245096 +aS',\t,\t,\tO\tO' +p245097 +aS'chest\tchest\tNN\tB-NP\tO' +p245098 +aS'pain\tpain\tNN\tI-NP\tO' +p245099 +aS',\t,\t,\tO\tO' +p245100 +aS'SOB\tSOB\tNN\tB-NP\tB-protein' +p245101 +aS'.\t.\t.\tO\tO' +p245102 +asS'Procrit - Multidose 20000 u / ml 20,000 units SQ every other week' +p245103 +(lp245104 +S'Procrit\tProcrit\tNN\tB-NP\tO' +p245105 +aS'-\t-\tHYPH\tO\tO' +p245106 +aS'Multidose\tMultidose\tNN\tB-NP\tO' +p245107 +aS'20000\t20000\tCD\tI-NP\tO' +p245108 +aS'u\tu\tNN\tI-NP\tO' +p245109 +aS'/\t/\tSYM\tB-NP\tO' +p245110 +aS'ml\tml\tNN\tI-NP\tO' +p245111 +aS'20,000\t20,000\tCD\tB-NP\tO' +p245112 +aS'units\tunit\tNNS\tI-NP\tO' +p245113 +aS'SQ\tSQ\tNN\tB-VP\tO' +p245114 +aS'every\tevery\tDT\tB-NP\tO' +p245115 +aS'other\tother\tJJ\tI-NP\tO' +p245116 +aS'week\tweek\tNN\tI-NP\tO' +p245117 +asS'Thyroid is nonpalpable .' +p245118 +(lp245119 +S'Thyroid\tThyroid\tNN\tB-NP\tO' +p245120 +aS'is\tbe\tVBZ\tB-VP\tO' +p245121 +aS'nonpalpable\tnonpalpable\tJJ\tB-ADJP\tO' +p245122 +aS'.\t.\t.\tO\tO' +p245123 +asS'Dictated By : Greg E. Riordan , M.D.' +p245124 +(lp245125 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p245126 +aS'By\tBy\tIN\tB-PP\tO' +p245127 +aS':\t:\t:\tO\tO' +p245128 +aS'Greg\tGreg\tNNP\tB-NP\tO' +p245129 +aS'E.\tE.\tNNP\tI-NP\tO' +p245130 +aS'Riordan\tRiordan\tNNP\tI-NP\tO' +p245131 +aS',\t,\t,\tO\tO' +p245132 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p245133 +asS'She was seen at the outside hospital and put on aspirin for two days .' +p245134 +(lp245135 +S'She\tShe\tPRP\tB-NP\tO' +p245136 +aS'was\tbe\tVBD\tB-VP\tO' +p245137 +aS'seen\tsee\tVBN\tI-VP\tO' +p245138 +aS'at\tat\tIN\tB-PP\tO' +p245139 +aS'the\tthe\tDT\tB-NP\tO' +p245140 +aS'outside\toutside\tJJ\tI-NP\tO' +p245141 +aS'hospital\thospital\tNN\tI-NP\tO' +p245142 +aS'and\tand\tCC\tO\tO' +p245143 +aS'put\tput\tVBN\tB-VP\tO' +p245144 +aS'on\ton\tIN\tB-PP\tO' +p245145 +aS'aspirin\taspirin\tNN\tB-NP\tO' +p245146 +aS'for\tfor\tIN\tB-PP\tO' +p245147 +aS'two\ttwo\tCD\tB-NP\tO' +p245148 +aS'days\tday\tNNS\tI-NP\tO' +p245149 +aS'.\t.\t.\tO\tO' +p245150 +asS'Carotids had normal upstroke and normal volume with bilateral bruits .' +p245151 +(lp245152 +S'Carotids\tCarotid\tNNS\tB-NP\tO' +p245153 +aS'had\thave\tVBD\tB-VP\tO' +p245154 +aS'normal\tnormal\tJJ\tB-NP\tO' +p245155 +aS'upstroke\tupstroke\tJJ\tI-NP\tO' +p245156 +aS'and\tand\tCC\tI-NP\tO' +p245157 +aS'normal\tnormal\tJJ\tI-NP\tO' +p245158 +aS'volume\tvolume\tNN\tI-NP\tO' +p245159 +aS'with\twith\tIN\tB-PP\tO' +p245160 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p245161 +aS'bruits\tbruit\tNNS\tI-NP\tO' +p245162 +aS'.\t.\t.\tO\tO' +p245163 +asS'However he was transferred to the Medical Intensive Care Unit where he received continuous respiratory therapy in theway of Albuterol nebulizers as well as nasal oxygen , intravenous steroids and intravenous antibiotics .' +p245164 +(lp245165 +S'However\tHowever\tRB\tB-ADVP\tO' +p245166 +aS'he\the\tPRP\tB-NP\tO' +p245167 +aS'was\tbe\tVBD\tB-VP\tO' +p245168 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p245169 +aS'to\tto\tTO\tB-PP\tO' +p245170 +aS'the\tthe\tDT\tB-NP\tO' +p245171 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p245172 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p245173 +aS'Care\tCare\tNNP\tI-NP\tO' +p245174 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p245175 +aS'where\twhere\tWRB\tB-ADVP\tO' +p245176 +aS'he\the\tPRP\tB-NP\tO' +p245177 +aS'received\treceive\tVBD\tB-VP\tO' +p245178 +aS'continuous\tcontinuous\tJJ\tB-NP\tO' +p245179 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p245180 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p245181 +aS'in\tin\tIN\tB-PP\tO' +p245182 +aS'theway\ttheway\tNN\tB-NP\tO' +p245183 +aS'of\tof\tIN\tB-PP\tO' +p245184 +aS'Albuterol\tAlbuterol\tNN\tB-NP\tO' +p245185 +aS'nebulizers\tnebulizer\tNNS\tI-NP\tO' +p245186 +aS'as\tas\tRB\tB-CONJP\tO' +p245187 +aS'well\twell\tRB\tI-CONJP\tO' +p245188 +aS'as\tas\tIN\tI-CONJP\tO' +p245189 +aS'nasal\tnasal\tJJ\tB-NP\tO' +p245190 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p245191 +aS',\t,\t,\tO\tO' +p245192 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p245193 +aS'steroids\tsteroid\tNNS\tI-NP\tO' +p245194 +aS'and\tand\tCC\tO\tO' +p245195 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p245196 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p245197 +aS'.\t.\t.\tO\tO' +p245198 +asS'3. Visiting Nurse Association early intervention program .' +p245199 +(lp245200 +S'3.\t3.\tLS\tB-NP\tO' +p245201 +aS'Visiting\tVisiting\tNNP\tI-NP\tO' +p245202 +aS'Nurse\tNurse\tNNP\tI-NP\tO' +p245203 +aS'Association\tAssociation\tNNP\tI-NP\tO' +p245204 +aS'early\tearly\tJJ\tI-NP\tO' +p245205 +aS'intervention\tintervention\tNN\tI-NP\tO' +p245206 +aS'program\tprogram\tNN\tI-NP\tO' +p245207 +aS'.\t.\t.\tO\tO' +p245208 +asS'PT 29 , INR 1.1 and PTT 22.9 .' +p245209 +(lp245210 +S'PT\tPT\tNN\tB-NP\tB-protein' +p245211 +aS'29\t29\tCD\tI-NP\tI-protein' +p245212 +aS',\t,\t,\tO\tO' +p245213 +aS'INR\tINR\tNN\tB-NP\tO' +p245214 +aS'1.1\t1.1\tCD\tI-NP\tO' +p245215 +aS'and\tand\tCC\tO\tO' +p245216 +aS'PTT\tPTT\tNN\tB-NP\tB-protein' +p245217 +aS'22.9\t22.9\tCD\tI-NP\tI-protein' +p245218 +aS'.\t.\t.\tO\tO' +p245219 +asS'He needed to go to a rehab facility for continued respiratory therapy and for Physical Therapy to increase his muscle strength .' +p245220 +(lp245221 +S'He\tHe\tPRP\tB-NP\tO' +p245222 +aS'needed\tneed\tVBD\tB-VP\tO' +p245223 +aS'to\tto\tTO\tI-VP\tO' +p245224 +aS'go\tgo\tVB\tI-VP\tO' +p245225 +aS'to\tto\tTO\tB-PP\tO' +p245226 +aS'a\ta\tDT\tB-NP\tO' +p245227 +aS'rehab\trehab\tNN\tI-NP\tO' +p245228 +aS'facility\tfacility\tNN\tI-NP\tO' +p245229 +aS'for\tfor\tIN\tB-PP\tO' +p245230 +aS'continued\tcontinue\tVBN\tB-NP\tO' +p245231 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p245232 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p245233 +aS'and\tand\tCC\tB-PP\tO' +p245234 +aS'for\tfor\tIN\tB-PP\tO' +p245235 +aS'Physical\tPhysical\tJJ\tB-NP\tO' +p245236 +aS'Therapy\tTherapy\tNN\tI-NP\tO' +p245237 +aS'to\tto\tTO\tB-VP\tO' +p245238 +aS'increase\tincrease\tVB\tI-VP\tO' +p245239 +aS'his\this\tPRP$\tB-NP\tO' +p245240 +aS'muscle\tmuscle\tNN\tI-NP\tO' +p245241 +aS'strength\tstrength\tNN\tI-NP\tO' +p245242 +aS'.\t.\t.\tO\tO' +p245243 +asS'EXT : L leg/calf swollen , + Johnson sign , not tense , no cord palpable , L knee w/ medial meniscus area inflammed , not warm , no crepitus , feet-2+DP pulses b/l' +p245244 +(lp245245 +S'EXT\tEXT\tNN\tB-NP\tO' +p245246 +aS':\t:\t:\tO\tO' +p245247 +aS'L\tL\tNN\tB-NP\tO' +p245248 +aS'leg/calf\tleg/calf\tNN\tI-NP\tO' +p245249 +aS'swollen\tswollen\tNN\tI-NP\tO' +p245250 +aS',\t,\t,\tO\tO' +p245251 +aS'+\t+\tSYM\tB-NP\tO' +p245252 +aS'Johnson\tJohnson\tNNP\tI-NP\tO' +p245253 +aS'sign\tsign\tNN\tI-NP\tO' +p245254 +aS',\t,\t,\tB-NP\tO' +p245255 +aS'not\tnot\tRB\tI-NP\tO' +p245256 +aS'tense\ttense\tJJ\tB-ADJP\tO' +p245257 +aS',\t,\t,\tO\tO' +p245258 +aS'no\tno\tDT\tB-NP\tO' +p245259 +aS'cord\tcord\tNN\tI-NP\tO' +p245260 +aS'palpable\tpalpable\tJJ\tB-ADJP\tO' +p245261 +aS',\t,\t,\tO\tO' +p245262 +aS'L\tL\tNN\tB-NP\tO' +p245263 +aS'knee\tknee\tNN\tI-NP\tO' +p245264 +aS'w/\tw/\tNN\tI-NP\tO' +p245265 +aS'medial\tmedial\tJJ\tI-NP\tO' +p245266 +aS'meniscus\tmeniscus\tNN\tI-NP\tO' +p245267 +aS'area\tarea\tNN\tI-NP\tO' +p245268 +aS'inflammed\tinflamme\tVBD\tB-VP\tO' +p245269 +aS',\t,\t,\tO\tO' +p245270 +aS'not\tnot\tRB\tB-ADJP\tO' +p245271 +aS'warm\twarm\tJJ\tI-ADJP\tO' +p245272 +aS',\t,\t,\tO\tO' +p245273 +aS'no\tno\tDT\tB-NP\tO' +p245274 +aS'crepitus\tcrepitus\tNN\tI-NP\tO' +p245275 +aS',\t,\t,\tO\tO' +p245276 +aS'feet-2+DP\tfeet-2+DP\tNN\tB-NP\tO' +p245277 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p245278 +aS'b/l\tb/l\tNN\tI-NP\tO' +p245279 +asS'Subsequently , the mass progressively increased in size and the patient had developed significant discomfort in this region .' +p245280 +(lp245281 +S'Subsequently\tSubsequently\tRB\tB-ADVP\tO' +p245282 +aS',\t,\t,\tO\tO' +p245283 +aS'the\tthe\tDT\tB-NP\tO' +p245284 +aS'mass\tmass\tNN\tI-NP\tO' +p245285 +aS'progressively\tprogressively\tRB\tB-ADVP\tO' +p245286 +aS'increased\tincrease\tVBD\tB-VP\tO' +p245287 +aS'in\tin\tIN\tB-PP\tO' +p245288 +aS'size\tsize\tNN\tB-NP\tO' +p245289 +aS'and\tand\tCC\tO\tO' +p245290 +aS'the\tthe\tDT\tB-NP\tO' +p245291 +aS'patient\tpatient\tNN\tI-NP\tO' +p245292 +aS'had\thave\tVBD\tB-VP\tO' +p245293 +aS'developed\tdevelop\tVBN\tI-VP\tO' +p245294 +aS'significant\tsignificant\tJJ\tB-NP\tO' +p245295 +aS'discomfort\tdiscomfort\tNN\tI-NP\tO' +p245296 +aS'in\tin\tIN\tB-PP\tO' +p245297 +aS'this\tthis\tDT\tB-NP\tO' +p245298 +aS'region\tregion\tNN\tI-NP\tO' +p245299 +aS'.\t.\t.\tO\tO' +p245300 +asS'On physical examination , she is an obese white female in no acute distress with a hoarse voice .' +p245301 +(lp245302 +S'On\tOn\tIN\tB-PP\tO' +p245303 +aS'physical\tphysical\tJJ\tB-NP\tO' +p245304 +aS'examination\texamination\tNN\tI-NP\tO' +p245305 +aS',\t,\t,\tO\tO' +p245306 +aS'she\tshe\tPRP\tB-NP\tO' +p245307 +aS'is\tbe\tVBZ\tB-VP\tO' +p245308 +aS'an\tan\tDT\tB-NP\tO' +p245309 +aS'obese\tobese\tJJ\tI-NP\tO' +p245310 +aS'white\twhite\tJJ\tI-NP\tO' +p245311 +aS'female\tfemale\tNN\tI-NP\tO' +p245312 +aS'in\tin\tIN\tB-PP\tO' +p245313 +aS'no\tno\tDT\tB-NP\tO' +p245314 +aS'acute\tacute\tJJ\tI-NP\tO' +p245315 +aS'distress\tdistress\tNN\tI-NP\tO' +p245316 +aS'with\twith\tIN\tB-PP\tO' +p245317 +aS'a\ta\tDT\tB-NP\tO' +p245318 +aS'hoarse\thoarse\tJJ\tI-NP\tO' +p245319 +aS'voice\tvoice\tNN\tI-NP\tO' +p245320 +aS'.\t.\t.\tO\tO' +p245321 +asS'9) Right bundle branch block with left anterior hemiblock on electrocardiogram .' +p245322 +(lp245323 +S'9)\t9)\tLS\tB-NP\tO' +p245324 +aS'Right\tRight\tNN\tI-NP\tO' +p245325 +aS'bundle\tbundle\tNN\tI-NP\tO' +p245326 +aS'branch\tbranch\tNN\tI-NP\tO' +p245327 +aS'block\tblock\tNN\tI-NP\tO' +p245328 +aS'with\twith\tIN\tB-PP\tO' +p245329 +aS'left\tleft\tJJ\tB-NP\tO' +p245330 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p245331 +aS'hemiblock\themiblock\tNN\tI-NP\tO' +p245332 +aS'on\ton\tIN\tB-PP\tO' +p245333 +aS'electrocardiogram\telectrocardiogram\tNN\tB-NP\tO' +p245334 +aS'.\t.\t.\tO\tO' +p245335 +asS'Anterior fontanel soft and flat , moderate nasal flaring .' +p245336 +(lp245337 +S'Anterior\tAnterior\tJJ\tB-NP\tO' +p245338 +aS'fontanel\tfontanel\tNN\tI-NP\tO' +p245339 +aS'soft\tsoft\tJJ\tI-NP\tO' +p245340 +aS'and\tand\tCC\tI-NP\tO' +p245341 +aS'flat\tflat\tJJ\tI-NP\tO' +p245342 +aS',\t,\t,\tI-NP\tO' +p245343 +aS'moderate\tmoderate\tJJ\tI-NP\tO' +p245344 +aS'nasal\tnasal\tJJ\tI-NP\tO' +p245345 +aS'flaring\tflaring\tNN\tI-NP\tO' +p245346 +aS'.\t.\t.\tO\tO' +p245347 +asS'The patient has steroid induced diabetes mellitus .' +p245348 +(lp245349 +S'The\tThe\tDT\tB-NP\tO' +p245350 +aS'patient\tpatient\tNN\tI-NP\tO' +p245351 +aS'has\thave\tVBZ\tB-VP\tO' +p245352 +aS'steroid\tsteroid\tNN\tB-NP\tO' +p245353 +aS'induced\tinduced\tJJ\tI-NP\tO' +p245354 +aS'diabetes\tdiabetes\tNN\tI-NP\tO' +p245355 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p245356 +aS'.\t.\t.\tO\tO' +p245357 +asS'13. Niaspan 500 mg p.o. q. day .' +p245358 +(lp245359 +S'13.\t13.\tLS\tB-LST\tO' +p245360 +aS'Niaspan\tNiaspan\tNNP\tB-NP\tO' +p245361 +aS'500\t500\tCD\tI-NP\tO' +p245362 +aS'mg\tmg\tNN\tI-NP\tO' +p245363 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p245364 +aS'q.\tq.\tNN\tI-NP\tO' +p245365 +aS'day\tday\tNN\tI-NP\tO' +p245366 +aS'.\t.\t.\tO\tO' +p245367 +asS'White blood cell count 11.2 , hematocrit 43.2 , and platelets 447,000 .' +p245368 +(lp245369 +S'White\tWhite\tJJ\tB-NP\tO' +p245370 +aS'blood\tblood\tNN\tI-NP\tO' +p245371 +aS'cell\tcell\tNN\tI-NP\tO' +p245372 +aS'count\tcount\tNN\tI-NP\tO' +p245373 +aS'11.2\t11.2\tCD\tB-NP\tO' +p245374 +aS',\t,\t,\tO\tO' +p245375 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p245376 +aS'43.2\t43.2\tCD\tI-NP\tI-protein' +p245377 +aS',\t,\t,\tO\tO' +p245378 +aS'and\tand\tCC\tO\tO' +p245379 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p245380 +aS'447,000\t447,000\tCD\tB-NP\tO' +p245381 +aS'.\t.\t.\tO\tO' +p245382 +asS'CBC and blood cultures were obtained on admission .' +p245383 +(lp245384 +S'CBC\tCBC\tNN\tB-NP\tB-protein' +p245385 +aS'and\tand\tCC\tI-NP\tO' +p245386 +aS'blood\tblood\tNN\tI-NP\tO' +p245387 +aS'cultures\tculture\tNNS\tI-NP\tO' +p245388 +aS'were\tbe\tVBD\tB-VP\tO' +p245389 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p245390 +aS'on\ton\tIN\tB-PP\tO' +p245391 +aS'admission\tadmission\tNN\tB-NP\tO' +p245392 +aS'.\t.\t.\tO\tO' +p245393 +asS'Patient reached goal of fingersticks between 50 and 300 , which is what she maintains at home .' +p245394 +(lp245395 +S'Patient\tPatient\tNN\tB-NP\tO' +p245396 +aS'reached\treach\tVBD\tB-VP\tO' +p245397 +aS'goal\tgoal\tNN\tB-NP\tO' +p245398 +aS'of\tof\tIN\tB-PP\tO' +p245399 +aS'fingersticks\tfingerstick\tNNS\tB-NP\tO' +p245400 +aS'between\tbetween\tIN\tB-PP\tO' +p245401 +aS'50\t50\tCD\tB-NP\tO' +p245402 +aS'and\tand\tCC\tI-NP\tO' +p245403 +aS'300\t300\tCD\tI-NP\tO' +p245404 +aS',\t,\t,\tO\tO' +p245405 +aS'which\twhich\tWDT\tB-NP\tO' +p245406 +aS'is\tbe\tVBZ\tB-VP\tO' +p245407 +aS'what\twhat\tWP\tB-NP\tO' +p245408 +aS'she\tshe\tPRP\tB-NP\tO' +p245409 +aS'maintains\tmaintain\tVBZ\tB-VP\tO' +p245410 +aS'at\tat\tIN\tB-PP\tO' +p245411 +aS'home\thome\tNN\tB-NP\tO' +p245412 +aS'.\t.\t.\tO\tO' +p245413 +asS'3. Pulmonary hypertension .' +p245414 +(lp245415 +S'3.\t3.\tLS\tB-NP\tO' +p245416 +aS'Pulmonary\tPulmonary\tJJ\tI-NP\tO' +p245417 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p245418 +aS'.\t.\t.\tO\tO' +p245419 +asS'3. Percocet one to two tablets po q 4 to 6 hours prn .' +p245420 +(lp245421 +S'3.\t3.\tLS\tB-LST\tO' +p245422 +aS'Percocet\tPercocet\tNNP\tB-NP\tO' +p245423 +aS'one\tone\tCD\tI-NP\tO' +p245424 +aS'to\tto\tTO\tB-PP\tO' +p245425 +aS'two\ttwo\tCD\tB-NP\tO' +p245426 +aS'tablets\ttablet\tNNS\tI-NP\tO' +p245427 +aS'po\tpo\tVBP\tB-VP\tO' +p245428 +aS'q\tq\tNN\tB-NP\tO' +p245429 +aS'4\t4\tCD\tI-NP\tO' +p245430 +aS'to\tto\tTO\tI-NP\tO' +p245431 +aS'6\t6\tCD\tI-NP\tO' +p245432 +aS'hours\thour\tNNS\tI-NP\tO' +p245433 +aS'prn\tprn\tVBP\tB-VP\tO' +p245434 +aS'.\t.\t.\tO\tO' +p245435 +asS'3. Status post thoracentesis .' +p245436 +(lp245437 +S'3.\t3.\tLS\tB-NP\tO' +p245438 +aS'Status\tStatus\tNNP\tI-NP\tO' +p245439 +aS'post\tpost\tNN\tI-NP\tO' +p245440 +aS'thoracentesis\tthoracentesis\tNN\tI-NP\tO' +p245441 +aS'.\t.\t.\tO\tO' +p245442 +asS'Consequently his Pronestyl was discontinued .' +p245443 +(lp245444 +S'Consequently\tConsequently\tRB\tB-ADVP\tO' +p245445 +aS'his\this\tPRP$\tB-NP\tO' +p245446 +aS'Pronestyl\tPronestyl\tNN\tI-NP\tO' +p245447 +aS'was\tbe\tVBD\tB-VP\tO' +p245448 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p245449 +aS'.\t.\t.\tO\tO' +p245450 +asS'2.) CAD s/p 3v-CABG 2003 and subsequent stenting of SVG and LIMA' +p245451 +(lp245452 +S'2.)\t2.)\tLS\tB-NP\tO' +p245453 +aS'CAD\tCAD\tNN\tI-NP\tO' +p245454 +aS's/p\ts/p\tNN\tI-NP\tO' +p245455 +aS'3v-CABG\t3v-CABG\tNN\tI-NP\tO' +p245456 +aS'2003\t2003\tCD\tI-NP\tO' +p245457 +aS'and\tand\tCC\tO\tO' +p245458 +aS'subsequent\tsubsequent\tJJ\tB-NP\tO' +p245459 +aS'stenting\tstenting\tNN\tI-NP\tO' +p245460 +aS'of\tof\tIN\tB-PP\tO' +p245461 +aS'SVG\tSVG\tNN\tB-NP\tB-protein' +p245462 +aS'and\tand\tCC\tI-NP\tO' +p245463 +aS'LIMA\tLIMA\tNN\tI-NP\tO' +p245464 +asS'Right saphenous vein graft site with Steri-strips , open to air , clean and dry .' +p245465 +(lp245466 +S'Right\tRight\tRB\tB-NP\tO' +p245467 +aS'saphenous\tsaphenous\tJJ\tI-NP\tO' +p245468 +aS'vein\tvein\tNN\tI-NP\tO' +p245469 +aS'graft\tgraft\tNN\tI-NP\tO' +p245470 +aS'site\tsite\tNN\tI-NP\tO' +p245471 +aS'with\twith\tIN\tB-PP\tO' +p245472 +aS'Steri-strips\tSteri-strips\tNNP\tB-NP\tO' +p245473 +aS',\t,\t,\tO\tO' +p245474 +aS'open\topen\tJJ\tB-ADJP\tO' +p245475 +aS'to\tto\tTO\tB-PP\tO' +p245476 +aS'air\tair\tNN\tB-NP\tO' +p245477 +aS',\t,\t,\tO\tO' +p245478 +aS'clean\tclean\tJJ\tB-ADJP\tO' +p245479 +aS'and\tand\tCC\tI-ADJP\tO' +p245480 +aS'dry\tdry\tJJ\tI-ADJP\tO' +p245481 +aS'.\t.\t.\tO\tO' +p245482 +asS'divorced twice .' +p245483 +(lp245484 +S'divorced\tdivorce\tVBN\tB-VP\tO' +p245485 +aS'twice\ttwice\tRB\tB-ADVP\tO' +p245486 +aS'.\t.\t.\tO\tO' +p245487 +asS'10. Hydrochlorothiazide 25 mg Tablet Sig : One ( 1 ) Tablet PO once a day .' +p245488 +(lp245489 +S'10.\t10.\tCD\tB-NP\tO' +p245490 +aS'Hydrochlorothiazide\tHydrochlorothiazide\tNN\tI-NP\tO' +p245491 +aS'25\t25\tCD\tB-NP\tO' +p245492 +aS'mg\tmg\tNN\tI-NP\tO' +p245493 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p245494 +aS'Sig\tSig\tNNP\tI-NP\tO' +p245495 +aS':\t:\t:\tO\tO' +p245496 +aS'One\tOne\tCD\tB-NP\tO' +p245497 +aS'(\t(\t(\tO\tO' +p245498 +aS'1\t1\tCD\tB-NP\tO' +p245499 +aS')\t)\t)\tO\tO' +p245500 +aS'Tablet\tTablet\tNN\tB-NP\tB-protein' +p245501 +aS'PO\tPO\tNN\tI-NP\tI-protein' +p245502 +aS'once\tonce\tRB\tO\tO' +p245503 +aS'a\ta\tDT\tB-NP\tO' +p245504 +aS'day\tday\tNN\tI-NP\tO' +p245505 +aS'.\t.\t.\tO\tO' +p245506 +asS"Patient 's LE ulcers appear chronic and do not appear to be the source of infection ." +p245507 +(lp245508 +S'Patient\tPatient\tNN\tB-NP\tO' +p245509 +aS"'s\t's\tPOS\tB-NP\tO" +p245510 +aS'LE\tLE\tNN\tI-NP\tO' +p245511 +aS'ulcers\tulcer\tNNS\tI-NP\tO' +p245512 +aS'appear\tappear\tVBP\tB-VP\tO' +p245513 +aS'chronic\tchronic\tJJ\tB-ADJP\tO' +p245514 +aS'and\tand\tCC\tO\tO' +p245515 +aS'do\tdo\tVBP\tB-VP\tO' +p245516 +aS'not\tnot\tRB\tI-VP\tO' +p245517 +aS'appear\tappear\tVB\tI-VP\tO' +p245518 +aS'to\tto\tTO\tI-VP\tO' +p245519 +aS'be\tbe\tVB\tI-VP\tO' +p245520 +aS'the\tthe\tDT\tB-NP\tO' +p245521 +aS'source\tsource\tNN\tI-NP\tO' +p245522 +aS'of\tof\tIN\tB-PP\tO' +p245523 +aS'infection\tinfection\tNN\tB-NP\tO' +p245524 +aS'.\t.\t.\tO\tO' +p245525 +asS'3) When you were admitted to the hospital your Sutent was stopped .' +p245526 +(lp245527 +S'3)\t3)\tLS\tB-LST\tO' +p245528 +aS'When\tWhen\tWRB\tB-ADVP\tO' +p245529 +aS'you\tyou\tPRP\tB-NP\tO' +p245530 +aS'were\tbe\tVBD\tB-VP\tO' +p245531 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p245532 +aS'to\tto\tTO\tB-PP\tO' +p245533 +aS'the\tthe\tDT\tB-NP\tO' +p245534 +aS'hospital\thospital\tNN\tI-NP\tO' +p245535 +aS'your\tyour\tPRP$\tB-NP\tO' +p245536 +aS'Sutent\tSutent\tNN\tI-NP\tO' +p245537 +aS'was\tbe\tVBD\tB-VP\tO' +p245538 +aS'stopped\tstop\tVBN\tI-VP\tO' +p245539 +aS'.\t.\t.\tO\tO' +p245540 +asS'5/5/05 right parietal occipital craniotomy and debulking of tumor using stulz neuro navigation .' +p245541 +(lp245542 +S'5/5/05\t5/5/05\tCD\tB-NP\tO' +p245543 +aS'right\tright\tJJ\tI-NP\tO' +p245544 +aS'parietal\tparietal\tJJ\tI-NP\tO' +p245545 +aS'occipital\toccipital\tNN\tI-NP\tO' +p245546 +aS'craniotomy\tcraniotomy\tNN\tI-NP\tO' +p245547 +aS'and\tand\tCC\tI-NP\tO' +p245548 +aS'debulking\tdebulking\tNN\tI-NP\tO' +p245549 +aS'of\tof\tIN\tB-PP\tO' +p245550 +aS'tumor\ttumor\tNN\tB-NP\tO' +p245551 +aS'using\tuse\tVBG\tB-VP\tO' +p245552 +aS'stulz\tstulz\tNN\tB-NP\tO' +p245553 +aS'neuro\tneuro\tNN\tI-NP\tO' +p245554 +aS'navigation\tnavigation\tNN\tI-NP\tO' +p245555 +aS'.\t.\t.\tO\tO' +p245556 +asS'His first CABG was in 02/89 .' +p245557 +(lp245558 +S'His\tHis\tPRP$\tB-NP\tO' +p245559 +aS'first\tfirst\tJJ\tI-NP\tO' +p245560 +aS'CABG\tCABG\tNN\tI-NP\tO' +p245561 +aS'was\tbe\tVBD\tB-VP\tO' +p245562 +aS'in\tin\tIN\tB-PP\tO' +p245563 +aS'02/89\t02/89\tCD\tB-NP\tO' +p245564 +aS'.\t.\t.\tO\tO' +p245565 +asS'2. Status post aborted coronary artery bypass graft due to mobile aortic atheroma .' +p245566 +(lp245567 +S'2.\t2.\tLS\tB-NP\tO' +p245568 +aS'Status\tStatus\tNNP\tI-NP\tO' +p245569 +aS'post\tpost\tNN\tI-NP\tO' +p245570 +aS'aborted\tabort\tVBD\tB-VP\tO' +p245571 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p245572 +aS'artery\tartery\tNN\tI-NP\tO' +p245573 +aS'bypass\tbypass\tIN\tB-PP\tO' +p245574 +aS'graft\tgraft\tNN\tB-NP\tO' +p245575 +aS'due\tdue\tJJ\tB-ADJP\tO' +p245576 +aS'to\tto\tTO\tB-VP\tO' +p245577 +aS'mobile\tmobile\tVB\tI-VP\tO' +p245578 +aS'aortic\taortic\tJJ\tB-NP\tO' +p245579 +aS'atheroma\tatheroma\tNN\tI-NP\tO' +p245580 +aS'.\t.\t.\tO\tO' +p245581 +asS'She was sedated and spontaneously moving all four extremities .' +p245582 +(lp245583 +S'She\tShe\tPRP\tB-NP\tO' +p245584 +aS'was\tbe\tVBD\tB-VP\tO' +p245585 +aS'sedated\tsedate\tVBN\tI-VP\tO' +p245586 +aS'and\tand\tCC\tO\tO' +p245587 +aS'spontaneously\tspontaneously\tRB\tB-VP\tO' +p245588 +aS'moving\tmove\tVBG\tI-VP\tO' +p245589 +aS'all\tall\tDT\tB-NP\tO' +p245590 +aS'four\tfour\tCD\tI-NP\tO' +p245591 +aS'extremities\textremity\tNNS\tI-NP\tO' +p245592 +aS'.\t.\t.\tO\tO' +p245593 +asS'Warm and well profuse with 1 to 2 plus edema .' +p245594 +(lp245595 +S'Warm\tWarm\tNNP\tB-NP\tO' +p245596 +aS'and\tand\tCC\tO\tO' +p245597 +aS'well\twell\tRB\tB-VP\tO' +p245598 +aS'profuse\tprofuse\tVBP\tI-VP\tO' +p245599 +aS'with\twith\tIN\tB-PP\tO' +p245600 +aS'1\t1\tCD\tB-NP\tO' +p245601 +aS'to\tto\tTO\tB-PP\tO' +p245602 +aS'2\t2\tCD\tB-NP\tO' +p245603 +aS'plus\tplus\tCC\tO\tO' +p245604 +aS'edema\tedema\tNN\tB-NP\tO' +p245605 +aS'.\t.\t.\tO\tO' +p245606 +asS'Breath sounds equal with good aeration .' +p245607 +(lp245608 +S'Breath\tBreath\tNNP\tB-NP\tO' +p245609 +aS'sounds\tsound\tVBZ\tB-VP\tO' +p245610 +aS'equal\tequal\tJJ\tB-ADJP\tO' +p245611 +aS'with\twith\tIN\tB-PP\tO' +p245612 +aS'good\tgood\tJJ\tB-NP\tO' +p245613 +aS'aeration\taeration\tNN\tI-NP\tO' +p245614 +aS'.\t.\t.\tO\tO' +p245615 +asS'Decreased breath sounds on the left base with coarse rales on the left base .' +p245616 +(lp245617 +S'Decreased\tDecrease\tVBN\tB-NP\tO' +p245618 +aS'breath\tbreath\tNN\tI-NP\tO' +p245619 +aS'sounds\tsound\tNNS\tI-NP\tO' +p245620 +aS'on\ton\tIN\tB-PP\tO' +p245621 +aS'the\tthe\tDT\tB-NP\tO' +p245622 +aS'left\tleft\tJJ\tI-NP\tO' +p245623 +aS'base\tbase\tNN\tI-NP\tO' +p245624 +aS'with\twith\tIN\tB-PP\tO' +p245625 +aS'coarse\tcoarse\tNN\tB-NP\tO' +p245626 +aS'rales\trale\tNNS\tI-NP\tO' +p245627 +aS'on\ton\tIN\tB-PP\tO' +p245628 +aS'the\tthe\tDT\tB-NP\tO' +p245629 +aS'left\tleft\tJJ\tI-NP\tO' +p245630 +aS'base\tbase\tNN\tI-NP\tO' +p245631 +aS'.\t.\t.\tO\tO' +p245632 +asS'Dictated By : Jeannette D. Rede , M.D.' +p245633 +(lp245634 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p245635 +aS'By\tBy\tIN\tB-PP\tO' +p245636 +aS':\t:\t:\tO\tO' +p245637 +aS'Jeannette\tJeannette\tNNP\tB-NP\tO' +p245638 +aS'D.\tD.\tNNP\tI-NP\tO' +p245639 +aS'Rede\tRede\tNNP\tI-NP\tO' +p245640 +aS',\t,\t,\tO\tO' +p245641 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p245642 +asS'He was managed with Metoprolol , Hydralazine , and Amlodipine .' +p245643 +(lp245644 +S'He\tHe\tPRP\tB-NP\tO' +p245645 +aS'was\tbe\tVBD\tB-VP\tO' +p245646 +aS'managed\tmanage\tVBN\tI-VP\tO' +p245647 +aS'with\twith\tIN\tB-PP\tO' +p245648 +aS'Metoprolol\tMetoprolol\tNN\tB-NP\tO' +p245649 +aS',\t,\t,\tO\tO' +p245650 +aS'Hydralazine\tHydralazine\tNN\tB-NP\tO' +p245651 +aS',\t,\t,\tO\tO' +p245652 +aS'and\tand\tCC\tO\tO' +p245653 +aS'Amlodipine\tAmlodipine\tNN\tB-NP\tO' +p245654 +aS'.\t.\t.\tO\tO' +p245655 +asS'Radiograph revealed bilateral diffuse granular pattern consistent with surfactant deficiency .' +p245656 +(lp245657 +S'Radiograph\tRadiograph\tNNP\tB-NP\tO' +p245658 +aS'revealed\treveal\tVBD\tB-VP\tO' +p245659 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p245660 +aS'diffuse\tdiffuse\tJJ\tI-NP\tO' +p245661 +aS'granular\tgranular\tJJ\tI-NP\tO' +p245662 +aS'pattern\tpattern\tNN\tI-NP\tO' +p245663 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p245664 +aS'with\twith\tIN\tB-PP\tO' +p245665 +aS'surfactant\tsurfactant\tJJ\tB-NP\tO' +p245666 +aS'deficiency\tdeficiency\tNN\tI-NP\tO' +p245667 +aS'.\t.\t.\tO\tO' +p245668 +asS'1. Markedly dilated colon throughout ascending , transverse , and descending colon with air-fluid levels , overall unchanged since prior study performed on the same day with pneumatosis in the ascending colon .' +p245669 +(lp245670 +S'1.\t1.\tLS\tB-NP\tO' +p245671 +aS'Markedly\tMarkedly\tRB\tI-NP\tO' +p245672 +aS'dilated\tdilated\tJJ\tI-NP\tO' +p245673 +aS'colon\tcolon\tNN\tI-NP\tO' +p245674 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p245675 +aS'ascending\tascend\tVBG\tB-VP\tO' +p245676 +aS',\t,\t,\tO\tO' +p245677 +aS'transverse\ttransverse\tJJ\tB-ADJP\tO' +p245678 +aS',\t,\t,\tO\tO' +p245679 +aS'and\tand\tCC\tO\tO' +p245680 +aS'descending\tdescend\tVBG\tB-VP\tO' +p245681 +aS'colon\tcolon\tNN\tB-NP\tO' +p245682 +aS'with\twith\tIN\tB-PP\tO' +p245683 +aS'air-fluid\tair-fluid\tJJ\tB-NP\tO' +p245684 +aS'levels\tlevel\tNNS\tI-NP\tO' +p245685 +aS',\t,\t,\tO\tO' +p245686 +aS'overall\toverall\tRB\tB-ADJP\tO' +p245687 +aS'unchanged\tunchanged\tJJ\tI-ADJP\tO' +p245688 +aS'since\tsince\tIN\tB-PP\tO' +p245689 +aS'prior\tprior\tJJ\tB-NP\tO' +p245690 +aS'study\tstudy\tNN\tI-NP\tO' +p245691 +aS'performed\tperform\tVBN\tB-VP\tO' +p245692 +aS'on\ton\tIN\tB-PP\tO' +p245693 +aS'the\tthe\tDT\tB-NP\tO' +p245694 +aS'same\tsame\tJJ\tI-NP\tO' +p245695 +aS'day\tday\tNN\tI-NP\tO' +p245696 +aS'with\twith\tIN\tB-PP\tO' +p245697 +aS'pneumatosis\tpneumatosis\tNN\tB-NP\tO' +p245698 +aS'in\tin\tIN\tB-PP\tO' +p245699 +aS'the\tthe\tDT\tB-NP\tO' +p245700 +aS'ascending\tascend\tVBG\tI-NP\tO' +p245701 +aS'colon\tcolon\tNN\tI-NP\tO' +p245702 +aS'.\t.\t.\tO\tO' +p245703 +asS'This has been evident since the time of his bone marrow transplant .' +p245704 +(lp245705 +S'This\tThis\tDT\tB-NP\tO' +p245706 +aS'has\thave\tVBZ\tB-VP\tO' +p245707 +aS'been\tbe\tVBN\tI-VP\tO' +p245708 +aS'evident\tevident\tJJ\tB-ADJP\tO' +p245709 +aS'since\tsince\tIN\tB-PP\tO' +p245710 +aS'the\tthe\tDT\tB-NP\tO' +p245711 +aS'time\ttime\tNN\tI-NP\tO' +p245712 +aS'of\tof\tIN\tB-PP\tO' +p245713 +aS'his\this\tPRP$\tB-NP\tO' +p245714 +aS'bone\tbone\tNN\tI-NP\tO' +p245715 +aS'marrow\tmarrow\tNN\tI-NP\tO' +p245716 +aS'transplant\ttransplant\tNN\tI-NP\tO' +p245717 +aS'.\t.\t.\tO\tO' +p245718 +asS'She has developed some new swallowing difficulty and since her transfer to a long term inpatient care facility , she has lost ten pounds .' +p245719 +(lp245720 +S'She\tShe\tPRP\tB-NP\tO' +p245721 +aS'has\thave\tVBZ\tB-VP\tO' +p245722 +aS'developed\tdevelop\tVBN\tI-VP\tO' +p245723 +aS'some\tsome\tDT\tB-NP\tO' +p245724 +aS'new\tnew\tJJ\tI-NP\tO' +p245725 +aS'swallowing\tswallow\tVBG\tI-NP\tO' +p245726 +aS'difficulty\tdifficulty\tNN\tI-NP\tO' +p245727 +aS'and\tand\tCC\tB-PP\tO' +p245728 +aS'since\tsince\tIN\tB-PP\tO' +p245729 +aS'her\ther\tPRP$\tB-NP\tO' +p245730 +aS'transfer\ttransfer\tNN\tI-NP\tO' +p245731 +aS'to\tto\tTO\tB-PP\tO' +p245732 +aS'a\ta\tDT\tB-NP\tO' +p245733 +aS'long\tlong\tJJ\tI-NP\tO' +p245734 +aS'term\tterm\tNN\tI-NP\tO' +p245735 +aS'inpatient\tinpatient\tNN\tI-NP\tO' +p245736 +aS'care\tcare\tNN\tI-NP\tO' +p245737 +aS'facility\tfacility\tNN\tI-NP\tO' +p245738 +aS',\t,\t,\tO\tO' +p245739 +aS'she\tshe\tPRP\tB-NP\tO' +p245740 +aS'has\thave\tVBZ\tB-VP\tO' +p245741 +aS'lost\tlose\tVBN\tI-VP\tO' +p245742 +aS'ten\tten\tCD\tB-NP\tO' +p245743 +aS'pounds\tpound\tNNS\tI-NP\tO' +p245744 +aS'.\t.\t.\tO\tO' +p245745 +asS'Two cesarean sections .' +p245746 +(lp245747 +S'Two\tTwo\tCD\tB-NP\tO' +p245748 +aS'cesarean\tcesarean\tJJ\tI-NP\tO' +p245749 +aS'sections\tsection\tNNS\tI-NP\tO' +p245750 +aS'.\t.\t.\tO\tO' +p245751 +asS'The CT scan of the head and chest were negative .' +p245752 +(lp245753 +S'The\tThe\tDT\tB-NP\tO' +p245754 +aS'CT\tCT\tNN\tI-NP\tO' +p245755 +aS'scan\tscan\tNN\tI-NP\tO' +p245756 +aS'of\tof\tIN\tB-PP\tO' +p245757 +aS'the\tthe\tDT\tB-NP\tO' +p245758 +aS'head\thead\tNN\tI-NP\tO' +p245759 +aS'and\tand\tCC\tI-NP\tO' +p245760 +aS'chest\tchest\tNN\tI-NP\tO' +p245761 +aS'were\tbe\tVBD\tB-VP\tO' +p245762 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p245763 +aS'.\t.\t.\tO\tO' +p245764 +asS'Penicillin , sulfa and Codeine .' +p245765 +(lp245766 +S'Penicillin\tPenicillin\tNN\tB-NP\tB-protein' +p245767 +aS',\t,\t,\tI-NP\tO' +p245768 +aS'sulfa\tsulfa\tNN\tI-NP\tO' +p245769 +aS'and\tand\tCC\tI-NP\tO' +p245770 +aS'Codeine\tCodeine\tNN\tI-NP\tO' +p245771 +aS'.\t.\t.\tO\tO' +p245772 +asS'As is expected , Mr. Knueppel failed a swallowing study early on in his Boston Regional Medical Centerr hospital course .' +p245773 +(lp245774 +S'As\tAs\tIN\tB-SBAR\tO' +p245775 +aS'is\tbe\tVBZ\tB-VP\tO' +p245776 +aS'expected\texpect\tVBN\tI-VP\tO' +p245777 +aS',\t,\t,\tO\tO' +p245778 +aS'Mr.\tMr.\tNNP\tB-NP\tO' +p245779 +aS'Knueppel\tKnueppel\tNNP\tI-NP\tO' +p245780 +aS'failed\tfail\tVBD\tB-VP\tO' +p245781 +aS'a\ta\tDT\tB-NP\tO' +p245782 +aS'swallowing\tswallow\tVBG\tI-NP\tO' +p245783 +aS'study\tstudy\tNN\tI-NP\tO' +p245784 +aS'early\tearly\tRB\tB-ADVP\tO' +p245785 +aS'on\ton\tRB\tI-ADVP\tO' +p245786 +aS'in\tin\tIN\tB-PP\tO' +p245787 +aS'his\this\tPRP$\tB-NP\tO' +p245788 +aS'Boston\tBoston\tNNP\tI-NP\tO' +p245789 +aS'Regional\tRegional\tNNP\tI-NP\tO' +p245790 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p245791 +aS'Centerr\tCenterr\tNNP\tI-NP\tO' +p245792 +aS'hospital\thospital\tNN\tI-NP\tO' +p245793 +aS'course\tcourse\tNN\tI-NP\tO' +p245794 +aS'.\t.\t.\tO\tO' +p245795 +asS'Aspirin no longer should be considered an allergy for this patient , and she is going to take this as an outpatient .' +p245796 +(lp245797 +S'Aspirin\tAspirin\tNN\tB-NP\tO' +p245798 +aS'no\tno\tDT\tB-ADVP\tO' +p245799 +aS'longer\tlonger\tRBR\tI-ADVP\tO' +p245800 +aS'should\tshould\tMD\tB-VP\tO' +p245801 +aS'be\tbe\tVB\tI-VP\tO' +p245802 +aS'considered\tconsider\tVBN\tI-VP\tO' +p245803 +aS'an\tan\tDT\tB-NP\tO' +p245804 +aS'allergy\tallergy\tNN\tI-NP\tO' +p245805 +aS'for\tfor\tIN\tB-PP\tO' +p245806 +aS'this\tthis\tDT\tB-NP\tO' +p245807 +aS'patient\tpatient\tNN\tI-NP\tO' +p245808 +aS',\t,\t,\tO\tO' +p245809 +aS'and\tand\tCC\tO\tO' +p245810 +aS'she\tshe\tPRP\tB-NP\tO' +p245811 +aS'is\tbe\tVBZ\tB-VP\tO' +p245812 +aS'going\tgo\tVBG\tI-VP\tO' +p245813 +aS'to\tto\tTO\tI-VP\tO' +p245814 +aS'take\ttake\tVB\tI-VP\tO' +p245815 +aS'this\tthis\tDT\tB-NP\tO' +p245816 +aS'as\tas\tIN\tB-PP\tO' +p245817 +aS'an\tan\tDT\tB-NP\tO' +p245818 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p245819 +aS'.\t.\t.\tO\tO' +p245820 +asS'Mr Stutts had an extensive preop evaluation including cardiology , infectious diseases , orthopedics , psychiatry and ethics services .' +p245821 +(lp245822 +S'Mr\tMr\tNN\tB-NP\tB-protein' +p245823 +aS'Stutts\tStutt\tNNS\tI-NP\tO' +p245824 +aS'had\thave\tVBD\tB-VP\tO' +p245825 +aS'an\tan\tDT\tB-NP\tO' +p245826 +aS'extensive\textensive\tJJ\tI-NP\tO' +p245827 +aS'preop\tpreop\tNN\tI-NP\tO' +p245828 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p245829 +aS'including\tinclude\tVBG\tB-PP\tO' +p245830 +aS'cardiology\tcardiology\tNN\tB-NP\tO' +p245831 +aS',\t,\t,\tO\tO' +p245832 +aS'infectious\tinfectious\tJJ\tB-NP\tO' +p245833 +aS'diseases\tdisease\tNNS\tI-NP\tO' +p245834 +aS',\t,\t,\tO\tO' +p245835 +aS'orthopedics\torthopedic\tNNS\tB-NP\tO' +p245836 +aS',\t,\t,\tO\tO' +p245837 +aS'psychiatry\tpsychiatry\tNN\tB-NP\tO' +p245838 +aS'and\tand\tCC\tI-NP\tO' +p245839 +aS'ethics\tethic\tNNS\tI-NP\tO' +p245840 +aS'services\tservice\tNNS\tI-NP\tO' +p245841 +aS'.\t.\t.\tO\tO' +p245842 +asS'Hyperchol h/o A. fib 6 yrs ago -> cardioverted .' +p245843 +(lp245844 +S'Hyperchol\tHyperchol\tNN\tB-NP\tO' +p245845 +aS'h/o\th/o\tNN\tI-NP\tO' +p245846 +aS'A.\tA.\tNN\tI-NP\tO' +p245847 +aS'fib\tfib\tNN\tI-NP\tO' +p245848 +aS'6\t6\tCD\tB-NP\tO' +p245849 +aS'yrs\tyr\tNNS\tI-NP\tO' +p245850 +aS'ago\tago\tIN\tB-PP\tO' +p245851 +aS'->\t->\tSYM\tB-NP\tO' +p245852 +aS'cardioverted\tcardioverte\tVBN\tB-VP\tO' +p245853 +aS'.\t.\t.\tO\tO' +p245854 +asS'In the days following admission , there was clear evidence for progression of erythematous nodules over both arms and right thigh at foci of Acanthamoeba infection , suggesting progressive skin involvement with Acanthamoeba .' +p245855 +(lp245856 +S'In\tIn\tIN\tB-PP\tO' +p245857 +aS'the\tthe\tDT\tB-NP\tO' +p245858 +aS'days\tday\tNNS\tI-NP\tO' +p245859 +aS'following\tfollow\tVBG\tB-PP\tO' +p245860 +aS'admission\tadmission\tNN\tB-NP\tO' +p245861 +aS',\t,\t,\tO\tO' +p245862 +aS'there\tthere\tEX\tB-NP\tO' +p245863 +aS'was\tbe\tVBD\tB-VP\tO' +p245864 +aS'clear\tclear\tJJ\tB-NP\tO' +p245865 +aS'evidence\tevidence\tNN\tI-NP\tO' +p245866 +aS'for\tfor\tIN\tB-PP\tO' +p245867 +aS'progression\tprogression\tNN\tB-NP\tO' +p245868 +aS'of\tof\tIN\tB-PP\tO' +p245869 +aS'erythematous\terythematous\tJJ\tB-NP\tO' +p245870 +aS'nodules\tnodule\tNNS\tI-NP\tO' +p245871 +aS'over\tover\tIN\tB-PP\tO' +p245872 +aS'both\tboth\tDT\tB-NP\tO' +p245873 +aS'arms\tarm\tNNS\tI-NP\tO' +p245874 +aS'and\tand\tCC\tI-NP\tO' +p245875 +aS'right\tright\tJJ\tI-NP\tO' +p245876 +aS'thigh\tthigh\tNN\tI-NP\tO' +p245877 +aS'at\tat\tIN\tB-PP\tO' +p245878 +aS'foci\tfocus\tNNS\tB-NP\tO' +p245879 +aS'of\tof\tIN\tB-PP\tO' +p245880 +aS'Acanthamoeba\tAcanthamoeba\tNN\tB-NP\tO' +p245881 +aS'infection\tinfection\tNN\tI-NP\tO' +p245882 +aS',\t,\t,\tO\tO' +p245883 +aS'suggesting\tsuggest\tVBG\tB-VP\tO' +p245884 +aS'progressive\tprogressive\tJJ\tB-NP\tO' +p245885 +aS'skin\tskin\tNN\tI-NP\tO' +p245886 +aS'involvement\tinvolvement\tNN\tI-NP\tO' +p245887 +aS'with\twith\tIN\tB-PP\tO' +p245888 +aS'Acanthamoeba\tAcanthamoeba\tNNP\tB-NP\tO' +p245889 +aS'.\t.\t.\tO\tO' +p245890 +asS'Head computerized tomography scan showed 1.5 to 2 centimeter bleed in the right thalamus extending to the internal capsule with mild distortion only , no shift .' +p245891 +(lp245892 +S'Head\tHead\tJJ\tB-NP\tO' +p245893 +aS'computerized\tcomputerized\tJJ\tI-NP\tO' +p245894 +aS'tomography\ttomography\tNN\tI-NP\tO' +p245895 +aS'scan\tscan\tNN\tI-NP\tO' +p245896 +aS'showed\tshow\tVBD\tB-VP\tO' +p245897 +aS'1.5\t1.5\tCD\tB-NP\tO' +p245898 +aS'to\tto\tTO\tI-NP\tO' +p245899 +aS'2\t2\tCD\tI-NP\tO' +p245900 +aS'centimeter\tcentimeter\tNN\tI-NP\tO' +p245901 +aS'bleed\tbleed\tNN\tI-NP\tO' +p245902 +aS'in\tin\tIN\tB-PP\tO' +p245903 +aS'the\tthe\tDT\tB-NP\tO' +p245904 +aS'right\tright\tJJ\tI-NP\tO' +p245905 +aS'thalamus\tthalamus\tNN\tI-NP\tO' +p245906 +aS'extending\textend\tVBG\tB-VP\tO' +p245907 +aS'to\tto\tTO\tB-PP\tO' +p245908 +aS'the\tthe\tDT\tB-NP\tO' +p245909 +aS'internal\tinternal\tJJ\tI-NP\tO' +p245910 +aS'capsule\tcapsule\tNN\tI-NP\tO' +p245911 +aS'with\twith\tIN\tB-PP\tO' +p245912 +aS'mild\tmild\tJJ\tB-NP\tO' +p245913 +aS'distortion\tdistortion\tNN\tI-NP\tO' +p245914 +aS'only\tonly\tRB\tB-ADVP\tO' +p245915 +aS',\t,\t,\tO\tO' +p245916 +aS'no\tno\tDT\tB-NP\tO' +p245917 +aS'shift\tshift\tNN\tI-NP\tO' +p245918 +aS'.\t.\t.\tO\tO' +p245919 +asS'On admission birth weight 1630 grams ( 50th percentile ) , length 43.5 cm ( 50th percentile ) , head circumference 31.5 cm ( 75th percentile ).' +p245920 +(lp245921 +S'On\tOn\tIN\tB-PP\tO' +p245922 +aS'admission\tadmission\tNN\tB-NP\tO' +p245923 +aS'birth\tbirth\tNN\tI-NP\tO' +p245924 +aS'weight\tweight\tNN\tI-NP\tO' +p245925 +aS'1630\t1630\tCD\tB-NP\tO' +p245926 +aS'grams\tgram\tNNS\tI-NP\tO' +p245927 +aS'(\t(\t(\tO\tO' +p245928 +aS'50th\t50th\tJJ\tB-NP\tO' +p245929 +aS'percentile\tpercentile\tNN\tI-NP\tO' +p245930 +aS')\t)\t)\tO\tO' +p245931 +aS',\t,\t,\tO\tO' +p245932 +aS'length\tlength\tNN\tB-NP\tO' +p245933 +aS'43.5\t43.5\tCD\tI-NP\tO' +p245934 +aS'cm\tcm\tNN\tI-NP\tO' +p245935 +aS'(\t(\t(\tO\tO' +p245936 +aS'50th\t50th\tJJ\tB-NP\tO' +p245937 +aS'percentile\tpercentile\tNN\tI-NP\tO' +p245938 +aS')\t)\t)\tO\tO' +p245939 +aS',\t,\t,\tO\tO' +p245940 +aS'head\thead\tNN\tB-NP\tO' +p245941 +aS'circumference\tcircumference\tNN\tI-NP\tO' +p245942 +aS'31.5\t31.5\tCD\tB-NP\tO' +p245943 +aS'cm\tcm\tNN\tI-NP\tO' +p245944 +aS'(\t(\t(\tO\tO' +p245945 +aS'75th\t75th\tJJ\tB-NP\tO' +p245946 +aS'percentile\tpercentile\tNN\tI-NP\tO' +p245947 +aS').\t).\t.\tO\tO' +p245948 +asS'The LV cavity size was normal .' +p245949 +(lp245950 +S'The\tThe\tDT\tB-NP\tO' +p245951 +aS'LV\tLV\tNN\tI-NP\tO' +p245952 +aS'cavity\tcavity\tNN\tI-NP\tO' +p245953 +aS'size\tsize\tNN\tI-NP\tO' +p245954 +aS'was\tbe\tVBD\tB-VP\tO' +p245955 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p245956 +aS'.\t.\t.\tO\tO' +p245957 +asS'Alcohol : No alcohol use .' +p245958 +(lp245959 +S'Alcohol\tAlcohol\tNN\tB-NP\tO' +p245960 +aS':\t:\t:\tO\tO' +p245961 +aS'No\tNo\tDT\tB-NP\tO' +p245962 +aS'alcohol\talcohol\tNN\tI-NP\tO' +p245963 +aS'use\tuse\tNN\tI-NP\tO' +p245964 +aS'.\t.\t.\tO\tO' +p245965 +asS'She was started on a regimen of MS Contin with oxycodone for breakthrough pain .' +p245966 +(lp245967 +S'She\tShe\tPRP\tB-NP\tO' +p245968 +aS'was\tbe\tVBD\tB-VP\tO' +p245969 +aS'started\tstart\tVBN\tI-VP\tO' +p245970 +aS'on\ton\tIN\tB-PP\tO' +p245971 +aS'a\ta\tDT\tB-NP\tO' +p245972 +aS'regimen\tregimen\tNN\tI-NP\tO' +p245973 +aS'of\tof\tIN\tB-PP\tO' +p245974 +aS'MS\tMS\tNN\tB-NP\tB-protein' +p245975 +aS'Contin\tContin\tNN\tI-NP\tI-protein' +p245976 +aS'with\twith\tIN\tB-PP\tO' +p245977 +aS'oxycodone\toxycodone\tNN\tB-NP\tO' +p245978 +aS'for\tfor\tIN\tB-PP\tO' +p245979 +aS'breakthrough\tbreakthrough\tNN\tB-NP\tO' +p245980 +aS'pain\tpain\tNN\tI-NP\tO' +p245981 +aS'.\t.\t.\tO\tO' +p245982 +asS'Weight bearing status was increased to weight bearing as tolerated .' +p245983 +(lp245984 +S'Weight\tWeight\tNN\tB-NP\tO' +p245985 +aS'bearing\tbear\tVBG\tI-NP\tO' +p245986 +aS'status\tstatus\tNN\tI-NP\tO' +p245987 +aS'was\tbe\tVBD\tB-VP\tO' +p245988 +aS'increased\tincrease\tVBN\tI-VP\tO' +p245989 +aS'to\tto\tTO\tB-PP\tO' +p245990 +aS'weight\tweight\tNN\tB-NP\tO' +p245991 +aS'bearing\tbear\tVBG\tB-VP\tO' +p245992 +aS'as\tas\tIN\tB-SBAR\tO' +p245993 +aS'tolerated\ttolerate\tVBN\tB-VP\tO' +p245994 +aS'.\t.\t.\tO\tO' +p245995 +asS'Alkaline phosphatase 1148 .' +p245996 +(lp245997 +S'Alkaline\tAlkaline\tNN\tB-NP\tO' +p245998 +aS'phosphatase\tphosphatase\tNN\tI-NP\tO' +p245999 +aS'1148\t1148\tCD\tI-NP\tO' +p246000 +aS'.\t.\t.\tO\tO' +p246001 +asS'He was ready for discharge home on postoperative day three .' +p246002 +(lp246003 +S'He\tHe\tPRP\tB-NP\tO' +p246004 +aS'was\tbe\tVBD\tB-VP\tO' +p246005 +aS'ready\tready\tJJ\tB-ADJP\tO' +p246006 +aS'for\tfor\tIN\tB-PP\tO' +p246007 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p246008 +aS'home\thome\tNN\tI-NP\tO' +p246009 +aS'on\ton\tIN\tB-PP\tO' +p246010 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p246011 +aS'day\tday\tNN\tI-NP\tO' +p246012 +aS'three\tthree\tCD\tI-NP\tO' +p246013 +aS'.\t.\t.\tO\tO' +p246014 +asS'His language was fluent and normal .' +p246015 +(lp246016 +S'His\tHis\tPRP$\tB-NP\tO' +p246017 +aS'language\tlanguage\tNN\tI-NP\tO' +p246018 +aS'was\tbe\tVBD\tB-VP\tO' +p246019 +aS'fluent\tfluent\tJJ\tB-ADJP\tO' +p246020 +aS'and\tand\tCC\tI-ADJP\tO' +p246021 +aS'normal\tnormal\tJJ\tI-ADJP\tO' +p246022 +aS'.\t.\t.\tO\tO' +p246023 +asS'1. Colace , 100 mg PO bid .' +p246024 +(lp246025 +S'1.\t1.\tLS\tB-NP\tO' +p246026 +aS'Colace\tColace\tNNP\tI-NP\tO' +p246027 +aS',\t,\t,\tO\tO' +p246028 +aS'100\t100\tCD\tB-NP\tO' +p246029 +aS'mg\tmg\tNN\tI-NP\tO' +p246030 +aS'PO\tPO\tNN\tI-NP\tO' +p246031 +aS'bid\tbid\tNN\tI-NP\tO' +p246032 +aS'.\t.\t.\tO\tO' +p246033 +asS'Temperature 100.3 , heart rate 76 , blood pressure 100/78 , respiratory rate 16 , and an oxygen saturation of 96% on two liters .' +p246034 +(lp246035 +S'Temperature\tTemperature\tNN\tB-NP\tB-protein' +p246036 +aS'100.3\t100.3\tCD\tI-NP\tI-protein' +p246037 +aS',\t,\t,\tO\tO' +p246038 +aS'heart\theart\tNN\tB-NP\tO' +p246039 +aS'rate\trate\tNN\tI-NP\tO' +p246040 +aS'76\t76\tCD\tI-NP\tO' +p246041 +aS',\t,\t,\tO\tO' +p246042 +aS'blood\tblood\tNN\tB-NP\tO' +p246043 +aS'pressure\tpressure\tNN\tI-NP\tO' +p246044 +aS'100/78\t100/78\tCD\tI-NP\tO' +p246045 +aS',\t,\t,\tI-NP\tO' +p246046 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p246047 +aS'rate\trate\tNN\tI-NP\tO' +p246048 +aS'16\t16\tCD\tI-NP\tO' +p246049 +aS',\t,\t,\tO\tO' +p246050 +aS'and\tand\tCC\tO\tO' +p246051 +aS'an\tan\tDT\tB-NP\tO' +p246052 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p246053 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p246054 +aS'of\tof\tIN\tB-PP\tO' +p246055 +aS'96%\t96%\tCD\tB-NP\tO' +p246056 +aS'on\ton\tIN\tB-PP\tO' +p246057 +aS'two\ttwo\tCD\tB-NP\tO' +p246058 +aS'liters\tliter\tNNS\tI-NP\tO' +p246059 +aS'.\t.\t.\tO\tO' +p246060 +asS'6. Olanzapine 5 mg Tablet , Rapid Dissolve Sig : One ( 1 ) Tablet , Rapid Dissolve PO BID ( 2 times a day ) .' +p246061 +(lp246062 +S'6.\t6.\tCD\tB-NP\tO' +p246063 +aS'Olanzapine\tOlanzapine\tNN\tI-NP\tO' +p246064 +aS'5\t5\tCD\tB-NP\tO' +p246065 +aS'mg\tmg\tNN\tI-NP\tO' +p246066 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p246067 +aS',\t,\t,\tO\tO' +p246068 +aS'Rapid\tRapid\tNNP\tB-NP\tO' +p246069 +aS'Dissolve\tDissolve\tNNP\tI-NP\tO' +p246070 +aS'Sig\tSig\tNNP\tI-NP\tO' +p246071 +aS':\t:\t:\tO\tO' +p246072 +aS'One\tOne\tCD\tB-NP\tO' +p246073 +aS'(\t(\t(\tO\tO' +p246074 +aS'1\t1\tCD\tB-NP\tO' +p246075 +aS')\t)\t)\tO\tO' +p246076 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p246077 +aS',\t,\t,\tO\tO' +p246078 +aS'Rapid\tRapid\tNNP\tB-NP\tO' +p246079 +aS'Dissolve\tDissolve\tNNP\tI-NP\tO' +p246080 +aS'PO\tPO\tNNP\tI-NP\tO' +p246081 +aS'BID\tBID\tNNP\tI-NP\tO' +p246082 +aS'(\t(\t(\tO\tO' +p246083 +aS'2\t2\tCD\tB-NP\tO' +p246084 +aS'times\ttime\tNNS\tI-NP\tO' +p246085 +aS'a\ta\tDT\tB-NP\tO' +p246086 +aS'day\tday\tNN\tI-NP\tO' +p246087 +aS')\t)\t)\tO\tO' +p246088 +aS'.\t.\t.\tO\tO' +p246089 +asS'Her Bilirubin direct and total were 0.1 and 0.3 respectively .' +p246090 +(lp246091 +S'Her\tHer\tPRP$\tB-NP\tO' +p246092 +aS'Bilirubin\tBilirubin\tNN\tI-NP\tO' +p246093 +aS'direct\tdirect\tJJ\tI-NP\tO' +p246094 +aS'and\tand\tCC\tI-NP\tO' +p246095 +aS'total\ttotal\tJJ\tI-NP\tO' +p246096 +aS'were\tbe\tVBD\tB-VP\tO' +p246097 +aS'0.1\t0.1\tCD\tB-NP\tO' +p246098 +aS'and\tand\tCC\tI-NP\tO' +p246099 +aS'0.3\t0.3\tCD\tI-NP\tO' +p246100 +aS'respectively\trespectively\tRB\tB-ADVP\tO' +p246101 +aS'.\t.\t.\tO\tO' +p246102 +asS'There was no effusion .' +p246103 +(lp246104 +S'There\tThere\tEX\tB-NP\tO' +p246105 +aS'was\tbe\tVBD\tB-VP\tO' +p246106 +aS'no\tno\tDT\tB-NP\tO' +p246107 +aS'effusion\teffusion\tNN\tI-NP\tO' +p246108 +aS'.\t.\t.\tO\tO' +p246109 +asS'He was written for a morphine drip however he expired before this could be initiated .' +p246110 +(lp246111 +S'He\tHe\tPRP\tB-NP\tO' +p246112 +aS'was\tbe\tVBD\tB-VP\tO' +p246113 +aS'written\twrite\tVBN\tI-VP\tO' +p246114 +aS'for\tfor\tIN\tB-PP\tO' +p246115 +aS'a\ta\tDT\tB-NP\tO' +p246116 +aS'morphine\tmorphine\tNN\tI-NP\tO' +p246117 +aS'drip\tdrip\tNN\tI-NP\tO' +p246118 +aS'however\thowever\tRB\tB-ADVP\tO' +p246119 +aS'he\the\tPRP\tB-NP\tO' +p246120 +aS'expired\texpire\tVBD\tB-VP\tO' +p246121 +aS'before\tbefore\tIN\tB-PP\tO' +p246122 +aS'this\tthis\tDT\tB-NP\tO' +p246123 +aS'could\tcould\tMD\tB-VP\tO' +p246124 +aS'be\tbe\tVB\tI-VP\tO' +p246125 +aS'initiated\tinitiate\tVBN\tI-VP\tO' +p246126 +aS'.\t.\t.\tO\tO' +p246127 +asS'The left circumflex was dominant with severe disease of obtuse marginal one , with moderate mid-circumflex stenosis and moderate posterior descending artery lesion .' +p246128 +(lp246129 +S'The\tThe\tDT\tB-NP\tO' +p246130 +aS'left\tleft\tJJ\tI-NP\tO' +p246131 +aS'circumflex\tcircumflex\tNN\tI-NP\tO' +p246132 +aS'was\tbe\tVBD\tB-VP\tO' +p246133 +aS'dominant\tdominant\tJJ\tB-ADJP\tO' +p246134 +aS'with\twith\tIN\tB-PP\tO' +p246135 +aS'severe\tsevere\tJJ\tB-NP\tO' +p246136 +aS'disease\tdisease\tNN\tI-NP\tO' +p246137 +aS'of\tof\tIN\tB-PP\tO' +p246138 +aS'obtuse\tobtuse\tNN\tB-NP\tO' +p246139 +aS'marginal\tmarginal\tJJ\tB-NP\tO' +p246140 +aS'one\tone\tCD\tI-NP\tO' +p246141 +aS',\t,\t,\tO\tO' +p246142 +aS'with\twith\tIN\tB-PP\tO' +p246143 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p246144 +aS'mid-circumflex\tmid-circumflex\tJJ\tI-NP\tO' +p246145 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p246146 +aS'and\tand\tCC\tO\tO' +p246147 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p246148 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p246149 +aS'descending\tdescend\tVBG\tI-NP\tO' +p246150 +aS'artery\tartery\tNN\tI-NP\tO' +p246151 +aS'lesion\tlesion\tNN\tI-NP\tO' +p246152 +aS'.\t.\t.\tO\tO' +p246153 +asS'She was also continued on all her heart failure medications including her Toprol , her lisinopril , her digoxin , and her Lasix .' +p246154 +(lp246155 +S'She\tShe\tPRP\tB-NP\tO' +p246156 +aS'was\tbe\tVBD\tB-VP\tO' +p246157 +aS'also\talso\tRB\tI-VP\tO' +p246158 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p246159 +aS'on\ton\tIN\tB-PP\tO' +p246160 +aS'all\tall\tDT\tB-NP\tO' +p246161 +aS'her\ther\tPRP$\tI-NP\tO' +p246162 +aS'heart\theart\tNN\tI-NP\tO' +p246163 +aS'failure\tfailure\tNN\tI-NP\tO' +p246164 +aS'medications\tmedication\tNNS\tI-NP\tO' +p246165 +aS'including\tinclude\tVBG\tB-PP\tO' +p246166 +aS'her\ther\tPRP$\tB-NP\tO' +p246167 +aS'Toprol\tToprol\tNN\tI-NP\tO' +p246168 +aS',\t,\t,\tO\tO' +p246169 +aS'her\ther\tPRP$\tB-NP\tO' +p246170 +aS'lisinopril\tlisinopril\tNN\tI-NP\tO' +p246171 +aS',\t,\t,\tO\tO' +p246172 +aS'her\ther\tPRP$\tB-NP\tO' +p246173 +aS'digoxin\tdigoxin\tNN\tI-NP\tO' +p246174 +aS',\t,\t,\tO\tO' +p246175 +aS'and\tand\tCC\tO\tO' +p246176 +aS'her\ther\tPRP$\tB-NP\tO' +p246177 +aS'Lasix\tLasix\tNN\tI-NP\tO' +p246178 +aS'.\t.\t.\tO\tO' +p246179 +asS'A small / moderate-sized , mild-intensity , reversible posterior lateral defect was also seen , indicative of mild / moderate ischemia .' +p246180 +(lp246181 +S'A\tA\tDT\tB-NP\tO' +p246182 +aS'small\tsmall\tJJ\tI-NP\tO' +p246183 +aS'/\t/\tSYM\tI-NP\tO' +p246184 +aS'moderate-sized\tmoderate-sized\tJJ\tI-NP\tO' +p246185 +aS',\t,\t,\tI-NP\tO' +p246186 +aS'mild-intensity\tmild-intensity\tJJ\tI-NP\tO' +p246187 +aS',\t,\t,\tI-NP\tO' +p246188 +aS'reversible\treversible\tJJ\tI-NP\tO' +p246189 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p246190 +aS'lateral\tlateral\tJJ\tI-NP\tO' +p246191 +aS'defect\tdefect\tNN\tI-NP\tO' +p246192 +aS'was\tbe\tVBD\tB-VP\tO' +p246193 +aS'also\talso\tRB\tI-VP\tO' +p246194 +aS'seen\tsee\tVBN\tI-VP\tO' +p246195 +aS',\t,\t,\tO\tO' +p246196 +aS'indicative\tindicative\tJJ\tB-ADJP\tO' +p246197 +aS'of\tof\tIN\tB-PP\tO' +p246198 +aS'mild\tmild\tJJ\tB-NP\tO' +p246199 +aS'/\t/\tSYM\tI-NP\tO' +p246200 +aS'moderate\tmoderate\tJJ\tI-NP\tO' +p246201 +aS'ischemia\tischemia\tNN\tI-NP\tO' +p246202 +aS'.\t.\t.\tO\tO' +p246203 +asS'Per record , she has had multiple episodes in the last week of changes in mental status .' +p246204 +(lp246205 +S'Per\tPer\tNN\tB-NP\tO' +p246206 +aS'record\trecord\tNN\tI-NP\tO' +p246207 +aS',\t,\t,\tO\tO' +p246208 +aS'she\tshe\tPRP\tB-NP\tO' +p246209 +aS'has\thave\tVBZ\tB-VP\tO' +p246210 +aS'had\thave\tVBN\tI-VP\tO' +p246211 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p246212 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p246213 +aS'in\tin\tIN\tB-PP\tO' +p246214 +aS'the\tthe\tDT\tB-NP\tO' +p246215 +aS'last\tlast\tJJ\tI-NP\tO' +p246216 +aS'week\tweek\tNN\tI-NP\tO' +p246217 +aS'of\tof\tIN\tB-PP\tO' +p246218 +aS'changes\tchange\tNNS\tB-NP\tO' +p246219 +aS'in\tin\tIN\tB-PP\tO' +p246220 +aS'mental\tmental\tJJ\tB-NP\tO' +p246221 +aS'status\tstatus\tNN\tI-NP\tO' +p246222 +aS'.\t.\t.\tO\tO' +p246223 +asS'However , two days prior to admission , one family member noted that the patient had a transient left facial droop .' +p246224 +(lp246225 +S'However\tHowever\tRB\tB-ADVP\tO' +p246226 +aS',\t,\t,\tO\tO' +p246227 +aS'two\ttwo\tCD\tB-NP\tO' +p246228 +aS'days\tday\tNNS\tI-NP\tO' +p246229 +aS'prior\tprior\tRB\tB-ADVP\tO' +p246230 +aS'to\tto\tTO\tB-PP\tO' +p246231 +aS'admission\tadmission\tNN\tB-NP\tO' +p246232 +aS',\t,\t,\tO\tO' +p246233 +aS'one\tone\tCD\tB-NP\tO' +p246234 +aS'family\tfamily\tNN\tI-NP\tO' +p246235 +aS'member\tmember\tNN\tI-NP\tO' +p246236 +aS'noted\tnote\tVBD\tB-VP\tO' +p246237 +aS'that\tthat\tIN\tB-SBAR\tO' +p246238 +aS'the\tthe\tDT\tB-NP\tO' +p246239 +aS'patient\tpatient\tNN\tI-NP\tO' +p246240 +aS'had\thave\tVBD\tB-VP\tO' +p246241 +aS'a\ta\tDT\tB-NP\tO' +p246242 +aS'transient\ttransient\tJJ\tI-NP\tO' +p246243 +aS'left\tleft\tJJ\tI-NP\tO' +p246244 +aS'facial\tfacial\tJJ\tI-NP\tO' +p246245 +aS'droop\tdroop\tNN\tI-NP\tO' +p246246 +aS'.\t.\t.\tO\tO' +p246247 +asS'NOne .' +p246248 +(lp246249 +S'NOne\tNOne\tNN\tB-NP\tO' +p246250 +aS'.\t.\t.\tO\tO' +p246251 +asS'Plans were made to proceed with apnea testing .' +p246252 +(lp246253 +S'Plans\tPlan\tNNS\tB-NP\tO' +p246254 +aS'were\tbe\tVBD\tB-VP\tO' +p246255 +aS'made\tmake\tVBN\tI-VP\tO' +p246256 +aS'to\tto\tTO\tB-VP\tO' +p246257 +aS'proceed\tproceed\tVB\tI-VP\tO' +p246258 +aS'with\twith\tIN\tB-PP\tO' +p246259 +aS'apnea\tapnea\tNN\tB-NP\tO' +p246260 +aS'testing\ttesting\tNN\tI-NP\tO' +p246261 +aS'.\t.\t.\tO\tO' +p246262 +asS'Wife reports that the patient has a history of lethargy and confusion , similar to the symptoms for which the patient was recently admitted .' +p246263 +(lp246264 +S'Wife\tWife\tNNP\tB-NP\tO' +p246265 +aS'reports\treport\tVBZ\tB-VP\tO' +p246266 +aS'that\tthat\tIN\tB-SBAR\tO' +p246267 +aS'the\tthe\tDT\tB-NP\tO' +p246268 +aS'patient\tpatient\tNN\tI-NP\tO' +p246269 +aS'has\thave\tVBZ\tB-VP\tO' +p246270 +aS'a\ta\tDT\tB-NP\tO' +p246271 +aS'history\thistory\tNN\tI-NP\tO' +p246272 +aS'of\tof\tIN\tB-PP\tO' +p246273 +aS'lethargy\tlethargy\tNN\tB-NP\tO' +p246274 +aS'and\tand\tCC\tI-NP\tO' +p246275 +aS'confusion\tconfusion\tNN\tI-NP\tO' +p246276 +aS',\t,\t,\tO\tO' +p246277 +aS'similar\tsimilar\tJJ\tB-ADJP\tO' +p246278 +aS'to\tto\tTO\tB-PP\tO' +p246279 +aS'the\tthe\tDT\tB-NP\tO' +p246280 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p246281 +aS'for\tfor\tIN\tB-PP\tO' +p246282 +aS'which\twhich\tWDT\tB-NP\tO' +p246283 +aS'the\tthe\tDT\tB-NP\tO' +p246284 +aS'patient\tpatient\tNN\tI-NP\tO' +p246285 +aS'was\tbe\tVBD\tB-VP\tO' +p246286 +aS'recently\trecently\tRB\tI-VP\tO' +p246287 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p246288 +aS'.\t.\t.\tO\tO' +p246289 +asS'Cefuroxime 1.5 grams intravenously q8h , Solu-Medrol 62.5 mg intravenously q8h , Ventolin metered dose inhaler , 2 puffs PO q.i.d. , Pepcid 20 mg intravenously b.i.d.' +p246290 +(lp246291 +S'Cefuroxime\tCefuroxime\tNN\tB-NP\tO' +p246292 +aS'1.5\t1.5\tCD\tB-NP\tO' +p246293 +aS'grams\tgram\tNNS\tI-NP\tO' +p246294 +aS'intravenously\tintravenously\tRB\tB-NP\tO' +p246295 +aS'q8h\tq8h\tNN\tI-NP\tO' +p246296 +aS',\t,\t,\tO\tO' +p246297 +aS'Solu-Medrol\tSolu-Medrol\tNN\tB-NP\tO' +p246298 +aS'62.5\t62.5\tCD\tI-NP\tO' +p246299 +aS'mg\tmg\tNN\tI-NP\tO' +p246300 +aS'intravenously\tintravenously\tRB\tB-NP\tO' +p246301 +aS'q8h\tq8h\tNN\tI-NP\tO' +p246302 +aS',\t,\t,\tO\tO' +p246303 +aS'Ventolin\tVentolin\tNNP\tB-NP\tO' +p246304 +aS'metered\tmeter\tVBD\tB-VP\tO' +p246305 +aS'dose\tdose\tNN\tB-NP\tO' +p246306 +aS'inhaler\tinhaler\tNN\tI-NP\tO' +p246307 +aS',\t,\t,\tO\tO' +p246308 +aS'2\t2\tCD\tB-NP\tO' +p246309 +aS'puffs\tpuff\tNNS\tI-NP\tO' +p246310 +aS'PO\tPO\tNNP\tB-NP\tO' +p246311 +aS'q.i.d.\tq.i.d.\tNNP\tI-NP\tO' +p246312 +aS',\t,\t,\tO\tO' +p246313 +aS'Pepcid\tPepcid\tNNP\tB-NP\tO' +p246314 +aS'20\t20\tCD\tI-NP\tO' +p246315 +aS'mg\tmg\tNN\tI-NP\tO' +p246316 +aS'intravenously\tintravenously\tRB\tB-ADVP\tO' +p246317 +aS'b.i.d.\tb.i.d.\tRB\tB-ADVP\tO' +p246318 +asS'Blood cultures cleared by 2013-05-03 .' +p246319 +(lp246320 +S'Blood\tBlood\tNN\tB-NP\tO' +p246321 +aS'cultures\tculture\tNNS\tI-NP\tO' +p246322 +aS'cleared\tclear\tVBN\tB-VP\tO' +p246323 +aS'by\tby\tIN\tB-PP\tO' +p246324 +aS'2013-05-03\t2013-05-03\tCD\tB-NP\tO' +p246325 +aS'.\t.\t.\tO\tO' +p246326 +asS'Endocrinologically , BG was monitored to improve outcome in ICU setting though he had no history of DM .' +p246327 +(lp246328 +S'Endocrinologically\tEndocrinologically\tRB\tB-ADVP\tO' +p246329 +aS',\t,\t,\tO\tO' +p246330 +aS'BG\tBG\tNN\tB-NP\tO' +p246331 +aS'was\tbe\tVBD\tB-VP\tO' +p246332 +aS'monitored\tmonitor\tVBN\tI-VP\tO' +p246333 +aS'to\tto\tTO\tI-VP\tO' +p246334 +aS'improve\timprove\tVB\tI-VP\tO' +p246335 +aS'outcome\toutcome\tNN\tB-NP\tO' +p246336 +aS'in\tin\tIN\tB-PP\tO' +p246337 +aS'ICU\tICU\tNN\tB-NP\tB-protein' +p246338 +aS'setting\tset\tVBG\tB-VP\tO' +p246339 +aS'though\tthough\tIN\tB-SBAR\tO' +p246340 +aS'he\the\tPRP\tB-NP\tO' +p246341 +aS'had\thave\tVBD\tB-VP\tO' +p246342 +aS'no\tno\tDT\tB-NP\tO' +p246343 +aS'history\thistory\tNN\tI-NP\tO' +p246344 +aS'of\tof\tIN\tB-PP\tO' +p246345 +aS'DM\tDM\tNN\tB-NP\tO' +p246346 +aS'.\t.\t.\tO\tO' +p246347 +asS'Pt had depressed mental status on transfer to CMED in setting of narcotics .' +p246348 +(lp246349 +S'Pt\tPt\tNN\tB-NP\tO' +p246350 +aS'had\thave\tVBD\tB-VP\tO' +p246351 +aS'depressed\tdepress\tVBN\tI-VP\tO' +p246352 +aS'mental\tmental\tJJ\tB-NP\tO' +p246353 +aS'status\tstatus\tNN\tI-NP\tO' +p246354 +aS'on\ton\tIN\tB-PP\tO' +p246355 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p246356 +aS'to\tto\tTO\tB-VP\tO' +p246357 +aS'CMED\tCMED\tVBN\tI-VP\tO' +p246358 +aS'in\tin\tIN\tB-PP\tO' +p246359 +aS'setting\tsetting\tNN\tB-NP\tO' +p246360 +aS'of\tof\tIN\tB-PP\tO' +p246361 +aS'narcotics\tnarcotic\tNNS\tB-NP\tO' +p246362 +aS'.\t.\t.\tO\tO' +p246363 +asS'ABD : Pt very tense in abdomen ( states belly is fine , but he is weary of his back ).' +p246364 +(lp246365 +S'ABD\tABD\tNN\tB-NP\tO' +p246366 +aS':\t:\t:\tO\tO' +p246367 +aS'Pt\tPt\tNN\tB-NP\tO' +p246368 +aS'very\tvery\tRB\tB-ADJP\tO' +p246369 +aS'tense\ttense\tJJ\tI-ADJP\tO' +p246370 +aS'in\tin\tIN\tB-PP\tO' +p246371 +aS'abdomen\tabdoman\tNNS\tB-NP\tO' +p246372 +aS'(\t(\t(\tO\tO' +p246373 +aS'states\tstate\tNNS\tB-NP\tO' +p246374 +aS'belly\tbelly\tRB\tB-ADVP\tO' +p246375 +aS'is\tbe\tVBZ\tB-VP\tO' +p246376 +aS'fine\tfine\tJJ\tB-ADJP\tO' +p246377 +aS',\t,\t,\tO\tO' +p246378 +aS'but\tbut\tCC\tO\tO' +p246379 +aS'he\the\tPRP\tB-NP\tO' +p246380 +aS'is\tbe\tVBZ\tB-VP\tO' +p246381 +aS'weary\tweary\tJJ\tB-ADJP\tO' +p246382 +aS'of\tof\tIN\tB-PP\tO' +p246383 +aS'his\this\tPRP$\tB-NP\tO' +p246384 +aS'back\tback\tNN\tI-NP\tO' +p246385 +aS').\t).\t.\tO\tO' +p246386 +asS'Otherwise , her pelvic exam was negative .' +p246387 +(lp246388 +S'Otherwise\tOtherwise\tRB\tB-ADVP\tO' +p246389 +aS',\t,\t,\tO\tO' +p246390 +aS'her\ther\tPRP$\tB-NP\tO' +p246391 +aS'pelvic\tpelvic\tJJ\tI-NP\tO' +p246392 +aS'exam\texam\tNN\tI-NP\tO' +p246393 +aS'was\tbe\tVBD\tB-VP\tO' +p246394 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p246395 +aS'.\t.\t.\tO\tO' +p246396 +asS'CAT scan was performed on 2013-09-20 at Kindred Park View Specialty Hospital of Springfield , which revealed that she had a recurrence of the tumor with occlusion of her portal vein occluding bile ducts , hepatic artery nearly completely occluded , and much ascites and was started on diuretics .' +p246397 +(lp246398 +S'CAT\tCAT\tNN\tB-NP\tB-protein' +p246399 +aS'scan\tscan\tNN\tI-NP\tO' +p246400 +aS'was\tbe\tVBD\tB-VP\tO' +p246401 +aS'performed\tperform\tVBN\tI-VP\tO' +p246402 +aS'on\ton\tIN\tB-PP\tO' +p246403 +aS'2013-09-20\t2013-09-20\tCD\tB-NP\tO' +p246404 +aS'at\tat\tIN\tB-PP\tO' +p246405 +aS'Kindred\tKindred\tNNP\tB-NP\tO' +p246406 +aS'Park\tPark\tNNP\tI-NP\tO' +p246407 +aS'View\tView\tNNP\tI-NP\tO' +p246408 +aS'Specialty\tSpecialty\tNNP\tI-NP\tO' +p246409 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p246410 +aS'of\tof\tIN\tB-PP\tO' +p246411 +aS'Springfield\tSpringfield\tNNP\tB-NP\tO' +p246412 +aS',\t,\t,\tO\tO' +p246413 +aS'which\twhich\tWDT\tB-NP\tO' +p246414 +aS'revealed\treveal\tVBD\tB-VP\tO' +p246415 +aS'that\tthat\tIN\tB-SBAR\tO' +p246416 +aS'she\tshe\tPRP\tB-NP\tO' +p246417 +aS'had\thave\tVBD\tB-VP\tO' +p246418 +aS'a\ta\tDT\tB-NP\tO' +p246419 +aS'recurrence\trecurrence\tNN\tI-NP\tO' +p246420 +aS'of\tof\tIN\tB-PP\tO' +p246421 +aS'the\tthe\tDT\tB-NP\tO' +p246422 +aS'tumor\ttumor\tNN\tI-NP\tO' +p246423 +aS'with\twith\tIN\tB-PP\tO' +p246424 +aS'occlusion\tocclusion\tNN\tB-NP\tO' +p246425 +aS'of\tof\tIN\tB-PP\tO' +p246426 +aS'her\ther\tPRP$\tB-NP\tO' +p246427 +aS'portal\tportal\tJJ\tI-NP\tO' +p246428 +aS'vein\tvein\tNN\tI-NP\tO' +p246429 +aS'occluding\tocclude\tVBG\tB-VP\tO' +p246430 +aS'bile\tbile\tNN\tB-NP\tO' +p246431 +aS'ducts\tduct\tNNS\tI-NP\tO' +p246432 +aS',\t,\t,\tO\tO' +p246433 +aS'hepatic\thepatic\tJJ\tB-NP\tO' +p246434 +aS'artery\tartery\tNN\tI-NP\tO' +p246435 +aS'nearly\tnearly\tRB\tB-VP\tO' +p246436 +aS'completely\tcompletely\tRB\tI-VP\tO' +p246437 +aS'occluded\tocclude\tVBN\tI-VP\tO' +p246438 +aS',\t,\t,\tO\tO' +p246439 +aS'and\tand\tCC\tO\tO' +p246440 +aS'much\tmuch\tJJ\tB-NP\tO' +p246441 +aS'ascites\tascite\tNNS\tI-NP\tO' +p246442 +aS'and\tand\tCC\tO\tO' +p246443 +aS'was\tbe\tVBD\tB-VP\tO' +p246444 +aS'started\tstart\tVBN\tI-VP\tO' +p246445 +aS'on\ton\tIN\tB-PP\tO' +p246446 +aS'diuretics\tdiuretic\tNNS\tB-NP\tO' +p246447 +aS'.\t.\t.\tO\tO' +p246448 +asS'After receiving brief blow by oxygen in the delivery room , the patient had no further episodes of ventilatory assistance required with good respiratory rate consistently .' +p246449 +(lp246450 +S'After\tAfter\tIN\tB-PP\tO' +p246451 +aS'receiving\treceive\tVBG\tB-VP\tO' +p246452 +aS'brief\tbrief\tJJ\tB-NP\tO' +p246453 +aS'blow\tblow\tNN\tI-NP\tO' +p246454 +aS'by\tby\tIN\tB-PP\tO' +p246455 +aS'oxygen\toxygen\tNN\tB-NP\tO' +p246456 +aS'in\tin\tIN\tB-PP\tO' +p246457 +aS'the\tthe\tDT\tB-NP\tO' +p246458 +aS'delivery\tdelivery\tNN\tI-NP\tO' +p246459 +aS'room\troom\tNN\tI-NP\tO' +p246460 +aS',\t,\t,\tO\tO' +p246461 +aS'the\tthe\tDT\tB-NP\tO' +p246462 +aS'patient\tpatient\tNN\tI-NP\tO' +p246463 +aS'had\thave\tVBD\tB-VP\tO' +p246464 +aS'no\tno\tDT\tB-NP\tO' +p246465 +aS'further\tfurther\tJJ\tI-NP\tO' +p246466 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p246467 +aS'of\tof\tIN\tB-PP\tO' +p246468 +aS'ventilatory\tventilatory\tJJ\tB-NP\tO' +p246469 +aS'assistance\tassistance\tNN\tI-NP\tO' +p246470 +aS'required\trequire\tVBN\tB-VP\tO' +p246471 +aS'with\twith\tIN\tB-PP\tO' +p246472 +aS'good\tgood\tJJ\tB-NP\tO' +p246473 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p246474 +aS'rate\trate\tNN\tI-NP\tO' +p246475 +aS'consistently\tconsistently\tRB\tB-ADVP\tO' +p246476 +aS'.\t.\t.\tO\tO' +p246477 +asS'soft , without hepatosplenomegaly .' +p246478 +(lp246479 +S'soft\tsoft\tRB\tB-ADVP\tO' +p246480 +aS',\t,\t,\tO\tO' +p246481 +aS'without\twithout\tIN\tB-PP\tO' +p246482 +aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tB-NP\tO' +p246483 +aS'.\t.\t.\tO\tO' +p246484 +asS'He was refered to Dr. Barber for surgical treatment .' +p246485 +(lp246486 +S'He\tHe\tPRP\tB-NP\tO' +p246487 +aS'was\tbe\tVBD\tB-VP\tO' +p246488 +aS'refered\trefer\tVBN\tI-VP\tO' +p246489 +aS'to\tto\tTO\tB-PP\tO' +p246490 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p246491 +aS'Barber\tBarber\tNNP\tI-NP\tO' +p246492 +aS'for\tfor\tIN\tB-PP\tO' +p246493 +aS'surgical\tsurgical\tJJ\tB-NP\tO' +p246494 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p246495 +aS'.\t.\t.\tO\tO' +p246496 +asS'Creatinine elevation appears to be related to both elevated abdominal pressures from ascites as well as to attempts at diuresis .' +p246497 +(lp246498 +S'Creatinine\tCreatinine\tNN\tB-NP\tO' +p246499 +aS'elevation\televation\tNN\tI-NP\tO' +p246500 +aS'appears\tappear\tVBZ\tB-VP\tO' +p246501 +aS'to\tto\tTO\tI-VP\tO' +p246502 +aS'be\tbe\tVB\tI-VP\tO' +p246503 +aS'related\trelated\tJJ\tB-ADJP\tO' +p246504 +aS'to\tto\tTO\tB-PP\tO' +p246505 +aS'both\tboth\tCC\tO\tO' +p246506 +aS'elevated\televated\tJJ\tB-NP\tO' +p246507 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p246508 +aS'pressures\tpressure\tNNS\tI-NP\tO' +p246509 +aS'from\tfrom\tIN\tB-PP\tO' +p246510 +aS'ascites\tascite\tNNS\tB-NP\tO' +p246511 +aS'as\tas\tRB\tB-CONJP\tO' +p246512 +aS'well\twell\tRB\tI-CONJP\tO' +p246513 +aS'as\tas\tIN\tI-CONJP\tO' +p246514 +aS'to\tto\tTO\tB-PP\tO' +p246515 +aS'attempts\tattempt\tNNS\tB-NP\tO' +p246516 +aS'at\tat\tIN\tB-PP\tO' +p246517 +aS'diuresis\tdiuresis\tNN\tB-NP\tO' +p246518 +aS'.\t.\t.\tO\tO' +p246519 +asS'His antihypertensives were held given concern for GI bleed and should be restarted at follow up appointment with PCP .' +p246520 +(lp246521 +S'His\tHis\tPRP$\tB-NP\tO' +p246522 +aS'antihypertensives\tantihypertensive\tNNS\tI-NP\tO' +p246523 +aS'were\tbe\tVBD\tB-VP\tO' +p246524 +aS'held\thold\tVBN\tI-VP\tO' +p246525 +aS'given\tgive\tVBN\tB-NP\tO' +p246526 +aS'concern\tconcern\tNN\tI-NP\tO' +p246527 +aS'for\tfor\tIN\tB-PP\tO' +p246528 +aS'GI\tGI\tNN\tB-NP\tO' +p246529 +aS'bleed\tbleed\tNN\tI-NP\tO' +p246530 +aS'and\tand\tCC\tO\tO' +p246531 +aS'should\tshould\tMD\tB-VP\tO' +p246532 +aS'be\tbe\tVB\tI-VP\tO' +p246533 +aS'restarted\trestart\tVBN\tI-VP\tO' +p246534 +aS'at\tat\tIN\tB-PP\tO' +p246535 +aS'follow\tfollow\tNN\tB-NP\tO' +p246536 +aS'up\tup\tRP\tB-PRT\tO' +p246537 +aS'appointment\tappointment\tNN\tB-NP\tO' +p246538 +aS'with\twith\tIN\tB-PP\tO' +p246539 +aS'PCP\tPCP\tNN\tB-NP\tB-protein' +p246540 +aS'.\t.\t.\tO\tO' +p246541 +asS'Soft with bowel sounds and there was mid epigastric and right upper quadrant tenderness .' +p246542 +(lp246543 +S'Soft\tSoft\tRB\tB-ADVP\tO' +p246544 +aS'with\twith\tIN\tB-PP\tO' +p246545 +aS'bowel\tbowel\tNN\tB-NP\tO' +p246546 +aS'sounds\tsound\tNNS\tI-NP\tO' +p246547 +aS'and\tand\tCC\tO\tO' +p246548 +aS'there\tthere\tEX\tB-NP\tO' +p246549 +aS'was\tbe\tVBD\tB-VP\tO' +p246550 +aS'mid\tmid\tJJ\tB-NP\tO' +p246551 +aS'epigastric\tepigastric\tJJ\tI-NP\tO' +p246552 +aS'and\tand\tCC\tI-NP\tO' +p246553 +aS'right\tright\tJJ\tI-NP\tO' +p246554 +aS'upper\tupper\tJJ\tI-NP\tO' +p246555 +aS'quadrant\tquadrant\tJJ\tI-NP\tO' +p246556 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p246557 +aS'.\t.\t.\tO\tO' +p246558 +asS'The patient was evaluated on postoperative day number five and it was decided at that time that the patient should be transferred back to the Intensive Care Unit for respiratory difficulties .' +p246559 +(lp246560 +S'The\tThe\tDT\tB-NP\tO' +p246561 +aS'patient\tpatient\tNN\tI-NP\tO' +p246562 +aS'was\tbe\tVBD\tB-VP\tO' +p246563 +aS'evaluated\tevaluate\tVBN\tI-VP\tO' +p246564 +aS'on\ton\tIN\tB-PP\tO' +p246565 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p246566 +aS'day\tday\tNN\tI-NP\tO' +p246567 +aS'number\tnumber\tNN\tI-NP\tO' +p246568 +aS'five\tfive\tCD\tI-NP\tO' +p246569 +aS'and\tand\tCC\tO\tO' +p246570 +aS'it\tit\tPRP\tB-NP\tO' +p246571 +aS'was\tbe\tVBD\tB-VP\tO' +p246572 +aS'decided\tdecide\tVBN\tI-VP\tO' +p246573 +aS'at\tat\tIN\tB-PP\tO' +p246574 +aS'that\tthat\tDT\tB-NP\tO' +p246575 +aS'time\ttime\tNN\tI-NP\tO' +p246576 +aS'that\tthat\tIN\tB-ADVP\tO' +p246577 +aS'the\tthe\tDT\tB-NP\tO' +p246578 +aS'patient\tpatient\tNN\tI-NP\tO' +p246579 +aS'should\tshould\tMD\tB-VP\tO' +p246580 +aS'be\tbe\tVB\tI-VP\tO' +p246581 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p246582 +aS'back\tback\tRB\tB-ADVP\tO' +p246583 +aS'to\tto\tTO\tB-PP\tO' +p246584 +aS'the\tthe\tDT\tB-NP\tO' +p246585 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p246586 +aS'Care\tCare\tNNP\tI-NP\tO' +p246587 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p246588 +aS'for\tfor\tIN\tB-PP\tO' +p246589 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p246590 +aS'difficulties\tdifficulty\tNNS\tI-NP\tO' +p246591 +aS'.\t.\t.\tO\tO' +p246592 +asS'Go to an Emergency Room if you experience symptoms including , but not necessarily limited to : new and continuing nausea , vomiting , fevers ( >101.5 F ) , chills , or shortness of breath .' +p246593 +(lp246594 +S'Go\tGo\tNN\tB-NP\tO' +p246595 +aS'to\tto\tTO\tB-PP\tO' +p246596 +aS'an\tan\tDT\tB-NP\tO' +p246597 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p246598 +aS'Room\tRoom\tNNP\tI-NP\tO' +p246599 +aS'if\tif\tIN\tB-SBAR\tO' +p246600 +aS'you\tyou\tPRP\tB-NP\tO' +p246601 +aS'experience\texperience\tVBP\tB-VP\tO' +p246602 +aS'symptoms\tsymptom\tNNS\tB-NP\tO' +p246603 +aS'including\tinclude\tVBG\tB-PP\tO' +p246604 +aS',\t,\t,\tO\tO' +p246605 +aS'but\tbut\tCC\tO\tO' +p246606 +aS'not\tnot\tRB\tB-VP\tO' +p246607 +aS'necessarily\tnecessarily\tRB\tI-VP\tO' +p246608 +aS'limited\tlimit\tVBN\tI-VP\tO' +p246609 +aS'to\tto\tTO\tB-PP\tO' +p246610 +aS':\t:\t:\tO\tO' +p246611 +aS'new\tnew\tJJ\tB-NP\tO' +p246612 +aS'and\tand\tCC\tI-NP\tO' +p246613 +aS'continuing\tcontinue\tVBG\tI-NP\tO' +p246614 +aS'nausea\tnausea\tNN\tI-NP\tO' +p246615 +aS',\t,\t,\tO\tO' +p246616 +aS'vomiting\tvomit\tVBG\tB-VP\tO' +p246617 +aS',\t,\t,\tO\tO' +p246618 +aS'fevers\tfever\tNNS\tB-NP\tO' +p246619 +aS'(\t(\t(\tO\tO' +p246620 +aS'>101.5\t>101.5\tCD\tB-NP\tO' +p246621 +aS'F\tF\tNN\tI-NP\tO' +p246622 +aS')\t)\t)\tO\tO' +p246623 +aS',\t,\t,\tO\tO' +p246624 +aS'chills\tchill\tNNS\tB-NP\tO' +p246625 +aS',\t,\t,\tO\tO' +p246626 +aS'or\tor\tCC\tO\tO' +p246627 +aS'shortness\tshortness\tNN\tB-NP\tO' +p246628 +aS'of\tof\tIN\tB-PP\tO' +p246629 +aS'breath\tbreath\tNN\tB-NP\tO' +p246630 +aS'.\t.\t.\tO\tO' +p246631 +asS'8. Oxybutynin Chloride 5 mg Tablet Sig : One ( 1 ) Tablet PO QPM ( once a day ( in the evening )).' +p246632 +(lp246633 +S'8.\t8.\tCD\tB-NP\tO' +p246634 +aS'Oxybutynin\tOxybutynin\tNN\tI-NP\tO' +p246635 +aS'Chloride\tChloride\tNN\tI-NP\tO' +p246636 +aS'5\t5\tCD\tI-NP\tO' +p246637 +aS'mg\tmg\tNN\tI-NP\tO' +p246638 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p246639 +aS'Sig\tSig\tNNP\tI-NP\tO' +p246640 +aS':\t:\t:\tO\tO' +p246641 +aS'One\tOne\tCD\tB-NP\tO' +p246642 +aS'(\t(\t(\tO\tO' +p246643 +aS'1\t1\tCD\tB-NP\tO' +p246644 +aS')\t)\t)\tO\tO' +p246645 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p246646 +aS'PO\tPO\tNN\tI-NP\tO' +p246647 +aS'QPM\tQPM\tNN\tI-NP\tO' +p246648 +aS'(\t(\t(\tO\tO' +p246649 +aS'once\tonce\tRB\tB-ADVP\tO' +p246650 +aS'a\ta\tDT\tB-NP\tO' +p246651 +aS'day\tday\tNN\tI-NP\tO' +p246652 +aS'(\t(\t(\tO\tO' +p246653 +aS'in\tin\tIN\tB-PP\tO' +p246654 +aS'the\tthe\tDT\tB-NP\tO' +p246655 +aS'evening\tevening\tNN\tI-NP\tO' +p246656 +aS')).\t)).\t.\tO\tO' +p246657 +asS'Her repeat on 9-8 , was 36.0 / 68.2 and her Coumadin was held .' +p246658 +(lp246659 +S'Her\tHer\tPRP$\tB-NP\tO' +p246660 +aS'repeat\trepeat\tNN\tI-NP\tO' +p246661 +aS'on\ton\tIN\tB-PP\tO' +p246662 +aS'9-8\t9-8\tCD\tB-NP\tO' +p246663 +aS',\t,\t,\tO\tO' +p246664 +aS'was\tbe\tVBD\tB-VP\tO' +p246665 +aS'36.0\t36.0\tCD\tB-NP\tO' +p246666 +aS'/\t/\tSYM\tB-NP\tO' +p246667 +aS'68.2\t68.2\tCD\tI-NP\tO' +p246668 +aS'and\tand\tCC\tO\tO' +p246669 +aS'her\ther\tPRP$\tB-NP\tO' +p246670 +aS'Coumadin\tCoumadin\tNN\tI-NP\tO' +p246671 +aS'was\tbe\tVBD\tB-VP\tO' +p246672 +aS'held\thold\tVBN\tI-VP\tO' +p246673 +aS'.\t.\t.\tO\tO' +p246674 +asS'1. Vancomycin 750 mg intravenous q 18h.' +p246675 +(lp246676 +S'1.\t1.\tLS\tB-NP\tO' +p246677 +aS'Vancomycin\tVancomycin\tNN\tI-NP\tB-protein' +p246678 +aS'750\t750\tCD\tB-NP\tI-protein' +p246679 +aS'mg\tmg\tNN\tI-NP\tI-protein' +p246680 +aS'intravenous\tintravenous\tJJ\tI-NP\tI-protein' +p246681 +aS'q\tq\tNN\tI-NP\tI-protein' +p246682 +aS'18h.\t18h.\t.\tO\tO' +p246683 +asS'2. Potassium Chloride 10 mEq Capsule , Sustained Release Sig : Two ( 2 ) Capsule , Sustained Release PO Q12H ( every 12 hours ) for 7 days .' +p246684 +(lp246685 +S'2.\t2.\tLS\tB-NP\tO' +p246686 +aS'Potassium\tPotassium\tNN\tI-NP\tO' +p246687 +aS'Chloride\tChloride\tNN\tI-NP\tO' +p246688 +aS'10\t10\tCD\tI-NP\tO' +p246689 +aS'mEq\tmEq\tNN\tI-NP\tO' +p246690 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p246691 +aS',\t,\t,\tO\tO' +p246692 +aS'Sustained\tSustained\tNNP\tB-NP\tO' +p246693 +aS'Release\tRelease\tNNP\tI-NP\tO' +p246694 +aS'Sig\tSig\tNNP\tI-NP\tB-protein' +p246695 +aS':\t:\t:\tO\tO' +p246696 +aS'Two\tTwo\tCD\tB-NP\tO' +p246697 +aS'(\t(\t(\tO\tO' +p246698 +aS'2\t2\tCD\tB-NP\tO' +p246699 +aS')\t)\t)\tO\tO' +p246700 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p246701 +aS',\t,\t,\tO\tO' +p246702 +aS'Sustained\tSustained\tNNP\tB-NP\tO' +p246703 +aS'Release\tRelease\tNNP\tI-NP\tO' +p246704 +aS'PO\tPO\tNN\tI-NP\tO' +p246705 +aS'Q12H\tQ12H\tNN\tI-NP\tO' +p246706 +aS'(\t(\t(\tO\tO' +p246707 +aS'every\tevery\tDT\tB-NP\tO' +p246708 +aS'12\t12\tCD\tI-NP\tO' +p246709 +aS'hours\thour\tNNS\tI-NP\tO' +p246710 +aS')\t)\t)\tO\tO' +p246711 +aS'for\tfor\tIN\tB-PP\tO' +p246712 +aS'7\t7\tCD\tB-NP\tO' +p246713 +aS'days\tday\tNNS\tI-NP\tO' +p246714 +aS'.\t.\t.\tO\tO' +p246715 +asS'Hemodialysis s / p abdominal fat pad biopsy 11/2/06' +p246716 +(lp246717 +S'Hemodialysis\tHemodialysis\tNN\tB-NP\tO' +p246718 +aS's\ts\tNN\tI-NP\tO' +p246719 +aS'/\t/\tSYM\tB-NP\tO' +p246720 +aS'p\tp\tNN\tI-NP\tO' +p246721 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p246722 +aS'fat\tfat\tJJ\tI-NP\tO' +p246723 +aS'pad\tpad\tNN\tI-NP\tO' +p246724 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p246725 +aS'11/2/06\t11/2/06\tCD\tI-NP\tO' +p246726 +asS'6. Ileus .' +p246727 +(lp246728 +S'6.\t6.\tLS\tB-LST\tO' +p246729 +aS'Ileus\tIleus\tNNP\tB-NP\tO' +p246730 +aS'.\t.\t.\tO\tO' +p246731 +asS'McLean Hospital & Rehab Center - Tewksbury State Hospital' +p246732 +(lp246733 +S'McLean\tMcLean\tNNP\tB-NP\tO' +p246734 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p246735 +aS'&\t&\tCC\tI-NP\tO' +p246736 +aS'Rehab\tRehab\tNNP\tI-NP\tO' +p246737 +aS'Center\tCenter\tNNP\tI-NP\tO' +p246738 +aS'-\t-\tHYPH\tB-NP\tO' +p246739 +aS'Tewksbury\tTewksbury\tNNP\tI-NP\tO' +p246740 +aS'State\tState\tNNP\tI-NP\tO' +p246741 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p246742 +asS'Serial enzymes showed mild elevation of troponins .' +p246743 +(lp246744 +S'Serial\tSerial\tJJ\tB-NP\tB-protein' +p246745 +aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' +p246746 +aS'showed\tshow\tVBD\tB-VP\tO' +p246747 +aS'mild\tmild\tJJ\tB-NP\tO' +p246748 +aS'elevation\televation\tNN\tI-NP\tO' +p246749 +aS'of\tof\tIN\tB-PP\tO' +p246750 +aS'troponins\ttroponin\tNNS\tB-NP\tB-protein' +p246751 +aS'.\t.\t.\tO\tO' +p246752 +asS'No apnea or bradycardia .' +p246753 +(lp246754 +S'No\tNo\tDT\tB-NP\tO' +p246755 +aS'apnea\tapnea\tNN\tI-NP\tO' +p246756 +aS'or\tor\tCC\tI-NP\tO' +p246757 +aS'bradycardia\tbradycardia\tNN\tI-NP\tO' +p246758 +aS'.\t.\t.\tO\tO' +p246759 +asS'She was continued on keppra and dilantin with trough checked frequently and adjustment as needed .' +p246760 +(lp246761 +S'She\tShe\tPRP\tB-NP\tO' +p246762 +aS'was\tbe\tVBD\tB-VP\tO' +p246763 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p246764 +aS'on\ton\tIN\tB-PP\tO' +p246765 +aS'keppra\tkeppra\tNN\tB-NP\tO' +p246766 +aS'and\tand\tCC\tI-NP\tO' +p246767 +aS'dilantin\tdilantin\tNN\tI-NP\tO' +p246768 +aS'with\twith\tIN\tB-PP\tO' +p246769 +aS'trough\ttrough\tNN\tB-NP\tO' +p246770 +aS'checked\tcheck\tVBD\tB-VP\tO' +p246771 +aS'frequently\tfrequently\tRB\tB-ADVP\tO' +p246772 +aS'and\tand\tCC\tO\tO' +p246773 +aS'adjustment\tadjustment\tNN\tB-NP\tO' +p246774 +aS'as\tas\tIN\tB-SBAR\tO' +p246775 +aS'needed\tneed\tVBN\tB-VP\tO' +p246776 +aS'.\t.\t.\tO\tO' +p246777 +asS'The patient 's respiratory status was stable .' +p246778 +(lp246779 +S'The\tThe\tDT\tB-NP\tO' +p246780 +aS'patient\tpatient\tNN\tI-NP\tO' +p246781 +aS''s\t'\tNNS\tI-NP\tO' +p246782 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p246783 +aS'status\tstatus\tNN\tI-NP\tO' +p246784 +aS'was\tbe\tVBD\tB-VP\tO' +p246785 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p246786 +aS'.\t.\t.\tO\tO' +p246787 +asS'none .' +p246788 +(lp246789 +S'none\tnone\tNN\tB-NP\tO' +p246790 +aS'.\t.\t.\tO\tO' +p246791 +asS'( 870 ) 559-0424 .' +p246792 +(lp246793 +S'(\t(\t(\tO\tO' +p246794 +aS'870\t870\tCD\tB-NP\tO' +p246795 +aS')\t)\t)\tO\tO' +p246796 +aS'559-0424\t559-0424\tCD\tB-NP\tO' +p246797 +aS'.\t.\t.\tO\tO' +p246798 +asS'This operation was performed 2/11/02 by Dr. Doje Para .' +p246799 +(lp246800 +S'This\tThis\tDT\tB-NP\tO' +p246801 +aS'operation\toperation\tNN\tI-NP\tO' +p246802 +aS'was\tbe\tVBD\tB-VP\tO' +p246803 +aS'performed\tperform\tVBN\tI-VP\tO' +p246804 +aS'2/11/02\t2/11/02\tCD\tB-NP\tO' +p246805 +aS'by\tby\tIN\tB-PP\tO' +p246806 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p246807 +aS'Doje\tDoje\tNNP\tI-NP\tO' +p246808 +aS'Para\tPara\tNNP\tI-NP\tO' +p246809 +aS'.\t.\t.\tO\tO' +p246810 +asS'PAF : started on amio , cont b-blocker , and patient was started on coumadin - levels ( inr ) should be monitored .' +p246811 +(lp246812 +S'PAF\tPAF\tNN\tB-NP\tB-protein' +p246813 +aS':\t:\t:\tO\tO' +p246814 +aS'started\tstart\tVBN\tB-VP\tO' +p246815 +aS'on\ton\tIN\tB-PP\tO' +p246816 +aS'amio\tamio\tNN\tB-NP\tO' +p246817 +aS',\t,\t,\tO\tO' +p246818 +aS'cont\tcont\tNN\tB-NP\tO' +p246819 +aS'b-blocker\tb-blocker\tNN\tI-NP\tO' +p246820 +aS',\t,\t,\tO\tO' +p246821 +aS'and\tand\tCC\tO\tO' +p246822 +aS'patient\tpatient\tNN\tB-NP\tO' +p246823 +aS'was\tbe\tVBD\tB-VP\tO' +p246824 +aS'started\tstart\tVBN\tI-VP\tO' +p246825 +aS'on\ton\tIN\tB-PP\tO' +p246826 +aS'coumadin\tcoumadin\tNN\tB-NP\tO' +p246827 +aS'-\t-\tHYPH\tO\tO' +p246828 +aS'levels\tlevel\tNNS\tB-NP\tO' +p246829 +aS'(\t(\t(\tO\tO' +p246830 +aS'inr\tinr\tNN\tB-NP\tO' +p246831 +aS')\t)\t)\tO\tO' +p246832 +aS'should\tshould\tMD\tB-VP\tO' +p246833 +aS'be\tbe\tVB\tI-VP\tO' +p246834 +aS'monitored\tmonitor\tVBN\tI-VP\tO' +p246835 +aS'.\t.\t.\tO\tO' +p246836 +asS'She was admitted to the Thoracic Surgery Service under the care of Dr. Sccrookes .' +p246837 +(lp246838 +S'She\tShe\tPRP\tB-NP\tO' +p246839 +aS'was\tbe\tVBD\tB-VP\tO' +p246840 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p246841 +aS'to\tto\tTO\tB-PP\tO' +p246842 +aS'the\tthe\tDT\tB-NP\tO' +p246843 +aS'Thoracic\tThoracic\tNNP\tI-NP\tO' +p246844 +aS'Surgery\tSurgery\tNNP\tI-NP\tO' +p246845 +aS'Service\tService\tNNP\tI-NP\tO' +p246846 +aS'under\tunder\tIN\tB-PP\tO' +p246847 +aS'the\tthe\tDT\tB-NP\tO' +p246848 +aS'care\tcare\tNN\tI-NP\tO' +p246849 +aS'of\tof\tIN\tB-PP\tO' +p246850 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p246851 +aS'Sccrookes\tSccrookes\tNNP\tI-NP\tO' +p246852 +aS'.\t.\t.\tO\tO' +p246853 +asS'Patient was diuresed effectively with nesiritide and Lasix .' +p246854 +(lp246855 +S'Patient\tPatient\tNN\tB-NP\tO' +p246856 +aS'was\tbe\tVBD\tB-VP\tO' +p246857 +aS'diuresed\tdiurese\tVBN\tI-VP\tO' +p246858 +aS'effectively\teffectively\tRB\tB-ADVP\tO' +p246859 +aS'with\twith\tIN\tB-PP\tO' +p246860 +aS'nesiritide\tnesiritide\tNN\tB-NP\tO' +p246861 +aS'and\tand\tCC\tI-NP\tO' +p246862 +aS'Lasix\tLasix\tNN\tI-NP\tO' +p246863 +aS'.\t.\t.\tO\tO' +p246864 +asS'Right ventricular chamber size and free wall motion are normal .' +p246865 +(lp246866 +S'Right\tRight\tRB\tB-NP\tO' +p246867 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p246868 +aS'chamber\tchamber\tNN\tI-NP\tO' +p246869 +aS'size\tsize\tNN\tI-NP\tO' +p246870 +aS'and\tand\tCC\tO\tO' +p246871 +aS'free\tfree\tJJ\tB-NP\tO' +p246872 +aS'wall\twall\tNN\tI-NP\tO' +p246873 +aS'motion\tmotion\tNN\tI-NP\tO' +p246874 +aS'are\tbe\tVBP\tB-VP\tO' +p246875 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p246876 +aS'.\t.\t.\tO\tO' +p246877 +asS'Transfusions of platelets did not change his platelet count , presumably because of sequestration and a massive spleen .' +p246878 +(lp246879 +S'Transfusions\tTransfusion\tNNS\tB-NP\tO' +p246880 +aS'of\tof\tIN\tB-PP\tO' +p246881 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p246882 +aS'did\tdo\tVBD\tB-VP\tO' +p246883 +aS'not\tnot\tRB\tI-VP\tO' +p246884 +aS'change\tchange\tVB\tI-VP\tO' +p246885 +aS'his\this\tPRP$\tB-NP\tO' +p246886 +aS'platelet\tplatelet\tNN\tI-NP\tO' +p246887 +aS'count\tcount\tNN\tI-NP\tO' +p246888 +aS',\t,\t,\tO\tO' +p246889 +aS'presumably\tpresumably\tRB\tB-ADVP\tO' +p246890 +aS'because\tbecause\tIN\tB-PP\tO' +p246891 +aS'of\tof\tIN\tI-PP\tO' +p246892 +aS'sequestration\tsequestration\tNN\tB-NP\tO' +p246893 +aS'and\tand\tCC\tO\tO' +p246894 +aS'a\ta\tDT\tB-NP\tO' +p246895 +aS'massive\tmassive\tJJ\tI-NP\tO' +p246896 +aS'spleen\tspleen\tNN\tI-NP\tO' +p246897 +aS'.\t.\t.\tO\tO' +p246898 +asS'The SGOT was 994 , LDH 1,888 , alkaline phosphatase 92 , total bilirubin 2.9 and direct bilirubin 11.2 .' +p246899 +(lp246900 +S'The\tThe\tDT\tB-NP\tO' +p246901 +aS'SGOT\tSGOT\tNN\tI-NP\tB-protein' +p246902 +aS'was\tbe\tVBD\tB-VP\tO' +p246903 +aS'994\t994\tCD\tB-NP\tO' +p246904 +aS',\t,\t,\tO\tO' +p246905 +aS'LDH\tLDH\tNN\tB-NP\tB-protein' +p246906 +aS'1,888\t1,888\tCD\tI-NP\tI-protein' +p246907 +aS',\t,\t,\tO\tO' +p246908 +aS'alkaline\talkaline\tNN\tB-NP\tO' +p246909 +aS'phosphatase\tphosphatase\tNN\tI-NP\tO' +p246910 +aS'92\t92\tCD\tI-NP\tO' +p246911 +aS',\t,\t,\tO\tO' +p246912 +aS'total\ttotal\tJJ\tB-NP\tO' +p246913 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p246914 +aS'2.9\t2.9\tCD\tI-NP\tO' +p246915 +aS'and\tand\tCC\tO\tO' +p246916 +aS'direct\tdirect\tJJ\tB-NP\tO' +p246917 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p246918 +aS'11.2\t11.2\tCD\tI-NP\tO' +p246919 +aS'.\t.\t.\tO\tO' +p246920 +asS'Signed electronically by : DR. Tammy Thompson on : FRI 2015-11-27 8:46 PM' +p246921 +(lp246922 +S'Signed\tSign\tVBN\tB-VP\tO' +p246923 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p246924 +aS'by\tby\tIN\tB-PP\tO' +p246925 +aS':\t:\t:\tO\tO' +p246926 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p246927 +aS'Tammy\tTammy\tNNP\tI-NP\tO' +p246928 +aS'Thompson\tThompson\tNNP\tI-NP\tO' +p246929 +aS'on\ton\tIN\tB-PP\tO' +p246930 +aS':\t:\t:\tO\tO' +p246931 +aS'FRI\tFRI\tCD\tB-NP\tO' +p246932 +aS'2015-11-27\t2015-11-27\tCD\tI-NP\tO' +p246933 +aS'8:46\t8:46\tCD\tI-NP\tO' +p246934 +aS'PM\tPM\tNN\tI-NP\tO' +p246935 +asS'This acutely worsened on 2017-09-18 , when the patient was found to have mental status changes and an ABG revealed a CO2 of over 100 , likley due to a depressed respiratory drive secondary to sedatives given for agitation on top of a preexisting alkalosis .' +p246936 +(lp246937 +S'This\tThis\tDT\tB-NP\tO' +p246938 +aS'acutely\tacutely\tRB\tB-VP\tO' +p246939 +aS'worsened\tworsen\tVBN\tI-VP\tO' +p246940 +aS'on\ton\tIN\tB-PP\tO' +p246941 +aS'2017-09-18\t2017-09-18\tCD\tB-NP\tO' +p246942 +aS',\t,\t,\tO\tO' +p246943 +aS'when\twhen\tWRB\tB-ADVP\tO' +p246944 +aS'the\tthe\tDT\tB-NP\tO' +p246945 +aS'patient\tpatient\tNN\tI-NP\tO' +p246946 +aS'was\tbe\tVBD\tB-VP\tO' +p246947 +aS'found\tfind\tVBN\tI-VP\tO' +p246948 +aS'to\tto\tTO\tI-VP\tO' +p246949 +aS'have\thave\tVB\tI-VP\tO' +p246950 +aS'mental\tmental\tJJ\tB-NP\tO' +p246951 +aS'status\tstatus\tNN\tI-NP\tO' +p246952 +aS'changes\tchange\tNNS\tI-NP\tO' +p246953 +aS'and\tand\tCC\tO\tO' +p246954 +aS'an\tan\tDT\tB-NP\tO' +p246955 +aS'ABG\tABG\tNNP\tI-NP\tO' +p246956 +aS'revealed\treveal\tVBD\tB-VP\tO' +p246957 +aS'a\ta\tDT\tB-NP\tO' +p246958 +aS'CO2\tCO2\tNN\tI-NP\tB-protein' +p246959 +aS'of\tof\tIN\tB-PP\tO' +p246960 +aS'over\tover\tIN\tB-PP\tO' +p246961 +aS'100\t100\tCD\tB-NP\tO' +p246962 +aS',\t,\t,\tO\tO' +p246963 +aS'likley\tlikley\tNN\tB-NP\tO' +p246964 +aS'due\tdue\tJJ\tB-ADJP\tO' +p246965 +aS'to\tto\tTO\tB-PP\tO' +p246966 +aS'a\ta\tDT\tB-NP\tO' +p246967 +aS'depressed\tdepressed\tJJ\tI-NP\tO' +p246968 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p246969 +aS'drive\tdrive\tNN\tI-NP\tO' +p246970 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p246971 +aS'to\tto\tTO\tB-PP\tO' +p246972 +aS'sedatives\tsedative\tNNS\tB-NP\tO' +p246973 +aS'given\tgive\tVBN\tB-VP\tO' +p246974 +aS'for\tfor\tIN\tB-PP\tO' +p246975 +aS'agitation\tagitation\tNN\tB-NP\tO' +p246976 +aS'on\ton\tIN\tB-PP\tO' +p246977 +aS'top\ttop\tNN\tB-NP\tO' +p246978 +aS'of\tof\tIN\tB-PP\tO' +p246979 +aS'a\ta\tDT\tB-NP\tO' +p246980 +aS'preexisting\tpreexisting\tJJ\tI-NP\tO' +p246981 +aS'alkalosis\talkalosis\tNN\tI-NP\tO' +p246982 +aS'.\t.\t.\tO\tO' +p246983 +asS'The patient was subsequently transferred to Youville Hospital for cardiac catheterization .' +p246984 +(lp246985 +S'The\tThe\tDT\tB-NP\tO' +p246986 +aS'patient\tpatient\tNN\tI-NP\tO' +p246987 +aS'was\tbe\tVBD\tB-VP\tO' +p246988 +aS'subsequently\tsubsequently\tRB\tI-VP\tO' +p246989 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p246990 +aS'to\tto\tTO\tB-PP\tO' +p246991 +aS'Youville\tYouville\tNNP\tB-NP\tO' +p246992 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p246993 +aS'for\tfor\tIN\tB-PP\tO' +p246994 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p246995 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p246996 +aS'.\t.\t.\tO\tO' +p246997 +asS'Her Apgars were 7 at 1 minute and 9 at 5 minutes .' +p246998 +(lp246999 +S'Her\tHer\tPRP$\tB-NP\tO' +p247000 +aS'Apgars\tApgar\tNNS\tI-NP\tO' +p247001 +aS'were\tbe\tVBD\tB-VP\tO' +p247002 +aS'7\t7\tCD\tB-NP\tO' +p247003 +aS'at\tat\tIN\tB-PP\tO' +p247004 +aS'1\t1\tCD\tB-NP\tO' +p247005 +aS'minute\tminute\tNN\tI-NP\tO' +p247006 +aS'and\tand\tCC\tO\tO' +p247007 +aS'9\t9\tCD\tB-NP\tO' +p247008 +aS'at\tat\tIN\tB-PP\tO' +p247009 +aS'5\t5\tCD\tB-NP\tO' +p247010 +aS'minutes\tminute\tNNS\tI-NP\tO' +p247011 +aS'.\t.\t.\tO\tO' +p247012 +asS'Mild flaring .' +p247013 +(lp247014 +S'Mild\tMild\tNNP\tB-NP\tO' +p247015 +aS'flaring\tflare\tVBG\tB-VP\tO' +p247016 +aS'.\t.\t.\tO\tO' +p247017 +asS'DOXEPIN CAUSES ITCHING .' +p247018 +(lp247019 +S'DOXEPIN\tDOXEPIN\tNNP\tB-NP\tO' +p247020 +aS'CAUSES\tCAUSES\tNNP\tI-NP\tO' +p247021 +aS'ITCHING\tITCHING\tNNP\tI-NP\tO' +p247022 +aS'.\t.\t.\tO\tO' +p247023 +asS'10. Trusopt 1gtt in left eye three times a day .' +p247024 +(lp247025 +S'10.\t10.\tLS\tB-NP\tO' +p247026 +aS'Trusopt\tTrusopt\tNNP\tI-NP\tO' +p247027 +aS'1gtt\t1gtt\tNN\tI-NP\tO' +p247028 +aS'in\tin\tIN\tB-PP\tO' +p247029 +aS'left\tleft\tJJ\tB-NP\tO' +p247030 +aS'eye\teye\tNN\tI-NP\tO' +p247031 +aS'three\tthree\tCD\tB-NP\tO' +p247032 +aS'times\ttime\tNNS\tI-NP\tO' +p247033 +aS'a\ta\tDT\tB-NP\tO' +p247034 +aS'day\tday\tNN\tI-NP\tO' +p247035 +aS'.\t.\t.\tO\tO' +p247036 +asS'I have spoken with the patient in detail , and he will be getting in touch with his primary-care physician , Dr. Fordwoodall Stick , in Ranegei Pkwy , Verertliet , South Carolina 62156 .' +p247037 +(lp247038 +S'I\tI\tPRP\tB-NP\tO' +p247039 +aS'have\thave\tVBP\tB-VP\tO' +p247040 +aS'spoken\tspeak\tVBN\tI-VP\tO' +p247041 +aS'with\twith\tIN\tB-PP\tO' +p247042 +aS'the\tthe\tDT\tB-NP\tO' +p247043 +aS'patient\tpatient\tNN\tI-NP\tO' +p247044 +aS'in\tin\tIN\tB-PP\tO' +p247045 +aS'detail\tdetail\tNN\tB-NP\tO' +p247046 +aS',\t,\t,\tO\tO' +p247047 +aS'and\tand\tCC\tO\tO' +p247048 +aS'he\the\tPRP\tB-NP\tO' +p247049 +aS'will\twill\tMD\tB-VP\tO' +p247050 +aS'be\tbe\tVB\tI-VP\tO' +p247051 +aS'getting\tget\tVBG\tI-VP\tO' +p247052 +aS'in\tin\tIN\tB-PP\tO' +p247053 +aS'touch\ttouch\tNN\tB-NP\tO' +p247054 +aS'with\twith\tIN\tB-PP\tO' +p247055 +aS'his\this\tPRP$\tB-NP\tO' +p247056 +aS'primary-care\tprimary-care\tJJ\tI-NP\tO' +p247057 +aS'physician\tphysician\tNN\tI-NP\tO' +p247058 +aS',\t,\t,\tO\tO' +p247059 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p247060 +aS'Fordwoodall\tFordwoodall\tNNP\tI-NP\tO' +p247061 +aS'Stick\tStick\tNNP\tI-NP\tO' +p247062 +aS',\t,\t,\tO\tO' +p247063 +aS'in\tin\tIN\tB-PP\tO' +p247064 +aS'Ranegei\tRanegei\tNNP\tB-NP\tO' +p247065 +aS'Pkwy\tPkwy\tNNP\tI-NP\tO' +p247066 +aS',\t,\t,\tO\tO' +p247067 +aS'Verertliet\tVerertliet\tNNP\tB-NP\tO' +p247068 +aS',\t,\t,\tO\tO' +p247069 +aS'South\tSouth\tNNP\tB-NP\tO' +p247070 +aS'Carolina\tCarolina\tNNP\tI-NP\tO' +p247071 +aS'62156\t62156\tCD\tI-NP\tO' +p247072 +aS'.\t.\t.\tO\tO' +p247073 +asS'She has intact sensation L3 to S1 and bilateral lower extremities .' +p247074 +(lp247075 +S'She\tShe\tPRP\tB-NP\tO' +p247076 +aS'has\thave\tVBZ\tB-VP\tO' +p247077 +aS'intact\tintact\tJJ\tB-NP\tO' +p247078 +aS'sensation\tsensation\tNN\tI-NP\tO' +p247079 +aS'L3\tL3\tNN\tI-NP\tO' +p247080 +aS'to\tto\tTO\tB-PP\tO' +p247081 +aS'S1\tS1\tNN\tB-NP\tB-protein' +p247082 +aS'and\tand\tCC\tO\tO' +p247083 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p247084 +aS'lower\tlow\tJJR\tI-NP\tO' +p247085 +aS'extremities\textremity\tNNS\tI-NP\tO' +p247086 +aS'.\t.\t.\tO\tO' +p247087 +asS'There was no jugular venous distention .' +p247088 +(lp247089 +S'There\tThere\tEX\tB-NP\tO' +p247090 +aS'was\tbe\tVBD\tB-VP\tO' +p247091 +aS'no\tno\tDT\tB-NP\tO' +p247092 +aS'jugular\tjugular\tJJ\tI-NP\tO' +p247093 +aS'venous\tvenous\tJJ\tI-NP\tO' +p247094 +aS'distention\tdistention\tNN\tI-NP\tO' +p247095 +aS'.\t.\t.\tO\tO' +p247096 +asS'Baby was vigorous at birth and received routine DR Johnson .' +p247097 +(lp247098 +S'Baby\tBaby\tNNP\tB-NP\tO' +p247099 +aS'was\tbe\tVBD\tB-VP\tO' +p247100 +aS'vigorous\tvigorous\tJJ\tB-ADJP\tO' +p247101 +aS'at\tat\tIN\tB-PP\tO' +p247102 +aS'birth\tbirth\tNN\tB-NP\tO' +p247103 +aS'and\tand\tCC\tO\tO' +p247104 +aS'received\treceive\tVBD\tB-VP\tO' +p247105 +aS'routine\troutine\tJJ\tB-NP\tO' +p247106 +aS'DR\tDR\tNNP\tI-NP\tO' +p247107 +aS'Johnson\tJohnson\tNNP\tI-NP\tO' +p247108 +aS'.\t.\t.\tO\tO' +p247109 +asS'On admission .' +p247110 +(lp247111 +S'On\tOn\tIN\tB-PP\tO' +p247112 +aS'admission\tadmission\tNN\tB-NP\tO' +p247113 +aS'.\t.\t.\tO\tO' +p247114 +asS'2. Stable appearance of left adrenal fat-containing lesion consistent with a myelolipoma .' +p247115 +(lp247116 +S'2.\t2.\tLS\tB-NP\tO' +p247117 +aS'Stable\tStable\tJJ\tI-NP\tO' +p247118 +aS'appearance\tappearance\tNN\tI-NP\tO' +p247119 +aS'of\tof\tIN\tB-PP\tO' +p247120 +aS'left\tleft\tJJ\tB-NP\tO' +p247121 +aS'adrenal\tadrenal\tJJ\tI-NP\tO' +p247122 +aS'fat-containing\tfat-containing\tJJ\tI-NP\tO' +p247123 +aS'lesion\tlesion\tNN\tI-NP\tO' +p247124 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p247125 +aS'with\twith\tIN\tB-PP\tO' +p247126 +aS'a\ta\tDT\tB-NP\tO' +p247127 +aS'myelolipoma\tmyelolipoma\tNN\tI-NP\tO' +p247128 +aS'.\t.\t.\tO\tO' +p247129 +asS'He denies any IV drug use , did describe cocaine use last two months ago .' +p247130 +(lp247131 +S'He\tHe\tPRP\tB-NP\tO' +p247132 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p247133 +aS'any\tany\tDT\tB-NP\tO' +p247134 +aS'IV\tIV\tCD\tI-NP\tO' +p247135 +aS'drug\tdrug\tNN\tI-NP\tO' +p247136 +aS'use\tuse\tNN\tI-NP\tO' +p247137 +aS',\t,\t,\tO\tO' +p247138 +aS'did\tdo\tVBD\tB-VP\tO' +p247139 +aS'describe\tdescribe\tNN\tB-NP\tO' +p247140 +aS'cocaine\tcocaine\tNN\tI-NP\tO' +p247141 +aS'use\tuse\tNN\tI-NP\tO' +p247142 +aS'last\tlast\tJJ\tB-NP\tO' +p247143 +aS'two\ttwo\tCD\tI-NP\tO' +p247144 +aS'months\tmonth\tNNS\tI-NP\tO' +p247145 +aS'ago\tago\tRB\tB-ADVP\tO' +p247146 +aS'.\t.\t.\tO\tO' +p247147 +asS'On the floor , the patient was noted to do extremely well .' +p247148 +(lp247149 +S'On\tOn\tIN\tB-PP\tO' +p247150 +aS'the\tthe\tDT\tB-NP\tO' +p247151 +aS'floor\tfloor\tNN\tI-NP\tO' +p247152 +aS',\t,\t,\tO\tO' +p247153 +aS'the\tthe\tDT\tB-NP\tO' +p247154 +aS'patient\tpatient\tNN\tI-NP\tO' +p247155 +aS'was\tbe\tVBD\tB-VP\tO' +p247156 +aS'noted\tnote\tVBN\tI-VP\tO' +p247157 +aS'to\tto\tTO\tI-VP\tO' +p247158 +aS'do\tdo\tVB\tI-VP\tO' +p247159 +aS'extremely\textremely\tRB\tB-ADVP\tO' +p247160 +aS'well\twell\tRB\tI-ADVP\tO' +p247161 +aS'.\t.\t.\tO\tO' +p247162 +asS'Chest pain ; R / o' +p247163 +(lp247164 +S'Chest\tCh\tJJS\tB-NP\tO' +p247165 +aS'pain\tpain\tNN\tI-NP\tO' +p247166 +aS';\t;\t:\tO\tO' +p247167 +aS'R\tR\tNN\tB-NP\tB-protein' +p247168 +aS'/\t/\tSYM\tB-VP\tO' +p247169 +aS'o\to\tNN\tB-NP\tO' +p247170 +asS'Resting regional wall motion abnormalities include mild apical hypokinesis .' +p247171 +(lp247172 +S'Resting\tRest\tVBG\tB-VP\tO' +p247173 +aS'regional\tregional\tJJ\tB-NP\tO' +p247174 +aS'wall\twall\tNN\tI-NP\tO' +p247175 +aS'motion\tmotion\tNN\tI-NP\tO' +p247176 +aS'abnormalities\tabnormality\tNNS\tI-NP\tO' +p247177 +aS'include\tinclude\tVBP\tB-VP\tO' +p247178 +aS'mild\tmild\tJJ\tB-NP\tO' +p247179 +aS'apical\tapical\tJJ\tI-NP\tO' +p247180 +aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' +p247181 +aS'.\t.\t.\tO\tO' +p247182 +asS'She was discharged on post-op day 11 .' +p247183 +(lp247184 +S'She\tShe\tPRP\tB-NP\tO' +p247185 +aS'was\tbe\tVBD\tB-VP\tO' +p247186 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p247187 +aS'on\ton\tIN\tB-PP\tO' +p247188 +aS'post-op\tpost-op\tJJ\tB-NP\tO' +p247189 +aS'day\tday\tNN\tI-NP\tO' +p247190 +aS'11\t11\tCD\tI-NP\tO' +p247191 +aS'.\t.\t.\tO\tO' +p247192 +asS'2. Right rotator cuff injury .' +p247193 +(lp247194 +S'2.\t2.\tLS\tB-NP\tO' +p247195 +aS'Right\tRight\tNN\tI-NP\tO' +p247196 +aS'rotator\trotator\tNN\tI-NP\tO' +p247197 +aS'cuff\tcuff\tNN\tI-NP\tO' +p247198 +aS'injury\tinjury\tNN\tI-NP\tO' +p247199 +aS'.\t.\t.\tO\tO' +p247200 +asS"After lengthy discussion , the patient 's wife opted to make him DNR on afternoon of 2013-11-11 ." +p247201 +(lp247202 +S'After\tAfter\tIN\tB-PP\tO' +p247203 +aS'lengthy\tlengthy\tJJ\tB-NP\tO' +p247204 +aS'discussion\tdiscussion\tNN\tI-NP\tO' +p247205 +aS',\t,\t,\tO\tO' +p247206 +aS'the\tthe\tDT\tB-NP\tO' +p247207 +aS'patient\tpatient\tNN\tI-NP\tO' +p247208 +aS"'s\t's\tPOS\tB-NP\tO" +p247209 +aS'wife\twife\tNN\tI-NP\tO' +p247210 +aS'opted\topte\tVBD\tB-VP\tO' +p247211 +aS'to\tto\tTO\tI-VP\tO' +p247212 +aS'make\tmake\tVB\tI-VP\tO' +p247213 +aS'him\thim\tPRP\tB-NP\tO' +p247214 +aS'DNR\tDNR\tNN\tB-NP\tB-protein' +p247215 +aS'on\ton\tIN\tB-PP\tO' +p247216 +aS'afternoon\tafternoon\tNN\tB-NP\tO' +p247217 +aS'of\tof\tIN\tB-PP\tO' +p247218 +aS'2013-11-11\t2013-11-11\tCD\tB-NP\tO' +p247219 +aS'.\t.\t.\tO\tO' +p247220 +asS'Heart rate is 55 , blood pressure is 129/79 , Respiratory rate is 22 , O2 sat is 96 percent on 2 liters .' +p247221 +(lp247222 +S'Heart\tHeart\tNN\tB-NP\tO' +p247223 +aS'rate\trate\tNN\tI-NP\tO' +p247224 +aS'is\tbe\tVBZ\tB-VP\tO' +p247225 +aS'55\t55\tCD\tB-NP\tO' +p247226 +aS',\t,\t,\tO\tO' +p247227 +aS'blood\tblood\tNN\tB-NP\tO' +p247228 +aS'pressure\tpressure\tNN\tI-NP\tO' +p247229 +aS'is\tbe\tVBZ\tB-VP\tO' +p247230 +aS'129/79\t129/79\tCD\tB-NP\tO' +p247231 +aS',\t,\t,\tO\tO' +p247232 +aS'Respiratory\tRespiratory\tJJ\tB-NP\tO' +p247233 +aS'rate\trate\tNN\tI-NP\tO' +p247234 +aS'is\tbe\tVBZ\tB-VP\tO' +p247235 +aS'22\t22\tCD\tB-NP\tO' +p247236 +aS',\t,\t,\tO\tO' +p247237 +aS'O2\tO2\tNN\tB-NP\tO' +p247238 +aS'sat\tsat\tNN\tI-NP\tO' +p247239 +aS'is\tbe\tVBZ\tB-VP\tO' +p247240 +aS'96\t96\tCD\tB-NP\tO' +p247241 +aS'percent\tpercent\tNN\tI-NP\tO' +p247242 +aS'on\ton\tIN\tB-PP\tO' +p247243 +aS'2\t2\tCD\tB-NP\tO' +p247244 +aS'liters\tliter\tNNS\tI-NP\tO' +p247245 +aS'.\t.\t.\tO\tO' +p247246 +asS'Take consistently with meals or on empty stomach .' +p247247 +(lp247248 +S'Take\tTake\tVB\tB-VP\tO' +p247249 +aS'consistently\tconsistently\tRB\tB-ADVP\tO' +p247250 +aS'with\twith\tIN\tB-PP\tO' +p247251 +aS'meals\tmeal\tNNS\tB-NP\tO' +p247252 +aS'or\tor\tCC\tB-PP\tO' +p247253 +aS'on\ton\tIN\tB-PP\tO' +p247254 +aS'empty\tempty\tJJ\tB-NP\tO' +p247255 +aS'stomach\tstomach\tNN\tI-NP\tO' +p247256 +aS'.\t.\t.\tO\tO' +p247257 +asS'The patient tolerated the procedure well and demonstrated a postoperative hematocrit of 40.9 .' +p247258 +(lp247259 +S'The\tThe\tDT\tB-NP\tO' +p247260 +aS'patient\tpatient\tNN\tI-NP\tO' +p247261 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p247262 +aS'the\tthe\tDT\tB-NP\tO' +p247263 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p247264 +aS'well\twell\tRB\tB-ADVP\tO' +p247265 +aS'and\tand\tCC\tO\tO' +p247266 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p247267 +aS'a\ta\tDT\tB-NP\tO' +p247268 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p247269 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p247270 +aS'of\tof\tIN\tB-PP\tO' +p247271 +aS'40.9\t40.9\tCD\tB-NP\tO' +p247272 +aS'.\t.\t.\tO\tO' +p247273 +asS'Stool was sent for ova and parasites .' +p247274 +(lp247275 +S'Stool\tStool\tNN\tB-NP\tO' +p247276 +aS'was\tbe\tVBD\tB-VP\tO' +p247277 +aS'sent\tsend\tVBN\tI-VP\tO' +p247278 +aS'for\tfor\tIN\tB-PP\tO' +p247279 +aS'ova\tova\tNN\tB-NP\tO' +p247280 +aS'and\tand\tCC\tI-NP\tO' +p247281 +aS'parasites\tparasite\tNNS\tI-NP\tO' +p247282 +aS'.\t.\t.\tO\tO' +p247283 +asS'The motor tone was within normal limits in the upper and lower extremities .' +p247284 +(lp247285 +S'The\tThe\tDT\tB-NP\tO' +p247286 +aS'motor\tmotor\tNN\tI-NP\tO' +p247287 +aS'tone\ttone\tNN\tI-NP\tO' +p247288 +aS'was\tbe\tVBD\tB-VP\tO' +p247289 +aS'within\twithin\tIN\tB-PP\tO' +p247290 +aS'normal\tnormal\tJJ\tB-NP\tO' +p247291 +aS'limits\tlimit\tNNS\tI-NP\tO' +p247292 +aS'in\tin\tIN\tB-PP\tO' +p247293 +aS'the\tthe\tDT\tB-NP\tO' +p247294 +aS'upper\tupper\tJJ\tI-NP\tO' +p247295 +aS'and\tand\tCC\tI-NP\tO' +p247296 +aS'lower\tlow\tJJR\tI-NP\tO' +p247297 +aS'extremities\textremity\tNNS\tI-NP\tO' +p247298 +aS'.\t.\t.\tO\tO' +p247299 +asS'There is no edema .' +p247300 +(lp247301 +S'There\tThere\tEX\tB-NP\tO' +p247302 +aS'is\tbe\tVBZ\tB-VP\tO' +p247303 +aS'no\tno\tDT\tB-NP\tO' +p247304 +aS'edema\tedema\tNN\tI-NP\tO' +p247305 +aS'.\t.\t.\tO\tO' +p247306 +asS'The infant has not required any blood transfusions .' +p247307 +(lp247308 +S'The\tThe\tDT\tB-NP\tO' +p247309 +aS'infant\tinfant\tNN\tI-NP\tO' +p247310 +aS'has\thave\tVBZ\tB-VP\tO' +p247311 +aS'not\tnot\tRB\tI-VP\tO' +p247312 +aS'required\trequire\tVBN\tI-VP\tO' +p247313 +aS'any\tany\tDT\tB-NP\tO' +p247314 +aS'blood\tblood\tNN\tI-NP\tO' +p247315 +aS'transfusions\ttransfusion\tNNS\tI-NP\tO' +p247316 +aS'.\t.\t.\tO\tO' +p247317 +asS'Her Foley was changed the day before discharge .' +p247318 +(lp247319 +S'Her\tHer\tNNP\tB-NP\tO' +p247320 +aS'Foley\tFoley\tNNP\tI-NP\tO' +p247321 +aS'was\tbe\tVBD\tB-VP\tO' +p247322 +aS'changed\tchange\tVBN\tI-VP\tO' +p247323 +aS'the\tthe\tDT\tB-NP\tO' +p247324 +aS'day\tday\tNN\tI-NP\tO' +p247325 +aS'before\tbefore\tIN\tB-PP\tO' +p247326 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p247327 +aS'.\t.\t.\tO\tO' +p247328 +asS'Extremities : Without cyanosis , clubbing or edema .' +p247329 +(lp247330 +S'Extremities\tExtremity\tNNS\tB-NP\tO' +p247331 +aS':\t:\t:\tO\tO' +p247332 +aS'Without\tWithout\tIN\tB-PP\tO' +p247333 +aS'cyanosis\tcyanosis\tNN\tB-NP\tO' +p247334 +aS',\t,\t,\tI-NP\tO' +p247335 +aS'clubbing\tclubbing\tNN\tI-NP\tO' +p247336 +aS'or\tor\tCC\tI-NP\tO' +p247337 +aS'edema\tedema\tNN\tI-NP\tO' +p247338 +aS'.\t.\t.\tO\tO' +p247339 +asS'She was effectively anticoagulated with a PT in the range between 15 and 17 over a control of 10 .' +p247340 +(lp247341 +S'She\tShe\tPRP\tB-NP\tO' +p247342 +aS'was\tbe\tVBD\tB-VP\tO' +p247343 +aS'effectively\teffectively\tRB\tI-VP\tO' +p247344 +aS'anticoagulated\tanticoagulate\tVBN\tI-VP\tO' +p247345 +aS'with\twith\tIN\tB-PP\tO' +p247346 +aS'a\ta\tDT\tB-NP\tO' +p247347 +aS'PT\tPT\tNN\tI-NP\tO' +p247348 +aS'in\tin\tIN\tB-PP\tO' +p247349 +aS'the\tthe\tDT\tB-NP\tO' +p247350 +aS'range\trange\tNN\tI-NP\tO' +p247351 +aS'between\tbetween\tIN\tB-PP\tO' +p247352 +aS'15\t15\tCD\tB-NP\tO' +p247353 +aS'and\tand\tCC\tI-NP\tO' +p247354 +aS'17\t17\tCD\tI-NP\tO' +p247355 +aS'over\tover\tIN\tB-PP\tO' +p247356 +aS'a\ta\tDT\tB-NP\tO' +p247357 +aS'control\tcontrol\tNN\tI-NP\tO' +p247358 +aS'of\tof\tIN\tB-PP\tO' +p247359 +aS'10\t10\tCD\tB-NP\tO' +p247360 +aS'.\t.\t.\tO\tO' +p247361 +asS'--- V-Tach : pt has AICD in place , however b-blocker should contorl Vtach for now .' +p247362 +(lp247363 +S'---\t---\tSYM\tB-NP\tO' +p247364 +aS'V-Tach\tV-Tach\tNN\tI-NP\tO' +p247365 +aS':\t:\t:\tO\tO' +p247366 +aS'pt\tpt\tNN\tB-NP\tO' +p247367 +aS'has\thave\tVBZ\tB-VP\tO' +p247368 +aS'AICD\tAICD\tNN\tB-NP\tO' +p247369 +aS'in\tin\tIN\tB-PP\tO' +p247370 +aS'place\tplace\tNN\tB-NP\tO' +p247371 +aS',\t,\t,\tO\tO' +p247372 +aS'however\thowever\tRB\tB-NP\tO' +p247373 +aS'b-blocker\tb-blocker\tNN\tI-NP\tO' +p247374 +aS'should\tshould\tMD\tB-VP\tO' +p247375 +aS'contorl\tcontorl\tVB\tI-VP\tO' +p247376 +aS'Vtach\tVtach\tNNP\tB-NP\tO' +p247377 +aS'for\tfor\tIN\tB-PP\tO' +p247378 +aS'now\tnow\tRB\tB-NP\tO' +p247379 +aS'.\t.\t.\tO\tO' +p247380 +asS"Because the patient 's pulmonary pressures responded so well to adenosine during right heart catheterization , it was thought that the patient would be a good candidate for Flolan therapy ." +p247381 +(lp247382 +S'Because\tBecause\tIN\tB-SBAR\tO' +p247383 +aS'the\tthe\tDT\tB-NP\tO' +p247384 +aS'patient\tpatient\tNN\tI-NP\tO' +p247385 +aS"'s\t's\tPOS\tB-NP\tO" +p247386 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p247387 +aS'pressures\tpressure\tNNS\tI-NP\tO' +p247388 +aS'responded\trespond\tVBD\tB-VP\tO' +p247389 +aS'so\tso\tRB\tB-ADVP\tO' +p247390 +aS'well\twell\tRB\tI-ADVP\tO' +p247391 +aS'to\tto\tTO\tB-PP\tO' +p247392 +aS'adenosine\tadenosine\tNN\tB-NP\tO' +p247393 +aS'during\tduring\tIN\tB-PP\tO' +p247394 +aS'right\tright\tJJ\tB-NP\tO' +p247395 +aS'heart\theart\tNN\tI-NP\tO' +p247396 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p247397 +aS',\t,\t,\tO\tO' +p247398 +aS'it\tit\tPRP\tB-NP\tO' +p247399 +aS'was\tbe\tVBD\tB-VP\tO' +p247400 +aS'thought\tthink\tVBN\tI-VP\tO' +p247401 +aS'that\tthat\tIN\tB-SBAR\tO' +p247402 +aS'the\tthe\tDT\tB-NP\tO' +p247403 +aS'patient\tpatient\tNN\tI-NP\tO' +p247404 +aS'would\twould\tMD\tB-VP\tO' +p247405 +aS'be\tbe\tVB\tI-VP\tO' +p247406 +aS'a\ta\tDT\tB-NP\tO' +p247407 +aS'good\tgood\tJJ\tI-NP\tO' +p247408 +aS'candidate\tcandidate\tNN\tI-NP\tO' +p247409 +aS'for\tfor\tIN\tB-PP\tO' +p247410 +aS'Flolan\tFlolan\tNNP\tB-NP\tO' +p247411 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p247412 +aS'.\t.\t.\tO\tO' +p247413 +asS'b/l DVT s, most recent seen in IVC to right femoral vein s/p IVC filter 2015-01-15' +p247414 +(lp247415 +S'b/l\tb/l\tNN\tB-NP\tO' +p247416 +aS'DVT\tDVT\tNN\tI-NP\tO' +p247417 +aS's,\ts,\tVBD\tB-VP\tO' +p247418 +aS'most\tmost\tRBS\tB-NP\tO' +p247419 +aS'recent\trecent\tJJ\tI-NP\tO' +p247420 +aS'seen\tsee\tVBN\tB-VP\tO' +p247421 +aS'in\tin\tIN\tB-PP\tO' +p247422 +aS'IVC\tIVC\tNN\tB-NP\tO' +p247423 +aS'to\tto\tTO\tB-PP\tO' +p247424 +aS'right\tright\tJJ\tB-NP\tO' +p247425 +aS'femoral\tfemoral\tJJ\tI-NP\tO' +p247426 +aS'vein\tvein\tNN\tI-NP\tO' +p247427 +aS's/p\ts/p\tNN\tI-NP\tO' +p247428 +aS'IVC\tIVC\tNN\tI-NP\tO' +p247429 +aS'filter\tfilter\tNN\tI-NP\tO' +p247430 +aS'2015-01-15\t2015-01-15\tCD\tI-NP\tO' +p247431 +asS'Influenza immunization should be considered annually in the fall for preterm infants with chronic lung disease once they' +p247432 +(lp247433 +S'Influenza\tInfluenza\tNN\tB-NP\tO' +p247434 +aS'immunization\timmunization\tNN\tI-NP\tO' +p247435 +aS'should\tshould\tMD\tB-VP\tO' +p247436 +aS'be\tbe\tVB\tI-VP\tO' +p247437 +aS'considered\tconsider\tVBN\tI-VP\tO' +p247438 +aS'annually\tannually\tRB\tB-ADVP\tO' +p247439 +aS'in\tin\tIN\tB-PP\tO' +p247440 +aS'the\tthe\tDT\tB-NP\tO' +p247441 +aS'fall\tfall\tNN\tI-NP\tO' +p247442 +aS'for\tfor\tIN\tB-PP\tO' +p247443 +aS'preterm\tpreterm\tJJ\tB-NP\tO' +p247444 +aS'infants\tinfant\tNNS\tI-NP\tO' +p247445 +aS'with\twith\tIN\tB-PP\tO' +p247446 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p247447 +aS'lung\tlung\tNN\tI-NP\tO' +p247448 +aS'disease\tdisease\tNN\tI-NP\tO' +p247449 +aS'once\tonce\tIN\tB-SBAR\tO' +p247450 +aS'they\tthey\tPRP\tB-NP\tO' +p247451 +asS'Pt was brought to the Victor for increasing somnolence over past several days-weeks .' +p247452 +(lp247453 +S'Pt\tPt\tNN\tB-NP\tO' +p247454 +aS'was\tbe\tVBD\tB-VP\tO' +p247455 +aS'brought\tbring\tVBN\tI-VP\tO' +p247456 +aS'to\tto\tTO\tB-PP\tO' +p247457 +aS'the\tthe\tDT\tB-NP\tO' +p247458 +aS'Victor\tVictor\tNNP\tI-NP\tO' +p247459 +aS'for\tfor\tIN\tB-PP\tO' +p247460 +aS'increasing\tincrease\tVBG\tB-VP\tO' +p247461 +aS'somnolence\tsomnolence\tNN\tB-NP\tO' +p247462 +aS'over\tover\tIN\tB-PP\tO' +p247463 +aS'past\tpast\tJJ\tB-NP\tB-protein' +p247464 +aS'several\tseveral\tJJ\tI-NP\tI-protein' +p247465 +aS'days-weeks\tdays-week\tNNS\tI-NP\tI-protein' +p247466 +aS'.\t.\t.\tO\tO' +p247467 +asS'The patient is a 73 year old female who was transferred for cardiac catheterization after ventricular fibrillation arrest in the setting of an acute inferior myocardial infarction and a urinary tract infection .' +p247468 +(lp247469 +S'The\tThe\tDT\tB-NP\tO' +p247470 +aS'patient\tpatient\tNN\tI-NP\tO' +p247471 +aS'is\tbe\tVBZ\tB-VP\tO' +p247472 +aS'a\ta\tDT\tB-NP\tO' +p247473 +aS'73\t73\tCD\tI-NP\tO' +p247474 +aS'year\tyear\tNN\tI-NP\tO' +p247475 +aS'old\told\tJJ\tI-NP\tO' +p247476 +aS'female\tfemale\tNN\tI-NP\tO' +p247477 +aS'who\twho\tWP\tB-NP\tO' +p247478 +aS'was\tbe\tVBD\tB-VP\tO' +p247479 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p247480 +aS'for\tfor\tIN\tB-PP\tO' +p247481 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p247482 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p247483 +aS'after\tafter\tIN\tB-PP\tO' +p247484 +aS'ventricular\tventricular\tJJ\tB-NP\tO' +p247485 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p247486 +aS'arrest\tarrest\tNN\tI-NP\tO' +p247487 +aS'in\tin\tIN\tB-PP\tO' +p247488 +aS'the\tthe\tDT\tB-NP\tO' +p247489 +aS'setting\tsetting\tNN\tI-NP\tO' +p247490 +aS'of\tof\tIN\tB-PP\tO' +p247491 +aS'an\tan\tDT\tB-NP\tO' +p247492 +aS'acute\tacute\tJJ\tI-NP\tO' +p247493 +aS'inferior\tinferior\tJJ\tI-NP\tO' +p247494 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p247495 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p247496 +aS'and\tand\tCC\tO\tO' +p247497 +aS'a\ta\tDT\tB-NP\tO' +p247498 +aS'urinary\turinary\tJJ\tI-NP\tO' +p247499 +aS'tract\ttract\tNN\tI-NP\tO' +p247500 +aS'infection\tinfection\tNN\tI-NP\tO' +p247501 +aS'.\t.\t.\tO\tO' +p247502 +asS'In addition , he has hypertension , for which he receives Metoprolol and he has hypercholesterolemia , for which he receives nothing at this time .' +p247503 +(lp247504 +S'In\tIn\tIN\tB-PP\tO' +p247505 +aS'addition\taddition\tNN\tB-NP\tO' +p247506 +aS',\t,\t,\tO\tO' +p247507 +aS'he\the\tPRP\tB-NP\tO' +p247508 +aS'has\thave\tVBZ\tB-VP\tO' +p247509 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p247510 +aS',\t,\t,\tO\tO' +p247511 +aS'for\tfor\tIN\tB-PP\tO' +p247512 +aS'which\twhich\tWDT\tB-NP\tO' +p247513 +aS'he\the\tPRP\tB-NP\tO' +p247514 +aS'receives\treceive\tVBZ\tB-VP\tO' +p247515 +aS'Metoprolol\tMetoprolol\tNN\tB-NP\tO' +p247516 +aS'and\tand\tCC\tO\tO' +p247517 +aS'he\the\tPRP\tB-NP\tO' +p247518 +aS'has\thave\tVBZ\tB-VP\tO' +p247519 +aS'hypercholesterolemia\thypercholesterolemia\tNN\tB-NP\tO' +p247520 +aS',\t,\t,\tO\tO' +p247521 +aS'for\tfor\tIN\tB-PP\tO' +p247522 +aS'which\twhich\tWDT\tB-NP\tO' +p247523 +aS'he\the\tPRP\tB-NP\tO' +p247524 +aS'receives\treceive\tVBZ\tB-VP\tO' +p247525 +aS'nothing\tnothing\tNN\tB-NP\tO' +p247526 +aS'at\tat\tIN\tB-PP\tO' +p247527 +aS'this\tthis\tDT\tB-NP\tO' +p247528 +aS'time\ttime\tNN\tI-NP\tO' +p247529 +aS'.\t.\t.\tO\tO' +p247530 +asS'She had positive blood cultures at Mediplex Rehab Hospital Hospital for gram negative rods .' +p247531 +(lp247532 +S'She\tShe\tPRP\tB-NP\tO' +p247533 +aS'had\thave\tVBD\tB-VP\tO' +p247534 +aS'positive\tpositive\tJJ\tB-NP\tO' +p247535 +aS'blood\tblood\tNN\tI-NP\tO' +p247536 +aS'cultures\tculture\tNNS\tI-NP\tO' +p247537 +aS'at\tat\tIN\tB-PP\tO' +p247538 +aS'Mediplex\tMediplex\tNNP\tB-NP\tO' +p247539 +aS'Rehab\tRehab\tNNP\tI-NP\tO' +p247540 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p247541 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p247542 +aS'for\tfor\tIN\tB-PP\tO' +p247543 +aS'gram\tgram\tNN\tB-NP\tO' +p247544 +aS'negative\tnegative\tJJ\tI-NP\tO' +p247545 +aS'rods\trod\tNNS\tI-NP\tO' +p247546 +aS'.\t.\t.\tO\tO' +p247547 +asS'The patient still had transcutaneous pacing wires in place .' +p247548 +(lp247549 +S'The\tThe\tDT\tB-NP\tO' +p247550 +aS'patient\tpatient\tNN\tI-NP\tO' +p247551 +aS'still\tstill\tRB\tB-ADVP\tO' +p247552 +aS'had\thave\tVBD\tB-VP\tO' +p247553 +aS'transcutaneous\ttranscutaneous\tJJ\tB-NP\tO' +p247554 +aS'pacing\tpacing\tNN\tI-NP\tO' +p247555 +aS'wires\twire\tVBZ\tB-VP\tO' +p247556 +aS'in\tin\tIN\tB-PP\tO' +p247557 +aS'place\tplace\tNN\tB-NP\tO' +p247558 +aS'.\t.\t.\tO\tO' +p247559 +asS'The patient ruled out for myocardial infarction with flat creatine kinases and he was sent to Oaksgekesser/ Memorial Hospital for further work up .' +p247560 +(lp247561 +S'The\tThe\tDT\tB-NP\tO' +p247562 +aS'patient\tpatient\tNN\tI-NP\tO' +p247563 +aS'ruled\trule\tVBD\tB-VP\tO' +p247564 +aS'out\tout\tRP\tB-PRT\tO' +p247565 +aS'for\tfor\tIN\tB-PP\tO' +p247566 +aS'myocardial\tmyocardial\tJJ\tB-NP\tO' +p247567 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p247568 +aS'with\twith\tIN\tB-PP\tO' +p247569 +aS'flat\tflat\tJJ\tB-NP\tB-protein' +p247570 +aS'creatine\tcreatine\tNN\tI-NP\tI-protein' +p247571 +aS'kinases\tkinase\tNNS\tI-NP\tI-protein' +p247572 +aS'and\tand\tCC\tO\tO' +p247573 +aS'he\the\tPRP\tB-NP\tO' +p247574 +aS'was\tbe\tVBD\tB-VP\tO' +p247575 +aS'sent\tsend\tVBN\tI-VP\tO' +p247576 +aS'to\tto\tTO\tB-PP\tO' +p247577 +aS'Oaksgekesser/\tOaksgekesser/\tNNP\tB-NP\tO' +p247578 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p247579 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p247580 +aS'for\tfor\tIN\tB-PP\tO' +p247581 +aS'further\tfurther\tJJ\tB-NP\tO' +p247582 +aS'work\twork\tNN\tI-NP\tO' +p247583 +aS'up\tup\tRP\tB-PRT\tO' +p247584 +aS'.\t.\t.\tO\tO' +p247585 +asS'Blood pressure 120/80 .' +p247586 +(lp247587 +S'Blood\tBlood\tNN\tB-NP\tO' +p247588 +aS'pressure\tpressure\tNN\tI-NP\tO' +p247589 +aS'120/80\t120/80\tCD\tI-NP\tO' +p247590 +aS'.\t.\t.\tO\tO' +p247591 +asS'The patient is allergic to MSG from which he gets hives .' +p247592 +(lp247593 +S'The\tThe\tDT\tB-NP\tO' +p247594 +aS'patient\tpatient\tNN\tI-NP\tO' +p247595 +aS'is\tbe\tVBZ\tB-VP\tO' +p247596 +aS'allergic\tallergic\tJJ\tB-ADJP\tO' +p247597 +aS'to\tto\tTO\tB-PP\tO' +p247598 +aS'MSG\tMSG\tNN\tB-NP\tB-protein' +p247599 +aS'from\tfrom\tIN\tB-PP\tO' +p247600 +aS'which\twhich\tWDT\tB-NP\tO' +p247601 +aS'he\the\tPRP\tB-NP\tO' +p247602 +aS'gets\tget\tVBZ\tB-VP\tO' +p247603 +aS'hives\thive\tNNS\tB-NP\tO' +p247604 +aS'.\t.\t.\tO\tO' +p247605 +asS'Immunizations received are hepatitis B vaccine given on 09-26 .' +p247606 +(lp247607 +S'Immunizations\tImmunization\tNNS\tB-NP\tO' +p247608 +aS'received\treceive\tVBN\tB-VP\tO' +p247609 +aS'are\tbe\tVBP\tB-VP\tO' +p247610 +aS'hepatitis\thepatitis\tNN\tB-NP\tO' +p247611 +aS'B\tB\tNN\tI-NP\tO' +p247612 +aS'vaccine\tvaccine\tNN\tI-NP\tO' +p247613 +aS'given\tgive\tVBN\tB-VP\tO' +p247614 +aS'on\ton\tIN\tB-PP\tO' +p247615 +aS'09-26\t09-26\tCD\tB-NP\tO' +p247616 +aS'.\t.\t.\tO\tO' +p247617 +asS'The patient had multiple line infections during her admission including a confirmed coag. negative Staphylococcus line infection with positive blood cultures on June 23 , 1998 , July 4 , 1998 , July 8 , 1998 and July 9 , 1998 .' +p247618 +(lp247619 +S'The\tThe\tDT\tB-NP\tO' +p247620 +aS'patient\tpatient\tNN\tI-NP\tO' +p247621 +aS'had\thave\tVBD\tB-VP\tO' +p247622 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p247623 +aS'line\tline\tNN\tI-NP\tO' +p247624 +aS'infections\tinfection\tNNS\tI-NP\tO' +p247625 +aS'during\tduring\tIN\tB-PP\tO' +p247626 +aS'her\ther\tPRP$\tB-NP\tO' +p247627 +aS'admission\tadmission\tNN\tI-NP\tO' +p247628 +aS'including\tinclude\tVBG\tB-PP\tO' +p247629 +aS'a\ta\tDT\tB-NP\tO' +p247630 +aS'confirmed\tconfirm\tVBN\tI-NP\tO' +p247631 +aS'coag.\tcoag.\tNN\tI-NP\tO' +p247632 +aS'negative\tnegative\tJJ\tI-NP\tO' +p247633 +aS'Staphylococcus\tStaphylococcus\tNN\tI-NP\tO' +p247634 +aS'line\tline\tNN\tI-NP\tO' +p247635 +aS'infection\tinfection\tNN\tI-NP\tO' +p247636 +aS'with\twith\tIN\tB-PP\tO' +p247637 +aS'positive\tpositive\tJJ\tB-NP\tO' +p247638 +aS'blood\tblood\tNN\tI-NP\tO' +p247639 +aS'cultures\tculture\tNNS\tI-NP\tO' +p247640 +aS'on\ton\tIN\tB-PP\tO' +p247641 +aS'June\tJune\tNNP\tB-NP\tO' +p247642 +aS'23\t23\tCD\tI-NP\tO' +p247643 +aS',\t,\t,\tO\tO' +p247644 +aS'1998\t1998\tCD\tB-NP\tO' +p247645 +aS',\t,\t,\tO\tO' +p247646 +aS'July\tJuly\tNNP\tB-NP\tB-protein' +p247647 +aS'4\t4\tCD\tI-NP\tI-protein' +p247648 +aS',\t,\t,\tI-NP\tO' +p247649 +aS'1998\t1998\tCD\tI-NP\tO' +p247650 +aS',\t,\t,\tO\tO' +p247651 +aS'July\tJuly\tNNP\tB-NP\tB-protein' +p247652 +aS'8\t8\tCD\tI-NP\tI-protein' +p247653 +aS',\t,\t,\tO\tO' +p247654 +aS'1998\t1998\tCD\tB-NP\tO' +p247655 +aS'and\tand\tCC\tO\tO' +p247656 +aS'July\tJuly\tNNP\tB-NP\tB-protein' +p247657 +aS'9\t9\tCD\tI-NP\tI-protein' +p247658 +aS',\t,\t,\tO\tO' +p247659 +aS'1998\t1998\tCD\tB-NP\tO' +p247660 +aS'.\t.\t.\tO\tO' +p247661 +asS'Urine output remained adequate .' +p247662 +(lp247663 +S'Urine\tUrine\tNN\tB-NP\tO' +p247664 +aS'output\toutput\tNN\tI-NP\tO' +p247665 +aS'remained\tremain\tVBD\tB-VP\tO' +p247666 +aS'adequate\tadequate\tJJ\tB-ADJP\tO' +p247667 +aS'.\t.\t.\tO\tO' +p247668 +asS'The baby was delivered through normal spontaneous vaginal delivery with brief blow by with Apgars of 8 and 9 .' +p247669 +(lp247670 +S'The\tThe\tDT\tB-NP\tO' +p247671 +aS'baby\tbaby\tNN\tI-NP\tO' +p247672 +aS'was\tbe\tVBD\tB-VP\tO' +p247673 +aS'delivered\tdeliver\tVBN\tI-VP\tO' +p247674 +aS'through\tthrough\tIN\tB-PP\tO' +p247675 +aS'normal\tnormal\tJJ\tB-NP\tO' +p247676 +aS'spontaneous\tspontaneous\tJJ\tI-NP\tO' +p247677 +aS'vaginal\tvaginal\tJJ\tI-NP\tO' +p247678 +aS'delivery\tdelivery\tNN\tI-NP\tO' +p247679 +aS'with\twith\tIN\tB-PP\tO' +p247680 +aS'brief\tbrief\tJJ\tB-NP\tO' +p247681 +aS'blow\tblow\tNN\tI-NP\tO' +p247682 +aS'by\tby\tIN\tB-PP\tO' +p247683 +aS'with\twith\tIN\tB-PP\tO' +p247684 +aS'Apgars\tApgar\tNNS\tB-NP\tO' +p247685 +aS'of\tof\tIN\tB-PP\tO' +p247686 +aS'8\t8\tCD\tB-NP\tO' +p247687 +aS'and\tand\tCC\tI-NP\tO' +p247688 +aS'9\t9\tCD\tI-NP\tO' +p247689 +aS'.\t.\t.\tO\tO' +p247690 +asS'Patient had improved breathing .' +p247691 +(lp247692 +S'Patient\tPatient\tNN\tB-NP\tO' +p247693 +aS'had\thave\tVBD\tB-VP\tO' +p247694 +aS'improved\timprove\tVBN\tI-VP\tO' +p247695 +aS'breathing\tbreathing\tNN\tB-NP\tO' +p247696 +aS'.\t.\t.\tO\tO' +p247697 +asS'Asthma , gastroesophageal reflux disease , and constipation .' +p247698 +(lp247699 +S'Asthma\tAsthma\tNN\tB-NP\tO' +p247700 +aS',\t,\t,\tO\tO' +p247701 +aS'gastroesophageal\tgastroesophageal\tJJ\tB-NP\tO' +p247702 +aS'reflux\treflux\tNN\tI-NP\tO' +p247703 +aS'disease\tdisease\tNN\tI-NP\tO' +p247704 +aS',\t,\t,\tO\tO' +p247705 +aS'and\tand\tCC\tO\tO' +p247706 +aS'constipation\tconstipation\tNN\tB-NP\tO' +p247707 +aS'.\t.\t.\tO\tO' +p247708 +asS'Grade II systolic murmur at the left lower sternal border .' +p247709 +(lp247710 +S'Grade\tGrade\tNN\tB-NP\tB-protein' +p247711 +aS'II\tII\tCD\tI-NP\tI-protein' +p247712 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p247713 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p247714 +aS'at\tat\tIN\tB-PP\tO' +p247715 +aS'the\tthe\tDT\tB-NP\tO' +p247716 +aS'left\tleft\tJJ\tI-NP\tO' +p247717 +aS'lower\tlow\tJJR\tI-NP\tO' +p247718 +aS'sternal\tsternal\tJJ\tI-NP\tO' +p247719 +aS'border\tborder\tNN\tI-NP\tO' +p247720 +aS'.\t.\t.\tO\tO' +p247721 +asS'5) hypertension .' +p247722 +(lp247723 +S'5)\t5)\tLS\tB-NP\tO' +p247724 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p247725 +aS'.\t.\t.\tO\tO' +p247726 +asS'6. Hypothyroidism .' +p247727 +(lp247728 +S'6.\t6.\tLS\tB-NP\tO' +p247729 +aS'Hypothyroidism\tHypothyroidism\tNN\tI-NP\tO' +p247730 +aS'.\t.\t.\tO\tO' +p247731 +asS"She went to her primary care physician 's office on the day of admission complaining of abdominal pain , which she stated was constant but intermittently sharper at times ." +p247732 +(lp247733 +S'She\tShe\tPRP\tB-NP\tO' +p247734 +aS'went\tgo\tVBD\tB-VP\tO' +p247735 +aS'to\tto\tTO\tB-PP\tO' +p247736 +aS'her\ther\tPRP$\tB-NP\tO' +p247737 +aS'primary\tprimary\tJJ\tI-NP\tO' +p247738 +aS'care\tcare\tNN\tI-NP\tO' +p247739 +aS'physician\tphysician\tNN\tI-NP\tO' +p247740 +aS"'s\t's\tPOS\tB-NP\tO" +p247741 +aS'office\toffice\tNN\tI-NP\tO' +p247742 +aS'on\ton\tIN\tB-PP\tO' +p247743 +aS'the\tthe\tDT\tB-NP\tO' +p247744 +aS'day\tday\tNN\tI-NP\tO' +p247745 +aS'of\tof\tIN\tB-PP\tO' +p247746 +aS'admission\tadmission\tNN\tB-NP\tO' +p247747 +aS'complaining\tcomplaining\tNN\tI-NP\tO' +p247748 +aS'of\tof\tIN\tB-PP\tO' +p247749 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p247750 +aS'pain\tpain\tNN\tI-NP\tO' +p247751 +aS',\t,\t,\tO\tO' +p247752 +aS'which\twhich\tWDT\tB-NP\tO' +p247753 +aS'she\tshe\tPRP\tB-NP\tO' +p247754 +aS'stated\tstate\tVBD\tB-VP\tO' +p247755 +aS'was\tbe\tVBD\tB-VP\tO' +p247756 +aS'constant\tconstant\tJJ\tB-ADJP\tO' +p247757 +aS'but\tbut\tCC\tO\tO' +p247758 +aS'intermittently\tintermittently\tRB\tB-ADJP\tO' +p247759 +aS'sharper\tsharp\tJJR\tI-ADJP\tO' +p247760 +aS'at\tat\tIN\tB-PP\tO' +p247761 +aS'times\ttime\tNNS\tB-NP\tO' +p247762 +aS'.\t.\t.\tO\tO' +p247763 +asS'6. Calcitriol 0.5 mcg Capsule Sig : One ( 1 ) Capsule PO EVERY OTHER DAY ( Every Other Day ) .' +p247764 +(lp247765 +S'6.\t6.\tCD\tB-NP\tO' +p247766 +aS'Calcitriol\tCalcitriol\tNN\tI-NP\tO' +p247767 +aS'0.5\t0.5\tCD\tB-NP\tO' +p247768 +aS'mcg\tmcg\tNN\tI-NP\tO' +p247769 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p247770 +aS'Sig\tSig\tNNP\tI-NP\tO' +p247771 +aS':\t:\t:\tO\tO' +p247772 +aS'One\tOne\tCD\tB-NP\tO' +p247773 +aS'(\t(\t(\tO\tO' +p247774 +aS'1\t1\tCD\tB-NP\tO' +p247775 +aS')\t)\t)\tO\tO' +p247776 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p247777 +aS'PO\tPO\tNNP\tI-NP\tO' +p247778 +aS'EVERY\tEVERY\tNNP\tI-NP\tO' +p247779 +aS'OTHER\tOTHER\tNNP\tI-NP\tO' +p247780 +aS'DAY\tDAY\tNNP\tI-NP\tO' +p247781 +aS'(\t(\t(\tO\tO' +p247782 +aS'Every\tEvery\tNNP\tB-NP\tO' +p247783 +aS'Other\tOther\tNNP\tI-NP\tO' +p247784 +aS'Day\tDay\tNNP\tI-NP\tO' +p247785 +aS')\t)\t)\tO\tO' +p247786 +aS'.\t.\t.\tO\tO' +p247787 +asS'Presented with spontaneous , premature rupture of membranes .' +p247788 +(lp247789 +S'Presented\tPresent\tVBN\tB-VP\tO' +p247790 +aS'with\twith\tIN\tB-PP\tO' +p247791 +aS'spontaneous\tspontaneous\tJJ\tB-NP\tO' +p247792 +aS',\t,\t,\tI-NP\tO' +p247793 +aS'premature\tpremature\tJJ\tI-NP\tO' +p247794 +aS'rupture\trupture\tNN\tI-NP\tO' +p247795 +aS'of\tof\tIN\tB-PP\tO' +p247796 +aS'membranes\tmembrane\tNNS\tB-NP\tO' +p247797 +aS'.\t.\t.\tO\tO' +p247798 +asS'Cardiac : Irregularly irregular .' +p247799 +(lp247800 +S'Cardiac\tCardiac\tJJ\tB-ADVP\tO' +p247801 +aS':\t:\t:\tO\tO' +p247802 +aS'Irregularly\tIrregularly\tRB\tB-ADJP\tO' +p247803 +aS'irregular\tirregular\tJJ\tI-ADJP\tO' +p247804 +aS'.\t.\t.\tO\tO' +p247805 +asS'Preoperative laboratory values were unremarkable .' +p247806 +(lp247807 +S'Preoperative\tPreoperative\tJJ\tB-NP\tO' +p247808 +aS'laboratory\tlaboratory\tNN\tI-NP\tO' +p247809 +aS'values\tvalue\tNNS\tI-NP\tO' +p247810 +aS'were\tbe\tVBD\tB-VP\tO' +p247811 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p247812 +aS'.\t.\t.\tO\tO' +p247813 +asS'HEENT : cervical collar in place' +p247814 +(lp247815 +S'HEENT\tHEENT\tNN\tB-NP\tO' +p247816 +aS':\t:\t:\tO\tO' +p247817 +aS'cervical\tcervical\tJJ\tB-NP\tO' +p247818 +aS'collar\tcollar\tNN\tI-NP\tO' +p247819 +aS'in\tin\tIN\tB-PP\tO' +p247820 +aS'place\tplace\tNN\tB-NP\tO' +p247821 +asS'Enteral feeds were started on day of life #1 , and gradually advanced to full volume .' +p247822 +(lp247823 +S'Enteral\tEnteral\tJJ\tB-NP\tO' +p247824 +aS'feeds\tfeed\tNNS\tI-NP\tO' +p247825 +aS'were\tbe\tVBD\tB-VP\tO' +p247826 +aS'started\tstart\tVBN\tI-VP\tO' +p247827 +aS'on\ton\tIN\tB-PP\tO' +p247828 +aS'day\tday\tNN\tB-NP\tO' +p247829 +aS'of\tof\tIN\tB-PP\tO' +p247830 +aS'life\tlife\tNN\tB-NP\tO' +p247831 +aS'#1\t#1\tNN\tI-NP\tO' +p247832 +aS',\t,\t,\tO\tO' +p247833 +aS'and\tand\tCC\tO\tO' +p247834 +aS'gradually\tgradually\tRB\tB-VP\tO' +p247835 +aS'advanced\tadvance\tVBN\tI-VP\tO' +p247836 +aS'to\tto\tTO\tB-PP\tO' +p247837 +aS'full\tfull\tJJ\tB-NP\tO' +p247838 +aS'volume\tvolume\tNN\tI-NP\tO' +p247839 +aS'.\t.\t.\tO\tO' +p247840 +asS'The patient was found to have stable hemodynamics with appropriate mixed venous saturations in the 70% range .' +p247841 +(lp247842 +S'The\tThe\tDT\tB-NP\tO' +p247843 +aS'patient\tpatient\tNN\tI-NP\tO' +p247844 +aS'was\tbe\tVBD\tB-VP\tO' +p247845 +aS'found\tfind\tVBN\tI-VP\tO' +p247846 +aS'to\tto\tTO\tI-VP\tO' +p247847 +aS'have\thave\tVB\tI-VP\tO' +p247848 +aS'stable\tstable\tJJ\tB-NP\tO' +p247849 +aS'hemodynamics\themodynamic\tNNS\tI-NP\tO' +p247850 +aS'with\twith\tIN\tB-PP\tO' +p247851 +aS'appropriate\tappropriate\tJJ\tB-NP\tO' +p247852 +aS'mixed\tmix\tVBN\tI-NP\tO' +p247853 +aS'venous\tvenous\tJJ\tI-NP\tO' +p247854 +aS'saturations\tsaturation\tNNS\tI-NP\tO' +p247855 +aS'in\tin\tIN\tB-PP\tO' +p247856 +aS'the\tthe\tDT\tB-NP\tO' +p247857 +aS'70%\t70%\tJJ\tI-NP\tO' +p247858 +aS'range\trange\tNN\tI-NP\tO' +p247859 +aS'.\t.\t.\tO\tO' +p247860 +asS'The patient had a systolic murmur 3/6 that radiated to the carotids with a decreased left radial pulse per the emergency room .' +p247861 +(lp247862 +S'The\tThe\tDT\tB-NP\tO' +p247863 +aS'patient\tpatient\tNN\tI-NP\tO' +p247864 +aS'had\thave\tVBD\tB-VP\tO' +p247865 +aS'a\ta\tDT\tB-NP\tO' +p247866 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p247867 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p247868 +aS'3/6\t3/6\tCD\tI-NP\tO' +p247869 +aS'that\tthat\tWDT\tB-NP\tO' +p247870 +aS'radiated\tradiate\tVBD\tB-VP\tO' +p247871 +aS'to\tto\tTO\tB-PP\tO' +p247872 +aS'the\tthe\tDT\tB-NP\tO' +p247873 +aS'carotids\tcarotid\tNNS\tI-NP\tO' +p247874 +aS'with\twith\tIN\tB-PP\tO' +p247875 +aS'a\ta\tDT\tB-NP\tO' +p247876 +aS'decreased\tdecrease\tVBN\tI-NP\tO' +p247877 +aS'left\tleft\tJJ\tI-NP\tO' +p247878 +aS'radial\tradial\tJJ\tI-NP\tO' +p247879 +aS'pulse\tpulse\tNN\tI-NP\tO' +p247880 +aS'per\tper\tIN\tB-PP\tO' +p247881 +aS'the\tthe\tDT\tB-NP\tO' +p247882 +aS'emergency\temergency\tNN\tI-NP\tO' +p247883 +aS'room\troom\tNN\tI-NP\tO' +p247884 +aS'.\t.\t.\tO\tO' +p247885 +asS'The patient 's incisions sternal and right leg were clean and healing well , normal sinus rhythm at 70-80 , with blood pressure 98-110/60 and patient was doing well , recovering , ambulating , tolerating regular diet and last hematocrit prior to discharge was 39% with a BUN and creatinine of 15 and 1.0 , prothrombin time level of 13.8 , chest X-ray prior to discharge showed small bilateral effusions with mild cardiomegaly and subsegmental atelectasis bibasilar and electrocardiogram showed normal sinus rhythm with left atrial enlargement and no acute ischemic changes on electrocardiogram .' +p247886 +(lp247887 +S'The\tThe\tDT\tB-NP\tO' +p247888 +aS'patient\tpatient\tNN\tI-NP\tO' +p247889 +aS''s\t'\tVBZ\tB-VP\tO' +p247890 +aS'incisions\tincision\tNNS\tB-NP\tO' +p247891 +aS'sternal\tsternal\tJJ\tB-NP\tO' +p247892 +aS'and\tand\tCC\tI-NP\tO' +p247893 +aS'right\tright\tJJ\tI-NP\tO' +p247894 +aS'leg\tleg\tNN\tI-NP\tO' +p247895 +aS'were\tbe\tVBD\tB-VP\tO' +p247896 +aS'clean\tclean\tJJ\tB-ADJP\tO' +p247897 +aS'and\tand\tCC\tO\tO' +p247898 +aS'healing\theal\tVBG\tB-VP\tO' +p247899 +aS'well\twell\tRB\tB-ADVP\tO' +p247900 +aS',\t,\t,\tO\tO' +p247901 +aS'normal\tnormal\tJJ\tB-NP\tO' +p247902 +aS'sinus\tsinus\tNN\tI-NP\tO' +p247903 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p247904 +aS'at\tat\tIN\tB-PP\tO' +p247905 +aS'70-80\t70-80\tCD\tB-NP\tO' +p247906 +aS',\t,\t,\tO\tO' +p247907 +aS'with\twith\tIN\tB-PP\tO' +p247908 +aS'blood\tblood\tNN\tB-NP\tO' +p247909 +aS'pressure\tpressure\tNN\tI-NP\tO' +p247910 +aS'98-110/60\t98-110/60\tCD\tI-NP\tO' +p247911 +aS'and\tand\tCC\tO\tO' +p247912 +aS'patient\tpatient\tNN\tB-NP\tO' +p247913 +aS'was\tbe\tVBD\tB-VP\tO' +p247914 +aS'doing\tdo\tVBG\tI-VP\tO' +p247915 +aS'well\twell\tRB\tB-ADVP\tO' +p247916 +aS',\t,\t,\tO\tO' +p247917 +aS'recovering\trecover\tVBG\tB-VP\tO' +p247918 +aS',\t,\t,\tO\tO' +p247919 +aS'ambulating\tambulate\tVBG\tB-VP\tO' +p247920 +aS',\t,\t,\tO\tO' +p247921 +aS'tolerating\ttolerate\tVBG\tB-VP\tO' +p247922 +aS'regular\tregular\tJJ\tB-NP\tO' +p247923 +aS'diet\tdiet\tNN\tI-NP\tO' +p247924 +aS'and\tand\tCC\tO\tO' +p247925 +aS'last\tlast\tJJ\tB-NP\tO' +p247926 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p247927 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p247928 +aS'to\tto\tTO\tB-VP\tO' +p247929 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p247930 +aS'was\tbe\tVBD\tB-VP\tO' +p247931 +aS'39%\t39%\tCD\tB-NP\tO' +p247932 +aS'with\twith\tIN\tB-PP\tO' +p247933 +aS'a\ta\tDT\tB-NP\tO' +p247934 +aS'BUN\tBUN\tNN\tI-NP\tO' +p247935 +aS'and\tand\tCC\tI-NP\tO' +p247936 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p247937 +aS'of\tof\tIN\tB-PP\tO' +p247938 +aS'15\t15\tCD\tB-NP\tO' +p247939 +aS'and\tand\tCC\tI-NP\tO' +p247940 +aS'1.0\t1.0\tCD\tI-NP\tO' +p247941 +aS',\t,\t,\tO\tO' +p247942 +aS'prothrombin\tprothrombin\tNN\tB-NP\tO' +p247943 +aS'time\ttime\tNN\tI-NP\tO' +p247944 +aS'level\tlevel\tNN\tI-NP\tO' +p247945 +aS'of\tof\tIN\tB-PP\tO' +p247946 +aS'13.8\t13.8\tCD\tB-NP\tO' +p247947 +aS',\t,\t,\tO\tO' +p247948 +aS'chest\tchest\tNN\tB-NP\tO' +p247949 +aS'X-ray\tX-ray\tNN\tI-NP\tO' +p247950 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p247951 +aS'to\tto\tTO\tB-VP\tO' +p247952 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p247953 +aS'showed\tshow\tVBD\tB-VP\tO' +p247954 +aS'small\tsmall\tJJ\tB-NP\tO' +p247955 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p247956 +aS'effusions\teffusion\tNNS\tI-NP\tO' +p247957 +aS'with\twith\tIN\tB-PP\tO' +p247958 +aS'mild\tmild\tJJ\tB-NP\tO' +p247959 +aS'cardiomegaly\tcardiomegaly\tNN\tI-NP\tO' +p247960 +aS'and\tand\tCC\tO\tO' +p247961 +aS'subsegmental\tsubsegmental\tJJ\tB-NP\tO' +p247962 +aS'atelectasis\tatelectasis\tNN\tI-NP\tO' +p247963 +aS'bibasilar\tbibasilar\tJJ\tB-ADJP\tO' +p247964 +aS'and\tand\tCC\tO\tO' +p247965 +aS'electrocardiogram\telectrocardiogram\tNN\tB-NP\tO' +p247966 +aS'showed\tshow\tVBD\tB-VP\tO' +p247967 +aS'normal\tnormal\tJJ\tB-NP\tO' +p247968 +aS'sinus\tsinus\tNN\tI-NP\tO' +p247969 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p247970 +aS'with\twith\tIN\tB-PP\tO' +p247971 +aS'left\tleft\tJJ\tB-NP\tO' +p247972 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p247973 +aS'enlargement\tenlargement\tNN\tI-NP\tO' +p247974 +aS'and\tand\tCC\tO\tO' +p247975 +aS'no\tno\tDT\tB-NP\tO' +p247976 +aS'acute\tacute\tJJ\tI-NP\tO' +p247977 +aS'ischemic\tischemic\tJJ\tI-NP\tO' +p247978 +aS'changes\tchange\tNNS\tI-NP\tO' +p247979 +aS'on\ton\tIN\tB-PP\tO' +p247980 +aS'electrocardiogram\telectrocardiogram\tNN\tB-NP\tO' +p247981 +aS'.\t.\t.\tO\tO' +p247982 +asS'denies any tobacco. Divorced , lives in Wisconsin' +p247983 +(lp247984 +S'denies\tdeny\tVBZ\tB-VP\tO' +p247985 +aS'any\tany\tDT\tB-NP\tO' +p247986 +aS'tobacco.\ttobacco.\tNN\tI-NP\tO' +p247987 +aS'Divorced\tDivorced\tNNP\tI-NP\tO' +p247988 +aS',\t,\t,\tO\tO' +p247989 +aS'lives\tlive\tVBZ\tB-VP\tO' +p247990 +aS'in\tin\tIN\tB-PP\tO' +p247991 +aS'Wisconsin\tWisconsin\tNNP\tB-NP\tO' +p247992 +asS"Systolic blood pressure in the 120 's to 130 's." +p247993 +(lp247994 +S'Systolic\tSystolic\tJJ\tB-NP\tO' +p247995 +aS'blood\tblood\tNN\tI-NP\tO' +p247996 +aS'pressure\tpressure\tNN\tI-NP\tO' +p247997 +aS'in\tin\tIN\tB-PP\tO' +p247998 +aS'the\tthe\tDT\tB-NP\tO' +p247999 +aS'120\t120\tCD\tI-NP\tO' +p248000 +aS"'s\t's\tPOS\tB-NP\tO" +p248001 +aS'to\tto\tTO\tB-PP\tO' +p248002 +aS'130\t130\tCD\tB-NP\tO' +p248003 +aS"'s.\t's.\tPOS\tB-NP\tO" +p248004 +asS'9 ) Coumadin 5 mg p.o. q. day .' +p248005 +(lp248006 +S'9\t9\tCD\tB-NP\tO' +p248007 +aS')\t)\t)\tO\tO' +p248008 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p248009 +aS'5\t5\tCD\tI-NP\tO' +p248010 +aS'mg\tmg\tNN\tI-NP\tO' +p248011 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p248012 +aS'q.\tq.\tNN\tI-NP\tO' +p248013 +aS'day\tday\tNN\tI-NP\tO' +p248014 +aS'.\t.\t.\tO\tO' +p248015 +asS'The patient underwent a number of tests .' +p248016 +(lp248017 +S'The\tThe\tDT\tB-NP\tO' +p248018 +aS'patient\tpatient\tNN\tI-NP\tO' +p248019 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p248020 +aS'a\ta\tDT\tB-NP\tO' +p248021 +aS'number\tnumber\tNN\tI-NP\tO' +p248022 +aS'of\tof\tIN\tB-PP\tO' +p248023 +aS'tests\ttest\tNNS\tB-NP\tO' +p248024 +aS'.\t.\t.\tO\tO' +p248025 +asS'There was no S3 appreciated .' +p248026 +(lp248027 +S'There\tThere\tEX\tB-NP\tO' +p248028 +aS'was\tbe\tVBD\tB-VP\tO' +p248029 +aS'no\tno\tDT\tB-NP\tO' +p248030 +aS'S3\tS3\tNN\tI-NP\tB-protein' +p248031 +aS'appreciated\tappreciate\tVBN\tB-VP\tO' +p248032 +aS'.\t.\t.\tO\tO' +p248033 +asS'Multiple healed bilateral rib fractures are demonstrated .' +p248034 +(lp248035 +S'Multiple\tMultiple\tJJ\tB-NP\tO' +p248036 +aS'healed\theal\tVBD\tB-VP\tO' +p248037 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p248038 +aS'rib\trib\tNN\tI-NP\tO' +p248039 +aS'fractures\tfracture\tNNS\tI-NP\tO' +p248040 +aS'are\tbe\tVBP\tB-VP\tO' +p248041 +aS'demonstrated\tdemonstrate\tVBN\tI-VP\tO' +p248042 +aS'.\t.\t.\tO\tO' +p248043 +asS'At 8 a.m. the patient was looking at his wife with the background outside a large window .' +p248044 +(lp248045 +S'At\tAt\tIN\tB-PP\tO' +p248046 +aS'8\t8\tCD\tB-NP\tO' +p248047 +aS'a.m.\ta.m.\tNN\tI-NP\tO' +p248048 +aS'the\tthe\tDT\tB-NP\tO' +p248049 +aS'patient\tpatient\tNN\tI-NP\tO' +p248050 +aS'was\tbe\tVBD\tB-VP\tO' +p248051 +aS'looking\tlook\tVBG\tI-VP\tO' +p248052 +aS'at\tat\tIN\tB-PP\tO' +p248053 +aS'his\this\tPRP$\tB-NP\tO' +p248054 +aS'wife\twife\tNN\tI-NP\tO' +p248055 +aS'with\twith\tIN\tB-PP\tO' +p248056 +aS'the\tthe\tDT\tB-NP\tO' +p248057 +aS'background\tbackground\tNN\tI-NP\tO' +p248058 +aS'outside\toutside\tIN\tB-PP\tO' +p248059 +aS'a\ta\tDT\tB-NP\tO' +p248060 +aS'large\tlarge\tJJ\tI-NP\tO' +p248061 +aS'window\twindow\tNN\tI-NP\tO' +p248062 +aS'.\t.\t.\tO\tO' +p248063 +asS'He has remained in room air well saturated with comfortable respirations until approximately 22 hours of age when he started with increased work of breathing although he has remained well-saturated in room air .' +p248064 +(lp248065 +S'He\tHe\tPRP\tB-NP\tO' +p248066 +aS'has\thave\tVBZ\tB-VP\tO' +p248067 +aS'remained\tremain\tVBN\tI-VP\tO' +p248068 +aS'in\tin\tIN\tB-PP\tO' +p248069 +aS'room\troom\tNN\tB-NP\tO' +p248070 +aS'air\tair\tNN\tI-NP\tO' +p248071 +aS'well\twell\tRB\tB-VP\tO' +p248072 +aS'saturated\tsaturate\tVBN\tI-VP\tO' +p248073 +aS'with\twith\tIN\tB-PP\tO' +p248074 +aS'comfortable\tcomfortable\tJJ\tB-NP\tO' +p248075 +aS'respirations\trespiration\tNNS\tI-NP\tO' +p248076 +aS'until\tuntil\tIN\tB-PP\tO' +p248077 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p248078 +aS'22\t22\tCD\tI-NP\tO' +p248079 +aS'hours\thour\tNNS\tI-NP\tO' +p248080 +aS'of\tof\tIN\tB-PP\tO' +p248081 +aS'age\tage\tNN\tB-NP\tO' +p248082 +aS'when\twhen\tWRB\tB-ADVP\tO' +p248083 +aS'he\the\tPRP\tB-NP\tO' +p248084 +aS'started\tstart\tVBD\tB-VP\tO' +p248085 +aS'with\twith\tIN\tB-PP\tO' +p248086 +aS'increased\tincrease\tVBN\tB-NP\tO' +p248087 +aS'work\twork\tNN\tI-NP\tO' +p248088 +aS'of\tof\tIN\tB-PP\tO' +p248089 +aS'breathing\tbreathing\tNN\tB-NP\tO' +p248090 +aS'although\talthough\tIN\tB-SBAR\tO' +p248091 +aS'he\the\tPRP\tB-NP\tO' +p248092 +aS'has\thave\tVBZ\tB-VP\tO' +p248093 +aS'remained\tremain\tVBN\tI-VP\tO' +p248094 +aS'well-saturated\twell-saturated\tJJ\tB-ADJP\tO' +p248095 +aS'in\tin\tIN\tB-PP\tO' +p248096 +aS'room\troom\tNN\tB-NP\tO' +p248097 +aS'air\tair\tNN\tI-NP\tO' +p248098 +aS'.\t.\t.\tO\tO' +p248099 +asS'4. Terazosin 1 mg p.o. q. day .' +p248100 +(lp248101 +S'4.\t4.\tLS\tB-LST\tO' +p248102 +aS'Terazosin\tTerazosin\tNN\tB-NP\tO' +p248103 +aS'1\t1\tCD\tI-NP\tO' +p248104 +aS'mg\tmg\tNN\tI-NP\tO' +p248105 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p248106 +aS'q.\tq.\tNN\tI-NP\tO' +p248107 +aS'day\tday\tNN\tI-NP\tO' +p248108 +aS'.\t.\t.\tO\tO' +p248109 +asS'The patient had a large fluid requirement with total body capillary leak , decreasing SVR , oliguria unresponsive to Lasix / Mannitol accompanied by a rise in creatinine to 3.2 , worsening ARDS , a rise in temperature to 103 , and a serum amylase of 1265 .' +p248110 +(lp248111 +S'The\tThe\tDT\tB-NP\tO' +p248112 +aS'patient\tpatient\tNN\tI-NP\tO' +p248113 +aS'had\thave\tVBD\tB-VP\tO' +p248114 +aS'a\ta\tDT\tB-NP\tO' +p248115 +aS'large\tlarge\tJJ\tI-NP\tO' +p248116 +aS'fluid\tfluid\tNN\tI-NP\tO' +p248117 +aS'requirement\trequirement\tNN\tI-NP\tO' +p248118 +aS'with\twith\tIN\tB-PP\tO' +p248119 +aS'total\ttotal\tJJ\tB-NP\tO' +p248120 +aS'body\tbody\tNN\tI-NP\tO' +p248121 +aS'capillary\tcapillary\tJJ\tI-NP\tO' +p248122 +aS'leak\tleak\tNN\tI-NP\tO' +p248123 +aS',\t,\t,\tO\tO' +p248124 +aS'decreasing\tdecrease\tVBG\tB-VP\tO' +p248125 +aS'SVR\tSVR\tNN\tB-NP\tB-protein' +p248126 +aS',\t,\t,\tO\tO' +p248127 +aS'oliguria\toliguria\tNN\tB-NP\tO' +p248128 +aS'unresponsive\tunresponsive\tJJ\tB-ADJP\tO' +p248129 +aS'to\tto\tTO\tB-PP\tO' +p248130 +aS'Lasix\tLasix\tNN\tB-NP\tO' +p248131 +aS'/\t/\tSYM\tI-NP\tO' +p248132 +aS'Mannitol\tMannitol\tNN\tI-NP\tO' +p248133 +aS'accompanied\taccompany\tVBN\tB-VP\tO' +p248134 +aS'by\tby\tIN\tB-PP\tO' +p248135 +aS'a\ta\tDT\tB-NP\tO' +p248136 +aS'rise\trise\tNN\tI-NP\tO' +p248137 +aS'in\tin\tIN\tB-PP\tO' +p248138 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p248139 +aS'to\tto\tTO\tB-PP\tO' +p248140 +aS'3.2\t3.2\tCD\tB-NP\tO' +p248141 +aS',\t,\t,\tO\tO' +p248142 +aS'worsening\tworsen\tVBG\tB-VP\tO' +p248143 +aS'ARDS\tARDS\tNN\tB-NP\tO' +p248144 +aS',\t,\t,\tO\tO' +p248145 +aS'a\ta\tDT\tB-NP\tO' +p248146 +aS'rise\trise\tNN\tI-NP\tO' +p248147 +aS'in\tin\tIN\tB-PP\tO' +p248148 +aS'temperature\ttemperature\tNN\tB-NP\tO' +p248149 +aS'to\tto\tTO\tB-PP\tO' +p248150 +aS'103\t103\tCD\tB-NP\tO' +p248151 +aS',\t,\t,\tO\tO' +p248152 +aS'and\tand\tCC\tO\tO' +p248153 +aS'a\ta\tDT\tB-NP\tO' +p248154 +aS'serum\tserum\tNN\tI-NP\tB-protein' +p248155 +aS'amylase\tamylase\tNN\tI-NP\tI-protein' +p248156 +aS'of\tof\tIN\tB-PP\tO' +p248157 +aS'1265\t1265\tCD\tB-NP\tO' +p248158 +aS'.\t.\t.\tO\tO' +p248159 +asS"MRI showed prominent sulci and enlarged ventricles abnormal for the patient 's age ." +p248160 +(lp248161 +S'MRI\tMRI\tNN\tB-NP\tB-protein' +p248162 +aS'showed\tshow\tVBD\tB-VP\tO' +p248163 +aS'prominent\tprominent\tJJ\tB-NP\tO' +p248164 +aS'sulci\tsulcus\tNNS\tI-NP\tO' +p248165 +aS'and\tand\tCC\tO\tO' +p248166 +aS'enlarged\tenlarged\tJJ\tB-NP\tO' +p248167 +aS'ventricles\tventricle\tNNS\tI-NP\tO' +p248168 +aS'abnormal\tabnormal\tJJ\tB-ADJP\tO' +p248169 +aS'for\tfor\tIN\tB-PP\tO' +p248170 +aS'the\tthe\tDT\tB-NP\tO' +p248171 +aS'patient\tpatient\tNN\tI-NP\tO' +p248172 +aS"'s\t's\tPOS\tB-NP\tO" +p248173 +aS'age\tage\tNN\tI-NP\tO' +p248174 +aS'.\t.\t.\tO\tO' +p248175 +asS'The patient was also seen preoperatively in consultation by the Plastic Surgical Service for potential sternal reconstruction .' +p248176 +(lp248177 +S'The\tThe\tDT\tB-NP\tO' +p248178 +aS'patient\tpatient\tNN\tI-NP\tO' +p248179 +aS'was\tbe\tVBD\tB-VP\tO' +p248180 +aS'also\talso\tRB\tI-VP\tO' +p248181 +aS'seen\tsee\tVBN\tI-VP\tO' +p248182 +aS'preoperatively\tpreoperatively\tRB\tB-ADVP\tO' +p248183 +aS'in\tin\tIN\tB-PP\tO' +p248184 +aS'consultation\tconsultation\tNN\tB-NP\tO' +p248185 +aS'by\tby\tIN\tB-PP\tO' +p248186 +aS'the\tthe\tDT\tB-NP\tO' +p248187 +aS'Plastic\tPlastic\tNNP\tI-NP\tO' +p248188 +aS'Surgical\tSurgical\tNNP\tI-NP\tO' +p248189 +aS'Service\tService\tNNP\tI-NP\tO' +p248190 +aS'for\tfor\tIN\tB-PP\tO' +p248191 +aS'potential\tpotential\tJJ\tB-NP\tO' +p248192 +aS'sternal\tsternal\tJJ\tI-NP\tO' +p248193 +aS'reconstruction\treconstruction\tNN\tI-NP\tO' +p248194 +aS'.\t.\t.\tO\tO' +p248195 +asS'Ms. Swanson is a 53 yo woman with PMH significant for seizure disorder , brain injury , and ? atypical multiple sclerosis who presents with right face twitch and right arm shaking .' +p248196 +(lp248197 +S'Ms.\tMs.\tNNP\tB-NP\tO' +p248198 +aS'Swanson\tSwanson\tNNP\tI-NP\tO' +p248199 +aS'is\tbe\tVBZ\tB-VP\tO' +p248200 +aS'a\ta\tDT\tB-NP\tO' +p248201 +aS'53\t53\tCD\tI-NP\tO' +p248202 +aS'yo\tyo\tNN\tI-NP\tO' +p248203 +aS'woman\twoman\tNN\tI-NP\tO' +p248204 +aS'with\twith\tIN\tB-PP\tO' +p248205 +aS'PMH\tPMH\tNN\tB-NP\tO' +p248206 +aS'significant\tsignificant\tJJ\tB-ADJP\tO' +p248207 +aS'for\tfor\tIN\tB-PP\tO' +p248208 +aS'seizure\tseizure\tNN\tB-NP\tO' +p248209 +aS'disorder\tdisorder\tNN\tI-NP\tO' +p248210 +aS',\t,\t,\tO\tO' +p248211 +aS'brain\tbrain\tNN\tB-NP\tO' +p248212 +aS'injury\tinjury\tNN\tI-NP\tO' +p248213 +aS',\t,\t,\tO\tO' +p248214 +aS'and\tand\tCC\tO\tO' +p248215 +aS'?\t?\t.\tO\tO' +p248216 +aS'atypical\tatypical\tJJ\tB-NP\tO' +p248217 +aS'multiple\tmultiple\tJJ\tI-NP\tO' +p248218 +aS'sclerosis\tsclerosis\tNN\tI-NP\tO' +p248219 +aS'who\twho\tWP\tB-NP\tO' +p248220 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p248221 +aS'with\twith\tIN\tB-PP\tO' +p248222 +aS'right\tright\tJJ\tB-NP\tO' +p248223 +aS'face\tface\tNN\tI-NP\tO' +p248224 +aS'twitch\ttwitch\tNN\tI-NP\tO' +p248225 +aS'and\tand\tCC\tO\tO' +p248226 +aS'right\tright\tJJ\tB-NP\tO' +p248227 +aS'arm\tarm\tNN\tI-NP\tO' +p248228 +aS'shaking\tshaking\tNN\tI-NP\tO' +p248229 +aS'.\t.\t.\tO\tO' +p248230 +asS'3. Potassium Chloride 10 mEq Tablet Sustained Release Sig : Two ( 2 ) Tablet Sustained Release PO once a Sine for 2 weeks .' +p248231 +(lp248232 +S'3.\t3.\tLS\tB-NP\tO' +p248233 +aS'Potassium\tPotassium\tNN\tI-NP\tO' +p248234 +aS'Chloride\tChloride\tNN\tI-NP\tO' +p248235 +aS'10\t10\tCD\tI-NP\tO' +p248236 +aS'mEq\tmEq\tNN\tI-NP\tO' +p248237 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p248238 +aS'Sustained\tSustained\tNNP\tI-NP\tO' +p248239 +aS'Release\tRelease\tNNP\tI-NP\tO' +p248240 +aS'Sig\tSig\tNNP\tI-NP\tB-protein' +p248241 +aS':\t:\t:\tO\tO' +p248242 +aS'Two\tTwo\tCD\tB-NP\tO' +p248243 +aS'(\t(\t(\tO\tO' +p248244 +aS'2\t2\tCD\tB-NP\tO' +p248245 +aS')\t)\t)\tO\tO' +p248246 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p248247 +aS'Sustained\tSustained\tNNP\tI-NP\tO' +p248248 +aS'Release\tRelease\tNNP\tI-NP\tO' +p248249 +aS'PO\tPO\tNNP\tI-NP\tO' +p248250 +aS'once\tonce\tRB\tB-ADVP\tO' +p248251 +aS'a\ta\tDT\tB-NP\tO' +p248252 +aS'Sine\tSine\tNN\tI-NP\tO' +p248253 +aS'for\tfor\tIN\tB-PP\tO' +p248254 +aS'2\t2\tCD\tB-NP\tO' +p248255 +aS'weeks\tweek\tNNS\tI-NP\tO' +p248256 +aS'.\t.\t.\tO\tO' +p248257 +asS'Exam only notable for II / VI systolic murmur .' +p248258 +(lp248259 +S'Exam\tExam\tNN\tB-NP\tO' +p248260 +aS'only\tonly\tRB\tB-ADJP\tO' +p248261 +aS'notable\tnotable\tJJ\tI-ADJP\tO' +p248262 +aS'for\tfor\tIN\tB-PP\tO' +p248263 +aS'II\tII\tCD\tB-NP\tO' +p248264 +aS'/\t/\tSYM\tI-NP\tO' +p248265 +aS'VI\tVI\tCD\tI-NP\tO' +p248266 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p248267 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p248268 +aS'.\t.\t.\tO\tO' +p248269 +asS'The patient was admitted to the preoperative holding area and taken electively to the operating room .' +p248270 +(lp248271 +S'The\tThe\tDT\tB-NP\tO' +p248272 +aS'patient\tpatient\tNN\tI-NP\tO' +p248273 +aS'was\tbe\tVBD\tB-VP\tO' +p248274 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p248275 +aS'to\tto\tTO\tB-PP\tO' +p248276 +aS'the\tthe\tDT\tB-NP\tO' +p248277 +aS'preoperative\tpreoperative\tJJ\tI-NP\tO' +p248278 +aS'holding\tholding\tNN\tI-NP\tO' +p248279 +aS'area\tarea\tNN\tI-NP\tO' +p248280 +aS'and\tand\tCC\tO\tO' +p248281 +aS'taken\ttake\tVBN\tB-VP\tO' +p248282 +aS'electively\telectively\tRB\tB-ADVP\tO' +p248283 +aS'to\tto\tTO\tB-PP\tO' +p248284 +aS'the\tthe\tDT\tB-NP\tO' +p248285 +aS'operating\toperating\tNN\tI-NP\tO' +p248286 +aS'room\troom\tNN\tI-NP\tO' +p248287 +aS'.\t.\t.\tO\tO' +p248288 +asS'Muscle tone was increased throughout , and the legs were both extended and internally rotated .' +p248289 +(lp248290 +S'Muscle\tMuscle\tNN\tB-NP\tO' +p248291 +aS'tone\ttone\tNN\tI-NP\tO' +p248292 +aS'was\tbe\tVBD\tB-VP\tO' +p248293 +aS'increased\tincrease\tVBN\tI-VP\tO' +p248294 +aS'throughout\tthroughout\tIN\tB-PRT\tO' +p248295 +aS',\t,\t,\tO\tO' +p248296 +aS'and\tand\tCC\tO\tO' +p248297 +aS'the\tthe\tDT\tB-NP\tO' +p248298 +aS'legs\tleg\tNNS\tI-NP\tO' +p248299 +aS'were\tbe\tVBD\tB-VP\tO' +p248300 +aS'both\tboth\tDT\tO\tO' +p248301 +aS'extended\textend\tVBN\tB-VP\tO' +p248302 +aS'and\tand\tCC\tO\tO' +p248303 +aS'internally\tinternally\tRB\tB-VP\tO' +p248304 +aS'rotated\trotate\tVBN\tI-VP\tO' +p248305 +aS'.\t.\t.\tO\tO' +p248306 +asS'There is a minimum amount of serosanguinous drainage .' +p248307 +(lp248308 +S'There\tThere\tEX\tB-NP\tO' +p248309 +aS'is\tbe\tVBZ\tB-VP\tO' +p248310 +aS'a\ta\tDT\tB-NP\tO' +p248311 +aS'minimum\tminimum\tJJ\tI-NP\tO' +p248312 +aS'amount\tamount\tNN\tI-NP\tO' +p248313 +aS'of\tof\tIN\tB-PP\tO' +p248314 +aS'serosanguinous\tserosanguinous\tJJ\tB-NP\tO' +p248315 +aS'drainage\tdrainage\tNN\tI-NP\tO' +p248316 +aS'.\t.\t.\tO\tO' +p248317 +asS'The patient is unemployed .' +p248318 +(lp248319 +S'The\tThe\tDT\tB-NP\tO' +p248320 +aS'patient\tpatient\tNN\tI-NP\tO' +p248321 +aS'is\tbe\tVBZ\tB-VP\tO' +p248322 +aS'unemployed\tunemployed\tJJ\tB-ADJP\tO' +p248323 +aS'.\t.\t.\tO\tO' +p248324 +asS'The patient was judged to be at risk secondary to her history of somomabodies and vaginal bleeding .' +p248325 +(lp248326 +S'The\tThe\tDT\tB-NP\tO' +p248327 +aS'patient\tpatient\tNN\tI-NP\tO' +p248328 +aS'was\tbe\tVBD\tB-VP\tO' +p248329 +aS'judged\tjudge\tVBN\tI-VP\tO' +p248330 +aS'to\tto\tTO\tI-VP\tO' +p248331 +aS'be\tbe\tVB\tI-VP\tO' +p248332 +aS'at\tat\tIN\tB-PP\tO' +p248333 +aS'risk\trisk\tNN\tB-NP\tO' +p248334 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p248335 +aS'to\tto\tTO\tB-PP\tO' +p248336 +aS'her\ther\tPRP$\tB-NP\tO' +p248337 +aS'history\thistory\tNN\tI-NP\tO' +p248338 +aS'of\tof\tIN\tB-PP\tO' +p248339 +aS'somomabodies\tsomomabody\tNNS\tB-NP\tO' +p248340 +aS'and\tand\tCC\tO\tO' +p248341 +aS'vaginal\tvaginal\tJJ\tB-NP\tO' +p248342 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p248343 +aS'.\t.\t.\tO\tO' +p248344 +asS'3. Ezetimibe 10 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' +p248345 +(lp248346 +S'3.\t3.\tLS\tB-LST\tO' +p248347 +aS'Ezetimibe\tEzetimibe\tNNP\tB-NP\tO' +p248348 +aS'10\t10\tCD\tI-NP\tO' +p248349 +aS'mg\tmg\tNN\tI-NP\tO' +p248350 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p248351 +aS'Sig\tSig\tNNP\tI-NP\tO' +p248352 +aS':\t:\t:\tO\tO' +p248353 +aS'One\tOne\tCD\tB-NP\tO' +p248354 +aS'(\t(\t(\tO\tO' +p248355 +aS'1\t1\tCD\tB-NP\tO' +p248356 +aS')\t)\t)\tO\tO' +p248357 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p248358 +aS'PO\tPO\tNN\tI-NP\tO' +p248359 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p248360 +aS'(\t(\t(\tO\tO' +p248361 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p248362 +aS')\t)\t)\tO\tO' +p248363 +aS'.\t.\t.\tO\tO' +p248364 +asS'PT 14.2 , PTT 108.5 , INR 1.3 .' +p248365 +(lp248366 +S'PT\tPT\tNN\tB-NP\tB-protein' +p248367 +aS'14.2\t14.2\tCD\tI-NP\tI-protein' +p248368 +aS',\t,\t,\tO\tO' +p248369 +aS'PTT\tPTT\tNN\tB-NP\tB-cell_line' +p248370 +aS'108.5\t108.5\tCD\tI-NP\tI-cell_line' +p248371 +aS',\t,\t,\tO\tO' +p248372 +aS'INR\tINR\tNN\tB-NP\tB-protein' +p248373 +aS'1.3\t1.3\tCD\tI-NP\tI-protein' +p248374 +aS'.\t.\t.\tO\tO' +p248375 +asS'5. Reglan 10 mg po three times a day .' +p248376 +(lp248377 +S'5.\t5.\tLS\tB-LST\tO' +p248378 +aS'Reglan\tReglan\tNNP\tB-NP\tO' +p248379 +aS'10\t10\tCD\tI-NP\tO' +p248380 +aS'mg\tmg\tNN\tI-NP\tO' +p248381 +aS'po\tpo\tIN\tB-PP\tO' +p248382 +aS'three\tthree\tCD\tB-NP\tO' +p248383 +aS'times\ttime\tNNS\tI-NP\tO' +p248384 +aS'a\ta\tDT\tB-NP\tO' +p248385 +aS'day\tday\tNN\tI-NP\tO' +p248386 +aS'.\t.\t.\tO\tO' +p248387 +asS'Post op course unremrakable .' +p248388 +(lp248389 +S'Post\tPost\tJJ\tB-NP\tO' +p248390 +aS'op\top\tNN\tI-NP\tO' +p248391 +aS'course\tcourse\tNN\tI-NP\tO' +p248392 +aS'unremrakable\tunremrakable\tJJ\tB-ADJP\tO' +p248393 +aS'.\t.\t.\tO\tO' +p248394 +asS'She is a one pack per day smoker for the last forty years , denies alcohol , is a former nurse with the Storm Mor Hospital And Medical Center .' +p248395 +(lp248396 +S'She\tShe\tPRP\tB-NP\tO' +p248397 +aS'is\tbe\tVBZ\tB-VP\tO' +p248398 +aS'a\ta\tDT\tB-NP\tO' +p248399 +aS'one\tone\tCD\tI-NP\tO' +p248400 +aS'pack\tpack\tNN\tI-NP\tO' +p248401 +aS'per\tper\tIN\tB-PP\tO' +p248402 +aS'day\tday\tNN\tB-NP\tO' +p248403 +aS'smoker\tsmoker\tNN\tI-NP\tO' +p248404 +aS'for\tfor\tIN\tB-PP\tO' +p248405 +aS'the\tthe\tDT\tB-NP\tO' +p248406 +aS'last\tlast\tJJ\tI-NP\tO' +p248407 +aS'forty\tforty\tJJ\tI-NP\tO' +p248408 +aS'years\tyear\tNNS\tI-NP\tO' +p248409 +aS',\t,\t,\tO\tO' +p248410 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p248411 +aS'alcohol\talcohol\tNN\tB-NP\tO' +p248412 +aS',\t,\t,\tO\tO' +p248413 +aS'is\tbe\tVBZ\tB-VP\tO' +p248414 +aS'a\ta\tDT\tB-NP\tO' +p248415 +aS'former\tformer\tJJ\tI-NP\tO' +p248416 +aS'nurse\tnurse\tNN\tI-NP\tO' +p248417 +aS'with\twith\tIN\tB-PP\tO' +p248418 +aS'the\tthe\tDT\tB-NP\tO' +p248419 +aS'Storm\tStorm\tNNP\tI-NP\tO' +p248420 +aS'Mor\tMor\tNNP\tI-NP\tO' +p248421 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p248422 +aS'And\tAnd\tNNP\tI-NP\tO' +p248423 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p248424 +aS'Center\tCenter\tNNP\tI-NP\tO' +p248425 +aS'.\t.\t.\tO\tO' +p248426 +asS'The patient was subsequently transferred to the Cardiac Surgery Recovery Unit , intubated , for further evaluation and management .' +p248427 +(lp248428 +S'The\tThe\tDT\tB-NP\tO' +p248429 +aS'patient\tpatient\tNN\tI-NP\tO' +p248430 +aS'was\tbe\tVBD\tB-VP\tO' +p248431 +aS'subsequently\tsubsequently\tRB\tI-VP\tO' +p248432 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p248433 +aS'to\tto\tTO\tB-PP\tO' +p248434 +aS'the\tthe\tDT\tB-NP\tO' +p248435 +aS'Cardiac\tCardiac\tNNP\tI-NP\tO' +p248436 +aS'Surgery\tSurgery\tNNP\tI-NP\tO' +p248437 +aS'Recovery\tRecovery\tNNP\tI-NP\tO' +p248438 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p248439 +aS',\t,\t,\tO\tO' +p248440 +aS'intubated\tintubate\tVBN\tB-VP\tO' +p248441 +aS',\t,\t,\tO\tO' +p248442 +aS'for\tfor\tIN\tB-PP\tO' +p248443 +aS'further\tfurther\tJJ\tB-NP\tO' +p248444 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p248445 +aS'and\tand\tCC\tI-NP\tO' +p248446 +aS'management\tmanagement\tNN\tI-NP\tO' +p248447 +aS'.\t.\t.\tO\tO' +p248448 +asS'CT at the Ona Hospital in 1989 showed similar findings .' +p248449 +(lp248450 +S'CT\tCT\tNN\tB-NP\tO' +p248451 +aS'at\tat\tIN\tB-PP\tO' +p248452 +aS'the\tthe\tDT\tB-NP\tO' +p248453 +aS'Ona\tOna\tNNP\tI-NP\tO' +p248454 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p248455 +aS'in\tin\tIN\tB-PP\tO' +p248456 +aS'1989\t1989\tCD\tB-NP\tO' +p248457 +aS'showed\tshow\tVBD\tB-VP\tO' +p248458 +aS'similar\tsimilar\tJJ\tB-NP\tO' +p248459 +aS'findings\tfinding\tNNS\tI-NP\tO' +p248460 +aS'.\t.\t.\tO\tO' +p248461 +asS'Infant passed hearing screen prior to discharge .' +p248462 +(lp248463 +S'Infant\tInfant\tNNP\tB-NP\tO' +p248464 +aS'passed\tpass\tVBD\tB-VP\tO' +p248465 +aS'hearing\thear\tVBG\tI-VP\tO' +p248466 +aS'screen\tscreen\tNN\tB-NP\tO' +p248467 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p248468 +aS'to\tto\tTO\tB-VP\tO' +p248469 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p248470 +aS'.\t.\t.\tO\tO' +p248471 +asS'She had extensive disease of the uterus , ovarian tubes , omentum and the periaortic lymph nodes .' +p248472 +(lp248473 +S'She\tShe\tPRP\tB-NP\tO' +p248474 +aS'had\thave\tVBD\tB-VP\tO' +p248475 +aS'extensive\textensive\tJJ\tB-NP\tO' +p248476 +aS'disease\tdisease\tNN\tI-NP\tO' +p248477 +aS'of\tof\tIN\tB-PP\tO' +p248478 +aS'the\tthe\tDT\tB-NP\tO' +p248479 +aS'uterus\tuterus\tNN\tI-NP\tO' +p248480 +aS',\t,\t,\tO\tO' +p248481 +aS'ovarian\tovarian\tJJ\tB-NP\tO' +p248482 +aS'tubes\ttube\tNNS\tI-NP\tO' +p248483 +aS',\t,\t,\tO\tO' +p248484 +aS'omentum\tomentum\tNN\tB-NP\tO' +p248485 +aS'and\tand\tCC\tO\tO' +p248486 +aS'the\tthe\tDT\tB-NP\tO' +p248487 +aS'periaortic\tperiaortic\tJJ\tI-NP\tO' +p248488 +aS'lymph\tlymph\tNN\tI-NP\tO' +p248489 +aS'nodes\tnode\tNNS\tI-NP\tO' +p248490 +aS'.\t.\t.\tO\tO' +p248491 +asS'7. Metoprolol Tartrate 25 mg Tablet Sig : One ( 1 ) Tablet PO TID ( 3 times a day ) .' +p248492 +(lp248493 +S'7.\t7.\tCD\tB-NP\tO' +p248494 +aS'Metoprolol\tMetoprolol\tNNP\tI-NP\tO' +p248495 +aS'Tartrate\tTartrate\tNNP\tI-NP\tO' +p248496 +aS'25\t25\tCD\tI-NP\tO' +p248497 +aS'mg\tmg\tNN\tI-NP\tO' +p248498 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p248499 +aS'Sig\tSig\tNNP\tI-NP\tO' +p248500 +aS':\t:\t:\tO\tO' +p248501 +aS'One\tOne\tCD\tB-NP\tO' +p248502 +aS'(\t(\t(\tO\tO' +p248503 +aS'1\t1\tCD\tB-NP\tO' +p248504 +aS')\t)\t)\tO\tO' +p248505 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p248506 +aS'PO\tPO\tNN\tI-NP\tO' +p248507 +aS'TID\tTID\tNN\tI-NP\tO' +p248508 +aS'(\t(\t(\tO\tO' +p248509 +aS'3\t3\tCD\tB-NP\tO' +p248510 +aS'times\ttime\tNNS\tI-NP\tO' +p248511 +aS'a\ta\tDT\tB-NP\tO' +p248512 +aS'day\tday\tNN\tI-NP\tO' +p248513 +aS')\t)\t)\tO\tO' +p248514 +aS'.\t.\t.\tO\tO' +p248515 +asS'DISCHARGE / DISPOSITION : Home with parents .' +p248516 +(lp248517 +S'DISCHARGE\tDISCHARGE\tNN\tB-NP\tO' +p248518 +aS'/\t/\tSYM\tI-NP\tO' +p248519 +aS'DISPOSITION\tDISPOSITION\tNN\tI-NP\tO' +p248520 +aS':\t:\t:\tO\tO' +p248521 +aS'Home\tHome\tNN\tB-NP\tO' +p248522 +aS'with\twith\tIN\tB-PP\tO' +p248523 +aS'parents\tparent\tNNS\tB-NP\tO' +p248524 +aS'.\t.\t.\tO\tO' +p248525 +asS'No bowel / bladder incont , no aura , no postictal state .' +p248526 +(lp248527 +S'No\tNo\tDT\tB-NP\tO' +p248528 +aS'bowel\tbowel\tNN\tI-NP\tO' +p248529 +aS'/\t/\tSYM\tB-NP\tO' +p248530 +aS'bladder\tbladder\tNN\tI-NP\tO' +p248531 +aS'incont\tincont\tNN\tI-NP\tO' +p248532 +aS',\t,\t,\tO\tO' +p248533 +aS'no\tno\tDT\tB-NP\tO' +p248534 +aS'aura\taura\tNN\tI-NP\tO' +p248535 +aS',\t,\t,\tO\tO' +p248536 +aS'no\tno\tDT\tB-NP\tO' +p248537 +aS'postictal\tpostictal\tJJ\tI-NP\tO' +p248538 +aS'state\tstate\tNN\tI-NP\tO' +p248539 +aS'.\t.\t.\tO\tO' +p248540 +asS'9. Allergic rhinitis .' +p248541 +(lp248542 +S'9.\t9.\tLS\tB-NP\tO' +p248543 +aS'Allergic\tAllergic\tJJ\tI-NP\tO' +p248544 +aS'rhinitis\trhinitis\tNN\tI-NP\tO' +p248545 +aS'.\t.\t.\tO\tO' +p248546 +asS'Sodium 140 , potassium 4.0 , chloride 104 , CO2 28 , BUN 14 , creatinine 1.1 , glucose 243 .' +p248547 +(lp248548 +S'Sodium\tSodium\tNN\tB-NP\tB-protein' +p248549 +aS'140\t140\tCD\tI-NP\tI-protein' +p248550 +aS',\t,\t,\tO\tO' +p248551 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p248552 +aS'4.0\t4.0\tCD\tI-NP\tO' +p248553 +aS',\t,\t,\tO\tO' +p248554 +aS'chloride\tchloride\tNN\tB-NP\tO' +p248555 +aS'104\t104\tCD\tI-NP\tO' +p248556 +aS',\t,\t,\tO\tO' +p248557 +aS'CO2\tCO2\tNN\tB-NP\tO' +p248558 +aS'28\t28\tCD\tI-NP\tO' +p248559 +aS',\t,\t,\tO\tO' +p248560 +aS'BUN\tBUN\tNN\tB-NP\tB-DNA' +p248561 +aS'14\t14\tCD\tI-NP\tI-DNA' +p248562 +aS',\t,\t,\tO\tO' +p248563 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p248564 +aS'1.1\t1.1\tCD\tI-NP\tO' +p248565 +aS',\t,\t,\tO\tO' +p248566 +aS'glucose\tglucose\tNN\tB-NP\tO' +p248567 +aS'243\t243\tCD\tI-NP\tO' +p248568 +aS'.\t.\t.\tO\tO' +p248569 +asS'While still in the emergency department , he had rapid decompensation necessitating intubation for airway protection .' +p248570 +(lp248571 +S'While\tWhile\tIN\tB-SBAR\tO' +p248572 +aS'still\tstill\tRB\tB-ADVP\tO' +p248573 +aS'in\tin\tIN\tB-PP\tO' +p248574 +aS'the\tthe\tDT\tB-NP\tO' +p248575 +aS'emergency\temergency\tNN\tI-NP\tO' +p248576 +aS'department\tdepartment\tNN\tI-NP\tO' +p248577 +aS',\t,\t,\tO\tO' +p248578 +aS'he\the\tPRP\tB-NP\tO' +p248579 +aS'had\thave\tVBD\tB-VP\tO' +p248580 +aS'rapid\trapid\tJJ\tB-NP\tO' +p248581 +aS'decompensation\tdecompensation\tNN\tI-NP\tO' +p248582 +aS'necessitating\tnecessitate\tVBG\tB-VP\tO' +p248583 +aS'intubation\tintubation\tNN\tB-NP\tO' +p248584 +aS'for\tfor\tIN\tB-PP\tO' +p248585 +aS'airway\tairway\tNN\tB-NP\tO' +p248586 +aS'protection\tprotection\tNN\tI-NP\tO' +p248587 +aS'.\t.\t.\tO\tO' +p248588 +asS'She has no family history of gallbladder or pancreatic disease .' +p248589 +(lp248590 +S'She\tShe\tPRP\tB-NP\tO' +p248591 +aS'has\thave\tVBZ\tB-VP\tO' +p248592 +aS'no\tno\tDT\tB-NP\tO' +p248593 +aS'family\tfamily\tNN\tI-NP\tO' +p248594 +aS'history\thistory\tNN\tI-NP\tO' +p248595 +aS'of\tof\tIN\tB-PP\tO' +p248596 +aS'gallbladder\tgallbladder\tNN\tB-NP\tO' +p248597 +aS'or\tor\tCC\tO\tO' +p248598 +aS'pancreatic\tpancreatic\tJJ\tB-NP\tO' +p248599 +aS'disease\tdisease\tNN\tI-NP\tO' +p248600 +aS'.\t.\t.\tO\tO' +p248601 +asS'Her abdomen is soft and nontender with a well healed left lower quadrant incision from her kidney transplantation .' +p248602 +(lp248603 +S'Her\tHer\tPRP$\tB-NP\tO' +p248604 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p248605 +aS'is\tbe\tVBZ\tB-VP\tO' +p248606 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p248607 +aS'and\tand\tCC\tI-ADJP\tO' +p248608 +aS'nontender\tnontender\tJJ\tI-ADJP\tO' +p248609 +aS'with\twith\tIN\tB-PP\tO' +p248610 +aS'a\ta\tDT\tB-NP\tO' +p248611 +aS'well\twell\tRB\tI-NP\tO' +p248612 +aS'healed\theal\tVBN\tI-NP\tO' +p248613 +aS'left\tleave\tVBD\tB-VP\tO' +p248614 +aS'lower\tlow\tJJR\tB-NP\tO' +p248615 +aS'quadrant\tquadrant\tJJ\tI-NP\tO' +p248616 +aS'incision\tincision\tNN\tI-NP\tO' +p248617 +aS'from\tfrom\tIN\tB-PP\tO' +p248618 +aS'her\ther\tPRP$\tB-NP\tO' +p248619 +aS'kidney\tkidney\tNN\tI-NP\tO' +p248620 +aS'transplantation\ttransplantation\tNN\tI-NP\tO' +p248621 +aS'.\t.\t.\tO\tO' +p248622 +asS'1. Diabetic ketoacidosis .' +p248623 +(lp248624 +S'1.\t1.\tLS\tB-NP\tO' +p248625 +aS'Diabetic\tDiabetic\tJJ\tI-NP\tO' +p248626 +aS'ketoacidosis\tketoacidosis\tNN\tI-NP\tO' +p248627 +aS'.\t.\t.\tO\tO' +p248628 +asS'He had intact corneals bilaterally and intact horizontal dull movements bilaterally .' +p248629 +(lp248630 +S'He\tHe\tPRP\tB-NP\tO' +p248631 +aS'had\thave\tVBD\tB-VP\tO' +p248632 +aS'intact\tintact\tJJ\tB-NP\tO' +p248633 +aS'corneals\tcorneal\tNNS\tI-NP\tO' +p248634 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p248635 +aS'and\tand\tCC\tO\tO' +p248636 +aS'intact\tintact\tJJ\tB-NP\tO' +p248637 +aS'horizontal\thorizontal\tJJ\tI-NP\tO' +p248638 +aS'dull\tdull\tJJ\tI-NP\tO' +p248639 +aS'movements\tmovement\tNNS\tI-NP\tO' +p248640 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p248641 +aS'.\t.\t.\tO\tO' +p248642 +asS'8. Nitroglycerin 0.3 mg Tablet , Sublingual Sig : One ( 1 ) Tablet , Sublingual Sublingual PRN ( as needed ) .' +p248643 +(lp248644 +S'8.\t8.\tCD\tB-NP\tO' +p248645 +aS'Nitroglycerin\tNitroglycerin\tNN\tI-NP\tO' +p248646 +aS'0.3\t0.3\tCD\tB-NP\tO' +p248647 +aS'mg\tmg\tNN\tI-NP\tO' +p248648 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p248649 +aS',\t,\t,\tO\tO' +p248650 +aS'Sublingual\tSublingual\tNNP\tB-NP\tO' +p248651 +aS'Sig\tSig\tNNP\tI-NP\tO' +p248652 +aS':\t:\t:\tO\tO' +p248653 +aS'One\tOne\tCD\tB-NP\tO' +p248654 +aS'(\t(\t(\tO\tO' +p248655 +aS'1\t1\tCD\tB-NP\tO' +p248656 +aS')\t)\t)\tO\tO' +p248657 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p248658 +aS',\t,\t,\tO\tO' +p248659 +aS'Sublingual\tSublingual\tNNP\tB-NP\tO' +p248660 +aS'Sublingual\tSublingual\tNNP\tI-NP\tO' +p248661 +aS'PRN\tPRN\tNN\tI-NP\tO' +p248662 +aS'(\t(\t(\tO\tO' +p248663 +aS'as\tas\tIN\tB-SBAR\tO' +p248664 +aS'needed\tneed\tVBN\tB-VP\tO' +p248665 +aS')\t)\t)\tO\tO' +p248666 +aS'.\t.\t.\tO\tO' +p248667 +asS'To nursery at VA Hospital Jamaica Plain Hospital .' +p248668 +(lp248669 +S'To\tTo\tTO\tB-PP\tO' +p248670 +aS'nursery\tnursery\tNN\tB-NP\tO' +p248671 +aS'at\tat\tIN\tB-PP\tO' +p248672 +aS'VA\tVA\tNNP\tB-NP\tO' +p248673 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p248674 +aS'Jamaica\tJamaica\tNNP\tI-NP\tO' +p248675 +aS'Plain\tPlain\tNNP\tI-NP\tO' +p248676 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p248677 +aS'.\t.\t.\tO\tO' +p248678 +asS'Trivial MR .' +p248679 +(lp248680 +S'Trivial\tTrivial\tJJ\tB-NP\tB-protein' +p248681 +aS'MR\tMR\tNN\tI-NP\tI-protein' +p248682 +aS'.\t.\t.\tO\tO' +p248683 +asS'7. h/o clot in AV graft x2 ( March and 2018-07-07 )' +p248684 +(lp248685 +S'7.\t7.\tLS\tB-NP\tO' +p248686 +aS'h/o\th/o\tNN\tI-NP\tO' +p248687 +aS'clot\tclot\tNN\tI-NP\tO' +p248688 +aS'in\tin\tIN\tB-PP\tO' +p248689 +aS'AV\tAV\tNN\tB-NP\tO' +p248690 +aS'graft\tgraft\tNN\tI-NP\tO' +p248691 +aS'x2\tx2\tNN\tI-NP\tO' +p248692 +aS'(\t(\t(\tO\tO' +p248693 +aS'March\tMarch\tNNP\tB-NP\tO' +p248694 +aS'and\tand\tCC\tO\tO' +p248695 +aS'2018-07-07\t2018-07-07\tCD\tB-NP\tO' +p248696 +aS')\t)\t)\tO\tO' +p248697 +asS"Chronic lung disease was unlikely given the patient 's normal pulmonary function tests and DLCO in 2012 as well as a normal CT angiogram ." +p248698 +(lp248699 +S'Chronic\tChronic\tJJ\tB-NP\tO' +p248700 +aS'lung\tlung\tNN\tI-NP\tO' +p248701 +aS'disease\tdisease\tNN\tI-NP\tO' +p248702 +aS'was\tbe\tVBD\tB-VP\tO' +p248703 +aS'unlikely\tunlikely\tJJ\tB-ADJP\tO' +p248704 +aS'given\tgive\tVBN\tB-PP\tO' +p248705 +aS'the\tthe\tDT\tB-NP\tO' +p248706 +aS'patient\tpatient\tNN\tI-NP\tO' +p248707 +aS"'s\t's\tPOS\tB-NP\tO" +p248708 +aS'normal\tnormal\tJJ\tI-NP\tO' +p248709 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p248710 +aS'function\tfunction\tNN\tI-NP\tO' +p248711 +aS'tests\ttest\tNNS\tI-NP\tO' +p248712 +aS'and\tand\tCC\tO\tO' +p248713 +aS'DLCO\tDLCO\tNN\tB-NP\tO' +p248714 +aS'in\tin\tIN\tB-PP\tO' +p248715 +aS'2012\t2012\tCD\tB-NP\tO' +p248716 +aS'as\tas\tRB\tI-NP\tO' +p248717 +aS'well\twell\tRB\tI-NP\tO' +p248718 +aS'as\tas\tIN\tI-NP\tO' +p248719 +aS'a\ta\tDT\tB-NP\tO' +p248720 +aS'normal\tnormal\tJJ\tI-NP\tO' +p248721 +aS'CT\tCT\tNN\tI-NP\tO' +p248722 +aS'angiogram\tangiogram\tNN\tI-NP\tO' +p248723 +aS'.\t.\t.\tO\tO' +p248724 +asS'3. Urinary frequency secondary to interstitial cystitis .' +p248725 +(lp248726 +S'3.\t3.\tLS\tB-NP\tO' +p248727 +aS'Urinary\tUrinary\tJJ\tI-NP\tO' +p248728 +aS'frequency\tfrequency\tNN\tI-NP\tO' +p248729 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p248730 +aS'to\tto\tTO\tB-PP\tO' +p248731 +aS'interstitial\tinterstitial\tJJ\tB-NP\tO' +p248732 +aS'cystitis\tcystitis\tNN\tI-NP\tO' +p248733 +aS'.\t.\t.\tO\tO' +p248734 +asS'Hct 44 .' +p248735 +(lp248736 +S'Hct\tHct\tNN\tB-NP\tB-protein' +p248737 +aS'44\t44\tCD\tI-NP\tI-protein' +p248738 +aS'.\t.\t.\tO\tO' +p248739 +asS'The infant is discharged in guarded condition .' +p248740 +(lp248741 +S'The\tThe\tDT\tB-NP\tO' +p248742 +aS'infant\tinfant\tNN\tI-NP\tO' +p248743 +aS'is\tbe\tVBZ\tB-VP\tO' +p248744 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p248745 +aS'in\tin\tIN\tB-PP\tO' +p248746 +aS'guarded\tguard\tVBN\tB-NP\tO' +p248747 +aS'condition\tcondition\tNN\tI-NP\tO' +p248748 +aS'.\t.\t.\tO\tO' +p248749 +asS'She has follow up with Dr. Schwartz in the Clinic on Monday , 12-22 , at 2:30 p.m. to check her INR and digoxin level .' +p248750 +(lp248751 +S'She\tShe\tPRP\tB-NP\tO' +p248752 +aS'has\thave\tVBZ\tB-VP\tO' +p248753 +aS'follow\tfollow\tVB\tI-VP\tO' +p248754 +aS'up\tup\tRP\tB-PRT\tO' +p248755 +aS'with\twith\tIN\tB-PP\tO' +p248756 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p248757 +aS'Schwartz\tSchwartz\tNNP\tI-NP\tO' +p248758 +aS'in\tin\tIN\tB-PP\tO' +p248759 +aS'the\tthe\tDT\tB-NP\tO' +p248760 +aS'Clinic\tClinic\tNNP\tI-NP\tO' +p248761 +aS'on\ton\tIN\tB-PP\tO' +p248762 +aS'Monday\tMonday\tNNP\tB-NP\tO' +p248763 +aS',\t,\t,\tO\tO' +p248764 +aS'12-22\t12-22\tCD\tB-NP\tO' +p248765 +aS',\t,\t,\tO\tO' +p248766 +aS'at\tat\tIN\tB-PP\tO' +p248767 +aS'2:30\t2:30\tCD\tB-NP\tO' +p248768 +aS'p.m.\tp.m.\tNN\tI-NP\tO' +p248769 +aS'to\tto\tTO\tB-VP\tO' +p248770 +aS'check\tcheck\tVB\tI-VP\tO' +p248771 +aS'her\ther\tPRP$\tB-NP\tO' +p248772 +aS'INR\tINR\tNN\tI-NP\tB-protein' +p248773 +aS'and\tand\tCC\tI-NP\tO' +p248774 +aS'digoxin\tdigoxin\tNN\tI-NP\tO' +p248775 +aS'level\tlevel\tNN\tI-NP\tO' +p248776 +aS'.\t.\t.\tO\tO' +p248777 +asS'6. Warfarin 2 mg Tablet Sig : Two ( 2 ) Tablet PO once a Avrett : target INR 1.5-2 .' +p248778 +(lp248779 +S'6.\t6.\tCD\tB-NP\tO' +p248780 +aS'Warfarin\tWarfarin\tNN\tI-NP\tO' +p248781 +aS'2\t2\tCD\tB-NP\tO' +p248782 +aS'mg\tmg\tNN\tI-NP\tO' +p248783 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p248784 +aS'Sig\tSig\tNNP\tI-NP\tO' +p248785 +aS':\t:\t:\tO\tO' +p248786 +aS'Two\tTwo\tCD\tB-NP\tO' +p248787 +aS'(\t(\t(\tO\tO' +p248788 +aS'2\t2\tCD\tO\tO' +p248789 +aS')\t)\t)\tO\tO' +p248790 +aS'Tablet\tTablet\tNN\tB-NP\tB-protein' +p248791 +aS'PO\tPO\tNN\tI-NP\tI-protein' +p248792 +aS'once\tonce\tIN\tB-SBAR\tO' +p248793 +aS'a\ta\tDT\tB-NP\tO' +p248794 +aS'Avrett\tAvrett\tNNP\tI-NP\tO' +p248795 +aS':\t:\t:\tO\tO' +p248796 +aS'target\ttarget\tNN\tB-NP\tO' +p248797 +aS'INR\tINR\tNN\tI-NP\tO' +p248798 +aS'1.5-2\t1.5-2\tCD\tI-NP\tO' +p248799 +aS'.\t.\t.\tO\tO' +p248800 +asS'She noted that he was actively working full time and was a sales representative at the Leigh and lives at home with her and his daughter , age 18 .' +p248801 +(lp248802 +S'She\tShe\tPRP\tB-NP\tO' +p248803 +aS'noted\tnote\tVBD\tB-VP\tO' +p248804 +aS'that\tthat\tIN\tB-SBAR\tO' +p248805 +aS'he\the\tPRP\tB-NP\tO' +p248806 +aS'was\tbe\tVBD\tB-VP\tO' +p248807 +aS'actively\tactively\tRB\tI-VP\tO' +p248808 +aS'working\twork\tVBG\tI-VP\tO' +p248809 +aS'full\tfull\tJJ\tB-NP\tO' +p248810 +aS'time\ttime\tNN\tI-NP\tO' +p248811 +aS'and\tand\tCC\tO\tO' +p248812 +aS'was\tbe\tVBD\tB-VP\tO' +p248813 +aS'a\ta\tDT\tB-NP\tO' +p248814 +aS'sales\tsale\tNNS\tI-NP\tO' +p248815 +aS'representative\trepresentative\tNN\tI-NP\tO' +p248816 +aS'at\tat\tIN\tB-PP\tO' +p248817 +aS'the\tthe\tDT\tB-NP\tO' +p248818 +aS'Leigh\tLeigh\tNNP\tI-NP\tO' +p248819 +aS'and\tand\tCC\tO\tO' +p248820 +aS'lives\tlive\tVBZ\tB-VP\tO' +p248821 +aS'at\tat\tIN\tB-PP\tO' +p248822 +aS'home\thome\tNN\tB-NP\tO' +p248823 +aS'with\twith\tIN\tB-PP\tO' +p248824 +aS'her\ther\tPRP\tB-NP\tO' +p248825 +aS'and\tand\tCC\tO\tO' +p248826 +aS'his\this\tPRP$\tB-NP\tO' +p248827 +aS'daughter\tdaughter\tNN\tI-NP\tO' +p248828 +aS',\t,\t,\tO\tO' +p248829 +aS'age\tage\tNN\tB-NP\tO' +p248830 +aS'18\t18\tCD\tI-NP\tO' +p248831 +aS'.\t.\t.\tO\tO' +p248832 +asS'Signed electronically by : DR. Exie Culbreath on : SUN 2015-09-06 10:03 PM' +p248833 +(lp248834 +S'Signed\tSign\tVBN\tB-VP\tO' +p248835 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p248836 +aS'by\tby\tIN\tB-PP\tO' +p248837 +aS':\t:\t:\tO\tO' +p248838 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p248839 +aS'Exie\tExie\tNNP\tI-NP\tO' +p248840 +aS'Culbreath\tCulbreath\tNNP\tI-NP\tO' +p248841 +aS'on\ton\tIN\tB-PP\tO' +p248842 +aS':\t:\t:\tO\tO' +p248843 +aS'SUN\tSUN\tNN\tB-NP\tO' +p248844 +aS'2015-09-06\t2015-09-06\tCD\tI-NP\tO' +p248845 +aS'10:03\t10:03\tCD\tI-NP\tO' +p248846 +aS'PM\tPM\tNN\tI-NP\tO' +p248847 +asS'Lipitor , Flexeril , hydrochlorothiazide and Norvasc .' +p248848 +(lp248849 +S'Lipitor\tLipitor\tNNP\tB-NP\tO' +p248850 +aS',\t,\t,\tI-NP\tO' +p248851 +aS'Flexeril\tFlexeril\tNNP\tI-NP\tO' +p248852 +aS',\t,\t,\tI-NP\tO' +p248853 +aS'hydrochlorothiazide\thydrochlorothiazide\tNN\tI-NP\tO' +p248854 +aS'and\tand\tCC\tI-NP\tO' +p248855 +aS'Norvasc\tNorvasc\tNN\tI-NP\tO' +p248856 +aS'.\t.\t.\tO\tO' +p248857 +asS'Cardiac stress test in 2016-03-17 , that was negative for inducible ischemia .' +p248858 +(lp248859 +S'Cardiac\tCardiac\tJJ\tB-NP\tO' +p248860 +aS'stress\tstress\tNN\tI-NP\tO' +p248861 +aS'test\ttest\tNN\tI-NP\tO' +p248862 +aS'in\tin\tIN\tB-PP\tO' +p248863 +aS'2016-03-17\t2016-03-17\tCD\tB-NP\tO' +p248864 +aS',\t,\t,\tO\tO' +p248865 +aS'that\tthat\tWDT\tB-NP\tO' +p248866 +aS'was\tbe\tVBD\tB-VP\tO' +p248867 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p248868 +aS'for\tfor\tIN\tB-PP\tO' +p248869 +aS'inducible\tinducible\tJJ\tB-NP\tO' +p248870 +aS'ischemia\tischemia\tNN\tI-NP\tO' +p248871 +aS'.\t.\t.\tO\tO' +p248872 +asS"1. Subtotal colectomy , end ileostomy , Hartmann's pouch , G-tube" +p248873 +(lp248874 +S'1.\t1.\tLS\tB-NP\tO' +p248875 +aS'Subtotal\tSubtotal\tJJ\tI-NP\tO' +p248876 +aS'colectomy\tcolectomy\tNN\tI-NP\tO' +p248877 +aS',\t,\t,\tO\tO' +p248878 +aS'end\tend\tNN\tB-NP\tO' +p248879 +aS'ileostomy\tileostomy\tNN\tI-NP\tO' +p248880 +aS',\t,\t,\tO\tO' +p248881 +aS"Hartmann's\tHartmann's\tNNP\tB-NP\tO" +p248882 +aS'pouch\tpouch\tNN\tI-NP\tO' +p248883 +aS',\t,\t,\tO\tO' +p248884 +aS'G-tube\tG-tube\tNNP\tB-NP\tO' +p248885 +asS'She only had one episode of apnea on the day prior to discharge .' +p248886 +(lp248887 +S'She\tShe\tPRP\tB-NP\tO' +p248888 +aS'only\tonly\tRB\tB-ADVP\tO' +p248889 +aS'had\thave\tVBD\tB-VP\tO' +p248890 +aS'one\tone\tCD\tB-NP\tO' +p248891 +aS'episode\tepisode\tNN\tI-NP\tO' +p248892 +aS'of\tof\tIN\tB-PP\tO' +p248893 +aS'apnea\tapnea\tNN\tB-NP\tO' +p248894 +aS'on\ton\tIN\tB-PP\tO' +p248895 +aS'the\tthe\tDT\tB-NP\tO' +p248896 +aS'day\tday\tNN\tI-NP\tO' +p248897 +aS'prior\tprior\tRB\tB-ADVP\tO' +p248898 +aS'to\tto\tTO\tB-VP\tO' +p248899 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p248900 +aS'.\t.\t.\tO\tO' +p248901 +asS'The Feeney Gann-Burlington drain on postoperative day number demonstrated medial output of 780 with lateral output of 150 .' +p248902 +(lp248903 +S'The\tThe\tDT\tB-NP\tO' +p248904 +aS'Feeney\tFeeney\tNNP\tI-NP\tO' +p248905 +aS'Gann-Burlington\tGann-Burlington\tNNP\tI-NP\tO' +p248906 +aS'drain\tdrain\tNN\tI-NP\tO' +p248907 +aS'on\ton\tIN\tB-PP\tO' +p248908 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p248909 +aS'day\tday\tNN\tI-NP\tO' +p248910 +aS'number\tnumber\tNN\tI-NP\tO' +p248911 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p248912 +aS'medial\tmedial\tJJ\tB-NP\tO' +p248913 +aS'output\toutput\tNN\tI-NP\tO' +p248914 +aS'of\tof\tIN\tB-PP\tO' +p248915 +aS'780\t780\tCD\tB-NP\tO' +p248916 +aS'with\twith\tIN\tB-PP\tO' +p248917 +aS'lateral\tlateral\tJJ\tB-NP\tO' +p248918 +aS'output\toutput\tNN\tI-NP\tO' +p248919 +aS'of\tof\tIN\tB-PP\tO' +p248920 +aS'150\t150\tCD\tB-NP\tO' +p248921 +aS'.\t.\t.\tO\tO' +p248922 +asS'NL S1 , S2 .' +p248923 +(lp248924 +S'NL\tNL\tNNP\tB-NP\tB-protein' +p248925 +aS'S1\tS1\tNN\tI-NP\tI-protein' +p248926 +aS',\t,\t,\tO\tO' +p248927 +aS'S2\tS2\tNN\tB-NP\tB-protein' +p248928 +aS'.\t.\t.\tO\tO' +p248929 +asS'7. Phenytoin Sodium 50 mg/mL Solution Sig : One 95y ( 150 ) mg Intravenous Q8H ( every 8 hours ) .' +p248930 +(lp248931 +S'7.\t7.\tLS\tB-NP\tO' +p248932 +aS'Phenytoin\tPhenytoin\tNN\tI-NP\tO' +p248933 +aS'Sodium\tSodium\tNN\tI-NP\tO' +p248934 +aS'50\t50\tCD\tI-NP\tO' +p248935 +aS'mg/mL\tmg/mL\tNN\tI-NP\tO' +p248936 +aS'Solution\tSolution\tNNP\tI-NP\tO' +p248937 +aS'Sig\tSig\tNNP\tI-NP\tO' +p248938 +aS':\t:\t:\tO\tO' +p248939 +aS'One\tOne\tCD\tB-NP\tO' +p248940 +aS'95y\t95y\tCD\tI-NP\tO' +p248941 +aS'(\t(\t(\tO\tO' +p248942 +aS'150\t150\tCD\tB-NP\tO' +p248943 +aS')\t)\t)\tO\tO' +p248944 +aS'mg\tmg\tNN\tB-NP\tO' +p248945 +aS'Intravenous\tIntravenous\tJJ\tI-NP\tO' +p248946 +aS'Q8H\tQ8H\tNN\tI-NP\tO' +p248947 +aS'(\t(\t(\tO\tO' +p248948 +aS'every\tevery\tDT\tB-NP\tO' +p248949 +aS'8\t8\tCD\tI-NP\tO' +p248950 +aS'hours\thour\tNNS\tI-NP\tO' +p248951 +aS')\t)\t)\tO\tO' +p248952 +aS'.\t.\t.\tO\tO' +p248953 +asS'His Melranon was weaned off and his ACE inhibitor began .' +p248954 +(lp248955 +S'His\tHis\tPRP$\tB-NP\tB-protein' +p248956 +aS'Melranon\tMelranon\tNNP\tI-NP\tO' +p248957 +aS'was\tbe\tVBD\tB-VP\tO' +p248958 +aS'weaned\twean\tVBN\tI-VP\tO' +p248959 +aS'off\toff\tRP\tB-PRT\tO' +p248960 +aS'and\tand\tCC\tO\tO' +p248961 +aS'his\this\tPRP$\tB-NP\tO' +p248962 +aS'ACE\tACE\tNN\tI-NP\tO' +p248963 +aS'inhibitor\tinhibitor\tNN\tI-NP\tO' +p248964 +aS'began\tbegin\tVBD\tB-VP\tO' +p248965 +aS'.\t.\t.\tO\tO' +p248966 +asS'Severe blunt abdominal trauma .' +p248967 +(lp248968 +S'Severe\tSevere\tJJ\tB-NP\tO' +p248969 +aS'blunt\tblunt\tNN\tI-NP\tO' +p248970 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p248971 +aS'trauma\ttrauma\tNN\tI-NP\tO' +p248972 +aS'.\t.\t.\tO\tO' +p248973 +asS'Infant placed on CPAP .' +p248974 +(lp248975 +S'Infant\tInfant\tNN\tB-NP\tO' +p248976 +aS'placed\tplace\tVBN\tB-VP\tO' +p248977 +aS'on\ton\tIN\tB-PP\tO' +p248978 +aS'CPAP\tCPAP\tNN\tB-NP\tB-protein' +p248979 +aS'.\t.\t.\tO\tO' +p248980 +asS'The patient was transferred to Norri Hospital .' +p248981 +(lp248982 +S'The\tThe\tDT\tB-NP\tO' +p248983 +aS'patient\tpatient\tNN\tI-NP\tO' +p248984 +aS'was\tbe\tVBD\tB-VP\tO' +p248985 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p248986 +aS'to\tto\tTO\tB-PP\tO' +p248987 +aS'Norri\tNorri\tNNP\tB-NP\tO' +p248988 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p248989 +aS'.\t.\t.\tO\tO' +p248990 +asS'He has been scheduled for follow-up with Dr. Martha on 2015-03-25 at 11:00 a.m.' +p248991 +(lp248992 +S'He\tHe\tPRP\tB-NP\tO' +p248993 +aS'has\thave\tVBZ\tB-VP\tO' +p248994 +aS'been\tbe\tVBN\tI-VP\tO' +p248995 +aS'scheduled\tschedule\tVBN\tI-VP\tO' +p248996 +aS'for\tfor\tIN\tB-PP\tO' +p248997 +aS'follow-up\tfollow-up\tNN\tB-NP\tO' +p248998 +aS'with\twith\tIN\tB-PP\tO' +p248999 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p249000 +aS'Martha\tMartha\tNNP\tI-NP\tO' +p249001 +aS'on\ton\tIN\tB-PP\tO' +p249002 +aS'2015-03-25\t2015-03-25\tCD\tB-NP\tO' +p249003 +aS'at\tat\tIN\tB-PP\tO' +p249004 +aS'11:00\t11:00\tCD\tB-NP\tO' +p249005 +aS'a.m.\ta.m.\tNN\tI-NP\tO' +p249006 +asS'She developed additional abdominal tenderness and distention .' +p249007 +(lp249008 +S'She\tShe\tPRP\tB-NP\tO' +p249009 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p249010 +aS'additional\tadditional\tJJ\tB-NP\tO' +p249011 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p249012 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p249013 +aS'and\tand\tCC\tI-NP\tO' +p249014 +aS'distention\tdistention\tNN\tI-NP\tO' +p249015 +aS'.\t.\t.\tO\tO' +p249016 +asS'The BUN was 35 , creatinine 4.3 .' +p249017 +(lp249018 +S'The\tThe\tDT\tB-NP\tO' +p249019 +aS'BUN\tBUN\tNN\tI-NP\tB-protein' +p249020 +aS'was\tbe\tVBD\tB-VP\tO' +p249021 +aS'35\t35\tCD\tB-NP\tO' +p249022 +aS',\t,\t,\tO\tO' +p249023 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p249024 +aS'4.3\t4.3\tCD\tI-NP\tO' +p249025 +aS'.\t.\t.\tO\tO' +p249026 +asS'The day before admission , the patient developed a fever to 102 degrees and increasing abdominal pain .' +p249027 +(lp249028 +S'The\tThe\tDT\tB-NP\tO' +p249029 +aS'day\tday\tNN\tI-NP\tO' +p249030 +aS'before\tbefore\tIN\tB-PP\tO' +p249031 +aS'admission\tadmission\tNN\tB-NP\tO' +p249032 +aS',\t,\t,\tO\tO' +p249033 +aS'the\tthe\tDT\tB-NP\tO' +p249034 +aS'patient\tpatient\tNN\tI-NP\tO' +p249035 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p249036 +aS'a\ta\tDT\tB-NP\tO' +p249037 +aS'fever\tfever\tNN\tI-NP\tO' +p249038 +aS'to\tto\tTO\tB-PP\tO' +p249039 +aS'102\t102\tCD\tB-NP\tO' +p249040 +aS'degrees\tdegree\tNNS\tI-NP\tO' +p249041 +aS'and\tand\tCC\tO\tO' +p249042 +aS'increasing\tincrease\tVBG\tB-VP\tO' +p249043 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p249044 +aS'pain\tpain\tNN\tI-NP\tO' +p249045 +aS'.\t.\t.\tO\tO' +p249046 +asS'Prozac , 60 daily .' +p249047 +(lp249048 +S'Prozac\tProzac\tNN\tB-NP\tO' +p249049 +aS',\t,\t,\tO\tO' +p249050 +aS'60\t60\tCD\tB-NP\tO' +p249051 +aS'daily\tdaily\tRB\tI-NP\tO' +p249052 +aS'.\t.\t.\tO\tO' +p249053 +asS'Around 4:00 AM the next day , an acute decompensation in respiratory status was noted .' +p249054 +(lp249055 +S'Around\tAround\tIN\tB-PP\tO' +p249056 +aS'4:00\t4:00\tCD\tB-NP\tO' +p249057 +aS'AM\tAM\tVBP\tB-VP\tO' +p249058 +aS'the\tthe\tDT\tB-NP\tO' +p249059 +aS'next\tnext\tJJ\tI-NP\tO' +p249060 +aS'day\tday\tNN\tI-NP\tO' +p249061 +aS',\t,\t,\tO\tO' +p249062 +aS'an\tan\tDT\tB-NP\tO' +p249063 +aS'acute\tacute\tJJ\tI-NP\tO' +p249064 +aS'decompensation\tdecompensation\tNN\tI-NP\tO' +p249065 +aS'in\tin\tIN\tB-PP\tO' +p249066 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p249067 +aS'status\tstatus\tNN\tI-NP\tO' +p249068 +aS'was\tbe\tVBD\tB-VP\tO' +p249069 +aS'noted\tnote\tVBN\tI-VP\tO' +p249070 +aS'.\t.\t.\tO\tO' +p249071 +asS'Mild ( 1+ ) aortic regurgitation is seen .' +p249072 +(lp249073 +S'Mild\tMild\tNNP\tB-NP\tO' +p249074 +aS'(\t(\t(\tO\tO' +p249075 +aS'1+\t1+\tJJ\tB-ADJP\tO' +p249076 +aS')\t)\t)\tO\tO' +p249077 +aS'aortic\taortic\tJJ\tB-NP\tO' +p249078 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p249079 +aS'is\tbe\tVBZ\tB-VP\tO' +p249080 +aS'seen\tsee\tVBN\tI-VP\tO' +p249081 +aS'.\t.\t.\tO\tO' +p249082 +asS'Medications on admission were Coumadin , Digoxin Synthroid , Lopressor and Zantac .' +p249083 +(lp249084 +S'Medications\tMedication\tNNS\tB-NP\tO' +p249085 +aS'on\ton\tIN\tB-PP\tO' +p249086 +aS'admission\tadmission\tNN\tB-NP\tO' +p249087 +aS'were\tbe\tVBD\tB-VP\tO' +p249088 +aS'Coumadin\tCoumadin\tNNP\tB-NP\tO' +p249089 +aS',\t,\t,\tO\tO' +p249090 +aS'Digoxin\tDigoxin\tNNP\tB-NP\tO' +p249091 +aS'Synthroid\tSynthroid\tNNP\tI-NP\tO' +p249092 +aS',\t,\t,\tO\tO' +p249093 +aS'Lopressor\tLopressor\tNNP\tB-NP\tO' +p249094 +aS'and\tand\tCC\tO\tO' +p249095 +aS'Zantac\tZantac\tNNP\tB-NP\tO' +p249096 +aS'.\t.\t.\tO\tO' +p249097 +asS'Revealed an obtunded white muscular man who was intubated and sedated .' +p249098 +(lp249099 +S'Revealed\tReveal\tVBD\tB-VP\tO' +p249100 +aS'an\tan\tDT\tB-NP\tO' +p249101 +aS'obtunded\tobtunded\tJJ\tI-NP\tO' +p249102 +aS'white\twhite\tJJ\tI-NP\tO' +p249103 +aS'muscular\tmuscular\tJJ\tI-NP\tO' +p249104 +aS'man\tman\tNN\tI-NP\tO' +p249105 +aS'who\twho\tWP\tB-NP\tO' +p249106 +aS'was\tbe\tVBD\tB-VP\tO' +p249107 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p249108 +aS'and\tand\tCC\tI-VP\tO' +p249109 +aS'sedated\tsedate\tVBN\tI-VP\tO' +p249110 +aS'.\t.\t.\tO\tO' +p249111 +asS'Follow up with Dr. Heird in four weeks , 671 745 2553' +p249112 +(lp249113 +S'Follow\tFollow\tVB\tB-VP\tO' +p249114 +aS'up\tup\tRP\tB-PRT\tO' +p249115 +aS'with\twith\tIN\tB-PP\tO' +p249116 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p249117 +aS'Heird\tHeird\tNNP\tI-NP\tO' +p249118 +aS'in\tin\tIN\tB-PP\tO' +p249119 +aS'four\tfour\tCD\tB-NP\tO' +p249120 +aS'weeks\tweek\tNNS\tI-NP\tO' +p249121 +aS',\t,\t,\tO\tO' +p249122 +aS'671\t671\tCD\tB-NP\tO' +p249123 +aS'745\t745\tCD\tI-NP\tO' +p249124 +aS'2553\t2553\tCD\tI-NP\tO' +p249125 +asS'In addition , she had a fungal urinary tract infection treated with Amphojel bladder irrigation , which was followed by a Klebsiella urinary tract infection for which she received Levofloxacin times fourteen days .' +p249126 +(lp249127 +S'In\tIn\tIN\tB-PP\tO' +p249128 +aS'addition\taddition\tNN\tB-NP\tO' +p249129 +aS',\t,\t,\tO\tO' +p249130 +aS'she\tshe\tPRP\tB-NP\tO' +p249131 +aS'had\thave\tVBD\tB-VP\tO' +p249132 +aS'a\ta\tDT\tB-NP\tO' +p249133 +aS'fungal\tfungal\tJJ\tI-NP\tO' +p249134 +aS'urinary\turinary\tJJ\tI-NP\tO' +p249135 +aS'tract\ttract\tNN\tI-NP\tO' +p249136 +aS'infection\tinfection\tNN\tI-NP\tO' +p249137 +aS'treated\ttreat\tVBN\tB-VP\tO' +p249138 +aS'with\twith\tIN\tB-PP\tO' +p249139 +aS'Amphojel\tAmphojel\tNN\tB-NP\tO' +p249140 +aS'bladder\tbladder\tNN\tI-NP\tO' +p249141 +aS'irrigation\tirrigation\tNN\tI-NP\tO' +p249142 +aS',\t,\t,\tO\tO' +p249143 +aS'which\twhich\tWDT\tB-NP\tO' +p249144 +aS'was\tbe\tVBD\tB-VP\tO' +p249145 +aS'followed\tfollow\tVBN\tI-VP\tO' +p249146 +aS'by\tby\tIN\tB-PP\tO' +p249147 +aS'a\ta\tDT\tB-NP\tO' +p249148 +aS'Klebsiella\tKlebsiella\tNN\tI-NP\tO' +p249149 +aS'urinary\turinary\tJJ\tI-NP\tO' +p249150 +aS'tract\ttract\tNN\tI-NP\tO' +p249151 +aS'infection\tinfection\tNN\tI-NP\tO' +p249152 +aS'for\tfor\tIN\tB-PP\tO' +p249153 +aS'which\twhich\tWDT\tB-NP\tO' +p249154 +aS'she\tshe\tPRP\tB-NP\tO' +p249155 +aS'received\treceive\tVBD\tB-VP\tO' +p249156 +aS'Levofloxacin\tLevofloxacin\tNN\tB-NP\tO' +p249157 +aS'times\ttime\tNNS\tI-NP\tO' +p249158 +aS'fourteen\tfourteen\tCD\tB-NP\tO' +p249159 +aS'days\tday\tNNS\tI-NP\tO' +p249160 +aS'.\t.\t.\tO\tO' +p249161 +asS'His Foley catheter was removed and the patient was transferred to the Floor .' +p249162 +(lp249163 +S'His\tHis\tPRP$\tB-NP\tB-protein' +p249164 +aS'Foley\tFoley\tNNP\tI-NP\tO' +p249165 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p249166 +aS'was\tbe\tVBD\tB-VP\tO' +p249167 +aS'removed\tremove\tVBN\tI-VP\tO' +p249168 +aS'and\tand\tCC\tO\tO' +p249169 +aS'the\tthe\tDT\tB-NP\tO' +p249170 +aS'patient\tpatient\tNN\tI-NP\tO' +p249171 +aS'was\tbe\tVBD\tB-VP\tO' +p249172 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p249173 +aS'to\tto\tTO\tB-PP\tO' +p249174 +aS'the\tthe\tDT\tB-NP\tO' +p249175 +aS'Floor\tFloor\tNN\tI-NP\tO' +p249176 +aS'.\t.\t.\tO\tO' +p249177 +asS'Her sedimentation rate was elevated at 110 .' +p249178 +(lp249179 +S'Her\tHer\tPRP$\tB-NP\tO' +p249180 +aS'sedimentation\tsedimentation\tNN\tI-NP\tO' +p249181 +aS'rate\trate\tNN\tI-NP\tO' +p249182 +aS'was\tbe\tVBD\tB-VP\tO' +p249183 +aS'elevated\televate\tVBN\tI-VP\tO' +p249184 +aS'at\tat\tIN\tB-PP\tO' +p249185 +aS'110\t110\tCD\tB-NP\tO' +p249186 +aS'.\t.\t.\tO\tO' +p249187 +asS'2. If you have further chest pain , shortness of breath , fevers , or other symptoms which concern you , call your doctor .' +p249188 +(lp249189 +S'2.\t2.\tLS\tB-LST\tO' +p249190 +aS'If\tIf\tIN\tB-SBAR\tO' +p249191 +aS'you\tyou\tPRP\tB-NP\tO' +p249192 +aS'have\thave\tVBP\tB-VP\tO' +p249193 +aS'further\tfurther\tRBR\tB-NP\tO' +p249194 +aS'chest\tch\tJJS\tI-NP\tO' +p249195 +aS'pain\tpain\tNN\tI-NP\tO' +p249196 +aS',\t,\t,\tO\tO' +p249197 +aS'shortness\tshortness\tNN\tB-NP\tO' +p249198 +aS'of\tof\tIN\tB-PP\tO' +p249199 +aS'breath\tbreath\tNN\tB-NP\tO' +p249200 +aS',\t,\t,\tO\tO' +p249201 +aS'fevers\tfever\tNNS\tB-NP\tO' +p249202 +aS',\t,\t,\tO\tO' +p249203 +aS'or\tor\tCC\tO\tO' +p249204 +aS'other\tother\tJJ\tB-NP\tO' +p249205 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p249206 +aS'which\twhich\tWDT\tB-NP\tO' +p249207 +aS'concern\tconcern\tVBP\tB-VP\tO' +p249208 +aS'you\tyou\tPRP\tB-NP\tO' +p249209 +aS',\t,\t,\tO\tO' +p249210 +aS'call\tcall\tVB\tB-VP\tO' +p249211 +aS'your\tyour\tPRP$\tB-NP\tO' +p249212 +aS'doctor\tdoctor\tNN\tI-NP\tO' +p249213 +aS'.\t.\t.\tO\tO' +p249214 +asS'Cataract .' +p249215 +(lp249216 +S'Cataract\tCataract\tNNP\tB-NP\tO' +p249217 +aS'.\t.\t.\tO\tO' +p249218 +asS'He does not recall walking home , but he states that the way is well known to him .' +p249219 +(lp249220 +S'He\tHe\tPRP\tB-NP\tO' +p249221 +aS'does\tdo\tVBZ\tB-VP\tO' +p249222 +aS'not\tnot\tRB\tI-VP\tO' +p249223 +aS'recall\trecall\tVB\tI-VP\tO' +p249224 +aS'walking\twalk\tVBG\tI-VP\tO' +p249225 +aS'home\thome\tNN\tB-ADVP\tO' +p249226 +aS',\t,\t,\tO\tO' +p249227 +aS'but\tbut\tCC\tO\tO' +p249228 +aS'he\the\tPRP\tB-NP\tO' +p249229 +aS'states\tstate\tVBZ\tB-VP\tO' +p249230 +aS'that\tthat\tIN\tB-SBAR\tO' +p249231 +aS'the\tthe\tDT\tB-NP\tO' +p249232 +aS'way\tway\tNN\tI-NP\tO' +p249233 +aS'is\tbe\tVBZ\tB-VP\tO' +p249234 +aS'well\twell\tRB\tI-VP\tO' +p249235 +aS'known\tknow\tVBN\tI-VP\tO' +p249236 +aS'to\tto\tTO\tB-PP\tO' +p249237 +aS'him\thim\tPRP\tB-NP\tO' +p249238 +aS'.\t.\t.\tO\tO' +p249239 +asS'2. hypertension , she has had hypertension for 15 years ,' +p249240 +(lp249241 +S'2.\t2.\tLS\tB-NP\tO' +p249242 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p249243 +aS',\t,\t,\tO\tO' +p249244 +aS'she\tshe\tPRP\tB-NP\tO' +p249245 +aS'has\thave\tVBZ\tB-VP\tO' +p249246 +aS'had\thave\tVBN\tI-VP\tO' +p249247 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p249248 +aS'for\tfor\tIN\tB-PP\tO' +p249249 +aS'15\t15\tCD\tB-NP\tO' +p249250 +aS'years\tyear\tNNS\tI-NP\tO' +p249251 +aS',\t,\t,\tO\tO' +p249252 +asS'Current Smoker , history of ; Depression , history of ; Isoimmunization , Rh ; Undesired Fertility' +p249253 +(lp249254 +S'Current\tCurrent\tNNP\tB-NP\tO' +p249255 +aS'Smoker\tSmoker\tNNP\tI-NP\tO' +p249256 +aS',\t,\t,\tO\tO' +p249257 +aS'history\thistory\tNN\tB-NP\tO' +p249258 +aS'of\tof\tIN\tB-PP\tO' +p249259 +aS';\t;\t:\tO\tO' +p249260 +aS'Depression\tDepression\tNN\tB-NP\tO' +p249261 +aS',\t,\t,\tO\tO' +p249262 +aS'history\thistory\tNN\tB-NP\tO' +p249263 +aS'of\tof\tIN\tB-PP\tO' +p249264 +aS';\t;\t:\tO\tO' +p249265 +aS'Isoimmunization\tIsoimmunization\tNN\tB-NP\tO' +p249266 +aS',\t,\t,\tO\tO' +p249267 +aS'Rh\tRh\tNN\tB-NP\tO' +p249268 +aS';\t;\t:\tO\tO' +p249269 +aS'Undesired\tUndesired\tJJ\tB-NP\tO' +p249270 +aS'Fertility\tFertility\tNN\tI-NP\tO' +p249271 +asS'She was maintained on a heparin gtt for bridge to coumadin while on the floor after this was cleared by IR and urology .' +p249272 +(lp249273 +S'She\tShe\tPRP\tB-NP\tO' +p249274 +aS'was\tbe\tVBD\tB-VP\tO' +p249275 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p249276 +aS'on\ton\tIN\tB-PP\tO' +p249277 +aS'a\ta\tDT\tB-NP\tO' +p249278 +aS'heparin\theparin\tNN\tI-NP\tO' +p249279 +aS'gtt\tgtt\tNN\tI-NP\tO' +p249280 +aS'for\tfor\tIN\tB-PP\tO' +p249281 +aS'bridge\tbridge\tNN\tB-NP\tO' +p249282 +aS'to\tto\tTO\tB-PP\tO' +p249283 +aS'coumadin\tcoumadin\tNN\tB-NP\tO' +p249284 +aS'while\twhile\tIN\tB-SBAR\tO' +p249285 +aS'on\ton\tIN\tB-PP\tO' +p249286 +aS'the\tthe\tDT\tB-NP\tO' +p249287 +aS'floor\tfloor\tNN\tI-NP\tO' +p249288 +aS'after\tafter\tIN\tB-PP\tO' +p249289 +aS'this\tthis\tDT\tB-NP\tO' +p249290 +aS'was\tbe\tVBD\tB-VP\tO' +p249291 +aS'cleared\tclear\tVBN\tI-VP\tO' +p249292 +aS'by\tby\tIN\tB-PP\tO' +p249293 +aS'IR\tIR\tNN\tB-NP\tB-protein' +p249294 +aS'and\tand\tCC\tI-NP\tO' +p249295 +aS'urology\turology\tNN\tI-NP\tO' +p249296 +aS'.\t.\t.\tO\tO' +p249297 +asS"Given guaiac positive stools and the patient 's history of gastrointestinal bleed , gastroenterology consult service was contacted for possible esophagogastroduodenoscopy and/or colonoscopy ." +p249298 +(lp249299 +S'Given\tGive\tVBN\tB-PP\tO' +p249300 +aS'guaiac\tguaiac\tJJ\tB-NP\tO' +p249301 +aS'positive\tpositive\tJJ\tI-NP\tO' +p249302 +aS'stools\tstool\tNNS\tI-NP\tO' +p249303 +aS'and\tand\tCC\tO\tO' +p249304 +aS'the\tthe\tDT\tB-NP\tO' +p249305 +aS'patient\tpatient\tNN\tI-NP\tO' +p249306 +aS"'s\t's\tPOS\tB-NP\tO" +p249307 +aS'history\thistory\tNN\tI-NP\tO' +p249308 +aS'of\tof\tIN\tB-PP\tO' +p249309 +aS'gastrointestinal\tgastrointestinal\tJJ\tB-NP\tO' +p249310 +aS'bleed\tbleed\tNN\tI-NP\tO' +p249311 +aS',\t,\t,\tO\tO' +p249312 +aS'gastroenterology\tgastroenterology\tNN\tB-NP\tO' +p249313 +aS'consult\tconsult\tNN\tI-NP\tO' +p249314 +aS'service\tservice\tNN\tI-NP\tO' +p249315 +aS'was\tbe\tVBD\tB-VP\tO' +p249316 +aS'contacted\tcontact\tVBN\tI-VP\tO' +p249317 +aS'for\tfor\tIN\tB-PP\tO' +p249318 +aS'possible\tpossible\tJJ\tB-NP\tO' +p249319 +aS'esophagogastroduodenoscopy\tesophagogastroduodenoscopy\tNN\tI-NP\tO' +p249320 +aS'and/or\tand/or\tCC\tI-NP\tO' +p249321 +aS'colonoscopy\tcolonoscopy\tNN\tI-NP\tO' +p249322 +aS'.\t.\t.\tO\tO' +p249323 +asS'The patient was on subQ Heparin for DVT and ranitidine for GI prophylaxis .' +p249324 +(lp249325 +S'The\tThe\tDT\tB-NP\tO' +p249326 +aS'patient\tpatient\tNN\tI-NP\tO' +p249327 +aS'was\tbe\tVBD\tB-VP\tO' +p249328 +aS'on\ton\tIN\tB-PP\tO' +p249329 +aS'subQ\tsubQ\tNN\tB-NP\tO' +p249330 +aS'Heparin\tHeparin\tNN\tI-NP\tO' +p249331 +aS'for\tfor\tIN\tB-PP\tO' +p249332 +aS'DVT\tDVT\tNN\tB-NP\tO' +p249333 +aS'and\tand\tCC\tI-NP\tO' +p249334 +aS'ranitidine\tranitidine\tNN\tI-NP\tO' +p249335 +aS'for\tfor\tIN\tB-PP\tO' +p249336 +aS'GI\tGI\tNN\tB-NP\tO' +p249337 +aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' +p249338 +aS'.\t.\t.\tO\tO' +p249339 +asS'The ENT physicians did not recommend any procedures , incision and drainage for his right parotitis or left submandibular cervical lymph node necrosis .' +p249340 +(lp249341 +S'The\tThe\tDT\tB-NP\tO' +p249342 +aS'ENT\tENT\tJJ\tI-NP\tO' +p249343 +aS'physicians\tphysician\tNNS\tI-NP\tO' +p249344 +aS'did\tdo\tVBD\tB-VP\tO' +p249345 +aS'not\tnot\tRB\tI-VP\tO' +p249346 +aS'recommend\trecommend\tVB\tI-VP\tO' +p249347 +aS'any\tany\tDT\tB-NP\tO' +p249348 +aS'procedures\tprocedure\tNNS\tI-NP\tO' +p249349 +aS',\t,\t,\tI-NP\tO' +p249350 +aS'incision\tincision\tNN\tI-NP\tO' +p249351 +aS'and\tand\tCC\tI-NP\tO' +p249352 +aS'drainage\tdrainage\tNN\tI-NP\tO' +p249353 +aS'for\tfor\tIN\tB-PP\tO' +p249354 +aS'his\this\tPRP$\tB-NP\tO' +p249355 +aS'right\tright\tJJ\tI-NP\tO' +p249356 +aS'parotitis\tparotitis\tNN\tI-NP\tO' +p249357 +aS'or\tor\tCC\tO\tO' +p249358 +aS'left\tleave\tVBD\tB-VP\tO' +p249359 +aS'submandibular\tsubmandibular\tJJ\tB-NP\tO' +p249360 +aS'cervical\tcervical\tJJ\tI-NP\tO' +p249361 +aS'lymph\tlymph\tNN\tI-NP\tO' +p249362 +aS'node\tnode\tNN\tI-NP\tO' +p249363 +aS'necrosis\tnecrosis\tNN\tI-NP\tO' +p249364 +aS'.\t.\t.\tO\tO' +p249365 +asS'Resting regional wall motion abnormalities include inferior and inferolateral hypokinesis .' +p249366 +(lp249367 +S'Resting\tRest\tVBG\tB-VP\tO' +p249368 +aS'regional\tregional\tJJ\tB-NP\tO' +p249369 +aS'wall\twall\tNN\tI-NP\tO' +p249370 +aS'motion\tmotion\tNN\tI-NP\tO' +p249371 +aS'abnormalities\tabnormality\tNNS\tI-NP\tO' +p249372 +aS'include\tinclude\tVBP\tB-VP\tO' +p249373 +aS'inferior\tinferior\tJJ\tB-NP\tO' +p249374 +aS'and\tand\tCC\tI-NP\tO' +p249375 +aS'inferolateral\tinferolateral\tJJ\tI-NP\tO' +p249376 +aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' +p249377 +aS'.\t.\t.\tO\tO' +p249378 +asS'He does drink alcohol three drinks per day , denies any current tobacco use .' +p249379 +(lp249380 +S'He\tHe\tPRP\tB-NP\tO' +p249381 +aS'does\tdo\tVBZ\tB-VP\tO' +p249382 +aS'drink\tdrink\tVB\tI-VP\tO' +p249383 +aS'alcohol\talcohol\tNN\tB-NP\tO' +p249384 +aS'three\tthree\tCD\tB-NP\tO' +p249385 +aS'drinks\tdrink\tNNS\tI-NP\tO' +p249386 +aS'per\tper\tIN\tB-PP\tO' +p249387 +aS'day\tday\tNN\tB-NP\tO' +p249388 +aS',\t,\t,\tO\tO' +p249389 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p249390 +aS'any\tany\tDT\tB-NP\tO' +p249391 +aS'current\tcurrent\tJJ\tI-NP\tO' +p249392 +aS'tobacco\ttobacco\tNN\tI-NP\tO' +p249393 +aS'use\tuse\tNN\tI-NP\tO' +p249394 +aS'.\t.\t.\tO\tO' +p249395 +asS"She will continue her Coumadin until then and arrangements for her readmission can be made through Dr. Iceca Rhaltkaaispehbreun 's office here ." +p249396 +(lp249397 +S'She\tShe\tPRP\tB-NP\tO' +p249398 +aS'will\twill\tMD\tB-VP\tO' +p249399 +aS'continue\tcontinue\tVB\tI-VP\tO' +p249400 +aS'her\ther\tPRP$\tB-NP\tO' +p249401 +aS'Coumadin\tCoumadin\tNN\tI-NP\tO' +p249402 +aS'until\tuntil\tIN\tB-PP\tO' +p249403 +aS'then\tthen\tRB\tB-NP\tO' +p249404 +aS'and\tand\tCC\tO\tO' +p249405 +aS'arrangements\tarrangement\tNNS\tB-NP\tO' +p249406 +aS'for\tfor\tIN\tB-PP\tO' +p249407 +aS'her\ther\tPRP$\tB-NP\tO' +p249408 +aS'readmission\treadmission\tNN\tI-NP\tO' +p249409 +aS'can\tcan\tMD\tB-VP\tO' +p249410 +aS'be\tbe\tVB\tI-VP\tO' +p249411 +aS'made\tmake\tVBN\tI-VP\tO' +p249412 +aS'through\tthrough\tIN\tB-PP\tO' +p249413 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p249414 +aS'Iceca\tIceca\tNNP\tI-NP\tO' +p249415 +aS'Rhaltkaaispehbreun\tRhaltkaaispehbreun\tNNP\tI-NP\tO' +p249416 +aS"'s\t's\tPOS\tB-NP\tO" +p249417 +aS'office\toffice\tNN\tI-NP\tO' +p249418 +aS'here\there\tRB\tB-ADVP\tO' +p249419 +aS'.\t.\t.\tO\tO' +p249420 +asS'Left eye with conjunctivae injected , no exudate or pus .' +p249421 +(lp249422 +S'Left\tLeft\tJJ\tB-NP\tO' +p249423 +aS'eye\teye\tNN\tI-NP\tO' +p249424 +aS'with\twith\tIN\tB-PP\tO' +p249425 +aS'conjunctivae\tconjunctiva\tNNS\tB-NP\tO' +p249426 +aS'injected\tinject\tVBN\tB-VP\tO' +p249427 +aS',\t,\t,\tO\tO' +p249428 +aS'no\tno\tDT\tB-NP\tO' +p249429 +aS'exudate\texudate\tNN\tI-NP\tO' +p249430 +aS'or\tor\tCC\tI-NP\tO' +p249431 +aS'pus\tpus\tNN\tI-NP\tO' +p249432 +aS'.\t.\t.\tO\tO' +p249433 +asS'74 yo M with lung cancer DVT who presents with 1 day of substernal chest pain .' +p249434 +(lp249435 +S'74\t74\tCD\tB-NP\tO' +p249436 +aS'yo\tyo\tNN\tI-NP\tO' +p249437 +aS'M\tM\tNN\tI-NP\tO' +p249438 +aS'with\twith\tIN\tB-PP\tO' +p249439 +aS'lung\tlung\tNN\tB-NP\tB-protein' +p249440 +aS'cancer\tcancer\tNN\tI-NP\tI-protein' +p249441 +aS'DVT\tDVT\tNN\tI-NP\tI-protein' +p249442 +aS'who\twho\tWP\tB-NP\tI-protein' +p249443 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p249444 +aS'with\twith\tIN\tB-PP\tO' +p249445 +aS'1\t1\tCD\tB-NP\tO' +p249446 +aS'day\tday\tNN\tI-NP\tO' +p249447 +aS'of\tof\tIN\tB-PP\tO' +p249448 +aS'substernal\tsubsternal\tJJ\tB-NP\tO' +p249449 +aS'chest\tchest\tNN\tI-NP\tO' +p249450 +aS'pain\tpain\tNN\tI-NP\tO' +p249451 +aS'.\t.\t.\tO\tO' +p249452 +asS'As the patient appeared to be clinically stable , her stress dose steroids were discontinued and the patient was changed back to her home dose of Prednisone 40mg PO qd for maintenance with anticipated decrease in her blood sugars .' +p249453 +(lp249454 +S'As\tAs\tIN\tB-SBAR\tO' +p249455 +aS'the\tthe\tDT\tB-NP\tO' +p249456 +aS'patient\tpatient\tNN\tI-NP\tO' +p249457 +aS'appeared\tappear\tVBD\tB-VP\tO' +p249458 +aS'to\tto\tTO\tI-VP\tO' +p249459 +aS'be\tbe\tVB\tI-VP\tO' +p249460 +aS'clinically\tclinically\tRB\tB-ADJP\tO' +p249461 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p249462 +aS',\t,\t,\tO\tO' +p249463 +aS'her\ther\tPRP$\tB-NP\tO' +p249464 +aS'stress\tstress\tNN\tI-NP\tO' +p249465 +aS'dose\tdose\tNN\tI-NP\tO' +p249466 +aS'steroids\tsteroid\tNNS\tI-NP\tO' +p249467 +aS'were\tbe\tVBD\tB-VP\tO' +p249468 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p249469 +aS'and\tand\tCC\tO\tO' +p249470 +aS'the\tthe\tDT\tB-NP\tO' +p249471 +aS'patient\tpatient\tNN\tI-NP\tO' +p249472 +aS'was\tbe\tVBD\tB-VP\tO' +p249473 +aS'changed\tchange\tVBN\tI-VP\tO' +p249474 +aS'back\tback\tRB\tB-ADVP\tO' +p249475 +aS'to\tto\tTO\tB-PP\tO' +p249476 +aS'her\ther\tPRP$\tB-NP\tO' +p249477 +aS'home\thome\tNN\tI-NP\tO' +p249478 +aS'dose\tdose\tNN\tI-NP\tO' +p249479 +aS'of\tof\tIN\tB-PP\tO' +p249480 +aS'Prednisone\tPrednisone\tNN\tB-NP\tO' +p249481 +aS'40mg\t40mg\tCD\tI-NP\tO' +p249482 +aS'PO\tPO\tNN\tI-NP\tO' +p249483 +aS'qd\tqd\tNN\tI-NP\tO' +p249484 +aS'for\tfor\tIN\tB-PP\tO' +p249485 +aS'maintenance\tmaintenance\tNN\tB-NP\tO' +p249486 +aS'with\twith\tIN\tB-PP\tO' +p249487 +aS'anticipated\tanticipated\tJJ\tB-NP\tO' +p249488 +aS'decrease\tdecrease\tNN\tI-NP\tO' +p249489 +aS'in\tin\tIN\tB-PP\tO' +p249490 +aS'her\ther\tPRP$\tB-NP\tB-cell_type' +p249491 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p249492 +aS'sugars\tsugar\tNNS\tI-NP\tI-cell_type' +p249493 +aS'.\t.\t.\tO\tO' +p249494 +asS'No hx available at Youville Hospital Katherine , except for abdominal pain .' +p249495 +(lp249496 +S'No\tNo\tDT\tB-NP\tO' +p249497 +aS'hx\thx\tNN\tI-NP\tO' +p249498 +aS'available\tavailable\tJJ\tB-ADJP\tO' +p249499 +aS'at\tat\tIN\tB-PP\tO' +p249500 +aS'Youville\tYouville\tNNP\tB-NP\tO' +p249501 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p249502 +aS'Katherine\tKatherine\tNNP\tI-NP\tO' +p249503 +aS',\t,\t,\tO\tO' +p249504 +aS'except\texcept\tIN\tB-PP\tO' +p249505 +aS'for\tfor\tIN\tB-PP\tO' +p249506 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p249507 +aS'pain\tpain\tNN\tI-NP\tO' +p249508 +aS'.\t.\t.\tO\tO' +p249509 +asS'4. cataract surgery .' +p249510 +(lp249511 +S'4.\t4.\tLS\tB-NP\tO' +p249512 +aS'cataract\tcataract\tNN\tI-NP\tO' +p249513 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p249514 +aS'.\t.\t.\tO\tO' +p249515 +asS'Baseline blood pressure of 144/61 , heart rate of 73 , and oxygen saturation of 96% on room air .' +p249516 +(lp249517 +S'Baseline\tBaseline\tNN\tB-NP\tO' +p249518 +aS'blood\tblood\tNN\tI-NP\tO' +p249519 +aS'pressure\tpressure\tNN\tI-NP\tO' +p249520 +aS'of\tof\tIN\tB-PP\tO' +p249521 +aS'144/61\t144/61\tCD\tB-NP\tO' +p249522 +aS',\t,\t,\tO\tO' +p249523 +aS'heart\theart\tNN\tB-NP\tO' +p249524 +aS'rate\trate\tNN\tI-NP\tO' +p249525 +aS'of\tof\tIN\tB-PP\tO' +p249526 +aS'73\t73\tCD\tB-NP\tO' +p249527 +aS',\t,\t,\tO\tO' +p249528 +aS'and\tand\tCC\tO\tO' +p249529 +aS'oxygen\toxygen\tNN\tB-NP\tO' +p249530 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p249531 +aS'of\tof\tIN\tB-PP\tO' +p249532 +aS'96%\t96%\tNN\tB-NP\tO' +p249533 +aS'on\ton\tIN\tB-PP\tO' +p249534 +aS'room\troom\tNN\tB-NP\tO' +p249535 +aS'air\tair\tNN\tI-NP\tO' +p249536 +aS'.\t.\t.\tO\tO' +p249537 +asS'ALT 77 , AST 159 , amylase 153 , alkaline phosphatase 216 , total bilirubin 0.6 .' +p249538 +(lp249539 +S'ALT\tALT\tNN\tB-NP\tB-protein' +p249540 +aS'77\t77\tCD\tI-NP\tI-protein' +p249541 +aS',\t,\t,\tO\tO' +p249542 +aS'AST\tAST\tNN\tB-NP\tB-cell_line' +p249543 +aS'159\t159\tCD\tI-NP\tI-cell_line' +p249544 +aS',\t,\t,\tO\tO' +p249545 +aS'amylase\tamylase\tNN\tB-NP\tB-protein' +p249546 +aS'153\t153\tCD\tI-NP\tI-protein' +p249547 +aS',\t,\t,\tO\tO' +p249548 +aS'alkaline\talkaline\tNN\tB-NP\tO' +p249549 +aS'phosphatase\tphosphatase\tNN\tI-NP\tO' +p249550 +aS'216\t216\tCD\tI-NP\tO' +p249551 +aS',\t,\t,\tO\tO' +p249552 +aS'total\ttotal\tJJ\tB-NP\tO' +p249553 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p249554 +aS'0.6\t0.6\tCD\tI-NP\tO' +p249555 +aS'.\t.\t.\tO\tO' +p249556 +asS'3. Rhythm : No ectopy post cath/MI' +p249557 +(lp249558 +S'3.\t3.\tLS\tB-NP\tO' +p249559 +aS'Rhythm\tRhythm\tNN\tI-NP\tO' +p249560 +aS':\t:\t:\tO\tO' +p249561 +aS'No\tNo\tDT\tB-NP\tO' +p249562 +aS'ectopy\tectopy\tNN\tI-NP\tO' +p249563 +aS'post\tpost\tNN\tI-NP\tO' +p249564 +aS'cath/MI\tcath/MI\tNN\tI-NP\tO' +p249565 +asS'2. Integrilin drip .' +p249566 +(lp249567 +S'2.\t2.\tLS\tB-NP\tO' +p249568 +aS'Integrilin\tIntegrilin\tNN\tI-NP\tB-protein' +p249569 +aS'drip\tdrip\tNN\tI-NP\tI-protein' +p249570 +aS'.\t.\t.\tO\tO' +p249571 +asS'He was also noted to have axillary temperature of 100.4 and a rectal temperature of 100.9 .' +p249572 +(lp249573 +S'He\tHe\tPRP\tB-NP\tO' +p249574 +aS'was\tbe\tVBD\tB-VP\tO' +p249575 +aS'also\talso\tRB\tI-VP\tO' +p249576 +aS'noted\tnote\tVBN\tI-VP\tO' +p249577 +aS'to\tto\tTO\tI-VP\tO' +p249578 +aS'have\thave\tVB\tI-VP\tO' +p249579 +aS'axillary\taxillary\tJJ\tB-NP\tO' +p249580 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p249581 +aS'of\tof\tIN\tB-PP\tO' +p249582 +aS'100.4\t100.4\tCD\tB-NP\tO' +p249583 +aS'and\tand\tCC\tO\tO' +p249584 +aS'a\ta\tDT\tB-NP\tO' +p249585 +aS'rectal\trectal\tJJ\tI-NP\tO' +p249586 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p249587 +aS'of\tof\tIN\tB-PP\tO' +p249588 +aS'100.9\t100.9\tCD\tB-NP\tO' +p249589 +aS'.\t.\t.\tO\tO' +p249590 +asS'She will need outpatient follow up for her guiac pos stools with endoscopy vs EGD +/- H.pylori serologies .' +p249591 +(lp249592 +S'She\tShe\tPRP\tB-NP\tO' +p249593 +aS'will\twill\tMD\tB-VP\tO' +p249594 +aS'need\tneed\tVB\tI-VP\tO' +p249595 +aS'outpatient\toutpatient\tNN\tB-NP\tO' +p249596 +aS'follow\tfollow\tVB\tB-VP\tO' +p249597 +aS'up\tup\tRP\tB-PRT\tO' +p249598 +aS'for\tfor\tIN\tB-PP\tO' +p249599 +aS'her\ther\tPRP$\tB-NP\tO' +p249600 +aS'guiac\tguiac\tJJ\tI-NP\tO' +p249601 +aS'pos\tpo\tNNS\tI-NP\tO' +p249602 +aS'stools\tstool\tNNS\tI-NP\tO' +p249603 +aS'with\twith\tIN\tB-PP\tO' +p249604 +aS'endoscopy\tendoscopy\tNN\tB-NP\tO' +p249605 +aS'vs\tvs\tIN\tB-PP\tO' +p249606 +aS'EGD\tEGD\tNN\tB-NP\tO' +p249607 +aS'+/-\t+/-\tSYM\tI-NP\tO' +p249608 +aS'H.pylori\tH.pylori\tNN\tI-NP\tO' +p249609 +aS'serologies\tserology\tNNS\tI-NP\tO' +p249610 +aS'.\t.\t.\tO\tO' +p249611 +asS'The heart was bradycardic with regular rhythm , no murmurs , rubs or gallops .' +p249612 +(lp249613 +S'The\tThe\tDT\tB-NP\tO' +p249614 +aS'heart\theart\tNN\tI-NP\tO' +p249615 +aS'was\tbe\tVBD\tB-VP\tO' +p249616 +aS'bradycardic\tbradycardic\tJJ\tB-ADJP\tO' +p249617 +aS'with\twith\tIN\tB-PP\tO' +p249618 +aS'regular\tregular\tJJ\tB-NP\tO' +p249619 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p249620 +aS',\t,\t,\tO\tO' +p249621 +aS'no\tno\tDT\tB-NP\tO' +p249622 +aS'murmurs\tmurmur\tNNS\tI-NP\tO' +p249623 +aS',\t,\t,\tI-NP\tO' +p249624 +aS'rubs\trub\tNNS\tI-NP\tO' +p249625 +aS'or\tor\tCC\tI-NP\tO' +p249626 +aS'gallops\tgallop\tNNS\tI-NP\tO' +p249627 +aS'.\t.\t.\tO\tO' +p249628 +asS'She had no positive cultures during this admission .' +p249629 +(lp249630 +S'She\tShe\tPRP\tB-NP\tO' +p249631 +aS'had\thave\tVBD\tB-VP\tO' +p249632 +aS'no\tno\tDT\tB-NP\tO' +p249633 +aS'positive\tpositive\tJJ\tI-NP\tB-cell_line' +p249634 +aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' +p249635 +aS'during\tduring\tIN\tB-PP\tO' +p249636 +aS'this\tthis\tDT\tB-NP\tO' +p249637 +aS'admission\tadmission\tNN\tI-NP\tO' +p249638 +aS'.\t.\t.\tO\tO' +p249639 +asS'INR was elevated at 2.5 .' +p249640 +(lp249641 +S'INR\tINR\tNN\tB-NP\tB-protein' +p249642 +aS'was\tbe\tVBD\tB-VP\tO' +p249643 +aS'elevated\televate\tVBN\tI-VP\tO' +p249644 +aS'at\tat\tIN\tB-PP\tO' +p249645 +aS'2.5\t2.5\tCD\tB-NP\tO' +p249646 +aS'.\t.\t.\tO\tO' +p249647 +asS'3. Protonics 40 mg PO qd .' +p249648 +(lp249649 +S'3.\t3.\tLS\tB-NP\tO' +p249650 +aS'Protonics\tProtonic\tNNPS\tI-NP\tO' +p249651 +aS'40\t40\tCD\tI-NP\tO' +p249652 +aS'mg\tmg\tNN\tI-NP\tO' +p249653 +aS'PO\tPO\tNN\tI-NP\tO' +p249654 +aS'qd\tqd\tNN\tI-NP\tO' +p249655 +aS'.\t.\t.\tO\tO' +p249656 +asS'3. diarrhea : The patient has been having loose stools at night and was guiac pos x 2 .' +p249657 +(lp249658 +S'3.\t3.\tLS\tB-NP\tO' +p249659 +aS'diarrhea\tdiarrhea\tNN\tI-NP\tO' +p249660 +aS':\t:\t:\tO\tO' +p249661 +aS'The\tThe\tDT\tB-NP\tO' +p249662 +aS'patient\tpatient\tNN\tI-NP\tO' +p249663 +aS'has\thave\tVBZ\tB-VP\tO' +p249664 +aS'been\tbe\tVBN\tI-VP\tO' +p249665 +aS'having\thave\tVBG\tI-VP\tO' +p249666 +aS'loose\tloose\tJJ\tB-NP\tO' +p249667 +aS'stools\tstool\tNNS\tI-NP\tO' +p249668 +aS'at\tat\tIN\tB-PP\tO' +p249669 +aS'night\tnight\tNN\tB-NP\tO' +p249670 +aS'and\tand\tCC\tO\tO' +p249671 +aS'was\tbe\tVBD\tB-VP\tO' +p249672 +aS'guiac\tguiac\tJJ\tB-NP\tB-protein' +p249673 +aS'pos\tpo\tNNS\tI-NP\tI-protein' +p249674 +aS'x\tx\tNN\tI-NP\tI-protein' +p249675 +aS'2\t2\tCD\tI-NP\tI-protein' +p249676 +aS'.\t.\t.\tO\tO' +p249677 +asS'Uremia .' +p249678 +(lp249679 +S'Uremia\tUremia\tNNP\tB-NP\tO' +p249680 +aS'.\t.\t.\tO\tO' +p249681 +asS'Patient initially given 2 mg of Narcan , 4 amps of sodium bicarb , and 5 grams of activated charcoal .' +p249682 +(lp249683 +S'Patient\tPatient\tNN\tB-NP\tO' +p249684 +aS'initially\tinitially\tRB\tB-VP\tO' +p249685 +aS'given\tgive\tVBN\tI-VP\tO' +p249686 +aS'2\t2\tCD\tB-NP\tO' +p249687 +aS'mg\tmg\tNN\tI-NP\tO' +p249688 +aS'of\tof\tIN\tB-PP\tO' +p249689 +aS'Narcan\tNarcan\tNNP\tB-NP\tO' +p249690 +aS',\t,\t,\tO\tO' +p249691 +aS'4\t4\tCD\tB-NP\tO' +p249692 +aS'amps\tamp\tNNS\tI-NP\tO' +p249693 +aS'of\tof\tIN\tB-PP\tO' +p249694 +aS'sodium\tsodium\tNN\tB-NP\tO' +p249695 +aS'bicarb\tbicarb\tNN\tI-NP\tO' +p249696 +aS',\t,\t,\tO\tO' +p249697 +aS'and\tand\tCC\tO\tO' +p249698 +aS'5\t5\tCD\tB-NP\tO' +p249699 +aS'grams\tgram\tNNS\tI-NP\tO' +p249700 +aS'of\tof\tIN\tB-PP\tO' +p249701 +aS'activated\tactivate\tVBN\tB-NP\tO' +p249702 +aS'charcoal\tcharcoal\tNN\tI-NP\tO' +p249703 +aS'.\t.\t.\tO\tO' +p249704 +asS'Discharge Instructions : patient passed away' +p249705 +(lp249706 +S'Discharge\tDischarge\tNNP\tB-NP\tO' +p249707 +aS'Instructions\tInstruction\tNNPS\tI-NP\tO' +p249708 +aS':\t:\t:\tO\tO' +p249709 +aS'patient\tpatient\tNN\tB-NP\tO' +p249710 +aS'passed\tpass\tVBD\tB-VP\tO' +p249711 +aS'away\taway\tRB\tB-ADVP\tO' +p249712 +asS'A small left pleural effusion ?' +p249713 +(lp249714 +S'A\tA\tDT\tB-NP\tO' +p249715 +aS'small\tsmall\tJJ\tI-NP\tO' +p249716 +aS'left\tleft\tJJ\tI-NP\tO' +p249717 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p249718 +aS'effusion\teffusion\tNN\tI-NP\tO' +p249719 +aS'?\t?\t.\tO\tO' +p249720 +asS'Cardiac catheterization showed an ejection fraction of 50% , left ventricular end diastolic pressure of 20 , 90% left anterior descending lesion , 80% left circumflex lesion , 80% mid right coronary artery lesion and 80% distal right coronary artery lesion .' +p249721 +(lp249722 +S'Cardiac\tCardiac\tJJ\tB-NP\tO' +p249723 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p249724 +aS'showed\tshow\tVBD\tB-VP\tO' +p249725 +aS'an\tan\tDT\tB-NP\tO' +p249726 +aS'ejection\tejection\tNN\tI-NP\tO' +p249727 +aS'fraction\tfraction\tNN\tI-NP\tO' +p249728 +aS'of\tof\tIN\tB-PP\tO' +p249729 +aS'50%\t50%\tCD\tB-NP\tO' +p249730 +aS',\t,\t,\tO\tO' +p249731 +aS'left\tleave\tVBD\tB-VP\tO' +p249732 +aS'ventricular\tventricular\tJJ\tB-NP\tO' +p249733 +aS'end\tend\tNN\tI-NP\tO' +p249734 +aS'diastolic\tdiastolic\tJJ\tI-NP\tO' +p249735 +aS'pressure\tpressure\tNN\tI-NP\tO' +p249736 +aS'of\tof\tIN\tB-PP\tO' +p249737 +aS'20\t20\tCD\tB-NP\tO' +p249738 +aS',\t,\t,\tI-NP\tO' +p249739 +aS'90%\t90%\tCD\tI-NP\tO' +p249740 +aS'left\tleave\tVBD\tB-VP\tO' +p249741 +aS'anterior\tanterior\tRB\tI-VP\tO' +p249742 +aS'descending\tdescend\tVBG\tI-VP\tO' +p249743 +aS'lesion\tlesion\tNN\tB-NP\tO' +p249744 +aS',\t,\t,\tO\tO' +p249745 +aS'80%\t80%\tCD\tB-NP\tO' +p249746 +aS'left\tleave\tVBD\tB-VP\tO' +p249747 +aS'circumflex\tcircumflex\tNN\tB-NP\tO' +p249748 +aS'lesion\tlesion\tNN\tI-NP\tO' +p249749 +aS',\t,\t,\tO\tO' +p249750 +aS'80%\t80%\tCD\tB-NP\tO' +p249751 +aS'mid\tmid\tJJ\tI-NP\tO' +p249752 +aS'right\tright\tJJ\tI-NP\tO' +p249753 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p249754 +aS'artery\tartery\tNN\tI-NP\tO' +p249755 +aS'lesion\tlesion\tNN\tI-NP\tO' +p249756 +aS'and\tand\tCC\tO\tO' +p249757 +aS'80%\t80%\tCD\tB-NP\tO' +p249758 +aS'distal\tdistal\tJJ\tI-NP\tO' +p249759 +aS'right\tright\tJJ\tI-NP\tO' +p249760 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p249761 +aS'artery\tartery\tNN\tI-NP\tO' +p249762 +aS'lesion\tlesion\tNN\tI-NP\tO' +p249763 +aS'.\t.\t.\tO\tO' +p249764 +asS'Will need to renally dose all medications .' +p249765 +(lp249766 +S'Will\tWill\tMD\tB-VP\tO' +p249767 +aS'need\tneed\tVB\tI-VP\tO' +p249768 +aS'to\tto\tTO\tB-VP\tO' +p249769 +aS'renally\trenally\tRB\tI-VP\tO' +p249770 +aS'dose\tdose\tVB\tI-VP\tO' +p249771 +aS'all\tall\tDT\tB-NP\tO' +p249772 +aS'medications\tmedication\tNNS\tI-NP\tO' +p249773 +aS'.\t.\t.\tO\tO' +p249774 +asS'4.) Furosemide 10 mg every other day' +p249775 +(lp249776 +S'4.)\t4.)\tLS\tB-NP\tO' +p249777 +aS'Furosemide\tFurosemide\tNN\tI-NP\tO' +p249778 +aS'10\t10\tCD\tI-NP\tO' +p249779 +aS'mg\tmg\tNN\tI-NP\tO' +p249780 +aS'every\tevery\tDT\tB-NP\tO' +p249781 +aS'other\tother\tJJ\tI-NP\tO' +p249782 +aS'day\tday\tNN\tI-NP\tO' +p249783 +asS'II: Pupils equally round and reactive to light , 3to 2 mm bilaterally .' +p249784 +(lp249785 +S'II:\tII:\tJJ\tB-NP\tB-protein' +p249786 +aS'Pupils\tPupil\tNNS\tI-NP\tI-protein' +p249787 +aS'equally\tequally\tRB\tB-ADJP\tO' +p249788 +aS'round\tround\tJJ\tI-ADJP\tO' +p249789 +aS'and\tand\tCC\tI-ADJP\tO' +p249790 +aS'reactive\treactive\tJJ\tI-ADJP\tO' +p249791 +aS'to\tto\tTO\tB-PP\tO' +p249792 +aS'light\tlight\tJJ\tB-ADJP\tO' +p249793 +aS',\t,\t,\tO\tO' +p249794 +aS'3to\t3to\tCD\tB-NP\tO' +p249795 +aS'2\t2\tCD\tI-NP\tO' +p249796 +aS'mm\tmm\tNN\tI-NP\tO' +p249797 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p249798 +aS'.\t.\t.\tO\tO' +p249799 +asS'Bactrim SS 1 tab q. Day .' +p249800 +(lp249801 +S'Bactrim\tBactrim\tJJ\tB-NP\tO' +p249802 +aS'SS\tSS\tNN\tI-NP\tO' +p249803 +aS'1\t1\tCD\tI-NP\tO' +p249804 +aS'tab\ttab\tNN\tI-NP\tO' +p249805 +aS'q.\tq.\tNN\tI-NP\tO' +p249806 +aS'Day\tDay\tNNP\tI-NP\tO' +p249807 +aS'.\t.\t.\tO\tO' +p249808 +asS'( R ) Patient had no events on tele .' +p249809 +(lp249810 +S'(\t(\t(\tO\tO' +p249811 +aS'R\tR\tNN\tB-NP\tO' +p249812 +aS')\t)\t)\tO\tO' +p249813 +aS'Patient\tPatient\tNN\tB-NP\tO' +p249814 +aS'had\thave\tVBD\tB-VP\tO' +p249815 +aS'no\tno\tDT\tB-NP\tO' +p249816 +aS'events\tevent\tNNS\tI-NP\tO' +p249817 +aS'on\ton\tIN\tB-PP\tO' +p249818 +aS'tele\ttele\tNN\tB-NP\tO' +p249819 +aS'.\t.\t.\tO\tO' +p249820 +asS'She had no other complaints by examination .' +p249821 +(lp249822 +S'She\tShe\tPRP\tB-NP\tO' +p249823 +aS'had\thave\tVBD\tB-VP\tO' +p249824 +aS'no\tno\tDT\tB-NP\tO' +p249825 +aS'other\tother\tJJ\tI-NP\tO' +p249826 +aS'complaints\tcomplaint\tNNS\tI-NP\tO' +p249827 +aS'by\tby\tIN\tB-PP\tO' +p249828 +aS'examination\texamination\tNN\tB-NP\tO' +p249829 +aS'.\t.\t.\tO\tO' +p249830 +asS'Respiratory rate was 17 .' +p249831 +(lp249832 +S'Respiratory\tRespiratory\tJJ\tB-NP\tO' +p249833 +aS'rate\trate\tNN\tI-NP\tO' +p249834 +aS'was\tbe\tVBD\tB-VP\tO' +p249835 +aS'17\t17\tCD\tB-NP\tO' +p249836 +aS'.\t.\t.\tO\tO' +p249837 +asS'The patient is a 30 -year-old Gravida III , Para II who presented desiring definitive surgical sterilization .' +p249838 +(lp249839 +S'The\tThe\tDT\tB-NP\tO' +p249840 +aS'patient\tpatient\tNN\tI-NP\tO' +p249841 +aS'is\tbe\tVBZ\tB-VP\tO' +p249842 +aS'a\ta\tDT\tB-NP\tO' +p249843 +aS'30\t30\tCD\tI-NP\tO' +p249844 +aS'-year-old\t-year-old\tJJ\tI-NP\tO' +p249845 +aS'Gravida\tGravida\tNN\tI-NP\tO' +p249846 +aS'III\tIII\tCD\tI-NP\tO' +p249847 +aS',\t,\t,\tO\tO' +p249848 +aS'Para\tPara\tNNP\tB-NP\tO' +p249849 +aS'II\tII\tNNP\tI-NP\tO' +p249850 +aS'who\twho\tWP\tB-NP\tO' +p249851 +aS'presented\tpresent\tVBD\tB-VP\tO' +p249852 +aS'desiring\tdesire\tVBG\tI-VP\tO' +p249853 +aS'definitive\tdefinitive\tJJ\tB-NP\tO' +p249854 +aS'surgical\tsurgical\tJJ\tI-NP\tO' +p249855 +aS'sterilization\tsterilization\tNN\tI-NP\tO' +p249856 +aS'.\t.\t.\tO\tO' +p249857 +asS'Apgars were nine and nine .' +p249858 +(lp249859 +S'Apgars\tApgar\tNNS\tB-NP\tO' +p249860 +aS'were\tbe\tVBD\tB-VP\tO' +p249861 +aS'nine\tnine\tCD\tB-NP\tO' +p249862 +aS'and\tand\tCC\tI-NP\tO' +p249863 +aS'nine\tnine\tCD\tI-NP\tO' +p249864 +aS'.\t.\t.\tO\tO' +p249865 +asS'Not yet received .' +p249866 +(lp249867 +S'Not\tNot\tRB\tB-VP\tO' +p249868 +aS'yet\tyet\tRB\tI-VP\tO' +p249869 +aS'received\treceive\tVBN\tI-VP\tO' +p249870 +aS'.\t.\t.\tO\tO' +p249871 +asS'The left anterior communicating artery fell from the right .' +p249872 +(lp249873 +S'The\tThe\tDT\tB-NP\tO' +p249874 +aS'left\tleft\tJJ\tI-NP\tO' +p249875 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p249876 +aS'communicating\tcommunicate\tVBG\tI-NP\tO' +p249877 +aS'artery\tartery\tNN\tI-NP\tO' +p249878 +aS'fell\tfall\tVBD\tB-VP\tO' +p249879 +aS'from\tfrom\tIN\tB-PP\tO' +p249880 +aS'the\tthe\tDT\tB-NP\tO' +p249881 +aS'right\tright\tNN\tI-NP\tO' +p249882 +aS'.\t.\t.\tO\tO' +p249883 +asS'He should also follow up with Dr. Rankin and Dr. Langhorne .' +p249884 +(lp249885 +S'He\tHe\tPRP\tB-NP\tO' +p249886 +aS'should\tshould\tMD\tB-VP\tO' +p249887 +aS'also\talso\tRB\tI-VP\tO' +p249888 +aS'follow\tfollow\tVB\tI-VP\tO' +p249889 +aS'up\tup\tRP\tB-PRT\tO' +p249890 +aS'with\twith\tIN\tB-PP\tO' +p249891 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p249892 +aS'Rankin\tRankin\tNNP\tI-NP\tO' +p249893 +aS'and\tand\tCC\tO\tO' +p249894 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p249895 +aS'Langhorne\tLanghorne\tNNP\tI-NP\tO' +p249896 +aS'.\t.\t.\tO\tO' +p249897 +asS'Her blood pressure was noted to be up to 220/110 .' +p249898 +(lp249899 +S'Her\tHer\tPRP$\tB-NP\tO' +p249900 +aS'blood\tblood\tNN\tI-NP\tO' +p249901 +aS'pressure\tpressure\tNN\tI-NP\tO' +p249902 +aS'was\tbe\tVBD\tB-VP\tO' +p249903 +aS'noted\tnote\tVBN\tI-VP\tO' +p249904 +aS'to\tto\tTO\tI-VP\tO' +p249905 +aS'be\tbe\tVB\tI-VP\tO' +p249906 +aS'up\tup\tIN\tB-PP\tO' +p249907 +aS'to\tto\tTO\tB-PP\tO' +p249908 +aS'220/110\t220/110\tCD\tB-NP\tO' +p249909 +aS'.\t.\t.\tO\tO' +p249910 +asS'Occasional alcohol use .' +p249911 +(lp249912 +S'Occasional\tOccasional\tJJ\tB-NP\tO' +p249913 +aS'alcohol\talcohol\tNN\tI-NP\tO' +p249914 +aS'use\tuse\tNN\tI-NP\tO' +p249915 +aS'.\t.\t.\tO\tO' +p249916 +asS'Total abdominal hysterectomy , bilateral salpingo oophorectomy 2-19-91 by Dr. Lako Coma .' +p249917 +(lp249918 +S'Total\tTotal\tJJ\tB-NP\tO' +p249919 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p249920 +aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' +p249921 +aS',\t,\t,\tO\tO' +p249922 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p249923 +aS'salpingo\tsalpingo\tNN\tI-NP\tO' +p249924 +aS'oophorectomy\toophorectomy\tNN\tI-NP\tO' +p249925 +aS'2-19-91\t2-19-91\tCD\tI-NP\tO' +p249926 +aS'by\tby\tIN\tB-PP\tO' +p249927 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p249928 +aS'Lako\tLako\tNNP\tI-NP\tO' +p249929 +aS'Coma\tComa\tNNP\tI-NP\tO' +p249930 +aS'.\t.\t.\tO\tO' +p249931 +asS'Critical aortic stenosis , status post aortic valve replacement .' +p249932 +(lp249933 +S'Critical\tCritical\tJJ\tB-NP\tO' +p249934 +aS'aortic\taortic\tJJ\tI-NP\tO' +p249935 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p249936 +aS',\t,\t,\tO\tO' +p249937 +aS'status\tstatus\tNN\tB-NP\tO' +p249938 +aS'post\tpost\tNN\tI-NP\tO' +p249939 +aS'aortic\taortic\tJJ\tI-NP\tO' +p249940 +aS'valve\tvalve\tNN\tI-NP\tO' +p249941 +aS'replacement\treplacement\tNN\tI-NP\tO' +p249942 +aS'.\t.\t.\tO\tO' +p249943 +asS'Equivocal cogwheeling on the right , normal tone on the left .' +p249944 +(lp249945 +S'Equivocal\tEquivocal\tJJ\tB-NP\tO' +p249946 +aS'cogwheeling\tcogwheeling\tNN\tI-NP\tO' +p249947 +aS'on\ton\tIN\tB-PP\tO' +p249948 +aS'the\tthe\tDT\tB-NP\tO' +p249949 +aS'right\tright\tJJ\tI-NP\tO' +p249950 +aS',\t,\t,\tI-NP\tO' +p249951 +aS'normal\tnormal\tJJ\tI-NP\tO' +p249952 +aS'tone\ttone\tNN\tI-NP\tO' +p249953 +aS'on\ton\tIN\tB-PP\tO' +p249954 +aS'the\tthe\tDT\tB-NP\tO' +p249955 +aS'left\tleft\tNN\tI-NP\tO' +p249956 +aS'.\t.\t.\tO\tO' +p249957 +asS'Admission lactate was 0.8 .' +p249958 +(lp249959 +S'Admission\tAdmission\tNN\tB-NP\tO' +p249960 +aS'lactate\tlactate\tNN\tI-NP\tO' +p249961 +aS'was\tbe\tVBD\tB-VP\tO' +p249962 +aS'0.8\t0.8\tCD\tB-NP\tO' +p249963 +aS'.\t.\t.\tO\tO' +p249964 +asS'Her calculated fractional excretion of sodium was 0.13 percent suggesting a prerenal cause .' +p249965 +(lp249966 +S'Her\tHer\tPRP$\tB-NP\tO' +p249967 +aS'calculated\tcalculate\tVBN\tI-NP\tO' +p249968 +aS'fractional\tfractional\tJJ\tI-NP\tO' +p249969 +aS'excretion\texcretion\tNN\tI-NP\tO' +p249970 +aS'of\tof\tIN\tB-PP\tO' +p249971 +aS'sodium\tsodium\tNN\tB-NP\tO' +p249972 +aS'was\tbe\tVBD\tB-VP\tO' +p249973 +aS'0.13\t0.13\tCD\tB-NP\tO' +p249974 +aS'percent\tpercent\tNN\tI-NP\tO' +p249975 +aS'suggesting\tsuggest\tVBG\tB-VP\tO' +p249976 +aS'a\ta\tDT\tB-NP\tO' +p249977 +aS'prerenal\tprerenal\tJJ\tI-NP\tO' +p249978 +aS'cause\tcause\tNN\tI-NP\tO' +p249979 +aS'.\t.\t.\tO\tO' +p249980 +asS'No major vascular territorial infarction is identified .' +p249981 +(lp249982 +S'No\tNo\tDT\tB-NP\tO' +p249983 +aS'major\tmajor\tJJ\tI-NP\tO' +p249984 +aS'vascular\tvascular\tJJ\tI-NP\tO' +p249985 +aS'territorial\tterritorial\tNN\tI-NP\tO' +p249986 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p249987 +aS'is\tbe\tVBZ\tB-VP\tO' +p249988 +aS'identified\tidentify\tVBN\tI-VP\tO' +p249989 +aS'.\t.\t.\tO\tO' +p249990 +asS'Heart sounds were normal .' +p249991 +(lp249992 +S'Heart\tHeart\tNN\tB-NP\tO' +p249993 +aS'sounds\tsound\tNNS\tI-NP\tO' +p249994 +aS'were\tbe\tVBD\tB-VP\tO' +p249995 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p249996 +aS'.\t.\t.\tO\tO' +p249997 +asS'3. Digoxin , 0.125 mg. , intravenously , qD .' +p249998 +(lp249999 +S'3.\t3.\tLS\tB-NP\tO' +p250000 +aS'Digoxin\tDigoxin\tNN\tI-NP\tO' +p250001 +aS',\t,\t,\tO\tO' +p250002 +aS'0.125\t0.125\tCD\tB-NP\tO' +p250003 +aS'mg.\tmg.\tNN\tI-NP\tO' +p250004 +aS',\t,\t,\tO\tO' +p250005 +aS'intravenously\tintravenously\tRB\tB-ADVP\tO' +p250006 +aS',\t,\t,\tO\tO' +p250007 +aS'qD\tqD\tNN\tB-NP\tO' +p250008 +aS'.\t.\t.\tO\tO' +p250009 +asS'Ears-the tympanic membranes were clear with no hemorrhage at the time of admission .' +p250010 +(lp250011 +S'Ears-the\tEars-the\tJJ\tB-NP\tO' +p250012 +aS'tympanic\ttympanic\tJJ\tI-NP\tO' +p250013 +aS'membranes\tmembrane\tNNS\tI-NP\tO' +p250014 +aS'were\tbe\tVBD\tB-VP\tO' +p250015 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p250016 +aS'with\twith\tIN\tB-PP\tO' +p250017 +aS'no\tno\tDT\tB-NP\tO' +p250018 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p250019 +aS'at\tat\tIN\tB-PP\tO' +p250020 +aS'the\tthe\tDT\tB-NP\tO' +p250021 +aS'time\ttime\tNN\tI-NP\tO' +p250022 +aS'of\tof\tIN\tB-PP\tO' +p250023 +aS'admission\tadmission\tNN\tB-NP\tO' +p250024 +aS'.\t.\t.\tO\tO' +p250025 +asS'The patient 's rhythm degenerated to ventricular tachycardia and he was shocked , initially without response but after several doses of Epinephine , one-half mg. of Atropine and a bolus of Lidocaine we were able to obtain a blood pressure and rhythm only briefly , and quickly deteriorated back to ventricular fibrillation .' +p250026 +(lp250027 +S'The\tThe\tDT\tB-NP\tO' +p250028 +aS'patient\tpatient\tNN\tI-NP\tO' +p250029 +aS''s\t'\tNNS\tI-NP\tO' +p250030 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p250031 +aS'degenerated\tdegenerate\tVBD\tB-VP\tO' +p250032 +aS'to\tto\tTO\tB-PP\tO' +p250033 +aS'ventricular\tventricular\tJJ\tB-NP\tO' +p250034 +aS'tachycardia\ttachycardia\tNN\tI-NP\tO' +p250035 +aS'and\tand\tCC\tO\tO' +p250036 +aS'he\the\tPRP\tB-NP\tO' +p250037 +aS'was\tbe\tVBD\tB-VP\tO' +p250038 +aS'shocked\tshock\tVBN\tI-VP\tO' +p250039 +aS',\t,\t,\tO\tO' +p250040 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p250041 +aS'without\twithout\tIN\tB-PP\tO' +p250042 +aS'response\tresponse\tNN\tB-NP\tO' +p250043 +aS'but\tbut\tCC\tB-PP\tO' +p250044 +aS'after\tafter\tIN\tB-PP\tO' +p250045 +aS'several\tseveral\tJJ\tB-NP\tO' +p250046 +aS'doses\tdose\tNNS\tI-NP\tO' +p250047 +aS'of\tof\tIN\tB-PP\tO' +p250048 +aS'Epinephine\tEpinephine\tNN\tB-NP\tO' +p250049 +aS',\t,\t,\tO\tO' +p250050 +aS'one-half\tone-half\tJJ\tB-NP\tO' +p250051 +aS'mg.\tmg.\tNN\tI-NP\tO' +p250052 +aS'of\tof\tIN\tB-PP\tO' +p250053 +aS'Atropine\tAtropine\tNN\tB-NP\tO' +p250054 +aS'and\tand\tCC\tO\tO' +p250055 +aS'a\ta\tDT\tB-NP\tO' +p250056 +aS'bolus\tbolus\tNN\tI-NP\tO' +p250057 +aS'of\tof\tIN\tB-PP\tO' +p250058 +aS'Lidocaine\tLidocaine\tNN\tB-NP\tO' +p250059 +aS'we\twe\tPRP\tB-NP\tO' +p250060 +aS'were\tbe\tVBD\tB-VP\tO' +p250061 +aS'able\table\tJJ\tB-ADJP\tO' +p250062 +aS'to\tto\tTO\tB-VP\tO' +p250063 +aS'obtain\tobtain\tVB\tI-VP\tO' +p250064 +aS'a\ta\tDT\tB-NP\tO' +p250065 +aS'blood\tblood\tNN\tI-NP\tO' +p250066 +aS'pressure\tpressure\tNN\tI-NP\tO' +p250067 +aS'and\tand\tCC\tI-NP\tO' +p250068 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p250069 +aS'only\tonly\tRB\tB-ADVP\tO' +p250070 +aS'briefly\tbriefly\tRB\tI-ADVP\tO' +p250071 +aS',\t,\t,\tO\tO' +p250072 +aS'and\tand\tCC\tO\tO' +p250073 +aS'quickly\tquickly\tRB\tB-VP\tO' +p250074 +aS'deteriorated\tdeteriorate\tVBD\tI-VP\tO' +p250075 +aS'back\tback\tRB\tB-ADVP\tO' +p250076 +aS'to\tto\tTO\tB-PP\tO' +p250077 +aS'ventricular\tventricular\tJJ\tB-NP\tO' +p250078 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p250079 +aS'.\t.\t.\tO\tO' +p250080 +asS'No true source found .' +p250081 +(lp250082 +S'No\tNo\tDT\tB-NP\tO' +p250083 +aS'true\ttrue\tJJ\tI-NP\tO' +p250084 +aS'source\tsource\tNN\tI-NP\tO' +p250085 +aS'found\tfind\tVBN\tB-VP\tO' +p250086 +aS'.\t.\t.\tO\tO' +p250087 +asS'The popliteal pulse on the right side was diminished .' +p250088 +(lp250089 +S'The\tThe\tDT\tB-NP\tO' +p250090 +aS'popliteal\tpopliteal\tJJ\tI-NP\tO' +p250091 +aS'pulse\tpulse\tNN\tI-NP\tO' +p250092 +aS'on\ton\tIN\tB-PP\tO' +p250093 +aS'the\tthe\tDT\tB-NP\tO' +p250094 +aS'right\tright\tJJ\tI-NP\tO' +p250095 +aS'side\tside\tNN\tI-NP\tO' +p250096 +aS'was\tbe\tVBD\tB-VP\tO' +p250097 +aS'diminished\tdiminish\tVBN\tI-VP\tO' +p250098 +aS'.\t.\t.\tO\tO' +p250099 +asS'1. Lovenox 1 mg per kilogram subcutaneously b.i.d.' +p250100 +(lp250101 +S'1.\t1.\tLS\tB-LST\tO' +p250102 +aS'Lovenox\tLovenox\tNN\tB-NP\tO' +p250103 +aS'1\t1\tCD\tI-NP\tO' +p250104 +aS'mg\tmg\tNN\tI-NP\tO' +p250105 +aS'per\tper\tIN\tB-PP\tO' +p250106 +aS'kilogram\tkilogram\tNN\tB-NP\tO' +p250107 +aS'subcutaneously\tsubcutaneously\tRB\tB-ADVP\tO' +p250108 +aS'b.i.d.\tb.i.d.\tRB\tB-ADVP\tO' +p250109 +asS'The EKG showed normal sinus rhythm at 83 , with an 11 degree axis , non-specific ST-T wave changes .' +p250110 +(lp250111 +S'The\tThe\tDT\tB-NP\tO' +p250112 +aS'EKG\tEKG\tNN\tI-NP\tB-protein' +p250113 +aS'showed\tshow\tVBD\tB-VP\tO' +p250114 +aS'normal\tnormal\tJJ\tB-NP\tO' +p250115 +aS'sinus\tsinus\tNN\tI-NP\tO' +p250116 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p250117 +aS'at\tat\tIN\tB-PP\tO' +p250118 +aS'83\t83\tCD\tB-NP\tO' +p250119 +aS',\t,\t,\tO\tO' +p250120 +aS'with\twith\tIN\tB-PP\tO' +p250121 +aS'an\tan\tDT\tB-NP\tO' +p250122 +aS'11\t11\tCD\tI-NP\tO' +p250123 +aS'degree\tdegree\tNN\tI-NP\tO' +p250124 +aS'axis\taxis\tNN\tI-NP\tO' +p250125 +aS',\t,\t,\tO\tO' +p250126 +aS'non-specific\tnon-specific\tJJ\tB-NP\tO' +p250127 +aS'ST-T\tST-T\tNN\tI-NP\tO' +p250128 +aS'wave\twave\tNN\tI-NP\tO' +p250129 +aS'changes\tchange\tNNS\tI-NP\tO' +p250130 +aS'.\t.\t.\tO\tO' +p250131 +asS'The initial bandemia would not have been consistent with a typical influenza presentation , so she was continued on a fourteen day course of Levaquin to eliminate any possibility of a bacterial superinfection or early pneumonia .' +p250132 +(lp250133 +S'The\tThe\tDT\tB-NP\tO' +p250134 +aS'initial\tinitial\tJJ\tI-NP\tO' +p250135 +aS'bandemia\tbandemia\tNN\tI-NP\tO' +p250136 +aS'would\twould\tMD\tB-VP\tO' +p250137 +aS'not\tnot\tRB\tI-VP\tO' +p250138 +aS'have\thave\tVB\tI-VP\tO' +p250139 +aS'been\tbe\tVBN\tI-VP\tO' +p250140 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p250141 +aS'with\twith\tIN\tB-PP\tO' +p250142 +aS'a\ta\tDT\tB-NP\tO' +p250143 +aS'typical\ttypical\tJJ\tI-NP\tO' +p250144 +aS'influenza\tinfluenza\tNN\tI-NP\tO' +p250145 +aS'presentation\tpresentation\tNN\tI-NP\tO' +p250146 +aS',\t,\t,\tO\tO' +p250147 +aS'so\tso\tIN\tB-SBAR\tO' +p250148 +aS'she\tshe\tPRP\tB-NP\tO' +p250149 +aS'was\tbe\tVBD\tB-VP\tO' +p250150 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p250151 +aS'on\ton\tIN\tB-PP\tO' +p250152 +aS'a\ta\tDT\tB-NP\tO' +p250153 +aS'fourteen\tfourteen\tCD\tI-NP\tO' +p250154 +aS'day\tday\tNN\tI-NP\tO' +p250155 +aS'course\tcourse\tNN\tI-NP\tO' +p250156 +aS'of\tof\tIN\tB-PP\tO' +p250157 +aS'Levaquin\tLevaquin\tNNP\tB-NP\tO' +p250158 +aS'to\tto\tTO\tB-VP\tO' +p250159 +aS'eliminate\teliminate\tVB\tI-VP\tO' +p250160 +aS'any\tany\tDT\tB-NP\tO' +p250161 +aS'possibility\tpossibility\tNN\tI-NP\tO' +p250162 +aS'of\tof\tIN\tB-PP\tO' +p250163 +aS'a\ta\tDT\tB-NP\tO' +p250164 +aS'bacterial\tbacterial\tJJ\tI-NP\tO' +p250165 +aS'superinfection\tsuperinfection\tNN\tI-NP\tO' +p250166 +aS'or\tor\tCC\tO\tO' +p250167 +aS'early\tearly\tJJ\tB-NP\tO' +p250168 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p250169 +aS'.\t.\t.\tO\tO' +p250170 +asS'Lung examination at that point showed good air entry , no wheezing , coarse breath sounds throughout .' +p250171 +(lp250172 +S'Lung\tLung\tNN\tB-NP\tO' +p250173 +aS'examination\texamination\tNN\tI-NP\tO' +p250174 +aS'at\tat\tIN\tB-PP\tO' +p250175 +aS'that\tthat\tDT\tB-NP\tO' +p250176 +aS'point\tpoint\tNN\tI-NP\tO' +p250177 +aS'showed\tshow\tVBD\tB-VP\tO' +p250178 +aS'good\tgood\tJJ\tB-NP\tO' +p250179 +aS'air\tair\tNN\tI-NP\tO' +p250180 +aS'entry\tentry\tNN\tI-NP\tO' +p250181 +aS',\t,\t,\tO\tO' +p250182 +aS'no\tno\tDT\tB-NP\tO' +p250183 +aS'wheezing\twheezing\tNN\tI-NP\tO' +p250184 +aS',\t,\t,\tO\tO' +p250185 +aS'coarse\tcoarse\tNN\tB-NP\tO' +p250186 +aS'breath\tbreath\tNN\tI-NP\tO' +p250187 +aS'sounds\tsound\tVBZ\tB-VP\tO' +p250188 +aS'throughout\tthroughout\tIN\tB-ADVP\tO' +p250189 +aS'.\t.\t.\tO\tO' +p250190 +asS'3. Proteinuria .' +p250191 +(lp250192 +S'3.\t3.\tLS\tB-LST\tO' +p250193 +aS'Proteinuria\tProteinuria\tNNP\tB-NP\tO' +p250194 +aS'.\t.\t.\tO\tO' +p250195 +asS'Laboratory studies on admission demonstrated a sodium of 144 , potassium 4.1 , chloride 106 , bicarbonate 20.0 , BUN and creatinine 12/0.7 , glucose 99 , white blood count of 5.7 , hematocrit of 40.6 , platelet count of 226 , prothrombin time was 9.4 , partial thromboplastin time was 29 .' +p250196 +(lp250197 +S'Laboratory\tLaboratory\tNN\tB-NP\tO' +p250198 +aS'studies\tstudy\tNNS\tI-NP\tO' +p250199 +aS'on\ton\tIN\tB-PP\tO' +p250200 +aS'admission\tadmission\tNN\tB-NP\tO' +p250201 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p250202 +aS'a\ta\tDT\tB-NP\tO' +p250203 +aS'sodium\tsodium\tNN\tI-NP\tO' +p250204 +aS'of\tof\tIN\tB-PP\tO' +p250205 +aS'144\t144\tCD\tB-NP\tO' +p250206 +aS',\t,\t,\tO\tO' +p250207 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p250208 +aS'4.1\t4.1\tCD\tI-NP\tO' +p250209 +aS',\t,\t,\tO\tO' +p250210 +aS'chloride\tchloride\tNN\tB-NP\tO' +p250211 +aS'106\t106\tCD\tI-NP\tO' +p250212 +aS',\t,\t,\tO\tO' +p250213 +aS'bicarbonate\tbicarbonate\tNN\tB-NP\tB-protein' +p250214 +aS'20.0\t20.0\tCD\tI-NP\tI-protein' +p250215 +aS',\t,\t,\tO\tO' +p250216 +aS'BUN\tBUN\tNN\tB-NP\tB-protein' +p250217 +aS'and\tand\tCC\tO\tO' +p250218 +aS'creatinine\tcreatinine\tNN\tB-NP\tB-protein' +p250219 +aS'12/0.7\t12/0.7\tCD\tI-NP\tI-protein' +p250220 +aS',\t,\t,\tO\tO' +p250221 +aS'glucose\tglucose\tNN\tB-NP\tB-protein' +p250222 +aS'99\t99\tCD\tI-NP\tI-protein' +p250223 +aS',\t,\t,\tO\tO' +p250224 +aS'white\twhite\tJJ\tB-NP\tO' +p250225 +aS'blood\tblood\tNN\tI-NP\tO' +p250226 +aS'count\tcount\tNN\tI-NP\tO' +p250227 +aS'of\tof\tIN\tB-PP\tO' +p250228 +aS'5.7\t5.7\tCD\tB-NP\tO' +p250229 +aS',\t,\t,\tO\tO' +p250230 +aS'hematocrit\thematocrit\tNN\tB-NP\tO' +p250231 +aS'of\tof\tIN\tB-PP\tO' +p250232 +aS'40.6\t40.6\tCD\tB-NP\tO' +p250233 +aS',\t,\t,\tO\tO' +p250234 +aS'platelet\tplatelet\tNN\tB-NP\tO' +p250235 +aS'count\tcount\tNN\tI-NP\tO' +p250236 +aS'of\tof\tIN\tB-PP\tO' +p250237 +aS'226\t226\tCD\tB-NP\tO' +p250238 +aS',\t,\t,\tO\tO' +p250239 +aS'prothrombin\tprothrombin\tNN\tB-NP\tO' +p250240 +aS'time\ttime\tNN\tI-NP\tO' +p250241 +aS'was\tbe\tVBD\tB-VP\tO' +p250242 +aS'9.4\t9.4\tCD\tB-NP\tO' +p250243 +aS',\t,\t,\tO\tO' +p250244 +aS'partial\tpartial\tJJ\tB-NP\tO' +p250245 +aS'thromboplastin\tthromboplastin\tNN\tI-NP\tO' +p250246 +aS'time\ttime\tNN\tI-NP\tO' +p250247 +aS'was\tbe\tVBD\tB-VP\tO' +p250248 +aS'29\t29\tCD\tB-NP\tO' +p250249 +aS'.\t.\t.\tO\tO' +p250250 +asS'The patient 's preliminary admitting physician is PRIESDOUET , CH J and the preliminary diagnosis is CHOLECYSTITIS .' +p250251 +(lp250252 +S'The\tThe\tDT\tB-NP\tO' +p250253 +aS'patient\tpatient\tNN\tI-NP\tO' +p250254 +aS''s\t'\tNNS\tI-NP\tO' +p250255 +aS'preliminary\tpreliminary\tJJ\tB-NP\tO' +p250256 +aS'admitting\tadmit\tVBG\tI-NP\tO' +p250257 +aS'physician\tphysician\tNN\tI-NP\tO' +p250258 +aS'is\tbe\tVBZ\tB-VP\tO' +p250259 +aS'PRIESDOUET\tPRIESDOUET\tNNP\tB-NP\tO' +p250260 +aS',\t,\t,\tO\tO' +p250261 +aS'CH\tCH\tNNP\tB-NP\tO' +p250262 +aS'J\tJ\tNNP\tI-NP\tO' +p250263 +aS'and\tand\tCC\tO\tO' +p250264 +aS'the\tthe\tDT\tB-NP\tO' +p250265 +aS'preliminary\tpreliminary\tJJ\tI-NP\tO' +p250266 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p250267 +aS'is\tbe\tVBZ\tB-VP\tO' +p250268 +aS'CHOLECYSTITIS\tCHOLECYSTITIS\tNN\tB-NP\tO' +p250269 +aS'.\t.\t.\tO\tO' +p250270 +asS'Due to elevated INR , coumadin was held .' +p250271 +(lp250272 +S'Due\tDue\tJJ\tB-PP\tO' +p250273 +aS'to\tto\tTO\tB-PP\tO' +p250274 +aS'elevated\televated\tJJ\tB-NP\tO' +p250275 +aS'INR\tINR\tNN\tI-NP\tO' +p250276 +aS',\t,\t,\tO\tO' +p250277 +aS'coumadin\tcoumadin\tNN\tB-NP\tO' +p250278 +aS'was\tbe\tVBD\tB-VP\tO' +p250279 +aS'held\thold\tVBN\tI-VP\tO' +p250280 +aS'.\t.\t.\tO\tO' +p250281 +asS'The differential showed 45 polys , 6 bands , 8 lymphs , 32 monos .' +p250282 +(lp250283 +S'The\tThe\tDT\tB-NP\tO' +p250284 +aS'differential\tdifferential\tJJ\tI-NP\tO' +p250285 +aS'showed\tshow\tVBD\tB-VP\tO' +p250286 +aS'45\t45\tCD\tB-NP\tO' +p250287 +aS'polys\tpoly\tNNS\tI-NP\tO' +p250288 +aS',\t,\t,\tO\tO' +p250289 +aS'6\t6\tCD\tB-NP\tO' +p250290 +aS'bands\tband\tNNS\tI-NP\tO' +p250291 +aS',\t,\t,\tO\tO' +p250292 +aS'8\t8\tCD\tB-NP\tO' +p250293 +aS'lymphs\tlymph\tNNS\tI-NP\tO' +p250294 +aS',\t,\t,\tO\tO' +p250295 +aS'32\t32\tCD\tB-NP\tO' +p250296 +aS'monos\tmono\tNNS\tI-NP\tO' +p250297 +aS'.\t.\t.\tO\tO' +p250298 +asS'He withdrew both lower extremities to peripheral stimulation , as well as his upper extremities to peripheral stimulation .' +p250299 +(lp250300 +S'He\tHe\tPRP\tB-NP\tO' +p250301 +aS'withdrew\twithdraw\tVBD\tB-VP\tO' +p250302 +aS'both\tboth\tCC\tO\tO' +p250303 +aS'lower\tlow\tJJR\tB-NP\tO' +p250304 +aS'extremities\textremity\tNNS\tI-NP\tO' +p250305 +aS'to\tto\tTO\tB-PP\tO' +p250306 +aS'peripheral\tperipheral\tJJ\tB-NP\tO' +p250307 +aS'stimulation\tstimulation\tNN\tI-NP\tO' +p250308 +aS',\t,\t,\tO\tO' +p250309 +aS'as\tas\tRB\tB-CONJP\tO' +p250310 +aS'well\twell\tRB\tI-CONJP\tO' +p250311 +aS'as\tas\tIN\tI-CONJP\tO' +p250312 +aS'his\this\tPRP$\tB-NP\tO' +p250313 +aS'upper\tupper\tJJ\tI-NP\tO' +p250314 +aS'extremities\textremity\tNNS\tI-NP\tO' +p250315 +aS'to\tto\tTO\tB-PP\tO' +p250316 +aS'peripheral\tperipheral\tJJ\tB-NP\tO' +p250317 +aS'stimulation\tstimulation\tNN\tI-NP\tO' +p250318 +aS'.\t.\t.\tO\tO' +p250319 +asS"D/c 'ed all lab draws / vitals ." +p250320 +(lp250321 +S'D/c\tD/c\tNN\tB-NP\tO' +p250322 +aS"'ed\t'e\tVBD\tB-VP\tO" +p250323 +aS'all\tall\tDT\tB-NP\tO' +p250324 +aS'lab\tlab\tNN\tI-NP\tO' +p250325 +aS'draws\tdraw\tNNS\tI-NP\tO' +p250326 +aS'/\t/\tSYM\tB-NP\tO' +p250327 +aS'vitals\tvital\tNNS\tI-NP\tO' +p250328 +aS'.\t.\t.\tO\tO' +p250329 +asS'1) ACQUIRED IMMUNODEFICIENCY SYNDROME .' +p250330 +(lp250331 +S'1)\t1)\tLS\tB-LST\tO' +p250332 +aS'ACQUIRED\tACQUIRED\tNNP\tB-NP\tO' +p250333 +aS'IMMUNODEFICIENCY\tIMMUNODEFICIENCY\tNNP\tI-NP\tO' +p250334 +aS'SYNDROME\tSYNDROME\tNNP\tI-NP\tO' +p250335 +aS'.\t.\t.\tO\tO' +p250336 +asS'Disp :* 30 Tablet (s)* Refills :* 1 *' +p250337 +(lp250338 +S'Disp\tDisp\tNN\tB-NP\tO' +p250339 +aS':*\t:*\tSYM\tI-NP\tO' +p250340 +aS'30\t30\tCD\tI-NP\tO' +p250341 +aS'Tablet\tTablet\tNN\tI-NP\tO' +p250342 +aS'(s)*\t(s)*\tSYM\tB-NP\tO' +p250343 +aS'Refills\tRefill\tNNPS\tI-NP\tO' +p250344 +aS':*\t:*\tSYM\tB-NP\tO' +p250345 +aS'1\t1\tCD\tI-NP\tO' +p250346 +aS'*\t*\tSYM\tB-NP\tO' +p250347 +asS'PT 16.2 , PTT 34.7 , INR 1.8 .' +p250348 +(lp250349 +S'PT\tPT\tNN\tB-NP\tB-protein' +p250350 +aS'16.2\t16.2\tCD\tI-NP\tI-protein' +p250351 +aS',\t,\t,\tO\tO' +p250352 +aS'PTT\tPTT\tNN\tB-NP\tB-protein' +p250353 +aS'34.7\t34.7\tCD\tI-NP\tI-protein' +p250354 +aS',\t,\t,\tO\tO' +p250355 +aS'INR\tINR\tNN\tB-NP\tB-protein' +p250356 +aS'1.8\t1.8\tCD\tI-NP\tI-protein' +p250357 +aS'.\t.\t.\tO\tO' +p250358 +asS'144/38 , heart rate 41 , respiratory rate 20 , oxygen saturation' +p250359 +(lp250360 +S'144/38\t144/38\tCD\tB-NP\tO' +p250361 +aS',\t,\t,\tO\tO' +p250362 +aS'heart\theart\tNN\tB-NP\tO' +p250363 +aS'rate\trate\tNN\tI-NP\tO' +p250364 +aS'41\t41\tCD\tI-NP\tO' +p250365 +aS',\t,\t,\tO\tO' +p250366 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p250367 +aS'rate\trate\tNN\tI-NP\tO' +p250368 +aS'20\t20\tCD\tI-NP\tO' +p250369 +aS',\t,\t,\tO\tO' +p250370 +aS'oxygen\toxygen\tNN\tB-NP\tO' +p250371 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p250372 +asS'The patient also had serial electrocardiogram , which showed no change .' +p250373 +(lp250374 +S'The\tThe\tDT\tB-NP\tO' +p250375 +aS'patient\tpatient\tNN\tI-NP\tO' +p250376 +aS'also\talso\tRB\tB-ADVP\tO' +p250377 +aS'had\thave\tVBD\tB-VP\tO' +p250378 +aS'serial\tserial\tJJ\tB-NP\tO' +p250379 +aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' +p250380 +aS',\t,\t,\tO\tO' +p250381 +aS'which\twhich\tWDT\tB-NP\tO' +p250382 +aS'showed\tshow\tVBD\tB-VP\tO' +p250383 +aS'no\tno\tDT\tB-NP\tO' +p250384 +aS'change\tchange\tNN\tI-NP\tO' +p250385 +aS'.\t.\t.\tO\tO' +p250386 +asS'She denies any history of hypertension , diabetes mellitus , coronary artery disease or peptic ulcer disease .' +p250387 +(lp250388 +S'She\tShe\tPRP\tB-NP\tO' +p250389 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p250390 +aS'any\tany\tDT\tB-NP\tO' +p250391 +aS'history\thistory\tNN\tI-NP\tO' +p250392 +aS'of\tof\tIN\tB-PP\tO' +p250393 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p250394 +aS',\t,\t,\tO\tO' +p250395 +aS'diabetes\tdiabetes\tNN\tB-NP\tO' +p250396 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p250397 +aS',\t,\t,\tO\tO' +p250398 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p250399 +aS'artery\tartery\tNN\tI-NP\tO' +p250400 +aS'disease\tdisease\tNN\tI-NP\tO' +p250401 +aS'or\tor\tCC\tO\tO' +p250402 +aS'peptic\tpeptic\tJJ\tB-NP\tO' +p250403 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p250404 +aS'disease\tdisease\tNN\tI-NP\tO' +p250405 +aS'.\t.\t.\tO\tO' +p250406 +asS'Mild retractions , occasional grunting .' +p250407 +(lp250408 +S'Mild\tMild\tJJ\tB-NP\tO' +p250409 +aS'retractions\tretraction\tNNS\tI-NP\tO' +p250410 +aS',\t,\t,\tO\tO' +p250411 +aS'occasional\toccasional\tJJ\tB-NP\tO' +p250412 +aS'grunting\tgrunting\tNN\tI-NP\tO' +p250413 +aS'.\t.\t.\tO\tO' +p250414 +asS'Some rashes on ACW around EKG leads' +p250415 +(lp250416 +S'Some\tSome\tDT\tB-NP\tO' +p250417 +aS'rashes\trash\tNNS\tI-NP\tO' +p250418 +aS'on\ton\tIN\tB-PP\tO' +p250419 +aS'ACW\tACW\tNN\tB-NP\tO' +p250420 +aS'around\taround\tIN\tB-PP\tO' +p250421 +aS'EKG\tEKG\tNN\tB-NP\tB-protein' +p250422 +aS'leads\tlead\tVBZ\tB-VP\tO' +p250423 +asS'The patient was apparently well until one day prior to admission .' +p250424 +(lp250425 +S'The\tThe\tDT\tB-NP\tO' +p250426 +aS'patient\tpatient\tNN\tI-NP\tO' +p250427 +aS'was\tbe\tVBD\tB-VP\tO' +p250428 +aS'apparently\tapparently\tRB\tB-ADVP\tO' +p250429 +aS'well\twell\tRB\tB-ADVP\tO' +p250430 +aS'until\tuntil\tIN\tB-SBAR\tO' +p250431 +aS'one\tone\tCD\tB-NP\tO' +p250432 +aS'day\tday\tNN\tI-NP\tO' +p250433 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p250434 +aS'to\tto\tTO\tB-PP\tO' +p250435 +aS'admission\tadmission\tNN\tB-NP\tO' +p250436 +aS'.\t.\t.\tO\tO' +p250437 +asS'Signed electronically by : DR. Patricia Henley on : Maxine 2014-01-02 10:45 AM' +p250438 +(lp250439 +S'Signed\tSign\tVBN\tB-VP\tO' +p250440 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p250441 +aS'by\tby\tIN\tB-PP\tO' +p250442 +aS':\t:\t:\tO\tO' +p250443 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p250444 +aS'Patricia\tPatricia\tNNP\tI-NP\tO' +p250445 +aS'Henley\tHenley\tNNP\tI-NP\tO' +p250446 +aS'on\ton\tIN\tB-PP\tO' +p250447 +aS':\t:\t:\tO\tO' +p250448 +aS'Maxine\tMaxine\tNN\tB-NP\tO' +p250449 +aS'2014-01-02\t2014-01-02\tCD\tI-NP\tO' +p250450 +aS'10:45\t10:45\tCD\tI-NP\tO' +p250451 +aS'AM\tAM\tNN\tI-NP\tO' +p250452 +asS'It was unable to be delineated whether this represented an anomalous left coronary artery arising from the pulmonary artery ( LCAPA ) or a left coronary artery fistula to the pulmonar artery .' +p250453 +(lp250454 +S'It\tIt\tPRP\tB-NP\tO' +p250455 +aS'was\tbe\tVBD\tB-VP\tO' +p250456 +aS'unable\tunable\tJJ\tB-ADJP\tO' +p250457 +aS'to\tto\tTO\tB-VP\tO' +p250458 +aS'be\tbe\tVB\tI-VP\tO' +p250459 +aS'delineated\tdelineate\tVBN\tI-VP\tO' +p250460 +aS'whether\twhether\tIN\tB-SBAR\tO' +p250461 +aS'this\tthis\tDT\tB-NP\tO' +p250462 +aS'represented\trepresent\tVBD\tB-VP\tO' +p250463 +aS'an\tan\tDT\tB-NP\tO' +p250464 +aS'anomalous\tanomalous\tJJ\tI-NP\tO' +p250465 +aS'left\tleft\tJJ\tI-NP\tO' +p250466 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p250467 +aS'artery\tartery\tNN\tI-NP\tO' +p250468 +aS'arising\tarise\tVBG\tB-VP\tO' +p250469 +aS'from\tfrom\tIN\tB-PP\tO' +p250470 +aS'the\tthe\tDT\tB-NP\tO' +p250471 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p250472 +aS'artery\tartery\tNN\tI-NP\tO' +p250473 +aS'(\t(\t(\tO\tO' +p250474 +aS'LCAPA\tLCAPA\tNN\tB-NP\tB-protein' +p250475 +aS')\t)\t)\tO\tO' +p250476 +aS'or\tor\tCC\tO\tO' +p250477 +aS'a\ta\tDT\tB-NP\tO' +p250478 +aS'left\tleft\tJJ\tI-NP\tO' +p250479 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p250480 +aS'artery\tartery\tNN\tI-NP\tO' +p250481 +aS'fistula\tfistula\tNN\tI-NP\tO' +p250482 +aS'to\tto\tTO\tB-PP\tO' +p250483 +aS'the\tthe\tDT\tB-NP\tO' +p250484 +aS'pulmonar\tpulmonar\tJJ\tI-NP\tO' +p250485 +aS'artery\tartery\tNN\tI-NP\tO' +p250486 +aS'.\t.\t.\tO\tO' +p250487 +asS'2. Cardiovascular : Falmouth has maintained normal heart rates and blood pressures .' +p250488 +(lp250489 +S'2.\t2.\tCD\tB-NP\tO' +p250490 +aS'Cardiovascular\tCardiovascular\tNNP\tI-NP\tO' +p250491 +aS':\t:\t:\tO\tO' +p250492 +aS'Falmouth\tFalmouth\tNNP\tB-NP\tO' +p250493 +aS'has\thave\tVBZ\tB-VP\tO' +p250494 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p250495 +aS'normal\tnormal\tJJ\tB-NP\tO' +p250496 +aS'heart\theart\tNN\tI-NP\tO' +p250497 +aS'rates\trate\tNNS\tI-NP\tO' +p250498 +aS'and\tand\tCC\tO\tO' +p250499 +aS'blood\tblood\tNN\tB-NP\tO' +p250500 +aS'pressures\tpressure\tNNS\tI-NP\tO' +p250501 +aS'.\t.\t.\tO\tO' +p250502 +asS'Seen emergently by stroke team .' +p250503 +(lp250504 +S'Seen\tSeen\tNN\tB-NP\tO' +p250505 +aS'emergently\temergently\tRB\tB-ADVP\tO' +p250506 +aS'by\tby\tIN\tB-PP\tO' +p250507 +aS'stroke\tstroke\tNN\tB-NP\tO' +p250508 +aS'team\tteam\tNN\tI-NP\tO' +p250509 +aS'.\t.\t.\tO\tO' +p250510 +asS'They therefore felt a rapid steroid taper was indicated and topical Erythromycin if desired by the patient .' +p250511 +(lp250512 +S'They\tThey\tPRP\tB-NP\tO' +p250513 +aS'therefore\ttherefore\tRB\tB-ADVP\tO' +p250514 +aS'felt\tfeel\tVBD\tB-VP\tO' +p250515 +aS'a\ta\tDT\tB-NP\tO' +p250516 +aS'rapid\trapid\tJJ\tI-NP\tO' +p250517 +aS'steroid\tsteroid\tNN\tI-NP\tO' +p250518 +aS'taper\ttaper\tNN\tI-NP\tO' +p250519 +aS'was\tbe\tVBD\tB-VP\tO' +p250520 +aS'indicated\tindicate\tVBN\tI-VP\tO' +p250521 +aS'and\tand\tCC\tO\tO' +p250522 +aS'topical\ttopical\tJJ\tB-NP\tO' +p250523 +aS'Erythromycin\tErythromycin\tNN\tI-NP\tO' +p250524 +aS'if\tif\tIN\tB-SBAR\tO' +p250525 +aS'desired\tdesire\tVBN\tB-VP\tO' +p250526 +aS'by\tby\tIN\tB-PP\tO' +p250527 +aS'the\tthe\tDT\tB-NP\tO' +p250528 +aS'patient\tpatient\tNN\tI-NP\tO' +p250529 +aS'.\t.\t.\tO\tO' +p250530 +asS'Multiple angio accesses , TAH at age 18 , cadaveric renal allograft in 03/93 , reoperation for bleed followed by transplant nephrectomy .' +p250531 +(lp250532 +S'Multiple\tMultiple\tJJ\tB-NP\tO' +p250533 +aS'angio\tangio\tNN\tI-NP\tO' +p250534 +aS'accesses\taccess\tNNS\tI-NP\tO' +p250535 +aS',\t,\t,\tO\tO' +p250536 +aS'TAH\tTAH\tNN\tB-NP\tB-protein' +p250537 +aS'at\tat\tIN\tB-PP\tO' +p250538 +aS'age\tage\tNN\tB-NP\tO' +p250539 +aS'18\t18\tCD\tI-NP\tO' +p250540 +aS',\t,\t,\tO\tO' +p250541 +aS'cadaveric\tcadaveric\tJJ\tB-NP\tO' +p250542 +aS'renal\trenal\tJJ\tI-NP\tO' +p250543 +aS'allograft\tallograft\tNN\tI-NP\tO' +p250544 +aS'in\tin\tIN\tB-PP\tO' +p250545 +aS'03/93\t03/93\tCD\tB-NP\tO' +p250546 +aS',\t,\t,\tO\tO' +p250547 +aS'reoperation\treoperation\tNN\tB-NP\tO' +p250548 +aS'for\tfor\tIN\tB-PP\tO' +p250549 +aS'bleed\tbleed\tNN\tB-NP\tO' +p250550 +aS'followed\tfollow\tVBN\tB-VP\tO' +p250551 +aS'by\tby\tIN\tB-PP\tO' +p250552 +aS'transplant\ttransplant\tNN\tB-NP\tO' +p250553 +aS'nephrectomy\tnephrectomy\tNN\tI-NP\tO' +p250554 +aS'.\t.\t.\tO\tO' +p250555 +asS'Pt was subtherapeuticon INR on admission , thus treated with heparin gtt .' +p250556 +(lp250557 +S'Pt\tPt\tNN\tB-NP\tO' +p250558 +aS'was\tbe\tVBD\tB-VP\tO' +p250559 +aS'subtherapeuticon\tsubtherapeuticon\tJJ\tB-NP\tO' +p250560 +aS'INR\tINR\tNN\tI-NP\tO' +p250561 +aS'on\ton\tIN\tB-PP\tO' +p250562 +aS'admission\tadmission\tNN\tB-NP\tO' +p250563 +aS',\t,\t,\tO\tO' +p250564 +aS'thus\tthus\tRB\tB-ADVP\tO' +p250565 +aS'treated\ttreat\tVBN\tB-VP\tO' +p250566 +aS'with\twith\tIN\tB-PP\tO' +p250567 +aS'heparin\theparin\tNN\tB-NP\tO' +p250568 +aS'gtt\tgtt\tNN\tI-NP\tO' +p250569 +aS'.\t.\t.\tO\tO' +p250570 +asS'A hematocrit and reticulocyte count showed a hematocrit of 23 percent and a reticulocyte count of 1.9 percent .' +p250571 +(lp250572 +S'A\tA\tDT\tB-NP\tO' +p250573 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p250574 +aS'and\tand\tCC\tI-NP\tO' +p250575 +aS'reticulocyte\treticulocyte\tNN\tI-NP\tO' +p250576 +aS'count\tcount\tNN\tI-NP\tO' +p250577 +aS'showed\tshow\tVBD\tB-VP\tO' +p250578 +aS'a\ta\tDT\tB-NP\tO' +p250579 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p250580 +aS'of\tof\tIN\tB-PP\tO' +p250581 +aS'23\t23\tCD\tB-NP\tO' +p250582 +aS'percent\tpercent\tNN\tI-NP\tO' +p250583 +aS'and\tand\tCC\tO\tO' +p250584 +aS'a\ta\tDT\tB-NP\tO' +p250585 +aS'reticulocyte\treticulocyte\tNN\tI-NP\tO' +p250586 +aS'count\tcount\tNN\tI-NP\tO' +p250587 +aS'of\tof\tIN\tB-PP\tO' +p250588 +aS'1.9\t1.9\tCD\tB-NP\tO' +p250589 +aS'percent\tpercent\tNN\tI-NP\tO' +p250590 +aS'.\t.\t.\tO\tO' +p250591 +asS'8. Nitroglycerin 0.3 mg Tablet , Sublingual Sig : One ( 1 ) Sublingual as needed as needed for chest pain .' +p250592 +(lp250593 +S'8.\t8.\tCD\tB-NP\tO' +p250594 +aS'Nitroglycerin\tNitroglycerin\tNN\tI-NP\tO' +p250595 +aS'0.3\t0.3\tCD\tB-NP\tO' +p250596 +aS'mg\tmg\tNN\tI-NP\tO' +p250597 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p250598 +aS',\t,\t,\tO\tO' +p250599 +aS'Sublingual\tSublingual\tNNP\tB-NP\tO' +p250600 +aS'Sig\tSig\tNNP\tI-NP\tO' +p250601 +aS':\t:\t:\tO\tO' +p250602 +aS'One\tOne\tCD\tB-NP\tO' +p250603 +aS'(\t(\t(\tO\tO' +p250604 +aS'1\t1\tCD\tB-NP\tO' +p250605 +aS')\t)\t)\tO\tO' +p250606 +aS'Sublingual\tSublingual\tNNP\tO\tO' +p250607 +aS'as\tas\tIN\tB-SBAR\tO' +p250608 +aS'needed\tneed\tVBN\tB-VP\tO' +p250609 +aS'as\tas\tIN\tB-PP\tO' +p250610 +aS'needed\tneed\tVBN\tB-VP\tO' +p250611 +aS'for\tfor\tIN\tB-PP\tO' +p250612 +aS'chest\tchest\tNN\tB-NP\tO' +p250613 +aS'pain\tpain\tNN\tI-NP\tO' +p250614 +aS'.\t.\t.\tO\tO' +p250615 +asS'intravenous chemotherapy 12/4/95 through 12/8/95 .' +p250616 +(lp250617 +S'intravenous\tintravenous\tJJ\tB-NP\tO' +p250618 +aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' +p250619 +aS'12/4/95\t12/4/95\tCD\tI-NP\tO' +p250620 +aS'through\tthrough\tIN\tB-PP\tO' +p250621 +aS'12/8/95\t12/8/95\tCD\tB-NP\tO' +p250622 +aS'.\t.\t.\tO\tO' +p250623 +asS'5. Hypercholesterolemia .' +p250624 +(lp250625 +S'5.\t5.\tLS\tB-NP\tO' +p250626 +aS'Hypercholesterolemia\tHypercholesterolemia\tNN\tI-NP\tO' +p250627 +aS'.\t.\t.\tO\tO' +p250628 +asS'3. Congestive heart failure , unknown EF .' +p250629 +(lp250630 +S'3.\t3.\tLS\tB-NP\tO' +p250631 +aS'Congestive\tCongestive\tJJ\tI-NP\tO' +p250632 +aS'heart\theart\tNN\tI-NP\tO' +p250633 +aS'failure\tfailure\tNN\tI-NP\tO' +p250634 +aS',\t,\t,\tO\tO' +p250635 +aS'unknown\tunknown\tJJ\tB-NP\tO' +p250636 +aS'EF\tEF\tNN\tI-NP\tO' +p250637 +aS'.\t.\t.\tO\tO' +p250638 +asS'Also noted on the day of 11-20 , the patient self-extubated herself .' +p250639 +(lp250640 +S'Also\tAlso\tRB\tB-ADVP\tO' +p250641 +aS'noted\tnote\tVBN\tB-VP\tO' +p250642 +aS'on\ton\tIN\tB-PP\tO' +p250643 +aS'the\tthe\tDT\tB-NP\tO' +p250644 +aS'day\tday\tNN\tI-NP\tO' +p250645 +aS'of\tof\tIN\tB-PP\tO' +p250646 +aS'11-20\t11-20\tCD\tB-NP\tO' +p250647 +aS',\t,\t,\tO\tO' +p250648 +aS'the\tthe\tDT\tB-NP\tO' +p250649 +aS'patient\tpatient\tNN\tI-NP\tO' +p250650 +aS'self-extubated\tself-extubate\tVBD\tB-VP\tO' +p250651 +aS'herself\therself\tPRP\tB-NP\tO' +p250652 +aS'.\t.\t.\tO\tO' +p250653 +asS'She denies dysuria or excessive urinary frequency .' +p250654 +(lp250655 +S'She\tShe\tPRP\tB-NP\tO' +p250656 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p250657 +aS'dysuria\tdysuria\tNN\tB-NP\tO' +p250658 +aS'or\tor\tCC\tI-NP\tO' +p250659 +aS'excessive\texcessive\tJJ\tI-NP\tO' +p250660 +aS'urinary\turinary\tJJ\tI-NP\tO' +p250661 +aS'frequency\tfrequency\tNN\tI-NP\tO' +p250662 +aS'.\t.\t.\tO\tO' +p250663 +asS'Pt asymptomatic .' +p250664 +(lp250665 +S'Pt\tPt\tNN\tB-NP\tO' +p250666 +aS'asymptomatic\tasymptomatic\tJJ\tB-ADJP\tO' +p250667 +aS'.\t.\t.\tO\tO' +p250668 +asS'The Neo-Synephrine was weaned off by postoperative day number three .' +p250669 +(lp250670 +S'The\tThe\tDT\tB-NP\tO' +p250671 +aS'Neo-Synephrine\tNeo-Synephrine\tNN\tI-NP\tO' +p250672 +aS'was\tbe\tVBD\tB-VP\tO' +p250673 +aS'weaned\twean\tVBN\tI-VP\tO' +p250674 +aS'off\toff\tRP\tB-PRT\tO' +p250675 +aS'by\tby\tIN\tB-PP\tO' +p250676 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p250677 +aS'day\tday\tNN\tI-NP\tO' +p250678 +aS'number\tnumber\tNN\tI-NP\tO' +p250679 +aS'three\tthree\tCD\tI-NP\tO' +p250680 +aS'.\t.\t.\tO\tO' +p250681 +asS'58 YEAR-OLD FEMALE S/P GASTRIC BYPASS 03-01 WITHOUT COMPLICATIONS POST-OPERATIVELY , NOW PRESENTS WITH ABOMENAL AND AND ASCOCIATED NAUSEA SINCE THE NIGHT BEFORE ADMISSION .' +p250682 +(lp250683 +S'58\t58\tCD\tB-NP\tO' +p250684 +aS'YEAR-OLD\tYEAR-OLD\tNNP\tI-NP\tO' +p250685 +aS'FEMALE\tFEMALE\tNNP\tI-NP\tO' +p250686 +aS'S/P\tS/P\tNNP\tI-NP\tO' +p250687 +aS'GASTRIC\tGASTRIC\tNNP\tI-NP\tO' +p250688 +aS'BYPASS\tBYPASS\tNNP\tI-NP\tO' +p250689 +aS'03-01\t03-01\tCD\tI-NP\tO' +p250690 +aS'WITHOUT\tWITHOUT\tNNP\tI-NP\tO' +p250691 +aS'COMPLICATIONS\tCOMPLICATIONS\tNNP\tI-NP\tO' +p250692 +aS'POST-OPERATIVELY\tPOST-OPERATIVELY\tNNP\tI-NP\tO' +p250693 +aS',\t,\t,\tO\tO' +p250694 +aS'NOW\tNOW\tNNP\tB-NP\tO' +p250695 +aS'PRESENTS\tPRESENTS\tNNP\tI-NP\tO' +p250696 +aS'WITH\tWITH\tNNP\tI-NP\tO' +p250697 +aS'ABOMENAL\tABOMENAL\tNNP\tI-NP\tO' +p250698 +aS'AND\tAND\tCC\tB-NP\tO' +p250699 +aS'AND\tAND\tCC\tI-NP\tO' +p250700 +aS'ASCOCIATED\tASCOCIATED\tVBN\tI-NP\tO' +p250701 +aS'NAUSEA\tNAUSEA\tNN\tI-NP\tO' +p250702 +aS'SINCE\tSINCE\tNN\tI-NP\tO' +p250703 +aS'THE\tTHE\tDT\tB-NP\tO' +p250704 +aS'NIGHT\tNIGHT\tNN\tI-NP\tO' +p250705 +aS'BEFORE\tBEFORE\tNN\tI-NP\tO' +p250706 +aS'ADMISSION\tADMISSION\tNN\tI-NP\tO' +p250707 +aS'.\t.\t.\tO\tO' +p250708 +asS'An MRI was done on 08/27/03 that showed an 8 cm left lower quadrant mass with both cystic and solid components .' +p250709 +(lp250710 +S'An\tAn\tDT\tB-NP\tO' +p250711 +aS'MRI\tMRI\tNN\tI-NP\tB-protein' +p250712 +aS'was\tbe\tVBD\tB-VP\tO' +p250713 +aS'done\tdo\tVBN\tI-VP\tO' +p250714 +aS'on\ton\tIN\tB-PP\tO' +p250715 +aS'08/27/03\t08/27/03\tCD\tB-NP\tO' +p250716 +aS'that\tthat\tWDT\tB-NP\tO' +p250717 +aS'showed\tshow\tVBD\tB-VP\tO' +p250718 +aS'an\tan\tDT\tB-NP\tO' +p250719 +aS'8\t8\tCD\tI-NP\tO' +p250720 +aS'cm\tcm\tNN\tI-NP\tO' +p250721 +aS'left\tleave\tVBD\tB-VP\tO' +p250722 +aS'lower\tlow\tJJR\tB-NP\tO' +p250723 +aS'quadrant\tquadrant\tJJ\tI-NP\tO' +p250724 +aS'mass\tmass\tNN\tI-NP\tO' +p250725 +aS'with\twith\tIN\tB-PP\tO' +p250726 +aS'both\tboth\tCC\tB-NP\tO' +p250727 +aS'cystic\tcystic\tJJ\tI-NP\tO' +p250728 +aS'and\tand\tCC\tI-NP\tO' +p250729 +aS'solid\tsolid\tJJ\tI-NP\tO' +p250730 +aS'components\tcomponent\tNNS\tI-NP\tO' +p250731 +aS'.\t.\t.\tO\tO' +p250732 +asS'PE was considered but less likely given his fevers and clear pneumonia on CXR .' +p250733 +(lp250734 +S'PE\tPE\tNN\tB-NP\tO' +p250735 +aS'was\tbe\tVBD\tB-VP\tO' +p250736 +aS'considered\tconsider\tVBN\tI-VP\tO' +p250737 +aS'but\tbut\tCC\tO\tO' +p250738 +aS'less\tless\tRBR\tB-ADJP\tO' +p250739 +aS'likely\tlikely\tJJ\tI-ADJP\tO' +p250740 +aS'given\tgive\tVBN\tB-PP\tO' +p250741 +aS'his\this\tPRP$\tB-NP\tO' +p250742 +aS'fevers\tfever\tNNS\tI-NP\tO' +p250743 +aS'and\tand\tCC\tO\tO' +p250744 +aS'clear\tclear\tJJ\tB-NP\tO' +p250745 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p250746 +aS'on\ton\tIN\tB-PP\tO' +p250747 +aS'CXR\tCXR\tNN\tB-NP\tB-protein' +p250748 +aS'.\t.\t.\tO\tO' +p250749 +asS'By postoperative day number five , the patient was noted to be afebrile and stable .' +p250750 +(lp250751 +S'By\tBy\tIN\tB-PP\tO' +p250752 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p250753 +aS'day\tday\tNN\tI-NP\tO' +p250754 +aS'number\tnumber\tNN\tI-NP\tO' +p250755 +aS'five\tfive\tCD\tB-NP\tO' +p250756 +aS',\t,\t,\tO\tO' +p250757 +aS'the\tthe\tDT\tB-NP\tO' +p250758 +aS'patient\tpatient\tNN\tI-NP\tO' +p250759 +aS'was\tbe\tVBD\tB-VP\tO' +p250760 +aS'noted\tnote\tVBN\tI-VP\tO' +p250761 +aS'to\tto\tTO\tI-VP\tO' +p250762 +aS'be\tbe\tVB\tI-VP\tO' +p250763 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p250764 +aS'and\tand\tCC\tI-ADJP\tO' +p250765 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p250766 +aS'.\t.\t.\tO\tO' +p250767 +asS'There was no labor or maternal fever .' +p250768 +(lp250769 +S'There\tThere\tEX\tB-NP\tO' +p250770 +aS'was\tbe\tVBD\tB-VP\tO' +p250771 +aS'no\tno\tDT\tB-NP\tO' +p250772 +aS'labor\tlabor\tNN\tI-NP\tO' +p250773 +aS'or\tor\tCC\tO\tO' +p250774 +aS'maternal\tmaternal\tJJ\tB-NP\tO' +p250775 +aS'fever\tfever\tNN\tI-NP\tO' +p250776 +aS'.\t.\t.\tO\tO' +p250777 +asS'The physical examination revealed him to be afebrile , blood pressure of 130/80 with a pulse rate of 56 and respirations of 24 .' +p250778 +(lp250779 +S'The\tThe\tDT\tB-NP\tO' +p250780 +aS'physical\tphysical\tJJ\tI-NP\tO' +p250781 +aS'examination\texamination\tNN\tI-NP\tO' +p250782 +aS'revealed\treveal\tVBD\tB-VP\tO' +p250783 +aS'him\thim\tPRP\tB-NP\tO' +p250784 +aS'to\tto\tTO\tB-VP\tO' +p250785 +aS'be\tbe\tVB\tI-VP\tO' +p250786 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p250787 +aS',\t,\t,\tO\tO' +p250788 +aS'blood\tblood\tNN\tB-NP\tO' +p250789 +aS'pressure\tpressure\tNN\tI-NP\tO' +p250790 +aS'of\tof\tIN\tB-PP\tO' +p250791 +aS'130/80\t130/80\tCD\tB-NP\tO' +p250792 +aS'with\twith\tIN\tB-PP\tO' +p250793 +aS'a\ta\tDT\tB-NP\tO' +p250794 +aS'pulse\tpulse\tNN\tI-NP\tO' +p250795 +aS'rate\trate\tNN\tI-NP\tO' +p250796 +aS'of\tof\tIN\tB-PP\tO' +p250797 +aS'56\t56\tCD\tB-NP\tO' +p250798 +aS'and\tand\tCC\tO\tO' +p250799 +aS'respirations\trespiration\tNNS\tB-NP\tO' +p250800 +aS'of\tof\tIN\tB-PP\tO' +p250801 +aS'24\t24\tCD\tB-NP\tO' +p250802 +aS'.\t.\t.\tO\tO' +p250803 +asS'That test was negative .' +p250804 +(lp250805 +S'That\tThat\tDT\tB-NP\tO' +p250806 +aS'test\ttest\tNN\tI-NP\tO' +p250807 +aS'was\tbe\tVBD\tB-VP\tO' +p250808 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p250809 +aS'.\t.\t.\tO\tO' +p250810 +asS'Conditions , Infections , Complications , affecting Treatment / Stay asthma' +p250811 +(lp250812 +S'Conditions\tCondition\tNNS\tB-NP\tO' +p250813 +aS',\t,\t,\tO\tO' +p250814 +aS'Infections\tInfection\tNNS\tB-NP\tO' +p250815 +aS',\t,\t,\tO\tO' +p250816 +aS'Complications\tComplication\tNNS\tB-NP\tO' +p250817 +aS',\t,\t,\tO\tO' +p250818 +aS'affecting\taffect\tVBG\tB-VP\tO' +p250819 +aS'Treatment\tTreatment\tNN\tB-NP\tO' +p250820 +aS'/\t/\tSYM\tB-NP\tO' +p250821 +aS'Stay\tStay\tNN\tI-NP\tO' +p250822 +aS'asthma\tasthma\tNN\tI-NP\tO' +p250823 +asS'Discharge Condition : Good .' +p250824 +(lp250825 +S'Discharge\tDischarge\tNNP\tB-NP\tO' +p250826 +aS'Condition\tCondition\tNNP\tI-NP\tO' +p250827 +aS':\t:\t:\tO\tO' +p250828 +aS'Good\tGood\tNNP\tB-NP\tO' +p250829 +aS'.\t.\t.\tO\tO' +p250830 +asS'INDICATIONS : Fall down 20 stairs .' +p250831 +(lp250832 +S'INDICATIONS\tINDICATIONS\tNNS\tB-NP\tO' +p250833 +aS':\t:\t:\tO\tO' +p250834 +aS'Fall\tFall\tNNP\tB-NP\tO' +p250835 +aS'down\tdown\tIN\tB-PP\tO' +p250836 +aS'20\t20\tCD\tB-NP\tO' +p250837 +aS'stairs\tstair\tNNS\tI-NP\tO' +p250838 +aS'.\t.\t.\tO\tO' +p250839 +asS'In 2001-08-31 he stopped his medication and had a generalized tonic - clonic seizure in 12/94 .' +p250840 +(lp250841 +S'In\tIn\tIN\tB-PP\tO' +p250842 +aS'2001-08-31\t2001-08-31\tCD\tB-NP\tO' +p250843 +aS'he\the\tPRP\tB-NP\tO' +p250844 +aS'stopped\tstop\tVBD\tB-VP\tO' +p250845 +aS'his\this\tPRP$\tB-NP\tO' +p250846 +aS'medication\tmedication\tNN\tI-NP\tO' +p250847 +aS'and\tand\tCC\tO\tO' +p250848 +aS'had\thave\tVBD\tB-VP\tO' +p250849 +aS'a\ta\tDT\tB-NP\tO' +p250850 +aS'generalized\tgeneralize\tVBN\tI-NP\tO' +p250851 +aS'tonic\ttonic\tJJ\tI-NP\tO' +p250852 +aS'-\t-\tHYPH\tI-NP\tO' +p250853 +aS'clonic\tclonic\tJJ\tI-NP\tO' +p250854 +aS'seizure\tseizure\tNN\tI-NP\tO' +p250855 +aS'in\tin\tIN\tB-PP\tO' +p250856 +aS'12/94\t12/94\tCD\tB-NP\tO' +p250857 +aS'.\t.\t.\tO\tO' +p250858 +asS'The patient was admitted and pancultured .' +p250859 +(lp250860 +S'The\tThe\tDT\tB-NP\tO' +p250861 +aS'patient\tpatient\tNN\tI-NP\tO' +p250862 +aS'was\tbe\tVBD\tB-VP\tO' +p250863 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p250864 +aS'and\tand\tCC\tO\tO' +p250865 +aS'pancultured\tpanculture\tVBN\tB-VP\tO' +p250866 +aS'.\t.\t.\tO\tO' +p250867 +asS'Random cortisol was 17 and her DFA was positive for influenzae A with a viral culture pending at the time of discharge .' +p250868 +(lp250869 +S'Random\tRandom\tNN\tB-NP\tO' +p250870 +aS'cortisol\tcortisol\tNN\tI-NP\tO' +p250871 +aS'was\tbe\tVBD\tB-VP\tO' +p250872 +aS'17\t17\tCD\tB-NP\tO' +p250873 +aS'and\tand\tCC\tO\tO' +p250874 +aS'her\ther\tPRP$\tB-NP\tO' +p250875 +aS'DFA\tDFA\tNN\tI-NP\tB-protein' +p250876 +aS'was\tbe\tVBD\tB-VP\tO' +p250877 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p250878 +aS'for\tfor\tIN\tB-PP\tO' +p250879 +aS'influenzae\tinfluenzae\tNN\tB-NP\tO' +p250880 +aS'A\tA\tNN\tI-NP\tO' +p250881 +aS'with\twith\tIN\tB-PP\tO' +p250882 +aS'a\ta\tDT\tB-NP\tO' +p250883 +aS'viral\tviral\tJJ\tI-NP\tO' +p250884 +aS'culture\tculture\tNN\tI-NP\tO' +p250885 +aS'pending\tpende\tVBG\tB-VP\tO' +p250886 +aS'at\tat\tIN\tB-PP\tO' +p250887 +aS'the\tthe\tDT\tB-NP\tO' +p250888 +aS'time\ttime\tNN\tI-NP\tO' +p250889 +aS'of\tof\tIN\tB-PP\tO' +p250890 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p250891 +aS'.\t.\t.\tO\tO' +p250892 +asS'Patient placed on FiO2 100% .' +p250893 +(lp250894 +S'Patient\tPatient\tNN\tB-NP\tO' +p250895 +aS'placed\tplace\tVBN\tB-VP\tO' +p250896 +aS'on\ton\tIN\tB-PP\tO' +p250897 +aS'FiO2\tFiO2\tNN\tB-NP\tO' +p250898 +aS'100%\t100%\tCD\tI-NP\tO' +p250899 +aS'.\t.\t.\tO\tO' +p250900 +asS'The patient was admitted , placed on intravenous fluids .' +p250901 +(lp250902 +S'The\tThe\tDT\tB-NP\tO' +p250903 +aS'patient\tpatient\tNN\tI-NP\tO' +p250904 +aS'was\tbe\tVBD\tB-VP\tO' +p250905 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p250906 +aS',\t,\t,\tO\tO' +p250907 +aS'placed\tplace\tVBN\tB-VP\tO' +p250908 +aS'on\ton\tIN\tB-PP\tO' +p250909 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p250910 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p250911 +aS'.\t.\t.\tO\tO' +p250912 +asS'8. Xalatan eyedrops 1 gtt in left eye per day .' +p250913 +(lp250914 +S'8.\t8.\tCD\tB-NP\tO' +p250915 +aS'Xalatan\tXalatan\tNNP\tI-NP\tO' +p250916 +aS'eyedrops\teyedrop\tVBZ\tB-VP\tO' +p250917 +aS'1\t1\tCD\tB-NP\tO' +p250918 +aS'gtt\tgtt\tNN\tI-NP\tO' +p250919 +aS'in\tin\tIN\tB-PP\tO' +p250920 +aS'left\tleft\tJJ\tB-NP\tO' +p250921 +aS'eye\teye\tNN\tI-NP\tO' +p250922 +aS'per\tper\tIN\tB-PP\tO' +p250923 +aS'day\tday\tNN\tB-NP\tO' +p250924 +aS'.\t.\t.\tO\tO' +p250925 +asS'She received a full course of betamethasone complete on 12-17 , magnesium and erythromycin for latency through 12-21 .' +p250926 +(lp250927 +S'She\tShe\tPRP\tB-NP\tO' +p250928 +aS'received\treceive\tVBD\tB-VP\tO' +p250929 +aS'a\ta\tDT\tB-NP\tO' +p250930 +aS'full\tfull\tJJ\tI-NP\tO' +p250931 +aS'course\tcourse\tNN\tI-NP\tO' +p250932 +aS'of\tof\tIN\tB-PP\tO' +p250933 +aS'betamethasone\tbetamethasone\tNN\tB-NP\tO' +p250934 +aS'complete\tcomplete\tJJ\tB-ADJP\tO' +p250935 +aS'on\ton\tIN\tB-PP\tO' +p250936 +aS'12-17\t12-17\tNN\tB-NP\tO' +p250937 +aS',\t,\t,\tI-NP\tO' +p250938 +aS'magnesium\tmagnesium\tNN\tI-NP\tO' +p250939 +aS'and\tand\tCC\tI-NP\tO' +p250940 +aS'erythromycin\terythromycin\tNN\tI-NP\tO' +p250941 +aS'for\tfor\tIN\tB-PP\tO' +p250942 +aS'latency\tlatency\tNN\tB-NP\tO' +p250943 +aS'through\tthrough\tIN\tB-PP\tO' +p250944 +aS'12-21\t12-21\tCD\tB-NP\tO' +p250945 +aS'.\t.\t.\tO\tO' +p250946 +asS'However , given his rapid clinical decline , this was deferred and I do not suspect that he will be a candidate for this , as the degree of his decline bodes a poor prognosis for him .' +p250947 +(lp250948 +S'However\tHowever\tRB\tB-ADVP\tO' +p250949 +aS',\t,\t,\tO\tO' +p250950 +aS'given\tgive\tVBN\tB-VP\tO' +p250951 +aS'his\this\tPRP$\tB-NP\tO' +p250952 +aS'rapid\trapid\tJJ\tI-NP\tO' +p250953 +aS'clinical\tclinical\tJJ\tI-NP\tO' +p250954 +aS'decline\tdecline\tNN\tI-NP\tO' +p250955 +aS',\t,\t,\tO\tO' +p250956 +aS'this\tthis\tDT\tB-NP\tO' +p250957 +aS'was\tbe\tVBD\tB-VP\tO' +p250958 +aS'deferred\tdefer\tVBN\tI-VP\tO' +p250959 +aS'and\tand\tCC\tO\tO' +p250960 +aS'I\tI\tPRP\tB-NP\tO' +p250961 +aS'do\tdo\tVBP\tB-VP\tO' +p250962 +aS'not\tnot\tRB\tI-VP\tO' +p250963 +aS'suspect\tsuspect\tVB\tI-VP\tO' +p250964 +aS'that\tthat\tIN\tB-SBAR\tO' +p250965 +aS'he\the\tPRP\tB-NP\tO' +p250966 +aS'will\twill\tMD\tB-VP\tO' +p250967 +aS'be\tbe\tVB\tI-VP\tO' +p250968 +aS'a\ta\tDT\tB-NP\tO' +p250969 +aS'candidate\tcandidate\tNN\tI-NP\tO' +p250970 +aS'for\tfor\tIN\tB-PP\tO' +p250971 +aS'this\tthis\tDT\tB-NP\tO' +p250972 +aS',\t,\t,\tO\tO' +p250973 +aS'as\tas\tIN\tB-SBAR\tO' +p250974 +aS'the\tthe\tDT\tB-NP\tO' +p250975 +aS'degree\tdegree\tNN\tI-NP\tO' +p250976 +aS'of\tof\tIN\tB-PP\tO' +p250977 +aS'his\this\tPRP$\tB-NP\tO' +p250978 +aS'decline\tdecline\tNN\tI-NP\tO' +p250979 +aS'bodes\tbode\tVBZ\tB-VP\tO' +p250980 +aS'a\ta\tDT\tB-NP\tO' +p250981 +aS'poor\tpoor\tJJ\tI-NP\tO' +p250982 +aS'prognosis\tprognosis\tNN\tI-NP\tO' +p250983 +aS'for\tfor\tIN\tB-PP\tO' +p250984 +aS'him\thim\tPRP\tB-NP\tO' +p250985 +aS'.\t.\t.\tO\tO' +p250986 +asS'The electrocardiogram was remarkable for trigeminy at 91 per minute .' +p250987 +(lp250988 +S'The\tThe\tDT\tB-NP\tO' +p250989 +aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' +p250990 +aS'was\tbe\tVBD\tB-VP\tO' +p250991 +aS'remarkable\tremarkable\tJJ\tB-ADJP\tO' +p250992 +aS'for\tfor\tIN\tB-PP\tO' +p250993 +aS'trigeminy\ttrigeminy\tNN\tB-NP\tO' +p250994 +aS'at\tat\tIN\tB-PP\tO' +p250995 +aS'91\t91\tCD\tB-NP\tO' +p250996 +aS'per\tper\tIN\tB-PP\tO' +p250997 +aS'minute\tminute\tNN\tB-NP\tO' +p250998 +aS'.\t.\t.\tO\tO' +p250999 +asS'Extensive carotid artery calcifications are identified .' +p251000 +(lp251001 +S'Extensive\tExtensive\tJJ\tB-NP\tO' +p251002 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p251003 +aS'artery\tartery\tNN\tI-NP\tO' +p251004 +aS'calcifications\tcalcification\tNNS\tI-NP\tO' +p251005 +aS'are\tbe\tVBP\tB-VP\tO' +p251006 +aS'identified\tidentify\tVBN\tI-VP\tO' +p251007 +aS'.\t.\t.\tO\tO' +p251008 +asS'She is ambulatory .' +p251009 +(lp251010 +S'She\tShe\tPRP\tB-NP\tO' +p251011 +aS'is\tbe\tVBZ\tB-VP\tO' +p251012 +aS'ambulatory\tambulatory\tJJ\tB-ADJP\tO' +p251013 +aS'.\t.\t.\tO\tO' +p251014 +asS'No ethanol .' +p251015 +(lp251016 +S'No\tNo\tDT\tB-NP\tO' +p251017 +aS'ethanol\tethanol\tNN\tI-NP\tO' +p251018 +aS'.\t.\t.\tO\tO' +p251019 +asS'Infectious etiology is less likely due to the focal nature of the involvement .' +p251020 +(lp251021 +S'Infectious\tInfectious\tJJ\tB-NP\tO' +p251022 +aS'etiology\tetiology\tNN\tI-NP\tO' +p251023 +aS'is\tbe\tVBZ\tB-VP\tO' +p251024 +aS'less\tless\tRBR\tB-ADJP\tO' +p251025 +aS'likely\tlikely\tJJ\tI-ADJP\tO' +p251026 +aS'due\tdue\tIN\tB-PP\tO' +p251027 +aS'to\tto\tTO\tB-PP\tO' +p251028 +aS'the\tthe\tDT\tB-NP\tO' +p251029 +aS'focal\tfocal\tJJ\tI-NP\tO' +p251030 +aS'nature\tnature\tNN\tI-NP\tO' +p251031 +aS'of\tof\tIN\tB-PP\tO' +p251032 +aS'the\tthe\tDT\tB-NP\tO' +p251033 +aS'involvement\tinvolvement\tNN\tI-NP\tO' +p251034 +aS'.\t.\t.\tO\tO' +p251035 +asS'After repeated work ups , it was felt that these were probably due to remaining infection in the peripancreatic area .' +p251036 +(lp251037 +S'After\tAfter\tIN\tB-PP\tO' +p251038 +aS'repeated\trepeat\tVBN\tB-NP\tO' +p251039 +aS'work\twork\tNN\tI-NP\tO' +p251040 +aS'ups\tup\tNNS\tI-NP\tO' +p251041 +aS',\t,\t,\tO\tO' +p251042 +aS'it\tit\tPRP\tB-NP\tO' +p251043 +aS'was\tbe\tVBD\tB-VP\tO' +p251044 +aS'felt\tfeel\tVBN\tI-VP\tO' +p251045 +aS'that\tthat\tIN\tB-SBAR\tO' +p251046 +aS'these\tthese\tDT\tB-NP\tO' +p251047 +aS'were\tbe\tVBD\tB-VP\tO' +p251048 +aS'probably\tprobably\tRB\tB-ADVP\tO' +p251049 +aS'due\tdue\tJJ\tB-ADJP\tO' +p251050 +aS'to\tto\tTO\tB-PP\tO' +p251051 +aS'remaining\tremain\tVBG\tB-NP\tO' +p251052 +aS'infection\tinfection\tNN\tI-NP\tO' +p251053 +aS'in\tin\tIN\tB-PP\tO' +p251054 +aS'the\tthe\tDT\tB-NP\tO' +p251055 +aS'peripancreatic\tperipancreatic\tJJ\tI-NP\tO' +p251056 +aS'area\tarea\tNN\tI-NP\tO' +p251057 +aS'.\t.\t.\tO\tO' +p251058 +asS'She was transitioned to on levofloxacin for her bacteremia .' +p251059 +(lp251060 +S'She\tShe\tPRP\tB-NP\tO' +p251061 +aS'was\tbe\tVBD\tB-VP\tO' +p251062 +aS'transitioned\ttransitione\tVBN\tI-VP\tO' +p251063 +aS'to\tto\tTO\tB-PP\tO' +p251064 +aS'on\ton\tIN\tB-PP\tO' +p251065 +aS'levofloxacin\tlevofloxacin\tNN\tB-NP\tO' +p251066 +aS'for\tfor\tIN\tB-PP\tO' +p251067 +aS'her\ther\tPRP$\tB-NP\tO' +p251068 +aS'bacteremia\tbacteremia\tNN\tI-NP\tO' +p251069 +aS'.\t.\t.\tO\tO' +p251070 +asS'On the day of transfer , the patient was noted to be confused with waxing and waning sensorium ; thus , a delirium work-up was initiated looking for precipitants .' +p251071 +(lp251072 +S'On\tOn\tIN\tB-PP\tO' +p251073 +aS'the\tthe\tDT\tB-NP\tO' +p251074 +aS'day\tday\tNN\tI-NP\tO' +p251075 +aS'of\tof\tIN\tB-PP\tO' +p251076 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p251077 +aS',\t,\t,\tO\tO' +p251078 +aS'the\tthe\tDT\tB-NP\tO' +p251079 +aS'patient\tpatient\tNN\tI-NP\tO' +p251080 +aS'was\tbe\tVBD\tB-VP\tO' +p251081 +aS'noted\tnote\tVBN\tI-VP\tO' +p251082 +aS'to\tto\tTO\tI-VP\tO' +p251083 +aS'be\tbe\tVB\tI-VP\tO' +p251084 +aS'confused\tconfuse\tVBN\tI-VP\tO' +p251085 +aS'with\twith\tIN\tB-PP\tO' +p251086 +aS'waxing\twax\tVBG\tB-VP\tO' +p251087 +aS'and\tand\tCC\tI-VP\tO' +p251088 +aS'waning\twan\tVBG\tI-VP\tO' +p251089 +aS'sensorium\tsensorium\tNN\tB-NP\tO' +p251090 +aS';\t;\t:\tO\tO' +p251091 +aS'thus\tthus\tRB\tB-ADVP\tO' +p251092 +aS',\t,\t,\tO\tO' +p251093 +aS'a\ta\tDT\tB-NP\tO' +p251094 +aS'delirium\tdelirium\tNN\tI-NP\tO' +p251095 +aS'work-up\twork-up\tNN\tI-NP\tO' +p251096 +aS'was\tbe\tVBD\tB-VP\tO' +p251097 +aS'initiated\tinitiate\tVBN\tI-VP\tO' +p251098 +aS'looking\tlook\tVBG\tI-VP\tO' +p251099 +aS'for\tfor\tIN\tB-PP\tO' +p251100 +aS'precipitants\tprecipitant\tNNS\tB-NP\tO' +p251101 +aS'.\t.\t.\tO\tO' +p251102 +asS'He is scheduled to follow up with urology to address this issue .' +p251103 +(lp251104 +S'He\tHe\tPRP\tB-NP\tO' +p251105 +aS'is\tbe\tVBZ\tB-VP\tO' +p251106 +aS'scheduled\tschedule\tVBN\tI-VP\tO' +p251107 +aS'to\tto\tTO\tI-VP\tO' +p251108 +aS'follow\tfollow\tVB\tI-VP\tO' +p251109 +aS'up\tup\tRP\tB-PRT\tO' +p251110 +aS'with\twith\tIN\tB-PP\tO' +p251111 +aS'urology\turology\tNN\tB-NP\tO' +p251112 +aS'to\tto\tTO\tB-VP\tO' +p251113 +aS'address\taddress\tVB\tI-VP\tO' +p251114 +aS'this\tthis\tDT\tB-NP\tO' +p251115 +aS'issue\tissue\tNN\tI-NP\tO' +p251116 +aS'.\t.\t.\tO\tO' +p251117 +asS'No paroxysmal nocturnal dyspnea .' +p251118 +(lp251119 +S'No\tNo\tDT\tB-NP\tO' +p251120 +aS'paroxysmal\tparoxysmal\tJJ\tI-NP\tO' +p251121 +aS'nocturnal\tnocturnal\tJJ\tI-NP\tO' +p251122 +aS'dyspnea\tdyspnea\tNN\tI-NP\tO' +p251123 +aS'.\t.\t.\tO\tO' +p251124 +asS'Patient on vent , febrile , hypotensive .' +p251125 +(lp251126 +S'Patient\tPatient\tNN\tB-NP\tO' +p251127 +aS'on\ton\tIN\tB-PP\tO' +p251128 +aS'vent\tvent\tNN\tB-NP\tO' +p251129 +aS',\t,\t,\tO\tO' +p251130 +aS'febrile\tfebrile\tNN\tB-NP\tO' +p251131 +aS',\t,\t,\tO\tO' +p251132 +aS'hypotensive\thypotensive\tJJ\tB-ADJP\tO' +p251133 +aS'.\t.\t.\tO\tO' +p251134 +asS'Prior to his admission , the patient 's gunshot wound was sutured close in the emergency room .' +p251135 +(lp251136 +S'Prior\tPrior\tRB\tB-ADVP\tO' +p251137 +aS'to\tto\tTO\tB-PP\tO' +p251138 +aS'his\this\tPRP$\tB-NP\tO' +p251139 +aS'admission\tadmission\tNN\tI-NP\tO' +p251140 +aS',\t,\t,\tO\tO' +p251141 +aS'the\tthe\tDT\tB-NP\tO' +p251142 +aS'patient\tpatient\tNN\tI-NP\tO' +p251143 +aS''s\t'\tNNS\tI-NP\tO' +p251144 +aS'gunshot\tgunshot\tNN\tI-NP\tO' +p251145 +aS'wound\twound\tNN\tI-NP\tO' +p251146 +aS'was\tbe\tVBD\tB-VP\tO' +p251147 +aS'sutured\tsuture\tVBN\tI-VP\tO' +p251148 +aS'close\tclose\tRB\tB-ADVP\tO' +p251149 +aS'in\tin\tIN\tB-PP\tO' +p251150 +aS'the\tthe\tDT\tB-NP\tO' +p251151 +aS'emergency\temergency\tNN\tI-NP\tO' +p251152 +aS'room\troom\tNN\tI-NP\tO' +p251153 +aS'.\t.\t.\tO\tO' +p251154 +asS'The patient was without any complaints and remained stable .' +p251155 +(lp251156 +S'The\tThe\tDT\tB-NP\tO' +p251157 +aS'patient\tpatient\tNN\tI-NP\tO' +p251158 +aS'was\tbe\tVBD\tB-VP\tO' +p251159 +aS'without\twithout\tIN\tB-PP\tO' +p251160 +aS'any\tany\tDT\tB-NP\tO' +p251161 +aS'complaints\tcomplaint\tNNS\tI-NP\tO' +p251162 +aS'and\tand\tCC\tO\tO' +p251163 +aS'remained\tremain\tVBD\tB-VP\tO' +p251164 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p251165 +aS'.\t.\t.\tO\tO' +p251166 +asS'The plan is to continue the supplemental insulin while he is on steroids and while his sugars remain high .' +p251167 +(lp251168 +S'The\tThe\tDT\tB-NP\tO' +p251169 +aS'plan\tplan\tNN\tI-NP\tO' +p251170 +aS'is\tbe\tVBZ\tB-VP\tO' +p251171 +aS'to\tto\tTO\tB-VP\tO' +p251172 +aS'continue\tcontinue\tVB\tI-VP\tO' +p251173 +aS'the\tthe\tDT\tB-NP\tO' +p251174 +aS'supplemental\tsupplemental\tJJ\tI-NP\tO' +p251175 +aS'insulin\tinsulin\tNN\tI-NP\tO' +p251176 +aS'while\twhile\tIN\tB-SBAR\tO' +p251177 +aS'he\the\tPRP\tB-NP\tO' +p251178 +aS'is\tbe\tVBZ\tB-VP\tO' +p251179 +aS'on\ton\tIN\tB-PP\tO' +p251180 +aS'steroids\tsteroid\tNNS\tB-NP\tO' +p251181 +aS'and\tand\tCC\tB-PP\tO' +p251182 +aS'while\twhile\tIN\tB-SBAR\tO' +p251183 +aS'his\this\tPRP$\tB-NP\tO' +p251184 +aS'sugars\tsugar\tNNS\tI-NP\tO' +p251185 +aS'remain\tremain\tVBP\tB-VP\tO' +p251186 +aS'high\thigh\tJJ\tB-ADJP\tO' +p251187 +aS'.\t.\t.\tO\tO' +p251188 +asS'A cerclage was placed at 18 weeks gestation .' +p251189 +(lp251190 +S'A\tA\tDT\tB-NP\tO' +p251191 +aS'cerclage\tcerclage\tNN\tI-NP\tO' +p251192 +aS'was\tbe\tVBD\tB-VP\tO' +p251193 +aS'placed\tplace\tVBN\tI-VP\tO' +p251194 +aS'at\tat\tIN\tB-PP\tO' +p251195 +aS'18\t18\tCD\tB-NP\tO' +p251196 +aS'weeks\tweek\tNNS\tI-NP\tO' +p251197 +aS'gestation\tgestation\tNN\tI-NP\tO' +p251198 +aS'.\t.\t.\tO\tO' +p251199 +asS'Over the course of the next few days the patient became more accustomed to her Flolan , and Flolan teaching was continued .' +p251200 +(lp251201 +S'Over\tOver\tIN\tB-PP\tO' +p251202 +aS'the\tthe\tDT\tB-NP\tO' +p251203 +aS'course\tcourse\tNN\tI-NP\tO' +p251204 +aS'of\tof\tIN\tB-PP\tO' +p251205 +aS'the\tthe\tDT\tB-NP\tO' +p251206 +aS'next\tnext\tJJ\tI-NP\tO' +p251207 +aS'few\tfew\tJJ\tI-NP\tO' +p251208 +aS'days\tday\tNNS\tI-NP\tO' +p251209 +aS'the\tthe\tDT\tB-NP\tO' +p251210 +aS'patient\tpatient\tNN\tI-NP\tO' +p251211 +aS'became\tbecome\tVBD\tB-VP\tO' +p251212 +aS'more\tmore\tRBR\tB-ADJP\tO' +p251213 +aS'accustomed\taccustomed\tJJ\tI-ADJP\tO' +p251214 +aS'to\tto\tTO\tB-PP\tO' +p251215 +aS'her\ther\tPRP$\tB-NP\tO' +p251216 +aS'Flolan\tFlolan\tNN\tI-NP\tO' +p251217 +aS',\t,\t,\tO\tO' +p251218 +aS'and\tand\tCC\tO\tO' +p251219 +aS'Flolan\tFlolan\tNN\tB-NP\tO' +p251220 +aS'teaching\tteaching\tNN\tI-NP\tO' +p251221 +aS'was\tbe\tVBD\tB-VP\tO' +p251222 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p251223 +aS'.\t.\t.\tO\tO' +p251224 +asS'The patient is afebrile with a recumbent blood pressure of 128/16 , pulse of 76 , and standing blood pressure of 110/60 with a pulse of 88 .' +p251225 +(lp251226 +S'The\tThe\tDT\tB-NP\tO' +p251227 +aS'patient\tpatient\tNN\tI-NP\tO' +p251228 +aS'is\tbe\tVBZ\tB-VP\tO' +p251229 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p251230 +aS'with\twith\tIN\tB-PP\tO' +p251231 +aS'a\ta\tDT\tB-NP\tO' +p251232 +aS'recumbent\trecumbent\tJJ\tI-NP\tO' +p251233 +aS'blood\tblood\tNN\tI-NP\tO' +p251234 +aS'pressure\tpressure\tNN\tI-NP\tO' +p251235 +aS'of\tof\tIN\tB-PP\tO' +p251236 +aS'128/16\t128/16\tCD\tB-NP\tO' +p251237 +aS',\t,\t,\tO\tO' +p251238 +aS'pulse\tpulse\tNN\tB-NP\tO' +p251239 +aS'of\tof\tIN\tB-PP\tO' +p251240 +aS'76\t76\tCD\tB-NP\tO' +p251241 +aS',\t,\t,\tO\tO' +p251242 +aS'and\tand\tCC\tO\tO' +p251243 +aS'standing\tstanding\tNN\tB-NP\tO' +p251244 +aS'blood\tblood\tNN\tI-NP\tO' +p251245 +aS'pressure\tpressure\tNN\tI-NP\tO' +p251246 +aS'of\tof\tIN\tB-PP\tO' +p251247 +aS'110/60\t110/60\tCD\tB-NP\tO' +p251248 +aS'with\twith\tIN\tB-PP\tO' +p251249 +aS'a\ta\tDT\tB-NP\tO' +p251250 +aS'pulse\tpulse\tNN\tI-NP\tO' +p251251 +aS'of\tof\tIN\tB-PP\tO' +p251252 +aS'88\t88\tCD\tB-NP\tO' +p251253 +aS'.\t.\t.\tO\tO' +p251254 +asS'Stop linezolid on 2019-01-17 .' +p251255 +(lp251256 +S'Stop\tStop\tNN\tB-NP\tO' +p251257 +aS'linezolid\tlinezolid\tNN\tI-NP\tO' +p251258 +aS'on\ton\tIN\tB-PP\tO' +p251259 +aS'2019-01-17\t2019-01-17\tCD\tB-NP\tO' +p251260 +aS'.\t.\t.\tO\tO' +p251261 +asS'Signed electronically by : DR. Mary Jones on : SUN 2009-10-04 1:08 PM' +p251262 +(lp251263 +S'Signed\tSign\tVBN\tB-VP\tO' +p251264 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p251265 +aS'by\tby\tIN\tB-PP\tO' +p251266 +aS':\t:\t:\tO\tO' +p251267 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p251268 +aS'Mary\tMary\tNNP\tI-NP\tO' +p251269 +aS'Jones\tJones\tNNP\tI-NP\tO' +p251270 +aS'on\ton\tIN\tB-PP\tO' +p251271 +aS':\t:\t:\tO\tO' +p251272 +aS'SUN\tSUN\tNN\tB-NP\tO' +p251273 +aS'2009-10-04\t2009-10-04\tCD\tI-NP\tO' +p251274 +aS'1:08\t1:08\tCD\tI-NP\tO' +p251275 +aS'PM\tPM\tNN\tI-NP\tO' +p251276 +asS'He was treated with vancomycin and ceftazidime while awaiting wound cultures .' +p251277 +(lp251278 +S'He\tHe\tPRP\tB-NP\tO' +p251279 +aS'was\tbe\tVBD\tB-VP\tO' +p251280 +aS'treated\ttreat\tVBN\tI-VP\tO' +p251281 +aS'with\twith\tIN\tB-PP\tO' +p251282 +aS'vancomycin\tvancomycin\tNN\tB-NP\tO' +p251283 +aS'and\tand\tCC\tI-NP\tO' +p251284 +aS'ceftazidime\tceftazidime\tNN\tI-NP\tO' +p251285 +aS'while\twhile\tIN\tB-SBAR\tO' +p251286 +aS'awaiting\tawait\tVBG\tB-VP\tO' +p251287 +aS'wound\twound\tNN\tB-NP\tO' +p251288 +aS'cultures\tculture\tNNS\tI-NP\tO' +p251289 +aS'.\t.\t.\tO\tO' +p251290 +asS'This is to notify you that your patient , HUHTLAND , CIE arrived in the Emergency Department at Heaonboburg Linpack Grant Medical Center on 09/18/2001 10:52 AM .' +p251291 +(lp251292 +S'This\tThis\tDT\tB-NP\tO' +p251293 +aS'is\tbe\tVBZ\tB-VP\tO' +p251294 +aS'to\tto\tTO\tB-VP\tO' +p251295 +aS'notify\tnotify\tVB\tI-VP\tO' +p251296 +aS'you\tyou\tPRP\tB-NP\tO' +p251297 +aS'that\tthat\tIN\tB-SBAR\tO' +p251298 +aS'your\tyour\tPRP$\tB-NP\tO' +p251299 +aS'patient\tpatient\tNN\tI-NP\tO' +p251300 +aS',\t,\t,\tO\tO' +p251301 +aS'HUHTLAND\tHUHTLAND\tNN\tB-NP\tO' +p251302 +aS',\t,\t,\tO\tO' +p251303 +aS'CIE\tCIE\tNN\tB-NP\tO' +p251304 +aS'arrived\tarrive\tVBD\tB-VP\tO' +p251305 +aS'in\tin\tIN\tB-PP\tO' +p251306 +aS'the\tthe\tDT\tB-NP\tO' +p251307 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p251308 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p251309 +aS'at\tat\tIN\tB-PP\tO' +p251310 +aS'Heaonboburg\tHeaonboburg\tNNP\tB-NP\tO' +p251311 +aS'Linpack\tLinpack\tNNP\tI-NP\tO' +p251312 +aS'Grant\tGrant\tNNP\tI-NP\tO' +p251313 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p251314 +aS'Center\tCenter\tNNP\tI-NP\tO' +p251315 +aS'on\ton\tIN\tB-PP\tO' +p251316 +aS'09/18/2001\t09/18/2001\tCD\tB-NP\tO' +p251317 +aS'10:52\t10:52\tCD\tI-NP\tO' +p251318 +aS'AM\tAM\tNN\tI-NP\tO' +p251319 +aS'.\t.\t.\tO\tO' +p251320 +asS'INR was 1.9 on discharge .' +p251321 +(lp251322 +S'INR\tINR\tNN\tB-NP\tB-protein' +p251323 +aS'was\tbe\tVBD\tB-VP\tO' +p251324 +aS'1.9\t1.9\tCD\tB-NP\tO' +p251325 +aS'on\ton\tIN\tB-PP\tO' +p251326 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p251327 +aS'.\t.\t.\tO\tO' +p251328 +asS'He had scattered wheezes following a 3 liter bolus for hypotension .' +p251329 +(lp251330 +S'He\tHe\tPRP\tB-NP\tO' +p251331 +aS'had\thave\tVBD\tB-VP\tO' +p251332 +aS'scattered\tscatter\tVBN\tI-VP\tO' +p251333 +aS'wheezes\twheeze\tNNS\tB-NP\tO' +p251334 +aS'following\tfollow\tVBG\tB-PP\tO' +p251335 +aS'a\ta\tDT\tB-NP\tO' +p251336 +aS'3\t3\tCD\tI-NP\tO' +p251337 +aS'liter\tliter\tNN\tI-NP\tO' +p251338 +aS'bolus\tbolus\tNN\tI-NP\tO' +p251339 +aS'for\tfor\tIN\tB-PP\tO' +p251340 +aS'hypotension\thypotension\tNN\tB-NP\tO' +p251341 +aS'.\t.\t.\tO\tO' +p251342 +asS'No EtOH or IVDU .' +p251343 +(lp251344 +S'No\tNo\tDT\tB-NP\tO' +p251345 +aS'EtOH\tEtOH\tNN\tI-NP\tB-protein' +p251346 +aS'or\tor\tCC\tI-NP\tO' +p251347 +aS'IVDU\tIVDU\tNN\tI-NP\tB-protein' +p251348 +aS'.\t.\t.\tO\tO' +p251349 +asS'2. adenocarcinoma of the distal esophagus ,' +p251350 +(lp251351 +S'2.\t2.\tLS\tB-NP\tO' +p251352 +aS'adenocarcinoma\tadenocarcinoma\tNN\tI-NP\tO' +p251353 +aS'of\tof\tIN\tB-PP\tO' +p251354 +aS'the\tthe\tDT\tB-NP\tO' +p251355 +aS'distal\tdistal\tJJ\tI-NP\tO' +p251356 +aS'esophagus\tesophagus\tNN\tI-NP\tO' +p251357 +aS',\t,\t,\tO\tO' +p251358 +asS'The patient obtained a degree in law .' +p251359 +(lp251360 +S'The\tThe\tDT\tB-NP\tO' +p251361 +aS'patient\tpatient\tNN\tI-NP\tO' +p251362 +aS'obtained\tobtain\tVBD\tB-VP\tO' +p251363 +aS'a\ta\tDT\tB-NP\tO' +p251364 +aS'degree\tdegree\tNN\tI-NP\tO' +p251365 +aS'in\tin\tIN\tB-PP\tO' +p251366 +aS'law\tlaw\tNN\tB-NP\tO' +p251367 +aS'.\t.\t.\tO\tO' +p251368 +asS'A urinalysis was positive and urine culture grew enterococcus which was pan sensitive .' +p251369 +(lp251370 +S'A\tA\tDT\tB-NP\tO' +p251371 +aS'urinalysis\turinalysis\tNN\tI-NP\tO' +p251372 +aS'was\tbe\tVBD\tB-VP\tO' +p251373 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p251374 +aS'and\tand\tCC\tO\tO' +p251375 +aS'urine\turine\tNN\tB-NP\tO' +p251376 +aS'culture\tculture\tNN\tI-NP\tO' +p251377 +aS'grew\tgrow\tVBD\tB-VP\tO' +p251378 +aS'enterococcus\tenterococcus\tNN\tB-NP\tO' +p251379 +aS'which\twhich\tWDT\tB-NP\tO' +p251380 +aS'was\tbe\tVBD\tB-VP\tO' +p251381 +aS'pan\tpan\tNN\tB-NP\tO' +p251382 +aS'sensitive\tsensitive\tJJ\tB-ADJP\tO' +p251383 +aS'.\t.\t.\tO\tO' +p251384 +asS'Small left effusion .' +p251385 +(lp251386 +S'Small\tSmall\tJJ\tB-NP\tO' +p251387 +aS'left\tleft\tJJ\tI-NP\tO' +p251388 +aS'effusion\teffusion\tNN\tI-NP\tO' +p251389 +aS'.\t.\t.\tO\tO' +p251390 +asS'Pt received bactrim 500 mg x 1 for possible PCP .' +p251391 +(lp251392 +S'Pt\tPt\tNN\tB-NP\tB-protein' +p251393 +aS'received\treceive\tVBD\tB-VP\tI-protein' +p251394 +aS'bactrim\tbactrim\tJJ\tB-NP\tI-protein' +p251395 +aS'500\t500\tCD\tI-NP\tI-protein' +p251396 +aS'mg\tmg\tNN\tI-NP\tI-protein' +p251397 +aS'x\tx\tSYM\tB-NP\tI-protein' +p251398 +aS'1\t1\tCD\tI-NP\tI-protein' +p251399 +aS'for\tfor\tIN\tB-PP\tO' +p251400 +aS'possible\tpossible\tJJ\tB-NP\tO' +p251401 +aS'PCP\tPCP\tNN\tI-NP\tO' +p251402 +aS'.\t.\t.\tO\tO' +p251403 +asS'He was raking leaves on 04-02 and then developed episodes of mid chest pain and burning which radiated to the left arm .' +p251404 +(lp251405 +S'He\tHe\tPRP\tB-NP\tO' +p251406 +aS'was\tbe\tVBD\tB-VP\tO' +p251407 +aS'raking\trake\tVBG\tI-VP\tO' +p251408 +aS'leaves\tleaf\tNNS\tB-NP\tO' +p251409 +aS'on\ton\tIN\tB-PP\tO' +p251410 +aS'04-02\t04-02\tCD\tB-NP\tO' +p251411 +aS'and\tand\tCC\tO\tO' +p251412 +aS'then\tthen\tRB\tB-VP\tO' +p251413 +aS'developed\tdevelop\tVBD\tI-VP\tO' +p251414 +aS'episodes\tepisode\tNNS\tB-NP\tO' +p251415 +aS'of\tof\tIN\tB-PP\tO' +p251416 +aS'mid\tmid\tJJ\tB-NP\tO' +p251417 +aS'chest\tchest\tNN\tI-NP\tO' +p251418 +aS'pain\tpain\tNN\tI-NP\tO' +p251419 +aS'and\tand\tCC\tI-NP\tO' +p251420 +aS'burning\tburning\tNN\tI-NP\tO' +p251421 +aS'which\twhich\tWDT\tB-NP\tO' +p251422 +aS'radiated\tradiate\tVBD\tB-VP\tO' +p251423 +aS'to\tto\tTO\tB-PP\tO' +p251424 +aS'the\tthe\tDT\tB-NP\tO' +p251425 +aS'left\tleft\tJJ\tI-NP\tO' +p251426 +aS'arm\tarm\tNN\tI-NP\tO' +p251427 +aS'.\t.\t.\tO\tO' +p251428 +asS'The patient was started on intravenous heparin and had the studies as described above for rule out source of embolic strokes including carotid noninvasives , transcranial Dopplers , Holter electrocardiogram and echocardiogram .' +p251429 +(lp251430 +S'The\tThe\tDT\tB-NP\tO' +p251431 +aS'patient\tpatient\tNN\tI-NP\tO' +p251432 +aS'was\tbe\tVBD\tB-VP\tO' +p251433 +aS'started\tstart\tVBN\tI-VP\tO' +p251434 +aS'on\ton\tIN\tB-PP\tO' +p251435 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p251436 +aS'heparin\theparin\tNN\tI-NP\tO' +p251437 +aS'and\tand\tCC\tO\tO' +p251438 +aS'had\thave\tVBD\tB-VP\tO' +p251439 +aS'the\tthe\tDT\tB-NP\tO' +p251440 +aS'studies\tstudy\tNNS\tI-NP\tO' +p251441 +aS'as\tas\tIN\tB-SBAR\tO' +p251442 +aS'described\tdescribe\tVBN\tB-VP\tO' +p251443 +aS'above\tabove\tIN\tB-PP\tO' +p251444 +aS'for\tfor\tIN\tB-PP\tO' +p251445 +aS'rule\trule\tNN\tB-NP\tO' +p251446 +aS'out\tout\tIN\tB-PP\tO' +p251447 +aS'source\tsource\tNN\tB-NP\tO' +p251448 +aS'of\tof\tIN\tB-PP\tO' +p251449 +aS'embolic\tembolic\tJJ\tB-NP\tO' +p251450 +aS'strokes\tstroke\tNNS\tI-NP\tO' +p251451 +aS'including\tinclude\tVBG\tB-PP\tO' +p251452 +aS'carotid\tcarotid\tNN\tB-NP\tO' +p251453 +aS'noninvasives\tnoninvasive\tNNS\tI-NP\tO' +p251454 +aS',\t,\t,\tO\tO' +p251455 +aS'transcranial\ttranscranial\tJJ\tB-NP\tO' +p251456 +aS'Dopplers\tDoppler\tNNPS\tI-NP\tO' +p251457 +aS',\t,\t,\tO\tO' +p251458 +aS'Holter\tHolter\tNNP\tB-NP\tO' +p251459 +aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' +p251460 +aS'and\tand\tCC\tI-NP\tO' +p251461 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p251462 +aS'.\t.\t.\tO\tO' +p251463 +asS'She arrived pain free .' +p251464 +(lp251465 +S'She\tShe\tPRP\tB-NP\tO' +p251466 +aS'arrived\tarrive\tVBD\tB-VP\tO' +p251467 +aS'pain\tpain\tNN\tB-NP\tO' +p251468 +aS'free\tfree\tJJ\tB-ADJP\tO' +p251469 +aS'.\t.\t.\tO\tO' +p251470 +asS'Mother is a 29 year-old gravida 4 , para 1 mother , Marian Jane conception , EDC 2016-07-08 .' +p251471 +(lp251472 +S'Mother\tMother\tNNP\tB-NP\tO' +p251473 +aS'is\tbe\tVBZ\tB-VP\tO' +p251474 +aS'a\ta\tDT\tB-NP\tO' +p251475 +aS'29\t29\tCD\tI-NP\tO' +p251476 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p251477 +aS'gravida\tgravida\tNN\tI-NP\tO' +p251478 +aS'4\t4\tCD\tI-NP\tO' +p251479 +aS',\t,\t,\tO\tO' +p251480 +aS'para\tpara\tNN\tB-NP\tO' +p251481 +aS'1\t1\tCD\tI-NP\tO' +p251482 +aS'mother\tmother\tNN\tI-NP\tO' +p251483 +aS',\t,\t,\tO\tO' +p251484 +aS'Marian\tMarian\tNNP\tB-NP\tO' +p251485 +aS'Jane\tJane\tNNP\tI-NP\tO' +p251486 +aS'conception\tconception\tNN\tI-NP\tO' +p251487 +aS',\t,\t,\tO\tO' +p251488 +aS'EDC\tEDC\tNN\tB-NP\tO' +p251489 +aS'2016-07-08\t2016-07-08\tCD\tI-NP\tO' +p251490 +aS'.\t.\t.\tO\tO' +p251491 +asS'Vancomycin levels should be checked every third day for four to six weeks , according to IMD .' +p251492 +(lp251493 +S'Vancomycin\tVancomycin\tNN\tB-NP\tO' +p251494 +aS'levels\tlevel\tNNS\tI-NP\tO' +p251495 +aS'should\tshould\tMD\tB-VP\tO' +p251496 +aS'be\tbe\tVB\tI-VP\tO' +p251497 +aS'checked\tcheck\tVBN\tI-VP\tO' +p251498 +aS'every\tevery\tDT\tB-NP\tO' +p251499 +aS'third\tthird\tJJ\tI-NP\tO' +p251500 +aS'day\tday\tNN\tI-NP\tO' +p251501 +aS'for\tfor\tIN\tB-PP\tO' +p251502 +aS'four\tfour\tCD\tB-NP\tO' +p251503 +aS'to\tto\tTO\tI-NP\tO' +p251504 +aS'six\tsix\tCD\tI-NP\tO' +p251505 +aS'weeks\tweek\tNNS\tI-NP\tO' +p251506 +aS',\t,\t,\tO\tO' +p251507 +aS'according\taccord\tVBG\tB-PP\tO' +p251508 +aS'to\tto\tTO\tB-PP\tO' +p251509 +aS'IMD\tIMD\tNNP\tB-NP\tO' +p251510 +aS'.\t.\t.\tO\tO' +p251511 +asS'Her sister had wanted to keep the current course because she felt she was doing well where she was living and did not want to upset that .' +p251512 +(lp251513 +S'Her\tHer\tPRP$\tB-NP\tO' +p251514 +aS'sister\tsister\tNN\tI-NP\tO' +p251515 +aS'had\thave\tVBD\tB-VP\tO' +p251516 +aS'wanted\twant\tVBN\tI-VP\tO' +p251517 +aS'to\tto\tTO\tI-VP\tO' +p251518 +aS'keep\tkeep\tVB\tI-VP\tO' +p251519 +aS'the\tthe\tDT\tB-NP\tO' +p251520 +aS'current\tcurrent\tJJ\tI-NP\tO' +p251521 +aS'course\tcourse\tNN\tI-NP\tO' +p251522 +aS'because\tbecause\tIN\tB-SBAR\tO' +p251523 +aS'she\tshe\tPRP\tB-NP\tO' +p251524 +aS'felt\tfeel\tVBD\tB-VP\tO' +p251525 +aS'she\tshe\tPRP\tB-NP\tO' +p251526 +aS'was\tbe\tVBD\tB-VP\tO' +p251527 +aS'doing\tdo\tVBG\tI-VP\tO' +p251528 +aS'well\twell\tRB\tB-ADVP\tO' +p251529 +aS'where\twhere\tWRB\tB-ADVP\tO' +p251530 +aS'she\tshe\tPRP\tB-NP\tO' +p251531 +aS'was\tbe\tVBD\tB-VP\tO' +p251532 +aS'living\tlive\tVBG\tI-VP\tO' +p251533 +aS'and\tand\tCC\tO\tO' +p251534 +aS'did\tdo\tVBD\tB-VP\tO' +p251535 +aS'not\tnot\tRB\tI-VP\tO' +p251536 +aS'want\twant\tVB\tI-VP\tO' +p251537 +aS'to\tto\tTO\tI-VP\tO' +p251538 +aS'upset\tupset\tVB\tI-VP\tO' +p251539 +aS'that\tthat\tDT\tB-NP\tO' +p251540 +aS'.\t.\t.\tO\tO' +p251541 +asS'Gastritis and duodenitis .' +p251542 +(lp251543 +S'Gastritis\tGastritis\tNN\tB-NP\tO' +p251544 +aS'and\tand\tCC\tI-NP\tO' +p251545 +aS'duodenitis\tduodenitis\tNN\tI-NP\tO' +p251546 +aS'.\t.\t.\tO\tO' +p251547 +asS'Distant smoking history .' +p251548 +(lp251549 +S'Distant\tDistant\tJJ\tB-NP\tO' +p251550 +aS'smoking\tsmoking\tNN\tI-NP\tO' +p251551 +aS'history\thistory\tNN\tI-NP\tO' +p251552 +aS'.\t.\t.\tO\tO' +p251553 +asS'Premature infant born at 31 and 6/7 weeks gestation , resolved respiratory distress syndrome .' +p251554 +(lp251555 +S'Premature\tPremature\tJJ\tB-NP\tO' +p251556 +aS'infant\tinfant\tNN\tI-NP\tO' +p251557 +aS'born\tbear\tVBN\tB-VP\tO' +p251558 +aS'at\tat\tIN\tB-PP\tO' +p251559 +aS'31\t31\tCD\tB-NP\tO' +p251560 +aS'and\tand\tCC\tI-NP\tO' +p251561 +aS'6/7\t6/7\tCD\tI-NP\tO' +p251562 +aS'weeks\tweek\tNNS\tI-NP\tO' +p251563 +aS'gestation\tgestation\tNN\tI-NP\tO' +p251564 +aS',\t,\t,\tO\tO' +p251565 +aS'resolved\tresolve\tVBD\tB-VP\tO' +p251566 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p251567 +aS'distress\tdistress\tNN\tI-NP\tO' +p251568 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p251569 +aS'.\t.\t.\tO\tO' +p251570 +asS'Medications on Admission : patient passed away' +p251571 +(lp251572 +S'Medications\tMedication\tNNS\tB-NP\tO' +p251573 +aS'on\ton\tIN\tB-PP\tO' +p251574 +aS'Admission\tAdmission\tNN\tB-NP\tO' +p251575 +aS':\t:\t:\tO\tO' +p251576 +aS'patient\tpatient\tNN\tB-NP\tO' +p251577 +aS'passed\tpass\tVBD\tB-VP\tO' +p251578 +aS'away\taway\tRB\tB-ADVP\tO' +p251579 +asS'1 ) The patient will follow-up with her primary care physician , Dr. Tamarg Study , in Arvus after she is discharged from rehabilitation .' +p251580 +(lp251581 +S'1\t1\tLS\tB-LST\tO' +p251582 +aS')\t)\t)\tO\tO' +p251583 +aS'The\tThe\tDT\tB-NP\tO' +p251584 +aS'patient\tpatient\tNN\tI-NP\tO' +p251585 +aS'will\twill\tMD\tB-VP\tO' +p251586 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p251587 +aS'with\twith\tIN\tB-PP\tO' +p251588 +aS'her\ther\tPRP$\tB-NP\tO' +p251589 +aS'primary\tprimary\tJJ\tI-NP\tO' +p251590 +aS'care\tcare\tNN\tI-NP\tO' +p251591 +aS'physician\tphysician\tNN\tI-NP\tO' +p251592 +aS',\t,\t,\tO\tO' +p251593 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p251594 +aS'Tamarg\tTamarg\tNNP\tI-NP\tO' +p251595 +aS'Study\tStudy\tNNP\tI-NP\tO' +p251596 +aS',\t,\t,\tO\tO' +p251597 +aS'in\tin\tIN\tB-PP\tO' +p251598 +aS'Arvus\tArvus\tNNP\tB-NP\tO' +p251599 +aS'after\tafter\tIN\tB-SBAR\tO' +p251600 +aS'she\tshe\tPRP\tB-NP\tO' +p251601 +aS'is\tbe\tVBZ\tB-VP\tO' +p251602 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p251603 +aS'from\tfrom\tIN\tB-PP\tO' +p251604 +aS'rehabilitation\trehabilitation\tNN\tB-NP\tO' +p251605 +aS'.\t.\t.\tO\tO' +p251606 +asS'The patient was in a good state of health until January of 1993 when she developed a serious upper respiratory tract infection associated with weakness and fatigue .' +p251607 +(lp251608 +S'The\tThe\tDT\tB-NP\tO' +p251609 +aS'patient\tpatient\tNN\tI-NP\tO' +p251610 +aS'was\tbe\tVBD\tB-VP\tO' +p251611 +aS'in\tin\tIN\tB-PP\tO' +p251612 +aS'a\ta\tDT\tB-NP\tO' +p251613 +aS'good\tgood\tJJ\tI-NP\tO' +p251614 +aS'state\tstate\tNN\tI-NP\tO' +p251615 +aS'of\tof\tIN\tB-PP\tO' +p251616 +aS'health\thealth\tNN\tB-NP\tO' +p251617 +aS'until\tuntil\tIN\tB-PP\tO' +p251618 +aS'January\tJanuary\tNNP\tB-NP\tO' +p251619 +aS'of\tof\tIN\tB-PP\tO' +p251620 +aS'1993\t1993\tCD\tB-NP\tO' +p251621 +aS'when\twhen\tWRB\tB-ADVP\tO' +p251622 +aS'she\tshe\tPRP\tB-NP\tO' +p251623 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p251624 +aS'a\ta\tDT\tB-NP\tO' +p251625 +aS'serious\tserious\tJJ\tI-NP\tO' +p251626 +aS'upper\tupper\tJJ\tI-NP\tO' +p251627 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p251628 +aS'tract\ttract\tNN\tI-NP\tO' +p251629 +aS'infection\tinfection\tNN\tI-NP\tO' +p251630 +aS'associated\tassociate\tVBN\tB-VP\tO' +p251631 +aS'with\twith\tIN\tB-PP\tO' +p251632 +aS'weakness\tweakness\tNN\tB-NP\tO' +p251633 +aS'and\tand\tCC\tI-NP\tO' +p251634 +aS'fatigue\tfatigue\tNN\tI-NP\tO' +p251635 +aS'.\t.\t.\tO\tO' +p251636 +asS'3. Proscar .' +p251637 +(lp251638 +S'3.\t3.\tLS\tB-NP\tO' +p251639 +aS'Proscar\tProscar\tNN\tI-NP\tO' +p251640 +aS'.\t.\t.\tO\tO' +p251641 +asS'Lisinopril , 30 daily .' +p251642 +(lp251643 +S'Lisinopril\tLisinopril\tNNP\tB-NP\tO' +p251644 +aS',\t,\t,\tO\tO' +p251645 +aS'30\t30\tCD\tB-NP\tO' +p251646 +aS'daily\tdaily\tRB\tI-NP\tO' +p251647 +aS'.\t.\t.\tO\tO' +p251648 +asS'Urinalysis revealed trace glucose , no ketones , no red cells , no white cells and less than one epithelial cells .' +p251649 +(lp251650 +S'Urinalysis\tUrinalysis\tNN\tB-NP\tO' +p251651 +aS'revealed\treveal\tVBD\tB-VP\tO' +p251652 +aS'trace\ttrace\tNN\tB-NP\tO' +p251653 +aS'glucose\tglucose\tNN\tI-NP\tO' +p251654 +aS',\t,\t,\tO\tO' +p251655 +aS'no\tno\tDT\tB-NP\tO' +p251656 +aS'ketones\tketone\tNNS\tI-NP\tO' +p251657 +aS',\t,\t,\tO\tO' +p251658 +aS'no\tno\tDT\tB-NP\tO' +p251659 +aS'red\tred\tJJ\tI-NP\tB-cell_type' +p251660 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p251661 +aS',\t,\t,\tO\tO' +p251662 +aS'no\tno\tDT\tB-NP\tO' +p251663 +aS'white\twhite\tJJ\tI-NP\tB-cell_type' +p251664 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p251665 +aS'and\tand\tCC\tO\tO' +p251666 +aS'less\tless\tJJR\tB-NP\tO' +p251667 +aS'than\tthan\tIN\tI-NP\tO' +p251668 +aS'one\tone\tCD\tI-NP\tO' +p251669 +aS'epithelial\tepithelial\tJJ\tI-NP\tB-cell_type' +p251670 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p251671 +aS'.\t.\t.\tO\tO' +p251672 +asS'A white blood cell count of 14.2 , hematocrit of 35.3 , platelet count of 449,000 .' +p251673 +(lp251674 +S'A\tA\tDT\tB-NP\tO' +p251675 +aS'white\twhite\tJJ\tI-NP\tO' +p251676 +aS'blood\tblood\tNN\tI-NP\tO' +p251677 +aS'cell\tcell\tNN\tI-NP\tO' +p251678 +aS'count\tcount\tNN\tI-NP\tO' +p251679 +aS'of\tof\tIN\tB-PP\tO' +p251680 +aS'14.2\t14.2\tCD\tB-NP\tO' +p251681 +aS',\t,\t,\tO\tO' +p251682 +aS'hematocrit\thematocrit\tNN\tB-NP\tO' +p251683 +aS'of\tof\tIN\tB-PP\tO' +p251684 +aS'35.3\t35.3\tCD\tB-NP\tO' +p251685 +aS',\t,\t,\tO\tO' +p251686 +aS'platelet\tplatelet\tNN\tB-NP\tO' +p251687 +aS'count\tcount\tNN\tI-NP\tO' +p251688 +aS'of\tof\tIN\tB-PP\tO' +p251689 +aS'449,000\t449,000\tCD\tB-NP\tO' +p251690 +aS'.\t.\t.\tO\tO' +p251691 +asS'The patient was taken emergently to the Cardiac Catheterization Laboratory .' +p251692 +(lp251693 +S'The\tThe\tDT\tB-NP\tO' +p251694 +aS'patient\tpatient\tNN\tI-NP\tO' +p251695 +aS'was\tbe\tVBD\tB-VP\tO' +p251696 +aS'taken\ttake\tVBN\tI-VP\tO' +p251697 +aS'emergently\temergently\tRB\tB-ADVP\tO' +p251698 +aS'to\tto\tTO\tB-PP\tO' +p251699 +aS'the\tthe\tDT\tB-NP\tO' +p251700 +aS'Cardiac\tCardiac\tNNP\tI-NP\tO' +p251701 +aS'Catheterization\tCatheterization\tNNP\tI-NP\tO' +p251702 +aS'Laboratory\tLaboratory\tNNP\tI-NP\tO' +p251703 +aS'.\t.\t.\tO\tO' +p251704 +asS'T 98.4 RR 20 Sat 100% RA , P 100 in bed & same standing , BP = 120/65 in bed , same standing .' +p251705 +(lp251706 +S'T\tT\tNN\tB-NP\tO' +p251707 +aS'98.4\t98.4\tCD\tI-NP\tO' +p251708 +aS'RR\tRR\tNN\tI-NP\tO' +p251709 +aS'20\t20\tCD\tB-NP\tO' +p251710 +aS'Sat\tSat\tNNP\tI-NP\tO' +p251711 +aS'100%\t100%\tCD\tI-NP\tO' +p251712 +aS'RA\tRA\tNNP\tI-NP\tO' +p251713 +aS',\t,\t,\tI-NP\tO' +p251714 +aS'P\tP\tNNP\tI-NP\tB-protein' +p251715 +aS'100\t100\tCD\tI-NP\tI-protein' +p251716 +aS'in\tin\tIN\tB-PP\tO' +p251717 +aS'bed\tbed\tNN\tB-NP\tO' +p251718 +aS'&\t&\tCC\tI-NP\tO' +p251719 +aS'same\tsame\tJJ\tI-NP\tO' +p251720 +aS'standing\tstanding\tNN\tI-NP\tO' +p251721 +aS',\t,\t,\tO\tO' +p251722 +aS'BP\tBP\tNN\tB-NP\tO' +p251723 +aS'=\t=\tSYM\tB-VP\tO' +p251724 +aS'120/65\t120/65\tCD\tB-NP\tO' +p251725 +aS'in\tin\tIN\tB-PP\tO' +p251726 +aS'bed\tbed\tNN\tB-NP\tO' +p251727 +aS',\t,\t,\tO\tO' +p251728 +aS'same\tsame\tJJ\tB-NP\tO' +p251729 +aS'standing\tstanding\tNN\tI-NP\tO' +p251730 +aS'.\t.\t.\tO\tO' +p251731 +asS'The oropharynx is clear .' +p251732 +(lp251733 +S'The\tThe\tDT\tB-NP\tO' +p251734 +aS'oropharynx\toropharynx\tNN\tI-NP\tO' +p251735 +aS'is\tbe\tVBZ\tB-VP\tO' +p251736 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p251737 +aS'.\t.\t.\tO\tO' +p251738 +asS'Respiratory rate 12 .' +p251739 +(lp251740 +S'Respiratory\tRespiratory\tJJ\tB-NP\tO' +p251741 +aS'rate\trate\tNN\tI-NP\tO' +p251742 +aS'12\t12\tCD\tI-NP\tO' +p251743 +aS'.\t.\t.\tO\tO' +p251744 +asS'Abdomen soft and non-tender .' +p251745 +(lp251746 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p251747 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p251748 +aS'and\tand\tCC\tI-ADJP\tO' +p251749 +aS'non-tender\tnon-tender\tJJ\tI-ADJP\tO' +p251750 +aS'.\t.\t.\tO\tO' +p251751 +asS'9. Oxycodone - Acetaminophen 5-325 mg Tablet Sig : 1-2 Tablets PO Q4-6H ( every 4 to 6 hours ) as needed for pain .' +p251752 +(lp251753 +S'9.\t9.\tLS\tB-NP\tO' +p251754 +aS'Oxycodone\tOxycodone\tNN\tI-NP\tO' +p251755 +aS'-\t-\tHYPH\tO\tO' +p251756 +aS'Acetaminophen\tAcetaminophen\tNN\tB-NP\tO' +p251757 +aS'5-325\t5-325\tCD\tI-NP\tO' +p251758 +aS'mg\tmg\tNN\tI-NP\tO' +p251759 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p251760 +aS'Sig\tSig\tNNP\tI-NP\tO' +p251761 +aS':\t:\t:\tO\tO' +p251762 +aS'1-2\t1-2\tCD\tB-NP\tO' +p251763 +aS'Tablets\tTablet\tNNS\tI-NP\tO' +p251764 +aS'PO\tPO\tNN\tI-NP\tO' +p251765 +aS'Q4-6H\tQ4-6H\tNN\tI-NP\tO' +p251766 +aS'(\t(\t(\tO\tO' +p251767 +aS'every\tevery\tDT\tB-NP\tO' +p251768 +aS'4\t4\tCD\tI-NP\tO' +p251769 +aS'to\tto\tTO\tI-NP\tO' +p251770 +aS'6\t6\tCD\tI-NP\tO' +p251771 +aS'hours\thour\tNNS\tI-NP\tO' +p251772 +aS')\t)\t)\tO\tO' +p251773 +aS'as\tas\tIN\tB-SBAR\tO' +p251774 +aS'needed\tneed\tVBN\tB-VP\tO' +p251775 +aS'for\tfor\tIN\tB-PP\tO' +p251776 +aS'pain\tpain\tNN\tB-NP\tO' +p251777 +aS'.\t.\t.\tO\tO' +p251778 +asS'his fine finger movements and rapid alternating movements were within normal limits .' +p251779 +(lp251780 +S'his\this\tPRP$\tB-NP\tO' +p251781 +aS'fine\tfine\tJJ\tI-NP\tO' +p251782 +aS'finger\tfinger\tNN\tI-NP\tO' +p251783 +aS'movements\tmovement\tNNS\tI-NP\tO' +p251784 +aS'and\tand\tCC\tO\tO' +p251785 +aS'rapid\trapid\tJJ\tB-NP\tO' +p251786 +aS'alternating\talternate\tVBG\tI-NP\tO' +p251787 +aS'movements\tmovement\tNNS\tI-NP\tO' +p251788 +aS'were\tbe\tVBD\tB-VP\tO' +p251789 +aS'within\twithin\tIN\tB-PP\tO' +p251790 +aS'normal\tnormal\tJJ\tB-NP\tO' +p251791 +aS'limits\tlimit\tNNS\tI-NP\tO' +p251792 +aS'.\t.\t.\tO\tO' +p251793 +asS'He is to call Dr. Class 's office with any questions or concerns .' +p251794 +(lp251795 +S'He\tHe\tPRP\tB-NP\tO' +p251796 +aS'is\tbe\tVBZ\tB-VP\tO' +p251797 +aS'to\tto\tTO\tB-VP\tO' +p251798 +aS'call\tcall\tVB\tI-VP\tO' +p251799 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p251800 +aS'Class\tClass\tNNP\tI-NP\tO' +p251801 +aS''s\t'\tNNS\tI-NP\tO' +p251802 +aS'office\toffice\tNN\tI-NP\tO' +p251803 +aS'with\twith\tIN\tB-PP\tO' +p251804 +aS'any\tany\tDT\tB-NP\tO' +p251805 +aS'questions\tquestion\tNNS\tI-NP\tO' +p251806 +aS'or\tor\tCC\tI-NP\tO' +p251807 +aS'concerns\tconcern\tNNS\tI-NP\tO' +p251808 +aS'.\t.\t.\tO\tO' +p251809 +asS'The patient has been diagnosed with diabetes mellitus since 1991 and has been maintained on Glipizide .' +p251810 +(lp251811 +S'The\tThe\tDT\tB-NP\tO' +p251812 +aS'patient\tpatient\tNN\tI-NP\tO' +p251813 +aS'has\thave\tVBZ\tB-VP\tO' +p251814 +aS'been\tbe\tVBN\tI-VP\tO' +p251815 +aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' +p251816 +aS'with\twith\tIN\tB-PP\tO' +p251817 +aS'diabetes\tdiabetes\tNN\tB-NP\tO' +p251818 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p251819 +aS'since\tsince\tIN\tB-PP\tO' +p251820 +aS'1991\t1991\tCD\tB-NP\tO' +p251821 +aS'and\tand\tCC\tO\tO' +p251822 +aS'has\thave\tVBZ\tB-VP\tO' +p251823 +aS'been\tbe\tVBN\tI-VP\tO' +p251824 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p251825 +aS'on\ton\tIN\tB-PP\tO' +p251826 +aS'Glipizide\tGlipizide\tNN\tB-NP\tO' +p251827 +aS'.\t.\t.\tO\tO' +p251828 +asS'1) Staph. sepsis related to PICC line .' +p251829 +(lp251830 +S'1)\t1)\tLS\tB-NP\tO' +p251831 +aS'Staph.\tStaph.\tNNP\tI-NP\tO' +p251832 +aS'sepsis\tsepsis\tNN\tI-NP\tO' +p251833 +aS'related\trelate\tVBN\tB-VP\tO' +p251834 +aS'to\tto\tTO\tB-PP\tO' +p251835 +aS'PICC\tPICC\tNN\tB-NP\tB-cell_line' +p251836 +aS'line\tline\tNN\tI-NP\tI-cell_line' +p251837 +aS'.\t.\t.\tO\tO' +p251838 +asS'The aldolase was positive at 142 .' +p251839 +(lp251840 +S'The\tThe\tDT\tB-NP\tO' +p251841 +aS'aldolase\taldolase\tNN\tI-NP\tB-protein' +p251842 +aS'was\tbe\tVBD\tB-VP\tO' +p251843 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p251844 +aS'at\tat\tIN\tB-PP\tO' +p251845 +aS'142\t142\tCD\tB-NP\tO' +p251846 +aS'.\t.\t.\tO\tO' +p251847 +asS'Preserved sensation throughout .' +p251848 +(lp251849 +S'Preserved\tPreserve\tVBN\tB-NP\tO' +p251850 +aS'sensation\tsensation\tNN\tI-NP\tO' +p251851 +aS'throughout\tthroughout\tIN\tB-ADVP\tO' +p251852 +aS'.\t.\t.\tO\tO' +p251853 +asS'Mitral stenosis .' +p251854 +(lp251855 +S'Mitral\tMitral\tJJ\tB-NP\tO' +p251856 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p251857 +aS'.\t.\t.\tO\tO' +p251858 +asS'She did not look teric ( ??? ) .' +p251859 +(lp251860 +S'She\tShe\tPRP\tB-NP\tO' +p251861 +aS'did\tdo\tVBD\tB-VP\tO' +p251862 +aS'not\tnot\tRB\tI-VP\tO' +p251863 +aS'look\tlook\tVB\tI-VP\tO' +p251864 +aS'teric\tteric\tJJ\tB-ADJP\tO' +p251865 +aS'(\t(\t(\tO\tO' +p251866 +aS'???\t???\t.\tO\tO' +p251867 +aS')\t)\t)\tO\tO' +p251868 +aS'.\t.\t.\tO\tO' +p251869 +asS'May be taken without regard to meals' +p251870 +(lp251871 +S'May\tMay\tMD\tB-VP\tO' +p251872 +aS'be\tbe\tVB\tI-VP\tO' +p251873 +aS'taken\ttake\tVBN\tI-VP\tO' +p251874 +aS'without\twithout\tIN\tB-PP\tO' +p251875 +aS'regard\tregard\tNN\tB-NP\tO' +p251876 +aS'to\tto\tTO\tB-PP\tO' +p251877 +aS'meals\tmeal\tNNS\tB-NP\tO' +p251878 +asS'Temperature was 100.3 F. ; heart rate was 115 .' +p251879 +(lp251880 +S'Temperature\tTemperature\tNN\tB-NP\tO' +p251881 +aS'was\tbe\tVBD\tB-VP\tO' +p251882 +aS'100.3\t100.3\tCD\tB-NP\tO' +p251883 +aS'F.\tF.\tNNP\tI-NP\tO' +p251884 +aS';\t;\t:\tO\tO' +p251885 +aS'heart\theart\tNN\tB-NP\tO' +p251886 +aS'rate\trate\tNN\tI-NP\tO' +p251887 +aS'was\tbe\tVBD\tB-VP\tO' +p251888 +aS'115\t115\tCD\tB-NP\tO' +p251889 +aS'.\t.\t.\tO\tO' +p251890 +asS'Subarachnoid hemorrhage w/ bilateral intraventricular hemorrhage' +p251891 +(lp251892 +S'Subarachnoid\tSubarachnoid\tJJ\tB-NP\tO' +p251893 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p251894 +aS'w/\tw/\tNN\tI-NP\tO' +p251895 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p251896 +aS'intraventricular\tintraventricular\tJJ\tI-NP\tO' +p251897 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p251898 +asS'9. Inderal .' +p251899 +(lp251900 +S'9.\t9.\tLS\tB-LST\tO' +p251901 +aS'Inderal\tInderal\tNNP\tB-NP\tO' +p251902 +aS'.\t.\t.\tO\tO' +p251903 +asS'Warm to touch , no clubbing , cyanosis , or edema .' +p251904 +(lp251905 +S'Warm\tWarm\tNNP\tB-NP\tO' +p251906 +aS'to\tto\tTO\tB-VP\tO' +p251907 +aS'touch\ttouch\tVB\tI-VP\tO' +p251908 +aS',\t,\t,\tO\tO' +p251909 +aS'no\tno\tDT\tB-NP\tO' +p251910 +aS'clubbing\tclubbing\tNN\tI-NP\tO' +p251911 +aS',\t,\t,\tO\tO' +p251912 +aS'cyanosis\tcyanosis\tNN\tB-NP\tO' +p251913 +aS',\t,\t,\tO\tO' +p251914 +aS'or\tor\tCC\tO\tO' +p251915 +aS'edema\tedema\tNN\tB-NP\tO' +p251916 +aS'.\t.\t.\tO\tO' +p251917 +asS'He follows commands , he is out of bed ambulating with max assist .' +p251918 +(lp251919 +S'He\tHe\tPRP\tB-NP\tO' +p251920 +aS'follows\tfollow\tVBZ\tB-VP\tO' +p251921 +aS'commands\tcommand\tNNS\tB-NP\tO' +p251922 +aS',\t,\t,\tO\tO' +p251923 +aS'he\the\tPRP\tB-NP\tO' +p251924 +aS'is\tbe\tVBZ\tB-VP\tO' +p251925 +aS'out\tout\tIN\tB-PP\tO' +p251926 +aS'of\tof\tIN\tB-PP\tO' +p251927 +aS'bed\tbed\tNN\tB-NP\tO' +p251928 +aS'ambulating\tambulate\tVBG\tB-VP\tO' +p251929 +aS'with\twith\tIN\tB-PP\tO' +p251930 +aS'max\tmax\tNN\tB-NP\tO' +p251931 +aS'assist\tassist\tNN\tI-NP\tO' +p251932 +aS'.\t.\t.\tO\tO' +p251933 +asS'Postoperatively he did well and was transferred to the Cardiac Surgery Intensive Care Unit where he was on pressor support of Neo-Synephrine and he was extubated .' +p251934 +(lp251935 +S'Postoperatively\tPostoperatively\tRB\tB-ADVP\tO' +p251936 +aS'he\the\tPRP\tB-NP\tO' +p251937 +aS'did\tdo\tVBD\tB-VP\tO' +p251938 +aS'well\twell\tRB\tB-ADVP\tO' +p251939 +aS'and\tand\tCC\tO\tO' +p251940 +aS'was\tbe\tVBD\tB-VP\tO' +p251941 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p251942 +aS'to\tto\tTO\tB-PP\tO' +p251943 +aS'the\tthe\tDT\tB-NP\tO' +p251944 +aS'Cardiac\tCardiac\tNNP\tI-NP\tO' +p251945 +aS'Surgery\tSurgery\tNNP\tI-NP\tO' +p251946 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p251947 +aS'Care\tCare\tNNP\tI-NP\tO' +p251948 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p251949 +aS'where\twhere\tWRB\tB-ADVP\tO' +p251950 +aS'he\the\tPRP\tB-NP\tO' +p251951 +aS'was\tbe\tVBD\tB-VP\tO' +p251952 +aS'on\ton\tIN\tB-PP\tO' +p251953 +aS'pressor\tpressor\tNN\tB-NP\tO' +p251954 +aS'support\tsupport\tNN\tI-NP\tO' +p251955 +aS'of\tof\tIN\tB-PP\tO' +p251956 +aS'Neo-Synephrine\tNeo-Synephrine\tNN\tB-NP\tO' +p251957 +aS'and\tand\tCC\tO\tO' +p251958 +aS'he\the\tPRP\tB-NP\tO' +p251959 +aS'was\tbe\tVBD\tB-VP\tO' +p251960 +aS'extubated\textubate\tVBN\tI-VP\tO' +p251961 +aS'.\t.\t.\tO\tO' +p251962 +asS'# AV fistula : pt with h/o numerous clots in AV fistula .' +p251963 +(lp251964 +S'#\t#\t#\tB-NP\tO' +p251965 +aS'AV\tAV\tNN\tI-NP\tO' +p251966 +aS'fistula\tfistula\tNN\tI-NP\tO' +p251967 +aS':\t:\t:\tO\tO' +p251968 +aS'pt\tpt\tNN\tB-NP\tO' +p251969 +aS'with\twith\tIN\tB-PP\tO' +p251970 +aS'h/o\th/o\tNN\tB-NP\tO' +p251971 +aS'numerous\tnumerous\tJJ\tI-NP\tO' +p251972 +aS'clots\tclot\tNNS\tI-NP\tO' +p251973 +aS'in\tin\tIN\tB-PP\tO' +p251974 +aS'AV\tAV\tNN\tB-NP\tO' +p251975 +aS'fistula\tfistula\tNN\tI-NP\tO' +p251976 +aS'.\t.\t.\tO\tO' +p251977 +asS'Infectious Disease consultation was obtained for evaluation of his purulent sputum and the patient was covered with Vancomycin , Ceftazidime and Gentamicin .' +p251978 +(lp251979 +S'Infectious\tInfectious\tJJ\tB-NP\tO' +p251980 +aS'Disease\tDisease\tNN\tI-NP\tO' +p251981 +aS'consultation\tconsultation\tNN\tI-NP\tO' +p251982 +aS'was\tbe\tVBD\tB-VP\tO' +p251983 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p251984 +aS'for\tfor\tIN\tB-PP\tO' +p251985 +aS'evaluation\tevaluation\tNN\tB-NP\tO' +p251986 +aS'of\tof\tIN\tB-PP\tO' +p251987 +aS'his\this\tPRP$\tB-NP\tO' +p251988 +aS'purulent\tpurulent\tJJ\tI-NP\tO' +p251989 +aS'sputum\tsputum\tNN\tI-NP\tO' +p251990 +aS'and\tand\tCC\tO\tO' +p251991 +aS'the\tthe\tDT\tB-NP\tO' +p251992 +aS'patient\tpatient\tNN\tI-NP\tO' +p251993 +aS'was\tbe\tVBD\tB-VP\tO' +p251994 +aS'covered\tcover\tVBN\tI-VP\tO' +p251995 +aS'with\twith\tIN\tB-PP\tO' +p251996 +aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' +p251997 +aS',\t,\t,\tI-NP\tO' +p251998 +aS'Ceftazidime\tCeftazidime\tNN\tI-NP\tO' +p251999 +aS'and\tand\tCC\tI-NP\tO' +p252000 +aS'Gentamicin\tGentamicin\tNN\tI-NP\tO' +p252001 +aS'.\t.\t.\tO\tO' +p252002 +asS'The baby is breastfeeding well .' +p252003 +(lp252004 +S'The\tThe\tDT\tB-NP\tO' +p252005 +aS'baby\tbaby\tNN\tI-NP\tO' +p252006 +aS'is\tbe\tVBZ\tB-VP\tO' +p252007 +aS'breastfeeding\tbreastfeed\tVBG\tI-VP\tO' +p252008 +aS'well\twell\tRB\tB-ADVP\tO' +p252009 +aS'.\t.\t.\tO\tO' +p252010 +asS'CONCLUSION : Improvement in congestion from edema with no worsening , but no significant improvement , in the right upper lobe pneumonia .' +p252011 +(lp252012 +S'CONCLUSION\tCONCLUSION\tNN\tB-NP\tO' +p252013 +aS':\t:\t:\tO\tO' +p252014 +aS'Improvement\tImprovement\tNN\tB-NP\tO' +p252015 +aS'in\tin\tIN\tB-PP\tO' +p252016 +aS'congestion\tcongestion\tNN\tB-NP\tO' +p252017 +aS'from\tfrom\tIN\tB-PP\tO' +p252018 +aS'edema\tedema\tNN\tB-NP\tO' +p252019 +aS'with\twith\tIN\tB-PP\tO' +p252020 +aS'no\tno\tDT\tB-NP\tO' +p252021 +aS'worsening\tworsening\tNN\tI-NP\tO' +p252022 +aS',\t,\t,\tO\tO' +p252023 +aS'but\tbut\tCC\tO\tO' +p252024 +aS'no\tno\tDT\tB-NP\tO' +p252025 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p252026 +aS'improvement\timprovement\tNN\tI-NP\tO' +p252027 +aS',\t,\t,\tO\tO' +p252028 +aS'in\tin\tIN\tB-PP\tO' +p252029 +aS'the\tthe\tDT\tB-NP\tO' +p252030 +aS'right\tright\tJJ\tI-NP\tO' +p252031 +aS'upper\tupper\tJJ\tI-NP\tO' +p252032 +aS'lobe\tlobe\tNN\tI-NP\tO' +p252033 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p252034 +aS'.\t.\t.\tO\tO' +p252035 +asS'Biopsy was taken at colonoscopy on 7/5/99 .' +p252036 +(lp252037 +S'Biopsy\tBiopsy\tNN\tB-NP\tO' +p252038 +aS'was\tbe\tVBD\tB-VP\tO' +p252039 +aS'taken\ttake\tVBN\tI-VP\tO' +p252040 +aS'at\tat\tIN\tB-PP\tO' +p252041 +aS'colonoscopy\tcolonoscopy\tNN\tB-NP\tO' +p252042 +aS'on\ton\tIN\tB-PP\tO' +p252043 +aS'7/5/99\t7/5/99\tCD\tB-NP\tO' +p252044 +aS'.\t.\t.\tO\tO' +p252045 +asS'soft , +BS , NT , Midline surgical scar , nephrostomy bag draining' +p252046 +(lp252047 +S'soft\tsoft\tJJ\tB-ADJP\tO' +p252048 +aS',\t,\t,\tO\tO' +p252049 +aS'+BS\t+BS\tNNP\tB-NP\tO' +p252050 +aS',\t,\t,\tO\tO' +p252051 +aS'NT\tNT\tNNP\tB-NP\tO' +p252052 +aS',\t,\t,\tO\tO' +p252053 +aS'Midline\tMidline\tNNP\tB-NP\tO' +p252054 +aS'surgical\tsurgical\tJJ\tI-NP\tO' +p252055 +aS'scar\tscar\tNN\tI-NP\tO' +p252056 +aS',\t,\t,\tO\tO' +p252057 +aS'nephrostomy\tnephrostomy\tNN\tB-NP\tO' +p252058 +aS'bag\tbag\tNN\tI-NP\tO' +p252059 +aS'draining\tdrain\tVBG\tB-VP\tO' +p252060 +asS'In terms of his amiodarone , he will be discharged on 400mg po bid for a further 7 days followed by 400mg qd thereafter .' +p252061 +(lp252062 +S'In\tIn\tIN\tB-PP\tO' +p252063 +aS'terms\tterm\tNNS\tB-NP\tO' +p252064 +aS'of\tof\tIN\tB-PP\tO' +p252065 +aS'his\this\tPRP$\tB-NP\tO' +p252066 +aS'amiodarone\tamiodarone\tNN\tI-NP\tO' +p252067 +aS',\t,\t,\tO\tO' +p252068 +aS'he\the\tPRP\tB-NP\tO' +p252069 +aS'will\twill\tMD\tB-VP\tO' +p252070 +aS'be\tbe\tVB\tI-VP\tO' +p252071 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p252072 +aS'on\ton\tIN\tB-PP\tO' +p252073 +aS'400mg\t400mg\tNN\tB-NP\tO' +p252074 +aS'po\tpo\tNN\tI-NP\tO' +p252075 +aS'bid\tbid\tNN\tI-NP\tO' +p252076 +aS'for\tfor\tIN\tB-PP\tO' +p252077 +aS'a\ta\tDT\tB-NP\tO' +p252078 +aS'further\tfurther\tJJ\tI-NP\tO' +p252079 +aS'7\t7\tCD\tI-NP\tO' +p252080 +aS'days\tday\tNNS\tI-NP\tO' +p252081 +aS'followed\tfollow\tVBN\tB-VP\tO' +p252082 +aS'by\tby\tIN\tB-PP\tO' +p252083 +aS'400mg\t400mg\tNN\tB-NP\tO' +p252084 +aS'qd\tqd\tNN\tI-NP\tO' +p252085 +aS'thereafter\tthereafter\tRB\tB-ADVP\tO' +p252086 +aS'.\t.\t.\tO\tO' +p252087 +asS'Conditions , Infections , Complications , affecting Treatment / Stay IUP at 36 weeks .' +p252088 +(lp252089 +S'Conditions\tCondition\tNNS\tB-NP\tO' +p252090 +aS',\t,\t,\tO\tO' +p252091 +aS'Infections\tInfection\tNNS\tB-NP\tO' +p252092 +aS',\t,\t,\tO\tO' +p252093 +aS'Complications\tComplication\tNNS\tB-NP\tO' +p252094 +aS',\t,\t,\tO\tO' +p252095 +aS'affecting\taffect\tVBG\tB-VP\tO' +p252096 +aS'Treatment\tTreatment\tNN\tB-NP\tO' +p252097 +aS'/\t/\tSYM\tB-NP\tO' +p252098 +aS'Stay\tStay\tNN\tI-NP\tO' +p252099 +aS'IUP\tIUP\tNN\tI-NP\tO' +p252100 +aS'at\tat\tIN\tB-PP\tO' +p252101 +aS'36\t36\tCD\tB-NP\tO' +p252102 +aS'weeks\tweek\tNNS\tI-NP\tO' +p252103 +aS'.\t.\t.\tO\tO' +p252104 +asS'01-03 .' +p252105 +(lp252106 +S'01-03\t01-03\tCD\tB-NP\tO' +p252107 +aS'.\t.\t.\tO\tO' +p252108 +asS'The aspiration pneumonia was treated with Cefotaxime and Metronidazole .' +p252109 +(lp252110 +S'The\tThe\tDT\tB-NP\tO' +p252111 +aS'aspiration\taspiration\tNN\tI-NP\tO' +p252112 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p252113 +aS'was\tbe\tVBD\tB-VP\tO' +p252114 +aS'treated\ttreat\tVBN\tI-VP\tO' +p252115 +aS'with\twith\tIN\tB-PP\tO' +p252116 +aS'Cefotaxime\tCefotaxime\tNN\tB-NP\tO' +p252117 +aS'and\tand\tCC\tI-NP\tO' +p252118 +aS'Metronidazole\tMetronidazole\tNN\tI-NP\tO' +p252119 +aS'.\t.\t.\tO\tO' +p252120 +asS"Miss Siehjesc is an 85-year-old woman with a past medical history significant for Parkinson 's Disease of ten years duration , supraventricular tachycardia , and a history of colon carcinoma , who was in her usual state of health until 11:30 on the morning of admission when she felt the acute on set of 5 out of 10 right sided chest pain with radiation to her sternum but not to her neck or arms or back ." +p252121 +(lp252122 +S'Miss\tMiss\tNNP\tB-NP\tO' +p252123 +aS'Siehjesc\tSiehjesc\tNNP\tI-NP\tO' +p252124 +aS'is\tbe\tVBZ\tB-VP\tO' +p252125 +aS'an\tan\tDT\tB-NP\tO' +p252126 +aS'85-year-old\t85-year-old\tJJ\tI-NP\tO' +p252127 +aS'woman\twoman\tNN\tI-NP\tO' +p252128 +aS'with\twith\tIN\tB-PP\tO' +p252129 +aS'a\ta\tDT\tB-NP\tO' +p252130 +aS'past\tpast\tJJ\tI-NP\tO' +p252131 +aS'medical\tmedical\tJJ\tI-NP\tO' +p252132 +aS'history\thistory\tNN\tI-NP\tO' +p252133 +aS'significant\tsignificant\tJJ\tB-ADJP\tO' +p252134 +aS'for\tfor\tIN\tB-PP\tO' +p252135 +aS'Parkinson\tParkinson\tNNP\tB-NP\tO' +p252136 +aS"'s\t's\tPOS\tB-NP\tO" +p252137 +aS'Disease\tDisease\tNN\tI-NP\tO' +p252138 +aS'of\tof\tIN\tB-PP\tO' +p252139 +aS'ten\tten\tCD\tB-NP\tO' +p252140 +aS'years\tyear\tNNS\tI-NP\tO' +p252141 +aS'duration\tduration\tNN\tI-NP\tO' +p252142 +aS',\t,\t,\tO\tO' +p252143 +aS'supraventricular\tsupraventricular\tJJ\tB-NP\tO' +p252144 +aS'tachycardia\ttachycardia\tNN\tI-NP\tO' +p252145 +aS',\t,\t,\tO\tO' +p252146 +aS'and\tand\tCC\tO\tO' +p252147 +aS'a\ta\tDT\tB-NP\tO' +p252148 +aS'history\thistory\tNN\tI-NP\tO' +p252149 +aS'of\tof\tIN\tB-PP\tO' +p252150 +aS'colon\tcolon\tNN\tB-NP\tO' +p252151 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p252152 +aS',\t,\t,\tO\tO' +p252153 +aS'who\twho\tWP\tB-NP\tO' +p252154 +aS'was\tbe\tVBD\tB-VP\tO' +p252155 +aS'in\tin\tIN\tB-PP\tO' +p252156 +aS'her\ther\tPRP$\tB-NP\tO' +p252157 +aS'usual\tusual\tJJ\tI-NP\tO' +p252158 +aS'state\tstate\tNN\tI-NP\tO' +p252159 +aS'of\tof\tIN\tB-PP\tO' +p252160 +aS'health\thealth\tNN\tB-NP\tO' +p252161 +aS'until\tuntil\tIN\tB-PP\tO' +p252162 +aS'11:30\t11:30\tCD\tB-NP\tO' +p252163 +aS'on\ton\tIN\tB-PP\tO' +p252164 +aS'the\tthe\tDT\tB-NP\tO' +p252165 +aS'morning\tmorning\tNN\tI-NP\tO' +p252166 +aS'of\tof\tIN\tB-PP\tO' +p252167 +aS'admission\tadmission\tNN\tB-NP\tO' +p252168 +aS'when\twhen\tWRB\tB-ADVP\tO' +p252169 +aS'she\tshe\tPRP\tB-NP\tO' +p252170 +aS'felt\tfeel\tVBD\tB-VP\tO' +p252171 +aS'the\tthe\tDT\tB-NP\tO' +p252172 +aS'acute\tacute\tJJ\tI-NP\tO' +p252173 +aS'on\ton\tIN\tB-PP\tO' +p252174 +aS'set\tset\tNN\tB-NP\tO' +p252175 +aS'of\tof\tIN\tB-PP\tO' +p252176 +aS'5\t5\tCD\tB-NP\tO' +p252177 +aS'out\tout\tIN\tI-NP\tO' +p252178 +aS'of\tof\tIN\tI-NP\tO' +p252179 +aS'10\t10\tCD\tI-NP\tO' +p252180 +aS'right\tright\tJJ\tI-NP\tO' +p252181 +aS'sided\tsided\tJJ\tI-NP\tO' +p252182 +aS'chest\tchest\tNN\tI-NP\tO' +p252183 +aS'pain\tpain\tNN\tI-NP\tO' +p252184 +aS'with\twith\tIN\tB-PP\tO' +p252185 +aS'radiation\tradiation\tNN\tB-NP\tO' +p252186 +aS'to\tto\tTO\tB-PP\tO' +p252187 +aS'her\ther\tPRP$\tB-NP\tO' +p252188 +aS'sternum\tsternum\tNN\tI-NP\tO' +p252189 +aS'but\tbut\tCC\tB-CONJP\tO' +p252190 +aS'not\tnot\tRB\tI-CONJP\tO' +p252191 +aS'to\tto\tTO\tB-PP\tO' +p252192 +aS'her\ther\tPRP$\tB-NP\tO' +p252193 +aS'neck\tneck\tNN\tI-NP\tO' +p252194 +aS'or\tor\tCC\tI-NP\tO' +p252195 +aS'arms\tarm\tNNS\tI-NP\tO' +p252196 +aS'or\tor\tCC\tO\tO' +p252197 +aS'back\tback\tRB\tB-ADVP\tO' +p252198 +aS'.\t.\t.\tO\tO' +p252199 +asS'She was continued on her prior dose of steroids with sliding scale per patient using a 1:15 carb counting scheme with a 1:30 correction factor .' +p252200 +(lp252201 +S'She\tShe\tPRP\tB-NP\tO' +p252202 +aS'was\tbe\tVBD\tB-VP\tO' +p252203 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p252204 +aS'on\ton\tIN\tB-PP\tO' +p252205 +aS'her\ther\tPRP$\tB-NP\tO' +p252206 +aS'prior\tprior\tJJ\tI-NP\tO' +p252207 +aS'dose\tdose\tNN\tI-NP\tO' +p252208 +aS'of\tof\tIN\tB-PP\tO' +p252209 +aS'steroids\tsteroid\tNNS\tB-NP\tO' +p252210 +aS'with\twith\tIN\tB-PP\tO' +p252211 +aS'sliding\tslide\tVBG\tB-VP\tO' +p252212 +aS'scale\tscale\tNN\tB-NP\tO' +p252213 +aS'per\tper\tIN\tB-PP\tO' +p252214 +aS'patient\tpatient\tNN\tB-NP\tO' +p252215 +aS'using\tuse\tVBG\tB-VP\tO' +p252216 +aS'a\ta\tDT\tB-NP\tO' +p252217 +aS'1:15\t1:15\tCD\tI-NP\tO' +p252218 +aS'carb\tcarb\tNN\tI-NP\tO' +p252219 +aS'counting\tcounting\tNN\tI-NP\tO' +p252220 +aS'scheme\tscheme\tNN\tI-NP\tO' +p252221 +aS'with\twith\tIN\tB-PP\tO' +p252222 +aS'a\ta\tDT\tB-NP\tO' +p252223 +aS'1:30\t1:30\tCD\tI-NP\tB-protein' +p252224 +aS'correction\tcorrection\tNN\tI-NP\tI-protein' +p252225 +aS'factor\tfactor\tNN\tI-NP\tI-protein' +p252226 +aS'.\t.\t.\tO\tO' +p252227 +asS'Her home regimen of lantus was resumed for elevated blood glucose .' +p252228 +(lp252229 +S'Her\tHer\tPRP$\tB-NP\tO' +p252230 +aS'home\thome\tNN\tI-NP\tO' +p252231 +aS'regimen\tregimen\tNN\tI-NP\tO' +p252232 +aS'of\tof\tIN\tB-PP\tO' +p252233 +aS'lantus\tlantus\tNN\tB-NP\tO' +p252234 +aS'was\tbe\tVBD\tB-VP\tO' +p252235 +aS'resumed\tresume\tVBN\tI-VP\tO' +p252236 +aS'for\tfor\tIN\tB-PP\tO' +p252237 +aS'elevated\televated\tJJ\tB-NP\tO' +p252238 +aS'blood\tblood\tNN\tI-NP\tO' +p252239 +aS'glucose\tglucose\tNN\tI-NP\tO' +p252240 +aS'.\t.\t.\tO\tO' +p252241 +asS'Also , T wave inversions in II , III , aVF , V1 through V5 ; new evolving right bundle-branch block .' +p252242 +(lp252243 +S'Also\tAlso\tRB\tB-ADVP\tO' +p252244 +aS',\t,\t,\tO\tO' +p252245 +aS'T\tT\tNN\tB-NP\tO' +p252246 +aS'wave\twave\tNN\tI-NP\tO' +p252247 +aS'inversions\tinversion\tNNS\tI-NP\tO' +p252248 +aS'in\tin\tIN\tB-PP\tO' +p252249 +aS'II\tII\tCD\tB-NP\tO' +p252250 +aS',\t,\t,\tI-NP\tO' +p252251 +aS'III\tIII\tCD\tI-NP\tO' +p252252 +aS',\t,\t,\tO\tO' +p252253 +aS'aVF\taVF\tNN\tB-NP\tO' +p252254 +aS',\t,\t,\tO\tO' +p252255 +aS'V1\tV1\tNN\tB-NP\tB-protein' +p252256 +aS'through\tthrough\tIN\tB-PP\tO' +p252257 +aS'V5\tV5\tNN\tB-NP\tB-protein' +p252258 +aS';\t;\t:\tO\tO' +p252259 +aS'new\tnew\tJJ\tB-NP\tO' +p252260 +aS'evolving\tevolve\tVBG\tI-NP\tO' +p252261 +aS'right\tright\tJJ\tI-NP\tO' +p252262 +aS'bundle-branch\tbundle-branch\tNN\tI-NP\tO' +p252263 +aS'block\tblock\tNN\tI-NP\tO' +p252264 +aS'.\t.\t.\tO\tO' +p252265 +asS'11. C. difficile colitis treated with Flagyl ( completed 08-10 )' +p252266 +(lp252267 +S'11.\t11.\tLS\tB-NP\tO' +p252268 +aS'C.\tC.\tNNP\tI-NP\tO' +p252269 +aS'difficile\tdifficile\tJJ\tI-NP\tO' +p252270 +aS'colitis\tcolitis\tNN\tI-NP\tO' +p252271 +aS'treated\ttreat\tVBN\tB-VP\tO' +p252272 +aS'with\twith\tIN\tB-PP\tO' +p252273 +aS'Flagyl\tFlagyl\tNN\tB-NP\tO' +p252274 +aS'(\t(\t(\tO\tO' +p252275 +aS'completed\tcomplete\tVBN\tB-VP\tO' +p252276 +aS'08-10\t08-10\tCD\tB-NP\tO' +p252277 +aS')\t)\t)\tO\tO' +p252278 +asS'The patient was extubated early on postoperative day number one without significant complication .' +p252279 +(lp252280 +S'The\tThe\tDT\tB-NP\tO' +p252281 +aS'patient\tpatient\tNN\tI-NP\tO' +p252282 +aS'was\tbe\tVBD\tB-VP\tO' +p252283 +aS'extubated\textubate\tVBN\tI-VP\tO' +p252284 +aS'early\tearly\tRB\tB-ADVP\tO' +p252285 +aS'on\ton\tIN\tB-PP\tO' +p252286 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p252287 +aS'day\tday\tNN\tI-NP\tO' +p252288 +aS'number\tnumber\tNN\tI-NP\tO' +p252289 +aS'one\tone\tCD\tB-NP\tO' +p252290 +aS'without\twithout\tIN\tB-PP\tO' +p252291 +aS'significant\tsignificant\tJJ\tB-NP\tO' +p252292 +aS'complication\tcomplication\tNN\tI-NP\tO' +p252293 +aS'.\t.\t.\tO\tO' +p252294 +asS'Synagis respiratory syncytial virus prophylaxis should be considered from October through April for infants who meet' +p252295 +(lp252296 +S'Synagis\tSynagis\tNN\tB-NP\tO' +p252297 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p252298 +aS'syncytial\tsyncytial\tJJ\tI-NP\tO' +p252299 +aS'virus\tvirus\tNN\tI-NP\tO' +p252300 +aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' +p252301 +aS'should\tshould\tMD\tB-VP\tO' +p252302 +aS'be\tbe\tVB\tI-VP\tO' +p252303 +aS'considered\tconsider\tVBN\tI-VP\tO' +p252304 +aS'from\tfrom\tIN\tB-PP\tO' +p252305 +aS'October\tOctober\tNNP\tB-NP\tO' +p252306 +aS'through\tthrough\tIN\tB-PP\tO' +p252307 +aS'April\tApril\tNNP\tB-NP\tO' +p252308 +aS'for\tfor\tIN\tB-PP\tO' +p252309 +aS'infants\tinfant\tNNS\tB-NP\tO' +p252310 +aS'who\twho\tWP\tB-NP\tO' +p252311 +aS'meet\tmeet\tVBP\tB-VP\tO' +p252312 +asS'Urinalysis from October 21 , is positive for Citrobacter susceptible to ciprofloxacin , gentamycin , nitrofurantoin , tetracycline and Bactrim .' +p252313 +(lp252314 +S'Urinalysis\tUrinalysis\tNN\tB-NP\tO' +p252315 +aS'from\tfrom\tIN\tB-PP\tO' +p252316 +aS'October\tOctober\tNNP\tB-NP\tB-protein' +p252317 +aS'21\t21\tCD\tI-NP\tI-protein' +p252318 +aS',\t,\t,\tO\tO' +p252319 +aS'is\tbe\tVBZ\tB-VP\tO' +p252320 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p252321 +aS'for\tfor\tIN\tB-PP\tO' +p252322 +aS'Citrobacter\tCitrobacter\tNN\tB-NP\tO' +p252323 +aS'susceptible\tsusceptible\tJJ\tB-ADJP\tO' +p252324 +aS'to\tto\tTO\tB-PP\tO' +p252325 +aS'ciprofloxacin\tciprofloxacin\tNN\tB-NP\tO' +p252326 +aS',\t,\t,\tI-NP\tO' +p252327 +aS'gentamycin\tgentamycin\tNN\tI-NP\tO' +p252328 +aS',\t,\t,\tI-NP\tO' +p252329 +aS'nitrofurantoin\tnitrofurantoin\tNN\tI-NP\tO' +p252330 +aS',\t,\t,\tI-NP\tO' +p252331 +aS'tetracycline\ttetracycline\tNN\tI-NP\tO' +p252332 +aS'and\tand\tCC\tI-NP\tO' +p252333 +aS'Bactrim\tBactrim\tNN\tI-NP\tO' +p252334 +aS'.\t.\t.\tO\tO' +p252335 +asS'4. State Newborn Screen was sent on day of life #3 .' +p252336 +(lp252337 +S'4.\t4.\tLS\tB-LST\tO' +p252338 +aS'State\tState\tNNP\tB-NP\tO' +p252339 +aS'Newborn\tNewborn\tNNP\tI-NP\tO' +p252340 +aS'Screen\tScreen\tNNP\tI-NP\tO' +p252341 +aS'was\tbe\tVBD\tB-VP\tO' +p252342 +aS'sent\tsend\tVBN\tI-VP\tO' +p252343 +aS'on\ton\tIN\tB-PP\tO' +p252344 +aS'day\tday\tNN\tB-NP\tO' +p252345 +aS'of\tof\tIN\tB-PP\tO' +p252346 +aS'life\tlife\tNN\tB-NP\tO' +p252347 +aS'#3\t#3\tNN\tI-NP\tO' +p252348 +aS'.\t.\t.\tO\tO' +p252349 +asS'At this point , his carafate was switched to intravenous Protonix and he was strictly n.p.o.' +p252350 +(lp252351 +S'At\tAt\tIN\tB-PP\tO' +p252352 +aS'this\tthis\tDT\tB-NP\tO' +p252353 +aS'point\tpoint\tNN\tI-NP\tO' +p252354 +aS',\t,\t,\tO\tO' +p252355 +aS'his\this\tPRP$\tB-NP\tO' +p252356 +aS'carafate\tcarafate\tNN\tI-NP\tO' +p252357 +aS'was\tbe\tVBD\tB-VP\tO' +p252358 +aS'switched\tswitch\tVBN\tI-VP\tO' +p252359 +aS'to\tto\tTO\tB-PP\tO' +p252360 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p252361 +aS'Protonix\tProtonix\tNNP\tI-NP\tO' +p252362 +aS'and\tand\tCC\tO\tO' +p252363 +aS'he\the\tPRP\tB-NP\tO' +p252364 +aS'was\tbe\tVBD\tB-VP\tO' +p252365 +aS'strictly\tstrictly\tRB\tB-ADVP\tO' +p252366 +aS'n.p.o.\tn.p.o.\tRB\tB-ADVP\tO' +p252367 +asS'Dictated By : Jean TE Fletcher , M.D.' +p252368 +(lp252369 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p252370 +aS'By\tBy\tIN\tB-PP\tO' +p252371 +aS':\t:\t:\tO\tO' +p252372 +aS'Jean\tJean\tNNP\tB-NP\tO' +p252373 +aS'TE\tTE\tNNP\tI-NP\tO' +p252374 +aS'Fletcher\tFletcher\tNNP\tI-NP\tO' +p252375 +aS',\t,\t,\tO\tO' +p252376 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p252377 +asS'- We continued ASA / imdur / CCB / hold diovan until pt was made CMO .' +p252378 +(lp252379 +S'-\t-\tHYPH\tO\tO' +p252380 +aS'We\tWe\tPRP\tB-NP\tO' +p252381 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p252382 +aS'ASA\tASA\tNN\tB-NP\tO' +p252383 +aS'/\t/\tSYM\tB-NP\tO' +p252384 +aS'imdur\timdur\tNN\tI-NP\tO' +p252385 +aS'/\t/\tSYM\tI-NP\tO' +p252386 +aS'CCB\tCCB\tNN\tI-NP\tB-protein' +p252387 +aS'/\t/\tSYM\tI-NP\tO' +p252388 +aS'hold\thold\tNN\tI-NP\tO' +p252389 +aS'diovan\tdiovan\tNN\tI-NP\tO' +p252390 +aS'until\tuntil\tIN\tB-SBAR\tO' +p252391 +aS'pt\tpt\tNN\tB-NP\tO' +p252392 +aS'was\tbe\tVBD\tB-VP\tO' +p252393 +aS'made\tmake\tVBN\tI-VP\tO' +p252394 +aS'CMO\tCMO\tNN\tB-NP\tB-protein' +p252395 +aS'.\t.\t.\tO\tO' +p252396 +asS'The abdomen was soft , nontender , nondistended .' +p252397 +(lp252398 +S'The\tThe\tDT\tB-NP\tO' +p252399 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p252400 +aS'was\tbe\tVBD\tB-VP\tO' +p252401 +aS'soft\tsoft\tJJ\tB-NP\tO' +p252402 +aS',\t,\t,\tI-NP\tO' +p252403 +aS'nontender\tnontender\tJJ\tI-NP\tO' +p252404 +aS',\t,\t,\tI-NP\tO' +p252405 +aS'nondistended\tnondistended\tJJ\tI-NP\tO' +p252406 +aS'.\t.\t.\tO\tO' +p252407 +asS'The patient works as a welder .' +p252408 +(lp252409 +S'The\tThe\tDT\tB-NP\tO' +p252410 +aS'patient\tpatient\tNN\tI-NP\tO' +p252411 +aS'works\twork\tVBZ\tB-VP\tO' +p252412 +aS'as\tas\tIN\tB-PP\tO' +p252413 +aS'a\ta\tDT\tB-NP\tO' +p252414 +aS'welder\twelder\tNN\tI-NP\tO' +p252415 +aS'.\t.\t.\tO\tO' +p252416 +asS'An abdominal MRI was performed to assess continued elevated liver enzymes ; however , the MRI was negative .' +p252417 +(lp252418 +S'An\tAn\tDT\tB-NP\tO' +p252419 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p252420 +aS'MRI\tMRI\tNN\tI-NP\tO' +p252421 +aS'was\tbe\tVBD\tB-VP\tO' +p252422 +aS'performed\tperform\tVBN\tI-VP\tO' +p252423 +aS'to\tto\tTO\tI-VP\tO' +p252424 +aS'assess\tassess\tVB\tI-VP\tO' +p252425 +aS'continued\tcontinued\tJJ\tB-NP\tB-protein' +p252426 +aS'elevated\televated\tJJ\tI-NP\tI-protein' +p252427 +aS'liver\tliver\tNN\tI-NP\tI-protein' +p252428 +aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' +p252429 +aS';\t;\t:\tO\tO' +p252430 +aS'however\thowever\tRB\tB-ADVP\tO' +p252431 +aS',\t,\t,\tO\tO' +p252432 +aS'the\tthe\tDT\tB-NP\tO' +p252433 +aS'MRI\tMRI\tNN\tI-NP\tB-protein' +p252434 +aS'was\tbe\tVBD\tB-VP\tO' +p252435 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p252436 +aS'.\t.\t.\tO\tO' +p252437 +asS'Pulmonary consult was invited , initially the patient refused bronchoscopy , however , did agree to it during his hospital stay .' +p252438 +(lp252439 +S'Pulmonary\tPulmonary\tJJ\tB-NP\tO' +p252440 +aS'consult\tconsult\tNN\tI-NP\tO' +p252441 +aS'was\tbe\tVBD\tB-VP\tO' +p252442 +aS'invited\tinvite\tVBN\tI-VP\tO' +p252443 +aS',\t,\t,\tO\tO' +p252444 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p252445 +aS'the\tthe\tDT\tB-NP\tO' +p252446 +aS'patient\tpatient\tNN\tI-NP\tO' +p252447 +aS'refused\trefuse\tVBD\tB-VP\tO' +p252448 +aS'bronchoscopy\tbronchoscopy\tNN\tB-NP\tO' +p252449 +aS',\t,\t,\tO\tO' +p252450 +aS'however\thowever\tRB\tB-ADVP\tO' +p252451 +aS',\t,\t,\tO\tO' +p252452 +aS'did\tdo\tVBD\tB-VP\tO' +p252453 +aS'agree\tagree\tVB\tI-VP\tO' +p252454 +aS'to\tto\tTO\tB-PP\tO' +p252455 +aS'it\tit\tPRP\tB-NP\tO' +p252456 +aS'during\tduring\tIN\tB-PP\tO' +p252457 +aS'his\this\tPRP$\tB-NP\tO' +p252458 +aS'hospital\thospital\tNN\tI-NP\tO' +p252459 +aS'stay\tstay\tNN\tI-NP\tO' +p252460 +aS'.\t.\t.\tO\tO' +p252461 +asS'smokes 1ppd for many years , no EtOH or illicit drug use .' +p252462 +(lp252463 +S'smokes\tsmoke\tNNS\tB-NP\tO' +p252464 +aS'1ppd\t1ppd\tNN\tI-NP\tO' +p252465 +aS'for\tfor\tIN\tB-PP\tO' +p252466 +aS'many\tmany\tJJ\tB-NP\tO' +p252467 +aS'years\tyear\tNNS\tI-NP\tO' +p252468 +aS',\t,\t,\tO\tO' +p252469 +aS'no\tno\tDT\tB-NP\tO' +p252470 +aS'EtOH\tEtOH\tNN\tI-NP\tB-protein' +p252471 +aS'or\tor\tCC\tI-NP\tO' +p252472 +aS'illicit\tillicit\tJJ\tI-NP\tO' +p252473 +aS'drug\tdrug\tNN\tI-NP\tO' +p252474 +aS'use\tuse\tNN\tI-NP\tO' +p252475 +aS'.\t.\t.\tO\tO' +p252476 +asS'hypothyroidism following near total thyroidectomy .' +p252477 +(lp252478 +S'hypothyroidism\thypothyroidism\tNN\tB-NP\tO' +p252479 +aS'following\tfollow\tVBG\tB-PP\tO' +p252480 +aS'near\tnear\tIN\tB-PP\tO' +p252481 +aS'total\ttotal\tJJ\tB-NP\tO' +p252482 +aS'thyroidectomy\tthyroidectomy\tNN\tI-NP\tO' +p252483 +aS'.\t.\t.\tO\tO' +p252484 +asS'Initial impression included omphalocele with further imaging of the bowel to be done .' +p252485 +(lp252486 +S'Initial\tInitial\tJJ\tB-NP\tO' +p252487 +aS'impression\timpression\tNN\tI-NP\tO' +p252488 +aS'included\tinclude\tVBD\tB-VP\tO' +p252489 +aS'omphalocele\tomphalocele\tNN\tB-NP\tO' +p252490 +aS'with\twith\tIN\tB-PP\tO' +p252491 +aS'further\tfurther\tJJ\tB-NP\tO' +p252492 +aS'imaging\timaging\tNN\tI-NP\tO' +p252493 +aS'of\tof\tIN\tB-PP\tO' +p252494 +aS'the\tthe\tDT\tB-NP\tO' +p252495 +aS'bowel\tbowel\tNN\tI-NP\tO' +p252496 +aS'to\tto\tTO\tB-VP\tO' +p252497 +aS'be\tbe\tVB\tI-VP\tO' +p252498 +aS'done\tdo\tVBN\tI-VP\tO' +p252499 +aS'.\t.\t.\tO\tO' +p252500 +asS'She has no history of asbestos exposure or tuberculosis exposure .' +p252501 +(lp252502 +S'She\tShe\tPRP\tB-NP\tO' +p252503 +aS'has\thave\tVBZ\tB-VP\tO' +p252504 +aS'no\tno\tDT\tB-NP\tO' +p252505 +aS'history\thistory\tNN\tI-NP\tO' +p252506 +aS'of\tof\tIN\tB-PP\tO' +p252507 +aS'asbestos\tasbestos\tNN\tB-NP\tO' +p252508 +aS'exposure\texposure\tNN\tI-NP\tO' +p252509 +aS'or\tor\tCC\tO\tO' +p252510 +aS'tuberculosis\ttuberculosis\tNN\tB-NP\tO' +p252511 +aS'exposure\texposure\tNN\tI-NP\tO' +p252512 +aS'.\t.\t.\tO\tO' +p252513 +asS'Nevertheless , the patient 's renal failure continued to progress .' +p252514 +(lp252515 +S'Nevertheless\tNevertheless\tRB\tB-ADVP\tO' +p252516 +aS',\t,\t,\tO\tO' +p252517 +aS'the\tthe\tDT\tB-NP\tO' +p252518 +aS'patient\tpatient\tNN\tI-NP\tO' +p252519 +aS''s\t'\tNNS\tI-NP\tO' +p252520 +aS'renal\trenal\tJJ\tB-NP\tO' +p252521 +aS'failure\tfailure\tNN\tI-NP\tO' +p252522 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p252523 +aS'to\tto\tTO\tI-VP\tO' +p252524 +aS'progress\tprogress\tVB\tI-VP\tO' +p252525 +aS'.\t.\t.\tO\tO' +p252526 +asS'3. Apnea of prematurity .' +p252527 +(lp252528 +S'3.\t3.\tLS\tB-NP\tO' +p252529 +aS'Apnea\tApnea\tNN\tI-NP\tO' +p252530 +aS'of\tof\tIN\tB-PP\tO' +p252531 +aS'prematurity\tprematurity\tNN\tB-NP\tO' +p252532 +aS'.\t.\t.\tO\tO' +p252533 +asS'She lives alone in Methuen with five stairs .' +p252534 +(lp252535 +S'She\tShe\tPRP\tB-NP\tO' +p252536 +aS'lives\tlive\tVBZ\tB-VP\tO' +p252537 +aS'alone\talone\tRB\tB-ADVP\tO' +p252538 +aS'in\tin\tIN\tB-PP\tO' +p252539 +aS'Methuen\tMethuen\tNNP\tB-NP\tO' +p252540 +aS'with\twith\tIN\tB-PP\tO' +p252541 +aS'five\tfive\tCD\tB-NP\tO' +p252542 +aS'stairs\tstair\tNNS\tI-NP\tO' +p252543 +aS'.\t.\t.\tO\tO' +p252544 +asS'Without rash or petechiae .' +p252545 +(lp252546 +S'Without\tWithout\tIN\tB-PP\tO' +p252547 +aS'rash\trash\tNN\tB-NP\tO' +p252548 +aS'or\tor\tCC\tI-NP\tO' +p252549 +aS'petechiae\tpetechiae\tNN\tI-NP\tO' +p252550 +aS'.\t.\t.\tO\tO' +p252551 +asS'He was then transferred to the medicine service .' +p252552 +(lp252553 +S'He\tHe\tPRP\tB-NP\tO' +p252554 +aS'was\tbe\tVBD\tB-VP\tO' +p252555 +aS'then\tthen\tRB\tI-VP\tO' +p252556 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p252557 +aS'to\tto\tTO\tB-PP\tO' +p252558 +aS'the\tthe\tDT\tB-NP\tO' +p252559 +aS'medicine\tmedicine\tNN\tI-NP\tO' +p252560 +aS'service\tservice\tNN\tI-NP\tO' +p252561 +aS'.\t.\t.\tO\tO' +p252562 +asS'On serial exams by neurology and ICU attendings in the morning on 2013-11-12 , patient had no clinical signs of brainstem activity .' +p252563 +(lp252564 +S'On\tOn\tIN\tB-PP\tO' +p252565 +aS'serial\tserial\tJJ\tB-NP\tO' +p252566 +aS'exams\texam\tNNS\tI-NP\tO' +p252567 +aS'by\tby\tIN\tB-PP\tO' +p252568 +aS'neurology\tneurology\tNN\tB-NP\tO' +p252569 +aS'and\tand\tCC\tI-NP\tO' +p252570 +aS'ICU\tICU\tNN\tI-NP\tO' +p252571 +aS'attendings\tattending\tNNS\tI-NP\tO' +p252572 +aS'in\tin\tIN\tB-PP\tO' +p252573 +aS'the\tthe\tDT\tB-NP\tO' +p252574 +aS'morning\tmorning\tNN\tI-NP\tO' +p252575 +aS'on\ton\tIN\tB-PP\tO' +p252576 +aS'2013-11-12\t2013-11-12\tNN\tB-NP\tO' +p252577 +aS',\t,\t,\tO\tO' +p252578 +aS'patient\tpatient\tNN\tB-NP\tO' +p252579 +aS'had\thave\tVBD\tB-VP\tO' +p252580 +aS'no\tno\tDT\tB-NP\tO' +p252581 +aS'clinical\tclinical\tJJ\tI-NP\tO' +p252582 +aS'signs\tsign\tNNS\tI-NP\tO' +p252583 +aS'of\tof\tIN\tB-PP\tO' +p252584 +aS'brainstem\tbrainstem\tNN\tB-NP\tO' +p252585 +aS'activity\tactivity\tNN\tI-NP\tO' +p252586 +aS'.\t.\t.\tO\tO' +p252587 +asS'Mr. Bruno is a 60 year old gentleman who initially presented with hematemesis , hemoptysis and on work-up was found to have a left lower lobe mass .' +p252588 +(lp252589 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p252590 +aS'Bruno\tBruno\tNNP\tI-NP\tO' +p252591 +aS'is\tbe\tVBZ\tB-VP\tO' +p252592 +aS'a\ta\tDT\tB-NP\tO' +p252593 +aS'60\t60\tCD\tI-NP\tO' +p252594 +aS'year\tyear\tNN\tI-NP\tO' +p252595 +aS'old\told\tJJ\tI-NP\tO' +p252596 +aS'gentleman\tgentleman\tNN\tI-NP\tO' +p252597 +aS'who\twho\tWP\tB-NP\tO' +p252598 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p252599 +aS'presented\tpresent\tVBD\tB-VP\tO' +p252600 +aS'with\twith\tIN\tB-PP\tO' +p252601 +aS'hematemesis\thematemesis\tNN\tB-NP\tO' +p252602 +aS',\t,\t,\tO\tO' +p252603 +aS'hemoptysis\themoptysis\tNN\tB-NP\tO' +p252604 +aS'and\tand\tCC\tB-PP\tO' +p252605 +aS'on\ton\tIN\tB-PP\tO' +p252606 +aS'work-up\twork-up\tNN\tB-NP\tO' +p252607 +aS'was\tbe\tVBD\tB-VP\tO' +p252608 +aS'found\tfind\tVBN\tI-VP\tO' +p252609 +aS'to\tto\tTO\tI-VP\tO' +p252610 +aS'have\thave\tVB\tI-VP\tO' +p252611 +aS'a\ta\tDT\tB-NP\tO' +p252612 +aS'left\tleft\tJJ\tI-NP\tO' +p252613 +aS'lower\tlow\tJJR\tI-NP\tO' +p252614 +aS'lobe\tlobe\tNN\tI-NP\tO' +p252615 +aS'mass\tmass\tNN\tI-NP\tO' +p252616 +aS'.\t.\t.\tO\tO' +p252617 +asS'At this point , the patient was transferred to the intensive care unit .' +p252618 +(lp252619 +S'At\tAt\tIN\tB-PP\tO' +p252620 +aS'this\tthis\tDT\tB-NP\tO' +p252621 +aS'point\tpoint\tNN\tI-NP\tO' +p252622 +aS',\t,\t,\tO\tO' +p252623 +aS'the\tthe\tDT\tB-NP\tO' +p252624 +aS'patient\tpatient\tNN\tI-NP\tO' +p252625 +aS'was\tbe\tVBD\tB-VP\tO' +p252626 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p252627 +aS'to\tto\tTO\tB-PP\tO' +p252628 +aS'the\tthe\tDT\tB-NP\tO' +p252629 +aS'intensive\tintensive\tJJ\tI-NP\tO' +p252630 +aS'care\tcare\tNN\tI-NP\tO' +p252631 +aS'unit\tunit\tNN\tI-NP\tO' +p252632 +aS'.\t.\t.\tO\tO' +p252633 +asS'Most recently admitted on 2014-03-19 to 2014-03-22 .' +p252634 +(lp252635 +S'Most\tMost\tRBS\tB-ADVP\tO' +p252636 +aS'recently\trecently\tRB\tI-ADVP\tO' +p252637 +aS'admitted\tadmit\tVBN\tB-VP\tO' +p252638 +aS'on\ton\tIN\tB-PP\tO' +p252639 +aS'2014-03-19\t2014-03-19\tCD\tB-NP\tO' +p252640 +aS'to\tto\tTO\tB-PP\tO' +p252641 +aS'2014-03-22\t2014-03-22\tCD\tB-NP\tO' +p252642 +aS'.\t.\t.\tO\tO' +p252643 +asS'4. Pantoprazole 40 mg p.o. q. day .' +p252644 +(lp252645 +S'4.\t4.\tLS\tB-NP\tO' +p252646 +aS'Pantoprazole\tPantoprazole\tNN\tI-NP\tO' +p252647 +aS'40\t40\tCD\tI-NP\tO' +p252648 +aS'mg\tmg\tNN\tI-NP\tO' +p252649 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p252650 +aS'q.\tq.\tNN\tI-NP\tO' +p252651 +aS'day\tday\tNN\tI-NP\tO' +p252652 +aS'.\t.\t.\tO\tO' +p252653 +asS'1. Follow-up appointments , the parents have an appointment with Dr. Avon on Tuesday , 05-14 .' +p252654 +(lp252655 +S'1.\t1.\tLS\tB-NP\tO' +p252656 +aS'Follow-up\tFollow-up\tNN\tI-NP\tO' +p252657 +aS'appointments\tappointment\tNNS\tI-NP\tO' +p252658 +aS',\t,\t,\tO\tO' +p252659 +aS'the\tthe\tDT\tB-NP\tO' +p252660 +aS'parents\tparent\tNNS\tI-NP\tO' +p252661 +aS'have\thave\tVBP\tB-VP\tO' +p252662 +aS'an\tan\tDT\tB-NP\tO' +p252663 +aS'appointment\tappointment\tNN\tI-NP\tO' +p252664 +aS'with\twith\tIN\tB-PP\tO' +p252665 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p252666 +aS'Avon\tAvon\tNNP\tI-NP\tO' +p252667 +aS'on\ton\tIN\tB-PP\tO' +p252668 +aS'Tuesday\tTuesday\tNNP\tB-NP\tO' +p252669 +aS',\t,\t,\tO\tO' +p252670 +aS'05-14\t05-14\tCD\tB-NP\tO' +p252671 +aS'.\t.\t.\tO\tO' +p252672 +asS'The extremity exam was notable for 2+ pitting edema in the right lower extremity extending to the knee .' +p252673 +(lp252674 +S'The\tThe\tDT\tB-NP\tO' +p252675 +aS'extremity\textremity\tNN\tI-NP\tO' +p252676 +aS'exam\texam\tNN\tI-NP\tO' +p252677 +aS'was\tbe\tVBD\tB-VP\tO' +p252678 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p252679 +aS'for\tfor\tIN\tB-PP\tO' +p252680 +aS'2+\t2+\tJJ\tB-NP\tO' +p252681 +aS'pitting\tpitting\tNN\tI-NP\tO' +p252682 +aS'edema\tedema\tNN\tI-NP\tO' +p252683 +aS'in\tin\tIN\tB-PP\tO' +p252684 +aS'the\tthe\tDT\tB-NP\tO' +p252685 +aS'right\tright\tJJ\tI-NP\tO' +p252686 +aS'lower\tlow\tJJR\tI-NP\tO' +p252687 +aS'extremity\textremity\tNN\tI-NP\tO' +p252688 +aS'extending\textend\tVBG\tB-VP\tO' +p252689 +aS'to\tto\tTO\tB-PP\tO' +p252690 +aS'the\tthe\tDT\tB-NP\tO' +p252691 +aS'knee\tknee\tNN\tI-NP\tO' +p252692 +aS'.\t.\t.\tO\tO' +p252693 +asS'The patient was admitted for management of her coronary artery disease and evaluation of her pacemaker .' +p252694 +(lp252695 +S'The\tThe\tDT\tB-NP\tO' +p252696 +aS'patient\tpatient\tNN\tI-NP\tO' +p252697 +aS'was\tbe\tVBD\tB-VP\tO' +p252698 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p252699 +aS'for\tfor\tIN\tB-PP\tO' +p252700 +aS'management\tmanagement\tNN\tB-NP\tO' +p252701 +aS'of\tof\tIN\tB-PP\tO' +p252702 +aS'her\ther\tPRP$\tB-NP\tO' +p252703 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p252704 +aS'artery\tartery\tNN\tI-NP\tO' +p252705 +aS'disease\tdisease\tNN\tI-NP\tO' +p252706 +aS'and\tand\tCC\tO\tO' +p252707 +aS'evaluation\tevaluation\tNN\tB-NP\tO' +p252708 +aS'of\tof\tIN\tB-PP\tO' +p252709 +aS'her\ther\tPRP$\tB-NP\tO' +p252710 +aS'pacemaker\tpacemaker\tNN\tI-NP\tO' +p252711 +aS'.\t.\t.\tO\tO' +p252712 +asS'It was otherwise supple , with no thyromegaly .' +p252713 +(lp252714 +S'It\tIt\tPRP\tB-NP\tO' +p252715 +aS'was\tbe\tVBD\tB-VP\tO' +p252716 +aS'otherwise\totherwise\tRB\tB-ADVP\tO' +p252717 +aS'supple\tsupple\tNN\tB-NP\tO' +p252718 +aS',\t,\t,\tO\tO' +p252719 +aS'with\twith\tIN\tB-PP\tO' +p252720 +aS'no\tno\tDT\tB-NP\tO' +p252721 +aS'thyromegaly\tthyromegaly\tRB\tI-NP\tO' +p252722 +aS'.\t.\t.\tO\tO' +p252723 +asS'2. Vasotec 7.5 mg po q day .' +p252724 +(lp252725 +S'2.\t2.\tLS\tB-LST\tO' +p252726 +aS'Vasotec\tVasotec\tNNP\tB-NP\tO' +p252727 +aS'7.5\t7.5\tCD\tI-NP\tO' +p252728 +aS'mg\tmg\tNN\tI-NP\tO' +p252729 +aS'po\tpo\tNN\tI-NP\tO' +p252730 +aS'q\tq\tNN\tI-NP\tO' +p252731 +aS'day\tday\tNN\tI-NP\tO' +p252732 +aS'.\t.\t.\tO\tO' +p252733 +asS'Direct bilirubin was 1.4 .' +p252734 +(lp252735 +S'Direct\tDirect\tJJ\tB-NP\tO' +p252736 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p252737 +aS'was\tbe\tVBD\tB-VP\tO' +p252738 +aS'1.4\t1.4\tCD\tB-NP\tO' +p252739 +aS'.\t.\t.\tO\tO' +p252740 +asS'Over the next 12 hours while in transit to the hospital , the patient 's right lower extremity became red , swollen , and increasingly painful .' +p252741 +(lp252742 +S'Over\tOver\tIN\tB-PP\tO' +p252743 +aS'the\tthe\tDT\tB-NP\tO' +p252744 +aS'next\tnext\tJJ\tI-NP\tO' +p252745 +aS'12\t12\tCD\tI-NP\tO' +p252746 +aS'hours\thour\tNNS\tI-NP\tO' +p252747 +aS'while\twhile\tIN\tB-SBAR\tO' +p252748 +aS'in\tin\tIN\tB-PP\tO' +p252749 +aS'transit\ttransit\tNN\tB-NP\tO' +p252750 +aS'to\tto\tTO\tB-PP\tO' +p252751 +aS'the\tthe\tDT\tB-NP\tO' +p252752 +aS'hospital\thospital\tNN\tI-NP\tO' +p252753 +aS',\t,\t,\tO\tO' +p252754 +aS'the\tthe\tDT\tB-NP\tO' +p252755 +aS'patient\tpatient\tNN\tI-NP\tO' +p252756 +aS''s\t'\tNNS\tI-NP\tO' +p252757 +aS'right\tright\tRB\tB-NP\tO' +p252758 +aS'lower\tlow\tJJR\tI-NP\tO' +p252759 +aS'extremity\textremity\tNN\tI-NP\tO' +p252760 +aS'became\tbecome\tVBD\tB-VP\tO' +p252761 +aS'red\tred\tJJ\tB-ADJP\tO' +p252762 +aS',\t,\t,\tO\tO' +p252763 +aS'swollen\tswell\tVBN\tB-VP\tO' +p252764 +aS',\t,\t,\tO\tO' +p252765 +aS'and\tand\tCC\tO\tO' +p252766 +aS'increasingly\tincreasingly\tRB\tB-ADJP\tO' +p252767 +aS'painful\tpainful\tJJ\tI-ADJP\tO' +p252768 +aS'.\t.\t.\tO\tO' +p252769 +asS'The patient has been constipated with hard stool , but no bright red blood per rectum .' +p252770 +(lp252771 +S'The\tThe\tDT\tB-NP\tO' +p252772 +aS'patient\tpatient\tNN\tI-NP\tO' +p252773 +aS'has\thave\tVBZ\tB-VP\tO' +p252774 +aS'been\tbe\tVBN\tI-VP\tO' +p252775 +aS'constipated\tconstipate\tVBN\tI-VP\tO' +p252776 +aS'with\twith\tIN\tB-PP\tO' +p252777 +aS'hard\thard\tJJ\tB-NP\tO' +p252778 +aS'stool\tstool\tNN\tI-NP\tO' +p252779 +aS',\t,\t,\tO\tO' +p252780 +aS'but\tbut\tCC\tO\tO' +p252781 +aS'no\tno\tDT\tB-NP\tO' +p252782 +aS'bright\tbright\tJJ\tI-NP\tO' +p252783 +aS'red\tred\tJJ\tI-NP\tO' +p252784 +aS'blood\tblood\tNN\tI-NP\tO' +p252785 +aS'per\tper\tIN\tB-PP\tO' +p252786 +aS'rectum\trectum\tNN\tB-NP\tO' +p252787 +aS'.\t.\t.\tO\tO' +p252788 +asS'The proximal , middle , anterior and posterior cerebral arteries , however , could not be insinuated .' +p252789 +(lp252790 +S'The\tThe\tDT\tB-NP\tO' +p252791 +aS'proximal\tproximal\tJJ\tI-NP\tO' +p252792 +aS',\t,\t,\tI-NP\tO' +p252793 +aS'middle\tmiddle\tJJ\tI-NP\tO' +p252794 +aS',\t,\t,\tI-NP\tO' +p252795 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p252796 +aS'and\tand\tCC\tI-NP\tO' +p252797 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p252798 +aS'cerebral\tcerebral\tJJ\tI-NP\tO' +p252799 +aS'arteries\tartery\tNNS\tI-NP\tO' +p252800 +aS',\t,\t,\tO\tO' +p252801 +aS'however\thowever\tRB\tB-ADVP\tO' +p252802 +aS',\t,\t,\tO\tO' +p252803 +aS'could\tcould\tMD\tB-VP\tO' +p252804 +aS'not\tnot\tRB\tI-VP\tO' +p252805 +aS'be\tbe\tVB\tI-VP\tO' +p252806 +aS'insinuated\tinsinuate\tVBN\tI-VP\tO' +p252807 +aS'.\t.\t.\tO\tO' +p252808 +asS'A biopsy scar on the right breast from 1990 .' +p252809 +(lp252810 +S'A\tA\tDT\tB-NP\tO' +p252811 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p252812 +aS'scar\tscar\tNN\tI-NP\tO' +p252813 +aS'on\ton\tIN\tB-PP\tO' +p252814 +aS'the\tthe\tDT\tB-NP\tO' +p252815 +aS'right\tright\tJJ\tI-NP\tO' +p252816 +aS'breast\tbreast\tNN\tI-NP\tO' +p252817 +aS'from\tfrom\tIN\tB-PP\tO' +p252818 +aS'1990\t1990\tCD\tB-NP\tO' +p252819 +aS'.\t.\t.\tO\tO' +p252820 +asS'1. Feeds at discharge : Enfamil 20 p.o. ad lib .' +p252821 +(lp252822 +S'1.\t1.\tLS\tB-NP\tO' +p252823 +aS'Feeds\tFeed\tNNS\tI-NP\tO' +p252824 +aS'at\tat\tIN\tB-PP\tO' +p252825 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p252826 +aS':\t:\t:\tO\tO' +p252827 +aS'Enfamil\tEnfamil\tNN\tB-NP\tO' +p252828 +aS'20\t20\tCD\tI-NP\tO' +p252829 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p252830 +aS'ad\tad\tNN\tI-NP\tO' +p252831 +aS'lib\tlib\tNN\tI-NP\tO' +p252832 +aS'.\t.\t.\tO\tO' +p252833 +asS'Deceased .' +p252834 +(lp252835 +S'Deceased\tDecease\tVBN\tB-VP\tO' +p252836 +aS'.\t.\t.\tO\tO' +p252837 +asS'No c/o CP .' +p252838 +(lp252839 +S'No\tNo\tDT\tB-NP\tO' +p252840 +aS'c/o\tc/o\tNN\tI-NP\tB-DNA' +p252841 +aS'CP\tCP\tNN\tI-NP\tI-DNA' +p252842 +aS'.\t.\t.\tO\tO' +p252843 +asS'1+ edema of the ankles , pulses present bilaterally .' +p252844 +(lp252845 +S'1+\t1+\tJJ\tB-NP\tO' +p252846 +aS'edema\tedema\tNN\tI-NP\tO' +p252847 +aS'of\tof\tIN\tB-PP\tO' +p252848 +aS'the\tthe\tDT\tB-NP\tO' +p252849 +aS'ankles\tankle\tNNS\tI-NP\tO' +p252850 +aS',\t,\t,\tO\tO' +p252851 +aS'pulses\tpulse\tNNS\tB-NP\tO' +p252852 +aS'present\tpresent\tVBP\tB-VP\tO' +p252853 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p252854 +aS'.\t.\t.\tO\tO' +p252855 +asS'No fevers or chills , no vaginal discharge or bleeding .' +p252856 +(lp252857 +S'No\tNo\tDT\tB-NP\tO' +p252858 +aS'fevers\tfever\tNNS\tI-NP\tO' +p252859 +aS'or\tor\tCC\tI-NP\tO' +p252860 +aS'chills\tchill\tNNS\tI-NP\tO' +p252861 +aS',\t,\t,\tO\tO' +p252862 +aS'no\tno\tDT\tB-NP\tO' +p252863 +aS'vaginal\tvaginal\tJJ\tI-NP\tO' +p252864 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p252865 +aS'or\tor\tCC\tI-NP\tO' +p252866 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p252867 +aS'.\t.\t.\tO\tO' +p252868 +asS'The patient is discharged to an extended discharge facility .' +p252869 +(lp252870 +S'The\tThe\tDT\tB-NP\tO' +p252871 +aS'patient\tpatient\tNN\tI-NP\tO' +p252872 +aS'is\tbe\tVBZ\tB-VP\tO' +p252873 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p252874 +aS'to\tto\tTO\tB-PP\tO' +p252875 +aS'an\tan\tDT\tB-NP\tO' +p252876 +aS'extended\textend\tVBN\tI-NP\tO' +p252877 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p252878 +aS'facility\tfacility\tNN\tI-NP\tO' +p252879 +aS'.\t.\t.\tO\tO' +p252880 +asS'The patient was intubated and then transferred to Hahnemann General Hospital CMED .' +p252881 +(lp252882 +S'The\tThe\tDT\tB-NP\tO' +p252883 +aS'patient\tpatient\tNN\tI-NP\tO' +p252884 +aS'was\tbe\tVBD\tB-VP\tO' +p252885 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p252886 +aS'and\tand\tCC\tO\tO' +p252887 +aS'then\tthen\tRB\tB-VP\tO' +p252888 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p252889 +aS'to\tto\tTO\tB-PP\tO' +p252890 +aS'Hahnemann\tHahnemann\tNNP\tB-NP\tO' +p252891 +aS'General\tGeneral\tNNP\tI-NP\tO' +p252892 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p252893 +aS'CMED\tCMED\tNNP\tI-NP\tO' +p252894 +aS'.\t.\t.\tO\tO' +p252895 +asS'The likely cause of the delirium was a combination of surgery and Intensive Care Unit stay in addition to poly-pharmacy .' +p252896 +(lp252897 +S'The\tThe\tDT\tB-NP\tO' +p252898 +aS'likely\tlikely\tJJ\tI-NP\tO' +p252899 +aS'cause\tcause\tNN\tI-NP\tO' +p252900 +aS'of\tof\tIN\tB-PP\tO' +p252901 +aS'the\tthe\tDT\tB-NP\tO' +p252902 +aS'delirium\tdelirium\tNN\tI-NP\tO' +p252903 +aS'was\tbe\tVBD\tB-VP\tO' +p252904 +aS'a\ta\tDT\tB-NP\tO' +p252905 +aS'combination\tcombination\tNN\tI-NP\tO' +p252906 +aS'of\tof\tIN\tB-PP\tO' +p252907 +aS'surgery\tsurgery\tNN\tB-NP\tO' +p252908 +aS'and\tand\tCC\tO\tO' +p252909 +aS'Intensive\tIntensive\tJJ\tB-NP\tO' +p252910 +aS'Care\tCare\tNNP\tI-NP\tO' +p252911 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p252912 +aS'stay\tstay\tNN\tI-NP\tO' +p252913 +aS'in\tin\tIN\tB-PP\tO' +p252914 +aS'addition\taddition\tNN\tB-NP\tO' +p252915 +aS'to\tto\tTO\tB-PP\tO' +p252916 +aS'poly-pharmacy\tpoly-pharmacy\tNN\tB-NP\tO' +p252917 +aS'.\t.\t.\tO\tO' +p252918 +asS'Dr. Tamatha - Cape Cod Hospital .' +p252919 +(lp252920 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p252921 +aS'Tamatha\tTamatha\tNNP\tI-NP\tO' +p252922 +aS'-\t-\tHYPH\tB-NP\tO' +p252923 +aS'Cape\tCape\tNNP\tI-NP\tO' +p252924 +aS'Cod\tCod\tNNP\tI-NP\tO' +p252925 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p252926 +aS'.\t.\t.\tO\tO' +p252927 +asS'She was found to have a R ureteral stone w/ resultant hydronephrosis and was transferred to Nantucket Cottage Hospital for ureteral stent placement .' +p252928 +(lp252929 +S'She\tShe\tPRP\tB-NP\tO' +p252930 +aS'was\tbe\tVBD\tB-VP\tO' +p252931 +aS'found\tfind\tVBN\tI-VP\tO' +p252932 +aS'to\tto\tTO\tI-VP\tO' +p252933 +aS'have\thave\tVB\tI-VP\tO' +p252934 +aS'a\ta\tDT\tB-NP\tO' +p252935 +aS'R\tR\tNN\tI-NP\tO' +p252936 +aS'ureteral\tureteral\tJJ\tI-NP\tO' +p252937 +aS'stone\tstone\tNN\tI-NP\tO' +p252938 +aS'w/\tw/\tNN\tI-NP\tO' +p252939 +aS'resultant\tresultant\tJJ\tI-NP\tO' +p252940 +aS'hydronephrosis\thydronephrosis\tNN\tI-NP\tO' +p252941 +aS'and\tand\tCC\tO\tO' +p252942 +aS'was\tbe\tVBD\tB-VP\tO' +p252943 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p252944 +aS'to\tto\tTO\tB-PP\tO' +p252945 +aS'Nantucket\tNantucket\tNNP\tB-NP\tO' +p252946 +aS'Cottage\tCottage\tNNP\tI-NP\tO' +p252947 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p252948 +aS'for\tfor\tIN\tB-PP\tO' +p252949 +aS'ureteral\tureteral\tJJ\tB-NP\tO' +p252950 +aS'stent\tstent\tJJ\tI-NP\tO' +p252951 +aS'placement\tplacement\tNN\tI-NP\tO' +p252952 +aS'.\t.\t.\tO\tO' +p252953 +asS'The patient had stable hematocrit of 38% on intravenous heparin .' +p252954 +(lp252955 +S'The\tThe\tDT\tB-NP\tO' +p252956 +aS'patient\tpatient\tNN\tI-NP\tO' +p252957 +aS'had\thave\tVBD\tB-VP\tO' +p252958 +aS'stable\tstable\tJJ\tB-NP\tO' +p252959 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p252960 +aS'of\tof\tIN\tB-PP\tO' +p252961 +aS'38%\t38%\tNN\tB-NP\tO' +p252962 +aS'on\ton\tIN\tB-PP\tO' +p252963 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p252964 +aS'heparin\theparin\tNN\tI-NP\tO' +p252965 +aS'.\t.\t.\tO\tO' +p252966 +asS'3. Niferex 150 milligrams caplet one cap per day .' +p252967 +(lp252968 +S'3.\t3.\tLS\tB-LST\tO' +p252969 +aS'Niferex\tNiferex\tNNP\tB-NP\tO' +p252970 +aS'150\t150\tCD\tB-NP\tO' +p252971 +aS'milligrams\tmilligram\tNNS\tI-NP\tO' +p252972 +aS'caplet\tcaplet\tVB\tB-VP\tO' +p252973 +aS'one\tone\tCD\tB-NP\tO' +p252974 +aS'cap\tcap\tNN\tI-NP\tO' +p252975 +aS'per\tper\tIN\tB-PP\tO' +p252976 +aS'day\tday\tNN\tB-NP\tO' +p252977 +aS'.\t.\t.\tO\tO' +p252978 +asS'Percocet po. q4 to 6 prn .' +p252979 +(lp252980 +S'Percocet\tPercocet\tNNP\tB-NP\tO' +p252981 +aS'po.\tpo.\tNN\tI-NP\tO' +p252982 +aS'q4\tq4\tCD\tB-NP\tO' +p252983 +aS'to\tto\tTO\tI-NP\tO' +p252984 +aS'6\t6\tCD\tI-NP\tO' +p252985 +aS'prn\tprn\tNN\tI-NP\tO' +p252986 +aS'.\t.\t.\tO\tO' +p252987 +asS'GERD as etiology of her chest burning .' +p252988 +(lp252989 +S'GERD\tGERD\tNN\tB-NP\tO' +p252990 +aS'as\tas\tIN\tB-PP\tO' +p252991 +aS'etiology\tetiology\tNN\tB-NP\tO' +p252992 +aS'of\tof\tIN\tB-PP\tO' +p252993 +aS'her\ther\tPRP$\tB-NP\tO' +p252994 +aS'chest\tchest\tNN\tI-NP\tO' +p252995 +aS'burning\tburning\tNN\tI-NP\tO' +p252996 +aS'.\t.\t.\tO\tO' +p252997 +asS'Reflexes were symmetric and 2+ bilaterally at the biceps tendon , 2+ bilaterally at brachial radialis , 2+ bilaterally at the patellar tendon , 1+ bilaterally Achilles tendon .' +p252998 +(lp252999 +S'Reflexes\tReflex\tNNS\tB-NP\tO' +p253000 +aS'were\tbe\tVBD\tB-VP\tO' +p253001 +aS'symmetric\tsymmetric\tJJ\tB-ADJP\tO' +p253002 +aS'and\tand\tCC\tI-ADJP\tO' +p253003 +aS'2+\t2+\tJJ\tI-ADJP\tO' +p253004 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p253005 +aS'at\tat\tIN\tB-PP\tO' +p253006 +aS'the\tthe\tDT\tB-NP\tO' +p253007 +aS'biceps\tbicep\tNNS\tI-NP\tO' +p253008 +aS'tendon\ttendon\tNN\tI-NP\tO' +p253009 +aS',\t,\t,\tO\tO' +p253010 +aS'2+\t2+\tJJ\tB-ADJP\tO' +p253011 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p253012 +aS'at\tat\tIN\tB-PP\tO' +p253013 +aS'brachial\tbrachial\tJJ\tB-NP\tO' +p253014 +aS'radialis\tradialis\tNN\tI-NP\tO' +p253015 +aS',\t,\t,\tO\tO' +p253016 +aS'2+\t2+\tJJ\tB-ADJP\tO' +p253017 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p253018 +aS'at\tat\tIN\tB-PP\tO' +p253019 +aS'the\tthe\tDT\tB-NP\tO' +p253020 +aS'patellar\tpatellar\tJJ\tI-NP\tO' +p253021 +aS'tendon\ttendon\tNN\tI-NP\tO' +p253022 +aS',\t,\t,\tO\tO' +p253023 +aS'1+\t1+\tJJ\tB-ADJP\tO' +p253024 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p253025 +aS'Achilles\tAchille\tVBZ\tB-VP\tO' +p253026 +aS'tendon\ttendon\tNN\tB-NP\tO' +p253027 +aS'.\t.\t.\tO\tO' +p253028 +asS'On 4/17/95 , GI Interventional Radiology performed drainage of the peripancreatic fluid collection .' +p253029 +(lp253030 +S'On\tOn\tIN\tB-PP\tO' +p253031 +aS'4/17/95\t4/17/95\tCD\tB-NP\tO' +p253032 +aS',\t,\t,\tO\tO' +p253033 +aS'GI\tGI\tNNP\tB-NP\tO' +p253034 +aS'Interventional\tInterventional\tNNP\tI-NP\tO' +p253035 +aS'Radiology\tRadiology\tNNP\tI-NP\tO' +p253036 +aS'performed\tperform\tVBD\tB-VP\tO' +p253037 +aS'drainage\tdrainage\tNN\tB-NP\tO' +p253038 +aS'of\tof\tIN\tB-PP\tO' +p253039 +aS'the\tthe\tDT\tB-NP\tO' +p253040 +aS'peripancreatic\tperipancreatic\tJJ\tI-NP\tO' +p253041 +aS'fluid\tfluid\tNN\tI-NP\tO' +p253042 +aS'collection\tcollection\tNN\tI-NP\tO' +p253043 +aS'.\t.\t.\tO\tO' +p253044 +asS'He was seen in the brain tumor clinic on 05-21 and stitches were placed in the incision , however it continued to leak .' +p253045 +(lp253046 +S'He\tHe\tPRP\tB-NP\tO' +p253047 +aS'was\tbe\tVBD\tB-VP\tO' +p253048 +aS'seen\tsee\tVBN\tI-VP\tO' +p253049 +aS'in\tin\tIN\tB-PP\tO' +p253050 +aS'the\tthe\tDT\tB-NP\tO' +p253051 +aS'brain\tbrain\tNN\tI-NP\tO' +p253052 +aS'tumor\ttumor\tNN\tI-NP\tO' +p253053 +aS'clinic\tclinic\tNN\tI-NP\tO' +p253054 +aS'on\ton\tIN\tB-PP\tO' +p253055 +aS'05-21\t05-21\tCD\tB-NP\tO' +p253056 +aS'and\tand\tCC\tO\tO' +p253057 +aS'stitches\tstitch\tNNS\tB-NP\tO' +p253058 +aS'were\tbe\tVBD\tB-VP\tO' +p253059 +aS'placed\tplace\tVBN\tI-VP\tO' +p253060 +aS'in\tin\tIN\tB-PP\tO' +p253061 +aS'the\tthe\tDT\tB-NP\tO' +p253062 +aS'incision\tincision\tNN\tI-NP\tO' +p253063 +aS',\t,\t,\tO\tO' +p253064 +aS'however\thowever\tRB\tB-ADVP\tO' +p253065 +aS'it\tit\tPRP\tB-NP\tO' +p253066 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p253067 +aS'to\tto\tTO\tI-VP\tO' +p253068 +aS'leak\tleak\tVB\tI-VP\tO' +p253069 +aS'.\t.\t.\tO\tO' +p253070 +asS'While in the Intensive Care Unit the patient was put on delirium tremons prophylaxis with Serax around the clock .' +p253071 +(lp253072 +S'While\tWhile\tIN\tB-SBAR\tO' +p253073 +aS'in\tin\tIN\tB-PP\tO' +p253074 +aS'the\tthe\tDT\tB-NP\tO' +p253075 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p253076 +aS'Care\tCare\tNNP\tI-NP\tO' +p253077 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p253078 +aS'the\tthe\tDT\tB-NP\tO' +p253079 +aS'patient\tpatient\tNN\tI-NP\tO' +p253080 +aS'was\tbe\tVBD\tB-VP\tO' +p253081 +aS'put\tput\tVBN\tI-VP\tO' +p253082 +aS'on\ton\tIN\tB-PP\tO' +p253083 +aS'delirium\tdelirium\tNN\tB-NP\tO' +p253084 +aS'tremons\ttremon\tNNS\tI-NP\tO' +p253085 +aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' +p253086 +aS'with\twith\tIN\tB-PP\tO' +p253087 +aS'Serax\tSerax\tNN\tB-NP\tO' +p253088 +aS'around\taround\tIN\tB-PP\tO' +p253089 +aS'the\tthe\tDT\tB-NP\tO' +p253090 +aS'clock\tclock\tNN\tI-NP\tO' +p253091 +aS'.\t.\t.\tO\tO' +p253092 +asS'There were no areas of prominent focal slowing , and there were no epileptiform features' +p253093 +(lp253094 +S'There\tThere\tEX\tB-NP\tO' +p253095 +aS'were\tbe\tVBD\tB-VP\tO' +p253096 +aS'no\tno\tDT\tB-NP\tO' +p253097 +aS'areas\tarea\tNNS\tI-NP\tO' +p253098 +aS'of\tof\tIN\tB-PP\tO' +p253099 +aS'prominent\tprominent\tJJ\tB-NP\tO' +p253100 +aS'focal\tfocal\tJJ\tI-NP\tO' +p253101 +aS'slowing\tslowing\tNN\tI-NP\tO' +p253102 +aS',\t,\t,\tO\tO' +p253103 +aS'and\tand\tCC\tO\tO' +p253104 +aS'there\tthere\tEX\tB-NP\tO' +p253105 +aS'were\tbe\tVBD\tB-VP\tO' +p253106 +aS'no\tno\tDT\tB-NP\tO' +p253107 +aS'epileptiform\tepileptiform\tNN\tI-NP\tO' +p253108 +aS'features\tfeature\tNNS\tI-NP\tO' +p253109 +asS'His hematocrit remained stable .' +p253110 +(lp253111 +S'His\tHis\tPRP$\tB-NP\tO' +p253112 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p253113 +aS'remained\tremain\tVBD\tB-VP\tO' +p253114 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p253115 +aS'.\t.\t.\tO\tO' +p253116 +asS'Ultrasounds have been reassuring with biophysicals 8 out of 8 x2 .' +p253117 +(lp253118 +S'Ultrasounds\tUltrasound\tNNS\tB-NP\tO' +p253119 +aS'have\thave\tVBP\tB-VP\tO' +p253120 +aS'been\tbe\tVBN\tI-VP\tO' +p253121 +aS'reassuring\treassure\tVBG\tI-VP\tO' +p253122 +aS'with\twith\tIN\tB-PP\tO' +p253123 +aS'biophysicals\tbiophysical\tNNS\tB-NP\tO' +p253124 +aS'8\t8\tCD\tB-NP\tO' +p253125 +aS'out\tout\tIN\tB-PP\tO' +p253126 +aS'of\tof\tIN\tB-PP\tO' +p253127 +aS'8\t8\tCD\tB-NP\tO' +p253128 +aS'x2\tx2\tCD\tI-NP\tO' +p253129 +aS'.\t.\t.\tO\tO' +p253130 +asS'281-320 mg / dL 7 Units 8 Units 6 Units 2 Units' +p253131 +(lp253132 +S'281-320\t281-320\tCD\tB-NP\tO' +p253133 +aS'mg\tmg\tNN\tI-NP\tO' +p253134 +aS'/\t/\tSYM\tB-NP\tO' +p253135 +aS'dL\tdL\tNN\tB-NP\tO' +p253136 +aS'7\t7\tCD\tI-NP\tO' +p253137 +aS'Units\tUnit\tVBZ\tB-VP\tO' +p253138 +aS'8\t8\tCD\tB-NP\tO' +p253139 +aS'Units\tUnit\tNNS\tI-NP\tO' +p253140 +aS'6\t6\tCD\tB-NP\tO' +p253141 +aS'Units\tUnit\tNNS\tI-NP\tO' +p253142 +aS'2\t2\tCD\tB-NP\tO' +p253143 +aS'Units\tUnit\tNNS\tI-NP\tO' +p253144 +asS'Physical examination revealed temperature was 96.9 , heart rate was 121 , blood pressure was 122/86 , respiratory rate was 22 , and oxygen saturation was 96% on room air .' +p253145 +(lp253146 +S'Physical\tPhysical\tJJ\tB-NP\tO' +p253147 +aS'examination\texamination\tNN\tI-NP\tO' +p253148 +aS'revealed\treveal\tVBD\tB-VP\tO' +p253149 +aS'temperature\ttemperature\tNN\tB-NP\tO' +p253150 +aS'was\tbe\tVBD\tB-VP\tO' +p253151 +aS'96.9\t96.9\tCD\tB-NP\tO' +p253152 +aS',\t,\t,\tO\tO' +p253153 +aS'heart\theart\tNN\tB-NP\tO' +p253154 +aS'rate\trate\tNN\tI-NP\tO' +p253155 +aS'was\tbe\tVBD\tB-VP\tO' +p253156 +aS'121\t121\tCD\tB-NP\tO' +p253157 +aS',\t,\t,\tO\tO' +p253158 +aS'blood\tblood\tNN\tB-NP\tO' +p253159 +aS'pressure\tpressure\tNN\tI-NP\tO' +p253160 +aS'was\tbe\tVBD\tB-VP\tO' +p253161 +aS'122/86\t122/86\tCD\tB-NP\tO' +p253162 +aS',\t,\t,\tO\tO' +p253163 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p253164 +aS'rate\trate\tNN\tI-NP\tO' +p253165 +aS'was\tbe\tVBD\tB-VP\tO' +p253166 +aS'22\t22\tCD\tB-NP\tO' +p253167 +aS',\t,\t,\tO\tO' +p253168 +aS'and\tand\tCC\tO\tO' +p253169 +aS'oxygen\toxygen\tNN\tB-NP\tO' +p253170 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p253171 +aS'was\tbe\tVBD\tB-VP\tO' +p253172 +aS'96%\t96%\tCD\tB-NP\tO' +p253173 +aS'on\ton\tIN\tB-PP\tO' +p253174 +aS'room\troom\tNN\tB-NP\tO' +p253175 +aS'air\tair\tNN\tI-NP\tO' +p253176 +aS'.\t.\t.\tO\tO' +p253177 +asS'Her PTT goes 50 to 60 at that time .' +p253178 +(lp253179 +S'Her\tHer\tPRP$\tB-NP\tO' +p253180 +aS'PTT\tPTT\tNN\tI-NP\tO' +p253181 +aS'goes\tgo\tVBZ\tB-VP\tO' +p253182 +aS'50\t50\tCD\tB-NP\tO' +p253183 +aS'to\tto\tTO\tI-NP\tO' +p253184 +aS'60\t60\tCD\tI-NP\tO' +p253185 +aS'at\tat\tIN\tB-PP\tO' +p253186 +aS'that\tthat\tDT\tB-NP\tO' +p253187 +aS'time\ttime\tNN\tI-NP\tO' +p253188 +aS'.\t.\t.\tO\tO' +p253189 +asS'Neck was without bruits .' +p253190 +(lp253191 +S'Neck\tNeck\tNN\tB-NP\tO' +p253192 +aS'was\tbe\tVBD\tB-VP\tO' +p253193 +aS'without\twithout\tIN\tB-PP\tO' +p253194 +aS'bruits\tbruit\tNNS\tB-NP\tO' +p253195 +aS'.\t.\t.\tO\tO' +p253196 +asS'Following evaluation and treatment , the patient 's disposition at the end of the visit was ADMITTED AS AN INPATIENT TO RO WOODMA HEALTHCARE .' +p253197 +(lp253198 +S'Following\tFollow\tVBG\tB-PP\tO' +p253199 +aS'evaluation\tevaluation\tNN\tB-NP\tO' +p253200 +aS'and\tand\tCC\tI-NP\tO' +p253201 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p253202 +aS',\t,\t,\tO\tO' +p253203 +aS'the\tthe\tDT\tB-NP\tO' +p253204 +aS'patient\tpatient\tNN\tI-NP\tO' +p253205 +aS''s\t'\tNNS\tI-NP\tO' +p253206 +aS'disposition\tdisposition\tNN\tI-NP\tO' +p253207 +aS'at\tat\tIN\tB-PP\tO' +p253208 +aS'the\tthe\tDT\tB-NP\tO' +p253209 +aS'end\tend\tNN\tI-NP\tO' +p253210 +aS'of\tof\tIN\tB-PP\tO' +p253211 +aS'the\tthe\tDT\tB-NP\tO' +p253212 +aS'visit\tvisit\tNN\tI-NP\tO' +p253213 +aS'was\tbe\tVBD\tB-VP\tO' +p253214 +aS'ADMITTED\tADMITTED\tVBN\tI-VP\tO' +p253215 +aS'AS\tAS\tJJ\tB-NP\tO' +p253216 +aS'AN\tAN\tNN\tI-NP\tO' +p253217 +aS'INPATIENT\tINPATIENT\tNN\tI-NP\tO' +p253218 +aS'TO\tTO\tTO\tB-PP\tO' +p253219 +aS'RO\tRO\tNN\tB-NP\tB-DNA' +p253220 +aS'WOODMA\tWOODMA\tNN\tI-NP\tI-DNA' +p253221 +aS'HEALTHCARE\tHEALTHCARE\tNN\tI-NP\tI-DNA' +p253222 +aS'.\t.\t.\tO\tO' +p253223 +asS'Recommend follow up CT to ensure resolution .' +p253224 +(lp253225 +S'Recommend\tRecommend\tVB\tB-VP\tO' +p253226 +aS'follow\tfollow\tVB\tI-VP\tO' +p253227 +aS'up\tup\tRP\tB-PRT\tO' +p253228 +aS'CT\tCT\tNN\tB-NP\tB-protein' +p253229 +aS'to\tto\tTO\tB-VP\tO' +p253230 +aS'ensure\tensure\tVB\tI-VP\tO' +p253231 +aS'resolution\tresolution\tNN\tB-NP\tO' +p253232 +aS'.\t.\t.\tO\tO' +p253233 +asS'At this time , the patient 's presyncopal symptoms were not felt to be secondary to a cardiovascular etiology .' +p253234 +(lp253235 +S'At\tAt\tIN\tB-PP\tO' +p253236 +aS'this\tthis\tDT\tB-NP\tO' +p253237 +aS'time\ttime\tNN\tI-NP\tO' +p253238 +aS',\t,\t,\tO\tO' +p253239 +aS'the\tthe\tDT\tB-NP\tO' +p253240 +aS'patient\tpatient\tNN\tI-NP\tO' +p253241 +aS''s\t'\tVBZ\tB-VP\tO' +p253242 +aS'presyncopal\tpresyncopal\tJJ\tB-NP\tO' +p253243 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p253244 +aS'were\tbe\tVBD\tB-VP\tO' +p253245 +aS'not\tnot\tRB\tI-VP\tO' +p253246 +aS'felt\tfeel\tVBN\tI-VP\tO' +p253247 +aS'to\tto\tTO\tI-VP\tO' +p253248 +aS'be\tbe\tVB\tI-VP\tO' +p253249 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p253250 +aS'to\tto\tTO\tB-PP\tO' +p253251 +aS'a\ta\tDT\tB-NP\tO' +p253252 +aS'cardiovascular\tcardiovascular\tJJ\tI-NP\tO' +p253253 +aS'etiology\tetiology\tNN\tI-NP\tO' +p253254 +aS'.\t.\t.\tO\tO' +p253255 +asS'2. Bibasilar minor atelectasis , worse on the right and improved on the left .' +p253256 +(lp253257 +S'2.\t2.\tLS\tB-NP\tO' +p253258 +aS'Bibasilar\tBibasilar\tJJ\tI-NP\tO' +p253259 +aS'minor\tminor\tJJ\tI-NP\tO' +p253260 +aS'atelectasis\tatelectasis\tNN\tI-NP\tO' +p253261 +aS',\t,\t,\tO\tO' +p253262 +aS'worse\tworse\tJJR\tB-ADJP\tO' +p253263 +aS'on\ton\tIN\tB-PP\tO' +p253264 +aS'the\tthe\tDT\tB-NP\tO' +p253265 +aS'right\tright\tJJ\tI-NP\tO' +p253266 +aS'and\tand\tCC\tO\tO' +p253267 +aS'improved\timprove\tVBN\tB-VP\tO' +p253268 +aS'on\ton\tIN\tB-PP\tO' +p253269 +aS'the\tthe\tDT\tB-NP\tO' +p253270 +aS'left\tleft\tNN\tI-NP\tO' +p253271 +aS'.\t.\t.\tO\tO' +p253272 +asS'There were cultures obtained seeping from the wound at Retelk County Medical Center and those also grew out Pseudomonas aeruginosa .' +p253273 +(lp253274 +S'There\tThere\tEX\tB-NP\tO' +p253275 +aS'were\tbe\tVBD\tB-VP\tO' +p253276 +aS'cultures\tculture\tNNS\tB-NP\tO' +p253277 +aS'obtained\tobtain\tVBN\tB-VP\tO' +p253278 +aS'seeping\tseep\tVBG\tB-VP\tO' +p253279 +aS'from\tfrom\tIN\tB-PP\tO' +p253280 +aS'the\tthe\tDT\tB-NP\tO' +p253281 +aS'wound\twound\tNN\tI-NP\tO' +p253282 +aS'at\tat\tIN\tB-PP\tO' +p253283 +aS'Retelk\tRetelk\tNNP\tB-NP\tO' +p253284 +aS'County\tCounty\tNNP\tI-NP\tO' +p253285 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p253286 +aS'Center\tCenter\tNNP\tI-NP\tO' +p253287 +aS'and\tand\tCC\tO\tO' +p253288 +aS'those\tthose\tDT\tB-NP\tO' +p253289 +aS'also\talso\tRB\tB-ADVP\tO' +p253290 +aS'grew\tgrow\tVBD\tB-VP\tO' +p253291 +aS'out\tout\tRP\tB-PRT\tO' +p253292 +aS'Pseudomonas\tPseudomonas\tNNP\tB-NP\tO' +p253293 +aS'aeruginosa\taeruginosa\tNN\tI-NP\tO' +p253294 +aS'.\t.\t.\tO\tO' +p253295 +asS'Atrioseptal defect repair in 1970 , cardiomyopathy , right-sided congestive heart failure , pulmonary hypertension , history of atrial fibrillation and atrial flutter , history of prostate cancer , status post brachytherapy , history of rectal bleeding , obstructive sleep apnea on CPAP .' +p253296 +(lp253297 +S'Atrioseptal\tAtrioseptal\tJJ\tB-NP\tO' +p253298 +aS'defect\tdefect\tNN\tI-NP\tO' +p253299 +aS'repair\trepair\tNN\tI-NP\tO' +p253300 +aS'in\tin\tIN\tB-PP\tO' +p253301 +aS'1970\t1970\tCD\tB-NP\tO' +p253302 +aS',\t,\t,\tO\tO' +p253303 +aS'cardiomyopathy\tcardiomyopathy\tNN\tB-NP\tO' +p253304 +aS',\t,\t,\tO\tO' +p253305 +aS'right-sided\tright-sided\tJJ\tB-NP\tO' +p253306 +aS'congestive\tcongestive\tJJ\tI-NP\tO' +p253307 +aS'heart\theart\tNN\tI-NP\tO' +p253308 +aS'failure\tfailure\tNN\tI-NP\tO' +p253309 +aS',\t,\t,\tO\tO' +p253310 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p253311 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p253312 +aS',\t,\t,\tO\tO' +p253313 +aS'history\thistory\tNN\tB-NP\tO' +p253314 +aS'of\tof\tIN\tB-PP\tO' +p253315 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p253316 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p253317 +aS'and\tand\tCC\tO\tO' +p253318 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p253319 +aS'flutter\tflutter\tNN\tI-NP\tO' +p253320 +aS',\t,\t,\tO\tO' +p253321 +aS'history\thistory\tNN\tB-NP\tO' +p253322 +aS'of\tof\tIN\tB-PP\tO' +p253323 +aS'prostate\tprostate\tNN\tB-NP\tO' +p253324 +aS'cancer\tcancer\tNN\tI-NP\tO' +p253325 +aS',\t,\t,\tO\tO' +p253326 +aS'status\tstatus\tNN\tB-NP\tO' +p253327 +aS'post\tpost\tNN\tI-NP\tO' +p253328 +aS'brachytherapy\tbrachytherapy\tNN\tI-NP\tO' +p253329 +aS',\t,\t,\tO\tO' +p253330 +aS'history\thistory\tNN\tB-NP\tO' +p253331 +aS'of\tof\tIN\tB-PP\tO' +p253332 +aS'rectal\trectal\tJJ\tB-NP\tO' +p253333 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p253334 +aS',\t,\t,\tO\tO' +p253335 +aS'obstructive\tobstructive\tJJ\tB-NP\tO' +p253336 +aS'sleep\tsleep\tNN\tI-NP\tO' +p253337 +aS'apnea\tapnea\tNN\tI-NP\tO' +p253338 +aS'on\ton\tIN\tB-PP\tO' +p253339 +aS'CPAP\tCPAP\tNN\tB-NP\tB-protein' +p253340 +aS'.\t.\t.\tO\tO' +p253341 +asS'This was repeated on 08-13 .' +p253342 +(lp253343 +S'This\tThis\tDT\tB-NP\tO' +p253344 +aS'was\tbe\tVBD\tB-VP\tO' +p253345 +aS'repeated\trepeat\tVBN\tI-VP\tO' +p253346 +aS'on\ton\tIN\tB-PP\tO' +p253347 +aS'08-13\t08-13\tCD\tB-NP\tO' +p253348 +aS'.\t.\t.\tO\tO' +p253349 +asS'It has been noted to be improving .' +p253350 +(lp253351 +S'It\tIt\tPRP\tB-NP\tO' +p253352 +aS'has\thave\tVBZ\tB-VP\tO' +p253353 +aS'been\tbe\tVBN\tI-VP\tO' +p253354 +aS'noted\tnote\tVBN\tI-VP\tO' +p253355 +aS'to\tto\tTO\tI-VP\tO' +p253356 +aS'be\tbe\tVB\tI-VP\tO' +p253357 +aS'improving\timprove\tVBG\tI-VP\tO' +p253358 +aS'.\t.\t.\tO\tO' +p253359 +asS'The rectal examination was unremarkable .' +p253360 +(lp253361 +S'The\tThe\tDT\tB-NP\tO' +p253362 +aS'rectal\trectal\tJJ\tI-NP\tO' +p253363 +aS'examination\texamination\tNN\tI-NP\tO' +p253364 +aS'was\tbe\tVBD\tB-VP\tO' +p253365 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p253366 +aS'.\t.\t.\tO\tO' +p253367 +asS'Upper lungs are clear .' +p253368 +(lp253369 +S'Upper\tUpper\tNNP\tB-NP\tO' +p253370 +aS'lungs\tlung\tNNS\tI-NP\tO' +p253371 +aS'are\tbe\tVBP\tB-VP\tO' +p253372 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p253373 +aS'.\t.\t.\tO\tO' +p253374 +asS'LEFT CORONARY ARTERY STENOSIS .' +p253375 +(lp253376 +S'LEFT\tLEFT\tNN\tB-NP\tO' +p253377 +aS'CORONARY\tCORONARY\tNN\tI-NP\tO' +p253378 +aS'ARTERY\tARTERY\tNN\tI-NP\tO' +p253379 +aS'STENOSIS\tSTENOSIS\tNN\tI-NP\tO' +p253380 +aS'.\t.\t.\tO\tO' +p253381 +asS'He also had successful extraction of stone fragments .' +p253382 +(lp253383 +S'He\tHe\tPRP\tB-NP\tO' +p253384 +aS'also\talso\tRB\tB-ADVP\tO' +p253385 +aS'had\thave\tVBD\tB-VP\tO' +p253386 +aS'successful\tsuccessful\tJJ\tB-NP\tO' +p253387 +aS'extraction\textraction\tNN\tI-NP\tO' +p253388 +aS'of\tof\tIN\tB-PP\tO' +p253389 +aS'stone\tstone\tNN\tB-NP\tB-protein' +p253390 +aS'fragments\tfragment\tNNS\tI-NP\tI-protein' +p253391 +aS'.\t.\t.\tO\tO' +p253392 +asS'Lung sounds fairly clear .' +p253393 +(lp253394 +S'Lung\tLung\tNN\tB-NP\tO' +p253395 +aS'sounds\tsound\tVBZ\tB-VP\tO' +p253396 +aS'fairly\tfairly\tRB\tB-ADJP\tO' +p253397 +aS'clear\tclear\tJJ\tI-ADJP\tO' +p253398 +aS'.\t.\t.\tO\tO' +p253399 +asS'Normal aortic root diameter .' +p253400 +(lp253401 +S'Normal\tNormal\tJJ\tB-NP\tO' +p253402 +aS'aortic\taortic\tJJ\tI-NP\tO' +p253403 +aS'root\troot\tNN\tI-NP\tO' +p253404 +aS'diameter\tdiameter\tNN\tI-NP\tO' +p253405 +aS'.\t.\t.\tO\tO' +p253406 +asS'1. End-stage renal disease secondary to type 1 diabetes mellitus ; status post renal transplant in 2003 .' +p253407 +(lp253408 +S'1.\t1.\tLS\tB-NP\tO' +p253409 +aS'End-stage\tEnd-stage\tNN\tI-NP\tO' +p253410 +aS'renal\trenal\tJJ\tI-NP\tO' +p253411 +aS'disease\tdisease\tNN\tI-NP\tO' +p253412 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p253413 +aS'to\tto\tTO\tB-PP\tO' +p253414 +aS'type\ttype\tNN\tB-NP\tO' +p253415 +aS'1\t1\tCD\tI-NP\tO' +p253416 +aS'diabetes\tdiabetes\tNN\tI-NP\tO' +p253417 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p253418 +aS';\t;\t:\tO\tO' +p253419 +aS'status\tstatus\tNN\tB-NP\tO' +p253420 +aS'post\tpost\tNN\tI-NP\tO' +p253421 +aS'renal\trenal\tJJ\tI-NP\tO' +p253422 +aS'transplant\ttransplant\tNN\tI-NP\tO' +p253423 +aS'in\tin\tIN\tB-PP\tO' +p253424 +aS'2003\t2003\tCD\tB-NP\tO' +p253425 +aS'.\t.\t.\tO\tO' +p253426 +asS'She was afebrile , in sinus rhythm , pulse 60 .' +p253427 +(lp253428 +S'She\tShe\tPRP\tB-NP\tO' +p253429 +aS'was\tbe\tVBD\tB-VP\tO' +p253430 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p253431 +aS',\t,\t,\tO\tO' +p253432 +aS'in\tin\tIN\tB-PP\tO' +p253433 +aS'sinus\tsinus\tNN\tB-NP\tO' +p253434 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p253435 +aS',\t,\t,\tO\tO' +p253436 +aS'pulse\tpulse\tNN\tB-NP\tO' +p253437 +aS'60\t60\tCD\tI-NP\tO' +p253438 +aS'.\t.\t.\tO\tO' +p253439 +asS'She does well with tube feeds .' +p253440 +(lp253441 +S'She\tShe\tPRP\tB-NP\tO' +p253442 +aS'does\tdo\tVBZ\tB-VP\tO' +p253443 +aS'well\twell\tRB\tB-ADVP\tO' +p253444 +aS'with\twith\tIN\tB-PP\tO' +p253445 +aS'tube\ttube\tNN\tB-NP\tO' +p253446 +aS'feeds\tfeed\tNNS\tI-NP\tO' +p253447 +aS'.\t.\t.\tO\tO' +p253448 +asS'She received ASA , nitro SL then gtt , morphine , metoprolol , and heparin gtt .' +p253449 +(lp253450 +S'She\tShe\tPRP\tB-NP\tO' +p253451 +aS'received\treceive\tVBD\tB-VP\tO' +p253452 +aS'ASA\tASA\tNN\tB-NP\tO' +p253453 +aS',\t,\t,\tO\tO' +p253454 +aS'nitro\tnitro\tNN\tB-NP\tO' +p253455 +aS'SL\tSL\tNNP\tI-NP\tO' +p253456 +aS'then\tthen\tRB\tB-ADVP\tO' +p253457 +aS'gtt\tgtt\tNN\tB-NP\tO' +p253458 +aS',\t,\t,\tO\tO' +p253459 +aS'morphine\tmorphine\tNN\tB-NP\tO' +p253460 +aS',\t,\t,\tO\tO' +p253461 +aS'metoprolol\tmetoprolol\tNN\tB-NP\tO' +p253462 +aS',\t,\t,\tO\tO' +p253463 +aS'and\tand\tCC\tO\tO' +p253464 +aS'heparin\theparin\tNN\tB-NP\tO' +p253465 +aS'gtt\tgtt\tNN\tI-NP\tO' +p253466 +aS'.\t.\t.\tO\tO' +p253467 +asS'Face was symmetric .' +p253468 +(lp253469 +S'Face\tFace\tNNP\tB-NP\tO' +p253470 +aS'was\tbe\tVBD\tB-VP\tO' +p253471 +aS'symmetric\tsymmetric\tJJ\tB-ADJP\tO' +p253472 +aS'.\t.\t.\tO\tO' +p253473 +asS'The lungs are clear to auscultation bilaterally .' +p253474 +(lp253475 +S'The\tThe\tDT\tB-NP\tO' +p253476 +aS'lungs\tlung\tNNS\tI-NP\tO' +p253477 +aS'are\tbe\tVBP\tB-VP\tO' +p253478 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p253479 +aS'to\tto\tTO\tB-PP\tO' +p253480 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p253481 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p253482 +aS'.\t.\t.\tO\tO' +p253483 +asS'5. Status post indirect hyperbilirubinemia .' +p253484 +(lp253485 +S'5.\t5.\tLS\tB-LST\tO' +p253486 +aS'Status\tStatus\tNNP\tB-NP\tO' +p253487 +aS'post\tpost\tIN\tB-PP\tO' +p253488 +aS'indirect\tindirect\tJJ\tB-NP\tO' +p253489 +aS'hyperbilirubinemia\thyperbilirubinemia\tNN\tI-NP\tO' +p253490 +aS'.\t.\t.\tO\tO' +p253491 +asS'A gastric ulcer was found and this was biopsied and pathology is pending at this time .' +p253492 +(lp253493 +S'A\tA\tDT\tB-NP\tO' +p253494 +aS'gastric\tgastric\tJJ\tI-NP\tO' +p253495 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p253496 +aS'was\tbe\tVBD\tB-VP\tO' +p253497 +aS'found\tfind\tVBN\tI-VP\tO' +p253498 +aS'and\tand\tCC\tO\tO' +p253499 +aS'this\tthis\tDT\tB-NP\tO' +p253500 +aS'was\tbe\tVBD\tB-VP\tO' +p253501 +aS'biopsied\tbiopsie\tVBN\tI-VP\tO' +p253502 +aS'and\tand\tCC\tO\tO' +p253503 +aS'pathology\tpathology\tNN\tB-NP\tO' +p253504 +aS'is\tbe\tVBZ\tB-VP\tO' +p253505 +aS'pending\tpende\tVBG\tB-ADJP\tO' +p253506 +aS'at\tat\tIN\tB-PP\tO' +p253507 +aS'this\tthis\tDT\tB-NP\tO' +p253508 +aS'time\ttime\tNN\tI-NP\tO' +p253509 +aS'.\t.\t.\tO\tO' +p253510 +asS'She was seen by Dr. Freiermthalskush of the renal service for management of her chronic renal insufficiency .' +p253511 +(lp253512 +S'She\tShe\tPRP\tB-NP\tO' +p253513 +aS'was\tbe\tVBD\tB-VP\tO' +p253514 +aS'seen\tsee\tVBN\tI-VP\tO' +p253515 +aS'by\tby\tIN\tB-PP\tO' +p253516 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p253517 +aS'Freiermthalskush\tFreiermthalskush\tNNP\tI-NP\tO' +p253518 +aS'of\tof\tIN\tB-PP\tO' +p253519 +aS'the\tthe\tDT\tB-NP\tO' +p253520 +aS'renal\trenal\tJJ\tI-NP\tO' +p253521 +aS'service\tservice\tNN\tI-NP\tO' +p253522 +aS'for\tfor\tIN\tB-PP\tO' +p253523 +aS'management\tmanagement\tNN\tB-NP\tO' +p253524 +aS'of\tof\tIN\tB-PP\tO' +p253525 +aS'her\ther\tPRP$\tB-NP\tO' +p253526 +aS'chronic\tchronic\tJJ\tI-NP\tO' +p253527 +aS'renal\trenal\tJJ\tI-NP\tO' +p253528 +aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' +p253529 +aS'.\t.\t.\tO\tO' +p253530 +asS'On our exam she is found to have a significant amount of ataxia , especially in the midline and the exact cause of this is unknown .' +p253531 +(lp253532 +S'On\tOn\tIN\tB-PP\tO' +p253533 +aS'our\tour\tPRP$\tB-NP\tO' +p253534 +aS'exam\texam\tNN\tI-NP\tO' +p253535 +aS'she\tshe\tPRP\tB-NP\tO' +p253536 +aS'is\tbe\tVBZ\tB-VP\tO' +p253537 +aS'found\tfind\tVBN\tI-VP\tO' +p253538 +aS'to\tto\tTO\tI-VP\tO' +p253539 +aS'have\thave\tVB\tI-VP\tO' +p253540 +aS'a\ta\tDT\tB-NP\tO' +p253541 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p253542 +aS'amount\tamount\tNN\tI-NP\tO' +p253543 +aS'of\tof\tIN\tB-PP\tO' +p253544 +aS'ataxia\tataxia\tNN\tB-NP\tO' +p253545 +aS',\t,\t,\tO\tO' +p253546 +aS'especially\tespecially\tRB\tB-ADVP\tO' +p253547 +aS'in\tin\tIN\tB-PP\tO' +p253548 +aS'the\tthe\tDT\tB-NP\tO' +p253549 +aS'midline\tmidline\tNN\tI-NP\tO' +p253550 +aS'and\tand\tCC\tO\tO' +p253551 +aS'the\tthe\tDT\tB-NP\tO' +p253552 +aS'exact\texact\tJJ\tI-NP\tO' +p253553 +aS'cause\tcause\tNN\tI-NP\tO' +p253554 +aS'of\tof\tIN\tB-PP\tO' +p253555 +aS'this\tthis\tDT\tB-NP\tO' +p253556 +aS'is\tbe\tVBZ\tB-VP\tO' +p253557 +aS'unknown\tunknown\tJJ\tB-ADJP\tO' +p253558 +aS'.\t.\t.\tO\tO' +p253559 +asS"The patient 's respiratory status improved throughout the remainder of her hospitalization and oxygen was eventually weaned ." +p253560 +(lp253561 +S'The\tThe\tDT\tB-NP\tO' +p253562 +aS'patient\tpatient\tNN\tI-NP\tO' +p253563 +aS"'s\t's\tPOS\tB-NP\tO" +p253564 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p253565 +aS'status\tstatus\tNN\tI-NP\tO' +p253566 +aS'improved\timprove\tVBD\tB-VP\tO' +p253567 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p253568 +aS'the\tthe\tDT\tB-NP\tO' +p253569 +aS'remainder\tremainder\tNN\tI-NP\tO' +p253570 +aS'of\tof\tIN\tB-PP\tO' +p253571 +aS'her\ther\tPRP$\tB-NP\tO' +p253572 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p253573 +aS'and\tand\tCC\tI-NP\tO' +p253574 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p253575 +aS'was\tbe\tVBD\tB-VP\tO' +p253576 +aS'eventually\teventually\tRB\tI-VP\tO' +p253577 +aS'weaned\twean\tVBN\tI-VP\tO' +p253578 +aS'.\t.\t.\tO\tO' +p253579 +asS'She is receiving supplemental iron to provide 2 mg per kilo per day as elemental iron .' +p253580 +(lp253581 +S'She\tShe\tPRP\tB-NP\tO' +p253582 +aS'is\tbe\tVBZ\tB-VP\tO' +p253583 +aS'receiving\treceive\tVBG\tI-VP\tO' +p253584 +aS'supplemental\tsupplemental\tJJ\tB-NP\tO' +p253585 +aS'iron\tiron\tNN\tI-NP\tO' +p253586 +aS'to\tto\tTO\tB-VP\tO' +p253587 +aS'provide\tprovide\tVB\tI-VP\tO' +p253588 +aS'2\t2\tCD\tB-NP\tO' +p253589 +aS'mg\tmg\tNN\tI-NP\tO' +p253590 +aS'per\tper\tIN\tB-PP\tO' +p253591 +aS'kilo\tkilo\tNN\tB-NP\tO' +p253592 +aS'per\tper\tIN\tB-PP\tO' +p253593 +aS'day\tday\tNN\tB-NP\tO' +p253594 +aS'as\tas\tIN\tB-PP\tO' +p253595 +aS'elemental\telemental\tJJ\tB-NP\tO' +p253596 +aS'iron\tiron\tNN\tI-NP\tO' +p253597 +aS'.\t.\t.\tO\tO' +p253598 +asS'A CT of her chest revealed bliateral lung nodules and a right thyroid nodule .' +p253599 +(lp253600 +S'A\tA\tDT\tB-NP\tO' +p253601 +aS'CT\tCT\tNN\tI-NP\tO' +p253602 +aS'of\tof\tIN\tB-PP\tO' +p253603 +aS'her\ther\tPRP$\tB-NP\tO' +p253604 +aS'chest\tchest\tNN\tI-NP\tO' +p253605 +aS'revealed\treveal\tVBD\tB-VP\tO' +p253606 +aS'bliateral\tbliateral\tJJ\tB-NP\tO' +p253607 +aS'lung\tlung\tNN\tI-NP\tO' +p253608 +aS'nodules\tnodule\tNNS\tI-NP\tO' +p253609 +aS'and\tand\tCC\tO\tO' +p253610 +aS'a\ta\tDT\tB-NP\tO' +p253611 +aS'right\tright\tJJ\tI-NP\tO' +p253612 +aS'thyroid\tthyroid\tNN\tI-NP\tO' +p253613 +aS'nodule\tnodule\tNN\tI-NP\tO' +p253614 +aS'.\t.\t.\tO\tO' +p253615 +asS'1. Infectious Disease .' +p253616 +(lp253617 +S'1.\t1.\tLS\tB-NP\tO' +p253618 +aS'Infectious\tInfectious\tJJ\tI-NP\tO' +p253619 +aS'Disease\tDisease\tNN\tI-NP\tO' +p253620 +aS'.\t.\t.\tO\tO' +p253621 +asS'13. Peptic ulcer disease status post gastrectomy 30 years ago .' +p253622 +(lp253623 +S'13.\t13.\tLS\tB-NP\tO' +p253624 +aS'Peptic\tPeptic\tJJ\tI-NP\tO' +p253625 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p253626 +aS'disease\tdisease\tNN\tI-NP\tO' +p253627 +aS'status\tstatus\tNN\tI-NP\tO' +p253628 +aS'post\tpost\tNN\tI-NP\tO' +p253629 +aS'gastrectomy\tgastrectomy\tNN\tI-NP\tO' +p253630 +aS'30\t30\tCD\tB-NP\tO' +p253631 +aS'years\tyear\tNNS\tI-NP\tO' +p253632 +aS'ago\tago\tRB\tB-ADVP\tO' +p253633 +aS'.\t.\t.\tO\tO' +p253634 +asS'5) RIGHT LOWER EXTREMITY WOUND .' +p253635 +(lp253636 +S'5)\t5)\tLS\tB-NP\tO' +p253637 +aS'RIGHT\tRIGHT\tNN\tI-NP\tO' +p253638 +aS'LOWER\tLOWER\tNN\tI-NP\tO' +p253639 +aS'EXTREMITY\tEXTREMITY\tNN\tI-NP\tO' +p253640 +aS'WOUND\tWOUND\tNN\tI-NP\tO' +p253641 +aS'.\t.\t.\tO\tO' +p253642 +asS'The patient was admitted for cardiac catheterization in early December , 1993 .' +p253643 +(lp253644 +S'The\tThe\tDT\tB-NP\tO' +p253645 +aS'patient\tpatient\tNN\tI-NP\tO' +p253646 +aS'was\tbe\tVBD\tB-VP\tO' +p253647 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p253648 +aS'for\tfor\tIN\tB-PP\tO' +p253649 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p253650 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p253651 +aS'in\tin\tIN\tB-PP\tO' +p253652 +aS'early\tearly\tJJ\tB-NP\tO' +p253653 +aS'December\tDecember\tNNP\tI-NP\tO' +p253654 +aS',\t,\t,\tO\tO' +p253655 +aS'1993\t1993\tCD\tB-NP\tO' +p253656 +aS'.\t.\t.\tO\tO' +p253657 +asS'Oropharynx is clear .' +p253658 +(lp253659 +S'Oropharynx\tOropharynx\tNNP\tB-NP\tO' +p253660 +aS'is\tbe\tVBZ\tB-VP\tO' +p253661 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p253662 +aS'.\t.\t.\tO\tO' +p253663 +asS'No retinal hemorrhages .' +p253664 +(lp253665 +S'No\tNo\tDT\tB-NP\tO' +p253666 +aS'retinal\tretinal\tJJ\tI-NP\tO' +p253667 +aS'hemorrhages\themorrhage\tNNS\tI-NP\tO' +p253668 +aS'.\t.\t.\tO\tO' +p253669 +asS'Patient was admited , pain was managed with a PCA and later with PO medication .' +p253670 +(lp253671 +S'Patient\tPatient\tNN\tB-NP\tO' +p253672 +aS'was\tbe\tVBD\tB-VP\tO' +p253673 +aS'admited\tadmit\tVBN\tI-VP\tO' +p253674 +aS',\t,\t,\tO\tO' +p253675 +aS'pain\tpain\tNN\tB-NP\tO' +p253676 +aS'was\tbe\tVBD\tB-VP\tO' +p253677 +aS'managed\tmanage\tVBN\tI-VP\tO' +p253678 +aS'with\twith\tIN\tB-PP\tO' +p253679 +aS'a\ta\tDT\tB-NP\tO' +p253680 +aS'PCA\tPCA\tNN\tI-NP\tB-protein' +p253681 +aS'and\tand\tCC\tO\tO' +p253682 +aS'later\tlater\tRB\tB-ADVP\tO' +p253683 +aS'with\twith\tIN\tB-PP\tO' +p253684 +aS'PO\tPO\tNN\tB-NP\tO' +p253685 +aS'medication\tmedication\tNN\tI-NP\tO' +p253686 +aS'.\t.\t.\tO\tO' +p253687 +asS'There is no family history of hematologic problems .' +p253688 +(lp253689 +S'There\tThere\tEX\tB-NP\tO' +p253690 +aS'is\tbe\tVBZ\tB-VP\tO' +p253691 +aS'no\tno\tDT\tB-NP\tO' +p253692 +aS'family\tfamily\tNN\tI-NP\tO' +p253693 +aS'history\thistory\tNN\tI-NP\tO' +p253694 +aS'of\tof\tIN\tB-PP\tO' +p253695 +aS'hematologic\thematologic\tJJ\tB-NP\tB-cell_type' +p253696 +aS'problems\tproblem\tNNS\tI-NP\tI-cell_type' +p253697 +aS'.\t.\t.\tO\tO' +p253698 +asS'This is an addendum to the discharge summary for the admission starting 2012-01-05 .' +p253699 +(lp253700 +S'This\tThis\tDT\tB-NP\tO' +p253701 +aS'is\tbe\tVBZ\tB-VP\tO' +p253702 +aS'an\tan\tDT\tB-NP\tO' +p253703 +aS'addendum\taddendum\tNN\tI-NP\tO' +p253704 +aS'to\tto\tTO\tB-PP\tO' +p253705 +aS'the\tthe\tDT\tB-NP\tO' +p253706 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p253707 +aS'summary\tsummary\tNN\tI-NP\tO' +p253708 +aS'for\tfor\tIN\tB-PP\tO' +p253709 +aS'the\tthe\tDT\tB-NP\tO' +p253710 +aS'admission\tadmission\tNN\tI-NP\tO' +p253711 +aS'starting\tstart\tVBG\tB-VP\tO' +p253712 +aS'2012-01-05\t2012-01-05\tCD\tB-NP\tO' +p253713 +aS'.\t.\t.\tO\tO' +p253714 +asS'On 05-03 the patient underwent an abdominal ultrasound with paracentesis , and 5 liters of fluid were removed .' +p253715 +(lp253716 +S'On\tOn\tIN\tB-PP\tO' +p253717 +aS'05-03\t05-03\tCD\tB-NP\tO' +p253718 +aS'the\tthe\tDT\tB-NP\tO' +p253719 +aS'patient\tpatient\tNN\tI-NP\tO' +p253720 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p253721 +aS'an\tan\tDT\tB-NP\tO' +p253722 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p253723 +aS'ultrasound\tultrasound\tNN\tI-NP\tO' +p253724 +aS'with\twith\tIN\tB-PP\tO' +p253725 +aS'paracentesis\tparacentesis\tNN\tB-NP\tO' +p253726 +aS',\t,\t,\tO\tO' +p253727 +aS'and\tand\tCC\tO\tO' +p253728 +aS'5\t5\tCD\tB-NP\tO' +p253729 +aS'liters\tliter\tNNS\tI-NP\tO' +p253730 +aS'of\tof\tIN\tB-PP\tO' +p253731 +aS'fluid\tfluid\tNN\tB-NP\tO' +p253732 +aS'were\tbe\tVBD\tB-VP\tO' +p253733 +aS'removed\tremove\tVBN\tI-VP\tO' +p253734 +aS'.\t.\t.\tO\tO' +p253735 +asS'12. Insulin 45 NPH in am with 33 NPH at bedtime' +p253736 +(lp253737 +S'12.\t12.\tCD\tB-NP\tO' +p253738 +aS'Insulin\tInsulin\tNN\tI-NP\tO' +p253739 +aS'45\t45\tCD\tB-NP\tO' +p253740 +aS'NPH\tNPH\tNN\tI-NP\tO' +p253741 +aS'in\tin\tIN\tB-PP\tO' +p253742 +aS'am\tam\tNN\tB-NP\tO' +p253743 +aS'with\twith\tIN\tB-PP\tO' +p253744 +aS'33\t33\tCD\tB-NP\tO' +p253745 +aS'NPH\tNPH\tNN\tI-NP\tO' +p253746 +aS'at\tat\tIN\tB-PP\tO' +p253747 +aS'bedtime\tbedtime\tNN\tB-NP\tO' +p253748 +asS'He also received Lipitor 80 mg , Plavix 300 , heparin IV , integrelin double bolus , followed by a drip .' +p253749 +(lp253750 +S'He\tHe\tPRP\tB-NP\tO' +p253751 +aS'also\talso\tRB\tB-ADVP\tO' +p253752 +aS'received\treceive\tVBD\tB-VP\tO' +p253753 +aS'Lipitor\tLipitor\tNN\tB-NP\tO' +p253754 +aS'80\t80\tCD\tI-NP\tO' +p253755 +aS'mg\tmg\tNN\tI-NP\tO' +p253756 +aS',\t,\t,\tO\tO' +p253757 +aS'Plavix\tPlavix\tNN\tB-NP\tB-protein' +p253758 +aS'300\t300\tCD\tI-NP\tI-protein' +p253759 +aS',\t,\t,\tO\tO' +p253760 +aS'heparin\theparin\tNN\tB-NP\tB-protein' +p253761 +aS'IV\tIV\tCD\tI-NP\tI-protein' +p253762 +aS',\t,\t,\tO\tO' +p253763 +aS'integrelin\tintegrelin\tNN\tB-NP\tO' +p253764 +aS'double\tdouble\tJJ\tI-NP\tO' +p253765 +aS'bolus\tbolus\tNN\tI-NP\tO' +p253766 +aS',\t,\t,\tO\tO' +p253767 +aS'followed\tfollow\tVBN\tB-VP\tO' +p253768 +aS'by\tby\tIN\tB-PP\tO' +p253769 +aS'a\ta\tDT\tB-NP\tO' +p253770 +aS'drip\tdrip\tNN\tI-NP\tO' +p253771 +aS'.\t.\t.\tO\tO' +p253772 +asS'Palpable DP s bilaterally .' +p253773 +(lp253774 +S'Palpable\tPalpable\tJJ\tB-NP\tO' +p253775 +aS'DP\tDP\tNN\tI-NP\tO' +p253776 +aS's\ts\tVBZ\tB-VP\tO' +p253777 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p253778 +aS'.\t.\t.\tO\tO' +p253779 +asS'The patient has gastroesophageal reflux disease , for which he has been receiving Zantac as an inpatient .' +p253780 +(lp253781 +S'The\tThe\tDT\tB-NP\tO' +p253782 +aS'patient\tpatient\tNN\tI-NP\tO' +p253783 +aS'has\thave\tVBZ\tB-VP\tO' +p253784 +aS'gastroesophageal\tgastroesophageal\tJJ\tB-NP\tO' +p253785 +aS'reflux\treflux\tNN\tI-NP\tO' +p253786 +aS'disease\tdisease\tNN\tI-NP\tO' +p253787 +aS',\t,\t,\tO\tO' +p253788 +aS'for\tfor\tIN\tB-PP\tO' +p253789 +aS'which\twhich\tWDT\tB-NP\tO' +p253790 +aS'he\the\tPRP\tB-NP\tO' +p253791 +aS'has\thave\tVBZ\tB-VP\tO' +p253792 +aS'been\tbe\tVBN\tI-VP\tO' +p253793 +aS'receiving\treceive\tVBG\tI-VP\tO' +p253794 +aS'Zantac\tZantac\tNN\tB-NP\tO' +p253795 +aS'as\tas\tIN\tB-PP\tO' +p253796 +aS'an\tan\tDT\tB-NP\tO' +p253797 +aS'inpatient\tinpatient\tNN\tI-NP\tO' +p253798 +aS'.\t.\t.\tO\tO' +p253799 +asS'#. Code : DNR/DNI/CMO verified with Robert Marks 2018-05-29' +p253800 +(lp253801 +S'#.\t#.\tRB\tB-ADVP\tO' +p253802 +aS'Code\tCode\tNNP\tB-NP\tO' +p253803 +aS':\t:\t:\tO\tO' +p253804 +aS'DNR/DNI/CMO\tDNR/DNI/CMO\tNN\tB-NP\tO' +p253805 +aS'verified\tverify\tVBN\tB-VP\tO' +p253806 +aS'with\twith\tIN\tB-PP\tO' +p253807 +aS'Robert\tRobert\tNNP\tB-NP\tO' +p253808 +aS'Marks\tMarks\tNNP\tI-NP\tO' +p253809 +aS'2018-05-29\t2018-05-29\t.\tO\tO' +p253810 +asS'His aorta was cross clamped for 168 minutes .' +p253811 +(lp253812 +S'His\tHis\tPRP$\tB-NP\tO' +p253813 +aS'aorta\taorta\tNN\tI-NP\tO' +p253814 +aS'was\tbe\tVBD\tB-VP\tO' +p253815 +aS'cross\tcross\tRB\tI-VP\tO' +p253816 +aS'clamped\tclamp\tVBN\tI-VP\tO' +p253817 +aS'for\tfor\tIN\tB-PP\tO' +p253818 +aS'168\t168\tCD\tB-NP\tO' +p253819 +aS'minutes\tminute\tNNS\tI-NP\tO' +p253820 +aS'.\t.\t.\tO\tO' +p253821 +asS'He also has had urine and blood cultures sent from the ED on 04/05 and was empirically started on avalox last pm .' +p253822 +(lp253823 +S'He\tHe\tPRP\tB-NP\tO' +p253824 +aS'also\talso\tRB\tB-ADVP\tO' +p253825 +aS'has\thave\tVBZ\tB-VP\tO' +p253826 +aS'had\thave\tVBN\tI-VP\tO' +p253827 +aS'urine\turine\tNN\tB-NP\tO' +p253828 +aS'and\tand\tCC\tI-NP\tO' +p253829 +aS'blood\tblood\tNN\tI-NP\tO' +p253830 +aS'cultures\tculture\tNNS\tI-NP\tO' +p253831 +aS'sent\tsend\tVBN\tB-VP\tO' +p253832 +aS'from\tfrom\tIN\tB-PP\tO' +p253833 +aS'the\tthe\tDT\tB-NP\tO' +p253834 +aS'ED\tED\tNN\tI-NP\tO' +p253835 +aS'on\ton\tIN\tB-PP\tO' +p253836 +aS'04/05\t04/05\tCD\tB-NP\tO' +p253837 +aS'and\tand\tCC\tO\tO' +p253838 +aS'was\tbe\tVBD\tB-VP\tO' +p253839 +aS'empirically\tempirically\tRB\tI-VP\tO' +p253840 +aS'started\tstart\tVBN\tI-VP\tO' +p253841 +aS'on\ton\tIN\tB-PP\tO' +p253842 +aS'avalox\tavalox\tNN\tB-NP\tO' +p253843 +aS'last\tlast\tJJ\tB-NP\tO' +p253844 +aS'pm\tpm\tNN\tI-NP\tO' +p253845 +aS'.\t.\t.\tO\tO' +p253846 +asS"The decision was made to have the patient undergo a cardiac catheterization to fully evaluate the hemodynamics to determine the etiology of the patient 's heart failure ." +p253847 +(lp253848 +S'The\tThe\tDT\tB-NP\tO' +p253849 +aS'decision\tdecision\tNN\tI-NP\tO' +p253850 +aS'was\tbe\tVBD\tB-VP\tO' +p253851 +aS'made\tmake\tVBN\tI-VP\tO' +p253852 +aS'to\tto\tTO\tI-VP\tO' +p253853 +aS'have\thave\tVB\tI-VP\tO' +p253854 +aS'the\tthe\tDT\tB-NP\tO' +p253855 +aS'patient\tpatient\tNN\tI-NP\tO' +p253856 +aS'undergo\tundergo\tVBP\tB-VP\tO' +p253857 +aS'a\ta\tDT\tB-NP\tO' +p253858 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p253859 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p253860 +aS'to\tto\tTO\tB-VP\tO' +p253861 +aS'fully\tfully\tRB\tI-VP\tO' +p253862 +aS'evaluate\tevaluate\tVB\tI-VP\tO' +p253863 +aS'the\tthe\tDT\tB-NP\tO' +p253864 +aS'hemodynamics\themodynamic\tNNS\tI-NP\tO' +p253865 +aS'to\tto\tTO\tB-VP\tO' +p253866 +aS'determine\tdetermine\tVB\tI-VP\tO' +p253867 +aS'the\tthe\tDT\tB-NP\tO' +p253868 +aS'etiology\tetiology\tNN\tI-NP\tO' +p253869 +aS'of\tof\tIN\tB-PP\tO' +p253870 +aS'the\tthe\tDT\tB-NP\tO' +p253871 +aS'patient\tpatient\tNN\tI-NP\tO' +p253872 +aS"'s\t's\tPOS\tB-NP\tO" +p253873 +aS'heart\theart\tNN\tI-NP\tO' +p253874 +aS'failure\tfailure\tNN\tI-NP\tO' +p253875 +aS'.\t.\t.\tO\tO' +p253876 +asS'NSR at 62 , nl axis , nl intervals , Q waves in III , avR , V1 .' +p253877 +(lp253878 +S'NSR\tNSR\tNN\tB-NP\tB-protein' +p253879 +aS'at\tat\tIN\tB-PP\tO' +p253880 +aS'62\t62\tCD\tB-NP\tO' +p253881 +aS',\t,\t,\tO\tO' +p253882 +aS'nl\tnl\tNN\tB-NP\tO' +p253883 +aS'axis\taxis\tNN\tI-NP\tO' +p253884 +aS',\t,\t,\tO\tO' +p253885 +aS'nl\tnl\tNN\tB-NP\tO' +p253886 +aS'intervals\tinterval\tNNS\tI-NP\tO' +p253887 +aS',\t,\t,\tO\tO' +p253888 +aS'Q\tQ\tNNP\tB-NP\tO' +p253889 +aS'waves\twave\tNNS\tI-NP\tO' +p253890 +aS'in\tin\tIN\tB-PP\tO' +p253891 +aS'III\tIII\tCD\tB-NP\tO' +p253892 +aS',\t,\t,\tO\tO' +p253893 +aS'avR\tavR\tNN\tB-NP\tO' +p253894 +aS',\t,\t,\tO\tO' +p253895 +aS'V1\tV1\tNN\tB-NP\tO' +p253896 +aS'.\t.\t.\tO\tO' +p253897 +asS'Gen - Sedated and intubated .' +p253898 +(lp253899 +S'Gen\tGen\tNN\tB-NP\tB-protein' +p253900 +aS'-\t-\tHYPH\tO\tO' +p253901 +aS'Sedated\tSedate\tVBN\tB-VP\tO' +p253902 +aS'and\tand\tCC\tI-VP\tO' +p253903 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p253904 +aS'.\t.\t.\tO\tO' +p253905 +asS'The patient is a 38-year-old gentleman , Spanish-speaking , from the Taheimpromong , with no significant past medical history , who presents with shortness of breath x 2 months as well as a dry cough x 1 month .' +p253906 +(lp253907 +S'The\tThe\tDT\tB-NP\tO' +p253908 +aS'patient\tpatient\tNN\tI-NP\tO' +p253909 +aS'is\tbe\tVBZ\tB-VP\tO' +p253910 +aS'a\ta\tDT\tB-NP\tO' +p253911 +aS'38-year-old\t38-year-old\tJJ\tI-NP\tO' +p253912 +aS'gentleman\tgentleman\tNN\tI-NP\tO' +p253913 +aS',\t,\t,\tO\tO' +p253914 +aS'Spanish-speaking\tSpanish-speaking\tNN\tB-NP\tO' +p253915 +aS',\t,\t,\tO\tO' +p253916 +aS'from\tfrom\tIN\tB-PP\tO' +p253917 +aS'the\tthe\tDT\tB-NP\tO' +p253918 +aS'Taheimpromong\tTaheimpromong\tNNP\tI-NP\tO' +p253919 +aS',\t,\t,\tO\tO' +p253920 +aS'with\twith\tIN\tB-PP\tO' +p253921 +aS'no\tno\tDT\tB-NP\tO' +p253922 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p253923 +aS'past\tpast\tJJ\tI-NP\tO' +p253924 +aS'medical\tmedical\tJJ\tI-NP\tO' +p253925 +aS'history\thistory\tNN\tI-NP\tO' +p253926 +aS',\t,\t,\tO\tO' +p253927 +aS'who\twho\tWP\tB-NP\tO' +p253928 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p253929 +aS'with\twith\tIN\tB-PP\tO' +p253930 +aS'shortness\tshortness\tNN\tB-NP\tO' +p253931 +aS'of\tof\tIN\tB-PP\tO' +p253932 +aS'breath\tbreath\tNN\tB-NP\tO' +p253933 +aS'x\tx\tSYM\tO\tO' +p253934 +aS'2\t2\tCD\tB-NP\tO' +p253935 +aS'months\tmonth\tNNS\tI-NP\tO' +p253936 +aS'as\tas\tRB\tB-CONJP\tO' +p253937 +aS'well\twell\tRB\tI-CONJP\tO' +p253938 +aS'as\tas\tIN\tI-CONJP\tO' +p253939 +aS'a\ta\tDT\tB-NP\tO' +p253940 +aS'dry\tdry\tJJ\tI-NP\tO' +p253941 +aS'cough\tcough\tNN\tI-NP\tO' +p253942 +aS'x\tx\tSYM\tB-NP\tO' +p253943 +aS'1\t1\tCD\tI-NP\tO' +p253944 +aS'month\tmonth\tNN\tI-NP\tO' +p253945 +aS'.\t.\t.\tO\tO' +p253946 +asS'The carotids were 1+ without bruits .' +p253947 +(lp253948 +S'The\tThe\tDT\tB-NP\tO' +p253949 +aS'carotids\tcarotid\tNNS\tI-NP\tO' +p253950 +aS'were\tbe\tVBD\tB-VP\tO' +p253951 +aS'1+\t1+\tJJ\tB-ADJP\tO' +p253952 +aS'without\twithout\tIN\tB-PP\tO' +p253953 +aS'bruits\tbruit\tNNS\tB-NP\tO' +p253954 +aS'.\t.\t.\tO\tO' +p253955 +asS'7. Urinary tract infection .' +p253956 +(lp253957 +S'7.\t7.\tLS\tB-NP\tO' +p253958 +aS'Urinary\tUrinary\tJJ\tI-NP\tO' +p253959 +aS'tract\ttract\tNN\tI-NP\tO' +p253960 +aS'infection\tinfection\tNN\tI-NP\tO' +p253961 +aS'.\t.\t.\tO\tO' +p253962 +asS'He also had multifocal ventricular ectopy at that time .' +p253963 +(lp253964 +S'He\tHe\tPRP\tB-NP\tO' +p253965 +aS'also\talso\tRB\tB-ADVP\tO' +p253966 +aS'had\thave\tVBD\tB-VP\tO' +p253967 +aS'multifocal\tmultifocal\tJJ\tB-NP\tO' +p253968 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p253969 +aS'ectopy\tectopy\tNN\tI-NP\tO' +p253970 +aS'at\tat\tIN\tB-PP\tO' +p253971 +aS'that\tthat\tDT\tB-NP\tO' +p253972 +aS'time\ttime\tNN\tI-NP\tO' +p253973 +aS'.\t.\t.\tO\tO' +p253974 +asS'No grunting , flaring , or retracting .' +p253975 +(lp253976 +S'No\tNo\tDT\tB-NP\tO' +p253977 +aS'grunting\tgrunting\tNN\tI-NP\tO' +p253978 +aS',\t,\t,\tO\tO' +p253979 +aS'flaring\tflaring\tNN\tB-NP\tO' +p253980 +aS',\t,\t,\tO\tO' +p253981 +aS'or\tor\tCC\tO\tO' +p253982 +aS'retracting\tretract\tVBG\tB-VP\tO' +p253983 +aS'.\t.\t.\tO\tO' +p253984 +asS'Intramuscular as well as intravenous Haldol were ordered p.r.n. for emergency use should he become acutely agitated .' +p253985 +(lp253986 +S'Intramuscular\tIntramuscular\tJJ\tO\tO' +p253987 +aS'as\tas\tRB\tB-CONJP\tO' +p253988 +aS'well\twell\tRB\tI-CONJP\tO' +p253989 +aS'as\tas\tIN\tI-CONJP\tO' +p253990 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p253991 +aS'Haldol\tHaldol\tNN\tI-NP\tO' +p253992 +aS'were\tbe\tVBD\tB-VP\tO' +p253993 +aS'ordered\torder\tVBN\tI-VP\tO' +p253994 +aS'p.r.n.\tp.r.n.\tRB\tB-ADVP\tO' +p253995 +aS'for\tfor\tIN\tB-PP\tO' +p253996 +aS'emergency\temergency\tNN\tB-NP\tO' +p253997 +aS'use\tuse\tNN\tI-NP\tO' +p253998 +aS'should\tshould\tMD\tO\tO' +p253999 +aS'he\the\tPRP\tB-NP\tO' +p254000 +aS'become\tbecome\tVB\tB-VP\tO' +p254001 +aS'acutely\tacutely\tRB\tB-ADJP\tO' +p254002 +aS'agitated\tagitate\tVBN\tI-ADJP\tO' +p254003 +aS'.\t.\t.\tO\tO' +p254004 +asS'10/4/88 .' +p254005 +(lp254006 +S'10/4/88\t10/4/88\tCD\tB-NP\tO' +p254007 +aS'.\t.\t.\tO\tO' +p254008 +asS'Benadryl 25 to 50 mg. po. qhs prn .' +p254009 +(lp254010 +S'Benadryl\tBenadryl\tNN\tB-NP\tO' +p254011 +aS'25\t25\tCD\tI-NP\tO' +p254012 +aS'to\tto\tTO\tI-NP\tO' +p254013 +aS'50\t50\tCD\tI-NP\tO' +p254014 +aS'mg.\tmg.\tNN\tI-NP\tO' +p254015 +aS'po.\tpo.\tNN\tI-NP\tO' +p254016 +aS'qhs\tqh\tNNS\tI-NP\tO' +p254017 +aS'prn\tprn\tNN\tI-NP\tO' +p254018 +aS'.\t.\t.\tO\tO' +p254019 +asS'Following evaluation and treatment , the patient 's disposition at the end of the visit was admitted as an inpatient to Ro Woodma Healthcare .' +p254020 +(lp254021 +S'Following\tFollow\tVBG\tB-PP\tO' +p254022 +aS'evaluation\tevaluation\tNN\tB-NP\tO' +p254023 +aS'and\tand\tCC\tI-NP\tO' +p254024 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p254025 +aS',\t,\t,\tO\tO' +p254026 +aS'the\tthe\tDT\tB-NP\tO' +p254027 +aS'patient\tpatient\tNN\tI-NP\tO' +p254028 +aS''s\t'\tNNS\tI-NP\tO' +p254029 +aS'disposition\tdisposition\tNN\tI-NP\tO' +p254030 +aS'at\tat\tIN\tB-PP\tO' +p254031 +aS'the\tthe\tDT\tB-NP\tO' +p254032 +aS'end\tend\tNN\tI-NP\tO' +p254033 +aS'of\tof\tIN\tB-PP\tO' +p254034 +aS'the\tthe\tDT\tB-NP\tO' +p254035 +aS'visit\tvisit\tNN\tI-NP\tO' +p254036 +aS'was\tbe\tVBD\tB-VP\tO' +p254037 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p254038 +aS'as\tas\tIN\tB-PP\tO' +p254039 +aS'an\tan\tDT\tB-NP\tO' +p254040 +aS'inpatient\tinpatient\tNN\tI-NP\tO' +p254041 +aS'to\tto\tTO\tB-PP\tO' +p254042 +aS'Ro\tRo\tNNP\tB-NP\tO' +p254043 +aS'Woodma\tWoodma\tNNP\tI-NP\tO' +p254044 +aS'Healthcare\tHealthcare\tNNP\tI-NP\tO' +p254045 +aS'.\t.\t.\tO\tO' +p254046 +asS'He has a father who had dementia .' +p254047 +(lp254048 +S'He\tHe\tPRP\tB-NP\tO' +p254049 +aS'has\thave\tVBZ\tB-VP\tO' +p254050 +aS'a\ta\tDT\tB-NP\tO' +p254051 +aS'father\tfather\tNN\tI-NP\tO' +p254052 +aS'who\twho\tWP\tB-NP\tO' +p254053 +aS'had\thave\tVBD\tB-VP\tO' +p254054 +aS'dementia\tdementia\tNN\tB-NP\tO' +p254055 +aS'.\t.\t.\tO\tO' +p254056 +asS'The patient 's penile ulcer was cultured and grew positive herpes simplex virus and the patient was started on Acyclovir .' +p254057 +(lp254058 +S'The\tThe\tDT\tB-NP\tO' +p254059 +aS'patient\tpatient\tNN\tI-NP\tO' +p254060 +aS''s\t'\tNNS\tI-NP\tO' +p254061 +aS'penile\tpenile\tJJ\tB-NP\tO' +p254062 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p254063 +aS'was\tbe\tVBD\tB-VP\tO' +p254064 +aS'cultured\tculture\tVBN\tI-VP\tO' +p254065 +aS'and\tand\tCC\tO\tO' +p254066 +aS'grew\tgrow\tVBD\tB-VP\tO' +p254067 +aS'positive\tpositive\tJJ\tB-NP\tO' +p254068 +aS'herpes\therpes\tNN\tI-NP\tO' +p254069 +aS'simplex\tsimplex\tNN\tI-NP\tO' +p254070 +aS'virus\tvirus\tNN\tI-NP\tO' +p254071 +aS'and\tand\tCC\tO\tO' +p254072 +aS'the\tthe\tDT\tB-NP\tO' +p254073 +aS'patient\tpatient\tNN\tI-NP\tO' +p254074 +aS'was\tbe\tVBD\tB-VP\tO' +p254075 +aS'started\tstart\tVBN\tI-VP\tO' +p254076 +aS'on\ton\tIN\tB-PP\tO' +p254077 +aS'Acyclovir\tAcyclovir\tNN\tB-NP\tO' +p254078 +aS'.\t.\t.\tO\tO' +p254079 +asS'IX , X: Palatal elevation symmetrical .' +p254080 +(lp254081 +S'IX\tIX\tCD\tB-NP\tO' +p254082 +aS',\t,\t,\tO\tO' +p254083 +aS'X:\tX:\tNNP\tB-NP\tO' +p254084 +aS'Palatal\tPalatal\tNNP\tI-NP\tO' +p254085 +aS'elevation\televation\tNN\tI-NP\tO' +p254086 +aS'symmetrical\tsymmetrical\tNN\tI-NP\tO' +p254087 +aS'.\t.\t.\tO\tO' +p254088 +asS'Clear to auscultation bilaterally , no wheezes , rales , or rhonchi .' +p254089 +(lp254090 +S'Clear\tClear\tJJ\tB-ADJP\tO' +p254091 +aS'to\tto\tTO\tB-PP\tO' +p254092 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p254093 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p254094 +aS',\t,\t,\tO\tO' +p254095 +aS'no\tno\tDT\tB-NP\tO' +p254096 +aS'wheezes\twheeze\tNNS\tI-NP\tO' +p254097 +aS',\t,\t,\tO\tO' +p254098 +aS'rales\trale\tNNS\tB-NP\tO' +p254099 +aS',\t,\t,\tO\tO' +p254100 +aS'or\tor\tCC\tO\tO' +p254101 +aS'rhonchi\trhonchi\tNN\tB-NP\tO' +p254102 +aS'.\t.\t.\tO\tO' +p254103 +asS'Then progressed to withdrawal of care 05-06 with plan to extubate 05-07 .' +p254104 +(lp254105 +S'Then\tThen\tRB\tO\tO' +p254106 +aS'progressed\tprogress\tVBN\tB-VP\tO' +p254107 +aS'to\tto\tTO\tB-PP\tO' +p254108 +aS'withdrawal\twithdrawal\tNN\tB-NP\tO' +p254109 +aS'of\tof\tIN\tB-PP\tO' +p254110 +aS'care\tcare\tNN\tB-NP\tO' +p254111 +aS'05-06\t05-06\tCD\tI-NP\tO' +p254112 +aS'with\twith\tIN\tB-PP\tO' +p254113 +aS'plan\tplan\tNN\tB-NP\tO' +p254114 +aS'to\tto\tTO\tB-VP\tO' +p254115 +aS'extubate\textubate\tVB\tI-VP\tO' +p254116 +aS'05-07\t05-07\tCD\tB-NP\tO' +p254117 +aS'.\t.\t.\tO\tO' +p254118 +asS'However , mammography repeated in October 1991 showed bilateral breast masses , suspicious for carcinoma .' +p254119 +(lp254120 +S'However\tHowever\tRB\tB-ADVP\tO' +p254121 +aS',\t,\t,\tO\tO' +p254122 +aS'mammography\tmammography\tNN\tB-NP\tO' +p254123 +aS'repeated\trepeat\tVBN\tB-VP\tO' +p254124 +aS'in\tin\tIN\tB-PP\tO' +p254125 +aS'October\tOctober\tNNP\tB-NP\tO' +p254126 +aS'1991\t1991\tCD\tI-NP\tO' +p254127 +aS'showed\tshow\tVBD\tB-VP\tO' +p254128 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p254129 +aS'breast\tbreast\tNN\tI-NP\tO' +p254130 +aS'masses\tmass\tNNS\tI-NP\tO' +p254131 +aS',\t,\t,\tO\tO' +p254132 +aS'suspicious\tsuspicious\tJJ\tB-ADJP\tO' +p254133 +aS'for\tfor\tIN\tB-PP\tO' +p254134 +aS'carcinoma\tcarcinoma\tNN\tB-NP\tO' +p254135 +aS'.\t.\t.\tO\tO' +p254136 +asS'On the following day , 3/11/02 , a fistulogram was obtained which was negative for a fistula from the bowel to the wound .' +p254137 +(lp254138 +S'On\tOn\tIN\tB-PP\tO' +p254139 +aS'the\tthe\tDT\tB-NP\tO' +p254140 +aS'following\tfollow\tVBG\tI-NP\tO' +p254141 +aS'day\tday\tNN\tI-NP\tO' +p254142 +aS',\t,\t,\tO\tO' +p254143 +aS'3/11/02\t3/11/02\tCD\tB-NP\tO' +p254144 +aS',\t,\t,\tO\tO' +p254145 +aS'a\ta\tDT\tB-NP\tO' +p254146 +aS'fistulogram\tfistulogram\tNN\tI-NP\tO' +p254147 +aS'was\tbe\tVBD\tB-VP\tO' +p254148 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p254149 +aS'which\twhich\tWDT\tB-NP\tO' +p254150 +aS'was\tbe\tVBD\tB-VP\tO' +p254151 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p254152 +aS'for\tfor\tIN\tB-PP\tO' +p254153 +aS'a\ta\tDT\tB-NP\tO' +p254154 +aS'fistula\tfistula\tNN\tI-NP\tO' +p254155 +aS'from\tfrom\tIN\tB-PP\tO' +p254156 +aS'the\tthe\tDT\tB-NP\tO' +p254157 +aS'bowel\tbowel\tNN\tI-NP\tO' +p254158 +aS'to\tto\tTO\tB-PP\tO' +p254159 +aS'the\tthe\tDT\tB-NP\tO' +p254160 +aS'wound\twound\tNN\tI-NP\tO' +p254161 +aS'.\t.\t.\tO\tO' +p254162 +asS'The patient is a 48 - year-old woman who was transferred from Shaugnessy-Kaplan Rehab Hospital .' +p254163 +(lp254164 +S'The\tThe\tDT\tB-NP\tO' +p254165 +aS'patient\tpatient\tNN\tI-NP\tO' +p254166 +aS'is\tbe\tVBZ\tB-VP\tO' +p254167 +aS'a\ta\tDT\tB-NP\tO' +p254168 +aS'48\t48\tCD\tI-NP\tO' +p254169 +aS'-\t-\tHYPH\tI-NP\tO' +p254170 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p254171 +aS'woman\twoman\tNN\tI-NP\tO' +p254172 +aS'who\twho\tWP\tB-NP\tO' +p254173 +aS'was\tbe\tVBD\tB-VP\tO' +p254174 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p254175 +aS'from\tfrom\tIN\tB-PP\tO' +p254176 +aS'Shaugnessy-Kaplan\tShaugnessy-Kaplan\tNNP\tB-NP\tO' +p254177 +aS'Rehab\tRehab\tNNP\tI-NP\tO' +p254178 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p254179 +aS'.\t.\t.\tO\tO' +p254180 +asS'The patient received a full course of Flagyl and was C. difficile toxin negative times three prior to transfer .' +p254181 +(lp254182 +S'The\tThe\tDT\tB-NP\tO' +p254183 +aS'patient\tpatient\tNN\tI-NP\tO' +p254184 +aS'received\treceive\tVBD\tB-VP\tO' +p254185 +aS'a\ta\tDT\tB-NP\tO' +p254186 +aS'full\tfull\tJJ\tI-NP\tO' +p254187 +aS'course\tcourse\tNN\tI-NP\tO' +p254188 +aS'of\tof\tIN\tB-PP\tO' +p254189 +aS'Flagyl\tFlagyl\tNN\tB-NP\tO' +p254190 +aS'and\tand\tCC\tO\tO' +p254191 +aS'was\tbe\tVBD\tB-VP\tO' +p254192 +aS'C.\tC.\tFW\tB-NP\tO' +p254193 +aS'difficile\tdifficile\tJJ\tI-NP\tO' +p254194 +aS'toxin\ttoxin\tNN\tI-NP\tO' +p254195 +aS'negative\tnegative\tJJ\tI-NP\tO' +p254196 +aS'times\ttime\tNNS\tI-NP\tO' +p254197 +aS'three\tthree\tCD\tI-NP\tO' +p254198 +aS'prior\tprior\tJJ\tI-NP\tO' +p254199 +aS'to\tto\tTO\tB-VP\tO' +p254200 +aS'transfer\ttransfer\tVB\tI-VP\tO' +p254201 +aS'.\t.\t.\tO\tO' +p254202 +asS'Heis single with no children .' +p254203 +(lp254204 +S'Heis\tHeis\tRB\tB-ADJP\tO' +p254205 +aS'single\tsingle\tJJ\tI-ADJP\tO' +p254206 +aS'with\twith\tIN\tB-PP\tO' +p254207 +aS'no\tno\tDT\tB-NP\tO' +p254208 +aS'children\tchild\tNNS\tI-NP\tO' +p254209 +aS'.\t.\t.\tO\tO' +p254210 +asS'In addition heparin should be started to drip on arrival at 400 units an hour .' +p254211 +(lp254212 +S'In\tIn\tIN\tB-PP\tO' +p254213 +aS'addition\taddition\tNN\tB-NP\tO' +p254214 +aS'heparin\theparin\tNN\tI-NP\tO' +p254215 +aS'should\tshould\tMD\tB-VP\tO' +p254216 +aS'be\tbe\tVB\tI-VP\tO' +p254217 +aS'started\tstart\tVBN\tI-VP\tO' +p254218 +aS'to\tto\tTO\tI-VP\tO' +p254219 +aS'drip\tdrip\tVB\tI-VP\tO' +p254220 +aS'on\ton\tIN\tB-PP\tO' +p254221 +aS'arrival\tarrival\tNN\tB-NP\tO' +p254222 +aS'at\tat\tIN\tB-PP\tO' +p254223 +aS'400\t400\tCD\tB-NP\tB-DNA' +p254224 +aS'units\tunit\tNNS\tI-NP\tI-DNA' +p254225 +aS'an\tan\tDT\tB-NP\tO' +p254226 +aS'hour\thour\tNN\tI-NP\tO' +p254227 +aS'.\t.\t.\tO\tO' +p254228 +asS'Coiling with a stent placement for left carotid artery aneurysm .' +p254229 +(lp254230 +S'Coiling\tCoil\tVBG\tB-VP\tO' +p254231 +aS'with\twith\tIN\tB-PP\tO' +p254232 +aS'a\ta\tDT\tB-NP\tO' +p254233 +aS'stent\tstent\tJJ\tI-NP\tO' +p254234 +aS'placement\tplacement\tNN\tI-NP\tO' +p254235 +aS'for\tfor\tIN\tB-PP\tO' +p254236 +aS'left\tleft\tJJ\tB-NP\tO' +p254237 +aS'carotid\tcarotid\tJJ\tI-NP\tO' +p254238 +aS'artery\tartery\tNN\tI-NP\tO' +p254239 +aS'aneurysm\taneurysm\tNN\tI-NP\tO' +p254240 +aS'.\t.\t.\tO\tO' +p254241 +asS'Blood pressure 115/77 .' +p254242 +(lp254243 +S'Blood\tBlood\tNN\tB-NP\tO' +p254244 +aS'pressure\tpressure\tNN\tI-NP\tO' +p254245 +aS'115/77\t115/77\tCD\tI-NP\tO' +p254246 +aS'.\t.\t.\tO\tO' +p254247 +asS'Pressure lasted for hours at a time .' +p254248 +(lp254249 +S'Pressure\tPressure\tNN\tB-NP\tO' +p254250 +aS'lasted\tlast\tVBD\tB-VP\tO' +p254251 +aS'for\tfor\tIN\tB-PP\tO' +p254252 +aS'hours\thour\tNNS\tB-NP\tO' +p254253 +aS'at\tat\tIN\tB-PP\tO' +p254254 +aS'a\ta\tDT\tB-NP\tO' +p254255 +aS'time\ttime\tNN\tI-NP\tO' +p254256 +aS'.\t.\t.\tO\tO' +p254257 +asS'2. Ureteral stone - The patient had a nephrostomy tube placed by IR to relieve her hydronephrosis .' +p254258 +(lp254259 +S'2.\t2.\tLS\tB-NP\tO' +p254260 +aS'Ureteral\tUreteral\tJJ\tI-NP\tO' +p254261 +aS'stone\tstone\tNN\tI-NP\tO' +p254262 +aS'-\t-\tHYPH\tO\tO' +p254263 +aS'The\tThe\tDT\tB-NP\tO' +p254264 +aS'patient\tpatient\tNN\tI-NP\tO' +p254265 +aS'had\thave\tVBD\tB-VP\tO' +p254266 +aS'a\ta\tDT\tB-NP\tO' +p254267 +aS'nephrostomy\tnephrostomy\tNN\tI-NP\tO' +p254268 +aS'tube\ttube\tNN\tI-NP\tO' +p254269 +aS'placed\tplace\tVBN\tB-VP\tO' +p254270 +aS'by\tby\tIN\tB-PP\tO' +p254271 +aS'IR\tIR\tNN\tB-NP\tB-protein' +p254272 +aS'to\tto\tTO\tB-VP\tO' +p254273 +aS'relieve\trelieve\tVB\tI-VP\tO' +p254274 +aS'her\ther\tPRP$\tB-NP\tO' +p254275 +aS'hydronephrosis\thydronephrosis\tNN\tI-NP\tO' +p254276 +aS'.\t.\t.\tO\tO' +p254277 +asS'The C1-C2 relationship is within normal limits .' +p254278 +(lp254279 +S'The\tThe\tDT\tB-NP\tO' +p254280 +aS'C1-C2\tC1-C2\tNN\tI-NP\tB-DNA' +p254281 +aS'relationship\trelationship\tNN\tI-NP\tO' +p254282 +aS'is\tbe\tVBZ\tB-VP\tO' +p254283 +aS'within\twithin\tIN\tB-PP\tO' +p254284 +aS'normal\tnormal\tJJ\tB-NP\tO' +p254285 +aS'limits\tlimit\tNNS\tI-NP\tO' +p254286 +aS'.\t.\t.\tO\tO' +p254287 +asS'NEUROLOGY : The infant has maintained a normal neurologic examination .' +p254288 +(lp254289 +S'NEUROLOGY\tNEUROLOGY\tNN\tB-NP\tO' +p254290 +aS':\t:\t:\tO\tO' +p254291 +aS'The\tThe\tDT\tB-NP\tO' +p254292 +aS'infant\tinfant\tNN\tI-NP\tO' +p254293 +aS'has\thave\tVBZ\tB-VP\tO' +p254294 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p254295 +aS'a\ta\tDT\tB-NP\tO' +p254296 +aS'normal\tnormal\tJJ\tI-NP\tO' +p254297 +aS'neurologic\tneurologic\tJJ\tI-NP\tO' +p254298 +aS'examination\texamination\tNN\tI-NP\tO' +p254299 +aS'.\t.\t.\tO\tO' +p254300 +asS'The endometrial biopsy showed grade 1 endometrial cancer .' +p254301 +(lp254302 +S'The\tThe\tDT\tB-NP\tO' +p254303 +aS'endometrial\tendometrial\tJJ\tI-NP\tO' +p254304 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p254305 +aS'showed\tshow\tVBD\tB-VP\tO' +p254306 +aS'grade\tgrade\tNN\tB-NP\tO' +p254307 +aS'1\t1\tCD\tI-NP\tO' +p254308 +aS'endometrial\tendometrial\tJJ\tI-NP\tO' +p254309 +aS'cancer\tcancer\tNN\tI-NP\tO' +p254310 +aS'.\t.\t.\tO\tO' +p254311 +asS'He underwent a failed bedside swallow study .' +p254312 +(lp254313 +S'He\tHe\tPRP\tB-NP\tO' +p254314 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p254315 +aS'a\ta\tDT\tB-NP\tO' +p254316 +aS'failed\tfail\tVBN\tI-NP\tO' +p254317 +aS'bedside\tbedside\tNN\tI-NP\tO' +p254318 +aS'swallow\tswallow\tNN\tI-NP\tO' +p254319 +aS'study\tstudy\tNN\tI-NP\tO' +p254320 +aS'.\t.\t.\tO\tO' +p254321 +asS'If symptoms such as fever / chills , nausea / vomiting , increasing pain / redness / purulent discharge from incision , increasing jaundice , please call or go to the emergency room immediately .' +p254322 +(lp254323 +S'If\tIf\tIN\tB-SBAR\tO' +p254324 +aS'symptoms\tsymptom\tNNS\tB-NP\tO' +p254325 +aS'such\tsuch\tJJ\tB-PP\tO' +p254326 +aS'as\tas\tIN\tI-PP\tO' +p254327 +aS'fever\tfever\tNN\tB-NP\tO' +p254328 +aS'/\t/\tSYM\tI-NP\tO' +p254329 +aS'chills\tchill\tNNS\tI-NP\tO' +p254330 +aS',\t,\t,\tO\tO' +p254331 +aS'nausea\tnausea\tNN\tB-NP\tO' +p254332 +aS'/\t/\tSYM\tI-NP\tO' +p254333 +aS'vomiting\tvomiting\tNN\tI-NP\tO' +p254334 +aS',\t,\t,\tO\tO' +p254335 +aS'increasing\tincrease\tVBG\tB-VP\tO' +p254336 +aS'pain\tpain\tNN\tB-NP\tO' +p254337 +aS'/\t/\tSYM\tI-NP\tO' +p254338 +aS'redness\tredness\tNN\tI-NP\tO' +p254339 +aS'/\t/\tSYM\tB-NP\tO' +p254340 +aS'purulent\tpurulent\tJJ\tI-NP\tO' +p254341 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p254342 +aS'from\tfrom\tIN\tB-PP\tO' +p254343 +aS'incision\tincision\tNN\tB-NP\tO' +p254344 +aS',\t,\t,\tO\tO' +p254345 +aS'increasing\tincrease\tVBG\tB-VP\tO' +p254346 +aS'jaundice\tjaundice\tNN\tB-NP\tO' +p254347 +aS',\t,\t,\tO\tO' +p254348 +aS'please\tplease\tVB\tB-VP\tO' +p254349 +aS'call\tcall\tVB\tI-VP\tO' +p254350 +aS'or\tor\tCC\tI-VP\tO' +p254351 +aS'go\tgo\tVB\tI-VP\tO' +p254352 +aS'to\tto\tTO\tB-PP\tO' +p254353 +aS'the\tthe\tDT\tB-NP\tO' +p254354 +aS'emergency\temergency\tNN\tI-NP\tO' +p254355 +aS'room\troom\tNN\tI-NP\tO' +p254356 +aS'immediately\timmediately\tRB\tB-ADVP\tO' +p254357 +aS'.\t.\t.\tO\tO' +p254358 +asS'A TAH-BSO in 1980 and an exploratory laparotomy with resection of a pelvic mass in 06/22 .' +p254359 +(lp254360 +S'A\tA\tDT\tB-NP\tO' +p254361 +aS'TAH-BSO\tTAH-BSO\tNN\tI-NP\tB-protein' +p254362 +aS'in\tin\tIN\tB-PP\tO' +p254363 +aS'1980\t1980\tCD\tB-NP\tO' +p254364 +aS'and\tand\tCC\tO\tO' +p254365 +aS'an\tan\tDT\tB-NP\tO' +p254366 +aS'exploratory\texploratory\tJJ\tI-NP\tO' +p254367 +aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' +p254368 +aS'with\twith\tIN\tB-PP\tO' +p254369 +aS'resection\tresection\tNN\tB-NP\tO' +p254370 +aS'of\tof\tIN\tB-PP\tO' +p254371 +aS'a\ta\tDT\tB-NP\tO' +p254372 +aS'pelvic\tpelvic\tJJ\tI-NP\tO' +p254373 +aS'mass\tmass\tNN\tI-NP\tO' +p254374 +aS'in\tin\tIN\tB-PP\tO' +p254375 +aS'06/22\t06/22\tCD\tB-NP\tO' +p254376 +aS'.\t.\t.\tO\tO' +p254377 +asS'Continued in Melrose-J for comfort per orthopedics .' +p254378 +(lp254379 +S'Continued\tContinue\tVBN\tB-VP\tO' +p254380 +aS'in\tin\tIN\tB-PP\tO' +p254381 +aS'Melrose-J\tMelrose-J\tNN\tB-NP\tB-cell_line' +p254382 +aS'for\tfor\tIN\tB-PP\tO' +p254383 +aS'comfort\tcomfort\tNN\tB-NP\tO' +p254384 +aS'per\tper\tIN\tB-PP\tO' +p254385 +aS'orthopedics\torthopedic\tNNS\tB-NP\tO' +p254386 +aS'.\t.\t.\tO\tO' +p254387 +asS'f / u with dr. white' +p254388 +(lp254389 +S'f\tf\tNN\tB-NP\tO' +p254390 +aS'/\t/\tSYM\tI-NP\tO' +p254391 +aS'u\tu\tNN\tI-NP\tO' +p254392 +aS'with\twith\tIN\tB-PP\tO' +p254393 +aS'dr.\tdr.\tNN\tB-NP\tO' +p254394 +aS'white\twhite\tJJ\tB-NP\tO' +p254395 +asS'He was transferred to Ph University Of Medical Center for further surgical evaluation .'' +p254396 +(lp254397 +S'He\tHe\tPRP\tB-NP\tO' +p254398 +aS'was\tbe\tVBD\tB-VP\tO' +p254399 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p254400 +aS'to\tto\tTO\tB-PP\tO' +p254401 +aS'Ph\tPh\tNNP\tB-NP\tO' +p254402 +aS'University\tUniversity\tNNP\tI-NP\tO' +p254403 +aS'Of\tOf\tNNP\tI-NP\tO' +p254404 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p254405 +aS'Center\tCenter\tNNP\tI-NP\tO' +p254406 +aS'for\tfor\tIN\tB-PP\tO' +p254407 +aS'further\tfurther\tJJ\tB-NP\tO' +p254408 +aS'surgical\tsurgical\tJJ\tI-NP\tO' +p254409 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p254410 +aS'.'\t.'\t.\tO\tO' +p254411 +asS'The patient was on a Lasix drip to aid in diuresis , and was ultimately converted to oral Lasix on postop day 1 .' +p254412 +(lp254413 +S'The\tThe\tDT\tB-NP\tO' +p254414 +aS'patient\tpatient\tNN\tI-NP\tO' +p254415 +aS'was\tbe\tVBD\tB-VP\tO' +p254416 +aS'on\ton\tIN\tB-PP\tO' +p254417 +aS'a\ta\tDT\tB-NP\tO' +p254418 +aS'Lasix\tLasix\tNNP\tI-NP\tO' +p254419 +aS'drip\tdrip\tNN\tI-NP\tO' +p254420 +aS'to\tto\tTO\tB-VP\tO' +p254421 +aS'aid\taid\tVB\tI-VP\tO' +p254422 +aS'in\tin\tIN\tB-PP\tO' +p254423 +aS'diuresis\tdiuresis\tNN\tB-NP\tO' +p254424 +aS',\t,\t,\tO\tO' +p254425 +aS'and\tand\tCC\tO\tO' +p254426 +aS'was\tbe\tVBD\tB-VP\tO' +p254427 +aS'ultimately\tultimately\tRB\tI-VP\tO' +p254428 +aS'converted\tconvert\tVBN\tI-VP\tO' +p254429 +aS'to\tto\tTO\tB-PP\tO' +p254430 +aS'oral\toral\tJJ\tB-NP\tO' +p254431 +aS'Lasix\tLasix\tNNP\tI-NP\tO' +p254432 +aS'on\ton\tIN\tB-PP\tO' +p254433 +aS'postop\tpostop\tJJ\tB-NP\tO' +p254434 +aS'day\tday\tNN\tI-NP\tO' +p254435 +aS'1\t1\tCD\tI-NP\tO' +p254436 +aS'.\t.\t.\tO\tO' +p254437 +asS'She will be treated for total 14 day course .' +p254438 +(lp254439 +S'She\tShe\tPRP\tB-NP\tO' +p254440 +aS'will\twill\tMD\tB-VP\tO' +p254441 +aS'be\tbe\tVB\tI-VP\tO' +p254442 +aS'treated\ttreat\tVBN\tI-VP\tO' +p254443 +aS'for\tfor\tIN\tB-PP\tO' +p254444 +aS'total\ttotal\tJJ\tB-NP\tO' +p254445 +aS'14\t14\tCD\tI-NP\tO' +p254446 +aS'day\tday\tNN\tI-NP\tO' +p254447 +aS'course\tcourse\tNN\tI-NP\tO' +p254448 +aS'.\t.\t.\tO\tO' +p254449 +asS'9. Kay-Ciel 20 mEq po per day .' +p254450 +(lp254451 +S'9.\t9.\tCD\tB-NP\tO' +p254452 +aS'Kay-Ciel\tKay-Ciel\tNNP\tI-NP\tO' +p254453 +aS'20\t20\tCD\tI-NP\tO' +p254454 +aS'mEq\tmEq\tNN\tI-NP\tO' +p254455 +aS'po\tpo\tNN\tI-NP\tO' +p254456 +aS'per\tper\tIN\tB-PP\tO' +p254457 +aS'day\tday\tNN\tB-NP\tO' +p254458 +aS'.\t.\t.\tO\tO' +p254459 +asS'This stress test , although complicated by hypotension again , to the 60 's or 70 's was completed and there was some mild anterior septal thinning , but no evidence of ischemia and an EF from this test was 76% .' +p254460 +(lp254461 +S'This\tThis\tDT\tB-NP\tO' +p254462 +aS'stress\tstress\tNN\tI-NP\tO' +p254463 +aS'test\ttest\tNN\tI-NP\tO' +p254464 +aS',\t,\t,\tO\tO' +p254465 +aS'although\talthough\tIN\tB-SBAR\tO' +p254466 +aS'complicated\tcomplicate\tVBN\tB-VP\tO' +p254467 +aS'by\tby\tIN\tB-PP\tO' +p254468 +aS'hypotension\thypotension\tNN\tB-NP\tO' +p254469 +aS'again\tagain\tRB\tB-ADVP\tO' +p254470 +aS',\t,\t,\tO\tO' +p254471 +aS'to\tto\tTO\tB-PP\tO' +p254472 +aS'the\tthe\tDT\tB-NP\tO' +p254473 +aS'60\t60\tCD\tI-NP\tO' +p254474 +aS''s\t'\tNNS\tI-NP\tO' +p254475 +aS'or\tor\tCC\tO\tO' +p254476 +aS'70\t70\tCD\tB-NP\tO' +p254477 +aS''s\t'\tNNS\tI-NP\tO' +p254478 +aS'was\tbe\tVBD\tB-VP\tO' +p254479 +aS'completed\tcomplete\tVBN\tI-VP\tO' +p254480 +aS'and\tand\tCC\tO\tO' +p254481 +aS'there\tthere\tEX\tB-NP\tO' +p254482 +aS'was\tbe\tVBD\tB-VP\tO' +p254483 +aS'some\tsome\tDT\tB-NP\tO' +p254484 +aS'mild\tmild\tJJ\tI-NP\tO' +p254485 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p254486 +aS'septal\tseptal\tJJ\tI-NP\tO' +p254487 +aS'thinning\tthinning\tNN\tI-NP\tO' +p254488 +aS',\t,\t,\tO\tO' +p254489 +aS'but\tbut\tCC\tO\tO' +p254490 +aS'no\tno\tDT\tB-NP\tO' +p254491 +aS'evidence\tevidence\tNN\tI-NP\tO' +p254492 +aS'of\tof\tIN\tB-PP\tO' +p254493 +aS'ischemia\tischemia\tNN\tB-NP\tO' +p254494 +aS'and\tand\tCC\tO\tO' +p254495 +aS'an\tan\tDT\tB-NP\tO' +p254496 +aS'EF\tEF\tNN\tI-NP\tB-protein' +p254497 +aS'from\tfrom\tIN\tB-PP\tO' +p254498 +aS'this\tthis\tDT\tB-NP\tO' +p254499 +aS'test\ttest\tNN\tI-NP\tO' +p254500 +aS'was\tbe\tVBD\tB-VP\tO' +p254501 +aS'76%\t76%\tCD\tB-NP\tO' +p254502 +aS'.\t.\t.\tO\tO' +p254503 +asS'It was unclear at first as to why the patient required life-long anticoagulation .' +p254504 +(lp254505 +S'It\tIt\tPRP\tB-NP\tO' +p254506 +aS'was\tbe\tVBD\tB-VP\tO' +p254507 +aS'unclear\tunclear\tJJ\tB-ADJP\tO' +p254508 +aS'at\tat\tIN\tB-ADVP\tO' +p254509 +aS'first\tfirst\tRB\tI-ADVP\tO' +p254510 +aS'as\tas\tIN\tB-PP\tO' +p254511 +aS'to\tto\tTO\tB-PP\tO' +p254512 +aS'why\twhy\tWRB\tB-ADVP\tO' +p254513 +aS'the\tthe\tDT\tB-NP\tO' +p254514 +aS'patient\tpatient\tNN\tI-NP\tO' +p254515 +aS'required\trequire\tVBD\tB-VP\tO' +p254516 +aS'life-long\tlife-long\tJJ\tB-NP\tO' +p254517 +aS'anticoagulation\tanticoagulation\tNN\tI-NP\tO' +p254518 +aS'.\t.\t.\tO\tO' +p254519 +asS'Admitted directly to OR from ambulance transfer and underwent cabg x3 with Dr. Howard on 06-13 .' +p254520 +(lp254521 +S'Admitted\tAdmit\tVBN\tB-VP\tO' +p254522 +aS'directly\tdirectly\tRB\tB-ADVP\tO' +p254523 +aS'to\tto\tTO\tB-PP\tO' +p254524 +aS'OR\tOR\tNN\tB-NP\tB-protein' +p254525 +aS'from\tfrom\tIN\tB-PP\tO' +p254526 +aS'ambulance\tambulance\tNN\tB-NP\tO' +p254527 +aS'transfer\ttransfer\tNN\tI-NP\tO' +p254528 +aS'and\tand\tCC\tO\tO' +p254529 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p254530 +aS'cabg\tcabg\tNN\tB-NP\tO' +p254531 +aS'x3\tx3\tNN\tI-NP\tO' +p254532 +aS'with\twith\tIN\tB-PP\tO' +p254533 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p254534 +aS'Howard\tHoward\tNNP\tI-NP\tO' +p254535 +aS'on\ton\tIN\tB-PP\tO' +p254536 +aS'06-13\t06-13\tCD\tB-NP\tO' +p254537 +aS'.\t.\t.\tO\tO' +p254538 +asS'The patient was kept therapeutically anticoagulated throughout this period .' +p254539 +(lp254540 +S'The\tThe\tDT\tB-NP\tO' +p254541 +aS'patient\tpatient\tNN\tI-NP\tO' +p254542 +aS'was\tbe\tVBD\tB-VP\tO' +p254543 +aS'kept\tkeep\tVBN\tI-VP\tO' +p254544 +aS'therapeutically\ttherapeutically\tRB\tB-VP\tO' +p254545 +aS'anticoagulated\tanticoagulate\tVBN\tI-VP\tO' +p254546 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p254547 +aS'this\tthis\tDT\tB-NP\tO' +p254548 +aS'period\tperiod\tNN\tI-NP\tO' +p254549 +aS'.\t.\t.\tO\tO' +p254550 +asS'10. Insulin Regular Human 300 unit / 3 mL Insulin Pen Sig : as directed Subcutaneous four times a day : Please administer 8 units glargine at dinner and regular insulin sliding scale as prescribed .' +p254551 +(lp254552 +S'10.\t10.\tLS\tB-NP\tO' +p254553 +aS'Insulin\tInsulin\tNN\tI-NP\tB-protein' +p254554 +aS'Regular\tRegular\tJJ\tI-NP\tI-protein' +p254555 +aS'Human\tHuman\tJJ\tI-NP\tI-protein' +p254556 +aS'300\t300\tCD\tI-NP\tI-protein' +p254557 +aS'unit\tunit\tNN\tI-NP\tI-protein' +p254558 +aS'/\t/\tSYM\tB-NP\tI-protein' +p254559 +aS'3\t3\tCD\tB-NP\tI-protein' +p254560 +aS'mL\tmL\tNN\tI-NP\tI-protein' +p254561 +aS'Insulin\tInsulin\tNNP\tI-NP\tI-protein' +p254562 +aS'Pen\tPen\tNNP\tI-NP\tO' +p254563 +aS'Sig\tSig\tNNP\tI-NP\tB-protein' +p254564 +aS':\t:\t:\tO\tO' +p254565 +aS'as\tas\tIN\tB-SBAR\tO' +p254566 +aS'directed\tdirect\tVBN\tB-NP\tO' +p254567 +aS'Subcutaneous\tSubcutaneous\tJJ\tI-NP\tO' +p254568 +aS'four\tfour\tCD\tI-NP\tO' +p254569 +aS'times\ttime\tNNS\tI-NP\tO' +p254570 +aS'a\ta\tDT\tB-NP\tO' +p254571 +aS'day\tday\tNN\tI-NP\tO' +p254572 +aS':\t:\t:\tO\tO' +p254573 +aS'Please\tPlease\tNN\tB-NP\tO' +p254574 +aS'administer\tadminister\tNN\tI-NP\tO' +p254575 +aS'8\t8\tCD\tB-NP\tO' +p254576 +aS'units\tunit\tNNS\tI-NP\tO' +p254577 +aS'glargine\tglargine\tNN\tI-NP\tO' +p254578 +aS'at\tat\tIN\tB-PP\tO' +p254579 +aS'dinner\tdinner\tNN\tB-NP\tO' +p254580 +aS'and\tand\tCC\tO\tO' +p254581 +aS'regular\tregular\tJJ\tB-NP\tO' +p254582 +aS'insulin\tinsulin\tNN\tI-NP\tO' +p254583 +aS'sliding\tslide\tVBG\tB-VP\tO' +p254584 +aS'scale\tscale\tNN\tB-NP\tO' +p254585 +aS'as\tas\tIN\tB-SBAR\tO' +p254586 +aS'prescribed\tprescribe\tVBN\tB-VP\tO' +p254587 +aS'.\t.\t.\tO\tO' +p254588 +asS'The pt was being treated at Mediplex Rehab Hospital 4 for suicidal ideation and a suicide attempt on original admission with tylenol and oxycodone .' +p254589 +(lp254590 +S'The\tThe\tDT\tB-NP\tO' +p254591 +aS'pt\tpt\tNN\tI-NP\tO' +p254592 +aS'was\tbe\tVBD\tB-VP\tO' +p254593 +aS'being\tbe\tVBG\tI-VP\tO' +p254594 +aS'treated\ttreat\tVBN\tI-VP\tO' +p254595 +aS'at\tat\tIN\tB-PP\tO' +p254596 +aS'Mediplex\tMediplex\tNNP\tB-NP\tO' +p254597 +aS'Rehab\tRehab\tNNP\tI-NP\tO' +p254598 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p254599 +aS'4\t4\tCD\tI-NP\tO' +p254600 +aS'for\tfor\tIN\tB-PP\tO' +p254601 +aS'suicidal\tsuicidal\tJJ\tB-NP\tO' +p254602 +aS'ideation\tideation\tNN\tI-NP\tO' +p254603 +aS'and\tand\tCC\tO\tO' +p254604 +aS'a\ta\tDT\tB-NP\tO' +p254605 +aS'suicide\tsuicide\tNN\tI-NP\tO' +p254606 +aS'attempt\tattempt\tNN\tI-NP\tO' +p254607 +aS'on\ton\tIN\tB-PP\tO' +p254608 +aS'original\toriginal\tJJ\tB-NP\tO' +p254609 +aS'admission\tadmission\tNN\tI-NP\tO' +p254610 +aS'with\twith\tIN\tB-PP\tO' +p254611 +aS'tylenol\ttylenol\tNN\tB-NP\tO' +p254612 +aS'and\tand\tCC\tI-NP\tO' +p254613 +aS'oxycodone\toxycodone\tNN\tI-NP\tO' +p254614 +aS'.\t.\t.\tO\tO' +p254615 +asS'There was a 1/6 systolic ejection murmur in the upper left sternal border without radiation .' +p254616 +(lp254617 +S'There\tThere\tEX\tB-NP\tO' +p254618 +aS'was\tbe\tVBD\tB-VP\tO' +p254619 +aS'a\ta\tDT\tB-NP\tO' +p254620 +aS'1/6\t1/6\tCD\tI-NP\tO' +p254621 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p254622 +aS'ejection\tejection\tNN\tI-NP\tO' +p254623 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p254624 +aS'in\tin\tIN\tB-PP\tO' +p254625 +aS'the\tthe\tDT\tB-NP\tO' +p254626 +aS'upper\tupper\tJJ\tI-NP\tO' +p254627 +aS'left\tleft\tJJ\tI-NP\tO' +p254628 +aS'sternal\tsternal\tJJ\tI-NP\tO' +p254629 +aS'border\tborder\tNN\tI-NP\tO' +p254630 +aS'without\twithout\tIN\tB-PP\tO' +p254631 +aS'radiation\tradiation\tNN\tB-NP\tO' +p254632 +aS'.\t.\t.\tO\tO' +p254633 +asS'Her Cpine was clearly with both a negative CT Cspine and clinical exam .' +p254634 +(lp254635 +S'Her\tHer\tPRP$\tB-NP\tO' +p254636 +aS'Cpine\tCpine\tNN\tI-NP\tO' +p254637 +aS'was\tbe\tVBD\tB-VP\tO' +p254638 +aS'clearly\tclearly\tRB\tB-ADVP\tO' +p254639 +aS'with\twith\tIN\tB-PP\tO' +p254640 +aS'both\tboth\tCC\tO\tO' +p254641 +aS'a\ta\tDT\tB-NP\tO' +p254642 +aS'negative\tnegative\tJJ\tI-NP\tO' +p254643 +aS'CT\tCT\tNN\tI-NP\tO' +p254644 +aS'Cspine\tCspine\tNN\tI-NP\tO' +p254645 +aS'and\tand\tCC\tO\tO' +p254646 +aS'clinical\tclinical\tJJ\tB-NP\tO' +p254647 +aS'exam\texam\tNN\tI-NP\tO' +p254648 +aS'.\t.\t.\tO\tO' +p254649 +asS'Exertional angina and dyspnea on exertion' +p254650 +(lp254651 +S'Exertional\tExertional\tJJ\tB-NP\tO' +p254652 +aS'angina\tangina\tNN\tI-NP\tO' +p254653 +aS'and\tand\tCC\tI-NP\tO' +p254654 +aS'dyspnea\tdyspnea\tNN\tI-NP\tO' +p254655 +aS'on\ton\tIN\tB-PP\tO' +p254656 +aS'exertion\texertion\tNN\tB-NP\tO' +p254657 +asS'Head CT from the outside hospital just revealed a small right parietal subdural blood .' +p254658 +(lp254659 +S'Head\tHead\tJJ\tB-NP\tO' +p254660 +aS'CT\tCT\tNN\tI-NP\tO' +p254661 +aS'from\tfrom\tIN\tB-PP\tO' +p254662 +aS'the\tthe\tDT\tB-NP\tO' +p254663 +aS'outside\toutside\tJJ\tI-NP\tO' +p254664 +aS'hospital\thospital\tNN\tI-NP\tO' +p254665 +aS'just\tjust\tRB\tB-ADVP\tO' +p254666 +aS'revealed\treveal\tVBD\tB-VP\tO' +p254667 +aS'a\ta\tDT\tB-NP\tO' +p254668 +aS'small\tsmall\tJJ\tI-NP\tO' +p254669 +aS'right\tright\tJJ\tI-NP\tO' +p254670 +aS'parietal\tparietal\tJJ\tI-NP\tO' +p254671 +aS'subdural\tsubdural\tJJ\tI-NP\tO' +p254672 +aS'blood\tblood\tNN\tI-NP\tO' +p254673 +aS'.\t.\t.\tO\tO' +p254674 +asS'Follow up ophthalmology appointment is with Dr. Jundt on Ison 4 at the Addison Gilbert Hospital of Oak Bluffs in three months .' +p254675 +(lp254676 +S'Follow\tFollow\tVB\tB-VP\tO' +p254677 +aS'up\tup\tRP\tB-PRT\tO' +p254678 +aS'ophthalmology\tophthalmology\tNN\tB-NP\tO' +p254679 +aS'appointment\tappointment\tNN\tI-NP\tO' +p254680 +aS'is\tbe\tVBZ\tB-VP\tO' +p254681 +aS'with\twith\tIN\tB-PP\tO' +p254682 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p254683 +aS'Jundt\tJundt\tNNP\tI-NP\tO' +p254684 +aS'on\ton\tIN\tB-PP\tO' +p254685 +aS'Ison\tIson\tNNP\tB-NP\tB-protein' +p254686 +aS'4\t4\tCD\tI-NP\tI-protein' +p254687 +aS'at\tat\tIN\tB-PP\tO' +p254688 +aS'the\tthe\tDT\tB-NP\tO' +p254689 +aS'Addison\tAddison\tNNP\tI-NP\tO' +p254690 +aS'Gilbert\tGilbert\tNNP\tI-NP\tO' +p254691 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p254692 +aS'of\tof\tIN\tB-PP\tO' +p254693 +aS'Oak\tOak\tNNP\tB-NP\tB-protein' +p254694 +aS'Bluffs\tBluff\tNNPS\tI-NP\tO' +p254695 +aS'in\tin\tIN\tB-PP\tO' +p254696 +aS'three\tthree\tCD\tB-NP\tO' +p254697 +aS'months\tmonth\tNNS\tI-NP\tO' +p254698 +aS'.\t.\t.\tO\tO' +p254699 +asS'Following that , the patient was slowly advanced to clear liquids and to a regular diet once her bowels began working when she began having flatus .' +p254700 +(lp254701 +S'Following\tFollow\tVBG\tB-VP\tO' +p254702 +aS'that\tthat\tIN\tB-SBAR\tO' +p254703 +aS',\t,\t,\tO\tO' +p254704 +aS'the\tthe\tDT\tB-NP\tO' +p254705 +aS'patient\tpatient\tNN\tI-NP\tO' +p254706 +aS'was\tbe\tVBD\tB-VP\tO' +p254707 +aS'slowly\tslowly\tRB\tI-VP\tO' +p254708 +aS'advanced\tadvance\tVBN\tI-VP\tO' +p254709 +aS'to\tto\tTO\tB-PP\tO' +p254710 +aS'clear\tclear\tJJ\tB-NP\tO' +p254711 +aS'liquids\tliquid\tNNS\tI-NP\tO' +p254712 +aS'and\tand\tCC\tB-PP\tO' +p254713 +aS'to\tto\tTO\tB-PP\tO' +p254714 +aS'a\ta\tDT\tB-NP\tO' +p254715 +aS'regular\tregular\tJJ\tI-NP\tO' +p254716 +aS'diet\tdiet\tNN\tI-NP\tO' +p254717 +aS'once\tonce\tIN\tB-SBAR\tO' +p254718 +aS'her\ther\tPRP$\tB-NP\tO' +p254719 +aS'bowels\tbowel\tNNS\tI-NP\tO' +p254720 +aS'began\tbegin\tVBD\tB-VP\tO' +p254721 +aS'working\twork\tVBG\tI-VP\tO' +p254722 +aS'when\twhen\tWRB\tB-ADVP\tO' +p254723 +aS'she\tshe\tPRP\tB-NP\tO' +p254724 +aS'began\tbegin\tVBD\tB-VP\tO' +p254725 +aS'having\thave\tVBG\tI-VP\tO' +p254726 +aS'flatus\tflatus\tNN\tB-NP\tO' +p254727 +aS'.\t.\t.\tO\tO' +p254728 +asS'Vascular Surgery was following at the same time and decided that bilateral iliac stenting would be the most optimum treatment currently and suggested that the patient should be worked up for cardiac disease prior to re-vascularization .' +p254729 +(lp254730 +S'Vascular\tVascular\tNNP\tB-NP\tO' +p254731 +aS'Surgery\tSurgery\tNNP\tI-NP\tO' +p254732 +aS'was\tbe\tVBD\tB-VP\tO' +p254733 +aS'following\tfollow\tVBG\tI-VP\tO' +p254734 +aS'at\tat\tIN\tB-PP\tO' +p254735 +aS'the\tthe\tDT\tB-NP\tO' +p254736 +aS'same\tsame\tJJ\tI-NP\tO' +p254737 +aS'time\ttime\tNN\tI-NP\tO' +p254738 +aS'and\tand\tCC\tO\tO' +p254739 +aS'decided\tdecide\tVBD\tB-VP\tO' +p254740 +aS'that\tthat\tIN\tB-SBAR\tO' +p254741 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p254742 +aS'iliac\tiliac\tJJ\tI-NP\tO' +p254743 +aS'stenting\tstenting\tNN\tI-NP\tO' +p254744 +aS'would\twould\tMD\tB-VP\tO' +p254745 +aS'be\tbe\tVB\tI-VP\tO' +p254746 +aS'the\tthe\tDT\tB-NP\tO' +p254747 +aS'most\tmost\tRBS\tI-NP\tO' +p254748 +aS'optimum\toptimum\tJJ\tI-NP\tO' +p254749 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p254750 +aS'currently\tcurrently\tRB\tB-ADVP\tO' +p254751 +aS'and\tand\tCC\tO\tO' +p254752 +aS'suggested\tsuggest\tVBD\tB-VP\tO' +p254753 +aS'that\tthat\tIN\tB-SBAR\tO' +p254754 +aS'the\tthe\tDT\tB-NP\tO' +p254755 +aS'patient\tpatient\tNN\tI-NP\tO' +p254756 +aS'should\tshould\tMD\tB-VP\tO' +p254757 +aS'be\tbe\tVB\tI-VP\tO' +p254758 +aS'worked\twork\tVBN\tI-VP\tO' +p254759 +aS'up\tup\tRP\tB-PRT\tO' +p254760 +aS'for\tfor\tIN\tB-PP\tO' +p254761 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p254762 +aS'disease\tdisease\tNN\tI-NP\tO' +p254763 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p254764 +aS'to\tto\tTO\tB-PP\tO' +p254765 +aS're-vascularization\tre-vascularization\tNN\tB-NP\tO' +p254766 +aS'.\t.\t.\tO\tO' +p254767 +asS'Abd : obese , multiple surgical scars .' +p254768 +(lp254769 +S'Abd\tAbd\tNN\tB-NP\tO' +p254770 +aS':\t:\t:\tO\tO' +p254771 +aS'obese\tobese\tJJ\tB-NP\tO' +p254772 +aS',\t,\t,\tI-NP\tO' +p254773 +aS'multiple\tmultiple\tJJ\tI-NP\tO' +p254774 +aS'surgical\tsurgical\tJJ\tI-NP\tO' +p254775 +aS'scars\tscar\tNNS\tI-NP\tO' +p254776 +aS'.\t.\t.\tO\tO' +p254777 +asS'She is a nonsmoker .' +p254778 +(lp254779 +S'She\tShe\tPRP\tB-NP\tO' +p254780 +aS'is\tbe\tVBZ\tB-VP\tO' +p254781 +aS'a\ta\tDT\tB-NP\tO' +p254782 +aS'nonsmoker\tnonsmoker\tNN\tI-NP\tO' +p254783 +aS'.\t.\t.\tO\tO' +p254784 +asS'2. The left ventricular cavity size is normal .' +p254785 +(lp254786 +S'2.\t2.\tLS\tB-LST\tO' +p254787 +aS'The\tThe\tDT\tB-NP\tO' +p254788 +aS'left\tleft\tJJ\tI-NP\tO' +p254789 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p254790 +aS'cavity\tcavity\tNN\tI-NP\tO' +p254791 +aS'size\tsize\tNN\tI-NP\tO' +p254792 +aS'is\tbe\tVBZ\tB-VP\tO' +p254793 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p254794 +aS'.\t.\t.\tO\tO' +p254795 +asS'Moves all extremities to stimuli , L > R' +p254796 +(lp254797 +S'Moves\tMove\tVBZ\tB-VP\tO' +p254798 +aS'all\tall\tDT\tB-NP\tO' +p254799 +aS'extremities\textremity\tNNS\tI-NP\tO' +p254800 +aS'to\tto\tTO\tB-PP\tO' +p254801 +aS'stimuli\tstimulus\tNNS\tB-NP\tO' +p254802 +aS',\t,\t,\tO\tO' +p254803 +aS'L\tL\tNN\tB-NP\tO' +p254804 +aS'>\t>\tSYM\tB-VP\tO' +p254805 +aS'R\tR\tNN\tB-NP\tO' +p254806 +asS'There were prominent Q-waves in AVL , consistent with lateral myocardial infarction .' +p254807 +(lp254808 +S'There\tThere\tEX\tB-NP\tO' +p254809 +aS'were\tbe\tVBD\tB-VP\tO' +p254810 +aS'prominent\tprominent\tJJ\tB-NP\tO' +p254811 +aS'Q-waves\tQ-wave\tNNS\tI-NP\tO' +p254812 +aS'in\tin\tIN\tB-PP\tO' +p254813 +aS'AVL\tAVL\tNN\tB-NP\tO' +p254814 +aS',\t,\t,\tO\tO' +p254815 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p254816 +aS'with\twith\tIN\tB-PP\tO' +p254817 +aS'lateral\tlateral\tJJ\tB-NP\tO' +p254818 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p254819 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p254820 +aS'.\t.\t.\tO\tO' +p254821 +asS'The patient had a central line placed and went into sustained ventricular tachycardia that was treated with lidocaine .' +p254822 +(lp254823 +S'The\tThe\tDT\tB-NP\tO' +p254824 +aS'patient\tpatient\tNN\tI-NP\tO' +p254825 +aS'had\thave\tVBD\tB-VP\tO' +p254826 +aS'a\ta\tDT\tB-NP\tO' +p254827 +aS'central\tcentral\tJJ\tI-NP\tB-cell_line' +p254828 +aS'line\tline\tNN\tI-NP\tI-cell_line' +p254829 +aS'placed\tplace\tVBD\tB-VP\tO' +p254830 +aS'and\tand\tCC\tO\tO' +p254831 +aS'went\tgo\tVBD\tB-VP\tO' +p254832 +aS'into\tinto\tIN\tB-PP\tO' +p254833 +aS'sustained\tsustained\tJJ\tB-NP\tO' +p254834 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p254835 +aS'tachycardia\ttachycardia\tNN\tI-NP\tO' +p254836 +aS'that\tthat\tWDT\tB-NP\tO' +p254837 +aS'was\tbe\tVBD\tB-VP\tO' +p254838 +aS'treated\ttreat\tVBN\tI-VP\tO' +p254839 +aS'with\twith\tIN\tB-PP\tO' +p254840 +aS'lidocaine\tlidocaine\tNN\tB-NP\tO' +p254841 +aS'.\t.\t.\tO\tO' +p254842 +asS'The patient is in no acute distress , vital signs stable .' +p254843 +(lp254844 +S'The\tThe\tDT\tB-NP\tO' +p254845 +aS'patient\tpatient\tNN\tI-NP\tO' +p254846 +aS'is\tbe\tVBZ\tB-VP\tO' +p254847 +aS'in\tin\tIN\tB-PP\tO' +p254848 +aS'no\tno\tDT\tB-NP\tO' +p254849 +aS'acute\tacute\tJJ\tI-NP\tO' +p254850 +aS'distress\tdistress\tNN\tI-NP\tO' +p254851 +aS',\t,\t,\tO\tO' +p254852 +aS'vital\tvital\tJJ\tB-NP\tO' +p254853 +aS'signs\tsign\tNNS\tI-NP\tO' +p254854 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p254855 +aS'.\t.\t.\tO\tO' +p254856 +asS'Shoulder shrug was 5/5 power .' +p254857 +(lp254858 +S'Shoulder\tShoulder\tNN\tB-NP\tO' +p254859 +aS'shrug\tshrug\tNN\tI-NP\tO' +p254860 +aS'was\tbe\tVBD\tB-VP\tO' +p254861 +aS'5/5\t5/5\tCD\tB-NP\tO' +p254862 +aS'power\tpower\tNN\tI-NP\tO' +p254863 +aS'.\t.\t.\tO\tO' +p254864 +asS'1 cypher stent was place in the LAD while 2 were placed in Lcx .' +p254865 +(lp254866 +S'1\t1\tCD\tB-NP\tO' +p254867 +aS'cypher\tcypher\tNN\tI-NP\tO' +p254868 +aS'stent\tstent\tNN\tI-NP\tO' +p254869 +aS'was\tbe\tVBD\tB-VP\tO' +p254870 +aS'place\tplace\tNN\tB-NP\tO' +p254871 +aS'in\tin\tIN\tB-PP\tO' +p254872 +aS'the\tthe\tDT\tB-NP\tO' +p254873 +aS'LAD\tLAD\tNN\tI-NP\tO' +p254874 +aS'while\twhile\tIN\tB-SBAR\tO' +p254875 +aS'2\t2\tCD\tB-NP\tO' +p254876 +aS'were\tbe\tVBD\tB-VP\tO' +p254877 +aS'placed\tplace\tVBN\tI-VP\tO' +p254878 +aS'in\tin\tIN\tB-PP\tO' +p254879 +aS'Lcx\tLcx\tNN\tB-NP\tB-protein' +p254880 +aS'.\t.\t.\tO\tO' +p254881 +asS'" Flumaran " for circulatory problems .' +p254882 +(lp254883 +S'"\t"\t``\tO\tO' +p254884 +aS'Flumaran\tFlumaran\tNNP\tB-NP\tO' +p254885 +aS'"\t"\t\'\'\tO\tO' +p254886 +aS'for\tfor\tIN\tB-PP\tO' +p254887 +aS'circulatory\tcirculatory\tJJ\tB-NP\tO' +p254888 +aS'problems\tproblem\tNNS\tI-NP\tO' +p254889 +aS'.\t.\t.\tO\tO' +p254890 +asS'Neck supple .' +p254891 +(lp254892 +S'Neck\tNeck\tNN\tB-NP\tO' +p254893 +aS'supple\tsupple\tNN\tI-NP\tO' +p254894 +aS'.\t.\t.\tO\tO' +p254895 +asS'Despite laparotomy and re-exploration through the vaginal cuff , no source for the bleeding could be found .' +p254896 +(lp254897 +S'Despite\tDespite\tIN\tB-PP\tO' +p254898 +aS'laparotomy\tlaparotomy\tNN\tB-NP\tO' +p254899 +aS'and\tand\tCC\tI-NP\tO' +p254900 +aS're-exploration\tre-exploration\tNN\tI-NP\tO' +p254901 +aS'through\tthrough\tIN\tB-PP\tO' +p254902 +aS'the\tthe\tDT\tB-NP\tO' +p254903 +aS'vaginal\tvaginal\tJJ\tI-NP\tO' +p254904 +aS'cuff\tcuff\tNN\tI-NP\tO' +p254905 +aS',\t,\t,\tO\tO' +p254906 +aS'no\tno\tDT\tB-NP\tO' +p254907 +aS'source\tsource\tNN\tI-NP\tO' +p254908 +aS'for\tfor\tIN\tB-PP\tO' +p254909 +aS'the\tthe\tDT\tB-NP\tO' +p254910 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p254911 +aS'could\tcould\tMD\tB-VP\tO' +p254912 +aS'be\tbe\tVB\tI-VP\tO' +p254913 +aS'found\tfind\tVBN\tI-VP\tO' +p254914 +aS'.\t.\t.\tO\tO' +p254915 +asS'After extubation , patient was started on sips and had a speech and swallow evaluation .' +p254916 +(lp254917 +S'After\tAfter\tIN\tB-PP\tO' +p254918 +aS'extubation\textubation\tNN\tB-NP\tO' +p254919 +aS',\t,\t,\tO\tO' +p254920 +aS'patient\tpatient\tNN\tB-NP\tO' +p254921 +aS'was\tbe\tVBD\tB-VP\tO' +p254922 +aS'started\tstart\tVBN\tI-VP\tO' +p254923 +aS'on\ton\tIN\tB-PP\tO' +p254924 +aS'sips\tsip\tNNS\tB-NP\tO' +p254925 +aS'and\tand\tCC\tO\tO' +p254926 +aS'had\thave\tVBD\tB-VP\tO' +p254927 +aS'a\ta\tDT\tB-NP\tO' +p254928 +aS'speech\tspeech\tNN\tI-NP\tO' +p254929 +aS'and\tand\tCC\tO\tO' +p254930 +aS'swallow\tswallow\tVB\tB-VP\tO' +p254931 +aS'evaluation\tevaluation\tNN\tB-NP\tO' +p254932 +aS'.\t.\t.\tO\tO' +p254933 +asS'3/7 -- repeat HCO3 24 and 26 without bicarb drip .' +p254934 +(lp254935 +S'3/7\t3/7\tLS\tB-LST\tO' +p254936 +aS'--\t--\t:\tO\tO' +p254937 +aS'repeat\trepeat\tNN\tB-NP\tO' +p254938 +aS'HCO3\tHCO3\tNN\tI-NP\tO' +p254939 +aS'24\t24\tCD\tB-NP\tO' +p254940 +aS'and\tand\tCC\tI-NP\tO' +p254941 +aS'26\t26\tCD\tI-NP\tO' +p254942 +aS'without\twithout\tIN\tB-PP\tO' +p254943 +aS'bicarb\tbicarb\tNN\tB-NP\tO' +p254944 +aS'drip\tdrip\tNN\tI-NP\tO' +p254945 +aS'.\t.\t.\tO\tO' +p254946 +asS'As mentioned in the HPI , Mr. Mcculley was transferred from MWMC to Nantucket Cottage Hospital for ongoing care ( ? MVR ).' +p254947 +(lp254948 +S'As\tAs\tIN\tB-SBAR\tO' +p254949 +aS'mentioned\tmention\tVBN\tB-VP\tO' +p254950 +aS'in\tin\tIN\tB-PP\tO' +p254951 +aS'the\tthe\tDT\tB-NP\tO' +p254952 +aS'HPI\tHPI\tNNP\tI-NP\tO' +p254953 +aS',\t,\t,\tO\tO' +p254954 +aS'Mr.\tMr.\tNNP\tB-NP\tO' +p254955 +aS'Mcculley\tMcculley\tNNP\tI-NP\tO' +p254956 +aS'was\tbe\tVBD\tB-VP\tO' +p254957 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p254958 +aS'from\tfrom\tIN\tB-PP\tO' +p254959 +aS'MWMC\tMWMC\tNN\tB-NP\tB-cell_type' +p254960 +aS'to\tto\tTO\tB-PP\tO' +p254961 +aS'Nantucket\tNantucket\tNNP\tB-NP\tO' +p254962 +aS'Cottage\tCottage\tNNP\tI-NP\tO' +p254963 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p254964 +aS'for\tfor\tIN\tB-PP\tO' +p254965 +aS'ongoing\tongoing\tJJ\tB-NP\tO' +p254966 +aS'care\tcare\tNN\tI-NP\tO' +p254967 +aS'(\t(\t(\tO\tO' +p254968 +aS'?\t?\t.\tO\tO' +p254969 +aS'MVR\tMVR\tNN\tB-NP\tB-protein' +p254970 +aS').\t).\t.\tO\tO' +p254971 +asS'Cranial nerves II-XII intact .' +p254972 +(lp254973 +S'Cranial\tCranial\tNNP\tB-NP\tO' +p254974 +aS'nerves\tnerve\tVBZ\tB-VP\tO' +p254975 +aS'II-XII\tII-XII\tNN\tB-NP\tB-protein' +p254976 +aS'intact\tintact\tJJ\tI-NP\tO' +p254977 +aS'.\t.\t.\tO\tO' +p254978 +asS'The left simple mastectomy also contained 5.5 cm poorly differentiated infiltrating ductal and intraductal carcinoma with extensive lymphatic vessel invasion .' +p254979 +(lp254980 +S'The\tThe\tDT\tB-NP\tO' +p254981 +aS'left\tleft\tJJ\tI-NP\tO' +p254982 +aS'simple\tsimple\tJJ\tI-NP\tO' +p254983 +aS'mastectomy\tmastectomy\tNN\tI-NP\tO' +p254984 +aS'also\talso\tRB\tB-ADVP\tO' +p254985 +aS'contained\tcontain\tVBD\tB-VP\tO' +p254986 +aS'5.5\t5.5\tCD\tB-NP\tO' +p254987 +aS'cm\tcm\tNN\tI-NP\tO' +p254988 +aS'poorly\tpoorly\tRB\tB-VP\tO' +p254989 +aS'differentiated\tdifferentiate\tVBN\tI-VP\tO' +p254990 +aS'infiltrating\tinfiltrate\tVBG\tB-VP\tO' +p254991 +aS'ductal\tductal\tJJ\tB-NP\tO' +p254992 +aS'and\tand\tCC\tI-NP\tO' +p254993 +aS'intraductal\tintraductal\tJJ\tI-NP\tO' +p254994 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p254995 +aS'with\twith\tIN\tB-PP\tO' +p254996 +aS'extensive\textensive\tJJ\tB-NP\tO' +p254997 +aS'lymphatic\tlymphatic\tJJ\tI-NP\tO' +p254998 +aS'vessel\tvessel\tNN\tI-NP\tO' +p254999 +aS'invasion\tinvasion\tNN\tI-NP\tO' +p255000 +aS'.\t.\t.\tO\tO' +p255001 +asS'An ERCP performed there showed a long segment of distal narrowing of the common bileduct and a transhepatic biliary drain was placed there on December 29 .' +p255002 +(lp255003 +S'An\tAn\tDT\tB-NP\tO' +p255004 +aS'ERCP\tERCP\tNN\tI-NP\tB-DNA' +p255005 +aS'performed\tperform\tVBN\tB-VP\tO' +p255006 +aS'there\tthere\tEX\tB-NP\tO' +p255007 +aS'showed\tshow\tVBD\tB-VP\tO' +p255008 +aS'a\ta\tDT\tB-NP\tO' +p255009 +aS'long\tlong\tJJ\tI-NP\tO' +p255010 +aS'segment\tsegment\tNN\tI-NP\tO' +p255011 +aS'of\tof\tIN\tB-PP\tO' +p255012 +aS'distal\tdistal\tJJ\tB-NP\tO' +p255013 +aS'narrowing\tnarrowing\tNN\tI-NP\tO' +p255014 +aS'of\tof\tIN\tB-PP\tO' +p255015 +aS'the\tthe\tDT\tB-NP\tO' +p255016 +aS'common\tcommon\tJJ\tI-NP\tO' +p255017 +aS'bileduct\tbileduct\tNN\tI-NP\tO' +p255018 +aS'and\tand\tCC\tO\tO' +p255019 +aS'a\ta\tDT\tB-NP\tO' +p255020 +aS'transhepatic\ttranshepatic\tJJ\tI-NP\tO' +p255021 +aS'biliary\tbiliary\tJJ\tI-NP\tO' +p255022 +aS'drain\tdrain\tNN\tI-NP\tO' +p255023 +aS'was\tbe\tVBD\tB-VP\tO' +p255024 +aS'placed\tplace\tVBN\tI-VP\tO' +p255025 +aS'there\tthere\tRB\tB-ADVP\tO' +p255026 +aS'on\ton\tIN\tB-PP\tO' +p255027 +aS'December\tDecember\tNNP\tB-NP\tO' +p255028 +aS'29\t29\tCD\tI-NP\tO' +p255029 +aS'.\t.\t.\tO\tO' +p255030 +asS'Nondistended .' +p255031 +(lp255032 +S'Nondistended\tNondistende\tVBN\tB-VP\tO' +p255033 +aS'.\t.\t.\tO\tO' +p255034 +asS'Patient should follow up with her pain doctor , Dr. Maa Bloch 381-389-5852 , for her chronic pain management' +p255035 +(lp255036 +S'Patient\tPatient\tNN\tB-NP\tO' +p255037 +aS'should\tshould\tMD\tB-VP\tO' +p255038 +aS'follow\tfollow\tVB\tI-VP\tO' +p255039 +aS'up\tup\tRP\tB-PRT\tO' +p255040 +aS'with\twith\tIN\tB-PP\tO' +p255041 +aS'her\ther\tPRP$\tB-NP\tO' +p255042 +aS'pain\tpain\tNN\tI-NP\tO' +p255043 +aS'doctor\tdoctor\tNN\tI-NP\tO' +p255044 +aS',\t,\t,\tO\tO' +p255045 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p255046 +aS'Maa\tMaa\tNNP\tI-NP\tO' +p255047 +aS'Bloch\tBloch\tNNP\tI-NP\tO' +p255048 +aS'381-389-5852\t381-389-5852\tCD\tI-NP\tO' +p255049 +aS',\t,\t,\tO\tO' +p255050 +aS'for\tfor\tIN\tB-PP\tO' +p255051 +aS'her\ther\tPRP$\tB-NP\tO' +p255052 +aS'chronic\tchronic\tJJ\tI-NP\tO' +p255053 +aS'pain\tpain\tNN\tI-NP\tO' +p255054 +aS'management\tmanagement\tNN\tI-NP\tO' +p255055 +asS'There was no splenomegaly .' +p255056 +(lp255057 +S'There\tThere\tEX\tB-NP\tO' +p255058 +aS'was\tbe\tVBD\tB-VP\tO' +p255059 +aS'no\tno\tDT\tB-NP\tO' +p255060 +aS'splenomegaly\tsplenomegaly\tNN\tI-NP\tO' +p255061 +aS'.\t.\t.\tO\tO' +p255062 +asS'His mother is a 31-year-old female gravida 2 , para 1 , now 2 .' +p255063 +(lp255064 +S'His\tHis\tPRP$\tB-NP\tO' +p255065 +aS'mother\tmother\tNN\tI-NP\tO' +p255066 +aS'is\tbe\tVBZ\tB-VP\tO' +p255067 +aS'a\ta\tDT\tB-NP\tO' +p255068 +aS'31-year-old\t31-year-old\tJJ\tI-NP\tO' +p255069 +aS'female\tfemale\tJJ\tI-NP\tO' +p255070 +aS'gravida\tgravida\tNN\tI-NP\tO' +p255071 +aS'2\t2\tCD\tI-NP\tO' +p255072 +aS',\t,\t,\tO\tO' +p255073 +aS'para\tpara\tNN\tB-NP\tO' +p255074 +aS'1\t1\tCD\tI-NP\tO' +p255075 +aS',\t,\t,\tO\tO' +p255076 +aS'now\tnow\tRB\tB-ADVP\tO' +p255077 +aS'2\t2\tCD\tB-NP\tO' +p255078 +aS'.\t.\t.\tO\tO' +p255079 +asS'Both of his Jackson-Pratt drains were removed without incident .' +p255080 +(lp255081 +S'Both\tBoth\tDT\tB-NP\tO' +p255082 +aS'of\tof\tIN\tB-PP\tO' +p255083 +aS'his\this\tPRP$\tB-NP\tO' +p255084 +aS'Jackson-Pratt\tJackson-Pratt\tJJ\tI-NP\tB-protein' +p255085 +aS'drains\tdrain\tNNS\tI-NP\tI-protein' +p255086 +aS'were\tbe\tVBD\tB-VP\tO' +p255087 +aS'removed\tremove\tVBN\tI-VP\tO' +p255088 +aS'without\twithout\tIN\tB-PP\tO' +p255089 +aS'incident\tincident\tNN\tB-NP\tO' +p255090 +aS'.\t.\t.\tO\tO' +p255091 +asS'Sputum culture as late as 2013-05-10 , however was still positive for coagulase positive Staphylococcus which was methicillin resistant Staphylococcus aureus .' +p255092 +(lp255093 +S'Sputum\tSputum\tNN\tB-NP\tO' +p255094 +aS'culture\tculture\tNN\tI-NP\tO' +p255095 +aS'as\tas\tIN\tB-PP\tO' +p255096 +aS'late\tlate\tJJ\tB-ADJP\tO' +p255097 +aS'as\tas\tIN\tB-PP\tO' +p255098 +aS'2013-05-10\t2013-05-10\tCD\tB-NP\tO' +p255099 +aS',\t,\t,\tO\tO' +p255100 +aS'however\thowever\tRB\tB-ADVP\tO' +p255101 +aS'was\tbe\tVBD\tB-VP\tO' +p255102 +aS'still\tstill\tRB\tB-ADVP\tO' +p255103 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p255104 +aS'for\tfor\tIN\tB-PP\tO' +p255105 +aS'coagulase\tcoagulase\tNN\tB-NP\tO' +p255106 +aS'positive\tpositive\tJJ\tI-NP\tO' +p255107 +aS'Staphylococcus\tStaphylococcus\tNN\tI-NP\tO' +p255108 +aS'which\twhich\tWDT\tB-NP\tO' +p255109 +aS'was\tbe\tVBD\tB-VP\tO' +p255110 +aS'methicillin\tmethicillin\tNN\tB-NP\tO' +p255111 +aS'resistant\tresistant\tJJ\tB-NP\tO' +p255112 +aS'Staphylococcus\tStaphylococcus\tNNP\tI-NP\tO' +p255113 +aS'aureus\taureus\tNN\tI-NP\tO' +p255114 +aS'.\t.\t.\tO\tO' +p255115 +asS'4. Neurontin 1800 mg four times a day' +p255116 +(lp255117 +S'4.\t4.\tLS\tB-NP\tO' +p255118 +aS'Neurontin\tNeurontin\tNN\tI-NP\tO' +p255119 +aS'1800\t1800\tCD\tB-NP\tO' +p255120 +aS'mg\tmg\tNN\tI-NP\tO' +p255121 +aS'four\tfour\tCD\tB-NP\tO' +p255122 +aS'times\ttime\tNNS\tI-NP\tO' +p255123 +aS'a\ta\tDT\tB-NP\tO' +p255124 +aS'day\tday\tNN\tI-NP\tO' +p255125 +asS'1. Please follow up with Dr. Faleschird , Dr. Cuchbreunjesc and Dr. Roziesc .' +p255126 +(lp255127 +S'1.\t1.\tLS\tB-NP\tO' +p255128 +aS'Please\tPlease\tNN\tI-NP\tB-protein' +p255129 +aS'follow\tfollow\tVB\tB-VP\tO' +p255130 +aS'up\tup\tRP\tB-PRT\tO' +p255131 +aS'with\twith\tIN\tB-PP\tO' +p255132 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p255133 +aS'Faleschird\tFaleschird\tNNP\tI-NP\tO' +p255134 +aS',\t,\t,\tO\tO' +p255135 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p255136 +aS'Cuchbreunjesc\tCuchbreunjesc\tNNP\tI-NP\tO' +p255137 +aS'and\tand\tCC\tO\tO' +p255138 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p255139 +aS'Roziesc\tRoziesc\tNNP\tI-NP\tO' +p255140 +aS'.\t.\t.\tO\tO' +p255141 +asS'She now present for surgical intervention .' +p255142 +(lp255143 +S'She\tShe\tPRP\tB-NP\tO' +p255144 +aS'now\tnow\tRB\tB-ADVP\tO' +p255145 +aS'present\tpresent\tVBP\tB-VP\tO' +p255146 +aS'for\tfor\tIN\tB-PP\tO' +p255147 +aS'surgical\tsurgical\tJJ\tB-NP\tO' +p255148 +aS'intervention\tintervention\tNN\tI-NP\tO' +p255149 +aS'.\t.\t.\tO\tO' +p255150 +asS'At the time of discharge , her hematocrit is stable in the 28 to 33 range .' +p255151 +(lp255152 +S'At\tAt\tIN\tB-PP\tO' +p255153 +aS'the\tthe\tDT\tB-NP\tO' +p255154 +aS'time\ttime\tNN\tI-NP\tO' +p255155 +aS'of\tof\tIN\tB-PP\tO' +p255156 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p255157 +aS',\t,\t,\tO\tO' +p255158 +aS'her\ther\tPRP$\tB-NP\tO' +p255159 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p255160 +aS'is\tbe\tVBZ\tB-VP\tO' +p255161 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p255162 +aS'in\tin\tIN\tB-PP\tO' +p255163 +aS'the\tthe\tDT\tB-NP\tO' +p255164 +aS'28\t28\tCD\tI-NP\tO' +p255165 +aS'to\tto\tTO\tI-NP\tO' +p255166 +aS'33\t33\tCD\tI-NP\tO' +p255167 +aS'range\trange\tNN\tI-NP\tO' +p255168 +aS'.\t.\t.\tO\tO' +p255169 +asS'Incision and drainage of wound infection on 3/7/02 .' +p255170 +(lp255171 +S'Incision\tIncision\tNN\tB-NP\tO' +p255172 +aS'and\tand\tCC\tI-NP\tO' +p255173 +aS'drainage\tdrainage\tNN\tI-NP\tO' +p255174 +aS'of\tof\tIN\tB-PP\tO' +p255175 +aS'wound\twound\tNN\tB-NP\tO' +p255176 +aS'infection\tinfection\tNN\tI-NP\tO' +p255177 +aS'on\ton\tIN\tB-PP\tO' +p255178 +aS'3/7/02\t3/7/02\tCD\tB-NP\tO' +p255179 +aS'.\t.\t.\tO\tO' +p255180 +asS'- Follow up with Trauma Surgery Clinic with the Result from the CT scan abdomen' +p255181 +(lp255182 +S'-\t-\tHYPH\tO\tO' +p255183 +aS'Follow\tFollow\tVB\tB-VP\tO' +p255184 +aS'up\tup\tRP\tB-PRT\tO' +p255185 +aS'with\twith\tIN\tB-PP\tO' +p255186 +aS'Trauma\tTrauma\tNNP\tB-NP\tO' +p255187 +aS'Surgery\tSurgery\tNNP\tI-NP\tO' +p255188 +aS'Clinic\tClinic\tNNP\tI-NP\tO' +p255189 +aS'with\twith\tIN\tB-PP\tO' +p255190 +aS'the\tthe\tDT\tB-NP\tO' +p255191 +aS'Result\tResult\tNN\tI-NP\tO' +p255192 +aS'from\tfrom\tIN\tB-PP\tO' +p255193 +aS'the\tthe\tDT\tB-NP\tO' +p255194 +aS'CT\tCT\tNN\tI-NP\tO' +p255195 +aS'scan\tscan\tNN\tI-NP\tO' +p255196 +aS'abdomen\tabdoman\tNNS\tI-NP\tO' +p255197 +asS'An Orthopedics consult was obtained and the patient was encouraged to weight bear as tolerated with Physical Therapy assistance .' +p255198 +(lp255199 +S'An\tAn\tDT\tB-NP\tO' +p255200 +aS'Orthopedics\tOrthopedics\tNNP\tI-NP\tO' +p255201 +aS'consult\tconsult\tNN\tI-NP\tO' +p255202 +aS'was\tbe\tVBD\tB-VP\tO' +p255203 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p255204 +aS'and\tand\tCC\tO\tO' +p255205 +aS'the\tthe\tDT\tB-NP\tO' +p255206 +aS'patient\tpatient\tNN\tI-NP\tO' +p255207 +aS'was\tbe\tVBD\tB-VP\tO' +p255208 +aS'encouraged\tencourage\tVBN\tI-VP\tO' +p255209 +aS'to\tto\tTO\tB-PP\tO' +p255210 +aS'weight\tweight\tNN\tB-NP\tO' +p255211 +aS'bear\tbear\tNN\tI-NP\tO' +p255212 +aS'as\tas\tIN\tB-SBAR\tO' +p255213 +aS'tolerated\ttolerate\tVBN\tB-VP\tO' +p255214 +aS'with\twith\tIN\tB-PP\tO' +p255215 +aS'Physical\tPhysical\tJJ\tB-NP\tO' +p255216 +aS'Therapy\tTherapy\tNN\tI-NP\tO' +p255217 +aS'assistance\tassistance\tNN\tI-NP\tO' +p255218 +aS'.\t.\t.\tO\tO' +p255219 +asS'EKG revealed sinus tachycardia at 107 beats per minute .' +p255220 +(lp255221 +S'EKG\tEKG\tNN\tB-NP\tB-protein' +p255222 +aS'revealed\treveal\tVBD\tB-VP\tO' +p255223 +aS'sinus\tsinus\tNN\tB-NP\tO' +p255224 +aS'tachycardia\ttachycardia\tNN\tI-NP\tO' +p255225 +aS'at\tat\tIN\tB-PP\tO' +p255226 +aS'107\t107\tCD\tB-NP\tO' +p255227 +aS'beats\tbeat\tNNS\tI-NP\tO' +p255228 +aS'per\tper\tIN\tB-PP\tO' +p255229 +aS'minute\tminute\tNN\tB-NP\tO' +p255230 +aS'.\t.\t.\tO\tO' +p255231 +asS'9. Valcyte 450 mg po qod .' +p255232 +(lp255233 +S'9.\t9.\tCD\tB-NP\tO' +p255234 +aS'Valcyte\tValcyte\tNN\tI-NP\tO' +p255235 +aS'450\t450\tCD\tB-NP\tO' +p255236 +aS'mg\tmg\tNN\tI-NP\tO' +p255237 +aS'po\tpo\tNN\tI-NP\tO' +p255238 +aS'qod\tqod\tNN\tI-NP\tO' +p255239 +aS'.\t.\t.\tO\tO' +p255240 +asS'While in the hospital he had several episodes of pauses , none longer than 2.5 seconds .' +p255241 +(lp255242 +S'While\tWhile\tIN\tB-SBAR\tO' +p255243 +aS'in\tin\tIN\tB-PP\tO' +p255244 +aS'the\tthe\tDT\tB-NP\tO' +p255245 +aS'hospital\thospital\tNN\tI-NP\tO' +p255246 +aS'he\the\tPRP\tB-NP\tO' +p255247 +aS'had\thave\tVBD\tB-VP\tO' +p255248 +aS'several\tseveral\tJJ\tB-NP\tO' +p255249 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p255250 +aS'of\tof\tIN\tB-PP\tO' +p255251 +aS'pauses\tpause\tNNS\tB-NP\tO' +p255252 +aS',\t,\t,\tO\tO' +p255253 +aS'none\tnone\tNN\tB-NP\tO' +p255254 +aS'longer\tlong\tJJR\tB-ADJP\tO' +p255255 +aS'than\tthan\tIN\tB-PP\tO' +p255256 +aS'2.5\t2.5\tCD\tB-NP\tO' +p255257 +aS'seconds\tsecond\tNNS\tI-NP\tO' +p255258 +aS'.\t.\t.\tO\tO' +p255259 +asS'One day prior to her transfer to the medical floor she was sectioned to initiate ECT , which she had previously refused .' +p255260 +(lp255261 +S'One\tOne\tCD\tB-NP\tO' +p255262 +aS'day\tday\tNN\tI-NP\tO' +p255263 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p255264 +aS'to\tto\tTO\tB-PP\tO' +p255265 +aS'her\ther\tPRP$\tB-NP\tO' +p255266 +aS'transfer\ttransfer\tNN\tI-NP\tO' +p255267 +aS'to\tto\tTO\tB-PP\tO' +p255268 +aS'the\tthe\tDT\tB-NP\tO' +p255269 +aS'medical\tmedical\tJJ\tI-NP\tO' +p255270 +aS'floor\tfloor\tNN\tI-NP\tO' +p255271 +aS'she\tshe\tPRP\tB-NP\tO' +p255272 +aS'was\tbe\tVBD\tB-VP\tO' +p255273 +aS'sectioned\tsection\tVBN\tI-VP\tO' +p255274 +aS'to\tto\tTO\tI-VP\tO' +p255275 +aS'initiate\tinitiate\tVB\tI-VP\tO' +p255276 +aS'ECT\tECT\tNN\tB-NP\tO' +p255277 +aS',\t,\t,\tO\tO' +p255278 +aS'which\twhich\tWDT\tB-NP\tO' +p255279 +aS'she\tshe\tPRP\tB-NP\tO' +p255280 +aS'had\thave\tVBD\tB-VP\tO' +p255281 +aS'previously\tpreviously\tRB\tI-VP\tO' +p255282 +aS'refused\trefuse\tVBN\tI-VP\tO' +p255283 +aS'.\t.\t.\tO\tO' +p255284 +asS'Code status - the patient is a DNR / DNI .' +p255285 +(lp255286 +S'Code\tCode\tNN\tB-NP\tO' +p255287 +aS'status\tstatus\tNN\tI-NP\tO' +p255288 +aS'-\t-\tHYPH\tO\tO' +p255289 +aS'the\tthe\tDT\tB-NP\tO' +p255290 +aS'patient\tpatient\tNN\tI-NP\tO' +p255291 +aS'is\tbe\tVBZ\tB-VP\tO' +p255292 +aS'a\ta\tDT\tB-NP\tO' +p255293 +aS'DNR\tDNR\tNN\tI-NP\tB-protein' +p255294 +aS'/\t/\tSYM\tB-NP\tO' +p255295 +aS'DNI\tDNI\tNN\tI-NP\tO' +p255296 +aS'.\t.\t.\tO\tO' +p255297 +asS'He did much better with PT and OT at the end after his mental status improved .' +p255298 +(lp255299 +S'He\tHe\tPRP\tB-NP\tO' +p255300 +aS'did\tdo\tVBD\tB-VP\tO' +p255301 +aS'much\tmuch\tRB\tB-ADJP\tO' +p255302 +aS'better\tgood\tJJR\tI-ADJP\tO' +p255303 +aS'with\twith\tIN\tB-PP\tO' +p255304 +aS'PT\tPT\tNN\tB-NP\tO' +p255305 +aS'and\tand\tCC\tI-NP\tO' +p255306 +aS'OT\tOT\tNN\tI-NP\tO' +p255307 +aS'at\tat\tIN\tB-PP\tO' +p255308 +aS'the\tthe\tDT\tB-NP\tO' +p255309 +aS'end\tend\tNN\tI-NP\tO' +p255310 +aS'after\tafter\tIN\tB-PP\tO' +p255311 +aS'his\this\tPRP$\tB-NP\tO' +p255312 +aS'mental\tmental\tJJ\tI-NP\tO' +p255313 +aS'status\tstatus\tNN\tI-NP\tO' +p255314 +aS'improved\timprove\tVBD\tB-VP\tO' +p255315 +aS'.\t.\t.\tO\tO' +p255316 +asS'He was transferred back to the CCU and started on a dopamine gtt .' +p255317 +(lp255318 +S'He\tHe\tPRP\tB-NP\tO' +p255319 +aS'was\tbe\tVBD\tB-VP\tO' +p255320 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p255321 +aS'back\tback\tRB\tB-ADVP\tO' +p255322 +aS'to\tto\tTO\tB-PP\tO' +p255323 +aS'the\tthe\tDT\tB-NP\tO' +p255324 +aS'CCU\tCCU\tNN\tI-NP\tB-DNA' +p255325 +aS'and\tand\tCC\tO\tO' +p255326 +aS'started\tstart\tVBD\tB-VP\tO' +p255327 +aS'on\ton\tIN\tB-PP\tO' +p255328 +aS'a\ta\tDT\tB-NP\tO' +p255329 +aS'dopamine\tdopamine\tNN\tI-NP\tO' +p255330 +aS'gtt\tgtt\tNN\tI-NP\tO' +p255331 +aS'.\t.\t.\tO\tO' +p255332 +asS'A work up begun by her internist , Dr. Brain , revealed a white blood cell count of 49,000 with 50% eosinophils .' +p255333 +(lp255334 +S'A\tA\tDT\tB-NP\tO' +p255335 +aS'work\twork\tNN\tI-NP\tO' +p255336 +aS'up\tup\tRB\tB-VP\tO' +p255337 +aS'begun\tbegin\tVBN\tI-VP\tO' +p255338 +aS'by\tby\tIN\tB-PP\tO' +p255339 +aS'her\ther\tPRP$\tB-NP\tO' +p255340 +aS'internist\tinternist\tNN\tI-NP\tO' +p255341 +aS',\t,\t,\tO\tO' +p255342 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p255343 +aS'Brain\tBrain\tNNP\tI-NP\tO' +p255344 +aS',\t,\t,\tO\tO' +p255345 +aS'revealed\treveal\tVBD\tB-VP\tO' +p255346 +aS'a\ta\tDT\tB-NP\tO' +p255347 +aS'white\twhite\tJJ\tI-NP\tO' +p255348 +aS'blood\tblood\tNN\tI-NP\tO' +p255349 +aS'cell\tcell\tNN\tI-NP\tO' +p255350 +aS'count\tcount\tNN\tI-NP\tO' +p255351 +aS'of\tof\tIN\tB-PP\tO' +p255352 +aS'49,000\t49,000\tCD\tB-NP\tO' +p255353 +aS'with\twith\tIN\tB-PP\tO' +p255354 +aS'50%\t50%\tCD\tB-NP\tO' +p255355 +aS'eosinophils\teosinophil\tNNS\tI-NP\tB-cell_type' +p255356 +aS'.\t.\t.\tO\tO' +p255357 +asS'She had been placed on emergency transplant for this difficult access problem .' +p255358 +(lp255359 +S'She\tShe\tPRP\tB-NP\tO' +p255360 +aS'had\thave\tVBD\tB-VP\tO' +p255361 +aS'been\tbe\tVBN\tI-VP\tO' +p255362 +aS'placed\tplace\tVBN\tI-VP\tO' +p255363 +aS'on\ton\tIN\tB-PP\tO' +p255364 +aS'emergency\temergency\tNN\tB-NP\tO' +p255365 +aS'transplant\ttransplant\tNN\tI-NP\tO' +p255366 +aS'for\tfor\tIN\tB-PP\tO' +p255367 +aS'this\tthis\tDT\tB-NP\tO' +p255368 +aS'difficult\tdifficult\tJJ\tI-NP\tO' +p255369 +aS'access\taccess\tNN\tI-NP\tO' +p255370 +aS'problem\tproblem\tNN\tI-NP\tO' +p255371 +aS'.\t.\t.\tO\tO' +p255372 +asS'3. Wellbutrin 200 mg by mouth twice per day .' +p255373 +(lp255374 +S'3.\t3.\tLS\tB-NP\tO' +p255375 +aS'Wellbutrin\tWellbutrin\tNN\tI-NP\tO' +p255376 +aS'200\t200\tCD\tI-NP\tO' +p255377 +aS'mg\tmg\tNN\tI-NP\tO' +p255378 +aS'by\tby\tIN\tB-PP\tO' +p255379 +aS'mouth\tmouth\tNN\tB-NP\tO' +p255380 +aS'twice\ttwice\tRB\tB-ADVP\tO' +p255381 +aS'per\tper\tIN\tB-PP\tO' +p255382 +aS'day\tday\tNN\tB-NP\tO' +p255383 +aS'.\t.\t.\tO\tO' +p255384 +asS'The subsequent overall course was a slow downhill one , with ongoing extreme hyperdynamic ( cardiac output 12 to 15 liters per minute ) and catabolic state .' +p255385 +(lp255386 +S'The\tThe\tDT\tB-NP\tO' +p255387 +aS'subsequent\tsubsequent\tJJ\tI-NP\tO' +p255388 +aS'overall\toverall\tJJ\tI-NP\tO' +p255389 +aS'course\tcourse\tNN\tI-NP\tO' +p255390 +aS'was\tbe\tVBD\tB-VP\tO' +p255391 +aS'a\ta\tDT\tB-NP\tO' +p255392 +aS'slow\tslow\tJJ\tI-NP\tO' +p255393 +aS'downhill\tdownhill\tNN\tI-NP\tO' +p255394 +aS'one\tone\tCD\tI-NP\tO' +p255395 +aS',\t,\t,\tO\tO' +p255396 +aS'with\twith\tIN\tB-PP\tO' +p255397 +aS'ongoing\tongoe\tVBG\tB-VP\tO' +p255398 +aS'extreme\textreme\tJJ\tB-NP\tO' +p255399 +aS'hyperdynamic\thyperdynamic\tJJ\tI-NP\tO' +p255400 +aS'(\t(\t(\tO\tO' +p255401 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p255402 +aS'output\toutput\tNN\tI-NP\tO' +p255403 +aS'12\t12\tCD\tI-NP\tO' +p255404 +aS'to\tto\tTO\tI-NP\tO' +p255405 +aS'15\t15\tCD\tI-NP\tO' +p255406 +aS'liters\tliter\tNNS\tI-NP\tO' +p255407 +aS'per\tper\tIN\tB-PP\tO' +p255408 +aS'minute\tminute\tNN\tB-NP\tO' +p255409 +aS')\t)\t)\tO\tO' +p255410 +aS'and\tand\tCC\tO\tO' +p255411 +aS'catabolic\tcatabolic\tJJ\tB-NP\tO' +p255412 +aS'state\tstate\tNN\tI-NP\tO' +p255413 +aS'.\t.\t.\tO\tO' +p255414 +asS'Lives alone but family is close .' +p255415 +(lp255416 +S'Lives\tLife\tNNS\tB-NP\tO' +p255417 +aS'alone\talone\tRB\tB-ADVP\tO' +p255418 +aS'but\tbut\tCC\tO\tO' +p255419 +aS'family\tfamily\tNN\tB-NP\tO' +p255420 +aS'is\tbe\tVBZ\tB-VP\tO' +p255421 +aS'close\tclose\tJJ\tB-ADJP\tO' +p255422 +aS'.\t.\t.\tO\tO' +p255423 +asS'She was in sinus rhythm with most of the time .' +p255424 +(lp255425 +S'She\tShe\tPRP\tB-NP\tO' +p255426 +aS'was\tbe\tVBD\tB-VP\tO' +p255427 +aS'in\tin\tIN\tB-PP\tO' +p255428 +aS'sinus\tsinus\tNN\tB-NP\tO' +p255429 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p255430 +aS'with\twith\tIN\tB-PP\tO' +p255431 +aS'most\tmost\tJJS\tB-NP\tO' +p255432 +aS'of\tof\tIN\tB-PP\tO' +p255433 +aS'the\tthe\tDT\tB-NP\tO' +p255434 +aS'time\ttime\tNN\tI-NP\tO' +p255435 +aS'.\t.\t.\tO\tO' +p255436 +asS'Heart rate 60 , respiratory rate 18 , blood pressure 116/80 , temperature 97.1 degrees , oxygen saturation 93% on room air .' +p255437 +(lp255438 +S'Heart\tHeart\tNN\tB-NP\tO' +p255439 +aS'rate\trate\tNN\tI-NP\tO' +p255440 +aS'60\t60\tCD\tI-NP\tO' +p255441 +aS',\t,\t,\tI-NP\tO' +p255442 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p255443 +aS'rate\trate\tNN\tI-NP\tO' +p255444 +aS'18\t18\tCD\tI-NP\tO' +p255445 +aS',\t,\t,\tO\tO' +p255446 +aS'blood\tblood\tNN\tB-NP\tO' +p255447 +aS'pressure\tpressure\tNN\tI-NP\tO' +p255448 +aS'116/80\t116/80\tCD\tI-NP\tO' +p255449 +aS',\t,\t,\tO\tO' +p255450 +aS'temperature\ttemperature\tNN\tB-NP\tO' +p255451 +aS'97.1\t97.1\tCD\tB-NP\tO' +p255452 +aS'degrees\tdegree\tNNS\tI-NP\tO' +p255453 +aS',\t,\t,\tO\tO' +p255454 +aS'oxygen\toxygen\tNN\tB-NP\tO' +p255455 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p255456 +aS'93%\t93%\tNN\tI-NP\tO' +p255457 +aS'on\ton\tIN\tB-PP\tO' +p255458 +aS'room\troom\tNN\tB-NP\tO' +p255459 +aS'air\tair\tNN\tI-NP\tO' +p255460 +aS'.\t.\t.\tO\tO' +p255461 +asS'On hospital day four , a routine chest x-ray revealed a left-sided pneumothorax .' +p255462 +(lp255463 +S'On\tOn\tIN\tB-PP\tO' +p255464 +aS'hospital\thospital\tNN\tB-NP\tO' +p255465 +aS'day\tday\tNN\tI-NP\tO' +p255466 +aS'four\tfour\tCD\tB-NP\tO' +p255467 +aS',\t,\t,\tO\tO' +p255468 +aS'a\ta\tDT\tB-NP\tO' +p255469 +aS'routine\troutine\tJJ\tI-NP\tO' +p255470 +aS'chest\tchest\tNN\tI-NP\tO' +p255471 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p255472 +aS'revealed\treveal\tVBD\tB-VP\tO' +p255473 +aS'a\ta\tDT\tB-NP\tO' +p255474 +aS'left-sided\tleft-sided\tJJ\tI-NP\tB-protein' +p255475 +aS'pneumothorax\tpneumothorax\tNN\tI-NP\tI-protein' +p255476 +aS'.\t.\t.\tO\tO' +p255477 +asS'Tylenol 650 mg p.o. q.4h. p.r.n. , Benadryl 25 mg p.o. q.h.s. p.r.n. , Colace 100 mg p.o. q.i.d. , Nortriptyline 25 mg p.o. q.h.s. , Simvastatin 10 mg p.o. q.h.s. , Metamucil one packet p.o. b.i.d. p.r.n. , Neurontin 300 mg p.o. t.i.d. , Levsinex 0.375 mg p.o. q.12h. , Lisinopril / hydrochlorothiazide 20/25 mg p.o. q.d. , hydrocortisone topical ointment to affected areas , MS Contin 30 mg p.o. b.i.d. , MSIR 15 to 30 mg p.o. q.4h. p.r.n. pain .' +p255478 +(lp255479 +S'Tylenol\tTylenol\tNN\tB-NP\tO' +p255480 +aS'650\t650\tCD\tI-NP\tO' +p255481 +aS'mg\tmg\tNN\tI-NP\tO' +p255482 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p255483 +aS'q.4h.\tq.4h.\tNN\tI-NP\tO' +p255484 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p255485 +aS',\t,\t,\tO\tO' +p255486 +aS'Benadryl\tBenadryl\tNN\tB-NP\tO' +p255487 +aS'25\t25\tCD\tI-NP\tO' +p255488 +aS'mg\tmg\tNN\tI-NP\tO' +p255489 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p255490 +aS'q.h.s.\tq.h.s.\tFW\tI-NP\tO' +p255491 +aS'p.r.n.\tp.r.n.\tFW\tI-NP\tO' +p255492 +aS',\t,\t,\tO\tO' +p255493 +aS'Colace\tColace\tNNP\tB-NP\tO' +p255494 +aS'100\t100\tCD\tI-NP\tO' +p255495 +aS'mg\tmg\tNN\tI-NP\tO' +p255496 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p255497 +aS'q.i.d.\tq.i.d.\tNN\tI-NP\tO' +p255498 +aS',\t,\t,\tO\tO' +p255499 +aS'Nortriptyline\tNortriptyline\tNN\tB-NP\tO' +p255500 +aS'25\t25\tCD\tI-NP\tO' +p255501 +aS'mg\tmg\tNN\tI-NP\tO' +p255502 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p255503 +aS'q.h.s.\tq.h.s.\tNN\tI-NP\tO' +p255504 +aS',\t,\t,\tO\tO' +p255505 +aS'Simvastatin\tSimvastatin\tNN\tB-NP\tO' +p255506 +aS'10\t10\tCD\tI-NP\tO' +p255507 +aS'mg\tmg\tNN\tI-NP\tO' +p255508 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p255509 +aS'q.h.s.\tq.h.s.\tNN\tI-NP\tO' +p255510 +aS',\t,\t,\tO\tO' +p255511 +aS'Metamucil\tMetamucil\tNNP\tB-NP\tO' +p255512 +aS'one\tone\tCD\tI-NP\tO' +p255513 +aS'packet\tpacket\tNN\tI-NP\tO' +p255514 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p255515 +aS'b.i.d.\tb.i.d.\tFW\tI-NP\tO' +p255516 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p255517 +aS',\t,\t,\tO\tO' +p255518 +aS'Neurontin\tNeurontin\tNN\tB-NP\tO' +p255519 +aS'300\t300\tCD\tI-NP\tO' +p255520 +aS'mg\tmg\tNN\tI-NP\tO' +p255521 +aS'p.o.\tp.o.\tFW\tB-ADVP\tO' +p255522 +aS't.i.d.\tt.i.d.\tFW\tI-ADVP\tO' +p255523 +aS',\t,\t,\tO\tO' +p255524 +aS'Levsinex\tLevsinex\tNNP\tB-NP\tO' +p255525 +aS'0.375\t0.375\tCD\tI-NP\tO' +p255526 +aS'mg\tmg\tNN\tI-NP\tO' +p255527 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p255528 +aS'q.12h.\tq.12h.\tNN\tI-NP\tO' +p255529 +aS',\t,\t,\tO\tO' +p255530 +aS'Lisinopril\tLisinopril\tNN\tB-NP\tO' +p255531 +aS'/\t/\tSYM\tB-VP\tO' +p255532 +aS'hydrochlorothiazide\thydrochlorothiazide\tNN\tB-NP\tO' +p255533 +aS'20/25\t20/25\tCD\tI-NP\tO' +p255534 +aS'mg\tmg\tNN\tI-NP\tO' +p255535 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p255536 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p255537 +aS',\t,\t,\tO\tO' +p255538 +aS'hydrocortisone\thydrocortisone\tNN\tB-NP\tO' +p255539 +aS'topical\ttopical\tJJ\tI-NP\tO' +p255540 +aS'ointment\tointment\tNN\tI-NP\tO' +p255541 +aS'to\tto\tTO\tB-PP\tO' +p255542 +aS'affected\taffect\tVBN\tB-NP\tO' +p255543 +aS'areas\tarea\tNNS\tI-NP\tO' +p255544 +aS',\t,\t,\tO\tO' +p255545 +aS'MS\tMS\tNNP\tB-NP\tO' +p255546 +aS'Contin\tContin\tNNP\tI-NP\tO' +p255547 +aS'30\t30\tCD\tI-NP\tO' +p255548 +aS'mg\tmg\tNN\tI-NP\tO' +p255549 +aS'p.o.\tp.o.\tFW\tB-ADVP\tO' +p255550 +aS'b.i.d.\tb.i.d.\tFW\tI-ADVP\tO' +p255551 +aS',\t,\t,\tO\tO' +p255552 +aS'MSIR\tMSIR\tNN\tB-NP\tO' +p255553 +aS'15\t15\tCD\tI-NP\tO' +p255554 +aS'to\tto\tTO\tI-NP\tO' +p255555 +aS'30\t30\tCD\tI-NP\tO' +p255556 +aS'mg\tmg\tNN\tI-NP\tO' +p255557 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p255558 +aS'q.4h.\tq.4h.\tNN\tI-NP\tO' +p255559 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p255560 +aS'pain\tpain\tNN\tI-NP\tO' +p255561 +aS'.\t.\t.\tO\tO' +p255562 +asS'The patient already had a follow up appointment with Dr. Sterpbreutzsterp in three weeks , and was instructed to keep that appointment .' +p255563 +(lp255564 +S'The\tThe\tDT\tB-NP\tO' +p255565 +aS'patient\tpatient\tNN\tI-NP\tO' +p255566 +aS'already\talready\tRB\tB-ADVP\tO' +p255567 +aS'had\thave\tVBD\tB-VP\tO' +p255568 +aS'a\ta\tDT\tB-NP\tO' +p255569 +aS'follow\tfollow\tNN\tI-NP\tO' +p255570 +aS'up\tup\tRP\tB-PRT\tO' +p255571 +aS'appointment\tappointment\tNN\tB-NP\tO' +p255572 +aS'with\twith\tIN\tB-PP\tO' +p255573 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p255574 +aS'Sterpbreutzsterp\tSterpbreutzsterp\tNNP\tI-NP\tO' +p255575 +aS'in\tin\tIN\tB-PP\tO' +p255576 +aS'three\tthree\tCD\tB-NP\tO' +p255577 +aS'weeks\tweek\tNNS\tI-NP\tO' +p255578 +aS',\t,\t,\tO\tO' +p255579 +aS'and\tand\tCC\tO\tO' +p255580 +aS'was\tbe\tVBD\tB-VP\tO' +p255581 +aS'instructed\tinstruct\tVBN\tI-VP\tO' +p255582 +aS'to\tto\tTO\tI-VP\tO' +p255583 +aS'keep\tkeep\tVB\tI-VP\tO' +p255584 +aS'that\tthat\tDT\tB-NP\tO' +p255585 +aS'appointment\tappointment\tNN\tI-NP\tO' +p255586 +aS'.\t.\t.\tO\tO' +p255587 +asS'Please continue taking the antibiotics for H. Pylori for full course ( 26 more days ) .' +p255588 +(lp255589 +S'Please\tPlease\tNN\tB-NP\tB-protein' +p255590 +aS'continue\tcontinue\tVBP\tB-VP\tO' +p255591 +aS'taking\ttake\tVBG\tI-VP\tO' +p255592 +aS'the\tthe\tDT\tB-NP\tO' +p255593 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p255594 +aS'for\tfor\tIN\tB-PP\tO' +p255595 +aS'H.\tH.\tNNP\tB-NP\tO' +p255596 +aS'Pylori\tPylori\tNNP\tI-NP\tO' +p255597 +aS'for\tfor\tIN\tB-PP\tO' +p255598 +aS'full\tfull\tJJ\tB-NP\tO' +p255599 +aS'course\tcourse\tNN\tI-NP\tO' +p255600 +aS'(\t(\t(\tO\tO' +p255601 +aS'26\t26\tCD\tB-NP\tO' +p255602 +aS'more\tmore\tJJR\tI-NP\tO' +p255603 +aS'days\tday\tNNS\tI-NP\tO' +p255604 +aS')\t)\t)\tO\tO' +p255605 +aS'.\t.\t.\tO\tO' +p255606 +asS'Dictated By : Rebecca S Jefcoat , M.D.' +p255607 +(lp255608 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p255609 +aS'By\tBy\tIN\tB-PP\tO' +p255610 +aS':\t:\t:\tO\tO' +p255611 +aS'Rebecca\tRebecca\tNNP\tB-NP\tO' +p255612 +aS'S\tS\tNNP\tI-NP\tO' +p255613 +aS'Jefcoat\tJefcoat\tNNP\tI-NP\tO' +p255614 +aS',\t,\t,\tO\tO' +p255615 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p255616 +asS'A copy to Dr. Ca Shuff at Valtawnprinceel Community Memorial Hospital , a copy to Dr. A Skizeis , a copy to Dr. Riemund C. Kennedy , and three copies to Dr. Shuff 's office .' +p255617 +(lp255618 +S'A\tA\tDT\tB-NP\tO' +p255619 +aS'copy\tcopy\tNN\tI-NP\tO' +p255620 +aS'to\tto\tTO\tB-PP\tO' +p255621 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p255622 +aS'Ca\tCa\tNNP\tI-NP\tO' +p255623 +aS'Shuff\tShuff\tNNP\tI-NP\tO' +p255624 +aS'at\tat\tIN\tB-PP\tO' +p255625 +aS'Valtawnprinceel\tValtawnprinceel\tNNP\tB-NP\tO' +p255626 +aS'Community\tCommunity\tNNP\tI-NP\tO' +p255627 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p255628 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p255629 +aS',\t,\t,\tO\tO' +p255630 +aS'a\ta\tDT\tB-NP\tO' +p255631 +aS'copy\tcopy\tNN\tI-NP\tO' +p255632 +aS'to\tto\tTO\tB-PP\tO' +p255633 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p255634 +aS'A\tA\tNNP\tI-NP\tO' +p255635 +aS'Skizeis\tSkizeis\tNNP\tI-NP\tO' +p255636 +aS',\t,\t,\tO\tO' +p255637 +aS'a\ta\tDT\tB-NP\tO' +p255638 +aS'copy\tcopy\tNN\tI-NP\tO' +p255639 +aS'to\tto\tTO\tB-PP\tO' +p255640 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p255641 +aS'Riemund\tRiemund\tNNP\tI-NP\tO' +p255642 +aS'C.\tC.\tNNP\tI-NP\tO' +p255643 +aS'Kennedy\tKennedy\tNNP\tI-NP\tO' +p255644 +aS',\t,\t,\tO\tO' +p255645 +aS'and\tand\tCC\tO\tO' +p255646 +aS'three\tthree\tCD\tB-NP\tO' +p255647 +aS'copies\tcopy\tNNS\tI-NP\tO' +p255648 +aS'to\tto\tTO\tB-PP\tO' +p255649 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p255650 +aS'Shuff\tShuff\tNNP\tI-NP\tO' +p255651 +aS''s\t'\tNNS\tI-NP\tO' +p255652 +aS'office\toffice\tNN\tI-NP\tO' +p255653 +aS'.\t.\t.\tO\tO' +p255654 +asS'Hysterectomy at the age of 32 .' +p255655 +(lp255656 +S'Hysterectomy\tHysterectomy\tNN\tB-NP\tO' +p255657 +aS'at\tat\tIN\tB-PP\tO' +p255658 +aS'the\tthe\tDT\tB-NP\tO' +p255659 +aS'age\tage\tNN\tI-NP\tO' +p255660 +aS'of\tof\tIN\tB-PP\tO' +p255661 +aS'32\t32\tCD\tB-NP\tO' +p255662 +aS'.\t.\t.\tO\tO' +p255663 +asS'The patient was discharged back to Raka St , Mcape Garl , long term facility .' +p255664 +(lp255665 +S'The\tThe\tDT\tB-NP\tO' +p255666 +aS'patient\tpatient\tNN\tI-NP\tO' +p255667 +aS'was\tbe\tVBD\tB-VP\tO' +p255668 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p255669 +aS'back\tback\tRB\tB-ADVP\tO' +p255670 +aS'to\tto\tTO\tB-PP\tO' +p255671 +aS'Raka\tRaka\tNNP\tB-NP\tO' +p255672 +aS'St\tSt\tNNP\tI-NP\tO' +p255673 +aS',\t,\t,\tO\tO' +p255674 +aS'Mcape\tMcape\tNNP\tB-NP\tO' +p255675 +aS'Garl\tGarl\tNNP\tI-NP\tO' +p255676 +aS',\t,\t,\tO\tO' +p255677 +aS'long\tlong\tJJ\tB-NP\tO' +p255678 +aS'term\tterm\tNN\tI-NP\tO' +p255679 +aS'facility\tfacility\tNN\tI-NP\tO' +p255680 +aS'.\t.\t.\tO\tO' +p255681 +asS"Mother 's blood type is O negative ." +p255682 +(lp255683 +S'Mother\tMother\tNNP\tB-NP\tO' +p255684 +aS"'s\t's\tPOS\tB-NP\tO" +p255685 +aS'blood\tblood\tNN\tI-NP\tO' +p255686 +aS'type\ttype\tNN\tI-NP\tO' +p255687 +aS'is\tbe\tVBZ\tB-VP\tO' +p255688 +aS'O\tO\tNN\tB-NP\tO' +p255689 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p255690 +aS'.\t.\t.\tO\tO' +p255691 +asS'She was intially continued on Cipro/Zosyn .' +p255692 +(lp255693 +S'She\tShe\tPRP\tB-NP\tO' +p255694 +aS'was\tbe\tVBD\tB-VP\tO' +p255695 +aS'intially\tintially\tRB\tI-VP\tO' +p255696 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p255697 +aS'on\ton\tIN\tB-PP\tO' +p255698 +aS'Cipro/Zosyn\tCipro/Zosyn\tNN\tB-NP\tO' +p255699 +aS'.\t.\t.\tO\tO' +p255700 +asS'Metamucil instant mix , one teaspoon PO q.day ;' +p255701 +(lp255702 +S'Metamucil\tMetamucil\tNN\tB-NP\tO' +p255703 +aS'instant\tinstant\tJJ\tI-NP\tO' +p255704 +aS'mix\tmix\tNN\tI-NP\tO' +p255705 +aS',\t,\t,\tO\tO' +p255706 +aS'one\tone\tCD\tB-NP\tO' +p255707 +aS'teaspoon\tteaspoon\tNN\tI-NP\tO' +p255708 +aS'PO\tPO\tNN\tI-NP\tO' +p255709 +aS'q.day\tq.day\tNN\tI-NP\tO' +p255710 +aS';\t;\t:\tO\tO' +p255711 +asS'EBL 4000 cc ; IVF 6000 cc crystalloid ; U/O 3500 cc .' +p255712 +(lp255713 +S'EBL\tEBL\tNN\tB-NP\tO' +p255714 +aS'4000\t4000\tCD\tI-NP\tO' +p255715 +aS'cc\tcc\tNN\tI-NP\tO' +p255716 +aS';\t;\t:\tO\tO' +p255717 +aS'IVF\tIVF\tNN\tB-NP\tO' +p255718 +aS'6000\t6000\tCD\tI-NP\tO' +p255719 +aS'cc\tcc\tNN\tI-NP\tO' +p255720 +aS'crystalloid\tcrystalloid\tNN\tI-NP\tO' +p255721 +aS';\t;\t:\tO\tO' +p255722 +aS'U/O\tU/O\tNN\tB-NP\tO' +p255723 +aS'3500\t3500\tCD\tI-NP\tO' +p255724 +aS'cc\tcc\tNN\tI-NP\tO' +p255725 +aS'.\t.\t.\tO\tO' +p255726 +asS'NODES : No supraclavicular , submandibular , axillary or inguinal lymphadenopathy .' +p255727 +(lp255728 +S'NODES\tNODES\tNNS\tB-NP\tO' +p255729 +aS':\t:\t:\tO\tO' +p255730 +aS'No\tNo\tDT\tB-NP\tO' +p255731 +aS'supraclavicular\tsupraclavicular\tJJ\tI-NP\tO' +p255732 +aS',\t,\t,\tI-NP\tO' +p255733 +aS'submandibular\tsubmandibular\tJJ\tI-NP\tO' +p255734 +aS',\t,\t,\tI-NP\tO' +p255735 +aS'axillary\taxillary\tJJ\tI-NP\tO' +p255736 +aS'or\tor\tCC\tI-NP\tO' +p255737 +aS'inguinal\tinguinal\tJJ\tI-NP\tO' +p255738 +aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' +p255739 +aS'.\t.\t.\tO\tO' +p255740 +asS'1) born at less than 32 weeks ,' +p255741 +(lp255742 +S'1)\t1)\tLS\tB-LST\tO' +p255743 +aS'born\tbear\tVBN\tB-VP\tO' +p255744 +aS'at\tat\tIN\tB-PP\tO' +p255745 +aS'less\tless\tJJR\tB-NP\tO' +p255746 +aS'than\tthan\tIN\tI-NP\tO' +p255747 +aS'32\t32\tCD\tI-NP\tO' +p255748 +aS'weeks\tweek\tNNS\tI-NP\tO' +p255749 +aS',\t,\t,\tO\tO' +p255750 +asS'The pt had an NG tube placed and received tube feeds for the majority of his hospitalization .' +p255751 +(lp255752 +S'The\tThe\tDT\tB-NP\tO' +p255753 +aS'pt\tpt\tNN\tI-NP\tO' +p255754 +aS'had\thave\tVBD\tB-VP\tO' +p255755 +aS'an\tan\tDT\tB-NP\tO' +p255756 +aS'NG\tNG\tNN\tI-NP\tO' +p255757 +aS'tube\ttube\tNN\tI-NP\tO' +p255758 +aS'placed\tplace\tVBD\tB-VP\tO' +p255759 +aS'and\tand\tCC\tI-VP\tO' +p255760 +aS'received\treceive\tVBD\tI-VP\tO' +p255761 +aS'tube\ttube\tNN\tB-NP\tO' +p255762 +aS'feeds\tfeed\tNNS\tI-NP\tO' +p255763 +aS'for\tfor\tIN\tB-PP\tO' +p255764 +aS'the\tthe\tDT\tB-NP\tO' +p255765 +aS'majority\tmajority\tNN\tI-NP\tO' +p255766 +aS'of\tof\tIN\tB-PP\tO' +p255767 +aS'his\this\tPRP$\tB-NP\tO' +p255768 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p255769 +aS'.\t.\t.\tO\tO' +p255770 +asS'18) recent suicide attempt with tylenol #3 requiring CMED admission but relatively Jennifer transaminitis with full recovery' +p255771 +(lp255772 +S'18)\t18)\tLS\tB-NP\tO' +p255773 +aS'recent\trecent\tJJ\tI-NP\tO' +p255774 +aS'suicide\tsuicide\tNN\tI-NP\tO' +p255775 +aS'attempt\tattempt\tNN\tI-NP\tO' +p255776 +aS'with\twith\tIN\tB-PP\tO' +p255777 +aS'tylenol\ttylenol\tNN\tB-NP\tO' +p255778 +aS'#3\t#3\tNN\tI-NP\tO' +p255779 +aS'requiring\trequire\tVBG\tB-VP\tO' +p255780 +aS'CMED\tCMED\tVBN\tB-NP\tO' +p255781 +aS'admission\tadmission\tNN\tI-NP\tO' +p255782 +aS'but\tbut\tCC\tO\tO' +p255783 +aS'relatively\trelatively\tRB\tB-NP\tO' +p255784 +aS'Jennifer\tJennif\tJJR\tI-NP\tO' +p255785 +aS'transaminitis\ttransaminitis\tNN\tI-NP\tO' +p255786 +aS'with\twith\tIN\tB-PP\tO' +p255787 +aS'full\tfull\tJJ\tB-NP\tO' +p255788 +aS'recovery\trecovery\tNN\tI-NP\tO' +p255789 +asS'The patient has a history of hypertension , non-insulin dependent diabetes mellitus , diet-controlled , status post myocardial infarctions x two as mentioned above .' +p255790 +(lp255791 +S'The\tThe\tDT\tB-NP\tO' +p255792 +aS'patient\tpatient\tNN\tI-NP\tO' +p255793 +aS'has\thave\tVBZ\tB-VP\tO' +p255794 +aS'a\ta\tDT\tB-NP\tO' +p255795 +aS'history\thistory\tNN\tI-NP\tO' +p255796 +aS'of\tof\tIN\tB-PP\tO' +p255797 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p255798 +aS',\t,\t,\tO\tO' +p255799 +aS'non-insulin\tnon-insulin\tJJ\tB-NP\tO' +p255800 +aS'dependent\tdependent\tJJ\tI-NP\tO' +p255801 +aS'diabetes\tdiabetes\tNN\tI-NP\tO' +p255802 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p255803 +aS',\t,\t,\tO\tO' +p255804 +aS'diet-controlled\tdiet-controlled\tJJ\tB-ADJP\tO' +p255805 +aS',\t,\t,\tO\tO' +p255806 +aS'status\tstatus\tNN\tB-NP\tO' +p255807 +aS'post\tpost\tVBD\tB-VP\tO' +p255808 +aS'myocardial\tmyocardial\tJJ\tB-NP\tO' +p255809 +aS'infarctions\tinfarction\tNNS\tI-NP\tO' +p255810 +aS'x\tx\tVBP\tB-VP\tO' +p255811 +aS'two\ttwo\tCD\tB-NP\tO' +p255812 +aS'as\tas\tIN\tB-SBAR\tO' +p255813 +aS'mentioned\tmention\tVBN\tB-VP\tO' +p255814 +aS'above\tabove\tRB\tB-ADVP\tO' +p255815 +aS'.\t.\t.\tO\tO' +p255816 +asS'Results were discussed with Dr. Leanne Vazquez in the early afternoon on 2014-10-21 .' +p255817 +(lp255818 +S'Results\tResult\tNNS\tB-NP\tO' +p255819 +aS'were\tbe\tVBD\tB-VP\tO' +p255820 +aS'discussed\tdiscuss\tVBN\tI-VP\tO' +p255821 +aS'with\twith\tIN\tB-PP\tO' +p255822 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p255823 +aS'Leanne\tLeanne\tNNP\tI-NP\tO' +p255824 +aS'Vazquez\tVazquez\tNNP\tI-NP\tO' +p255825 +aS'in\tin\tIN\tB-PP\tO' +p255826 +aS'the\tthe\tDT\tB-NP\tO' +p255827 +aS'early\tearly\tJJ\tI-NP\tO' +p255828 +aS'afternoon\tafternoon\tNN\tI-NP\tO' +p255829 +aS'on\ton\tIN\tB-PP\tO' +p255830 +aS'2014-10-21\t2014-10-21\tCD\tB-NP\tO' +p255831 +aS'.\t.\t.\tO\tO' +p255832 +asS'Initially this improved on Clindamycin and Cefotetan , but fevers recurred on this antibiotic regimen .' +p255833 +(lp255834 +S'Initially\tInitially\tRB\tB-NP\tO' +p255835 +aS'this\tthis\tDT\tI-NP\tO' +p255836 +aS'improved\timprove\tVBN\tB-VP\tO' +p255837 +aS'on\ton\tIN\tB-PP\tO' +p255838 +aS'Clindamycin\tClindamycin\tNN\tB-NP\tO' +p255839 +aS'and\tand\tCC\tI-NP\tO' +p255840 +aS'Cefotetan\tCefotetan\tNN\tI-NP\tO' +p255841 +aS',\t,\t,\tO\tO' +p255842 +aS'but\tbut\tCC\tO\tO' +p255843 +aS'fevers\tfever\tNNS\tB-NP\tO' +p255844 +aS'recurred\trecur\tVBN\tB-VP\tO' +p255845 +aS'on\ton\tIN\tB-PP\tO' +p255846 +aS'this\tthis\tDT\tB-NP\tO' +p255847 +aS'antibiotic\tantibiotic\tJJ\tI-NP\tO' +p255848 +aS'regimen\tregimen\tNN\tI-NP\tO' +p255849 +aS'.\t.\t.\tO\tO' +p255850 +asS'Intubated , opens eyes , responds to painful stimulus .' +p255851 +(lp255852 +S'Intubated\tIntubate\tVBN\tB-VP\tO' +p255853 +aS',\t,\t,\tO\tO' +p255854 +aS'opens\topen\tVBZ\tB-VP\tO' +p255855 +aS'eyes\teye\tNNS\tB-NP\tO' +p255856 +aS',\t,\t,\tO\tO' +p255857 +aS'responds\trespond\tVBZ\tB-VP\tO' +p255858 +aS'to\tto\tTO\tB-PP\tO' +p255859 +aS'painful\tpainful\tJJ\tB-NP\tO' +p255860 +aS'stimulus\tstimulus\tNN\tI-NP\tO' +p255861 +aS'.\t.\t.\tO\tO' +p255862 +asS'We will monitor for signs of alcohol withdrawal according to the CIWA scale .' +p255863 +(lp255864 +S'We\tWe\tPRP\tB-NP\tO' +p255865 +aS'will\twill\tMD\tB-VP\tO' +p255866 +aS'monitor\tmonitor\tVB\tI-VP\tO' +p255867 +aS'for\tfor\tIN\tB-PP\tO' +p255868 +aS'signs\tsign\tNNS\tB-NP\tO' +p255869 +aS'of\tof\tIN\tB-PP\tO' +p255870 +aS'alcohol\talcohol\tNN\tB-NP\tO' +p255871 +aS'withdrawal\twithdrawal\tNN\tI-NP\tO' +p255872 +aS'according\taccord\tVBG\tB-PP\tO' +p255873 +aS'to\tto\tTO\tB-PP\tO' +p255874 +aS'the\tthe\tDT\tB-NP\tO' +p255875 +aS'CIWA\tCIWA\tNNP\tI-NP\tO' +p255876 +aS'scale\tscale\tNN\tI-NP\tO' +p255877 +aS'.\t.\t.\tO\tO' +p255878 +asS'She was given a prescription for ten more days .' +p255879 +(lp255880 +S'She\tShe\tPRP\tB-NP\tO' +p255881 +aS'was\tbe\tVBD\tB-VP\tO' +p255882 +aS'given\tgive\tVBN\tI-VP\tO' +p255883 +aS'a\ta\tDT\tB-NP\tO' +p255884 +aS'prescription\tprescription\tNN\tI-NP\tO' +p255885 +aS'for\tfor\tIN\tB-PP\tO' +p255886 +aS'ten\tten\tCD\tB-NP\tO' +p255887 +aS'more\tmore\tJJR\tI-NP\tO' +p255888 +aS'days\tday\tNNS\tI-NP\tO' +p255889 +aS'.\t.\t.\tO\tO' +p255890 +asS'He presents at this time for endovascular repair of this abdominal aortic aneurysm .' +p255891 +(lp255892 +S'He\tHe\tPRP\tB-NP\tO' +p255893 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p255894 +aS'at\tat\tIN\tB-PP\tO' +p255895 +aS'this\tthis\tDT\tB-NP\tO' +p255896 +aS'time\ttime\tNN\tI-NP\tO' +p255897 +aS'for\tfor\tIN\tB-PP\tO' +p255898 +aS'endovascular\tendovascular\tJJ\tB-NP\tO' +p255899 +aS'repair\trepair\tNN\tI-NP\tO' +p255900 +aS'of\tof\tIN\tB-PP\tO' +p255901 +aS'this\tthis\tDT\tB-NP\tO' +p255902 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p255903 +aS'aortic\taortic\tJJ\tI-NP\tO' +p255904 +aS'aneurysm\taneurysm\tNN\tI-NP\tO' +p255905 +aS'.\t.\t.\tO\tO' +p255906 +asS'Signed electronically by : DR. Wanda PARKS on : Yesenia 2017-01-10 6:50 PM' +p255907 +(lp255908 +S'Signed\tSign\tVBN\tB-VP\tO' +p255909 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p255910 +aS'by\tby\tIN\tB-PP\tO' +p255911 +aS':\t:\t:\tO\tO' +p255912 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p255913 +aS'Wanda\tWanda\tNNP\tI-NP\tO' +p255914 +aS'PARKS\tPARKS\tNNP\tI-NP\tO' +p255915 +aS'on\ton\tIN\tB-PP\tO' +p255916 +aS':\t:\t:\tO\tO' +p255917 +aS'Yesenia\tYesenia\tNNP\tB-NP\tO' +p255918 +aS'2017-01-10\t2017-01-10\tCD\tB-NP\tO' +p255919 +aS'6:50\t6:50\tCD\tI-NP\tO' +p255920 +aS'PM\tPM\tNN\tI-NP\tO' +p255921 +asS'Drinks 3-4 beers a few times weekly , no h/o withdrawal symptoms , seizures or DT s.' +p255922 +(lp255923 +S'Drinks\tDrink\tVBZ\tB-VP\tO' +p255924 +aS'3-4\t3-4\tCD\tB-NP\tO' +p255925 +aS'beers\tbeer\tNNS\tI-NP\tO' +p255926 +aS'a\ta\tDT\tB-NP\tO' +p255927 +aS'few\tfew\tJJ\tI-NP\tO' +p255928 +aS'times\ttime\tNNS\tI-NP\tO' +p255929 +aS'weekly\tweekly\tRB\tB-ADVP\tO' +p255930 +aS',\t,\t,\tO\tO' +p255931 +aS'no\tno\tDT\tB-NP\tO' +p255932 +aS'h/o\th/o\tNN\tI-NP\tO' +p255933 +aS'withdrawal\twithdrawal\tNN\tI-NP\tO' +p255934 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p255935 +aS',\t,\t,\tO\tO' +p255936 +aS'seizures\tseizure\tNNS\tB-NP\tO' +p255937 +aS'or\tor\tCC\tO\tO' +p255938 +aS'DT\tDT\tNN\tB-NP\tO' +p255939 +aS's.\ts.\tNN\tI-NP\tO' +p255940 +asS'The patient understood the risks and potential benefits of the procedure and was willing to proceed .' +p255941 +(lp255942 +S'The\tThe\tDT\tB-NP\tO' +p255943 +aS'patient\tpatient\tNN\tI-NP\tO' +p255944 +aS'understood\tunderstand\tVBD\tB-VP\tO' +p255945 +aS'the\tthe\tDT\tB-NP\tO' +p255946 +aS'risks\trisk\tNNS\tI-NP\tO' +p255947 +aS'and\tand\tCC\tO\tO' +p255948 +aS'potential\tpotential\tJJ\tB-NP\tO' +p255949 +aS'benefits\tbenefit\tNNS\tI-NP\tO' +p255950 +aS'of\tof\tIN\tB-PP\tO' +p255951 +aS'the\tthe\tDT\tB-NP\tO' +p255952 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p255953 +aS'and\tand\tCC\tO\tO' +p255954 +aS'was\tbe\tVBD\tB-VP\tO' +p255955 +aS'willing\twilling\tJJ\tB-ADJP\tO' +p255956 +aS'to\tto\tTO\tB-VP\tO' +p255957 +aS'proceed\tproceed\tVB\tI-VP\tO' +p255958 +aS'.\t.\t.\tO\tO' +p255959 +asS'The family history is positive for diabetes mellitus , positive for cancer .' +p255960 +(lp255961 +S'The\tThe\tDT\tB-NP\tO' +p255962 +aS'family\tfamily\tNN\tI-NP\tO' +p255963 +aS'history\thistory\tNN\tI-NP\tO' +p255964 +aS'is\tbe\tVBZ\tB-VP\tO' +p255965 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p255966 +aS'for\tfor\tIN\tB-PP\tO' +p255967 +aS'diabetes\tdiabetes\tNN\tB-NP\tO' +p255968 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p255969 +aS',\t,\t,\tO\tO' +p255970 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p255971 +aS'for\tfor\tIN\tB-PP\tO' +p255972 +aS'cancer\tcancer\tNN\tB-NP\tO' +p255973 +aS'.\t.\t.\tO\tO' +p255974 +asS'Occasional alcohol , does not smoke .' +p255975 +(lp255976 +S'Occasional\tOccasional\tJJ\tB-NP\tO' +p255977 +aS'alcohol\talcohol\tNN\tI-NP\tO' +p255978 +aS',\t,\t,\tO\tO' +p255979 +aS'does\tdo\tVBZ\tB-VP\tO' +p255980 +aS'not\tnot\tRB\tI-VP\tO' +p255981 +aS'smoke\tsmoke\tVB\tI-VP\tO' +p255982 +aS'.\t.\t.\tO\tO' +p255983 +asS'The patient with a history of hypothyroidism .' +p255984 +(lp255985 +S'The\tThe\tDT\tB-NP\tO' +p255986 +aS'patient\tpatient\tNN\tI-NP\tO' +p255987 +aS'with\twith\tIN\tB-PP\tO' +p255988 +aS'a\ta\tDT\tB-NP\tO' +p255989 +aS'history\thistory\tNN\tI-NP\tO' +p255990 +aS'of\tof\tIN\tB-PP\tO' +p255991 +aS'hypothyroidism\thypothyroidism\tNN\tB-NP\tO' +p255992 +aS'.\t.\t.\tO\tO' +p255993 +asS'The patient is a 28-year-old woman who is HIV positive for two years .' +p255994 +(lp255995 +S'The\tThe\tDT\tB-NP\tO' +p255996 +aS'patient\tpatient\tNN\tI-NP\tO' +p255997 +aS'is\tbe\tVBZ\tB-VP\tO' +p255998 +aS'a\ta\tDT\tB-NP\tO' +p255999 +aS'28-year-old\t28-year-old\tJJ\tI-NP\tO' +p256000 +aS'woman\twoman\tNN\tI-NP\tO' +p256001 +aS'who\twho\tWP\tB-NP\tO' +p256002 +aS'is\tbe\tVBZ\tB-VP\tO' +p256003 +aS'HIV\tHIV\tNN\tB-NP\tO' +p256004 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p256005 +aS'for\tfor\tIN\tB-PP\tO' +p256006 +aS'two\ttwo\tCD\tB-NP\tO' +p256007 +aS'years\tyear\tNNS\tI-NP\tO' +p256008 +aS'.\t.\t.\tO\tO' +p256009 +asS'NO POLYMORPHONUCLEAR LEUKOCYTES SEEN .' +p256010 +(lp256011 +S'NO\tNO\tNN\tB-NP\tO' +p256012 +aS'POLYMORPHONUCLEAR\tPOLYMORPHONUCLEAR\tNN\tI-NP\tO' +p256013 +aS'LEUKOCYTES\tLEUKOCYTES\tNN\tI-NP\tO' +p256014 +aS'SEEN\tSEEN\tNN\tI-NP\tO' +p256015 +aS'.\t.\t.\tO\tO' +p256016 +asS'She will begin weekly follow-up in the Transplant Center .' +p256017 +(lp256018 +S'She\tShe\tPRP\tB-NP\tO' +p256019 +aS'will\twill\tMD\tB-VP\tO' +p256020 +aS'begin\tbegin\tVB\tI-VP\tO' +p256021 +aS'weekly\tweekly\tJJ\tB-NP\tO' +p256022 +aS'follow-up\tfollow-up\tNN\tI-NP\tO' +p256023 +aS'in\tin\tIN\tB-PP\tO' +p256024 +aS'the\tthe\tDT\tB-NP\tO' +p256025 +aS'Transplant\tTransplant\tNNP\tI-NP\tO' +p256026 +aS'Center\tCenter\tNNP\tI-NP\tO' +p256027 +aS'.\t.\t.\tO\tO' +p256028 +asS'Temperature was 102 , heart rate was 110 , respiratory rate was 22 , blood pressure was 113/63 .' +p256029 +(lp256030 +S'Temperature\tTemperature\tNN\tB-NP\tO' +p256031 +aS'was\tbe\tVBD\tB-VP\tO' +p256032 +aS'102\t102\tCD\tB-NP\tO' +p256033 +aS',\t,\t,\tO\tO' +p256034 +aS'heart\theart\tNN\tB-NP\tO' +p256035 +aS'rate\trate\tNN\tI-NP\tO' +p256036 +aS'was\tbe\tVBD\tB-VP\tO' +p256037 +aS'110\t110\tCD\tB-NP\tO' +p256038 +aS',\t,\t,\tO\tO' +p256039 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p256040 +aS'rate\trate\tNN\tI-NP\tO' +p256041 +aS'was\tbe\tVBD\tB-VP\tO' +p256042 +aS'22\t22\tCD\tB-NP\tO' +p256043 +aS',\t,\t,\tO\tO' +p256044 +aS'blood\tblood\tNN\tB-NP\tO' +p256045 +aS'pressure\tpressure\tNN\tI-NP\tO' +p256046 +aS'was\tbe\tVBD\tB-VP\tO' +p256047 +aS'113/63\t113/63\tCD\tB-NP\tO' +p256048 +aS'.\t.\t.\tO\tO' +p256049 +asS'The oropharynx was clear with moist mucosa .' +p256050 +(lp256051 +S'The\tThe\tDT\tB-NP\tO' +p256052 +aS'oropharynx\toropharynx\tNN\tI-NP\tO' +p256053 +aS'was\tbe\tVBD\tB-VP\tO' +p256054 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p256055 +aS'with\twith\tIN\tB-PP\tO' +p256056 +aS'moist\tmoist\tNN\tB-NP\tO' +p256057 +aS'mucosa\tmucosa\tNN\tI-NP\tO' +p256058 +aS'.\t.\t.\tO\tO' +p256059 +asS'Transcranial Dopplers were checked following surgery and the patient was started on Decadron 4 mg q6 to prevent swelling .' +p256060 +(lp256061 +S'Transcranial\tTranscranial\tJJ\tB-NP\tO' +p256062 +aS'Dopplers\tDoppler\tNNS\tI-NP\tO' +p256063 +aS'were\tbe\tVBD\tB-VP\tO' +p256064 +aS'checked\tcheck\tVBN\tI-VP\tO' +p256065 +aS'following\tfollow\tVBG\tB-PP\tO' +p256066 +aS'surgery\tsurgery\tNN\tB-NP\tO' +p256067 +aS'and\tand\tCC\tO\tO' +p256068 +aS'the\tthe\tDT\tB-NP\tO' +p256069 +aS'patient\tpatient\tNN\tI-NP\tO' +p256070 +aS'was\tbe\tVBD\tB-VP\tO' +p256071 +aS'started\tstart\tVBN\tI-VP\tO' +p256072 +aS'on\ton\tIN\tB-PP\tO' +p256073 +aS'Decadron\tDecadron\tNNP\tB-NP\tO' +p256074 +aS'4\t4\tCD\tI-NP\tO' +p256075 +aS'mg\tmg\tNN\tI-NP\tO' +p256076 +aS'q6\tq6\tNN\tI-NP\tO' +p256077 +aS'to\tto\tTO\tB-VP\tO' +p256078 +aS'prevent\tprevent\tVB\tI-VP\tO' +p256079 +aS'swelling\tswelling\tNN\tB-NP\tO' +p256080 +aS'.\t.\t.\tO\tO' +p256081 +asS'Electrocardiogram was normal sinus rhythm with a T wave inversion in V2 , but no ST segment elevations .' +p256082 +(lp256083 +S'Electrocardiogram\tElectrocardiogram\tNN\tB-NP\tO' +p256084 +aS'was\tbe\tVBD\tB-VP\tO' +p256085 +aS'normal\tnormal\tJJ\tB-NP\tO' +p256086 +aS'sinus\tsinus\tNN\tI-NP\tO' +p256087 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p256088 +aS'with\twith\tIN\tB-PP\tO' +p256089 +aS'a\ta\tDT\tB-NP\tO' +p256090 +aS'T\tT\tNN\tI-NP\tO' +p256091 +aS'wave\twave\tNN\tI-NP\tO' +p256092 +aS'inversion\tinversion\tNN\tI-NP\tO' +p256093 +aS'in\tin\tIN\tB-PP\tO' +p256094 +aS'V2\tV2\tNN\tB-NP\tO' +p256095 +aS',\t,\t,\tO\tO' +p256096 +aS'but\tbut\tCC\tO\tO' +p256097 +aS'no\tno\tDT\tB-NP\tO' +p256098 +aS'ST\tST\tNN\tI-NP\tO' +p256099 +aS'segment\tsegment\tNN\tI-NP\tO' +p256100 +aS'elevations\televation\tNNS\tI-NP\tO' +p256101 +aS'.\t.\t.\tO\tO' +p256102 +asS'Quit tobacco 20 years ago and currently denies any cigarette .' +p256103 +(lp256104 +S'Quit\tQuit\tNN\tB-NP\tO' +p256105 +aS'tobacco\ttobacco\tNN\tI-NP\tO' +p256106 +aS'20\t20\tCD\tB-NP\tO' +p256107 +aS'years\tyear\tNNS\tI-NP\tO' +p256108 +aS'ago\tago\tRB\tB-ADVP\tO' +p256109 +aS'and\tand\tCC\tO\tO' +p256110 +aS'currently\tcurrently\tRB\tB-VP\tO' +p256111 +aS'denies\tdeny\tVBZ\tI-VP\tO' +p256112 +aS'any\tany\tDT\tB-NP\tO' +p256113 +aS'cigarette\tcigarette\tNN\tI-NP\tO' +p256114 +aS'.\t.\t.\tO\tO' +p256115 +asS'He was placed on a patient-controlled analgesia for pain control .' +p256116 +(lp256117 +S'He\tHe\tPRP\tB-NP\tO' +p256118 +aS'was\tbe\tVBD\tB-VP\tO' +p256119 +aS'placed\tplace\tVBN\tI-VP\tO' +p256120 +aS'on\ton\tIN\tB-PP\tO' +p256121 +aS'a\ta\tDT\tB-NP\tO' +p256122 +aS'patient-controlled\tpatient-controlled\tJJ\tI-NP\tO' +p256123 +aS'analgesia\tanalgesia\tNN\tI-NP\tO' +p256124 +aS'for\tfor\tIN\tB-PP\tO' +p256125 +aS'pain\tpain\tNN\tB-NP\tO' +p256126 +aS'control\tcontrol\tNN\tI-NP\tO' +p256127 +aS'.\t.\t.\tO\tO' +p256128 +asS'When he was seen on 2/3 in the Transplant Clinic , his incision was noted to be more erythematous .' +p256129 +(lp256130 +S'When\tWhen\tWRB\tB-ADVP\tO' +p256131 +aS'he\the\tPRP\tB-NP\tO' +p256132 +aS'was\tbe\tVBD\tB-VP\tO' +p256133 +aS'seen\tsee\tVBN\tI-VP\tO' +p256134 +aS'on\ton\tIN\tB-PP\tO' +p256135 +aS'2/3\t2/3\tNN\tB-NP\tO' +p256136 +aS'in\tin\tIN\tB-PP\tO' +p256137 +aS'the\tthe\tDT\tB-NP\tO' +p256138 +aS'Transplant\tTransplant\tNNP\tI-NP\tO' +p256139 +aS'Clinic\tClinic\tNNP\tI-NP\tO' +p256140 +aS',\t,\t,\tO\tO' +p256141 +aS'his\this\tPRP$\tB-NP\tO' +p256142 +aS'incision\tincision\tNN\tI-NP\tO' +p256143 +aS'was\tbe\tVBD\tB-VP\tO' +p256144 +aS'noted\tnote\tVBN\tI-VP\tO' +p256145 +aS'to\tto\tTO\tI-VP\tO' +p256146 +aS'be\tbe\tVB\tI-VP\tO' +p256147 +aS'more\tmore\tRBR\tB-ADJP\tO' +p256148 +aS'erythematous\terythematous\tJJ\tI-ADJP\tO' +p256149 +aS'.\t.\t.\tO\tO' +p256150 +asS'Otherwise , there were difficulties , and estimated blood loss was minimal .' +p256151 +(lp256152 +S'Otherwise\tOtherwise\tRB\tB-ADVP\tO' +p256153 +aS',\t,\t,\tO\tO' +p256154 +aS'there\tthere\tEX\tB-NP\tO' +p256155 +aS'were\tbe\tVBD\tB-VP\tO' +p256156 +aS'difficulties\tdifficulty\tNNS\tB-NP\tO' +p256157 +aS',\t,\t,\tO\tO' +p256158 +aS'and\tand\tCC\tO\tO' +p256159 +aS'estimated\testimate\tVBN\tB-NP\tO' +p256160 +aS'blood\tblood\tNN\tI-NP\tO' +p256161 +aS'loss\tloss\tNN\tI-NP\tO' +p256162 +aS'was\tbe\tVBD\tB-VP\tO' +p256163 +aS'minimal\tminimal\tJJ\tB-ADJP\tO' +p256164 +aS'.\t.\t.\tO\tO' +p256165 +asS'The patient refused an LP .' +p256166 +(lp256167 +S'The\tThe\tDT\tB-NP\tO' +p256168 +aS'patient\tpatient\tNN\tI-NP\tO' +p256169 +aS'refused\trefuse\tVBD\tB-VP\tO' +p256170 +aS'an\tan\tDT\tB-NP\tO' +p256171 +aS'LP\tLP\tNN\tI-NP\tO' +p256172 +aS'.\t.\t.\tO\tO' +p256173 +asS"The patient was counselled and received 2 units of packed RBC 's at that time ." +p256174 +(lp256175 +S'The\tThe\tDT\tB-NP\tO' +p256176 +aS'patient\tpatient\tNN\tI-NP\tO' +p256177 +aS'was\tbe\tVBD\tB-VP\tO' +p256178 +aS'counselled\tcounsel\tVBN\tI-VP\tO' +p256179 +aS'and\tand\tCC\tO\tO' +p256180 +aS'received\treceive\tVBN\tB-VP\tO' +p256181 +aS'2\t2\tCD\tB-NP\tO' +p256182 +aS'units\tunit\tNNS\tI-NP\tO' +p256183 +aS'of\tof\tIN\tB-PP\tO' +p256184 +aS'packed\tpacked\tJJ\tB-NP\tO' +p256185 +aS'RBC\tRBC\tNN\tI-NP\tO' +p256186 +aS"'s\t's\tPOS\tB-NP\tO" +p256187 +aS'at\tat\tIN\tB-PP\tO' +p256188 +aS'that\tthat\tDT\tB-NP\tO' +p256189 +aS'time\ttime\tNN\tI-NP\tO' +p256190 +aS'.\t.\t.\tO\tO' +p256191 +asS'His BP medications were held on admission .' +p256192 +(lp256193 +S'His\tHis\tPRP$\tB-NP\tO' +p256194 +aS'BP\tBP\tNN\tI-NP\tO' +p256195 +aS'medications\tmedication\tNNS\tI-NP\tO' +p256196 +aS'were\tbe\tVBD\tB-VP\tO' +p256197 +aS'held\thold\tVBN\tI-VP\tO' +p256198 +aS'on\ton\tIN\tB-PP\tO' +p256199 +aS'admission\tadmission\tNN\tB-NP\tO' +p256200 +aS'.\t.\t.\tO\tO' +p256201 +asS'1. Levothyroxine 100 micrograms orally once a day .' +p256202 +(lp256203 +S'1.\t1.\tLS\tB-LST\tO' +p256204 +aS'Levothyroxine\tLevothyroxine\tNNP\tB-NP\tO' +p256205 +aS'100\t100\tCD\tB-NP\tO' +p256206 +aS'micrograms\tmicrogram\tNNS\tI-NP\tO' +p256207 +aS'orally\torally\tRB\tB-ADVP\tO' +p256208 +aS'once\tonce\tRB\tB-ADVP\tO' +p256209 +aS'a\ta\tDT\tB-NP\tO' +p256210 +aS'day\tday\tNN\tI-NP\tO' +p256211 +aS'.\t.\t.\tO\tO' +p256212 +asS'follow-up appointments were scheduled with him as an outpatient .' +p256213 +(lp256214 +S'follow-up\tfollow-up\tJJ\tB-NP\tO' +p256215 +aS'appointments\tappointment\tNNS\tI-NP\tO' +p256216 +aS'were\tbe\tVBD\tB-VP\tO' +p256217 +aS'scheduled\tschedule\tVBN\tI-VP\tO' +p256218 +aS'with\twith\tIN\tB-PP\tO' +p256219 +aS'him\thim\tPRP\tB-NP\tO' +p256220 +aS'as\tas\tIN\tB-PP\tO' +p256221 +aS'an\tan\tDT\tB-NP\tO' +p256222 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p256223 +aS'.\t.\t.\tO\tO' +p256224 +asS'A CT would help for further assessment if indicated .' +p256225 +(lp256226 +S'A\tA\tDT\tB-NP\tO' +p256227 +aS'CT\tCT\tNN\tI-NP\tO' +p256228 +aS'would\twould\tMD\tB-VP\tO' +p256229 +aS'help\thelp\tVB\tI-VP\tO' +p256230 +aS'for\tfor\tIN\tB-PP\tO' +p256231 +aS'further\tfurther\tJJ\tB-NP\tO' +p256232 +aS'assessment\tassessment\tNN\tI-NP\tO' +p256233 +aS'if\tif\tIN\tB-SBAR\tO' +p256234 +aS'indicated\tindicate\tVBN\tB-VP\tO' +p256235 +aS'.\t.\t.\tO\tO' +p256236 +asS'She does use herbal remedies including Primrose oil , Siberian ginseng , and has a history of use of wallerian root .' +p256237 +(lp256238 +S'She\tShe\tPRP\tB-NP\tO' +p256239 +aS'does\tdo\tVBZ\tB-VP\tO' +p256240 +aS'use\tuse\tVB\tI-VP\tO' +p256241 +aS'herbal\therbal\tJJ\tB-NP\tO' +p256242 +aS'remedies\tremedy\tNNS\tI-NP\tO' +p256243 +aS'including\tinclude\tVBG\tB-PP\tO' +p256244 +aS'Primrose\tPrimrose\tNN\tB-NP\tO' +p256245 +aS'oil\toil\tNN\tI-NP\tO' +p256246 +aS',\t,\t,\tO\tO' +p256247 +aS'Siberian\tSiberian\tJJ\tB-NP\tO' +p256248 +aS'ginseng\tginseng\tNN\tI-NP\tO' +p256249 +aS',\t,\t,\tO\tO' +p256250 +aS'and\tand\tCC\tO\tO' +p256251 +aS'has\thave\tVBZ\tB-VP\tO' +p256252 +aS'a\ta\tDT\tB-NP\tO' +p256253 +aS'history\thistory\tNN\tI-NP\tO' +p256254 +aS'of\tof\tIN\tB-PP\tO' +p256255 +aS'use\tuse\tNN\tB-NP\tO' +p256256 +aS'of\tof\tIN\tB-PP\tO' +p256257 +aS'wallerian\twallerian\tJJ\tB-NP\tO' +p256258 +aS'root\troot\tNN\tI-NP\tO' +p256259 +aS'.\t.\t.\tO\tO' +p256260 +asS'On this admission he was continued on prednisone taper .' +p256261 +(lp256262 +S'On\tOn\tIN\tB-PP\tO' +p256263 +aS'this\tthis\tDT\tB-NP\tO' +p256264 +aS'admission\tadmission\tNN\tI-NP\tO' +p256265 +aS'he\the\tPRP\tB-NP\tO' +p256266 +aS'was\tbe\tVBD\tB-VP\tO' +p256267 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p256268 +aS'on\ton\tIN\tB-PP\tO' +p256269 +aS'prednisone\tprednisone\tNN\tB-NP\tO' +p256270 +aS'taper\ttaper\tNN\tI-NP\tO' +p256271 +aS'.\t.\t.\tO\tO' +p256272 +asS'Right hip pain .' +p256273 +(lp256274 +S'Right\tRight\tNN\tB-NP\tO' +p256275 +aS'hip\thip\tNN\tI-NP\tO' +p256276 +aS'pain\tpain\tNN\tI-NP\tO' +p256277 +aS'.\t.\t.\tO\tO' +p256278 +asS'The patient at that time treated himself symptomatically at home but presented to Roing Hospital on the day after the event and was transferred to the Nimaconwood Valley Hospital immediately for evaluation because of his extensive burns .' +p256279 +(lp256280 +S'The\tThe\tDT\tB-NP\tO' +p256281 +aS'patient\tpatient\tNN\tI-NP\tO' +p256282 +aS'at\tat\tIN\tB-PP\tO' +p256283 +aS'that\tthat\tDT\tB-NP\tO' +p256284 +aS'time\ttime\tNN\tI-NP\tO' +p256285 +aS'treated\ttreat\tVBN\tB-VP\tO' +p256286 +aS'himself\thimself\tPRP\tB-NP\tO' +p256287 +aS'symptomatically\tsymptomatically\tRB\tB-ADVP\tO' +p256288 +aS'at\tat\tIN\tB-PP\tO' +p256289 +aS'home\thome\tNN\tB-NP\tO' +p256290 +aS'but\tbut\tCC\tO\tO' +p256291 +aS'presented\tpresent\tVBN\tB-VP\tO' +p256292 +aS'to\tto\tTO\tB-PP\tO' +p256293 +aS'Roing\tRoing\tNNP\tB-NP\tO' +p256294 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p256295 +aS'on\ton\tIN\tB-PP\tO' +p256296 +aS'the\tthe\tDT\tB-NP\tO' +p256297 +aS'day\tday\tNN\tI-NP\tO' +p256298 +aS'after\tafter\tIN\tB-SBAR\tO' +p256299 +aS'the\tthe\tDT\tB-NP\tO' +p256300 +aS'event\tevent\tNN\tI-NP\tO' +p256301 +aS'and\tand\tCC\tO\tO' +p256302 +aS'was\tbe\tVBD\tB-VP\tO' +p256303 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p256304 +aS'to\tto\tTO\tB-PP\tO' +p256305 +aS'the\tthe\tDT\tB-NP\tO' +p256306 +aS'Nimaconwood\tNimaconwood\tNNP\tI-NP\tO' +p256307 +aS'Valley\tValley\tNNP\tI-NP\tO' +p256308 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p256309 +aS'immediately\timmediately\tRB\tB-ADVP\tO' +p256310 +aS'for\tfor\tIN\tB-PP\tO' +p256311 +aS'evaluation\tevaluation\tNN\tB-NP\tO' +p256312 +aS'because\tbecause\tIN\tB-PP\tO' +p256313 +aS'of\tof\tIN\tI-PP\tO' +p256314 +aS'his\this\tPRP$\tB-NP\tO' +p256315 +aS'extensive\textensive\tJJ\tI-NP\tO' +p256316 +aS'burns\tburn\tNNS\tI-NP\tO' +p256317 +aS'.\t.\t.\tO\tO' +p256318 +asS'16. Neutra-Phos 1.25 grams po as needed .' +p256319 +(lp256320 +S'16.\t16.\tCD\tB-NP\tO' +p256321 +aS'Neutra-Phos\tNeutra-Phos\tNNP\tI-NP\tO' +p256322 +aS'1.25\t1.25\tCD\tI-NP\tO' +p256323 +aS'grams\tgram\tNNS\tI-NP\tO' +p256324 +aS'po\tpo\tVBP\tB-VP\tO' +p256325 +aS'as\tas\tIN\tB-SBAR\tO' +p256326 +aS'needed\tneed\tVBN\tB-VP\tO' +p256327 +aS'.\t.\t.\tO\tO' +p256328 +asS'Dr. Shuff .' +p256329 +(lp256330 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p256331 +aS'Shuff\tShuff\tNNP\tI-NP\tO' +p256332 +aS'.\t.\t.\tO\tO' +p256333 +asS'None known .' +p256334 +(lp256335 +S'None\tNone\tNN\tB-NP\tO' +p256336 +aS'known\tknow\tVBN\tB-VP\tO' +p256337 +aS'.\t.\t.\tO\tO' +p256338 +asS'depression .' +p256339 +(lp256340 +S'depression\tdepression\tNN\tB-NP\tO' +p256341 +aS'.\t.\t.\tO\tO' +p256342 +asS'He was evaluated in the Emergency Room .' +p256343 +(lp256344 +S'He\tHe\tPRP\tB-NP\tO' +p256345 +aS'was\tbe\tVBD\tB-VP\tO' +p256346 +aS'evaluated\tevaluate\tVBN\tI-VP\tO' +p256347 +aS'in\tin\tIN\tB-PP\tO' +p256348 +aS'the\tthe\tDT\tB-NP\tO' +p256349 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p256350 +aS'Room\tRoom\tNNP\tI-NP\tO' +p256351 +aS'.\t.\t.\tO\tO' +p256352 +asS'The patient had fevers sporadically during this hospitalization with rising white blood counts .' +p256353 +(lp256354 +S'The\tThe\tDT\tB-NP\tO' +p256355 +aS'patient\tpatient\tNN\tI-NP\tO' +p256356 +aS'had\thave\tVBD\tB-VP\tO' +p256357 +aS'fevers\tfever\tNNS\tB-NP\tO' +p256358 +aS'sporadically\tsporadically\tRB\tB-ADVP\tO' +p256359 +aS'during\tduring\tIN\tB-PP\tO' +p256360 +aS'this\tthis\tDT\tB-NP\tO' +p256361 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p256362 +aS'with\twith\tIN\tB-PP\tO' +p256363 +aS'rising\trise\tVBG\tB-NP\tO' +p256364 +aS'white\twhite\tJJ\tI-NP\tO' +p256365 +aS'blood\tblood\tNN\tI-NP\tO' +p256366 +aS'counts\tcount\tNNS\tI-NP\tO' +p256367 +aS'.\t.\t.\tO\tO' +p256368 +asS'No evidence of portal hypertension is seen .' +p256369 +(lp256370 +S'No\tNo\tDT\tB-NP\tO' +p256371 +aS'evidence\tevidence\tNN\tI-NP\tO' +p256372 +aS'of\tof\tIN\tB-PP\tO' +p256373 +aS'portal\tportal\tJJ\tB-NP\tO' +p256374 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p256375 +aS'is\tbe\tVBZ\tB-VP\tO' +p256376 +aS'seen\tsee\tVBN\tI-VP\tO' +p256377 +aS'.\t.\t.\tO\tO' +p256378 +asS'Despite bleeding from the Hickman site , she did not require any transfusion therapy .' +p256379 +(lp256380 +S'Despite\tDespite\tIN\tB-PP\tO' +p256381 +aS'bleeding\tbleed\tVBG\tB-VP\tO' +p256382 +aS'from\tfrom\tIN\tB-PP\tO' +p256383 +aS'the\tthe\tDT\tB-NP\tO' +p256384 +aS'Hickman\tHickman\tNNP\tI-NP\tB-DNA' +p256385 +aS'site\tsite\tNN\tI-NP\tI-DNA' +p256386 +aS',\t,\t,\tO\tO' +p256387 +aS'she\tshe\tPRP\tB-NP\tO' +p256388 +aS'did\tdo\tVBD\tB-VP\tO' +p256389 +aS'not\tnot\tRB\tI-VP\tO' +p256390 +aS'require\trequire\tVB\tI-VP\tO' +p256391 +aS'any\tany\tDT\tB-NP\tO' +p256392 +aS'transfusion\ttransfusion\tNN\tI-NP\tO' +p256393 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p256394 +aS'.\t.\t.\tO\tO' +p256395 +asS'The patient is divorced with no children .' +p256396 +(lp256397 +S'The\tThe\tDT\tB-NP\tO' +p256398 +aS'patient\tpatient\tNN\tI-NP\tO' +p256399 +aS'is\tbe\tVBZ\tB-VP\tO' +p256400 +aS'divorced\tdivorce\tVBN\tI-VP\tO' +p256401 +aS'with\twith\tIN\tB-PP\tO' +p256402 +aS'no\tno\tDT\tB-NP\tO' +p256403 +aS'children\tchild\tNNS\tI-NP\tO' +p256404 +aS'.\t.\t.\tO\tO' +p256405 +asS'The strength was 5 out of 5 .' +p256406 +(lp256407 +S'The\tThe\tDT\tB-NP\tO' +p256408 +aS'strength\tstrength\tNN\tI-NP\tO' +p256409 +aS'was\tbe\tVBD\tB-VP\tO' +p256410 +aS'5\t5\tCD\tB-NP\tO' +p256411 +aS'out\tout\tIN\tB-PP\tO' +p256412 +aS'of\tof\tIN\tB-PP\tO' +p256413 +aS'5\t5\tCD\tB-NP\tO' +p256414 +aS'.\t.\t.\tO\tO' +p256415 +asS'An angiogram on 11/3 was consistent with thrombosis at the mid basilar artery .' +p256416 +(lp256417 +S'An\tAn\tDT\tB-NP\tO' +p256418 +aS'angiogram\tangiogram\tNN\tI-NP\tO' +p256419 +aS'on\ton\tIN\tB-PP\tO' +p256420 +aS'11/3\t11/3\tNN\tB-NP\tO' +p256421 +aS'was\tbe\tVBD\tB-VP\tO' +p256422 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p256423 +aS'with\twith\tIN\tB-PP\tO' +p256424 +aS'thrombosis\tthrombosis\tNN\tB-NP\tO' +p256425 +aS'at\tat\tIN\tB-PP\tO' +p256426 +aS'the\tthe\tDT\tB-NP\tO' +p256427 +aS'mid\tmid\tJJ\tI-NP\tO' +p256428 +aS'basilar\tbasilar\tJJ\tI-NP\tO' +p256429 +aS'artery\tartery\tNN\tI-NP\tO' +p256430 +aS'.\t.\t.\tO\tO' +p256431 +asS'6) History of temporal arteritis on chronic steroids .' +p256432 +(lp256433 +S'6)\t6)\tLS\tB-NP\tO' +p256434 +aS'History\tHistory\tNN\tI-NP\tO' +p256435 +aS'of\tof\tIN\tB-PP\tO' +p256436 +aS'temporal\ttemporal\tJJ\tB-NP\tO' +p256437 +aS'arteritis\tarteritis\tNN\tI-NP\tO' +p256438 +aS'on\ton\tIN\tB-PP\tO' +p256439 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p256440 +aS'steroids\tsteroid\tNNS\tI-NP\tO' +p256441 +aS'.\t.\t.\tO\tO' +p256442 +asS'If you notice any increase in swelling or erythemia at the incisions , or if you become short of breath or if you have a temperature greater than 101.4 please call the office or go to the emergency room' +p256443 +(lp256444 +S'If\tIf\tIN\tB-SBAR\tO' +p256445 +aS'you\tyou\tPRP\tB-NP\tO' +p256446 +aS'notice\tnotice\tVBP\tB-VP\tO' +p256447 +aS'any\tany\tDT\tB-NP\tO' +p256448 +aS'increase\tincrease\tNN\tI-NP\tO' +p256449 +aS'in\tin\tIN\tB-PP\tO' +p256450 +aS'swelling\tswelling\tNN\tB-NP\tO' +p256451 +aS'or\tor\tCC\tI-NP\tO' +p256452 +aS'erythemia\terythemia\tNN\tI-NP\tO' +p256453 +aS'at\tat\tIN\tB-PP\tO' +p256454 +aS'the\tthe\tDT\tB-NP\tO' +p256455 +aS'incisions\tincision\tNNS\tI-NP\tO' +p256456 +aS',\t,\t,\tO\tO' +p256457 +aS'or\tor\tCC\tO\tO' +p256458 +aS'if\tif\tIN\tB-SBAR\tO' +p256459 +aS'you\tyou\tPRP\tB-NP\tO' +p256460 +aS'become\tbecome\tVBP\tB-VP\tO' +p256461 +aS'short\tshort\tJJ\tB-ADJP\tO' +p256462 +aS'of\tof\tIN\tB-PP\tO' +p256463 +aS'breath\tbreath\tNN\tB-NP\tO' +p256464 +aS'or\tor\tCC\tO\tO' +p256465 +aS'if\tif\tIN\tB-SBAR\tO' +p256466 +aS'you\tyou\tPRP\tB-NP\tO' +p256467 +aS'have\thave\tVBP\tB-VP\tO' +p256468 +aS'a\ta\tDT\tB-NP\tO' +p256469 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p256470 +aS'greater\tgreat\tJJR\tB-NP\tO' +p256471 +aS'than\tthan\tIN\tI-NP\tO' +p256472 +aS'101.4\t101.4\tCD\tI-NP\tO' +p256473 +aS'please\tplease\tNN\tI-NP\tO' +p256474 +aS'call\tcall\tNN\tI-NP\tO' +p256475 +aS'the\tthe\tDT\tB-NP\tO' +p256476 +aS'office\toffice\tNN\tI-NP\tO' +p256477 +aS'or\tor\tCC\tO\tO' +p256478 +aS'go\tgo\tVB\tB-VP\tO' +p256479 +aS'to\tto\tTO\tB-PP\tO' +p256480 +aS'the\tthe\tDT\tB-NP\tO' +p256481 +aS'emergency\temergency\tNN\tI-NP\tO' +p256482 +aS'room\troom\tNN\tI-NP\tO' +p256483 +asS'Once her liver enzymes are completely normal , a seven day course of Fluconazol may be helpful if the thrush is not spontaneously resolving off of antibiotics .' +p256484 +(lp256485 +S'Once\tOnce\tRB\tO\tO' +p256486 +aS'her\ther\tPRP$\tB-NP\tO' +p256487 +aS'liver\tliver\tNN\tI-NP\tB-protein' +p256488 +aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' +p256489 +aS'are\tbe\tVBP\tB-VP\tO' +p256490 +aS'completely\tcompletely\tRB\tB-ADJP\tO' +p256491 +aS'normal\tnormal\tJJ\tI-ADJP\tO' +p256492 +aS',\t,\t,\tO\tO' +p256493 +aS'a\ta\tDT\tB-NP\tO' +p256494 +aS'seven\tseven\tCD\tI-NP\tO' +p256495 +aS'day\tday\tNN\tI-NP\tO' +p256496 +aS'course\tcourse\tNN\tI-NP\tO' +p256497 +aS'of\tof\tIN\tB-PP\tO' +p256498 +aS'Fluconazol\tFluconazol\tNN\tB-NP\tO' +p256499 +aS'may\tmay\tMD\tB-VP\tO' +p256500 +aS'be\tbe\tVB\tI-VP\tO' +p256501 +aS'helpful\thelpful\tJJ\tB-ADJP\tO' +p256502 +aS'if\tif\tIN\tB-SBAR\tO' +p256503 +aS'the\tthe\tDT\tB-NP\tO' +p256504 +aS'thrush\tthrush\tNN\tI-NP\tO' +p256505 +aS'is\tbe\tVBZ\tB-VP\tO' +p256506 +aS'not\tnot\tRB\tI-VP\tO' +p256507 +aS'spontaneously\tspontaneously\tRB\tI-VP\tO' +p256508 +aS'resolving\tresolve\tVBG\tI-VP\tO' +p256509 +aS'off\toff\tRP\tB-PRT\tO' +p256510 +aS'of\tof\tIN\tB-PP\tO' +p256511 +aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' +p256512 +aS'.\t.\t.\tO\tO' +p256513 +asS'3. History of MAT for chronic obstructive pulmonary disease / chronic bronchi ectasis , on home oxygen .' +p256514 +(lp256515 +S'3.\t3.\tLS\tB-NP\tO' +p256516 +aS'History\tHistory\tNN\tI-NP\tO' +p256517 +aS'of\tof\tIN\tB-PP\tO' +p256518 +aS'MAT\tMAT\tNN\tB-NP\tB-protein' +p256519 +aS'for\tfor\tIN\tB-PP\tO' +p256520 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p256521 +aS'obstructive\tobstructive\tJJ\tI-NP\tO' +p256522 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p256523 +aS'disease\tdisease\tNN\tI-NP\tO' +p256524 +aS'/\t/\tSYM\tB-NP\tO' +p256525 +aS'chronic\tchronic\tJJ\tI-NP\tO' +p256526 +aS'bronchi\tbronchi\tNN\tI-NP\tO' +p256527 +aS'ectasis\tectasis\tNN\tI-NP\tO' +p256528 +aS',\t,\t,\tO\tO' +p256529 +aS'on\ton\tIN\tB-PP\tO' +p256530 +aS'home\thome\tNN\tB-NP\tO' +p256531 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p256532 +aS'.\t.\t.\tO\tO' +p256533 +asS'--- Pre-op B-blocker with goal HR < 70' +p256534 +(lp256535 +S'---\t---\tSYM\tO\tO' +p256536 +aS'Pre-op\tPre-op\tJJ\tB-NP\tO' +p256537 +aS'B-blocker\tB-blocker\tNN\tI-NP\tO' +p256538 +aS'with\twith\tIN\tB-PP\tO' +p256539 +aS'goal\tgoal\tNN\tB-NP\tO' +p256540 +aS'HR\tHR\tNN\tI-NP\tO' +p256541 +aS'<\t<\tSYM\tB-NP\tO' +p256542 +aS'70\t70\tCD\tB-NP\tO' +p256543 +asS'Her case was discussed with Ear/Nose/Throat and the Medical Intensive Care Unit attending .' +p256544 +(lp256545 +S'Her\tHer\tPRP$\tB-NP\tO' +p256546 +aS'case\tcase\tNN\tI-NP\tO' +p256547 +aS'was\tbe\tVBD\tB-VP\tO' +p256548 +aS'discussed\tdiscuss\tVBN\tI-VP\tO' +p256549 +aS'with\twith\tIN\tB-PP\tO' +p256550 +aS'Ear/Nose/Throat\tEar/Nose/Throat\tNN\tB-NP\tO' +p256551 +aS'and\tand\tCC\tO\tO' +p256552 +aS'the\tthe\tDT\tB-NP\tO' +p256553 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p256554 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p256555 +aS'Care\tCare\tNNP\tI-NP\tO' +p256556 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p256557 +aS'attending\tattend\tVBG\tB-VP\tO' +p256558 +aS'.\t.\t.\tO\tO' +p256559 +asS'The ______________ was normal .' +p256560 +(lp256561 +S'The\tThe\tDT\tB-NP\tO' +p256562 +aS'______________\t______________\tNN\tI-NP\tO' +p256563 +aS'was\tbe\tVBD\tB-VP\tO' +p256564 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p256565 +aS'.\t.\t.\tO\tO' +p256566 +asS'Rebound bilirubin level on day of life seven was 5.3 with a direct of 0.3 .' +p256567 +(lp256568 +S'Rebound\tRebound\tJJ\tB-NP\tO' +p256569 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p256570 +aS'level\tlevel\tNN\tI-NP\tO' +p256571 +aS'on\ton\tIN\tB-PP\tO' +p256572 +aS'day\tday\tNN\tB-NP\tO' +p256573 +aS'of\tof\tIN\tB-PP\tO' +p256574 +aS'life\tlife\tNN\tB-NP\tO' +p256575 +aS'seven\tseven\tCD\tI-NP\tO' +p256576 +aS'was\tbe\tVBD\tB-VP\tO' +p256577 +aS'5.3\t5.3\tCD\tB-NP\tO' +p256578 +aS'with\twith\tIN\tB-PP\tO' +p256579 +aS'a\ta\tDT\tB-NP\tO' +p256580 +aS'direct\tdirect\tNN\tI-NP\tO' +p256581 +aS'of\tof\tIN\tB-PP\tO' +p256582 +aS'0.3\t0.3\tCD\tB-NP\tO' +p256583 +aS'.\t.\t.\tO\tO' +p256584 +asS'Thus , no embolotherapy was embarked upon .' +p256585 +(lp256586 +S'Thus\tThus\tRB\tB-ADVP\tO' +p256587 +aS',\t,\t,\tO\tO' +p256588 +aS'no\tno\tDT\tB-NP\tO' +p256589 +aS'embolotherapy\tembolotherapy\tNN\tI-NP\tO' +p256590 +aS'was\tbe\tVBD\tB-VP\tO' +p256591 +aS'embarked\tembark\tVBN\tI-VP\tO' +p256592 +aS'upon\tupon\tIN\tB-PP\tO' +p256593 +aS'.\t.\t.\tO\tO' +p256594 +asS'Glucose Insulin Dose Insulin Dose Insulin Dose Insulin Dose' +p256595 +(lp256596 +S'Glucose\tGlucose\tNN\tB-NP\tB-protein' +p256597 +aS'Insulin\tInsulin\tNN\tI-NP\tI-protein' +p256598 +aS'Dose\tDose\tNNP\tI-NP\tO' +p256599 +aS'Insulin\tInsulin\tNNP\tI-NP\tO' +p256600 +aS'Dose\tDose\tNNP\tI-NP\tO' +p256601 +aS'Insulin\tInsulin\tNNP\tI-NP\tO' +p256602 +aS'Dose\tDose\tNNP\tI-NP\tO' +p256603 +aS'Insulin\tInsulin\tNNP\tI-NP\tO' +p256604 +aS'Dose\tDose\tNNP\tI-NP\tO' +p256605 +asS'The morning of transfer his IV came out so he has just been advanced to 120 cc per kg per day of PE-20 and his tolerating these PG feedings without difficulty .' +p256606 +(lp256607 +S'The\tThe\tDT\tB-NP\tO' +p256608 +aS'morning\tmorning\tNN\tI-NP\tO' +p256609 +aS'of\tof\tIN\tB-PP\tO' +p256610 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p256611 +aS'his\this\tPRP$\tB-NP\tO' +p256612 +aS'IV\tIV\tNN\tI-NP\tO' +p256613 +aS'came\tcome\tVBD\tB-VP\tO' +p256614 +aS'out\tout\tRP\tB-PRT\tO' +p256615 +aS'so\tso\tIN\tB-SBAR\tO' +p256616 +aS'he\the\tPRP\tB-NP\tO' +p256617 +aS'has\thave\tVBZ\tB-VP\tO' +p256618 +aS'just\tjust\tRB\tI-VP\tO' +p256619 +aS'been\tbe\tVBN\tI-VP\tO' +p256620 +aS'advanced\tadvance\tVBN\tI-VP\tO' +p256621 +aS'to\tto\tTO\tB-PP\tO' +p256622 +aS'120\t120\tCD\tB-NP\tO' +p256623 +aS'cc\tcc\tNN\tI-NP\tO' +p256624 +aS'per\tper\tIN\tB-PP\tO' +p256625 +aS'kg\tkg\tNN\tB-NP\tO' +p256626 +aS'per\tper\tIN\tB-PP\tO' +p256627 +aS'day\tday\tNN\tB-NP\tO' +p256628 +aS'of\tof\tIN\tB-PP\tO' +p256629 +aS'PE-20\tPE-20\tNN\tB-NP\tB-protein' +p256630 +aS'and\tand\tCC\tO\tO' +p256631 +aS'his\this\tPRP$\tB-NP\tO' +p256632 +aS'tolerating\ttolerate\tVBG\tB-VP\tO' +p256633 +aS'these\tthese\tDT\tB-NP\tO' +p256634 +aS'PG\tPG\tNN\tI-NP\tO' +p256635 +aS'feedings\tfeeding\tNNS\tI-NP\tO' +p256636 +aS'without\twithout\tIN\tB-PP\tO' +p256637 +aS'difficulty\tdifficulty\tNN\tB-NP\tO' +p256638 +aS'.\t.\t.\tO\tO' +p256639 +asS'11. Zanaflex 2 mg twice a day .' +p256640 +(lp256641 +S'11.\t11.\tCD\tB-NP\tO' +p256642 +aS'Zanaflex\tZanaflex\tNN\tI-NP\tO' +p256643 +aS'2\t2\tCD\tB-NP\tO' +p256644 +aS'mg\tmg\tNN\tI-NP\tO' +p256645 +aS'twice\ttwice\tRB\tB-NP\tO' +p256646 +aS'a\ta\tDT\tI-NP\tO' +p256647 +aS'day\tday\tNN\tI-NP\tO' +p256648 +aS'.\t.\t.\tO\tO' +p256649 +asS'Per endocrine at the time of discharge , the pt may need an increase in calcium PO , but at this time they recommended no change .' +p256650 +(lp256651 +S'Per\tPer\tNNP\tB-NP\tO' +p256652 +aS'endocrine\tendocrine\tNN\tI-NP\tO' +p256653 +aS'at\tat\tIN\tB-PP\tO' +p256654 +aS'the\tthe\tDT\tB-NP\tO' +p256655 +aS'time\ttime\tNN\tI-NP\tO' +p256656 +aS'of\tof\tIN\tB-PP\tO' +p256657 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p256658 +aS',\t,\t,\tO\tO' +p256659 +aS'the\tthe\tDT\tB-NP\tO' +p256660 +aS'pt\tpt\tNN\tI-NP\tO' +p256661 +aS'may\tmay\tMD\tB-VP\tO' +p256662 +aS'need\tneed\tVB\tI-VP\tO' +p256663 +aS'an\tan\tDT\tB-NP\tO' +p256664 +aS'increase\tincrease\tNN\tI-NP\tO' +p256665 +aS'in\tin\tIN\tB-PP\tO' +p256666 +aS'calcium\tcalcium\tNN\tB-NP\tO' +p256667 +aS'PO\tPO\tNN\tI-NP\tO' +p256668 +aS',\t,\t,\tO\tO' +p256669 +aS'but\tbut\tCC\tO\tO' +p256670 +aS'at\tat\tIN\tB-PP\tO' +p256671 +aS'this\tthis\tDT\tB-NP\tO' +p256672 +aS'time\ttime\tNN\tI-NP\tO' +p256673 +aS'they\tthey\tPRP\tB-NP\tO' +p256674 +aS'recommended\trecommend\tVBD\tB-VP\tO' +p256675 +aS'no\tno\tDT\tB-NP\tO' +p256676 +aS'change\tchange\tNN\tI-NP\tO' +p256677 +aS'.\t.\t.\tO\tO' +p256678 +asS'Sensory , hearing screening was performed with automated auditory brain stem responses .' +p256679 +(lp256680 +S'Sensory\tSensory\tJJ\tB-ADJP\tO' +p256681 +aS',\t,\t,\tO\tO' +p256682 +aS'hearing\thear\tVBG\tB-VP\tO' +p256683 +aS'screening\tscreening\tNN\tB-NP\tO' +p256684 +aS'was\tbe\tVBD\tB-VP\tO' +p256685 +aS'performed\tperform\tVBN\tI-VP\tO' +p256686 +aS'with\twith\tIN\tB-PP\tO' +p256687 +aS'automated\tautomate\tVBN\tB-NP\tO' +p256688 +aS'auditory\tauditory\tJJ\tI-NP\tO' +p256689 +aS'brain\tbrain\tNN\tI-NP\tO' +p256690 +aS'stem\tstem\tNN\tI-NP\tO' +p256691 +aS'responses\tresponse\tNNS\tI-NP\tO' +p256692 +aS'.\t.\t.\tO\tO' +p256693 +asS'The suprapubic tube was therefore discontinued .' +p256694 +(lp256695 +S'The\tThe\tDT\tB-NP\tO' +p256696 +aS'suprapubic\tsuprapubic\tJJ\tI-NP\tO' +p256697 +aS'tube\ttube\tNN\tI-NP\tO' +p256698 +aS'was\tbe\tVBD\tB-VP\tO' +p256699 +aS'therefore\ttherefore\tRB\tI-VP\tO' +p256700 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p256701 +aS'.\t.\t.\tO\tO' +p256702 +asS'13. Bisacodyl 5 mg Tablet , Delayed Release ( E.C. ) Sig : Two ( 2 ) Tablet , Delayed Release ( E.C. ) PO DAILY ( Daily ) as needed .' +p256703 +(lp256704 +S'13.\t13.\tLS\tB-NP\tO' +p256705 +aS'Bisacodyl\tBisacodyl\tNN\tI-NP\tO' +p256706 +aS'5\t5\tCD\tI-NP\tO' +p256707 +aS'mg\tmg\tNN\tI-NP\tO' +p256708 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p256709 +aS',\t,\t,\tO\tO' +p256710 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p256711 +aS'Release\tRelease\tNNP\tI-NP\tO' +p256712 +aS'(\t(\t(\tO\tO' +p256713 +aS'E.C.\tE.C.\tNNP\tB-NP\tO' +p256714 +aS')\t)\t)\tO\tO' +p256715 +aS'Sig\tSig\tNNP\tB-NP\tO' +p256716 +aS':\t:\t:\tO\tO' +p256717 +aS'Two\tTwo\tCD\tB-NP\tO' +p256718 +aS'(\t(\t(\tO\tO' +p256719 +aS'2\t2\tCD\tB-NP\tO' +p256720 +aS')\t)\t)\tO\tO' +p256721 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p256722 +aS',\t,\t,\tO\tO' +p256723 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p256724 +aS'Release\tRelease\tNNP\tI-NP\tO' +p256725 +aS'(\t(\t(\tO\tO' +p256726 +aS'E.C.\tE.C.\tNNP\tO\tO' +p256727 +aS')\t)\t)\tO\tO' +p256728 +aS'PO\tPO\tNN\tB-NP\tO' +p256729 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p256730 +aS'(\t(\t(\tO\tO' +p256731 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p256732 +aS')\t)\t)\tO\tO' +p256733 +aS'as\tas\tIN\tB-SBAR\tO' +p256734 +aS'needed\tneed\tVBN\tB-VP\tO' +p256735 +aS'.\t.\t.\tO\tO' +p256736 +asS'The tip was culture negative .' +p256737 +(lp256738 +S'The\tThe\tDT\tB-NP\tO' +p256739 +aS'tip\ttip\tNN\tI-NP\tB-protein' +p256740 +aS'was\tbe\tVBD\tB-VP\tO' +p256741 +aS'culture\tculture\tNN\tB-NP\tO' +p256742 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p256743 +aS'.\t.\t.\tO\tO' +p256744 +asS'Lupron x three months prior to embolization .' +p256745 +(lp256746 +S'Lupron\tLupron\tNNP\tB-NP\tO' +p256747 +aS'x\tx\tCC\tO\tO' +p256748 +aS'three\tthree\tCD\tB-NP\tO' +p256749 +aS'months\tmonth\tNNS\tI-NP\tO' +p256750 +aS'prior\tprior\tRB\tB-ADVP\tO' +p256751 +aS'to\tto\tTO\tB-PP\tO' +p256752 +aS'embolization\tembolization\tNN\tB-NP\tO' +p256753 +aS'.\t.\t.\tO\tO' +p256754 +asS'As the patient 's diuresis continued his respiratory status improved .' +p256755 +(lp256756 +S'As\tAs\tIN\tB-SBAR\tO' +p256757 +aS'the\tthe\tDT\tB-NP\tO' +p256758 +aS'patient\tpatient\tNN\tI-NP\tO' +p256759 +aS''s\t'\tNNS\tI-NP\tO' +p256760 +aS'diuresis\tdiuresis\tNN\tI-NP\tO' +p256761 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p256762 +aS'his\this\tPRP$\tB-NP\tO' +p256763 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p256764 +aS'status\tstatus\tNN\tI-NP\tO' +p256765 +aS'improved\timprove\tVBD\tB-VP\tO' +p256766 +aS'.\t.\t.\tO\tO' +p256767 +asS'Lungs clear to apex and equal .' +p256768 +(lp256769 +S'Lungs\tLung\tNNS\tB-NP\tO' +p256770 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p256771 +aS'to\tto\tTO\tB-PP\tO' +p256772 +aS'apex\tapex\tNN\tB-NP\tO' +p256773 +aS'and\tand\tCC\tO\tO' +p256774 +aS'equal\tequal\tJJ\tB-ADJP\tO' +p256775 +aS'.\t.\t.\tO\tO' +p256776 +asS'The patient was brought to the operating room on 06/30/93 after informed consent was obtained .' +p256777 +(lp256778 +S'The\tThe\tDT\tB-NP\tO' +p256779 +aS'patient\tpatient\tNN\tI-NP\tO' +p256780 +aS'was\tbe\tVBD\tB-VP\tO' +p256781 +aS'brought\tbring\tVBN\tI-VP\tO' +p256782 +aS'to\tto\tTO\tB-PP\tO' +p256783 +aS'the\tthe\tDT\tB-NP\tO' +p256784 +aS'operating\toperating\tNN\tI-NP\tO' +p256785 +aS'room\troom\tNN\tI-NP\tO' +p256786 +aS'on\ton\tIN\tB-PP\tO' +p256787 +aS'06/30/93\t06/30/93\tCD\tB-NP\tO' +p256788 +aS'after\tafter\tIN\tB-PP\tO' +p256789 +aS'informed\tinform\tVBN\tB-NP\tO' +p256790 +aS'consent\tconsent\tNN\tI-NP\tO' +p256791 +aS'was\tbe\tVBD\tB-VP\tO' +p256792 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p256793 +aS'.\t.\t.\tO\tO' +p256794 +asS'The patient presented with a chief complaint of SOB .' +p256795 +(lp256796 +S'The\tThe\tDT\tB-NP\tO' +p256797 +aS'patient\tpatient\tNN\tI-NP\tO' +p256798 +aS'presented\tpresent\tVBD\tB-VP\tO' +p256799 +aS'with\twith\tIN\tB-PP\tO' +p256800 +aS'a\ta\tDT\tB-NP\tO' +p256801 +aS'chief\tchief\tJJ\tI-NP\tO' +p256802 +aS'complaint\tcomplaint\tNN\tI-NP\tO' +p256803 +aS'of\tof\tIN\tB-PP\tO' +p256804 +aS'SOB\tSOB\tNN\tB-NP\tB-protein' +p256805 +aS'.\t.\t.\tO\tO' +p256806 +asS'PPROM with bleeding and transverse lie prompted cesarean section .' +p256807 +(lp256808 +S'PPROM\tPPROM\tNN\tB-NP\tB-protein' +p256809 +aS'with\twith\tIN\tB-PP\tO' +p256810 +aS'bleeding\tbleed\tVBG\tB-VP\tO' +p256811 +aS'and\tand\tCC\tO\tO' +p256812 +aS'transverse\ttransverse\tJJ\tB-NP\tO' +p256813 +aS'lie\tlie\tNN\tI-NP\tO' +p256814 +aS'prompted\tprompt\tVBD\tB-VP\tO' +p256815 +aS'cesarean\tcesarean\tJJ\tB-NP\tO' +p256816 +aS'section\tsection\tNN\tI-NP\tO' +p256817 +aS'.\t.\t.\tO\tO' +p256818 +asS'9. Zosyn 4.5 grams intravenously q. six hours times six weeks ; started on 09-10 .' +p256819 +(lp256820 +S'9.\t9.\tCD\tB-NP\tO' +p256821 +aS'Zosyn\tZosyn\tNN\tI-NP\tO' +p256822 +aS'4.5\t4.5\tCD\tB-NP\tO' +p256823 +aS'grams\tgram\tNNS\tI-NP\tO' +p256824 +aS'intravenously\tintravenously\tRB\tB-ADVP\tO' +p256825 +aS'q.\tq.\tVBP\tB-VP\tO' +p256826 +aS'six\tsix\tCD\tB-NP\tO' +p256827 +aS'hours\thour\tNNS\tI-NP\tO' +p256828 +aS'times\ttimes\tCC\tO\tO' +p256829 +aS'six\tsix\tCD\tB-NP\tO' +p256830 +aS'weeks\tweek\tNNS\tI-NP\tO' +p256831 +aS';\t;\t:\tO\tO' +p256832 +aS'started\tstart\tVBN\tB-VP\tO' +p256833 +aS'on\ton\tIN\tB-PP\tO' +p256834 +aS'09-10\t09-10\tCD\tB-NP\tO' +p256835 +aS'.\t.\t.\tO\tO' +p256836 +asS'The patient was alert and oriented times three in no apparent distress .' +p256837 +(lp256838 +S'The\tThe\tDT\tB-NP\tO' +p256839 +aS'patient\tpatient\tNN\tI-NP\tO' +p256840 +aS'was\tbe\tVBD\tB-VP\tO' +p256841 +aS'alert\talert\tJJ\tB-ADJP\tO' +p256842 +aS'and\tand\tCC\tO\tO' +p256843 +aS'oriented\torient\tVBN\tB-VP\tO' +p256844 +aS'times\ttime\tNNS\tB-NP\tO' +p256845 +aS'three\tthree\tCD\tB-NP\tO' +p256846 +aS'in\tin\tIN\tB-PP\tO' +p256847 +aS'no\tno\tDT\tB-NP\tO' +p256848 +aS'apparent\tapparent\tJJ\tI-NP\tO' +p256849 +aS'distress\tdistress\tNN\tI-NP\tO' +p256850 +aS'.\t.\t.\tO\tO' +p256851 +asS'The retroperitoneum was opened , with vigorous bleeding resulting .' +p256852 +(lp256853 +S'The\tThe\tDT\tB-NP\tO' +p256854 +aS'retroperitoneum\tretroperitoneum\tNN\tI-NP\tO' +p256855 +aS'was\tbe\tVBD\tB-VP\tO' +p256856 +aS'opened\topen\tVBN\tI-VP\tO' +p256857 +aS',\t,\t,\tO\tO' +p256858 +aS'with\twith\tIN\tB-PP\tO' +p256859 +aS'vigorous\tvigorous\tJJ\tB-NP\tO' +p256860 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p256861 +aS'resulting\tresult\tVBG\tB-VP\tO' +p256862 +aS'.\t.\t.\tO\tO' +p256863 +asS'12. Lasix 40 mg Tablet Sig : One ( 1 ) Tablet PO q M-W-F .' +p256864 +(lp256865 +S'12.\t12.\tCD\tB-NP\tO' +p256866 +aS'Lasix\tLasix\tNNP\tI-NP\tO' +p256867 +aS'40\t40\tCD\tI-NP\tO' +p256868 +aS'mg\tmg\tNN\tI-NP\tO' +p256869 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p256870 +aS'Sig\tSig\tNNP\tI-NP\tO' +p256871 +aS':\t:\t:\tO\tO' +p256872 +aS'One\tOne\tCD\tB-NP\tO' +p256873 +aS'(\t(\t(\tO\tO' +p256874 +aS'1\t1\tCD\tB-NP\tO' +p256875 +aS')\t)\t)\tO\tO' +p256876 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p256877 +aS'PO\tPO\tNN\tI-NP\tO' +p256878 +aS'q\tq\tNN\tI-NP\tO' +p256879 +aS'M-W-F\tM-W-F\tNN\tI-NP\tO' +p256880 +aS'.\t.\t.\tO\tO' +p256881 +asS'he was alert and oriented x3 .' +p256882 +(lp256883 +S'he\the\tPRP\tB-NP\tO' +p256884 +aS'was\tbe\tVBD\tB-VP\tO' +p256885 +aS'alert\talert\tJJ\tB-ADJP\tO' +p256886 +aS'and\tand\tCC\tO\tO' +p256887 +aS'oriented\torient\tVBN\tB-VP\tO' +p256888 +aS'x3\tx3\tNN\tB-NP\tO' +p256889 +aS'.\t.\t.\tO\tO' +p256890 +asS'She was seen by the dietician and was advised with regard to needing numerous small meals during the day rather than 3 larger meals as she previously was used to .' +p256891 +(lp256892 +S'She\tShe\tPRP\tB-NP\tO' +p256893 +aS'was\tbe\tVBD\tB-VP\tO' +p256894 +aS'seen\tsee\tVBN\tI-VP\tO' +p256895 +aS'by\tby\tIN\tB-PP\tO' +p256896 +aS'the\tthe\tDT\tB-NP\tO' +p256897 +aS'dietician\tdietician\tNN\tI-NP\tO' +p256898 +aS'and\tand\tCC\tO\tO' +p256899 +aS'was\tbe\tVBD\tB-VP\tO' +p256900 +aS'advised\tadvise\tVBN\tI-VP\tO' +p256901 +aS'with\twith\tIN\tB-PP\tO' +p256902 +aS'regard\tregard\tNN\tB-NP\tO' +p256903 +aS'to\tto\tTO\tB-PP\tO' +p256904 +aS'needing\tneed\tVBG\tB-VP\tO' +p256905 +aS'numerous\tnumerous\tJJ\tB-NP\tO' +p256906 +aS'small\tsmall\tJJ\tI-NP\tO' +p256907 +aS'meals\tmeal\tNNS\tI-NP\tO' +p256908 +aS'during\tduring\tIN\tB-PP\tO' +p256909 +aS'the\tthe\tDT\tB-NP\tO' +p256910 +aS'day\tday\tNN\tI-NP\tO' +p256911 +aS'rather\trather\tRB\tB-CONJP\tO' +p256912 +aS'than\tthan\tIN\tI-CONJP\tO' +p256913 +aS'3\t3\tCD\tB-NP\tO' +p256914 +aS'larger\tlarge\tJJR\tI-NP\tO' +p256915 +aS'meals\tmeal\tNNS\tI-NP\tO' +p256916 +aS'as\tas\tIN\tB-SBAR\tO' +p256917 +aS'she\tshe\tPRP\tB-NP\tO' +p256918 +aS'previously\tpreviously\tRB\tB-ADVP\tO' +p256919 +aS'was\tbe\tVBD\tB-VP\tO' +p256920 +aS'used\tuse\tVBN\tI-VP\tO' +p256921 +aS'to\tto\tTO\tB-PP\tO' +p256922 +aS'.\t.\t.\tO\tO' +p256923 +asS'Completed by : Russell Anthony Conner MD 87-672 2014-11-21 @ 1110' +p256924 +(lp256925 +S'Completed\tComplete\tVBN\tB-VP\tO' +p256926 +aS'by\tby\tIN\tB-PP\tO' +p256927 +aS':\t:\t:\tO\tO' +p256928 +aS'Russell\tRussell\tNNP\tB-NP\tO' +p256929 +aS'Anthony\tAnthony\tNNP\tI-NP\tO' +p256930 +aS'Conner\tConner\tNNP\tI-NP\tO' +p256931 +aS'MD\tMD\tNNP\tI-NP\tO' +p256932 +aS'87-672\t87-672\tCD\tI-NP\tO' +p256933 +aS'2014-11-21\t2014-11-21\tCD\tI-NP\tO' +p256934 +aS'@\t@\tNN\tI-NP\tO' +p256935 +aS'1110\t1110\tCD\tB-NP\tO' +p256936 +asS'10) Levofloxacin 250 mg p.o. q. day .' +p256937 +(lp256938 +S'10)\t10)\tCD\tB-NP\tO' +p256939 +aS'Levofloxacin\tLevofloxacin\tNN\tI-NP\tO' +p256940 +aS'250\t250\tCD\tB-NP\tO' +p256941 +aS'mg\tmg\tNN\tI-NP\tO' +p256942 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p256943 +aS'q.\tq.\tNN\tI-NP\tO' +p256944 +aS'day\tday\tNN\tI-NP\tO' +p256945 +aS'.\t.\t.\tO\tO' +p256946 +asS'On the day prior to discharge he noticed a small area of erythema surrounding his R antecubital venous access site .' +p256947 +(lp256948 +S'On\tOn\tIN\tB-PP\tO' +p256949 +aS'the\tthe\tDT\tB-NP\tO' +p256950 +aS'day\tday\tNN\tI-NP\tO' +p256951 +aS'prior\tprior\tRB\tB-ADVP\tO' +p256952 +aS'to\tto\tTO\tB-VP\tO' +p256953 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p256954 +aS'he\the\tPRP\tB-NP\tO' +p256955 +aS'noticed\tnotice\tVBD\tB-VP\tO' +p256956 +aS'a\ta\tDT\tB-NP\tO' +p256957 +aS'small\tsmall\tJJ\tI-NP\tO' +p256958 +aS'area\tarea\tNN\tI-NP\tO' +p256959 +aS'of\tof\tIN\tB-PP\tO' +p256960 +aS'erythema\terythema\tNN\tB-NP\tO' +p256961 +aS'surrounding\tsurround\tVBG\tB-VP\tO' +p256962 +aS'his\this\tPRP$\tB-NP\tO' +p256963 +aS'R\tR\tNN\tI-NP\tB-DNA' +p256964 +aS'antecubital\tantecubital\tJJ\tI-NP\tI-DNA' +p256965 +aS'venous\tvenous\tJJ\tI-NP\tI-DNA' +p256966 +aS'access\taccess\tNN\tI-NP\tI-DNA' +p256967 +aS'site\tsite\tNN\tI-NP\tI-DNA' +p256968 +aS'.\t.\t.\tO\tO' +p256969 +asS'Normal back and hips .' +p256970 +(lp256971 +S'Normal\tNormal\tJJ\tB-ADJP\tO' +p256972 +aS'back\tback\tRB\tB-ADVP\tO' +p256973 +aS'and\tand\tCC\tO\tO' +p256974 +aS'hips\thip\tNNS\tB-NP\tO' +p256975 +aS'.\t.\t.\tO\tO' +p256976 +asS'Patient was put on coumadin that was bridged with lovenox unti lINR theraputic 01-23 .' +p256977 +(lp256978 +S'Patient\tPatient\tNN\tB-NP\tO' +p256979 +aS'was\tbe\tVBD\tB-VP\tO' +p256980 +aS'put\tput\tVBN\tI-VP\tO' +p256981 +aS'on\ton\tIN\tB-PP\tO' +p256982 +aS'coumadin\tcoumadin\tNN\tB-NP\tO' +p256983 +aS'that\tthat\tWDT\tB-NP\tO' +p256984 +aS'was\tbe\tVBD\tB-VP\tO' +p256985 +aS'bridged\tbridge\tVBN\tI-VP\tO' +p256986 +aS'with\twith\tIN\tB-PP\tO' +p256987 +aS'lovenox\tlovenox\tNN\tB-NP\tO' +p256988 +aS'unti\tunti\tNN\tI-NP\tO' +p256989 +aS'lINR\tlINR\tNN\tI-NP\tO' +p256990 +aS'theraputic\ttheraputic\tJJ\tI-NP\tO' +p256991 +aS'01-23\t01-23\tCD\tI-NP\tO' +p256992 +aS'.\t.\t.\tO\tO' +p256993 +asS'13. Synthroid 50 mcg p.o. q day .' +p256994 +(lp256995 +S'13.\t13.\tLS\tB-NP\tO' +p256996 +aS'Synthroid\tSynthroid\tJJ\tI-NP\tO' +p256997 +aS'50\t50\tCD\tI-NP\tO' +p256998 +aS'mcg\tmcg\tNN\tI-NP\tO' +p256999 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p257000 +aS'q\tq\tNN\tI-NP\tO' +p257001 +aS'day\tday\tNN\tI-NP\tO' +p257002 +aS'.\t.\t.\tO\tO' +p257003 +asS'In December of 1994 , a thoracic computerized tomography scan showed a four centimeter soft tissue mass on the left suprahilar region , adjacent to the aortopulmonary window .' +p257004 +(lp257005 +S'In\tIn\tIN\tB-PP\tO' +p257006 +aS'December\tDecember\tNNP\tB-NP\tO' +p257007 +aS'of\tof\tIN\tB-PP\tO' +p257008 +aS'1994\t1994\tCD\tB-NP\tO' +p257009 +aS',\t,\t,\tO\tO' +p257010 +aS'a\ta\tDT\tB-NP\tO' +p257011 +aS'thoracic\tthoracic\tJJ\tI-NP\tO' +p257012 +aS'computerized\tcomputerize\tVBN\tI-NP\tO' +p257013 +aS'tomography\ttomography\tNN\tI-NP\tO' +p257014 +aS'scan\tscan\tNN\tI-NP\tO' +p257015 +aS'showed\tshow\tVBD\tB-VP\tO' +p257016 +aS'a\ta\tDT\tB-NP\tO' +p257017 +aS'four\tfour\tCD\tI-NP\tO' +p257018 +aS'centimeter\tcentimeter\tNN\tI-NP\tO' +p257019 +aS'soft\tsoft\tJJ\tI-NP\tO' +p257020 +aS'tissue\ttissue\tNN\tI-NP\tO' +p257021 +aS'mass\tmass\tNN\tI-NP\tO' +p257022 +aS'on\ton\tIN\tB-PP\tO' +p257023 +aS'the\tthe\tDT\tB-NP\tO' +p257024 +aS'left\tleft\tJJ\tI-NP\tB-DNA' +p257025 +aS'suprahilar\tsuprahilar\tJJ\tI-NP\tI-DNA' +p257026 +aS'region\tregion\tNN\tI-NP\tI-DNA' +p257027 +aS',\t,\t,\tO\tO' +p257028 +aS'adjacent\tadjacent\tJJ\tB-ADJP\tO' +p257029 +aS'to\tto\tTO\tB-PP\tO' +p257030 +aS'the\tthe\tDT\tB-NP\tO' +p257031 +aS'aortopulmonary\taortopulmonary\tJJ\tI-NP\tO' +p257032 +aS'window\twindow\tNN\tI-NP\tO' +p257033 +aS'.\t.\t.\tO\tO' +p257034 +asS'She will also take Percocet .' +p257035 +(lp257036 +S'She\tShe\tPRP\tB-NP\tO' +p257037 +aS'will\twill\tMD\tB-VP\tO' +p257038 +aS'also\talso\tRB\tI-VP\tO' +p257039 +aS'take\ttake\tVB\tI-VP\tO' +p257040 +aS'Percocet\tPercocet\tNNP\tB-NP\tO' +p257041 +aS'.\t.\t.\tO\tO' +p257042 +asS'The patient was admitted to the hospital for further evaluation and work up .' +p257043 +(lp257044 +S'The\tThe\tDT\tB-NP\tO' +p257045 +aS'patient\tpatient\tNN\tI-NP\tO' +p257046 +aS'was\tbe\tVBD\tB-VP\tO' +p257047 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p257048 +aS'to\tto\tTO\tB-PP\tO' +p257049 +aS'the\tthe\tDT\tB-NP\tO' +p257050 +aS'hospital\thospital\tNN\tI-NP\tO' +p257051 +aS'for\tfor\tIN\tB-PP\tO' +p257052 +aS'further\tfurther\tJJ\tB-NP\tO' +p257053 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p257054 +aS'and\tand\tCC\tO\tO' +p257055 +aS'work\twork\tVB\tB-VP\tO' +p257056 +aS'up\tup\tRP\tB-PRT\tO' +p257057 +aS'.\t.\t.\tO\tO' +p257058 +asS'She has been working with Speech Therapy , occupational therapy and physical therapy closely and should continue to show improvement .' +p257059 +(lp257060 +S'She\tShe\tPRP\tB-NP\tO' +p257061 +aS'has\thave\tVBZ\tB-VP\tO' +p257062 +aS'been\tbe\tVBN\tI-VP\tO' +p257063 +aS'working\twork\tVBG\tI-VP\tO' +p257064 +aS'with\twith\tIN\tB-PP\tO' +p257065 +aS'Speech\tSpeech\tNN\tB-NP\tO' +p257066 +aS'Therapy\tTherapy\tNN\tI-NP\tO' +p257067 +aS',\t,\t,\tO\tO' +p257068 +aS'occupational\toccupational\tJJ\tB-NP\tO' +p257069 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p257070 +aS'and\tand\tCC\tO\tO' +p257071 +aS'physical\tphysical\tJJ\tB-NP\tO' +p257072 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p257073 +aS'closely\tclosely\tRB\tB-ADVP\tO' +p257074 +aS'and\tand\tCC\tO\tO' +p257075 +aS'should\tshould\tMD\tB-VP\tO' +p257076 +aS'continue\tcontinue\tVB\tI-VP\tO' +p257077 +aS'to\tto\tTO\tI-VP\tO' +p257078 +aS'show\tshow\tVB\tI-VP\tO' +p257079 +aS'improvement\timprovement\tNN\tB-NP\tO' +p257080 +aS'.\t.\t.\tO\tO' +p257081 +asS'Will cont Ancef 1q8 overnight and trans to Keflex .' +p257082 +(lp257083 +S'Will\tWill\tMD\tB-VP\tO' +p257084 +aS'cont\tcont\tVB\tI-VP\tO' +p257085 +aS'Ancef\tAncef\tNN\tB-NP\tO' +p257086 +aS'1q8\t1q8\tCD\tI-NP\tO' +p257087 +aS'overnight\tovernight\tJJ\tI-NP\tO' +p257088 +aS'and\tand\tCC\tI-NP\tO' +p257089 +aS'trans\ttrans\tJJ\tI-NP\tO' +p257090 +aS'to\tto\tTO\tB-PP\tO' +p257091 +aS'Keflex\tKeflex\tNNP\tB-NP\tO' +p257092 +aS'.\t.\t.\tO\tO' +p257093 +asS'daycare during the RSV season a smoker in the household , neuromuscular disease , airway abnormalities , or school age siblings' +p257094 +(lp257095 +S'daycare\tdaycare\tNN\tB-NP\tO' +p257096 +aS'during\tduring\tIN\tB-PP\tO' +p257097 +aS'the\tthe\tDT\tB-NP\tO' +p257098 +aS'RSV\tRSV\tNN\tI-NP\tO' +p257099 +aS'season\tseason\tNN\tI-NP\tO' +p257100 +aS'a\ta\tDT\tB-NP\tO' +p257101 +aS'smoker\tsmoker\tNN\tI-NP\tO' +p257102 +aS'in\tin\tIN\tB-PP\tO' +p257103 +aS'the\tthe\tDT\tB-NP\tO' +p257104 +aS'household\thousehold\tNN\tI-NP\tO' +p257105 +aS',\t,\t,\tO\tO' +p257106 +aS'neuromuscular\tneuromuscular\tJJ\tB-NP\tO' +p257107 +aS'disease\tdisease\tNN\tI-NP\tO' +p257108 +aS',\t,\t,\tO\tO' +p257109 +aS'airway\tairway\tNN\tB-NP\tO' +p257110 +aS'abnormalities\tabnormality\tNNS\tI-NP\tO' +p257111 +aS',\t,\t,\tO\tO' +p257112 +aS'or\tor\tCC\tO\tO' +p257113 +aS'school\tschool\tNN\tB-NP\tO' +p257114 +aS'age\tage\tNN\tI-NP\tO' +p257115 +aS'siblings\tsibling\tNNS\tI-NP\tO' +p257116 +asS'Cardiac - regular rate and rhythm with frequent premature beats and a 2/6 systolic ejection murmur at the apex .' +p257117 +(lp257118 +S'Cardiac\tCardiac\tJJ\tB-NP\tO' +p257119 +aS'-\t-\tHYPH\tI-NP\tO' +p257120 +aS'regular\tregular\tJJ\tI-NP\tO' +p257121 +aS'rate\trate\tNN\tI-NP\tO' +p257122 +aS'and\tand\tCC\tI-NP\tO' +p257123 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p257124 +aS'with\twith\tIN\tB-PP\tO' +p257125 +aS'frequent\tfrequent\tJJ\tB-NP\tO' +p257126 +aS'premature\tpremature\tJJ\tI-NP\tO' +p257127 +aS'beats\tbeat\tNNS\tI-NP\tO' +p257128 +aS'and\tand\tCC\tO\tO' +p257129 +aS'a\ta\tDT\tB-NP\tO' +p257130 +aS'2/6\t2/6\tCD\tI-NP\tO' +p257131 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p257132 +aS'ejection\tejection\tNN\tI-NP\tO' +p257133 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p257134 +aS'at\tat\tIN\tB-PP\tO' +p257135 +aS'the\tthe\tDT\tB-NP\tO' +p257136 +aS'apex\tapex\tNN\tI-NP\tO' +p257137 +aS'.\t.\t.\tO\tO' +p257138 +asS'Depending on the family , patient , and the OMR records , the exact duration of the most recent one was unclear .' +p257139 +(lp257140 +S'Depending\tDepend\tVBG\tB-PP\tO' +p257141 +aS'on\ton\tIN\tB-PP\tO' +p257142 +aS'the\tthe\tDT\tB-NP\tO' +p257143 +aS'family\tfamily\tNN\tI-NP\tO' +p257144 +aS',\t,\t,\tO\tO' +p257145 +aS'patient\tpatient\tNN\tB-NP\tO' +p257146 +aS',\t,\t,\tO\tO' +p257147 +aS'and\tand\tCC\tO\tO' +p257148 +aS'the\tthe\tDT\tB-NP\tO' +p257149 +aS'OMR\tOMR\tNN\tI-NP\tO' +p257150 +aS'records\trecord\tNNS\tI-NP\tO' +p257151 +aS',\t,\t,\tO\tO' +p257152 +aS'the\tthe\tDT\tB-NP\tO' +p257153 +aS'exact\texact\tJJ\tI-NP\tO' +p257154 +aS'duration\tduration\tNN\tI-NP\tO' +p257155 +aS'of\tof\tIN\tB-PP\tO' +p257156 +aS'the\tthe\tDT\tB-NP\tO' +p257157 +aS'most\tmost\tRBS\tI-NP\tO' +p257158 +aS'recent\trecent\tJJ\tI-NP\tO' +p257159 +aS'one\tone\tNN\tI-NP\tO' +p257160 +aS'was\tbe\tVBD\tB-VP\tO' +p257161 +aS'unclear\tunclear\tJJ\tB-ADJP\tO' +p257162 +aS'.\t.\t.\tO\tO' +p257163 +asS'Per Infectious Disease , okay for the patient to be discharged in stable condition to Waltham/Weston Hospital facility .' +p257164 +(lp257165 +S'Per\tPer\tIN\tB-PP\tO' +p257166 +aS'Infectious\tInfectious\tJJ\tB-NP\tO' +p257167 +aS'Disease\tDisease\tNN\tI-NP\tO' +p257168 +aS',\t,\t,\tO\tO' +p257169 +aS'okay\tokay\tNN\tB-NP\tO' +p257170 +aS'for\tfor\tIN\tB-PP\tO' +p257171 +aS'the\tthe\tDT\tB-NP\tO' +p257172 +aS'patient\tpatient\tNN\tI-NP\tO' +p257173 +aS'to\tto\tTO\tB-VP\tO' +p257174 +aS'be\tbe\tVB\tI-VP\tO' +p257175 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p257176 +aS'in\tin\tIN\tB-PP\tO' +p257177 +aS'stable\tstable\tJJ\tB-NP\tO' +p257178 +aS'condition\tcondition\tNN\tI-NP\tO' +p257179 +aS'to\tto\tTO\tB-PP\tO' +p257180 +aS'Waltham/Weston\tWaltham/Weston\tNNP\tB-NP\tO' +p257181 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p257182 +aS'facility\tfacility\tNN\tI-NP\tO' +p257183 +aS'.\t.\t.\tO\tO' +p257184 +asS'Her electrocardiogram demonstrated normal sinus rhythm without acute ischemic changes .' +p257185 +(lp257186 +S'Her\tHer\tPRP$\tB-NP\tO' +p257187 +aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' +p257188 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p257189 +aS'normal\tnormal\tJJ\tB-NP\tO' +p257190 +aS'sinus\tsinus\tNN\tI-NP\tO' +p257191 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p257192 +aS'without\twithout\tIN\tB-PP\tO' +p257193 +aS'acute\tacute\tJJ\tB-NP\tO' +p257194 +aS'ischemic\tischemic\tJJ\tI-NP\tO' +p257195 +aS'changes\tchange\tNNS\tI-NP\tO' +p257196 +aS'.\t.\t.\tO\tO' +p257197 +asS'A chest x-ray revealed an enlarged mediastinum with clear lung fields bilaterally .' +p257198 +(lp257199 +S'A\tA\tDT\tB-NP\tO' +p257200 +aS'chest\tchest\tNN\tI-NP\tO' +p257201 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p257202 +aS'revealed\treveal\tVBD\tB-VP\tO' +p257203 +aS'an\tan\tDT\tB-NP\tO' +p257204 +aS'enlarged\tenlarged\tJJ\tI-NP\tO' +p257205 +aS'mediastinum\tmediastinum\tNN\tI-NP\tO' +p257206 +aS'with\twith\tIN\tB-PP\tO' +p257207 +aS'clear\tclear\tJJ\tB-NP\tO' +p257208 +aS'lung\tlung\tNN\tI-NP\tO' +p257209 +aS'fields\tfield\tNNS\tI-NP\tO' +p257210 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p257211 +aS'.\t.\t.\tO\tO' +p257212 +asS'Gastroenteritis .' +p257213 +(lp257214 +S'Gastroenteritis\tGastroenteritis\tNN\tB-NP\tO' +p257215 +aS'.\t.\t.\tO\tO' +p257216 +asS'3 plus pitting edema to the knee bilaterally with areas of darkened erythema which is crusted , indented .' +p257217 +(lp257218 +S'3\t3\tCD\tB-NP\tO' +p257219 +aS'plus\tplus\tCC\tO\tO' +p257220 +aS'pitting\tpit\tVBG\tB-VP\tO' +p257221 +aS'edema\tedema\tNN\tB-NP\tO' +p257222 +aS'to\tto\tTO\tB-PP\tO' +p257223 +aS'the\tthe\tDT\tB-NP\tO' +p257224 +aS'knee\tknee\tNN\tI-NP\tO' +p257225 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p257226 +aS'with\twith\tIN\tB-PP\tO' +p257227 +aS'areas\tarea\tNNS\tB-NP\tO' +p257228 +aS'of\tof\tIN\tB-PP\tO' +p257229 +aS'darkened\tdarkened\tJJ\tB-NP\tO' +p257230 +aS'erythema\terythema\tNN\tI-NP\tO' +p257231 +aS'which\twhich\tWDT\tB-NP\tO' +p257232 +aS'is\tbe\tVBZ\tB-VP\tO' +p257233 +aS'crusted\tcrust\tVBN\tI-VP\tO' +p257234 +aS',\t,\t,\tO\tO' +p257235 +aS'indented\tindent\tVBN\tB-VP\tO' +p257236 +aS'.\t.\t.\tO\tO' +p257237 +asS'Mother is 17 years old , and has been accompanied on the majority of her visits by her parents , both of whom are students .' +p257238 +(lp257239 +S'Mother\tMother\tNNP\tB-NP\tO' +p257240 +aS'is\tbe\tVBZ\tB-VP\tO' +p257241 +aS'17\t17\tCD\tB-NP\tO' +p257242 +aS'years\tyear\tNNS\tI-NP\tO' +p257243 +aS'old\told\tJJ\tB-ADJP\tO' +p257244 +aS',\t,\t,\tO\tO' +p257245 +aS'and\tand\tCC\tO\tO' +p257246 +aS'has\thave\tVBZ\tB-VP\tO' +p257247 +aS'been\tbe\tVBN\tI-VP\tO' +p257248 +aS'accompanied\taccompany\tVBN\tI-VP\tO' +p257249 +aS'on\ton\tIN\tB-PP\tO' +p257250 +aS'the\tthe\tDT\tB-NP\tO' +p257251 +aS'majority\tmajority\tNN\tI-NP\tO' +p257252 +aS'of\tof\tIN\tB-PP\tO' +p257253 +aS'her\ther\tPRP$\tB-NP\tO' +p257254 +aS'visits\tvisit\tNNS\tI-NP\tO' +p257255 +aS'by\tby\tIN\tB-PP\tO' +p257256 +aS'her\ther\tPRP$\tB-NP\tO' +p257257 +aS'parents\tparent\tNNS\tI-NP\tO' +p257258 +aS',\t,\t,\tO\tO' +p257259 +aS'both\tboth\tDT\tB-NP\tO' +p257260 +aS'of\tof\tIN\tB-PP\tO' +p257261 +aS'whom\twhom\tWP\tB-NP\tO' +p257262 +aS'are\tbe\tVBP\tB-VP\tO' +p257263 +aS'students\tstudent\tNNS\tB-NP\tO' +p257264 +aS'.\t.\t.\tO\tO' +p257265 +asS"The patient 's fluid hydration from D5 one-half normal saline with 20 mEq of K to D5W and acuchecks from this time showed blood sugars routinely between 20 and 50 ." +p257266 +(lp257267 +S'The\tThe\tDT\tB-NP\tO' +p257268 +aS'patient\tpatient\tNN\tI-NP\tO' +p257269 +aS"'s\t's\tPOS\tB-NP\tO" +p257270 +aS'fluid\tfluid\tJJ\tI-NP\tO' +p257271 +aS'hydration\thydration\tNN\tI-NP\tO' +p257272 +aS'from\tfrom\tIN\tB-PP\tO' +p257273 +aS'D5\tD5\tNN\tB-NP\tO' +p257274 +aS'one-half\tone-half\tNN\tI-NP\tO' +p257275 +aS'normal\tnormal\tJJ\tI-NP\tO' +p257276 +aS'saline\tsaline\tNN\tI-NP\tO' +p257277 +aS'with\twith\tIN\tB-PP\tO' +p257278 +aS'20\t20\tCD\tB-NP\tO' +p257279 +aS'mEq\tmEq\tNN\tI-NP\tO' +p257280 +aS'of\tof\tIN\tB-PP\tO' +p257281 +aS'K\tK\tNN\tB-NP\tO' +p257282 +aS'to\tto\tTO\tB-PP\tO' +p257283 +aS'D5W\tD5W\tNN\tB-NP\tB-protein' +p257284 +aS'and\tand\tCC\tI-NP\tO' +p257285 +aS'acuchecks\tacucheck\tNNS\tI-NP\tO' +p257286 +aS'from\tfrom\tIN\tB-PP\tO' +p257287 +aS'this\tthis\tDT\tB-NP\tO' +p257288 +aS'time\ttime\tNN\tI-NP\tO' +p257289 +aS'showed\tshow\tVBD\tB-VP\tO' +p257290 +aS'blood\tblood\tNN\tB-NP\tO' +p257291 +aS'sugars\tsugar\tNNS\tI-NP\tO' +p257292 +aS'routinely\troutinely\tRB\tB-ADVP\tO' +p257293 +aS'between\tbetween\tIN\tB-PP\tO' +p257294 +aS'20\t20\tCD\tB-NP\tO' +p257295 +aS'and\tand\tCC\tI-NP\tO' +p257296 +aS'50\t50\tCD\tI-NP\tO' +p257297 +aS'.\t.\t.\tO\tO' +p257298 +asS'2. Carbidopa-Levodopa 25 - 250 mg Tablet Sig : One ( 1 ) Tablet PO 5 TIMES A DAY ( ) .' +p257299 +(lp257300 +S'2.\t2.\tLS\tB-LST\tO' +p257301 +aS'Carbidopa-Levodopa\tCarbidopa-Levodopa\tNNP\tB-NP\tO' +p257302 +aS'25\t25\tCD\tI-NP\tO' +p257303 +aS'-\t-\tHYPH\tI-NP\tO' +p257304 +aS'250\t250\tCD\tI-NP\tO' +p257305 +aS'mg\tmg\tNN\tI-NP\tO' +p257306 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p257307 +aS'Sig\tSig\tNNP\tI-NP\tO' +p257308 +aS':\t:\t:\tO\tO' +p257309 +aS'One\tOne\tCD\tB-NP\tO' +p257310 +aS'(\t(\t(\tO\tO' +p257311 +aS'1\t1\tCD\tB-NP\tO' +p257312 +aS')\t)\t)\tO\tO' +p257313 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p257314 +aS'PO\tPO\tNN\tI-NP\tO' +p257315 +aS'5\t5\tCD\tI-NP\tO' +p257316 +aS'TIMES\tTIMES\tNN\tI-NP\tO' +p257317 +aS'A\tA\tNN\tI-NP\tO' +p257318 +aS'DAY\tDAY\tNN\tI-NP\tO' +p257319 +aS'(\t(\t(\tO\tO' +p257320 +aS')\t)\t)\tO\tO' +p257321 +aS'.\t.\t.\tO\tO' +p257322 +asS'His abdomen was distended with massive hepatosplenomegaly , which was somewhat tender .' +p257323 +(lp257324 +S'His\tHis\tPRP$\tB-NP\tO' +p257325 +aS'abdomen\tabdoman\tNNS\tI-NP\tO' +p257326 +aS'was\tbe\tVBD\tB-VP\tO' +p257327 +aS'distended\tdistend\tVBN\tI-VP\tO' +p257328 +aS'with\twith\tIN\tB-PP\tO' +p257329 +aS'massive\tmassive\tJJ\tB-NP\tO' +p257330 +aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tI-NP\tO' +p257331 +aS',\t,\t,\tO\tO' +p257332 +aS'which\twhich\tWDT\tB-NP\tO' +p257333 +aS'was\tbe\tVBD\tB-VP\tO' +p257334 +aS'somewhat\tsomewhat\tDT\tB-NP\tO' +p257335 +aS'tender\ttender\tNN\tI-NP\tO' +p257336 +aS'.\t.\t.\tO\tO' +p257337 +asS'The patient 's mental status slowly began to recover , however on the morning of the first day of admission , August 16 , 1998 , the patient was found after having fallen .' +p257338 +(lp257339 +S'The\tThe\tDT\tB-NP\tO' +p257340 +aS'patient\tpatient\tNN\tI-NP\tO' +p257341 +aS''s\t'\tNNS\tI-NP\tO' +p257342 +aS'mental\tmental\tJJ\tB-NP\tO' +p257343 +aS'status\tstatus\tNN\tI-NP\tO' +p257344 +aS'slowly\tslowly\tRB\tB-ADVP\tO' +p257345 +aS'began\tbegin\tVBD\tB-VP\tO' +p257346 +aS'to\tto\tTO\tI-VP\tO' +p257347 +aS'recover\trecover\tVB\tI-VP\tO' +p257348 +aS',\t,\t,\tO\tO' +p257349 +aS'however\thowever\tRB\tB-ADVP\tO' +p257350 +aS'on\ton\tIN\tB-PP\tO' +p257351 +aS'the\tthe\tDT\tB-NP\tO' +p257352 +aS'morning\tmorning\tNN\tI-NP\tO' +p257353 +aS'of\tof\tIN\tB-PP\tO' +p257354 +aS'the\tthe\tDT\tB-NP\tO' +p257355 +aS'first\tfirst\tJJ\tI-NP\tO' +p257356 +aS'day\tday\tNN\tI-NP\tO' +p257357 +aS'of\tof\tIN\tB-PP\tO' +p257358 +aS'admission\tadmission\tNN\tB-NP\tO' +p257359 +aS',\t,\t,\tO\tO' +p257360 +aS'August\tAugust\tNNP\tB-NP\tO' +p257361 +aS'16\t16\tCD\tI-NP\tO' +p257362 +aS',\t,\t,\tI-NP\tO' +p257363 +aS'1998\t1998\tCD\tI-NP\tO' +p257364 +aS',\t,\t,\tO\tO' +p257365 +aS'the\tthe\tDT\tB-NP\tO' +p257366 +aS'patient\tpatient\tNN\tI-NP\tO' +p257367 +aS'was\tbe\tVBD\tB-VP\tO' +p257368 +aS'found\tfind\tVBN\tI-VP\tO' +p257369 +aS'after\tafter\tIN\tB-PP\tO' +p257370 +aS'having\thave\tVBG\tB-VP\tO' +p257371 +aS'fallen\tfall\tVBN\tI-VP\tO' +p257372 +aS'.\t.\t.\tO\tO' +p257373 +asS'An arterial blood gas at that time showed pO2 of 68 , saturation of 95% , a pH of 7.5l , pCO2 of 37 , a bicarbonate of 37 , and a pCO2 of 3l with a +7 base .' +p257374 +(lp257375 +S'An\tAn\tDT\tB-NP\tO' +p257376 +aS'arterial\tarterial\tJJ\tI-NP\tO' +p257377 +aS'blood\tblood\tNN\tI-NP\tO' +p257378 +aS'gas\tgas\tNN\tI-NP\tO' +p257379 +aS'at\tat\tIN\tB-PP\tO' +p257380 +aS'that\tthat\tDT\tB-NP\tO' +p257381 +aS'time\ttime\tNN\tI-NP\tO' +p257382 +aS'showed\tshow\tVBD\tB-VP\tO' +p257383 +aS'pO2\tpO2\tNN\tB-NP\tO' +p257384 +aS'of\tof\tIN\tB-PP\tO' +p257385 +aS'68\t68\tCD\tB-NP\tO' +p257386 +aS',\t,\t,\tO\tO' +p257387 +aS'saturation\tsaturation\tNN\tB-NP\tO' +p257388 +aS'of\tof\tIN\tB-PP\tO' +p257389 +aS'95%\t95%\tNN\tB-NP\tO' +p257390 +aS',\t,\t,\tO\tO' +p257391 +aS'a\ta\tDT\tB-NP\tO' +p257392 +aS'pH\tpH\tNN\tI-NP\tO' +p257393 +aS'of\tof\tIN\tB-PP\tO' +p257394 +aS'7.5l\t7.5l\tNN\tB-NP\tO' +p257395 +aS',\t,\t,\tO\tO' +p257396 +aS'pCO2\tpCO2\tNN\tB-NP\tO' +p257397 +aS'of\tof\tIN\tB-PP\tO' +p257398 +aS'37\t37\tCD\tB-NP\tO' +p257399 +aS',\t,\t,\tO\tO' +p257400 +aS'a\ta\tDT\tB-NP\tO' +p257401 +aS'bicarbonate\tbicarbonate\tNN\tI-NP\tO' +p257402 +aS'of\tof\tIN\tB-PP\tO' +p257403 +aS'37\t37\tCD\tB-NP\tO' +p257404 +aS',\t,\t,\tO\tO' +p257405 +aS'and\tand\tCC\tO\tO' +p257406 +aS'a\ta\tDT\tB-NP\tO' +p257407 +aS'pCO2\tpCO2\tNN\tI-NP\tO' +p257408 +aS'of\tof\tIN\tB-PP\tO' +p257409 +aS'3l\t3l\tNN\tB-NP\tO' +p257410 +aS'with\twith\tIN\tB-PP\tO' +p257411 +aS'a\ta\tDT\tB-NP\tO' +p257412 +aS'+7\t+7\tCD\tI-NP\tO' +p257413 +aS'base\tbase\tNN\tI-NP\tO' +p257414 +aS'.\t.\t.\tO\tO' +p257415 +asS'Mild-to-moderate MR , TR .' +p257416 +(lp257417 +S'Mild-to-moderate\tMild-to-moderate\tJJ\tB-NP\tO' +p257418 +aS'MR\tMR\tNN\tI-NP\tB-protein' +p257419 +aS',\t,\t,\tO\tO' +p257420 +aS'TR\tTR\tNN\tB-NP\tB-protein' +p257421 +aS'.\t.\t.\tO\tO' +p257422 +asS'Married with children , wheelchair bound mostly .' +p257423 +(lp257424 +S'Married\tMarry\tVBN\tB-VP\tO' +p257425 +aS'with\twith\tIN\tB-PP\tO' +p257426 +aS'children\tchild\tNNS\tB-NP\tO' +p257427 +aS',\t,\t,\tO\tO' +p257428 +aS'wheelchair\twheelchair\tNN\tB-NP\tO' +p257429 +aS'bound\tbind\tVBD\tB-VP\tO' +p257430 +aS'mostly\tmostly\tRB\tB-ADVP\tO' +p257431 +aS'.\t.\t.\tO\tO' +p257432 +asS"Patient 's renal function remained stable and her CKs trended down gradually ." +p257433 +(lp257434 +S'Patient\tPatient\tNNP\tB-NP\tO' +p257435 +aS"'s\t's\tPOS\tB-NP\tO" +p257436 +aS'renal\trenal\tJJ\tI-NP\tO' +p257437 +aS'function\tfunction\tNN\tI-NP\tO' +p257438 +aS'remained\tremain\tVBD\tB-VP\tO' +p257439 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p257440 +aS'and\tand\tCC\tO\tO' +p257441 +aS'her\ther\tPRP$\tB-NP\tO' +p257442 +aS'CKs\tCK\tNNS\tI-NP\tB-protein' +p257443 +aS'trended\ttrend\tVBD\tB-VP\tO' +p257444 +aS'down\tdown\tRB\tB-ADVP\tO' +p257445 +aS'gradually\tgradually\tRB\tB-ADVP\tO' +p257446 +aS'.\t.\t.\tO\tO' +p257447 +asS'Lipase was elevated to 600 .' +p257448 +(lp257449 +S'Lipase\tLipase\tNN\tB-NP\tB-protein' +p257450 +aS'was\tbe\tVBD\tB-VP\tO' +p257451 +aS'elevated\televate\tVBN\tI-VP\tO' +p257452 +aS'to\tto\tTO\tB-PP\tO' +p257453 +aS'600\t600\tCD\tB-NP\tO' +p257454 +aS'.\t.\t.\tO\tO' +p257455 +asS'There is a question of an allergy to Tylenol .' +p257456 +(lp257457 +S'There\tThere\tEX\tB-NP\tO' +p257458 +aS'is\tbe\tVBZ\tB-VP\tO' +p257459 +aS'a\ta\tDT\tB-NP\tO' +p257460 +aS'question\tquestion\tNN\tI-NP\tO' +p257461 +aS'of\tof\tIN\tB-PP\tO' +p257462 +aS'an\tan\tDT\tB-NP\tO' +p257463 +aS'allergy\tallergy\tNN\tI-NP\tO' +p257464 +aS'to\tto\tTO\tB-PP\tO' +p257465 +aS'Tylenol\tTylenol\tNN\tB-NP\tO' +p257466 +aS'.\t.\t.\tO\tO' +p257467 +asS'Subsequent lower extremities noninvasive studies and D-dimer test were both negative rendering the probability of acute pulmonary embolism less than 2 percent .' +p257468 +(lp257469 +S'Subsequent\tSubsequent\tJJ\tB-NP\tO' +p257470 +aS'lower\tlow\tJJR\tI-NP\tO' +p257471 +aS'extremities\textremity\tNNS\tI-NP\tO' +p257472 +aS'noninvasive\tnoninvasive\tJJ\tB-NP\tO' +p257473 +aS'studies\tstudy\tNNS\tI-NP\tO' +p257474 +aS'and\tand\tCC\tO\tO' +p257475 +aS'D-dimer\tD-dimer\tNN\tB-NP\tO' +p257476 +aS'test\ttest\tNN\tI-NP\tO' +p257477 +aS'were\tbe\tVBD\tB-VP\tO' +p257478 +aS'both\tboth\tDT\tO\tO' +p257479 +aS'negative\tnegative\tJJ\tO\tO' +p257480 +aS'rendering\trender\tVBG\tB-VP\tO' +p257481 +aS'the\tthe\tDT\tB-NP\tO' +p257482 +aS'probability\tprobability\tNN\tI-NP\tO' +p257483 +aS'of\tof\tIN\tB-PP\tO' +p257484 +aS'acute\tacute\tJJ\tB-NP\tO' +p257485 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p257486 +aS'embolism\tembolism\tNN\tI-NP\tO' +p257487 +aS'less\tless\tJJR\tB-NP\tO' +p257488 +aS'than\tthan\tIN\tI-NP\tO' +p257489 +aS'2\t2\tCD\tI-NP\tO' +p257490 +aS'percent\tpercent\tNN\tI-NP\tO' +p257491 +aS'.\t.\t.\tO\tO' +p257492 +asS'He was able to use a Passy-Muir valve intermittently for his trach .' +p257493 +(lp257494 +S'He\tHe\tPRP\tB-NP\tO' +p257495 +aS'was\tbe\tVBD\tB-VP\tO' +p257496 +aS'able\table\tJJ\tB-ADJP\tO' +p257497 +aS'to\tto\tTO\tB-VP\tO' +p257498 +aS'use\tuse\tVB\tI-VP\tO' +p257499 +aS'a\ta\tDT\tB-NP\tO' +p257500 +aS'Passy-Muir\tPassy-Muir\tNNP\tI-NP\tO' +p257501 +aS'valve\tvalve\tVBP\tB-VP\tO' +p257502 +aS'intermittently\tintermittently\tRB\tB-ADVP\tO' +p257503 +aS'for\tfor\tIN\tB-PP\tO' +p257504 +aS'his\this\tPRP$\tB-NP\tO' +p257505 +aS'trach\ttrach\tNN\tI-NP\tO' +p257506 +aS'.\t.\t.\tO\tO' +p257507 +asS'Length was 40 cm , 50th percentile .' +p257508 +(lp257509 +S'Length\tLength\tNN\tB-NP\tO' +p257510 +aS'was\tbe\tVBD\tB-VP\tO' +p257511 +aS'40\t40\tCD\tB-NP\tO' +p257512 +aS'cm\tcm\tNN\tI-NP\tO' +p257513 +aS',\t,\t,\tO\tO' +p257514 +aS'50th\t50th\tJJ\tB-NP\tO' +p257515 +aS'percentile\tpercentile\tNN\tI-NP\tO' +p257516 +aS'.\t.\t.\tO\tO' +p257517 +asS'8. Clindamycin 900 q 8 .' +p257518 +(lp257519 +S'8.\t8.\tCD\tB-NP\tO' +p257520 +aS'Clindamycin\tClindamycin\tNN\tI-NP\tO' +p257521 +aS'900\t900\tCD\tB-NP\tO' +p257522 +aS'q\tq\tNN\tI-NP\tO' +p257523 +aS'8\t8\tCD\tI-NP\tO' +p257524 +aS'.\t.\t.\tO\tO' +p257525 +asS'Sclerae anicteric .' +p257526 +(lp257527 +S'Sclerae\tSclerae\tNNP\tB-NP\tO' +p257528 +aS'anicteric\tanicteric\tJJ\tI-NP\tO' +p257529 +aS'.\t.\t.\tO\tO' +p257530 +asS'- Albuterol 90 mcg 1-2 Puffs INH q6hr PRN' +p257531 +(lp257532 +S'-\t-\tHYPH\tB-NP\tO' +p257533 +aS'Albuterol\tAlbuterol\tNN\tI-NP\tO' +p257534 +aS'90\t90\tCD\tI-NP\tO' +p257535 +aS'mcg\tmcg\tNN\tI-NP\tO' +p257536 +aS'1-2\t1-2\tNN\tI-NP\tO' +p257537 +aS'Puffs\tPuff\tNNS\tI-NP\tO' +p257538 +aS'INH\tINH\tNN\tI-NP\tO' +p257539 +aS'q6hr\tq6hr\tNN\tI-NP\tO' +p257540 +aS'PRN\tPRN\tNN\tI-NP\tO' +p257541 +asS'She was started on Pitressin , a Blakemore tube was inserted .' +p257542 +(lp257543 +S'She\tShe\tPRP\tB-NP\tO' +p257544 +aS'was\tbe\tVBD\tB-VP\tO' +p257545 +aS'started\tstart\tVBN\tI-VP\tO' +p257546 +aS'on\ton\tIN\tB-PP\tO' +p257547 +aS'Pitressin\tPitressin\tNNP\tB-NP\tO' +p257548 +aS',\t,\t,\tO\tO' +p257549 +aS'a\ta\tDT\tB-NP\tO' +p257550 +aS'Blakemore\tBlakemore\tNNP\tI-NP\tO' +p257551 +aS'tube\ttube\tNN\tI-NP\tO' +p257552 +aS'was\tbe\tVBD\tB-VP\tO' +p257553 +aS'inserted\tinsert\tVBN\tI-VP\tO' +p257554 +aS'.\t.\t.\tO\tO' +p257555 +asS'On January 4 , he had a desaturation .' +p257556 +(lp257557 +S'On\tOn\tIN\tB-PP\tO' +p257558 +aS'January\tJanuary\tNNP\tB-NP\tO' +p257559 +aS'4\t4\tCD\tI-NP\tO' +p257560 +aS',\t,\t,\tO\tO' +p257561 +aS'he\the\tPRP\tB-NP\tO' +p257562 +aS'had\thave\tVBD\tB-VP\tO' +p257563 +aS'a\ta\tDT\tB-NP\tO' +p257564 +aS'desaturation\tdesaturation\tNN\tI-NP\tO' +p257565 +aS'.\t.\t.\tO\tO' +p257566 +asS'Anterior fontanelle is soft , open and flat .' +p257567 +(lp257568 +S'Anterior\tAnterior\tJJ\tB-NP\tO' +p257569 +aS'fontanelle\tfontanelle\tNN\tI-NP\tO' +p257570 +aS'is\tbe\tVBZ\tB-VP\tO' +p257571 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p257572 +aS',\t,\t,\tI-ADJP\tO' +p257573 +aS'open\topen\tJJ\tI-ADJP\tO' +p257574 +aS'and\tand\tCC\tI-ADJP\tO' +p257575 +aS'flat\tflat\tJJ\tI-ADJP\tO' +p257576 +aS'.\t.\t.\tO\tO' +p257577 +asS'Crackles were increased 1/4 of the way up .' +p257578 +(lp257579 +S'Crackles\tCrackle\tNNS\tB-NP\tO' +p257580 +aS'were\tbe\tVBD\tB-VP\tO' +p257581 +aS'increased\tincrease\tVBN\tI-VP\tO' +p257582 +aS'1/4\t1/4\tCD\tB-NP\tO' +p257583 +aS'of\tof\tIN\tB-PP\tO' +p257584 +aS'the\tthe\tDT\tB-NP\tO' +p257585 +aS'way\tway\tNN\tI-NP\tO' +p257586 +aS'up\tup\tRP\tB-PRT\tO' +p257587 +aS'.\t.\t.\tO\tO' +p257588 +asS'She had a negative Chvostek 's and negative Trousseau 's sign .' +p257589 +(lp257590 +S'She\tShe\tPRP\tB-NP\tO' +p257591 +aS'had\thave\tVBD\tB-VP\tO' +p257592 +aS'a\ta\tDT\tB-NP\tO' +p257593 +aS'negative\tnegative\tJJ\tI-NP\tO' +p257594 +aS'Chvostek\tChvostek\tNNP\tI-NP\tO' +p257595 +aS''s\t'\tNNS\tI-NP\tO' +p257596 +aS'and\tand\tCC\tO\tO' +p257597 +aS'negative\tnegative\tJJ\tB-NP\tO' +p257598 +aS'Trousseau\tTrousseau\tNN\tI-NP\tO' +p257599 +aS''s\t'\tNNS\tI-NP\tO' +p257600 +aS'sign\tsign\tNN\tI-NP\tO' +p257601 +aS'.\t.\t.\tO\tO' +p257602 +asS'This is a 62-year-old male with severe osteoarthritis of the right hip who after discussion , including the nature , risks , benefits and alternative treatment plans , signed informed consent for a right total hip replacement .' +p257603 +(lp257604 +S'This\tThis\tDT\tB-NP\tO' +p257605 +aS'is\tbe\tVBZ\tB-VP\tO' +p257606 +aS'a\ta\tDT\tB-NP\tO' +p257607 +aS'62-year-old\t62-year-old\tJJ\tI-NP\tO' +p257608 +aS'male\tmale\tNN\tI-NP\tO' +p257609 +aS'with\twith\tIN\tB-PP\tO' +p257610 +aS'severe\tsevere\tJJ\tB-NP\tO' +p257611 +aS'osteoarthritis\tosteoarthritis\tNN\tI-NP\tO' +p257612 +aS'of\tof\tIN\tB-PP\tO' +p257613 +aS'the\tthe\tDT\tB-NP\tO' +p257614 +aS'right\tright\tJJ\tI-NP\tO' +p257615 +aS'hip\thip\tNN\tI-NP\tO' +p257616 +aS'who\twho\tWP\tB-NP\tO' +p257617 +aS'after\tafter\tIN\tB-PP\tO' +p257618 +aS'discussion\tdiscussion\tNN\tB-NP\tO' +p257619 +aS',\t,\t,\tO\tO' +p257620 +aS'including\tinclude\tVBG\tB-PP\tO' +p257621 +aS'the\tthe\tDT\tB-NP\tO' +p257622 +aS'nature\tnature\tNN\tI-NP\tO' +p257623 +aS',\t,\t,\tO\tO' +p257624 +aS'risks\trisk\tNNS\tB-NP\tO' +p257625 +aS',\t,\t,\tO\tO' +p257626 +aS'benefits\tbenefit\tNNS\tB-NP\tO' +p257627 +aS'and\tand\tCC\tO\tO' +p257628 +aS'alternative\talternative\tJJ\tB-NP\tO' +p257629 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p257630 +aS'plans\tplan\tNNS\tI-NP\tO' +p257631 +aS',\t,\t,\tO\tO' +p257632 +aS'signed\tsign\tVBD\tB-VP\tO' +p257633 +aS'informed\tinform\tVBN\tB-NP\tO' +p257634 +aS'consent\tconsent\tNN\tI-NP\tO' +p257635 +aS'for\tfor\tIN\tB-PP\tO' +p257636 +aS'a\ta\tDT\tB-NP\tO' +p257637 +aS'right\tright\tJJ\tI-NP\tO' +p257638 +aS'total\ttotal\tJJ\tI-NP\tO' +p257639 +aS'hip\thip\tNN\tI-NP\tO' +p257640 +aS'replacement\treplacement\tNN\tI-NP\tO' +p257641 +aS'.\t.\t.\tO\tO' +p257642 +asS'She was rescoped on 10-28 and varices were sclerosed ( no banding due to latex allergy ) and diuretics of lasix and aldactone were readded for ascites since BP stable .' +p257643 +(lp257644 +S'She\tShe\tPRP\tB-NP\tO' +p257645 +aS'was\tbe\tVBD\tB-VP\tO' +p257646 +aS'rescoped\trescope\tVBN\tI-VP\tO' +p257647 +aS'on\ton\tIN\tB-PP\tO' +p257648 +aS'10-28\t10-28\tCD\tB-NP\tO' +p257649 +aS'and\tand\tCC\tO\tO' +p257650 +aS'varices\tvarix\tNNS\tB-NP\tO' +p257651 +aS'were\tbe\tVBD\tB-VP\tO' +p257652 +aS'sclerosed\tsclerose\tVBN\tI-VP\tO' +p257653 +aS'(\t(\t(\tO\tO' +p257654 +aS'no\tno\tDT\tB-NP\tO' +p257655 +aS'banding\tbanding\tNN\tI-NP\tO' +p257656 +aS'due\tdue\tJJ\tB-ADJP\tO' +p257657 +aS'to\tto\tTO\tB-PP\tO' +p257658 +aS'latex\tlatex\tJJ\tB-NP\tO' +p257659 +aS'allergy\tallergy\tNN\tI-NP\tO' +p257660 +aS')\t)\t)\tO\tO' +p257661 +aS'and\tand\tCC\tO\tO' +p257662 +aS'diuretics\tdiuretic\tNNS\tB-NP\tO' +p257663 +aS'of\tof\tIN\tB-PP\tO' +p257664 +aS'lasix\tlasix\tNN\tB-NP\tO' +p257665 +aS'and\tand\tCC\tI-NP\tO' +p257666 +aS'aldactone\taldactone\tNN\tI-NP\tO' +p257667 +aS'were\tbe\tVBD\tB-VP\tO' +p257668 +aS'readded\treadde\tVBN\tI-VP\tO' +p257669 +aS'for\tfor\tIN\tB-PP\tO' +p257670 +aS'ascites\tascite\tNNS\tB-NP\tO' +p257671 +aS'since\tsince\tIN\tB-PP\tO' +p257672 +aS'BP\tBP\tNN\tB-NP\tO' +p257673 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p257674 +aS'.\t.\t.\tO\tO' +p257675 +asS'10. Hypercholesterolemia .' +p257676 +(lp257677 +S'10.\t10.\tLS\tB-LST\tO' +p257678 +aS'Hypercholesterolemia\tHypercholesterolemia\tNNP\tB-NP\tO' +p257679 +aS'.\t.\t.\tO\tO' +p257680 +asS'1. Eight mm right proximal ureteral stone with right-sided hydronephrosis and inflammatory stranding .' +p257681 +(lp257682 +S'1.\t1.\tLS\tB-NP\tO' +p257683 +aS'Eight\tEight\tCD\tI-NP\tO' +p257684 +aS'mm\tmm\tNN\tI-NP\tO' +p257685 +aS'right\tright\tJJ\tI-NP\tO' +p257686 +aS'proximal\tproximal\tJJ\tI-NP\tO' +p257687 +aS'ureteral\tureteral\tJJ\tI-NP\tO' +p257688 +aS'stone\tstone\tNN\tI-NP\tO' +p257689 +aS'with\twith\tIN\tB-PP\tO' +p257690 +aS'right-sided\tright-sided\tJJ\tB-NP\tO' +p257691 +aS'hydronephrosis\thydronephrosis\tNN\tI-NP\tO' +p257692 +aS'and\tand\tCC\tO\tO' +p257693 +aS'inflammatory\tinflammatory\tJJ\tB-NP\tO' +p257694 +aS'stranding\tstranding\tNN\tI-NP\tO' +p257695 +aS'.\t.\t.\tO\tO' +p257696 +asS'TUMS 500 mg twice a day .' +p257697 +(lp257698 +S'TUMS\tTUMS\tNN\tB-NP\tO' +p257699 +aS'500\t500\tCD\tI-NP\tO' +p257700 +aS'mg\tmg\tNN\tI-NP\tO' +p257701 +aS'twice\ttwice\tRB\tB-NP\tO' +p257702 +aS'a\ta\tDT\tI-NP\tO' +p257703 +aS'day\tday\tNN\tI-NP\tO' +p257704 +aS'.\t.\t.\tO\tO' +p257705 +asS'She was continued on Solu-Medrol 80 mg q.8h. then converted to prednisone at 60 mg p.o. q.d.' +p257706 +(lp257707 +S'She\tShe\tPRP\tB-NP\tO' +p257708 +aS'was\tbe\tVBD\tB-VP\tO' +p257709 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p257710 +aS'on\ton\tIN\tB-PP\tO' +p257711 +aS'Solu-Medrol\tSolu-Medrol\tNN\tB-NP\tO' +p257712 +aS'80\t80\tCD\tI-NP\tO' +p257713 +aS'mg\tmg\tNN\tI-NP\tO' +p257714 +aS'q.8h.\tq.8h.\tNN\tI-NP\tO' +p257715 +aS'then\tthen\tRB\tB-ADVP\tO' +p257716 +aS'converted\tconvert\tVBD\tB-VP\tO' +p257717 +aS'to\tto\tTO\tB-PP\tO' +p257718 +aS'prednisone\tprednisone\tNN\tB-NP\tO' +p257719 +aS'at\tat\tIN\tB-PP\tO' +p257720 +aS'60\t60\tCD\tB-NP\tO' +p257721 +aS'mg\tmg\tNN\tI-NP\tO' +p257722 +aS'p.o.\tp.o.\tFW\tB-ADVP\tO' +p257723 +aS'q.d.\tq.d.\tFW\tI-ADVP\tO' +p257724 +asS'4. Flovent 110 mcg two puffs b.i.d.' +p257725 +(lp257726 +S'4.\t4.\tLS\tB-LST\tO' +p257727 +aS'Flovent\tFlovent\tNNP\tB-NP\tO' +p257728 +aS'110\t110\tCD\tI-NP\tO' +p257729 +aS'mcg\tmcg\tNN\tI-NP\tO' +p257730 +aS'two\ttwo\tCD\tB-NP\tO' +p257731 +aS'puffs\tpuff\tNNS\tI-NP\tO' +p257732 +aS'b.i.d.\tb.i.d.\tRB\tB-ADVP\tO' +p257733 +asS'HEENT : PERRL , some dried blood on lips , tongue' +p257734 +(lp257735 +S'HEENT\tHEENT\tNN\tB-NP\tO' +p257736 +aS':\t:\t:\tO\tO' +p257737 +aS'PERRL\tPERRL\tNN\tB-NP\tB-protein' +p257738 +aS',\t,\t,\tO\tO' +p257739 +aS'some\tsome\tDT\tB-NP\tO' +p257740 +aS'dried\tdry\tVBN\tI-NP\tO' +p257741 +aS'blood\tblood\tNN\tI-NP\tO' +p257742 +aS'on\ton\tIN\tB-PP\tO' +p257743 +aS'lips\tlip\tNNS\tB-NP\tO' +p257744 +aS',\t,\t,\tO\tO' +p257745 +aS'tongue\ttongue\tNN\tB-NP\tO' +p257746 +asS'Midodrine 10 mg Tablet Sig : 1.5 Tablets PO twice a day : at 8am and noon .' +p257747 +(lp257748 +S'Midodrine\tMidodrine\tNN\tB-NP\tO' +p257749 +aS'10\t10\tCD\tI-NP\tO' +p257750 +aS'mg\tmg\tNN\tI-NP\tO' +p257751 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p257752 +aS'Sig\tSig\tNNP\tI-NP\tO' +p257753 +aS':\t:\t:\tO\tO' +p257754 +aS'1.5\t1.5\tCD\tB-NP\tO' +p257755 +aS'Tablets\tTablet\tNNS\tI-NP\tB-protein' +p257756 +aS'PO\tPO\tNN\tI-NP\tI-protein' +p257757 +aS'twice\ttwice\tRB\tB-NP\tO' +p257758 +aS'a\ta\tDT\tI-NP\tO' +p257759 +aS'day\tday\tNN\tI-NP\tO' +p257760 +aS':\t:\t:\tO\tO' +p257761 +aS'at\tat\tIN\tB-PP\tO' +p257762 +aS'8am\t8am\tNN\tB-NP\tO' +p257763 +aS'and\tand\tCC\tI-NP\tO' +p257764 +aS'noon\tnoon\tNN\tI-NP\tO' +p257765 +aS'.\t.\t.\tO\tO' +p257766 +asS'PORT will be replaced on 2019-02-11 per IR ( Dr. Welsh placed last PORT , then removed it on 01-23 ), ordered placed in OMR .' +p257767 +(lp257768 +S'PORT\tPORT\tNN\tB-NP\tO' +p257769 +aS'will\twill\tMD\tB-VP\tO' +p257770 +aS'be\tbe\tVB\tI-VP\tO' +p257771 +aS'replaced\treplace\tVBN\tI-VP\tO' +p257772 +aS'on\ton\tIN\tB-PP\tO' +p257773 +aS'2019-02-11\t2019-02-11\tCD\tB-NP\tO' +p257774 +aS'per\tper\tIN\tB-PP\tO' +p257775 +aS'IR\tIR\tNNP\tB-NP\tO' +p257776 +aS'(\t(\t(\tO\tO' +p257777 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p257778 +aS'Welsh\tWelsh\tNNP\tI-NP\tO' +p257779 +aS'placed\tplace\tVBD\tB-VP\tO' +p257780 +aS'last\tlast\tJJ\tB-NP\tO' +p257781 +aS'PORT\tPORT\tNN\tI-NP\tO' +p257782 +aS',\t,\t,\tO\tO' +p257783 +aS'then\tthen\tRB\tB-ADVP\tO' +p257784 +aS'removed\tremove\tVBD\tB-VP\tO' +p257785 +aS'it\tit\tPRP\tB-NP\tO' +p257786 +aS'on\ton\tIN\tB-PP\tO' +p257787 +aS'01-23\t01-23\tCD\tB-NP\tO' +p257788 +aS'),\t),\tNN\tI-NP\tO' +p257789 +aS'ordered\torder\tVBD\tB-VP\tO' +p257790 +aS'placed\tplace\tVBN\tI-VP\tO' +p257791 +aS'in\tin\tIN\tB-PP\tO' +p257792 +aS'OMR\tOMR\tNN\tB-NP\tB-protein' +p257793 +aS'.\t.\t.\tO\tO' +p257794 +asS"She was readmitted and had a complete febrile work-up that included CT abdomene / pelvis , chest x-ray , blood culture 's , urine cultures , all of which were unremarkable ." +p257795 +(lp257796 +S'She\tShe\tPRP\tB-NP\tO' +p257797 +aS'was\tbe\tVBD\tB-VP\tO' +p257798 +aS'readmitted\treadmitte\tVBN\tI-VP\tO' +p257799 +aS'and\tand\tCC\tO\tO' +p257800 +aS'had\thave\tVBD\tB-VP\tO' +p257801 +aS'a\ta\tDT\tB-NP\tO' +p257802 +aS'complete\tcomplete\tJJ\tI-NP\tO' +p257803 +aS'febrile\tfebrile\tJJ\tI-NP\tO' +p257804 +aS'work-up\twork-up\tNN\tI-NP\tO' +p257805 +aS'that\tthat\tWDT\tB-NP\tO' +p257806 +aS'included\tinclude\tVBD\tB-VP\tO' +p257807 +aS'CT\tCT\tNN\tB-NP\tO' +p257808 +aS'abdomene\tabdomene\tNN\tI-NP\tO' +p257809 +aS'/\t/\tSYM\tB-VP\tO' +p257810 +aS'pelvis\tpelvis\tNN\tB-NP\tO' +p257811 +aS',\t,\t,\tO\tO' +p257812 +aS'chest\tchest\tNN\tB-NP\tO' +p257813 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p257814 +aS',\t,\t,\tO\tO' +p257815 +aS'blood\tblood\tNN\tB-NP\tO' +p257816 +aS'culture\tculture\tNN\tI-NP\tO' +p257817 +aS"'s\t's\tPOS\tB-NP\tO" +p257818 +aS',\t,\t,\tO\tO' +p257819 +aS'urine\turine\tNN\tB-NP\tB-cell_line' +p257820 +aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' +p257821 +aS',\t,\t,\tO\tO' +p257822 +aS'all\tall\tDT\tB-NP\tO' +p257823 +aS'of\tof\tIN\tB-PP\tO' +p257824 +aS'which\twhich\tWDT\tB-NP\tO' +p257825 +aS'were\tbe\tVBD\tB-VP\tO' +p257826 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p257827 +aS'.\t.\t.\tO\tO' +p257828 +asS'normal electrolytes , normal coags and normal renal function .' +p257829 +(lp257830 +S'normal\tnormal\tJJ\tB-NP\tO' +p257831 +aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' +p257832 +aS',\t,\t,\tO\tO' +p257833 +aS'normal\tnormal\tJJ\tB-NP\tO' +p257834 +aS'coags\tcoag\tNNS\tI-NP\tO' +p257835 +aS'and\tand\tCC\tO\tO' +p257836 +aS'normal\tnormal\tJJ\tB-NP\tO' +p257837 +aS'renal\trenal\tJJ\tI-NP\tO' +p257838 +aS'function\tfunction\tNN\tI-NP\tO' +p257839 +aS'.\t.\t.\tO\tO' +p257840 +asS'On admission weight 1670 grams approximately 50 th percentile , length 43 cm 50 th percentile , head circumference not done .' +p257841 +(lp257842 +S'On\tOn\tIN\tB-PP\tO' +p257843 +aS'admission\tadmission\tNN\tB-NP\tO' +p257844 +aS'weight\tweight\tNN\tI-NP\tO' +p257845 +aS'1670\t1670\tCD\tB-NP\tO' +p257846 +aS'grams\tgram\tNNS\tI-NP\tO' +p257847 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p257848 +aS'50\t50\tCD\tI-NP\tO' +p257849 +aS'th\tth\tJJ\tI-NP\tO' +p257850 +aS'percentile\tpercentile\tNN\tI-NP\tO' +p257851 +aS',\t,\t,\tO\tO' +p257852 +aS'length\tlength\tNN\tB-NP\tO' +p257853 +aS'43\t43\tCD\tI-NP\tO' +p257854 +aS'cm\tcm\tNN\tI-NP\tO' +p257855 +aS'50\t50\tCD\tB-NP\tO' +p257856 +aS'th\tth\tJJ\tI-NP\tO' +p257857 +aS'percentile\tpercentile\tNN\tI-NP\tO' +p257858 +aS',\t,\t,\tO\tO' +p257859 +aS'head\thead\tNN\tB-NP\tO' +p257860 +aS'circumference\tcircumference\tNN\tI-NP\tO' +p257861 +aS'not\tnot\tRB\tB-VP\tO' +p257862 +aS'done\tdo\tVBN\tI-VP\tO' +p257863 +aS'.\t.\t.\tO\tO' +p257864 +asS'5. Oxycodone - Acetaminophen 5-325 mg Tablet Sig : 1-2 Tablets PO every 4-6 hours as needed for pain .' +p257865 +(lp257866 +S'5.\t5.\tLS\tB-NP\tO' +p257867 +aS'Oxycodone\tOxycodone\tNN\tI-NP\tO' +p257868 +aS'-\t-\tHYPH\tO\tO' +p257869 +aS'Acetaminophen\tAcetaminophen\tNN\tB-NP\tO' +p257870 +aS'5-325\t5-325\tCD\tI-NP\tO' +p257871 +aS'mg\tmg\tNN\tI-NP\tO' +p257872 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p257873 +aS'Sig\tSig\tNNP\tI-NP\tO' +p257874 +aS':\t:\t:\tO\tO' +p257875 +aS'1-2\t1-2\tCD\tB-NP\tO' +p257876 +aS'Tablets\tTablet\tNNS\tI-NP\tO' +p257877 +aS'PO\tPO\tNN\tI-NP\tO' +p257878 +aS'every\tevery\tDT\tB-NP\tO' +p257879 +aS'4-6\t4-6\tCD\tI-NP\tO' +p257880 +aS'hours\thour\tNNS\tI-NP\tO' +p257881 +aS'as\tas\tIN\tB-SBAR\tO' +p257882 +aS'needed\tneed\tVBN\tB-VP\tO' +p257883 +aS'for\tfor\tIN\tB-PP\tO' +p257884 +aS'pain\tpain\tNN\tB-NP\tO' +p257885 +aS'.\t.\t.\tO\tO' +p257886 +asS'Head computerized tomography scan , echocardiogram , transcranial Dopplers , carotid noninvasives , Holter electrocardiogram , electroencephalogram , and visual field testing .' +p257887 +(lp257888 +S'Head\tHead\tJJ\tB-NP\tO' +p257889 +aS'computerized\tcomputerized\tJJ\tI-NP\tO' +p257890 +aS'tomography\ttomography\tNN\tI-NP\tO' +p257891 +aS'scan\tscan\tNN\tI-NP\tO' +p257892 +aS',\t,\t,\tO\tO' +p257893 +aS'echocardiogram\techocardiogram\tNN\tB-NP\tO' +p257894 +aS',\t,\t,\tO\tO' +p257895 +aS'transcranial\ttranscranial\tJJ\tB-NP\tO' +p257896 +aS'Dopplers\tDoppler\tNNS\tI-NP\tO' +p257897 +aS',\t,\t,\tO\tO' +p257898 +aS'carotid\tcarotid\tNN\tB-NP\tO' +p257899 +aS'noninvasives\tnoninvasive\tNNS\tI-NP\tO' +p257900 +aS',\t,\t,\tO\tO' +p257901 +aS'Holter\tHolter\tNNP\tB-NP\tO' +p257902 +aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' +p257903 +aS',\t,\t,\tO\tO' +p257904 +aS'electroencephalogram\telectroencephalogram\tNN\tB-NP\tO' +p257905 +aS',\t,\t,\tO\tO' +p257906 +aS'and\tand\tCC\tO\tO' +p257907 +aS'visual\tvisual\tJJ\tB-NP\tO' +p257908 +aS'field\tfield\tNN\tI-NP\tO' +p257909 +aS'testing\ttesting\tNN\tI-NP\tO' +p257910 +aS'.\t.\t.\tO\tO' +p257911 +asS'Motor examination revealed 5/5 power in all groups in the proximal and distal upper and lower extremities .' +p257912 +(lp257913 +S'Motor\tMotor\tNN\tB-NP\tO' +p257914 +aS'examination\texamination\tNN\tI-NP\tO' +p257915 +aS'revealed\treveal\tVBD\tB-VP\tO' +p257916 +aS'5/5\t5/5\tCD\tB-NP\tO' +p257917 +aS'power\tpower\tNN\tI-NP\tO' +p257918 +aS'in\tin\tIN\tB-PP\tO' +p257919 +aS'all\tall\tDT\tB-NP\tO' +p257920 +aS'groups\tgroup\tNNS\tI-NP\tO' +p257921 +aS'in\tin\tIN\tB-PP\tO' +p257922 +aS'the\tthe\tDT\tB-NP\tO' +p257923 +aS'proximal\tproximal\tJJ\tI-NP\tO' +p257924 +aS'and\tand\tCC\tI-NP\tO' +p257925 +aS'distal\tdistal\tJJ\tI-NP\tO' +p257926 +aS'upper\tupper\tJJ\tI-NP\tO' +p257927 +aS'and\tand\tCC\tI-NP\tO' +p257928 +aS'lower\tlow\tJJR\tI-NP\tO' +p257929 +aS'extremities\textremity\tNNS\tI-NP\tO' +p257930 +aS'.\t.\t.\tO\tO' +p257931 +asS'with Dr. Gunter for an eventual percutaneous coronary intervention , and her surgeon ( Dr. Halcomb ) following her thoracotomy .' +p257932 +(lp257933 +S'with\twith\tIN\tB-PP\tO' +p257934 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p257935 +aS'Gunter\tGunter\tNNP\tI-NP\tO' +p257936 +aS'for\tfor\tIN\tB-PP\tO' +p257937 +aS'an\tan\tDT\tB-NP\tO' +p257938 +aS'eventual\teventual\tJJ\tI-NP\tO' +p257939 +aS'percutaneous\tpercutaneous\tJJ\tI-NP\tO' +p257940 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p257941 +aS'intervention\tintervention\tNN\tI-NP\tO' +p257942 +aS',\t,\t,\tO\tO' +p257943 +aS'and\tand\tCC\tO\tO' +p257944 +aS'her\ther\tPRP$\tB-NP\tO' +p257945 +aS'surgeon\tsurgeon\tNN\tI-NP\tO' +p257946 +aS'(\t(\t(\tO\tO' +p257947 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p257948 +aS'Halcomb\tHalcomb\tNNP\tI-NP\tO' +p257949 +aS')\t)\t)\tO\tO' +p257950 +aS'following\tfollow\tVBG\tB-PP\tO' +p257951 +aS'her\ther\tPRP$\tB-NP\tO' +p257952 +aS'thoracotomy\tthoracotomy\tNN\tI-NP\tO' +p257953 +aS'.\t.\t.\tO\tO' +p257954 +asS'1. Levothyroxine 50 mcg p.o. once daily .' +p257955 +(lp257956 +S'1.\t1.\tLS\tB-LST\tO' +p257957 +aS'Levothyroxine\tLevothyroxine\tNNP\tB-NP\tO' +p257958 +aS'50\t50\tCD\tI-NP\tO' +p257959 +aS'mcg\tmcg\tNN\tI-NP\tO' +p257960 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p257961 +aS'once\tonce\tRB\tB-ADVP\tO' +p257962 +aS'daily\tdaily\tRB\tI-ADVP\tO' +p257963 +aS'.\t.\t.\tO\tO' +p257964 +asS'Pulses normal to the femorals with weak dorsalis pedis pulses .' +p257965 +(lp257966 +S'Pulses\tPulse\tNNS\tB-NP\tO' +p257967 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p257968 +aS'to\tto\tTO\tB-PP\tO' +p257969 +aS'the\tthe\tDT\tB-NP\tO' +p257970 +aS'femorals\tfemoral\tNNS\tI-NP\tO' +p257971 +aS'with\twith\tIN\tB-PP\tO' +p257972 +aS'weak\tweak\tJJ\tB-NP\tO' +p257973 +aS'dorsalis\tdorsalis\tNN\tI-NP\tO' +p257974 +aS'pedis\tpedis\tNN\tI-NP\tO' +p257975 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p257976 +aS'.\t.\t.\tO\tO' +p257977 +asS'No scapular fractures were present .' +p257978 +(lp257979 +S'No\tNo\tDT\tB-NP\tO' +p257980 +aS'scapular\tscapular\tJJ\tI-NP\tO' +p257981 +aS'fractures\tfracture\tNNS\tI-NP\tO' +p257982 +aS'were\tbe\tVBD\tB-VP\tO' +p257983 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p257984 +aS'.\t.\t.\tO\tO' +p257985 +asS'Of note , this echocardiogram was performed when the patient was tachycardiac .' +p257986 +(lp257987 +S'Of\tOf\tIN\tB-PP\tO' +p257988 +aS'note\tnote\tNN\tB-NP\tO' +p257989 +aS',\t,\t,\tO\tO' +p257990 +aS'this\tthis\tDT\tB-NP\tO' +p257991 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p257992 +aS'was\tbe\tVBD\tB-VP\tO' +p257993 +aS'performed\tperform\tVBN\tI-VP\tO' +p257994 +aS'when\twhen\tWRB\tB-ADVP\tO' +p257995 +aS'the\tthe\tDT\tB-NP\tO' +p257996 +aS'patient\tpatient\tNN\tI-NP\tO' +p257997 +aS'was\tbe\tVBD\tB-VP\tO' +p257998 +aS'tachycardiac\ttachycardiac\tJJ\tB-ADJP\tO' +p257999 +aS'.\t.\t.\tO\tO' +p258000 +asS'3. Fatty liver resolved .' +p258001 +(lp258002 +S'3.\t3.\tLS\tB-LST\tO' +p258003 +aS'Fatty\tFatty\tJJ\tB-NP\tO' +p258004 +aS'liver\tliver\tNN\tI-NP\tO' +p258005 +aS'resolved\tresolve\tVBN\tB-VP\tO' +p258006 +aS'.\t.\t.\tO\tO' +p258007 +asS'Sensation was intact in the median , radius , and ulnar-nerve distributions .' +p258008 +(lp258009 +S'Sensation\tSensation\tNN\tB-NP\tO' +p258010 +aS'was\tbe\tVBD\tB-VP\tO' +p258011 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p258012 +aS'in\tin\tIN\tB-PP\tO' +p258013 +aS'the\tthe\tDT\tB-NP\tO' +p258014 +aS'median\tmedian\tNN\tI-NP\tO' +p258015 +aS',\t,\t,\tO\tO' +p258016 +aS'radius\tradius\tNN\tB-NP\tO' +p258017 +aS',\t,\t,\tO\tO' +p258018 +aS'and\tand\tCC\tO\tO' +p258019 +aS'ulnar-nerve\tulnar-nerve\tJJ\tB-NP\tO' +p258020 +aS'distributions\tdistribution\tNNS\tI-NP\tO' +p258021 +aS'.\t.\t.\tO\tO' +p258022 +asS'For unclear reasons , he was placed on a NRB in the Juan .' +p258023 +(lp258024 +S'For\tFor\tIN\tB-PP\tO' +p258025 +aS'unclear\tunclear\tJJ\tB-NP\tO' +p258026 +aS'reasons\treason\tNNS\tI-NP\tO' +p258027 +aS',\t,\t,\tO\tO' +p258028 +aS'he\the\tPRP\tB-NP\tO' +p258029 +aS'was\tbe\tVBD\tB-VP\tO' +p258030 +aS'placed\tplace\tVBN\tI-VP\tO' +p258031 +aS'on\ton\tIN\tB-PP\tO' +p258032 +aS'a\ta\tDT\tB-NP\tO' +p258033 +aS'NRB\tNRB\tNN\tI-NP\tB-protein' +p258034 +aS'in\tin\tIN\tB-PP\tO' +p258035 +aS'the\tthe\tDT\tB-NP\tO' +p258036 +aS'Juan\tJuan\tNNP\tI-NP\tO' +p258037 +aS'.\t.\t.\tO\tO' +p258038 +asS'Please follow up with Dr. Bergeron in clinic in 2 weeks , please call 953 6923 to Posada that appointment .' +p258039 +(lp258040 +S'Please\tPlease\tVB\tB-VP\tO' +p258041 +aS'follow\tfollow\tVB\tI-VP\tO' +p258042 +aS'up\tup\tRP\tB-PRT\tO' +p258043 +aS'with\twith\tIN\tB-PP\tO' +p258044 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p258045 +aS'Bergeron\tBergeron\tNNP\tI-NP\tO' +p258046 +aS'in\tin\tIN\tB-PP\tO' +p258047 +aS'clinic\tclinic\tNN\tB-NP\tO' +p258048 +aS'in\tin\tIN\tB-PP\tO' +p258049 +aS'2\t2\tCD\tB-NP\tO' +p258050 +aS'weeks\tweek\tNNS\tI-NP\tO' +p258051 +aS',\t,\t,\tO\tO' +p258052 +aS'please\tplease\tVB\tB-VP\tO' +p258053 +aS'call\tcall\tNN\tB-NP\tO' +p258054 +aS'953\t953\tCD\tB-NP\tO' +p258055 +aS'6923\t6923\tCD\tI-NP\tO' +p258056 +aS'to\tto\tTO\tB-PP\tO' +p258057 +aS'Posada\tPosada\tNNP\tB-NP\tO' +p258058 +aS'that\tthat\tIN\tB-SBAR\tO' +p258059 +aS'appointment\tappointment\tNN\tB-NP\tO' +p258060 +aS'.\t.\t.\tO\tO' +p258061 +asS'Atenolol , 25 mg PO qd .' +p258062 +(lp258063 +S'Atenolol\tAtenolol\tNN\tB-NP\tO' +p258064 +aS',\t,\t,\tO\tO' +p258065 +aS'25\t25\tCD\tB-NP\tO' +p258066 +aS'mg\tmg\tNN\tI-NP\tO' +p258067 +aS'PO\tPO\tNN\tI-NP\tO' +p258068 +aS'qd\tqd\tNN\tI-NP\tO' +p258069 +aS'.\t.\t.\tO\tO' +p258070 +asS'5. BENIGN PROSTATIC HYPERTROPHY .' +p258071 +(lp258072 +S'5.\t5.\tLS\tB-NP\tO' +p258073 +aS'BENIGN\tBENIGN\tNN\tI-NP\tO' +p258074 +aS'PROSTATIC\tPROSTATIC\tNN\tI-NP\tO' +p258075 +aS'HYPERTROPHY\tHYPERTROPHY\tNN\tI-NP\tO' +p258076 +aS'.\t.\t.\tO\tO' +p258077 +asS'4. Hydroxyzine HCl 25 mg Tablet Sig : One ( 1 ) Tablet PO Q4-6H ( every 4 to 6 hours ) as needed .' +p258078 +(lp258079 +S'4.\t4.\tLS\tB-NP\tO' +p258080 +aS'Hydroxyzine\tHydroxyzine\tNN\tI-NP\tO' +p258081 +aS'HCl\tHCl\tNN\tI-NP\tO' +p258082 +aS'25\t25\tCD\tI-NP\tO' +p258083 +aS'mg\tmg\tNN\tI-NP\tO' +p258084 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p258085 +aS'Sig\tSig\tNNP\tI-NP\tO' +p258086 +aS':\t:\t:\tO\tO' +p258087 +aS'One\tOne\tCD\tB-NP\tO' +p258088 +aS'(\t(\t(\tO\tO' +p258089 +aS'1\t1\tCD\tB-NP\tO' +p258090 +aS')\t)\t)\tO\tO' +p258091 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p258092 +aS'PO\tPO\tNN\tI-NP\tO' +p258093 +aS'Q4-6H\tQ4-6H\tNN\tI-NP\tO' +p258094 +aS'(\t(\t(\tO\tO' +p258095 +aS'every\tevery\tDT\tB-NP\tO' +p258096 +aS'4\t4\tCD\tI-NP\tO' +p258097 +aS'to\tto\tTO\tI-NP\tO' +p258098 +aS'6\t6\tCD\tI-NP\tO' +p258099 +aS'hours\thour\tNNS\tI-NP\tO' +p258100 +aS')\t)\t)\tO\tO' +p258101 +aS'as\tas\tIN\tB-SBAR\tO' +p258102 +aS'needed\tneed\tVBN\tB-VP\tO' +p258103 +aS'.\t.\t.\tO\tO' +p258104 +asS'She reports dyspnea on exertion and chest tightness daily which worsened significantly one day prior to admission .' +p258105 +(lp258106 +S'She\tShe\tPRP\tB-NP\tO' +p258107 +aS'reports\treport\tVBZ\tB-VP\tO' +p258108 +aS'dyspnea\tdyspnea\tNN\tB-NP\tO' +p258109 +aS'on\ton\tIN\tB-PP\tO' +p258110 +aS'exertion\texertion\tNN\tB-NP\tO' +p258111 +aS'and\tand\tCC\tI-NP\tO' +p258112 +aS'chest\tchest\tNN\tI-NP\tO' +p258113 +aS'tightness\ttightness\tNN\tI-NP\tO' +p258114 +aS'daily\tdaily\tNN\tI-NP\tO' +p258115 +aS'which\twhich\tWDT\tB-NP\tO' +p258116 +aS'worsened\tworsen\tVBD\tB-VP\tO' +p258117 +aS'significantly\tsignificantly\tRB\tB-NP\tO' +p258118 +aS'one\tone\tCD\tI-NP\tO' +p258119 +aS'day\tday\tNN\tI-NP\tO' +p258120 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p258121 +aS'to\tto\tTO\tB-PP\tO' +p258122 +aS'admission\tadmission\tNN\tB-NP\tO' +p258123 +aS'.\t.\t.\tO\tO' +p258124 +asS'17. Benadryl as needed .' +p258125 +(lp258126 +S'17.\t17.\tLS\tB-NP\tO' +p258127 +aS'Benadryl\tBenadryl\tNN\tI-NP\tO' +p258128 +aS'as\tas\tIN\tB-SBAR\tO' +p258129 +aS'needed\tneed\tVBN\tB-VP\tO' +p258130 +aS'.\t.\t.\tO\tO' +p258131 +asS'The patient was discharged to home .' +p258132 +(lp258133 +S'The\tThe\tDT\tB-NP\tO' +p258134 +aS'patient\tpatient\tNN\tI-NP\tO' +p258135 +aS'was\tbe\tVBD\tB-VP\tO' +p258136 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p258137 +aS'to\tto\tTO\tB-PP\tO' +p258138 +aS'home\thome\tNN\tB-NP\tO' +p258139 +aS'.\t.\t.\tO\tO' +p258140 +asS'Urine analysis showed 20-50 white blood cells and 3-5 red blood cells .' +p258141 +(lp258142 +S'Urine\tUrine\tNN\tB-NP\tO' +p258143 +aS'analysis\tanalysis\tNN\tI-NP\tO' +p258144 +aS'showed\tshow\tVBD\tB-VP\tO' +p258145 +aS'20-50\t20-50\tCD\tB-NP\tO' +p258146 +aS'white\twhite\tJJ\tI-NP\tB-cell_type' +p258147 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p258148 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p258149 +aS'and\tand\tCC\tO\tO' +p258150 +aS'3-5\t3-5\tCD\tB-NP\tO' +p258151 +aS'red\tred\tJJ\tI-NP\tO' +p258152 +aS'blood\tblood\tNN\tI-NP\tO' +p258153 +aS'cells\tcell\tNNS\tI-NP\tO' +p258154 +aS'.\t.\t.\tO\tO' +p258155 +asS'3 ) Premarin 0.625 mg p.o. q. day .' +p258156 +(lp258157 +S'3\t3\tLS\tB-LST\tO' +p258158 +aS')\t)\t)\tO\tO' +p258159 +aS'Premarin\tPremarin\tNN\tB-NP\tO' +p258160 +aS'0.625\t0.625\tCD\tI-NP\tO' +p258161 +aS'mg\tmg\tNN\tI-NP\tO' +p258162 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p258163 +aS'q.\tq.\tNN\tI-NP\tO' +p258164 +aS'day\tday\tNN\tI-NP\tO' +p258165 +aS'.\t.\t.\tO\tO' +p258166 +asS'4. Status post ileostomy without evidence of small-bowel obstruction .' +p258167 +(lp258168 +S'4.\t4.\tLS\tB-NP\tO' +p258169 +aS'Status\tStatus\tNNP\tI-NP\tO' +p258170 +aS'post\tpost\tNN\tI-NP\tO' +p258171 +aS'ileostomy\tileostomy\tNN\tI-NP\tO' +p258172 +aS'without\twithout\tIN\tB-PP\tO' +p258173 +aS'evidence\tevidence\tNN\tB-NP\tO' +p258174 +aS'of\tof\tIN\tB-PP\tO' +p258175 +aS'small-bowel\tsmall-bowel\tJJ\tB-NP\tO' +p258176 +aS'obstruction\tobstruction\tNN\tI-NP\tO' +p258177 +aS'.\t.\t.\tO\tO' +p258178 +asS'Rare .' +p258179 +(lp258180 +S'Rare\tRare\tNN\tB-NP\tB-DNA' +p258181 +aS'.\t.\t.\tO\tO' +p258182 +asS'No family history of leukemia or lymphoma .' +p258183 +(lp258184 +S'No\tNo\tDT\tB-NP\tO' +p258185 +aS'family\tfamily\tNN\tI-NP\tO' +p258186 +aS'history\thistory\tNN\tI-NP\tO' +p258187 +aS'of\tof\tIN\tB-PP\tO' +p258188 +aS'leukemia\tleukemia\tNN\tB-NP\tO' +p258189 +aS'or\tor\tCC\tI-NP\tO' +p258190 +aS'lymphoma\tlymphoma\tNN\tI-NP\tO' +p258191 +aS'.\t.\t.\tO\tO' +p258192 +asS'pt with 2/4 bottles coag neg staph on 01-19 and again on 01-20 .' +p258193 +(lp258194 +S'pt\tpt\tNN\tB-NP\tO' +p258195 +aS'with\twith\tIN\tB-PP\tO' +p258196 +aS'2/4\t2/4\tCD\tB-NP\tO' +p258197 +aS'bottles\tbottle\tNNS\tI-NP\tO' +p258198 +aS'coag\tcoag\tNN\tI-NP\tO' +p258199 +aS'neg\tneg\tNN\tI-NP\tO' +p258200 +aS'staph\tstaph\tNN\tI-NP\tO' +p258201 +aS'on\ton\tIN\tB-PP\tO' +p258202 +aS'01-19\t01-19\tCD\tB-NP\tO' +p258203 +aS'and\tand\tCC\tB-PP\tO' +p258204 +aS'again\tagain\tRB\tB-ADVP\tO' +p258205 +aS'on\ton\tIN\tB-PP\tO' +p258206 +aS'01-20\t01-20\tCD\tB-NP\tO' +p258207 +aS'.\t.\t.\tO\tO' +p258208 +asS'Please return to the hospital if you experience chest pain , shortness of breath , lightheadedness or dizziness .' +p258209 +(lp258210 +S'Please\tPlease\tVB\tB-VP\tO' +p258211 +aS'return\treturn\tVB\tI-VP\tO' +p258212 +aS'to\tto\tTO\tB-PP\tO' +p258213 +aS'the\tthe\tDT\tB-NP\tO' +p258214 +aS'hospital\thospital\tNN\tI-NP\tO' +p258215 +aS'if\tif\tIN\tB-SBAR\tO' +p258216 +aS'you\tyou\tPRP\tB-NP\tO' +p258217 +aS'experience\texperience\tVBP\tB-VP\tO' +p258218 +aS'chest\tchest\tNN\tB-NP\tO' +p258219 +aS'pain\tpain\tNN\tI-NP\tO' +p258220 +aS',\t,\t,\tO\tO' +p258221 +aS'shortness\tshortness\tNN\tB-NP\tO' +p258222 +aS'of\tof\tIN\tB-PP\tO' +p258223 +aS'breath\tbreath\tNN\tB-NP\tO' +p258224 +aS',\t,\t,\tI-NP\tO' +p258225 +aS'lightheadedness\tlightheadedness\tNN\tI-NP\tO' +p258226 +aS'or\tor\tCC\tI-NP\tO' +p258227 +aS'dizziness\tdizziness\tNN\tI-NP\tO' +p258228 +aS'.\t.\t.\tO\tO' +p258229 +asS'Signed electronically by : DR. Victoria Williams on : MON 2010-11-08 3:18 PM' +p258230 +(lp258231 +S'Signed\tSign\tVBN\tB-VP\tO' +p258232 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p258233 +aS'by\tby\tIN\tB-PP\tO' +p258234 +aS':\t:\t:\tO\tO' +p258235 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p258236 +aS'Victoria\tVictoria\tNNP\tI-NP\tO' +p258237 +aS'Williams\tWilliams\tNNP\tI-NP\tO' +p258238 +aS'on\ton\tIN\tB-PP\tO' +p258239 +aS':\t:\t:\tO\tO' +p258240 +aS'MON\tMON\tNN\tB-NP\tO' +p258241 +aS'2010-11-08\t2010-11-08\tCD\tI-NP\tO' +p258242 +aS'3:18\t3:18\tCD\tI-NP\tO' +p258243 +aS'PM\tPM\tNN\tI-NP\tO' +p258244 +asS'The same blurred vision was also noticed later when the patient was watching television and also when he was reading .' +p258245 +(lp258246 +S'The\tThe\tDT\tB-NP\tO' +p258247 +aS'same\tsame\tJJ\tI-NP\tO' +p258248 +aS'blurred\tblurred\tJJ\tI-NP\tO' +p258249 +aS'vision\tvision\tNN\tI-NP\tO' +p258250 +aS'was\tbe\tVBD\tB-VP\tO' +p258251 +aS'also\talso\tRB\tI-VP\tO' +p258252 +aS'noticed\tnotice\tVBN\tI-VP\tO' +p258253 +aS'later\tlater\tRB\tB-ADVP\tO' +p258254 +aS'when\twhen\tWRB\tB-ADVP\tO' +p258255 +aS'the\tthe\tDT\tB-NP\tO' +p258256 +aS'patient\tpatient\tNN\tI-NP\tO' +p258257 +aS'was\tbe\tVBD\tB-VP\tO' +p258258 +aS'watching\twatch\tVBG\tI-VP\tO' +p258259 +aS'television\ttelevision\tNN\tB-NP\tO' +p258260 +aS'and\tand\tCC\tO\tO' +p258261 +aS'also\talso\tRB\tB-ADVP\tO' +p258262 +aS'when\twhen\tWRB\tB-ADVP\tO' +p258263 +aS'he\the\tPRP\tB-NP\tO' +p258264 +aS'was\tbe\tVBD\tB-VP\tO' +p258265 +aS'reading\tread\tVBG\tI-VP\tO' +p258266 +aS'.\t.\t.\tO\tO' +p258267 +asS'Transfer from Lewis to Hallmark Health System CMED CSRU' +p258268 +(lp258269 +S'Transfer\tTransfer\tNNP\tB-NP\tO' +p258270 +aS'from\tfrom\tIN\tB-PP\tO' +p258271 +aS'Lewis\tLewis\tNNP\tB-NP\tO' +p258272 +aS'to\tto\tTO\tB-PP\tO' +p258273 +aS'Hallmark\tHallmark\tNNP\tB-NP\tO' +p258274 +aS'Health\tHealth\tNNP\tI-NP\tO' +p258275 +aS'System\tSystem\tNNP\tI-NP\tO' +p258276 +aS'CMED\tCMED\tNNP\tI-NP\tO' +p258277 +aS'CSRU\tCSRU\tNNP\tI-NP\tO' +p258278 +asS'The patient is a 34-year-old female with a 22 week intrauterine pregnancy who was transferred from Bri Health with diffuse metastatic adenocarcinoma of unknown primary .' +p258279 +(lp258280 +S'The\tThe\tDT\tB-NP\tO' +p258281 +aS'patient\tpatient\tNN\tI-NP\tO' +p258282 +aS'is\tbe\tVBZ\tB-VP\tO' +p258283 +aS'a\ta\tDT\tB-NP\tO' +p258284 +aS'34-year-old\t34-year-old\tJJ\tI-NP\tO' +p258285 +aS'female\tfemale\tNN\tI-NP\tO' +p258286 +aS'with\twith\tIN\tB-PP\tO' +p258287 +aS'a\ta\tDT\tB-NP\tO' +p258288 +aS'22\t22\tCD\tI-NP\tO' +p258289 +aS'week\tweek\tNN\tI-NP\tO' +p258290 +aS'intrauterine\tintrauterine\tJJ\tI-NP\tO' +p258291 +aS'pregnancy\tpregnancy\tNN\tI-NP\tO' +p258292 +aS'who\twho\tWP\tB-NP\tO' +p258293 +aS'was\tbe\tVBD\tB-VP\tO' +p258294 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p258295 +aS'from\tfrom\tIN\tB-PP\tO' +p258296 +aS'Bri\tBri\tNNP\tB-NP\tO' +p258297 +aS'Health\tHealth\tNNP\tI-NP\tO' +p258298 +aS'with\twith\tIN\tB-PP\tO' +p258299 +aS'diffuse\tdiffuse\tJJ\tB-NP\tO' +p258300 +aS'metastatic\tmetastatic\tJJ\tI-NP\tO' +p258301 +aS'adenocarcinoma\tadenocarcinoma\tNN\tI-NP\tO' +p258302 +aS'of\tof\tIN\tB-PP\tO' +p258303 +aS'unknown\tunknown\tJJ\tB-NP\tO' +p258304 +aS'primary\tprimary\tNN\tI-NP\tO' +p258305 +aS'.\t.\t.\tO\tO' +p258306 +asS'R Lung Mass , likely cancer' +p258307 +(lp258308 +S'R\tR\tNNP\tB-NP\tO' +p258309 +aS'Lung\tLung\tNNP\tI-NP\tO' +p258310 +aS'Mass\tMass\tNNP\tI-NP\tO' +p258311 +aS',\t,\t,\tO\tO' +p258312 +aS'likely\tlikely\tRB\tB-NP\tO' +p258313 +aS'cancer\tcancer\tNN\tI-NP\tO' +p258314 +asS'He had carotid ultrasound studies 3 months ago that were normal without evidence for stenosis .' +p258315 +(lp258316 +S'He\tHe\tPRP\tB-NP\tO' +p258317 +aS'had\thave\tVBD\tB-VP\tO' +p258318 +aS'carotid\tcarotid\tJJ\tB-NP\tO' +p258319 +aS'ultrasound\tultrasound\tNN\tI-NP\tO' +p258320 +aS'studies\tstudy\tNNS\tI-NP\tO' +p258321 +aS'3\t3\tCD\tB-NP\tO' +p258322 +aS'months\tmonth\tNNS\tI-NP\tO' +p258323 +aS'ago\tago\tIN\tB-ADVP\tO' +p258324 +aS'that\tthat\tWDT\tB-NP\tO' +p258325 +aS'were\tbe\tVBD\tB-VP\tO' +p258326 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p258327 +aS'without\twithout\tIN\tB-PP\tO' +p258328 +aS'evidence\tevidence\tNN\tB-NP\tO' +p258329 +aS'for\tfor\tIN\tB-PP\tO' +p258330 +aS'stenosis\tstenosis\tNN\tB-NP\tO' +p258331 +aS'.\t.\t.\tO\tO' +p258332 +asS'Ext - w/wp , no edema , R leg swollen compared to left' +p258333 +(lp258334 +S'Ext\tExt\tJJ\tB-NP\tO' +p258335 +aS'-\t-\tHYPH\tI-NP\tO' +p258336 +aS'w/wp\tw/wp\tNN\tI-NP\tO' +p258337 +aS',\t,\t,\tO\tO' +p258338 +aS'no\tno\tDT\tB-NP\tO' +p258339 +aS'edema\tedema\tNN\tI-NP\tO' +p258340 +aS',\t,\t,\tO\tO' +p258341 +aS'R\tR\tNN\tB-NP\tO' +p258342 +aS'leg\tleg\tNN\tI-NP\tO' +p258343 +aS'swollen\tswollen\tNN\tI-NP\tO' +p258344 +aS'compared\tcompare\tVBN\tB-VP\tO' +p258345 +aS'to\tto\tTO\tI-VP\tO' +p258346 +aS'left\tleft\tVB\tI-VP\tO' +p258347 +asS'She is to also call the office if she has any fever greater than 101 , bleeding from the surgical wounds , or pus from the wounds .' +p258348 +(lp258349 +S'She\tShe\tPRP\tB-NP\tO' +p258350 +aS'is\tbe\tVBZ\tB-VP\tO' +p258351 +aS'to\tto\tTO\tB-VP\tO' +p258352 +aS'also\talso\tRB\tI-VP\tO' +p258353 +aS'call\tcall\tVB\tI-VP\tO' +p258354 +aS'the\tthe\tDT\tB-NP\tO' +p258355 +aS'office\toffice\tNN\tI-NP\tO' +p258356 +aS'if\tif\tIN\tB-SBAR\tO' +p258357 +aS'she\tshe\tPRP\tB-NP\tO' +p258358 +aS'has\thave\tVBZ\tB-VP\tO' +p258359 +aS'any\tany\tDT\tB-NP\tO' +p258360 +aS'fever\tfever\tRB\tI-NP\tO' +p258361 +aS'greater\tgreat\tJJR\tB-ADJP\tO' +p258362 +aS'than\tthan\tIN\tB-PP\tO' +p258363 +aS'101\t101\tCD\tB-NP\tO' +p258364 +aS',\t,\t,\tO\tO' +p258365 +aS'bleeding\tbleed\tVBG\tB-VP\tO' +p258366 +aS'from\tfrom\tIN\tB-PP\tO' +p258367 +aS'the\tthe\tDT\tB-NP\tO' +p258368 +aS'surgical\tsurgical\tJJ\tI-NP\tO' +p258369 +aS'wounds\twound\tNNS\tI-NP\tO' +p258370 +aS',\t,\t,\tO\tO' +p258371 +aS'or\tor\tCC\tO\tO' +p258372 +aS'pus\tpus\tNN\tB-NP\tO' +p258373 +aS'from\tfrom\tIN\tB-PP\tO' +p258374 +aS'the\tthe\tDT\tB-NP\tO' +p258375 +aS'wounds\twound\tNNS\tI-NP\tO' +p258376 +aS'.\t.\t.\tO\tO' +p258377 +asS'His deep tendon reflexes were 2+ at the right brachial radialis and right patella ; everywhere else his reflexes were 1 .' +p258378 +(lp258379 +S'His\tHis\tPRP$\tB-NP\tO' +p258380 +aS'deep\tdeep\tJJ\tI-NP\tO' +p258381 +aS'tendon\ttendon\tNN\tI-NP\tO' +p258382 +aS'reflexes\treflex\tNNS\tI-NP\tO' +p258383 +aS'were\tbe\tVBD\tB-VP\tO' +p258384 +aS'2+\t2+\tJJ\tB-ADJP\tO' +p258385 +aS'at\tat\tIN\tB-PP\tO' +p258386 +aS'the\tthe\tDT\tB-NP\tO' +p258387 +aS'right\tright\tJJ\tI-NP\tO' +p258388 +aS'brachial\tbrachial\tJJ\tI-NP\tO' +p258389 +aS'radialis\tradialis\tNN\tI-NP\tO' +p258390 +aS'and\tand\tCC\tO\tO' +p258391 +aS'right\tright\tJJ\tB-NP\tO' +p258392 +aS'patella\tpatella\tNN\tI-NP\tO' +p258393 +aS';\t;\t:\tO\tO' +p258394 +aS'everywhere\teverywhere\tRB\tB-NP\tO' +p258395 +aS'else\telse\tRB\tI-NP\tO' +p258396 +aS'his\this\tPRP$\tB-NP\tO' +p258397 +aS'reflexes\treflex\tNNS\tI-NP\tO' +p258398 +aS'were\tbe\tVBD\tB-VP\tO' +p258399 +aS'1\t1\tCD\tB-NP\tO' +p258400 +aS'.\t.\t.\tO\tO' +p258401 +asS'Hepatitis B surface antigen negative , rubella immune .' +p258402 +(lp258403 +S'Hepatitis\tHepatitis\tNN\tB-NP\tB-protein' +p258404 +aS'B\tB\tNN\tI-NP\tI-protein' +p258405 +aS'surface\tsurface\tNN\tI-NP\tI-protein' +p258406 +aS'antigen\tantigen\tNN\tI-NP\tI-protein' +p258407 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p258408 +aS',\t,\t,\tO\tO' +p258409 +aS'rubella\trubella\tNN\tB-NP\tO' +p258410 +aS'immune\timmune\tJJ\tB-ADJP\tO' +p258411 +aS'.\t.\t.\tO\tO' +p258412 +asS'1 ) Aspirin 81 mg p.o. q. day .' +p258413 +(lp258414 +S'1\t1\tLS\tB-LST\tO' +p258415 +aS')\t)\t)\tO\tO' +p258416 +aS'Aspirin\tAspirin\tNN\tB-NP\tO' +p258417 +aS'81\t81\tCD\tI-NP\tO' +p258418 +aS'mg\tmg\tNN\tI-NP\tO' +p258419 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p258420 +aS'q.\tq.\tNN\tI-NP\tO' +p258421 +aS'day\tday\tNN\tI-NP\tO' +p258422 +aS'.\t.\t.\tO\tO' +p258423 +asS'He was also evaluated by the Neuro-Rehabilitation Service who thought that he had a post-head injury syndrome with diffuse cognitive deficits .' +p258424 +(lp258425 +S'He\tHe\tPRP\tB-NP\tO' +p258426 +aS'was\tbe\tVBD\tB-VP\tO' +p258427 +aS'also\talso\tRB\tI-VP\tO' +p258428 +aS'evaluated\tevaluate\tVBN\tI-VP\tO' +p258429 +aS'by\tby\tIN\tB-PP\tO' +p258430 +aS'the\tthe\tDT\tB-NP\tO' +p258431 +aS'Neuro-Rehabilitation\tNeuro-Rehabilitation\tNNP\tI-NP\tO' +p258432 +aS'Service\tService\tNNP\tI-NP\tO' +p258433 +aS'who\twho\tWP\tB-NP\tO' +p258434 +aS'thought\tthink\tVBD\tB-VP\tO' +p258435 +aS'that\tthat\tIN\tB-SBAR\tO' +p258436 +aS'he\the\tPRP\tB-NP\tO' +p258437 +aS'had\thave\tVBD\tB-VP\tO' +p258438 +aS'a\ta\tDT\tB-NP\tO' +p258439 +aS'post-head\tpost-head\tJJ\tI-NP\tO' +p258440 +aS'injury\tinjury\tNN\tI-NP\tO' +p258441 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p258442 +aS'with\twith\tIN\tB-PP\tO' +p258443 +aS'diffuse\tdiffuse\tJJ\tB-NP\tO' +p258444 +aS'cognitive\tcognitive\tJJ\tI-NP\tO' +p258445 +aS'deficits\tdeficit\tNNS\tI-NP\tO' +p258446 +aS'.\t.\t.\tO\tO' +p258447 +asS'Gastrointestinal - The patient was admitted with a history of gastrointestinal bleed with guaiac positive stools on admission .' +p258448 +(lp258449 +S'Gastrointestinal\tGastrointestinal\tJJ\tB-ADJP\tO' +p258450 +aS'-\t-\tHYPH\tO\tO' +p258451 +aS'The\tThe\tDT\tB-NP\tO' +p258452 +aS'patient\tpatient\tNN\tI-NP\tO' +p258453 +aS'was\tbe\tVBD\tB-VP\tO' +p258454 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p258455 +aS'with\twith\tIN\tB-PP\tO' +p258456 +aS'a\ta\tDT\tB-NP\tO' +p258457 +aS'history\thistory\tNN\tI-NP\tO' +p258458 +aS'of\tof\tIN\tB-PP\tO' +p258459 +aS'gastrointestinal\tgastrointestinal\tJJ\tB-NP\tO' +p258460 +aS'bleed\tbleed\tNN\tI-NP\tO' +p258461 +aS'with\twith\tIN\tB-PP\tO' +p258462 +aS'guaiac\tguaiac\tJJ\tB-NP\tO' +p258463 +aS'positive\tpositive\tJJ\tI-NP\tO' +p258464 +aS'stools\tstool\tNNS\tI-NP\tO' +p258465 +aS'on\ton\tIN\tB-PP\tO' +p258466 +aS'admission\tadmission\tNN\tB-NP\tO' +p258467 +aS'.\t.\t.\tO\tO' +p258468 +asS"Later in her Intensive Care Unit course family meetings took place and given the patient 's overall poor prognosis with decreased mental status it was decided that the patient would become CMO ." +p258469 +(lp258470 +S'Later\tLater\tRB\tB-ADVP\tO' +p258471 +aS'in\tin\tIN\tB-PP\tO' +p258472 +aS'her\ther\tPRP$\tB-NP\tO' +p258473 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p258474 +aS'Care\tCare\tNNP\tI-NP\tO' +p258475 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p258476 +aS'course\tcourse\tNN\tI-NP\tO' +p258477 +aS'family\tfamily\tNN\tI-NP\tO' +p258478 +aS'meetings\tmeeting\tNNS\tI-NP\tO' +p258479 +aS'took\ttake\tVBD\tB-VP\tO' +p258480 +aS'place\tplace\tNN\tB-NP\tO' +p258481 +aS'and\tand\tCC\tO\tO' +p258482 +aS'given\tgive\tVBN\tB-VP\tO' +p258483 +aS'the\tthe\tDT\tB-NP\tO' +p258484 +aS'patient\tpatient\tNN\tI-NP\tO' +p258485 +aS"'s\t's\tPOS\tB-NP\tO" +p258486 +aS'overall\toverall\tJJ\tI-NP\tO' +p258487 +aS'poor\tpoor\tJJ\tI-NP\tO' +p258488 +aS'prognosis\tprognosis\tNN\tI-NP\tO' +p258489 +aS'with\twith\tIN\tB-PP\tO' +p258490 +aS'decreased\tdecrease\tVBN\tB-NP\tO' +p258491 +aS'mental\tmental\tJJ\tI-NP\tO' +p258492 +aS'status\tstatus\tNN\tI-NP\tO' +p258493 +aS'it\tit\tPRP\tB-NP\tO' +p258494 +aS'was\tbe\tVBD\tB-VP\tO' +p258495 +aS'decided\tdecide\tVBN\tI-VP\tO' +p258496 +aS'that\tthat\tIN\tB-SBAR\tO' +p258497 +aS'the\tthe\tDT\tB-NP\tO' +p258498 +aS'patient\tpatient\tNN\tI-NP\tO' +p258499 +aS'would\twould\tMD\tB-VP\tO' +p258500 +aS'become\tbecome\tVB\tI-VP\tO' +p258501 +aS'CMO\tCMO\tNN\tB-NP\tB-protein' +p258502 +aS'.\t.\t.\tO\tO' +p258503 +asS'8. Chronic renal insufficiency .' +p258504 +(lp258505 +S'8.\t8.\tLS\tB-NP\tO' +p258506 +aS'Chronic\tChronic\tJJ\tI-NP\tO' +p258507 +aS'renal\trenal\tJJ\tI-NP\tO' +p258508 +aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' +p258509 +aS'.\t.\t.\tO\tO' +p258510 +asS'He was seen by the vascular surgery who felt that he is too medically sick and malnourished to have surgery at this time .' +p258511 +(lp258512 +S'He\tHe\tPRP\tB-NP\tO' +p258513 +aS'was\tbe\tVBD\tB-VP\tO' +p258514 +aS'seen\tsee\tVBN\tI-VP\tO' +p258515 +aS'by\tby\tIN\tB-PP\tO' +p258516 +aS'the\tthe\tDT\tB-NP\tO' +p258517 +aS'vascular\tvascular\tJJ\tI-NP\tO' +p258518 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p258519 +aS'who\twho\tWP\tB-NP\tO' +p258520 +aS'felt\tfeel\tVBD\tB-VP\tO' +p258521 +aS'that\tthat\tIN\tB-SBAR\tO' +p258522 +aS'he\the\tPRP\tB-NP\tO' +p258523 +aS'is\tbe\tVBZ\tB-VP\tO' +p258524 +aS'too\ttoo\tRB\tB-ADJP\tO' +p258525 +aS'medically\tmedically\tRB\tI-ADJP\tO' +p258526 +aS'sick\tsick\tJJ\tI-ADJP\tO' +p258527 +aS'and\tand\tCC\tO\tO' +p258528 +aS'malnourished\tmalnourishe\tVBN\tB-VP\tO' +p258529 +aS'to\tto\tTO\tI-VP\tO' +p258530 +aS'have\thave\tVB\tI-VP\tO' +p258531 +aS'surgery\tsurgery\tNN\tB-NP\tO' +p258532 +aS'at\tat\tIN\tB-PP\tO' +p258533 +aS'this\tthis\tDT\tB-NP\tO' +p258534 +aS'time\ttime\tNN\tI-NP\tO' +p258535 +aS'.\t.\t.\tO\tO' +p258536 +asS'Podiatry continued to follow for evaluation of his left foot ulcer .' +p258537 +(lp258538 +S'Podiatry\tPodiatry\tNNP\tB-NP\tO' +p258539 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p258540 +aS'to\tto\tTO\tI-VP\tO' +p258541 +aS'follow\tfollow\tVB\tI-VP\tO' +p258542 +aS'for\tfor\tIN\tB-PP\tO' +p258543 +aS'evaluation\tevaluation\tNN\tB-NP\tO' +p258544 +aS'of\tof\tIN\tB-PP\tO' +p258545 +aS'his\this\tPRP$\tB-NP\tO' +p258546 +aS'left\tleft\tJJ\tI-NP\tO' +p258547 +aS'foot\tfoot\tNN\tI-NP\tO' +p258548 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p258549 +aS'.\t.\t.\tO\tO' +p258550 +asS'His hypertension was well controlled and he was tolerating tube feeds .' +p258551 +(lp258552 +S'His\tHis\tPRP$\tB-NP\tO' +p258553 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p258554 +aS'was\tbe\tVBD\tB-VP\tO' +p258555 +aS'well\twell\tRB\tI-VP\tO' +p258556 +aS'controlled\tcontrol\tVBN\tI-VP\tO' +p258557 +aS'and\tand\tCC\tO\tO' +p258558 +aS'he\the\tPRP\tB-NP\tO' +p258559 +aS'was\tbe\tVBD\tB-VP\tO' +p258560 +aS'tolerating\ttolerate\tVBG\tI-VP\tO' +p258561 +aS'tube\ttube\tNN\tB-NP\tO' +p258562 +aS'feeds\tfeed\tNNS\tI-NP\tO' +p258563 +aS'.\t.\t.\tO\tO' +p258564 +asS'Was excellent .' +p258565 +(lp258566 +S'Was\tBe\tVBD\tB-VP\tO' +p258567 +aS'excellent\texcellent\tJJ\tB-ADJP\tO' +p258568 +aS'.\t.\t.\tO\tO' +p258569 +asS'His most recent bilirubin was 6.6 on day of life six , the day of discharge , and his phototherapy was discontinued. He will need a rebound bilirubin level in am .' +p258570 +(lp258571 +S'His\tHis\tPRP$\tB-NP\tB-protein' +p258572 +aS'most\tmost\tRBS\tI-NP\tO' +p258573 +aS'recent\trecent\tJJ\tI-NP\tO' +p258574 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p258575 +aS'was\tbe\tVBD\tB-VP\tO' +p258576 +aS'6.6\t6.6\tCD\tB-NP\tO' +p258577 +aS'on\ton\tIN\tB-PP\tO' +p258578 +aS'day\tday\tNN\tB-NP\tO' +p258579 +aS'of\tof\tIN\tB-PP\tO' +p258580 +aS'life\tlife\tNN\tB-NP\tO' +p258581 +aS'six\tsix\tCD\tI-NP\tO' +p258582 +aS',\t,\t,\tO\tO' +p258583 +aS'the\tthe\tDT\tB-NP\tO' +p258584 +aS'day\tday\tNN\tI-NP\tO' +p258585 +aS'of\tof\tIN\tB-PP\tO' +p258586 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p258587 +aS',\t,\t,\tO\tO' +p258588 +aS'and\tand\tCC\tO\tO' +p258589 +aS'his\this\tPRP$\tB-NP\tO' +p258590 +aS'phototherapy\tphototherapy\tNN\tI-NP\tO' +p258591 +aS'was\tbe\tVBD\tB-VP\tO' +p258592 +aS'discontinued.\tdiscontinued.\tVBN\tI-VP\tO' +p258593 +aS'He\tHe\tPRP\tB-NP\tO' +p258594 +aS'will\twill\tMD\tB-VP\tO' +p258595 +aS'need\tneed\tVB\tI-VP\tO' +p258596 +aS'a\ta\tDT\tB-NP\tO' +p258597 +aS'rebound\trebound\tJJ\tI-NP\tO' +p258598 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p258599 +aS'level\tlevel\tNN\tI-NP\tO' +p258600 +aS'in\tin\tIN\tB-PP\tO' +p258601 +aS'am\tam\tNN\tB-NP\tO' +p258602 +aS'.\t.\t.\tO\tO' +p258603 +asS'No statin .' +p258604 +(lp258605 +S'No\tNo\tDT\tB-NP\tO' +p258606 +aS'statin\tstatin\tNN\tI-NP\tO' +p258607 +aS'.\t.\t.\tO\tO' +p258608 +asS'Calcium 9.6 , magnesium 2.2 , phosphorus 7.4 , vitamin B12 level 320 , folate 9.5 , TSH 1.4 , acetone negative .' +p258609 +(lp258610 +S'Calcium\tCalcium\tNN\tB-NP\tO' +p258611 +aS'9.6\t9.6\tCD\tI-NP\tO' +p258612 +aS',\t,\t,\tO\tO' +p258613 +aS'magnesium\tmagnesium\tNN\tB-NP\tO' +p258614 +aS'2.2\t2.2\tCD\tI-NP\tO' +p258615 +aS',\t,\t,\tO\tO' +p258616 +aS'phosphorus\tphosphorus\tNN\tB-NP\tO' +p258617 +aS'7.4\t7.4\tCD\tI-NP\tO' +p258618 +aS',\t,\t,\tO\tO' +p258619 +aS'vitamin\tvitamin\tNN\tB-NP\tO' +p258620 +aS'B12\tB12\tNN\tI-NP\tO' +p258621 +aS'level\tlevel\tNN\tI-NP\tO' +p258622 +aS'320\t320\tCD\tI-NP\tO' +p258623 +aS',\t,\t,\tO\tO' +p258624 +aS'folate\tfolate\tNN\tB-NP\tO' +p258625 +aS'9.5\t9.5\tCD\tI-NP\tO' +p258626 +aS',\t,\t,\tO\tO' +p258627 +aS'TSH\tTSH\tNN\tB-NP\tB-protein' +p258628 +aS'1.4\t1.4\tCD\tI-NP\tI-protein' +p258629 +aS',\t,\t,\tO\tO' +p258630 +aS'acetone\tacetone\tNN\tB-NP\tO' +p258631 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p258632 +aS'.\t.\t.\tO\tO' +p258633 +asS'There is a 41 x 23 mm area of hyperdensity within the right frontal lobe , with moderate surrounding vasogenic edema' +p258634 +(lp258635 +S'There\tThere\tEX\tB-NP\tO' +p258636 +aS'is\tbe\tVBZ\tB-VP\tO' +p258637 +aS'a\ta\tDT\tB-NP\tO' +p258638 +aS'41\t41\tCD\tI-NP\tO' +p258639 +aS'x\tx\tSYM\tI-NP\tO' +p258640 +aS'23\t23\tCD\tI-NP\tO' +p258641 +aS'mm\tmm\tNN\tI-NP\tO' +p258642 +aS'area\tarea\tNN\tI-NP\tO' +p258643 +aS'of\tof\tIN\tB-PP\tO' +p258644 +aS'hyperdensity\thyperdensity\tNN\tB-NP\tO' +p258645 +aS'within\twithin\tIN\tB-PP\tO' +p258646 +aS'the\tthe\tDT\tB-NP\tO' +p258647 +aS'right\tright\tJJ\tI-NP\tO' +p258648 +aS'frontal\tfrontal\tJJ\tI-NP\tO' +p258649 +aS'lobe\tlobe\tNN\tI-NP\tO' +p258650 +aS',\t,\t,\tO\tO' +p258651 +aS'with\twith\tIN\tB-PP\tO' +p258652 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p258653 +aS'surrounding\tsurround\tVBG\tB-VP\tO' +p258654 +aS'vasogenic\tvasogenic\tJJ\tB-NP\tO' +p258655 +aS'edema\tedema\tNN\tI-NP\tO' +p258656 +asS'Percocet 5 mg in 325 mg one to two tabs po q4 to 6 prn pain .' +p258657 +(lp258658 +S'Percocet\tPercocet\tIN\tB-PP\tO' +p258659 +aS'5\t5\tCD\tB-NP\tO' +p258660 +aS'mg\tmg\tNN\tI-NP\tO' +p258661 +aS'in\tin\tIN\tB-PP\tO' +p258662 +aS'325\t325\tCD\tB-NP\tO' +p258663 +aS'mg\tmg\tNN\tI-NP\tO' +p258664 +aS'one\tone\tCD\tB-NP\tO' +p258665 +aS'to\tto\tTO\tI-NP\tO' +p258666 +aS'two\ttwo\tCD\tI-NP\tO' +p258667 +aS'tabs\ttab\tNNS\tI-NP\tO' +p258668 +aS'po\tpo\tVBP\tB-VP\tO' +p258669 +aS'q4\tq4\tCD\tB-NP\tO' +p258670 +aS'to\tto\tTO\tI-NP\tO' +p258671 +aS'6\t6\tCD\tI-NP\tO' +p258672 +aS'prn\tprn\tNN\tI-NP\tO' +p258673 +aS'pain\tpain\tNN\tI-NP\tO' +p258674 +aS'.\t.\t.\tO\tO' +p258675 +asS'Gastric lavage was grossly positive for coffee ground material .' +p258676 +(lp258677 +S'Gastric\tGastric\tJJ\tB-NP\tO' +p258678 +aS'lavage\tlavage\tNN\tI-NP\tO' +p258679 +aS'was\tbe\tVBD\tB-VP\tO' +p258680 +aS'grossly\tgrossly\tRB\tB-ADJP\tO' +p258681 +aS'positive\tpositive\tJJ\tI-ADJP\tO' +p258682 +aS'for\tfor\tIN\tB-PP\tO' +p258683 +aS'coffee\tcoffee\tNN\tB-NP\tO' +p258684 +aS'ground\tground\tNN\tI-NP\tO' +p258685 +aS'material\tmaterial\tNN\tI-NP\tO' +p258686 +aS'.\t.\t.\tO\tO' +p258687 +asS'The patient was therefore treated conservatively with fluid restriction and blood pressure management .' +p258688 +(lp258689 +S'The\tThe\tDT\tB-NP\tO' +p258690 +aS'patient\tpatient\tNN\tI-NP\tO' +p258691 +aS'was\tbe\tVBD\tB-VP\tO' +p258692 +aS'therefore\ttherefore\tRB\tI-VP\tO' +p258693 +aS'treated\ttreat\tVBN\tI-VP\tO' +p258694 +aS'conservatively\tconservatively\tRB\tB-ADVP\tO' +p258695 +aS'with\twith\tIN\tB-PP\tO' +p258696 +aS'fluid\tfluid\tNN\tB-NP\tO' +p258697 +aS'restriction\trestriction\tNN\tI-NP\tO' +p258698 +aS'and\tand\tCC\tO\tO' +p258699 +aS'blood\tblood\tNN\tB-NP\tO' +p258700 +aS'pressure\tpressure\tNN\tI-NP\tO' +p258701 +aS'management\tmanagement\tNN\tI-NP\tO' +p258702 +aS'.\t.\t.\tO\tO' +p258703 +asS'Breast feeding was limited to four to five minutes on each side per recommendation of neurology after their evaluation to try and minimize incidence of gastroesophageal reflux .' +p258704 +(lp258705 +S'Breast\tBreast\tNN\tB-NP\tO' +p258706 +aS'feeding\tfeeding\tNN\tI-NP\tO' +p258707 +aS'was\tbe\tVBD\tB-VP\tO' +p258708 +aS'limited\tlimit\tVBN\tI-VP\tO' +p258709 +aS'to\tto\tTO\tB-PP\tO' +p258710 +aS'four\tfour\tCD\tB-NP\tO' +p258711 +aS'to\tto\tTO\tI-NP\tO' +p258712 +aS'five\tfive\tCD\tI-NP\tO' +p258713 +aS'minutes\tminute\tNNS\tI-NP\tO' +p258714 +aS'on\ton\tIN\tB-PP\tO' +p258715 +aS'each\teach\tDT\tB-NP\tO' +p258716 +aS'side\tside\tNN\tI-NP\tO' +p258717 +aS'per\tper\tIN\tB-PP\tO' +p258718 +aS'recommendation\trecommendation\tNN\tB-NP\tO' +p258719 +aS'of\tof\tIN\tB-PP\tO' +p258720 +aS'neurology\tneurology\tNN\tB-NP\tO' +p258721 +aS'after\tafter\tIN\tB-PP\tO' +p258722 +aS'their\ttheir\tPRP$\tB-NP\tO' +p258723 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p258724 +aS'to\tto\tTO\tB-VP\tO' +p258725 +aS'try\ttry\tVB\tI-VP\tO' +p258726 +aS'and\tand\tCC\tI-VP\tO' +p258727 +aS'minimize\tminimize\tVB\tI-VP\tO' +p258728 +aS'incidence\tincidence\tNN\tB-NP\tO' +p258729 +aS'of\tof\tIN\tB-PP\tO' +p258730 +aS'gastroesophageal\tgastroesophageal\tJJ\tB-NP\tO' +p258731 +aS'reflux\treflux\tNN\tI-NP\tO' +p258732 +aS'.\t.\t.\tO\tO' +p258733 +asS'- laser conization of cervix 2004' +p258734 +(lp258735 +S'-\t-\tHYPH\tB-NP\tO' +p258736 +aS'laser\tlaser\tNN\tI-NP\tO' +p258737 +aS'conization\tconization\tNN\tI-NP\tO' +p258738 +aS'of\tof\tIN\tB-PP\tO' +p258739 +aS'cervix\tcervix\tNN\tB-NP\tO' +p258740 +aS'2004\t2004\tCD\tI-NP\tO' +p258741 +asS'In addition , he gadolinium scan did not show enhancement at the area of his hemorrhage , so tumor was felt to be unlikely .' +p258742 +(lp258743 +S'In\tIn\tIN\tB-PP\tO' +p258744 +aS'addition\taddition\tNN\tB-NP\tO' +p258745 +aS',\t,\t,\tO\tO' +p258746 +aS'he\the\tPRP\tB-NP\tO' +p258747 +aS'gadolinium\tgadolinium\tNN\tI-NP\tO' +p258748 +aS'scan\tscan\tNN\tI-NP\tO' +p258749 +aS'did\tdo\tVBD\tB-VP\tO' +p258750 +aS'not\tnot\tRB\tI-VP\tO' +p258751 +aS'show\tshow\tVB\tI-VP\tO' +p258752 +aS'enhancement\tenhancement\tNN\tB-NP\tO' +p258753 +aS'at\tat\tIN\tB-PP\tO' +p258754 +aS'the\tthe\tDT\tB-NP\tO' +p258755 +aS'area\tarea\tNN\tI-NP\tO' +p258756 +aS'of\tof\tIN\tB-PP\tO' +p258757 +aS'his\this\tPRP$\tB-NP\tO' +p258758 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p258759 +aS',\t,\t,\tO\tO' +p258760 +aS'so\tso\tIN\tO\tO' +p258761 +aS'tumor\ttumor\tNN\tB-NP\tO' +p258762 +aS'was\tbe\tVBD\tB-VP\tO' +p258763 +aS'felt\tfeel\tVBN\tI-VP\tO' +p258764 +aS'to\tto\tTO\tI-VP\tO' +p258765 +aS'be\tbe\tVB\tI-VP\tO' +p258766 +aS'unlikely\tunlikely\tJJ\tB-ADJP\tO' +p258767 +aS'.\t.\t.\tO\tO' +p258768 +asS'Blood pressure 126/66 .' +p258769 +(lp258770 +S'Blood\tBlood\tNN\tB-NP\tO' +p258771 +aS'pressure\tpressure\tNN\tI-NP\tO' +p258772 +aS'126/66\t126/66\tCD\tI-NP\tO' +p258773 +aS'.\t.\t.\tO\tO' +p258774 +asS'Language : Speech fluent with good comprehension and repetition .' +p258775 +(lp258776 +S'Language\tLanguage\tNN\tB-NP\tO' +p258777 +aS':\t:\t:\tO\tO' +p258778 +aS'Speech\tSpeech\tNN\tB-NP\tO' +p258779 +aS'fluent\tfluent\tJJ\tB-ADJP\tO' +p258780 +aS'with\twith\tIN\tB-PP\tO' +p258781 +aS'good\tgood\tJJ\tB-NP\tO' +p258782 +aS'comprehension\tcomprehension\tNN\tI-NP\tO' +p258783 +aS'and\tand\tCC\tI-NP\tO' +p258784 +aS'repetition\trepetition\tNN\tI-NP\tO' +p258785 +aS'.\t.\t.\tO\tO' +p258786 +asS'Her vital signs showed a blood pressure of 126/72 , pulse 84 , respirations 22 , temperature 98.6 .' +p258787 +(lp258788 +S'Her\tHer\tPRP$\tB-NP\tO' +p258789 +aS'vital\tvital\tJJ\tI-NP\tO' +p258790 +aS'signs\tsign\tNNS\tI-NP\tO' +p258791 +aS'showed\tshow\tVBD\tB-VP\tO' +p258792 +aS'a\ta\tDT\tB-NP\tO' +p258793 +aS'blood\tblood\tNN\tI-NP\tO' +p258794 +aS'pressure\tpressure\tNN\tI-NP\tO' +p258795 +aS'of\tof\tIN\tB-PP\tO' +p258796 +aS'126/72\t126/72\tCD\tB-NP\tO' +p258797 +aS',\t,\t,\tO\tO' +p258798 +aS'pulse\tpulse\tNN\tB-NP\tO' +p258799 +aS'84\t84\tCD\tI-NP\tO' +p258800 +aS',\t,\t,\tO\tO' +p258801 +aS'respirations\trespiration\tNNS\tB-NP\tO' +p258802 +aS'22\t22\tCD\tB-NP\tO' +p258803 +aS',\t,\t,\tO\tO' +p258804 +aS'temperature\ttemperature\tNN\tB-NP\tO' +p258805 +aS'98.6\t98.6\tCD\tI-NP\tO' +p258806 +aS'.\t.\t.\tO\tO' +p258807 +asS'Attending : Samuel A. Brown , M.D.' +p258808 +(lp258809 +S'Attending\tAttend\tVBG\tB-VP\tO' +p258810 +aS':\t:\t:\tO\tO' +p258811 +aS'Samuel\tSamuel\tNNP\tB-NP\tO' +p258812 +aS'A.\tA.\tNNP\tI-NP\tO' +p258813 +aS'Brown\tBrown\tNNP\tI-NP\tO' +p258814 +aS',\t,\t,\tO\tO' +p258815 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p258816 +asS'- Resume home medications .' +p258817 +(lp258818 +S'-\t-\tHYPH\tB-NP\tO' +p258819 +aS'Resume\tResume\tNN\tI-NP\tO' +p258820 +aS'home\thome\tNN\tI-NP\tO' +p258821 +aS'medications\tmedication\tNNS\tI-NP\tO' +p258822 +aS'.\t.\t.\tO\tO' +p258823 +asS'Electrolytes on day of life 1 showed a sodium of 142 , potassium of 5.1 , chloride of 108 , and total CO2 of 23 .' +p258824 +(lp258825 +S'Electrolytes\tElectrolyte\tNNS\tB-NP\tO' +p258826 +aS'on\ton\tIN\tB-PP\tO' +p258827 +aS'day\tday\tNN\tB-NP\tO' +p258828 +aS'of\tof\tIN\tB-PP\tO' +p258829 +aS'life\tlife\tNN\tB-NP\tO' +p258830 +aS'1\t1\tCD\tI-NP\tO' +p258831 +aS'showed\tshow\tVBD\tB-VP\tO' +p258832 +aS'a\ta\tDT\tB-NP\tO' +p258833 +aS'sodium\tsodium\tNN\tI-NP\tO' +p258834 +aS'of\tof\tIN\tB-PP\tO' +p258835 +aS'142\t142\tCD\tB-NP\tO' +p258836 +aS',\t,\t,\tO\tO' +p258837 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p258838 +aS'of\tof\tIN\tB-PP\tO' +p258839 +aS'5.1\t5.1\tCD\tB-NP\tO' +p258840 +aS',\t,\t,\tO\tO' +p258841 +aS'chloride\tchloride\tNN\tB-NP\tO' +p258842 +aS'of\tof\tIN\tB-PP\tO' +p258843 +aS'108\t108\tCD\tB-NP\tO' +p258844 +aS',\t,\t,\tO\tO' +p258845 +aS'and\tand\tCC\tO\tO' +p258846 +aS'total\ttotal\tJJ\tB-NP\tO' +p258847 +aS'CO2\tCO2\tNN\tI-NP\tO' +p258848 +aS'of\tof\tIN\tB-PP\tO' +p258849 +aS'23\t23\tCD\tB-NP\tO' +p258850 +aS'.\t.\t.\tO\tO' +p258851 +asS'He was continued on BIPAP .' +p258852 +(lp258853 +S'He\tHe\tPRP\tB-NP\tO' +p258854 +aS'was\tbe\tVBD\tB-VP\tO' +p258855 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p258856 +aS'on\ton\tIN\tB-PP\tO' +p258857 +aS'BIPAP\tBIPAP\tNN\tB-NP\tB-protein' +p258858 +aS'.\t.\t.\tO\tO' +p258859 +asS'Toes downgoing .' +p258860 +(lp258861 +S'Toes\tToes\tNNP\tB-NP\tO' +p258862 +aS'downgoing\tdowngoe\tVBG\tB-VP\tO' +p258863 +aS'.\t.\t.\tO\tO' +p258864 +asS'42 year old female with h/o cholangiocarcinoma dx in 2009 s/p resection , with recent CT showing met cholangiocarcinoma in 9/2004 .' +p258865 +(lp258866 +S'42\t42\tCD\tB-NP\tO' +p258867 +aS'year\tyear\tNN\tI-NP\tO' +p258868 +aS'old\told\tJJ\tI-NP\tO' +p258869 +aS'female\tfemale\tNN\tI-NP\tO' +p258870 +aS'with\twith\tIN\tB-PP\tO' +p258871 +aS'h/o\th/o\tNN\tB-NP\tO' +p258872 +aS'cholangiocarcinoma\tcholangiocarcinoma\tNN\tI-NP\tO' +p258873 +aS'dx\tdx\tNN\tI-NP\tO' +p258874 +aS'in\tin\tIN\tB-PP\tO' +p258875 +aS'2009\t2009\tCD\tB-NP\tO' +p258876 +aS's/p\ts/p\tNN\tI-NP\tO' +p258877 +aS'resection\tresection\tNN\tI-NP\tO' +p258878 +aS',\t,\t,\tO\tO' +p258879 +aS'with\twith\tIN\tB-PP\tO' +p258880 +aS'recent\trecent\tJJ\tB-NP\tO' +p258881 +aS'CT\tCT\tNN\tI-NP\tO' +p258882 +aS'showing\tshow\tVBG\tB-VP\tO' +p258883 +aS'met\tmeet\tVBN\tB-NP\tO' +p258884 +aS'cholangiocarcinoma\tcholangiocarcinoma\tNN\tI-NP\tO' +p258885 +aS'in\tin\tIN\tB-PP\tO' +p258886 +aS'9/2004\t9/2004\tCD\tB-NP\tO' +p258887 +aS'.\t.\t.\tO\tO' +p258888 +asS'2. Lorazepam 0.5 mg Tablet Sig : 0.5-2 mg PO Q4-6H ( every 4 to 6 hours ) as needed for aggitation / seizure : Please dispense liquid .' +p258889 +(lp258890 +S'2.\t2.\tLS\tB-LST\tO' +p258891 +aS'Lorazepam\tLorazepam\tNNP\tB-NP\tO' +p258892 +aS'0.5\t0.5\tCD\tI-NP\tO' +p258893 +aS'mg\tmg\tNN\tI-NP\tO' +p258894 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p258895 +aS'Sig\tSig\tNNP\tI-NP\tO' +p258896 +aS':\t:\t:\tO\tO' +p258897 +aS'0.5-2\t0.5-2\tCD\tB-NP\tO' +p258898 +aS'mg\tmg\tNN\tI-NP\tO' +p258899 +aS'PO\tPO\tNN\tI-NP\tO' +p258900 +aS'Q4-6H\tQ4-6H\tNN\tI-NP\tO' +p258901 +aS'(\t(\t(\tO\tO' +p258902 +aS'every\tevery\tDT\tB-NP\tO' +p258903 +aS'4\t4\tCD\tI-NP\tO' +p258904 +aS'to\tto\tTO\tI-NP\tO' +p258905 +aS'6\t6\tCD\tI-NP\tO' +p258906 +aS'hours\thour\tNNS\tI-NP\tO' +p258907 +aS')\t)\t)\tO\tO' +p258908 +aS'as\tas\tIN\tB-SBAR\tO' +p258909 +aS'needed\tneed\tVBN\tB-VP\tO' +p258910 +aS'for\tfor\tIN\tB-PP\tO' +p258911 +aS'aggitation\taggitation\tNN\tB-NP\tO' +p258912 +aS'/\t/\tSYM\tI-NP\tO' +p258913 +aS'seizure\tseizure\tNN\tI-NP\tO' +p258914 +aS':\t:\t:\tO\tO' +p258915 +aS'Please\tPlease\tNN\tB-NP\tO' +p258916 +aS'dispense\tdispense\tNN\tI-NP\tO' +p258917 +aS'liquid\tliquid\tNN\tI-NP\tO' +p258918 +aS'.\t.\t.\tO\tO' +p258919 +asS'10. Glomerulosclerosis .' +p258920 +(lp258921 +S'10.\t10.\tLS\tB-NP\tO' +p258922 +aS'Glomerulosclerosis\tGlomerulosclerosis\tNN\tI-NP\tO' +p258923 +aS'.\t.\t.\tO\tO' +p258924 +asS'On postoperative day # 1 , the patient was restarted on 2 mg of Coumadin .' +p258925 +(lp258926 +S'On\tOn\tIN\tB-PP\tO' +p258927 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p258928 +aS'day\tday\tNN\tI-NP\tO' +p258929 +aS'#\t#\t#\tB-NP\tO' +p258930 +aS'1\t1\tCD\tI-NP\tO' +p258931 +aS',\t,\t,\tO\tO' +p258932 +aS'the\tthe\tDT\tB-NP\tO' +p258933 +aS'patient\tpatient\tNN\tI-NP\tO' +p258934 +aS'was\tbe\tVBD\tB-VP\tO' +p258935 +aS'restarted\trestart\tVBN\tI-VP\tO' +p258936 +aS'on\ton\tIN\tB-PP\tO' +p258937 +aS'2\t2\tCD\tB-NP\tO' +p258938 +aS'mg\tmg\tNN\tI-NP\tO' +p258939 +aS'of\tof\tIN\tB-PP\tO' +p258940 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p258941 +aS'.\t.\t.\tO\tO' +p258942 +asS'Atrial fibrillation was rate-controlled on dilt drip .' +p258943 +(lp258944 +S'Atrial\tAtrial\tJJ\tB-NP\tO' +p258945 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p258946 +aS'was\tbe\tVBD\tB-VP\tO' +p258947 +aS'rate-controlled\trate-controlled\tJJ\tB-ADJP\tO' +p258948 +aS'on\ton\tIN\tB-PP\tO' +p258949 +aS'dilt\tdilt\tJJ\tB-NP\tO' +p258950 +aS'drip\tdrip\tNN\tI-NP\tO' +p258951 +aS'.\t.\t.\tO\tO' +p258952 +asS'White blood cell count 10.5 , hematocrit 38.1 , platelets 254 , INR 1.8 .' +p258953 +(lp258954 +S'White\tWhite\tJJ\tB-NP\tO' +p258955 +aS'blood\tblood\tNN\tI-NP\tO' +p258956 +aS'cell\tcell\tNN\tI-NP\tO' +p258957 +aS'count\tcount\tNN\tI-NP\tO' +p258958 +aS'10.5\t10.5\tCD\tB-NP\tO' +p258959 +aS',\t,\t,\tO\tO' +p258960 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p258961 +aS'38.1\t38.1\tCD\tI-NP\tI-protein' +p258962 +aS',\t,\t,\tO\tO' +p258963 +aS'platelets\tplatelet\tNNS\tB-NP\tB-protein' +p258964 +aS'254\t254\tCD\tB-NP\tI-protein' +p258965 +aS',\t,\t,\tO\tO' +p258966 +aS'INR\tINR\tNN\tB-NP\tB-protein' +p258967 +aS'1.8\t1.8\tCD\tI-NP\tI-protein' +p258968 +aS'.\t.\t.\tO\tO' +p258969 +asS'The patient should follow-up with his cardiologist in one to two weeks .' +p258970 +(lp258971 +S'The\tThe\tDT\tB-NP\tO' +p258972 +aS'patient\tpatient\tNN\tI-NP\tO' +p258973 +aS'should\tshould\tMD\tB-VP\tO' +p258974 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p258975 +aS'with\twith\tIN\tB-PP\tO' +p258976 +aS'his\this\tPRP$\tB-NP\tO' +p258977 +aS'cardiologist\tcardiologist\tNN\tI-NP\tO' +p258978 +aS'in\tin\tIN\tB-PP\tO' +p258979 +aS'one\tone\tCD\tB-NP\tO' +p258980 +aS'to\tto\tTO\tI-NP\tO' +p258981 +aS'two\ttwo\tCD\tI-NP\tO' +p258982 +aS'weeks\tweek\tNNS\tI-NP\tO' +p258983 +aS'.\t.\t.\tO\tO' +p258984 +asS'Her skin is intact without lesions .' +p258985 +(lp258986 +S'Her\tHer\tPRP$\tB-NP\tO' +p258987 +aS'skin\tskin\tNN\tI-NP\tO' +p258988 +aS'is\tbe\tVBZ\tB-VP\tO' +p258989 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p258990 +aS'without\twithout\tIN\tB-PP\tO' +p258991 +aS'lesions\tlesion\tNNS\tB-NP\tO' +p258992 +aS'.\t.\t.\tO\tO' +p258993 +asS'Signed electronically by : DR. David Randazzo on : MON 2013-12-16 7:25 AM' +p258994 +(lp258995 +S'Signed\tSign\tVBN\tB-VP\tO' +p258996 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p258997 +aS'by\tby\tIN\tB-PP\tO' +p258998 +aS':\t:\t:\tO\tO' +p258999 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p259000 +aS'David\tDavid\tNNP\tI-NP\tO' +p259001 +aS'Randazzo\tRandazzo\tNNP\tI-NP\tO' +p259002 +aS'on\ton\tIN\tB-PP\tO' +p259003 +aS':\t:\t:\tO\tO' +p259004 +aS'MON\tMON\tNN\tB-NP\tO' +p259005 +aS'2013-12-16\t2013-12-16\tCD\tI-NP\tO' +p259006 +aS'7:25\t7:25\tCD\tI-NP\tO' +p259007 +aS'AM\tAM\tNN\tI-NP\tO' +p259008 +asS'Gallstones , thought to be inactive .' +p259009 +(lp259010 +S'Gallstones\tGallstone\tNNS\tB-NP\tO' +p259011 +aS',\t,\t,\tO\tO' +p259012 +aS'thought\tthink\tVBN\tB-VP\tO' +p259013 +aS'to\tto\tTO\tI-VP\tO' +p259014 +aS'be\tbe\tVB\tI-VP\tO' +p259015 +aS'inactive\tinactive\tJJ\tB-ADJP\tO' +p259016 +aS'.\t.\t.\tO\tO' +p259017 +asS'His left chest tube was discontinued at this time and his right chest tube was removed the following day on' +p259018 +(lp259019 +S'His\tHis\tPRP$\tB-NP\tO' +p259020 +aS'left\tleft\tJJ\tI-NP\tO' +p259021 +aS'chest\tchest\tNN\tI-NP\tO' +p259022 +aS'tube\ttube\tNN\tI-NP\tO' +p259023 +aS'was\tbe\tVBD\tB-VP\tO' +p259024 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p259025 +aS'at\tat\tIN\tB-PP\tO' +p259026 +aS'this\tthis\tDT\tB-NP\tO' +p259027 +aS'time\ttime\tNN\tI-NP\tO' +p259028 +aS'and\tand\tCC\tO\tO' +p259029 +aS'his\this\tPRP$\tB-NP\tO' +p259030 +aS'right\tright\tJJ\tI-NP\tO' +p259031 +aS'chest\tchest\tNN\tI-NP\tO' +p259032 +aS'tube\ttube\tNN\tI-NP\tO' +p259033 +aS'was\tbe\tVBD\tB-VP\tO' +p259034 +aS'removed\tremove\tVBN\tI-VP\tO' +p259035 +aS'the\tthe\tDT\tB-NP\tO' +p259036 +aS'following\tfollow\tVBG\tI-NP\tO' +p259037 +aS'day\tday\tNN\tI-NP\tO' +p259038 +aS'on\ton\tIN\tB-PP\tO' +p259039 +asS'We have advised a BRAT diet .' +p259040 +(lp259041 +S'We\tWe\tPRP\tB-NP\tO' +p259042 +aS'have\thave\tVBP\tB-VP\tO' +p259043 +aS'advised\tadvise\tVBN\tI-VP\tO' +p259044 +aS'a\ta\tDT\tB-NP\tO' +p259045 +aS'BRAT\tBRAT\tNN\tI-NP\tO' +p259046 +aS'diet\tdiet\tNN\tI-NP\tO' +p259047 +aS'.\t.\t.\tO\tO' +p259048 +asS'Alert and oriented x 3 .' +p259049 +(lp259050 +S'Alert\tAlert\tNNP\tB-NP\tO' +p259051 +aS'and\tand\tCC\tO\tO' +p259052 +aS'oriented\torient\tVBD\tB-VP\tO' +p259053 +aS'x\tx\tNN\tB-NP\tB-DNA' +p259054 +aS'3\t3\tCD\tI-NP\tI-DNA' +p259055 +aS'.\t.\t.\tO\tO' +p259056 +asS'There were normoactive bowel sounds .' +p259057 +(lp259058 +S'There\tThere\tEX\tB-NP\tO' +p259059 +aS'were\tbe\tVBD\tB-VP\tO' +p259060 +aS'normoactive\tnormoactive\tJJ\tB-NP\tO' +p259061 +aS'bowel\tbowel\tNN\tI-NP\tO' +p259062 +aS'sounds\tsound\tNNS\tI-NP\tO' +p259063 +aS'.\t.\t.\tO\tO' +p259064 +asS'>25 PMNs and <10 epithelial cells/100X field .' +p259065 +(lp259066 +S'>25\t>25\tCD\tB-NP\tO' +p259067 +aS'PMNs\tPMN\tNNS\tI-NP\tB-cell_type' +p259068 +aS'and\tand\tCC\tO\tO' +p259069 +aS'<10\t<10\tCD\tB-NP\tO' +p259070 +aS'epithelial\tepithelial\tJJ\tI-NP\tO' +p259071 +aS'cells/100X\tcells/100X\tNN\tI-NP\tO' +p259072 +aS'field\tfield\tNN\tI-NP\tO' +p259073 +aS'.\t.\t.\tO\tO' +p259074 +asS'4. Urology : Foley was discontinued in the CMED CCU at 12 p.m.' +p259075 +(lp259076 +S'4.\t4.\tCD\tB-NP\tO' +p259077 +aS'Urology\tUrology\tNNP\tI-NP\tO' +p259078 +aS':\t:\t:\tO\tO' +p259079 +aS'Foley\tFoley\tNNP\tB-NP\tO' +p259080 +aS'was\tbe\tVBD\tB-VP\tO' +p259081 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p259082 +aS'in\tin\tIN\tB-PP\tO' +p259083 +aS'the\tthe\tDT\tB-NP\tO' +p259084 +aS'CMED\tCMED\tJJ\tI-NP\tO' +p259085 +aS'CCU\tCCU\tNN\tI-NP\tO' +p259086 +aS'at\tat\tIN\tB-PP\tO' +p259087 +aS'12\t12\tCD\tB-NP\tO' +p259088 +aS'p.m.\tp.m.\tNN\tI-NP\tO' +p259089 +asS'Pertinent Results : wbc 6.7 46% pmn 40% bands , na 128 tbili 9.1 , alb 2.3 , inr 2.1 , lactate 4.4 ecg unremarkable' +p259090 +(lp259091 +S'Pertinent\tPertinent\tJJ\tB-NP\tO' +p259092 +aS'Results\tResult\tNNS\tI-NP\tO' +p259093 +aS':\t:\t:\tO\tO' +p259094 +aS'wbc\twbc\tNN\tB-NP\tO' +p259095 +aS'6.7\t6.7\tCD\tB-NP\tO' +p259096 +aS'46%\t46%\tCD\tI-NP\tO' +p259097 +aS'pmn\tpmn\tNN\tI-NP\tO' +p259098 +aS'40%\t40%\tNN\tI-NP\tO' +p259099 +aS'bands\tband\tNNS\tI-NP\tO' +p259100 +aS',\t,\t,\tO\tO' +p259101 +aS'na\tna\tNN\tB-NP\tB-protein' +p259102 +aS'128\t128\tCD\tB-NP\tI-protein' +p259103 +aS'tbili\ttbili\tNNS\tI-NP\tI-protein' +p259104 +aS'9.1\t9.1\tCD\tB-NP\tI-protein' +p259105 +aS',\t,\t,\tO\tO' +p259106 +aS'alb\talb\tNN\tB-NP\tB-protein' +p259107 +aS'2.3\t2.3\tCD\tI-NP\tI-protein' +p259108 +aS',\t,\t,\tO\tO' +p259109 +aS'inr\tinr\tNN\tB-NP\tO' +p259110 +aS'2.1\t2.1\tCD\tI-NP\tO' +p259111 +aS',\t,\t,\tO\tO' +p259112 +aS'lactate\tlactate\tNN\tB-NP\tO' +p259113 +aS'4.4\t4.4\tCD\tI-NP\tO' +p259114 +aS'ecg\tecg\tNN\tI-NP\tO' +p259115 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p259116 +asS'Albuterol nebulizers 2.5 mg q.4h. and Atrovent nebulizers 0.5 mg q.4h. , please alternate albuterol and Atrovent ; Rocaltrol 0.25 mcg per NG tube q.d.; calcium carbonate 1250 mg per NG tube q.i.d.; vitamin B12 1000 mcg IM q. month , next dose is due Nov 18 ; diltiazem 60 mg per NG tube t.i.d.; ferrous sulfate 300 mg per NG t.i.d.; Haldol 5 mg IV q.h.s.; hydralazine 10 mg IV q.6h. p.r.n. hypertension ; lisinopril 10 mg per NG tube q.d.; Ativan 1 mg per NG tube q.h.s.; Lopressor 25 mg per NG tube t.i.d.; Zantac 150 mg per NG tube b.i.d.; multivitamin 10 ml per NG tube q.d.; Macrodantin 100 mg per NG tube q.i.d. x 10 days beginning on 11/3/00 .' +p259117 +(lp259118 +S'Albuterol\tAlbuterol\tNN\tB-NP\tO' +p259119 +aS'nebulizers\tnebulizer\tNNS\tI-NP\tO' +p259120 +aS'2.5\t2.5\tCD\tB-NP\tO' +p259121 +aS'mg\tmg\tNN\tI-NP\tO' +p259122 +aS'q.4h.\tq.4h.\tNN\tI-NP\tO' +p259123 +aS'and\tand\tCC\tI-NP\tO' +p259124 +aS'Atrovent\tAtrovent\tNN\tI-NP\tO' +p259125 +aS'nebulizers\tnebulizer\tNNS\tI-NP\tO' +p259126 +aS'0.5\t0.5\tCD\tB-NP\tO' +p259127 +aS'mg\tmg\tNN\tI-NP\tO' +p259128 +aS'q.4h.\tq.4h.\tNN\tI-NP\tO' +p259129 +aS',\t,\t,\tO\tO' +p259130 +aS'please\tplease\tVB\tB-VP\tO' +p259131 +aS'alternate\talternate\tJJ\tB-NP\tO' +p259132 +aS'albuterol\talbuterol\tNN\tI-NP\tO' +p259133 +aS'and\tand\tCC\tI-NP\tO' +p259134 +aS'Atrovent\tAtrovent\tNN\tI-NP\tO' +p259135 +aS';\t;\t:\tO\tO' +p259136 +aS'Rocaltrol\tRocaltrol\tNN\tB-NP\tO' +p259137 +aS'0.25\t0.25\tCD\tI-NP\tO' +p259138 +aS'mcg\tmcg\tNN\tI-NP\tO' +p259139 +aS'per\tper\tIN\tB-PP\tO' +p259140 +aS'NG\tNG\tNN\tB-NP\tO' +p259141 +aS'tube\ttube\tNN\tI-NP\tO' +p259142 +aS'q.d.;\tq.d.;\tNN\tI-NP\tO' +p259143 +aS'calcium\tcalcium\tNN\tI-NP\tO' +p259144 +aS'carbonate\tcarbonate\tNN\tI-NP\tO' +p259145 +aS'1250\t1250\tCD\tI-NP\tO' +p259146 +aS'mg\tmg\tNN\tI-NP\tO' +p259147 +aS'per\tper\tIN\tB-PP\tO' +p259148 +aS'NG\tNG\tNN\tB-NP\tO' +p259149 +aS'tube\ttube\tNN\tI-NP\tO' +p259150 +aS'q.i.d.;\tq.i.d.;\tNN\tI-NP\tO' +p259151 +aS'vitamin\tvitamin\tNN\tI-NP\tO' +p259152 +aS'B12\tB12\tNN\tI-NP\tO' +p259153 +aS'1000\t1000\tCD\tI-NP\tO' +p259154 +aS'mcg\tmcg\tNN\tI-NP\tO' +p259155 +aS'IM\tIM\tNN\tI-NP\tO' +p259156 +aS'q.\tq.\tNN\tI-NP\tO' +p259157 +aS'month\tmonth\tNN\tI-NP\tO' +p259158 +aS',\t,\t,\tO\tO' +p259159 +aS'next\tnext\tJJ\tB-NP\tO' +p259160 +aS'dose\tdose\tNN\tI-NP\tO' +p259161 +aS'is\tbe\tVBZ\tB-VP\tO' +p259162 +aS'due\tdue\tJJ\tB-ADJP\tO' +p259163 +aS'Nov\tNov\tNNP\tB-NP\tO' +p259164 +aS'18\t18\tCD\tI-NP\tO' +p259165 +aS';\t;\t:\tO\tO' +p259166 +aS'diltiazem\tdiltiazem\tNN\tB-NP\tO' +p259167 +aS'60\t60\tCD\tI-NP\tO' +p259168 +aS'mg\tmg\tNN\tI-NP\tO' +p259169 +aS'per\tper\tIN\tB-PP\tO' +p259170 +aS'NG\tNG\tNN\tB-NP\tB-protein' +p259171 +aS'tube\ttube\tNN\tI-NP\tI-protein' +p259172 +aS't.i.d.;\tt.i.d.;\tNN\tI-NP\tI-protein' +p259173 +aS'ferrous\tferrous\tJJ\tI-NP\tI-protein' +p259174 +aS'sulfate\tsulfate\tNN\tI-NP\tI-protein' +p259175 +aS'300\t300\tCD\tI-NP\tI-protein' +p259176 +aS'mg\tmg\tNN\tI-NP\tI-protein' +p259177 +aS'per\tper\tIN\tB-PP\tI-protein' +p259178 +aS'NG\tNG\tNN\tB-NP\tI-protein' +p259179 +aS't.i.d.;\tt.i.d.;\tNN\tI-NP\tI-protein' +p259180 +aS'Haldol\tHaldol\tNN\tI-NP\tI-protein' +p259181 +aS'5\t5\tCD\tI-NP\tI-protein' +p259182 +aS'mg\tmg\tNN\tI-NP\tI-protein' +p259183 +aS'IV\tIV\tCD\tI-NP\tI-protein' +p259184 +aS'q.h.s.;\tq.h.s.;\t:\tO\tO' +p259185 +aS'hydralazine\thydralazine\tNN\tB-NP\tO' +p259186 +aS'10\t10\tCD\tI-NP\tO' +p259187 +aS'mg\tmg\tNN\tI-NP\tO' +p259188 +aS'IV\tIV\tCD\tB-NP\tO' +p259189 +aS'q.6h.\tq.6h.\tNN\tI-NP\tO' +p259190 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p259191 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p259192 +aS';\t;\t:\tO\tO' +p259193 +aS'lisinopril\tlisinopril\tNN\tB-NP\tO' +p259194 +aS'10\t10\tCD\tI-NP\tO' +p259195 +aS'mg\tmg\tNN\tI-NP\tO' +p259196 +aS'per\tper\tIN\tB-PP\tO' +p259197 +aS'NG\tNG\tNN\tB-NP\tB-protein' +p259198 +aS'tube\ttube\tNN\tI-NP\tI-protein' +p259199 +aS'q.d.;\tq.d.;\tNN\tI-NP\tI-protein' +p259200 +aS'Ativan\tAtivan\tIN\tB-NP\tO' +p259201 +aS'1\t1\tCD\tI-NP\tO' +p259202 +aS'mg\tmg\tNN\tI-NP\tO' +p259203 +aS'per\tper\tIN\tB-PP\tO' +p259204 +aS'NG\tNG\tNN\tB-NP\tB-protein' +p259205 +aS'tube\ttube\tNN\tI-NP\tI-protein' +p259206 +aS'q.h.s.;\tq.h.s.;\tNN\tI-NP\tI-protein' +p259207 +aS'Lopressor\tLopressor\tNN\tI-NP\tI-protein' +p259208 +aS'25\t25\tCD\tI-NP\tI-protein' +p259209 +aS'mg\tmg\tNN\tI-NP\tI-protein' +p259210 +aS'per\tper\tIN\tB-PP\tI-protein' +p259211 +aS'NG\tNG\tNN\tB-NP\tI-protein' +p259212 +aS'tube\ttube\tNN\tI-NP\tI-protein' +p259213 +aS't.i.d.;\tt.i.d.;\tNN\tI-NP\tI-protein' +p259214 +aS'Zantac\tZantac\tNN\tI-NP\tI-protein' +p259215 +aS'150\t150\tCD\tI-NP\tI-protein' +p259216 +aS'mg\tmg\tNN\tI-NP\tI-protein' +p259217 +aS'per\tper\tIN\tB-PP\tI-protein' +p259218 +aS'NG\tNG\tNN\tB-NP\tI-protein' +p259219 +aS'tube\ttube\tNN\tI-NP\tI-protein' +p259220 +aS'b.i.d.;\tb.i.d.;\tNN\tI-NP\tI-protein' +p259221 +aS'multivitamin\tmultivitamin\tNN\tI-NP\tI-protein' +p259222 +aS'10\t10\tCD\tI-NP\tI-protein' +p259223 +aS'ml\tml\tNN\tI-NP\tI-protein' +p259224 +aS'per\tper\tIN\tB-PP\tI-protein' +p259225 +aS'NG\tNG\tNN\tB-NP\tI-protein' +p259226 +aS'tube\ttube\tNN\tI-NP\tI-protein' +p259227 +aS'q.d.;\tq.d.;\tNN\tI-NP\tI-protein' +p259228 +aS'Macrodantin\tMacrodantin\tNN\tI-NP\tI-protein' +p259229 +aS'100\t100\tCD\tI-NP\tI-protein' +p259230 +aS'mg\tmg\tNN\tI-NP\tI-protein' +p259231 +aS'per\tper\tIN\tB-PP\tO' +p259232 +aS'NG\tNG\tNN\tB-NP\tO' +p259233 +aS'tube\ttube\tNN\tI-NP\tO' +p259234 +aS'q.i.d.\tq.i.d.\tNN\tI-NP\tO' +p259235 +aS'x\tx\tSYM\tB-NP\tO' +p259236 +aS'10\t10\tCD\tB-NP\tO' +p259237 +aS'days\tday\tNNS\tI-NP\tO' +p259238 +aS'beginning\tbegin\tVBG\tB-PP\tO' +p259239 +aS'on\ton\tIN\tB-PP\tO' +p259240 +aS'11/3/00\t11/3/00\tCD\tB-NP\tO' +p259241 +aS'.\t.\t.\tO\tO' +p259242 +asS'Explained to pt which of the meds he should no longer take that he was taking pre-admission .' +p259243 +(lp259244 +S'Explained\tExplain\tVBN\tB-VP\tO' +p259245 +aS'to\tto\tTO\tB-VP\tO' +p259246 +aS'pt\tpt\tVB\tI-VP\tO' +p259247 +aS'which\twhich\tWDT\tB-NP\tO' +p259248 +aS'of\tof\tIN\tB-PP\tO' +p259249 +aS'the\tthe\tDT\tB-NP\tO' +p259250 +aS'meds\tmed\tNNS\tI-NP\tO' +p259251 +aS'he\the\tPRP\tB-NP\tO' +p259252 +aS'should\tshould\tMD\tB-VP\tO' +p259253 +aS'no\tno\tRB\tI-VP\tO' +p259254 +aS'longer\tlonger\tRB\tI-VP\tO' +p259255 +aS'take\ttake\tVB\tI-VP\tO' +p259256 +aS'that\tthat\tIN\tB-SBAR\tO' +p259257 +aS'he\the\tPRP\tB-NP\tO' +p259258 +aS'was\tbe\tVBD\tB-VP\tO' +p259259 +aS'taking\ttake\tVBG\tI-VP\tO' +p259260 +aS'pre-admission\tpre-admission\tNN\tB-NP\tO' +p259261 +aS'.\t.\t.\tO\tO' +p259262 +asS'NECK : Supple .' +p259263 +(lp259264 +S'NECK\tNECK\tNN\tB-NP\tO' +p259265 +aS':\t:\t:\tO\tO' +p259266 +aS'Supple\tSupple\tNN\tB-NP\tO' +p259267 +aS'.\t.\t.\tO\tO' +p259268 +asS'Disp :* 60 Tablet Sustained Release ( s )* Refills :* 2 *' +p259269 +(lp259270 +S'Disp\tDisp\tNN\tB-NP\tO' +p259271 +aS':*\t:*\tSYM\tI-NP\tO' +p259272 +aS'60\t60\tCD\tI-NP\tO' +p259273 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p259274 +aS'Sustained\tSustained\tNNP\tI-NP\tO' +p259275 +aS'Release\tRelease\tNNP\tI-NP\tO' +p259276 +aS'(\t(\t(\tO\tO' +p259277 +aS's\ts\tNNS\tB-NP\tO' +p259278 +aS')*\t)*\tSYM\tO\tO' +p259279 +aS'Refills\tRefill\tNNPS\tB-NP\tO' +p259280 +aS':*\t:*\tSYM\tI-NP\tO' +p259281 +aS'2\t2\tCD\tI-NP\tO' +p259282 +aS'*\t*\tSYM\tB-NP\tO' +p259283 +asS'Tip of the left internal jugular line projects over the SVC .' +p259284 +(lp259285 +S'Tip\tTip\tNN\tB-NP\tB-protein' +p259286 +aS'of\tof\tIN\tB-PP\tO' +p259287 +aS'the\tthe\tDT\tB-NP\tO' +p259288 +aS'left\tleft\tJJ\tI-NP\tO' +p259289 +aS'internal\tinternal\tJJ\tI-NP\tO' +p259290 +aS'jugular\tjugular\tJJ\tI-NP\tO' +p259291 +aS'line\tline\tNN\tI-NP\tO' +p259292 +aS'projects\tproject\tNNS\tI-NP\tO' +p259293 +aS'over\tover\tIN\tB-PP\tO' +p259294 +aS'the\tthe\tDT\tB-NP\tO' +p259295 +aS'SVC\tSVC\tNN\tI-NP\tB-protein' +p259296 +aS'.\t.\t.\tO\tO' +p259297 +asS'These images were essentially unchanged compared with the previous Thallium images in May 1993 .' +p259298 +(lp259299 +S'These\tThese\tDT\tB-NP\tO' +p259300 +aS'images\timage\tNNS\tI-NP\tO' +p259301 +aS'were\tbe\tVBD\tB-VP\tO' +p259302 +aS'essentially\tessentially\tRB\tB-ADJP\tO' +p259303 +aS'unchanged\tunchanged\tJJ\tI-ADJP\tO' +p259304 +aS'compared\tcompare\tVBN\tB-PP\tO' +p259305 +aS'with\twith\tIN\tB-PP\tO' +p259306 +aS'the\tthe\tDT\tB-NP\tO' +p259307 +aS'previous\tprevious\tJJ\tI-NP\tO' +p259308 +aS'Thallium\tThallium\tNN\tI-NP\tO' +p259309 +aS'images\timage\tNNS\tI-NP\tO' +p259310 +aS'in\tin\tIN\tB-PP\tO' +p259311 +aS'May\tMay\tNNP\tB-NP\tO' +p259312 +aS'1993\t1993\tCD\tI-NP\tO' +p259313 +aS'.\t.\t.\tO\tO' +p259314 +asS'Dr. Manuel Burke , 1 Parkway , Fall River , New Mexico 57362 .' +p259315 +(lp259316 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p259317 +aS'Manuel\tManuel\tNNP\tI-NP\tO' +p259318 +aS'Burke\tBurke\tNNP\tI-NP\tO' +p259319 +aS',\t,\t,\tO\tO' +p259320 +aS'1\t1\tCD\tB-NP\tO' +p259321 +aS'Parkway\tParkway\tNNP\tI-NP\tO' +p259322 +aS',\t,\t,\tO\tO' +p259323 +aS'Fall\tFall\tNNP\tB-NP\tO' +p259324 +aS'River\tRiver\tNNP\tI-NP\tO' +p259325 +aS',\t,\t,\tO\tO' +p259326 +aS'New\tNew\tNNP\tB-NP\tO' +p259327 +aS'Mexico\tMexico\tNNP\tI-NP\tO' +p259328 +aS'57362\t57362\tCD\tI-NP\tO' +p259329 +aS'.\t.\t.\tO\tO' +p259330 +asS'Feedings breast milk or Enfamil 24 calories per ounce , breast milk mixed with 4 calories per ounce of Enfamil powder , minimum of 140 cc per kilogram per day po .' +p259331 +(lp259332 +S'Feedings\tFeeding\tNNS\tB-NP\tO' +p259333 +aS'breast\tbreast\tNN\tI-NP\tO' +p259334 +aS'milk\tmilk\tNN\tI-NP\tO' +p259335 +aS'or\tor\tCC\tO\tO' +p259336 +aS'Enfamil\tEnfamil\tNN\tB-NP\tO' +p259337 +aS'24\t24\tCD\tB-NP\tO' +p259338 +aS'calories\tcalorie\tNNS\tI-NP\tO' +p259339 +aS'per\tper\tIN\tB-PP\tO' +p259340 +aS'ounce\tounce\tNN\tB-NP\tO' +p259341 +aS',\t,\t,\tO\tO' +p259342 +aS'breast\tbreast\tNN\tB-NP\tO' +p259343 +aS'milk\tmilk\tNN\tI-NP\tO' +p259344 +aS'mixed\tmix\tVBN\tB-VP\tO' +p259345 +aS'with\twith\tIN\tB-PP\tO' +p259346 +aS'4\t4\tCD\tB-NP\tO' +p259347 +aS'calories\tcalorie\tNNS\tI-NP\tO' +p259348 +aS'per\tper\tIN\tB-PP\tO' +p259349 +aS'ounce\tounce\tNN\tB-NP\tO' +p259350 +aS'of\tof\tIN\tB-PP\tO' +p259351 +aS'Enfamil\tEnfamil\tNN\tB-NP\tO' +p259352 +aS'powder\tpowder\tNN\tI-NP\tO' +p259353 +aS',\t,\t,\tO\tO' +p259354 +aS'minimum\tminimum\tNN\tB-NP\tO' +p259355 +aS'of\tof\tIN\tB-PP\tO' +p259356 +aS'140\t140\tCD\tB-NP\tO' +p259357 +aS'cc\tcc\tNN\tI-NP\tO' +p259358 +aS'per\tper\tIN\tB-PP\tO' +p259359 +aS'kilogram\tkilogram\tNN\tB-NP\tO' +p259360 +aS'per\tper\tIN\tB-PP\tO' +p259361 +aS'day\tday\tNN\tB-NP\tO' +p259362 +aS'po\tpo\tNN\tI-NP\tO' +p259363 +aS'.\t.\t.\tO\tO' +p259364 +asS'We continued CMED CSRU gtt .' +p259365 +(lp259366 +S'We\tWe\tPRP\tB-NP\tO' +p259367 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p259368 +aS'CMED\tCMED\tVBN\tI-VP\tO' +p259369 +aS'CSRU\tCSRU\tNNP\tB-NP\tO' +p259370 +aS'gtt\tgtt\tNN\tI-NP\tO' +p259371 +aS'.\t.\t.\tO\tO' +p259372 +asS'Pulm : coarse breath sounds throughout' +p259373 +(lp259374 +S'Pulm\tPulm\tNN\tB-NP\tO' +p259375 +aS':\t:\t:\tO\tO' +p259376 +aS'coarse\tcoarse\tNN\tB-NP\tO' +p259377 +aS'breath\tbreath\tNN\tI-NP\tO' +p259378 +aS'sounds\tsound\tVBZ\tB-VP\tO' +p259379 +aS'throughout\tthroughout\tIN\tB-ADVP\tO' +p259380 +asS'She was transferred out of the Intensive Care Unit on postoperative day five and was stable on the floor for the next two days .' +p259381 +(lp259382 +S'She\tShe\tPRP\tB-NP\tO' +p259383 +aS'was\tbe\tVBD\tB-VP\tO' +p259384 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p259385 +aS'out\tout\tIN\tB-PP\tO' +p259386 +aS'of\tof\tIN\tB-PP\tO' +p259387 +aS'the\tthe\tDT\tB-NP\tO' +p259388 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p259389 +aS'Care\tCare\tNNP\tI-NP\tO' +p259390 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p259391 +aS'on\ton\tIN\tB-PP\tO' +p259392 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p259393 +aS'day\tday\tNN\tI-NP\tO' +p259394 +aS'five\tfive\tCD\tI-NP\tO' +p259395 +aS'and\tand\tCC\tO\tO' +p259396 +aS'was\tbe\tVBD\tB-VP\tO' +p259397 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p259398 +aS'on\ton\tIN\tB-PP\tO' +p259399 +aS'the\tthe\tDT\tB-NP\tO' +p259400 +aS'floor\tfloor\tNN\tI-NP\tO' +p259401 +aS'for\tfor\tIN\tB-PP\tO' +p259402 +aS'the\tthe\tDT\tB-NP\tO' +p259403 +aS'next\tnext\tJJ\tI-NP\tO' +p259404 +aS'two\ttwo\tCD\tI-NP\tO' +p259405 +aS'days\tday\tNNS\tI-NP\tO' +p259406 +aS'.\t.\t.\tO\tO' +p259407 +asS'This can be followed as an outpatient .' +p259408 +(lp259409 +S'This\tThis\tDT\tB-NP\tO' +p259410 +aS'can\tcan\tMD\tB-VP\tO' +p259411 +aS'be\tbe\tVB\tI-VP\tO' +p259412 +aS'followed\tfollow\tVBN\tI-VP\tO' +p259413 +aS'as\tas\tIN\tB-PP\tO' +p259414 +aS'an\tan\tDT\tB-NP\tO' +p259415 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p259416 +aS'.\t.\t.\tO\tO' +p259417 +asS'2. Vague right lower lobe opacity most likely represents pulmonary edema though if opacity persistent after diuresis , aspiration and pneumonia will become considerations .' +p259418 +(lp259419 +S'2.\t2.\tLS\tB-LST\tO' +p259420 +aS'Vague\tVague\tNNP\tB-NP\tO' +p259421 +aS'right\tright\tRB\tB-NP\tO' +p259422 +aS'lower\tlow\tJJR\tI-NP\tO' +p259423 +aS'lobe\tlobe\tNN\tI-NP\tO' +p259424 +aS'opacity\topacity\tNN\tI-NP\tO' +p259425 +aS'most\tmost\tRBS\tB-ADVP\tO' +p259426 +aS'likely\tlikely\tRB\tI-ADVP\tO' +p259427 +aS'represents\trepresent\tVBZ\tB-VP\tO' +p259428 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p259429 +aS'edema\tedema\tNN\tI-NP\tO' +p259430 +aS'though\tthough\tIN\tB-SBAR\tO' +p259431 +aS'if\tif\tIN\tB-SBAR\tO' +p259432 +aS'opacity\topacity\tNN\tB-NP\tO' +p259433 +aS'persistent\tpersistent\tJJ\tB-ADJP\tO' +p259434 +aS'after\tafter\tIN\tB-PP\tO' +p259435 +aS'diuresis\tdiuresis\tNN\tB-NP\tO' +p259436 +aS',\t,\t,\tI-NP\tO' +p259437 +aS'aspiration\taspiration\tNN\tI-NP\tO' +p259438 +aS'and\tand\tCC\tI-NP\tO' +p259439 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p259440 +aS'will\twill\tMD\tB-VP\tO' +p259441 +aS'become\tbecome\tVB\tI-VP\tO' +p259442 +aS'considerations\tconsideration\tNNS\tB-NP\tO' +p259443 +aS'.\t.\t.\tO\tO' +p259444 +asS'The rest of the dictation is to follow .' +p259445 +(lp259446 +S'The\tThe\tDT\tB-NP\tO' +p259447 +aS'rest\trest\tNN\tI-NP\tO' +p259448 +aS'of\tof\tIN\tB-PP\tO' +p259449 +aS'the\tthe\tDT\tB-NP\tO' +p259450 +aS'dictation\tdictation\tNN\tI-NP\tO' +p259451 +aS'is\tbe\tVBZ\tB-VP\tO' +p259452 +aS'to\tto\tTO\tB-VP\tO' +p259453 +aS'follow\tfollow\tVB\tI-VP\tO' +p259454 +aS'.\t.\t.\tO\tO' +p259455 +asS'Return to ED or call PCP if symptoms worsen or if fever with headache .' +p259456 +(lp259457 +S'Return\tReturn\tNN\tB-NP\tO' +p259458 +aS'to\tto\tTO\tB-PP\tO' +p259459 +aS'ED\tED\tNN\tB-NP\tO' +p259460 +aS'or\tor\tCC\tI-NP\tO' +p259461 +aS'call\tcall\tNN\tI-NP\tO' +p259462 +aS'PCP\tPCP\tNN\tI-NP\tO' +p259463 +aS'if\tif\tIN\tB-SBAR\tO' +p259464 +aS'symptoms\tsymptom\tNNS\tB-NP\tO' +p259465 +aS'worsen\tworsen\tVBN\tB-VP\tO' +p259466 +aS'or\tor\tCC\tO\tO' +p259467 +aS'if\tif\tIN\tB-SBAR\tO' +p259468 +aS'fever\tfever\tNN\tB-NP\tO' +p259469 +aS'with\twith\tIN\tB-PP\tO' +p259470 +aS'headache\theadache\tNN\tB-NP\tO' +p259471 +aS'.\t.\t.\tO\tO' +p259472 +asS'# Access - R IJ changed sterilly over wire 05-01' +p259473 +(lp259474 +S'#\t#\t#\tB-NP\tO' +p259475 +aS'Access\tAccess\tNN\tI-NP\tO' +p259476 +aS'-\t-\tHYPH\tB-NP\tO' +p259477 +aS'R\tR\tNN\tI-NP\tB-protein' +p259478 +aS'IJ\tIJ\tNN\tI-NP\tI-protein' +p259479 +aS'changed\tchange\tVBD\tB-VP\tO' +p259480 +aS'sterilly\tsterilly\tRB\tB-ADVP\tO' +p259481 +aS'over\tover\tIN\tB-PP\tO' +p259482 +aS'wire\twire\tNN\tB-NP\tO' +p259483 +aS'05-01\t05-01\tCD\tI-NP\tO' +p259484 +asS'Physical Exam : see dc summary' +p259485 +(lp259486 +S'Physical\tPhysical\tNNP\tB-NP\tO' +p259487 +aS'Exam\tExam\tNNP\tI-NP\tO' +p259488 +aS':\t:\t:\tO\tO' +p259489 +aS'see\tsee\tVB\tB-VP\tO' +p259490 +aS'dc\tdc\tNN\tB-NP\tO' +p259491 +aS'summary\tsummary\tNN\tI-NP\tO' +p259492 +asS'This is to notify you that your patient , FALMDREPSGREND , LINE arrived in the Emergency Department at Ph University Of Medical Center on 04/16/2001 03:46 PM .' +p259493 +(lp259494 +S'This\tThis\tDT\tB-NP\tO' +p259495 +aS'is\tbe\tVBZ\tB-VP\tO' +p259496 +aS'to\tto\tTO\tB-VP\tO' +p259497 +aS'notify\tnotify\tVB\tI-VP\tO' +p259498 +aS'you\tyou\tPRP\tB-NP\tO' +p259499 +aS'that\tthat\tIN\tB-SBAR\tO' +p259500 +aS'your\tyour\tPRP$\tB-NP\tO' +p259501 +aS'patient\tpatient\tNN\tI-NP\tO' +p259502 +aS',\t,\t,\tO\tO' +p259503 +aS'FALMDREPSGREND\tFALMDREPSGREND\tNN\tB-NP\tO' +p259504 +aS',\t,\t,\tO\tO' +p259505 +aS'LINE\tLINE\tNNP\tB-NP\tO' +p259506 +aS'arrived\tarrive\tVBD\tB-VP\tO' +p259507 +aS'in\tin\tIN\tB-PP\tO' +p259508 +aS'the\tthe\tDT\tB-NP\tO' +p259509 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p259510 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p259511 +aS'at\tat\tIN\tB-PP\tO' +p259512 +aS'Ph\tPh\tNNP\tB-NP\tO' +p259513 +aS'University\tUniversity\tNNP\tI-NP\tO' +p259514 +aS'Of\tOf\tNNP\tI-NP\tO' +p259515 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p259516 +aS'Center\tCenter\tNNP\tI-NP\tO' +p259517 +aS'on\ton\tIN\tB-PP\tO' +p259518 +aS'04/16/2001\t04/16/2001\tCD\tB-NP\tO' +p259519 +aS'03:46\t03:46\tCD\tI-NP\tO' +p259520 +aS'PM\tPM\tNN\tI-NP\tO' +p259521 +aS'.\t.\t.\tO\tO' +p259522 +asS'This waxed and waned for thirty to sixty minutes , and he took a number of nitroglycerins .' +p259523 +(lp259524 +S'This\tThis\tDT\tB-NP\tO' +p259525 +aS'waxed\twax\tVBD\tB-VP\tO' +p259526 +aS'and\tand\tCC\tO\tO' +p259527 +aS'waned\twan\tVBD\tB-VP\tO' +p259528 +aS'for\tfor\tIN\tB-PP\tO' +p259529 +aS'thirty\tthirty\tCD\tB-NP\tO' +p259530 +aS'to\tto\tTO\tI-NP\tO' +p259531 +aS'sixty\tsixty\tCD\tI-NP\tO' +p259532 +aS'minutes\tminute\tNNS\tI-NP\tO' +p259533 +aS',\t,\t,\tO\tO' +p259534 +aS'and\tand\tCC\tO\tO' +p259535 +aS'he\the\tPRP\tB-NP\tO' +p259536 +aS'took\ttake\tVBD\tB-VP\tO' +p259537 +aS'a\ta\tDT\tB-NP\tO' +p259538 +aS'number\tnumber\tNN\tI-NP\tO' +p259539 +aS'of\tof\tIN\tB-PP\tO' +p259540 +aS'nitroglycerins\tnitroglycerin\tNNS\tB-NP\tB-protein' +p259541 +aS'.\t.\t.\tO\tO' +p259542 +asS'Wall thickness and cavity dimensions were obtained from 2D images .' +p259543 +(lp259544 +S'Wall\tWall\tJJ\tB-NP\tO' +p259545 +aS'thickness\tthickness\tNN\tI-NP\tO' +p259546 +aS'and\tand\tCC\tI-NP\tO' +p259547 +aS'cavity\tcavity\tNN\tI-NP\tO' +p259548 +aS'dimensions\tdimension\tNNS\tI-NP\tO' +p259549 +aS'were\tbe\tVBD\tB-VP\tO' +p259550 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p259551 +aS'from\tfrom\tIN\tB-PP\tO' +p259552 +aS'2D\t2D\tNN\tB-NP\tO' +p259553 +aS'images\timage\tNNS\tI-NP\tO' +p259554 +aS'.\t.\t.\tO\tO' +p259555 +asS'Alleyne bilirubin on 2018-05-09 was 10.4 ; at which time he was discharged to home .' +p259556 +(lp259557 +S'Alleyne\tAlleyne\tNN\tB-NP\tO' +p259558 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p259559 +aS'on\ton\tIN\tB-PP\tO' +p259560 +aS'2018-05-09\t2018-05-09\tCD\tB-NP\tO' +p259561 +aS'was\tbe\tVBD\tB-VP\tO' +p259562 +aS'10.4\t10.4\tCD\tB-NP\tO' +p259563 +aS';\t;\t:\tO\tO' +p259564 +aS'at\tat\tIN\tB-PP\tO' +p259565 +aS'which\twhich\tWDT\tB-NP\tO' +p259566 +aS'time\ttime\tNN\tI-NP\tO' +p259567 +aS'he\the\tPRP\tB-NP\tO' +p259568 +aS'was\tbe\tVBD\tB-VP\tO' +p259569 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p259570 +aS'to\tto\tTO\tB-PP\tO' +p259571 +aS'home\thome\tNN\tB-NP\tO' +p259572 +aS'.\t.\t.\tO\tO' +p259573 +asS'The patient was evaluated by Cardiology .' +p259574 +(lp259575 +S'The\tThe\tDT\tB-NP\tO' +p259576 +aS'patient\tpatient\tNN\tI-NP\tO' +p259577 +aS'was\tbe\tVBD\tB-VP\tO' +p259578 +aS'evaluated\tevaluate\tVBN\tI-VP\tO' +p259579 +aS'by\tby\tIN\tB-PP\tO' +p259580 +aS'Cardiology\tCardiology\tNNP\tB-NP\tO' +p259581 +aS'.\t.\t.\tO\tO' +p259582 +asS'He denied any other drug use .' +p259583 +(lp259584 +S'He\tHe\tPRP\tB-NP\tO' +p259585 +aS'denied\tdeny\tVBD\tB-VP\tO' +p259586 +aS'any\tany\tDT\tB-NP\tO' +p259587 +aS'other\tother\tJJ\tI-NP\tO' +p259588 +aS'drug\tdrug\tNN\tI-NP\tO' +p259589 +aS'use\tuse\tNN\tI-NP\tO' +p259590 +aS'.\t.\t.\tO\tO' +p259591 +asS'Please stay on top of the sliding scale so that the patient can keep a euglycemic level .' +p259592 +(lp259593 +S'Please\tPlease\tVB\tB-VP\tO' +p259594 +aS'stay\tstay\tVB\tI-VP\tO' +p259595 +aS'on\ton\tIN\tB-PP\tO' +p259596 +aS'top\ttop\tNN\tB-NP\tO' +p259597 +aS'of\tof\tIN\tB-PP\tO' +p259598 +aS'the\tthe\tDT\tB-NP\tO' +p259599 +aS'sliding\tslide\tVBG\tI-NP\tO' +p259600 +aS'scale\tscale\tNN\tI-NP\tO' +p259601 +aS'so\tso\tIN\tB-SBAR\tO' +p259602 +aS'that\tthat\tIN\tI-SBAR\tO' +p259603 +aS'the\tthe\tDT\tB-NP\tO' +p259604 +aS'patient\tpatient\tNN\tI-NP\tO' +p259605 +aS'can\tcan\tMD\tB-VP\tO' +p259606 +aS'keep\tkeep\tVB\tI-VP\tO' +p259607 +aS'a\ta\tDT\tB-NP\tO' +p259608 +aS'euglycemic\teuglycemic\tJJ\tI-NP\tO' +p259609 +aS'level\tlevel\tNN\tI-NP\tO' +p259610 +aS'.\t.\t.\tO\tO' +p259611 +asS'Rheumatology recommended a taper of his prednisone to 20 mg q.d. and the patient will be followed by the rheumatology service .' +p259612 +(lp259613 +S'Rheumatology\tRheumatology\tNN\tB-NP\tO' +p259614 +aS'recommended\trecommend\tVBD\tB-VP\tO' +p259615 +aS'a\ta\tDT\tB-NP\tO' +p259616 +aS'taper\ttaper\tNN\tI-NP\tO' +p259617 +aS'of\tof\tIN\tB-PP\tO' +p259618 +aS'his\this\tPRP$\tB-NP\tO' +p259619 +aS'prednisone\tprednisone\tNN\tI-NP\tO' +p259620 +aS'to\tto\tTO\tB-PP\tO' +p259621 +aS'20\t20\tCD\tB-NP\tO' +p259622 +aS'mg\tmg\tNN\tI-NP\tO' +p259623 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p259624 +aS'and\tand\tCC\tO\tO' +p259625 +aS'the\tthe\tDT\tB-NP\tO' +p259626 +aS'patient\tpatient\tNN\tI-NP\tO' +p259627 +aS'will\twill\tMD\tB-VP\tO' +p259628 +aS'be\tbe\tVB\tI-VP\tO' +p259629 +aS'followed\tfollow\tVBN\tI-VP\tO' +p259630 +aS'by\tby\tIN\tB-PP\tO' +p259631 +aS'the\tthe\tDT\tB-NP\tO' +p259632 +aS'rheumatology\trheumatology\tNN\tI-NP\tO' +p259633 +aS'service\tservice\tNN\tI-NP\tO' +p259634 +aS'.\t.\t.\tO\tO' +p259635 +asS'Vancomycin and Zosyn were started .' +p259636 +(lp259637 +S'Vancomycin\tVancomycin\tNN\tB-NP\tO' +p259638 +aS'and\tand\tCC\tI-NP\tO' +p259639 +aS'Zosyn\tZosyn\tNN\tI-NP\tO' +p259640 +aS'were\tbe\tVBD\tB-VP\tO' +p259641 +aS'started\tstart\tVBN\tI-VP\tO' +p259642 +aS'.\t.\t.\tO\tO' +p259643 +asS'She was given 200 mg IV lasix X 1 with an additional 100 cc of urine output the evening of 5/16 .' +p259644 +(lp259645 +S'She\tShe\tPRP\tB-NP\tO' +p259646 +aS'was\tbe\tVBD\tB-VP\tO' +p259647 +aS'given\tgive\tVBN\tI-VP\tO' +p259648 +aS'200\t200\tCD\tB-NP\tO' +p259649 +aS'mg\tmg\tNN\tI-NP\tO' +p259650 +aS'IV\tIV\tCD\tB-NP\tO' +p259651 +aS'lasix\tlasix\tCD\tI-NP\tO' +p259652 +aS'X\tX\tSYM\tB-NP\tO' +p259653 +aS'1\t1\tCD\tI-NP\tO' +p259654 +aS'with\twith\tIN\tB-PP\tO' +p259655 +aS'an\tan\tDT\tB-NP\tO' +p259656 +aS'additional\tadditional\tJJ\tI-NP\tO' +p259657 +aS'100\t100\tCD\tI-NP\tO' +p259658 +aS'cc\tcc\tNN\tI-NP\tO' +p259659 +aS'of\tof\tIN\tB-PP\tO' +p259660 +aS'urine\turine\tNN\tB-NP\tO' +p259661 +aS'output\toutput\tNN\tI-NP\tO' +p259662 +aS'the\tthe\tDT\tB-NP\tO' +p259663 +aS'evening\tevening\tNN\tI-NP\tO' +p259664 +aS'of\tof\tIN\tB-PP\tO' +p259665 +aS'5/16\t5/16\tCD\tB-NP\tO' +p259666 +aS'.\t.\t.\tO\tO' +p259667 +asS'Recent CT scan showed no significant lymphadenopathy .' +p259668 +(lp259669 +S'Recent\tRecent\tJJ\tB-NP\tO' +p259670 +aS'CT\tCT\tNN\tI-NP\tO' +p259671 +aS'scan\tscan\tNN\tI-NP\tO' +p259672 +aS'showed\tshow\tVBD\tB-VP\tO' +p259673 +aS'no\tno\tDT\tB-NP\tO' +p259674 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p259675 +aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' +p259676 +aS'.\t.\t.\tO\tO' +p259677 +asS'His oxygen requirement decreased , and his overall status improved quickly .' +p259678 +(lp259679 +S'His\tHis\tPRP$\tB-NP\tO' +p259680 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p259681 +aS'requirement\trequirement\tNN\tI-NP\tO' +p259682 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p259683 +aS',\t,\t,\tO\tO' +p259684 +aS'and\tand\tCC\tO\tO' +p259685 +aS'his\this\tPRP$\tB-NP\tO' +p259686 +aS'overall\toverall\tJJ\tI-NP\tO' +p259687 +aS'status\tstatus\tNN\tI-NP\tO' +p259688 +aS'improved\timprove\tVBD\tB-VP\tO' +p259689 +aS'quickly\tquickly\tRB\tB-ADVP\tO' +p259690 +aS'.\t.\t.\tO\tO' +p259691 +asS'The NG tube was D/C'd on postoperative day #2 .' +p259692 +(lp259693 +S'The\tThe\tDT\tB-NP\tO' +p259694 +aS'NG\tNG\tNN\tI-NP\tO' +p259695 +aS'tube\ttube\tNN\tI-NP\tO' +p259696 +aS'was\tbe\tVBD\tB-VP\tO' +p259697 +aS'D/C'd\tD/C'd\tNN\tB-NP\tO' +p259698 +aS'on\ton\tIN\tB-PP\tO' +p259699 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p259700 +aS'day\tday\tNN\tI-NP\tO' +p259701 +aS'#2\t#2\tNN\tI-NP\tO' +p259702 +aS'.\t.\t.\tO\tO' +p259703 +asS'She also has a history of lactose intolerance , peptic ulcer disease , with a remote gastrointestinal bleed and multiple ectopic pregnancies and mid term miscarriages .' +p259704 +(lp259705 +S'She\tShe\tPRP\tB-NP\tO' +p259706 +aS'also\talso\tRB\tB-ADVP\tO' +p259707 +aS'has\thave\tVBZ\tB-VP\tO' +p259708 +aS'a\ta\tDT\tB-NP\tO' +p259709 +aS'history\thistory\tNN\tI-NP\tO' +p259710 +aS'of\tof\tIN\tB-PP\tO' +p259711 +aS'lactose\tlactose\tNN\tB-NP\tO' +p259712 +aS'intolerance\tintolerance\tNN\tI-NP\tO' +p259713 +aS',\t,\t,\tO\tO' +p259714 +aS'peptic\tpeptic\tJJ\tB-NP\tO' +p259715 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p259716 +aS'disease\tdisease\tNN\tI-NP\tO' +p259717 +aS',\t,\t,\tO\tO' +p259718 +aS'with\twith\tIN\tB-PP\tO' +p259719 +aS'a\ta\tDT\tB-NP\tO' +p259720 +aS'remote\tremote\tJJ\tI-NP\tO' +p259721 +aS'gastrointestinal\tgastrointestinal\tJJ\tI-NP\tO' +p259722 +aS'bleed\tbleed\tNN\tI-NP\tO' +p259723 +aS'and\tand\tCC\tO\tO' +p259724 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p259725 +aS'ectopic\tectopic\tJJ\tI-NP\tO' +p259726 +aS'pregnancies\tpregnancy\tNNS\tI-NP\tO' +p259727 +aS'and\tand\tCC\tO\tO' +p259728 +aS'mid\tmid\tJJ\tB-NP\tO' +p259729 +aS'term\tterm\tNN\tI-NP\tO' +p259730 +aS'miscarriages\tmiscarriage\tNNS\tI-NP\tO' +p259731 +aS'.\t.\t.\tO\tO' +p259732 +asS'Selective coronary angiography showed an occluded right coronary artery in its midportion .' +p259733 +(lp259734 +S'Selective\tSelective\tJJ\tB-NP\tO' +p259735 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p259736 +aS'angiography\tangiography\tNN\tI-NP\tO' +p259737 +aS'showed\tshow\tVBD\tB-VP\tO' +p259738 +aS'an\tan\tDT\tB-NP\tO' +p259739 +aS'occluded\tocclude\tVBN\tI-NP\tO' +p259740 +aS'right\tright\tJJ\tI-NP\tO' +p259741 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p259742 +aS'artery\tartery\tNN\tI-NP\tO' +p259743 +aS'in\tin\tIN\tB-PP\tO' +p259744 +aS'its\tits\tPRP$\tB-NP\tO' +p259745 +aS'midportion\tmidportion\tNN\tI-NP\tO' +p259746 +aS'.\t.\t.\tO\tO' +p259747 +asS'region nodularity , which is identified previously by endoscopic retrograde cholangiopancreatography , and regional lymph nodes were all sent to pathology .' +p259748 +(lp259749 +S'region\tregion\tNN\tB-NP\tO' +p259750 +aS'nodularity\tnodularity\tNN\tI-NP\tO' +p259751 +aS',\t,\t,\tO\tO' +p259752 +aS'which\twhich\tWDT\tB-NP\tO' +p259753 +aS'is\tbe\tVBZ\tB-VP\tO' +p259754 +aS'identified\tidentify\tVBN\tI-VP\tO' +p259755 +aS'previously\tpreviously\tRB\tB-ADVP\tO' +p259756 +aS'by\tby\tIN\tB-PP\tO' +p259757 +aS'endoscopic\tendoscopic\tJJ\tB-NP\tO' +p259758 +aS'retrograde\tretrograde\tJJ\tI-NP\tO' +p259759 +aS'cholangiopancreatography\tcholangiopancreatography\tNN\tI-NP\tO' +p259760 +aS',\t,\t,\tO\tO' +p259761 +aS'and\tand\tCC\tO\tO' +p259762 +aS'regional\tregional\tJJ\tB-NP\tO' +p259763 +aS'lymph\tlymph\tNN\tI-NP\tO' +p259764 +aS'nodes\tnode\tNNS\tI-NP\tO' +p259765 +aS'were\tbe\tVBD\tB-VP\tO' +p259766 +aS'all\tall\tDT\tO\tO' +p259767 +aS'sent\tsend\tVBN\tB-VP\tO' +p259768 +aS'to\tto\tTO\tB-PP\tO' +p259769 +aS'pathology\tpathology\tNN\tB-NP\tO' +p259770 +aS'.\t.\t.\tO\tO' +p259771 +asS'Dictated By : Sherry G Christie , M.D.' +p259772 +(lp259773 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p259774 +aS'By\tBy\tIN\tB-PP\tO' +p259775 +aS':\t:\t:\tO\tO' +p259776 +aS'Sherry\tSherry\tNNP\tB-NP\tO' +p259777 +aS'G\tG\tNNP\tI-NP\tO' +p259778 +aS'Christie\tChristie\tNNP\tI-NP\tO' +p259779 +aS',\t,\t,\tO\tO' +p259780 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p259781 +asS'Regular rate and rhythm , S1 and S2 with no murmurs , rubs or gallops .' +p259782 +(lp259783 +S'Regular\tRegular\tJJ\tB-NP\tO' +p259784 +aS'rate\trate\tNN\tI-NP\tO' +p259785 +aS'and\tand\tCC\tO\tO' +p259786 +aS'rhythm\trhythm\tNN\tB-NP\tO' +p259787 +aS',\t,\t,\tO\tO' +p259788 +aS'S1\tS1\tNN\tB-NP\tB-protein' +p259789 +aS'and\tand\tCC\tO\tO' +p259790 +aS'S2\tS2\tNN\tB-NP\tB-protein' +p259791 +aS'with\twith\tIN\tB-PP\tO' +p259792 +aS'no\tno\tDT\tB-NP\tO' +p259793 +aS'murmurs\tmurmur\tNNS\tI-NP\tO' +p259794 +aS',\t,\t,\tI-NP\tO' +p259795 +aS'rubs\trub\tNNS\tI-NP\tO' +p259796 +aS'or\tor\tCC\tI-NP\tO' +p259797 +aS'gallops\tgallop\tNNS\tI-NP\tO' +p259798 +aS'.\t.\t.\tO\tO' +p259799 +asS'He lives with his wife who has a baby with another boyfriend of two years .' +p259800 +(lp259801 +S'He\tHe\tPRP\tB-NP\tO' +p259802 +aS'lives\tlive\tVBZ\tB-VP\tO' +p259803 +aS'with\twith\tIN\tB-PP\tO' +p259804 +aS'his\this\tPRP$\tB-NP\tO' +p259805 +aS'wife\twife\tNN\tI-NP\tO' +p259806 +aS'who\twho\tWP\tB-NP\tO' +p259807 +aS'has\thave\tVBZ\tB-VP\tO' +p259808 +aS'a\ta\tDT\tB-NP\tO' +p259809 +aS'baby\tbaby\tNN\tI-NP\tO' +p259810 +aS'with\twith\tIN\tB-PP\tO' +p259811 +aS'another\tanother\tDT\tB-NP\tO' +p259812 +aS'boyfriend\tboyfriend\tNN\tI-NP\tO' +p259813 +aS'of\tof\tIN\tB-PP\tO' +p259814 +aS'two\ttwo\tCD\tB-NP\tO' +p259815 +aS'years\tyear\tNNS\tI-NP\tO' +p259816 +aS'.\t.\t.\tO\tO' +p259817 +asS'carduac enzymes mildly elevated , felt 02-08 demand ischemia in setting of hypertensive urgency , CK and MB trended Mcewen at time of admission to medical floor .' +p259818 +(lp259819 +S'carduac\tcarduac\tNN\tB-NP\tB-protein' +p259820 +aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' +p259821 +aS'mildly\tmildly\tRB\tB-VP\tO' +p259822 +aS'elevated\televate\tVBN\tI-VP\tO' +p259823 +aS',\t,\t,\tO\tO' +p259824 +aS'felt\tfeel\tVBD\tB-VP\tO' +p259825 +aS'02-08\t02-08\tJJ\tB-NP\tO' +p259826 +aS'demand\tdemand\tNN\tI-NP\tO' +p259827 +aS'ischemia\tischemia\tNN\tI-NP\tO' +p259828 +aS'in\tin\tIN\tB-PP\tO' +p259829 +aS'setting\tsetting\tNN\tB-NP\tO' +p259830 +aS'of\tof\tIN\tB-PP\tO' +p259831 +aS'hypertensive\thypertensive\tJJ\tB-NP\tO' +p259832 +aS'urgency\turgency\tNN\tI-NP\tO' +p259833 +aS',\t,\t,\tI-NP\tO' +p259834 +aS'CK\tCK\tNN\tI-NP\tB-protein' +p259835 +aS'and\tand\tCC\tI-NP\tO' +p259836 +aS'MB\tMB\tNN\tI-NP\tB-protein' +p259837 +aS'trended\ttrend\tVBD\tB-VP\tO' +p259838 +aS'Mcewen\tMcewen\tNNP\tB-NP\tO' +p259839 +aS'at\tat\tIN\tB-PP\tO' +p259840 +aS'time\ttime\tNN\tB-NP\tO' +p259841 +aS'of\tof\tIN\tB-PP\tO' +p259842 +aS'admission\tadmission\tNN\tB-NP\tO' +p259843 +aS'to\tto\tTO\tB-PP\tO' +p259844 +aS'medical\tmedical\tJJ\tB-NP\tO' +p259845 +aS'floor\tfloor\tNN\tI-NP\tO' +p259846 +aS'.\t.\t.\tO\tO' +p259847 +asS'He had been started on Heparin from the time of his admission .' +p259848 +(lp259849 +S'He\tHe\tPRP\tB-NP\tO' +p259850 +aS'had\thave\tVBD\tB-VP\tO' +p259851 +aS'been\tbe\tVBN\tI-VP\tO' +p259852 +aS'started\tstart\tVBN\tI-VP\tO' +p259853 +aS'on\ton\tIN\tB-PP\tO' +p259854 +aS'Heparin\tHeparin\tNN\tB-NP\tO' +p259855 +aS'from\tfrom\tIN\tB-PP\tO' +p259856 +aS'the\tthe\tDT\tB-NP\tO' +p259857 +aS'time\ttime\tNN\tI-NP\tO' +p259858 +aS'of\tof\tIN\tB-PP\tO' +p259859 +aS'his\this\tPRP$\tB-NP\tO' +p259860 +aS'admission\tadmission\tNN\tI-NP\tO' +p259861 +aS'.\t.\t.\tO\tO' +p259862 +asS'Urine cx from Rehab showed gram negative rods > 100 K enterobacter cloacae .' +p259863 +(lp259864 +S'Urine\tUrine\tNN\tB-NP\tO' +p259865 +aS'cx\tcx\tNN\tI-NP\tO' +p259866 +aS'from\tfrom\tIN\tB-PP\tO' +p259867 +aS'Rehab\tRehab\tNN\tB-NP\tO' +p259868 +aS'showed\tshow\tVBD\tB-VP\tO' +p259869 +aS'gram\tgram\tNN\tB-NP\tO' +p259870 +aS'negative\tnegative\tJJ\tI-NP\tO' +p259871 +aS'rods\trod\tNNS\tI-NP\tO' +p259872 +aS'>\t>\tSYM\tO\tO' +p259873 +aS'100\t100\tCD\tB-NP\tO' +p259874 +aS'K\tK\tNN\tI-NP\tO' +p259875 +aS'enterobacter\tenterobacter\tNN\tI-NP\tO' +p259876 +aS'cloacae\tcloaca\tNNS\tI-NP\tO' +p259877 +aS'.\t.\t.\tO\tO' +p259878 +asS'Supple neck .' +p259879 +(lp259880 +S'Supple\tSupple\tNN\tB-NP\tO' +p259881 +aS'neck\tneck\tNN\tI-NP\tO' +p259882 +aS'.\t.\t.\tO\tO' +p259883 +asS'Review of systems were notable for lower extremity edema which worsened in May .' +p259884 +(lp259885 +S'Review\tReview\tNN\tB-NP\tO' +p259886 +aS'of\tof\tIN\tB-PP\tO' +p259887 +aS'systems\tsystem\tNNS\tB-NP\tO' +p259888 +aS'were\tbe\tVBD\tB-VP\tO' +p259889 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p259890 +aS'for\tfor\tIN\tB-PP\tO' +p259891 +aS'lower\tlow\tJJR\tB-NP\tO' +p259892 +aS'extremity\textremity\tNN\tI-NP\tO' +p259893 +aS'edema\tedema\tNN\tI-NP\tO' +p259894 +aS'which\twhich\tWDT\tB-NP\tO' +p259895 +aS'worsened\tworsen\tVBD\tB-VP\tO' +p259896 +aS'in\tin\tIN\tB-PP\tO' +p259897 +aS'May\tMay\tNNP\tB-NP\tO' +p259898 +aS'.\t.\t.\tO\tO' +p259899 +asS'The patient was married and denied any tobacco or alcohol use .' +p259900 +(lp259901 +S'The\tThe\tDT\tB-NP\tO' +p259902 +aS'patient\tpatient\tNN\tI-NP\tO' +p259903 +aS'was\tbe\tVBD\tB-VP\tO' +p259904 +aS'married\tmarry\tVBN\tI-VP\tO' +p259905 +aS'and\tand\tCC\tO\tO' +p259906 +aS'denied\tdeny\tVBD\tB-VP\tO' +p259907 +aS'any\tany\tDT\tB-NP\tO' +p259908 +aS'tobacco\ttobacco\tNN\tI-NP\tO' +p259909 +aS'or\tor\tCC\tI-NP\tO' +p259910 +aS'alcohol\talcohol\tNN\tI-NP\tO' +p259911 +aS'use\tuse\tNN\tI-NP\tO' +p259912 +aS'.\t.\t.\tO\tO' +p259913 +asS'Please call White , Leslie L. at ( 602 ) 743 8709 to schedule an appointment with him in 1 week .' +p259914 +(lp259915 +S'Please\tPlease\tNNP\tB-NP\tO' +p259916 +aS'call\tcall\tMD\tB-VP\tO' +p259917 +aS'White\tWhite\tNNP\tB-NP\tO' +p259918 +aS',\t,\t,\tO\tO' +p259919 +aS'Leslie\tLeslie\tNNP\tB-NP\tO' +p259920 +aS'L.\tL.\tNNP\tI-NP\tO' +p259921 +aS'at\tat\tIN\tB-PP\tO' +p259922 +aS'(\t(\t(\tO\tO' +p259923 +aS'602\t602\tCD\tB-NP\tO' +p259924 +aS')\t)\t)\tO\tO' +p259925 +aS'743\t743\tCD\tB-NP\tO' +p259926 +aS'8709\t8709\tCD\tI-NP\tO' +p259927 +aS'to\tto\tTO\tB-VP\tO' +p259928 +aS'schedule\tschedule\tVB\tI-VP\tO' +p259929 +aS'an\tan\tDT\tB-NP\tO' +p259930 +aS'appointment\tappointment\tNN\tI-NP\tO' +p259931 +aS'with\twith\tIN\tB-PP\tO' +p259932 +aS'him\thim\tPRP\tB-NP\tO' +p259933 +aS'in\tin\tIN\tB-PP\tO' +p259934 +aS'1\t1\tCD\tB-NP\tO' +p259935 +aS'week\tweek\tNN\tI-NP\tO' +p259936 +aS'.\t.\t.\tO\tO' +p259937 +asS'no known drug allergies , but has shellfish allergy , and question of an Iodine allergy .' +p259938 +(lp259939 +S'no\tno\tDT\tB-NP\tO' +p259940 +aS'known\tknow\tVBN\tI-NP\tO' +p259941 +aS'drug\tdrug\tNN\tI-NP\tO' +p259942 +aS'allergies\tallergy\tNNS\tI-NP\tO' +p259943 +aS',\t,\t,\tO\tO' +p259944 +aS'but\tbut\tCC\tO\tO' +p259945 +aS'has\thave\tVBZ\tB-VP\tO' +p259946 +aS'shellfish\tshellfish\tNN\tB-NP\tO' +p259947 +aS'allergy\tallergy\tNN\tI-NP\tO' +p259948 +aS',\t,\t,\tO\tO' +p259949 +aS'and\tand\tCC\tO\tO' +p259950 +aS'question\tquestion\tNN\tB-NP\tO' +p259951 +aS'of\tof\tIN\tB-PP\tO' +p259952 +aS'an\tan\tDT\tB-NP\tO' +p259953 +aS'Iodine\tIodine\tNN\tI-NP\tO' +p259954 +aS'allergy\tallergy\tNN\tI-NP\tO' +p259955 +aS'.\t.\t.\tO\tO' +p259956 +asS'She was moving all extremities and exhibiting good strength .' +p259957 +(lp259958 +S'She\tShe\tPRP\tB-NP\tO' +p259959 +aS'was\tbe\tVBD\tB-VP\tO' +p259960 +aS'moving\tmove\tVBG\tI-VP\tO' +p259961 +aS'all\tall\tDT\tB-NP\tO' +p259962 +aS'extremities\textremity\tNNS\tI-NP\tO' +p259963 +aS'and\tand\tCC\tO\tO' +p259964 +aS'exhibiting\texhibit\tVBG\tB-VP\tO' +p259965 +aS'good\tgood\tJJ\tB-NP\tO' +p259966 +aS'strength\tstrength\tNN\tI-NP\tO' +p259967 +aS'.\t.\t.\tO\tO' +p259968 +asS'Cardiology was consulted and aspirin and beta blocker added to his regimen , as well as chest wall nitroglycerin around the time of surgery , which was subsequently discontinued .' +p259969 +(lp259970 +S'Cardiology\tCardiology\tNN\tB-NP\tO' +p259971 +aS'was\tbe\tVBD\tB-VP\tO' +p259972 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p259973 +aS'and\tand\tCC\tO\tO' +p259974 +aS'aspirin\taspirin\tNN\tB-NP\tO' +p259975 +aS'and\tand\tCC\tO\tO' +p259976 +aS'beta\tbeta\tNN\tB-NP\tO' +p259977 +aS'blocker\tblocker\tNN\tI-NP\tO' +p259978 +aS'added\tadd\tVBN\tB-VP\tO' +p259979 +aS'to\tto\tTO\tB-PP\tO' +p259980 +aS'his\this\tPRP$\tB-NP\tO' +p259981 +aS'regimen\tregimen\tNN\tI-NP\tO' +p259982 +aS',\t,\t,\tO\tO' +p259983 +aS'as\tas\tRB\tB-CONJP\tO' +p259984 +aS'well\twell\tRB\tI-CONJP\tO' +p259985 +aS'as\tas\tIN\tI-CONJP\tO' +p259986 +aS'chest\tchest\tNN\tB-NP\tO' +p259987 +aS'wall\twall\tNN\tI-NP\tO' +p259988 +aS'nitroglycerin\tnitroglycerin\tNN\tI-NP\tO' +p259989 +aS'around\taround\tIN\tB-PP\tO' +p259990 +aS'the\tthe\tDT\tB-NP\tO' +p259991 +aS'time\ttime\tNN\tI-NP\tO' +p259992 +aS'of\tof\tIN\tB-PP\tO' +p259993 +aS'surgery\tsurgery\tNN\tB-NP\tO' +p259994 +aS',\t,\t,\tO\tO' +p259995 +aS'which\twhich\tWDT\tB-NP\tO' +p259996 +aS'was\tbe\tVBD\tB-VP\tO' +p259997 +aS'subsequently\tsubsequently\tRB\tI-VP\tO' +p259998 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p259999 +aS'.\t.\t.\tO\tO' +p260000 +asS'Pursuit was interrupted by >.....< when tracking from left to right .' +p260001 +(lp260002 +S'Pursuit\tPursuit\tNN\tB-NP\tO' +p260003 +aS'was\tbe\tVBD\tB-VP\tO' +p260004 +aS'interrupted\tinterrupt\tVBN\tI-VP\tO' +p260005 +aS'by\tby\tIN\tB-PP\tO' +p260006 +aS'>.....<\t>.....<\tSYM\tB-NP\tO' +p260007 +aS'when\twhen\tWRB\tB-ADVP\tO' +p260008 +aS'tracking\ttrack\tVBG\tB-VP\tO' +p260009 +aS'from\tfrom\tIN\tB-PP\tO' +p260010 +aS'left\tleave\tVBN\tB-VP\tO' +p260011 +aS'to\tto\tTO\tB-PP\tO' +p260012 +aS'right\tright\tJJ\tB-NP\tO' +p260013 +aS'.\t.\t.\tO\tO' +p260014 +asS'# h/o CAD - There were new changes on EKG but pt was ruled out with 3 sets of negative cardiac enzymes .' +p260015 +(lp260016 +S'#\t#\t#\tB-NP\tO' +p260017 +aS'h/o\th/o\tNN\tI-NP\tO' +p260018 +aS'CAD\tCAD\tNN\tI-NP\tO' +p260019 +aS'-\t-\tHYPH\tO\tO' +p260020 +aS'There\tThere\tEX\tB-NP\tO' +p260021 +aS'were\tbe\tVBD\tB-VP\tO' +p260022 +aS'new\tnew\tJJ\tB-NP\tO' +p260023 +aS'changes\tchange\tNNS\tI-NP\tO' +p260024 +aS'on\ton\tIN\tB-PP\tO' +p260025 +aS'EKG\tEKG\tNN\tB-NP\tB-protein' +p260026 +aS'but\tbut\tCC\tO\tO' +p260027 +aS'pt\tpt\tNN\tB-NP\tO' +p260028 +aS'was\tbe\tVBD\tB-VP\tO' +p260029 +aS'ruled\trule\tVBN\tI-VP\tO' +p260030 +aS'out\tout\tRP\tB-PRT\tO' +p260031 +aS'with\twith\tIN\tB-PP\tO' +p260032 +aS'3\t3\tCD\tB-NP\tO' +p260033 +aS'sets\tset\tNNS\tI-NP\tO' +p260034 +aS'of\tof\tIN\tB-PP\tO' +p260035 +aS'negative\tnegative\tJJ\tB-NP\tB-protein' +p260036 +aS'cardiac\tcardiac\tJJ\tI-NP\tI-protein' +p260037 +aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' +p260038 +aS'.\t.\t.\tO\tO' +p260039 +asS'In 2003 , he had a non ST elevation MI , came to the RWH , and had a cath done , which showed a 40% RCA , which was hazy .' +p260040 +(lp260041 +S'In\tIn\tIN\tB-PP\tO' +p260042 +aS'2003\t2003\tCD\tB-NP\tO' +p260043 +aS',\t,\t,\tO\tO' +p260044 +aS'he\the\tPRP\tB-NP\tO' +p260045 +aS'had\thave\tVBD\tB-VP\tO' +p260046 +aS'a\ta\tDT\tB-NP\tO' +p260047 +aS'non\tnon\tJJ\tI-NP\tO' +p260048 +aS'ST\tST\tNN\tI-NP\tO' +p260049 +aS'elevation\televation\tNN\tI-NP\tO' +p260050 +aS'MI\tMI\tNN\tI-NP\tO' +p260051 +aS',\t,\t,\tO\tO' +p260052 +aS'came\tcome\tVBD\tB-VP\tO' +p260053 +aS'to\tto\tTO\tB-PP\tO' +p260054 +aS'the\tthe\tDT\tB-NP\tO' +p260055 +aS'RWH\tRWH\tNN\tI-NP\tB-protein' +p260056 +aS',\t,\t,\tO\tO' +p260057 +aS'and\tand\tCC\tO\tO' +p260058 +aS'had\thave\tVBD\tB-VP\tO' +p260059 +aS'a\ta\tDT\tB-NP\tO' +p260060 +aS'cath\tcath\tNN\tI-NP\tO' +p260061 +aS'done\tdone\tNN\tI-NP\tO' +p260062 +aS',\t,\t,\tO\tO' +p260063 +aS'which\twhich\tWDT\tB-NP\tO' +p260064 +aS'showed\tshow\tVBD\tB-VP\tO' +p260065 +aS'a\ta\tDT\tB-NP\tO' +p260066 +aS'40%\t40%\tJJ\tI-NP\tO' +p260067 +aS'RCA\tRCA\tNN\tI-NP\tO' +p260068 +aS',\t,\t,\tO\tO' +p260069 +aS'which\twhich\tWDT\tB-NP\tO' +p260070 +aS'was\tbe\tVBD\tB-VP\tO' +p260071 +aS'hazy\thazy\tJJ\tB-ADJP\tO' +p260072 +aS'.\t.\t.\tO\tO' +p260073 +asS'Cardiac catheterization at the end of October revealed a dilated aortic root to 4.4 cm and 80% stenosis of the mid left anterior descending at the bifurcation involving the diagonal branch , 70% stenoses of the left circumflex and oblique marginal artery and 90% stenosis of the posterior descending artery .' +p260074 +(lp260075 +S'Cardiac\tCardiac\tJJ\tB-NP\tO' +p260076 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p260077 +aS'at\tat\tIN\tB-PP\tO' +p260078 +aS'the\tthe\tDT\tB-NP\tO' +p260079 +aS'end\tend\tNN\tI-NP\tO' +p260080 +aS'of\tof\tIN\tB-PP\tO' +p260081 +aS'October\tOctober\tNNP\tB-NP\tO' +p260082 +aS'revealed\treveal\tVBD\tB-VP\tO' +p260083 +aS'a\ta\tDT\tB-NP\tO' +p260084 +aS'dilated\tdilated\tJJ\tI-NP\tO' +p260085 +aS'aortic\taortic\tJJ\tI-NP\tO' +p260086 +aS'root\troot\tNN\tI-NP\tO' +p260087 +aS'to\tto\tTO\tB-PP\tO' +p260088 +aS'4.4\t4.4\tCD\tB-NP\tO' +p260089 +aS'cm\tcm\tNN\tI-NP\tO' +p260090 +aS'and\tand\tCC\tO\tO' +p260091 +aS'80%\t80%\tCD\tB-NP\tO' +p260092 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p260093 +aS'of\tof\tIN\tB-PP\tO' +p260094 +aS'the\tthe\tDT\tB-NP\tO' +p260095 +aS'mid\tmid\tJJ\tI-NP\tO' +p260096 +aS'left\tleft\tNN\tI-NP\tO' +p260097 +aS'anterior\tanterior\tRB\tB-VP\tO' +p260098 +aS'descending\tdescend\tVBG\tI-VP\tO' +p260099 +aS'at\tat\tIN\tB-PP\tO' +p260100 +aS'the\tthe\tDT\tB-NP\tO' +p260101 +aS'bifurcation\tbifurcation\tNN\tI-NP\tO' +p260102 +aS'involving\tinvolve\tVBG\tB-VP\tO' +p260103 +aS'the\tthe\tDT\tB-NP\tO' +p260104 +aS'diagonal\tdiagonal\tJJ\tI-NP\tO' +p260105 +aS'branch\tbranch\tNN\tI-NP\tO' +p260106 +aS',\t,\t,\tO\tO' +p260107 +aS'70%\t70%\tJJ\tB-NP\tO' +p260108 +aS'stenoses\tstenosis\tNNS\tI-NP\tO' +p260109 +aS'of\tof\tIN\tB-PP\tO' +p260110 +aS'the\tthe\tDT\tB-NP\tO' +p260111 +aS'left\tleft\tJJ\tI-NP\tO' +p260112 +aS'circumflex\tcircumflex\tNN\tI-NP\tO' +p260113 +aS'and\tand\tCC\tO\tO' +p260114 +aS'oblique\toblique\tJJ\tB-NP\tO' +p260115 +aS'marginal\tmarginal\tJJ\tI-NP\tO' +p260116 +aS'artery\tartery\tNN\tI-NP\tO' +p260117 +aS'and\tand\tCC\tI-NP\tO' +p260118 +aS'90%\t90%\tNN\tI-NP\tO' +p260119 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p260120 +aS'of\tof\tIN\tB-PP\tO' +p260121 +aS'the\tthe\tDT\tB-NP\tO' +p260122 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p260123 +aS'descending\tdescend\tVBG\tI-NP\tO' +p260124 +aS'artery\tartery\tNN\tI-NP\tO' +p260125 +aS'.\t.\t.\tO\tO' +p260126 +asS'For this reason , it was decided to maximize her beta blockers and nitrates .' +p260127 +(lp260128 +S'For\tFor\tIN\tB-PP\tO' +p260129 +aS'this\tthis\tDT\tB-NP\tO' +p260130 +aS'reason\treason\tNN\tI-NP\tO' +p260131 +aS',\t,\t,\tO\tO' +p260132 +aS'it\tit\tPRP\tB-NP\tO' +p260133 +aS'was\tbe\tVBD\tB-VP\tO' +p260134 +aS'decided\tdecide\tVBN\tI-VP\tO' +p260135 +aS'to\tto\tTO\tI-VP\tO' +p260136 +aS'maximize\tmaximize\tVB\tI-VP\tO' +p260137 +aS'her\ther\tPRP$\tB-NP\tO' +p260138 +aS'beta\tbeta\tNN\tI-NP\tO' +p260139 +aS'blockers\tblocker\tNNS\tI-NP\tO' +p260140 +aS'and\tand\tCC\tI-NP\tO' +p260141 +aS'nitrates\tnitrate\tNNS\tI-NP\tO' +p260142 +aS'.\t.\t.\tO\tO' +p260143 +asS'Recent pneumonia .' +p260144 +(lp260145 +S'Recent\tRecent\tJJ\tB-NP\tO' +p260146 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p260147 +aS'.\t.\t.\tO\tO' +p260148 +asS'The transfusion was stopped and the patient was given Tylenol 1 mg with epinephrine , 100 mg of hydrocortisone , 25 mg of Benadryl and Demerol 15 as well as Pepcid .' +p260149 +(lp260150 +S'The\tThe\tDT\tB-NP\tO' +p260151 +aS'transfusion\ttransfusion\tNN\tI-NP\tO' +p260152 +aS'was\tbe\tVBD\tB-VP\tO' +p260153 +aS'stopped\tstop\tVBN\tI-VP\tO' +p260154 +aS'and\tand\tCC\tO\tO' +p260155 +aS'the\tthe\tDT\tB-NP\tO' +p260156 +aS'patient\tpatient\tNN\tI-NP\tO' +p260157 +aS'was\tbe\tVBD\tB-VP\tO' +p260158 +aS'given\tgive\tVBN\tI-VP\tO' +p260159 +aS'Tylenol\tTylenol\tNN\tB-NP\tO' +p260160 +aS'1\t1\tCD\tI-NP\tO' +p260161 +aS'mg\tmg\tNN\tI-NP\tO' +p260162 +aS'with\twith\tIN\tB-PP\tO' +p260163 +aS'epinephrine\tepinephrine\tNN\tB-NP\tO' +p260164 +aS',\t,\t,\tO\tO' +p260165 +aS'100\t100\tCD\tB-NP\tO' +p260166 +aS'mg\tmg\tNN\tI-NP\tO' +p260167 +aS'of\tof\tIN\tB-PP\tO' +p260168 +aS'hydrocortisone\thydrocortisone\tNN\tB-NP\tO' +p260169 +aS',\t,\t,\tO\tO' +p260170 +aS'25\t25\tCD\tB-NP\tO' +p260171 +aS'mg\tmg\tNN\tI-NP\tO' +p260172 +aS'of\tof\tIN\tB-PP\tO' +p260173 +aS'Benadryl\tBenadryl\tNN\tB-NP\tO' +p260174 +aS'and\tand\tCC\tO\tO' +p260175 +aS'Demerol\tDemerol\tNN\tB-NP\tO' +p260176 +aS'15\t15\tCD\tI-NP\tO' +p260177 +aS'as\tas\tRB\tB-CONJP\tO' +p260178 +aS'well\twell\tRB\tI-CONJP\tO' +p260179 +aS'as\tas\tIN\tI-CONJP\tO' +p260180 +aS'Pepcid\tPepcid\tNNP\tB-NP\tO' +p260181 +aS'.\t.\t.\tO\tO' +p260182 +asS'As stated above , the patient self-extubated herself .' +p260183 +(lp260184 +S'As\tAs\tIN\tB-SBAR\tO' +p260185 +aS'stated\tstate\tVBN\tB-VP\tO' +p260186 +aS'above\tabove\tRB\tB-ADVP\tO' +p260187 +aS',\t,\t,\tO\tO' +p260188 +aS'the\tthe\tDT\tB-NP\tO' +p260189 +aS'patient\tpatient\tNN\tI-NP\tO' +p260190 +aS'self-extubated\tself-extubate\tVBD\tB-VP\tO' +p260191 +aS'herself\therself\tPRP\tB-NP\tO' +p260192 +aS'.\t.\t.\tO\tO' +p260193 +asS'She was maintained on intravenous heparin and was brought back to the cardiac catheterization laboratory on 08-18-93 for a relook coronary angiography .' +p260194 +(lp260195 +S'She\tShe\tPRP\tB-NP\tO' +p260196 +aS'was\tbe\tVBD\tB-VP\tO' +p260197 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p260198 +aS'on\ton\tIN\tB-PP\tO' +p260199 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p260200 +aS'heparin\theparin\tNN\tI-NP\tO' +p260201 +aS'and\tand\tCC\tO\tO' +p260202 +aS'was\tbe\tVBD\tB-VP\tO' +p260203 +aS'brought\tbring\tVBN\tI-VP\tO' +p260204 +aS'back\tback\tRB\tB-ADVP\tO' +p260205 +aS'to\tto\tTO\tB-PP\tO' +p260206 +aS'the\tthe\tDT\tB-NP\tO' +p260207 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p260208 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p260209 +aS'laboratory\tlaboratory\tNN\tI-NP\tO' +p260210 +aS'on\ton\tIN\tB-PP\tO' +p260211 +aS'08-18-93\t08-18-93\tCD\tB-NP\tO' +p260212 +aS'for\tfor\tIN\tB-PP\tO' +p260213 +aS'a\ta\tDT\tB-NP\tO' +p260214 +aS'relook\trelook\tNN\tI-NP\tO' +p260215 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p260216 +aS'angiography\tangiography\tNN\tI-NP\tO' +p260217 +aS'.\t.\t.\tO\tO' +p260218 +asS'A Holter showed atrial fibrillation with period of ventricular bigemini .' +p260219 +(lp260220 +S'A\tA\tDT\tB-NP\tO' +p260221 +aS'Holter\tHolter\tNNP\tI-NP\tO' +p260222 +aS'showed\tshow\tVBD\tB-VP\tO' +p260223 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p260224 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p260225 +aS'with\twith\tIN\tB-PP\tO' +p260226 +aS'period\tperiod\tNN\tB-NP\tO' +p260227 +aS'of\tof\tIN\tB-PP\tO' +p260228 +aS'ventricular\tventricular\tJJ\tB-NP\tB-protein' +p260229 +aS'bigemini\tbigemini\tNNS\tI-NP\tI-protein' +p260230 +aS'.\t.\t.\tO\tO' +p260231 +asS'4. Metoprolol Tartrate 25 mg Tablet Sig : 0.5 Tablet PO BID ( 2 times a day ) .' +p260232 +(lp260233 +S'4.\t4.\tLS\tB-NP\tO' +p260234 +aS'Metoprolol\tMetoprolol\tNN\tI-NP\tO' +p260235 +aS'Tartrate\tTartrate\tNN\tI-NP\tO' +p260236 +aS'25\t25\tCD\tI-NP\tO' +p260237 +aS'mg\tmg\tNN\tI-NP\tO' +p260238 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p260239 +aS'Sig\tSig\tNNP\tI-NP\tO' +p260240 +aS':\t:\t:\tO\tO' +p260241 +aS'0.5\t0.5\tCD\tB-NP\tO' +p260242 +aS'Tablet\tTablet\tNN\tI-NP\tO' +p260243 +aS'PO\tPO\tNN\tI-NP\tO' +p260244 +aS'BID\tBID\tNN\tI-NP\tO' +p260245 +aS'(\t(\t(\tO\tO' +p260246 +aS'2\t2\tCD\tB-NP\tO' +p260247 +aS'times\ttime\tNNS\tI-NP\tO' +p260248 +aS'a\ta\tDT\tB-NP\tO' +p260249 +aS'day\tday\tNN\tI-NP\tO' +p260250 +aS')\t)\t)\tO\tO' +p260251 +aS'.\t.\t.\tO\tO' +p260252 +asS'5. Knee surgeries .' +p260253 +(lp260254 +S'5.\t5.\tLS\tB-NP\tO' +p260255 +aS'Knee\tKnee\tNNP\tI-NP\tO' +p260256 +aS'surgeries\tsurgery\tNNS\tI-NP\tO' +p260257 +aS'.\t.\t.\tO\tO' +p260258 +asS'She was admitted for likely gastroparesis and eventually had a complete fever work-up that included a negative chest x-ray , blood cultures , and urine culture .' +p260259 +(lp260260 +S'She\tShe\tPRP\tB-NP\tO' +p260261 +aS'was\tbe\tVBD\tB-VP\tO' +p260262 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p260263 +aS'for\tfor\tIN\tB-PP\tO' +p260264 +aS'likely\tlikely\tJJ\tB-NP\tO' +p260265 +aS'gastroparesis\tgastroparesis\tNN\tI-NP\tO' +p260266 +aS'and\tand\tCC\tO\tO' +p260267 +aS'eventually\teventually\tRB\tB-VP\tO' +p260268 +aS'had\thave\tVBD\tI-VP\tO' +p260269 +aS'a\ta\tDT\tB-NP\tO' +p260270 +aS'complete\tcomplete\tJJ\tI-NP\tO' +p260271 +aS'fever\tfever\tNN\tI-NP\tO' +p260272 +aS'work-up\twork-up\tNN\tI-NP\tO' +p260273 +aS'that\tthat\tWDT\tB-NP\tO' +p260274 +aS'included\tinclude\tVBD\tB-VP\tO' +p260275 +aS'a\ta\tDT\tB-NP\tO' +p260276 +aS'negative\tnegative\tJJ\tI-NP\tO' +p260277 +aS'chest\tchest\tNN\tI-NP\tO' +p260278 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p260279 +aS',\t,\t,\tO\tO' +p260280 +aS'blood\tblood\tNN\tB-NP\tO' +p260281 +aS'cultures\tculture\tNNS\tI-NP\tO' +p260282 +aS',\t,\t,\tO\tO' +p260283 +aS'and\tand\tCC\tO\tO' +p260284 +aS'urine\turine\tNN\tB-NP\tO' +p260285 +aS'culture\tculture\tNN\tI-NP\tO' +p260286 +aS'.\t.\t.\tO\tO' +p260287 +asS'Delivery by cesarean section was prompted by ongoing labor .' +p260288 +(lp260289 +S'Delivery\tDelivery\tNN\tB-NP\tO' +p260290 +aS'by\tby\tIN\tB-PP\tO' +p260291 +aS'cesarean\tcesarean\tJJ\tB-NP\tO' +p260292 +aS'section\tsection\tNN\tI-NP\tO' +p260293 +aS'was\tbe\tVBD\tB-VP\tO' +p260294 +aS'prompted\tprompt\tVBN\tI-VP\tO' +p260295 +aS'by\tby\tIN\tB-PP\tO' +p260296 +aS'ongoing\tongoing\tJJ\tB-NP\tO' +p260297 +aS'labor\tlabor\tNN\tI-NP\tO' +p260298 +aS'.\t.\t.\tO\tO' +p260299 +asS"He was transferred to St. Margaret 's Center for Women & Infants John for further management on AC , RR 15 , PEEP 5 , Vt 500 , Fi02 1.0 ." +p260300 +(lp260301 +S'He\tHe\tPRP\tB-NP\tO' +p260302 +aS'was\tbe\tVBD\tB-VP\tO' +p260303 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p260304 +aS'to\tto\tTO\tB-PP\tO' +p260305 +aS'St.\tSt.\tNNP\tB-NP\tO' +p260306 +aS'Margaret\tMargaret\tNNP\tI-NP\tO' +p260307 +aS"'s\t's\tPOS\tB-NP\tO" +p260308 +aS'Center\tCenter\tNNP\tI-NP\tO' +p260309 +aS'for\tfor\tIN\tB-PP\tO' +p260310 +aS'Women\tWomen\tNNP\tB-NP\tO' +p260311 +aS'&\t&\tCC\tI-NP\tO' +p260312 +aS'Infants\tInfants\tNNP\tI-NP\tO' +p260313 +aS'John\tJohn\tNNP\tI-NP\tO' +p260314 +aS'for\tfor\tIN\tB-PP\tO' +p260315 +aS'further\tfurther\tJJ\tB-NP\tO' +p260316 +aS'management\tmanagement\tNN\tI-NP\tO' +p260317 +aS'on\ton\tIN\tB-PP\tO' +p260318 +aS'AC\tAC\tNNP\tB-NP\tO' +p260319 +aS',\t,\t,\tO\tO' +p260320 +aS'RR\tRR\tNNP\tB-NP\tB-protein' +p260321 +aS'15\t15\tCD\tI-NP\tI-protein' +p260322 +aS',\t,\t,\tO\tO' +p260323 +aS'PEEP\tPEEP\tNN\tB-NP\tB-protein' +p260324 +aS'5\t5\tCD\tI-NP\tI-protein' +p260325 +aS',\t,\t,\tO\tO' +p260326 +aS'Vt\tVt\tNNP\tB-NP\tO' +p260327 +aS'500\t500\tCD\tI-NP\tO' +p260328 +aS',\t,\t,\tO\tO' +p260329 +aS'Fi02\tFi02\tCD\tB-NP\tO' +p260330 +aS'1.0\t1.0\tCD\tI-NP\tO' +p260331 +aS'.\t.\t.\tO\tO' +p260332 +asS'92 year old woman with MS changes , abd pain hypotension and bloody lavage on Lovenox+ASA' +p260333 +(lp260334 +S'92\t92\tCD\tB-NP\tO' +p260335 +aS'year\tyear\tNN\tI-NP\tO' +p260336 +aS'old\told\tJJ\tI-NP\tO' +p260337 +aS'woman\twoman\tNN\tI-NP\tO' +p260338 +aS'with\twith\tIN\tB-PP\tO' +p260339 +aS'MS\tMS\tNN\tB-NP\tO' +p260340 +aS'changes\tchange\tNNS\tI-NP\tO' +p260341 +aS',\t,\t,\tO\tO' +p260342 +aS'abd\tabd\tNN\tB-NP\tO' +p260343 +aS'pain\tpain\tNN\tI-NP\tO' +p260344 +aS'hypotension\thypotension\tNN\tI-NP\tO' +p260345 +aS'and\tand\tCC\tO\tO' +p260346 +aS'bloody\tbloody\tJJ\tB-NP\tO' +p260347 +aS'lavage\tlavage\tNN\tI-NP\tO' +p260348 +aS'on\ton\tIN\tB-PP\tO' +p260349 +aS'Lovenox+ASA\tLovenox+ASA\tNN\tB-NP\tO' +p260350 +asS'She was doing well with at least 4+ strength in all of her extremities , when on 11/13 , she had an acute drop in her systolic blood pressure to 70 for unclear reasons and without evidence of acute sepsis .' +p260351 +(lp260352 +S'She\tShe\tPRP\tB-NP\tO' +p260353 +aS'was\tbe\tVBD\tB-VP\tO' +p260354 +aS'doing\tdo\tVBG\tI-VP\tO' +p260355 +aS'well\twell\tRB\tB-ADVP\tO' +p260356 +aS'with\twith\tIN\tB-PP\tO' +p260357 +aS'at\tat\tIN\tB-NP\tO' +p260358 +aS'least\tleast\tJJS\tI-NP\tO' +p260359 +aS'4+\t4+\tJJ\tI-NP\tO' +p260360 +aS'strength\tstrength\tNN\tI-NP\tO' +p260361 +aS'in\tin\tIN\tB-PP\tO' +p260362 +aS'all\tall\tDT\tB-NP\tO' +p260363 +aS'of\tof\tIN\tB-PP\tO' +p260364 +aS'her\ther\tPRP$\tB-NP\tO' +p260365 +aS'extremities\textremity\tNNS\tI-NP\tO' +p260366 +aS',\t,\t,\tO\tO' +p260367 +aS'when\twhen\tWRB\tB-ADVP\tO' +p260368 +aS'on\ton\tIN\tB-PP\tO' +p260369 +aS'11/13\t11/13\tCD\tB-NP\tO' +p260370 +aS',\t,\t,\tO\tO' +p260371 +aS'she\tshe\tPRP\tB-NP\tO' +p260372 +aS'had\thave\tVBD\tB-VP\tO' +p260373 +aS'an\tan\tDT\tB-NP\tO' +p260374 +aS'acute\tacute\tJJ\tI-NP\tO' +p260375 +aS'drop\tdrop\tNN\tI-NP\tO' +p260376 +aS'in\tin\tIN\tB-PP\tO' +p260377 +aS'her\ther\tPRP$\tB-NP\tO' +p260378 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p260379 +aS'blood\tblood\tNN\tI-NP\tO' +p260380 +aS'pressure\tpressure\tNN\tI-NP\tO' +p260381 +aS'to\tto\tTO\tB-PP\tO' +p260382 +aS'70\t70\tCD\tB-NP\tO' +p260383 +aS'for\tfor\tIN\tB-PP\tO' +p260384 +aS'unclear\tunclear\tJJ\tB-NP\tO' +p260385 +aS'reasons\treason\tNNS\tI-NP\tO' +p260386 +aS'and\tand\tCC\tB-PP\tO' +p260387 +aS'without\twithout\tIN\tB-PP\tO' +p260388 +aS'evidence\tevidence\tNN\tB-NP\tO' +p260389 +aS'of\tof\tIN\tB-PP\tO' +p260390 +aS'acute\tacute\tJJ\tB-NP\tO' +p260391 +aS'sepsis\tsepsis\tNN\tI-NP\tO' +p260392 +aS'.\t.\t.\tO\tO' +p260393 +asS'Endovascular repair of abdominal aortic aneurysm with bifurcated device on September 9 , 2003 .' +p260394 +(lp260395 +S'Endovascular\tEndovascular\tJJ\tB-NP\tO' +p260396 +aS'repair\trepair\tNN\tI-NP\tO' +p260397 +aS'of\tof\tIN\tB-PP\tO' +p260398 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p260399 +aS'aortic\taortic\tJJ\tI-NP\tO' +p260400 +aS'aneurysm\taneurysm\tNN\tI-NP\tO' +p260401 +aS'with\twith\tIN\tB-PP\tO' +p260402 +aS'bifurcated\tbifurcate\tVBN\tB-NP\tO' +p260403 +aS'device\tdevice\tNN\tI-NP\tO' +p260404 +aS'on\ton\tIN\tB-PP\tO' +p260405 +aS'September\tSeptember\tNNP\tB-NP\tO' +p260406 +aS'9\t9\tCD\tI-NP\tO' +p260407 +aS',\t,\t,\tI-NP\tO' +p260408 +aS'2003\t2003\tCD\tI-NP\tO' +p260409 +aS'.\t.\t.\tO\tO' +p260410 +asS'I certify that I was present for this procedure in compliance with HCFA regulations .' +p260411 +(lp260412 +S'I\tI\tPRP\tB-NP\tO' +p260413 +aS'certify\tcertify\tVBP\tB-VP\tO' +p260414 +aS'that\tthat\tIN\tB-SBAR\tO' +p260415 +aS'I\tI\tPRP\tB-NP\tO' +p260416 +aS'was\tbe\tVBD\tB-VP\tO' +p260417 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p260418 +aS'for\tfor\tIN\tB-PP\tO' +p260419 +aS'this\tthis\tDT\tB-NP\tO' +p260420 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p260421 +aS'in\tin\tIN\tB-PP\tO' +p260422 +aS'compliance\tcompliance\tNN\tB-NP\tO' +p260423 +aS'with\twith\tIN\tB-PP\tO' +p260424 +aS'HCFA\tHCFA\tNN\tB-NP\tO' +p260425 +aS'regulations\tregulation\tNNS\tI-NP\tO' +p260426 +aS'.\t.\t.\tO\tO' +p260427 +asS'left coronary artery stenosis .' +p260428 +(lp260429 +S'left\tleft\tJJ\tB-NP\tO' +p260430 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p260431 +aS'artery\tartery\tNN\tI-NP\tO' +p260432 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p260433 +aS'.\t.\t.\tO\tO' +p260434 +asS'Her MESNA alone was continued at that time for IV infusion .' +p260435 +(lp260436 +S'Her\tHer\tPRP$\tB-NP\tO' +p260437 +aS'MESNA\tMESNA\tNN\tI-NP\tB-protein' +p260438 +aS'alone\talone\tRB\tB-ADVP\tO' +p260439 +aS'was\tbe\tVBD\tB-VP\tO' +p260440 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p260441 +aS'at\tat\tIN\tB-PP\tO' +p260442 +aS'that\tthat\tDT\tB-NP\tO' +p260443 +aS'time\ttime\tNN\tI-NP\tO' +p260444 +aS'for\tfor\tIN\tB-PP\tO' +p260445 +aS'IV\tIV\tCD\tB-NP\tO' +p260446 +aS'infusion\tinfusion\tNN\tI-NP\tO' +p260447 +aS'.\t.\t.\tO\tO' +p260448 +asS'He has had worsening dyspnea and paroxysmal nocturnal dyspnea , though denies orthopnea .' +p260449 +(lp260450 +S'He\tHe\tPRP\tB-NP\tO' +p260451 +aS'has\thave\tVBZ\tB-VP\tO' +p260452 +aS'had\thave\tVBN\tI-VP\tO' +p260453 +aS'worsening\tworsen\tVBG\tI-VP\tO' +p260454 +aS'dyspnea\tdyspnea\tNN\tB-NP\tO' +p260455 +aS'and\tand\tCC\tO\tO' +p260456 +aS'paroxysmal\tparoxysmal\tJJ\tB-NP\tO' +p260457 +aS'nocturnal\tnocturnal\tJJ\tI-NP\tO' +p260458 +aS'dyspnea\tdyspnea\tNN\tI-NP\tO' +p260459 +aS',\t,\t,\tO\tO' +p260460 +aS'though\tthough\tIN\tB-SBAR\tO' +p260461 +aS'denies\tdeny\tNNS\tB-NP\tO' +p260462 +aS'orthopnea\torthopnea\tNN\tI-NP\tO' +p260463 +aS'.\t.\t.\tO\tO' +p260464 +asS'Note , please draw blood for vancomycin levels on 25 May 1998 , before the next dose , to get the trough level .' +p260465 +(lp260466 +S'Note\tNote\tVB\tB-VP\tO' +p260467 +aS',\t,\t,\tO\tO' +p260468 +aS'please\tplease\tVB\tB-VP\tO' +p260469 +aS'draw\tdraw\tNN\tB-NP\tO' +p260470 +aS'blood\tblood\tNN\tI-NP\tO' +p260471 +aS'for\tfor\tIN\tB-PP\tO' +p260472 +aS'vancomycin\tvancomycin\tNN\tB-NP\tO' +p260473 +aS'levels\tlevel\tNNS\tI-NP\tO' +p260474 +aS'on\ton\tIN\tB-PP\tO' +p260475 +aS'25\t25\tCD\tB-NP\tO' +p260476 +aS'May\tMay\tNNP\tI-NP\tO' +p260477 +aS'1998\t1998\tCD\tI-NP\tO' +p260478 +aS',\t,\t,\tO\tO' +p260479 +aS'before\tbefore\tIN\tB-PP\tO' +p260480 +aS'the\tthe\tDT\tB-NP\tO' +p260481 +aS'next\tnext\tJJ\tI-NP\tO' +p260482 +aS'dose\tdose\tNN\tI-NP\tO' +p260483 +aS',\t,\t,\tO\tO' +p260484 +aS'to\tto\tTO\tB-VP\tO' +p260485 +aS'get\tget\tVB\tI-VP\tO' +p260486 +aS'the\tthe\tDT\tB-NP\tO' +p260487 +aS'trough\ttrough\tNN\tI-NP\tO' +p260488 +aS'level\tlevel\tNN\tI-NP\tO' +p260489 +aS'.\t.\t.\tO\tO' +p260490 +asS'This is a 75 year old righthanded Caucasian female who was admitted to the Fairm of Ijordcompmac Hospital because of left facial droop and hand weakness after glaucoma laser surgery .' +p260491 +(lp260492 +S'This\tThis\tDT\tB-NP\tO' +p260493 +aS'is\tbe\tVBZ\tB-VP\tO' +p260494 +aS'a\ta\tDT\tB-NP\tO' +p260495 +aS'75\t75\tCD\tI-NP\tO' +p260496 +aS'year\tyear\tNN\tI-NP\tO' +p260497 +aS'old\told\tJJ\tI-NP\tO' +p260498 +aS'righthanded\trighthanded\tJJ\tI-NP\tO' +p260499 +aS'Caucasian\tCaucasian\tJJ\tI-NP\tO' +p260500 +aS'female\tfemale\tNN\tI-NP\tO' +p260501 +aS'who\twho\tWP\tB-NP\tO' +p260502 +aS'was\tbe\tVBD\tB-VP\tO' +p260503 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p260504 +aS'to\tto\tTO\tB-PP\tO' +p260505 +aS'the\tthe\tDT\tB-NP\tO' +p260506 +aS'Fairm\tFairm\tNNP\tI-NP\tO' +p260507 +aS'of\tof\tIN\tB-PP\tO' +p260508 +aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' +p260509 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p260510 +aS'because\tbecause\tIN\tB-PP\tO' +p260511 +aS'of\tof\tIN\tI-PP\tO' +p260512 +aS'left\tleft\tJJ\tB-NP\tO' +p260513 +aS'facial\tfacial\tJJ\tI-NP\tO' +p260514 +aS'droop\tdroop\tNN\tI-NP\tO' +p260515 +aS'and\tand\tCC\tI-NP\tO' +p260516 +aS'hand\thand\tNN\tI-NP\tO' +p260517 +aS'weakness\tweakness\tNN\tI-NP\tO' +p260518 +aS'after\tafter\tIN\tB-PP\tO' +p260519 +aS'glaucoma\tglaucoma\tNN\tB-NP\tO' +p260520 +aS'laser\tlaser\tNN\tI-NP\tO' +p260521 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p260522 +aS'.\t.\t.\tO\tO' +p260523 +asS'The patient was to be transferred to the floor on postoperative day #2 , however , due to the lack of beds , he remained in the ICU until postoperative day #3 .' +p260524 +(lp260525 +S'The\tThe\tDT\tB-NP\tO' +p260526 +aS'patient\tpatient\tNN\tI-NP\tO' +p260527 +aS'was\tbe\tVBD\tB-VP\tO' +p260528 +aS'to\tto\tTO\tI-VP\tO' +p260529 +aS'be\tbe\tVB\tI-VP\tO' +p260530 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p260531 +aS'to\tto\tTO\tB-PP\tO' +p260532 +aS'the\tthe\tDT\tB-NP\tO' +p260533 +aS'floor\tfloor\tNN\tI-NP\tO' +p260534 +aS'on\ton\tIN\tB-PP\tO' +p260535 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p260536 +aS'day\tday\tNN\tI-NP\tO' +p260537 +aS'#2\t#2\tNN\tI-NP\tO' +p260538 +aS',\t,\t,\tO\tO' +p260539 +aS'however\thowever\tRB\tB-ADVP\tO' +p260540 +aS',\t,\t,\tO\tO' +p260541 +aS'due\tdue\tJJ\tB-PP\tO' +p260542 +aS'to\tto\tTO\tI-PP\tO' +p260543 +aS'the\tthe\tDT\tB-NP\tO' +p260544 +aS'lack\tlack\tNN\tI-NP\tO' +p260545 +aS'of\tof\tIN\tB-PP\tO' +p260546 +aS'beds\tbed\tNNS\tB-NP\tO' +p260547 +aS',\t,\t,\tO\tO' +p260548 +aS'he\the\tPRP\tB-NP\tO' +p260549 +aS'remained\tremain\tVBD\tB-VP\tO' +p260550 +aS'in\tin\tIN\tB-PP\tO' +p260551 +aS'the\tthe\tDT\tB-NP\tO' +p260552 +aS'ICU\tICU\tNN\tI-NP\tB-DNA' +p260553 +aS'until\tuntil\tIN\tB-PP\tO' +p260554 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p260555 +aS'day\tday\tNN\tI-NP\tO' +p260556 +aS'#3\t#3\tNN\tI-NP\tO' +p260557 +aS'.\t.\t.\tO\tO' +p260558 +asS'No effusions or pneumothorax .' +p260559 +(lp260560 +S'No\tNo\tDT\tB-NP\tO' +p260561 +aS'effusions\teffusion\tNNS\tI-NP\tO' +p260562 +aS'or\tor\tCC\tI-NP\tO' +p260563 +aS'pneumothorax\tpneumothorax\tNN\tI-NP\tO' +p260564 +aS'.\t.\t.\tO\tO' +p260565 +asS'Basilar artery stenosis with basilar thrombosis and " top of the basilar " syndrome .' +p260566 +(lp260567 +S'Basilar\tBasilar\tJJ\tB-NP\tO' +p260568 +aS'artery\tartery\tNN\tI-NP\tO' +p260569 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p260570 +aS'with\twith\tIN\tB-PP\tO' +p260571 +aS'basilar\tbasilar\tJJ\tB-NP\tO' +p260572 +aS'thrombosis\tthrombosis\tNN\tI-NP\tO' +p260573 +aS'and\tand\tCC\tI-NP\tO' +p260574 +aS'"\t"\tNN\tI-NP\tO' +p260575 +aS'top\ttop\tNN\tI-NP\tO' +p260576 +aS'of\tof\tIN\tB-PP\tO' +p260577 +aS'the\tthe\tDT\tB-NP\tO' +p260578 +aS'basilar\tbasilar\tJJ\tI-NP\tO' +p260579 +aS'"\t"\tNN\tI-NP\tO' +p260580 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p260581 +aS'.\t.\t.\tO\tO' +p260582 +asS'Disp :* 60 Capsule (s)* Refills :* 0 *' +p260583 +(lp260584 +S'Disp\tDisp\tNN\tB-NP\tO' +p260585 +aS':*\t:*\tSYM\tI-NP\tO' +p260586 +aS'60\t60\tCD\tI-NP\tO' +p260587 +aS'Capsule\tCapsule\tNN\tI-NP\tO' +p260588 +aS'(s)*\t(s)*\tSYM\tB-NP\tO' +p260589 +aS'Refills\tRefill\tNNPS\tI-NP\tO' +p260590 +aS':*\t:*\tSYM\tB-NP\tO' +p260591 +aS'0\t0\tCD\tI-NP\tO' +p260592 +aS'*\t*\tSYM\tB-NP\tO' +p260593 +asS'However , he does require diuresis to prevent increased volume overload in his lungs from his hypoalbunemic state .' +p260594 +(lp260595 +S'However\tHowever\tRB\tB-ADVP\tO' +p260596 +aS',\t,\t,\tO\tO' +p260597 +aS'he\the\tPRP\tB-NP\tO' +p260598 +aS'does\tdo\tVBZ\tB-VP\tO' +p260599 +aS'require\trequire\tVB\tI-VP\tO' +p260600 +aS'diuresis\tdiuresis\tNN\tB-NP\tO' +p260601 +aS'to\tto\tTO\tB-VP\tO' +p260602 +aS'prevent\tprevent\tVB\tI-VP\tO' +p260603 +aS'increased\tincrease\tVBN\tB-NP\tO' +p260604 +aS'volume\tvolume\tNN\tI-NP\tO' +p260605 +aS'overload\toverload\tNN\tI-NP\tO' +p260606 +aS'in\tin\tIN\tB-PP\tO' +p260607 +aS'his\this\tPRP$\tB-NP\tO' +p260608 +aS'lungs\tlung\tNNS\tI-NP\tO' +p260609 +aS'from\tfrom\tIN\tB-PP\tO' +p260610 +aS'his\this\tPRP$\tB-NP\tO' +p260611 +aS'hypoalbunemic\thypoalbunemic\tJJ\tI-NP\tO' +p260612 +aS'state\tstate\tNN\tI-NP\tO' +p260613 +aS'.\t.\t.\tO\tO' +p260614 +asS'Please hold dose of warfarin on the night of the 16 , and please recheck INR on 2016-11-16 and dose warfarin appropriately for INR of 2 to 2.5.' +p260615 +(lp260616 +S'Please\tPlease\tNN\tB-NP\tB-protein' +p260617 +aS'hold\thold\tVBP\tB-VP\tO' +p260618 +aS'dose\tdose\tNN\tB-NP\tO' +p260619 +aS'of\tof\tIN\tB-PP\tO' +p260620 +aS'warfarin\twarfarin\tNN\tB-NP\tO' +p260621 +aS'on\ton\tIN\tB-PP\tO' +p260622 +aS'the\tthe\tDT\tB-NP\tO' +p260623 +aS'night\tnight\tNN\tI-NP\tO' +p260624 +aS'of\tof\tIN\tB-PP\tO' +p260625 +aS'the\tthe\tDT\tB-NP\tO' +p260626 +aS'16\t16\tCD\tI-NP\tO' +p260627 +aS',\t,\t,\tO\tO' +p260628 +aS'and\tand\tCC\tO\tO' +p260629 +aS'please\tplease\tVB\tB-VP\tO' +p260630 +aS'recheck\trecheck\tNN\tB-NP\tO' +p260631 +aS'INR\tINR\tNN\tI-NP\tO' +p260632 +aS'on\ton\tIN\tB-PP\tO' +p260633 +aS'2016-11-16\t2016-11-16\tCD\tB-NP\tO' +p260634 +aS'and\tand\tCC\tO\tO' +p260635 +aS'dose\tdose\tNN\tB-NP\tO' +p260636 +aS'warfarin\twarfarin\tNN\tI-NP\tO' +p260637 +aS'appropriately\tappropriately\tRB\tB-ADVP\tO' +p260638 +aS'for\tfor\tIN\tB-PP\tO' +p260639 +aS'INR\tINR\tNN\tB-NP\tB-protein' +p260640 +aS'of\tof\tIN\tB-PP\tO' +p260641 +aS'2\t2\tCD\tB-NP\tO' +p260642 +aS'to\tto\tTO\tB-PP\tO' +p260643 +aS'2.5.\t2.5.\tCD\tB-NP\tO' +p260644 +asS'Briley von der Ross , M.D.' +p260645 +(lp260646 +S'Briley\tBriley\tNNP\tB-NP\tO' +p260647 +aS'von\tvon\tNNP\tI-NP\tO' +p260648 +aS'der\tder\tNNP\tI-NP\tO' +p260649 +aS'Ross\tRoss\tNNP\tI-NP\tO' +p260650 +aS',\t,\t,\tO\tO' +p260651 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p260652 +asS'All range of motion with his right shoulder was painful .' +p260653 +(lp260654 +S'All\tAll\tDT\tB-NP\tO' +p260655 +aS'range\trange\tNN\tI-NP\tO' +p260656 +aS'of\tof\tIN\tB-PP\tO' +p260657 +aS'motion\tmotion\tNN\tB-NP\tO' +p260658 +aS'with\twith\tIN\tB-PP\tO' +p260659 +aS'his\this\tPRP$\tB-NP\tO' +p260660 +aS'right\tright\tJJ\tI-NP\tO' +p260661 +aS'shoulder\tshoulder\tNN\tI-NP\tO' +p260662 +aS'was\tbe\tVBD\tB-VP\tO' +p260663 +aS'painful\tpainful\tJJ\tB-ADJP\tO' +p260664 +aS'.\t.\t.\tO\tO' +p260665 +asS'Patient is a pleasant female , in no apparent distress .' +p260666 +(lp260667 +S'Patient\tPatient\tNN\tB-NP\tO' +p260668 +aS'is\tbe\tVBZ\tB-VP\tO' +p260669 +aS'a\ta\tDT\tB-NP\tO' +p260670 +aS'pleasant\tpleasant\tJJ\tI-NP\tO' +p260671 +aS'female\tfemale\tNN\tI-NP\tO' +p260672 +aS',\t,\t,\tO\tO' +p260673 +aS'in\tin\tIN\tB-PP\tO' +p260674 +aS'no\tno\tDT\tB-NP\tO' +p260675 +aS'apparent\tapparent\tJJ\tI-NP\tO' +p260676 +aS'distress\tdistress\tNN\tI-NP\tO' +p260677 +aS'.\t.\t.\tO\tO' +p260678 +asS'The patient 's liver enzymes were noted to be elevated mid way through her hospital course , to about three times normal , especially the SGOT and SGPT .' +p260679 +(lp260680 +S'The\tThe\tDT\tB-NP\tO' +p260681 +aS'patient\tpatient\tNN\tI-NP\tO' +p260682 +aS''s\t'\tVBZ\tB-VP\tO' +p260683 +aS'liver\tliver\tNN\tB-NP\tB-protein' +p260684 +aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' +p260685 +aS'were\tbe\tVBD\tB-VP\tO' +p260686 +aS'noted\tnote\tVBN\tI-VP\tO' +p260687 +aS'to\tto\tTO\tI-VP\tO' +p260688 +aS'be\tbe\tVB\tI-VP\tO' +p260689 +aS'elevated\televate\tVBN\tI-VP\tO' +p260690 +aS'mid\tmid\tJJ\tB-NP\tO' +p260691 +aS'way\tway\tNN\tI-NP\tO' +p260692 +aS'through\tthrough\tIN\tB-PP\tO' +p260693 +aS'her\ther\tPRP$\tB-NP\tO' +p260694 +aS'hospital\thospital\tNN\tI-NP\tO' +p260695 +aS'course\tcourse\tNN\tI-NP\tO' +p260696 +aS',\t,\t,\tO\tO' +p260697 +aS'to\tto\tTO\tB-PP\tO' +p260698 +aS'about\tabout\tIN\tB-NP\tO' +p260699 +aS'three\tthree\tCD\tI-NP\tO' +p260700 +aS'times\ttime\tNNS\tI-NP\tO' +p260701 +aS'normal\tnormal\tJJ\tI-NP\tO' +p260702 +aS',\t,\t,\tO\tO' +p260703 +aS'especially\tespecially\tRB\tB-ADVP\tO' +p260704 +aS'the\tthe\tDT\tB-NP\tO' +p260705 +aS'SGOT\tSGOT\tNN\tI-NP\tO' +p260706 +aS'and\tand\tCC\tI-NP\tO' +p260707 +aS'SGPT\tSGPT\tNN\tI-NP\tO' +p260708 +aS'.\t.\t.\tO\tO' +p260709 +asS'11. Magnesium Hydroxide 400 mg / 5 mL Suspension Sig : Thirty ( 30 ) ML PO Q6H ( every 6 hours ) as needed .' +p260710 +(lp260711 +S'11.\t11.\tLS\tB-NP\tO' +p260712 +aS'Magnesium\tMagnesium\tNNP\tI-NP\tO' +p260713 +aS'Hydroxide\tHydroxide\tNNP\tI-NP\tO' +p260714 +aS'400\t400\tCD\tI-NP\tO' +p260715 +aS'mg\tmg\tNN\tI-NP\tO' +p260716 +aS'/\t/\tSYM\tB-NP\tO' +p260717 +aS'5\t5\tCD\tB-NP\tO' +p260718 +aS'mL\tmL\tNN\tI-NP\tO' +p260719 +aS'Suspension\tSuspension\tNNP\tI-NP\tO' +p260720 +aS'Sig\tSig\tNNP\tI-NP\tO' +p260721 +aS':\t:\t:\tO\tO' +p260722 +aS'Thirty\tThirty\tCD\tB-NP\tO' +p260723 +aS'(\t(\t(\tO\tO' +p260724 +aS'30\t30\tCD\tO\tO' +p260725 +aS')\t)\t)\tO\tO' +p260726 +aS'ML\tML\tNN\tB-NP\tO' +p260727 +aS'PO\tPO\tNN\tI-NP\tO' +p260728 +aS'Q6H\tQ6H\tNN\tI-NP\tO' +p260729 +aS'(\t(\t(\tO\tO' +p260730 +aS'every\tevery\tDT\tB-NP\tO' +p260731 +aS'6\t6\tCD\tI-NP\tO' +p260732 +aS'hours\thour\tNNS\tI-NP\tO' +p260733 +aS')\t)\t)\tO\tO' +p260734 +aS'as\tas\tIN\tB-SBAR\tO' +p260735 +aS'needed\tneed\tVBN\tB-VP\tO' +p260736 +aS'.\t.\t.\tO\tO' +p260737 +asS'She is currently receiving 11 mg po every day .' +p260738 +(lp260739 +S'She\tShe\tPRP\tB-NP\tO' +p260740 +aS'is\tbe\tVBZ\tB-VP\tO' +p260741 +aS'currently\tcurrently\tRB\tI-VP\tO' +p260742 +aS'receiving\treceive\tVBG\tI-VP\tO' +p260743 +aS'11\t11\tCD\tB-NP\tO' +p260744 +aS'mg\tmg\tNN\tI-NP\tO' +p260745 +aS'po\tpo\tRB\tB-NP\tO' +p260746 +aS'every\tevery\tDT\tI-NP\tO' +p260747 +aS'day\tday\tNN\tI-NP\tO' +p260748 +aS'.\t.\t.\tO\tO' +p260749 +asS'Hct stabilized to 24 for three days prior to discharge .' +p260750 +(lp260751 +S'Hct\tHct\tNN\tB-NP\tO' +p260752 +aS'stabilized\tstabilize\tVBD\tB-VP\tO' +p260753 +aS'to\tto\tTO\tB-PP\tO' +p260754 +aS'24\t24\tCD\tB-NP\tO' +p260755 +aS'for\tfor\tIN\tB-PP\tO' +p260756 +aS'three\tthree\tCD\tB-NP\tO' +p260757 +aS'days\tday\tNNS\tI-NP\tO' +p260758 +aS'prior\tprior\tRB\tB-ADVP\tO' +p260759 +aS'to\tto\tTO\tB-VP\tO' +p260760 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p260761 +aS'.\t.\t.\tO\tO' +p260762 +asS'Snorts cocaine 1-2 times monthly .' +p260763 +(lp260764 +S'Snorts\tSnort\tNNS\tB-NP\tO' +p260765 +aS'cocaine\tcocaine\tNN\tI-NP\tO' +p260766 +aS'1-2\t1-2\tCD\tB-NP\tO' +p260767 +aS'times\ttime\tNNS\tI-NP\tO' +p260768 +aS'monthly\tmonthly\tRB\tB-ADVP\tO' +p260769 +aS'.\t.\t.\tO\tO' +p260770 +asS'An echocardiogram performed at the outside hospital while he was septic showed decreased global EF .' +p260771 +(lp260772 +S'An\tAn\tDT\tB-NP\tO' +p260773 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p260774 +aS'performed\tperform\tVBN\tB-VP\tO' +p260775 +aS'at\tat\tIN\tB-PP\tO' +p260776 +aS'the\tthe\tDT\tB-NP\tO' +p260777 +aS'outside\toutside\tJJ\tI-NP\tO' +p260778 +aS'hospital\thospital\tNN\tI-NP\tO' +p260779 +aS'while\twhile\tIN\tB-SBAR\tO' +p260780 +aS'he\the\tPRP\tB-NP\tO' +p260781 +aS'was\tbe\tVBD\tB-VP\tO' +p260782 +aS'septic\tseptic\tJJ\tB-ADJP\tO' +p260783 +aS'showed\tshow\tVBD\tB-VP\tO' +p260784 +aS'decreased\tdecrease\tVBN\tI-VP\tO' +p260785 +aS'global\tglobal\tJJ\tB-NP\tB-protein' +p260786 +aS'EF\tEF\tNN\tI-NP\tI-protein' +p260787 +aS'.\t.\t.\tO\tO' +p260788 +asS'# Fevers : in the Amanda , high WBC , possible pneumonia .' +p260789 +(lp260790 +S'#\t#\t#\tB-NP\tO' +p260791 +aS'Fevers\tFever\tNNPS\tI-NP\tO' +p260792 +aS':\t:\t:\tO\tO' +p260793 +aS'in\tin\tIN\tB-PP\tO' +p260794 +aS'the\tthe\tDT\tB-NP\tO' +p260795 +aS'Amanda\tAmanda\tNNP\tI-NP\tO' +p260796 +aS',\t,\t,\tI-NP\tO' +p260797 +aS'high\thigh\tJJ\tI-NP\tO' +p260798 +aS'WBC\tWBC\tNNP\tI-NP\tO' +p260799 +aS',\t,\t,\tO\tO' +p260800 +aS'possible\tpossible\tJJ\tB-NP\tO' +p260801 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p260802 +aS'.\t.\t.\tO\tO' +p260803 +asS'Significant for Guillain-Barr syndrome , Lupus , status post multiple decubiti , peripheral vascular disease , status post right total knee replacement and status post cholecystectomy , status post hysterectomy , status post goiter and left lung fibrosis , status post methicillin resistant Staphylococcus aureus pneumonia .' +p260804 +(lp260805 +S'Significant\tSignificant\tJJ\tB-ADJP\tO' +p260806 +aS'for\tfor\tIN\tB-PP\tO' +p260807 +aS'Guillain-Barr\tGuillain-Barr\tJJ\tB-NP\tO' +p260808 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p260809 +aS',\t,\t,\tO\tO' +p260810 +aS'Lupus\tLupus\tNN\tB-NP\tO' +p260811 +aS',\t,\t,\tO\tO' +p260812 +aS'status\tstatus\tNN\tB-NP\tO' +p260813 +aS'post\tpost\tNN\tI-NP\tO' +p260814 +aS'multiple\tmultiple\tJJ\tI-NP\tO' +p260815 +aS'decubiti\tdecubiti\tNN\tI-NP\tO' +p260816 +aS',\t,\t,\tO\tO' +p260817 +aS'peripheral\tperipheral\tJJ\tB-NP\tO' +p260818 +aS'vascular\tvascular\tJJ\tI-NP\tO' +p260819 +aS'disease\tdisease\tNN\tI-NP\tO' +p260820 +aS',\t,\t,\tO\tO' +p260821 +aS'status\tstatus\tNN\tB-NP\tO' +p260822 +aS'post\tpost\tVBD\tB-VP\tO' +p260823 +aS'right\tright\tJJ\tB-NP\tO' +p260824 +aS'total\ttotal\tJJ\tI-NP\tO' +p260825 +aS'knee\tknee\tNN\tI-NP\tO' +p260826 +aS'replacement\treplacement\tNN\tI-NP\tO' +p260827 +aS'and\tand\tCC\tO\tO' +p260828 +aS'status\tstatus\tNN\tB-NP\tO' +p260829 +aS'post\tpost\tNN\tI-NP\tO' +p260830 +aS'cholecystectomy\tcholecystectomy\tNN\tI-NP\tO' +p260831 +aS',\t,\t,\tO\tO' +p260832 +aS'status\tstatus\tNN\tB-NP\tO' +p260833 +aS'post\tpost\tNN\tI-NP\tO' +p260834 +aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' +p260835 +aS',\t,\t,\tO\tO' +p260836 +aS'status\tstatus\tNN\tB-NP\tO' +p260837 +aS'post\tpost\tNN\tI-NP\tO' +p260838 +aS'goiter\tgoiter\tNN\tI-NP\tO' +p260839 +aS'and\tand\tCC\tO\tO' +p260840 +aS'left\tleave\tVBD\tB-VP\tO' +p260841 +aS'lung\tlung\tNN\tB-NP\tO' +p260842 +aS'fibrosis\tfibrosis\tNN\tI-NP\tO' +p260843 +aS',\t,\t,\tO\tO' +p260844 +aS'status\tstatus\tNN\tB-NP\tB-protein' +p260845 +aS'post\tpost\tNN\tI-NP\tI-protein' +p260846 +aS'methicillin\tmethicillin\tNN\tI-NP\tI-protein' +p260847 +aS'resistant\tresistant\tJJ\tI-NP\tO' +p260848 +aS'Staphylococcus\tStaphylococcus\tFW\tI-NP\tO' +p260849 +aS'aureus\taureus\tFW\tI-NP\tO' +p260850 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p260851 +aS'.\t.\t.\tO\tO' +p260852 +asS'The chest was clear and the cardiac rhythm was regular .' +p260853 +(lp260854 +S'The\tThe\tDT\tB-NP\tO' +p260855 +aS'chest\tchest\tNN\tI-NP\tO' +p260856 +aS'was\tbe\tVBD\tB-VP\tO' +p260857 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p260858 +aS'and\tand\tCC\tO\tO' +p260859 +aS'the\tthe\tDT\tB-NP\tO' +p260860 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p260861 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p260862 +aS'was\tbe\tVBD\tB-VP\tO' +p260863 +aS'regular\tregular\tJJ\tB-ADJP\tO' +p260864 +aS'.\t.\t.\tO\tO' +p260865 +asS'Augmentin 500/125 1 tab PO tid x 7 days .' +p260866 +(lp260867 +S'Augmentin\tAugmentin\tIN\tB-PP\tO' +p260868 +aS'500/125\t500/125\tCD\tB-NP\tO' +p260869 +aS'1\t1\tCD\tI-NP\tO' +p260870 +aS'tab\ttab\tNN\tI-NP\tO' +p260871 +aS'PO\tPO\tNN\tI-NP\tO' +p260872 +aS'tid\ttid\tNN\tI-NP\tO' +p260873 +aS'x\tx\tSYM\tB-VP\tO' +p260874 +aS'7\t7\tCD\tB-NP\tO' +p260875 +aS'days\tday\tNNS\tI-NP\tO' +p260876 +aS'.\t.\t.\tO\tO' +p260877 +asS'Tender , external hemorrhoids , guaiac negative .' +p260878 +(lp260879 +S'Tender\tTender\tNN\tB-NP\tO' +p260880 +aS',\t,\t,\tO\tO' +p260881 +aS'external\texternal\tJJ\tB-NP\tO' +p260882 +aS'hemorrhoids\themorrhoid\tNNS\tI-NP\tO' +p260883 +aS',\t,\t,\tO\tO' +p260884 +aS'guaiac\tguaiac\tNN\tB-NP\tO' +p260885 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p260886 +aS'.\t.\t.\tO\tO' +p260887 +asS'4. Status post respiratory distress syndrome .' +p260888 +(lp260889 +S'4.\t4.\tLS\tB-LST\tO' +p260890 +aS'Status\tStatus\tNNP\tB-NP\tO' +p260891 +aS'post\tpost\tIN\tB-PP\tO' +p260892 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p260893 +aS'distress\tdistress\tNN\tI-NP\tO' +p260894 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p260895 +aS'.\t.\t.\tO\tO' +p260896 +asS'Waiting for a subsidized apartment .' +p260897 +(lp260898 +S'Waiting\tWait\tVBG\tB-VP\tO' +p260899 +aS'for\tfor\tIN\tB-PP\tO' +p260900 +aS'a\ta\tDT\tB-NP\tO' +p260901 +aS'subsidized\tsubsidized\tJJ\tI-NP\tO' +p260902 +aS'apartment\tapartment\tNN\tI-NP\tO' +p260903 +aS'.\t.\t.\tO\tO' +p260904 +asS'The patient was given respiratory therapy in the way of nebulizer treatments in the Oaksgekesser/ Memorial Hospital Emergency Room because of a longstanding desire by patient and family to refrain from intubation to be considered Do Not Resuscitate .' +p260905 +(lp260906 +S'The\tThe\tDT\tB-NP\tO' +p260907 +aS'patient\tpatient\tNN\tI-NP\tO' +p260908 +aS'was\tbe\tVBD\tB-VP\tO' +p260909 +aS'given\tgive\tVBN\tI-VP\tO' +p260910 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p260911 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p260912 +aS'in\tin\tIN\tB-PP\tO' +p260913 +aS'the\tthe\tDT\tB-NP\tO' +p260914 +aS'way\tway\tNN\tI-NP\tO' +p260915 +aS'of\tof\tIN\tB-PP\tO' +p260916 +aS'nebulizer\tnebulizer\tNN\tB-NP\tO' +p260917 +aS'treatments\ttreatment\tNNS\tI-NP\tO' +p260918 +aS'in\tin\tIN\tB-PP\tO' +p260919 +aS'the\tthe\tDT\tB-NP\tO' +p260920 +aS'Oaksgekesser/\tOaksgekesser/\tNNP\tI-NP\tO' +p260921 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p260922 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p260923 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p260924 +aS'Room\tRoom\tNNP\tI-NP\tO' +p260925 +aS'because\tbecause\tIN\tB-PP\tO' +p260926 +aS'of\tof\tIN\tI-PP\tO' +p260927 +aS'a\ta\tDT\tB-NP\tO' +p260928 +aS'longstanding\tlongstanding\tJJ\tI-NP\tO' +p260929 +aS'desire\tdesire\tNN\tI-NP\tO' +p260930 +aS'by\tby\tIN\tB-PP\tO' +p260931 +aS'patient\tpatient\tNN\tB-NP\tO' +p260932 +aS'and\tand\tCC\tI-NP\tO' +p260933 +aS'family\tfamily\tNN\tI-NP\tO' +p260934 +aS'to\tto\tTO\tB-VP\tO' +p260935 +aS'refrain\trefrain\tVB\tI-VP\tO' +p260936 +aS'from\tfrom\tIN\tB-PP\tO' +p260937 +aS'intubation\tintubation\tNN\tB-NP\tO' +p260938 +aS'to\tto\tTO\tB-VP\tO' +p260939 +aS'be\tbe\tVB\tI-VP\tO' +p260940 +aS'considered\tconsider\tVBN\tI-VP\tO' +p260941 +aS'Do\tDo\tNNP\tB-NP\tO' +p260942 +aS'Not\tNot\tNNP\tI-NP\tO' +p260943 +aS'Resuscitate\tResuscitate\tNNP\tI-NP\tO' +p260944 +aS'.\t.\t.\tO\tO' +p260945 +asS'She received postoperative chemotherapy .' +p260946 +(lp260947 +S'She\tShe\tPRP\tB-NP\tO' +p260948 +aS'received\treceive\tVBD\tB-VP\tO' +p260949 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p260950 +aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' +p260951 +aS'.\t.\t.\tO\tO' +p260952 +asS'Fluid challenge with 36gm of albumin , one unit of PRBCs and 2L of NS .' +p260953 +(lp260954 +S'Fluid\tFluid\tNN\tB-NP\tO' +p260955 +aS'challenge\tchallenge\tNN\tI-NP\tO' +p260956 +aS'with\twith\tIN\tB-PP\tO' +p260957 +aS'36gm\t36gm\tNN\tB-NP\tO' +p260958 +aS'of\tof\tIN\tB-PP\tO' +p260959 +aS'albumin\talbumin\tNN\tB-NP\tB-protein' +p260960 +aS',\t,\t,\tO\tO' +p260961 +aS'one\tone\tCD\tB-NP\tO' +p260962 +aS'unit\tunit\tNN\tI-NP\tO' +p260963 +aS'of\tof\tIN\tB-PP\tO' +p260964 +aS'PRBCs\tPRBC\tNNS\tB-NP\tB-cell_type' +p260965 +aS'and\tand\tCC\tO\tO' +p260966 +aS'2L\t2L\tNN\tB-NP\tO' +p260967 +aS'of\tof\tIN\tB-PP\tO' +p260968 +aS'NS\tNS\tNN\tB-NP\tB-protein' +p260969 +aS'.\t.\t.\tO\tO' +p260970 +asS'The stabbing , sharp pain that she occasionally has on the left chest wall was significantly diminished and she also noticed periods of time when she did not have any of that pain .' +p260971 +(lp260972 +S'The\tThe\tDT\tB-NP\tO' +p260973 +aS'stabbing\tstabbing\tNN\tI-NP\tO' +p260974 +aS',\t,\t,\tO\tO' +p260975 +aS'sharp\tsharp\tJJ\tB-NP\tO' +p260976 +aS'pain\tpain\tNN\tI-NP\tO' +p260977 +aS'that\tthat\tIN\tB-SBAR\tO' +p260978 +aS'she\tshe\tPRP\tB-NP\tO' +p260979 +aS'occasionally\toccasionally\tRB\tB-ADVP\tO' +p260980 +aS'has\thave\tVBZ\tB-VP\tO' +p260981 +aS'on\ton\tIN\tB-PP\tO' +p260982 +aS'the\tthe\tDT\tB-NP\tO' +p260983 +aS'left\tleft\tJJ\tI-NP\tO' +p260984 +aS'chest\tchest\tNN\tI-NP\tO' +p260985 +aS'wall\twall\tNN\tI-NP\tO' +p260986 +aS'was\tbe\tVBD\tB-VP\tO' +p260987 +aS'significantly\tsignificantly\tRB\tI-VP\tO' +p260988 +aS'diminished\tdiminish\tVBN\tI-VP\tO' +p260989 +aS'and\tand\tCC\tO\tO' +p260990 +aS'she\tshe\tPRP\tB-NP\tO' +p260991 +aS'also\talso\tRB\tB-ADVP\tO' +p260992 +aS'noticed\tnotice\tVBD\tB-VP\tO' +p260993 +aS'periods\tperiod\tNNS\tB-NP\tO' +p260994 +aS'of\tof\tIN\tB-PP\tO' +p260995 +aS'time\ttime\tNN\tB-NP\tO' +p260996 +aS'when\twhen\tWRB\tB-ADVP\tO' +p260997 +aS'she\tshe\tPRP\tB-NP\tO' +p260998 +aS'did\tdo\tVBD\tB-VP\tO' +p260999 +aS'not\tnot\tRB\tI-VP\tO' +p261000 +aS'have\thave\tVB\tI-VP\tO' +p261001 +aS'any\tany\tDT\tB-NP\tO' +p261002 +aS'of\tof\tIN\tB-PP\tO' +p261003 +aS'that\tthat\tDT\tB-NP\tO' +p261004 +aS'pain\tpain\tNN\tI-NP\tO' +p261005 +aS'.\t.\t.\tO\tO' +p261006 +asS'He underwent a staging CT scan torso which suggested no significant increase in tumor burden .' +p261007 +(lp261008 +S'He\tHe\tPRP\tB-NP\tO' +p261009 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p261010 +aS'a\ta\tDT\tB-NP\tO' +p261011 +aS'staging\tstag\tVBG\tI-NP\tO' +p261012 +aS'CT\tCT\tNN\tI-NP\tO' +p261013 +aS'scan\tscan\tNN\tI-NP\tO' +p261014 +aS'torso\ttorso\tNN\tI-NP\tO' +p261015 +aS'which\twhich\tWDT\tB-NP\tO' +p261016 +aS'suggested\tsuggest\tVBD\tB-VP\tO' +p261017 +aS'no\tno\tDT\tB-NP\tO' +p261018 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p261019 +aS'increase\tincrease\tNN\tI-NP\tO' +p261020 +aS'in\tin\tIN\tB-PP\tO' +p261021 +aS'tumor\ttumor\tNN\tB-NP\tO' +p261022 +aS'burden\tburden\tNN\tI-NP\tO' +p261023 +aS'.\t.\t.\tO\tO' +p261024 +asS'6 ) Levoxyl 100 mg p.o. q. day .' +p261025 +(lp261026 +S'6\t6\tCD\tB-NP\tO' +p261027 +aS')\t)\t)\tO\tO' +p261028 +aS'Levoxyl\tLevoxyl\tNN\tB-NP\tO' +p261029 +aS'100\t100\tCD\tI-NP\tO' +p261030 +aS'mg\tmg\tNN\tI-NP\tO' +p261031 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p261032 +aS'q.\tq.\tNN\tI-NP\tO' +p261033 +aS'day\tday\tNN\tI-NP\tO' +p261034 +aS'.\t.\t.\tO\tO' +p261035 +asS'Follow-up was arranged with neurosurgery in 5-6 weeks with repeat head ct to be arranged by neurosurgery office to make sure blood has cleared , and if indicated , to look for a possible underlying lesion ( although unlikely ) .' +p261036 +(lp261037 +S'Follow-up\tFollow-up\tNN\tB-NP\tO' +p261038 +aS'was\tbe\tVBD\tB-VP\tO' +p261039 +aS'arranged\tarrange\tVBN\tI-VP\tO' +p261040 +aS'with\twith\tIN\tB-PP\tO' +p261041 +aS'neurosurgery\tneurosurgery\tNN\tB-NP\tO' +p261042 +aS'in\tin\tIN\tB-PP\tO' +p261043 +aS'5-6\t5-6\tCD\tB-NP\tO' +p261044 +aS'weeks\tweek\tNNS\tI-NP\tO' +p261045 +aS'with\twith\tIN\tB-PP\tO' +p261046 +aS'repeat\trepeat\tNN\tB-NP\tO' +p261047 +aS'head\thead\tNN\tI-NP\tO' +p261048 +aS'ct\tct\tNN\tI-NP\tO' +p261049 +aS'to\tto\tTO\tB-VP\tO' +p261050 +aS'be\tbe\tVB\tI-VP\tO' +p261051 +aS'arranged\tarrange\tVBN\tI-VP\tO' +p261052 +aS'by\tby\tIN\tB-PP\tO' +p261053 +aS'neurosurgery\tneurosurgery\tNN\tB-NP\tO' +p261054 +aS'office\toffice\tNN\tI-NP\tO' +p261055 +aS'to\tto\tTO\tB-VP\tO' +p261056 +aS'make\tmake\tVB\tI-VP\tO' +p261057 +aS'sure\tsure\tJJ\tB-ADJP\tO' +p261058 +aS'blood\tblood\tNN\tB-NP\tO' +p261059 +aS'has\thave\tVBZ\tB-VP\tO' +p261060 +aS'cleared\tclear\tVBN\tI-VP\tO' +p261061 +aS',\t,\t,\tO\tO' +p261062 +aS'and\tand\tCC\tO\tO' +p261063 +aS'if\tif\tIN\tB-SBAR\tO' +p261064 +aS'indicated\tindicate\tVBN\tB-VP\tO' +p261065 +aS',\t,\t,\tO\tO' +p261066 +aS'to\tto\tTO\tB-VP\tO' +p261067 +aS'look\tlook\tVB\tI-VP\tO' +p261068 +aS'for\tfor\tIN\tB-PP\tO' +p261069 +aS'a\ta\tDT\tB-NP\tO' +p261070 +aS'possible\tpossible\tJJ\tI-NP\tO' +p261071 +aS'underlying\tunderlie\tVBG\tI-NP\tO' +p261072 +aS'lesion\tlesion\tNN\tI-NP\tO' +p261073 +aS'(\t(\t(\tO\tO' +p261074 +aS'although\talthough\tIN\tB-SBAR\tO' +p261075 +aS'unlikely\tunlikely\tJJ\tB-ADJP\tO' +p261076 +aS')\t)\t)\tO\tO' +p261077 +aS'.\t.\t.\tO\tO' +p261078 +asS'12. status post left breast biopsy .' +p261079 +(lp261080 +S'12.\t12.\tLS\tB-NP\tO' +p261081 +aS'status\tstatus\tNN\tI-NP\tO' +p261082 +aS'post\tpost\tNN\tI-NP\tO' +p261083 +aS'left\tleave\tVBD\tB-VP\tO' +p261084 +aS'breast\tbreast\tNN\tB-NP\tO' +p261085 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p261086 +aS'.\t.\t.\tO\tO' +p261087 +asS'She received one dose of Survanta and then weaned well on ventilator settings .' +p261088 +(lp261089 +S'She\tShe\tPRP\tB-NP\tO' +p261090 +aS'received\treceive\tVBD\tB-VP\tO' +p261091 +aS'one\tone\tCD\tB-NP\tO' +p261092 +aS'dose\tdose\tNN\tI-NP\tO' +p261093 +aS'of\tof\tIN\tB-PP\tO' +p261094 +aS'Survanta\tSurvanta\tNN\tB-NP\tO' +p261095 +aS'and\tand\tCC\tO\tO' +p261096 +aS'then\tthen\tRB\tB-VP\tO' +p261097 +aS'weaned\twean\tVBD\tI-VP\tO' +p261098 +aS'well\twell\tRB\tB-ADVP\tO' +p261099 +aS'on\ton\tIN\tB-PP\tO' +p261100 +aS'ventilator\tventilator\tNN\tB-NP\tO' +p261101 +aS'settings\tsetting\tNNS\tI-NP\tO' +p261102 +aS'.\t.\t.\tO\tO' +p261103 +asS'3. Type I diabetes mellitus .' +p261104 +(lp261105 +S'3.\t3.\tLS\tB-LST\tO' +p261106 +aS'Type\tType\tNN\tB-NP\tO' +p261107 +aS'I\tI\tCD\tI-NP\tO' +p261108 +aS'diabetes\tdiabetes\tNN\tI-NP\tO' +p261109 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p261110 +aS'.\t.\t.\tO\tO' +p261111 +asS'1) Aortic stenosis , severe , echocardiogram in July of 1998 with a peak gradient of 6-8 mm of mercury , aortic valve area calculated to be 0.5 cm squared by the continuity equation .' +p261112 +(lp261113 +S'1)\t1)\tLS\tB-NP\tO' +p261114 +aS'Aortic\tAortic\tJJ\tI-NP\tO' +p261115 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p261116 +aS',\t,\t,\tO\tO' +p261117 +aS'severe\tsevere\tJJ\tB-ADJP\tO' +p261118 +aS',\t,\t,\tO\tO' +p261119 +aS'echocardiogram\techocardiogram\tNN\tB-NP\tO' +p261120 +aS'in\tin\tIN\tB-PP\tO' +p261121 +aS'July\tJuly\tNNP\tB-NP\tO' +p261122 +aS'of\tof\tIN\tB-PP\tO' +p261123 +aS'1998\t1998\tCD\tB-NP\tO' +p261124 +aS'with\twith\tIN\tB-PP\tO' +p261125 +aS'a\ta\tDT\tB-NP\tO' +p261126 +aS'peak\tpeak\tJJ\tI-NP\tO' +p261127 +aS'gradient\tgradient\tNN\tI-NP\tO' +p261128 +aS'of\tof\tIN\tB-PP\tO' +p261129 +aS'6-8\t6-8\tCD\tB-NP\tO' +p261130 +aS'mm\tmm\tNN\tI-NP\tO' +p261131 +aS'of\tof\tIN\tB-PP\tO' +p261132 +aS'mercury\tmercury\tNN\tB-NP\tO' +p261133 +aS',\t,\t,\tO\tO' +p261134 +aS'aortic\taortic\tJJ\tB-NP\tO' +p261135 +aS'valve\tvalve\tNN\tI-NP\tO' +p261136 +aS'area\tarea\tNN\tI-NP\tO' +p261137 +aS'calculated\tcalculate\tVBN\tB-VP\tO' +p261138 +aS'to\tto\tTO\tI-VP\tO' +p261139 +aS'be\tbe\tVB\tI-VP\tO' +p261140 +aS'0.5\t0.5\tCD\tB-NP\tO' +p261141 +aS'cm\tcm\tNN\tI-NP\tO' +p261142 +aS'squared\tsquare\tVBN\tB-VP\tO' +p261143 +aS'by\tby\tIN\tB-PP\tO' +p261144 +aS'the\tthe\tDT\tB-NP\tO' +p261145 +aS'continuity\tcontinuity\tNN\tI-NP\tO' +p261146 +aS'equation\tequation\tNN\tI-NP\tO' +p261147 +aS'.\t.\t.\tO\tO' +p261148 +asS'On postoperative day 2 , another attempt was made to wean the patient off of Neo-Synephrine unsuccessfully .' +p261149 +(lp261150 +S'On\tOn\tIN\tB-PP\tO' +p261151 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p261152 +aS'day\tday\tNN\tI-NP\tO' +p261153 +aS'2\t2\tCD\tI-NP\tO' +p261154 +aS',\t,\t,\tO\tO' +p261155 +aS'another\tanother\tDT\tB-NP\tO' +p261156 +aS'attempt\tattempt\tNN\tI-NP\tO' +p261157 +aS'was\tbe\tVBD\tB-VP\tO' +p261158 +aS'made\tmake\tVBN\tI-VP\tO' +p261159 +aS'to\tto\tTO\tB-VP\tO' +p261160 +aS'wean\twean\tVB\tI-VP\tO' +p261161 +aS'the\tthe\tDT\tB-NP\tO' +p261162 +aS'patient\tpatient\tNN\tI-NP\tO' +p261163 +aS'off\toff\tRP\tB-PRT\tO' +p261164 +aS'of\tof\tIN\tB-PP\tO' +p261165 +aS'Neo-Synephrine\tNeo-Synephrine\tNN\tB-NP\tO' +p261166 +aS'unsuccessfully\tunsuccessfully\tRB\tB-ADVP\tO' +p261167 +aS'.\t.\t.\tO\tO' +p261168 +asS'works at a deli in beaconhill .' +p261169 +(lp261170 +S'works\twork\tNNS\tB-NP\tO' +p261171 +aS'at\tat\tIN\tB-PP\tO' +p261172 +aS'a\ta\tDT\tB-NP\tO' +p261173 +aS'deli\tdeli\tNN\tI-NP\tO' +p261174 +aS'in\tin\tIN\tB-PP\tO' +p261175 +aS'beaconhill\tbeaconhill\tNN\tB-NP\tO' +p261176 +aS'.\t.\t.\tO\tO' +p261177 +asS'The left ventricular inflow pattern suggests a restrictive filling abnormality , with elevated left atrial pressure .' +p261178 +(lp261179 +S'The\tThe\tDT\tB-NP\tO' +p261180 +aS'left\tleft\tJJ\tI-NP\tO' +p261181 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p261182 +aS'inflow\tinflow\tNN\tI-NP\tO' +p261183 +aS'pattern\tpattern\tNN\tI-NP\tO' +p261184 +aS'suggests\tsuggest\tVBZ\tB-VP\tO' +p261185 +aS'a\ta\tDT\tB-NP\tO' +p261186 +aS'restrictive\trestrictive\tJJ\tI-NP\tO' +p261187 +aS'filling\tfilling\tNN\tI-NP\tO' +p261188 +aS'abnormality\tabnormality\tNN\tI-NP\tO' +p261189 +aS',\t,\t,\tO\tO' +p261190 +aS'with\twith\tIN\tB-PP\tO' +p261191 +aS'elevated\televated\tJJ\tB-NP\tO' +p261192 +aS'left\tleft\tJJ\tI-NP\tO' +p261193 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p261194 +aS'pressure\tpressure\tNN\tI-NP\tO' +p261195 +aS'.\t.\t.\tO\tO' +p261196 +asS'Completed 7 days of vanc/fluc , 13/14 days of cipro/zosyn .' +p261197 +(lp261198 +S'Completed\tComplete\tVBN\tB-VP\tO' +p261199 +aS'7\t7\tCD\tB-NP\tO' +p261200 +aS'days\tday\tNNS\tI-NP\tO' +p261201 +aS'of\tof\tIN\tB-PP\tO' +p261202 +aS'vanc/fluc\tvanc/fluc\tNN\tB-NP\tO' +p261203 +aS',\t,\t,\tO\tO' +p261204 +aS'13/14\t13/14\tCD\tB-NP\tO' +p261205 +aS'days\tday\tNNS\tI-NP\tO' +p261206 +aS'of\tof\tIN\tB-PP\tO' +p261207 +aS'cipro/zosyn\tcipro/zosyn\tNN\tB-NP\tO' +p261208 +aS'.\t.\t.\tO\tO' +p261209 +asS'One to two weeks with his primary care physician and two to three weeks with his cardiologist and at one month with Dr. Costello .' +p261210 +(lp261211 +S'One\tOne\tCD\tB-NP\tO' +p261212 +aS'to\tto\tTO\tI-NP\tO' +p261213 +aS'two\ttwo\tCD\tI-NP\tO' +p261214 +aS'weeks\tweek\tNNS\tI-NP\tO' +p261215 +aS'with\twith\tIN\tB-PP\tO' +p261216 +aS'his\this\tPRP$\tB-NP\tO' +p261217 +aS'primary\tprimary\tJJ\tI-NP\tO' +p261218 +aS'care\tcare\tNN\tI-NP\tO' +p261219 +aS'physician\tphysician\tNN\tI-NP\tO' +p261220 +aS'and\tand\tCC\tO\tO' +p261221 +aS'two\ttwo\tCD\tB-NP\tO' +p261222 +aS'to\tto\tTO\tI-NP\tO' +p261223 +aS'three\tthree\tCD\tI-NP\tO' +p261224 +aS'weeks\tweek\tNNS\tI-NP\tO' +p261225 +aS'with\twith\tIN\tB-PP\tO' +p261226 +aS'his\this\tPRP$\tB-NP\tO' +p261227 +aS'cardiologist\tcardiologist\tNN\tI-NP\tO' +p261228 +aS'and\tand\tCC\tB-PP\tO' +p261229 +aS'at\tat\tIN\tB-PP\tO' +p261230 +aS'one\tone\tCD\tB-NP\tO' +p261231 +aS'month\tmonth\tNN\tI-NP\tO' +p261232 +aS'with\twith\tIN\tB-PP\tO' +p261233 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p261234 +aS'Costello\tCostello\tNNP\tI-NP\tO' +p261235 +aS'.\t.\t.\tO\tO' +p261236 +asS'She has a 5-year-old son .' +p261237 +(lp261238 +S'She\tShe\tPRP\tB-NP\tO' +p261239 +aS'has\thave\tVBZ\tB-VP\tO' +p261240 +aS'a\ta\tDT\tB-NP\tO' +p261241 +aS'5-year-old\t5-year-old\tJJ\tI-NP\tO' +p261242 +aS'son\tson\tNN\tI-NP\tO' +p261243 +aS'.\t.\t.\tO\tO' +p261244 +asS'Gentamicin , and ibuprofen .' +p261245 +(lp261246 +S'Gentamicin\tGentamicin\tNN\tB-NP\tO' +p261247 +aS',\t,\t,\tO\tO' +p261248 +aS'and\tand\tCC\tO\tO' +p261249 +aS'ibuprofen\tibuprofen\tNN\tB-NP\tO' +p261250 +aS'.\t.\t.\tO\tO' +p261251 +asS'A STAT HCT drawn at this time was 19.5 .' +p261252 +(lp261253 +S'A\tA\tDT\tB-NP\tO' +p261254 +aS'STAT\tSTAT\tNN\tI-NP\tB-protein' +p261255 +aS'HCT\tHCT\tNN\tI-NP\tO' +p261256 +aS'drawn\tdraw\tVBN\tB-VP\tO' +p261257 +aS'at\tat\tIN\tB-PP\tO' +p261258 +aS'this\tthis\tDT\tB-NP\tO' +p261259 +aS'time\ttime\tNN\tI-NP\tO' +p261260 +aS'was\tbe\tVBD\tB-VP\tO' +p261261 +aS'19.5\t19.5\tCD\tB-NP\tO' +p261262 +aS'.\t.\t.\tO\tO' +p261263 +asS'Sigmoid diverticulosis with focal narrowing of the sigmoid colon just distal to the dilatation with wall thickening , due to diverticulitis .' +p261264 +(lp261265 +S'Sigmoid\tSigmoid\tJJ\tB-NP\tO' +p261266 +aS'diverticulosis\tdiverticulosis\tNN\tI-NP\tO' +p261267 +aS'with\twith\tIN\tB-PP\tO' +p261268 +aS'focal\tfocal\tJJ\tB-NP\tO' +p261269 +aS'narrowing\tnarrowing\tNN\tI-NP\tO' +p261270 +aS'of\tof\tIN\tB-PP\tO' +p261271 +aS'the\tthe\tDT\tB-NP\tO' +p261272 +aS'sigmoid\tsigmoid\tJJ\tI-NP\tO' +p261273 +aS'colon\tcolon\tNN\tI-NP\tO' +p261274 +aS'just\tjust\tRB\tB-ADJP\tO' +p261275 +aS'distal\tdistal\tJJ\tI-ADJP\tO' +p261276 +aS'to\tto\tTO\tB-PP\tO' +p261277 +aS'the\tthe\tDT\tB-NP\tO' +p261278 +aS'dilatation\tdilatation\tNN\tI-NP\tO' +p261279 +aS'with\twith\tIN\tB-PP\tO' +p261280 +aS'wall\twall\tNN\tB-NP\tO' +p261281 +aS'thickening\tthickening\tNN\tI-NP\tO' +p261282 +aS',\t,\t,\tO\tO' +p261283 +aS'due\tdue\tIN\tB-PP\tO' +p261284 +aS'to\tto\tTO\tI-PP\tO' +p261285 +aS'diverticulitis\tdiverticulitis\tNN\tB-NP\tO' +p261286 +aS'.\t.\t.\tO\tO' +p261287 +asS'It was believed that a troponin on admission in addition to the wall motion abnormalities she underwent a non-Q wave myocardial infarction prior to resulted in her current cardiac failure .' +p261288 +(lp261289 +S'It\tIt\tPRP\tB-NP\tO' +p261290 +aS'was\tbe\tVBD\tB-VP\tO' +p261291 +aS'believed\tbelieve\tVBN\tI-VP\tO' +p261292 +aS'that\tthat\tIN\tB-SBAR\tO' +p261293 +aS'a\ta\tDT\tB-NP\tO' +p261294 +aS'troponin\ttroponin\tNN\tI-NP\tO' +p261295 +aS'on\ton\tIN\tB-PP\tO' +p261296 +aS'admission\tadmission\tNN\tB-NP\tO' +p261297 +aS'in\tin\tIN\tB-PP\tO' +p261298 +aS'addition\taddition\tNN\tB-NP\tO' +p261299 +aS'to\tto\tTO\tB-PP\tO' +p261300 +aS'the\tthe\tDT\tB-NP\tO' +p261301 +aS'wall\twall\tNN\tI-NP\tO' +p261302 +aS'motion\tmotion\tNN\tI-NP\tO' +p261303 +aS'abnormalities\tabnormality\tNNS\tI-NP\tO' +p261304 +aS'she\tshe\tPRP\tB-NP\tO' +p261305 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p261306 +aS'a\ta\tDT\tB-NP\tO' +p261307 +aS'non-Q\tnon-Q\tJJ\tI-NP\tO' +p261308 +aS'wave\twave\tNN\tI-NP\tO' +p261309 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p261310 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p261311 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p261312 +aS'to\tto\tTO\tB-VP\tO' +p261313 +aS'resulted\tresult\tVBD\tI-VP\tO' +p261314 +aS'in\tin\tIN\tB-PP\tO' +p261315 +aS'her\ther\tPRP$\tB-NP\tO' +p261316 +aS'current\tcurrent\tJJ\tI-NP\tO' +p261317 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p261318 +aS'failure\tfailure\tNN\tI-NP\tO' +p261319 +aS'.\t.\t.\tO\tO' +p261320 +asS'The abdomen showed a 10 cm liver with the edge palpable 2 fingerbreadths below the right costal margin .' +p261321 +(lp261322 +S'The\tThe\tDT\tB-NP\tO' +p261323 +aS'abdomen\tabdoman\tNNS\tI-NP\tO' +p261324 +aS'showed\tshow\tVBD\tB-VP\tO' +p261325 +aS'a\ta\tDT\tB-NP\tO' +p261326 +aS'10\t10\tCD\tI-NP\tO' +p261327 +aS'cm\tcm\tNN\tI-NP\tO' +p261328 +aS'liver\tliver\tNN\tI-NP\tO' +p261329 +aS'with\twith\tIN\tB-PP\tO' +p261330 +aS'the\tthe\tDT\tB-NP\tO' +p261331 +aS'edge\tedge\tNN\tI-NP\tO' +p261332 +aS'palpable\tpalpable\tJJ\tI-NP\tO' +p261333 +aS'2\t2\tCD\tI-NP\tO' +p261334 +aS'fingerbreadths\tfingerbreadth\tNNS\tI-NP\tO' +p261335 +aS'below\tbelow\tIN\tB-PP\tO' +p261336 +aS'the\tthe\tDT\tB-NP\tO' +p261337 +aS'right\tright\tJJ\tI-NP\tO' +p261338 +aS'costal\tcostal\tJJ\tI-NP\tO' +p261339 +aS'margin\tmargin\tNN\tI-NP\tO' +p261340 +aS'.\t.\t.\tO\tO' +p261341 +asS'Abdomen remained soft and nontender .' +p261342 +(lp261343 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p261344 +aS'remained\tremain\tVBD\tB-VP\tO' +p261345 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p261346 +aS'and\tand\tCC\tI-ADJP\tO' +p261347 +aS'nontender\tnontender\tJJ\tI-ADJP\tO' +p261348 +aS'.\t.\t.\tO\tO' +p261349 +asS'Monitor wounds for infection - redness , drainage , or increased pain' +p261350 +(lp261351 +S'Monitor\tMonitor\tNN\tB-NP\tO' +p261352 +aS'wounds\twound\tNNS\tI-NP\tO' +p261353 +aS'for\tfor\tIN\tB-PP\tO' +p261354 +aS'infection\tinfection\tNN\tB-NP\tO' +p261355 +aS'-\t-\tHYPH\tO\tO' +p261356 +aS'redness\tredness\tNN\tB-NP\tO' +p261357 +aS',\t,\t,\tO\tO' +p261358 +aS'drainage\tdrainage\tNN\tB-NP\tO' +p261359 +aS',\t,\t,\tO\tO' +p261360 +aS'or\tor\tCC\tO\tO' +p261361 +aS'increased\tincrease\tVBN\tB-NP\tO' +p261362 +aS'pain\tpain\tNN\tI-NP\tO' +p261363 +asS'She was transferred to step down .' +p261364 +(lp261365 +S'She\tShe\tPRP\tB-NP\tO' +p261366 +aS'was\tbe\tVBD\tB-VP\tO' +p261367 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p261368 +aS'to\tto\tTO\tI-VP\tO' +p261369 +aS'step\tstep\tVB\tI-VP\tO' +p261370 +aS'down\tdown\tRP\tB-PRT\tO' +p261371 +aS'.\t.\t.\tO\tO' +p261372 +asS'unremarkable .' +p261373 +(lp261374 +S'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p261375 +aS'.\t.\t.\tO\tO' +p261376 +asS'He was started on p.o. steroids and to CMED for management of COPD exacerbation but he appeared in more respiratory distress overnight and was started on IV Solu-Medrol and more frequent nebulizers for COPD .' +p261377 +(lp261378 +S'He\tHe\tPRP\tB-NP\tO' +p261379 +aS'was\tbe\tVBD\tB-VP\tO' +p261380 +aS'started\tstart\tVBN\tI-VP\tO' +p261381 +aS'on\ton\tIN\tB-PP\tO' +p261382 +aS'p.o.\tp.o.\tNN\tB-NP\tO' +p261383 +aS'steroids\tsteroid\tNNS\tI-NP\tO' +p261384 +aS'and\tand\tCC\tO\tO' +p261385 +aS'to\tto\tTO\tB-VP\tO' +p261386 +aS'CMED\tCMED\tVBN\tI-VP\tO' +p261387 +aS'for\tfor\tIN\tB-PP\tO' +p261388 +aS'management\tmanagement\tNN\tB-NP\tO' +p261389 +aS'of\tof\tIN\tB-PP\tO' +p261390 +aS'COPD\tCOPD\tNN\tB-NP\tO' +p261391 +aS'exacerbation\texacerbation\tNN\tI-NP\tO' +p261392 +aS'but\tbut\tCC\tO\tO' +p261393 +aS'he\the\tPRP\tB-NP\tO' +p261394 +aS'appeared\tappear\tVBD\tB-VP\tO' +p261395 +aS'in\tin\tIN\tB-PP\tO' +p261396 +aS'more\tmore\tRBR\tB-NP\tO' +p261397 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p261398 +aS'distress\tdistress\tNN\tI-NP\tO' +p261399 +aS'overnight\tovernight\tNN\tI-NP\tO' +p261400 +aS'and\tand\tCC\tO\tO' +p261401 +aS'was\tbe\tVBD\tB-VP\tO' +p261402 +aS'started\tstart\tVBN\tI-VP\tO' +p261403 +aS'on\ton\tIN\tB-PP\tO' +p261404 +aS'IV\tIV\tCD\tB-NP\tO' +p261405 +aS'Solu-Medrol\tSolu-Medrol\tNN\tI-NP\tO' +p261406 +aS'and\tand\tCC\tO\tO' +p261407 +aS'more\tmore\tRBR\tB-NP\tO' +p261408 +aS'frequent\tfrequent\tJJ\tI-NP\tO' +p261409 +aS'nebulizers\tnebulizer\tNNS\tI-NP\tO' +p261410 +aS'for\tfor\tIN\tB-PP\tO' +p261411 +aS'COPD\tCOPD\tNN\tB-NP\tO' +p261412 +aS'.\t.\t.\tO\tO' +p261413 +asS'exam within normal limits .' +p261414 +(lp261415 +S'exam\texam\tNN\tB-NP\tO' +p261416 +aS'within\twithin\tIN\tB-PP\tO' +p261417 +aS'normal\tnormal\tJJ\tB-NP\tO' +p261418 +aS'limits\tlimit\tNNS\tI-NP\tO' +p261419 +aS'.\t.\t.\tO\tO' +p261420 +asS'1. The patient will be followed by Orthopedics , Dr. Johnson .' +p261421 +(lp261422 +S'1.\t1.\tLS\tB-LST\tO' +p261423 +aS'The\tThe\tDT\tB-NP\tO' +p261424 +aS'patient\tpatient\tNN\tI-NP\tO' +p261425 +aS'will\twill\tMD\tB-VP\tO' +p261426 +aS'be\tbe\tVB\tI-VP\tO' +p261427 +aS'followed\tfollow\tVBN\tI-VP\tO' +p261428 +aS'by\tby\tIN\tB-PP\tO' +p261429 +aS'Orthopedics\tOrthopedics\tNNP\tB-NP\tO' +p261430 +aS',\t,\t,\tO\tO' +p261431 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p261432 +aS'Johnson\tJohnson\tNNP\tI-NP\tO' +p261433 +aS'.\t.\t.\tO\tO' +p261434 +asS'Quinine , Quinidine , Bactrim , Plaquenil .' +p261435 +(lp261436 +S'Quinine\tQuinine\tNNP\tB-NP\tO' +p261437 +aS',\t,\t,\tO\tO' +p261438 +aS'Quinidine\tQuinidine\tNNP\tB-NP\tO' +p261439 +aS',\t,\t,\tO\tO' +p261440 +aS'Bactrim\tBactrim\tNNP\tB-NP\tO' +p261441 +aS',\t,\t,\tO\tO' +p261442 +aS'Plaquenil\tPlaquenil\tNNP\tB-NP\tO' +p261443 +aS'.\t.\t.\tO\tO' +p261444 +asS'PCW was 11 .' +p261445 +(lp261446 +S'PCW\tPCW\tNN\tB-NP\tB-protein' +p261447 +aS'was\tbe\tVBD\tB-VP\tO' +p261448 +aS'11\t11\tCD\tB-NP\tO' +p261449 +aS'.\t.\t.\tO\tO' +p261450 +asS'An echocardiogram on 4/12 revealed a dilated left ventricle which was diffusely mildly hypokinetic with no vegetations .' +p261451 +(lp261452 +S'An\tAn\tDT\tB-NP\tO' +p261453 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p261454 +aS'on\ton\tIN\tB-PP\tO' +p261455 +aS'4/12\t4/12\tCD\tB-NP\tO' +p261456 +aS'revealed\treveal\tVBD\tB-VP\tO' +p261457 +aS'a\ta\tDT\tB-NP\tO' +p261458 +aS'dilated\tdilated\tJJ\tI-NP\tO' +p261459 +aS'left\tleft\tJJ\tI-NP\tO' +p261460 +aS'ventricle\tventricle\tNN\tI-NP\tO' +p261461 +aS'which\twhich\tWDT\tB-NP\tO' +p261462 +aS'was\tbe\tVBD\tB-VP\tO' +p261463 +aS'diffusely\tdiffusely\tRB\tB-ADJP\tO' +p261464 +aS'mildly\tmildly\tRB\tI-ADJP\tO' +p261465 +aS'hypokinetic\thypokinetic\tJJ\tI-ADJP\tO' +p261466 +aS'with\twith\tIN\tB-PP\tO' +p261467 +aS'no\tno\tDT\tB-NP\tO' +p261468 +aS'vegetations\tvegetation\tNNS\tI-NP\tO' +p261469 +aS'.\t.\t.\tO\tO' +p261470 +asS'Her physical examination at the time of admission revealed a pleasant lady in no acute distress .' +p261471 +(lp261472 +S'Her\tHer\tPRP$\tB-NP\tO' +p261473 +aS'physical\tphysical\tJJ\tI-NP\tO' +p261474 +aS'examination\texamination\tNN\tI-NP\tO' +p261475 +aS'at\tat\tIN\tB-PP\tO' +p261476 +aS'the\tthe\tDT\tB-NP\tO' +p261477 +aS'time\ttime\tNN\tI-NP\tO' +p261478 +aS'of\tof\tIN\tB-PP\tO' +p261479 +aS'admission\tadmission\tNN\tB-NP\tO' +p261480 +aS'revealed\treveal\tVBD\tB-VP\tO' +p261481 +aS'a\ta\tDT\tB-NP\tO' +p261482 +aS'pleasant\tpleasant\tJJ\tI-NP\tO' +p261483 +aS'lady\tlady\tNN\tI-NP\tO' +p261484 +aS'in\tin\tIN\tB-PP\tO' +p261485 +aS'no\tno\tDT\tB-NP\tO' +p261486 +aS'acute\tacute\tJJ\tI-NP\tO' +p261487 +aS'distress\tdistress\tNN\tI-NP\tO' +p261488 +aS'.\t.\t.\tO\tO' +p261489 +asS'Finger - nose - finger testing and heel - to - shin testing were normal .' +p261490 +(lp261491 +S'Finger\tFinger\tNN\tB-NP\tO' +p261492 +aS'-\t-\tHYPH\tI-NP\tO' +p261493 +aS'nose\tnose\tNN\tI-NP\tO' +p261494 +aS'-\t-\tHYPH\tI-NP\tO' +p261495 +aS'finger\tfinger\tNN\tI-NP\tO' +p261496 +aS'testing\ttesting\tNN\tI-NP\tO' +p261497 +aS'and\tand\tCC\tI-NP\tO' +p261498 +aS'heel\theel\tNN\tI-NP\tO' +p261499 +aS'-\t-\tHYPH\tB-ADJP\tO' +p261500 +aS'to\tto\tTO\tB-PP\tO' +p261501 +aS'-\t-\tHYPH\tB-NP\tO' +p261502 +aS'shin\tshin\tNN\tI-NP\tO' +p261503 +aS'testing\ttesting\tNN\tI-NP\tO' +p261504 +aS'were\tbe\tVBD\tB-VP\tO' +p261505 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p261506 +aS'.\t.\t.\tO\tO' +p261507 +asS'Her blood pressure was high so Captopril was titrated up to 50 mg p.o. t.i.d. .' +p261508 +(lp261509 +S'Her\tHer\tPRP$\tB-NP\tO' +p261510 +aS'blood\tblood\tNN\tI-NP\tO' +p261511 +aS'pressure\tpressure\tNN\tI-NP\tO' +p261512 +aS'was\tbe\tVBD\tB-VP\tO' +p261513 +aS'high\thigh\tJJ\tB-ADJP\tO' +p261514 +aS'so\tso\tIN\tB-SBAR\tO' +p261515 +aS'Captopril\tCaptopril\tNNP\tB-NP\tO' +p261516 +aS'was\tbe\tVBD\tB-VP\tO' +p261517 +aS'titrated\ttitrate\tVBN\tI-VP\tO' +p261518 +aS'up\tup\tRB\tB-NP\tO' +p261519 +aS'to\tto\tTO\tI-NP\tO' +p261520 +aS'50\t50\tCD\tI-NP\tO' +p261521 +aS'mg\tmg\tNN\tI-NP\tO' +p261522 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p261523 +aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' +p261524 +aS'.\t.\t.\tO\tO' +p261525 +asS'Her hematocrit was 38.8 , hemoglobin 13.7 , platelet count 155,000 , PT 12.7/10.1 , PTT 33.9 , erythrocyte sedimentation rate 18 , calcium 7.5 , phosphorus 3.5 , sodium 136 , potassium 3.7 , BUN 15 , total protein 5.9 , albumin 2.3 , globulin 3.6 , alkaline phosphatase 379 , SGOT 37 , Digoxin level 0.7 .' +p261526 +(lp261527 +S'Her\tHer\tPRP$\tB-NP\tO' +p261528 +aS'hematocrit\thematocrit\tNN\tI-NP\tB-protein' +p261529 +aS'was\tbe\tVBD\tB-VP\tI-protein' +p261530 +aS'38.8\t38.8\tCD\tB-NP\tI-protein' +p261531 +aS',\t,\t,\tO\tO' +p261532 +aS'hemoglobin\themoglobin\tNN\tB-NP\tB-protein' +p261533 +aS'13.7\t13.7\tCD\tI-NP\tI-protein' +p261534 +aS',\t,\t,\tO\tO' +p261535 +aS'platelet\tplatelet\tNN\tB-NP\tB-protein' +p261536 +aS'count\tcount\tNN\tI-NP\tI-protein' +p261537 +aS'155,000\t155,000\tCD\tI-NP\tI-protein' +p261538 +aS',\t,\t,\tO\tO' +p261539 +aS'PT\tPT\tNN\tB-NP\tB-protein' +p261540 +aS'12.7/10.1\t12.7/10.1\tCD\tI-NP\tI-protein' +p261541 +aS',\t,\t,\tO\tO' +p261542 +aS'PTT\tPTT\tNN\tB-NP\tB-protein' +p261543 +aS'33.9\t33.9\tCD\tI-NP\tI-protein' +p261544 +aS',\t,\t,\tO\tO' +p261545 +aS'erythrocyte\terythrocyte\tNN\tB-NP\tB-protein' +p261546 +aS'sedimentation\tsedimentation\tNN\tI-NP\tI-protein' +p261547 +aS'rate\trate\tNN\tI-NP\tI-protein' +p261548 +aS'18\t18\tCD\tI-NP\tI-protein' +p261549 +aS',\t,\t,\tO\tO' +p261550 +aS'calcium\tcalcium\tNN\tB-NP\tO' +p261551 +aS'7.5\t7.5\tCD\tI-NP\tO' +p261552 +aS',\t,\t,\tO\tO' +p261553 +aS'phosphorus\tphosphorus\tNN\tB-NP\tO' +p261554 +aS'3.5\t3.5\tCD\tI-NP\tO' +p261555 +aS',\t,\t,\tO\tO' +p261556 +aS'sodium\tsodium\tNN\tB-NP\tO' +p261557 +aS'136\t136\tCD\tI-NP\tO' +p261558 +aS',\t,\t,\tO\tO' +p261559 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p261560 +aS'3.7\t3.7\tCD\tI-NP\tO' +p261561 +aS',\t,\t,\tO\tO' +p261562 +aS'BUN\tBUN\tNNP\tB-NP\tO' +p261563 +aS'15\t15\tCD\tI-NP\tO' +p261564 +aS',\t,\t,\tO\tO' +p261565 +aS'total\ttotal\tJJ\tB-NP\tO' +p261566 +aS'protein\tprotein\tNN\tI-NP\tO' +p261567 +aS'5.9\t5.9\tCD\tI-NP\tO' +p261568 +aS',\t,\t,\tO\tO' +p261569 +aS'albumin\talbumin\tNN\tB-NP\tB-protein' +p261570 +aS'2.3\t2.3\tCD\tI-NP\tI-protein' +p261571 +aS',\t,\t,\tO\tO' +p261572 +aS'globulin\tglobulin\tNN\tB-NP\tB-protein' +p261573 +aS'3.6\t3.6\tCD\tI-NP\tI-protein' +p261574 +aS',\t,\t,\tO\tO' +p261575 +aS'alkaline\talkaline\tNN\tB-NP\tO' +p261576 +aS'phosphatase\tphosphatase\tNN\tI-NP\tO' +p261577 +aS'379\t379\tCD\tI-NP\tO' +p261578 +aS',\t,\t,\tO\tO' +p261579 +aS'SGOT\tSGOT\tNN\tB-NP\tB-DNA' +p261580 +aS'37\t37\tCD\tI-NP\tI-DNA' +p261581 +aS',\t,\t,\tO\tO' +p261582 +aS'Digoxin\tDigoxin\tNN\tB-NP\tO' +p261583 +aS'level\tlevel\tNN\tI-NP\tO' +p261584 +aS'0.7\t0.7\tCD\tI-NP\tO' +p261585 +aS'.\t.\t.\tO\tO' +p261586 +asS'The head , eyes , ears , nose , throat examination was within normal limits .' +p261587 +(lp261588 +S'The\tThe\tDT\tB-NP\tO' +p261589 +aS'head\thead\tNN\tI-NP\tO' +p261590 +aS',\t,\t,\tO\tO' +p261591 +aS'eyes\teye\tNNS\tB-NP\tO' +p261592 +aS',\t,\t,\tO\tO' +p261593 +aS'ears\tear\tNNS\tB-NP\tO' +p261594 +aS',\t,\t,\tO\tO' +p261595 +aS'nose\tnose\tNN\tB-NP\tO' +p261596 +aS',\t,\t,\tO\tO' +p261597 +aS'throat\tthroat\tDT\tB-NP\tO' +p261598 +aS'examination\texamination\tNN\tI-NP\tO' +p261599 +aS'was\tbe\tVBD\tB-VP\tO' +p261600 +aS'within\twithin\tIN\tB-PP\tO' +p261601 +aS'normal\tnormal\tJJ\tB-NP\tO' +p261602 +aS'limits\tlimit\tNNS\tI-NP\tO' +p261603 +aS'.\t.\t.\tO\tO' +p261604 +asS'The patient was transitioned to a low fat , low residue diet .' +p261605 +(lp261606 +S'The\tThe\tDT\tB-NP\tO' +p261607 +aS'patient\tpatient\tNN\tI-NP\tO' +p261608 +aS'was\tbe\tVBD\tB-VP\tO' +p261609 +aS'transitioned\ttransitione\tVBN\tI-VP\tO' +p261610 +aS'to\tto\tTO\tB-PP\tO' +p261611 +aS'a\ta\tDT\tB-NP\tO' +p261612 +aS'low\tlow\tJJ\tI-NP\tO' +p261613 +aS'fat\tfat\tNN\tI-NP\tO' +p261614 +aS',\t,\t,\tO\tO' +p261615 +aS'low\tlow\tJJ\tB-NP\tO' +p261616 +aS'residue\tresidue\tNN\tI-NP\tO' +p261617 +aS'diet\tdiet\tNN\tI-NP\tO' +p261618 +aS'.\t.\t.\tO\tO' +p261619 +asS'4. Atrial fibrillation .' +p261620 +(lp261621 +S'4.\t4.\tLS\tB-NP\tO' +p261622 +aS'Atrial\tAtrial\tJJ\tI-NP\tO' +p261623 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p261624 +aS'.\t.\t.\tO\tO' +p261625 +asS'Nantucket passed in both ears .' +p261626 +(lp261627 +S'Nantucket\tNantucket\tNN\tB-NP\tO' +p261628 +aS'passed\tpass\tVBN\tB-VP\tO' +p261629 +aS'in\tin\tIN\tB-PP\tO' +p261630 +aS'both\tboth\tDT\tB-NP\tO' +p261631 +aS'ears\tear\tNNS\tI-NP\tO' +p261632 +aS'.\t.\t.\tO\tO' +p261633 +asS'HEENT : Normocephalic , atraumatic .' +p261634 +(lp261635 +S'HEENT\tHEENT\tNN\tB-NP\tO' +p261636 +aS':\t:\t:\tO\tO' +p261637 +aS'Normocephalic\tNormocephalic\tJJ\tB-NP\tO' +p261638 +aS',\t,\t,\tI-NP\tO' +p261639 +aS'atraumatic\tatraumatic\tJJ\tI-NP\tO' +p261640 +aS'.\t.\t.\tO\tO' +p261641 +asS'Allowing for the limitations , the vertebral bodies are normal in height and normally aligned .' +p261642 +(lp261643 +S'Allowing\tAllow\tVBG\tB-VP\tO' +p261644 +aS'for\tfor\tIN\tB-PP\tO' +p261645 +aS'the\tthe\tDT\tB-NP\tO' +p261646 +aS'limitations\tlimitation\tNNS\tI-NP\tO' +p261647 +aS',\t,\t,\tO\tO' +p261648 +aS'the\tthe\tDT\tB-NP\tO' +p261649 +aS'vertebral\tvertebral\tJJ\tI-NP\tO' +p261650 +aS'bodies\tbody\tNNS\tI-NP\tO' +p261651 +aS'are\tbe\tVBP\tB-VP\tO' +p261652 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p261653 +aS'in\tin\tIN\tB-PP\tO' +p261654 +aS'height\theight\tNN\tB-NP\tO' +p261655 +aS'and\tand\tCC\tO\tO' +p261656 +aS'normally\tnormally\tRB\tB-VP\tO' +p261657 +aS'aligned\talign\tVBN\tI-VP\tO' +p261658 +aS'.\t.\t.\tO\tO' +p261659 +asS'1. Risperidone 0.5 mg Tablet Sig : Two ( 2 ) Tablet PO HS ( at bedtime ) .' +p261660 +(lp261661 +S'1.\t1.\tLS\tB-NP\tO' +p261662 +aS'Risperidone\tRisperidone\tNN\tI-NP\tO' +p261663 +aS'0.5\t0.5\tCD\tI-NP\tO' +p261664 +aS'mg\tmg\tNN\tI-NP\tO' +p261665 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p261666 +aS'Sig\tSig\tNNP\tI-NP\tO' +p261667 +aS':\t:\t:\tO\tO' +p261668 +aS'Two\tTwo\tCD\tB-NP\tO' +p261669 +aS'(\t(\t(\tO\tO' +p261670 +aS'2\t2\tCD\tO\tO' +p261671 +aS')\t)\t)\tO\tO' +p261672 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p261673 +aS'PO\tPO\tNN\tI-NP\tO' +p261674 +aS'HS\tHS\tNN\tI-NP\tO' +p261675 +aS'(\t(\t(\tO\tO' +p261676 +aS'at\tat\tIN\tB-PP\tO' +p261677 +aS'bedtime\tbedtime\tNN\tB-NP\tO' +p261678 +aS')\t)\t)\tO\tO' +p261679 +aS'.\t.\t.\tO\tO' +p261680 +asS'Left arm shows a flexor contracture and markedly increased tone .' +p261681 +(lp261682 +S'Left\tLeave\tVBN\tB-NP\tO' +p261683 +aS'arm\tarm\tNN\tI-NP\tO' +p261684 +aS'shows\tshow\tVBZ\tB-VP\tO' +p261685 +aS'a\ta\tDT\tB-NP\tO' +p261686 +aS'flexor\tflexor\tNN\tI-NP\tO' +p261687 +aS'contracture\tcontracture\tNN\tI-NP\tO' +p261688 +aS'and\tand\tCC\tO\tO' +p261689 +aS'markedly\tmarkedly\tRB\tB-VP\tO' +p261690 +aS'increased\tincrease\tVBD\tI-VP\tO' +p261691 +aS'tone\ttone\tNN\tB-NP\tO' +p261692 +aS'.\t.\t.\tO\tO' +p261693 +asS'Propanolol 5 mg. p.o. t.i.d. [ hold for SBP less than 110 ] , Isosorbide 5 mg. p.o. t.i.d. , hold for SBP less than 110 , Colace 100 mg. p.o. b.i.d. Pilocarpine 4% one drop q.i.d. O.D. Pilocarpine 2% one drop b.i.d. O.S. Betasan 0.5% one drop b.i.d. O.D. .' +p261694 +(lp261695 +S'Propanolol\tPropanolol\tNN\tB-NP\tO' +p261696 +aS'5\t5\tCD\tI-NP\tO' +p261697 +aS'mg.\tmg.\tNN\tI-NP\tO' +p261698 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p261699 +aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' +p261700 +aS'[\t[\t(\tO\tO' +p261701 +aS'hold\thold\tNN\tB-NP\tO' +p261702 +aS'for\tfor\tIN\tB-PP\tO' +p261703 +aS'SBP\tSBP\tNN\tB-NP\tB-protein' +p261704 +aS'less\tless\tJJR\tB-NP\tO' +p261705 +aS'than\tthan\tIN\tI-NP\tO' +p261706 +aS'110\t110\tCD\tI-NP\tO' +p261707 +aS']\t]\t)\tO\tO' +p261708 +aS',\t,\t,\tO\tO' +p261709 +aS'Isosorbide\tIsosorbide\tNN\tB-NP\tO' +p261710 +aS'5\t5\tCD\tI-NP\tO' +p261711 +aS'mg.\tmg.\tNN\tI-NP\tO' +p261712 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p261713 +aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' +p261714 +aS',\t,\t,\tO\tO' +p261715 +aS'hold\thold\tVBP\tB-VP\tO' +p261716 +aS'for\tfor\tIN\tB-PP\tO' +p261717 +aS'SBP\tSBP\tNN\tB-NP\tB-protein' +p261718 +aS'less\tless\tJJR\tB-ADJP\tO' +p261719 +aS'than\tthan\tIN\tB-PP\tO' +p261720 +aS'110\t110\tCD\tB-NP\tO' +p261721 +aS',\t,\t,\tO\tO' +p261722 +aS'Colace\tColace\tNNP\tB-NP\tO' +p261723 +aS'100\t100\tCD\tI-NP\tO' +p261724 +aS'mg.\tmg.\tNN\tI-NP\tO' +p261725 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p261726 +aS'b.i.d.\tb.i.d.\tFW\tI-NP\tO' +p261727 +aS'Pilocarpine\tPilocarpine\tNNP\tB-NP\tO' +p261728 +aS'4%\t4%\tCD\tI-NP\tO' +p261729 +aS'one\tone\tCD\tI-NP\tO' +p261730 +aS'drop\tdrop\tNN\tI-NP\tO' +p261731 +aS'q.i.d.\tq.i.d.\tNN\tI-NP\tO' +p261732 +aS'O.D.\tO.D.\tNNP\tI-NP\tO' +p261733 +aS'Pilocarpine\tPilocarpine\tNNP\tI-NP\tO' +p261734 +aS'2%\t2%\tCD\tI-NP\tO' +p261735 +aS'one\tone\tCD\tI-NP\tO' +p261736 +aS'drop\tdrop\tNN\tI-NP\tO' +p261737 +aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' +p261738 +aS'O.S.\tO.S.\tNNP\tI-NP\tO' +p261739 +aS'Betasan\tBetasan\tNNP\tI-NP\tO' +p261740 +aS'0.5%\t0.5%\tCD\tI-NP\tO' +p261741 +aS'one\tone\tCD\tI-NP\tO' +p261742 +aS'drop\tdrop\tNN\tI-NP\tO' +p261743 +aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' +p261744 +aS'O.D.\tO.D.\tNNP\tI-NP\tO' +p261745 +aS'.\t.\t.\tO\tO' +p261746 +asS'Pt was treated with 3 days of an antibiotics , followed by a 10 day course of levaquin ( completed 2 days PTA ) .' +p261747 +(lp261748 +S'Pt\tPt\tNN\tB-NP\tO' +p261749 +aS'was\tbe\tVBD\tB-VP\tO' +p261750 +aS'treated\ttreat\tVBN\tI-VP\tO' +p261751 +aS'with\twith\tIN\tB-PP\tO' +p261752 +aS'3\t3\tCD\tB-NP\tO' +p261753 +aS'days\tday\tNNS\tI-NP\tO' +p261754 +aS'of\tof\tIN\tB-PP\tO' +p261755 +aS'an\tan\tDT\tB-NP\tO' +p261756 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p261757 +aS',\t,\t,\tO\tO' +p261758 +aS'followed\tfollow\tVBN\tB-VP\tO' +p261759 +aS'by\tby\tIN\tB-PP\tO' +p261760 +aS'a\ta\tDT\tB-NP\tO' +p261761 +aS'10\t10\tCD\tI-NP\tO' +p261762 +aS'day\tday\tNN\tI-NP\tO' +p261763 +aS'course\tcourse\tNN\tI-NP\tO' +p261764 +aS'of\tof\tIN\tB-PP\tO' +p261765 +aS'levaquin\tlevaquin\tNN\tB-NP\tO' +p261766 +aS'(\t(\t(\tO\tO' +p261767 +aS'completed\tcomplete\tVBN\tB-VP\tO' +p261768 +aS'2\t2\tCD\tB-NP\tO' +p261769 +aS'days\tday\tNNS\tI-NP\tO' +p261770 +aS'PTA\tPTA\tNN\tI-NP\tB-protein' +p261771 +aS')\t)\t)\tO\tO' +p261772 +aS'.\t.\t.\tO\tO' +p261773 +asS'disease .' +p261774 +(lp261775 +S'disease\tdisease\tNN\tB-NP\tO' +p261776 +aS'.\t.\t.\tO\tO' +p261777 +asS'This is a 57-year-old nursing home resident female , who had been in her usual state of' +p261778 +(lp261779 +S'This\tThis\tDT\tB-NP\tO' +p261780 +aS'is\tbe\tVBZ\tB-VP\tO' +p261781 +aS'a\ta\tDT\tB-NP\tO' +p261782 +aS'57-year-old\t57-year-old\tJJ\tI-NP\tO' +p261783 +aS'nursing\tnursing\tNN\tI-NP\tO' +p261784 +aS'home\thome\tNN\tI-NP\tO' +p261785 +aS'resident\tresident\tNN\tI-NP\tO' +p261786 +aS'female\tfemale\tNN\tI-NP\tO' +p261787 +aS',\t,\t,\tO\tO' +p261788 +aS'who\twho\tWP\tB-NP\tO' +p261789 +aS'had\thave\tVBD\tB-VP\tO' +p261790 +aS'been\tbe\tVBN\tI-VP\tO' +p261791 +aS'in\tin\tIN\tB-PP\tO' +p261792 +aS'her\ther\tPRP$\tB-NP\tO' +p261793 +aS'usual\tusual\tJJ\tI-NP\tO' +p261794 +aS'state\tstate\tNN\tI-NP\tO' +p261795 +aS'of\tof\tIN\tB-PP\tO' +p261796 +asS'Pupils equal , round , and reactive to light .' +p261797 +(lp261798 +S'Pupils\tPupil\tNNS\tB-NP\tO' +p261799 +aS'equal\tequal\tJJ\tB-ADJP\tO' +p261800 +aS',\t,\t,\tO\tO' +p261801 +aS'round\tround\tJJ\tB-ADJP\tO' +p261802 +aS',\t,\t,\tO\tO' +p261803 +aS'and\tand\tCC\tO\tO' +p261804 +aS'reactive\treactive\tJJ\tB-ADJP\tO' +p261805 +aS'to\tto\tTO\tB-PP\tO' +p261806 +aS'light\tlight\tNN\tB-NP\tO' +p261807 +aS'.\t.\t.\tO\tO' +p261808 +asS'Signed electronically by : DR. Mae Behlmer on : MON 2017-10-09 5:18 AM' +p261809 +(lp261810 +S'Signed\tSign\tVBN\tB-VP\tO' +p261811 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p261812 +aS'by\tby\tIN\tB-PP\tO' +p261813 +aS':\t:\t:\tO\tO' +p261814 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p261815 +aS'Mae\tMae\tNNP\tI-NP\tO' +p261816 +aS'Behlmer\tBehlmer\tNNP\tI-NP\tO' +p261817 +aS'on\ton\tIN\tB-PP\tO' +p261818 +aS':\t:\t:\tO\tO' +p261819 +aS'MON\tMON\tNN\tB-NP\tO' +p261820 +aS'2017-10-09\t2017-10-09\tCD\tI-NP\tO' +p261821 +aS'5:18\t5:18\tCD\tI-NP\tO' +p261822 +aS'AM\tAM\tNN\tI-NP\tO' +p261823 +asS'She will continue on her previous outpatient medical regimen .' +p261824 +(lp261825 +S'She\tShe\tPRP\tB-NP\tO' +p261826 +aS'will\twill\tMD\tB-VP\tO' +p261827 +aS'continue\tcontinue\tVB\tI-VP\tO' +p261828 +aS'on\ton\tIN\tB-PP\tO' +p261829 +aS'her\ther\tPRP$\tB-NP\tO' +p261830 +aS'previous\tprevious\tJJ\tI-NP\tO' +p261831 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p261832 +aS'medical\tmedical\tJJ\tI-NP\tO' +p261833 +aS'regimen\tregimen\tNN\tI-NP\tO' +p261834 +aS'.\t.\t.\tO\tO' +p261835 +asS'After 600 cc of serosanguineous pericardial fluid was removed , the patient was noted to have a pulmonary capillary wedge pressure of 9 and a right atrial pressure of 2 ; indicating resolution of tamponade physiology .' +p261836 +(lp261837 +S'After\tAfter\tIN\tB-PP\tO' +p261838 +aS'600\t600\tCD\tB-NP\tO' +p261839 +aS'cc\tcc\tNN\tI-NP\tO' +p261840 +aS'of\tof\tIN\tB-PP\tO' +p261841 +aS'serosanguineous\tserosanguineous\tJJ\tB-NP\tO' +p261842 +aS'pericardial\tpericardial\tJJ\tI-NP\tO' +p261843 +aS'fluid\tfluid\tNN\tI-NP\tO' +p261844 +aS'was\tbe\tVBD\tB-VP\tO' +p261845 +aS'removed\tremove\tVBN\tI-VP\tO' +p261846 +aS',\t,\t,\tO\tO' +p261847 +aS'the\tthe\tDT\tB-NP\tO' +p261848 +aS'patient\tpatient\tNN\tI-NP\tO' +p261849 +aS'was\tbe\tVBD\tB-VP\tO' +p261850 +aS'noted\tnote\tVBN\tI-VP\tO' +p261851 +aS'to\tto\tTO\tI-VP\tO' +p261852 +aS'have\thave\tVB\tI-VP\tO' +p261853 +aS'a\ta\tDT\tB-NP\tO' +p261854 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p261855 +aS'capillary\tcapillary\tJJ\tI-NP\tO' +p261856 +aS'wedge\twedge\tNN\tI-NP\tO' +p261857 +aS'pressure\tpressure\tNN\tI-NP\tO' +p261858 +aS'of\tof\tIN\tB-PP\tO' +p261859 +aS'9\t9\tCD\tB-NP\tO' +p261860 +aS'and\tand\tCC\tO\tO' +p261861 +aS'a\ta\tDT\tB-NP\tO' +p261862 +aS'right\tright\tJJ\tI-NP\tO' +p261863 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p261864 +aS'pressure\tpressure\tNN\tI-NP\tO' +p261865 +aS'of\tof\tIN\tB-PP\tO' +p261866 +aS'2\t2\tCD\tB-NP\tO' +p261867 +aS';\t;\t:\tO\tO' +p261868 +aS'indicating\tindicate\tVBG\tB-VP\tO' +p261869 +aS'resolution\tresolution\tNN\tB-NP\tO' +p261870 +aS'of\tof\tIN\tB-PP\tO' +p261871 +aS'tamponade\ttamponade\tNN\tB-NP\tO' +p261872 +aS'physiology\tphysiology\tNN\tI-NP\tO' +p261873 +aS'.\t.\t.\tO\tO' +p261874 +asS'He had hypotension with beta blockers and therefore they were not started .' +p261875 +(lp261876 +S'He\tHe\tPRP\tB-NP\tO' +p261877 +aS'had\thave\tVBD\tB-VP\tO' +p261878 +aS'hypotension\thypotension\tNN\tB-NP\tO' +p261879 +aS'with\twith\tIN\tB-PP\tO' +p261880 +aS'beta\tbeta\tNN\tB-NP\tO' +p261881 +aS'blockers\tblocker\tNNS\tI-NP\tO' +p261882 +aS'and\tand\tCC\tO\tO' +p261883 +aS'therefore\ttherefore\tRB\tB-ADVP\tO' +p261884 +aS'they\tthey\tPRP\tB-NP\tO' +p261885 +aS'were\tbe\tVBD\tB-VP\tO' +p261886 +aS'not\tnot\tRB\tI-VP\tO' +p261887 +aS'started\tstart\tVBN\tI-VP\tO' +p261888 +aS'.\t.\t.\tO\tO' +p261889 +asS'The patient went to his nursing home on 7-9-91 but the next day he developed a temperature to 102.4 degrees , diarrhea , and orthostasis and he was transferred back to Gaanvantsir .' +p261890 +(lp261891 +S'The\tThe\tDT\tB-NP\tO' +p261892 +aS'patient\tpatient\tNN\tI-NP\tO' +p261893 +aS'went\tgo\tVBD\tB-VP\tO' +p261894 +aS'to\tto\tTO\tB-PP\tO' +p261895 +aS'his\this\tPRP$\tB-NP\tB-DNA' +p261896 +aS'nursing\tnurse\tVBG\tB-VP\tO' +p261897 +aS'home\thome\tNN\tB-ADVP\tO' +p261898 +aS'on\ton\tIN\tB-PP\tO' +p261899 +aS'7-9-91\t7-9-91\tNN\tB-NP\tO' +p261900 +aS'but\tbut\tCC\tO\tO' +p261901 +aS'the\tthe\tDT\tB-NP\tO' +p261902 +aS'next\tnext\tJJ\tI-NP\tO' +p261903 +aS'day\tday\tNN\tI-NP\tO' +p261904 +aS'he\the\tPRP\tB-NP\tO' +p261905 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p261906 +aS'a\ta\tDT\tB-NP\tO' +p261907 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p261908 +aS'to\tto\tTO\tB-PP\tO' +p261909 +aS'102.4\t102.4\tCD\tB-NP\tO' +p261910 +aS'degrees\tdegree\tNNS\tI-NP\tO' +p261911 +aS',\t,\t,\tO\tO' +p261912 +aS'diarrhea\tdiarrhea\tNN\tB-NP\tO' +p261913 +aS',\t,\t,\tO\tO' +p261914 +aS'and\tand\tCC\tO\tO' +p261915 +aS'orthostasis\torthostasis\tNN\tB-NP\tO' +p261916 +aS'and\tand\tCC\tO\tO' +p261917 +aS'he\the\tPRP\tB-NP\tO' +p261918 +aS'was\tbe\tVBD\tB-VP\tO' +p261919 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p261920 +aS'back\tback\tRB\tB-ADVP\tO' +p261921 +aS'to\tto\tTO\tB-PP\tO' +p261922 +aS'Gaanvantsir\tGaanvantsir\tNNP\tB-NP\tO' +p261923 +aS'.\t.\t.\tO\tO' +p261924 +asS'Suboptimal technical quality , a focal LV wall motion abnormality cannot be fully excluded .' +p261925 +(lp261926 +S'Suboptimal\tSuboptimal\tJJ\tB-NP\tO' +p261927 +aS'technical\ttechnical\tJJ\tI-NP\tO' +p261928 +aS'quality\tquality\tNN\tI-NP\tO' +p261929 +aS',\t,\t,\tO\tO' +p261930 +aS'a\ta\tDT\tB-NP\tO' +p261931 +aS'focal\tfocal\tJJ\tI-NP\tO' +p261932 +aS'LV\tLV\tNN\tI-NP\tO' +p261933 +aS'wall\twall\tNN\tI-NP\tO' +p261934 +aS'motion\tmotion\tNN\tI-NP\tO' +p261935 +aS'abnormality\tabnormality\tNN\tI-NP\tO' +p261936 +aS'cannot\tcannot\tMD\tB-VP\tO' +p261937 +aS'be\tbe\tVB\tI-VP\tO' +p261938 +aS'fully\tfully\tRB\tI-VP\tO' +p261939 +aS'excluded\texclude\tVBN\tI-VP\tO' +p261940 +aS'.\t.\t.\tO\tO' +p261941 +asS'The patient has been very closely with the Pain Service here while admitted .' +p261942 +(lp261943 +S'The\tThe\tDT\tB-NP\tO' +p261944 +aS'patient\tpatient\tNN\tI-NP\tO' +p261945 +aS'has\thave\tVBZ\tB-VP\tO' +p261946 +aS'been\tbe\tVBN\tI-VP\tO' +p261947 +aS'very\tvery\tRB\tB-ADVP\tO' +p261948 +aS'closely\tclosely\tRB\tI-ADVP\tO' +p261949 +aS'with\twith\tIN\tB-PP\tO' +p261950 +aS'the\tthe\tDT\tB-NP\tO' +p261951 +aS'Pain\tPain\tNNP\tI-NP\tO' +p261952 +aS'Service\tService\tNNP\tI-NP\tO' +p261953 +aS'here\there\tRB\tB-ADVP\tO' +p261954 +aS'while\twhile\tIN\tB-SBAR\tO' +p261955 +aS'admitted\tadmit\tVBN\tB-VP\tO' +p261956 +aS'.\t.\t.\tO\tO' +p261957 +asS'Crackles at base and mid-lungs bilaterally' +p261958 +(lp261959 +S'Crackles\tCrackle\tNNS\tB-NP\tO' +p261960 +aS'at\tat\tIN\tB-PP\tO' +p261961 +aS'base\tbase\tNN\tB-NP\tO' +p261962 +aS'and\tand\tCC\tI-NP\tO' +p261963 +aS'mid-lungs\tmid-lung\tNNS\tI-NP\tO' +p261964 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p261965 +asS'Anemia workup revealed a picture of anemia of chronic disease ( TIBC 225 , B12 and Folate normal , Hapto 397 , Ferritin 51 , TRF 173 , Iron 35 ) .' +p261966 +(lp261967 +S'Anemia\tAnemia\tNN\tB-NP\tO' +p261968 +aS'workup\tworkup\tNN\tI-NP\tO' +p261969 +aS'revealed\treveal\tVBD\tB-VP\tO' +p261970 +aS'a\ta\tDT\tB-NP\tO' +p261971 +aS'picture\tpicture\tNN\tI-NP\tO' +p261972 +aS'of\tof\tIN\tB-PP\tO' +p261973 +aS'anemia\tanemia\tNN\tB-NP\tO' +p261974 +aS'of\tof\tIN\tB-PP\tO' +p261975 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p261976 +aS'disease\tdisease\tNN\tI-NP\tO' +p261977 +aS'(\t(\t(\tO\tO' +p261978 +aS'TIBC\tTIBC\tNN\tB-NP\tB-DNA' +p261979 +aS'225\t225\tCD\tI-NP\tI-DNA' +p261980 +aS',\t,\t,\tO\tO' +p261981 +aS'B12\tB12\tNN\tB-NP\tB-protein' +p261982 +aS'and\tand\tCC\tI-NP\tO' +p261983 +aS'Folate\tFolate\tNN\tI-NP\tO' +p261984 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p261985 +aS',\t,\t,\tO\tO' +p261986 +aS'Hapto\tHapto\tNNP\tB-NP\tO' +p261987 +aS'397\t397\tCD\tI-NP\tO' +p261988 +aS',\t,\t,\tO\tO' +p261989 +aS'Ferritin\tFerritin\tNN\tB-NP\tB-protein' +p261990 +aS'51\t51\tCD\tI-NP\tI-protein' +p261991 +aS',\t,\t,\tO\tO' +p261992 +aS'TRF\tTRF\tNN\tB-NP\tB-protein' +p261993 +aS'173\t173\tCD\tI-NP\tI-protein' +p261994 +aS',\t,\t,\tO\tO' +p261995 +aS'Iron\tIron\tNNP\tB-NP\tO' +p261996 +aS'35\t35\tCD\tI-NP\tO' +p261997 +aS')\t)\t)\tO\tO' +p261998 +aS'.\t.\t.\tO\tO' +p261999 +asS'4. Pantoprazole 40 mg Tablet , Delayed Release ( E.C. ) Sig : One ( 1 ) Tablet , Delayed Release ( E.C. ) PO Q24H ( every 24 hours ) .' +p262000 +(lp262001 +S'4.\t4.\tLS\tB-NP\tO' +p262002 +aS'Pantoprazole\tPantoprazole\tNN\tI-NP\tO' +p262003 +aS'40\t40\tCD\tI-NP\tO' +p262004 +aS'mg\tmg\tNN\tI-NP\tO' +p262005 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p262006 +aS',\t,\t,\tO\tO' +p262007 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p262008 +aS'Release\tRelease\tNNP\tI-NP\tO' +p262009 +aS'(\t(\t(\tO\tO' +p262010 +aS'E.C.\tE.C.\tNNP\tB-NP\tO' +p262011 +aS')\t)\t)\tO\tO' +p262012 +aS'Sig\tSig\tNNP\tB-NP\tO' +p262013 +aS':\t:\t:\tO\tO' +p262014 +aS'One\tOne\tCD\tB-NP\tO' +p262015 +aS'(\t(\t(\tO\tO' +p262016 +aS'1\t1\tCD\tB-NP\tO' +p262017 +aS')\t)\t)\tO\tO' +p262018 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p262019 +aS',\t,\t,\tO\tO' +p262020 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p262021 +aS'Release\tRelease\tNNP\tI-NP\tO' +p262022 +aS'(\t(\t(\tO\tO' +p262023 +aS'E.C.\tE.C.\tNNP\tO\tO' +p262024 +aS')\t)\t)\tO\tO' +p262025 +aS'PO\tPO\tNN\tB-NP\tO' +p262026 +aS'Q24H\tQ24H\tNN\tI-NP\tO' +p262027 +aS'(\t(\t(\tO\tO' +p262028 +aS'every\tevery\tDT\tB-NP\tO' +p262029 +aS'24\t24\tCD\tI-NP\tO' +p262030 +aS'hours\thour\tNNS\tI-NP\tO' +p262031 +aS')\t)\t)\tO\tO' +p262032 +aS'.\t.\t.\tO\tO' +p262033 +asS'On the right foot dry crusted ulcer over the medial aspect of the first metatarsal head and medial posterior heel .' +p262034 +(lp262035 +S'On\tOn\tIN\tB-PP\tO' +p262036 +aS'the\tthe\tDT\tB-NP\tO' +p262037 +aS'right\tright\tJJ\tI-NP\tO' +p262038 +aS'foot\tfoot\tNN\tI-NP\tO' +p262039 +aS'dry\tdry\tJJ\tI-NP\tO' +p262040 +aS'crusted\tcrust\tVBN\tI-NP\tO' +p262041 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p262042 +aS'over\tover\tIN\tB-PP\tO' +p262043 +aS'the\tthe\tDT\tB-NP\tO' +p262044 +aS'medial\tmedial\tJJ\tI-NP\tO' +p262045 +aS'aspect\taspect\tNN\tI-NP\tO' +p262046 +aS'of\tof\tIN\tB-PP\tO' +p262047 +aS'the\tthe\tDT\tB-NP\tO' +p262048 +aS'first\tfirst\tJJ\tI-NP\tO' +p262049 +aS'metatarsal\tmetatarsal\tJJ\tI-NP\tO' +p262050 +aS'head\thead\tNN\tI-NP\tO' +p262051 +aS'and\tand\tCC\tO\tO' +p262052 +aS'medial\tmedial\tJJ\tB-NP\tO' +p262053 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p262054 +aS'heel\theel\tNN\tI-NP\tO' +p262055 +aS'.\t.\t.\tO\tO' +p262056 +asS'There was no significant change from his baseline EKG .' +p262057 +(lp262058 +S'There\tThere\tEX\tB-NP\tO' +p262059 +aS'was\tbe\tVBD\tB-VP\tO' +p262060 +aS'no\tno\tDT\tB-NP\tO' +p262061 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p262062 +aS'change\tchange\tNN\tI-NP\tO' +p262063 +aS'from\tfrom\tIN\tB-PP\tO' +p262064 +aS'his\this\tPRP$\tB-NP\tO' +p262065 +aS'baseline\tbaseline\tNN\tI-NP\tO' +p262066 +aS'EKG\tEKG\tNN\tI-NP\tO' +p262067 +aS'.\t.\t.\tO\tO' +p262068 +asS'15. Pamidronate 30 mg IV every month .' +p262069 +(lp262070 +S'15.\t15.\tCD\tB-NP\tO' +p262071 +aS'Pamidronate\tPamidronate\tNN\tI-NP\tO' +p262072 +aS'30\t30\tCD\tB-NP\tO' +p262073 +aS'mg\tmg\tNN\tI-NP\tO' +p262074 +aS'IV\tIV\tCD\tI-NP\tO' +p262075 +aS'every\tevery\tDT\tB-NP\tO' +p262076 +aS'month\tmonth\tNN\tI-NP\tO' +p262077 +aS'.\t.\t.\tO\tO' +p262078 +asS's/p neoadjuvant chemo/XRT now s/p surgery .' +p262079 +(lp262080 +S's/p\ts/p\tNN\tB-NP\tO' +p262081 +aS'neoadjuvant\tneoadjuvant\tJJ\tI-NP\tO' +p262082 +aS'chemo/XRT\tchemo/XRT\tNN\tI-NP\tO' +p262083 +aS'now\tnow\tRB\tB-ADVP\tO' +p262084 +aS's/p\ts/p\tVBP\tB-VP\tO' +p262085 +aS'surgery\tsurgery\tNN\tB-NP\tO' +p262086 +aS'.\t.\t.\tO\tO' +p262087 +asS'He has not had fever and night sweats but reports weakness and weight loss for several months recently .' +p262088 +(lp262089 +S'He\tHe\tPRP\tB-NP\tO' +p262090 +aS'has\thave\tVBZ\tB-VP\tO' +p262091 +aS'not\tnot\tRB\tI-VP\tO' +p262092 +aS'had\thave\tVBN\tI-VP\tO' +p262093 +aS'fever\tfever\tNN\tB-NP\tO' +p262094 +aS'and\tand\tCC\tI-NP\tO' +p262095 +aS'night\tnight\tNN\tI-NP\tO' +p262096 +aS'sweats\tsweat\tNNS\tI-NP\tO' +p262097 +aS'but\tbut\tCC\tI-NP\tO' +p262098 +aS'reports\treport\tNNS\tI-NP\tO' +p262099 +aS'weakness\tweakness\tNN\tI-NP\tO' +p262100 +aS'and\tand\tCC\tI-NP\tO' +p262101 +aS'weight\tweight\tNN\tI-NP\tO' +p262102 +aS'loss\tloss\tNN\tI-NP\tO' +p262103 +aS'for\tfor\tIN\tB-PP\tO' +p262104 +aS'several\tseveral\tJJ\tB-NP\tO' +p262105 +aS'months\tmonth\tNNS\tI-NP\tO' +p262106 +aS'recently\trecently\tRB\tB-ADVP\tO' +p262107 +aS'.\t.\t.\tO\tO' +p262108 +asS'New England Sinai Hospital & Rehab Center - Everett' +p262109 +(lp262110 +S'New\tNew\tNNP\tB-NP\tO' +p262111 +aS'England\tEngland\tNNP\tI-NP\tO' +p262112 +aS'Sinai\tSinai\tNNP\tI-NP\tO' +p262113 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p262114 +aS'&\t&\tCC\tI-NP\tO' +p262115 +aS'Rehab\tRehab\tNNP\tI-NP\tO' +p262116 +aS'Center\tCenter\tNNP\tI-NP\tO' +p262117 +aS'-\t-\tHYPH\tO\tO' +p262118 +aS'Everett\tEverett\tNNP\tB-NP\tO' +p262119 +asS'Etoh use , 01-21 drinks / day , most recently on day of admission' +p262120 +(lp262121 +S'Etoh\tEtoh\tNN\tB-NP\tO' +p262122 +aS'use\tuse\tNN\tI-NP\tO' +p262123 +aS',\t,\t,\tO\tO' +p262124 +aS'01-21\t01-21\tCD\tB-NP\tO' +p262125 +aS'drinks\tdrink\tNNS\tI-NP\tO' +p262126 +aS'/\t/\tSYM\tB-NP\tO' +p262127 +aS'day\tday\tNN\tI-NP\tO' +p262128 +aS',\t,\t,\tO\tO' +p262129 +aS'most\tmost\tRBS\tB-ADVP\tO' +p262130 +aS'recently\trecently\tRB\tI-ADVP\tO' +p262131 +aS'on\ton\tIN\tB-PP\tO' +p262132 +aS'day\tday\tNN\tB-NP\tO' +p262133 +aS'of\tof\tIN\tB-PP\tO' +p262134 +aS'admission\tadmission\tNN\tB-NP\tO' +p262135 +asS'This 86 yo man with h/o CVA , CHF , recent episodes of aspiration pneumonia , presented with dyspnea from his NH , likely from new RLL pneumonia .' +p262136 +(lp262137 +S'This\tThis\tDT\tB-NP\tO' +p262138 +aS'86\t86\tCD\tI-NP\tO' +p262139 +aS'yo\tyo\tNN\tI-NP\tO' +p262140 +aS'man\tman\tNN\tI-NP\tO' +p262141 +aS'with\twith\tIN\tB-PP\tO' +p262142 +aS'h/o\th/o\tNN\tB-NP\tO' +p262143 +aS'CVA\tCVA\tNN\tI-NP\tO' +p262144 +aS',\t,\t,\tO\tO' +p262145 +aS'CHF\tCHF\tNN\tB-NP\tB-protein' +p262146 +aS',\t,\t,\tO\tO' +p262147 +aS'recent\trecent\tJJ\tB-NP\tO' +p262148 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p262149 +aS'of\tof\tIN\tB-PP\tO' +p262150 +aS'aspiration\taspiration\tNN\tB-NP\tO' +p262151 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p262152 +aS',\t,\t,\tO\tO' +p262153 +aS'presented\tpresent\tVBD\tB-VP\tO' +p262154 +aS'with\twith\tIN\tB-PP\tO' +p262155 +aS'dyspnea\tdyspnea\tNN\tB-NP\tO' +p262156 +aS'from\tfrom\tIN\tB-PP\tO' +p262157 +aS'his\this\tPRP$\tB-NP\tO' +p262158 +aS'NH\tNH\tNN\tI-NP\tO' +p262159 +aS',\t,\t,\tO\tO' +p262160 +aS'likely\tlikely\tRB\tB-ADJP\tO' +p262161 +aS'from\tfrom\tIN\tB-PP\tO' +p262162 +aS'new\tnew\tJJ\tB-NP\tO' +p262163 +aS'RLL\tRLL\tNN\tI-NP\tO' +p262164 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p262165 +aS'.\t.\t.\tO\tO' +p262166 +asS'Chemistries were notable for a sodium of 143 , potassium 3.2 , chloride and bicarbonate of 104 and 24 , respectively , with blood urea nitrogen and creatinine of 7 and 0.4 , respectively .' +p262167 +(lp262168 +S'Chemistries\tChemistry\tNNS\tB-NP\tO' +p262169 +aS'were\tbe\tVBD\tB-VP\tO' +p262170 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p262171 +aS'for\tfor\tIN\tB-PP\tO' +p262172 +aS'a\ta\tDT\tB-NP\tO' +p262173 +aS'sodium\tsodium\tNN\tI-NP\tO' +p262174 +aS'of\tof\tIN\tB-PP\tO' +p262175 +aS'143\t143\tCD\tB-NP\tO' +p262176 +aS',\t,\t,\tO\tO' +p262177 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p262178 +aS'3.2\t3.2\tCD\tI-NP\tO' +p262179 +aS',\t,\t,\tO\tO' +p262180 +aS'chloride\tchloride\tNN\tB-NP\tO' +p262181 +aS'and\tand\tCC\tI-NP\tO' +p262182 +aS'bicarbonate\tbicarbonate\tNN\tI-NP\tO' +p262183 +aS'of\tof\tIN\tB-PP\tO' +p262184 +aS'104\t104\tCD\tB-NP\tO' +p262185 +aS'and\tand\tCC\tI-NP\tO' +p262186 +aS'24\t24\tCD\tI-NP\tO' +p262187 +aS',\t,\t,\tO\tO' +p262188 +aS'respectively\trespectively\tRB\tB-ADVP\tO' +p262189 +aS',\t,\t,\tO\tO' +p262190 +aS'with\twith\tIN\tB-PP\tO' +p262191 +aS'blood\tblood\tNN\tB-NP\tO' +p262192 +aS'urea\turea\tNN\tI-NP\tO' +p262193 +aS'nitrogen\tnitrogen\tNN\tI-NP\tO' +p262194 +aS'and\tand\tCC\tI-NP\tO' +p262195 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p262196 +aS'of\tof\tIN\tB-PP\tO' +p262197 +aS'7\t7\tCD\tB-NP\tO' +p262198 +aS'and\tand\tCC\tI-NP\tO' +p262199 +aS'0.4\t0.4\tCD\tI-NP\tO' +p262200 +aS',\t,\t,\tO\tO' +p262201 +aS'respectively\trespectively\tRB\tB-ADVP\tO' +p262202 +aS'.\t.\t.\tO\tO' +p262203 +asS'The patient transfused 2 units on 10/20/97 for a hematocrit of 28.2.10 .' +p262204 +(lp262205 +S'The\tThe\tDT\tB-NP\tO' +p262206 +aS'patient\tpatient\tNN\tI-NP\tO' +p262207 +aS'transfused\ttransfuse\tVBN\tB-VP\tO' +p262208 +aS'2\t2\tCD\tB-NP\tO' +p262209 +aS'units\tunit\tNNS\tI-NP\tO' +p262210 +aS'on\ton\tIN\tB-PP\tO' +p262211 +aS'10/20/97\t10/20/97\tCD\tB-NP\tO' +p262212 +aS'for\tfor\tIN\tB-PP\tO' +p262213 +aS'a\ta\tDT\tB-NP\tO' +p262214 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p262215 +aS'of\tof\tIN\tB-PP\tO' +p262216 +aS'28.2.10\t28.2.10\tCD\tB-NP\tO' +p262217 +aS'.\t.\t.\tO\tO' +p262218 +asS'Pt denied any bleeding or clotting disorders and has never had a clot in the past .' +p262219 +(lp262220 +S'Pt\tPt\tNN\tB-NP\tO' +p262221 +aS'denied\tdeny\tVBD\tB-VP\tO' +p262222 +aS'any\tany\tDT\tB-NP\tO' +p262223 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p262224 +aS'or\tor\tCC\tI-NP\tO' +p262225 +aS'clotting\tclotting\tNN\tI-NP\tO' +p262226 +aS'disorders\tdisorder\tNNS\tI-NP\tO' +p262227 +aS'and\tand\tCC\tO\tO' +p262228 +aS'has\thave\tVBZ\tB-VP\tO' +p262229 +aS'never\tnever\tRB\tI-VP\tO' +p262230 +aS'had\thave\tVBD\tI-VP\tO' +p262231 +aS'a\ta\tDT\tB-NP\tO' +p262232 +aS'clot\tclot\tNN\tI-NP\tO' +p262233 +aS'in\tin\tIN\tB-PP\tO' +p262234 +aS'the\tthe\tDT\tB-NP\tO' +p262235 +aS'past\tpast\tNN\tI-NP\tO' +p262236 +aS'.\t.\t.\tO\tO' +p262237 +asS'Mild pain with resistive test and his Pigott sign is mildly positive on the right , negative on the left .' +p262238 +(lp262239 +S'Mild\tMild\tJJ\tB-NP\tO' +p262240 +aS'pain\tpain\tNN\tI-NP\tO' +p262241 +aS'with\twith\tIN\tB-PP\tO' +p262242 +aS'resistive\tresistive\tJJ\tB-NP\tO' +p262243 +aS'test\ttest\tNN\tI-NP\tO' +p262244 +aS'and\tand\tCC\tO\tO' +p262245 +aS'his\this\tPRP$\tB-NP\tO' +p262246 +aS'Pigott\tPigott\tNNP\tI-NP\tO' +p262247 +aS'sign\tsign\tNN\tI-NP\tO' +p262248 +aS'is\tbe\tVBZ\tB-VP\tO' +p262249 +aS'mildly\tmildly\tRB\tB-ADJP\tO' +p262250 +aS'positive\tpositive\tJJ\tI-ADJP\tO' +p262251 +aS'on\ton\tIN\tB-PP\tO' +p262252 +aS'the\tthe\tDT\tB-NP\tO' +p262253 +aS'right\tright\tJJ\tI-NP\tO' +p262254 +aS',\t,\t,\tI-NP\tO' +p262255 +aS'negative\tnegative\tJJ\tI-NP\tO' +p262256 +aS'on\ton\tIN\tB-PP\tO' +p262257 +aS'the\tthe\tDT\tB-NP\tO' +p262258 +aS'left\tleft\tNN\tI-NP\tO' +p262259 +aS'.\t.\t.\tO\tO' +p262260 +asS'She did well and was admitted to the GYN Service postoperatively because the patient had persistent pain .' +p262261 +(lp262262 +S'She\tShe\tPRP\tB-NP\tO' +p262263 +aS'did\tdo\tVBD\tB-VP\tO' +p262264 +aS'well\twell\tRB\tB-ADVP\tO' +p262265 +aS'and\tand\tCC\tO\tO' +p262266 +aS'was\tbe\tVBD\tB-VP\tO' +p262267 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p262268 +aS'to\tto\tTO\tB-PP\tO' +p262269 +aS'the\tthe\tDT\tB-NP\tO' +p262270 +aS'GYN\tGYN\tNNP\tI-NP\tO' +p262271 +aS'Service\tService\tNNP\tI-NP\tO' +p262272 +aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' +p262273 +aS'because\tbecause\tIN\tB-SBAR\tO' +p262274 +aS'the\tthe\tDT\tB-NP\tO' +p262275 +aS'patient\tpatient\tNN\tI-NP\tO' +p262276 +aS'had\thave\tVBD\tB-VP\tO' +p262277 +aS'persistent\tpersistent\tJJ\tB-NP\tO' +p262278 +aS'pain\tpain\tNN\tI-NP\tO' +p262279 +aS'.\t.\t.\tO\tO' +p262280 +asS'After one day in the Medical Intensive Care Unit the patient was stable enough to go to the floor where he continued the rest of his treatment .' +p262281 +(lp262282 +S'After\tAfter\tIN\tB-PP\tO' +p262283 +aS'one\tone\tCD\tB-NP\tO' +p262284 +aS'day\tday\tNN\tI-NP\tO' +p262285 +aS'in\tin\tIN\tB-PP\tO' +p262286 +aS'the\tthe\tDT\tB-NP\tO' +p262287 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p262288 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p262289 +aS'Care\tCare\tNNP\tI-NP\tO' +p262290 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p262291 +aS'the\tthe\tDT\tB-NP\tO' +p262292 +aS'patient\tpatient\tNN\tI-NP\tO' +p262293 +aS'was\tbe\tVBD\tB-VP\tO' +p262294 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p262295 +aS'enough\tenough\tRB\tI-ADJP\tO' +p262296 +aS'to\tto\tTO\tB-VP\tO' +p262297 +aS'go\tgo\tVB\tI-VP\tO' +p262298 +aS'to\tto\tTO\tB-PP\tO' +p262299 +aS'the\tthe\tDT\tB-NP\tO' +p262300 +aS'floor\tfloor\tNN\tI-NP\tO' +p262301 +aS'where\twhere\tWRB\tB-ADVP\tO' +p262302 +aS'he\the\tPRP\tB-NP\tO' +p262303 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p262304 +aS'the\tthe\tDT\tB-NP\tO' +p262305 +aS'rest\trest\tNN\tI-NP\tO' +p262306 +aS'of\tof\tIN\tB-PP\tO' +p262307 +aS'his\this\tPRP$\tB-NP\tO' +p262308 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p262309 +aS'.\t.\t.\tO\tO' +p262310 +asS'5) L femur xray ( 06-18 ): Predominantly sclerotic lesion with interval periosteal new bone formation involving the intertrochanteric and subtrochanteric regions .' +p262311 +(lp262312 +S'5)\t5)\tLS\tB-NP\tO' +p262313 +aS'L\tL\tNN\tI-NP\tO' +p262314 +aS'femur\tfemur\tNN\tI-NP\tO' +p262315 +aS'xray\txray\tNN\tI-NP\tO' +p262316 +aS'(\t(\t(\tO\tO' +p262317 +aS'06-18\t06-18\tCD\tB-NP\tO' +p262318 +aS'):\t):\t)\tO\tO' +p262319 +aS'Predominantly\tPredominantly\tRB\tB-NP\tO' +p262320 +aS'sclerotic\tsclerotic\tJJ\tI-NP\tO' +p262321 +aS'lesion\tlesion\tNN\tI-NP\tO' +p262322 +aS'with\twith\tIN\tB-PP\tO' +p262323 +aS'interval\tinterval\tJJ\tB-NP\tO' +p262324 +aS'periosteal\tperiosteal\tJJ\tI-NP\tO' +p262325 +aS'new\tnew\tJJ\tI-NP\tO' +p262326 +aS'bone\tbone\tNN\tI-NP\tO' +p262327 +aS'formation\tformation\tNN\tI-NP\tO' +p262328 +aS'involving\tinvolve\tVBG\tB-VP\tO' +p262329 +aS'the\tthe\tDT\tB-NP\tO' +p262330 +aS'intertrochanteric\tintertrochanteric\tJJ\tI-NP\tO' +p262331 +aS'and\tand\tCC\tI-NP\tO' +p262332 +aS'subtrochanteric\tsubtrochanteric\tJJ\tI-NP\tO' +p262333 +aS'regions\tregion\tNNS\tI-NP\tO' +p262334 +aS'.\t.\t.\tO\tO' +p262335 +asS'There was no areas of restricted diffusion to indicate infarction .' +p262336 +(lp262337 +S'There\tThere\tEX\tB-NP\tO' +p262338 +aS'was\tbe\tVBD\tB-VP\tO' +p262339 +aS'no\tno\tDT\tB-NP\tO' +p262340 +aS'areas\tarea\tNNS\tI-NP\tO' +p262341 +aS'of\tof\tIN\tB-PP\tO' +p262342 +aS'restricted\trestricted\tJJ\tB-NP\tO' +p262343 +aS'diffusion\tdiffusion\tNN\tI-NP\tO' +p262344 +aS'to\tto\tTO\tB-VP\tO' +p262345 +aS'indicate\tindicate\tVB\tI-VP\tO' +p262346 +aS'infarction\tinfarction\tNN\tB-NP\tO' +p262347 +aS'.\t.\t.\tO\tO' +p262348 +asS'The pelvic examination is normal except for the presence of a full right ovary .' +p262349 +(lp262350 +S'The\tThe\tDT\tB-NP\tO' +p262351 +aS'pelvic\tpelvic\tJJ\tI-NP\tO' +p262352 +aS'examination\texamination\tNN\tI-NP\tO' +p262353 +aS'is\tbe\tVBZ\tB-VP\tO' +p262354 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p262355 +aS'except\texcept\tIN\tB-PP\tO' +p262356 +aS'for\tfor\tIN\tB-PP\tO' +p262357 +aS'the\tthe\tDT\tB-NP\tO' +p262358 +aS'presence\tpresence\tNN\tI-NP\tO' +p262359 +aS'of\tof\tIN\tB-PP\tO' +p262360 +aS'a\ta\tDT\tB-NP\tO' +p262361 +aS'full\tfull\tJJ\tI-NP\tO' +p262362 +aS'right\tright\tJJ\tI-NP\tO' +p262363 +aS'ovary\tovary\tNN\tI-NP\tO' +p262364 +aS'.\t.\t.\tO\tO' +p262365 +asS'She had undergone a previous nasal arterial embolization for treatment of recurrent epistaxis .' +p262366 +(lp262367 +S'She\tShe\tPRP\tB-NP\tO' +p262368 +aS'had\thave\tVBD\tB-VP\tO' +p262369 +aS'undergone\tundergo\tVBN\tI-VP\tO' +p262370 +aS'a\ta\tDT\tB-NP\tO' +p262371 +aS'previous\tprevious\tJJ\tI-NP\tO' +p262372 +aS'nasal\tnasal\tJJ\tI-NP\tO' +p262373 +aS'arterial\tarterial\tJJ\tI-NP\tO' +p262374 +aS'embolization\tembolization\tNN\tI-NP\tO' +p262375 +aS'for\tfor\tIN\tB-PP\tO' +p262376 +aS'treatment\ttreatment\tNN\tB-NP\tO' +p262377 +aS'of\tof\tIN\tB-PP\tO' +p262378 +aS'recurrent\trecurrent\tJJ\tB-NP\tO' +p262379 +aS'epistaxis\tepistaxis\tNN\tI-NP\tO' +p262380 +aS'.\t.\t.\tO\tO' +p262381 +asS'This is a 50 year old man in his usual state of health until two weeks prior to admission when the patient developed epigastric pain after meals .' +p262382 +(lp262383 +S'This\tThis\tDT\tB-NP\tO' +p262384 +aS'is\tbe\tVBZ\tB-VP\tO' +p262385 +aS'a\ta\tDT\tB-NP\tO' +p262386 +aS'50\t50\tCD\tI-NP\tO' +p262387 +aS'year\tyear\tNN\tI-NP\tO' +p262388 +aS'old\told\tJJ\tI-NP\tO' +p262389 +aS'man\tman\tNN\tI-NP\tO' +p262390 +aS'in\tin\tIN\tB-PP\tO' +p262391 +aS'his\this\tPRP$\tB-NP\tO' +p262392 +aS'usual\tusual\tJJ\tI-NP\tO' +p262393 +aS'state\tstate\tNN\tI-NP\tO' +p262394 +aS'of\tof\tIN\tB-PP\tO' +p262395 +aS'health\thealth\tNN\tB-NP\tO' +p262396 +aS'until\tuntil\tIN\tB-PP\tO' +p262397 +aS'two\ttwo\tCD\tB-NP\tO' +p262398 +aS'weeks\tweek\tNNS\tI-NP\tO' +p262399 +aS'prior\tprior\tRB\tB-ADVP\tO' +p262400 +aS'to\tto\tTO\tB-PP\tO' +p262401 +aS'admission\tadmission\tNN\tB-NP\tO' +p262402 +aS'when\twhen\tWRB\tB-ADVP\tO' +p262403 +aS'the\tthe\tDT\tB-NP\tO' +p262404 +aS'patient\tpatient\tNN\tI-NP\tO' +p262405 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p262406 +aS'epigastric\tepigastric\tJJ\tB-NP\tO' +p262407 +aS'pain\tpain\tNN\tI-NP\tO' +p262408 +aS'after\tafter\tIN\tB-PP\tO' +p262409 +aS'meals\tmeal\tNNS\tB-NP\tO' +p262410 +aS'.\t.\t.\tO\tO' +p262411 +asS'The patient lightly bumped his head on the top three times on the previous night and the patient had frontal headaches and a tight neck .' +p262412 +(lp262413 +S'The\tThe\tDT\tB-NP\tO' +p262414 +aS'patient\tpatient\tNN\tI-NP\tO' +p262415 +aS'lightly\tlightly\tRB\tB-ADVP\tO' +p262416 +aS'bumped\tbump\tVBD\tB-VP\tO' +p262417 +aS'his\this\tPRP$\tB-NP\tO' +p262418 +aS'head\thead\tNN\tI-NP\tO' +p262419 +aS'on\ton\tIN\tB-PP\tO' +p262420 +aS'the\tthe\tDT\tB-NP\tO' +p262421 +aS'top\ttop\tJJ\tI-NP\tO' +p262422 +aS'three\tthree\tCD\tI-NP\tO' +p262423 +aS'times\ttime\tNNS\tI-NP\tO' +p262424 +aS'on\ton\tIN\tB-PP\tO' +p262425 +aS'the\tthe\tDT\tB-NP\tO' +p262426 +aS'previous\tprevious\tJJ\tI-NP\tO' +p262427 +aS'night\tnight\tNN\tI-NP\tO' +p262428 +aS'and\tand\tCC\tO\tO' +p262429 +aS'the\tthe\tDT\tB-NP\tO' +p262430 +aS'patient\tpatient\tNN\tI-NP\tO' +p262431 +aS'had\thave\tVBD\tB-VP\tO' +p262432 +aS'frontal\tfrontal\tJJ\tB-NP\tO' +p262433 +aS'headaches\theadache\tNNS\tI-NP\tO' +p262434 +aS'and\tand\tCC\tO\tO' +p262435 +aS'a\ta\tDT\tB-NP\tO' +p262436 +aS'tight\ttight\tJJ\tI-NP\tO' +p262437 +aS'neck\tneck\tNN\tI-NP\tO' +p262438 +aS'.\t.\t.\tO\tO' +p262439 +asS'No bony abnormalities or petechiae noted .' +p262440 +(lp262441 +S'No\tNo\tDT\tB-NP\tO' +p262442 +aS'bony\tbony\tNN\tI-NP\tO' +p262443 +aS'abnormalities\tabnormality\tNNS\tI-NP\tO' +p262444 +aS'or\tor\tCC\tI-NP\tO' +p262445 +aS'petechiae\tpetechiae\tNNS\tI-NP\tO' +p262446 +aS'noted\tnote\tVBD\tB-VP\tO' +p262447 +aS'.\t.\t.\tO\tO' +p262448 +asS'NO MICROORGANISMS SEEN .' +p262449 +(lp262450 +S'NO\tNO\tNN\tB-NP\tO' +p262451 +aS'MICROORGANISMS\tMICROORGANISMS\tNN\tI-NP\tO' +p262452 +aS'SEEN\tSEEN\tNN\tI-NP\tO' +p262453 +aS'.\t.\t.\tO\tO' +p262454 +asS'The patient underwent 6 cycles of CAP in Pemrancetul Tonsst. .' +p262455 +(lp262456 +S'The\tThe\tDT\tB-NP\tO' +p262457 +aS'patient\tpatient\tNN\tI-NP\tO' +p262458 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p262459 +aS'6\t6\tCD\tB-NP\tO' +p262460 +aS'cycles\tcycle\tNNS\tI-NP\tO' +p262461 +aS'of\tof\tIN\tB-PP\tO' +p262462 +aS'CAP\tCAP\tNN\tB-NP\tB-protein' +p262463 +aS'in\tin\tIN\tB-PP\tO' +p262464 +aS'Pemrancetul\tPemrancetul\tNNP\tB-NP\tO' +p262465 +aS'Tonsst.\tTonsst.\tNNP\tI-NP\tO' +p262466 +aS'.\t.\t.\tO\tO' +p262467 +asS'1. Docusate sodium 100 mg p.o. b.i.d.' +p262468 +(lp262469 +S'1.\t1.\tLS\tB-NP\tO' +p262470 +aS'Docusate\tDocusate\tNN\tI-NP\tO' +p262471 +aS'sodium\tsodium\tNN\tI-NP\tO' +p262472 +aS'100\t100\tCD\tI-NP\tO' +p262473 +aS'mg\tmg\tNN\tI-NP\tO' +p262474 +aS'p.o.\tp.o.\tFW\tB-ADVP\tO' +p262475 +aS'b.i.d.\tb.i.d.\tFW\tI-ADVP\tO' +p262476 +asS'smoker in the household , with preschool siblings , or with chronic lung disease ;' +p262477 +(lp262478 +S'smoker\tsmoker\tNN\tB-NP\tO' +p262479 +aS'in\tin\tIN\tB-PP\tO' +p262480 +aS'the\tthe\tDT\tB-NP\tO' +p262481 +aS'household\thousehold\tNN\tI-NP\tO' +p262482 +aS',\t,\t,\tO\tO' +p262483 +aS'with\twith\tIN\tB-PP\tO' +p262484 +aS'preschool\tpreschool\tNN\tB-NP\tO' +p262485 +aS'siblings\tsibling\tNNS\tI-NP\tO' +p262486 +aS',\t,\t,\tO\tO' +p262487 +aS'or\tor\tCC\tO\tO' +p262488 +aS'with\twith\tIN\tB-PP\tO' +p262489 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p262490 +aS'lung\tlung\tNN\tI-NP\tO' +p262491 +aS'disease\tdisease\tNN\tI-NP\tO' +p262492 +aS';\t;\t:\tO\tO' +p262493 +asS'It will need to be monitored over time .' +p262494 +(lp262495 +S'It\tIt\tPRP\tB-NP\tO' +p262496 +aS'will\twill\tMD\tB-VP\tO' +p262497 +aS'need\tneed\tVB\tI-VP\tO' +p262498 +aS'to\tto\tTO\tI-VP\tO' +p262499 +aS'be\tbe\tVB\tI-VP\tO' +p262500 +aS'monitored\tmonitor\tVBN\tI-VP\tO' +p262501 +aS'over\tover\tIN\tB-PP\tO' +p262502 +aS'time\ttime\tNN\tB-NP\tO' +p262503 +aS'.\t.\t.\tO\tO' +p262504 +asS'Your patient was admitted under the care of ANER , AEA M with a preliminary diagnosis of LINE SEPSIS .' +p262505 +(lp262506 +S'Your\tYour\tPRP$\tB-NP\tO' +p262507 +aS'patient\tpatient\tNN\tI-NP\tO' +p262508 +aS'was\tbe\tVBD\tB-VP\tO' +p262509 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p262510 +aS'under\tunder\tIN\tB-PP\tO' +p262511 +aS'the\tthe\tDT\tB-NP\tO' +p262512 +aS'care\tcare\tNN\tI-NP\tO' +p262513 +aS'of\tof\tIN\tB-PP\tO' +p262514 +aS'ANER\tANER\tNN\tB-NP\tB-protein' +p262515 +aS',\t,\t,\tO\tO' +p262516 +aS'AEA\tAEA\tNN\tB-NP\tB-protein' +p262517 +aS'M\tM\tNN\tI-NP\tI-protein' +p262518 +aS'with\twith\tIN\tB-PP\tO' +p262519 +aS'a\ta\tDT\tB-NP\tO' +p262520 +aS'preliminary\tpreliminary\tJJ\tI-NP\tO' +p262521 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p262522 +aS'of\tof\tIN\tB-PP\tO' +p262523 +aS'LINE\tLINE\tNNP\tB-NP\tO' +p262524 +aS'SEPSIS\tSEPSIS\tNNP\tI-NP\tO' +p262525 +aS'.\t.\t.\tO\tO' +p262526 +asS'The patient has seen his primary care physician who referred him to physical therapy for his gait weakness but his symptoms failed to improve .' +p262527 +(lp262528 +S'The\tThe\tDT\tB-NP\tO' +p262529 +aS'patient\tpatient\tNN\tI-NP\tO' +p262530 +aS'has\thave\tVBZ\tB-VP\tO' +p262531 +aS'seen\tsee\tVBN\tI-VP\tO' +p262532 +aS'his\this\tPRP$\tB-NP\tO' +p262533 +aS'primary\tprimary\tJJ\tI-NP\tO' +p262534 +aS'care\tcare\tNN\tI-NP\tO' +p262535 +aS'physician\tphysician\tNN\tI-NP\tO' +p262536 +aS'who\twho\tWP\tB-NP\tO' +p262537 +aS'referred\trefer\tVBD\tB-VP\tO' +p262538 +aS'him\thim\tPRP\tB-NP\tO' +p262539 +aS'to\tto\tTO\tB-PP\tO' +p262540 +aS'physical\tphysical\tJJ\tB-NP\tO' +p262541 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p262542 +aS'for\tfor\tIN\tB-PP\tO' +p262543 +aS'his\this\tPRP$\tB-NP\tO' +p262544 +aS'gait\tgait\tNN\tI-NP\tO' +p262545 +aS'weakness\tweakness\tNN\tI-NP\tO' +p262546 +aS'but\tbut\tCC\tO\tO' +p262547 +aS'his\this\tPRP$\tB-NP\tO' +p262548 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p262549 +aS'failed\tfail\tVBD\tB-VP\tO' +p262550 +aS'to\tto\tTO\tI-VP\tO' +p262551 +aS'improve\timprove\tVB\tI-VP\tO' +p262552 +aS'.\t.\t.\tO\tO' +p262553 +asS'The patient expressed concern that he had several utility bills that he was unable to pay .' +p262554 +(lp262555 +S'The\tThe\tDT\tB-NP\tO' +p262556 +aS'patient\tpatient\tNN\tI-NP\tO' +p262557 +aS'expressed\texpress\tVBD\tB-VP\tO' +p262558 +aS'concern\tconcern\tNN\tB-NP\tO' +p262559 +aS'that\tthat\tIN\tB-SBAR\tO' +p262560 +aS'he\the\tPRP\tB-NP\tO' +p262561 +aS'had\thave\tVBD\tB-VP\tO' +p262562 +aS'several\tseveral\tJJ\tB-NP\tO' +p262563 +aS'utility\tutility\tNN\tI-NP\tO' +p262564 +aS'bills\tbill\tNNS\tI-NP\tO' +p262565 +aS'that\tthat\tIN\tB-SBAR\tO' +p262566 +aS'he\the\tPRP\tB-NP\tO' +p262567 +aS'was\tbe\tVBD\tB-VP\tO' +p262568 +aS'unable\tunable\tJJ\tB-ADJP\tO' +p262569 +aS'to\tto\tTO\tB-VP\tO' +p262570 +aS'pay\tpay\tVB\tI-VP\tO' +p262571 +aS'.\t.\t.\tO\tO' +p262572 +asS'The CT scan that was obtained on 3/10/02 demonstrated no connection between bowel and the wound .' +p262573 +(lp262574 +S'The\tThe\tDT\tB-NP\tO' +p262575 +aS'CT\tCT\tNN\tI-NP\tO' +p262576 +aS'scan\tscan\tNN\tI-NP\tO' +p262577 +aS'that\tthat\tWDT\tB-NP\tO' +p262578 +aS'was\tbe\tVBD\tB-VP\tO' +p262579 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p262580 +aS'on\ton\tIN\tB-PP\tO' +p262581 +aS'3/10/02\t3/10/02\tNN\tB-NP\tO' +p262582 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p262583 +aS'no\tno\tDT\tB-NP\tO' +p262584 +aS'connection\tconnection\tNN\tI-NP\tO' +p262585 +aS'between\tbetween\tIN\tB-PP\tO' +p262586 +aS'bowel\tbowel\tNN\tB-NP\tO' +p262587 +aS'and\tand\tCC\tO\tO' +p262588 +aS'the\tthe\tDT\tB-NP\tO' +p262589 +aS'wound\twound\tNN\tI-NP\tO' +p262590 +aS'.\t.\t.\tO\tO' +p262591 +asS'His depakote was continued for his bipolar disorder .' +p262592 +(lp262593 +S'His\tHis\tPRP$\tB-NP\tO' +p262594 +aS'depakote\tdepakote\tNN\tI-NP\tO' +p262595 +aS'was\tbe\tVBD\tB-VP\tO' +p262596 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p262597 +aS'for\tfor\tIN\tB-PP\tO' +p262598 +aS'his\this\tPRP$\tB-NP\tO' +p262599 +aS'bipolar\tbipolar\tJJ\tI-NP\tO' +p262600 +aS'disorder\tdisorder\tNN\tI-NP\tO' +p262601 +aS'.\t.\t.\tO\tO' +p262602 +asS'On transfer to the Lemgarson Hospital service , her hematocrit was 31.2 , white count 11.1 and a platelet count 80 .' +p262603 +(lp262604 +S'On\tOn\tIN\tB-PP\tO' +p262605 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p262606 +aS'to\tto\tTO\tB-PP\tO' +p262607 +aS'the\tthe\tDT\tB-NP\tO' +p262608 +aS'Lemgarson\tLemgarson\tNNP\tI-NP\tO' +p262609 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p262610 +aS'service\tservice\tNN\tI-NP\tO' +p262611 +aS',\t,\t,\tO\tO' +p262612 +aS'her\ther\tPRP$\tB-NP\tO' +p262613 +aS'hematocrit\thematocrit\tNN\tI-NP\tB-protein' +p262614 +aS'was\tbe\tVBD\tB-VP\tI-protein' +p262615 +aS'31.2\t31.2\tCD\tB-NP\tI-protein' +p262616 +aS',\t,\t,\tO\tO' +p262617 +aS'white\twhite\tJJ\tB-NP\tO' +p262618 +aS'count\tcount\tNN\tI-NP\tO' +p262619 +aS'11.1\t11.1\tCD\tI-NP\tO' +p262620 +aS'and\tand\tCC\tO\tO' +p262621 +aS'a\ta\tDT\tB-NP\tO' +p262622 +aS'platelet\tplatelet\tNN\tI-NP\tB-protein' +p262623 +aS'count\tcount\tNN\tI-NP\tI-protein' +p262624 +aS'80\t80\tCD\tI-NP\tI-protein' +p262625 +aS'.\t.\t.\tO\tO' +p262626 +asS'Right shoulder instability .' +p262627 +(lp262628 +S'Right\tRight\tRB\tB-NP\tO' +p262629 +aS'shoulder\tshoulder\tNN\tI-NP\tO' +p262630 +aS'instability\tinstability\tNN\tI-NP\tO' +p262631 +aS'.\t.\t.\tO\tO' +p262632 +asS'4. Captopril 100 mg po three times a day .' +p262633 +(lp262634 +S'4.\t4.\tLS\tB-NP\tO' +p262635 +aS'Captopril\tCaptopril\tNNP\tI-NP\tO' +p262636 +aS'100\t100\tCD\tI-NP\tO' +p262637 +aS'mg\tmg\tNN\tI-NP\tO' +p262638 +aS'po\tpo\tIN\tB-PP\tO' +p262639 +aS'three\tthree\tCD\tB-NP\tO' +p262640 +aS'times\ttime\tNNS\tI-NP\tO' +p262641 +aS'a\ta\tDT\tB-NP\tO' +p262642 +aS'day\tday\tNN\tI-NP\tO' +p262643 +aS'.\t.\t.\tO\tO' +p262644 +asS'Distant heart sounds , tachycardia , regular rhythm .' +p262645 +(lp262646 +S'Distant\tDistant\tJJ\tB-NP\tO' +p262647 +aS'heart\theart\tNN\tI-NP\tO' +p262648 +aS'sounds\tsound\tNNS\tI-NP\tO' +p262649 +aS',\t,\t,\tO\tO' +p262650 +aS'tachycardia\ttachycardia\tNN\tB-NP\tO' +p262651 +aS',\t,\t,\tO\tO' +p262652 +aS'regular\tregular\tJJ\tB-NP\tO' +p262653 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p262654 +aS'.\t.\t.\tO\tO' +p262655 +asS'The complete blood count was notable for a white count of 5.3,000 , hematocrit 39 1/2 and platelet count of 180,000 and normal coags were measured .' +p262656 +(lp262657 +S'The\tThe\tDT\tB-NP\tO' +p262658 +aS'complete\tcomplete\tJJ\tI-NP\tO' +p262659 +aS'blood\tblood\tNN\tI-NP\tO' +p262660 +aS'count\tcount\tNN\tI-NP\tO' +p262661 +aS'was\tbe\tVBD\tB-VP\tO' +p262662 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p262663 +aS'for\tfor\tIN\tB-PP\tO' +p262664 +aS'a\ta\tDT\tB-NP\tO' +p262665 +aS'white\twhite\tJJ\tI-NP\tO' +p262666 +aS'count\tcount\tNN\tI-NP\tO' +p262667 +aS'of\tof\tIN\tB-PP\tO' +p262668 +aS'5.3,000\t5.3,000\tCD\tB-NP\tO' +p262669 +aS',\t,\t,\tO\tO' +p262670 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p262671 +aS'39\t39\tCD\tI-NP\tI-protein' +p262672 +aS'1/2\t1/2\tCD\tI-NP\tI-protein' +p262673 +aS'and\tand\tCC\tO\tO' +p262674 +aS'platelet\tplatelet\tNN\tB-NP\tO' +p262675 +aS'count\tcount\tNN\tI-NP\tO' +p262676 +aS'of\tof\tIN\tB-PP\tO' +p262677 +aS'180,000\t180,000\tCD\tB-NP\tO' +p262678 +aS'and\tand\tCC\tO\tO' +p262679 +aS'normal\tnormal\tJJ\tB-NP\tO' +p262680 +aS'coags\tcoag\tNNS\tI-NP\tO' +p262681 +aS'were\tbe\tVBD\tB-VP\tO' +p262682 +aS'measured\tmeasure\tVBN\tI-VP\tO' +p262683 +aS'.\t.\t.\tO\tO' +p262684 +asS'However the same problem recurred for a third time and a computer tomogram scan at an outside hospital showed an anterior hematoma .' +p262685 +(lp262686 +S'However\tHowever\tRB\tB-NP\tO' +p262687 +aS'the\tthe\tDT\tI-NP\tO' +p262688 +aS'same\tsame\tJJ\tI-NP\tO' +p262689 +aS'problem\tproblem\tNN\tI-NP\tO' +p262690 +aS'recurred\trecur\tVBD\tB-VP\tO' +p262691 +aS'for\tfor\tIN\tB-PP\tO' +p262692 +aS'a\ta\tDT\tB-NP\tO' +p262693 +aS'third\tthird\tJJ\tI-NP\tO' +p262694 +aS'time\ttime\tNN\tI-NP\tO' +p262695 +aS'and\tand\tCC\tO\tO' +p262696 +aS'a\ta\tDT\tB-NP\tO' +p262697 +aS'computer\tcomputer\tNN\tI-NP\tO' +p262698 +aS'tomogram\ttomogram\tNN\tI-NP\tO' +p262699 +aS'scan\tscan\tNN\tI-NP\tO' +p262700 +aS'at\tat\tIN\tB-PP\tO' +p262701 +aS'an\tan\tDT\tB-NP\tO' +p262702 +aS'outside\toutside\tJJ\tI-NP\tO' +p262703 +aS'hospital\thospital\tNN\tI-NP\tO' +p262704 +aS'showed\tshow\tVBD\tB-VP\tO' +p262705 +aS'an\tan\tDT\tB-NP\tO' +p262706 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p262707 +aS'hematoma\thematoma\tNN\tI-NP\tO' +p262708 +aS'.\t.\t.\tO\tO' +p262709 +asS'agitation , and 2 mg of ceftriaxone was given for a temperature of 101.3 with a concern for meningitis as a LP was done prior .' +p262710 +(lp262711 +S'agitation\tagitation\tNN\tB-NP\tO' +p262712 +aS',\t,\t,\tO\tO' +p262713 +aS'and\tand\tCC\tO\tO' +p262714 +aS'2\t2\tCD\tB-NP\tO' +p262715 +aS'mg\tmg\tNN\tI-NP\tO' +p262716 +aS'of\tof\tIN\tB-PP\tO' +p262717 +aS'ceftriaxone\tceftriaxone\tNN\tB-NP\tO' +p262718 +aS'was\tbe\tVBD\tB-VP\tO' +p262719 +aS'given\tgive\tVBN\tI-VP\tO' +p262720 +aS'for\tfor\tIN\tB-PP\tO' +p262721 +aS'a\ta\tDT\tB-NP\tO' +p262722 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p262723 +aS'of\tof\tIN\tB-PP\tO' +p262724 +aS'101.3\t101.3\tCD\tB-NP\tO' +p262725 +aS'with\twith\tIN\tB-PP\tO' +p262726 +aS'a\ta\tDT\tB-NP\tO' +p262727 +aS'concern\tconcern\tNN\tI-NP\tO' +p262728 +aS'for\tfor\tIN\tB-PP\tO' +p262729 +aS'meningitis\tmeningitis\tNN\tB-NP\tO' +p262730 +aS'as\tas\tIN\tB-PP\tO' +p262731 +aS'a\ta\tDT\tB-NP\tO' +p262732 +aS'LP\tLP\tNN\tI-NP\tO' +p262733 +aS'was\tbe\tVBD\tB-VP\tO' +p262734 +aS'done\tdo\tVBN\tI-VP\tO' +p262735 +aS'prior\tprior\tRB\tB-ADVP\tO' +p262736 +aS'.\t.\t.\tO\tO' +p262737 +asS'No anorexia .' +p262738 +(lp262739 +S'No\tNo\tDT\tB-NP\tO' +p262740 +aS'anorexia\tanorexia\tNN\tI-NP\tO' +p262741 +aS'.\t.\t.\tO\tO' +p262742 +asS'He was evaluated by the physical therapist in the hospital and was found to desaturate to 84% with ambulating on room air .' +p262743 +(lp262744 +S'He\tHe\tPRP\tB-NP\tO' +p262745 +aS'was\tbe\tVBD\tB-VP\tO' +p262746 +aS'evaluated\tevaluate\tVBN\tI-VP\tO' +p262747 +aS'by\tby\tIN\tB-PP\tO' +p262748 +aS'the\tthe\tDT\tB-NP\tO' +p262749 +aS'physical\tphysical\tJJ\tI-NP\tO' +p262750 +aS'therapist\ttherapist\tNN\tI-NP\tO' +p262751 +aS'in\tin\tIN\tB-PP\tO' +p262752 +aS'the\tthe\tDT\tB-NP\tO' +p262753 +aS'hospital\thospital\tNN\tI-NP\tO' +p262754 +aS'and\tand\tCC\tO\tO' +p262755 +aS'was\tbe\tVBD\tB-VP\tO' +p262756 +aS'found\tfind\tVBN\tI-VP\tO' +p262757 +aS'to\tto\tTO\tI-VP\tO' +p262758 +aS'desaturate\tdesaturate\tVB\tI-VP\tO' +p262759 +aS'to\tto\tTO\tI-VP\tO' +p262760 +aS'84%\t84%\tVB\tI-VP\tO' +p262761 +aS'with\twith\tIN\tB-PP\tO' +p262762 +aS'ambulating\tambulate\tVBG\tB-VP\tO' +p262763 +aS'on\ton\tIN\tB-PP\tO' +p262764 +aS'room\troom\tNN\tB-NP\tO' +p262765 +aS'air\tair\tNN\tI-NP\tO' +p262766 +aS'.\t.\t.\tO\tO' +p262767 +asS'The right suggested decreased flow .' +p262768 +(lp262769 +S'The\tThe\tDT\tB-NP\tO' +p262770 +aS'right\tright\tNN\tI-NP\tO' +p262771 +aS'suggested\tsuggest\tVBD\tB-VP\tO' +p262772 +aS'decreased\tdecrease\tVBN\tB-NP\tO' +p262773 +aS'flow\tflow\tNN\tI-NP\tO' +p262774 +aS'.\t.\t.\tO\tO' +p262775 +asS'September 11 , 1994 , coronary artery bypass surgery .' +p262776 +(lp262777 +S'September\tSeptember\tNNP\tB-NP\tO' +p262778 +aS'11\t11\tCD\tI-NP\tO' +p262779 +aS',\t,\t,\tI-NP\tO' +p262780 +aS'1994\t1994\tCD\tI-NP\tO' +p262781 +aS',\t,\t,\tI-NP\tO' +p262782 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p262783 +aS'artery\tartery\tNN\tI-NP\tO' +p262784 +aS'bypass\tbypass\tIN\tB-PP\tO' +p262785 +aS'surgery\tsurgery\tNN\tB-NP\tO' +p262786 +aS'.\t.\t.\tO\tO' +p262787 +asS'The patient is status post uterine artery embolization on 2009-01-07 secondary to fibroids .' +p262788 +(lp262789 +S'The\tThe\tDT\tB-NP\tO' +p262790 +aS'patient\tpatient\tNN\tI-NP\tO' +p262791 +aS'is\tbe\tVBZ\tB-VP\tO' +p262792 +aS'status\tstatus\tNN\tB-NP\tO' +p262793 +aS'post\tpost\tNN\tI-NP\tO' +p262794 +aS'uterine\tuterine\tJJ\tI-NP\tO' +p262795 +aS'artery\tartery\tNN\tI-NP\tO' +p262796 +aS'embolization\tembolization\tNN\tI-NP\tO' +p262797 +aS'on\ton\tIN\tB-PP\tO' +p262798 +aS'2009-01-07\t2009-01-07\tCD\tB-NP\tO' +p262799 +aS'secondary\tsecondary\tJJ\tI-NP\tO' +p262800 +aS'to\tto\tTO\tB-PP\tO' +p262801 +aS'fibroids\tfibroid\tNNS\tB-NP\tO' +p262802 +aS'.\t.\t.\tO\tO' +p262803 +asS'The baby received no blood products .' +p262804 +(lp262805 +S'The\tThe\tDT\tB-NP\tO' +p262806 +aS'baby\tbaby\tNN\tI-NP\tB-protein' +p262807 +aS'received\treceive\tVBD\tB-VP\tI-protein' +p262808 +aS'no\tno\tDT\tB-NP\tI-protein' +p262809 +aS'blood\tblood\tNN\tI-NP\tI-protein' +p262810 +aS'products\tproduct\tNNS\tI-NP\tI-protein' +p262811 +aS'.\t.\t.\tO\tO' +p262812 +asS'He was noted to be large for gestational age with a weight of 4525 grams .' +p262813 +(lp262814 +S'He\tHe\tPRP\tB-NP\tO' +p262815 +aS'was\tbe\tVBD\tB-VP\tO' +p262816 +aS'noted\tnote\tVBN\tI-VP\tO' +p262817 +aS'to\tto\tTO\tI-VP\tO' +p262818 +aS'be\tbe\tVB\tI-VP\tO' +p262819 +aS'large\tlarge\tJJ\tB-ADJP\tO' +p262820 +aS'for\tfor\tIN\tB-PP\tO' +p262821 +aS'gestational\tgestational\tJJ\tB-NP\tO' +p262822 +aS'age\tage\tNN\tI-NP\tO' +p262823 +aS'with\twith\tIN\tB-PP\tO' +p262824 +aS'a\ta\tDT\tB-NP\tO' +p262825 +aS'weight\tweight\tNN\tI-NP\tO' +p262826 +aS'of\tof\tIN\tB-PP\tO' +p262827 +aS'4525\t4525\tCD\tB-NP\tO' +p262828 +aS'grams\tgram\tNNS\tI-NP\tO' +p262829 +aS'.\t.\t.\tO\tO' +p262830 +asS'Our leading theory at this point is that her cerebellar dysfunction relates to perineoplastic syndrome , relating to her history of breast Ca .' +p262831 +(lp262832 +S'Our\tOur\tPRP$\tB-NP\tO' +p262833 +aS'leading\tleading\tJJ\tI-NP\tO' +p262834 +aS'theory\ttheory\tNN\tI-NP\tO' +p262835 +aS'at\tat\tIN\tB-PP\tO' +p262836 +aS'this\tthis\tDT\tB-NP\tO' +p262837 +aS'point\tpoint\tNN\tI-NP\tO' +p262838 +aS'is\tbe\tVBZ\tB-VP\tO' +p262839 +aS'that\tthat\tIN\tB-SBAR\tO' +p262840 +aS'her\ther\tPRP$\tB-NP\tO' +p262841 +aS'cerebellar\tcerebellar\tJJ\tI-NP\tO' +p262842 +aS'dysfunction\tdysfunction\tNN\tI-NP\tO' +p262843 +aS'relates\trelate\tVBZ\tB-VP\tO' +p262844 +aS'to\tto\tTO\tB-PP\tO' +p262845 +aS'perineoplastic\tperineoplastic\tJJ\tB-NP\tO' +p262846 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p262847 +aS',\t,\t,\tO\tO' +p262848 +aS'relating\trelate\tVBG\tB-VP\tO' +p262849 +aS'to\tto\tTO\tB-PP\tO' +p262850 +aS'her\ther\tPRP$\tB-NP\tO' +p262851 +aS'history\thistory\tNN\tI-NP\tO' +p262852 +aS'of\tof\tIN\tB-PP\tO' +p262853 +aS'breast\tbreast\tNN\tB-NP\tO' +p262854 +aS'Ca\tCa\tNN\tI-NP\tO' +p262855 +aS'.\t.\t.\tO\tO' +p262856 +asS'On examination , he is afebrile .' +p262857 +(lp262858 +S'On\tOn\tIN\tB-PP\tO' +p262859 +aS'examination\texamination\tNN\tB-NP\tO' +p262860 +aS',\t,\t,\tO\tO' +p262861 +aS'he\the\tPRP\tB-NP\tO' +p262862 +aS'is\tbe\tVBZ\tB-VP\tO' +p262863 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p262864 +aS'.\t.\t.\tO\tO' +p262865 +asS'The patient lives in Napro with her husband who is her primary caregiver .' +p262866 +(lp262867 +S'The\tThe\tDT\tB-NP\tO' +p262868 +aS'patient\tpatient\tNN\tI-NP\tO' +p262869 +aS'lives\tlife\tNNS\tI-NP\tO' +p262870 +aS'in\tin\tIN\tB-PP\tO' +p262871 +aS'Napro\tNapro\tNNP\tB-NP\tO' +p262872 +aS'with\twith\tIN\tB-PP\tO' +p262873 +aS'her\ther\tPRP$\tB-NP\tO' +p262874 +aS'husband\thusband\tNN\tI-NP\tO' +p262875 +aS'who\twho\tWP\tB-NP\tO' +p262876 +aS'is\tbe\tVBZ\tB-VP\tO' +p262877 +aS'her\ther\tPRP$\tB-NP\tO' +p262878 +aS'primary\tprimary\tJJ\tI-NP\tO' +p262879 +aS'caregiver\tcaregiver\tNN\tI-NP\tO' +p262880 +aS'.\t.\t.\tO\tO' +p262881 +asS'Since that time he had been ambulating with a walker and has had increasing difficulty with falls in the last two weeks .' +p262882 +(lp262883 +S'Since\tSince\tIN\tB-PP\tO' +p262884 +aS'that\tthat\tDT\tB-NP\tO' +p262885 +aS'time\ttime\tNN\tI-NP\tO' +p262886 +aS'he\the\tPRP\tB-NP\tO' +p262887 +aS'had\thave\tVBD\tB-VP\tO' +p262888 +aS'been\tbe\tVBN\tI-VP\tO' +p262889 +aS'ambulating\tambulate\tVBG\tI-VP\tO' +p262890 +aS'with\twith\tIN\tB-PP\tO' +p262891 +aS'a\ta\tDT\tB-NP\tO' +p262892 +aS'walker\twalker\tNN\tI-NP\tO' +p262893 +aS'and\tand\tCC\tO\tO' +p262894 +aS'has\thave\tVBZ\tB-VP\tO' +p262895 +aS'had\thave\tVBN\tI-VP\tO' +p262896 +aS'increasing\tincrease\tVBG\tB-NP\tO' +p262897 +aS'difficulty\tdifficulty\tNN\tI-NP\tO' +p262898 +aS'with\twith\tIN\tB-PP\tO' +p262899 +aS'falls\tfall\tNNS\tB-NP\tO' +p262900 +aS'in\tin\tIN\tB-PP\tO' +p262901 +aS'the\tthe\tDT\tB-NP\tO' +p262902 +aS'last\tlast\tJJ\tI-NP\tO' +p262903 +aS'two\ttwo\tCD\tI-NP\tO' +p262904 +aS'weeks\tweek\tNNS\tI-NP\tO' +p262905 +aS'.\t.\t.\tO\tO' +p262906 +asS'As of 05-17 , he was switched over to bolus infusion in preparation of continued home factor 8 administration .' +p262907 +(lp262908 +S'As\tAs\tIN\tB-PP\tO' +p262909 +aS'of\tof\tIN\tB-PP\tO' +p262910 +aS'05-17\t05-17\tCD\tB-NP\tO' +p262911 +aS',\t,\t,\tO\tO' +p262912 +aS'he\the\tPRP\tB-NP\tO' +p262913 +aS'was\tbe\tVBD\tB-VP\tO' +p262914 +aS'switched\tswitch\tVBN\tI-VP\tO' +p262915 +aS'over\tover\tRP\tB-PRT\tO' +p262916 +aS'to\tto\tTO\tB-PP\tO' +p262917 +aS'bolus\tbolus\tNN\tB-NP\tO' +p262918 +aS'infusion\tinfusion\tNN\tI-NP\tO' +p262919 +aS'in\tin\tIN\tB-PP\tO' +p262920 +aS'preparation\tpreparation\tNN\tB-NP\tO' +p262921 +aS'of\tof\tIN\tB-PP\tO' +p262922 +aS'continued\tcontinue\tVBN\tB-NP\tO' +p262923 +aS'home\thome\tNN\tI-NP\tO' +p262924 +aS'factor\tfactor\tNN\tI-NP\tO' +p262925 +aS'8\t8\tCD\tI-NP\tO' +p262926 +aS'administration\tadministration\tNN\tI-NP\tO' +p262927 +aS'.\t.\t.\tO\tO' +p262928 +asS'No other acute fractures are appreciated .' +p262929 +(lp262930 +S'No\tNo\tDT\tB-NP\tO' +p262931 +aS'other\tother\tJJ\tI-NP\tO' +p262932 +aS'acute\tacute\tJJ\tI-NP\tO' +p262933 +aS'fractures\tfracture\tNNS\tI-NP\tO' +p262934 +aS'are\tbe\tVBP\tB-VP\tO' +p262935 +aS'appreciated\tappreciate\tVBN\tI-VP\tO' +p262936 +aS'.\t.\t.\tO\tO' +p262937 +asS'The PICC line should be discontinued promptly after the linezolid course is completed .' +p262938 +(lp262939 +S'The\tThe\tDT\tB-NP\tO' +p262940 +aS'PICC\tPICC\tNN\tI-NP\tB-cell_line' +p262941 +aS'line\tline\tNN\tI-NP\tI-cell_line' +p262942 +aS'should\tshould\tMD\tB-VP\tO' +p262943 +aS'be\tbe\tVB\tI-VP\tO' +p262944 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p262945 +aS'promptly\tpromptly\tRB\tB-ADVP\tO' +p262946 +aS'after\tafter\tIN\tB-PP\tO' +p262947 +aS'the\tthe\tDT\tB-NP\tO' +p262948 +aS'linezolid\tlinezolid\tJJ\tI-NP\tO' +p262949 +aS'course\tcourse\tNN\tI-NP\tO' +p262950 +aS'is\tbe\tVBZ\tB-VP\tO' +p262951 +aS'completed\tcomplete\tVBN\tI-VP\tO' +p262952 +aS'.\t.\t.\tO\tO' +p262953 +asS'She underwent an immediate head CT and Neuro consult and was transferred back to the CSRU .' +p262954 +(lp262955 +S'She\tShe\tPRP\tB-NP\tO' +p262956 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p262957 +aS'an\tan\tDT\tB-NP\tO' +p262958 +aS'immediate\timmediate\tJJ\tI-NP\tO' +p262959 +aS'head\thead\tNN\tI-NP\tO' +p262960 +aS'CT\tCT\tNN\tI-NP\tO' +p262961 +aS'and\tand\tCC\tO\tO' +p262962 +aS'Neuro\tNeuro\tNN\tB-NP\tO' +p262963 +aS'consult\tconsult\tNN\tI-NP\tO' +p262964 +aS'and\tand\tCC\tO\tO' +p262965 +aS'was\tbe\tVBD\tB-VP\tO' +p262966 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p262967 +aS'back\tback\tRB\tB-ADVP\tO' +p262968 +aS'to\tto\tTO\tB-PP\tO' +p262969 +aS'the\tthe\tDT\tB-NP\tO' +p262970 +aS'CSRU\tCSRU\tNN\tI-NP\tB-DNA' +p262971 +aS'.\t.\t.\tO\tO' +p262972 +asS'Sat 94% on 4L .' +p262973 +(lp262974 +S'Sat\tSat\tNNP\tB-NP\tO' +p262975 +aS'94%\t94%\tCD\tI-NP\tO' +p262976 +aS'on\ton\tIN\tB-PP\tO' +p262977 +aS'4L\t4L\tNN\tB-NP\tB-protein' +p262978 +aS'.\t.\t.\tO\tO' +p262979 +asS'No bruit or JVD .' +p262980 +(lp262981 +S'No\tNo\tDT\tB-NP\tO' +p262982 +aS'bruit\tbruit\tNN\tI-NP\tO' +p262983 +aS'or\tor\tCC\tI-NP\tO' +p262984 +aS'JVD\tJVD\tNN\tI-NP\tB-protein' +p262985 +aS'.\t.\t.\tO\tO' +p262986 +asS'He did well on this and his Levophed drip was weaned to off as tolerated .' +p262987 +(lp262988 +S'He\tHe\tPRP\tB-NP\tO' +p262989 +aS'did\tdo\tVBD\tB-VP\tO' +p262990 +aS'well\twell\tRB\tB-ADVP\tO' +p262991 +aS'on\ton\tIN\tB-PP\tO' +p262992 +aS'this\tthis\tDT\tB-NP\tO' +p262993 +aS'and\tand\tCC\tO\tO' +p262994 +aS'his\this\tPRP$\tB-NP\tO' +p262995 +aS'Levophed\tLevophed\tNNP\tI-NP\tO' +p262996 +aS'drip\tdrip\tNN\tI-NP\tO' +p262997 +aS'was\tbe\tVBD\tB-VP\tO' +p262998 +aS'weaned\twean\tVBN\tI-VP\tO' +p262999 +aS'to\tto\tTO\tB-PP\tO' +p263000 +aS'off\toff\tRP\tB-PRT\tO' +p263001 +aS'as\tas\tIN\tB-SBAR\tO' +p263002 +aS'tolerated\ttolerate\tVBN\tB-VP\tO' +p263003 +aS'.\t.\t.\tO\tO' +p263004 +asS'After his procedure on 10/17/97 , elevated CPKs were noted on 10/19/97 to 10/20/97 , and the first level was 744 , CPK # 2 635 , and CPK # 3 461 .' +p263005 +(lp263006 +S'After\tAfter\tIN\tB-PP\tO' +p263007 +aS'his\this\tPRP$\tB-NP\tO' +p263008 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p263009 +aS'on\ton\tIN\tB-PP\tO' +p263010 +aS'10/17/97\t10/17/97\tCD\tB-NP\tO' +p263011 +aS',\t,\t,\tO\tO' +p263012 +aS'elevated\televate\tVBN\tB-NP\tO' +p263013 +aS'CPKs\tCPK\tNNS\tI-NP\tB-protein' +p263014 +aS'were\tbe\tVBD\tB-VP\tO' +p263015 +aS'noted\tnote\tVBN\tI-VP\tO' +p263016 +aS'on\ton\tIN\tB-PP\tO' +p263017 +aS'10/19/97\t10/19/97\tCD\tB-NP\tO' +p263018 +aS'to\tto\tTO\tB-PP\tO' +p263019 +aS'10/20/97\t10/20/97\tCD\tB-NP\tO' +p263020 +aS',\t,\t,\tO\tO' +p263021 +aS'and\tand\tCC\tO\tO' +p263022 +aS'the\tthe\tDT\tB-NP\tO' +p263023 +aS'first\tfirst\tJJ\tI-NP\tO' +p263024 +aS'level\tlevel\tNN\tI-NP\tO' +p263025 +aS'was\tbe\tVBD\tB-VP\tO' +p263026 +aS'744\t744\tCD\tB-NP\tO' +p263027 +aS',\t,\t,\tO\tO' +p263028 +aS'CPK\tCPK\tNNP\tB-NP\tO' +p263029 +aS'#\t#\t#\tI-NP\tO' +p263030 +aS'2\t2\tCD\tI-NP\tO' +p263031 +aS'635\t635\tCD\tI-NP\tO' +p263032 +aS',\t,\t,\tO\tO' +p263033 +aS'and\tand\tCC\tO\tO' +p263034 +aS'CPK\tCPK\tNN\tB-NP\tB-protein' +p263035 +aS'#\t#\t#\tB-NP\tO' +p263036 +aS'3\t3\tCD\tI-NP\tO' +p263037 +aS'461\t461\tCD\tI-NP\tO' +p263038 +aS'.\t.\t.\tO\tO' +p263039 +asS'Thus , the patient was discharged to home .' +p263040 +(lp263041 +S'Thus\tThus\tRB\tB-ADVP\tO' +p263042 +aS',\t,\t,\tO\tO' +p263043 +aS'the\tthe\tDT\tB-NP\tO' +p263044 +aS'patient\tpatient\tNN\tI-NP\tO' +p263045 +aS'was\tbe\tVBD\tB-VP\tO' +p263046 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p263047 +aS'to\tto\tTO\tB-PP\tO' +p263048 +aS'home\thome\tNN\tB-NP\tO' +p263049 +aS'.\t.\t.\tO\tO' +p263050 +asS'The sodium was 142 ; potassium 4.5 ; chloride 105 ; bicarbonate 27 ; BUN and creatinine 31 and 1.3 ; glucose 107 ; total protein 7.7 ; albumin 3.2 ; globulin 4.5 ; uric acid 4.2 ; alkaline phosphatase 114 ; serum glutamic oxaloacetic transaminase 46 ; lactic acid dehydrogenase 370 ; white blood count 11,000 with 83 polymorphonuclear leukocytes ; hematocrit 42 ; platelet count 227,000 .' +p263051 +(lp263052 +S'The\tThe\tDT\tB-NP\tO' +p263053 +aS'sodium\tsodium\tNN\tI-NP\tO' +p263054 +aS'was\tbe\tVBD\tB-VP\tO' +p263055 +aS'142\t142\tCD\tB-NP\tO' +p263056 +aS';\t;\t:\tO\tO' +p263057 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p263058 +aS'4.5\t4.5\tCD\tI-NP\tO' +p263059 +aS';\t;\t:\tO\tO' +p263060 +aS'chloride\tchloride\tNN\tB-NP\tO' +p263061 +aS'105\t105\tCD\tI-NP\tO' +p263062 +aS';\t;\t:\tO\tO' +p263063 +aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' +p263064 +aS'27\t27\tCD\tI-NP\tO' +p263065 +aS';\t;\t:\tO\tO' +p263066 +aS'BUN\tBUN\tNN\tB-NP\tO' +p263067 +aS'and\tand\tCC\tI-NP\tO' +p263068 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p263069 +aS'31\t31\tCD\tI-NP\tO' +p263070 +aS'and\tand\tCC\tI-NP\tO' +p263071 +aS'1.3\t1.3\tCD\tI-NP\tO' +p263072 +aS';\t;\t:\tO\tO' +p263073 +aS'glucose\tglucose\tNN\tB-NP\tO' +p263074 +aS'107\t107\tCD\tI-NP\tO' +p263075 +aS';\t;\t:\tO\tO' +p263076 +aS'total\ttotal\tJJ\tB-NP\tO' +p263077 +aS'protein\tprotein\tNN\tI-NP\tO' +p263078 +aS'7.7\t7.7\tCD\tI-NP\tO' +p263079 +aS';\t;\t:\tO\tO' +p263080 +aS'albumin\talbumin\tNN\tB-NP\tO' +p263081 +aS'3.2\t3.2\tCD\tI-NP\tO' +p263082 +aS';\t;\t:\tO\tO' +p263083 +aS'globulin\tglobulin\tNN\tB-NP\tO' +p263084 +aS'4.5\t4.5\tCD\tI-NP\tO' +p263085 +aS';\t;\t:\tO\tO' +p263086 +aS'uric\turic\tJJ\tB-NP\tO' +p263087 +aS'acid\tacid\tNN\tI-NP\tO' +p263088 +aS'4.2\t4.2\tCD\tI-NP\tO' +p263089 +aS';\t;\t:\tO\tO' +p263090 +aS'alkaline\talkaline\tNN\tB-NP\tO' +p263091 +aS'phosphatase\tphosphatase\tNN\tI-NP\tO' +p263092 +aS'114\t114\tCD\tI-NP\tO' +p263093 +aS';\t;\t:\tO\tO' +p263094 +aS'serum\tserum\tNN\tB-NP\tO' +p263095 +aS'glutamic\tglutamic\tJJ\tI-NP\tO' +p263096 +aS'oxaloacetic\toxaloacetic\tJJ\tI-NP\tO' +p263097 +aS'transaminase\ttransaminase\tNN\tI-NP\tO' +p263098 +aS'46\t46\tCD\tI-NP\tO' +p263099 +aS';\t;\t:\tO\tO' +p263100 +aS'lactic\tlactic\tJJ\tB-NP\tO' +p263101 +aS'acid\tacid\tNN\tI-NP\tO' +p263102 +aS'dehydrogenase\tdehydrogenase\tNN\tI-NP\tO' +p263103 +aS'370\t370\tCD\tI-NP\tO' +p263104 +aS';\t;\t:\tO\tO' +p263105 +aS'white\twhite\tJJ\tB-NP\tO' +p263106 +aS'blood\tblood\tNN\tI-NP\tO' +p263107 +aS'count\tcount\tNN\tI-NP\tO' +p263108 +aS'11,000\t11,000\tCD\tI-NP\tO' +p263109 +aS'with\twith\tIN\tB-PP\tO' +p263110 +aS'83\t83\tCD\tB-NP\tO' +p263111 +aS'polymorphonuclear\tpolymorphonuclear\tJJ\tI-NP\tB-cell_type' +p263112 +aS'leukocytes\tleukocyte\tNNS\tI-NP\tI-cell_type' +p263113 +aS';\t;\t:\tO\tO' +p263114 +aS'hematocrit\thematocrit\tNN\tB-NP\tO' +p263115 +aS'42\t42\tCD\tI-NP\tO' +p263116 +aS';\t;\t:\tO\tO' +p263117 +aS'platelet\tplatelet\tNN\tB-NP\tO' +p263118 +aS'count\tcount\tNN\tI-NP\tO' +p263119 +aS'227,000\t227,000\tCD\tI-NP\tO' +p263120 +aS'.\t.\t.\tO\tO' +p263121 +asS'The report from the frozen section sent in the surgery came back with poorly differentiated adenocarcinoma , possibly serous carcinoma of the ovary .' +p263122 +(lp263123 +S'The\tThe\tDT\tB-NP\tO' +p263124 +aS'report\treport\tNN\tI-NP\tO' +p263125 +aS'from\tfrom\tIN\tB-PP\tO' +p263126 +aS'the\tthe\tDT\tB-NP\tO' +p263127 +aS'frozen\tfrozen\tJJ\tI-NP\tO' +p263128 +aS'section\tsection\tNN\tI-NP\tO' +p263129 +aS'sent\tsend\tVBN\tB-VP\tO' +p263130 +aS'in\tin\tIN\tB-PP\tO' +p263131 +aS'the\tthe\tDT\tB-NP\tO' +p263132 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p263133 +aS'came\tcome\tVBD\tB-VP\tO' +p263134 +aS'back\tback\tRB\tB-ADVP\tO' +p263135 +aS'with\twith\tIN\tB-PP\tO' +p263136 +aS'poorly\tpoorly\tRB\tB-NP\tO' +p263137 +aS'differentiated\tdifferentiate\tVBN\tI-NP\tO' +p263138 +aS'adenocarcinoma\tadenocarcinoma\tNN\tI-NP\tO' +p263139 +aS',\t,\t,\tO\tO' +p263140 +aS'possibly\tpossibly\tRB\tB-NP\tO' +p263141 +aS'serous\tserous\tJJ\tI-NP\tO' +p263142 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p263143 +aS'of\tof\tIN\tB-PP\tO' +p263144 +aS'the\tthe\tDT\tB-NP\tO' +p263145 +aS'ovary\tovary\tNN\tI-NP\tO' +p263146 +aS'.\t.\t.\tO\tO' +p263147 +asS'Disp :* 168 Capsule (s)* Refills :* 0 *' +p263148 +(lp263149 +S'Disp\tDisp\tNN\tB-NP\tO' +p263150 +aS':*\t:*\tSYM\tI-NP\tO' +p263151 +aS'168\t168\tCD\tI-NP\tO' +p263152 +aS'Capsule\tCapsule\tNN\tI-NP\tO' +p263153 +aS'(s)*\t(s)*\tSYM\tB-NP\tO' +p263154 +aS'Refills\tRefill\tNNPS\tI-NP\tO' +p263155 +aS':*\t:*\tSYM\tI-NP\tO' +p263156 +aS'0\t0\tCD\tI-NP\tO' +p263157 +aS'*\t*\tSYM\tB-NP\tO' +p263158 +asS'No headache , no nausea , vomiting or diarrhea .' +p263159 +(lp263160 +S'No\tNo\tDT\tB-NP\tO' +p263161 +aS'headache\theadache\tNN\tI-NP\tO' +p263162 +aS',\t,\t,\tO\tO' +p263163 +aS'no\tno\tDT\tB-NP\tO' +p263164 +aS'nausea\tnausea\tNN\tI-NP\tO' +p263165 +aS',\t,\t,\tI-NP\tO' +p263166 +aS'vomiting\tvomiting\tNN\tI-NP\tO' +p263167 +aS'or\tor\tCC\tI-NP\tO' +p263168 +aS'diarrhea\tdiarrhea\tNN\tI-NP\tO' +p263169 +aS'.\t.\t.\tO\tO' +p263170 +asS'He did have problems with po intake .' +p263171 +(lp263172 +S'He\tHe\tPRP\tB-NP\tO' +p263173 +aS'did\tdo\tVBD\tB-VP\tO' +p263174 +aS'have\thave\tVB\tI-VP\tO' +p263175 +aS'problems\tproblem\tNNS\tB-NP\tO' +p263176 +aS'with\twith\tIN\tB-PP\tO' +p263177 +aS'po\tpo\tNN\tB-NP\tO' +p263178 +aS'intake\tintake\tNN\tI-NP\tO' +p263179 +aS'.\t.\t.\tO\tO' +p263180 +asS'1. CAD , s/p MI in 2011 with stenting of LAD' +p263181 +(lp263182 +S'1.\t1.\tLS\tB-LST\tO' +p263183 +aS'CAD\tCAD\tNN\tB-NP\tO' +p263184 +aS',\t,\t,\tO\tO' +p263185 +aS's/p\ts/p\tNN\tB-NP\tO' +p263186 +aS'MI\tMI\tNN\tI-NP\tO' +p263187 +aS'in\tin\tIN\tB-PP\tO' +p263188 +aS'2011\t2011\tCD\tB-NP\tO' +p263189 +aS'with\twith\tIN\tB-PP\tO' +p263190 +aS'stenting\tstente\tVBG\tB-NP\tO' +p263191 +aS'of\tof\tIN\tB-PP\tO' +p263192 +aS'LAD\tLAD\tNN\tB-NP\tO' +p263193 +asS'In 08/94 , the patient developed lower back pain .' +p263194 +(lp263195 +S'In\tIn\tIN\tB-PP\tO' +p263196 +aS'08/94\t08/94\tCD\tB-NP\tO' +p263197 +aS',\t,\t,\tO\tO' +p263198 +aS'the\tthe\tDT\tB-NP\tO' +p263199 +aS'patient\tpatient\tNN\tI-NP\tO' +p263200 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p263201 +aS'lower\tlow\tJJR\tB-NP\tO' +p263202 +aS'back\tback\tJJ\tI-NP\tO' +p263203 +aS'pain\tpain\tNN\tI-NP\tO' +p263204 +aS'.\t.\t.\tO\tO' +p263205 +asS'9. Docusate Sodium 150 mg / 15 mL Liquid Sig : One Hundred ( 100 ) mg PO BID ( 2 times a day ).' +p263206 +(lp263207 +S'9.\t9.\tLS\tB-NP\tO' +p263208 +aS'Docusate\tDocusate\tNNP\tI-NP\tO' +p263209 +aS'Sodium\tSodium\tNNP\tI-NP\tO' +p263210 +aS'150\t150\tCD\tI-NP\tO' +p263211 +aS'mg\tmg\tNN\tI-NP\tO' +p263212 +aS'/\t/\tSYM\tB-NP\tO' +p263213 +aS'15\t15\tCD\tI-NP\tO' +p263214 +aS'mL\tmL\tNN\tI-NP\tO' +p263215 +aS'Liquid\tLiquid\tNNP\tI-NP\tO' +p263216 +aS'Sig\tSig\tNNP\tI-NP\tO' +p263217 +aS':\t:\t:\tO\tO' +p263218 +aS'One\tOne\tCD\tB-NP\tO' +p263219 +aS'Hundred\tHundre\tVBN\tB-VP\tO' +p263220 +aS'(\t(\t(\tO\tO' +p263221 +aS'100\t100\tCD\tB-NP\tO' +p263222 +aS')\t)\t)\tO\tO' +p263223 +aS'mg\tmg\tNN\tB-NP\tO' +p263224 +aS'PO\tPO\tNN\tI-NP\tO' +p263225 +aS'BID\tBID\tNN\tI-NP\tO' +p263226 +aS'(\t(\t(\tO\tO' +p263227 +aS'2\t2\tCD\tB-NP\tO' +p263228 +aS'times\ttime\tNNS\tI-NP\tO' +p263229 +aS'a\ta\tDT\tB-NP\tO' +p263230 +aS'day\tday\tNN\tI-NP\tO' +p263231 +aS').\t).\t.\tO\tO' +p263232 +asS'During this time , a needle aspiration of what was felt to be the pericardium was performed revealing bloody fluid coming back .' +p263233 +(lp263234 +S'During\tDuring\tIN\tB-PP\tO' +p263235 +aS'this\tthis\tDT\tB-NP\tO' +p263236 +aS'time\ttime\tNN\tI-NP\tO' +p263237 +aS',\t,\t,\tO\tO' +p263238 +aS'a\ta\tDT\tB-NP\tO' +p263239 +aS'needle\tneedle\tNN\tI-NP\tO' +p263240 +aS'aspiration\taspiration\tNN\tI-NP\tO' +p263241 +aS'of\tof\tIN\tB-PP\tO' +p263242 +aS'what\twhat\tWP\tB-NP\tO' +p263243 +aS'was\tbe\tVBD\tB-VP\tO' +p263244 +aS'felt\tfeel\tVBN\tI-VP\tO' +p263245 +aS'to\tto\tTO\tI-VP\tO' +p263246 +aS'be\tbe\tVB\tI-VP\tO' +p263247 +aS'the\tthe\tDT\tB-NP\tO' +p263248 +aS'pericardium\tpericardium\tNN\tI-NP\tO' +p263249 +aS'was\tbe\tVBD\tB-VP\tO' +p263250 +aS'performed\tperform\tVBN\tI-VP\tO' +p263251 +aS'revealing\treveal\tVBG\tB-VP\tO' +p263252 +aS'bloody\tbloody\tJJ\tB-NP\tO' +p263253 +aS'fluid\tfluid\tNN\tI-NP\tO' +p263254 +aS'coming\tcome\tVBG\tB-VP\tO' +p263255 +aS'back\tback\tRB\tB-ADVP\tO' +p263256 +aS'.\t.\t.\tO\tO' +p263257 +asS'There was a II / VI systolic ejection murmur loudest at the left upper sternal border .' +p263258 +(lp263259 +S'There\tThere\tEX\tB-NP\tO' +p263260 +aS'was\tbe\tVBD\tB-VP\tO' +p263261 +aS'a\ta\tDT\tB-NP\tO' +p263262 +aS'II\tII\tCD\tI-NP\tO' +p263263 +aS'/\t/\tSYM\tI-NP\tO' +p263264 +aS'VI\tVI\tCD\tI-NP\tO' +p263265 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p263266 +aS'ejection\tejection\tNN\tI-NP\tO' +p263267 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p263268 +aS'loudest\tloud\tJJS\tB-ADJP\tO' +p263269 +aS'at\tat\tIN\tB-PP\tO' +p263270 +aS'the\tthe\tDT\tB-NP\tO' +p263271 +aS'left\tleft\tJJ\tI-NP\tO' +p263272 +aS'upper\tupper\tJJ\tI-NP\tO' +p263273 +aS'sternal\tsternal\tJJ\tI-NP\tO' +p263274 +aS'border\tborder\tNN\tI-NP\tO' +p263275 +aS'.\t.\t.\tO\tO' +p263276 +asS'6. Albuterol nebulizers q6h as needed .' +p263277 +(lp263278 +S'6.\t6.\tLS\tB-NP\tO' +p263279 +aS'Albuterol\tAlbuterol\tNN\tI-NP\tO' +p263280 +aS'nebulizers\tnebulizer\tNNS\tI-NP\tO' +p263281 +aS'q6h\tq6h\tNN\tI-NP\tO' +p263282 +aS'as\tas\tIN\tB-SBAR\tO' +p263283 +aS'needed\tneed\tVBN\tB-VP\tO' +p263284 +aS'.\t.\t.\tO\tO' +p263285 +asS'He was given D50 , but continued to have progressive respiratory failure , was therefore intubated and transferred to the Austen Riggs Center where he was noted to have multifocal pneumonia and bacteremia with enterobacter and MSSA .' +p263286 +(lp263287 +S'He\tHe\tPRP\tB-NP\tO' +p263288 +aS'was\tbe\tVBD\tB-VP\tO' +p263289 +aS'given\tgive\tVBN\tI-VP\tO' +p263290 +aS'D50\tD50\tNN\tB-NP\tB-protein' +p263291 +aS',\t,\t,\tO\tO' +p263292 +aS'but\tbut\tCC\tO\tO' +p263293 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p263294 +aS'to\tto\tTO\tI-VP\tO' +p263295 +aS'have\thave\tVB\tI-VP\tO' +p263296 +aS'progressive\tprogressive\tJJ\tB-NP\tO' +p263297 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p263298 +aS'failure\tfailure\tNN\tI-NP\tO' +p263299 +aS',\t,\t,\tO\tO' +p263300 +aS'was\tbe\tVBD\tB-VP\tO' +p263301 +aS'therefore\ttherefore\tRB\tI-VP\tO' +p263302 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p263303 +aS'and\tand\tCC\tO\tO' +p263304 +aS'transferred\ttransfer\tVBN\tB-VP\tO' +p263305 +aS'to\tto\tTO\tB-PP\tO' +p263306 +aS'the\tthe\tDT\tB-NP\tO' +p263307 +aS'Austen\tAusten\tNNP\tI-NP\tO' +p263308 +aS'Riggs\tRiggs\tNNP\tI-NP\tO' +p263309 +aS'Center\tCenter\tNNP\tI-NP\tO' +p263310 +aS'where\twhere\tWRB\tB-ADVP\tO' +p263311 +aS'he\the\tPRP\tB-NP\tO' +p263312 +aS'was\tbe\tVBD\tB-VP\tO' +p263313 +aS'noted\tnote\tVBN\tI-VP\tO' +p263314 +aS'to\tto\tTO\tI-VP\tO' +p263315 +aS'have\thave\tVB\tI-VP\tO' +p263316 +aS'multifocal\tmultifocal\tJJ\tB-NP\tO' +p263317 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p263318 +aS'and\tand\tCC\tI-NP\tO' +p263319 +aS'bacteremia\tbacteremia\tNN\tI-NP\tO' +p263320 +aS'with\twith\tIN\tB-PP\tO' +p263321 +aS'enterobacter\tenterobacter\tNN\tB-NP\tO' +p263322 +aS'and\tand\tCC\tI-NP\tO' +p263323 +aS'MSSA\tMSSA\tNN\tI-NP\tB-protein' +p263324 +aS'.\t.\t.\tO\tO' +p263325 +asS'5. Pantoprazole Sodium 40 mg Tablet , Delayed Release ( E.C. ) Sig : One ( 1 ) Tablet , Delayed Release ( E.C. ) PO Q24H ( every 24 hours ) .' +p263326 +(lp263327 +S'5.\t5.\tLS\tB-NP\tO' +p263328 +aS'Pantoprazole\tPantoprazole\tNN\tI-NP\tO' +p263329 +aS'Sodium\tSodium\tNN\tI-NP\tO' +p263330 +aS'40\t40\tCD\tI-NP\tO' +p263331 +aS'mg\tmg\tNN\tI-NP\tO' +p263332 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p263333 +aS',\t,\t,\tO\tO' +p263334 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p263335 +aS'Release\tRelease\tNNP\tI-NP\tO' +p263336 +aS'(\t(\t(\tO\tO' +p263337 +aS'E.C.\tE.C.\tNNP\tB-NP\tO' +p263338 +aS')\t)\t)\tO\tO' +p263339 +aS'Sig\tSig\tNNP\tB-NP\tO' +p263340 +aS':\t:\t:\tO\tO' +p263341 +aS'One\tOne\tCD\tB-NP\tO' +p263342 +aS'(\t(\t(\tO\tO' +p263343 +aS'1\t1\tCD\tB-NP\tO' +p263344 +aS')\t)\t)\tO\tO' +p263345 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p263346 +aS',\t,\t,\tO\tO' +p263347 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p263348 +aS'Release\tRelease\tNNP\tI-NP\tO' +p263349 +aS'(\t(\t(\tO\tO' +p263350 +aS'E.C.\tE.C.\tNNP\tO\tO' +p263351 +aS')\t)\t)\tO\tO' +p263352 +aS'PO\tPO\tNN\tB-NP\tO' +p263353 +aS'Q24H\tQ24H\tNN\tI-NP\tO' +p263354 +aS'(\t(\t(\tO\tO' +p263355 +aS'every\tevery\tDT\tB-NP\tO' +p263356 +aS'24\t24\tCD\tI-NP\tO' +p263357 +aS'hours\thour\tNNS\tI-NP\tO' +p263358 +aS')\t)\t)\tO\tO' +p263359 +aS'.\t.\t.\tO\tO' +p263360 +asS'PLEASE KEEP PATIENT AWAY FROM THE SUN .' +p263361 +(lp263362 +S'PLEASE\tPLEASE\tNN\tB-NP\tO' +p263363 +aS'KEEP\tKEEP\tNN\tI-NP\tO' +p263364 +aS'PATIENT\tPATIENT\tNN\tI-NP\tO' +p263365 +aS'AWAY\tAWAY\tNN\tI-NP\tO' +p263366 +aS'FROM\tFROM\tNN\tI-NP\tO' +p263367 +aS'THE\tTHE\tDT\tB-NP\tO' +p263368 +aS'SUN\tSUN\tNN\tI-NP\tB-protein' +p263369 +aS'.\t.\t.\tO\tO' +p263370 +asS'Please see the Operative Note for further details .' +p263371 +(lp263372 +S'Please\tPlease\tVB\tB-VP\tO' +p263373 +aS'see\tsee\tVB\tI-VP\tO' +p263374 +aS'the\tthe\tDT\tB-NP\tO' +p263375 +aS'Operative\tOperative\tJJ\tI-NP\tO' +p263376 +aS'Note\tNote\tNNP\tI-NP\tO' +p263377 +aS'for\tfor\tIN\tB-PP\tO' +p263378 +aS'further\tfurther\tJJ\tB-NP\tO' +p263379 +aS'details\tdetail\tNNS\tI-NP\tO' +p263380 +aS'.\t.\t.\tO\tO' +p263381 +asS'He is due to have his state screen sent today .' +p263382 +(lp263383 +S'He\tHe\tPRP\tB-NP\tO' +p263384 +aS'is\tbe\tVBZ\tB-VP\tO' +p263385 +aS'due\tdue\tJJ\tB-ADJP\tO' +p263386 +aS'to\tto\tTO\tB-VP\tO' +p263387 +aS'have\thave\tVB\tI-VP\tO' +p263388 +aS'his\this\tPRP$\tB-NP\tO' +p263389 +aS'state\tstate\tNN\tI-NP\tO' +p263390 +aS'screen\tscreen\tNN\tI-NP\tO' +p263391 +aS'sent\tsend\tVBD\tB-VP\tO' +p263392 +aS'today\ttoday\tNN\tB-NP\tO' +p263393 +aS'.\t.\t.\tO\tO' +p263394 +asS'8. Docusate sodium 100 mg b.i.d.' +p263395 +(lp263396 +S'8.\t8.\tLS\tB-NP\tO' +p263397 +aS'Docusate\tDocusate\tNN\tI-NP\tO' +p263398 +aS'sodium\tsodium\tNN\tI-NP\tO' +p263399 +aS'100\t100\tCD\tI-NP\tO' +p263400 +aS'mg\tmg\tNN\tI-NP\tO' +p263401 +aS'b.i.d.\tb.i.d.\t.\tO\tO' +p263402 +asS'Dictated By : Carmen Y.R. Martinez , M.D.' +p263403 +(lp263404 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p263405 +aS'By\tBy\tIN\tB-PP\tO' +p263406 +aS':\t:\t:\tO\tO' +p263407 +aS'Carmen\tCarmen\tNNP\tB-NP\tO' +p263408 +aS'Y.R.\tY.R.\tNNP\tI-NP\tO' +p263409 +aS'Martinez\tMartinez\tNNP\tI-NP\tO' +p263410 +aS',\t,\t,\tO\tO' +p263411 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p263412 +asS'A CXR was obtained which showed complete collapse of the L lung thought to be a result of bursting a bleb associated with her severe COPD .' +p263413 +(lp263414 +S'A\tA\tDT\tB-NP\tO' +p263415 +aS'CXR\tCXR\tNN\tI-NP\tB-protein' +p263416 +aS'was\tbe\tVBD\tB-VP\tO' +p263417 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p263418 +aS'which\twhich\tWDT\tB-NP\tO' +p263419 +aS'showed\tshow\tVBD\tB-VP\tO' +p263420 +aS'complete\tcomplete\tJJ\tB-NP\tO' +p263421 +aS'collapse\tcollapse\tNN\tI-NP\tO' +p263422 +aS'of\tof\tIN\tB-PP\tO' +p263423 +aS'the\tthe\tDT\tB-NP\tO' +p263424 +aS'L\tL\tNN\tI-NP\tO' +p263425 +aS'lung\tlung\tNN\tI-NP\tO' +p263426 +aS'thought\tthink\tVBN\tB-VP\tO' +p263427 +aS'to\tto\tTO\tI-VP\tO' +p263428 +aS'be\tbe\tVB\tI-VP\tO' +p263429 +aS'a\ta\tDT\tB-NP\tO' +p263430 +aS'result\tresult\tNN\tI-NP\tO' +p263431 +aS'of\tof\tIN\tB-PP\tO' +p263432 +aS'bursting\tburst\tVBG\tB-VP\tO' +p263433 +aS'a\ta\tDT\tB-NP\tO' +p263434 +aS'bleb\tbleb\tNN\tI-NP\tO' +p263435 +aS'associated\tassociate\tVBN\tB-VP\tO' +p263436 +aS'with\twith\tIN\tB-PP\tO' +p263437 +aS'her\ther\tPRP$\tB-NP\tO' +p263438 +aS'severe\tsevere\tJJ\tI-NP\tO' +p263439 +aS'COPD\tCOPD\tNN\tI-NP\tO' +p263440 +aS'.\t.\t.\tO\tO' +p263441 +asS'4. State Newborn Screen sent .' +p263442 +(lp263443 +S'4.\t4.\tLS\tB-LST\tO' +p263444 +aS'State\tState\tNNP\tB-NP\tO' +p263445 +aS'Newborn\tNewborn\tNNP\tI-NP\tO' +p263446 +aS'Screen\tScreen\tNNP\tI-NP\tO' +p263447 +aS'sent\tsend\tVBD\tB-VP\tO' +p263448 +aS'.\t.\t.\tO\tO' +p263449 +asS'The patient was admitted to the GYN / Oncology Service under the care of Dr. Top on June 26 , 1994 .' +p263450 +(lp263451 +S'The\tThe\tDT\tB-NP\tO' +p263452 +aS'patient\tpatient\tNN\tI-NP\tO' +p263453 +aS'was\tbe\tVBD\tB-VP\tO' +p263454 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p263455 +aS'to\tto\tTO\tB-PP\tO' +p263456 +aS'the\tthe\tDT\tB-NP\tO' +p263457 +aS'GYN\tGYN\tNN\tI-NP\tB-protein' +p263458 +aS'/\t/\tSYM\tB-NP\tO' +p263459 +aS'Oncology\tOncology\tNN\tI-NP\tO' +p263460 +aS'Service\tService\tNN\tI-NP\tO' +p263461 +aS'under\tunder\tIN\tB-PP\tO' +p263462 +aS'the\tthe\tDT\tB-NP\tO' +p263463 +aS'care\tcare\tNN\tI-NP\tO' +p263464 +aS'of\tof\tIN\tB-PP\tO' +p263465 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p263466 +aS'Top\tTop\tNNP\tI-NP\tO' +p263467 +aS'on\ton\tIN\tB-PP\tO' +p263468 +aS'June\tJune\tNNP\tB-NP\tO' +p263469 +aS'26\t26\tCD\tI-NP\tO' +p263470 +aS',\t,\t,\tI-NP\tO' +p263471 +aS'1994\t1994\tCD\tI-NP\tO' +p263472 +aS'.\t.\t.\tO\tO' +p263473 +asS"In addition , plans were made to evaluate the patient 's cardiac arteries to determine if he had any component of ischemic cardiomyopathy ." +p263474 +(lp263475 +S'In\tIn\tIN\tB-PP\tO' +p263476 +aS'addition\taddition\tNN\tB-NP\tO' +p263477 +aS',\t,\t,\tO\tO' +p263478 +aS'plans\tplan\tNNS\tB-NP\tO' +p263479 +aS'were\tbe\tVBD\tB-VP\tO' +p263480 +aS'made\tmake\tVBN\tI-VP\tO' +p263481 +aS'to\tto\tTO\tB-VP\tO' +p263482 +aS'evaluate\tevaluate\tVB\tI-VP\tO' +p263483 +aS'the\tthe\tDT\tB-NP\tO' +p263484 +aS'patient\tpatient\tNN\tI-NP\tO' +p263485 +aS"'s\t's\tPOS\tB-NP\tO" +p263486 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p263487 +aS'arteries\tartery\tNNS\tI-NP\tO' +p263488 +aS'to\tto\tTO\tB-VP\tO' +p263489 +aS'determine\tdetermine\tVB\tI-VP\tO' +p263490 +aS'if\tif\tIN\tB-SBAR\tO' +p263491 +aS'he\the\tPRP\tB-NP\tO' +p263492 +aS'had\thave\tVBD\tB-VP\tO' +p263493 +aS'any\tany\tDT\tB-NP\tO' +p263494 +aS'component\tcomponent\tNN\tI-NP\tO' +p263495 +aS'of\tof\tIN\tB-PP\tO' +p263496 +aS'ischemic\tischemic\tJJ\tB-NP\tO' +p263497 +aS'cardiomyopathy\tcardiomyopathy\tNN\tI-NP\tO' +p263498 +aS'.\t.\t.\tO\tO' +p263499 +asS'Polypectomy in 2011 , tooth extraction ( all ) in 1980 , and hernia in 1977 .' +p263500 +(lp263501 +S'Polypectomy\tPolypectomy\tNN\tB-NP\tO' +p263502 +aS'in\tin\tIN\tB-PP\tO' +p263503 +aS'2011\t2011\tCD\tB-NP\tO' +p263504 +aS',\t,\t,\tO\tO' +p263505 +aS'tooth\ttooth\tCC\tO\tO' +p263506 +aS'extraction\textraction\tNN\tB-NP\tO' +p263507 +aS'(\t(\t(\tO\tO' +p263508 +aS'all\tall\tDT\tB-NP\tO' +p263509 +aS')\t)\t)\tO\tO' +p263510 +aS'in\tin\tIN\tB-PP\tO' +p263511 +aS'1980\t1980\tCD\tB-NP\tO' +p263512 +aS',\t,\t,\tO\tO' +p263513 +aS'and\tand\tCC\tO\tO' +p263514 +aS'hernia\thernia\tNN\tB-NP\tO' +p263515 +aS'in\tin\tIN\tB-PP\tO' +p263516 +aS'1977\t1977\tCD\tB-NP\tO' +p263517 +aS'.\t.\t.\tO\tO' +p263518 +asS'This has resulted in marked bilateral lower extremity and presacral edema with ascites .' +p263519 +(lp263520 +S'This\tThis\tDT\tB-NP\tO' +p263521 +aS'has\thave\tVBZ\tB-VP\tO' +p263522 +aS'resulted\tresult\tVBN\tI-VP\tO' +p263523 +aS'in\tin\tIN\tB-PP\tO' +p263524 +aS'marked\tmarked\tJJ\tB-NP\tO' +p263525 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p263526 +aS'lower\tlow\tJJR\tI-NP\tO' +p263527 +aS'extremity\textremity\tNN\tI-NP\tO' +p263528 +aS'and\tand\tCC\tO\tO' +p263529 +aS'presacral\tpresacral\tJJ\tB-NP\tO' +p263530 +aS'edema\tedema\tNN\tI-NP\tO' +p263531 +aS'with\twith\tIN\tB-PP\tO' +p263532 +aS'ascites\tascite\tNNS\tB-NP\tO' +p263533 +aS'.\t.\t.\tO\tO' +p263534 +asS'On HD#5 flexible sigmoidoscopy was performed for colonic decompression .' +p263535 +(lp263536 +S'On\tOn\tIN\tB-PP\tO' +p263537 +aS'HD#5\tHD#5\tNN\tB-NP\tB-protein' +p263538 +aS'flexible\tflexible\tJJ\tI-NP\tO' +p263539 +aS'sigmoidoscopy\tsigmoidoscopy\tNN\tI-NP\tO' +p263540 +aS'was\tbe\tVBD\tB-VP\tO' +p263541 +aS'performed\tperform\tVBN\tI-VP\tO' +p263542 +aS'for\tfor\tIN\tB-PP\tO' +p263543 +aS'colonic\tcolonic\tJJ\tB-NP\tO' +p263544 +aS'decompression\tdecompression\tNN\tI-NP\tO' +p263545 +aS'.\t.\t.\tO\tO' +p263546 +asS'His wound was intact , clean and dry and it was covered with perioperative antibiotics .' +p263547 +(lp263548 +S'His\tHis\tPRP$\tB-NP\tO' +p263549 +aS'wound\twound\tNN\tI-NP\tO' +p263550 +aS'was\tbe\tVBD\tB-VP\tO' +p263551 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p263552 +aS',\t,\t,\tI-ADJP\tO' +p263553 +aS'clean\tclean\tJJ\tI-ADJP\tO' +p263554 +aS'and\tand\tCC\tI-ADJP\tO' +p263555 +aS'dry\tdry\tJJ\tI-ADJP\tO' +p263556 +aS'and\tand\tCC\tO\tO' +p263557 +aS'it\tit\tPRP\tB-NP\tO' +p263558 +aS'was\tbe\tVBD\tB-VP\tO' +p263559 +aS'covered\tcover\tVBN\tI-VP\tO' +p263560 +aS'with\twith\tIN\tB-PP\tO' +p263561 +aS'perioperative\tperioperative\tJJ\tB-NP\tO' +p263562 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p263563 +aS'.\t.\t.\tO\tO' +p263564 +asS'Dopplers of her lower extremities were negative on this admission .' +p263565 +(lp263566 +S'Dopplers\tDoppler\tNNS\tB-NP\tO' +p263567 +aS'of\tof\tIN\tB-PP\tO' +p263568 +aS'her\ther\tPRP$\tB-NP\tO' +p263569 +aS'lower\tlow\tJJR\tI-NP\tO' +p263570 +aS'extremities\textremity\tNNS\tI-NP\tO' +p263571 +aS'were\tbe\tVBD\tB-VP\tO' +p263572 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p263573 +aS'on\ton\tIN\tB-PP\tO' +p263574 +aS'this\tthis\tDT\tB-NP\tO' +p263575 +aS'admission\tadmission\tNN\tI-NP\tO' +p263576 +aS'.\t.\t.\tO\tO' +p263577 +asS'Supple .' +p263578 +(lp263579 +S'Supple\tSupple\tNNP\tB-NP\tO' +p263580 +aS'.\t.\t.\tO\tO' +p263581 +asS'Light activities until seen in clinic .' +p263582 +(lp263583 +S'Light\tLight\tNN\tB-NP\tO' +p263584 +aS'activities\tactivity\tNNS\tI-NP\tO' +p263585 +aS'until\tuntil\tIN\tB-SBAR\tO' +p263586 +aS'seen\tsee\tVBN\tB-VP\tO' +p263587 +aS'in\tin\tIN\tB-PP\tO' +p263588 +aS'clinic\tclinic\tNN\tB-NP\tO' +p263589 +aS'.\t.\t.\tO\tO' +p263590 +asS'Over the ensuing days , Mr. Nina CHF was managed by the CCU Team and he received treatment for what was now determined to be a Klebsiella pneumonia .' +p263591 +(lp263592 +S'Over\tOver\tIN\tB-PP\tO' +p263593 +aS'the\tthe\tDT\tB-NP\tO' +p263594 +aS'ensuing\tensue\tVBG\tI-NP\tO' +p263595 +aS'days\tday\tNNS\tI-NP\tO' +p263596 +aS',\t,\t,\tO\tO' +p263597 +aS'Mr.\tMr.\tNNP\tB-NP\tO' +p263598 +aS'Nina\tNina\tNNP\tI-NP\tO' +p263599 +aS'CHF\tCHF\tNNP\tI-NP\tO' +p263600 +aS'was\tbe\tVBD\tB-VP\tO' +p263601 +aS'managed\tmanage\tVBN\tI-VP\tO' +p263602 +aS'by\tby\tIN\tB-PP\tO' +p263603 +aS'the\tthe\tDT\tB-NP\tO' +p263604 +aS'CCU\tCCU\tNN\tI-NP\tO' +p263605 +aS'Team\tTeam\tNN\tI-NP\tO' +p263606 +aS'and\tand\tCC\tO\tO' +p263607 +aS'he\the\tPRP\tB-NP\tO' +p263608 +aS'received\treceive\tVBD\tB-VP\tO' +p263609 +aS'treatment\ttreatment\tNN\tB-NP\tO' +p263610 +aS'for\tfor\tIN\tB-PP\tO' +p263611 +aS'what\twhat\tWP\tB-NP\tO' +p263612 +aS'was\tbe\tVBD\tB-VP\tO' +p263613 +aS'now\tnow\tRB\tI-VP\tO' +p263614 +aS'determined\tdetermine\tVBN\tI-VP\tO' +p263615 +aS'to\tto\tTO\tI-VP\tO' +p263616 +aS'be\tbe\tVB\tI-VP\tO' +p263617 +aS'a\ta\tDT\tB-NP\tO' +p263618 +aS'Klebsiella\tKlebsiella\tNNP\tI-NP\tO' +p263619 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p263620 +aS'.\t.\t.\tO\tO' +p263621 +asS'She has a history of glaucoma and a questionable history of claudication in her legs as well as a history of hypertension .' +p263622 +(lp263623 +S'She\tShe\tPRP\tB-NP\tO' +p263624 +aS'has\thave\tVBZ\tB-VP\tO' +p263625 +aS'a\ta\tDT\tB-NP\tO' +p263626 +aS'history\thistory\tNN\tI-NP\tO' +p263627 +aS'of\tof\tIN\tB-PP\tO' +p263628 +aS'glaucoma\tglaucoma\tNN\tB-NP\tO' +p263629 +aS'and\tand\tCC\tO\tO' +p263630 +aS'a\ta\tDT\tB-NP\tO' +p263631 +aS'questionable\tquestionable\tJJ\tI-NP\tO' +p263632 +aS'history\thistory\tNN\tI-NP\tO' +p263633 +aS'of\tof\tIN\tB-PP\tO' +p263634 +aS'claudication\tclaudication\tNN\tB-NP\tO' +p263635 +aS'in\tin\tIN\tB-PP\tO' +p263636 +aS'her\ther\tPRP$\tB-NP\tO' +p263637 +aS'legs\tleg\tNNS\tI-NP\tO' +p263638 +aS'as\tas\tRB\tB-CONJP\tO' +p263639 +aS'well\twell\tRB\tI-CONJP\tO' +p263640 +aS'as\tas\tIN\tI-CONJP\tO' +p263641 +aS'a\ta\tDT\tB-NP\tO' +p263642 +aS'history\thistory\tNN\tI-NP\tO' +p263643 +aS'of\tof\tIN\tB-PP\tO' +p263644 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p263645 +aS'.\t.\t.\tO\tO' +p263646 +asS'There is a persistent flow through an inferior branch of the left anterior descending to PA fistula and a persistent branch of the circumflex to PA branch fistula which anatomically were not suitable for coil embolization .' +p263647 +(lp263648 +S'There\tThere\tEX\tB-NP\tO' +p263649 +aS'is\tbe\tVBZ\tB-VP\tO' +p263650 +aS'a\ta\tDT\tB-NP\tO' +p263651 +aS'persistent\tpersistent\tJJ\tI-NP\tO' +p263652 +aS'flow\tflow\tNN\tI-NP\tO' +p263653 +aS'through\tthrough\tIN\tB-PP\tO' +p263654 +aS'an\tan\tDT\tB-NP\tO' +p263655 +aS'inferior\tinferior\tJJ\tI-NP\tO' +p263656 +aS'branch\tbranch\tNN\tI-NP\tO' +p263657 +aS'of\tof\tIN\tB-PP\tO' +p263658 +aS'the\tthe\tDT\tB-NP\tO' +p263659 +aS'left\tleft\tJJ\tI-NP\tO' +p263660 +aS'anterior\tanterior\tNN\tI-NP\tO' +p263661 +aS'descending\tdescend\tVBG\tB-VP\tO' +p263662 +aS'to\tto\tTO\tB-PP\tO' +p263663 +aS'PA\tPA\tNN\tB-NP\tO' +p263664 +aS'fistula\tfistula\tNN\tI-NP\tO' +p263665 +aS'and\tand\tCC\tO\tO' +p263666 +aS'a\ta\tDT\tB-NP\tO' +p263667 +aS'persistent\tpersistent\tJJ\tI-NP\tO' +p263668 +aS'branch\tbranch\tNN\tI-NP\tO' +p263669 +aS'of\tof\tIN\tB-PP\tO' +p263670 +aS'the\tthe\tDT\tB-NP\tO' +p263671 +aS'circumflex\tcircumflex\tNN\tI-NP\tO' +p263672 +aS'to\tto\tTO\tB-PP\tO' +p263673 +aS'PA\tPA\tNN\tB-NP\tO' +p263674 +aS'branch\tbranch\tNN\tI-NP\tO' +p263675 +aS'fistula\tfistula\tNN\tI-NP\tO' +p263676 +aS'which\twhich\tWDT\tB-NP\tO' +p263677 +aS'anatomically\tanatomically\tRB\tB-ADVP\tO' +p263678 +aS'were\tbe\tVBD\tB-VP\tO' +p263679 +aS'not\tnot\tRB\tO\tO' +p263680 +aS'suitable\tsuitable\tJJ\tB-ADJP\tO' +p263681 +aS'for\tfor\tIN\tB-PP\tO' +p263682 +aS'coil\tcoil\tNN\tB-NP\tO' +p263683 +aS'embolization\tembolization\tNN\tI-NP\tO' +p263684 +aS'.\t.\t.\tO\tO' +p263685 +asS'Signed electronically by : DR. Stacie Henry on : MON 2019-05-06 12:14 PM' +p263686 +(lp263687 +S'Signed\tSign\tVBN\tB-VP\tO' +p263688 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p263689 +aS'by\tby\tIN\tB-PP\tO' +p263690 +aS':\t:\t:\tO\tO' +p263691 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p263692 +aS'Stacie\tStacie\tNNP\tI-NP\tO' +p263693 +aS'Henry\tHenry\tNNP\tI-NP\tO' +p263694 +aS'on\ton\tIN\tB-PP\tO' +p263695 +aS':\t:\t:\tO\tO' +p263696 +aS'MON\tMON\tNN\tB-NP\tO' +p263697 +aS'2019-05-06\t2019-05-06\tCD\tI-NP\tO' +p263698 +aS'12:14\t12:14\tCD\tI-NP\tO' +p263699 +aS'PM\tPM\tNN\tI-NP\tO' +p263700 +asS'eventhough uptake was noted in the rt LQ , no clear site of bleeding was noticed on colonoscopy .' +p263701 +(lp263702 +S'eventhough\teventhough\tIN\tB-PP\tO' +p263703 +aS'uptake\tuptake\tNN\tB-NP\tO' +p263704 +aS'was\tbe\tVBD\tB-VP\tO' +p263705 +aS'noted\tnote\tVBN\tI-VP\tO' +p263706 +aS'in\tin\tIN\tB-PP\tO' +p263707 +aS'the\tthe\tDT\tB-NP\tO' +p263708 +aS'rt\trt\tNN\tI-NP\tO' +p263709 +aS'LQ\tLQ\tNN\tI-NP\tO' +p263710 +aS',\t,\t,\tO\tO' +p263711 +aS'no\tno\tDT\tB-NP\tO' +p263712 +aS'clear\tclear\tJJ\tI-NP\tO' +p263713 +aS'site\tsite\tNN\tI-NP\tO' +p263714 +aS'of\tof\tIN\tB-PP\tO' +p263715 +aS'bleeding\tbleeding\tNN\tB-NP\tO' +p263716 +aS'was\tbe\tVBD\tB-VP\tO' +p263717 +aS'noticed\tnotice\tVBN\tI-VP\tO' +p263718 +aS'on\ton\tIN\tB-PP\tO' +p263719 +aS'colonoscopy\tcolonoscopy\tNN\tB-NP\tO' +p263720 +aS'.\t.\t.\tO\tO' +p263721 +asS'She had 5 out of 5 strength bilaterally and her toes were downgoing .' +p263722 +(lp263723 +S'She\tShe\tPRP\tB-NP\tO' +p263724 +aS'had\thave\tVBD\tB-VP\tO' +p263725 +aS'5\t5\tCD\tB-NP\tO' +p263726 +aS'out\tout\tIN\tI-NP\tO' +p263727 +aS'of\tof\tIN\tI-NP\tO' +p263728 +aS'5\t5\tCD\tI-NP\tO' +p263729 +aS'strength\tstrength\tNN\tI-NP\tO' +p263730 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p263731 +aS'and\tand\tCC\tO\tO' +p263732 +aS'her\ther\tPRP$\tB-NP\tO' +p263733 +aS'toes\ttoe\tNNS\tI-NP\tO' +p263734 +aS'were\tbe\tVBD\tB-VP\tO' +p263735 +aS'downgoing\tdowngoe\tVBG\tI-VP\tO' +p263736 +aS'.\t.\t.\tO\tO' +p263737 +asS'The patient was taken to the operating room on 2018-12-04 for TVH , sacrospinous fixation , SPARC , anterior and posterior repair with mesh , cystoscopy; for pelvic organ prolapse .' +p263738 +(lp263739 +S'The\tThe\tDT\tB-NP\tO' +p263740 +aS'patient\tpatient\tNN\tI-NP\tO' +p263741 +aS'was\tbe\tVBD\tB-VP\tO' +p263742 +aS'taken\ttake\tVBN\tI-VP\tO' +p263743 +aS'to\tto\tTO\tB-PP\tO' +p263744 +aS'the\tthe\tDT\tB-NP\tO' +p263745 +aS'operating\toperating\tNN\tI-NP\tO' +p263746 +aS'room\troom\tNN\tI-NP\tO' +p263747 +aS'on\ton\tIN\tB-PP\tO' +p263748 +aS'2018-12-04\t2018-12-04\tCD\tB-NP\tO' +p263749 +aS'for\tfor\tIN\tB-PP\tO' +p263750 +aS'TVH\tTVH\tNN\tB-NP\tB-protein' +p263751 +aS',\t,\t,\tO\tO' +p263752 +aS'sacrospinous\tsacrospinous\tJJ\tB-NP\tO' +p263753 +aS'fixation\tfixation\tNN\tI-NP\tO' +p263754 +aS',\t,\t,\tO\tO' +p263755 +aS'SPARC\tSPARC\tNN\tB-NP\tB-protein' +p263756 +aS',\t,\t,\tO\tO' +p263757 +aS'anterior\tanterior\tJJ\tB-NP\tO' +p263758 +aS'and\tand\tCC\tI-NP\tO' +p263759 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p263760 +aS'repair\trepair\tNN\tI-NP\tO' +p263761 +aS'with\twith\tIN\tB-PP\tO' +p263762 +aS'mesh\tmesh\tNN\tB-NP\tO' +p263763 +aS',\t,\t,\tO\tO' +p263764 +aS'cystoscopy;\tcystoscopy;\tNN\tB-NP\tO' +p263765 +aS'for\tfor\tIN\tB-PP\tO' +p263766 +aS'pelvic\tpelvic\tJJ\tB-NP\tO' +p263767 +aS'organ\torgan\tNN\tI-NP\tO' +p263768 +aS'prolapse\tprolapse\tNN\tI-NP\tO' +p263769 +aS'.\t.\t.\tO\tO' +p263770 +asS"By 04-03 , captopril and atenolol were started , and the patient 's leg bandage from the vein harvest was removed ." +p263771 +(lp263772 +S'By\tBy\tIN\tB-PP\tO' +p263773 +aS'04-03\t04-03\tCD\tB-NP\tO' +p263774 +aS',\t,\t,\tO\tO' +p263775 +aS'captopril\tcaptopril\tNN\tB-NP\tO' +p263776 +aS'and\tand\tCC\tI-NP\tO' +p263777 +aS'atenolol\tatenolol\tNN\tI-NP\tO' +p263778 +aS'were\tbe\tVBD\tB-VP\tO' +p263779 +aS'started\tstart\tVBN\tI-VP\tO' +p263780 +aS',\t,\t,\tO\tO' +p263781 +aS'and\tand\tCC\tO\tO' +p263782 +aS'the\tthe\tDT\tB-NP\tO' +p263783 +aS'patient\tpatient\tNN\tI-NP\tO' +p263784 +aS"'s\t's\tPOS\tB-NP\tO" +p263785 +aS'leg\tleg\tNN\tI-NP\tO' +p263786 +aS'bandage\tbandage\tNN\tI-NP\tO' +p263787 +aS'from\tfrom\tIN\tB-PP\tO' +p263788 +aS'the\tthe\tDT\tB-NP\tO' +p263789 +aS'vein\tvein\tNN\tI-NP\tO' +p263790 +aS'harvest\tharvest\tNN\tI-NP\tO' +p263791 +aS'was\tbe\tVBD\tB-VP\tO' +p263792 +aS'removed\tremove\tVBN\tI-VP\tO' +p263793 +aS'.\t.\t.\tO\tO' +p263794 +asS'During his admission to Rehab Hospital of the Cape & Islands Hospital , the patient had dropped his hematocrit to the 30 s with recorded melena .' +p263795 +(lp263796 +S'During\tDuring\tIN\tB-PP\tO' +p263797 +aS'his\this\tPRP$\tB-NP\tO' +p263798 +aS'admission\tadmission\tNN\tI-NP\tO' +p263799 +aS'to\tto\tTO\tB-VP\tO' +p263800 +aS'Rehab\tRehab\tVB\tI-VP\tO' +p263801 +aS'Hospital\tHospital\tNN\tB-NP\tO' +p263802 +aS'of\tof\tIN\tB-PP\tO' +p263803 +aS'the\tthe\tDT\tB-NP\tO' +p263804 +aS'Cape\tCape\tNNP\tI-NP\tO' +p263805 +aS'&\t&\tCC\tI-NP\tO' +p263806 +aS'Islands\tIslands\tNNP\tI-NP\tO' +p263807 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p263808 +aS',\t,\t,\tO\tO' +p263809 +aS'the\tthe\tDT\tB-NP\tO' +p263810 +aS'patient\tpatient\tNN\tI-NP\tO' +p263811 +aS'had\thave\tVBD\tB-VP\tO' +p263812 +aS'dropped\tdrop\tVBN\tI-VP\tO' +p263813 +aS'his\this\tPRP$\tB-NP\tO' +p263814 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p263815 +aS'to\tto\tTO\tB-PP\tO' +p263816 +aS'the\tthe\tDT\tB-NP\tO' +p263817 +aS'30\t30\tCD\tI-NP\tO' +p263818 +aS's\ts\tNN\tI-NP\tO' +p263819 +aS'with\twith\tIN\tB-PP\tO' +p263820 +aS'recorded\trecord\tVBN\tB-NP\tO' +p263821 +aS'melena\tmelena\tNN\tI-NP\tO' +p263822 +aS'.\t.\t.\tO\tO' +p263823 +asS'Electrolytes were within normal limits , liver function tests within normal limits , and EKG showed a heart rate of 128 , axis 73 , and possible ectopic P .' +p263824 +(lp263825 +S'Electrolytes\tElectrolyte\tNNS\tB-NP\tO' +p263826 +aS'were\tbe\tVBD\tB-VP\tO' +p263827 +aS'within\twithin\tIN\tB-PP\tO' +p263828 +aS'normal\tnormal\tJJ\tB-NP\tO' +p263829 +aS'limits\tlimit\tNNS\tI-NP\tO' +p263830 +aS',\t,\t,\tO\tO' +p263831 +aS'liver\tliver\tNN\tB-NP\tO' +p263832 +aS'function\tfunction\tNN\tI-NP\tO' +p263833 +aS'tests\ttest\tNNS\tI-NP\tO' +p263834 +aS'within\twithin\tIN\tB-PP\tO' +p263835 +aS'normal\tnormal\tJJ\tB-NP\tO' +p263836 +aS'limits\tlimit\tNNS\tI-NP\tO' +p263837 +aS',\t,\t,\tO\tO' +p263838 +aS'and\tand\tCC\tO\tO' +p263839 +aS'EKG\tEKG\tNN\tB-NP\tB-protein' +p263840 +aS'showed\tshow\tVBD\tB-VP\tO' +p263841 +aS'a\ta\tDT\tB-NP\tO' +p263842 +aS'heart\theart\tNN\tI-NP\tO' +p263843 +aS'rate\trate\tNN\tI-NP\tO' +p263844 +aS'of\tof\tIN\tB-PP\tO' +p263845 +aS'128\t128\tCD\tB-NP\tO' +p263846 +aS',\t,\t,\tO\tO' +p263847 +aS'axis\taxis\tNN\tB-NP\tO' +p263848 +aS'73\t73\tCD\tI-NP\tO' +p263849 +aS',\t,\t,\tO\tO' +p263850 +aS'and\tand\tCC\tO\tO' +p263851 +aS'possible\tpossible\tJJ\tB-NP\tO' +p263852 +aS'ectopic\tectopic\tJJ\tI-NP\tO' +p263853 +aS'P\tP\tNN\tI-NP\tO' +p263854 +aS'.\t.\t.\tO\tO' +p263855 +asS'1. NATA NELMI PAIN , M.D. , Sonsantna .' +p263856 +(lp263857 +S'1.\t1.\tLS\tB-LST\tO' +p263858 +aS'NATA\tNATA\tNNP\tB-NP\tO' +p263859 +aS'NELMI\tNELMI\tNNP\tI-NP\tO' +p263860 +aS'PAIN\tPAIN\tNNP\tI-NP\tO' +p263861 +aS',\t,\t,\tO\tO' +p263862 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p263863 +aS',\t,\t,\tO\tO' +p263864 +aS'Sonsantna\tSonsantna\tNNP\tB-NP\tO' +p263865 +aS'.\t.\t.\tO\tO' +p263866 +asS'Patient was maintained on p.o. voriconazole and IV pentamidine , with pentamidine nasal washings , with re-CT of sinuses near end of stay showing no change in disease burden .' +p263867 +(lp263868 +S'Patient\tPatient\tNN\tB-NP\tO' +p263869 +aS'was\tbe\tVBD\tB-VP\tO' +p263870 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p263871 +aS'on\ton\tIN\tB-PP\tO' +p263872 +aS'p.o.\tp.o.\tNN\tB-NP\tO' +p263873 +aS'voriconazole\tvoriconazole\tNN\tI-NP\tO' +p263874 +aS'and\tand\tCC\tO\tO' +p263875 +aS'IV\tIV\tCD\tB-NP\tO' +p263876 +aS'pentamidine\tpentamidine\tNN\tI-NP\tO' +p263877 +aS',\t,\t,\tO\tO' +p263878 +aS'with\twith\tIN\tB-PP\tO' +p263879 +aS'pentamidine\tpentamidine\tNN\tB-NP\tO' +p263880 +aS'nasal\tnasal\tJJ\tI-NP\tO' +p263881 +aS'washings\twashing\tNNS\tI-NP\tO' +p263882 +aS',\t,\t,\tO\tO' +p263883 +aS'with\twith\tIN\tB-PP\tO' +p263884 +aS're-CT\tre-CT\tNN\tB-NP\tO' +p263885 +aS'of\tof\tIN\tB-PP\tO' +p263886 +aS'sinuses\tsinus\tNNS\tB-NP\tO' +p263887 +aS'near\tnear\tIN\tB-PP\tO' +p263888 +aS'end\tend\tNN\tB-NP\tO' +p263889 +aS'of\tof\tIN\tB-PP\tO' +p263890 +aS'stay\tstay\tNN\tB-NP\tO' +p263891 +aS'showing\tshow\tVBG\tB-VP\tO' +p263892 +aS'no\tno\tDT\tB-NP\tO' +p263893 +aS'change\tchange\tNN\tI-NP\tO' +p263894 +aS'in\tin\tIN\tB-PP\tO' +p263895 +aS'disease\tdisease\tNN\tB-NP\tO' +p263896 +aS'burden\tburden\tNN\tI-NP\tO' +p263897 +aS'.\t.\t.\tO\tO' +p263898 +asS'A CT scan on admission revealed no evidence of hemorrhage though he did have sphenoid sinusitis .' +p263899 +(lp263900 +S'A\tA\tDT\tB-NP\tO' +p263901 +aS'CT\tCT\tNN\tI-NP\tO' +p263902 +aS'scan\tscan\tNN\tI-NP\tO' +p263903 +aS'on\ton\tIN\tB-PP\tO' +p263904 +aS'admission\tadmission\tNN\tB-NP\tO' +p263905 +aS'revealed\treveal\tVBD\tB-VP\tO' +p263906 +aS'no\tno\tDT\tB-NP\tO' +p263907 +aS'evidence\tevidence\tNN\tI-NP\tO' +p263908 +aS'of\tof\tIN\tB-PP\tO' +p263909 +aS'hemorrhage\themorrhage\tNN\tB-NP\tO' +p263910 +aS'though\tthough\tIN\tB-SBAR\tO' +p263911 +aS'he\the\tPRP\tB-NP\tO' +p263912 +aS'did\tdo\tVBD\tB-VP\tO' +p263913 +aS'have\thave\tVB\tI-VP\tO' +p263914 +aS'sphenoid\tsphenoid\tJJ\tB-NP\tO' +p263915 +aS'sinusitis\tsinusitis\tNN\tI-NP\tO' +p263916 +aS'.\t.\t.\tO\tO' +p263917 +asS'No intraspinal lesions are identified .' +p263918 +(lp263919 +S'No\tNo\tDT\tB-NP\tO' +p263920 +aS'intraspinal\tintraspinal\tJJ\tI-NP\tO' +p263921 +aS'lesions\tlesion\tNNS\tI-NP\tO' +p263922 +aS'are\tbe\tVBP\tB-VP\tO' +p263923 +aS'identified\tidentify\tVBN\tI-VP\tO' +p263924 +aS'.\t.\t.\tO\tO' +p263925 +asS'Pt ambulates 10 feet with significant fatigue as per daughter .' +p263926 +(lp263927 +S'Pt\tPt\tNN\tB-NP\tO' +p263928 +aS'ambulates\tambulate\tVBZ\tB-VP\tO' +p263929 +aS'10\t10\tCD\tB-NP\tO' +p263930 +aS'feet\tfoot\tNNS\tI-NP\tO' +p263931 +aS'with\twith\tIN\tB-PP\tO' +p263932 +aS'significant\tsignificant\tJJ\tB-NP\tO' +p263933 +aS'fatigue\tfatigue\tNN\tI-NP\tO' +p263934 +aS'as\tas\tIN\tB-PP\tO' +p263935 +aS'per\tper\tIN\tB-PP\tO' +p263936 +aS'daughter\tdaughter\tNN\tB-NP\tO' +p263937 +aS'.\t.\t.\tO\tO' +p263938 +asS'Her neurological exam was alert and oriented .' +p263939 +(lp263940 +S'Her\tHer\tPRP$\tB-NP\tO' +p263941 +aS'neurological\tneurological\tJJ\tI-NP\tO' +p263942 +aS'exam\texam\tNN\tI-NP\tO' +p263943 +aS'was\tbe\tVBD\tB-VP\tO' +p263944 +aS'alert\talert\tJJ\tB-ADJP\tO' +p263945 +aS'and\tand\tCC\tO\tO' +p263946 +aS'oriented\torient\tVBN\tB-VP\tO' +p263947 +aS'.\t.\t.\tO\tO' +p263948 +asS'The patient continued to need diuresis .' +p263949 +(lp263950 +S'The\tThe\tDT\tB-NP\tO' +p263951 +aS'patient\tpatient\tNN\tI-NP\tO' +p263952 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p263953 +aS'to\tto\tTO\tI-VP\tO' +p263954 +aS'need\tneed\tVB\tI-VP\tO' +p263955 +aS'diuresis\tdiuresis\tNN\tB-NP\tO' +p263956 +aS'.\t.\t.\tO\tO' +p263957 +asS'Reason : eval for alignment , post op changes' +p263958 +(lp263959 +S'Reason\tReason\tNNP\tB-NP\tO' +p263960 +aS':\t:\t:\tO\tO' +p263961 +aS'eval\teval\tNN\tB-NP\tO' +p263962 +aS'for\tfor\tIN\tB-PP\tO' +p263963 +aS'alignment\talignment\tNN\tB-NP\tO' +p263964 +aS',\t,\t,\tO\tO' +p263965 +aS'post\tpost\tJJ\tB-NP\tO' +p263966 +aS'op\top\tNN\tI-NP\tO' +p263967 +aS'changes\tchange\tNNS\tI-NP\tO' +p263968 +asS'Unremarkable without rashes or lesions .' +p263969 +(lp263970 +S'Unremarkable\tUnremarkable\tJJ\tB-ADJP\tO' +p263971 +aS'without\twithout\tIN\tB-PP\tO' +p263972 +aS'rashes\trash\tNNS\tB-NP\tO' +p263973 +aS'or\tor\tCC\tI-NP\tO' +p263974 +aS'lesions\tlesion\tNNS\tI-NP\tO' +p263975 +aS'.\t.\t.\tO\tO' +p263976 +asS'He did not have any episodes of spontaneous apnea or bradycardia .' +p263977 +(lp263978 +S'He\tHe\tPRP\tB-NP\tO' +p263979 +aS'did\tdo\tVBD\tB-VP\tO' +p263980 +aS'not\tnot\tRB\tI-VP\tO' +p263981 +aS'have\thave\tVB\tI-VP\tO' +p263982 +aS'any\tany\tDT\tB-NP\tO' +p263983 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p263984 +aS'of\tof\tIN\tB-PP\tO' +p263985 +aS'spontaneous\tspontaneous\tJJ\tB-NP\tO' +p263986 +aS'apnea\tapnea\tNN\tI-NP\tO' +p263987 +aS'or\tor\tCC\tI-NP\tO' +p263988 +aS'bradycardia\tbradycardia\tNN\tI-NP\tO' +p263989 +aS'.\t.\t.\tO\tO' +p263990 +asS'Other than that , the patient remained completely stable .' +p263991 +(lp263992 +S'Other\tOther\tJJ\tB-ADJP\tO' +p263993 +aS'than\tthan\tIN\tB-PP\tO' +p263994 +aS'that\tthat\tDT\tB-NP\tO' +p263995 +aS',\t,\t,\tO\tO' +p263996 +aS'the\tthe\tDT\tB-NP\tO' +p263997 +aS'patient\tpatient\tNN\tI-NP\tO' +p263998 +aS'remained\tremain\tVBD\tB-VP\tO' +p263999 +aS'completely\tcompletely\tRB\tB-ADJP\tO' +p264000 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p264001 +aS'.\t.\t.\tO\tO' +p264002 +asS'2+ carotids without bruits .' +p264003 +(lp264004 +S'2+\t2+\tJJ\tB-NP\tO' +p264005 +aS'carotids\tcarotid\tNNS\tI-NP\tO' +p264006 +aS'without\twithout\tIN\tB-PP\tO' +p264007 +aS'bruits\tbruit\tNNS\tB-NP\tO' +p264008 +aS'.\t.\t.\tO\tO' +p264009 +asS'Socially he drinks alcohol .' +p264010 +(lp264011 +S'Socially\tSocially\tRB\tB-ADVP\tO' +p264012 +aS'he\the\tPRP\tB-NP\tO' +p264013 +aS'drinks\tdrink\tVBZ\tB-VP\tO' +p264014 +aS'alcohol\talcohol\tNN\tB-NP\tO' +p264015 +aS'.\t.\t.\tO\tO' +p264016 +asS'The patient also has significant edema in both arms now and also some mild edema in the lower extremities , so I think that fluid restriction should help with that .' +p264017 +(lp264018 +S'The\tThe\tDT\tB-NP\tO' +p264019 +aS'patient\tpatient\tNN\tI-NP\tO' +p264020 +aS'also\talso\tRB\tB-ADVP\tO' +p264021 +aS'has\thave\tVBZ\tB-VP\tO' +p264022 +aS'significant\tsignificant\tJJ\tB-NP\tO' +p264023 +aS'edema\tedema\tNN\tI-NP\tO' +p264024 +aS'in\tin\tIN\tB-PP\tO' +p264025 +aS'both\tboth\tDT\tB-NP\tO' +p264026 +aS'arms\tarm\tNNS\tI-NP\tO' +p264027 +aS'now\tnow\tRB\tB-ADVP\tO' +p264028 +aS'and\tand\tCC\tI-ADVP\tO' +p264029 +aS'also\talso\tRB\tI-ADVP\tO' +p264030 +aS'some\tsome\tDT\tB-NP\tO' +p264031 +aS'mild\tmild\tJJ\tI-NP\tO' +p264032 +aS'edema\tedema\tNN\tI-NP\tO' +p264033 +aS'in\tin\tIN\tB-PP\tO' +p264034 +aS'the\tthe\tDT\tB-NP\tO' +p264035 +aS'lower\tlow\tJJR\tI-NP\tO' +p264036 +aS'extremities\textremity\tNNS\tI-NP\tO' +p264037 +aS',\t,\t,\tO\tO' +p264038 +aS'so\tso\tIN\tO\tO' +p264039 +aS'I\tI\tPRP\tB-NP\tO' +p264040 +aS'think\tthink\tVBP\tB-VP\tO' +p264041 +aS'that\tthat\tIN\tB-SBAR\tO' +p264042 +aS'fluid\tfluid\tNN\tB-NP\tO' +p264043 +aS'restriction\trestriction\tNN\tI-NP\tO' +p264044 +aS'should\tshould\tMD\tB-VP\tO' +p264045 +aS'help\thelp\tVB\tI-VP\tO' +p264046 +aS'with\twith\tIN\tB-PP\tO' +p264047 +aS'that\tthat\tDT\tB-NP\tO' +p264048 +aS'.\t.\t.\tO\tO' +p264049 +asS'She had a physical over there , and the evaluation included an ultrasound which showed an ovarian mass .' +p264050 +(lp264051 +S'She\tShe\tPRP\tB-NP\tO' +p264052 +aS'had\thave\tVBD\tB-VP\tO' +p264053 +aS'a\ta\tDT\tB-NP\tO' +p264054 +aS'physical\tphysical\tJJ\tI-NP\tO' +p264055 +aS'over\tover\tIN\tB-PP\tO' +p264056 +aS'there\tthere\tRB\tB-NP\tO' +p264057 +aS',\t,\t,\tO\tO' +p264058 +aS'and\tand\tCC\tO\tO' +p264059 +aS'the\tthe\tDT\tB-NP\tO' +p264060 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p264061 +aS'included\tinclude\tVBD\tB-VP\tO' +p264062 +aS'an\tan\tDT\tB-NP\tO' +p264063 +aS'ultrasound\tultrasound\tNN\tI-NP\tO' +p264064 +aS'which\twhich\tWDT\tB-NP\tO' +p264065 +aS'showed\tshow\tVBD\tB-VP\tO' +p264066 +aS'an\tan\tDT\tB-NP\tO' +p264067 +aS'ovarian\tovarian\tJJ\tI-NP\tO' +p264068 +aS'mass\tmass\tNN\tI-NP\tO' +p264069 +aS'.\t.\t.\tO\tO' +p264070 +asS'Limited CMED CCU movements in upgaze .' +p264071 +(lp264072 +S'Limited\tLimited\tJJ\tB-NP\tO' +p264073 +aS'CMED\tCMED\tVBN\tI-NP\tO' +p264074 +aS'CCU\tCCU\tNN\tI-NP\tO' +p264075 +aS'movements\tmovement\tNNS\tI-NP\tO' +p264076 +aS'in\tin\tIN\tB-PP\tO' +p264077 +aS'upgaze\tupgaze\tNN\tB-NP\tO' +p264078 +aS'.\t.\t.\tO\tO' +p264079 +asS'She claims she does not know why she is HIV positive .' +p264080 +(lp264081 +S'She\tShe\tPRP\tB-NP\tO' +p264082 +aS'claims\tclaim\tVBZ\tB-VP\tO' +p264083 +aS'she\tshe\tPRP\tB-NP\tO' +p264084 +aS'does\tdo\tVBZ\tB-VP\tO' +p264085 +aS'not\tnot\tRB\tI-VP\tO' +p264086 +aS'know\tknow\tVB\tI-VP\tO' +p264087 +aS'why\twhy\tWRB\tB-ADVP\tO' +p264088 +aS'she\tshe\tPRP\tB-NP\tO' +p264089 +aS'is\tbe\tVBZ\tB-VP\tO' +p264090 +aS'HIV\tHIV\tNN\tB-NP\tO' +p264091 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p264092 +aS'.\t.\t.\tO\tO' +p264093 +asS'Follow-up with Dr. Loydsadd in one to two weeks .' +p264094 +(lp264095 +S'Follow-up\tFollow-up\tNN\tB-NP\tO' +p264096 +aS'with\twith\tIN\tB-PP\tO' +p264097 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p264098 +aS'Loydsadd\tLoydsadd\tNNP\tI-NP\tO' +p264099 +aS'in\tin\tIN\tB-PP\tO' +p264100 +aS'one\tone\tCD\tB-NP\tO' +p264101 +aS'to\tto\tTO\tI-NP\tO' +p264102 +aS'two\ttwo\tCD\tI-NP\tO' +p264103 +aS'weeks\tweek\tNNS\tI-NP\tO' +p264104 +aS'.\t.\t.\tO\tO' +p264105 +asS'This was intermittent .' +p264106 +(lp264107 +S'This\tThis\tDT\tB-NP\tO' +p264108 +aS'was\tbe\tVBD\tB-VP\tO' +p264109 +aS'intermittent\tintermittent\tJJ\tB-ADJP\tO' +p264110 +aS'.\t.\t.\tO\tO' +p264111 +asS'The patient had a BUN and creatinine of 12 and 1.2 , a white count of 6.7 , a hematocrit of 39.4 , negative urinalysis , and a potassium of 4.6 .' +p264112 +(lp264113 +S'The\tThe\tDT\tB-NP\tO' +p264114 +aS'patient\tpatient\tNN\tI-NP\tO' +p264115 +aS'had\thave\tVBD\tB-VP\tO' +p264116 +aS'a\ta\tDT\tB-NP\tO' +p264117 +aS'BUN\tBUN\tNN\tI-NP\tB-protein' +p264118 +aS'and\tand\tCC\tI-NP\tO' +p264119 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p264120 +aS'of\tof\tIN\tB-PP\tO' +p264121 +aS'12\t12\tCD\tB-NP\tO' +p264122 +aS'and\tand\tCC\tI-NP\tO' +p264123 +aS'1.2\t1.2\tCD\tI-NP\tO' +p264124 +aS',\t,\t,\tO\tO' +p264125 +aS'a\ta\tDT\tB-NP\tO' +p264126 +aS'white\twhite\tJJ\tI-NP\tO' +p264127 +aS'count\tcount\tNN\tI-NP\tO' +p264128 +aS'of\tof\tIN\tB-PP\tO' +p264129 +aS'6.7\t6.7\tCD\tB-NP\tO' +p264130 +aS',\t,\t,\tO\tO' +p264131 +aS'a\ta\tDT\tB-NP\tO' +p264132 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p264133 +aS'of\tof\tIN\tB-PP\tO' +p264134 +aS'39.4\t39.4\tCD\tB-NP\tO' +p264135 +aS',\t,\t,\tO\tO' +p264136 +aS'negative\tnegative\tJJ\tB-NP\tO' +p264137 +aS'urinalysis\turinalysis\tNN\tI-NP\tO' +p264138 +aS',\t,\t,\tO\tO' +p264139 +aS'and\tand\tCC\tO\tO' +p264140 +aS'a\ta\tDT\tB-NP\tO' +p264141 +aS'potassium\tpotassium\tNN\tI-NP\tO' +p264142 +aS'of\tof\tIN\tB-PP\tO' +p264143 +aS'4.6\t4.6\tCD\tB-NP\tO' +p264144 +aS'.\t.\t.\tO\tO' +p264145 +asS'He was accepted at the Vo Yd Burgsygu Hospital Center Intensive Care Unit and his hospital course will be reviewed by problems .' +p264146 +(lp264147 +S'He\tHe\tPRP\tB-NP\tO' +p264148 +aS'was\tbe\tVBD\tB-VP\tO' +p264149 +aS'accepted\taccept\tVBN\tI-VP\tO' +p264150 +aS'at\tat\tIN\tB-PP\tO' +p264151 +aS'the\tthe\tDT\tB-NP\tO' +p264152 +aS'Vo\tVo\tNNP\tI-NP\tO' +p264153 +aS'Yd\tYd\tNNP\tI-NP\tO' +p264154 +aS'Burgsygu\tBurgsygu\tNNP\tI-NP\tO' +p264155 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p264156 +aS'Center\tCenter\tNNP\tI-NP\tO' +p264157 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p264158 +aS'Care\tCare\tNNP\tI-NP\tO' +p264159 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p264160 +aS'and\tand\tCC\tO\tO' +p264161 +aS'his\this\tPRP$\tB-NP\tO' +p264162 +aS'hospital\thospital\tNN\tI-NP\tO' +p264163 +aS'course\tcourse\tNN\tI-NP\tO' +p264164 +aS'will\twill\tMD\tB-VP\tO' +p264165 +aS'be\tbe\tVB\tI-VP\tO' +p264166 +aS'reviewed\treview\tVBN\tI-VP\tO' +p264167 +aS'by\tby\tIN\tB-PP\tO' +p264168 +aS'problems\tproblem\tNNS\tB-NP\tO' +p264169 +aS'.\t.\t.\tO\tO' +p264170 +asS'No relief with nitroglycerin x3 .' +p264171 +(lp264172 +S'No\tNo\tDT\tB-NP\tO' +p264173 +aS'relief\trelief\tNN\tI-NP\tO' +p264174 +aS'with\twith\tIN\tB-PP\tO' +p264175 +aS'nitroglycerin\tnitroglycerin\tNN\tB-NP\tB-protein' +p264176 +aS'x3\tx3\tNN\tI-NP\tI-protein' +p264177 +aS'.\t.\t.\tO\tO' +p264178 +asS'Please have CBC and alkaline phosphatase and total bilirubin checked on Monday 11-04' +p264179 +(lp264180 +S'Please\tPlease\tNN\tB-NP\tB-protein' +p264181 +aS'have\thave\tVBP\tB-VP\tO' +p264182 +aS'CBC\tCBC\tNN\tB-NP\tB-protein' +p264183 +aS'and\tand\tCC\tI-NP\tO' +p264184 +aS'alkaline\talkaline\tNN\tI-NP\tB-protein' +p264185 +aS'phosphatase\tphosphatase\tNN\tI-NP\tI-protein' +p264186 +aS'and\tand\tCC\tO\tO' +p264187 +aS'total\ttotal\tJJ\tB-NP\tO' +p264188 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p264189 +aS'checked\tcheck\tVBD\tB-VP\tO' +p264190 +aS'on\ton\tIN\tB-PP\tO' +p264191 +aS'Monday\tMonday\tNNP\tB-NP\tO' +p264192 +aS'11-04\t11-04\tCD\tI-NP\tO' +p264193 +asS'He was then transferred to the Retelk County Medical Center for further management .' +p264194 +(lp264195 +S'He\tHe\tPRP\tB-NP\tO' +p264196 +aS'was\tbe\tVBD\tB-VP\tO' +p264197 +aS'then\tthen\tRB\tI-VP\tO' +p264198 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p264199 +aS'to\tto\tTO\tB-PP\tO' +p264200 +aS'the\tthe\tDT\tB-NP\tO' +p264201 +aS'Retelk\tRetelk\tNNP\tI-NP\tO' +p264202 +aS'County\tCounty\tNNP\tI-NP\tO' +p264203 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p264204 +aS'Center\tCenter\tNNP\tI-NP\tO' +p264205 +aS'for\tfor\tIN\tB-PP\tO' +p264206 +aS'further\tfurther\tJJ\tB-NP\tO' +p264207 +aS'management\tmanagement\tNN\tI-NP\tO' +p264208 +aS'.\t.\t.\tO\tO' +p264209 +asS'No CPR / No defib /' +p264210 +(lp264211 +S'No\tNo\tDT\tB-NP\tO' +p264212 +aS'CPR\tCPR\tNN\tI-NP\tB-protein' +p264213 +aS'/\t/\tSYM\tB-NP\tO' +p264214 +aS'No\tNo\tNN\tI-NP\tO' +p264215 +aS'defib\tdefib\tNN\tI-NP\tO' +p264216 +aS'/\t/\tSYM\tB-NP\tO' +p264217 +asS'His recovery was essentially unremarkable .' +p264218 +(lp264219 +S'His\tHis\tPRP$\tB-NP\tO' +p264220 +aS'recovery\trecovery\tNN\tI-NP\tO' +p264221 +aS'was\tbe\tVBD\tB-VP\tO' +p264222 +aS'essentially\tessentially\tRB\tB-ADJP\tO' +p264223 +aS'unremarkable\tunremarkable\tJJ\tI-ADJP\tO' +p264224 +aS'.\t.\t.\tO\tO' +p264225 +asS'There are numerous areas of decreased attenuation in the periventricular and subcortical white matter of both cerebral hemispheres , indicating chronic microvascular infarction .' +p264226 +(lp264227 +S'There\tThere\tEX\tB-NP\tO' +p264228 +aS'are\tbe\tVBP\tB-VP\tO' +p264229 +aS'numerous\tnumerous\tJJ\tB-NP\tO' +p264230 +aS'areas\tarea\tNNS\tI-NP\tO' +p264231 +aS'of\tof\tIN\tB-PP\tO' +p264232 +aS'decreased\tdecrease\tVBN\tB-NP\tO' +p264233 +aS'attenuation\tattenuation\tNN\tI-NP\tO' +p264234 +aS'in\tin\tIN\tB-PP\tO' +p264235 +aS'the\tthe\tDT\tB-NP\tO' +p264236 +aS'periventricular\tperiventricular\tJJ\tI-NP\tO' +p264237 +aS'and\tand\tCC\tI-NP\tO' +p264238 +aS'subcortical\tsubcortical\tJJ\tI-NP\tO' +p264239 +aS'white\twhite\tJJ\tI-NP\tO' +p264240 +aS'matter\tmatter\tNN\tI-NP\tO' +p264241 +aS'of\tof\tIN\tB-PP\tO' +p264242 +aS'both\tboth\tDT\tB-NP\tO' +p264243 +aS'cerebral\tcerebral\tJJ\tI-NP\tO' +p264244 +aS'hemispheres\themisphere\tNNS\tI-NP\tO' +p264245 +aS',\t,\t,\tO\tO' +p264246 +aS'indicating\tindicate\tVBG\tB-VP\tO' +p264247 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p264248 +aS'microvascular\tmicrovascular\tJJ\tI-NP\tO' +p264249 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p264250 +aS'.\t.\t.\tO\tO' +p264251 +asS'papillary carcinoma .' +p264252 +(lp264253 +S'papillary\tpapillary\tJJ\tB-NP\tO' +p264254 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p264255 +aS'.\t.\t.\tO\tO' +p264256 +asS'Lipitor , 20 daily .' +p264257 +(lp264258 +S'Lipitor\tLipitor\tNN\tB-NP\tO' +p264259 +aS',\t,\t,\tO\tO' +p264260 +aS'20\t20\tCD\tB-NP\tO' +p264261 +aS'daily\tdaily\tRB\tI-NP\tO' +p264262 +aS'.\t.\t.\tO\tO' +p264263 +asS'The patient had a follow-up chest x-ray , which was essentially unchanged from previously , showing a normal heart and lungs without infiltrate .' +p264264 +(lp264265 +S'The\tThe\tDT\tB-NP\tO' +p264266 +aS'patient\tpatient\tNN\tI-NP\tO' +p264267 +aS'had\thave\tVBD\tB-VP\tO' +p264268 +aS'a\ta\tDT\tB-NP\tO' +p264269 +aS'follow-up\tfollow-up\tJJ\tI-NP\tO' +p264270 +aS'chest\tchest\tNN\tI-NP\tO' +p264271 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p264272 +aS',\t,\t,\tO\tO' +p264273 +aS'which\twhich\tWDT\tB-NP\tO' +p264274 +aS'was\tbe\tVBD\tB-VP\tO' +p264275 +aS'essentially\tessentially\tRB\tB-ADJP\tO' +p264276 +aS'unchanged\tunchanged\tJJ\tI-ADJP\tO' +p264277 +aS'from\tfrom\tIN\tB-PP\tO' +p264278 +aS'previously\tpreviously\tRB\tB-NP\tO' +p264279 +aS',\t,\t,\tO\tO' +p264280 +aS'showing\tshow\tVBG\tB-VP\tO' +p264281 +aS'a\ta\tDT\tB-NP\tO' +p264282 +aS'normal\tnormal\tJJ\tI-NP\tO' +p264283 +aS'heart\theart\tNN\tI-NP\tO' +p264284 +aS'and\tand\tCC\tI-NP\tO' +p264285 +aS'lungs\tlung\tNNS\tI-NP\tO' +p264286 +aS'without\twithout\tIN\tB-PP\tO' +p264287 +aS'infiltrate\tinfiltrate\tNN\tB-NP\tO' +p264288 +aS'.\t.\t.\tO\tO' +p264289 +asS'6. Atrovent multiple dose inhalers , one to two puffs q. six hours as needed .' +p264290 +(lp264291 +S'6.\t6.\tLS\tB-NP\tO' +p264292 +aS'Atrovent\tAtrovent\tJJ\tI-NP\tO' +p264293 +aS'multiple\tmultiple\tJJ\tI-NP\tO' +p264294 +aS'dose\tdose\tNN\tI-NP\tO' +p264295 +aS'inhalers\tinhaler\tNNS\tI-NP\tO' +p264296 +aS',\t,\t,\tO\tO' +p264297 +aS'one\tone\tCD\tB-NP\tO' +p264298 +aS'to\tto\tTO\tI-NP\tO' +p264299 +aS'two\ttwo\tCD\tI-NP\tO' +p264300 +aS'puffs\tpuff\tNNS\tI-NP\tO' +p264301 +aS'q.\tq.\tRB\tB-NP\tO' +p264302 +aS'six\tsix\tCD\tI-NP\tO' +p264303 +aS'hours\thour\tNNS\tI-NP\tO' +p264304 +aS'as\tas\tIN\tB-SBAR\tO' +p264305 +aS'needed\tneed\tVBN\tB-VP\tO' +p264306 +aS'.\t.\t.\tO\tO' +p264307 +asS'Multiple left-sided rib fractures are seen .' +p264308 +(lp264309 +S'Multiple\tMultiple\tJJ\tB-NP\tO' +p264310 +aS'left-sided\tleft-sided\tJJ\tI-NP\tO' +p264311 +aS'rib\trib\tNN\tI-NP\tO' +p264312 +aS'fractures\tfracture\tNNS\tI-NP\tO' +p264313 +aS'are\tbe\tVBP\tB-VP\tO' +p264314 +aS'seen\tsee\tVBN\tI-VP\tO' +p264315 +aS'.\t.\t.\tO\tO' +p264316 +asS'After surgery he had a ongoing sinus tachycardia .' +p264317 +(lp264318 +S'After\tAfter\tIN\tB-PP\tO' +p264319 +aS'surgery\tsurgery\tNN\tB-NP\tO' +p264320 +aS'he\the\tPRP\tB-NP\tO' +p264321 +aS'had\thave\tVBD\tB-VP\tO' +p264322 +aS'a\ta\tDT\tB-NP\tO' +p264323 +aS'ongoing\tongoing\tJJ\tI-NP\tO' +p264324 +aS'sinus\tsinus\tNN\tI-NP\tO' +p264325 +aS'tachycardia\ttachycardia\tNN\tI-NP\tO' +p264326 +aS'.\t.\t.\tO\tO' +p264327 +asS'Please keep your appointment with Dr. Ryan on Monday , 12-07 at 11 AM .' +p264328 +(lp264329 +S'Please\tPlease\tVB\tB-VP\tO' +p264330 +aS'keep\tkeep\tVB\tI-VP\tO' +p264331 +aS'your\tyour\tPRP$\tB-NP\tO' +p264332 +aS'appointment\tappointment\tNN\tI-NP\tO' +p264333 +aS'with\twith\tIN\tB-PP\tO' +p264334 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p264335 +aS'Ryan\tRyan\tNNP\tI-NP\tO' +p264336 +aS'on\ton\tIN\tB-PP\tO' +p264337 +aS'Monday\tMonday\tNNP\tB-NP\tO' +p264338 +aS',\t,\t,\tO\tO' +p264339 +aS'12-07\t12-07\tCD\tB-NP\tO' +p264340 +aS'at\tat\tIN\tB-PP\tO' +p264341 +aS'11\t11\tCD\tB-NP\tO' +p264342 +aS'AM\tAM\tNN\tI-NP\tO' +p264343 +aS'.\t.\t.\tO\tO' +p264344 +asS'The Ifex was held as it was felt that it could have precipitated the mental status changes and that she was to receive no further Ifex .' +p264345 +(lp264346 +S'The\tThe\tDT\tB-NP\tO' +p264347 +aS'Ifex\tIfex\tNNP\tI-NP\tO' +p264348 +aS'was\tbe\tVBD\tB-VP\tO' +p264349 +aS'held\thold\tVBN\tI-VP\tO' +p264350 +aS'as\tas\tIN\tB-SBAR\tO' +p264351 +aS'it\tit\tPRP\tB-NP\tO' +p264352 +aS'was\tbe\tVBD\tB-VP\tO' +p264353 +aS'felt\tfeel\tVBN\tI-VP\tO' +p264354 +aS'that\tthat\tIN\tB-SBAR\tO' +p264355 +aS'it\tit\tPRP\tB-NP\tO' +p264356 +aS'could\tcould\tMD\tB-VP\tO' +p264357 +aS'have\thave\tVB\tI-VP\tO' +p264358 +aS'precipitated\tprecipitate\tVBN\tI-VP\tO' +p264359 +aS'the\tthe\tDT\tB-NP\tO' +p264360 +aS'mental\tmental\tJJ\tI-NP\tO' +p264361 +aS'status\tstatus\tNN\tI-NP\tO' +p264362 +aS'changes\tchange\tNNS\tI-NP\tO' +p264363 +aS'and\tand\tCC\tO\tO' +p264364 +aS'that\tthat\tIN\tB-SBAR\tO' +p264365 +aS'she\tshe\tPRP\tB-NP\tO' +p264366 +aS'was\tbe\tVBD\tB-VP\tO' +p264367 +aS'to\tto\tTO\tI-VP\tO' +p264368 +aS'receive\treceive\tVB\tI-VP\tO' +p264369 +aS'no\tno\tDT\tB-NP\tO' +p264370 +aS'further\tfurther\tJJ\tI-NP\tO' +p264371 +aS'Ifex\tIfex\tNNP\tI-NP\tO' +p264372 +aS'.\t.\t.\tO\tO' +p264373 +asS'Unfortunately , oligoclonal bands could not be sent from the CSF ( lab sent CSF for other studies and there was not enough left over for OCB s).' +p264374 +(lp264375 +S'Unfortunately\tUnfortunately\tRB\tB-ADVP\tO' +p264376 +aS',\t,\t,\tO\tO' +p264377 +aS'oligoclonal\toligoclonal\tJJ\tB-NP\tO' +p264378 +aS'bands\tband\tNNS\tI-NP\tO' +p264379 +aS'could\tcould\tMD\tB-VP\tO' +p264380 +aS'not\tnot\tRB\tI-VP\tO' +p264381 +aS'be\tbe\tVB\tI-VP\tO' +p264382 +aS'sent\tsend\tVBN\tI-VP\tO' +p264383 +aS'from\tfrom\tIN\tB-PP\tO' +p264384 +aS'the\tthe\tDT\tB-NP\tO' +p264385 +aS'CSF\tCSF\tNN\tI-NP\tB-protein' +p264386 +aS'(\t(\t(\tO\tO' +p264387 +aS'lab\tlab\tNN\tB-NP\tO' +p264388 +aS'sent\tsend\tVBD\tB-VP\tO' +p264389 +aS'CSF\tCSF\tNN\tB-NP\tB-protein' +p264390 +aS'for\tfor\tIN\tB-PP\tO' +p264391 +aS'other\tother\tJJ\tB-NP\tO' +p264392 +aS'studies\tstudy\tNNS\tI-NP\tO' +p264393 +aS'and\tand\tCC\tO\tO' +p264394 +aS'there\tthere\tEX\tB-NP\tO' +p264395 +aS'was\tbe\tVBD\tB-VP\tO' +p264396 +aS'not\tnot\tRB\tO\tO' +p264397 +aS'enough\tenough\tRB\tB-ADVP\tO' +p264398 +aS'left\tleave\tVBD\tB-VP\tO' +p264399 +aS'over\tover\tRP\tB-PRT\tO' +p264400 +aS'for\tfor\tIN\tB-PP\tO' +p264401 +aS'OCB\tOCB\tNN\tB-NP\tB-protein' +p264402 +aS's).\ts).\tNN\tI-NP\tI-protein' +p264403 +asS'95 yo F with MMP who sustained a mechanical fall down stairs resulting in a hip and arm fracture .' +p264404 +(lp264405 +S'95\t95\tCD\tB-NP\tO' +p264406 +aS'yo\tyo\tNN\tI-NP\tO' +p264407 +aS'F\tF\tNN\tI-NP\tO' +p264408 +aS'with\twith\tIN\tB-PP\tO' +p264409 +aS'MMP\tMMP\tNN\tB-NP\tB-protein' +p264410 +aS'who\twho\tWP\tB-NP\tO' +p264411 +aS'sustained\tsustain\tVBD\tB-VP\tO' +p264412 +aS'a\ta\tDT\tB-NP\tO' +p264413 +aS'mechanical\tmechanical\tJJ\tI-NP\tO' +p264414 +aS'fall\tfall\tNN\tI-NP\tO' +p264415 +aS'down\tdown\tIN\tB-PP\tO' +p264416 +aS'stairs\tstair\tNNS\tB-NP\tO' +p264417 +aS'resulting\tresult\tVBG\tB-VP\tO' +p264418 +aS'in\tin\tIN\tB-PP\tO' +p264419 +aS'a\ta\tDT\tB-NP\tO' +p264420 +aS'hip\thip\tNN\tI-NP\tO' +p264421 +aS'and\tand\tCC\tI-NP\tO' +p264422 +aS'arm\tarm\tNN\tI-NP\tO' +p264423 +aS'fracture\tfracture\tNN\tI-NP\tO' +p264424 +aS'.\t.\t.\tO\tO' +p264425 +asS'He was at Orlak on the day of admission and was found unresponsive with left tonic-clonic movements , greater in the arms than in the legs .' +p264426 +(lp264427 +S'He\tHe\tPRP\tB-NP\tO' +p264428 +aS'was\tbe\tVBD\tB-VP\tO' +p264429 +aS'at\tat\tIN\tB-PP\tO' +p264430 +aS'Orlak\tOrlak\tNNP\tB-NP\tO' +p264431 +aS'on\ton\tIN\tB-PP\tO' +p264432 +aS'the\tthe\tDT\tB-NP\tO' +p264433 +aS'day\tday\tNN\tI-NP\tO' +p264434 +aS'of\tof\tIN\tB-PP\tO' +p264435 +aS'admission\tadmission\tNN\tB-NP\tO' +p264436 +aS'and\tand\tCC\tO\tO' +p264437 +aS'was\tbe\tVBD\tB-VP\tO' +p264438 +aS'found\tfind\tVBN\tI-VP\tO' +p264439 +aS'unresponsive\tunresponsive\tJJ\tB-ADJP\tO' +p264440 +aS'with\twith\tIN\tB-PP\tO' +p264441 +aS'left\tleft\tJJ\tB-NP\tO' +p264442 +aS'tonic-clonic\ttonic-clonic\tJJ\tI-NP\tO' +p264443 +aS'movements\tmovement\tNNS\tI-NP\tO' +p264444 +aS',\t,\t,\tO\tO' +p264445 +aS'greater\tgreat\tJJR\tB-ADJP\tO' +p264446 +aS'in\tin\tIN\tB-PP\tO' +p264447 +aS'the\tthe\tDT\tB-NP\tO' +p264448 +aS'arms\tarm\tNNS\tI-NP\tO' +p264449 +aS'than\tthan\tIN\tB-PP\tO' +p264450 +aS'in\tin\tIN\tB-PP\tO' +p264451 +aS'the\tthe\tDT\tB-NP\tO' +p264452 +aS'legs\tleg\tNNS\tI-NP\tO' +p264453 +aS'.\t.\t.\tO\tO' +p264454 +asS'6. Simvastatin 40 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' +p264455 +(lp264456 +S'6.\t6.\tCD\tB-NP\tO' +p264457 +aS'Simvastatin\tSimvastatin\tNN\tI-NP\tO' +p264458 +aS'40\t40\tCD\tB-NP\tO' +p264459 +aS'mg\tmg\tNN\tI-NP\tO' +p264460 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p264461 +aS'Sig\tSig\tNNP\tI-NP\tO' +p264462 +aS':\t:\t:\tO\tO' +p264463 +aS'One\tOne\tCD\tB-NP\tO' +p264464 +aS'(\t(\t(\tO\tO' +p264465 +aS'1\t1\tCD\tB-NP\tO' +p264466 +aS')\t)\t)\tO\tO' +p264467 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p264468 +aS'PO\tPO\tNN\tI-NP\tO' +p264469 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p264470 +aS'(\t(\t(\tO\tO' +p264471 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p264472 +aS')\t)\t)\tO\tO' +p264473 +aS'.\t.\t.\tO\tO' +p264474 +asS'On 11/20/03 , a PE protocol CT was negative for both DVT and PE .' +p264475 +(lp264476 +S'On\tOn\tIN\tB-PP\tO' +p264477 +aS'11/20/03\t11/20/03\tCD\tB-NP\tO' +p264478 +aS',\t,\t,\tO\tO' +p264479 +aS'a\ta\tDT\tB-NP\tO' +p264480 +aS'PE\tPE\tNN\tI-NP\tB-protein' +p264481 +aS'protocol\tprotocol\tNN\tI-NP\tI-protein' +p264482 +aS'CT\tCT\tNN\tI-NP\tI-protein' +p264483 +aS'was\tbe\tVBD\tB-VP\tO' +p264484 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p264485 +aS'for\tfor\tIN\tB-PP\tO' +p264486 +aS'both\tboth\tCC\tO\tO' +p264487 +aS'DVT\tDVT\tNN\tB-NP\tB-protein' +p264488 +aS'and\tand\tCC\tI-NP\tO' +p264489 +aS'PE\tPE\tNN\tI-NP\tO' +p264490 +aS'.\t.\t.\tO\tO' +p264491 +asS'There was no evidence of significant groin hematomas .' +p264492 +(lp264493 +S'There\tThere\tEX\tB-NP\tO' +p264494 +aS'was\tbe\tVBD\tB-VP\tO' +p264495 +aS'no\tno\tDT\tB-NP\tO' +p264496 +aS'evidence\tevidence\tNN\tI-NP\tO' +p264497 +aS'of\tof\tIN\tB-PP\tO' +p264498 +aS'significant\tsignificant\tJJ\tB-NP\tO' +p264499 +aS'groin\tgroin\tNN\tI-NP\tO' +p264500 +aS'hematomas\thematoma\tNNS\tI-NP\tO' +p264501 +aS'.\t.\t.\tO\tO' +p264502 +asS'11. Vitamin B-12 1,000 mcg / mL One Injection every other week .' +p264503 +(lp264504 +S'11.\t11.\tLS\tB-NP\tO' +p264505 +aS'Vitamin\tVitamin\tNN\tI-NP\tO' +p264506 +aS'B-12\tB-12\tNN\tI-NP\tO' +p264507 +aS'1,000\t1,000\tCD\tI-NP\tO' +p264508 +aS'mcg\tmcg\tNN\tI-NP\tO' +p264509 +aS'/\t/\tSYM\tB-NP\tO' +p264510 +aS'mL\tmL\tNN\tB-NP\tO' +p264511 +aS'One\tOne\tCD\tI-NP\tO' +p264512 +aS'Injection\tInjection\tNN\tI-NP\tO' +p264513 +aS'every\tevery\tDT\tB-NP\tO' +p264514 +aS'other\tother\tJJ\tI-NP\tO' +p264515 +aS'week\tweek\tNN\tI-NP\tO' +p264516 +aS'.\t.\t.\tO\tO' +p264517 +asS'Insulin 44 units NPH qam ; 8 units qpm ; Vasotec 2.5 qd ; Lasix 40 qd ; Mevacor 40 qd ; Cardizem CD 180 qd ; Ciprofloxacin for urinary tract infection ; aspirin .' +p264518 +(lp264519 +S'Insulin\tInsulin\tNN\tB-NP\tO' +p264520 +aS'44\t44\tCD\tI-NP\tO' +p264521 +aS'units\tunit\tNNS\tI-NP\tO' +p264522 +aS'NPH\tNPH\tNN\tI-NP\tO' +p264523 +aS'qam\tqam\tNN\tI-NP\tO' +p264524 +aS';\t;\t:\tO\tO' +p264525 +aS'8\t8\tCD\tB-NP\tO' +p264526 +aS'units\tunit\tNNS\tI-NP\tO' +p264527 +aS'qpm\tqpm\tNN\tI-NP\tO' +p264528 +aS';\t;\t:\tO\tO' +p264529 +aS'Vasotec\tVasotec\tNNP\tB-NP\tO' +p264530 +aS'2.5\t2.5\tCD\tB-NP\tO' +p264531 +aS'qd\tqd\tNN\tI-NP\tO' +p264532 +aS';\t;\t:\tO\tO' +p264533 +aS'Lasix\tLasix\tNNP\tB-NP\tO' +p264534 +aS'40\t40\tCD\tB-NP\tO' +p264535 +aS'qd\tqd\tNN\tI-NP\tO' +p264536 +aS';\t;\t:\tO\tO' +p264537 +aS'Mevacor\tMevacor\tNNP\tB-NP\tO' +p264538 +aS'40\t40\tCD\tB-NP\tO' +p264539 +aS'qd\tqd\tNN\tI-NP\tO' +p264540 +aS';\t;\t:\tO\tO' +p264541 +aS'Cardizem\tCardizem\tNNP\tB-NP\tO' +p264542 +aS'CD\tCD\tNNP\tI-NP\tO' +p264543 +aS'180\t180\tCD\tI-NP\tO' +p264544 +aS'qd\tqd\tNN\tI-NP\tO' +p264545 +aS';\t;\t:\tO\tO' +p264546 +aS'Ciprofloxacin\tCiprofloxacin\tNN\tB-NP\tO' +p264547 +aS'for\tfor\tIN\tB-PP\tO' +p264548 +aS'urinary\turinary\tJJ\tB-NP\tO' +p264549 +aS'tract\ttract\tNN\tI-NP\tO' +p264550 +aS'infection\tinfection\tNN\tI-NP\tO' +p264551 +aS';\t;\t:\tO\tO' +p264552 +aS'aspirin\taspirin\tNN\tB-NP\tO' +p264553 +aS'.\t.\t.\tO\tO' +p264554 +asS'The patient was to be discharged to a rehabilitation hospital , the location of which was undetermined at this time of this discharge summary .' +p264555 +(lp264556 +S'The\tThe\tDT\tB-NP\tO' +p264557 +aS'patient\tpatient\tNN\tI-NP\tO' +p264558 +aS'was\tbe\tVBD\tB-VP\tO' +p264559 +aS'to\tto\tTO\tI-VP\tO' +p264560 +aS'be\tbe\tVB\tI-VP\tO' +p264561 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p264562 +aS'to\tto\tTO\tB-PP\tO' +p264563 +aS'a\ta\tDT\tB-NP\tO' +p264564 +aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' +p264565 +aS'hospital\thospital\tNN\tI-NP\tO' +p264566 +aS',\t,\t,\tO\tO' +p264567 +aS'the\tthe\tDT\tB-NP\tO' +p264568 +aS'location\tlocation\tNN\tI-NP\tO' +p264569 +aS'of\tof\tIN\tB-PP\tO' +p264570 +aS'which\twhich\tWDT\tB-NP\tO' +p264571 +aS'was\tbe\tVBD\tB-VP\tO' +p264572 +aS'undetermined\tundetermined\tJJ\tB-ADJP\tO' +p264573 +aS'at\tat\tIN\tB-PP\tO' +p264574 +aS'this\tthis\tDT\tB-NP\tO' +p264575 +aS'time\ttime\tNN\tI-NP\tO' +p264576 +aS'of\tof\tIN\tB-PP\tO' +p264577 +aS'this\tthis\tDT\tB-NP\tO' +p264578 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p264579 +aS'summary\tsummary\tNN\tI-NP\tO' +p264580 +aS'.\t.\t.\tO\tO' +p264581 +asS'The patient 's bronchiolitis obliterans organizing pneumonia appeared to improve slowly throughout her hospital course , however on July 12 , 1998 , after starting dialysis ( see below ) , the patient desaturated and required supplemental oxygen .' +p264582 +(lp264583 +S'The\tThe\tDT\tB-NP\tO' +p264584 +aS'patient\tpatient\tNN\tI-NP\tO' +p264585 +aS''s\t'\tVBZ\tB-VP\tO' +p264586 +aS'bronchiolitis\tbronchiolitis\tNN\tB-NP\tO' +p264587 +aS'obliterans\tobliteran\tNNS\tI-NP\tO' +p264588 +aS'organizing\torganize\tVBG\tB-VP\tO' +p264589 +aS'pneumonia\tpneumonia\tNN\tB-NP\tO' +p264590 +aS'appeared\tappear\tVBD\tB-VP\tO' +p264591 +aS'to\tto\tTO\tI-VP\tO' +p264592 +aS'improve\timprove\tVB\tI-VP\tO' +p264593 +aS'slowly\tslowly\tRB\tB-ADVP\tO' +p264594 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p264595 +aS'her\ther\tPRP$\tB-NP\tO' +p264596 +aS'hospital\thospital\tNN\tI-NP\tO' +p264597 +aS'course\tcourse\tNN\tI-NP\tO' +p264598 +aS',\t,\t,\tO\tO' +p264599 +aS'however\thowever\tRB\tB-ADVP\tO' +p264600 +aS'on\ton\tIN\tB-PP\tO' +p264601 +aS'July\tJuly\tNNP\tB-NP\tO' +p264602 +aS'12\t12\tCD\tI-NP\tO' +p264603 +aS',\t,\t,\tI-NP\tO' +p264604 +aS'1998\t1998\tCD\tI-NP\tO' +p264605 +aS',\t,\t,\tO\tO' +p264606 +aS'after\tafter\tIN\tB-PP\tO' +p264607 +aS'starting\tstart\tVBG\tB-VP\tO' +p264608 +aS'dialysis\tdialysis\tNN\tB-NP\tO' +p264609 +aS'(\t(\t(\tO\tO' +p264610 +aS'see\tsee\tVB\tB-VP\tO' +p264611 +aS'below\tbelow\tIN\tB-PP\tO' +p264612 +aS')\t)\t)\tO\tO' +p264613 +aS',\t,\t,\tO\tO' +p264614 +aS'the\tthe\tDT\tB-NP\tO' +p264615 +aS'patient\tpatient\tNN\tI-NP\tO' +p264616 +aS'desaturated\tdesaturate\tVBD\tB-VP\tO' +p264617 +aS'and\tand\tCC\tI-VP\tO' +p264618 +aS'required\trequire\tVBD\tI-VP\tO' +p264619 +aS'supplemental\tsupplemental\tJJ\tB-NP\tO' +p264620 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p264621 +aS'.\t.\t.\tO\tO' +p264622 +asS'She also denies having hoarseness , difficulties in finding words , speaking , hiccups , or diplopia .' +p264623 +(lp264624 +S'She\tShe\tPRP\tB-NP\tO' +p264625 +aS'also\talso\tRB\tB-ADVP\tO' +p264626 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p264627 +aS'having\thave\tVBG\tI-VP\tO' +p264628 +aS'hoarseness\thoarseness\tNN\tB-NP\tO' +p264629 +aS',\t,\t,\tO\tO' +p264630 +aS'difficulties\tdifficulty\tNNS\tB-NP\tO' +p264631 +aS'in\tin\tIN\tB-PP\tO' +p264632 +aS'finding\tfind\tVBG\tB-VP\tO' +p264633 +aS'words\tword\tNNS\tB-NP\tO' +p264634 +aS',\t,\t,\tO\tO' +p264635 +aS'speaking\tspeak\tVBG\tB-VP\tO' +p264636 +aS',\t,\t,\tO\tO' +p264637 +aS'hiccups\thiccup\tNNS\tB-NP\tO' +p264638 +aS',\t,\t,\tO\tO' +p264639 +aS'or\tor\tCC\tO\tO' +p264640 +aS'diplopia\tdiplopia\tNN\tB-NP\tO' +p264641 +aS'.\t.\t.\tO\tO' +p264642 +asS'283,000 .' +p264643 +(lp264644 +S'283,000\t283,000\tCD\tB-NP\tO' +p264645 +aS'.\t.\t.\tO\tO' +p264646 +asS'ROS : patient unable to communicate at current time' +p264647 +(lp264648 +S'ROS\tROS\tNN\tB-NP\tO' +p264649 +aS':\t:\t:\tO\tO' +p264650 +aS'patient\tpatient\tNN\tB-NP\tO' +p264651 +aS'unable\tunable\tJJ\tB-ADJP\tO' +p264652 +aS'to\tto\tTO\tB-VP\tO' +p264653 +aS'communicate\tcommunicate\tVB\tI-VP\tO' +p264654 +aS'at\tat\tIN\tB-PP\tO' +p264655 +aS'current\tcurrent\tJJ\tB-NP\tO' +p264656 +aS'time\ttime\tNN\tI-NP\tO' +p264657 +asS'Over the course of the next few minutes the patient became increasingly more responsive .' +p264658 +(lp264659 +S'Over\tOver\tIN\tB-PP\tO' +p264660 +aS'the\tthe\tDT\tB-NP\tO' +p264661 +aS'course\tcourse\tNN\tI-NP\tO' +p264662 +aS'of\tof\tIN\tB-PP\tO' +p264663 +aS'the\tthe\tDT\tB-NP\tO' +p264664 +aS'next\tnext\tJJ\tI-NP\tO' +p264665 +aS'few\tfew\tJJ\tI-NP\tO' +p264666 +aS'minutes\tminute\tNNS\tI-NP\tO' +p264667 +aS'the\tthe\tDT\tB-NP\tO' +p264668 +aS'patient\tpatient\tNN\tI-NP\tO' +p264669 +aS'became\tbecome\tVBD\tB-VP\tO' +p264670 +aS'increasingly\tincreasingly\tRB\tB-ADJP\tO' +p264671 +aS'more\tmore\tRBR\tI-ADJP\tO' +p264672 +aS'responsive\tresponsive\tJJ\tI-ADJP\tO' +p264673 +aS'.\t.\t.\tO\tO' +p264674 +asS'19. Spironolactone 25 mg Tablet Sig : Two ( 2 ) Tablet PO DAILY ( Daily ) .' +p264675 +(lp264676 +S'19.\t19.\tCD\tB-NP\tO' +p264677 +aS'Spironolactone\tSpironolactone\tNN\tI-NP\tO' +p264678 +aS'25\t25\tCD\tB-NP\tO' +p264679 +aS'mg\tmg\tNN\tI-NP\tO' +p264680 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p264681 +aS'Sig\tSig\tNNP\tI-NP\tO' +p264682 +aS':\t:\t:\tO\tO' +p264683 +aS'Two\tTwo\tCD\tB-NP\tO' +p264684 +aS'(\t(\t(\tO\tO' +p264685 +aS'2\t2\tCD\tO\tO' +p264686 +aS')\t)\t)\tO\tO' +p264687 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p264688 +aS'PO\tPO\tNN\tI-NP\tO' +p264689 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p264690 +aS'(\t(\t(\tO\tO' +p264691 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p264692 +aS')\t)\t)\tO\tO' +p264693 +aS'.\t.\t.\tO\tO' +p264694 +asS'Cylert .' +p264695 +(lp264696 +S'Cylert\tCylert\tNN\tB-NP\tO' +p264697 +aS'.\t.\t.\tO\tO' +p264698 +asS'Proximal LAD with hazy ulceration , proximal circumflex with 80% hazy , totally occluded PLB with collaterals' +p264699 +(lp264700 +S'Proximal\tProximal\tJJ\tB-NP\tO' +p264701 +aS'LAD\tLAD\tNN\tI-NP\tO' +p264702 +aS'with\twith\tIN\tB-PP\tO' +p264703 +aS'hazy\thazy\tJJ\tB-NP\tO' +p264704 +aS'ulceration\tulceration\tNN\tI-NP\tO' +p264705 +aS',\t,\t,\tO\tO' +p264706 +aS'proximal\tproximal\tJJ\tB-NP\tO' +p264707 +aS'circumflex\tcircumflex\tNN\tI-NP\tO' +p264708 +aS'with\twith\tIN\tB-PP\tO' +p264709 +aS'80%\t80%\tCD\tB-NP\tO' +p264710 +aS'hazy\thazy\tNN\tI-NP\tO' +p264711 +aS',\t,\t,\tO\tO' +p264712 +aS'totally\ttotally\tRB\tB-ADVP\tO' +p264713 +aS'occluded\tocclude\tVBD\tB-VP\tO' +p264714 +aS'PLB\tPLB\tNN\tB-NP\tB-protein' +p264715 +aS'with\twith\tIN\tB-PP\tO' +p264716 +aS'collaterals\tcollateral\tNNS\tB-NP\tO' +p264717 +asS'He did report a 20 lbs weight loss over the last several months .' +p264718 +(lp264719 +S'He\tHe\tPRP\tB-NP\tO' +p264720 +aS'did\tdo\tVBD\tB-VP\tO' +p264721 +aS'report\treport\tVB\tI-VP\tO' +p264722 +aS'a\ta\tDT\tB-NP\tO' +p264723 +aS'20\t20\tCD\tI-NP\tO' +p264724 +aS'lbs\tlb\tNNS\tI-NP\tO' +p264725 +aS'weight\tweight\tNN\tI-NP\tO' +p264726 +aS'loss\tloss\tNN\tI-NP\tO' +p264727 +aS'over\tover\tIN\tB-PP\tO' +p264728 +aS'the\tthe\tDT\tB-NP\tO' +p264729 +aS'last\tlast\tJJ\tI-NP\tO' +p264730 +aS'several\tseveral\tJJ\tI-NP\tO' +p264731 +aS'months\tmonth\tNNS\tI-NP\tO' +p264732 +aS'.\t.\t.\tO\tO' +p264733 +asS'She was making adequate urine output anywhere between 20 to 50 ccs an hour .' +p264734 +(lp264735 +S'She\tShe\tPRP\tB-NP\tO' +p264736 +aS'was\tbe\tVBD\tB-VP\tO' +p264737 +aS'making\tmake\tVBG\tI-VP\tO' +p264738 +aS'adequate\tadequate\tJJ\tB-NP\tO' +p264739 +aS'urine\turine\tNN\tI-NP\tO' +p264740 +aS'output\toutput\tNN\tI-NP\tO' +p264741 +aS'anywhere\tanywhere\tRB\tB-NP\tO' +p264742 +aS'between\tbetween\tIN\tI-NP\tO' +p264743 +aS'20\t20\tCD\tI-NP\tO' +p264744 +aS'to\tto\tTO\tI-NP\tO' +p264745 +aS'50\t50\tCD\tI-NP\tO' +p264746 +aS'ccs\tcc\tNNS\tI-NP\tO' +p264747 +aS'an\tan\tDT\tB-NP\tO' +p264748 +aS'hour\thour\tNN\tI-NP\tO' +p264749 +aS'.\t.\t.\tO\tO' +p264750 +asS'Copies to Dr. Liasun Mass , Dr. Tomedankell New of Cardiology , and Dr. Scosthuang of Vassdiysey Medical Center .' +p264751 +(lp264752 +S'Copies\tCopy\tNNS\tB-NP\tO' +p264753 +aS'to\tto\tTO\tB-PP\tO' +p264754 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p264755 +aS'Liasun\tLiasun\tNNP\tI-NP\tO' +p264756 +aS'Mass\tMass\tNNP\tI-NP\tO' +p264757 +aS',\t,\t,\tO\tO' +p264758 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p264759 +aS'Tomedankell\tTomedankell\tNNP\tI-NP\tO' +p264760 +aS'New\tNew\tNNP\tI-NP\tO' +p264761 +aS'of\tof\tIN\tB-PP\tO' +p264762 +aS'Cardiology\tCardiology\tNNP\tB-NP\tO' +p264763 +aS',\t,\t,\tO\tO' +p264764 +aS'and\tand\tCC\tO\tO' +p264765 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p264766 +aS'Scosthuang\tScosthuang\tNNP\tI-NP\tO' +p264767 +aS'of\tof\tIN\tB-PP\tO' +p264768 +aS'Vassdiysey\tVassdiysey\tNNP\tB-NP\tO' +p264769 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p264770 +aS'Center\tCenter\tNNP\tI-NP\tO' +p264771 +aS'.\t.\t.\tO\tO' +p264772 +asS'Plan to continue to follow MS , expect improvement as steroids are continued to be tapered .' +p264773 +(lp264774 +S'Plan\tPlan\tNN\tB-NP\tO' +p264775 +aS'to\tto\tTO\tB-VP\tO' +p264776 +aS'continue\tcontinue\tVB\tI-VP\tO' +p264777 +aS'to\tto\tTO\tI-VP\tO' +p264778 +aS'follow\tfollow\tVB\tI-VP\tO' +p264779 +aS'MS\tMS\tNN\tB-NP\tO' +p264780 +aS',\t,\t,\tO\tO' +p264781 +aS'expect\texpect\tVBP\tB-VP\tO' +p264782 +aS'improvement\timprovement\tNN\tB-NP\tO' +p264783 +aS'as\tas\tIN\tB-SBAR\tO' +p264784 +aS'steroids\tsteroid\tNNS\tB-NP\tO' +p264785 +aS'are\tbe\tVBP\tB-VP\tO' +p264786 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p264787 +aS'to\tto\tTO\tI-VP\tO' +p264788 +aS'be\tbe\tVB\tI-VP\tO' +p264789 +aS'tapered\ttaper\tVBN\tI-VP\tO' +p264790 +aS'.\t.\t.\tO\tO' +p264791 +asS'He is now admitted to the CCU for further care .' +p264792 +(lp264793 +S'He\tHe\tPRP\tB-NP\tO' +p264794 +aS'is\tbe\tVBZ\tB-VP\tO' +p264795 +aS'now\tnow\tRB\tI-VP\tO' +p264796 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p264797 +aS'to\tto\tTO\tB-PP\tO' +p264798 +aS'the\tthe\tDT\tB-NP\tO' +p264799 +aS'CCU\tCCU\tNN\tI-NP\tO' +p264800 +aS'for\tfor\tIN\tB-PP\tO' +p264801 +aS'further\tfurther\tJJ\tB-NP\tO' +p264802 +aS'care\tcare\tNN\tI-NP\tO' +p264803 +aS'.\t.\t.\tO\tO' +p264804 +asS'D-sticks of 117 .' +p264805 +(lp264806 +S'D-sticks\tD-stick\tNNS\tB-NP\tO' +p264807 +aS'of\tof\tIN\tB-PP\tO' +p264808 +aS'117\t117\tCD\tB-NP\tO' +p264809 +aS'.\t.\t.\tO\tO' +p264810 +asS'PAtient began feeding first post op day and has done well .' +p264811 +(lp264812 +S'PAtient\tPAtient\tNN\tB-NP\tO' +p264813 +aS'began\tbegin\tVBD\tB-VP\tO' +p264814 +aS'feeding\tfeed\tVBG\tI-VP\tO' +p264815 +aS'first\tfirst\tJJ\tB-NP\tO' +p264816 +aS'post\tpost\tNN\tI-NP\tO' +p264817 +aS'op\top\tNN\tI-NP\tO' +p264818 +aS'day\tday\tNN\tI-NP\tO' +p264819 +aS'and\tand\tCC\tO\tO' +p264820 +aS'has\thave\tVBZ\tB-VP\tO' +p264821 +aS'done\tdo\tVBN\tI-VP\tO' +p264822 +aS'well\twell\tRB\tB-ADVP\tO' +p264823 +aS'.\t.\t.\tO\tO' +p264824 +asS'158/60 with a heart rate of 85 , temperature 99.7 , respirations 14 .' +p264825 +(lp264826 +S'158/60\t158/60\tCD\tB-NP\tO' +p264827 +aS'with\twith\tIN\tB-PP\tO' +p264828 +aS'a\ta\tDT\tB-NP\tO' +p264829 +aS'heart\theart\tNN\tI-NP\tO' +p264830 +aS'rate\trate\tNN\tI-NP\tO' +p264831 +aS'of\tof\tIN\tB-PP\tO' +p264832 +aS'85\t85\tCD\tB-NP\tO' +p264833 +aS',\t,\t,\tO\tO' +p264834 +aS'temperature\ttemperature\tNN\tB-NP\tO' +p264835 +aS'99.7\t99.7\tCD\tI-NP\tO' +p264836 +aS',\t,\t,\tO\tO' +p264837 +aS'respirations\trespiration\tNNS\tB-NP\tO' +p264838 +aS'14\t14\tCD\tB-NP\tO' +p264839 +aS'.\t.\t.\tO\tO' +p264840 +asS'This report was created by SHUFF , RONRIN 10/18/2005 03:53 PM' +p264841 +(lp264842 +S'This\tThis\tDT\tB-NP\tO' +p264843 +aS'report\treport\tNN\tI-NP\tO' +p264844 +aS'was\tbe\tVBD\tB-VP\tO' +p264845 +aS'created\tcreate\tVBN\tI-VP\tO' +p264846 +aS'by\tby\tIN\tB-PP\tO' +p264847 +aS'SHUFF\tSHUFF\tNN\tB-NP\tB-protein' +p264848 +aS',\t,\t,\tO\tO' +p264849 +aS'RONRIN\tRONRIN\tNN\tB-NP\tO' +p264850 +aS'10/18/2005\t10/18/2005\tCD\tI-NP\tO' +p264851 +aS'03:53\t03:53\tCD\tI-NP\tO' +p264852 +aS'PM\tPM\tNN\tI-NP\tO' +p264853 +asS'This was achieved with good effect , and they were subsequently weaned off .' +p264854 +(lp264855 +S'This\tThis\tDT\tB-NP\tO' +p264856 +aS'was\tbe\tVBD\tB-VP\tO' +p264857 +aS'achieved\tachieve\tVBN\tI-VP\tO' +p264858 +aS'with\twith\tIN\tB-PP\tO' +p264859 +aS'good\tgood\tJJ\tB-NP\tO' +p264860 +aS'effect\teffect\tNN\tI-NP\tO' +p264861 +aS',\t,\t,\tO\tO' +p264862 +aS'and\tand\tCC\tO\tO' +p264863 +aS'they\tthey\tPRP\tB-NP\tO' +p264864 +aS'were\tbe\tVBD\tB-VP\tO' +p264865 +aS'subsequently\tsubsequently\tRB\tI-VP\tO' +p264866 +aS'weaned\twean\tVBN\tI-VP\tO' +p264867 +aS'off\toff\tRP\tB-PRT\tO' +p264868 +aS'.\t.\t.\tO\tO' +p264869 +asS'There is no hydrocephalus .' +p264870 +(lp264871 +S'There\tThere\tEX\tB-NP\tO' +p264872 +aS'is\tbe\tVBZ\tB-VP\tO' +p264873 +aS'no\tno\tDT\tB-NP\tO' +p264874 +aS'hydrocephalus\thydrocephalus\tNN\tI-NP\tO' +p264875 +aS'.\t.\t.\tO\tO' +p264876 +asS'No mass/thrombus is seen in the left atrium or left atrial appendage .' +p264877 +(lp264878 +S'No\tNo\tDT\tB-NP\tO' +p264879 +aS'mass/thrombus\tmass/thrombus\tNN\tI-NP\tO' +p264880 +aS'is\tbe\tVBZ\tB-VP\tO' +p264881 +aS'seen\tsee\tVBN\tI-VP\tO' +p264882 +aS'in\tin\tIN\tB-PP\tO' +p264883 +aS'the\tthe\tDT\tB-NP\tO' +p264884 +aS'left\tleft\tJJ\tI-NP\tO' +p264885 +aS'atrium\tatrium\tNN\tI-NP\tO' +p264886 +aS'or\tor\tCC\tO\tO' +p264887 +aS'left\tleave\tVBD\tB-VP\tO' +p264888 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p264889 +aS'appendage\tappendage\tNN\tI-NP\tO' +p264890 +aS'.\t.\t.\tO\tO' +p264891 +asS'We started her on dilt for additional a fib control ( revert back to a fib on 05-29 ), which was stopped when the pt was made CMO .' +p264892 +(lp264893 +S'We\tWe\tPRP\tB-NP\tO' +p264894 +aS'started\tstart\tVBD\tB-VP\tO' +p264895 +aS'her\ther\tPRP\tB-NP\tO' +p264896 +aS'on\ton\tIN\tB-PP\tO' +p264897 +aS'dilt\tdilt\tNN\tB-NP\tO' +p264898 +aS'for\tfor\tIN\tB-PP\tO' +p264899 +aS'additional\tadditional\tJJ\tB-NP\tO' +p264900 +aS'a\ta\tDT\tI-NP\tO' +p264901 +aS'fib\tfib\tNN\tI-NP\tO' +p264902 +aS'control\tcontrol\tNN\tI-NP\tO' +p264903 +aS'(\t(\t(\tO\tO' +p264904 +aS'revert\trevert\tVB\tB-VP\tO' +p264905 +aS'back\tback\tRB\tB-ADVP\tO' +p264906 +aS'to\tto\tTO\tB-PP\tO' +p264907 +aS'a\ta\tDT\tB-NP\tO' +p264908 +aS'fib\tfib\tNN\tI-NP\tB-protein' +p264909 +aS'on\ton\tIN\tB-PP\tO' +p264910 +aS'05-29\t05-29\tCD\tB-NP\tO' +p264911 +aS'),\t),\tNN\tI-NP\tO' +p264912 +aS'which\twhich\tWDT\tB-NP\tO' +p264913 +aS'was\tbe\tVBD\tB-VP\tO' +p264914 +aS'stopped\tstop\tVBN\tI-VP\tO' +p264915 +aS'when\twhen\tWRB\tB-ADVP\tO' +p264916 +aS'the\tthe\tDT\tB-NP\tO' +p264917 +aS'pt\tpt\tNN\tI-NP\tO' +p264918 +aS'was\tbe\tVBD\tB-VP\tO' +p264919 +aS'made\tmake\tVBN\tI-VP\tO' +p264920 +aS'CMO\tCMO\tNN\tB-NP\tB-protein' +p264921 +aS'.\t.\t.\tO\tO' +p264922 +asS'VULVAR CANCER .' +p264923 +(lp264924 +S'VULVAR\tVULVAR\tNN\tB-NP\tO' +p264925 +aS'CANCER\tCANCER\tNN\tI-NP\tO' +p264926 +aS'.\t.\t.\tO\tO' +p264927 +asS'The infant is NPO .' +p264928 +(lp264929 +S'The\tThe\tDT\tB-NP\tO' +p264930 +aS'infant\tinfant\tNN\tI-NP\tO' +p264931 +aS'is\tbe\tVBZ\tB-VP\tO' +p264932 +aS'NPO\tNPO\tNN\tB-NP\tB-protein' +p264933 +aS'.\t.\t.\tO\tO' +p264934 +asS'He was treated with oxygen , aspirin , five sublingual nitroglycerins , heparin , and was eventually made pain free with that regimen .' +p264935 +(lp264936 +S'He\tHe\tPRP\tB-NP\tO' +p264937 +aS'was\tbe\tVBD\tB-VP\tO' +p264938 +aS'treated\ttreat\tVBN\tI-VP\tO' +p264939 +aS'with\twith\tIN\tB-PP\tO' +p264940 +aS'oxygen\toxygen\tNN\tB-NP\tO' +p264941 +aS',\t,\t,\tO\tO' +p264942 +aS'aspirin\taspirin\tNN\tB-NP\tO' +p264943 +aS',\t,\t,\tO\tO' +p264944 +aS'five\tfive\tCD\tB-NP\tO' +p264945 +aS'sublingual\tsublingual\tJJ\tI-NP\tO' +p264946 +aS'nitroglycerins\tnitroglycerin\tNNS\tI-NP\tO' +p264947 +aS',\t,\t,\tO\tO' +p264948 +aS'heparin\theparin\tNN\tB-NP\tO' +p264949 +aS',\t,\t,\tO\tO' +p264950 +aS'and\tand\tCC\tO\tO' +p264951 +aS'was\tbe\tVBD\tB-VP\tO' +p264952 +aS'eventually\teventually\tRB\tI-VP\tO' +p264953 +aS'made\tmake\tVBN\tI-VP\tO' +p264954 +aS'pain\tpain\tNN\tB-NP\tO' +p264955 +aS'free\tfree\tJJ\tB-ADJP\tO' +p264956 +aS'with\twith\tIN\tB-PP\tO' +p264957 +aS'that\tthat\tDT\tB-NP\tO' +p264958 +aS'regimen\tregimen\tNN\tI-NP\tO' +p264959 +aS'.\t.\t.\tO\tO' +p264960 +asS'She received no Coumadin during her admission and by the time of discharge , her PT was down to 16.2 .' +p264961 +(lp264962 +S'She\tShe\tPRP\tB-NP\tO' +p264963 +aS'received\treceive\tVBD\tB-VP\tO' +p264964 +aS'no\tno\tDT\tB-NP\tO' +p264965 +aS'Coumadin\tCoumadin\tNN\tI-NP\tO' +p264966 +aS'during\tduring\tIN\tB-PP\tO' +p264967 +aS'her\ther\tPRP$\tB-NP\tO' +p264968 +aS'admission\tadmission\tNN\tI-NP\tO' +p264969 +aS'and\tand\tCC\tB-PP\tO' +p264970 +aS'by\tby\tIN\tB-PP\tO' +p264971 +aS'the\tthe\tDT\tB-NP\tO' +p264972 +aS'time\ttime\tNN\tI-NP\tO' +p264973 +aS'of\tof\tIN\tB-PP\tO' +p264974 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p264975 +aS',\t,\t,\tO\tO' +p264976 +aS'her\ther\tPRP$\tB-NP\tO' +p264977 +aS'PT\tPT\tNN\tI-NP\tO' +p264978 +aS'was\tbe\tVBD\tB-VP\tO' +p264979 +aS'down\tdown\tRB\tB-ADVP\tO' +p264980 +aS'to\tto\tTO\tB-PP\tO' +p264981 +aS'16.2\t16.2\tCD\tB-NP\tO' +p264982 +aS'.\t.\t.\tO\tO' +p264983 +asS'Right Atrium - Four Chamber Length : * 6.2 cm ( nl <= 5.0 cm )' +p264984 +(lp264985 +S'Right\tRight\tNNP\tB-NP\tO' +p264986 +aS'Atrium\tAtrium\tNNP\tI-NP\tO' +p264987 +aS'-\t-\tHYPH\tB-NP\tO' +p264988 +aS'Four\tFour\tNNP\tI-NP\tO' +p264989 +aS'Chamber\tChamber\tNNP\tI-NP\tO' +p264990 +aS'Length\tLength\tNNP\tI-NP\tO' +p264991 +aS':\t:\t:\tO\tO' +p264992 +aS'*\t*\tSYM\tO\tO' +p264993 +aS'6.2\t6.2\tCD\tB-NP\tO' +p264994 +aS'cm\tcm\tNN\tI-NP\tO' +p264995 +aS'(\t(\t(\tO\tO' +p264996 +aS'nl\tnl\tNN\tB-NP\tO' +p264997 +aS'<=\t<=\tSYM\tO\tO' +p264998 +aS'5.0\t5.0\tCD\tB-NP\tO' +p264999 +aS'cm\tcm\tNN\tI-NP\tO' +p265000 +aS')\t)\t)\tO\tO' +p265001 +asS'Head CT scan without contrast showed normal brain parenchyma and no intracranial process .' +p265002 +(lp265003 +S'Head\tHead\tJJ\tB-NP\tO' +p265004 +aS'CT\tCT\tNN\tI-NP\tO' +p265005 +aS'scan\tscan\tNN\tI-NP\tO' +p265006 +aS'without\twithout\tIN\tB-PP\tO' +p265007 +aS'contrast\tcontrast\tNN\tB-NP\tO' +p265008 +aS'showed\tshow\tVBD\tB-VP\tO' +p265009 +aS'normal\tnormal\tJJ\tB-NP\tO' +p265010 +aS'brain\tbrain\tNN\tI-NP\tO' +p265011 +aS'parenchyma\tparenchyma\tNN\tI-NP\tO' +p265012 +aS'and\tand\tCC\tO\tO' +p265013 +aS'no\tno\tDT\tB-NP\tO' +p265014 +aS'intracranial\tintracranial\tJJ\tI-NP\tO' +p265015 +aS'process\tprocess\tNN\tI-NP\tO' +p265016 +aS'.\t.\t.\tO\tO' +p265017 +asS'There was no evidence of developing hydrocephalus , which was a concern due to the surrounding edema , and possible suppression of the fourth ventricle .' +p265018 +(lp265019 +S'There\tThere\tEX\tB-NP\tO' +p265020 +aS'was\tbe\tVBD\tB-VP\tO' +p265021 +aS'no\tno\tDT\tB-NP\tO' +p265022 +aS'evidence\tevidence\tNN\tI-NP\tO' +p265023 +aS'of\tof\tIN\tB-PP\tO' +p265024 +aS'developing\tdevelop\tVBG\tB-VP\tO' +p265025 +aS'hydrocephalus\thydrocephalus\tNN\tB-NP\tO' +p265026 +aS',\t,\t,\tO\tO' +p265027 +aS'which\twhich\tWDT\tB-NP\tO' +p265028 +aS'was\tbe\tVBD\tB-VP\tO' +p265029 +aS'a\ta\tDT\tB-NP\tO' +p265030 +aS'concern\tconcern\tNN\tI-NP\tO' +p265031 +aS'due\tdue\tJJ\tB-ADJP\tO' +p265032 +aS'to\tto\tTO\tB-PP\tO' +p265033 +aS'the\tthe\tDT\tB-NP\tO' +p265034 +aS'surrounding\tsurround\tVBG\tI-NP\tO' +p265035 +aS'edema\tedema\tNN\tI-NP\tO' +p265036 +aS',\t,\t,\tO\tO' +p265037 +aS'and\tand\tCC\tO\tO' +p265038 +aS'possible\tpossible\tJJ\tB-NP\tO' +p265039 +aS'suppression\tsuppression\tNN\tI-NP\tO' +p265040 +aS'of\tof\tIN\tB-PP\tO' +p265041 +aS'the\tthe\tDT\tB-NP\tO' +p265042 +aS'fourth\tfourth\tJJ\tI-NP\tO' +p265043 +aS'ventricle\tventricle\tNN\tI-NP\tO' +p265044 +aS'.\t.\t.\tO\tO' +p265045 +asS'There is mild amount of surrounding erythema and the patient was started on Ancef at that time .' +p265046 +(lp265047 +S'There\tThere\tEX\tB-NP\tO' +p265048 +aS'is\tbe\tVBZ\tB-VP\tO' +p265049 +aS'mild\tmild\tJJ\tB-NP\tO' +p265050 +aS'amount\tamount\tNN\tI-NP\tO' +p265051 +aS'of\tof\tIN\tB-PP\tO' +p265052 +aS'surrounding\tsurround\tVBG\tB-VP\tO' +p265053 +aS'erythema\terythema\tNN\tB-NP\tO' +p265054 +aS'and\tand\tCC\tO\tO' +p265055 +aS'the\tthe\tDT\tB-NP\tO' +p265056 +aS'patient\tpatient\tNN\tI-NP\tO' +p265057 +aS'was\tbe\tVBD\tB-VP\tO' +p265058 +aS'started\tstart\tVBN\tI-VP\tO' +p265059 +aS'on\ton\tIN\tB-PP\tO' +p265060 +aS'Ancef\tAncef\tNN\tB-NP\tO' +p265061 +aS'at\tat\tIN\tB-PP\tO' +p265062 +aS'that\tthat\tDT\tB-NP\tO' +p265063 +aS'time\ttime\tNN\tI-NP\tO' +p265064 +aS'.\t.\t.\tO\tO' +p265065 +asS'Flolan was initiated on 12-08 at 5 nanograms per kilogram per minute .' +p265066 +(lp265067 +S'Flolan\tFlolan\tNN\tB-NP\tO' +p265068 +aS'was\tbe\tVBD\tB-VP\tO' +p265069 +aS'initiated\tinitiate\tVBN\tI-VP\tO' +p265070 +aS'on\ton\tIN\tB-PP\tO' +p265071 +aS'12-08\t12-08\tCD\tB-NP\tO' +p265072 +aS'at\tat\tIN\tB-PP\tO' +p265073 +aS'5\t5\tCD\tB-NP\tO' +p265074 +aS'nanograms\tnanogram\tNNS\tI-NP\tO' +p265075 +aS'per\tper\tIN\tB-PP\tO' +p265076 +aS'kilogram\tkilogram\tNN\tB-NP\tO' +p265077 +aS'per\tper\tIN\tB-PP\tO' +p265078 +aS'minute\tminute\tNN\tB-NP\tO' +p265079 +aS'.\t.\t.\tO\tO' +p265080 +asS'The review of systems is negative , except as above .' +p265081 +(lp265082 +S'The\tThe\tDT\tB-NP\tO' +p265083 +aS'review\treview\tNN\tI-NP\tO' +p265084 +aS'of\tof\tIN\tB-PP\tO' +p265085 +aS'systems\tsystem\tNNS\tB-NP\tO' +p265086 +aS'is\tbe\tVBZ\tB-VP\tO' +p265087 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p265088 +aS',\t,\t,\tO\tO' +p265089 +aS'except\texcept\tIN\tB-PP\tO' +p265090 +aS'as\tas\tIN\tB-PP\tO' +p265091 +aS'above\tabove\tRB\tB-ADVP\tO' +p265092 +aS'.\t.\t.\tO\tO' +p265093 +asS'The patient will be randomized on the Wars study early next week by the Stroke Service at Ph University Of Medical Center .' +p265094 +(lp265095 +S'The\tThe\tDT\tB-NP\tO' +p265096 +aS'patient\tpatient\tNN\tI-NP\tO' +p265097 +aS'will\twill\tMD\tB-VP\tO' +p265098 +aS'be\tbe\tVB\tI-VP\tO' +p265099 +aS'randomized\trandomize\tVBN\tI-VP\tO' +p265100 +aS'on\ton\tIN\tB-PP\tO' +p265101 +aS'the\tthe\tDT\tB-NP\tO' +p265102 +aS'Wars\tWar\tNNS\tI-NP\tO' +p265103 +aS'study\tstudy\tNN\tI-NP\tO' +p265104 +aS'early\tearly\tJJ\tB-NP\tO' +p265105 +aS'next\tnext\tJJ\tI-NP\tO' +p265106 +aS'week\tweek\tNN\tI-NP\tO' +p265107 +aS'by\tby\tIN\tB-PP\tO' +p265108 +aS'the\tthe\tDT\tB-NP\tO' +p265109 +aS'Stroke\tStroke\tNNP\tI-NP\tO' +p265110 +aS'Service\tService\tNNP\tI-NP\tO' +p265111 +aS'at\tat\tIN\tB-PP\tO' +p265112 +aS'Ph\tPh\tNNP\tB-NP\tO' +p265113 +aS'University\tUniversity\tNNP\tI-NP\tO' +p265114 +aS'Of\tOf\tNNP\tI-NP\tO' +p265115 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p265116 +aS'Center\tCenter\tNNP\tI-NP\tO' +p265117 +aS'.\t.\t.\tO\tO' +p265118 +asS'The patient was admitted to the hospital for acute and chronic shortness of breath .' +p265119 +(lp265120 +S'The\tThe\tDT\tB-NP\tO' +p265121 +aS'patient\tpatient\tNN\tI-NP\tO' +p265122 +aS'was\tbe\tVBD\tB-VP\tO' +p265123 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p265124 +aS'to\tto\tTO\tB-PP\tO' +p265125 +aS'the\tthe\tDT\tB-NP\tO' +p265126 +aS'hospital\thospital\tNN\tI-NP\tO' +p265127 +aS'for\tfor\tIN\tB-PP\tO' +p265128 +aS'acute\tacute\tJJ\tB-NP\tO' +p265129 +aS'and\tand\tCC\tI-NP\tO' +p265130 +aS'chronic\tchronic\tJJ\tI-NP\tO' +p265131 +aS'shortness\tshortness\tNN\tI-NP\tO' +p265132 +aS'of\tof\tIN\tB-PP\tO' +p265133 +aS'breath\tbreath\tNN\tB-NP\tO' +p265134 +aS'.\t.\t.\tO\tO' +p265135 +asS'90 year-old woman with h/o of HTN p/w substernal chest pain shortly after exercise at nursing home , with EKG showing ST depressions in V1-V4 and troponin 0.07.' +p265136 +(lp265137 +S'90\t90\tCD\tB-NP\tO' +p265138 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p265139 +aS'woman\twoman\tNN\tI-NP\tO' +p265140 +aS'with\twith\tIN\tB-PP\tO' +p265141 +aS'h/o\th/o\tNN\tB-NP\tO' +p265142 +aS'of\tof\tIN\tB-PP\tO' +p265143 +aS'HTN\tHTN\tNN\tB-NP\tB-protein' +p265144 +aS'p/w\tp/w\tNN\tI-NP\tI-protein' +p265145 +aS'substernal\tsubsternal\tJJ\tI-NP\tI-protein' +p265146 +aS'chest\tchest\tNN\tI-NP\tI-protein' +p265147 +aS'pain\tpain\tNN\tI-NP\tI-protein' +p265148 +aS'shortly\tshortly\tRB\tB-ADVP\tO' +p265149 +aS'after\tafter\tIN\tB-PP\tO' +p265150 +aS'exercise\texercise\tNN\tB-NP\tO' +p265151 +aS'at\tat\tIN\tB-PP\tO' +p265152 +aS'nursing\tnurse\tVBG\tB-VP\tO' +p265153 +aS'home\thome\tNN\tB-NP\tO' +p265154 +aS',\t,\t,\tO\tO' +p265155 +aS'with\twith\tIN\tB-PP\tO' +p265156 +aS'EKG\tEKG\tNN\tB-NP\tB-protein' +p265157 +aS'showing\tshow\tVBG\tB-VP\tO' +p265158 +aS'ST\tST\tJJ\tB-NP\tO' +p265159 +aS'depressions\tdepression\tNNS\tI-NP\tO' +p265160 +aS'in\tin\tIN\tB-PP\tO' +p265161 +aS'V1-V4\tV1-V4\tNN\tB-NP\tO' +p265162 +aS'and\tand\tCC\tO\tO' +p265163 +aS'troponin\ttroponin\tNN\tB-NP\tO' +p265164 +aS'0.07.\t0.07.\tCD\tI-NP\tO' +p265165 +asS'chest pressure ; r / o mi' +p265166 +(lp265167 +S'chest\tch\tJJS\tB-NP\tO' +p265168 +aS'pressure\tpressure\tNN\tI-NP\tO' +p265169 +aS';\t;\t:\tO\tO' +p265170 +aS'r\tr\tNN\tB-NP\tO' +p265171 +aS'/\t/\tSYM\tB-NP\tO' +p265172 +aS'o\to\tNN\tI-NP\tO' +p265173 +aS'mi\tmi\tNNS\tI-NP\tO' +p265174 +asS'The patient was tachycardiac on admission and it was felt she was dehydrated and / or anxious at the time of her initial evaluation .' +p265175 +(lp265176 +S'The\tThe\tDT\tB-NP\tO' +p265177 +aS'patient\tpatient\tNN\tI-NP\tO' +p265178 +aS'was\tbe\tVBD\tB-VP\tO' +p265179 +aS'tachycardiac\ttachycardiac\tJJ\tB-ADJP\tO' +p265180 +aS'on\ton\tIN\tB-PP\tO' +p265181 +aS'admission\tadmission\tNN\tB-NP\tO' +p265182 +aS'and\tand\tCC\tO\tO' +p265183 +aS'it\tit\tPRP\tB-NP\tO' +p265184 +aS'was\tbe\tVBD\tB-VP\tO' +p265185 +aS'felt\tfeel\tVBN\tI-VP\tO' +p265186 +aS'she\tshe\tPRP\tB-NP\tO' +p265187 +aS'was\tbe\tVBD\tB-VP\tO' +p265188 +aS'dehydrated\tdehydrate\tVBN\tI-VP\tO' +p265189 +aS'and\tand\tCC\tO\tO' +p265190 +aS'/\t/\tSYM\tB-NP\tO' +p265191 +aS'or\tor\tCC\tO\tO' +p265192 +aS'anxious\tanxious\tJJ\tB-ADJP\tO' +p265193 +aS'at\tat\tIN\tB-PP\tO' +p265194 +aS'the\tthe\tDT\tB-NP\tO' +p265195 +aS'time\ttime\tNN\tI-NP\tO' +p265196 +aS'of\tof\tIN\tB-PP\tO' +p265197 +aS'her\ther\tPRP$\tB-NP\tO' +p265198 +aS'initial\tinitial\tJJ\tI-NP\tO' +p265199 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p265200 +aS'.\t.\t.\tO\tO' +p265201 +asS'6. Niaspan 500 mg p.o. q. day .' +p265202 +(lp265203 +S'6.\t6.\tCD\tB-NP\tO' +p265204 +aS'Niaspan\tNiaspan\tNNP\tI-NP\tO' +p265205 +aS'500\t500\tCD\tI-NP\tO' +p265206 +aS'mg\tmg\tNN\tI-NP\tO' +p265207 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p265208 +aS'q.\tq.\tNN\tI-NP\tO' +p265209 +aS'day\tday\tNN\tI-NP\tO' +p265210 +aS'.\t.\t.\tO\tO' +p265211 +asS'Patient was seen by CHF ( echo results are detailed above ) .' +p265212 +(lp265213 +S'Patient\tPatient\tNN\tB-NP\tO' +p265214 +aS'was\tbe\tVBD\tB-VP\tO' +p265215 +aS'seen\tsee\tVBN\tI-VP\tO' +p265216 +aS'by\tby\tIN\tB-PP\tO' +p265217 +aS'CHF\tCHF\tNN\tB-NP\tB-protein' +p265218 +aS'(\t(\t(\tO\tO' +p265219 +aS'echo\techo\tJJ\tB-NP\tO' +p265220 +aS'results\tresult\tNNS\tI-NP\tO' +p265221 +aS'are\tbe\tVBP\tB-VP\tO' +p265222 +aS'detailed\tdetail\tVBN\tI-VP\tO' +p265223 +aS'above\tabove\tIN\tB-PP\tO' +p265224 +aS')\t)\t)\tO\tO' +p265225 +aS'.\t.\t.\tO\tO' +p265226 +asS'She also received Cisplatin 35 per meter squared on 06/19 and Ifex and Mesna on 06/18 .' +p265227 +(lp265228 +S'She\tShe\tPRP\tB-NP\tO' +p265229 +aS'also\talso\tRB\tB-ADVP\tO' +p265230 +aS'received\treceive\tVBD\tB-VP\tO' +p265231 +aS'Cisplatin\tCisplatin\tNN\tB-NP\tO' +p265232 +aS'35\t35\tCD\tI-NP\tO' +p265233 +aS'per\tper\tIN\tB-PP\tO' +p265234 +aS'meter\tmeter\tNN\tB-NP\tO' +p265235 +aS'squared\tsquare\tVBD\tB-VP\tO' +p265236 +aS'on\ton\tIN\tB-PP\tO' +p265237 +aS'06/19\t06/19\tCD\tB-NP\tO' +p265238 +aS'and\tand\tCC\tO\tO' +p265239 +aS'Ifex\tIfex\tNNP\tB-NP\tO' +p265240 +aS'and\tand\tCC\tI-NP\tO' +p265241 +aS'Mesna\tMesna\tNNP\tI-NP\tO' +p265242 +aS'on\ton\tIN\tB-PP\tO' +p265243 +aS'06/18\t06/18\tCD\tB-NP\tO' +p265244 +aS'.\t.\t.\tO\tO' +p265245 +asS'white blood count 6.2 , hemoglobin 12.4 , hematocrit 36.1 , platelet count 265,000 .' +p265246 +(lp265247 +S'white\twhite\tJJ\tB-NP\tO' +p265248 +aS'blood\tblood\tNN\tI-NP\tO' +p265249 +aS'count\tcount\tNN\tI-NP\tO' +p265250 +aS'6.2\t6.2\tCD\tI-NP\tO' +p265251 +aS',\t,\t,\tO\tO' +p265252 +aS'hemoglobin\themoglobin\tNN\tB-NP\tB-protein' +p265253 +aS'12.4\t12.4\tCD\tI-NP\tI-protein' +p265254 +aS',\t,\t,\tO\tO' +p265255 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p265256 +aS'36.1\t36.1\tCD\tI-NP\tI-protein' +p265257 +aS',\t,\t,\tO\tO' +p265258 +aS'platelet\tplatelet\tNN\tB-NP\tB-protein' +p265259 +aS'count\tcount\tNN\tI-NP\tI-protein' +p265260 +aS'265,000\t265,000\tCD\tI-NP\tI-protein' +p265261 +aS'.\t.\t.\tO\tO' +p265262 +asS'- controlled on captopril + lopressor to 110-130s ; NTG paste causing 30 pt drop so d / c'd .' +p265263 +(lp265264 +S'-\t-\tHYPH\tB-NP\tO' +p265265 +aS'controlled\tcontrol\tVBN\tB-VP\tO' +p265266 +aS'on\ton\tIN\tB-PP\tO' +p265267 +aS'captopril\tcaptopril\tNN\tB-NP\tO' +p265268 +aS'+\t+\tSYM\tI-NP\tO' +p265269 +aS'lopressor\tlopressor\tNN\tI-NP\tO' +p265270 +aS'to\tto\tTO\tB-PP\tO' +p265271 +aS'110-130s\t110-130s\tCD\tB-NP\tO' +p265272 +aS';\t;\t:\tO\tO' +p265273 +aS'NTG\tNTG\tNN\tB-NP\tO' +p265274 +aS'paste\tpaste\tNN\tI-NP\tO' +p265275 +aS'causing\tcause\tVBG\tB-VP\tO' +p265276 +aS'30\t30\tCD\tB-NP\tO' +p265277 +aS'pt\tpt\tJJ\tI-NP\tO' +p265278 +aS'drop\tdrop\tNN\tI-NP\tO' +p265279 +aS'so\tso\tIN\tB-PP\tO' +p265280 +aS'd\td\tNN\tB-NP\tO' +p265281 +aS'/\t/\tSYM\tB-NP\tO' +p265282 +aS'c'd\tc'd\tNN\tI-NP\tO' +p265283 +aS'.\t.\t.\tO\tO' +p265284 +asS'2. Chronic pleural effusion .' +p265285 +(lp265286 +S'2.\t2.\tLS\tB-NP\tO' +p265287 +aS'Chronic\tChronic\tJJ\tI-NP\tO' +p265288 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p265289 +aS'effusion\teffusion\tNN\tI-NP\tO' +p265290 +aS'.\t.\t.\tO\tO' +p265291 +asS'ibuoprofen 800 every 6-8 hrs as needed skelaxin 800mg for muscle relaxation vicodin 1 tab po every 4-6 hrs for severe pain' +p265292 +(lp265293 +S'ibuoprofen\tibuoprofen\tIN\tB-PP\tO' +p265294 +aS'800\t800\tCD\tB-NP\tO' +p265295 +aS'every\tevery\tDT\tB-NP\tO' +p265296 +aS'6-8\t6-8\tCD\tI-NP\tO' +p265297 +aS'hrs\thr\tNNS\tI-NP\tO' +p265298 +aS'as\tas\tIN\tB-PP\tO' +p265299 +aS'needed\tneed\tVBN\tB-NP\tO' +p265300 +aS'skelaxin\tskelaxin\tNN\tI-NP\tO' +p265301 +aS'800mg\t800mg\tNN\tI-NP\tO' +p265302 +aS'for\tfor\tIN\tB-PP\tO' +p265303 +aS'muscle\tmuscle\tNN\tB-NP\tB-protein' +p265304 +aS'relaxation\trelaxation\tNN\tI-NP\tI-protein' +p265305 +aS'vicodin\tvicodin\tNN\tI-NP\tI-protein' +p265306 +aS'1\t1\tCD\tI-NP\tI-protein' +p265307 +aS'tab\ttab\tNN\tI-NP\tI-protein' +p265308 +aS'po\tpo\tNN\tI-NP\tI-protein' +p265309 +aS'every\tevery\tDT\tB-NP\tI-protein' +p265310 +aS'4-6\t4-6\tCD\tI-NP\tI-protein' +p265311 +aS'hrs\thr\tNNS\tI-NP\tI-protein' +p265312 +aS'for\tfor\tIN\tB-PP\tO' +p265313 +aS'severe\tsevere\tJJ\tB-NP\tO' +p265314 +aS'pain\tpain\tNN\tI-NP\tO' +p265315 +asS'Sodium 141 , potassium 5.0 , BUN 18 , creatinine 1.0 , PT 12.3 , PTT 24 , WBC 7.6 , hematocrit 41 , platelets 278,000 .' +p265316 +(lp265317 +S'Sodium\tSodium\tNN\tB-NP\tB-protein' +p265318 +aS'141\t141\tCD\tI-NP\tI-protein' +p265319 +aS',\t,\t,\tO\tO' +p265320 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p265321 +aS'5.0\t5.0\tCD\tI-NP\tO' +p265322 +aS',\t,\t,\tO\tO' +p265323 +aS'BUN\tBUN\tNN\tB-NP\tB-DNA' +p265324 +aS'18\t18\tCD\tI-NP\tI-DNA' +p265325 +aS',\t,\t,\tO\tO' +p265326 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p265327 +aS'1.0\t1.0\tCD\tI-NP\tO' +p265328 +aS',\t,\t,\tO\tO' +p265329 +aS'PT\tPT\tNN\tB-NP\tB-protein' +p265330 +aS'12.3\t12.3\tCD\tI-NP\tI-protein' +p265331 +aS',\t,\t,\tO\tO' +p265332 +aS'PTT\tPTT\tNN\tB-NP\tB-DNA' +p265333 +aS'24\t24\tCD\tI-NP\tI-DNA' +p265334 +aS',\t,\t,\tO\tO' +p265335 +aS'WBC\tWBC\tNNP\tB-NP\tB-cell_line' +p265336 +aS'7.6\t7.6\tCD\tI-NP\tI-cell_line' +p265337 +aS',\t,\t,\tO\tO' +p265338 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p265339 +aS'41\t41\tCD\tI-NP\tI-protein' +p265340 +aS',\t,\t,\tO\tO' +p265341 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p265342 +aS'278,000\t278,000\tCD\tB-NP\tO' +p265343 +aS'.\t.\t.\tO\tO' +p265344 +asS'Her oxygen sats did not improve .' +p265345 +(lp265346 +S'Her\tHer\tPRP$\tB-NP\tO' +p265347 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p265348 +aS'sats\tsat\tNNS\tI-NP\tO' +p265349 +aS'did\tdo\tVBD\tB-VP\tO' +p265350 +aS'not\tnot\tRB\tI-VP\tO' +p265351 +aS'improve\timprove\tVB\tI-VP\tO' +p265352 +aS'.\t.\t.\tO\tO' +p265353 +asS'No ethanol or tobacco use .' +p265354 +(lp265355 +S'No\tNo\tDT\tB-NP\tO' +p265356 +aS'ethanol\tethanol\tNN\tI-NP\tO' +p265357 +aS'or\tor\tCC\tI-NP\tO' +p265358 +aS'tobacco\ttobacco\tNN\tI-NP\tO' +p265359 +aS'use\tuse\tNN\tI-NP\tO' +p265360 +aS'.\t.\t.\tO\tO' +p265361 +asS'The patient did have a hypotensive episode and the systolic blood pressure was 80 , after the patient received his regular cardiac medications .' +p265362 +(lp265363 +S'The\tThe\tDT\tB-NP\tO' +p265364 +aS'patient\tpatient\tNN\tI-NP\tO' +p265365 +aS'did\tdo\tVBD\tB-VP\tO' +p265366 +aS'have\thave\tVB\tI-VP\tO' +p265367 +aS'a\ta\tDT\tB-NP\tO' +p265368 +aS'hypotensive\thypotensive\tJJ\tI-NP\tO' +p265369 +aS'episode\tepisode\tNN\tI-NP\tO' +p265370 +aS'and\tand\tCC\tO\tO' +p265371 +aS'the\tthe\tDT\tB-NP\tO' +p265372 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p265373 +aS'blood\tblood\tNN\tI-NP\tO' +p265374 +aS'pressure\tpressure\tNN\tI-NP\tO' +p265375 +aS'was\tbe\tVBD\tB-VP\tO' +p265376 +aS'80\t80\tCD\tB-NP\tO' +p265377 +aS',\t,\t,\tO\tO' +p265378 +aS'after\tafter\tIN\tB-PP\tO' +p265379 +aS'the\tthe\tDT\tB-NP\tO' +p265380 +aS'patient\tpatient\tNN\tI-NP\tO' +p265381 +aS'received\treceive\tVBD\tB-VP\tO' +p265382 +aS'his\this\tPRP$\tB-NP\tO' +p265383 +aS'regular\tregular\tJJ\tI-NP\tO' +p265384 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p265385 +aS'medications\tmedication\tNNS\tI-NP\tO' +p265386 +aS'.\t.\t.\tO\tO' +p265387 +asS"The patient 's postoperative course was unremarkable aside from the photophobia ." +p265388 +(lp265389 +S'The\tThe\tDT\tB-NP\tO' +p265390 +aS'patient\tpatient\tNN\tI-NP\tO' +p265391 +aS"'s\t's\tPOS\tB-NP\tO" +p265392 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p265393 +aS'course\tcourse\tNN\tI-NP\tO' +p265394 +aS'was\tbe\tVBD\tB-VP\tO' +p265395 +aS'unremarkable\tunremarkable\tJJ\tB-NP\tO' +p265396 +aS'aside\taside\tNN\tI-NP\tO' +p265397 +aS'from\tfrom\tIN\tB-PP\tO' +p265398 +aS'the\tthe\tDT\tB-NP\tO' +p265399 +aS'photophobia\tphotophobia\tNN\tI-NP\tO' +p265400 +aS'.\t.\t.\tO\tO' +p265401 +asS'Reflexes were brisk in the legs with 4-5 beats of clonus at the ankles bilaterally .' +p265402 +(lp265403 +S'Reflexes\tReflex\tNNS\tB-NP\tO' +p265404 +aS'were\tbe\tVBD\tB-VP\tO' +p265405 +aS'brisk\tbrisk\tJJ\tB-ADJP\tO' +p265406 +aS'in\tin\tIN\tB-PP\tO' +p265407 +aS'the\tthe\tDT\tB-NP\tO' +p265408 +aS'legs\tleg\tNNS\tI-NP\tO' +p265409 +aS'with\twith\tIN\tB-PP\tO' +p265410 +aS'4-5\t4-5\tCD\tB-NP\tO' +p265411 +aS'beats\tbeat\tNNS\tI-NP\tO' +p265412 +aS'of\tof\tIN\tB-PP\tO' +p265413 +aS'clonus\tclonus\tNN\tB-NP\tO' +p265414 +aS'at\tat\tIN\tB-PP\tO' +p265415 +aS'the\tthe\tDT\tB-NP\tO' +p265416 +aS'ankles\tankle\tNNS\tI-NP\tO' +p265417 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p265418 +aS'.\t.\t.\tO\tO' +p265419 +asS'An IVUS was done , and it was felt that it was more severe .' +p265420 +(lp265421 +S'An\tAn\tDT\tB-NP\tO' +p265422 +aS'IVUS\tIVUS\tNN\tI-NP\tO' +p265423 +aS'was\tbe\tVBD\tB-VP\tO' +p265424 +aS'done\tdo\tVBN\tI-VP\tO' +p265425 +aS',\t,\t,\tO\tO' +p265426 +aS'and\tand\tCC\tO\tO' +p265427 +aS'it\tit\tPRP\tB-NP\tO' +p265428 +aS'was\tbe\tVBD\tB-VP\tO' +p265429 +aS'felt\tfeel\tVBN\tI-VP\tO' +p265430 +aS'that\tthat\tIN\tB-SBAR\tO' +p265431 +aS'it\tit\tPRP\tB-NP\tO' +p265432 +aS'was\tbe\tVBD\tB-VP\tO' +p265433 +aS'more\tmore\tRBR\tB-ADJP\tO' +p265434 +aS'severe\tsevere\tJJ\tI-ADJP\tO' +p265435 +aS'.\t.\t.\tO\tO' +p265436 +asS'No apneic or brady episodes .' +p265437 +(lp265438 +S'No\tNo\tDT\tB-NP\tO' +p265439 +aS'apneic\tapneic\tJJ\tI-NP\tO' +p265440 +aS'or\tor\tCC\tI-NP\tO' +p265441 +aS'brady\tbrady\tJJ\tI-NP\tO' +p265442 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p265443 +aS'.\t.\t.\tO\tO' +p265444 +asS'Notable for multiple cavernous hemangiomas .' +p265445 +(lp265446 +S'Notable\tNotable\tJJ\tB-ADJP\tO' +p265447 +aS'for\tfor\tIN\tB-PP\tO' +p265448 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p265449 +aS'cavernous\tcavernous\tJJ\tI-NP\tO' +p265450 +aS'hemangiomas\themangioma\tNNS\tI-NP\tO' +p265451 +aS'.\t.\t.\tO\tO' +p265452 +asS'2 plus carotids .' +p265453 +(lp265454 +S'2\t2\tCD\tB-NP\tO' +p265455 +aS'plus\tplus\tCC\tI-NP\tO' +p265456 +aS'carotids\tcarotid\tNNS\tB-NP\tO' +p265457 +aS'.\t.\t.\tO\tO' +p265458 +asS'INDICATION : 18-year-old hit by car .' +p265459 +(lp265460 +S'INDICATION\tINDICATION\tNN\tB-NP\tO' +p265461 +aS':\t:\t:\tO\tO' +p265462 +aS'18-year-old\t18-year-old\tJJ\tB-NP\tO' +p265463 +aS'hit\thit\tNN\tI-NP\tO' +p265464 +aS'by\tby\tIN\tB-PP\tO' +p265465 +aS'car\tcar\tNN\tB-NP\tB-protein' +p265466 +aS'.\t.\t.\tO\tO' +p265467 +asS"The patient 's liver function tests all improved appropriately by the time of discharge ." +p265468 +(lp265469 +S'The\tThe\tDT\tB-NP\tO' +p265470 +aS'patient\tpatient\tNN\tI-NP\tO' +p265471 +aS"'s\t's\tPOS\tB-NP\tO" +p265472 +aS'liver\tliver\tNN\tI-NP\tO' +p265473 +aS'function\tfunction\tNN\tI-NP\tO' +p265474 +aS'tests\ttest\tVBZ\tB-VP\tO' +p265475 +aS'all\tall\tDT\tO\tO' +p265476 +aS'improved\timprove\tVBN\tB-VP\tO' +p265477 +aS'appropriately\tappropriately\tRB\tB-ADVP\tO' +p265478 +aS'by\tby\tIN\tB-PP\tO' +p265479 +aS'the\tthe\tDT\tB-NP\tO' +p265480 +aS'time\ttime\tNN\tI-NP\tO' +p265481 +aS'of\tof\tIN\tB-PP\tO' +p265482 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p265483 +aS'.\t.\t.\tO\tO' +p265484 +asS'HEENT examination was normocephalic and atraumatic .' +p265485 +(lp265486 +S'HEENT\tHEENT\tNN\tB-NP\tO' +p265487 +aS'examination\texamination\tNN\tI-NP\tO' +p265488 +aS'was\tbe\tVBD\tB-VP\tO' +p265489 +aS'normocephalic\tnormocephalic\tJJ\tB-ADJP\tO' +p265490 +aS'and\tand\tCC\tI-ADJP\tO' +p265491 +aS'atraumatic\tatraumatic\tJJ\tI-ADJP\tO' +p265492 +aS'.\t.\t.\tO\tO' +p265493 +asS'She had bilateral expiratory wheezes .' +p265494 +(lp265495 +S'She\tShe\tPRP\tB-NP\tO' +p265496 +aS'had\thave\tVBD\tB-VP\tO' +p265497 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p265498 +aS'expiratory\texpiratory\tJJ\tI-NP\tO' +p265499 +aS'wheezes\twheeze\tNNS\tI-NP\tO' +p265500 +aS'.\t.\t.\tO\tO' +p265501 +asS'revealed greater than 24,000 white blood cell count in the ascites which is consistent with SVT .' +p265502 +(lp265503 +S'revealed\treveal\tVBD\tB-VP\tO' +p265504 +aS'greater\tgreat\tJJR\tB-NP\tO' +p265505 +aS'than\tthan\tIN\tI-NP\tO' +p265506 +aS'24,000\t24,000\tCD\tI-NP\tO' +p265507 +aS'white\twhite\tJJ\tI-NP\tO' +p265508 +aS'blood\tblood\tNN\tI-NP\tO' +p265509 +aS'cell\tcell\tNN\tI-NP\tO' +p265510 +aS'count\tcount\tNN\tI-NP\tO' +p265511 +aS'in\tin\tIN\tB-PP\tO' +p265512 +aS'the\tthe\tDT\tB-NP\tO' +p265513 +aS'ascites\tascite\tNNS\tI-NP\tO' +p265514 +aS'which\twhich\tWDT\tB-NP\tO' +p265515 +aS'is\tbe\tVBZ\tB-VP\tO' +p265516 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p265517 +aS'with\twith\tIN\tB-PP\tO' +p265518 +aS'SVT\tSVT\tNN\tB-NP\tB-protein' +p265519 +aS'.\t.\t.\tO\tO' +p265520 +asS'12. Docusate Sodium 100 mg Capsule Sig : One ( 1 ) Capsule PO TID ( 3 times a day ) .' +p265521 +(lp265522 +S'12.\t12.\tLS\tB-NP\tO' +p265523 +aS'Docusate\tDocusate\tNNP\tI-NP\tO' +p265524 +aS'Sodium\tSodium\tNNP\tI-NP\tO' +p265525 +aS'100\t100\tCD\tI-NP\tO' +p265526 +aS'mg\tmg\tNN\tI-NP\tO' +p265527 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p265528 +aS'Sig\tSig\tNNP\tI-NP\tO' +p265529 +aS':\t:\t:\tO\tO' +p265530 +aS'One\tOne\tCD\tB-NP\tO' +p265531 +aS'(\t(\t(\tO\tO' +p265532 +aS'1\t1\tCD\tB-NP\tO' +p265533 +aS')\t)\t)\tO\tO' +p265534 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p265535 +aS'PO\tPO\tNNP\tI-NP\tO' +p265536 +aS'TID\tTID\tNNP\tI-NP\tO' +p265537 +aS'(\t(\t(\tO\tO' +p265538 +aS'3\t3\tCD\tB-NP\tO' +p265539 +aS'times\ttime\tNNS\tI-NP\tO' +p265540 +aS'a\ta\tDT\tB-NP\tO' +p265541 +aS'day\tday\tNN\tI-NP\tO' +p265542 +aS')\t)\t)\tO\tO' +p265543 +aS'.\t.\t.\tO\tO' +p265544 +asS'The operation was subsequently complicated by a postoperative bleeding .' +p265545 +(lp265546 +S'The\tThe\tDT\tB-NP\tO' +p265547 +aS'operation\toperation\tNN\tI-NP\tO' +p265548 +aS'was\tbe\tVBD\tB-VP\tO' +p265549 +aS'subsequently\tsubsequently\tRB\tI-VP\tO' +p265550 +aS'complicated\tcomplicate\tVBN\tI-VP\tO' +p265551 +aS'by\tby\tIN\tB-PP\tO' +p265552 +aS'a\ta\tDT\tB-NP\tO' +p265553 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p265554 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p265555 +aS'.\t.\t.\tO\tO' +p265556 +asS'30 yo F with metastatic squamous cell carcinoma of unknown primary who presented to OSH 04-25 with pseudomonal urosepsis , vaginal bleeding from tumor extension/anti-coagulation .' +p265557 +(lp265558 +S'30\t30\tCD\tB-NP\tO' +p265559 +aS'yo\tyo\tNN\tI-NP\tO' +p265560 +aS'F\tF\tNN\tI-NP\tO' +p265561 +aS'with\twith\tIN\tB-PP\tO' +p265562 +aS'metastatic\tmetastatic\tJJ\tB-NP\tO' +p265563 +aS'squamous\tsquamous\tJJ\tI-NP\tO' +p265564 +aS'cell\tcell\tNN\tI-NP\tO' +p265565 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p265566 +aS'of\tof\tIN\tB-PP\tO' +p265567 +aS'unknown\tunknown\tJJ\tB-NP\tO' +p265568 +aS'primary\tprimary\tNN\tI-NP\tO' +p265569 +aS'who\twho\tWP\tB-NP\tO' +p265570 +aS'presented\tpresent\tVBD\tB-VP\tO' +p265571 +aS'to\tto\tTO\tB-PP\tO' +p265572 +aS'OSH\tOSH\tNN\tB-NP\tO' +p265573 +aS'04-25\t04-25\tCD\tI-NP\tO' +p265574 +aS'with\twith\tIN\tB-PP\tO' +p265575 +aS'pseudomonal\tpseudomonal\tJJ\tB-NP\tO' +p265576 +aS'urosepsis\turosepsis\tNN\tI-NP\tO' +p265577 +aS',\t,\t,\tO\tO' +p265578 +aS'vaginal\tvaginal\tJJ\tB-NP\tO' +p265579 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p265580 +aS'from\tfrom\tIN\tB-PP\tO' +p265581 +aS'tumor\ttumor\tNN\tB-NP\tO' +p265582 +aS'extension/anti-coagulation\textension/anti-coagulation\tNN\tI-NP\tO' +p265583 +aS'.\t.\t.\tO\tO' +p265584 +asS'Abd : soft , +distension with tympany , no HSM , hyperactive BS' +p265585 +(lp265586 +S'Abd\tAbd\tNN\tB-NP\tO' +p265587 +aS':\t:\t:\tO\tO' +p265588 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p265589 +aS',\t,\t,\tO\tO' +p265590 +aS'+distension\t+distension\tNN\tB-NP\tO' +p265591 +aS'with\twith\tIN\tB-PP\tO' +p265592 +aS'tympany\ttympany\tNN\tB-NP\tO' +p265593 +aS',\t,\t,\tO\tO' +p265594 +aS'no\tno\tDT\tB-NP\tO' +p265595 +aS'HSM\tHSM\tNN\tI-NP\tB-protein' +p265596 +aS',\t,\t,\tO\tO' +p265597 +aS'hyperactive\thyperactive\tJJ\tB-NP\tO' +p265598 +aS'BS\tBS\tNNS\tI-NP\tO' +p265599 +asS'There were no ventricular premature contractions .' +p265600 +(lp265601 +S'There\tThere\tEX\tB-NP\tO' +p265602 +aS'were\tbe\tVBD\tB-VP\tO' +p265603 +aS'no\tno\tDT\tB-NP\tO' +p265604 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p265605 +aS'premature\tpremature\tJJ\tI-NP\tO' +p265606 +aS'contractions\tcontraction\tNNS\tI-NP\tO' +p265607 +aS'.\t.\t.\tO\tO' +p265608 +asS'Pregnancy was complicated by severe polyhydramnios with an AFI of 45 just prior to delivery .' +p265609 +(lp265610 +S'Pregnancy\tPregnancy\tNN\tB-NP\tO' +p265611 +aS'was\tbe\tVBD\tB-VP\tO' +p265612 +aS'complicated\tcomplicate\tVBN\tI-VP\tO' +p265613 +aS'by\tby\tIN\tB-PP\tO' +p265614 +aS'severe\tsevere\tJJ\tB-NP\tO' +p265615 +aS'polyhydramnios\tpolyhydramnio\tNNS\tI-NP\tO' +p265616 +aS'with\twith\tIN\tB-PP\tO' +p265617 +aS'an\tan\tDT\tB-NP\tO' +p265618 +aS'AFI\tAFI\tNN\tI-NP\tO' +p265619 +aS'of\tof\tIN\tB-PP\tO' +p265620 +aS'45\t45\tCD\tB-NP\tO' +p265621 +aS'just\tjust\tRB\tI-NP\tO' +p265622 +aS'prior\tprior\tJJ\tI-NP\tO' +p265623 +aS'to\tto\tTO\tB-PP\tO' +p265624 +aS'delivery\tdelivery\tNN\tB-NP\tO' +p265625 +aS'.\t.\t.\tO\tO' +p265626 +asS'surgical midline incision and previous surgery for history of gastric ulcer .' +p265627 +(lp265628 +S'surgical\tsurgical\tJJ\tB-NP\tO' +p265629 +aS'midline\tmidline\tNN\tI-NP\tO' +p265630 +aS'incision\tincision\tNN\tI-NP\tO' +p265631 +aS'and\tand\tCC\tO\tO' +p265632 +aS'previous\tprevious\tJJ\tB-NP\tO' +p265633 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p265634 +aS'for\tfor\tIN\tB-PP\tO' +p265635 +aS'history\thistory\tNN\tB-NP\tO' +p265636 +aS'of\tof\tIN\tB-PP\tO' +p265637 +aS'gastric\tgastric\tJJ\tB-NP\tO' +p265638 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p265639 +aS'.\t.\t.\tO\tO' +p265640 +asS'She denied any chest pain or pressure , and no shortness of breath during this event .' +p265641 +(lp265642 +S'She\tShe\tPRP\tB-NP\tO' +p265643 +aS'denied\tdeny\tVBD\tB-VP\tO' +p265644 +aS'any\tany\tDT\tB-NP\tO' +p265645 +aS'chest\tchest\tNN\tI-NP\tO' +p265646 +aS'pain\tpain\tNN\tI-NP\tO' +p265647 +aS'or\tor\tCC\tI-NP\tO' +p265648 +aS'pressure\tpressure\tNN\tI-NP\tO' +p265649 +aS',\t,\t,\tO\tO' +p265650 +aS'and\tand\tCC\tO\tO' +p265651 +aS'no\tno\tDT\tB-NP\tO' +p265652 +aS'shortness\tshortness\tNN\tI-NP\tO' +p265653 +aS'of\tof\tIN\tB-PP\tO' +p265654 +aS'breath\tbreath\tNN\tB-NP\tO' +p265655 +aS'during\tduring\tIN\tB-PP\tO' +p265656 +aS'this\tthis\tDT\tB-NP\tO' +p265657 +aS'event\tevent\tNN\tI-NP\tO' +p265658 +aS'.\t.\t.\tO\tO' +p265659 +asS'He currently drinks 10 beers every other day .' +p265660 +(lp265661 +S'He\tHe\tPRP\tB-NP\tO' +p265662 +aS'currently\tcurrently\tRB\tB-ADVP\tO' +p265663 +aS'drinks\tdrink\tVBZ\tB-VP\tO' +p265664 +aS'10\t10\tCD\tB-NP\tO' +p265665 +aS'beers\tbeer\tNNS\tI-NP\tO' +p265666 +aS'every\tevery\tDT\tB-NP\tO' +p265667 +aS'other\tother\tJJ\tI-NP\tO' +p265668 +aS'day\tday\tNN\tI-NP\tO' +p265669 +aS'.\t.\t.\tO\tO' +p265670 +asS'8. Apnea of prematurity .' +p265671 +(lp265672 +S'8.\t8.\tLS\tB-LST\tO' +p265673 +aS'Apnea\tApnea\tNNP\tB-NP\tO' +p265674 +aS'of\tof\tIN\tB-PP\tO' +p265675 +aS'prematurity\tprematurity\tNN\tB-NP\tO' +p265676 +aS'.\t.\t.\tO\tO' +p265677 +asS'The study was halted for shortness of breath and there was no chest pain .' +p265678 +(lp265679 +S'The\tThe\tDT\tB-NP\tO' +p265680 +aS'study\tstudy\tNN\tI-NP\tO' +p265681 +aS'was\tbe\tVBD\tB-VP\tO' +p265682 +aS'halted\thalt\tVBN\tI-VP\tO' +p265683 +aS'for\tfor\tIN\tB-PP\tO' +p265684 +aS'shortness\tshortness\tNN\tB-NP\tO' +p265685 +aS'of\tof\tIN\tB-PP\tO' +p265686 +aS'breath\tbreath\tNN\tB-NP\tO' +p265687 +aS'and\tand\tCC\tO\tO' +p265688 +aS'there\tthere\tEX\tB-NP\tO' +p265689 +aS'was\tbe\tVBD\tB-VP\tO' +p265690 +aS'no\tno\tDT\tB-NP\tO' +p265691 +aS'chest\tchest\tNN\tI-NP\tO' +p265692 +aS'pain\tpain\tNN\tI-NP\tO' +p265693 +aS'.\t.\t.\tO\tO' +p265694 +asS'Dictated By : John Z. Toledo , M.D.' +p265695 +(lp265696 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p265697 +aS'By\tBy\tIN\tB-PP\tO' +p265698 +aS':\t:\t:\tO\tO' +p265699 +aS'John\tJohn\tNNP\tB-NP\tO' +p265700 +aS'Z.\tZ.\tNNP\tI-NP\tO' +p265701 +aS'Toledo\tToledo\tNNP\tI-NP\tO' +p265702 +aS',\t,\t,\tO\tO' +p265703 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p265704 +asS'Chest x-ray showed degenerative joint disease , an ill defined left hemi-diaphragm without air space disease .' +p265705 +(lp265706 +S'Chest\tCh\tJJS\tB-NP\tO' +p265707 +aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' +p265708 +aS'showed\tshow\tVBD\tB-VP\tO' +p265709 +aS'degenerative\tdegenerative\tJJ\tB-NP\tO' +p265710 +aS'joint\tjoint\tJJ\tI-NP\tO' +p265711 +aS'disease\tdisease\tNN\tI-NP\tO' +p265712 +aS',\t,\t,\tO\tO' +p265713 +aS'an\tan\tDT\tB-NP\tO' +p265714 +aS'ill\till\tNN\tI-NP\tO' +p265715 +aS'defined\tdefine\tVBN\tB-VP\tO' +p265716 +aS'left\tleft\tJJ\tB-NP\tO' +p265717 +aS'hemi-diaphragm\themi-diaphragm\tNN\tI-NP\tO' +p265718 +aS'without\twithout\tIN\tB-PP\tO' +p265719 +aS'air\tair\tNN\tB-NP\tO' +p265720 +aS'space\tspace\tNN\tI-NP\tO' +p265721 +aS'disease\tdisease\tNN\tI-NP\tO' +p265722 +aS'.\t.\t.\tO\tO' +p265723 +asS'The patient is a 55-year-old gentleman with a history of CAD status post non ST elevation MI in 11/17 who presents with chest pain X 48 hours .' +p265724 +(lp265725 +S'The\tThe\tDT\tB-NP\tO' +p265726 +aS'patient\tpatient\tNN\tI-NP\tO' +p265727 +aS'is\tbe\tVBZ\tB-VP\tO' +p265728 +aS'a\ta\tDT\tB-NP\tO' +p265729 +aS'55-year-old\t55-year-old\tJJ\tI-NP\tO' +p265730 +aS'gentleman\tgentleman\tNN\tI-NP\tO' +p265731 +aS'with\twith\tIN\tB-PP\tO' +p265732 +aS'a\ta\tDT\tB-NP\tO' +p265733 +aS'history\thistory\tNN\tI-NP\tO' +p265734 +aS'of\tof\tIN\tB-PP\tO' +p265735 +aS'CAD\tCAD\tNN\tB-NP\tO' +p265736 +aS'status\tstatus\tNN\tI-NP\tO' +p265737 +aS'post\tpost\tIN\tB-PP\tO' +p265738 +aS'non\tnon\tJJ\tB-NP\tO' +p265739 +aS'ST\tST\tJJ\tI-NP\tO' +p265740 +aS'elevation\televation\tNN\tI-NP\tO' +p265741 +aS'MI\tMI\tNN\tI-NP\tO' +p265742 +aS'in\tin\tIN\tB-PP\tO' +p265743 +aS'11/17\t11/17\tCD\tB-NP\tO' +p265744 +aS'who\twho\tWP\tB-NP\tO' +p265745 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p265746 +aS'with\twith\tIN\tB-PP\tO' +p265747 +aS'chest\tchest\tNN\tB-NP\tO' +p265748 +aS'pain\tpain\tNN\tI-NP\tO' +p265749 +aS'X\tX\tSYM\tB-NP\tO' +p265750 +aS'48\t48\tCD\tB-NP\tO' +p265751 +aS'hours\thour\tNNS\tI-NP\tO' +p265752 +aS'.\t.\t.\tO\tO' +p265753 +asS'5. Aspirin 325 mg times 3 doses .' +p265754 +(lp265755 +S'5.\t5.\tLS\tB-NP\tO' +p265756 +aS'Aspirin\tAspirin\tNN\tI-NP\tO' +p265757 +aS'325\t325\tCD\tI-NP\tO' +p265758 +aS'mg\tmg\tNN\tI-NP\tO' +p265759 +aS'times\ttime\tNNS\tI-NP\tO' +p265760 +aS'3\t3\tCD\tB-NP\tO' +p265761 +aS'doses\tdose\tNNS\tI-NP\tO' +p265762 +aS'.\t.\t.\tO\tO' +p265763 +asS'3. Left ventriculography was not performed due to the presence of moderate renal insufficiency ( creatinine 1.6 ).' +p265764 +(lp265765 +S'3.\t3.\tLS\tB-NP\tO' +p265766 +aS'Left\tLeft\tNN\tI-NP\tO' +p265767 +aS'ventriculography\tventriculography\tNN\tI-NP\tO' +p265768 +aS'was\tbe\tVBD\tB-VP\tO' +p265769 +aS'not\tnot\tRB\tI-VP\tO' +p265770 +aS'performed\tperform\tVBN\tI-VP\tO' +p265771 +aS'due\tdue\tJJ\tB-ADJP\tO' +p265772 +aS'to\tto\tTO\tB-PP\tO' +p265773 +aS'the\tthe\tDT\tB-NP\tO' +p265774 +aS'presence\tpresence\tNN\tI-NP\tO' +p265775 +aS'of\tof\tIN\tB-PP\tO' +p265776 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p265777 +aS'renal\trenal\tJJ\tI-NP\tO' +p265778 +aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' +p265779 +aS'(\t(\t(\tO\tO' +p265780 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p265781 +aS'1.6\t1.6\tCD\tI-NP\tO' +p265782 +aS').\t).\t.\tO\tO' +p265783 +asS'Gait does not appear unsteady , uses crutches for support .' +p265784 +(lp265785 +S'Gait\tGait\tNNP\tB-NP\tO' +p265786 +aS'does\tdo\tVBZ\tB-VP\tO' +p265787 +aS'not\tnot\tRB\tI-VP\tO' +p265788 +aS'appear\tappear\tVB\tI-VP\tO' +p265789 +aS'unsteady\tunsteady\tJJ\tB-ADJP\tO' +p265790 +aS',\t,\t,\tO\tO' +p265791 +aS'uses\tuse\tVBZ\tB-VP\tO' +p265792 +aS'crutches\tcrutch\tNNS\tB-NP\tO' +p265793 +aS'for\tfor\tIN\tB-PP\tO' +p265794 +aS'support\tsupport\tNN\tB-NP\tO' +p265795 +aS'.\t.\t.\tO\tO' +p265796 +asS'There was mild posterior vasal thinning .' +p265797 +(lp265798 +S'There\tThere\tEX\tB-NP\tO' +p265799 +aS'was\tbe\tVBD\tB-VP\tO' +p265800 +aS'mild\tmild\tJJ\tB-NP\tO' +p265801 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p265802 +aS'vasal\tvasal\tJJ\tI-NP\tO' +p265803 +aS'thinning\tthinning\tNN\tI-NP\tO' +p265804 +aS'.\t.\t.\tO\tO' +p265805 +asS'The patient is to be transferred to the Cambridge Hospital Hospital Special Care Nursery .' +p265806 +(lp265807 +S'The\tThe\tDT\tB-NP\tO' +p265808 +aS'patient\tpatient\tNN\tI-NP\tO' +p265809 +aS'is\tbe\tVBZ\tB-VP\tO' +p265810 +aS'to\tto\tTO\tI-VP\tO' +p265811 +aS'be\tbe\tVB\tI-VP\tO' +p265812 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p265813 +aS'to\tto\tTO\tB-PP\tO' +p265814 +aS'the\tthe\tDT\tB-NP\tO' +p265815 +aS'Cambridge\tCambridge\tNNP\tI-NP\tO' +p265816 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p265817 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p265818 +aS'Special\tSpecial\tNNP\tI-NP\tO' +p265819 +aS'Care\tCare\tNNP\tI-NP\tO' +p265820 +aS'Nursery\tNursery\tNNP\tI-NP\tO' +p265821 +aS'.\t.\t.\tO\tO' +p265822 +asS'One month prior to this admission , the patient reports not feeling well with worsening gastric distress .' +p265823 +(lp265824 +S'One\tOne\tCD\tB-NP\tO' +p265825 +aS'month\tmonth\tNN\tI-NP\tO' +p265826 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p265827 +aS'to\tto\tTO\tB-PP\tO' +p265828 +aS'this\tthis\tDT\tB-NP\tO' +p265829 +aS'admission\tadmission\tNN\tI-NP\tO' +p265830 +aS',\t,\t,\tO\tO' +p265831 +aS'the\tthe\tDT\tB-NP\tO' +p265832 +aS'patient\tpatient\tNN\tI-NP\tO' +p265833 +aS'reports\treport\tVBZ\tB-VP\tO' +p265834 +aS'not\tnot\tRB\tI-VP\tO' +p265835 +aS'feeling\tfeel\tVBG\tI-VP\tO' +p265836 +aS'well\twell\tRB\tB-ADVP\tO' +p265837 +aS'with\twith\tIN\tB-PP\tO' +p265838 +aS'worsening\tworsen\tVBG\tB-VP\tO' +p265839 +aS'gastric\tgastric\tJJ\tB-NP\tO' +p265840 +aS'distress\tdistress\tNN\tI-NP\tO' +p265841 +aS'.\t.\t.\tO\tO' +p265842 +asS'1. Wegener 's granulomatosis .' +p265843 +(lp265844 +S'1.\t1.\tLS\tB-NP\tO' +p265845 +aS'Wegener\tWegener\tNN\tI-NP\tO' +p265846 +aS''s\t'\tNNS\tI-NP\tO' +p265847 +aS'granulomatosis\tgranulomatosis\tNN\tI-NP\tO' +p265848 +aS'.\t.\t.\tO\tO' +p265849 +asS'The patient was to follow up with his primary cardiologist , Dr. Thomas , within one week .' +p265850 +(lp265851 +S'The\tThe\tDT\tB-NP\tO' +p265852 +aS'patient\tpatient\tNN\tI-NP\tO' +p265853 +aS'was\tbe\tVBD\tB-VP\tO' +p265854 +aS'to\tto\tTO\tB-VP\tO' +p265855 +aS'follow\tfollow\tVB\tI-VP\tO' +p265856 +aS'up\tup\tRP\tB-PRT\tO' +p265857 +aS'with\twith\tIN\tB-PP\tO' +p265858 +aS'his\this\tPRP$\tB-NP\tO' +p265859 +aS'primary\tprimary\tJJ\tI-NP\tO' +p265860 +aS'cardiologist\tcardiologist\tNN\tI-NP\tO' +p265861 +aS',\t,\t,\tO\tO' +p265862 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p265863 +aS'Thomas\tThomas\tNNP\tI-NP\tO' +p265864 +aS',\t,\t,\tO\tO' +p265865 +aS'within\twithin\tIN\tB-PP\tO' +p265866 +aS'one\tone\tCD\tB-NP\tO' +p265867 +aS'week\tweek\tNN\tI-NP\tO' +p265868 +aS'.\t.\t.\tO\tO' +p265869 +asS'The patient is also complaining of several years urinary incontinence .' +p265870 +(lp265871 +S'The\tThe\tDT\tB-NP\tO' +p265872 +aS'patient\tpatient\tNN\tI-NP\tO' +p265873 +aS'is\tbe\tVBZ\tB-VP\tO' +p265874 +aS'also\talso\tRB\tI-VP\tO' +p265875 +aS'complaining\tcomplain\tVBG\tI-VP\tO' +p265876 +aS'of\tof\tIN\tB-PP\tO' +p265877 +aS'several\tseveral\tJJ\tB-NP\tO' +p265878 +aS'years\tyear\tNNS\tI-NP\tO' +p265879 +aS'urinary\turinary\tJJ\tI-NP\tO' +p265880 +aS'incontinence\tincontinence\tNN\tI-NP\tO' +p265881 +aS'.\t.\t.\tO\tO' +p265882 +asS'Dobutamine stress test , cardiac ultrasound , EGD , chest x-ray , PICC placement .' +p265883 +(lp265884 +S'Dobutamine\tDobutamine\tNN\tB-NP\tO' +p265885 +aS'stress\tstress\tNN\tI-NP\tO' +p265886 +aS'test\ttest\tNN\tI-NP\tO' +p265887 +aS',\t,\t,\tO\tO' +p265888 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p265889 +aS'ultrasound\tultrasound\tNN\tI-NP\tO' +p265890 +aS',\t,\t,\tO\tO' +p265891 +aS'EGD\tEGD\tNN\tB-NP\tB-protein' +p265892 +aS',\t,\t,\tO\tO' +p265893 +aS'chest\tchest\tNN\tB-NP\tO' +p265894 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p265895 +aS',\t,\t,\tO\tO' +p265896 +aS'PICC\tPICC\tNN\tB-NP\tO' +p265897 +aS'placement\tplacement\tNN\tI-NP\tO' +p265898 +aS'.\t.\t.\tO\tO' +p265899 +asS'On March 31 , 1994 , her pressor support requirement increased and she continued to have tachypneic episodes .' +p265900 +(lp265901 +S'On\tOn\tIN\tB-PP\tO' +p265902 +aS'March\tMarch\tNNP\tB-NP\tO' +p265903 +aS'31\t31\tCD\tI-NP\tO' +p265904 +aS',\t,\t,\tI-NP\tO' +p265905 +aS'1994\t1994\tCD\tI-NP\tO' +p265906 +aS',\t,\t,\tO\tO' +p265907 +aS'her\ther\tPRP$\tB-NP\tO' +p265908 +aS'pressor\tpressor\tNN\tI-NP\tO' +p265909 +aS'support\tsupport\tNN\tI-NP\tO' +p265910 +aS'requirement\trequirement\tNN\tI-NP\tO' +p265911 +aS'increased\tincrease\tVBD\tB-VP\tO' +p265912 +aS'and\tand\tCC\tO\tO' +p265913 +aS'she\tshe\tPRP\tB-NP\tO' +p265914 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p265915 +aS'to\tto\tTO\tI-VP\tO' +p265916 +aS'have\thave\tVB\tI-VP\tO' +p265917 +aS'tachypneic\ttachypneic\tJJ\tB-NP\tO' +p265918 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p265919 +aS'.\t.\t.\tO\tO' +p265920 +asS'Patient was gently hydrated and IV fluids started up on a p.o. diet regimen .' +p265921 +(lp265922 +S'Patient\tPatient\tNN\tB-NP\tO' +p265923 +aS'was\tbe\tVBD\tB-VP\tO' +p265924 +aS'gently\tgently\tRB\tI-VP\tO' +p265925 +aS'hydrated\thydrate\tVBN\tI-VP\tO' +p265926 +aS'and\tand\tCC\tO\tO' +p265927 +aS'IV\tIV\tCD\tB-NP\tO' +p265928 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p265929 +aS'started\tstart\tVBD\tB-VP\tO' +p265930 +aS'up\tup\tRP\tB-PRT\tO' +p265931 +aS'on\ton\tIN\tB-PP\tO' +p265932 +aS'a\ta\tDT\tB-NP\tO' +p265933 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p265934 +aS'diet\tdiet\tNN\tI-NP\tO' +p265935 +aS'regimen\tregimen\tNN\tI-NP\tO' +p265936 +aS'.\t.\t.\tO\tO' +p265937 +asS'She is to continue monitoring her blood sugar twice a day .' +p265938 +(lp265939 +S'She\tShe\tPRP\tB-NP\tO' +p265940 +aS'is\tbe\tVBZ\tB-VP\tO' +p265941 +aS'to\tto\tTO\tI-VP\tO' +p265942 +aS'continue\tcontinue\tVB\tI-VP\tO' +p265943 +aS'monitoring\tmonitor\tVBG\tI-VP\tO' +p265944 +aS'her\ther\tPRP$\tB-NP\tO' +p265945 +aS'blood\tblood\tNN\tI-NP\tO' +p265946 +aS'sugar\tsugar\tNN\tI-NP\tO' +p265947 +aS'twice\ttwice\tRB\tB-NP\tO' +p265948 +aS'a\ta\tDT\tI-NP\tO' +p265949 +aS'day\tday\tNN\tI-NP\tO' +p265950 +aS'.\t.\t.\tO\tO' +p265951 +asS'Mr. Kacholera Junk was a 34 year old gentleman with no significant past medical history except for a history of of intravenous drug abuse .' +p265952 +(lp265953 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p265954 +aS'Kacholera\tKacholera\tNNP\tI-NP\tO' +p265955 +aS'Junk\tJunk\tNNP\tI-NP\tO' +p265956 +aS'was\tbe\tVBD\tB-VP\tO' +p265957 +aS'a\ta\tDT\tB-NP\tO' +p265958 +aS'34\t34\tCD\tI-NP\tO' +p265959 +aS'year\tyear\tNN\tI-NP\tO' +p265960 +aS'old\told\tJJ\tI-NP\tO' +p265961 +aS'gentleman\tgentleman\tNN\tI-NP\tO' +p265962 +aS'with\twith\tIN\tB-PP\tO' +p265963 +aS'no\tno\tDT\tB-NP\tO' +p265964 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p265965 +aS'past\tpast\tJJ\tI-NP\tO' +p265966 +aS'medical\tmedical\tJJ\tI-NP\tO' +p265967 +aS'history\thistory\tNN\tI-NP\tO' +p265968 +aS'except\texcept\tIN\tB-PP\tO' +p265969 +aS'for\tfor\tIN\tB-PP\tO' +p265970 +aS'a\ta\tDT\tB-NP\tO' +p265971 +aS'history\thistory\tNN\tI-NP\tO' +p265972 +aS'of\tof\tIN\tB-PP\tO' +p265973 +aS'of\tof\tIN\tB-PP\tO' +p265974 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p265975 +aS'drug\tdrug\tNN\tI-NP\tO' +p265976 +aS'abuse\tabuse\tNN\tI-NP\tO' +p265977 +aS'.\t.\t.\tO\tO' +p265978 +asS'The patient was admitted with concern for hepatorenal syndrome .' +p265979 +(lp265980 +S'The\tThe\tDT\tB-NP\tO' +p265981 +aS'patient\tpatient\tNN\tI-NP\tO' +p265982 +aS'was\tbe\tVBD\tB-VP\tO' +p265983 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p265984 +aS'with\twith\tIN\tB-PP\tO' +p265985 +aS'concern\tconcern\tNN\tB-NP\tO' +p265986 +aS'for\tfor\tIN\tB-PP\tO' +p265987 +aS'hepatorenal\thepatorenal\tJJ\tB-NP\tO' +p265988 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p265989 +aS'.\t.\t.\tO\tO' +p265990 +asS'The patient will see Dr. State , as noted , in follow up .' +p265991 +(lp265992 +S'The\tThe\tDT\tB-NP\tO' +p265993 +aS'patient\tpatient\tNN\tI-NP\tO' +p265994 +aS'will\twill\tMD\tB-VP\tO' +p265995 +aS'see\tsee\tVB\tI-VP\tO' +p265996 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p265997 +aS'State\tState\tNNP\tI-NP\tO' +p265998 +aS',\t,\t,\tO\tO' +p265999 +aS'as\tas\tIN\tB-SBAR\tO' +p266000 +aS'noted\tnote\tVBN\tB-VP\tO' +p266001 +aS',\t,\t,\tO\tO' +p266002 +aS'in\tin\tIN\tB-PP\tO' +p266003 +aS'follow\tfollow\tVB\tB-VP\tO' +p266004 +aS'up\tup\tIN\tB-PRT\tO' +p266005 +aS'.\t.\t.\tO\tO' +p266006 +asS'2. Left lower quadrant thick-walled peripherally enhancing fluid collection , which appears to communicate with the sutured end of the proximal sigmoid colon via a small collection of extraluminal gas .' +p266007 +(lp266008 +S'2.\t2.\tLS\tB-LST\tO' +p266009 +aS'Left\tLeave\tVBD\tB-VP\tO' +p266010 +aS'lower\tlow\tJJR\tB-NP\tO' +p266011 +aS'quadrant\tquadrant\tJJ\tI-NP\tO' +p266012 +aS'thick-walled\tthick-walle\tVBN\tI-NP\tO' +p266013 +aS'peripherally\tperipherally\tRB\tI-NP\tO' +p266014 +aS'enhancing\tenhance\tVBG\tI-VP\tO' +p266015 +aS'fluid\tfluid\tNN\tB-NP\tO' +p266016 +aS'collection\tcollection\tNN\tI-NP\tO' +p266017 +aS',\t,\t,\tO\tO' +p266018 +aS'which\twhich\tWDT\tB-NP\tO' +p266019 +aS'appears\tappear\tVBZ\tB-VP\tO' +p266020 +aS'to\tto\tTO\tI-VP\tO' +p266021 +aS'communicate\tcommunicate\tVB\tI-VP\tO' +p266022 +aS'with\twith\tIN\tB-PP\tO' +p266023 +aS'the\tthe\tDT\tB-NP\tO' +p266024 +aS'sutured\tsutured\tJJ\tI-NP\tO' +p266025 +aS'end\tend\tNN\tI-NP\tO' +p266026 +aS'of\tof\tIN\tB-PP\tO' +p266027 +aS'the\tthe\tDT\tB-NP\tO' +p266028 +aS'proximal\tproximal\tJJ\tI-NP\tO' +p266029 +aS'sigmoid\tsigmoid\tJJ\tI-NP\tO' +p266030 +aS'colon\tcolon\tNN\tI-NP\tO' +p266031 +aS'via\tvia\tIN\tB-PP\tO' +p266032 +aS'a\ta\tDT\tB-NP\tO' +p266033 +aS'small\tsmall\tJJ\tI-NP\tO' +p266034 +aS'collection\tcollection\tNN\tI-NP\tO' +p266035 +aS'of\tof\tIN\tB-PP\tO' +p266036 +aS'extraluminal\textraluminal\tJJ\tB-NP\tO' +p266037 +aS'gas\tgas\tNN\tI-NP\tO' +p266038 +aS'.\t.\t.\tO\tO' +p266039 +asS'Supporting lines and tubes in unchanged position .' +p266040 +(lp266041 +S'Supporting\tSupport\tVBG\tB-VP\tO' +p266042 +aS'lines\tline\tNNS\tB-NP\tO' +p266043 +aS'and\tand\tCC\tI-NP\tO' +p266044 +aS'tubes\ttube\tNNS\tI-NP\tO' +p266045 +aS'in\tin\tIN\tB-PP\tO' +p266046 +aS'unchanged\tunchanged\tJJ\tB-NP\tO' +p266047 +aS'position\tposition\tNN\tI-NP\tO' +p266048 +aS'.\t.\t.\tO\tO' +p266049 +asS'The patient decided not to pursue further testing with a neck CT scan .' +p266050 +(lp266051 +S'The\tThe\tDT\tB-NP\tO' +p266052 +aS'patient\tpatient\tNN\tI-NP\tO' +p266053 +aS'decided\tdecide\tVBD\tB-VP\tO' +p266054 +aS'not\tnot\tRB\tO\tO' +p266055 +aS'to\tto\tTO\tB-VP\tO' +p266056 +aS'pursue\tpursue\tVB\tI-VP\tO' +p266057 +aS'further\tfurther\tJJ\tB-NP\tO' +p266058 +aS'testing\ttesting\tNN\tI-NP\tO' +p266059 +aS'with\twith\tIN\tB-PP\tO' +p266060 +aS'a\ta\tDT\tB-NP\tO' +p266061 +aS'neck\tneck\tNN\tI-NP\tO' +p266062 +aS'CT\tCT\tNN\tI-NP\tO' +p266063 +aS'scan\tscan\tNN\tI-NP\tO' +p266064 +aS'.\t.\t.\tO\tO' +p266065 +asS"The patient 's shortness of breath was also considered possibly related to a coronary event and she was admitted for rule out myocardial infarction ." +p266066 +(lp266067 +S'The\tThe\tDT\tB-NP\tO' +p266068 +aS'patient\tpatient\tNN\tI-NP\tO' +p266069 +aS"'s\t's\tPOS\tB-NP\tO" +p266070 +aS'shortness\tshortness\tNN\tI-NP\tO' +p266071 +aS'of\tof\tIN\tB-PP\tO' +p266072 +aS'breath\tbreath\tNN\tB-NP\tO' +p266073 +aS'was\tbe\tVBD\tB-VP\tO' +p266074 +aS'also\talso\tRB\tI-VP\tO' +p266075 +aS'considered\tconsider\tVBN\tI-VP\tO' +p266076 +aS'possibly\tpossibly\tRB\tB-ADJP\tO' +p266077 +aS'related\trelate\tVBN\tI-ADJP\tO' +p266078 +aS'to\tto\tTO\tB-PP\tO' +p266079 +aS'a\ta\tDT\tB-NP\tO' +p266080 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p266081 +aS'event\tevent\tNN\tI-NP\tO' +p266082 +aS'and\tand\tCC\tO\tO' +p266083 +aS'she\tshe\tPRP\tB-NP\tO' +p266084 +aS'was\tbe\tVBD\tB-VP\tO' +p266085 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p266086 +aS'for\tfor\tIN\tB-PP\tO' +p266087 +aS'rule\trule\tNN\tB-NP\tO' +p266088 +aS'out\tout\tIN\tB-PP\tO' +p266089 +aS'myocardial\tmyocardial\tJJ\tB-NP\tO' +p266090 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p266091 +aS'.\t.\t.\tO\tO' +p266092 +asS'EKG showed question of MAT vs. atrial fibrillation with a ventricular response of 118 , axis was 0 degrees .' +p266093 +(lp266094 +S'EKG\tEKG\tNN\tB-NP\tB-protein' +p266095 +aS'showed\tshow\tVBD\tB-VP\tO' +p266096 +aS'question\tquestion\tNN\tB-NP\tO' +p266097 +aS'of\tof\tIN\tB-PP\tO' +p266098 +aS'MAT\tMAT\tNN\tB-NP\tB-protein' +p266099 +aS'vs.\tvs.\tCC\tO\tO' +p266100 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p266101 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p266102 +aS'with\twith\tIN\tB-PP\tO' +p266103 +aS'a\ta\tDT\tB-NP\tO' +p266104 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p266105 +aS'response\tresponse\tNN\tI-NP\tO' +p266106 +aS'of\tof\tIN\tB-PP\tO' +p266107 +aS'118\t118\tCD\tB-NP\tO' +p266108 +aS',\t,\t,\tO\tO' +p266109 +aS'axis\taxis\tNN\tB-NP\tO' +p266110 +aS'was\tbe\tVBD\tB-VP\tO' +p266111 +aS'0\t0\tCD\tB-NP\tO' +p266112 +aS'degrees\tdegree\tNNS\tI-NP\tO' +p266113 +aS'.\t.\t.\tO\tO' +p266114 +asS'Feet no edema .' +p266115 +(lp266116 +S'Feet\tFeet\tVB\tB-VP\tO' +p266117 +aS'no\tno\tDT\tB-NP\tO' +p266118 +aS'edema\tedema\tNN\tI-NP\tO' +p266119 +aS'.\t.\t.\tO\tO' +p266120 +asS'14. Lasix 40 mg Tablet Sig : One ( 1 ) Tablet PO once a day : 40 mg daily x 1 week then 40 mg every other day as prior to surgery .' +p266121 +(lp266122 +S'14.\t14.\tCD\tB-NP\tO' +p266123 +aS'Lasix\tLasix\tNNP\tI-NP\tO' +p266124 +aS'40\t40\tCD\tI-NP\tO' +p266125 +aS'mg\tmg\tNN\tI-NP\tO' +p266126 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p266127 +aS'Sig\tSig\tNNP\tI-NP\tO' +p266128 +aS':\t:\t:\tO\tO' +p266129 +aS'One\tOne\tCD\tB-NP\tO' +p266130 +aS'(\t(\t(\tO\tO' +p266131 +aS'1\t1\tCD\tB-NP\tO' +p266132 +aS')\t)\t)\tO\tO' +p266133 +aS'Tablet\tTablet\tNN\tB-NP\tB-protein' +p266134 +aS'PO\tPO\tNN\tI-NP\tI-protein' +p266135 +aS'once\tonce\tRB\tO\tO' +p266136 +aS'a\ta\tDT\tB-NP\tO' +p266137 +aS'day\tday\tNN\tI-NP\tO' +p266138 +aS':\t:\t:\tO\tO' +p266139 +aS'40\t40\tCD\tB-NP\tO' +p266140 +aS'mg\tmg\tNN\tI-NP\tO' +p266141 +aS'daily\tdaily\tJJ\tI-NP\tO' +p266142 +aS'x\tx\tSYM\tB-NP\tO' +p266143 +aS'1\t1\tCD\tI-NP\tO' +p266144 +aS'week\tweek\tNN\tI-NP\tO' +p266145 +aS'then\tthen\tRB\tO\tO' +p266146 +aS'40\t40\tCD\tB-NP\tO' +p266147 +aS'mg\tmg\tNN\tI-NP\tO' +p266148 +aS'every\tevery\tDT\tB-NP\tO' +p266149 +aS'other\tother\tJJ\tI-NP\tO' +p266150 +aS'day\tday\tNN\tI-NP\tO' +p266151 +aS'as\tas\tIN\tB-PP\tO' +p266152 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p266153 +aS'to\tto\tTO\tB-PP\tO' +p266154 +aS'surgery\tsurgery\tNN\tB-NP\tO' +p266155 +aS'.\t.\t.\tO\tO' +p266156 +asS'She has no known drug allergies .' +p266157 +(lp266158 +S'She\tShe\tPRP\tB-NP\tO' +p266159 +aS'has\thave\tVBZ\tB-VP\tO' +p266160 +aS'no\tno\tDT\tB-NP\tO' +p266161 +aS'known\tknow\tVBN\tI-NP\tO' +p266162 +aS'drug\tdrug\tNN\tI-NP\tO' +p266163 +aS'allergies\tallergy\tNNS\tI-NP\tO' +p266164 +aS'.\t.\t.\tO\tO' +p266165 +asS'She again tolerated the procedure well and did well postoperatively .' +p266166 +(lp266167 +S'She\tShe\tPRP\tB-NP\tO' +p266168 +aS'again\tagain\tRB\tB-ADVP\tO' +p266169 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p266170 +aS'the\tthe\tDT\tB-NP\tO' +p266171 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p266172 +aS'well\twell\tRB\tB-ADVP\tO' +p266173 +aS'and\tand\tCC\tO\tO' +p266174 +aS'did\tdo\tVBD\tB-VP\tO' +p266175 +aS'well\twell\tRB\tB-ADVP\tO' +p266176 +aS'postoperatively\tpostoperatively\tRB\tI-ADVP\tO' +p266177 +aS'.\t.\t.\tO\tO' +p266178 +asS'5. Amiodarone 200 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' +p266179 +(lp266180 +S'5.\t5.\tLS\tB-NP\tO' +p266181 +aS'Amiodarone\tAmiodarone\tNN\tI-NP\tO' +p266182 +aS'200\t200\tCD\tI-NP\tO' +p266183 +aS'mg\tmg\tNN\tI-NP\tO' +p266184 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p266185 +aS'Sig\tSig\tNNP\tI-NP\tO' +p266186 +aS':\t:\t:\tO\tO' +p266187 +aS'One\tOne\tCD\tB-NP\tO' +p266188 +aS'(\t(\t(\tO\tO' +p266189 +aS'1\t1\tCD\tB-NP\tO' +p266190 +aS')\t)\t)\tO\tO' +p266191 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p266192 +aS'PO\tPO\tNN\tI-NP\tO' +p266193 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p266194 +aS'(\t(\t(\tO\tO' +p266195 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p266196 +aS')\t)\t)\tO\tO' +p266197 +aS'.\t.\t.\tO\tO' +p266198 +asS'We decided to discontinue telemetry and held all hypertension medications including Lisinopril , Mavik , hydrochlorothiazide .' +p266199 +(lp266200 +S'We\tWe\tPRP\tB-NP\tO' +p266201 +aS'decided\tdecide\tVBD\tB-VP\tO' +p266202 +aS'to\tto\tTO\tI-VP\tO' +p266203 +aS'discontinue\tdiscontinue\tVB\tI-VP\tO' +p266204 +aS'telemetry\ttelemetry\tNN\tB-NP\tO' +p266205 +aS'and\tand\tCC\tO\tO' +p266206 +aS'held\thold\tVBD\tB-VP\tO' +p266207 +aS'all\tall\tDT\tB-NP\tO' +p266208 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p266209 +aS'medications\tmedication\tNNS\tI-NP\tO' +p266210 +aS'including\tinclude\tVBG\tB-PP\tO' +p266211 +aS'Lisinopril\tLisinopril\tNNP\tB-NP\tO' +p266212 +aS',\t,\t,\tI-NP\tO' +p266213 +aS'Mavik\tMavik\tNNP\tI-NP\tO' +p266214 +aS',\t,\t,\tI-NP\tO' +p266215 +aS'hydrochlorothiazide\thydrochlorothiazide\tNN\tI-NP\tO' +p266216 +aS'.\t.\t.\tO\tO' +p266217 +asS'Pulse was 60 to 70 .' +p266218 +(lp266219 +S'Pulse\tPulse\tNN\tB-NP\tO' +p266220 +aS'was\tbe\tVBD\tB-VP\tO' +p266221 +aS'60\t60\tCD\tB-NP\tO' +p266222 +aS'to\tto\tTO\tB-PP\tO' +p266223 +aS'70\t70\tCD\tB-NP\tO' +p266224 +aS'.\t.\t.\tO\tO' +p266225 +asS'Electrocardiogram showed atrial fibrillation , moderate ventricular response , incomplete right bundle branch block , right axis deviation , right ventricular hypertrophy and possible apical infarction .' +p266226 +(lp266227 +S'Electrocardiogram\tElectrocardiogram\tNN\tB-NP\tO' +p266228 +aS'showed\tshow\tVBD\tB-VP\tO' +p266229 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p266230 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p266231 +aS',\t,\t,\tO\tO' +p266232 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p266233 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p266234 +aS'response\tresponse\tNN\tI-NP\tO' +p266235 +aS',\t,\t,\tO\tO' +p266236 +aS'incomplete\tincomplete\tJJ\tB-NP\tO' +p266237 +aS'right\tright\tJJ\tI-NP\tO' +p266238 +aS'bundle\tbundle\tNN\tI-NP\tO' +p266239 +aS'branch\tbranch\tNN\tI-NP\tO' +p266240 +aS'block\tblock\tNN\tI-NP\tO' +p266241 +aS',\t,\t,\tO\tO' +p266242 +aS'right\tright\tJJ\tB-NP\tO' +p266243 +aS'axis\taxis\tNN\tI-NP\tO' +p266244 +aS'deviation\tdeviation\tNN\tI-NP\tO' +p266245 +aS',\t,\t,\tO\tO' +p266246 +aS'right\tright\tJJ\tB-NP\tO' +p266247 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p266248 +aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' +p266249 +aS'and\tand\tCC\tO\tO' +p266250 +aS'possible\tpossible\tJJ\tB-NP\tO' +p266251 +aS'apical\tapical\tJJ\tI-NP\tO' +p266252 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p266253 +aS'.\t.\t.\tO\tO' +p266254 +asS'1. Heparin ( Porcine ) 5,000 unit / mL Solution Sig : One ( 1 ) mL Injection TID ( 3 times a day ).' +p266255 +(lp266256 +S'1.\t1.\tLS\tB-LST\tO' +p266257 +aS'Heparin\tHeparin\tNN\tB-NP\tB-protein' +p266258 +aS'(\t(\t(\tO\tI-protein' +p266259 +aS'Porcine\tPorcine\tNN\tB-NP\tI-protein' +p266260 +aS')\t)\t)\tO\tI-protein' +p266261 +aS'5,000\t5,000\tCD\tB-NP\tI-protein' +p266262 +aS'unit\tunit\tNN\tI-NP\tI-protein' +p266263 +aS'/\t/\tSYM\tB-NP\tO' +p266264 +aS'mL\tmL\tNN\tI-NP\tO' +p266265 +aS'Solution\tSolution\tNNP\tI-NP\tO' +p266266 +aS'Sig\tSig\tNNP\tI-NP\tO' +p266267 +aS':\t:\t:\tO\tO' +p266268 +aS'One\tOne\tCD\tB-NP\tO' +p266269 +aS'(\t(\t(\tO\tO' +p266270 +aS'1\t1\tCD\tB-NP\tO' +p266271 +aS')\t)\t)\tO\tO' +p266272 +aS'mL\tmL\tNN\tB-NP\tO' +p266273 +aS'Injection\tInjection\tNN\tI-NP\tO' +p266274 +aS'TID\tTID\tNN\tI-NP\tO' +p266275 +aS'(\t(\t(\tO\tO' +p266276 +aS'3\t3\tCD\tB-NP\tO' +p266277 +aS'times\ttime\tNNS\tI-NP\tO' +p266278 +aS'a\ta\tDT\tB-NP\tO' +p266279 +aS'day\tday\tNN\tI-NP\tO' +p266280 +aS').\t).\t.\tO\tO' +p266281 +asS'It is hoped that when he is transferred to a rehab facility that he will continue with physical therapy to regain his strength and regain independence in activities of daily living .' +p266282 +(lp266283 +S'It\tIt\tPRP\tB-NP\tO' +p266284 +aS'is\tbe\tVBZ\tB-VP\tO' +p266285 +aS'hoped\thop\tVBN\tI-VP\tO' +p266286 +aS'that\tthat\tIN\tB-SBAR\tO' +p266287 +aS'when\twhen\tWRB\tB-ADVP\tO' +p266288 +aS'he\the\tPRP\tB-NP\tO' +p266289 +aS'is\tbe\tVBZ\tB-VP\tO' +p266290 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p266291 +aS'to\tto\tTO\tB-PP\tO' +p266292 +aS'a\ta\tDT\tB-NP\tO' +p266293 +aS'rehab\trehab\tNN\tI-NP\tO' +p266294 +aS'facility\tfacility\tNN\tI-NP\tO' +p266295 +aS'that\tthat\tIN\tB-SBAR\tO' +p266296 +aS'he\the\tPRP\tB-NP\tO' +p266297 +aS'will\twill\tMD\tB-VP\tO' +p266298 +aS'continue\tcontinue\tVB\tI-VP\tO' +p266299 +aS'with\twith\tIN\tB-PP\tO' +p266300 +aS'physical\tphysical\tJJ\tB-NP\tO' +p266301 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p266302 +aS'to\tto\tTO\tB-VP\tO' +p266303 +aS'regain\tregain\tVB\tI-VP\tO' +p266304 +aS'his\this\tPRP$\tB-NP\tO' +p266305 +aS'strength\tstrength\tNN\tI-NP\tO' +p266306 +aS'and\tand\tCC\tI-NP\tO' +p266307 +aS'regain\tregain\tNN\tI-NP\tO' +p266308 +aS'independence\tindependence\tNN\tI-NP\tO' +p266309 +aS'in\tin\tIN\tB-PP\tO' +p266310 +aS'activities\tactivity\tNNS\tB-NP\tO' +p266311 +aS'of\tof\tIN\tB-PP\tO' +p266312 +aS'daily\tdaily\tJJ\tB-NP\tO' +p266313 +aS'living\tliving\tNN\tI-NP\tO' +p266314 +aS'.\t.\t.\tO\tO' +p266315 +asS'The patient is a 58 year old female with a history of Parkinson 's disease for more than twenty years who presented to the Gemenadentoolpai Medical Center with a revolving anterolateral wall myocardial infarction on 08-01-93 .' +p266316 +(lp266317 +S'The\tThe\tDT\tB-NP\tO' +p266318 +aS'patient\tpatient\tNN\tI-NP\tO' +p266319 +aS'is\tbe\tVBZ\tB-VP\tO' +p266320 +aS'a\ta\tDT\tB-NP\tO' +p266321 +aS'58\t58\tCD\tI-NP\tO' +p266322 +aS'year\tyear\tNN\tI-NP\tO' +p266323 +aS'old\told\tJJ\tI-NP\tO' +p266324 +aS'female\tfemale\tNN\tI-NP\tO' +p266325 +aS'with\twith\tIN\tB-PP\tO' +p266326 +aS'a\ta\tDT\tB-NP\tO' +p266327 +aS'history\thistory\tNN\tI-NP\tO' +p266328 +aS'of\tof\tIN\tB-PP\tO' +p266329 +aS'Parkinson\tParkinson\tNNP\tB-NP\tO' +p266330 +aS''s\t's\tCC\tO\tO' +p266331 +aS'disease\tdisease\tNN\tB-NP\tO' +p266332 +aS'for\tfor\tIN\tB-PP\tO' +p266333 +aS'more\tmore\tJJR\tB-NP\tO' +p266334 +aS'than\tthan\tIN\tI-NP\tO' +p266335 +aS'twenty\ttwenty\tCD\tI-NP\tO' +p266336 +aS'years\tyear\tNNS\tI-NP\tO' +p266337 +aS'who\twho\tWP\tB-NP\tO' +p266338 +aS'presented\tpresent\tVBD\tB-VP\tO' +p266339 +aS'to\tto\tTO\tB-PP\tO' +p266340 +aS'the\tthe\tDT\tB-NP\tO' +p266341 +aS'Gemenadentoolpai\tGemenadentoolpai\tNNP\tI-NP\tO' +p266342 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p266343 +aS'Center\tCenter\tNNP\tI-NP\tO' +p266344 +aS'with\twith\tIN\tB-PP\tO' +p266345 +aS'a\ta\tDT\tB-NP\tO' +p266346 +aS'revolving\trevolve\tVBG\tI-NP\tO' +p266347 +aS'anterolateral\tanterolateral\tJJ\tI-NP\tO' +p266348 +aS'wall\twall\tNN\tI-NP\tO' +p266349 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p266350 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p266351 +aS'on\ton\tIN\tB-PP\tO' +p266352 +aS'08-01-93\t08-01-93\tCD\tB-NP\tO' +p266353 +aS'.\t.\t.\tO\tO' +p266354 +asS'The infant delivered with moderate tone and respiratory effort responding well to stimulation and brief blow by O2 .' +p266355 +(lp266356 +S'The\tThe\tDT\tB-NP\tO' +p266357 +aS'infant\tinfant\tNN\tI-NP\tO' +p266358 +aS'delivered\tdeliver\tVBN\tB-VP\tO' +p266359 +aS'with\twith\tIN\tB-PP\tO' +p266360 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p266361 +aS'tone\ttone\tNN\tI-NP\tO' +p266362 +aS'and\tand\tCC\tI-NP\tO' +p266363 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p266364 +aS'effort\teffort\tNN\tI-NP\tO' +p266365 +aS'responding\trespond\tVBG\tB-VP\tO' +p266366 +aS'well\twell\tRB\tB-ADVP\tO' +p266367 +aS'to\tto\tTO\tB-PP\tO' +p266368 +aS'stimulation\tstimulation\tNN\tB-NP\tO' +p266369 +aS'and\tand\tCC\tO\tO' +p266370 +aS'brief\tbrief\tJJ\tB-NP\tO' +p266371 +aS'blow\tblow\tNN\tI-NP\tO' +p266372 +aS'by\tby\tIN\tB-PP\tO' +p266373 +aS'O2\tO2\tNN\tB-NP\tB-protein' +p266374 +aS'.\t.\t.\tO\tO' +p266375 +asS'From admission , vital signs 98.3 , blood pressure 128/74 , 68 to 112 is her heart rate , respiratory rate 24 , 100 percent on room air .' +p266376 +(lp266377 +S'From\tFrom\tIN\tB-PP\tO' +p266378 +aS'admission\tadmission\tNN\tB-NP\tO' +p266379 +aS',\t,\t,\tO\tO' +p266380 +aS'vital\tvital\tJJ\tB-NP\tO' +p266381 +aS'signs\tsign\tNNS\tI-NP\tO' +p266382 +aS'98.3\t98.3\tNN\tI-NP\tB-protein' +p266383 +aS',\t,\t,\tO\tO' +p266384 +aS'blood\tblood\tNN\tB-NP\tO' +p266385 +aS'pressure\tpressure\tNN\tI-NP\tO' +p266386 +aS'128/74\t128/74\tCD\tI-NP\tO' +p266387 +aS',\t,\t,\tI-NP\tO' +p266388 +aS'68\t68\tCD\tI-NP\tO' +p266389 +aS'to\tto\tTO\tB-PP\tO' +p266390 +aS'112\t112\tCD\tB-NP\tO' +p266391 +aS'is\tbe\tVBZ\tB-VP\tO' +p266392 +aS'her\ther\tPRP$\tB-NP\tO' +p266393 +aS'heart\theart\tNN\tI-NP\tO' +p266394 +aS'rate\trate\tNN\tI-NP\tO' +p266395 +aS',\t,\t,\tO\tO' +p266396 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p266397 +aS'rate\trate\tNN\tI-NP\tO' +p266398 +aS'24\t24\tCD\tI-NP\tO' +p266399 +aS',\t,\t,\tO\tO' +p266400 +aS'100\t100\tCD\tB-NP\tO' +p266401 +aS'percent\tpercent\tNN\tI-NP\tO' +p266402 +aS'on\ton\tIN\tB-PP\tO' +p266403 +aS'room\troom\tNN\tB-NP\tO' +p266404 +aS'air\tair\tNN\tI-NP\tO' +p266405 +aS'.\t.\t.\tO\tO' +p266406 +asS'Colace 100 mg. p.o. t.i.d. Senokot 1 p.o. q. h.s. Nystatin powder to affected area t.i.d. Lopressor 25 mg. p.o. b.i.d. Atrovent 0.8/2.5 c.c. normal saline nebulizers q. 8 h. Albuterol 2.5/5 c.c. normal saline nebulizers q. 4 h. with q. 2 h. p.r.n. Percocet 1-2 p.o. q. 4 h. p.r.n. pain .' +p266407 +(lp266408 +S'Colace\tColace\tNNP\tB-NP\tO' +p266409 +aS'100\t100\tCD\tI-NP\tO' +p266410 +aS'mg.\tmg.\tNN\tI-NP\tO' +p266411 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p266412 +aS't.i.d.\tt.i.d.\tFW\tI-NP\tO' +p266413 +aS'Senokot\tSenokot\tNNP\tI-NP\tO' +p266414 +aS'1\t1\tCD\tI-NP\tO' +p266415 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p266416 +aS'q.\tq.\tNN\tI-NP\tO' +p266417 +aS'h.s.\th.s.\tNN\tI-NP\tO' +p266418 +aS'Nystatin\tNystatin\tNN\tI-NP\tO' +p266419 +aS'powder\tpowder\tNN\tI-NP\tO' +p266420 +aS'to\tto\tTO\tB-PP\tO' +p266421 +aS'affected\taffect\tVBN\tB-NP\tO' +p266422 +aS'area\tarea\tNN\tI-NP\tO' +p266423 +aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' +p266424 +aS'Lopressor\tLopressor\tNN\tI-NP\tO' +p266425 +aS'25\t25\tCD\tI-NP\tO' +p266426 +aS'mg.\tmg.\tNN\tI-NP\tO' +p266427 +aS'p.o.\tp.o.\tFW\tB-ADVP\tO' +p266428 +aS'b.i.d.\tb.i.d.\tFW\tI-ADVP\tO' +p266429 +aS'Atrovent\tAtrovent\tNNP\tB-NP\tO' +p266430 +aS'0.8/2.5\t0.8/2.5\tCD\tI-NP\tO' +p266431 +aS'c.c.\tc.c.\tNN\tI-NP\tO' +p266432 +aS'normal\tnormal\tJJ\tI-NP\tO' +p266433 +aS'saline\tsaline\tNN\tI-NP\tO' +p266434 +aS'nebulizers\tnebulizer\tNNS\tI-NP\tO' +p266435 +aS'q.\tq.\tVBP\tB-VP\tO' +p266436 +aS'8\t8\tCD\tB-NP\tO' +p266437 +aS'h.\th.\tNN\tI-NP\tO' +p266438 +aS'Albuterol\tAlbuterol\tNNP\tB-NP\tO' +p266439 +aS'2.5/5\t2.5/5\tCD\tI-NP\tO' +p266440 +aS'c.c.\tc.c.\tNN\tI-NP\tO' +p266441 +aS'normal\tnormal\tJJ\tI-NP\tO' +p266442 +aS'saline\tsaline\tNN\tI-NP\tO' +p266443 +aS'nebulizers\tnebulizer\tNNS\tI-NP\tO' +p266444 +aS'q.\tq.\tNN\tI-NP\tO' +p266445 +aS'4\t4\tCD\tI-NP\tO' +p266446 +aS'h.\th.\tNN\tI-NP\tO' +p266447 +aS'with\twith\tIN\tB-PP\tO' +p266448 +aS'q.\tq.\tNN\tB-NP\tB-protein' +p266449 +aS'2\t2\tCD\tI-NP\tI-protein' +p266450 +aS'h.\th.\tNN\tI-NP\tI-protein' +p266451 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tI-protein' +p266452 +aS'Percocet\tPercocet\tNNP\tB-NP\tI-protein' +p266453 +aS'1-2\t1-2\tCD\tI-NP\tI-protein' +p266454 +aS'p.o.\tp.o.\tNN\tI-NP\tI-protein' +p266455 +aS'q.\tq.\tNN\tI-NP\tI-protein' +p266456 +aS'4\t4\tCD\tI-NP\tI-protein' +p266457 +aS'h.\th.\tNN\tI-NP\tI-protein' +p266458 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tI-protein' +p266459 +aS'pain\tpain\tNN\tI-NP\tI-protein' +p266460 +aS'.\t.\t.\tO\tO' +p266461 +asS"The infant 's first name is Ralph and after discharge the infant 's last name will be Neoma ." +p266462 +(lp266463 +S'The\tThe\tDT\tB-NP\tO' +p266464 +aS'infant\tinfant\tNN\tI-NP\tO' +p266465 +aS"'s\t's\tPOS\tB-NP\tO" +p266466 +aS'first\tfirst\tJJ\tI-NP\tO' +p266467 +aS'name\tname\tNN\tI-NP\tO' +p266468 +aS'is\tbe\tVBZ\tB-VP\tO' +p266469 +aS'Ralph\tRalph\tNNP\tB-NP\tO' +p266470 +aS'and\tand\tCC\tB-PP\tO' +p266471 +aS'after\tafter\tIN\tB-PP\tO' +p266472 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p266473 +aS'the\tthe\tDT\tB-NP\tO' +p266474 +aS'infant\tinfant\tNN\tI-NP\tO' +p266475 +aS"'s\t's\tPOS\tB-NP\tO" +p266476 +aS'last\tlast\tJJ\tI-NP\tO' +p266477 +aS'name\tname\tNN\tI-NP\tO' +p266478 +aS'will\twill\tMD\tB-VP\tO' +p266479 +aS'be\tbe\tVB\tI-VP\tO' +p266480 +aS'Neoma\tNeoma\tNN\tB-NP\tO' +p266481 +aS'.\t.\t.\tO\tO' +p266482 +asS'Epidural site is without erythema , drainage or tenderness .' +p266483 +(lp266484 +S'Epidural\tEpidural\tJJ\tB-NP\tB-DNA' +p266485 +aS'site\tsite\tNN\tI-NP\tI-DNA' +p266486 +aS'is\tbe\tVBZ\tB-VP\tO' +p266487 +aS'without\twithout\tIN\tB-PP\tO' +p266488 +aS'erythema\terythema\tNN\tB-NP\tO' +p266489 +aS',\t,\t,\tO\tO' +p266490 +aS'drainage\tdrainage\tNN\tB-NP\tO' +p266491 +aS'or\tor\tCC\tI-NP\tO' +p266492 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p266493 +aS'.\t.\t.\tO\tO' +p266494 +asS'Mrs. Dua is a 34 year old white female with an unclear history of hypertension for at least five years .' +p266495 +(lp266496 +S'Mrs.\tMrs.\tNNP\tB-NP\tO' +p266497 +aS'Dua\tDua\tNNP\tI-NP\tO' +p266498 +aS'is\tbe\tVBZ\tB-VP\tO' +p266499 +aS'a\ta\tDT\tB-NP\tO' +p266500 +aS'34\t34\tCD\tI-NP\tO' +p266501 +aS'year\tyear\tNN\tI-NP\tO' +p266502 +aS'old\told\tJJ\tI-NP\tO' +p266503 +aS'white\twhite\tJJ\tI-NP\tO' +p266504 +aS'female\tfemale\tNN\tI-NP\tO' +p266505 +aS'with\twith\tIN\tB-PP\tO' +p266506 +aS'an\tan\tDT\tB-NP\tO' +p266507 +aS'unclear\tunclear\tJJ\tI-NP\tO' +p266508 +aS'history\thistory\tNN\tI-NP\tO' +p266509 +aS'of\tof\tIN\tB-PP\tO' +p266510 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p266511 +aS'for\tfor\tIN\tB-PP\tO' +p266512 +aS'at\tat\tIN\tB-NP\tO' +p266513 +aS'least\tleast\tJJS\tI-NP\tO' +p266514 +aS'five\tfive\tCD\tI-NP\tO' +p266515 +aS'years\tyear\tNNS\tI-NP\tO' +p266516 +aS'.\t.\t.\tO\tO' +p266517 +asS'She is a chronically ill-appearing female , in no acute distress .' +p266518 +(lp266519 +S'She\tShe\tPRP\tB-NP\tO' +p266520 +aS'is\tbe\tVBZ\tB-VP\tO' +p266521 +aS'a\ta\tDT\tB-NP\tO' +p266522 +aS'chronically\tchronically\tRB\tI-NP\tO' +p266523 +aS'ill-appearing\till-appearing\tJJ\tI-NP\tO' +p266524 +aS'female\tfemale\tNN\tI-NP\tO' +p266525 +aS',\t,\t,\tO\tO' +p266526 +aS'in\tin\tIN\tB-PP\tO' +p266527 +aS'no\tno\tDT\tB-NP\tO' +p266528 +aS'acute\tacute\tJJ\tI-NP\tO' +p266529 +aS'distress\tdistress\tNN\tI-NP\tO' +p266530 +aS'.\t.\t.\tO\tO' +p266531 +asS'Her blood pressure was stable after three liters of normal saline .' +p266532 +(lp266533 +S'Her\tHer\tPRP$\tB-NP\tO' +p266534 +aS'blood\tblood\tNN\tI-NP\tO' +p266535 +aS'pressure\tpressure\tNN\tI-NP\tO' +p266536 +aS'was\tbe\tVBD\tB-VP\tO' +p266537 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p266538 +aS'after\tafter\tIN\tB-PP\tO' +p266539 +aS'three\tthree\tCD\tB-NP\tO' +p266540 +aS'liters\tliter\tNNS\tI-NP\tO' +p266541 +aS'of\tof\tIN\tB-PP\tO' +p266542 +aS'normal\tnormal\tJJ\tB-NP\tO' +p266543 +aS'saline\tsaline\tNN\tI-NP\tO' +p266544 +aS'.\t.\t.\tO\tO' +p266545 +asS'Dictated By : Judy J Johnston , M.D.' +p266546 +(lp266547 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p266548 +aS'By\tBy\tIN\tB-PP\tO' +p266549 +aS':\t:\t:\tO\tO' +p266550 +aS'Judy\tJudy\tNNP\tB-NP\tO' +p266551 +aS'J\tJ\tNNP\tI-NP\tO' +p266552 +aS'Johnston\tJohnston\tNNP\tI-NP\tO' +p266553 +aS',\t,\t,\tO\tO' +p266554 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p266555 +asS'The right ventricular cavity is dilated .' +p266556 +(lp266557 +S'The\tThe\tDT\tB-NP\tO' +p266558 +aS'right\tright\tJJ\tI-NP\tO' +p266559 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p266560 +aS'cavity\tcavity\tNN\tI-NP\tO' +p266561 +aS'is\tbe\tVBZ\tB-VP\tO' +p266562 +aS'dilated\tdilate\tVBN\tI-VP\tO' +p266563 +aS'.\t.\t.\tO\tO' +p266564 +asS'An adenosine SESTAMIBI was performed on 10/12/97 , which showed a negative electrocardiogram for ischemia and cardiac perfusion scans , with a moderate-sized , dense , fixed inferior defect indicative of scar .' +p266565 +(lp266566 +S'An\tAn\tDT\tB-NP\tO' +p266567 +aS'adenosine\tadenosine\tNN\tI-NP\tO' +p266568 +aS'SESTAMIBI\tSESTAMIBI\tNNP\tB-NP\tO' +p266569 +aS'was\tbe\tVBD\tB-VP\tO' +p266570 +aS'performed\tperform\tVBN\tI-VP\tO' +p266571 +aS'on\ton\tIN\tB-PP\tO' +p266572 +aS'10/12/97\t10/12/97\tCD\tB-NP\tO' +p266573 +aS',\t,\t,\tO\tO' +p266574 +aS'which\twhich\tWDT\tB-NP\tO' +p266575 +aS'showed\tshow\tVBD\tB-VP\tO' +p266576 +aS'a\ta\tDT\tB-NP\tO' +p266577 +aS'negative\tnegative\tJJ\tI-NP\tO' +p266578 +aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' +p266579 +aS'for\tfor\tIN\tB-PP\tO' +p266580 +aS'ischemia\tischemia\tNN\tB-NP\tO' +p266581 +aS'and\tand\tCC\tO\tO' +p266582 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p266583 +aS'perfusion\tperfusion\tNN\tI-NP\tO' +p266584 +aS'scans\tscan\tNNS\tI-NP\tO' +p266585 +aS',\t,\t,\tO\tO' +p266586 +aS'with\twith\tIN\tB-PP\tO' +p266587 +aS'a\ta\tDT\tB-NP\tO' +p266588 +aS'moderate-sized\tmoderate-sized\tJJ\tI-NP\tO' +p266589 +aS',\t,\t,\tI-NP\tO' +p266590 +aS'dense\tdense\tJJ\tI-NP\tO' +p266591 +aS',\t,\t,\tI-NP\tO' +p266592 +aS'fixed\tfixed\tJJ\tI-NP\tO' +p266593 +aS'inferior\tinferior\tJJ\tI-NP\tO' +p266594 +aS'defect\tdefect\tNN\tI-NP\tO' +p266595 +aS'indicative\tindicative\tJJ\tB-ADJP\tO' +p266596 +aS'of\tof\tIN\tB-PP\tO' +p266597 +aS'scar\tscar\tNN\tB-NP\tO' +p266598 +aS'.\t.\t.\tO\tO' +p266599 +asS'Right superiorly based rectus abdominis flap .' +p266600 +(lp266601 +S'Right\tRight\tRB\tB-ADVP\tO' +p266602 +aS'superiorly\tsuperiorly\tRB\tI-ADVP\tO' +p266603 +aS'based\tbase\tVBN\tB-NP\tO' +p266604 +aS'rectus\trectus\tNN\tI-NP\tO' +p266605 +aS'abdominis\tabdominis\tNN\tI-NP\tO' +p266606 +aS'flap\tflap\tNN\tI-NP\tO' +p266607 +aS'.\t.\t.\tO\tO' +p266608 +asS'She was treated with a fluid bolus .' +p266609 +(lp266610 +S'She\tShe\tPRP\tB-NP\tO' +p266611 +aS'was\tbe\tVBD\tB-VP\tO' +p266612 +aS'treated\ttreat\tVBN\tI-VP\tO' +p266613 +aS'with\twith\tIN\tB-PP\tO' +p266614 +aS'a\ta\tDT\tB-NP\tO' +p266615 +aS'fluid\tfluid\tNN\tI-NP\tO' +p266616 +aS'bolus\tbolus\tNN\tI-NP\tO' +p266617 +aS'.\t.\t.\tO\tO' +p266618 +asS'Her sodium went down to 121 and before that on admission she was 133 .' +p266619 +(lp266620 +S'Her\tHer\tPRP$\tB-NP\tO' +p266621 +aS'sodium\tsodium\tNN\tI-NP\tO' +p266622 +aS'went\tgo\tVBD\tB-VP\tO' +p266623 +aS'down\tdown\tRB\tB-ADVP\tO' +p266624 +aS'to\tto\tTO\tB-PP\tO' +p266625 +aS'121\t121\tCD\tB-NP\tO' +p266626 +aS'and\tand\tCC\tO\tO' +p266627 +aS'before\tbefore\tIN\tB-PP\tO' +p266628 +aS'that\tthat\tDT\tB-NP\tO' +p266629 +aS'on\ton\tIN\tB-PP\tO' +p266630 +aS'admission\tadmission\tNN\tB-NP\tO' +p266631 +aS'she\tshe\tPRP\tB-NP\tO' +p266632 +aS'was\tbe\tVBD\tB-VP\tO' +p266633 +aS'133\t133\tCD\tB-NP\tO' +p266634 +aS'.\t.\t.\tO\tO' +p266635 +asS'Please call ( 664 ) 369-9786 to set up an appointment with your primary care doctor Dr. Andrew Shelton in 1-2 wks after discharge .' +p266636 +(lp266637 +S'Please\tPlease\tNN\tB-NP\tO' +p266638 +aS'call\tcall\tNN\tI-NP\tO' +p266639 +aS'(\t(\t(\tO\tO' +p266640 +aS'664\t664\tCD\tB-NP\tO' +p266641 +aS')\t)\t)\tO\tO' +p266642 +aS'369-9786\t369-9786\tCD\tB-NP\tO' +p266643 +aS'to\tto\tTO\tB-VP\tO' +p266644 +aS'set\tset\tVB\tI-VP\tO' +p266645 +aS'up\tup\tRP\tB-PRT\tO' +p266646 +aS'an\tan\tDT\tB-NP\tO' +p266647 +aS'appointment\tappointment\tNN\tI-NP\tO' +p266648 +aS'with\twith\tIN\tB-PP\tO' +p266649 +aS'your\tyour\tPRP$\tB-NP\tO' +p266650 +aS'primary\tprimary\tJJ\tI-NP\tO' +p266651 +aS'care\tcare\tNN\tI-NP\tO' +p266652 +aS'doctor\tdoctor\tNN\tI-NP\tO' +p266653 +aS'Dr.\tDr.\tNNP\tI-NP\tO' +p266654 +aS'Andrew\tAndrew\tNNP\tI-NP\tO' +p266655 +aS'Shelton\tShelton\tNNP\tI-NP\tO' +p266656 +aS'in\tin\tIN\tB-PP\tO' +p266657 +aS'1-2\t1-2\tCD\tB-NP\tO' +p266658 +aS'wks\twk\tNNS\tI-NP\tO' +p266659 +aS'after\tafter\tIN\tB-PP\tO' +p266660 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p266661 +aS'.\t.\t.\tO\tO' +p266662 +asS'Electrolytes at this time were a sodium of 148 , potassium 1.7 .' +p266663 +(lp266664 +S'Electrolytes\tElectrolyte\tNNS\tB-NP\tO' +p266665 +aS'at\tat\tIN\tB-PP\tO' +p266666 +aS'this\tthis\tDT\tB-NP\tO' +p266667 +aS'time\ttime\tNN\tI-NP\tO' +p266668 +aS'were\tbe\tVBD\tB-VP\tO' +p266669 +aS'a\ta\tDT\tB-NP\tO' +p266670 +aS'sodium\tsodium\tNN\tI-NP\tO' +p266671 +aS'of\tof\tIN\tB-PP\tO' +p266672 +aS'148\t148\tCD\tB-NP\tO' +p266673 +aS',\t,\t,\tO\tO' +p266674 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p266675 +aS'1.7\t1.7\tCD\tI-NP\tO' +p266676 +aS'.\t.\t.\tO\tO' +p266677 +asS'CT OF THE PELVIS WITHOUT IV CONTRAST : As previously noted , there is a small amount of free fluid surrounding the right colon , tracking along the mesentery and into the pelvis .' +p266678 +(lp266679 +S'CT\tCT\tNN\tB-NP\tO' +p266680 +aS'OF\tOF\tIN\tB-PP\tO' +p266681 +aS'THE\tTHE\tDT\tB-NP\tO' +p266682 +aS'PELVIS\tPELVIS\tNN\tI-NP\tO' +p266683 +aS'WITHOUT\tWITHOUT\tNN\tI-NP\tO' +p266684 +aS'IV\tIV\tCD\tI-NP\tO' +p266685 +aS'CONTRAST\tCONTRAST\tNN\tI-NP\tO' +p266686 +aS':\t:\t:\tO\tO' +p266687 +aS'As\tAs\tIN\tB-SBAR\tO' +p266688 +aS'previously\tpreviously\tRB\tB-ADVP\tO' +p266689 +aS'noted\tnote\tVBN\tB-VP\tO' +p266690 +aS',\t,\t,\tO\tO' +p266691 +aS'there\tthere\tEX\tB-NP\tO' +p266692 +aS'is\tbe\tVBZ\tB-VP\tO' +p266693 +aS'a\ta\tDT\tB-NP\tO' +p266694 +aS'small\tsmall\tJJ\tI-NP\tO' +p266695 +aS'amount\tamount\tNN\tI-NP\tO' +p266696 +aS'of\tof\tIN\tB-PP\tO' +p266697 +aS'free\tfree\tJJ\tB-NP\tO' +p266698 +aS'fluid\tfluid\tNN\tI-NP\tO' +p266699 +aS'surrounding\tsurround\tVBG\tB-VP\tO' +p266700 +aS'the\tthe\tDT\tB-NP\tO' +p266701 +aS'right\tright\tJJ\tI-NP\tO' +p266702 +aS'colon\tcolon\tNN\tI-NP\tO' +p266703 +aS',\t,\t,\tO\tO' +p266704 +aS'tracking\ttrack\tVBG\tB-VP\tO' +p266705 +aS'along\talong\tIN\tB-PP\tO' +p266706 +aS'the\tthe\tDT\tB-NP\tO' +p266707 +aS'mesentery\tmesentery\tNN\tI-NP\tO' +p266708 +aS'and\tand\tCC\tB-PP\tO' +p266709 +aS'into\tinto\tIN\tB-PP\tO' +p266710 +aS'the\tthe\tDT\tB-NP\tO' +p266711 +aS'pelvis\tpelvis\tNN\tI-NP\tO' +p266712 +aS'.\t.\t.\tO\tO' +p266713 +asS'PT 12.8 , PTT 19.1 .' +p266714 +(lp266715 +S'PT\tPT\tNN\tB-NP\tB-protein' +p266716 +aS'12.8\t12.8\tCD\tI-NP\tI-protein' +p266717 +aS',\t,\t,\tO\tO' +p266718 +aS'PTT\tPTT\tNN\tB-NP\tB-protein' +p266719 +aS'19.1\t19.1\tCD\tI-NP\tI-protein' +p266720 +aS'.\t.\t.\tO\tO' +p266721 +asS'She had some initial nausea but had no emesis .' +p266722 +(lp266723 +S'She\tShe\tPRP\tB-NP\tO' +p266724 +aS'had\thave\tVBD\tB-VP\tO' +p266725 +aS'some\tsome\tDT\tB-NP\tO' +p266726 +aS'initial\tinitial\tJJ\tI-NP\tO' +p266727 +aS'nausea\tnausea\tNN\tI-NP\tO' +p266728 +aS'but\tbut\tCC\tO\tO' +p266729 +aS'had\thave\tVBD\tB-VP\tO' +p266730 +aS'no\tno\tDT\tB-NP\tO' +p266731 +aS'emesis\temesis\tNN\tI-NP\tO' +p266732 +aS'.\t.\t.\tO\tO' +p266733 +asS'Long QT interval ( QTc 462 ms ).' +p266734 +(lp266735 +S'Long\tLong\tJJ\tB-NP\tO' +p266736 +aS'QT\tQT\tNN\tI-NP\tO' +p266737 +aS'interval\tinterval\tNN\tI-NP\tO' +p266738 +aS'(\t(\t(\tO\tO' +p266739 +aS'QTc\tQTc\tNN\tB-NP\tO' +p266740 +aS'462\t462\tCD\tI-NP\tO' +p266741 +aS'ms\tms\tNN\tI-NP\tO' +p266742 +aS').\t).\t)\tO\tO' +p266743 +asS'He is stable on February 24 and ready for discharge to home .' +p266744 +(lp266745 +S'He\tHe\tPRP\tB-NP\tO' +p266746 +aS'is\tbe\tVBZ\tB-VP\tO' +p266747 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p266748 +aS'on\ton\tIN\tB-PP\tO' +p266749 +aS'February\tFebruary\tNNP\tB-NP\tO' +p266750 +aS'24\t24\tCD\tI-NP\tO' +p266751 +aS'and\tand\tCC\tO\tO' +p266752 +aS'ready\tready\tJJ\tB-ADJP\tO' +p266753 +aS'for\tfor\tIN\tB-PP\tO' +p266754 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p266755 +aS'to\tto\tTO\tB-PP\tO' +p266756 +aS'home\thome\tNN\tB-NP\tO' +p266757 +aS'.\t.\t.\tO\tO' +p266758 +asS'He had no evident edema .' +p266759 +(lp266760 +S'He\tHe\tPRP\tB-NP\tO' +p266761 +aS'had\thave\tVBD\tB-VP\tO' +p266762 +aS'no\tno\tDT\tB-NP\tO' +p266763 +aS'evident\tevident\tJJ\tI-NP\tO' +p266764 +aS'edema\tedema\tNN\tI-NP\tO' +p266765 +aS'.\t.\t.\tO\tO' +p266766 +asS'Her Holter showed up to 12 beats of SVT , but was otherwise unremarkable .' +p266767 +(lp266768 +S'Her\tHer\tPRP$\tB-NP\tO' +p266769 +aS'Holter\tHolter\tNNP\tI-NP\tO' +p266770 +aS'showed\tshow\tVBD\tB-VP\tO' +p266771 +aS'up\tup\tRB\tB-NP\tO' +p266772 +aS'to\tto\tTO\tI-NP\tO' +p266773 +aS'12\t12\tCD\tI-NP\tO' +p266774 +aS'beats\tbeat\tNNS\tI-NP\tO' +p266775 +aS'of\tof\tIN\tB-PP\tO' +p266776 +aS'SVT\tSVT\tNN\tB-NP\tO' +p266777 +aS',\t,\t,\tO\tO' +p266778 +aS'but\tbut\tCC\tO\tO' +p266779 +aS'was\tbe\tVBD\tB-VP\tO' +p266780 +aS'otherwise\totherwise\tRB\tB-ADJP\tO' +p266781 +aS'unremarkable\tunremarkable\tJJ\tI-ADJP\tO' +p266782 +aS'.\t.\t.\tO\tO' +p266783 +asS'His blood pressure is 130/80 and heart rate was 100. jugular venous pressure was increasing .' +p266784 +(lp266785 +S'His\tHis\tPRP$\tB-NP\tO' +p266786 +aS'blood\tblood\tNN\tI-NP\tO' +p266787 +aS'pressure\tpressure\tNN\tI-NP\tO' +p266788 +aS'is\tbe\tVBZ\tB-VP\tO' +p266789 +aS'130/80\t130/80\tCD\tB-NP\tO' +p266790 +aS'and\tand\tCC\tO\tO' +p266791 +aS'heart\theart\tNN\tB-NP\tO' +p266792 +aS'rate\trate\tNN\tI-NP\tO' +p266793 +aS'was\tbe\tVBD\tB-VP\tO' +p266794 +aS'100.\t100.\tCD\tB-NP\tO' +p266795 +aS'jugular\tjugular\tJJ\tI-NP\tO' +p266796 +aS'venous\tvenous\tJJ\tI-NP\tO' +p266797 +aS'pressure\tpressure\tNN\tI-NP\tO' +p266798 +aS'was\tbe\tVBD\tB-VP\tO' +p266799 +aS'increasing\tincrease\tVBG\tI-VP\tO' +p266800 +aS'.\t.\t.\tO\tO' +p266801 +asS'Maternal aunt with breast cancer .' +p266802 +(lp266803 +S'Maternal\tMaternal\tJJ\tB-NP\tO' +p266804 +aS'aunt\taunt\tNN\tI-NP\tO' +p266805 +aS'with\twith\tIN\tB-PP\tO' +p266806 +aS'breast\tbreast\tNN\tB-NP\tO' +p266807 +aS'cancer\tcancer\tNN\tI-NP\tO' +p266808 +aS'.\t.\t.\tO\tO' +p266809 +asS'GENERAL : pleasant female in no apparent distress , jaundiced skin .' +p266810 +(lp266811 +S'GENERAL\tGENERAL\tNNP\tB-NP\tO' +p266812 +aS':\t:\t:\tO\tO' +p266813 +aS'pleasant\tpleasant\tJJ\tB-NP\tO' +p266814 +aS'female\tfemale\tNN\tI-NP\tO' +p266815 +aS'in\tin\tIN\tB-PP\tO' +p266816 +aS'no\tno\tDT\tB-NP\tO' +p266817 +aS'apparent\tapparent\tJJ\tI-NP\tO' +p266818 +aS'distress\tdistress\tNN\tI-NP\tO' +p266819 +aS',\t,\t,\tO\tO' +p266820 +aS'jaundiced\tjaundice\tVBN\tB-NP\tO' +p266821 +aS'skin\tskin\tNN\tI-NP\tO' +p266822 +aS'.\t.\t.\tO\tO' +p266823 +asS'She will need advance calorie density for better growth .' +p266824 +(lp266825 +S'She\tShe\tPRP\tB-NP\tO' +p266826 +aS'will\twill\tMD\tB-VP\tO' +p266827 +aS'need\tneed\tVB\tI-VP\tO' +p266828 +aS'advance\tadvance\tNN\tB-NP\tO' +p266829 +aS'calorie\tcalorie\tNN\tI-NP\tO' +p266830 +aS'density\tdensity\tNN\tI-NP\tO' +p266831 +aS'for\tfor\tIN\tB-PP\tO' +p266832 +aS'better\tgood\tJJR\tB-NP\tO' +p266833 +aS'growth\tgrowth\tNN\tI-NP\tO' +p266834 +aS'.\t.\t.\tO\tO' +p266835 +asS'Levoxine 0.125 mg PO q.day , Vasotec 10 mg PO b.i.d. , Maxzide 75/50 , 30 mg PO q.day .' +p266836 +(lp266837 +S'Levoxine\tLevoxine\tNN\tB-NP\tO' +p266838 +aS'0.125\t0.125\tCD\tI-NP\tO' +p266839 +aS'mg\tmg\tNN\tI-NP\tO' +p266840 +aS'PO\tPO\tNN\tI-NP\tO' +p266841 +aS'q.day\tq.day\tNN\tI-NP\tO' +p266842 +aS',\t,\t,\tO\tO' +p266843 +aS'Vasotec\tVasotec\tNNP\tB-NP\tO' +p266844 +aS'10\t10\tCD\tI-NP\tO' +p266845 +aS'mg\tmg\tNN\tI-NP\tO' +p266846 +aS'PO\tPO\tNN\tI-NP\tO' +p266847 +aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' +p266848 +aS',\t,\t,\tO\tO' +p266849 +aS'Maxzide\tMaxzide\tNNP\tB-NP\tO' +p266850 +aS'75/50\t75/50\tCD\tI-NP\tO' +p266851 +aS',\t,\t,\tO\tO' +p266852 +aS'30\t30\tCD\tB-NP\tO' +p266853 +aS'mg\tmg\tNN\tI-NP\tO' +p266854 +aS'PO\tPO\tNN\tI-NP\tO' +p266855 +aS'q.day\tq.day\tNN\tI-NP\tO' +p266856 +aS'.\t.\t.\tO\tO' +p266857 +asS'Follow-up appointments recommended with the primary pediatrician , Dr. Marilyn Daley of Stockbridge , Village Pediatrics , Dr. Lynn Warren of Neurology from Emerson Hospital and Ophthalmology to follow her ophthalmology status .' +p266858 +(lp266859 +S'Follow-up\tFollow-up\tJJ\tB-NP\tO' +p266860 +aS'appointments\tappointment\tNNS\tI-NP\tO' +p266861 +aS'recommended\trecommend\tVBN\tB-VP\tO' +p266862 +aS'with\twith\tIN\tB-PP\tO' +p266863 +aS'the\tthe\tDT\tB-NP\tO' +p266864 +aS'primary\tprimary\tJJ\tI-NP\tO' +p266865 +aS'pediatrician\tpediatrician\tNN\tI-NP\tO' +p266866 +aS',\t,\t,\tO\tO' +p266867 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p266868 +aS'Marilyn\tMarilyn\tNNP\tI-NP\tO' +p266869 +aS'Daley\tDaley\tNNP\tI-NP\tO' +p266870 +aS'of\tof\tIN\tB-PP\tO' +p266871 +aS'Stockbridge\tStockbridge\tNNP\tB-NP\tO' +p266872 +aS',\t,\t,\tO\tO' +p266873 +aS'Village\tVillage\tNNP\tB-NP\tO' +p266874 +aS'Pediatrics\tPediatrics\tNNP\tI-NP\tO' +p266875 +aS',\t,\t,\tO\tO' +p266876 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p266877 +aS'Lynn\tLynn\tNNP\tI-NP\tO' +p266878 +aS'Warren\tWarren\tNNP\tI-NP\tO' +p266879 +aS'of\tof\tIN\tB-PP\tO' +p266880 +aS'Neurology\tNeurology\tNNP\tB-NP\tO' +p266881 +aS'from\tfrom\tIN\tB-PP\tO' +p266882 +aS'Emerson\tEmerson\tNNP\tB-NP\tO' +p266883 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p266884 +aS'and\tand\tCC\tO\tO' +p266885 +aS'Ophthalmology\tOphthalmology\tNNP\tB-NP\tO' +p266886 +aS'to\tto\tTO\tB-VP\tO' +p266887 +aS'follow\tfollow\tVB\tI-VP\tO' +p266888 +aS'her\ther\tPRP$\tB-NP\tO' +p266889 +aS'ophthalmology\tophthalmology\tNN\tI-NP\tO' +p266890 +aS'status\tstatus\tNN\tI-NP\tO' +p266891 +aS'.\t.\t.\tO\tO' +p266892 +asS'Chest xray showed expanded lungs with biapical pulmonary opacities .' +p266893 +(lp266894 +S'Chest\tChest\tNNP\tB-NP\tO' +p266895 +aS'xray\txray\tNNP\tI-NP\tO' +p266896 +aS'showed\tshow\tVBD\tB-VP\tO' +p266897 +aS'expanded\texpand\tVBN\tB-NP\tO' +p266898 +aS'lungs\tlung\tNNS\tI-NP\tO' +p266899 +aS'with\twith\tIN\tB-PP\tO' +p266900 +aS'biapical\tbiapical\tJJ\tB-NP\tO' +p266901 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p266902 +aS'opacities\topacity\tNNS\tI-NP\tO' +p266903 +aS'.\t.\t.\tO\tO' +p266904 +asS'Soft palate was in the midline and moved upward nicely , but did not respond to gag .' +p266905 +(lp266906 +S'Soft\tSoft\tJJ\tB-NP\tO' +p266907 +aS'palate\tpalate\tNN\tI-NP\tO' +p266908 +aS'was\tbe\tVBD\tB-VP\tO' +p266909 +aS'in\tin\tIN\tB-PP\tO' +p266910 +aS'the\tthe\tDT\tB-NP\tO' +p266911 +aS'midline\tmidline\tNN\tI-NP\tO' +p266912 +aS'and\tand\tCC\tO\tO' +p266913 +aS'moved\tmove\tVBD\tB-VP\tO' +p266914 +aS'upward\tupward\tRB\tB-ADVP\tO' +p266915 +aS'nicely\tnicely\tRB\tI-ADVP\tO' +p266916 +aS',\t,\t,\tO\tO' +p266917 +aS'but\tbut\tCC\tO\tO' +p266918 +aS'did\tdo\tVBD\tB-VP\tO' +p266919 +aS'not\tnot\tRB\tI-VP\tO' +p266920 +aS'respond\trespond\tVB\tI-VP\tO' +p266921 +aS'to\tto\tTO\tB-PP\tO' +p266922 +aS'gag\tgag\tNN\tB-NP\tO' +p266923 +aS'.\t.\t.\tO\tO' +p266924 +asS'Mucosal membranes are moist .' +p266925 +(lp266926 +S'Mucosal\tMucosal\tJJ\tB-NP\tO' +p266927 +aS'membranes\tmembrane\tNNS\tI-NP\tO' +p266928 +aS'are\tbe\tVBP\tB-VP\tO' +p266929 +aS'moist\tmoist\tJJ\tB-ADJP\tO' +p266930 +aS'.\t.\t.\tO\tO' +p266931 +asS'The patient had a long history of hypertension , hypercholesterolemia , tobacco abuse , and family history of coronary artery disease , who was in the usual state of health until Saturday previous to admission when she experienced bilateral arm and chest discomfort while carrying groceries .' +p266932 +(lp266933 +S'The\tThe\tDT\tB-NP\tO' +p266934 +aS'patient\tpatient\tNN\tI-NP\tO' +p266935 +aS'had\thave\tVBD\tB-VP\tO' +p266936 +aS'a\ta\tDT\tB-NP\tO' +p266937 +aS'long\tlong\tJJ\tI-NP\tO' +p266938 +aS'history\thistory\tNN\tI-NP\tO' +p266939 +aS'of\tof\tIN\tB-PP\tO' +p266940 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p266941 +aS',\t,\t,\tO\tO' +p266942 +aS'hypercholesterolemia\thypercholesterolemia\tNN\tB-NP\tO' +p266943 +aS',\t,\t,\tO\tO' +p266944 +aS'tobacco\ttobacco\tNN\tB-NP\tO' +p266945 +aS'abuse\tabuse\tNN\tI-NP\tO' +p266946 +aS',\t,\t,\tO\tO' +p266947 +aS'and\tand\tCC\tO\tO' +p266948 +aS'family\tfamily\tNN\tB-NP\tO' +p266949 +aS'history\thistory\tNN\tI-NP\tO' +p266950 +aS'of\tof\tIN\tB-PP\tO' +p266951 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p266952 +aS'artery\tartery\tNN\tI-NP\tO' +p266953 +aS'disease\tdisease\tNN\tI-NP\tO' +p266954 +aS',\t,\t,\tO\tO' +p266955 +aS'who\twho\tWP\tB-NP\tO' +p266956 +aS'was\tbe\tVBD\tB-VP\tO' +p266957 +aS'in\tin\tIN\tB-PP\tO' +p266958 +aS'the\tthe\tDT\tB-NP\tO' +p266959 +aS'usual\tusual\tJJ\tI-NP\tO' +p266960 +aS'state\tstate\tNN\tI-NP\tO' +p266961 +aS'of\tof\tIN\tB-PP\tO' +p266962 +aS'health\thealth\tNN\tB-NP\tO' +p266963 +aS'until\tuntil\tIN\tB-PP\tO' +p266964 +aS'Saturday\tSaturday\tNNP\tB-NP\tO' +p266965 +aS'previous\tprevious\tJJ\tB-ADJP\tO' +p266966 +aS'to\tto\tTO\tB-PP\tO' +p266967 +aS'admission\tadmission\tNN\tB-NP\tO' +p266968 +aS'when\twhen\tWRB\tB-ADVP\tO' +p266969 +aS'she\tshe\tPRP\tB-NP\tO' +p266970 +aS'experienced\texperience\tVBD\tB-VP\tO' +p266971 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p266972 +aS'arm\tarm\tNN\tI-NP\tO' +p266973 +aS'and\tand\tCC\tI-NP\tO' +p266974 +aS'chest\tchest\tNN\tI-NP\tO' +p266975 +aS'discomfort\tdiscomfort\tNN\tI-NP\tO' +p266976 +aS'while\twhile\tIN\tB-SBAR\tO' +p266977 +aS'carrying\tcarry\tVBG\tB-VP\tO' +p266978 +aS'groceries\tgrocery\tNNS\tB-NP\tO' +p266979 +aS'.\t.\t.\tO\tO' +p266980 +asS'In the last 12 hours of her life , her pulsus was 12 , and she was felt to likely to have aspect of tamponade physiology , since her preload was reduced .' +p266981 +(lp266982 +S'In\tIn\tIN\tB-PP\tO' +p266983 +aS'the\tthe\tDT\tB-NP\tO' +p266984 +aS'last\tlast\tJJ\tI-NP\tO' +p266985 +aS'12\t12\tCD\tI-NP\tO' +p266986 +aS'hours\thour\tNNS\tI-NP\tO' +p266987 +aS'of\tof\tIN\tB-PP\tO' +p266988 +aS'her\ther\tPRP$\tB-NP\tO' +p266989 +aS'life\tlife\tNN\tI-NP\tO' +p266990 +aS',\t,\t,\tO\tO' +p266991 +aS'her\ther\tPRP$\tB-NP\tO' +p266992 +aS'pulsus\tpulsus\tNN\tI-NP\tO' +p266993 +aS'was\tbe\tVBD\tB-VP\tO' +p266994 +aS'12\t12\tCD\tB-NP\tO' +p266995 +aS',\t,\t,\tO\tO' +p266996 +aS'and\tand\tCC\tO\tO' +p266997 +aS'she\tshe\tPRP\tB-NP\tO' +p266998 +aS'was\tbe\tVBD\tB-VP\tO' +p266999 +aS'felt\tfeel\tVBN\tI-VP\tO' +p267000 +aS'to\tto\tTO\tB-PP\tO' +p267001 +aS'likely\tlikely\tJJ\tB-ADJP\tO' +p267002 +aS'to\tto\tTO\tB-VP\tO' +p267003 +aS'have\thave\tVB\tI-VP\tO' +p267004 +aS'aspect\taspect\tNN\tB-NP\tO' +p267005 +aS'of\tof\tIN\tB-PP\tO' +p267006 +aS'tamponade\ttamponade\tNN\tB-NP\tO' +p267007 +aS'physiology\tphysiology\tNN\tI-NP\tO' +p267008 +aS',\t,\t,\tO\tO' +p267009 +aS'since\tsince\tIN\tB-SBAR\tO' +p267010 +aS'her\ther\tPRP$\tB-NP\tO' +p267011 +aS'preload\tpreload\tNN\tI-NP\tO' +p267012 +aS'was\tbe\tVBD\tB-VP\tO' +p267013 +aS'reduced\treduce\tVBN\tI-VP\tO' +p267014 +aS'.\t.\t.\tO\tO' +p267015 +asS'Complex tear involving the posterior Ellison and body .' +p267016 +(lp267017 +S'Complex\tComplex\tNN\tB-NP\tO' +p267018 +aS'tear\ttear\tNN\tI-NP\tO' +p267019 +aS'involving\tinvolve\tVBG\tB-VP\tO' +p267020 +aS'the\tthe\tDT\tB-NP\tO' +p267021 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p267022 +aS'Ellison\tEllison\tNN\tI-NP\tO' +p267023 +aS'and\tand\tCC\tI-NP\tO' +p267024 +aS'body\tbody\tNN\tI-NP\tO' +p267025 +aS'.\t.\t.\tO\tO' +p267026 +asS'Attempts to visualize colon by conventional and CT virtual colonoscopy failed because of sigmoid angulation and inadequate preparation , respectively .' +p267027 +(lp267028 +S'Attempts\tAttempt\tNNS\tB-NP\tO' +p267029 +aS'to\tto\tTO\tB-VP\tO' +p267030 +aS'visualize\tvisualize\tVB\tI-VP\tO' +p267031 +aS'colon\tcolon\tNN\tB-NP\tO' +p267032 +aS'by\tby\tIN\tB-PP\tO' +p267033 +aS'conventional\tconventional\tJJ\tB-NP\tO' +p267034 +aS'and\tand\tCC\tI-NP\tO' +p267035 +aS'CT\tCT\tNN\tI-NP\tO' +p267036 +aS'virtual\tvirtual\tJJ\tI-NP\tO' +p267037 +aS'colonoscopy\tcolonoscopy\tNN\tI-NP\tO' +p267038 +aS'failed\tfail\tVBD\tB-VP\tO' +p267039 +aS'because\tbecause\tIN\tB-PP\tO' +p267040 +aS'of\tof\tIN\tI-PP\tO' +p267041 +aS'sigmoid\tsigmoid\tJJ\tB-NP\tO' +p267042 +aS'angulation\tangulation\tNN\tI-NP\tO' +p267043 +aS'and\tand\tCC\tO\tO' +p267044 +aS'inadequate\tinadequate\tJJ\tB-NP\tO' +p267045 +aS'preparation\tpreparation\tNN\tI-NP\tO' +p267046 +aS',\t,\t,\tO\tO' +p267047 +aS'respectively\trespectively\tRB\tB-ADVP\tO' +p267048 +aS'.\t.\t.\tO\tO' +p267049 +asS'She was transfered to AttleboroHospital after an arrest .' +p267050 +(lp267051 +S'She\tShe\tPRP\tB-NP\tO' +p267052 +aS'was\tbe\tVBD\tB-VP\tO' +p267053 +aS'transfered\ttransfer\tVBN\tI-VP\tO' +p267054 +aS'to\tto\tTO\tB-PP\tO' +p267055 +aS'AttleboroHospital\tAttleboroHospital\tNN\tB-NP\tO' +p267056 +aS'after\tafter\tIN\tB-PP\tO' +p267057 +aS'an\tan\tDT\tB-NP\tO' +p267058 +aS'arrest\tarrest\tNN\tI-NP\tO' +p267059 +aS'.\t.\t.\tO\tO' +p267060 +asS'If you are unable to keep down liquids or have any fainting episodes we should see you again as well .' +p267061 +(lp267062 +S'If\tIf\tIN\tB-SBAR\tO' +p267063 +aS'you\tyou\tPRP\tB-NP\tO' +p267064 +aS'are\tbe\tVBP\tB-VP\tO' +p267065 +aS'unable\tunable\tJJ\tB-ADJP\tO' +p267066 +aS'to\tto\tTO\tB-VP\tO' +p267067 +aS'keep\tkeep\tVB\tI-VP\tO' +p267068 +aS'down\tdown\tRP\tB-PRT\tO' +p267069 +aS'liquids\tliquid\tNNS\tB-NP\tO' +p267070 +aS'or\tor\tCC\tO\tO' +p267071 +aS'have\thave\tVB\tB-VP\tO' +p267072 +aS'any\tany\tDT\tB-NP\tO' +p267073 +aS'fainting\tfainting\tNN\tI-NP\tO' +p267074 +aS'episodes\tepisode\tVBZ\tB-VP\tO' +p267075 +aS'we\twe\tPRP\tB-NP\tO' +p267076 +aS'should\tshould\tMD\tB-VP\tO' +p267077 +aS'see\tsee\tVB\tI-VP\tO' +p267078 +aS'you\tyou\tPRP\tB-NP\tO' +p267079 +aS'again\tagain\tRB\tB-ADVP\tO' +p267080 +aS'as\tas\tRB\tB-ADVP\tO' +p267081 +aS'well\twell\tRB\tI-ADVP\tO' +p267082 +aS'.\t.\t.\tO\tO' +p267083 +asS'Responding to commands .' +p267084 +(lp267085 +S'Responding\tRespond\tVBG\tB-VP\tO' +p267086 +aS'to\tto\tTO\tB-PP\tO' +p267087 +aS'commands\tcommand\tNNS\tB-NP\tO' +p267088 +aS'.\t.\t.\tO\tO' +p267089 +asS'3. Aluminum-Magnesium Hydroxide 225-200 mg / 5 mL Suspension Sig : 15-30 MLs PO QID ( 4 times a day ) as needed .' +p267090 +(lp267091 +S'3.\t3.\tLS\tB-NP\tO' +p267092 +aS'Aluminum-Magnesium\tAluminum-Magnesium\tNN\tI-NP\tO' +p267093 +aS'Hydroxide\tHydroxide\tNN\tI-NP\tO' +p267094 +aS'225-200\t225-200\tCD\tI-NP\tO' +p267095 +aS'mg\tmg\tNN\tI-NP\tO' +p267096 +aS'/\t/\tSYM\tB-NP\tO' +p267097 +aS'5\t5\tCD\tB-NP\tO' +p267098 +aS'mL\tmL\tNN\tI-NP\tO' +p267099 +aS'Suspension\tSuspension\tNNP\tI-NP\tO' +p267100 +aS'Sig\tSig\tNNP\tI-NP\tO' +p267101 +aS':\t:\t:\tO\tO' +p267102 +aS'15-30\t15-30\tCD\tB-NP\tO' +p267103 +aS'MLs\tML\tNNS\tI-NP\tO' +p267104 +aS'PO\tPO\tNN\tI-NP\tO' +p267105 +aS'QID\tQID\tNN\tI-NP\tO' +p267106 +aS'(\t(\t(\tO\tO' +p267107 +aS'4\t4\tCD\tB-NP\tO' +p267108 +aS'times\ttime\tNNS\tI-NP\tO' +p267109 +aS'a\ta\tDT\tB-NP\tO' +p267110 +aS'day\tday\tNN\tI-NP\tO' +p267111 +aS')\t)\t)\tO\tO' +p267112 +aS'as\tas\tIN\tB-SBAR\tO' +p267113 +aS'needed\tneed\tVBN\tB-VP\tO' +p267114 +aS'.\t.\t.\tO\tO' +p267115 +asS'Dictated By : James H. Acosta , M.D.' +p267116 +(lp267117 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p267118 +aS'By\tBy\tIN\tB-PP\tO' +p267119 +aS':\t:\t:\tO\tO' +p267120 +aS'James\tJames\tNNP\tB-NP\tO' +p267121 +aS'H.\tH.\tNNP\tI-NP\tO' +p267122 +aS'Acosta\tAcosta\tNNP\tI-NP\tO' +p267123 +aS',\t,\t,\tO\tO' +p267124 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p267125 +asS'The patient had gradual improvement in her oxygenation .' +p267126 +(lp267127 +S'The\tThe\tDT\tB-NP\tO' +p267128 +aS'patient\tpatient\tNN\tI-NP\tO' +p267129 +aS'had\thave\tVBD\tB-VP\tO' +p267130 +aS'gradual\tgradual\tJJ\tB-NP\tO' +p267131 +aS'improvement\timprovement\tNN\tI-NP\tO' +p267132 +aS'in\tin\tIN\tB-PP\tO' +p267133 +aS'her\ther\tPRP$\tB-NP\tO' +p267134 +aS'oxygenation\toxygenation\tNN\tI-NP\tO' +p267135 +aS'.\t.\t.\tO\tO' +p267136 +asS'The pt will be made comfortable , with goals of care shifted towards suppressing her air hunger and pain .' +p267137 +(lp267138 +S'The\tThe\tDT\tB-NP\tO' +p267139 +aS'pt\tpt\tNN\tI-NP\tO' +p267140 +aS'will\twill\tMD\tB-VP\tO' +p267141 +aS'be\tbe\tVB\tI-VP\tO' +p267142 +aS'made\tmake\tVBN\tI-VP\tO' +p267143 +aS'comfortable\tcomfortable\tJJ\tB-ADJP\tO' +p267144 +aS',\t,\t,\tO\tO' +p267145 +aS'with\twith\tIN\tB-PP\tO' +p267146 +aS'goals\tgoal\tNNS\tB-NP\tO' +p267147 +aS'of\tof\tIN\tB-PP\tO' +p267148 +aS'care\tcare\tNN\tB-NP\tO' +p267149 +aS'shifted\tshift\tVBD\tB-VP\tO' +p267150 +aS'towards\ttowards\tIN\tB-PP\tO' +p267151 +aS'suppressing\tsuppress\tVBG\tB-VP\tO' +p267152 +aS'her\ther\tPRP$\tB-NP\tO' +p267153 +aS'air\tair\tNN\tI-NP\tO' +p267154 +aS'hunger\thunger\tNN\tI-NP\tO' +p267155 +aS'and\tand\tCC\tI-NP\tO' +p267156 +aS'pain\tpain\tNN\tI-NP\tO' +p267157 +aS'.\t.\t.\tO\tO' +p267158 +asS'Blood pressure 110/80 .' +p267159 +(lp267160 +S'Blood\tBlood\tNN\tB-NP\tO' +p267161 +aS'pressure\tpressure\tNN\tI-NP\tO' +p267162 +aS'110/80\t110/80\tCD\tI-NP\tO' +p267163 +aS'.\t.\t.\tO\tO' +p267164 +asS'Baby Davis is the 3.160 kilogram product of a term pregnancy .' +p267165 +(lp267166 +S'Baby\tBaby\tNNP\tB-NP\tO' +p267167 +aS'Davis\tDavis\tNNP\tI-NP\tO' +p267168 +aS'is\tbe\tVBZ\tB-VP\tO' +p267169 +aS'the\tthe\tDT\tB-NP\tO' +p267170 +aS'3.160\t3.160\tCD\tI-NP\tO' +p267171 +aS'kilogram\tkilogram\tNN\tI-NP\tO' +p267172 +aS'product\tproduct\tNN\tI-NP\tO' +p267173 +aS'of\tof\tIN\tB-PP\tO' +p267174 +aS'a\ta\tDT\tB-NP\tO' +p267175 +aS'term\tterm\tNN\tI-NP\tO' +p267176 +aS'pregnancy\tpregnancy\tNN\tI-NP\tO' +p267177 +aS'.\t.\t.\tO\tO' +p267178 +asS'Car seat position screening passed on 06-07 .' +p267179 +(lp267180 +S'Car\tCar\tNN\tB-NP\tB-protein' +p267181 +aS'seat\tseat\tNN\tI-NP\tO' +p267182 +aS'position\tposition\tNN\tI-NP\tO' +p267183 +aS'screening\tscreening\tNN\tI-NP\tO' +p267184 +aS'passed\tpass\tVBN\tB-VP\tO' +p267185 +aS'on\ton\tIN\tB-PP\tO' +p267186 +aS'06-07\t06-07\tCD\tB-NP\tO' +p267187 +aS'.\t.\t.\tO\tO' +p267188 +asS'Lungs revealed decreased breath sounds and dullness to percussion in the left lung base .' +p267189 +(lp267190 +S'Lungs\tLung\tNNS\tB-NP\tO' +p267191 +aS'revealed\treveal\tVBD\tB-VP\tO' +p267192 +aS'decreased\tdecrease\tVBN\tB-NP\tO' +p267193 +aS'breath\tbreath\tNN\tI-NP\tO' +p267194 +aS'sounds\tsound\tNNS\tI-NP\tO' +p267195 +aS'and\tand\tCC\tO\tO' +p267196 +aS'dullness\tdullness\tNN\tB-NP\tO' +p267197 +aS'to\tto\tTO\tB-PP\tO' +p267198 +aS'percussion\tpercussion\tNN\tB-NP\tO' +p267199 +aS'in\tin\tIN\tB-PP\tO' +p267200 +aS'the\tthe\tDT\tB-NP\tO' +p267201 +aS'left\tleft\tJJ\tI-NP\tO' +p267202 +aS'lung\tlung\tNN\tI-NP\tO' +p267203 +aS'base\tbase\tNN\tI-NP\tO' +p267204 +aS'.\t.\t.\tO\tO' +p267205 +asS'ABG done 7.1 , 89/72 - he was placed on AC 600 / 0.4 and 6 PEEP - sats up to 94% .' +p267206 +(lp267207 +S'ABG\tABG\tNN\tB-NP\tO' +p267208 +aS'done\tdo\tVBN\tB-VP\tO' +p267209 +aS'7.1\t7.1\tCD\tB-NP\tO' +p267210 +aS',\t,\t,\tI-NP\tO' +p267211 +aS'89/72\t89/72\tCD\tI-NP\tO' +p267212 +aS'-\t-\tHYPH\tO\tO' +p267213 +aS'he\the\tPRP\tB-NP\tO' +p267214 +aS'was\tbe\tVBD\tB-VP\tO' +p267215 +aS'placed\tplace\tVBN\tI-VP\tO' +p267216 +aS'on\ton\tIN\tB-PP\tO' +p267217 +aS'AC\tAC\tNN\tB-NP\tB-DNA' +p267218 +aS'600\t600\tCD\tI-NP\tI-DNA' +p267219 +aS'/\t/\tSYM\tI-NP\tO' +p267220 +aS'0.4\t0.4\tCD\tI-NP\tO' +p267221 +aS'and\tand\tCC\tI-NP\tO' +p267222 +aS'6\t6\tCD\tI-NP\tO' +p267223 +aS'PEEP\tPEEP\tNN\tI-NP\tO' +p267224 +aS'-\t-\tHYPH\tI-NP\tO' +p267225 +aS'sats\tsat\tNNS\tI-NP\tO' +p267226 +aS'up\tup\tIN\tB-PP\tO' +p267227 +aS'to\tto\tTO\tB-PP\tO' +p267228 +aS'94%\t94%\tCD\tB-NP\tO' +p267229 +aS'.\t.\t.\tO\tO' +p267230 +asS'8. Dilaudid .' +p267231 +(lp267232 +S'8.\t8.\tCD\tB-NP\tO' +p267233 +aS'Dilaudid\tDilaudid\tNNP\tI-NP\tO' +p267234 +aS'.\t.\t.\tO\tO' +p267235 +asS'She was made DNR/DNI and the plan is that she will be transferred to WIH and extubated there upon arrival with initiation of full palliative care .' +p267236 +(lp267237 +S'She\tShe\tPRP\tB-NP\tO' +p267238 +aS'was\tbe\tVBD\tB-VP\tO' +p267239 +aS'made\tmake\tVBN\tI-VP\tO' +p267240 +aS'DNR/DNI\tDNR/DNI\tNN\tB-NP\tO' +p267241 +aS'and\tand\tCC\tO\tO' +p267242 +aS'the\tthe\tDT\tB-NP\tO' +p267243 +aS'plan\tplan\tNN\tI-NP\tO' +p267244 +aS'is\tbe\tVBZ\tB-VP\tO' +p267245 +aS'that\tthat\tIN\tB-SBAR\tO' +p267246 +aS'she\tshe\tPRP\tB-NP\tO' +p267247 +aS'will\twill\tMD\tB-VP\tO' +p267248 +aS'be\tbe\tVB\tI-VP\tO' +p267249 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p267250 +aS'to\tto\tTO\tB-PP\tO' +p267251 +aS'WIH\tWIH\tNN\tB-NP\tO' +p267252 +aS'and\tand\tCC\tO\tO' +p267253 +aS'extubated\textubate\tVBN\tB-VP\tO' +p267254 +aS'there\tthere\tRB\tB-ADVP\tO' +p267255 +aS'upon\tupon\tIN\tB-PP\tO' +p267256 +aS'arrival\tarrival\tNN\tB-NP\tO' +p267257 +aS'with\twith\tIN\tB-PP\tO' +p267258 +aS'initiation\tinitiation\tNN\tB-NP\tO' +p267259 +aS'of\tof\tIN\tB-PP\tO' +p267260 +aS'full\tfull\tJJ\tB-NP\tO' +p267261 +aS'palliative\tpalliative\tJJ\tI-NP\tO' +p267262 +aS'care\tcare\tNN\tI-NP\tO' +p267263 +aS'.\t.\t.\tO\tO' +p267264 +asS'4. 1.4 cm hypodense lesion in right lobe of the liver is incompletely characterized .' +p267265 +(lp267266 +S'4.\t4.\tLS\tB-NP\tO' +p267267 +aS'1.4\t1.4\tCD\tI-NP\tO' +p267268 +aS'cm\tcm\tNN\tI-NP\tO' +p267269 +aS'hypodense\thypodense\tNN\tI-NP\tO' +p267270 +aS'lesion\tlesion\tNN\tI-NP\tO' +p267271 +aS'in\tin\tIN\tB-PP\tO' +p267272 +aS'right\tright\tJJ\tB-NP\tO' +p267273 +aS'lobe\tlobe\tNN\tI-NP\tO' +p267274 +aS'of\tof\tIN\tB-PP\tO' +p267275 +aS'the\tthe\tDT\tB-NP\tO' +p267276 +aS'liver\tliver\tNN\tI-NP\tO' +p267277 +aS'is\tbe\tVBZ\tB-VP\tO' +p267278 +aS'incompletely\tincompletely\tRB\tI-VP\tO' +p267279 +aS'characterized\tcharacterize\tVBN\tI-VP\tO' +p267280 +aS'.\t.\t.\tO\tO' +p267281 +asS'Within the next couple of days , the patient noticed a significant improvement in her pain pattern .' +p267282 +(lp267283 +S'Within\tWithin\tIN\tB-PP\tO' +p267284 +aS'the\tthe\tDT\tB-NP\tO' +p267285 +aS'next\tnext\tJJ\tI-NP\tO' +p267286 +aS'couple\tcouple\tNN\tI-NP\tO' +p267287 +aS'of\tof\tIN\tB-PP\tO' +p267288 +aS'days\tday\tNNS\tB-NP\tO' +p267289 +aS',\t,\t,\tO\tO' +p267290 +aS'the\tthe\tDT\tB-NP\tO' +p267291 +aS'patient\tpatient\tNN\tI-NP\tO' +p267292 +aS'noticed\tnotice\tVBD\tB-VP\tO' +p267293 +aS'a\ta\tDT\tB-NP\tO' +p267294 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p267295 +aS'improvement\timprovement\tNN\tI-NP\tO' +p267296 +aS'in\tin\tIN\tB-PP\tO' +p267297 +aS'her\ther\tPRP$\tB-NP\tO' +p267298 +aS'pain\tpain\tNN\tI-NP\tO' +p267299 +aS'pattern\tpattern\tNN\tI-NP\tO' +p267300 +aS'.\t.\t.\tO\tO' +p267301 +asS'Norvasc 2.5 mg PO qd .' +p267302 +(lp267303 +S'Norvasc\tNorvasc\tRB\tB-NP\tO' +p267304 +aS'2.5\t2.5\tCD\tI-NP\tO' +p267305 +aS'mg\tmg\tNN\tI-NP\tO' +p267306 +aS'PO\tPO\tNN\tI-NP\tO' +p267307 +aS'qd\tqd\tNN\tI-NP\tO' +p267308 +aS'.\t.\t.\tO\tO' +p267309 +asS'Percocet 1-2 PO q4h prn .' +p267310 +(lp267311 +S'Percocet\tPercocet\tIN\tB-PP\tO' +p267312 +aS'1-2\t1-2\tCD\tB-NP\tO' +p267313 +aS'PO\tPO\tNN\tI-NP\tO' +p267314 +aS'q4h\tq4h\tNN\tI-NP\tO' +p267315 +aS'prn\tprn\tNN\tI-NP\tO' +p267316 +aS'.\t.\t.\tO\tO' +p267317 +asS'Patient has no history of diabetes , and fasting glucose was 78 , but A1C was slightly elevated at 5.9 .' +p267318 +(lp267319 +S'Patient\tPatient\tNN\tB-NP\tO' +p267320 +aS'has\thave\tVBZ\tB-VP\tO' +p267321 +aS'no\tno\tDT\tB-NP\tO' +p267322 +aS'history\thistory\tNN\tI-NP\tO' +p267323 +aS'of\tof\tIN\tB-PP\tO' +p267324 +aS'diabetes\tdiabetes\tNN\tB-NP\tO' +p267325 +aS',\t,\t,\tO\tO' +p267326 +aS'and\tand\tCC\tO\tO' +p267327 +aS'fasting\tfast\tVBG\tB-VP\tO' +p267328 +aS'glucose\tglucose\tNN\tB-NP\tO' +p267329 +aS'was\tbe\tVBD\tB-VP\tO' +p267330 +aS'78\t78\tCD\tB-NP\tO' +p267331 +aS',\t,\t,\tO\tO' +p267332 +aS'but\tbut\tCC\tO\tO' +p267333 +aS'A1C\tA1C\tNN\tB-NP\tB-protein' +p267334 +aS'was\tbe\tVBD\tB-VP\tO' +p267335 +aS'slightly\tslightly\tRB\tB-ADJP\tO' +p267336 +aS'elevated\televated\tJJ\tI-ADJP\tO' +p267337 +aS'at\tat\tIN\tB-PP\tO' +p267338 +aS'5.9\t5.9\tCD\tB-NP\tO' +p267339 +aS'.\t.\t.\tO\tO' +p267340 +asS'7. Aberrant left coronary artery .' +p267341 +(lp267342 +S'7.\t7.\tLS\tB-NP\tO' +p267343 +aS'Aberrant\tAberrant\tJJ\tI-NP\tO' +p267344 +aS'left\tleft\tJJ\tI-NP\tO' +p267345 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p267346 +aS'artery\tartery\tNN\tI-NP\tO' +p267347 +aS'.\t.\t.\tO\tO' +p267348 +asS'Sodium of 136 , chloride 96 , bicarbonate 8 , BUN 25 , creatinine 1.2 , glucose 720 .' +p267349 +(lp267350 +S'Sodium\tSodium\tNN\tB-NP\tO' +p267351 +aS'of\tof\tIN\tB-PP\tO' +p267352 +aS'136\t136\tCD\tB-NP\tO' +p267353 +aS',\t,\t,\tO\tO' +p267354 +aS'chloride\tchloride\tNN\tB-NP\tO' +p267355 +aS'96\t96\tCD\tI-NP\tO' +p267356 +aS',\t,\t,\tO\tO' +p267357 +aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' +p267358 +aS'8\t8\tCD\tI-NP\tO' +p267359 +aS',\t,\t,\tO\tO' +p267360 +aS'BUN\tBUN\tNN\tB-NP\tB-DNA' +p267361 +aS'25\t25\tCD\tI-NP\tI-DNA' +p267362 +aS',\t,\t,\tO\tO' +p267363 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p267364 +aS'1.2\t1.2\tCD\tI-NP\tO' +p267365 +aS',\t,\t,\tO\tO' +p267366 +aS'glucose\tglucose\tNN\tB-NP\tO' +p267367 +aS'720\t720\tCD\tI-NP\tO' +p267368 +aS'.\t.\t.\tO\tO' +p267369 +asS'Responsible After Study for Causing Admission ) SAVD' +p267370 +(lp267371 +S'Responsible\tResponsible\tJJ\tB-ADJP\tO' +p267372 +aS'After\tAfter\tIN\tB-PP\tO' +p267373 +aS'Study\tStudy\tNN\tB-NP\tO' +p267374 +aS'for\tfor\tIN\tB-PP\tO' +p267375 +aS'Causing\tCause\tVBG\tB-VP\tO' +p267376 +aS'Admission\tAdmission\tNN\tB-NP\tO' +p267377 +aS')\t)\t)\tO\tO' +p267378 +aS'SAVD\tSAVD\tNN\tB-NP\tO' +p267379 +asS'Physical examination on admission revealed an elderly woman , sleeping , responsive only to noxious stimuli after having received some sedation in the emergency department .' +p267380 +(lp267381 +S'Physical\tPhysical\tJJ\tB-NP\tO' +p267382 +aS'examination\texamination\tNN\tI-NP\tO' +p267383 +aS'on\ton\tIN\tB-PP\tO' +p267384 +aS'admission\tadmission\tNN\tB-NP\tO' +p267385 +aS'revealed\treveal\tVBD\tB-VP\tO' +p267386 +aS'an\tan\tDT\tB-NP\tO' +p267387 +aS'elderly\telderly\tJJ\tI-NP\tO' +p267388 +aS'woman\twoman\tNN\tI-NP\tO' +p267389 +aS',\t,\t,\tO\tO' +p267390 +aS'sleeping\tsleep\tVBG\tB-VP\tO' +p267391 +aS',\t,\t,\tO\tO' +p267392 +aS'responsive\tresponsive\tJJ\tB-ADJP\tO' +p267393 +aS'only\tonly\tRB\tI-ADJP\tO' +p267394 +aS'to\tto\tTO\tB-PP\tO' +p267395 +aS'noxious\tnoxious\tJJ\tB-NP\tO' +p267396 +aS'stimuli\tstimulus\tNNS\tI-NP\tO' +p267397 +aS'after\tafter\tIN\tB-PP\tO' +p267398 +aS'having\thave\tVBG\tB-VP\tO' +p267399 +aS'received\treceive\tVBN\tI-VP\tO' +p267400 +aS'some\tsome\tDT\tB-NP\tO' +p267401 +aS'sedation\tsedation\tNN\tI-NP\tO' +p267402 +aS'in\tin\tIN\tB-PP\tO' +p267403 +aS'the\tthe\tDT\tB-NP\tO' +p267404 +aS'emergency\temergency\tNN\tI-NP\tO' +p267405 +aS'department\tdepartment\tNN\tI-NP\tO' +p267406 +aS'.\t.\t.\tO\tO' +p267407 +asS'There was a small bleed resulting from the sphincterotomy , but it was controlled by epinepherine injections .' +p267408 +(lp267409 +S'There\tThere\tEX\tB-NP\tO' +p267410 +aS'was\tbe\tVBD\tB-VP\tO' +p267411 +aS'a\ta\tDT\tB-NP\tO' +p267412 +aS'small\tsmall\tJJ\tI-NP\tO' +p267413 +aS'bleed\tbleed\tNN\tI-NP\tO' +p267414 +aS'resulting\tresult\tVBG\tB-VP\tO' +p267415 +aS'from\tfrom\tIN\tB-PP\tO' +p267416 +aS'the\tthe\tDT\tB-NP\tO' +p267417 +aS'sphincterotomy\tsphincterotomy\tNN\tI-NP\tO' +p267418 +aS',\t,\t,\tO\tO' +p267419 +aS'but\tbut\tCC\tO\tO' +p267420 +aS'it\tit\tPRP\tB-NP\tO' +p267421 +aS'was\tbe\tVBD\tB-VP\tO' +p267422 +aS'controlled\tcontrol\tVBN\tI-VP\tO' +p267423 +aS'by\tby\tIN\tB-PP\tO' +p267424 +aS'epinepherine\tepinepherine\tNN\tB-NP\tO' +p267425 +aS'injections\tinjection\tNNS\tI-NP\tO' +p267426 +aS'.\t.\t.\tO\tO' +p267427 +asS'2. Ultram .' +p267428 +(lp267429 +S'2.\t2.\tLS\tB-NP\tO' +p267430 +aS'Ultram\tUltram\tNN\tI-NP\tO' +p267431 +aS'.\t.\t.\tO\tO' +p267432 +asS'EGD on 2013-12-08 demonstrated 5 cores of varices , grade 1 to 2 at the lower third of the esophagus .' +p267433 +(lp267434 +S'EGD\tEGD\tNN\tB-NP\tB-protein' +p267435 +aS'on\ton\tIN\tB-PP\tO' +p267436 +aS'2013-12-08\t2013-12-08\tCD\tB-NP\tO' +p267437 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p267438 +aS'5\t5\tCD\tB-NP\tO' +p267439 +aS'cores\tcore\tNNS\tI-NP\tO' +p267440 +aS'of\tof\tIN\tB-PP\tO' +p267441 +aS'varices\tvarix\tNNS\tB-NP\tO' +p267442 +aS',\t,\t,\tO\tO' +p267443 +aS'grade\tgrade\tNN\tB-NP\tO' +p267444 +aS'1\t1\tCD\tI-NP\tO' +p267445 +aS'to\tto\tTO\tB-PP\tO' +p267446 +aS'2\t2\tCD\tB-NP\tO' +p267447 +aS'at\tat\tIN\tB-PP\tO' +p267448 +aS'the\tthe\tDT\tB-NP\tO' +p267449 +aS'lower\tlow\tJJR\tI-NP\tO' +p267450 +aS'third\tthird\tNN\tI-NP\tO' +p267451 +aS'of\tof\tIN\tB-PP\tO' +p267452 +aS'the\tthe\tDT\tB-NP\tO' +p267453 +aS'esophagus\tesophagus\tNN\tI-NP\tO' +p267454 +aS'.\t.\t.\tO\tO' +p267455 +asS'I personally talked with Dr Pannell at the time of discharge to update him with the hospital events .' +p267456 +(lp267457 +S'I\tI\tPRP\tB-NP\tO' +p267458 +aS'personally\tpersonally\tRB\tB-ADVP\tO' +p267459 +aS'talked\ttalk\tVBD\tB-VP\tO' +p267460 +aS'with\twith\tIN\tB-PP\tO' +p267461 +aS'Dr\tDr\tNNP\tB-NP\tO' +p267462 +aS'Pannell\tPannell\tNNP\tI-NP\tO' +p267463 +aS'at\tat\tIN\tB-PP\tO' +p267464 +aS'the\tthe\tDT\tB-NP\tO' +p267465 +aS'time\ttime\tNN\tI-NP\tO' +p267466 +aS'of\tof\tIN\tB-PP\tO' +p267467 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p267468 +aS'to\tto\tTO\tB-VP\tO' +p267469 +aS'update\tupdate\tVB\tI-VP\tO' +p267470 +aS'him\thim\tPRP\tB-NP\tO' +p267471 +aS'with\twith\tIN\tB-PP\tO' +p267472 +aS'the\tthe\tDT\tB-NP\tO' +p267473 +aS'hospital\thospital\tNN\tI-NP\tO' +p267474 +aS'events\tevent\tNNS\tI-NP\tO' +p267475 +aS'.\t.\t.\tO\tO' +p267476 +asS'The patient had coarse rhonchi on examination .' +p267477 +(lp267478 +S'The\tThe\tDT\tB-NP\tO' +p267479 +aS'patient\tpatient\tNN\tI-NP\tO' +p267480 +aS'had\thave\tVBD\tB-VP\tO' +p267481 +aS'coarse\tcoarse\tNN\tB-NP\tO' +p267482 +aS'rhonchi\trhonchi\tNN\tI-NP\tO' +p267483 +aS'on\ton\tIN\tB-PP\tO' +p267484 +aS'examination\texamination\tNN\tB-NP\tO' +p267485 +aS'.\t.\t.\tO\tO' +p267486 +asS'Her extraocular movements were intact for horizontal and vertical pursuits .' +p267487 +(lp267488 +S'Her\tHer\tPRP$\tB-NP\tO' +p267489 +aS'extraocular\textraocular\tJJ\tI-NP\tO' +p267490 +aS'movements\tmovement\tNNS\tI-NP\tO' +p267491 +aS'were\tbe\tVBD\tB-VP\tO' +p267492 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p267493 +aS'for\tfor\tIN\tB-PP\tO' +p267494 +aS'horizontal\thorizontal\tJJ\tB-NP\tO' +p267495 +aS'and\tand\tCC\tI-NP\tO' +p267496 +aS'vertical\tvertical\tJJ\tI-NP\tO' +p267497 +aS'pursuits\tpursuit\tNNS\tI-NP\tO' +p267498 +aS'.\t.\t.\tO\tO' +p267499 +asS'elevated glu on admit BMP and FSG also concurring --> follow and Lispro ; will probably need w / u as outpt' +p267500 +(lp267501 +S'elevated\televated\tJJ\tB-NP\tO' +p267502 +aS'glu\tglu\tNN\tI-NP\tO' +p267503 +aS'on\ton\tIN\tB-PP\tO' +p267504 +aS'admit\tadmit\tNN\tB-NP\tO' +p267505 +aS'BMP\tBMP\tNN\tI-NP\tO' +p267506 +aS'and\tand\tCC\tI-NP\tO' +p267507 +aS'FSG\tFSG\tNN\tI-NP\tB-protein' +p267508 +aS'also\talso\tRB\tB-ADVP\tO' +p267509 +aS'concurring\tconcur\tVBG\tB-VP\tO' +p267510 +aS'-->\t-->\tSYM\tB-NP\tO' +p267511 +aS'follow\tfollow\tNN\tI-NP\tO' +p267512 +aS'and\tand\tCC\tI-NP\tO' +p267513 +aS'Lispro\tLispro\tNN\tI-NP\tO' +p267514 +aS';\t;\t:\tO\tO' +p267515 +aS'will\twill\tMD\tB-VP\tO' +p267516 +aS'probably\tprobably\tRB\tI-VP\tO' +p267517 +aS'need\tneed\tVB\tI-VP\tO' +p267518 +aS'w\tw\tNN\tB-NP\tO' +p267519 +aS'/\t/\tSYM\tB-NP\tO' +p267520 +aS'u\tu\tNN\tI-NP\tO' +p267521 +aS'as\tas\tIN\tB-PP\tO' +p267522 +aS'outpt\toutpt\tNN\tB-NP\tO' +p267523 +asS'The sclerae were anicteric .' +p267524 +(lp267525 +S'The\tThe\tDT\tB-NP\tO' +p267526 +aS'sclerae\tsclerae\tNNS\tI-NP\tO' +p267527 +aS'were\tbe\tVBD\tB-VP\tO' +p267528 +aS'anicteric\tanicteric\tJJ\tB-ADJP\tO' +p267529 +aS'.\t.\t.\tO\tO' +p267530 +asS'The patient proceeded to rule out formyocardial infarction by enzymes .' +p267531 +(lp267532 +S'The\tThe\tDT\tB-NP\tO' +p267533 +aS'patient\tpatient\tNN\tI-NP\tO' +p267534 +aS'proceeded\tproceed\tVBD\tB-VP\tO' +p267535 +aS'to\tto\tTO\tI-VP\tO' +p267536 +aS'rule\trule\tVB\tI-VP\tO' +p267537 +aS'out\tout\tRP\tB-PRT\tO' +p267538 +aS'formyocardial\tformyocardial\tJJ\tB-NP\tO' +p267539 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p267540 +aS'by\tby\tIN\tB-PP\tO' +p267541 +aS'enzymes\tenzyme\tNNS\tB-NP\tB-protein' +p267542 +aS'.\t.\t.\tO\tO' +p267543 +asS'Initial CBC had a white count of 20 , platelet count of 386 , 63 polys , 2 bands , 23 lymphs .' +p267544 +(lp267545 +S'Initial\tInitial\tJJ\tB-NP\tO' +p267546 +aS'CBC\tCBC\tNN\tI-NP\tO' +p267547 +aS'had\thave\tVBD\tB-VP\tO' +p267548 +aS'a\ta\tDT\tB-NP\tO' +p267549 +aS'white\twhite\tJJ\tI-NP\tO' +p267550 +aS'count\tcount\tNN\tI-NP\tO' +p267551 +aS'of\tof\tIN\tB-PP\tO' +p267552 +aS'20\t20\tCD\tB-NP\tO' +p267553 +aS',\t,\t,\tO\tO' +p267554 +aS'platelet\tplatelet\tNN\tB-NP\tO' +p267555 +aS'count\tcount\tNN\tI-NP\tO' +p267556 +aS'of\tof\tIN\tB-PP\tO' +p267557 +aS'386\t386\tCD\tB-NP\tO' +p267558 +aS',\t,\t,\tO\tO' +p267559 +aS'63\t63\tCD\tB-NP\tO' +p267560 +aS'polys\tpoly\tNNS\tI-NP\tO' +p267561 +aS',\t,\t,\tO\tO' +p267562 +aS'2\t2\tCD\tB-NP\tO' +p267563 +aS'bands\tband\tNNS\tI-NP\tO' +p267564 +aS',\t,\t,\tO\tO' +p267565 +aS'23\t23\tCD\tB-NP\tO' +p267566 +aS'lymphs\tlymph\tNNS\tI-NP\tO' +p267567 +aS'.\t.\t.\tO\tO' +p267568 +asS'Once the patient was transferred out of the ICU and after extubation , the antibiotics were gradually narrowed .' +p267569 +(lp267570 +S'Once\tOnce\tRB\tO\tO' +p267571 +aS'the\tthe\tDT\tB-NP\tO' +p267572 +aS'patient\tpatient\tNN\tI-NP\tO' +p267573 +aS'was\tbe\tVBD\tB-VP\tO' +p267574 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p267575 +aS'out\tout\tIN\tB-PP\tO' +p267576 +aS'of\tof\tIN\tB-PP\tO' +p267577 +aS'the\tthe\tDT\tB-NP\tO' +p267578 +aS'ICU\tICU\tNN\tI-NP\tB-DNA' +p267579 +aS'and\tand\tCC\tB-PP\tO' +p267580 +aS'after\tafter\tIN\tB-PP\tO' +p267581 +aS'extubation\textubation\tNN\tB-NP\tO' +p267582 +aS',\t,\t,\tO\tO' +p267583 +aS'the\tthe\tDT\tB-NP\tO' +p267584 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p267585 +aS'were\tbe\tVBD\tB-VP\tO' +p267586 +aS'gradually\tgradually\tRB\tI-VP\tO' +p267587 +aS'narrowed\tnarrow\tVBN\tI-VP\tO' +p267588 +aS'.\t.\t.\tO\tO' +p267589 +asS'Ext : 2 + pitting edema b/l , warm with faint DP' +p267590 +(lp267591 +S'Ext\tExt\tNN\tB-NP\tO' +p267592 +aS':\t:\t:\tO\tO' +p267593 +aS'2\t2\tCD\tB-NP\tO' +p267594 +aS'+\t+\tSYM\tI-NP\tO' +p267595 +aS'pitting\tpit\tVBG\tI-NP\tO' +p267596 +aS'edema\tedema\tNN\tI-NP\tO' +p267597 +aS'b/l\tb/l\tNN\tI-NP\tO' +p267598 +aS',\t,\t,\tO\tO' +p267599 +aS'warm\twarm\tJJ\tB-ADJP\tO' +p267600 +aS'with\twith\tIN\tB-PP\tO' +p267601 +aS'faint\tfaint\tJJ\tB-NP\tO' +p267602 +aS'DP\tDP\tNN\tI-NP\tO' +p267603 +asS'The patient wears dentures .' +p267604 +(lp267605 +S'The\tThe\tDT\tB-NP\tO' +p267606 +aS'patient\tpatient\tNN\tI-NP\tO' +p267607 +aS'wears\twear\tVBZ\tB-VP\tO' +p267608 +aS'dentures\tdenture\tNNS\tB-NP\tO' +p267609 +aS'.\t.\t.\tO\tO' +p267610 +asS'He underwent a head CT scan to rule out intracranial pathology leading to diabetes insipidus .' +p267611 +(lp267612 +S'He\tHe\tPRP\tB-NP\tO' +p267613 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p267614 +aS'a\ta\tDT\tB-NP\tO' +p267615 +aS'head\thead\tNN\tI-NP\tO' +p267616 +aS'CT\tCT\tNN\tI-NP\tO' +p267617 +aS'scan\tscan\tNN\tI-NP\tO' +p267618 +aS'to\tto\tTO\tB-VP\tO' +p267619 +aS'rule\trule\tVB\tI-VP\tO' +p267620 +aS'out\tout\tRP\tB-PRT\tO' +p267621 +aS'intracranial\tintracranial\tJJ\tB-NP\tO' +p267622 +aS'pathology\tpathology\tNN\tI-NP\tO' +p267623 +aS'leading\tlead\tVBG\tB-VP\tO' +p267624 +aS'to\tto\tTO\tB-PP\tO' +p267625 +aS'diabetes\tdiabetes\tNN\tB-NP\tO' +p267626 +aS'insipidus\tinsipidus\tNN\tI-NP\tO' +p267627 +aS'.\t.\t.\tO\tO' +p267628 +asS'Extensive mental status testing was normal , except for recalling only one out of three objects at five minutes .' +p267629 +(lp267630 +S'Extensive\tExtensive\tJJ\tB-NP\tO' +p267631 +aS'mental\tmental\tJJ\tI-NP\tO' +p267632 +aS'status\tstatus\tNN\tI-NP\tO' +p267633 +aS'testing\ttesting\tNN\tI-NP\tO' +p267634 +aS'was\tbe\tVBD\tB-VP\tO' +p267635 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p267636 +aS',\t,\t,\tO\tO' +p267637 +aS'except\texcept\tIN\tB-PP\tO' +p267638 +aS'for\tfor\tIN\tB-PP\tO' +p267639 +aS'recalling\trecall\tVBG\tB-VP\tO' +p267640 +aS'only\tonly\tRB\tB-NP\tO' +p267641 +aS'one\tone\tCD\tI-NP\tO' +p267642 +aS'out\tout\tIN\tB-PP\tO' +p267643 +aS'of\tof\tIN\tB-PP\tO' +p267644 +aS'three\tthree\tCD\tB-NP\tO' +p267645 +aS'objects\tobject\tNNS\tI-NP\tO' +p267646 +aS'at\tat\tIN\tB-PP\tO' +p267647 +aS'five\tfive\tCD\tB-NP\tO' +p267648 +aS'minutes\tminute\tNNS\tI-NP\tO' +p267649 +aS'.\t.\t.\tO\tO' +p267650 +asS'No evidence of pneumothorax .' +p267651 +(lp267652 +S'No\tNo\tDT\tB-NP\tO' +p267653 +aS'evidence\tevidence\tNN\tI-NP\tO' +p267654 +aS'of\tof\tIN\tB-PP\tO' +p267655 +aS'pneumothorax\tpneumothorax\tNN\tB-NP\tO' +p267656 +aS'.\t.\t.\tO\tO' +p267657 +asS'Prevacid 30 mg 1 1 time per day' +p267658 +(lp267659 +S'Prevacid\tPrevacid\tNN\tB-NP\tO' +p267660 +aS'30\t30\tCD\tI-NP\tO' +p267661 +aS'mg\tmg\tNN\tI-NP\tO' +p267662 +aS'1\t1\tCD\tB-NP\tO' +p267663 +aS'1\t1\tCD\tI-NP\tO' +p267664 +aS'time\ttime\tNN\tI-NP\tO' +p267665 +aS'per\tper\tIN\tB-PP\tO' +p267666 +aS'day\tday\tNN\tB-NP\tO' +p267667 +asS'White blood cell count 9.0 , hematocrit 39.3 , platelets 296 , neutrophil count 82 , lymphocytes 14 , 4 monocytes , troponin was less then 0.3 .' +p267668 +(lp267669 +S'White\tWhite\tJJ\tB-NP\tO' +p267670 +aS'blood\tblood\tNN\tI-NP\tO' +p267671 +aS'cell\tcell\tNN\tI-NP\tO' +p267672 +aS'count\tcount\tNN\tI-NP\tO' +p267673 +aS'9.0\t9.0\tCD\tB-NP\tO' +p267674 +aS',\t,\t,\tO\tO' +p267675 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p267676 +aS'39.3\t39.3\tCD\tI-NP\tI-protein' +p267677 +aS',\t,\t,\tO\tO' +p267678 +aS'platelets\tplatelet\tNNS\tB-NP\tB-protein' +p267679 +aS'296\t296\tCD\tB-NP\tI-protein' +p267680 +aS',\t,\t,\tO\tO' +p267681 +aS'neutrophil\tneutrophil\tNN\tB-NP\tO' +p267682 +aS'count\tcount\tNN\tI-NP\tO' +p267683 +aS'82\t82\tCD\tI-NP\tO' +p267684 +aS',\t,\t,\tO\tO' +p267685 +aS'lymphocytes\tlymphocyte\tNNS\tB-NP\tB-cell_type' +p267686 +aS'14\t14\tCD\tB-NP\tO' +p267687 +aS',\t,\t,\tO\tO' +p267688 +aS'4\t4\tCD\tB-NP\tO' +p267689 +aS'monocytes\tmonocyte\tNNS\tI-NP\tB-cell_type' +p267690 +aS',\t,\t,\tO\tO' +p267691 +aS'troponin\ttroponin\tNN\tB-NP\tO' +p267692 +aS'was\tbe\tVBD\tB-VP\tO' +p267693 +aS'less\tless\tRBR\tB-ADVP\tO' +p267694 +aS'then\tthen\tRB\tB-ADVP\tO' +p267695 +aS'0.3\t0.3\tCD\tB-NP\tO' +p267696 +aS'.\t.\t.\tO\tO' +p267697 +asS'The patient was discharged home and instructed to follow up with her PCP .' +p267698 +(lp267699 +S'The\tThe\tDT\tB-NP\tO' +p267700 +aS'patient\tpatient\tNN\tI-NP\tO' +p267701 +aS'was\tbe\tVBD\tB-VP\tO' +p267702 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p267703 +aS'home\thome\tNN\tB-ADVP\tO' +p267704 +aS'and\tand\tCC\tO\tO' +p267705 +aS'instructed\tinstruct\tVBN\tB-VP\tO' +p267706 +aS'to\tto\tTO\tI-VP\tO' +p267707 +aS'follow\tfollow\tVB\tI-VP\tO' +p267708 +aS'up\tup\tRP\tB-PRT\tO' +p267709 +aS'with\twith\tIN\tB-PP\tO' +p267710 +aS'her\ther\tPRP$\tB-NP\tO' +p267711 +aS'PCP\tPCP\tNN\tI-NP\tB-protein' +p267712 +aS'.\t.\t.\tO\tO' +p267713 +asS'During his hospitalization , two subsequent CAT scans were obtained ; one on hospital day two .' +p267714 +(lp267715 +S'During\tDuring\tIN\tB-PP\tO' +p267716 +aS'his\this\tPRP$\tB-NP\tO' +p267717 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p267718 +aS',\t,\t,\tO\tO' +p267719 +aS'two\ttwo\tCD\tB-NP\tO' +p267720 +aS'subsequent\tsubsequent\tJJ\tI-NP\tO' +p267721 +aS'CAT\tCAT\tNN\tI-NP\tO' +p267722 +aS'scans\tscan\tNNS\tI-NP\tO' +p267723 +aS'were\tbe\tVBD\tB-VP\tO' +p267724 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p267725 +aS';\t;\t:\tO\tO' +p267726 +aS'one\tone\tCD\tB-NP\tO' +p267727 +aS'on\ton\tIN\tB-PP\tO' +p267728 +aS'hospital\thospital\tNN\tB-NP\tO' +p267729 +aS'day\tday\tNN\tI-NP\tO' +p267730 +aS'two\ttwo\tCD\tI-NP\tO' +p267731 +aS'.\t.\t.\tO\tO' +p267732 +asS'The left vertebral artery was not visualized .' +p267733 +(lp267734 +S'The\tThe\tDT\tB-NP\tO' +p267735 +aS'left\tleft\tJJ\tI-NP\tO' +p267736 +aS'vertebral\tvertebral\tJJ\tI-NP\tO' +p267737 +aS'artery\tartery\tNN\tI-NP\tO' +p267738 +aS'was\tbe\tVBD\tB-VP\tO' +p267739 +aS'not\tnot\tRB\tI-VP\tO' +p267740 +aS'visualized\tvisualize\tVBN\tI-VP\tO' +p267741 +aS'.\t.\t.\tO\tO' +p267742 +asS'Quinine Celebrex .' +p267743 +(lp267744 +S'Quinine\tQuinine\tNNP\tB-NP\tO' +p267745 +aS'Celebrex\tCelebrex\tNNP\tI-NP\tO' +p267746 +aS'.\t.\t.\tO\tO' +p267747 +asS'Her temperature was 97.6 .' +p267748 +(lp267749 +S'Her\tHer\tPRP$\tB-NP\tO' +p267750 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p267751 +aS'was\tbe\tVBD\tB-VP\tO' +p267752 +aS'97.6\t97.6\tCD\tB-NP\tO' +p267753 +aS'.\t.\t.\tO\tO' +p267754 +asS'Such a situation frequently makes it very difficult to swallow without aspirating .' +p267755 +(lp267756 +S'Such\tSuch\tPDT\tB-NP\tO' +p267757 +aS'a\ta\tDT\tI-NP\tO' +p267758 +aS'situation\tsituation\tNN\tI-NP\tO' +p267759 +aS'frequently\tfrequently\tRB\tB-ADVP\tO' +p267760 +aS'makes\tmake\tVBZ\tB-VP\tO' +p267761 +aS'it\tit\tPRP\tB-NP\tO' +p267762 +aS'very\tvery\tRB\tB-ADJP\tO' +p267763 +aS'difficult\tdifficult\tJJ\tI-ADJP\tO' +p267764 +aS'to\tto\tTO\tB-VP\tO' +p267765 +aS'swallow\tswallow\tVB\tI-VP\tO' +p267766 +aS'without\twithout\tIN\tB-PP\tO' +p267767 +aS'aspirating\taspirate\tVBG\tB-VP\tO' +p267768 +aS'.\t.\t.\tO\tO' +p267769 +asS'His birth weight was 2905 grams .' +p267770 +(lp267771 +S'His\tHis\tPRP$\tB-NP\tO' +p267772 +aS'birth\tbirth\tNN\tI-NP\tO' +p267773 +aS'weight\tweight\tNN\tI-NP\tO' +p267774 +aS'was\tbe\tVBD\tB-VP\tO' +p267775 +aS'2905\t2905\tCD\tB-NP\tO' +p267776 +aS'grams\tgram\tNNS\tI-NP\tO' +p267777 +aS'.\t.\t.\tO\tO' +p267778 +asS'Dictated By : Cora C. Haskett , M.D.' +p267779 +(lp267780 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p267781 +aS'By\tBy\tIN\tB-PP\tO' +p267782 +aS':\t:\t:\tO\tO' +p267783 +aS'Cora\tCora\tNNP\tB-NP\tO' +p267784 +aS'C.\tC.\tNNP\tI-NP\tO' +p267785 +aS'Haskett\tHaskett\tNNP\tI-NP\tO' +p267786 +aS',\t,\t,\tO\tO' +p267787 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p267788 +asS'The epidural was discontinued on 07/26/99 and was considered a successful trial .' +p267789 +(lp267790 +S'The\tThe\tDT\tB-NP\tO' +p267791 +aS'epidural\tepidural\tNN\tI-NP\tO' +p267792 +aS'was\tbe\tVBD\tB-VP\tO' +p267793 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p267794 +aS'on\ton\tIN\tB-PP\tO' +p267795 +aS'07/26/99\t07/26/99\tCD\tB-NP\tO' +p267796 +aS'and\tand\tCC\tO\tO' +p267797 +aS'was\tbe\tVBD\tB-VP\tO' +p267798 +aS'considered\tconsider\tVBN\tI-VP\tO' +p267799 +aS'a\ta\tDT\tB-NP\tO' +p267800 +aS'successful\tsuccessful\tJJ\tI-NP\tO' +p267801 +aS'trial\ttrial\tNN\tI-NP\tO' +p267802 +aS'.\t.\t.\tO\tO' +p267803 +asS'1. CORONARY ARTERY DISEASE : The patient was taken to Cardiac Catheterization where she was found to have two vessel disease .' +p267804 +(lp267805 +S'1.\t1.\tLS\tB-NP\tO' +p267806 +aS'CORONARY\tCORONARY\tNN\tI-NP\tO' +p267807 +aS'ARTERY\tARTERY\tNN\tI-NP\tO' +p267808 +aS'DISEASE\tDISEASE\tNN\tI-NP\tO' +p267809 +aS':\t:\t:\tO\tO' +p267810 +aS'The\tThe\tDT\tB-NP\tO' +p267811 +aS'patient\tpatient\tNN\tI-NP\tO' +p267812 +aS'was\tbe\tVBD\tB-VP\tO' +p267813 +aS'taken\ttake\tVBN\tI-VP\tO' +p267814 +aS'to\tto\tTO\tB-PP\tO' +p267815 +aS'Cardiac\tCardiac\tJJ\tB-NP\tO' +p267816 +aS'Catheterization\tCatheterization\tNN\tI-NP\tO' +p267817 +aS'where\twhere\tWRB\tB-ADVP\tO' +p267818 +aS'she\tshe\tPRP\tB-NP\tO' +p267819 +aS'was\tbe\tVBD\tB-VP\tO' +p267820 +aS'found\tfind\tVBN\tI-VP\tO' +p267821 +aS'to\tto\tTO\tI-VP\tO' +p267822 +aS'have\thave\tVB\tI-VP\tO' +p267823 +aS'two\ttwo\tCD\tB-NP\tO' +p267824 +aS'vessel\tvessel\tNN\tI-NP\tO' +p267825 +aS'disease\tdisease\tNN\tI-NP\tO' +p267826 +aS'.\t.\t.\tO\tO' +p267827 +asS'Examination of her abdomen revealed a flat nontender abdomen without palpable masses .' +p267828 +(lp267829 +S'Examination\tExamination\tNN\tB-NP\tO' +p267830 +aS'of\tof\tIN\tB-PP\tO' +p267831 +aS'her\ther\tPRP$\tB-NP\tO' +p267832 +aS'abdomen\tabdoman\tNNS\tI-NP\tO' +p267833 +aS'revealed\treveal\tVBD\tB-VP\tO' +p267834 +aS'a\ta\tDT\tB-NP\tO' +p267835 +aS'flat\tflat\tJJ\tI-NP\tO' +p267836 +aS'nontender\tnontender\tJJ\tI-NP\tO' +p267837 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p267838 +aS'without\twithout\tIN\tB-PP\tO' +p267839 +aS'palpable\tpalpable\tJJ\tB-NP\tO' +p267840 +aS'masses\tmass\tNNS\tI-NP\tO' +p267841 +aS'.\t.\t.\tO\tO' +p267842 +asS'Mirtazapine 30 mg Tablet Sig : 0.5 Tablet PO HS ( at bedtime ) .' +p267843 +(lp267844 +S'Mirtazapine\tMirtazapine\tNN\tB-NP\tO' +p267845 +aS'30\t30\tCD\tI-NP\tO' +p267846 +aS'mg\tmg\tNN\tI-NP\tO' +p267847 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p267848 +aS'Sig\tSig\tNNP\tI-NP\tO' +p267849 +aS':\t:\t:\tO\tO' +p267850 +aS'0.5\t0.5\tCD\tB-NP\tO' +p267851 +aS'Tablet\tTablet\tNN\tI-NP\tO' +p267852 +aS'PO\tPO\tNN\tI-NP\tO' +p267853 +aS'HS\tHS\tNN\tI-NP\tO' +p267854 +aS'(\t(\t(\tO\tO' +p267855 +aS'at\tat\tIN\tB-PP\tO' +p267856 +aS'bedtime\tbedtime\tNN\tB-NP\tO' +p267857 +aS')\t)\t)\tO\tO' +p267858 +aS'.\t.\t.\tO\tO' +p267859 +asS'call dr koorskote 's office tomorrow' +p267860 +(lp267861 +S'call\tcall\tNN\tB-NP\tO' +p267862 +aS'dr\tdr\tNN\tI-NP\tO' +p267863 +aS'koorskote\tkoorskote\tNN\tI-NP\tO' +p267864 +aS''s\t'\tNNS\tI-NP\tO' +p267865 +aS'office\toffice\tNN\tI-NP\tO' +p267866 +aS'tomorrow\ttomorrow\tNN\tB-NP\tO' +p267867 +asS'He was also found to have a bilateral Staphylococcus pneumonia .' +p267868 +(lp267869 +S'He\tHe\tPRP\tB-NP\tO' +p267870 +aS'was\tbe\tVBD\tB-VP\tO' +p267871 +aS'also\talso\tRB\tI-VP\tO' +p267872 +aS'found\tfind\tVBN\tI-VP\tO' +p267873 +aS'to\tto\tTO\tI-VP\tO' +p267874 +aS'have\thave\tVB\tI-VP\tO' +p267875 +aS'a\ta\tDT\tB-NP\tO' +p267876 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p267877 +aS'Staphylococcus\tStaphylococcus\tNNP\tI-NP\tO' +p267878 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p267879 +aS'.\t.\t.\tO\tO' +p267880 +asS'She was continued on free H20 boluses and D5 1/2 NS and corrected .' +p267881 +(lp267882 +S'She\tShe\tPRP\tB-NP\tO' +p267883 +aS'was\tbe\tVBD\tB-VP\tO' +p267884 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p267885 +aS'on\ton\tIN\tB-PP\tO' +p267886 +aS'free\tfree\tJJ\tB-NP\tO' +p267887 +aS'H20\tH20\tNN\tI-NP\tO' +p267888 +aS'boluses\tbolus\tNNS\tI-NP\tO' +p267889 +aS'and\tand\tCC\tO\tO' +p267890 +aS'D5\tD5\tNN\tB-NP\tO' +p267891 +aS'1/2\t1/2\tCD\tI-NP\tO' +p267892 +aS'NS\tNS\tNN\tI-NP\tO' +p267893 +aS'and\tand\tCC\tO\tO' +p267894 +aS'corrected\tcorrect\tVBN\tB-VP\tO' +p267895 +aS'.\t.\t.\tO\tO' +p267896 +asS'Head CT scan performed in the emergency department revealed no bleed .' +p267897 +(lp267898 +S'Head\tHead\tJJ\tB-NP\tO' +p267899 +aS'CT\tCT\tNN\tI-NP\tO' +p267900 +aS'scan\tscan\tNN\tI-NP\tO' +p267901 +aS'performed\tperform\tVBN\tB-VP\tO' +p267902 +aS'in\tin\tIN\tB-PP\tO' +p267903 +aS'the\tthe\tDT\tB-NP\tO' +p267904 +aS'emergency\temergency\tNN\tI-NP\tO' +p267905 +aS'department\tdepartment\tNN\tI-NP\tO' +p267906 +aS'revealed\treveal\tVBD\tB-VP\tO' +p267907 +aS'no\tno\tDT\tB-NP\tO' +p267908 +aS'bleed\tbleed\tNN\tI-NP\tO' +p267909 +aS'.\t.\t.\tO\tO' +p267910 +asS'Crusting around the right eyelid but the pupils were equal , round , and reactive to light .' +p267911 +(lp267912 +S'Crusting\tCrust\tVBG\tB-VP\tO' +p267913 +aS'around\taround\tIN\tB-PP\tO' +p267914 +aS'the\tthe\tDT\tB-NP\tO' +p267915 +aS'right\tright\tJJ\tI-NP\tO' +p267916 +aS'eyelid\teyelid\tNN\tI-NP\tO' +p267917 +aS'but\tbut\tCC\tO\tO' +p267918 +aS'the\tthe\tDT\tB-NP\tO' +p267919 +aS'pupils\tpupil\tNNS\tI-NP\tO' +p267920 +aS'were\tbe\tVBD\tB-VP\tO' +p267921 +aS'equal\tequal\tJJ\tB-ADJP\tO' +p267922 +aS',\t,\t,\tO\tO' +p267923 +aS'round\tround\tJJ\tB-ADJP\tO' +p267924 +aS',\t,\t,\tO\tO' +p267925 +aS'and\tand\tCC\tO\tO' +p267926 +aS'reactive\treactive\tJJ\tB-ADJP\tO' +p267927 +aS'to\tto\tTO\tB-PP\tO' +p267928 +aS'light\tlight\tNN\tB-NP\tO' +p267929 +aS'.\t.\t.\tO\tO' +p267930 +asS'The contact social worker can be reached at ( 756 ) 599-4849 .' +p267931 +(lp267932 +S'The\tThe\tDT\tB-NP\tO' +p267933 +aS'contact\tcontact\tNN\tI-NP\tO' +p267934 +aS'social\tsocial\tJJ\tI-NP\tO' +p267935 +aS'worker\tworker\tNN\tI-NP\tO' +p267936 +aS'can\tcan\tMD\tB-VP\tO' +p267937 +aS'be\tbe\tVB\tI-VP\tO' +p267938 +aS'reached\treach\tVBN\tI-VP\tO' +p267939 +aS'at\tat\tIN\tB-PP\tO' +p267940 +aS'(\t(\t(\tO\tO' +p267941 +aS'756\t756\tCD\tB-NP\tO' +p267942 +aS')\t)\t)\tO\tO' +p267943 +aS'599-4849\t599-4849\tCD\tB-NP\tO' +p267944 +aS'.\t.\t.\tO\tO' +p267945 +asS'He developed right foot pain the Sunday prior to admission and was seen by his Podiatrist , who diagnosed him with gout .' +p267946 +(lp267947 +S'He\tHe\tPRP\tB-NP\tO' +p267948 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p267949 +aS'right\tright\tJJ\tB-NP\tO' +p267950 +aS'foot\tfoot\tNN\tI-NP\tO' +p267951 +aS'pain\tpain\tNN\tI-NP\tO' +p267952 +aS'the\tthe\tDT\tB-NP\tO' +p267953 +aS'Sunday\tSunday\tNNP\tI-NP\tO' +p267954 +aS'prior\tprior\tRB\tB-ADVP\tO' +p267955 +aS'to\tto\tTO\tB-PP\tO' +p267956 +aS'admission\tadmission\tNN\tB-NP\tO' +p267957 +aS'and\tand\tCC\tO\tO' +p267958 +aS'was\tbe\tVBD\tB-VP\tO' +p267959 +aS'seen\tsee\tVBN\tI-VP\tO' +p267960 +aS'by\tby\tIN\tB-PP\tO' +p267961 +aS'his\this\tPRP$\tB-NP\tO' +p267962 +aS'Podiatrist\tPodiatrist\tNN\tI-NP\tO' +p267963 +aS',\t,\t,\tO\tO' +p267964 +aS'who\twho\tWP\tB-NP\tO' +p267965 +aS'diagnosed\tdiagnose\tVBD\tB-VP\tO' +p267966 +aS'him\thim\tPRP\tB-NP\tO' +p267967 +aS'with\twith\tIN\tB-PP\tO' +p267968 +aS'gout\tgout\tNN\tB-NP\tO' +p267969 +aS'.\t.\t.\tO\tO' +p267970 +asS"The patient 's trachea was noted to be midline ." +p267971 +(lp267972 +S'The\tThe\tDT\tB-NP\tO' +p267973 +aS'patient\tpatient\tNN\tI-NP\tO' +p267974 +aS"'s\t's\tPOS\tB-NP\tO" +p267975 +aS'trachea\ttrachea\tNN\tI-NP\tO' +p267976 +aS'was\tbe\tVBD\tB-VP\tO' +p267977 +aS'noted\tnote\tVBN\tI-VP\tO' +p267978 +aS'to\tto\tTO\tI-VP\tO' +p267979 +aS'be\tbe\tVB\tI-VP\tO' +p267980 +aS'midline\tmidline\tNN\tB-NP\tO' +p267981 +aS'.\t.\t.\tO\tO' +p267982 +asS'The response was brisk .' +p267983 +(lp267984 +S'The\tThe\tDT\tB-NP\tO' +p267985 +aS'response\tresponse\tNN\tI-NP\tO' +p267986 +aS'was\tbe\tVBD\tB-VP\tO' +p267987 +aS'brisk\tbrisk\tJJ\tB-ADJP\tO' +p267988 +aS'.\t.\t.\tO\tO' +p267989 +asS'On hospital day two , her creatinine returned to 0.8 , and she remained with a creatinine of 0.8 for the remainder of her hospital stay .' +p267990 +(lp267991 +S'On\tOn\tIN\tB-PP\tO' +p267992 +aS'hospital\thospital\tNN\tB-NP\tO' +p267993 +aS'day\tday\tNN\tI-NP\tO' +p267994 +aS'two\ttwo\tCD\tB-ADVP\tO' +p267995 +aS',\t,\t,\tO\tO' +p267996 +aS'her\ther\tPRP$\tB-NP\tO' +p267997 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p267998 +aS'returned\treturn\tVBD\tB-VP\tO' +p267999 +aS'to\tto\tTO\tB-PP\tO' +p268000 +aS'0.8\t0.8\tCD\tB-NP\tO' +p268001 +aS',\t,\t,\tO\tO' +p268002 +aS'and\tand\tCC\tO\tO' +p268003 +aS'she\tshe\tPRP\tB-NP\tO' +p268004 +aS'remained\tremain\tVBD\tB-VP\tO' +p268005 +aS'with\twith\tIN\tB-PP\tO' +p268006 +aS'a\ta\tDT\tB-NP\tO' +p268007 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p268008 +aS'of\tof\tIN\tB-PP\tO' +p268009 +aS'0.8\t0.8\tCD\tB-NP\tO' +p268010 +aS'for\tfor\tIN\tB-PP\tO' +p268011 +aS'the\tthe\tDT\tB-NP\tO' +p268012 +aS'remainder\tremainder\tNN\tI-NP\tO' +p268013 +aS'of\tof\tIN\tB-PP\tO' +p268014 +aS'her\ther\tPRP$\tB-NP\tO' +p268015 +aS'hospital\thospital\tNN\tI-NP\tO' +p268016 +aS'stay\tstay\tNN\tI-NP\tO' +p268017 +aS'.\t.\t.\tO\tO' +p268018 +asS'The family was notified and came in to see the patient .' +p268019 +(lp268020 +S'The\tThe\tDT\tB-NP\tO' +p268021 +aS'family\tfamily\tNN\tI-NP\tO' +p268022 +aS'was\tbe\tVBD\tB-VP\tO' +p268023 +aS'notified\tnotify\tVBN\tI-VP\tO' +p268024 +aS'and\tand\tCC\tO\tO' +p268025 +aS'came\tcome\tVBD\tB-VP\tO' +p268026 +aS'in\tin\tRP\tB-PRT\tO' +p268027 +aS'to\tto\tTO\tB-VP\tO' +p268028 +aS'see\tsee\tVB\tI-VP\tO' +p268029 +aS'the\tthe\tDT\tB-NP\tO' +p268030 +aS'patient\tpatient\tNN\tI-NP\tO' +p268031 +aS'.\t.\t.\tO\tO' +p268032 +asS'Her temperature was 100.4 in the office , and she had no chills .' +p268033 +(lp268034 +S'Her\tHer\tPRP$\tB-NP\tO' +p268035 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p268036 +aS'was\tbe\tVBD\tB-VP\tO' +p268037 +aS'100.4\t100.4\tCD\tB-NP\tO' +p268038 +aS'in\tin\tIN\tB-PP\tO' +p268039 +aS'the\tthe\tDT\tB-NP\tO' +p268040 +aS'office\toffice\tNN\tI-NP\tO' +p268041 +aS',\t,\t,\tO\tO' +p268042 +aS'and\tand\tCC\tO\tO' +p268043 +aS'she\tshe\tPRP\tB-NP\tO' +p268044 +aS'had\thave\tVBD\tB-VP\tO' +p268045 +aS'no\tno\tDT\tB-NP\tO' +p268046 +aS'chills\tchill\tNNS\tI-NP\tO' +p268047 +aS'.\t.\t.\tO\tO' +p268048 +asS'Also noted to be bradycardic to the 50s , which responded to atropine .' +p268049 +(lp268050 +S'Also\tAlso\tRB\tB-ADVP\tO' +p268051 +aS'noted\tnote\tVBN\tB-VP\tO' +p268052 +aS'to\tto\tTO\tI-VP\tO' +p268053 +aS'be\tbe\tVB\tI-VP\tO' +p268054 +aS'bradycardic\tbradycardic\tJJ\tB-ADJP\tO' +p268055 +aS'to\tto\tTO\tB-PP\tO' +p268056 +aS'the\tthe\tDT\tB-NP\tO' +p268057 +aS'50s\t50\tNNS\tI-NP\tO' +p268058 +aS',\t,\t,\tO\tO' +p268059 +aS'which\twhich\tWDT\tB-NP\tO' +p268060 +aS'responded\trespond\tVBD\tB-VP\tO' +p268061 +aS'to\tto\tTO\tB-PP\tO' +p268062 +aS'atropine\tatropine\tNN\tB-NP\tO' +p268063 +aS'.\t.\t.\tO\tO' +p268064 +asS'She has good femoral pulses bilaterally .' +p268065 +(lp268066 +S'She\tShe\tPRP\tB-NP\tO' +p268067 +aS'has\thave\tVBZ\tB-VP\tO' +p268068 +aS'good\tgood\tJJ\tB-NP\tO' +p268069 +aS'femoral\tfemoral\tJJ\tI-NP\tO' +p268070 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p268071 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p268072 +aS'.\t.\t.\tO\tO' +p268073 +asS'She was then admitted again on 2016-03-30 for an elective coronary artery bypass graft .' +p268074 +(lp268075 +S'She\tShe\tPRP\tB-NP\tO' +p268076 +aS'was\tbe\tVBD\tB-VP\tO' +p268077 +aS'then\tthen\tRB\tI-VP\tO' +p268078 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p268079 +aS'again\tagain\tRB\tB-ADVP\tO' +p268080 +aS'on\ton\tIN\tB-PP\tO' +p268081 +aS'2016-03-30\t2016-03-30\tCD\tB-NP\tO' +p268082 +aS'for\tfor\tIN\tB-PP\tO' +p268083 +aS'an\tan\tDT\tB-NP\tO' +p268084 +aS'elective\telective\tJJ\tI-NP\tO' +p268085 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p268086 +aS'artery\tartery\tNN\tI-NP\tO' +p268087 +aS'bypass\tbypass\tIN\tB-PP\tO' +p268088 +aS'graft\tgraft\tNN\tB-NP\tO' +p268089 +aS'.\t.\t.\tO\tO' +p268090 +asS'3. Duloxetine 20 mg Capsule , Delayed Release( E.C. ) Sig : One ( 1 ) Capsule , Delayed Release ( E.C. ) PO QHS ( once a day ( at bedtime ) ) .' +p268091 +(lp268092 +S'3.\t3.\tLS\tB-NP\tO' +p268093 +aS'Duloxetine\tDuloxetine\tNN\tI-NP\tO' +p268094 +aS'20\t20\tCD\tI-NP\tO' +p268095 +aS'mg\tmg\tNN\tI-NP\tO' +p268096 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p268097 +aS',\t,\t,\tO\tO' +p268098 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p268099 +aS'Release(\tRelease(\tNNP\tI-NP\tO' +p268100 +aS'E.C.\tE.C.\tNNP\tI-NP\tO' +p268101 +aS')\t)\t)\tO\tO' +p268102 +aS'Sig\tSig\tNNP\tB-NP\tO' +p268103 +aS':\t:\t:\tO\tO' +p268104 +aS'One\tOne\tCD\tB-NP\tO' +p268105 +aS'(\t(\t(\tO\tO' +p268106 +aS'1\t1\tCD\tB-NP\tO' +p268107 +aS')\t)\t)\tO\tO' +p268108 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p268109 +aS',\t,\t,\tO\tO' +p268110 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p268111 +aS'Release\tRelease\tNNP\tI-NP\tO' +p268112 +aS'(\t(\t(\tO\tO' +p268113 +aS'E.C.\tE.C.\tNNP\tO\tO' +p268114 +aS')\t)\t)\tO\tO' +p268115 +aS'PO\tPO\tNN\tB-NP\tO' +p268116 +aS'QHS\tQHS\tNN\tI-NP\tO' +p268117 +aS'(\t(\t(\tO\tO' +p268118 +aS'once\tonce\tRB\tB-ADVP\tO' +p268119 +aS'a\ta\tDT\tB-NP\tO' +p268120 +aS'day\tday\tNN\tI-NP\tO' +p268121 +aS'(\t(\t(\tO\tO' +p268122 +aS'at\tat\tIN\tB-PP\tO' +p268123 +aS'bedtime\tbedtime\tNN\tB-NP\tO' +p268124 +aS')\t)\t)\tO\tO' +p268125 +aS')\t)\t)\tO\tO' +p268126 +aS'.\t.\t.\tO\tO' +p268127 +asS'Placed on Dilantin .' +p268128 +(lp268129 +S'Placed\tPlace\tVBN\tB-VP\tO' +p268130 +aS'on\ton\tIN\tB-PP\tO' +p268131 +aS'Dilantin\tDilantin\tNN\tB-NP\tB-protein' +p268132 +aS'.\t.\t.\tO\tO' +p268133 +asS"The patient 's electrolytes were repleted as necessary ." +p268134 +(lp268135 +S'The\tThe\tDT\tB-NP\tO' +p268136 +aS'patient\tpatient\tNN\tI-NP\tO' +p268137 +aS"'s\t's\tPOS\tB-NP\tO" +p268138 +aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' +p268139 +aS'were\tbe\tVBD\tB-VP\tO' +p268140 +aS'repleted\treplete\tVBN\tI-VP\tO' +p268141 +aS'as\tas\tIN\tB-PP\tO' +p268142 +aS'necessary\tnecessary\tJJ\tB-ADJP\tO' +p268143 +aS'.\t.\t.\tO\tO' +p268144 +asS'However , it could not be completely excised , moreover the tumor metastasized to the liver was discovered on follow up scan in 06/95 .' +p268145 +(lp268146 +S'However\tHowever\tRB\tB-ADVP\tO' +p268147 +aS',\t,\t,\tO\tO' +p268148 +aS'it\tit\tPRP\tB-NP\tO' +p268149 +aS'could\tcould\tMD\tB-VP\tO' +p268150 +aS'not\tnot\tRB\tI-VP\tO' +p268151 +aS'be\tbe\tVB\tI-VP\tO' +p268152 +aS'completely\tcompletely\tRB\tI-VP\tO' +p268153 +aS'excised\texcise\tVBN\tI-VP\tO' +p268154 +aS',\t,\t,\tO\tO' +p268155 +aS'moreover\tmoreover\tRB\tB-ADVP\tO' +p268156 +aS'the\tthe\tDT\tB-NP\tO' +p268157 +aS'tumor\ttumor\tNN\tI-NP\tO' +p268158 +aS'metastasized\tmetastasize\tVBN\tB-VP\tO' +p268159 +aS'to\tto\tTO\tB-PP\tO' +p268160 +aS'the\tthe\tDT\tB-NP\tO' +p268161 +aS'liver\tliver\tNN\tI-NP\tO' +p268162 +aS'was\tbe\tVBD\tB-VP\tO' +p268163 +aS'discovered\tdiscover\tVBN\tI-VP\tO' +p268164 +aS'on\ton\tIN\tB-PP\tO' +p268165 +aS'follow\tfollow\tNN\tB-VP\tO' +p268166 +aS'up\tup\tRP\tB-PRT\tO' +p268167 +aS'scan\tscan\tNN\tB-NP\tO' +p268168 +aS'in\tin\tIN\tB-PP\tO' +p268169 +aS'06/95\t06/95\tCD\tB-NP\tO' +p268170 +aS'.\t.\t.\tO\tO' +p268171 +asS'She tolerated this well .' +p268172 +(lp268173 +S'She\tShe\tPRP\tB-NP\tO' +p268174 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p268175 +aS'this\tthis\tDT\tB-NP\tO' +p268176 +aS'well\twell\tRB\tI-NP\tO' +p268177 +aS'.\t.\t.\tO\tO' +p268178 +asS'The patient continues to improve with regard to his scrotal and lower extremity edema .' +p268179 +(lp268180 +S'The\tThe\tDT\tB-NP\tO' +p268181 +aS'patient\tpatient\tNN\tI-NP\tO' +p268182 +aS'continues\tcontinue\tVBZ\tB-VP\tO' +p268183 +aS'to\tto\tTO\tI-VP\tO' +p268184 +aS'improve\timprove\tVB\tI-VP\tO' +p268185 +aS'with\twith\tIN\tB-PP\tO' +p268186 +aS'regard\tregard\tNN\tB-NP\tO' +p268187 +aS'to\tto\tTO\tB-PP\tO' +p268188 +aS'his\this\tPRP$\tB-NP\tO' +p268189 +aS'scrotal\tscrotal\tJJ\tI-NP\tO' +p268190 +aS'and\tand\tCC\tI-NP\tO' +p268191 +aS'lower\tlow\tJJR\tI-NP\tO' +p268192 +aS'extremity\textremity\tNN\tI-NP\tO' +p268193 +aS'edema\tedema\tNN\tI-NP\tO' +p268194 +aS'.\t.\t.\tO\tO' +p268195 +asS'1. Amiodarone HCl 400 mg Tablet Sig : One ( 1 ) Tablet PO one tid for 2 weeks , then 1 qd for 2 months for 2 months : Please take 1 tablet 3 times per day for 2 weeks , then take 1 tablet per day for 2 months .' +p268196 +(lp268197 +S'1.\t1.\tLS\tB-NP\tO' +p268198 +aS'Amiodarone\tAmiodarone\tNN\tI-NP\tO' +p268199 +aS'HCl\tHCl\tNN\tI-NP\tO' +p268200 +aS'400\t400\tCD\tI-NP\tO' +p268201 +aS'mg\tmg\tNN\tI-NP\tO' +p268202 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p268203 +aS'Sig\tSig\tNNP\tI-NP\tO' +p268204 +aS':\t:\t:\tO\tO' +p268205 +aS'One\tOne\tCD\tB-NP\tO' +p268206 +aS'(\t(\t(\tO\tO' +p268207 +aS'1\t1\tCD\tB-NP\tO' +p268208 +aS')\t)\t)\tO\tO' +p268209 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p268210 +aS'PO\tPO\tNN\tI-NP\tO' +p268211 +aS'one\tone\tCD\tB-NP\tO' +p268212 +aS'tid\ttid\tNN\tI-NP\tO' +p268213 +aS'for\tfor\tIN\tB-PP\tO' +p268214 +aS'2\t2\tCD\tB-NP\tO' +p268215 +aS'weeks\tweek\tNNS\tI-NP\tO' +p268216 +aS',\t,\t,\tO\tO' +p268217 +aS'then\tthen\tRB\tO\tO' +p268218 +aS'1\t1\tCD\tB-NP\tO' +p268219 +aS'qd\tqd\tNN\tI-NP\tO' +p268220 +aS'for\tfor\tIN\tB-PP\tO' +p268221 +aS'2\t2\tCD\tB-NP\tO' +p268222 +aS'months\tmonth\tNNS\tI-NP\tO' +p268223 +aS'for\tfor\tIN\tB-PP\tO' +p268224 +aS'2\t2\tCD\tB-NP\tO' +p268225 +aS'months\tmonth\tNNS\tI-NP\tO' +p268226 +aS':\t:\t:\tO\tO' +p268227 +aS'Please\tPlease\tNN\tB-NP\tB-protein' +p268228 +aS'take\ttake\tVB\tB-VP\tO' +p268229 +aS'1\t1\tCD\tB-NP\tO' +p268230 +aS'tablet\ttablet\tNN\tI-NP\tO' +p268231 +aS'3\t3\tCD\tB-NP\tO' +p268232 +aS'times\ttime\tNNS\tI-NP\tO' +p268233 +aS'per\tper\tIN\tB-PP\tO' +p268234 +aS'day\tday\tNN\tB-NP\tO' +p268235 +aS'for\tfor\tIN\tB-PP\tO' +p268236 +aS'2\t2\tCD\tB-NP\tO' +p268237 +aS'weeks\tweek\tNNS\tI-NP\tO' +p268238 +aS',\t,\t,\tO\tO' +p268239 +aS'then\tthen\tRB\tO\tO' +p268240 +aS'take\ttake\tVB\tB-VP\tO' +p268241 +aS'1\t1\tCD\tB-NP\tO' +p268242 +aS'tablet\ttablet\tNN\tI-NP\tO' +p268243 +aS'per\tper\tIN\tB-PP\tO' +p268244 +aS'day\tday\tNN\tB-NP\tO' +p268245 +aS'for\tfor\tIN\tB-PP\tO' +p268246 +aS'2\t2\tCD\tB-NP\tO' +p268247 +aS'months\tmonth\tNNS\tI-NP\tO' +p268248 +aS'.\t.\t.\tO\tO' +p268249 +asS'She reports a 10 pound weight loss over the past several months .' +p268250 +(lp268251 +S'She\tShe\tPRP\tB-NP\tO' +p268252 +aS'reports\treport\tVBZ\tB-VP\tO' +p268253 +aS'a\ta\tDT\tB-NP\tO' +p268254 +aS'10\t10\tCD\tI-NP\tO' +p268255 +aS'pound\tpound\tNN\tI-NP\tO' +p268256 +aS'weight\tweight\tNN\tI-NP\tO' +p268257 +aS'loss\tloss\tNN\tI-NP\tO' +p268258 +aS'over\tover\tIN\tB-PP\tO' +p268259 +aS'the\tthe\tDT\tB-NP\tO' +p268260 +aS'past\tpast\tJJ\tI-NP\tO' +p268261 +aS'several\tseveral\tJJ\tI-NP\tO' +p268262 +aS'months\tmonth\tNNS\tI-NP\tO' +p268263 +aS'.\t.\t.\tO\tO' +p268264 +asS"The patient 's cardiovascular status has been stable throughout his CMED CSRU stay ." +p268265 +(lp268266 +S'The\tThe\tDT\tB-NP\tO' +p268267 +aS'patient\tpatient\tNN\tI-NP\tO' +p268268 +aS"'s\t's\tPOS\tB-NP\tO" +p268269 +aS'cardiovascular\tcardiovascular\tJJ\tI-NP\tO' +p268270 +aS'status\tstatus\tNN\tI-NP\tO' +p268271 +aS'has\thave\tVBZ\tB-VP\tO' +p268272 +aS'been\tbe\tVBN\tI-VP\tO' +p268273 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p268274 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p268275 +aS'his\this\tPRP$\tB-NP\tO' +p268276 +aS'CMED\tCMED\tNNP\tI-NP\tO' +p268277 +aS'CSRU\tCSRU\tNNP\tI-NP\tO' +p268278 +aS'stay\tstay\tNN\tI-NP\tO' +p268279 +aS'.\t.\t.\tO\tO' +p268280 +asS'It is felt that the patient 's thrombotic thrombocytopenic purpura has resolved .' +p268281 +(lp268282 +S'It\tIt\tPRP\tB-NP\tO' +p268283 +aS'is\tbe\tVBZ\tB-VP\tO' +p268284 +aS'felt\tfeel\tVBN\tI-VP\tO' +p268285 +aS'that\tthat\tIN\tB-SBAR\tO' +p268286 +aS'the\tthe\tDT\tB-NP\tO' +p268287 +aS'patient\tpatient\tNN\tI-NP\tO' +p268288 +aS''s\t'\tVBZ\tB-VP\tO' +p268289 +aS'thrombotic\tthrombotic\tJJ\tB-NP\tB-protein' +p268290 +aS'thrombocytopenic\tthrombocytopenic\tJJ\tI-NP\tI-protein' +p268291 +aS'purpura\tpurpura\tNN\tI-NP\tI-protein' +p268292 +aS'has\thave\tVBZ\tB-VP\tO' +p268293 +aS'resolved\tresolve\tVBN\tI-VP\tO' +p268294 +aS'.\t.\t.\tO\tO' +p268295 +asS'Cranial nerves - The pupils are equal and reactive to light and accommodation .' +p268296 +(lp268297 +S'Cranial\tCranial\tNNP\tB-NP\tO' +p268298 +aS'nerves\tnerve\tVBZ\tB-VP\tO' +p268299 +aS'-\t-\tHYPH\tO\tO' +p268300 +aS'The\tThe\tDT\tB-NP\tO' +p268301 +aS'pupils\tpupil\tNNS\tI-NP\tO' +p268302 +aS'are\tbe\tVBP\tB-VP\tO' +p268303 +aS'equal\tequal\tJJ\tB-ADJP\tO' +p268304 +aS'and\tand\tCC\tI-ADJP\tO' +p268305 +aS'reactive\treactive\tJJ\tI-ADJP\tO' +p268306 +aS'to\tto\tTO\tB-PP\tO' +p268307 +aS'light\tlight\tNN\tB-NP\tO' +p268308 +aS'and\tand\tCC\tI-NP\tO' +p268309 +aS'accommodation\taccommodation\tNN\tI-NP\tO' +p268310 +aS'.\t.\t.\tO\tO' +p268311 +asS'ST changes as compared to 2017-05-01 EKG .' +p268312 +(lp268313 +S'ST\tST\tNN\tB-NP\tO' +p268314 +aS'changes\tchange\tNNS\tI-NP\tO' +p268315 +aS'as\tas\tIN\tB-SBAR\tO' +p268316 +aS'compared\tcompare\tVBN\tB-VP\tO' +p268317 +aS'to\tto\tTO\tB-PP\tO' +p268318 +aS'2017-05-01\t2017-05-01\tCD\tB-NP\tO' +p268319 +aS'EKG\tEKG\tNN\tI-NP\tO' +p268320 +aS'.\t.\t.\tO\tO' +p268321 +asS'GI was consulted on 10/15/97 for melena , decreased hematocrit prior to his humeral fixation surgery .' +p268322 +(lp268323 +S'GI\tGI\tNN\tB-NP\tO' +p268324 +aS'was\tbe\tVBD\tB-VP\tO' +p268325 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p268326 +aS'on\ton\tIN\tB-PP\tO' +p268327 +aS'10/15/97\t10/15/97\tCD\tB-NP\tO' +p268328 +aS'for\tfor\tIN\tB-PP\tO' +p268329 +aS'melena\tmelena\tNN\tB-NP\tO' +p268330 +aS',\t,\t,\tO\tO' +p268331 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p268332 +aS'hematocrit\thematocrit\tNN\tB-NP\tO' +p268333 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p268334 +aS'to\tto\tTO\tB-PP\tO' +p268335 +aS'his\this\tPRP$\tB-NP\tO' +p268336 +aS'humeral\thumeral\tJJ\tI-NP\tO' +p268337 +aS'fixation\tfixation\tNN\tI-NP\tO' +p268338 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p268339 +aS'.\t.\t.\tO\tO' +p268340 +asS"The patient 's pelvis was stable to AP and lateral compression ." +p268341 +(lp268342 +S'The\tThe\tDT\tB-NP\tO' +p268343 +aS'patient\tpatient\tNN\tI-NP\tO' +p268344 +aS"'s\t's\tPOS\tB-NP\tO" +p268345 +aS'pelvis\tpelvis\tNN\tI-NP\tO' +p268346 +aS'was\tbe\tVBD\tB-VP\tO' +p268347 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p268348 +aS'to\tto\tTO\tB-PP\tO' +p268349 +aS'AP\tAP\tNN\tB-NP\tO' +p268350 +aS'and\tand\tCC\tO\tO' +p268351 +aS'lateral\tlateral\tJJ\tB-NP\tO' +p268352 +aS'compression\tcompression\tNN\tI-NP\tO' +p268353 +aS'.\t.\t.\tO\tO' +p268354 +asS"He 'd been having lower abdominal pain for approximately the past week , a symptom for which he 's been admitted in the past ." +p268355 +(lp268356 +S'He\tHe\tPRP\tB-NP\tO' +p268357 +aS"'d\t'd\tVBD\tB-VP\tO" +p268358 +aS'been\tbe\tVBN\tI-VP\tO' +p268359 +aS'having\thave\tVBG\tI-VP\tO' +p268360 +aS'lower\tlow\tJJR\tB-NP\tO' +p268361 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p268362 +aS'pain\tpain\tNN\tI-NP\tO' +p268363 +aS'for\tfor\tIN\tB-PP\tO' +p268364 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p268365 +aS'the\tthe\tDT\tI-NP\tO' +p268366 +aS'past\tpast\tNN\tI-NP\tO' +p268367 +aS'week\tweek\tNN\tI-NP\tO' +p268368 +aS',\t,\t,\tO\tO' +p268369 +aS'a\ta\tDT\tB-NP\tO' +p268370 +aS'symptom\tsymptom\tNN\tI-NP\tO' +p268371 +aS'for\tfor\tIN\tB-PP\tO' +p268372 +aS'which\twhich\tWDT\tB-NP\tO' +p268373 +aS'he\the\tPRP\tB-NP\tO' +p268374 +aS"'s\t'\tVBZ\tB-VP\tO" +p268375 +aS'been\tbe\tVBN\tI-VP\tO' +p268376 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p268377 +aS'in\tin\tIN\tB-PP\tO' +p268378 +aS'the\tthe\tDT\tB-NP\tO' +p268379 +aS'past\tpast\tNN\tI-NP\tO' +p268380 +aS'.\t.\t.\tO\tO' +p268381 +asS'Neuro exam-the Mental Status Exam was variable , intermittently responsive , unable to follow commands .' +p268382 +(lp268383 +S'Neuro\tNeuro\tNNP\tB-NP\tO' +p268384 +aS'exam-the\texam-the\tNNP\tI-NP\tO' +p268385 +aS'Mental\tMental\tNNP\tI-NP\tO' +p268386 +aS'Status\tStatus\tNNP\tI-NP\tO' +p268387 +aS'Exam\tExam\tNNP\tI-NP\tO' +p268388 +aS'was\tbe\tVBD\tB-VP\tO' +p268389 +aS'variable\tvariable\tJJ\tB-ADJP\tO' +p268390 +aS',\t,\t,\tO\tO' +p268391 +aS'intermittently\tintermittently\tRB\tB-ADJP\tO' +p268392 +aS'responsive\tresponsive\tJJ\tI-ADJP\tO' +p268393 +aS',\t,\t,\tO\tO' +p268394 +aS'unable\tunable\tJJ\tB-ADJP\tO' +p268395 +aS'to\tto\tTO\tB-VP\tO' +p268396 +aS'follow\tfollow\tVB\tI-VP\tO' +p268397 +aS'commands\tcommand\tNNS\tB-NP\tO' +p268398 +aS'.\t.\t.\tO\tO' +p268399 +asS'Mild swelling was noted in the left hand .' +p268400 +(lp268401 +S'Mild\tMild\tNNP\tB-NP\tO' +p268402 +aS'swelling\tswelling\tNN\tI-NP\tO' +p268403 +aS'was\tbe\tVBD\tB-VP\tO' +p268404 +aS'noted\tnote\tVBN\tI-VP\tO' +p268405 +aS'in\tin\tIN\tB-PP\tO' +p268406 +aS'the\tthe\tDT\tB-NP\tO' +p268407 +aS'left\tleft\tJJ\tI-NP\tO' +p268408 +aS'hand\thand\tNN\tI-NP\tO' +p268409 +aS'.\t.\t.\tO\tO' +p268410 +asS'Her skin looked very bronze and tan , especially in the sun exposed areas .' +p268411 +(lp268412 +S'Her\tHer\tPRP$\tB-NP\tO' +p268413 +aS'skin\tskin\tNN\tI-NP\tO' +p268414 +aS'looked\tlook\tVBD\tB-VP\tO' +p268415 +aS'very\tvery\tRB\tB-NP\tO' +p268416 +aS'bronze\tbronze\tNN\tI-NP\tO' +p268417 +aS'and\tand\tCC\tI-NP\tO' +p268418 +aS'tan\ttan\tNN\tI-NP\tO' +p268419 +aS',\t,\t,\tO\tO' +p268420 +aS'especially\tespecially\tRB\tB-ADVP\tO' +p268421 +aS'in\tin\tIN\tB-PP\tO' +p268422 +aS'the\tthe\tDT\tB-NP\tO' +p268423 +aS'sun\tsun\tNN\tI-NP\tO' +p268424 +aS'exposed\texpose\tVBN\tI-NP\tO' +p268425 +aS'areas\tarea\tNNS\tI-NP\tO' +p268426 +aS'.\t.\t.\tO\tO' +p268427 +asS'Slight conjunctival pallor .' +p268428 +(lp268429 +S'Slight\tSlight\tJJ\tB-NP\tO' +p268430 +aS'conjunctival\tconjunctival\tJJ\tI-NP\tO' +p268431 +aS'pallor\tpallor\tNN\tI-NP\tO' +p268432 +aS'.\t.\t.\tO\tO' +p268433 +asS'He uses alcohol occasionally .' +p268434 +(lp268435 +S'He\tHe\tPRP\tB-NP\tO' +p268436 +aS'uses\tuse\tVBZ\tB-VP\tO' +p268437 +aS'alcohol\talcohol\tNN\tB-NP\tO' +p268438 +aS'occasionally\toccasionally\tRB\tB-ADVP\tO' +p268439 +aS'.\t.\t.\tO\tO' +p268440 +asS'On admission , white blood cell count was 11 , hematocrit was 30 , platelets were 269 .' +p268441 +(lp268442 +S'On\tOn\tIN\tB-PP\tO' +p268443 +aS'admission\tadmission\tNN\tB-NP\tO' +p268444 +aS',\t,\t,\tO\tO' +p268445 +aS'white\twhite\tJJ\tB-NP\tO' +p268446 +aS'blood\tblood\tNN\tI-NP\tO' +p268447 +aS'cell\tcell\tNN\tI-NP\tO' +p268448 +aS'count\tcount\tNN\tI-NP\tO' +p268449 +aS'was\tbe\tVBD\tB-VP\tO' +p268450 +aS'11\t11\tCD\tB-NP\tO' +p268451 +aS',\t,\t,\tO\tO' +p268452 +aS'hematocrit\thematocrit\tNN\tB-NP\tO' +p268453 +aS'was\tbe\tVBD\tB-VP\tO' +p268454 +aS'30\t30\tCD\tB-NP\tO' +p268455 +aS',\t,\t,\tO\tO' +p268456 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p268457 +aS'were\tbe\tVBD\tB-VP\tO' +p268458 +aS'269\t269\tCD\tB-NP\tO' +p268459 +aS'.\t.\t.\tO\tO' +p268460 +asS'The heart size , and mediastinal and hilar contours are normal .' +p268461 +(lp268462 +S'The\tThe\tDT\tB-NP\tO' +p268463 +aS'heart\theart\tNN\tI-NP\tO' +p268464 +aS'size\tsize\tNN\tI-NP\tO' +p268465 +aS',\t,\t,\tO\tO' +p268466 +aS'and\tand\tCC\tO\tO' +p268467 +aS'mediastinal\tmediastinal\tJJ\tB-NP\tO' +p268468 +aS'and\tand\tCC\tI-NP\tO' +p268469 +aS'hilar\thilar\tJJ\tI-NP\tO' +p268470 +aS'contours\tcontour\tNNS\tI-NP\tO' +p268471 +aS'are\tbe\tVBP\tB-VP\tO' +p268472 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p268473 +aS'.\t.\t.\tO\tO' +p268474 +asS'Dr. Berca Gachfrum performed a right modified mastectomy and left simple mastectomy on November 4 , 1991 .' +p268475 +(lp268476 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p268477 +aS'Berca\tBerca\tNNP\tI-NP\tO' +p268478 +aS'Gachfrum\tGachfrum\tNNP\tI-NP\tO' +p268479 +aS'performed\tperform\tVBD\tB-VP\tO' +p268480 +aS'a\ta\tDT\tB-NP\tO' +p268481 +aS'right\tright\tJJ\tI-NP\tO' +p268482 +aS'modified\tmodify\tVBN\tI-NP\tO' +p268483 +aS'mastectomy\tmastectomy\tNN\tI-NP\tO' +p268484 +aS'and\tand\tCC\tO\tO' +p268485 +aS'left\tleave\tVBD\tB-VP\tO' +p268486 +aS'simple\tsimple\tJJ\tB-NP\tO' +p268487 +aS'mastectomy\tmastectomy\tNN\tI-NP\tO' +p268488 +aS'on\ton\tIN\tB-PP\tO' +p268489 +aS'November\tNovember\tNNP\tB-NP\tO' +p268490 +aS'4\t4\tCD\tI-NP\tO' +p268491 +aS',\t,\t,\tI-NP\tO' +p268492 +aS'1991\t1991\tCD\tI-NP\tO' +p268493 +aS'.\t.\t.\tO\tO' +p268494 +asS'The patient was treated with ampicillin , gentamicin , and Flagyl .' +p268495 +(lp268496 +S'The\tThe\tDT\tB-NP\tO' +p268497 +aS'patient\tpatient\tNN\tI-NP\tO' +p268498 +aS'was\tbe\tVBD\tB-VP\tO' +p268499 +aS'treated\ttreat\tVBN\tI-VP\tO' +p268500 +aS'with\twith\tIN\tB-PP\tO' +p268501 +aS'ampicillin\tampicillin\tNN\tB-NP\tO' +p268502 +aS',\t,\t,\tO\tO' +p268503 +aS'gentamicin\tgentamicin\tNN\tB-NP\tO' +p268504 +aS',\t,\t,\tO\tO' +p268505 +aS'and\tand\tCC\tO\tO' +p268506 +aS'Flagyl\tFlagyl\tNN\tB-NP\tO' +p268507 +aS'.\t.\t.\tO\tO' +p268508 +asS'His Atenolol was held , and he had no further pauses during his stay .' +p268509 +(lp268510 +S'His\tHis\tPRP$\tB-NP\tO' +p268511 +aS'Atenolol\tAtenolol\tNN\tI-NP\tO' +p268512 +aS'was\tbe\tVBD\tB-VP\tO' +p268513 +aS'held\thold\tVBN\tI-VP\tO' +p268514 +aS',\t,\t,\tO\tO' +p268515 +aS'and\tand\tCC\tO\tO' +p268516 +aS'he\the\tPRP\tB-NP\tO' +p268517 +aS'had\thave\tVBD\tB-VP\tO' +p268518 +aS'no\tno\tDT\tB-NP\tO' +p268519 +aS'further\tfurther\tJJ\tI-NP\tO' +p268520 +aS'pauses\tpause\tNNS\tI-NP\tO' +p268521 +aS'during\tduring\tIN\tB-PP\tO' +p268522 +aS'his\this\tPRP$\tB-NP\tO' +p268523 +aS'stay\tstay\tNN\tI-NP\tO' +p268524 +aS'.\t.\t.\tO\tO' +p268525 +asS'3. Uniretic 15/25 .' +p268526 +(lp268527 +S'3.\t3.\tLS\tB-NP\tO' +p268528 +aS'Uniretic\tUniretic\tJJ\tI-NP\tO' +p268529 +aS'15/25\t15/25\tCD\tI-NP\tO' +p268530 +aS'.\t.\t.\tO\tO' +p268531 +asS'As volume depletion was thought to be the cause of her low BP , only the BBlocker was restarted .' +p268532 +(lp268533 +S'As\tAs\tIN\tB-SBAR\tO' +p268534 +aS'volume\tvolume\tNN\tB-NP\tO' +p268535 +aS'depletion\tdepletion\tNN\tI-NP\tO' +p268536 +aS'was\tbe\tVBD\tB-VP\tO' +p268537 +aS'thought\tthink\tVBN\tI-VP\tO' +p268538 +aS'to\tto\tTO\tI-VP\tO' +p268539 +aS'be\tbe\tVB\tI-VP\tO' +p268540 +aS'the\tthe\tDT\tB-NP\tO' +p268541 +aS'cause\tcause\tNN\tI-NP\tO' +p268542 +aS'of\tof\tIN\tB-PP\tO' +p268543 +aS'her\ther\tPRP$\tB-NP\tO' +p268544 +aS'low\tlow\tJJ\tI-NP\tO' +p268545 +aS'BP\tBP\tNN\tI-NP\tO' +p268546 +aS',\t,\t,\tO\tO' +p268547 +aS'only\tonly\tRB\tB-NP\tO' +p268548 +aS'the\tthe\tDT\tI-NP\tO' +p268549 +aS'BBlocker\tBBlocker\tNNP\tI-NP\tO' +p268550 +aS'was\tbe\tVBD\tB-VP\tO' +p268551 +aS'restarted\trestart\tVBN\tI-VP\tO' +p268552 +aS'.\t.\t.\tO\tO' +p268553 +asS'Furthermore , his Foley catheter was removed and he was started on anti-coagulation for his episodes of atrial fibrillation .' +p268554 +(lp268555 +S'Furthermore\tFurthermore\tRB\tB-ADVP\tO' +p268556 +aS',\t,\t,\tO\tO' +p268557 +aS'his\this\tPRP$\tB-NP\tO' +p268558 +aS'Foley\tFoley\tNNP\tI-NP\tO' +p268559 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p268560 +aS'was\tbe\tVBD\tB-VP\tO' +p268561 +aS'removed\tremove\tVBN\tI-VP\tO' +p268562 +aS'and\tand\tCC\tO\tO' +p268563 +aS'he\the\tPRP\tB-NP\tO' +p268564 +aS'was\tbe\tVBD\tB-VP\tO' +p268565 +aS'started\tstart\tVBN\tI-VP\tO' +p268566 +aS'on\ton\tIN\tB-PP\tO' +p268567 +aS'anti-coagulation\tanti-coagulation\tNN\tB-NP\tO' +p268568 +aS'for\tfor\tIN\tB-PP\tO' +p268569 +aS'his\this\tPRP$\tB-NP\tO' +p268570 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p268571 +aS'of\tof\tIN\tB-PP\tO' +p268572 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p268573 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p268574 +aS'.\t.\t.\tO\tO' +p268575 +asS'The chronic encephalomalacic changes at the adjacent right frontal lobe and the right parietal / occipital region remain stable in appearance .' +p268576 +(lp268577 +S'The\tThe\tDT\tB-NP\tO' +p268578 +aS'chronic\tchronic\tJJ\tI-NP\tO' +p268579 +aS'encephalomalacic\tencephalomalacic\tJJ\tI-NP\tO' +p268580 +aS'changes\tchange\tNNS\tI-NP\tO' +p268581 +aS'at\tat\tIN\tB-PP\tO' +p268582 +aS'the\tthe\tDT\tB-NP\tO' +p268583 +aS'adjacent\tadjacent\tJJ\tI-NP\tO' +p268584 +aS'right\tright\tJJ\tI-NP\tO' +p268585 +aS'frontal\tfrontal\tJJ\tI-NP\tO' +p268586 +aS'lobe\tlobe\tNN\tI-NP\tO' +p268587 +aS'and\tand\tCC\tO\tO' +p268588 +aS'the\tthe\tDT\tB-NP\tO' +p268589 +aS'right\tright\tJJ\tI-NP\tB-DNA' +p268590 +aS'parietal\tparietal\tNN\tI-NP\tI-DNA' +p268591 +aS'/\t/\tSYM\tB-VP\tI-DNA' +p268592 +aS'occipital\toccipital\tNN\tB-NP\tI-DNA' +p268593 +aS'region\tregion\tNN\tI-NP\tI-DNA' +p268594 +aS'remain\tremain\tVBP\tB-VP\tO' +p268595 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p268596 +aS'in\tin\tIN\tB-PP\tO' +p268597 +aS'appearance\tappearance\tNN\tB-NP\tO' +p268598 +aS'.\t.\t.\tO\tO' +p268599 +asS'9. Docusate Sodium 100 mg Capsule Sig : One ( 1 ) Capsule PO BID ( 2 times a day ) .' +p268600 +(lp268601 +S'9.\t9.\tLS\tB-NP\tO' +p268602 +aS'Docusate\tDocusate\tNNP\tI-NP\tO' +p268603 +aS'Sodium\tSodium\tNNP\tI-NP\tO' +p268604 +aS'100\t100\tCD\tI-NP\tO' +p268605 +aS'mg\tmg\tNN\tI-NP\tO' +p268606 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p268607 +aS'Sig\tSig\tNNP\tI-NP\tO' +p268608 +aS':\t:\t:\tO\tO' +p268609 +aS'One\tOne\tCD\tB-NP\tO' +p268610 +aS'(\t(\t(\tO\tO' +p268611 +aS'1\t1\tCD\tB-NP\tO' +p268612 +aS')\t)\t)\tO\tO' +p268613 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p268614 +aS'PO\tPO\tNNP\tI-NP\tO' +p268615 +aS'BID\tBID\tNNP\tI-NP\tO' +p268616 +aS'(\t(\t(\tO\tO' +p268617 +aS'2\t2\tCD\tB-NP\tO' +p268618 +aS'times\ttime\tNNS\tI-NP\tO' +p268619 +aS'a\ta\tDT\tB-NP\tO' +p268620 +aS'day\tday\tNN\tI-NP\tO' +p268621 +aS')\t)\t)\tO\tO' +p268622 +aS'.\t.\t.\tO\tO' +p268623 +asS'CTA was performed which was negative for PE , but revealed bilateral patchy ground glass opacities c/w aspiration vs. pneumonia vs. edema .' +p268624 +(lp268625 +S'CTA\tCTA\tNN\tB-NP\tB-protein' +p268626 +aS'was\tbe\tVBD\tB-VP\tO' +p268627 +aS'performed\tperform\tVBN\tI-VP\tO' +p268628 +aS'which\twhich\tWDT\tB-NP\tO' +p268629 +aS'was\tbe\tVBD\tB-VP\tO' +p268630 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p268631 +aS'for\tfor\tIN\tB-PP\tO' +p268632 +aS'PE\tPE\tNN\tB-NP\tO' +p268633 +aS',\t,\t,\tO\tO' +p268634 +aS'but\tbut\tCC\tO\tO' +p268635 +aS'revealed\treveal\tVBD\tB-VP\tO' +p268636 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p268637 +aS'patchy\tpatchy\tNN\tI-NP\tO' +p268638 +aS'ground\tground\tNN\tI-NP\tO' +p268639 +aS'glass\tglass\tNN\tI-NP\tO' +p268640 +aS'opacities\topacity\tNNS\tI-NP\tO' +p268641 +aS'c/w\tc/w\tVBP\tB-VP\tO' +p268642 +aS'aspiration\taspiration\tNN\tB-NP\tO' +p268643 +aS'vs.\tvs.\tIN\tB-PP\tO' +p268644 +aS'pneumonia\tpneumonia\tNN\tB-NP\tO' +p268645 +aS'vs.\tvs.\tIN\tB-PP\tO' +p268646 +aS'edema\tedema\tNN\tB-NP\tO' +p268647 +aS'.\t.\t.\tO\tO' +p268648 +asS'Occasional bleeding when she flosses and occasional dizziness secondary to a drop in blood pressure transiently at home .' +p268649 +(lp268650 +S'Occasional\tOccasional\tJJ\tB-ADJP\tO' +p268651 +aS'bleeding\tbleed\tVBG\tB-VP\tO' +p268652 +aS'when\twhen\tWRB\tB-ADVP\tO' +p268653 +aS'she\tshe\tPRP\tB-NP\tO' +p268654 +aS'flosses\tfloss\tVBZ\tB-VP\tO' +p268655 +aS'and\tand\tCC\tO\tO' +p268656 +aS'occasional\toccasional\tJJ\tB-NP\tO' +p268657 +aS'dizziness\tdizziness\tNN\tI-NP\tO' +p268658 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p268659 +aS'to\tto\tTO\tB-PP\tO' +p268660 +aS'a\ta\tDT\tB-NP\tO' +p268661 +aS'drop\tdrop\tNN\tI-NP\tO' +p268662 +aS'in\tin\tIN\tB-PP\tO' +p268663 +aS'blood\tblood\tNN\tB-NP\tO' +p268664 +aS'pressure\tpressure\tNN\tI-NP\tO' +p268665 +aS'transiently\ttransiently\tRB\tB-ADVP\tO' +p268666 +aS'at\tat\tIN\tB-PP\tO' +p268667 +aS'home\thome\tNN\tB-NP\tO' +p268668 +aS'.\t.\t.\tO\tO' +p268669 +asS'Signed electronically by : DR. Marion SCHNEIDER on : Sandra 2014-03-25 12:56 PM' +p268670 +(lp268671 +S'Signed\tSign\tVBN\tB-VP\tO' +p268672 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p268673 +aS'by\tby\tIN\tB-PP\tO' +p268674 +aS':\t:\t:\tO\tO' +p268675 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p268676 +aS'Marion\tMarion\tNNP\tI-NP\tO' +p268677 +aS'SCHNEIDER\tSCHNEIDER\tNNP\tI-NP\tO' +p268678 +aS'on\ton\tIN\tB-PP\tO' +p268679 +aS':\t:\t:\tO\tO' +p268680 +aS'Sandra\tSandra\tNNP\tB-NP\tO' +p268681 +aS'2014-03-25\t2014-03-25\tCD\tB-NP\tO' +p268682 +aS'12:56\t12:56\tCD\tI-NP\tO' +p268683 +aS'PM\tPM\tNN\tI-NP\tO' +p268684 +asS'She has a previous right mastectomy .' +p268685 +(lp268686 +S'She\tShe\tPRP\tB-NP\tO' +p268687 +aS'has\thave\tVBZ\tB-VP\tO' +p268688 +aS'a\ta\tDT\tB-NP\tO' +p268689 +aS'previous\tprevious\tJJ\tI-NP\tO' +p268690 +aS'right\tright\tJJ\tI-NP\tO' +p268691 +aS'mastectomy\tmastectomy\tNN\tI-NP\tO' +p268692 +aS'.\t.\t.\tO\tO' +p268693 +asS'Apgars were 9 and 9 at 1 and 5 minutes .' +p268694 +(lp268695 +S'Apgars\tApgar\tNNS\tB-NP\tO' +p268696 +aS'were\tbe\tVBD\tB-VP\tO' +p268697 +aS'9\t9\tCD\tB-NP\tO' +p268698 +aS'and\tand\tCC\tI-NP\tO' +p268699 +aS'9\t9\tCD\tI-NP\tO' +p268700 +aS'at\tat\tIN\tB-PP\tO' +p268701 +aS'1\t1\tCD\tB-NP\tO' +p268702 +aS'and\tand\tCC\tI-NP\tO' +p268703 +aS'5\t5\tCD\tI-NP\tO' +p268704 +aS'minutes\tminute\tNNS\tI-NP\tO' +p268705 +aS'.\t.\t.\tO\tO' +p268706 +asS'On transfer , the patient was not sedated , but was unresponsive and extremely dyssynchronous with the ventilator .' +p268707 +(lp268708 +S'On\tOn\tIN\tB-PP\tO' +p268709 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p268710 +aS',\t,\t,\tO\tO' +p268711 +aS'the\tthe\tDT\tB-NP\tO' +p268712 +aS'patient\tpatient\tNN\tI-NP\tO' +p268713 +aS'was\tbe\tVBD\tB-VP\tO' +p268714 +aS'not\tnot\tRB\tI-VP\tO' +p268715 +aS'sedated\tsedate\tVBN\tI-VP\tO' +p268716 +aS',\t,\t,\tO\tO' +p268717 +aS'but\tbut\tCC\tO\tO' +p268718 +aS'was\tbe\tVBD\tB-VP\tO' +p268719 +aS'unresponsive\tunresponsive\tJJ\tB-ADJP\tO' +p268720 +aS'and\tand\tCC\tO\tO' +p268721 +aS'extremely\textremely\tRB\tB-ADJP\tO' +p268722 +aS'dyssynchronous\tdyssynchronous\tJJ\tI-ADJP\tO' +p268723 +aS'with\twith\tIN\tB-PP\tO' +p268724 +aS'the\tthe\tDT\tB-NP\tO' +p268725 +aS'ventilator\tventilator\tNN\tI-NP\tO' +p268726 +aS'.\t.\t.\tO\tO' +p268727 +asS'However , the patient reports emesis in the hospital more frequently .' +p268728 +(lp268729 +S'However\tHowever\tRB\tB-ADVP\tO' +p268730 +aS',\t,\t,\tO\tO' +p268731 +aS'the\tthe\tDT\tB-NP\tO' +p268732 +aS'patient\tpatient\tNN\tI-NP\tO' +p268733 +aS'reports\treport\tVBZ\tB-VP\tO' +p268734 +aS'emesis\temesis\tNN\tB-NP\tO' +p268735 +aS'in\tin\tIN\tB-PP\tO' +p268736 +aS'the\tthe\tDT\tB-NP\tO' +p268737 +aS'hospital\thospital\tNN\tI-NP\tO' +p268738 +aS'more\tmore\tRBR\tB-ADVP\tO' +p268739 +aS'frequently\tfrequently\tRB\tI-ADVP\tO' +p268740 +aS'.\t.\t.\tO\tO' +p268741 +asS'Ext : warm well perfused No CCE' +p268742 +(lp268743 +S'Ext\tExt\tNNP\tB-NP\tO' +p268744 +aS':\t:\t:\tO\tO' +p268745 +aS'warm\twarm\tJJ\tB-ADJP\tO' +p268746 +aS'well\twell\tRB\tB-VP\tO' +p268747 +aS'perfused\tperfuse\tVBN\tI-VP\tO' +p268748 +aS'No\tNo\tDT\tB-NP\tO' +p268749 +aS'CCE\tCCE\tNN\tI-NP\tO' +p268750 +asS'His dressings were changed by the nursing staff accordingly .' +p268751 +(lp268752 +S'His\tHis\tPRP$\tB-NP\tO' +p268753 +aS'dressings\tdressing\tNNS\tI-NP\tO' +p268754 +aS'were\tbe\tVBD\tB-VP\tO' +p268755 +aS'changed\tchange\tVBN\tI-VP\tO' +p268756 +aS'by\tby\tIN\tB-PP\tO' +p268757 +aS'the\tthe\tDT\tB-NP\tO' +p268758 +aS'nursing\tnursing\tNN\tI-NP\tO' +p268759 +aS'staff\tstaff\tNN\tI-NP\tO' +p268760 +aS'accordingly\taccordingly\tRB\tB-ADVP\tO' +p268761 +aS'.\t.\t.\tO\tO' +p268762 +asS'The patient is thus stage IV endometrial and stage III-C ovarian vs metastatic endometrial for line II , cycle I chemotherapy IFEX , MESNA and VP-16 .' +p268763 +(lp268764 +S'The\tThe\tDT\tB-NP\tO' +p268765 +aS'patient\tpatient\tNN\tI-NP\tO' +p268766 +aS'is\tbe\tVBZ\tB-VP\tO' +p268767 +aS'thus\tthus\tRB\tB-ADVP\tO' +p268768 +aS'stage\tstage\tNN\tB-NP\tO' +p268769 +aS'IV\tIV\tCD\tI-NP\tO' +p268770 +aS'endometrial\tendometrial\tJJ\tI-NP\tO' +p268771 +aS'and\tand\tCC\tI-NP\tO' +p268772 +aS'stage\tstage\tNN\tI-NP\tO' +p268773 +aS'III-C\tIII-C\tNN\tI-NP\tO' +p268774 +aS'ovarian\tovarian\tJJ\tB-ADJP\tO' +p268775 +aS'vs\tvs\tIN\tB-PP\tO' +p268776 +aS'metastatic\tmetastatic\tJJ\tB-NP\tO' +p268777 +aS'endometrial\tendometrial\tNN\tI-NP\tO' +p268778 +aS'for\tfor\tIN\tB-PP\tO' +p268779 +aS'line\tline\tNN\tB-NP\tO' +p268780 +aS'II\tII\tCD\tI-NP\tO' +p268781 +aS',\t,\t,\tO\tO' +p268782 +aS'cycle\tcycle\tNN\tB-NP\tO' +p268783 +aS'I\tI\tCD\tI-NP\tO' +p268784 +aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' +p268785 +aS'IFEX\tIFEX\tNN\tI-NP\tO' +p268786 +aS',\t,\t,\tO\tO' +p268787 +aS'MESNA\tMESNA\tNN\tB-NP\tB-protein' +p268788 +aS'and\tand\tCC\tI-NP\tO' +p268789 +aS'VP-16\tVP-16\tNN\tI-NP\tB-protein' +p268790 +aS'.\t.\t.\tO\tO' +p268791 +asS"On the third hospital day the patient 's pain was improving and the rebound was decreasing ." +p268792 +(lp268793 +S'On\tOn\tIN\tB-PP\tO' +p268794 +aS'the\tthe\tDT\tB-NP\tO' +p268795 +aS'third\tthird\tJJ\tI-NP\tO' +p268796 +aS'hospital\thospital\tNN\tI-NP\tO' +p268797 +aS'day\tday\tNN\tI-NP\tO' +p268798 +aS'the\tthe\tDT\tB-NP\tO' +p268799 +aS'patient\tpatient\tNN\tI-NP\tO' +p268800 +aS"'s\t's\tPOS\tB-NP\tO" +p268801 +aS'pain\tpain\tNN\tI-NP\tO' +p268802 +aS'was\tbe\tVBD\tB-VP\tO' +p268803 +aS'improving\timprove\tVBG\tI-VP\tO' +p268804 +aS'and\tand\tCC\tO\tO' +p268805 +aS'the\tthe\tDT\tB-NP\tO' +p268806 +aS'rebound\trebound\tNN\tI-NP\tO' +p268807 +aS'was\tbe\tVBD\tB-VP\tO' +p268808 +aS'decreasing\tdecrease\tVBG\tI-VP\tO' +p268809 +aS'.\t.\t.\tO\tO' +p268810 +asS'The patient was started on Propafenone 300 mg three times a day and underwent an attempt at electrical cardioversion after seven doses of this .' +p268811 +(lp268812 +S'The\tThe\tDT\tB-NP\tO' +p268813 +aS'patient\tpatient\tNN\tI-NP\tO' +p268814 +aS'was\tbe\tVBD\tB-VP\tO' +p268815 +aS'started\tstart\tVBN\tI-VP\tO' +p268816 +aS'on\ton\tIN\tB-PP\tO' +p268817 +aS'Propafenone\tPropafenone\tNN\tB-NP\tO' +p268818 +aS'300\t300\tCD\tI-NP\tO' +p268819 +aS'mg\tmg\tNN\tI-NP\tO' +p268820 +aS'three\tthree\tCD\tB-NP\tO' +p268821 +aS'times\ttime\tNNS\tI-NP\tO' +p268822 +aS'a\ta\tDT\tB-NP\tO' +p268823 +aS'day\tday\tNN\tI-NP\tO' +p268824 +aS'and\tand\tCC\tO\tO' +p268825 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p268826 +aS'an\tan\tDT\tB-NP\tO' +p268827 +aS'attempt\tattempt\tNN\tI-NP\tO' +p268828 +aS'at\tat\tIN\tB-PP\tO' +p268829 +aS'electrical\telectrical\tJJ\tB-NP\tO' +p268830 +aS'cardioversion\tcardioversion\tNN\tI-NP\tO' +p268831 +aS'after\tafter\tIN\tB-PP\tO' +p268832 +aS'seven\tseven\tCD\tB-NP\tO' +p268833 +aS'doses\tdose\tNNS\tI-NP\tO' +p268834 +aS'of\tof\tIN\tB-PP\tO' +p268835 +aS'this\tthis\tDT\tB-NP\tO' +p268836 +aS'.\t.\t.\tO\tO' +p268837 +asS'The patient is to be discharged home with visiting nurses .' +p268838 +(lp268839 +S'The\tThe\tDT\tB-NP\tO' +p268840 +aS'patient\tpatient\tNN\tI-NP\tO' +p268841 +aS'is\tbe\tVBZ\tB-VP\tO' +p268842 +aS'to\tto\tTO\tI-VP\tO' +p268843 +aS'be\tbe\tVB\tI-VP\tO' +p268844 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p268845 +aS'home\thome\tNN\tB-ADVP\tO' +p268846 +aS'with\twith\tIN\tB-PP\tO' +p268847 +aS'visiting\tvisit\tVBG\tB-NP\tO' +p268848 +aS'nurses\tnurse\tNNS\tI-NP\tO' +p268849 +aS'.\t.\t.\tO\tO' +p268850 +asS'On postoperative nine , her JP drain was discontinued .' +p268851 +(lp268852 +S'On\tOn\tIN\tB-PP\tO' +p268853 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p268854 +aS'nine\tnine\tCD\tI-NP\tO' +p268855 +aS',\t,\t,\tO\tO' +p268856 +aS'her\ther\tPRP$\tB-NP\tO' +p268857 +aS'JP\tJP\tNN\tI-NP\tB-protein' +p268858 +aS'drain\tdrain\tNN\tI-NP\tI-protein' +p268859 +aS'was\tbe\tVBD\tB-VP\tO' +p268860 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p268861 +aS'.\t.\t.\tO\tO' +p268862 +asS'On transfer include Vancomycin , Ceftazidime , gentamicin , Solu Cortef 100 mg q8h , Lasix , Synthroid , insulin , MS Contin 60 mg b.i.d. , MSO4 2 mg p.r.n. pain IV , Dopamine 12 mcg per minute .' +p268863 +(lp268864 +S'On\tOn\tIN\tB-PP\tO' +p268865 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p268866 +aS'include\tinclude\tVBP\tB-VP\tO' +p268867 +aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' +p268868 +aS',\t,\t,\tO\tO' +p268869 +aS'Ceftazidime\tCeftazidime\tNN\tB-NP\tO' +p268870 +aS',\t,\t,\tO\tO' +p268871 +aS'gentamicin\tgentamicin\tNN\tB-NP\tO' +p268872 +aS',\t,\t,\tO\tO' +p268873 +aS'Solu\tSolu\tNNP\tB-NP\tO' +p268874 +aS'Cortef\tCortef\tNNP\tI-NP\tO' +p268875 +aS'100\t100\tCD\tI-NP\tO' +p268876 +aS'mg\tmg\tNN\tI-NP\tO' +p268877 +aS'q8h\tq8h\tNN\tI-NP\tO' +p268878 +aS',\t,\t,\tO\tO' +p268879 +aS'Lasix\tLasix\tNNP\tB-NP\tO' +p268880 +aS',\t,\t,\tO\tO' +p268881 +aS'Synthroid\tSynthroid\tNNP\tB-NP\tO' +p268882 +aS',\t,\t,\tO\tO' +p268883 +aS'insulin\tinsulin\tNN\tB-NP\tB-protein' +p268884 +aS',\t,\t,\tO\tO' +p268885 +aS'MS\tMS\tNN\tB-NP\tO' +p268886 +aS'Contin\tContin\tNN\tI-NP\tO' +p268887 +aS'60\t60\tCD\tI-NP\tO' +p268888 +aS'mg\tmg\tNN\tI-NP\tO' +p268889 +aS'b.i.d.\tb.i.d.\tRB\tB-ADVP\tO' +p268890 +aS',\t,\t,\tO\tO' +p268891 +aS'MSO4\tMSO4\tNN\tB-NP\tB-protein' +p268892 +aS'2\t2\tCD\tI-NP\tI-protein' +p268893 +aS'mg\tmg\tNN\tI-NP\tI-protein' +p268894 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tI-protein' +p268895 +aS'pain\tpain\tNN\tI-NP\tI-protein' +p268896 +aS'IV\tIV\tCD\tI-NP\tI-protein' +p268897 +aS',\t,\t,\tO\tO' +p268898 +aS'Dopamine\tDopamine\tNN\tB-NP\tO' +p268899 +aS'12\t12\tCD\tI-NP\tO' +p268900 +aS'mcg\tmcg\tNN\tI-NP\tO' +p268901 +aS'per\tper\tIN\tB-PP\tO' +p268902 +aS'minute\tminute\tNN\tB-NP\tO' +p268903 +aS'.\t.\t.\tO\tO' +p268904 +asS'Abnormal Pap Test , history of ; Bacterial Vaginitis ; Contraception Management ; Hiv Counseled' +p268905 +(lp268906 +S'Abnormal\tAbnormal\tJJ\tB-NP\tO' +p268907 +aS'Pap\tPap\tNN\tI-NP\tO' +p268908 +aS'Test\tTest\tNN\tI-NP\tO' +p268909 +aS',\t,\t,\tO\tO' +p268910 +aS'history\thistory\tNN\tB-NP\tO' +p268911 +aS'of\tof\tIN\tB-PP\tO' +p268912 +aS';\t;\t:\tO\tO' +p268913 +aS'Bacterial\tBacterial\tNNP\tB-NP\tO' +p268914 +aS'Vaginitis\tVaginitis\tNNP\tI-NP\tO' +p268915 +aS';\t;\t:\tO\tO' +p268916 +aS'Contraception\tContraception\tNNP\tB-NP\tO' +p268917 +aS'Management\tManagement\tNNP\tI-NP\tO' +p268918 +aS';\t;\t:\tO\tO' +p268919 +aS'Hiv\tHiv\tNNP\tB-NP\tO' +p268920 +aS'Counseled\tCounseled\tNNP\tI-NP\tO' +p268921 +asS'The gradients are higher than expected for this type of prosthesis .' +p268922 +(lp268923 +S'The\tThe\tDT\tB-NP\tO' +p268924 +aS'gradients\tgradient\tNNS\tI-NP\tO' +p268925 +aS'are\tbe\tVBP\tB-VP\tO' +p268926 +aS'higher\thigh\tJJR\tB-ADJP\tO' +p268927 +aS'than\tthan\tIN\tB-SBAR\tO' +p268928 +aS'expected\texpect\tVBN\tB-VP\tO' +p268929 +aS'for\tfor\tIN\tB-PP\tO' +p268930 +aS'this\tthis\tDT\tB-NP\tO' +p268931 +aS'type\ttype\tNN\tI-NP\tO' +p268932 +aS'of\tof\tIN\tB-PP\tO' +p268933 +aS'prosthesis\tprosthesis\tNN\tB-NP\tO' +p268934 +aS'.\t.\t.\tO\tO' +p268935 +asS'Superficial varicose veins .' +p268936 +(lp268937 +S'Superficial\tSuperficial\tJJ\tB-NP\tO' +p268938 +aS'varicose\tvaricose\tNN\tI-NP\tO' +p268939 +aS'veins\tvein\tNNS\tI-NP\tO' +p268940 +aS'.\t.\t.\tO\tO' +p268941 +asS'On the morning of possible radiation , patient and family met with interventional pulmonary team who explained that the most recent CT showed further invasion of the tumor into the trachea .' +p268942 +(lp268943 +S'On\tOn\tIN\tB-PP\tO' +p268944 +aS'the\tthe\tDT\tB-NP\tO' +p268945 +aS'morning\tmorning\tNN\tI-NP\tO' +p268946 +aS'of\tof\tIN\tB-PP\tO' +p268947 +aS'possible\tpossible\tJJ\tB-NP\tO' +p268948 +aS'radiation\tradiation\tNN\tI-NP\tO' +p268949 +aS',\t,\t,\tI-NP\tO' +p268950 +aS'patient\tpatient\tNN\tI-NP\tO' +p268951 +aS'and\tand\tCC\tI-NP\tO' +p268952 +aS'family\tfamily\tNN\tI-NP\tO' +p268953 +aS'met\tmeet\tVBD\tB-VP\tO' +p268954 +aS'with\twith\tIN\tB-PP\tO' +p268955 +aS'interventional\tinterventional\tJJ\tB-NP\tO' +p268956 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p268957 +aS'team\tteam\tNN\tI-NP\tO' +p268958 +aS'who\twho\tWP\tB-NP\tO' +p268959 +aS'explained\texplain\tVBD\tB-VP\tO' +p268960 +aS'that\tthat\tIN\tB-SBAR\tO' +p268961 +aS'the\tthe\tDT\tB-NP\tO' +p268962 +aS'most\tmost\tRBS\tI-NP\tO' +p268963 +aS'recent\trecent\tJJ\tI-NP\tO' +p268964 +aS'CT\tCT\tNN\tI-NP\tO' +p268965 +aS'showed\tshow\tVBD\tB-VP\tO' +p268966 +aS'further\tfurther\tJJ\tB-NP\tO' +p268967 +aS'invasion\tinvasion\tNN\tI-NP\tO' +p268968 +aS'of\tof\tIN\tB-PP\tO' +p268969 +aS'the\tthe\tDT\tB-NP\tO' +p268970 +aS'tumor\ttumor\tNN\tI-NP\tO' +p268971 +aS'into\tinto\tIN\tB-PP\tO' +p268972 +aS'the\tthe\tDT\tB-NP\tO' +p268973 +aS'trachea\ttrachea\tNN\tI-NP\tO' +p268974 +aS'.\t.\t.\tO\tO' +p268975 +asS'She was readmitted because of a problem with uremia and high BUN and creatinine when she seen in the office and the BUN and creatinine was ordered .' +p268976 +(lp268977 +S'She\tShe\tPRP\tB-NP\tO' +p268978 +aS'was\tbe\tVBD\tB-VP\tO' +p268979 +aS'readmitted\treadmitte\tVBN\tI-VP\tO' +p268980 +aS'because\tbecause\tRB\tB-PP\tO' +p268981 +aS'of\tof\tIN\tI-PP\tO' +p268982 +aS'a\ta\tDT\tB-NP\tO' +p268983 +aS'problem\tproblem\tNN\tI-NP\tO' +p268984 +aS'with\twith\tIN\tB-PP\tO' +p268985 +aS'uremia\turemia\tNN\tB-NP\tO' +p268986 +aS'and\tand\tCC\tO\tO' +p268987 +aS'high\thigh\tJJ\tB-NP\tO' +p268988 +aS'BUN\tBUN\tNN\tI-NP\tO' +p268989 +aS'and\tand\tCC\tI-NP\tO' +p268990 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p268991 +aS'when\twhen\tWRB\tB-ADVP\tO' +p268992 +aS'she\tshe\tPRP\tB-NP\tO' +p268993 +aS'seen\tsee\tVBN\tB-VP\tO' +p268994 +aS'in\tin\tIN\tB-PP\tO' +p268995 +aS'the\tthe\tDT\tB-NP\tO' +p268996 +aS'office\toffice\tNN\tI-NP\tO' +p268997 +aS'and\tand\tCC\tO\tO' +p268998 +aS'the\tthe\tDT\tB-NP\tO' +p268999 +aS'BUN\tBUN\tNN\tI-NP\tO' +p269000 +aS'and\tand\tCC\tI-NP\tO' +p269001 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p269002 +aS'was\tbe\tVBD\tB-VP\tO' +p269003 +aS'ordered\torder\tVBN\tI-VP\tO' +p269004 +aS'.\t.\t.\tO\tO' +p269005 +asS'The patient underwent an exchange peritoneal dialysis .' +p269006 +(lp269007 +S'The\tThe\tDT\tB-NP\tO' +p269008 +aS'patient\tpatient\tNN\tI-NP\tO' +p269009 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p269010 +aS'an\tan\tDT\tB-NP\tO' +p269011 +aS'exchange\texchange\tNN\tI-NP\tO' +p269012 +aS'peritoneal\tperitoneal\tJJ\tI-NP\tO' +p269013 +aS'dialysis\tdialysis\tNN\tI-NP\tO' +p269014 +aS'.\t.\t.\tO\tO' +p269015 +asS'Breath sounds were of good intensity .' +p269016 +(lp269017 +S'Breath\tBreath\tNN\tB-NP\tO' +p269018 +aS'sounds\tsound\tNNS\tI-NP\tO' +p269019 +aS'were\tbe\tVBD\tB-VP\tO' +p269020 +aS'of\tof\tIN\tB-PP\tO' +p269021 +aS'good\tgood\tJJ\tB-NP\tO' +p269022 +aS'intensity\tintensity\tNN\tI-NP\tO' +p269023 +aS'.\t.\t.\tO\tO' +p269024 +asS'The patient , at the time of transfer , was tolerating clears with low stoma output , likely to tolerate slow advancement .' +p269025 +(lp269026 +S'The\tThe\tDT\tB-NP\tO' +p269027 +aS'patient\tpatient\tNN\tI-NP\tO' +p269028 +aS',\t,\t,\tO\tO' +p269029 +aS'at\tat\tIN\tB-PP\tO' +p269030 +aS'the\tthe\tDT\tB-NP\tO' +p269031 +aS'time\ttime\tNN\tI-NP\tO' +p269032 +aS'of\tof\tIN\tB-PP\tO' +p269033 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p269034 +aS',\t,\t,\tO\tO' +p269035 +aS'was\tbe\tVBD\tB-VP\tO' +p269036 +aS'tolerating\ttolerate\tVBG\tI-VP\tO' +p269037 +aS'clears\tclear\tNNS\tB-NP\tO' +p269038 +aS'with\twith\tIN\tB-PP\tO' +p269039 +aS'low\tlow\tJJ\tB-NP\tO' +p269040 +aS'stoma\tstoma\tNN\tI-NP\tO' +p269041 +aS'output\toutput\tNN\tI-NP\tO' +p269042 +aS',\t,\t,\tO\tO' +p269043 +aS'likely\tlikely\tJJ\tB-ADJP\tO' +p269044 +aS'to\tto\tTO\tB-VP\tO' +p269045 +aS'tolerate\ttolerate\tVB\tI-VP\tO' +p269046 +aS'slow\tslow\tJJ\tB-NP\tO' +p269047 +aS'advancement\tadvancement\tNN\tI-NP\tO' +p269048 +aS'.\t.\t.\tO\tO' +p269049 +asS'The patient was born at 32 and 4/7 weeks gestation and brought directly to the CMED CSRU .' +p269050 +(lp269051 +S'The\tThe\tDT\tB-NP\tO' +p269052 +aS'patient\tpatient\tNN\tI-NP\tO' +p269053 +aS'was\tbe\tVBD\tB-VP\tO' +p269054 +aS'born\tbear\tVBN\tI-VP\tO' +p269055 +aS'at\tat\tIN\tB-PP\tO' +p269056 +aS'32\t32\tCD\tB-NP\tO' +p269057 +aS'and\tand\tCC\tI-NP\tO' +p269058 +aS'4/7\t4/7\tCD\tI-NP\tO' +p269059 +aS'weeks\tweek\tNNS\tI-NP\tO' +p269060 +aS'gestation\tgestation\tNN\tI-NP\tO' +p269061 +aS'and\tand\tCC\tO\tO' +p269062 +aS'brought\tbring\tVBD\tB-VP\tO' +p269063 +aS'directly\tdirectly\tRB\tB-ADVP\tO' +p269064 +aS'to\tto\tTO\tB-PP\tO' +p269065 +aS'the\tthe\tDT\tB-NP\tO' +p269066 +aS'CMED\tCMED\tNNP\tI-NP\tO' +p269067 +aS'CSRU\tCSRU\tNNP\tI-NP\tO' +p269068 +aS'.\t.\t.\tO\tO' +p269069 +asS'gen - lying in bed , NAD' +p269070 +(lp269071 +S'gen\tgen\tNN\tB-NP\tO' +p269072 +aS'-\t-\tHYPH\tO\tO' +p269073 +aS'lying\tlie\tVBG\tB-VP\tO' +p269074 +aS'in\tin\tIN\tB-PP\tO' +p269075 +aS'bed\tbed\tNN\tB-NP\tO' +p269076 +aS',\t,\t,\tO\tO' +p269077 +aS'NAD\tNAD\tNN\tB-NP\tO' +p269078 +asS'A code was called , + pulse .' +p269079 +(lp269080 +S'A\tA\tDT\tB-NP\tO' +p269081 +aS'code\tcode\tNN\tI-NP\tO' +p269082 +aS'was\tbe\tVBD\tB-VP\tO' +p269083 +aS'called\tcall\tVBN\tI-VP\tO' +p269084 +aS',\t,\t,\tO\tO' +p269085 +aS'+\t+\tSYM\tB-NP\tO' +p269086 +aS'pulse\tpulse\tNN\tI-NP\tO' +p269087 +aS'.\t.\t.\tO\tO' +p269088 +asS'Urachal duct remnanr found , removed and bladder repaired .' +p269089 +(lp269090 +S'Urachal\tUrachal\tJJ\tB-NP\tO' +p269091 +aS'duct\tduct\tNN\tI-NP\tO' +p269092 +aS'remnanr\tremnanr\tNN\tI-NP\tO' +p269093 +aS'found\tfind\tVBN\tB-VP\tO' +p269094 +aS',\t,\t,\tO\tO' +p269095 +aS'removed\tremove\tVBN\tB-VP\tO' +p269096 +aS'and\tand\tCC\tO\tO' +p269097 +aS'bladder\tbladder\tNN\tB-NP\tO' +p269098 +aS'repaired\trepair\tVBN\tB-VP\tO' +p269099 +aS'.\t.\t.\tO\tO' +p269100 +asS'Abd : soft , slightly obese , nondistended , +BS' +p269101 +(lp269102 +S'Abd\tAbd\tNN\tB-NP\tO' +p269103 +aS':\t:\t:\tO\tO' +p269104 +aS'soft\tsoft\tJJ\tB-NP\tO' +p269105 +aS',\t,\t,\tI-NP\tO' +p269106 +aS'slightly\tslightly\tRB\tI-NP\tO' +p269107 +aS'obese\tobese\tJJ\tI-NP\tO' +p269108 +aS',\t,\t,\tI-NP\tO' +p269109 +aS'nondistended\tnondistended\tJJ\tI-NP\tO' +p269110 +aS',\t,\t,\tO\tO' +p269111 +aS'+BS\t+BS\tNNP\tB-NP\tO' +p269112 +asS'9) Hypernatremia - While in the CMED CSRU the pt developed hypernatremia .' +p269113 +(lp269114 +S'9)\t9)\tLS\tB-NP\tO' +p269115 +aS'Hypernatremia\tHypernatremia\tNN\tI-NP\tO' +p269116 +aS'-\t-\tHYPH\tB-VP\tO' +p269117 +aS'While\tWhile\tIN\tB-SBAR\tO' +p269118 +aS'in\tin\tIN\tB-PP\tO' +p269119 +aS'the\tthe\tDT\tB-NP\tO' +p269120 +aS'CMED\tCMED\tNNP\tI-NP\tO' +p269121 +aS'CSRU\tCSRU\tNNP\tI-NP\tO' +p269122 +aS'the\tthe\tDT\tB-NP\tO' +p269123 +aS'pt\tpt\tNN\tI-NP\tO' +p269124 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p269125 +aS'hypernatremia\thypernatremia\tNN\tB-NP\tO' +p269126 +aS'.\t.\t.\tO\tO' +p269127 +asS'Sedation was held to allow for frequent exams .' +p269128 +(lp269129 +S'Sedation\tSedation\tNN\tB-NP\tO' +p269130 +aS'was\tbe\tVBD\tB-VP\tO' +p269131 +aS'held\thold\tVBN\tI-VP\tO' +p269132 +aS'to\tto\tTO\tB-VP\tO' +p269133 +aS'allow\tallow\tVB\tI-VP\tO' +p269134 +aS'for\tfor\tIN\tB-PP\tO' +p269135 +aS'frequent\tfrequent\tJJ\tB-NP\tO' +p269136 +aS'exams\texam\tNNS\tI-NP\tO' +p269137 +aS'.\t.\t.\tO\tO' +p269138 +asS'She was also to obtain a second opinion regarding the question of possible surgical management .' +p269139 +(lp269140 +S'She\tShe\tPRP\tB-NP\tO' +p269141 +aS'was\tbe\tVBD\tB-VP\tO' +p269142 +aS'also\talso\tRB\tB-ADVP\tO' +p269143 +aS'to\tto\tTO\tB-VP\tO' +p269144 +aS'obtain\tobtain\tVB\tI-VP\tO' +p269145 +aS'a\ta\tDT\tB-NP\tO' +p269146 +aS'second\tsecond\tJJ\tI-NP\tO' +p269147 +aS'opinion\topinion\tNN\tI-NP\tO' +p269148 +aS'regarding\tregard\tVBG\tB-VP\tO' +p269149 +aS'the\tthe\tDT\tB-NP\tO' +p269150 +aS'question\tquestion\tNN\tI-NP\tO' +p269151 +aS'of\tof\tIN\tB-PP\tO' +p269152 +aS'possible\tpossible\tJJ\tB-NP\tO' +p269153 +aS'surgical\tsurgical\tJJ\tI-NP\tO' +p269154 +aS'management\tmanagement\tNN\tI-NP\tO' +p269155 +aS'.\t.\t.\tO\tO' +p269156 +asS'6. GERD .' +p269157 +(lp269158 +S'6.\t6.\tLS\tB-LST\tO' +p269159 +aS'GERD\tGERD\tNNP\tB-NP\tO' +p269160 +aS'.\t.\t.\tO\tO' +p269161 +asS'He continued to diurese and he was moved to the floor since he no longer required intensive level care .' +p269162 +(lp269163 +S'He\tHe\tPRP\tB-NP\tO' +p269164 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p269165 +aS'to\tto\tTO\tI-VP\tO' +p269166 +aS'diurese\tdiurese\tVB\tI-VP\tO' +p269167 +aS'and\tand\tCC\tO\tO' +p269168 +aS'he\the\tPRP\tB-NP\tO' +p269169 +aS'was\tbe\tVBD\tB-VP\tO' +p269170 +aS'moved\tmove\tVBN\tI-VP\tO' +p269171 +aS'to\tto\tTO\tB-PP\tO' +p269172 +aS'the\tthe\tDT\tB-NP\tO' +p269173 +aS'floor\tfloor\tNN\tI-NP\tO' +p269174 +aS'since\tsince\tIN\tB-SBAR\tO' +p269175 +aS'he\the\tPRP\tB-NP\tO' +p269176 +aS'no\tno\tRB\tB-ADVP\tO' +p269177 +aS'longer\tlonger\tRBR\tI-ADVP\tO' +p269178 +aS'required\trequire\tVBD\tB-VP\tO' +p269179 +aS'intensive\tintensive\tJJ\tB-NP\tO' +p269180 +aS'level\tlevel\tNN\tI-NP\tO' +p269181 +aS'care\tcare\tNN\tI-NP\tO' +p269182 +aS'.\t.\t.\tO\tO' +p269183 +asS'7) Magnesium hydroxide 30 milliliters p.o. q day .' +p269184 +(lp269185 +S'7)\t7)\tLS\tB-NP\tO' +p269186 +aS'Magnesium\tMagnesium\tNN\tI-NP\tO' +p269187 +aS'hydroxide\thydroxide\tNN\tI-NP\tO' +p269188 +aS'30\t30\tCD\tB-NP\tO' +p269189 +aS'milliliters\tmilliliter\tNNS\tI-NP\tO' +p269190 +aS'p.o.\tp.o.\tFW\tB-NP\tO' +p269191 +aS'q\tq\tNN\tI-NP\tO' +p269192 +aS'day\tday\tNN\tI-NP\tO' +p269193 +aS'.\t.\t.\tO\tO' +p269194 +asS'3. Posttraumatic stress disorder .' +p269195 +(lp269196 +S'3.\t3.\tLS\tB-NP\tO' +p269197 +aS'Posttraumatic\tPosttraumatic\tJJ\tI-NP\tO' +p269198 +aS'stress\tstress\tNN\tI-NP\tO' +p269199 +aS'disorder\tdisorder\tNN\tI-NP\tO' +p269200 +aS'.\t.\t.\tO\tO' +p269201 +asS'The Intensive Care Unit course was also notable for negative chest x-ray , two units of packed red blood cells for a hematocrit of 24.0 with appropriate bump in her hematocrit and no evidence of bleeding , stable blood pressure despite a net fluid balance of negative 2.5 liters .' +p269202 +(lp269203 +S'The\tThe\tDT\tB-NP\tO' +p269204 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p269205 +aS'Care\tCare\tNNP\tI-NP\tO' +p269206 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p269207 +aS'course\tcourse\tNN\tI-NP\tO' +p269208 +aS'was\tbe\tVBD\tB-VP\tO' +p269209 +aS'also\talso\tRB\tB-ADVP\tO' +p269210 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p269211 +aS'for\tfor\tIN\tB-PP\tO' +p269212 +aS'negative\tnegative\tJJ\tB-NP\tO' +p269213 +aS'chest\tchest\tNN\tI-NP\tO' +p269214 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p269215 +aS',\t,\t,\tO\tO' +p269216 +aS'two\ttwo\tCD\tB-NP\tO' +p269217 +aS'units\tunit\tNNS\tI-NP\tO' +p269218 +aS'of\tof\tIN\tB-PP\tO' +p269219 +aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' +p269220 +aS'red\tred\tJJ\tI-NP\tI-cell_type' +p269221 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p269222 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p269223 +aS'for\tfor\tIN\tB-PP\tO' +p269224 +aS'a\ta\tDT\tB-NP\tO' +p269225 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p269226 +aS'of\tof\tIN\tB-PP\tO' +p269227 +aS'24.0\t24.0\tCD\tB-NP\tO' +p269228 +aS'with\twith\tIN\tB-PP\tO' +p269229 +aS'appropriate\tappropriate\tJJ\tB-NP\tO' +p269230 +aS'bump\tbump\tNN\tI-NP\tO' +p269231 +aS'in\tin\tIN\tB-PP\tO' +p269232 +aS'her\ther\tPRP$\tB-NP\tO' +p269233 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p269234 +aS'and\tand\tCC\tO\tO' +p269235 +aS'no\tno\tDT\tB-NP\tO' +p269236 +aS'evidence\tevidence\tNN\tI-NP\tO' +p269237 +aS'of\tof\tIN\tB-PP\tO' +p269238 +aS'bleeding\tbleeding\tNN\tB-NP\tO' +p269239 +aS',\t,\t,\tO\tO' +p269240 +aS'stable\tstable\tJJ\tB-NP\tO' +p269241 +aS'blood\tblood\tNN\tI-NP\tO' +p269242 +aS'pressure\tpressure\tNN\tI-NP\tO' +p269243 +aS'despite\tdespite\tIN\tB-PP\tO' +p269244 +aS'a\ta\tDT\tB-NP\tO' +p269245 +aS'net\tnet\tJJ\tI-NP\tO' +p269246 +aS'fluid\tfluid\tNN\tI-NP\tO' +p269247 +aS'balance\tbalance\tNN\tI-NP\tO' +p269248 +aS'of\tof\tIN\tB-PP\tO' +p269249 +aS'negative\tnegative\tJJ\tB-NP\tO' +p269250 +aS'2.5\t2.5\tCD\tI-NP\tO' +p269251 +aS'liters\tliter\tNNS\tI-NP\tO' +p269252 +aS'.\t.\t.\tO\tO' +p269253 +asS'The infant does not meet criteria for head ultrasound .' +p269254 +(lp269255 +S'The\tThe\tDT\tB-NP\tO' +p269256 +aS'infant\tinfant\tNN\tI-NP\tO' +p269257 +aS'does\tdo\tVBZ\tB-VP\tO' +p269258 +aS'not\tnot\tRB\tI-VP\tO' +p269259 +aS'meet\tmeet\tVB\tI-VP\tO' +p269260 +aS'criteria\tcriterion\tNNS\tB-NP\tO' +p269261 +aS'for\tfor\tIN\tB-PP\tO' +p269262 +aS'head\thead\tNN\tB-NP\tO' +p269263 +aS'ultrasound\tultrasound\tNN\tI-NP\tO' +p269264 +aS'.\t.\t.\tO\tO' +p269265 +asS'The patient was placed on telemetry and had no telemetry events while an inpatient .' +p269266 +(lp269267 +S'The\tThe\tDT\tB-NP\tO' +p269268 +aS'patient\tpatient\tNN\tI-NP\tO' +p269269 +aS'was\tbe\tVBD\tB-VP\tO' +p269270 +aS'placed\tplace\tVBN\tI-VP\tO' +p269271 +aS'on\ton\tIN\tB-PP\tO' +p269272 +aS'telemetry\ttelemetry\tNN\tB-NP\tO' +p269273 +aS'and\tand\tCC\tO\tO' +p269274 +aS'had\thave\tVBD\tB-VP\tO' +p269275 +aS'no\tno\tDT\tB-NP\tO' +p269276 +aS'telemetry\ttelemetry\tNN\tI-NP\tO' +p269277 +aS'events\tevent\tNNS\tI-NP\tO' +p269278 +aS'while\twhile\tIN\tB-SBAR\tO' +p269279 +aS'an\tan\tDT\tB-NP\tO' +p269280 +aS'inpatient\tinpatient\tNN\tI-NP\tO' +p269281 +aS'.\t.\t.\tO\tO' +p269282 +asS'Urgent resuscitation measures were initiated .' +p269283 +(lp269284 +S'Urgent\tUrgent\tJJ\tB-NP\tO' +p269285 +aS'resuscitation\tresuscitation\tNN\tI-NP\tO' +p269286 +aS'measures\tmeasure\tNNS\tI-NP\tO' +p269287 +aS'were\tbe\tVBD\tB-VP\tO' +p269288 +aS'initiated\tinitiate\tVBN\tI-VP\tO' +p269289 +aS'.\t.\t.\tO\tO' +p269290 +asS'There are simple atheroma in the aortic root .' +p269291 +(lp269292 +S'There\tThere\tEX\tB-NP\tO' +p269293 +aS'are\tbe\tVBP\tB-VP\tO' +p269294 +aS'simple\tsimple\tJJ\tB-NP\tO' +p269295 +aS'atheroma\tatheroma\tNN\tI-NP\tO' +p269296 +aS'in\tin\tIN\tB-PP\tO' +p269297 +aS'the\tthe\tDT\tB-NP\tO' +p269298 +aS'aortic\taortic\tJJ\tI-NP\tO' +p269299 +aS'root\troot\tNN\tI-NP\tO' +p269300 +aS'.\t.\t.\tO\tO' +p269301 +asS'Aerobid .' +p269302 +(lp269303 +S'Aerobid\tAerobid\tNNP\tB-NP\tO' +p269304 +aS'.\t.\t.\tO\tO' +p269305 +asS'Alzheimer 's disease secondary to Down 's syndrome .' +p269306 +(lp269307 +S'Alzheimer\tAlzheimer\tNNP\tB-NP\tO' +p269308 +aS''s\t'\tNNS\tI-NP\tO' +p269309 +aS'disease\tdisease\tNN\tI-NP\tO' +p269310 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p269311 +aS'to\tto\tTO\tB-PP\tO' +p269312 +aS'Down\tDown\tJJ\tB-NP\tO' +p269313 +aS''s\t'\tNNS\tI-NP\tO' +p269314 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p269315 +aS'.\t.\t.\tO\tO' +p269316 +asS'No bathing in tub or swimming .' +p269317 +(lp269318 +S'No\tNo\tDT\tB-NP\tO' +p269319 +aS'bathing\tbathing\tNN\tI-NP\tO' +p269320 +aS'in\tin\tIN\tB-PP\tO' +p269321 +aS'tub\ttub\tNN\tB-NP\tO' +p269322 +aS'or\tor\tCC\tI-NP\tO' +p269323 +aS'swimming\tswimming\tNN\tI-NP\tO' +p269324 +aS'.\t.\t.\tO\tO' +p269325 +asS'The patient is a pleasant white female in no acute distress .' +p269326 +(lp269327 +S'The\tThe\tDT\tB-NP\tO' +p269328 +aS'patient\tpatient\tNN\tI-NP\tO' +p269329 +aS'is\tbe\tVBZ\tB-VP\tO' +p269330 +aS'a\ta\tDT\tB-NP\tO' +p269331 +aS'pleasant\tpleasant\tJJ\tI-NP\tO' +p269332 +aS'white\twhite\tJJ\tI-NP\tO' +p269333 +aS'female\tfemale\tNN\tI-NP\tO' +p269334 +aS'in\tin\tIN\tB-PP\tO' +p269335 +aS'no\tno\tDT\tB-NP\tO' +p269336 +aS'acute\tacute\tJJ\tI-NP\tO' +p269337 +aS'distress\tdistress\tNN\tI-NP\tO' +p269338 +aS'.\t.\t.\tO\tO' +p269339 +asS'Neurologic examination was grossly intact .' +p269340 +(lp269341 +S'Neurologic\tNeurologic\tJJ\tB-NP\tO' +p269342 +aS'examination\texamination\tNN\tI-NP\tO' +p269343 +aS'was\tbe\tVBD\tB-VP\tO' +p269344 +aS'grossly\tgrossly\tRB\tB-ADJP\tO' +p269345 +aS'intact\tintact\tJJ\tI-ADJP\tO' +p269346 +aS'.\t.\t.\tO\tO' +p269347 +asS'It was discussed with him the need to schedule follow-up for colonoscopy with his PCP as well .' +p269348 +(lp269349 +S'It\tIt\tPRP\tB-NP\tO' +p269350 +aS'was\tbe\tVBD\tB-VP\tO' +p269351 +aS'discussed\tdiscuss\tVBN\tI-VP\tO' +p269352 +aS'with\twith\tIN\tB-PP\tO' +p269353 +aS'him\thim\tPRP\tB-NP\tO' +p269354 +aS'the\tthe\tDT\tB-NP\tO' +p269355 +aS'need\tneed\tNN\tI-NP\tO' +p269356 +aS'to\tto\tTO\tB-VP\tO' +p269357 +aS'schedule\tschedule\tVB\tI-VP\tO' +p269358 +aS'follow-up\tfollow-up\tNN\tB-NP\tO' +p269359 +aS'for\tfor\tIN\tB-PP\tO' +p269360 +aS'colonoscopy\tcolonoscopy\tNN\tB-NP\tO' +p269361 +aS'with\twith\tIN\tB-PP\tO' +p269362 +aS'his\this\tPRP$\tB-NP\tO' +p269363 +aS'PCP\tPCP\tNN\tI-NP\tB-protein' +p269364 +aS'as\tas\tRB\tB-ADVP\tO' +p269365 +aS'well\twell\tRB\tI-ADVP\tO' +p269366 +aS'.\t.\t.\tO\tO' +p269367 +asS'Notable on admission were BUN and creatinine of 8.0 and 0.7 .' +p269368 +(lp269369 +S'Notable\tNotable\tJJ\tB-ADJP\tO' +p269370 +aS'on\ton\tIN\tB-PP\tO' +p269371 +aS'admission\tadmission\tNN\tB-NP\tO' +p269372 +aS'were\tbe\tVBD\tB-VP\tO' +p269373 +aS'BUN\tBUN\tNN\tB-NP\tO' +p269374 +aS'and\tand\tCC\tI-NP\tO' +p269375 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p269376 +aS'of\tof\tIN\tB-PP\tO' +p269377 +aS'8.0\t8.0\tCD\tB-NP\tO' +p269378 +aS'and\tand\tCC\tI-NP\tO' +p269379 +aS'0.7\t0.7\tCD\tI-NP\tO' +p269380 +aS'.\t.\t.\tO\tO' +p269381 +asS'Creatine kinase 100 , MB 4 , troponin of less than 0.3 .' +p269382 +(lp269383 +S'Creatine\tCreatine\tNN\tB-NP\tO' +p269384 +aS'kinase\tkinase\tNN\tI-NP\tO' +p269385 +aS'100\t100\tCD\tI-NP\tO' +p269386 +aS',\t,\t,\tO\tO' +p269387 +aS'MB\tMB\tNN\tB-NP\tB-protein' +p269388 +aS'4\t4\tCD\tI-NP\tI-protein' +p269389 +aS',\t,\t,\tO\tO' +p269390 +aS'troponin\ttroponin\tNN\tB-NP\tO' +p269391 +aS'of\tof\tIN\tB-PP\tO' +p269392 +aS'less\tless\tJJR\tB-NP\tO' +p269393 +aS'than\tthan\tIN\tI-NP\tO' +p269394 +aS'0.3\t0.3\tCD\tI-NP\tO' +p269395 +aS'.\t.\t.\tO\tO' +p269396 +asS'The patient is discharged to home and is to follow up with Dr. Cancer , as well as Dr. Kotefold and Dr. Cancer .' +p269397 +(lp269398 +S'The\tThe\tDT\tB-NP\tO' +p269399 +aS'patient\tpatient\tNN\tI-NP\tO' +p269400 +aS'is\tbe\tVBZ\tB-VP\tO' +p269401 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p269402 +aS'to\tto\tTO\tB-PP\tO' +p269403 +aS'home\thome\tNN\tB-NP\tO' +p269404 +aS'and\tand\tCC\tO\tO' +p269405 +aS'is\tbe\tVBZ\tB-VP\tO' +p269406 +aS'to\tto\tTO\tI-VP\tO' +p269407 +aS'follow\tfollow\tVB\tI-VP\tO' +p269408 +aS'up\tup\tRP\tB-PRT\tO' +p269409 +aS'with\twith\tIN\tB-PP\tO' +p269410 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p269411 +aS'Cancer\tCancer\tNNP\tI-NP\tO' +p269412 +aS',\t,\t,\tO\tO' +p269413 +aS'as\tas\tRB\tB-CONJP\tO' +p269414 +aS'well\twell\tRB\tI-CONJP\tO' +p269415 +aS'as\tas\tIN\tI-CONJP\tO' +p269416 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p269417 +aS'Kotefold\tKotefold\tNNP\tI-NP\tO' +p269418 +aS'and\tand\tCC\tO\tO' +p269419 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p269420 +aS'Cancer\tCancer\tNNP\tI-NP\tO' +p269421 +aS'.\t.\t.\tO\tO' +p269422 +asS'In the postoperative recovery room the patient had a hematocrit of 29.2 with low urine output .' +p269423 +(lp269424 +S'In\tIn\tIN\tB-PP\tO' +p269425 +aS'the\tthe\tDT\tB-NP\tO' +p269426 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p269427 +aS'recovery\trecovery\tNN\tI-NP\tO' +p269428 +aS'room\troom\tNN\tI-NP\tO' +p269429 +aS'the\tthe\tDT\tB-NP\tO' +p269430 +aS'patient\tpatient\tNN\tI-NP\tO' +p269431 +aS'had\thave\tVBD\tB-VP\tO' +p269432 +aS'a\ta\tDT\tB-NP\tO' +p269433 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p269434 +aS'of\tof\tIN\tB-PP\tO' +p269435 +aS'29.2\t29.2\tCD\tB-NP\tO' +p269436 +aS'with\twith\tIN\tB-PP\tO' +p269437 +aS'low\tlow\tJJ\tB-NP\tO' +p269438 +aS'urine\turine\tNN\tI-NP\tO' +p269439 +aS'output\toutput\tNN\tI-NP\tO' +p269440 +aS'.\t.\t.\tO\tO' +p269441 +asS'It was more likely due to CRI .' +p269442 +(lp269443 +S'It\tIt\tPRP\tB-NP\tO' +p269444 +aS'was\tbe\tVBD\tB-VP\tO' +p269445 +aS'more\tmore\tRBR\tB-ADJP\tO' +p269446 +aS'likely\tlikely\tJJ\tI-ADJP\tO' +p269447 +aS'due\tdue\tIN\tB-PP\tO' +p269448 +aS'to\tto\tTO\tB-PP\tO' +p269449 +aS'CRI\tCRI\tNN\tB-NP\tB-protein' +p269450 +aS'.\t.\t.\tO\tO' +p269451 +asS'Please call ( 994 ) 944-4238 in 2-3 days to obtain results of the lab tests that were ordered .' +p269452 +(lp269453 +S'Please\tPlease\tNN\tB-NP\tO' +p269454 +aS'call\tcall\tNN\tI-NP\tO' +p269455 +aS'(\t(\t(\tO\tO' +p269456 +aS'994\t994\tCD\tB-NP\tO' +p269457 +aS')\t)\t)\tO\tO' +p269458 +aS'944-4238\t944-4238\tCD\tB-NP\tO' +p269459 +aS'in\tin\tIN\tB-PP\tO' +p269460 +aS'2-3\t2-3\tCD\tB-NP\tO' +p269461 +aS'days\tday\tNNS\tI-NP\tO' +p269462 +aS'to\tto\tTO\tB-VP\tO' +p269463 +aS'obtain\tobtain\tVB\tI-VP\tO' +p269464 +aS'results\tresult\tNNS\tB-NP\tO' +p269465 +aS'of\tof\tIN\tB-PP\tO' +p269466 +aS'the\tthe\tDT\tB-NP\tO' +p269467 +aS'lab\tlab\tNN\tI-NP\tO' +p269468 +aS'tests\ttest\tNNS\tI-NP\tO' +p269469 +aS'that\tthat\tWDT\tB-NP\tO' +p269470 +aS'were\tbe\tVBD\tB-VP\tO' +p269471 +aS'ordered\torder\tVBN\tI-VP\tO' +p269472 +aS'.\t.\t.\tO\tO' +p269473 +asS'7. Furosemide 20 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' +p269474 +(lp269475 +S'7.\t7.\tCD\tB-NP\tO' +p269476 +aS'Furosemide\tFurosemide\tNN\tI-NP\tO' +p269477 +aS'20\t20\tCD\tB-NP\tO' +p269478 +aS'mg\tmg\tNN\tI-NP\tO' +p269479 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p269480 +aS'Sig\tSig\tNNP\tI-NP\tO' +p269481 +aS':\t:\t:\tO\tO' +p269482 +aS'One\tOne\tCD\tB-NP\tO' +p269483 +aS'(\t(\t(\tO\tO' +p269484 +aS'1\t1\tCD\tB-NP\tO' +p269485 +aS')\t)\t)\tO\tO' +p269486 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p269487 +aS'PO\tPO\tNN\tI-NP\tO' +p269488 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p269489 +aS'(\t(\t(\tO\tO' +p269490 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p269491 +aS')\t)\t)\tO\tO' +p269492 +aS'.\t.\t.\tO\tO' +p269493 +asS'She lives with her single daughter .' +p269494 +(lp269495 +S'She\tShe\tPRP\tB-NP\tO' +p269496 +aS'lives\tlive\tVBZ\tB-VP\tO' +p269497 +aS'with\twith\tIN\tB-PP\tO' +p269498 +aS'her\ther\tPRP$\tB-NP\tO' +p269499 +aS'single\tsingle\tJJ\tI-NP\tO' +p269500 +aS'daughter\tdaughter\tNN\tI-NP\tO' +p269501 +aS'.\t.\t.\tO\tO' +p269502 +asS'She was told to make an appointment two weeks after her surgery for removal of her retention sutures .' +p269503 +(lp269504 +S'She\tShe\tPRP\tB-NP\tO' +p269505 +aS'was\tbe\tVBD\tB-VP\tO' +p269506 +aS'told\ttell\tVBN\tI-VP\tO' +p269507 +aS'to\tto\tTO\tI-VP\tO' +p269508 +aS'make\tmake\tVB\tI-VP\tO' +p269509 +aS'an\tan\tDT\tB-NP\tO' +p269510 +aS'appointment\tappointment\tNN\tI-NP\tO' +p269511 +aS'two\ttwo\tCD\tB-NP\tO' +p269512 +aS'weeks\tweek\tNNS\tI-NP\tO' +p269513 +aS'after\tafter\tIN\tB-PP\tO' +p269514 +aS'her\ther\tPRP$\tB-NP\tO' +p269515 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p269516 +aS'for\tfor\tIN\tB-PP\tO' +p269517 +aS'removal\tremoval\tNN\tB-NP\tO' +p269518 +aS'of\tof\tIN\tB-PP\tO' +p269519 +aS'her\ther\tPRP$\tB-NP\tO' +p269520 +aS'retention\tretention\tNN\tI-NP\tO' +p269521 +aS'sutures\tsuture\tNNS\tI-NP\tO' +p269522 +aS'.\t.\t.\tO\tO' +p269523 +asS'1. Thoracic aneurysm repair .' +p269524 +(lp269525 +S'1.\t1.\tLS\tB-NP\tO' +p269526 +aS'Thoracic\tThoracic\tJJ\tI-NP\tO' +p269527 +aS'aneurysm\taneurysm\tNN\tI-NP\tO' +p269528 +aS'repair\trepair\tNN\tI-NP\tO' +p269529 +aS'.\t.\t.\tO\tO' +p269530 +asS'Parents involved .' +p269531 +(lp269532 +S'Parents\tParent\tNNS\tB-NP\tO' +p269533 +aS'involved\tinvolve\tVBN\tB-ADJP\tO' +p269534 +aS'.\t.\t.\tO\tO' +p269535 +asS'Lungs were clear bilaterally .' +p269536 +(lp269537 +S'Lungs\tLung\tNNS\tB-NP\tO' +p269538 +aS'were\tbe\tVBD\tB-VP\tO' +p269539 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p269540 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p269541 +aS'.\t.\t.\tO\tO' +p269542 +asS'Then about a week ago , the patient and his wife noted that his gait became even more unsteady , though he did not fall .' +p269543 +(lp269544 +S'Then\tThen\tRB\tO\tO' +p269545 +aS'about\tabout\tRB\tB-NP\tO' +p269546 +aS'a\ta\tDT\tI-NP\tO' +p269547 +aS'week\tweek\tNN\tI-NP\tO' +p269548 +aS'ago\tago\tRB\tB-ADVP\tO' +p269549 +aS',\t,\t,\tO\tO' +p269550 +aS'the\tthe\tDT\tB-NP\tO' +p269551 +aS'patient\tpatient\tNN\tI-NP\tO' +p269552 +aS'and\tand\tCC\tO\tO' +p269553 +aS'his\this\tPRP$\tB-NP\tO' +p269554 +aS'wife\twife\tNN\tI-NP\tO' +p269555 +aS'noted\tnote\tVBD\tB-VP\tO' +p269556 +aS'that\tthat\tDT\tO\tO' +p269557 +aS'his\this\tPRP$\tB-NP\tO' +p269558 +aS'gait\tgait\tNN\tI-NP\tO' +p269559 +aS'became\tbecome\tVBD\tB-VP\tO' +p269560 +aS'even\teven\tRB\tB-ADJP\tO' +p269561 +aS'more\tmore\tRBR\tI-ADJP\tO' +p269562 +aS'unsteady\tunsteady\tJJ\tI-ADJP\tO' +p269563 +aS',\t,\t,\tO\tO' +p269564 +aS'though\tthough\tIN\tB-SBAR\tO' +p269565 +aS'he\the\tPRP\tB-NP\tO' +p269566 +aS'did\tdo\tVBD\tB-VP\tO' +p269567 +aS'not\tnot\tRB\tI-VP\tO' +p269568 +aS'fall\tfall\tVB\tI-VP\tO' +p269569 +aS'.\t.\t.\tO\tO' +p269570 +asS'He lis currently widowed .' +p269571 +(lp269572 +S'He\tHe\tPRP\tB-NP\tO' +p269573 +aS'lis\tli\tVBZ\tB-VP\tO' +p269574 +aS'currently\tcurrently\tRB\tI-VP\tO' +p269575 +aS'widowed\twidow\tVBN\tI-VP\tO' +p269576 +aS'.\t.\t.\tO\tO' +p269577 +asS'On 2014-04-09 , patient continued to do very well , ambulating , tolerating a diet , urinating without difficulty .' +p269578 +(lp269579 +S'On\tOn\tIN\tB-PP\tO' +p269580 +aS'2014-04-09\t2014-04-09\tCD\tB-NP\tO' +p269581 +aS',\t,\t,\tO\tO' +p269582 +aS'patient\tpatient\tNN\tB-NP\tO' +p269583 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p269584 +aS'to\tto\tTO\tI-VP\tO' +p269585 +aS'do\tdo\tVB\tI-VP\tO' +p269586 +aS'very\tvery\tRB\tB-ADVP\tO' +p269587 +aS'well\twell\tRB\tI-ADVP\tO' +p269588 +aS',\t,\t,\tO\tO' +p269589 +aS'ambulating\tambulate\tVBG\tB-VP\tO' +p269590 +aS',\t,\t,\tO\tO' +p269591 +aS'tolerating\ttolerate\tVBG\tB-VP\tO' +p269592 +aS'a\ta\tDT\tB-NP\tO' +p269593 +aS'diet\tdiet\tNN\tI-NP\tO' +p269594 +aS',\t,\t,\tO\tO' +p269595 +aS'urinating\turinate\tVBG\tB-VP\tO' +p269596 +aS'without\twithout\tIN\tB-PP\tO' +p269597 +aS'difficulty\tdifficulty\tNN\tB-NP\tO' +p269598 +aS'.\t.\t.\tO\tO' +p269599 +asS'Palpation of the neck discloses a multinodular goiter , larger on the right side , with no associated cervical lymphadenopathy .' +p269600 +(lp269601 +S'Palpation\tPalpation\tNN\tB-NP\tO' +p269602 +aS'of\tof\tIN\tB-PP\tO' +p269603 +aS'the\tthe\tDT\tB-NP\tO' +p269604 +aS'neck\tneck\tNN\tI-NP\tO' +p269605 +aS'discloses\tdisclose\tVBZ\tB-VP\tO' +p269606 +aS'a\ta\tDT\tB-NP\tO' +p269607 +aS'multinodular\tmultinodular\tJJ\tI-NP\tO' +p269608 +aS'goiter\tgoiter\tNN\tI-NP\tO' +p269609 +aS',\t,\t,\tO\tO' +p269610 +aS'larger\tlarge\tJJR\tB-ADJP\tO' +p269611 +aS'on\ton\tIN\tB-PP\tO' +p269612 +aS'the\tthe\tDT\tB-NP\tO' +p269613 +aS'right\tright\tJJ\tI-NP\tO' +p269614 +aS'side\tside\tNN\tI-NP\tO' +p269615 +aS',\t,\t,\tO\tO' +p269616 +aS'with\twith\tIN\tB-PP\tO' +p269617 +aS'no\tno\tDT\tB-NP\tO' +p269618 +aS'associated\tassociate\tVBN\tI-NP\tO' +p269619 +aS'cervical\tcervical\tJJ\tI-NP\tO' +p269620 +aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' +p269621 +aS'.\t.\t.\tO\tO' +p269622 +asS'7) THROMBOCYTOPENIA STATUS POST BONE MARROW TRANSPLANT .' +p269623 +(lp269624 +S'7)\t7)\tLS\tB-LST\tO' +p269625 +aS'THROMBOCYTOPENIA\tTHROMBOCYTOPENIA\tNNP\tB-NP\tO' +p269626 +aS'STATUS\tSTATUS\tNNP\tI-NP\tO' +p269627 +aS'POST\tPOST\tNNP\tI-NP\tO' +p269628 +aS'BONE\tBONE\tNNP\tI-NP\tO' +p269629 +aS'MARROW\tMARROW\tNNP\tI-NP\tO' +p269630 +aS'TRANSPLANT\tTRANSPLANT\tNNP\tI-NP\tO' +p269631 +aS'.\t.\t.\tO\tO' +p269632 +asS'6. Nystatin 100,000 unit / g Cream Sig : One ( 1 ) Appl Topical BID ( 2 times a day ) .' +p269633 +(lp269634 +S'6.\t6.\tLS\tB-NP\tO' +p269635 +aS'Nystatin\tNystatin\tNN\tI-NP\tB-protein' +p269636 +aS'100,000\t100,000\tCD\tI-NP\tI-protein' +p269637 +aS'unit\tunit\tNN\tI-NP\tI-protein' +p269638 +aS'/\t/\tSYM\tB-NP\tO' +p269639 +aS'g\tg\tNN\tI-NP\tO' +p269640 +aS'Cream\tCream\tNNP\tI-NP\tO' +p269641 +aS'Sig\tSig\tNNP\tI-NP\tO' +p269642 +aS':\t:\t:\tO\tO' +p269643 +aS'One\tOne\tCD\tB-NP\tO' +p269644 +aS'(\t(\t(\tO\tO' +p269645 +aS'1\t1\tCD\tB-NP\tO' +p269646 +aS')\t)\t)\tO\tO' +p269647 +aS'Appl\tAppl\tNNP\tB-NP\tO' +p269648 +aS'Topical\tTopical\tJJ\tI-NP\tO' +p269649 +aS'BID\tBID\tNN\tI-NP\tO' +p269650 +aS'(\t(\t(\tO\tO' +p269651 +aS'2\t2\tCD\tB-NP\tO' +p269652 +aS'times\ttime\tNNS\tI-NP\tO' +p269653 +aS'a\ta\tDT\tB-NP\tO' +p269654 +aS'day\tday\tNN\tI-NP\tO' +p269655 +aS')\t)\t)\tO\tO' +p269656 +aS'.\t.\t.\tO\tO' +p269657 +asS'He did note some weight loss over the past several months , though the amount was unknown .' +p269658 +(lp269659 +S'He\tHe\tPRP\tB-NP\tO' +p269660 +aS'did\tdo\tVBD\tB-VP\tO' +p269661 +aS'note\tnote\tVB\tI-VP\tO' +p269662 +aS'some\tsome\tDT\tB-NP\tO' +p269663 +aS'weight\tweight\tNN\tI-NP\tO' +p269664 +aS'loss\tloss\tNN\tI-NP\tO' +p269665 +aS'over\tover\tIN\tB-PP\tO' +p269666 +aS'the\tthe\tDT\tB-NP\tO' +p269667 +aS'past\tpast\tJJ\tI-NP\tO' +p269668 +aS'several\tseveral\tJJ\tI-NP\tO' +p269669 +aS'months\tmonth\tNNS\tI-NP\tO' +p269670 +aS',\t,\t,\tO\tO' +p269671 +aS'though\tthough\tIN\tB-SBAR\tO' +p269672 +aS'the\tthe\tDT\tB-NP\tO' +p269673 +aS'amount\tamount\tNN\tI-NP\tO' +p269674 +aS'was\tbe\tVBD\tB-VP\tO' +p269675 +aS'unknown\tunknown\tJJ\tB-ADJP\tO' +p269676 +aS'.\t.\t.\tO\tO' +p269677 +asS'She should be continued with pulmonary oximetry testing .' +p269678 +(lp269679 +S'She\tShe\tPRP\tB-NP\tO' +p269680 +aS'should\tshould\tMD\tB-VP\tO' +p269681 +aS'be\tbe\tVB\tI-VP\tO' +p269682 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p269683 +aS'with\twith\tIN\tB-PP\tO' +p269684 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p269685 +aS'oximetry\toximetry\tNN\tI-NP\tO' +p269686 +aS'testing\ttesting\tNN\tI-NP\tO' +p269687 +aS'.\t.\t.\tO\tO' +p269688 +asS'TEE was negative .' +p269689 +(lp269690 +S'TEE\tTEE\tNN\tB-NP\tO' +p269691 +aS'was\tbe\tVBD\tB-VP\tO' +p269692 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p269693 +aS'.\t.\t.\tO\tO' +p269694 +asS'Mother is a 37 year old Gravida 1 , Para 0 now 2 woman whose blood type is A negative , antibody negative , rubella immune , RPR nonreactive , hepatitis B surface antigen negative and Group B Streptococcus unknown .' +p269695 +(lp269696 +S'Mother\tMother\tNNP\tB-NP\tO' +p269697 +aS'is\tbe\tVBZ\tB-VP\tO' +p269698 +aS'a\ta\tDT\tB-NP\tO' +p269699 +aS'37\t37\tCD\tI-NP\tO' +p269700 +aS'year\tyear\tNN\tI-NP\tO' +p269701 +aS'old\told\tJJ\tB-ADJP\tO' +p269702 +aS'Gravida\tGravida\tNNP\tB-NP\tO' +p269703 +aS'1\t1\tCD\tI-NP\tO' +p269704 +aS',\t,\t,\tO\tO' +p269705 +aS'Para\tPara\tNNP\tB-NP\tO' +p269706 +aS'0\t0\tCD\tI-NP\tO' +p269707 +aS'now\tnow\tRB\tB-ADVP\tO' +p269708 +aS'2\t2\tCD\tB-NP\tO' +p269709 +aS'woman\twoman\tNN\tI-NP\tO' +p269710 +aS'whose\twhose\tWP$\tB-NP\tO' +p269711 +aS'blood\tblood\tNN\tI-NP\tO' +p269712 +aS'type\ttype\tNN\tI-NP\tO' +p269713 +aS'is\tbe\tVBZ\tB-VP\tO' +p269714 +aS'A\tA\tDT\tB-NP\tO' +p269715 +aS'negative\tnegative\tJJ\tI-NP\tO' +p269716 +aS',\t,\t,\tI-NP\tO' +p269717 +aS'antibody\tantibody\tNN\tI-NP\tO' +p269718 +aS'negative\tnegative\tJJ\tI-NP\tO' +p269719 +aS',\t,\t,\tO\tO' +p269720 +aS'rubella\trubella\tNN\tB-NP\tO' +p269721 +aS'immune\timmune\tJJ\tB-ADJP\tO' +p269722 +aS',\t,\t,\tO\tO' +p269723 +aS'RPR\tRPR\tNN\tB-NP\tB-protein' +p269724 +aS'nonreactive\tnonreactive\tJJ\tB-ADJP\tO' +p269725 +aS',\t,\t,\tO\tO' +p269726 +aS'hepatitis\thepatitis\tNN\tB-NP\tB-protein' +p269727 +aS'B\tB\tNN\tI-NP\tI-protein' +p269728 +aS'surface\tsurface\tNN\tI-NP\tI-protein' +p269729 +aS'antigen\tantigen\tNN\tI-NP\tI-protein' +p269730 +aS'negative\tnegative\tJJ\tI-NP\tO' +p269731 +aS'and\tand\tCC\tI-NP\tO' +p269732 +aS'Group\tGroup\tNN\tI-NP\tO' +p269733 +aS'B\tB\tNN\tI-NP\tO' +p269734 +aS'Streptococcus\tStreptococcus\tNN\tI-NP\tO' +p269735 +aS'unknown\tunknown\tJJ\tB-ADJP\tO' +p269736 +aS'.\t.\t.\tO\tO' +p269737 +asS'At that time , an intravenous of D-10-W was started at 80 cc / kilogram per day .' +p269738 +(lp269739 +S'At\tAt\tIN\tB-PP\tO' +p269740 +aS'that\tthat\tDT\tB-NP\tO' +p269741 +aS'time\ttime\tNN\tI-NP\tO' +p269742 +aS',\t,\t,\tO\tO' +p269743 +aS'an\tan\tDT\tB-NP\tO' +p269744 +aS'intravenous\tintravenous\tJJ\tI-NP\tO' +p269745 +aS'of\tof\tIN\tB-PP\tO' +p269746 +aS'D-10-W\tD-10-W\tNN\tB-NP\tO' +p269747 +aS'was\tbe\tVBD\tB-VP\tO' +p269748 +aS'started\tstart\tVBN\tI-VP\tO' +p269749 +aS'at\tat\tIN\tB-PP\tO' +p269750 +aS'80\t80\tCD\tB-NP\tO' +p269751 +aS'cc\tcc\tNN\tI-NP\tO' +p269752 +aS'/\t/\tSYM\tB-NP\tO' +p269753 +aS'kilogram\tkilogram\tNN\tI-NP\tO' +p269754 +aS'per\tper\tIN\tB-PP\tO' +p269755 +aS'day\tday\tNN\tB-NP\tO' +p269756 +aS'.\t.\t.\tO\tO' +p269757 +asS'His arterial blood gas on 50% was pO2 92 , pCO2 24 , and pH 7.46 .' +p269758 +(lp269759 +S'His\tHis\tPRP$\tB-NP\tO' +p269760 +aS'arterial\tarterial\tJJ\tI-NP\tO' +p269761 +aS'blood\tblood\tNN\tI-NP\tO' +p269762 +aS'gas\tgas\tNN\tI-NP\tO' +p269763 +aS'on\ton\tIN\tB-PP\tO' +p269764 +aS'50%\t50%\tCD\tB-NP\tO' +p269765 +aS'was\tbe\tVBD\tB-VP\tO' +p269766 +aS'pO2\tpO2\tNN\tB-NP\tO' +p269767 +aS'92\t92\tCD\tI-NP\tO' +p269768 +aS',\t,\t,\tO\tO' +p269769 +aS'pCO2\tpCO2\tNN\tB-NP\tO' +p269770 +aS'24\t24\tCD\tI-NP\tO' +p269771 +aS',\t,\t,\tO\tO' +p269772 +aS'and\tand\tCC\tO\tO' +p269773 +aS'pH\tpH\tNN\tB-NP\tO' +p269774 +aS'7.46\t7.46\tCD\tI-NP\tO' +p269775 +aS'.\t.\t.\tO\tO' +p269776 +asS'Continue to deteriorate spiking fevers with ventilatory support on pressors to hold the bp. with no improvement in mental staus was made CMO 5/20/5 .' +p269777 +(lp269778 +S'Continue\tContinue\tNNP\tB-NP\tO' +p269779 +aS'to\tto\tTO\tB-VP\tO' +p269780 +aS'deteriorate\tdeteriorate\tVB\tI-VP\tO' +p269781 +aS'spiking\tspiking\tNN\tB-NP\tO' +p269782 +aS'fevers\tfever\tNNS\tI-NP\tO' +p269783 +aS'with\twith\tIN\tB-PP\tO' +p269784 +aS'ventilatory\tventilatory\tJJ\tB-NP\tO' +p269785 +aS'support\tsupport\tNN\tI-NP\tO' +p269786 +aS'on\ton\tIN\tB-PP\tO' +p269787 +aS'pressors\tpressor\tNNS\tB-NP\tO' +p269788 +aS'to\tto\tTO\tB-VP\tO' +p269789 +aS'hold\thold\tVB\tI-VP\tO' +p269790 +aS'the\tthe\tDT\tB-NP\tO' +p269791 +aS'bp.\tbp.\tNN\tI-NP\tO' +p269792 +aS'with\twith\tIN\tB-PP\tO' +p269793 +aS'no\tno\tDT\tB-NP\tO' +p269794 +aS'improvement\timprovement\tNN\tI-NP\tO' +p269795 +aS'in\tin\tIN\tB-PP\tO' +p269796 +aS'mental\tmental\tJJ\tB-NP\tO' +p269797 +aS'staus\tstaus\tNN\tI-NP\tO' +p269798 +aS'was\tbe\tVBD\tB-VP\tO' +p269799 +aS'made\tmake\tVBN\tI-VP\tO' +p269800 +aS'CMO\tCMO\tNN\tB-NP\tO' +p269801 +aS'5/20/5\t5/20/5\tCD\tI-NP\tO' +p269802 +aS'.\t.\t.\tO\tO' +p269803 +asS'The patient had also used cocaine in the past , but had also stopped in 1996 .' +p269804 +(lp269805 +S'The\tThe\tDT\tB-NP\tO' +p269806 +aS'patient\tpatient\tNN\tI-NP\tO' +p269807 +aS'had\thave\tVBD\tB-VP\tO' +p269808 +aS'also\talso\tRB\tI-VP\tO' +p269809 +aS'used\tuse\tVBN\tI-VP\tO' +p269810 +aS'cocaine\tcocaine\tNN\tB-NP\tO' +p269811 +aS'in\tin\tIN\tB-PP\tO' +p269812 +aS'the\tthe\tDT\tB-NP\tO' +p269813 +aS'past\tpast\tNN\tI-NP\tO' +p269814 +aS',\t,\t,\tO\tO' +p269815 +aS'but\tbut\tCC\tO\tO' +p269816 +aS'had\thave\tVBD\tB-VP\tO' +p269817 +aS'also\talso\tRB\tI-VP\tO' +p269818 +aS'stopped\tstop\tVBN\tI-VP\tO' +p269819 +aS'in\tin\tIN\tB-PP\tO' +p269820 +aS'1996\t1996\tCD\tB-NP\tO' +p269821 +aS'.\t.\t.\tO\tO' +p269822 +asS'No lower extremity edema .' +p269823 +(lp269824 +S'No\tNo\tDT\tB-NP\tO' +p269825 +aS'lower\tlow\tJJR\tI-NP\tO' +p269826 +aS'extremity\textremity\tNN\tI-NP\tO' +p269827 +aS'edema\tedema\tNN\tI-NP\tO' +p269828 +aS'.\t.\t.\tO\tO' +p269829 +asS'She arrived intubated and was hemodynamically stable despite concerns of a dissecting aortic arch aneurysm .' +p269830 +(lp269831 +S'She\tShe\tPRP\tB-NP\tO' +p269832 +aS'arrived\tarrive\tVBD\tB-VP\tO' +p269833 +aS'intubated\tintubate\tVBN\tB-ADJP\tO' +p269834 +aS'and\tand\tCC\tO\tO' +p269835 +aS'was\tbe\tVBD\tB-VP\tO' +p269836 +aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' +p269837 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p269838 +aS'despite\tdespite\tIN\tB-PP\tO' +p269839 +aS'concerns\tconcern\tNNS\tB-NP\tO' +p269840 +aS'of\tof\tIN\tB-PP\tO' +p269841 +aS'a\ta\tDT\tB-NP\tO' +p269842 +aS'dissecting\tdissect\tVBG\tI-NP\tO' +p269843 +aS'aortic\taortic\tJJ\tI-NP\tO' +p269844 +aS'arch\tarch\tNN\tI-NP\tO' +p269845 +aS'aneurysm\taneurysm\tNN\tI-NP\tO' +p269846 +aS'.\t.\t.\tO\tO' +p269847 +asS'On postoperative day seven , the patient had a peak blood pressure of 210/100 .' +p269848 +(lp269849 +S'On\tOn\tIN\tB-PP\tO' +p269850 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p269851 +aS'day\tday\tNN\tI-NP\tO' +p269852 +aS'seven\tseven\tCD\tI-NP\tO' +p269853 +aS',\t,\t,\tO\tO' +p269854 +aS'the\tthe\tDT\tB-NP\tO' +p269855 +aS'patient\tpatient\tNN\tI-NP\tO' +p269856 +aS'had\thave\tVBD\tB-VP\tO' +p269857 +aS'a\ta\tDT\tB-NP\tO' +p269858 +aS'peak\tpeak\tJJ\tI-NP\tO' +p269859 +aS'blood\tblood\tNN\tI-NP\tO' +p269860 +aS'pressure\tpressure\tNN\tI-NP\tO' +p269861 +aS'of\tof\tIN\tB-PP\tO' +p269862 +aS'210/100\t210/100\tCD\tB-NP\tO' +p269863 +aS'.\t.\t.\tO\tO' +p269864 +asS'She was counseled to follow-up with her PCP F 6-12 months regading the right thyroid nodule and the bilateral small lung nodules seen on her chest CT .' +p269865 +(lp269866 +S'She\tShe\tPRP\tB-NP\tO' +p269867 +aS'was\tbe\tVBD\tB-VP\tO' +p269868 +aS'counseled\tcounsel\tVBN\tI-VP\tO' +p269869 +aS'to\tto\tTO\tI-VP\tO' +p269870 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p269871 +aS'with\twith\tIN\tB-PP\tO' +p269872 +aS'her\ther\tPRP$\tB-NP\tO' +p269873 +aS'PCP\tPCP\tNN\tI-NP\tO' +p269874 +aS'F\tF\tNN\tI-NP\tO' +p269875 +aS'6-12\t6-12\tCD\tB-NP\tO' +p269876 +aS'months\tmonth\tNNS\tI-NP\tO' +p269877 +aS'regading\tregade\tVBG\tB-VP\tO' +p269878 +aS'the\tthe\tDT\tB-NP\tO' +p269879 +aS'right\tright\tJJ\tI-NP\tO' +p269880 +aS'thyroid\tthyroid\tNN\tI-NP\tO' +p269881 +aS'nodule\tnodule\tNN\tI-NP\tO' +p269882 +aS'and\tand\tCC\tO\tO' +p269883 +aS'the\tthe\tDT\tB-NP\tO' +p269884 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p269885 +aS'small\tsmall\tJJ\tI-NP\tO' +p269886 +aS'lung\tlung\tNN\tI-NP\tO' +p269887 +aS'nodules\tnodule\tNNS\tI-NP\tO' +p269888 +aS'seen\tsee\tVBN\tB-VP\tO' +p269889 +aS'on\ton\tIN\tB-PP\tO' +p269890 +aS'her\ther\tPRP$\tB-NP\tO' +p269891 +aS'chest\tchest\tNN\tI-NP\tO' +p269892 +aS'CT\tCT\tNN\tI-NP\tO' +p269893 +aS'.\t.\t.\tO\tO' +p269894 +asS'She had some nausea / vomiting and generally was taking poor pos at her NH .' +p269895 +(lp269896 +S'She\tShe\tPRP\tB-NP\tO' +p269897 +aS'had\thave\tVBD\tB-VP\tO' +p269898 +aS'some\tsome\tDT\tB-NP\tO' +p269899 +aS'nausea\tnausea\tNN\tI-NP\tO' +p269900 +aS'/\t/\tSYM\tB-NP\tO' +p269901 +aS'vomiting\tvomiting\tNN\tI-NP\tO' +p269902 +aS'and\tand\tCC\tO\tO' +p269903 +aS'generally\tgenerally\tRB\tB-VP\tO' +p269904 +aS'was\tbe\tVBD\tI-VP\tO' +p269905 +aS'taking\ttake\tVBG\tI-VP\tO' +p269906 +aS'poor\tpoor\tJJ\tB-NP\tO' +p269907 +aS'pos\tpo\tNNS\tI-NP\tO' +p269908 +aS'at\tat\tIN\tB-PP\tO' +p269909 +aS'her\ther\tPRP$\tB-NP\tO' +p269910 +aS'NH\tNH\tNN\tI-NP\tO' +p269911 +aS'.\t.\t.\tO\tO' +p269912 +asS'Electronically signed by Tracy Kimball , MD , Interpreting physician' +p269913 +(lp269914 +S'Electronically\tElectronically\tRB\tB-ADVP\tO' +p269915 +aS'signed\tsign\tVBN\tB-VP\tO' +p269916 +aS'by\tby\tIN\tB-PP\tO' +p269917 +aS'Tracy\tTracy\tNNP\tB-NP\tO' +p269918 +aS'Kimball\tKimball\tNNP\tI-NP\tO' +p269919 +aS',\t,\t,\tO\tO' +p269920 +aS'MD\tMD\tNNP\tB-NP\tO' +p269921 +aS',\t,\t,\tO\tO' +p269922 +aS'Interpreting\tInterpreting\tNNP\tB-NP\tO' +p269923 +aS'physician\tphysician\tNN\tI-NP\tO' +p269924 +asS'Following evaluation and treatment , the patient 's disposition at the end of the visit was ADMITTED AS AN INPATIENT TO TECAL GALENCOUNXOPT COMMUNITY HOSPITAL .' +p269925 +(lp269926 +S'Following\tFollow\tVBG\tB-PP\tO' +p269927 +aS'evaluation\tevaluation\tNN\tB-NP\tO' +p269928 +aS'and\tand\tCC\tI-NP\tO' +p269929 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p269930 +aS',\t,\t,\tO\tO' +p269931 +aS'the\tthe\tDT\tB-NP\tO' +p269932 +aS'patient\tpatient\tNN\tI-NP\tO' +p269933 +aS''s\t'\tNNS\tI-NP\tO' +p269934 +aS'disposition\tdisposition\tNN\tI-NP\tO' +p269935 +aS'at\tat\tIN\tB-PP\tO' +p269936 +aS'the\tthe\tDT\tB-NP\tO' +p269937 +aS'end\tend\tNN\tI-NP\tO' +p269938 +aS'of\tof\tIN\tB-PP\tO' +p269939 +aS'the\tthe\tDT\tB-NP\tO' +p269940 +aS'visit\tvisit\tNN\tI-NP\tO' +p269941 +aS'was\tbe\tVBD\tB-VP\tO' +p269942 +aS'ADMITTED\tADMITTED\tVBN\tI-VP\tO' +p269943 +aS'AS\tAS\tNNP\tB-NP\tO' +p269944 +aS'AN\tAN\tNNP\tI-NP\tO' +p269945 +aS'INPATIENT\tINPATIENT\tNNP\tI-NP\tO' +p269946 +aS'TO\tTO\tNNP\tI-NP\tO' +p269947 +aS'TECAL\tTECAL\tNNP\tI-NP\tO' +p269948 +aS'GALENCOUNXOPT\tGALENCOUNXOPT\tNNP\tI-NP\tO' +p269949 +aS'COMMUNITY\tCOMMUNITY\tNNP\tI-NP\tO' +p269950 +aS'HOSPITAL\tHOSPITAL\tNNP\tI-NP\tO' +p269951 +aS'.\t.\t.\tO\tO' +p269952 +asS'The patient will be discharged to an outside hospital .' +p269953 +(lp269954 +S'The\tThe\tDT\tB-NP\tO' +p269955 +aS'patient\tpatient\tNN\tI-NP\tO' +p269956 +aS'will\twill\tMD\tB-VP\tO' +p269957 +aS'be\tbe\tVB\tI-VP\tO' +p269958 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p269959 +aS'to\tto\tTO\tB-PP\tO' +p269960 +aS'an\tan\tDT\tB-NP\tO' +p269961 +aS'outside\toutside\tJJ\tI-NP\tO' +p269962 +aS'hospital\thospital\tNN\tI-NP\tO' +p269963 +aS'.\t.\t.\tO\tO' +p269964 +asS'LIGHT ACTIVITIES UNTIL SEEN IN CLINIC .' +p269965 +(lp269966 +S'LIGHT\tLIGHT\tNNP\tB-NP\tO' +p269967 +aS'ACTIVITIES\tACTIVITIES\tNNP\tI-NP\tO' +p269968 +aS'UNTIL\tUNTIL\tNNP\tI-NP\tO' +p269969 +aS'SEEN\tSEEN\tNNP\tI-NP\tO' +p269970 +aS'IN\tIN\tNNP\tI-NP\tO' +p269971 +aS'CLINIC\tCLINIC\tNNP\tI-NP\tO' +p269972 +aS'.\t.\t.\tO\tO' +p269973 +asS'Disp :* qs Disk with Device ( s )* Refills :* 2 *' +p269974 +(lp269975 +S'Disp\tDisp\tNN\tB-NP\tO' +p269976 +aS':*\t:*\tSYM\tI-NP\tO' +p269977 +aS'qs\tq\tNNS\tI-NP\tO' +p269978 +aS'Disk\tDisk\tVBP\tB-VP\tO' +p269979 +aS'with\twith\tIN\tB-PP\tO' +p269980 +aS'Device\tDevice\tNN\tB-NP\tO' +p269981 +aS'(\t(\t(\tO\tO' +p269982 +aS's\ts\tNNS\tB-NP\tO' +p269983 +aS')*\t)*\tSYM\tO\tO' +p269984 +aS'Refills\tRefill\tNNPS\tB-NP\tO' +p269985 +aS':*\t:*\tSYM\tI-NP\tO' +p269986 +aS'2\t2\tCD\tI-NP\tO' +p269987 +aS'*\t*\tSYM\tB-NP\tO' +p269988 +asS'No evidence of acute or chronic infarction .' +p269989 +(lp269990 +S'No\tNo\tDT\tB-NP\tO' +p269991 +aS'evidence\tevidence\tNN\tI-NP\tO' +p269992 +aS'of\tof\tIN\tB-PP\tO' +p269993 +aS'acute\tacute\tJJ\tB-NP\tO' +p269994 +aS'or\tor\tCC\tI-NP\tO' +p269995 +aS'chronic\tchronic\tJJ\tI-NP\tO' +p269996 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p269997 +aS'.\t.\t.\tO\tO' +p269998 +asS'The patient was transferred to the Fairm of Ijordcompmac Hospital .' +p269999 +(lp270000 +S'The\tThe\tDT\tB-NP\tO' +p270001 +aS'patient\tpatient\tNN\tI-NP\tO' +p270002 +aS'was\tbe\tVBD\tB-VP\tO' +p270003 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p270004 +aS'to\tto\tTO\tB-PP\tO' +p270005 +aS'the\tthe\tDT\tB-NP\tO' +p270006 +aS'Fairm\tFairm\tNNP\tI-NP\tO' +p270007 +aS'of\tof\tIN\tB-PP\tO' +p270008 +aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' +p270009 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p270010 +aS'.\t.\t.\tO\tO' +p270011 +asS'The left external carotid artery was occluded at its origin , with collaterals from the internal carotid artery .' +p270012 +(lp270013 +S'The\tThe\tDT\tB-NP\tO' +p270014 +aS'left\tleft\tJJ\tI-NP\tO' +p270015 +aS'external\texternal\tJJ\tI-NP\tO' +p270016 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p270017 +aS'artery\tartery\tNN\tI-NP\tO' +p270018 +aS'was\tbe\tVBD\tB-VP\tO' +p270019 +aS'occluded\tocclude\tVBN\tI-VP\tO' +p270020 +aS'at\tat\tIN\tB-PP\tO' +p270021 +aS'its\tits\tPRP$\tB-NP\tO' +p270022 +aS'origin\torigin\tNN\tI-NP\tO' +p270023 +aS',\t,\t,\tO\tO' +p270024 +aS'with\twith\tIN\tB-PP\tO' +p270025 +aS'collaterals\tcollateral\tNNS\tB-NP\tO' +p270026 +aS'from\tfrom\tIN\tB-PP\tO' +p270027 +aS'the\tthe\tDT\tB-NP\tO' +p270028 +aS'internal\tinternal\tJJ\tI-NP\tO' +p270029 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p270030 +aS'artery\tartery\tNN\tI-NP\tO' +p270031 +aS'.\t.\t.\tO\tO' +p270032 +asS'The abdominal examination was benign .' +p270033 +(lp270034 +S'The\tThe\tDT\tB-NP\tO' +p270035 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p270036 +aS'examination\texamination\tNN\tI-NP\tO' +p270037 +aS'was\tbe\tVBD\tB-VP\tO' +p270038 +aS'benign\tbenign\tJJ\tB-ADJP\tO' +p270039 +aS'.\t.\t.\tO\tO' +p270040 +asS"With regards to the patient 's documented Strep septicemia in the outside hospital , the Infectious Disease Team was formally consulted ." +p270041 +(lp270042 +S'With\tWith\tIN\tB-SBAR\tO' +p270043 +aS'regards\tregard\tNNS\tB-NP\tO' +p270044 +aS'to\tto\tTO\tB-PP\tO' +p270045 +aS'the\tthe\tDT\tB-NP\tO' +p270046 +aS'patient\tpatient\tNN\tI-NP\tO' +p270047 +aS"'s\t's\tPOS\tB-NP\tO" +p270048 +aS'documented\tdocument\tVBN\tI-NP\tO' +p270049 +aS'Strep\tStrep\tNN\tI-NP\tO' +p270050 +aS'septicemia\tsepticemia\tNN\tI-NP\tO' +p270051 +aS'in\tin\tIN\tB-PP\tO' +p270052 +aS'the\tthe\tDT\tB-NP\tO' +p270053 +aS'outside\toutside\tJJ\tI-NP\tO' +p270054 +aS'hospital\thospital\tNN\tI-NP\tO' +p270055 +aS',\t,\t,\tO\tO' +p270056 +aS'the\tthe\tDT\tB-NP\tO' +p270057 +aS'Infectious\tInfectious\tJJ\tI-NP\tO' +p270058 +aS'Disease\tDisease\tNN\tI-NP\tO' +p270059 +aS'Team\tTeam\tNN\tI-NP\tO' +p270060 +aS'was\tbe\tVBD\tB-VP\tO' +p270061 +aS'formally\tformally\tRB\tI-VP\tO' +p270062 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p270063 +aS'.\t.\t.\tO\tO' +p270064 +asS'Repeat platelet count on day of life three was 229 .' +p270065 +(lp270066 +S'Repeat\tRepeat\tNN\tB-NP\tO' +p270067 +aS'platelet\tplatelet\tNN\tI-NP\tO' +p270068 +aS'count\tcount\tNN\tI-NP\tO' +p270069 +aS'on\ton\tIN\tB-PP\tO' +p270070 +aS'day\tday\tNN\tB-NP\tO' +p270071 +aS'of\tof\tIN\tB-PP\tO' +p270072 +aS'life\tlife\tNN\tB-NP\tO' +p270073 +aS'three\tthree\tCD\tI-NP\tO' +p270074 +aS'was\tbe\tVBD\tB-VP\tO' +p270075 +aS'229\t229\tCD\tB-NP\tO' +p270076 +aS'.\t.\t.\tO\tO' +p270077 +asS'Deep tendon reflexes were 2+ in the upper extremities , 1+ in the patella reflexes , no reflexes at the ankles , upgoing Babinski toes bilaterally .' +p270078 +(lp270079 +S'Deep\tDeep\tJJ\tB-NP\tO' +p270080 +aS'tendon\ttendon\tNN\tI-NP\tO' +p270081 +aS'reflexes\treflex\tNNS\tI-NP\tO' +p270082 +aS'were\tbe\tVBD\tB-VP\tO' +p270083 +aS'2+\t2+\tJJ\tB-ADJP\tO' +p270084 +aS'in\tin\tIN\tB-PP\tO' +p270085 +aS'the\tthe\tDT\tB-NP\tO' +p270086 +aS'upper\tupper\tJJ\tI-NP\tO' +p270087 +aS'extremities\textremity\tNNS\tI-NP\tO' +p270088 +aS',\t,\t,\tO\tO' +p270089 +aS'1+\t1+\tJJ\tB-ADJP\tO' +p270090 +aS'in\tin\tIN\tB-PP\tO' +p270091 +aS'the\tthe\tDT\tB-NP\tO' +p270092 +aS'patella\tpatella\tNN\tI-NP\tO' +p270093 +aS'reflexes\treflex\tNNS\tI-NP\tO' +p270094 +aS',\t,\t,\tO\tO' +p270095 +aS'no\tno\tDT\tB-NP\tO' +p270096 +aS'reflexes\treflex\tNNS\tI-NP\tO' +p270097 +aS'at\tat\tIN\tB-PP\tO' +p270098 +aS'the\tthe\tDT\tB-NP\tO' +p270099 +aS'ankles\tankle\tNNS\tI-NP\tO' +p270100 +aS',\t,\t,\tO\tO' +p270101 +aS'upgoing\tupgoe\tVBG\tB-VP\tO' +p270102 +aS'Babinski\tBabinski\tNNP\tB-NP\tO' +p270103 +aS'toes\ttoe\tVBZ\tB-VP\tO' +p270104 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p270105 +aS'.\t.\t.\tO\tO' +p270106 +asS'Chronic lymphocytic thyroiditis , status post right total and left subtotal oophorectomy , asthma , migraine , history of Droperidol allergy .' +p270107 +(lp270108 +S'Chronic\tChronic\tJJ\tB-NP\tO' +p270109 +aS'lymphocytic\tlymphocytic\tJJ\tI-NP\tO' +p270110 +aS'thyroiditis\tthyroiditis\tNN\tI-NP\tO' +p270111 +aS',\t,\t,\tO\tO' +p270112 +aS'status\tstatus\tNN\tB-NP\tO' +p270113 +aS'post\tpost\tNN\tI-NP\tO' +p270114 +aS'right\tright\tJJ\tI-NP\tO' +p270115 +aS'total\ttotal\tNN\tI-NP\tO' +p270116 +aS'and\tand\tCC\tO\tO' +p270117 +aS'left\tleave\tVBD\tB-VP\tO' +p270118 +aS'subtotal\tsubtotal\tJJ\tB-NP\tO' +p270119 +aS'oophorectomy\toophorectomy\tNN\tI-NP\tO' +p270120 +aS',\t,\t,\tO\tO' +p270121 +aS'asthma\tasthma\tNN\tB-NP\tO' +p270122 +aS',\t,\t,\tO\tO' +p270123 +aS'migraine\tmigraine\tNN\tB-NP\tO' +p270124 +aS',\t,\t,\tO\tO' +p270125 +aS'history\thistory\tNN\tB-NP\tO' +p270126 +aS'of\tof\tIN\tB-PP\tO' +p270127 +aS'Droperidol\tDroperidol\tNN\tB-NP\tO' +p270128 +aS'allergy\tallergy\tNN\tI-NP\tO' +p270129 +aS'.\t.\t.\tO\tO' +p270130 +asS'Normal neurological examination .' +p270131 +(lp270132 +S'Normal\tNormal\tJJ\tB-NP\tO' +p270133 +aS'neurological\tneurological\tJJ\tI-NP\tO' +p270134 +aS'examination\texamination\tNN\tI-NP\tO' +p270135 +aS'.\t.\t.\tO\tO' +p270136 +asS'He was treated with appropriate antibiotics for his Serratia pneumonia , as well as for his abdominal process .' +p270137 +(lp270138 +S'He\tHe\tPRP\tB-NP\tO' +p270139 +aS'was\tbe\tVBD\tB-VP\tO' +p270140 +aS'treated\ttreat\tVBN\tI-VP\tO' +p270141 +aS'with\twith\tIN\tB-PP\tO' +p270142 +aS'appropriate\tappropriate\tJJ\tB-NP\tO' +p270143 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p270144 +aS'for\tfor\tIN\tB-PP\tO' +p270145 +aS'his\this\tPRP$\tB-NP\tO' +p270146 +aS'Serratia\tSerratia\tNNP\tI-NP\tO' +p270147 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p270148 +aS',\t,\t,\tO\tO' +p270149 +aS'as\tas\tRB\tB-CONJP\tO' +p270150 +aS'well\twell\tRB\tI-CONJP\tO' +p270151 +aS'as\tas\tIN\tI-CONJP\tO' +p270152 +aS'for\tfor\tIN\tB-PP\tO' +p270153 +aS'his\this\tPRP$\tB-NP\tO' +p270154 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p270155 +aS'process\tprocess\tNN\tI-NP\tO' +p270156 +aS'.\t.\t.\tO\tO' +p270157 +asS'Most likely source of fevers was judged to be progressive Acanthamoeba infection , even on maximal antimicrobial therapy .' +p270158 +(lp270159 +S'Most\tMost\tRBS\tB-NP\tO' +p270160 +aS'likely\tlikely\tJJ\tI-NP\tO' +p270161 +aS'source\tsource\tNN\tI-NP\tO' +p270162 +aS'of\tof\tIN\tB-PP\tO' +p270163 +aS'fevers\tfever\tNNS\tB-NP\tO' +p270164 +aS'was\tbe\tVBD\tB-VP\tO' +p270165 +aS'judged\tjudge\tVBN\tI-VP\tO' +p270166 +aS'to\tto\tTO\tI-VP\tO' +p270167 +aS'be\tbe\tVB\tI-VP\tO' +p270168 +aS'progressive\tprogressive\tJJ\tB-NP\tO' +p270169 +aS'Acanthamoeba\tAcanthamoeba\tNNP\tI-NP\tO' +p270170 +aS'infection\tinfection\tNN\tI-NP\tO' +p270171 +aS',\t,\t,\tO\tO' +p270172 +aS'even\teven\tRB\tB-ADVP\tO' +p270173 +aS'on\ton\tIN\tB-PP\tO' +p270174 +aS'maximal\tmaximal\tJJ\tB-NP\tO' +p270175 +aS'antimicrobial\tantimicrobial\tJJ\tI-NP\tO' +p270176 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p270177 +aS'.\t.\t.\tO\tO' +p270178 +asS'MAY SHOWER -- DAB DRY , DO NOT SCRUB .' +p270179 +(lp270180 +S'MAY\tMAY\tNNP\tB-NP\tO' +p270181 +aS'SHOWER\tSHOWER\tNNP\tI-NP\tO' +p270182 +aS'--\t--\t:\tO\tO' +p270183 +aS'DAB\tDAB\tNN\tB-NP\tO' +p270184 +aS'DRY\tDRY\tNN\tI-NP\tO' +p270185 +aS',\t,\t,\tO\tO' +p270186 +aS'DO\tDO\tNN\tB-NP\tO' +p270187 +aS'NOT\tNOT\tNN\tI-NP\tO' +p270188 +aS'SCRUB\tSCRUB\tNN\tI-NP\tB-protein' +p270189 +aS'.\t.\t.\tO\tO' +p270190 +asS'15. Lorazepam 0.5-1 mg IV Q3-4H : PRN anxiety , nausea hold for sedation .' +p270191 +(lp270192 +S'15.\t15.\tLS\tB-NP\tO' +p270193 +aS'Lorazepam\tLorazepam\tNNP\tI-NP\tO' +p270194 +aS'0.5-1\t0.5-1\tCD\tI-NP\tO' +p270195 +aS'mg\tmg\tNN\tI-NP\tO' +p270196 +aS'IV\tIV\tCD\tB-NP\tO' +p270197 +aS'Q3-4H\tQ3-4H\tNN\tI-NP\tO' +p270198 +aS':\t:\t:\tO\tO' +p270199 +aS'PRN\tPRN\tNN\tB-NP\tO' +p270200 +aS'anxiety\tanxiety\tNN\tI-NP\tO' +p270201 +aS',\t,\t,\tO\tO' +p270202 +aS'nausea\tnausea\tNN\tB-NP\tO' +p270203 +aS'hold\thold\tNN\tI-NP\tO' +p270204 +aS'for\tfor\tIN\tB-PP\tO' +p270205 +aS'sedation\tsedation\tNN\tB-NP\tO' +p270206 +aS'.\t.\t.\tO\tO' +p270207 +asS'It turns out that several people in her family have a similar bleeding diathesis of unknown etiology .' +p270208 +(lp270209 +S'It\tIt\tPRP\tB-NP\tO' +p270210 +aS'turns\tturn\tVBZ\tB-VP\tO' +p270211 +aS'out\tout\tRP\tB-PRT\tO' +p270212 +aS'that\tthat\tIN\tB-SBAR\tO' +p270213 +aS'several\tseveral\tJJ\tB-NP\tO' +p270214 +aS'people\tpeople\tNNS\tI-NP\tO' +p270215 +aS'in\tin\tIN\tB-PP\tO' +p270216 +aS'her\ther\tPRP$\tB-NP\tO' +p270217 +aS'family\tfamily\tNN\tI-NP\tO' +p270218 +aS'have\thave\tVBP\tB-VP\tO' +p270219 +aS'a\ta\tDT\tB-NP\tO' +p270220 +aS'similar\tsimilar\tJJ\tI-NP\tO' +p270221 +aS'bleeding\tbleed\tVBG\tI-NP\tO' +p270222 +aS'diathesis\tdiathesis\tNN\tI-NP\tO' +p270223 +aS'of\tof\tIN\tB-PP\tO' +p270224 +aS'unknown\tunknown\tJJ\tB-NP\tO' +p270225 +aS'etiology\tetiology\tNN\tI-NP\tO' +p270226 +aS'.\t.\t.\tO\tO' +p270227 +asS'He was kept in the Unit for observation of his airway and b.i.d. laryngoscopy .' +p270228 +(lp270229 +S'He\tHe\tPRP\tB-NP\tO' +p270230 +aS'was\tbe\tVBD\tB-VP\tO' +p270231 +aS'kept\tkeep\tVBN\tI-VP\tO' +p270232 +aS'in\tin\tIN\tB-PP\tO' +p270233 +aS'the\tthe\tDT\tB-NP\tO' +p270234 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p270235 +aS'for\tfor\tIN\tB-PP\tO' +p270236 +aS'observation\tobservation\tNN\tB-NP\tO' +p270237 +aS'of\tof\tIN\tB-PP\tO' +p270238 +aS'his\this\tPRP$\tB-NP\tO' +p270239 +aS'airway\tairway\tNN\tI-NP\tO' +p270240 +aS'and\tand\tCC\tI-NP\tO' +p270241 +aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' +p270242 +aS'laryngoscopy\tlaryngoscopy\tNN\tI-NP\tO' +p270243 +aS'.\t.\t.\tO\tO' +p270244 +asS'The patient was seen in consultation by Dr. Signs for Dr. Churlaunt of Cardiology .' +p270245 +(lp270246 +S'The\tThe\tDT\tB-NP\tO' +p270247 +aS'patient\tpatient\tNN\tI-NP\tO' +p270248 +aS'was\tbe\tVBD\tB-VP\tO' +p270249 +aS'seen\tsee\tVBN\tI-VP\tO' +p270250 +aS'in\tin\tIN\tB-PP\tO' +p270251 +aS'consultation\tconsultation\tNN\tB-NP\tO' +p270252 +aS'by\tby\tIN\tB-PP\tO' +p270253 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p270254 +aS'Signs\tSigns\tNNP\tI-NP\tO' +p270255 +aS'for\tfor\tIN\tB-PP\tO' +p270256 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p270257 +aS'Churlaunt\tChurlaunt\tNNP\tI-NP\tO' +p270258 +aS'of\tof\tIN\tB-PP\tO' +p270259 +aS'Cardiology\tCardiology\tNNP\tB-NP\tO' +p270260 +aS'.\t.\t.\tO\tO' +p270261 +asS'On examination , blood pressure was 200/100 ; heart rate 120 per minute ( atrial fibrillation ) .' +p270262 +(lp270263 +S'On\tOn\tIN\tB-PP\tO' +p270264 +aS'examination\texamination\tNN\tB-NP\tO' +p270265 +aS',\t,\t,\tO\tO' +p270266 +aS'blood\tblood\tNN\tB-NP\tO' +p270267 +aS'pressure\tpressure\tNN\tI-NP\tO' +p270268 +aS'was\tbe\tVBD\tB-VP\tO' +p270269 +aS'200/100\t200/100\tCD\tB-NP\tO' +p270270 +aS';\t;\t:\tO\tO' +p270271 +aS'heart\theart\tNN\tB-NP\tO' +p270272 +aS'rate\trate\tNN\tI-NP\tO' +p270273 +aS'120\t120\tCD\tI-NP\tO' +p270274 +aS'per\tper\tIN\tB-PP\tO' +p270275 +aS'minute\tminute\tNN\tB-NP\tO' +p270276 +aS'(\t(\t(\tO\tO' +p270277 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p270278 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p270279 +aS')\t)\t)\tO\tO' +p270280 +aS'.\t.\t.\tO\tO' +p270281 +asS'The neurology service was consulted and attributed these findings to cholesterol emboli .' +p270282 +(lp270283 +S'The\tThe\tDT\tB-NP\tO' +p270284 +aS'neurology\tneurology\tNN\tI-NP\tO' +p270285 +aS'service\tservice\tNN\tI-NP\tO' +p270286 +aS'was\tbe\tVBD\tB-VP\tO' +p270287 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p270288 +aS'and\tand\tCC\tO\tO' +p270289 +aS'attributed\tattribute\tVBD\tB-VP\tO' +p270290 +aS'these\tthese\tDT\tB-NP\tO' +p270291 +aS'findings\tfinding\tNNS\tI-NP\tO' +p270292 +aS'to\tto\tTO\tB-PP\tO' +p270293 +aS'cholesterol\tcholesterol\tNN\tB-NP\tO' +p270294 +aS'emboli\tembolus\tNNS\tI-NP\tO' +p270295 +aS'.\t.\t.\tO\tO' +p270296 +asS'2) MITRAL REGURGITATION .' +p270297 +(lp270298 +S'2)\t2)\tLS\tB-NP\tO' +p270299 +aS'MITRAL\tMITRAL\tNN\tI-NP\tO' +p270300 +aS'REGURGITATION\tREGURGITATION\tNN\tI-NP\tO' +p270301 +aS'.\t.\t.\tO\tO' +p270302 +asS'Heart rate 150 to 160 , mean blood pressure 40 to 54 .' +p270303 +(lp270304 +S'Heart\tHeart\tNN\tB-NP\tO' +p270305 +aS'rate\trate\tNN\tI-NP\tO' +p270306 +aS'150\t150\tCD\tB-NP\tO' +p270307 +aS'to\tto\tTO\tB-PP\tO' +p270308 +aS'160\t160\tCD\tB-NP\tO' +p270309 +aS',\t,\t,\tO\tO' +p270310 +aS'mean\tmean\tJJ\tB-NP\tO' +p270311 +aS'blood\tblood\tNN\tI-NP\tO' +p270312 +aS'pressure\tpressure\tNN\tI-NP\tO' +p270313 +aS'40\t40\tCD\tB-NP\tO' +p270314 +aS'to\tto\tTO\tB-PP\tO' +p270315 +aS'54\t54\tCD\tB-NP\tO' +p270316 +aS'.\t.\t.\tO\tO' +p270317 +asS'Patient was restarted on Digoxin just prior to discharge .' +p270318 +(lp270319 +S'Patient\tPatient\tNN\tB-NP\tO' +p270320 +aS'was\tbe\tVBD\tB-VP\tO' +p270321 +aS'restarted\trestart\tVBN\tI-VP\tO' +p270322 +aS'on\ton\tIN\tB-PP\tO' +p270323 +aS'Digoxin\tDigoxin\tNN\tB-NP\tO' +p270324 +aS'just\tjust\tRB\tB-ADJP\tO' +p270325 +aS'prior\tprior\tJJ\tI-ADJP\tO' +p270326 +aS'to\tto\tTO\tB-VP\tO' +p270327 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p270328 +aS'.\t.\t.\tO\tO' +p270329 +asS'This is an 80 year old female with a history of Stage I breast cancer , hypertension , hyperlipidemia , who presents with a leukocytosis/bandemia , hypotension in the setting of dehydration and influenza .' +p270330 +(lp270331 +S'This\tThis\tDT\tB-NP\tO' +p270332 +aS'is\tbe\tVBZ\tB-VP\tO' +p270333 +aS'an\tan\tDT\tB-NP\tO' +p270334 +aS'80\t80\tCD\tI-NP\tO' +p270335 +aS'year\tyear\tNN\tI-NP\tO' +p270336 +aS'old\told\tJJ\tI-NP\tO' +p270337 +aS'female\tfemale\tNN\tI-NP\tO' +p270338 +aS'with\twith\tIN\tB-PP\tO' +p270339 +aS'a\ta\tDT\tB-NP\tO' +p270340 +aS'history\thistory\tNN\tI-NP\tO' +p270341 +aS'of\tof\tIN\tB-PP\tO' +p270342 +aS'Stage\tStage\tNN\tB-NP\tO' +p270343 +aS'I\tI\tCD\tI-NP\tO' +p270344 +aS'breast\tbreast\tNN\tI-NP\tO' +p270345 +aS'cancer\tcancer\tNN\tI-NP\tO' +p270346 +aS',\t,\t,\tO\tO' +p270347 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p270348 +aS',\t,\t,\tO\tO' +p270349 +aS'hyperlipidemia\thyperlipidemia\tNN\tB-NP\tO' +p270350 +aS',\t,\t,\tO\tO' +p270351 +aS'who\twho\tWP\tB-NP\tO' +p270352 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p270353 +aS'with\twith\tIN\tB-PP\tO' +p270354 +aS'a\ta\tDT\tB-NP\tO' +p270355 +aS'leukocytosis/bandemia\tleukocytosis/bandemia\tNN\tI-NP\tO' +p270356 +aS',\t,\t,\tO\tO' +p270357 +aS'hypotension\thypotension\tNN\tB-NP\tO' +p270358 +aS'in\tin\tIN\tB-PP\tO' +p270359 +aS'the\tthe\tDT\tB-NP\tO' +p270360 +aS'setting\tsetting\tNN\tI-NP\tO' +p270361 +aS'of\tof\tIN\tB-PP\tO' +p270362 +aS'dehydration\tdehydration\tNN\tB-NP\tO' +p270363 +aS'and\tand\tCC\tI-NP\tO' +p270364 +aS'influenza\tinfluenza\tNN\tI-NP\tO' +p270365 +aS'.\t.\t.\tO\tO' +p270366 +asS'CXR 05-11 revealed ? pneumonia vs atelectasis at the R lung base .' +p270367 +(lp270368 +S'CXR\tCXR\tNN\tB-NP\tO' +p270369 +aS'05-11\t05-11\tCD\tI-NP\tO' +p270370 +aS'revealed\treveal\tVBD\tB-VP\tO' +p270371 +aS'?\t?\t.\tO\tO' +p270372 +aS'pneumonia\tpneumonia\tNN\tB-NP\tO' +p270373 +aS'vs\tvs\tCC\tI-NP\tO' +p270374 +aS'atelectasis\tatelectasis\tNN\tI-NP\tO' +p270375 +aS'at\tat\tIN\tB-PP\tO' +p270376 +aS'the\tthe\tDT\tB-NP\tO' +p270377 +aS'R\tR\tNN\tI-NP\tB-protein' +p270378 +aS'lung\tlung\tNN\tI-NP\tI-protein' +p270379 +aS'base\tbase\tNN\tI-NP\tI-protein' +p270380 +aS'.\t.\t.\tO\tO' +p270381 +asS'Pulmonary function test 11/04 .' +p270382 +(lp270383 +S'Pulmonary\tPulmonary\tJJ\tB-NP\tO' +p270384 +aS'function\tfunction\tNN\tI-NP\tO' +p270385 +aS'test\ttest\tNN\tI-NP\tO' +p270386 +aS'11/04\t11/04\tCD\tI-NP\tO' +p270387 +aS'.\t.\t.\tO\tO' +p270388 +asS'However , this responded to IV fluids and his ACE inhibitor was restarted at the time of discharge .' +p270389 +(lp270390 +S'However\tHowever\tRB\tB-ADVP\tO' +p270391 +aS',\t,\t,\tO\tO' +p270392 +aS'this\tthis\tDT\tB-NP\tO' +p270393 +aS'responded\trespond\tVBD\tB-VP\tO' +p270394 +aS'to\tto\tTO\tB-PP\tO' +p270395 +aS'IV\tIV\tCD\tB-NP\tO' +p270396 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p270397 +aS'and\tand\tCC\tO\tO' +p270398 +aS'his\this\tPRP$\tB-NP\tO' +p270399 +aS'ACE\tACE\tNN\tI-NP\tO' +p270400 +aS'inhibitor\tinhibitor\tNN\tI-NP\tO' +p270401 +aS'was\tbe\tVBD\tB-VP\tO' +p270402 +aS'restarted\trestart\tVBN\tI-VP\tO' +p270403 +aS'at\tat\tIN\tB-PP\tO' +p270404 +aS'the\tthe\tDT\tB-NP\tO' +p270405 +aS'time\ttime\tNN\tI-NP\tO' +p270406 +aS'of\tof\tIN\tB-PP\tO' +p270407 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p270408 +aS'.\t.\t.\tO\tO' +p270409 +asS'Mills was admitted to the newborn intensive care unit with moderate respiratory distress .' +p270410 +(lp270411 +S'Mills\tMill\tNNS\tB-NP\tO' +p270412 +aS'was\tbe\tVBD\tB-VP\tO' +p270413 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p270414 +aS'to\tto\tTO\tB-PP\tO' +p270415 +aS'the\tthe\tDT\tB-NP\tO' +p270416 +aS'newborn\tnewborn\tJJ\tI-NP\tO' +p270417 +aS'intensive\tintensive\tJJ\tI-NP\tO' +p270418 +aS'care\tcare\tNN\tI-NP\tO' +p270419 +aS'unit\tunit\tNN\tI-NP\tO' +p270420 +aS'with\twith\tIN\tB-PP\tO' +p270421 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p270422 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p270423 +aS'distress\tdistress\tNN\tI-NP\tO' +p270424 +aS'.\t.\t.\tO\tO' +p270425 +asS'Please discuss the use of beta-blockers with your cardiologist .' +p270426 +(lp270427 +S'Please\tPlease\tNN\tB-NP\tB-protein' +p270428 +aS'discuss\tdiscuss\tVBP\tB-VP\tO' +p270429 +aS'the\tthe\tDT\tB-NP\tO' +p270430 +aS'use\tuse\tNN\tI-NP\tO' +p270431 +aS'of\tof\tIN\tB-PP\tO' +p270432 +aS'beta-blockers\tbeta-blocker\tNNS\tB-NP\tO' +p270433 +aS'with\twith\tIN\tB-PP\tO' +p270434 +aS'your\tyour\tPRP$\tB-NP\tO' +p270435 +aS'cardiologist\tcardiologist\tNN\tI-NP\tO' +p270436 +aS'.\t.\t.\tO\tO' +p270437 +asS'Neurosurgery was immediately called for an EVD and anesthesia was called STAT to the bedside for intubation at 10:45 am in order to assist in hyperventilation .' +p270438 +(lp270439 +S'Neurosurgery\tNeurosurgery\tNN\tB-NP\tO' +p270440 +aS'was\tbe\tVBD\tB-VP\tO' +p270441 +aS'immediately\timmediately\tRB\tI-VP\tO' +p270442 +aS'called\tcall\tVBN\tI-VP\tO' +p270443 +aS'for\tfor\tIN\tB-PP\tO' +p270444 +aS'an\tan\tDT\tB-NP\tO' +p270445 +aS'EVD\tEVD\tNN\tI-NP\tO' +p270446 +aS'and\tand\tCC\tI-NP\tO' +p270447 +aS'anesthesia\tanesthesia\tNN\tI-NP\tO' +p270448 +aS'was\tbe\tVBD\tB-VP\tO' +p270449 +aS'called\tcall\tVBN\tI-VP\tO' +p270450 +aS'STAT\tSTAT\tNN\tB-NP\tB-protein' +p270451 +aS'to\tto\tTO\tB-PP\tO' +p270452 +aS'the\tthe\tDT\tB-NP\tO' +p270453 +aS'bedside\tbedside\tNN\tI-NP\tO' +p270454 +aS'for\tfor\tIN\tB-PP\tO' +p270455 +aS'intubation\tintubation\tNN\tB-NP\tO' +p270456 +aS'at\tat\tIN\tB-PP\tO' +p270457 +aS'10:45\t10:45\tCD\tB-NP\tO' +p270458 +aS'am\tam\tNN\tI-NP\tO' +p270459 +aS'in\tin\tIN\tB-SBAR\tO' +p270460 +aS'order\torder\tNN\tO\tO' +p270461 +aS'to\tto\tTO\tB-VP\tO' +p270462 +aS'assist\tassist\tVB\tI-VP\tO' +p270463 +aS'in\tin\tIN\tB-PP\tO' +p270464 +aS'hyperventilation\thyperventilation\tNN\tB-NP\tO' +p270465 +aS'.\t.\t.\tO\tO' +p270466 +asS'He stayed at the local Comfort Inn before his return back to Aujer Cin .' +p270467 +(lp270468 +S'He\tHe\tPRP\tB-NP\tO' +p270469 +aS'stayed\tstay\tVBD\tB-VP\tO' +p270470 +aS'at\tat\tIN\tB-PP\tO' +p270471 +aS'the\tthe\tDT\tB-NP\tO' +p270472 +aS'local\tlocal\tJJ\tI-NP\tO' +p270473 +aS'Comfort\tComfort\tNNP\tI-NP\tO' +p270474 +aS'Inn\tInn\tNNP\tI-NP\tO' +p270475 +aS'before\tbefore\tIN\tB-PP\tO' +p270476 +aS'his\this\tPRP$\tB-NP\tO' +p270477 +aS'return\treturn\tNN\tI-NP\tO' +p270478 +aS'back\tback\tRB\tB-ADVP\tO' +p270479 +aS'to\tto\tTO\tB-PP\tO' +p270480 +aS'Aujer\tAujer\tNNP\tB-NP\tO' +p270481 +aS'Cin\tCin\tNNP\tI-NP\tO' +p270482 +aS'.\t.\t.\tO\tO' +p270483 +asS'8. Hydralazine 75 mg q6hours .' +p270484 +(lp270485 +S'8.\t8.\tCD\tB-NP\tO' +p270486 +aS'Hydralazine\tHydralazine\tNN\tI-NP\tO' +p270487 +aS'75\t75\tCD\tB-NP\tO' +p270488 +aS'mg\tmg\tNN\tI-NP\tO' +p270489 +aS'q6hours\tq6hour\tNNS\tI-NP\tO' +p270490 +aS'.\t.\t.\tO\tO' +p270491 +asS'He continued to progress and was eventually cleared for discharge to home on postoperative day 7 .' +p270492 +(lp270493 +S'He\tHe\tPRP\tB-NP\tO' +p270494 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p270495 +aS'to\tto\tTO\tI-VP\tO' +p270496 +aS'progress\tprogress\tVB\tI-VP\tO' +p270497 +aS'and\tand\tCC\tO\tO' +p270498 +aS'was\tbe\tVBD\tB-VP\tO' +p270499 +aS'eventually\teventually\tRB\tI-VP\tO' +p270500 +aS'cleared\tclear\tVBN\tI-VP\tO' +p270501 +aS'for\tfor\tIN\tB-PP\tO' +p270502 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p270503 +aS'to\tto\tTO\tB-PP\tO' +p270504 +aS'home\thome\tNN\tB-NP\tO' +p270505 +aS'on\ton\tIN\tB-PP\tO' +p270506 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p270507 +aS'day\tday\tNN\tI-NP\tO' +p270508 +aS'7\t7\tCD\tI-NP\tO' +p270509 +aS'.\t.\t.\tO\tO' +p270510 +asS'PICC line was removed empirically .' +p270511 +(lp270512 +S'PICC\tPICC\tNN\tB-NP\tB-cell_line' +p270513 +aS'line\tline\tNN\tI-NP\tI-cell_line' +p270514 +aS'was\tbe\tVBD\tB-VP\tO' +p270515 +aS'removed\tremove\tVBN\tI-VP\tO' +p270516 +aS'empirically\tempirically\tRB\tB-ADVP\tO' +p270517 +aS'.\t.\t.\tO\tO' +p270518 +asS'He is breast and bottle feeding every 3 hours with expressed breast milk and / or Enfamil .' +p270519 +(lp270520 +S'He\tHe\tPRP\tB-NP\tO' +p270521 +aS'is\tbe\tVBZ\tB-VP\tO' +p270522 +aS'breast\tbreast\tNN\tB-NP\tO' +p270523 +aS'and\tand\tCC\tI-NP\tO' +p270524 +aS'bottle\tbottle\tNN\tI-NP\tO' +p270525 +aS'feeding\tfeed\tVBG\tB-VP\tO' +p270526 +aS'every\tevery\tDT\tB-NP\tO' +p270527 +aS'3\t3\tCD\tI-NP\tO' +p270528 +aS'hours\thour\tNNS\tI-NP\tO' +p270529 +aS'with\twith\tIN\tB-PP\tO' +p270530 +aS'expressed\texpress\tVBN\tB-NP\tO' +p270531 +aS'breast\tbreast\tNN\tI-NP\tO' +p270532 +aS'milk\tmilk\tNN\tI-NP\tO' +p270533 +aS'and\tand\tCC\tO\tO' +p270534 +aS'/\t/\tSYM\tB-NP\tO' +p270535 +aS'or\tor\tCC\tO\tO' +p270536 +aS'Enfamil\tEnfamil\tNNP\tB-NP\tO' +p270537 +aS'.\t.\t.\tO\tO' +p270538 +asS'Laxity is noted as well as markedly positive apprehension sign on the right .' +p270539 +(lp270540 +S'Laxity\tLaxity\tNN\tB-NP\tO' +p270541 +aS'is\tbe\tVBZ\tB-VP\tO' +p270542 +aS'noted\tnote\tVBN\tI-VP\tO' +p270543 +aS'as\tas\tRB\tB-CONJP\tO' +p270544 +aS'well\twell\tRB\tI-CONJP\tO' +p270545 +aS'as\tas\tIN\tI-CONJP\tO' +p270546 +aS'markedly\tmarkedly\tRB\tB-NP\tO' +p270547 +aS'positive\tpositive\tJJ\tI-NP\tO' +p270548 +aS'apprehension\tapprehension\tNN\tI-NP\tO' +p270549 +aS'sign\tsign\tNN\tI-NP\tO' +p270550 +aS'on\ton\tIN\tB-PP\tO' +p270551 +aS'the\tthe\tDT\tB-NP\tO' +p270552 +aS'right\tright\tNN\tI-NP\tO' +p270553 +aS'.\t.\t.\tO\tO' +p270554 +asS'These findings were consistent with the cord compression .' +p270555 +(lp270556 +S'These\tThese\tDT\tB-NP\tO' +p270557 +aS'findings\tfinding\tNNS\tI-NP\tO' +p270558 +aS'were\tbe\tVBD\tB-VP\tO' +p270559 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p270560 +aS'with\twith\tIN\tB-PP\tO' +p270561 +aS'the\tthe\tDT\tB-NP\tO' +p270562 +aS'cord\tcord\tNN\tI-NP\tO' +p270563 +aS'compression\tcompression\tNN\tI-NP\tO' +p270564 +aS'.\t.\t.\tO\tO' +p270565 +asS'The patient was out of bed .' +p270566 +(lp270567 +S'The\tThe\tDT\tB-NP\tO' +p270568 +aS'patient\tpatient\tNN\tI-NP\tO' +p270569 +aS'was\tbe\tVBD\tB-VP\tO' +p270570 +aS'out\tout\tIN\tB-PP\tO' +p270571 +aS'of\tof\tIN\tB-PP\tO' +p270572 +aS'bed\tbed\tNN\tB-NP\tO' +p270573 +aS'.\t.\t.\tO\tO' +p270574 +asS'Her neck showed no JVD .' +p270575 +(lp270576 +S'Her\tHer\tPRP$\tB-NP\tO' +p270577 +aS'neck\tneck\tNN\tI-NP\tO' +p270578 +aS'showed\tshow\tVBD\tB-VP\tO' +p270579 +aS'no\tno\tDT\tB-NP\tO' +p270580 +aS'JVD\tJVD\tNN\tI-NP\tB-protein' +p270581 +aS'.\t.\t.\tO\tO' +p270582 +asS'RTA diagnosed at 14 months of age , she had a history of scarlet fever at 14 months of age .' +p270583 +(lp270584 +S'RTA\tRTA\tNN\tB-NP\tB-protein' +p270585 +aS'diagnosed\tdiagnose\tVBN\tB-VP\tO' +p270586 +aS'at\tat\tIN\tB-PP\tO' +p270587 +aS'14\t14\tCD\tB-NP\tO' +p270588 +aS'months\tmonth\tNNS\tI-NP\tO' +p270589 +aS'of\tof\tIN\tB-PP\tO' +p270590 +aS'age\tage\tNN\tB-NP\tO' +p270591 +aS',\t,\t,\tO\tO' +p270592 +aS'she\tshe\tPRP\tB-NP\tO' +p270593 +aS'had\thave\tVBD\tB-VP\tO' +p270594 +aS'a\ta\tDT\tB-NP\tO' +p270595 +aS'history\thistory\tNN\tI-NP\tO' +p270596 +aS'of\tof\tIN\tB-PP\tO' +p270597 +aS'scarlet\tscarlet\tNN\tB-NP\tO' +p270598 +aS'fever\tfever\tNN\tI-NP\tO' +p270599 +aS'at\tat\tIN\tB-PP\tO' +p270600 +aS'14\t14\tCD\tB-NP\tO' +p270601 +aS'months\tmonth\tNNS\tI-NP\tO' +p270602 +aS'of\tof\tIN\tB-PP\tO' +p270603 +aS'age\tage\tNN\tB-NP\tO' +p270604 +aS'.\t.\t.\tO\tO' +p270605 +asS'The estimated blood loss was 200 cc. and she tolerated the procedure well .' +p270606 +(lp270607 +S'The\tThe\tDT\tB-NP\tO' +p270608 +aS'estimated\testimate\tVBN\tI-NP\tO' +p270609 +aS'blood\tblood\tNN\tI-NP\tO' +p270610 +aS'loss\tloss\tNN\tI-NP\tO' +p270611 +aS'was\tbe\tVBD\tB-VP\tO' +p270612 +aS'200\t200\tCD\tB-NP\tO' +p270613 +aS'cc.\tcc.\tNN\tI-NP\tO' +p270614 +aS'and\tand\tCC\tO\tO' +p270615 +aS'she\tshe\tPRP\tB-NP\tO' +p270616 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p270617 +aS'the\tthe\tDT\tB-NP\tO' +p270618 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p270619 +aS'well\twell\tRB\tB-ADVP\tO' +p270620 +aS'.\t.\t.\tO\tO' +p270621 +asS'He gradually improved and was A&Ox3 and near baseline before Amesbury Hospital transferred to the CMED CSRU in respiratory distress .' +p270622 +(lp270623 +S'He\tHe\tPRP\tB-NP\tO' +p270624 +aS'gradually\tgradually\tRB\tB-ADVP\tO' +p270625 +aS'improved\timprove\tVBD\tB-VP\tO' +p270626 +aS'and\tand\tCC\tO\tO' +p270627 +aS'was\tbe\tVBD\tB-VP\tO' +p270628 +aS'A&Ox3\tA&Ox3\tNN\tB-NP\tO' +p270629 +aS'and\tand\tCC\tO\tO' +p270630 +aS'near\tnear\tJJ\tB-NP\tO' +p270631 +aS'baseline\tbaseline\tNN\tI-NP\tO' +p270632 +aS'before\tbefore\tIN\tB-PP\tO' +p270633 +aS'Amesbury\tAmesbury\tNNP\tB-NP\tO' +p270634 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p270635 +aS'transferred\ttransfer\tVBD\tB-VP\tO' +p270636 +aS'to\tto\tTO\tB-PP\tO' +p270637 +aS'the\tthe\tDT\tB-NP\tO' +p270638 +aS'CMED\tCMED\tVBN\tI-NP\tO' +p270639 +aS'CSRU\tCSRU\tNN\tI-NP\tO' +p270640 +aS'in\tin\tIN\tB-PP\tO' +p270641 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p270642 +aS'distress\tdistress\tNN\tI-NP\tO' +p270643 +aS'.\t.\t.\tO\tO' +p270644 +asS'The patient was transfused from a Hct 29 to 34 on the day of discharge .' +p270645 +(lp270646 +S'The\tThe\tDT\tB-NP\tO' +p270647 +aS'patient\tpatient\tNN\tI-NP\tO' +p270648 +aS'was\tbe\tVBD\tB-VP\tO' +p270649 +aS'transfused\ttransfuse\tVBN\tI-VP\tO' +p270650 +aS'from\tfrom\tIN\tB-PP\tO' +p270651 +aS'a\ta\tDT\tB-NP\tO' +p270652 +aS'Hct\tHct\tNN\tI-NP\tO' +p270653 +aS'29\t29\tCD\tI-NP\tO' +p270654 +aS'to\tto\tTO\tB-PP\tO' +p270655 +aS'34\t34\tCD\tB-NP\tO' +p270656 +aS'on\ton\tIN\tB-PP\tO' +p270657 +aS'the\tthe\tDT\tB-NP\tO' +p270658 +aS'day\tday\tNN\tI-NP\tO' +p270659 +aS'of\tof\tIN\tB-PP\tO' +p270660 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p270661 +aS'.\t.\t.\tO\tO' +p270662 +asS'3. Prilosec 20 mg p.o. q. day .' +p270663 +(lp270664 +S'3.\t3.\tLS\tB-NP\tO' +p270665 +aS'Prilosec\tPrilosec\tNNP\tI-NP\tO' +p270666 +aS'20\t20\tCD\tI-NP\tO' +p270667 +aS'mg\tmg\tNN\tI-NP\tO' +p270668 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p270669 +aS'q.\tq.\tNN\tI-NP\tO' +p270670 +aS'day\tday\tNN\tI-NP\tO' +p270671 +aS'.\t.\t.\tO\tO' +p270672 +asS'Has chronic shortness of breath which has worsened over the past few days .' +p270673 +(lp270674 +S'Has\tHas\tJJ\tB-NP\tO' +p270675 +aS'chronic\tchronic\tJJ\tI-NP\tO' +p270676 +aS'shortness\tshortness\tNN\tI-NP\tO' +p270677 +aS'of\tof\tIN\tB-PP\tO' +p270678 +aS'breath\tbreath\tNN\tB-NP\tO' +p270679 +aS'which\twhich\tWDT\tB-NP\tO' +p270680 +aS'has\thave\tVBZ\tB-VP\tO' +p270681 +aS'worsened\tworsen\tVBN\tI-VP\tO' +p270682 +aS'over\tover\tIN\tB-PP\tO' +p270683 +aS'the\tthe\tDT\tB-NP\tO' +p270684 +aS'past\tpast\tJJ\tI-NP\tO' +p270685 +aS'few\tfew\tJJ\tI-NP\tO' +p270686 +aS'days\tday\tNNS\tI-NP\tO' +p270687 +aS'.\t.\t.\tO\tO' +p270688 +asS'The patient was discharged to home on 11/15/02 with instructions to the family to observe her gait in her home environment and to observe her behavior in her home environment over the next day and to report back to the primary neurologist , Dr. Flythegach , as to changes .' +p270689 +(lp270690 +S'The\tThe\tDT\tB-NP\tO' +p270691 +aS'patient\tpatient\tNN\tI-NP\tO' +p270692 +aS'was\tbe\tVBD\tB-VP\tO' +p270693 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p270694 +aS'to\tto\tTO\tB-PP\tO' +p270695 +aS'home\thome\tNN\tB-NP\tO' +p270696 +aS'on\ton\tIN\tB-PP\tO' +p270697 +aS'11/15/02\t11/15/02\tCD\tB-NP\tO' +p270698 +aS'with\twith\tIN\tB-PP\tO' +p270699 +aS'instructions\tinstruction\tNNS\tB-NP\tO' +p270700 +aS'to\tto\tTO\tB-PP\tO' +p270701 +aS'the\tthe\tDT\tB-NP\tO' +p270702 +aS'family\tfamily\tNN\tI-NP\tO' +p270703 +aS'to\tto\tTO\tB-VP\tO' +p270704 +aS'observe\tobserve\tVB\tI-VP\tO' +p270705 +aS'her\ther\tPRP$\tB-NP\tO' +p270706 +aS'gait\tgait\tNN\tI-NP\tO' +p270707 +aS'in\tin\tIN\tB-PP\tO' +p270708 +aS'her\ther\tPRP$\tB-NP\tO' +p270709 +aS'home\thome\tNN\tI-NP\tO' +p270710 +aS'environment\tenvironment\tNN\tI-NP\tO' +p270711 +aS'and\tand\tCC\tO\tO' +p270712 +aS'to\tto\tTO\tB-VP\tO' +p270713 +aS'observe\tobserve\tVB\tI-VP\tO' +p270714 +aS'her\ther\tPRP$\tB-NP\tO' +p270715 +aS'behavior\tbehavior\tNN\tI-NP\tO' +p270716 +aS'in\tin\tIN\tB-PP\tO' +p270717 +aS'her\ther\tPRP$\tB-NP\tO' +p270718 +aS'home\thome\tNN\tI-NP\tO' +p270719 +aS'environment\tenvironment\tNN\tI-NP\tO' +p270720 +aS'over\tover\tIN\tB-PP\tO' +p270721 +aS'the\tthe\tDT\tB-NP\tO' +p270722 +aS'next\tnext\tJJ\tI-NP\tO' +p270723 +aS'day\tday\tNN\tI-NP\tO' +p270724 +aS'and\tand\tCC\tO\tO' +p270725 +aS'to\tto\tTO\tB-VP\tO' +p270726 +aS'report\treport\tVB\tI-VP\tO' +p270727 +aS'back\tback\tRB\tB-ADVP\tO' +p270728 +aS'to\tto\tTO\tB-PP\tO' +p270729 +aS'the\tthe\tDT\tB-NP\tO' +p270730 +aS'primary\tprimary\tJJ\tI-NP\tO' +p270731 +aS'neurologist\tneurologist\tNN\tI-NP\tO' +p270732 +aS',\t,\t,\tO\tO' +p270733 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p270734 +aS'Flythegach\tFlythegach\tNNP\tI-NP\tO' +p270735 +aS',\t,\t,\tO\tO' +p270736 +aS'as\tas\tIN\tB-PP\tO' +p270737 +aS'to\tto\tTO\tB-PP\tO' +p270738 +aS'changes\tchange\tNNS\tB-NP\tO' +p270739 +aS'.\t.\t.\tO\tO' +p270740 +asS'Mr. Vessels 's postoperative course has been marked by CMV infection , hypertension , poorly controlled lipids , peripheral vascular disease , and chronic renal insufficiency with a creatinine of 1.8 or so .' +p270741 +(lp270742 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p270743 +aS'Vessels\tVessels\tNNP\tI-NP\tO' +p270744 +aS''s\t'\tVBZ\tB-VP\tO' +p270745 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p270746 +aS'course\tcourse\tNN\tI-NP\tO' +p270747 +aS'has\thave\tVBZ\tB-VP\tO' +p270748 +aS'been\tbe\tVBN\tI-VP\tO' +p270749 +aS'marked\tmark\tVBN\tI-VP\tO' +p270750 +aS'by\tby\tIN\tB-PP\tO' +p270751 +aS'CMV\tCMV\tNN\tB-NP\tO' +p270752 +aS'infection\tinfection\tNN\tI-NP\tO' +p270753 +aS',\t,\t,\tO\tO' +p270754 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p270755 +aS',\t,\t,\tO\tO' +p270756 +aS'poorly\tpoorly\tRB\tB-NP\tO' +p270757 +aS'controlled\tcontrol\tVBN\tI-NP\tO' +p270758 +aS'lipids\tlipid\tNNS\tI-NP\tO' +p270759 +aS',\t,\t,\tO\tO' +p270760 +aS'peripheral\tperipheral\tJJ\tB-NP\tO' +p270761 +aS'vascular\tvascular\tJJ\tI-NP\tO' +p270762 +aS'disease\tdisease\tNN\tI-NP\tO' +p270763 +aS',\t,\t,\tO\tO' +p270764 +aS'and\tand\tCC\tO\tO' +p270765 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p270766 +aS'renal\trenal\tJJ\tI-NP\tO' +p270767 +aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' +p270768 +aS'with\twith\tIN\tB-PP\tO' +p270769 +aS'a\ta\tDT\tB-NP\tO' +p270770 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p270771 +aS'of\tof\tIN\tB-PP\tO' +p270772 +aS'1.8\t1.8\tCD\tB-NP\tO' +p270773 +aS'or\tor\tCC\tI-NP\tO' +p270774 +aS'so\tso\tRB\tI-NP\tO' +p270775 +aS'.\t.\t.\tO\tO' +p270776 +asS'On hospital day the patient underwent conscious sedation in the operating room where lumbar puncture was performed .' +p270777 +(lp270778 +S'On\tOn\tIN\tB-PP\tO' +p270779 +aS'hospital\thospital\tNN\tB-NP\tO' +p270780 +aS'day\tday\tNN\tI-NP\tO' +p270781 +aS'the\tthe\tDT\tB-NP\tO' +p270782 +aS'patient\tpatient\tNN\tI-NP\tO' +p270783 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p270784 +aS'conscious\tconscious\tJJ\tB-NP\tO' +p270785 +aS'sedation\tsedation\tNN\tI-NP\tO' +p270786 +aS'in\tin\tIN\tB-PP\tO' +p270787 +aS'the\tthe\tDT\tB-NP\tO' +p270788 +aS'operating\toperating\tNN\tI-NP\tO' +p270789 +aS'room\troom\tNN\tI-NP\tO' +p270790 +aS'where\twhere\tWRB\tB-ADVP\tO' +p270791 +aS'lumbar\tlumbar\tNN\tB-NP\tO' +p270792 +aS'puncture\tpuncture\tNN\tI-NP\tO' +p270793 +aS'was\tbe\tVBD\tB-VP\tO' +p270794 +aS'performed\tperform\tVBN\tI-VP\tO' +p270795 +aS'.\t.\t.\tO\tO' +p270796 +asS'Cholangiogram on postoperative day number two showed no evidence of leakage at the anastomosis site .' +p270797 +(lp270798 +S'Cholangiogram\tCholangiogram\tNN\tB-NP\tO' +p270799 +aS'on\ton\tIN\tB-PP\tO' +p270800 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p270801 +aS'day\tday\tNN\tI-NP\tO' +p270802 +aS'number\tnumber\tNN\tI-NP\tO' +p270803 +aS'two\ttwo\tCD\tB-NP\tO' +p270804 +aS'showed\tshow\tVBD\tB-VP\tO' +p270805 +aS'no\tno\tDT\tB-NP\tO' +p270806 +aS'evidence\tevidence\tNN\tI-NP\tO' +p270807 +aS'of\tof\tIN\tB-PP\tO' +p270808 +aS'leakage\tleakage\tNN\tB-NP\tO' +p270809 +aS'at\tat\tIN\tB-PP\tO' +p270810 +aS'the\tthe\tDT\tB-NP\tO' +p270811 +aS'anastomosis\tanastomosis\tNN\tI-NP\tB-DNA' +p270812 +aS'site\tsite\tNN\tI-NP\tI-DNA' +p270813 +aS'.\t.\t.\tO\tO' +p270814 +asS'Nontender , nondistended .' +p270815 +(lp270816 +S'Nontender\tNontender\tRB\tB-ADVP\tO' +p270817 +aS',\t,\t,\tO\tO' +p270818 +aS'nondistended\tnondistended\tJJ\tB-ADJP\tO' +p270819 +aS'.\t.\t.\tO\tO' +p270820 +asS'HEENT : NCAT .' +p270821 +(lp270822 +S'HEENT\tHEENT\tNN\tB-NP\tO' +p270823 +aS':\t:\t:\tO\tO' +p270824 +aS'NCAT\tNCAT\tNN\tB-NP\tB-protein' +p270825 +aS'.\t.\t.\tO\tO' +p270826 +asS'55 year old man with history of metastatic bladder cancer and recurrent DVT s on Lovenox admitted with lower GI bleeding .' +p270827 +(lp270828 +S'55\t55\tCD\tB-NP\tO' +p270829 +aS'year\tyear\tNN\tI-NP\tO' +p270830 +aS'old\told\tJJ\tI-NP\tO' +p270831 +aS'man\tman\tNN\tI-NP\tO' +p270832 +aS'with\twith\tIN\tB-PP\tO' +p270833 +aS'history\thistory\tNN\tB-NP\tO' +p270834 +aS'of\tof\tIN\tB-PP\tO' +p270835 +aS'metastatic\tmetastatic\tJJ\tB-NP\tO' +p270836 +aS'bladder\tbladder\tNN\tI-NP\tO' +p270837 +aS'cancer\tcancer\tNN\tI-NP\tO' +p270838 +aS'and\tand\tCC\tO\tO' +p270839 +aS'recurrent\trecurrent\tJJ\tB-NP\tO' +p270840 +aS'DVT\tDVT\tNN\tI-NP\tO' +p270841 +aS's\ts\tNNS\tI-NP\tO' +p270842 +aS'on\ton\tIN\tB-PP\tO' +p270843 +aS'Lovenox\tLovenox\tNN\tB-NP\tO' +p270844 +aS'admitted\tadmit\tVBN\tB-VP\tO' +p270845 +aS'with\twith\tIN\tB-PP\tO' +p270846 +aS'lower\tlow\tJJR\tB-NP\tO' +p270847 +aS'GI\tGI\tNN\tI-NP\tO' +p270848 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p270849 +aS'.\t.\t.\tO\tO' +p270850 +asS'The patient while in bed had her legs elevated .' +p270851 +(lp270852 +S'The\tThe\tDT\tB-NP\tO' +p270853 +aS'patient\tpatient\tNN\tI-NP\tO' +p270854 +aS'while\twhile\tIN\tB-SBAR\tO' +p270855 +aS'in\tin\tIN\tB-PP\tO' +p270856 +aS'bed\tbed\tNN\tB-NP\tO' +p270857 +aS'had\thave\tVBD\tB-VP\tO' +p270858 +aS'her\ther\tPRP$\tB-NP\tO' +p270859 +aS'legs\tleg\tNNS\tI-NP\tO' +p270860 +aS'elevated\televate\tVBN\tB-VP\tO' +p270861 +aS'.\t.\t.\tO\tO' +p270862 +asS'He was intubated and was on mechanical ventilation from 9/13-10/11 , but he was started on levofloxacin' +p270863 +(lp270864 +S'He\tHe\tPRP\tB-NP\tO' +p270865 +aS'was\tbe\tVBD\tB-VP\tO' +p270866 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p270867 +aS'and\tand\tCC\tO\tO' +p270868 +aS'was\tbe\tVBD\tB-VP\tO' +p270869 +aS'on\ton\tIN\tB-PP\tO' +p270870 +aS'mechanical\tmechanical\tJJ\tB-NP\tO' +p270871 +aS'ventilation\tventilation\tNN\tI-NP\tO' +p270872 +aS'from\tfrom\tIN\tB-PP\tO' +p270873 +aS'9/13-10/11\t9/13-10/11\tCD\tB-NP\tO' +p270874 +aS',\t,\t,\tO\tO' +p270875 +aS'but\tbut\tCC\tO\tO' +p270876 +aS'he\the\tPRP\tB-NP\tO' +p270877 +aS'was\tbe\tVBD\tB-VP\tO' +p270878 +aS'started\tstart\tVBN\tI-VP\tO' +p270879 +aS'on\ton\tIN\tB-PP\tO' +p270880 +aS'levofloxacin\tlevofloxacin\tNN\tB-NP\tO' +p270881 +asS'Moderate to severe enlargement of the cardiac silhouette , and particularly the left atrium accompanied by pulmonary vascular congestion and mild pulmonary edema consistent with heart failure .' +p270882 +(lp270883 +S'Moderate\tModerate\tJJ\tB-ADJP\tO' +p270884 +aS'to\tto\tTO\tB-PP\tO' +p270885 +aS'severe\tsevere\tJJ\tB-NP\tO' +p270886 +aS'enlargement\tenlargement\tNN\tI-NP\tO' +p270887 +aS'of\tof\tIN\tB-PP\tO' +p270888 +aS'the\tthe\tDT\tB-NP\tO' +p270889 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p270890 +aS'silhouette\tsilhouette\tNN\tI-NP\tO' +p270891 +aS',\t,\t,\tO\tO' +p270892 +aS'and\tand\tCC\tO\tO' +p270893 +aS'particularly\tparticularly\tRB\tB-ADVP\tO' +p270894 +aS'the\tthe\tDT\tB-NP\tO' +p270895 +aS'left\tleft\tJJ\tI-NP\tO' +p270896 +aS'atrium\tatrium\tNN\tI-NP\tO' +p270897 +aS'accompanied\taccompany\tVBN\tB-VP\tO' +p270898 +aS'by\tby\tIN\tB-PP\tO' +p270899 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p270900 +aS'vascular\tvascular\tJJ\tI-NP\tO' +p270901 +aS'congestion\tcongestion\tNN\tI-NP\tO' +p270902 +aS'and\tand\tCC\tO\tO' +p270903 +aS'mild\tmild\tJJ\tB-NP\tO' +p270904 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p270905 +aS'edema\tedema\tNN\tI-NP\tO' +p270906 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p270907 +aS'with\twith\tIN\tB-PP\tO' +p270908 +aS'heart\theart\tNN\tB-NP\tO' +p270909 +aS'failure\tfailure\tNN\tI-NP\tO' +p270910 +aS'.\t.\t.\tO\tO' +p270911 +asS'4. Dementia .' +p270912 +(lp270913 +S'4.\t4.\tLS\tB-LST\tO' +p270914 +aS'Dementia\tDementia\tNNP\tB-NP\tO' +p270915 +aS'.\t.\t.\tO\tO' +p270916 +asS'CK was 62 .' +p270917 +(lp270918 +S'CK\tCK\tNN\tB-NP\tB-protein' +p270919 +aS'was\tbe\tVBD\tB-VP\tO' +p270920 +aS'62\t62\tCD\tB-NP\tO' +p270921 +aS'.\t.\t.\tO\tO' +p270922 +asS'He was started on nitrates there as well as heparin and Integrelin and remained pain-free .' +p270923 +(lp270924 +S'He\tHe\tPRP\tB-NP\tO' +p270925 +aS'was\tbe\tVBD\tB-VP\tO' +p270926 +aS'started\tstart\tVBN\tI-VP\tO' +p270927 +aS'on\ton\tIN\tB-PP\tO' +p270928 +aS'nitrates\tnitrate\tNNS\tB-NP\tO' +p270929 +aS'there\tthere\tEX\tO\tO' +p270930 +aS'as\tas\tRB\tB-CONJP\tO' +p270931 +aS'well\twell\tRB\tI-CONJP\tO' +p270932 +aS'as\tas\tIN\tI-CONJP\tO' +p270933 +aS'heparin\theparin\tNN\tB-NP\tO' +p270934 +aS'and\tand\tCC\tI-NP\tO' +p270935 +aS'Integrelin\tIntegrelin\tNN\tI-NP\tB-protein' +p270936 +aS'and\tand\tCC\tO\tO' +p270937 +aS'remained\tremain\tVBD\tB-VP\tO' +p270938 +aS'pain-free\tpain-free\tJJ\tB-ADJP\tO' +p270939 +aS'.\t.\t.\tO\tO' +p270940 +asS'The patient required multiple boluses of albumin for hypotension , patient also required multiple boluses of calcium because of hypocalcemia and hypotension .' +p270941 +(lp270942 +S'The\tThe\tDT\tB-NP\tO' +p270943 +aS'patient\tpatient\tNN\tI-NP\tO' +p270944 +aS'required\trequire\tVBD\tB-VP\tO' +p270945 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p270946 +aS'boluses\tbolus\tNNS\tI-NP\tO' +p270947 +aS'of\tof\tIN\tB-PP\tO' +p270948 +aS'albumin\talbumin\tNN\tB-NP\tB-protein' +p270949 +aS'for\tfor\tIN\tB-PP\tO' +p270950 +aS'hypotension\thypotension\tNN\tB-NP\tO' +p270951 +aS',\t,\t,\tO\tO' +p270952 +aS'patient\tpatient\tNN\tB-NP\tO' +p270953 +aS'also\talso\tRB\tB-ADVP\tO' +p270954 +aS'required\trequire\tVBD\tB-VP\tO' +p270955 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p270956 +aS'boluses\tbolus\tNNS\tI-NP\tO' +p270957 +aS'of\tof\tIN\tB-PP\tO' +p270958 +aS'calcium\tcalcium\tNN\tB-NP\tO' +p270959 +aS'because\tbecause\tIN\tB-PP\tO' +p270960 +aS'of\tof\tIN\tI-PP\tO' +p270961 +aS'hypocalcemia\thypocalcemia\tNN\tB-NP\tO' +p270962 +aS'and\tand\tCC\tI-NP\tO' +p270963 +aS'hypotension\thypotension\tNN\tI-NP\tO' +p270964 +aS'.\t.\t.\tO\tO' +p270965 +asS'Lasix prn .' +p270966 +(lp270967 +S'Lasix\tLasix\tNN\tB-NP\tO' +p270968 +aS'prn\tprn\tNN\tI-NP\tO' +p270969 +aS'.\t.\t.\tO\tO' +p270970 +asS'A lumbar puncture was considered , although not performed due to the fact that the cerebrospinal fluid was not breached during the procedure .' +p270971 +(lp270972 +S'A\tA\tDT\tB-NP\tO' +p270973 +aS'lumbar\tlumbar\tNN\tI-NP\tO' +p270974 +aS'puncture\tpuncture\tNN\tI-NP\tO' +p270975 +aS'was\tbe\tVBD\tB-VP\tO' +p270976 +aS'considered\tconsider\tVBN\tI-VP\tO' +p270977 +aS',\t,\t,\tO\tO' +p270978 +aS'although\talthough\tIN\tB-SBAR\tO' +p270979 +aS'not\tnot\tRB\tO\tO' +p270980 +aS'performed\tperform\tVBN\tB-VP\tO' +p270981 +aS'due\tdue\tJJ\tB-ADJP\tO' +p270982 +aS'to\tto\tTO\tB-PP\tO' +p270983 +aS'the\tthe\tDT\tB-NP\tO' +p270984 +aS'fact\tfact\tNN\tI-NP\tO' +p270985 +aS'that\tthat\tIN\tB-SBAR\tO' +p270986 +aS'the\tthe\tDT\tB-NP\tO' +p270987 +aS'cerebrospinal\tcerebrospinal\tJJ\tI-NP\tO' +p270988 +aS'fluid\tfluid\tNN\tI-NP\tO' +p270989 +aS'was\tbe\tVBD\tB-VP\tO' +p270990 +aS'not\tnot\tRB\tI-VP\tO' +p270991 +aS'breached\tbreach\tVBN\tI-VP\tO' +p270992 +aS'during\tduring\tIN\tB-PP\tO' +p270993 +aS'the\tthe\tDT\tB-NP\tO' +p270994 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p270995 +aS'.\t.\t.\tO\tO' +p270996 +asS'Denied IV drug abuse .' +p270997 +(lp270998 +S'Denied\tDeny\tVBN\tB-NP\tO' +p270999 +aS'IV\tIV\tCD\tI-NP\tO' +p271000 +aS'drug\tdrug\tNN\tI-NP\tO' +p271001 +aS'abuse\tabuse\tNN\tI-NP\tO' +p271002 +aS'.\t.\t.\tO\tO' +p271003 +asS'The patient decreased the amount of Demerol she was using and supplemented with Tylenol and continued her frequent ambulation .' +p271004 +(lp271005 +S'The\tThe\tDT\tB-NP\tO' +p271006 +aS'patient\tpatient\tNN\tI-NP\tO' +p271007 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p271008 +aS'the\tthe\tDT\tB-NP\tO' +p271009 +aS'amount\tamount\tNN\tI-NP\tO' +p271010 +aS'of\tof\tIN\tB-PP\tO' +p271011 +aS'Demerol\tDemerol\tNN\tB-NP\tO' +p271012 +aS'she\tshe\tPRP\tB-NP\tO' +p271013 +aS'was\tbe\tVBD\tB-VP\tO' +p271014 +aS'using\tuse\tVBG\tI-VP\tO' +p271015 +aS'and\tand\tCC\tO\tO' +p271016 +aS'supplemented\tsupplement\tVBN\tB-VP\tO' +p271017 +aS'with\twith\tIN\tB-PP\tO' +p271018 +aS'Tylenol\tTylenol\tNN\tB-NP\tO' +p271019 +aS'and\tand\tCC\tO\tO' +p271020 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p271021 +aS'her\ther\tPRP$\tB-NP\tO' +p271022 +aS'frequent\tfrequent\tJJ\tI-NP\tO' +p271023 +aS'ambulation\tambulation\tNN\tI-NP\tO' +p271024 +aS'.\t.\t.\tO\tO' +p271025 +asS'With positive pressure ventilation and continued diuresis , his arterial blood gases improved .' +p271026 +(lp271027 +S'With\tWith\tIN\tB-PP\tO' +p271028 +aS'positive\tpositive\tJJ\tB-NP\tO' +p271029 +aS'pressure\tpressure\tNN\tI-NP\tO' +p271030 +aS'ventilation\tventilation\tNN\tI-NP\tO' +p271031 +aS'and\tand\tCC\tO\tO' +p271032 +aS'continued\tcontinued\tJJ\tB-NP\tO' +p271033 +aS'diuresis\tdiuresis\tNN\tI-NP\tO' +p271034 +aS',\t,\t,\tO\tO' +p271035 +aS'his\this\tPRP$\tB-NP\tO' +p271036 +aS'arterial\tarterial\tJJ\tI-NP\tB-protein' +p271037 +aS'blood\tblood\tNN\tI-NP\tI-protein' +p271038 +aS'gases\tgas\tNNS\tI-NP\tI-protein' +p271039 +aS'improved\timprove\tVBD\tB-VP\tO' +p271040 +aS'.\t.\t.\tO\tO' +p271041 +asS'4. Sepsis suspect .' +p271042 +(lp271043 +S'4.\t4.\tLS\tB-LST\tO' +p271044 +aS'Sepsis\tSepsis\tNNP\tB-NP\tO' +p271045 +aS'suspect\tsuspect\tVB\tB-VP\tO' +p271046 +aS'.\t.\t.\tO\tO' +p271047 +asS'No smoking , alcohol or drugs .' +p271048 +(lp271049 +S'No\tNo\tDT\tB-NP\tO' +p271050 +aS'smoking\tsmoking\tNN\tI-NP\tO' +p271051 +aS',\t,\t,\tI-NP\tO' +p271052 +aS'alcohol\talcohol\tNN\tI-NP\tO' +p271053 +aS'or\tor\tCC\tI-NP\tO' +p271054 +aS'drugs\tdrug\tNNS\tI-NP\tO' +p271055 +aS'.\t.\t.\tO\tO' +p271056 +asS'7. Montelukast sodium 10 mg p.o. q.h.s.' +p271057 +(lp271058 +S'7.\t7.\tLS\tB-NP\tO' +p271059 +aS'Montelukast\tMontelukast\tNN\tI-NP\tO' +p271060 +aS'sodium\tsodium\tNN\tI-NP\tO' +p271061 +aS'10\t10\tCD\tI-NP\tO' +p271062 +aS'mg\tmg\tNN\tI-NP\tO' +p271063 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p271064 +aS'q.h.s.\tq.h.s.\tNN\tI-NP\tO' +p271065 +asS'Please follow up with Dr. Rowles , your oncologist , in 2-3 weeks' +p271066 +(lp271067 +S'Please\tPlease\tVB\tB-VP\tO' +p271068 +aS'follow\tfollow\tVB\tI-VP\tO' +p271069 +aS'up\tup\tRP\tB-PRT\tO' +p271070 +aS'with\twith\tIN\tB-PP\tO' +p271071 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p271072 +aS'Rowles\tRowles\tNNP\tI-NP\tO' +p271073 +aS',\t,\t,\tO\tO' +p271074 +aS'your\tyour\tPRP$\tB-NP\tO' +p271075 +aS'oncologist\toncologist\tNN\tI-NP\tO' +p271076 +aS',\t,\t,\tO\tO' +p271077 +aS'in\tin\tIN\tB-PP\tO' +p271078 +aS'2-3\t2-3\tCD\tB-NP\tO' +p271079 +aS'weeks\tweek\tNNS\tI-NP\tO' +p271080 +asS'Urine lytes with Na of 10 indicating either pre-renal or hepatorenal .' +p271081 +(lp271082 +S'Urine\tUrine\tNN\tB-NP\tO' +p271083 +aS'lytes\tlyte\tNNS\tI-NP\tO' +p271084 +aS'with\twith\tIN\tB-PP\tO' +p271085 +aS'Na\tNa\tNN\tB-NP\tO' +p271086 +aS'of\tof\tIN\tB-PP\tO' +p271087 +aS'10\t10\tCD\tB-NP\tO' +p271088 +aS'indicating\tindicate\tVBG\tB-VP\tO' +p271089 +aS'either\teither\tCC\tO\tO' +p271090 +aS'pre-renal\tpre-renal\tJJ\tB-ADJP\tO' +p271091 +aS'or\tor\tCC\tI-ADJP\tO' +p271092 +aS'hepatorenal\thepatorenal\tJJ\tI-ADJP\tO' +p271093 +aS'.\t.\t.\tO\tO' +p271094 +asS'During his hospitalization , his was treated with vancomycin for his gram-negative rods , imipenem , and Flagyl .' +p271095 +(lp271096 +S'During\tDuring\tIN\tB-PP\tO' +p271097 +aS'his\this\tPRP$\tB-NP\tO' +p271098 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p271099 +aS',\t,\t,\tO\tO' +p271100 +aS'his\this\tPRP$\tB-NP\tB-DNA' +p271101 +aS'was\tbe\tVBD\tB-VP\tO' +p271102 +aS'treated\ttreat\tVBN\tI-VP\tO' +p271103 +aS'with\twith\tIN\tB-PP\tO' +p271104 +aS'vancomycin\tvancomycin\tNN\tB-NP\tO' +p271105 +aS'for\tfor\tIN\tB-PP\tO' +p271106 +aS'his\this\tPRP$\tB-NP\tO' +p271107 +aS'gram-negative\tgram-negative\tJJ\tI-NP\tO' +p271108 +aS'rods\trod\tNNS\tI-NP\tO' +p271109 +aS',\t,\t,\tO\tO' +p271110 +aS'imipenem\timipenem\tNN\tB-NP\tO' +p271111 +aS',\t,\t,\tO\tO' +p271112 +aS'and\tand\tCC\tO\tO' +p271113 +aS'Flagyl\tFlagyl\tNN\tB-NP\tO' +p271114 +aS'.\t.\t.\tO\tO' +p271115 +asS'This trend of improvement continued , and she was discharged in stable condition .' +p271116 +(lp271117 +S'This\tThis\tDT\tB-NP\tO' +p271118 +aS'trend\ttrend\tNN\tI-NP\tO' +p271119 +aS'of\tof\tIN\tB-PP\tO' +p271120 +aS'improvement\timprovement\tNN\tB-NP\tO' +p271121 +aS'continued\tcontinue\tVBN\tB-VP\tO' +p271122 +aS',\t,\t,\tO\tO' +p271123 +aS'and\tand\tCC\tO\tO' +p271124 +aS'she\tshe\tPRP\tB-NP\tO' +p271125 +aS'was\tbe\tVBD\tB-VP\tO' +p271126 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p271127 +aS'in\tin\tIN\tB-PP\tO' +p271128 +aS'stable\tstable\tJJ\tB-NP\tO' +p271129 +aS'condition\tcondition\tNN\tI-NP\tO' +p271130 +aS'.\t.\t.\tO\tO' +p271131 +asS'His pulmonary status was so tenuous that we were unable to transfer him to the regular patient care floor during his hospitalization .' +p271132 +(lp271133 +S'His\tHis\tPRP$\tB-NP\tO' +p271134 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p271135 +aS'status\tstatus\tNN\tI-NP\tO' +p271136 +aS'was\tbe\tVBD\tB-VP\tO' +p271137 +aS'so\tso\tRB\tB-ADJP\tO' +p271138 +aS'tenuous\ttenuous\tJJ\tI-ADJP\tO' +p271139 +aS'that\tthat\tIN\tB-SBAR\tO' +p271140 +aS'we\twe\tPRP\tB-NP\tO' +p271141 +aS'were\tbe\tVBD\tB-VP\tO' +p271142 +aS'unable\tunable\tJJ\tB-ADJP\tO' +p271143 +aS'to\tto\tTO\tB-VP\tO' +p271144 +aS'transfer\ttransfer\tVB\tI-VP\tO' +p271145 +aS'him\thim\tPRP\tB-NP\tO' +p271146 +aS'to\tto\tTO\tB-PP\tO' +p271147 +aS'the\tthe\tDT\tB-NP\tO' +p271148 +aS'regular\tregular\tJJ\tI-NP\tO' +p271149 +aS'patient\tpatient\tNN\tI-NP\tO' +p271150 +aS'care\tcare\tNN\tI-NP\tO' +p271151 +aS'floor\tfloor\tNN\tI-NP\tO' +p271152 +aS'during\tduring\tIN\tB-PP\tO' +p271153 +aS'his\this\tPRP$\tB-NP\tO' +p271154 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p271155 +aS'.\t.\t.\tO\tO' +p271156 +asS'The neutropenia resolved and he was felt to be in satisfactory condition on discharge on 10/20/95 .' +p271157 +(lp271158 +S'The\tThe\tDT\tB-NP\tO' +p271159 +aS'neutropenia\tneutropenia\tNN\tI-NP\tO' +p271160 +aS'resolved\tresolve\tVBN\tB-VP\tO' +p271161 +aS'and\tand\tCC\tO\tO' +p271162 +aS'he\the\tPRP\tB-NP\tO' +p271163 +aS'was\tbe\tVBD\tB-VP\tO' +p271164 +aS'felt\tfeel\tVBN\tI-VP\tO' +p271165 +aS'to\tto\tTO\tI-VP\tO' +p271166 +aS'be\tbe\tVB\tI-VP\tO' +p271167 +aS'in\tin\tIN\tB-PP\tO' +p271168 +aS'satisfactory\tsatisfactory\tJJ\tB-NP\tO' +p271169 +aS'condition\tcondition\tNN\tI-NP\tO' +p271170 +aS'on\ton\tIN\tB-PP\tO' +p271171 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p271172 +aS'on\ton\tIN\tB-PP\tO' +p271173 +aS'10/20/95\t10/20/95\tCD\tB-NP\tO' +p271174 +aS'.\t.\t.\tO\tO' +p271175 +asS'Atonic bladder with suprapubic catheter .' +p271176 +(lp271177 +S'Atonic\tAtonic\tJJ\tB-NP\tO' +p271178 +aS'bladder\tbladder\tNN\tI-NP\tO' +p271179 +aS'with\twith\tIN\tB-PP\tO' +p271180 +aS'suprapubic\tsuprapubic\tJJ\tB-NP\tO' +p271181 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p271182 +aS'.\t.\t.\tO\tO' +p271183 +asS'She continued to have no change in her shortness of breath or cardiac examination and was discharged home on 06/22/91 after completing her 5-FU and Cisplatin chemotherapy .' +p271184 +(lp271185 +S'She\tShe\tPRP\tB-NP\tO' +p271186 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p271187 +aS'to\tto\tTO\tI-VP\tO' +p271188 +aS'have\thave\tVB\tI-VP\tO' +p271189 +aS'no\tno\tDT\tB-NP\tO' +p271190 +aS'change\tchange\tNN\tI-NP\tO' +p271191 +aS'in\tin\tIN\tB-PP\tO' +p271192 +aS'her\ther\tPRP$\tB-NP\tO' +p271193 +aS'shortness\tshortness\tNN\tI-NP\tO' +p271194 +aS'of\tof\tIN\tB-PP\tO' +p271195 +aS'breath\tbreath\tNN\tB-NP\tO' +p271196 +aS'or\tor\tCC\tO\tO' +p271197 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p271198 +aS'examination\texamination\tNN\tI-NP\tO' +p271199 +aS'and\tand\tCC\tO\tO' +p271200 +aS'was\tbe\tVBD\tB-VP\tO' +p271201 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p271202 +aS'home\thome\tNN\tB-ADVP\tO' +p271203 +aS'on\ton\tIN\tB-PP\tO' +p271204 +aS'06/22/91\t06/22/91\tCD\tB-NP\tO' +p271205 +aS'after\tafter\tIN\tB-PP\tO' +p271206 +aS'completing\tcomplete\tVBG\tB-VP\tO' +p271207 +aS'her\ther\tPRP$\tB-NP\tO' +p271208 +aS'5-FU\t5-FU\tNN\tI-NP\tO' +p271209 +aS'and\tand\tCC\tI-NP\tO' +p271210 +aS'Cisplatin\tCisplatin\tNN\tI-NP\tO' +p271211 +aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' +p271212 +aS'.\t.\t.\tO\tO' +p271213 +asS'After a very slow wean from ventilatory support , Mr. Knueppel was successfully extubated on postoperative day number nine .' +p271214 +(lp271215 +S'After\tAfter\tIN\tB-PP\tO' +p271216 +aS'a\ta\tDT\tB-NP\tO' +p271217 +aS'very\tvery\tRB\tI-NP\tO' +p271218 +aS'slow\tslow\tJJ\tI-NP\tO' +p271219 +aS'wean\twean\tNN\tI-NP\tO' +p271220 +aS'from\tfrom\tIN\tB-PP\tO' +p271221 +aS'ventilatory\tventilatory\tJJ\tB-NP\tO' +p271222 +aS'support\tsupport\tNN\tI-NP\tO' +p271223 +aS',\t,\t,\tO\tO' +p271224 +aS'Mr.\tMr.\tNNP\tB-NP\tO' +p271225 +aS'Knueppel\tKnueppel\tNNP\tI-NP\tO' +p271226 +aS'was\tbe\tVBD\tB-VP\tO' +p271227 +aS'successfully\tsuccessfully\tRB\tI-VP\tO' +p271228 +aS'extubated\textubate\tVBN\tI-VP\tO' +p271229 +aS'on\ton\tIN\tB-PP\tO' +p271230 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p271231 +aS'day\tday\tNN\tI-NP\tO' +p271232 +aS'number\tnumber\tNN\tI-NP\tO' +p271233 +aS'nine\tnine\tCD\tI-NP\tO' +p271234 +aS'.\t.\t.\tO\tO' +p271235 +asS'He was returned previous to this admission for repeat bone marrow harvest and at that time he was given Neupogen prior to his harvest , and sufficient cells were not obtained to proceed with autologous bone marrow transplantation .' +p271236 +(lp271237 +S'He\tHe\tPRP\tB-NP\tO' +p271238 +aS'was\tbe\tVBD\tB-VP\tO' +p271239 +aS'returned\treturn\tVBN\tI-VP\tO' +p271240 +aS'previous\tprevious\tJJ\tB-ADJP\tO' +p271241 +aS'to\tto\tTO\tB-PP\tO' +p271242 +aS'this\tthis\tDT\tB-NP\tO' +p271243 +aS'admission\tadmission\tNN\tI-NP\tO' +p271244 +aS'for\tfor\tIN\tB-PP\tO' +p271245 +aS'repeat\trepeat\tNN\tB-NP\tO' +p271246 +aS'bone\tbone\tNN\tI-NP\tO' +p271247 +aS'marrow\tmarrow\tNN\tI-NP\tO' +p271248 +aS'harvest\tharvest\tNN\tI-NP\tO' +p271249 +aS'and\tand\tCC\tB-PP\tO' +p271250 +aS'at\tat\tIN\tB-PP\tO' +p271251 +aS'that\tthat\tDT\tB-NP\tO' +p271252 +aS'time\ttime\tNN\tI-NP\tO' +p271253 +aS'he\the\tPRP\tB-NP\tO' +p271254 +aS'was\tbe\tVBD\tB-VP\tO' +p271255 +aS'given\tgive\tVBN\tI-VP\tO' +p271256 +aS'Neupogen\tNeupogen\tNN\tB-NP\tO' +p271257 +aS'prior\tprior\tRB\tB-ADVP\tO' +p271258 +aS'to\tto\tTO\tB-PP\tO' +p271259 +aS'his\this\tPRP$\tB-NP\tO' +p271260 +aS'harvest\tharvest\tNN\tI-NP\tO' +p271261 +aS',\t,\t,\tO\tO' +p271262 +aS'and\tand\tCC\tO\tO' +p271263 +aS'sufficient\tsufficient\tJJ\tB-NP\tO' +p271264 +aS'cells\tcell\tNNS\tI-NP\tO' +p271265 +aS'were\tbe\tVBD\tB-VP\tO' +p271266 +aS'not\tnot\tRB\tI-VP\tO' +p271267 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p271268 +aS'to\tto\tTO\tI-VP\tO' +p271269 +aS'proceed\tproceed\tVB\tI-VP\tO' +p271270 +aS'with\twith\tIN\tB-PP\tO' +p271271 +aS'autologous\tautologous\tJJ\tB-NP\tO' +p271272 +aS'bone\tbone\tNN\tI-NP\tO' +p271273 +aS'marrow\tmarrow\tNN\tI-NP\tO' +p271274 +aS'transplantation\ttransplantation\tNN\tI-NP\tO' +p271275 +aS'.\t.\t.\tO\tO' +p271276 +asS'11 ) Insulin sliding scale .' +p271277 +(lp271278 +S'11\t11\tCD\tB-NP\tO' +p271279 +aS')\t)\t)\tO\tO' +p271280 +aS'Insulin\tInsulin\tNN\tB-NP\tO' +p271281 +aS'sliding\tslide\tVBG\tB-VP\tO' +p271282 +aS'scale\tscale\tNN\tB-NP\tO' +p271283 +aS'.\t.\t.\tO\tO' +p271284 +asS'One apnea and bradycardia event which was self resolved on day of life four .' +p271285 +(lp271286 +S'One\tOne\tCD\tB-NP\tO' +p271287 +aS'apnea\tapnea\tNN\tI-NP\tO' +p271288 +aS'and\tand\tCC\tI-NP\tO' +p271289 +aS'bradycardia\tbradycardia\tNN\tI-NP\tO' +p271290 +aS'event\tevent\tNN\tI-NP\tO' +p271291 +aS'which\twhich\tWDT\tB-NP\tO' +p271292 +aS'was\tbe\tVBD\tB-VP\tO' +p271293 +aS'self\tself\tPRP\tB-NP\tO' +p271294 +aS'resolved\tresolve\tVBN\tB-VP\tO' +p271295 +aS'on\ton\tIN\tB-PP\tO' +p271296 +aS'day\tday\tNN\tB-NP\tO' +p271297 +aS'of\tof\tIN\tB-PP\tO' +p271298 +aS'life\tlife\tNN\tB-NP\tO' +p271299 +aS'four\tfour\tCD\tI-NP\tO' +p271300 +aS'.\t.\t.\tO\tO' +p271301 +asS'Magnesium of 1.9 .' +p271302 +(lp271303 +S'Magnesium\tMagnesium\tNN\tB-NP\tO' +p271304 +aS'of\tof\tIN\tB-PP\tO' +p271305 +aS'1.9\t1.9\tCD\tB-NP\tO' +p271306 +aS'.\t.\t.\tO\tO' +p271307 +asS'Heparin was maintained during her hospital course and then Lovenox was started .' +p271308 +(lp271309 +S'Heparin\tHeparin\tNN\tB-NP\tO' +p271310 +aS'was\tbe\tVBD\tB-VP\tO' +p271311 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p271312 +aS'during\tduring\tIN\tB-PP\tO' +p271313 +aS'her\ther\tPRP$\tB-NP\tO' +p271314 +aS'hospital\thospital\tNN\tI-NP\tO' +p271315 +aS'course\tcourse\tNN\tI-NP\tO' +p271316 +aS'and\tand\tCC\tO\tO' +p271317 +aS'then\tthen\tRB\tB-ADVP\tO' +p271318 +aS'Lovenox\tLovenox\tNNP\tB-NP\tO' +p271319 +aS'was\tbe\tVBD\tB-VP\tO' +p271320 +aS'started\tstart\tVBN\tI-VP\tO' +p271321 +aS'.\t.\t.\tO\tO' +p271322 +asS'AST was 89 .' +p271323 +(lp271324 +S'AST\tAST\tNN\tB-NP\tO' +p271325 +aS'was\tbe\tVBD\tB-VP\tO' +p271326 +aS'89\t89\tCD\tB-NP\tO' +p271327 +aS'.\t.\t.\tO\tO' +p271328 +asS'A single blood culture positive for coagulase negative Staphylococcus was treated with a course of vancomycin in the setting of a PICC line and a chest x-ray on November 20 indicating possible developing pneumonia , resulted in a course of levofloxacin , for both possible pneumonia , as well as treatment of any bacterial superinfection of Acanthamoeba sinusitis .' +p271329 +(lp271330 +S'A\tA\tDT\tB-NP\tO' +p271331 +aS'single\tsingle\tJJ\tI-NP\tO' +p271332 +aS'blood\tblood\tNN\tI-NP\tO' +p271333 +aS'culture\tculture\tNN\tI-NP\tO' +p271334 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p271335 +aS'for\tfor\tIN\tB-PP\tO' +p271336 +aS'coagulase\tcoagulase\tNN\tB-NP\tB-protein' +p271337 +aS'negative\tnegative\tJJ\tI-NP\tO' +p271338 +aS'Staphylococcus\tStaphylococcus\tNN\tI-NP\tO' +p271339 +aS'was\tbe\tVBD\tB-VP\tO' +p271340 +aS'treated\ttreat\tVBN\tI-VP\tO' +p271341 +aS'with\twith\tIN\tB-PP\tO' +p271342 +aS'a\ta\tDT\tB-NP\tO' +p271343 +aS'course\tcourse\tNN\tI-NP\tO' +p271344 +aS'of\tof\tIN\tB-PP\tO' +p271345 +aS'vancomycin\tvancomycin\tNN\tB-NP\tO' +p271346 +aS'in\tin\tIN\tB-PP\tO' +p271347 +aS'the\tthe\tDT\tB-NP\tO' +p271348 +aS'setting\tsetting\tNN\tI-NP\tO' +p271349 +aS'of\tof\tIN\tB-PP\tO' +p271350 +aS'a\ta\tDT\tB-NP\tO' +p271351 +aS'PICC\tPICC\tNN\tI-NP\tB-cell_line' +p271352 +aS'line\tline\tNN\tI-NP\tI-cell_line' +p271353 +aS'and\tand\tCC\tO\tO' +p271354 +aS'a\ta\tDT\tB-NP\tO' +p271355 +aS'chest\tchest\tNN\tI-NP\tO' +p271356 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p271357 +aS'on\ton\tIN\tB-PP\tO' +p271358 +aS'November\tNovember\tNNP\tB-NP\tO' +p271359 +aS'20\t20\tCD\tI-NP\tO' +p271360 +aS'indicating\tindicate\tVBG\tB-VP\tO' +p271361 +aS'possible\tpossible\tJJ\tB-NP\tO' +p271362 +aS'developing\tdevelop\tVBG\tI-NP\tO' +p271363 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p271364 +aS',\t,\t,\tO\tO' +p271365 +aS'resulted\tresult\tVBD\tB-VP\tO' +p271366 +aS'in\tin\tIN\tB-PP\tO' +p271367 +aS'a\ta\tDT\tB-NP\tO' +p271368 +aS'course\tcourse\tNN\tI-NP\tO' +p271369 +aS'of\tof\tIN\tB-PP\tO' +p271370 +aS'levofloxacin\tlevofloxacin\tNN\tB-NP\tO' +p271371 +aS',\t,\t,\tO\tO' +p271372 +aS'for\tfor\tIN\tB-PP\tO' +p271373 +aS'both\tboth\tCC\tB-NP\tO' +p271374 +aS'possible\tpossible\tJJ\tI-NP\tO' +p271375 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p271376 +aS',\t,\t,\tO\tO' +p271377 +aS'as\tas\tRB\tB-CONJP\tO' +p271378 +aS'well\twell\tRB\tI-CONJP\tO' +p271379 +aS'as\tas\tIN\tI-CONJP\tO' +p271380 +aS'treatment\ttreatment\tNN\tB-NP\tO' +p271381 +aS'of\tof\tIN\tB-PP\tO' +p271382 +aS'any\tany\tDT\tB-NP\tO' +p271383 +aS'bacterial\tbacterial\tJJ\tI-NP\tO' +p271384 +aS'superinfection\tsuperinfection\tNN\tI-NP\tO' +p271385 +aS'of\tof\tIN\tB-PP\tO' +p271386 +aS'Acanthamoeba\tAcanthamoeba\tNN\tB-NP\tO' +p271387 +aS'sinusitis\tsinusitis\tNN\tI-NP\tO' +p271388 +aS'.\t.\t.\tO\tO' +p271389 +asS'In addition a small ventral hernia was noted upon abdominal exploration within a previous surgical incision .' +p271390 +(lp271391 +S'In\tIn\tIN\tB-PP\tO' +p271392 +aS'addition\taddition\tNN\tB-NP\tO' +p271393 +aS'a\ta\tDT\tB-NP\tO' +p271394 +aS'small\tsmall\tJJ\tI-NP\tO' +p271395 +aS'ventral\tventral\tJJ\tI-NP\tO' +p271396 +aS'hernia\thernia\tNN\tI-NP\tO' +p271397 +aS'was\tbe\tVBD\tB-VP\tO' +p271398 +aS'noted\tnote\tVBN\tI-VP\tO' +p271399 +aS'upon\tupon\tIN\tB-PP\tO' +p271400 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p271401 +aS'exploration\texploration\tNN\tI-NP\tO' +p271402 +aS'within\twithin\tIN\tB-PP\tO' +p271403 +aS'a\ta\tDT\tB-NP\tO' +p271404 +aS'previous\tprevious\tJJ\tI-NP\tO' +p271405 +aS'surgical\tsurgical\tJJ\tI-NP\tO' +p271406 +aS'incision\tincision\tNN\tI-NP\tO' +p271407 +aS'.\t.\t.\tO\tO' +p271408 +asS'O+ , hepatitis B surface antigen negative ,' +p271409 +(lp271410 +S'O+\tO+\tJJ\tB-NP\tO' +p271411 +aS',\t,\t,\tI-NP\tO' +p271412 +aS'hepatitis\thepatitis\tNN\tI-NP\tB-protein' +p271413 +aS'B\tB\tNN\tI-NP\tI-protein' +p271414 +aS'surface\tsurface\tNN\tI-NP\tI-protein' +p271415 +aS'antigen\tantigen\tNN\tI-NP\tI-protein' +p271416 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p271417 +aS',\t,\t,\tO\tO' +p271418 +asS'Hypertension and gout .' +p271419 +(lp271420 +S'Hypertension\tHypertension\tNN\tB-NP\tO' +p271421 +aS'and\tand\tCC\tI-NP\tO' +p271422 +aS'gout\tgout\tNN\tI-NP\tO' +p271423 +aS'.\t.\t.\tO\tO' +p271424 +asS'Patient was pronounced dead at 6:15 a.m. on 2017-01-16 .' +p271425 +(lp271426 +S'Patient\tPatient\tNN\tB-NP\tO' +p271427 +aS'was\tbe\tVBD\tB-VP\tO' +p271428 +aS'pronounced\tpronounce\tVBN\tI-VP\tO' +p271429 +aS'dead\tdead\tJJ\tB-ADJP\tO' +p271430 +aS'at\tat\tIN\tB-PP\tO' +p271431 +aS'6:15\t6:15\tCD\tB-NP\tO' +p271432 +aS'a.m.\ta.m.\tNN\tI-NP\tO' +p271433 +aS'on\ton\tIN\tB-PP\tO' +p271434 +aS'2017-01-16\t2017-01-16\tCD\tB-NP\tO' +p271435 +aS'.\t.\t.\tO\tO' +p271436 +asS'She has no nausea or vomiting , chills , dysuria , hematochezia , or melena .' +p271437 +(lp271438 +S'She\tShe\tPRP\tB-NP\tO' +p271439 +aS'has\thave\tVBZ\tB-VP\tO' +p271440 +aS'no\tno\tDT\tB-NP\tO' +p271441 +aS'nausea\tnausea\tNN\tI-NP\tO' +p271442 +aS'or\tor\tCC\tI-NP\tO' +p271443 +aS'vomiting\tvomiting\tNN\tI-NP\tO' +p271444 +aS',\t,\t,\tO\tO' +p271445 +aS'chills\tchill\tNNS\tB-NP\tO' +p271446 +aS',\t,\t,\tO\tO' +p271447 +aS'dysuria\tdysuria\tNN\tB-NP\tO' +p271448 +aS',\t,\t,\tO\tO' +p271449 +aS'hematochezia\thematochezia\tNN\tB-NP\tO' +p271450 +aS',\t,\t,\tO\tO' +p271451 +aS'or\tor\tCC\tO\tO' +p271452 +aS'melena\tmelena\tNN\tB-NP\tO' +p271453 +aS'.\t.\t.\tO\tO' +p271454 +asS'13. Tramadol 50 mg Tablet Sig : One ( 1 ) Tablet PO Q4-6H ( every 4 to 6 hours ) as needed .' +p271455 +(lp271456 +S'13.\t13.\tCD\tB-NP\tO' +p271457 +aS'Tramadol\tTramadol\tNN\tI-NP\tO' +p271458 +aS'50\t50\tCD\tB-NP\tO' +p271459 +aS'mg\tmg\tNN\tI-NP\tO' +p271460 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p271461 +aS'Sig\tSig\tNNP\tI-NP\tO' +p271462 +aS':\t:\t:\tO\tO' +p271463 +aS'One\tOne\tCD\tB-NP\tO' +p271464 +aS'(\t(\t(\tO\tO' +p271465 +aS'1\t1\tCD\tB-NP\tO' +p271466 +aS')\t)\t)\tO\tO' +p271467 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p271468 +aS'PO\tPO\tNN\tI-NP\tO' +p271469 +aS'Q4-6H\tQ4-6H\tNN\tI-NP\tO' +p271470 +aS'(\t(\t(\tO\tO' +p271471 +aS'every\tevery\tDT\tB-NP\tO' +p271472 +aS'4\t4\tCD\tI-NP\tO' +p271473 +aS'to\tto\tTO\tI-NP\tO' +p271474 +aS'6\t6\tCD\tI-NP\tO' +p271475 +aS'hours\thour\tNNS\tI-NP\tO' +p271476 +aS')\t)\t)\tO\tO' +p271477 +aS'as\tas\tIN\tB-SBAR\tO' +p271478 +aS'needed\tneed\tVBN\tB-VP\tO' +p271479 +aS'.\t.\t.\tO\tO' +p271480 +asS'The physical examination on admission revealed a blood pressure of 110/70 , a heart rate of 66 , respirations of 24 , temperature of 98 .' +p271481 +(lp271482 +S'The\tThe\tDT\tB-NP\tO' +p271483 +aS'physical\tphysical\tJJ\tI-NP\tO' +p271484 +aS'examination\texamination\tNN\tI-NP\tO' +p271485 +aS'on\ton\tIN\tB-PP\tO' +p271486 +aS'admission\tadmission\tNN\tB-NP\tO' +p271487 +aS'revealed\treveal\tVBD\tB-VP\tO' +p271488 +aS'a\ta\tDT\tB-NP\tO' +p271489 +aS'blood\tblood\tNN\tI-NP\tO' +p271490 +aS'pressure\tpressure\tNN\tI-NP\tO' +p271491 +aS'of\tof\tIN\tB-PP\tO' +p271492 +aS'110/70\t110/70\tCD\tB-NP\tO' +p271493 +aS',\t,\t,\tO\tO' +p271494 +aS'a\ta\tDT\tB-NP\tO' +p271495 +aS'heart\theart\tNN\tI-NP\tO' +p271496 +aS'rate\trate\tNN\tI-NP\tO' +p271497 +aS'of\tof\tIN\tB-PP\tO' +p271498 +aS'66\t66\tCD\tB-NP\tO' +p271499 +aS',\t,\t,\tO\tO' +p271500 +aS'respirations\trespiration\tNNS\tB-NP\tO' +p271501 +aS'of\tof\tIN\tB-PP\tO' +p271502 +aS'24\t24\tCD\tB-NP\tO' +p271503 +aS',\t,\t,\tO\tO' +p271504 +aS'temperature\ttemperature\tNN\tB-NP\tO' +p271505 +aS'of\tof\tIN\tB-PP\tO' +p271506 +aS'98\t98\tCD\tB-NP\tO' +p271507 +aS'.\t.\t.\tO\tO' +p271508 +asS'BPH .' +p271509 +(lp271510 +S'BPH\tBPH\tNN\tB-NP\tO' +p271511 +aS'.\t.\t.\tO\tO' +p271512 +asS'Cath at Kindred/North Shore today showed 80% LM lesion with normal LAD , CX , RCA .' +p271513 +(lp271514 +S'Cath\tCath\tNNP\tB-NP\tO' +p271515 +aS'at\tat\tIN\tB-PP\tO' +p271516 +aS'Kindred/North\tKindred/North\tNNP\tB-NP\tO' +p271517 +aS'Shore\tShore\tNNP\tI-NP\tO' +p271518 +aS'today\ttoday\tNN\tB-NP\tO' +p271519 +aS'showed\tshow\tVBD\tB-VP\tO' +p271520 +aS'80%\t80%\tCD\tB-NP\tO' +p271521 +aS'LM\tLM\tNN\tI-NP\tO' +p271522 +aS'lesion\tlesion\tNN\tI-NP\tO' +p271523 +aS'with\twith\tIN\tB-PP\tO' +p271524 +aS'normal\tnormal\tJJ\tB-NP\tO' +p271525 +aS'LAD\tLAD\tNN\tI-NP\tO' +p271526 +aS',\t,\t,\tO\tO' +p271527 +aS'CX\tCX\tNN\tB-NP\tB-protein' +p271528 +aS',\t,\t,\tO\tO' +p271529 +aS'RCA\tRCA\tNN\tB-NP\tB-protein' +p271530 +aS'.\t.\t.\tO\tO' +p271531 +asS'The patient has a history of end-stage renal failure secondary to type 1 diabetes with a baseline creatinine of around 5 .' +p271532 +(lp271533 +S'The\tThe\tDT\tB-NP\tO' +p271534 +aS'patient\tpatient\tNN\tI-NP\tO' +p271535 +aS'has\thave\tVBZ\tB-VP\tO' +p271536 +aS'a\ta\tDT\tB-NP\tO' +p271537 +aS'history\thistory\tNN\tI-NP\tO' +p271538 +aS'of\tof\tIN\tB-PP\tO' +p271539 +aS'end-stage\tend-stage\tJJ\tB-NP\tO' +p271540 +aS'renal\trenal\tJJ\tI-NP\tO' +p271541 +aS'failure\tfailure\tNN\tI-NP\tO' +p271542 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p271543 +aS'to\tto\tTO\tB-PP\tO' +p271544 +aS'type\ttype\tNN\tB-NP\tO' +p271545 +aS'1\t1\tCD\tI-NP\tO' +p271546 +aS'diabetes\tdiabetes\tNN\tI-NP\tO' +p271547 +aS'with\twith\tIN\tB-PP\tO' +p271548 +aS'a\ta\tDT\tB-NP\tO' +p271549 +aS'baseline\tbaseline\tNN\tI-NP\tO' +p271550 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p271551 +aS'of\tof\tIN\tB-PP\tO' +p271552 +aS'around\taround\tIN\tB-NP\tO' +p271553 +aS'5\t5\tCD\tI-NP\tO' +p271554 +aS'.\t.\t.\tO\tO' +p271555 +asS'1. Metformin .' +p271556 +(lp271557 +S'1.\t1.\tLS\tB-NP\tO' +p271558 +aS'Metformin\tMetformin\tNN\tI-NP\tO' +p271559 +aS'.\t.\t.\tO\tO' +p271560 +asS'Postoperatively , his course was relatively uncomplicated .' +p271561 +(lp271562 +S'Postoperatively\tPostoperatively\tRB\tB-ADVP\tO' +p271563 +aS',\t,\t,\tO\tO' +p271564 +aS'his\this\tPRP$\tB-NP\tO' +p271565 +aS'course\tcourse\tNN\tI-NP\tO' +p271566 +aS'was\tbe\tVBD\tB-VP\tO' +p271567 +aS'relatively\trelatively\tRB\tB-ADJP\tO' +p271568 +aS'uncomplicated\tuncomplicated\tJJ\tI-ADJP\tO' +p271569 +aS'.\t.\t.\tO\tO' +p271570 +asS'Erythromycin , vancomycin , and Bacitracin .' +p271571 +(lp271572 +S'Erythromycin\tErythromycin\tNN\tB-NP\tO' +p271573 +aS',\t,\t,\tO\tO' +p271574 +aS'vancomycin\tvancomycin\tNN\tB-NP\tO' +p271575 +aS',\t,\t,\tO\tO' +p271576 +aS'and\tand\tCC\tO\tO' +p271577 +aS'Bacitracin\tBacitracin\tNN\tB-NP\tO' +p271578 +aS'.\t.\t.\tO\tO' +p271579 +asS'She was restarted on heparin prior to d/c as a bridge to therapeutic coumadin anticoagulation .' +p271580 +(lp271581 +S'She\tShe\tPRP\tB-NP\tO' +p271582 +aS'was\tbe\tVBD\tB-VP\tO' +p271583 +aS'restarted\trestart\tVBN\tI-VP\tO' +p271584 +aS'on\ton\tIN\tB-PP\tO' +p271585 +aS'heparin\theparin\tNN\tB-NP\tO' +p271586 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p271587 +aS'to\tto\tTO\tB-PP\tO' +p271588 +aS'd/c\td/c\tNN\tB-NP\tO' +p271589 +aS'as\tas\tIN\tB-PP\tO' +p271590 +aS'a\ta\tDT\tB-NP\tO' +p271591 +aS'bridge\tbridge\tNN\tI-NP\tO' +p271592 +aS'to\tto\tTO\tB-PP\tO' +p271593 +aS'therapeutic\ttherapeutic\tJJ\tB-NP\tO' +p271594 +aS'coumadin\tcoumadin\tNN\tI-NP\tO' +p271595 +aS'anticoagulation\tanticoagulation\tNN\tI-NP\tO' +p271596 +aS'.\t.\t.\tO\tO' +p271597 +asS'The patient gradually lost brain systolic ejection murmur function and was pronounced dead on 07/02/00 .' +p271598 +(lp271599 +S'The\tThe\tDT\tB-NP\tO' +p271600 +aS'patient\tpatient\tNN\tI-NP\tO' +p271601 +aS'gradually\tgradually\tRB\tB-ADVP\tO' +p271602 +aS'lost\tlose\tVBD\tB-VP\tO' +p271603 +aS'brain\tbrain\tNN\tB-NP\tO' +p271604 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p271605 +aS'ejection\tejection\tNN\tI-NP\tO' +p271606 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p271607 +aS'function\tfunction\tNN\tI-NP\tO' +p271608 +aS'and\tand\tCC\tO\tO' +p271609 +aS'was\tbe\tVBD\tB-VP\tO' +p271610 +aS'pronounced\tpronounce\tVBN\tI-VP\tO' +p271611 +aS'dead\tdead\tJJ\tB-ADJP\tO' +p271612 +aS'on\ton\tIN\tB-PP\tO' +p271613 +aS'07/02/00\t07/02/00\tCD\tB-NP\tO' +p271614 +aS'.\t.\t.\tO\tO' +p271615 +asS'Chest x-ray is pending at the time of physical .' +p271616 +(lp271617 +S'Chest\tCh\tJJS\tB-NP\tO' +p271618 +aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' +p271619 +aS'is\tbe\tVBZ\tB-VP\tO' +p271620 +aS'pending\tpende\tVBG\tB-ADJP\tO' +p271621 +aS'at\tat\tIN\tB-PP\tO' +p271622 +aS'the\tthe\tDT\tB-NP\tO' +p271623 +aS'time\ttime\tNN\tI-NP\tO' +p271624 +aS'of\tof\tIN\tB-PP\tO' +p271625 +aS'physical\tphysical\tNN\tB-NP\tO' +p271626 +aS'.\t.\t.\tO\tO' +p271627 +asS'PSEUDOMONAS AERUGINOSA .' +p271628 +(lp271629 +S'PSEUDOMONAS\tPSEUDOMONAS\tNNP\tB-NP\tO' +p271630 +aS'AERUGINOSA\tAERUGINOSA\tNNP\tI-NP\tO' +p271631 +aS'.\t.\t.\tO\tO' +p271632 +asS'The patient was maintained on albuterol nebulizer treatments and Ipratropium nebulizer treatments , as this was apparently thought to be related to her chronic obstructive pulmonary disease .' +p271633 +(lp271634 +S'The\tThe\tDT\tB-NP\tO' +p271635 +aS'patient\tpatient\tNN\tI-NP\tO' +p271636 +aS'was\tbe\tVBD\tB-VP\tO' +p271637 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p271638 +aS'on\ton\tIN\tB-PP\tO' +p271639 +aS'albuterol\talbuterol\tNN\tB-NP\tO' +p271640 +aS'nebulizer\tnebulizer\tNN\tI-NP\tO' +p271641 +aS'treatments\ttreatment\tNNS\tI-NP\tO' +p271642 +aS'and\tand\tCC\tO\tO' +p271643 +aS'Ipratropium\tIpratropium\tNN\tB-NP\tO' +p271644 +aS'nebulizer\tnebulizer\tNN\tI-NP\tO' +p271645 +aS'treatments\ttreatment\tNNS\tI-NP\tO' +p271646 +aS',\t,\t,\tO\tO' +p271647 +aS'as\tas\tIN\tB-SBAR\tO' +p271648 +aS'this\tthis\tDT\tB-NP\tO' +p271649 +aS'was\tbe\tVBD\tB-VP\tO' +p271650 +aS'apparently\tapparently\tRB\tI-VP\tO' +p271651 +aS'thought\tthink\tVBN\tI-VP\tO' +p271652 +aS'to\tto\tTO\tI-VP\tO' +p271653 +aS'be\tbe\tVB\tI-VP\tO' +p271654 +aS'related\trelate\tVBN\tI-VP\tO' +p271655 +aS'to\tto\tTO\tB-PP\tO' +p271656 +aS'her\ther\tPRP$\tB-NP\tO' +p271657 +aS'chronic\tchronic\tJJ\tI-NP\tO' +p271658 +aS'obstructive\tobstructive\tJJ\tI-NP\tO' +p271659 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p271660 +aS'disease\tdisease\tNN\tI-NP\tO' +p271661 +aS'.\t.\t.\tO\tO' +p271662 +asS'Pediatrics , 4952 Washington St. in Dr. John C. Corrigan Mental Health Center .' +p271663 +(lp271664 +S'Pediatrics\tPediatrics\tNNP\tB-NP\tO' +p271665 +aS',\t,\t,\tO\tO' +p271666 +aS'4952\t4952\tCD\tB-NP\tO' +p271667 +aS'Washington\tWashington\tNNP\tI-NP\tO' +p271668 +aS'St.\tSt.\tNNP\tI-NP\tO' +p271669 +aS'in\tin\tIN\tB-PP\tO' +p271670 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p271671 +aS'John\tJohn\tNNP\tI-NP\tO' +p271672 +aS'C.\tC.\tNNP\tI-NP\tO' +p271673 +aS'Corrigan\tCorrigan\tNNP\tI-NP\tO' +p271674 +aS'Mental\tMental\tNNP\tI-NP\tO' +p271675 +aS'Health\tHealth\tNNP\tI-NP\tO' +p271676 +aS'Center\tCenter\tNNP\tI-NP\tO' +p271677 +aS'.\t.\t.\tO\tO' +p271678 +asS'In the Amanda : VS T 103 rectal BP90/44 HR : 84 RR 16 Sats : 98 + guiac stool .' +p271679 +(lp271680 +S'In\tIn\tIN\tB-PP\tO' +p271681 +aS'the\tthe\tDT\tB-NP\tO' +p271682 +aS'Amanda\tAmanda\tNNP\tI-NP\tO' +p271683 +aS':\t:\t:\tO\tO' +p271684 +aS'VS\tVS\tNN\tB-NP\tO' +p271685 +aS'T\tT\tNN\tI-NP\tO' +p271686 +aS'103\t103\tCD\tI-NP\tO' +p271687 +aS'rectal\trectal\tJJ\tI-NP\tO' +p271688 +aS'BP90/44\tBP90/44\tNN\tI-NP\tO' +p271689 +aS'HR\tHR\tNN\tI-NP\tO' +p271690 +aS':\t:\t:\tO\tO' +p271691 +aS'84\t84\tCD\tB-NP\tO' +p271692 +aS'RR\tRR\tNN\tI-NP\tO' +p271693 +aS'16\t16\tCD\tB-NP\tO' +p271694 +aS'Sats\tSat\tNNS\tI-NP\tO' +p271695 +aS':\t:\t:\tO\tO' +p271696 +aS'98\t98\tCD\tB-NP\tO' +p271697 +aS'+\t+\tSYM\tI-NP\tO' +p271698 +aS'guiac\tguiac\tNN\tI-NP\tO' +p271699 +aS'stool\tstool\tNN\tI-NP\tO' +p271700 +aS'.\t.\t.\tO\tO' +p271701 +asS'This is a 39 year-old female with a history of diabetes type I on an insulin pump , anemia , hypothyroidism , gastroparesis , GERD , who was transferred from Mediplex Rehab Hospital Hospital for further management of hypoxic respiratory failure .' +p271702 +(lp271703 +S'This\tThis\tDT\tB-NP\tO' +p271704 +aS'is\tbe\tVBZ\tB-VP\tO' +p271705 +aS'a\ta\tDT\tB-NP\tO' +p271706 +aS'39\t39\tCD\tI-NP\tO' +p271707 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p271708 +aS'female\tfemale\tNN\tI-NP\tO' +p271709 +aS'with\twith\tIN\tB-PP\tO' +p271710 +aS'a\ta\tDT\tB-NP\tO' +p271711 +aS'history\thistory\tNN\tI-NP\tO' +p271712 +aS'of\tof\tIN\tB-PP\tO' +p271713 +aS'diabetes\tdiabetes\tNN\tB-NP\tO' +p271714 +aS'type\ttype\tNN\tI-NP\tO' +p271715 +aS'I\tI\tCD\tI-NP\tO' +p271716 +aS'on\ton\tIN\tB-PP\tO' +p271717 +aS'an\tan\tDT\tB-NP\tO' +p271718 +aS'insulin\tinsulin\tNN\tI-NP\tO' +p271719 +aS'pump\tpump\tNN\tI-NP\tO' +p271720 +aS',\t,\t,\tO\tO' +p271721 +aS'anemia\tanemia\tNN\tB-NP\tO' +p271722 +aS',\t,\t,\tO\tO' +p271723 +aS'hypothyroidism\thypothyroidism\tNN\tB-NP\tO' +p271724 +aS',\t,\t,\tO\tO' +p271725 +aS'gastroparesis\tgastroparesis\tNN\tB-NP\tO' +p271726 +aS',\t,\t,\tO\tO' +p271727 +aS'GERD\tGERD\tNNP\tB-NP\tO' +p271728 +aS',\t,\t,\tO\tO' +p271729 +aS'who\twho\tWP\tB-NP\tO' +p271730 +aS'was\tbe\tVBD\tB-VP\tO' +p271731 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p271732 +aS'from\tfrom\tIN\tB-PP\tO' +p271733 +aS'Mediplex\tMediplex\tNNP\tB-NP\tO' +p271734 +aS'Rehab\tRehab\tNNP\tI-NP\tO' +p271735 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p271736 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p271737 +aS'for\tfor\tIN\tB-PP\tO' +p271738 +aS'further\tfurther\tJJ\tB-NP\tO' +p271739 +aS'management\tmanagement\tNN\tI-NP\tO' +p271740 +aS'of\tof\tIN\tB-PP\tO' +p271741 +aS'hypoxic\thypoxic\tJJ\tB-NP\tO' +p271742 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p271743 +aS'failure\tfailure\tNN\tI-NP\tO' +p271744 +aS'.\t.\t.\tO\tO' +p271745 +asS'A thyroid ultrasound showed an inferior thyroid mass .' +p271746 +(lp271747 +S'A\tA\tDT\tB-NP\tO' +p271748 +aS'thyroid\tthyroid\tJJ\tI-NP\tO' +p271749 +aS'ultrasound\tultrasound\tNN\tI-NP\tO' +p271750 +aS'showed\tshow\tVBD\tB-VP\tO' +p271751 +aS'an\tan\tDT\tB-NP\tO' +p271752 +aS'inferior\tinferior\tJJ\tI-NP\tO' +p271753 +aS'thyroid\tthyroid\tNN\tI-NP\tO' +p271754 +aS'mass\tmass\tNN\tI-NP\tO' +p271755 +aS'.\t.\t.\tO\tO' +p271756 +asS'His discharge date is pending .' +p271757 +(lp271758 +S'His\tHis\tPRP$\tB-NP\tO' +p271759 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p271760 +aS'date\tdate\tNN\tI-NP\tO' +p271761 +aS'is\tbe\tVBZ\tB-VP\tO' +p271762 +aS'pending\tpende\tVBG\tB-ADJP\tO' +p271763 +aS'.\t.\t.\tO\tO' +p271764 +asS'Provider : Mary , Francis Z. 739-488-1975 Call to schedule appointment .' +p271765 +(lp271766 +S'Provider\tProvider\tNN\tB-NP\tO' +p271767 +aS':\t:\t:\tO\tO' +p271768 +aS'Mary\tMary\tNNP\tB-NP\tO' +p271769 +aS',\t,\t,\tO\tO' +p271770 +aS'Francis\tFrancis\tNNP\tB-NP\tO' +p271771 +aS'Z.\tZ.\tNNP\tI-NP\tO' +p271772 +aS'739-488-1975\t739-488-1975\tCD\tI-NP\tO' +p271773 +aS'Call\tCall\tNN\tI-NP\tO' +p271774 +aS'to\tto\tTO\tB-PP\tO' +p271775 +aS'schedule\tschedule\tNN\tB-NP\tO' +p271776 +aS'appointment\tappointment\tNN\tI-NP\tO' +p271777 +aS'.\t.\t.\tO\tO' +p271778 +asS'Patient was ambulating .' +p271779 +(lp271780 +S'Patient\tPatient\tNN\tB-NP\tO' +p271781 +aS'was\tbe\tVBD\tB-VP\tO' +p271782 +aS'ambulating\tambulate\tVBG\tI-VP\tO' +p271783 +aS'.\t.\t.\tO\tO' +p271784 +asS'PVD s/p multiple failed femoral distal bypass' +p271785 +(lp271786 +S'PVD\tPVD\tNN\tB-NP\tO' +p271787 +aS's/p\ts/p\tNN\tI-NP\tO' +p271788 +aS'multiple\tmultiple\tJJ\tB-ADJP\tO' +p271789 +aS'failed\tfail\tVBD\tB-VP\tO' +p271790 +aS'femoral\tfemoral\tJJ\tB-NP\tO' +p271791 +aS'distal\tdistal\tJJ\tI-NP\tO' +p271792 +aS'bypass\tbypass\tNN\tI-NP\tO' +p271793 +asS'Signed electronically by : DR. Felix Willis on : FRI 2012-06-22 12:49 PM' +p271794 +(lp271795 +S'Signed\tSign\tVBN\tB-VP\tO' +p271796 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p271797 +aS'by\tby\tIN\tB-PP\tO' +p271798 +aS':\t:\t:\tO\tO' +p271799 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p271800 +aS'Felix\tFelix\tNNP\tI-NP\tO' +p271801 +aS'Willis\tWillis\tNNP\tI-NP\tO' +p271802 +aS'on\ton\tIN\tB-PP\tO' +p271803 +aS':\t:\t:\tO\tO' +p271804 +aS'FRI\tFRI\tCD\tB-NP\tO' +p271805 +aS'2012-06-22\t2012-06-22\tCD\tI-NP\tO' +p271806 +aS'12:49\t12:49\tCD\tI-NP\tO' +p271807 +aS'PM\tPM\tNN\tI-NP\tO' +p271808 +asS'Sodium 141 , potassium 3.6 , BUN 14 , creatinine 1.1 , hematocrit 37% , platelets 177 , white blood count 4.1 .' +p271809 +(lp271810 +S'Sodium\tSodium\tNN\tB-NP\tB-protein' +p271811 +aS'141\t141\tCD\tI-NP\tI-protein' +p271812 +aS',\t,\t,\tO\tO' +p271813 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p271814 +aS'3.6\t3.6\tCD\tI-NP\tO' +p271815 +aS',\t,\t,\tO\tO' +p271816 +aS'BUN\tBUN\tNN\tB-NP\tB-DNA' +p271817 +aS'14\t14\tCD\tI-NP\tI-DNA' +p271818 +aS',\t,\t,\tO\tO' +p271819 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p271820 +aS'1.1\t1.1\tCD\tI-NP\tO' +p271821 +aS',\t,\t,\tO\tO' +p271822 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p271823 +aS'37%\t37%\tNN\tI-NP\tI-protein' +p271824 +aS',\t,\t,\tO\tO' +p271825 +aS'platelets\tplatelet\tNNS\tB-NP\tB-protein' +p271826 +aS'177\t177\tCD\tB-NP\tI-protein' +p271827 +aS',\t,\t,\tO\tO' +p271828 +aS'white\twhite\tJJ\tB-NP\tO' +p271829 +aS'blood\tblood\tNN\tI-NP\tO' +p271830 +aS'count\tcount\tNN\tI-NP\tO' +p271831 +aS'4.1\t4.1\tCD\tI-NP\tO' +p271832 +aS'.\t.\t.\tO\tO' +p271833 +asS'The platelet count was 9,000 , hematocrit was 26.5 , with an mean corpuscular volume of about 73 .' +p271834 +(lp271835 +S'The\tThe\tDT\tB-NP\tO' +p271836 +aS'platelet\tplatelet\tNN\tI-NP\tO' +p271837 +aS'count\tcount\tNN\tI-NP\tO' +p271838 +aS'was\tbe\tVBD\tB-VP\tO' +p271839 +aS'9,000\t9,000\tCD\tB-NP\tO' +p271840 +aS',\t,\t,\tO\tO' +p271841 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p271842 +aS'was\tbe\tVBD\tB-VP\tI-protein' +p271843 +aS'26.5\t26.5\tCD\tB-NP\tI-protein' +p271844 +aS',\t,\t,\tO\tO' +p271845 +aS'with\twith\tIN\tB-PP\tO' +p271846 +aS'an\tan\tDT\tB-NP\tO' +p271847 +aS'mean\tmean\tJJ\tI-NP\tO' +p271848 +aS'corpuscular\tcorpuscular\tJJ\tI-NP\tO' +p271849 +aS'volume\tvolume\tNN\tI-NP\tO' +p271850 +aS'of\tof\tIN\tB-PP\tO' +p271851 +aS'about\tabout\tIN\tB-NP\tO' +p271852 +aS'73\t73\tCD\tI-NP\tO' +p271853 +aS'.\t.\t.\tO\tO' +p271854 +asS'It was quite difficult weaning her off of neo-synephrine .' +p271855 +(lp271856 +S'It\tIt\tPRP\tB-NP\tO' +p271857 +aS'was\tbe\tVBD\tB-VP\tO' +p271858 +aS'quite\tquite\tRB\tB-ADJP\tO' +p271859 +aS'difficult\tdifficult\tJJ\tI-ADJP\tO' +p271860 +aS'weaning\twean\tVBG\tB-VP\tO' +p271861 +aS'her\ther\tPRP$\tB-NP\tO' +p271862 +aS'off\toff\tNN\tI-NP\tO' +p271863 +aS'of\tof\tIN\tB-PP\tO' +p271864 +aS'neo-synephrine\tneo-synephrine\tNN\tB-NP\tO' +p271865 +aS'.\t.\t.\tO\tO' +p271866 +asS'Patent anus .' +p271867 +(lp271868 +S'Patent\tPatent\tNN\tB-NP\tO' +p271869 +aS'anus\tanus\tNN\tI-NP\tO' +p271870 +aS'.\t.\t.\tO\tO' +p271871 +asS'1. llame a su doctor y haga cita para verlo dentro de 1 semana .' +p271872 +(lp271873 +S'1.\t1.\tLS\tB-LST\tO' +p271874 +aS'llame\tllame\t:\tO\tO' +p271875 +aS'a\ta\tDT\tB-NP\tO' +p271876 +aS'su\tsu\tNN\tI-NP\tO' +p271877 +aS'doctor\tdoctor\tNN\tI-NP\tO' +p271878 +aS'y\ty\tNN\tI-NP\tO' +p271879 +aS'haga\thaga\tNN\tI-NP\tO' +p271880 +aS'cita\tcita\tNN\tI-NP\tO' +p271881 +aS'para\tpara\tFW\tB-NP\tO' +p271882 +aS'verlo\tverlo\tFW\tI-NP\tO' +p271883 +aS'dentro\tdentro\tFW\tI-NP\tO' +p271884 +aS'de\tde\tIN\tI-NP\tO' +p271885 +aS'1\t1\tCD\tI-NP\tO' +p271886 +aS'semana\tsemana\tNN\tI-NP\tO' +p271887 +aS'.\t.\t.\tO\tO' +p271888 +asS'Follow up with Dr. Topping after your discharge from rehabilitation' +p271889 +(lp271890 +S'Follow\tFollow\tVB\tB-VP\tO' +p271891 +aS'up\tup\tRP\tB-PRT\tO' +p271892 +aS'with\twith\tIN\tB-PP\tO' +p271893 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p271894 +aS'Topping\tTopping\tNNP\tI-NP\tO' +p271895 +aS'after\tafter\tIN\tB-PP\tO' +p271896 +aS'your\tyour\tPRP$\tB-NP\tO' +p271897 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p271898 +aS'from\tfrom\tIN\tB-PP\tO' +p271899 +aS'rehabilitation\trehabilitation\tNN\tB-NP\tO' +p271900 +asS'Copies to Dr. Bodejove at Valtawnprinceel Community Memorial Hospital , Dr. A Eu Wave , Dr. Riemund C. Wave , and three copies to Dr. Ca Shuff edited 12/31/93 qm' +p271901 +(lp271902 +S'Copies\tCopy\tNNS\tB-NP\tO' +p271903 +aS'to\tto\tTO\tB-PP\tO' +p271904 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p271905 +aS'Bodejove\tBodejove\tNNP\tI-NP\tO' +p271906 +aS'at\tat\tIN\tB-PP\tO' +p271907 +aS'Valtawnprinceel\tValtawnprinceel\tNNP\tB-NP\tO' +p271908 +aS'Community\tCommunity\tNNP\tI-NP\tO' +p271909 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p271910 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p271911 +aS',\t,\t,\tO\tO' +p271912 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p271913 +aS'A\tA\tNNP\tI-NP\tO' +p271914 +aS'Eu\tEu\tNNP\tI-NP\tO' +p271915 +aS'Wave\tWave\tNNP\tI-NP\tO' +p271916 +aS',\t,\t,\tO\tO' +p271917 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p271918 +aS'Riemund\tRiemund\tNNP\tI-NP\tO' +p271919 +aS'C.\tC.\tNNP\tI-NP\tO' +p271920 +aS'Wave\tWave\tNNP\tI-NP\tO' +p271921 +aS',\t,\t,\tO\tO' +p271922 +aS'and\tand\tCC\tO\tO' +p271923 +aS'three\tthree\tCD\tB-NP\tO' +p271924 +aS'copies\tcopy\tNNS\tI-NP\tO' +p271925 +aS'to\tto\tTO\tB-PP\tO' +p271926 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p271927 +aS'Ca\tCa\tNNP\tI-NP\tO' +p271928 +aS'Shuff\tShuff\tNNP\tI-NP\tO' +p271929 +aS'edited\tedit\tVBD\tB-VP\tO' +p271930 +aS'12/31/93\t12/31/93\tCD\tB-NP\tO' +p271931 +aS'qm\tqm\tNN\tI-NP\tO' +p271932 +asS'She was treated with radiation therapy .' +p271933 +(lp271934 +S'She\tShe\tPRP\tB-NP\tO' +p271935 +aS'was\tbe\tVBD\tB-VP\tO' +p271936 +aS'treated\ttreat\tVBN\tI-VP\tO' +p271937 +aS'with\twith\tIN\tB-PP\tO' +p271938 +aS'radiation\tradiation\tNN\tB-NP\tO' +p271939 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p271940 +aS'.\t.\t.\tO\tO' +p271941 +asS'10. Calcium Carbonate 500 mg Tablet , Chewable Sig : One ( 1 ) Tablet , Chewable PO BID ( 2 times a day ).' +p271942 +(lp271943 +S'10.\t10.\tLS\tB-NP\tO' +p271944 +aS'Calcium\tCalcium\tNN\tI-NP\tO' +p271945 +aS'Carbonate\tCarbonate\tNN\tI-NP\tO' +p271946 +aS'500\t500\tCD\tI-NP\tO' +p271947 +aS'mg\tmg\tNN\tI-NP\tO' +p271948 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p271949 +aS',\t,\t,\tO\tO' +p271950 +aS'Chewable\tChewable\tNNP\tB-NP\tO' +p271951 +aS'Sig\tSig\tNNP\tI-NP\tO' +p271952 +aS':\t:\t:\tO\tO' +p271953 +aS'One\tOne\tCD\tB-NP\tO' +p271954 +aS'(\t(\t(\tO\tO' +p271955 +aS'1\t1\tCD\tB-NP\tO' +p271956 +aS')\t)\t)\tO\tO' +p271957 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p271958 +aS',\t,\t,\tO\tO' +p271959 +aS'Chewable\tChewable\tJJ\tB-NP\tO' +p271960 +aS'PO\tPO\tNN\tI-NP\tO' +p271961 +aS'BID\tBID\tNN\tI-NP\tO' +p271962 +aS'(\t(\t(\tO\tO' +p271963 +aS'2\t2\tCD\tB-NP\tO' +p271964 +aS'times\ttime\tNNS\tI-NP\tO' +p271965 +aS'a\ta\tDT\tB-NP\tO' +p271966 +aS'day\tday\tNN\tI-NP\tO' +p271967 +aS').\t).\t.\tO\tO' +p271968 +asS'1. Left middle cerebral artery territory cerebral infarction .' +p271969 +(lp271970 +S'1.\t1.\tLS\tB-LST\tO' +p271971 +aS'Left\tLeave\tVBD\tB-VP\tO' +p271972 +aS'middle\tmiddle\tJJ\tB-NP\tO' +p271973 +aS'cerebral\tcerebral\tJJ\tI-NP\tO' +p271974 +aS'artery\tartery\tNN\tI-NP\tO' +p271975 +aS'territory\tterritory\tNN\tI-NP\tO' +p271976 +aS'cerebral\tcerebral\tJJ\tI-NP\tO' +p271977 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p271978 +aS'.\t.\t.\tO\tO' +p271979 +asS'This prompted further staging work-up .' +p271980 +(lp271981 +S'This\tThis\tDT\tB-NP\tO' +p271982 +aS'prompted\tprompt\tVBD\tB-VP\tO' +p271983 +aS'further\tfurther\tRB\tI-VP\tO' +p271984 +aS'staging\tstag\tVBG\tI-VP\tO' +p271985 +aS'work-up\twork-up\tNN\tB-NP\tO' +p271986 +aS'.\t.\t.\tO\tO' +p271987 +asS'Potassium was given with her intravenous fluids and phosphate will be repleted as patient increases her po intake .' +p271988 +(lp271989 +S'Potassium\tPotassium\tNN\tB-NP\tO' +p271990 +aS'was\tbe\tVBD\tB-VP\tO' +p271991 +aS'given\tgive\tVBN\tI-VP\tO' +p271992 +aS'with\twith\tIN\tB-PP\tO' +p271993 +aS'her\ther\tPRP$\tB-NP\tO' +p271994 +aS'intravenous\tintravenous\tJJ\tI-NP\tO' +p271995 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p271996 +aS'and\tand\tCC\tI-NP\tO' +p271997 +aS'phosphate\tphosphate\tNN\tI-NP\tO' +p271998 +aS'will\twill\tMD\tB-VP\tO' +p271999 +aS'be\tbe\tVB\tI-VP\tO' +p272000 +aS'repleted\treplete\tVBN\tI-VP\tO' +p272001 +aS'as\tas\tIN\tB-SBAR\tO' +p272002 +aS'patient\tpatient\tNN\tB-NP\tO' +p272003 +aS'increases\tincrease\tVBZ\tB-VP\tO' +p272004 +aS'her\ther\tPRP$\tB-NP\tO' +p272005 +aS'po\tpo\tNN\tI-NP\tO' +p272006 +aS'intake\tintake\tNN\tI-NP\tO' +p272007 +aS'.\t.\t.\tO\tO' +p272008 +asS'Cardiac catheterization performed on 2013-01-03 : Three vessel disease in the right dominant system .' +p272009 +(lp272010 +S'Cardiac\tCardiac\tJJ\tB-NP\tO' +p272011 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p272012 +aS'performed\tperform\tVBN\tB-VP\tO' +p272013 +aS'on\ton\tIN\tB-PP\tO' +p272014 +aS'2013-01-03\t2013-01-03\tCD\tB-NP\tO' +p272015 +aS':\t:\t:\tO\tO' +p272016 +aS'Three\tThree\tCD\tB-NP\tO' +p272017 +aS'vessel\tvessel\tNN\tI-NP\tO' +p272018 +aS'disease\tdisease\tNN\tI-NP\tO' +p272019 +aS'in\tin\tIN\tB-PP\tO' +p272020 +aS'the\tthe\tDT\tB-NP\tO' +p272021 +aS'right\tright\tJJ\tI-NP\tO' +p272022 +aS'dominant\tdominant\tJJ\tI-NP\tO' +p272023 +aS'system\tsystem\tNN\tI-NP\tO' +p272024 +aS'.\t.\t.\tO\tO' +p272025 +asS'5. Status post hernia repair .' +p272026 +(lp272027 +S'5.\t5.\tLS\tB-NP\tO' +p272028 +aS'Status\tStatus\tNNP\tI-NP\tO' +p272029 +aS'post\tpost\tNN\tI-NP\tO' +p272030 +aS'hernia\thernia\tNN\tI-NP\tO' +p272031 +aS'repair\trepair\tNN\tI-NP\tO' +p272032 +aS'.\t.\t.\tO\tO' +p272033 +asS'8 units RBC , 6FFP , 1 cryo , 1 pack plt .' +p272034 +(lp272035 +S'8\t8\tCD\tB-NP\tO' +p272036 +aS'units\tunit\tNNS\tI-NP\tO' +p272037 +aS'RBC\tRBC\tNN\tI-NP\tB-protein' +p272038 +aS',\t,\t,\tO\tO' +p272039 +aS'6FFP\t6FFP\tNN\tB-NP\tO' +p272040 +aS',\t,\t,\tO\tO' +p272041 +aS'1\t1\tCD\tB-NP\tO' +p272042 +aS'cryo\tcryo\tNN\tI-NP\tO' +p272043 +aS',\t,\t,\tO\tO' +p272044 +aS'1\t1\tCD\tB-NP\tO' +p272045 +aS'pack\tpack\tNN\tI-NP\tO' +p272046 +aS'plt\tplt\tNN\tI-NP\tO' +p272047 +aS'.\t.\t.\tO\tO' +p272048 +asS'He will follow up with Dr. Dye in the Clinic .' +p272049 +(lp272050 +S'He\tHe\tPRP\tB-NP\tO' +p272051 +aS'will\twill\tMD\tB-VP\tO' +p272052 +aS'follow\tfollow\tVB\tI-VP\tO' +p272053 +aS'up\tup\tRP\tB-PRT\tO' +p272054 +aS'with\twith\tIN\tB-PP\tO' +p272055 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p272056 +aS'Dye\tDye\tNNP\tI-NP\tO' +p272057 +aS'in\tin\tIN\tB-PP\tO' +p272058 +aS'the\tthe\tDT\tB-NP\tO' +p272059 +aS'Clinic\tClinic\tNNP\tI-NP\tO' +p272060 +aS'.\t.\t.\tO\tO' +p272061 +asS'His hematocrit was 34.7 .' +p272062 +(lp272063 +S'His\tHis\tPRP$\tB-NP\tO' +p272064 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p272065 +aS'was\tbe\tVBD\tB-VP\tO' +p272066 +aS'34.7\t34.7\tCD\tB-NP\tO' +p272067 +aS'.\t.\t.\tO\tO' +p272068 +asS'Other than this , the patient did very well .' +p272069 +(lp272070 +S'Other\tOther\tJJ\tB-ADJP\tO' +p272071 +aS'than\tthan\tIN\tB-PP\tO' +p272072 +aS'this\tthis\tDT\tB-NP\tO' +p272073 +aS',\t,\t,\tO\tO' +p272074 +aS'the\tthe\tDT\tB-NP\tO' +p272075 +aS'patient\tpatient\tNN\tI-NP\tO' +p272076 +aS'did\tdo\tVBD\tB-VP\tO' +p272077 +aS'very\tvery\tRB\tB-ADVP\tO' +p272078 +aS'well\twell\tRB\tI-ADVP\tO' +p272079 +aS'.\t.\t.\tO\tO' +p272080 +asS'Cardiopulmonary bypass time was 234 minutes .' +p272081 +(lp272082 +S'Cardiopulmonary\tCardiopulmonary\tJJ\tB-NP\tO' +p272083 +aS'bypass\tbypass\tNN\tI-NP\tO' +p272084 +aS'time\ttime\tNN\tI-NP\tO' +p272085 +aS'was\tbe\tVBD\tB-VP\tO' +p272086 +aS'234\t234\tCD\tB-NP\tO' +p272087 +aS'minutes\tminute\tNNS\tI-NP\tO' +p272088 +aS'.\t.\t.\tO\tO' +p272089 +asS"The patient 's electrocardiogram performed on hospital day number two was concerning for 2:1 heart block and the cardiology consult service was contacted for evaluation ." +p272090 +(lp272091 +S'The\tThe\tDT\tB-NP\tO' +p272092 +aS'patient\tpatient\tNN\tI-NP\tO' +p272093 +aS"'s\t's\tPOS\tB-NP\tO" +p272094 +aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' +p272095 +aS'performed\tperform\tVBN\tB-VP\tO' +p272096 +aS'on\ton\tIN\tB-PP\tO' +p272097 +aS'hospital\thospital\tNN\tB-NP\tO' +p272098 +aS'day\tday\tNN\tI-NP\tO' +p272099 +aS'number\tnumber\tNN\tI-NP\tO' +p272100 +aS'two\ttwo\tCD\tB-NP\tO' +p272101 +aS'was\tbe\tVBD\tB-VP\tO' +p272102 +aS'concerning\tconcern\tVBG\tI-VP\tO' +p272103 +aS'for\tfor\tIN\tB-PP\tO' +p272104 +aS'2:1\t2:1\tCD\tB-NP\tO' +p272105 +aS'heart\theart\tNN\tI-NP\tO' +p272106 +aS'block\tblock\tNN\tI-NP\tO' +p272107 +aS'and\tand\tCC\tO\tO' +p272108 +aS'the\tthe\tDT\tB-NP\tO' +p272109 +aS'cardiology\tcardiology\tNN\tI-NP\tO' +p272110 +aS'consult\tconsult\tNN\tI-NP\tO' +p272111 +aS'service\tservice\tNN\tI-NP\tO' +p272112 +aS'was\tbe\tVBD\tB-VP\tO' +p272113 +aS'contacted\tcontact\tVBN\tI-VP\tO' +p272114 +aS'for\tfor\tIN\tB-PP\tO' +p272115 +aS'evaluation\tevaluation\tNN\tB-NP\tO' +p272116 +aS'.\t.\t.\tO\tO' +p272117 +asS'Hct dropped 34 -> 22 .' +p272118 +(lp272119 +S'Hct\tHct\tNNP\tB-NP\tO' +p272120 +aS'dropped\tdrop\tVBD\tB-VP\tO' +p272121 +aS'34\t34\tCD\tB-NP\tO' +p272122 +aS'->\t->\tSYM\tB-NP\tO' +p272123 +aS'22\t22\tCD\tI-NP\tO' +p272124 +aS'.\t.\t.\tO\tO' +p272125 +asS'A CT of her C-spine revealed a possible fracture of right C7 pedicle .' +p272126 +(lp272127 +S'A\tA\tDT\tB-NP\tO' +p272128 +aS'CT\tCT\tNN\tI-NP\tO' +p272129 +aS'of\tof\tIN\tB-PP\tO' +p272130 +aS'her\ther\tPRP$\tB-NP\tO' +p272131 +aS'C-spine\tC-spine\tNN\tI-NP\tO' +p272132 +aS'revealed\treveal\tVBD\tB-VP\tO' +p272133 +aS'a\ta\tDT\tB-NP\tO' +p272134 +aS'possible\tpossible\tJJ\tI-NP\tO' +p272135 +aS'fracture\tfracture\tNN\tI-NP\tO' +p272136 +aS'of\tof\tIN\tB-PP\tO' +p272137 +aS'right\tright\tJJ\tB-NP\tO' +p272138 +aS'C7\tC7\tNN\tI-NP\tO' +p272139 +aS'pedicle\tpedicle\tNN\tI-NP\tO' +p272140 +aS'.\t.\t.\tO\tO' +p272141 +asS'BACTRIM ( SEVERE RASH ) , GANCICLOVIR ( RASH , HAS BEEN DESENSITIZED ) .' +p272142 +(lp272143 +S'BACTRIM\tBACTRIM\tNN\tB-NP\tO' +p272144 +aS'(\t(\t(\tO\tO' +p272145 +aS'SEVERE\tSEVERE\tNN\tB-NP\tO' +p272146 +aS'RASH\tRASH\tNN\tI-NP\tO' +p272147 +aS')\t)\t)\tO\tO' +p272148 +aS',\t,\t,\tO\tO' +p272149 +aS'GANCICLOVIR\tGANCICLOVIR\tNN\tB-NP\tB-protein' +p272150 +aS'(\t(\t(\tO\tO' +p272151 +aS'RASH\tRASH\tNN\tB-NP\tB-protein' +p272152 +aS',\t,\t,\tO\tO' +p272153 +aS'HAS\tHAS\tNNP\tB-NP\tO' +p272154 +aS'BEEN\tBEEN\tNNP\tI-NP\tO' +p272155 +aS'DESENSITIZED\tDESENSITIZED\tNNP\tI-NP\tO' +p272156 +aS')\t)\t)\tO\tO' +p272157 +aS'.\t.\t.\tO\tO' +p272158 +asS'placement for a bile leak from the duct of Luschka .' +p272159 +(lp272160 +S'placement\tplacement\tNN\tB-NP\tO' +p272161 +aS'for\tfor\tIN\tB-PP\tO' +p272162 +aS'a\ta\tDT\tB-NP\tO' +p272163 +aS'bile\tbile\tNN\tI-NP\tO' +p272164 +aS'leak\tleak\tNN\tI-NP\tO' +p272165 +aS'from\tfrom\tIN\tB-PP\tO' +p272166 +aS'the\tthe\tDT\tB-NP\tO' +p272167 +aS'duct\tduct\tNN\tI-NP\tO' +p272168 +aS'of\tof\tIN\tB-PP\tO' +p272169 +aS'Luschka\tLuschka\tNNP\tB-NP\tO' +p272170 +aS'.\t.\t.\tO\tO' +p272171 +asS'There was no radiographic correlation with this .' +p272172 +(lp272173 +S'There\tThere\tEX\tB-NP\tO' +p272174 +aS'was\tbe\tVBD\tB-VP\tO' +p272175 +aS'no\tno\tDT\tB-NP\tO' +p272176 +aS'radiographic\tradiographic\tJJ\tI-NP\tO' +p272177 +aS'correlation\tcorrelation\tNN\tI-NP\tO' +p272178 +aS'with\twith\tIN\tB-PP\tO' +p272179 +aS'this\tthis\tDT\tB-NP\tO' +p272180 +aS'.\t.\t.\tO\tO' +p272181 +asS'There were no wheezes or rhonchi .' +p272182 +(lp272183 +S'There\tThere\tEX\tB-NP\tO' +p272184 +aS'were\tbe\tVBD\tB-VP\tO' +p272185 +aS'no\tno\tDT\tB-NP\tO' +p272186 +aS'wheezes\twheeze\tNNS\tI-NP\tO' +p272187 +aS'or\tor\tCC\tI-NP\tO' +p272188 +aS'rhonchi\trhonchus\tNNS\tI-NP\tO' +p272189 +aS'.\t.\t.\tO\tO' +p272190 +asS'Na 134 , K 4.2 , Cl 98 , bicarb 26 , BUN 11 , creatinine 0.5 , glucose 119 .' +p272191 +(lp272192 +S'Na\tNa\tNN\tB-NP\tB-protein' +p272193 +aS'134\t134\tCD\tI-NP\tI-protein' +p272194 +aS',\t,\t,\tO\tO' +p272195 +aS'K\tK\tNN\tB-NP\tB-cell_line' +p272196 +aS'4.2\t4.2\tNN\tI-NP\tI-cell_line' +p272197 +aS',\t,\t,\tO\tO' +p272198 +aS'Cl\tCl\tNN\tB-NP\tO' +p272199 +aS'98\t98\tCD\tI-NP\tO' +p272200 +aS',\t,\t,\tO\tO' +p272201 +aS'bicarb\tbicarb\tNN\tB-NP\tO' +p272202 +aS'26\t26\tCD\tI-NP\tO' +p272203 +aS',\t,\t,\tO\tO' +p272204 +aS'BUN\tBUN\tNN\tB-NP\tB-DNA' +p272205 +aS'11\t11\tCD\tI-NP\tI-DNA' +p272206 +aS',\t,\t,\tO\tO' +p272207 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p272208 +aS'0.5\t0.5\tCD\tI-NP\tO' +p272209 +aS',\t,\t,\tO\tO' +p272210 +aS'glucose\tglucose\tNN\tB-NP\tO' +p272211 +aS'119\t119\tCD\tI-NP\tO' +p272212 +aS'.\t.\t.\tO\tO' +p272213 +asS'3. F/U appt with Dr Boston , Massachusetts General Hospital Surgery in approx 4 weeks .' +p272214 +(lp272215 +S'3.\t3.\tLS\tB-NP\tO' +p272216 +aS'F/U\tF/U\tNN\tI-NP\tO' +p272217 +aS'appt\tappt\tNN\tI-NP\tO' +p272218 +aS'with\twith\tIN\tB-PP\tO' +p272219 +aS'Dr\tDr\tNNP\tB-NP\tO' +p272220 +aS'Boston\tBoston\tNNP\tI-NP\tO' +p272221 +aS',\t,\t,\tO\tO' +p272222 +aS'Massachusetts\tMassachusetts\tNNP\tB-NP\tO' +p272223 +aS'General\tGeneral\tNNP\tI-NP\tO' +p272224 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p272225 +aS'Surgery\tSurgery\tNNP\tI-NP\tO' +p272226 +aS'in\tin\tIN\tB-PP\tO' +p272227 +aS'approx\tapprox\tNN\tB-NP\tO' +p272228 +aS'4\t4\tCD\tB-NP\tO' +p272229 +aS'weeks\tweek\tNNS\tI-NP\tO' +p272230 +aS'.\t.\t.\tO\tO' +p272231 +asS'2) 2+ E. coli sensitive to Ampicillin and Levofloxacin ,' +p272232 +(lp272233 +S'2)\t2)\tLS\tB-LST\tO' +p272234 +aS'2+\t2+\tJJ\tB-NP\tO' +p272235 +aS'E.\tE.\tFW\tI-NP\tO' +p272236 +aS'coli\tcoli\tFW\tI-NP\tO' +p272237 +aS'sensitive\tsensitive\tJJ\tB-ADJP\tO' +p272238 +aS'to\tto\tTO\tB-PP\tO' +p272239 +aS'Ampicillin\tAmpicillin\tNN\tB-NP\tB-protein' +p272240 +aS'and\tand\tCC\tI-NP\tO' +p272241 +aS'Levofloxacin\tLevofloxacin\tNN\tI-NP\tO' +p272242 +aS',\t,\t,\tO\tO' +p272243 +asS'3. Steroid-induced diabetes .' +p272244 +(lp272245 +S'3.\t3.\tLS\tB-NP\tO' +p272246 +aS'Steroid-induced\tSteroid-induced\tJJ\tI-NP\tO' +p272247 +aS'diabetes\tdiabete\tNNS\tI-NP\tO' +p272248 +aS'.\t.\t.\tO\tO' +p272249 +asS'The patient is a 59 year-old female status post endoscopic retrograde cholangiopancreatography on the day of admission , which had been done to evaluate for possible bile leak after cholecystectomy was performed four days ago .' +p272250 +(lp272251 +S'The\tThe\tDT\tB-NP\tO' +p272252 +aS'patient\tpatient\tNN\tI-NP\tO' +p272253 +aS'is\tbe\tVBZ\tB-VP\tO' +p272254 +aS'a\ta\tDT\tB-NP\tO' +p272255 +aS'59\t59\tCD\tI-NP\tO' +p272256 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p272257 +aS'female\tfemale\tJJ\tI-NP\tO' +p272258 +aS'status\tstatus\tNN\tI-NP\tO' +p272259 +aS'post\tpost\tIN\tB-PP\tO' +p272260 +aS'endoscopic\tendoscopic\tJJ\tB-NP\tO' +p272261 +aS'retrograde\tretrograde\tJJ\tI-NP\tO' +p272262 +aS'cholangiopancreatography\tcholangiopancreatography\tNN\tI-NP\tO' +p272263 +aS'on\ton\tIN\tB-PP\tO' +p272264 +aS'the\tthe\tDT\tB-NP\tO' +p272265 +aS'day\tday\tNN\tI-NP\tO' +p272266 +aS'of\tof\tIN\tB-PP\tO' +p272267 +aS'admission\tadmission\tNN\tB-NP\tO' +p272268 +aS',\t,\t,\tO\tO' +p272269 +aS'which\twhich\tWDT\tB-NP\tO' +p272270 +aS'had\thave\tVBD\tB-VP\tO' +p272271 +aS'been\tbe\tVBN\tI-VP\tO' +p272272 +aS'done\tdo\tVBN\tI-VP\tO' +p272273 +aS'to\tto\tTO\tI-VP\tO' +p272274 +aS'evaluate\tevaluate\tVB\tI-VP\tO' +p272275 +aS'for\tfor\tIN\tB-PP\tO' +p272276 +aS'possible\tpossible\tJJ\tB-NP\tO' +p272277 +aS'bile\tbile\tNN\tI-NP\tO' +p272278 +aS'leak\tleak\tNN\tI-NP\tO' +p272279 +aS'after\tafter\tIN\tB-PP\tO' +p272280 +aS'cholecystectomy\tcholecystectomy\tNN\tB-NP\tO' +p272281 +aS'was\tbe\tVBD\tB-VP\tO' +p272282 +aS'performed\tperform\tVBN\tI-VP\tO' +p272283 +aS'four\tfour\tCD\tB-NP\tO' +p272284 +aS'days\tday\tNNS\tI-NP\tO' +p272285 +aS'ago\tago\tRB\tB-ADVP\tO' +p272286 +aS'.\t.\t.\tO\tO' +p272287 +asS'He was given Unasyn for empiric antibiotic treatment .' +p272288 +(lp272289 +S'He\tHe\tPRP\tB-NP\tO' +p272290 +aS'was\tbe\tVBD\tB-VP\tO' +p272291 +aS'given\tgive\tVBN\tI-VP\tO' +p272292 +aS'Unasyn\tUnasyn\tNNP\tB-NP\tO' +p272293 +aS'for\tfor\tIN\tB-PP\tO' +p272294 +aS'empiric\tempiric\tJJ\tB-NP\tO' +p272295 +aS'antibiotic\tantibiotic\tJJ\tI-NP\tO' +p272296 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p272297 +aS'.\t.\t.\tO\tO' +p272298 +asS'She will need to continue for at least 10 more days or as clinically indicated by the course of her cellulitis .' +p272299 +(lp272300 +S'She\tShe\tPRP\tB-NP\tO' +p272301 +aS'will\twill\tMD\tB-VP\tO' +p272302 +aS'need\tneed\tVB\tI-VP\tO' +p272303 +aS'to\tto\tTO\tI-VP\tO' +p272304 +aS'continue\tcontinue\tVB\tI-VP\tO' +p272305 +aS'for\tfor\tIN\tB-PP\tO' +p272306 +aS'at\tat\tIN\tB-NP\tO' +p272307 +aS'least\tleast\tJJS\tI-NP\tO' +p272308 +aS'10\t10\tCD\tI-NP\tO' +p272309 +aS'more\tmore\tJJR\tI-NP\tO' +p272310 +aS'days\tday\tNNS\tI-NP\tO' +p272311 +aS'or\tor\tCC\tO\tO' +p272312 +aS'as\tas\tIN\tB-SBAR\tO' +p272313 +aS'clinically\tclinically\tRB\tB-ADVP\tO' +p272314 +aS'indicated\tindicate\tVBN\tB-VP\tO' +p272315 +aS'by\tby\tIN\tB-PP\tO' +p272316 +aS'the\tthe\tDT\tB-NP\tO' +p272317 +aS'course\tcourse\tNN\tI-NP\tO' +p272318 +aS'of\tof\tIN\tB-PP\tO' +p272319 +aS'her\ther\tPRP$\tB-NP\tO' +p272320 +aS'cellulitis\tcellulitis\tNN\tI-NP\tO' +p272321 +aS'.\t.\t.\tO\tO' +p272322 +asS'Large bore cannulas were inserted into the femoral veins , bilateral chest tubes were placed , and his blood pressure rose to 110 systolic after two liters of crystalloid .' +p272323 +(lp272324 +S'Large\tLarge\tJJ\tB-NP\tO' +p272325 +aS'bore\tbore\tNN\tI-NP\tO' +p272326 +aS'cannulas\tcannula\tNNS\tI-NP\tO' +p272327 +aS'were\tbe\tVBD\tB-VP\tO' +p272328 +aS'inserted\tinsert\tVBN\tI-VP\tO' +p272329 +aS'into\tinto\tIN\tB-PP\tO' +p272330 +aS'the\tthe\tDT\tB-NP\tO' +p272331 +aS'femoral\tfemoral\tJJ\tI-NP\tO' +p272332 +aS'veins\tvein\tNNS\tI-NP\tO' +p272333 +aS',\t,\t,\tO\tO' +p272334 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p272335 +aS'chest\tchest\tNN\tI-NP\tO' +p272336 +aS'tubes\ttube\tNNS\tI-NP\tO' +p272337 +aS'were\tbe\tVBD\tB-VP\tO' +p272338 +aS'placed\tplace\tVBN\tI-VP\tO' +p272339 +aS',\t,\t,\tO\tO' +p272340 +aS'and\tand\tCC\tO\tO' +p272341 +aS'his\this\tPRP$\tB-NP\tO' +p272342 +aS'blood\tblood\tNN\tI-NP\tO' +p272343 +aS'pressure\tpressure\tNN\tI-NP\tO' +p272344 +aS'rose\trise\tVBD\tB-VP\tO' +p272345 +aS'to\tto\tTO\tB-PP\tO' +p272346 +aS'110\t110\tCD\tB-NP\tO' +p272347 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p272348 +aS'after\tafter\tIN\tB-PP\tO' +p272349 +aS'two\ttwo\tCD\tB-NP\tO' +p272350 +aS'liters\tliter\tNNS\tI-NP\tO' +p272351 +aS'of\tof\tIN\tB-PP\tO' +p272352 +aS'crystalloid\tcrystalloid\tNN\tB-NP\tO' +p272353 +aS'.\t.\t.\tO\tO' +p272354 +asS'Electrocardiogram shows normal sinus rhythm at 50 .' +p272355 +(lp272356 +S'Electrocardiogram\tElectrocardiogram\tNN\tB-NP\tO' +p272357 +aS'shows\tshow\tVBZ\tB-VP\tO' +p272358 +aS'normal\tnormal\tJJ\tB-NP\tO' +p272359 +aS'sinus\tsinus\tNN\tI-NP\tO' +p272360 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p272361 +aS'at\tat\tIN\tB-PP\tO' +p272362 +aS'50\t50\tCD\tB-NP\tO' +p272363 +aS'.\t.\t.\tO\tO' +p272364 +asS'2. Cardiovascular - The patient has been cardiovascularly stable without murmur .' +p272365 +(lp272366 +S'2.\t2.\tLS\tB-LST\tO' +p272367 +aS'Cardiovascular\tCardiovascular\tJJ\tB-ADJP\tO' +p272368 +aS'-\t-\tHYPH\tO\tO' +p272369 +aS'The\tThe\tDT\tB-NP\tO' +p272370 +aS'patient\tpatient\tNN\tI-NP\tO' +p272371 +aS'has\thave\tVBZ\tB-VP\tO' +p272372 +aS'been\tbe\tVBN\tI-VP\tO' +p272373 +aS'cardiovascularly\tcardiovascularly\tRB\tB-ADJP\tO' +p272374 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p272375 +aS'without\twithout\tIN\tB-PP\tO' +p272376 +aS'murmur\tmurmur\tNN\tB-NP\tO' +p272377 +aS'.\t.\t.\tO\tO' +p272378 +asS'7. Clozapine 25 mg Tablet Sig : One ( 1 ) Tablet PO HS ( at bedtime ) .' +p272379 +(lp272380 +S'7.\t7.\tCD\tB-NP\tO' +p272381 +aS'Clozapine\tClozapine\tNN\tI-NP\tO' +p272382 +aS'25\t25\tCD\tB-NP\tO' +p272383 +aS'mg\tmg\tNN\tI-NP\tO' +p272384 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p272385 +aS'Sig\tSig\tNNP\tI-NP\tO' +p272386 +aS':\t:\t:\tO\tO' +p272387 +aS'One\tOne\tCD\tB-NP\tO' +p272388 +aS'(\t(\t(\tO\tO' +p272389 +aS'1\t1\tCD\tB-NP\tO' +p272390 +aS')\t)\t)\tO\tO' +p272391 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p272392 +aS'PO\tPO\tNN\tI-NP\tO' +p272393 +aS'HS\tHS\tNN\tI-NP\tO' +p272394 +aS'(\t(\t(\tO\tO' +p272395 +aS'at\tat\tIN\tB-PP\tO' +p272396 +aS'bedtime\tbedtime\tNN\tB-NP\tO' +p272397 +aS')\t)\t)\tO\tO' +p272398 +aS'.\t.\t.\tO\tO' +p272399 +asS'The patient is status post appendectomy , hysterectomy and right salpingo-oophorectomy , bladder suspension and a tumor removal from the right neck .' +p272400 +(lp272401 +S'The\tThe\tDT\tB-NP\tO' +p272402 +aS'patient\tpatient\tNN\tI-NP\tO' +p272403 +aS'is\tbe\tVBZ\tB-VP\tO' +p272404 +aS'status\tstatus\tNN\tB-NP\tO' +p272405 +aS'post\tpost\tNN\tI-NP\tO' +p272406 +aS'appendectomy\tappendectomy\tNN\tI-NP\tO' +p272407 +aS',\t,\t,\tO\tO' +p272408 +aS'hysterectomy\thysterectomy\tNN\tB-NP\tO' +p272409 +aS'and\tand\tCC\tO\tO' +p272410 +aS'right\tright\tJJ\tB-NP\tO' +p272411 +aS'salpingo-oophorectomy\tsalpingo-oophorectomy\tNN\tI-NP\tO' +p272412 +aS',\t,\t,\tO\tO' +p272413 +aS'bladder\tbladder\tNN\tB-NP\tO' +p272414 +aS'suspension\tsuspension\tNN\tI-NP\tO' +p272415 +aS'and\tand\tCC\tO\tO' +p272416 +aS'a\ta\tDT\tB-NP\tO' +p272417 +aS'tumor\ttumor\tNN\tI-NP\tO' +p272418 +aS'removal\tremoval\tNN\tI-NP\tO' +p272419 +aS'from\tfrom\tIN\tB-PP\tO' +p272420 +aS'the\tthe\tDT\tB-NP\tO' +p272421 +aS'right\tright\tJJ\tI-NP\tO' +p272422 +aS'neck\tneck\tNN\tI-NP\tO' +p272423 +aS'.\t.\t.\tO\tO' +p272424 +asS'Hematocrit was 28.7 .' +p272425 +(lp272426 +S'Hematocrit\tHematocrit\tNN\tB-NP\tB-protein' +p272427 +aS'was\tbe\tVBD\tB-VP\tI-protein' +p272428 +aS'28.7\t28.7\tCD\tB-NP\tI-protein' +p272429 +aS'.\t.\t.\tO\tO' +p272430 +asS'7. Insulin Glargine 100 unit / mL Cartridge Sig : Ten ( 10 ) units Subcutaneous once a day .' +p272431 +(lp272432 +S'7.\t7.\tLS\tB-NP\tO' +p272433 +aS'Insulin\tInsulin\tNN\tI-NP\tB-protein' +p272434 +aS'Glargine\tGlargine\tNN\tI-NP\tI-protein' +p272435 +aS'100\t100\tCD\tI-NP\tI-protein' +p272436 +aS'unit\tunit\tNN\tI-NP\tI-protein' +p272437 +aS'/\t/\tSYM\tB-NP\tO' +p272438 +aS'mL\tmL\tNN\tI-NP\tO' +p272439 +aS'Cartridge\tCartridge\tNNP\tI-NP\tO' +p272440 +aS'Sig\tSig\tNNP\tI-NP\tO' +p272441 +aS':\t:\t:\tO\tO' +p272442 +aS'Ten\tTen\tCD\tB-NP\tO' +p272443 +aS'(\t(\t(\tO\tO' +p272444 +aS'10\t10\tCD\tB-NP\tO' +p272445 +aS')\t)\t)\tO\tO' +p272446 +aS'units\tunit\tNNS\tB-NP\tO' +p272447 +aS'Subcutaneous\tSubcutaneous\tJJ\tB-ADJP\tO' +p272448 +aS'once\tonce\tIN\tB-SBAR\tO' +p272449 +aS'a\ta\tDT\tB-NP\tO' +p272450 +aS'day\tday\tNN\tI-NP\tO' +p272451 +aS'.\t.\t.\tO\tO' +p272452 +asS'She was given a lasix drip IV upon call-out of the ICU , and additional boluses of IV lasix , 200 mg then 300 mg IV were given with a good response , however , she remained net positive fluid balance .' +p272453 +(lp272454 +S'She\tShe\tPRP\tB-NP\tO' +p272455 +aS'was\tbe\tVBD\tB-VP\tO' +p272456 +aS'given\tgive\tVBN\tI-VP\tO' +p272457 +aS'a\ta\tDT\tB-NP\tO' +p272458 +aS'lasix\tlasix\tNN\tI-NP\tO' +p272459 +aS'drip\tdrip\tNN\tI-NP\tO' +p272460 +aS'IV\tIV\tCD\tI-NP\tO' +p272461 +aS'upon\tupon\tIN\tB-PP\tO' +p272462 +aS'call-out\tcall-out\tNN\tB-NP\tO' +p272463 +aS'of\tof\tIN\tB-PP\tO' +p272464 +aS'the\tthe\tDT\tB-NP\tO' +p272465 +aS'ICU\tICU\tNN\tI-NP\tB-protein' +p272466 +aS',\t,\t,\tO\tO' +p272467 +aS'and\tand\tCC\tO\tO' +p272468 +aS'additional\tadditional\tJJ\tB-NP\tO' +p272469 +aS'boluses\tbolus\tNNS\tI-NP\tO' +p272470 +aS'of\tof\tIN\tB-PP\tO' +p272471 +aS'IV\tIV\tCD\tB-NP\tO' +p272472 +aS'lasix\tlasix\tCD\tI-NP\tO' +p272473 +aS',\t,\t,\tO\tO' +p272474 +aS'200\t200\tCD\tB-NP\tO' +p272475 +aS'mg\tmg\tNN\tI-NP\tO' +p272476 +aS'then\tthen\tRB\tB-ADVP\tO' +p272477 +aS'300\t300\tCD\tB-NP\tO' +p272478 +aS'mg\tmg\tNN\tI-NP\tO' +p272479 +aS'IV\tIV\tCD\tI-NP\tO' +p272480 +aS'were\tbe\tVBD\tB-VP\tO' +p272481 +aS'given\tgive\tVBN\tI-VP\tO' +p272482 +aS'with\twith\tIN\tB-PP\tO' +p272483 +aS'a\ta\tDT\tB-NP\tO' +p272484 +aS'good\tgood\tJJ\tI-NP\tO' +p272485 +aS'response\tresponse\tNN\tI-NP\tO' +p272486 +aS',\t,\t,\tO\tO' +p272487 +aS'however\thowever\tRB\tB-ADVP\tO' +p272488 +aS',\t,\t,\tO\tO' +p272489 +aS'she\tshe\tPRP\tB-NP\tO' +p272490 +aS'remained\tremain\tVBD\tB-VP\tO' +p272491 +aS'net\tnet\tJJ\tB-NP\tO' +p272492 +aS'positive\tpositive\tJJ\tI-NP\tO' +p272493 +aS'fluid\tfluid\tNN\tI-NP\tO' +p272494 +aS'balance\tbalance\tNN\tI-NP\tO' +p272495 +aS'.\t.\t.\tO\tO' +p272496 +asS'Diabetes Mellitis ( Pancreatic Trauma )' +p272497 +(lp272498 +S'Diabetes\tDiabetes\tNN\tB-NP\tO' +p272499 +aS'Mellitis\tMellitis\tNN\tI-NP\tO' +p272500 +aS'(\t(\t(\tO\tO' +p272501 +aS'Pancreatic\tPancreatic\tJJ\tB-NP\tO' +p272502 +aS'Trauma\tTrauma\tNNP\tI-NP\tO' +p272503 +aS')\t)\t)\tO\tO' +p272504 +asS'5. Fall - The patient had a mechanical fall during his admission .' +p272505 +(lp272506 +S'5.\t5.\tLS\tB-NP\tO' +p272507 +aS'Fall\tFall\tNN\tI-NP\tO' +p272508 +aS'-\t-\tHYPH\tO\tO' +p272509 +aS'The\tThe\tDT\tB-NP\tO' +p272510 +aS'patient\tpatient\tNN\tI-NP\tO' +p272511 +aS'had\thave\tVBD\tB-VP\tO' +p272512 +aS'a\ta\tDT\tB-NP\tO' +p272513 +aS'mechanical\tmechanical\tJJ\tI-NP\tO' +p272514 +aS'fall\tfall\tNN\tI-NP\tO' +p272515 +aS'during\tduring\tIN\tB-PP\tO' +p272516 +aS'his\this\tPRP$\tB-NP\tO' +p272517 +aS'admission\tadmission\tNN\tI-NP\tO' +p272518 +aS'.\t.\t.\tO\tO' +p272519 +asS'He has been on increasing doses of insulin receiving NPH in the morning and night in addition to a CZI sliding scale on a q6h basis .' +p272520 +(lp272521 +S'He\tHe\tPRP\tB-NP\tO' +p272522 +aS'has\thave\tVBZ\tB-VP\tO' +p272523 +aS'been\tbe\tVBN\tI-VP\tO' +p272524 +aS'on\ton\tIN\tB-PP\tO' +p272525 +aS'increasing\tincrease\tVBG\tB-NP\tO' +p272526 +aS'doses\tdose\tNNS\tI-NP\tO' +p272527 +aS'of\tof\tIN\tB-PP\tO' +p272528 +aS'insulin\tinsulin\tNN\tB-NP\tB-protein' +p272529 +aS'receiving\treceive\tVBG\tB-VP\tO' +p272530 +aS'NPH\tNPH\tNN\tB-NP\tB-protein' +p272531 +aS'in\tin\tIN\tB-PP\tO' +p272532 +aS'the\tthe\tDT\tB-NP\tO' +p272533 +aS'morning\tmorning\tNN\tI-NP\tO' +p272534 +aS'and\tand\tCC\tI-NP\tO' +p272535 +aS'night\tnight\tNN\tI-NP\tO' +p272536 +aS'in\tin\tIN\tB-PP\tO' +p272537 +aS'addition\taddition\tNN\tB-NP\tO' +p272538 +aS'to\tto\tTO\tB-PP\tO' +p272539 +aS'a\ta\tDT\tB-NP\tO' +p272540 +aS'CZI\tCZI\tNN\tI-NP\tB-protein' +p272541 +aS'sliding\tslide\tVBG\tB-VP\tO' +p272542 +aS'scale\tscale\tNN\tB-NP\tO' +p272543 +aS'on\ton\tIN\tB-PP\tO' +p272544 +aS'a\ta\tDT\tB-NP\tO' +p272545 +aS'q6h\tq6h\tNN\tI-NP\tO' +p272546 +aS'basis\tbasis\tNN\tI-NP\tO' +p272547 +aS'.\t.\t.\tO\tO' +p272548 +asS'The skin is intact .' +p272549 +(lp272550 +S'The\tThe\tDT\tB-NP\tO' +p272551 +aS'skin\tskin\tNN\tI-NP\tO' +p272552 +aS'is\tbe\tVBZ\tB-VP\tO' +p272553 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p272554 +aS'.\t.\t.\tO\tO' +p272555 +asS'There is no aortic valve stenosis .' +p272556 +(lp272557 +S'There\tThere\tEX\tB-NP\tO' +p272558 +aS'is\tbe\tVBZ\tB-VP\tO' +p272559 +aS'no\tno\tDT\tB-NP\tO' +p272560 +aS'aortic\taortic\tJJ\tI-NP\tO' +p272561 +aS'valve\tvalve\tNN\tI-NP\tO' +p272562 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p272563 +aS'.\t.\t.\tO\tO' +p272564 +asS'From 2/25 - 2/27/00 , the patient 's fever defervesced and his abdominal pain gradually subsided .' +p272565 +(lp272566 +S'From\tFrom\tIN\tB-PP\tO' +p272567 +aS'2/25\t2/25\tCD\tB-NP\tO' +p272568 +aS'-\t-\tHYPH\tI-NP\tO' +p272569 +aS'2/27/00\t2/27/00\tCD\tI-NP\tO' +p272570 +aS',\t,\t,\tO\tO' +p272571 +aS'the\tthe\tDT\tB-NP\tO' +p272572 +aS'patient\tpatient\tNN\tI-NP\tO' +p272573 +aS''s\t'\tNNS\tI-NP\tO' +p272574 +aS'fever\tfever\tNN\tI-NP\tO' +p272575 +aS'defervesced\tdefervesce\tVBN\tB-VP\tO' +p272576 +aS'and\tand\tCC\tO\tO' +p272577 +aS'his\this\tPRP$\tB-NP\tO' +p272578 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p272579 +aS'pain\tpain\tNN\tI-NP\tO' +p272580 +aS'gradually\tgradually\tRB\tB-ADVP\tO' +p272581 +aS'subsided\tsubside\tVBD\tB-VP\tO' +p272582 +aS'.\t.\t.\tO\tO' +p272583 +asS'Alert and oriented x 3 , moves all extremities , conversant .' +p272584 +(lp272585 +S'Alert\tAlert\tNNP\tB-NP\tO' +p272586 +aS'and\tand\tCC\tO\tO' +p272587 +aS'oriented\torient\tVBD\tB-VP\tO' +p272588 +aS'x\tx\tNN\tB-NP\tO' +p272589 +aS'3\t3\tCD\tI-NP\tO' +p272590 +aS',\t,\t,\tO\tO' +p272591 +aS'moves\tmove\tVBZ\tB-VP\tO' +p272592 +aS'all\tall\tDT\tB-NP\tO' +p272593 +aS'extremities\textremity\tNNS\tI-NP\tO' +p272594 +aS',\t,\t,\tO\tO' +p272595 +aS'conversant\tconversant\tNN\tB-NP\tO' +p272596 +aS'.\t.\t.\tO\tO' +p272597 +asS'Restared coumadin on 12-29 .' +p272598 +(lp272599 +S'Restared\tRestare\tVBN\tB-NP\tO' +p272600 +aS'coumadin\tcoumadin\tNN\tI-NP\tO' +p272601 +aS'on\ton\tIN\tB-PP\tO' +p272602 +aS'12-29\t12-29\tCD\tB-NP\tO' +p272603 +aS'.\t.\t.\tO\tO' +p272604 +asS'He was treated w/ ASA 325 mg , lasix 10 mg IV , and hydralazine 10 mg IV x 2 .' +p272605 +(lp272606 +S'He\tHe\tPRP\tB-NP\tO' +p272607 +aS'was\tbe\tVBD\tB-VP\tO' +p272608 +aS'treated\ttreat\tVBN\tI-VP\tO' +p272609 +aS'w/\tw/\tSYM\tB-NP\tO' +p272610 +aS'ASA\tASA\tNN\tB-NP\tO' +p272611 +aS'325\t325\tCD\tI-NP\tO' +p272612 +aS'mg\tmg\tNN\tI-NP\tO' +p272613 +aS',\t,\t,\tO\tO' +p272614 +aS'lasix\tlasix\tNN\tB-NP\tB-protein' +p272615 +aS'10\t10\tCD\tI-NP\tI-protein' +p272616 +aS'mg\tmg\tNN\tI-NP\tI-protein' +p272617 +aS'IV\tIV\tCD\tI-NP\tI-protein' +p272618 +aS',\t,\t,\tO\tO' +p272619 +aS'and\tand\tCC\tO\tO' +p272620 +aS'hydralazine\thydralazine\tNN\tB-NP\tB-protein' +p272621 +aS'10\t10\tCD\tI-NP\tI-protein' +p272622 +aS'mg\tmg\tNN\tI-NP\tI-protein' +p272623 +aS'IV\tIV\tCD\tB-NP\tI-protein' +p272624 +aS'x\tx\tNN\tI-NP\tI-protein' +p272625 +aS'2\t2\tCD\tI-NP\tI-protein' +p272626 +aS'.\t.\t.\tO\tO' +p272627 +asS'The extra ocular movements are full .' +p272628 +(lp272629 +S'The\tThe\tDT\tB-NP\tO' +p272630 +aS'extra\textra\tJJ\tI-NP\tO' +p272631 +aS'ocular\tocular\tJJ\tI-NP\tO' +p272632 +aS'movements\tmovement\tNNS\tI-NP\tO' +p272633 +aS'are\tbe\tVBP\tB-VP\tO' +p272634 +aS'full\tfull\tJJ\tB-ADJP\tO' +p272635 +aS'.\t.\t.\tO\tO' +p272636 +asS"She was transfered back to Mediplex Rehab Hospital Hospital per the patient 's and husband 's request so that she would be closer to home once her respiratory status was stable ." +p272637 +(lp272638 +S'She\tShe\tPRP\tB-NP\tO' +p272639 +aS'was\tbe\tVBD\tB-VP\tO' +p272640 +aS'transfered\ttransfer\tVBN\tI-VP\tO' +p272641 +aS'back\tback\tRB\tB-ADVP\tO' +p272642 +aS'to\tto\tTO\tB-PP\tO' +p272643 +aS'Mediplex\tMediplex\tNNP\tB-NP\tO' +p272644 +aS'Rehab\tRehab\tNNP\tI-NP\tO' +p272645 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p272646 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p272647 +aS'per\tper\tIN\tB-PP\tO' +p272648 +aS'the\tthe\tDT\tB-NP\tO' +p272649 +aS'patient\tpatient\tNN\tI-NP\tO' +p272650 +aS"'s\t's\tPOS\tB-NP\tO" +p272651 +aS'and\tand\tCC\tO\tO' +p272652 +aS'husband\thusband\tNN\tB-NP\tO' +p272653 +aS"'s\t's\tPOS\tB-NP\tO" +p272654 +aS'request\trequest\tNN\tI-NP\tO' +p272655 +aS'so\tso\tIN\tB-SBAR\tO' +p272656 +aS'that\tthat\tIN\tI-SBAR\tO' +p272657 +aS'she\tshe\tPRP\tB-NP\tO' +p272658 +aS'would\twould\tMD\tB-VP\tO' +p272659 +aS'be\tbe\tVB\tI-VP\tO' +p272660 +aS'closer\tclose\tJJR\tB-ADJP\tO' +p272661 +aS'to\tto\tTO\tB-VP\tO' +p272662 +aS'home\thome\tVB\tI-VP\tO' +p272663 +aS'once\tonce\tRB\tB-ADVP\tO' +p272664 +aS'her\ther\tPRP$\tB-NP\tO' +p272665 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p272666 +aS'status\tstatus\tNN\tI-NP\tO' +p272667 +aS'was\tbe\tVBD\tB-VP\tO' +p272668 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p272669 +aS'.\t.\t.\tO\tO' +p272670 +asS'Non-hodgkins lymphoma - s/p Cytoxan in 2003 and 2001 , History of Varicella Zoster with opthalmic lesions , History of Menieres Disease , GERD , Glaucoma , History of chronic sinusitis , s/p cataract surgery , s/p TAH and BSO , s/p appendectomy , s/p bilateral breast reduction' +p272671 +(lp272672 +S'Non-hodgkins\tNon-hodgkins\tJJ\tB-NP\tO' +p272673 +aS'lymphoma\tlymphoma\tNN\tI-NP\tO' +p272674 +aS'-\t-\tHYPH\tI-NP\tO' +p272675 +aS's/p\ts/p\tNN\tI-NP\tO' +p272676 +aS'Cytoxan\tCytoxan\tNN\tI-NP\tO' +p272677 +aS'in\tin\tIN\tB-PP\tO' +p272678 +aS'2003\t2003\tCD\tB-NP\tO' +p272679 +aS'and\tand\tCC\tI-NP\tO' +p272680 +aS'2001\t2001\tCD\tI-NP\tO' +p272681 +aS',\t,\t,\tO\tO' +p272682 +aS'History\tHistory\tNNP\tB-NP\tO' +p272683 +aS'of\tof\tIN\tB-PP\tO' +p272684 +aS'Varicella\tVaricella\tNNP\tB-NP\tO' +p272685 +aS'Zoster\tZoster\tNNP\tI-NP\tO' +p272686 +aS'with\twith\tIN\tB-PP\tO' +p272687 +aS'opthalmic\topthalmic\tJJ\tB-NP\tO' +p272688 +aS'lesions\tlesion\tNNS\tI-NP\tO' +p272689 +aS',\t,\t,\tO\tO' +p272690 +aS'History\tHistory\tNN\tB-NP\tO' +p272691 +aS'of\tof\tIN\tB-PP\tO' +p272692 +aS'Menieres\tMenieres\tNNP\tB-NP\tO' +p272693 +aS'Disease\tDisease\tNN\tI-NP\tO' +p272694 +aS',\t,\t,\tO\tO' +p272695 +aS'GERD\tGERD\tNN\tB-NP\tO' +p272696 +aS',\t,\t,\tO\tO' +p272697 +aS'Glaucoma\tGlaucoma\tNN\tB-NP\tO' +p272698 +aS',\t,\t,\tO\tO' +p272699 +aS'History\tHistory\tNN\tB-NP\tO' +p272700 +aS'of\tof\tIN\tB-PP\tO' +p272701 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p272702 +aS'sinusitis\tsinusitis\tNN\tI-NP\tO' +p272703 +aS',\t,\t,\tO\tO' +p272704 +aS's/p\ts/p\tNN\tB-NP\tO' +p272705 +aS'cataract\tcataract\tNN\tI-NP\tO' +p272706 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p272707 +aS',\t,\t,\tO\tO' +p272708 +aS's/p\ts/p\tNN\tB-NP\tO' +p272709 +aS'TAH\tTAH\tNN\tI-NP\tO' +p272710 +aS'and\tand\tCC\tO\tO' +p272711 +aS'BSO\tBSO\tNN\tB-NP\tO' +p272712 +aS',\t,\t,\tO\tO' +p272713 +aS's/p\ts/p\tNN\tB-NP\tO' +p272714 +aS'appendectomy\tappendectomy\tNN\tI-NP\tO' +p272715 +aS',\t,\t,\tO\tO' +p272716 +aS's/p\ts/p\tNN\tB-NP\tO' +p272717 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p272718 +aS'breast\tbreast\tNN\tI-NP\tO' +p272719 +aS'reduction\treduction\tNN\tI-NP\tO' +p272720 +asS'The patient also had vaginal bleeding in April 1992 following radiation therapy .' +p272721 +(lp272722 +S'The\tThe\tDT\tB-NP\tO' +p272723 +aS'patient\tpatient\tNN\tI-NP\tO' +p272724 +aS'also\talso\tRB\tB-ADVP\tO' +p272725 +aS'had\thave\tVBD\tB-VP\tO' +p272726 +aS'vaginal\tvaginal\tJJ\tB-NP\tO' +p272727 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p272728 +aS'in\tin\tIN\tB-PP\tO' +p272729 +aS'April\tApril\tNNP\tB-NP\tO' +p272730 +aS'1992\t1992\tCD\tI-NP\tO' +p272731 +aS'following\tfollow\tVBG\tB-PP\tO' +p272732 +aS'radiation\tradiation\tNN\tB-NP\tO' +p272733 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p272734 +aS'.\t.\t.\tO\tO' +p272735 +asS'Sudafed 30 mg. po. bid .' +p272736 +(lp272737 +S'Sudafed\tSudafe\tVBN\tB-NP\tO' +p272738 +aS'30\t30\tCD\tI-NP\tO' +p272739 +aS'mg.\tmg.\tNN\tI-NP\tO' +p272740 +aS'po.\tpo.\tNN\tI-NP\tO' +p272741 +aS'bid\tbid\tNN\tI-NP\tO' +p272742 +aS'.\t.\t.\tO\tO' +p272743 +asS'4. Lactulose 10 g / 15 mL Syrup Sig : Thirty ( 30 ) ML PO BID ( 2 times a day ) .' +p272744 +(lp272745 +S'4.\t4.\tLS\tB-NP\tO' +p272746 +aS'Lactulose\tLactulose\tNN\tI-NP\tO' +p272747 +aS'10\t10\tCD\tI-NP\tO' +p272748 +aS'g\tg\tNN\tI-NP\tO' +p272749 +aS'/\t/\tSYM\tB-NP\tO' +p272750 +aS'15\t15\tCD\tI-NP\tO' +p272751 +aS'mL\tmL\tNN\tI-NP\tO' +p272752 +aS'Syrup\tSyrup\tNNP\tI-NP\tO' +p272753 +aS'Sig\tSig\tNNP\tI-NP\tO' +p272754 +aS':\t:\t:\tO\tO' +p272755 +aS'Thirty\tThirty\tCD\tB-NP\tO' +p272756 +aS'(\t(\t(\tO\tO' +p272757 +aS'30\t30\tCD\tO\tO' +p272758 +aS')\t)\t)\tO\tO' +p272759 +aS'ML\tML\tNN\tB-NP\tO' +p272760 +aS'PO\tPO\tNN\tI-NP\tO' +p272761 +aS'BID\tBID\tNN\tI-NP\tO' +p272762 +aS'(\t(\t(\tO\tO' +p272763 +aS'2\t2\tCD\tB-NP\tO' +p272764 +aS'times\ttime\tNNS\tI-NP\tO' +p272765 +aS'a\ta\tDT\tB-NP\tO' +p272766 +aS'day\tday\tNN\tI-NP\tO' +p272767 +aS')\t)\t)\tO\tO' +p272768 +aS'.\t.\t.\tO\tO' +p272769 +asS'The patient was again seen by his primary care physician and a CG scan revealed a mass in the right parietal lobe .' +p272770 +(lp272771 +S'The\tThe\tDT\tB-NP\tO' +p272772 +aS'patient\tpatient\tNN\tI-NP\tO' +p272773 +aS'was\tbe\tVBD\tB-VP\tO' +p272774 +aS'again\tagain\tRB\tI-VP\tO' +p272775 +aS'seen\tsee\tVBN\tI-VP\tO' +p272776 +aS'by\tby\tIN\tB-PP\tO' +p272777 +aS'his\this\tPRP$\tB-NP\tO' +p272778 +aS'primary\tprimary\tJJ\tI-NP\tO' +p272779 +aS'care\tcare\tNN\tI-NP\tO' +p272780 +aS'physician\tphysician\tNN\tI-NP\tO' +p272781 +aS'and\tand\tCC\tO\tO' +p272782 +aS'a\ta\tDT\tB-NP\tO' +p272783 +aS'CG\tCG\tNN\tI-NP\tO' +p272784 +aS'scan\tscan\tNN\tI-NP\tO' +p272785 +aS'revealed\treveal\tVBD\tB-VP\tO' +p272786 +aS'a\ta\tDT\tB-NP\tO' +p272787 +aS'mass\tmass\tNN\tI-NP\tO' +p272788 +aS'in\tin\tIN\tB-PP\tO' +p272789 +aS'the\tthe\tDT\tB-NP\tO' +p272790 +aS'right\tright\tJJ\tI-NP\tO' +p272791 +aS'parietal\tparietal\tJJ\tI-NP\tO' +p272792 +aS'lobe\tlobe\tNN\tI-NP\tO' +p272793 +aS'.\t.\t.\tO\tO' +p272794 +asS'Several skin folds are present in the left hemithorax but there is no pneumothorax .' +p272795 +(lp272796 +S'Several\tSeveral\tJJ\tB-NP\tO' +p272797 +aS'skin\tskin\tNN\tI-NP\tO' +p272798 +aS'folds\tfold\tNNS\tI-NP\tO' +p272799 +aS'are\tbe\tVBP\tB-VP\tO' +p272800 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p272801 +aS'in\tin\tIN\tB-PP\tO' +p272802 +aS'the\tthe\tDT\tB-NP\tO' +p272803 +aS'left\tleft\tJJ\tI-NP\tO' +p272804 +aS'hemithorax\themithorax\tNN\tI-NP\tO' +p272805 +aS'but\tbut\tCC\tO\tO' +p272806 +aS'there\tthere\tEX\tB-NP\tO' +p272807 +aS'is\tbe\tVBZ\tB-VP\tO' +p272808 +aS'no\tno\tDT\tB-NP\tO' +p272809 +aS'pneumothorax\tpneumothorax\tNN\tI-NP\tO' +p272810 +aS'.\t.\t.\tO\tO' +p272811 +asS"The patient 's hematocrit remained stable over the course of her hospital stay ." +p272812 +(lp272813 +S'The\tThe\tDT\tB-NP\tO' +p272814 +aS'patient\tpatient\tNN\tI-NP\tO' +p272815 +aS"'s\t's\tPOS\tB-NP\tO" +p272816 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p272817 +aS'remained\tremain\tVBD\tB-VP\tO' +p272818 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p272819 +aS'over\tover\tIN\tB-PP\tO' +p272820 +aS'the\tthe\tDT\tB-NP\tO' +p272821 +aS'course\tcourse\tNN\tI-NP\tO' +p272822 +aS'of\tof\tIN\tB-PP\tO' +p272823 +aS'her\ther\tPRP$\tB-NP\tO' +p272824 +aS'hospital\thospital\tNN\tI-NP\tO' +p272825 +aS'stay\tstay\tNN\tI-NP\tO' +p272826 +aS'.\t.\t.\tO\tO' +p272827 +asS'EKG revealed a normal sinus rhythm with a rate of 69 , left ventricular hyper-trophy with poor anterior progression of R-waves .' +p272828 +(lp272829 +S'EKG\tEKG\tNN\tB-NP\tB-protein' +p272830 +aS'revealed\treveal\tVBD\tB-VP\tO' +p272831 +aS'a\ta\tDT\tB-NP\tO' +p272832 +aS'normal\tnormal\tJJ\tI-NP\tO' +p272833 +aS'sinus\tsinus\tNN\tI-NP\tO' +p272834 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p272835 +aS'with\twith\tIN\tB-PP\tO' +p272836 +aS'a\ta\tDT\tB-NP\tO' +p272837 +aS'rate\trate\tNN\tI-NP\tO' +p272838 +aS'of\tof\tIN\tB-PP\tO' +p272839 +aS'69\t69\tCD\tB-NP\tO' +p272840 +aS',\t,\t,\tO\tO' +p272841 +aS'left\tleave\tVBD\tB-VP\tO' +p272842 +aS'ventricular\tventricular\tJJ\tB-NP\tO' +p272843 +aS'hyper-trophy\thyper-trophy\tNN\tI-NP\tO' +p272844 +aS'with\twith\tIN\tB-PP\tO' +p272845 +aS'poor\tpoor\tJJ\tB-NP\tO' +p272846 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p272847 +aS'progression\tprogression\tNN\tI-NP\tO' +p272848 +aS'of\tof\tIN\tB-PP\tO' +p272849 +aS'R-waves\tR-wave\tNNS\tB-NP\tO' +p272850 +aS'.\t.\t.\tO\tO' +p272851 +asS'No evidence of ongoing seizures was seen .' +p272852 +(lp272853 +S'No\tNo\tDT\tB-NP\tO' +p272854 +aS'evidence\tevidence\tNN\tI-NP\tO' +p272855 +aS'of\tof\tIN\tB-PP\tO' +p272856 +aS'ongoing\tongoing\tJJ\tB-NP\tO' +p272857 +aS'seizures\tseizure\tNNS\tI-NP\tO' +p272858 +aS'was\tbe\tVBD\tB-VP\tO' +p272859 +aS'seen\tsee\tVBN\tI-VP\tO' +p272860 +aS'.\t.\t.\tO\tO' +p272861 +asS'This is to notify you that your patient , AKOTE , RALPRI arrived in the Emergency Department at Ph University Of Medical Center on 04/14/2004 02:47 PM .' +p272862 +(lp272863 +S'This\tThis\tDT\tB-NP\tO' +p272864 +aS'is\tbe\tVBZ\tB-VP\tO' +p272865 +aS'to\tto\tTO\tB-VP\tO' +p272866 +aS'notify\tnotify\tVB\tI-VP\tO' +p272867 +aS'you\tyou\tPRP\tB-NP\tO' +p272868 +aS'that\tthat\tIN\tB-SBAR\tO' +p272869 +aS'your\tyour\tPRP$\tB-NP\tO' +p272870 +aS'patient\tpatient\tNN\tI-NP\tO' +p272871 +aS',\t,\t,\tO\tO' +p272872 +aS'AKOTE\tAKOTE\tNN\tB-NP\tO' +p272873 +aS',\t,\t,\tO\tO' +p272874 +aS'RALPRI\tRALPRI\tNN\tB-NP\tB-protein' +p272875 +aS'arrived\tarrive\tVBD\tB-VP\tO' +p272876 +aS'in\tin\tIN\tB-PP\tO' +p272877 +aS'the\tthe\tDT\tB-NP\tO' +p272878 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p272879 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p272880 +aS'at\tat\tIN\tB-PP\tO' +p272881 +aS'Ph\tPh\tNNP\tB-NP\tO' +p272882 +aS'University\tUniversity\tNNP\tI-NP\tO' +p272883 +aS'Of\tOf\tNNP\tI-NP\tO' +p272884 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p272885 +aS'Center\tCenter\tNNP\tI-NP\tO' +p272886 +aS'on\ton\tIN\tB-PP\tO' +p272887 +aS'04/14/2004\t04/14/2004\tCD\tB-NP\tO' +p272888 +aS'02:47\t02:47\tCD\tI-NP\tO' +p272889 +aS'PM\tPM\tNN\tI-NP\tO' +p272890 +aS'.\t.\t.\tO\tO' +p272891 +asS'The patient presented to the Sloan- Center Emergency Department , where he was resuscitated with normal saline and received morphine for pain .' +p272892 +(lp272893 +S'The\tThe\tDT\tB-NP\tO' +p272894 +aS'patient\tpatient\tNN\tI-NP\tO' +p272895 +aS'presented\tpresent\tVBN\tB-VP\tO' +p272896 +aS'to\tto\tTO\tB-PP\tO' +p272897 +aS'the\tthe\tDT\tB-NP\tO' +p272898 +aS'Sloan-\tSloan-\tNNP\tI-NP\tO' +p272899 +aS'Center\tCenter\tNNP\tI-NP\tO' +p272900 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p272901 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p272902 +aS',\t,\t,\tO\tO' +p272903 +aS'where\twhere\tWRB\tB-ADVP\tO' +p272904 +aS'he\the\tPRP\tB-NP\tO' +p272905 +aS'was\tbe\tVBD\tB-VP\tO' +p272906 +aS'resuscitated\tresuscitate\tVBN\tI-VP\tO' +p272907 +aS'with\twith\tIN\tB-PP\tO' +p272908 +aS'normal\tnormal\tJJ\tB-NP\tO' +p272909 +aS'saline\tsaline\tNN\tI-NP\tO' +p272910 +aS'and\tand\tCC\tO\tO' +p272911 +aS'received\treceive\tVBD\tB-VP\tO' +p272912 +aS'morphine\tmorphine\tNN\tB-NP\tO' +p272913 +aS'for\tfor\tIN\tB-PP\tO' +p272914 +aS'pain\tpain\tNN\tB-NP\tO' +p272915 +aS'.\t.\t.\tO\tO' +p272916 +asS'8. Glyburide 1.25 mg po qam .' +p272917 +(lp272918 +S'8.\t8.\tCD\tB-NP\tO' +p272919 +aS'Glyburide\tGlyburide\tNN\tI-NP\tO' +p272920 +aS'1.25\t1.25\tCD\tB-NP\tO' +p272921 +aS'mg\tmg\tNN\tI-NP\tO' +p272922 +aS'po\tpo\tNN\tI-NP\tO' +p272923 +aS'qam\tqam\tNN\tI-NP\tO' +p272924 +aS'.\t.\t.\tO\tO' +p272925 +asS'The patient initially continued to have rhythm consistent with EMV and he was bolused with Levophed and given some volume while compressions continued .' +p272926 +(lp272927 +S'The\tThe\tDT\tB-NP\tO' +p272928 +aS'patient\tpatient\tNN\tI-NP\tO' +p272929 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p272930 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p272931 +aS'to\tto\tTO\tI-VP\tO' +p272932 +aS'have\thave\tVB\tI-VP\tO' +p272933 +aS'rhythm\trhythm\tNN\tB-NP\tO' +p272934 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p272935 +aS'with\twith\tIN\tB-PP\tO' +p272936 +aS'EMV\tEMV\tNN\tB-NP\tB-protein' +p272937 +aS'and\tand\tCC\tO\tO' +p272938 +aS'he\the\tPRP\tB-NP\tO' +p272939 +aS'was\tbe\tVBD\tB-VP\tO' +p272940 +aS'bolused\tboluse\tVBN\tI-VP\tO' +p272941 +aS'with\twith\tIN\tB-PP\tO' +p272942 +aS'Levophed\tLevophe\tVBN\tB-NP\tO' +p272943 +aS'and\tand\tCC\tI-NP\tO' +p272944 +aS'given\tgive\tVBN\tI-NP\tO' +p272945 +aS'some\tsome\tDT\tB-NP\tO' +p272946 +aS'volume\tvolume\tNN\tI-NP\tO' +p272947 +aS'while\twhile\tIN\tB-SBAR\tO' +p272948 +aS'compressions\tcompression\tNNS\tB-NP\tO' +p272949 +aS'continued\tcontinue\tVBN\tB-VP\tO' +p272950 +aS'.\t.\t.\tO\tO' +p272951 +asS'Chest was clear to auscultation bilaterally .' +p272952 +(lp272953 +S'Chest\tChest\tNNP\tB-NP\tO' +p272954 +aS'was\tbe\tVBD\tB-VP\tO' +p272955 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p272956 +aS'to\tto\tTO\tB-PP\tO' +p272957 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p272958 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p272959 +aS'.\t.\t.\tO\tO' +p272960 +asS'There was no rotary component .' +p272961 +(lp272962 +S'There\tThere\tEX\tB-NP\tO' +p272963 +aS'was\tbe\tVBD\tB-VP\tO' +p272964 +aS'no\tno\tDT\tB-NP\tO' +p272965 +aS'rotary\trotary\tJJ\tI-NP\tO' +p272966 +aS'component\tcomponent\tNN\tI-NP\tO' +p272967 +aS'.\t.\t.\tO\tO' +p272968 +asS'She was hypoxic requiring 3L nasal cannula O2 .' +p272969 +(lp272970 +S'She\tShe\tPRP\tB-NP\tO' +p272971 +aS'was\tbe\tVBD\tB-VP\tO' +p272972 +aS'hypoxic\thypoxic\tJJ\tB-NP\tO' +p272973 +aS'requiring\trequire\tVBG\tI-NP\tO' +p272974 +aS'3L\t3L\tNN\tI-NP\tO' +p272975 +aS'nasal\tnasal\tJJ\tI-NP\tO' +p272976 +aS'cannula\tcannula\tNN\tI-NP\tO' +p272977 +aS'O2\tO2\tNN\tI-NP\tO' +p272978 +aS'.\t.\t.\tO\tO' +p272979 +asS'She was kept NPO initially and her diet was slowly advanced as tolerated .' +p272980 +(lp272981 +S'She\tShe\tPRP\tB-NP\tO' +p272982 +aS'was\tbe\tVBD\tB-VP\tO' +p272983 +aS'kept\tkeep\tVBN\tI-VP\tO' +p272984 +aS'NPO\tNPO\tNN\tB-NP\tB-protein' +p272985 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p272986 +aS'and\tand\tCC\tO\tO' +p272987 +aS'her\ther\tPRP$\tB-NP\tO' +p272988 +aS'diet\tdiet\tNN\tI-NP\tO' +p272989 +aS'was\tbe\tVBD\tB-VP\tO' +p272990 +aS'slowly\tslowly\tRB\tI-VP\tO' +p272991 +aS'advanced\tadvance\tVBN\tI-VP\tO' +p272992 +aS'as\tas\tIN\tB-SBAR\tO' +p272993 +aS'tolerated\ttolerate\tVBN\tB-VP\tO' +p272994 +aS'.\t.\t.\tO\tO' +p272995 +asS'The patient was aggressively hydrated given that she was NPO .' +p272996 +(lp272997 +S'The\tThe\tDT\tB-NP\tO' +p272998 +aS'patient\tpatient\tNN\tI-NP\tO' +p272999 +aS'was\tbe\tVBD\tB-VP\tO' +p273000 +aS'aggressively\taggressively\tRB\tI-VP\tO' +p273001 +aS'hydrated\thydrate\tVBN\tI-VP\tO' +p273002 +aS'given\tgive\tVBN\tI-VP\tO' +p273003 +aS'that\tthat\tIN\tB-SBAR\tO' +p273004 +aS'she\tshe\tPRP\tB-NP\tO' +p273005 +aS'was\tbe\tVBD\tB-VP\tO' +p273006 +aS'NPO\tNPO\tNN\tB-NP\tB-protein' +p273007 +aS'.\t.\t.\tO\tO' +p273008 +asS'Goals of care were clarified with her Murphy , Robert Sanchez .' +p273009 +(lp273010 +S'Goals\tGoal\tNNS\tB-NP\tO' +p273011 +aS'of\tof\tIN\tB-PP\tO' +p273012 +aS'care\tcare\tNN\tB-NP\tO' +p273013 +aS'were\tbe\tVBD\tB-VP\tO' +p273014 +aS'clarified\tclarify\tVBN\tI-VP\tO' +p273015 +aS'with\twith\tIN\tB-PP\tO' +p273016 +aS'her\ther\tPRP$\tB-NP\tO' +p273017 +aS'Murphy\tMurphy\tNNP\tI-NP\tO' +p273018 +aS',\t,\t,\tO\tO' +p273019 +aS'Robert\tRobert\tNNP\tB-NP\tO' +p273020 +aS'Sanchez\tSanchez\tNNP\tI-NP\tO' +p273021 +aS'.\t.\t.\tO\tO' +p273022 +asS'His last BUN and creatinine were 42 and 1.5 with an INR of 2.5 .' +p273023 +(lp273024 +S'His\tHis\tPRP$\tB-NP\tO' +p273025 +aS'last\tlast\tJJ\tI-NP\tO' +p273026 +aS'BUN\tBUN\tNN\tI-NP\tO' +p273027 +aS'and\tand\tCC\tI-NP\tO' +p273028 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p273029 +aS'were\tbe\tVBD\tB-VP\tO' +p273030 +aS'42\t42\tCD\tB-NP\tO' +p273031 +aS'and\tand\tCC\tI-NP\tO' +p273032 +aS'1.5\t1.5\tCD\tI-NP\tO' +p273033 +aS'with\twith\tIN\tB-PP\tO' +p273034 +aS'an\tan\tDT\tB-NP\tO' +p273035 +aS'INR\tINR\tNN\tI-NP\tB-protein' +p273036 +aS'of\tof\tIN\tB-PP\tO' +p273037 +aS'2.5\t2.5\tCD\tB-NP\tO' +p273038 +aS'.\t.\t.\tO\tO' +p273039 +asS'She reports that the pain shot through her back .' +p273040 +(lp273041 +S'She\tShe\tPRP\tB-NP\tO' +p273042 +aS'reports\treport\tVBZ\tB-VP\tO' +p273043 +aS'that\tthat\tIN\tB-SBAR\tO' +p273044 +aS'the\tthe\tDT\tB-NP\tO' +p273045 +aS'pain\tpain\tNN\tI-NP\tO' +p273046 +aS'shot\tshot\tNN\tI-NP\tO' +p273047 +aS'through\tthrough\tIN\tB-PP\tO' +p273048 +aS'her\ther\tPRP$\tB-NP\tO' +p273049 +aS'back\tback\tNN\tI-NP\tO' +p273050 +aS'.\t.\t.\tO\tO' +p273051 +asS'She is receiving a kidney from her sister .' +p273052 +(lp273053 +S'She\tShe\tPRP\tB-NP\tO' +p273054 +aS'is\tbe\tVBZ\tB-VP\tO' +p273055 +aS'receiving\treceive\tVBG\tI-VP\tO' +p273056 +aS'a\ta\tDT\tB-NP\tO' +p273057 +aS'kidney\tkidney\tNN\tI-NP\tO' +p273058 +aS'from\tfrom\tIN\tB-PP\tO' +p273059 +aS'her\ther\tPRP$\tB-NP\tO' +p273060 +aS'sister\tsister\tNN\tI-NP\tO' +p273061 +aS'.\t.\t.\tO\tO' +p273062 +asS'CV : RR , NL rate .' +p273063 +(lp273064 +S'CV\tCV\tNN\tB-NP\tO' +p273065 +aS':\t:\t:\tO\tO' +p273066 +aS'RR\tRR\tNN\tB-NP\tB-protein' +p273067 +aS',\t,\t,\tO\tO' +p273068 +aS'NL\tNL\tNN\tB-NP\tB-protein' +p273069 +aS'rate\trate\tNN\tI-NP\tO' +p273070 +aS'.\t.\t.\tO\tO' +p273071 +asS'14. Humalog 100 unit / mL Solution Sig : USE AS DIRECTED Subcutaneous four times a day : please use attached sliding scale .' +p273072 +(lp273073 +S'14.\t14.\tCD\tB-NP\tO' +p273074 +aS'Humalog\tHumalog\tNNP\tI-NP\tO' +p273075 +aS'100\t100\tCD\tI-NP\tO' +p273076 +aS'unit\tunit\tNN\tI-NP\tO' +p273077 +aS'/\t/\tSYM\tB-NP\tO' +p273078 +aS'mL\tmL\tNN\tI-NP\tO' +p273079 +aS'Solution\tSolution\tNNP\tI-NP\tO' +p273080 +aS'Sig\tSig\tNNP\tI-NP\tO' +p273081 +aS':\t:\t:\tO\tO' +p273082 +aS'USE\tUSE\tNNP\tB-NP\tO' +p273083 +aS'AS\tAS\tNNP\tI-NP\tO' +p273084 +aS'DIRECTED\tDIRECTED\tNNP\tI-NP\tO' +p273085 +aS'Subcutaneous\tSubcutaneous\tNNP\tI-NP\tO' +p273086 +aS'four\tfour\tCD\tB-NP\tO' +p273087 +aS'times\ttime\tNNS\tI-NP\tO' +p273088 +aS'a\ta\tDT\tB-NP\tO' +p273089 +aS'day\tday\tNN\tI-NP\tO' +p273090 +aS':\t:\t:\tO\tO' +p273091 +aS'please\tplease\tVB\tB-VP\tO' +p273092 +aS'use\tuse\tNN\tB-NP\tO' +p273093 +aS'attached\tattach\tVBN\tB-VP\tO' +p273094 +aS'sliding\tslide\tVBG\tB-VP\tO' +p273095 +aS'scale\tscale\tNN\tB-NP\tO' +p273096 +aS'.\t.\t.\tO\tO' +p273097 +asS'4. Carpal tunnel syndrome .' +p273098 +(lp273099 +S'4.\t4.\tLS\tB-NP\tO' +p273100 +aS'Carpal\tCarpal\tJJ\tI-NP\tO' +p273101 +aS'tunnel\ttunnel\tNN\tI-NP\tO' +p273102 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p273103 +aS'.\t.\t.\tO\tO' +p273104 +asS'Audiology hearing has not yet been obtained .' +p273105 +(lp273106 +S'Audiology\tAudiology\tNN\tB-NP\tO' +p273107 +aS'hearing\thearing\tNN\tI-NP\tO' +p273108 +aS'has\thave\tVBZ\tB-VP\tO' +p273109 +aS'not\tnot\tRB\tI-VP\tO' +p273110 +aS'yet\tyet\tRB\tI-VP\tO' +p273111 +aS'been\tbe\tVBN\tI-VP\tO' +p273112 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p273113 +aS'.\t.\t.\tO\tO' +p273114 +asS'Two sisters with h/o depression and suicidality .' +p273115 +(lp273116 +S'Two\tTwo\tCD\tB-NP\tO' +p273117 +aS'sisters\tsister\tNNS\tI-NP\tO' +p273118 +aS'with\twith\tIN\tB-PP\tO' +p273119 +aS'h/o\th/o\tNN\tB-NP\tO' +p273120 +aS'depression\tdepression\tNN\tI-NP\tO' +p273121 +aS'and\tand\tCC\tI-NP\tO' +p273122 +aS'suicidality\tsuicidality\tNN\tI-NP\tO' +p273123 +aS'.\t.\t.\tO\tO' +p273124 +asS'A small amount of free fluid is seen tracking around the liver , right pericolic gutter , along the mesentery and surrounding the right colon , which is collapsed .' +p273125 +(lp273126 +S'A\tA\tDT\tB-NP\tO' +p273127 +aS'small\tsmall\tJJ\tI-NP\tO' +p273128 +aS'amount\tamount\tNN\tI-NP\tO' +p273129 +aS'of\tof\tIN\tB-PP\tO' +p273130 +aS'free\tfree\tJJ\tB-NP\tO' +p273131 +aS'fluid\tfluid\tNN\tI-NP\tO' +p273132 +aS'is\tbe\tVBZ\tB-VP\tO' +p273133 +aS'seen\tsee\tVBN\tI-VP\tO' +p273134 +aS'tracking\ttrack\tVBG\tI-VP\tO' +p273135 +aS'around\taround\tIN\tB-PP\tO' +p273136 +aS'the\tthe\tDT\tB-NP\tO' +p273137 +aS'liver\tliver\tNN\tI-NP\tO' +p273138 +aS',\t,\t,\tO\tO' +p273139 +aS'right\tright\tJJ\tB-NP\tO' +p273140 +aS'pericolic\tpericolic\tJJ\tI-NP\tO' +p273141 +aS'gutter\tgutter\tNN\tI-NP\tO' +p273142 +aS',\t,\t,\tO\tO' +p273143 +aS'along\talong\tIN\tB-PP\tO' +p273144 +aS'the\tthe\tDT\tB-NP\tO' +p273145 +aS'mesentery\tmesentery\tNN\tI-NP\tO' +p273146 +aS'and\tand\tCC\tO\tO' +p273147 +aS'surrounding\tsurround\tVBG\tB-VP\tO' +p273148 +aS'the\tthe\tDT\tB-NP\tO' +p273149 +aS'right\tright\tJJ\tI-NP\tO' +p273150 +aS'colon\tcolon\tNN\tI-NP\tO' +p273151 +aS',\t,\t,\tO\tO' +p273152 +aS'which\twhich\tWDT\tB-NP\tO' +p273153 +aS'is\tbe\tVBZ\tB-VP\tO' +p273154 +aS'collapsed\tcollapse\tVBN\tI-VP\tO' +p273155 +aS'.\t.\t.\tO\tO' +p273156 +asS'2 ) HEPATIC ENCEPHALOPATHY .' +p273157 +(lp273158 +S'2\t2\tLS\tB-LST\tO' +p273159 +aS')\t)\t)\tO\tO' +p273160 +aS'HEPATIC\tHEPATIC\tNN\tB-NP\tO' +p273161 +aS'ENCEPHALOPATHY\tENCEPHALOPATHY\tNN\tI-NP\tO' +p273162 +aS'.\t.\t.\tO\tO' +p273163 +asS'4. AORTIC STENOSIS WITH PORCINE VALVE .' +p273164 +(lp273165 +S'4.\t4.\tLS\tB-NP\tO' +p273166 +aS'AORTIC\tAORTIC\tNN\tI-NP\tO' +p273167 +aS'STENOSIS\tSTENOSIS\tNN\tI-NP\tO' +p273168 +aS'WITH\tWITH\tNNP\tI-NP\tO' +p273169 +aS'PORCINE\tPORCINE\tNNP\tI-NP\tO' +p273170 +aS'VALVE\tVALVE\tNNP\tI-NP\tO' +p273171 +aS'.\t.\t.\tO\tO' +p273172 +asS'EXT : 3+ bilateral edema , LLE edema and erythema , no chords , + warmth , + chronic venous changes , negative Homens' +p273173 +(lp273174 +S'EXT\tEXT\tNN\tB-NP\tO' +p273175 +aS':\t:\t:\tO\tO' +p273176 +aS'3+\t3+\tJJ\tB-NP\tO' +p273177 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p273178 +aS'edema\tedema\tNN\tI-NP\tO' +p273179 +aS',\t,\t,\tO\tO' +p273180 +aS'LLE\tLLE\tNN\tB-NP\tB-protein' +p273181 +aS'edema\tedema\tNN\tI-NP\tI-protein' +p273182 +aS'and\tand\tCC\tO\tO' +p273183 +aS'erythema\terythema\tNN\tB-NP\tO' +p273184 +aS',\t,\t,\tO\tO' +p273185 +aS'no\tno\tDT\tB-NP\tO' +p273186 +aS'chords\tchord\tNNS\tI-NP\tO' +p273187 +aS',\t,\t,\tO\tO' +p273188 +aS'+\t+\tSYM\tB-NP\tO' +p273189 +aS'warmth\twarmth\tNN\tI-NP\tO' +p273190 +aS',\t,\t,\tO\tO' +p273191 +aS'+\t+\tSYM\tB-NP\tO' +p273192 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p273193 +aS'venous\tvenous\tJJ\tI-NP\tO' +p273194 +aS'changes\tchange\tNNS\tI-NP\tO' +p273195 +aS',\t,\t,\tO\tO' +p273196 +aS'negative\tnegative\tJJ\tB-NP\tO' +p273197 +aS'Homens\tHomen\tNNS\tI-NP\tO' +p273198 +asS'Examination of the back revealed lumbar tenderness with no point tenderness .' +p273199 +(lp273200 +S'Examination\tExamination\tNN\tB-NP\tO' +p273201 +aS'of\tof\tIN\tB-PP\tO' +p273202 +aS'the\tthe\tDT\tB-NP\tO' +p273203 +aS'back\tback\tNN\tI-NP\tO' +p273204 +aS'revealed\treveal\tVBD\tB-VP\tO' +p273205 +aS'lumbar\tlumbar\tJJ\tB-NP\tO' +p273206 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p273207 +aS'with\twith\tIN\tB-PP\tO' +p273208 +aS'no\tno\tDT\tB-NP\tO' +p273209 +aS'point\tpoint\tNN\tI-NP\tO' +p273210 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p273211 +aS'.\t.\t.\tO\tO' +p273212 +asS'She is a half to one pack per day smoker for 10 years who quit approximately one week prior to her admission .' +p273213 +(lp273214 +S'She\tShe\tPRP\tB-NP\tO' +p273215 +aS'is\tbe\tVBZ\tB-VP\tO' +p273216 +aS'a\ta\tDT\tB-NP\tO' +p273217 +aS'half\thalf\tNN\tI-NP\tO' +p273218 +aS'to\tto\tTO\tB-PP\tO' +p273219 +aS'one\tone\tCD\tB-NP\tO' +p273220 +aS'pack\tpack\tNN\tI-NP\tO' +p273221 +aS'per\tper\tIN\tB-PP\tO' +p273222 +aS'day\tday\tNN\tB-NP\tO' +p273223 +aS'smoker\tsmoker\tNN\tI-NP\tO' +p273224 +aS'for\tfor\tIN\tB-PP\tO' +p273225 +aS'10\t10\tCD\tB-NP\tO' +p273226 +aS'years\tyear\tNNS\tI-NP\tO' +p273227 +aS'who\twho\tWP\tB-NP\tO' +p273228 +aS'quit\tquit\tVBP\tB-VP\tO' +p273229 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p273230 +aS'one\tone\tCD\tI-NP\tO' +p273231 +aS'week\tweek\tNN\tI-NP\tO' +p273232 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p273233 +aS'to\tto\tTO\tB-PP\tO' +p273234 +aS'her\ther\tPRP$\tB-NP\tO' +p273235 +aS'admission\tadmission\tNN\tI-NP\tO' +p273236 +aS'.\t.\t.\tO\tO' +p273237 +asS'Keep all your follow-up appointments .' +p273238 +(lp273239 +S'Keep\tKeep\tVB\tB-VP\tO' +p273240 +aS'all\tall\tDT\tB-NP\tO' +p273241 +aS'your\tyour\tPRP$\tI-NP\tO' +p273242 +aS'follow-up\tfollow-up\tJJ\tI-NP\tO' +p273243 +aS'appointments\tappointment\tNNS\tI-NP\tO' +p273244 +aS'.\t.\t.\tO\tO' +p273245 +asS'She continues to deny chest pain , palpitations , shortness of breath , fevers , nausea , vomiting , abdominal pain , bright red blood per rectum , melena , dysuria , urinary frequency and urgency .' +p273246 +(lp273247 +S'She\tShe\tPRP\tB-NP\tO' +p273248 +aS'continues\tcontinue\tVBZ\tB-VP\tO' +p273249 +aS'to\tto\tTO\tI-VP\tO' +p273250 +aS'deny\tdeny\tVB\tI-VP\tO' +p273251 +aS'chest\tchest\tNN\tB-NP\tO' +p273252 +aS'pain\tpain\tNN\tI-NP\tO' +p273253 +aS',\t,\t,\tO\tO' +p273254 +aS'palpitations\tpalpitation\tNNS\tB-NP\tO' +p273255 +aS',\t,\t,\tO\tO' +p273256 +aS'shortness\tshortness\tNN\tB-NP\tO' +p273257 +aS'of\tof\tIN\tB-PP\tO' +p273258 +aS'breath\tbreath\tNN\tB-NP\tO' +p273259 +aS',\t,\t,\tO\tO' +p273260 +aS'fevers\tfever\tNNS\tB-NP\tO' +p273261 +aS',\t,\t,\tO\tO' +p273262 +aS'nausea\tnausea\tNN\tB-NP\tO' +p273263 +aS',\t,\t,\tO\tO' +p273264 +aS'vomiting\tvomit\tVBG\tB-VP\tO' +p273265 +aS',\t,\t,\tO\tO' +p273266 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p273267 +aS'pain\tpain\tNN\tI-NP\tO' +p273268 +aS',\t,\t,\tO\tO' +p273269 +aS'bright\tbright\tJJ\tB-NP\tO' +p273270 +aS'red\tred\tJJ\tI-NP\tO' +p273271 +aS'blood\tblood\tNN\tI-NP\tO' +p273272 +aS'per\tper\tIN\tB-PP\tO' +p273273 +aS'rectum\trectum\tNN\tB-NP\tO' +p273274 +aS',\t,\t,\tO\tO' +p273275 +aS'melena\tmelena\tNN\tB-NP\tO' +p273276 +aS',\t,\t,\tO\tO' +p273277 +aS'dysuria\tdysuria\tNN\tB-NP\tO' +p273278 +aS',\t,\t,\tO\tO' +p273279 +aS'urinary\turinary\tJJ\tB-NP\tO' +p273280 +aS'frequency\tfrequency\tNN\tI-NP\tO' +p273281 +aS'and\tand\tCC\tI-NP\tO' +p273282 +aS'urgency\turgency\tNN\tI-NP\tO' +p273283 +aS'.\t.\t.\tO\tO' +p273284 +asS'Screens have been sent and results are pending .' +p273285 +(lp273286 +S'Screens\tScreen\tNNS\tB-NP\tO' +p273287 +aS'have\thave\tVBP\tB-VP\tO' +p273288 +aS'been\tbe\tVBN\tI-VP\tO' +p273289 +aS'sent\tsend\tVBN\tI-VP\tO' +p273290 +aS'and\tand\tCC\tO\tO' +p273291 +aS'results\tresult\tNNS\tB-NP\tO' +p273292 +aS'are\tbe\tVBP\tB-VP\tO' +p273293 +aS'pending\tpende\tVBG\tI-VP\tO' +p273294 +aS'.\t.\t.\tO\tO' +p273295 +asS'X-rays of her right lower extremity were negative for any acute injury .' +p273296 +(lp273297 +S'X-rays\tX-ray\tNNS\tB-NP\tO' +p273298 +aS'of\tof\tIN\tB-PP\tO' +p273299 +aS'her\ther\tPRP$\tB-NP\tO' +p273300 +aS'right\tright\tJJ\tI-NP\tO' +p273301 +aS'lower\tlow\tJJR\tI-NP\tO' +p273302 +aS'extremity\textremity\tNN\tI-NP\tO' +p273303 +aS'were\tbe\tVBD\tB-VP\tO' +p273304 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p273305 +aS'for\tfor\tIN\tB-PP\tO' +p273306 +aS'any\tany\tDT\tB-NP\tO' +p273307 +aS'acute\tacute\tJJ\tI-NP\tO' +p273308 +aS'injury\tinjury\tNN\tI-NP\tO' +p273309 +aS'.\t.\t.\tO\tO' +p273310 +asS'5. Distended gallbladder .' +p273311 +(lp273312 +S'5.\t5.\tLS\tB-LST\tO' +p273313 +aS'Distended\tDistend\tVBD\tB-VP\tO' +p273314 +aS'gallbladder\tgallbladder\tNN\tB-NP\tO' +p273315 +aS'.\t.\t.\tO\tO' +p273316 +asS'She is allergic to Amoxicillin , having developed a rash , does not smoke , does not drink .' +p273317 +(lp273318 +S'She\tShe\tPRP\tB-NP\tO' +p273319 +aS'is\tbe\tVBZ\tB-VP\tO' +p273320 +aS'allergic\tallergic\tJJ\tB-ADJP\tO' +p273321 +aS'to\tto\tTO\tB-PP\tO' +p273322 +aS'Amoxicillin\tAmoxicillin\tNN\tB-NP\tB-protein' +p273323 +aS',\t,\t,\tO\tO' +p273324 +aS'having\thave\tVBG\tB-VP\tO' +p273325 +aS'developed\tdevelop\tVBN\tI-VP\tO' +p273326 +aS'a\ta\tDT\tB-NP\tO' +p273327 +aS'rash\trash\tNN\tI-NP\tO' +p273328 +aS',\t,\t,\tO\tO' +p273329 +aS'does\tdo\tVBZ\tB-VP\tO' +p273330 +aS'not\tnot\tRB\tI-VP\tO' +p273331 +aS'smoke\tsmoke\tVB\tI-VP\tO' +p273332 +aS',\t,\t,\tO\tO' +p273333 +aS'does\tdo\tVBZ\tB-VP\tO' +p273334 +aS'not\tnot\tRB\tI-VP\tO' +p273335 +aS'drink\tdrink\tVB\tI-VP\tO' +p273336 +aS'.\t.\t.\tO\tO' +p273337 +asS'Clinical progression of skin and sinus infection on maximal antimicrobial therapy continued , with emergence on November 20 of a new right-sided ptosis in association with a left homonymous hemianopsia , and fleeting confusion while febrile , prompting head MRI which revealed a large 5 x 2 x 4.3 cm region in the right occipital lobe of hemorrhage and edema , with dural and , likely , leptomeningeal enhancement in association with small foci in the right cerebellum and pons , concerning for early lesions of similar type .' +p273338 +(lp273339 +S'Clinical\tClinical\tJJ\tB-NP\tO' +p273340 +aS'progression\tprogression\tNN\tI-NP\tO' +p273341 +aS'of\tof\tIN\tB-PP\tO' +p273342 +aS'skin\tskin\tNN\tB-NP\tO' +p273343 +aS'and\tand\tCC\tI-NP\tO' +p273344 +aS'sinus\tsinus\tNN\tI-NP\tO' +p273345 +aS'infection\tinfection\tNN\tI-NP\tO' +p273346 +aS'on\ton\tIN\tB-PP\tO' +p273347 +aS'maximal\tmaximal\tJJ\tB-NP\tO' +p273348 +aS'antimicrobial\tantimicrobial\tJJ\tI-NP\tO' +p273349 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p273350 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p273351 +aS',\t,\t,\tO\tO' +p273352 +aS'with\twith\tIN\tB-PP\tO' +p273353 +aS'emergence\temergence\tNN\tB-NP\tO' +p273354 +aS'on\ton\tIN\tB-PP\tO' +p273355 +aS'November\tNovember\tNNP\tB-NP\tO' +p273356 +aS'20\t20\tCD\tI-NP\tO' +p273357 +aS'of\tof\tIN\tB-PP\tO' +p273358 +aS'a\ta\tDT\tB-NP\tO' +p273359 +aS'new\tnew\tJJ\tI-NP\tO' +p273360 +aS'right-sided\tright-sided\tJJ\tI-NP\tO' +p273361 +aS'ptosis\tptosis\tNN\tI-NP\tO' +p273362 +aS'in\tin\tIN\tB-PP\tO' +p273363 +aS'association\tassociation\tNN\tB-NP\tO' +p273364 +aS'with\twith\tIN\tB-PP\tO' +p273365 +aS'a\ta\tDT\tB-NP\tO' +p273366 +aS'left\tleft\tJJ\tI-NP\tO' +p273367 +aS'homonymous\thomonymous\tJJ\tI-NP\tO' +p273368 +aS'hemianopsia\themianopsia\tNN\tI-NP\tO' +p273369 +aS',\t,\t,\tO\tO' +p273370 +aS'and\tand\tCC\tO\tO' +p273371 +aS'fleeting\tfleeting\tJJ\tB-NP\tO' +p273372 +aS'confusion\tconfusion\tNN\tI-NP\tO' +p273373 +aS'while\twhile\tIN\tB-SBAR\tO' +p273374 +aS'febrile\tfebrile\tNN\tB-NP\tO' +p273375 +aS',\t,\t,\tO\tO' +p273376 +aS'prompting\tprompt\tVBG\tB-VP\tO' +p273377 +aS'head\thead\tNN\tB-NP\tO' +p273378 +aS'MRI\tMRI\tNN\tI-NP\tO' +p273379 +aS'which\twhich\tWDT\tB-NP\tO' +p273380 +aS'revealed\treveal\tVBD\tB-VP\tO' +p273381 +aS'a\ta\tDT\tB-NP\tO' +p273382 +aS'large\tlarge\tJJ\tI-NP\tB-DNA' +p273383 +aS'5\t5\tCD\tI-NP\tI-DNA' +p273384 +aS'x\tx\tSYM\tI-NP\tI-DNA' +p273385 +aS'2\t2\tCD\tI-NP\tI-DNA' +p273386 +aS'x\tx\tSYM\tI-NP\tI-DNA' +p273387 +aS'4.3\t4.3\tCD\tI-NP\tI-DNA' +p273388 +aS'cm\tcm\tNN\tI-NP\tI-DNA' +p273389 +aS'region\tregion\tNN\tI-NP\tI-DNA' +p273390 +aS'in\tin\tIN\tB-PP\tO' +p273391 +aS'the\tthe\tDT\tB-NP\tO' +p273392 +aS'right\tright\tJJ\tI-NP\tO' +p273393 +aS'occipital\toccipital\tNN\tI-NP\tO' +p273394 +aS'lobe\tlobe\tNN\tI-NP\tO' +p273395 +aS'of\tof\tIN\tB-PP\tO' +p273396 +aS'hemorrhage\themorrhage\tNN\tB-NP\tO' +p273397 +aS'and\tand\tCC\tI-NP\tO' +p273398 +aS'edema\tedema\tNN\tI-NP\tO' +p273399 +aS',\t,\t,\tO\tO' +p273400 +aS'with\twith\tIN\tB-PP\tO' +p273401 +aS'dural\tdural\tJJ\tB-ADJP\tO' +p273402 +aS'and\tand\tCC\tO\tO' +p273403 +aS',\t,\t,\tO\tO' +p273404 +aS'likely\tlikely\tRB\tB-ADVP\tO' +p273405 +aS',\t,\t,\tO\tO' +p273406 +aS'leptomeningeal\tleptomeningeal\tJJ\tB-NP\tO' +p273407 +aS'enhancement\tenhancement\tNN\tI-NP\tO' +p273408 +aS'in\tin\tIN\tB-PP\tO' +p273409 +aS'association\tassociation\tNN\tB-NP\tO' +p273410 +aS'with\twith\tIN\tB-PP\tO' +p273411 +aS'small\tsmall\tJJ\tB-NP\tO' +p273412 +aS'foci\tfocus\tNNS\tI-NP\tO' +p273413 +aS'in\tin\tIN\tB-PP\tO' +p273414 +aS'the\tthe\tDT\tB-NP\tO' +p273415 +aS'right\tright\tJJ\tI-NP\tO' +p273416 +aS'cerebellum\tcerebellum\tNN\tI-NP\tO' +p273417 +aS'and\tand\tCC\tI-NP\tO' +p273418 +aS'pons\tpon\tNNS\tI-NP\tO' +p273419 +aS',\t,\t,\tO\tO' +p273420 +aS'concerning\tconcern\tVBG\tB-VP\tO' +p273421 +aS'for\tfor\tIN\tB-PP\tO' +p273422 +aS'early\tearly\tJJ\tB-NP\tO' +p273423 +aS'lesions\tlesion\tNNS\tI-NP\tO' +p273424 +aS'of\tof\tIN\tB-PP\tO' +p273425 +aS'similar\tsimilar\tJJ\tB-NP\tO' +p273426 +aS'type\ttype\tNN\tI-NP\tO' +p273427 +aS'.\t.\t.\tO\tO' +p273428 +asS'Neurology concluded episode was most concerning for TIA .' +p273429 +(lp273430 +S'Neurology\tNeurology\tNNP\tB-NP\tO' +p273431 +aS'concluded\tconclude\tVBD\tB-VP\tO' +p273432 +aS'episode\tepisode\tNN\tB-NP\tO' +p273433 +aS'was\tbe\tVBD\tB-VP\tO' +p273434 +aS'most\tmost\tRBS\tI-VP\tO' +p273435 +aS'concerning\tconcern\tVBG\tI-VP\tO' +p273436 +aS'for\tfor\tIN\tB-PP\tO' +p273437 +aS'TIA\tTIA\tNN\tB-NP\tB-protein' +p273438 +aS'.\t.\t.\tO\tO' +p273439 +asS'Accordingly , the patient was discharged to home on postoperative day 2 .' +p273440 +(lp273441 +S'Accordingly\tAccordingly\tRB\tB-ADVP\tO' +p273442 +aS',\t,\t,\tO\tO' +p273443 +aS'the\tthe\tDT\tB-NP\tO' +p273444 +aS'patient\tpatient\tNN\tI-NP\tO' +p273445 +aS'was\tbe\tVBD\tB-VP\tO' +p273446 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p273447 +aS'to\tto\tTO\tI-VP\tO' +p273448 +aS'home\thome\tVB\tI-VP\tO' +p273449 +aS'on\ton\tIN\tB-PP\tO' +p273450 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p273451 +aS'day\tday\tNN\tI-NP\tO' +p273452 +aS'2\t2\tCD\tI-NP\tO' +p273453 +aS'.\t.\t.\tO\tO' +p273454 +asS'Grimaces eyes when they are opened .' +p273455 +(lp273456 +S'Grimaces\tGrimace\tNNS\tB-NP\tO' +p273457 +aS'eyes\teye\tNNS\tI-NP\tO' +p273458 +aS'when\twhen\tWRB\tB-ADVP\tO' +p273459 +aS'they\tthey\tPRP\tB-NP\tO' +p273460 +aS'are\tbe\tVBP\tB-VP\tO' +p273461 +aS'opened\topen\tVBN\tI-VP\tO' +p273462 +aS'.\t.\t.\tO\tO' +p273463 +asS'Hematocrit on admission was 43% with a white blood count of 6600 .' +p273464 +(lp273465 +S'Hematocrit\tHematocrit\tNN\tB-NP\tO' +p273466 +aS'on\ton\tIN\tB-PP\tO' +p273467 +aS'admission\tadmission\tNN\tB-NP\tO' +p273468 +aS'was\tbe\tVBD\tB-VP\tO' +p273469 +aS'43%\t43%\tCD\tB-NP\tO' +p273470 +aS'with\twith\tIN\tB-PP\tO' +p273471 +aS'a\ta\tDT\tB-NP\tO' +p273472 +aS'white\twhite\tJJ\tI-NP\tO' +p273473 +aS'blood\tblood\tNN\tI-NP\tO' +p273474 +aS'count\tcount\tNN\tI-NP\tO' +p273475 +aS'of\tof\tIN\tB-PP\tO' +p273476 +aS'6600\t6600\tCD\tB-NP\tO' +p273477 +aS'.\t.\t.\tO\tO' +p273478 +asS'He was admitted to the Retelk County Medical Center at that time and was treated with Bactrim and steroids .' +p273479 +(lp273480 +S'He\tHe\tPRP\tB-NP\tO' +p273481 +aS'was\tbe\tVBD\tB-VP\tO' +p273482 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p273483 +aS'to\tto\tTO\tB-PP\tO' +p273484 +aS'the\tthe\tDT\tB-NP\tO' +p273485 +aS'Retelk\tRetelk\tNNP\tI-NP\tO' +p273486 +aS'County\tCounty\tNNP\tI-NP\tO' +p273487 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p273488 +aS'Center\tCenter\tNNP\tI-NP\tO' +p273489 +aS'at\tat\tIN\tB-PP\tO' +p273490 +aS'that\tthat\tDT\tB-NP\tO' +p273491 +aS'time\ttime\tNN\tI-NP\tO' +p273492 +aS'and\tand\tCC\tO\tO' +p273493 +aS'was\tbe\tVBD\tB-VP\tO' +p273494 +aS'treated\ttreat\tVBN\tI-VP\tO' +p273495 +aS'with\twith\tIN\tB-PP\tO' +p273496 +aS'Bactrim\tBactrim\tNN\tB-NP\tO' +p273497 +aS'and\tand\tCC\tI-NP\tO' +p273498 +aS'steroids\tsteroid\tNNS\tI-NP\tO' +p273499 +aS'.\t.\t.\tO\tO' +p273500 +asS'Left ventricular wall thickness , cavity size , and systolic function are normal ( LVEF >55% ) .' +p273501 +(lp273502 +S'Left\tLeave\tVBN\tB-NP\tO' +p273503 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p273504 +aS'wall\twall\tNN\tI-NP\tO' +p273505 +aS'thickness\tthickness\tNN\tI-NP\tO' +p273506 +aS',\t,\t,\tO\tO' +p273507 +aS'cavity\tcavity\tNN\tB-NP\tO' +p273508 +aS'size\tsize\tNN\tI-NP\tO' +p273509 +aS',\t,\t,\tO\tO' +p273510 +aS'and\tand\tCC\tO\tO' +p273511 +aS'systolic\tsystolic\tJJ\tB-NP\tO' +p273512 +aS'function\tfunction\tNN\tI-NP\tO' +p273513 +aS'are\tbe\tVBP\tB-VP\tO' +p273514 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p273515 +aS'(\t(\t(\tO\tO' +p273516 +aS'LVEF\tLVEF\tNN\tB-NP\tB-protein' +p273517 +aS'>55%\t>55%\tNN\tI-NP\tI-protein' +p273518 +aS')\t)\t)\tO\tO' +p273519 +aS'.\t.\t.\tO\tO' +p273520 +asS'Bowel sounds are present .' +p273521 +(lp273522 +S'Bowel\tBowel\tNN\tB-NP\tO' +p273523 +aS'sounds\tsound\tNNS\tI-NP\tO' +p273524 +aS'are\tbe\tVBP\tB-VP\tO' +p273525 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p273526 +aS'.\t.\t.\tO\tO' +p273527 +asS'The patient was transferred to the ICU intubated with stable .' +p273528 +(lp273529 +S'The\tThe\tDT\tB-NP\tO' +p273530 +aS'patient\tpatient\tNN\tI-NP\tO' +p273531 +aS'was\tbe\tVBD\tB-VP\tO' +p273532 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p273533 +aS'to\tto\tTO\tB-PP\tO' +p273534 +aS'the\tthe\tDT\tB-NP\tO' +p273535 +aS'ICU\tICU\tNN\tI-NP\tB-DNA' +p273536 +aS'intubated\tintubate\tVBN\tB-VP\tO' +p273537 +aS'with\twith\tIN\tB-PP\tO' +p273538 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p273539 +aS'.\t.\t.\tO\tO' +p273540 +asS'2. Large for gestational age term male .' +p273541 +(lp273542 +S'2.\t2.\tLS\tB-NP\tO' +p273543 +aS'Large\tLarge\tNN\tI-NP\tO' +p273544 +aS'for\tfor\tIN\tB-PP\tO' +p273545 +aS'gestational\tgestational\tJJ\tB-NP\tO' +p273546 +aS'age\tage\tNN\tI-NP\tO' +p273547 +aS'term\tterm\tNN\tI-NP\tO' +p273548 +aS'male\tmale\tNN\tI-NP\tO' +p273549 +aS'.\t.\t.\tO\tO' +p273550 +asS'12. Colace .' +p273551 +(lp273552 +S'12.\t12.\tLS\tB-LST\tO' +p273553 +aS'Colace\tColace\tNNP\tB-NP\tO' +p273554 +aS'.\t.\t.\tO\tO' +p273555 +asS'7. Digoxin 0.25 mg po q day .' +p273556 +(lp273557 +S'7.\t7.\tCD\tB-NP\tO' +p273558 +aS'Digoxin\tDigoxin\tNN\tI-NP\tO' +p273559 +aS'0.25\t0.25\tCD\tB-NP\tO' +p273560 +aS'mg\tmg\tNN\tI-NP\tO' +p273561 +aS'po\tpo\tNN\tI-NP\tO' +p273562 +aS'q\tq\tNN\tI-NP\tO' +p273563 +aS'day\tday\tNN\tI-NP\tO' +p273564 +aS'.\t.\t.\tO\tO' +p273565 +asS'3. Fluids , electrolytes and nutrition .' +p273566 +(lp273567 +S'3.\t3.\tLS\tB-NP\tO' +p273568 +aS'Fluids\tFluid\tNNS\tI-NP\tO' +p273569 +aS',\t,\t,\tO\tO' +p273570 +aS'electrolytes\telectrolyte\tNNS\tB-NP\tO' +p273571 +aS'and\tand\tCC\tO\tO' +p273572 +aS'nutrition\tnutrition\tNN\tB-NP\tO' +p273573 +aS'.\t.\t.\tO\tO' +p273574 +asS'She was also given whiskey spirits because of the fact that she drank one to two drinks of scotch per day .' +p273575 +(lp273576 +S'She\tShe\tPRP\tB-NP\tO' +p273577 +aS'was\tbe\tVBD\tB-VP\tO' +p273578 +aS'also\talso\tRB\tI-VP\tO' +p273579 +aS'given\tgive\tVBN\tI-VP\tO' +p273580 +aS'whiskey\twhiskey\tNN\tB-NP\tO' +p273581 +aS'spirits\tspirit\tNNS\tI-NP\tO' +p273582 +aS'because\tbecause\tIN\tB-PP\tO' +p273583 +aS'of\tof\tIN\tI-PP\tO' +p273584 +aS'the\tthe\tDT\tB-NP\tO' +p273585 +aS'fact\tfact\tNN\tI-NP\tO' +p273586 +aS'that\tthat\tIN\tB-SBAR\tO' +p273587 +aS'she\tshe\tPRP\tB-NP\tO' +p273588 +aS'drank\tdrink\tVBD\tB-VP\tO' +p273589 +aS'one\tone\tCD\tB-NP\tO' +p273590 +aS'to\tto\tTO\tB-PP\tO' +p273591 +aS'two\ttwo\tCD\tB-NP\tO' +p273592 +aS'drinks\tdrink\tNNS\tI-NP\tO' +p273593 +aS'of\tof\tIN\tB-PP\tO' +p273594 +aS'scotch\tscotch\tNN\tB-NP\tO' +p273595 +aS'per\tper\tIN\tB-PP\tO' +p273596 +aS'day\tday\tNN\tB-NP\tO' +p273597 +aS'.\t.\t.\tO\tO' +p273598 +asS'The patient is a 69-year-old male with multiple medical problems and known transfusion dependent secondary to myelodysplastic syndrome admitted with decreased hematocrit .' +p273599 +(lp273600 +S'The\tThe\tDT\tB-NP\tO' +p273601 +aS'patient\tpatient\tNN\tI-NP\tO' +p273602 +aS'is\tbe\tVBZ\tB-VP\tO' +p273603 +aS'a\ta\tDT\tB-NP\tO' +p273604 +aS'69-year-old\t69-year-old\tJJ\tI-NP\tO' +p273605 +aS'male\tmale\tNN\tI-NP\tO' +p273606 +aS'with\twith\tIN\tB-PP\tO' +p273607 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p273608 +aS'medical\tmedical\tJJ\tI-NP\tO' +p273609 +aS'problems\tproblem\tNNS\tI-NP\tO' +p273610 +aS'and\tand\tCC\tO\tO' +p273611 +aS'known\tknow\tVBN\tB-NP\tO' +p273612 +aS'transfusion\ttransfusion\tNN\tI-NP\tO' +p273613 +aS'dependent\tdependent\tJJ\tI-NP\tO' +p273614 +aS'secondary\tsecondary\tJJ\tI-NP\tO' +p273615 +aS'to\tto\tTO\tB-PP\tO' +p273616 +aS'myelodysplastic\tmyelodysplastic\tJJ\tB-NP\tO' +p273617 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p273618 +aS'admitted\tadmit\tVBN\tB-VP\tO' +p273619 +aS'with\twith\tIN\tB-PP\tO' +p273620 +aS'decreased\tdecrease\tVBN\tB-NP\tO' +p273621 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p273622 +aS'.\t.\t.\tO\tO' +p273623 +asS'Hematology .' +p273624 +(lp273625 +S'Hematology\tHematology\tNN\tB-NP\tO' +p273626 +aS'.\t.\t.\tO\tO' +p273627 +asS'There was also evidence of bone metastasis at that time .' +p273628 +(lp273629 +S'There\tThere\tEX\tB-NP\tO' +p273630 +aS'was\tbe\tVBD\tB-VP\tO' +p273631 +aS'also\talso\tRB\tB-ADVP\tO' +p273632 +aS'evidence\tevidence\tNN\tB-NP\tO' +p273633 +aS'of\tof\tIN\tB-PP\tO' +p273634 +aS'bone\tbone\tNN\tB-NP\tO' +p273635 +aS'metastasis\tmetastasis\tNN\tI-NP\tO' +p273636 +aS'at\tat\tIN\tB-PP\tO' +p273637 +aS'that\tthat\tDT\tB-NP\tO' +p273638 +aS'time\ttime\tNN\tI-NP\tO' +p273639 +aS'.\t.\t.\tO\tO' +p273640 +asS'11. Mesalamine 400 mg Tablet , Delayed Release ( E.C. ) Sig : Three ( 3 ) Tablet , Delayed Release ( E.C. ) PO TID ( 3 times a day ) as needed for ulcerative colitis w/o recent severe flares .' +p273641 +(lp273642 +S'11.\t11.\tLS\tB-NP\tO' +p273643 +aS'Mesalamine\tMesalamine\tNN\tI-NP\tO' +p273644 +aS'400\t400\tCD\tB-NP\tO' +p273645 +aS'mg\tmg\tNN\tI-NP\tO' +p273646 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p273647 +aS',\t,\t,\tO\tO' +p273648 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p273649 +aS'Release\tRelease\tNNP\tI-NP\tO' +p273650 +aS'(\t(\t(\tO\tO' +p273651 +aS'E.C.\tE.C.\tNNP\tB-NP\tO' +p273652 +aS')\t)\t)\tO\tO' +p273653 +aS'Sig\tSig\tNNP\tB-NP\tO' +p273654 +aS':\t:\t:\tO\tO' +p273655 +aS'Three\tThree\tCD\tB-NP\tO' +p273656 +aS'(\t(\t(\tO\tO' +p273657 +aS'3\t3\tCD\tB-NP\tO' +p273658 +aS')\t)\t)\tO\tO' +p273659 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p273660 +aS',\t,\t,\tO\tO' +p273661 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p273662 +aS'Release\tRelease\tNNP\tI-NP\tO' +p273663 +aS'(\t(\t(\tO\tO' +p273664 +aS'E.C.\tE.C.\tNNP\tO\tO' +p273665 +aS')\t)\t)\tO\tO' +p273666 +aS'PO\tPO\tNN\tB-NP\tO' +p273667 +aS'TID\tTID\tNN\tI-NP\tO' +p273668 +aS'(\t(\t(\tO\tO' +p273669 +aS'3\t3\tCD\tB-NP\tO' +p273670 +aS'times\ttime\tNNS\tI-NP\tO' +p273671 +aS'a\ta\tDT\tB-NP\tO' +p273672 +aS'day\tday\tNN\tI-NP\tO' +p273673 +aS')\t)\t)\tO\tO' +p273674 +aS'as\tas\tIN\tB-SBAR\tO' +p273675 +aS'needed\tneed\tVBN\tB-VP\tO' +p273676 +aS'for\tfor\tIN\tB-PP\tO' +p273677 +aS'ulcerative\tulcerative\tJJ\tB-NP\tO' +p273678 +aS'colitis\tcolitis\tNN\tI-NP\tO' +p273679 +aS'w/o\tw/o\tNN\tI-NP\tO' +p273680 +aS'recent\trecent\tJJ\tI-NP\tO' +p273681 +aS'severe\tsevere\tJJ\tI-NP\tO' +p273682 +aS'flares\tflare\tNNS\tI-NP\tO' +p273683 +aS'.\t.\t.\tO\tO' +p273684 +asS'The patient has some difficulty talking and grasping right hand .' +p273685 +(lp273686 +S'The\tThe\tDT\tB-NP\tO' +p273687 +aS'patient\tpatient\tNN\tI-NP\tO' +p273688 +aS'has\thave\tVBZ\tB-VP\tO' +p273689 +aS'some\tsome\tDT\tB-NP\tO' +p273690 +aS'difficulty\tdifficulty\tNN\tI-NP\tO' +p273691 +aS'talking\ttalk\tVBG\tB-VP\tO' +p273692 +aS'and\tand\tCC\tI-VP\tO' +p273693 +aS'grasping\tgrasp\tVBG\tI-VP\tO' +p273694 +aS'right\tright\tJJ\tB-NP\tO' +p273695 +aS'hand\thand\tNN\tI-NP\tO' +p273696 +aS'.\t.\t.\tO\tO' +p273697 +asS'Neuro : CN 03-31 grossly intact , strength 5/5 bilaterally , AAO to person , place ( hospital in Burlington ) , and time ( 1997-02-23 )' +p273698 +(lp273699 +S'Neuro\tNeuro\tNNP\tB-NP\tO' +p273700 +aS':\t:\t:\tO\tO' +p273701 +aS'CN\tCN\tNN\tB-NP\tO' +p273702 +aS'03-31\t03-31\tCD\tI-NP\tO' +p273703 +aS'grossly\tgrossly\tRB\tB-ADJP\tO' +p273704 +aS'intact\tintact\tJJ\tI-ADJP\tO' +p273705 +aS',\t,\t,\tO\tO' +p273706 +aS'strength\tstrength\tNN\tB-NP\tO' +p273707 +aS'5/5\t5/5\tCD\tI-NP\tO' +p273708 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p273709 +aS',\t,\t,\tO\tO' +p273710 +aS'AAO\tAAO\tNN\tB-NP\tO' +p273711 +aS'to\tto\tTO\tB-PP\tO' +p273712 +aS'person\tperson\tNN\tB-NP\tO' +p273713 +aS',\t,\t,\tO\tO' +p273714 +aS'place\tplace\tNN\tB-NP\tO' +p273715 +aS'(\t(\t(\tO\tO' +p273716 +aS'hospital\thospital\tNN\tB-NP\tO' +p273717 +aS'in\tin\tIN\tB-PP\tO' +p273718 +aS'Burlington\tBurlington\tNNP\tB-NP\tO' +p273719 +aS')\t)\t)\tO\tO' +p273720 +aS',\t,\t,\tO\tO' +p273721 +aS'and\tand\tCC\tO\tO' +p273722 +aS'time\ttime\tNN\tB-NP\tO' +p273723 +aS'(\t(\t(\tO\tO' +p273724 +aS'1997-02-23\t1997-02-23\tCD\tB-NP\tO' +p273725 +aS')\t)\t)\tO\tO' +p273726 +asS'The patient was initially diagnosed with prostate cancer in August of 1989 .' +p273727 +(lp273728 +S'The\tThe\tDT\tB-NP\tO' +p273729 +aS'patient\tpatient\tNN\tI-NP\tO' +p273730 +aS'was\tbe\tVBD\tB-VP\tO' +p273731 +aS'initially\tinitially\tRB\tI-VP\tO' +p273732 +aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' +p273733 +aS'with\twith\tIN\tB-PP\tO' +p273734 +aS'prostate\tprostate\tNN\tB-NP\tO' +p273735 +aS'cancer\tcancer\tNN\tI-NP\tO' +p273736 +aS'in\tin\tIN\tB-PP\tO' +p273737 +aS'August\tAugust\tNNP\tB-NP\tO' +p273738 +aS'of\tof\tIN\tB-PP\tO' +p273739 +aS'1989\t1989\tCD\tB-NP\tO' +p273740 +aS'.\t.\t.\tO\tO' +p273741 +asS'The patient was treated empirically with Nafcillin and Ceftriaxone for meningitis and sinusitis .' +p273742 +(lp273743 +S'The\tThe\tDT\tB-NP\tO' +p273744 +aS'patient\tpatient\tNN\tI-NP\tO' +p273745 +aS'was\tbe\tVBD\tB-VP\tO' +p273746 +aS'treated\ttreat\tVBN\tI-VP\tO' +p273747 +aS'empirically\tempirically\tRB\tB-ADVP\tO' +p273748 +aS'with\twith\tIN\tB-PP\tO' +p273749 +aS'Nafcillin\tNafcillin\tNN\tB-NP\tB-protein' +p273750 +aS'and\tand\tCC\tI-NP\tO' +p273751 +aS'Ceftriaxone\tCeftriaxone\tNN\tI-NP\tO' +p273752 +aS'for\tfor\tIN\tB-PP\tO' +p273753 +aS'meningitis\tmeningitis\tNN\tB-NP\tO' +p273754 +aS'and\tand\tCC\tI-NP\tO' +p273755 +aS'sinusitis\tsinusitis\tNN\tI-NP\tO' +p273756 +aS'.\t.\t.\tO\tO' +p273757 +asS'There is mild inferior wall hypokinesis .' +p273758 +(lp273759 +S'There\tThere\tEX\tB-NP\tO' +p273760 +aS'is\tbe\tVBZ\tB-VP\tO' +p273761 +aS'mild\tmild\tJJ\tB-NP\tO' +p273762 +aS'inferior\tinferior\tJJ\tI-NP\tO' +p273763 +aS'wall\twall\tNN\tI-NP\tO' +p273764 +aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' +p273765 +aS'.\t.\t.\tO\tO' +p273766 +asS'Nondysmorphic infant .' +p273767 +(lp273768 +S'Nondysmorphic\tNondysmorphic\tJJ\tB-NP\tO' +p273769 +aS'infant\tinfant\tNN\tI-NP\tO' +p273770 +aS'.\t.\t.\tO\tO' +p273771 +asS'In the Amanda the patients pain resolved with NTG and morphine .' +p273772 +(lp273773 +S'In\tIn\tIN\tB-PP\tO' +p273774 +aS'the\tthe\tDT\tB-NP\tO' +p273775 +aS'Amanda\tAmanda\tNNP\tI-NP\tO' +p273776 +aS'the\tthe\tDT\tB-NP\tO' +p273777 +aS'patients\tpatient\tNNS\tI-NP\tO' +p273778 +aS'pain\tpain\tVBP\tB-VP\tO' +p273779 +aS'resolved\tresolve\tVBN\tI-VP\tO' +p273780 +aS'with\twith\tIN\tB-PP\tO' +p273781 +aS'NTG\tNTG\tNN\tB-NP\tB-protein' +p273782 +aS'and\tand\tCC\tI-NP\tO' +p273783 +aS'morphine\tmorphine\tNN\tI-NP\tO' +p273784 +aS'.\t.\t.\tO\tO' +p273785 +asS'She has approximately one glass of wine every day .' +p273786 +(lp273787 +S'She\tShe\tPRP\tB-NP\tO' +p273788 +aS'has\thave\tVBZ\tB-VP\tO' +p273789 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p273790 +aS'one\tone\tCD\tI-NP\tO' +p273791 +aS'glass\tglass\tNN\tI-NP\tO' +p273792 +aS'of\tof\tIN\tB-PP\tO' +p273793 +aS'wine\twine\tNN\tB-NP\tO' +p273794 +aS'every\tevery\tDT\tB-NP\tO' +p273795 +aS'day\tday\tNN\tI-NP\tO' +p273796 +aS'.\t.\t.\tO\tO' +p273797 +asS'3) 3+ Enterococci sensitive to Ampicillin and Levofloxacin ,' +p273798 +(lp273799 +S'3)\t3)\tLS\tB-NP\tO' +p273800 +aS'3+\t3+\tJJ\tI-NP\tO' +p273801 +aS'Enterococci\tEnterococci\tNNS\tI-NP\tO' +p273802 +aS'sensitive\tsensitive\tJJ\tB-ADJP\tO' +p273803 +aS'to\tto\tTO\tB-PP\tO' +p273804 +aS'Ampicillin\tAmpicillin\tNN\tB-NP\tB-protein' +p273805 +aS'and\tand\tCC\tI-NP\tO' +p273806 +aS'Levofloxacin\tLevofloxacin\tNN\tI-NP\tO' +p273807 +aS',\t,\t,\tO\tO' +p273808 +asS'Exploratory laparotomy revealed hemoperitonium and approximately 1 L of blood was evacuated .' +p273809 +(lp273810 +S'Exploratory\tExploratory\tJJ\tB-NP\tO' +p273811 +aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' +p273812 +aS'revealed\treveal\tVBD\tB-VP\tO' +p273813 +aS'hemoperitonium\themoperitonium\tNN\tB-NP\tO' +p273814 +aS'and\tand\tCC\tO\tO' +p273815 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p273816 +aS'1\t1\tCD\tI-NP\tO' +p273817 +aS'L\tL\tNN\tI-NP\tO' +p273818 +aS'of\tof\tIN\tB-PP\tO' +p273819 +aS'blood\tblood\tNN\tB-NP\tO' +p273820 +aS'was\tbe\tVBD\tB-VP\tO' +p273821 +aS'evacuated\tevacuate\tVBN\tI-VP\tO' +p273822 +aS'.\t.\t.\tO\tO' +p273823 +asS'Audiology hearing screen was performed with automated auditory brainstem responses and the infant passed on both ears .' +p273824 +(lp273825 +S'Audiology\tAudiology\tNN\tB-NP\tO' +p273826 +aS'hearing\thearing\tNN\tI-NP\tO' +p273827 +aS'screen\tscreen\tNN\tI-NP\tO' +p273828 +aS'was\tbe\tVBD\tB-VP\tO' +p273829 +aS'performed\tperform\tVBN\tI-VP\tO' +p273830 +aS'with\twith\tIN\tB-PP\tO' +p273831 +aS'automated\tautomate\tVBN\tB-NP\tO' +p273832 +aS'auditory\tauditory\tJJ\tI-NP\tO' +p273833 +aS'brainstem\tbrainstem\tNN\tI-NP\tO' +p273834 +aS'responses\tresponse\tNNS\tI-NP\tO' +p273835 +aS'and\tand\tCC\tO\tO' +p273836 +aS'the\tthe\tDT\tB-NP\tO' +p273837 +aS'infant\tinfant\tNN\tI-NP\tO' +p273838 +aS'passed\tpass\tVBN\tB-VP\tO' +p273839 +aS'on\ton\tIN\tB-PP\tO' +p273840 +aS'both\tboth\tDT\tB-NP\tO' +p273841 +aS'ears\tear\tNNS\tI-NP\tO' +p273842 +aS'.\t.\t.\tO\tO' +p273843 +asS'Her lungs were clear to auscultation .' +p273844 +(lp273845 +S'Her\tHer\tPRP$\tB-NP\tO' +p273846 +aS'lungs\tlung\tNNS\tI-NP\tO' +p273847 +aS'were\tbe\tVBD\tB-VP\tO' +p273848 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p273849 +aS'to\tto\tTO\tB-PP\tO' +p273850 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p273851 +aS'.\t.\t.\tO\tO' +p273852 +asS'This report was created by DREWEILLTRIEVKEMME , QUELOISEVIER 03/06/2002 06:28 AM' +p273853 +(lp273854 +S'This\tThis\tDT\tB-NP\tO' +p273855 +aS'report\treport\tNN\tI-NP\tO' +p273856 +aS'was\tbe\tVBD\tB-VP\tO' +p273857 +aS'created\tcreate\tVBN\tI-VP\tO' +p273858 +aS'by\tby\tIN\tB-PP\tO' +p273859 +aS'DREWEILLTRIEVKEMME\tDREWEILLTRIEVKEMME\tNNP\tB-NP\tO' +p273860 +aS',\t,\t,\tO\tO' +p273861 +aS'QUELOISEVIER\tQUELOISEVIER\tNNP\tB-NP\tO' +p273862 +aS'03/06/2002\t03/06/2002\tCD\tB-NP\tO' +p273863 +aS'06:28\t06:28\tCD\tI-NP\tO' +p273864 +aS'AM\tAM\tNN\tI-NP\tO' +p273865 +asS'Primary pediatric care will be provided by Dr. Hortencia Conner of Milton Hospital Pediatric Group , 3408 E. Fifth Rd. , Bridgewater State Hospital , Tennessee 06546 , telephone number is 433-0531 .' +p273866 +(lp273867 +S'Primary\tPrimary\tJJ\tB-NP\tO' +p273868 +aS'pediatric\tpediatric\tJJ\tI-NP\tO' +p273869 +aS'care\tcare\tNN\tI-NP\tO' +p273870 +aS'will\twill\tMD\tB-VP\tO' +p273871 +aS'be\tbe\tVB\tI-VP\tO' +p273872 +aS'provided\tprovide\tVBN\tI-VP\tO' +p273873 +aS'by\tby\tIN\tB-PP\tO' +p273874 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p273875 +aS'Hortencia\tHortencia\tNNP\tI-NP\tO' +p273876 +aS'Conner\tConner\tNNP\tI-NP\tO' +p273877 +aS'of\tof\tIN\tB-PP\tO' +p273878 +aS'Milton\tMilton\tNNP\tB-NP\tO' +p273879 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p273880 +aS'Pediatric\tPediatric\tNNP\tI-NP\tO' +p273881 +aS'Group\tGroup\tNNP\tI-NP\tO' +p273882 +aS',\t,\t,\tO\tO' +p273883 +aS'3408\t3408\tCD\tB-NP\tO' +p273884 +aS'E.\tE.\tNNP\tI-NP\tO' +p273885 +aS'Fifth\tFifth\tNNP\tI-NP\tO' +p273886 +aS'Rd.\tRd.\tNNP\tI-NP\tO' +p273887 +aS',\t,\t,\tO\tO' +p273888 +aS'Bridgewater\tBridgewater\tNNP\tB-NP\tO' +p273889 +aS'State\tState\tNNP\tI-NP\tO' +p273890 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p273891 +aS',\t,\t,\tO\tO' +p273892 +aS'Tennessee\tTennessee\tNNP\tB-NP\tO' +p273893 +aS'06546\t06546\tCD\tI-NP\tO' +p273894 +aS',\t,\t,\tO\tO' +p273895 +aS'telephone\ttelephone\tNN\tB-NP\tO' +p273896 +aS'number\tnumber\tNN\tI-NP\tO' +p273897 +aS'is\tbe\tVBZ\tB-VP\tO' +p273898 +aS'433-0531\t433-0531\tCD\tB-NP\tO' +p273899 +aS'.\t.\t.\tO\tO' +p273900 +asS'His admission physical exam reveals a vigorous nondysmorphic term infant .' +p273901 +(lp273902 +S'His\tHis\tPRP$\tB-NP\tO' +p273903 +aS'admission\tadmission\tNN\tI-NP\tO' +p273904 +aS'physical\tphysical\tJJ\tI-NP\tO' +p273905 +aS'exam\texam\tNN\tI-NP\tO' +p273906 +aS'reveals\treveal\tVBZ\tB-VP\tO' +p273907 +aS'a\ta\tDT\tB-NP\tO' +p273908 +aS'vigorous\tvigorous\tJJ\tI-NP\tO' +p273909 +aS'nondysmorphic\tnondysmorphic\tJJ\tI-NP\tO' +p273910 +aS'term\tterm\tNN\tI-NP\tO' +p273911 +aS'infant\tinfant\tNN\tI-NP\tO' +p273912 +aS'.\t.\t.\tO\tO' +p273913 +asS'No prior comparisons .' +p273914 +(lp273915 +S'No\tNo\tDT\tB-NP\tO' +p273916 +aS'prior\tprior\tJJ\tI-NP\tO' +p273917 +aS'comparisons\tcomparison\tNNS\tI-NP\tO' +p273918 +aS'.\t.\t.\tO\tO' +p273919 +asS'Throughout this he remained hemodynamically stable .' +p273920 +(lp273921 +S'Throughout\tThroughout\tIN\tB-PP\tO' +p273922 +aS'this\tthis\tDT\tB-NP\tO' +p273923 +aS'he\the\tPRP\tB-NP\tO' +p273924 +aS'remained\tremain\tVBD\tB-VP\tO' +p273925 +aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' +p273926 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p273927 +aS'.\t.\t.\tO\tO' +p273928 +asS'In general , sleepy but arousable .' +p273929 +(lp273930 +S'In\tIn\tIN\tB-PP\tO' +p273931 +aS'general\tgeneral\tJJ\tB-ADJP\tO' +p273932 +aS',\t,\t,\tI-ADJP\tO' +p273933 +aS'sleepy\tsleepy\tJJ\tI-ADJP\tO' +p273934 +aS'but\tbut\tCC\tI-ADJP\tO' +p273935 +aS'arousable\tarousable\tJJ\tI-ADJP\tO' +p273936 +aS'.\t.\t.\tO\tO' +p273937 +asS'2. At the age of 40 he had problems with frequent headaches .' +p273938 +(lp273939 +S'2.\t2.\tLS\tB-LST\tO' +p273940 +aS'At\tAt\tIN\tB-PP\tO' +p273941 +aS'the\tthe\tDT\tB-NP\tO' +p273942 +aS'age\tage\tNN\tI-NP\tO' +p273943 +aS'of\tof\tIN\tB-PP\tO' +p273944 +aS'40\t40\tCD\tB-NP\tO' +p273945 +aS'he\the\tPRP\tB-NP\tO' +p273946 +aS'had\thave\tVBD\tB-VP\tO' +p273947 +aS'problems\tproblem\tNNS\tB-NP\tO' +p273948 +aS'with\twith\tIN\tB-PP\tO' +p273949 +aS'frequent\tfrequent\tJJ\tB-NP\tO' +p273950 +aS'headaches\theadache\tNNS\tI-NP\tO' +p273951 +aS'.\t.\t.\tO\tO' +p273952 +asS'Once on the floor , the patient had an uneventful hospital course , remaining afebrile for the remainder of his hospital stay .' +p273953 +(lp273954 +S'Once\tOnce\tRB\tO\tO' +p273955 +aS'on\ton\tIN\tB-PP\tO' +p273956 +aS'the\tthe\tDT\tB-NP\tO' +p273957 +aS'floor\tfloor\tNN\tI-NP\tO' +p273958 +aS',\t,\t,\tO\tO' +p273959 +aS'the\tthe\tDT\tB-NP\tO' +p273960 +aS'patient\tpatient\tNN\tI-NP\tO' +p273961 +aS'had\thave\tVBD\tB-VP\tO' +p273962 +aS'an\tan\tDT\tB-NP\tO' +p273963 +aS'uneventful\tuneventful\tJJ\tI-NP\tO' +p273964 +aS'hospital\thospital\tNN\tI-NP\tO' +p273965 +aS'course\tcourse\tNN\tI-NP\tO' +p273966 +aS',\t,\t,\tO\tO' +p273967 +aS'remaining\tremain\tVBG\tB-VP\tO' +p273968 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p273969 +aS'for\tfor\tIN\tB-PP\tO' +p273970 +aS'the\tthe\tDT\tB-NP\tO' +p273971 +aS'remainder\tremainder\tNN\tI-NP\tO' +p273972 +aS'of\tof\tIN\tB-PP\tO' +p273973 +aS'his\this\tPRP$\tB-NP\tO' +p273974 +aS'hospital\thospital\tNN\tI-NP\tO' +p273975 +aS'stay\tstay\tNN\tI-NP\tO' +p273976 +aS'.\t.\t.\tO\tO' +p273977 +asS'This appears to stop short of the carotid canal .' +p273978 +(lp273979 +S'This\tThis\tDT\tB-NP\tO' +p273980 +aS'appears\tappear\tVBZ\tB-VP\tO' +p273981 +aS'to\tto\tTO\tI-VP\tO' +p273982 +aS'stop\tstop\tVB\tI-VP\tO' +p273983 +aS'short\tshort\tRB\tB-ADVP\tO' +p273984 +aS'of\tof\tIN\tB-PP\tO' +p273985 +aS'the\tthe\tDT\tB-NP\tO' +p273986 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p273987 +aS'canal\tcanal\tNN\tI-NP\tO' +p273988 +aS'.\t.\t.\tO\tO' +p273989 +asS'Admission medications .' +p273990 +(lp273991 +S'Admission\tAdmission\tNN\tB-NP\tO' +p273992 +aS'medications\tmedication\tNNS\tI-NP\tO' +p273993 +aS'.\t.\t.\tO\tO' +p273994 +asS'She awoke with nausea on the day of admission and pleuritic chest pain .' +p273995 +(lp273996 +S'She\tShe\tPRP\tB-NP\tO' +p273997 +aS'awoke\tawake\tVBD\tB-VP\tO' +p273998 +aS'with\twith\tIN\tB-PP\tO' +p273999 +aS'nausea\tnausea\tNN\tB-NP\tO' +p274000 +aS'on\ton\tIN\tB-PP\tO' +p274001 +aS'the\tthe\tDT\tB-NP\tO' +p274002 +aS'day\tday\tNN\tI-NP\tO' +p274003 +aS'of\tof\tIN\tB-PP\tO' +p274004 +aS'admission\tadmission\tNN\tB-NP\tO' +p274005 +aS'and\tand\tCC\tO\tO' +p274006 +aS'pleuritic\tpleuritic\tJJ\tB-NP\tO' +p274007 +aS'chest\tchest\tNN\tI-NP\tO' +p274008 +aS'pain\tpain\tNN\tI-NP\tO' +p274009 +aS'.\t.\t.\tO\tO' +p274010 +asS'Concerned , the staff sent her directly to the Nantucket Cottage Hospital .' +p274011 +(lp274012 +S'Concerned\tConcern\tVBN\tB-VP\tO' +p274013 +aS',\t,\t,\tO\tO' +p274014 +aS'the\tthe\tDT\tB-NP\tO' +p274015 +aS'staff\tstaff\tNN\tI-NP\tO' +p274016 +aS'sent\tsend\tVBD\tB-VP\tO' +p274017 +aS'her\ther\tPRP\tB-NP\tO' +p274018 +aS'directly\tdirectly\tRB\tB-ADVP\tO' +p274019 +aS'to\tto\tTO\tB-PP\tO' +p274020 +aS'the\tthe\tDT\tB-NP\tO' +p274021 +aS'Nantucket\tNantucket\tNNP\tI-NP\tO' +p274022 +aS'Cottage\tCottage\tNNP\tI-NP\tO' +p274023 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p274024 +aS'.\t.\t.\tO\tO' +p274025 +asS'State newborn screen was sent on day of life #3 and at discharge .' +p274026 +(lp274027 +S'State\tState\tNN\tB-NP\tO' +p274028 +aS'newborn\tnewborn\tJJ\tI-NP\tO' +p274029 +aS'screen\tscreen\tNN\tI-NP\tO' +p274030 +aS'was\tbe\tVBD\tB-VP\tO' +p274031 +aS'sent\tsend\tVBN\tI-VP\tO' +p274032 +aS'on\ton\tIN\tB-PP\tO' +p274033 +aS'day\tday\tNN\tB-NP\tO' +p274034 +aS'of\tof\tIN\tB-PP\tO' +p274035 +aS'life\tlife\tNN\tB-NP\tO' +p274036 +aS'#3\t#3\tNN\tI-NP\tO' +p274037 +aS'and\tand\tCC\tB-PP\tO' +p274038 +aS'at\tat\tIN\tB-PP\tO' +p274039 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p274040 +aS'.\t.\t.\tO\tO' +p274041 +asS'2. Depression .' +p274042 +(lp274043 +S'2.\t2.\tLS\tB-NP\tO' +p274044 +aS'Depression\tDepression\tNN\tI-NP\tO' +p274045 +aS'.\t.\t.\tO\tO' +p274046 +asS'CAD : On admission Ck low normal , MB not done .' +p274047 +(lp274048 +S'CAD\tCAD\tNN\tB-NP\tO' +p274049 +aS':\t:\t:\tO\tO' +p274050 +aS'On\tOn\tIN\tB-PP\tO' +p274051 +aS'admission\tadmission\tNN\tB-NP\tO' +p274052 +aS'Ck\tCk\tNN\tI-NP\tO' +p274053 +aS'low\tlow\tJJ\tI-NP\tO' +p274054 +aS'normal\tnormal\tJJ\tI-NP\tO' +p274055 +aS',\t,\t,\tO\tO' +p274056 +aS'MB\tMB\tNN\tB-NP\tB-protein' +p274057 +aS'not\tnot\tRB\tB-VP\tO' +p274058 +aS'done\tdo\tVBN\tI-VP\tO' +p274059 +aS'.\t.\t.\tO\tO' +p274060 +asS'Cardiovascular system revealed normal S1 and S2 , no murmurs or gallops and regular rate and rhythm .' +p274061 +(lp274062 +S'Cardiovascular\tCardiovascular\tJJ\tB-NP\tO' +p274063 +aS'system\tsystem\tNN\tI-NP\tO' +p274064 +aS'revealed\treveal\tVBD\tB-VP\tO' +p274065 +aS'normal\tnormal\tJJ\tB-NP\tO' +p274066 +aS'S1\tS1\tNN\tI-NP\tB-protein' +p274067 +aS'and\tand\tCC\tO\tO' +p274068 +aS'S2\tS2\tNN\tB-NP\tB-protein' +p274069 +aS',\t,\t,\tO\tO' +p274070 +aS'no\tno\tDT\tB-NP\tO' +p274071 +aS'murmurs\tmurmur\tNNS\tI-NP\tO' +p274072 +aS'or\tor\tCC\tI-NP\tO' +p274073 +aS'gallops\tgallop\tNNS\tI-NP\tO' +p274074 +aS'and\tand\tCC\tO\tO' +p274075 +aS'regular\tregular\tJJ\tB-NP\tO' +p274076 +aS'rate\trate\tNN\tI-NP\tO' +p274077 +aS'and\tand\tCC\tI-NP\tO' +p274078 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p274079 +aS'.\t.\t.\tO\tO' +p274080 +asS'At that time he had presented with abdominal pain , and was found to have acute cholecystectomy .' +p274081 +(lp274082 +S'At\tAt\tIN\tB-PP\tO' +p274083 +aS'that\tthat\tDT\tB-NP\tO' +p274084 +aS'time\ttime\tNN\tI-NP\tO' +p274085 +aS'he\the\tPRP\tB-NP\tO' +p274086 +aS'had\thave\tVBD\tB-VP\tO' +p274087 +aS'presented\tpresent\tVBN\tI-VP\tO' +p274088 +aS'with\twith\tIN\tB-PP\tO' +p274089 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p274090 +aS'pain\tpain\tNN\tI-NP\tO' +p274091 +aS',\t,\t,\tO\tO' +p274092 +aS'and\tand\tCC\tO\tO' +p274093 +aS'was\tbe\tVBD\tB-VP\tO' +p274094 +aS'found\tfind\tVBN\tI-VP\tO' +p274095 +aS'to\tto\tTO\tI-VP\tO' +p274096 +aS'have\thave\tVB\tI-VP\tO' +p274097 +aS'acute\tacute\tJJ\tB-NP\tO' +p274098 +aS'cholecystectomy\tcholecystectomy\tNN\tI-NP\tO' +p274099 +aS'.\t.\t.\tO\tO' +p274100 +asS'Breast lesion excision , 1989 .' +p274101 +(lp274102 +S'Breast\tBreast\tNN\tB-NP\tO' +p274103 +aS'lesion\tlesion\tNN\tI-NP\tO' +p274104 +aS'excision\texcision\tNN\tI-NP\tO' +p274105 +aS',\t,\t,\tO\tO' +p274106 +aS'1989\t1989\tCD\tB-NP\tO' +p274107 +aS'.\t.\t.\tO\tO' +p274108 +asS'Now with an episode of pain consistent with his anginal equivalent .' +p274109 +(lp274110 +S'Now\tNow\tRB\tB-ADVP\tO' +p274111 +aS'with\twith\tIN\tB-PP\tO' +p274112 +aS'an\tan\tDT\tB-NP\tO' +p274113 +aS'episode\tepisode\tNN\tI-NP\tO' +p274114 +aS'of\tof\tIN\tB-PP\tO' +p274115 +aS'pain\tpain\tNN\tB-NP\tO' +p274116 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p274117 +aS'with\twith\tIN\tB-PP\tO' +p274118 +aS'his\this\tPRP$\tB-NP\tO' +p274119 +aS'anginal\tanginal\tJJ\tI-NP\tO' +p274120 +aS'equivalent\tequivalent\tNN\tI-NP\tO' +p274121 +aS'.\t.\t.\tO\tO' +p274122 +asS'Addendum from the dates of 2014-02-04 until 2014-02-09 .' +p274123 +(lp274124 +S'Addendum\tAddendum\tNN\tB-NP\tO' +p274125 +aS'from\tfrom\tIN\tB-PP\tO' +p274126 +aS'the\tthe\tDT\tB-NP\tO' +p274127 +aS'dates\tdate\tNNS\tI-NP\tO' +p274128 +aS'of\tof\tIN\tB-PP\tO' +p274129 +aS'2014-02-04\t2014-02-04\tCD\tB-NP\tO' +p274130 +aS'until\tuntil\tIN\tB-PP\tO' +p274131 +aS'2014-02-09\t2014-02-09\tCD\tB-NP\tO' +p274132 +aS'.\t.\t.\tO\tO' +p274133 +asS'Pt was diuresed with iv lasix / acetazolamide and given iv morphine / prn for respiratory distress and BIPAP was tried .' +p274134 +(lp274135 +S'Pt\tPt\tNN\tB-NP\tO' +p274136 +aS'was\tbe\tVBD\tB-VP\tO' +p274137 +aS'diuresed\tdiurese\tVBN\tI-VP\tO' +p274138 +aS'with\twith\tIN\tB-PP\tO' +p274139 +aS'iv\tiv\tNN\tB-NP\tO' +p274140 +aS'lasix\tlasix\tNN\tI-NP\tO' +p274141 +aS'/\t/\tSYM\tB-NP\tO' +p274142 +aS'acetazolamide\tacetazolamide\tNN\tI-NP\tO' +p274143 +aS'and\tand\tCC\tO\tO' +p274144 +aS'given\tgive\tVBN\tB-NP\tO' +p274145 +aS'iv\tiv\tNN\tI-NP\tO' +p274146 +aS'morphine\tmorphine\tNN\tI-NP\tO' +p274147 +aS'/\t/\tSYM\tB-NP\tO' +p274148 +aS'prn\tprn\tNN\tI-NP\tO' +p274149 +aS'for\tfor\tIN\tB-PP\tO' +p274150 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p274151 +aS'distress\tdistress\tNN\tI-NP\tO' +p274152 +aS'and\tand\tCC\tI-NP\tO' +p274153 +aS'BIPAP\tBIPAP\tNN\tI-NP\tB-protein' +p274154 +aS'was\tbe\tVBD\tB-VP\tO' +p274155 +aS'tried\ttry\tVBN\tI-VP\tO' +p274156 +aS'.\t.\t.\tO\tO' +p274157 +asS'She received ASA 81 mg x 2 and nitro SL x 2 with partial relief at nursing home .' +p274158 +(lp274159 +S'She\tShe\tPRP\tB-NP\tO' +p274160 +aS'received\treceive\tVBD\tB-VP\tO' +p274161 +aS'ASA\tASA\tNN\tB-NP\tO' +p274162 +aS'81\t81\tCD\tI-NP\tO' +p274163 +aS'mg\tmg\tNN\tI-NP\tO' +p274164 +aS'x\tx\tSYM\tB-NP\tO' +p274165 +aS'2\t2\tCD\tB-NP\tO' +p274166 +aS'and\tand\tCC\tO\tO' +p274167 +aS'nitro\tnitro\tNN\tB-NP\tB-protein' +p274168 +aS'SL\tSL\tNN\tI-NP\tI-protein' +p274169 +aS'x\tx\tSYM\tB-NP\tI-protein' +p274170 +aS'2\t2\tCD\tB-NP\tI-protein' +p274171 +aS'with\twith\tIN\tB-PP\tO' +p274172 +aS'partial\tpartial\tJJ\tB-NP\tO' +p274173 +aS'relief\trelief\tNN\tI-NP\tO' +p274174 +aS'at\tat\tIN\tB-PP\tO' +p274175 +aS'nursing\tnurse\tVBG\tB-VP\tO' +p274176 +aS'home\thome\tNN\tB-NP\tO' +p274177 +aS'.\t.\t.\tO\tO' +p274178 +asS"He was followed by Dr. Gregory Dumas , with serial MRI 's." +p274179 +(lp274180 +S'He\tHe\tPRP\tB-NP\tO' +p274181 +aS'was\tbe\tVBD\tB-VP\tO' +p274182 +aS'followed\tfollow\tVBN\tI-VP\tO' +p274183 +aS'by\tby\tIN\tB-PP\tO' +p274184 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p274185 +aS'Gregory\tGregory\tNNP\tI-NP\tO' +p274186 +aS'Dumas\tDumas\tNNP\tI-NP\tO' +p274187 +aS',\t,\t,\tO\tO' +p274188 +aS'with\twith\tIN\tB-PP\tO' +p274189 +aS'serial\tserial\tJJ\tB-NP\tO' +p274190 +aS'MRI\tMRI\tNN\tI-NP\tO' +p274191 +aS"'s.\t's.\tPOS\tB-NP\tO" +p274192 +asS'1. Exploratory laparotomy with drainage of intra-abdominal abscess and peritonitis with gross soilage with bile and gastric contents .' +p274193 +(lp274194 +S'1.\t1.\tLS\tB-NP\tO' +p274195 +aS'Exploratory\tExploratory\tJJ\tI-NP\tO' +p274196 +aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' +p274197 +aS'with\twith\tIN\tB-PP\tO' +p274198 +aS'drainage\tdrainage\tNN\tB-NP\tO' +p274199 +aS'of\tof\tIN\tB-PP\tO' +p274200 +aS'intra-abdominal\tintra-abdominal\tJJ\tB-NP\tO' +p274201 +aS'abscess\tabscess\tNN\tI-NP\tO' +p274202 +aS'and\tand\tCC\tI-NP\tO' +p274203 +aS'peritonitis\tperitonitis\tNN\tI-NP\tO' +p274204 +aS'with\twith\tIN\tB-PP\tO' +p274205 +aS'gross\tgross\tJJ\tB-NP\tO' +p274206 +aS'soilage\tsoilage\tNN\tI-NP\tO' +p274207 +aS'with\twith\tIN\tB-PP\tO' +p274208 +aS'bile\tbile\tNN\tB-NP\tO' +p274209 +aS'and\tand\tCC\tO\tO' +p274210 +aS'gastric\tgastric\tJJ\tB-NP\tO' +p274211 +aS'contents\tcontent\tNNS\tI-NP\tO' +p274212 +aS'.\t.\t.\tO\tO' +p274213 +asS'Overall systolic function is good ( LVEF > 40% ).' +p274214 +(lp274215 +S'Overall\tOverall\tJJ\tB-NP\tO' +p274216 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p274217 +aS'function\tfunction\tNN\tI-NP\tO' +p274218 +aS'is\tbe\tVBZ\tB-VP\tO' +p274219 +aS'good\tgood\tJJ\tB-ADJP\tO' +p274220 +aS'(\t(\t(\tO\tO' +p274221 +aS'LVEF\tLVEF\tNN\tB-NP\tB-protein' +p274222 +aS'>\t>\tSYM\tB-NP\tO' +p274223 +aS'40%\t40%\tCD\tI-NP\tO' +p274224 +aS').\t).\t)\tO\tO' +p274225 +asS'10 days prior to admission , the patient 's primary care physician increased his sulfasalazine dose to two tabs three times a day .' +p274226 +(lp274227 +S'10\t10\tCD\tB-NP\tO' +p274228 +aS'days\tday\tNNS\tI-NP\tO' +p274229 +aS'prior\tprior\tRB\tB-ADVP\tO' +p274230 +aS'to\tto\tTO\tB-PP\tO' +p274231 +aS'admission\tadmission\tNN\tB-NP\tO' +p274232 +aS',\t,\t,\tO\tO' +p274233 +aS'the\tthe\tDT\tB-NP\tO' +p274234 +aS'patient\tpatient\tNN\tI-NP\tO' +p274235 +aS''s\t'\tNNS\tI-NP\tO' +p274236 +aS'primary\tprimary\tJJ\tB-NP\tO' +p274237 +aS'care\tcare\tNN\tI-NP\tO' +p274238 +aS'physician\tphysician\tNN\tI-NP\tO' +p274239 +aS'increased\tincrease\tVBD\tB-VP\tO' +p274240 +aS'his\this\tPRP$\tB-NP\tO' +p274241 +aS'sulfasalazine\tsulfasalazine\tNN\tI-NP\tO' +p274242 +aS'dose\tdose\tNN\tI-NP\tO' +p274243 +aS'to\tto\tTO\tB-PP\tO' +p274244 +aS'two\ttwo\tCD\tB-NP\tO' +p274245 +aS'tabs\ttab\tNNS\tI-NP\tO' +p274246 +aS'three\tthree\tCD\tB-NP\tO' +p274247 +aS'times\ttime\tNNS\tI-NP\tO' +p274248 +aS'a\ta\tDT\tB-NP\tO' +p274249 +aS'day\tday\tNN\tI-NP\tO' +p274250 +aS'.\t.\t.\tO\tO' +p274251 +asS'Left shoulder hemiarthroplasty .' +p274252 +(lp274253 +S'Left\tLeave\tVBN\tB-NP\tO' +p274254 +aS'shoulder\tshoulder\tNN\tI-NP\tO' +p274255 +aS'hemiarthroplasty\themiarthroplasty\tNN\tI-NP\tO' +p274256 +aS'.\t.\t.\tO\tO' +p274257 +asS'PTT is 24 .' +p274258 +(lp274259 +S'PTT\tPTT\tNN\tB-NP\tO' +p274260 +aS'is\tbe\tVBZ\tB-VP\tO' +p274261 +aS'24\t24\tCD\tB-NP\tO' +p274262 +aS'.\t.\t.\tO\tO' +p274263 +asS'Sternum is stable .' +p274264 +(lp274265 +S'Sternum\tSternum\tNNP\tB-NP\tO' +p274266 +aS'is\tbe\tVBZ\tB-VP\tO' +p274267 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p274268 +aS'.\t.\t.\tO\tO' +p274269 +asS'The pt has a history of paranoia / depression .' +p274270 +(lp274271 +S'The\tThe\tDT\tB-NP\tO' +p274272 +aS'pt\tpt\tNN\tI-NP\tO' +p274273 +aS'has\thave\tVBZ\tB-VP\tO' +p274274 +aS'a\ta\tDT\tB-NP\tO' +p274275 +aS'history\thistory\tNN\tI-NP\tO' +p274276 +aS'of\tof\tIN\tB-PP\tO' +p274277 +aS'paranoia\tparanoia\tNN\tB-NP\tO' +p274278 +aS'/\t/\tSYM\tB-NP\tO' +p274279 +aS'depression\tdepression\tNN\tI-NP\tO' +p274280 +aS'.\t.\t.\tO\tO' +p274281 +asS'AG on admission 18 ( bicarb 17 , down from 23 on a previous admission ) , down to AG 15 this AM .' +p274282 +(lp274283 +S'AG\tAG\tNN\tB-NP\tB-protein' +p274284 +aS'on\ton\tIN\tB-PP\tO' +p274285 +aS'admission\tadmission\tNN\tB-NP\tO' +p274286 +aS'18\t18\tCD\tI-NP\tO' +p274287 +aS'(\t(\t(\tO\tO' +p274288 +aS'bicarb\tbicarb\tNN\tB-NP\tO' +p274289 +aS'17\t17\tCD\tI-NP\tO' +p274290 +aS',\t,\t,\tO\tO' +p274291 +aS'down\tdown\tRB\tB-ADVP\tO' +p274292 +aS'from\tfrom\tIN\tB-PP\tO' +p274293 +aS'23\t23\tCD\tB-NP\tO' +p274294 +aS'on\ton\tIN\tB-PP\tO' +p274295 +aS'a\ta\tDT\tB-NP\tO' +p274296 +aS'previous\tprevious\tJJ\tI-NP\tO' +p274297 +aS'admission\tadmission\tNN\tI-NP\tO' +p274298 +aS')\t)\t)\tO\tO' +p274299 +aS',\t,\t,\tO\tO' +p274300 +aS'down\tdown\tRB\tB-ADVP\tO' +p274301 +aS'to\tto\tTO\tB-PP\tO' +p274302 +aS'AG\tAG\tNNP\tB-NP\tO' +p274303 +aS'15\t15\tCD\tI-NP\tO' +p274304 +aS'this\tthis\tDT\tB-NP\tO' +p274305 +aS'AM\tAM\tNN\tI-NP\tO' +p274306 +aS'.\t.\t.\tO\tO' +p274307 +asS'Disp :* 120 Capsule , Sustained Release (s)* Refills :* 2 *' +p274308 +(lp274309 +S'Disp\tDisp\tNN\tB-NP\tO' +p274310 +aS':*\t:*\tSYM\tI-NP\tO' +p274311 +aS'120\t120\tCD\tI-NP\tO' +p274312 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p274313 +aS',\t,\t,\tO\tO' +p274314 +aS'Sustained\tSustained\tNNP\tB-NP\tO' +p274315 +aS'Release\tRelease\tNNP\tI-NP\tO' +p274316 +aS'(s)*\t(s)*\tSYM\tB-NP\tO' +p274317 +aS'Refills\tRefill\tNNPS\tI-NP\tO' +p274318 +aS':*\t:*\tSYM\tI-NP\tO' +p274319 +aS'2\t2\tCD\tI-NP\tO' +p274320 +aS'*\t*\tSYM\tB-NP\tO' +p274321 +asS'The patient was maintained on IV Solu - Medrol 60 mg q. 8 h.' +p274322 +(lp274323 +S'The\tThe\tDT\tB-NP\tO' +p274324 +aS'patient\tpatient\tNN\tI-NP\tO' +p274325 +aS'was\tbe\tVBD\tB-VP\tO' +p274326 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p274327 +aS'on\ton\tIN\tB-PP\tO' +p274328 +aS'IV\tIV\tCD\tB-NP\tO' +p274329 +aS'Solu\tSolu\tNN\tI-NP\tO' +p274330 +aS'-\t-\tHYPH\tB-NP\tO' +p274331 +aS'Medrol\tMedrol\tNN\tI-NP\tO' +p274332 +aS'60\t60\tCD\tI-NP\tO' +p274333 +aS'mg\tmg\tNN\tI-NP\tO' +p274334 +aS'q.\tq.\tNN\tI-NP\tO' +p274335 +aS'8\t8\tCD\tB-NP\tO' +p274336 +aS'h.\th.\tNN\tI-NP\tO' +p274337 +asS'He remained in the Intensive Care Unit as he was unable to be weaned off of his Neo-Synephrine drip .' +p274338 +(lp274339 +S'He\tHe\tPRP\tB-NP\tO' +p274340 +aS'remained\tremain\tVBD\tB-VP\tO' +p274341 +aS'in\tin\tIN\tB-PP\tO' +p274342 +aS'the\tthe\tDT\tB-NP\tO' +p274343 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p274344 +aS'Care\tCare\tNNP\tI-NP\tO' +p274345 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p274346 +aS'as\tas\tIN\tB-SBAR\tO' +p274347 +aS'he\the\tPRP\tB-NP\tO' +p274348 +aS'was\tbe\tVBD\tB-VP\tO' +p274349 +aS'unable\tunable\tJJ\tB-ADJP\tO' +p274350 +aS'to\tto\tTO\tB-VP\tO' +p274351 +aS'be\tbe\tVB\tI-VP\tO' +p274352 +aS'weaned\twean\tVBN\tI-VP\tO' +p274353 +aS'off\toff\tRP\tB-PRT\tO' +p274354 +aS'of\tof\tIN\tB-PP\tO' +p274355 +aS'his\this\tPRP$\tB-NP\tO' +p274356 +aS'Neo-Synephrine\tNeo-Synephrine\tJJ\tI-NP\tO' +p274357 +aS'drip\tdrip\tNN\tI-NP\tO' +p274358 +aS'.\t.\t.\tO\tO' +p274359 +asS'3. Regular 10 units intravenously q.6h. as needed .' +p274360 +(lp274361 +S'3.\t3.\tLS\tB-NP\tO' +p274362 +aS'Regular\tRegular\tJJ\tI-NP\tB-protein' +p274363 +aS'10\t10\tCD\tI-NP\tI-protein' +p274364 +aS'units\tunit\tNNS\tI-NP\tI-protein' +p274365 +aS'intravenously\tintravenously\tRB\tB-ADJP\tO' +p274366 +aS'q.6h.\tq.6h.\tNN\tI-ADJP\tO' +p274367 +aS'as\tas\tIN\tB-SBAR\tO' +p274368 +aS'needed\tneed\tVBN\tB-VP\tO' +p274369 +aS'.\t.\t.\tO\tO' +p274370 +asS'zocor 10 mg Tab / day GT' +p274371 +(lp274372 +S'zocor\tzocor\tNN\tB-NP\tB-protein' +p274373 +aS'10\t10\tCD\tI-NP\tI-protein' +p274374 +aS'mg\tmg\tNN\tI-NP\tI-protein' +p274375 +aS'Tab\tTab\tNN\tI-NP\tI-protein' +p274376 +aS'/\t/\tSYM\tB-NP\tO' +p274377 +aS'day\tday\tNN\tI-NP\tO' +p274378 +aS'GT\tGT\tNN\tI-NP\tO' +p274379 +asS'His wife found him with weak right leg , flaccid right arm , and severe dysarthria .' +p274380 +(lp274381 +S'His\tHis\tPRP$\tB-NP\tO' +p274382 +aS'wife\twife\tNN\tI-NP\tO' +p274383 +aS'found\tfind\tVBD\tB-VP\tO' +p274384 +aS'him\thim\tPRP\tB-NP\tO' +p274385 +aS'with\twith\tIN\tB-PP\tO' +p274386 +aS'weak\tweak\tJJ\tB-NP\tO' +p274387 +aS'right\tright\tJJ\tI-NP\tO' +p274388 +aS'leg\tleg\tNN\tI-NP\tO' +p274389 +aS',\t,\t,\tO\tO' +p274390 +aS'flaccid\tflaccid\tJJ\tB-NP\tO' +p274391 +aS'right\tright\tJJ\tI-NP\tO' +p274392 +aS'arm\tarm\tNN\tI-NP\tO' +p274393 +aS',\t,\t,\tO\tO' +p274394 +aS'and\tand\tCC\tO\tO' +p274395 +aS'severe\tsevere\tJJ\tB-NP\tO' +p274396 +aS'dysarthria\tdysarthria\tNN\tI-NP\tO' +p274397 +aS'.\t.\t.\tO\tO' +p274398 +asS'Because of the patient 's deteriorating state , the patient was brought to the operating room on 4/28/95 .' +p274399 +(lp274400 +S'Because\tBecause\tIN\tB-PP\tO' +p274401 +aS'of\tof\tIN\tI-PP\tO' +p274402 +aS'the\tthe\tDT\tB-NP\tO' +p274403 +aS'patient\tpatient\tNN\tI-NP\tO' +p274404 +aS''s\t'\tNNS\tI-NP\tO' +p274405 +aS'deteriorating\tdeteriorate\tVBG\tB-VP\tO' +p274406 +aS'state\tstate\tNN\tB-NP\tO' +p274407 +aS',\t,\t,\tO\tO' +p274408 +aS'the\tthe\tDT\tB-NP\tO' +p274409 +aS'patient\tpatient\tNN\tI-NP\tO' +p274410 +aS'was\tbe\tVBD\tB-VP\tO' +p274411 +aS'brought\tbring\tVBN\tI-VP\tO' +p274412 +aS'to\tto\tTO\tB-PP\tO' +p274413 +aS'the\tthe\tDT\tB-NP\tO' +p274414 +aS'operating\toperating\tNN\tI-NP\tO' +p274415 +aS'room\troom\tNN\tI-NP\tO' +p274416 +aS'on\ton\tIN\tB-PP\tO' +p274417 +aS'4/28/95\t4/28/95\tCD\tB-NP\tO' +p274418 +aS'.\t.\t.\tO\tO' +p274419 +asS'regular rate and rhythm , no murmur appreciated , normal S1 and S2 .' +p274420 +(lp274421 +S'regular\tregular\tJJ\tB-NP\tO' +p274422 +aS'rate\trate\tNN\tI-NP\tO' +p274423 +aS'and\tand\tCC\tI-NP\tO' +p274424 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p274425 +aS',\t,\t,\tO\tO' +p274426 +aS'no\tno\tDT\tB-NP\tO' +p274427 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p274428 +aS'appreciated\tappreciate\tVBN\tB-VP\tO' +p274429 +aS',\t,\t,\tO\tO' +p274430 +aS'normal\tnormal\tJJ\tB-NP\tO' +p274431 +aS'S1\tS1\tNN\tI-NP\tB-protein' +p274432 +aS'and\tand\tCC\tO\tO' +p274433 +aS'S2\tS2\tNN\tB-NP\tB-protein' +p274434 +aS'.\t.\t.\tO\tO' +p274435 +asS'Signed electronically by : DR. William Dunbar on : FRI 2020-09-25 1:30 PM' +p274436 +(lp274437 +S'Signed\tSign\tVBN\tB-VP\tO' +p274438 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p274439 +aS'by\tby\tIN\tB-PP\tO' +p274440 +aS':\t:\t:\tO\tO' +p274441 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p274442 +aS'William\tWilliam\tNNP\tI-NP\tO' +p274443 +aS'Dunbar\tDunbar\tNNP\tI-NP\tO' +p274444 +aS'on\ton\tIN\tB-PP\tO' +p274445 +aS':\t:\t:\tO\tO' +p274446 +aS'FRI\tFRI\tCD\tB-NP\tO' +p274447 +aS'2020-09-25\t2020-09-25\tCD\tI-NP\tO' +p274448 +aS'1:30\t1:30\tCD\tI-NP\tO' +p274449 +aS'PM\tPM\tNN\tI-NP\tO' +p274450 +asS'After a history on BiPAP about a half an hour , her ABG was 7.29 , 79 , and 106 on 30% pressure support of 5 and PEEP of 10 .' +p274451 +(lp274452 +S'After\tAfter\tIN\tB-PP\tO' +p274453 +aS'a\ta\tDT\tB-NP\tO' +p274454 +aS'history\thistory\tNN\tI-NP\tO' +p274455 +aS'on\ton\tIN\tB-PP\tO' +p274456 +aS'BiPAP\tBiPAP\tNN\tB-NP\tB-protein' +p274457 +aS'about\tabout\tIN\tB-PP\tO' +p274458 +aS'a\ta\tDT\tB-NP\tO' +p274459 +aS'half\thalf\tPDT\tI-NP\tO' +p274460 +aS'an\tan\tDT\tI-NP\tO' +p274461 +aS'hour\thour\tNN\tI-NP\tO' +p274462 +aS',\t,\t,\tO\tO' +p274463 +aS'her\ther\tPRP$\tB-NP\tO' +p274464 +aS'ABG\tABG\tNN\tI-NP\tO' +p274465 +aS'was\tbe\tVBD\tB-VP\tO' +p274466 +aS'7.29\t7.29\tCD\tB-NP\tO' +p274467 +aS',\t,\t,\tI-NP\tO' +p274468 +aS'79\t79\tCD\tI-NP\tO' +p274469 +aS',\t,\t,\tO\tO' +p274470 +aS'and\tand\tCC\tO\tO' +p274471 +aS'106\t106\tCD\tB-NP\tO' +p274472 +aS'on\ton\tIN\tB-PP\tO' +p274473 +aS'30%\t30%\tCD\tB-NP\tO' +p274474 +aS'pressure\tpressure\tNN\tI-NP\tO' +p274475 +aS'support\tsupport\tNN\tI-NP\tO' +p274476 +aS'of\tof\tIN\tB-PP\tO' +p274477 +aS'5\t5\tCD\tB-NP\tO' +p274478 +aS'and\tand\tCC\tI-NP\tO' +p274479 +aS'PEEP\tPEEP\tNN\tI-NP\tO' +p274480 +aS'of\tof\tIN\tB-PP\tO' +p274481 +aS'10\t10\tCD\tB-NP\tO' +p274482 +aS'.\t.\t.\tO\tO' +p274483 +asS'The patient reports no history of radiation exposure , no family history of thyroid carcinoma , no recent travels or exposure to tuberculosis .' +p274484 +(lp274485 +S'The\tThe\tDT\tB-NP\tO' +p274486 +aS'patient\tpatient\tNN\tI-NP\tO' +p274487 +aS'reports\treport\tVBZ\tB-VP\tO' +p274488 +aS'no\tno\tDT\tB-NP\tO' +p274489 +aS'history\thistory\tNN\tI-NP\tO' +p274490 +aS'of\tof\tIN\tB-PP\tO' +p274491 +aS'radiation\tradiation\tNN\tB-NP\tO' +p274492 +aS'exposure\texposure\tNN\tI-NP\tO' +p274493 +aS',\t,\t,\tO\tO' +p274494 +aS'no\tno\tDT\tB-NP\tO' +p274495 +aS'family\tfamily\tNN\tI-NP\tO' +p274496 +aS'history\thistory\tNN\tI-NP\tO' +p274497 +aS'of\tof\tIN\tB-PP\tO' +p274498 +aS'thyroid\tthyroid\tJJ\tB-NP\tO' +p274499 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p274500 +aS',\t,\t,\tO\tO' +p274501 +aS'no\tno\tDT\tB-NP\tO' +p274502 +aS'recent\trecent\tJJ\tI-NP\tO' +p274503 +aS'travels\ttravel\tNNS\tI-NP\tO' +p274504 +aS'or\tor\tCC\tI-NP\tO' +p274505 +aS'exposure\texposure\tNN\tI-NP\tO' +p274506 +aS'to\tto\tTO\tB-PP\tO' +p274507 +aS'tuberculosis\ttuberculosis\tNN\tB-NP\tO' +p274508 +aS'.\t.\t.\tO\tO' +p274509 +asS'She does not drink .' +p274510 +(lp274511 +S'She\tShe\tPRP\tB-NP\tO' +p274512 +aS'does\tdo\tVBZ\tB-VP\tO' +p274513 +aS'not\tnot\tRB\tI-VP\tO' +p274514 +aS'drink\tdrink\tVB\tI-VP\tO' +p274515 +aS'.\t.\t.\tO\tO' +p274516 +asS'11. Metoprolol Tartrate 25 mg Tablet Sig : 0.5 Tablet PO BID ( 2 times a day ) .' +p274517 +(lp274518 +S'11.\t11.\tLS\tB-NP\tO' +p274519 +aS'Metoprolol\tMetoprolol\tNN\tI-NP\tO' +p274520 +aS'Tartrate\tTartrate\tNN\tI-NP\tO' +p274521 +aS'25\t25\tCD\tI-NP\tO' +p274522 +aS'mg\tmg\tNN\tI-NP\tO' +p274523 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p274524 +aS'Sig\tSig\tNNP\tI-NP\tO' +p274525 +aS':\t:\t:\tO\tO' +p274526 +aS'0.5\t0.5\tCD\tB-NP\tO' +p274527 +aS'Tablet\tTablet\tNN\tI-NP\tO' +p274528 +aS'PO\tPO\tNN\tI-NP\tO' +p274529 +aS'BID\tBID\tNN\tI-NP\tO' +p274530 +aS'(\t(\t(\tO\tO' +p274531 +aS'2\t2\tCD\tB-NP\tO' +p274532 +aS'times\ttime\tNNS\tI-NP\tO' +p274533 +aS'a\ta\tDT\tB-NP\tO' +p274534 +aS'day\tday\tNN\tI-NP\tO' +p274535 +aS')\t)\t)\tO\tO' +p274536 +aS'.\t.\t.\tO\tO' +p274537 +asS'The patient was admitted to Nantucket Cottage Hospital on 2013-03-27 following a motor vehicle crash as described previously .' +p274538 +(lp274539 +S'The\tThe\tDT\tB-NP\tO' +p274540 +aS'patient\tpatient\tNN\tI-NP\tO' +p274541 +aS'was\tbe\tVBD\tB-VP\tO' +p274542 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p274543 +aS'to\tto\tTO\tB-PP\tO' +p274544 +aS'Nantucket\tNantucket\tNNP\tB-NP\tO' +p274545 +aS'Cottage\tCottage\tNNP\tI-NP\tO' +p274546 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p274547 +aS'on\ton\tIN\tB-PP\tO' +p274548 +aS'2013-03-27\t2013-03-27\tCD\tB-NP\tO' +p274549 +aS'following\tfollow\tVBG\tB-PP\tO' +p274550 +aS'a\ta\tDT\tB-NP\tO' +p274551 +aS'motor\tmotor\tNN\tI-NP\tO' +p274552 +aS'vehicle\tvehicle\tNN\tI-NP\tO' +p274553 +aS'crash\tcrash\tNN\tI-NP\tO' +p274554 +aS'as\tas\tIN\tB-SBAR\tO' +p274555 +aS'described\tdescribe\tVBN\tB-VP\tO' +p274556 +aS'previously\tpreviously\tRB\tB-ADVP\tO' +p274557 +aS'.\t.\t.\tO\tO' +p274558 +asS'She was afebrile , her vital signs were stable .' +p274559 +(lp274560 +S'She\tShe\tPRP\tB-NP\tO' +p274561 +aS'was\tbe\tVBD\tB-VP\tO' +p274562 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p274563 +aS',\t,\t,\tO\tO' +p274564 +aS'her\ther\tPRP$\tB-NP\tO' +p274565 +aS'vital\tvital\tJJ\tI-NP\tO' +p274566 +aS'signs\tsign\tNNS\tI-NP\tO' +p274567 +aS'were\tbe\tVBD\tB-VP\tO' +p274568 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p274569 +aS'.\t.\t.\tO\tO' +p274570 +asS'The patient complained of some urinary incontinence and difficulty initiating urine on December 30 , 2000 .' +p274571 +(lp274572 +S'The\tThe\tDT\tB-NP\tO' +p274573 +aS'patient\tpatient\tNN\tI-NP\tO' +p274574 +aS'complained\tcomplain\tVBD\tB-VP\tO' +p274575 +aS'of\tof\tIN\tB-PP\tO' +p274576 +aS'some\tsome\tDT\tB-NP\tO' +p274577 +aS'urinary\turinary\tJJ\tI-NP\tO' +p274578 +aS'incontinence\tincontinence\tNN\tI-NP\tO' +p274579 +aS'and\tand\tCC\tI-NP\tO' +p274580 +aS'difficulty\tdifficulty\tNN\tI-NP\tO' +p274581 +aS'initiating\tinitiate\tVBG\tB-VP\tO' +p274582 +aS'urine\turine\tNN\tB-NP\tO' +p274583 +aS'on\ton\tIN\tB-PP\tO' +p274584 +aS'December\tDecember\tNNP\tB-NP\tO' +p274585 +aS'30\t30\tCD\tI-NP\tO' +p274586 +aS',\t,\t,\tI-NP\tO' +p274587 +aS'2000\t2000\tCD\tI-NP\tO' +p274588 +aS'.\t.\t.\tO\tO' +p274589 +asS'Past OB history remarkable for postpartum depression .' +p274590 +(lp274591 +S'Past\tPast\tNN\tB-NP\tO' +p274592 +aS'OB\tOB\tNN\tI-NP\tO' +p274593 +aS'history\thistory\tNN\tI-NP\tO' +p274594 +aS'remarkable\tremarkable\tJJ\tB-ADJP\tO' +p274595 +aS'for\tfor\tIN\tB-PP\tO' +p274596 +aS'postpartum\tpostpartum\tNN\tB-NP\tO' +p274597 +aS'depression\tdepression\tNN\tI-NP\tO' +p274598 +aS'.\t.\t.\tO\tO' +p274599 +asS'Patient conitnued to have SI while on floor and was transferred to psychiatry .' +p274600 +(lp274601 +S'Patient\tPatient\tNN\tB-NP\tO' +p274602 +aS'conitnued\tconitnue\tVBD\tB-VP\tO' +p274603 +aS'to\tto\tTO\tI-VP\tO' +p274604 +aS'have\thave\tVB\tI-VP\tO' +p274605 +aS'SI\tSI\tNN\tB-NP\tO' +p274606 +aS'while\twhile\tIN\tB-SBAR\tO' +p274607 +aS'on\ton\tIN\tB-PP\tO' +p274608 +aS'floor\tfloor\tNN\tB-NP\tO' +p274609 +aS'and\tand\tCC\tO\tO' +p274610 +aS'was\tbe\tVBD\tB-VP\tO' +p274611 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p274612 +aS'to\tto\tTO\tB-PP\tO' +p274613 +aS'psychiatry\tpsychiatry\tNN\tB-NP\tO' +p274614 +aS'.\t.\t.\tO\tO' +p274615 +asS'The patient refused a biopsy for this admission and desires follow-up mammograms .' +p274616 +(lp274617 +S'The\tThe\tDT\tB-NP\tO' +p274618 +aS'patient\tpatient\tNN\tI-NP\tO' +p274619 +aS'refused\trefuse\tVBD\tB-VP\tO' +p274620 +aS'a\ta\tDT\tB-NP\tO' +p274621 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p274622 +aS'for\tfor\tIN\tB-PP\tO' +p274623 +aS'this\tthis\tDT\tB-NP\tO' +p274624 +aS'admission\tadmission\tNN\tI-NP\tO' +p274625 +aS'and\tand\tCC\tO\tO' +p274626 +aS'desires\tdesire\tVBZ\tB-VP\tO' +p274627 +aS'follow-up\tfollow-up\tJJ\tB-NP\tO' +p274628 +aS'mammograms\tmammogram\tNNS\tI-NP\tO' +p274629 +aS'.\t.\t.\tO\tO' +p274630 +asS"# Access -- 2 large bore PIV's" +p274631 +(lp274632 +S'#\t#\t#\tB-NP\tO' +p274633 +aS'Access\tAccess\tNNP\tI-NP\tO' +p274634 +aS'--\t--\t:\tO\tO' +p274635 +aS'2\t2\tCD\tB-NP\tO' +p274636 +aS'large\tlarge\tJJ\tI-NP\tO' +p274637 +aS'bore\tbore\tJJ\tI-NP\tO' +p274638 +aS"PIV's\tPIV'\tNNS\tI-NP\tO" +p274639 +asS'When this medication was discontinued , her BP came back up to the 70s-90s / 30s-50s .' +p274640 +(lp274641 +S'When\tWhen\tWRB\tB-ADVP\tO' +p274642 +aS'this\tthis\tDT\tB-NP\tO' +p274643 +aS'medication\tmedication\tNN\tI-NP\tO' +p274644 +aS'was\tbe\tVBD\tB-VP\tO' +p274645 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p274646 +aS',\t,\t,\tO\tO' +p274647 +aS'her\ther\tPRP$\tB-NP\tO' +p274648 +aS'BP\tBP\tNN\tI-NP\tO' +p274649 +aS'came\tcome\tVBD\tB-VP\tO' +p274650 +aS'back\tback\tRB\tB-ADVP\tO' +p274651 +aS'up\tup\tIN\tB-PP\tO' +p274652 +aS'to\tto\tTO\tB-PP\tO' +p274653 +aS'the\tthe\tDT\tB-NP\tO' +p274654 +aS'70s-90s\t70s-90s\tCD\tI-NP\tO' +p274655 +aS'/\t/\tSYM\tI-NP\tO' +p274656 +aS'30s-50s\t30s-50s\tCD\tI-NP\tO' +p274657 +aS'.\t.\t.\tO\tO' +p274658 +asS'6. Levofloxacin 250 mg p.o. q48 hours for the next five weeks for osteomyelitis .' +p274659 +(lp274660 +S'6.\t6.\tCD\tB-NP\tO' +p274661 +aS'Levofloxacin\tLevofloxacin\tNN\tI-NP\tO' +p274662 +aS'250\t250\tCD\tB-NP\tO' +p274663 +aS'mg\tmg\tNN\tI-NP\tO' +p274664 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p274665 +aS'q48\tq48\tNN\tI-NP\tO' +p274666 +aS'hours\thour\tNNS\tI-NP\tO' +p274667 +aS'for\tfor\tIN\tB-PP\tO' +p274668 +aS'the\tthe\tDT\tB-NP\tO' +p274669 +aS'next\tnext\tJJ\tI-NP\tO' +p274670 +aS'five\tfive\tCD\tI-NP\tO' +p274671 +aS'weeks\tweek\tNNS\tI-NP\tO' +p274672 +aS'for\tfor\tIN\tB-PP\tO' +p274673 +aS'osteomyelitis\tosteomyelitis\tNN\tB-NP\tO' +p274674 +aS'.\t.\t.\tO\tO' +p274675 +asS'Calcium 8.1 .' +p274676 +(lp274677 +S'Calcium\tCalcium\tNN\tB-NP\tO' +p274678 +aS'8.1\t8.1\tCD\tI-NP\tO' +p274679 +aS'.\t.\t.\tO\tO' +p274680 +asS'srom .' +p274681 +(lp274682 +S'srom\tsrom\tNN\tB-NP\tO' +p274683 +aS'.\t.\t.\tO\tO' +p274684 +asS'Cervix 1 cm dilated .' +p274685 +(lp274686 +S'Cervix\tCervix\tNN\tB-NP\tO' +p274687 +aS'1\t1\tCD\tI-NP\tO' +p274688 +aS'cm\tcm\tNN\tI-NP\tO' +p274689 +aS'dilated\tdilate\tVBN\tB-VP\tO' +p274690 +aS'.\t.\t.\tO\tO' +p274691 +asS'The contact social worker can be reached at ( 374 ) 419-2007 .' +p274692 +(lp274693 +S'The\tThe\tDT\tB-NP\tO' +p274694 +aS'contact\tcontact\tNN\tI-NP\tO' +p274695 +aS'social\tsocial\tJJ\tI-NP\tO' +p274696 +aS'worker\tworker\tNN\tI-NP\tO' +p274697 +aS'can\tcan\tMD\tB-VP\tO' +p274698 +aS'be\tbe\tVB\tI-VP\tO' +p274699 +aS'reached\treach\tVBN\tI-VP\tO' +p274700 +aS'at\tat\tIN\tB-PP\tO' +p274701 +aS'(\t(\t(\tO\tO' +p274702 +aS'374\t374\tCD\tB-NP\tO' +p274703 +aS')\t)\t)\tO\tO' +p274704 +aS'419-2007\t419-2007\tCD\tB-NP\tO' +p274705 +aS'.\t.\t.\tO\tO' +p274706 +asS'Review of these angiograms demonstrated a dominant right coronary artery with a focal 50% stenosis in the mid-portion .' +p274707 +(lp274708 +S'Review\tReview\tNN\tB-NP\tO' +p274709 +aS'of\tof\tIN\tB-PP\tO' +p274710 +aS'these\tthese\tDT\tB-NP\tO' +p274711 +aS'angiograms\tangiogram\tNNS\tI-NP\tO' +p274712 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p274713 +aS'a\ta\tDT\tB-NP\tO' +p274714 +aS'dominant\tdominant\tJJ\tI-NP\tO' +p274715 +aS'right\tright\tJJ\tI-NP\tO' +p274716 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p274717 +aS'artery\tartery\tNN\tI-NP\tO' +p274718 +aS'with\twith\tIN\tB-PP\tO' +p274719 +aS'a\ta\tDT\tB-NP\tO' +p274720 +aS'focal\tfocal\tJJ\tI-NP\tO' +p274721 +aS'50%\t50%\tCD\tI-NP\tO' +p274722 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p274723 +aS'in\tin\tIN\tB-PP\tO' +p274724 +aS'the\tthe\tDT\tB-NP\tO' +p274725 +aS'mid-portion\tmid-portion\tNN\tI-NP\tO' +p274726 +aS'.\t.\t.\tO\tO' +p274727 +asS'Pulmonary toilet and aggressive chest Physical Therapy was continued and the patient was able to be weaned from his oxygen .' +p274728 +(lp274729 +S'Pulmonary\tPulmonary\tJJ\tB-NP\tO' +p274730 +aS'toilet\ttoilet\tNN\tI-NP\tO' +p274731 +aS'and\tand\tCC\tO\tO' +p274732 +aS'aggressive\taggressive\tJJ\tB-NP\tO' +p274733 +aS'chest\tchest\tNN\tI-NP\tO' +p274734 +aS'Physical\tPhysical\tJJ\tI-NP\tO' +p274735 +aS'Therapy\tTherapy\tNN\tI-NP\tO' +p274736 +aS'was\tbe\tVBD\tB-VP\tO' +p274737 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p274738 +aS'and\tand\tCC\tO\tO' +p274739 +aS'the\tthe\tDT\tB-NP\tO' +p274740 +aS'patient\tpatient\tNN\tI-NP\tO' +p274741 +aS'was\tbe\tVBD\tB-VP\tO' +p274742 +aS'able\table\tJJ\tB-ADJP\tO' +p274743 +aS'to\tto\tTO\tB-VP\tO' +p274744 +aS'be\tbe\tVB\tI-VP\tO' +p274745 +aS'weaned\twean\tVBN\tI-VP\tO' +p274746 +aS'from\tfrom\tIN\tB-PP\tO' +p274747 +aS'his\this\tPRP$\tB-NP\tO' +p274748 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p274749 +aS'.\t.\t.\tO\tO' +p274750 +asS'Congestive heart failure .' +p274751 +(lp274752 +S'Congestive\tCongestive\tJJ\tB-NP\tO' +p274753 +aS'heart\theart\tNN\tI-NP\tO' +p274754 +aS'failure\tfailure\tNN\tI-NP\tO' +p274755 +aS'.\t.\t.\tO\tO' +p274756 +asS'Room air arterial blood gas was 56/40/7.45 .' +p274757 +(lp274758 +S'Room\tRoom\tNN\tB-NP\tO' +p274759 +aS'air\tair\tNN\tI-NP\tO' +p274760 +aS'arterial\tarterial\tJJ\tI-NP\tO' +p274761 +aS'blood\tblood\tNN\tI-NP\tO' +p274762 +aS'gas\tgas\tNN\tI-NP\tO' +p274763 +aS'was\tbe\tVBD\tB-VP\tO' +p274764 +aS'56/40/7.45\t56/40/7.45\tCD\tB-NP\tO' +p274765 +aS'.\t.\t.\tO\tO' +p274766 +asS'She had no further rebound .' +p274767 +(lp274768 +S'She\tShe\tPRP\tB-NP\tO' +p274769 +aS'had\thave\tVBD\tB-VP\tO' +p274770 +aS'no\tno\tDT\tB-NP\tO' +p274771 +aS'further\tfurther\tJJ\tI-NP\tO' +p274772 +aS'rebound\trebound\tNN\tI-NP\tO' +p274773 +aS'.\t.\t.\tO\tO' +p274774 +asS'On 2014-04-02 , the patient was awake , alert and oriented , taking Lactulose .' +p274775 +(lp274776 +S'On\tOn\tIN\tB-PP\tO' +p274777 +aS'2014-04-02\t2014-04-02\tCD\tB-NP\tO' +p274778 +aS',\t,\t,\tO\tO' +p274779 +aS'the\tthe\tDT\tB-NP\tO' +p274780 +aS'patient\tpatient\tNN\tI-NP\tO' +p274781 +aS'was\tbe\tVBD\tB-VP\tO' +p274782 +aS'awake\tawake\tJJ\tB-NP\tO' +p274783 +aS',\t,\t,\tI-NP\tO' +p274784 +aS'alert\talert\tJJ\tI-NP\tO' +p274785 +aS'and\tand\tCC\tI-NP\tO' +p274786 +aS'oriented\torient\tVBN\tI-NP\tO' +p274787 +aS',\t,\t,\tO\tO' +p274788 +aS'taking\ttake\tVBG\tB-VP\tO' +p274789 +aS'Lactulose\tLactulose\tNN\tB-NP\tO' +p274790 +aS'.\t.\t.\tO\tO' +p274791 +asS'There was no communication >.......< in the visualized vessels and the angiomas .' +p274792 +(lp274793 +S'There\tThere\tEX\tB-NP\tO' +p274794 +aS'was\tbe\tVBD\tB-VP\tO' +p274795 +aS'no\tno\tDT\tB-NP\tO' +p274796 +aS'communication\tcommunication\tNN\tI-NP\tO' +p274797 +aS'>.......<\t>.......<\tNN\tI-NP\tO' +p274798 +aS'in\tin\tIN\tB-PP\tO' +p274799 +aS'the\tthe\tDT\tB-NP\tO' +p274800 +aS'visualized\tvisualize\tVBN\tI-NP\tO' +p274801 +aS'vessels\tvessel\tNNS\tI-NP\tO' +p274802 +aS'and\tand\tCC\tO\tO' +p274803 +aS'the\tthe\tDT\tB-NP\tO' +p274804 +aS'angiomas\tangioma\tNNS\tI-NP\tO' +p274805 +aS'.\t.\t.\tO\tO' +p274806 +asS'He had a blood pressure 110/70 , heart rate 110 beats per minute and regular , respiratory rate 25 .' +p274807 +(lp274808 +S'He\tHe\tPRP\tB-NP\tO' +p274809 +aS'had\thave\tVBD\tB-VP\tO' +p274810 +aS'a\ta\tDT\tB-NP\tO' +p274811 +aS'blood\tblood\tNN\tI-NP\tO' +p274812 +aS'pressure\tpressure\tNN\tI-NP\tO' +p274813 +aS'110/70\t110/70\tCD\tI-NP\tO' +p274814 +aS',\t,\t,\tO\tO' +p274815 +aS'heart\theart\tNN\tB-NP\tO' +p274816 +aS'rate\trate\tNN\tI-NP\tO' +p274817 +aS'110\t110\tCD\tB-NP\tO' +p274818 +aS'beats\tbeat\tNNS\tI-NP\tO' +p274819 +aS'per\tper\tIN\tB-PP\tO' +p274820 +aS'minute\tminute\tNN\tB-NP\tO' +p274821 +aS'and\tand\tCC\tO\tO' +p274822 +aS'regular\tregular\tJJ\tB-NP\tO' +p274823 +aS',\t,\t,\tI-NP\tO' +p274824 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p274825 +aS'rate\trate\tNN\tI-NP\tO' +p274826 +aS'25\t25\tCD\tI-NP\tO' +p274827 +aS'.\t.\t.\tO\tO' +p274828 +asS'2. Warfarin 3 mg p.o. q h.s.' +p274829 +(lp274830 +S'2.\t2.\tLS\tB-NP\tO' +p274831 +aS'Warfarin\tWarfarin\tNNP\tI-NP\tO' +p274832 +aS'3\t3\tCD\tI-NP\tO' +p274833 +aS'mg\tmg\tNN\tI-NP\tO' +p274834 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p274835 +aS'q\tq\tNN\tI-NP\tO' +p274836 +aS'h.s.\th.s.\tNN\tI-NP\tO' +p274837 +asS'Biopsy of the lytic lesion was consistent with metastases papillary carcinoma of the thyroid .' +p274838 +(lp274839 +S'Biopsy\tBiopsy\tNN\tB-NP\tO' +p274840 +aS'of\tof\tIN\tB-PP\tO' +p274841 +aS'the\tthe\tDT\tB-NP\tO' +p274842 +aS'lytic\tlytic\tJJ\tI-NP\tO' +p274843 +aS'lesion\tlesion\tNN\tI-NP\tO' +p274844 +aS'was\tbe\tVBD\tB-VP\tO' +p274845 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p274846 +aS'with\twith\tIN\tB-PP\tO' +p274847 +aS'metastases\tmetastasis\tNNS\tB-NP\tO' +p274848 +aS'papillary\tpapillary\tJJ\tB-NP\tO' +p274849 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p274850 +aS'of\tof\tIN\tB-PP\tO' +p274851 +aS'the\tthe\tDT\tB-NP\tO' +p274852 +aS'thyroid\tthyroid\tNN\tI-NP\tO' +p274853 +aS'.\t.\t.\tO\tO' +p274854 +asS'The patient has a history of MI in 1989 .' +p274855 +(lp274856 +S'The\tThe\tDT\tB-NP\tO' +p274857 +aS'patient\tpatient\tNN\tI-NP\tO' +p274858 +aS'has\thave\tVBZ\tB-VP\tO' +p274859 +aS'a\ta\tDT\tB-NP\tO' +p274860 +aS'history\thistory\tNN\tI-NP\tO' +p274861 +aS'of\tof\tIN\tB-PP\tO' +p274862 +aS'MI\tMI\tNN\tB-NP\tB-protein' +p274863 +aS'in\tin\tIN\tB-PP\tO' +p274864 +aS'1989\t1989\tCD\tB-NP\tO' +p274865 +aS'.\t.\t.\tO\tO' +p274866 +asS'You were diagnosed with an epidural abscess .' +p274867 +(lp274868 +S'You\tYou\tPRP\tB-NP\tO' +p274869 +aS'were\tbe\tVBD\tB-VP\tO' +p274870 +aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' +p274871 +aS'with\twith\tIN\tB-PP\tO' +p274872 +aS'an\tan\tDT\tB-NP\tO' +p274873 +aS'epidural\tepidural\tJJ\tI-NP\tO' +p274874 +aS'abscess\tabscess\tNN\tI-NP\tO' +p274875 +aS'.\t.\t.\tO\tO' +p274876 +asS'The patient was then evaluated by Cardiac Surgery for probable re-do aortic valve replacement and possible re-do coronary artery bypass grafting .' +p274877 +(lp274878 +S'The\tThe\tDT\tB-NP\tO' +p274879 +aS'patient\tpatient\tNN\tI-NP\tO' +p274880 +aS'was\tbe\tVBD\tB-VP\tO' +p274881 +aS'then\tthen\tRB\tI-VP\tO' +p274882 +aS'evaluated\tevaluate\tVBN\tI-VP\tO' +p274883 +aS'by\tby\tIN\tB-PP\tO' +p274884 +aS'Cardiac\tCardiac\tNNP\tB-NP\tO' +p274885 +aS'Surgery\tSurgery\tNNP\tI-NP\tO' +p274886 +aS'for\tfor\tIN\tB-PP\tO' +p274887 +aS'probable\tprobable\tJJ\tB-NP\tO' +p274888 +aS're-do\tre-do\tJJ\tI-NP\tO' +p274889 +aS'aortic\taortic\tJJ\tI-NP\tO' +p274890 +aS'valve\tvalve\tNN\tI-NP\tO' +p274891 +aS'replacement\treplacement\tNN\tI-NP\tO' +p274892 +aS'and\tand\tCC\tO\tO' +p274893 +aS'possible\tpossible\tJJ\tB-NP\tO' +p274894 +aS're-do\tre-do\tJJ\tI-NP\tO' +p274895 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p274896 +aS'artery\tartery\tNN\tI-NP\tO' +p274897 +aS'bypass\tbypass\tIN\tB-PP\tO' +p274898 +aS'grafting\tgrafting\tNN\tB-NP\tO' +p274899 +aS'.\t.\t.\tO\tO' +p274900 +asS'The patient had multiple antibiotics withdrawn .' +p274901 +(lp274902 +S'The\tThe\tDT\tB-NP\tO' +p274903 +aS'patient\tpatient\tNN\tI-NP\tO' +p274904 +aS'had\thave\tVBD\tB-VP\tO' +p274905 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p274906 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p274907 +aS'withdrawn\twithdraw\tVBN\tB-VP\tO' +p274908 +aS'.\t.\t.\tO\tO' +p274909 +asS'C. difficile was negative times three prior to discharge .' +p274910 +(lp274911 +S'C.\tC.\tNN\tB-NP\tO' +p274912 +aS'difficile\tdifficile\tNN\tI-NP\tO' +p274913 +aS'was\tbe\tVBD\tB-VP\tO' +p274914 +aS'negative\tnegative\tJJ\tB-NP\tO' +p274915 +aS'times\ttime\tNNS\tI-NP\tO' +p274916 +aS'three\tthree\tCD\tI-NP\tO' +p274917 +aS'prior\tprior\tJJ\tI-NP\tO' +p274918 +aS'to\tto\tTO\tB-VP\tO' +p274919 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p274920 +aS'.\t.\t.\tO\tO' +p274921 +asS'No autopsy was obtained .' +p274922 +(lp274923 +S'No\tNo\tDT\tB-NP\tO' +p274924 +aS'autopsy\tautopsy\tNN\tI-NP\tO' +p274925 +aS'was\tbe\tVBD\tB-VP\tO' +p274926 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p274927 +aS'.\t.\t.\tO\tO' +p274928 +asS'She has known dilated cardiomyopathy with a baseline ejection fraction of approximately 25% .' +p274929 +(lp274930 +S'She\tShe\tPRP\tB-NP\tO' +p274931 +aS'has\thave\tVBZ\tB-VP\tO' +p274932 +aS'known\tknow\tVBN\tI-VP\tO' +p274933 +aS'dilated\tdilated\tJJ\tB-NP\tO' +p274934 +aS'cardiomyopathy\tcardiomyopathy\tNN\tI-NP\tO' +p274935 +aS'with\twith\tIN\tB-PP\tO' +p274936 +aS'a\ta\tDT\tB-NP\tO' +p274937 +aS'baseline\tbaseline\tNN\tI-NP\tO' +p274938 +aS'ejection\tejection\tNN\tI-NP\tO' +p274939 +aS'fraction\tfraction\tNN\tI-NP\tO' +p274940 +aS'of\tof\tIN\tB-PP\tO' +p274941 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p274942 +aS'25%\t25%\tCD\tI-NP\tO' +p274943 +aS'.\t.\t.\tO\tO' +p274944 +asS'He went to the Operating Room quickly and had an intramedullary rodding of the femur and open reduction and internal fixation of the radius and ulna .' +p274945 +(lp274946 +S'He\tHe\tPRP\tB-NP\tO' +p274947 +aS'went\tgo\tVBD\tB-VP\tO' +p274948 +aS'to\tto\tTO\tB-PP\tO' +p274949 +aS'the\tthe\tDT\tB-NP\tO' +p274950 +aS'Operating\tOperating\tNNP\tI-NP\tO' +p274951 +aS'Room\tRoom\tNNP\tI-NP\tO' +p274952 +aS'quickly\tquickly\tRB\tB-ADVP\tO' +p274953 +aS'and\tand\tCC\tO\tO' +p274954 +aS'had\thave\tVBD\tB-VP\tO' +p274955 +aS'an\tan\tDT\tB-NP\tO' +p274956 +aS'intramedullary\tintramedullary\tJJ\tI-NP\tO' +p274957 +aS'rodding\trodding\tNN\tI-NP\tO' +p274958 +aS'of\tof\tIN\tB-PP\tO' +p274959 +aS'the\tthe\tDT\tB-NP\tO' +p274960 +aS'femur\tfemur\tNN\tI-NP\tO' +p274961 +aS'and\tand\tCC\tI-NP\tO' +p274962 +aS'open\topen\tJJ\tI-NP\tO' +p274963 +aS'reduction\treduction\tNN\tI-NP\tO' +p274964 +aS'and\tand\tCC\tI-NP\tO' +p274965 +aS'internal\tinternal\tJJ\tI-NP\tO' +p274966 +aS'fixation\tfixation\tNN\tI-NP\tO' +p274967 +aS'of\tof\tIN\tB-PP\tO' +p274968 +aS'the\tthe\tDT\tB-NP\tO' +p274969 +aS'radius\tradius\tNN\tI-NP\tO' +p274970 +aS'and\tand\tCC\tI-NP\tO' +p274971 +aS'ulna\tulna\tNN\tI-NP\tO' +p274972 +aS'.\t.\t.\tO\tO' +p274973 +asS'He had a cardiac catheterization which revealed 3-vessel disease .' +p274974 +(lp274975 +S'He\tHe\tPRP\tB-NP\tO' +p274976 +aS'had\thave\tVBD\tB-VP\tO' +p274977 +aS'a\ta\tDT\tB-NP\tO' +p274978 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p274979 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p274980 +aS'which\twhich\tWDT\tB-NP\tO' +p274981 +aS'revealed\treveal\tVBD\tB-VP\tO' +p274982 +aS'3-vessel\t3-vessel\tJJ\tB-NP\tO' +p274983 +aS'disease\tdisease\tNN\tI-NP\tO' +p274984 +aS'.\t.\t.\tO\tO' +p274985 +asS'He had no complications and no subsequently pancreatitis .' +p274986 +(lp274987 +S'He\tHe\tPRP\tB-NP\tO' +p274988 +aS'had\thave\tVBD\tB-VP\tO' +p274989 +aS'no\tno\tDT\tB-NP\tO' +p274990 +aS'complications\tcomplication\tNNS\tI-NP\tO' +p274991 +aS'and\tand\tCC\tO\tO' +p274992 +aS'no\tno\tDT\tB-NP\tO' +p274993 +aS'subsequently\tsubsequently\tRB\tI-NP\tO' +p274994 +aS'pancreatitis\tpancreatitis\tNN\tI-NP\tO' +p274995 +aS'.\t.\t.\tO\tO' +p274996 +asS'4. Fluconazole 200 mg po qd .' +p274997 +(lp274998 +S'4.\t4.\tLS\tB-NP\tO' +p274999 +aS'Fluconazole\tFluconazole\tNN\tI-NP\tO' +p275000 +aS'200\t200\tCD\tI-NP\tO' +p275001 +aS'mg\tmg\tNN\tI-NP\tO' +p275002 +aS'po\tpo\tNN\tI-NP\tO' +p275003 +aS'qd\tqd\tNN\tI-NP\tO' +p275004 +aS'.\t.\t.\tO\tO' +p275005 +asS'Non-focal , except unable to assess left upper extremity secondary to the patient 's broken humeral fracture .' +p275006 +(lp275007 +S'Non-focal\tNon-focal\tJJ\tB-ADVP\tO' +p275008 +aS',\t,\t,\tO\tO' +p275009 +aS'except\texcept\tIN\tB-PP\tO' +p275010 +aS'unable\tunable\tJJ\tB-ADJP\tO' +p275011 +aS'to\tto\tTO\tB-VP\tO' +p275012 +aS'assess\tassess\tVB\tI-VP\tO' +p275013 +aS'left\tleft\tJJ\tB-NP\tO' +p275014 +aS'upper\tupper\tJJ\tI-NP\tO' +p275015 +aS'extremity\textremity\tNN\tI-NP\tO' +p275016 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p275017 +aS'to\tto\tTO\tB-PP\tO' +p275018 +aS'the\tthe\tDT\tB-NP\tO' +p275019 +aS'patient\tpatient\tNN\tI-NP\tO' +p275020 +aS''s\t'\tNNS\tI-NP\tO' +p275021 +aS'broken\tbreak\tVBP\tB-VP\tO' +p275022 +aS'humeral\thumeral\tJJ\tB-NP\tO' +p275023 +aS'fracture\tfracture\tNN\tI-NP\tO' +p275024 +aS'.\t.\t.\tO\tO' +p275025 +asS'The patient was not diuresed but allowed to auto-diurese any additional fluids and is currently with O2 sats 97-98% on room air .' +p275026 +(lp275027 +S'The\tThe\tDT\tB-NP\tO' +p275028 +aS'patient\tpatient\tNN\tI-NP\tO' +p275029 +aS'was\tbe\tVBD\tB-VP\tO' +p275030 +aS'not\tnot\tRB\tI-VP\tO' +p275031 +aS'diuresed\tdiurese\tVBN\tI-VP\tO' +p275032 +aS'but\tbut\tCC\tO\tO' +p275033 +aS'allowed\tallow\tVBN\tB-VP\tO' +p275034 +aS'to\tto\tTO\tI-VP\tO' +p275035 +aS'auto-diurese\tauto-diurese\tVB\tI-VP\tO' +p275036 +aS'any\tany\tDT\tB-NP\tO' +p275037 +aS'additional\tadditional\tJJ\tI-NP\tO' +p275038 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p275039 +aS'and\tand\tCC\tO\tO' +p275040 +aS'is\tbe\tVBZ\tB-VP\tO' +p275041 +aS'currently\tcurrently\tRB\tB-ADVP\tO' +p275042 +aS'with\twith\tIN\tB-PP\tO' +p275043 +aS'O2\tO2\tNN\tB-NP\tO' +p275044 +aS'sats\tsat\tNNS\tI-NP\tO' +p275045 +aS'97-98%\t97-98%\tJJ\tB-ADJP\tO' +p275046 +aS'on\ton\tIN\tB-PP\tO' +p275047 +aS'room\troom\tNN\tB-NP\tO' +p275048 +aS'air\tair\tNN\tI-NP\tO' +p275049 +aS'.\t.\t.\tO\tO' +p275050 +asS'Ms. Less was initially admitted to the Vascular Surgery Service for Dr. Scosthuang and was recently transferred to the Neurosurgery Service under the care of Dr. Pae .' +p275051 +(lp275052 +S'Ms.\tMs.\tNNP\tB-NP\tO' +p275053 +aS'Less\tLess\tNNP\tI-NP\tO' +p275054 +aS'was\tbe\tVBD\tB-VP\tO' +p275055 +aS'initially\tinitially\tRB\tI-VP\tO' +p275056 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p275057 +aS'to\tto\tTO\tB-PP\tO' +p275058 +aS'the\tthe\tDT\tB-NP\tO' +p275059 +aS'Vascular\tVascular\tNNP\tI-NP\tO' +p275060 +aS'Surgery\tSurgery\tNNP\tI-NP\tO' +p275061 +aS'Service\tService\tNNP\tI-NP\tO' +p275062 +aS'for\tfor\tIN\tB-PP\tO' +p275063 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p275064 +aS'Scosthuang\tScosthuang\tNNP\tI-NP\tO' +p275065 +aS'and\tand\tCC\tO\tO' +p275066 +aS'was\tbe\tVBD\tB-VP\tO' +p275067 +aS'recently\trecently\tRB\tI-VP\tO' +p275068 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p275069 +aS'to\tto\tTO\tB-PP\tO' +p275070 +aS'the\tthe\tDT\tB-NP\tO' +p275071 +aS'Neurosurgery\tNeurosurgery\tNNP\tI-NP\tO' +p275072 +aS'Service\tService\tNNP\tI-NP\tO' +p275073 +aS'under\tunder\tIN\tB-PP\tO' +p275074 +aS'the\tthe\tDT\tB-NP\tO' +p275075 +aS'care\tcare\tNN\tI-NP\tO' +p275076 +aS'of\tof\tIN\tB-PP\tO' +p275077 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p275078 +aS'Pae\tPae\tNNP\tI-NP\tO' +p275079 +aS'.\t.\t.\tO\tO' +p275080 +asS'She continued to remained nauseated so she was treated with phenergan , anzemet , zofran , and ativan .' +p275081 +(lp275082 +S'She\tShe\tPRP\tB-NP\tO' +p275083 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p275084 +aS'to\tto\tTO\tI-VP\tO' +p275085 +aS'remained\tremain\tVBN\tI-VP\tO' +p275086 +aS'nauseated\tnauseate\tVBN\tI-VP\tO' +p275087 +aS'so\tso\tIN\tB-SBAR\tO' +p275088 +aS'she\tshe\tPRP\tB-NP\tO' +p275089 +aS'was\tbe\tVBD\tB-VP\tO' +p275090 +aS'treated\ttreat\tVBN\tI-VP\tO' +p275091 +aS'with\twith\tIN\tB-PP\tO' +p275092 +aS'phenergan\tphenergan\tNN\tB-NP\tO' +p275093 +aS',\t,\t,\tO\tO' +p275094 +aS'anzemet\tanzemet\tNN\tB-NP\tO' +p275095 +aS',\t,\t,\tO\tO' +p275096 +aS'zofran\tzofran\tNN\tB-NP\tO' +p275097 +aS',\t,\t,\tO\tO' +p275098 +aS'and\tand\tCC\tO\tO' +p275099 +aS'ativan\tativan\tNN\tB-NP\tO' +p275100 +aS'.\t.\t.\tO\tO' +p275101 +asS'There is no midline shift , mass effect , hydrocephalus , or territorial infarct .' +p275102 +(lp275103 +S'There\tThere\tEX\tB-NP\tO' +p275104 +aS'is\tbe\tVBZ\tB-VP\tO' +p275105 +aS'no\tno\tDT\tB-NP\tO' +p275106 +aS'midline\tmidline\tNN\tI-NP\tO' +p275107 +aS'shift\tshift\tNN\tI-NP\tO' +p275108 +aS',\t,\t,\tO\tO' +p275109 +aS'mass\tmass\tNN\tB-NP\tO' +p275110 +aS'effect\teffect\tNN\tI-NP\tO' +p275111 +aS',\t,\t,\tO\tO' +p275112 +aS'hydrocephalus\thydrocephalus\tNN\tB-NP\tO' +p275113 +aS',\t,\t,\tO\tO' +p275114 +aS'or\tor\tCC\tO\tO' +p275115 +aS'territorial\tterritorial\tJJ\tB-NP\tO' +p275116 +aS'infarct\tinfarct\tNN\tI-NP\tO' +p275117 +aS'.\t.\t.\tO\tO' +p275118 +asS'2. Marinol 2.5 mg p.o. b.i.d. before breakfast and dinner .' +p275119 +(lp275120 +S'2.\t2.\tLS\tB-NP\tO' +p275121 +aS'Marinol\tMarinol\tNNP\tI-NP\tO' +p275122 +aS'2.5\t2.5\tCD\tI-NP\tO' +p275123 +aS'mg\tmg\tNN\tI-NP\tO' +p275124 +aS'p.o.\tp.o.\tFW\tB-ADVP\tO' +p275125 +aS'b.i.d.\tb.i.d.\tFW\tI-ADVP\tO' +p275126 +aS'before\tbefore\tIN\tB-PP\tO' +p275127 +aS'breakfast\tbreakfast\tNN\tB-NP\tO' +p275128 +aS'and\tand\tCC\tI-NP\tO' +p275129 +aS'dinner\tdinner\tNN\tI-NP\tO' +p275130 +aS'.\t.\t.\tO\tO' +p275131 +asS'Heparin 3000 U tu , thursday saturday' +p275132 +(lp275133 +S'Heparin\tHeparin\tNN\tB-NP\tO' +p275134 +aS'3000\t3000\tCD\tI-NP\tO' +p275135 +aS'U\tU\tNN\tI-NP\tO' +p275136 +aS'tu\ttu\tNN\tI-NP\tO' +p275137 +aS',\t,\t,\tO\tO' +p275138 +aS'thursday\tthursday\tNN\tB-NP\tO' +p275139 +aS'saturday\tsaturday\tNN\tI-NP\tO' +p275140 +asS'1) Bilateral LE doppler ( 06-14 ): No evidence of deep venous thrombosis in the lower extremities bilaterally .' +p275141 +(lp275142 +S'1)\t1)\tLS\tB-NP\tO' +p275143 +aS'Bilateral\tBilateral\tJJ\tI-NP\tO' +p275144 +aS'LE\tLE\tNN\tI-NP\tO' +p275145 +aS'doppler\tdoppler\tNN\tI-NP\tO' +p275146 +aS'(\t(\t(\tO\tO' +p275147 +aS'06-14\t06-14\tCD\tB-NP\tO' +p275148 +aS'):\t):\t)\tO\tO' +p275149 +aS'No\tNo\tDT\tB-NP\tO' +p275150 +aS'evidence\tevidence\tNN\tI-NP\tO' +p275151 +aS'of\tof\tIN\tB-PP\tO' +p275152 +aS'deep\tdeep\tJJ\tB-NP\tO' +p275153 +aS'venous\tvenous\tJJ\tI-NP\tO' +p275154 +aS'thrombosis\tthrombosis\tNN\tI-NP\tO' +p275155 +aS'in\tin\tIN\tB-PP\tO' +p275156 +aS'the\tthe\tDT\tB-NP\tO' +p275157 +aS'lower\tlow\tJJR\tI-NP\tO' +p275158 +aS'extremities\textremity\tNNS\tI-NP\tO' +p275159 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p275160 +aS'.\t.\t.\tO\tO' +p275161 +asS'Brief Hospital Course : see dc summary' +p275162 +(lp275163 +S'Brief\tBrief\tNNP\tB-NP\tO' +p275164 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p275165 +aS'Course\tCourse\tNNP\tI-NP\tO' +p275166 +aS':\t:\t:\tO\tO' +p275167 +aS'see\tsee\tVB\tB-VP\tO' +p275168 +aS'dc\tdc\tNN\tB-NP\tO' +p275169 +aS'summary\tsummary\tNN\tI-NP\tO' +p275170 +asS'Therefore , the cause of her mild diarrhea ( few loose BM / liquid stool / night ) may be either viral or secondary to resolving abdominal hematoma with resultant irritation of GI system .' +p275171 +(lp275172 +S'Therefore\tTherefore\tRB\tB-ADVP\tO' +p275173 +aS',\t,\t,\tO\tO' +p275174 +aS'the\tthe\tDT\tB-NP\tO' +p275175 +aS'cause\tcause\tNN\tI-NP\tO' +p275176 +aS'of\tof\tIN\tB-PP\tO' +p275177 +aS'her\ther\tPRP$\tB-NP\tO' +p275178 +aS'mild\tmild\tJJ\tI-NP\tO' +p275179 +aS'diarrhea\tdiarrhea\tNN\tI-NP\tO' +p275180 +aS'(\t(\t(\tO\tO' +p275181 +aS'few\tfew\tJJ\tB-NP\tO' +p275182 +aS'loose\tloose\tJJ\tI-NP\tO' +p275183 +aS'BM\tBM\tNN\tI-NP\tO' +p275184 +aS'/\t/\tSYM\tB-NP\tO' +p275185 +aS'liquid\tliquid\tNN\tI-NP\tO' +p275186 +aS'stool\tstool\tNN\tI-NP\tO' +p275187 +aS'/\t/\tSYM\tB-NP\tO' +p275188 +aS'night\tnight\tNN\tI-NP\tO' +p275189 +aS')\t)\t)\tO\tO' +p275190 +aS'may\tmay\tMD\tB-VP\tO' +p275191 +aS'be\tbe\tVB\tI-VP\tO' +p275192 +aS'either\teither\tCC\tO\tO' +p275193 +aS'viral\tviral\tJJ\tB-ADJP\tO' +p275194 +aS'or\tor\tCC\tI-ADJP\tO' +p275195 +aS'secondary\tsecondary\tJJ\tI-ADJP\tO' +p275196 +aS'to\tto\tTO\tB-PP\tO' +p275197 +aS'resolving\tresolve\tVBG\tB-VP\tO' +p275198 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p275199 +aS'hematoma\thematoma\tNN\tI-NP\tO' +p275200 +aS'with\twith\tIN\tB-PP\tO' +p275201 +aS'resultant\tresultant\tJJ\tB-NP\tO' +p275202 +aS'irritation\tirritation\tNN\tI-NP\tO' +p275203 +aS'of\tof\tIN\tB-PP\tO' +p275204 +aS'GI\tGI\tNN\tB-NP\tO' +p275205 +aS'system\tsystem\tNN\tI-NP\tO' +p275206 +aS'.\t.\t.\tO\tO' +p275207 +asS'- worsening pain or weakness in your legs , loss of bowel or bladder function or any other concerning symptoms .' +p275208 +(lp275209 +S'-\t-\tHYPH\tB-NP\tO' +p275210 +aS'worsening\tworsen\tVBG\tB-VP\tO' +p275211 +aS'pain\tpain\tNN\tB-NP\tO' +p275212 +aS'or\tor\tCC\tI-NP\tO' +p275213 +aS'weakness\tweakness\tNN\tI-NP\tO' +p275214 +aS'in\tin\tIN\tB-PP\tO' +p275215 +aS'your\tyour\tPRP$\tB-NP\tO' +p275216 +aS'legs\tleg\tNNS\tI-NP\tO' +p275217 +aS',\t,\t,\tO\tO' +p275218 +aS'loss\tloss\tNN\tB-NP\tO' +p275219 +aS'of\tof\tIN\tB-PP\tO' +p275220 +aS'bowel\tbowel\tNN\tB-NP\tO' +p275221 +aS'or\tor\tCC\tI-NP\tO' +p275222 +aS'bladder\tbladder\tNN\tI-NP\tO' +p275223 +aS'function\tfunction\tNN\tI-NP\tO' +p275224 +aS'or\tor\tCC\tO\tO' +p275225 +aS'any\tany\tDT\tB-NP\tO' +p275226 +aS'other\tother\tJJ\tI-NP\tO' +p275227 +aS'concerning\tconcern\tVBG\tI-NP\tO' +p275228 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p275229 +aS'.\t.\t.\tO\tO' +p275230 +asS'He has had no recent weight loss , no light-headedness or dizziness .' +p275231 +(lp275232 +S'He\tHe\tPRP\tB-NP\tO' +p275233 +aS'has\thave\tVBZ\tB-VP\tO' +p275234 +aS'had\thave\tVBN\tI-VP\tO' +p275235 +aS'no\tno\tDT\tB-NP\tO' +p275236 +aS'recent\trecent\tJJ\tI-NP\tO' +p275237 +aS'weight\tweight\tNN\tI-NP\tO' +p275238 +aS'loss\tloss\tNN\tI-NP\tO' +p275239 +aS',\t,\t,\tO\tO' +p275240 +aS'no\tno\tDT\tB-NP\tO' +p275241 +aS'light-headedness\tlight-headedness\tNN\tI-NP\tO' +p275242 +aS'or\tor\tCC\tI-NP\tO' +p275243 +aS'dizziness\tdizziness\tNN\tI-NP\tO' +p275244 +aS'.\t.\t.\tO\tO' +p275245 +asS'MS Contin , MSIR , and Percocet .' +p275246 +(lp275247 +S'MS\tMS\tNN\tB-NP\tB-protein' +p275248 +aS'Contin\tContin\tNN\tI-NP\tI-protein' +p275249 +aS',\t,\t,\tO\tO' +p275250 +aS'MSIR\tMSIR\tNN\tB-NP\tB-protein' +p275251 +aS',\t,\t,\tO\tO' +p275252 +aS'and\tand\tCC\tO\tO' +p275253 +aS'Percocet\tPercocet\tNNP\tB-NP\tO' +p275254 +aS'.\t.\t.\tO\tO' +p275255 +asS'OF TWO COLONIAL MORPHOLOGIES .' +p275256 +(lp275257 +S'OF\tOF\tIN\tB-PP\tO' +p275258 +aS'TWO\tTWO\tCD\tB-NP\tO' +p275259 +aS'COLONIAL\tCOLONIAL\tJJ\tI-NP\tO' +p275260 +aS'MORPHOLOGIES\tMORPHOLOGIES\tNNS\tI-NP\tO' +p275261 +aS'.\t.\t.\tO\tO' +p275262 +asS'Please contact lab control at Mattapan Community Health Center for results : ( 409 ) 238-8236 .' +p275263 +(lp275264 +S'Please\tPlease\tNN\tB-NP\tO' +p275265 +aS'contact\tcontact\tNN\tI-NP\tO' +p275266 +aS'lab\tlab\tNN\tI-NP\tO' +p275267 +aS'control\tcontrol\tNN\tI-NP\tO' +p275268 +aS'at\tat\tIN\tB-PP\tO' +p275269 +aS'Mattapan\tMattapan\tNNP\tB-NP\tO' +p275270 +aS'Community\tCommunity\tNNP\tI-NP\tO' +p275271 +aS'Health\tHealth\tNNP\tI-NP\tO' +p275272 +aS'Center\tCenter\tNNP\tI-NP\tO' +p275273 +aS'for\tfor\tIN\tB-PP\tO' +p275274 +aS'results\tresult\tNNS\tB-NP\tO' +p275275 +aS':\t:\t:\tO\tO' +p275276 +aS'(\t(\t(\tO\tO' +p275277 +aS'409\t409\tCD\tB-NP\tO' +p275278 +aS')\t)\t)\tO\tO' +p275279 +aS'238-8236\t238-8236\tCD\tB-NP\tO' +p275280 +aS'.\t.\t.\tO\tO' +p275281 +asS'Head ultrasound on day of life seven showed no intraventricular hemorrhage .' +p275282 +(lp275283 +S'Head\tHead\tJJ\tB-NP\tO' +p275284 +aS'ultrasound\tultrasound\tNN\tI-NP\tO' +p275285 +aS'on\ton\tIN\tB-PP\tO' +p275286 +aS'day\tday\tNN\tB-NP\tO' +p275287 +aS'of\tof\tIN\tB-PP\tO' +p275288 +aS'life\tlife\tNN\tB-NP\tO' +p275289 +aS'seven\tseven\tCD\tI-NP\tO' +p275290 +aS'showed\tshow\tVBD\tB-VP\tO' +p275291 +aS'no\tno\tDT\tB-NP\tO' +p275292 +aS'intraventricular\tintraventricular\tJJ\tI-NP\tO' +p275293 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p275294 +aS'.\t.\t.\tO\tO' +p275295 +asS'Also ehancing is 3 mm linear lesion in the left hippocampal cortex anteriorly , not seen on the 08-20 MR , but that study was very motion - degraded .' +p275296 +(lp275297 +S'Also\tAlso\tRB\tB-ADVP\tO' +p275298 +aS'ehancing\tehance\tVBG\tB-VP\tO' +p275299 +aS'is\tbe\tVBZ\tB-VP\tO' +p275300 +aS'3\t3\tCD\tB-NP\tO' +p275301 +aS'mm\tmm\tNN\tI-NP\tO' +p275302 +aS'linear\tlinear\tJJ\tI-NP\tO' +p275303 +aS'lesion\tlesion\tNN\tI-NP\tO' +p275304 +aS'in\tin\tIN\tB-PP\tO' +p275305 +aS'the\tthe\tDT\tB-NP\tO' +p275306 +aS'left\tleft\tJJ\tI-NP\tO' +p275307 +aS'hippocampal\thippocampal\tJJ\tI-NP\tO' +p275308 +aS'cortex\tcortex\tNN\tI-NP\tO' +p275309 +aS'anteriorly\tanteriorly\tRB\tB-ADVP\tO' +p275310 +aS',\t,\t,\tO\tO' +p275311 +aS'not\tnot\tRB\tB-VP\tO' +p275312 +aS'seen\tsee\tVBN\tI-VP\tO' +p275313 +aS'on\ton\tIN\tB-PP\tO' +p275314 +aS'the\tthe\tDT\tB-NP\tO' +p275315 +aS'08-20\t08-20\tJJ\tI-NP\tB-protein' +p275316 +aS'MR\tMR\tNN\tI-NP\tI-protein' +p275317 +aS',\t,\t,\tO\tO' +p275318 +aS'but\tbut\tCC\tO\tO' +p275319 +aS'that\tthat\tIN\tB-SBAR\tO' +p275320 +aS'study\tstudy\tNN\tB-NP\tO' +p275321 +aS'was\tbe\tVBD\tB-VP\tO' +p275322 +aS'very\tvery\tRB\tB-NP\tO' +p275323 +aS'motion\tmotion\tNN\tI-NP\tO' +p275324 +aS'-\t-\tHYPH\tB-NP\tO' +p275325 +aS'degraded\tdegrade\tVBN\tB-VP\tO' +p275326 +aS'.\t.\t.\tO\tO' +p275327 +asS'His activity level was increased with the assistance of physical therapy department and the nursing staff .' +p275328 +(lp275329 +S'His\tHis\tPRP$\tB-NP\tB-protein' +p275330 +aS'activity\tactivity\tNN\tI-NP\tO' +p275331 +aS'level\tlevel\tNN\tI-NP\tO' +p275332 +aS'was\tbe\tVBD\tB-VP\tO' +p275333 +aS'increased\tincrease\tVBN\tI-VP\tO' +p275334 +aS'with\twith\tIN\tB-PP\tO' +p275335 +aS'the\tthe\tDT\tB-NP\tO' +p275336 +aS'assistance\tassistance\tNN\tI-NP\tO' +p275337 +aS'of\tof\tIN\tB-PP\tO' +p275338 +aS'physical\tphysical\tJJ\tB-NP\tO' +p275339 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p275340 +aS'department\tdepartment\tNN\tI-NP\tO' +p275341 +aS'and\tand\tCC\tO\tO' +p275342 +aS'the\tthe\tDT\tB-NP\tO' +p275343 +aS'nursing\tnursing\tNN\tI-NP\tO' +p275344 +aS'staff\tstaff\tNN\tI-NP\tO' +p275345 +aS'.\t.\t.\tO\tO' +p275346 +asS"She was seen again by primary care physician , Roderick since she had complaints of dizziness , as well as a new complaint of decreased hearing and the sensation of static in her ears , meniere 's disease was considered ." +p275347 +(lp275348 +S'She\tShe\tPRP\tB-NP\tO' +p275349 +aS'was\tbe\tVBD\tB-VP\tO' +p275350 +aS'seen\tsee\tVBN\tI-VP\tO' +p275351 +aS'again\tagain\tRB\tB-ADVP\tO' +p275352 +aS'by\tby\tIN\tB-PP\tO' +p275353 +aS'primary\tprimary\tJJ\tB-NP\tO' +p275354 +aS'care\tcare\tNN\tI-NP\tO' +p275355 +aS'physician\tphysician\tNN\tI-NP\tO' +p275356 +aS',\t,\t,\tO\tO' +p275357 +aS'Roderick\tRoderick\tNNP\tB-NP\tO' +p275358 +aS'since\tsince\tIN\tB-SBAR\tO' +p275359 +aS'she\tshe\tPRP\tB-NP\tO' +p275360 +aS'had\thave\tVBD\tB-VP\tO' +p275361 +aS'complaints\tcomplaint\tNNS\tB-NP\tO' +p275362 +aS'of\tof\tIN\tB-PP\tO' +p275363 +aS'dizziness\tdizziness\tNN\tB-NP\tO' +p275364 +aS',\t,\t,\tO\tO' +p275365 +aS'as\tas\tRB\tB-CONJP\tO' +p275366 +aS'well\twell\tRB\tI-CONJP\tO' +p275367 +aS'as\tas\tIN\tI-CONJP\tO' +p275368 +aS'a\ta\tDT\tB-NP\tO' +p275369 +aS'new\tnew\tJJ\tI-NP\tO' +p275370 +aS'complaint\tcomplaint\tNN\tI-NP\tO' +p275371 +aS'of\tof\tIN\tB-PP\tO' +p275372 +aS'decreased\tdecrease\tVBN\tB-NP\tO' +p275373 +aS'hearing\thearing\tNN\tI-NP\tO' +p275374 +aS'and\tand\tCC\tO\tO' +p275375 +aS'the\tthe\tDT\tB-NP\tO' +p275376 +aS'sensation\tsensation\tNN\tI-NP\tO' +p275377 +aS'of\tof\tIN\tB-PP\tO' +p275378 +aS'static\tstatic\tJJ\tB-NP\tO' +p275379 +aS'in\tin\tIN\tB-PP\tO' +p275380 +aS'her\ther\tPRP$\tB-NP\tO' +p275381 +aS'ears\tear\tNNS\tI-NP\tO' +p275382 +aS',\t,\t,\tO\tO' +p275383 +aS'meniere\tmeniere\tVBP\tB-VP\tO' +p275384 +aS"'s\t's\tPOS\tB-NP\tO" +p275385 +aS'disease\tdisease\tNN\tI-NP\tO' +p275386 +aS'was\tbe\tVBD\tB-VP\tO' +p275387 +aS'considered\tconsider\tVBN\tI-VP\tO' +p275388 +aS'.\t.\t.\tO\tO' +p275389 +asS'The lungs were coarse bilaterally with moderate retractions .' +p275390 +(lp275391 +S'The\tThe\tDT\tB-NP\tO' +p275392 +aS'lungs\tlung\tNNS\tI-NP\tO' +p275393 +aS'were\tbe\tVBD\tB-VP\tO' +p275394 +aS'coarse\tcoarse\tNN\tB-NP\tO' +p275395 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p275396 +aS'with\twith\tIN\tB-PP\tO' +p275397 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p275398 +aS'retractions\tretraction\tNNS\tI-NP\tO' +p275399 +aS'.\t.\t.\tO\tO' +p275400 +asS'Brain atrophy .' +p275401 +(lp275402 +S'Brain\tBrain\tNN\tB-NP\tO' +p275403 +aS'atrophy\tatrophy\tNN\tI-NP\tO' +p275404 +aS'.\t.\t.\tO\tO' +p275405 +asS"Patient 's blood pressures were noted to decrease systolics to the 80s , which responded to IV fluids and insulin / glucose drips ." +p275406 +(lp275407 +S'Patient\tPatient\tNN\tB-NP\tO' +p275408 +aS"'s\t's\tPOS\tB-NP\tO" +p275409 +aS'blood\tblood\tNN\tI-NP\tO' +p275410 +aS'pressures\tpressure\tNNS\tI-NP\tO' +p275411 +aS'were\tbe\tVBD\tB-VP\tO' +p275412 +aS'noted\tnote\tVBN\tI-VP\tO' +p275413 +aS'to\tto\tTO\tI-VP\tO' +p275414 +aS'decrease\tdecrease\tVB\tI-VP\tO' +p275415 +aS'systolics\tsystolic\tNNS\tB-NP\tO' +p275416 +aS'to\tto\tTO\tB-PP\tO' +p275417 +aS'the\tthe\tDT\tB-NP\tO' +p275418 +aS'80s\t80\tNNS\tI-NP\tO' +p275419 +aS',\t,\t,\tO\tO' +p275420 +aS'which\twhich\tWDT\tB-NP\tO' +p275421 +aS'responded\trespond\tVBD\tB-VP\tO' +p275422 +aS'to\tto\tTO\tB-PP\tO' +p275423 +aS'IV\tIV\tCD\tB-NP\tO' +p275424 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p275425 +aS'and\tand\tCC\tI-NP\tO' +p275426 +aS'insulin\tinsulin\tNN\tI-NP\tB-protein' +p275427 +aS'/\t/\tSYM\tB-NP\tO' +p275428 +aS'glucose\tglucose\tNN\tB-NP\tB-protein' +p275429 +aS'drips\tdrip\tNNS\tI-NP\tI-protein' +p275430 +aS'.\t.\t.\tO\tO' +p275431 +asS'Pupils equal round and reactive to light , extraocular movements intact' +p275432 +(lp275433 +S'Pupils\tPupil\tNNS\tB-NP\tO' +p275434 +aS'equal\tequal\tJJ\tI-NP\tO' +p275435 +aS'round\tround\tJJ\tI-NP\tO' +p275436 +aS'and\tand\tCC\tI-NP\tO' +p275437 +aS'reactive\treactive\tJJ\tI-NP\tO' +p275438 +aS'to\tto\tTO\tB-PP\tO' +p275439 +aS'light\tlight\tJJ\tB-NP\tO' +p275440 +aS',\t,\t,\tI-NP\tO' +p275441 +aS'extraocular\textraocular\tJJ\tI-NP\tO' +p275442 +aS'movements\tmovement\tNNS\tI-NP\tO' +p275443 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p275444 +asS'He is continuing on the radiation therapy to date .' +p275445 +(lp275446 +S'He\tHe\tPRP\tB-NP\tO' +p275447 +aS'is\tbe\tVBZ\tB-VP\tO' +p275448 +aS'continuing\tcontinue\tVBG\tI-VP\tO' +p275449 +aS'on\ton\tIN\tB-PP\tO' +p275450 +aS'the\tthe\tDT\tB-NP\tO' +p275451 +aS'radiation\tradiation\tNN\tI-NP\tO' +p275452 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p275453 +aS'to\tto\tTO\tB-PP\tO' +p275454 +aS'date\tdate\tNN\tB-NP\tO' +p275455 +aS'.\t.\t.\tO\tO' +p275456 +asS'A heparin independent antibody was sent off on 2014-04-07 which was unremarkable .' +p275457 +(lp275458 +S'A\tA\tDT\tB-NP\tO' +p275459 +aS'heparin\theparin\tNN\tI-NP\tB-protein' +p275460 +aS'independent\tindependent\tJJ\tI-NP\tI-protein' +p275461 +aS'antibody\tantibody\tNN\tI-NP\tI-protein' +p275462 +aS'was\tbe\tVBD\tB-VP\tO' +p275463 +aS'sent\tsend\tVBN\tI-VP\tO' +p275464 +aS'off\toff\tRP\tB-PRT\tO' +p275465 +aS'on\ton\tIN\tB-PP\tO' +p275466 +aS'2014-04-07\t2014-04-07\tCD\tB-NP\tO' +p275467 +aS'which\twhich\tWDT\tB-NP\tO' +p275468 +aS'was\tbe\tVBD\tB-VP\tO' +p275469 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p275470 +aS'.\t.\t.\tO\tO' +p275471 +asS'She denies any tunnel vision , darkened vision , or focal weakness this morning .' +p275472 +(lp275473 +S'She\tShe\tPRP\tB-NP\tO' +p275474 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p275475 +aS'any\tany\tDT\tB-NP\tO' +p275476 +aS'tunnel\ttunnel\tNN\tI-NP\tO' +p275477 +aS'vision\tvision\tNN\tI-NP\tO' +p275478 +aS',\t,\t,\tO\tO' +p275479 +aS'darkened\tdarken\tVBN\tB-VP\tO' +p275480 +aS'vision\tvision\tNN\tB-NP\tO' +p275481 +aS',\t,\t,\tO\tO' +p275482 +aS'or\tor\tCC\tO\tO' +p275483 +aS'focal\tfocal\tJJ\tB-NP\tO' +p275484 +aS'weakness\tweakness\tNN\tI-NP\tO' +p275485 +aS'this\tthis\tDT\tB-NP\tO' +p275486 +aS'morning\tmorning\tNN\tI-NP\tO' +p275487 +aS'.\t.\t.\tO\tO' +p275488 +asS'1. Chronic obstructive pulmonary disease .' +p275489 +(lp275490 +S'1.\t1.\tLS\tB-NP\tO' +p275491 +aS'Chronic\tChronic\tJJ\tI-NP\tO' +p275492 +aS'obstructive\tobstructive\tJJ\tI-NP\tO' +p275493 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p275494 +aS'disease\tdisease\tNN\tI-NP\tO' +p275495 +aS'.\t.\t.\tO\tO' +p275496 +asS'Cardiac exam ; she has positive S1 , S2 without murmur , rub or gallop .' +p275497 +(lp275498 +S'Cardiac\tCardiac\tJJ\tB-NP\tO' +p275499 +aS'exam\texam\tNN\tI-NP\tO' +p275500 +aS';\t;\t:\tO\tO' +p275501 +aS'she\tshe\tPRP\tB-NP\tO' +p275502 +aS'has\thave\tVBZ\tB-VP\tO' +p275503 +aS'positive\tpositive\tJJ\tB-NP\tO' +p275504 +aS'S1\tS1\tNN\tI-NP\tO' +p275505 +aS',\t,\t,\tO\tO' +p275506 +aS'S2\tS2\tNN\tB-NP\tB-protein' +p275507 +aS'without\twithout\tIN\tB-PP\tO' +p275508 +aS'murmur\tmurmur\tNN\tB-NP\tO' +p275509 +aS',\t,\t,\tI-NP\tO' +p275510 +aS'rub\trub\tNN\tI-NP\tO' +p275511 +aS'or\tor\tCC\tI-NP\tO' +p275512 +aS'gallop\tgallop\tNN\tI-NP\tO' +p275513 +aS'.\t.\t.\tO\tO' +p275514 +asS'Please call physician if you develop shortness of breath , weakness in your legs or arms , sudden blurry vision or slurred speech , chest pain , faintness , or significant unexplained weight loss .' +p275515 +(lp275516 +S'Please\tPlease\tVB\tB-VP\tO' +p275517 +aS'call\tcall\tNN\tB-NP\tO' +p275518 +aS'physician\tphysician\tNN\tI-NP\tO' +p275519 +aS'if\tif\tIN\tB-SBAR\tO' +p275520 +aS'you\tyou\tPRP\tB-NP\tO' +p275521 +aS'develop\tdevelop\tVBP\tB-VP\tO' +p275522 +aS'shortness\tshortness\tNN\tB-NP\tO' +p275523 +aS'of\tof\tIN\tB-PP\tO' +p275524 +aS'breath\tbreath\tNN\tB-NP\tO' +p275525 +aS',\t,\t,\tO\tO' +p275526 +aS'weakness\tweakness\tNN\tB-NP\tO' +p275527 +aS'in\tin\tIN\tB-PP\tO' +p275528 +aS'your\tyour\tPRP$\tB-NP\tO' +p275529 +aS'legs\tleg\tNNS\tI-NP\tO' +p275530 +aS'or\tor\tCC\tI-NP\tO' +p275531 +aS'arms\tarm\tNNS\tI-NP\tO' +p275532 +aS',\t,\t,\tO\tO' +p275533 +aS'sudden\tsudden\tJJ\tB-NP\tO' +p275534 +aS'blurry\tblurry\tNN\tI-NP\tO' +p275535 +aS'vision\tvision\tNN\tI-NP\tO' +p275536 +aS'or\tor\tCC\tO\tO' +p275537 +aS'slurred\tslur\tVBD\tB-VP\tO' +p275538 +aS'speech\tspeech\tNN\tB-NP\tO' +p275539 +aS',\t,\t,\tO\tO' +p275540 +aS'chest\tchest\tNN\tB-NP\tO' +p275541 +aS'pain\tpain\tNN\tI-NP\tO' +p275542 +aS',\t,\t,\tO\tO' +p275543 +aS'faintness\tfaintness\tNN\tB-NP\tO' +p275544 +aS',\t,\t,\tO\tO' +p275545 +aS'or\tor\tCC\tO\tO' +p275546 +aS'significant\tsignificant\tJJ\tB-NP\tO' +p275547 +aS'unexplained\tunexplained\tJJ\tI-NP\tO' +p275548 +aS'weight\tweight\tNN\tI-NP\tO' +p275549 +aS'loss\tloss\tNN\tI-NP\tO' +p275550 +aS'.\t.\t.\tO\tO' +p275551 +asS'Brief Hospital Course : patient was admitted on 2012-05-24 after having drainage from his incision for the last couple of days .' +p275552 +(lp275553 +S'Brief\tBrief\tNNP\tB-NP\tO' +p275554 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p275555 +aS'Course\tCourse\tNNP\tI-NP\tO' +p275556 +aS':\t:\t:\tO\tO' +p275557 +aS'patient\tpatient\tNN\tB-NP\tO' +p275558 +aS'was\tbe\tVBD\tB-VP\tO' +p275559 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p275560 +aS'on\ton\tIN\tB-PP\tO' +p275561 +aS'2012-05-24\t2012-05-24\tCD\tB-NP\tO' +p275562 +aS'after\tafter\tIN\tB-PP\tO' +p275563 +aS'having\thave\tVBG\tB-VP\tO' +p275564 +aS'drainage\tdrainage\tNN\tB-NP\tO' +p275565 +aS'from\tfrom\tIN\tB-PP\tO' +p275566 +aS'his\this\tPRP$\tB-NP\tO' +p275567 +aS'incision\tincision\tNN\tI-NP\tO' +p275568 +aS'for\tfor\tIN\tB-PP\tO' +p275569 +aS'the\tthe\tDT\tB-NP\tO' +p275570 +aS'last\tlast\tJJ\tI-NP\tO' +p275571 +aS'couple\tcouple\tNN\tI-NP\tO' +p275572 +aS'of\tof\tIN\tB-PP\tO' +p275573 +aS'days\tday\tNNS\tB-NP\tO' +p275574 +aS'.\t.\t.\tO\tO' +p275575 +asS'Following triage , the patient LEFT WITHOUT TREATMENT .' +p275576 +(lp275577 +S'Following\tFollow\tVBG\tB-PP\tO' +p275578 +aS'triage\ttriage\tNN\tB-NP\tO' +p275579 +aS',\t,\t,\tO\tO' +p275580 +aS'the\tthe\tDT\tB-NP\tO' +p275581 +aS'patient\tpatient\tNN\tI-NP\tO' +p275582 +aS'LEFT\tLEFT\tNN\tI-NP\tO' +p275583 +aS'WITHOUT\tWITHOUT\tNN\tI-NP\tO' +p275584 +aS'TREATMENT\tTREATMENT\tNN\tI-NP\tO' +p275585 +aS'.\t.\t.\tO\tO' +p275586 +asS'The infant was born to a 38 year old , gravida V , para III , woman .' +p275587 +(lp275588 +S'The\tThe\tDT\tB-NP\tO' +p275589 +aS'infant\tinfant\tNN\tI-NP\tO' +p275590 +aS'was\tbe\tVBD\tB-VP\tO' +p275591 +aS'born\tbear\tVBN\tI-VP\tO' +p275592 +aS'to\tto\tTO\tB-PP\tO' +p275593 +aS'a\ta\tDT\tB-NP\tO' +p275594 +aS'38\t38\tCD\tI-NP\tO' +p275595 +aS'year\tyear\tNN\tI-NP\tO' +p275596 +aS'old\told\tJJ\tB-ADJP\tO' +p275597 +aS',\t,\t,\tO\tO' +p275598 +aS'gravida\tgravida\tNNP\tB-NP\tO' +p275599 +aS'V\tV\tNNP\tI-NP\tO' +p275600 +aS',\t,\t,\tO\tO' +p275601 +aS'para\tpara\tNN\tB-NP\tO' +p275602 +aS'III\tIII\tCD\tI-NP\tO' +p275603 +aS',\t,\t,\tO\tO' +p275604 +aS'woman\twoman\tNN\tB-NP\tO' +p275605 +aS'.\t.\t.\tO\tO' +p275606 +asS'His Neurosurgical issues were nonoperative ; he was loaded with Dilantin ; serial head CT scans were performed and were stable .' +p275607 +(lp275608 +S'His\tHis\tPRP$\tB-NP\tO' +p275609 +aS'Neurosurgical\tNeurosurgical\tJJ\tI-NP\tO' +p275610 +aS'issues\tissue\tNNS\tI-NP\tO' +p275611 +aS'were\tbe\tVBD\tB-VP\tO' +p275612 +aS'nonoperative\tnonoperative\tJJ\tB-ADJP\tO' +p275613 +aS';\t;\t:\tO\tO' +p275614 +aS'he\the\tPRP\tB-NP\tO' +p275615 +aS'was\tbe\tVBD\tB-VP\tO' +p275616 +aS'loaded\tload\tVBN\tI-VP\tO' +p275617 +aS'with\twith\tIN\tB-PP\tO' +p275618 +aS'Dilantin\tDilantin\tNN\tB-NP\tB-protein' +p275619 +aS';\t;\t:\tO\tO' +p275620 +aS'serial\tserial\tJJ\tB-NP\tO' +p275621 +aS'head\thead\tNN\tI-NP\tO' +p275622 +aS'CT\tCT\tNN\tI-NP\tO' +p275623 +aS'scans\tscan\tNNS\tI-NP\tO' +p275624 +aS'were\tbe\tVBD\tB-VP\tO' +p275625 +aS'performed\tperform\tVBN\tI-VP\tO' +p275626 +aS'and\tand\tCC\tO\tO' +p275627 +aS'were\tbe\tVBD\tB-VP\tO' +p275628 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p275629 +aS'.\t.\t.\tO\tO' +p275630 +asS'Normal female external genitalia .' +p275631 +(lp275632 +S'Normal\tNormal\tJJ\tB-NP\tO' +p275633 +aS'female\tfemale\tJJ\tI-NP\tO' +p275634 +aS'external\texternal\tJJ\tI-NP\tO' +p275635 +aS'genitalia\tgenitalia\tNN\tI-NP\tO' +p275636 +aS'.\t.\t.\tO\tO' +p275637 +asS"discussed this plan with renal service ( Anthony Mcknight ) who will communicate with pt 's outpatient dialysis service ." +p275638 +(lp275639 +S'discussed\tdiscuss\tVBN\tB-VP\tO' +p275640 +aS'this\tthis\tDT\tB-NP\tO' +p275641 +aS'plan\tplan\tNN\tI-NP\tO' +p275642 +aS'with\twith\tIN\tB-PP\tO' +p275643 +aS'renal\trenal\tJJ\tB-NP\tO' +p275644 +aS'service\tservice\tNN\tI-NP\tO' +p275645 +aS'(\t(\t(\tO\tO' +p275646 +aS'Anthony\tAnthony\tNNP\tB-NP\tO' +p275647 +aS'Mcknight\tMcknight\tNNP\tI-NP\tO' +p275648 +aS')\t)\t)\tO\tO' +p275649 +aS'who\twho\tWP\tB-NP\tO' +p275650 +aS'will\twill\tMD\tB-VP\tO' +p275651 +aS'communicate\tcommunicate\tVB\tI-VP\tO' +p275652 +aS'with\twith\tIN\tB-PP\tO' +p275653 +aS'pt\tpt\tNN\tB-NP\tO' +p275654 +aS"'s\t's\tPOS\tB-NP\tO" +p275655 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p275656 +aS'dialysis\tdialysis\tNN\tI-NP\tO' +p275657 +aS'service\tservice\tNN\tI-NP\tO' +p275658 +aS'.\t.\t.\tO\tO' +p275659 +asS'ST segment depression in V3 through V6 .' +p275660 +(lp275661 +S'ST\tST\tJJ\tB-NP\tO' +p275662 +aS'segment\tsegment\tNN\tI-NP\tO' +p275663 +aS'depression\tdepression\tNN\tI-NP\tO' +p275664 +aS'in\tin\tIN\tB-PP\tO' +p275665 +aS'V3\tV3\tNN\tB-NP\tO' +p275666 +aS'through\tthrough\tIN\tB-PP\tO' +p275667 +aS'V6\tV6\tNN\tB-NP\tB-protein' +p275668 +aS'.\t.\t.\tO\tO' +p275669 +asS'Pt is very SOB at baseline , not on home ox , no CP at rest , no LE edema , no PND , stable orthopnea ( 2 pillows ) .' +p275670 +(lp275671 +S'Pt\tPt\tNN\tB-NP\tO' +p275672 +aS'is\tbe\tVBZ\tB-VP\tO' +p275673 +aS'very\tvery\tRB\tB-ADJP\tO' +p275674 +aS'SOB\tSOB\tNN\tI-ADJP\tB-protein' +p275675 +aS'at\tat\tIN\tB-PP\tO' +p275676 +aS'baseline\tbaseline\tNN\tB-NP\tO' +p275677 +aS',\t,\t,\tB-PP\tO' +p275678 +aS'not\tnot\tRB\tI-PP\tO' +p275679 +aS'on\ton\tIN\tB-PP\tO' +p275680 +aS'home\thome\tNN\tB-NP\tO' +p275681 +aS'ox\tox\tNN\tI-NP\tO' +p275682 +aS',\t,\t,\tO\tO' +p275683 +aS'no\tno\tDT\tB-NP\tO' +p275684 +aS'CP\tCP\tNN\tI-NP\tB-DNA' +p275685 +aS'at\tat\tIN\tB-PP\tO' +p275686 +aS'rest\trest\tNN\tB-NP\tO' +p275687 +aS',\t,\t,\tO\tO' +p275688 +aS'no\tno\tDT\tB-NP\tO' +p275689 +aS'LE\tLE\tNN\tI-NP\tO' +p275690 +aS'edema\tedema\tNN\tI-NP\tO' +p275691 +aS',\t,\t,\tO\tO' +p275692 +aS'no\tno\tDT\tB-NP\tO' +p275693 +aS'PND\tPND\tNN\tI-NP\tB-protein' +p275694 +aS',\t,\t,\tO\tO' +p275695 +aS'stable\tstable\tJJ\tB-NP\tO' +p275696 +aS'orthopnea\torthopnea\tNN\tI-NP\tO' +p275697 +aS'(\t(\t(\tO\tO' +p275698 +aS'2\t2\tCD\tB-NP\tO' +p275699 +aS'pillows\tpillow\tNNS\tI-NP\tO' +p275700 +aS')\t)\t)\tO\tO' +p275701 +aS'.\t.\t.\tO\tO' +p275702 +asS'Previous hospital course ( per H&P ):' +p275703 +(lp275704 +S'Previous\tPrevious\tJJ\tB-NP\tO' +p275705 +aS'hospital\thospital\tNN\tI-NP\tO' +p275706 +aS'course\tcourse\tNN\tI-NP\tO' +p275707 +aS'(\t(\t(\tO\tO' +p275708 +aS'per\tper\tIN\tB-PP\tO' +p275709 +aS'H&P\tH&P\tNNP\tB-NP\tO' +p275710 +aS'):\t):\t.\tO\tO' +p275711 +asS'Medications are Tri-Vi-Michael 1 cc by mouth each day .' +p275712 +(lp275713 +S'Medications\tMedication\tNNS\tB-NP\tO' +p275714 +aS'are\tbe\tVBP\tB-VP\tO' +p275715 +aS'Tri-Vi-Michael\tTri-Vi-Michael\tNNP\tB-NP\tO' +p275716 +aS'1\t1\tCD\tI-NP\tO' +p275717 +aS'cc\tcc\tNN\tI-NP\tO' +p275718 +aS'by\tby\tIN\tB-PP\tO' +p275719 +aS'mouth\tmouth\tNN\tB-NP\tO' +p275720 +aS'each\teach\tDT\tB-NP\tO' +p275721 +aS'day\tday\tNN\tI-NP\tO' +p275722 +aS'.\t.\t.\tO\tO' +p275723 +asS'2014-04-22 Chest x-ray : No evidence of pneumothorax .' +p275724 +(lp275725 +S'2014-04-22\t2014-04-22\tCD\tB-NP\tO' +p275726 +aS'Chest\tChest\tNNP\tI-NP\tO' +p275727 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p275728 +aS':\t:\t:\tO\tO' +p275729 +aS'No\tNo\tDT\tB-NP\tO' +p275730 +aS'evidence\tevidence\tNN\tI-NP\tO' +p275731 +aS'of\tof\tIN\tB-PP\tO' +p275732 +aS'pneumothorax\tpneumothorax\tNN\tB-NP\tO' +p275733 +aS'.\t.\t.\tO\tO' +p275734 +asS'Maalox Plus , Extra Strength , 15 cc p.o. q 6 hours prn indigestion ; magnesium sulfate ; sliding scale IV and potassium chloride , sliding scale IV .' +p275735 +(lp275736 +S'Maalox\tMaalox\tNNP\tB-NP\tO' +p275737 +aS'Plus\tPlus\tNNP\tI-NP\tO' +p275738 +aS',\t,\t,\tO\tO' +p275739 +aS'Extra\tExtra\tNNP\tB-NP\tO' +p275740 +aS'Strength\tStrength\tNNP\tI-NP\tO' +p275741 +aS',\t,\t,\tO\tO' +p275742 +aS'15\t15\tCD\tB-NP\tO' +p275743 +aS'cc\tcc\tNN\tI-NP\tO' +p275744 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p275745 +aS'q\tq\tNN\tI-NP\tO' +p275746 +aS'6\t6\tCD\tB-NP\tO' +p275747 +aS'hours\thour\tNNS\tI-NP\tO' +p275748 +aS'prn\tprn\tVBP\tB-VP\tO' +p275749 +aS'indigestion\tindigestion\tNN\tB-NP\tO' +p275750 +aS';\t;\t:\tO\tO' +p275751 +aS'magnesium\tmagnesium\tNN\tB-NP\tO' +p275752 +aS'sulfate\tsulfate\tNN\tI-NP\tO' +p275753 +aS';\t;\t:\tO\tO' +p275754 +aS'sliding\tslide\tVBG\tB-VP\tO' +p275755 +aS'scale\tscale\tNN\tB-NP\tO' +p275756 +aS'IV\tIV\tCD\tI-NP\tO' +p275757 +aS'and\tand\tCC\tO\tO' +p275758 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p275759 +aS'chloride\tchloride\tNN\tI-NP\tO' +p275760 +aS',\t,\t,\tO\tO' +p275761 +aS'sliding\tslide\tVBG\tB-VP\tO' +p275762 +aS'scale\tscale\tNN\tB-NP\tO' +p275763 +aS'IV\tIV\tCD\tI-NP\tO' +p275764 +aS'.\t.\t.\tO\tO' +p275765 +asS'5. Tubal ligation many years ago .' +p275766 +(lp275767 +S'5.\t5.\tLS\tB-NP\tO' +p275768 +aS'Tubal\tTubal\tJJ\tI-NP\tO' +p275769 +aS'ligation\tligation\tNN\tI-NP\tO' +p275770 +aS'many\tmany\tJJ\tB-NP\tO' +p275771 +aS'years\tyear\tNNS\tI-NP\tO' +p275772 +aS'ago\tago\tRB\tB-ADVP\tO' +p275773 +aS'.\t.\t.\tO\tO' +p275774 +asS'His glucose on the morning of discharge was about 60 so we opted to decrease his p.m. NPH dose slightly for discharge and continue covering him with sliding scale insulin .' +p275775 +(lp275776 +S'His\tHis\tPRP$\tB-NP\tO' +p275777 +aS'glucose\tglucose\tNN\tI-NP\tO' +p275778 +aS'on\ton\tIN\tB-PP\tO' +p275779 +aS'the\tthe\tDT\tB-NP\tO' +p275780 +aS'morning\tmorning\tNN\tI-NP\tO' +p275781 +aS'of\tof\tIN\tB-PP\tO' +p275782 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p275783 +aS'was\tbe\tVBD\tB-VP\tO' +p275784 +aS'about\tabout\tRB\tB-NP\tO' +p275785 +aS'60\t60\tCD\tI-NP\tO' +p275786 +aS'so\tso\tIN\tB-ADVP\tO' +p275787 +aS'we\twe\tPRP\tB-NP\tO' +p275788 +aS'opted\topte\tVBD\tB-VP\tO' +p275789 +aS'to\tto\tTO\tI-VP\tO' +p275790 +aS'decrease\tdecrease\tVB\tI-VP\tO' +p275791 +aS'his\this\tPRP$\tB-NP\tO' +p275792 +aS'p.m.\tp.m.\tNN\tI-NP\tO' +p275793 +aS'NPH\tNPH\tNN\tI-NP\tO' +p275794 +aS'dose\tdose\tNN\tI-NP\tO' +p275795 +aS'slightly\tslightly\tRB\tB-ADVP\tO' +p275796 +aS'for\tfor\tIN\tB-PP\tO' +p275797 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p275798 +aS'and\tand\tCC\tO\tO' +p275799 +aS'continue\tcontinue\tVB\tB-VP\tO' +p275800 +aS'covering\tcover\tVBG\tI-VP\tO' +p275801 +aS'him\thim\tPRP\tB-NP\tO' +p275802 +aS'with\twith\tIN\tB-PP\tO' +p275803 +aS'sliding\tslide\tVBG\tB-VP\tO' +p275804 +aS'scale\tscale\tNN\tB-NP\tB-protein' +p275805 +aS'insulin\tinsulin\tNN\tI-NP\tI-protein' +p275806 +aS'.\t.\t.\tO\tO' +p275807 +asS'He underwent cardiac catheterization today which revealed OM , no obstructive disease , left anterior descending minimal disease , left circumflex 40% mid-stenosis .' +p275808 +(lp275809 +S'He\tHe\tPRP\tB-NP\tO' +p275810 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p275811 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p275812 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p275813 +aS'today\ttoday\tNN\tB-NP\tO' +p275814 +aS'which\twhich\tWDT\tB-NP\tO' +p275815 +aS'revealed\treveal\tVBD\tB-VP\tO' +p275816 +aS'OM\tOM\tNNP\tB-NP\tO' +p275817 +aS',\t,\t,\tO\tO' +p275818 +aS'no\tno\tDT\tB-NP\tO' +p275819 +aS'obstructive\tobstructive\tJJ\tI-NP\tO' +p275820 +aS'disease\tdisease\tNN\tI-NP\tO' +p275821 +aS',\t,\t,\tO\tO' +p275822 +aS'left\tleave\tVBD\tB-VP\tO' +p275823 +aS'anterior\tanterior\tRB\tI-VP\tO' +p275824 +aS'descending\tdescend\tVBG\tI-VP\tO' +p275825 +aS'minimal\tminimal\tJJ\tB-NP\tO' +p275826 +aS'disease\tdisease\tNN\tI-NP\tO' +p275827 +aS',\t,\t,\tO\tO' +p275828 +aS'left\tleave\tVBD\tB-VP\tO' +p275829 +aS'circumflex\tcircumflex\tJJ\tB-NP\tO' +p275830 +aS'40%\t40%\tJJ\tI-NP\tO' +p275831 +aS'mid-stenosis\tmid-stenosis\tNN\tI-NP\tO' +p275832 +aS'.\t.\t.\tO\tO' +p275833 +asS'Disp : *60 Tablet( s )*' +p275834 +(lp275835 +S'Disp\tDisp\tNN\tB-NP\tO' +p275836 +aS':\t:\t:\tO\tO' +p275837 +aS'*60\t*60\tCD\tB-NP\tO' +p275838 +aS'Tablet(\tTablet(\t(\tI-NP\tO' +p275839 +aS's\ts\tNN\tI-NP\tO' +p275840 +aS')*\t)*\tSYM\tB-NP\tO' +p275841 +asS'At the time of this dictation , the CT of her chest was still pending .' +p275842 +(lp275843 +S'At\tAt\tIN\tB-PP\tO' +p275844 +aS'the\tthe\tDT\tB-NP\tO' +p275845 +aS'time\ttime\tNN\tI-NP\tO' +p275846 +aS'of\tof\tIN\tB-PP\tO' +p275847 +aS'this\tthis\tDT\tB-NP\tO' +p275848 +aS'dictation\tdictation\tNN\tI-NP\tO' +p275849 +aS',\t,\t,\tO\tO' +p275850 +aS'the\tthe\tDT\tB-NP\tO' +p275851 +aS'CT\tCT\tNN\tI-NP\tB-protein' +p275852 +aS'of\tof\tIN\tB-PP\tO' +p275853 +aS'her\ther\tPRP$\tB-NP\tO' +p275854 +aS'chest\tchest\tNN\tI-NP\tO' +p275855 +aS'was\tbe\tVBD\tB-VP\tO' +p275856 +aS'still\tstill\tRB\tI-VP\tO' +p275857 +aS'pending\tpende\tVBG\tI-VP\tO' +p275858 +aS'.\t.\t.\tO\tO' +p275859 +asS"The baby 's weight was 3.160 kilograms ( 7 pounds 3 ounces )." +p275860 +(lp275861 +S'The\tThe\tDT\tB-NP\tO' +p275862 +aS'baby\tbaby\tNN\tI-NP\tO' +p275863 +aS"'s\t's\tPOS\tB-NP\tO" +p275864 +aS'weight\tweight\tNN\tI-NP\tO' +p275865 +aS'was\tbe\tVBD\tB-VP\tO' +p275866 +aS'3.160\t3.160\tCD\tB-NP\tO' +p275867 +aS'kilograms\tkilogram\tNNS\tI-NP\tO' +p275868 +aS'(\t(\t(\tO\tO' +p275869 +aS'7\t7\tCD\tB-NP\tO' +p275870 +aS'pounds\tpound\tNNS\tI-NP\tO' +p275871 +aS'3\t3\tCD\tB-NP\tO' +p275872 +aS'ounces\tounce\tNNS\tI-NP\tO' +p275873 +aS').\t).\t)\tO\tO' +p275874 +asS'05-12- Blood cultures : no growth to date on 6/6 bottles' +p275875 +(lp275876 +S'05-12-\t05-12-\tCD\tB-NP\tO' +p275877 +aS'Blood\tBlood\tNNP\tI-NP\tO' +p275878 +aS'cultures\tculture\tNNS\tI-NP\tO' +p275879 +aS':\t:\t:\tO\tO' +p275880 +aS'no\tno\tDT\tB-NP\tO' +p275881 +aS'growth\tgrowth\tNN\tI-NP\tO' +p275882 +aS'to\tto\tTO\tB-PP\tO' +p275883 +aS'date\tdate\tNN\tB-NP\tO' +p275884 +aS'on\ton\tIN\tB-PP\tO' +p275885 +aS'6/6\t6/6\tCD\tB-NP\tO' +p275886 +aS'bottles\tbottle\tNNS\tI-NP\tO' +p275887 +asS'His chest tube drainage reduced significantly after the first 24 hours and on hospital day three his chest tube was discontinued .' +p275888 +(lp275889 +S'His\tHis\tPRP$\tB-NP\tB-protein' +p275890 +aS'chest\tch\tJJS\tI-NP\tO' +p275891 +aS'tube\ttube\tNN\tI-NP\tO' +p275892 +aS'drainage\tdrainage\tNN\tI-NP\tO' +p275893 +aS'reduced\treduce\tVBD\tB-VP\tO' +p275894 +aS'significantly\tsignificantly\tRB\tB-ADVP\tO' +p275895 +aS'after\tafter\tIN\tB-PP\tO' +p275896 +aS'the\tthe\tDT\tB-NP\tO' +p275897 +aS'first\tfirst\tJJ\tI-NP\tO' +p275898 +aS'24\t24\tCD\tI-NP\tO' +p275899 +aS'hours\thour\tNNS\tI-NP\tO' +p275900 +aS'and\tand\tCC\tB-PP\tO' +p275901 +aS'on\ton\tIN\tB-PP\tO' +p275902 +aS'hospital\thospital\tNN\tB-NP\tO' +p275903 +aS'day\tday\tNN\tI-NP\tO' +p275904 +aS'three\tthree\tCD\tI-NP\tO' +p275905 +aS'his\this\tPRP$\tB-NP\tO' +p275906 +aS'chest\tchest\tNN\tI-NP\tO' +p275907 +aS'tube\ttube\tNN\tI-NP\tO' +p275908 +aS'was\tbe\tVBD\tB-VP\tO' +p275909 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p275910 +aS'.\t.\t.\tO\tO' +p275911 +asS'She is neurologically stable .' +p275912 +(lp275913 +S'She\tShe\tPRP\tB-NP\tO' +p275914 +aS'is\tbe\tVBZ\tB-VP\tO' +p275915 +aS'neurologically\tneurologically\tRB\tB-ADJP\tO' +p275916 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p275917 +aS'.\t.\t.\tO\tO' +p275918 +asS'Postoperative hypokalemia , resolved .' +p275919 +(lp275920 +S'Postoperative\tPostoperative\tJJ\tB-NP\tO' +p275921 +aS'hypokalemia\thypokalemia\tNN\tI-NP\tO' +p275922 +aS',\t,\t,\tO\tO' +p275923 +aS'resolved\tresolve\tVBN\tB-VP\tO' +p275924 +aS'.\t.\t.\tO\tO' +p275925 +asS'On hospital day 2 , the patient had no complaints .' +p275926 +(lp275927 +S'On\tOn\tIN\tB-PP\tO' +p275928 +aS'hospital\thospital\tNN\tB-NP\tO' +p275929 +aS'day\tday\tNN\tI-NP\tO' +p275930 +aS'2\t2\tCD\tI-NP\tO' +p275931 +aS',\t,\t,\tO\tO' +p275932 +aS'the\tthe\tDT\tB-NP\tO' +p275933 +aS'patient\tpatient\tNN\tI-NP\tO' +p275934 +aS'had\thave\tVBD\tB-VP\tO' +p275935 +aS'no\tno\tDT\tB-NP\tO' +p275936 +aS'complaints\tcomplaint\tNNS\tI-NP\tO' +p275937 +aS'.\t.\t.\tO\tO' +p275938 +asS'Tip could not be cultured due to contamination .' +p275939 +(lp275940 +S'Tip\tTip\tNN\tB-NP\tB-protein' +p275941 +aS'could\tcould\tMD\tB-VP\tO' +p275942 +aS'not\tnot\tRB\tI-VP\tO' +p275943 +aS'be\tbe\tVB\tI-VP\tO' +p275944 +aS'cultured\tculture\tVBN\tI-VP\tO' +p275945 +aS'due\tdue\tJJ\tB-ADJP\tO' +p275946 +aS'to\tto\tTO\tB-PP\tO' +p275947 +aS'contamination\tcontamination\tNN\tB-NP\tO' +p275948 +aS'.\t.\t.\tO\tO' +p275949 +asS'Notable for anemia , hypercholesterolemia , narcolepsy for the past 6 years on Dexedrine , impotence with decreased testosterone , status post implant , peptic ulcer disease , status post duodenal resection , cervical stenosis , status post decompression '92 , hernia , status post herniorrhaphy .' +p275950 +(lp275951 +S'Notable\tNotable\tJJ\tB-ADJP\tO' +p275952 +aS'for\tfor\tIN\tB-PP\tO' +p275953 +aS'anemia\tanemia\tNN\tB-NP\tO' +p275954 +aS',\t,\t,\tO\tO' +p275955 +aS'hypercholesterolemia\thypercholesterolemia\tNN\tB-NP\tO' +p275956 +aS',\t,\t,\tO\tO' +p275957 +aS'narcolepsy\tnarcolepsy\tNN\tB-NP\tO' +p275958 +aS'for\tfor\tIN\tB-PP\tO' +p275959 +aS'the\tthe\tDT\tB-NP\tO' +p275960 +aS'past\tpast\tJJ\tI-NP\tO' +p275961 +aS'6\t6\tCD\tI-NP\tO' +p275962 +aS'years\tyear\tNNS\tI-NP\tO' +p275963 +aS'on\ton\tIN\tB-PP\tO' +p275964 +aS'Dexedrine\tDexedrine\tNN\tB-NP\tO' +p275965 +aS',\t,\t,\tO\tO' +p275966 +aS'impotence\timpotence\tNN\tB-NP\tO' +p275967 +aS'with\twith\tIN\tB-PP\tO' +p275968 +aS'decreased\tdecrease\tVBN\tB-NP\tO' +p275969 +aS'testosterone\ttestosterone\tNN\tI-NP\tO' +p275970 +aS',\t,\t,\tO\tO' +p275971 +aS'status\tstatus\tNN\tB-NP\tO' +p275972 +aS'post\tpost\tNN\tI-NP\tO' +p275973 +aS'implant\timplant\tNN\tI-NP\tO' +p275974 +aS',\t,\t,\tO\tO' +p275975 +aS'peptic\tpeptic\tJJ\tB-NP\tO' +p275976 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p275977 +aS'disease\tdisease\tNN\tI-NP\tO' +p275978 +aS',\t,\t,\tO\tO' +p275979 +aS'status\tstatus\tNN\tB-NP\tO' +p275980 +aS'post\tpost\tNN\tI-NP\tO' +p275981 +aS'duodenal\tduodenal\tJJ\tI-NP\tO' +p275982 +aS'resection\tresection\tNN\tI-NP\tO' +p275983 +aS',\t,\t,\tO\tO' +p275984 +aS'cervical\tcervical\tJJ\tB-NP\tO' +p275985 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p275986 +aS',\t,\t,\tO\tO' +p275987 +aS'status\tstatus\tNN\tB-NP\tB-protein' +p275988 +aS'post\tpost\tNN\tI-NP\tI-protein' +p275989 +aS'decompression\tdecompression\tNN\tI-NP\tI-protein' +p275990 +aS''92\t'92\tNN\tI-NP\tI-protein' +p275991 +aS',\t,\t,\tO\tO' +p275992 +aS'hernia\thernia\tNN\tB-NP\tO' +p275993 +aS',\t,\t,\tO\tO' +p275994 +aS'status\tstatus\tNN\tB-NP\tO' +p275995 +aS'post\tpost\tNN\tI-NP\tO' +p275996 +aS'herniorrhaphy\therniorrhaphy\tNN\tI-NP\tO' +p275997 +aS'.\t.\t.\tO\tO' +p275998 +asS'2. Pantoprazole one tablet once a day .' +p275999 +(lp276000 +S'2.\t2.\tLS\tB-NP\tO' +p276001 +aS'Pantoprazole\tPantoprazole\tNN\tI-NP\tO' +p276002 +aS'one\tone\tCD\tB-NP\tO' +p276003 +aS'tablet\ttablet\tNN\tI-NP\tO' +p276004 +aS'once\tonce\tRB\tB-ADVP\tO' +p276005 +aS'a\ta\tDT\tB-NP\tO' +p276006 +aS'day\tday\tNN\tI-NP\tO' +p276007 +aS'.\t.\t.\tO\tO' +p276008 +asS'14. Percocet 5/325 one to two p.o. q. four to six hours p.r.n.' +p276009 +(lp276010 +S'14.\t14.\tCD\tB-NP\tO' +p276011 +aS'Percocet\tPercocet\tNNP\tI-NP\tO' +p276012 +aS'5/325\t5/325\tCD\tI-NP\tO' +p276013 +aS'one\tone\tCD\tI-NP\tO' +p276014 +aS'to\tto\tTO\tB-PP\tO' +p276015 +aS'two\ttwo\tCD\tB-NP\tO' +p276016 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p276017 +aS'q.\tq.\tFW\tI-NP\tO' +p276018 +aS'four\tfour\tCD\tI-NP\tO' +p276019 +aS'to\tto\tTO\tI-NP\tO' +p276020 +aS'six\tsix\tCD\tI-NP\tO' +p276021 +aS'hours\thour\tNNS\tI-NP\tO' +p276022 +aS'p.r.n.\tp.r.n.\tRB\tB-ADVP\tO' +p276023 +asS'On admission the infant required CPAP 6 cm of water , 30% oxygen .' +p276024 +(lp276025 +S'On\tOn\tIN\tB-PP\tO' +p276026 +aS'admission\tadmission\tNN\tB-NP\tO' +p276027 +aS'the\tthe\tDT\tB-NP\tO' +p276028 +aS'infant\tinfant\tNN\tI-NP\tO' +p276029 +aS'required\trequire\tVBD\tB-VP\tO' +p276030 +aS'CPAP\tCPAP\tNN\tB-NP\tB-protein' +p276031 +aS'6\t6\tCD\tI-NP\tI-protein' +p276032 +aS'cm\tcm\tNN\tI-NP\tO' +p276033 +aS'of\tof\tIN\tB-PP\tO' +p276034 +aS'water\twater\tNN\tB-NP\tO' +p276035 +aS',\t,\t,\tO\tO' +p276036 +aS'30%\t30%\tCD\tB-NP\tO' +p276037 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p276038 +aS'.\t.\t.\tO\tO' +p276039 +asS'DISCHARGE DIAGNOSIS : ST elevation myocardial infarction , status post left anterior descending artery stent .' +p276040 +(lp276041 +S'DISCHARGE\tDISCHARGE\tNN\tB-NP\tO' +p276042 +aS'DIAGNOSIS\tDIAGNOSIS\tNN\tI-NP\tO' +p276043 +aS':\t:\t:\tO\tO' +p276044 +aS'ST\tST\tJJ\tB-NP\tO' +p276045 +aS'elevation\televation\tNN\tI-NP\tO' +p276046 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p276047 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p276048 +aS',\t,\t,\tO\tO' +p276049 +aS'status\tstatus\tNN\tB-NP\tO' +p276050 +aS'post\tpost\tNN\tI-NP\tO' +p276051 +aS'left\tleave\tVBD\tB-VP\tO' +p276052 +aS'anterior\tanterior\tRB\tI-VP\tO' +p276053 +aS'descending\tdescend\tVBG\tI-VP\tO' +p276054 +aS'artery\tartery\tNN\tB-NP\tO' +p276055 +aS'stent\tstent\tNN\tI-NP\tO' +p276056 +aS'.\t.\t.\tO\tO' +p276057 +asS'The patient passed away peacefully on 2013-09-18 .' +p276058 +(lp276059 +S'The\tThe\tDT\tB-NP\tO' +p276060 +aS'patient\tpatient\tNN\tI-NP\tO' +p276061 +aS'passed\tpass\tVBD\tB-VP\tO' +p276062 +aS'away\taway\tRB\tB-ADVP\tO' +p276063 +aS'peacefully\tpeacefully\tRB\tB-ADVP\tO' +p276064 +aS'on\ton\tIN\tB-PP\tO' +p276065 +aS'2013-09-18\t2013-09-18\tCD\tB-NP\tO' +p276066 +aS'.\t.\t.\tO\tO' +p276067 +asS'He was seen in consultation by the Nutrition Service , who followed him for dietary management of his diabetes mellitus .' +p276068 +(lp276069 +S'He\tHe\tPRP\tB-NP\tO' +p276070 +aS'was\tbe\tVBD\tB-VP\tO' +p276071 +aS'seen\tsee\tVBN\tI-VP\tO' +p276072 +aS'in\tin\tIN\tB-PP\tO' +p276073 +aS'consultation\tconsultation\tNN\tB-NP\tO' +p276074 +aS'by\tby\tIN\tB-PP\tO' +p276075 +aS'the\tthe\tDT\tB-NP\tO' +p276076 +aS'Nutrition\tNutrition\tNNP\tI-NP\tO' +p276077 +aS'Service\tService\tNNP\tI-NP\tO' +p276078 +aS',\t,\t,\tO\tO' +p276079 +aS'who\twho\tWP\tB-NP\tO' +p276080 +aS'followed\tfollow\tVBD\tB-VP\tO' +p276081 +aS'him\thim\tPRP\tB-NP\tO' +p276082 +aS'for\tfor\tIN\tB-PP\tO' +p276083 +aS'dietary\tdietary\tJJ\tB-NP\tO' +p276084 +aS'management\tmanagement\tNN\tI-NP\tO' +p276085 +aS'of\tof\tIN\tB-PP\tO' +p276086 +aS'his\this\tPRP$\tB-NP\tO' +p276087 +aS'diabetes\tdiabetes\tNN\tI-NP\tO' +p276088 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p276089 +aS'.\t.\t.\tO\tO' +p276090 +asS'She was tolerating diet and able to ambulate without difficulty .' +p276091 +(lp276092 +S'She\tShe\tPRP\tB-NP\tO' +p276093 +aS'was\tbe\tVBD\tB-VP\tO' +p276094 +aS'tolerating\ttolerate\tVBG\tI-VP\tO' +p276095 +aS'diet\tdiet\tNN\tB-NP\tO' +p276096 +aS'and\tand\tCC\tO\tO' +p276097 +aS'able\table\tJJ\tB-ADJP\tO' +p276098 +aS'to\tto\tTO\tB-VP\tO' +p276099 +aS'ambulate\tambulate\tVB\tI-VP\tO' +p276100 +aS'without\twithout\tIN\tB-PP\tO' +p276101 +aS'difficulty\tdifficulty\tNN\tB-NP\tO' +p276102 +aS'.\t.\t.\tO\tO' +p276103 +asS'No clubbing , cyanosis , or edema of the extremities .' +p276104 +(lp276105 +S'No\tNo\tDT\tB-NP\tO' +p276106 +aS'clubbing\tclubbing\tNN\tI-NP\tO' +p276107 +aS',\t,\t,\tO\tO' +p276108 +aS'cyanosis\tcyanosis\tNN\tB-NP\tO' +p276109 +aS',\t,\t,\tO\tO' +p276110 +aS'or\tor\tCC\tO\tO' +p276111 +aS'edema\tedema\tNN\tB-NP\tO' +p276112 +aS'of\tof\tIN\tB-PP\tO' +p276113 +aS'the\tthe\tDT\tB-NP\tO' +p276114 +aS'extremities\textremity\tNNS\tI-NP\tO' +p276115 +aS'.\t.\t.\tO\tO' +p276116 +asS"4. Sick sinus syndrome s/p pacer placement in ' 98" +p276117 +(lp276118 +S'4.\t4.\tLS\tB-NP\tO' +p276119 +aS'Sick\tSick\tNNP\tI-NP\tO' +p276120 +aS'sinus\tsinus\tNN\tI-NP\tO' +p276121 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p276122 +aS's/p\ts/p\tNN\tI-NP\tO' +p276123 +aS'pacer\tpacer\tNN\tI-NP\tO' +p276124 +aS'placement\tplacement\tNN\tI-NP\tO' +p276125 +aS'in\tin\tIN\tB-PP\tO' +p276126 +aS"'\t'\t``\tO\tO" +p276127 +aS'98\t98\tCD\tB-NP\tO' +p276128 +asS'After he passed the video swallowing , he was tolerating ground consistent solids .' +p276129 +(lp276130 +S'After\tAfter\tIN\tB-SBAR\tO' +p276131 +aS'he\the\tPRP\tB-NP\tO' +p276132 +aS'passed\tpass\tVBD\tB-VP\tO' +p276133 +aS'the\tthe\tDT\tB-NP\tO' +p276134 +aS'video\tvideo\tNN\tI-NP\tO' +p276135 +aS'swallowing\tswallow\tVBG\tB-VP\tO' +p276136 +aS',\t,\t,\tO\tO' +p276137 +aS'he\the\tPRP\tB-NP\tO' +p276138 +aS'was\tbe\tVBD\tB-VP\tO' +p276139 +aS'tolerating\ttolerate\tVBG\tI-VP\tO' +p276140 +aS'ground\tground\tNN\tB-NP\tO' +p276141 +aS'consistent\tconsistent\tJJ\tI-NP\tO' +p276142 +aS'solids\tsolid\tNNS\tI-NP\tO' +p276143 +aS'.\t.\t.\tO\tO' +p276144 +asS'There has been no GI or GU symptoms except for constipation .' +p276145 +(lp276146 +S'There\tThere\tEX\tB-NP\tO' +p276147 +aS'has\thave\tVBZ\tB-VP\tO' +p276148 +aS'been\tbe\tVBN\tI-VP\tO' +p276149 +aS'no\tno\tDT\tB-NP\tO' +p276150 +aS'GI\tGI\tNN\tI-NP\tO' +p276151 +aS'or\tor\tCC\tI-NP\tO' +p276152 +aS'GU\tGU\tNN\tI-NP\tO' +p276153 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p276154 +aS'except\texcept\tIN\tB-PP\tO' +p276155 +aS'for\tfor\tIN\tB-PP\tO' +p276156 +aS'constipation\tconstipation\tNN\tB-NP\tO' +p276157 +aS'.\t.\t.\tO\tO' +p276158 +asS'The serum toxicology was positive for Cocaine on admission to the Fairm of Ijordcompmac Hospital as well as the Sephsandpot Center .' +p276159 +(lp276160 +S'The\tThe\tDT\tB-NP\tO' +p276161 +aS'serum\tserum\tNN\tI-NP\tO' +p276162 +aS'toxicology\ttoxicology\tNN\tI-NP\tO' +p276163 +aS'was\tbe\tVBD\tB-VP\tO' +p276164 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p276165 +aS'for\tfor\tIN\tB-PP\tO' +p276166 +aS'Cocaine\tCocaine\tNN\tB-NP\tO' +p276167 +aS'on\ton\tIN\tB-PP\tO' +p276168 +aS'admission\tadmission\tNN\tB-NP\tO' +p276169 +aS'to\tto\tTO\tB-PP\tO' +p276170 +aS'the\tthe\tDT\tB-NP\tO' +p276171 +aS'Fairm\tFairm\tNNP\tI-NP\tO' +p276172 +aS'of\tof\tIN\tB-PP\tO' +p276173 +aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' +p276174 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p276175 +aS'as\tas\tRB\tB-CONJP\tO' +p276176 +aS'well\twell\tRB\tI-CONJP\tO' +p276177 +aS'as\tas\tIN\tI-CONJP\tO' +p276178 +aS'the\tthe\tDT\tB-NP\tO' +p276179 +aS'Sephsandpot\tSephsandpot\tNNP\tI-NP\tO' +p276180 +aS'Center\tCenter\tNNP\tI-NP\tO' +p276181 +aS'.\t.\t.\tO\tO' +p276182 +asS'He was given three liters of IV hydration with good urine output response .' +p276183 +(lp276184 +S'He\tHe\tPRP\tB-NP\tO' +p276185 +aS'was\tbe\tVBD\tB-VP\tO' +p276186 +aS'given\tgive\tVBN\tI-VP\tO' +p276187 +aS'three\tthree\tCD\tB-NP\tO' +p276188 +aS'liters\tliter\tNNS\tI-NP\tO' +p276189 +aS'of\tof\tIN\tB-PP\tO' +p276190 +aS'IV\tIV\tCD\tB-NP\tO' +p276191 +aS'hydration\thydration\tNN\tI-NP\tO' +p276192 +aS'with\twith\tIN\tB-PP\tO' +p276193 +aS'good\tgood\tJJ\tB-NP\tO' +p276194 +aS'urine\turine\tNN\tI-NP\tO' +p276195 +aS'output\toutput\tNN\tI-NP\tO' +p276196 +aS'response\tresponse\tNN\tI-NP\tO' +p276197 +aS'.\t.\t.\tO\tO' +p276198 +asS'INR 1.1 .' +p276199 +(lp276200 +S'INR\tINR\tNN\tB-NP\tO' +p276201 +aS'1.1\t1.1\tCD\tI-NP\tO' +p276202 +aS'.\t.\t.\tO\tO' +p276203 +asS'His son is a policeman working in Ludlow .' +p276204 +(lp276205 +S'His\tHis\tPRP$\tB-NP\tO' +p276206 +aS'son\tson\tNN\tI-NP\tO' +p276207 +aS'is\tbe\tVBZ\tB-VP\tO' +p276208 +aS'a\ta\tDT\tB-NP\tO' +p276209 +aS'policeman\tpoliceman\tNN\tI-NP\tO' +p276210 +aS'working\twork\tVBG\tB-VP\tO' +p276211 +aS'in\tin\tIN\tB-PP\tO' +p276212 +aS'Ludlow\tLudlow\tNNP\tB-NP\tO' +p276213 +aS'.\t.\t.\tO\tO' +p276214 +asS'In no apparent distress and denied pain .' +p276215 +(lp276216 +S'In\tIn\tIN\tB-PP\tO' +p276217 +aS'no\tno\tDT\tB-NP\tO' +p276218 +aS'apparent\tapparent\tJJ\tI-NP\tO' +p276219 +aS'distress\tdistress\tNN\tI-NP\tO' +p276220 +aS'and\tand\tCC\tO\tO' +p276221 +aS'denied\tdeny\tVBN\tB-VP\tO' +p276222 +aS'pain\tpain\tNN\tB-NP\tO' +p276223 +aS'.\t.\t.\tO\tO' +p276224 +asS'In addition we gave her a sodium chloride one gram per day and that also helped , so that now at the time of discharge , the patient 's sodium is between 126 and 129 ; prior to that it had gone down to as low 116.' +p276225 +(lp276226 +S'In\tIn\tIN\tB-PP\tO' +p276227 +aS'addition\taddition\tNN\tB-NP\tO' +p276228 +aS'we\twe\tPRP\tB-NP\tO' +p276229 +aS'gave\tgive\tVBD\tB-VP\tO' +p276230 +aS'her\ther\tPRP\tB-NP\tO' +p276231 +aS'a\ta\tDT\tB-NP\tO' +p276232 +aS'sodium\tsodium\tNN\tI-NP\tO' +p276233 +aS'chloride\tchloride\tNN\tI-NP\tO' +p276234 +aS'one\tone\tCD\tB-NP\tO' +p276235 +aS'gram\tgram\tNN\tI-NP\tO' +p276236 +aS'per\tper\tIN\tB-PP\tO' +p276237 +aS'day\tday\tNN\tB-NP\tO' +p276238 +aS'and\tand\tCC\tO\tO' +p276239 +aS'that\tthat\tIN\tB-NP\tO' +p276240 +aS'also\talso\tRB\tB-ADVP\tO' +p276241 +aS'helped\thelp\tVBD\tB-VP\tO' +p276242 +aS',\t,\t,\tO\tO' +p276243 +aS'so\tso\tIN\tB-SBAR\tO' +p276244 +aS'that\tthat\tIN\tI-SBAR\tO' +p276245 +aS'now\tnow\tRB\tB-ADVP\tO' +p276246 +aS'at\tat\tIN\tB-PP\tO' +p276247 +aS'the\tthe\tDT\tB-NP\tO' +p276248 +aS'time\ttime\tNN\tI-NP\tO' +p276249 +aS'of\tof\tIN\tB-PP\tO' +p276250 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p276251 +aS',\t,\t,\tO\tO' +p276252 +aS'the\tthe\tDT\tB-NP\tO' +p276253 +aS'patient\tpatient\tNN\tI-NP\tO' +p276254 +aS''s\t'\tNNS\tI-NP\tO' +p276255 +aS'sodium\tsodium\tNN\tI-NP\tO' +p276256 +aS'is\tbe\tVBZ\tB-VP\tO' +p276257 +aS'between\tbetween\tIN\tB-PP\tO' +p276258 +aS'126\t126\tCD\tB-NP\tO' +p276259 +aS'and\tand\tCC\tI-NP\tO' +p276260 +aS'129\t129\tCD\tI-NP\tO' +p276261 +aS';\t;\t:\tO\tO' +p276262 +aS'prior\tprior\tRB\tB-ADVP\tO' +p276263 +aS'to\tto\tTO\tB-PP\tO' +p276264 +aS'that\tthat\tIN\tB-NP\tO' +p276265 +aS'it\tit\tPRP\tB-NP\tO' +p276266 +aS'had\thave\tVBD\tB-VP\tO' +p276267 +aS'gone\tgo\tVBN\tI-VP\tO' +p276268 +aS'down\tdown\tRB\tB-ADVP\tO' +p276269 +aS'to\tto\tTO\tB-PP\tO' +p276270 +aS'as\tas\tRB\tB-NP\tO' +p276271 +aS'low\tlow\tJJ\tI-NP\tO' +p276272 +aS'116.\t116.\tCD\tI-NP\tO' +p276273 +asS'The results of these biopsies are still pending in pathology .' +p276274 +(lp276275 +S'The\tThe\tDT\tB-NP\tO' +p276276 +aS'results\tresult\tNNS\tI-NP\tO' +p276277 +aS'of\tof\tIN\tB-PP\tO' +p276278 +aS'these\tthese\tDT\tB-NP\tO' +p276279 +aS'biopsies\tbiopsy\tNNS\tI-NP\tO' +p276280 +aS'are\tbe\tVBP\tB-VP\tO' +p276281 +aS'still\tstill\tRB\tI-VP\tO' +p276282 +aS'pending\tpende\tVBG\tI-VP\tO' +p276283 +aS'in\tin\tIN\tB-PP\tO' +p276284 +aS'pathology\tpathology\tNN\tB-NP\tO' +p276285 +aS'.\t.\t.\tO\tO' +p276286 +asS'The patient needs prothrombin time checked daily , patient needs potassium checked daily , patient needs sodium checked at least every other day .' +p276287 +(lp276288 +S'The\tThe\tDT\tB-NP\tO' +p276289 +aS'patient\tpatient\tNN\tI-NP\tO' +p276290 +aS'needs\tneed\tVBZ\tB-VP\tO' +p276291 +aS'prothrombin\tprothrombin\tNN\tB-NP\tO' +p276292 +aS'time\ttime\tNN\tI-NP\tO' +p276293 +aS'checked\tcheck\tVBD\tB-VP\tO' +p276294 +aS'daily\tdaily\tRB\tB-ADVP\tO' +p276295 +aS',\t,\t,\tO\tO' +p276296 +aS'patient\tpatient\tNN\tB-NP\tO' +p276297 +aS'needs\tneed\tNNS\tI-NP\tO' +p276298 +aS'potassium\tpotassium\tNN\tI-NP\tO' +p276299 +aS'checked\tcheck\tVBD\tB-VP\tO' +p276300 +aS'daily\tdaily\tRB\tB-ADVP\tO' +p276301 +aS',\t,\t,\tO\tO' +p276302 +aS'patient\tpatient\tNN\tB-NP\tO' +p276303 +aS'needs\tneed\tNNS\tI-NP\tO' +p276304 +aS'sodium\tsodium\tNN\tI-NP\tO' +p276305 +aS'checked\tcheck\tVBD\tB-VP\tO' +p276306 +aS'at\tat\tIN\tB-ADVP\tO' +p276307 +aS'least\tleast\tJJS\tI-ADVP\tO' +p276308 +aS'every\tevery\tDT\tB-NP\tO' +p276309 +aS'other\tother\tJJ\tI-NP\tO' +p276310 +aS'day\tday\tNN\tI-NP\tO' +p276311 +aS'.\t.\t.\tO\tO' +p276312 +asS'The MCV is 88 .' +p276313 +(lp276314 +S'The\tThe\tDT\tB-NP\tO' +p276315 +aS'MCV\tMCV\tNN\tI-NP\tB-protein' +p276316 +aS'is\tbe\tVBZ\tB-VP\tO' +p276317 +aS'88\t88\tCD\tB-NP\tO' +p276318 +aS'.\t.\t.\tO\tO' +p276319 +asS'CXR revealed evidence of cardiomegaly and pulm edema .' +p276320 +(lp276321 +S'CXR\tCXR\tNN\tB-NP\tB-protein' +p276322 +aS'revealed\treveal\tVBD\tB-VP\tO' +p276323 +aS'evidence\tevidence\tNN\tB-NP\tO' +p276324 +aS'of\tof\tIN\tB-PP\tO' +p276325 +aS'cardiomegaly\tcardiomegaly\tNN\tB-NP\tO' +p276326 +aS'and\tand\tCC\tI-NP\tO' +p276327 +aS'pulm\tpulm\tNN\tI-NP\tO' +p276328 +aS'edema\tedema\tNN\tI-NP\tO' +p276329 +aS'.\t.\t.\tO\tO' +p276330 +asS'In clinic today , the patient desaturated to low 90 s with ambulation and also had complaints of progressive swelling " like my throat is going to close up " with increasing drooling , unable to swallow the HIV medications .' +p276331 +(lp276332 +S'In\tIn\tIN\tB-PP\tO' +p276333 +aS'clinic\tclinic\tNN\tB-NP\tO' +p276334 +aS'today\ttoday\tNN\tB-NP\tO' +p276335 +aS',\t,\t,\tO\tO' +p276336 +aS'the\tthe\tDT\tB-NP\tO' +p276337 +aS'patient\tpatient\tNN\tI-NP\tO' +p276338 +aS'desaturated\tdesaturate\tVBN\tB-VP\tO' +p276339 +aS'to\tto\tTO\tB-PP\tO' +p276340 +aS'low\tlow\tJJ\tB-NP\tO' +p276341 +aS'90\t90\tCD\tI-NP\tO' +p276342 +aS's\ts\tNN\tI-NP\tO' +p276343 +aS'with\twith\tIN\tB-PP\tO' +p276344 +aS'ambulation\tambulation\tNN\tB-NP\tO' +p276345 +aS'and\tand\tCC\tO\tO' +p276346 +aS'also\talso\tRB\tB-VP\tO' +p276347 +aS'had\thave\tVBD\tI-VP\tO' +p276348 +aS'complaints\tcomplaint\tNNS\tB-NP\tO' +p276349 +aS'of\tof\tIN\tB-PP\tO' +p276350 +aS'progressive\tprogressive\tJJ\tB-NP\tO' +p276351 +aS'swelling\tswelling\tNN\tI-NP\tO' +p276352 +aS'"\t"\t\'\'\tO\tO' +p276353 +aS'like\tlike\tIN\tB-PP\tO' +p276354 +aS'my\tmy\tPRP$\tB-NP\tO' +p276355 +aS'throat\tthroat\tNN\tI-NP\tO' +p276356 +aS'is\tbe\tVBZ\tB-VP\tO' +p276357 +aS'going\tgo\tVBG\tI-VP\tO' +p276358 +aS'to\tto\tTO\tI-VP\tO' +p276359 +aS'close\tclose\tVB\tI-VP\tO' +p276360 +aS'up\tup\tRP\tB-PRT\tO' +p276361 +aS'"\t"\t\'\'\tO\tO' +p276362 +aS'with\twith\tIN\tB-PP\tO' +p276363 +aS'increasing\tincrease\tVBG\tB-NP\tO' +p276364 +aS'drooling\tdrooling\tNN\tI-NP\tO' +p276365 +aS',\t,\t,\tO\tO' +p276366 +aS'unable\tunable\tJJ\tB-ADJP\tO' +p276367 +aS'to\tto\tTO\tB-VP\tO' +p276368 +aS'swallow\tswallow\tVB\tI-VP\tO' +p276369 +aS'the\tthe\tDT\tB-NP\tO' +p276370 +aS'HIV\tHIV\tNN\tI-NP\tO' +p276371 +aS'medications\tmedication\tNNS\tI-NP\tO' +p276372 +aS'.\t.\t.\tO\tO' +p276373 +asS'A head CT was performed and was completely negative for any metastatic process involving the brain .' +p276374 +(lp276375 +S'A\tA\tDT\tB-NP\tO' +p276376 +aS'head\thead\tNN\tI-NP\tO' +p276377 +aS'CT\tCT\tNN\tI-NP\tO' +p276378 +aS'was\tbe\tVBD\tB-VP\tO' +p276379 +aS'performed\tperform\tVBN\tI-VP\tO' +p276380 +aS'and\tand\tCC\tO\tO' +p276381 +aS'was\tbe\tVBD\tB-VP\tO' +p276382 +aS'completely\tcompletely\tRB\tB-ADJP\tO' +p276383 +aS'negative\tnegative\tJJ\tI-ADJP\tO' +p276384 +aS'for\tfor\tIN\tB-PP\tO' +p276385 +aS'any\tany\tDT\tB-NP\tO' +p276386 +aS'metastatic\tmetastatic\tJJ\tI-NP\tO' +p276387 +aS'process\tprocess\tNN\tI-NP\tO' +p276388 +aS'involving\tinvolve\tVBG\tB-VP\tO' +p276389 +aS'the\tthe\tDT\tB-NP\tO' +p276390 +aS'brain\tbrain\tNN\tI-NP\tO' +p276391 +aS'.\t.\t.\tO\tO' +p276392 +asS'Obese , no acute distress .' +p276393 +(lp276394 +S'Obese\tObese\tNN\tB-NP\tO' +p276395 +aS',\t,\t,\tO\tO' +p276396 +aS'no\tno\tDT\tB-NP\tO' +p276397 +aS'acute\tacute\tJJ\tI-NP\tO' +p276398 +aS'distress\tdistress\tNN\tI-NP\tO' +p276399 +aS'.\t.\t.\tO\tO' +p276400 +asS'Married , retired accountant with six children .' +p276401 +(lp276402 +S'Married\tMarried\tJJ\tB-NP\tO' +p276403 +aS',\t,\t,\tI-NP\tO' +p276404 +aS'retired\tretired\tJJ\tI-NP\tO' +p276405 +aS'accountant\taccountant\tNN\tI-NP\tO' +p276406 +aS'with\twith\tIN\tB-PP\tO' +p276407 +aS'six\tsix\tCD\tB-NP\tO' +p276408 +aS'children\tchild\tNNS\tI-NP\tO' +p276409 +aS'.\t.\t.\tO\tO' +p276410 +asS'Infectious disease .' +p276411 +(lp276412 +S'Infectious\tInfectious\tJJ\tB-NP\tO' +p276413 +aS'disease\tdisease\tNN\tI-NP\tO' +p276414 +aS'.\t.\t.\tO\tO' +p276415 +asS'MB was negative .' +p276416 +(lp276417 +S'MB\tMB\tNN\tB-NP\tB-protein' +p276418 +aS'was\tbe\tVBD\tB-VP\tO' +p276419 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p276420 +aS'.\t.\t.\tO\tO' +p276421 +asS'Chief Complaint : see dc summary' +p276422 +(lp276423 +S'Chief\tChief\tNNP\tB-NP\tO' +p276424 +aS'Complaint\tComplaint\tNNP\tI-NP\tO' +p276425 +aS':\t:\t:\tO\tO' +p276426 +aS'see\tsee\tVB\tB-VP\tO' +p276427 +aS'dc\tdc\tNN\tB-NP\tO' +p276428 +aS'summary\tsummary\tNN\tI-NP\tO' +p276429 +asS'Given this , the decision was made to make his care comfort measures only .' +p276430 +(lp276431 +S'Given\tGive\tVBN\tB-PP\tO' +p276432 +aS'this\tthis\tDT\tB-NP\tO' +p276433 +aS',\t,\t,\tO\tO' +p276434 +aS'the\tthe\tDT\tB-NP\tO' +p276435 +aS'decision\tdecision\tNN\tI-NP\tO' +p276436 +aS'was\tbe\tVBD\tB-VP\tO' +p276437 +aS'made\tmake\tVBN\tI-VP\tO' +p276438 +aS'to\tto\tTO\tB-VP\tO' +p276439 +aS'make\tmake\tVB\tI-VP\tO' +p276440 +aS'his\this\tPRP$\tB-NP\tO' +p276441 +aS'care\tcare\tNN\tI-NP\tO' +p276442 +aS'comfort\tcomfort\tNN\tI-NP\tO' +p276443 +aS'measures\tmeasure\tVBZ\tB-VP\tO' +p276444 +aS'only\tonly\tRB\tB-ADVP\tO' +p276445 +aS'.\t.\t.\tO\tO' +p276446 +asS'No pericardial effusion .' +p276447 +(lp276448 +S'No\tNo\tDT\tB-NP\tO' +p276449 +aS'pericardial\tpericardial\tJJ\tI-NP\tO' +p276450 +aS'effusion\teffusion\tNN\tI-NP\tO' +p276451 +aS'.\t.\t.\tO\tO' +p276452 +asS'The patient takes poorly his po. diet .' +p276453 +(lp276454 +S'The\tThe\tDT\tB-NP\tO' +p276455 +aS'patient\tpatient\tNN\tI-NP\tO' +p276456 +aS'takes\ttake\tVBZ\tB-VP\tO' +p276457 +aS'poorly\tpoorly\tRB\tB-ADVP\tO' +p276458 +aS'his\this\tPRP$\tB-NP\tO' +p276459 +aS'po.\tpo.\tNN\tI-NP\tO' +p276460 +aS'diet\tdiet\tNN\tI-NP\tO' +p276461 +aS'.\t.\t.\tO\tO' +p276462 +asS'Tylenol was continued to control fevers and prednisone was continued to control inflammation and prevent precipitation of adrenal insufficiency .' +p276463 +(lp276464 +S'Tylenol\tTylenol\tNN\tB-NP\tO' +p276465 +aS'was\tbe\tVBD\tB-VP\tO' +p276466 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p276467 +aS'to\tto\tTO\tI-VP\tO' +p276468 +aS'control\tcontrol\tVB\tI-VP\tO' +p276469 +aS'fevers\tfever\tNNS\tB-NP\tO' +p276470 +aS'and\tand\tCC\tI-NP\tO' +p276471 +aS'prednisone\tprednisone\tNN\tI-NP\tO' +p276472 +aS'was\tbe\tVBD\tB-VP\tO' +p276473 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p276474 +aS'to\tto\tTO\tI-VP\tO' +p276475 +aS'control\tcontrol\tVB\tI-VP\tO' +p276476 +aS'inflammation\tinflammation\tNN\tB-NP\tO' +p276477 +aS'and\tand\tCC\tO\tO' +p276478 +aS'prevent\tprevent\tVB\tB-VP\tO' +p276479 +aS'precipitation\tprecipitation\tNN\tB-NP\tO' +p276480 +aS'of\tof\tIN\tB-PP\tO' +p276481 +aS'adrenal\tadrenal\tJJ\tB-NP\tO' +p276482 +aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' +p276483 +aS'.\t.\t.\tO\tO' +p276484 +asS'He had a blood pressure of 60 systolic upon arrival of the Giles Min General Hospital crew .' +p276485 +(lp276486 +S'He\tHe\tPRP\tB-NP\tO' +p276487 +aS'had\thave\tVBD\tB-VP\tO' +p276488 +aS'a\ta\tDT\tB-NP\tO' +p276489 +aS'blood\tblood\tNN\tI-NP\tO' +p276490 +aS'pressure\tpressure\tNN\tI-NP\tO' +p276491 +aS'of\tof\tIN\tB-PP\tO' +p276492 +aS'60\t60\tCD\tB-NP\tO' +p276493 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p276494 +aS'upon\tupon\tIN\tB-PP\tO' +p276495 +aS'arrival\tarrival\tNN\tB-NP\tO' +p276496 +aS'of\tof\tIN\tB-PP\tO' +p276497 +aS'the\tthe\tDT\tB-NP\tO' +p276498 +aS'Giles\tGiles\tNNP\tI-NP\tO' +p276499 +aS'Min\tMin\tNNP\tI-NP\tO' +p276500 +aS'General\tGeneral\tNNP\tI-NP\tO' +p276501 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p276502 +aS'crew\tcrew\tVBD\tB-VP\tO' +p276503 +aS'.\t.\t.\tO\tO' +p276504 +asS'Antibiotics were discontinued on day of life three and infant has remained clinically well off antibiotics .' +p276505 +(lp276506 +S'Antibiotics\tAntibiotic\tNNS\tB-NP\tO' +p276507 +aS'were\tbe\tVBD\tB-VP\tO' +p276508 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p276509 +aS'on\ton\tIN\tB-PP\tO' +p276510 +aS'day\tday\tNN\tB-NP\tO' +p276511 +aS'of\tof\tIN\tB-PP\tO' +p276512 +aS'life\tlife\tNN\tB-NP\tO' +p276513 +aS'three\tthree\tCD\tB-NP\tO' +p276514 +aS'and\tand\tCC\tI-NP\tO' +p276515 +aS'infant\tinfant\tNN\tI-NP\tO' +p276516 +aS'has\thave\tVBZ\tB-VP\tO' +p276517 +aS'remained\tremain\tVBN\tI-VP\tO' +p276518 +aS'clinically\tclinically\tRB\tB-ADVP\tO' +p276519 +aS'well\twell\tRB\tI-ADVP\tO' +p276520 +aS'off\toff\tIN\tB-PP\tO' +p276521 +aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' +p276522 +aS'.\t.\t.\tO\tO' +p276523 +asS'Calcium 7.3 , phos 1.8 , magnesium 1.5 .' +p276524 +(lp276525 +S'Calcium\tCalcium\tNN\tB-NP\tO' +p276526 +aS'7.3\t7.3\tCD\tI-NP\tO' +p276527 +aS',\t,\t,\tO\tO' +p276528 +aS'phos\tpho\tNNS\tB-NP\tO' +p276529 +aS'1.8\t1.8\tCD\tB-NP\tO' +p276530 +aS',\t,\t,\tO\tO' +p276531 +aS'magnesium\tmagnesium\tNN\tB-NP\tO' +p276532 +aS'1.5\t1.5\tCD\tI-NP\tO' +p276533 +aS'.\t.\t.\tO\tO' +p276534 +asS'His dressing changes for his foot continued per the Podiatry Service and his leg ulcer was noted to be slowly healing .' +p276535 +(lp276536 +S'His\tHis\tPRP$\tB-NP\tB-protein' +p276537 +aS'dressing\tdress\tVBG\tI-NP\tO' +p276538 +aS'changes\tchange\tNNS\tI-NP\tO' +p276539 +aS'for\tfor\tIN\tB-PP\tO' +p276540 +aS'his\this\tPRP$\tB-NP\tO' +p276541 +aS'foot\tfoot\tNN\tI-NP\tO' +p276542 +aS'continued\tcontinue\tVBN\tB-VP\tO' +p276543 +aS'per\tper\tIN\tB-PP\tO' +p276544 +aS'the\tthe\tDT\tB-NP\tO' +p276545 +aS'Podiatry\tPodiatry\tNNP\tI-NP\tO' +p276546 +aS'Service\tService\tNNP\tI-NP\tO' +p276547 +aS'and\tand\tCC\tO\tO' +p276548 +aS'his\this\tPRP$\tB-NP\tO' +p276549 +aS'leg\tleg\tNN\tI-NP\tO' +p276550 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p276551 +aS'was\tbe\tVBD\tB-VP\tO' +p276552 +aS'noted\tnote\tVBN\tI-VP\tO' +p276553 +aS'to\tto\tTO\tI-VP\tO' +p276554 +aS'be\tbe\tVB\tI-VP\tO' +p276555 +aS'slowly\tslowly\tRB\tB-ADVP\tO' +p276556 +aS'healing\theal\tVBG\tB-VP\tO' +p276557 +aS'.\t.\t.\tO\tO' +p276558 +asS'Partial embolization of blood supply to nose , 8/22 .' +p276559 +(lp276560 +S'Partial\tPartial\tJJ\tB-NP\tO' +p276561 +aS'embolization\tembolization\tNN\tI-NP\tO' +p276562 +aS'of\tof\tIN\tB-PP\tO' +p276563 +aS'blood\tblood\tNN\tB-NP\tO' +p276564 +aS'supply\tsupply\tNN\tI-NP\tO' +p276565 +aS'to\tto\tTO\tB-PP\tO' +p276566 +aS'nose\tnose\tNN\tB-NP\tO' +p276567 +aS',\t,\t,\tO\tO' +p276568 +aS'8/22\t8/22\tCD\tB-NP\tO' +p276569 +aS'.\t.\t.\tO\tO' +p276570 +asS'He will be discharged to home , in good condition , with very specific intructions to follow up with Albano for his diabetic care and the Transplant Clinic for his transplant care .' +p276571 +(lp276572 +S'He\tHe\tPRP\tB-NP\tO' +p276573 +aS'will\twill\tMD\tB-VP\tO' +p276574 +aS'be\tbe\tVB\tI-VP\tO' +p276575 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p276576 +aS'to\tto\tTO\tB-PP\tO' +p276577 +aS'home\thome\tNN\tB-NP\tO' +p276578 +aS',\t,\t,\tO\tO' +p276579 +aS'in\tin\tIN\tB-PP\tO' +p276580 +aS'good\tgood\tJJ\tB-NP\tO' +p276581 +aS'condition\tcondition\tNN\tI-NP\tO' +p276582 +aS',\t,\t,\tO\tO' +p276583 +aS'with\twith\tIN\tB-PP\tO' +p276584 +aS'very\tvery\tRB\tB-NP\tO' +p276585 +aS'specific\tspecific\tJJ\tI-NP\tO' +p276586 +aS'intructions\tintruction\tNNS\tI-NP\tO' +p276587 +aS'to\tto\tTO\tB-VP\tO' +p276588 +aS'follow\tfollow\tVB\tI-VP\tO' +p276589 +aS'up\tup\tRP\tB-PRT\tO' +p276590 +aS'with\twith\tIN\tB-PP\tO' +p276591 +aS'Albano\tAlbano\tNNP\tB-NP\tO' +p276592 +aS'for\tfor\tIN\tB-PP\tO' +p276593 +aS'his\this\tPRP$\tB-NP\tO' +p276594 +aS'diabetic\tdiabetic\tJJ\tI-NP\tO' +p276595 +aS'care\tcare\tNN\tI-NP\tO' +p276596 +aS'and\tand\tCC\tO\tO' +p276597 +aS'the\tthe\tDT\tB-NP\tO' +p276598 +aS'Transplant\tTransplant\tNNP\tI-NP\tO' +p276599 +aS'Clinic\tClinic\tNNP\tI-NP\tO' +p276600 +aS'for\tfor\tIN\tB-PP\tO' +p276601 +aS'his\this\tPRP$\tB-NP\tO' +p276602 +aS'transplant\ttransplant\tNN\tI-NP\tO' +p276603 +aS'care\tcare\tNN\tI-NP\tO' +p276604 +aS'.\t.\t.\tO\tO' +p276605 +asS"The patient 's family eventually decided to withdraw care , and the patient was extubated and passed away on 2009-07-12 ." +p276606 +(lp276607 +S'The\tThe\tDT\tB-NP\tO' +p276608 +aS'patient\tpatient\tNN\tI-NP\tO' +p276609 +aS"'s\t's\tPOS\tB-NP\tO" +p276610 +aS'family\tfamily\tNN\tI-NP\tO' +p276611 +aS'eventually\teventually\tRB\tB-ADVP\tO' +p276612 +aS'decided\tdecide\tVBD\tB-VP\tO' +p276613 +aS'to\tto\tTO\tI-VP\tO' +p276614 +aS'withdraw\twithdraw\tVB\tI-VP\tO' +p276615 +aS'care\tcare\tNN\tB-NP\tO' +p276616 +aS',\t,\t,\tO\tO' +p276617 +aS'and\tand\tCC\tO\tO' +p276618 +aS'the\tthe\tDT\tB-NP\tO' +p276619 +aS'patient\tpatient\tNN\tI-NP\tO' +p276620 +aS'was\tbe\tVBD\tB-VP\tO' +p276621 +aS'extubated\textubate\tVBN\tI-VP\tO' +p276622 +aS'and\tand\tCC\tO\tO' +p276623 +aS'passed\tpass\tVBN\tB-VP\tO' +p276624 +aS'away\taway\tRB\tB-ADVP\tO' +p276625 +aS'on\ton\tIN\tB-PP\tO' +p276626 +aS'2009-07-12\t2009-07-12\tCD\tB-NP\tO' +p276627 +aS'.\t.\t.\tO\tO' +p276628 +asS'Left vocal cord with glottic airway visible but narrow .' +p276629 +(lp276630 +S'Left\tLeave\tVBN\tB-NP\tO' +p276631 +aS'vocal\tvocal\tJJ\tI-NP\tO' +p276632 +aS'cord\tcord\tNN\tI-NP\tO' +p276633 +aS'with\twith\tIN\tB-PP\tO' +p276634 +aS'glottic\tglottic\tJJ\tB-NP\tO' +p276635 +aS'airway\tairway\tNN\tI-NP\tO' +p276636 +aS'visible\tvisible\tJJ\tB-ADJP\tO' +p276637 +aS'but\tbut\tCC\tI-ADJP\tO' +p276638 +aS'narrow\tnarrow\tJJ\tI-ADJP\tO' +p276639 +aS'.\t.\t.\tO\tO' +p276640 +asS'He was to be called out to the medical floor on 2019-01-20 but became somnolent after receiving pain and anti-nausea meds , so he stayed in the ICU for closer monitoring of respiratory status , which spontaneously improved .' +p276641 +(lp276642 +S'He\tHe\tPRP\tB-NP\tO' +p276643 +aS'was\tbe\tVBD\tB-VP\tO' +p276644 +aS'to\tto\tTO\tI-VP\tO' +p276645 +aS'be\tbe\tVB\tI-VP\tO' +p276646 +aS'called\tcall\tVBN\tI-VP\tO' +p276647 +aS'out\tout\tRP\tB-PRT\tO' +p276648 +aS'to\tto\tTO\tB-PP\tO' +p276649 +aS'the\tthe\tDT\tB-NP\tO' +p276650 +aS'medical\tmedical\tJJ\tI-NP\tO' +p276651 +aS'floor\tfloor\tNN\tI-NP\tO' +p276652 +aS'on\ton\tIN\tB-PP\tO' +p276653 +aS'2019-01-20\t2019-01-20\tCD\tB-NP\tO' +p276654 +aS'but\tbut\tCC\tO\tO' +p276655 +aS'became\tbecome\tVBD\tB-VP\tO' +p276656 +aS'somnolent\tsomnolent\tRB\tB-ADVP\tO' +p276657 +aS'after\tafter\tIN\tB-PP\tO' +p276658 +aS'receiving\treceive\tVBG\tB-VP\tO' +p276659 +aS'pain\tpain\tNN\tB-NP\tO' +p276660 +aS'and\tand\tCC\tO\tO' +p276661 +aS'anti-nausea\tanti-nausea\tJJ\tB-NP\tO' +p276662 +aS'meds\tmed\tNNS\tI-NP\tO' +p276663 +aS',\t,\t,\tO\tO' +p276664 +aS'so\tso\tIN\tO\tO' +p276665 +aS'he\the\tPRP\tB-NP\tO' +p276666 +aS'stayed\tstay\tVBD\tB-VP\tO' +p276667 +aS'in\tin\tIN\tB-PP\tO' +p276668 +aS'the\tthe\tDT\tB-NP\tO' +p276669 +aS'ICU\tICU\tNN\tI-NP\tO' +p276670 +aS'for\tfor\tIN\tB-PP\tO' +p276671 +aS'closer\tclose\tJJR\tB-NP\tO' +p276672 +aS'monitoring\tmonitoring\tNN\tI-NP\tO' +p276673 +aS'of\tof\tIN\tB-PP\tO' +p276674 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p276675 +aS'status\tstatus\tNN\tI-NP\tO' +p276676 +aS',\t,\t,\tO\tO' +p276677 +aS'which\twhich\tWDT\tB-NP\tO' +p276678 +aS'spontaneously\tspontaneously\tRB\tB-ADVP\tO' +p276679 +aS'improved\timprove\tVBD\tB-VP\tO' +p276680 +aS'.\t.\t.\tO\tO' +p276681 +asS'Celexa 10 mg p.o. q.d.; Lasix 40 mg p.o. q.d.; Capoten 50 mg p.o. b.i.d.; Pepcid 20 mg p.o. q.d.; Cardizem 180 mg p.o. q.d.; Xanax 0.5 mg tabs .' +p276682 +(lp276683 +S'Celexa\tCelexa\tNN\tB-NP\tB-protein' +p276684 +aS'10\t10\tCD\tI-NP\tI-protein' +p276685 +aS'mg\tmg\tNN\tI-NP\tI-protein' +p276686 +aS'p.o.\tp.o.\tNN\tI-NP\tI-protein' +p276687 +aS'q.d.;\tq.d.;\tNN\tI-NP\tI-protein' +p276688 +aS'Lasix\tLasix\tNNP\tB-NP\tI-protein' +p276689 +aS'40\t40\tCD\tI-NP\tI-protein' +p276690 +aS'mg\tmg\tNN\tI-NP\tI-protein' +p276691 +aS'p.o.\tp.o.\tNN\tI-NP\tI-protein' +p276692 +aS'q.d.;\tq.d.;\tNN\tI-NP\tI-protein' +p276693 +aS'Capoten\tCapoten\tNNP\tB-NP\tI-protein' +p276694 +aS'50\t50\tCD\tI-NP\tI-protein' +p276695 +aS'mg\tmg\tNN\tI-NP\tI-protein' +p276696 +aS'p.o.\tp.o.\tFW\tI-NP\tI-protein' +p276697 +aS'b.i.d.;\tb.i.d.;\tNN\tI-NP\tI-protein' +p276698 +aS'Pepcid\tPepcid\tNN\tI-NP\tI-protein' +p276699 +aS'20\t20\tCD\tI-NP\tI-protein' +p276700 +aS'mg\tmg\tNN\tI-NP\tI-protein' +p276701 +aS'p.o.\tp.o.\tNN\tI-NP\tI-protein' +p276702 +aS'q.d.;\tq.d.;\tNN\tI-NP\tI-protein' +p276703 +aS'Cardizem\tCardizem\tNNP\tB-NP\tI-protein' +p276704 +aS'180\t180\tCD\tI-NP\tI-protein' +p276705 +aS'mg\tmg\tNN\tI-NP\tI-protein' +p276706 +aS'p.o.\tp.o.\tFW\tI-NP\tI-protein' +p276707 +aS'q.d.;\tq.d.;\tNN\tI-NP\tI-protein' +p276708 +aS'Xanax\tXanax\tNN\tI-NP\tI-protein' +p276709 +aS'0.5\t0.5\tCD\tI-NP\tI-protein' +p276710 +aS'mg\tmg\tNN\tI-NP\tI-protein' +p276711 +aS'tabs\ttab\tNNS\tI-NP\tI-protein' +p276712 +aS'.\t.\t.\tO\tO' +p276713 +asS'She was transferred to the newborn Intensive Care Unit for further management .' +p276714 +(lp276715 +S'She\tShe\tPRP\tB-NP\tO' +p276716 +aS'was\tbe\tVBD\tB-VP\tO' +p276717 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p276718 +aS'to\tto\tTO\tB-PP\tO' +p276719 +aS'the\tthe\tDT\tB-NP\tO' +p276720 +aS'newborn\tnewborn\tJJ\tI-NP\tO' +p276721 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p276722 +aS'Care\tCare\tNNP\tI-NP\tO' +p276723 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p276724 +aS'for\tfor\tIN\tB-PP\tO' +p276725 +aS'further\tfurther\tJJ\tB-NP\tO' +p276726 +aS'management\tmanagement\tNN\tI-NP\tO' +p276727 +aS'.\t.\t.\tO\tO' +p276728 +asS'The patient was consented for surgery and on the day of admission was taken to the operating room for transverse colectomy for tumor .' +p276729 +(lp276730 +S'The\tThe\tDT\tB-NP\tO' +p276731 +aS'patient\tpatient\tNN\tI-NP\tO' +p276732 +aS'was\tbe\tVBD\tB-VP\tO' +p276733 +aS'consented\tconsent\tVBN\tI-VP\tO' +p276734 +aS'for\tfor\tIN\tB-PP\tO' +p276735 +aS'surgery\tsurgery\tNN\tB-NP\tO' +p276736 +aS'and\tand\tCC\tB-PP\tO' +p276737 +aS'on\ton\tIN\tB-PP\tO' +p276738 +aS'the\tthe\tDT\tB-NP\tO' +p276739 +aS'day\tday\tNN\tI-NP\tO' +p276740 +aS'of\tof\tIN\tB-PP\tO' +p276741 +aS'admission\tadmission\tNN\tB-NP\tO' +p276742 +aS'was\tbe\tVBD\tB-VP\tO' +p276743 +aS'taken\ttake\tVBN\tI-VP\tO' +p276744 +aS'to\tto\tTO\tB-PP\tO' +p276745 +aS'the\tthe\tDT\tB-NP\tO' +p276746 +aS'operating\toperating\tNN\tI-NP\tO' +p276747 +aS'room\troom\tNN\tI-NP\tO' +p276748 +aS'for\tfor\tIN\tB-PP\tO' +p276749 +aS'transverse\ttransverse\tJJ\tB-NP\tO' +p276750 +aS'colectomy\tcolectomy\tNN\tI-NP\tO' +p276751 +aS'for\tfor\tIN\tB-PP\tO' +p276752 +aS'tumor\ttumor\tNN\tB-NP\tO' +p276753 +aS'.\t.\t.\tO\tO' +p276754 +asS'# Afib - In sinus during admission .' +p276755 +(lp276756 +S'#\t#\t#\tB-NP\tO' +p276757 +aS'Afib\tAfib\tNNP\tI-NP\tO' +p276758 +aS'-\t-\t:\tO\tO' +p276759 +aS'In\tIn\tIN\tB-PP\tO' +p276760 +aS'sinus\tsinus\tNN\tB-NP\tO' +p276761 +aS'during\tduring\tIN\tB-PP\tO' +p276762 +aS'admission\tadmission\tNN\tB-NP\tO' +p276763 +aS'.\t.\t.\tO\tO' +p276764 +asS'She tolerated the procedure well and was transferred back to the Surgical Intensive Care Unit with her new tracheostomy working well .' +p276765 +(lp276766 +S'She\tShe\tPRP\tB-NP\tO' +p276767 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p276768 +aS'the\tthe\tDT\tB-NP\tO' +p276769 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p276770 +aS'well\twell\tRB\tB-ADVP\tO' +p276771 +aS'and\tand\tCC\tO\tO' +p276772 +aS'was\tbe\tVBD\tB-VP\tO' +p276773 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p276774 +aS'back\tback\tRB\tB-ADVP\tO' +p276775 +aS'to\tto\tTO\tB-PP\tO' +p276776 +aS'the\tthe\tDT\tB-NP\tO' +p276777 +aS'Surgical\tSurgical\tNNP\tI-NP\tO' +p276778 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p276779 +aS'Care\tCare\tNNP\tI-NP\tO' +p276780 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p276781 +aS'with\twith\tIN\tB-PP\tO' +p276782 +aS'her\ther\tPRP$\tB-NP\tO' +p276783 +aS'new\tnew\tJJ\tI-NP\tO' +p276784 +aS'tracheostomy\ttracheostomy\tNN\tI-NP\tO' +p276785 +aS'working\twork\tVBG\tB-VP\tO' +p276786 +aS'well\twell\tRB\tB-ADVP\tO' +p276787 +aS'.\t.\t.\tO\tO' +p276788 +asS"At 6pm pt 's respiratory status worsened and she died ." +p276789 +(lp276790 +S'At\tAt\tIN\tB-PP\tO' +p276791 +aS'6pm\t6pm\tCD\tB-NP\tO' +p276792 +aS'pt\tpt\tNN\tI-NP\tO' +p276793 +aS"'s\t's\tPOS\tB-NP\tO" +p276794 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p276795 +aS'status\tstatus\tNN\tI-NP\tO' +p276796 +aS'worsened\tworsen\tVBD\tB-VP\tO' +p276797 +aS'and\tand\tCC\tO\tO' +p276798 +aS'she\tshe\tPRP\tB-NP\tO' +p276799 +aS'died\tdie\tVBD\tB-VP\tO' +p276800 +aS'.\t.\t.\tO\tO' +p276801 +asS'The cross extension reflex was positive on the left .' +p276802 +(lp276803 +S'The\tThe\tDT\tB-NP\tO' +p276804 +aS'cross\tcross\tJJ\tI-NP\tO' +p276805 +aS'extension\textension\tNN\tI-NP\tO' +p276806 +aS'reflex\treflex\tNN\tI-NP\tO' +p276807 +aS'was\tbe\tVBD\tB-VP\tO' +p276808 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p276809 +aS'on\ton\tIN\tB-PP\tO' +p276810 +aS'the\tthe\tDT\tB-NP\tO' +p276811 +aS'left\tleft\tNN\tI-NP\tO' +p276812 +aS'.\t.\t.\tO\tO' +p276813 +asS'As mentioned , her wounds healed well without incident and the staples were removed on the 10th postoperative day just prior to discharge .' +p276814 +(lp276815 +S'As\tAs\tIN\tB-SBAR\tO' +p276816 +aS'mentioned\tmention\tVBN\tB-VP\tO' +p276817 +aS',\t,\t,\tO\tO' +p276818 +aS'her\ther\tPRP$\tB-NP\tO' +p276819 +aS'wounds\twound\tNNS\tI-NP\tO' +p276820 +aS'healed\theal\tVBD\tB-VP\tO' +p276821 +aS'well\twell\tRB\tB-ADVP\tO' +p276822 +aS'without\twithout\tIN\tB-PP\tO' +p276823 +aS'incident\tincident\tNN\tB-NP\tO' +p276824 +aS'and\tand\tCC\tO\tO' +p276825 +aS'the\tthe\tDT\tB-NP\tO' +p276826 +aS'staples\tstaple\tNNS\tI-NP\tO' +p276827 +aS'were\tbe\tVBD\tB-VP\tO' +p276828 +aS'removed\tremove\tVBN\tI-VP\tO' +p276829 +aS'on\ton\tIN\tB-PP\tO' +p276830 +aS'the\tthe\tDT\tB-NP\tO' +p276831 +aS'10th\t10th\tJJ\tI-NP\tO' +p276832 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p276833 +aS'day\tday\tNN\tI-NP\tO' +p276834 +aS'just\tjust\tRB\tB-ADJP\tO' +p276835 +aS'prior\tprior\tJJ\tI-ADJP\tO' +p276836 +aS'to\tto\tTO\tB-VP\tO' +p276837 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p276838 +aS'.\t.\t.\tO\tO' +p276839 +asS'The patient was continued on nebs' +p276840 +(lp276841 +S'The\tThe\tDT\tB-NP\tO' +p276842 +aS'patient\tpatient\tNN\tI-NP\tO' +p276843 +aS'was\tbe\tVBD\tB-VP\tO' +p276844 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p276845 +aS'on\ton\tIN\tB-PP\tO' +p276846 +aS'nebs\tneb\tNNS\tB-NP\tO' +p276847 +asS'No pressors or central line per HCP .' +p276848 +(lp276849 +S'No\tNo\tDT\tB-NP\tO' +p276850 +aS'pressors\tpressor\tNNS\tI-NP\tO' +p276851 +aS'or\tor\tCC\tI-NP\tO' +p276852 +aS'central\tcentral\tJJ\tI-NP\tO' +p276853 +aS'line\tline\tNN\tI-NP\tO' +p276854 +aS'per\tper\tIN\tB-PP\tO' +p276855 +aS'HCP\tHCP\tNN\tB-NP\tB-DNA' +p276856 +aS'.\t.\t.\tO\tO' +p276857 +asS'Ultimately , the patient was transferred to the floor and anticoagulation with Coumadin was begun .' +p276858 +(lp276859 +S'Ultimately\tUltimately\tRB\tB-ADVP\tO' +p276860 +aS',\t,\t,\tO\tO' +p276861 +aS'the\tthe\tDT\tB-NP\tO' +p276862 +aS'patient\tpatient\tNN\tI-NP\tO' +p276863 +aS'was\tbe\tVBD\tB-VP\tO' +p276864 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p276865 +aS'to\tto\tTO\tB-PP\tO' +p276866 +aS'the\tthe\tDT\tB-NP\tO' +p276867 +aS'floor\tfloor\tNN\tI-NP\tO' +p276868 +aS'and\tand\tCC\tI-NP\tO' +p276869 +aS'anticoagulation\tanticoagulation\tNN\tI-NP\tO' +p276870 +aS'with\twith\tIN\tB-PP\tO' +p276871 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p276872 +aS'was\tbe\tVBD\tB-VP\tO' +p276873 +aS'begun\tbegin\tVBN\tI-VP\tO' +p276874 +aS'.\t.\t.\tO\tO' +p276875 +asS'EPISTAXIS .' +p276876 +(lp276877 +S'EPISTAXIS\tEPISTAXIS\tNNS\tB-NP\tO' +p276878 +aS'.\t.\t.\tO\tO' +p276879 +asS'Last CD4 count of 268 , viral load undetectable , followed at the Boston Regional Medical Centerr Clinic by Dr. Taylor .' +p276880 +(lp276881 +S'Last\tLast\tJJ\tB-NP\tO' +p276882 +aS'CD4\tCD4\tNN\tI-NP\tO' +p276883 +aS'count\tcount\tNN\tI-NP\tO' +p276884 +aS'of\tof\tIN\tB-PP\tO' +p276885 +aS'268\t268\tCD\tB-NP\tO' +p276886 +aS',\t,\t,\tO\tO' +p276887 +aS'viral\tviral\tJJ\tB-NP\tO' +p276888 +aS'load\tload\tNN\tI-NP\tO' +p276889 +aS'undetectable\tundetectable\tJJ\tB-ADJP\tO' +p276890 +aS',\t,\t,\tO\tO' +p276891 +aS'followed\tfollow\tVBN\tB-VP\tO' +p276892 +aS'at\tat\tIN\tB-PP\tO' +p276893 +aS'the\tthe\tDT\tB-NP\tO' +p276894 +aS'Boston\tBoston\tNNP\tI-NP\tO' +p276895 +aS'Regional\tRegional\tNNP\tI-NP\tO' +p276896 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p276897 +aS'Centerr\tCenterr\tNNP\tI-NP\tO' +p276898 +aS'Clinic\tClinic\tNNP\tI-NP\tO' +p276899 +aS'by\tby\tIN\tB-PP\tO' +p276900 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p276901 +aS'Taylor\tTaylor\tNNP\tI-NP\tO' +p276902 +aS'.\t.\t.\tO\tO' +p276903 +asS'The patient ruled out for myocardial infarction .' +p276904 +(lp276905 +S'The\tThe\tDT\tB-NP\tO' +p276906 +aS'patient\tpatient\tNN\tI-NP\tO' +p276907 +aS'ruled\trule\tVBD\tB-VP\tO' +p276908 +aS'out\tout\tRP\tB-PRT\tO' +p276909 +aS'for\tfor\tIN\tB-PP\tO' +p276910 +aS'myocardial\tmyocardial\tJJ\tB-NP\tO' +p276911 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p276912 +aS'.\t.\t.\tO\tO' +p276913 +asS'Patient was 4.4 , blood urea nitrogen was 14 , creatinine was 0.6 , and glucose was 147 .' +p276914 +(lp276915 +S'Patient\tPatient\tNN\tB-NP\tO' +p276916 +aS'was\tbe\tVBD\tB-VP\tO' +p276917 +aS'4.4\t4.4\tCD\tB-NP\tO' +p276918 +aS',\t,\t,\tO\tO' +p276919 +aS'blood\tblood\tNN\tB-NP\tO' +p276920 +aS'urea\turea\tNN\tI-NP\tO' +p276921 +aS'nitrogen\tnitrogen\tNN\tI-NP\tO' +p276922 +aS'was\tbe\tVBD\tB-VP\tO' +p276923 +aS'14\t14\tCD\tB-NP\tO' +p276924 +aS',\t,\t,\tO\tO' +p276925 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p276926 +aS'was\tbe\tVBD\tB-VP\tO' +p276927 +aS'0.6\t0.6\tCD\tB-NP\tO' +p276928 +aS',\t,\t,\tO\tO' +p276929 +aS'and\tand\tCC\tO\tO' +p276930 +aS'glucose\tglucose\tNN\tB-NP\tB-protein' +p276931 +aS'was\tbe\tVBD\tB-VP\tI-protein' +p276932 +aS'147\t147\tCD\tB-NP\tI-protein' +p276933 +aS'.\t.\t.\tO\tO' +p276934 +asS'The heart , pericardium , and great vessels are stable .' +p276935 +(lp276936 +S'The\tThe\tDT\tB-NP\tO' +p276937 +aS'heart\theart\tNN\tI-NP\tO' +p276938 +aS',\t,\t,\tO\tO' +p276939 +aS'pericardium\tpericardium\tNN\tB-NP\tO' +p276940 +aS',\t,\t,\tO\tO' +p276941 +aS'and\tand\tCC\tO\tO' +p276942 +aS'great\tgreat\tJJ\tB-NP\tO' +p276943 +aS'vessels\tvessel\tNNS\tI-NP\tO' +p276944 +aS'are\tbe\tVBP\tB-VP\tO' +p276945 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p276946 +aS'.\t.\t.\tO\tO' +p276947 +asS'He was admitted to the Neuro Surgical Intensive Care Unit for close monitoring and Neuro-checks .' +p276948 +(lp276949 +S'He\tHe\tPRP\tB-NP\tO' +p276950 +aS'was\tbe\tVBD\tB-VP\tO' +p276951 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p276952 +aS'to\tto\tTO\tB-PP\tO' +p276953 +aS'the\tthe\tDT\tB-NP\tO' +p276954 +aS'Neuro\tNeuro\tNNP\tI-NP\tO' +p276955 +aS'Surgical\tSurgical\tNNP\tI-NP\tO' +p276956 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p276957 +aS'Care\tCare\tNNP\tI-NP\tO' +p276958 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p276959 +aS'for\tfor\tIN\tB-PP\tO' +p276960 +aS'close\tclose\tJJ\tB-NP\tO' +p276961 +aS'monitoring\tmonitoring\tNN\tI-NP\tO' +p276962 +aS'and\tand\tCC\tI-NP\tO' +p276963 +aS'Neuro-checks\tNeuro-check\tNNS\tI-NP\tB-protein' +p276964 +aS'.\t.\t.\tO\tO' +p276965 +asS'There , her pulmonary wedge pressure was 12 and her right atrial pressure was 4 and pulmonary artery pressure 44/17 .' +p276966 +(lp276967 +S'There\tThere\tRB\tB-ADVP\tO' +p276968 +aS',\t,\t,\tO\tO' +p276969 +aS'her\ther\tPRP$\tB-NP\tO' +p276970 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p276971 +aS'wedge\twedge\tNN\tI-NP\tO' +p276972 +aS'pressure\tpressure\tNN\tI-NP\tO' +p276973 +aS'was\tbe\tVBD\tB-VP\tO' +p276974 +aS'12\t12\tCD\tB-NP\tO' +p276975 +aS'and\tand\tCC\tO\tO' +p276976 +aS'her\ther\tPRP$\tB-NP\tO' +p276977 +aS'right\tright\tJJ\tI-NP\tO' +p276978 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p276979 +aS'pressure\tpressure\tNN\tI-NP\tO' +p276980 +aS'was\tbe\tVBD\tB-VP\tO' +p276981 +aS'4\t4\tCD\tB-NP\tO' +p276982 +aS'and\tand\tCC\tO\tO' +p276983 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p276984 +aS'artery\tartery\tNN\tI-NP\tO' +p276985 +aS'pressure\tpressure\tNN\tI-NP\tO' +p276986 +aS'44/17\t44/17\tCD\tI-NP\tO' +p276987 +aS'.\t.\t.\tO\tO' +p276988 +asS'Neck supple , carotids without bruits .' +p276989 +(lp276990 +S'Neck\tNeck\tNN\tB-NP\tO' +p276991 +aS'supple\tsupple\tNN\tI-NP\tO' +p276992 +aS',\t,\t,\tO\tO' +p276993 +aS'carotids\tcarotid\tNNS\tB-NP\tO' +p276994 +aS'without\twithout\tIN\tB-PP\tO' +p276995 +aS'bruits\tbruit\tNNS\tB-NP\tO' +p276996 +aS'.\t.\t.\tO\tO' +p276997 +asS'4. Dilaudid one to two tablets by mouth q.4-6h. as needed ( for pain ) .' +p276998 +(lp276999 +S'4.\t4.\tLS\tB-LST\tO' +p277000 +aS'Dilaudid\tDilaudid\tVBD\tB-VP\tO' +p277001 +aS'one\tone\tCD\tB-NP\tO' +p277002 +aS'to\tto\tTO\tB-PP\tO' +p277003 +aS'two\ttwo\tCD\tB-NP\tO' +p277004 +aS'tablets\ttablet\tNNS\tI-NP\tO' +p277005 +aS'by\tby\tIN\tB-PP\tO' +p277006 +aS'mouth\tmouth\tNN\tB-NP\tO' +p277007 +aS'q.4-6h.\tq.4-6h.\tNN\tI-NP\tO' +p277008 +aS'as\tas\tIN\tB-SBAR\tO' +p277009 +aS'needed\tneed\tVBN\tB-VP\tO' +p277010 +aS'(\t(\t(\tO\tO' +p277011 +aS'for\tfor\tIN\tB-PP\tO' +p277012 +aS'pain\tpain\tNN\tB-NP\tO' +p277013 +aS')\t)\t)\tO\tO' +p277014 +aS'.\t.\t.\tO\tO' +p277015 +asS'Please have a copy in the chart ; the patient will be leaving on the morning of 07/16/95 .' +p277016 +(lp277017 +S'Please\tPlease\tNN\tB-NP\tB-protein' +p277018 +aS'have\thave\tVBP\tB-VP\tO' +p277019 +aS'a\ta\tDT\tB-NP\tO' +p277020 +aS'copy\tcopy\tNN\tI-NP\tO' +p277021 +aS'in\tin\tIN\tB-PP\tO' +p277022 +aS'the\tthe\tDT\tB-NP\tO' +p277023 +aS'chart\tchart\tNN\tI-NP\tO' +p277024 +aS';\t;\t:\tO\tO' +p277025 +aS'the\tthe\tDT\tB-NP\tO' +p277026 +aS'patient\tpatient\tNN\tI-NP\tO' +p277027 +aS'will\twill\tMD\tB-VP\tO' +p277028 +aS'be\tbe\tVB\tI-VP\tO' +p277029 +aS'leaving\tleave\tVBG\tI-VP\tO' +p277030 +aS'on\ton\tIN\tB-PP\tO' +p277031 +aS'the\tthe\tDT\tB-NP\tO' +p277032 +aS'morning\tmorning\tNN\tI-NP\tO' +p277033 +aS'of\tof\tIN\tB-PP\tO' +p277034 +aS'07/16/95\t07/16/95\tCD\tB-NP\tO' +p277035 +aS'.\t.\t.\tO\tO' +p277036 +asS'regular rate and rhythm , normal Sl and S2 , no murmur , rub or gallop .' +p277037 +(lp277038 +S'regular\tregular\tJJ\tB-NP\tO' +p277039 +aS'rate\trate\tNN\tI-NP\tO' +p277040 +aS'and\tand\tCC\tI-NP\tO' +p277041 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p277042 +aS',\t,\t,\tO\tO' +p277043 +aS'normal\tnormal\tJJ\tB-NP\tO' +p277044 +aS'Sl\tSl\tNN\tI-NP\tO' +p277045 +aS'and\tand\tCC\tO\tO' +p277046 +aS'S2\tS2\tNN\tB-NP\tB-protein' +p277047 +aS',\t,\t,\tO\tO' +p277048 +aS'no\tno\tDT\tB-NP\tO' +p277049 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p277050 +aS',\t,\t,\tI-NP\tO' +p277051 +aS'rub\trub\tNN\tI-NP\tO' +p277052 +aS'or\tor\tCC\tI-NP\tO' +p277053 +aS'gallop\tgallop\tNN\tI-NP\tO' +p277054 +aS'.\t.\t.\tO\tO' +p277055 +asS'She was started on vancomycin for this .' +p277056 +(lp277057 +S'She\tShe\tPRP\tB-NP\tO' +p277058 +aS'was\tbe\tVBD\tB-VP\tO' +p277059 +aS'started\tstart\tVBN\tI-VP\tO' +p277060 +aS'on\ton\tIN\tB-PP\tO' +p277061 +aS'vancomycin\tvancomycin\tNN\tB-NP\tO' +p277062 +aS'for\tfor\tIN\tB-PP\tO' +p277063 +aS'this\tthis\tDT\tB-NP\tO' +p277064 +aS'.\t.\t.\tO\tO' +p277065 +asS'67 y/o male with worsening shortness of breath. Had abnormal ETT and referred for cath .' +p277066 +(lp277067 +S'67\t67\tCD\tB-NP\tO' +p277068 +aS'y/o\ty/o\tNN\tI-NP\tO' +p277069 +aS'male\tmale\tJJ\tB-ADJP\tO' +p277070 +aS'with\twith\tIN\tB-PP\tO' +p277071 +aS'worsening\tworsen\tVBG\tB-VP\tO' +p277072 +aS'shortness\tshortness\tNN\tB-NP\tO' +p277073 +aS'of\tof\tIN\tB-PP\tO' +p277074 +aS'breath.\tbreath.\tNN\tB-NP\tO' +p277075 +aS'Had\tHave\tVBD\tB-VP\tO' +p277076 +aS'abnormal\tabnormal\tJJ\tB-NP\tO' +p277077 +aS'ETT\tETT\tNN\tI-NP\tO' +p277078 +aS'and\tand\tCC\tO\tO' +p277079 +aS'referred\trefer\tVBN\tB-VP\tO' +p277080 +aS'for\tfor\tIN\tB-PP\tO' +p277081 +aS'cath\tcath\tNN\tB-NP\tO' +p277082 +aS'.\t.\t.\tO\tO' +p277083 +asS'She was treated with levaquin on the floor and will complete a 14d course at rehab .' +p277084 +(lp277085 +S'She\tShe\tPRP\tB-NP\tO' +p277086 +aS'was\tbe\tVBD\tB-VP\tO' +p277087 +aS'treated\ttreat\tVBN\tI-VP\tO' +p277088 +aS'with\twith\tIN\tB-PP\tO' +p277089 +aS'levaquin\tlevaquin\tNN\tB-NP\tO' +p277090 +aS'on\ton\tIN\tB-PP\tO' +p277091 +aS'the\tthe\tDT\tB-NP\tO' +p277092 +aS'floor\tfloor\tNN\tI-NP\tO' +p277093 +aS'and\tand\tCC\tO\tO' +p277094 +aS'will\twill\tMD\tB-VP\tO' +p277095 +aS'complete\tcomplete\tVB\tI-VP\tO' +p277096 +aS'a\ta\tDT\tB-NP\tO' +p277097 +aS'14d\t14d\tJJ\tI-NP\tO' +p277098 +aS'course\tcourse\tNN\tI-NP\tO' +p277099 +aS'at\tat\tIN\tB-PP\tO' +p277100 +aS'rehab\trehab\tNN\tB-NP\tO' +p277101 +aS'.\t.\t.\tO\tO' +p277102 +asS'Mr. Larsen was a 50-year-old salesman who in 12/26 was noted to have an elevated platelet count of 778,000 .' +p277103 +(lp277104 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p277105 +aS'Larsen\tLarsen\tNNP\tI-NP\tO' +p277106 +aS'was\tbe\tVBD\tB-VP\tO' +p277107 +aS'a\ta\tDT\tB-NP\tO' +p277108 +aS'50-year-old\t50-year-old\tJJ\tI-NP\tO' +p277109 +aS'salesman\tsalesman\tNN\tI-NP\tO' +p277110 +aS'who\twho\tWP\tB-NP\tO' +p277111 +aS'in\tin\tIN\tB-PP\tO' +p277112 +aS'12/26\t12/26\tCD\tB-NP\tO' +p277113 +aS'was\tbe\tVBD\tB-VP\tO' +p277114 +aS'noted\tnote\tVBN\tI-VP\tO' +p277115 +aS'to\tto\tTO\tI-VP\tO' +p277116 +aS'have\thave\tVB\tI-VP\tO' +p277117 +aS'an\tan\tDT\tB-NP\tO' +p277118 +aS'elevated\televated\tJJ\tI-NP\tO' +p277119 +aS'platelet\tplatelet\tNN\tI-NP\tO' +p277120 +aS'count\tcount\tNN\tI-NP\tO' +p277121 +aS'of\tof\tIN\tB-PP\tO' +p277122 +aS'778,000\t778,000\tCD\tB-NP\tO' +p277123 +aS'.\t.\t.\tO\tO' +p277124 +asS'CARDIOVASCULAR : No cardiovascular issues .' +p277125 +(lp277126 +S'CARDIOVASCULAR\tCARDIOVASCULAR\tNN\tB-NP\tO' +p277127 +aS':\t:\t:\tO\tO' +p277128 +aS'No\tNo\tDT\tB-NP\tO' +p277129 +aS'cardiovascular\tcardiovascular\tJJ\tI-NP\tO' +p277130 +aS'issues\tissue\tNNS\tI-NP\tO' +p277131 +aS'.\t.\t.\tO\tO' +p277132 +asS'4. Warfarin Sodium 5 mg Tablet Sig : One ( 1 ) Tablet PO HS ( at bedtime ) .' +p277133 +(lp277134 +S'4.\t4.\tLS\tB-NP\tO' +p277135 +aS'Warfarin\tWarfarin\tNN\tI-NP\tO' +p277136 +aS'Sodium\tSodium\tNN\tI-NP\tO' +p277137 +aS'5\t5\tCD\tI-NP\tO' +p277138 +aS'mg\tmg\tNN\tI-NP\tO' +p277139 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p277140 +aS'Sig\tSig\tNNP\tI-NP\tO' +p277141 +aS':\t:\t:\tO\tO' +p277142 +aS'One\tOne\tCD\tB-NP\tO' +p277143 +aS'(\t(\t(\tO\tO' +p277144 +aS'1\t1\tCD\tB-NP\tO' +p277145 +aS')\t)\t)\tO\tO' +p277146 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p277147 +aS'PO\tPO\tNN\tI-NP\tO' +p277148 +aS'HS\tHS\tNN\tI-NP\tO' +p277149 +aS'(\t(\t(\tO\tO' +p277150 +aS'at\tat\tIN\tB-PP\tO' +p277151 +aS'bedtime\tbedtime\tNN\tB-NP\tO' +p277152 +aS')\t)\t)\tO\tO' +p277153 +aS'.\t.\t.\tO\tO' +p277154 +asS'These resolved without incident .' +p277155 +(lp277156 +S'These\tThese\tDT\tB-NP\tO' +p277157 +aS'resolved\tresolve\tVBN\tB-VP\tO' +p277158 +aS'without\twithout\tIN\tB-PP\tO' +p277159 +aS'incident\tincident\tNN\tB-NP\tO' +p277160 +aS'.\t.\t.\tO\tO' +p277161 +asS'Pulse of 94 .' +p277162 +(lp277163 +S'Pulse\tPulse\tNN\tB-NP\tO' +p277164 +aS'of\tof\tIN\tB-PP\tO' +p277165 +aS'94\t94\tCD\tB-NP\tO' +p277166 +aS'.\t.\t.\tO\tO' +p277167 +asS'At this point CMED was consulted again and he was transferred to the CMED triage for further care .' +p277168 +(lp277169 +S'At\tAt\tIN\tB-PP\tO' +p277170 +aS'this\tthis\tDT\tB-NP\tO' +p277171 +aS'point\tpoint\tNN\tI-NP\tO' +p277172 +aS'CMED\tCMED\tNN\tI-NP\tO' +p277173 +aS'was\tbe\tVBD\tB-VP\tO' +p277174 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p277175 +aS'again\tagain\tRB\tB-ADVP\tO' +p277176 +aS'and\tand\tCC\tO\tO' +p277177 +aS'he\the\tPRP\tB-NP\tO' +p277178 +aS'was\tbe\tVBD\tB-VP\tO' +p277179 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p277180 +aS'to\tto\tTO\tB-PP\tO' +p277181 +aS'the\tthe\tDT\tB-NP\tO' +p277182 +aS'CMED\tCMED\tVBN\tI-NP\tO' +p277183 +aS'triage\ttriage\tNN\tI-NP\tO' +p277184 +aS'for\tfor\tIN\tB-PP\tO' +p277185 +aS'further\tfurther\tJJ\tB-NP\tO' +p277186 +aS'care\tcare\tNN\tI-NP\tO' +p277187 +aS'.\t.\t.\tO\tO' +p277188 +asS'An echocardiogram was obtained which showed moderate left ventricular dysfunction with hypokinetic and akinetic areas throughout the left and right ventricle .' +p277189 +(lp277190 +S'An\tAn\tDT\tB-NP\tO' +p277191 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p277192 +aS'was\tbe\tVBD\tB-VP\tO' +p277193 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p277194 +aS'which\twhich\tWDT\tB-NP\tO' +p277195 +aS'showed\tshow\tVBD\tB-VP\tO' +p277196 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p277197 +aS'left\tleft\tJJ\tI-NP\tO' +p277198 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p277199 +aS'dysfunction\tdysfunction\tNN\tI-NP\tO' +p277200 +aS'with\twith\tIN\tB-PP\tO' +p277201 +aS'hypokinetic\thypokinetic\tJJ\tB-NP\tO' +p277202 +aS'and\tand\tCC\tI-NP\tO' +p277203 +aS'akinetic\takinetic\tJJ\tI-NP\tO' +p277204 +aS'areas\tarea\tNNS\tI-NP\tO' +p277205 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p277206 +aS'the\tthe\tDT\tB-NP\tO' +p277207 +aS'left\tleft\tJJ\tI-NP\tO' +p277208 +aS'and\tand\tCC\tI-NP\tO' +p277209 +aS'right\tright\tJJ\tI-NP\tO' +p277210 +aS'ventricle\tventricle\tNN\tI-NP\tO' +p277211 +aS'.\t.\t.\tO\tO' +p277212 +asS'Zestril 10 mg q.d. and atenolol 25 mg q.d. at discharge .' +p277213 +(lp277214 +S'Zestril\tZestril\tNNP\tB-NP\tO' +p277215 +aS'10\t10\tCD\tI-NP\tO' +p277216 +aS'mg\tmg\tNN\tI-NP\tO' +p277217 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p277218 +aS'and\tand\tCC\tO\tO' +p277219 +aS'atenolol\tatenolol\tNN\tB-NP\tO' +p277220 +aS'25\t25\tCD\tI-NP\tO' +p277221 +aS'mg\tmg\tNN\tI-NP\tO' +p277222 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p277223 +aS'at\tat\tIN\tB-PP\tO' +p277224 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p277225 +aS'.\t.\t.\tO\tO' +p277226 +asS'5. CAD , with known TO RCA .' +p277227 +(lp277228 +S'5.\t5.\tLS\tB-NP\tO' +p277229 +aS'CAD\tCAD\tNN\tI-NP\tO' +p277230 +aS',\t,\t,\tO\tO' +p277231 +aS'with\twith\tIN\tB-PP\tO' +p277232 +aS'known\tknow\tVBN\tB-VP\tO' +p277233 +aS'TO\tTO\tTO\tB-PP\tB-protein' +p277234 +aS'RCA\tRCA\tNN\tB-NP\tI-protein' +p277235 +aS'.\t.\t.\tO\tO' +p277236 +asS'He had a cardiac catheterization performed which revealed a three vessel coronary artery disease with an occluded RCA , 70%-80% proximal LAD , and a high grade left circumflex lesion after the OM with distal left circumflex occlusion .' +p277237 +(lp277238 +S'He\tHe\tPRP\tB-NP\tO' +p277239 +aS'had\thave\tVBD\tB-VP\tO' +p277240 +aS'a\ta\tDT\tB-NP\tO' +p277241 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p277242 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p277243 +aS'performed\tperform\tVBN\tB-VP\tO' +p277244 +aS'which\twhich\tWDT\tB-NP\tO' +p277245 +aS'revealed\treveal\tVBD\tB-VP\tO' +p277246 +aS'a\ta\tDT\tB-NP\tO' +p277247 +aS'three\tthree\tCD\tI-NP\tO' +p277248 +aS'vessel\tvessel\tNN\tI-NP\tO' +p277249 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p277250 +aS'artery\tartery\tNN\tI-NP\tO' +p277251 +aS'disease\tdisease\tNN\tI-NP\tO' +p277252 +aS'with\twith\tIN\tB-PP\tO' +p277253 +aS'an\tan\tDT\tB-NP\tO' +p277254 +aS'occluded\tocclude\tVBN\tI-NP\tO' +p277255 +aS'RCA\tRCA\tNN\tI-NP\tB-protein' +p277256 +aS',\t,\t,\tO\tO' +p277257 +aS'70%-80%\t70%-80%\tJJ\tB-NP\tO' +p277258 +aS'proximal\tproximal\tJJ\tI-NP\tO' +p277259 +aS'LAD\tLAD\tNN\tI-NP\tO' +p277260 +aS',\t,\t,\tO\tO' +p277261 +aS'and\tand\tCC\tO\tO' +p277262 +aS'a\ta\tDT\tB-NP\tO' +p277263 +aS'high\thigh\tJJ\tI-NP\tO' +p277264 +aS'grade\tgrade\tNN\tI-NP\tO' +p277265 +aS'left\tleave\tVBD\tB-VP\tO' +p277266 +aS'circumflex\tcircumflex\tNN\tB-NP\tO' +p277267 +aS'lesion\tlesion\tNN\tI-NP\tO' +p277268 +aS'after\tafter\tIN\tB-PP\tO' +p277269 +aS'the\tthe\tDT\tB-NP\tO' +p277270 +aS'OM\tOM\tNN\tI-NP\tO' +p277271 +aS'with\twith\tIN\tB-PP\tO' +p277272 +aS'distal\tdistal\tJJ\tB-NP\tO' +p277273 +aS'left\tleft\tJJ\tI-NP\tO' +p277274 +aS'circumflex\tcircumflex\tNN\tI-NP\tO' +p277275 +aS'occlusion\tocclusion\tNN\tI-NP\tO' +p277276 +aS'.\t.\t.\tO\tO' +p277277 +asS'Facial movement symmetrical ; no facial droop .' +p277278 +(lp277279 +S'Facial\tFacial\tJJ\tB-NP\tO' +p277280 +aS'movement\tmovement\tNN\tI-NP\tO' +p277281 +aS'symmetrical\tsymmetrical\tJJ\tB-ADJP\tO' +p277282 +aS';\t;\t:\tO\tO' +p277283 +aS'no\tno\tDT\tB-NP\tO' +p277284 +aS'facial\tfacial\tJJ\tI-NP\tO' +p277285 +aS'droop\tdroop\tNN\tI-NP\tO' +p277286 +aS'.\t.\t.\tO\tO' +p277287 +asS'The patient did not have chest pain until approximately 1-1/2 years ago , when he began to have chest tightness ( pressure ) approximately every three months with stress .' +p277288 +(lp277289 +S'The\tThe\tDT\tB-NP\tO' +p277290 +aS'patient\tpatient\tNN\tI-NP\tO' +p277291 +aS'did\tdo\tVBD\tB-VP\tO' +p277292 +aS'not\tnot\tRB\tI-VP\tO' +p277293 +aS'have\thave\tVB\tI-VP\tO' +p277294 +aS'chest\tchest\tNN\tB-NP\tO' +p277295 +aS'pain\tpain\tNN\tI-NP\tO' +p277296 +aS'until\tuntil\tIN\tB-PP\tO' +p277297 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p277298 +aS'1-1/2\t1-1/2\tCD\tI-NP\tO' +p277299 +aS'years\tyear\tNNS\tI-NP\tO' +p277300 +aS'ago\tago\tRB\tB-ADVP\tO' +p277301 +aS',\t,\t,\tO\tO' +p277302 +aS'when\twhen\tWRB\tB-ADVP\tO' +p277303 +aS'he\the\tPRP\tB-NP\tO' +p277304 +aS'began\tbegin\tVBD\tB-VP\tO' +p277305 +aS'to\tto\tTO\tI-VP\tO' +p277306 +aS'have\thave\tVB\tI-VP\tO' +p277307 +aS'chest\tchest\tNN\tB-NP\tO' +p277308 +aS'tightness\ttightness\tNN\tI-NP\tO' +p277309 +aS'(\t(\t(\tO\tO' +p277310 +aS'pressure\tpressure\tNN\tB-NP\tO' +p277311 +aS')\t)\t)\tO\tO' +p277312 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p277313 +aS'every\tevery\tDT\tI-NP\tO' +p277314 +aS'three\tthree\tCD\tI-NP\tO' +p277315 +aS'months\tmonth\tNNS\tI-NP\tO' +p277316 +aS'with\twith\tIN\tB-PP\tO' +p277317 +aS'stress\tstress\tNN\tB-NP\tO' +p277318 +aS'.\t.\t.\tO\tO' +p277319 +asS'Is negative , there is no breast carcinoma .' +p277320 +(lp277321 +S'Is\tBe\tVBZ\tO\tO' +p277322 +aS'negative\tnegative\tJJ\tB-NP\tO' +p277323 +aS',\t,\t,\tO\tO' +p277324 +aS'there\tthere\tEX\tB-NP\tO' +p277325 +aS'is\tbe\tVBZ\tB-VP\tO' +p277326 +aS'no\tno\tDT\tB-NP\tO' +p277327 +aS'breast\tbreast\tNN\tI-NP\tO' +p277328 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p277329 +aS'.\t.\t.\tO\tO' +p277330 +asS'The patient was taken to the cardiac catheterization laboratory , where he was noted initially to have a pulmonary wedge pressure of 45 with a pulmonary artery pressure of 82/40 .' +p277331 +(lp277332 +S'The\tThe\tDT\tB-NP\tO' +p277333 +aS'patient\tpatient\tNN\tI-NP\tO' +p277334 +aS'was\tbe\tVBD\tB-VP\tO' +p277335 +aS'taken\ttake\tVBN\tI-VP\tO' +p277336 +aS'to\tto\tTO\tB-PP\tO' +p277337 +aS'the\tthe\tDT\tB-NP\tO' +p277338 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p277339 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p277340 +aS'laboratory\tlaboratory\tNN\tI-NP\tO' +p277341 +aS',\t,\t,\tO\tO' +p277342 +aS'where\twhere\tWRB\tB-ADVP\tO' +p277343 +aS'he\the\tPRP\tB-NP\tO' +p277344 +aS'was\tbe\tVBD\tB-VP\tO' +p277345 +aS'noted\tnote\tVBN\tI-VP\tO' +p277346 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p277347 +aS'to\tto\tTO\tB-VP\tO' +p277348 +aS'have\thave\tVB\tI-VP\tO' +p277349 +aS'a\ta\tDT\tB-NP\tO' +p277350 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p277351 +aS'wedge\twedge\tNN\tI-NP\tO' +p277352 +aS'pressure\tpressure\tNN\tI-NP\tO' +p277353 +aS'of\tof\tIN\tB-PP\tO' +p277354 +aS'45\t45\tCD\tB-NP\tO' +p277355 +aS'with\twith\tIN\tB-PP\tO' +p277356 +aS'a\ta\tDT\tB-NP\tO' +p277357 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p277358 +aS'artery\tartery\tNN\tI-NP\tO' +p277359 +aS'pressure\tpressure\tNN\tI-NP\tO' +p277360 +aS'of\tof\tIN\tB-PP\tO' +p277361 +aS'82/40\t82/40\tCD\tB-NP\tO' +p277362 +aS'.\t.\t.\tO\tO' +p277363 +asS"Patient 's Coumadin was held for right heart catheterization and biopsy , and then EP study with ICD placement ." +p277364 +(lp277365 +S'Patient\tPatient\tNN\tB-NP\tO' +p277366 +aS"'s\t's\tPOS\tB-NP\tO" +p277367 +aS'Coumadin\tCoumadin\tNN\tI-NP\tO' +p277368 +aS'was\tbe\tVBD\tB-VP\tO' +p277369 +aS'held\thold\tVBN\tI-VP\tO' +p277370 +aS'for\tfor\tIN\tB-PP\tO' +p277371 +aS'right\tright\tJJ\tB-NP\tO' +p277372 +aS'heart\theart\tNN\tI-NP\tO' +p277373 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p277374 +aS'and\tand\tCC\tI-NP\tO' +p277375 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p277376 +aS',\t,\t,\tO\tO' +p277377 +aS'and\tand\tCC\tO\tO' +p277378 +aS'then\tthen\tRB\tO\tO' +p277379 +aS'EP\tEP\tNN\tB-NP\tO' +p277380 +aS'study\tstudy\tNN\tI-NP\tO' +p277381 +aS'with\twith\tIN\tB-PP\tO' +p277382 +aS'ICD\tICD\tNN\tB-NP\tO' +p277383 +aS'placement\tplacement\tNN\tI-NP\tO' +p277384 +aS'.\t.\t.\tO\tO' +p277385 +asS'He was also orthostatic given 3 units PRBC and IVF .' +p277386 +(lp277387 +S'He\tHe\tPRP\tB-NP\tO' +p277388 +aS'was\tbe\tVBD\tB-VP\tO' +p277389 +aS'also\talso\tRB\tB-ADVP\tO' +p277390 +aS'orthostatic\torthostatic\tJJ\tB-ADJP\tO' +p277391 +aS'given\tgive\tVBN\tB-NP\tO' +p277392 +aS'3\t3\tCD\tI-NP\tO' +p277393 +aS'units\tunit\tNNS\tI-NP\tO' +p277394 +aS'PRBC\tPRBC\tNN\tI-NP\tB-protein' +p277395 +aS'and\tand\tCC\tI-NP\tO' +p277396 +aS'IVF\tIVF\tNN\tI-NP\tB-protein' +p277397 +aS'.\t.\t.\tO\tO' +p277398 +asS'The right lower extremity shows a 3/5 on hip flexion , 4/5 at knee flexion and extension and full power on dorsi and plantar flexion .' +p277399 +(lp277400 +S'The\tThe\tDT\tB-NP\tO' +p277401 +aS'right\tright\tJJ\tI-NP\tO' +p277402 +aS'lower\tlow\tJJR\tI-NP\tO' +p277403 +aS'extremity\textremity\tNN\tI-NP\tO' +p277404 +aS'shows\tshow\tVBZ\tB-VP\tO' +p277405 +aS'a\ta\tDT\tB-NP\tO' +p277406 +aS'3/5\t3/5\tNN\tI-NP\tO' +p277407 +aS'on\ton\tIN\tB-PP\tO' +p277408 +aS'hip\thip\tNN\tB-NP\tO' +p277409 +aS'flexion\tflexion\tNN\tI-NP\tO' +p277410 +aS',\t,\t,\tO\tO' +p277411 +aS'4/5\t4/5\tCD\tB-NP\tO' +p277412 +aS'at\tat\tIN\tB-PP\tO' +p277413 +aS'knee\tknee\tNN\tB-NP\tO' +p277414 +aS'flexion\tflexion\tNN\tI-NP\tO' +p277415 +aS'and\tand\tCC\tI-NP\tO' +p277416 +aS'extension\textension\tNN\tI-NP\tO' +p277417 +aS'and\tand\tCC\tO\tO' +p277418 +aS'full\tfull\tJJ\tB-NP\tO' +p277419 +aS'power\tpower\tNN\tI-NP\tO' +p277420 +aS'on\ton\tIN\tB-PP\tO' +p277421 +aS'dorsi\tdorsi\tNN\tB-NP\tO' +p277422 +aS'and\tand\tCC\tI-NP\tO' +p277423 +aS'plantar\tplantar\tNN\tI-NP\tO' +p277424 +aS'flexion\tflexion\tNN\tI-NP\tO' +p277425 +aS'.\t.\t.\tO\tO' +p277426 +asS'9. Left femoral AV fistula 2017-04-19' +p277427 +(lp277428 +S'9.\t9.\tLS\tB-NP\tO' +p277429 +aS'Left\tLeft\tJJ\tI-NP\tO' +p277430 +aS'femoral\tfemoral\tJJ\tI-NP\tO' +p277431 +aS'AV\tAV\tNN\tI-NP\tO' +p277432 +aS'fistula\tfistula\tNN\tI-NP\tO' +p277433 +aS'2017-04-19\t2017-04-19\tCD\tI-NP\tO' +p277434 +asS'electrocardiogram showed 2 mm of ST depressions in V4-6 .' +p277435 +(lp277436 +S'electrocardiogram\telectrocardiogram\tNN\tB-NP\tO' +p277437 +aS'showed\tshow\tVBD\tB-VP\tO' +p277438 +aS'2\t2\tCD\tB-NP\tO' +p277439 +aS'mm\tmm\tNN\tI-NP\tO' +p277440 +aS'of\tof\tIN\tB-PP\tO' +p277441 +aS'ST\tST\tJJ\tB-NP\tO' +p277442 +aS'depressions\tdepression\tNNS\tI-NP\tO' +p277443 +aS'in\tin\tIN\tB-PP\tO' +p277444 +aS'V4-6\tV4-6\tNN\tB-NP\tB-protein' +p277445 +aS'.\t.\t.\tO\tO' +p277446 +asS'This produced substantially further hemoptysis and the need for transfusion .' +p277447 +(lp277448 +S'This\tThis\tDT\tB-NP\tO' +p277449 +aS'produced\tproduce\tVBD\tB-VP\tO' +p277450 +aS'substantially\tsubstantially\tRB\tB-NP\tO' +p277451 +aS'further\tfurther\tJJ\tI-NP\tO' +p277452 +aS'hemoptysis\themoptysis\tNN\tI-NP\tO' +p277453 +aS'and\tand\tCC\tO\tO' +p277454 +aS'the\tthe\tDT\tB-NP\tO' +p277455 +aS'need\tneed\tNN\tI-NP\tO' +p277456 +aS'for\tfor\tIN\tB-PP\tO' +p277457 +aS'transfusion\ttransfusion\tNN\tB-NP\tO' +p277458 +aS'.\t.\t.\tO\tO' +p277459 +asS'The patient was taken to the Operting Room on 8/7/92 , where a right modified radical mastectomy was performed .' +p277460 +(lp277461 +S'The\tThe\tDT\tB-NP\tO' +p277462 +aS'patient\tpatient\tNN\tI-NP\tO' +p277463 +aS'was\tbe\tVBD\tB-VP\tO' +p277464 +aS'taken\ttake\tVBN\tI-VP\tO' +p277465 +aS'to\tto\tTO\tB-PP\tO' +p277466 +aS'the\tthe\tDT\tB-NP\tO' +p277467 +aS'Operting\tOperting\tNNP\tI-NP\tO' +p277468 +aS'Room\tRoom\tNNP\tI-NP\tO' +p277469 +aS'on\ton\tIN\tB-PP\tO' +p277470 +aS'8/7/92\t8/7/92\tCD\tB-NP\tO' +p277471 +aS',\t,\t,\tO\tO' +p277472 +aS'where\twhere\tWRB\tB-ADVP\tO' +p277473 +aS'a\ta\tDT\tB-NP\tO' +p277474 +aS'right\tright\tJJ\tI-NP\tO' +p277475 +aS'modified\tmodified\tJJ\tI-NP\tO' +p277476 +aS'radical\tradical\tJJ\tI-NP\tO' +p277477 +aS'mastectomy\tmastectomy\tNN\tI-NP\tO' +p277478 +aS'was\tbe\tVBD\tB-VP\tO' +p277479 +aS'performed\tperform\tVBN\tI-VP\tO' +p277480 +aS'.\t.\t.\tO\tO' +p277481 +asS'The patient was seen in consultation by a variety of consultants including Infectious Disease , Cardiology , Endocrine , Psychiatry , ENT , and Neuro-ophthalmology .' +p277482 +(lp277483 +S'The\tThe\tDT\tB-NP\tO' +p277484 +aS'patient\tpatient\tNN\tI-NP\tO' +p277485 +aS'was\tbe\tVBD\tB-VP\tO' +p277486 +aS'seen\tsee\tVBN\tI-VP\tO' +p277487 +aS'in\tin\tIN\tB-PP\tO' +p277488 +aS'consultation\tconsultation\tNN\tB-NP\tO' +p277489 +aS'by\tby\tIN\tB-PP\tO' +p277490 +aS'a\ta\tDT\tB-NP\tO' +p277491 +aS'variety\tvariety\tNN\tI-NP\tO' +p277492 +aS'of\tof\tIN\tB-PP\tO' +p277493 +aS'consultants\tconsultant\tNNS\tB-NP\tO' +p277494 +aS'including\tinclude\tVBG\tB-PP\tO' +p277495 +aS'Infectious\tInfectious\tJJ\tB-NP\tO' +p277496 +aS'Disease\tDisease\tNN\tI-NP\tO' +p277497 +aS',\t,\t,\tO\tO' +p277498 +aS'Cardiology\tCardiology\tNNP\tB-NP\tO' +p277499 +aS',\t,\t,\tO\tO' +p277500 +aS'Endocrine\tEndocrine\tNNP\tB-NP\tO' +p277501 +aS',\t,\t,\tO\tO' +p277502 +aS'Psychiatry\tPsychiatry\tNNP\tB-NP\tO' +p277503 +aS',\t,\t,\tO\tO' +p277504 +aS'ENT\tENT\tNNP\tB-NP\tO' +p277505 +aS',\t,\t,\tO\tO' +p277506 +aS'and\tand\tCC\tO\tO' +p277507 +aS'Neuro-ophthalmology\tNeuro-ophthalmology\tNN\tB-NP\tO' +p277508 +aS'.\t.\t.\tO\tO' +p277509 +asS'2) Pulmonary infiltrates : THere was initially concern that he was developing ARDS from aspiration pneumonia in the setting of being found unconscious .' +p277510 +(lp277511 +S'2)\t2)\tLS\tB-NP\tO' +p277512 +aS'Pulmonary\tPulmonary\tJJ\tI-NP\tB-cell_type' +p277513 +aS'infiltrates\tinfiltrate\tNNS\tI-NP\tI-cell_type' +p277514 +aS':\t:\t:\tO\tO' +p277515 +aS'THere\tTHere\tNN\tB-NP\tO' +p277516 +aS'was\tbe\tVBD\tB-VP\tO' +p277517 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p277518 +aS'concern\tconcern\tNN\tB-NP\tO' +p277519 +aS'that\tthat\tIN\tB-SBAR\tO' +p277520 +aS'he\the\tPRP\tB-NP\tO' +p277521 +aS'was\tbe\tVBD\tB-VP\tO' +p277522 +aS'developing\tdevelop\tVBG\tI-VP\tO' +p277523 +aS'ARDS\tARDS\tNN\tB-NP\tO' +p277524 +aS'from\tfrom\tIN\tB-PP\tO' +p277525 +aS'aspiration\taspiration\tNN\tB-NP\tO' +p277526 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p277527 +aS'in\tin\tIN\tB-PP\tO' +p277528 +aS'the\tthe\tDT\tB-NP\tO' +p277529 +aS'setting\tsetting\tNN\tI-NP\tO' +p277530 +aS'of\tof\tIN\tB-PP\tO' +p277531 +aS'being\tbe\tVBG\tB-VP\tO' +p277532 +aS'found\tfind\tVBN\tI-VP\tO' +p277533 +aS'unconscious\tunconscious\tJJ\tB-ADJP\tO' +p277534 +aS'.\t.\t.\tO\tO' +p277535 +asS'Her angiography showed a right proximal popliteal occlusion , anterior tibial dominant foot vessel .' +p277536 +(lp277537 +S'Her\tHer\tPRP$\tB-NP\tO' +p277538 +aS'angiography\tangiography\tNN\tI-NP\tO' +p277539 +aS'showed\tshow\tVBD\tB-VP\tO' +p277540 +aS'a\ta\tDT\tB-NP\tO' +p277541 +aS'right\tright\tJJ\tI-NP\tO' +p277542 +aS'proximal\tproximal\tJJ\tI-NP\tO' +p277543 +aS'popliteal\tpopliteal\tJJ\tI-NP\tO' +p277544 +aS'occlusion\tocclusion\tNN\tI-NP\tO' +p277545 +aS',\t,\t,\tO\tO' +p277546 +aS'anterior\tanterior\tJJ\tB-NP\tO' +p277547 +aS'tibial\ttibial\tJJ\tI-NP\tO' +p277548 +aS'dominant\tdominant\tJJ\tI-NP\tO' +p277549 +aS'foot\tfoot\tNN\tI-NP\tO' +p277550 +aS'vessel\tvessel\tNN\tI-NP\tO' +p277551 +aS'.\t.\t.\tO\tO' +p277552 +asS'Discharge Diagnosis : humoral rejection of renal transplant perinephric transplant hemorrhage' +p277553 +(lp277554 +S'Discharge\tDischarge\tNN\tB-NP\tO' +p277555 +aS'Diagnosis\tDiagnosis\tNN\tI-NP\tO' +p277556 +aS':\t:\t:\tO\tO' +p277557 +aS'humoral\thumoral\tJJ\tB-NP\tO' +p277558 +aS'rejection\trejection\tNN\tI-NP\tO' +p277559 +aS'of\tof\tIN\tB-PP\tO' +p277560 +aS'renal\trenal\tJJ\tB-NP\tO' +p277561 +aS'transplant\ttransplant\tNN\tI-NP\tO' +p277562 +aS'perinephric\tperinephric\tJJ\tI-NP\tO' +p277563 +aS'transplant\ttransplant\tNN\tI-NP\tO' +p277564 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p277565 +asS'In 1980 she had quadruple coronary artery bypass graft surgery by Dr. Elks at Feargunwake Otacaa Community Hospital and did well until 1988 when she had exertional angina and a positive stress test and found that three or four grafts were occluded .' +p277566 +(lp277567 +S'In\tIn\tIN\tB-PP\tO' +p277568 +aS'1980\t1980\tCD\tB-NP\tO' +p277569 +aS'she\tshe\tPRP\tB-NP\tO' +p277570 +aS'had\thave\tVBD\tB-VP\tO' +p277571 +aS'quadruple\tquadruple\tJJ\tB-NP\tO' +p277572 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p277573 +aS'artery\tartery\tNN\tI-NP\tO' +p277574 +aS'bypass\tbypass\tIN\tB-PP\tO' +p277575 +aS'graft\tgraft\tNN\tB-NP\tO' +p277576 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p277577 +aS'by\tby\tIN\tB-PP\tO' +p277578 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p277579 +aS'Elks\tElks\tNNP\tI-NP\tO' +p277580 +aS'at\tat\tIN\tB-PP\tO' +p277581 +aS'Feargunwake\tFeargunwake\tNNP\tB-NP\tO' +p277582 +aS'Otacaa\tOtacaa\tNNP\tI-NP\tO' +p277583 +aS'Community\tCommunity\tNNP\tI-NP\tO' +p277584 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p277585 +aS'and\tand\tCC\tO\tO' +p277586 +aS'did\tdo\tVBD\tB-VP\tO' +p277587 +aS'well\twell\tRB\tB-ADVP\tO' +p277588 +aS'until\tuntil\tIN\tB-PP\tO' +p277589 +aS'1988\t1988\tCD\tB-NP\tO' +p277590 +aS'when\twhen\tWRB\tB-ADVP\tO' +p277591 +aS'she\tshe\tPRP\tB-NP\tO' +p277592 +aS'had\thave\tVBD\tB-VP\tO' +p277593 +aS'exertional\texertional\tJJ\tB-NP\tO' +p277594 +aS'angina\tangina\tNN\tI-NP\tO' +p277595 +aS'and\tand\tCC\tO\tO' +p277596 +aS'a\ta\tDT\tB-NP\tO' +p277597 +aS'positive\tpositive\tJJ\tI-NP\tO' +p277598 +aS'stress\tstress\tNN\tI-NP\tO' +p277599 +aS'test\ttest\tNN\tI-NP\tO' +p277600 +aS'and\tand\tCC\tO\tO' +p277601 +aS'found\tfind\tVBD\tB-VP\tO' +p277602 +aS'that\tthat\tIN\tB-SBAR\tO' +p277603 +aS'three\tthree\tCD\tB-NP\tO' +p277604 +aS'or\tor\tCC\tI-NP\tO' +p277605 +aS'four\tfour\tCD\tI-NP\tO' +p277606 +aS'grafts\tgraft\tNNS\tI-NP\tO' +p277607 +aS'were\tbe\tVBD\tB-VP\tO' +p277608 +aS'occluded\tocclude\tVBN\tI-VP\tO' +p277609 +aS'.\t.\t.\tO\tO' +p277610 +asS'A transthoracic echocardiogram showed a mildly dilated and elongated left atrium , with a markedly dilated right atrium .' +p277611 +(lp277612 +S'A\tA\tDT\tB-NP\tO' +p277613 +aS'transthoracic\ttransthoracic\tJJ\tI-NP\tO' +p277614 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p277615 +aS'showed\tshow\tVBD\tB-VP\tO' +p277616 +aS'a\ta\tDT\tB-NP\tO' +p277617 +aS'mildly\tmildly\tRB\tI-NP\tO' +p277618 +aS'dilated\tdilate\tVBN\tI-NP\tO' +p277619 +aS'and\tand\tCC\tO\tO' +p277620 +aS'elongated\telongate\tVBD\tB-VP\tO' +p277621 +aS'left\tleft\tJJ\tB-NP\tO' +p277622 +aS'atrium\tatrium\tNN\tI-NP\tO' +p277623 +aS',\t,\t,\tO\tO' +p277624 +aS'with\twith\tIN\tB-PP\tO' +p277625 +aS'a\ta\tDT\tB-NP\tO' +p277626 +aS'markedly\tmarkedly\tRB\tI-NP\tO' +p277627 +aS'dilated\tdilate\tVBN\tI-NP\tO' +p277628 +aS'right\tright\tJJ\tI-NP\tO' +p277629 +aS'atrium\tatrium\tNN\tI-NP\tO' +p277630 +aS'.\t.\t.\tO\tO' +p277631 +asS'3. Ferrous Sulfate 325 PO Daily' +p277632 +(lp277633 +S'3.\t3.\tLS\tB-NP\tO' +p277634 +aS'Ferrous\tFerrous\tNNP\tI-NP\tO' +p277635 +aS'Sulfate\tSulfate\tNNP\tI-NP\tO' +p277636 +aS'325\t325\tCD\tI-NP\tO' +p277637 +aS'PO\tPO\tNNP\tI-NP\tO' +p277638 +aS'Daily\tDaily\tNNP\tI-NP\tO' +p277639 +asS'As per CMED CSRU spine , the patient was instructed to follow-up in 2 weeks for repeat X-rays .' +p277640 +(lp277641 +S'As\tAs\tIN\tB-PP\tO' +p277642 +aS'per\tper\tIN\tB-PP\tO' +p277643 +aS'CMED\tCMED\tVBN\tB-NP\tO' +p277644 +aS'CSRU\tCSRU\tNN\tI-NP\tO' +p277645 +aS'spine\tspine\tNN\tI-NP\tO' +p277646 +aS',\t,\t,\tO\tO' +p277647 +aS'the\tthe\tDT\tB-NP\tO' +p277648 +aS'patient\tpatient\tNN\tI-NP\tO' +p277649 +aS'was\tbe\tVBD\tB-VP\tO' +p277650 +aS'instructed\tinstruct\tVBN\tI-VP\tO' +p277651 +aS'to\tto\tTO\tB-PP\tO' +p277652 +aS'follow-up\tfollow-up\tNN\tB-NP\tO' +p277653 +aS'in\tin\tIN\tB-PP\tO' +p277654 +aS'2\t2\tCD\tB-NP\tO' +p277655 +aS'weeks\tweek\tNNS\tI-NP\tO' +p277656 +aS'for\tfor\tIN\tB-PP\tO' +p277657 +aS'repeat\trepeat\tNN\tB-NP\tO' +p277658 +aS'X-rays\tX-ray\tNNS\tI-NP\tO' +p277659 +aS'.\t.\t.\tO\tO' +p277660 +asS'Her lungs revealed coarse bilateral rhonchi from base to midline .' +p277661 +(lp277662 +S'Her\tHer\tPRP$\tB-NP\tO' +p277663 +aS'lungs\tlung\tNNS\tI-NP\tO' +p277664 +aS'revealed\treveal\tVBD\tB-VP\tO' +p277665 +aS'coarse\tcoarse\tNN\tB-NP\tO' +p277666 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p277667 +aS'rhonchi\trhonchi\tNN\tI-NP\tO' +p277668 +aS'from\tfrom\tIN\tB-PP\tO' +p277669 +aS'base\tbase\tNN\tB-NP\tO' +p277670 +aS'to\tto\tTO\tB-PP\tO' +p277671 +aS'midline\tmidline\tNN\tB-NP\tO' +p277672 +aS'.\t.\t.\tO\tO' +p277673 +asS'You likely have a bleeding source in your colon that we have been unable to visualize .' +p277674 +(lp277675 +S'You\tYou\tPRP\tB-NP\tO' +p277676 +aS'likely\tlikely\tRB\tB-ADVP\tO' +p277677 +aS'have\thave\tVBP\tB-VP\tO' +p277678 +aS'a\ta\tDT\tB-NP\tO' +p277679 +aS'bleeding\tbleed\tVBG\tI-NP\tO' +p277680 +aS'source\tsource\tNN\tI-NP\tO' +p277681 +aS'in\tin\tIN\tB-PP\tO' +p277682 +aS'your\tyour\tPRP$\tB-NP\tO' +p277683 +aS'colon\tcolon\tNN\tI-NP\tO' +p277684 +aS'that\tthat\tIN\tB-SBAR\tO' +p277685 +aS'we\twe\tPRP\tB-NP\tO' +p277686 +aS'have\thave\tVBP\tB-VP\tO' +p277687 +aS'been\tbe\tVBN\tI-VP\tO' +p277688 +aS'unable\tunable\tJJ\tB-ADJP\tO' +p277689 +aS'to\tto\tTO\tB-VP\tO' +p277690 +aS'visualize\tvisualize\tVB\tI-VP\tO' +p277691 +aS'.\t.\t.\tO\tO' +p277692 +asS'Arterial blood gases showed a pH of 7.19 , pCO2 of 22 and PO2 of 102 and a potassium of 3.9 .' +p277693 +(lp277694 +S'Arterial\tArterial\tJJ\tB-NP\tB-protein' +p277695 +aS'blood\tblood\tNN\tI-NP\tI-protein' +p277696 +aS'gases\tgas\tNNS\tI-NP\tI-protein' +p277697 +aS'showed\tshow\tVBD\tB-VP\tO' +p277698 +aS'a\ta\tDT\tB-NP\tO' +p277699 +aS'pH\tpH\tNN\tI-NP\tO' +p277700 +aS'of\tof\tIN\tB-PP\tO' +p277701 +aS'7.19\t7.19\tCD\tB-NP\tO' +p277702 +aS',\t,\t,\tO\tO' +p277703 +aS'pCO2\tpCO2\tNN\tB-NP\tO' +p277704 +aS'of\tof\tIN\tB-PP\tO' +p277705 +aS'22\t22\tCD\tB-NP\tO' +p277706 +aS'and\tand\tCC\tO\tO' +p277707 +aS'PO2\tPO2\tNN\tB-NP\tO' +p277708 +aS'of\tof\tIN\tB-PP\tO' +p277709 +aS'102\t102\tCD\tB-NP\tO' +p277710 +aS'and\tand\tCC\tO\tO' +p277711 +aS'a\ta\tDT\tB-NP\tO' +p277712 +aS'potassium\tpotassium\tNN\tI-NP\tO' +p277713 +aS'of\tof\tIN\tB-PP\tO' +p277714 +aS'3.9\t3.9\tCD\tB-NP\tO' +p277715 +aS'.\t.\t.\tO\tO' +p277716 +asS'Nystatin swish and swallow tid .' +p277717 +(lp277718 +S'Nystatin\tNystatin\tNN\tB-NP\tB-protein' +p277719 +aS'swish\tswish\tVB\tB-VP\tO' +p277720 +aS'and\tand\tCC\tI-VP\tO' +p277721 +aS'swallow\tswallow\tVB\tI-VP\tO' +p277722 +aS'tid\ttid\tNN\tB-NP\tO' +p277723 +aS'.\t.\t.\tO\tO' +p277724 +asS'He was noted to have some apnea and bradycardic spells of prematurity and was therefore started on caffeine .' +p277725 +(lp277726 +S'He\tHe\tPRP\tB-NP\tO' +p277727 +aS'was\tbe\tVBD\tB-VP\tO' +p277728 +aS'noted\tnote\tVBN\tI-VP\tO' +p277729 +aS'to\tto\tTO\tI-VP\tO' +p277730 +aS'have\thave\tVB\tI-VP\tO' +p277731 +aS'some\tsome\tDT\tB-NP\tO' +p277732 +aS'apnea\tapnea\tNN\tI-NP\tO' +p277733 +aS'and\tand\tCC\tO\tO' +p277734 +aS'bradycardic\tbradycardic\tJJ\tB-NP\tO' +p277735 +aS'spells\tspell\tNNS\tI-NP\tO' +p277736 +aS'of\tof\tIN\tB-PP\tO' +p277737 +aS'prematurity\tprematurity\tNN\tB-NP\tO' +p277738 +aS'and\tand\tCC\tO\tO' +p277739 +aS'was\tbe\tVBD\tB-VP\tO' +p277740 +aS'therefore\ttherefore\tRB\tI-VP\tO' +p277741 +aS'started\tstart\tVBN\tI-VP\tO' +p277742 +aS'on\ton\tIN\tB-PP\tO' +p277743 +aS'caffeine\tcaffeine\tNN\tB-NP\tO' +p277744 +aS'.\t.\t.\tO\tO' +p277745 +asS'At that time he had a Mitral Valve replacement , aortoomy , and left atrial appendage resection .' +p277746 +(lp277747 +S'At\tAt\tIN\tB-PP\tO' +p277748 +aS'that\tthat\tDT\tB-NP\tO' +p277749 +aS'time\ttime\tNN\tI-NP\tO' +p277750 +aS'he\the\tPRP\tB-NP\tO' +p277751 +aS'had\thave\tVBD\tB-VP\tO' +p277752 +aS'a\ta\tDT\tB-NP\tO' +p277753 +aS'Mitral\tMitral\tNNP\tI-NP\tO' +p277754 +aS'Valve\tValve\tNNP\tI-NP\tO' +p277755 +aS'replacement\treplacement\tNN\tI-NP\tO' +p277756 +aS',\t,\t,\tO\tO' +p277757 +aS'aortoomy\taortoomy\tNN\tB-NP\tO' +p277758 +aS',\t,\t,\tO\tO' +p277759 +aS'and\tand\tCC\tO\tO' +p277760 +aS'left\tleave\tVBD\tB-VP\tO' +p277761 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p277762 +aS'appendage\tappendage\tNN\tI-NP\tO' +p277763 +aS'resection\tresection\tNN\tI-NP\tO' +p277764 +aS'.\t.\t.\tO\tO' +p277765 +asS'12. Trazodone 50 mg Tablet Sig : One ( 1 ) Tablet PO HS ( at bedtime ) as needed for insomnia .' +p277766 +(lp277767 +S'12.\t12.\tCD\tB-NP\tO' +p277768 +aS'Trazodone\tTrazodone\tNN\tI-NP\tO' +p277769 +aS'50\t50\tCD\tB-NP\tO' +p277770 +aS'mg\tmg\tNN\tI-NP\tO' +p277771 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p277772 +aS'Sig\tSig\tNNP\tI-NP\tO' +p277773 +aS':\t:\t:\tO\tO' +p277774 +aS'One\tOne\tCD\tB-NP\tO' +p277775 +aS'(\t(\t(\tO\tO' +p277776 +aS'1\t1\tCD\tB-NP\tO' +p277777 +aS')\t)\t)\tO\tO' +p277778 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p277779 +aS'PO\tPO\tNN\tI-NP\tO' +p277780 +aS'HS\tHS\tNN\tI-NP\tO' +p277781 +aS'(\t(\t(\tO\tO' +p277782 +aS'at\tat\tIN\tB-PP\tO' +p277783 +aS'bedtime\tbedtime\tNN\tB-NP\tO' +p277784 +aS')\t)\t)\tO\tO' +p277785 +aS'as\tas\tIN\tB-SBAR\tO' +p277786 +aS'needed\tneed\tVBN\tB-VP\tO' +p277787 +aS'for\tfor\tIN\tB-PP\tO' +p277788 +aS'insomnia\tinsomnia\tNN\tB-NP\tO' +p277789 +aS'.\t.\t.\tO\tO' +p277790 +asS'Pt started on CTX 05-27 .' +p277791 +(lp277792 +S'Pt\tPt\tNN\tB-NP\tO' +p277793 +aS'started\tstart\tVBD\tB-VP\tO' +p277794 +aS'on\ton\tIN\tB-PP\tO' +p277795 +aS'CTX\tCTX\tNN\tB-NP\tB-DNA' +p277796 +aS'05-27\t05-27\tCD\tI-NP\tI-DNA' +p277797 +aS'.\t.\t.\tO\tO' +p277798 +asS'He had pharmacologic circulatory arrest for 18 minutes .' +p277799 +(lp277800 +S'He\tHe\tPRP\tB-NP\tO' +p277801 +aS'had\thave\tVBD\tB-VP\tO' +p277802 +aS'pharmacologic\tpharmacologic\tJJ\tB-NP\tO' +p277803 +aS'circulatory\tcirculatory\tJJ\tI-NP\tO' +p277804 +aS'arrest\tarrest\tNN\tI-NP\tO' +p277805 +aS'for\tfor\tIN\tB-PP\tO' +p277806 +aS'18\t18\tCD\tB-NP\tO' +p277807 +aS'minutes\tminute\tNNS\tI-NP\tO' +p277808 +aS'.\t.\t.\tO\tO' +p277809 +asS'The patient was seen by physical therapy .' +p277810 +(lp277811 +S'The\tThe\tDT\tB-NP\tO' +p277812 +aS'patient\tpatient\tNN\tI-NP\tO' +p277813 +aS'was\tbe\tVBD\tB-VP\tO' +p277814 +aS'seen\tsee\tVBN\tI-VP\tO' +p277815 +aS'by\tby\tIN\tB-PP\tO' +p277816 +aS'physical\tphysical\tJJ\tB-NP\tO' +p277817 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p277818 +aS'.\t.\t.\tO\tO' +p277819 +asS'Extrem : Warm and well-perfused .' +p277820 +(lp277821 +S'Extrem\tExtrem\tNNP\tB-NP\tO' +p277822 +aS':\t:\t:\tO\tO' +p277823 +aS'Warm\tWarm\tNNP\tB-NP\tO' +p277824 +aS'and\tand\tCC\tO\tO' +p277825 +aS'well-perfused\twell-perfused\tJJ\tB-ADJP\tO' +p277826 +aS'.\t.\t.\tO\tO' +p277827 +asS'Please see OR report for full details .' +p277828 +(lp277829 +S'Please\tPlease\tVB\tB-VP\tO' +p277830 +aS'see\tsee\tVB\tI-VP\tO' +p277831 +aS'OR\tOR\tNN\tB-NP\tO' +p277832 +aS'report\treport\tNN\tI-NP\tO' +p277833 +aS'for\tfor\tIN\tB-PP\tO' +p277834 +aS'full\tfull\tJJ\tB-NP\tO' +p277835 +aS'details\tdetail\tNNS\tI-NP\tO' +p277836 +aS'.\t.\t.\tO\tO' +p277837 +asS'2+ DP pulses bilaterally .' +p277838 +(lp277839 +S'2+\t2+\tJJ\tB-NP\tO' +p277840 +aS'DP\tDP\tNN\tI-NP\tO' +p277841 +aS'pulses\tpulse\tVBZ\tB-VP\tO' +p277842 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p277843 +aS'.\t.\t.\tO\tO' +p277844 +asS'9. Hypercholesterolemia .' +p277845 +(lp277846 +S'9.\t9.\tLS\tB-LST\tO' +p277847 +aS'Hypercholesterolemia\tHypercholesterolemia\tNNP\tB-NP\tO' +p277848 +aS'.\t.\t.\tO\tO' +p277849 +asS'This resulted in tremendous third spacing of fluid and persistent intervascular hypovolemia .' +p277850 +(lp277851 +S'This\tThis\tDT\tB-NP\tO' +p277852 +aS'resulted\tresult\tVBD\tB-VP\tO' +p277853 +aS'in\tin\tIN\tB-PP\tO' +p277854 +aS'tremendous\ttremendous\tJJ\tB-NP\tO' +p277855 +aS'third\tthird\tJJ\tI-NP\tO' +p277856 +aS'spacing\tspacing\tNN\tI-NP\tO' +p277857 +aS'of\tof\tIN\tB-PP\tO' +p277858 +aS'fluid\tfluid\tNN\tB-NP\tO' +p277859 +aS'and\tand\tCC\tO\tO' +p277860 +aS'persistent\tpersistent\tJJ\tB-NP\tO' +p277861 +aS'intervascular\tintervascular\tJJ\tI-NP\tO' +p277862 +aS'hypovolemia\thypovolemia\tNN\tI-NP\tO' +p277863 +aS'.\t.\t.\tO\tO' +p277864 +asS'PENICILLIN causes a rash .' +p277865 +(lp277866 +S'PENICILLIN\tPENICILLIN\tNN\tB-NP\tB-protein' +p277867 +aS'causes\tcause\tVBZ\tB-VP\tO' +p277868 +aS'a\ta\tDT\tB-NP\tO' +p277869 +aS'rash\trash\tNN\tI-NP\tO' +p277870 +aS'.\t.\t.\tO\tO' +p277871 +asS'He was laying flat , very tense .' +p277872 +(lp277873 +S'He\tHe\tPRP\tB-NP\tO' +p277874 +aS'was\tbe\tVBD\tB-VP\tO' +p277875 +aS'laying\tlay\tVBG\tI-VP\tO' +p277876 +aS'flat\tflat\tJJ\tB-ADJP\tO' +p277877 +aS',\t,\t,\tO\tO' +p277878 +aS'very\tvery\tRB\tB-ADJP\tO' +p277879 +aS'tense\ttense\tJJ\tI-ADJP\tO' +p277880 +aS'.\t.\t.\tO\tO' +p277881 +asS'Peripheral pulses were all intact , and there was venous stasis changes on her legs , with some edema .' +p277882 +(lp277883 +S'Peripheral\tPeripheral\tJJ\tB-NP\tO' +p277884 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p277885 +aS'were\tbe\tVBD\tB-VP\tO' +p277886 +aS'all\tall\tDT\tO\tO' +p277887 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p277888 +aS',\t,\t,\tO\tO' +p277889 +aS'and\tand\tCC\tO\tO' +p277890 +aS'there\tthere\tEX\tB-NP\tO' +p277891 +aS'was\tbe\tVBD\tB-VP\tO' +p277892 +aS'venous\tvenous\tJJ\tB-NP\tO' +p277893 +aS'stasis\tstasis\tNN\tI-NP\tO' +p277894 +aS'changes\tchange\tNNS\tI-NP\tO' +p277895 +aS'on\ton\tIN\tB-PP\tO' +p277896 +aS'her\ther\tPRP$\tB-NP\tO' +p277897 +aS'legs\tleg\tNNS\tI-NP\tO' +p277898 +aS',\t,\t,\tO\tO' +p277899 +aS'with\twith\tIN\tB-PP\tO' +p277900 +aS'some\tsome\tDT\tB-NP\tO' +p277901 +aS'edema\tedema\tNN\tI-NP\tO' +p277902 +aS'.\t.\t.\tO\tO' +p277903 +asS'On 03-24 AM p/w with respiratory failure , continued tachycardia on dilt. gtt.' +p277904 +(lp277905 +S'On\tOn\tIN\tB-PP\tO' +p277906 +aS'03-24\t03-24\tCD\tB-NP\tO' +p277907 +aS'AM\tAM\tNNP\tI-NP\tO' +p277908 +aS'p/w\tp/w\tNN\tI-NP\tO' +p277909 +aS'with\twith\tIN\tB-PP\tO' +p277910 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p277911 +aS'failure\tfailure\tNN\tI-NP\tO' +p277912 +aS',\t,\t,\tO\tO' +p277913 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p277914 +aS'tachycardia\ttachycardia\tNN\tB-NP\tO' +p277915 +aS'on\ton\tIN\tB-PP\tO' +p277916 +aS'dilt.\tdilt.\tNN\tB-NP\tO' +p277917 +aS'gtt.\tgtt.\tNN\tI-NP\tO' +p277918 +asS'The patient was kept an additional two days to follow her hcts and titrate her BP meds .' +p277919 +(lp277920 +S'The\tThe\tDT\tB-NP\tO' +p277921 +aS'patient\tpatient\tNN\tI-NP\tO' +p277922 +aS'was\tbe\tVBD\tB-VP\tO' +p277923 +aS'kept\tkeep\tVBN\tI-VP\tO' +p277924 +aS'an\tan\tDT\tB-NP\tO' +p277925 +aS'additional\tadditional\tJJ\tI-NP\tO' +p277926 +aS'two\ttwo\tCD\tI-NP\tO' +p277927 +aS'days\tday\tNNS\tI-NP\tO' +p277928 +aS'to\tto\tTO\tB-VP\tO' +p277929 +aS'follow\tfollow\tVB\tI-VP\tO' +p277930 +aS'her\ther\tPRP$\tB-NP\tO' +p277931 +aS'hcts\thct\tNNS\tI-NP\tO' +p277932 +aS'and\tand\tCC\tO\tO' +p277933 +aS'titrate\ttitrate\tVB\tB-VP\tO' +p277934 +aS'her\ther\tPRP$\tB-NP\tO' +p277935 +aS'BP\tBP\tNN\tI-NP\tO' +p277936 +aS'meds\tmed\tNNS\tI-NP\tO' +p277937 +aS'.\t.\t.\tO\tO' +p277938 +asS'Raymond passed in both ears .' +p277939 +(lp277940 +S'Raymond\tRaymond\tNNP\tB-NP\tO' +p277941 +aS'passed\tpass\tVBD\tB-VP\tO' +p277942 +aS'in\tin\tIN\tB-PP\tO' +p277943 +aS'both\tboth\tDT\tB-NP\tO' +p277944 +aS'ears\tear\tNNS\tI-NP\tO' +p277945 +aS'.\t.\t.\tO\tO' +p277946 +asS'Patient was also found to have several complaints of awaking in the middle of the night with tachypnea and some bilateral chest pain associated with breathing .' +p277947 +(lp277948 +S'Patient\tPatient\tNN\tB-NP\tO' +p277949 +aS'was\tbe\tVBD\tB-VP\tO' +p277950 +aS'also\talso\tRB\tI-VP\tO' +p277951 +aS'found\tfind\tVBN\tI-VP\tO' +p277952 +aS'to\tto\tTO\tI-VP\tO' +p277953 +aS'have\thave\tVB\tI-VP\tO' +p277954 +aS'several\tseveral\tJJ\tB-NP\tO' +p277955 +aS'complaints\tcomplaint\tNNS\tI-NP\tO' +p277956 +aS'of\tof\tIN\tB-PP\tO' +p277957 +aS'awaking\tawake\tVBG\tB-VP\tO' +p277958 +aS'in\tin\tIN\tB-PP\tO' +p277959 +aS'the\tthe\tDT\tB-NP\tO' +p277960 +aS'middle\tmiddle\tNN\tI-NP\tO' +p277961 +aS'of\tof\tIN\tB-PP\tO' +p277962 +aS'the\tthe\tDT\tB-NP\tO' +p277963 +aS'night\tnight\tNN\tI-NP\tO' +p277964 +aS'with\twith\tIN\tB-PP\tO' +p277965 +aS'tachypnea\ttachypnea\tNN\tB-NP\tO' +p277966 +aS'and\tand\tCC\tO\tO' +p277967 +aS'some\tsome\tDT\tB-NP\tO' +p277968 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p277969 +aS'chest\tchest\tNN\tI-NP\tO' +p277970 +aS'pain\tpain\tNN\tI-NP\tO' +p277971 +aS'associated\tassociate\tVBN\tB-VP\tO' +p277972 +aS'with\twith\tIN\tB-PP\tO' +p277973 +aS'breathing\tbreathing\tNN\tB-NP\tO' +p277974 +aS'.\t.\t.\tO\tO' +p277975 +asS'His coumadin was held during his stay given his acute bleed but restarted per his PCP with the guidance of GI on the day of discharge .' +p277976 +(lp277977 +S'His\tHis\tPRP$\tB-NP\tO' +p277978 +aS'coumadin\tcoumadin\tNN\tI-NP\tO' +p277979 +aS'was\tbe\tVBD\tB-VP\tO' +p277980 +aS'held\thold\tVBN\tI-VP\tO' +p277981 +aS'during\tduring\tIN\tB-PP\tO' +p277982 +aS'his\this\tPRP$\tB-NP\tO' +p277983 +aS'stay\tstay\tNN\tI-NP\tO' +p277984 +aS'given\tgive\tVBN\tB-VP\tO' +p277985 +aS'his\this\tPRP$\tB-NP\tO' +p277986 +aS'acute\tacute\tJJ\tI-NP\tO' +p277987 +aS'bleed\tbleed\tNN\tI-NP\tO' +p277988 +aS'but\tbut\tCC\tO\tO' +p277989 +aS'restarted\trestart\tVBD\tB-VP\tO' +p277990 +aS'per\tper\tIN\tB-PP\tO' +p277991 +aS'his\this\tPRP$\tB-NP\tO' +p277992 +aS'PCP\tPCP\tNN\tI-NP\tB-protein' +p277993 +aS'with\twith\tIN\tB-PP\tO' +p277994 +aS'the\tthe\tDT\tB-NP\tO' +p277995 +aS'guidance\tguidance\tNN\tI-NP\tO' +p277996 +aS'of\tof\tIN\tB-PP\tO' +p277997 +aS'GI\tGI\tNN\tB-NP\tO' +p277998 +aS'on\ton\tIN\tB-PP\tO' +p277999 +aS'the\tthe\tDT\tB-NP\tO' +p278000 +aS'day\tday\tNN\tI-NP\tO' +p278001 +aS'of\tof\tIN\tB-PP\tO' +p278002 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p278003 +aS'.\t.\t.\tO\tO' +p278004 +asS'His BP decreased to 100 systolic despite hydration with 2L of NS .' +p278005 +(lp278006 +S'His\tHis\tPRP$\tB-NP\tO' +p278007 +aS'BP\tBP\tNN\tI-NP\tO' +p278008 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p278009 +aS'to\tto\tTO\tB-PP\tO' +p278010 +aS'100\t100\tCD\tB-NP\tO' +p278011 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p278012 +aS'despite\tdespite\tIN\tB-PP\tO' +p278013 +aS'hydration\thydration\tNN\tB-NP\tO' +p278014 +aS'with\twith\tIN\tB-PP\tO' +p278015 +aS'2L\t2L\tNN\tB-NP\tO' +p278016 +aS'of\tof\tIN\tB-PP\tO' +p278017 +aS'NS\tNS\tNN\tB-NP\tB-protein' +p278018 +aS'.\t.\t.\tO\tO' +p278019 +asS'She denied HI , SI , and illusions / hallucinations .' +p278020 +(lp278021 +S'She\tShe\tPRP\tB-NP\tO' +p278022 +aS'denied\tdeny\tVBD\tB-VP\tO' +p278023 +aS'HI\tHI\tNN\tB-NP\tO' +p278024 +aS',\t,\t,\tO\tO' +p278025 +aS'SI\tSI\tNN\tB-NP\tO' +p278026 +aS',\t,\t,\tO\tO' +p278027 +aS'and\tand\tCC\tO\tO' +p278028 +aS'illusions\tillusion\tNNS\tB-NP\tO' +p278029 +aS'/\t/\tSYM\tB-NP\tO' +p278030 +aS'hallucinations\thallucination\tNNS\tI-NP\tO' +p278031 +aS'.\t.\t.\tO\tO' +p278032 +asS'She developed a urinary tract infection for which she was started on Bactrim .' +p278033 +(lp278034 +S'She\tShe\tPRP\tB-NP\tO' +p278035 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p278036 +aS'a\ta\tDT\tB-NP\tO' +p278037 +aS'urinary\turinary\tJJ\tI-NP\tO' +p278038 +aS'tract\ttract\tNN\tI-NP\tO' +p278039 +aS'infection\tinfection\tNN\tI-NP\tO' +p278040 +aS'for\tfor\tIN\tB-PP\tO' +p278041 +aS'which\twhich\tWDT\tB-NP\tO' +p278042 +aS'she\tshe\tPRP\tB-NP\tO' +p278043 +aS'was\tbe\tVBD\tB-VP\tO' +p278044 +aS'started\tstart\tVBN\tI-VP\tO' +p278045 +aS'on\ton\tIN\tB-PP\tO' +p278046 +aS'Bactrim\tBactrim\tNNP\tB-NP\tO' +p278047 +aS'.\t.\t.\tO\tO' +p278048 +asS'45F with recent inferior STEMI s / p stent to RCA .' +p278049 +(lp278050 +S'45F\t45F\tNN\tB-NP\tO' +p278051 +aS'with\twith\tIN\tB-PP\tO' +p278052 +aS'recent\trecent\tJJ\tB-NP\tO' +p278053 +aS'inferior\tinferior\tJJ\tI-NP\tO' +p278054 +aS'STEMI\tSTEMI\tNN\tI-NP\tO' +p278055 +aS's\ts\tNN\tI-NP\tO' +p278056 +aS'/\t/\tSYM\tB-NP\tO' +p278057 +aS'p\tp\tNN\tI-NP\tO' +p278058 +aS'stent\tstent\tJJ\tB-ADJP\tO' +p278059 +aS'to\tto\tTO\tB-PP\tO' +p278060 +aS'RCA\tRCA\tNN\tB-NP\tB-protein' +p278061 +aS'.\t.\t.\tO\tO' +p278062 +asS'coronary artery disease .' +p278063 +(lp278064 +S'coronary\tcoronary\tJJ\tB-NP\tO' +p278065 +aS'artery\tartery\tNN\tI-NP\tO' +p278066 +aS'disease\tdisease\tNN\tI-NP\tO' +p278067 +aS'.\t.\t.\tO\tO' +p278068 +asS'The patient ambulating without difficulty , tolerating p.o. , stable oxygen saturation , and stable voice by the time of discharge .' +p278069 +(lp278070 +S'The\tThe\tDT\tB-NP\tO' +p278071 +aS'patient\tpatient\tNN\tI-NP\tO' +p278072 +aS'ambulating\tambulate\tVBG\tB-VP\tO' +p278073 +aS'without\twithout\tIN\tB-PP\tO' +p278074 +aS'difficulty\tdifficulty\tNN\tB-NP\tO' +p278075 +aS',\t,\t,\tO\tO' +p278076 +aS'tolerating\ttolerate\tVBG\tB-VP\tO' +p278077 +aS'p.o.\tp.o.\tNN\tB-NP\tO' +p278078 +aS',\t,\t,\tO\tO' +p278079 +aS'stable\tstable\tJJ\tB-NP\tO' +p278080 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p278081 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p278082 +aS',\t,\t,\tO\tO' +p278083 +aS'and\tand\tCC\tO\tO' +p278084 +aS'stable\tstable\tJJ\tB-NP\tO' +p278085 +aS'voice\tvoice\tNN\tI-NP\tO' +p278086 +aS'by\tby\tIN\tB-PP\tO' +p278087 +aS'the\tthe\tDT\tB-NP\tO' +p278088 +aS'time\ttime\tNN\tI-NP\tO' +p278089 +aS'of\tof\tIN\tB-PP\tO' +p278090 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p278091 +aS'.\t.\t.\tO\tO' +p278092 +asS'He believes he is up-to-date on all his vaccines .' +p278093 +(lp278094 +S'He\tHe\tPRP\tB-NP\tO' +p278095 +aS'believes\tbelieve\tVBZ\tB-VP\tO' +p278096 +aS'he\the\tPRP\tB-NP\tO' +p278097 +aS'is\tbe\tVBZ\tB-VP\tO' +p278098 +aS'up-to-date\tup-to-date\tJJ\tB-ADJP\tO' +p278099 +aS'on\ton\tIN\tB-PP\tO' +p278100 +aS'all\tall\tPDT\tB-NP\tO' +p278101 +aS'his\this\tPRP$\tI-NP\tO' +p278102 +aS'vaccines\tvaccine\tNNS\tI-NP\tO' +p278103 +aS'.\t.\t.\tO\tO' +p278104 +asS'The patient was CMED-flighted to Quincy Medical Center , and he was intubated upon arrival in the Emergency Department .' +p278105 +(lp278106 +S'The\tThe\tDT\tB-NP\tO' +p278107 +aS'patient\tpatient\tNN\tI-NP\tO' +p278108 +aS'was\tbe\tVBD\tB-VP\tO' +p278109 +aS'CMED-flighted\tCMED-flighted\tJJ\tB-ADJP\tO' +p278110 +aS'to\tto\tTO\tB-PP\tO' +p278111 +aS'Quincy\tQuincy\tNNP\tB-NP\tO' +p278112 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p278113 +aS'Center\tCenter\tNNP\tI-NP\tO' +p278114 +aS',\t,\t,\tO\tO' +p278115 +aS'and\tand\tCC\tO\tO' +p278116 +aS'he\the\tPRP\tB-NP\tO' +p278117 +aS'was\tbe\tVBD\tB-VP\tO' +p278118 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p278119 +aS'upon\tupon\tIN\tB-PP\tO' +p278120 +aS'arrival\tarrival\tNN\tB-NP\tO' +p278121 +aS'in\tin\tIN\tB-PP\tO' +p278122 +aS'the\tthe\tDT\tB-NP\tO' +p278123 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p278124 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p278125 +aS'.\t.\t.\tO\tO' +p278126 +asS'Initially on Vanc and Cipro on Friday but then seen by ID who reccommended no abx but a bone biopsy , blood cx .' +p278127 +(lp278128 +S'Initially\tInitially\tRB\tB-ADVP\tO' +p278129 +aS'on\ton\tIN\tB-PP\tO' +p278130 +aS'Vanc\tVanc\tNNP\tB-NP\tO' +p278131 +aS'and\tand\tCC\tI-NP\tO' +p278132 +aS'Cipro\tCipro\tNNP\tI-NP\tO' +p278133 +aS'on\ton\tIN\tB-PP\tO' +p278134 +aS'Friday\tFriday\tNNP\tB-NP\tO' +p278135 +aS'but\tbut\tCC\tO\tO' +p278136 +aS'then\tthen\tRB\tB-VP\tO' +p278137 +aS'seen\tsee\tVBN\tI-VP\tO' +p278138 +aS'by\tby\tIN\tB-PP\tO' +p278139 +aS'ID\tID\tNN\tB-NP\tO' +p278140 +aS'who\twho\tWP\tB-NP\tO' +p278141 +aS'reccommended\treccommende\tVBD\tB-VP\tO' +p278142 +aS'no\tno\tDT\tB-NP\tO' +p278143 +aS'abx\tabx\tNN\tI-NP\tO' +p278144 +aS'but\tbut\tCC\tO\tO' +p278145 +aS'a\ta\tDT\tB-NP\tO' +p278146 +aS'bone\tbone\tNN\tI-NP\tO' +p278147 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p278148 +aS',\t,\t,\tO\tO' +p278149 +aS'blood\tblood\tNN\tB-NP\tO' +p278150 +aS'cx\tcx\tNN\tI-NP\tO' +p278151 +aS'.\t.\t.\tO\tO' +p278152 +asS'2) Slight increase in epidural fluid collection adjacent to the craniotomy site .' +p278153 +(lp278154 +S'2)\t2)\tLS\tB-NP\tO' +p278155 +aS'Slight\tSlight\tNN\tI-NP\tO' +p278156 +aS'increase\tincrease\tNN\tI-NP\tO' +p278157 +aS'in\tin\tIN\tB-PP\tO' +p278158 +aS'epidural\tepidural\tJJ\tB-NP\tO' +p278159 +aS'fluid\tfluid\tNN\tI-NP\tO' +p278160 +aS'collection\tcollection\tNN\tI-NP\tO' +p278161 +aS'adjacent\tadjacent\tJJ\tB-ADJP\tO' +p278162 +aS'to\tto\tTO\tB-PP\tO' +p278163 +aS'the\tthe\tDT\tB-NP\tO' +p278164 +aS'craniotomy\tcraniotomy\tNN\tI-NP\tB-DNA' +p278165 +aS'site\tsite\tNN\tI-NP\tI-DNA' +p278166 +aS'.\t.\t.\tO\tO' +p278167 +asS'Influenza immunization should be considered annually in the fall for preterm infants with chronic lung disease once they reach six months of age .' +p278168 +(lp278169 +S'Influenza\tInfluenza\tNN\tB-NP\tO' +p278170 +aS'immunization\timmunization\tNN\tI-NP\tO' +p278171 +aS'should\tshould\tMD\tB-VP\tO' +p278172 +aS'be\tbe\tVB\tI-VP\tO' +p278173 +aS'considered\tconsider\tVBN\tI-VP\tO' +p278174 +aS'annually\tannually\tRB\tB-ADVP\tO' +p278175 +aS'in\tin\tIN\tB-PP\tO' +p278176 +aS'the\tthe\tDT\tB-NP\tO' +p278177 +aS'fall\tfall\tNN\tI-NP\tO' +p278178 +aS'for\tfor\tIN\tB-PP\tO' +p278179 +aS'preterm\tpreterm\tJJ\tB-NP\tO' +p278180 +aS'infants\tinfant\tNNS\tI-NP\tO' +p278181 +aS'with\twith\tIN\tB-PP\tO' +p278182 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p278183 +aS'lung\tlung\tNN\tI-NP\tO' +p278184 +aS'disease\tdisease\tNN\tI-NP\tO' +p278185 +aS'once\tonce\tIN\tB-SBAR\tO' +p278186 +aS'they\tthey\tPRP\tB-NP\tO' +p278187 +aS'reach\treach\tVBP\tB-VP\tO' +p278188 +aS'six\tsix\tCD\tB-NP\tO' +p278189 +aS'months\tmonth\tNNS\tI-NP\tO' +p278190 +aS'of\tof\tIN\tB-PP\tO' +p278191 +aS'age\tage\tNN\tB-NP\tO' +p278192 +aS'.\t.\t.\tO\tO' +p278193 +asS'No change since prior study of 2015-09-24 .' +p278194 +(lp278195 +S'No\tNo\tDT\tB-NP\tO' +p278196 +aS'change\tchange\tNN\tI-NP\tO' +p278197 +aS'since\tsince\tIN\tB-PP\tO' +p278198 +aS'prior\tprior\tJJ\tB-NP\tO' +p278199 +aS'study\tstudy\tNN\tI-NP\tO' +p278200 +aS'of\tof\tIN\tB-PP\tO' +p278201 +aS'2015-09-24\t2015-09-24\tCD\tB-NP\tO' +p278202 +aS'.\t.\t.\tO\tO' +p278203 +asS'House / NAS / Low chol / low sat. fat < FDI >' +p278204 +(lp278205 +S'House\tHouse\tNN\tB-NP\tO' +p278206 +aS'/\t/\tSYM\tI-NP\tO' +p278207 +aS'NAS\tNAS\tNN\tI-NP\tB-protein' +p278208 +aS'/\t/\tSYM\tB-NP\tO' +p278209 +aS'Low\tLow\tNN\tI-NP\tO' +p278210 +aS'chol\tchol\tNN\tI-NP\tO' +p278211 +aS'/\t/\tSYM\tB-NP\tO' +p278212 +aS'low\tlow\tJJ\tI-NP\tO' +p278213 +aS'sat.\tsat.\tNN\tI-NP\tO' +p278214 +aS'fat\tfat\tNN\tI-NP\tO' +p278215 +aS'<\t<\tCC\tO\tO' +p278216 +aS'FDI\tFDI\tNNP\tB-NP\tO' +p278217 +aS'>\t>\t:\tO\tO' +p278218 +asS'3. Imdur 30 mg po qd' +p278219 +(lp278220 +S'3.\t3.\tLS\tB-LST\tO' +p278221 +aS'Imdur\tImdur\tNN\tB-NP\tO' +p278222 +aS'30\t30\tCD\tI-NP\tO' +p278223 +aS'mg\tmg\tNN\tI-NP\tO' +p278224 +aS'po\tpo\tNN\tI-NP\tO' +p278225 +aS'qd\tqd\tNN\tI-NP\tO' +p278226 +asS'The patient quit smoking 20 years ago ; ethanol one glass of wine a day .' +p278227 +(lp278228 +S'The\tThe\tDT\tB-NP\tO' +p278229 +aS'patient\tpatient\tNN\tI-NP\tO' +p278230 +aS'quit\tquit\tVBD\tB-VP\tO' +p278231 +aS'smoking\tsmoke\tVBG\tI-VP\tO' +p278232 +aS'20\t20\tCD\tB-NP\tO' +p278233 +aS'years\tyear\tNNS\tI-NP\tO' +p278234 +aS'ago\tago\tRB\tB-ADVP\tO' +p278235 +aS';\t;\t:\tO\tO' +p278236 +aS'ethanol\tethanol\tNN\tB-NP\tO' +p278237 +aS'one\tone\tCD\tI-NP\tO' +p278238 +aS'glass\tglass\tNN\tI-NP\tO' +p278239 +aS'of\tof\tIN\tB-PP\tO' +p278240 +aS'wine\twine\tNN\tB-NP\tO' +p278241 +aS'a\ta\tDT\tB-NP\tO' +p278242 +aS'day\tday\tNN\tI-NP\tO' +p278243 +aS'.\t.\t.\tO\tO' +p278244 +asS'He was continued on his dressing changes .' +p278245 +(lp278246 +S'He\tHe\tPRP\tB-NP\tO' +p278247 +aS'was\tbe\tVBD\tB-VP\tO' +p278248 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p278249 +aS'on\ton\tIN\tB-PP\tO' +p278250 +aS'his\this\tPRP$\tB-NP\tB-DNA' +p278251 +aS'dressing\tdress\tVBG\tI-NP\tO' +p278252 +aS'changes\tchange\tNNS\tI-NP\tO' +p278253 +aS'.\t.\t.\tO\tO' +p278254 +asS'Disp : *40 Tablet( s )*' +p278255 +(lp278256 +S'Disp\tDisp\tNN\tB-NP\tO' +p278257 +aS':\t:\t:\tO\tO' +p278258 +aS'*40\t*40\tCD\tB-NP\tO' +p278259 +aS'Tablet(\tTablet(\t(\tI-NP\tO' +p278260 +aS's\ts\tNN\tI-NP\tO' +p278261 +aS')*\t)*\tSYM\tB-NP\tO' +p278262 +asS'Tums , 500-1250 mg PO tid .' +p278263 +(lp278264 +S'Tums\tTum\tNNS\tB-NP\tO' +p278265 +aS',\t,\t,\tO\tO' +p278266 +aS'500-1250\t500-1250\tCD\tB-NP\tO' +p278267 +aS'mg\tmg\tNN\tI-NP\tO' +p278268 +aS'PO\tPO\tNN\tI-NP\tO' +p278269 +aS'tid\ttid\tNN\tI-NP\tO' +p278270 +aS'.\t.\t.\tO\tO' +p278271 +asS'Normal liver function tests .' +p278272 +(lp278273 +S'Normal\tNormal\tJJ\tB-NP\tO' +p278274 +aS'liver\tliver\tNN\tI-NP\tO' +p278275 +aS'function\tfunction\tNN\tI-NP\tO' +p278276 +aS'tests\ttest\tNNS\tI-NP\tO' +p278277 +aS'.\t.\t.\tO\tO' +p278278 +asS'3. tear of transverse mesocolon ,' +p278279 +(lp278280 +S'3.\t3.\tLS\tB-NP\tO' +p278281 +aS'tear\ttear\tNN\tI-NP\tO' +p278282 +aS'of\tof\tIN\tB-PP\tO' +p278283 +aS'transverse\ttransverse\tJJ\tB-NP\tO' +p278284 +aS'mesocolon\tmesocolon\tNN\tI-NP\tO' +p278285 +aS',\t,\t,\tO\tO' +p278286 +asS'- Lives w/ wife & son in Jose , MA' +p278287 +(lp278288 +S'-\t-\tHYPH\tB-NP\tO' +p278289 +aS'Lives\tLive\tVBZ\tB-VP\tO' +p278290 +aS'w/\tw/\tNN\tB-NP\tO' +p278291 +aS'wife\twife\tNN\tI-NP\tO' +p278292 +aS'&\t&\tCC\tI-NP\tO' +p278293 +aS'son\tson\tNN\tI-NP\tO' +p278294 +aS'in\tin\tIN\tB-PP\tO' +p278295 +aS'Jose\tJose\tNNP\tB-NP\tO' +p278296 +aS',\t,\t,\tO\tO' +p278297 +aS'MA\tMA\tNNP\tB-NP\tO' +p278298 +asS'He tolerated his trach collar , and tube feeds at goal .' +p278299 +(lp278300 +S'He\tHe\tPRP\tB-NP\tO' +p278301 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p278302 +aS'his\this\tPRP$\tB-NP\tO' +p278303 +aS'trach\ttrach\tNN\tI-NP\tO' +p278304 +aS'collar\tcollar\tNN\tI-NP\tO' +p278305 +aS',\t,\t,\tO\tO' +p278306 +aS'and\tand\tCC\tO\tO' +p278307 +aS'tube\ttube\tNN\tB-NP\tO' +p278308 +aS'feeds\tfeed\tNNS\tI-NP\tO' +p278309 +aS'at\tat\tIN\tB-PP\tO' +p278310 +aS'goal\tgoal\tNN\tB-NP\tO' +p278311 +aS'.\t.\t.\tO\tO' +p278312 +asS'Denies history of tobacco , etoh , drugs .' +p278313 +(lp278314 +S'Denies\tDeny\tNNS\tB-NP\tO' +p278315 +aS'history\thistory\tNN\tI-NP\tO' +p278316 +aS'of\tof\tIN\tB-PP\tO' +p278317 +aS'tobacco\ttobacco\tNN\tB-NP\tO' +p278318 +aS',\t,\t,\tO\tO' +p278319 +aS'etoh\tetoh\tNN\tB-NP\tO' +p278320 +aS',\t,\t,\tO\tO' +p278321 +aS'drugs\tdrug\tNNS\tB-NP\tO' +p278322 +aS'.\t.\t.\tO\tO' +p278323 +asS'6. Lipitor 10 mg once daily .' +p278324 +(lp278325 +S'6.\t6.\tCD\tB-NP\tO' +p278326 +aS'Lipitor\tLipitor\tNN\tI-NP\tO' +p278327 +aS'10\t10\tCD\tB-NP\tO' +p278328 +aS'mg\tmg\tNN\tI-NP\tO' +p278329 +aS'once\tonce\tRB\tB-ADVP\tO' +p278330 +aS'daily\tdaily\tRB\tI-ADVP\tO' +p278331 +aS'.\t.\t.\tO\tO' +p278332 +asS'Lanoxin 0.375 mg. daily .' +p278333 +(lp278334 +S'Lanoxin\tLanoxin\tNN\tB-NP\tO' +p278335 +aS'0.375\t0.375\tCD\tI-NP\tO' +p278336 +aS'mg.\tmg.\tNN\tI-NP\tO' +p278337 +aS'daily\tdaily\tRB\tB-ADVP\tO' +p278338 +aS'.\t.\t.\tO\tO' +p278339 +asS'If needed to you can give her some nifedipine SL to decrease her blood pressure .' +p278340 +(lp278341 +S'If\tIf\tIN\tB-SBAR\tO' +p278342 +aS'needed\tneed\tVBN\tB-VP\tO' +p278343 +aS'to\tto\tTO\tB-PP\tO' +p278344 +aS'you\tyou\tPRP\tB-NP\tO' +p278345 +aS'can\tcan\tMD\tB-VP\tO' +p278346 +aS'give\tgive\tVB\tI-VP\tO' +p278347 +aS'her\ther\tPRP\tB-NP\tO' +p278348 +aS'some\tsome\tDT\tB-NP\tO' +p278349 +aS'nifedipine\tnifedipine\tNN\tI-NP\tO' +p278350 +aS'SL\tSL\tNN\tI-NP\tO' +p278351 +aS'to\tto\tTO\tB-VP\tO' +p278352 +aS'decrease\tdecrease\tVB\tI-VP\tO' +p278353 +aS'her\ther\tPRP$\tB-NP\tO' +p278354 +aS'blood\tblood\tNN\tI-NP\tO' +p278355 +aS'pressure\tpressure\tNN\tI-NP\tO' +p278356 +aS'.\t.\t.\tO\tO' +p278357 +asS'The patient ruled in for myocardial infarction with a peak CPK of 219 and 20.9% MB fraction .' +p278358 +(lp278359 +S'The\tThe\tDT\tB-NP\tO' +p278360 +aS'patient\tpatient\tNN\tI-NP\tO' +p278361 +aS'ruled\trule\tVBD\tB-VP\tO' +p278362 +aS'in\tin\tIN\tB-PP\tO' +p278363 +aS'for\tfor\tIN\tB-PP\tO' +p278364 +aS'myocardial\tmyocardial\tJJ\tB-NP\tO' +p278365 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p278366 +aS'with\twith\tIN\tB-PP\tO' +p278367 +aS'a\ta\tDT\tB-NP\tO' +p278368 +aS'peak\tpeak\tJJ\tI-NP\tO' +p278369 +aS'CPK\tCPK\tNN\tI-NP\tB-protein' +p278370 +aS'of\tof\tIN\tB-PP\tO' +p278371 +aS'219\t219\tCD\tB-NP\tO' +p278372 +aS'and\tand\tCC\tI-NP\tO' +p278373 +aS'20.9%\t20.9%\tCD\tI-NP\tO' +p278374 +aS'MB\tMB\tNN\tI-NP\tO' +p278375 +aS'fraction\tfraction\tNN\tI-NP\tO' +p278376 +aS'.\t.\t.\tO\tO' +p278377 +asS'Abdominal ultrasound on 2/23/00 - This study revealed gallbladder sludge but no cholelithiasis .' +p278378 +(lp278379 +S'Abdominal\tAbdominal\tJJ\tB-NP\tO' +p278380 +aS'ultrasound\tultrasound\tNN\tI-NP\tO' +p278381 +aS'on\ton\tIN\tB-PP\tO' +p278382 +aS'2/23/00\t2/23/00\tCD\tB-NP\tO' +p278383 +aS'-\t-\tHYPH\tO\tO' +p278384 +aS'This\tThis\tDT\tB-NP\tO' +p278385 +aS'study\tstudy\tNN\tI-NP\tO' +p278386 +aS'revealed\treveal\tVBD\tB-VP\tO' +p278387 +aS'gallbladder\tgallbladder\tNN\tB-NP\tO' +p278388 +aS'sludge\tsludge\tNN\tI-NP\tO' +p278389 +aS'but\tbut\tCC\tO\tO' +p278390 +aS'no\tno\tDT\tB-NP\tO' +p278391 +aS'cholelithiasis\tcholelithiasis\tNN\tI-NP\tO' +p278392 +aS'.\t.\t.\tO\tO' +p278393 +asS'Breasts were unremarkable .' +p278394 +(lp278395 +S'Breasts\tBreast\tNNS\tB-NP\tO' +p278396 +aS'were\tbe\tVBD\tB-VP\tO' +p278397 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p278398 +aS'.\t.\t.\tO\tO' +p278399 +asS'Patient was placed on BiPAP .' +p278400 +(lp278401 +S'Patient\tPatient\tNN\tB-NP\tO' +p278402 +aS'was\tbe\tVBD\tB-VP\tO' +p278403 +aS'placed\tplace\tVBN\tI-VP\tO' +p278404 +aS'on\ton\tIN\tB-PP\tO' +p278405 +aS'BiPAP\tBiPAP\tNN\tB-NP\tB-protein' +p278406 +aS'.\t.\t.\tO\tO' +p278407 +asS'# Shortness of Breath / loculated Effusion - patient with increaing loculated pleural effusion .' +p278408 +(lp278409 +S'#\t#\t#\tB-NP\tO' +p278410 +aS'Shortness\tShortness\tNN\tI-NP\tO' +p278411 +aS'of\tof\tIN\tB-PP\tO' +p278412 +aS'Breath\tBreath\tNN\tB-NP\tO' +p278413 +aS'/\t/\tSYM\tB-VP\tO' +p278414 +aS'loculated\tloculate\tVBN\tB-NP\tO' +p278415 +aS'Effusion\tEffusion\tNN\tI-NP\tO' +p278416 +aS'-\t-\tHYPH\tO\tO' +p278417 +aS'patient\tpatient\tNN\tB-NP\tO' +p278418 +aS'with\twith\tIN\tB-PP\tO' +p278419 +aS'increaing\tincreae\tVBG\tB-VP\tO' +p278420 +aS'loculated\tloculated\tJJ\tB-NP\tO' +p278421 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p278422 +aS'effusion\teffusion\tNN\tI-NP\tO' +p278423 +aS'.\t.\t.\tO\tO' +p278424 +asS'Pyelonephritis of the left kidney without left sided hydronephrosis .' +p278425 +(lp278426 +S'Pyelonephritis\tPyelonephritis\tNN\tB-NP\tO' +p278427 +aS'of\tof\tIN\tB-PP\tO' +p278428 +aS'the\tthe\tDT\tB-NP\tO' +p278429 +aS'left\tleft\tJJ\tI-NP\tO' +p278430 +aS'kidney\tkidney\tNN\tI-NP\tO' +p278431 +aS'without\twithout\tIN\tB-PP\tO' +p278432 +aS'left\tleft\tJJ\tB-NP\tO' +p278433 +aS'sided\tsided\tJJ\tI-NP\tO' +p278434 +aS'hydronephrosis\thydronephrosis\tNN\tI-NP\tO' +p278435 +aS'.\t.\t.\tO\tO' +p278436 +asS'Her diabetes mellitus has been complicated by retinopathy and nephropathy as well as peripheral neuropathy .' +p278437 +(lp278438 +S'Her\tHer\tPRP$\tB-NP\tO' +p278439 +aS'diabetes\tdiabetes\tNN\tI-NP\tO' +p278440 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p278441 +aS'has\thave\tVBZ\tB-VP\tO' +p278442 +aS'been\tbe\tVBN\tI-VP\tO' +p278443 +aS'complicated\tcomplicate\tVBN\tI-VP\tO' +p278444 +aS'by\tby\tIN\tB-PP\tO' +p278445 +aS'retinopathy\tretinopathy\tNN\tB-NP\tO' +p278446 +aS'and\tand\tCC\tI-NP\tO' +p278447 +aS'nephropathy\tnephropathy\tNN\tI-NP\tO' +p278448 +aS'as\tas\tRB\tB-CONJP\tO' +p278449 +aS'well\twell\tRB\tI-CONJP\tO' +p278450 +aS'as\tas\tIN\tI-CONJP\tO' +p278451 +aS'peripheral\tperipheral\tJJ\tB-NP\tO' +p278452 +aS'neuropathy\tneuropathy\tNN\tI-NP\tO' +p278453 +aS'.\t.\t.\tO\tO' +p278454 +asS'Grimaces to nasal tickle .' +p278455 +(lp278456 +S'Grimaces\tGrimace\tNNS\tB-NP\tO' +p278457 +aS'to\tto\tTO\tB-PP\tO' +p278458 +aS'nasal\tnasal\tJJ\tB-NP\tO' +p278459 +aS'tickle\ttickle\tNN\tI-NP\tO' +p278460 +aS'.\t.\t.\tO\tO' +p278461 +asS'Fluconazole 400 mg q. 24 hours .' +p278462 +(lp278463 +S'Fluconazole\tFluconazole\tNN\tB-NP\tO' +p278464 +aS'400\t400\tCD\tI-NP\tO' +p278465 +aS'mg\tmg\tNN\tI-NP\tO' +p278466 +aS'q.\tq.\tNN\tI-NP\tO' +p278467 +aS'24\t24\tCD\tB-NP\tO' +p278468 +aS'hours\thour\tNNS\tI-NP\tO' +p278469 +aS'.\t.\t.\tO\tO' +p278470 +asS'Physical Therapy consult is pending today .' +p278471 +(lp278472 +S'Physical\tPhysical\tJJ\tB-NP\tO' +p278473 +aS'Therapy\tTherapy\tNN\tI-NP\tO' +p278474 +aS'consult\tconsult\tNN\tI-NP\tO' +p278475 +aS'is\tbe\tVBZ\tB-VP\tO' +p278476 +aS'pending\tpende\tVBG\tB-PP\tO' +p278477 +aS'today\ttoday\tNN\tB-NP\tO' +p278478 +aS'.\t.\t.\tO\tO' +p278479 +asS"This was initiated after several conversations with the patient 's mother , who stated that the patient had desired to be DNR / DNI for many years , not just in the recent past ." +p278480 +(lp278481 +S'This\tThis\tDT\tB-NP\tO' +p278482 +aS'was\tbe\tVBD\tB-VP\tO' +p278483 +aS'initiated\tinitiate\tVBN\tI-VP\tO' +p278484 +aS'after\tafter\tIN\tB-PP\tO' +p278485 +aS'several\tseveral\tJJ\tB-NP\tO' +p278486 +aS'conversations\tconversation\tNNS\tI-NP\tO' +p278487 +aS'with\twith\tIN\tB-PP\tO' +p278488 +aS'the\tthe\tDT\tB-NP\tO' +p278489 +aS'patient\tpatient\tNN\tI-NP\tO' +p278490 +aS"'s\t's\tPOS\tB-NP\tO" +p278491 +aS'mother\tmother\tNN\tI-NP\tO' +p278492 +aS',\t,\t,\tO\tO' +p278493 +aS'who\twho\tWP\tB-NP\tO' +p278494 +aS'stated\tstate\tVBD\tB-VP\tO' +p278495 +aS'that\tthat\tIN\tB-SBAR\tO' +p278496 +aS'the\tthe\tDT\tB-NP\tO' +p278497 +aS'patient\tpatient\tNN\tI-NP\tO' +p278498 +aS'had\thave\tVBD\tB-VP\tO' +p278499 +aS'desired\tdesire\tVBN\tI-VP\tO' +p278500 +aS'to\tto\tTO\tI-VP\tO' +p278501 +aS'be\tbe\tVB\tI-VP\tO' +p278502 +aS'DNR\tDNR\tNN\tB-NP\tB-protein' +p278503 +aS'/\t/\tSYM\tB-NP\tO' +p278504 +aS'DNI\tDNI\tNN\tI-NP\tO' +p278505 +aS'for\tfor\tIN\tB-PP\tO' +p278506 +aS'many\tmany\tJJ\tB-NP\tO' +p278507 +aS'years\tyear\tNNS\tI-NP\tO' +p278508 +aS',\t,\t,\tO\tO' +p278509 +aS'not\tnot\tRB\tB-CONJP\tO' +p278510 +aS'just\tjust\tRB\tI-CONJP\tO' +p278511 +aS'in\tin\tIN\tB-PP\tO' +p278512 +aS'the\tthe\tDT\tB-NP\tO' +p278513 +aS'recent\trecent\tJJ\tI-NP\tO' +p278514 +aS'past\tpast\tNN\tI-NP\tO' +p278515 +aS'.\t.\t.\tO\tO' +p278516 +asS'Finally , Fairm of Ijordcompmac Hospital transport team was called and transport team arrived on 9/7/93 , 6:30 a.m. , and on arrival patient was seizing with rhythmic eye movement to left .' +p278517 +(lp278518 +S'Finally\tFinally\tRB\tB-ADVP\tO' +p278519 +aS',\t,\t,\tO\tO' +p278520 +aS'Fairm\tFairm\tNNP\tB-NP\tO' +p278521 +aS'of\tof\tIN\tB-PP\tO' +p278522 +aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' +p278523 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p278524 +aS'transport\ttransport\tNN\tI-NP\tO' +p278525 +aS'team\tteam\tNN\tI-NP\tO' +p278526 +aS'was\tbe\tVBD\tB-VP\tO' +p278527 +aS'called\tcall\tVBN\tI-VP\tO' +p278528 +aS'and\tand\tCC\tO\tO' +p278529 +aS'transport\ttransport\tNN\tB-NP\tO' +p278530 +aS'team\tteam\tNN\tI-NP\tO' +p278531 +aS'arrived\tarrive\tVBN\tB-VP\tO' +p278532 +aS'on\ton\tIN\tB-PP\tO' +p278533 +aS'9/7/93\t9/7/93\tCD\tB-NP\tO' +p278534 +aS',\t,\t,\tO\tO' +p278535 +aS'6:30\t6:30\tCD\tB-NP\tO' +p278536 +aS'a.m.\ta.m.\tRB\tB-ADVP\tO' +p278537 +aS',\t,\t,\tO\tO' +p278538 +aS'and\tand\tCC\tO\tO' +p278539 +aS'on\ton\tIN\tB-PP\tO' +p278540 +aS'arrival\tarrival\tJJ\tB-NP\tO' +p278541 +aS'patient\tpatient\tNN\tI-NP\tO' +p278542 +aS'was\tbe\tVBD\tB-VP\tO' +p278543 +aS'seizing\tseize\tVBG\tI-VP\tO' +p278544 +aS'with\twith\tIN\tB-PP\tO' +p278545 +aS'rhythmic\trhythmic\tJJ\tB-NP\tO' +p278546 +aS'eye\teye\tNN\tI-NP\tO' +p278547 +aS'movement\tmovement\tNN\tI-NP\tO' +p278548 +aS'to\tto\tTO\tB-VP\tO' +p278549 +aS'left\tleft\tVB\tI-VP\tO' +p278550 +aS'.\t.\t.\tO\tO' +p278551 +asS'Positive for ETOH ( 10 glasses a week ), positive for drugs , marijuana in college .' +p278552 +(lp278553 +S'Positive\tPositive\tJJ\tB-ADJP\tO' +p278554 +aS'for\tfor\tIN\tB-PP\tO' +p278555 +aS'ETOH\tETOH\tNN\tB-NP\tB-protein' +p278556 +aS'(\t(\t(\tO\tO' +p278557 +aS'10\t10\tCD\tB-NP\tO' +p278558 +aS'glasses\tglass\tNNS\tI-NP\tO' +p278559 +aS'a\ta\tDT\tB-NP\tO' +p278560 +aS'week\tweek\tNN\tI-NP\tO' +p278561 +aS'),\t),\tVBD\tB-VP\tO' +p278562 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p278563 +aS'for\tfor\tIN\tB-PP\tO' +p278564 +aS'drugs\tdrug\tNNS\tB-NP\tO' +p278565 +aS',\t,\t,\tO\tO' +p278566 +aS'marijuana\tmarijuana\tNN\tB-NP\tO' +p278567 +aS'in\tin\tIN\tB-PP\tO' +p278568 +aS'college\tcollege\tNN\tB-NP\tO' +p278569 +aS'.\t.\t.\tO\tO' +p278570 +asS'The left atrium is elongated .' +p278571 +(lp278572 +S'The\tThe\tDT\tB-NP\tO' +p278573 +aS'left\tleft\tJJ\tI-NP\tO' +p278574 +aS'atrium\tatrium\tNN\tI-NP\tO' +p278575 +aS'is\tbe\tVBZ\tB-VP\tO' +p278576 +aS'elongated\telongate\tVBN\tI-VP\tO' +p278577 +aS'.\t.\t.\tO\tO' +p278578 +asS'- Lovenox 40 mg SC q24 for DVT ppx' +p278579 +(lp278580 +S'-\t-\tHYPH\tB-NP\tO' +p278581 +aS'Lovenox\tLovenox\tNN\tI-NP\tO' +p278582 +aS'40\t40\tCD\tI-NP\tO' +p278583 +aS'mg\tmg\tNN\tI-NP\tO' +p278584 +aS'SC\tSC\tNN\tI-NP\tO' +p278585 +aS'q24\tq24\tNN\tI-NP\tO' +p278586 +aS'for\tfor\tIN\tB-PP\tO' +p278587 +aS'DVT\tDVT\tNN\tB-NP\tO' +p278588 +aS'ppx\tppx\tNN\tI-NP\tO' +p278589 +asS'PERRL , EOMI , oropharynx clear , moist buccal mucosa .' +p278590 +(lp278591 +S'PERRL\tPERRL\tNN\tB-NP\tB-protein' +p278592 +aS',\t,\t,\tO\tO' +p278593 +aS'EOMI\tEOMI\tNN\tB-NP\tB-protein' +p278594 +aS',\t,\t,\tO\tO' +p278595 +aS'oropharynx\toropharynx\tNN\tB-NP\tO' +p278596 +aS'clear\tclear\tJJ\tI-NP\tO' +p278597 +aS',\t,\t,\tI-NP\tO' +p278598 +aS'moist\tmoist\tJJ\tI-NP\tO' +p278599 +aS'buccal\tbuccal\tJJ\tI-NP\tO' +p278600 +aS'mucosa\tmucosa\tNN\tI-NP\tO' +p278601 +aS'.\t.\t.\tO\tO' +p278602 +asS'Crackles in the right lung field .' +p278603 +(lp278604 +S'Crackles\tCrackle\tNNS\tB-NP\tO' +p278605 +aS'in\tin\tIN\tB-PP\tO' +p278606 +aS'the\tthe\tDT\tB-NP\tO' +p278607 +aS'right\tright\tJJ\tI-NP\tO' +p278608 +aS'lung\tlung\tNN\tI-NP\tO' +p278609 +aS'field\tfield\tNN\tI-NP\tO' +p278610 +aS'.\t.\t.\tO\tO' +p278611 +asS'Full code .' +p278612 +(lp278613 +S'Full\tFull\tJJ\tB-NP\tO' +p278614 +aS'code\tcode\tNN\tI-NP\tO' +p278615 +aS'.\t.\t.\tO\tO' +p278616 +asS'She therefore elected to undergo surgical treatment .' +p278617 +(lp278618 +S'She\tShe\tPRP\tB-NP\tO' +p278619 +aS'therefore\ttherefore\tRB\tB-ADVP\tO' +p278620 +aS'elected\telect\tVBD\tB-VP\tO' +p278621 +aS'to\tto\tTO\tI-VP\tO' +p278622 +aS'undergo\tundergo\tVB\tI-VP\tO' +p278623 +aS'surgical\tsurgical\tJJ\tB-NP\tO' +p278624 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p278625 +aS'.\t.\t.\tO\tO' +p278626 +asS'The patient tolerated this procedure well and had no complications .' +p278627 +(lp278628 +S'The\tThe\tDT\tB-NP\tO' +p278629 +aS'patient\tpatient\tNN\tI-NP\tO' +p278630 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p278631 +aS'this\tthis\tDT\tB-NP\tO' +p278632 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p278633 +aS'well\twell\tRB\tB-ADVP\tO' +p278634 +aS'and\tand\tCC\tO\tO' +p278635 +aS'had\thave\tVBD\tB-VP\tO' +p278636 +aS'no\tno\tDT\tB-NP\tO' +p278637 +aS'complications\tcomplication\tNNS\tI-NP\tO' +p278638 +aS'.\t.\t.\tO\tO' +p278639 +asS'The most recent hematocrit on day of life two was 47% .' +p278640 +(lp278641 +S'The\tThe\tDT\tB-NP\tO' +p278642 +aS'most\tmost\tRBS\tI-NP\tO' +p278643 +aS'recent\trecent\tJJ\tI-NP\tO' +p278644 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p278645 +aS'on\ton\tIN\tB-PP\tO' +p278646 +aS'day\tday\tNN\tB-NP\tO' +p278647 +aS'of\tof\tIN\tB-PP\tO' +p278648 +aS'life\tlife\tNN\tB-NP\tO' +p278649 +aS'two\ttwo\tCD\tI-NP\tO' +p278650 +aS'was\tbe\tVBD\tB-VP\tO' +p278651 +aS'47%\t47%\tCD\tB-NP\tO' +p278652 +aS'.\t.\t.\tO\tO' +p278653 +asS'13 ) Nephrocaps one tablet p.o. q. day .' +p278654 +(lp278655 +S'13\t13\tCD\tB-NP\tO' +p278656 +aS')\t)\t)\tO\tO' +p278657 +aS'Nephrocaps\tNephrocap\tVBZ\tB-VP\tO' +p278658 +aS'one\tone\tCD\tB-NP\tO' +p278659 +aS'tablet\ttablet\tNN\tI-NP\tO' +p278660 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p278661 +aS'q.\tq.\tNN\tI-NP\tO' +p278662 +aS'day\tday\tNN\tI-NP\tO' +p278663 +aS'.\t.\t.\tO\tO' +p278664 +asS'Percocet as needed for pain .' +p278665 +(lp278666 +S'Percocet\tPercocet\tNN\tB-NP\tO' +p278667 +aS'as\tas\tIN\tB-PP\tO' +p278668 +aS'needed\tneed\tVBN\tB-VP\tO' +p278669 +aS'for\tfor\tIN\tB-PP\tO' +p278670 +aS'pain\tpain\tNN\tB-NP\tO' +p278671 +aS'.\t.\t.\tO\tO' +p278672 +asS'The patient also has a history of hyperparathyroidism secondary to papillary thyroid cancer .' +p278673 +(lp278674 +S'The\tThe\tDT\tB-NP\tO' +p278675 +aS'patient\tpatient\tNN\tI-NP\tO' +p278676 +aS'also\talso\tRB\tB-ADVP\tO' +p278677 +aS'has\thave\tVBZ\tB-VP\tO' +p278678 +aS'a\ta\tDT\tB-NP\tO' +p278679 +aS'history\thistory\tNN\tI-NP\tO' +p278680 +aS'of\tof\tIN\tB-PP\tO' +p278681 +aS'hyperparathyroidism\thyperparathyroidism\tNN\tB-NP\tO' +p278682 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p278683 +aS'to\tto\tTO\tB-PP\tO' +p278684 +aS'papillary\tpapillary\tJJ\tB-NP\tO' +p278685 +aS'thyroid\tthyroid\tNN\tI-NP\tO' +p278686 +aS'cancer\tcancer\tNN\tI-NP\tO' +p278687 +aS'.\t.\t.\tO\tO' +p278688 +asS'Also c / o chest pain , substernal discomfort for past few days .' +p278689 +(lp278690 +S'Also\tAlso\tRB\tB-NP\tO' +p278691 +aS'c\tc\tNN\tI-NP\tO' +p278692 +aS'/\t/\tSYM\tB-NP\tO' +p278693 +aS'o\to\tNN\tI-NP\tO' +p278694 +aS'chest\tchest\tNN\tI-NP\tO' +p278695 +aS'pain\tpain\tNN\tI-NP\tO' +p278696 +aS',\t,\t,\tO\tO' +p278697 +aS'substernal\tsubsternal\tJJ\tB-NP\tO' +p278698 +aS'discomfort\tdiscomfort\tNN\tI-NP\tO' +p278699 +aS'for\tfor\tIN\tB-PP\tO' +p278700 +aS'past\tpast\tJJ\tB-NP\tO' +p278701 +aS'few\tfew\tJJ\tI-NP\tO' +p278702 +aS'days\tday\tNNS\tI-NP\tO' +p278703 +aS'.\t.\t.\tO\tO' +p278704 +asS'The patient tolerated the procedure well without any complications .' +p278705 +(lp278706 +S'The\tThe\tDT\tB-NP\tO' +p278707 +aS'patient\tpatient\tNN\tI-NP\tO' +p278708 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p278709 +aS'the\tthe\tDT\tB-NP\tO' +p278710 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p278711 +aS'well\twell\tRB\tB-ADVP\tO' +p278712 +aS'without\twithout\tIN\tB-PP\tO' +p278713 +aS'any\tany\tDT\tB-NP\tO' +p278714 +aS'complications\tcomplication\tNNS\tI-NP\tO' +p278715 +aS'.\t.\t.\tO\tO' +p278716 +asS'CBC on admission white blood cell count 8.9 , hematocrit 47% , platelets 243,000 , 6% neutrophils , 0 bands .' +p278717 +(lp278718 +S'CBC\tCBC\tNN\tB-NP\tB-protein' +p278719 +aS'on\ton\tIN\tB-PP\tO' +p278720 +aS'admission\tadmission\tNN\tB-NP\tO' +p278721 +aS'white\twhite\tJJ\tI-NP\tO' +p278722 +aS'blood\tblood\tNN\tI-NP\tO' +p278723 +aS'cell\tcell\tNN\tI-NP\tO' +p278724 +aS'count\tcount\tNN\tI-NP\tO' +p278725 +aS'8.9\t8.9\tCD\tB-NP\tO' +p278726 +aS',\t,\t,\tO\tO' +p278727 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p278728 +aS'47%\t47%\tNN\tI-NP\tI-protein' +p278729 +aS',\t,\t,\tO\tO' +p278730 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p278731 +aS'243,000\t243,000\tCD\tB-NP\tO' +p278732 +aS',\t,\t,\tO\tO' +p278733 +aS'6%\t6%\tCD\tB-NP\tO' +p278734 +aS'neutrophils\tneutrophil\tNNS\tI-NP\tB-cell_type' +p278735 +aS',\t,\t,\tO\tO' +p278736 +aS'0\t0\tCD\tB-NP\tO' +p278737 +aS'bands\tband\tNNS\tI-NP\tO' +p278738 +aS'.\t.\t.\tO\tO' +p278739 +asS'Required diuresis of > 9 L while in the ICU , after 2nd surgery .' +p278740 +(lp278741 +S'Required\tRequire\tVBN\tB-NP\tO' +p278742 +aS'diuresis\tdiuresis\tNN\tI-NP\tO' +p278743 +aS'of\tof\tIN\tB-PP\tO' +p278744 +aS'>\t>\tJJR\tB-NP\tO' +p278745 +aS'9\t9\tCD\tI-NP\tO' +p278746 +aS'L\tL\tNN\tI-NP\tO' +p278747 +aS'while\twhile\tIN\tB-SBAR\tO' +p278748 +aS'in\tin\tIN\tB-PP\tO' +p278749 +aS'the\tthe\tDT\tB-NP\tO' +p278750 +aS'ICU\tICU\tNN\tI-NP\tB-DNA' +p278751 +aS',\t,\t,\tO\tO' +p278752 +aS'after\tafter\tIN\tB-PP\tO' +p278753 +aS'2nd\t2nd\tCD\tB-NP\tO' +p278754 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p278755 +aS'.\t.\t.\tO\tO' +p278756 +asS'4. State Newborn Screens were sent on 09-27 and 2011-10-05 with no notification of abnormal results to date .' +p278757 +(lp278758 +S'4.\t4.\tLS\tB-LST\tO' +p278759 +aS'State\tState\tNNP\tB-NP\tO' +p278760 +aS'Newborn\tNewborn\tNNP\tI-NP\tO' +p278761 +aS'Screens\tScreens\tNNP\tI-NP\tO' +p278762 +aS'were\tbe\tVBD\tB-VP\tO' +p278763 +aS'sent\tsend\tVBN\tI-VP\tO' +p278764 +aS'on\ton\tIN\tB-PP\tO' +p278765 +aS'09-27\t09-27\tCD\tB-NP\tO' +p278766 +aS'and\tand\tCC\tI-NP\tO' +p278767 +aS'2011-10-05\t2011-10-05\tCD\tI-NP\tO' +p278768 +aS'with\twith\tIN\tB-PP\tO' +p278769 +aS'no\tno\tDT\tB-NP\tO' +p278770 +aS'notification\tnotification\tNN\tI-NP\tO' +p278771 +aS'of\tof\tIN\tB-PP\tO' +p278772 +aS'abnormal\tabnormal\tJJ\tB-NP\tO' +p278773 +aS'results\tresult\tNNS\tI-NP\tO' +p278774 +aS'to\tto\tTO\tB-PP\tO' +p278775 +aS'date\tdate\tNN\tB-NP\tO' +p278776 +aS'.\t.\t.\tO\tO' +p278777 +asS'8. Furosemide 20 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ) for 5 days .' +p278778 +(lp278779 +S'8.\t8.\tCD\tB-NP\tO' +p278780 +aS'Furosemide\tFurosemide\tNN\tI-NP\tO' +p278781 +aS'20\t20\tCD\tB-NP\tO' +p278782 +aS'mg\tmg\tNN\tI-NP\tO' +p278783 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p278784 +aS'Sig\tSig\tNNP\tI-NP\tO' +p278785 +aS':\t:\t:\tO\tO' +p278786 +aS'One\tOne\tCD\tB-NP\tO' +p278787 +aS'(\t(\t(\tO\tO' +p278788 +aS'1\t1\tCD\tB-NP\tO' +p278789 +aS')\t)\t)\tO\tO' +p278790 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p278791 +aS'PO\tPO\tNN\tI-NP\tO' +p278792 +aS'BID\tBID\tNN\tI-NP\tO' +p278793 +aS'(\t(\t(\tO\tO' +p278794 +aS'2\t2\tCD\tB-NP\tO' +p278795 +aS'times\ttime\tNNS\tI-NP\tO' +p278796 +aS'a\ta\tDT\tB-NP\tO' +p278797 +aS'day\tday\tNN\tI-NP\tO' +p278798 +aS')\t)\t)\tO\tO' +p278799 +aS'for\tfor\tIN\tB-PP\tO' +p278800 +aS'5\t5\tCD\tB-NP\tO' +p278801 +aS'days\tday\tNNS\tI-NP\tO' +p278802 +aS'.\t.\t.\tO\tO' +p278803 +asS'She was obtunded and was thus intubated for airway protection .' +p278804 +(lp278805 +S'She\tShe\tPRP\tB-NP\tO' +p278806 +aS'was\tbe\tVBD\tB-VP\tO' +p278807 +aS'obtunded\tobtund\tVBN\tI-VP\tO' +p278808 +aS'and\tand\tCC\tO\tO' +p278809 +aS'was\tbe\tVBD\tB-VP\tO' +p278810 +aS'thus\tthus\tRB\tI-VP\tO' +p278811 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p278812 +aS'for\tfor\tIN\tB-PP\tO' +p278813 +aS'airway\tairway\tNN\tB-NP\tO' +p278814 +aS'protection\tprotection\tNN\tI-NP\tO' +p278815 +aS'.\t.\t.\tO\tO' +p278816 +asS'He was transfered to the regular part of the hospital on POD#2 , where he began working with physical therapy .' +p278817 +(lp278818 +S'He\tHe\tPRP\tB-NP\tO' +p278819 +aS'was\tbe\tVBD\tB-VP\tO' +p278820 +aS'transfered\ttransfer\tVBN\tI-VP\tO' +p278821 +aS'to\tto\tTO\tB-PP\tO' +p278822 +aS'the\tthe\tDT\tB-NP\tO' +p278823 +aS'regular\tregular\tJJ\tI-NP\tO' +p278824 +aS'part\tpart\tNN\tI-NP\tO' +p278825 +aS'of\tof\tIN\tB-PP\tO' +p278826 +aS'the\tthe\tDT\tB-NP\tO' +p278827 +aS'hospital\thospital\tNN\tI-NP\tO' +p278828 +aS'on\ton\tIN\tB-PP\tO' +p278829 +aS'POD#2\tPOD#2\tNN\tB-NP\tB-protein' +p278830 +aS',\t,\t,\tO\tO' +p278831 +aS'where\twhere\tWRB\tB-ADVP\tO' +p278832 +aS'he\the\tPRP\tB-NP\tO' +p278833 +aS'began\tbegin\tVBD\tB-VP\tO' +p278834 +aS'working\twork\tVBG\tI-VP\tO' +p278835 +aS'with\twith\tIN\tB-PP\tO' +p278836 +aS'physical\tphysical\tJJ\tB-NP\tO' +p278837 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p278838 +aS'.\t.\t.\tO\tO' +p278839 +asS'Ativan 1 mg PO Q6H prn' +p278840 +(lp278841 +S'Ativan\tAtivan\tIN\tB-PP\tO' +p278842 +aS'1\t1\tCD\tB-NP\tO' +p278843 +aS'mg\tmg\tNN\tI-NP\tO' +p278844 +aS'PO\tPO\tNN\tI-NP\tO' +p278845 +aS'Q6H\tQ6H\tNN\tI-NP\tO' +p278846 +aS'prn\tprn\tNN\tI-NP\tO' +p278847 +asS'Codeine , reaction unknown .' +p278848 +(lp278849 +S'Codeine\tCodeine\tNN\tB-NP\tO' +p278850 +aS',\t,\t,\tI-NP\tO' +p278851 +aS'reaction\treaction\tNN\tI-NP\tO' +p278852 +aS'unknown\tunknown\tJJ\tI-NP\tO' +p278853 +aS'.\t.\t.\tO\tO' +p278854 +asS'His respiratory condition continued to deteriorate despite aggressive chest physical therapy for possible blood , given Lasix for congestive heart failure , became hypotensive , hypoxic and intubated .' +p278855 +(lp278856 +S'His\tHis\tPRP$\tB-NP\tO' +p278857 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p278858 +aS'condition\tcondition\tNN\tI-NP\tO' +p278859 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p278860 +aS'to\tto\tTO\tI-VP\tO' +p278861 +aS'deteriorate\tdeteriorate\tVB\tI-VP\tO' +p278862 +aS'despite\tdespite\tIN\tB-PP\tO' +p278863 +aS'aggressive\taggressive\tJJ\tB-NP\tO' +p278864 +aS'chest\tchest\tNN\tI-NP\tO' +p278865 +aS'physical\tphysical\tJJ\tI-NP\tO' +p278866 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p278867 +aS'for\tfor\tIN\tB-PP\tO' +p278868 +aS'possible\tpossible\tJJ\tB-NP\tO' +p278869 +aS'blood\tblood\tNN\tI-NP\tO' +p278870 +aS',\t,\t,\tO\tO' +p278871 +aS'given\tgive\tVBN\tB-PP\tO' +p278872 +aS'Lasix\tLasix\tNNP\tB-NP\tO' +p278873 +aS'for\tfor\tIN\tB-PP\tO' +p278874 +aS'congestive\tcongestive\tJJ\tB-NP\tO' +p278875 +aS'heart\theart\tNN\tI-NP\tO' +p278876 +aS'failure\tfailure\tNN\tI-NP\tO' +p278877 +aS',\t,\t,\tO\tO' +p278878 +aS'became\tbecome\tVBD\tB-VP\tO' +p278879 +aS'hypotensive\thypotensive\tJJ\tB-ADJP\tO' +p278880 +aS',\t,\t,\tI-ADJP\tO' +p278881 +aS'hypoxic\thypoxic\tJJ\tI-ADJP\tO' +p278882 +aS'and\tand\tCC\tI-ADJP\tO' +p278883 +aS'intubated\tintubated\tJJ\tI-ADJP\tO' +p278884 +aS'.\t.\t.\tO\tO' +p278885 +asS'Refractory CLL with bone marrow involvement , status post MUD , mini-allo stem cell transplant , December , 2002 , Acanthamoeba infection of skin and sinuses , recently treated with IV pentamidine and p.o. voriconazole , history of recurrent CMB infection , recent ARS on CRI , thought due to medication toxicity ( creatinine on discharge from Retelk County Medical Center on October 16 was 2.6) .' +p278886 +(lp278887 +S'Refractory\tRefractory\tJJ\tB-NP\tO' +p278888 +aS'CLL\tCLL\tNN\tI-NP\tO' +p278889 +aS'with\twith\tIN\tB-PP\tO' +p278890 +aS'bone\tbone\tNN\tB-NP\tO' +p278891 +aS'marrow\tmarrow\tNN\tI-NP\tO' +p278892 +aS'involvement\tinvolvement\tNN\tI-NP\tO' +p278893 +aS',\t,\t,\tO\tO' +p278894 +aS'status\tstatus\tNN\tB-NP\tO' +p278895 +aS'post\tpost\tNN\tI-NP\tO' +p278896 +aS'MUD\tMUD\tNN\tI-NP\tO' +p278897 +aS',\t,\t,\tO\tO' +p278898 +aS'mini-allo\tmini-allo\tJJ\tB-NP\tO' +p278899 +aS'stem\tstem\tNN\tI-NP\tO' +p278900 +aS'cell\tcell\tNN\tI-NP\tO' +p278901 +aS'transplant\ttransplant\tNN\tI-NP\tO' +p278902 +aS',\t,\t,\tO\tO' +p278903 +aS'December\tDecember\tNNP\tB-NP\tO' +p278904 +aS',\t,\t,\tO\tO' +p278905 +aS'2002\t2002\tCD\tB-NP\tO' +p278906 +aS',\t,\t,\tO\tO' +p278907 +aS'Acanthamoeba\tAcanthamoeba\tNNP\tB-NP\tO' +p278908 +aS'infection\tinfection\tNN\tI-NP\tO' +p278909 +aS'of\tof\tIN\tB-PP\tO' +p278910 +aS'skin\tskin\tNN\tB-NP\tO' +p278911 +aS'and\tand\tCC\tI-NP\tO' +p278912 +aS'sinuses\tsinus\tNNS\tI-NP\tO' +p278913 +aS',\t,\t,\tO\tO' +p278914 +aS'recently\trecently\tRB\tB-VP\tO' +p278915 +aS'treated\ttreat\tVBN\tI-VP\tO' +p278916 +aS'with\twith\tIN\tB-PP\tO' +p278917 +aS'IV\tIV\tCD\tB-NP\tO' +p278918 +aS'pentamidine\tpentamidine\tNN\tI-NP\tO' +p278919 +aS'and\tand\tCC\tI-NP\tO' +p278920 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p278921 +aS'voriconazole\tvoriconazole\tNN\tI-NP\tO' +p278922 +aS',\t,\t,\tO\tO' +p278923 +aS'history\thistory\tNN\tB-NP\tO' +p278924 +aS'of\tof\tIN\tB-PP\tO' +p278925 +aS'recurrent\trecurrent\tJJ\tB-NP\tO' +p278926 +aS'CMB\tCMB\tNN\tI-NP\tO' +p278927 +aS'infection\tinfection\tNN\tI-NP\tO' +p278928 +aS',\t,\t,\tO\tO' +p278929 +aS'recent\trecent\tJJ\tB-NP\tO' +p278930 +aS'ARS\tARS\tNN\tI-NP\tB-protein' +p278931 +aS'on\ton\tIN\tB-PP\tO' +p278932 +aS'CRI\tCRI\tNN\tB-NP\tB-protein' +p278933 +aS',\t,\t,\tO\tO' +p278934 +aS'thought\tthink\tVBD\tB-VP\tO' +p278935 +aS'due\tdue\tIN\tB-PP\tO' +p278936 +aS'to\tto\tTO\tB-PP\tO' +p278937 +aS'medication\tmedication\tNN\tB-NP\tO' +p278938 +aS'toxicity\ttoxicity\tNN\tI-NP\tO' +p278939 +aS'(\t(\t(\tO\tO' +p278940 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p278941 +aS'on\ton\tIN\tB-PP\tO' +p278942 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p278943 +aS'from\tfrom\tIN\tB-PP\tO' +p278944 +aS'Retelk\tRetelk\tNNP\tB-NP\tO' +p278945 +aS'County\tCounty\tNNP\tI-NP\tO' +p278946 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p278947 +aS'Center\tCenter\tNNP\tI-NP\tO' +p278948 +aS'on\ton\tIN\tB-PP\tO' +p278949 +aS'October\tOctober\tNNP\tB-NP\tB-protein' +p278950 +aS'16\t16\tCD\tI-NP\tI-protein' +p278951 +aS'was\tbe\tVBD\tB-VP\tI-protein' +p278952 +aS'2.6)\t2.6)\tCD\tB-NP\tI-protein' +p278953 +aS'.\t.\t.\tO\tO' +p278954 +asS"Pt was stable and had appropriate Hct bump to 25 after 2U PRBC 's." +p278955 +(lp278956 +S'Pt\tPt\tNN\tB-NP\tO' +p278957 +aS'was\tbe\tVBD\tB-VP\tO' +p278958 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p278959 +aS'and\tand\tCC\tO\tO' +p278960 +aS'had\thave\tVBD\tB-VP\tO' +p278961 +aS'appropriate\tappropriate\tJJ\tB-NP\tO' +p278962 +aS'Hct\tHct\tNN\tI-NP\tO' +p278963 +aS'bump\tbump\tNN\tI-NP\tO' +p278964 +aS'to\tto\tTO\tB-PP\tO' +p278965 +aS'25\t25\tCD\tB-NP\tO' +p278966 +aS'after\tafter\tIN\tB-SBAR\tO' +p278967 +aS'2U\t2U\tNN\tB-NP\tO' +p278968 +aS'PRBC\tPRBC\tNN\tI-NP\tO' +p278969 +aS"'s.\t's.\tPOS\tB-NP\tO" +p278970 +asS'Morphine sulfate 4 mg q2 hrs prn' +p278971 +(lp278972 +S'Morphine\tMorphine\tNN\tB-NP\tO' +p278973 +aS'sulfate\tsulfate\tNN\tI-NP\tO' +p278974 +aS'4\t4\tCD\tI-NP\tO' +p278975 +aS'mg\tmg\tNN\tI-NP\tO' +p278976 +aS'q2\tq2\tNN\tI-NP\tO' +p278977 +aS'hrs\thr\tNNS\tI-NP\tO' +p278978 +aS'prn\tprn\tVBP\tB-VP\tO' +p278979 +asS'Mr. Breutzfarstxei is a 30 year old man with recently diagnosed acquired immunodeficiency syndrome and Pneumocystis carinii pneumonia who presented with pneumonia , developed adult respiratory distress syndrome , and died in the hospital after failed efforts of ventilatory support .' +p278980 +(lp278981 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p278982 +aS'Breutzfarstxei\tBreutzfarstxei\tNNP\tI-NP\tO' +p278983 +aS'is\tbe\tVBZ\tB-VP\tO' +p278984 +aS'a\ta\tDT\tB-NP\tO' +p278985 +aS'30\t30\tCD\tI-NP\tO' +p278986 +aS'year\tyear\tNN\tI-NP\tO' +p278987 +aS'old\told\tJJ\tI-NP\tO' +p278988 +aS'man\tman\tNN\tI-NP\tO' +p278989 +aS'with\twith\tIN\tB-PP\tO' +p278990 +aS'recently\trecently\tRB\tB-NP\tO' +p278991 +aS'diagnosed\tdiagnose\tVBN\tI-NP\tO' +p278992 +aS'acquired\tacquire\tVBN\tI-NP\tO' +p278993 +aS'immunodeficiency\timmunodeficiency\tNN\tI-NP\tO' +p278994 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p278995 +aS'and\tand\tCC\tO\tO' +p278996 +aS'Pneumocystis\tPneumocystis\tNN\tB-NP\tO' +p278997 +aS'carinii\tcarinii\tNN\tI-NP\tO' +p278998 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p278999 +aS'who\twho\tWP\tB-NP\tO' +p279000 +aS'presented\tpresent\tVBD\tB-VP\tO' +p279001 +aS'with\twith\tIN\tB-PP\tO' +p279002 +aS'pneumonia\tpneumonia\tNN\tB-NP\tO' +p279003 +aS',\t,\t,\tO\tO' +p279004 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p279005 +aS'adult\tadult\tJJ\tB-NP\tO' +p279006 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p279007 +aS'distress\tdistress\tNN\tI-NP\tO' +p279008 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p279009 +aS',\t,\t,\tO\tO' +p279010 +aS'and\tand\tCC\tO\tO' +p279011 +aS'died\tdie\tVBD\tB-VP\tO' +p279012 +aS'in\tin\tIN\tB-PP\tO' +p279013 +aS'the\tthe\tDT\tB-NP\tO' +p279014 +aS'hospital\thospital\tNN\tI-NP\tO' +p279015 +aS'after\tafter\tIN\tB-PP\tO' +p279016 +aS'failed\tfail\tVBN\tB-NP\tO' +p279017 +aS'efforts\teffort\tNNS\tI-NP\tO' +p279018 +aS'of\tof\tIN\tB-PP\tO' +p279019 +aS'ventilatory\tventilatory\tJJ\tB-NP\tO' +p279020 +aS'support\tsupport\tNN\tI-NP\tO' +p279021 +aS'.\t.\t.\tO\tO' +p279022 +asS'Supporting tubes and lines are in unchanged position and the patient has a single lead pacemaker projected on the left .' +p279023 +(lp279024 +S'Supporting\tSupport\tVBG\tB-VP\tO' +p279025 +aS'tubes\ttube\tNNS\tB-NP\tO' +p279026 +aS'and\tand\tCC\tI-NP\tO' +p279027 +aS'lines\tline\tNNS\tI-NP\tO' +p279028 +aS'are\tbe\tVBP\tB-VP\tO' +p279029 +aS'in\tin\tIN\tB-PP\tO' +p279030 +aS'unchanged\tunchanged\tJJ\tB-NP\tO' +p279031 +aS'position\tposition\tNN\tI-NP\tO' +p279032 +aS'and\tand\tCC\tO\tO' +p279033 +aS'the\tthe\tDT\tB-NP\tO' +p279034 +aS'patient\tpatient\tNN\tI-NP\tO' +p279035 +aS'has\thave\tVBZ\tB-VP\tO' +p279036 +aS'a\ta\tDT\tB-NP\tO' +p279037 +aS'single\tsingle\tJJ\tI-NP\tO' +p279038 +aS'lead\tlead\tNN\tI-NP\tO' +p279039 +aS'pacemaker\tpacemaker\tNN\tI-NP\tO' +p279040 +aS'projected\tproject\tVBN\tB-VP\tO' +p279041 +aS'on\ton\tIN\tB-PP\tO' +p279042 +aS'the\tthe\tDT\tB-NP\tO' +p279043 +aS'left\tleft\tNN\tI-NP\tO' +p279044 +aS'.\t.\t.\tO\tO' +p279045 +asS'He returns from the nursing home with fever , leukocytosis , and azotemia .' +p279046 +(lp279047 +S'He\tHe\tPRP\tB-NP\tO' +p279048 +aS'returns\treturn\tVBZ\tB-VP\tO' +p279049 +aS'from\tfrom\tIN\tB-PP\tO' +p279050 +aS'the\tthe\tDT\tB-NP\tO' +p279051 +aS'nursing\tnursing\tNN\tI-NP\tO' +p279052 +aS'home\thome\tNN\tI-NP\tO' +p279053 +aS'with\twith\tIN\tB-PP\tO' +p279054 +aS'fever\tfever\tNN\tB-NP\tO' +p279055 +aS',\t,\t,\tO\tO' +p279056 +aS'leukocytosis\tleukocytosis\tNN\tB-NP\tO' +p279057 +aS',\t,\t,\tO\tO' +p279058 +aS'and\tand\tCC\tO\tO' +p279059 +aS'azotemia\tazotemia\tNN\tB-NP\tO' +p279060 +aS'.\t.\t.\tO\tO' +p279061 +asS'1. C4-C5 , C5-C6 , anterior microdiscectomy and fusion with right iliac bone graft .' +p279062 +(lp279063 +S'1.\t1.\tLS\tB-LST\tO' +p279064 +aS'C4-C5\tC4-C5\tNN\tB-NP\tB-DNA' +p279065 +aS',\t,\t,\tO\tO' +p279066 +aS'C5-C6\tC5-C6\tNN\tB-NP\tB-DNA' +p279067 +aS',\t,\t,\tO\tO' +p279068 +aS'anterior\tanterior\tJJ\tB-NP\tO' +p279069 +aS'microdiscectomy\tmicrodiscectomy\tNN\tI-NP\tO' +p279070 +aS'and\tand\tCC\tI-NP\tO' +p279071 +aS'fusion\tfusion\tNN\tI-NP\tO' +p279072 +aS'with\twith\tIN\tB-PP\tO' +p279073 +aS'right\tright\tJJ\tB-NP\tO' +p279074 +aS'iliac\tiliac\tJJ\tI-NP\tO' +p279075 +aS'bone\tbone\tNN\tI-NP\tO' +p279076 +aS'graft\tgraft\tNN\tI-NP\tO' +p279077 +aS'.\t.\t.\tO\tO' +p279078 +asS'1. Pulmonary Edema and Hypoxic Respiratory Failure' +p279079 +(lp279080 +S'1.\t1.\tLS\tB-LST\tO' +p279081 +aS'Pulmonary\tPulmonary\tNNP\tB-NP\tO' +p279082 +aS'Edema\tEdema\tNNP\tI-NP\tO' +p279083 +aS'and\tand\tCC\tO\tO' +p279084 +aS'Hypoxic\tHypoxic\tNNP\tB-NP\tO' +p279085 +aS'Respiratory\tRespiratory\tNNP\tI-NP\tO' +p279086 +aS'Failure\tFailure\tNN\tI-NP\tO' +p279087 +asS'He was warm and well perfused .' +p279088 +(lp279089 +S'He\tHe\tPRP\tB-NP\tO' +p279090 +aS'was\tbe\tVBD\tB-VP\tO' +p279091 +aS'warm\twarm\tJJ\tB-ADJP\tO' +p279092 +aS'and\tand\tCC\tO\tO' +p279093 +aS'well\twell\tRB\tB-ADJP\tO' +p279094 +aS'perfused\tperfuse\tVBN\tI-ADJP\tO' +p279095 +aS'.\t.\t.\tO\tO' +p279096 +asS'There was no organomegaly .' +p279097 +(lp279098 +S'There\tThere\tEX\tB-NP\tO' +p279099 +aS'was\tbe\tVBD\tB-VP\tO' +p279100 +aS'no\tno\tDT\tB-NP\tO' +p279101 +aS'organomegaly\torganomegaly\tNN\tI-NP\tO' +p279102 +aS'.\t.\t.\tO\tO' +p279103 +asS'discharged on ACE-I .' +p279104 +(lp279105 +S'discharged\tdischarge\tVBN\tB-VP\tO' +p279106 +aS'on\ton\tIN\tB-PP\tO' +p279107 +aS'ACE-I\tACE-I\tNN\tB-NP\tB-protein' +p279108 +aS'.\t.\t.\tO\tO' +p279109 +asS'Initially treated with intravenous ceftizoxime , gentamicin , and Flagyl for presumed sepsis , either with urine or bowel source .' +p279110 +(lp279111 +S'Initially\tInitially\tRB\tB-ADVP\tO' +p279112 +aS'treated\ttreat\tVBN\tB-VP\tO' +p279113 +aS'with\twith\tIN\tB-PP\tO' +p279114 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p279115 +aS'ceftizoxime\tceftizoxime\tNN\tI-NP\tO' +p279116 +aS',\t,\t,\tO\tO' +p279117 +aS'gentamicin\tgentamicin\tNN\tB-NP\tO' +p279118 +aS',\t,\t,\tO\tO' +p279119 +aS'and\tand\tCC\tO\tO' +p279120 +aS'Flagyl\tFlagyl\tNN\tB-NP\tO' +p279121 +aS'for\tfor\tIN\tB-PP\tO' +p279122 +aS'presumed\tpresume\tVBN\tB-NP\tO' +p279123 +aS'sepsis\tsepsis\tNN\tI-NP\tO' +p279124 +aS',\t,\t,\tO\tO' +p279125 +aS'either\teither\tCC\tB-PP\tO' +p279126 +aS'with\twith\tIN\tI-PP\tO' +p279127 +aS'urine\turine\tNN\tB-NP\tO' +p279128 +aS'or\tor\tCC\tI-NP\tO' +p279129 +aS'bowel\tbowel\tNN\tI-NP\tO' +p279130 +aS'source\tsource\tNN\tI-NP\tO' +p279131 +aS'.\t.\t.\tO\tO' +p279132 +asS'4 ) Cardizem 125 mg p.o. q. day .' +p279133 +(lp279134 +S'4\t4\tLS\tB-LST\tO' +p279135 +aS')\t)\t)\tO\tO' +p279136 +aS'Cardizem\tCardizem\tVB\tB-VP\tO' +p279137 +aS'125\t125\tCD\tB-NP\tO' +p279138 +aS'mg\tmg\tNN\tI-NP\tO' +p279139 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p279140 +aS'q.\tq.\tNN\tI-NP\tO' +p279141 +aS'day\tday\tNN\tI-NP\tO' +p279142 +aS'.\t.\t.\tO\tO' +p279143 +asS'Her echocardiogram , however , was essentially normal with an ejection fraction of 55% without any gross wall motion abnormalities or valvular pathology .' +p279144 +(lp279145 +S'Her\tHer\tPRP$\tB-NP\tO' +p279146 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p279147 +aS',\t,\t,\tO\tO' +p279148 +aS'however\thowever\tRB\tB-ADVP\tO' +p279149 +aS',\t,\t,\tO\tO' +p279150 +aS'was\tbe\tVBD\tB-VP\tO' +p279151 +aS'essentially\tessentially\tRB\tB-ADJP\tO' +p279152 +aS'normal\tnormal\tJJ\tI-ADJP\tO' +p279153 +aS'with\twith\tIN\tB-PP\tO' +p279154 +aS'an\tan\tDT\tB-NP\tO' +p279155 +aS'ejection\tejection\tNN\tI-NP\tO' +p279156 +aS'fraction\tfraction\tNN\tI-NP\tO' +p279157 +aS'of\tof\tIN\tB-PP\tO' +p279158 +aS'55%\t55%\tNN\tB-NP\tO' +p279159 +aS'without\twithout\tIN\tB-PP\tO' +p279160 +aS'any\tany\tDT\tB-NP\tO' +p279161 +aS'gross\tgross\tJJ\tI-NP\tO' +p279162 +aS'wall\twall\tNN\tI-NP\tO' +p279163 +aS'motion\tmotion\tNN\tI-NP\tO' +p279164 +aS'abnormalities\tabnormality\tNNS\tI-NP\tO' +p279165 +aS'or\tor\tCC\tO\tO' +p279166 +aS'valvular\tvalvular\tJJ\tB-NP\tO' +p279167 +aS'pathology\tpathology\tNN\tI-NP\tO' +p279168 +aS'.\t.\t.\tO\tO' +p279169 +asS'The patient is do not resuscitate at family 's request .' +p279170 +(lp279171 +S'The\tThe\tDT\tB-NP\tO' +p279172 +aS'patient\tpatient\tNN\tI-NP\tO' +p279173 +aS'is\tbe\tVBZ\tB-VP\tO' +p279174 +aS'do\tdo\tVBP\tI-VP\tO' +p279175 +aS'not\tnot\tRB\tI-VP\tO' +p279176 +aS'resuscitate\tresuscitate\tVB\tI-VP\tO' +p279177 +aS'at\tat\tIN\tB-PP\tO' +p279178 +aS'family\tfamily\tNN\tB-NP\tO' +p279179 +aS''s\t'\tNNS\tI-NP\tO' +p279180 +aS'request\trequest\tNN\tI-NP\tO' +p279181 +aS'.\t.\t.\tO\tO' +p279182 +asS'Musculoskeletal : Has suffered significant deconditioning since admission , but has consisitently recieved PT .' +p279183 +(lp279184 +S'Musculoskeletal\tMusculoskeletal\tJJ\tB-ADJP\tO' +p279185 +aS':\t:\t:\tO\tO' +p279186 +aS'Has\tHas\tNNP\tB-NP\tO' +p279187 +aS'suffered\tsuffer\tVBD\tB-VP\tO' +p279188 +aS'significant\tsignificant\tJJ\tB-NP\tO' +p279189 +aS'deconditioning\tdeconditioning\tNN\tI-NP\tO' +p279190 +aS'since\tsince\tIN\tB-PP\tO' +p279191 +aS'admission\tadmission\tNN\tB-NP\tO' +p279192 +aS',\t,\t,\tO\tO' +p279193 +aS'but\tbut\tCC\tO\tO' +p279194 +aS'has\thave\tVBZ\tB-VP\tO' +p279195 +aS'consisitently\tconsisitently\tRB\tI-VP\tO' +p279196 +aS'recieved\trecieve\tVBN\tI-VP\tO' +p279197 +aS'PT\tPT\tNN\tB-NP\tO' +p279198 +aS'.\t.\t.\tO\tO' +p279199 +asS'Denies incontinence .' +p279200 +(lp279201 +S'Denies\tDeny\tNNS\tB-NP\tO' +p279202 +aS'incontinence\tincontinence\tNN\tI-NP\tO' +p279203 +aS'.\t.\t.\tO\tO' +p279204 +asS'As directed .' +p279205 +(lp279206 +S'As\tAs\tIN\tB-SBAR\tO' +p279207 +aS'directed\tdirect\tVBN\tB-VP\tO' +p279208 +aS'.\t.\t.\tO\tO' +p279209 +asS'Cardiac regular rate and rhythm , normal S1 and S2 , I/VI holosystolic murmur at the apex .' +p279210 +(lp279211 +S'Cardiac\tCardiac\tJJ\tB-NP\tO' +p279212 +aS'regular\tregular\tJJ\tI-NP\tO' +p279213 +aS'rate\trate\tNN\tI-NP\tO' +p279214 +aS'and\tand\tCC\tI-NP\tO' +p279215 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p279216 +aS',\t,\t,\tO\tO' +p279217 +aS'normal\tnormal\tJJ\tB-NP\tO' +p279218 +aS'S1\tS1\tNN\tI-NP\tB-protein' +p279219 +aS'and\tand\tCC\tO\tO' +p279220 +aS'S2\tS2\tNN\tB-NP\tB-protein' +p279221 +aS',\t,\t,\tO\tO' +p279222 +aS'I/VI\tI/VI\tNN\tB-NP\tO' +p279223 +aS'holosystolic\tholosystolic\tJJ\tI-NP\tO' +p279224 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p279225 +aS'at\tat\tIN\tB-PP\tO' +p279226 +aS'the\tthe\tDT\tB-NP\tO' +p279227 +aS'apex\tapex\tNN\tI-NP\tO' +p279228 +aS'.\t.\t.\tO\tO' +p279229 +asS'He had a positive exercise tolerance test with Thallium and repeat cardiac catheterization showed left anterior descending being patent and distal posterior descending artery lesion with circumflex lesion after the obtuse marginal 1 .' +p279230 +(lp279231 +S'He\tHe\tPRP\tB-NP\tO' +p279232 +aS'had\thave\tVBD\tB-VP\tO' +p279233 +aS'a\ta\tDT\tB-NP\tO' +p279234 +aS'positive\tpositive\tJJ\tI-NP\tO' +p279235 +aS'exercise\texercise\tNN\tI-NP\tO' +p279236 +aS'tolerance\ttolerance\tNN\tI-NP\tO' +p279237 +aS'test\ttest\tNN\tI-NP\tO' +p279238 +aS'with\twith\tIN\tB-PP\tO' +p279239 +aS'Thallium\tThallium\tNN\tB-NP\tO' +p279240 +aS'and\tand\tCC\tI-NP\tO' +p279241 +aS'repeat\trepeat\tNN\tI-NP\tO' +p279242 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p279243 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p279244 +aS'showed\tshow\tVBD\tB-VP\tO' +p279245 +aS'left\tleft\tJJ\tB-NP\tO' +p279246 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p279247 +aS'descending\tdescend\tVBG\tI-NP\tO' +p279248 +aS'being\tbe\tVBG\tB-VP\tO' +p279249 +aS'patent\tpatent\tNN\tB-NP\tO' +p279250 +aS'and\tand\tCC\tO\tO' +p279251 +aS'distal\tdistal\tJJ\tB-NP\tO' +p279252 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p279253 +aS'descending\tdescend\tVBG\tI-NP\tO' +p279254 +aS'artery\tartery\tNN\tI-NP\tO' +p279255 +aS'lesion\tlesion\tNN\tI-NP\tO' +p279256 +aS'with\twith\tIN\tB-PP\tO' +p279257 +aS'circumflex\tcircumflex\tNN\tB-NP\tO' +p279258 +aS'lesion\tlesion\tNN\tI-NP\tO' +p279259 +aS'after\tafter\tIN\tB-PP\tO' +p279260 +aS'the\tthe\tDT\tB-NP\tO' +p279261 +aS'obtuse\tobtuse\tNN\tI-NP\tO' +p279262 +aS'marginal\tmarginal\tJJ\tI-NP\tO' +p279263 +aS'1\t1\tCD\tI-NP\tO' +p279264 +aS'.\t.\t.\tO\tO' +p279265 +asS'Dictated By : Harriet E. Evans , M.D.' +p279266 +(lp279267 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p279268 +aS'By\tBy\tIN\tB-PP\tO' +p279269 +aS':\t:\t:\tO\tO' +p279270 +aS'Harriet\tHarriet\tNNP\tB-NP\tO' +p279271 +aS'E.\tE.\tNNP\tI-NP\tO' +p279272 +aS'Evans\tEvans\tNNP\tI-NP\tO' +p279273 +aS',\t,\t,\tO\tO' +p279274 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p279275 +asS'Dictated By : Leonard J. Pellegrino , M.D.' +p279276 +(lp279277 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p279278 +aS'By\tBy\tIN\tB-PP\tO' +p279279 +aS':\t:\t:\tO\tO' +p279280 +aS'Leonard\tLeonard\tNNP\tB-NP\tO' +p279281 +aS'J.\tJ.\tNNP\tI-NP\tO' +p279282 +aS'Pellegrino\tPellegrino\tNNP\tI-NP\tO' +p279283 +aS',\t,\t,\tO\tO' +p279284 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p279285 +asS'Do gentle range of motion exercises for the next few days .' +p279286 +(lp279287 +S'Do\tDo\tVBP\tO\tO' +p279288 +aS'gentle\tgentle\tJJ\tB-NP\tO' +p279289 +aS'range\trange\tNN\tI-NP\tO' +p279290 +aS'of\tof\tIN\tB-PP\tO' +p279291 +aS'motion\tmotion\tNN\tB-NP\tO' +p279292 +aS'exercises\texercise\tNNS\tI-NP\tO' +p279293 +aS'for\tfor\tIN\tB-PP\tO' +p279294 +aS'the\tthe\tDT\tB-NP\tO' +p279295 +aS'next\tnext\tJJ\tI-NP\tO' +p279296 +aS'few\tfew\tJJ\tI-NP\tO' +p279297 +aS'days\tday\tNNS\tI-NP\tO' +p279298 +aS'.\t.\t.\tO\tO' +p279299 +asS'My pager number at Verg Medical Center is number 54930 .' +p279300 +(lp279301 +S'My\tMy\tPRP$\tB-NP\tO' +p279302 +aS'pager\tpager\tNN\tI-NP\tO' +p279303 +aS'number\tnumber\tNN\tI-NP\tO' +p279304 +aS'at\tat\tIN\tB-PP\tO' +p279305 +aS'Verg\tVerg\tNNP\tB-NP\tO' +p279306 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p279307 +aS'Center\tCenter\tNNP\tI-NP\tO' +p279308 +aS'is\tbe\tVBZ\tB-VP\tO' +p279309 +aS'number\tnumber\tNN\tB-NP\tO' +p279310 +aS'54930\t54930\tCD\tI-NP\tO' +p279311 +aS'.\t.\t.\tO\tO' +p279312 +asS'Therefore , she was continued on a Neo-Synephrine drip to maintain a systolic blood pressure greater than 110 .' +p279313 +(lp279314 +S'Therefore\tTherefore\tRB\tB-ADVP\tO' +p279315 +aS',\t,\t,\tO\tO' +p279316 +aS'she\tshe\tPRP\tB-NP\tO' +p279317 +aS'was\tbe\tVBD\tB-VP\tO' +p279318 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p279319 +aS'on\ton\tIN\tB-PP\tO' +p279320 +aS'a\ta\tDT\tB-NP\tO' +p279321 +aS'Neo-Synephrine\tNeo-Synephrine\tJJ\tI-NP\tO' +p279322 +aS'drip\tdrip\tNN\tI-NP\tO' +p279323 +aS'to\tto\tTO\tB-VP\tO' +p279324 +aS'maintain\tmaintain\tVB\tI-VP\tO' +p279325 +aS'a\ta\tDT\tB-NP\tO' +p279326 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p279327 +aS'blood\tblood\tNN\tI-NP\tO' +p279328 +aS'pressure\tpressure\tNN\tI-NP\tO' +p279329 +aS'greater\tgreat\tJJR\tB-ADJP\tO' +p279330 +aS'than\tthan\tIN\tB-PP\tO' +p279331 +aS'110\t110\tCD\tB-NP\tO' +p279332 +aS'.\t.\t.\tO\tO' +p279333 +asS'He remained on imipenem , and Vancomycin was also started .' +p279334 +(lp279335 +S'He\tHe\tPRP\tB-NP\tO' +p279336 +aS'remained\tremain\tVBD\tB-VP\tO' +p279337 +aS'on\ton\tIN\tB-PP\tO' +p279338 +aS'imipenem\timipenem\tNN\tB-NP\tO' +p279339 +aS',\t,\t,\tO\tO' +p279340 +aS'and\tand\tCC\tO\tO' +p279341 +aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' +p279342 +aS'was\tbe\tVBD\tB-VP\tO' +p279343 +aS'also\talso\tRB\tI-VP\tO' +p279344 +aS'started\tstart\tVBN\tI-VP\tO' +p279345 +aS'.\t.\t.\tO\tO' +p279346 +asS'chest x-ray revealed prominent pulmonary vessels and enlarged heart .' +p279347 +(lp279348 +S'chest\tch\tJJS\tB-NP\tO' +p279349 +aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' +p279350 +aS'revealed\treveal\tVBD\tB-VP\tO' +p279351 +aS'prominent\tprominent\tJJ\tB-NP\tO' +p279352 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p279353 +aS'vessels\tvessel\tNNS\tI-NP\tO' +p279354 +aS'and\tand\tCC\tO\tO' +p279355 +aS'enlarged\tenlarged\tJJ\tB-NP\tO' +p279356 +aS'heart\theart\tNN\tI-NP\tO' +p279357 +aS'.\t.\t.\tO\tO' +p279358 +asS'Postoperative physical examination demonstrated that he was afebrile at 97 degrees ; blood pressure 145/80 ; pulse 60 ; respiratory rate 10 ; 100% on a non-rebreather .' +p279359 +(lp279360 +S'Postoperative\tPostoperative\tJJ\tB-NP\tO' +p279361 +aS'physical\tphysical\tJJ\tI-NP\tO' +p279362 +aS'examination\texamination\tNN\tI-NP\tO' +p279363 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p279364 +aS'that\tthat\tIN\tB-SBAR\tO' +p279365 +aS'he\the\tPRP\tB-NP\tO' +p279366 +aS'was\tbe\tVBD\tB-VP\tO' +p279367 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p279368 +aS'at\tat\tIN\tB-PP\tO' +p279369 +aS'97\t97\tCD\tB-NP\tO' +p279370 +aS'degrees\tdegree\tNNS\tI-NP\tO' +p279371 +aS';\t;\t:\tO\tO' +p279372 +aS'blood\tblood\tNN\tB-NP\tO' +p279373 +aS'pressure\tpressure\tNN\tI-NP\tO' +p279374 +aS'145/80\t145/80\tCD\tI-NP\tO' +p279375 +aS';\t;\t:\tO\tO' +p279376 +aS'pulse\tpulse\tNN\tB-NP\tO' +p279377 +aS'60\t60\tCD\tI-NP\tO' +p279378 +aS';\t;\t:\tO\tO' +p279379 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p279380 +aS'rate\trate\tNN\tI-NP\tO' +p279381 +aS'10\t10\tCD\tI-NP\tO' +p279382 +aS';\t;\t:\tO\tO' +p279383 +aS'100%\t100%\tCD\tB-NP\tO' +p279384 +aS'on\ton\tIN\tB-PP\tO' +p279385 +aS'a\ta\tDT\tB-NP\tO' +p279386 +aS'non-rebreather\tnon-rebreather\tJJ\tI-NP\tO' +p279387 +aS'.\t.\t.\tO\tO' +p279388 +asS'No cyanosis , clubbing , or edema .' +p279389 +(lp279390 +S'No\tNo\tDT\tB-NP\tO' +p279391 +aS'cyanosis\tcyanosis\tNN\tI-NP\tO' +p279392 +aS',\t,\t,\tO\tO' +p279393 +aS'clubbing\tclubbing\tNN\tB-NP\tO' +p279394 +aS',\t,\t,\tO\tO' +p279395 +aS'or\tor\tCC\tO\tO' +p279396 +aS'edema\tedema\tNN\tB-NP\tO' +p279397 +aS'.\t.\t.\tO\tO' +p279398 +asS'We have been giving her Haldol at bedtime as well as Ativan p.r.n. throughout the day .' +p279399 +(lp279400 +S'We\tWe\tPRP\tB-NP\tO' +p279401 +aS'have\thave\tVBP\tB-VP\tO' +p279402 +aS'been\tbe\tVBN\tI-VP\tO' +p279403 +aS'giving\tgive\tVBG\tI-VP\tO' +p279404 +aS'her\ther\tPRP$\tB-NP\tO' +p279405 +aS'Haldol\tHaldol\tNN\tI-NP\tO' +p279406 +aS'at\tat\tIN\tB-PP\tO' +p279407 +aS'bedtime\tbedtime\tNN\tB-NP\tO' +p279408 +aS'as\tas\tRB\tB-CONJP\tO' +p279409 +aS'well\twell\tRB\tI-CONJP\tO' +p279410 +aS'as\tas\tIN\tI-CONJP\tO' +p279411 +aS'Ativan\tAtivan\tNNP\tB-NP\tO' +p279412 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p279413 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p279414 +aS'the\tthe\tDT\tB-NP\tO' +p279415 +aS'day\tday\tNN\tI-NP\tO' +p279416 +aS'.\t.\t.\tO\tO' +p279417 +asS'Make an appointment with Dr. Madden for 1-2 weeks .' +p279418 +(lp279419 +S'Make\tMake\tVB\tB-VP\tO' +p279420 +aS'an\tan\tDT\tB-NP\tO' +p279421 +aS'appointment\tappointment\tNN\tI-NP\tO' +p279422 +aS'with\twith\tIN\tB-PP\tO' +p279423 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p279424 +aS'Madden\tMadden\tNNP\tI-NP\tO' +p279425 +aS'for\tfor\tIN\tB-PP\tO' +p279426 +aS'1-2\t1-2\tCD\tB-NP\tO' +p279427 +aS'weeks\tweek\tNNS\tI-NP\tO' +p279428 +aS'.\t.\t.\tO\tO' +p279429 +asS'Abdomen is obese , soft , non-tender , and without palpable masses .' +p279430 +(lp279431 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p279432 +aS'is\tbe\tVBZ\tB-VP\tO' +p279433 +aS'obese\tobese\tJJ\tB-NP\tO' +p279434 +aS',\t,\t,\tI-NP\tO' +p279435 +aS'soft\tsoft\tJJ\tI-NP\tO' +p279436 +aS',\t,\t,\tI-NP\tO' +p279437 +aS'non-tender\tnon-tender\tJJ\tI-NP\tO' +p279438 +aS',\t,\t,\tI-NP\tO' +p279439 +aS'and\tand\tCC\tI-NP\tO' +p279440 +aS'without\twithout\tIN\tB-PP\tO' +p279441 +aS'palpable\tpalpable\tJJ\tB-NP\tO' +p279442 +aS'masses\tmass\tNNS\tI-NP\tO' +p279443 +aS'.\t.\t.\tO\tO' +p279444 +asS'Somatostatin and midodrine were also given for this condition and he also received packed red blood cells .' +p279445 +(lp279446 +S'Somatostatin\tSomatostatin\tNN\tB-NP\tO' +p279447 +aS'and\tand\tCC\tI-NP\tO' +p279448 +aS'midodrine\tmidodrine\tNN\tI-NP\tO' +p279449 +aS'were\tbe\tVBD\tB-VP\tO' +p279450 +aS'also\talso\tRB\tI-VP\tO' +p279451 +aS'given\tgive\tVBN\tI-VP\tO' +p279452 +aS'for\tfor\tIN\tB-PP\tO' +p279453 +aS'this\tthis\tDT\tB-NP\tO' +p279454 +aS'condition\tcondition\tNN\tI-NP\tO' +p279455 +aS'and\tand\tCC\tO\tO' +p279456 +aS'he\the\tPRP\tB-NP\tO' +p279457 +aS'also\talso\tRB\tB-ADVP\tO' +p279458 +aS'received\treceive\tVBD\tB-VP\tO' +p279459 +aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' +p279460 +aS'red\tred\tJJ\tI-NP\tI-cell_type' +p279461 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p279462 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p279463 +aS'.\t.\t.\tO\tO' +p279464 +asS'As per the Infectious Disease Service the patient was continued on Levofloxacin , Vancomycin as antibiotic coverage .' +p279465 +(lp279466 +S'As\tAs\tIN\tB-PP\tO' +p279467 +aS'per\tper\tIN\tB-PP\tO' +p279468 +aS'the\tthe\tDT\tB-NP\tO' +p279469 +aS'Infectious\tInfectious\tNNP\tI-NP\tO' +p279470 +aS'Disease\tDisease\tNNP\tI-NP\tO' +p279471 +aS'Service\tService\tNNP\tI-NP\tO' +p279472 +aS'the\tthe\tDT\tB-NP\tO' +p279473 +aS'patient\tpatient\tNN\tI-NP\tO' +p279474 +aS'was\tbe\tVBD\tB-VP\tO' +p279475 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p279476 +aS'on\ton\tIN\tB-PP\tO' +p279477 +aS'Levofloxacin\tLevofloxacin\tNN\tB-NP\tO' +p279478 +aS',\t,\t,\tO\tO' +p279479 +aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' +p279480 +aS'as\tas\tIN\tB-PP\tO' +p279481 +aS'antibiotic\tantibiotic\tJJ\tB-NP\tO' +p279482 +aS'coverage\tcoverage\tNN\tI-NP\tO' +p279483 +aS'.\t.\t.\tO\tO' +p279484 +asS'Lactate was 6.3 , acetone negative , ammonia 26 , uric acids 26.9 , albumin 4.0 , globulin 3.0 , amylase 259 , lipase 34 , magnesium 3.5 , phosphorus 1.9 , calcium 9.4. The white blood count was 19.7 with 89% polys , 7% bands , 4% lymphs , with toxic granulations .' +p279485 +(lp279486 +S'Lactate\tLactate\tNN\tB-NP\tO' +p279487 +aS'was\tbe\tVBD\tB-VP\tO' +p279488 +aS'6.3\t6.3\tCD\tB-NP\tO' +p279489 +aS',\t,\t,\tO\tO' +p279490 +aS'acetone\tacetone\tNN\tB-NP\tO' +p279491 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p279492 +aS',\t,\t,\tO\tO' +p279493 +aS'ammonia\tammonia\tNN\tB-NP\tO' +p279494 +aS'26\t26\tCD\tI-NP\tO' +p279495 +aS',\t,\t,\tO\tO' +p279496 +aS'uric\turic\tJJ\tB-NP\tO' +p279497 +aS'acids\tacid\tNNS\tI-NP\tO' +p279498 +aS'26.9\t26.9\tCD\tB-NP\tO' +p279499 +aS',\t,\t,\tO\tO' +p279500 +aS'albumin\talbumin\tNN\tB-NP\tB-protein' +p279501 +aS'4.0\t4.0\tCD\tI-NP\tI-protein' +p279502 +aS',\t,\t,\tO\tO' +p279503 +aS'globulin\tglobulin\tNN\tB-NP\tB-protein' +p279504 +aS'3.0\t3.0\tCD\tI-NP\tI-protein' +p279505 +aS',\t,\t,\tO\tO' +p279506 +aS'amylase\tamylase\tNN\tB-NP\tO' +p279507 +aS'259\t259\tCD\tI-NP\tO' +p279508 +aS',\t,\t,\tO\tO' +p279509 +aS'lipase\tlipase\tNN\tB-NP\tO' +p279510 +aS'34\t34\tCD\tI-NP\tO' +p279511 +aS',\t,\t,\tO\tO' +p279512 +aS'magnesium\tmagnesium\tNN\tB-NP\tO' +p279513 +aS'3.5\t3.5\tCD\tI-NP\tO' +p279514 +aS',\t,\t,\tO\tO' +p279515 +aS'phosphorus\tphosphorus\tNN\tB-NP\tO' +p279516 +aS'1.9\t1.9\tCD\tI-NP\tO' +p279517 +aS',\t,\t,\tO\tO' +p279518 +aS'calcium\tcalcium\tNN\tB-NP\tO' +p279519 +aS'9.4.\t9.4.\tCD\tI-NP\tO' +p279520 +aS'The\tThe\tDT\tB-NP\tO' +p279521 +aS'white\twhite\tJJ\tI-NP\tO' +p279522 +aS'blood\tblood\tNN\tI-NP\tO' +p279523 +aS'count\tcount\tNN\tI-NP\tO' +p279524 +aS'was\tbe\tVBD\tB-VP\tO' +p279525 +aS'19.7\t19.7\tCD\tB-NP\tO' +p279526 +aS'with\twith\tIN\tB-PP\tO' +p279527 +aS'89%\t89%\tCD\tB-NP\tO' +p279528 +aS'polys\tpoly\tNNS\tI-NP\tO' +p279529 +aS',\t,\t,\tO\tO' +p279530 +aS'7%\t7%\tNN\tB-NP\tO' +p279531 +aS'bands\tband\tNNS\tI-NP\tO' +p279532 +aS',\t,\t,\tO\tO' +p279533 +aS'4%\t4%\tNN\tB-NP\tO' +p279534 +aS'lymphs\tlymph\tNNS\tI-NP\tO' +p279535 +aS',\t,\t,\tO\tO' +p279536 +aS'with\twith\tIN\tB-PP\tO' +p279537 +aS'toxic\ttoxic\tJJ\tB-NP\tO' +p279538 +aS'granulations\tgranulation\tNNS\tI-NP\tO' +p279539 +aS'.\t.\t.\tO\tO' +p279540 +asS'She has been worked up with barium enema in 09/97 which showed multiple diverticula throughout the colon , but mostly in the sigmoid .' +p279541 +(lp279542 +S'She\tShe\tPRP\tB-NP\tO' +p279543 +aS'has\thave\tVBZ\tB-VP\tO' +p279544 +aS'been\tbe\tVBN\tI-VP\tO' +p279545 +aS'worked\twork\tVBN\tI-VP\tO' +p279546 +aS'up\tup\tRP\tB-PRT\tO' +p279547 +aS'with\twith\tIN\tB-PP\tO' +p279548 +aS'barium\tbarium\tNN\tB-NP\tO' +p279549 +aS'enema\tenema\tNN\tI-NP\tO' +p279550 +aS'in\tin\tIN\tB-PP\tO' +p279551 +aS'09/97\t09/97\tCD\tB-NP\tO' +p279552 +aS'which\twhich\tWDT\tB-NP\tO' +p279553 +aS'showed\tshow\tVBD\tB-VP\tO' +p279554 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p279555 +aS'diverticula\tdiverticula\tNN\tI-NP\tO' +p279556 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p279557 +aS'the\tthe\tDT\tB-NP\tO' +p279558 +aS'colon\tcolon\tNN\tI-NP\tO' +p279559 +aS',\t,\t,\tO\tO' +p279560 +aS'but\tbut\tCC\tO\tO' +p279561 +aS'mostly\tmostly\tRB\tB-ADVP\tO' +p279562 +aS'in\tin\tIN\tB-PP\tO' +p279563 +aS'the\tthe\tDT\tB-NP\tO' +p279564 +aS'sigmoid\tsigmoid\tNN\tI-NP\tO' +p279565 +aS'.\t.\t.\tO\tO' +p279566 +asS'At that time , his oxygen saturation was only 90% on room air and his chest X-Ray showed no change .' +p279567 +(lp279568 +S'At\tAt\tIN\tB-PP\tO' +p279569 +aS'that\tthat\tDT\tB-NP\tO' +p279570 +aS'time\ttime\tNN\tI-NP\tO' +p279571 +aS',\t,\t,\tO\tO' +p279572 +aS'his\this\tPRP$\tB-NP\tO' +p279573 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p279574 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p279575 +aS'was\tbe\tVBD\tB-VP\tO' +p279576 +aS'only\tonly\tRB\tB-NP\tO' +p279577 +aS'90%\t90%\tCD\tI-NP\tO' +p279578 +aS'on\ton\tIN\tB-PP\tO' +p279579 +aS'room\troom\tNN\tB-NP\tO' +p279580 +aS'air\tair\tNN\tI-NP\tO' +p279581 +aS'and\tand\tCC\tO\tO' +p279582 +aS'his\this\tPRP$\tB-NP\tO' +p279583 +aS'chest\tchest\tNN\tI-NP\tO' +p279584 +aS'X-Ray\tX-Ray\tNN\tI-NP\tO' +p279585 +aS'showed\tshow\tVBD\tB-VP\tO' +p279586 +aS'no\tno\tDT\tB-NP\tO' +p279587 +aS'change\tchange\tNN\tI-NP\tO' +p279588 +aS'.\t.\t.\tO\tO' +p279589 +asS'Creatinine stayed stable from 1.3-1.5 .' +p279590 +(lp279591 +S'Creatinine\tCreatinine\tNN\tB-NP\tO' +p279592 +aS'stayed\tstay\tVBD\tB-VP\tO' +p279593 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p279594 +aS'from\tfrom\tIN\tB-PP\tO' +p279595 +aS'1.3-1.5\t1.3-1.5\tCD\tB-NP\tO' +p279596 +aS'.\t.\t.\tO\tO' +p279597 +asS'She was admitted to Weekscook University Medical Center with a diagnosis of possible asthma .' +p279598 +(lp279599 +S'She\tShe\tPRP\tB-NP\tO' +p279600 +aS'was\tbe\tVBD\tB-VP\tO' +p279601 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p279602 +aS'to\tto\tTO\tB-PP\tO' +p279603 +aS'Weekscook\tWeekscook\tNNP\tB-NP\tO' +p279604 +aS'University\tUniversity\tNNP\tI-NP\tO' +p279605 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p279606 +aS'Center\tCenter\tNNP\tI-NP\tO' +p279607 +aS'with\twith\tIN\tB-PP\tO' +p279608 +aS'a\ta\tDT\tB-NP\tO' +p279609 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p279610 +aS'of\tof\tIN\tB-PP\tO' +p279611 +aS'possible\tpossible\tJJ\tB-NP\tO' +p279612 +aS'asthma\tasthma\tNN\tI-NP\tO' +p279613 +aS'.\t.\t.\tO\tO' +p279614 +asS'The patient went for a repeat MRI which showed no change in the previously noted enumerable hepatic cyst in her liver .' +p279615 +(lp279616 +S'The\tThe\tDT\tB-NP\tO' +p279617 +aS'patient\tpatient\tNN\tI-NP\tO' +p279618 +aS'went\tgo\tVBD\tB-VP\tO' +p279619 +aS'for\tfor\tIN\tB-PP\tO' +p279620 +aS'a\ta\tDT\tB-NP\tO' +p279621 +aS'repeat\trepeat\tNN\tI-NP\tO' +p279622 +aS'MRI\tMRI\tNN\tI-NP\tO' +p279623 +aS'which\twhich\tWDT\tB-NP\tO' +p279624 +aS'showed\tshow\tVBD\tB-VP\tO' +p279625 +aS'no\tno\tDT\tB-NP\tO' +p279626 +aS'change\tchange\tNN\tI-NP\tO' +p279627 +aS'in\tin\tIN\tB-PP\tO' +p279628 +aS'the\tthe\tDT\tB-NP\tO' +p279629 +aS'previously\tpreviously\tRB\tI-NP\tO' +p279630 +aS'noted\tnote\tVBN\tI-NP\tO' +p279631 +aS'enumerable\tenumerable\tJJ\tI-NP\tO' +p279632 +aS'hepatic\thepatic\tJJ\tI-NP\tO' +p279633 +aS'cyst\tcyst\tNN\tI-NP\tO' +p279634 +aS'in\tin\tIN\tB-PP\tO' +p279635 +aS'her\ther\tPRP$\tB-NP\tO' +p279636 +aS'liver\tliver\tNN\tI-NP\tO' +p279637 +aS'.\t.\t.\tO\tO' +p279638 +asS'1. Lasix 40 mg po bid .' +p279639 +(lp279640 +S'1.\t1.\tLS\tB-NP\tO' +p279641 +aS'Lasix\tLasix\tNNP\tI-NP\tO' +p279642 +aS'40\t40\tCD\tI-NP\tO' +p279643 +aS'mg\tmg\tNN\tI-NP\tO' +p279644 +aS'po\tpo\tNN\tI-NP\tO' +p279645 +aS'bid\tbid\tNN\tI-NP\tO' +p279646 +aS'.\t.\t.\tO\tO' +p279647 +asS'Because of her prolonged intubation and inability to wean , on February 24 , 1994 , she had a tracheostomy placed .' +p279648 +(lp279649 +S'Because\tBecause\tIN\tB-PP\tO' +p279650 +aS'of\tof\tIN\tI-PP\tO' +p279651 +aS'her\ther\tPRP$\tB-NP\tO' +p279652 +aS'prolonged\tprolonged\tJJ\tI-NP\tO' +p279653 +aS'intubation\tintubation\tNN\tI-NP\tO' +p279654 +aS'and\tand\tCC\tI-NP\tO' +p279655 +aS'inability\tinability\tNN\tI-NP\tO' +p279656 +aS'to\tto\tTO\tB-VP\tO' +p279657 +aS'wean\twean\tVB\tI-VP\tO' +p279658 +aS',\t,\t,\tO\tO' +p279659 +aS'on\ton\tIN\tB-PP\tO' +p279660 +aS'February\tFebruary\tNNP\tB-NP\tO' +p279661 +aS'24\t24\tCD\tI-NP\tO' +p279662 +aS',\t,\t,\tI-NP\tO' +p279663 +aS'1994\t1994\tCD\tI-NP\tO' +p279664 +aS',\t,\t,\tO\tO' +p279665 +aS'she\tshe\tPRP\tB-NP\tO' +p279666 +aS'had\thave\tVBD\tB-VP\tO' +p279667 +aS'a\ta\tDT\tB-NP\tO' +p279668 +aS'tracheostomy\ttracheostomy\tNN\tI-NP\tO' +p279669 +aS'placed\tplace\tVBN\tB-VP\tO' +p279670 +aS'.\t.\t.\tO\tO' +p279671 +asS'2. Mitral valve regurgitation , status post coronary artery bypass graft x2 and mitral valve annuloplasty' +p279672 +(lp279673 +S'2.\t2.\tLS\tB-NP\tO' +p279674 +aS'Mitral\tMitral\tJJ\tI-NP\tO' +p279675 +aS'valve\tvalve\tNN\tI-NP\tO' +p279676 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p279677 +aS',\t,\t,\tO\tO' +p279678 +aS'status\tstatus\tNN\tB-NP\tB-protein' +p279679 +aS'post\tpost\tNN\tI-NP\tI-protein' +p279680 +aS'coronary\tcoronary\tJJ\tI-NP\tI-protein' +p279681 +aS'artery\tartery\tNN\tI-NP\tI-protein' +p279682 +aS'bypass\tbypass\tIN\tB-PP\tI-protein' +p279683 +aS'graft\tgraft\tNN\tB-NP\tI-protein' +p279684 +aS'x2\tx2\tNN\tI-NP\tI-protein' +p279685 +aS'and\tand\tCC\tO\tO' +p279686 +aS'mitral\tmitral\tJJ\tB-NP\tO' +p279687 +aS'valve\tvalve\tNN\tI-NP\tO' +p279688 +aS'annuloplasty\tannuloplasty\tJJ\tB-ADJP\tO' +p279689 +asS'Peak bilirubin was on day of life #2 of 4.8/0.3 .' +p279690 +(lp279691 +S'Peak\tPeak\tJJ\tB-NP\tO' +p279692 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p279693 +aS'was\tbe\tVBD\tB-VP\tO' +p279694 +aS'on\ton\tIN\tB-PP\tO' +p279695 +aS'day\tday\tNN\tB-NP\tO' +p279696 +aS'of\tof\tIN\tB-PP\tO' +p279697 +aS'life\tlife\tNN\tB-NP\tO' +p279698 +aS'#2\t#2\tCD\tI-NP\tO' +p279699 +aS'of\tof\tIN\tB-PP\tO' +p279700 +aS'4.8/0.3\t4.8/0.3\tCD\tB-NP\tO' +p279701 +aS'.\t.\t.\tO\tO' +p279702 +asS"Victoria 't worked since 2008 , prior to that worked in a school cafeteria ." +p279703 +(lp279704 +S'Victoria\tVictoria\tNNP\tB-NP\tO' +p279705 +aS"'t\t't\tPOS\tB-NP\tO" +p279706 +aS'worked\twork\tVBD\tB-VP\tO' +p279707 +aS'since\tsince\tIN\tB-PP\tO' +p279708 +aS'2008\t2008\tCD\tB-NP\tO' +p279709 +aS',\t,\t,\tO\tO' +p279710 +aS'prior\tprior\tJJ\tB-ADVP\tO' +p279711 +aS'to\tto\tTO\tB-PP\tO' +p279712 +aS'that\tthat\tDT\tB-NP\tO' +p279713 +aS'worked\twork\tVBD\tB-VP\tO' +p279714 +aS'in\tin\tIN\tB-PP\tO' +p279715 +aS'a\ta\tDT\tB-NP\tO' +p279716 +aS'school\tschool\tNN\tI-NP\tO' +p279717 +aS'cafeteria\tcafeteria\tNN\tI-NP\tO' +p279718 +aS'.\t.\t.\tO\tO' +p279719 +asS'Neck supple and without masses .' +p279720 +(lp279721 +S'Neck\tNeck\tNN\tB-NP\tO' +p279722 +aS'supple\tsupple\tNN\tI-NP\tO' +p279723 +aS'and\tand\tCC\tB-PP\tO' +p279724 +aS'without\twithout\tIN\tB-PP\tO' +p279725 +aS'masses\tmass\tNNS\tB-NP\tO' +p279726 +aS'.\t.\t.\tO\tO' +p279727 +asS'Dictated By : Elizabeth F. Wells , M.D.' +p279728 +(lp279729 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p279730 +aS'By\tBy\tIN\tB-PP\tO' +p279731 +aS':\t:\t:\tO\tO' +p279732 +aS'Elizabeth\tElizabeth\tNNP\tB-NP\tO' +p279733 +aS'F.\tF.\tNNP\tI-NP\tO' +p279734 +aS'Wells\tWells\tNNP\tI-NP\tO' +p279735 +aS',\t,\t,\tO\tO' +p279736 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p279737 +asS'9. Fluconazole 200 mg Tablet Sig : One ( 1 ) Tablet PO Q24H ( every 24 hours ) for 2 days .' +p279738 +(lp279739 +S'9.\t9.\tCD\tB-NP\tO' +p279740 +aS'Fluconazole\tFluconazole\tNN\tI-NP\tO' +p279741 +aS'200\t200\tCD\tB-NP\tO' +p279742 +aS'mg\tmg\tNN\tI-NP\tO' +p279743 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p279744 +aS'Sig\tSig\tNNP\tI-NP\tO' +p279745 +aS':\t:\t:\tO\tO' +p279746 +aS'One\tOne\tCD\tB-NP\tO' +p279747 +aS'(\t(\t(\tO\tO' +p279748 +aS'1\t1\tCD\tB-NP\tO' +p279749 +aS')\t)\t)\tO\tO' +p279750 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p279751 +aS'PO\tPO\tNN\tI-NP\tO' +p279752 +aS'Q24H\tQ24H\tNN\tI-NP\tO' +p279753 +aS'(\t(\t(\tO\tO' +p279754 +aS'every\tevery\tDT\tB-NP\tO' +p279755 +aS'24\t24\tCD\tI-NP\tO' +p279756 +aS'hours\thour\tNNS\tI-NP\tO' +p279757 +aS')\t)\t)\tO\tO' +p279758 +aS'for\tfor\tIN\tB-PP\tO' +p279759 +aS'2\t2\tCD\tB-NP\tO' +p279760 +aS'days\tday\tNNS\tI-NP\tO' +p279761 +aS'.\t.\t.\tO\tO' +p279762 +asS'However she is followed by a Dr. Joasscchird at Vaila Medical Center .' +p279763 +(lp279764 +S'However\tHowever\tRB\tB-ADVP\tO' +p279765 +aS'she\tshe\tPRP\tB-NP\tO' +p279766 +aS'is\tbe\tVBZ\tB-VP\tO' +p279767 +aS'followed\tfollow\tVBN\tI-VP\tO' +p279768 +aS'by\tby\tIN\tB-PP\tO' +p279769 +aS'a\ta\tDT\tB-NP\tO' +p279770 +aS'Dr.\tDr.\tNNP\tI-NP\tO' +p279771 +aS'Joasscchird\tJoasscchird\tNNP\tI-NP\tO' +p279772 +aS'at\tat\tIN\tB-PP\tO' +p279773 +aS'Vaila\tVaila\tNNP\tB-NP\tO' +p279774 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p279775 +aS'Center\tCenter\tNNP\tI-NP\tO' +p279776 +aS'.\t.\t.\tO\tO' +p279777 +asS'She recieved further resection of remaining colon , repair of a leak from Relaford pouch and repair of colovesicular fistula .' +p279778 +(lp279779 +S'She\tShe\tPRP\tB-NP\tO' +p279780 +aS'recieved\trecieve\tVBD\tB-VP\tO' +p279781 +aS'further\tfurther\tJJ\tB-NP\tO' +p279782 +aS'resection\tresection\tNN\tI-NP\tO' +p279783 +aS'of\tof\tIN\tB-PP\tO' +p279784 +aS'remaining\tremain\tVBG\tB-VP\tO' +p279785 +aS'colon\tcolon\tNN\tB-NP\tO' +p279786 +aS',\t,\t,\tO\tO' +p279787 +aS'repair\trepair\tNN\tB-NP\tO' +p279788 +aS'of\tof\tIN\tB-PP\tO' +p279789 +aS'a\ta\tDT\tB-NP\tO' +p279790 +aS'leak\tleak\tNN\tI-NP\tO' +p279791 +aS'from\tfrom\tIN\tB-PP\tO' +p279792 +aS'Relaford\tRelaford\tNNP\tB-NP\tO' +p279793 +aS'pouch\tpouch\tNN\tI-NP\tO' +p279794 +aS'and\tand\tCC\tI-NP\tO' +p279795 +aS'repair\trepair\tNN\tI-NP\tO' +p279796 +aS'of\tof\tIN\tB-PP\tO' +p279797 +aS'colovesicular\tcolovesicular\tJJ\tB-NP\tO' +p279798 +aS'fistula\tfistula\tNN\tI-NP\tO' +p279799 +aS'.\t.\t.\tO\tO' +p279800 +asS'Electrocardiogram has sinus rhythm with Q wave in 2 , 3 , and F , flattened T waves in the lateral leads , sinus rhythm at a rate of 56 .' +p279801 +(lp279802 +S'Electrocardiogram\tElectrocardiogram\tNN\tB-NP\tO' +p279803 +aS'has\thave\tVBZ\tB-VP\tO' +p279804 +aS'sinus\tsinus\tNN\tB-NP\tO' +p279805 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p279806 +aS'with\twith\tIN\tB-PP\tO' +p279807 +aS'Q\tQ\tNN\tB-NP\tO' +p279808 +aS'wave\twave\tNN\tI-NP\tO' +p279809 +aS'in\tin\tIN\tB-PP\tO' +p279810 +aS'2\t2\tCD\tB-NP\tO' +p279811 +aS',\t,\t,\tI-NP\tO' +p279812 +aS'3\t3\tCD\tI-NP\tO' +p279813 +aS',\t,\t,\tO\tO' +p279814 +aS'and\tand\tCC\tO\tO' +p279815 +aS'F\tF\tNNP\tB-NP\tO' +p279816 +aS',\t,\t,\tO\tO' +p279817 +aS'flattened\tflatten\tVBD\tB-VP\tO' +p279818 +aS'T\tT\tNN\tB-NP\tO' +p279819 +aS'waves\twave\tNNS\tI-NP\tO' +p279820 +aS'in\tin\tIN\tB-PP\tO' +p279821 +aS'the\tthe\tDT\tB-NP\tO' +p279822 +aS'lateral\tlateral\tJJ\tI-NP\tO' +p279823 +aS'leads\tlead\tNNS\tI-NP\tO' +p279824 +aS',\t,\t,\tO\tO' +p279825 +aS'sinus\tsinus\tNN\tB-NP\tO' +p279826 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p279827 +aS'at\tat\tIN\tB-PP\tO' +p279828 +aS'a\ta\tDT\tB-NP\tO' +p279829 +aS'rate\trate\tNN\tI-NP\tO' +p279830 +aS'of\tof\tIN\tB-PP\tO' +p279831 +aS'56\t56\tCD\tB-NP\tO' +p279832 +aS'.\t.\t.\tO\tO' +p279833 +asS'5. Papain - Urea 544 287 0616 unit - mg / g Ointment Sig : One ( 1 ) Appl Topical DAILY ( Daily ) .' +p279834 +(lp279835 +S'5.\t5.\tLS\tB-NP\tO' +p279836 +aS'Papain\tPapain\tNNP\tI-NP\tO' +p279837 +aS'-\t-\tHYPH\tO\tO' +p279838 +aS'Urea\tUrea\tNNP\tB-NP\tB-DNA' +p279839 +aS'544\t544\tCD\tI-NP\tI-DNA' +p279840 +aS'287\t287\tCD\tI-NP\tI-DNA' +p279841 +aS'0616\t0616\tCD\tI-NP\tI-DNA' +p279842 +aS'unit\tunit\tNN\tI-NP\tI-DNA' +p279843 +aS'-\t-\tHYPH\tB-NP\tO' +p279844 +aS'mg\tmg\tNN\tI-NP\tO' +p279845 +aS'/\t/\tSYM\tB-NP\tO' +p279846 +aS'g\tg\tNN\tI-NP\tO' +p279847 +aS'Ointment\tOintment\tNNP\tI-NP\tO' +p279848 +aS'Sig\tSig\tNNP\tI-NP\tO' +p279849 +aS':\t:\t:\tO\tO' +p279850 +aS'One\tOne\tCD\tB-NP\tO' +p279851 +aS'(\t(\t(\tO\tO' +p279852 +aS'1\t1\tCD\tB-NP\tO' +p279853 +aS')\t)\t)\tO\tO' +p279854 +aS'Appl\tAppl\tNNP\tB-NP\tO' +p279855 +aS'Topical\tTopical\tJJ\tI-NP\tO' +p279856 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p279857 +aS'(\t(\t(\tO\tO' +p279858 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p279859 +aS')\t)\t)\tO\tO' +p279860 +aS'.\t.\t.\tO\tO' +p279861 +asS'Sputum gram stain showed no polys and no bacteria .' +p279862 +(lp279863 +S'Sputum\tSputum\tNN\tB-NP\tO' +p279864 +aS'gram\tgram\tNN\tI-NP\tO' +p279865 +aS'stain\tstain\tNN\tI-NP\tO' +p279866 +aS'showed\tshow\tVBD\tB-VP\tO' +p279867 +aS'no\tno\tDT\tB-NP\tO' +p279868 +aS'polys\tpoly\tNNS\tI-NP\tO' +p279869 +aS'and\tand\tCC\tO\tO' +p279870 +aS'no\tno\tDT\tB-NP\tO' +p279871 +aS'bacteria\tbacteria\tNNS\tI-NP\tO' +p279872 +aS'.\t.\t.\tO\tO' +p279873 +asS'AST was 20 , ALT 12 , alkaline phosphatase 80 , bilirubin 0.5. CK was 113 .' +p279874 +(lp279875 +S'AST\tAST\tNN\tB-NP\tO' +p279876 +aS'was\tbe\tVBD\tB-VP\tO' +p279877 +aS'20\t20\tCD\tB-NP\tO' +p279878 +aS',\t,\t,\tO\tO' +p279879 +aS'ALT\tALT\tNN\tB-NP\tB-DNA' +p279880 +aS'12\t12\tCD\tI-NP\tI-DNA' +p279881 +aS',\t,\t,\tO\tO' +p279882 +aS'alkaline\talkaline\tNN\tB-NP\tO' +p279883 +aS'phosphatase\tphosphatase\tNN\tI-NP\tO' +p279884 +aS'80\t80\tCD\tI-NP\tO' +p279885 +aS',\t,\t,\tO\tO' +p279886 +aS'bilirubin\tbilirubin\tNN\tB-NP\tO' +p279887 +aS'0.5.\t0.5.\tCD\tI-NP\tO' +p279888 +aS'CK\tCK\tNN\tI-NP\tO' +p279889 +aS'was\tbe\tVBD\tB-VP\tO' +p279890 +aS'113\t113\tCD\tB-NP\tO' +p279891 +aS'.\t.\t.\tO\tO' +p279892 +asS'They felt it was most likely a malignant lymphangitic spread with pericardial involvement versus infectious , other cardiovascular causes , or viral bronchiolitis .' +p279893 +(lp279894 +S'They\tThey\tPRP\tB-NP\tO' +p279895 +aS'felt\tfeel\tVBD\tB-VP\tO' +p279896 +aS'it\tit\tPRP\tB-NP\tO' +p279897 +aS'was\tbe\tVBD\tB-VP\tO' +p279898 +aS'most\tmost\tRBS\tB-ADVP\tO' +p279899 +aS'likely\tlikely\tRB\tI-ADVP\tO' +p279900 +aS'a\ta\tDT\tB-NP\tO' +p279901 +aS'malignant\tmalignant\tJJ\tI-NP\tO' +p279902 +aS'lymphangitic\tlymphangitic\tJJ\tI-NP\tO' +p279903 +aS'spread\tspread\tNN\tI-NP\tO' +p279904 +aS'with\twith\tIN\tB-PP\tO' +p279905 +aS'pericardial\tpericardial\tJJ\tB-NP\tO' +p279906 +aS'involvement\tinvolvement\tNN\tI-NP\tO' +p279907 +aS'versus\tversus\tIN\tB-PP\tO' +p279908 +aS'infectious\tinfectious\tJJ\tB-NP\tO' +p279909 +aS',\t,\t,\tI-NP\tO' +p279910 +aS'other\tother\tJJ\tI-NP\tO' +p279911 +aS'cardiovascular\tcardiovascular\tJJ\tI-NP\tO' +p279912 +aS'causes\tcause\tNNS\tI-NP\tO' +p279913 +aS',\t,\t,\tO\tO' +p279914 +aS'or\tor\tCC\tO\tO' +p279915 +aS'viral\tviral\tJJ\tB-NP\tO' +p279916 +aS'bronchiolitis\tbronchiolitis\tNN\tI-NP\tO' +p279917 +aS'.\t.\t.\tO\tO' +p279918 +asS'Tylenol 650 mg p.o. q 4-6 hours p.r.n. headache , enteric coated aspirin 325 mg p.o. q day , calcium gluconate 1000 mg p.o. b.i.d. , Colace 100 mg p.o. b.i.d. , enema of choice and laxative of choice p.o. q day p.r.n. constipation , Lasix 20 mg p.o. q day , Coumadin 7.5 mg p.o.q.h.s. for goal INR of 2.0-3.0 .' +p279919 +(lp279920 +S'Tylenol\tTylenol\tNN\tB-NP\tO' +p279921 +aS'650\t650\tCD\tI-NP\tO' +p279922 +aS'mg\tmg\tNN\tI-NP\tO' +p279923 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p279924 +aS'q\tq\tNN\tI-NP\tO' +p279925 +aS'4-6\t4-6\tCD\tB-NP\tO' +p279926 +aS'hours\thour\tNNS\tI-NP\tO' +p279927 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p279928 +aS'headache\theadache\tNN\tI-NP\tO' +p279929 +aS',\t,\t,\tO\tO' +p279930 +aS'enteric\tenteric\tJJ\tB-NP\tO' +p279931 +aS'coated\tcoated\tJJ\tI-NP\tO' +p279932 +aS'aspirin\taspirin\tNN\tI-NP\tO' +p279933 +aS'325\t325\tCD\tI-NP\tO' +p279934 +aS'mg\tmg\tNN\tI-NP\tO' +p279935 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p279936 +aS'q\tq\tNN\tI-NP\tO' +p279937 +aS'day\tday\tNN\tI-NP\tO' +p279938 +aS',\t,\t,\tO\tO' +p279939 +aS'calcium\tcalcium\tNN\tB-NP\tO' +p279940 +aS'gluconate\tgluconate\tNN\tI-NP\tO' +p279941 +aS'1000\t1000\tCD\tI-NP\tO' +p279942 +aS'mg\tmg\tNN\tI-NP\tO' +p279943 +aS'p.o.\tp.o.\tFW\tB-ADVP\tO' +p279944 +aS'b.i.d.\tb.i.d.\tFW\tI-ADVP\tO' +p279945 +aS',\t,\t,\tO\tO' +p279946 +aS'Colace\tColace\tNNP\tB-NP\tO' +p279947 +aS'100\t100\tCD\tI-NP\tO' +p279948 +aS'mg\tmg\tNN\tI-NP\tO' +p279949 +aS'p.o.\tp.o.\tFW\tB-ADVP\tO' +p279950 +aS'b.i.d.\tb.i.d.\tFW\tI-ADVP\tO' +p279951 +aS',\t,\t,\tO\tO' +p279952 +aS'enema\tenema\tNN\tB-NP\tO' +p279953 +aS'of\tof\tIN\tB-PP\tO' +p279954 +aS'choice\tchoice\tNN\tB-NP\tO' +p279955 +aS'and\tand\tCC\tI-NP\tO' +p279956 +aS'laxative\tlaxative\tNN\tI-NP\tO' +p279957 +aS'of\tof\tIN\tB-PP\tO' +p279958 +aS'choice\tchoice\tNN\tB-NP\tO' +p279959 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p279960 +aS'q\tq\tNN\tI-NP\tO' +p279961 +aS'day\tday\tNN\tI-NP\tO' +p279962 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p279963 +aS'constipation\tconstipation\tNN\tI-NP\tO' +p279964 +aS',\t,\t,\tO\tO' +p279965 +aS'Lasix\tLasix\tNN\tB-NP\tO' +p279966 +aS'20\t20\tCD\tI-NP\tO' +p279967 +aS'mg\tmg\tNN\tI-NP\tO' +p279968 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p279969 +aS'q\tq\tNN\tI-NP\tO' +p279970 +aS'day\tday\tNN\tI-NP\tO' +p279971 +aS',\t,\t,\tO\tO' +p279972 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p279973 +aS'7.5\t7.5\tCD\tI-NP\tO' +p279974 +aS'mg\tmg\tNN\tI-NP\tO' +p279975 +aS'p.o.q.h.s.\tp.o.q.h.s.\tNN\tI-NP\tO' +p279976 +aS'for\tfor\tIN\tB-PP\tO' +p279977 +aS'goal\tgoal\tNN\tB-NP\tO' +p279978 +aS'INR\tINR\tNN\tI-NP\tO' +p279979 +aS'of\tof\tIN\tB-PP\tO' +p279980 +aS'2.0-3.0\t2.0-3.0\tCD\tB-NP\tO' +p279981 +aS'.\t.\t.\tO\tO' +p279982 +asS'His electrocardiogram showed increased T wave inversions in V3 and V4 and 1 mm .' +p279983 +(lp279984 +S'His\tHis\tPRP$\tB-NP\tO' +p279985 +aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' +p279986 +aS'showed\tshow\tVBD\tB-VP\tO' +p279987 +aS'increased\tincrease\tVBN\tB-NP\tO' +p279988 +aS'T\tT\tNN\tI-NP\tO' +p279989 +aS'wave\twave\tNN\tI-NP\tO' +p279990 +aS'inversions\tinversion\tNNS\tI-NP\tO' +p279991 +aS'in\tin\tIN\tB-PP\tO' +p279992 +aS'V3\tV3\tNN\tB-NP\tO' +p279993 +aS'and\tand\tCC\tI-NP\tO' +p279994 +aS'V4\tV4\tNN\tI-NP\tO' +p279995 +aS'and\tand\tCC\tO\tO' +p279996 +aS'1\t1\tCD\tB-NP\tO' +p279997 +aS'mm\tmm\tNN\tI-NP\tO' +p279998 +aS'.\t.\t.\tO\tO' +p279999 +asS'Without hepatosplenomegaly , without masses .' +p280000 +(lp280001 +S'Without\tWithout\tIN\tB-PP\tO' +p280002 +aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tB-NP\tO' +p280003 +aS',\t,\t,\tO\tO' +p280004 +aS'without\twithout\tIN\tB-PP\tO' +p280005 +aS'masses\tmass\tNNS\tB-NP\tO' +p280006 +aS'.\t.\t.\tO\tO' +p280007 +asS'Fall was witnessed by daughter .' +p280008 +(lp280009 +S'Fall\tFall\tNN\tB-NP\tO' +p280010 +aS'was\tbe\tVBD\tB-VP\tO' +p280011 +aS'witnessed\twitness\tVBN\tI-VP\tO' +p280012 +aS'by\tby\tIN\tB-PP\tO' +p280013 +aS'daughter\tdaughter\tNN\tB-NP\tO' +p280014 +aS'.\t.\t.\tO\tO' +p280015 +asS'Signed electronically by : DR. Santos von der Ross on : TUE 2013-11-05 7:12 AM' +p280016 +(lp280017 +S'Signed\tSign\tVBN\tB-VP\tO' +p280018 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p280019 +aS'by\tby\tIN\tB-PP\tO' +p280020 +aS':\t:\t:\tO\tO' +p280021 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p280022 +aS'Santos\tSantos\tNNP\tI-NP\tO' +p280023 +aS'von\tvon\tNNP\tI-NP\tO' +p280024 +aS'der\tder\tNNP\tI-NP\tO' +p280025 +aS'Ross\tRoss\tNNP\tI-NP\tO' +p280026 +aS'on\ton\tIN\tB-PP\tO' +p280027 +aS':\t:\t:\tO\tO' +p280028 +aS'TUE\tTUE\tNN\tB-NP\tO' +p280029 +aS'2013-11-05\t2013-11-05\tCD\tI-NP\tO' +p280030 +aS'7:12\t7:12\tCD\tI-NP\tO' +p280031 +aS'AM\tAM\tNN\tI-NP\tO' +p280032 +asS'White blood cell count was 11.14 .' +p280033 +(lp280034 +S'White\tWhite\tJJ\tB-NP\tO' +p280035 +aS'blood\tblood\tNN\tI-NP\tO' +p280036 +aS'cell\tcell\tNN\tI-NP\tO' +p280037 +aS'count\tcount\tNN\tI-NP\tO' +p280038 +aS'was\tbe\tVBD\tB-VP\tO' +p280039 +aS'11.14\t11.14\tCD\tB-NP\tO' +p280040 +aS'.\t.\t.\tO\tO' +p280041 +asS'CSF showed white count of 7 , reds 4 , protein 119 , glucose 69 .' +p280042 +(lp280043 +S'CSF\tCSF\tNN\tB-NP\tB-protein' +p280044 +aS'showed\tshow\tVBD\tB-VP\tO' +p280045 +aS'white\twhite\tJJ\tB-NP\tO' +p280046 +aS'count\tcount\tNN\tI-NP\tO' +p280047 +aS'of\tof\tIN\tB-PP\tO' +p280048 +aS'7\t7\tCD\tB-NP\tO' +p280049 +aS',\t,\t,\tO\tO' +p280050 +aS'reds\tred\tVBZ\tB-VP\tO' +p280051 +aS'4\t4\tCD\tB-NP\tO' +p280052 +aS',\t,\t,\tO\tO' +p280053 +aS'protein\tprotein\tNN\tB-NP\tO' +p280054 +aS'119\t119\tCD\tI-NP\tO' +p280055 +aS',\t,\t,\tO\tO' +p280056 +aS'glucose\tglucose\tNN\tB-NP\tO' +p280057 +aS'69\t69\tCD\tI-NP\tO' +p280058 +aS'.\t.\t.\tO\tO' +p280059 +asS'6. Type 1 diabetes mellitus with triopathy , retinopathy , neuropathy , nephropathy .' +p280060 +(lp280061 +S'6.\t6.\tLS\tB-LST\tO' +p280062 +aS'Type\tType\tNN\tB-NP\tO' +p280063 +aS'1\t1\tCD\tI-NP\tO' +p280064 +aS'diabetes\tdiabetes\tNN\tI-NP\tO' +p280065 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p280066 +aS'with\twith\tIN\tB-PP\tO' +p280067 +aS'triopathy\ttriopathy\tNN\tB-NP\tO' +p280068 +aS',\t,\t,\tO\tO' +p280069 +aS'retinopathy\tretinopathy\tNN\tB-NP\tO' +p280070 +aS',\t,\t,\tO\tO' +p280071 +aS'neuropathy\tneuropathy\tNN\tB-NP\tO' +p280072 +aS',\t,\t,\tO\tO' +p280073 +aS'nephropathy\tnephropathy\tNN\tB-NP\tO' +p280074 +aS'.\t.\t.\tO\tO' +p280075 +asS'The patient is married with two children .' +p280076 +(lp280077 +S'The\tThe\tDT\tB-NP\tO' +p280078 +aS'patient\tpatient\tNN\tI-NP\tO' +p280079 +aS'is\tbe\tVBZ\tB-VP\tO' +p280080 +aS'married\tmarry\tVBN\tI-VP\tO' +p280081 +aS'with\twith\tIN\tB-PP\tO' +p280082 +aS'two\ttwo\tCD\tB-NP\tO' +p280083 +aS'children\tchild\tNNS\tI-NP\tO' +p280084 +aS'.\t.\t.\tO\tO' +p280085 +asS'There was no clubbing .' +p280086 +(lp280087 +S'There\tThere\tEX\tB-NP\tO' +p280088 +aS'was\tbe\tVBD\tB-VP\tO' +p280089 +aS'no\tno\tDT\tB-NP\tO' +p280090 +aS'clubbing\tclubbing\tNN\tI-NP\tO' +p280091 +aS'.\t.\t.\tO\tO' +p280092 +asS'Condition was good .' +p280093 +(lp280094 +S'Condition\tCondition\tNN\tB-NP\tO' +p280095 +aS'was\tbe\tVBD\tB-VP\tO' +p280096 +aS'good\tgood\tJJ\tB-ADJP\tO' +p280097 +aS'.\t.\t.\tO\tO' +p280098 +asS'Rifampin should not be used alone for therapy .' +p280099 +(lp280100 +S'Rifampin\tRifampin\tNN\tB-NP\tO' +p280101 +aS'should\tshould\tMD\tB-VP\tO' +p280102 +aS'not\tnot\tRB\tI-VP\tO' +p280103 +aS'be\tbe\tVB\tI-VP\tO' +p280104 +aS'used\tuse\tVBN\tI-VP\tO' +p280105 +aS'alone\talone\tRB\tB-ADVP\tO' +p280106 +aS'for\tfor\tIN\tB-PP\tO' +p280107 +aS'therapy\ttherapy\tNN\tB-NP\tO' +p280108 +aS'.\t.\t.\tO\tO' +p280109 +asS"DM2 - dx 'd at the age of 48" +p280110 +(lp280111 +S'DM2\tDM2\tNN\tB-NP\tB-protein' +p280112 +aS'-\t-\tHYPH\tI-NP\tO' +p280113 +aS'dx\tdx\tNN\tI-NP\tO' +p280114 +aS"'d\t'd\tNN\tI-NP\tO" +p280115 +aS'at\tat\tIN\tB-PP\tO' +p280116 +aS'the\tthe\tDT\tB-NP\tO' +p280117 +aS'age\tage\tNN\tI-NP\tO' +p280118 +aS'of\tof\tIN\tB-PP\tO' +p280119 +aS'48\t48\tCD\tB-NP\tO' +p280120 +asS"Of note , the patient 's daughter and son-in-law confirm his desire to be DNR/DNI , stating that they want him to be comfortable ." +p280121 +(lp280122 +S'Of\tOf\tIN\tB-PP\tO' +p280123 +aS'note\tnote\tNN\tB-NP\tO' +p280124 +aS',\t,\t,\tO\tO' +p280125 +aS'the\tthe\tDT\tB-NP\tO' +p280126 +aS'patient\tpatient\tNN\tI-NP\tO' +p280127 +aS"'s\t's\tPOS\tB-NP\tO" +p280128 +aS'daughter\tdaughter\tNN\tI-NP\tO' +p280129 +aS'and\tand\tCC\tI-NP\tO' +p280130 +aS'son-in-law\tson-in-law\tNN\tI-NP\tO' +p280131 +aS'confirm\tconfirm\tVBP\tB-VP\tO' +p280132 +aS'his\this\tPRP$\tB-NP\tO' +p280133 +aS'desire\tdesire\tNN\tI-NP\tO' +p280134 +aS'to\tto\tTO\tB-VP\tO' +p280135 +aS'be\tbe\tVB\tI-VP\tO' +p280136 +aS'DNR/DNI\tDNR/DNI\tNNP\tB-NP\tO' +p280137 +aS',\t,\t,\tO\tO' +p280138 +aS'stating\tstate\tVBG\tB-VP\tO' +p280139 +aS'that\tthat\tIN\tB-SBAR\tO' +p280140 +aS'they\tthey\tPRP\tB-NP\tO' +p280141 +aS'want\twant\tVBP\tB-VP\tO' +p280142 +aS'him\thim\tPRP\tB-NP\tO' +p280143 +aS'to\tto\tTO\tB-VP\tO' +p280144 +aS'be\tbe\tVB\tI-VP\tO' +p280145 +aS'comfortable\tcomfortable\tJJ\tB-ADJP\tO' +p280146 +aS'.\t.\t.\tO\tO' +p280147 +asS'With repeated blood cultures that were negative , the patient was reduced to single Mckenzie of intravenous Ampicillin .' +p280148 +(lp280149 +S'With\tWith\tIN\tB-PP\tO' +p280150 +aS'repeated\trepeat\tVBN\tB-NP\tO' +p280151 +aS'blood\tblood\tNN\tI-NP\tO' +p280152 +aS'cultures\tculture\tNNS\tI-NP\tO' +p280153 +aS'that\tthat\tWDT\tB-NP\tO' +p280154 +aS'were\tbe\tVBD\tB-VP\tO' +p280155 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p280156 +aS',\t,\t,\tO\tO' +p280157 +aS'the\tthe\tDT\tB-NP\tO' +p280158 +aS'patient\tpatient\tNN\tI-NP\tO' +p280159 +aS'was\tbe\tVBD\tB-VP\tO' +p280160 +aS'reduced\treduce\tVBN\tI-VP\tO' +p280161 +aS'to\tto\tTO\tB-PP\tO' +p280162 +aS'single\tsingle\tJJ\tB-NP\tO' +p280163 +aS'Mckenzie\tMckenzie\tNNP\tI-NP\tO' +p280164 +aS'of\tof\tIN\tB-PP\tO' +p280165 +aS'intravenous\tintravenous\tJJ\tB-NP\tB-protein' +p280166 +aS'Ampicillin\tAmpicillin\tNN\tI-NP\tI-protein' +p280167 +aS'.\t.\t.\tO\tO' +p280168 +asS'2. Rule out sepsis , ruled out .' +p280169 +(lp280170 +S'2.\t2.\tLS\tB-LST\tO' +p280171 +aS'Rule\tRule\tNNP\tB-NP\tO' +p280172 +aS'out\tout\tIN\tB-PP\tO' +p280173 +aS'sepsis\tsepsis\tNN\tB-NP\tO' +p280174 +aS',\t,\t,\tO\tO' +p280175 +aS'ruled\trule\tVBD\tB-VP\tO' +p280176 +aS'out\tout\tRP\tB-PRT\tO' +p280177 +aS'.\t.\t.\tO\tO' +p280178 +asS'were without edema .' +p280179 +(lp280180 +S'were\tbe\tVBD\tB-VP\tO' +p280181 +aS'without\twithout\tIN\tB-PP\tO' +p280182 +aS'edema\tedema\tNN\tB-NP\tO' +p280183 +aS'.\t.\t.\tO\tO' +p280184 +asS'Chest was clear to auscultation .' +p280185 +(lp280186 +S'Chest\tChest\tNNP\tB-NP\tO' +p280187 +aS'was\tbe\tVBD\tB-VP\tO' +p280188 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p280189 +aS'to\tto\tTO\tB-PP\tO' +p280190 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p280191 +aS'.\t.\t.\tO\tO' +p280192 +asS'Married .' +p280193 +(lp280194 +S'Married\tMarry\tVBN\tB-VP\tO' +p280195 +aS'.\t.\t.\tO\tO' +p280196 +asS'continue levoxyl for hypothyroidism , synarel for endometriosis .' +p280197 +(lp280198 +S'continue\tcontinue\tJJ\tB-NP\tO' +p280199 +aS'levoxyl\tlevoxyl\tNN\tI-NP\tO' +p280200 +aS'for\tfor\tIN\tB-PP\tO' +p280201 +aS'hypothyroidism\thypothyroidism\tNN\tB-NP\tO' +p280202 +aS',\t,\t,\tO\tO' +p280203 +aS'synarel\tsynarel\tNN\tB-NP\tO' +p280204 +aS'for\tfor\tIN\tB-PP\tO' +p280205 +aS'endometriosis\tendometriosis\tNN\tB-NP\tO' +p280206 +aS'.\t.\t.\tO\tO' +p280207 +asS'13. Oxycodone 5 mg Tablet Sig : One ( 1 ) Tablet PO Q4H ( every 4 hours ) as needed .' +p280208 +(lp280209 +S'13.\t13.\tCD\tB-NP\tO' +p280210 +aS'Oxycodone\tOxycodone\tNN\tI-NP\tO' +p280211 +aS'5\t5\tCD\tB-NP\tO' +p280212 +aS'mg\tmg\tNN\tI-NP\tO' +p280213 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p280214 +aS'Sig\tSig\tNNP\tI-NP\tO' +p280215 +aS':\t:\t:\tO\tO' +p280216 +aS'One\tOne\tCD\tB-NP\tO' +p280217 +aS'(\t(\t(\tO\tO' +p280218 +aS'1\t1\tCD\tB-NP\tO' +p280219 +aS')\t)\t)\tO\tO' +p280220 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p280221 +aS'PO\tPO\tNN\tI-NP\tO' +p280222 +aS'Q4H\tQ4H\tNN\tI-NP\tO' +p280223 +aS'(\t(\t(\tO\tO' +p280224 +aS'every\tevery\tDT\tB-NP\tO' +p280225 +aS'4\t4\tCD\tI-NP\tO' +p280226 +aS'hours\thour\tNNS\tI-NP\tO' +p280227 +aS')\t)\t)\tO\tO' +p280228 +aS'as\tas\tIN\tB-SBAR\tO' +p280229 +aS'needed\tneed\tVBN\tB-VP\tO' +p280230 +aS'.\t.\t.\tO\tO' +p280231 +asS'Newborn State Screen phone number #( 822 ) 923-2683 .' +p280232 +(lp280233 +S'Newborn\tNewborn\tNNP\tB-NP\tO' +p280234 +aS'State\tState\tNNP\tI-NP\tO' +p280235 +aS'Screen\tScreen\tNNP\tI-NP\tO' +p280236 +aS'phone\tphone\tNN\tI-NP\tO' +p280237 +aS'number\tnumber\tNN\tI-NP\tO' +p280238 +aS'#(\t#(\t(\tO\tO' +p280239 +aS'822\t822\tCD\tB-NP\tO' +p280240 +aS')\t)\t)\tO\tO' +p280241 +aS'923-2683\t923-2683\tCD\tB-NP\tO' +p280242 +aS'.\t.\t.\tO\tO' +p280243 +asS'Chest x-ray showed right upper lobe pneumonia .' +p280244 +(lp280245 +S'Chest\tCh\tJJS\tB-NP\tO' +p280246 +aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' +p280247 +aS'showed\tshow\tVBD\tB-VP\tO' +p280248 +aS'right\tright\tJJ\tB-NP\tO' +p280249 +aS'upper\tupper\tJJ\tI-NP\tO' +p280250 +aS'lobe\tlobe\tNN\tI-NP\tO' +p280251 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p280252 +aS'.\t.\t.\tO\tO' +p280253 +asS'On the night of 05-01 , the patient complained of increased vomiting .' +p280254 +(lp280255 +S'On\tOn\tIN\tB-PP\tO' +p280256 +aS'the\tthe\tDT\tB-NP\tO' +p280257 +aS'night\tnight\tNN\tI-NP\tO' +p280258 +aS'of\tof\tIN\tB-PP\tO' +p280259 +aS'05-01\t05-01\tCD\tB-NP\tO' +p280260 +aS',\t,\t,\tO\tO' +p280261 +aS'the\tthe\tDT\tB-NP\tO' +p280262 +aS'patient\tpatient\tNN\tI-NP\tO' +p280263 +aS'complained\tcomplain\tVBD\tB-VP\tO' +p280264 +aS'of\tof\tIN\tB-PP\tO' +p280265 +aS'increased\tincrease\tVBN\tB-NP\tO' +p280266 +aS'vomiting\tvomiting\tNN\tI-NP\tO' +p280267 +aS'.\t.\t.\tO\tO' +p280268 +asS'Trauma series normal .' +p280269 +(lp280270 +S'Trauma\tTrauma\tNN\tB-NP\tO' +p280271 +aS'series\tseries\tNN\tI-NP\tO' +p280272 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p280273 +aS'.\t.\t.\tO\tO' +p280274 +asS'Coumadin dose was started and her INR were followed .' +p280275 +(lp280276 +S'Coumadin\tCoumadin\tNN\tB-NP\tO' +p280277 +aS'dose\tdose\tNN\tI-NP\tO' +p280278 +aS'was\tbe\tVBD\tB-VP\tO' +p280279 +aS'started\tstart\tVBN\tI-VP\tO' +p280280 +aS'and\tand\tCC\tO\tO' +p280281 +aS'her\ther\tPRP$\tB-NP\tO' +p280282 +aS'INR\tINR\tNN\tI-NP\tB-protein' +p280283 +aS'were\tbe\tVBD\tB-VP\tO' +p280284 +aS'followed\tfollow\tVBN\tI-VP\tO' +p280285 +aS'.\t.\t.\tO\tO' +p280286 +asS'2. PUMP : The patient had an echocardiogram to assess her LV function .' +p280287 +(lp280288 +S'2.\t2.\tCD\tB-NP\tO' +p280289 +aS'PUMP\tPUMP\tNN\tI-NP\tO' +p280290 +aS':\t:\t:\tO\tO' +p280291 +aS'The\tThe\tDT\tB-NP\tO' +p280292 +aS'patient\tpatient\tNN\tI-NP\tO' +p280293 +aS'had\thave\tVBD\tB-VP\tO' +p280294 +aS'an\tan\tDT\tB-NP\tO' +p280295 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p280296 +aS'to\tto\tTO\tB-VP\tO' +p280297 +aS'assess\tassess\tVB\tI-VP\tO' +p280298 +aS'her\ther\tPRP$\tB-NP\tO' +p280299 +aS'LV\tLV\tNN\tI-NP\tO' +p280300 +aS'function\tfunction\tNN\tI-NP\tO' +p280301 +aS'.\t.\t.\tO\tO' +p280302 +asS'A 34 year old white female lying in bed , anxious ; blood pressure of 220/120 , afebrile .' +p280303 +(lp280304 +S'A\tA\tDT\tB-NP\tO' +p280305 +aS'34\t34\tCD\tI-NP\tO' +p280306 +aS'year\tyear\tNN\tI-NP\tO' +p280307 +aS'old\told\tJJ\tI-NP\tO' +p280308 +aS'white\twhite\tJJ\tI-NP\tO' +p280309 +aS'female\tfemale\tNN\tI-NP\tO' +p280310 +aS'lying\tlie\tVBG\tB-VP\tO' +p280311 +aS'in\tin\tIN\tB-PP\tO' +p280312 +aS'bed\tbed\tNN\tB-NP\tO' +p280313 +aS',\t,\t,\tO\tO' +p280314 +aS'anxious\tanxious\tJJ\tB-ADJP\tO' +p280315 +aS';\t;\t:\tO\tO' +p280316 +aS'blood\tblood\tNN\tB-NP\tO' +p280317 +aS'pressure\tpressure\tNN\tI-NP\tO' +p280318 +aS'of\tof\tIN\tB-PP\tO' +p280319 +aS'220/120\t220/120\tCD\tB-NP\tO' +p280320 +aS',\t,\t,\tO\tO' +p280321 +aS'afebrile\tafebrile\tRB\tB-ADVP\tO' +p280322 +aS'.\t.\t.\tO\tO' +p280323 +asS'The patient is to follow up with Dr. Pop in one week and the patient was afebrile with stable vital signs at the time of discharge .' +p280324 +(lp280325 +S'The\tThe\tDT\tB-NP\tO' +p280326 +aS'patient\tpatient\tNN\tI-NP\tO' +p280327 +aS'is\tbe\tVBZ\tB-VP\tO' +p280328 +aS'to\tto\tTO\tB-VP\tO' +p280329 +aS'follow\tfollow\tVB\tI-VP\tO' +p280330 +aS'up\tup\tRP\tB-PRT\tO' +p280331 +aS'with\twith\tIN\tB-PP\tO' +p280332 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p280333 +aS'Pop\tPop\tNNP\tI-NP\tO' +p280334 +aS'in\tin\tIN\tB-PP\tO' +p280335 +aS'one\tone\tCD\tB-NP\tO' +p280336 +aS'week\tweek\tNN\tI-NP\tO' +p280337 +aS'and\tand\tCC\tO\tO' +p280338 +aS'the\tthe\tDT\tB-NP\tO' +p280339 +aS'patient\tpatient\tNN\tI-NP\tO' +p280340 +aS'was\tbe\tVBD\tB-VP\tO' +p280341 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p280342 +aS'with\twith\tIN\tB-PP\tO' +p280343 +aS'stable\tstable\tJJ\tB-NP\tO' +p280344 +aS'vital\tvital\tJJ\tI-NP\tO' +p280345 +aS'signs\tsign\tNNS\tI-NP\tO' +p280346 +aS'at\tat\tIN\tB-PP\tO' +p280347 +aS'the\tthe\tDT\tB-NP\tO' +p280348 +aS'time\ttime\tNN\tI-NP\tO' +p280349 +aS'of\tof\tIN\tB-PP\tO' +p280350 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p280351 +aS'.\t.\t.\tO\tO' +p280352 +asS'Tube feedings were started thorugh peg tube .' +p280353 +(lp280354 +S'Tube\tTube\tNN\tB-NP\tO' +p280355 +aS'feedings\tfeeding\tNNS\tI-NP\tO' +p280356 +aS'were\tbe\tVBD\tB-VP\tO' +p280357 +aS'started\tstart\tVBN\tI-VP\tO' +p280358 +aS'thorugh\tthorugh\tIN\tB-PP\tO' +p280359 +aS'peg\tpeg\tNN\tB-NP\tO' +p280360 +aS'tube\ttube\tNN\tI-NP\tO' +p280361 +aS'.\t.\t.\tO\tO' +p280362 +asS'Gastric ulcer and gastric pericardial fistula , constricting pericarditis , adult respiratory distress syndrome , status post gunshot wounds and paraplegia since 1991 of T4 on down .' +p280363 +(lp280364 +S'Gastric\tGastric\tJJ\tB-NP\tO' +p280365 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p280366 +aS'and\tand\tCC\tO\tO' +p280367 +aS'gastric\tgastric\tJJ\tB-NP\tO' +p280368 +aS'pericardial\tpericardial\tJJ\tI-NP\tO' +p280369 +aS'fistula\tfistula\tNN\tI-NP\tO' +p280370 +aS',\t,\t,\tO\tO' +p280371 +aS'constricting\tconstrict\tVBG\tB-VP\tO' +p280372 +aS'pericarditis\tpericarditis\tNN\tB-NP\tO' +p280373 +aS',\t,\t,\tO\tO' +p280374 +aS'adult\tadult\tJJ\tB-NP\tO' +p280375 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p280376 +aS'distress\tdistress\tNN\tI-NP\tO' +p280377 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p280378 +aS',\t,\t,\tO\tO' +p280379 +aS'status\tstatus\tNN\tB-NP\tO' +p280380 +aS'post\tpost\tNN\tI-NP\tO' +p280381 +aS'gunshot\tgunshot\tNN\tI-NP\tO' +p280382 +aS'wounds\twound\tNNS\tI-NP\tO' +p280383 +aS'and\tand\tCC\tO\tO' +p280384 +aS'paraplegia\tparaplegia\tNN\tB-NP\tO' +p280385 +aS'since\tsince\tIN\tB-PP\tO' +p280386 +aS'1991\t1991\tCD\tB-NP\tO' +p280387 +aS'of\tof\tIN\tB-PP\tO' +p280388 +aS'T4\tT4\tNN\tB-NP\tO' +p280389 +aS'on\ton\tIN\tB-PP\tO' +p280390 +aS'down\tdown\tRB\tB-ADVP\tO' +p280391 +aS'.\t.\t.\tO\tO' +p280392 +asS'She was in her usual state of health until 3/20/97 when she experienced the fairly sudden onset of predominantly right-sided arm and leg weakness and ataxia .' +p280393 +(lp280394 +S'She\tShe\tPRP\tB-NP\tO' +p280395 +aS'was\tbe\tVBD\tB-VP\tO' +p280396 +aS'in\tin\tIN\tB-PP\tO' +p280397 +aS'her\ther\tPRP$\tB-NP\tO' +p280398 +aS'usual\tusual\tJJ\tI-NP\tO' +p280399 +aS'state\tstate\tNN\tI-NP\tO' +p280400 +aS'of\tof\tIN\tB-PP\tO' +p280401 +aS'health\thealth\tNN\tB-NP\tO' +p280402 +aS'until\tuntil\tIN\tB-PP\tO' +p280403 +aS'3/20/97\t3/20/97\tCD\tB-NP\tO' +p280404 +aS'when\twhen\tWRB\tB-ADVP\tO' +p280405 +aS'she\tshe\tPRP\tB-NP\tO' +p280406 +aS'experienced\texperience\tVBD\tB-VP\tO' +p280407 +aS'the\tthe\tDT\tB-NP\tO' +p280408 +aS'fairly\tfairly\tRB\tI-NP\tO' +p280409 +aS'sudden\tsudden\tJJ\tI-NP\tO' +p280410 +aS'onset\tonset\tNN\tI-NP\tO' +p280411 +aS'of\tof\tIN\tB-PP\tO' +p280412 +aS'predominantly\tpredominantly\tRB\tB-NP\tO' +p280413 +aS'right-sided\tright-sided\tJJ\tI-NP\tO' +p280414 +aS'arm\tarm\tNN\tI-NP\tO' +p280415 +aS'and\tand\tCC\tI-NP\tO' +p280416 +aS'leg\tleg\tNN\tI-NP\tO' +p280417 +aS'weakness\tweakness\tNN\tI-NP\tO' +p280418 +aS'and\tand\tCC\tO\tO' +p280419 +aS'ataxia\tataxia\tNN\tB-NP\tO' +p280420 +aS'.\t.\t.\tO\tO' +p280421 +asS'Crackles in lower lung fields .' +p280422 +(lp280423 +S'Crackles\tCrackle\tNNS\tB-NP\tO' +p280424 +aS'in\tin\tIN\tB-PP\tO' +p280425 +aS'lower\tlow\tJJR\tB-NP\tO' +p280426 +aS'lung\tlung\tNN\tI-NP\tO' +p280427 +aS'fields\tfield\tNNS\tI-NP\tO' +p280428 +aS'.\t.\t.\tO\tO' +p280429 +asS'Drank ETOH heavily until 8 years ago when he quit .' +p280430 +(lp280431 +S'Drank\tDrank\tNN\tB-NP\tO' +p280432 +aS'ETOH\tETOH\tNN\tI-NP\tO' +p280433 +aS'heavily\theavily\tRB\tB-ADVP\tO' +p280434 +aS'until\tuntil\tIN\tB-PP\tO' +p280435 +aS'8\t8\tCD\tB-NP\tO' +p280436 +aS'years\tyear\tNNS\tI-NP\tO' +p280437 +aS'ago\tago\tRB\tB-ADVP\tO' +p280438 +aS'when\twhen\tWRB\tB-ADVP\tO' +p280439 +aS'he\the\tPRP\tB-NP\tO' +p280440 +aS'quit\tquit\tVBD\tB-VP\tO' +p280441 +aS'.\t.\t.\tO\tO' +p280442 +asS'2. Trusopt 1 gtt left eye three times a day .' +p280443 +(lp280444 +S'2.\t2.\tCD\tB-NP\tO' +p280445 +aS'Trusopt\tTrusopt\tNNP\tI-NP\tO' +p280446 +aS'1\t1\tCD\tI-NP\tO' +p280447 +aS'gtt\tgtt\tNN\tI-NP\tO' +p280448 +aS'left\tleave\tVBD\tB-VP\tO' +p280449 +aS'eye\teye\tNN\tB-NP\tO' +p280450 +aS'three\tthree\tCD\tB-NP\tO' +p280451 +aS'times\ttime\tNNS\tI-NP\tO' +p280452 +aS'a\ta\tDT\tB-NP\tO' +p280453 +aS'day\tday\tNN\tI-NP\tO' +p280454 +aS'.\t.\t.\tO\tO' +p280455 +asS'The patient is discharged on Thursday , 12-31 , to a rehabilitation facility , on postoperative day 93 , in stable condition , from the cardiac surgery recovery unit .' +p280456 +(lp280457 +S'The\tThe\tDT\tB-NP\tO' +p280458 +aS'patient\tpatient\tNN\tI-NP\tO' +p280459 +aS'is\tbe\tVBZ\tB-VP\tO' +p280460 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p280461 +aS'on\ton\tIN\tB-PP\tO' +p280462 +aS'Thursday\tThursday\tNNP\tB-NP\tO' +p280463 +aS',\t,\t,\tO\tO' +p280464 +aS'12-31\t12-31\tCD\tB-NP\tO' +p280465 +aS',\t,\t,\tO\tO' +p280466 +aS'to\tto\tTO\tB-PP\tO' +p280467 +aS'a\ta\tDT\tB-NP\tO' +p280468 +aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' +p280469 +aS'facility\tfacility\tNN\tI-NP\tO' +p280470 +aS',\t,\t,\tO\tO' +p280471 +aS'on\ton\tIN\tB-PP\tO' +p280472 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p280473 +aS'day\tday\tNN\tI-NP\tO' +p280474 +aS'93\t93\tCD\tI-NP\tO' +p280475 +aS',\t,\t,\tO\tO' +p280476 +aS'in\tin\tIN\tB-PP\tO' +p280477 +aS'stable\tstable\tJJ\tB-NP\tO' +p280478 +aS'condition\tcondition\tNN\tI-NP\tO' +p280479 +aS',\t,\t,\tO\tO' +p280480 +aS'from\tfrom\tIN\tB-PP\tO' +p280481 +aS'the\tthe\tDT\tB-NP\tO' +p280482 +aS'cardiac\tcardiac\tJJ\tI-NP\tB-DNA' +p280483 +aS'surgery\tsurgery\tNN\tI-NP\tI-DNA' +p280484 +aS'recovery\trecovery\tNN\tI-NP\tI-DNA' +p280485 +aS'unit\tunit\tNN\tI-NP\tI-DNA' +p280486 +aS'.\t.\t.\tO\tO' +p280487 +asS'Going to UMass Memorial Medical Center 4 .' +p280488 +(lp280489 +S'Going\tGo\tVBG\tB-VP\tO' +p280490 +aS'to\tto\tTO\tB-PP\tO' +p280491 +aS'UMass\tUMass\tNNP\tB-NP\tO' +p280492 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p280493 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p280494 +aS'Center\tCenter\tNNP\tI-NP\tO' +p280495 +aS'4\t4\tCD\tI-NP\tO' +p280496 +aS'.\t.\t.\tO\tO' +p280497 +asS'extremity angiography on the day of admission , but due to his renal failure the procedure was cancelled .' +p280498 +(lp280499 +S'extremity\textremity\tNN\tB-NP\tO' +p280500 +aS'angiography\tangiography\tNN\tI-NP\tO' +p280501 +aS'on\ton\tIN\tB-PP\tO' +p280502 +aS'the\tthe\tDT\tB-NP\tO' +p280503 +aS'day\tday\tNN\tI-NP\tO' +p280504 +aS'of\tof\tIN\tB-PP\tO' +p280505 +aS'admission\tadmission\tNN\tB-NP\tO' +p280506 +aS',\t,\t,\tO\tO' +p280507 +aS'but\tbut\tCC\tO\tO' +p280508 +aS'due\tdue\tIN\tB-PP\tO' +p280509 +aS'to\tto\tTO\tB-PP\tO' +p280510 +aS'his\this\tPRP$\tB-NP\tO' +p280511 +aS'renal\trenal\tJJ\tI-NP\tO' +p280512 +aS'failure\tfailure\tNN\tI-NP\tO' +p280513 +aS'the\tthe\tDT\tB-NP\tO' +p280514 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p280515 +aS'was\tbe\tVBD\tB-VP\tO' +p280516 +aS'cancelled\tcancel\tVBN\tI-VP\tO' +p280517 +aS'.\t.\t.\tO\tO' +p280518 +asS'The patient had no signs or symptoms of infection at the time of admission .' +p280519 +(lp280520 +S'The\tThe\tDT\tB-NP\tO' +p280521 +aS'patient\tpatient\tNN\tI-NP\tO' +p280522 +aS'had\thave\tVBD\tB-VP\tO' +p280523 +aS'no\tno\tDT\tB-NP\tO' +p280524 +aS'signs\tsign\tNNS\tI-NP\tO' +p280525 +aS'or\tor\tCC\tI-NP\tO' +p280526 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p280527 +aS'of\tof\tIN\tB-PP\tO' +p280528 +aS'infection\tinfection\tNN\tB-NP\tO' +p280529 +aS'at\tat\tIN\tB-PP\tO' +p280530 +aS'the\tthe\tDT\tB-NP\tO' +p280531 +aS'time\ttime\tNN\tI-NP\tO' +p280532 +aS'of\tof\tIN\tB-PP\tO' +p280533 +aS'admission\tadmission\tNN\tB-NP\tO' +p280534 +aS'.\t.\t.\tO\tO' +p280535 +asS'3. Stable appearance of hypodense lesion within the caudate lobe of the liver , too small to fully characterize .' +p280536 +(lp280537 +S'3.\t3.\tLS\tB-NP\tO' +p280538 +aS'Stable\tStable\tJJ\tI-NP\tO' +p280539 +aS'appearance\tappearance\tNN\tI-NP\tO' +p280540 +aS'of\tof\tIN\tB-PP\tO' +p280541 +aS'hypodense\thypodense\tNN\tB-NP\tO' +p280542 +aS'lesion\tlesion\tNN\tI-NP\tO' +p280543 +aS'within\twithin\tIN\tB-PP\tO' +p280544 +aS'the\tthe\tDT\tB-NP\tO' +p280545 +aS'caudate\tcaudate\tJJ\tI-NP\tO' +p280546 +aS'lobe\tlobe\tNN\tI-NP\tO' +p280547 +aS'of\tof\tIN\tB-PP\tO' +p280548 +aS'the\tthe\tDT\tB-NP\tO' +p280549 +aS'liver\tliver\tNN\tI-NP\tO' +p280550 +aS',\t,\t,\tO\tO' +p280551 +aS'too\ttoo\tRB\tB-ADJP\tO' +p280552 +aS'small\tsmall\tJJ\tI-ADJP\tO' +p280553 +aS'to\tto\tTO\tB-VP\tO' +p280554 +aS'fully\tfully\tRB\tI-VP\tO' +p280555 +aS'characterize\tcharacterize\tVB\tI-VP\tO' +p280556 +aS'.\t.\t.\tO\tO' +p280557 +asS'- Levothyroxine 175 mcg PO qd' +p280558 +(lp280559 +S'-\t-\tHYPH\tB-NP\tO' +p280560 +aS'Levothyroxine\tLevothyroxine\tNN\tI-NP\tO' +p280561 +aS'175\t175\tCD\tI-NP\tO' +p280562 +aS'mcg\tmcg\tNN\tI-NP\tO' +p280563 +aS'PO\tPO\tNN\tI-NP\tO' +p280564 +aS'qd\tqd\tNN\tI-NP\tO' +p280565 +asS'There is no pedal edema but there is evidence of some psoriasis of the lower extremities , right greater than left .' +p280566 +(lp280567 +S'There\tThere\tEX\tB-NP\tO' +p280568 +aS'is\tbe\tVBZ\tB-VP\tO' +p280569 +aS'no\tno\tDT\tB-NP\tO' +p280570 +aS'pedal\tpedal\tJJ\tI-NP\tO' +p280571 +aS'edema\tedema\tNN\tI-NP\tO' +p280572 +aS'but\tbut\tCC\tO\tO' +p280573 +aS'there\tthere\tEX\tB-NP\tO' +p280574 +aS'is\tbe\tVBZ\tB-VP\tO' +p280575 +aS'evidence\tevidence\tNN\tB-NP\tO' +p280576 +aS'of\tof\tIN\tB-PP\tO' +p280577 +aS'some\tsome\tDT\tB-NP\tO' +p280578 +aS'psoriasis\tpsoriasis\tNN\tI-NP\tO' +p280579 +aS'of\tof\tIN\tB-PP\tO' +p280580 +aS'the\tthe\tDT\tB-NP\tO' +p280581 +aS'lower\tlow\tJJR\tI-NP\tO' +p280582 +aS'extremities\textremity\tNNS\tI-NP\tO' +p280583 +aS',\t,\t,\tO\tO' +p280584 +aS'right\tright\tRB\tB-ADVP\tO' +p280585 +aS'greater\tgreat\tJJR\tI-ADVP\tO' +p280586 +aS'than\tthan\tIN\tB-PP\tO' +p280587 +aS'left\tleft\tJJ\tB-ADJP\tO' +p280588 +aS'.\t.\t.\tO\tO' +p280589 +asS'His mucous membranes were moist .' +p280590 +(lp280591 +S'His\tHis\tPRP$\tB-NP\tO' +p280592 +aS'mucous\tmucous\tJJ\tI-NP\tO' +p280593 +aS'membranes\tmembrane\tNNS\tI-NP\tO' +p280594 +aS'were\tbe\tVBD\tB-VP\tO' +p280595 +aS'moist\tmoist\tNN\tB-NP\tO' +p280596 +aS'.\t.\t.\tO\tO' +p280597 +asS'On 12-15 , the patient went for placement of a pacemaker .' +p280598 +(lp280599 +S'On\tOn\tIN\tB-PP\tO' +p280600 +aS'12-15\t12-15\tCD\tB-NP\tO' +p280601 +aS',\t,\t,\tO\tO' +p280602 +aS'the\tthe\tDT\tB-NP\tO' +p280603 +aS'patient\tpatient\tNN\tI-NP\tO' +p280604 +aS'went\tgo\tVBD\tB-VP\tO' +p280605 +aS'for\tfor\tIN\tB-PP\tO' +p280606 +aS'placement\tplacement\tNN\tB-NP\tO' +p280607 +aS'of\tof\tIN\tB-PP\tO' +p280608 +aS'a\ta\tDT\tB-NP\tO' +p280609 +aS'pacemaker\tpacemaker\tNN\tI-NP\tO' +p280610 +aS'.\t.\t.\tO\tO' +p280611 +asS'Claire was to see Dr. Michael Majerowski at the Sturdy Memorial Clinic on the east campus , on Bissonette Six , in the South Suite , on 31-05-03 at 11:30 a.m.' +p280612 +(lp280613 +S'Claire\tClaire\tNN\tB-NP\tO' +p280614 +aS'was\tbe\tVBD\tB-VP\tO' +p280615 +aS'to\tto\tTO\tB-VP\tO' +p280616 +aS'see\tsee\tVB\tI-VP\tO' +p280617 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p280618 +aS'Michael\tMichael\tNNP\tI-NP\tO' +p280619 +aS'Majerowski\tMajerowski\tNNP\tI-NP\tO' +p280620 +aS'at\tat\tIN\tB-PP\tO' +p280621 +aS'the\tthe\tDT\tB-NP\tO' +p280622 +aS'Sturdy\tSturdy\tNNP\tI-NP\tO' +p280623 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p280624 +aS'Clinic\tClinic\tNNP\tI-NP\tO' +p280625 +aS'on\ton\tIN\tB-PP\tO' +p280626 +aS'the\tthe\tDT\tB-NP\tO' +p280627 +aS'east\teast\tJJ\tI-NP\tO' +p280628 +aS'campus\tcampus\tNN\tI-NP\tO' +p280629 +aS',\t,\t,\tO\tO' +p280630 +aS'on\ton\tIN\tB-PP\tO' +p280631 +aS'Bissonette\tBissonette\tNNP\tB-NP\tO' +p280632 +aS'Six\tSix\tNNP\tI-NP\tO' +p280633 +aS',\t,\t,\tO\tO' +p280634 +aS'in\tin\tIN\tB-PP\tO' +p280635 +aS'the\tthe\tDT\tB-NP\tO' +p280636 +aS'South\tSouth\tNNP\tI-NP\tO' +p280637 +aS'Suite\tSuite\tNNP\tI-NP\tO' +p280638 +aS',\t,\t,\tO\tO' +p280639 +aS'on\ton\tIN\tB-PP\tO' +p280640 +aS'31-05-03\t31-05-03\tCD\tB-NP\tO' +p280641 +aS'at\tat\tIN\tB-PP\tO' +p280642 +aS'11:30\t11:30\tCD\tB-NP\tO' +p280643 +aS'a.m.\ta.m.\tNN\tI-NP\tO' +p280644 +asS'This was done on 05/05/93 at FIH .' +p280645 +(lp280646 +S'This\tThis\tDT\tB-NP\tO' +p280647 +aS'was\tbe\tVBD\tB-VP\tO' +p280648 +aS'done\tdo\tVBN\tI-VP\tO' +p280649 +aS'on\ton\tIN\tB-PP\tO' +p280650 +aS'05/05/93\t05/05/93\tCD\tB-NP\tO' +p280651 +aS'at\tat\tIN\tB-PP\tO' +p280652 +aS'FIH\tFIH\tNN\tB-NP\tO' +p280653 +aS'.\t.\t.\tO\tO' +p280654 +asS'Pupils equal , round , reactive to light and accommodation , and extraocular movements intact . , with a benign oropharynx .' +p280655 +(lp280656 +S'Pupils\tPupil\tNNS\tB-NP\tO' +p280657 +aS'equal\tequal\tJJ\tI-NP\tO' +p280658 +aS',\t,\t,\tI-NP\tO' +p280659 +aS'round\tround\tJJ\tI-NP\tO' +p280660 +aS',\t,\t,\tI-NP\tO' +p280661 +aS'reactive\treactive\tJJ\tI-NP\tO' +p280662 +aS'to\tto\tTO\tB-PP\tO' +p280663 +aS'light\tlight\tNN\tB-NP\tO' +p280664 +aS'and\tand\tCC\tI-NP\tO' +p280665 +aS'accommodation\taccommodation\tNN\tI-NP\tO' +p280666 +aS',\t,\t,\tO\tO' +p280667 +aS'and\tand\tCC\tO\tO' +p280668 +aS'extraocular\textraocular\tJJ\tB-NP\tO' +p280669 +aS'movements\tmovement\tNNS\tI-NP\tO' +p280670 +aS'intact\tintact\tJJ\tB-NP\tO' +p280671 +aS'.\t.\tNN\tI-NP\tO' +p280672 +aS',\t,\t,\tO\tO' +p280673 +aS'with\twith\tIN\tB-PP\tO' +p280674 +aS'a\ta\tDT\tB-NP\tO' +p280675 +aS'benign\tbenign\tJJ\tI-NP\tO' +p280676 +aS'oropharynx\toropharynx\tNN\tI-NP\tO' +p280677 +aS'.\t.\t.\tO\tO' +p280678 +asS'A computerized tomography scan of the head reveals a small external skull fracture , approximately 1-2 millemeters in size , near the right frontoparietal apex .' +p280679 +(lp280680 +S'A\tA\tDT\tB-NP\tO' +p280681 +aS'computerized\tcomputerized\tJJ\tI-NP\tO' +p280682 +aS'tomography\ttomography\tNN\tI-NP\tO' +p280683 +aS'scan\tscan\tNN\tI-NP\tO' +p280684 +aS'of\tof\tIN\tB-PP\tO' +p280685 +aS'the\tthe\tDT\tB-NP\tO' +p280686 +aS'head\thead\tNN\tI-NP\tO' +p280687 +aS'reveals\treveal\tVBZ\tB-VP\tO' +p280688 +aS'a\ta\tDT\tB-NP\tO' +p280689 +aS'small\tsmall\tJJ\tI-NP\tO' +p280690 +aS'external\texternal\tJJ\tI-NP\tO' +p280691 +aS'skull\tskull\tNN\tI-NP\tO' +p280692 +aS'fracture\tfracture\tNN\tI-NP\tO' +p280693 +aS',\t,\t,\tO\tO' +p280694 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p280695 +aS'1-2\t1-2\tCD\tI-NP\tO' +p280696 +aS'millemeters\tmillemeter\tNNS\tI-NP\tO' +p280697 +aS'in\tin\tIN\tB-PP\tO' +p280698 +aS'size\tsize\tNN\tB-NP\tO' +p280699 +aS',\t,\t,\tO\tO' +p280700 +aS'near\tnear\tIN\tB-PP\tO' +p280701 +aS'the\tthe\tDT\tB-NP\tO' +p280702 +aS'right\tright\tJJ\tI-NP\tO' +p280703 +aS'frontoparietal\tfrontoparietal\tJJ\tI-NP\tO' +p280704 +aS'apex\tapex\tNN\tI-NP\tO' +p280705 +aS'.\t.\t.\tO\tO' +p280706 +asS'Erosions in the antrum and pre-pyloric region , granularity , erythema and congestion of the anterior bulb and posterior bulb compatible with duodenitis .' +p280707 +(lp280708 +S'Erosions\tErosion\tNNS\tB-NP\tO' +p280709 +aS'in\tin\tIN\tB-PP\tO' +p280710 +aS'the\tthe\tDT\tB-NP\tO' +p280711 +aS'antrum\tantrum\tNN\tI-NP\tB-DNA' +p280712 +aS'and\tand\tCC\tO\tI-DNA' +p280713 +aS'pre-pyloric\tpre-pyloric\tJJ\tB-NP\tI-DNA' +p280714 +aS'region\tregion\tNN\tI-NP\tI-DNA' +p280715 +aS',\t,\t,\tO\tO' +p280716 +aS'granularity\tgranularity\tNN\tB-NP\tO' +p280717 +aS',\t,\t,\tO\tO' +p280718 +aS'erythema\terythema\tNN\tB-NP\tO' +p280719 +aS'and\tand\tCC\tI-NP\tO' +p280720 +aS'congestion\tcongestion\tNN\tI-NP\tO' +p280721 +aS'of\tof\tIN\tB-PP\tO' +p280722 +aS'the\tthe\tDT\tB-NP\tO' +p280723 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p280724 +aS'bulb\tbulb\tNN\tI-NP\tO' +p280725 +aS'and\tand\tCC\tO\tO' +p280726 +aS'posterior\tposterior\tJJ\tB-NP\tO' +p280727 +aS'bulb\tbulb\tNN\tI-NP\tO' +p280728 +aS'compatible\tcompatible\tJJ\tB-ADJP\tO' +p280729 +aS'with\twith\tIN\tB-PP\tO' +p280730 +aS'duodenitis\tduodenitis\tNN\tB-NP\tO' +p280731 +aS'.\t.\t.\tO\tO' +p280732 +asS'Pt was seen by GI on 13 EGD was performed HD2 which was negative for gastritis , stricture or ulcer .' +p280733 +(lp280734 +S'Pt\tPt\tNN\tB-NP\tO' +p280735 +aS'was\tbe\tVBD\tB-VP\tO' +p280736 +aS'seen\tsee\tVBN\tI-VP\tO' +p280737 +aS'by\tby\tIN\tB-PP\tO' +p280738 +aS'GI\tGI\tNN\tB-NP\tO' +p280739 +aS'on\ton\tIN\tB-PP\tO' +p280740 +aS'13\t13\tCD\tB-NP\tO' +p280741 +aS'EGD\tEGD\tNN\tI-NP\tO' +p280742 +aS'was\tbe\tVBD\tB-VP\tO' +p280743 +aS'performed\tperform\tVBN\tI-VP\tO' +p280744 +aS'HD2\tHD2\tNN\tB-NP\tB-protein' +p280745 +aS'which\twhich\tWDT\tB-NP\tO' +p280746 +aS'was\tbe\tVBD\tB-VP\tO' +p280747 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p280748 +aS'for\tfor\tIN\tB-PP\tO' +p280749 +aS'gastritis\tgastritis\tNN\tB-NP\tO' +p280750 +aS',\t,\t,\tI-NP\tO' +p280751 +aS'stricture\tstricture\tNN\tI-NP\tO' +p280752 +aS'or\tor\tCC\tI-NP\tO' +p280753 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p280754 +aS'.\t.\t.\tO\tO' +p280755 +asS'On admission , the patient was noted to have elevated bilirubins in the 3 range and mildly elevated alkaline phosphatase consistent with a cholestatic picture .' +p280756 +(lp280757 +S'On\tOn\tIN\tB-PP\tO' +p280758 +aS'admission\tadmission\tNN\tB-NP\tO' +p280759 +aS',\t,\t,\tO\tO' +p280760 +aS'the\tthe\tDT\tB-NP\tO' +p280761 +aS'patient\tpatient\tNN\tI-NP\tO' +p280762 +aS'was\tbe\tVBD\tB-VP\tO' +p280763 +aS'noted\tnote\tVBN\tI-VP\tO' +p280764 +aS'to\tto\tTO\tI-VP\tO' +p280765 +aS'have\thave\tVB\tI-VP\tO' +p280766 +aS'elevated\televate\tVBN\tI-VP\tO' +p280767 +aS'bilirubins\tbilirubin\tNNS\tB-NP\tO' +p280768 +aS'in\tin\tIN\tB-PP\tO' +p280769 +aS'the\tthe\tDT\tB-NP\tO' +p280770 +aS'3\t3\tCD\tI-NP\tO' +p280771 +aS'range\trange\tNN\tI-NP\tO' +p280772 +aS'and\tand\tCC\tO\tO' +p280773 +aS'mildly\tmildly\tRB\tB-NP\tO' +p280774 +aS'elevated\televated\tJJ\tI-NP\tO' +p280775 +aS'alkaline\talkaline\tJJ\tI-NP\tO' +p280776 +aS'phosphatase\tphosphatase\tNN\tI-NP\tO' +p280777 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p280778 +aS'with\twith\tIN\tB-PP\tO' +p280779 +aS'a\ta\tDT\tB-NP\tO' +p280780 +aS'cholestatic\tcholestatic\tJJ\tI-NP\tO' +p280781 +aS'picture\tpicture\tNN\tI-NP\tO' +p280782 +aS'.\t.\t.\tO\tO' +p280783 +asS"There is moderate prominence of ventricles and sulci , inappropriate for the patient 's age ." +p280784 +(lp280785 +S'There\tThere\tEX\tB-NP\tO' +p280786 +aS'is\tbe\tVBZ\tB-VP\tO' +p280787 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p280788 +aS'prominence\tprominence\tNN\tI-NP\tO' +p280789 +aS'of\tof\tIN\tB-PP\tO' +p280790 +aS'ventricles\tventricle\tNNS\tB-NP\tO' +p280791 +aS'and\tand\tCC\tI-NP\tO' +p280792 +aS'sulci\tsulcus\tNNS\tI-NP\tO' +p280793 +aS',\t,\t,\tO\tO' +p280794 +aS'inappropriate\tinappropriate\tJJ\tB-ADJP\tO' +p280795 +aS'for\tfor\tIN\tB-PP\tO' +p280796 +aS'the\tthe\tDT\tB-NP\tO' +p280797 +aS'patient\tpatient\tNN\tI-NP\tO' +p280798 +aS"'s\t's\tPOS\tB-NP\tO" +p280799 +aS'age\tage\tNN\tI-NP\tO' +p280800 +aS'.\t.\t.\tO\tO' +p280801 +asS'Sinus tachycardia at 106 beats per minute , left axis deviation , T-wave inversions in leads I and aVL that are old .' +p280802 +(lp280803 +S'Sinus\tSinus\tNNP\tB-NP\tO' +p280804 +aS'tachycardia\ttachycardia\tNN\tI-NP\tO' +p280805 +aS'at\tat\tIN\tB-PP\tO' +p280806 +aS'106\t106\tCD\tB-NP\tO' +p280807 +aS'beats\tbeat\tNNS\tI-NP\tO' +p280808 +aS'per\tper\tIN\tB-PP\tO' +p280809 +aS'minute\tminute\tNN\tB-NP\tO' +p280810 +aS',\t,\t,\tO\tO' +p280811 +aS'left\tleave\tVBD\tB-VP\tO' +p280812 +aS'axis\taxis\tNN\tB-NP\tO' +p280813 +aS'deviation\tdeviation\tNN\tI-NP\tO' +p280814 +aS',\t,\t,\tO\tO' +p280815 +aS'T-wave\tT-wave\tJJ\tB-NP\tO' +p280816 +aS'inversions\tinversion\tNNS\tI-NP\tO' +p280817 +aS'in\tin\tIN\tB-PP\tO' +p280818 +aS'leads\tlead\tNNS\tB-NP\tO' +p280819 +aS'I\tI\tCD\tB-NP\tO' +p280820 +aS'and\tand\tCC\tO\tO' +p280821 +aS'aVL\taVL\tNN\tB-NP\tO' +p280822 +aS'that\tthat\tWDT\tB-NP\tO' +p280823 +aS'are\tbe\tVBP\tB-VP\tO' +p280824 +aS'old\told\tJJ\tB-ADJP\tO' +p280825 +aS'.\t.\t.\tO\tO' +p280826 +asS'This was accompanied by substantial decrement in neurologic function .' +p280827 +(lp280828 +S'This\tThis\tDT\tB-NP\tO' +p280829 +aS'was\tbe\tVBD\tB-VP\tO' +p280830 +aS'accompanied\taccompany\tVBN\tI-VP\tO' +p280831 +aS'by\tby\tIN\tB-PP\tO' +p280832 +aS'substantial\tsubstantial\tJJ\tB-NP\tO' +p280833 +aS'decrement\tdecrement\tNN\tI-NP\tO' +p280834 +aS'in\tin\tIN\tB-PP\tO' +p280835 +aS'neurologic\tneurologic\tJJ\tB-NP\tO' +p280836 +aS'function\tfunction\tNN\tI-NP\tO' +p280837 +aS'.\t.\t.\tO\tO' +p280838 +asS'The cardiovascular examination revealed S1 and S2 regular , no murmurs , 2+ femoral pulses .' +p280839 +(lp280840 +S'The\tThe\tDT\tB-NP\tO' +p280841 +aS'cardiovascular\tcardiovascular\tJJ\tI-NP\tO' +p280842 +aS'examination\texamination\tNN\tI-NP\tO' +p280843 +aS'revealed\treveal\tVBD\tB-VP\tO' +p280844 +aS'S1\tS1\tNN\tB-NP\tB-protein' +p280845 +aS'and\tand\tCC\tO\tO' +p280846 +aS'S2\tS2\tNN\tB-NP\tB-protein' +p280847 +aS'regular\tregular\tJJ\tB-ADJP\tO' +p280848 +aS',\t,\t,\tO\tO' +p280849 +aS'no\tno\tDT\tB-NP\tO' +p280850 +aS'murmurs\tmurmur\tNNS\tI-NP\tO' +p280851 +aS',\t,\t,\tO\tO' +p280852 +aS'2+\t2+\tJJ\tB-NP\tO' +p280853 +aS'femoral\tfemoral\tJJ\tI-NP\tO' +p280854 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p280855 +aS'.\t.\t.\tO\tO' +p280856 +asS'Stronger narcotics were avoided given somnolence and MS changes .' +p280857 +(lp280858 +S'Stronger\tStrong\tJJR\tB-NP\tO' +p280859 +aS'narcotics\tnarcotic\tNNS\tI-NP\tO' +p280860 +aS'were\tbe\tVBD\tB-VP\tO' +p280861 +aS'avoided\tavoid\tVBN\tI-VP\tO' +p280862 +aS'given\tgive\tVBN\tB-PP\tO' +p280863 +aS'somnolence\tsomnolence\tNN\tB-NP\tO' +p280864 +aS'and\tand\tCC\tI-NP\tO' +p280865 +aS'MS\tMS\tNN\tI-NP\tO' +p280866 +aS'changes\tchange\tNNS\tI-NP\tO' +p280867 +aS'.\t.\t.\tO\tO' +p280868 +asS'CXR at Erich Lindemann Mental Health Center 05-26 : bilateral pleural eff and pericardial eff' +p280869 +(lp280870 +S'CXR\tCXR\tNN\tB-NP\tB-protein' +p280871 +aS'at\tat\tIN\tB-PP\tO' +p280872 +aS'Erich\tErich\tNNP\tB-NP\tO' +p280873 +aS'Lindemann\tLindemann\tNNP\tI-NP\tO' +p280874 +aS'Mental\tMental\tNNP\tI-NP\tO' +p280875 +aS'Health\tHealth\tNNP\tI-NP\tO' +p280876 +aS'Center\tCenter\tNNP\tI-NP\tO' +p280877 +aS'05-26\t05-26\tCD\tI-NP\tO' +p280878 +aS':\t:\t:\tO\tO' +p280879 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p280880 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p280881 +aS'eff\teff\tNN\tI-NP\tO' +p280882 +aS'and\tand\tCC\tO\tO' +p280883 +aS'pericardial\tpericardial\tJJ\tB-NP\tO' +p280884 +aS'eff\teff\tNN\tI-NP\tO' +p280885 +asS'Her Hct dropped from Hct 38.9 before fluids to 35.5 s/p 1.5L NS and was thought to be dilutional .' +p280886 +(lp280887 +S'Her\tHer\tPRP$\tB-NP\tO' +p280888 +aS'Hct\tHct\tNN\tI-NP\tB-protein' +p280889 +aS'dropped\tdrop\tVBD\tB-VP\tO' +p280890 +aS'from\tfrom\tIN\tB-PP\tO' +p280891 +aS'Hct\tHct\tNN\tB-NP\tB-DNA' +p280892 +aS'38.9\t38.9\tCD\tI-NP\tI-DNA' +p280893 +aS'before\tbefore\tIN\tB-SBAR\tO' +p280894 +aS'fluids\tfluid\tNNS\tB-NP\tO' +p280895 +aS'to\tto\tTO\tB-PP\tO' +p280896 +aS'35.5\t35.5\tCD\tB-NP\tO' +p280897 +aS's/p\ts/p\tNN\tI-NP\tO' +p280898 +aS'1.5L\t1.5L\tNN\tI-NP\tO' +p280899 +aS'NS\tNS\tNN\tI-NP\tO' +p280900 +aS'and\tand\tCC\tO\tO' +p280901 +aS'was\tbe\tVBD\tB-VP\tO' +p280902 +aS'thought\tthink\tVBN\tI-VP\tO' +p280903 +aS'to\tto\tTO\tI-VP\tO' +p280904 +aS'be\tbe\tVB\tI-VP\tO' +p280905 +aS'dilutional\tdilutional\tJJ\tB-ADJP\tO' +p280906 +aS'.\t.\t.\tO\tO' +p280907 +asS'4. GI .' +p280908 +(lp280909 +S'4.\t4.\tLS\tB-NP\tO' +p280910 +aS'GI\tGI\tNN\tI-NP\tO' +p280911 +aS'.\t.\t.\tO\tO' +p280912 +asS'2) No other definite fractures identified. degenerative changes of the lumbosacral spine ."' +p280913 +(lp280914 +S'2)\t2)\tLS\tB-LST\tO' +p280915 +aS'No\tNo\tDT\tB-NP\tO' +p280916 +aS'other\tother\tJJ\tI-NP\tO' +p280917 +aS'definite\tdefinite\tJJ\tI-NP\tO' +p280918 +aS'fractures\tfracture\tNNS\tI-NP\tO' +p280919 +aS'identified.\tidentified.\tVBP\tB-VP\tO' +p280920 +aS'degenerative\tdegenerative\tJJ\tB-NP\tO' +p280921 +aS'changes\tchange\tNNS\tI-NP\tO' +p280922 +aS'of\tof\tIN\tB-PP\tO' +p280923 +aS'the\tthe\tDT\tB-NP\tO' +p280924 +aS'lumbosacral\tlumbosacral\tJJ\tI-NP\tO' +p280925 +aS'spine\tspine\tNN\tI-NP\tO' +p280926 +aS'."\t."\t.\tO\tO' +p280927 +asS'h.pylori tx .' +p280928 +(lp280929 +S'h.pylori\th.pylori\tNN\tB-NP\tO' +p280930 +aS'tx\ttx\tNN\tI-NP\tO' +p280931 +aS'.\t.\t.\tO\tO' +p280932 +asS'8. Oncology .' +p280933 +(lp280934 +S'8.\t8.\tCD\tB-NP\tO' +p280935 +aS'Oncology\tOncology\tNNP\tI-NP\tO' +p280936 +aS'.\t.\t.\tO\tO' +p280937 +asS'Hct was maintained in stable range with product transfusions .' +p280938 +(lp280939 +S'Hct\tHct\tNN\tB-NP\tB-protein' +p280940 +aS'was\tbe\tVBD\tB-VP\tO' +p280941 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p280942 +aS'in\tin\tIN\tB-PP\tO' +p280943 +aS'stable\tstable\tJJ\tB-NP\tO' +p280944 +aS'range\trange\tNN\tI-NP\tO' +p280945 +aS'with\twith\tIN\tB-PP\tO' +p280946 +aS'product\tproduct\tNN\tB-NP\tO' +p280947 +aS'transfusions\ttransfusion\tNNS\tI-NP\tO' +p280948 +aS'.\t.\t.\tO\tO' +p280949 +asS'Disp :* 24 Capsule (s)* Refills :* 0 *' +p280950 +(lp280951 +S'Disp\tDisp\tNN\tB-NP\tO' +p280952 +aS':*\t:*\tSYM\tI-NP\tO' +p280953 +aS'24\t24\tCD\tI-NP\tO' +p280954 +aS'Capsule\tCapsule\tNN\tI-NP\tO' +p280955 +aS'(s)*\t(s)*\tSYM\tB-NP\tO' +p280956 +aS'Refills\tRefill\tNNPS\tI-NP\tO' +p280957 +aS':*\t:*\tSYM\tI-NP\tO' +p280958 +aS'0\t0\tCD\tI-NP\tO' +p280959 +aS'*\t*\tSYM\tB-NP\tO' +p280960 +asS'5. Miconazole Nitrate 2 % Powder Sig : One ( 1 ) Appl Topical TID ( 3 times a day ) as needed .' +p280961 +(lp280962 +S'5.\t5.\tLS\tB-NP\tO' +p280963 +aS'Miconazole\tMiconazole\tNN\tI-NP\tO' +p280964 +aS'Nitrate\tNitrate\tNN\tI-NP\tO' +p280965 +aS'2\t2\tCD\tB-NP\tO' +p280966 +aS'%\t%\tNN\tI-NP\tO' +p280967 +aS'Powder\tPowder\tNNP\tI-NP\tO' +p280968 +aS'Sig\tSig\tNNP\tI-NP\tO' +p280969 +aS':\t:\t:\tO\tO' +p280970 +aS'One\tOne\tCD\tB-NP\tO' +p280971 +aS'(\t(\t(\tO\tO' +p280972 +aS'1\t1\tCD\tB-NP\tO' +p280973 +aS')\t)\t)\tO\tO' +p280974 +aS'Appl\tAppl\tNNP\tB-NP\tO' +p280975 +aS'Topical\tTopical\tJJ\tI-NP\tO' +p280976 +aS'TID\tTID\tNN\tI-NP\tO' +p280977 +aS'(\t(\t(\tO\tO' +p280978 +aS'3\t3\tCD\tB-NP\tO' +p280979 +aS'times\ttime\tNNS\tI-NP\tO' +p280980 +aS'a\ta\tDT\tB-NP\tO' +p280981 +aS'day\tday\tNN\tI-NP\tO' +p280982 +aS')\t)\t)\tO\tO' +p280983 +aS'as\tas\tIN\tB-SBAR\tO' +p280984 +aS'needed\tneed\tVBN\tB-VP\tO' +p280985 +aS'.\t.\t.\tO\tO' +p280986 +asS'Serum sodium 141 , potassium 4.0 , chloride 106 , C02 29.6 , calcium 9.2 , phosphorus 3.6 .' +p280987 +(lp280988 +S'Serum\tSerum\tNN\tB-NP\tB-protein' +p280989 +aS'sodium\tsodium\tNN\tI-NP\tI-protein' +p280990 +aS'141\t141\tCD\tI-NP\tI-protein' +p280991 +aS',\t,\t,\tO\tO' +p280992 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p280993 +aS'4.0\t4.0\tCD\tI-NP\tO' +p280994 +aS',\t,\t,\tO\tO' +p280995 +aS'chloride\tchloride\tNN\tB-NP\tO' +p280996 +aS'106\t106\tCD\tI-NP\tO' +p280997 +aS',\t,\t,\tO\tO' +p280998 +aS'C02\tC02\tNN\tB-NP\tB-protein' +p280999 +aS'29.6\t29.6\tCD\tI-NP\tI-protein' +p281000 +aS',\t,\t,\tO\tO' +p281001 +aS'calcium\tcalcium\tNN\tB-NP\tO' +p281002 +aS'9.2\t9.2\tCD\tI-NP\tO' +p281003 +aS',\t,\t,\tO\tO' +p281004 +aS'phosphorus\tphosphorus\tNN\tB-NP\tO' +p281005 +aS'3.6\t3.6\tCD\tI-NP\tO' +p281006 +aS'.\t.\t.\tO\tO' +p281007 +asS'Follow up will be with Dr. A Flow from Stromware St. , Balt who is the patient 's primary oncologist there .' +p281008 +(lp281009 +S'Follow\tFollow\tVB\tB-VP\tO' +p281010 +aS'up\tup\tRP\tB-PRT\tO' +p281011 +aS'will\twill\tMD\tB-VP\tO' +p281012 +aS'be\tbe\tVB\tI-VP\tO' +p281013 +aS'with\twith\tIN\tB-PP\tO' +p281014 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p281015 +aS'A\tA\tNNP\tI-NP\tO' +p281016 +aS'Flow\tFlow\tNNP\tI-NP\tO' +p281017 +aS'from\tfrom\tIN\tB-PP\tO' +p281018 +aS'Stromware\tStromware\tNNP\tB-NP\tO' +p281019 +aS'St.\tSt.\tNNP\tI-NP\tO' +p281020 +aS',\t,\t,\tO\tO' +p281021 +aS'Balt\tBalt\tNNP\tB-NP\tO' +p281022 +aS'who\twho\tWP\tB-NP\tO' +p281023 +aS'is\tbe\tVBZ\tB-VP\tO' +p281024 +aS'the\tthe\tDT\tB-NP\tO' +p281025 +aS'patient\tpatient\tNN\tI-NP\tO' +p281026 +aS''s\t'\tNNS\tI-NP\tO' +p281027 +aS'primary\tprimary\tJJ\tB-NP\tO' +p281028 +aS'oncologist\toncologist\tNN\tI-NP\tO' +p281029 +aS'there\tthere\tRB\tB-ADVP\tO' +p281030 +aS'.\t.\t.\tO\tO' +p281031 +asS'The tricuspid valve leaflets are mildly thickened .' +p281032 +(lp281033 +S'The\tThe\tDT\tB-NP\tO' +p281034 +aS'tricuspid\ttricuspid\tJJ\tI-NP\tO' +p281035 +aS'valve\tvalve\tNN\tI-NP\tO' +p281036 +aS'leaflets\tleaflet\tNNS\tI-NP\tO' +p281037 +aS'are\tbe\tVBP\tB-VP\tO' +p281038 +aS'mildly\tmildly\tRB\tI-VP\tO' +p281039 +aS'thickened\tthicken\tVBN\tI-VP\tO' +p281040 +aS'.\t.\t.\tO\tO' +p281041 +asS'He then became dusky and cyanotic , and stopped breathing on his own .' +p281042 +(lp281043 +S'He\tHe\tPRP\tB-NP\tO' +p281044 +aS'then\tthen\tRB\tB-ADVP\tO' +p281045 +aS'became\tbecome\tVBD\tB-VP\tO' +p281046 +aS'dusky\tdusky\tJJ\tB-ADJP\tO' +p281047 +aS'and\tand\tCC\tI-ADJP\tO' +p281048 +aS'cyanotic\tcyanotic\tJJ\tI-ADJP\tO' +p281049 +aS',\t,\t,\tO\tO' +p281050 +aS'and\tand\tCC\tO\tO' +p281051 +aS'stopped\tstop\tVBD\tB-VP\tO' +p281052 +aS'breathing\tbreathe\tVBG\tI-VP\tO' +p281053 +aS'on\ton\tIN\tB-PP\tO' +p281054 +aS'his\this\tPRP$\tB-NP\tO' +p281055 +aS'own\town\tJJ\tI-NP\tO' +p281056 +aS'.\t.\t.\tO\tO' +p281057 +asS'In the emergency department , CT of head , neck and abdomen were performed .' +p281058 +(lp281059 +S'In\tIn\tIN\tB-PP\tO' +p281060 +aS'the\tthe\tDT\tB-NP\tO' +p281061 +aS'emergency\temergency\tNN\tI-NP\tO' +p281062 +aS'department\tdepartment\tNN\tI-NP\tO' +p281063 +aS',\t,\t,\tO\tO' +p281064 +aS'CT\tCT\tNN\tB-NP\tO' +p281065 +aS'of\tof\tIN\tB-PP\tO' +p281066 +aS'head\thead\tNN\tB-NP\tO' +p281067 +aS',\t,\t,\tI-NP\tO' +p281068 +aS'neck\tneck\tNN\tI-NP\tO' +p281069 +aS'and\tand\tCC\tI-NP\tO' +p281070 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p281071 +aS'were\tbe\tVBD\tB-VP\tO' +p281072 +aS'performed\tperform\tVBN\tI-VP\tO' +p281073 +aS'.\t.\t.\tO\tO' +p281074 +asS'LENIs were negative at that time .' +p281075 +(lp281076 +S'LENIs\tLENI\tNNS\tB-NP\tB-protein' +p281077 +aS'were\tbe\tVBD\tB-VP\tO' +p281078 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p281079 +aS'at\tat\tIN\tB-PP\tO' +p281080 +aS'that\tthat\tDT\tB-NP\tO' +p281081 +aS'time\ttime\tNN\tI-NP\tO' +p281082 +aS'.\t.\t.\tO\tO' +p281083 +asS'Functionally , she was at the level of pre-gait training and able to stand and take several steps with upper body support .' +p281084 +(lp281085 +S'Functionally\tFunctionally\tRB\tB-ADVP\tO' +p281086 +aS',\t,\t,\tO\tO' +p281087 +aS'she\tshe\tPRP\tB-NP\tO' +p281088 +aS'was\tbe\tVBD\tB-VP\tO' +p281089 +aS'at\tat\tIN\tB-PP\tO' +p281090 +aS'the\tthe\tDT\tB-NP\tO' +p281091 +aS'level\tlevel\tNN\tI-NP\tO' +p281092 +aS'of\tof\tIN\tB-PP\tO' +p281093 +aS'pre-gait\tpre-gait\tJJ\tB-NP\tO' +p281094 +aS'training\ttraining\tNN\tI-NP\tO' +p281095 +aS'and\tand\tCC\tO\tO' +p281096 +aS'able\table\tJJ\tB-ADJP\tO' +p281097 +aS'to\tto\tTO\tB-VP\tO' +p281098 +aS'stand\tstand\tVB\tI-VP\tO' +p281099 +aS'and\tand\tCC\tI-VP\tO' +p281100 +aS'take\ttake\tVB\tI-VP\tO' +p281101 +aS'several\tseveral\tJJ\tB-NP\tO' +p281102 +aS'steps\tstep\tNNS\tI-NP\tO' +p281103 +aS'with\twith\tIN\tB-PP\tO' +p281104 +aS'upper\tupper\tJJ\tB-NP\tO' +p281105 +aS'body\tbody\tNN\tI-NP\tO' +p281106 +aS'support\tsupport\tNN\tI-NP\tO' +p281107 +aS'.\t.\t.\tO\tO' +p281108 +asS'Discharge instructions have been given .' +p281109 +(lp281110 +S'Discharge\tDischarge\tNN\tB-NP\tO' +p281111 +aS'instructions\tinstruction\tNNS\tI-NP\tO' +p281112 +aS'have\thave\tVBP\tB-VP\tO' +p281113 +aS'been\tbe\tVBN\tI-VP\tO' +p281114 +aS'given\tgive\tVBN\tI-VP\tO' +p281115 +aS'.\t.\t.\tO\tO' +p281116 +asS'NONCONTRAST CERVICAL SPINE CT : There are minimally displaced and comminuted fractures through the left C7 and T1 transverse processes .' +p281117 +(lp281118 +S'NONCONTRAST\tNONCONTRAST\tRB\tB-NP\tO' +p281119 +aS'CERVICAL\tCERVICAL\tNN\tI-NP\tO' +p281120 +aS'SPINE\tSPINE\tNN\tI-NP\tO' +p281121 +aS'CT\tCT\tNN\tI-NP\tO' +p281122 +aS':\t:\t:\tO\tO' +p281123 +aS'There\tThere\tEX\tB-NP\tO' +p281124 +aS'are\tbe\tVBP\tB-VP\tO' +p281125 +aS'minimally\tminimally\tRB\tI-VP\tO' +p281126 +aS'displaced\tdisplace\tVBN\tB-NP\tO' +p281127 +aS'and\tand\tCC\tI-NP\tO' +p281128 +aS'comminuted\tcomminute\tVBN\tI-NP\tO' +p281129 +aS'fractures\tfracture\tNNS\tI-NP\tO' +p281130 +aS'through\tthrough\tIN\tB-PP\tO' +p281131 +aS'the\tthe\tDT\tB-NP\tO' +p281132 +aS'left\tleft\tJJ\tI-NP\tO' +p281133 +aS'C7\tC7\tNN\tI-NP\tO' +p281134 +aS'and\tand\tCC\tI-NP\tO' +p281135 +aS'T1\tT1\tNN\tI-NP\tO' +p281136 +aS'transverse\ttransverse\tJJ\tI-NP\tO' +p281137 +aS'processes\tprocess\tNNS\tI-NP\tO' +p281138 +aS'.\t.\t.\tO\tO' +p281139 +asS'The patient 's only post-Surgical Intensive Care Unit course was remarkable for hypertension requiring Nipride and bleeding which was controlled with fresh frozen plasma , platelets .' +p281140 +(lp281141 +S'The\tThe\tDT\tB-NP\tO' +p281142 +aS'patient\tpatient\tNN\tI-NP\tO' +p281143 +aS''s\t'\tNNS\tI-NP\tO' +p281144 +aS'only\tonly\tRB\tB-NP\tO' +p281145 +aS'post-Surgical\tpost-Surgical\tJJ\tI-NP\tO' +p281146 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p281147 +aS'Care\tCare\tNNP\tI-NP\tO' +p281148 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p281149 +aS'course\tcourse\tNN\tI-NP\tO' +p281150 +aS'was\tbe\tVBD\tB-VP\tO' +p281151 +aS'remarkable\tremarkable\tJJ\tB-ADJP\tO' +p281152 +aS'for\tfor\tIN\tB-PP\tO' +p281153 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p281154 +aS'requiring\trequire\tVBG\tB-VP\tO' +p281155 +aS'Nipride\tNipride\tNN\tB-NP\tO' +p281156 +aS'and\tand\tCC\tI-NP\tO' +p281157 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p281158 +aS'which\twhich\tWDT\tB-NP\tO' +p281159 +aS'was\tbe\tVBD\tB-VP\tO' +p281160 +aS'controlled\tcontrol\tVBN\tI-VP\tO' +p281161 +aS'with\twith\tIN\tB-PP\tO' +p281162 +aS'fresh\tfresh\tJJ\tB-NP\tO' +p281163 +aS'frozen\tfreeze\tVBN\tI-NP\tO' +p281164 +aS'plasma\tplasma\tNN\tI-NP\tO' +p281165 +aS',\t,\t,\tO\tO' +p281166 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p281167 +aS'.\t.\t.\tO\tO' +p281168 +asS'On POD#8 a CT scan was obtained which revealed an abcess with a colovesicular fistula .' +p281169 +(lp281170 +S'On\tOn\tIN\tB-PP\tO' +p281171 +aS'POD#8\tPOD#8\tNN\tB-NP\tB-protein' +p281172 +aS'a\ta\tDT\tB-NP\tO' +p281173 +aS'CT\tCT\tNN\tI-NP\tO' +p281174 +aS'scan\tscan\tNN\tI-NP\tO' +p281175 +aS'was\tbe\tVBD\tB-VP\tO' +p281176 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p281177 +aS'which\twhich\tWDT\tB-NP\tO' +p281178 +aS'revealed\treveal\tVBD\tB-VP\tO' +p281179 +aS'an\tan\tDT\tB-NP\tO' +p281180 +aS'abcess\tabcess\tNN\tI-NP\tO' +p281181 +aS'with\twith\tIN\tB-PP\tO' +p281182 +aS'a\ta\tDT\tB-NP\tO' +p281183 +aS'colovesicular\tcolovesicular\tJJ\tI-NP\tO' +p281184 +aS'fistula\tfistula\tNN\tI-NP\tO' +p281185 +aS'.\t.\t.\tO\tO' +p281186 +asS'Given 48 hours off sedation with out change in mental status ( last morphine was 2016-05-07 ) .' +p281187 +(lp281188 +S'Given\tGive\tVBN\tB-PP\tO' +p281189 +aS'48\t48\tCD\tB-NP\tO' +p281190 +aS'hours\thour\tNNS\tI-NP\tO' +p281191 +aS'off\toff\tIN\tB-PP\tO' +p281192 +aS'sedation\tsedation\tNN\tB-NP\tO' +p281193 +aS'with\twith\tIN\tB-PP\tO' +p281194 +aS'out\tout\tRP\tB-PRT\tO' +p281195 +aS'change\tchange\tNN\tB-NP\tO' +p281196 +aS'in\tin\tIN\tB-PP\tO' +p281197 +aS'mental\tmental\tJJ\tB-NP\tO' +p281198 +aS'status\tstatus\tNN\tI-NP\tO' +p281199 +aS'(\t(\t(\tO\tO' +p281200 +aS'last\tlast\tJJ\tB-NP\tO' +p281201 +aS'morphine\tmorphine\tNN\tI-NP\tO' +p281202 +aS'was\tbe\tVBD\tB-VP\tO' +p281203 +aS'2016-05-07\t2016-05-07\tCD\tB-NP\tO' +p281204 +aS')\t)\t)\tO\tO' +p281205 +aS'.\t.\t.\tO\tO' +p281206 +asS'Cardiac and diabetic diet .' +p281207 +(lp281208 +S'Cardiac\tCardiac\tJJ\tB-NP\tO' +p281209 +aS'and\tand\tCC\tI-NP\tO' +p281210 +aS'diabetic\tdiabetic\tJJ\tI-NP\tO' +p281211 +aS'diet\tdiet\tNN\tI-NP\tO' +p281212 +aS'.\t.\t.\tO\tO' +p281213 +asS'Liver function tests were within normal limits .' +p281214 +(lp281215 +S'Liver\tLiver\tNN\tB-NP\tO' +p281216 +aS'function\tfunction\tNN\tI-NP\tO' +p281217 +aS'tests\ttest\tNNS\tI-NP\tO' +p281218 +aS'were\tbe\tVBD\tB-VP\tO' +p281219 +aS'within\twithin\tIN\tB-PP\tO' +p281220 +aS'normal\tnormal\tJJ\tB-NP\tO' +p281221 +aS'limits\tlimit\tNNS\tI-NP\tO' +p281222 +aS'.\t.\t.\tO\tO' +p281223 +asS'Service .' +p281224 +(lp281225 +S'Service\tService\tNN\tB-NP\tO' +p281226 +aS'.\t.\t.\tO\tO' +p281227 +asS'He developed epigastric pain on 07/31 which previously had been ignored but in retrospect was probably his anginal equivalent .' +p281228 +(lp281229 +S'He\tHe\tPRP\tB-NP\tO' +p281230 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p281231 +aS'epigastric\tepigastric\tJJ\tB-NP\tO' +p281232 +aS'pain\tpain\tNN\tI-NP\tO' +p281233 +aS'on\ton\tIN\tB-PP\tO' +p281234 +aS'07/31\t07/31\tCD\tB-NP\tO' +p281235 +aS'which\twhich\tWDT\tB-NP\tO' +p281236 +aS'previously\tpreviously\tRB\tB-ADVP\tO' +p281237 +aS'had\thave\tVBD\tB-VP\tO' +p281238 +aS'been\tbe\tVBN\tI-VP\tO' +p281239 +aS'ignored\tignore\tVBN\tI-VP\tO' +p281240 +aS'but\tbut\tCC\tO\tO' +p281241 +aS'in\tin\tIN\tB-PP\tO' +p281242 +aS'retrospect\tretrospect\tNN\tB-NP\tO' +p281243 +aS'was\tbe\tVBD\tB-VP\tO' +p281244 +aS'probably\tprobably\tRB\tB-ADVP\tO' +p281245 +aS'his\this\tPRP$\tB-NP\tO' +p281246 +aS'anginal\tanginal\tJJ\tI-NP\tO' +p281247 +aS'equivalent\tequivalent\tNN\tI-NP\tO' +p281248 +aS'.\t.\t.\tO\tO' +p281249 +asS'5 cc of purulent material drained by needle aspiration' +p281250 +(lp281251 +S'5\t5\tCD\tB-NP\tO' +p281252 +aS'cc\tcc\tNN\tI-NP\tO' +p281253 +aS'of\tof\tIN\tB-PP\tO' +p281254 +aS'purulent\tpurulent\tJJ\tB-NP\tO' +p281255 +aS'material\tmaterial\tNN\tI-NP\tO' +p281256 +aS'drained\tdrain\tVBN\tB-VP\tO' +p281257 +aS'by\tby\tIN\tB-PP\tO' +p281258 +aS'needle\tneedle\tNN\tB-NP\tO' +p281259 +aS'aspiration\taspiration\tNN\tI-NP\tO' +p281260 +asS'Continues to spike fever .' +p281261 +(lp281262 +S'Continues\tContinue\tNNS\tB-NP\tO' +p281263 +aS'to\tto\tTO\tB-VP\tO' +p281264 +aS'spike\tspike\tVB\tI-VP\tO' +p281265 +aS'fever\tfever\tNN\tB-NP\tO' +p281266 +aS'.\t.\t.\tO\tO' +p281267 +asS'Pupils dilated and sluggish .' +p281268 +(lp281269 +S'Pupils\tPupil\tNNS\tB-NP\tO' +p281270 +aS'dilated\tdilated\tJJ\tB-ADJP\tO' +p281271 +aS'and\tand\tCC\tI-ADJP\tO' +p281272 +aS'sluggish\tsluggish\tJJ\tI-ADJP\tO' +p281273 +aS'.\t.\t.\tO\tO' +p281274 +asS'Pupils equally round and reactive to light and accommodation bilaterally .' +p281275 +(lp281276 +S'Pupils\tPupil\tNNS\tB-NP\tO' +p281277 +aS'equally\tequally\tRB\tB-ADJP\tO' +p281278 +aS'round\tround\tJJ\tI-ADJP\tO' +p281279 +aS'and\tand\tCC\tI-ADJP\tO' +p281280 +aS'reactive\treactive\tJJ\tI-ADJP\tO' +p281281 +aS'to\tto\tTO\tB-PP\tO' +p281282 +aS'light\tlight\tNN\tB-NP\tO' +p281283 +aS'and\tand\tCC\tI-NP\tO' +p281284 +aS'accommodation\taccommodation\tNN\tI-NP\tO' +p281285 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p281286 +aS'.\t.\t.\tO\tO' +p281287 +asS'Digoxin 0.25 mg .' +p281288 +(lp281289 +S'Digoxin\tDigoxin\tNN\tB-NP\tO' +p281290 +aS'0.25\t0.25\tCD\tI-NP\tO' +p281291 +aS'mg\tmg\tNN\tI-NP\tO' +p281292 +aS'.\t.\t.\tO\tO' +p281293 +asS'He had a bedside echocardiogram done in the Catheterization Laboratory which showed normal LV wall thickness and normal LV cavity size .' +p281294 +(lp281295 +S'He\tHe\tPRP\tB-NP\tO' +p281296 +aS'had\thave\tVBD\tB-VP\tO' +p281297 +aS'a\ta\tDT\tB-NP\tO' +p281298 +aS'bedside\tbedside\tNN\tI-NP\tO' +p281299 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p281300 +aS'done\tdo\tVBN\tB-VP\tO' +p281301 +aS'in\tin\tIN\tB-PP\tO' +p281302 +aS'the\tthe\tDT\tB-NP\tO' +p281303 +aS'Catheterization\tCatheterization\tNNP\tI-NP\tO' +p281304 +aS'Laboratory\tLaboratory\tNNP\tI-NP\tO' +p281305 +aS'which\twhich\tWDT\tB-NP\tO' +p281306 +aS'showed\tshow\tVBD\tB-VP\tO' +p281307 +aS'normal\tnormal\tJJ\tB-NP\tO' +p281308 +aS'LV\tLV\tNN\tI-NP\tO' +p281309 +aS'wall\twall\tNN\tI-NP\tO' +p281310 +aS'thickness\tthickness\tNN\tI-NP\tO' +p281311 +aS'and\tand\tCC\tO\tO' +p281312 +aS'normal\tnormal\tJJ\tB-NP\tO' +p281313 +aS'LV\tLV\tNN\tI-NP\tO' +p281314 +aS'cavity\tcavity\tNN\tI-NP\tO' +p281315 +aS'size\tsize\tNN\tI-NP\tO' +p281316 +aS'.\t.\t.\tO\tO' +p281317 +asS'An endocrine consult was obtained to help manage his serum electrolytes .' +p281318 +(lp281319 +S'An\tAn\tDT\tB-NP\tO' +p281320 +aS'endocrine\tendocrine\tJJ\tI-NP\tO' +p281321 +aS'consult\tconsult\tNN\tI-NP\tO' +p281322 +aS'was\tbe\tVBD\tB-VP\tO' +p281323 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p281324 +aS'to\tto\tTO\tI-VP\tO' +p281325 +aS'help\thelp\tVB\tI-VP\tO' +p281326 +aS'manage\tmanage\tVB\tI-VP\tO' +p281327 +aS'his\this\tPRP$\tB-NP\tO' +p281328 +aS'serum\tserum\tNN\tI-NP\tO' +p281329 +aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' +p281330 +aS'.\t.\t.\tO\tO' +p281331 +asS'His mental status improved as his metabolic process was resolved as detailed above .' +p281332 +(lp281333 +S'His\tHis\tPRP$\tB-NP\tO' +p281334 +aS'mental\tmental\tJJ\tI-NP\tO' +p281335 +aS'status\tstatus\tNN\tI-NP\tO' +p281336 +aS'improved\timprove\tVBD\tB-VP\tO' +p281337 +aS'as\tas\tIN\tB-PP\tO' +p281338 +aS'his\this\tPRP$\tB-NP\tO' +p281339 +aS'metabolic\tmetabolic\tJJ\tI-NP\tO' +p281340 +aS'process\tprocess\tNN\tI-NP\tO' +p281341 +aS'was\tbe\tVBD\tB-VP\tO' +p281342 +aS'resolved\tresolve\tVBN\tI-VP\tO' +p281343 +aS'as\tas\tIN\tB-PP\tO' +p281344 +aS'detailed\tdetailed\tJJ\tB-ADJP\tO' +p281345 +aS'above\tabove\tRB\tB-ADVP\tO' +p281346 +aS'.\t.\t.\tO\tO' +p281347 +asS'No C/C/E .' +p281348 +(lp281349 +S'No\tNo\tDT\tB-NP\tO' +p281350 +aS'C/C/E\tC/C/E\tNN\tI-NP\tB-protein' +p281351 +aS'.\t.\t.\tO\tO' +p281352 +asS'Right tibial-fibular film series demonstrated no evidence of fracture displacement .' +p281353 +(lp281354 +S'Right\tRight\tRB\tB-NP\tO' +p281355 +aS'tibial-fibular\ttibial-fibular\tJJ\tI-NP\tO' +p281356 +aS'film\tfilm\tNN\tI-NP\tO' +p281357 +aS'series\tseries\tNN\tI-NP\tO' +p281358 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p281359 +aS'no\tno\tDT\tB-NP\tO' +p281360 +aS'evidence\tevidence\tNN\tI-NP\tO' +p281361 +aS'of\tof\tIN\tB-PP\tO' +p281362 +aS'fracture\tfracture\tNN\tB-NP\tO' +p281363 +aS'displacement\tdisplacement\tNN\tI-NP\tO' +p281364 +aS'.\t.\t.\tO\tO' +p281365 +asS'It was decided that he would have very close monitoring of his anticoagulation status in the future to prevent further problems .' +p281366 +(lp281367 +S'It\tIt\tPRP\tB-NP\tO' +p281368 +aS'was\tbe\tVBD\tB-VP\tO' +p281369 +aS'decided\tdecide\tVBN\tI-VP\tO' +p281370 +aS'that\tthat\tIN\tB-SBAR\tO' +p281371 +aS'he\the\tPRP\tB-NP\tO' +p281372 +aS'would\twould\tMD\tB-VP\tO' +p281373 +aS'have\thave\tVB\tI-VP\tO' +p281374 +aS'very\tvery\tRB\tB-NP\tO' +p281375 +aS'close\tclose\tJJ\tI-NP\tO' +p281376 +aS'monitoring\tmonitoring\tNN\tI-NP\tO' +p281377 +aS'of\tof\tIN\tB-PP\tO' +p281378 +aS'his\this\tPRP$\tB-NP\tO' +p281379 +aS'anticoagulation\tanticoagulation\tNN\tI-NP\tO' +p281380 +aS'status\tstatus\tNN\tI-NP\tO' +p281381 +aS'in\tin\tIN\tB-PP\tO' +p281382 +aS'the\tthe\tDT\tB-NP\tO' +p281383 +aS'future\tfuture\tNN\tI-NP\tO' +p281384 +aS'to\tto\tTO\tB-VP\tO' +p281385 +aS'prevent\tprevent\tVB\tI-VP\tO' +p281386 +aS'further\tfurther\tJJ\tB-NP\tO' +p281387 +aS'problems\tproblem\tNNS\tI-NP\tO' +p281388 +aS'.\t.\t.\tO\tO' +p281389 +asS'Her LDH which peaked at 1255 decreased to the mid 200s , but remained elevated .' +p281390 +(lp281391 +S'Her\tHer\tPRP$\tB-NP\tO' +p281392 +aS'LDH\tLDH\tNN\tI-NP\tB-protein' +p281393 +aS'which\twhich\tWDT\tB-NP\tO' +p281394 +aS'peaked\tpeak\tVBD\tB-VP\tO' +p281395 +aS'at\tat\tIN\tB-PP\tO' +p281396 +aS'1255\t1255\tCD\tB-NP\tO' +p281397 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p281398 +aS'to\tto\tTO\tB-PP\tO' +p281399 +aS'the\tthe\tDT\tB-NP\tO' +p281400 +aS'mid\tmid\tNN\tI-NP\tO' +p281401 +aS'200s\t200s\tCD\tI-NP\tO' +p281402 +aS',\t,\t,\tO\tO' +p281403 +aS'but\tbut\tCC\tO\tO' +p281404 +aS'remained\tremain\tVBD\tB-VP\tO' +p281405 +aS'elevated\televate\tVBN\tI-VP\tO' +p281406 +aS'.\t.\t.\tO\tO' +p281407 +asS'2) Cxray ( 06-14 ): New bibasilar consolidations are demonstrated accompanied by bilateral small pleural effusion .' +p281408 +(lp281409 +S'2)\t2)\tLS\tB-NP\tO' +p281410 +aS'Cxray\tCxray\tNN\tI-NP\tO' +p281411 +aS'(\t(\t(\tO\tO' +p281412 +aS'06-14\t06-14\tCD\tB-NP\tO' +p281413 +aS'):\t):\t)\tO\tO' +p281414 +aS'New\tNew\tNNP\tB-NP\tO' +p281415 +aS'bibasilar\tbibasilar\tJJ\tI-NP\tO' +p281416 +aS'consolidations\tconsolidation\tNNS\tI-NP\tO' +p281417 +aS'are\tbe\tVBP\tB-VP\tO' +p281418 +aS'demonstrated\tdemonstrate\tVBN\tI-VP\tO' +p281419 +aS'accompanied\taccompany\tVBN\tI-VP\tO' +p281420 +aS'by\tby\tIN\tB-PP\tO' +p281421 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p281422 +aS'small\tsmall\tJJ\tI-NP\tO' +p281423 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p281424 +aS'effusion\teffusion\tNN\tI-NP\tO' +p281425 +aS'.\t.\t.\tO\tO' +p281426 +asS'White count 18.3 , neutrophils 89 percent , hematocrit 41 , platelets 261 , INR 1.2 , and chem-7 otherwise normal .' +p281427 +(lp281428 +S'White\tWhite\tJJ\tB-NP\tO' +p281429 +aS'count\tcount\tNN\tI-NP\tO' +p281430 +aS'18.3\t18.3\tCD\tI-NP\tO' +p281431 +aS',\t,\t,\tO\tO' +p281432 +aS'neutrophils\tneutrophil\tVBZ\tB-VP\tO' +p281433 +aS'89\t89\tCD\tB-NP\tO' +p281434 +aS'percent\tpercent\tNN\tI-NP\tO' +p281435 +aS',\t,\t,\tO\tO' +p281436 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p281437 +aS'41\t41\tCD\tI-NP\tI-protein' +p281438 +aS',\t,\t,\tO\tO' +p281439 +aS'platelets\tplatelet\tNNS\tB-NP\tB-protein' +p281440 +aS'261\t261\tCD\tB-NP\tI-protein' +p281441 +aS',\t,\t,\tO\tO' +p281442 +aS'INR\tINR\tNN\tB-NP\tB-protein' +p281443 +aS'1.2\t1.2\tCD\tI-NP\tI-protein' +p281444 +aS',\t,\t,\tO\tO' +p281445 +aS'and\tand\tCC\tO\tO' +p281446 +aS'chem-7\tchem-7\tNN\tB-NP\tO' +p281447 +aS'otherwise\totherwise\tRB\tB-ADJP\tO' +p281448 +aS'normal\tnormal\tJJ\tI-ADJP\tO' +p281449 +aS'.\t.\t.\tO\tO' +p281450 +asS'You were treated with medications to improve your blood pressure .' +p281451 +(lp281452 +S'You\tYou\tPRP\tB-NP\tO' +p281453 +aS'were\tbe\tVBD\tB-VP\tO' +p281454 +aS'treated\ttreat\tVBN\tI-VP\tO' +p281455 +aS'with\twith\tIN\tB-PP\tO' +p281456 +aS'medications\tmedication\tNNS\tB-NP\tO' +p281457 +aS'to\tto\tTO\tB-VP\tO' +p281458 +aS'improve\timprove\tVB\tI-VP\tO' +p281459 +aS'your\tyour\tPRP$\tB-NP\tO' +p281460 +aS'blood\tblood\tNN\tI-NP\tO' +p281461 +aS'pressure\tpressure\tNN\tI-NP\tO' +p281462 +aS'.\t.\t.\tO\tO' +p281463 +asS'All of his wounds including sternotomy wound were clean , dry , and intact .' +p281464 +(lp281465 +S'All\tAll\tDT\tB-NP\tO' +p281466 +aS'of\tof\tIN\tB-PP\tO' +p281467 +aS'his\this\tPRP$\tB-NP\tO' +p281468 +aS'wounds\twound\tNNS\tI-NP\tO' +p281469 +aS'including\tinclude\tVBG\tB-PP\tO' +p281470 +aS'sternotomy\tsternotomy\tNN\tB-NP\tO' +p281471 +aS'wound\twound\tNN\tI-NP\tO' +p281472 +aS'were\tbe\tVBD\tB-VP\tO' +p281473 +aS'clean\tclean\tJJ\tB-ADJP\tO' +p281474 +aS',\t,\t,\tO\tO' +p281475 +aS'dry\tdry\tJJ\tB-ADJP\tO' +p281476 +aS',\t,\t,\tO\tO' +p281477 +aS'and\tand\tCC\tO\tO' +p281478 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p281479 +aS'.\t.\t.\tO\tO' +p281480 +asS'Postoperatively , the patient did very well and was neurovascularly intact .' +p281481 +(lp281482 +S'Postoperatively\tPostoperatively\tRB\tB-ADVP\tO' +p281483 +aS',\t,\t,\tO\tO' +p281484 +aS'the\tthe\tDT\tB-NP\tO' +p281485 +aS'patient\tpatient\tNN\tI-NP\tO' +p281486 +aS'did\tdo\tVBD\tB-VP\tO' +p281487 +aS'very\tvery\tRB\tB-ADVP\tO' +p281488 +aS'well\twell\tRB\tI-ADVP\tO' +p281489 +aS'and\tand\tCC\tO\tO' +p281490 +aS'was\tbe\tVBD\tB-VP\tO' +p281491 +aS'neurovascularly\tneurovascularly\tRB\tB-ADJP\tO' +p281492 +aS'intact\tintact\tJJ\tI-ADJP\tO' +p281493 +aS'.\t.\t.\tO\tO' +p281494 +asS'The patient was evaluated by the Surgical Service who felt that the wound was clean with some erythema but without evidence of true cellulitis .' +p281495 +(lp281496 +S'The\tThe\tDT\tB-NP\tO' +p281497 +aS'patient\tpatient\tNN\tI-NP\tO' +p281498 +aS'was\tbe\tVBD\tB-VP\tO' +p281499 +aS'evaluated\tevaluate\tVBN\tI-VP\tO' +p281500 +aS'by\tby\tIN\tB-PP\tO' +p281501 +aS'the\tthe\tDT\tB-NP\tO' +p281502 +aS'Surgical\tSurgical\tNNP\tI-NP\tO' +p281503 +aS'Service\tService\tNNP\tI-NP\tO' +p281504 +aS'who\twho\tWP\tB-NP\tO' +p281505 +aS'felt\tfeel\tVBD\tB-VP\tO' +p281506 +aS'that\tthat\tIN\tB-SBAR\tO' +p281507 +aS'the\tthe\tDT\tB-NP\tO' +p281508 +aS'wound\twound\tNN\tI-NP\tO' +p281509 +aS'was\tbe\tVBD\tB-VP\tO' +p281510 +aS'clean\tclean\tJJ\tB-ADJP\tO' +p281511 +aS'with\twith\tIN\tB-PP\tO' +p281512 +aS'some\tsome\tDT\tB-NP\tO' +p281513 +aS'erythema\terythema\tNN\tI-NP\tO' +p281514 +aS'but\tbut\tCC\tB-PP\tO' +p281515 +aS'without\twithout\tIN\tB-PP\tO' +p281516 +aS'evidence\tevidence\tNN\tB-NP\tO' +p281517 +aS'of\tof\tIN\tB-PP\tO' +p281518 +aS'true\ttrue\tJJ\tB-NP\tO' +p281519 +aS'cellulitis\tcellulitis\tNN\tI-NP\tO' +p281520 +aS'.\t.\t.\tO\tO' +p281521 +asS'Muscle spasms were managed with Flexeril 10 PO t.i.d.' +p281522 +(lp281523 +S'Muscle\tMuscle\tNN\tB-NP\tO' +p281524 +aS'spasms\tspasm\tNNS\tI-NP\tO' +p281525 +aS'were\tbe\tVBD\tB-VP\tO' +p281526 +aS'managed\tmanage\tVBN\tI-VP\tO' +p281527 +aS'with\twith\tIN\tB-PP\tO' +p281528 +aS'Flexeril\tFlexeril\tNNP\tB-NP\tB-protein' +p281529 +aS'10\t10\tCD\tI-NP\tI-protein' +p281530 +aS'PO\tPO\tNNP\tI-NP\tI-protein' +p281531 +aS't.i.d.\tt.i.d.\t.\tO\tO' +p281532 +asS'The abdomen was soft , positive bowel sounds , non tender , large , hard mass occupying the lower abdomen and left upper quadrant .' +p281533 +(lp281534 +S'The\tThe\tDT\tB-NP\tO' +p281535 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p281536 +aS'was\tbe\tVBD\tB-VP\tO' +p281537 +aS'soft\tsoft\tJJ\tB-NP\tO' +p281538 +aS',\t,\t,\tI-NP\tO' +p281539 +aS'positive\tpositive\tJJ\tI-NP\tO' +p281540 +aS'bowel\tbowel\tNN\tI-NP\tO' +p281541 +aS'sounds\tsound\tNNS\tI-NP\tO' +p281542 +aS',\t,\t,\tO\tO' +p281543 +aS'non\tnon\tJJ\tB-NP\tO' +p281544 +aS'tender\ttender\tNN\tI-NP\tO' +p281545 +aS',\t,\t,\tO\tO' +p281546 +aS'large\tlarge\tJJ\tB-NP\tO' +p281547 +aS',\t,\t,\tI-NP\tO' +p281548 +aS'hard\thard\tJJ\tI-NP\tO' +p281549 +aS'mass\tmass\tNN\tI-NP\tO' +p281550 +aS'occupying\toccupy\tVBG\tB-VP\tO' +p281551 +aS'the\tthe\tDT\tB-NP\tO' +p281552 +aS'lower\tlow\tJJR\tI-NP\tO' +p281553 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p281554 +aS'and\tand\tCC\tO\tO' +p281555 +aS'left\tleave\tVBD\tB-VP\tO' +p281556 +aS'upper\tupper\tJJ\tB-NP\tO' +p281557 +aS'quadrant\tquadrant\tNN\tI-NP\tO' +p281558 +aS'.\t.\t.\tO\tO' +p281559 +asS'Rapid alternating movement was normal .' +p281560 +(lp281561 +S'Rapid\tRapid\tJJ\tB-NP\tO' +p281562 +aS'alternating\talternate\tVBG\tI-NP\tO' +p281563 +aS'movement\tmovement\tNN\tI-NP\tO' +p281564 +aS'was\tbe\tVBD\tB-VP\tO' +p281565 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p281566 +aS'.\t.\t.\tO\tO' +p281567 +asS'Similac 22 calories per ounce by mouth ad lib with a goal of decreasing to 20 calories per ounce for dextrose sticks of greater than 60 .' +p281568 +(lp281569 +S'Similac\tSimilac\tNN\tB-NP\tO' +p281570 +aS'22\t22\tCD\tI-NP\tO' +p281571 +aS'calories\tcalorie\tNNS\tI-NP\tO' +p281572 +aS'per\tper\tIN\tB-PP\tO' +p281573 +aS'ounce\tounce\tNN\tB-NP\tO' +p281574 +aS'by\tby\tIN\tB-PP\tO' +p281575 +aS'mouth\tmouth\tNN\tB-NP\tO' +p281576 +aS'ad\tad\tNN\tI-NP\tO' +p281577 +aS'lib\tlib\tNN\tI-NP\tO' +p281578 +aS'with\twith\tIN\tB-PP\tO' +p281579 +aS'a\ta\tDT\tB-NP\tO' +p281580 +aS'goal\tgoal\tNN\tI-NP\tO' +p281581 +aS'of\tof\tIN\tB-PP\tO' +p281582 +aS'decreasing\tdecrease\tVBG\tB-VP\tO' +p281583 +aS'to\tto\tTO\tB-PP\tO' +p281584 +aS'20\t20\tCD\tB-NP\tO' +p281585 +aS'calories\tcalorie\tNNS\tI-NP\tO' +p281586 +aS'per\tper\tIN\tB-PP\tO' +p281587 +aS'ounce\tounce\tNN\tB-NP\tO' +p281588 +aS'for\tfor\tIN\tB-PP\tO' +p281589 +aS'dextrose\tdextrose\tNN\tB-NP\tO' +p281590 +aS'sticks\tstick\tNNS\tI-NP\tO' +p281591 +aS'of\tof\tIN\tB-PP\tO' +p281592 +aS'greater\tgreat\tJJR\tB-NP\tO' +p281593 +aS'than\tthan\tIN\tI-NP\tO' +p281594 +aS'60\t60\tCD\tI-NP\tO' +p281595 +aS'.\t.\t.\tO\tO' +p281596 +asS'The procedure performed was homograft replacement of the ascending aorta with omentopexy and an open chest .' +p281597 +(lp281598 +S'The\tThe\tDT\tB-NP\tO' +p281599 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p281600 +aS'performed\tperform\tVBN\tB-VP\tO' +p281601 +aS'was\tbe\tVBD\tB-VP\tO' +p281602 +aS'homograft\thomograft\tNN\tB-NP\tO' +p281603 +aS'replacement\treplacement\tNN\tI-NP\tO' +p281604 +aS'of\tof\tIN\tB-PP\tO' +p281605 +aS'the\tthe\tDT\tB-NP\tO' +p281606 +aS'ascending\tascend\tVBG\tI-NP\tO' +p281607 +aS'aorta\taorta\tNN\tI-NP\tO' +p281608 +aS'with\twith\tIN\tB-PP\tO' +p281609 +aS'omentopexy\tomentopexy\tNN\tB-NP\tO' +p281610 +aS'and\tand\tCC\tO\tO' +p281611 +aS'an\tan\tDT\tB-NP\tO' +p281612 +aS'open\topen\tJJ\tI-NP\tO' +p281613 +aS'chest\tchest\tNN\tI-NP\tO' +p281614 +aS'.\t.\t.\tO\tO' +p281615 +asS'Biopsy revealed adenocarcinoma .' +p281616 +(lp281617 +S'Biopsy\tBiopsy\tNN\tB-NP\tO' +p281618 +aS'revealed\treveal\tVBD\tB-VP\tO' +p281619 +aS'adenocarcinoma\tadenocarcinoma\tNN\tB-NP\tO' +p281620 +aS'.\t.\t.\tO\tO' +p281621 +asS'Interestingly , she reports that both her mother and father died of stomach carcinoma .' +p281622 +(lp281623 +S'Interestingly\tInterestingly\tRB\tB-ADVP\tO' +p281624 +aS',\t,\t,\tO\tO' +p281625 +aS'she\tshe\tPRP\tB-NP\tO' +p281626 +aS'reports\treport\tVBZ\tB-VP\tO' +p281627 +aS'that\tthat\tIN\tB-SBAR\tO' +p281628 +aS'both\tboth\tCC\tO\tO' +p281629 +aS'her\ther\tPRP$\tB-NP\tO' +p281630 +aS'mother\tmother\tNN\tI-NP\tO' +p281631 +aS'and\tand\tCC\tI-NP\tO' +p281632 +aS'father\tfather\tNN\tI-NP\tO' +p281633 +aS'died\tdie\tVBD\tB-VP\tO' +p281634 +aS'of\tof\tIN\tB-PP\tO' +p281635 +aS'stomach\tstomach\tNN\tB-NP\tO' +p281636 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p281637 +aS'.\t.\t.\tO\tO' +p281638 +asS'She remained ventilator dependent postoperatively and was taken to the Respiratory Intensive Care Unit .' +p281639 +(lp281640 +S'She\tShe\tPRP\tB-NP\tO' +p281641 +aS'remained\tremain\tVBD\tB-VP\tO' +p281642 +aS'ventilator\tventilator\tNN\tB-NP\tO' +p281643 +aS'dependent\tdependent\tJJ\tB-ADJP\tO' +p281644 +aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' +p281645 +aS'and\tand\tCC\tO\tO' +p281646 +aS'was\tbe\tVBD\tB-VP\tO' +p281647 +aS'taken\ttake\tVBN\tI-VP\tO' +p281648 +aS'to\tto\tTO\tB-PP\tO' +p281649 +aS'the\tthe\tDT\tB-NP\tO' +p281650 +aS'Respiratory\tRespiratory\tNNP\tI-NP\tO' +p281651 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p281652 +aS'Care\tCare\tNNP\tI-NP\tO' +p281653 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p281654 +aS'.\t.\t.\tO\tO' +p281655 +asS'Theyalso had diabetes and hypertension .' +p281656 +(lp281657 +S'Theyalso\tTheyalso\tRB\tB-ADVP\tO' +p281658 +aS'had\thave\tVBD\tB-VP\tO' +p281659 +aS'diabetes\tdiabetes\tNN\tB-NP\tO' +p281660 +aS'and\tand\tCC\tI-NP\tO' +p281661 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p281662 +aS'.\t.\t.\tO\tO' +p281663 +asS'His chest x-ray was clear .' +p281664 +(lp281665 +S'His\tHis\tPRP$\tB-NP\tO' +p281666 +aS'chest\tchest\tNN\tI-NP\tO' +p281667 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p281668 +aS'was\tbe\tVBD\tB-VP\tO' +p281669 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p281670 +aS'.\t.\t.\tO\tO' +p281671 +asS'Keflex 500 mg qid .' +p281672 +(lp281673 +S'Keflex\tKeflex\tNNP\tB-NP\tO' +p281674 +aS'500\t500\tCD\tI-NP\tO' +p281675 +aS'mg\tmg\tNN\tI-NP\tO' +p281676 +aS'qid\tqid\tNN\tI-NP\tO' +p281677 +aS'.\t.\t.\tO\tO' +p281678 +asS'Postoperatively , the patient did well and was able to cough and phonate completely with no changes from preoperative .' +p281679 +(lp281680 +S'Postoperatively\tPostoperatively\tRB\tB-ADVP\tO' +p281681 +aS',\t,\t,\tO\tO' +p281682 +aS'the\tthe\tDT\tB-NP\tO' +p281683 +aS'patient\tpatient\tNN\tI-NP\tO' +p281684 +aS'did\tdo\tVBD\tB-VP\tO' +p281685 +aS'well\twell\tRB\tB-ADVP\tO' +p281686 +aS'and\tand\tCC\tO\tO' +p281687 +aS'was\tbe\tVBD\tB-VP\tO' +p281688 +aS'able\table\tJJ\tB-ADJP\tO' +p281689 +aS'to\tto\tTO\tB-PP\tO' +p281690 +aS'cough\tcough\tNN\tB-NP\tO' +p281691 +aS'and\tand\tCC\tI-NP\tO' +p281692 +aS'phonate\tphonate\tNN\tI-NP\tO' +p281693 +aS'completely\tcompletely\tRB\tB-ADVP\tO' +p281694 +aS'with\twith\tIN\tB-PP\tO' +p281695 +aS'no\tno\tDT\tB-NP\tO' +p281696 +aS'changes\tchange\tNNS\tI-NP\tO' +p281697 +aS'from\tfrom\tIN\tB-PP\tO' +p281698 +aS'preoperative\tpreoperative\tJJ\tB-ADJP\tO' +p281699 +aS'.\t.\t.\tO\tO' +p281700 +asS'The patient is an 81 year old female , G2 , P2 , who status post total abdominal hysterectomy-bilateral salpingo-oophorectomy one years ago for a mixed mesodermal cancer who presents with vaginal apex recurrence .' +p281701 +(lp281702 +S'The\tThe\tDT\tB-NP\tO' +p281703 +aS'patient\tpatient\tNN\tI-NP\tO' +p281704 +aS'is\tbe\tVBZ\tB-VP\tO' +p281705 +aS'an\tan\tDT\tB-NP\tO' +p281706 +aS'81\t81\tCD\tI-NP\tO' +p281707 +aS'year\tyear\tNN\tI-NP\tO' +p281708 +aS'old\told\tJJ\tI-NP\tO' +p281709 +aS'female\tfemale\tNN\tI-NP\tO' +p281710 +aS',\t,\t,\tO\tO' +p281711 +aS'G2\tG2\tNN\tB-NP\tO' +p281712 +aS',\t,\t,\tO\tO' +p281713 +aS'P2\tP2\tNN\tB-NP\tB-DNA' +p281714 +aS',\t,\t,\tO\tO' +p281715 +aS'who\twho\tWP\tB-NP\tO' +p281716 +aS'status\tstatu\tVBZ\tB-VP\tO' +p281717 +aS'post\tpost\tRBS\tB-NP\tO' +p281718 +aS'total\ttotal\tJJ\tI-NP\tO' +p281719 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p281720 +aS'hysterectomy-bilateral\thysterectomy-bilateral\tJJ\tI-NP\tO' +p281721 +aS'salpingo-oophorectomy\tsalpingo-oophorectomy\tNN\tI-NP\tO' +p281722 +aS'one\tone\tCD\tB-NP\tO' +p281723 +aS'years\tyear\tNNS\tI-NP\tO' +p281724 +aS'ago\tago\tRB\tB-ADVP\tO' +p281725 +aS'for\tfor\tIN\tB-PP\tO' +p281726 +aS'a\ta\tDT\tB-NP\tO' +p281727 +aS'mixed\tmix\tVBN\tI-NP\tO' +p281728 +aS'mesodermal\tmesodermal\tJJ\tI-NP\tO' +p281729 +aS'cancer\tcancer\tNN\tI-NP\tO' +p281730 +aS'who\twho\tWP\tB-NP\tO' +p281731 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p281732 +aS'with\twith\tIN\tB-PP\tO' +p281733 +aS'vaginal\tvaginal\tJJ\tB-NP\tO' +p281734 +aS'apex\tapex\tNN\tI-NP\tO' +p281735 +aS'recurrence\trecurrence\tNN\tI-NP\tO' +p281736 +aS'.\t.\t.\tO\tO' +p281737 +asS'3. Ranitidine HCl 150 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ).' +p281738 +(lp281739 +S'3.\t3.\tLS\tB-NP\tO' +p281740 +aS'Ranitidine\tRanitidine\tNN\tI-NP\tB-protein' +p281741 +aS'HCl\tHCl\tNN\tI-NP\tI-protein' +p281742 +aS'150\t150\tCD\tI-NP\tI-protein' +p281743 +aS'mg\tmg\tNN\tI-NP\tI-protein' +p281744 +aS'Tablet\tTablet\tNNP\tI-NP\tI-protein' +p281745 +aS'Sig\tSig\tNNP\tI-NP\tI-protein' +p281746 +aS':\t:\t:\tO\tO' +p281747 +aS'One\tOne\tCD\tB-NP\tO' +p281748 +aS'(\t(\t(\tO\tO' +p281749 +aS'1\t1\tCD\tB-NP\tO' +p281750 +aS')\t)\t)\tO\tO' +p281751 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p281752 +aS'PO\tPO\tNN\tI-NP\tO' +p281753 +aS'BID\tBID\tNN\tI-NP\tO' +p281754 +aS'(\t(\t(\tO\tO' +p281755 +aS'2\t2\tCD\tB-NP\tO' +p281756 +aS'times\ttime\tNNS\tI-NP\tO' +p281757 +aS'a\ta\tDT\tB-NP\tO' +p281758 +aS'day\tday\tNN\tI-NP\tO' +p281759 +aS').\t).\t.\tO\tO' +p281760 +asS'Neuro : a/o x 3 , CN 04-04 intact' +p281761 +(lp281762 +S'Neuro\tNeuro\tNNP\tB-NP\tO' +p281763 +aS':\t:\t:\tO\tO' +p281764 +aS'a/o\ta/o\tNN\tB-NP\tO' +p281765 +aS'x\tx\tCC\tO\tO' +p281766 +aS'3\t3\tCD\tB-NP\tO' +p281767 +aS',\t,\t,\tO\tO' +p281768 +aS'CN\tCN\tNN\tB-NP\tO' +p281769 +aS'04-04\t04-04\tCD\tI-NP\tO' +p281770 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p281771 +asS'Iron and vitamin C were started for postoperative anemia .' +p281772 +(lp281773 +S'Iron\tIron\tNN\tB-NP\tO' +p281774 +aS'and\tand\tCC\tI-NP\tO' +p281775 +aS'vitamin\tvitamin\tNN\tI-NP\tO' +p281776 +aS'C\tC\tNN\tI-NP\tO' +p281777 +aS'were\tbe\tVBD\tB-VP\tO' +p281778 +aS'started\tstart\tVBN\tI-VP\tO' +p281779 +aS'for\tfor\tIN\tB-PP\tO' +p281780 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p281781 +aS'anemia\tanemia\tNN\tI-NP\tO' +p281782 +aS'.\t.\t.\tO\tO' +p281783 +asS'Her pulse was 61 , respirations 12 , and her O2 saturation was 98 percent on room air .' +p281784 +(lp281785 +S'Her\tHer\tPRP$\tB-NP\tO' +p281786 +aS'pulse\tpulse\tNN\tI-NP\tO' +p281787 +aS'was\tbe\tVBD\tB-VP\tO' +p281788 +aS'61\t61\tCD\tB-NP\tO' +p281789 +aS',\t,\t,\tO\tO' +p281790 +aS'respirations\trespiration\tNNS\tB-NP\tO' +p281791 +aS'12\t12\tCD\tB-NP\tO' +p281792 +aS',\t,\t,\tO\tO' +p281793 +aS'and\tand\tCC\tO\tO' +p281794 +aS'her\ther\tPRP$\tB-NP\tO' +p281795 +aS'O2\tO2\tNN\tI-NP\tO' +p281796 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p281797 +aS'was\tbe\tVBD\tB-VP\tO' +p281798 +aS'98\t98\tCD\tB-NP\tO' +p281799 +aS'percent\tpercent\tNN\tI-NP\tO' +p281800 +aS'on\ton\tIN\tB-PP\tO' +p281801 +aS'room\troom\tNN\tB-NP\tO' +p281802 +aS'air\tair\tNN\tI-NP\tO' +p281803 +aS'.\t.\t.\tO\tO' +p281804 +asS'Chemotherapy for metastatic cervical cancer was discussed with the patient and she was started on 5-FU 800 mg per meter squared days 06/18 , 06/19 , and 06/20 .' +p281805 +(lp281806 +S'Chemotherapy\tChemotherapy\tNN\tB-NP\tO' +p281807 +aS'for\tfor\tIN\tB-PP\tO' +p281808 +aS'metastatic\tmetastatic\tJJ\tB-NP\tO' +p281809 +aS'cervical\tcervical\tJJ\tI-NP\tO' +p281810 +aS'cancer\tcancer\tNN\tI-NP\tO' +p281811 +aS'was\tbe\tVBD\tB-VP\tO' +p281812 +aS'discussed\tdiscuss\tVBN\tI-VP\tO' +p281813 +aS'with\twith\tIN\tB-PP\tO' +p281814 +aS'the\tthe\tDT\tB-NP\tO' +p281815 +aS'patient\tpatient\tNN\tI-NP\tO' +p281816 +aS'and\tand\tCC\tO\tO' +p281817 +aS'she\tshe\tPRP\tB-NP\tO' +p281818 +aS'was\tbe\tVBD\tB-VP\tO' +p281819 +aS'started\tstart\tVBN\tI-VP\tO' +p281820 +aS'on\ton\tIN\tB-PP\tO' +p281821 +aS'5-FU\t5-FU\tNN\tB-NP\tO' +p281822 +aS'800\t800\tCD\tI-NP\tO' +p281823 +aS'mg\tmg\tNN\tI-NP\tO' +p281824 +aS'per\tper\tIN\tB-PP\tO' +p281825 +aS'meter\tmeter\tNN\tB-NP\tO' +p281826 +aS'squared\tsquare\tVBD\tB-VP\tO' +p281827 +aS'days\tday\tNNS\tB-NP\tO' +p281828 +aS'06/18\t06/18\tCD\tB-NP\tO' +p281829 +aS',\t,\t,\tI-NP\tO' +p281830 +aS'06/19\t06/19\tCD\tI-NP\tO' +p281831 +aS',\t,\t,\tO\tO' +p281832 +aS'and\tand\tCC\tO\tO' +p281833 +aS'06/20\t06/20\tCD\tB-NP\tO' +p281834 +aS'.\t.\t.\tO\tO' +p281835 +asS'Antibiotics were discontinued on POD#8 and pt remained afebrile thereafter .' +p281836 +(lp281837 +S'Antibiotics\tAntibiotic\tNNS\tB-NP\tO' +p281838 +aS'were\tbe\tVBD\tB-VP\tO' +p281839 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p281840 +aS'on\ton\tIN\tB-PP\tO' +p281841 +aS'POD#8\tPOD#8\tNN\tB-NP\tB-protein' +p281842 +aS'and\tand\tCC\tI-NP\tO' +p281843 +aS'pt\tpt\tNN\tI-NP\tO' +p281844 +aS'remained\tremain\tVBD\tB-VP\tO' +p281845 +aS'afebrile\tafebrile\tRB\tB-ADVP\tO' +p281846 +aS'thereafter\tthereafter\tRB\tI-ADVP\tO' +p281847 +aS'.\t.\t.\tO\tO' +p281848 +asS'He will be followed-up by his cardiologist after discharge .' +p281849 +(lp281850 +S'He\tHe\tPRP\tB-NP\tO' +p281851 +aS'will\twill\tMD\tB-VP\tO' +p281852 +aS'be\tbe\tVB\tI-VP\tO' +p281853 +aS'followed-up\tfollowed-up\tJJ\tB-ADJP\tO' +p281854 +aS'by\tby\tIN\tB-PP\tO' +p281855 +aS'his\this\tPRP$\tB-NP\tO' +p281856 +aS'cardiologist\tcardiologist\tNN\tI-NP\tO' +p281857 +aS'after\tafter\tIN\tB-PP\tO' +p281858 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p281859 +aS'.\t.\t.\tO\tO' +p281860 +asS'The patient is also to keep her left arm elevated and to remain on a low sodium diet .' +p281861 +(lp281862 +S'The\tThe\tDT\tB-NP\tO' +p281863 +aS'patient\tpatient\tNN\tI-NP\tO' +p281864 +aS'is\tbe\tVBZ\tB-VP\tO' +p281865 +aS'also\talso\tRB\tB-ADVP\tO' +p281866 +aS'to\tto\tTO\tB-VP\tO' +p281867 +aS'keep\tkeep\tVB\tI-VP\tO' +p281868 +aS'her\ther\tPRP$\tB-NP\tO' +p281869 +aS'left\tleft\tJJ\tI-NP\tO' +p281870 +aS'arm\tarm\tNN\tI-NP\tO' +p281871 +aS'elevated\televate\tVBN\tB-VP\tO' +p281872 +aS'and\tand\tCC\tO\tO' +p281873 +aS'to\tto\tTO\tB-VP\tO' +p281874 +aS'remain\tremain\tVB\tI-VP\tO' +p281875 +aS'on\ton\tIN\tB-PP\tO' +p281876 +aS'a\ta\tDT\tB-NP\tO' +p281877 +aS'low\tlow\tJJ\tI-NP\tO' +p281878 +aS'sodium\tsodium\tNN\tI-NP\tO' +p281879 +aS'diet\tdiet\tNN\tI-NP\tO' +p281880 +aS'.\t.\t.\tO\tO' +p281881 +asS'CN : PERRL , corneal reflex intact , nasal tickle intact , face symmetric .' +p281882 +(lp281883 +S'CN\tCN\tNN\tB-NP\tB-protein' +p281884 +aS':\t:\t:\tO\tO' +p281885 +aS'PERRL\tPERRL\tNN\tB-NP\tB-protein' +p281886 +aS',\t,\t,\tO\tO' +p281887 +aS'corneal\tcorneal\tJJ\tB-NP\tO' +p281888 +aS'reflex\treflex\tNN\tI-NP\tO' +p281889 +aS'intact\tintact\tJJ\tB-NP\tO' +p281890 +aS',\t,\t,\tI-NP\tO' +p281891 +aS'nasal\tnasal\tJJ\tI-NP\tO' +p281892 +aS'tickle\ttickle\tNN\tI-NP\tO' +p281893 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p281894 +aS',\t,\t,\tO\tO' +p281895 +aS'face\tface\tVBP\tB-VP\tO' +p281896 +aS'symmetric\tsymmetric\tJJ\tB-ADJP\tO' +p281897 +aS'.\t.\t.\tO\tO' +p281898 +asS'ICU for 24hr post-op cardiac monitoring .' +p281899 +(lp281900 +S'ICU\tICU\tNN\tB-NP\tO' +p281901 +aS'for\tfor\tIN\tB-PP\tO' +p281902 +aS'24hr\t24hr\tNN\tB-NP\tO' +p281903 +aS'post-op\tpost-op\tJJ\tI-NP\tO' +p281904 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p281905 +aS'monitoring\tmonitoring\tNN\tI-NP\tO' +p281906 +aS'.\t.\t.\tO\tO' +p281907 +asS'HEENT unremarkable .' +p281908 +(lp281909 +S'HEENT\tHEENT\tNN\tB-NP\tO' +p281910 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p281911 +aS'.\t.\t.\tO\tO' +p281912 +asS'10. Bacitracin-Polymyxin-Neosp HC Ointment Sig : One ( 1 ) Topical three times a day .' +p281913 +(lp281914 +S'10.\t10.\tLS\tB-LST\tO' +p281915 +aS'Bacitracin-Polymyxin-Neosp\tBacitracin-Polymyxin-Neosp\tNNP\tB-NP\tO' +p281916 +aS'HC\tHC\tNNP\tI-NP\tO' +p281917 +aS'Ointment\tOintment\tNNP\tI-NP\tO' +p281918 +aS'Sig\tSig\tNNP\tI-NP\tO' +p281919 +aS':\t:\t:\tO\tO' +p281920 +aS'One\tOne\tCD\tB-NP\tO' +p281921 +aS'(\t(\t(\tO\tO' +p281922 +aS'1\t1\tCD\tB-NP\tO' +p281923 +aS')\t)\t)\tO\tO' +p281924 +aS'Topical\tTopical\tJJ\tB-VP\tO' +p281925 +aS'three\tthree\tCD\tB-NP\tO' +p281926 +aS'times\ttime\tNNS\tI-NP\tO' +p281927 +aS'a\ta\tDT\tB-NP\tO' +p281928 +aS'day\tday\tNN\tI-NP\tO' +p281929 +aS'.\t.\t.\tO\tO' +p281930 +asS'# Chest Pain / Ischemia - Patient with history of CAD a/p MI .' +p281931 +(lp281932 +S'#\t#\t#\tB-NP\tO' +p281933 +aS'Chest\tCh\tJJS\tI-NP\tO' +p281934 +aS'Pain\tPain\tNN\tI-NP\tB-protein' +p281935 +aS'/\t/\tSYM\tB-NP\tO' +p281936 +aS'Ischemia\tIschemia\tNN\tI-NP\tO' +p281937 +aS'-\t-\tHYPH\tB-NP\tO' +p281938 +aS'Patient\tPatient\tNN\tI-NP\tO' +p281939 +aS'with\twith\tIN\tB-PP\tO' +p281940 +aS'history\thistory\tNN\tB-NP\tO' +p281941 +aS'of\tof\tIN\tB-PP\tO' +p281942 +aS'CAD\tCAD\tNN\tB-NP\tB-protein' +p281943 +aS'a/p\ta/p\tNN\tI-NP\tI-protein' +p281944 +aS'MI\tMI\tNN\tI-NP\tI-protein' +p281945 +aS'.\t.\t.\tO\tO' +p281946 +asS'He required no blood transfusions for four days prior to discharge .' +p281947 +(lp281948 +S'He\tHe\tPRP\tB-NP\tO' +p281949 +aS'required\trequire\tVBD\tB-VP\tO' +p281950 +aS'no\tno\tDT\tB-NP\tO' +p281951 +aS'blood\tblood\tNN\tI-NP\tO' +p281952 +aS'transfusions\ttransfusion\tNNS\tI-NP\tO' +p281953 +aS'for\tfor\tIN\tB-PP\tO' +p281954 +aS'four\tfour\tCD\tB-NP\tO' +p281955 +aS'days\tday\tNNS\tI-NP\tO' +p281956 +aS'prior\tprior\tRB\tB-ADVP\tO' +p281957 +aS'to\tto\tTO\tB-VP\tO' +p281958 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p281959 +aS'.\t.\t.\tO\tO' +p281960 +asS'1. Percocet 5/325 one to two q4hours p.r.n.' +p281961 +(lp281962 +S'1.\t1.\tLS\tB-LST\tO' +p281963 +aS'Percocet\tPercocet\tNNP\tB-NP\tO' +p281964 +aS'5/325\t5/325\tCD\tB-NP\tO' +p281965 +aS'one\tone\tCD\tI-NP\tO' +p281966 +aS'to\tto\tTO\tB-PP\tO' +p281967 +aS'two\ttwo\tCD\tB-NP\tO' +p281968 +aS'q4hours\tq4hour\tNNS\tI-NP\tO' +p281969 +aS'p.r.n.\tp.r.n.\tRB\tB-ADVP\tO' +p281970 +asS'The patient was felt to be stable on her current Flolan dose and was therefore transferred back to the floor .' +p281971 +(lp281972 +S'The\tThe\tDT\tB-NP\tO' +p281973 +aS'patient\tpatient\tNN\tI-NP\tO' +p281974 +aS'was\tbe\tVBD\tB-VP\tO' +p281975 +aS'felt\tfeel\tVBN\tI-VP\tO' +p281976 +aS'to\tto\tTO\tI-VP\tO' +p281977 +aS'be\tbe\tVB\tI-VP\tO' +p281978 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p281979 +aS'on\ton\tIN\tB-PP\tO' +p281980 +aS'her\ther\tPRP$\tB-NP\tO' +p281981 +aS'current\tcurrent\tJJ\tI-NP\tO' +p281982 +aS'Flolan\tFlolan\tNNP\tI-NP\tO' +p281983 +aS'dose\tdose\tNN\tI-NP\tO' +p281984 +aS'and\tand\tCC\tO\tO' +p281985 +aS'was\tbe\tVBD\tB-VP\tO' +p281986 +aS'therefore\ttherefore\tRB\tI-VP\tO' +p281987 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p281988 +aS'back\tback\tRB\tB-ADVP\tO' +p281989 +aS'to\tto\tTO\tB-PP\tO' +p281990 +aS'the\tthe\tDT\tB-NP\tO' +p281991 +aS'floor\tfloor\tNN\tI-NP\tO' +p281992 +aS'.\t.\t.\tO\tO' +p281993 +asS'This emergent cricothyroidotomy was converted then to a formal tracheostomy .' +p281994 +(lp281995 +S'This\tThis\tDT\tB-NP\tO' +p281996 +aS'emergent\temergent\tJJ\tI-NP\tO' +p281997 +aS'cricothyroidotomy\tcricothyroidotomy\tNN\tI-NP\tO' +p281998 +aS'was\tbe\tVBD\tB-VP\tO' +p281999 +aS'converted\tconvert\tVBN\tI-VP\tO' +p282000 +aS'then\tthen\tRB\tB-ADVP\tO' +p282001 +aS'to\tto\tTO\tB-PP\tO' +p282002 +aS'a\ta\tDT\tB-NP\tO' +p282003 +aS'formal\tformal\tJJ\tI-NP\tO' +p282004 +aS'tracheostomy\ttracheostomy\tNN\tI-NP\tO' +p282005 +aS'.\t.\t.\tO\tO' +p282006 +asS'The ventricles and sulci are normal in size and symmetrical .' +p282007 +(lp282008 +S'The\tThe\tDT\tB-NP\tO' +p282009 +aS'ventricles\tventricle\tNNS\tI-NP\tO' +p282010 +aS'and\tand\tCC\tI-NP\tO' +p282011 +aS'sulci\tsulcus\tNNS\tI-NP\tO' +p282012 +aS'are\tbe\tVBP\tB-VP\tO' +p282013 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p282014 +aS'in\tin\tIN\tB-PP\tO' +p282015 +aS'size\tsize\tNN\tB-NP\tO' +p282016 +aS'and\tand\tCC\tI-NP\tO' +p282017 +aS'symmetrical\tsymmetrical\tNN\tI-NP\tO' +p282018 +aS'.\t.\t.\tO\tO' +p282019 +asS'She is married with three children .' +p282020 +(lp282021 +S'She\tShe\tPRP\tB-NP\tO' +p282022 +aS'is\tbe\tVBZ\tB-VP\tO' +p282023 +aS'married\tmarry\tVBN\tI-VP\tO' +p282024 +aS'with\twith\tIN\tB-PP\tO' +p282025 +aS'three\tthree\tCD\tB-NP\tO' +p282026 +aS'children\tchild\tNNS\tI-NP\tO' +p282027 +aS'.\t.\t.\tO\tO' +p282028 +asS'TECHNIQUE : PA and lateral views of the chest .' +p282029 +(lp282030 +S'TECHNIQUE\tTECHNIQUE\tNN\tB-NP\tO' +p282031 +aS':\t:\t:\tO\tO' +p282032 +aS'PA\tPA\tNN\tB-NP\tO' +p282033 +aS'and\tand\tCC\tO\tO' +p282034 +aS'lateral\tlateral\tJJ\tB-NP\tO' +p282035 +aS'views\tview\tNNS\tI-NP\tO' +p282036 +aS'of\tof\tIN\tB-PP\tO' +p282037 +aS'the\tthe\tDT\tB-NP\tO' +p282038 +aS'chest\tchest\tNN\tI-NP\tO' +p282039 +aS'.\t.\t.\tO\tO' +p282040 +asS'5. Lisinopril 5 mg p.o. once daily .' +p282041 +(lp282042 +S'5.\t5.\tLS\tB-LST\tO' +p282043 +aS'Lisinopril\tLisinopril\tNNP\tB-NP\tO' +p282044 +aS'5\t5\tCD\tI-NP\tO' +p282045 +aS'mg\tmg\tNN\tI-NP\tO' +p282046 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p282047 +aS'once\tonce\tRB\tB-ADVP\tO' +p282048 +aS'daily\tdaily\tRB\tI-ADVP\tO' +p282049 +aS'.\t.\t.\tO\tO' +p282050 +asS'The patient was given a work note ( English ) .' +p282051 +(lp282052 +S'The\tThe\tDT\tB-NP\tO' +p282053 +aS'patient\tpatient\tNN\tI-NP\tO' +p282054 +aS'was\tbe\tVBD\tB-VP\tO' +p282055 +aS'given\tgive\tVBN\tI-VP\tO' +p282056 +aS'a\ta\tDT\tB-NP\tO' +p282057 +aS'work\twork\tNN\tI-NP\tO' +p282058 +aS'note\tnote\tNN\tI-NP\tO' +p282059 +aS'(\t(\t(\tO\tO' +p282060 +aS'English\tEnglish\tNN\tB-NP\tO' +p282061 +aS')\t)\t)\tO\tO' +p282062 +aS'.\t.\t.\tO\tO' +p282063 +asS'Right hip flexion and extension 40 and 0 .' +p282064 +(lp282065 +S'Right\tRight\tNN\tB-NP\tO' +p282066 +aS'hip\thip\tNN\tI-NP\tO' +p282067 +aS'flexion\tflexion\tNN\tI-NP\tO' +p282068 +aS'and\tand\tCC\tO\tO' +p282069 +aS'extension\textension\tNN\tB-NP\tO' +p282070 +aS'40\t40\tCD\tI-NP\tO' +p282071 +aS'and\tand\tCC\tI-NP\tO' +p282072 +aS'0\t0\tCD\tI-NP\tO' +p282073 +aS'.\t.\t.\tO\tO' +p282074 +asS'METASTATIC CERVICAL CARCINOMA .' +p282075 +(lp282076 +S'METASTATIC\tMETASTATIC\tNN\tB-NP\tO' +p282077 +aS'CERVICAL\tCERVICAL\tNN\tI-NP\tO' +p282078 +aS'CARCINOMA\tCARCINOMA\tNN\tI-NP\tO' +p282079 +aS'.\t.\t.\tO\tO' +p282080 +asS'The patient also had an omentectomy and ileostomy .' +p282081 +(lp282082 +S'The\tThe\tDT\tB-NP\tO' +p282083 +aS'patient\tpatient\tNN\tI-NP\tO' +p282084 +aS'also\talso\tRB\tB-ADVP\tO' +p282085 +aS'had\thave\tVBD\tB-VP\tO' +p282086 +aS'an\tan\tDT\tB-NP\tO' +p282087 +aS'omentectomy\tomentectomy\tNN\tI-NP\tO' +p282088 +aS'and\tand\tCC\tI-NP\tO' +p282089 +aS'ileostomy\tileostomy\tNN\tI-NP\tO' +p282090 +aS'.\t.\t.\tO\tO' +p282091 +asS'He did require two units of transfused blood but otherwise did quite well and was extubated on the night of surgery .' +p282092 +(lp282093 +S'He\tHe\tPRP\tB-NP\tO' +p282094 +aS'did\tdo\tVBD\tB-VP\tO' +p282095 +aS'require\trequire\tVB\tI-VP\tO' +p282096 +aS'two\ttwo\tCD\tB-NP\tO' +p282097 +aS'units\tunit\tNNS\tI-NP\tO' +p282098 +aS'of\tof\tIN\tB-PP\tO' +p282099 +aS'transfused\ttransfuse\tVBN\tB-NP\tO' +p282100 +aS'blood\tblood\tNN\tI-NP\tO' +p282101 +aS'but\tbut\tCC\tO\tO' +p282102 +aS'otherwise\totherwise\tRB\tB-VP\tO' +p282103 +aS'did\tdo\tVBD\tI-VP\tO' +p282104 +aS'quite\tquite\tRB\tB-ADVP\tO' +p282105 +aS'well\twell\tRB\tI-ADVP\tO' +p282106 +aS'and\tand\tCC\tO\tO' +p282107 +aS'was\tbe\tVBD\tB-VP\tO' +p282108 +aS'extubated\textubate\tVBN\tI-VP\tO' +p282109 +aS'on\ton\tIN\tB-PP\tO' +p282110 +aS'the\tthe\tDT\tB-NP\tO' +p282111 +aS'night\tnight\tNN\tI-NP\tO' +p282112 +aS'of\tof\tIN\tB-PP\tO' +p282113 +aS'surgery\tsurgery\tNN\tB-NP\tO' +p282114 +aS'.\t.\t.\tO\tO' +p282115 +asS'Start morphine ggt and titrate to comfort .' +p282116 +(lp282117 +S'Start\tStart\tNN\tB-NP\tO' +p282118 +aS'morphine\tmorphine\tNN\tI-NP\tO' +p282119 +aS'ggt\tggt\tNN\tI-NP\tO' +p282120 +aS'and\tand\tCC\tO\tO' +p282121 +aS'titrate\ttitrate\tNN\tB-NP\tO' +p282122 +aS'to\tto\tTO\tB-PP\tO' +p282123 +aS'comfort\tcomfort\tNN\tB-NP\tO' +p282124 +aS'.\t.\t.\tO\tO' +p282125 +asS'The birth length was 44 centimeters , the 75th percentile and the birth head circumference was 30.6 centimeters , in the 65th percentile' +p282126 +(lp282127 +S'The\tThe\tDT\tB-NP\tO' +p282128 +aS'birth\tbirth\tNN\tI-NP\tO' +p282129 +aS'length\tlength\tNN\tI-NP\tO' +p282130 +aS'was\tbe\tVBD\tB-VP\tO' +p282131 +aS'44\t44\tCD\tB-NP\tO' +p282132 +aS'centimeters\tcentimeter\tNNS\tI-NP\tO' +p282133 +aS',\t,\t,\tO\tO' +p282134 +aS'the\tthe\tDT\tB-NP\tO' +p282135 +aS'75th\t75th\tJJ\tI-NP\tO' +p282136 +aS'percentile\tpercentile\tNN\tI-NP\tO' +p282137 +aS'and\tand\tCC\tO\tO' +p282138 +aS'the\tthe\tDT\tB-NP\tO' +p282139 +aS'birth\tbirth\tNN\tI-NP\tO' +p282140 +aS'head\thead\tNN\tI-NP\tO' +p282141 +aS'circumference\tcircumference\tNN\tI-NP\tO' +p282142 +aS'was\tbe\tVBD\tB-VP\tO' +p282143 +aS'30.6\t30.6\tCD\tB-NP\tO' +p282144 +aS'centimeters\tcentimeter\tNNS\tI-NP\tO' +p282145 +aS',\t,\t,\tO\tO' +p282146 +aS'in\tin\tIN\tB-PP\tO' +p282147 +aS'the\tthe\tDT\tB-NP\tO' +p282148 +aS'65th\t65th\tNN\tI-NP\tO' +p282149 +aS'percentile\tpercentile\tNN\tI-NP\tO' +p282150 +asS'The patient and his family agreed to transfer from Nimaconwood Valley Hospital to Ianehutche Medical Center .' +p282151 +(lp282152 +S'The\tThe\tDT\tB-NP\tO' +p282153 +aS'patient\tpatient\tNN\tI-NP\tO' +p282154 +aS'and\tand\tCC\tO\tO' +p282155 +aS'his\this\tPRP$\tB-NP\tO' +p282156 +aS'family\tfamily\tNN\tI-NP\tO' +p282157 +aS'agreed\tagree\tVBD\tB-VP\tO' +p282158 +aS'to\tto\tTO\tI-VP\tO' +p282159 +aS'transfer\ttransfer\tVB\tI-VP\tO' +p282160 +aS'from\tfrom\tIN\tB-PP\tO' +p282161 +aS'Nimaconwood\tNimaconwood\tNNP\tB-NP\tO' +p282162 +aS'Valley\tValley\tNNP\tI-NP\tO' +p282163 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p282164 +aS'to\tto\tTO\tB-PP\tO' +p282165 +aS'Ianehutche\tIanehutche\tNNP\tB-NP\tO' +p282166 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p282167 +aS'Center\tCenter\tNNP\tI-NP\tO' +p282168 +aS'.\t.\t.\tO\tO' +p282169 +asS'11. Benzonatate 100 mg Capsule Sig : One ( 1 ) Capsule PO TID ( 3 times a day ) as needed for cough .' +p282170 +(lp282171 +S'11.\t11.\tCD\tB-NP\tO' +p282172 +aS'Benzonatate\tBenzonatate\tNN\tI-NP\tO' +p282173 +aS'100\t100\tCD\tB-NP\tO' +p282174 +aS'mg\tmg\tNN\tI-NP\tO' +p282175 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p282176 +aS'Sig\tSig\tNNP\tI-NP\tO' +p282177 +aS':\t:\t:\tO\tO' +p282178 +aS'One\tOne\tCD\tB-NP\tO' +p282179 +aS'(\t(\t(\tO\tO' +p282180 +aS'1\t1\tCD\tB-NP\tO' +p282181 +aS')\t)\t)\tO\tO' +p282182 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p282183 +aS'PO\tPO\tNNP\tI-NP\tO' +p282184 +aS'TID\tTID\tNNP\tI-NP\tO' +p282185 +aS'(\t(\t(\tO\tO' +p282186 +aS'3\t3\tCD\tB-NP\tO' +p282187 +aS'times\ttime\tNNS\tI-NP\tO' +p282188 +aS'a\ta\tDT\tB-NP\tO' +p282189 +aS'day\tday\tNN\tI-NP\tO' +p282190 +aS')\t)\t)\tO\tO' +p282191 +aS'as\tas\tIN\tB-SBAR\tO' +p282192 +aS'needed\tneed\tVBN\tB-VP\tO' +p282193 +aS'for\tfor\tIN\tB-PP\tO' +p282194 +aS'cough\tcough\tNN\tB-NP\tO' +p282195 +aS'.\t.\t.\tO\tO' +p282196 +asS'She smokes one pack per day x45 years .' +p282197 +(lp282198 +S'She\tShe\tPRP\tB-NP\tO' +p282199 +aS'smokes\tsmoke\tVBZ\tB-VP\tO' +p282200 +aS'one\tone\tCD\tB-NP\tO' +p282201 +aS'pack\tpack\tNN\tI-NP\tO' +p282202 +aS'per\tper\tIN\tB-PP\tO' +p282203 +aS'day\tday\tNN\tB-NP\tO' +p282204 +aS'x45\tx45\tCD\tB-NP\tO' +p282205 +aS'years\tyear\tNNS\tI-NP\tO' +p282206 +aS'.\t.\t.\tO\tO' +p282207 +asS'He is circumcised with testes descended bilaterally .' +p282208 +(lp282209 +S'He\tHe\tPRP\tB-NP\tO' +p282210 +aS'is\tbe\tVBZ\tB-VP\tO' +p282211 +aS'circumcised\tcircumcise\tVBN\tI-VP\tO' +p282212 +aS'with\twith\tIN\tB-PP\tO' +p282213 +aS'testes\ttestis\tNNS\tB-NP\tO' +p282214 +aS'descended\tdescend\tVBN\tB-VP\tO' +p282215 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p282216 +aS'.\t.\t.\tO\tO' +p282217 +asS"History was obtained per the Emergency Department report as well as from the patient 's family ." +p282218 +(lp282219 +S'History\tHistory\tNN\tB-NP\tO' +p282220 +aS'was\tbe\tVBD\tB-VP\tO' +p282221 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p282222 +aS'per\tper\tIN\tB-PP\tO' +p282223 +aS'the\tthe\tDT\tB-NP\tO' +p282224 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p282225 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p282226 +aS'report\treport\tNN\tI-NP\tO' +p282227 +aS'as\tas\tRB\tB-CONJP\tO' +p282228 +aS'well\twell\tRB\tI-CONJP\tO' +p282229 +aS'as\tas\tIN\tI-CONJP\tO' +p282230 +aS'from\tfrom\tIN\tB-PP\tO' +p282231 +aS'the\tthe\tDT\tB-NP\tO' +p282232 +aS'patient\tpatient\tNN\tI-NP\tO' +p282233 +aS"'s\t's\tPOS\tB-NP\tO" +p282234 +aS'family\tfamily\tNN\tI-NP\tO' +p282235 +aS'.\t.\t.\tO\tO' +p282236 +asS'20. Calcium Carbonate 500 mg Tablet , Chewable Sig : Three ( 3 ) Tablet , Chewable PO TID ( 3 times a day ) .' +p282237 +(lp282238 +S'20.\t20.\tLS\tB-NP\tO' +p282239 +aS'Calcium\tCalcium\tNN\tI-NP\tO' +p282240 +aS'Carbonate\tCarbonate\tNN\tI-NP\tO' +p282241 +aS'500\t500\tCD\tI-NP\tO' +p282242 +aS'mg\tmg\tNN\tI-NP\tO' +p282243 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p282244 +aS',\t,\t,\tO\tO' +p282245 +aS'Chewable\tChewable\tNNP\tB-NP\tO' +p282246 +aS'Sig\tSig\tNNP\tI-NP\tO' +p282247 +aS':\t:\t:\tO\tO' +p282248 +aS'Three\tThree\tCD\tB-NP\tO' +p282249 +aS'(\t(\t(\tO\tO' +p282250 +aS'3\t3\tCD\tB-NP\tO' +p282251 +aS')\t)\t)\tO\tO' +p282252 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p282253 +aS',\t,\t,\tO\tO' +p282254 +aS'Chewable\tChewable\tJJ\tB-NP\tO' +p282255 +aS'PO\tPO\tNN\tI-NP\tO' +p282256 +aS'TID\tTID\tNN\tI-NP\tO' +p282257 +aS'(\t(\t(\tO\tO' +p282258 +aS'3\t3\tCD\tB-NP\tO' +p282259 +aS'times\ttime\tNNS\tI-NP\tO' +p282260 +aS'a\ta\tDT\tB-NP\tO' +p282261 +aS'day\tday\tNN\tI-NP\tO' +p282262 +aS')\t)\t)\tO\tO' +p282263 +aS'.\t.\t.\tO\tO' +p282264 +asS'The U/A was negative .' +p282265 +(lp282266 +S'The\tThe\tDT\tB-NP\tO' +p282267 +aS'U/A\tU/A\tNN\tI-NP\tO' +p282268 +aS'was\tbe\tVBD\tB-VP\tO' +p282269 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p282270 +aS'.\t.\t.\tO\tO' +p282271 +asS'He was afebrile , blood pressure 154/75 , on Nipride drip , heart rate 81 , oxygen saturation 97% .' +p282272 +(lp282273 +S'He\tHe\tPRP\tB-NP\tO' +p282274 +aS'was\tbe\tVBD\tB-VP\tO' +p282275 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p282276 +aS',\t,\t,\tO\tO' +p282277 +aS'blood\tblood\tNN\tB-NP\tO' +p282278 +aS'pressure\tpressure\tNN\tI-NP\tO' +p282279 +aS'154/75\t154/75\tCD\tI-NP\tO' +p282280 +aS',\t,\t,\tO\tO' +p282281 +aS'on\ton\tIN\tB-PP\tO' +p282282 +aS'Nipride\tNipride\tNN\tB-NP\tB-protein' +p282283 +aS'drip\tdrip\tNN\tI-NP\tI-protein' +p282284 +aS',\t,\t,\tO\tO' +p282285 +aS'heart\theart\tNN\tB-NP\tO' +p282286 +aS'rate\trate\tNN\tI-NP\tO' +p282287 +aS'81\t81\tCD\tI-NP\tO' +p282288 +aS',\t,\t,\tO\tO' +p282289 +aS'oxygen\toxygen\tNN\tB-NP\tO' +p282290 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p282291 +aS'97%\t97%\tCD\tI-NP\tO' +p282292 +aS'.\t.\t.\tO\tO' +p282293 +asS'He tolerated the procedure well , please see Dr. Allgood Operative Note for detail .' +p282294 +(lp282295 +S'He\tHe\tPRP\tB-NP\tO' +p282296 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p282297 +aS'the\tthe\tDT\tB-NP\tO' +p282298 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p282299 +aS'well\twell\tRB\tB-ADVP\tO' +p282300 +aS',\t,\t,\tO\tO' +p282301 +aS'please\tplease\tVB\tB-INTJ\tO' +p282302 +aS'see\tsee\tVB\tB-VP\tO' +p282303 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p282304 +aS'Allgood\tAllgood\tNNP\tI-NP\tO' +p282305 +aS'Operative\tOperative\tNNP\tI-NP\tO' +p282306 +aS'Note\tNote\tNNP\tI-NP\tO' +p282307 +aS'for\tfor\tIN\tB-PP\tO' +p282308 +aS'detail\tdetail\tNN\tB-NP\tO' +p282309 +aS'.\t.\t.\tO\tO' +p282310 +asS'He was also started on intravenous Ticarcillin for possible gram negative pneumonia .' +p282311 +(lp282312 +S'He\tHe\tPRP\tB-NP\tO' +p282313 +aS'was\tbe\tVBD\tB-VP\tO' +p282314 +aS'also\talso\tRB\tI-VP\tO' +p282315 +aS'started\tstart\tVBN\tI-VP\tO' +p282316 +aS'on\ton\tIN\tB-PP\tO' +p282317 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p282318 +aS'Ticarcillin\tTicarcillin\tNN\tI-NP\tO' +p282319 +aS'for\tfor\tIN\tB-PP\tO' +p282320 +aS'possible\tpossible\tJJ\tB-NP\tO' +p282321 +aS'gram\tgram\tNN\tI-NP\tO' +p282322 +aS'negative\tnegative\tJJ\tI-NP\tO' +p282323 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p282324 +aS'.\t.\t.\tO\tO' +p282325 +asS'Glucose 191 .' +p282326 +(lp282327 +S'Glucose\tGlucose\tNN\tB-NP\tB-protein' +p282328 +aS'191\t191\tCD\tI-NP\tI-protein' +p282329 +aS'.\t.\t.\tO\tO' +p282330 +asS'Fluids of D5 water with 30 mEq of sodium acetate per liter , 30 ml per liter of phosphate , and 30 mEq of K acetate per liter at 90 cc's per hour was given .' +p282331 +(lp282332 +S'Fluids\tFluid\tNNS\tB-NP\tO' +p282333 +aS'of\tof\tIN\tB-PP\tO' +p282334 +aS'D5\tD5\tNN\tB-NP\tO' +p282335 +aS'water\twater\tNN\tI-NP\tO' +p282336 +aS'with\twith\tIN\tB-PP\tO' +p282337 +aS'30\t30\tCD\tB-NP\tO' +p282338 +aS'mEq\tmEq\tNN\tI-NP\tO' +p282339 +aS'of\tof\tIN\tB-PP\tO' +p282340 +aS'sodium\tsodium\tNN\tB-NP\tO' +p282341 +aS'acetate\tacetate\tNN\tI-NP\tO' +p282342 +aS'per\tper\tIN\tB-PP\tO' +p282343 +aS'liter\tliter\tNN\tB-NP\tO' +p282344 +aS',\t,\t,\tO\tO' +p282345 +aS'30\t30\tCD\tB-NP\tO' +p282346 +aS'ml\tml\tNN\tI-NP\tO' +p282347 +aS'per\tper\tIN\tB-PP\tO' +p282348 +aS'liter\tliter\tNN\tB-NP\tO' +p282349 +aS'of\tof\tIN\tB-PP\tO' +p282350 +aS'phosphate\tphosphate\tNN\tB-NP\tO' +p282351 +aS',\t,\t,\tO\tO' +p282352 +aS'and\tand\tCC\tO\tO' +p282353 +aS'30\t30\tCD\tB-NP\tO' +p282354 +aS'mEq\tmEq\tNN\tI-NP\tO' +p282355 +aS'of\tof\tIN\tB-PP\tO' +p282356 +aS'K\tK\tNN\tB-NP\tO' +p282357 +aS'acetate\tacetate\tNN\tI-NP\tO' +p282358 +aS'per\tper\tIN\tB-PP\tO' +p282359 +aS'liter\tliter\tNN\tB-NP\tO' +p282360 +aS'at\tat\tIN\tB-PP\tO' +p282361 +aS'90\t90\tCD\tB-NP\tO' +p282362 +aS'cc's\tcc'\tNNS\tI-NP\tO' +p282363 +aS'per\tper\tIN\tB-PP\tO' +p282364 +aS'hour\thour\tNN\tB-NP\tO' +p282365 +aS'was\tbe\tVBD\tB-VP\tO' +p282366 +aS'given\tgive\tVBN\tI-VP\tO' +p282367 +aS'.\t.\t.\tO\tO' +p282368 +asS'Discharge Medications : patient passed away' +p282369 +(lp282370 +S'Discharge\tDischarge\tNNP\tB-NP\tO' +p282371 +aS'Medications\tMedication\tNNPS\tI-NP\tO' +p282372 +aS':\t:\t:\tO\tO' +p282373 +aS'patient\tpatient\tNN\tB-NP\tO' +p282374 +aS'passed\tpass\tVBD\tB-VP\tO' +p282375 +aS'away\taway\tRB\tB-ADVP\tO' +p282376 +asS'The patient has a history of anemia as per past medical history above .' +p282377 +(lp282378 +S'The\tThe\tDT\tB-NP\tO' +p282379 +aS'patient\tpatient\tNN\tI-NP\tO' +p282380 +aS'has\thave\tVBZ\tB-VP\tO' +p282381 +aS'a\ta\tDT\tB-NP\tO' +p282382 +aS'history\thistory\tNN\tI-NP\tO' +p282383 +aS'of\tof\tIN\tB-PP\tO' +p282384 +aS'anemia\tanemia\tNN\tB-NP\tO' +p282385 +aS'as\tas\tIN\tB-PP\tO' +p282386 +aS'per\tper\tIN\tB-PP\tO' +p282387 +aS'past\tpast\tJJ\tB-NP\tO' +p282388 +aS'medical\tmedical\tJJ\tI-NP\tO' +p282389 +aS'history\thistory\tNN\tI-NP\tO' +p282390 +aS'above\tabove\tIN\tB-ADVP\tO' +p282391 +aS'.\t.\t.\tO\tO' +p282392 +asS'The head , eyes , ears , nose , throat examination revealed an entry wound approximately 1 1/2 inches above the right ear , which is approximately 1 cm. in length and surrounded by powder burn .' +p282393 +(lp282394 +S'The\tThe\tDT\tB-NP\tO' +p282395 +aS'head\thead\tNN\tI-NP\tO' +p282396 +aS',\t,\t,\tO\tO' +p282397 +aS'eyes\teye\tNNS\tB-NP\tO' +p282398 +aS',\t,\t,\tO\tO' +p282399 +aS'ears\tear\tNNS\tB-NP\tO' +p282400 +aS',\t,\t,\tO\tO' +p282401 +aS'nose\tnose\tNN\tB-NP\tO' +p282402 +aS',\t,\t,\tO\tO' +p282403 +aS'throat\tthroat\tDT\tB-NP\tO' +p282404 +aS'examination\texamination\tNN\tI-NP\tO' +p282405 +aS'revealed\treveal\tVBD\tB-VP\tO' +p282406 +aS'an\tan\tDT\tB-NP\tO' +p282407 +aS'entry\tentry\tNN\tI-NP\tO' +p282408 +aS'wound\twound\tNN\tI-NP\tO' +p282409 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p282410 +aS'1\t1\tCD\tI-NP\tO' +p282411 +aS'1/2\t1/2\tCD\tI-NP\tO' +p282412 +aS'inches\tinch\tNNS\tI-NP\tO' +p282413 +aS'above\tabove\tIN\tB-PP\tO' +p282414 +aS'the\tthe\tDT\tB-NP\tO' +p282415 +aS'right\tright\tJJ\tI-NP\tO' +p282416 +aS'ear\tear\tNN\tI-NP\tO' +p282417 +aS',\t,\t,\tO\tO' +p282418 +aS'which\twhich\tWDT\tB-NP\tO' +p282419 +aS'is\tbe\tVBZ\tB-VP\tO' +p282420 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p282421 +aS'1\t1\tCD\tI-NP\tO' +p282422 +aS'cm.\tcm.\tNN\tI-NP\tO' +p282423 +aS'in\tin\tIN\tB-PP\tO' +p282424 +aS'length\tlength\tNN\tB-NP\tO' +p282425 +aS'and\tand\tCC\tO\tO' +p282426 +aS'surrounded\tsurround\tVBN\tB-VP\tO' +p282427 +aS'by\tby\tIN\tB-PP\tO' +p282428 +aS'powder\tpowder\tNN\tB-NP\tO' +p282429 +aS'burn\tburn\tNN\tI-NP\tO' +p282430 +aS'.\t.\t.\tO\tO' +p282431 +asS'Cdiff from 04/08 , 04/09 , 04/10 were negative .' +p282432 +(lp282433 +S'Cdiff\tCdiff\tNN\tB-NP\tO' +p282434 +aS'from\tfrom\tIN\tB-PP\tO' +p282435 +aS'04/08\t04/08\tCD\tB-NP\tO' +p282436 +aS',\t,\t,\tI-NP\tO' +p282437 +aS'04/09\t04/09\tCD\tI-NP\tO' +p282438 +aS',\t,\t,\tI-NP\tO' +p282439 +aS'04/10\t04/10\tCD\tI-NP\tO' +p282440 +aS'were\tbe\tVBD\tB-VP\tO' +p282441 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p282442 +aS'.\t.\t.\tO\tO' +p282443 +asS'Over several days she continued to make good amounts or urine .' +p282444 +(lp282445 +S'Over\tOver\tIN\tB-PP\tO' +p282446 +aS'several\tseveral\tJJ\tB-NP\tO' +p282447 +aS'days\tday\tNNS\tI-NP\tO' +p282448 +aS'she\tshe\tPRP\tB-NP\tO' +p282449 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p282450 +aS'to\tto\tTO\tI-VP\tO' +p282451 +aS'make\tmake\tVB\tI-VP\tO' +p282452 +aS'good\tgood\tJJ\tB-NP\tO' +p282453 +aS'amounts\tamount\tNNS\tI-NP\tO' +p282454 +aS'or\tor\tCC\tO\tO' +p282455 +aS'urine\turine\tNN\tB-NP\tO' +p282456 +aS'.\t.\t.\tO\tO' +p282457 +asS'9. FEN : cardiac diet , watch for aspiration given somnolent status at this time , ck and replete Mg/K/Ca aggressively' +p282458 +(lp282459 +S'9.\t9.\tCD\tB-NP\tO' +p282460 +aS'FEN\tFEN\tNNP\tI-NP\tO' +p282461 +aS':\t:\t:\tO\tO' +p282462 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p282463 +aS'diet\tdiet\tNN\tI-NP\tO' +p282464 +aS',\t,\t,\tO\tO' +p282465 +aS'watch\twatch\tNN\tB-NP\tO' +p282466 +aS'for\tfor\tIN\tB-PP\tO' +p282467 +aS'aspiration\taspiration\tNN\tB-NP\tO' +p282468 +aS'given\tgive\tVBN\tB-VP\tO' +p282469 +aS'somnolent\tsomnolent\tJJ\tB-NP\tO' +p282470 +aS'status\tstatus\tNN\tI-NP\tO' +p282471 +aS'at\tat\tIN\tB-PP\tO' +p282472 +aS'this\tthis\tDT\tB-NP\tO' +p282473 +aS'time\ttime\tNN\tI-NP\tO' +p282474 +aS',\t,\t,\tO\tO' +p282475 +aS'ck\tck\tNN\tB-NP\tO' +p282476 +aS'and\tand\tCC\tO\tO' +p282477 +aS'replete\treplete\tJJ\tB-NP\tO' +p282478 +aS'Mg/K/Ca\tMg/K/Ca\tNN\tI-NP\tO' +p282479 +aS'aggressively\taggressively\tRB\tB-ADVP\tO' +p282480 +asS'She has a remote tobacco history , quit in October , one pack per day for 50 years .' +p282481 +(lp282482 +S'She\tShe\tPRP\tB-NP\tO' +p282483 +aS'has\thave\tVBZ\tB-VP\tO' +p282484 +aS'a\ta\tDT\tB-NP\tO' +p282485 +aS'remote\tremote\tJJ\tI-NP\tO' +p282486 +aS'tobacco\ttobacco\tNN\tI-NP\tO' +p282487 +aS'history\thistory\tNN\tI-NP\tO' +p282488 +aS',\t,\t,\tO\tO' +p282489 +aS'quit\tquit\tVBN\tB-VP\tO' +p282490 +aS'in\tin\tIN\tB-PP\tO' +p282491 +aS'October\tOctober\tNNP\tB-NP\tO' +p282492 +aS',\t,\t,\tO\tO' +p282493 +aS'one\tone\tCD\tB-NP\tO' +p282494 +aS'pack\tpack\tNN\tI-NP\tO' +p282495 +aS'per\tper\tIN\tB-PP\tO' +p282496 +aS'day\tday\tNN\tB-NP\tO' +p282497 +aS'for\tfor\tIN\tB-PP\tO' +p282498 +aS'50\t50\tCD\tB-NP\tO' +p282499 +aS'years\tyear\tNNS\tI-NP\tO' +p282500 +aS'.\t.\t.\tO\tO' +p282501 +asS'1. Digoxin 375 mcg and 250 mcg alternating doses each day .' +p282502 +(lp282503 +S'1.\t1.\tLS\tB-NP\tO' +p282504 +aS'Digoxin\tDigoxin\tNN\tI-NP\tO' +p282505 +aS'375\t375\tCD\tB-NP\tO' +p282506 +aS'mcg\tmcg\tNN\tI-NP\tO' +p282507 +aS'and\tand\tCC\tO\tO' +p282508 +aS'250\t250\tCD\tB-NP\tO' +p282509 +aS'mcg\tmcg\tNN\tI-NP\tO' +p282510 +aS'alternating\talternate\tVBG\tB-VP\tO' +p282511 +aS'doses\tdose\tNNS\tB-NP\tO' +p282512 +aS'each\teach\tDT\tB-NP\tO' +p282513 +aS'day\tday\tNN\tI-NP\tO' +p282514 +aS'.\t.\t.\tO\tO' +p282515 +asS'2. Insulin drip at 2 .' +p282516 +(lp282517 +S'2.\t2.\tLS\tB-NP\tO' +p282518 +aS'Insulin\tInsulin\tNN\tI-NP\tB-protein' +p282519 +aS'drip\tdrip\tNN\tI-NP\tI-protein' +p282520 +aS'at\tat\tIN\tB-PP\tI-protein' +p282521 +aS'2\t2\tCD\tB-NP\tI-protein' +p282522 +aS'.\t.\t.\tO\tO' +p282523 +asS'6. Penicillin G Pot in Dextrose 2,000,000 unit / 50 mL Piggyback Sig : One ( 1 ) Intravenous Q4H ( every 4 hours ).' +p282524 +(lp282525 +S'6.\t6.\tLS\tB-LST\tO' +p282526 +aS'Penicillin\tPenicillin\tNNP\tB-NP\tO' +p282527 +aS'G\tG\tNNP\tI-NP\tO' +p282528 +aS'Pot\tPot\tNNP\tI-NP\tO' +p282529 +aS'in\tin\tIN\tB-PP\tO' +p282530 +aS'Dextrose\tDextrose\tNNP\tB-NP\tO' +p282531 +aS'2,000,000\t2,000,000\tCD\tI-NP\tO' +p282532 +aS'unit\tunit\tNN\tI-NP\tO' +p282533 +aS'/\t/\tSYM\tB-NP\tO' +p282534 +aS'50\t50\tCD\tB-NP\tO' +p282535 +aS'mL\tmL\tNN\tI-NP\tO' +p282536 +aS'Piggyback\tPiggyback\tNNP\tI-NP\tO' +p282537 +aS'Sig\tSig\tNNP\tI-NP\tO' +p282538 +aS':\t:\t:\tO\tO' +p282539 +aS'One\tOne\tCD\tB-NP\tO' +p282540 +aS'(\t(\t(\tO\tO' +p282541 +aS'1\t1\tCD\tB-NP\tO' +p282542 +aS')\t)\t)\tO\tO' +p282543 +aS'Intravenous\tIntravenous\tJJ\tB-NP\tO' +p282544 +aS'Q4H\tQ4H\tNN\tI-NP\tO' +p282545 +aS'(\t(\t(\tO\tO' +p282546 +aS'every\tevery\tDT\tB-NP\tO' +p282547 +aS'4\t4\tCD\tI-NP\tO' +p282548 +aS'hours\thour\tNNS\tI-NP\tO' +p282549 +aS').\t).\t)\tO\tO' +p282550 +asS'2. Bilateral basilar compressive atelectasis .' +p282551 +(lp282552 +S'2.\t2.\tLS\tB-NP\tO' +p282553 +aS'Bilateral\tBilateral\tJJ\tI-NP\tO' +p282554 +aS'basilar\tbasilar\tJJ\tI-NP\tO' +p282555 +aS'compressive\tcompressive\tJJ\tI-NP\tO' +p282556 +aS'atelectasis\tatelectasis\tNN\tI-NP\tO' +p282557 +aS'.\t.\t.\tO\tO' +p282558 +asS'She remained in a coma .' +p282559 +(lp282560 +S'She\tShe\tPRP\tB-NP\tO' +p282561 +aS'remained\tremain\tVBD\tB-VP\tO' +p282562 +aS'in\tin\tIN\tB-PP\tO' +p282563 +aS'a\ta\tDT\tB-NP\tO' +p282564 +aS'coma\tcoma\tNN\tI-NP\tO' +p282565 +aS'.\t.\t.\tO\tO' +p282566 +asS'The head , eyes , ears , nose and throat unremarkable .' +p282567 +(lp282568 +S'The\tThe\tDT\tB-NP\tO' +p282569 +aS'head\thead\tNN\tI-NP\tO' +p282570 +aS',\t,\t,\tO\tO' +p282571 +aS'eyes\teye\tNNS\tB-NP\tO' +p282572 +aS',\t,\t,\tO\tO' +p282573 +aS'ears\tear\tNNS\tB-NP\tO' +p282574 +aS',\t,\t,\tO\tO' +p282575 +aS'nose\tnose\tNN\tB-NP\tO' +p282576 +aS'and\tand\tCC\tI-NP\tO' +p282577 +aS'throat\tthroat\tNN\tI-NP\tO' +p282578 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p282579 +aS'.\t.\t.\tO\tO' +p282580 +asS'On January 2 , pleurodesis was performed .' +p282581 +(lp282582 +S'On\tOn\tIN\tB-PP\tO' +p282583 +aS'January\tJanuary\tNNP\tB-NP\tO' +p282584 +aS'2\t2\tCD\tI-NP\tO' +p282585 +aS',\t,\t,\tO\tO' +p282586 +aS'pleurodesis\tpleurodesis\tNN\tB-NP\tO' +p282587 +aS'was\tbe\tVBD\tB-VP\tO' +p282588 +aS'performed\tperform\tVBN\tI-VP\tO' +p282589 +aS'.\t.\t.\tO\tO' +p282590 +asS'5. Patent medial and lateral plantar arteries , filled through collaterals arising mostly from the peroneal artery .' +p282591 +(lp282592 +S'5.\t5.\tLS\tB-NP\tO' +p282593 +aS'Patent\tPatent\tNN\tI-NP\tO' +p282594 +aS'medial\tmedial\tJJ\tI-NP\tO' +p282595 +aS'and\tand\tCC\tI-NP\tO' +p282596 +aS'lateral\tlateral\tJJ\tI-NP\tO' +p282597 +aS'plantar\tplantar\tNN\tI-NP\tO' +p282598 +aS'arteries\tartery\tNNS\tI-NP\tO' +p282599 +aS',\t,\t,\tO\tO' +p282600 +aS'filled\tfill\tVBN\tB-VP\tO' +p282601 +aS'through\tthrough\tIN\tB-PP\tO' +p282602 +aS'collaterals\tcollateral\tNNS\tB-NP\tO' +p282603 +aS'arising\tarise\tVBG\tB-VP\tO' +p282604 +aS'mostly\tmostly\tRB\tB-ADVP\tO' +p282605 +aS'from\tfrom\tIN\tB-PP\tO' +p282606 +aS'the\tthe\tDT\tB-NP\tO' +p282607 +aS'peroneal\tperoneal\tJJ\tI-NP\tO' +p282608 +aS'artery\tartery\tNN\tI-NP\tO' +p282609 +aS'.\t.\t.\tO\tO' +p282610 +asS'No lymph nodes palpated .' +p282611 +(lp282612 +S'No\tNo\tDT\tB-NP\tO' +p282613 +aS'lymph\tlymph\tNN\tI-NP\tO' +p282614 +aS'nodes\tnode\tNNS\tI-NP\tO' +p282615 +aS'palpated\tpalpate\tVBN\tB-VP\tO' +p282616 +aS'.\t.\t.\tO\tO' +p282617 +asS'1. Grade II / V laceration of liver ,' +p282618 +(lp282619 +S'1.\t1.\tLS\tB-NP\tO' +p282620 +aS'Grade\tGrade\tNN\tI-NP\tB-protein' +p282621 +aS'II\tII\tCD\tI-NP\tI-protein' +p282622 +aS'/\t/\tSYM\tI-NP\tO' +p282623 +aS'V\tV\tNN\tI-NP\tO' +p282624 +aS'laceration\tlaceration\tNN\tI-NP\tO' +p282625 +aS'of\tof\tIN\tB-PP\tO' +p282626 +aS'liver\tliver\tNN\tB-NP\tO' +p282627 +aS',\t,\t,\tO\tO' +p282628 +asS'The patient 's neuro examination was largely unchanged from the admission neuro examination .' +p282629 +(lp282630 +S'The\tThe\tDT\tB-NP\tO' +p282631 +aS'patient\tpatient\tNN\tI-NP\tO' +p282632 +aS''s\t'\tNNS\tI-NP\tO' +p282633 +aS'neuro\tneuro\tNN\tI-NP\tO' +p282634 +aS'examination\texamination\tNN\tI-NP\tO' +p282635 +aS'was\tbe\tVBD\tB-VP\tO' +p282636 +aS'largely\tlargely\tRB\tB-ADJP\tO' +p282637 +aS'unchanged\tunchanged\tJJ\tI-ADJP\tO' +p282638 +aS'from\tfrom\tIN\tB-PP\tO' +p282639 +aS'the\tthe\tDT\tB-NP\tO' +p282640 +aS'admission\tadmission\tNN\tI-NP\tO' +p282641 +aS'neuro\tneuro\tNN\tI-NP\tO' +p282642 +aS'examination\texamination\tNN\tI-NP\tO' +p282643 +aS'.\t.\t.\tO\tO' +p282644 +asS'Renal consult team saw him 2019-01-20 and plan to next dialyze him on 2019-01-21 .' +p282645 +(lp282646 +S'Renal\tRenal\tJJ\tB-NP\tO' +p282647 +aS'consult\tconsult\tNN\tI-NP\tO' +p282648 +aS'team\tteam\tNN\tI-NP\tO' +p282649 +aS'saw\tsee\tVBD\tB-VP\tO' +p282650 +aS'him\thim\tPRP\tB-NP\tO' +p282651 +aS'2019-01-20\t2019-01-20\tCD\tB-NP\tO' +p282652 +aS'and\tand\tCC\tO\tO' +p282653 +aS'plan\tplan\tNN\tB-NP\tO' +p282654 +aS'to\tto\tTO\tB-VP\tO' +p282655 +aS'next\tnext\tRB\tI-VP\tO' +p282656 +aS'dialyze\tdialyze\tVB\tI-VP\tO' +p282657 +aS'him\thim\tPRP\tB-NP\tO' +p282658 +aS'on\ton\tIN\tB-PP\tO' +p282659 +aS'2019-01-21\t2019-01-21\tCD\tB-NP\tO' +p282660 +aS'.\t.\t.\tO\tO' +p282661 +asS'Until then , his foley should remain in place .' +p282662 +(lp282663 +S'Until\tUntil\tIN\tB-PP\tO' +p282664 +aS'then\tthen\tRB\tB-NP\tO' +p282665 +aS',\t,\t,\tO\tO' +p282666 +aS'his\this\tPRP$\tB-NP\tO' +p282667 +aS'foley\tfoley\tNN\tI-NP\tO' +p282668 +aS'should\tshould\tMD\tB-VP\tO' +p282669 +aS'remain\tremain\tVB\tI-VP\tO' +p282670 +aS'in\tin\tIN\tB-PP\tO' +p282671 +aS'place\tplace\tNN\tB-NP\tO' +p282672 +aS'.\t.\t.\tO\tO' +p282673 +asS'In the CMED , urology was consulted and the patient received a R nephrostomy tube .' +p282674 +(lp282675 +S'In\tIn\tIN\tB-PP\tO' +p282676 +aS'the\tthe\tDT\tB-NP\tO' +p282677 +aS'CMED\tCMED\tNN\tI-NP\tO' +p282678 +aS',\t,\t,\tO\tO' +p282679 +aS'urology\turology\tNN\tB-NP\tO' +p282680 +aS'was\tbe\tVBD\tB-VP\tO' +p282681 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p282682 +aS'and\tand\tCC\tO\tO' +p282683 +aS'the\tthe\tDT\tB-NP\tO' +p282684 +aS'patient\tpatient\tNN\tI-NP\tO' +p282685 +aS'received\treceive\tVBD\tB-VP\tO' +p282686 +aS'a\ta\tDT\tB-NP\tO' +p282687 +aS'R\tR\tNN\tI-NP\tO' +p282688 +aS'nephrostomy\tnephrostomy\tNN\tI-NP\tO' +p282689 +aS'tube\ttube\tNN\tI-NP\tO' +p282690 +aS'.\t.\t.\tO\tO' +p282691 +asS'Triglycerides 281 .' +p282692 +(lp282693 +S'Triglycerides\tTriglyceride\tNNS\tB-NP\tO' +p282694 +aS'281\t281\tCD\tB-NP\tO' +p282695 +aS'.\t.\t.\tO\tO' +p282696 +asS'On 4/28/95 , the patient had new onset of abdominal pain .' +p282697 +(lp282698 +S'On\tOn\tIN\tB-PP\tO' +p282699 +aS'4/28/95\t4/28/95\tCD\tB-NP\tO' +p282700 +aS',\t,\t,\tO\tO' +p282701 +aS'the\tthe\tDT\tB-NP\tO' +p282702 +aS'patient\tpatient\tNN\tI-NP\tO' +p282703 +aS'had\thave\tVBD\tB-VP\tO' +p282704 +aS'new\tnew\tJJ\tB-NP\tO' +p282705 +aS'onset\tonset\tNN\tI-NP\tO' +p282706 +aS'of\tof\tIN\tB-PP\tO' +p282707 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p282708 +aS'pain\tpain\tNN\tI-NP\tO' +p282709 +aS'.\t.\t.\tO\tO' +p282710 +asS'Moves all extremities well .' +p282711 +(lp282712 +S'Moves\tMove\tVBZ\tB-VP\tO' +p282713 +aS'all\tall\tDT\tB-NP\tO' +p282714 +aS'extremities\textremity\tNNS\tI-NP\tO' +p282715 +aS'well\twell\tRB\tB-ADVP\tO' +p282716 +aS'.\t.\t.\tO\tO' +p282717 +asS'Additionally on the night before discharge , flexion and extension views of the lumbosacral spine were obtained , and showed no fracture or instability .' +p282718 +(lp282719 +S'Additionally\tAdditionally\tRB\tB-ADVP\tO' +p282720 +aS'on\ton\tIN\tB-PP\tO' +p282721 +aS'the\tthe\tDT\tB-NP\tO' +p282722 +aS'night\tnight\tNN\tI-NP\tO' +p282723 +aS'before\tbefore\tIN\tB-PP\tO' +p282724 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p282725 +aS',\t,\t,\tI-NP\tO' +p282726 +aS'flexion\tflexion\tNN\tI-NP\tO' +p282727 +aS'and\tand\tCC\tI-NP\tO' +p282728 +aS'extension\textension\tNN\tI-NP\tO' +p282729 +aS'views\tview\tNNS\tI-NP\tO' +p282730 +aS'of\tof\tIN\tB-PP\tO' +p282731 +aS'the\tthe\tDT\tB-NP\tO' +p282732 +aS'lumbosacral\tlumbosacral\tJJ\tI-NP\tO' +p282733 +aS'spine\tspine\tNN\tI-NP\tO' +p282734 +aS'were\tbe\tVBD\tB-VP\tO' +p282735 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p282736 +aS',\t,\t,\tO\tO' +p282737 +aS'and\tand\tCC\tO\tO' +p282738 +aS'showed\tshow\tVBD\tB-VP\tO' +p282739 +aS'no\tno\tDT\tB-NP\tO' +p282740 +aS'fracture\tfracture\tNN\tI-NP\tO' +p282741 +aS'or\tor\tCC\tI-NP\tO' +p282742 +aS'instability\tinstability\tNN\tI-NP\tO' +p282743 +aS'.\t.\t.\tO\tO' +p282744 +asS'She was transferred to the Everett Firm on the 2011-03-11 and was mentating well and was stable for transfer .' +p282745 +(lp282746 +S'She\tShe\tPRP\tB-NP\tO' +p282747 +aS'was\tbe\tVBD\tB-VP\tO' +p282748 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p282749 +aS'to\tto\tTO\tB-PP\tO' +p282750 +aS'the\tthe\tDT\tB-NP\tO' +p282751 +aS'Everett\tEverett\tNNP\tI-NP\tO' +p282752 +aS'Firm\tFirm\tNNP\tI-NP\tO' +p282753 +aS'on\ton\tIN\tB-PP\tO' +p282754 +aS'the\tthe\tDT\tB-NP\tO' +p282755 +aS'2011-03-11\t2011-03-11\tCD\tI-NP\tO' +p282756 +aS'and\tand\tCC\tO\tO' +p282757 +aS'was\tbe\tVBD\tB-VP\tO' +p282758 +aS'mentating\tmentate\tVBG\tI-VP\tO' +p282759 +aS'well\twell\tRB\tB-ADVP\tO' +p282760 +aS'and\tand\tCC\tO\tO' +p282761 +aS'was\tbe\tVBD\tB-VP\tO' +p282762 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p282763 +aS'for\tfor\tIN\tB-PP\tO' +p282764 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p282765 +aS'.\t.\t.\tO\tO' +p282766 +asS'Based on all the tests above , it was felt that the patient was stable for discharge home .' +p282767 +(lp282768 +S'Based\tBase\tVBN\tB-PP\tO' +p282769 +aS'on\ton\tIN\tB-PP\tO' +p282770 +aS'all\tall\tPDT\tB-NP\tO' +p282771 +aS'the\tthe\tDT\tI-NP\tO' +p282772 +aS'tests\ttest\tNNS\tI-NP\tO' +p282773 +aS'above\tabove\tIN\tB-ADVP\tO' +p282774 +aS',\t,\t,\tO\tO' +p282775 +aS'it\tit\tPRP\tB-NP\tO' +p282776 +aS'was\tbe\tVBD\tB-VP\tO' +p282777 +aS'felt\tfeel\tVBN\tI-VP\tO' +p282778 +aS'that\tthat\tIN\tB-SBAR\tO' +p282779 +aS'the\tthe\tDT\tB-NP\tO' +p282780 +aS'patient\tpatient\tNN\tI-NP\tO' +p282781 +aS'was\tbe\tVBD\tB-VP\tO' +p282782 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p282783 +aS'for\tfor\tIN\tB-PP\tO' +p282784 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p282785 +aS'home\thome\tNN\tI-NP\tO' +p282786 +aS'.\t.\t.\tO\tO' +p282787 +asS'Electrolytes and thyroid studies were noted to be in the normal range with serum sodium of 136 , potassium 4.7 , chloride 98 and CO2 34 .' +p282788 +(lp282789 +S'Electrolytes\tElectrolyte\tNNS\tB-NP\tO' +p282790 +aS'and\tand\tCC\tO\tO' +p282791 +aS'thyroid\tthyroid\tJJ\tB-NP\tO' +p282792 +aS'studies\tstudy\tNNS\tI-NP\tO' +p282793 +aS'were\tbe\tVBD\tB-VP\tO' +p282794 +aS'noted\tnote\tVBN\tI-VP\tO' +p282795 +aS'to\tto\tTO\tI-VP\tO' +p282796 +aS'be\tbe\tVB\tI-VP\tO' +p282797 +aS'in\tin\tIN\tB-PP\tO' +p282798 +aS'the\tthe\tDT\tB-NP\tO' +p282799 +aS'normal\tnormal\tJJ\tI-NP\tO' +p282800 +aS'range\trange\tNN\tI-NP\tO' +p282801 +aS'with\twith\tIN\tB-PP\tO' +p282802 +aS'serum\tserum\tNN\tB-NP\tO' +p282803 +aS'sodium\tsodium\tNN\tI-NP\tO' +p282804 +aS'of\tof\tIN\tB-PP\tO' +p282805 +aS'136\t136\tCD\tB-NP\tO' +p282806 +aS',\t,\t,\tO\tO' +p282807 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p282808 +aS'4.7\t4.7\tCD\tI-NP\tO' +p282809 +aS',\t,\t,\tO\tO' +p282810 +aS'chloride\tchloride\tNN\tB-NP\tO' +p282811 +aS'98\t98\tCD\tI-NP\tO' +p282812 +aS'and\tand\tCC\tO\tO' +p282813 +aS'CO2\tCO2\tNN\tB-NP\tO' +p282814 +aS'34\t34\tCD\tI-NP\tO' +p282815 +aS'.\t.\t.\tO\tO' +p282816 +asS'Output resent for cytology which was pending at time of discharge .' +p282817 +(lp282818 +S'Output\tOutput\tNN\tB-NP\tO' +p282819 +aS'resent\tresent\tJJ\tB-ADJP\tO' +p282820 +aS'for\tfor\tIN\tB-PP\tO' +p282821 +aS'cytology\tcytology\tNN\tB-NP\tO' +p282822 +aS'which\twhich\tWDT\tB-NP\tO' +p282823 +aS'was\tbe\tVBD\tB-VP\tO' +p282824 +aS'pending\tpende\tVBG\tI-VP\tO' +p282825 +aS'at\tat\tIN\tB-PP\tO' +p282826 +aS'time\ttime\tNN\tB-NP\tO' +p282827 +aS'of\tof\tIN\tB-PP\tO' +p282828 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p282829 +aS'.\t.\t.\tO\tO' +p282830 +asS'Tramadol 50 mg Tablet Sig : Two ( 2 ) Tablet PO TID ( 3 times a day) .' +p282831 +(lp282832 +S'Tramadol\tTramadol\tNN\tB-NP\tO' +p282833 +aS'50\t50\tCD\tI-NP\tO' +p282834 +aS'mg\tmg\tNN\tI-NP\tO' +p282835 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p282836 +aS'Sig\tSig\tNNP\tI-NP\tO' +p282837 +aS':\t:\t:\tO\tO' +p282838 +aS'Two\tTwo\tCD\tB-NP\tO' +p282839 +aS'(\t(\t(\tO\tO' +p282840 +aS'2\t2\tCD\tO\tO' +p282841 +aS')\t)\t)\tO\tO' +p282842 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p282843 +aS'PO\tPO\tNN\tI-NP\tO' +p282844 +aS'TID\tTID\tNN\tI-NP\tO' +p282845 +aS'(\t(\t(\tO\tO' +p282846 +aS'3\t3\tCD\tB-NP\tO' +p282847 +aS'times\ttime\tNNS\tI-NP\tO' +p282848 +aS'a\ta\tDT\tB-NP\tO' +p282849 +aS'day)\tday)\tNN\tI-NP\tO' +p282850 +aS'.\t.\t.\tO\tO' +p282851 +asS'A left pleural effusion developed and this was tapped with ultrasound guidance , and found to be sterile , and without evidence of empyema .' +p282852 +(lp282853 +S'A\tA\tDT\tB-NP\tO' +p282854 +aS'left\tleft\tJJ\tI-NP\tO' +p282855 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p282856 +aS'effusion\teffusion\tNN\tI-NP\tO' +p282857 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p282858 +aS'and\tand\tCC\tO\tO' +p282859 +aS'this\tthis\tDT\tB-NP\tO' +p282860 +aS'was\tbe\tVBD\tB-VP\tO' +p282861 +aS'tapped\ttap\tVBN\tI-VP\tO' +p282862 +aS'with\twith\tIN\tB-PP\tO' +p282863 +aS'ultrasound\tultrasound\tJJ\tB-NP\tO' +p282864 +aS'guidance\tguidance\tNN\tI-NP\tO' +p282865 +aS',\t,\t,\tO\tO' +p282866 +aS'and\tand\tCC\tO\tO' +p282867 +aS'found\tfind\tVBN\tB-VP\tO' +p282868 +aS'to\tto\tTO\tI-VP\tO' +p282869 +aS'be\tbe\tVB\tI-VP\tO' +p282870 +aS'sterile\tsterile\tJJ\tB-ADJP\tO' +p282871 +aS',\t,\t,\tO\tO' +p282872 +aS'and\tand\tCC\tO\tO' +p282873 +aS'without\twithout\tIN\tB-PP\tO' +p282874 +aS'evidence\tevidence\tNN\tB-NP\tO' +p282875 +aS'of\tof\tIN\tB-PP\tO' +p282876 +aS'empyema\tempyema\tNN\tB-NP\tO' +p282877 +aS'.\t.\t.\tO\tO' +p282878 +asS'She was taken urgently to the operating room , where she underwent embolectomy of the profunda superficial femoral vessels .' +p282879 +(lp282880 +S'She\tShe\tPRP\tB-NP\tO' +p282881 +aS'was\tbe\tVBD\tB-VP\tO' +p282882 +aS'taken\ttake\tVBN\tI-VP\tO' +p282883 +aS'urgently\turgently\tRB\tB-ADVP\tO' +p282884 +aS'to\tto\tTO\tB-PP\tO' +p282885 +aS'the\tthe\tDT\tB-NP\tO' +p282886 +aS'operating\toperating\tNN\tI-NP\tO' +p282887 +aS'room\troom\tNN\tI-NP\tO' +p282888 +aS',\t,\t,\tO\tO' +p282889 +aS'where\twhere\tWRB\tB-ADVP\tO' +p282890 +aS'she\tshe\tPRP\tB-NP\tO' +p282891 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p282892 +aS'embolectomy\tembolectomy\tNN\tB-NP\tO' +p282893 +aS'of\tof\tIN\tB-PP\tO' +p282894 +aS'the\tthe\tDT\tB-NP\tO' +p282895 +aS'profunda\tprofunda\tNN\tI-NP\tO' +p282896 +aS'superficial\tsuperficial\tJJ\tI-NP\tO' +p282897 +aS'femoral\tfemoral\tJJ\tI-NP\tO' +p282898 +aS'vessels\tvessel\tNNS\tI-NP\tO' +p282899 +aS'.\t.\t.\tO\tO' +p282900 +asS"Over the following days until discharge , the patient remained afebrile and on 2012-03-09 , in fact all the patient 's antibiotics were discontinued ." +p282901 +(lp282902 +S'Over\tOver\tIN\tB-PP\tO' +p282903 +aS'the\tthe\tDT\tB-NP\tO' +p282904 +aS'following\tfollow\tVBG\tI-NP\tO' +p282905 +aS'days\tday\tNNS\tI-NP\tO' +p282906 +aS'until\tuntil\tIN\tB-PP\tO' +p282907 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p282908 +aS',\t,\t,\tO\tO' +p282909 +aS'the\tthe\tDT\tB-NP\tO' +p282910 +aS'patient\tpatient\tNN\tI-NP\tO' +p282911 +aS'remained\tremain\tVBD\tB-VP\tO' +p282912 +aS'afebrile\tafebrile\tRB\tB-ADVP\tO' +p282913 +aS'and\tand\tCC\tO\tO' +p282914 +aS'on\ton\tIN\tB-PP\tO' +p282915 +aS'2012-03-09\t2012-03-09\tCD\tB-NP\tO' +p282916 +aS',\t,\t,\tO\tO' +p282917 +aS'in\tin\tIN\tB-PP\tO' +p282918 +aS'fact\tfact\tNN\tB-NP\tO' +p282919 +aS'all\tall\tPDT\tO\tO' +p282920 +aS'the\tthe\tDT\tB-NP\tO' +p282921 +aS'patient\tpatient\tNN\tI-NP\tO' +p282922 +aS"'s\t's\tPOS\tB-NP\tO" +p282923 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p282924 +aS'were\tbe\tVBD\tB-VP\tO' +p282925 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p282926 +aS'.\t.\t.\tO\tO' +p282927 +asS'The patient was admitted to the Verg Medical Center .' +p282928 +(lp282929 +S'The\tThe\tDT\tB-NP\tO' +p282930 +aS'patient\tpatient\tNN\tI-NP\tO' +p282931 +aS'was\tbe\tVBD\tB-VP\tO' +p282932 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p282933 +aS'to\tto\tTO\tB-PP\tO' +p282934 +aS'the\tthe\tDT\tB-NP\tO' +p282935 +aS'Verg\tVerg\tNNP\tI-NP\tO' +p282936 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p282937 +aS'Center\tCenter\tNNP\tI-NP\tO' +p282938 +aS'.\t.\t.\tO\tO' +p282939 +asS'Slight effacement of posterior insular cortex .' +p282940 +(lp282941 +S'Slight\tSlight\tJJ\tB-NP\tO' +p282942 +aS'effacement\teffacement\tNN\tI-NP\tO' +p282943 +aS'of\tof\tIN\tB-PP\tO' +p282944 +aS'posterior\tposterior\tJJ\tB-NP\tO' +p282945 +aS'insular\tinsular\tJJ\tI-NP\tO' +p282946 +aS'cortex\tcortex\tNN\tI-NP\tO' +p282947 +aS'.\t.\t.\tO\tO' +p282948 +asS'The chest is clear to auscultation bilaterally without sternal click or discharge .' +p282949 +(lp282950 +S'The\tThe\tDT\tB-NP\tO' +p282951 +aS'chest\tchest\tNN\tI-NP\tO' +p282952 +aS'is\tbe\tVBZ\tB-VP\tO' +p282953 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p282954 +aS'to\tto\tTO\tB-PP\tO' +p282955 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p282956 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p282957 +aS'without\twithout\tIN\tB-PP\tO' +p282958 +aS'sternal\tsternal\tJJ\tB-NP\tO' +p282959 +aS'click\tclick\tNN\tI-NP\tO' +p282960 +aS'or\tor\tCC\tI-NP\tO' +p282961 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p282962 +aS'.\t.\t.\tO\tO' +p282963 +asS'She was bolused w/out effect and had little response to neo so she was changed to levophed , given doses of cipro / vanco / gent and transferred to the CMED CSRU for management .' +p282964 +(lp282965 +S'She\tShe\tPRP\tB-NP\tO' +p282966 +aS'was\tbe\tVBD\tB-VP\tO' +p282967 +aS'bolused\tboluse\tVBN\tI-VP\tO' +p282968 +aS'w/out\tw/out\tIN\tB-PP\tO' +p282969 +aS'effect\teffect\tNN\tB-NP\tO' +p282970 +aS'and\tand\tCC\tO\tO' +p282971 +aS'had\thave\tVBD\tB-VP\tO' +p282972 +aS'little\tlittle\tJJ\tB-NP\tO' +p282973 +aS'response\tresponse\tNN\tI-NP\tO' +p282974 +aS'to\tto\tTO\tB-VP\tO' +p282975 +aS'neo\tneo\tVB\tI-VP\tO' +p282976 +aS'so\tso\tIN\tB-SBAR\tO' +p282977 +aS'she\tshe\tPRP\tB-NP\tO' +p282978 +aS'was\tbe\tVBD\tB-VP\tO' +p282979 +aS'changed\tchange\tVBN\tI-VP\tO' +p282980 +aS'to\tto\tTO\tB-PP\tO' +p282981 +aS'levophed\tlevophe\tVBN\tB-NP\tO' +p282982 +aS',\t,\t,\tO\tO' +p282983 +aS'given\tgive\tVBN\tB-PP\tO' +p282984 +aS'doses\tdose\tNNS\tB-NP\tO' +p282985 +aS'of\tof\tIN\tB-PP\tO' +p282986 +aS'cipro\tcipro\tNN\tB-NP\tO' +p282987 +aS'/\t/\tSYM\tB-NP\tO' +p282988 +aS'vanco\tvanco\tNN\tI-NP\tO' +p282989 +aS'/\t/\tSYM\tB-NP\tO' +p282990 +aS'gent\tgent\tNN\tI-NP\tO' +p282991 +aS'and\tand\tCC\tO\tO' +p282992 +aS'transferred\ttransfer\tVBN\tB-VP\tO' +p282993 +aS'to\tto\tTO\tB-PP\tO' +p282994 +aS'the\tthe\tDT\tB-NP\tO' +p282995 +aS'CMED\tCMED\tVBN\tI-NP\tO' +p282996 +aS'CSRU\tCSRU\tNN\tI-NP\tO' +p282997 +aS'for\tfor\tIN\tB-PP\tO' +p282998 +aS'management\tmanagement\tNN\tB-NP\tO' +p282999 +aS'.\t.\t.\tO\tO' +p283000 +asS"Infectious disease - Over the course of his hospital stay , the patient 's white blood cell count rose to a peak of 17 ." +p283001 +(lp283002 +S'Infectious\tInfectious\tJJ\tB-NP\tO' +p283003 +aS'disease\tdisease\tNN\tI-NP\tO' +p283004 +aS'-\t-\tHYPH\tB-ADJP\tO' +p283005 +aS'Over\tOver\tIN\tB-PP\tO' +p283006 +aS'the\tthe\tDT\tB-NP\tO' +p283007 +aS'course\tcourse\tNN\tI-NP\tO' +p283008 +aS'of\tof\tIN\tB-PP\tO' +p283009 +aS'his\this\tPRP$\tB-NP\tO' +p283010 +aS'hospital\thospital\tNN\tI-NP\tO' +p283011 +aS'stay\tstay\tNN\tI-NP\tO' +p283012 +aS',\t,\t,\tO\tO' +p283013 +aS'the\tthe\tDT\tB-NP\tO' +p283014 +aS'patient\tpatient\tNN\tI-NP\tO' +p283015 +aS"'s\t's\tPOS\tB-NP\tO" +p283016 +aS'white\twhite\tJJ\tI-NP\tO' +p283017 +aS'blood\tblood\tNN\tI-NP\tO' +p283018 +aS'cell\tcell\tNN\tI-NP\tO' +p283019 +aS'count\tcount\tNN\tI-NP\tO' +p283020 +aS'rose\trise\tVBD\tB-VP\tO' +p283021 +aS'to\tto\tTO\tB-PP\tO' +p283022 +aS'a\ta\tDT\tB-NP\tO' +p283023 +aS'peak\tpeak\tNN\tI-NP\tO' +p283024 +aS'of\tof\tIN\tB-PP\tO' +p283025 +aS'17\t17\tCD\tB-NP\tO' +p283026 +aS'.\t.\t.\tO\tO' +p283027 +asS'He also developed a urinary incontinence .' +p283028 +(lp283029 +S'He\tHe\tPRP\tB-NP\tO' +p283030 +aS'also\talso\tRB\tB-ADVP\tO' +p283031 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p283032 +aS'a\ta\tDT\tB-NP\tO' +p283033 +aS'urinary\turinary\tJJ\tI-NP\tO' +p283034 +aS'incontinence\tincontinence\tNN\tI-NP\tO' +p283035 +aS'.\t.\t.\tO\tO' +p283036 +asS'Cardiac examination revealed a regular rate and rhythm with a normal S1 and S2 , 3/6 systolic murmur at the right upper sternal border , no gallop was detected .' +p283037 +(lp283038 +S'Cardiac\tCardiac\tJJ\tB-NP\tO' +p283039 +aS'examination\texamination\tNN\tI-NP\tO' +p283040 +aS'revealed\treveal\tVBD\tB-VP\tO' +p283041 +aS'a\ta\tDT\tB-NP\tO' +p283042 +aS'regular\tregular\tJJ\tI-NP\tO' +p283043 +aS'rate\trate\tNN\tI-NP\tO' +p283044 +aS'and\tand\tCC\tI-NP\tO' +p283045 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p283046 +aS'with\twith\tIN\tB-PP\tO' +p283047 +aS'a\ta\tDT\tB-NP\tO' +p283048 +aS'normal\tnormal\tJJ\tI-NP\tO' +p283049 +aS'S1\tS1\tNN\tI-NP\tB-protein' +p283050 +aS'and\tand\tCC\tO\tO' +p283051 +aS'S2\tS2\tNN\tB-NP\tB-protein' +p283052 +aS',\t,\t,\tO\tO' +p283053 +aS'3/6\t3/6\tCD\tB-NP\tO' +p283054 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p283055 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p283056 +aS'at\tat\tIN\tB-PP\tO' +p283057 +aS'the\tthe\tDT\tB-NP\tO' +p283058 +aS'right\tright\tJJ\tI-NP\tO' +p283059 +aS'upper\tupper\tJJ\tI-NP\tO' +p283060 +aS'sternal\tsternal\tJJ\tI-NP\tO' +p283061 +aS'border\tborder\tNN\tI-NP\tO' +p283062 +aS',\t,\t,\tO\tO' +p283063 +aS'no\tno\tDT\tB-NP\tO' +p283064 +aS'gallop\tgallop\tNN\tI-NP\tO' +p283065 +aS'was\tbe\tVBD\tB-VP\tO' +p283066 +aS'detected\tdetect\tVBN\tI-VP\tO' +p283067 +aS'.\t.\t.\tO\tO' +p283068 +asS'12. Acetaminophen 325 mg Tablet Sig : Two ( 2 ) Tablet PO Q6H ( every 6 hours ) as needed for pain .' +p283069 +(lp283070 +S'12.\t12.\tCD\tB-NP\tO' +p283071 +aS'Acetaminophen\tAcetaminophen\tNN\tI-NP\tO' +p283072 +aS'325\t325\tCD\tB-NP\tO' +p283073 +aS'mg\tmg\tNN\tI-NP\tO' +p283074 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p283075 +aS'Sig\tSig\tNNP\tI-NP\tO' +p283076 +aS':\t:\t:\tO\tO' +p283077 +aS'Two\tTwo\tCD\tB-NP\tO' +p283078 +aS'(\t(\t(\tO\tO' +p283079 +aS'2\t2\tCD\tO\tO' +p283080 +aS')\t)\t)\tO\tO' +p283081 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p283082 +aS'PO\tPO\tNN\tI-NP\tO' +p283083 +aS'Q6H\tQ6H\tNN\tI-NP\tO' +p283084 +aS'(\t(\t(\tO\tO' +p283085 +aS'every\tevery\tDT\tB-NP\tO' +p283086 +aS'6\t6\tCD\tI-NP\tO' +p283087 +aS'hours\thour\tNNS\tI-NP\tO' +p283088 +aS')\t)\t)\tO\tO' +p283089 +aS'as\tas\tIN\tB-SBAR\tO' +p283090 +aS'needed\tneed\tVBN\tB-VP\tO' +p283091 +aS'for\tfor\tIN\tB-PP\tO' +p283092 +aS'pain\tpain\tNN\tB-NP\tO' +p283093 +aS'.\t.\t.\tO\tO' +p283094 +asS'The procedure proceeded without complications , and the patient was transferred to the intensive care unit while still intubated following the procedure .' +p283095 +(lp283096 +S'The\tThe\tDT\tB-NP\tO' +p283097 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p283098 +aS'proceeded\tproceed\tVBD\tB-VP\tO' +p283099 +aS'without\twithout\tIN\tB-PP\tO' +p283100 +aS'complications\tcomplication\tNNS\tB-NP\tO' +p283101 +aS',\t,\t,\tO\tO' +p283102 +aS'and\tand\tCC\tO\tO' +p283103 +aS'the\tthe\tDT\tB-NP\tO' +p283104 +aS'patient\tpatient\tNN\tI-NP\tO' +p283105 +aS'was\tbe\tVBD\tB-VP\tO' +p283106 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p283107 +aS'to\tto\tTO\tB-PP\tO' +p283108 +aS'the\tthe\tDT\tB-NP\tO' +p283109 +aS'intensive\tintensive\tJJ\tI-NP\tO' +p283110 +aS'care\tcare\tNN\tI-NP\tO' +p283111 +aS'unit\tunit\tNN\tI-NP\tO' +p283112 +aS'while\twhile\tIN\tB-SBAR\tO' +p283113 +aS'still\tstill\tRB\tB-ADVP\tO' +p283114 +aS'intubated\tintubate\tVBN\tB-VP\tO' +p283115 +aS'following\tfollow\tVBG\tB-PP\tO' +p283116 +aS'the\tthe\tDT\tB-NP\tO' +p283117 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p283118 +aS'.\t.\t.\tO\tO' +p283119 +asS'There is mild symmetric left ventricular hypertrophy with normal cavity size .' +p283120 +(lp283121 +S'There\tThere\tEX\tB-NP\tO' +p283122 +aS'is\tbe\tVBZ\tB-VP\tO' +p283123 +aS'mild\tmild\tJJ\tB-NP\tO' +p283124 +aS'symmetric\tsymmetric\tJJ\tI-NP\tO' +p283125 +aS'left\tleft\tJJ\tI-NP\tO' +p283126 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p283127 +aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' +p283128 +aS'with\twith\tIN\tB-PP\tO' +p283129 +aS'normal\tnormal\tJJ\tB-NP\tO' +p283130 +aS'cavity\tcavity\tNN\tI-NP\tO' +p283131 +aS'size\tsize\tNN\tI-NP\tO' +p283132 +aS'.\t.\t.\tO\tO' +p283133 +asS'Her O2 sat was stable at 94-97% on 2.5L of supplemental O2 .' +p283134 +(lp283135 +S'Her\tHer\tPRP$\tB-NP\tO' +p283136 +aS'O2\tO2\tNN\tI-NP\tO' +p283137 +aS'sat\tsat\tNN\tI-NP\tO' +p283138 +aS'was\tbe\tVBD\tB-VP\tO' +p283139 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p283140 +aS'at\tat\tIN\tB-PP\tO' +p283141 +aS'94-97%\t94-97%\tNN\tB-NP\tO' +p283142 +aS'on\ton\tIN\tB-PP\tO' +p283143 +aS'2.5L\t2.5L\tNN\tB-NP\tO' +p283144 +aS'of\tof\tIN\tB-PP\tO' +p283145 +aS'supplemental\tsupplemental\tJJ\tB-NP\tO' +p283146 +aS'O2\tO2\tNN\tI-NP\tO' +p283147 +aS'.\t.\t.\tO\tO' +p283148 +asS'His blood pressure fell to 60 systolic as he was being transferred to the computerized tomography scan table ; the scan was aborted and he was taken directly to the operating room at 03:00 .' +p283149 +(lp283150 +S'His\tHis\tPRP$\tB-NP\tO' +p283151 +aS'blood\tblood\tNN\tI-NP\tO' +p283152 +aS'pressure\tpressure\tNN\tI-NP\tO' +p283153 +aS'fell\tfall\tVBD\tB-VP\tO' +p283154 +aS'to\tto\tTO\tB-PP\tO' +p283155 +aS'60\t60\tCD\tB-NP\tO' +p283156 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p283157 +aS'as\tas\tIN\tB-SBAR\tO' +p283158 +aS'he\the\tPRP\tB-NP\tO' +p283159 +aS'was\tbe\tVBD\tB-VP\tO' +p283160 +aS'being\tbe\tVBG\tI-VP\tO' +p283161 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p283162 +aS'to\tto\tTO\tB-PP\tO' +p283163 +aS'the\tthe\tDT\tB-NP\tO' +p283164 +aS'computerized\tcomputerized\tJJ\tI-NP\tO' +p283165 +aS'tomography\ttomography\tNN\tI-NP\tO' +p283166 +aS'scan\tscan\tNN\tI-NP\tO' +p283167 +aS'table\ttable\tNN\tI-NP\tO' +p283168 +aS';\t;\t:\tO\tO' +p283169 +aS'the\tthe\tDT\tB-NP\tO' +p283170 +aS'scan\tscan\tNN\tI-NP\tO' +p283171 +aS'was\tbe\tVBD\tB-VP\tO' +p283172 +aS'aborted\tabort\tVBN\tI-VP\tO' +p283173 +aS'and\tand\tCC\tO\tO' +p283174 +aS'he\the\tPRP\tB-NP\tO' +p283175 +aS'was\tbe\tVBD\tB-VP\tO' +p283176 +aS'taken\ttake\tVBN\tI-VP\tO' +p283177 +aS'directly\tdirectly\tRB\tB-ADVP\tO' +p283178 +aS'to\tto\tTO\tB-PP\tO' +p283179 +aS'the\tthe\tDT\tB-NP\tO' +p283180 +aS'operating\toperating\tNN\tI-NP\tO' +p283181 +aS'room\troom\tNN\tI-NP\tO' +p283182 +aS'at\tat\tIN\tB-PP\tO' +p283183 +aS'03:00\t03:00\tCD\tB-NP\tO' +p283184 +aS'.\t.\t.\tO\tO' +p283185 +asS'Titers for CMV and Epstein-Barr virus were sent and a titer for toxoplasma was sent .' +p283186 +(lp283187 +S'Titers\tTiter\tNNS\tB-NP\tO' +p283188 +aS'for\tfor\tIN\tB-PP\tO' +p283189 +aS'CMV\tCMV\tNN\tB-NP\tO' +p283190 +aS'and\tand\tCC\tO\tO' +p283191 +aS'Epstein-Barr\tEpstein-Barr\tJJ\tB-NP\tO' +p283192 +aS'virus\tvirus\tNN\tI-NP\tO' +p283193 +aS'were\tbe\tVBD\tB-VP\tO' +p283194 +aS'sent\tsend\tVBN\tI-VP\tO' +p283195 +aS'and\tand\tCC\tO\tO' +p283196 +aS'a\ta\tDT\tB-NP\tO' +p283197 +aS'titer\ttiter\tNN\tI-NP\tO' +p283198 +aS'for\tfor\tIN\tB-PP\tO' +p283199 +aS'toxoplasma\ttoxoplasma\tNN\tB-NP\tO' +p283200 +aS'was\tbe\tVBD\tB-VP\tO' +p283201 +aS'sent\tsend\tVBN\tI-VP\tO' +p283202 +aS'.\t.\t.\tO\tO' +p283203 +asS'CBC had a white blood cell count of 9 , 17 polys , 0 bands , platelets of 326 .' +p283204 +(lp283205 +S'CBC\tCBC\tNN\tB-NP\tB-protein' +p283206 +aS'had\thave\tVBD\tB-VP\tO' +p283207 +aS'a\ta\tDT\tB-NP\tO' +p283208 +aS'white\twhite\tJJ\tI-NP\tO' +p283209 +aS'blood\tblood\tNN\tI-NP\tO' +p283210 +aS'cell\tcell\tNN\tI-NP\tO' +p283211 +aS'count\tcount\tNN\tI-NP\tO' +p283212 +aS'of\tof\tIN\tB-PP\tO' +p283213 +aS'9\t9\tCD\tB-NP\tO' +p283214 +aS',\t,\t,\tO\tO' +p283215 +aS'17\t17\tCD\tB-NP\tO' +p283216 +aS'polys\tpoly\tNNS\tI-NP\tO' +p283217 +aS',\t,\t,\tO\tO' +p283218 +aS'0\t0\tCD\tB-NP\tO' +p283219 +aS'bands\tband\tNNS\tI-NP\tO' +p283220 +aS',\t,\t,\tO\tO' +p283221 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p283222 +aS'of\tof\tIN\tB-PP\tO' +p283223 +aS'326\t326\tCD\tB-NP\tO' +p283224 +aS'.\t.\t.\tO\tO' +p283225 +asS'Cardiovascular stable , significant hypertension was noted on 9/7/93 at 5:10 a.m. and therefore 10 cc's per kilo albumin was given .' +p283226 +(lp283227 +S'Cardiovascular\tCardiovascular\tJJ\tB-NP\tO' +p283228 +aS'stable\tstable\tJJ\tI-NP\tO' +p283229 +aS',\t,\t,\tI-NP\tO' +p283230 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p283231 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p283232 +aS'was\tbe\tVBD\tB-VP\tO' +p283233 +aS'noted\tnote\tVBN\tI-VP\tO' +p283234 +aS'on\ton\tIN\tB-PP\tO' +p283235 +aS'9/7/93\t9/7/93\tCD\tB-NP\tO' +p283236 +aS'at\tat\tIN\tB-PP\tO' +p283237 +aS'5:10\t5:10\tCD\tB-NP\tO' +p283238 +aS'a.m.\ta.m.\tRB\tI-NP\tO' +p283239 +aS'and\tand\tCC\tO\tO' +p283240 +aS'therefore\ttherefore\tRB\tB-ADVP\tO' +p283241 +aS'10\t10\tCD\tB-NP\tO' +p283242 +aS'cc's\tcc'\tNNS\tI-NP\tO' +p283243 +aS'per\tper\tIN\tB-PP\tO' +p283244 +aS'kilo\tkilo\tNN\tB-NP\tO' +p283245 +aS'albumin\talbumin\tNN\tI-NP\tO' +p283246 +aS'was\tbe\tVBD\tB-VP\tO' +p283247 +aS'given\tgive\tVBN\tI-VP\tO' +p283248 +aS'.\t.\t.\tO\tO' +p283249 +asS'Guaiac positive stools .' +p283250 +(lp283251 +S'Guaiac\tGuaiac\tJJ\tB-NP\tO' +p283252 +aS'positive\tpositive\tJJ\tI-NP\tO' +p283253 +aS'stools\tstool\tNNS\tI-NP\tO' +p283254 +aS'.\t.\t.\tO\tO' +p283255 +asS'His stools were noted to be Guaiac positive at the outside hospital and there was still concern for possible GI bleed given continued Guaiac positive stools during this admission and a slight drop in his hematocrit from 39 to 33 .' +p283256 +(lp283257 +S'His\tHis\tPRP$\tB-NP\tO' +p283258 +aS'stools\tstool\tNNS\tI-NP\tO' +p283259 +aS'were\tbe\tVBD\tB-VP\tO' +p283260 +aS'noted\tnote\tVBN\tI-VP\tO' +p283261 +aS'to\tto\tTO\tI-VP\tO' +p283262 +aS'be\tbe\tVB\tI-VP\tO' +p283263 +aS'Guaiac\tGuaiac\tJJ\tB-ADJP\tO' +p283264 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p283265 +aS'at\tat\tIN\tB-PP\tO' +p283266 +aS'the\tthe\tDT\tB-NP\tO' +p283267 +aS'outside\toutside\tJJ\tI-NP\tO' +p283268 +aS'hospital\thospital\tNN\tI-NP\tO' +p283269 +aS'and\tand\tCC\tO\tO' +p283270 +aS'there\tthere\tEX\tB-NP\tO' +p283271 +aS'was\tbe\tVBD\tB-VP\tO' +p283272 +aS'still\tstill\tRB\tB-ADVP\tO' +p283273 +aS'concern\tconcern\tNN\tB-NP\tO' +p283274 +aS'for\tfor\tIN\tB-PP\tO' +p283275 +aS'possible\tpossible\tJJ\tB-NP\tO' +p283276 +aS'GI\tGI\tNN\tI-NP\tO' +p283277 +aS'bleed\tbleed\tNN\tI-NP\tO' +p283278 +aS'given\tgive\tVBN\tB-VP\tO' +p283279 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p283280 +aS'Guaiac\tGuaiac\tJJ\tB-NP\tO' +p283281 +aS'positive\tpositive\tJJ\tI-NP\tO' +p283282 +aS'stools\tstool\tNNS\tI-NP\tO' +p283283 +aS'during\tduring\tIN\tB-PP\tO' +p283284 +aS'this\tthis\tDT\tB-NP\tO' +p283285 +aS'admission\tadmission\tNN\tI-NP\tO' +p283286 +aS'and\tand\tCC\tO\tO' +p283287 +aS'a\ta\tDT\tB-NP\tO' +p283288 +aS'slight\tslight\tJJ\tI-NP\tO' +p283289 +aS'drop\tdrop\tNN\tI-NP\tO' +p283290 +aS'in\tin\tIN\tB-PP\tO' +p283291 +aS'his\this\tPRP$\tB-NP\tO' +p283292 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p283293 +aS'from\tfrom\tIN\tB-PP\tO' +p283294 +aS'39\t39\tCD\tB-NP\tO' +p283295 +aS'to\tto\tTO\tB-PP\tO' +p283296 +aS'33\t33\tCD\tB-NP\tO' +p283297 +aS'.\t.\t.\tO\tO' +p283298 +asS'Albumin 2.3 .' +p283299 +(lp283300 +S'Albumin\tAlbumin\tNNP\tB-NP\tO' +p283301 +aS'2.3\t2.3\tCD\tI-NP\tO' +p283302 +aS'.\t.\t.\tO\tO' +p283303 +asS'In the setting of inadvertently decreasing Lasix from 80 mg. po 40 mg. a day Mr. State had sudden onset dyspnea after approximate day and a half prodrome culminating in severe dyspnea .' +p283304 +(lp283305 +S'In\tIn\tIN\tB-PP\tO' +p283306 +aS'the\tthe\tDT\tB-NP\tO' +p283307 +aS'setting\tsetting\tNN\tI-NP\tO' +p283308 +aS'of\tof\tIN\tB-PP\tO' +p283309 +aS'inadvertently\tinadvertently\tRB\tB-VP\tO' +p283310 +aS'decreasing\tdecrease\tVBG\tI-VP\tO' +p283311 +aS'Lasix\tLasix\tNNP\tB-NP\tO' +p283312 +aS'from\tfrom\tIN\tB-PP\tO' +p283313 +aS'80\t80\tCD\tB-NP\tO' +p283314 +aS'mg.\tmg.\tNN\tI-NP\tO' +p283315 +aS'po\tpo\tIN\tB-PP\tO' +p283316 +aS'40\t40\tCD\tB-NP\tO' +p283317 +aS'mg.\tmg.\tNN\tI-NP\tO' +p283318 +aS'a\ta\tDT\tB-NP\tO' +p283319 +aS'day\tday\tNN\tI-NP\tO' +p283320 +aS'Mr.\tMr.\tNNP\tB-NP\tO' +p283321 +aS'State\tState\tNNP\tI-NP\tO' +p283322 +aS'had\thave\tVBD\tB-VP\tO' +p283323 +aS'sudden\tsudden\tJJ\tB-NP\tO' +p283324 +aS'onset\tonset\tNN\tI-NP\tO' +p283325 +aS'dyspnea\tdyspnea\tNN\tI-NP\tO' +p283326 +aS'after\tafter\tIN\tB-PP\tO' +p283327 +aS'approximate\tapproximate\tJJ\tB-NP\tO' +p283328 +aS'day\tday\tNN\tI-NP\tO' +p283329 +aS'and\tand\tCC\tO\tO' +p283330 +aS'a\ta\tDT\tB-NP\tO' +p283331 +aS'half\thalf\tJJ\tI-NP\tO' +p283332 +aS'prodrome\tprodrome\tNN\tI-NP\tO' +p283333 +aS'culminating\tculminate\tVBG\tB-VP\tO' +p283334 +aS'in\tin\tIN\tB-PP\tO' +p283335 +aS'severe\tsevere\tJJ\tB-NP\tO' +p283336 +aS'dyspnea\tdyspnea\tNN\tI-NP\tO' +p283337 +aS'.\t.\t.\tO\tO' +p283338 +asS'However , near the end of her hospitalization the patient began describing increased urinary frequency which persisted once her Foley catheter was removed .' +p283339 +(lp283340 +S'However\tHowever\tRB\tB-ADVP\tO' +p283341 +aS',\t,\t,\tO\tO' +p283342 +aS'near\tnear\tIN\tB-PP\tO' +p283343 +aS'the\tthe\tDT\tB-NP\tO' +p283344 +aS'end\tend\tNN\tI-NP\tO' +p283345 +aS'of\tof\tIN\tB-PP\tO' +p283346 +aS'her\ther\tPRP$\tB-NP\tO' +p283347 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p283348 +aS'the\tthe\tDT\tB-NP\tO' +p283349 +aS'patient\tpatient\tNN\tI-NP\tO' +p283350 +aS'began\tbegin\tVBD\tB-VP\tO' +p283351 +aS'describing\tdescribe\tVBG\tI-VP\tO' +p283352 +aS'increased\tincrease\tVBN\tB-NP\tO' +p283353 +aS'urinary\turinary\tJJ\tI-NP\tO' +p283354 +aS'frequency\tfrequency\tNN\tI-NP\tO' +p283355 +aS'which\twhich\tWDT\tB-NP\tO' +p283356 +aS'persisted\tpersist\tVBD\tB-VP\tO' +p283357 +aS'once\tonce\tRB\tB-ADVP\tO' +p283358 +aS'her\ther\tPRP$\tB-NP\tO' +p283359 +aS'Foley\tFoley\tNNP\tI-NP\tO' +p283360 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p283361 +aS'was\tbe\tVBD\tB-VP\tO' +p283362 +aS'removed\tremove\tVBN\tI-VP\tO' +p283363 +aS'.\t.\t.\tO\tO' +p283364 +asS'13. Status post tracheostomy 2017-07-21 02-22 failure to wean' +p283365 +(lp283366 +S'13.\t13.\tLS\tB-NP\tO' +p283367 +aS'Status\tStatus\tNNP\tI-NP\tO' +p283368 +aS'post\tpost\tNN\tI-NP\tO' +p283369 +aS'tracheostomy\ttracheostomy\tNN\tI-NP\tO' +p283370 +aS'2017-07-21\t2017-07-21\tCD\tI-NP\tO' +p283371 +aS'02-22\t02-22\tCD\tI-NP\tO' +p283372 +aS'failure\tfailure\tNN\tI-NP\tO' +p283373 +aS'to\tto\tTO\tB-VP\tO' +p283374 +aS'wean\twean\tVB\tI-VP\tO' +p283375 +asS'Levo and flagyl for presumed aspiration pneumonia / pneuomonitis .' +p283376 +(lp283377 +S'Levo\tLevo\tNN\tB-NP\tO' +p283378 +aS'and\tand\tCC\tI-NP\tO' +p283379 +aS'flagyl\tflagyl\tNN\tI-NP\tO' +p283380 +aS'for\tfor\tIN\tB-PP\tO' +p283381 +aS'presumed\tpresume\tVBN\tB-NP\tO' +p283382 +aS'aspiration\taspiration\tNN\tI-NP\tO' +p283383 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p283384 +aS'/\t/\tSYM\tB-NP\tO' +p283385 +aS'pneuomonitis\tpneuomonitis\tNN\tI-NP\tO' +p283386 +aS'.\t.\t.\tO\tO' +p283387 +asS'He was intubated with multiple abrasions , and severe swelling and contusions of his face .' +p283388 +(lp283389 +S'He\tHe\tPRP\tB-NP\tO' +p283390 +aS'was\tbe\tVBD\tB-VP\tO' +p283391 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p283392 +aS'with\twith\tIN\tB-PP\tO' +p283393 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p283394 +aS'abrasions\tabrasion\tNNS\tI-NP\tO' +p283395 +aS',\t,\t,\tO\tO' +p283396 +aS'and\tand\tCC\tO\tO' +p283397 +aS'severe\tsevere\tJJ\tB-NP\tO' +p283398 +aS'swelling\tswelling\tNN\tI-NP\tO' +p283399 +aS'and\tand\tCC\tI-NP\tO' +p283400 +aS'contusions\tcontusion\tNNS\tI-NP\tO' +p283401 +aS'of\tof\tIN\tB-PP\tO' +p283402 +aS'his\this\tPRP$\tB-NP\tO' +p283403 +aS'face\tface\tNN\tI-NP\tO' +p283404 +aS'.\t.\t.\tO\tO' +p283405 +asS'Pt previously diagnosed with hepatorenal and was started on midodrine , octreotide and albumin ; these were' +p283406 +(lp283407 +S'Pt\tPt\tNN\tB-NP\tO' +p283408 +aS'previously\tpreviously\tRB\tB-VP\tO' +p283409 +aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' +p283410 +aS'with\twith\tIN\tB-PP\tO' +p283411 +aS'hepatorenal\thepatorenal\tJJ\tB-ADJP\tO' +p283412 +aS'and\tand\tCC\tO\tO' +p283413 +aS'was\tbe\tVBD\tB-VP\tO' +p283414 +aS'started\tstart\tVBN\tI-VP\tO' +p283415 +aS'on\ton\tIN\tB-PP\tO' +p283416 +aS'midodrine\tmidodrine\tNN\tB-NP\tO' +p283417 +aS',\t,\t,\tI-NP\tO' +p283418 +aS'octreotide\toctreotide\tNN\tI-NP\tO' +p283419 +aS'and\tand\tCC\tI-NP\tO' +p283420 +aS'albumin\talbumin\tNN\tI-NP\tO' +p283421 +aS';\t;\t:\tO\tO' +p283422 +aS'these\tthese\tDT\tB-NP\tO' +p283423 +aS'were\tbe\tVBD\tB-VP\tO' +p283424 +asS'4. Docusate Sodium 100 mg Capsule Sig : One ( 1 ) Capsule PO BID ( 2 times a Costa ).' +p283425 +(lp283426 +S'4.\t4.\tLS\tB-NP\tO' +p283427 +aS'Docusate\tDocusate\tNN\tI-NP\tO' +p283428 +aS'Sodium\tSodium\tNN\tI-NP\tO' +p283429 +aS'100\t100\tCD\tI-NP\tO' +p283430 +aS'mg\tmg\tNN\tI-NP\tO' +p283431 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p283432 +aS'Sig\tSig\tNNP\tI-NP\tO' +p283433 +aS':\t:\t:\tO\tO' +p283434 +aS'One\tOne\tCD\tB-NP\tO' +p283435 +aS'(\t(\t(\tO\tO' +p283436 +aS'1\t1\tCD\tB-NP\tO' +p283437 +aS')\t)\t)\tO\tO' +p283438 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p283439 +aS'PO\tPO\tNNP\tI-NP\tO' +p283440 +aS'BID\tBID\tNNP\tI-NP\tO' +p283441 +aS'(\t(\t(\tO\tO' +p283442 +aS'2\t2\tCD\tB-NP\tO' +p283443 +aS'times\ttime\tNNS\tI-NP\tO' +p283444 +aS'a\ta\tDT\tB-NP\tO' +p283445 +aS'Costa\tCosta\tNNP\tI-NP\tO' +p283446 +aS').\t).\tNNP\tI-NP\tO' +p283447 +asS'This had been noted in the outpatient setting approximately one to two years prior to admission .' +p283448 +(lp283449 +S'This\tThis\tDT\tB-NP\tO' +p283450 +aS'had\thave\tVBD\tB-VP\tO' +p283451 +aS'been\tbe\tVBN\tI-VP\tO' +p283452 +aS'noted\tnote\tVBN\tI-VP\tO' +p283453 +aS'in\tin\tIN\tB-PP\tO' +p283454 +aS'the\tthe\tDT\tB-NP\tO' +p283455 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p283456 +aS'setting\tset\tVBG\tB-VP\tO' +p283457 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p283458 +aS'one\tone\tCD\tI-NP\tO' +p283459 +aS'to\tto\tTO\tI-NP\tO' +p283460 +aS'two\ttwo\tCD\tI-NP\tO' +p283461 +aS'years\tyear\tNNS\tI-NP\tO' +p283462 +aS'prior\tprior\tRB\tB-ADVP\tO' +p283463 +aS'to\tto\tTO\tB-PP\tO' +p283464 +aS'admission\tadmission\tNN\tB-NP\tO' +p283465 +aS'.\t.\t.\tO\tO' +p283466 +asS'Call his office for an appointment .' +p283467 +(lp283468 +S'Call\tCall\tVB\tB-VP\tO' +p283469 +aS'his\this\tPRP$\tB-NP\tO' +p283470 +aS'office\toffice\tNN\tI-NP\tO' +p283471 +aS'for\tfor\tIN\tB-PP\tO' +p283472 +aS'an\tan\tDT\tB-NP\tO' +p283473 +aS'appointment\tappointment\tNN\tI-NP\tO' +p283474 +aS'.\t.\t.\tO\tO' +p283475 +asS'GI . Bilirubin peaked on day of life #2 of 9.0 / 0.3 .' +p283476 +(lp283477 +S'GI\tGI\tLS\tB-LST\tO' +p283478 +aS'.\t.\t.\tO\tO' +p283479 +aS'Bilirubin\tBilirubin\tNNP\tB-NP\tO' +p283480 +aS'peaked\tpeak\tVBD\tB-VP\tO' +p283481 +aS'on\ton\tIN\tB-PP\tO' +p283482 +aS'day\tday\tNN\tB-NP\tO' +p283483 +aS'of\tof\tIN\tB-PP\tO' +p283484 +aS'life\tlife\tNN\tB-NP\tO' +p283485 +aS'#2\t#2\tCD\tI-NP\tO' +p283486 +aS'of\tof\tIN\tB-PP\tO' +p283487 +aS'9.0\t9.0\tCD\tB-NP\tO' +p283488 +aS'/\t/\tSYM\tI-NP\tO' +p283489 +aS'0.3\t0.3\tCD\tI-NP\tO' +p283490 +aS'.\t.\t.\tO\tO' +p283491 +asS'She was transferred to the Post Anesthesia Care Unit postoperatively in stable condition .' +p283492 +(lp283493 +S'She\tShe\tPRP\tB-NP\tO' +p283494 +aS'was\tbe\tVBD\tB-VP\tO' +p283495 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p283496 +aS'to\tto\tTO\tB-PP\tO' +p283497 +aS'the\tthe\tDT\tB-NP\tO' +p283498 +aS'Post\tPost\tNNP\tI-NP\tO' +p283499 +aS'Anesthesia\tAnesthesia\tNNP\tI-NP\tO' +p283500 +aS'Care\tCare\tNNP\tI-NP\tO' +p283501 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p283502 +aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' +p283503 +aS'in\tin\tIN\tB-PP\tO' +p283504 +aS'stable\tstable\tJJ\tB-NP\tO' +p283505 +aS'condition\tcondition\tNN\tI-NP\tO' +p283506 +aS'.\t.\t.\tO\tO' +p283507 +asS'This 63-year-old man had a mass in the duodenum , discovered in 02/95 .' +p283508 +(lp283509 +S'This\tThis\tDT\tB-NP\tO' +p283510 +aS'63-year-old\t63-year-old\tJJ\tI-NP\tO' +p283511 +aS'man\tman\tNN\tI-NP\tO' +p283512 +aS'had\thave\tVBD\tB-VP\tO' +p283513 +aS'a\ta\tDT\tB-NP\tO' +p283514 +aS'mass\tmass\tNN\tI-NP\tO' +p283515 +aS'in\tin\tIN\tB-PP\tO' +p283516 +aS'the\tthe\tDT\tB-NP\tO' +p283517 +aS'duodenum\tduodenum\tNN\tI-NP\tO' +p283518 +aS',\t,\t,\tO\tO' +p283519 +aS'discovered\tdiscover\tVBN\tB-VP\tO' +p283520 +aS'in\tin\tIN\tB-PP\tO' +p283521 +aS'02/95\t02/95\tCD\tB-NP\tO' +p283522 +aS'.\t.\t.\tO\tO' +p283523 +asS'The patient required an additional blood transfusion during her hospital stay as her hematocrit had decreased to 27 on postoperative day three .' +p283524 +(lp283525 +S'The\tThe\tDT\tB-NP\tO' +p283526 +aS'patient\tpatient\tNN\tI-NP\tO' +p283527 +aS'required\trequire\tVBD\tB-VP\tO' +p283528 +aS'an\tan\tDT\tB-NP\tO' +p283529 +aS'additional\tadditional\tJJ\tI-NP\tO' +p283530 +aS'blood\tblood\tNN\tI-NP\tO' +p283531 +aS'transfusion\ttransfusion\tNN\tI-NP\tO' +p283532 +aS'during\tduring\tIN\tB-PP\tO' +p283533 +aS'her\ther\tPRP$\tB-NP\tO' +p283534 +aS'hospital\thospital\tNN\tI-NP\tO' +p283535 +aS'stay\tstay\tNN\tI-NP\tO' +p283536 +aS'as\tas\tIN\tB-PP\tO' +p283537 +aS'her\ther\tPRP$\tB-NP\tO' +p283538 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p283539 +aS'had\thave\tVBD\tB-VP\tO' +p283540 +aS'decreased\tdecrease\tVBN\tI-VP\tO' +p283541 +aS'to\tto\tTO\tB-PP\tO' +p283542 +aS'27\t27\tCD\tB-NP\tO' +p283543 +aS'on\ton\tIN\tB-PP\tO' +p283544 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p283545 +aS'day\tday\tNN\tI-NP\tO' +p283546 +aS'three\tthree\tCD\tI-NP\tO' +p283547 +aS'.\t.\t.\tO\tO' +p283548 +asS'However , his nitroglycerin was old and the script was expired .' +p283549 +(lp283550 +S'However\tHowever\tRB\tB-ADVP\tO' +p283551 +aS',\t,\t,\tO\tO' +p283552 +aS'his\this\tPRP$\tB-NP\tO' +p283553 +aS'nitroglycerin\tnitroglycerin\tNN\tI-NP\tO' +p283554 +aS'was\tbe\tVBD\tB-VP\tO' +p283555 +aS'old\told\tJJ\tB-ADJP\tO' +p283556 +aS'and\tand\tCC\tO\tO' +p283557 +aS'the\tthe\tDT\tB-NP\tO' +p283558 +aS'script\tscript\tNN\tI-NP\tO' +p283559 +aS'was\tbe\tVBD\tB-VP\tO' +p283560 +aS'expired\texpire\tVBN\tI-VP\tO' +p283561 +aS'.\t.\t.\tO\tO' +p283562 +asS'8. Metoprolol Tartrate 25 mg Tablet Sig : 0.5 Tablet PO BID ( 2 times a day ).' +p283563 +(lp283564 +S'8.\t8.\tCD\tB-NP\tO' +p283565 +aS'Metoprolol\tMetoprolol\tNNP\tI-NP\tO' +p283566 +aS'Tartrate\tTartrate\tNNP\tI-NP\tO' +p283567 +aS'25\t25\tCD\tI-NP\tO' +p283568 +aS'mg\tmg\tNN\tI-NP\tO' +p283569 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p283570 +aS'Sig\tSig\tNNP\tI-NP\tO' +p283571 +aS':\t:\t:\tO\tO' +p283572 +aS'0.5\t0.5\tCD\tB-NP\tO' +p283573 +aS'Tablet\tTablet\tNN\tI-NP\tO' +p283574 +aS'PO\tPO\tNN\tI-NP\tO' +p283575 +aS'BID\tBID\tNN\tI-NP\tO' +p283576 +aS'(\t(\t(\tO\tO' +p283577 +aS'2\t2\tCD\tB-NP\tO' +p283578 +aS'times\ttime\tNNS\tI-NP\tO' +p283579 +aS'a\ta\tDT\tB-NP\tO' +p283580 +aS'day\tday\tNN\tI-NP\tO' +p283581 +aS').\t).\t.\tO\tO' +p283582 +asS'She is status post coiling with stent placement for left carotid ophthalmic aneurysm .' +p283583 +(lp283584 +S'She\tShe\tPRP\tB-NP\tO' +p283585 +aS'is\tbe\tVBZ\tB-VP\tO' +p283586 +aS'status\tstatus\tNN\tB-NP\tO' +p283587 +aS'post\tpost\tNN\tI-NP\tO' +p283588 +aS'coiling\tcoil\tVBG\tB-VP\tO' +p283589 +aS'with\twith\tIN\tB-PP\tO' +p283590 +aS'stent\tstent\tJJ\tB-NP\tO' +p283591 +aS'placement\tplacement\tNN\tI-NP\tO' +p283592 +aS'for\tfor\tIN\tB-PP\tO' +p283593 +aS'left\tleft\tJJ\tB-NP\tO' +p283594 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p283595 +aS'ophthalmic\tophthalmic\tJJ\tI-NP\tO' +p283596 +aS'aneurysm\taneurysm\tNN\tI-NP\tO' +p283597 +aS'.\t.\t.\tO\tO' +p283598 +asS'He was continued on his imipenem , intravenously .' +p283599 +(lp283600 +S'He\tHe\tPRP\tB-NP\tO' +p283601 +aS'was\tbe\tVBD\tB-VP\tO' +p283602 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p283603 +aS'on\ton\tIN\tB-PP\tO' +p283604 +aS'his\this\tPRP$\tB-NP\tO' +p283605 +aS'imipenem\timipenem\tNN\tI-NP\tO' +p283606 +aS',\t,\t,\tO\tO' +p283607 +aS'intravenously\tintravenously\tRB\tB-ADVP\tO' +p283608 +aS'.\t.\t.\tO\tO' +p283609 +asS'EKG without changes .' +p283610 +(lp283611 +S'EKG\tEKG\tNN\tB-NP\tB-protein' +p283612 +aS'without\twithout\tIN\tB-PP\tO' +p283613 +aS'changes\tchange\tNNS\tB-NP\tO' +p283614 +aS'.\t.\t.\tO\tO' +p283615 +asS'A computerized tomography scan of the abdomen was performed .' +p283616 +(lp283617 +S'A\tA\tDT\tB-NP\tO' +p283618 +aS'computerized\tcomputerized\tJJ\tI-NP\tO' +p283619 +aS'tomography\ttomography\tNN\tI-NP\tO' +p283620 +aS'scan\tscan\tNN\tI-NP\tO' +p283621 +aS'of\tof\tIN\tB-PP\tO' +p283622 +aS'the\tthe\tDT\tB-NP\tO' +p283623 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p283624 +aS'was\tbe\tVBD\tB-VP\tO' +p283625 +aS'performed\tperform\tVBN\tI-VP\tO' +p283626 +aS'.\t.\t.\tO\tO' +p283627 +asS'4. Physiologic jaundice .' +p283628 +(lp283629 +S'4.\t4.\tLS\tB-NP\tO' +p283630 +aS'Physiologic\tPhysiologic\tJJ\tI-NP\tO' +p283631 +aS'jaundice\tjaundice\tNN\tI-NP\tO' +p283632 +aS'.\t.\t.\tO\tO' +p283633 +asS'Prograf was increased to 12 mg bid on 08-16 for a trough level of 7.1 .' +p283634 +(lp283635 +S'Prograf\tPrograf\tNN\tB-NP\tO' +p283636 +aS'was\tbe\tVBD\tB-VP\tO' +p283637 +aS'increased\tincrease\tVBN\tI-VP\tO' +p283638 +aS'to\tto\tTO\tB-PP\tO' +p283639 +aS'12\t12\tCD\tB-NP\tO' +p283640 +aS'mg\tmg\tNN\tI-NP\tO' +p283641 +aS'bid\tbid\tRB\tB-ADVP\tO' +p283642 +aS'on\ton\tIN\tB-PP\tO' +p283643 +aS'08-16\t08-16\tCD\tB-NP\tO' +p283644 +aS'for\tfor\tIN\tB-PP\tO' +p283645 +aS'a\ta\tDT\tB-NP\tO' +p283646 +aS'trough\ttrough\tNN\tI-NP\tO' +p283647 +aS'level\tlevel\tNN\tI-NP\tO' +p283648 +aS'of\tof\tIN\tB-PP\tO' +p283649 +aS'7.1\t7.1\tCD\tB-NP\tO' +p283650 +aS'.\t.\t.\tO\tO' +p283651 +asS'18 units qam and 7 units qhs' +p283652 +(lp283653 +S'18\t18\tCD\tB-NP\tO' +p283654 +aS'units\tunit\tNNS\tI-NP\tO' +p283655 +aS'qam\tqam\tNN\tB-NP\tO' +p283656 +aS'and\tand\tCC\tO\tO' +p283657 +aS'7\t7\tCD\tB-NP\tO' +p283658 +aS'units\tunit\tNNS\tI-NP\tO' +p283659 +aS'qhs\tqh\tNNS\tI-NP\tO' +p283660 +asS'The patient , on admission , was placed on Ampicillin , Gentamycin and Flagyl .' +p283661 +(lp283662 +S'The\tThe\tDT\tB-NP\tO' +p283663 +aS'patient\tpatient\tNN\tI-NP\tO' +p283664 +aS',\t,\t,\tO\tO' +p283665 +aS'on\ton\tIN\tB-PP\tO' +p283666 +aS'admission\tadmission\tNN\tB-NP\tO' +p283667 +aS',\t,\t,\tO\tO' +p283668 +aS'was\tbe\tVBD\tB-VP\tO' +p283669 +aS'placed\tplace\tVBN\tI-VP\tO' +p283670 +aS'on\ton\tIN\tB-PP\tO' +p283671 +aS'Ampicillin\tAmpicillin\tNN\tB-NP\tB-protein' +p283672 +aS',\t,\t,\tI-NP\tO' +p283673 +aS'Gentamycin\tGentamycin\tNN\tI-NP\tO' +p283674 +aS'and\tand\tCC\tI-NP\tO' +p283675 +aS'Flagyl\tFlagyl\tNN\tI-NP\tO' +p283676 +aS'.\t.\t.\tO\tO' +p283677 +asS'Signed electronically by : DR. Suzanne Simpson on : FRI 2009-04-24 12:48 PM' +p283678 +(lp283679 +S'Signed\tSign\tVBN\tB-VP\tO' +p283680 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p283681 +aS'by\tby\tIN\tB-PP\tO' +p283682 +aS':\t:\t:\tO\tO' +p283683 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p283684 +aS'Suzanne\tSuzanne\tNNP\tI-NP\tO' +p283685 +aS'Simpson\tSimpson\tNNP\tI-NP\tO' +p283686 +aS'on\ton\tIN\tB-PP\tO' +p283687 +aS':\t:\t:\tO\tO' +p283688 +aS'FRI\tFRI\tCD\tB-NP\tO' +p283689 +aS'2009-04-24\t2009-04-24\tCD\tI-NP\tO' +p283690 +aS'12:48\t12:48\tCD\tI-NP\tO' +p283691 +aS'PM\tPM\tNN\tI-NP\tO' +p283692 +asS'The carotid noninvasives preoperatively were negative .' +p283693 +(lp283694 +S'The\tThe\tDT\tB-NP\tO' +p283695 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p283696 +aS'noninvasives\tnoninvasive\tNNS\tI-NP\tO' +p283697 +aS'preoperatively\tpreoperatively\tRB\tB-ADVP\tO' +p283698 +aS'were\tbe\tVBD\tB-VP\tO' +p283699 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p283700 +aS'.\t.\t.\tO\tO' +p283701 +asS'Medications , continue caffeine citrate of 11 mg po every day .' +p283702 +(lp283703 +S'Medications\tMedication\tNNS\tB-NP\tO' +p283704 +aS',\t,\t,\tO\tO' +p283705 +aS'continue\tcontinue\tVBP\tB-VP\tO' +p283706 +aS'caffeine\tcaffeine\tNN\tB-NP\tO' +p283707 +aS'citrate\tcitrate\tNN\tI-NP\tO' +p283708 +aS'of\tof\tIN\tB-PP\tO' +p283709 +aS'11\t11\tCD\tB-NP\tO' +p283710 +aS'mg\tmg\tNN\tI-NP\tO' +p283711 +aS'po\tpo\tRB\tB-NP\tO' +p283712 +aS'every\tevery\tDT\tI-NP\tO' +p283713 +aS'day\tday\tNN\tI-NP\tO' +p283714 +aS'.\t.\t.\tO\tO' +p283715 +asS'Hazy patchy opacities are noted in the left lung field but no frank consolidation is seen .' +p283716 +(lp283717 +S'Hazy\tHazy\tJJ\tB-NP\tO' +p283718 +aS'patchy\tpatchy\tNN\tI-NP\tO' +p283719 +aS'opacities\topacity\tNNS\tI-NP\tO' +p283720 +aS'are\tbe\tVBP\tB-VP\tO' +p283721 +aS'noted\tnote\tVBN\tI-VP\tO' +p283722 +aS'in\tin\tIN\tB-PP\tO' +p283723 +aS'the\tthe\tDT\tB-NP\tO' +p283724 +aS'left\tleft\tJJ\tI-NP\tO' +p283725 +aS'lung\tlung\tNN\tI-NP\tO' +p283726 +aS'field\tfield\tNN\tI-NP\tO' +p283727 +aS'but\tbut\tCC\tO\tO' +p283728 +aS'no\tno\tDT\tB-NP\tO' +p283729 +aS'frank\tfrank\tNN\tI-NP\tO' +p283730 +aS'consolidation\tconsolidation\tNN\tI-NP\tO' +p283731 +aS'is\tbe\tVBZ\tB-VP\tO' +p283732 +aS'seen\tsee\tVBN\tI-VP\tO' +p283733 +aS'.\t.\t.\tO\tO' +p283734 +asS'21. Lopressor 75 mg p.o. twice a day .' +p283735 +(lp283736 +S'21.\t21.\tLS\tB-NP\tO' +p283737 +aS'Lopressor\tLopressor\tNN\tI-NP\tO' +p283738 +aS'75\t75\tCD\tI-NP\tO' +p283739 +aS'mg\tmg\tNN\tI-NP\tO' +p283740 +aS'p.o.\tp.o.\tRB\tB-NP\tO' +p283741 +aS'twice\ttwice\tRB\tI-NP\tO' +p283742 +aS'a\ta\tDT\tI-NP\tO' +p283743 +aS'day\tday\tNN\tI-NP\tO' +p283744 +aS'.\t.\t.\tO\tO' +p283745 +asS'10. Pantoprazole 40 mg Tablet , Delayed Release ( E.C. ) Sig : One ( 1 ) Tablet , Delayed Release ( E.C. ) PO Q12H ( every 12 hours ) .' +p283746 +(lp283747 +S'10.\t10.\tLS\tB-NP\tO' +p283748 +aS'Pantoprazole\tPantoprazole\tNN\tI-NP\tO' +p283749 +aS'40\t40\tCD\tI-NP\tO' +p283750 +aS'mg\tmg\tNN\tI-NP\tO' +p283751 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p283752 +aS',\t,\t,\tO\tO' +p283753 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p283754 +aS'Release\tRelease\tNNP\tI-NP\tO' +p283755 +aS'(\t(\t(\tO\tO' +p283756 +aS'E.C.\tE.C.\tNNP\tB-NP\tO' +p283757 +aS')\t)\t)\tO\tO' +p283758 +aS'Sig\tSig\tNNP\tB-NP\tO' +p283759 +aS':\t:\t:\tO\tO' +p283760 +aS'One\tOne\tCD\tB-NP\tO' +p283761 +aS'(\t(\t(\tO\tO' +p283762 +aS'1\t1\tCD\tB-NP\tO' +p283763 +aS')\t)\t)\tO\tO' +p283764 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p283765 +aS',\t,\t,\tO\tO' +p283766 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p283767 +aS'Release\tRelease\tNNP\tI-NP\tO' +p283768 +aS'(\t(\t(\tO\tO' +p283769 +aS'E.C.\tE.C.\tNNP\tO\tO' +p283770 +aS')\t)\t)\tO\tO' +p283771 +aS'PO\tPO\tNN\tB-NP\tO' +p283772 +aS'Q12H\tQ12H\tNN\tI-NP\tO' +p283773 +aS'(\t(\t(\tO\tO' +p283774 +aS'every\tevery\tDT\tB-NP\tO' +p283775 +aS'12\t12\tCD\tI-NP\tO' +p283776 +aS'hours\thour\tNNS\tI-NP\tO' +p283777 +aS')\t)\t)\tO\tO' +p283778 +aS'.\t.\t.\tO\tO' +p283779 +asS'Now size is 6.5cm*6.5cm .' +p283780 +(lp283781 +S'Now\tNow\tRB\tB-NP\tO' +p283782 +aS'size\tsize\tNN\tI-NP\tO' +p283783 +aS'is\tbe\tVBZ\tB-VP\tO' +p283784 +aS'6.5cm*6.5cm\t6.5cm*6.5cm\tNN\tB-NP\tO' +p283785 +aS'.\t.\t.\tO\tO' +p283786 +asS'A computerized tomography scan of his head showed no signs of an acute bleed , a chest X-ray showed no new infiltrates or masses .' +p283787 +(lp283788 +S'A\tA\tDT\tB-NP\tO' +p283789 +aS'computerized\tcomputerized\tJJ\tI-NP\tO' +p283790 +aS'tomography\ttomography\tNN\tI-NP\tO' +p283791 +aS'scan\tscan\tNN\tI-NP\tO' +p283792 +aS'of\tof\tIN\tB-PP\tO' +p283793 +aS'his\this\tPRP$\tB-NP\tO' +p283794 +aS'head\thead\tNN\tI-NP\tO' +p283795 +aS'showed\tshow\tVBD\tB-VP\tO' +p283796 +aS'no\tno\tDT\tB-NP\tO' +p283797 +aS'signs\tsign\tNNS\tI-NP\tO' +p283798 +aS'of\tof\tIN\tB-PP\tO' +p283799 +aS'an\tan\tDT\tB-NP\tO' +p283800 +aS'acute\tacute\tJJ\tI-NP\tO' +p283801 +aS'bleed\tbleed\tNN\tI-NP\tO' +p283802 +aS',\t,\t,\tO\tO' +p283803 +aS'a\ta\tDT\tB-NP\tO' +p283804 +aS'chest\tchest\tNN\tI-NP\tO' +p283805 +aS'X-ray\tX-ray\tNN\tI-NP\tO' +p283806 +aS'showed\tshow\tVBD\tB-VP\tO' +p283807 +aS'no\tno\tDT\tB-NP\tO' +p283808 +aS'new\tnew\tJJ\tI-NP\tO' +p283809 +aS'infiltrates\tinfiltrate\tNNS\tI-NP\tO' +p283810 +aS'or\tor\tCC\tI-NP\tO' +p283811 +aS'masses\tmass\tNNS\tI-NP\tO' +p283812 +aS'.\t.\t.\tO\tO' +p283813 +asS'She does not drink , use IV drugs or smoke .' +p283814 +(lp283815 +S'She\tShe\tPRP\tB-NP\tO' +p283816 +aS'does\tdo\tVBZ\tB-VP\tO' +p283817 +aS'not\tnot\tRB\tI-VP\tO' +p283818 +aS'drink\tdrink\tVB\tI-VP\tO' +p283819 +aS',\t,\t,\tI-VP\tO' +p283820 +aS'use\tuse\tVB\tI-VP\tO' +p283821 +aS'IV\tIV\tCD\tB-NP\tO' +p283822 +aS'drugs\tdrug\tNNS\tI-NP\tO' +p283823 +aS'or\tor\tCC\tI-NP\tO' +p283824 +aS'smoke\tsmoke\tNN\tI-NP\tO' +p283825 +aS'.\t.\t.\tO\tO' +p283826 +asS'ALLERGIES : No known drug allergies .' +p283827 +(lp283828 +S'ALLERGIES\tALLERGIES\tNNS\tB-NP\tO' +p283829 +aS':\t:\t:\tO\tO' +p283830 +aS'No\tNo\tDT\tB-NP\tO' +p283831 +aS'known\tknow\tVBN\tI-NP\tO' +p283832 +aS'drug\tdrug\tNN\tI-NP\tO' +p283833 +aS'allergies\tallergy\tNNS\tI-NP\tO' +p283834 +aS'.\t.\t.\tO\tO' +p283835 +asS'3) Please follow up with PCP to have ultrasound of right kidney and bladder to assess right kidney cyst and bladder diverticula seen incidentally' +p283836 +(lp283837 +S'3)\t3)\tLS\tB-NP\tO' +p283838 +aS'Please\tPlease\tNN\tI-NP\tB-protein' +p283839 +aS'follow\tfollow\tVB\tB-VP\tO' +p283840 +aS'up\tup\tRP\tB-PRT\tO' +p283841 +aS'with\twith\tIN\tB-PP\tO' +p283842 +aS'PCP\tPCP\tNN\tB-NP\tO' +p283843 +aS'to\tto\tTO\tB-VP\tO' +p283844 +aS'have\thave\tVB\tI-VP\tO' +p283845 +aS'ultrasound\tultrasound\tNN\tB-NP\tO' +p283846 +aS'of\tof\tIN\tB-PP\tO' +p283847 +aS'right\tright\tJJ\tB-NP\tO' +p283848 +aS'kidney\tkidney\tNN\tI-NP\tO' +p283849 +aS'and\tand\tCC\tI-NP\tO' +p283850 +aS'bladder\tbladder\tNN\tI-NP\tO' +p283851 +aS'to\tto\tTO\tB-VP\tO' +p283852 +aS'assess\tassess\tVB\tI-VP\tO' +p283853 +aS'right\tright\tJJ\tB-NP\tO' +p283854 +aS'kidney\tkidney\tNN\tI-NP\tO' +p283855 +aS'cyst\tcyst\tNN\tI-NP\tO' +p283856 +aS'and\tand\tCC\tO\tO' +p283857 +aS'bladder\tbladder\tNN\tB-NP\tO' +p283858 +aS'diverticula\tdiverticula\tNN\tI-NP\tO' +p283859 +aS'seen\tsee\tVBN\tB-VP\tO' +p283860 +aS'incidentally\tincidentally\tRB\tB-ADVP\tO' +p283861 +asS'Ranitidine 150 mg twice a day , enteric-coated aspirin 325 mg once daily , Glucovance 5/500 one tablet twice a day , metoprolol 25 mg twice a day , Furosemide 20 mg once daily for 14 days , potassium chloride 20 mEq once daily for 14 days , Colace 100 mg twice a day , Niferex 150 mg once daily , Percocet 5/325 one to two tablets every four hours as needed , ibuprofen 400 mg every six hours as needed .' +p283862 +(lp283863 +S'Ranitidine\tRanitidine\tNN\tB-NP\tO' +p283864 +aS'150\t150\tCD\tI-NP\tO' +p283865 +aS'mg\tmg\tNN\tI-NP\tO' +p283866 +aS'twice\ttwice\tRB\tB-NP\tO' +p283867 +aS'a\ta\tDT\tI-NP\tO' +p283868 +aS'day\tday\tNN\tI-NP\tO' +p283869 +aS',\t,\t,\tO\tO' +p283870 +aS'enteric-coated\tenteric-coated\tJJ\tB-NP\tO' +p283871 +aS'aspirin\taspirin\tNN\tI-NP\tO' +p283872 +aS'325\t325\tCD\tI-NP\tO' +p283873 +aS'mg\tmg\tNN\tI-NP\tO' +p283874 +aS'once\tonce\tRB\tB-ADVP\tO' +p283875 +aS'daily\tdaily\tRB\tI-ADVP\tO' +p283876 +aS',\t,\t,\tO\tO' +p283877 +aS'Glucovance\tGlucovance\tNNP\tB-NP\tO' +p283878 +aS'5/500\t5/500\tCD\tI-NP\tO' +p283879 +aS'one\tone\tCD\tI-NP\tO' +p283880 +aS'tablet\ttablet\tNN\tI-NP\tO' +p283881 +aS'twice\ttwice\tRB\tB-NP\tO' +p283882 +aS'a\ta\tDT\tI-NP\tO' +p283883 +aS'day\tday\tNN\tI-NP\tO' +p283884 +aS',\t,\t,\tO\tO' +p283885 +aS'metoprolol\tmetoprolol\tNN\tB-NP\tO' +p283886 +aS'25\t25\tCD\tI-NP\tO' +p283887 +aS'mg\tmg\tNN\tI-NP\tO' +p283888 +aS'twice\ttwice\tRB\tB-NP\tO' +p283889 +aS'a\ta\tDT\tI-NP\tO' +p283890 +aS'day\tday\tNN\tI-NP\tO' +p283891 +aS',\t,\t,\tO\tO' +p283892 +aS'Furosemide\tFurosemide\tNN\tB-NP\tO' +p283893 +aS'20\t20\tCD\tI-NP\tO' +p283894 +aS'mg\tmg\tNN\tI-NP\tO' +p283895 +aS'once\tonce\tRB\tB-ADVP\tO' +p283896 +aS'daily\tdaily\tRB\tI-ADVP\tO' +p283897 +aS'for\tfor\tIN\tB-PP\tO' +p283898 +aS'14\t14\tCD\tB-NP\tO' +p283899 +aS'days\tday\tNNS\tI-NP\tO' +p283900 +aS',\t,\t,\tO\tO' +p283901 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p283902 +aS'chloride\tchloride\tNN\tI-NP\tO' +p283903 +aS'20\t20\tCD\tI-NP\tO' +p283904 +aS'mEq\tmEq\tNN\tI-NP\tO' +p283905 +aS'once\tonce\tRB\tB-ADVP\tO' +p283906 +aS'daily\tdaily\tRB\tI-ADVP\tO' +p283907 +aS'for\tfor\tIN\tB-PP\tO' +p283908 +aS'14\t14\tCD\tB-NP\tO' +p283909 +aS'days\tday\tNNS\tI-NP\tO' +p283910 +aS',\t,\t,\tO\tO' +p283911 +aS'Colace\tColace\tNNP\tB-NP\tO' +p283912 +aS'100\t100\tCD\tI-NP\tO' +p283913 +aS'mg\tmg\tNN\tI-NP\tO' +p283914 +aS'twice\ttwice\tRB\tB-NP\tO' +p283915 +aS'a\ta\tDT\tI-NP\tO' +p283916 +aS'day\tday\tNN\tI-NP\tO' +p283917 +aS',\t,\t,\tO\tO' +p283918 +aS'Niferex\tNiferex\tNNP\tB-NP\tO' +p283919 +aS'150\t150\tCD\tI-NP\tO' +p283920 +aS'mg\tmg\tNN\tI-NP\tO' +p283921 +aS'once\tonce\tRB\tB-ADVP\tO' +p283922 +aS'daily\tdaily\tRB\tI-ADVP\tO' +p283923 +aS',\t,\t,\tO\tO' +p283924 +aS'Percocet\tPercocet\tNNP\tB-NP\tO' +p283925 +aS'5/325\t5/325\tCD\tB-NP\tO' +p283926 +aS'one\tone\tCD\tI-NP\tO' +p283927 +aS'to\tto\tTO\tB-PP\tO' +p283928 +aS'two\ttwo\tCD\tB-NP\tO' +p283929 +aS'tablets\ttablet\tNNS\tI-NP\tO' +p283930 +aS'every\tevery\tDT\tB-NP\tO' +p283931 +aS'four\tfour\tCD\tI-NP\tO' +p283932 +aS'hours\thour\tNNS\tI-NP\tO' +p283933 +aS'as\tas\tIN\tB-SBAR\tO' +p283934 +aS'needed\tneed\tVBN\tB-VP\tO' +p283935 +aS',\t,\t,\tO\tO' +p283936 +aS'ibuprofen\tibuprofen\tIN\tB-ADVP\tO' +p283937 +aS'400\t400\tCD\tB-NP\tO' +p283938 +aS'mg\tmg\tNN\tI-NP\tO' +p283939 +aS'every\tevery\tDT\tB-NP\tO' +p283940 +aS'six\tsix\tCD\tI-NP\tO' +p283941 +aS'hours\thour\tNNS\tI-NP\tO' +p283942 +aS'as\tas\tIN\tB-SBAR\tO' +p283943 +aS'needed\tneed\tVBN\tB-VP\tO' +p283944 +aS'.\t.\t.\tO\tO' +p283945 +asS'10/27/96 date of birth ; September 30 , 1917' +p283946 +(lp283947 +S'10/27/96\t10/27/96\tCD\tB-NP\tO' +p283948 +aS'date\tdate\tNN\tI-NP\tO' +p283949 +aS'of\tof\tIN\tB-PP\tO' +p283950 +aS'birth\tbirth\tNN\tB-NP\tO' +p283951 +aS';\t;\t:\tO\tO' +p283952 +aS'September\tSeptember\tNNP\tB-NP\tO' +p283953 +aS'30\t30\tCD\tI-NP\tO' +p283954 +aS',\t,\t,\tI-NP\tO' +p283955 +aS'1917\t1917\tCD\tI-NP\tO' +p283956 +asS'His weight is 3015 gm on day of life 5 .' +p283957 +(lp283958 +S'His\tHis\tPRP$\tB-NP\tO' +p283959 +aS'weight\tweight\tNN\tI-NP\tO' +p283960 +aS'is\tbe\tVBZ\tB-VP\tO' +p283961 +aS'3015\t3015\tCD\tB-NP\tO' +p283962 +aS'gm\tgm\tNN\tI-NP\tO' +p283963 +aS'on\ton\tIN\tB-PP\tO' +p283964 +aS'day\tday\tNN\tB-NP\tO' +p283965 +aS'of\tof\tIN\tB-PP\tO' +p283966 +aS'life\tlife\tNN\tB-NP\tB-protein' +p283967 +aS'5\t5\tCD\tI-NP\tI-protein' +p283968 +aS'.\t.\t.\tO\tO' +p283969 +asS'will monitor .' +p283970 +(lp283971 +S'will\twill\tMD\tB-VP\tO' +p283972 +aS'monitor\tmonitor\tVB\tI-VP\tO' +p283973 +aS'.\t.\t.\tO\tO' +p283974 +asS'The patient should have follow up with his primary care physician Dr. Rod Linkeboltshieltrus at the TRE 453 about one week after discharge from rehab facility .' +p283975 +(lp283976 +S'The\tThe\tDT\tB-NP\tO' +p283977 +aS'patient\tpatient\tNN\tI-NP\tO' +p283978 +aS'should\tshould\tMD\tB-VP\tO' +p283979 +aS'have\thave\tVB\tI-VP\tO' +p283980 +aS'follow\tfollow\tVB\tI-VP\tO' +p283981 +aS'up\tup\tRP\tB-PRT\tO' +p283982 +aS'with\twith\tIN\tB-PP\tO' +p283983 +aS'his\this\tPRP$\tB-NP\tO' +p283984 +aS'primary\tprimary\tJJ\tI-NP\tO' +p283985 +aS'care\tcare\tNN\tI-NP\tO' +p283986 +aS'physician\tphysician\tNN\tI-NP\tO' +p283987 +aS'Dr.\tDr.\tNNP\tI-NP\tO' +p283988 +aS'Rod\tRod\tNNP\tI-NP\tO' +p283989 +aS'Linkeboltshieltrus\tLinkeboltshieltrus\tNNP\tI-NP\tO' +p283990 +aS'at\tat\tIN\tB-PP\tO' +p283991 +aS'the\tthe\tDT\tB-NP\tO' +p283992 +aS'TRE\tTRE\tNN\tI-NP\tB-DNA' +p283993 +aS'453\t453\tCD\tI-NP\tO' +p283994 +aS'about\tabout\tIN\tB-NP\tO' +p283995 +aS'one\tone\tCD\tI-NP\tO' +p283996 +aS'week\tweek\tNN\tI-NP\tO' +p283997 +aS'after\tafter\tIN\tB-PP\tO' +p283998 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p283999 +aS'from\tfrom\tIN\tB-PP\tO' +p284000 +aS'rehab\trehab\tNN\tB-NP\tO' +p284001 +aS'facility\tfacility\tNN\tI-NP\tO' +p284002 +aS'.\t.\t.\tO\tO' +p284003 +asS'26. Fludrocortisone 0.1 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' +p284004 +(lp284005 +S'26.\t26.\tCD\tB-NP\tO' +p284006 +aS'Fludrocortisone\tFludrocortisone\tNN\tI-NP\tO' +p284007 +aS'0.1\t0.1\tCD\tB-NP\tO' +p284008 +aS'mg\tmg\tNN\tI-NP\tO' +p284009 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p284010 +aS'Sig\tSig\tNNP\tI-NP\tO' +p284011 +aS':\t:\t:\tO\tO' +p284012 +aS'One\tOne\tCD\tB-NP\tO' +p284013 +aS'(\t(\t(\tO\tO' +p284014 +aS'1\t1\tCD\tB-NP\tO' +p284015 +aS')\t)\t)\tO\tO' +p284016 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p284017 +aS'PO\tPO\tNN\tI-NP\tO' +p284018 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p284019 +aS'(\t(\t(\tO\tO' +p284020 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p284021 +aS')\t)\t)\tO\tO' +p284022 +aS'.\t.\t.\tO\tO' +p284023 +asS'His chest X-Ray showed bilateral nodular infiltrates .' +p284024 +(lp284025 +S'His\tHis\tPRP$\tB-NP\tO' +p284026 +aS'chest\tchest\tNN\tI-NP\tO' +p284027 +aS'X-Ray\tX-Ray\tNN\tI-NP\tO' +p284028 +aS'showed\tshow\tVBD\tB-VP\tO' +p284029 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p284030 +aS'nodular\tnodular\tJJ\tI-NP\tO' +p284031 +aS'infiltrates\tinfiltrate\tNNS\tI-NP\tO' +p284032 +aS'.\t.\t.\tO\tO' +p284033 +asS'Echocardiogram showed left ventricle at the upper limits of normal for size , low normal function , moderate to mild effusion with pericardial pressures exceeding right atrial pressures , and right ventricular pressures at various points of patient 's cycle without any change in the effusion from 06/11 .' +p284034 +(lp284035 +S'Echocardiogram\tEchocardiogram\tNN\tB-NP\tO' +p284036 +aS'showed\tshow\tVBD\tB-VP\tO' +p284037 +aS'left\tleft\tJJ\tB-NP\tO' +p284038 +aS'ventricle\tventricle\tNN\tI-NP\tO' +p284039 +aS'at\tat\tIN\tB-PP\tO' +p284040 +aS'the\tthe\tDT\tB-NP\tO' +p284041 +aS'upper\tupper\tJJ\tI-NP\tO' +p284042 +aS'limits\tlimit\tNNS\tI-NP\tO' +p284043 +aS'of\tof\tIN\tB-PP\tO' +p284044 +aS'normal\tnormal\tJJ\tB-NP\tO' +p284045 +aS'for\tfor\tIN\tB-PP\tO' +p284046 +aS'size\tsize\tNN\tB-NP\tO' +p284047 +aS',\t,\t,\tO\tO' +p284048 +aS'low\tlow\tJJ\tB-NP\tO' +p284049 +aS'normal\tnormal\tJJ\tI-NP\tO' +p284050 +aS'function\tfunction\tNN\tI-NP\tO' +p284051 +aS',\t,\t,\tO\tO' +p284052 +aS'moderate\tmoderate\tJJ\tB-ADJP\tO' +p284053 +aS'to\tto\tTO\tB-PP\tO' +p284054 +aS'mild\tmild\tJJ\tB-NP\tO' +p284055 +aS'effusion\teffusion\tNN\tI-NP\tO' +p284056 +aS'with\twith\tIN\tB-PP\tO' +p284057 +aS'pericardial\tpericardial\tJJ\tB-NP\tO' +p284058 +aS'pressures\tpressure\tNNS\tI-NP\tO' +p284059 +aS'exceeding\texceed\tVBG\tB-VP\tO' +p284060 +aS'right\tright\tJJ\tB-NP\tO' +p284061 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p284062 +aS'pressures\tpressure\tNNS\tI-NP\tO' +p284063 +aS',\t,\t,\tO\tO' +p284064 +aS'and\tand\tCC\tO\tO' +p284065 +aS'right\tright\tJJ\tB-NP\tO' +p284066 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p284067 +aS'pressures\tpressure\tNNS\tI-NP\tO' +p284068 +aS'at\tat\tIN\tB-PP\tO' +p284069 +aS'various\tvarious\tJJ\tB-NP\tO' +p284070 +aS'points\tpoint\tNNS\tI-NP\tO' +p284071 +aS'of\tof\tIN\tB-PP\tO' +p284072 +aS'patient\tpatient\tNN\tB-NP\tO' +p284073 +aS''s\t'\tNNS\tI-NP\tO' +p284074 +aS'cycle\tcycle\tNN\tI-NP\tO' +p284075 +aS'without\twithout\tIN\tB-PP\tO' +p284076 +aS'any\tany\tDT\tB-NP\tO' +p284077 +aS'change\tchange\tNN\tI-NP\tO' +p284078 +aS'in\tin\tIN\tB-PP\tO' +p284079 +aS'the\tthe\tDT\tB-NP\tO' +p284080 +aS'effusion\teffusion\tNN\tI-NP\tO' +p284081 +aS'from\tfrom\tIN\tB-PP\tO' +p284082 +aS'06/11\t06/11\tCD\tB-NP\tO' +p284083 +aS'.\t.\t.\tO\tO' +p284084 +asS'His family was notified .' +p284085 +(lp284086 +S'His\tHis\tPRP$\tB-NP\tO' +p284087 +aS'family\tfamily\tNN\tI-NP\tO' +p284088 +aS'was\tbe\tVBD\tB-VP\tO' +p284089 +aS'notified\tnotify\tVBN\tI-VP\tO' +p284090 +aS'.\t.\t.\tO\tO' +p284091 +asS'His Penrose drain was discontinued at this time .' +p284092 +(lp284093 +S'His\tHis\tPRP$\tB-NP\tB-protein' +p284094 +aS'Penrose\tPenrose\tNNP\tI-NP\tO' +p284095 +aS'drain\tdrain\tNN\tI-NP\tO' +p284096 +aS'was\tbe\tVBD\tB-VP\tO' +p284097 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p284098 +aS'at\tat\tIN\tB-PP\tO' +p284099 +aS'this\tthis\tDT\tB-NP\tO' +p284100 +aS'time\ttime\tNN\tI-NP\tO' +p284101 +aS'.\t.\t.\tO\tO' +p284102 +asS'Pt was continued on BB , ASA , and nitrates .' +p284103 +(lp284104 +S'Pt\tPt\tNN\tB-NP\tO' +p284105 +aS'was\tbe\tVBD\tB-VP\tO' +p284106 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p284107 +aS'on\ton\tIN\tB-PP\tO' +p284108 +aS'BB\tBB\tNN\tB-NP\tO' +p284109 +aS',\t,\t,\tO\tO' +p284110 +aS'ASA\tASA\tNN\tB-NP\tO' +p284111 +aS',\t,\t,\tO\tO' +p284112 +aS'and\tand\tCC\tO\tO' +p284113 +aS'nitrates\tnitrate\tNNS\tB-NP\tO' +p284114 +aS'.\t.\t.\tO\tO' +p284115 +asS'1. Cerebrovascular accident .' +p284116 +(lp284117 +S'1.\t1.\tLS\tB-NP\tO' +p284118 +aS'Cerebrovascular\tCerebrovascular\tJJ\tI-NP\tO' +p284119 +aS'accident\taccident\tNN\tI-NP\tO' +p284120 +aS'.\t.\t.\tO\tO' +p284121 +asS'6. Ursodiol 300 mg Capsule Sig : One ( 1 ) Capsule PO TID ( 3 times a day ) .' +p284122 +(lp284123 +S'6.\t6.\tCD\tB-NP\tO' +p284124 +aS'Ursodiol\tUrsodiol\tNN\tI-NP\tO' +p284125 +aS'300\t300\tCD\tB-NP\tO' +p284126 +aS'mg\tmg\tNN\tI-NP\tO' +p284127 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p284128 +aS'Sig\tSig\tNNP\tI-NP\tO' +p284129 +aS':\t:\t:\tO\tO' +p284130 +aS'One\tOne\tCD\tB-NP\tO' +p284131 +aS'(\t(\t(\tO\tO' +p284132 +aS'1\t1\tCD\tB-NP\tO' +p284133 +aS')\t)\t)\tO\tO' +p284134 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p284135 +aS'PO\tPO\tNNP\tI-NP\tO' +p284136 +aS'TID\tTID\tNNP\tI-NP\tO' +p284137 +aS'(\t(\t(\tO\tO' +p284138 +aS'3\t3\tCD\tB-NP\tO' +p284139 +aS'times\ttime\tNNS\tI-NP\tO' +p284140 +aS'a\ta\tDT\tB-NP\tO' +p284141 +aS'day\tday\tNN\tI-NP\tO' +p284142 +aS')\t)\t)\tO\tO' +p284143 +aS'.\t.\t.\tO\tO' +p284144 +asS'14. Aspirin 81 mg Tablet , Chewable Sig : One ( 1 ) Tablet , Chewable PO DAILY ( Daily ) .' +p284145 +(lp284146 +S'14.\t14.\tCD\tB-NP\tO' +p284147 +aS'Aspirin\tAspirin\tNN\tI-NP\tO' +p284148 +aS'81\t81\tCD\tB-NP\tO' +p284149 +aS'mg\tmg\tNN\tI-NP\tO' +p284150 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p284151 +aS',\t,\t,\tO\tO' +p284152 +aS'Chewable\tChewable\tNNP\tB-NP\tO' +p284153 +aS'Sig\tSig\tNNP\tI-NP\tO' +p284154 +aS':\t:\t:\tO\tO' +p284155 +aS'One\tOne\tCD\tB-NP\tO' +p284156 +aS'(\t(\t(\tO\tO' +p284157 +aS'1\t1\tCD\tB-NP\tO' +p284158 +aS')\t)\t)\tO\tO' +p284159 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p284160 +aS',\t,\t,\tO\tO' +p284161 +aS'Chewable\tChewable\tNNP\tB-NP\tO' +p284162 +aS'PO\tPO\tNNP\tI-NP\tO' +p284163 +aS'DAILY\tDAILY\tNNP\tI-NP\tO' +p284164 +aS'(\t(\t(\tO\tO' +p284165 +aS'Daily\tDaily\tNNP\tB-NP\tO' +p284166 +aS')\t)\t)\tO\tO' +p284167 +aS'.\t.\t.\tO\tO' +p284168 +asS'He then had an angiogram with Gel foam to try to control his GI bleed .' +p284169 +(lp284170 +S'He\tHe\tPRP\tB-NP\tO' +p284171 +aS'then\tthen\tRB\tB-ADVP\tO' +p284172 +aS'had\thave\tVBD\tB-VP\tO' +p284173 +aS'an\tan\tDT\tB-NP\tO' +p284174 +aS'angiogram\tangiogram\tNN\tI-NP\tO' +p284175 +aS'with\twith\tIN\tB-PP\tO' +p284176 +aS'Gel\tGel\tNN\tB-NP\tO' +p284177 +aS'foam\tfoam\tNN\tI-NP\tO' +p284178 +aS'to\tto\tTO\tB-VP\tO' +p284179 +aS'try\ttry\tVB\tI-VP\tO' +p284180 +aS'to\tto\tTO\tI-VP\tO' +p284181 +aS'control\tcontrol\tVB\tI-VP\tO' +p284182 +aS'his\this\tPRP$\tB-NP\tB-DNA' +p284183 +aS'GI\tGI\tNNP\tI-NP\tO' +p284184 +aS'bleed\tbleed\tNN\tI-NP\tO' +p284185 +aS'.\t.\t.\tO\tO' +p284186 +asS'Lungs clear to auscultation .' +p284187 +(lp284188 +S'Lungs\tLung\tNNS\tB-NP\tO' +p284189 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p284190 +aS'to\tto\tTO\tB-PP\tO' +p284191 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p284192 +aS'.\t.\t.\tO\tO' +p284193 +asS'2. Flomax 0.4 mg p.o. q. day .' +p284194 +(lp284195 +S'2.\t2.\tLS\tB-LST\tO' +p284196 +aS'Flomax\tFlomax\tNN\tB-NP\tO' +p284197 +aS'0.4\t0.4\tCD\tI-NP\tO' +p284198 +aS'mg\tmg\tNN\tI-NP\tO' +p284199 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p284200 +aS'q.\tq.\tNN\tI-NP\tO' +p284201 +aS'day\tday\tNN\tI-NP\tO' +p284202 +aS'.\t.\t.\tO\tO' +p284203 +asS'COPD ( s / p lung resection FEV1 25% ) , chronic pericardial effusion , PVD , R renal artery stenosis , osteoporosis , presbylaryngis' +p284204 +(lp284205 +S'COPD\tCOPD\tNN\tB-NP\tO' +p284206 +aS'(\t(\t(\tI-NP\tO' +p284207 +aS's\ts\tNN\tI-NP\tB-protein' +p284208 +aS'/\t/\tSYM\tI-NP\tI-protein' +p284209 +aS'p\tp\tNN\tI-NP\tI-protein' +p284210 +aS'lung\tlung\tNN\tI-NP\tI-protein' +p284211 +aS'resection\tresection\tNN\tI-NP\tI-protein' +p284212 +aS'FEV1\tFEV1\tNN\tI-NP\tI-protein' +p284213 +aS'25%\t25%\tNN\tI-NP\tI-protein' +p284214 +aS')\t)\t)\tO\tO' +p284215 +aS',\t,\t,\tO\tO' +p284216 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p284217 +aS'pericardial\tpericardial\tJJ\tI-NP\tO' +p284218 +aS'effusion\teffusion\tNN\tI-NP\tO' +p284219 +aS',\t,\t,\tO\tO' +p284220 +aS'PVD\tPVD\tNN\tB-NP\tB-protein' +p284221 +aS',\t,\t,\tO\tO' +p284222 +aS'R\tR\tNN\tB-NP\tO' +p284223 +aS'renal\trenal\tJJ\tI-NP\tO' +p284224 +aS'artery\tartery\tNN\tI-NP\tO' +p284225 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p284226 +aS',\t,\t,\tO\tO' +p284227 +aS'osteoporosis\tosteoporosis\tNN\tB-NP\tO' +p284228 +aS',\t,\t,\tO\tO' +p284229 +aS'presbylaryngis\tpresbylaryngis\tNN\tB-NP\tO' +p284230 +asS'The patient has an intention tremor with the left hand .' +p284231 +(lp284232 +S'The\tThe\tDT\tB-NP\tO' +p284233 +aS'patient\tpatient\tNN\tI-NP\tO' +p284234 +aS'has\thave\tVBZ\tB-VP\tO' +p284235 +aS'an\tan\tDT\tB-NP\tO' +p284236 +aS'intention\tintention\tNN\tI-NP\tO' +p284237 +aS'tremor\ttremor\tNN\tI-NP\tO' +p284238 +aS'with\twith\tIN\tB-PP\tO' +p284239 +aS'the\tthe\tDT\tB-NP\tO' +p284240 +aS'left\tleft\tJJ\tI-NP\tO' +p284241 +aS'hand\thand\tNN\tI-NP\tO' +p284242 +aS'.\t.\t.\tO\tO' +p284243 +asS'The patient has six children and 10 grandchildren , all in excellent health .' +p284244 +(lp284245 +S'The\tThe\tDT\tB-NP\tO' +p284246 +aS'patient\tpatient\tNN\tI-NP\tO' +p284247 +aS'has\thave\tVBZ\tB-VP\tO' +p284248 +aS'six\tsix\tCD\tB-NP\tO' +p284249 +aS'children\tchild\tNNS\tI-NP\tO' +p284250 +aS'and\tand\tCC\tO\tO' +p284251 +aS'10\t10\tCD\tB-NP\tO' +p284252 +aS'grandchildren\tgrandchild\tNNS\tI-NP\tO' +p284253 +aS',\t,\t,\tO\tO' +p284254 +aS'all\tall\tDT\tB-NP\tO' +p284255 +aS'in\tin\tIN\tB-PP\tO' +p284256 +aS'excellent\texcellent\tJJ\tB-NP\tO' +p284257 +aS'health\thealth\tNN\tI-NP\tO' +p284258 +aS'.\t.\t.\tO\tO' +p284259 +asS'10. Acetaminophen 325 mg Tablet Sig : 1-2 Tablets PO Q4-6H ( every 4 to 6 hours ) as needed .' +p284260 +(lp284261 +S'10.\t10.\tCD\tB-NP\tO' +p284262 +aS'Acetaminophen\tAcetaminophen\tNN\tI-NP\tO' +p284263 +aS'325\t325\tCD\tB-NP\tO' +p284264 +aS'mg\tmg\tNN\tI-NP\tO' +p284265 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p284266 +aS'Sig\tSig\tNNP\tI-NP\tO' +p284267 +aS':\t:\t:\tO\tO' +p284268 +aS'1-2\t1-2\tCD\tB-NP\tO' +p284269 +aS'Tablets\tTablet\tNNS\tI-NP\tO' +p284270 +aS'PO\tPO\tNN\tI-NP\tO' +p284271 +aS'Q4-6H\tQ4-6H\tNN\tI-NP\tO' +p284272 +aS'(\t(\t(\tO\tO' +p284273 +aS'every\tevery\tDT\tB-NP\tO' +p284274 +aS'4\t4\tCD\tI-NP\tO' +p284275 +aS'to\tto\tTO\tI-NP\tO' +p284276 +aS'6\t6\tCD\tI-NP\tO' +p284277 +aS'hours\thour\tNNS\tI-NP\tO' +p284278 +aS')\t)\t)\tO\tO' +p284279 +aS'as\tas\tIN\tB-SBAR\tO' +p284280 +aS'needed\tneed\tVBN\tB-VP\tO' +p284281 +aS'.\t.\t.\tO\tO' +p284282 +asS'A hip ultrasound due to breech / breech presentation of twins .' +p284283 +(lp284284 +S'A\tA\tDT\tB-NP\tO' +p284285 +aS'hip\thip\tNN\tI-NP\tO' +p284286 +aS'ultrasound\tultrasound\tNN\tI-NP\tO' +p284287 +aS'due\tdue\tIN\tB-PP\tO' +p284288 +aS'to\tto\tTO\tB-PP\tO' +p284289 +aS'breech\tbreech\tNN\tB-NP\tO' +p284290 +aS'/\t/\tSYM\tI-NP\tO' +p284291 +aS'breech\tbreech\tNN\tB-NP\tO' +p284292 +aS'presentation\tpresentation\tNN\tI-NP\tO' +p284293 +aS'of\tof\tIN\tB-PP\tO' +p284294 +aS'twins\ttwin\tNNS\tB-NP\tO' +p284295 +aS'.\t.\t.\tO\tO' +p284296 +asS'She had CA-125 which was pending at the time of discharge .' +p284297 +(lp284298 +S'She\tShe\tPRP\tB-NP\tO' +p284299 +aS'had\thave\tVBD\tB-VP\tO' +p284300 +aS'CA-125\tCA-125\tNN\tB-NP\tB-protein' +p284301 +aS'which\twhich\tWDT\tB-NP\tO' +p284302 +aS'was\tbe\tVBD\tB-VP\tO' +p284303 +aS'pending\tpende\tVBG\tI-VP\tO' +p284304 +aS'at\tat\tIN\tB-PP\tO' +p284305 +aS'the\tthe\tDT\tB-NP\tO' +p284306 +aS'time\ttime\tNN\tI-NP\tO' +p284307 +aS'of\tof\tIN\tB-PP\tO' +p284308 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p284309 +aS'.\t.\t.\tO\tO' +p284310 +asS'Mr. Mcelveen 51 year-old male with metastatic RCC on Sutent since 2018-12-21 , admitted with fever , hypoxemia , and bibasilar pneumonia .' +p284311 +(lp284312 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p284313 +aS'Mcelveen\tMcelveen\tNNP\tI-NP\tO' +p284314 +aS'51\t51\tCD\tB-NP\tO' +p284315 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p284316 +aS'male\tmale\tNN\tI-NP\tO' +p284317 +aS'with\twith\tIN\tB-PP\tO' +p284318 +aS'metastatic\tmetastatic\tJJ\tB-NP\tO' +p284319 +aS'RCC\tRCC\tNN\tI-NP\tO' +p284320 +aS'on\ton\tIN\tB-PP\tO' +p284321 +aS'Sutent\tSutent\tNNP\tB-NP\tO' +p284322 +aS'since\tsince\tIN\tB-PP\tO' +p284323 +aS'2018-12-21\t2018-12-21\tCD\tB-NP\tO' +p284324 +aS',\t,\t,\tO\tO' +p284325 +aS'admitted\tadmit\tVBN\tB-VP\tO' +p284326 +aS'with\twith\tIN\tB-PP\tO' +p284327 +aS'fever\tfever\tNN\tB-NP\tO' +p284328 +aS',\t,\t,\tO\tO' +p284329 +aS'hypoxemia\thypoxemia\tNN\tB-NP\tO' +p284330 +aS',\t,\t,\tO\tO' +p284331 +aS'and\tand\tCC\tO\tO' +p284332 +aS'bibasilar\tbibasilar\tJJ\tB-NP\tO' +p284333 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p284334 +aS'.\t.\t.\tO\tO' +p284335 +asS'Left lower extremity examination demonstrated no gross deformities and intact motor , sensory , and vascular examinations in all distributions .' +p284336 +(lp284337 +S'Left\tLeave\tVBN\tB-VP\tO' +p284338 +aS'lower\tlow\tJJR\tB-NP\tO' +p284339 +aS'extremity\textremity\tNN\tI-NP\tO' +p284340 +aS'examination\texamination\tNN\tI-NP\tO' +p284341 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p284342 +aS'no\tno\tDT\tB-NP\tO' +p284343 +aS'gross\tgross\tJJ\tI-NP\tO' +p284344 +aS'deformities\tdeformity\tNNS\tI-NP\tO' +p284345 +aS'and\tand\tCC\tO\tO' +p284346 +aS'intact\tintact\tJJ\tB-NP\tO' +p284347 +aS'motor\tmotor\tNN\tI-NP\tO' +p284348 +aS',\t,\t,\tO\tO' +p284349 +aS'sensory\tsensory\tNN\tB-NP\tO' +p284350 +aS',\t,\t,\tO\tO' +p284351 +aS'and\tand\tCC\tO\tO' +p284352 +aS'vascular\tvascular\tJJ\tB-NP\tO' +p284353 +aS'examinations\texamination\tNNS\tI-NP\tO' +p284354 +aS'in\tin\tIN\tB-PP\tO' +p284355 +aS'all\tall\tDT\tB-NP\tO' +p284356 +aS'distributions\tdistribution\tNNS\tI-NP\tO' +p284357 +aS'.\t.\t.\tO\tO' +p284358 +asS'We changed the dressings tid instead of bid for continued drainage .' +p284359 +(lp284360 +S'We\tWe\tPRP\tB-NP\tO' +p284361 +aS'changed\tchange\tVBD\tB-VP\tO' +p284362 +aS'the\tthe\tDT\tB-NP\tO' +p284363 +aS'dressings\tdressing\tNNS\tI-NP\tO' +p284364 +aS'tid\ttid\tVBD\tB-VP\tO' +p284365 +aS'instead\tinstead\tRB\tB-CONJP\tO' +p284366 +aS'of\tof\tIN\tI-CONJP\tO' +p284367 +aS'bid\tbid\tNN\tB-NP\tO' +p284368 +aS'for\tfor\tIN\tB-PP\tO' +p284369 +aS'continued\tcontinued\tJJ\tB-NP\tO' +p284370 +aS'drainage\tdrainage\tNN\tI-NP\tO' +p284371 +aS'.\t.\t.\tO\tO' +p284372 +asS'no masses , neck revealed lymphadenopathy .' +p284373 +(lp284374 +S'no\tno\tDT\tB-NP\tO' +p284375 +aS'masses\tmass\tNNS\tI-NP\tO' +p284376 +aS',\t,\t,\tO\tO' +p284377 +aS'neck\tneck\tNN\tB-NP\tO' +p284378 +aS'revealed\treveal\tVBD\tB-VP\tO' +p284379 +aS'lymphadenopathy\tlymphadenopathy\tNN\tB-NP\tO' +p284380 +aS'.\t.\t.\tO\tO' +p284381 +asS'Grim .' +p284382 +(lp284383 +S'Grim\tGrim\tNNP\tB-NP\tO' +p284384 +aS'.\t.\t.\tO\tO' +p284385 +asS'On physical examination , he is a cachectic white male looking older than his stated age , who is in no acute distress .' +p284386 +(lp284387 +S'On\tOn\tIN\tB-PP\tO' +p284388 +aS'physical\tphysical\tJJ\tB-NP\tO' +p284389 +aS'examination\texamination\tNN\tI-NP\tO' +p284390 +aS',\t,\t,\tO\tO' +p284391 +aS'he\the\tPRP\tB-NP\tO' +p284392 +aS'is\tbe\tVBZ\tB-VP\tO' +p284393 +aS'a\ta\tDT\tB-NP\tO' +p284394 +aS'cachectic\tcachectic\tJJ\tI-NP\tO' +p284395 +aS'white\twhite\tJJ\tI-NP\tO' +p284396 +aS'male\tmale\tNN\tI-NP\tO' +p284397 +aS'looking\tlook\tVBG\tB-VP\tO' +p284398 +aS'older\told\tJJR\tB-ADJP\tO' +p284399 +aS'than\tthan\tIN\tB-PP\tO' +p284400 +aS'his\this\tPRP$\tB-NP\tB-DNA' +p284401 +aS'stated\tstate\tVBN\tI-NP\tO' +p284402 +aS'age\tage\tNN\tI-NP\tO' +p284403 +aS',\t,\t,\tO\tO' +p284404 +aS'who\twho\tWP\tB-NP\tO' +p284405 +aS'is\tbe\tVBZ\tB-VP\tO' +p284406 +aS'in\tin\tIN\tB-PP\tO' +p284407 +aS'no\tno\tDT\tB-NP\tO' +p284408 +aS'acute\tacute\tJJ\tI-NP\tO' +p284409 +aS'distress\tdistress\tNN\tI-NP\tO' +p284410 +aS'.\t.\t.\tO\tO' +p284411 +asS'Normal testes and penis .' +p284412 +(lp284413 +S'Normal\tNormal\tJJ\tB-NP\tO' +p284414 +aS'testes\ttestis\tNNS\tI-NP\tO' +p284415 +aS'and\tand\tCC\tI-NP\tO' +p284416 +aS'penis\tpeni\tNNS\tI-NP\tO' +p284417 +aS'.\t.\t.\tO\tO' +p284418 +asS'The patient was presumed to have a rheumatoid factor negative , rheumatoid arthritis and he was prescribed Naprosyn , prednisone and sulfasalazine .' +p284419 +(lp284420 +S'The\tThe\tDT\tB-NP\tO' +p284421 +aS'patient\tpatient\tNN\tI-NP\tO' +p284422 +aS'was\tbe\tVBD\tB-VP\tO' +p284423 +aS'presumed\tpresume\tVBN\tI-VP\tO' +p284424 +aS'to\tto\tTO\tI-VP\tO' +p284425 +aS'have\thave\tVB\tI-VP\tO' +p284426 +aS'a\ta\tDT\tB-NP\tO' +p284427 +aS'rheumatoid\trheumatoid\tJJ\tI-NP\tB-protein' +p284428 +aS'factor\tfactor\tNN\tI-NP\tI-protein' +p284429 +aS'negative\tnegative\tJJ\tI-NP\tO' +p284430 +aS',\t,\t,\tI-NP\tO' +p284431 +aS'rheumatoid\trheumatoid\tJJ\tI-NP\tO' +p284432 +aS'arthritis\tarthritis\tNN\tI-NP\tO' +p284433 +aS'and\tand\tCC\tO\tO' +p284434 +aS'he\the\tPRP\tB-NP\tO' +p284435 +aS'was\tbe\tVBD\tB-VP\tO' +p284436 +aS'prescribed\tprescribe\tVBN\tI-VP\tO' +p284437 +aS'Naprosyn\tNaprosyn\tNN\tB-NP\tO' +p284438 +aS',\t,\t,\tI-NP\tO' +p284439 +aS'prednisone\tprednisone\tNN\tI-NP\tO' +p284440 +aS'and\tand\tCC\tI-NP\tO' +p284441 +aS'sulfasalazine\tsulfasalazine\tNN\tI-NP\tO' +p284442 +aS'.\t.\t.\tO\tO' +p284443 +asS'There were no rashes .' +p284444 +(lp284445 +S'There\tThere\tEX\tB-NP\tO' +p284446 +aS'were\tbe\tVBD\tB-VP\tO' +p284447 +aS'no\tno\tDT\tB-NP\tO' +p284448 +aS'rashes\trash\tNNS\tI-NP\tO' +p284449 +aS'.\t.\t.\tO\tO' +p284450 +asS'This was relayed to the family , and they will readdress this with Dr. Ford ( MS Hoyos ).' +p284451 +(lp284452 +S'This\tThis\tDT\tB-NP\tO' +p284453 +aS'was\tbe\tVBD\tB-VP\tO' +p284454 +aS'relayed\trelay\tVBN\tI-VP\tO' +p284455 +aS'to\tto\tTO\tB-PP\tO' +p284456 +aS'the\tthe\tDT\tB-NP\tO' +p284457 +aS'family\tfamily\tNN\tI-NP\tO' +p284458 +aS',\t,\t,\tO\tO' +p284459 +aS'and\tand\tCC\tO\tO' +p284460 +aS'they\tthey\tPRP\tB-NP\tO' +p284461 +aS'will\twill\tMD\tB-VP\tO' +p284462 +aS'readdress\treaddress\tVB\tI-VP\tO' +p284463 +aS'this\tthis\tDT\tB-NP\tO' +p284464 +aS'with\twith\tIN\tB-PP\tO' +p284465 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p284466 +aS'Ford\tFord\tNNP\tI-NP\tO' +p284467 +aS'(\t(\t(\tO\tO' +p284468 +aS'MS\tMS\tNNP\tB-NP\tO' +p284469 +aS'Hoyos\tHoyos\tNNP\tI-NP\tO' +p284470 +aS').\t).\tNNP\tI-NP\tO' +p284471 +asS'1. 7-2-93 , emergency room exploratory laparotomy , repair of liver laceration , repair of torn transverse mesocolon , repair of serosal tear of transverse colon , ligation and division of ruptured left renal vein , exploration of pancreas ,' +p284472 +(lp284473 +S'1.\t1.\tLS\tB-LST\tO' +p284474 +aS'7-2-93\t7-2-93\tNN\tB-NP\tO' +p284475 +aS',\t,\t,\tO\tO' +p284476 +aS'emergency\temergency\tNN\tB-NP\tO' +p284477 +aS'room\troom\tNN\tI-NP\tO' +p284478 +aS'exploratory\texploratory\tNN\tI-NP\tO' +p284479 +aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' +p284480 +aS',\t,\t,\tO\tO' +p284481 +aS'repair\trepair\tNN\tB-NP\tO' +p284482 +aS'of\tof\tIN\tB-PP\tO' +p284483 +aS'liver\tliver\tNN\tB-NP\tO' +p284484 +aS'laceration\tlaceration\tNN\tI-NP\tO' +p284485 +aS',\t,\t,\tO\tO' +p284486 +aS'repair\trepair\tNN\tB-NP\tO' +p284487 +aS'of\tof\tIN\tB-PP\tO' +p284488 +aS'torn\ttear\tVBN\tB-NP\tO' +p284489 +aS'transverse\ttransverse\tJJ\tI-NP\tO' +p284490 +aS'mesocolon\tmesocolon\tNN\tI-NP\tO' +p284491 +aS',\t,\t,\tO\tO' +p284492 +aS'repair\trepair\tNN\tB-NP\tO' +p284493 +aS'of\tof\tIN\tB-PP\tO' +p284494 +aS'serosal\tserosal\tJJ\tB-NP\tO' +p284495 +aS'tear\ttear\tNN\tI-NP\tO' +p284496 +aS'of\tof\tIN\tB-PP\tO' +p284497 +aS'transverse\ttransverse\tJJ\tB-NP\tO' +p284498 +aS'colon\tcolon\tNN\tI-NP\tO' +p284499 +aS',\t,\t,\tI-NP\tO' +p284500 +aS'ligation\tligation\tNN\tI-NP\tO' +p284501 +aS'and\tand\tCC\tI-NP\tO' +p284502 +aS'division\tdivision\tNN\tI-NP\tO' +p284503 +aS'of\tof\tIN\tB-PP\tO' +p284504 +aS'ruptured\truptured\tJJ\tB-NP\tO' +p284505 +aS'left\tleft\tJJ\tI-NP\tO' +p284506 +aS'renal\trenal\tJJ\tI-NP\tO' +p284507 +aS'vein\tvein\tNN\tI-NP\tO' +p284508 +aS',\t,\t,\tO\tO' +p284509 +aS'exploration\texploration\tNN\tB-NP\tO' +p284510 +aS'of\tof\tIN\tB-PP\tO' +p284511 +aS'pancreas\tpancreas\tNN\tB-NP\tO' +p284512 +aS',\t,\t,\tO\tO' +p284513 +asS'PTT was 27.3 .' +p284514 +(lp284515 +S'PTT\tPTT\tNN\tB-NP\tO' +p284516 +aS'was\tbe\tVBD\tB-VP\tO' +p284517 +aS'27.3\t27.3\tCD\tB-NP\tO' +p284518 +aS'.\t.\t.\tO\tO' +p284519 +asS'By hospital day 4 , he remained afebrile throughout his hospital course .' +p284520 +(lp284521 +S'By\tBy\tIN\tB-PP\tO' +p284522 +aS'hospital\thospital\tNN\tB-NP\tO' +p284523 +aS'day\tday\tNN\tI-NP\tO' +p284524 +aS'4\t4\tCD\tI-NP\tO' +p284525 +aS',\t,\t,\tO\tO' +p284526 +aS'he\the\tPRP\tB-NP\tO' +p284527 +aS'remained\tremain\tVBD\tB-VP\tO' +p284528 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p284529 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p284530 +aS'his\this\tPRP$\tB-NP\tO' +p284531 +aS'hospital\thospital\tNN\tI-NP\tO' +p284532 +aS'course\tcourse\tNN\tI-NP\tO' +p284533 +aS'.\t.\t.\tO\tO' +p284534 +asS'A left-to-right shunt across the interatrial septum is seen at rest .' +p284535 +(lp284536 +S'A\tA\tDT\tB-NP\tO' +p284537 +aS'left-to-right\tleft-to-right\tJJ\tI-NP\tO' +p284538 +aS'shunt\tshunt\tNN\tI-NP\tO' +p284539 +aS'across\tacross\tIN\tB-PP\tO' +p284540 +aS'the\tthe\tDT\tB-NP\tO' +p284541 +aS'interatrial\tinteratrial\tJJ\tI-NP\tO' +p284542 +aS'septum\tseptum\tNN\tI-NP\tO' +p284543 +aS'is\tbe\tVBZ\tB-VP\tO' +p284544 +aS'seen\tsee\tVBN\tI-VP\tO' +p284545 +aS'at\tat\tIN\tB-PP\tO' +p284546 +aS'rest\trest\tNN\tB-NP\tO' +p284547 +aS'.\t.\t.\tO\tO' +p284548 +asS'His hematocrit dropped down to the level of 20 .' +p284549 +(lp284550 +S'His\tHis\tPRP$\tB-NP\tO' +p284551 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p284552 +aS'dropped\tdrop\tVBD\tB-VP\tO' +p284553 +aS'down\tdown\tRB\tB-ADVP\tO' +p284554 +aS'to\tto\tTO\tB-PP\tO' +p284555 +aS'the\tthe\tDT\tB-NP\tO' +p284556 +aS'level\tlevel\tNN\tI-NP\tO' +p284557 +aS'of\tof\tIN\tB-PP\tO' +p284558 +aS'20\t20\tCD\tB-NP\tO' +p284559 +aS'.\t.\t.\tO\tO' +p284560 +asS'2. Compazine 10 mg p.o. q 6hours p.r.n. nausea .' +p284561 +(lp284562 +S'2.\t2.\tLS\tB-LST\tO' +p284563 +aS'Compazine\tCompazine\tNN\tB-NP\tO' +p284564 +aS'10\t10\tCD\tI-NP\tO' +p284565 +aS'mg\tmg\tNN\tI-NP\tO' +p284566 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p284567 +aS'q\tq\tNN\tI-NP\tO' +p284568 +aS'6hours\t6hour\tNNS\tI-NP\tO' +p284569 +aS'p.r.n.\tp.r.n.\tFW\tB-NP\tO' +p284570 +aS'nausea\tnausea\tNN\tI-NP\tO' +p284571 +aS'.\t.\t.\tO\tO' +p284572 +asS'The patient did have any nausea , vomiting or evidence of gastrointestinal bleeding .' +p284573 +(lp284574 +S'The\tThe\tDT\tB-NP\tO' +p284575 +aS'patient\tpatient\tNN\tI-NP\tO' +p284576 +aS'did\tdo\tVBD\tB-VP\tO' +p284577 +aS'have\thave\tVB\tI-VP\tO' +p284578 +aS'any\tany\tDT\tB-NP\tO' +p284579 +aS'nausea\tnausea\tNN\tI-NP\tO' +p284580 +aS',\t,\t,\tI-NP\tO' +p284581 +aS'vomiting\tvomiting\tNN\tI-NP\tO' +p284582 +aS'or\tor\tCC\tI-NP\tO' +p284583 +aS'evidence\tevidence\tNN\tI-NP\tO' +p284584 +aS'of\tof\tIN\tB-PP\tO' +p284585 +aS'gastrointestinal\tgastrointestinal\tJJ\tB-NP\tO' +p284586 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p284587 +aS'.\t.\t.\tO\tO' +p284588 +asS'This is a 79 y/o M with h/o HTN , DM , recent CVA , chronic ventilatory failure , CRI on HD who presents with change in MS and febrile in the Amanda , admitted to CMED .' +p284589 +(lp284590 +S'This\tThis\tDT\tB-NP\tO' +p284591 +aS'is\tbe\tVBZ\tB-VP\tO' +p284592 +aS'a\ta\tDT\tB-NP\tO' +p284593 +aS'79\t79\tCD\tI-NP\tO' +p284594 +aS'y/o\ty/o\tNN\tI-NP\tO' +p284595 +aS'M\tM\tNN\tI-NP\tO' +p284596 +aS'with\twith\tIN\tB-PP\tO' +p284597 +aS'h/o\th/o\tNN\tB-NP\tO' +p284598 +aS'HTN\tHTN\tNN\tI-NP\tO' +p284599 +aS',\t,\t,\tO\tO' +p284600 +aS'DM\tDM\tNN\tB-NP\tO' +p284601 +aS',\t,\t,\tO\tO' +p284602 +aS'recent\trecent\tJJ\tB-NP\tO' +p284603 +aS'CVA\tCVA\tNN\tI-NP\tO' +p284604 +aS',\t,\t,\tO\tO' +p284605 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p284606 +aS'ventilatory\tventilatory\tJJ\tI-NP\tO' +p284607 +aS'failure\tfailure\tNN\tI-NP\tO' +p284608 +aS',\t,\t,\tO\tO' +p284609 +aS'CRI\tCRI\tNN\tB-NP\tB-protein' +p284610 +aS'on\ton\tIN\tB-PP\tO' +p284611 +aS'HD\tHD\tNN\tB-NP\tB-DNA' +p284612 +aS'who\twho\tWP\tB-NP\tI-DNA' +p284613 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p284614 +aS'with\twith\tIN\tB-PP\tO' +p284615 +aS'change\tchange\tNN\tB-NP\tO' +p284616 +aS'in\tin\tIN\tB-PP\tO' +p284617 +aS'MS\tMS\tNN\tB-NP\tO' +p284618 +aS'and\tand\tCC\tI-NP\tO' +p284619 +aS'febrile\tfebrile\tNN\tI-NP\tO' +p284620 +aS'in\tin\tIN\tB-PP\tO' +p284621 +aS'the\tthe\tDT\tB-NP\tO' +p284622 +aS'Amanda\tAmanda\tNNP\tI-NP\tO' +p284623 +aS',\t,\t,\tO\tO' +p284624 +aS'admitted\tadmit\tVBD\tB-VP\tO' +p284625 +aS'to\tto\tTO\tB-PP\tO' +p284626 +aS'CMED\tCMED\tNN\tB-NP\tO' +p284627 +aS'.\t.\t.\tO\tO' +p284628 +asS'There were no lifts or heaves on examination .' +p284629 +(lp284630 +S'There\tThere\tEX\tB-NP\tO' +p284631 +aS'were\tbe\tVBD\tB-VP\tO' +p284632 +aS'no\tno\tDT\tB-NP\tO' +p284633 +aS'lifts\tlift\tNNS\tI-NP\tO' +p284634 +aS'or\tor\tCC\tI-NP\tO' +p284635 +aS'heaves\theave\tNNS\tI-NP\tO' +p284636 +aS'on\ton\tIN\tB-PP\tO' +p284637 +aS'examination\texamination\tNN\tB-NP\tO' +p284638 +aS'.\t.\t.\tO\tO' +p284639 +asS'Left upper and lower extremities revealed no deformities .' +p284640 +(lp284641 +S'Left\tLeave\tVBN\tB-NP\tO' +p284642 +aS'upper\tupper\tJJ\tI-NP\tO' +p284643 +aS'and\tand\tCC\tI-NP\tO' +p284644 +aS'lower\tlow\tJJR\tI-NP\tO' +p284645 +aS'extremities\textremity\tNNS\tI-NP\tO' +p284646 +aS'revealed\treveal\tVBD\tB-VP\tO' +p284647 +aS'no\tno\tDT\tB-NP\tO' +p284648 +aS'deformities\tdeformity\tNNS\tI-NP\tO' +p284649 +aS'.\t.\t.\tO\tO' +p284650 +asS'Linda is breast feeding every 3 hours and supplementing with expressed breast milk .' +p284651 +(lp284652 +S'Linda\tLinda\tNNP\tB-NP\tO' +p284653 +aS'is\tbe\tVBZ\tB-VP\tO' +p284654 +aS'breast\tbreast\tNN\tB-NP\tO' +p284655 +aS'feeding\tfeed\tVBG\tB-VP\tO' +p284656 +aS'every\tevery\tDT\tB-NP\tO' +p284657 +aS'3\t3\tCD\tI-NP\tO' +p284658 +aS'hours\thour\tNNS\tI-NP\tO' +p284659 +aS'and\tand\tCC\tO\tO' +p284660 +aS'supplementing\tsupplement\tVBG\tB-VP\tO' +p284661 +aS'with\twith\tIN\tB-PP\tO' +p284662 +aS'expressed\texpress\tVBN\tB-NP\tO' +p284663 +aS'breast\tbreast\tNN\tI-NP\tO' +p284664 +aS'milk\tmilk\tNN\tI-NP\tO' +p284665 +aS'.\t.\t.\tO\tO' +p284666 +asS'It was felt that given her age , multiple co-morbidities , that her prognosis was poor even prior to CCU admission , possible pericardial drainage or repeat thoracenteses .' +p284667 +(lp284668 +S'It\tIt\tPRP\tB-NP\tO' +p284669 +aS'was\tbe\tVBD\tB-VP\tO' +p284670 +aS'felt\tfeel\tVBN\tI-VP\tO' +p284671 +aS'that\tthat\tIN\tB-SBAR\tO' +p284672 +aS'given\tgive\tVBN\tB-PP\tO' +p284673 +aS'her\ther\tPRP$\tB-NP\tO' +p284674 +aS'age\tage\tNN\tI-NP\tO' +p284675 +aS',\t,\t,\tO\tO' +p284676 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p284677 +aS'co-morbidities\tco-morbidity\tNNS\tI-NP\tO' +p284678 +aS',\t,\t,\tO\tO' +p284679 +aS'that\tthat\tIN\tB-SBAR\tO' +p284680 +aS'her\ther\tPRP$\tB-NP\tO' +p284681 +aS'prognosis\tprognosis\tNN\tI-NP\tO' +p284682 +aS'was\tbe\tVBD\tB-VP\tO' +p284683 +aS'poor\tpoor\tJJ\tB-ADJP\tO' +p284684 +aS'even\teven\tRB\tB-ADVP\tO' +p284685 +aS'prior\tprior\tRB\tI-ADVP\tO' +p284686 +aS'to\tto\tTO\tB-PP\tO' +p284687 +aS'CCU\tCCU\tNN\tB-NP\tO' +p284688 +aS'admission\tadmission\tNN\tI-NP\tO' +p284689 +aS',\t,\t,\tO\tO' +p284690 +aS'possible\tpossible\tJJ\tB-NP\tO' +p284691 +aS'pericardial\tpericardial\tJJ\tI-NP\tO' +p284692 +aS'drainage\tdrainage\tNN\tI-NP\tO' +p284693 +aS'or\tor\tCC\tI-NP\tO' +p284694 +aS'repeat\trepeat\tNN\tI-NP\tO' +p284695 +aS'thoracenteses\tthoracentes\tNNS\tI-NP\tO' +p284696 +aS'.\t.\t.\tO\tO' +p284697 +asS'No history of catheterization prior to admission to the Saint Vincent Hospital .' +p284698 +(lp284699 +S'No\tNo\tDT\tB-NP\tO' +p284700 +aS'history\thistory\tNN\tI-NP\tO' +p284701 +aS'of\tof\tIN\tB-PP\tO' +p284702 +aS'catheterization\tcatheterization\tNN\tB-NP\tO' +p284703 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p284704 +aS'to\tto\tTO\tB-PP\tO' +p284705 +aS'admission\tadmission\tNN\tB-NP\tO' +p284706 +aS'to\tto\tTO\tB-PP\tO' +p284707 +aS'the\tthe\tDT\tB-NP\tO' +p284708 +aS'Saint\tSaint\tNNP\tI-NP\tO' +p284709 +aS'Vincent\tVincent\tNNP\tI-NP\tO' +p284710 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p284711 +aS'.\t.\t.\tO\tO' +p284712 +asS'He is going out on a cardiac healthy , diabetic diet , as tolerated with Boost supplements .' +p284713 +(lp284714 +S'He\tHe\tPRP\tB-NP\tO' +p284715 +aS'is\tbe\tVBZ\tB-VP\tO' +p284716 +aS'going\tgo\tVBG\tI-VP\tO' +p284717 +aS'out\tout\tRP\tB-PRT\tO' +p284718 +aS'on\ton\tIN\tB-PP\tO' +p284719 +aS'a\ta\tDT\tB-NP\tO' +p284720 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p284721 +aS'healthy\thealthy\tJJ\tI-NP\tO' +p284722 +aS',\t,\t,\tI-NP\tO' +p284723 +aS'diabetic\tdiabetic\tJJ\tI-NP\tO' +p284724 +aS'diet\tdiet\tNN\tI-NP\tO' +p284725 +aS',\t,\t,\tO\tO' +p284726 +aS'as\tas\tIN\tB-SBAR\tO' +p284727 +aS'tolerated\ttolerate\tVBN\tB-VP\tO' +p284728 +aS'with\twith\tIN\tB-PP\tO' +p284729 +aS'Boost\tBoost\tNN\tB-NP\tO' +p284730 +aS'supplements\tsupplement\tNNS\tI-NP\tO' +p284731 +aS'.\t.\t.\tO\tO' +p284732 +asS'Over the next several days , her neurological status slowly improved .' +p284733 +(lp284734 +S'Over\tOver\tIN\tB-PP\tO' +p284735 +aS'the\tthe\tDT\tB-NP\tO' +p284736 +aS'next\tnext\tJJ\tI-NP\tO' +p284737 +aS'several\tseveral\tJJ\tI-NP\tO' +p284738 +aS'days\tday\tNNS\tI-NP\tO' +p284739 +aS',\t,\t,\tO\tO' +p284740 +aS'her\ther\tPRP$\tB-NP\tO' +p284741 +aS'neurological\tneurological\tJJ\tI-NP\tO' +p284742 +aS'status\tstatus\tNN\tI-NP\tO' +p284743 +aS'slowly\tslowly\tRB\tB-VP\tO' +p284744 +aS'improved\timprove\tVBN\tI-VP\tO' +p284745 +aS'.\t.\t.\tO\tO' +p284746 +asS'5. Levoxyl 100 mEq q. day .' +p284747 +(lp284748 +S'5.\t5.\tLS\tB-NP\tO' +p284749 +aS'Levoxyl\tLevoxyl\tNNP\tI-NP\tO' +p284750 +aS'100\t100\tCD\tI-NP\tO' +p284751 +aS'mEq\tmEq\tNN\tI-NP\tO' +p284752 +aS'q.\tq.\tNN\tI-NP\tO' +p284753 +aS'day\tday\tNN\tI-NP\tO' +p284754 +aS'.\t.\t.\tO\tO' +p284755 +asS'4. Hypothyroidism .' +p284756 +(lp284757 +S'4.\t4.\tLS\tB-NP\tO' +p284758 +aS'Hypothyroidism\tHypothyroidism\tNN\tI-NP\tO' +p284759 +aS'.\t.\t.\tO\tO' +p284760 +asS'The patient was then transferred to Medicine Team D given her tenuous hemodynamic status .' +p284761 +(lp284762 +S'The\tThe\tDT\tB-NP\tO' +p284763 +aS'patient\tpatient\tNN\tI-NP\tO' +p284764 +aS'was\tbe\tVBD\tB-VP\tO' +p284765 +aS'then\tthen\tRB\tI-VP\tO' +p284766 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p284767 +aS'to\tto\tTO\tB-PP\tO' +p284768 +aS'Medicine\tMedicine\tNNP\tB-NP\tO' +p284769 +aS'Team\tTeam\tNNP\tI-NP\tO' +p284770 +aS'D\tD\tNNP\tI-NP\tO' +p284771 +aS'given\tgive\tVBN\tB-VP\tO' +p284772 +aS'her\ther\tPRP$\tB-NP\tO' +p284773 +aS'tenuous\ttenuous\tJJ\tI-NP\tO' +p284774 +aS'hemodynamic\themodynamic\tJJ\tI-NP\tO' +p284775 +aS'status\tstatus\tNN\tI-NP\tO' +p284776 +aS'.\t.\t.\tO\tO' +p284777 +asS'9 ) Premarin 0.625 mg p.o. q. day .' +p284778 +(lp284779 +S'9\t9\tCD\tB-NP\tO' +p284780 +aS')\t)\t)\tO\tO' +p284781 +aS'Premarin\tPremarin\tNN\tB-NP\tO' +p284782 +aS'0.625\t0.625\tCD\tI-NP\tO' +p284783 +aS'mg\tmg\tNN\tI-NP\tO' +p284784 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p284785 +aS'q.\tq.\tNN\tI-NP\tO' +p284786 +aS'day\tday\tNN\tI-NP\tO' +p284787 +aS'.\t.\t.\tO\tO' +p284788 +asS"2. Atrial fibrillation - The patient 's Digoxin had been weaned off prior to his admission ." +p284789 +(lp284790 +S'2.\t2.\tLS\tB-NP\tO' +p284791 +aS'Atrial\tAtrial\tJJ\tI-NP\tO' +p284792 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p284793 +aS'-\t-\tHYPH\tO\tO' +p284794 +aS'The\tThe\tDT\tB-NP\tO' +p284795 +aS'patient\tpatient\tNN\tI-NP\tO' +p284796 +aS"'s\t's\tPOS\tB-NP\tO" +p284797 +aS'Digoxin\tDigoxin\tNN\tI-NP\tO' +p284798 +aS'had\thave\tVBD\tB-VP\tO' +p284799 +aS'been\tbe\tVBN\tI-VP\tO' +p284800 +aS'weaned\twean\tVBN\tI-VP\tO' +p284801 +aS'off\toff\tRP\tB-PRT\tO' +p284802 +aS'prior\tprior\tRB\tB-ADVP\tO' +p284803 +aS'to\tto\tTO\tB-PP\tO' +p284804 +aS'his\this\tPRP$\tB-NP\tO' +p284805 +aS'admission\tadmission\tNN\tI-NP\tO' +p284806 +aS'.\t.\t.\tO\tO' +p284807 +asS'Also , at the time of discharge , for increased afterload reduction , she was started on lisinopril 5 mg p.o. q.d.' +p284808 +(lp284809 +S'Also\tAlso\tRB\tB-ADVP\tO' +p284810 +aS',\t,\t,\tO\tO' +p284811 +aS'at\tat\tIN\tB-PP\tO' +p284812 +aS'the\tthe\tDT\tB-NP\tO' +p284813 +aS'time\ttime\tNN\tI-NP\tO' +p284814 +aS'of\tof\tIN\tB-PP\tO' +p284815 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p284816 +aS',\t,\t,\tO\tO' +p284817 +aS'for\tfor\tIN\tB-PP\tO' +p284818 +aS'increased\tincrease\tVBN\tB-NP\tO' +p284819 +aS'afterload\tafterload\tJJ\tI-NP\tO' +p284820 +aS'reduction\treduction\tNN\tI-NP\tO' +p284821 +aS',\t,\t,\tO\tO' +p284822 +aS'she\tshe\tPRP\tB-NP\tO' +p284823 +aS'was\tbe\tVBD\tB-VP\tO' +p284824 +aS'started\tstart\tVBN\tI-VP\tO' +p284825 +aS'on\ton\tIN\tB-PP\tO' +p284826 +aS'lisinopril\tlisinopril\tNN\tB-NP\tO' +p284827 +aS'5\t5\tCD\tI-NP\tO' +p284828 +aS'mg\tmg\tNN\tI-NP\tO' +p284829 +aS'p.o.\tp.o.\tFW\tB-ADVP\tO' +p284830 +aS'q.d.\tq.d.\tFW\tI-ADVP\tO' +p284831 +asS'sodium 142 , potassium 3.3 , chloride 98 , bicarbonate 34 , BUN and creatinine 14/0.9 .' +p284832 +(lp284833 +S'sodium\tsodium\tNN\tB-NP\tO' +p284834 +aS'142\t142\tCD\tI-NP\tO' +p284835 +aS',\t,\t,\tO\tO' +p284836 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p284837 +aS'3.3\t3.3\tCD\tI-NP\tO' +p284838 +aS',\t,\t,\tO\tO' +p284839 +aS'chloride\tchloride\tNN\tB-NP\tO' +p284840 +aS'98\t98\tCD\tI-NP\tO' +p284841 +aS',\t,\t,\tO\tO' +p284842 +aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' +p284843 +aS'34\t34\tCD\tI-NP\tO' +p284844 +aS',\t,\t,\tO\tO' +p284845 +aS'BUN\tBUN\tNN\tB-NP\tO' +p284846 +aS'and\tand\tCC\tO\tO' +p284847 +aS'creatinine\tcreatinine\tNN\tB-NP\tB-protein' +p284848 +aS'14/0.9\t14/0.9\tCD\tI-NP\tI-protein' +p284849 +aS'.\t.\t.\tO\tO' +p284850 +asS'Conditions , Infections , Complications , affecting Treatment / Stay Allergies - PCN - rash - Bactrim - hives - Erythro - nausea - Ceclor - nausea - Clarythro = rash' +p284851 +(lp284852 +S'Conditions\tCondition\tNNS\tB-NP\tO' +p284853 +aS',\t,\t,\tO\tO' +p284854 +aS'Infections\tInfection\tNNS\tB-NP\tO' +p284855 +aS',\t,\t,\tO\tO' +p284856 +aS'Complications\tComplication\tNNS\tB-NP\tO' +p284857 +aS',\t,\t,\tO\tO' +p284858 +aS'affecting\taffect\tVBG\tB-VP\tO' +p284859 +aS'Treatment\tTreatment\tNN\tB-NP\tO' +p284860 +aS'/\t/\tSYM\tO\tO' +p284861 +aS'Stay\tStay\tNN\tB-NP\tO' +p284862 +aS'Allergies\tAllergy\tNNPS\tI-NP\tO' +p284863 +aS'-\t-\tHYPH\tB-NP\tO' +p284864 +aS'PCN\tPCN\tNN\tI-NP\tB-protein' +p284865 +aS'-\t-\tHYPH\tB-NP\tO' +p284866 +aS'rash\trash\tNN\tI-NP\tO' +p284867 +aS'-\t-\tHYPH\tB-NP\tO' +p284868 +aS'Bactrim\tBactrim\tNN\tI-NP\tO' +p284869 +aS'-\t-\tHYPH\tB-NP\tO' +p284870 +aS'hives\thive\tVBZ\tB-VP\tO' +p284871 +aS'-\t-\tHYPH\tB-NP\tO' +p284872 +aS'Erythro\tErythro\tNN\tI-NP\tB-protein' +p284873 +aS'-\t-\tHYPH\tB-NP\tI-protein' +p284874 +aS'nausea\tnausea\tNN\tI-NP\tI-protein' +p284875 +aS'-\t-\tHYPH\tB-NP\tO' +p284876 +aS'Ceclor\tCeclor\tNN\tI-NP\tO' +p284877 +aS'-\t-\tHYPH\tB-NP\tO' +p284878 +aS'nausea\tnausea\tNN\tI-NP\tO' +p284879 +aS'-\t-\tHYPH\tB-NP\tO' +p284880 +aS'Clarythro\tClarythro\tNN\tI-NP\tO' +p284881 +aS'=\t=\tJJ\tI-NP\tO' +p284882 +aS'rash\trash\tNN\tI-NP\tO' +p284883 +asS'On the day of discharge , he is stating approximately 91 to 92% on three to four liters .' +p284884 +(lp284885 +S'On\tOn\tIN\tB-PP\tO' +p284886 +aS'the\tthe\tDT\tB-NP\tO' +p284887 +aS'day\tday\tNN\tI-NP\tO' +p284888 +aS'of\tof\tIN\tB-PP\tO' +p284889 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p284890 +aS',\t,\t,\tO\tO' +p284891 +aS'he\the\tPRP\tB-NP\tO' +p284892 +aS'is\tbe\tVBZ\tB-VP\tO' +p284893 +aS'stating\tstate\tVBG\tI-VP\tO' +p284894 +aS'approximately\tapproximately\tRB\tB-ADVP\tO' +p284895 +aS'91\t91\tCD\tB-NP\tO' +p284896 +aS'to\tto\tTO\tB-PP\tO' +p284897 +aS'92%\t92%\tCD\tB-NP\tO' +p284898 +aS'on\ton\tIN\tB-PP\tO' +p284899 +aS'three\tthree\tCD\tB-NP\tO' +p284900 +aS'to\tto\tTO\tI-NP\tO' +p284901 +aS'four\tfour\tCD\tI-NP\tO' +p284902 +aS'liters\tliter\tNNS\tI-NP\tO' +p284903 +aS'.\t.\t.\tO\tO' +p284904 +asS'3. Prior transient ischemic attacks .' +p284905 +(lp284906 +S'3.\t3.\tLS\tB-NP\tO' +p284907 +aS'Prior\tPrior\tJJ\tI-NP\tO' +p284908 +aS'transient\ttransient\tJJ\tI-NP\tO' +p284909 +aS'ischemic\tischemic\tJJ\tI-NP\tO' +p284910 +aS'attacks\tattack\tNNS\tI-NP\tO' +p284911 +aS'.\t.\t.\tO\tO' +p284912 +asS'UAC and UVC lines were placed upon admission to the CMED .' +p284913 +(lp284914 +S'UAC\tUAC\tNN\tB-NP\tO' +p284915 +aS'and\tand\tCC\tI-NP\tO' +p284916 +aS'UVC\tUVC\tNN\tI-NP\tB-cell_line' +p284917 +aS'lines\tline\tNNS\tI-NP\tI-cell_line' +p284918 +aS'were\tbe\tVBD\tB-VP\tO' +p284919 +aS'placed\tplace\tVBN\tI-VP\tO' +p284920 +aS'upon\tupon\tIN\tB-PP\tO' +p284921 +aS'admission\tadmission\tNN\tB-NP\tO' +p284922 +aS'to\tto\tTO\tB-PP\tO' +p284923 +aS'the\tthe\tDT\tB-NP\tO' +p284924 +aS'CMED\tCMED\tNN\tI-NP\tO' +p284925 +aS'.\t.\t.\tO\tO' +p284926 +asS'He was transfered to the ICU in stable condition .' +p284927 +(lp284928 +S'He\tHe\tPRP\tB-NP\tO' +p284929 +aS'was\tbe\tVBD\tB-VP\tO' +p284930 +aS'transfered\ttransfer\tVBN\tI-VP\tO' +p284931 +aS'to\tto\tTO\tB-PP\tO' +p284932 +aS'the\tthe\tDT\tB-NP\tO' +p284933 +aS'ICU\tICU\tNN\tI-NP\tB-DNA' +p284934 +aS'in\tin\tIN\tB-PP\tO' +p284935 +aS'stable\tstable\tJJ\tB-NP\tO' +p284936 +aS'condition\tcondition\tNN\tI-NP\tO' +p284937 +aS'.\t.\t.\tO\tO' +p284938 +asS'Blood culture grew staph coagulase negative and the baby received seven days of vancomycin and gentamicin .' +p284939 +(lp284940 +S'Blood\tBlood\tNN\tB-NP\tO' +p284941 +aS'culture\tculture\tNN\tI-NP\tO' +p284942 +aS'grew\tgrow\tVBD\tB-VP\tO' +p284943 +aS'staph\tstaph\tNN\tB-NP\tB-protein' +p284944 +aS'coagulase\tcoagulase\tNN\tI-NP\tI-protein' +p284945 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p284946 +aS'and\tand\tCC\tO\tO' +p284947 +aS'the\tthe\tDT\tB-NP\tO' +p284948 +aS'baby\tbaby\tNN\tI-NP\tO' +p284949 +aS'received\treceive\tVBD\tB-VP\tO' +p284950 +aS'seven\tseven\tCD\tB-NP\tO' +p284951 +aS'days\tday\tNNS\tI-NP\tO' +p284952 +aS'of\tof\tIN\tB-PP\tO' +p284953 +aS'vancomycin\tvancomycin\tNN\tB-NP\tO' +p284954 +aS'and\tand\tCC\tI-NP\tO' +p284955 +aS'gentamicin\tgentamicin\tNN\tI-NP\tO' +p284956 +aS'.\t.\t.\tO\tO' +p284957 +asS'He was continued on p.o. prednisone and frequent nebulizers for COPD .' +p284958 +(lp284959 +S'He\tHe\tPRP\tB-NP\tO' +p284960 +aS'was\tbe\tVBD\tB-VP\tO' +p284961 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p284962 +aS'on\ton\tIN\tB-PP\tO' +p284963 +aS'p.o.\tp.o.\tNN\tB-NP\tO' +p284964 +aS'prednisone\tprednisone\tNN\tI-NP\tO' +p284965 +aS'and\tand\tCC\tO\tO' +p284966 +aS'frequent\tfrequent\tJJ\tB-NP\tO' +p284967 +aS'nebulizers\tnebulizer\tNNS\tI-NP\tO' +p284968 +aS'for\tfor\tIN\tB-PP\tO' +p284969 +aS'COPD\tCOPD\tNN\tB-NP\tO' +p284970 +aS'.\t.\t.\tO\tO' +p284971 +asS'She was started on Levofloxacin 500 mg po daily .' +p284972 +(lp284973 +S'She\tShe\tPRP\tB-NP\tO' +p284974 +aS'was\tbe\tVBD\tB-VP\tO' +p284975 +aS'started\tstart\tVBN\tI-VP\tO' +p284976 +aS'on\ton\tIN\tB-PP\tO' +p284977 +aS'Levofloxacin\tLevofloxacin\tNN\tB-NP\tO' +p284978 +aS'500\t500\tCD\tI-NP\tO' +p284979 +aS'mg\tmg\tNN\tI-NP\tO' +p284980 +aS'po\tpo\tRB\tB-ADVP\tO' +p284981 +aS'daily\tdaily\tRB\tI-ADVP\tO' +p284982 +aS'.\t.\t.\tO\tO' +p284983 +asS'Sepsis , myocardial infarction , ARDS , pneumonia' +p284984 +(lp284985 +S'Sepsis\tSepsis\tNN\tB-NP\tO' +p284986 +aS',\t,\t,\tO\tO' +p284987 +aS'myocardial\tmyocardial\tJJ\tB-NP\tO' +p284988 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p284989 +aS',\t,\t,\tO\tO' +p284990 +aS'ARDS\tARDS\tNN\tB-NP\tO' +p284991 +aS',\t,\t,\tO\tO' +p284992 +aS'pneumonia\tpneumonia\tNN\tB-NP\tO' +p284993 +asS'If you need additional information please call 662-747-1199 .' +p284994 +(lp284995 +S'If\tIf\tIN\tB-SBAR\tO' +p284996 +aS'you\tyou\tPRP\tB-NP\tO' +p284997 +aS'need\tneed\tVBP\tB-VP\tO' +p284998 +aS'additional\tadditional\tJJ\tB-NP\tO' +p284999 +aS'information\tinformation\tNN\tI-NP\tO' +p285000 +aS'please\tplease\tNN\tI-NP\tO' +p285001 +aS'call\tcall\tNN\tI-NP\tO' +p285002 +aS'662-747-1199\t662-747-1199\tCD\tI-NP\tO' +p285003 +aS'.\t.\t.\tO\tO' +p285004 +asS'Dr. Lloyd van de Clark in approximately one month postoperative .' +p285005 +(lp285006 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p285007 +aS'Lloyd\tLloyd\tNNP\tI-NP\tO' +p285008 +aS'van\tvan\tNNP\tI-NP\tO' +p285009 +aS'de\tde\tNNP\tI-NP\tO' +p285010 +aS'Clark\tClark\tNNP\tI-NP\tO' +p285011 +aS'in\tin\tIN\tB-PP\tO' +p285012 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p285013 +aS'one\tone\tCD\tI-NP\tO' +p285014 +aS'month\tmonth\tNN\tI-NP\tO' +p285015 +aS'postoperative\tpostoperative\tJJ\tB-ADJP\tO' +p285016 +aS'.\t.\t.\tO\tO' +p285017 +asS'In the Emergency Department , stool guaiac was trace positive .' +p285018 +(lp285019 +S'In\tIn\tIN\tB-PP\tO' +p285020 +aS'the\tthe\tDT\tB-NP\tO' +p285021 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p285022 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p285023 +aS',\t,\t,\tO\tO' +p285024 +aS'stool\tstool\tNN\tB-NP\tO' +p285025 +aS'guaiac\tguaiac\tNN\tI-NP\tO' +p285026 +aS'was\tbe\tVBD\tB-VP\tO' +p285027 +aS'trace\ttrace\tNN\tB-NP\tO' +p285028 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p285029 +aS'.\t.\t.\tO\tO' +p285030 +asS'2. Oxycodone - Acetaminophen 5-325 mg Tablet Sig : 1-2 Tablets PO Q4-6H ( every 4 to 6 hours ) as needed .' +p285031 +(lp285032 +S'2.\t2.\tLS\tB-NP\tO' +p285033 +aS'Oxycodone\tOxycodone\tNN\tI-NP\tO' +p285034 +aS'-\t-\tHYPH\tO\tO' +p285035 +aS'Acetaminophen\tAcetaminophen\tNN\tB-NP\tO' +p285036 +aS'5-325\t5-325\tCD\tI-NP\tO' +p285037 +aS'mg\tmg\tNN\tI-NP\tO' +p285038 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p285039 +aS'Sig\tSig\tNNP\tI-NP\tO' +p285040 +aS':\t:\t:\tO\tO' +p285041 +aS'1-2\t1-2\tCD\tB-NP\tO' +p285042 +aS'Tablets\tTablet\tNNS\tI-NP\tO' +p285043 +aS'PO\tPO\tNN\tI-NP\tO' +p285044 +aS'Q4-6H\tQ4-6H\tNN\tI-NP\tO' +p285045 +aS'(\t(\t(\tO\tO' +p285046 +aS'every\tevery\tDT\tB-NP\tO' +p285047 +aS'4\t4\tCD\tI-NP\tO' +p285048 +aS'to\tto\tTO\tI-NP\tO' +p285049 +aS'6\t6\tCD\tI-NP\tO' +p285050 +aS'hours\thour\tNNS\tI-NP\tO' +p285051 +aS')\t)\t)\tO\tO' +p285052 +aS'as\tas\tIN\tB-SBAR\tO' +p285053 +aS'needed\tneed\tVBN\tB-VP\tO' +p285054 +aS'.\t.\t.\tO\tO' +p285055 +asS'The examination of the remainder of the abdominal contents revealed no other injury ; in particular , the entire anterior surface and the immediately juxtaduodenal posterior surface of the pancreas were normal .' +p285056 +(lp285057 +S'The\tThe\tDT\tB-NP\tO' +p285058 +aS'examination\texamination\tNN\tI-NP\tO' +p285059 +aS'of\tof\tIN\tB-PP\tO' +p285060 +aS'the\tthe\tDT\tB-NP\tO' +p285061 +aS'remainder\tremainder\tNN\tI-NP\tO' +p285062 +aS'of\tof\tIN\tB-PP\tO' +p285063 +aS'the\tthe\tDT\tB-NP\tO' +p285064 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p285065 +aS'contents\tcontent\tNNS\tI-NP\tO' +p285066 +aS'revealed\treveal\tVBD\tB-VP\tO' +p285067 +aS'no\tno\tDT\tB-NP\tO' +p285068 +aS'other\tother\tJJ\tI-NP\tO' +p285069 +aS'injury\tinjury\tNN\tI-NP\tO' +p285070 +aS';\t;\t:\tO\tO' +p285071 +aS'in\tin\tIN\tB-PP\tO' +p285072 +aS'particular\tparticular\tJJ\tB-ADJP\tO' +p285073 +aS',\t,\t,\tO\tO' +p285074 +aS'the\tthe\tDT\tB-NP\tO' +p285075 +aS'entire\tentire\tJJ\tI-NP\tO' +p285076 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p285077 +aS'surface\tsurface\tNN\tI-NP\tO' +p285078 +aS'and\tand\tCC\tO\tO' +p285079 +aS'the\tthe\tDT\tB-NP\tO' +p285080 +aS'immediately\timmediately\tRB\tI-NP\tO' +p285081 +aS'juxtaduodenal\tjuxtaduodenal\tJJ\tI-NP\tO' +p285082 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p285083 +aS'surface\tsurface\tNN\tI-NP\tO' +p285084 +aS'of\tof\tIN\tB-PP\tO' +p285085 +aS'the\tthe\tDT\tB-NP\tO' +p285086 +aS'pancreas\tpancreas\tNN\tI-NP\tO' +p285087 +aS'were\tbe\tVBD\tB-VP\tO' +p285088 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p285089 +aS'.\t.\t.\tO\tO' +p285090 +asS'Abruption noted .' +p285091 +(lp285092 +S'Abruption\tAbruption\tNN\tB-NP\tO' +p285093 +aS'noted\tnote\tVBD\tB-VP\tO' +p285094 +aS'.\t.\t.\tO\tO' +p285095 +asS'Weight on discharge was 5200 grams .' +p285096 +(lp285097 +S'Weight\tWeight\tNN\tB-NP\tO' +p285098 +aS'on\ton\tIN\tB-PP\tO' +p285099 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p285100 +aS'was\tbe\tVBD\tB-VP\tO' +p285101 +aS'5200\t5200\tCD\tB-NP\tO' +p285102 +aS'grams\tgram\tNNS\tI-NP\tO' +p285103 +aS'.\t.\t.\tO\tO' +p285104 +asS'IVC filter placed 04-26 .' +p285105 +(lp285106 +S'IVC\tIVC\tNN\tB-NP\tO' +p285107 +aS'filter\tfilter\tNN\tI-NP\tO' +p285108 +aS'placed\tplace\tVBD\tB-VP\tO' +p285109 +aS'04-26\t04-26\tCD\tB-NP\tO' +p285110 +aS'.\t.\t.\tO\tO' +p285111 +asS'The motor examination , the tone and bulk were normal .' +p285112 +(lp285113 +S'The\tThe\tDT\tB-NP\tO' +p285114 +aS'motor\tmotor\tNN\tI-NP\tO' +p285115 +aS'examination\texamination\tNN\tI-NP\tO' +p285116 +aS',\t,\t,\tO\tO' +p285117 +aS'the\tthe\tDT\tB-NP\tO' +p285118 +aS'tone\ttone\tNN\tI-NP\tO' +p285119 +aS'and\tand\tCC\tI-NP\tO' +p285120 +aS'bulk\tbulk\tNN\tI-NP\tO' +p285121 +aS'were\tbe\tVBD\tB-VP\tO' +p285122 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p285123 +aS'.\t.\t.\tO\tO' +p285124 +asS'Physical examination at the time of admission revealed she was in no acute distress .' +p285125 +(lp285126 +S'Physical\tPhysical\tJJ\tB-NP\tO' +p285127 +aS'examination\texamination\tNN\tI-NP\tO' +p285128 +aS'at\tat\tIN\tB-PP\tO' +p285129 +aS'the\tthe\tDT\tB-NP\tO' +p285130 +aS'time\ttime\tNN\tI-NP\tO' +p285131 +aS'of\tof\tIN\tB-PP\tO' +p285132 +aS'admission\tadmission\tNN\tB-NP\tO' +p285133 +aS'revealed\treveal\tVBD\tB-VP\tO' +p285134 +aS'she\tshe\tPRP\tB-NP\tO' +p285135 +aS'was\tbe\tVBD\tB-VP\tO' +p285136 +aS'in\tin\tIN\tB-PP\tO' +p285137 +aS'no\tno\tDT\tB-NP\tO' +p285138 +aS'acute\tacute\tJJ\tI-NP\tO' +p285139 +aS'distress\tdistress\tNN\tI-NP\tO' +p285140 +aS'.\t.\t.\tO\tO' +p285141 +asS'An IVC filter placement was accomplished without complication .' +p285142 +(lp285143 +S'An\tAn\tDT\tB-NP\tO' +p285144 +aS'IVC\tIVC\tNN\tI-NP\tO' +p285145 +aS'filter\tfilter\tNN\tI-NP\tO' +p285146 +aS'placement\tplacement\tNN\tI-NP\tO' +p285147 +aS'was\tbe\tVBD\tB-VP\tO' +p285148 +aS'accomplished\taccomplish\tVBN\tI-VP\tO' +p285149 +aS'without\twithout\tIN\tB-PP\tO' +p285150 +aS'complication\tcomplication\tNN\tB-NP\tO' +p285151 +aS'.\t.\t.\tO\tO' +p285152 +asS'Geriatric consult was obtained to assist with management .' +p285153 +(lp285154 +S'Geriatric\tGeriatric\tJJ\tB-NP\tO' +p285155 +aS'consult\tconsult\tNN\tI-NP\tO' +p285156 +aS'was\tbe\tVBD\tB-VP\tO' +p285157 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p285158 +aS'to\tto\tTO\tI-VP\tO' +p285159 +aS'assist\tassist\tVB\tI-VP\tO' +p285160 +aS'with\twith\tIN\tB-PP\tO' +p285161 +aS'management\tmanagement\tNN\tB-NP\tO' +p285162 +aS'.\t.\t.\tO\tO' +p285163 +asS'Physical Exam : t 98.9 , bp 63/28 on neo , p 114 , AC fi02 1/ vt 550/ peep 5/ breathing at 16/22 , w/ volumes of 500 s .' +p285164 +(lp285165 +S'Physical\tPhysical\tNNP\tB-NP\tO' +p285166 +aS'Exam\tExam\tNNP\tI-NP\tO' +p285167 +aS':\t:\t:\tO\tO' +p285168 +aS't\tt\tNN\tB-NP\tB-protein' +p285169 +aS'98.9\t98.9\tCD\tI-NP\tI-protein' +p285170 +aS',\t,\t,\tO\tO' +p285171 +aS'bp\tbp\tNN\tB-NP\tO' +p285172 +aS'63/28\t63/28\tCD\tI-NP\tO' +p285173 +aS'on\ton\tIN\tB-PP\tO' +p285174 +aS'neo\tneo\tNN\tB-NP\tO' +p285175 +aS',\t,\t,\tO\tO' +p285176 +aS'p\tp\tNN\tB-NP\tB-protein' +p285177 +aS'114\t114\tCD\tI-NP\tI-protein' +p285178 +aS',\t,\t,\tO\tO' +p285179 +aS'AC\tAC\tNN\tB-NP\tO' +p285180 +aS'fi02\tfi02\tNN\tI-NP\tO' +p285181 +aS'1/\t1/\tCD\tB-NP\tO' +p285182 +aS'vt\tvt\tNN\tI-NP\tO' +p285183 +aS'550/\t550/\tCD\tB-NP\tO' +p285184 +aS'peep\tpeep\tJJ\tI-NP\tO' +p285185 +aS'5/\t5/\tCD\tI-NP\tO' +p285186 +aS'breathing\tbreathing\tNN\tI-NP\tO' +p285187 +aS'at\tat\tIN\tB-PP\tO' +p285188 +aS'16/22\t16/22\tCD\tB-NP\tO' +p285189 +aS',\t,\t,\tO\tO' +p285190 +aS'w/\tw/\tNN\tB-NP\tO' +p285191 +aS'volumes\tvolume\tNNS\tI-NP\tO' +p285192 +aS'of\tof\tIN\tB-PP\tO' +p285193 +aS'500\t500\tCD\tB-NP\tO' +p285194 +aS's\ts\tNN\tI-NP\tO' +p285195 +aS'.\t.\t.\tO\tO' +p285196 +asS'This was tried for approximately seven days with no real progress made toward facilitating her vent wean .' +p285197 +(lp285198 +S'This\tThis\tDT\tB-NP\tO' +p285199 +aS'was\tbe\tVBD\tB-VP\tO' +p285200 +aS'tried\ttry\tVBN\tI-VP\tO' +p285201 +aS'for\tfor\tIN\tB-PP\tO' +p285202 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p285203 +aS'seven\tseven\tCD\tI-NP\tO' +p285204 +aS'days\tday\tNNS\tI-NP\tO' +p285205 +aS'with\twith\tIN\tB-PP\tO' +p285206 +aS'no\tno\tDT\tB-NP\tO' +p285207 +aS'real\treal\tJJ\tI-NP\tO' +p285208 +aS'progress\tprogress\tNN\tI-NP\tO' +p285209 +aS'made\tmake\tVBN\tB-VP\tO' +p285210 +aS'toward\ttoward\tIN\tB-PP\tO' +p285211 +aS'facilitating\tfacilitate\tVBG\tB-VP\tO' +p285212 +aS'her\ther\tPRP$\tB-NP\tO' +p285213 +aS'vent\tvent\tNN\tI-NP\tO' +p285214 +aS'wean\twean\tNN\tI-NP\tO' +p285215 +aS'.\t.\t.\tO\tO' +p285216 +asS'Soft and supple .' +p285217 +(lp285218 +S'Soft\tSoft\tJJ\tB-NP\tO' +p285219 +aS'and\tand\tCC\tI-NP\tO' +p285220 +aS'supple\tsupple\tNN\tI-NP\tO' +p285221 +aS'.\t.\t.\tO\tO' +p285222 +asS'She continued to exhibit asymptomatic atrial fibrillation .' +p285223 +(lp285224 +S'She\tShe\tPRP\tB-NP\tO' +p285225 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p285226 +aS'to\tto\tTO\tI-VP\tO' +p285227 +aS'exhibit\texhibit\tVB\tI-VP\tO' +p285228 +aS'asymptomatic\tasymptomatic\tJJ\tB-NP\tO' +p285229 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p285230 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p285231 +aS'.\t.\t.\tO\tO' +p285232 +asS'Neurological examination was nonfocal .' +p285233 +(lp285234 +S'Neurological\tNeurological\tJJ\tB-NP\tO' +p285235 +aS'examination\texamination\tNN\tI-NP\tO' +p285236 +aS'was\tbe\tVBD\tB-VP\tO' +p285237 +aS'nonfocal\tnonfocal\tJJ\tB-ADJP\tO' +p285238 +aS'.\t.\t.\tO\tO' +p285239 +asS'2. Zantac , 150 mg PO bid .' +p285240 +(lp285241 +S'2.\t2.\tLS\tB-NP\tO' +p285242 +aS'Zantac\tZantac\tNN\tI-NP\tO' +p285243 +aS',\t,\t,\tO\tO' +p285244 +aS'150\t150\tCD\tB-NP\tO' +p285245 +aS'mg\tmg\tNN\tI-NP\tO' +p285246 +aS'PO\tPO\tNN\tI-NP\tO' +p285247 +aS'bid\tbid\tNN\tI-NP\tO' +p285248 +aS'.\t.\t.\tO\tO' +p285249 +asS'The patient was also instructed in range of motion exercises for the left middle finger .' +p285250 +(lp285251 +S'The\tThe\tDT\tB-NP\tO' +p285252 +aS'patient\tpatient\tNN\tI-NP\tO' +p285253 +aS'was\tbe\tVBD\tB-VP\tO' +p285254 +aS'also\talso\tRB\tI-VP\tO' +p285255 +aS'instructed\tinstruct\tVBN\tI-VP\tO' +p285256 +aS'in\tin\tIN\tB-PP\tO' +p285257 +aS'range\trange\tNN\tB-NP\tO' +p285258 +aS'of\tof\tIN\tB-PP\tO' +p285259 +aS'motion\tmotion\tNN\tB-NP\tO' +p285260 +aS'exercises\texercise\tNNS\tI-NP\tO' +p285261 +aS'for\tfor\tIN\tB-PP\tO' +p285262 +aS'the\tthe\tDT\tB-NP\tO' +p285263 +aS'left\tleft\tJJ\tI-NP\tO' +p285264 +aS'middle\tmiddle\tJJ\tI-NP\tO' +p285265 +aS'finger\tfinger\tNN\tI-NP\tO' +p285266 +aS'.\t.\t.\tO\tO' +p285267 +asS'Temperature 96.7F , pulse 63 , respiratory rate 20 , blood pressure 167/68 , 02 sat 99% on room air .' +p285268 +(lp285269 +S'Temperature\tTemperature\tNN\tB-NP\tO' +p285270 +aS'96.7F\t96.7F\tNN\tI-NP\tO' +p285271 +aS',\t,\t,\tO\tO' +p285272 +aS'pulse\tpulse\tNN\tB-NP\tO' +p285273 +aS'63\t63\tCD\tI-NP\tO' +p285274 +aS',\t,\t,\tO\tO' +p285275 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p285276 +aS'rate\trate\tNN\tI-NP\tO' +p285277 +aS'20\t20\tCD\tI-NP\tO' +p285278 +aS',\t,\t,\tO\tO' +p285279 +aS'blood\tblood\tNN\tB-NP\tO' +p285280 +aS'pressure\tpressure\tNN\tI-NP\tO' +p285281 +aS'167/68\t167/68\tCD\tI-NP\tO' +p285282 +aS',\t,\t,\tI-NP\tO' +p285283 +aS'02\t02\tCD\tI-NP\tO' +p285284 +aS'sat\tsit\tVBD\tB-VP\tO' +p285285 +aS'99%\t99%\tCD\tB-NP\tO' +p285286 +aS'on\ton\tIN\tB-PP\tO' +p285287 +aS'room\troom\tNN\tB-NP\tO' +p285288 +aS'air\tair\tNN\tI-NP\tO' +p285289 +aS'.\t.\t.\tO\tO' +p285290 +asS"5) Encephalopathy : It was unclear why the pt 's mental status initially did not improve more quickly after all sedatives were removed and he was extubated ." +p285291 +(lp285292 +S'5)\t5)\tCD\tB-NP\tO' +p285293 +aS'Encephalopathy\tEncephalopathy\tNN\tI-NP\tO' +p285294 +aS':\t:\t:\tO\tO' +p285295 +aS'It\tIt\tPRP\tB-NP\tO' +p285296 +aS'was\tbe\tVBD\tB-VP\tO' +p285297 +aS'unclear\tunclear\tJJ\tB-ADJP\tO' +p285298 +aS'why\twhy\tWRB\tB-ADVP\tO' +p285299 +aS'the\tthe\tDT\tB-NP\tO' +p285300 +aS'pt\tpt\tNN\tI-NP\tO' +p285301 +aS"'s\t's\tPOS\tB-NP\tO" +p285302 +aS'mental\tmental\tJJ\tI-NP\tO' +p285303 +aS'status\tstatus\tNN\tI-NP\tO' +p285304 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p285305 +aS'did\tdo\tVBD\tB-VP\tO' +p285306 +aS'not\tnot\tRB\tI-VP\tO' +p285307 +aS'improve\timprove\tVB\tI-VP\tO' +p285308 +aS'more\tmore\tRBR\tB-ADVP\tO' +p285309 +aS'quickly\tquickly\tRB\tI-ADVP\tO' +p285310 +aS'after\tafter\tIN\tB-SBAR\tO' +p285311 +aS'all\tall\tDT\tB-NP\tO' +p285312 +aS'sedatives\tsedative\tNNS\tI-NP\tO' +p285313 +aS'were\tbe\tVBD\tB-VP\tO' +p285314 +aS'removed\tremove\tVBN\tI-VP\tO' +p285315 +aS'and\tand\tCC\tO\tO' +p285316 +aS'he\the\tPRP\tB-NP\tO' +p285317 +aS'was\tbe\tVBD\tB-VP\tO' +p285318 +aS'extubated\textubate\tVBN\tI-VP\tO' +p285319 +aS'.\t.\t.\tO\tO' +p285320 +asS'Gradually , the dopamine gtt was weaned .' +p285321 +(lp285322 +S'Gradually\tGradually\tRB\tB-ADVP\tO' +p285323 +aS',\t,\t,\tO\tO' +p285324 +aS'the\tthe\tDT\tB-NP\tO' +p285325 +aS'dopamine\tdopamine\tNN\tI-NP\tO' +p285326 +aS'gtt\tgtt\tNN\tI-NP\tO' +p285327 +aS'was\tbe\tVBD\tB-VP\tO' +p285328 +aS'weaned\twean\tVBN\tI-VP\tO' +p285329 +aS'.\t.\t.\tO\tO' +p285330 +asS'That was at the highest percentage that he had and after this his percentage came down to 1.6 , 1.0 on subsequent CKMBs and was felt that he had a very small " leaflet " .' +p285331 +(lp285332 +S'That\tThat\tDT\tB-NP\tO' +p285333 +aS'was\tbe\tVBD\tB-VP\tO' +p285334 +aS'at\tat\tIN\tB-PP\tO' +p285335 +aS'the\tthe\tDT\tB-NP\tO' +p285336 +aS'highest\thigh\tJJS\tI-NP\tO' +p285337 +aS'percentage\tpercentage\tNN\tI-NP\tO' +p285338 +aS'that\tthat\tIN\tB-SBAR\tO' +p285339 +aS'he\the\tPRP\tB-NP\tO' +p285340 +aS'had\thave\tVBD\tB-VP\tO' +p285341 +aS'and\tand\tCC\tO\tO' +p285342 +aS'after\tafter\tIN\tB-SBAR\tO' +p285343 +aS'this\tthis\tDT\tB-NP\tO' +p285344 +aS'his\this\tPRP$\tI-NP\tO' +p285345 +aS'percentage\tpercentage\tNN\tI-NP\tO' +p285346 +aS'came\tcome\tVBD\tB-VP\tO' +p285347 +aS'down\tdown\tRB\tB-ADVP\tO' +p285348 +aS'to\tto\tTO\tB-PP\tO' +p285349 +aS'1.6\t1.6\tCD\tB-NP\tO' +p285350 +aS',\t,\t,\tO\tO' +p285351 +aS'1.0\t1.0\tCD\tB-NP\tO' +p285352 +aS'on\ton\tIN\tB-PP\tO' +p285353 +aS'subsequent\tsubsequent\tJJ\tB-NP\tO' +p285354 +aS'CKMBs\tCKMB\tNNS\tI-NP\tB-protein' +p285355 +aS'and\tand\tCC\tO\tO' +p285356 +aS'was\tbe\tVBD\tB-VP\tO' +p285357 +aS'felt\tfeel\tVBN\tI-VP\tO' +p285358 +aS'that\tthat\tIN\tB-SBAR\tO' +p285359 +aS'he\the\tPRP\tB-NP\tO' +p285360 +aS'had\thave\tVBD\tB-VP\tO' +p285361 +aS'a\ta\tDT\tB-NP\tO' +p285362 +aS'very\tvery\tRB\tI-NP\tO' +p285363 +aS'small\tsmall\tJJ\tI-NP\tO' +p285364 +aS'"\t"\tCC\tI-NP\tO' +p285365 +aS'leaflet\tleaflet\tNN\tI-NP\tO' +p285366 +aS'"\t"\tNN\tI-NP\tO' +p285367 +aS'.\t.\t.\tO\tO' +p285368 +asS'His voice became slurred and he had a mild central dull headache .' +p285369 +(lp285370 +S'His\tHis\tPRP$\tB-NP\tO' +p285371 +aS'voice\tvoice\tNN\tI-NP\tO' +p285372 +aS'became\tbecome\tVBD\tB-VP\tO' +p285373 +aS'slurred\tslur\tVBN\tB-ADJP\tO' +p285374 +aS'and\tand\tCC\tO\tO' +p285375 +aS'he\the\tPRP\tB-NP\tO' +p285376 +aS'had\thave\tVBD\tB-VP\tO' +p285377 +aS'a\ta\tDT\tB-NP\tO' +p285378 +aS'mild\tmild\tJJ\tI-NP\tO' +p285379 +aS'central\tcentral\tJJ\tI-NP\tO' +p285380 +aS'dull\tdull\tJJ\tI-NP\tO' +p285381 +aS'headache\theadache\tNN\tI-NP\tO' +p285382 +aS'.\t.\t.\tO\tO' +p285383 +asS'Insulin SC ( per Insulin Flowsheet )' +p285384 +(lp285385 +S'Insulin\tInsulin\tNN\tB-NP\tB-protein' +p285386 +aS'SC\tSC\tNN\tI-NP\tI-protein' +p285387 +aS'(\t(\t(\tO\tO' +p285388 +aS'per\tper\tIN\tB-PP\tO' +p285389 +aS'Insulin\tInsulin\tNNP\tB-NP\tO' +p285390 +aS'Flowsheet\tFlowsheet\tNNP\tI-NP\tO' +p285391 +aS')\t)\t)\tO\tO' +p285392 +asS'Bilateral coarse breath sounds .' +p285393 +(lp285394 +S'Bilateral\tBilateral\tJJ\tB-NP\tO' +p285395 +aS'coarse\tcoarse\tNN\tI-NP\tO' +p285396 +aS'breath\tbreath\tNN\tI-NP\tO' +p285397 +aS'sounds\tsound\tNNS\tI-NP\tO' +p285398 +aS'.\t.\t.\tO\tO' +p285399 +asS'CT of the abdomen and pelvis showed no evidence of bleed .' +p285400 +(lp285401 +S'CT\tCT\tNN\tB-NP\tO' +p285402 +aS'of\tof\tIN\tB-PP\tO' +p285403 +aS'the\tthe\tDT\tB-NP\tO' +p285404 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p285405 +aS'and\tand\tCC\tI-NP\tO' +p285406 +aS'pelvis\tpelvis\tNN\tI-NP\tO' +p285407 +aS'showed\tshow\tVBD\tB-VP\tO' +p285408 +aS'no\tno\tDT\tB-NP\tO' +p285409 +aS'evidence\tevidence\tNN\tI-NP\tO' +p285410 +aS'of\tof\tIN\tB-PP\tO' +p285411 +aS'bleed\tbleed\tNN\tB-NP\tO' +p285412 +aS'.\t.\t.\tO\tO' +p285413 +asS'There is no step-off at the back .' +p285414 +(lp285415 +S'There\tThere\tEX\tB-NP\tO' +p285416 +aS'is\tbe\tVBZ\tB-VP\tO' +p285417 +aS'no\tno\tDT\tB-NP\tO' +p285418 +aS'step-off\tstep-off\tNN\tI-NP\tB-protein' +p285419 +aS'at\tat\tIN\tB-PP\tO' +p285420 +aS'the\tthe\tDT\tB-NP\tO' +p285421 +aS'back\tback\tNN\tI-NP\tO' +p285422 +aS'.\t.\t.\tO\tO' +p285423 +asS'9. Morphine 2 mg / mL Syringe Sig : One ( 1 ) Injection Q4H ( every 4 hours ) as needed .' +p285424 +(lp285425 +S'9.\t9.\tCD\tB-NP\tO' +p285426 +aS'Morphine\tMorphine\tNN\tI-NP\tO' +p285427 +aS'2\t2\tCD\tB-NP\tO' +p285428 +aS'mg\tmg\tNN\tI-NP\tO' +p285429 +aS'/\t/\tSYM\tB-NP\tO' +p285430 +aS'mL\tmL\tNN\tI-NP\tO' +p285431 +aS'Syringe\tSyringe\tNNP\tI-NP\tO' +p285432 +aS'Sig\tSig\tNNP\tI-NP\tO' +p285433 +aS':\t:\t:\tO\tO' +p285434 +aS'One\tOne\tCD\tB-NP\tO' +p285435 +aS'(\t(\t(\tO\tO' +p285436 +aS'1\t1\tCD\tB-NP\tO' +p285437 +aS')\t)\t)\tO\tO' +p285438 +aS'Injection\tInjection\tNN\tB-NP\tO' +p285439 +aS'Q4H\tQ4H\tNN\tI-NP\tO' +p285440 +aS'(\t(\t(\tO\tO' +p285441 +aS'every\tevery\tDT\tB-NP\tO' +p285442 +aS'4\t4\tCD\tI-NP\tO' +p285443 +aS'hours\thour\tNNS\tI-NP\tO' +p285444 +aS')\t)\t)\tO\tO' +p285445 +aS'as\tas\tIN\tB-SBAR\tO' +p285446 +aS'needed\tneed\tVBN\tB-VP\tO' +p285447 +aS'.\t.\t.\tO\tO' +p285448 +asS'Signed electronically by : DR. John della Hopper on : WED 2011-11-16 7:16 PM' +p285449 +(lp285450 +S'Signed\tSign\tVBN\tB-VP\tO' +p285451 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p285452 +aS'by\tby\tIN\tB-PP\tO' +p285453 +aS':\t:\t:\tO\tO' +p285454 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p285455 +aS'John\tJohn\tNNP\tI-NP\tO' +p285456 +aS'della\tdella\tNNP\tI-NP\tO' +p285457 +aS'Hopper\tHopper\tNNP\tI-NP\tO' +p285458 +aS'on\ton\tIN\tB-PP\tO' +p285459 +aS':\t:\t:\tO\tO' +p285460 +aS'WED\tWED\tVBD\tB-VP\tO' +p285461 +aS'2011-11-16\t2011-11-16\tCD\tB-NP\tO' +p285462 +aS'7:16\t7:16\tCD\tI-NP\tO' +p285463 +aS'PM\tPM\tNN\tI-NP\tO' +p285464 +asS'On postoperative day number 17 , the patient was discharged .' +p285465 +(lp285466 +S'On\tOn\tIN\tB-PP\tO' +p285467 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p285468 +aS'day\tday\tNN\tI-NP\tO' +p285469 +aS'number\tnumber\tNN\tI-NP\tO' +p285470 +aS'17\t17\tCD\tI-NP\tO' +p285471 +aS',\t,\t,\tO\tO' +p285472 +aS'the\tthe\tDT\tB-NP\tO' +p285473 +aS'patient\tpatient\tNN\tI-NP\tO' +p285474 +aS'was\tbe\tVBD\tB-VP\tO' +p285475 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p285476 +aS'.\t.\t.\tO\tO' +p285477 +asS'Pt was transferred to New England Baptist Hospital , where his surgeon is located .' +p285478 +(lp285479 +S'Pt\tPt\tNN\tB-NP\tO' +p285480 +aS'was\tbe\tVBD\tB-VP\tO' +p285481 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p285482 +aS'to\tto\tTO\tB-PP\tO' +p285483 +aS'New\tNew\tNNP\tB-NP\tO' +p285484 +aS'England\tEngland\tNNP\tI-NP\tO' +p285485 +aS'Baptist\tBaptist\tNNP\tI-NP\tO' +p285486 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p285487 +aS',\t,\t,\tO\tO' +p285488 +aS'where\twhere\tWRB\tB-ADVP\tO' +p285489 +aS'his\this\tPRP$\tB-NP\tO' +p285490 +aS'surgeon\tsurgeon\tNN\tI-NP\tO' +p285491 +aS'is\tbe\tVBZ\tB-VP\tO' +p285492 +aS'located\tlocated\tJJ\tB-ADJP\tO' +p285493 +aS'.\t.\t.\tO\tO' +p285494 +asS'Urinalysis demonstrated trace leukocyte esterase , 5-10 white blood cells and 1+ squamous epithelial cells .' +p285495 +(lp285496 +S'Urinalysis\tUrinalysis\tNN\tB-NP\tO' +p285497 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p285498 +aS'trace\ttrace\tNN\tB-NP\tB-protein' +p285499 +aS'leukocyte\tleukocyte\tNN\tI-NP\tI-protein' +p285500 +aS'esterase\testerase\tNN\tI-NP\tI-protein' +p285501 +aS',\t,\t,\tO\tO' +p285502 +aS'5-10\t5-10\tCD\tB-NP\tO' +p285503 +aS'white\twhite\tJJ\tI-NP\tB-cell_type' +p285504 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p285505 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p285506 +aS'and\tand\tCC\tO\tO' +p285507 +aS'1+\t1+\tJJ\tB-NP\tB-cell_type' +p285508 +aS'squamous\tsquamous\tJJ\tI-NP\tI-cell_type' +p285509 +aS'epithelial\tepithelial\tJJ\tI-NP\tI-cell_type' +p285510 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p285511 +aS'.\t.\t.\tO\tO' +p285512 +asS'She was alert and oriented times three .' +p285513 +(lp285514 +S'She\tShe\tPRP\tB-NP\tO' +p285515 +aS'was\tbe\tVBD\tB-VP\tO' +p285516 +aS'alert\talert\tJJ\tB-ADJP\tO' +p285517 +aS'and\tand\tCC\tO\tO' +p285518 +aS'oriented\torient\tVBN\tB-VP\tO' +p285519 +aS'times\ttime\tNNS\tB-NP\tO' +p285520 +aS'three\tthree\tCD\tB-NP\tO' +p285521 +aS'.\t.\t.\tO\tO' +p285522 +asS'You are being transfered to Mediplex Rehab Hospital Hospital for further care as you have requested to be closer to home .' +p285523 +(lp285524 +S'You\tYou\tPRP\tB-NP\tB-protein' +p285525 +aS'are\tbe\tVBP\tB-VP\tO' +p285526 +aS'being\tbe\tVBG\tI-VP\tO' +p285527 +aS'transfered\ttransfer\tVBN\tI-VP\tO' +p285528 +aS'to\tto\tTO\tB-PP\tO' +p285529 +aS'Mediplex\tMediplex\tNNP\tB-NP\tO' +p285530 +aS'Rehab\tRehab\tNNP\tI-NP\tO' +p285531 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p285532 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p285533 +aS'for\tfor\tIN\tB-PP\tO' +p285534 +aS'further\tfurther\tJJ\tB-NP\tO' +p285535 +aS'care\tcare\tNN\tI-NP\tO' +p285536 +aS'as\tas\tIN\tB-SBAR\tO' +p285537 +aS'you\tyou\tPRP\tB-NP\tO' +p285538 +aS'have\thave\tVBP\tB-VP\tO' +p285539 +aS'requested\trequest\tVBN\tI-VP\tO' +p285540 +aS'to\tto\tTO\tI-VP\tO' +p285541 +aS'be\tbe\tVB\tI-VP\tO' +p285542 +aS'closer\tclose\tJJR\tB-ADJP\tO' +p285543 +aS'to\tto\tTO\tB-PP\tO' +p285544 +aS'home\thome\tNN\tB-NP\tO' +p285545 +aS'.\t.\t.\tO\tO' +p285546 +asS'Abd : Soft , NT , ND , +NABS .' +p285547 +(lp285548 +S'Abd\tAbd\tNN\tB-NP\tO' +p285549 +aS':\t:\t:\tO\tO' +p285550 +aS'Soft\tSoft\tNNP\tB-NP\tO' +p285551 +aS',\t,\t,\tO\tO' +p285552 +aS'NT\tNT\tNNP\tB-NP\tO' +p285553 +aS',\t,\t,\tO\tO' +p285554 +aS'ND\tND\tNNP\tB-NP\tO' +p285555 +aS',\t,\t,\tO\tO' +p285556 +aS'+NABS\t+NABS\tNNP\tB-NP\tB-protein' +p285557 +aS'.\t.\t.\tO\tO' +p285558 +asS'General - The patient appears stated age , found lying flat in bed , in no acute distress .' +p285559 +(lp285560 +S'General\tGeneral\tNNP\tB-NP\tO' +p285561 +aS'-\t-\t:\tO\tO' +p285562 +aS'The\tThe\tDT\tB-NP\tO' +p285563 +aS'patient\tpatient\tNN\tI-NP\tO' +p285564 +aS'appears\tappear\tVBZ\tB-VP\tO' +p285565 +aS'stated\tstate\tVBN\tI-VP\tO' +p285566 +aS'age\tage\tNN\tB-NP\tO' +p285567 +aS',\t,\t,\tO\tO' +p285568 +aS'found\tfind\tVBD\tB-VP\tO' +p285569 +aS'lying\tlie\tVBG\tI-VP\tO' +p285570 +aS'flat\tflat\tJJ\tB-ADJP\tO' +p285571 +aS'in\tin\tIN\tB-PP\tO' +p285572 +aS'bed\tbed\tNN\tB-NP\tO' +p285573 +aS',\t,\t,\tO\tO' +p285574 +aS'in\tin\tIN\tB-PP\tO' +p285575 +aS'no\tno\tDT\tB-NP\tO' +p285576 +aS'acute\tacute\tJJ\tI-NP\tO' +p285577 +aS'distress\tdistress\tNN\tI-NP\tO' +p285578 +aS'.\t.\t.\tO\tO' +p285579 +asS'CT abd showed an 8 mm right proximal ureteral stone with right-sided hydronephrosis and inflammatory stranding , in addition to pyelonephritis of the left kidney without left sided hydronephrosis .' +p285580 +(lp285581 +S'CT\tCT\tNN\tB-NP\tO' +p285582 +aS'abd\tabd\tNN\tI-NP\tO' +p285583 +aS'showed\tshow\tVBD\tB-VP\tO' +p285584 +aS'an\tan\tDT\tB-NP\tO' +p285585 +aS'8\t8\tCD\tI-NP\tO' +p285586 +aS'mm\tmm\tNN\tI-NP\tO' +p285587 +aS'right\tright\tJJ\tI-NP\tO' +p285588 +aS'proximal\tproximal\tJJ\tI-NP\tO' +p285589 +aS'ureteral\tureteral\tJJ\tI-NP\tO' +p285590 +aS'stone\tstone\tNN\tI-NP\tO' +p285591 +aS'with\twith\tIN\tB-PP\tO' +p285592 +aS'right-sided\tright-sided\tJJ\tB-NP\tO' +p285593 +aS'hydronephrosis\thydronephrosis\tNN\tI-NP\tO' +p285594 +aS'and\tand\tCC\tO\tO' +p285595 +aS'inflammatory\tinflammatory\tJJ\tB-NP\tO' +p285596 +aS'stranding\tstranding\tNN\tI-NP\tO' +p285597 +aS',\t,\t,\tO\tO' +p285598 +aS'in\tin\tIN\tB-PP\tO' +p285599 +aS'addition\taddition\tNN\tB-NP\tO' +p285600 +aS'to\tto\tTO\tB-PP\tO' +p285601 +aS'pyelonephritis\tpyelonephritis\tNN\tB-NP\tO' +p285602 +aS'of\tof\tIN\tB-PP\tO' +p285603 +aS'the\tthe\tDT\tB-NP\tO' +p285604 +aS'left\tleft\tJJ\tI-NP\tO' +p285605 +aS'kidney\tkidney\tNN\tI-NP\tO' +p285606 +aS'without\twithout\tIN\tB-PP\tO' +p285607 +aS'left\tleft\tJJ\tB-NP\tO' +p285608 +aS'sided\tsided\tJJ\tI-NP\tO' +p285609 +aS'hydronephrosis\thydronephrosis\tNN\tI-NP\tO' +p285610 +aS'.\t.\t.\tO\tO' +p285611 +asS'Following evaluation and treatment , the patient 's disposition at the end of the visit was TREATED AND RELEASED .' +p285612 +(lp285613 +S'Following\tFollow\tVBG\tB-PP\tO' +p285614 +aS'evaluation\tevaluation\tNN\tB-NP\tO' +p285615 +aS'and\tand\tCC\tI-NP\tO' +p285616 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p285617 +aS',\t,\t,\tO\tO' +p285618 +aS'the\tthe\tDT\tB-NP\tO' +p285619 +aS'patient\tpatient\tNN\tI-NP\tO' +p285620 +aS''s\t'\tNNS\tI-NP\tO' +p285621 +aS'disposition\tdisposition\tNN\tI-NP\tO' +p285622 +aS'at\tat\tIN\tB-PP\tO' +p285623 +aS'the\tthe\tDT\tB-NP\tO' +p285624 +aS'end\tend\tNN\tI-NP\tO' +p285625 +aS'of\tof\tIN\tB-PP\tO' +p285626 +aS'the\tthe\tDT\tB-NP\tO' +p285627 +aS'visit\tvisit\tNN\tI-NP\tO' +p285628 +aS'was\tbe\tVBD\tB-VP\tO' +p285629 +aS'TREATED\tTREATED\tVBN\tI-VP\tO' +p285630 +aS'AND\tAND\tCC\tI-VP\tO' +p285631 +aS'RELEASED\tRELEASED\tVBN\tI-VP\tO' +p285632 +aS'.\t.\t.\tO\tO' +p285633 +asS'The patient is married .' +p285634 +(lp285635 +S'The\tThe\tDT\tB-NP\tO' +p285636 +aS'patient\tpatient\tNN\tI-NP\tO' +p285637 +aS'is\tbe\tVBZ\tB-VP\tO' +p285638 +aS'married\tmarry\tVBN\tI-VP\tO' +p285639 +aS'.\t.\t.\tO\tO' +p285640 +asS'6. There is moderate pulmonary artery systolic hypertension .' +p285641 +(lp285642 +S'6.\t6.\tLS\tB-LST\tO' +p285643 +aS'There\tThere\tEX\tB-NP\tO' +p285644 +aS'is\tbe\tVBZ\tB-VP\tO' +p285645 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p285646 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p285647 +aS'artery\tartery\tNN\tI-NP\tO' +p285648 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p285649 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p285650 +aS'.\t.\t.\tO\tO' +p285651 +asS'He then presented to Mass. Mental Health Center where he was ruled out for an myocardial infarction by enzymes and electrocardiograms .' +p285652 +(lp285653 +S'He\tHe\tPRP\tB-NP\tO' +p285654 +aS'then\tthen\tRB\tB-ADVP\tO' +p285655 +aS'presented\tpresent\tVBD\tB-VP\tO' +p285656 +aS'to\tto\tTO\tB-PP\tO' +p285657 +aS'Mass.\tMass.\tNNP\tB-NP\tO' +p285658 +aS'Mental\tMental\tNNP\tI-NP\tO' +p285659 +aS'Health\tHealth\tNNP\tI-NP\tO' +p285660 +aS'Center\tCenter\tNNP\tI-NP\tO' +p285661 +aS'where\twhere\tWRB\tB-ADVP\tO' +p285662 +aS'he\the\tPRP\tB-NP\tO' +p285663 +aS'was\tbe\tVBD\tB-VP\tO' +p285664 +aS'ruled\trule\tVBN\tI-VP\tO' +p285665 +aS'out\tout\tRP\tB-PRT\tO' +p285666 +aS'for\tfor\tIN\tB-PP\tO' +p285667 +aS'an\tan\tDT\tB-NP\tO' +p285668 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p285669 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p285670 +aS'by\tby\tIN\tB-PP\tO' +p285671 +aS'enzymes\tenzyme\tNNS\tB-NP\tB-protein' +p285672 +aS'and\tand\tCC\tI-NP\tO' +p285673 +aS'electrocardiograms\telectrocardiogram\tNNS\tI-NP\tO' +p285674 +aS'.\t.\t.\tO\tO' +p285675 +asS'On postop day 9 , bilateral upper extremity Dopplers revealed a right IJ clot .' +p285676 +(lp285677 +S'On\tOn\tIN\tB-PP\tO' +p285678 +aS'postop\tpostop\tJJ\tB-NP\tO' +p285679 +aS'day\tday\tNN\tI-NP\tO' +p285680 +aS'9\t9\tCD\tI-NP\tO' +p285681 +aS',\t,\t,\tO\tO' +p285682 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p285683 +aS'upper\tupper\tJJ\tI-NP\tO' +p285684 +aS'extremity\textremity\tNN\tI-NP\tO' +p285685 +aS'Dopplers\tDoppler\tNNS\tI-NP\tO' +p285686 +aS'revealed\treveal\tVBD\tB-VP\tO' +p285687 +aS'a\ta\tDT\tB-NP\tO' +p285688 +aS'right\tright\tJJ\tI-NP\tO' +p285689 +aS'IJ\tIJ\tNN\tI-NP\tO' +p285690 +aS'clot\tclot\tNN\tI-NP\tO' +p285691 +aS'.\t.\t.\tO\tO' +p285692 +asS'19. Lantus 30 units Lantus insulin with breakfast' +p285693 +(lp285694 +S'19.\t19.\tCD\tB-NP\tO' +p285695 +aS'Lantus\tLantus\tNNP\tI-NP\tO' +p285696 +aS'30\t30\tCD\tI-NP\tO' +p285697 +aS'units\tunit\tNNS\tI-NP\tO' +p285698 +aS'Lantus\tLantus\tNNP\tB-NP\tO' +p285699 +aS'insulin\tinsulin\tNN\tI-NP\tO' +p285700 +aS'with\twith\tIN\tB-PP\tO' +p285701 +aS'breakfast\tbreakfast\tNN\tB-NP\tO' +p285702 +asS'If on dialysis, please take after dialysis treatment .' +p285703 +(lp285704 +S'If\tIf\tIN\tB-SBAR\tO' +p285705 +aS'on\ton\tIN\tB-PP\tO' +p285706 +aS'dialysis,\tdialysis,\tNN\tB-NP\tO' +p285707 +aS'please\tplease\tNN\tI-NP\tO' +p285708 +aS'take\ttake\tVBP\tB-VP\tO' +p285709 +aS'after\tafter\tIN\tB-PP\tO' +p285710 +aS'dialysis\tdialysis\tNN\tB-NP\tO' +p285711 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p285712 +aS'.\t.\t.\tO\tO' +p285713 +asS'He was continued on IV vancomycin throughout his course and had therapeutic troughs .' +p285714 +(lp285715 +S'He\tHe\tPRP\tB-NP\tO' +p285716 +aS'was\tbe\tVBD\tB-VP\tO' +p285717 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p285718 +aS'on\ton\tIN\tB-PP\tO' +p285719 +aS'IV\tIV\tCD\tB-NP\tO' +p285720 +aS'vancomycin\tvancomycin\tNN\tI-NP\tO' +p285721 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p285722 +aS'his\this\tPRP$\tB-NP\tO' +p285723 +aS'course\tcourse\tNN\tI-NP\tO' +p285724 +aS'and\tand\tCC\tO\tO' +p285725 +aS'had\thave\tVBD\tB-VP\tO' +p285726 +aS'therapeutic\ttherapeutic\tJJ\tB-NP\tO' +p285727 +aS'troughs\ttrough\tNNS\tI-NP\tO' +p285728 +aS'.\t.\t.\tO\tO' +p285729 +asS'Anticoagulation therapy was initiated with heparin and coumadin beginning on the evening of 2016-08-23 .' +p285730 +(lp285731 +S'Anticoagulation\tAnticoagulation\tNN\tB-NP\tO' +p285732 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p285733 +aS'was\tbe\tVBD\tB-VP\tO' +p285734 +aS'initiated\tinitiate\tVBN\tI-VP\tO' +p285735 +aS'with\twith\tIN\tB-PP\tO' +p285736 +aS'heparin\theparin\tNN\tB-NP\tO' +p285737 +aS'and\tand\tCC\tI-NP\tO' +p285738 +aS'coumadin\tcoumadin\tNN\tI-NP\tO' +p285739 +aS'beginning\tbegin\tVBG\tB-PP\tO' +p285740 +aS'on\ton\tIN\tB-PP\tO' +p285741 +aS'the\tthe\tDT\tB-NP\tO' +p285742 +aS'evening\tevening\tNN\tI-NP\tO' +p285743 +aS'of\tof\tIN\tB-PP\tO' +p285744 +aS'2016-08-23\t2016-08-23\tCD\tB-NP\tO' +p285745 +aS'.\t.\t.\tO\tO' +p285746 +asS'She was also noted to be more confused over the last few days and especially today .' +p285747 +(lp285748 +S'She\tShe\tPRP\tB-NP\tO' +p285749 +aS'was\tbe\tVBD\tB-VP\tO' +p285750 +aS'also\talso\tRB\tI-VP\tO' +p285751 +aS'noted\tnote\tVBN\tI-VP\tO' +p285752 +aS'to\tto\tTO\tI-VP\tO' +p285753 +aS'be\tbe\tVB\tI-VP\tO' +p285754 +aS'more\tmore\tRBR\tB-ADJP\tO' +p285755 +aS'confused\tconfuse\tVBN\tI-ADJP\tO' +p285756 +aS'over\tover\tIN\tB-PP\tO' +p285757 +aS'the\tthe\tDT\tB-NP\tO' +p285758 +aS'last\tlast\tJJ\tI-NP\tO' +p285759 +aS'few\tfew\tJJ\tI-NP\tO' +p285760 +aS'days\tday\tNNS\tI-NP\tO' +p285761 +aS'and\tand\tCC\tB-NP\tO' +p285762 +aS'especially\tespecially\tRB\tI-NP\tO' +p285763 +aS'today\ttoday\tNN\tB-NP\tO' +p285764 +aS'.\t.\t.\tO\tO' +p285765 +asS'1. Diltiazem HCl 240 mg Capsule , Sustained Release Sig : One ( 1 ) Capsule , Sustained Release PO DAILY ( Daily ).' +p285766 +(lp285767 +S'1.\t1.\tLS\tB-NP\tO' +p285768 +aS'Diltiazem\tDiltiazem\tNN\tI-NP\tO' +p285769 +aS'HCl\tHCl\tNN\tI-NP\tO' +p285770 +aS'240\t240\tCD\tI-NP\tO' +p285771 +aS'mg\tmg\tNN\tI-NP\tO' +p285772 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p285773 +aS',\t,\t,\tO\tO' +p285774 +aS'Sustained\tSustained\tNNP\tB-NP\tO' +p285775 +aS'Release\tRelease\tNNP\tI-NP\tO' +p285776 +aS'Sig\tSig\tNNP\tI-NP\tB-protein' +p285777 +aS':\t:\t:\tO\tO' +p285778 +aS'One\tOne\tCD\tB-NP\tO' +p285779 +aS'(\t(\t(\tO\tO' +p285780 +aS'1\t1\tCD\tB-NP\tO' +p285781 +aS')\t)\t)\tO\tO' +p285782 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p285783 +aS',\t,\t,\tO\tO' +p285784 +aS'Sustained\tSustained\tNNP\tB-NP\tO' +p285785 +aS'Release\tRelease\tNNP\tI-NP\tO' +p285786 +aS'PO\tPO\tNNP\tI-NP\tO' +p285787 +aS'DAILY\tDAILY\tNNP\tI-NP\tO' +p285788 +aS'(\t(\t(\tO\tO' +p285789 +aS'Daily\tDaily\tNNP\tB-NP\tO' +p285790 +aS').\t).\t)\tO\tO' +p285791 +asS'3. Wegener 's granulomatosis , with associated chronic renal insufficiency .' +p285792 +(lp285793 +S'3.\t3.\tLS\tB-NP\tO' +p285794 +aS'Wegener\tWegener\tNN\tI-NP\tO' +p285795 +aS''s\t'\tNNS\tI-NP\tO' +p285796 +aS'granulomatosis\tgranulomatosis\tNN\tI-NP\tO' +p285797 +aS',\t,\t,\tO\tO' +p285798 +aS'with\twith\tIN\tB-PP\tO' +p285799 +aS'associated\tassociate\tVBN\tB-NP\tO' +p285800 +aS'chronic\tchronic\tJJ\tI-NP\tO' +p285801 +aS'renal\trenal\tJJ\tI-NP\tO' +p285802 +aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' +p285803 +aS'.\t.\t.\tO\tO' +p285804 +asS'She continued to have trouble with afib and required a dilt gtt on the day prior to call-out to control this rhythm but she was transitioned to PO diltiazem and has been in NSR since this time .' +p285805 +(lp285806 +S'She\tShe\tPRP\tB-NP\tO' +p285807 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p285808 +aS'to\tto\tTO\tI-VP\tO' +p285809 +aS'have\thave\tVB\tI-VP\tO' +p285810 +aS'trouble\ttrouble\tNN\tB-NP\tO' +p285811 +aS'with\twith\tIN\tB-PP\tO' +p285812 +aS'afib\tafib\tNN\tB-NP\tO' +p285813 +aS'and\tand\tCC\tO\tO' +p285814 +aS'required\trequire\tVBD\tB-VP\tO' +p285815 +aS'a\ta\tDT\tB-NP\tO' +p285816 +aS'dilt\tdilt\tJJ\tI-NP\tO' +p285817 +aS'gtt\tgtt\tNN\tI-NP\tO' +p285818 +aS'on\ton\tIN\tB-PP\tO' +p285819 +aS'the\tthe\tDT\tB-NP\tO' +p285820 +aS'day\tday\tNN\tI-NP\tO' +p285821 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p285822 +aS'to\tto\tTO\tB-VP\tO' +p285823 +aS'call-out\tcall-out\tVB\tI-VP\tO' +p285824 +aS'to\tto\tTO\tI-VP\tO' +p285825 +aS'control\tcontrol\tVB\tI-VP\tO' +p285826 +aS'this\tthis\tDT\tB-NP\tO' +p285827 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p285828 +aS'but\tbut\tCC\tO\tO' +p285829 +aS'she\tshe\tPRP\tB-NP\tO' +p285830 +aS'was\tbe\tVBD\tB-VP\tO' +p285831 +aS'transitioned\ttransitione\tVBN\tI-VP\tO' +p285832 +aS'to\tto\tTO\tB-PP\tO' +p285833 +aS'PO\tPO\tNN\tB-NP\tO' +p285834 +aS'diltiazem\tdiltiazem\tNN\tI-NP\tO' +p285835 +aS'and\tand\tCC\tO\tO' +p285836 +aS'has\thave\tVBZ\tB-VP\tO' +p285837 +aS'been\tbe\tVBN\tI-VP\tO' +p285838 +aS'in\tin\tIN\tB-PP\tO' +p285839 +aS'NSR\tNSR\tNN\tB-NP\tB-protein' +p285840 +aS'since\tsince\tIN\tB-PP\tO' +p285841 +aS'this\tthis\tDT\tB-NP\tO' +p285842 +aS'time\ttime\tNN\tI-NP\tO' +p285843 +aS'.\t.\t.\tO\tO' +p285844 +asS'Docusate Sodium 100 mg PO BID' +p285845 +(lp285846 +S'Docusate\tDocusate\tNNP\tB-NP\tO' +p285847 +aS'Sodium\tSodium\tNNP\tI-NP\tO' +p285848 +aS'100\t100\tCD\tI-NP\tO' +p285849 +aS'mg\tmg\tNN\tI-NP\tO' +p285850 +aS'PO\tPO\tNN\tI-NP\tO' +p285851 +aS'BID\tBID\tNN\tI-NP\tO' +p285852 +asS'6. Oxycodone-Acetaminophen 5-325 mg Tablet Sig : 1-2 Tablets PO every 4-6 hours as needed for pain .' +p285853 +(lp285854 +S'6.\t6.\tCD\tB-NP\tO' +p285855 +aS'Oxycodone-Acetaminophen\tOxycodone-Acetaminophen\tJJ\tI-NP\tO' +p285856 +aS'5-325\t5-325\tCD\tI-NP\tO' +p285857 +aS'mg\tmg\tNN\tI-NP\tO' +p285858 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p285859 +aS'Sig\tSig\tNNP\tI-NP\tO' +p285860 +aS':\t:\t:\tO\tO' +p285861 +aS'1-2\t1-2\tCD\tB-NP\tO' +p285862 +aS'Tablets\tTablet\tNNS\tI-NP\tO' +p285863 +aS'PO\tPO\tNN\tI-NP\tO' +p285864 +aS'every\tevery\tDT\tB-NP\tO' +p285865 +aS'4-6\t4-6\tCD\tI-NP\tO' +p285866 +aS'hours\thour\tNNS\tI-NP\tO' +p285867 +aS'as\tas\tIN\tB-SBAR\tO' +p285868 +aS'needed\tneed\tVBN\tB-VP\tO' +p285869 +aS'for\tfor\tIN\tB-PP\tO' +p285870 +aS'pain\tpain\tNN\tB-NP\tO' +p285871 +aS'.\t.\t.\tO\tO' +p285872 +asS'The patient was placed on Flagyl and Levaquin for treatment of pneumonia .' +p285873 +(lp285874 +S'The\tThe\tDT\tB-NP\tO' +p285875 +aS'patient\tpatient\tNN\tI-NP\tO' +p285876 +aS'was\tbe\tVBD\tB-VP\tO' +p285877 +aS'placed\tplace\tVBN\tI-VP\tO' +p285878 +aS'on\ton\tIN\tB-PP\tO' +p285879 +aS'Flagyl\tFlagyl\tNN\tB-NP\tO' +p285880 +aS'and\tand\tCC\tI-NP\tO' +p285881 +aS'Levaquin\tLevaquin\tNN\tI-NP\tO' +p285882 +aS'for\tfor\tIN\tB-PP\tO' +p285883 +aS'treatment\ttreatment\tNN\tB-NP\tO' +p285884 +aS'of\tof\tIN\tB-PP\tO' +p285885 +aS'pneumonia\tpneumonia\tNN\tB-NP\tO' +p285886 +aS'.\t.\t.\tO\tO' +p285887 +asS'Pediatrician should have low threshold for endocrinology reconsult if any signs of pituitary problems .' +p285888 +(lp285889 +S'Pediatrician\tPediatrician\tNN\tB-NP\tO' +p285890 +aS'should\tshould\tMD\tB-VP\tO' +p285891 +aS'have\thave\tVB\tI-VP\tO' +p285892 +aS'low\tlow\tJJ\tB-NP\tO' +p285893 +aS'threshold\tthreshold\tNN\tI-NP\tO' +p285894 +aS'for\tfor\tIN\tB-PP\tO' +p285895 +aS'endocrinology\tendocrinology\tNN\tB-NP\tO' +p285896 +aS'reconsult\treconsult\tNN\tI-NP\tO' +p285897 +aS'if\tif\tIN\tB-SBAR\tO' +p285898 +aS'any\tany\tDT\tB-NP\tO' +p285899 +aS'signs\tsign\tNNS\tI-NP\tO' +p285900 +aS'of\tof\tIN\tB-PP\tO' +p285901 +aS'pituitary\tpituitary\tJJ\tB-NP\tO' +p285902 +aS'problems\tproblem\tNNS\tI-NP\tO' +p285903 +aS'.\t.\t.\tO\tO' +p285904 +asS'Potassium 20 mEq twice a day times seven days .' +p285905 +(lp285906 +S'Potassium\tPotassium\tNN\tB-NP\tO' +p285907 +aS'20\t20\tCD\tI-NP\tO' +p285908 +aS'mEq\tmEq\tNN\tI-NP\tO' +p285909 +aS'twice\ttwice\tRB\tB-NP\tO' +p285910 +aS'a\ta\tDT\tI-NP\tO' +p285911 +aS'day\tday\tNN\tI-NP\tO' +p285912 +aS'times\ttime\tVBZ\tB-VP\tO' +p285913 +aS'seven\tseven\tCD\tB-NP\tO' +p285914 +aS'days\tday\tNNS\tI-NP\tO' +p285915 +aS'.\t.\t.\tO\tO' +p285916 +asS'4) History of cerebrovascular disease .' +p285917 +(lp285918 +S'4)\t4)\tLS\tB-NP\tO' +p285919 +aS'History\tHistory\tNN\tI-NP\tO' +p285920 +aS'of\tof\tIN\tB-PP\tO' +p285921 +aS'cerebrovascular\tcerebrovascular\tJJ\tB-NP\tO' +p285922 +aS'disease\tdisease\tNN\tI-NP\tO' +p285923 +aS'.\t.\t.\tO\tO' +p285924 +asS'On post-op day #4 , the patient failed the first of his void trials .' +p285925 +(lp285926 +S'On\tOn\tIN\tB-PP\tO' +p285927 +aS'post-op\tpost-op\tJJ\tB-NP\tO' +p285928 +aS'day\tday\tNN\tI-NP\tO' +p285929 +aS'#4\t#4\tNN\tI-NP\tO' +p285930 +aS',\t,\t,\tO\tO' +p285931 +aS'the\tthe\tDT\tB-NP\tO' +p285932 +aS'patient\tpatient\tNN\tI-NP\tO' +p285933 +aS'failed\tfail\tVBD\tB-VP\tO' +p285934 +aS'the\tthe\tDT\tB-NP\tO' +p285935 +aS'first\tfirst\tJJ\tI-NP\tO' +p285936 +aS'of\tof\tIN\tB-PP\tO' +p285937 +aS'his\this\tPRP$\tB-NP\tO' +p285938 +aS'void\tvoid\tJJ\tI-NP\tO' +p285939 +aS'trials\ttrial\tNNS\tI-NP\tO' +p285940 +aS'.\t.\t.\tO\tO' +p285941 +asS'He had pulsatile pulse volume recordings , in both lower extremities , and both renal arteries were noted to be patent , as were both internal iliac arteries .' +p285942 +(lp285943 +S'He\tHe\tPRP\tB-NP\tO' +p285944 +aS'had\thave\tVBD\tB-VP\tO' +p285945 +aS'pulsatile\tpulsatile\tJJ\tB-NP\tO' +p285946 +aS'pulse\tpulse\tNN\tI-NP\tO' +p285947 +aS'volume\tvolume\tNN\tI-NP\tO' +p285948 +aS'recordings\trecording\tNNS\tI-NP\tO' +p285949 +aS',\t,\t,\tO\tO' +p285950 +aS'in\tin\tIN\tB-PP\tO' +p285951 +aS'both\tboth\tCC\tB-NP\tO' +p285952 +aS'lower\tlow\tJJR\tI-NP\tO' +p285953 +aS'extremities\textremity\tNNS\tI-NP\tO' +p285954 +aS',\t,\t,\tO\tO' +p285955 +aS'and\tand\tCC\tO\tO' +p285956 +aS'both\tboth\tDT\tB-NP\tO' +p285957 +aS'renal\trenal\tJJ\tI-NP\tO' +p285958 +aS'arteries\tartery\tNNS\tI-NP\tO' +p285959 +aS'were\tbe\tVBD\tB-VP\tO' +p285960 +aS'noted\tnote\tVBN\tI-VP\tO' +p285961 +aS'to\tto\tTO\tI-VP\tO' +p285962 +aS'be\tbe\tVB\tI-VP\tO' +p285963 +aS'patent\tpatent\tNN\tB-NP\tO' +p285964 +aS',\t,\t,\tO\tO' +p285965 +aS'as\tas\tIN\tB-SBAR\tO' +p285966 +aS'were\tbe\tVBD\tB-VP\tO' +p285967 +aS'both\tboth\tDT\tO\tO' +p285968 +aS'internal\tinternal\tJJ\tB-NP\tO' +p285969 +aS'iliac\tiliac\tJJ\tI-NP\tO' +p285970 +aS'arteries\tartery\tNNS\tI-NP\tO' +p285971 +aS'.\t.\t.\tO\tO' +p285972 +asS'Vaginal delivery .' +p285973 +(lp285974 +S'Vaginal\tVaginal\tJJ\tB-NP\tO' +p285975 +aS'delivery\tdelivery\tNN\tI-NP\tO' +p285976 +aS'.\t.\t.\tO\tO' +p285977 +asS'1. Docusate Sodium 100 mg Capsule Sig : One ( 1 ) Capsule PO BID ( 2 times a day ) for 4 days .' +p285978 +(lp285979 +S'1.\t1.\tLS\tB-NP\tO' +p285980 +aS'Docusate\tDocusate\tNN\tI-NP\tO' +p285981 +aS'Sodium\tSodium\tNN\tI-NP\tO' +p285982 +aS'100\t100\tCD\tI-NP\tO' +p285983 +aS'mg\tmg\tNN\tI-NP\tO' +p285984 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p285985 +aS'Sig\tSig\tNNP\tI-NP\tO' +p285986 +aS':\t:\t:\tO\tO' +p285987 +aS'One\tOne\tCD\tB-NP\tO' +p285988 +aS'(\t(\t(\tO\tO' +p285989 +aS'1\t1\tCD\tB-NP\tO' +p285990 +aS')\t)\t)\tO\tO' +p285991 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p285992 +aS'PO\tPO\tNNP\tI-NP\tO' +p285993 +aS'BID\tBID\tNNP\tI-NP\tO' +p285994 +aS'(\t(\t(\tO\tO' +p285995 +aS'2\t2\tCD\tB-NP\tO' +p285996 +aS'times\ttime\tNNS\tI-NP\tO' +p285997 +aS'a\ta\tDT\tB-NP\tO' +p285998 +aS'day\tday\tNN\tI-NP\tO' +p285999 +aS')\t)\t)\tO\tO' +p286000 +aS'for\tfor\tIN\tB-PP\tO' +p286001 +aS'4\t4\tCD\tB-NP\tO' +p286002 +aS'days\tday\tNNS\tI-NP\tO' +p286003 +aS'.\t.\t.\tO\tO' +p286004 +asS'9. Diabetes mellitus , on oral medications' +p286005 +(lp286006 +S'9.\t9.\tLS\tB-NP\tO' +p286007 +aS'Diabetes\tDiabetes\tNN\tI-NP\tO' +p286008 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p286009 +aS',\t,\t,\tO\tO' +p286010 +aS'on\ton\tIN\tB-PP\tO' +p286011 +aS'oral\toral\tJJ\tB-NP\tO' +p286012 +aS'medications\tmedication\tNNS\tI-NP\tO' +p286013 +asS'Right occipital hemorrhagic stroke .' +p286014 +(lp286015 +S'Right\tRight\tRB\tB-NP\tO' +p286016 +aS'occipital\toccipital\tJJ\tI-NP\tO' +p286017 +aS'hemorrhagic\themorrhagic\tJJ\tI-NP\tO' +p286018 +aS'stroke\tstroke\tNN\tI-NP\tO' +p286019 +aS'.\t.\t.\tO\tO' +p286020 +asS'She underwent a wide resection of a left breast mass by Dr. Ausguall on 8/17/93 .' +p286021 +(lp286022 +S'She\tShe\tPRP\tB-NP\tO' +p286023 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p286024 +aS'a\ta\tDT\tB-NP\tO' +p286025 +aS'wide\twide\tJJ\tI-NP\tO' +p286026 +aS'resection\tresection\tNN\tI-NP\tO' +p286027 +aS'of\tof\tIN\tB-PP\tO' +p286028 +aS'a\ta\tDT\tB-NP\tO' +p286029 +aS'left\tleft\tJJ\tI-NP\tO' +p286030 +aS'breast\tbreast\tNN\tI-NP\tO' +p286031 +aS'mass\tmass\tNN\tI-NP\tO' +p286032 +aS'by\tby\tIN\tB-PP\tO' +p286033 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p286034 +aS'Ausguall\tAusguall\tNNP\tI-NP\tO' +p286035 +aS'on\ton\tIN\tB-PP\tO' +p286036 +aS'8/17/93\t8/17/93\tCD\tB-NP\tO' +p286037 +aS'.\t.\t.\tO\tO' +p286038 +asS'Ativan was used for breakthrough seizures ( facial twitching ).' +p286039 +(lp286040 +S'Ativan\tAtivan\tNNP\tB-NP\tO' +p286041 +aS'was\tbe\tVBD\tB-VP\tO' +p286042 +aS'used\tuse\tVBN\tI-VP\tO' +p286043 +aS'for\tfor\tIN\tB-PP\tO' +p286044 +aS'breakthrough\tbreakthrough\tJJ\tB-NP\tO' +p286045 +aS'seizures\tseizure\tNNS\tI-NP\tO' +p286046 +aS'(\t(\t(\tO\tO' +p286047 +aS'facial\tfacial\tJJ\tB-NP\tO' +p286048 +aS'twitching\ttwitching\tNN\tI-NP\tO' +p286049 +aS').\t).\t.\tO\tO' +p286050 +asS'He gave an equivocal history of fevers and chills on the days prior to admission .' +p286051 +(lp286052 +S'He\tHe\tPRP\tB-NP\tO' +p286053 +aS'gave\tgive\tVBD\tB-VP\tO' +p286054 +aS'an\tan\tDT\tB-NP\tO' +p286055 +aS'equivocal\tequivocal\tJJ\tI-NP\tO' +p286056 +aS'history\thistory\tNN\tI-NP\tO' +p286057 +aS'of\tof\tIN\tB-PP\tO' +p286058 +aS'fevers\tfever\tNNS\tB-NP\tO' +p286059 +aS'and\tand\tCC\tI-NP\tO' +p286060 +aS'chills\tchill\tNNS\tI-NP\tO' +p286061 +aS'on\ton\tIN\tB-PP\tO' +p286062 +aS'the\tthe\tDT\tB-NP\tO' +p286063 +aS'days\tday\tNNS\tI-NP\tO' +p286064 +aS'prior\tprior\tRB\tB-ADVP\tO' +p286065 +aS'to\tto\tTO\tB-PP\tO' +p286066 +aS'admission\tadmission\tNN\tB-NP\tO' +p286067 +aS'.\t.\t.\tO\tO' +p286068 +asS'Her previous occupation was an executive secretary , home trainer / nurse , rental aide .' +p286069 +(lp286070 +S'Her\tHer\tPRP$\tB-NP\tO' +p286071 +aS'previous\tprevious\tJJ\tI-NP\tO' +p286072 +aS'occupation\toccupation\tNN\tI-NP\tO' +p286073 +aS'was\tbe\tVBD\tB-VP\tO' +p286074 +aS'an\tan\tDT\tB-NP\tO' +p286075 +aS'executive\texecutive\tNN\tI-NP\tO' +p286076 +aS'secretary\tsecretary\tNN\tI-NP\tO' +p286077 +aS',\t,\t,\tO\tO' +p286078 +aS'home\thome\tNN\tB-NP\tO' +p286079 +aS'trainer\ttrainer\tNN\tI-NP\tO' +p286080 +aS'/\t/\tSYM\tB-NP\tO' +p286081 +aS'nurse\tnurse\tNN\tI-NP\tO' +p286082 +aS',\t,\t,\tO\tO' +p286083 +aS'rental\trental\tJJ\tB-NP\tO' +p286084 +aS'aide\taide\tNN\tI-NP\tO' +p286085 +aS'.\t.\t.\tO\tO' +p286086 +asS'No peripheral edema was noted .' +p286087 +(lp286088 +S'No\tNo\tDT\tB-NP\tO' +p286089 +aS'peripheral\tperipheral\tJJ\tI-NP\tO' +p286090 +aS'edema\tedema\tNN\tI-NP\tO' +p286091 +aS'was\tbe\tVBD\tB-VP\tO' +p286092 +aS'noted\tnote\tVBN\tI-VP\tO' +p286093 +aS'.\t.\t.\tO\tO' +p286094 +asS'diabetic gastropathy causing inability to toleral oral antihypertensive medication prompting repeated Donald presentation for hypertensive urgency .' +p286095 +(lp286096 +S'diabetic\tdiabetic\tJJ\tB-NP\tO' +p286097 +aS'gastropathy\tgastropathy\tNN\tI-NP\tO' +p286098 +aS'causing\tcause\tVBG\tB-VP\tO' +p286099 +aS'inability\tinability\tNN\tB-NP\tO' +p286100 +aS'to\tto\tTO\tB-PP\tO' +p286101 +aS'toleral\ttoleral\tJJ\tB-NP\tO' +p286102 +aS'oral\toral\tJJ\tI-NP\tO' +p286103 +aS'antihypertensive\tantihypertensive\tJJ\tI-NP\tO' +p286104 +aS'medication\tmedication\tNN\tI-NP\tO' +p286105 +aS'prompting\tprompt\tVBG\tB-VP\tO' +p286106 +aS'repeated\trepeat\tVBN\tB-VP\tO' +p286107 +aS'Donald\tDonald\tNNP\tB-NP\tO' +p286108 +aS'presentation\tpresentation\tNN\tI-NP\tO' +p286109 +aS'for\tfor\tIN\tB-PP\tO' +p286110 +aS'hypertensive\thypertensive\tJJ\tB-NP\tO' +p286111 +aS'urgency\turgency\tNN\tI-NP\tO' +p286112 +aS'.\t.\t.\tO\tO' +p286113 +asS'Extensive carotid arterial calcifications are present in the bulb regions bilaterally .' +p286114 +(lp286115 +S'Extensive\tExtensive\tJJ\tB-NP\tO' +p286116 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p286117 +aS'arterial\tarterial\tJJ\tI-NP\tO' +p286118 +aS'calcifications\tcalcification\tNNS\tI-NP\tO' +p286119 +aS'are\tbe\tVBP\tB-VP\tO' +p286120 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p286121 +aS'in\tin\tIN\tB-PP\tO' +p286122 +aS'the\tthe\tDT\tB-NP\tO' +p286123 +aS'bulb\tbulb\tNN\tI-NP\tB-DNA' +p286124 +aS'regions\tregion\tNNS\tI-NP\tI-DNA' +p286125 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p286126 +aS'.\t.\t.\tO\tO' +p286127 +asS'2. Levothyroxine 100 mcg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' +p286128 +(lp286129 +S'2.\t2.\tLS\tB-NP\tO' +p286130 +aS'Levothyroxine\tLevothyroxine\tNNP\tI-NP\tO' +p286131 +aS'100\t100\tCD\tI-NP\tO' +p286132 +aS'mcg\tmcg\tNN\tI-NP\tO' +p286133 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p286134 +aS'Sig\tSig\tNNP\tI-NP\tO' +p286135 +aS':\t:\t:\tO\tO' +p286136 +aS'One\tOne\tCD\tB-NP\tO' +p286137 +aS'(\t(\t(\tO\tO' +p286138 +aS'1\t1\tCD\tB-NP\tO' +p286139 +aS')\t)\t)\tO\tO' +p286140 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p286141 +aS'PO\tPO\tNN\tI-NP\tO' +p286142 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p286143 +aS'(\t(\t(\tO\tO' +p286144 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p286145 +aS')\t)\t)\tO\tO' +p286146 +aS'.\t.\t.\tO\tO' +p286147 +asS"Patient 's gait was noted to have a right foot drag as well as right foot drop ." +p286148 +(lp286149 +S'Patient\tPatient\tNN\tB-NP\tO' +p286150 +aS"'s\t's\tPOS\tB-NP\tO" +p286151 +aS'gait\tgait\tNN\tI-NP\tO' +p286152 +aS'was\tbe\tVBD\tB-VP\tO' +p286153 +aS'noted\tnote\tVBN\tI-VP\tO' +p286154 +aS'to\tto\tTO\tI-VP\tO' +p286155 +aS'have\thave\tVB\tI-VP\tO' +p286156 +aS'a\ta\tDT\tB-NP\tO' +p286157 +aS'right\tright\tJJ\tI-NP\tO' +p286158 +aS'foot\tfoot\tNN\tI-NP\tO' +p286159 +aS'drag\tdrag\tNN\tI-NP\tO' +p286160 +aS'as\tas\tRB\tB-CONJP\tO' +p286161 +aS'well\twell\tRB\tI-CONJP\tO' +p286162 +aS'as\tas\tIN\tI-CONJP\tO' +p286163 +aS'right\tright\tJJ\tB-NP\tO' +p286164 +aS'foot\tfoot\tNN\tI-NP\tO' +p286165 +aS'drop\tdrop\tNN\tI-NP\tO' +p286166 +aS'.\t.\t.\tO\tO' +p286167 +asS'Patient continued to bleed in and around the tube .' +p286168 +(lp286169 +S'Patient\tPatient\tNN\tB-NP\tO' +p286170 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p286171 +aS'to\tto\tTO\tI-VP\tO' +p286172 +aS'bleed\tbleed\tVB\tI-VP\tO' +p286173 +aS'in\tin\tIN\tB-PP\tO' +p286174 +aS'and\tand\tCC\tI-PP\tO' +p286175 +aS'around\taround\tIN\tI-PP\tO' +p286176 +aS'the\tthe\tDT\tB-NP\tO' +p286177 +aS'tube\ttube\tNN\tI-NP\tO' +p286178 +aS'.\t.\t.\tO\tO' +p286179 +asS'Notable for her diffuse expiratory wheezes and scattered expiratory crackles .' +p286180 +(lp286181 +S'Notable\tNotable\tJJ\tB-ADJP\tO' +p286182 +aS'for\tfor\tIN\tB-PP\tO' +p286183 +aS'her\ther\tPRP$\tB-NP\tO' +p286184 +aS'diffuse\tdiffuse\tJJ\tI-NP\tO' +p286185 +aS'expiratory\texpiratory\tJJ\tI-NP\tO' +p286186 +aS'wheezes\twheeze\tNNS\tI-NP\tO' +p286187 +aS'and\tand\tCC\tO\tO' +p286188 +aS'scattered\tscatter\tVBD\tB-VP\tO' +p286189 +aS'expiratory\texpiratory\tJJ\tB-NP\tO' +p286190 +aS'crackles\tcrackle\tNNS\tI-NP\tO' +p286191 +aS'.\t.\t.\tO\tO' +p286192 +asS'IVF pregnancy complicated by IUGR , 2 vessel cord , normal fetal echo reverse diastolic flow and demise of twin A at 27 weeks .' +p286193 +(lp286194 +S'IVF\tIVF\tNN\tB-NP\tO' +p286195 +aS'pregnancy\tpregnancy\tNN\tI-NP\tO' +p286196 +aS'complicated\tcomplicate\tVBN\tB-VP\tO' +p286197 +aS'by\tby\tIN\tB-PP\tO' +p286198 +aS'IUGR\tIUGR\tNN\tB-NP\tB-protein' +p286199 +aS',\t,\t,\tO\tO' +p286200 +aS'2\t2\tCD\tB-NP\tO' +p286201 +aS'vessel\tvessel\tNN\tI-NP\tO' +p286202 +aS'cord\tcord\tNN\tI-NP\tO' +p286203 +aS',\t,\t,\tO\tO' +p286204 +aS'normal\tnormal\tJJ\tB-NP\tO' +p286205 +aS'fetal\tfetal\tJJ\tI-NP\tO' +p286206 +aS'echo\techo\tJJ\tI-NP\tO' +p286207 +aS'reverse\treverse\tJJ\tI-NP\tO' +p286208 +aS'diastolic\tdiastolic\tJJ\tI-NP\tO' +p286209 +aS'flow\tflow\tNN\tI-NP\tO' +p286210 +aS'and\tand\tCC\tI-NP\tO' +p286211 +aS'demise\tdemise\tNN\tI-NP\tO' +p286212 +aS'of\tof\tIN\tB-PP\tO' +p286213 +aS'twin\ttwin\tNN\tB-NP\tO' +p286214 +aS'A\tA\tNN\tI-NP\tO' +p286215 +aS'at\tat\tIN\tB-PP\tO' +p286216 +aS'27\t27\tCD\tB-NP\tO' +p286217 +aS'weeks\tweek\tNNS\tI-NP\tO' +p286218 +aS'.\t.\t.\tO\tO' +p286219 +asS'However , there was no evidence for neurologic deficit on examination and this will be followed-up by her primary care physician .' +p286220 +(lp286221 +S'However\tHowever\tRB\tB-ADVP\tO' +p286222 +aS',\t,\t,\tO\tO' +p286223 +aS'there\tthere\tEX\tB-NP\tO' +p286224 +aS'was\tbe\tVBD\tB-VP\tO' +p286225 +aS'no\tno\tDT\tB-NP\tO' +p286226 +aS'evidence\tevidence\tNN\tI-NP\tO' +p286227 +aS'for\tfor\tIN\tB-PP\tO' +p286228 +aS'neurologic\tneurologic\tJJ\tB-NP\tO' +p286229 +aS'deficit\tdeficit\tNN\tI-NP\tO' +p286230 +aS'on\ton\tIN\tB-PP\tO' +p286231 +aS'examination\texamination\tNN\tB-NP\tO' +p286232 +aS'and\tand\tCC\tO\tO' +p286233 +aS'this\tthis\tDT\tB-NP\tO' +p286234 +aS'will\twill\tMD\tB-VP\tO' +p286235 +aS'be\tbe\tVB\tI-VP\tO' +p286236 +aS'followed-up\tfollowed-up\tJJ\tB-ADJP\tO' +p286237 +aS'by\tby\tIN\tB-PP\tO' +p286238 +aS'her\ther\tPRP$\tB-NP\tO' +p286239 +aS'primary\tprimary\tJJ\tI-NP\tO' +p286240 +aS'care\tcare\tNN\tI-NP\tO' +p286241 +aS'physician\tphysician\tNN\tI-NP\tO' +p286242 +aS'.\t.\t.\tO\tO' +p286243 +asS'Sodium 139 , potassium 3.5 , chloride 103 , bicarbonate 25 , BUN 9 , creatinine 0.9 , and glucose 83 .' +p286244 +(lp286245 +S'Sodium\tSodium\tNN\tB-NP\tB-protein' +p286246 +aS'139\t139\tCD\tI-NP\tI-protein' +p286247 +aS',\t,\t,\tO\tO' +p286248 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p286249 +aS'3.5\t3.5\tCD\tI-NP\tO' +p286250 +aS',\t,\t,\tO\tO' +p286251 +aS'chloride\tchloride\tNN\tB-NP\tO' +p286252 +aS'103\t103\tCD\tI-NP\tO' +p286253 +aS',\t,\t,\tO\tO' +p286254 +aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' +p286255 +aS'25\t25\tCD\tI-NP\tO' +p286256 +aS',\t,\t,\tO\tO' +p286257 +aS'BUN\tBUN\tNN\tB-NP\tB-protein' +p286258 +aS'9\t9\tCD\tI-NP\tI-protein' +p286259 +aS',\t,\t,\tO\tO' +p286260 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p286261 +aS'0.9\t0.9\tCD\tI-NP\tO' +p286262 +aS',\t,\t,\tO\tO' +p286263 +aS'and\tand\tCC\tO\tO' +p286264 +aS'glucose\tglucose\tNN\tB-NP\tB-protein' +p286265 +aS'83\t83\tCD\tI-NP\tI-protein' +p286266 +aS'.\t.\t.\tO\tO' +p286267 +asS'Pt was pan-cultured and switched from unasyn ( started at OSH for foot ulcer ) to zosyn .' +p286268 +(lp286269 +S'Pt\tPt\tNN\tB-NP\tO' +p286270 +aS'was\tbe\tVBD\tB-VP\tO' +p286271 +aS'pan-cultured\tpan-cultured\tJJ\tB-ADJP\tO' +p286272 +aS'and\tand\tCC\tO\tO' +p286273 +aS'switched\tswitch\tVBN\tB-VP\tO' +p286274 +aS'from\tfrom\tIN\tB-PP\tO' +p286275 +aS'unasyn\tunasyn\tJJ\tO\tO' +p286276 +aS'(\t(\t(\tO\tO' +p286277 +aS'started\tstart\tVBN\tB-VP\tO' +p286278 +aS'at\tat\tIN\tB-PP\tO' +p286279 +aS'OSH\tOSH\tNN\tB-NP\tB-protein' +p286280 +aS'for\tfor\tIN\tB-PP\tO' +p286281 +aS'foot\tfoot\tNN\tB-NP\tO' +p286282 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p286283 +aS')\t)\t)\tO\tO' +p286284 +aS'to\tto\tTO\tB-PP\tO' +p286285 +aS'zosyn\tzosyn\tNN\tB-NP\tO' +p286286 +aS'.\t.\t.\tO\tO' +p286287 +asS'The patient was stable .' +p286288 +(lp286289 +S'The\tThe\tDT\tB-NP\tO' +p286290 +aS'patient\tpatient\tNN\tI-NP\tO' +p286291 +aS'was\tbe\tVBD\tB-VP\tO' +p286292 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p286293 +aS'.\t.\t.\tO\tO' +p286294 +asS'Her wounds were stable without any erythema or drainage .' +p286295 +(lp286296 +S'Her\tHer\tPRP$\tB-NP\tO' +p286297 +aS'wounds\twound\tNNS\tI-NP\tO' +p286298 +aS'were\tbe\tVBD\tB-VP\tO' +p286299 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p286300 +aS'without\twithout\tIN\tB-PP\tO' +p286301 +aS'any\tany\tDT\tB-NP\tO' +p286302 +aS'erythema\terythema\tNN\tI-NP\tO' +p286303 +aS'or\tor\tCC\tI-NP\tO' +p286304 +aS'drainage\tdrainage\tNN\tI-NP\tO' +p286305 +aS'.\t.\t.\tO\tO' +p286306 +asS'The question was whether or not whether she had two primaries vs metastatic endometrial cancer .' +p286307 +(lp286308 +S'The\tThe\tDT\tB-NP\tO' +p286309 +aS'question\tquestion\tNN\tI-NP\tO' +p286310 +aS'was\tbe\tVBD\tB-VP\tO' +p286311 +aS'whether\twhether\tIN\tB-SBAR\tO' +p286312 +aS'or\tor\tCC\tO\tO' +p286313 +aS'not\tnot\tRB\tO\tO' +p286314 +aS'whether\twhether\tIN\tB-SBAR\tO' +p286315 +aS'she\tshe\tPRP\tB-NP\tO' +p286316 +aS'had\thave\tVBD\tB-VP\tO' +p286317 +aS'two\ttwo\tCD\tB-NP\tO' +p286318 +aS'primaries\tprimary\tNNS\tI-NP\tO' +p286319 +aS'vs\tvs\tCC\tO\tO' +p286320 +aS'metastatic\tmetastatic\tJJ\tB-NP\tO' +p286321 +aS'endometrial\tendometrial\tJJ\tI-NP\tO' +p286322 +aS'cancer\tcancer\tNN\tI-NP\tO' +p286323 +aS'.\t.\t.\tO\tO' +p286324 +asS'1. Hyperthyroid disease status post radioactive iodine ablation , now hypothyroid on Levoxyl .' +p286325 +(lp286326 +S'1.\t1.\tLS\tB-NP\tO' +p286327 +aS'Hyperthyroid\tHyperthyroid\tNN\tI-NP\tO' +p286328 +aS'disease\tdisease\tNN\tI-NP\tO' +p286329 +aS'status\tstatus\tNN\tI-NP\tO' +p286330 +aS'post\tpost\tNN\tI-NP\tO' +p286331 +aS'radioactive\tradioactive\tJJ\tI-NP\tO' +p286332 +aS'iodine\tiodine\tNN\tI-NP\tO' +p286333 +aS'ablation\tablation\tNN\tI-NP\tO' +p286334 +aS',\t,\t,\tO\tO' +p286335 +aS'now\tnow\tRB\tB-ADJP\tO' +p286336 +aS'hypothyroid\thypothyroid\tJJ\tI-ADJP\tO' +p286337 +aS'on\ton\tIN\tB-PP\tO' +p286338 +aS'Levoxyl\tLevoxyl\tNN\tB-NP\tO' +p286339 +aS'.\t.\t.\tO\tO' +p286340 +asS'Ms. Bridge is a 74 y/o female admitted to outside hospital on 2015-10-21 with chest discomfort , vomiting and shortness of breath .' +p286341 +(lp286342 +S'Ms.\tMs.\tNNP\tB-NP\tO' +p286343 +aS'Bridge\tBridge\tNNP\tI-NP\tO' +p286344 +aS'is\tbe\tVBZ\tB-VP\tO' +p286345 +aS'a\ta\tDT\tB-NP\tO' +p286346 +aS'74\t74\tCD\tI-NP\tO' +p286347 +aS'y/o\ty/o\tNN\tI-NP\tO' +p286348 +aS'female\tfemale\tJJ\tI-NP\tO' +p286349 +aS'admitted\tadmit\tVBN\tB-VP\tO' +p286350 +aS'to\tto\tTO\tB-PP\tO' +p286351 +aS'outside\toutside\tJJ\tB-NP\tO' +p286352 +aS'hospital\thospital\tNN\tI-NP\tO' +p286353 +aS'on\ton\tIN\tB-PP\tO' +p286354 +aS'2015-10-21\t2015-10-21\tNN\tB-NP\tO' +p286355 +aS'with\twith\tIN\tB-PP\tO' +p286356 +aS'chest\tchest\tNN\tB-NP\tO' +p286357 +aS'discomfort\tdiscomfort\tNN\tI-NP\tO' +p286358 +aS',\t,\t,\tO\tO' +p286359 +aS'vomiting\tvomiting\tNN\tB-NP\tO' +p286360 +aS'and\tand\tCC\tO\tO' +p286361 +aS'shortness\tshortness\tNN\tB-NP\tO' +p286362 +aS'of\tof\tIN\tB-PP\tO' +p286363 +aS'breath\tbreath\tNN\tB-NP\tO' +p286364 +aS'.\t.\t.\tO\tO' +p286365 +asS'The patient may shower but should not take baths .' +p286366 +(lp286367 +S'The\tThe\tDT\tB-NP\tO' +p286368 +aS'patient\tpatient\tNN\tI-NP\tO' +p286369 +aS'may\tmay\tMD\tB-VP\tO' +p286370 +aS'shower\tshower\tVB\tI-VP\tO' +p286371 +aS'but\tbut\tCC\tO\tO' +p286372 +aS'should\tshould\tMD\tB-VP\tO' +p286373 +aS'not\tnot\tRB\tI-VP\tO' +p286374 +aS'take\ttake\tVB\tI-VP\tO' +p286375 +aS'baths\tbath\tNNS\tB-NP\tO' +p286376 +aS'.\t.\t.\tO\tO' +p286377 +asS'6. Headaches .' +p286378 +(lp286379 +S'6.\t6.\tLS\tB-LST\tO' +p286380 +aS'Headaches\tHeadaches\tNNP\tB-NP\tO' +p286381 +aS'.\t.\t.\tO\tO' +p286382 +asS'This report was created by SHUFF , RONRIN 04/30/2005 03:52 PM' +p286383 +(lp286384 +S'This\tThis\tDT\tB-NP\tO' +p286385 +aS'report\treport\tNN\tI-NP\tO' +p286386 +aS'was\tbe\tVBD\tB-VP\tO' +p286387 +aS'created\tcreate\tVBN\tI-VP\tO' +p286388 +aS'by\tby\tIN\tB-PP\tO' +p286389 +aS'SHUFF\tSHUFF\tNN\tB-NP\tB-protein' +p286390 +aS',\t,\t,\tO\tO' +p286391 +aS'RONRIN\tRONRIN\tNN\tB-NP\tO' +p286392 +aS'04/30/2005\t04/30/2005\tCD\tI-NP\tO' +p286393 +aS'03:52\t03:52\tCD\tI-NP\tO' +p286394 +aS'PM\tPM\tNN\tI-NP\tO' +p286395 +asS'9. CVA x2 with left-sided weakness' +p286396 +(lp286397 +S'9.\t9.\tLS\tB-NP\tO' +p286398 +aS'CVA\tCVA\tNN\tI-NP\tB-protein' +p286399 +aS'x2\tx2\tNN\tI-NP\tI-protein' +p286400 +aS'with\twith\tIN\tB-PP\tO' +p286401 +aS'left-sided\tleft-sided\tJJ\tB-NP\tO' +p286402 +aS'weakness\tweakness\tNN\tI-NP\tO' +p286403 +asS'Echo showed normal function , trace AR , and no MR .' +p286404 +(lp286405 +S'Echo\tEcho\tNNP\tB-NP\tO' +p286406 +aS'showed\tshow\tVBD\tB-VP\tO' +p286407 +aS'normal\tnormal\tJJ\tB-NP\tO' +p286408 +aS'function\tfunction\tNN\tI-NP\tO' +p286409 +aS',\t,\t,\tO\tO' +p286410 +aS'trace\ttrace\tNN\tB-NP\tB-protein' +p286411 +aS'AR\tAR\tNNS\tI-NP\tI-protein' +p286412 +aS',\t,\t,\tO\tO' +p286413 +aS'and\tand\tCC\tO\tO' +p286414 +aS'no\tno\tDT\tB-NP\tO' +p286415 +aS'MR\tMR\tNN\tI-NP\tB-protein' +p286416 +aS'.\t.\t.\tO\tO' +p286417 +asS'3. Right breast calcification .' +p286418 +(lp286419 +S'3.\t3.\tLS\tB-NP\tO' +p286420 +aS'Right\tRight\tNN\tI-NP\tO' +p286421 +aS'breast\tbreast\tNN\tI-NP\tO' +p286422 +aS'calcification\tcalcification\tNN\tI-NP\tO' +p286423 +aS'.\t.\t.\tO\tO' +p286424 +asS'The patient was brought to the Operating Room , on April 22 .' +p286425 +(lp286426 +S'The\tThe\tDT\tB-NP\tO' +p286427 +aS'patient\tpatient\tNN\tI-NP\tO' +p286428 +aS'was\tbe\tVBD\tB-VP\tO' +p286429 +aS'brought\tbring\tVBN\tI-VP\tO' +p286430 +aS'to\tto\tTO\tB-PP\tO' +p286431 +aS'the\tthe\tDT\tB-NP\tO' +p286432 +aS'Operating\tOperating\tNNP\tI-NP\tO' +p286433 +aS'Room\tRoom\tNNP\tI-NP\tO' +p286434 +aS',\t,\t,\tO\tO' +p286435 +aS'on\ton\tIN\tB-PP\tO' +p286436 +aS'April\tApril\tNNP\tB-NP\tO' +p286437 +aS'22\t22\tCD\tI-NP\tO' +p286438 +aS'.\t.\t.\tO\tO' +p286439 +asS'No gag provoked , but biting ETT at times .' +p286440 +(lp286441 +S'No\tNo\tDT\tB-NP\tO' +p286442 +aS'gag\tgag\tNN\tI-NP\tO' +p286443 +aS'provoked\tprovoke\tVBD\tB-VP\tO' +p286444 +aS',\t,\t,\tO\tO' +p286445 +aS'but\tbut\tCC\tO\tO' +p286446 +aS'biting\tbite\tVBG\tB-VP\tO' +p286447 +aS'ETT\tETT\tNN\tB-NP\tO' +p286448 +aS'at\tat\tIN\tB-PP\tO' +p286449 +aS'times\ttime\tNNS\tB-NP\tO' +p286450 +aS'.\t.\t.\tO\tO' +p286451 +asS'On admission revealed a white blood cell count of 9.46 with 89% polys , 2% bands , 7% lymphocytes , 2% monocytes .' +p286452 +(lp286453 +S'On\tOn\tIN\tB-PP\tO' +p286454 +aS'admission\tadmission\tNN\tB-NP\tO' +p286455 +aS'revealed\treveal\tVBD\tB-VP\tO' +p286456 +aS'a\ta\tDT\tB-NP\tO' +p286457 +aS'white\twhite\tJJ\tI-NP\tO' +p286458 +aS'blood\tblood\tNN\tI-NP\tO' +p286459 +aS'cell\tcell\tNN\tI-NP\tO' +p286460 +aS'count\tcount\tNN\tI-NP\tO' +p286461 +aS'of\tof\tIN\tB-PP\tO' +p286462 +aS'9.46\t9.46\tCD\tB-NP\tO' +p286463 +aS'with\twith\tIN\tB-PP\tO' +p286464 +aS'89%\t89%\tCD\tB-NP\tO' +p286465 +aS'polys\tpoly\tNNS\tI-NP\tO' +p286466 +aS',\t,\t,\tO\tO' +p286467 +aS'2%\t2%\tNN\tB-NP\tO' +p286468 +aS'bands\tband\tNNS\tI-NP\tO' +p286469 +aS',\t,\t,\tO\tO' +p286470 +aS'7%\t7%\tNN\tB-NP\tB-cell_line' +p286471 +aS'lymphocytes\tlymphocyte\tNNS\tI-NP\tI-cell_line' +p286472 +aS',\t,\t,\tO\tO' +p286473 +aS'2%\t2%\tCD\tB-NP\tO' +p286474 +aS'monocytes\tmonocyte\tNNS\tI-NP\tB-cell_type' +p286475 +aS'.\t.\t.\tO\tO' +p286476 +asS'There is a small paravavluar leak in the area adjacent to the anterior mitral leaflet , resulting in some trace insuffiency outside the sewing ring .' +p286477 +(lp286478 +S'There\tThere\tEX\tB-NP\tO' +p286479 +aS'is\tbe\tVBZ\tB-VP\tO' +p286480 +aS'a\ta\tDT\tB-NP\tO' +p286481 +aS'small\tsmall\tJJ\tI-NP\tO' +p286482 +aS'paravavluar\tparavavluar\tJJ\tI-NP\tO' +p286483 +aS'leak\tleak\tNN\tI-NP\tO' +p286484 +aS'in\tin\tIN\tB-PP\tO' +p286485 +aS'the\tthe\tDT\tB-NP\tO' +p286486 +aS'area\tarea\tNN\tI-NP\tO' +p286487 +aS'adjacent\tadjacent\tJJ\tB-ADJP\tO' +p286488 +aS'to\tto\tTO\tB-PP\tO' +p286489 +aS'the\tthe\tDT\tB-NP\tO' +p286490 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p286491 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p286492 +aS'leaflet\tleaflet\tNN\tI-NP\tO' +p286493 +aS',\t,\t,\tO\tO' +p286494 +aS'resulting\tresult\tVBG\tB-VP\tO' +p286495 +aS'in\tin\tIN\tB-PP\tO' +p286496 +aS'some\tsome\tDT\tB-NP\tO' +p286497 +aS'trace\ttrace\tNN\tI-NP\tO' +p286498 +aS'insuffiency\tinsuffiency\tNN\tI-NP\tO' +p286499 +aS'outside\toutside\tIN\tB-PP\tO' +p286500 +aS'the\tthe\tDT\tB-NP\tO' +p286501 +aS'sewing\tsew\tVBG\tI-NP\tO' +p286502 +aS'ring\tring\tNN\tI-NP\tO' +p286503 +aS'.\t.\t.\tO\tO' +p286504 +asS'She normally receives HD on Mon , Wed , and Fri .' +p286505 +(lp286506 +S'She\tShe\tPRP\tB-NP\tO' +p286507 +aS'normally\tnormally\tRB\tB-ADVP\tO' +p286508 +aS'receives\treceive\tVBZ\tB-VP\tO' +p286509 +aS'HD\tHD\tNN\tB-NP\tO' +p286510 +aS'on\ton\tIN\tB-PP\tO' +p286511 +aS'Mon\tMon\tNNP\tB-NP\tO' +p286512 +aS',\t,\t,\tO\tO' +p286513 +aS'Wed\tWed\tNNP\tB-NP\tO' +p286514 +aS',\t,\t,\tO\tO' +p286515 +aS'and\tand\tCC\tO\tO' +p286516 +aS'Fri\tFri\tNNP\tB-NP\tO' +p286517 +aS'.\t.\t.\tO\tO' +p286518 +asS'The patient has a history of severe aortic stenosis and was recently admitted to the Retelk County Medical Center for a Nafcillin sensitive Staphylococcus aureus cellulitis of the right leg treated with a course of Nafcillin and Levofloxacin .' +p286519 +(lp286520 +S'The\tThe\tDT\tB-NP\tO' +p286521 +aS'patient\tpatient\tNN\tI-NP\tO' +p286522 +aS'has\thave\tVBZ\tB-VP\tO' +p286523 +aS'a\ta\tDT\tB-NP\tO' +p286524 +aS'history\thistory\tNN\tI-NP\tO' +p286525 +aS'of\tof\tIN\tB-PP\tO' +p286526 +aS'severe\tsevere\tJJ\tB-NP\tO' +p286527 +aS'aortic\taortic\tJJ\tI-NP\tO' +p286528 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p286529 +aS'and\tand\tCC\tO\tO' +p286530 +aS'was\tbe\tVBD\tB-VP\tO' +p286531 +aS'recently\trecently\tRB\tI-VP\tO' +p286532 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p286533 +aS'to\tto\tTO\tB-PP\tO' +p286534 +aS'the\tthe\tDT\tB-NP\tO' +p286535 +aS'Retelk\tRetelk\tNNP\tI-NP\tO' +p286536 +aS'County\tCounty\tNNP\tI-NP\tO' +p286537 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p286538 +aS'Center\tCenter\tNNP\tI-NP\tO' +p286539 +aS'for\tfor\tIN\tB-PP\tO' +p286540 +aS'a\ta\tDT\tB-NP\tO' +p286541 +aS'Nafcillin\tNafcillin\tNN\tI-NP\tO' +p286542 +aS'sensitive\tsensitive\tJJ\tI-NP\tO' +p286543 +aS'Staphylococcus\tStaphylococcus\tFW\tI-NP\tO' +p286544 +aS'aureus\taureus\tFW\tI-NP\tO' +p286545 +aS'cellulitis\tcellulitis\tNN\tI-NP\tO' +p286546 +aS'of\tof\tIN\tB-PP\tO' +p286547 +aS'the\tthe\tDT\tB-NP\tO' +p286548 +aS'right\tright\tJJ\tI-NP\tO' +p286549 +aS'leg\tleg\tNN\tI-NP\tO' +p286550 +aS'treated\ttreat\tVBN\tB-VP\tO' +p286551 +aS'with\twith\tIN\tB-PP\tO' +p286552 +aS'a\ta\tDT\tB-NP\tO' +p286553 +aS'course\tcourse\tNN\tI-NP\tO' +p286554 +aS'of\tof\tIN\tB-PP\tO' +p286555 +aS'Nafcillin\tNafcillin\tNN\tB-NP\tB-protein' +p286556 +aS'and\tand\tCC\tI-NP\tO' +p286557 +aS'Levofloxacin\tLevofloxacin\tNN\tI-NP\tO' +p286558 +aS'.\t.\t.\tO\tO' +p286559 +asS'She was known to have gram-positive cocci in her sputum at the outside hospital .' +p286560 +(lp286561 +S'She\tShe\tPRP\tB-NP\tO' +p286562 +aS'was\tbe\tVBD\tB-VP\tO' +p286563 +aS'known\tknow\tVBN\tI-VP\tO' +p286564 +aS'to\tto\tTO\tI-VP\tO' +p286565 +aS'have\thave\tVB\tI-VP\tO' +p286566 +aS'gram-positive\tgram-positive\tJJ\tB-NP\tO' +p286567 +aS'cocci\tcoccus\tNNS\tI-NP\tO' +p286568 +aS'in\tin\tIN\tB-PP\tO' +p286569 +aS'her\ther\tPRP$\tB-NP\tO' +p286570 +aS'sputum\tsputum\tNN\tI-NP\tO' +p286571 +aS'at\tat\tIN\tB-PP\tO' +p286572 +aS'the\tthe\tDT\tB-NP\tO' +p286573 +aS'outside\toutside\tJJ\tI-NP\tO' +p286574 +aS'hospital\thospital\tNN\tI-NP\tO' +p286575 +aS'.\t.\t.\tO\tO' +p286576 +asS'6. Bisacodyl 10 mg Suppository Sig : One ( 1 ) Suppository Rectal BID ( 2 times a day ) as needed for constipation .' +p286577 +(lp286578 +S'6.\t6.\tLS\tB-LST\tO' +p286579 +aS'Bisacodyl\tBisacodyl\tNN\tB-NP\tO' +p286580 +aS'10\t10\tCD\tI-NP\tO' +p286581 +aS'mg\tmg\tNN\tI-NP\tO' +p286582 +aS'Suppository\tSuppository\tNNP\tI-NP\tO' +p286583 +aS'Sig\tSig\tNNP\tI-NP\tO' +p286584 +aS':\t:\t:\tO\tO' +p286585 +aS'One\tOne\tCD\tB-NP\tO' +p286586 +aS'(\t(\t(\tO\tO' +p286587 +aS'1\t1\tCD\tB-NP\tO' +p286588 +aS')\t)\t)\tO\tO' +p286589 +aS'Suppository\tSuppository\tJJ\tB-NP\tO' +p286590 +aS'Rectal\tRectal\tJJ\tI-NP\tO' +p286591 +aS'BID\tBID\tNN\tI-NP\tO' +p286592 +aS'(\t(\t(\tO\tO' +p286593 +aS'2\t2\tCD\tB-NP\tO' +p286594 +aS'times\ttime\tNNS\tI-NP\tO' +p286595 +aS'a\ta\tDT\tB-NP\tO' +p286596 +aS'day\tday\tNN\tI-NP\tO' +p286597 +aS')\t)\t)\tO\tO' +p286598 +aS'as\tas\tIN\tB-SBAR\tO' +p286599 +aS'needed\tneed\tVBN\tB-VP\tO' +p286600 +aS'for\tfor\tIN\tB-PP\tO' +p286601 +aS'constipation\tconstipation\tNN\tB-NP\tO' +p286602 +aS'.\t.\t.\tO\tO' +p286603 +asS'01-24 PICC removal .' +p286604 +(lp286605 +S'01-24\t01-24\tCD\tB-NP\tO' +p286606 +aS'PICC\tPICC\tNN\tI-NP\tO' +p286607 +aS'removal\tremoval\tNN\tI-NP\tO' +p286608 +aS'.\t.\t.\tO\tO' +p286609 +asS'Patient was taken to the Operating Room on April 21 where patient underwent a left parietal stereotactic guided brain biopsy .' +p286610 +(lp286611 +S'Patient\tPatient\tNN\tB-NP\tO' +p286612 +aS'was\tbe\tVBD\tB-VP\tO' +p286613 +aS'taken\ttake\tVBN\tI-VP\tO' +p286614 +aS'to\tto\tTO\tB-PP\tO' +p286615 +aS'the\tthe\tDT\tB-NP\tO' +p286616 +aS'Operating\tOperating\tNNP\tI-NP\tO' +p286617 +aS'Room\tRoom\tNNP\tI-NP\tO' +p286618 +aS'on\ton\tIN\tB-PP\tO' +p286619 +aS'April\tApril\tNNP\tB-NP\tO' +p286620 +aS'21\t21\tCD\tI-NP\tO' +p286621 +aS'where\twhere\tWRB\tB-ADVP\tO' +p286622 +aS'patient\tpatient\tNN\tB-NP\tO' +p286623 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p286624 +aS'a\ta\tDT\tB-NP\tO' +p286625 +aS'left\tleft\tJJ\tI-NP\tO' +p286626 +aS'parietal\tparietal\tJJ\tI-NP\tO' +p286627 +aS'stereotactic\tstereotactic\tJJ\tI-NP\tO' +p286628 +aS'guided\tguided\tJJ\tI-NP\tO' +p286629 +aS'brain\tbrain\tNN\tI-NP\tO' +p286630 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p286631 +aS'.\t.\t.\tO\tO' +p286632 +asS'is significant for a myocardial infarction in 1984 .' +p286633 +(lp286634 +S'is\tbe\tVBZ\tB-VP\tO' +p286635 +aS'significant\tsignificant\tJJ\tB-ADJP\tO' +p286636 +aS'for\tfor\tIN\tB-PP\tO' +p286637 +aS'a\ta\tDT\tB-NP\tO' +p286638 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p286639 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p286640 +aS'in\tin\tIN\tB-PP\tO' +p286641 +aS'1984\t1984\tCD\tB-NP\tO' +p286642 +aS'.\t.\t.\tO\tO' +p286643 +asS'Intact to simple comprehension such as " show your left hand " but not " show your left thumb " .' +p286644 +(lp286645 +S'Intact\tIntact\tJJ\tB-ADJP\tO' +p286646 +aS'to\tto\tTO\tB-PP\tO' +p286647 +aS'simple\tsimple\tJJ\tB-NP\tO' +p286648 +aS'comprehension\tcomprehension\tNN\tI-NP\tO' +p286649 +aS'such\tsuch\tJJ\tB-PP\tO' +p286650 +aS'as\tas\tIN\tI-PP\tO' +p286651 +aS'"\t"\t\'\'\tO\tB-DNA' +p286652 +aS'show\tshow\tVBP\tB-VP\tO' +p286653 +aS'your\tyour\tPRP$\tB-NP\tO' +p286654 +aS'left\tleft\tJJ\tI-NP\tO' +p286655 +aS'hand\thand\tNN\tI-NP\tO' +p286656 +aS'"\t"\t\'\'\tO\tO' +p286657 +aS'but\tbut\tCC\tO\tO' +p286658 +aS'not\tnot\tRB\tO\tO' +p286659 +aS'"\t"\t\'\'\tO\tB-protein' +p286660 +aS'show\tshow\tVB\tB-VP\tO' +p286661 +aS'your\tyour\tPRP$\tB-NP\tO' +p286662 +aS'left\tleft\tJJ\tI-NP\tO' +p286663 +aS'thumb\tthumb\tNN\tI-NP\tO' +p286664 +aS'"\t"\t\'\'\tO\tO' +p286665 +aS'.\t.\t.\tO\tO' +p286666 +asS'Dorsalis pedis pulses were intact bilaterally .' +p286667 +(lp286668 +S'Dorsalis\tDorsalis\tNNP\tB-NP\tO' +p286669 +aS'pedis\tpedis\tNN\tI-NP\tO' +p286670 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p286671 +aS'were\tbe\tVBD\tB-VP\tO' +p286672 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p286673 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p286674 +aS'.\t.\t.\tO\tO' +p286675 +asS'Pt needs to be on amiodarone 400mg BID x 7 days ( loading dose ) and then 400mg daily for maintenance .' +p286676 +(lp286677 +S'Pt\tPt\tNN\tB-NP\tO' +p286678 +aS'needs\tneed\tVBZ\tB-VP\tO' +p286679 +aS'to\tto\tTO\tI-VP\tO' +p286680 +aS'be\tbe\tVB\tI-VP\tO' +p286681 +aS'on\ton\tIN\tB-PP\tO' +p286682 +aS'amiodarone\tamiodarone\tNN\tB-NP\tO' +p286683 +aS'400mg\t400mg\tCD\tI-NP\tO' +p286684 +aS'BID\tBID\tNN\tI-NP\tO' +p286685 +aS'x\tx\tSYM\tB-NP\tO' +p286686 +aS'7\t7\tCD\tB-NP\tO' +p286687 +aS'days\tday\tNNS\tI-NP\tO' +p286688 +aS'(\t(\t(\tO\tO' +p286689 +aS'loading\tload\tVBG\tB-VP\tO' +p286690 +aS'dose\tdose\tNN\tB-NP\tO' +p286691 +aS')\t)\t)\tO\tO' +p286692 +aS'and\tand\tCC\tO\tO' +p286693 +aS'then\tthen\tRB\tO\tO' +p286694 +aS'400mg\t400mg\tCD\tB-NP\tO' +p286695 +aS'daily\tdaily\tRB\tB-ADVP\tO' +p286696 +aS'for\tfor\tIN\tB-PP\tO' +p286697 +aS'maintenance\tmaintenance\tNN\tB-NP\tO' +p286698 +aS'.\t.\t.\tO\tO' +p286699 +asS'Other medical problems included chronic liver disease of uncertain etiology , for which he had been advised not to drink any alcohol .' +p286700 +(lp286701 +S'Other\tOther\tJJ\tB-NP\tO' +p286702 +aS'medical\tmedical\tJJ\tI-NP\tO' +p286703 +aS'problems\tproblem\tNNS\tI-NP\tO' +p286704 +aS'included\tinclude\tVBD\tB-VP\tO' +p286705 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p286706 +aS'liver\tliver\tNN\tI-NP\tO' +p286707 +aS'disease\tdisease\tNN\tI-NP\tO' +p286708 +aS'of\tof\tIN\tB-PP\tO' +p286709 +aS'uncertain\tuncertain\tJJ\tB-NP\tO' +p286710 +aS'etiology\tetiology\tNN\tI-NP\tO' +p286711 +aS',\t,\t,\tO\tO' +p286712 +aS'for\tfor\tIN\tB-PP\tO' +p286713 +aS'which\twhich\tWDT\tB-NP\tO' +p286714 +aS'he\the\tPRP\tB-NP\tO' +p286715 +aS'had\thave\tVBD\tB-VP\tO' +p286716 +aS'been\tbe\tVBN\tI-VP\tO' +p286717 +aS'advised\tadvise\tVBN\tI-VP\tO' +p286718 +aS'not\tnot\tRB\tO\tO' +p286719 +aS'to\tto\tTO\tB-VP\tO' +p286720 +aS'drink\tdrink\tVB\tI-VP\tO' +p286721 +aS'any\tany\tDT\tB-NP\tO' +p286722 +aS'alcohol\talcohol\tNN\tI-NP\tO' +p286723 +aS'.\t.\t.\tO\tO' +p286724 +asS'AFB stain was negative .' +p286725 +(lp286726 +S'AFB\tAFB\tNN\tB-NP\tB-protein' +p286727 +aS'stain\tstain\tNN\tI-NP\tI-protein' +p286728 +aS'was\tbe\tVBD\tB-VP\tO' +p286729 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p286730 +aS'.\t.\t.\tO\tO' +p286731 +asS'69 yo M with known Atrial fibrillation and coronary artery disease admitted preop for transition fro Coumadin to Heparin .' +p286732 +(lp286733 +S'69\t69\tCD\tB-NP\tO' +p286734 +aS'yo\tyo\tNN\tI-NP\tO' +p286735 +aS'M\tM\tNN\tI-NP\tO' +p286736 +aS'with\twith\tIN\tB-PP\tO' +p286737 +aS'known\tknown\tJJ\tB-NP\tO' +p286738 +aS'Atrial\tAtrial\tJJ\tI-NP\tO' +p286739 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p286740 +aS'and\tand\tCC\tO\tO' +p286741 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p286742 +aS'artery\tartery\tNN\tI-NP\tO' +p286743 +aS'disease\tdisease\tNN\tI-NP\tO' +p286744 +aS'admitted\tadmit\tVBD\tB-VP\tO' +p286745 +aS'preop\tpreop\tNN\tB-NP\tO' +p286746 +aS'for\tfor\tIN\tB-PP\tO' +p286747 +aS'transition\ttransition\tNN\tB-NP\tO' +p286748 +aS'fro\tfro\tNN\tI-NP\tO' +p286749 +aS'Coumadin\tCoumadin\tNN\tI-NP\tO' +p286750 +aS'to\tto\tTO\tB-PP\tO' +p286751 +aS'Heparin\tHeparin\tNN\tB-NP\tO' +p286752 +aS'.\t.\t.\tO\tO' +p286753 +asS'It was noted that she became very symptomatic when she was not on a beta blocker but that on a beta blocker she had significant pacemaker failure .' +p286754 +(lp286755 +S'It\tIt\tPRP\tB-NP\tO' +p286756 +aS'was\tbe\tVBD\tB-VP\tO' +p286757 +aS'noted\tnote\tVBN\tI-VP\tO' +p286758 +aS'that\tthat\tIN\tB-SBAR\tO' +p286759 +aS'she\tshe\tPRP\tB-NP\tO' +p286760 +aS'became\tbecome\tVBD\tB-VP\tO' +p286761 +aS'very\tvery\tRB\tB-ADJP\tO' +p286762 +aS'symptomatic\tsymptomatic\tJJ\tI-ADJP\tO' +p286763 +aS'when\twhen\tWRB\tB-ADVP\tO' +p286764 +aS'she\tshe\tPRP\tB-NP\tO' +p286765 +aS'was\tbe\tVBD\tB-VP\tO' +p286766 +aS'not\tnot\tRB\tO\tO' +p286767 +aS'on\ton\tIN\tB-PP\tO' +p286768 +aS'a\ta\tDT\tB-NP\tO' +p286769 +aS'beta\tbeta\tNN\tI-NP\tO' +p286770 +aS'blocker\tblocker\tNN\tI-NP\tO' +p286771 +aS'but\tbut\tCC\tO\tO' +p286772 +aS'that\tthat\tDT\tB-NP\tO' +p286773 +aS'on\ton\tIN\tB-PP\tO' +p286774 +aS'a\ta\tDT\tB-NP\tO' +p286775 +aS'beta\tbeta\tNN\tI-NP\tO' +p286776 +aS'blocker\tblocker\tNN\tI-NP\tO' +p286777 +aS'she\tshe\tPRP\tB-NP\tO' +p286778 +aS'had\thave\tVBD\tB-VP\tO' +p286779 +aS'significant\tsignificant\tJJ\tB-NP\tO' +p286780 +aS'pacemaker\tpacemaker\tNN\tI-NP\tO' +p286781 +aS'failure\tfailure\tNN\tI-NP\tO' +p286782 +aS'.\t.\t.\tO\tO' +p286783 +asS'THe patient had no signs of alcohol withdrawal .' +p286784 +(lp286785 +S'THe\tTHe\tNN\tB-NP\tO' +p286786 +aS'patient\tpatient\tNN\tI-NP\tO' +p286787 +aS'had\thave\tVBD\tB-VP\tO' +p286788 +aS'no\tno\tDT\tB-NP\tO' +p286789 +aS'signs\tsign\tNNS\tI-NP\tO' +p286790 +aS'of\tof\tIN\tB-PP\tO' +p286791 +aS'alcohol\talcohol\tNN\tB-NP\tO' +p286792 +aS'withdrawal\twithdrawal\tNN\tI-NP\tO' +p286793 +aS'.\t.\t.\tO\tO' +p286794 +asS'No cholecystitis .' +p286795 +(lp286796 +S'No\tNo\tDT\tB-NP\tO' +p286797 +aS'cholecystitis\tcholecystitis\tNN\tI-NP\tO' +p286798 +aS'.\t.\t.\tO\tO' +p286799 +asS'Thoracentesis revealed a pH of 7.18 , glucose 52 , white blood cell count 200 ; evaluated by thoracic surgery , no chest tube placed .' +p286800 +(lp286801 +S'Thoracentesis\tThoracentesis\tNN\tB-NP\tO' +p286802 +aS'revealed\treveal\tVBD\tB-VP\tO' +p286803 +aS'a\ta\tDT\tB-NP\tO' +p286804 +aS'pH\tpH\tNN\tI-NP\tO' +p286805 +aS'of\tof\tIN\tB-PP\tO' +p286806 +aS'7.18\t7.18\tCD\tB-NP\tO' +p286807 +aS',\t,\t,\tO\tO' +p286808 +aS'glucose\tglucose\tNN\tB-NP\tB-protein' +p286809 +aS'52\t52\tCD\tI-NP\tI-protein' +p286810 +aS',\t,\t,\tO\tO' +p286811 +aS'white\twhite\tJJ\tB-NP\tO' +p286812 +aS'blood\tblood\tNN\tI-NP\tO' +p286813 +aS'cell\tcell\tNN\tI-NP\tO' +p286814 +aS'count\tcount\tNN\tI-NP\tO' +p286815 +aS'200\t200\tCD\tI-NP\tO' +p286816 +aS';\t;\t:\tO\tO' +p286817 +aS'evaluated\tevaluate\tVBN\tB-VP\tO' +p286818 +aS'by\tby\tIN\tB-PP\tO' +p286819 +aS'thoracic\tthoracic\tJJ\tB-NP\tO' +p286820 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p286821 +aS',\t,\t,\tO\tO' +p286822 +aS'no\tno\tDT\tB-NP\tO' +p286823 +aS'chest\tchest\tNN\tI-NP\tO' +p286824 +aS'tube\ttube\tNN\tI-NP\tO' +p286825 +aS'placed\tplace\tVBN\tB-VP\tO' +p286826 +aS'.\t.\t.\tO\tO' +p286827 +asS'Social History : ex tobacco denies ETOH nursing home resident' +p286828 +(lp286829 +S'Social\tSocial\tNNP\tB-NP\tO' +p286830 +aS'History\tHistory\tNNP\tI-NP\tO' +p286831 +aS':\t:\t:\tO\tO' +p286832 +aS'ex\tex\tNN\tB-NP\tO' +p286833 +aS'tobacco\ttobacco\tNN\tI-NP\tO' +p286834 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p286835 +aS'ETOH\tETOH\tNN\tB-NP\tO' +p286836 +aS'nursing\tnursing\tNN\tI-NP\tO' +p286837 +aS'home\thome\tNN\tI-NP\tO' +p286838 +aS'resident\tresident\tNN\tI-NP\tO' +p286839 +asS'LDH was 511 .' +p286840 +(lp286841 +S'LDH\tLDH\tNN\tB-NP\tB-protein' +p286842 +aS'was\tbe\tVBD\tB-VP\tO' +p286843 +aS'511\t511\tCD\tB-NP\tO' +p286844 +aS'.\t.\t.\tO\tO' +p286845 +asS'MEDICATIONS : She is on Lasix 40 mg p.o. b.i.d. , Aldactone 25 mg p.o. b.i.d. , Prilosec 20 mg p.o. daily , ciprofloxacin 250 mg p.o. daily , this is for prophylaxis for cholangitis and iron .' +p286846 +(lp286847 +S'MEDICATIONS\tMEDICATIONS\tNNS\tB-NP\tO' +p286848 +aS':\t:\t:\tO\tO' +p286849 +aS'She\tShe\tPRP\tB-NP\tO' +p286850 +aS'is\tbe\tVBZ\tB-VP\tO' +p286851 +aS'on\ton\tIN\tB-PP\tO' +p286852 +aS'Lasix\tLasix\tNNP\tB-NP\tO' +p286853 +aS'40\t40\tCD\tI-NP\tO' +p286854 +aS'mg\tmg\tNN\tI-NP\tO' +p286855 +aS'p.o.\tp.o.\tFW\tB-ADVP\tO' +p286856 +aS'b.i.d.\tb.i.d.\tFW\tI-ADVP\tO' +p286857 +aS',\t,\t,\tO\tO' +p286858 +aS'Aldactone\tAldactone\tNNP\tB-NP\tO' +p286859 +aS'25\t25\tCD\tI-NP\tO' +p286860 +aS'mg\tmg\tNN\tI-NP\tO' +p286861 +aS'p.o.\tp.o.\tFW\tB-ADVP\tO' +p286862 +aS'b.i.d.\tb.i.d.\tFW\tI-ADVP\tO' +p286863 +aS',\t,\t,\tO\tO' +p286864 +aS'Prilosec\tPrilosec\tNNP\tB-NP\tO' +p286865 +aS'20\t20\tCD\tI-NP\tO' +p286866 +aS'mg\tmg\tNN\tI-NP\tO' +p286867 +aS'p.o.\tp.o.\tRB\tB-ADVP\tO' +p286868 +aS'daily\tdaily\tRB\tI-ADVP\tO' +p286869 +aS',\t,\t,\tO\tO' +p286870 +aS'ciprofloxacin\tciprofloxacin\tNN\tB-NP\tO' +p286871 +aS'250\t250\tCD\tI-NP\tO' +p286872 +aS'mg\tmg\tNN\tI-NP\tO' +p286873 +aS'p.o.\tp.o.\tRB\tB-ADVP\tO' +p286874 +aS'daily\tdaily\tRB\tI-ADVP\tO' +p286875 +aS',\t,\t,\tO\tO' +p286876 +aS'this\tthis\tDT\tB-NP\tO' +p286877 +aS'is\tbe\tVBZ\tB-VP\tO' +p286878 +aS'for\tfor\tIN\tB-PP\tO' +p286879 +aS'prophylaxis\tprophylaxis\tNN\tB-NP\tO' +p286880 +aS'for\tfor\tIN\tB-PP\tO' +p286881 +aS'cholangitis\tcholangitis\tNN\tB-NP\tO' +p286882 +aS'and\tand\tCC\tI-NP\tO' +p286883 +aS'iron\tiron\tNN\tI-NP\tO' +p286884 +aS'.\t.\t.\tO\tO' +p286885 +asS'She underwent a parathyroid exploration with resection of a ruptured ectopic right upper parathyroid adenoma , a biopsy of a normal left and right lower parathyroids , resection of a left upper parathyroid , and tracheostomy .' +p286886 +(lp286887 +S'She\tShe\tPRP\tB-NP\tO' +p286888 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p286889 +aS'a\ta\tDT\tB-NP\tO' +p286890 +aS'parathyroid\tparathyroid\tJJ\tI-NP\tO' +p286891 +aS'exploration\texploration\tNN\tI-NP\tO' +p286892 +aS'with\twith\tIN\tB-PP\tO' +p286893 +aS'resection\tresection\tNN\tB-NP\tO' +p286894 +aS'of\tof\tIN\tB-PP\tO' +p286895 +aS'a\ta\tDT\tB-NP\tO' +p286896 +aS'ruptured\truptured\tJJ\tI-NP\tO' +p286897 +aS'ectopic\tectopic\tJJ\tI-NP\tO' +p286898 +aS'right\tright\tJJ\tI-NP\tO' +p286899 +aS'upper\tupper\tJJ\tI-NP\tO' +p286900 +aS'parathyroid\tparathyroid\tJJ\tI-NP\tO' +p286901 +aS'adenoma\tadenoma\tNN\tI-NP\tO' +p286902 +aS',\t,\t,\tO\tO' +p286903 +aS'a\ta\tDT\tB-NP\tO' +p286904 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p286905 +aS'of\tof\tIN\tB-PP\tO' +p286906 +aS'a\ta\tDT\tB-NP\tO' +p286907 +aS'normal\tnormal\tJJ\tI-NP\tO' +p286908 +aS'left\tleft\tNN\tI-NP\tO' +p286909 +aS'and\tand\tCC\tO\tO' +p286910 +aS'right\tright\tRB\tB-NP\tO' +p286911 +aS'lower\tlow\tJJR\tI-NP\tO' +p286912 +aS'parathyroids\tparathyroid\tNNS\tI-NP\tO' +p286913 +aS',\t,\t,\tO\tO' +p286914 +aS'resection\tresection\tNN\tB-NP\tO' +p286915 +aS'of\tof\tIN\tB-PP\tO' +p286916 +aS'a\ta\tDT\tB-NP\tO' +p286917 +aS'left\tleft\tJJ\tI-NP\tO' +p286918 +aS'upper\tupper\tJJ\tI-NP\tO' +p286919 +aS'parathyroid\tparathyroid\tNN\tI-NP\tO' +p286920 +aS',\t,\t,\tO\tO' +p286921 +aS'and\tand\tCC\tO\tO' +p286922 +aS'tracheostomy\ttracheostomy\tNN\tB-NP\tO' +p286923 +aS'.\t.\t.\tO\tO' +p286924 +asS'The patient 's heparin induced thrombocytopenia became positive and so he is allergic to heparin .' +p286925 +(lp286926 +S'The\tThe\tDT\tB-NP\tO' +p286927 +aS'patient\tpatient\tNN\tI-NP\tO' +p286928 +aS''s\t'\tNNS\tI-NP\tO' +p286929 +aS'heparin\theparin\tNN\tI-NP\tO' +p286930 +aS'induced\tinduce\tVBN\tI-NP\tO' +p286931 +aS'thrombocytopenia\tthrombocytopenia\tNN\tI-NP\tO' +p286932 +aS'became\tbecome\tVBD\tB-VP\tO' +p286933 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p286934 +aS'and\tand\tCC\tO\tO' +p286935 +aS'so\tso\tIN\tB-ADVP\tO' +p286936 +aS'he\the\tPRP\tB-NP\tO' +p286937 +aS'is\tbe\tVBZ\tB-VP\tO' +p286938 +aS'allergic\tallergic\tJJ\tB-ADJP\tO' +p286939 +aS'to\tto\tTO\tB-PP\tO' +p286940 +aS'heparin\theparin\tNN\tB-NP\tO' +p286941 +aS'.\t.\t.\tO\tO' +p286942 +asS'7) History of colitis .' +p286943 +(lp286944 +S'7)\t7)\tLS\tB-NP\tO' +p286945 +aS'History\tHistory\tNN\tI-NP\tO' +p286946 +aS'of\tof\tIN\tB-PP\tO' +p286947 +aS'colitis\tcolitis\tNN\tB-NP\tO' +p286948 +aS'.\t.\t.\tO\tO' +p286949 +asS'The patient was maintained on her aspirin and Lasix .' +p286950 +(lp286951 +S'The\tThe\tDT\tB-NP\tO' +p286952 +aS'patient\tpatient\tNN\tI-NP\tO' +p286953 +aS'was\tbe\tVBD\tB-VP\tO' +p286954 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p286955 +aS'on\ton\tIN\tB-PP\tO' +p286956 +aS'her\ther\tPRP$\tB-NP\tO' +p286957 +aS'aspirin\taspirin\tNN\tI-NP\tO' +p286958 +aS'and\tand\tCC\tI-NP\tO' +p286959 +aS'Lasix\tLasix\tNN\tI-NP\tO' +p286960 +aS'.\t.\t.\tO\tO' +p286961 +asS'Discussed with night float cover Dr. Dennis COmmander and Dr. Mike French .' +p286962 +(lp286963 +S'Discussed\tDiscuss\tVBN\tB-VP\tO' +p286964 +aS'with\twith\tIN\tB-PP\tO' +p286965 +aS'night\tnight\tNN\tB-NP\tO' +p286966 +aS'float\tfloat\tNN\tI-NP\tO' +p286967 +aS'cover\tcover\tNN\tI-NP\tO' +p286968 +aS'Dr.\tDr.\tNNP\tI-NP\tO' +p286969 +aS'Dennis\tDennis\tNNP\tI-NP\tO' +p286970 +aS'COmmander\tCOmmander\tNNP\tI-NP\tO' +p286971 +aS'and\tand\tCC\tO\tO' +p286972 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p286973 +aS'Mike\tMike\tNNP\tI-NP\tO' +p286974 +aS'French\tFrench\tNNP\tI-NP\tO' +p286975 +aS'.\t.\t.\tO\tO' +p286976 +asS'The patient was admitted to Urology .' +p286977 +(lp286978 +S'The\tThe\tDT\tB-NP\tO' +p286979 +aS'patient\tpatient\tNN\tI-NP\tO' +p286980 +aS'was\tbe\tVBD\tB-VP\tO' +p286981 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p286982 +aS'to\tto\tTO\tB-PP\tO' +p286983 +aS'Urology\tUrology\tNNP\tB-NP\tO' +p286984 +aS'.\t.\t.\tO\tO' +p286985 +asS'declared him at first an aspiration risk .' +p286986 +(lp286987 +S'declared\tdeclare\tVBD\tB-VP\tO' +p286988 +aS'him\thim\tPRP\tB-NP\tO' +p286989 +aS'at\tat\tIN\tB-PP\tO' +p286990 +aS'first\tfirst\tRB\tB-NP\tO' +p286991 +aS'an\tan\tDT\tI-NP\tO' +p286992 +aS'aspiration\taspiration\tNN\tI-NP\tO' +p286993 +aS'risk\trisk\tNN\tI-NP\tO' +p286994 +aS'.\t.\t.\tO\tO' +p286995 +asS'He reports that the pain was increasing in intensity .' +p286996 +(lp286997 +S'He\tHe\tPRP\tB-NP\tO' +p286998 +aS'reports\treport\tVBZ\tB-VP\tO' +p286999 +aS'that\tthat\tIN\tB-SBAR\tO' +p287000 +aS'the\tthe\tDT\tB-NP\tO' +p287001 +aS'pain\tpain\tNN\tI-NP\tO' +p287002 +aS'was\tbe\tVBD\tB-VP\tO' +p287003 +aS'increasing\tincrease\tVBG\tI-VP\tO' +p287004 +aS'in\tin\tIN\tB-PP\tO' +p287005 +aS'intensity\tintensity\tNN\tB-NP\tO' +p287006 +aS'.\t.\t.\tO\tO' +p287007 +asS'A thyroid scan revealed decreased function and displacement of the thyroid by a cold mass located inferiorly with calcifications on the right side .' +p287008 +(lp287009 +S'A\tA\tDT\tB-NP\tO' +p287010 +aS'thyroid\tthyroid\tJJ\tI-NP\tO' +p287011 +aS'scan\tscan\tNN\tI-NP\tO' +p287012 +aS'revealed\treveal\tVBD\tB-VP\tO' +p287013 +aS'decreased\tdecrease\tVBN\tI-VP\tO' +p287014 +aS'function\tfunction\tNN\tB-NP\tO' +p287015 +aS'and\tand\tCC\tI-NP\tO' +p287016 +aS'displacement\tdisplacement\tNN\tI-NP\tO' +p287017 +aS'of\tof\tIN\tB-PP\tO' +p287018 +aS'the\tthe\tDT\tB-NP\tO' +p287019 +aS'thyroid\tthyroid\tNN\tI-NP\tO' +p287020 +aS'by\tby\tIN\tB-PP\tO' +p287021 +aS'a\ta\tDT\tB-NP\tO' +p287022 +aS'cold\tcold\tJJ\tI-NP\tO' +p287023 +aS'mass\tmass\tNN\tI-NP\tO' +p287024 +aS'located\tlocate\tVBN\tB-VP\tO' +p287025 +aS'inferiorly\tinferiorly\tRB\tB-ADVP\tO' +p287026 +aS'with\twith\tIN\tB-PP\tO' +p287027 +aS'calcifications\tcalcification\tNNS\tB-NP\tO' +p287028 +aS'on\ton\tIN\tB-PP\tO' +p287029 +aS'the\tthe\tDT\tB-NP\tO' +p287030 +aS'right\tright\tJJ\tI-NP\tO' +p287031 +aS'side\tside\tNN\tI-NP\tO' +p287032 +aS'.\t.\t.\tO\tO' +p287033 +asS'Before we removed her chest tube , we had to give her platelets .' +p287034 +(lp287035 +S'Before\tBefore\tIN\tB-SBAR\tO' +p287036 +aS'we\twe\tPRP\tB-NP\tO' +p287037 +aS'removed\tremove\tVBD\tB-VP\tO' +p287038 +aS'her\ther\tPRP$\tB-NP\tO' +p287039 +aS'chest\tchest\tNN\tI-NP\tO' +p287040 +aS'tube\ttube\tNN\tI-NP\tO' +p287041 +aS',\t,\t,\tO\tO' +p287042 +aS'we\twe\tPRP\tB-NP\tO' +p287043 +aS'had\thave\tVBD\tB-VP\tO' +p287044 +aS'to\tto\tTO\tI-VP\tO' +p287045 +aS'give\tgive\tVB\tI-VP\tO' +p287046 +aS'her\ther\tPRP$\tB-NP\tO' +p287047 +aS'platelets\tplatelet\tNNS\tI-NP\tB-cell_type' +p287048 +aS'.\t.\t.\tO\tO' +p287049 +asS'Motrin for pain .' +p287050 +(lp287051 +S'Motrin\tMotrin\tNN\tB-NP\tO' +p287052 +aS'for\tfor\tIN\tB-PP\tO' +p287053 +aS'pain\tpain\tNN\tB-NP\tO' +p287054 +aS'.\t.\t.\tO\tO' +p287055 +asS'As her baseline mental status is completely alert and oriented , this caused concern amongst the staff of the rehabilitation center and the patient was transferred to the Retelk County Medical Center .' +p287056 +(lp287057 +S'As\tAs\tIN\tB-SBAR\tO' +p287058 +aS'her\ther\tPRP$\tB-NP\tO' +p287059 +aS'baseline\tbaseline\tNN\tI-NP\tO' +p287060 +aS'mental\tmental\tJJ\tI-NP\tO' +p287061 +aS'status\tstatus\tNN\tI-NP\tO' +p287062 +aS'is\tbe\tVBZ\tB-VP\tO' +p287063 +aS'completely\tcompletely\tRB\tB-ADJP\tO' +p287064 +aS'alert\talert\tJJ\tI-ADJP\tO' +p287065 +aS'and\tand\tCC\tI-ADJP\tO' +p287066 +aS'oriented\toriented\tJJ\tI-ADJP\tO' +p287067 +aS',\t,\t,\tO\tO' +p287068 +aS'this\tthis\tDT\tB-NP\tO' +p287069 +aS'caused\tcause\tVBD\tB-VP\tO' +p287070 +aS'concern\tconcern\tNN\tB-NP\tO' +p287071 +aS'amongst\tamongst\tIN\tB-PP\tO' +p287072 +aS'the\tthe\tDT\tB-NP\tO' +p287073 +aS'staff\tstaff\tNN\tI-NP\tO' +p287074 +aS'of\tof\tIN\tB-PP\tO' +p287075 +aS'the\tthe\tDT\tB-NP\tO' +p287076 +aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' +p287077 +aS'center\tcenter\tNN\tI-NP\tO' +p287078 +aS'and\tand\tCC\tO\tO' +p287079 +aS'the\tthe\tDT\tB-NP\tO' +p287080 +aS'patient\tpatient\tNN\tI-NP\tO' +p287081 +aS'was\tbe\tVBD\tB-VP\tO' +p287082 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p287083 +aS'to\tto\tTO\tB-PP\tO' +p287084 +aS'the\tthe\tDT\tB-NP\tO' +p287085 +aS'Retelk\tRetelk\tNNP\tI-NP\tO' +p287086 +aS'County\tCounty\tNNP\tI-NP\tO' +p287087 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p287088 +aS'Center\tCenter\tNNP\tI-NP\tO' +p287089 +aS'.\t.\t.\tO\tO' +p287090 +asS'Her pupils were 3 to 2 bilaterally , briskly reactive .' +p287091 +(lp287092 +S'Her\tHer\tPRP$\tB-NP\tO' +p287093 +aS'pupils\tpupil\tNNS\tI-NP\tO' +p287094 +aS'were\tbe\tVBD\tB-VP\tO' +p287095 +aS'3\t3\tCD\tB-NP\tO' +p287096 +aS'to\tto\tTO\tB-PP\tO' +p287097 +aS'2\t2\tCD\tB-NP\tO' +p287098 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p287099 +aS',\t,\t,\tO\tO' +p287100 +aS'briskly\tbriskly\tRB\tB-ADJP\tO' +p287101 +aS'reactive\treactive\tJJ\tI-ADJP\tO' +p287102 +aS'.\t.\t.\tO\tO' +p287103 +asS'You have some erosions in the esophagus which are no longer bleeding .' +p287104 +(lp287105 +S'You\tYou\tPRP\tB-NP\tB-protein' +p287106 +aS'have\thave\tVBP\tB-VP\tO' +p287107 +aS'some\tsome\tDT\tB-NP\tO' +p287108 +aS'erosions\terosion\tNNS\tI-NP\tO' +p287109 +aS'in\tin\tIN\tB-PP\tO' +p287110 +aS'the\tthe\tDT\tB-NP\tO' +p287111 +aS'esophagus\tesophagus\tNN\tI-NP\tO' +p287112 +aS'which\twhich\tWDT\tB-NP\tO' +p287113 +aS'are\tbe\tVBP\tB-VP\tO' +p287114 +aS'no\tno\tRB\tI-VP\tO' +p287115 +aS'longer\tlonger\tRB\tI-VP\tO' +p287116 +aS'bleeding\tbleed\tVBG\tI-VP\tO' +p287117 +aS'.\t.\t.\tO\tO' +p287118 +asS'FINDINGS : The heart is of normal size .' +p287119 +(lp287120 +S'FINDINGS\tFINDINGS\tNNS\tB-NP\tO' +p287121 +aS':\t:\t:\tO\tO' +p287122 +aS'The\tThe\tDT\tB-NP\tO' +p287123 +aS'heart\theart\tNN\tI-NP\tO' +p287124 +aS'is\tbe\tVBZ\tB-VP\tO' +p287125 +aS'of\tof\tIN\tB-PP\tO' +p287126 +aS'normal\tnormal\tJJ\tB-NP\tO' +p287127 +aS'size\tsize\tNN\tI-NP\tO' +p287128 +aS'.\t.\t.\tO\tO' +p287129 +asS'Chief Complaint : pt sent to ER after routine F/U for UE DVT with vascular surgery .' +p287130 +(lp287131 +S'Chief\tChief\tNNP\tB-NP\tO' +p287132 +aS'Complaint\tComplaint\tNNP\tI-NP\tO' +p287133 +aS':\t:\t:\tO\tO' +p287134 +aS'pt\tpt\tNN\tB-NP\tO' +p287135 +aS'sent\tsend\tVBN\tB-VP\tO' +p287136 +aS'to\tto\tTO\tB-PP\tO' +p287137 +aS'ER\tER\tNN\tB-NP\tB-protein' +p287138 +aS'after\tafter\tIN\tB-PP\tO' +p287139 +aS'routine\troutine\tJJ\tB-NP\tO' +p287140 +aS'F/U\tF/U\tNN\tI-NP\tO' +p287141 +aS'for\tfor\tIN\tB-PP\tO' +p287142 +aS'UE\tUE\tNN\tB-NP\tB-protein' +p287143 +aS'DVT\tDVT\tNN\tI-NP\tI-protein' +p287144 +aS'with\twith\tIN\tB-PP\tO' +p287145 +aS'vascular\tvascular\tJJ\tB-NP\tO' +p287146 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p287147 +aS'.\t.\t.\tO\tO' +p287148 +asS'10. Protonix 40 mg p.o. once per day .' +p287149 +(lp287150 +S'10.\t10.\tCD\tB-NP\tO' +p287151 +aS'Protonix\tProtonix\tNNP\tI-NP\tO' +p287152 +aS'40\t40\tCD\tI-NP\tO' +p287153 +aS'mg\tmg\tNN\tI-NP\tO' +p287154 +aS'p.o.\tp.o.\tRB\tB-ADVP\tO' +p287155 +aS'once\tonce\tRB\tI-ADVP\tO' +p287156 +aS'per\tper\tIN\tB-PP\tO' +p287157 +aS'day\tday\tNN\tB-NP\tO' +p287158 +aS'.\t.\t.\tO\tO' +p287159 +asS'# Epidural abscess : The patient was evaluated by orthopedic spine consult service and ID .' +p287160 +(lp287161 +S'#\t#\t#\tB-NP\tO' +p287162 +aS'Epidural\tEpidural\tJJ\tI-NP\tO' +p287163 +aS'abscess\tabscess\tNN\tI-NP\tO' +p287164 +aS':\t:\t:\tO\tO' +p287165 +aS'The\tThe\tDT\tB-NP\tO' +p287166 +aS'patient\tpatient\tNN\tI-NP\tO' +p287167 +aS'was\tbe\tVBD\tB-VP\tO' +p287168 +aS'evaluated\tevaluate\tVBN\tI-VP\tO' +p287169 +aS'by\tby\tIN\tB-PP\tO' +p287170 +aS'orthopedic\torthopedic\tJJ\tB-NP\tO' +p287171 +aS'spine\tspine\tNN\tI-NP\tO' +p287172 +aS'consult\tconsult\tNN\tI-NP\tO' +p287173 +aS'service\tservice\tNN\tI-NP\tO' +p287174 +aS'and\tand\tCC\tI-NP\tO' +p287175 +aS'ID\tID\tNN\tI-NP\tO' +p287176 +aS'.\t.\t.\tO\tO' +p287177 +asS'An EEG was performed .' +p287178 +(lp287179 +S'An\tAn\tDT\tB-NP\tO' +p287180 +aS'EEG\tEEG\tNN\tI-NP\tB-protein' +p287181 +aS'was\tbe\tVBD\tB-VP\tO' +p287182 +aS'performed\tperform\tVBN\tI-VP\tO' +p287183 +aS'.\t.\t.\tO\tO' +p287184 +asS'Newborn state screen was sent on day of life three .' +p287185 +(lp287186 +S'Newborn\tNewborn\tJJ\tB-NP\tO' +p287187 +aS'state\tstate\tNN\tI-NP\tO' +p287188 +aS'screen\tscreen\tNN\tI-NP\tO' +p287189 +aS'was\tbe\tVBD\tB-VP\tO' +p287190 +aS'sent\tsend\tVBN\tI-VP\tO' +p287191 +aS'on\ton\tIN\tB-PP\tO' +p287192 +aS'day\tday\tNN\tB-NP\tO' +p287193 +aS'of\tof\tIN\tB-PP\tO' +p287194 +aS'life\tlife\tNN\tB-NP\tO' +p287195 +aS'three\tthree\tCD\tI-NP\tO' +p287196 +aS'.\t.\t.\tO\tO' +p287197 +asS'Dilaudid IV was continued for the remainder of the patient 's hospitalization .' +p287198 +(lp287199 +S'Dilaudid\tDilaudid\tNN\tB-NP\tB-protein' +p287200 +aS'IV\tIV\tCD\tI-NP\tI-protein' +p287201 +aS'was\tbe\tVBD\tB-VP\tO' +p287202 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p287203 +aS'for\tfor\tIN\tB-PP\tO' +p287204 +aS'the\tthe\tDT\tB-NP\tO' +p287205 +aS'remainder\tremainder\tNN\tI-NP\tO' +p287206 +aS'of\tof\tIN\tB-PP\tO' +p287207 +aS'the\tthe\tDT\tB-NP\tO' +p287208 +aS'patient\tpatient\tNN\tI-NP\tO' +p287209 +aS''s\t'\tNNS\tI-NP\tO' +p287210 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p287211 +aS'.\t.\t.\tO\tO' +p287212 +asS'7. Hyperlipidemia : on lipitor 80 .' +p287213 +(lp287214 +S'7.\t7.\tCD\tB-NP\tO' +p287215 +aS'Hyperlipidemia\tHyperlipidemia\tNNP\tI-NP\tO' +p287216 +aS':\t:\t:\tO\tO' +p287217 +aS'on\ton\tIN\tB-PP\tO' +p287218 +aS'lipitor\tlipitor\tNN\tB-NP\tO' +p287219 +aS'80\t80\tCD\tI-NP\tO' +p287220 +aS'.\t.\t.\tO\tO' +p287221 +asS'In the Juan , she received vancomycin , levofloxacin , flagyl , and cefepime ( 2 gm ).' +p287222 +(lp287223 +S'In\tIn\tIN\tB-PP\tO' +p287224 +aS'the\tthe\tDT\tB-NP\tO' +p287225 +aS'Juan\tJuan\tNNP\tI-NP\tO' +p287226 +aS',\t,\t,\tO\tO' +p287227 +aS'she\tshe\tPRP\tB-NP\tO' +p287228 +aS'received\treceive\tVBD\tB-VP\tO' +p287229 +aS'vancomycin\tvancomycin\tNN\tB-NP\tO' +p287230 +aS',\t,\t,\tO\tO' +p287231 +aS'levofloxacin\tlevofloxacin\tNN\tB-NP\tO' +p287232 +aS',\t,\t,\tO\tO' +p287233 +aS'flagyl\tflagyl\tNN\tB-NP\tO' +p287234 +aS',\t,\t,\tO\tO' +p287235 +aS'and\tand\tCC\tO\tO' +p287236 +aS'cefepime\tcefepime\tNN\tB-NP\tO' +p287237 +aS'(\t(\t(\tO\tO' +p287238 +aS'2\t2\tCD\tB-NP\tO' +p287239 +aS'gm\tgm\tNN\tI-NP\tO' +p287240 +aS').\t).\t)\tO\tO' +p287241 +asS'Mild ST elevation in V3 .' +p287242 +(lp287243 +S'Mild\tMild\tJJ\tB-NP\tO' +p287244 +aS'ST\tST\tJJ\tI-NP\tO' +p287245 +aS'elevation\televation\tNN\tI-NP\tO' +p287246 +aS'in\tin\tIN\tB-PP\tO' +p287247 +aS'V3\tV3\tNN\tB-NP\tB-protein' +p287248 +aS'.\t.\t.\tO\tO' +p287249 +asS'No murmurs , rubs or gallops .' +p287250 +(lp287251 +S'No\tNo\tDT\tB-NP\tO' +p287252 +aS'murmurs\tmurmur\tNNS\tI-NP\tO' +p287253 +aS',\t,\t,\tI-NP\tO' +p287254 +aS'rubs\trub\tNNS\tI-NP\tO' +p287255 +aS'or\tor\tCC\tI-NP\tO' +p287256 +aS'gallops\tgallop\tNNS\tI-NP\tO' +p287257 +aS'.\t.\t.\tO\tO' +p287258 +asS'Follow up CT scan .' +p287259 +(lp287260 +S'Follow\tFollow\tVB\tB-VP\tO' +p287261 +aS'up\tup\tRP\tB-PRT\tO' +p287262 +aS'CT\tCT\tNN\tB-NP\tO' +p287263 +aS'scan\tscan\tNN\tI-NP\tO' +p287264 +aS'.\t.\t.\tO\tO' +p287265 +asS'10. Demerol , prn .' +p287266 +(lp287267 +S'10.\t10.\tLS\tB-NP\tO' +p287268 +aS'Demerol\tDemerol\tNNP\tI-NP\tO' +p287269 +aS',\t,\t,\tI-NP\tO' +p287270 +aS'prn\tprn\tNN\tI-NP\tO' +p287271 +aS'.\t.\t.\tO\tO' +p287272 +asS'This work-up demonstrated a small left basal ganglia infarct , likely cardioembolic .' +p287273 +(lp287274 +S'This\tThis\tDT\tB-NP\tO' +p287275 +aS'work-up\twork-up\tNN\tI-NP\tO' +p287276 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p287277 +aS'a\ta\tDT\tB-NP\tO' +p287278 +aS'small\tsmall\tJJ\tI-NP\tO' +p287279 +aS'left\tleft\tJJ\tI-NP\tO' +p287280 +aS'basal\tbasal\tJJ\tI-NP\tO' +p287281 +aS'ganglia\tganglia\tNNS\tI-NP\tO' +p287282 +aS'infarct\tinfarct\tNN\tI-NP\tO' +p287283 +aS',\t,\t,\tO\tO' +p287284 +aS'likely\tlikely\tRB\tB-ADJP\tO' +p287285 +aS'cardioembolic\tcardioembolic\tJJ\tI-ADJP\tO' +p287286 +aS'.\t.\t.\tO\tO' +p287287 +asS'ABDOMEN : Soft .' +p287288 +(lp287289 +S'ABDOMEN\tABDOMEN\tNN\tB-NP\tO' +p287290 +aS':\t:\t:\tO\tO' +p287291 +aS'Soft\tSoft\tNNP\tB-NP\tO' +p287292 +aS'.\t.\t.\tO\tO' +p287293 +asS'Patient was eventually placed on BiPAP on hospital day three , on the date prior to discharge of BiPAP settings of 12/8/5 liters of oxygen with saturations of 96% with a gas of 7.38 , 67 , and 91 with an aim of a goal pCO2 of 67 .' +p287294 +(lp287295 +S'Patient\tPatient\tNN\tB-NP\tO' +p287296 +aS'was\tbe\tVBD\tB-VP\tO' +p287297 +aS'eventually\teventually\tRB\tI-VP\tO' +p287298 +aS'placed\tplace\tVBN\tI-VP\tO' +p287299 +aS'on\ton\tIN\tB-PP\tO' +p287300 +aS'BiPAP\tBiPAP\tNN\tB-NP\tB-protein' +p287301 +aS'on\ton\tIN\tB-PP\tO' +p287302 +aS'hospital\thospital\tNN\tB-NP\tO' +p287303 +aS'day\tday\tNN\tI-NP\tO' +p287304 +aS'three\tthree\tCD\tB-NP\tO' +p287305 +aS',\t,\t,\tO\tO' +p287306 +aS'on\ton\tIN\tB-PP\tO' +p287307 +aS'the\tthe\tDT\tB-NP\tO' +p287308 +aS'date\tdate\tNN\tI-NP\tO' +p287309 +aS'prior\tprior\tRB\tB-ADVP\tO' +p287310 +aS'to\tto\tTO\tB-VP\tO' +p287311 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p287312 +aS'of\tof\tIN\tB-PP\tO' +p287313 +aS'BiPAP\tBiPAP\tNN\tB-NP\tO' +p287314 +aS'settings\tsetting\tNNS\tI-NP\tO' +p287315 +aS'of\tof\tIN\tB-PP\tO' +p287316 +aS'12/8/5\t12/8/5\tCD\tB-NP\tO' +p287317 +aS'liters\tliter\tNNS\tI-NP\tO' +p287318 +aS'of\tof\tIN\tB-PP\tO' +p287319 +aS'oxygen\toxygen\tNN\tB-NP\tO' +p287320 +aS'with\twith\tIN\tB-PP\tO' +p287321 +aS'saturations\tsaturation\tNNS\tB-NP\tO' +p287322 +aS'of\tof\tIN\tB-PP\tO' +p287323 +aS'96%\t96%\tCD\tB-NP\tO' +p287324 +aS'with\twith\tIN\tB-PP\tO' +p287325 +aS'a\ta\tDT\tB-NP\tO' +p287326 +aS'gas\tgas\tNN\tI-NP\tB-DNA' +p287327 +aS'of\tof\tIN\tB-PP\tO' +p287328 +aS'7.38\t7.38\tCD\tB-NP\tO' +p287329 +aS',\t,\t,\tI-NP\tO' +p287330 +aS'67\t67\tCD\tI-NP\tO' +p287331 +aS',\t,\t,\tO\tO' +p287332 +aS'and\tand\tCC\tO\tO' +p287333 +aS'91\t91\tCD\tB-NP\tO' +p287334 +aS'with\twith\tIN\tB-PP\tO' +p287335 +aS'an\tan\tDT\tB-NP\tO' +p287336 +aS'aim\taim\tNN\tI-NP\tO' +p287337 +aS'of\tof\tIN\tB-PP\tO' +p287338 +aS'a\ta\tDT\tB-NP\tO' +p287339 +aS'goal\tgoal\tNN\tI-NP\tO' +p287340 +aS'pCO2\tpCO2\tNN\tI-NP\tO' +p287341 +aS'of\tof\tIN\tB-PP\tO' +p287342 +aS'67\t67\tCD\tB-NP\tO' +p287343 +aS'.\t.\t.\tO\tO' +p287344 +asS'Patient is a 64 year old white male with a past medical history of smoking , coronary artery disese , hypertension , and hypercholesterolemia with a l0 cm abdominal aortic aneurysm .' +p287345 +(lp287346 +S'Patient\tPatient\tNN\tB-NP\tO' +p287347 +aS'is\tbe\tVBZ\tB-VP\tO' +p287348 +aS'a\ta\tDT\tB-NP\tO' +p287349 +aS'64\t64\tCD\tI-NP\tO' +p287350 +aS'year\tyear\tNN\tI-NP\tO' +p287351 +aS'old\told\tJJ\tI-NP\tO' +p287352 +aS'white\twhite\tJJ\tI-NP\tO' +p287353 +aS'male\tmale\tNN\tI-NP\tO' +p287354 +aS'with\twith\tIN\tB-PP\tO' +p287355 +aS'a\ta\tDT\tB-NP\tO' +p287356 +aS'past\tpast\tJJ\tI-NP\tO' +p287357 +aS'medical\tmedical\tJJ\tI-NP\tO' +p287358 +aS'history\thistory\tNN\tI-NP\tO' +p287359 +aS'of\tof\tIN\tB-PP\tO' +p287360 +aS'smoking\tsmoking\tNN\tB-NP\tO' +p287361 +aS',\t,\t,\tO\tO' +p287362 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p287363 +aS'artery\tartery\tNN\tI-NP\tO' +p287364 +aS'disese\tdisese\tNN\tI-NP\tO' +p287365 +aS',\t,\t,\tO\tO' +p287366 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p287367 +aS',\t,\t,\tO\tO' +p287368 +aS'and\tand\tCC\tO\tO' +p287369 +aS'hypercholesterolemia\thypercholesterolemia\tNN\tB-NP\tO' +p287370 +aS'with\twith\tIN\tB-PP\tO' +p287371 +aS'a\ta\tDT\tB-NP\tO' +p287372 +aS'l0\tl0\tNN\tI-NP\tO' +p287373 +aS'cm\tcm\tNN\tI-NP\tO' +p287374 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p287375 +aS'aortic\taortic\tJJ\tI-NP\tO' +p287376 +aS'aneurysm\taneurysm\tNN\tI-NP\tO' +p287377 +aS'.\t.\t.\tO\tO' +p287378 +asS'His neck was supple with no jugular venous distention or thyromegaly .' +p287379 +(lp287380 +S'His\tHis\tPRP$\tB-NP\tO' +p287381 +aS'neck\tneck\tNN\tI-NP\tO' +p287382 +aS'was\tbe\tVBD\tB-VP\tO' +p287383 +aS'supple\tsupple\tNN\tB-NP\tO' +p287384 +aS'with\twith\tIN\tB-PP\tO' +p287385 +aS'no\tno\tDT\tB-NP\tO' +p287386 +aS'jugular\tjugular\tJJ\tI-NP\tO' +p287387 +aS'venous\tvenous\tJJ\tI-NP\tO' +p287388 +aS'distention\tdistention\tNN\tI-NP\tO' +p287389 +aS'or\tor\tCC\tO\tO' +p287390 +aS'thyromegaly\tthyromegaly\tRB\tB-ADVP\tO' +p287391 +aS'.\t.\t.\tO\tO' +p287392 +asS'The amylase on admission was 279 with a lipase of 161 .' +p287393 +(lp287394 +S'The\tThe\tDT\tB-NP\tO' +p287395 +aS'amylase\tamylase\tNN\tI-NP\tB-protein' +p287396 +aS'on\ton\tIN\tB-PP\tO' +p287397 +aS'admission\tadmission\tNN\tB-NP\tO' +p287398 +aS'was\tbe\tVBD\tB-VP\tO' +p287399 +aS'279\t279\tCD\tB-NP\tO' +p287400 +aS'with\twith\tIN\tB-PP\tO' +p287401 +aS'a\ta\tDT\tB-NP\tO' +p287402 +aS'lipase\tlipase\tNN\tI-NP\tO' +p287403 +aS'of\tof\tIN\tB-PP\tO' +p287404 +aS'161\t161\tCD\tB-NP\tO' +p287405 +aS'.\t.\t.\tO\tO' +p287406 +asS'2. Congestive heart failure .' +p287407 +(lp287408 +S'2.\t2.\tLS\tB-NP\tO' +p287409 +aS'Congestive\tCongestive\tJJ\tI-NP\tO' +p287410 +aS'heart\theart\tNN\tI-NP\tO' +p287411 +aS'failure\tfailure\tNN\tI-NP\tO' +p287412 +aS'.\t.\t.\tO\tO' +p287413 +asS'Head of bed was kept at 30 degrees .' +p287414 +(lp287415 +S'Head\tHead\tNN\tB-NP\tO' +p287416 +aS'of\tof\tIN\tB-PP\tO' +p287417 +aS'bed\tbed\tNN\tB-NP\tO' +p287418 +aS'was\tbe\tVBD\tB-VP\tO' +p287419 +aS'kept\tkeep\tVBN\tI-VP\tO' +p287420 +aS'at\tat\tIN\tB-PP\tO' +p287421 +aS'30\t30\tCD\tB-NP\tO' +p287422 +aS'degrees\tdegree\tNNS\tI-NP\tO' +p287423 +aS'.\t.\t.\tO\tO' +p287424 +asS'His last reported INR on discharge was 2.5 .' +p287425 +(lp287426 +S'His\tHis\tPRP$\tB-NP\tO' +p287427 +aS'last\tlast\tJJ\tI-NP\tO' +p287428 +aS'reported\treport\tVBN\tI-NP\tO' +p287429 +aS'INR\tINR\tNN\tI-NP\tB-protein' +p287430 +aS'on\ton\tIN\tB-PP\tO' +p287431 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p287432 +aS'was\tbe\tVBD\tB-VP\tO' +p287433 +aS'2.5\t2.5\tCD\tB-NP\tO' +p287434 +aS'.\t.\t.\tO\tO' +p287435 +asS'2 ) BRONCHIOLITIS OBLITERANS ORGANIZING PNEUMONIA .' +p287436 +(lp287437 +S'2\t2\tLS\tB-LST\tO' +p287438 +aS')\t)\t)\tO\tO' +p287439 +aS'BRONCHIOLITIS\tBRONCHIOLITIS\tNNPS\tB-NP\tO' +p287440 +aS'OBLITERANS\tOBLITERANS\tVBZ\tB-VP\tO' +p287441 +aS'ORGANIZING\tORGANIZING\tNNP\tB-NP\tO' +p287442 +aS'PNEUMONIA\tPNEUMONIA\tNNP\tI-NP\tO' +p287443 +aS'.\t.\t.\tO\tO' +p287444 +asS'201-240 mg / dL 5 Units 6 Units 4 Units 0 Units' +p287445 +(lp287446 +S'201-240\t201-240\tCD\tB-NP\tO' +p287447 +aS'mg\tmg\tNN\tI-NP\tO' +p287448 +aS'/\t/\tSYM\tB-NP\tO' +p287449 +aS'dL\tdL\tNN\tB-NP\tO' +p287450 +aS'5\t5\tCD\tI-NP\tO' +p287451 +aS'Units\tUnit\tVBZ\tB-VP\tO' +p287452 +aS'6\t6\tCD\tB-NP\tO' +p287453 +aS'Units\tUnit\tNNS\tI-NP\tO' +p287454 +aS'4\t4\tCD\tI-NP\tO' +p287455 +aS'Units\tUnits\tNNP\tI-NP\tO' +p287456 +aS'0\t0\tCD\tI-NP\tO' +p287457 +aS'Units\tUnit\tNNS\tI-NP\tO' +p287458 +asS'8. Venous stasis .' +p287459 +(lp287460 +S'8.\t8.\tCD\tB-NP\tO' +p287461 +aS'Venous\tVenous\tJJ\tI-NP\tO' +p287462 +aS'stasis\tstasis\tNN\tI-NP\tO' +p287463 +aS'.\t.\t.\tO\tO' +p287464 +asS'His appetite is decreasing somewhat as his disease process progresses , therefore , we have liberalized his diet for him to take what he wishes .' +p287465 +(lp287466 +S'His\tHis\tPRP$\tB-NP\tO' +p287467 +aS'appetite\tappetite\tNN\tI-NP\tO' +p287468 +aS'is\tbe\tVBZ\tB-VP\tO' +p287469 +aS'decreasing\tdecrease\tVBG\tI-VP\tO' +p287470 +aS'somewhat\tsomewhat\tRB\tB-ADVP\tO' +p287471 +aS'as\tas\tIN\tB-PP\tO' +p287472 +aS'his\this\tPRP$\tB-NP\tO' +p287473 +aS'disease\tdisease\tNN\tI-NP\tO' +p287474 +aS'process\tprocess\tNN\tI-NP\tO' +p287475 +aS'progresses\tprogress\tNNS\tI-NP\tO' +p287476 +aS',\t,\t,\tO\tO' +p287477 +aS'therefore\ttherefore\tRB\tB-ADVP\tO' +p287478 +aS',\t,\t,\tO\tO' +p287479 +aS'we\twe\tPRP\tB-NP\tO' +p287480 +aS'have\thave\tVBP\tB-VP\tO' +p287481 +aS'liberalized\tliberalize\tVBN\tI-VP\tO' +p287482 +aS'his\this\tPRP$\tB-NP\tO' +p287483 +aS'diet\tdiet\tNN\tI-NP\tO' +p287484 +aS'for\tfor\tIN\tB-SBAR\tO' +p287485 +aS'him\thim\tPRP\tB-NP\tO' +p287486 +aS'to\tto\tTO\tB-VP\tO' +p287487 +aS'take\ttake\tVB\tI-VP\tO' +p287488 +aS'what\twhat\tWP\tB-NP\tO' +p287489 +aS'he\the\tPRP\tB-NP\tO' +p287490 +aS'wishes\twish\tVBZ\tB-VP\tO' +p287491 +aS'.\t.\t.\tO\tO' +p287492 +asS'The lung volumes are slightly increased .' +p287493 +(lp287494 +S'The\tThe\tDT\tB-NP\tO' +p287495 +aS'lung\tlung\tNN\tI-NP\tO' +p287496 +aS'volumes\tvolume\tNNS\tI-NP\tO' +p287497 +aS'are\tbe\tVBP\tB-VP\tO' +p287498 +aS'slightly\tslightly\tRB\tI-VP\tO' +p287499 +aS'increased\tincrease\tVBN\tI-VP\tO' +p287500 +aS'.\t.\t.\tO\tO' +p287501 +asS'5. Heme .' +p287502 +(lp287503 +S'5.\t5.\tLS\tB-LST\tO' +p287504 +aS'Heme\tHeme\tNNP\tB-NP\tB-protein' +p287505 +aS'.\t.\t.\tO\tO' +p287506 +asS'Attending : Karen U.O. Berliner , M.D.' +p287507 +(lp287508 +S'Attending\tAttend\tVBG\tB-VP\tO' +p287509 +aS':\t:\t:\tO\tO' +p287510 +aS'Karen\tKaren\tNNP\tB-NP\tO' +p287511 +aS'U.O.\tU.O.\tNNP\tI-NP\tO' +p287512 +aS'Berliner\tBerliner\tNNP\tI-NP\tO' +p287513 +aS',\t,\t,\tO\tO' +p287514 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p287515 +asS"On transfer , the patient 's mean arterial pressure was 76 , CVP 12 , PAD 17 , and his Bennie was 25 ." +p287516 +(lp287517 +S'On\tOn\tIN\tB-PP\tO' +p287518 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p287519 +aS',\t,\t,\tO\tO' +p287520 +aS'the\tthe\tDT\tB-NP\tO' +p287521 +aS'patient\tpatient\tNN\tI-NP\tO' +p287522 +aS"'s\t's\tPOS\tB-NP\tO" +p287523 +aS'mean\tmean\tJJ\tI-NP\tO' +p287524 +aS'arterial\tarterial\tJJ\tI-NP\tO' +p287525 +aS'pressure\tpressure\tNN\tI-NP\tO' +p287526 +aS'was\tbe\tVBD\tB-VP\tO' +p287527 +aS'76\t76\tCD\tB-NP\tO' +p287528 +aS',\t,\t,\tO\tO' +p287529 +aS'CVP\tCVP\tNN\tB-NP\tB-protein' +p287530 +aS'12\t12\tCD\tI-NP\tI-protein' +p287531 +aS',\t,\t,\tO\tO' +p287532 +aS'PAD\tPAD\tNN\tB-NP\tB-protein' +p287533 +aS'17\t17\tCD\tI-NP\tI-protein' +p287534 +aS',\t,\t,\tO\tO' +p287535 +aS'and\tand\tCC\tO\tO' +p287536 +aS'his\this\tPRP$\tB-NP\tO' +p287537 +aS'Bennie\tBennie\tNNP\tI-NP\tO' +p287538 +aS'was\tbe\tVBD\tB-VP\tO' +p287539 +aS'25\t25\tCD\tB-NP\tO' +p287540 +aS'.\t.\t.\tO\tO' +p287541 +asS'She has been afebrile since she was called out to the floor .' +p287542 +(lp287543 +S'She\tShe\tPRP\tB-NP\tO' +p287544 +aS'has\thave\tVBZ\tB-VP\tO' +p287545 +aS'been\tbe\tVBN\tI-VP\tO' +p287546 +aS'afebrile\tafebrile\tRB\tB-ADVP\tO' +p287547 +aS'since\tsince\tIN\tB-SBAR\tO' +p287548 +aS'she\tshe\tPRP\tB-NP\tO' +p287549 +aS'was\tbe\tVBD\tB-VP\tO' +p287550 +aS'called\tcall\tVBN\tI-VP\tO' +p287551 +aS'out\tout\tRP\tB-PRT\tO' +p287552 +aS'to\tto\tTO\tB-PP\tO' +p287553 +aS'the\tthe\tDT\tB-NP\tO' +p287554 +aS'floor\tfloor\tNN\tI-NP\tO' +p287555 +aS'.\t.\t.\tO\tO' +p287556 +asS'GASTROESOPHAGEAL REFLUX DISEASE .' +p287557 +(lp287558 +S'GASTROESOPHAGEAL\tGASTROESOPHAGEAL\tNN\tB-NP\tO' +p287559 +aS'REFLUX\tREFLUX\tNN\tI-NP\tO' +p287560 +aS'DISEASE\tDISEASE\tNN\tI-NP\tO' +p287561 +aS'.\t.\t.\tO\tO' +p287562 +asS'His injuries included bilateral zygomal and orbital rim fractures , a right temporal fracture , bilateral frontal contusions , and a right temporal epidural versus subdural hematoma .' +p287563 +(lp287564 +S'His\tHis\tPRP$\tB-NP\tO' +p287565 +aS'injuries\tinjury\tNNS\tI-NP\tO' +p287566 +aS'included\tinclude\tVBD\tB-VP\tO' +p287567 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p287568 +aS'zygomal\tzygomal\tJJ\tI-NP\tO' +p287569 +aS'and\tand\tCC\tI-NP\tO' +p287570 +aS'orbital\torbital\tJJ\tI-NP\tO' +p287571 +aS'rim\trim\tJJ\tI-NP\tO' +p287572 +aS'fractures\tfracture\tNNS\tI-NP\tO' +p287573 +aS',\t,\t,\tO\tO' +p287574 +aS'a\ta\tDT\tB-NP\tO' +p287575 +aS'right\tright\tJJ\tI-NP\tO' +p287576 +aS'temporal\ttemporal\tJJ\tI-NP\tO' +p287577 +aS'fracture\tfracture\tNN\tI-NP\tO' +p287578 +aS',\t,\t,\tO\tO' +p287579 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p287580 +aS'frontal\tfrontal\tJJ\tI-NP\tO' +p287581 +aS'contusions\tcontusion\tNNS\tI-NP\tO' +p287582 +aS',\t,\t,\tO\tO' +p287583 +aS'and\tand\tCC\tO\tO' +p287584 +aS'a\ta\tDT\tB-NP\tO' +p287585 +aS'right\tright\tJJ\tI-NP\tO' +p287586 +aS'temporal\ttemporal\tJJ\tI-NP\tO' +p287587 +aS'epidural\tepidural\tJJ\tI-NP\tO' +p287588 +aS'versus\tversus\tIN\tB-PP\tO' +p287589 +aS'subdural\tsubdural\tJJ\tB-NP\tO' +p287590 +aS'hematoma\thematoma\tNN\tI-NP\tO' +p287591 +aS'.\t.\t.\tO\tO' +p287592 +asS'Lopressor IV was given to control his heart rate .' +p287593 +(lp287594 +S'Lopressor\tLopressor\tNN\tB-NP\tB-protein' +p287595 +aS'IV\tIV\tCD\tI-NP\tI-protein' +p287596 +aS'was\tbe\tVBD\tB-VP\tO' +p287597 +aS'given\tgive\tVBN\tI-VP\tO' +p287598 +aS'to\tto\tTO\tI-VP\tO' +p287599 +aS'control\tcontrol\tVB\tI-VP\tO' +p287600 +aS'his\this\tPRP$\tB-NP\tO' +p287601 +aS'heart\theart\tNN\tI-NP\tO' +p287602 +aS'rate\trate\tNN\tI-NP\tO' +p287603 +aS'.\t.\t.\tO\tO' +p287604 +asS'Telephone No .' +p287605 +(lp287606 +S'Telephone\tTelephone\tNNP\tB-NP\tO' +p287607 +aS'No\tNo\tNNP\tI-NP\tO' +p287608 +aS'.\t.\t.\tO\tO' +p287609 +asS'1. The patient will be sent home on 7 days of Augmentin PO .' +p287610 +(lp287611 +S'1.\t1.\tLS\tB-LST\tO' +p287612 +aS'The\tThe\tDT\tB-NP\tO' +p287613 +aS'patient\tpatient\tNN\tI-NP\tO' +p287614 +aS'will\twill\tMD\tB-VP\tO' +p287615 +aS'be\tbe\tVB\tI-VP\tO' +p287616 +aS'sent\tsend\tVBN\tI-VP\tO' +p287617 +aS'home\thome\tNN\tB-ADVP\tO' +p287618 +aS'on\ton\tIN\tB-PP\tO' +p287619 +aS'7\t7\tCD\tB-NP\tO' +p287620 +aS'days\tday\tNNS\tI-NP\tO' +p287621 +aS'of\tof\tIN\tB-PP\tO' +p287622 +aS'Augmentin\tAugmentin\tNNP\tB-NP\tO' +p287623 +aS'PO\tPO\tNNP\tI-NP\tO' +p287624 +aS'.\t.\t.\tO\tO' +p287625 +asS'She received multiple bronchoscopies for pulmonary toilet .' +p287626 +(lp287627 +S'She\tShe\tPRP\tB-NP\tO' +p287628 +aS'received\treceive\tVBD\tB-VP\tO' +p287629 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p287630 +aS'bronchoscopies\tbronchoscopy\tNNS\tI-NP\tO' +p287631 +aS'for\tfor\tIN\tB-PP\tO' +p287632 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p287633 +aS'toilet\ttoilet\tNN\tI-NP\tO' +p287634 +aS'.\t.\t.\tO\tO' +p287635 +asS'1. Benign prostatic hypertrophy .' +p287636 +(lp287637 +S'1.\t1.\tLS\tB-NP\tO' +p287638 +aS'Benign\tBenign\tJJ\tI-NP\tO' +p287639 +aS'prostatic\tprostatic\tJJ\tI-NP\tO' +p287640 +aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' +p287641 +aS'.\t.\t.\tO\tO' +p287642 +asS'She denies tobacco and alcohol abuse .' +p287643 +(lp287644 +S'She\tShe\tPRP\tB-NP\tO' +p287645 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p287646 +aS'tobacco\ttobacco\tNN\tB-NP\tO' +p287647 +aS'and\tand\tCC\tI-NP\tO' +p287648 +aS'alcohol\talcohol\tNN\tI-NP\tO' +p287649 +aS'abuse\tabuse\tNN\tI-NP\tO' +p287650 +aS'.\t.\t.\tO\tO' +p287651 +asS"His past medical history is significant for prostate cancer , benign prostatic hypertrophy , hypothyroidism , status post radiation for non Hodgkin 's lymphoma , chronic painless hematuria , degenerative joint disease and history of a murmur ." +p287652 +(lp287653 +S'His\tHis\tPRP$\tB-NP\tO' +p287654 +aS'past\tpast\tJJ\tI-NP\tO' +p287655 +aS'medical\tmedical\tJJ\tI-NP\tO' +p287656 +aS'history\thistory\tNN\tI-NP\tO' +p287657 +aS'is\tbe\tVBZ\tB-VP\tO' +p287658 +aS'significant\tsignificant\tJJ\tB-ADJP\tO' +p287659 +aS'for\tfor\tIN\tB-PP\tO' +p287660 +aS'prostate\tprostate\tNN\tB-NP\tO' +p287661 +aS'cancer\tcancer\tNN\tI-NP\tO' +p287662 +aS',\t,\t,\tO\tO' +p287663 +aS'benign\tbenign\tJJ\tB-NP\tO' +p287664 +aS'prostatic\tprostatic\tJJ\tI-NP\tO' +p287665 +aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' +p287666 +aS',\t,\t,\tO\tO' +p287667 +aS'hypothyroidism\thypothyroidism\tNN\tB-NP\tO' +p287668 +aS',\t,\t,\tO\tO' +p287669 +aS'status\tstatus\tNN\tB-NP\tO' +p287670 +aS'post\tpost\tNN\tI-NP\tO' +p287671 +aS'radiation\tradiation\tNN\tI-NP\tO' +p287672 +aS'for\tfor\tIN\tB-PP\tO' +p287673 +aS'non\tnon\tJJ\tB-NP\tO' +p287674 +aS'Hodgkin\tHodgkin\tNN\tI-NP\tO' +p287675 +aS"'s\t's\tPOS\tB-NP\tO" +p287676 +aS'lymphoma\tlymphoma\tNN\tI-NP\tO' +p287677 +aS',\t,\t,\tO\tO' +p287678 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p287679 +aS'painless\tpainless\tJJ\tI-NP\tO' +p287680 +aS'hematuria\thematuria\tNN\tI-NP\tO' +p287681 +aS',\t,\t,\tO\tO' +p287682 +aS'degenerative\tdegenerative\tJJ\tB-NP\tO' +p287683 +aS'joint\tjoint\tNN\tI-NP\tO' +p287684 +aS'disease\tdisease\tNN\tI-NP\tO' +p287685 +aS'and\tand\tCC\tO\tO' +p287686 +aS'history\thistory\tNN\tB-NP\tO' +p287687 +aS'of\tof\tIN\tB-PP\tO' +p287688 +aS'a\ta\tDT\tB-NP\tO' +p287689 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p287690 +aS'.\t.\t.\tO\tO' +p287691 +asS'No edema or cyanosis .' +p287692 +(lp287693 +S'No\tNo\tDT\tB-NP\tO' +p287694 +aS'edema\tedema\tNN\tI-NP\tO' +p287695 +aS'or\tor\tCC\tI-NP\tO' +p287696 +aS'cyanosis\tcyanosis\tNN\tI-NP\tO' +p287697 +aS'.\t.\t.\tO\tO' +p287698 +asS'He had no asterixis .' +p287699 +(lp287700 +S'He\tHe\tPRP\tB-NP\tO' +p287701 +aS'had\thave\tVBD\tB-VP\tO' +p287702 +aS'no\tno\tDT\tB-NP\tO' +p287703 +aS'asterixis\tasterixis\tNN\tI-NP\tO' +p287704 +aS'.\t.\t.\tO\tO' +p287705 +asS'Her peak bilirubin occurred on day of life five and was total 12.1 , direct 0.3 ; the last bilirubin on day of life six was total 11.1 , direct 0.4 .' +p287706 +(lp287707 +S'Her\tHer\tPRP$\tB-NP\tO' +p287708 +aS'peak\tpeak\tJJ\tI-NP\tO' +p287709 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p287710 +aS'occurred\toccur\tVBD\tB-VP\tO' +p287711 +aS'on\ton\tIN\tB-PP\tO' +p287712 +aS'day\tday\tNN\tB-NP\tO' +p287713 +aS'of\tof\tIN\tB-PP\tO' +p287714 +aS'life\tlife\tNN\tB-NP\tO' +p287715 +aS'five\tfive\tCD\tI-NP\tO' +p287716 +aS'and\tand\tCC\tO\tO' +p287717 +aS'was\tbe\tVBD\tB-VP\tO' +p287718 +aS'total\ttotal\tJJ\tB-NP\tO' +p287719 +aS'12.1\t12.1\tCD\tI-NP\tO' +p287720 +aS',\t,\t,\tO\tO' +p287721 +aS'direct\tdirect\tJJ\tB-NP\tO' +p287722 +aS'0.3\t0.3\tCD\tI-NP\tO' +p287723 +aS';\t;\t:\tO\tO' +p287724 +aS'the\tthe\tDT\tB-NP\tO' +p287725 +aS'last\tlast\tJJ\tI-NP\tO' +p287726 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p287727 +aS'on\ton\tIN\tB-PP\tO' +p287728 +aS'day\tday\tNN\tB-NP\tO' +p287729 +aS'of\tof\tIN\tB-PP\tO' +p287730 +aS'life\tlife\tNN\tB-NP\tO' +p287731 +aS'six\tsix\tCD\tI-NP\tO' +p287732 +aS'was\tbe\tVBD\tB-VP\tO' +p287733 +aS'total\ttotal\tJJ\tB-NP\tO' +p287734 +aS'11.1\t11.1\tCD\tI-NP\tO' +p287735 +aS',\t,\t,\tO\tO' +p287736 +aS'direct\tdirect\tJJ\tB-NP\tO' +p287737 +aS'0.4\t0.4\tCD\tI-NP\tO' +p287738 +aS'.\t.\t.\tO\tO' +p287739 +asS'Overall there were no unanticipated side effects of this chemotherapy .' +p287740 +(lp287741 +S'Overall\tOverall\tRB\tB-ADVP\tO' +p287742 +aS'there\tthere\tEX\tB-NP\tO' +p287743 +aS'were\tbe\tVBD\tB-VP\tO' +p287744 +aS'no\tno\tDT\tB-NP\tO' +p287745 +aS'unanticipated\tunanticipated\tJJ\tI-NP\tO' +p287746 +aS'side\tside\tNN\tI-NP\tO' +p287747 +aS'effects\teffect\tNNS\tI-NP\tO' +p287748 +aS'of\tof\tIN\tB-PP\tO' +p287749 +aS'this\tthis\tDT\tB-NP\tO' +p287750 +aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' +p287751 +aS'.\t.\t.\tO\tO' +p287752 +asS'Appropriate tone and activity for gestational age .' +p287753 +(lp287754 +S'Appropriate\tAppropriate\tJJ\tB-NP\tO' +p287755 +aS'tone\ttone\tNN\tI-NP\tO' +p287756 +aS'and\tand\tCC\tI-NP\tO' +p287757 +aS'activity\tactivity\tNN\tI-NP\tO' +p287758 +aS'for\tfor\tIN\tB-PP\tO' +p287759 +aS'gestational\tgestational\tJJ\tB-NP\tO' +p287760 +aS'age\tage\tNN\tI-NP\tO' +p287761 +aS'.\t.\t.\tO\tO' +p287762 +asS'Previous echoes have shown MVP at the Ona Hospital .' +p287763 +(lp287764 +S'Previous\tPrevious\tJJ\tB-NP\tO' +p287765 +aS'echoes\techo\tNNS\tI-NP\tO' +p287766 +aS'have\thave\tVBP\tB-VP\tO' +p287767 +aS'shown\tshow\tVBN\tI-VP\tO' +p287768 +aS'MVP\tMVP\tNN\tB-NP\tO' +p287769 +aS'at\tat\tIN\tB-PP\tO' +p287770 +aS'the\tthe\tDT\tB-NP\tO' +p287771 +aS'Ona\tOna\tNNP\tI-NP\tO' +p287772 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p287773 +aS'.\t.\t.\tO\tO' +p287774 +asS'Other things that happened during this admission - we obtained ahead CT for her on the 8th of January because of her clouded thinking and altered mental status , which was probably due to the morphine that she was taking .' +p287775 +(lp287776 +S'Other\tOther\tJJ\tB-NP\tO' +p287777 +aS'things\tthing\tNNS\tI-NP\tO' +p287778 +aS'that\tthat\tWDT\tB-NP\tO' +p287779 +aS'happened\thappen\tVBD\tB-VP\tO' +p287780 +aS'during\tduring\tIN\tB-PP\tO' +p287781 +aS'this\tthis\tDT\tB-NP\tO' +p287782 +aS'admission\tadmission\tNN\tI-NP\tO' +p287783 +aS'-\t-\tHYPH\tO\tO' +p287784 +aS'we\twe\tPRP\tB-NP\tO' +p287785 +aS'obtained\tobtain\tVBD\tB-VP\tO' +p287786 +aS'ahead\tahead\tRB\tB-NP\tO' +p287787 +aS'CT\tCT\tNN\tI-NP\tO' +p287788 +aS'for\tfor\tIN\tB-PP\tO' +p287789 +aS'her\ther\tPRP\tB-NP\tO' +p287790 +aS'on\ton\tIN\tB-PP\tO' +p287791 +aS'the\tthe\tDT\tB-NP\tO' +p287792 +aS'8th\t8th\tNN\tI-NP\tO' +p287793 +aS'of\tof\tIN\tB-PP\tO' +p287794 +aS'January\tJanuary\tNNP\tB-NP\tO' +p287795 +aS'because\tbecause\tIN\tB-PP\tO' +p287796 +aS'of\tof\tIN\tI-PP\tO' +p287797 +aS'her\ther\tPRP$\tB-NP\tO' +p287798 +aS'clouded\tclouded\tJJ\tI-NP\tO' +p287799 +aS'thinking\tthinking\tNN\tI-NP\tO' +p287800 +aS'and\tand\tCC\tO\tO' +p287801 +aS'altered\talter\tVBD\tB-VP\tO' +p287802 +aS'mental\tmental\tJJ\tB-NP\tO' +p287803 +aS'status\tstatus\tNN\tI-NP\tO' +p287804 +aS',\t,\t,\tO\tO' +p287805 +aS'which\twhich\tWDT\tB-NP\tO' +p287806 +aS'was\tbe\tVBD\tB-VP\tO' +p287807 +aS'probably\tprobably\tRB\tB-ADVP\tO' +p287808 +aS'due\tdue\tJJ\tB-ADJP\tO' +p287809 +aS'to\tto\tTO\tB-PP\tO' +p287810 +aS'the\tthe\tDT\tB-NP\tO' +p287811 +aS'morphine\tmorphine\tNN\tI-NP\tO' +p287812 +aS'that\tthat\tIN\tB-SBAR\tO' +p287813 +aS'she\tshe\tPRP\tB-NP\tO' +p287814 +aS'was\tbe\tVBD\tB-VP\tO' +p287815 +aS'taking\ttake\tVBG\tI-VP\tO' +p287816 +aS'.\t.\t.\tO\tO' +p287817 +asS'Feeds were restarted .' +p287818 +(lp287819 +S'Feeds\tFeed\tNNS\tB-NP\tO' +p287820 +aS'were\tbe\tVBD\tB-VP\tO' +p287821 +aS'restarted\trestart\tVBN\tI-VP\tO' +p287822 +aS'.\t.\t.\tO\tO' +p287823 +asS'Afebrile > 24 hours off abx .' +p287824 +(lp287825 +S'Afebrile\tAfebrile\tNN\tB-NP\tO' +p287826 +aS'>\t>\tSYM\tO\tO' +p287827 +aS'24\t24\tCD\tB-NP\tO' +p287828 +aS'hours\thour\tNNS\tI-NP\tO' +p287829 +aS'off\toff\tIN\tB-PP\tO' +p287830 +aS'abx\tabx\tNN\tB-NP\tO' +p287831 +aS'.\t.\t.\tO\tO' +p287832 +asS'Most recent electrolytes done on day of life one showed a sodium of 132 , potassium 6.1 , chloride 100 , Co2 20 .' +p287833 +(lp287834 +S'Most\tMost\tJJS\tB-NP\tO' +p287835 +aS'recent\trecent\tJJ\tI-NP\tO' +p287836 +aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' +p287837 +aS'done\tdo\tVBN\tB-VP\tO' +p287838 +aS'on\ton\tIN\tB-PP\tO' +p287839 +aS'day\tday\tNN\tB-NP\tO' +p287840 +aS'of\tof\tIN\tB-PP\tO' +p287841 +aS'life\tlife\tNN\tB-NP\tO' +p287842 +aS'one\tone\tCD\tI-NP\tO' +p287843 +aS'showed\tshow\tVBD\tB-VP\tO' +p287844 +aS'a\ta\tDT\tB-NP\tO' +p287845 +aS'sodium\tsodium\tNN\tI-NP\tO' +p287846 +aS'of\tof\tIN\tB-PP\tO' +p287847 +aS'132\t132\tCD\tB-NP\tO' +p287848 +aS',\t,\t,\tO\tO' +p287849 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p287850 +aS'6.1\t6.1\tCD\tI-NP\tO' +p287851 +aS',\t,\t,\tO\tO' +p287852 +aS'chloride\tchloride\tNN\tB-NP\tO' +p287853 +aS'100\t100\tCD\tI-NP\tO' +p287854 +aS',\t,\t,\tO\tO' +p287855 +aS'Co2\tCo2\tNN\tB-NP\tO' +p287856 +aS'20\t20\tCD\tI-NP\tO' +p287857 +aS'.\t.\t.\tO\tO' +p287858 +asS'The patient had received ten units of packed red blood cells , five units of fresh frozen plasma , seven units of platelets , and nine liters of Ringer 's lactate .' +p287859 +(lp287860 +S'The\tThe\tDT\tB-NP\tO' +p287861 +aS'patient\tpatient\tNN\tI-NP\tO' +p287862 +aS'had\thave\tVBD\tB-VP\tO' +p287863 +aS'received\treceive\tVBN\tI-VP\tO' +p287864 +aS'ten\tten\tCD\tB-NP\tO' +p287865 +aS'units\tunit\tNNS\tI-NP\tO' +p287866 +aS'of\tof\tIN\tB-PP\tO' +p287867 +aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' +p287868 +aS'red\tred\tJJ\tI-NP\tI-cell_type' +p287869 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p287870 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p287871 +aS',\t,\t,\tO\tO' +p287872 +aS'five\tfive\tCD\tB-NP\tO' +p287873 +aS'units\tunit\tNNS\tI-NP\tO' +p287874 +aS'of\tof\tIN\tB-PP\tO' +p287875 +aS'fresh\tfresh\tJJ\tB-NP\tO' +p287876 +aS'frozen\tfreeze\tVBN\tI-NP\tO' +p287877 +aS'plasma\tplasma\tNN\tI-NP\tO' +p287878 +aS',\t,\t,\tO\tO' +p287879 +aS'seven\tseven\tCD\tB-NP\tO' +p287880 +aS'units\tunit\tNNS\tI-NP\tO' +p287881 +aS'of\tof\tIN\tB-PP\tO' +p287882 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p287883 +aS',\t,\t,\tO\tO' +p287884 +aS'and\tand\tCC\tO\tO' +p287885 +aS'nine\tnine\tCD\tB-NP\tO' +p287886 +aS'liters\tliter\tNNS\tI-NP\tO' +p287887 +aS'of\tof\tIN\tB-PP\tO' +p287888 +aS'Ringer\tRinger\tNN\tB-NP\tB-protein' +p287889 +aS''s\t'\tNNS\tI-NP\tI-protein' +p287890 +aS'lactate\tlactate\tVBP\tB-VP\tO' +p287891 +aS'.\t.\t.\tO\tO' +p287892 +asS'FENa was 0.37 .' +p287893 +(lp287894 +S'FENa\tFENa\tNNP\tB-NP\tO' +p287895 +aS'was\tbe\tVBD\tB-VP\tO' +p287896 +aS'0.37\t0.37\tCD\tB-NP\tO' +p287897 +aS'.\t.\t.\tO\tO' +p287898 +asS'After this , the patient 's platelet count rose to a maximum of 177 on discharge .' +p287899 +(lp287900 +S'After\tAfter\tIN\tB-PP\tO' +p287901 +aS'this\tthis\tDT\tB-NP\tO' +p287902 +aS',\t,\t,\tO\tO' +p287903 +aS'the\tthe\tDT\tB-NP\tO' +p287904 +aS'patient\tpatient\tNN\tI-NP\tO' +p287905 +aS''s\t'\tNNS\tI-NP\tO' +p287906 +aS'platelet\tplatelet\tNN\tI-NP\tO' +p287907 +aS'count\tcount\tNN\tI-NP\tO' +p287908 +aS'rose\trise\tVBD\tB-VP\tO' +p287909 +aS'to\tto\tTO\tB-PP\tO' +p287910 +aS'a\ta\tDT\tB-NP\tO' +p287911 +aS'maximum\tmaximum\tNN\tI-NP\tO' +p287912 +aS'of\tof\tIN\tB-PP\tO' +p287913 +aS'177\t177\tCD\tB-NP\tO' +p287914 +aS'on\ton\tIN\tB-PP\tO' +p287915 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p287916 +aS'.\t.\t.\tO\tO' +p287917 +asS'history , physical , lab , Abdominal CT scan' +p287918 +(lp287919 +S'history\thistory\tNN\tB-NP\tO' +p287920 +aS',\t,\t,\tI-NP\tO' +p287921 +aS'physical\tphysical\tNN\tI-NP\tO' +p287922 +aS',\t,\t,\tI-NP\tO' +p287923 +aS'lab\tlab\tNN\tI-NP\tB-protein' +p287924 +aS',\t,\t,\tI-NP\tO' +p287925 +aS'Abdominal\tAbdominal\tJJ\tI-NP\tO' +p287926 +aS'CT\tCT\tNN\tI-NP\tO' +p287927 +aS'scan\tscan\tNN\tI-NP\tO' +p287928 +asS'1 ) Enteric coated aspirin 325 mg p.o. q. day .' +p287929 +(lp287930 +S'1\t1\tLS\tB-LST\tO' +p287931 +aS')\t)\t)\tO\tO' +p287932 +aS'Enteric\tEnteric\tJJ\tB-NP\tO' +p287933 +aS'coated\tcoated\tJJ\tI-NP\tO' +p287934 +aS'aspirin\taspirin\tNN\tI-NP\tO' +p287935 +aS'325\t325\tCD\tI-NP\tO' +p287936 +aS'mg\tmg\tNN\tI-NP\tO' +p287937 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p287938 +aS'q.\tq.\tNN\tI-NP\tO' +p287939 +aS'day\tday\tNN\tI-NP\tO' +p287940 +aS'.\t.\t.\tO\tO' +p287941 +asS'She was started on zonegran at 50 mg daily with plans to increase by 50 mg every other week to a goal dose of 200 mg / day ; she was on 100 mg daily at discharge and should have her dose increased on 10-12 and again on 10-26 .' +p287942 +(lp287943 +S'She\tShe\tPRP\tB-NP\tO' +p287944 +aS'was\tbe\tVBD\tB-VP\tO' +p287945 +aS'started\tstart\tVBN\tI-VP\tO' +p287946 +aS'on\ton\tIN\tB-PP\tO' +p287947 +aS'zonegran\tzonegran\tNN\tB-NP\tO' +p287948 +aS'at\tat\tIN\tB-PP\tO' +p287949 +aS'50\t50\tCD\tB-NP\tO' +p287950 +aS'mg\tmg\tNN\tI-NP\tO' +p287951 +aS'daily\tdaily\tRB\tB-ADVP\tO' +p287952 +aS'with\twith\tIN\tB-PP\tO' +p287953 +aS'plans\tplan\tNNS\tB-NP\tO' +p287954 +aS'to\tto\tTO\tB-VP\tO' +p287955 +aS'increase\tincrease\tVB\tI-VP\tO' +p287956 +aS'by\tby\tIN\tB-PP\tO' +p287957 +aS'50\t50\tCD\tB-NP\tO' +p287958 +aS'mg\tmg\tNN\tI-NP\tO' +p287959 +aS'every\tevery\tDT\tB-NP\tO' +p287960 +aS'other\tother\tJJ\tI-NP\tO' +p287961 +aS'week\tweek\tNN\tI-NP\tO' +p287962 +aS'to\tto\tTO\tB-PP\tO' +p287963 +aS'a\ta\tDT\tB-NP\tO' +p287964 +aS'goal\tgoal\tNN\tI-NP\tO' +p287965 +aS'dose\tdose\tNN\tI-NP\tO' +p287966 +aS'of\tof\tIN\tB-PP\tO' +p287967 +aS'200\t200\tCD\tB-NP\tO' +p287968 +aS'mg\tmg\tNN\tI-NP\tO' +p287969 +aS'/\t/\tSYM\tB-NP\tO' +p287970 +aS'day\tday\tNN\tI-NP\tO' +p287971 +aS';\t;\t:\tO\tO' +p287972 +aS'she\tshe\tPRP\tB-NP\tO' +p287973 +aS'was\tbe\tVBD\tB-VP\tO' +p287974 +aS'on\ton\tIN\tB-PP\tO' +p287975 +aS'100\t100\tCD\tB-NP\tO' +p287976 +aS'mg\tmg\tNN\tI-NP\tO' +p287977 +aS'daily\tdaily\tRB\tB-ADVP\tO' +p287978 +aS'at\tat\tIN\tB-PP\tO' +p287979 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p287980 +aS'and\tand\tCC\tO\tO' +p287981 +aS'should\tshould\tMD\tB-VP\tO' +p287982 +aS'have\thave\tVB\tI-VP\tO' +p287983 +aS'her\ther\tPRP$\tB-NP\tO' +p287984 +aS'dose\tdose\tNN\tI-NP\tO' +p287985 +aS'increased\tincrease\tVBD\tB-VP\tO' +p287986 +aS'on\ton\tIN\tB-PP\tO' +p287987 +aS'10-12\t10-12\tCD\tB-NP\tO' +p287988 +aS'and\tand\tCC\tB-PP\tO' +p287989 +aS'again\tagain\tRB\tB-ADVP\tO' +p287990 +aS'on\ton\tIN\tB-PP\tO' +p287991 +aS'10-26\t10-26\tCD\tB-NP\tO' +p287992 +aS'.\t.\t.\tO\tO' +p287993 +asS'Coronary exam is regular rate and rhythm .' +p287994 +(lp287995 +S'Coronary\tCoronary\tJJ\tB-NP\tO' +p287996 +aS'exam\texam\tNN\tI-NP\tO' +p287997 +aS'is\tbe\tVBZ\tB-VP\tO' +p287998 +aS'regular\tregular\tJJ\tB-NP\tO' +p287999 +aS'rate\trate\tNN\tI-NP\tO' +p288000 +aS'and\tand\tCC\tI-NP\tO' +p288001 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p288002 +aS'.\t.\t.\tO\tO' +p288003 +asS'# Squamous Cell Cancer - unknown primary .' +p288004 +(lp288005 +S'#\t#\t#\tB-NP\tO' +p288006 +aS'Squamous\tSquamous\tNNP\tI-NP\tO' +p288007 +aS'Cell\tCell\tNNP\tI-NP\tO' +p288008 +aS'Cancer\tCancer\tNNP\tI-NP\tO' +p288009 +aS'-\t-\tHYPH\tB-NP\tO' +p288010 +aS'unknown\tunknown\tJJ\tI-NP\tO' +p288011 +aS'primary\tprimary\tNN\tI-NP\tO' +p288012 +aS'.\t.\t.\tO\tO' +p288013 +asS'Although she had mediastinal recurrence , bone scan , head and liver CT were negative for metastatic disease .' +p288014 +(lp288015 +S'Although\tAlthough\tIN\tB-SBAR\tO' +p288016 +aS'she\tshe\tPRP\tB-NP\tO' +p288017 +aS'had\thave\tVBD\tB-VP\tO' +p288018 +aS'mediastinal\tmediastinal\tJJ\tB-NP\tO' +p288019 +aS'recurrence\trecurrence\tNN\tI-NP\tO' +p288020 +aS',\t,\t,\tO\tO' +p288021 +aS'bone\tbone\tNN\tB-NP\tO' +p288022 +aS'scan\tscan\tNN\tI-NP\tO' +p288023 +aS',\t,\t,\tO\tO' +p288024 +aS'head\thead\tNN\tB-NP\tO' +p288025 +aS'and\tand\tCC\tO\tO' +p288026 +aS'liver\tliver\tNN\tB-NP\tO' +p288027 +aS'CT\tCT\tNN\tI-NP\tO' +p288028 +aS'were\tbe\tVBD\tB-VP\tO' +p288029 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p288030 +aS'for\tfor\tIN\tB-PP\tO' +p288031 +aS'metastatic\tmetastatic\tJJ\tB-NP\tO' +p288032 +aS'disease\tdisease\tNN\tI-NP\tO' +p288033 +aS'.\t.\t.\tO\tO' +p288034 +asS'He tolerated the procedure well , was taken to the floor in stable condition .' +p288035 +(lp288036 +S'He\tHe\tPRP\tB-NP\tO' +p288037 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p288038 +aS'the\tthe\tDT\tB-NP\tO' +p288039 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p288040 +aS'well\twell\tRB\tB-ADVP\tO' +p288041 +aS',\t,\t,\tO\tO' +p288042 +aS'was\tbe\tVBD\tB-VP\tO' +p288043 +aS'taken\ttake\tVBN\tI-VP\tO' +p288044 +aS'to\tto\tTO\tB-PP\tO' +p288045 +aS'the\tthe\tDT\tB-NP\tO' +p288046 +aS'floor\tfloor\tNN\tI-NP\tO' +p288047 +aS'in\tin\tIN\tB-PP\tO' +p288048 +aS'stable\tstable\tJJ\tB-NP\tO' +p288049 +aS'condition\tcondition\tNN\tI-NP\tO' +p288050 +aS'.\t.\t.\tO\tO' +p288051 +asS'She then presented to Jordan Hospital Hospital where she was noted to be 5 cm dilated with a transverse lie presentation .' +p288052 +(lp288053 +S'She\tShe\tPRP\tB-NP\tO' +p288054 +aS'then\tthen\tRB\tB-ADVP\tO' +p288055 +aS'presented\tpresent\tVBD\tB-VP\tO' +p288056 +aS'to\tto\tTO\tB-PP\tO' +p288057 +aS'Jordan\tJordan\tNNP\tB-NP\tO' +p288058 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p288059 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p288060 +aS'where\twhere\tWRB\tB-ADVP\tO' +p288061 +aS'she\tshe\tPRP\tB-NP\tO' +p288062 +aS'was\tbe\tVBD\tB-VP\tO' +p288063 +aS'noted\tnote\tVBN\tI-VP\tO' +p288064 +aS'to\tto\tTO\tI-VP\tO' +p288065 +aS'be\tbe\tVB\tI-VP\tO' +p288066 +aS'5\t5\tCD\tB-NP\tO' +p288067 +aS'cm\tcm\tNN\tI-NP\tO' +p288068 +aS'dilated\tdilate\tVBN\tB-VP\tO' +p288069 +aS'with\twith\tIN\tB-PP\tO' +p288070 +aS'a\ta\tDT\tB-NP\tO' +p288071 +aS'transverse\ttransverse\tJJ\tI-NP\tO' +p288072 +aS'lie\tlie\tNN\tI-NP\tO' +p288073 +aS'presentation\tpresentation\tNN\tI-NP\tO' +p288074 +aS'.\t.\t.\tO\tO' +p288075 +asS'Coronary artery disease requiring surgical intervention' +p288076 +(lp288077 +S'Coronary\tCoronary\tJJ\tB-NP\tO' +p288078 +aS'artery\tartery\tNN\tI-NP\tO' +p288079 +aS'disease\tdisease\tNN\tI-NP\tO' +p288080 +aS'requiring\trequire\tVBG\tB-VP\tO' +p288081 +aS'surgical\tsurgical\tJJ\tB-NP\tO' +p288082 +aS'intervention\tintervention\tNN\tI-NP\tO' +p288083 +asS'2. The mitral valve leaflets are mildly thickened .' +p288084 +(lp288085 +S'2.\t2.\tLS\tB-LST\tO' +p288086 +aS'The\tThe\tDT\tB-NP\tO' +p288087 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p288088 +aS'valve\tvalve\tNN\tI-NP\tO' +p288089 +aS'leaflets\tleaflet\tNNS\tI-NP\tO' +p288090 +aS'are\tbe\tVBP\tB-VP\tO' +p288091 +aS'mildly\tmildly\tRB\tI-VP\tO' +p288092 +aS'thickened\tthicken\tVBN\tI-VP\tO' +p288093 +aS'.\t.\t.\tO\tO' +p288094 +asS'(2) Bilateral cataracts .' +p288095 +(lp288096 +S'(2)\t(2)\tLS\tB-NP\tO' +p288097 +aS'Bilateral\tBilateral\tJJ\tI-NP\tO' +p288098 +aS'cataracts\tcataract\tNNS\tI-NP\tO' +p288099 +aS'.\t.\t.\tO\tO' +p288100 +asS"PEG placement was unsuccessful by GI due to the patient 's anantomy ." +p288101 +(lp288102 +S'PEG\tPEG\tNN\tB-NP\tO' +p288103 +aS'placement\tplacement\tNN\tI-NP\tO' +p288104 +aS'was\tbe\tVBD\tB-VP\tO' +p288105 +aS'unsuccessful\tunsuccessful\tJJ\tB-ADJP\tO' +p288106 +aS'by\tby\tIN\tB-PP\tO' +p288107 +aS'GI\tGI\tNN\tB-NP\tO' +p288108 +aS'due\tdue\tJJ\tB-ADJP\tO' +p288109 +aS'to\tto\tTO\tB-PP\tO' +p288110 +aS'the\tthe\tDT\tB-NP\tO' +p288111 +aS'patient\tpatient\tNN\tI-NP\tO' +p288112 +aS"'s\t's\tPOS\tB-NP\tO" +p288113 +aS'anantomy\tanantomy\tNN\tI-NP\tO' +p288114 +aS'.\t.\t.\tO\tO' +p288115 +asS'Heart was regular with no murmurs , rubs , or gallops .' +p288116 +(lp288117 +S'Heart\tHeart\tNNP\tB-NP\tO' +p288118 +aS'was\tbe\tVBD\tB-VP\tO' +p288119 +aS'regular\tregular\tJJ\tB-ADJP\tO' +p288120 +aS'with\twith\tIN\tB-PP\tO' +p288121 +aS'no\tno\tDT\tB-NP\tO' +p288122 +aS'murmurs\tmurmur\tNNS\tI-NP\tO' +p288123 +aS',\t,\t,\tO\tO' +p288124 +aS'rubs\trub\tNNS\tB-NP\tO' +p288125 +aS',\t,\t,\tO\tO' +p288126 +aS'or\tor\tCC\tO\tO' +p288127 +aS'gallops\tgallop\tNNS\tB-NP\tO' +p288128 +aS'.\t.\t.\tO\tO' +p288129 +asS'His chemotherapy the week before was decreased because the white blood count dropped to 2.8 .' +p288130 +(lp288131 +S'His\tHis\tPRP$\tB-NP\tO' +p288132 +aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' +p288133 +aS'the\tthe\tDT\tB-NP\tO' +p288134 +aS'week\tweek\tNN\tI-NP\tO' +p288135 +aS'before\tbefore\tIN\tB-SBAR\tO' +p288136 +aS'was\tbe\tVBD\tB-VP\tO' +p288137 +aS'decreased\tdecrease\tVBN\tI-VP\tO' +p288138 +aS'because\tbecause\tIN\tB-SBAR\tO' +p288139 +aS'the\tthe\tDT\tB-NP\tO' +p288140 +aS'white\twhite\tJJ\tI-NP\tO' +p288141 +aS'blood\tblood\tNN\tI-NP\tO' +p288142 +aS'count\tcount\tNN\tI-NP\tO' +p288143 +aS'dropped\tdrop\tVBD\tB-VP\tO' +p288144 +aS'to\tto\tTO\tB-PP\tO' +p288145 +aS'2.8\t2.8\tCD\tB-NP\tO' +p288146 +aS'.\t.\t.\tO\tO' +p288147 +asS'PTT of 38.7 .' +p288148 +(lp288149 +S'PTT\tPTT\tNN\tB-NP\tO' +p288150 +aS'of\tof\tIN\tB-PP\tO' +p288151 +aS'38.7\t38.7\tCD\tB-NP\tO' +p288152 +aS'.\t.\t.\tO\tO' +p288153 +asS'The day prior to discharge , she was nauseated and not taking pos .' +p288154 +(lp288155 +S'The\tThe\tDT\tB-NP\tO' +p288156 +aS'day\tday\tNN\tI-NP\tO' +p288157 +aS'prior\tprior\tRB\tB-ADVP\tO' +p288158 +aS'to\tto\tTO\tB-VP\tO' +p288159 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p288160 +aS',\t,\t,\tO\tO' +p288161 +aS'she\tshe\tPRP\tB-NP\tO' +p288162 +aS'was\tbe\tVBD\tB-VP\tO' +p288163 +aS'nauseated\tnauseate\tVBN\tI-VP\tO' +p288164 +aS'and\tand\tCC\tO\tO' +p288165 +aS'not\tnot\tRB\tB-VP\tO' +p288166 +aS'taking\ttake\tVBG\tI-VP\tO' +p288167 +aS'pos\tpo\tNNS\tB-NP\tO' +p288168 +aS'.\t.\t.\tO\tO' +p288169 +asS'Dictated By : Ervin Y. Nobles , M.D.' +p288170 +(lp288171 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p288172 +aS'By\tBy\tIN\tB-PP\tO' +p288173 +aS':\t:\t:\tO\tO' +p288174 +aS'Ervin\tErvin\tNNP\tB-NP\tO' +p288175 +aS'Y.\tY.\tNNP\tI-NP\tO' +p288176 +aS'Nobles\tNobles\tNNP\tI-NP\tO' +p288177 +aS',\t,\t,\tO\tO' +p288178 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p288179 +asS'11. Tacrolimus 0.5 mg Capsule Sig : Three ( 3 ) Capsule PO twice a day .' +p288180 +(lp288181 +S'11.\t11.\tCD\tB-NP\tO' +p288182 +aS'Tacrolimus\tTacrolimus\tNNP\tI-NP\tO' +p288183 +aS'0.5\t0.5\tCD\tI-NP\tO' +p288184 +aS'mg\tmg\tNN\tI-NP\tO' +p288185 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p288186 +aS'Sig\tSig\tNNP\tI-NP\tO' +p288187 +aS':\t:\t:\tO\tO' +p288188 +aS'Three\tThree\tCD\tB-NP\tO' +p288189 +aS'(\t(\t(\tO\tO' +p288190 +aS'3\t3\tCD\tB-NP\tO' +p288191 +aS')\t)\t)\tO\tO' +p288192 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p288193 +aS'PO\tPO\tNNP\tI-NP\tO' +p288194 +aS'twice\ttwice\tRB\tB-NP\tO' +p288195 +aS'a\ta\tDT\tI-NP\tO' +p288196 +aS'day\tday\tNN\tI-NP\tO' +p288197 +aS'.\t.\t.\tO\tO' +p288198 +asS'Heparin was subsequently DCd once his INR reached a therapeutic level between 2.5-3.5 .' +p288199 +(lp288200 +S'Heparin\tHeparin\tNN\tB-NP\tO' +p288201 +aS'was\tbe\tVBD\tB-VP\tO' +p288202 +aS'subsequently\tsubsequently\tRB\tB-NP\tO' +p288203 +aS'DCd\tDCd\tNN\tI-NP\tO' +p288204 +aS'once\tonce\tRB\tO\tO' +p288205 +aS'his\this\tPRP$\tB-NP\tO' +p288206 +aS'INR\tINR\tNN\tI-NP\tB-protein' +p288207 +aS'reached\treach\tVBD\tB-VP\tO' +p288208 +aS'a\ta\tDT\tB-NP\tO' +p288209 +aS'therapeutic\ttherapeutic\tJJ\tI-NP\tO' +p288210 +aS'level\tlevel\tNN\tI-NP\tO' +p288211 +aS'between\tbetween\tIN\tB-PP\tO' +p288212 +aS'2.5-3.5\t2.5-3.5\tCD\tB-NP\tO' +p288213 +aS'.\t.\t.\tO\tO' +p288214 +asS'4 ) The patient will eventually need a permanent dialysis fistula .' +p288215 +(lp288216 +S'4\t4\tLS\tB-LST\tO' +p288217 +aS')\t)\t)\tO\tO' +p288218 +aS'The\tThe\tDT\tB-NP\tO' +p288219 +aS'patient\tpatient\tNN\tI-NP\tO' +p288220 +aS'will\twill\tMD\tB-VP\tO' +p288221 +aS'eventually\teventually\tRB\tI-VP\tO' +p288222 +aS'need\tneed\tVB\tI-VP\tO' +p288223 +aS'a\ta\tDT\tB-NP\tO' +p288224 +aS'permanent\tpermanent\tJJ\tI-NP\tO' +p288225 +aS'dialysis\tdialysis\tNN\tI-NP\tO' +p288226 +aS'fistula\tfistula\tNN\tI-NP\tO' +p288227 +aS'.\t.\t.\tO\tO' +p288228 +asS'So if it goes much lower than 2 , then we would consider increasing it to perhaps coumadin 2.5 and 5 alternating every other night .' +p288229 +(lp288230 +S'So\tSo\tRB\tO\tO' +p288231 +aS'if\tif\tIN\tB-SBAR\tO' +p288232 +aS'it\tit\tPRP\tB-NP\tO' +p288233 +aS'goes\tgo\tVBZ\tB-VP\tO' +p288234 +aS'much\tmuch\tRB\tB-ADVP\tO' +p288235 +aS'lower\tlow\tJJR\tI-ADVP\tO' +p288236 +aS'than\tthan\tIN\tB-PP\tO' +p288237 +aS'2\t2\tCD\tB-NP\tO' +p288238 +aS',\t,\t,\tO\tO' +p288239 +aS'then\tthen\tRB\tB-ADVP\tO' +p288240 +aS'we\twe\tPRP\tB-NP\tO' +p288241 +aS'would\twould\tMD\tB-VP\tO' +p288242 +aS'consider\tconsider\tVB\tI-VP\tO' +p288243 +aS'increasing\tincrease\tVBG\tI-VP\tO' +p288244 +aS'it\tit\tPRP\tB-NP\tO' +p288245 +aS'to\tto\tTO\tB-VP\tO' +p288246 +aS'perhaps\tperhaps\tRB\tI-VP\tO' +p288247 +aS'coumadin\tcoumadin\tVB\tI-VP\tO' +p288248 +aS'2.5\t2.5\tCD\tB-NP\tO' +p288249 +aS'and\tand\tCC\tI-NP\tO' +p288250 +aS'5\t5\tCD\tI-NP\tO' +p288251 +aS'alternating\talternate\tVBG\tB-VP\tO' +p288252 +aS'every\tevery\tDT\tB-NP\tO' +p288253 +aS'other\tother\tJJ\tI-NP\tO' +p288254 +aS'night\tnight\tNN\tI-NP\tO' +p288255 +aS'.\t.\t.\tO\tO' +p288256 +asS'The patient was given antenatal corticosteroids for fetal lung maturity .' +p288257 +(lp288258 +S'The\tThe\tDT\tB-NP\tO' +p288259 +aS'patient\tpatient\tNN\tI-NP\tO' +p288260 +aS'was\tbe\tVBD\tB-VP\tO' +p288261 +aS'given\tgive\tVBN\tI-VP\tO' +p288262 +aS'antenatal\tantenatal\tJJ\tB-NP\tO' +p288263 +aS'corticosteroids\tcorticosteroid\tNNS\tI-NP\tO' +p288264 +aS'for\tfor\tIN\tB-PP\tO' +p288265 +aS'fetal\tfetal\tJJ\tB-NP\tO' +p288266 +aS'lung\tlung\tNN\tI-NP\tO' +p288267 +aS'maturity\tmaturity\tNN\tI-NP\tO' +p288268 +aS'.\t.\t.\tO\tO' +p288269 +asS'In addition a complete blood count was obtained on admission with a white count of 10.1 with 43 polys and 0 bands .' +p288270 +(lp288271 +S'In\tIn\tIN\tB-PP\tO' +p288272 +aS'addition\taddition\tNN\tB-NP\tO' +p288273 +aS'a\ta\tDT\tB-NP\tO' +p288274 +aS'complete\tcomplete\tJJ\tI-NP\tO' +p288275 +aS'blood\tblood\tNN\tI-NP\tO' +p288276 +aS'count\tcount\tNN\tI-NP\tO' +p288277 +aS'was\tbe\tVBD\tB-VP\tO' +p288278 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p288279 +aS'on\ton\tIN\tB-PP\tO' +p288280 +aS'admission\tadmission\tNN\tB-NP\tO' +p288281 +aS'with\twith\tIN\tB-PP\tO' +p288282 +aS'a\ta\tDT\tB-NP\tO' +p288283 +aS'white\twhite\tJJ\tI-NP\tO' +p288284 +aS'count\tcount\tNN\tI-NP\tO' +p288285 +aS'of\tof\tIN\tB-PP\tO' +p288286 +aS'10.1\t10.1\tCD\tB-NP\tO' +p288287 +aS'with\twith\tIN\tB-PP\tO' +p288288 +aS'43\t43\tCD\tB-NP\tO' +p288289 +aS'polys\tpoly\tNNS\tI-NP\tO' +p288290 +aS'and\tand\tCC\tO\tO' +p288291 +aS'0\t0\tCD\tB-NP\tO' +p288292 +aS'bands\tband\tNNS\tI-NP\tO' +p288293 +aS'.\t.\t.\tO\tO' +p288294 +asS'She John , tolerated a regular diet , and was discharged home in good condition on 12-21 .' +p288295 +(lp288296 +S'She\tShe\tNNP\tB-NP\tO' +p288297 +aS'John\tJohn\tNNP\tI-NP\tO' +p288298 +aS',\t,\t,\tO\tO' +p288299 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p288300 +aS'a\ta\tDT\tB-NP\tO' +p288301 +aS'regular\tregular\tJJ\tI-NP\tO' +p288302 +aS'diet\tdiet\tNN\tI-NP\tO' +p288303 +aS',\t,\t,\tO\tO' +p288304 +aS'and\tand\tCC\tO\tO' +p288305 +aS'was\tbe\tVBD\tB-VP\tO' +p288306 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p288307 +aS'home\thome\tNN\tB-ADVP\tO' +p288308 +aS'in\tin\tIN\tB-PP\tO' +p288309 +aS'good\tgood\tJJ\tB-NP\tO' +p288310 +aS'condition\tcondition\tNN\tI-NP\tO' +p288311 +aS'on\ton\tIN\tB-PP\tO' +p288312 +aS'12-21\t12-21\tNN\tB-NP\tO' +p288313 +aS'.\t.\t.\tO\tO' +p288314 +asS'Palate intact .' +p288315 +(lp288316 +S'Palate\tPalate\tNN\tB-NP\tO' +p288317 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p288318 +aS'.\t.\t.\tO\tO' +p288319 +asS'Please follow-up with your Primary Care doctor Marion Bock as below .' +p288320 +(lp288321 +S'Please\tPlease\tNN\tB-NP\tO' +p288322 +aS'follow-up\tfollow-up\tNN\tI-NP\tO' +p288323 +aS'with\twith\tIN\tB-PP\tO' +p288324 +aS'your\tyour\tPRP$\tB-NP\tO' +p288325 +aS'Primary\tPrimary\tJJ\tI-NP\tO' +p288326 +aS'Care\tCare\tNNP\tI-NP\tO' +p288327 +aS'doctor\tdoctor\tNN\tI-NP\tO' +p288328 +aS'Marion\tMarion\tNNP\tI-NP\tO' +p288329 +aS'Bock\tBock\tNNP\tI-NP\tO' +p288330 +aS'as\tas\tIN\tB-PP\tO' +p288331 +aS'below\tbelow\tRB\tB-ADVP\tO' +p288332 +aS'.\t.\t.\tO\tO' +p288333 +asS'Weight 2.985 kg , 95th percentile; length 48 cm , 85th percentile; head circumference 35 cm , greater than 95th percentile .' +p288334 +(lp288335 +S'Weight\tWeight\tRB\tB-NP\tO' +p288336 +aS'2.985\t2.985\tCD\tI-NP\tO' +p288337 +aS'kg\tkg\tNN\tI-NP\tO' +p288338 +aS',\t,\t,\tO\tO' +p288339 +aS'95th\t95th\tJJ\tB-NP\tO' +p288340 +aS'percentile;\tpercentile;\tNN\tI-NP\tO' +p288341 +aS'length\tlength\tNN\tI-NP\tO' +p288342 +aS'48\t48\tCD\tI-NP\tO' +p288343 +aS'cm\tcm\tNN\tI-NP\tO' +p288344 +aS',\t,\t,\tO\tO' +p288345 +aS'85th\t85th\tJJ\tB-NP\tO' +p288346 +aS'percentile;\tpercentile;\tNN\tI-NP\tO' +p288347 +aS'head\thead\tNN\tI-NP\tO' +p288348 +aS'circumference\tcircumference\tNN\tI-NP\tO' +p288349 +aS'35\t35\tCD\tI-NP\tO' +p288350 +aS'cm\tcm\tNN\tI-NP\tO' +p288351 +aS',\t,\t,\tO\tO' +p288352 +aS'greater\tgreat\tJJR\tB-ADJP\tO' +p288353 +aS'than\tthan\tIN\tB-PP\tO' +p288354 +aS'95th\t95th\tJJ\tB-NP\tO' +p288355 +aS'percentile\tpercentile\tNN\tI-NP\tO' +p288356 +aS'.\t.\t.\tO\tO' +p288357 +asS'The history of this 49 year old male is provided in detail in the typed admission note dated June 30 , 1992 .' +p288358 +(lp288359 +S'The\tThe\tDT\tB-NP\tO' +p288360 +aS'history\thistory\tNN\tI-NP\tO' +p288361 +aS'of\tof\tIN\tB-PP\tO' +p288362 +aS'this\tthis\tDT\tB-NP\tO' +p288363 +aS'49\t49\tCD\tI-NP\tO' +p288364 +aS'year\tyear\tNN\tI-NP\tO' +p288365 +aS'old\told\tJJ\tI-NP\tO' +p288366 +aS'male\tmale\tNN\tI-NP\tO' +p288367 +aS'is\tbe\tVBZ\tB-VP\tO' +p288368 +aS'provided\tprovide\tVBN\tI-VP\tO' +p288369 +aS'in\tin\tIN\tB-PP\tO' +p288370 +aS'detail\tdetail\tNN\tB-NP\tO' +p288371 +aS'in\tin\tIN\tB-PP\tO' +p288372 +aS'the\tthe\tDT\tB-NP\tO' +p288373 +aS'typed\ttype\tVBN\tI-NP\tO' +p288374 +aS'admission\tadmission\tNN\tI-NP\tO' +p288375 +aS'note\tnote\tNN\tI-NP\tO' +p288376 +aS'dated\tdate\tVBN\tB-VP\tO' +p288377 +aS'June\tJune\tNNP\tB-NP\tO' +p288378 +aS'30\t30\tCD\tI-NP\tO' +p288379 +aS',\t,\t,\tI-NP\tO' +p288380 +aS'1992\t1992\tCD\tI-NP\tO' +p288381 +aS'.\t.\t.\tO\tO' +p288382 +asS'SGPT 22 , SGOT 41 , amylase 31 , lipase less than 1 .' +p288383 +(lp288384 +S'SGPT\tSGPT\tNN\tB-NP\tB-protein' +p288385 +aS'22\t22\tCD\tI-NP\tI-protein' +p288386 +aS',\t,\t,\tO\tO' +p288387 +aS'SGOT\tSGOT\tNN\tB-NP\tO' +p288388 +aS'41\t41\tCD\tI-NP\tO' +p288389 +aS',\t,\t,\tO\tO' +p288390 +aS'amylase\tamylase\tNN\tB-NP\tO' +p288391 +aS'31\t31\tCD\tI-NP\tO' +p288392 +aS',\t,\t,\tO\tO' +p288393 +aS'lipase\tlipase\tNN\tB-NP\tO' +p288394 +aS'less\tless\tJJR\tB-ADJP\tO' +p288395 +aS'than\tthan\tIN\tB-PP\tO' +p288396 +aS'1\t1\tCD\tB-NP\tO' +p288397 +aS'.\t.\t.\tO\tO' +p288398 +asS'Heart had a normal S1 and S2 , with no murmurs , gallops or rubs .' +p288399 +(lp288400 +S'Heart\tHeart\tNNP\tB-NP\tO' +p288401 +aS'had\thave\tVBD\tB-VP\tO' +p288402 +aS'a\ta\tDT\tB-NP\tO' +p288403 +aS'normal\tnormal\tJJ\tI-NP\tO' +p288404 +aS'S1\tS1\tNN\tI-NP\tB-protein' +p288405 +aS'and\tand\tCC\tO\tO' +p288406 +aS'S2\tS2\tNN\tB-NP\tB-protein' +p288407 +aS',\t,\t,\tO\tO' +p288408 +aS'with\twith\tIN\tB-PP\tO' +p288409 +aS'no\tno\tDT\tB-NP\tO' +p288410 +aS'murmurs\tmurmur\tNNS\tI-NP\tO' +p288411 +aS',\t,\t,\tI-NP\tO' +p288412 +aS'gallops\tgallop\tNNS\tI-NP\tO' +p288413 +aS'or\tor\tCC\tI-NP\tO' +p288414 +aS'rubs\trub\tNNS\tI-NP\tO' +p288415 +aS'.\t.\t.\tO\tO' +p288416 +asS'No dysarthria or paraphasic errors .' +p288417 +(lp288418 +S'No\tNo\tDT\tB-NP\tO' +p288419 +aS'dysarthria\tdysarthria\tNN\tI-NP\tO' +p288420 +aS'or\tor\tCC\tO\tO' +p288421 +aS'paraphasic\tparaphasic\tJJ\tB-NP\tO' +p288422 +aS'errors\terror\tNNS\tI-NP\tO' +p288423 +aS'.\t.\t.\tO\tO' +p288424 +asS'Of note , the patient is admitted to hospital 3 times every month for similar complaints with last admission 1/20-2/1/07 .' +p288425 +(lp288426 +S'Of\tOf\tIN\tB-PP\tO' +p288427 +aS'note\tnote\tNN\tB-NP\tO' +p288428 +aS',\t,\t,\tO\tO' +p288429 +aS'the\tthe\tDT\tB-NP\tO' +p288430 +aS'patient\tpatient\tNN\tI-NP\tO' +p288431 +aS'is\tbe\tVBZ\tB-VP\tO' +p288432 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p288433 +aS'to\tto\tTO\tB-PP\tO' +p288434 +aS'hospital\thospital\tNN\tB-NP\tO' +p288435 +aS'3\t3\tCD\tB-NP\tO' +p288436 +aS'times\ttime\tNNS\tI-NP\tO' +p288437 +aS'every\tevery\tDT\tB-NP\tO' +p288438 +aS'month\tmonth\tNN\tI-NP\tO' +p288439 +aS'for\tfor\tIN\tB-PP\tO' +p288440 +aS'similar\tsimilar\tJJ\tB-NP\tO' +p288441 +aS'complaints\tcomplaint\tNNS\tI-NP\tO' +p288442 +aS'with\twith\tIN\tB-PP\tO' +p288443 +aS'last\tlast\tJJ\tB-NP\tB-protein' +p288444 +aS'admission\tadmission\tNN\tI-NP\tI-protein' +p288445 +aS'1/20-2/1/07\t1/20-2/1/07\tCD\tI-NP\tI-protein' +p288446 +aS'.\t.\t.\tO\tO' +p288447 +asS'A CT scan with po contrast showed dilation of intrahepatic common bile duct which is improved from previous studies .' +p288448 +(lp288449 +S'A\tA\tDT\tB-NP\tO' +p288450 +aS'CT\tCT\tNN\tI-NP\tO' +p288451 +aS'scan\tscan\tNN\tI-NP\tO' +p288452 +aS'with\twith\tIN\tB-PP\tO' +p288453 +aS'po\tpo\tNN\tB-NP\tO' +p288454 +aS'contrast\tcontrast\tNN\tI-NP\tO' +p288455 +aS'showed\tshow\tVBD\tB-VP\tO' +p288456 +aS'dilation\tdilation\tNN\tB-NP\tO' +p288457 +aS'of\tof\tIN\tB-PP\tO' +p288458 +aS'intrahepatic\tintrahepatic\tJJ\tB-NP\tO' +p288459 +aS'common\tcommon\tJJ\tI-NP\tO' +p288460 +aS'bile\tbile\tNN\tI-NP\tO' +p288461 +aS'duct\tduct\tNN\tI-NP\tO' +p288462 +aS'which\twhich\tWDT\tB-NP\tO' +p288463 +aS'is\tbe\tVBZ\tB-VP\tO' +p288464 +aS'improved\timprove\tVBN\tI-VP\tO' +p288465 +aS'from\tfrom\tIN\tB-PP\tO' +p288466 +aS'previous\tprevious\tJJ\tB-NP\tO' +p288467 +aS'studies\tstudy\tNNS\tI-NP\tO' +p288468 +aS'.\t.\t.\tO\tO' +p288469 +asS'He has a family history of hypertension as well .' +p288470 +(lp288471 +S'He\tHe\tPRP\tB-NP\tO' +p288472 +aS'has\thave\tVBZ\tB-VP\tO' +p288473 +aS'a\ta\tDT\tB-NP\tO' +p288474 +aS'family\tfamily\tNN\tI-NP\tO' +p288475 +aS'history\thistory\tNN\tI-NP\tO' +p288476 +aS'of\tof\tIN\tB-PP\tO' +p288477 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p288478 +aS'as\tas\tRB\tB-ADVP\tO' +p288479 +aS'well\twell\tRB\tI-ADVP\tO' +p288480 +aS'.\t.\t.\tO\tO' +p288481 +asS'Has a history of qualude use since high school , also in remission .' +p288482 +(lp288483 +S'Has\tHas\tIN\tB-PP\tO' +p288484 +aS'a\ta\tDT\tB-NP\tO' +p288485 +aS'history\thistory\tNN\tI-NP\tO' +p288486 +aS'of\tof\tIN\tB-PP\tO' +p288487 +aS'qualude\tqualude\tNN\tB-NP\tO' +p288488 +aS'use\tuse\tNN\tI-NP\tO' +p288489 +aS'since\tsince\tIN\tB-PP\tO' +p288490 +aS'high\thigh\tJJ\tB-NP\tO' +p288491 +aS'school\tschool\tNN\tI-NP\tO' +p288492 +aS',\t,\t,\tO\tO' +p288493 +aS'also\talso\tRB\tB-ADVP\tO' +p288494 +aS'in\tin\tIN\tB-PP\tO' +p288495 +aS'remission\tremission\tNN\tB-NP\tO' +p288496 +aS'.\t.\t.\tO\tO' +p288497 +asS'8. Erythropoietin 10,000 units two times a week Tuesday and Saturday .' +p288498 +(lp288499 +S'8.\t8.\tCD\tB-NP\tO' +p288500 +aS'Erythropoietin\tErythropoietin\tNN\tI-NP\tO' +p288501 +aS'10,000\t10,000\tCD\tB-NP\tO' +p288502 +aS'units\tunit\tNNS\tI-NP\tO' +p288503 +aS'two\ttwo\tCD\tB-NP\tO' +p288504 +aS'times\ttime\tNNS\tI-NP\tO' +p288505 +aS'a\ta\tDT\tB-NP\tO' +p288506 +aS'week\tweek\tNN\tI-NP\tO' +p288507 +aS'Tuesday\tTuesday\tNNP\tB-NP\tO' +p288508 +aS'and\tand\tCC\tO\tO' +p288509 +aS'Saturday\tSaturday\tNNP\tB-NP\tO' +p288510 +aS'.\t.\t.\tO\tO' +p288511 +asS'His head was normocephalic , atraumatic .' +p288512 +(lp288513 +S'His\tHis\tPRP$\tB-NP\tO' +p288514 +aS'head\thead\tNN\tI-NP\tO' +p288515 +aS'was\tbe\tVBD\tB-VP\tO' +p288516 +aS'normocephalic\tnormocephalic\tJJ\tB-ADJP\tO' +p288517 +aS',\t,\t,\tO\tO' +p288518 +aS'atraumatic\tatraumatic\tJJ\tB-ADJP\tO' +p288519 +aS'.\t.\t.\tO\tO' +p288520 +asS'2. Fusion at L3-L4 .' +p288521 +(lp288522 +S'2.\t2.\tLS\tB-NP\tO' +p288523 +aS'Fusion\tFusion\tNN\tI-NP\tO' +p288524 +aS'at\tat\tIN\tB-PP\tO' +p288525 +aS'L3-L4\tL3-L4\tNN\tB-NP\tB-DNA' +p288526 +aS'.\t.\t.\tO\tO' +p288527 +asS'Bilateral lower lobe consolidations mostly in dependent portion , with small pleural effusion and diffuse ground-glass opacity in bilateral upper and lower lobes , consistent with ARDS with pulmonary edema given the history .' +p288528 +(lp288529 +S'Bilateral\tBilateral\tJJ\tB-NP\tO' +p288530 +aS'lower\tlow\tJJR\tI-NP\tO' +p288531 +aS'lobe\tlobe\tNN\tI-NP\tO' +p288532 +aS'consolidations\tconsolidation\tNNS\tI-NP\tO' +p288533 +aS'mostly\tmostly\tRB\tB-ADVP\tO' +p288534 +aS'in\tin\tIN\tB-PP\tO' +p288535 +aS'dependent\tdependent\tJJ\tB-NP\tO' +p288536 +aS'portion\tportion\tNN\tI-NP\tO' +p288537 +aS',\t,\t,\tO\tO' +p288538 +aS'with\twith\tIN\tB-PP\tO' +p288539 +aS'small\tsmall\tJJ\tB-NP\tO' +p288540 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p288541 +aS'effusion\teffusion\tNN\tI-NP\tO' +p288542 +aS'and\tand\tCC\tI-NP\tO' +p288543 +aS'diffuse\tdiffuse\tJJ\tI-NP\tO' +p288544 +aS'ground-glass\tground-glass\tJJ\tI-NP\tO' +p288545 +aS'opacity\topacity\tNN\tI-NP\tO' +p288546 +aS'in\tin\tIN\tB-PP\tO' +p288547 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p288548 +aS'upper\tupper\tJJ\tI-NP\tO' +p288549 +aS'and\tand\tCC\tI-NP\tO' +p288550 +aS'lower\tlow\tJJR\tI-NP\tO' +p288551 +aS'lobes\tlobe\tNNS\tI-NP\tO' +p288552 +aS',\t,\t,\tO\tO' +p288553 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p288554 +aS'with\twith\tIN\tB-PP\tO' +p288555 +aS'ARDS\tARDS\tNN\tB-NP\tO' +p288556 +aS'with\twith\tIN\tB-PP\tO' +p288557 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p288558 +aS'edema\tedema\tNN\tI-NP\tO' +p288559 +aS'given\tgive\tVBN\tB-PP\tO' +p288560 +aS'the\tthe\tDT\tB-NP\tO' +p288561 +aS'history\thistory\tNN\tI-NP\tO' +p288562 +aS'.\t.\t.\tO\tO' +p288563 +asS'Large left middle cerebral artery stroke along with posterior cerebral artery strokes bilaterally .' +p288564 +(lp288565 +S'Large\tLarge\tJJ\tB-NP\tO' +p288566 +aS'left\tleft\tJJ\tI-NP\tO' +p288567 +aS'middle\tmiddle\tJJ\tI-NP\tO' +p288568 +aS'cerebral\tcerebral\tJJ\tI-NP\tO' +p288569 +aS'artery\tartery\tNN\tI-NP\tO' +p288570 +aS'stroke\tstroke\tVBD\tB-VP\tO' +p288571 +aS'along\talong\tIN\tB-PP\tO' +p288572 +aS'with\twith\tIN\tB-PP\tO' +p288573 +aS'posterior\tposterior\tJJ\tB-NP\tO' +p288574 +aS'cerebral\tcerebral\tJJ\tI-NP\tO' +p288575 +aS'artery\tartery\tNN\tI-NP\tO' +p288576 +aS'strokes\tstroke\tVBZ\tB-VP\tO' +p288577 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p288578 +aS'.\t.\t.\tO\tO' +p288579 +asS'1. Coronary angiography demonstrated single vessel disease in a right dominant system .' +p288580 +(lp288581 +S'1.\t1.\tLS\tB-NP\tO' +p288582 +aS'Coronary\tCoronary\tJJ\tI-NP\tO' +p288583 +aS'angiography\tangiography\tNN\tI-NP\tO' +p288584 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p288585 +aS'single\tsingle\tJJ\tB-NP\tO' +p288586 +aS'vessel\tvessel\tNN\tI-NP\tO' +p288587 +aS'disease\tdisease\tNN\tI-NP\tO' +p288588 +aS'in\tin\tIN\tB-PP\tO' +p288589 +aS'a\ta\tDT\tB-NP\tO' +p288590 +aS'right\tright\tJJ\tI-NP\tO' +p288591 +aS'dominant\tdominant\tJJ\tI-NP\tO' +p288592 +aS'system\tsystem\tNN\tI-NP\tO' +p288593 +aS'.\t.\t.\tO\tO' +p288594 +asS'Throughout admission , hematemesis flow decreased while on PPI and clear liquids .' +p288595 +(lp288596 +S'Throughout\tThroughout\tIN\tB-PP\tO' +p288597 +aS'admission\tadmission\tNN\tB-NP\tO' +p288598 +aS',\t,\t,\tO\tO' +p288599 +aS'hematemesis\thematemesis\tNN\tB-NP\tO' +p288600 +aS'flow\tflow\tNN\tI-NP\tO' +p288601 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p288602 +aS'while\twhile\tIN\tB-SBAR\tO' +p288603 +aS'on\ton\tIN\tB-PP\tO' +p288604 +aS'PPI\tPPI\tNN\tB-NP\tB-protein' +p288605 +aS'and\tand\tCC\tO\tO' +p288606 +aS'clear\tclear\tJJ\tB-NP\tO' +p288607 +aS'liquids\tliquid\tNNS\tI-NP\tO' +p288608 +aS'.\t.\t.\tO\tO' +p288609 +asS'2+ edema both upper extremities , sacral edema .' +p288610 +(lp288611 +S'2+\t2+\tJJ\tB-NP\tO' +p288612 +aS'edema\tedema\tNN\tI-NP\tO' +p288613 +aS'both\tboth\tCC\tO\tO' +p288614 +aS'upper\tupper\tJJ\tB-NP\tO' +p288615 +aS'extremities\textremity\tNNS\tI-NP\tO' +p288616 +aS',\t,\t,\tO\tO' +p288617 +aS'sacral\tsacral\tJJ\tB-NP\tO' +p288618 +aS'edema\tedema\tNN\tI-NP\tO' +p288619 +aS'.\t.\t.\tO\tO' +p288620 +asS'sodium 135 , potassium 4.1 , chloride 101 , C02 28.4 , BUN 17 , creatinine 1.0 , glucose 302 , calcium 8.6 , phosphorus 2.5 , magnesium 1.6 , total protein 6.7 , albumin 3.3 , globulin 3.4 , uric acid 6.3 , totalbilirubin .7 , alkaline phosphatase 93 , SGOT 20 , LDH 258 , CPK 95 , whiteblood count 15.3 , hematocrit 49.7 , platelet count 159 , MCV 98 .' +p288621 +(lp288622 +S'sodium\tsodium\tNN\tB-NP\tO' +p288623 +aS'135\t135\tCD\tI-NP\tO' +p288624 +aS',\t,\t,\tO\tO' +p288625 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p288626 +aS'4.1\t4.1\tCD\tI-NP\tO' +p288627 +aS',\t,\t,\tO\tO' +p288628 +aS'chloride\tchloride\tNN\tB-NP\tO' +p288629 +aS'101\t101\tCD\tI-NP\tO' +p288630 +aS',\t,\t,\tO\tO' +p288631 +aS'C02\tC02\tNN\tB-NP\tB-protein' +p288632 +aS'28.4\t28.4\tCD\tI-NP\tI-protein' +p288633 +aS',\t,\t,\tO\tO' +p288634 +aS'BUN\tBUN\tNN\tB-NP\tB-DNA' +p288635 +aS'17\t17\tCD\tI-NP\tI-DNA' +p288636 +aS',\t,\t,\tO\tO' +p288637 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p288638 +aS'1.0\t1.0\tCD\tI-NP\tO' +p288639 +aS',\t,\t,\tO\tO' +p288640 +aS'glucose\tglucose\tNN\tB-NP\tO' +p288641 +aS'302\t302\tCD\tI-NP\tO' +p288642 +aS',\t,\t,\tO\tO' +p288643 +aS'calcium\tcalcium\tNN\tB-NP\tO' +p288644 +aS'8.6\t8.6\tCD\tI-NP\tO' +p288645 +aS',\t,\t,\tO\tO' +p288646 +aS'phosphorus\tphosphorus\tNN\tB-NP\tO' +p288647 +aS'2.5\t2.5\tCD\tI-NP\tO' +p288648 +aS',\t,\t,\tO\tO' +p288649 +aS'magnesium\tmagnesium\tNN\tB-NP\tO' +p288650 +aS'1.6\t1.6\tCD\tI-NP\tO' +p288651 +aS',\t,\t,\tO\tO' +p288652 +aS'total\ttotal\tJJ\tB-NP\tO' +p288653 +aS'protein\tprotein\tNN\tI-NP\tO' +p288654 +aS'6.7\t6.7\tCD\tI-NP\tO' +p288655 +aS',\t,\t,\tO\tO' +p288656 +aS'albumin\talbumin\tNN\tB-NP\tB-protein' +p288657 +aS'3.3\t3.3\tCD\tI-NP\tI-protein' +p288658 +aS',\t,\t,\tO\tO' +p288659 +aS'globulin\tglobulin\tNN\tB-NP\tB-protein' +p288660 +aS'3.4\t3.4\tCD\tI-NP\tI-protein' +p288661 +aS',\t,\t,\tO\tO' +p288662 +aS'uric\turic\tJJ\tB-NP\tO' +p288663 +aS'acid\tacid\tNN\tI-NP\tO' +p288664 +aS'6.3\t6.3\tCD\tI-NP\tO' +p288665 +aS',\t,\t,\tO\tO' +p288666 +aS'totalbilirubin\ttotalbilirubin\tNN\tB-NP\tO' +p288667 +aS'.7\t.7\tCD\tI-NP\tO' +p288668 +aS',\t,\t,\tO\tO' +p288669 +aS'alkaline\talkaline\tNN\tB-NP\tO' +p288670 +aS'phosphatase\tphosphatase\tNN\tI-NP\tO' +p288671 +aS'93\t93\tCD\tI-NP\tO' +p288672 +aS',\t,\t,\tO\tO' +p288673 +aS'SGOT\tSGOT\tNN\tB-NP\tO' +p288674 +aS'20\t20\tCD\tI-NP\tO' +p288675 +aS',\t,\t,\tO\tO' +p288676 +aS'LDH\tLDH\tNN\tB-NP\tB-protein' +p288677 +aS'258\t258\tCD\tI-NP\tI-protein' +p288678 +aS',\t,\t,\tO\tO' +p288679 +aS'CPK\tCPK\tNN\tB-NP\tB-DNA' +p288680 +aS'95\t95\tCD\tI-NP\tI-DNA' +p288681 +aS',\t,\t,\tO\tO' +p288682 +aS'whiteblood\twhiteblood\tNN\tB-NP\tO' +p288683 +aS'count\tcount\tNN\tI-NP\tO' +p288684 +aS'15.3\t15.3\tNN\tI-NP\tO' +p288685 +aS',\t,\t,\tO\tO' +p288686 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p288687 +aS'49.7\t49.7\tCD\tI-NP\tI-protein' +p288688 +aS',\t,\t,\tO\tO' +p288689 +aS'platelet\tplatelet\tNN\tB-NP\tB-protein' +p288690 +aS'count\tcount\tNN\tI-NP\tI-protein' +p288691 +aS'159\t159\tCD\tI-NP\tI-protein' +p288692 +aS',\t,\t,\tO\tO' +p288693 +aS'MCV\tMCV\tNN\tB-NP\tB-DNA' +p288694 +aS'98\t98\tCD\tI-NP\tI-DNA' +p288695 +aS'.\t.\t.\tO\tO' +p288696 +asS'5. Levaquin 500 mg per day to be continued until 4/12/99 .' +p288697 +(lp288698 +S'5.\t5.\tLS\tB-LST\tO' +p288699 +aS'Levaquin\tLevaquin\tNNP\tB-NP\tO' +p288700 +aS'500\t500\tCD\tI-NP\tO' +p288701 +aS'mg\tmg\tNN\tI-NP\tO' +p288702 +aS'per\tper\tIN\tB-PP\tO' +p288703 +aS'day\tday\tNN\tB-NP\tO' +p288704 +aS'to\tto\tTO\tB-VP\tO' +p288705 +aS'be\tbe\tVB\tI-VP\tO' +p288706 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p288707 +aS'until\tuntil\tIN\tB-PP\tO' +p288708 +aS'4/12/99\t4/12/99\tCD\tB-NP\tO' +p288709 +aS'.\t.\t.\tO\tO' +p288710 +asS'The cuff on his tracheostomy tube was put down on 11-23 , postoperative day two which he tolerated well with minimal secretions and a strong adequate cough .' +p288711 +(lp288712 +S'The\tThe\tDT\tB-NP\tO' +p288713 +aS'cuff\tcuff\tNN\tI-NP\tO' +p288714 +aS'on\ton\tIN\tB-PP\tO' +p288715 +aS'his\this\tPRP$\tB-NP\tO' +p288716 +aS'tracheostomy\ttracheostomy\tNN\tI-NP\tO' +p288717 +aS'tube\ttube\tNN\tI-NP\tO' +p288718 +aS'was\tbe\tVBD\tB-VP\tO' +p288719 +aS'put\tput\tVBN\tI-VP\tO' +p288720 +aS'down\tdown\tRP\tB-PRT\tO' +p288721 +aS'on\ton\tIN\tB-PP\tO' +p288722 +aS'11-23\t11-23\tCD\tB-NP\tO' +p288723 +aS',\t,\t,\tO\tO' +p288724 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p288725 +aS'day\tday\tNN\tI-NP\tO' +p288726 +aS'two\ttwo\tCD\tB-NP\tO' +p288727 +aS'which\twhich\tWDT\tB-NP\tO' +p288728 +aS'he\the\tPRP\tB-NP\tO' +p288729 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p288730 +aS'well\twell\tRB\tB-ADVP\tO' +p288731 +aS'with\twith\tIN\tB-PP\tO' +p288732 +aS'minimal\tminimal\tJJ\tB-NP\tO' +p288733 +aS'secretions\tsecretion\tNNS\tI-NP\tO' +p288734 +aS'and\tand\tCC\tO\tO' +p288735 +aS'a\ta\tDT\tB-NP\tO' +p288736 +aS'strong\tstrong\tJJ\tI-NP\tO' +p288737 +aS'adequate\tadequate\tJJ\tI-NP\tO' +p288738 +aS'cough\tcough\tNN\tI-NP\tO' +p288739 +aS'.\t.\t.\tO\tO' +p288740 +asS'Angioectasias in the proximal jejunum and mid jejunum' +p288741 +(lp288742 +S'Angioectasias\tAngioectasia\tNNS\tB-NP\tO' +p288743 +aS'in\tin\tIN\tB-PP\tO' +p288744 +aS'the\tthe\tDT\tB-NP\tO' +p288745 +aS'proximal\tproximal\tJJ\tI-NP\tO' +p288746 +aS'jejunum\tjejunum\tNN\tI-NP\tO' +p288747 +aS'and\tand\tCC\tI-NP\tO' +p288748 +aS'mid\tmid\tNN\tI-NP\tO' +p288749 +aS'jejunum\tjejunum\tNN\tI-NP\tO' +p288750 +asS'Patient struggled with GVHD , with extensive skin involvement , taking Cellcept , prednisone and cyclosporine at time of last admission .' +p288751 +(lp288752 +S'Patient\tPatient\tNN\tB-NP\tO' +p288753 +aS'struggled\tstruggle\tVBD\tB-VP\tO' +p288754 +aS'with\twith\tIN\tB-PP\tO' +p288755 +aS'GVHD\tGVHD\tNN\tB-NP\tO' +p288756 +aS',\t,\t,\tO\tO' +p288757 +aS'with\twith\tIN\tB-PP\tO' +p288758 +aS'extensive\textensive\tJJ\tB-NP\tO' +p288759 +aS'skin\tskin\tNN\tI-NP\tO' +p288760 +aS'involvement\tinvolvement\tNN\tI-NP\tO' +p288761 +aS',\t,\t,\tO\tO' +p288762 +aS'taking\ttake\tVBG\tB-VP\tO' +p288763 +aS'Cellcept\tCellcept\tNN\tB-NP\tO' +p288764 +aS',\t,\t,\tI-NP\tO' +p288765 +aS'prednisone\tprednisone\tNN\tI-NP\tO' +p288766 +aS'and\tand\tCC\tI-NP\tO' +p288767 +aS'cyclosporine\tcyclosporine\tNN\tI-NP\tO' +p288768 +aS'at\tat\tIN\tB-PP\tO' +p288769 +aS'time\ttime\tNN\tB-NP\tO' +p288770 +aS'of\tof\tIN\tB-PP\tO' +p288771 +aS'last\tlast\tJJ\tB-NP\tO' +p288772 +aS'admission\tadmission\tNN\tI-NP\tO' +p288773 +aS'.\t.\t.\tO\tO' +p288774 +asS'Sigmoidoscopy .' +p288775 +(lp288776 +S'Sigmoidoscopy\tSigmoidoscopy\tNN\tB-NP\tO' +p288777 +aS'.\t.\t.\tO\tO' +p288778 +asS'The patient was in her usual state of health until she experienced the onset of abdominal pain in early 1992 .' +p288779 +(lp288780 +S'The\tThe\tDT\tB-NP\tO' +p288781 +aS'patient\tpatient\tNN\tI-NP\tO' +p288782 +aS'was\tbe\tVBD\tB-VP\tO' +p288783 +aS'in\tin\tIN\tB-PP\tO' +p288784 +aS'her\ther\tPRP$\tB-NP\tO' +p288785 +aS'usual\tusual\tJJ\tI-NP\tO' +p288786 +aS'state\tstate\tNN\tI-NP\tO' +p288787 +aS'of\tof\tIN\tB-PP\tO' +p288788 +aS'health\thealth\tNN\tB-NP\tO' +p288789 +aS'until\tuntil\tIN\tB-SBAR\tO' +p288790 +aS'she\tshe\tPRP\tB-NP\tO' +p288791 +aS'experienced\texperience\tVBD\tB-VP\tO' +p288792 +aS'the\tthe\tDT\tB-NP\tO' +p288793 +aS'onset\tonset\tNN\tI-NP\tO' +p288794 +aS'of\tof\tIN\tB-PP\tO' +p288795 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p288796 +aS'pain\tpain\tNN\tI-NP\tO' +p288797 +aS'in\tin\tIN\tB-PP\tO' +p288798 +aS'early\tearly\tJJ\tB-NP\tO' +p288799 +aS'1992\t1992\tCD\tI-NP\tO' +p288800 +aS'.\t.\t.\tO\tO' +p288801 +asS'Vetrano probably does not need Synagis at least until her sibling is discharged from the hospital .' +p288802 +(lp288803 +S'Vetrano\tVetrano\tNNP\tB-NP\tO' +p288804 +aS'probably\tprobably\tRB\tB-ADVP\tO' +p288805 +aS'does\tdo\tVBZ\tB-VP\tO' +p288806 +aS'not\tnot\tRB\tI-VP\tO' +p288807 +aS'need\tneed\tVB\tI-VP\tO' +p288808 +aS'Synagis\tSynagis\tNNP\tB-NP\tO' +p288809 +aS'at\tat\tIN\tB-ADVP\tO' +p288810 +aS'least\tleast\tJJS\tI-ADVP\tO' +p288811 +aS'until\tuntil\tIN\tB-PP\tO' +p288812 +aS'her\ther\tPRP$\tB-NP\tO' +p288813 +aS'sibling\tsibling\tNN\tI-NP\tO' +p288814 +aS'is\tbe\tVBZ\tB-VP\tO' +p288815 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p288816 +aS'from\tfrom\tIN\tB-PP\tO' +p288817 +aS'the\tthe\tDT\tB-NP\tO' +p288818 +aS'hospital\thospital\tNN\tI-NP\tO' +p288819 +aS'.\t.\t.\tO\tO' +p288820 +asS'Recieved nebulizer treatments post-op in the ICU , after successfully extubated .' +p288821 +(lp288822 +S'Recieved\tRecieve\tVBN\tB-NP\tO' +p288823 +aS'nebulizer\tnebulizer\tNN\tI-NP\tO' +p288824 +aS'treatments\ttreatment\tNNS\tI-NP\tO' +p288825 +aS'post-op\tpost-op\tJJ\tB-ADJP\tO' +p288826 +aS'in\tin\tIN\tB-PP\tO' +p288827 +aS'the\tthe\tDT\tB-NP\tO' +p288828 +aS'ICU\tICU\tNN\tI-NP\tB-DNA' +p288829 +aS',\t,\t,\tO\tO' +p288830 +aS'after\tafter\tIN\tB-SBAR\tO' +p288831 +aS'successfully\tsuccessfully\tRB\tB-ADVP\tO' +p288832 +aS'extubated\textubate\tVBN\tB-VP\tO' +p288833 +aS'.\t.\t.\tO\tO' +p288834 +asS'Dictated By : Julia Q Mcafee , M.D.' +p288835 +(lp288836 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p288837 +aS'By\tBy\tIN\tB-PP\tO' +p288838 +aS':\t:\t:\tO\tO' +p288839 +aS'Julia\tJulia\tNNP\tB-NP\tO' +p288840 +aS'Q\tQ\tNNP\tI-NP\tO' +p288841 +aS'Mcafee\tMcafee\tNNP\tI-NP\tO' +p288842 +aS',\t,\t,\tO\tO' +p288843 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p288844 +asS'5. Dulcolax 10 to 20 mg PR b.i.d. p.r.n. constipation .' +p288845 +(lp288846 +S'5.\t5.\tLS\tB-NP\tO' +p288847 +aS'Dulcolax\tDulcolax\tNN\tI-NP\tO' +p288848 +aS'10\t10\tCD\tB-NP\tO' +p288849 +aS'to\tto\tTO\tI-NP\tO' +p288850 +aS'20\t20\tCD\tI-NP\tO' +p288851 +aS'mg\tmg\tNN\tI-NP\tO' +p288852 +aS'PR\tPR\tNN\tI-NP\tO' +p288853 +aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' +p288854 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p288855 +aS'constipation\tconstipation\tNN\tI-NP\tO' +p288856 +aS'.\t.\t.\tO\tO' +p288857 +asS'She described this episode as an uncomfortable feeling in her chest .' +p288858 +(lp288859 +S'She\tShe\tPRP\tB-NP\tO' +p288860 +aS'described\tdescribe\tVBD\tB-VP\tO' +p288861 +aS'this\tthis\tDT\tB-NP\tO' +p288862 +aS'episode\tepisode\tNN\tI-NP\tO' +p288863 +aS'as\tas\tIN\tB-PP\tO' +p288864 +aS'an\tan\tDT\tB-NP\tO' +p288865 +aS'uncomfortable\tuncomfortable\tJJ\tI-NP\tO' +p288866 +aS'feeling\tfeeling\tNN\tI-NP\tO' +p288867 +aS'in\tin\tIN\tB-PP\tO' +p288868 +aS'her\ther\tPRP$\tB-NP\tO' +p288869 +aS'chest\tchest\tNN\tI-NP\tO' +p288870 +aS'.\t.\t.\tO\tO' +p288871 +asS'Infrarenal abdominal aortic aneurysm .' +p288872 +(lp288873 +S'Infrarenal\tInfrarenal\tJJ\tB-NP\tO' +p288874 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p288875 +aS'aortic\taortic\tJJ\tI-NP\tO' +p288876 +aS'aneurysm\taneurysm\tNN\tI-NP\tO' +p288877 +aS'.\t.\t.\tO\tO' +p288878 +asS'She has a questionable sensitivity to iodine .' +p288879 +(lp288880 +S'She\tShe\tPRP\tB-NP\tO' +p288881 +aS'has\thave\tVBZ\tB-VP\tO' +p288882 +aS'a\ta\tDT\tB-NP\tO' +p288883 +aS'questionable\tquestionable\tJJ\tI-NP\tO' +p288884 +aS'sensitivity\tsensitivity\tNN\tI-NP\tO' +p288885 +aS'to\tto\tTO\tB-PP\tO' +p288886 +aS'iodine\tiodine\tNN\tB-NP\tO' +p288887 +aS'.\t.\t.\tO\tO' +p288888 +asS'3. Right proximal humeral fracture status post fixation .' +p288889 +(lp288890 +S'3.\t3.\tLS\tB-NP\tO' +p288891 +aS'Right\tRight\tNN\tI-NP\tO' +p288892 +aS'proximal\tproximal\tJJ\tI-NP\tO' +p288893 +aS'humeral\thumeral\tJJ\tI-NP\tO' +p288894 +aS'fracture\tfracture\tNN\tI-NP\tO' +p288895 +aS'status\tstatus\tNN\tI-NP\tO' +p288896 +aS'post\tpost\tNN\tI-NP\tO' +p288897 +aS'fixation\tfixation\tNN\tI-NP\tO' +p288898 +aS'.\t.\t.\tO\tO' +p288899 +asS'The patient did well in the postoperative period .' +p288900 +(lp288901 +S'The\tThe\tDT\tB-NP\tO' +p288902 +aS'patient\tpatient\tNN\tI-NP\tO' +p288903 +aS'did\tdo\tVBD\tB-VP\tO' +p288904 +aS'well\twell\tRB\tB-ADVP\tO' +p288905 +aS'in\tin\tIN\tB-PP\tO' +p288906 +aS'the\tthe\tDT\tB-NP\tO' +p288907 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p288908 +aS'period\tperiod\tNN\tI-NP\tO' +p288909 +aS'.\t.\t.\tO\tO' +p288910 +asS'# Lung Cancer - patient currently with no evidence of disease .' +p288911 +(lp288912 +S'#\t#\t#\tB-NP\tO' +p288913 +aS'Lung\tLung\tNNP\tI-NP\tO' +p288914 +aS'Cancer\tCancer\tNNP\tI-NP\tO' +p288915 +aS'-\t-\tHYPH\tB-NP\tO' +p288916 +aS'patient\tpatient\tNN\tI-NP\tO' +p288917 +aS'currently\tcurrently\tRB\tB-ADVP\tO' +p288918 +aS'with\twith\tIN\tB-PP\tO' +p288919 +aS'no\tno\tDT\tB-NP\tO' +p288920 +aS'evidence\tevidence\tNN\tI-NP\tO' +p288921 +aS'of\tof\tIN\tB-PP\tO' +p288922 +aS'disease\tdisease\tNN\tB-NP\tO' +p288923 +aS'.\t.\t.\tO\tO' +p288924 +asS'On 2010-02-05 , the patient had a repeat CAT scan of the head revealing no change in the subdural bleed .' +p288925 +(lp288926 +S'On\tOn\tIN\tB-PP\tO' +p288927 +aS'2010-02-05\t2010-02-05\tCD\tB-NP\tO' +p288928 +aS',\t,\t,\tO\tO' +p288929 +aS'the\tthe\tDT\tB-NP\tO' +p288930 +aS'patient\tpatient\tNN\tI-NP\tO' +p288931 +aS'had\thave\tVBD\tB-VP\tO' +p288932 +aS'a\ta\tDT\tB-NP\tO' +p288933 +aS'repeat\trepeat\tNN\tI-NP\tO' +p288934 +aS'CAT\tCAT\tNN\tI-NP\tO' +p288935 +aS'scan\tscan\tNN\tI-NP\tO' +p288936 +aS'of\tof\tIN\tB-PP\tO' +p288937 +aS'the\tthe\tDT\tB-NP\tO' +p288938 +aS'head\thead\tNN\tI-NP\tO' +p288939 +aS'revealing\treveal\tVBG\tB-VP\tO' +p288940 +aS'no\tno\tDT\tB-NP\tO' +p288941 +aS'change\tchange\tNN\tI-NP\tO' +p288942 +aS'in\tin\tIN\tB-PP\tO' +p288943 +aS'the\tthe\tDT\tB-NP\tO' +p288944 +aS'subdural\tsubdural\tJJ\tI-NP\tO' +p288945 +aS'bleed\tbleed\tNN\tI-NP\tO' +p288946 +aS'.\t.\t.\tO\tO' +p288947 +asS'Left lung mass status post resection .' +p288948 +(lp288949 +S'Left\tLeave\tVBN\tB-NP\tO' +p288950 +aS'lung\tlung\tNN\tI-NP\tO' +p288951 +aS'mass\tmass\tNN\tI-NP\tO' +p288952 +aS'status\tstatus\tNN\tI-NP\tO' +p288953 +aS'post\tpost\tNN\tI-NP\tO' +p288954 +aS'resection\tresection\tNN\tI-NP\tO' +p288955 +aS'.\t.\t.\tO\tO' +p288956 +asS'The patient was stabilized in the Medical Intensive Care Unit .' +p288957 +(lp288958 +S'The\tThe\tDT\tB-NP\tO' +p288959 +aS'patient\tpatient\tNN\tI-NP\tO' +p288960 +aS'was\tbe\tVBD\tB-VP\tO' +p288961 +aS'stabilized\tstabilize\tVBN\tI-VP\tO' +p288962 +aS'in\tin\tIN\tB-PP\tO' +p288963 +aS'the\tthe\tDT\tB-NP\tO' +p288964 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p288965 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p288966 +aS'Care\tCare\tNNP\tI-NP\tO' +p288967 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p288968 +aS'.\t.\t.\tO\tO' +p288969 +asS'- obtaining pcp set of Reginald' +p288970 +(lp288971 +S'-\t-\tHYPH\tB-NP\tO' +p288972 +aS'obtaining\tobtain\tVBG\tB-VP\tO' +p288973 +aS'pcp\tpcp\tNN\tB-NP\tO' +p288974 +aS'set\tset\tNN\tI-NP\tO' +p288975 +aS'of\tof\tIN\tB-PP\tO' +p288976 +aS'Reginald\tReginald\tNNP\tB-NP\tO' +p288977 +asS'Reflexes were 2+ and symmetrical all over .' +p288978 +(lp288979 +S'Reflexes\tReflex\tNNS\tB-NP\tO' +p288980 +aS'were\tbe\tVBD\tB-VP\tO' +p288981 +aS'2+\t2+\tJJ\tB-ADJP\tO' +p288982 +aS'and\tand\tCC\tI-ADJP\tO' +p288983 +aS'symmetrical\tsymmetrical\tJJ\tI-ADJP\tO' +p288984 +aS'all\tall\tDT\tB-ADVP\tO' +p288985 +aS'over\tover\tIN\tI-ADVP\tO' +p288986 +aS'.\t.\t.\tO\tO' +p288987 +asS'She required aggressive intravenous fluids and later required pressor support with neo-synephrine .' +p288988 +(lp288989 +S'She\tShe\tPRP\tB-NP\tO' +p288990 +aS'required\trequire\tVBD\tB-VP\tO' +p288991 +aS'aggressive\taggressive\tJJ\tB-NP\tO' +p288992 +aS'intravenous\tintravenous\tJJ\tI-NP\tO' +p288993 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p288994 +aS'and\tand\tCC\tO\tO' +p288995 +aS'later\tlater\tRB\tB-VP\tO' +p288996 +aS'required\trequire\tVBD\tI-VP\tO' +p288997 +aS'pressor\tpressor\tNN\tB-NP\tO' +p288998 +aS'support\tsupport\tNN\tI-NP\tO' +p288999 +aS'with\twith\tIN\tB-PP\tO' +p289000 +aS'neo-synephrine\tneo-synephrine\tNN\tB-NP\tO' +p289001 +aS'.\t.\t.\tO\tO' +p289002 +asS'The patient was given printed instructions for abdominal pain ( Spanish ) .' +p289003 +(lp289004 +S'The\tThe\tDT\tB-NP\tO' +p289005 +aS'patient\tpatient\tNN\tI-NP\tO' +p289006 +aS'was\tbe\tVBD\tB-VP\tO' +p289007 +aS'given\tgive\tVBN\tI-VP\tO' +p289008 +aS'printed\tprint\tVBN\tB-NP\tO' +p289009 +aS'instructions\tinstruction\tNNS\tI-NP\tO' +p289010 +aS'for\tfor\tIN\tB-PP\tO' +p289011 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p289012 +aS'pain\tpain\tNN\tI-NP\tO' +p289013 +aS'(\t(\t(\tO\tO' +p289014 +aS'Spanish\tSpanish\tNN\tB-NP\tO' +p289015 +aS')\t)\t)\tO\tO' +p289016 +aS'.\t.\t.\tO\tO' +p289017 +asS'Responsible After Study for Causing Admission ) Obstructive Sleep Apnea' +p289018 +(lp289019 +S'Responsible\tResponsible\tJJ\tB-ADJP\tO' +p289020 +aS'After\tAfter\tIN\tB-PP\tO' +p289021 +aS'Study\tStudy\tNN\tB-NP\tO' +p289022 +aS'for\tfor\tIN\tB-PP\tO' +p289023 +aS'Causing\tCause\tVBG\tB-VP\tO' +p289024 +aS'Admission\tAdmission\tNN\tB-NP\tO' +p289025 +aS')\t)\t)\tO\tO' +p289026 +aS'Obstructive\tObstructive\tJJ\tB-NP\tO' +p289027 +aS'Sleep\tSleep\tNNP\tI-NP\tO' +p289028 +aS'Apnea\tApnea\tNNP\tI-NP\tO' +p289029 +asS'He had stertorous breathing , positional tremors of the left upper extremity , a spastic left hemiparesis in flexion .' +p289030 +(lp289031 +S'He\tHe\tPRP\tB-NP\tO' +p289032 +aS'had\thave\tVBD\tB-VP\tO' +p289033 +aS'stertorous\tstertorous\tJJ\tB-NP\tO' +p289034 +aS'breathing\tbreathing\tNN\tI-NP\tO' +p289035 +aS',\t,\t,\tO\tO' +p289036 +aS'positional\tpositional\tJJ\tB-NP\tO' +p289037 +aS'tremors\ttremor\tNNS\tI-NP\tO' +p289038 +aS'of\tof\tIN\tB-PP\tO' +p289039 +aS'the\tthe\tDT\tB-NP\tO' +p289040 +aS'left\tleft\tJJ\tI-NP\tO' +p289041 +aS'upper\tupper\tJJ\tI-NP\tO' +p289042 +aS'extremity\textremity\tNN\tI-NP\tO' +p289043 +aS',\t,\t,\tO\tO' +p289044 +aS'a\ta\tDT\tB-NP\tO' +p289045 +aS'spastic\tspastic\tJJ\tI-NP\tO' +p289046 +aS'left\tleft\tJJ\tI-NP\tO' +p289047 +aS'hemiparesis\themiparesis\tNN\tI-NP\tO' +p289048 +aS'in\tin\tIN\tB-PP\tO' +p289049 +aS'flexion\tflexion\tNN\tB-NP\tO' +p289050 +aS'.\t.\t.\tO\tO' +p289051 +asS'Decadron 3 mg p.o. q.6h. times one week then 2 mg p.o.q.6h. thereafter , Colace 100 mg b.i.d. , Heparin 5000 units subcutaneously b.i.d. until ambulating well , Hydrochlorothiazide 25mg q.d. , Dilantin 100 mg p.o. b.i.d. , Zantac 150 mg b.i.d. , and Percocet p.r.n.' +p289052 +(lp289053 +S'Decadron\tDecadron\tNNP\tB-NP\tO' +p289054 +aS'3\t3\tCD\tI-NP\tO' +p289055 +aS'mg\tmg\tNN\tI-NP\tO' +p289056 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p289057 +aS'q.6h.\tq.6h.\tNN\tI-NP\tO' +p289058 +aS'times\ttime\tNNS\tI-NP\tO' +p289059 +aS'one\tone\tCD\tB-NP\tO' +p289060 +aS'week\tweek\tNN\tI-NP\tO' +p289061 +aS'then\tthen\tRB\tO\tO' +p289062 +aS'2\t2\tCD\tB-NP\tO' +p289063 +aS'mg\tmg\tNN\tI-NP\tO' +p289064 +aS'p.o.q.6h.\tp.o.q.6h.\tNN\tI-NP\tO' +p289065 +aS'thereafter\tthereafter\tRB\tB-ADVP\tO' +p289066 +aS',\t,\t,\tO\tO' +p289067 +aS'Colace\tColace\tNNP\tB-NP\tO' +p289068 +aS'100\t100\tCD\tI-NP\tO' +p289069 +aS'mg\tmg\tNN\tI-NP\tO' +p289070 +aS'b.i.d.\tb.i.d.\tRB\tB-ADVP\tO' +p289071 +aS',\t,\t,\tO\tO' +p289072 +aS'Heparin\tHeparin\tNN\tB-NP\tB-protein' +p289073 +aS'5000\t5000\tCD\tB-NP\tI-protein' +p289074 +aS'units\tunit\tNNS\tI-NP\tI-protein' +p289075 +aS'subcutaneously\tsubcutaneously\tRB\tB-ADJP\tO' +p289076 +aS'b.i.d.\tb.i.d.\tRB\tI-ADJP\tO' +p289077 +aS'until\tuntil\tIN\tB-PP\tO' +p289078 +aS'ambulating\tambulate\tVBG\tB-VP\tO' +p289079 +aS'well\twell\tRB\tB-ADVP\tO' +p289080 +aS',\t,\t,\tO\tO' +p289081 +aS'Hydrochlorothiazide\tHydrochlorothiazide\tNN\tB-NP\tO' +p289082 +aS'25mg\t25mg\tNN\tI-NP\tO' +p289083 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p289084 +aS',\t,\t,\tO\tO' +p289085 +aS'Dilantin\tDilantin\tNN\tB-NP\tO' +p289086 +aS'100\t100\tCD\tI-NP\tO' +p289087 +aS'mg\tmg\tNN\tI-NP\tO' +p289088 +aS'p.o.\tp.o.\tFW\tB-ADVP\tO' +p289089 +aS'b.i.d.\tb.i.d.\tFW\tI-ADVP\tO' +p289090 +aS',\t,\t,\tO\tO' +p289091 +aS'Zantac\tZantac\tNN\tB-NP\tO' +p289092 +aS'150\t150\tCD\tI-NP\tO' +p289093 +aS'mg\tmg\tNN\tI-NP\tO' +p289094 +aS'b.i.d.\tb.i.d.\tRB\tB-ADVP\tO' +p289095 +aS',\t,\t,\tO\tO' +p289096 +aS'and\tand\tCC\tO\tO' +p289097 +aS'Percocet\tPercocet\tNNP\tB-NP\tO' +p289098 +aS'p.r.n.\tp.r.n.\t.\tO\tO' +p289099 +asS'Was treated with ceftriaxone 2 gm IV daily with multiple repeat paracenteses .' +p289100 +(lp289101 +S'Was\tWa\tNNS\tB-NP\tB-protein' +p289102 +aS'treated\ttreat\tVBN\tB-VP\tO' +p289103 +aS'with\twith\tIN\tB-PP\tO' +p289104 +aS'ceftriaxone\tceftriaxone\tNN\tB-NP\tO' +p289105 +aS'2\t2\tCD\tI-NP\tO' +p289106 +aS'gm\tgm\tNN\tI-NP\tO' +p289107 +aS'IV\tIV\tCD\tB-NP\tO' +p289108 +aS'daily\tdaily\tRB\tB-ADVP\tO' +p289109 +aS'with\twith\tIN\tB-PP\tO' +p289110 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p289111 +aS'repeat\trepeat\tNN\tI-NP\tO' +p289112 +aS'paracenteses\tparacentes\tNNS\tI-NP\tO' +p289113 +aS'.\t.\t.\tO\tO' +p289114 +asS'Waltham was monitored for 90 minutes without any episodes of apnea or oxygen desaturation .' +p289115 +(lp289116 +S'Waltham\tWaltham\tNNP\tB-NP\tO' +p289117 +aS'was\tbe\tVBD\tB-VP\tO' +p289118 +aS'monitored\tmonitor\tVBN\tI-VP\tO' +p289119 +aS'for\tfor\tIN\tB-PP\tO' +p289120 +aS'90\t90\tCD\tB-NP\tO' +p289121 +aS'minutes\tminute\tNNS\tI-NP\tO' +p289122 +aS'without\twithout\tIN\tB-PP\tO' +p289123 +aS'any\tany\tDT\tB-NP\tO' +p289124 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p289125 +aS'of\tof\tIN\tB-PP\tO' +p289126 +aS'apnea\tapnea\tNN\tB-NP\tO' +p289127 +aS'or\tor\tCC\tI-NP\tO' +p289128 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p289129 +aS'desaturation\tdesaturation\tNN\tI-NP\tO' +p289130 +aS'.\t.\t.\tO\tO' +p289131 +asS'6. Plavix 75 mg once daily' +p289132 +(lp289133 +S'6.\t6.\tCD\tB-NP\tO' +p289134 +aS'Plavix\tPlavix\tNNP\tI-NP\tO' +p289135 +aS'75\t75\tCD\tI-NP\tO' +p289136 +aS'mg\tmg\tNN\tI-NP\tO' +p289137 +aS'once\tonce\tRB\tB-ADVP\tO' +p289138 +aS'daily\tdaily\tRB\tI-ADVP\tO' +p289139 +asS'1) Aspirin 81 mg p.o. q. day .' +p289140 +(lp289141 +S'1)\t1)\tLS\tB-LST\tO' +p289142 +aS'Aspirin\tAspirin\tNN\tB-NP\tO' +p289143 +aS'81\t81\tCD\tI-NP\tO' +p289144 +aS'mg\tmg\tNN\tI-NP\tO' +p289145 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p289146 +aS'q.\tq.\tNN\tI-NP\tO' +p289147 +aS'day\tday\tNN\tI-NP\tO' +p289148 +aS'.\t.\t.\tO\tO' +p289149 +asS'There is increased signal seen in both basal ganglia region as well as along the rolandic region bilaterally which is suggestive of global hypoxic injury to the brain .' +p289150 +(lp289151 +S'There\tThere\tEX\tB-NP\tO' +p289152 +aS'is\tbe\tVBZ\tB-VP\tO' +p289153 +aS'increased\tincrease\tVBN\tB-NP\tO' +p289154 +aS'signal\tsignal\tNN\tI-NP\tO' +p289155 +aS'seen\tsee\tVBN\tB-VP\tO' +p289156 +aS'in\tin\tIN\tB-PP\tO' +p289157 +aS'both\tboth\tCC\tB-NP\tO' +p289158 +aS'basal\tbasal\tJJ\tI-NP\tO' +p289159 +aS'ganglia\tganglia\tNNS\tI-NP\tO' +p289160 +aS'region\tregion\tNN\tI-NP\tO' +p289161 +aS'as\tas\tRB\tB-CONJP\tO' +p289162 +aS'well\twell\tRB\tI-CONJP\tO' +p289163 +aS'as\tas\tIN\tI-CONJP\tO' +p289164 +aS'along\talong\tIN\tB-PP\tO' +p289165 +aS'the\tthe\tDT\tB-NP\tO' +p289166 +aS'rolandic\trolandic\tJJ\tI-NP\tB-DNA' +p289167 +aS'region\tregion\tNN\tI-NP\tI-DNA' +p289168 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p289169 +aS'which\twhich\tWDT\tB-NP\tO' +p289170 +aS'is\tbe\tVBZ\tB-VP\tO' +p289171 +aS'suggestive\tsuggestive\tJJ\tB-ADJP\tO' +p289172 +aS'of\tof\tIN\tB-PP\tO' +p289173 +aS'global\tglobal\tJJ\tB-NP\tO' +p289174 +aS'hypoxic\thypoxic\tJJ\tI-NP\tO' +p289175 +aS'injury\tinjury\tNN\tI-NP\tO' +p289176 +aS'to\tto\tTO\tB-PP\tO' +p289177 +aS'the\tthe\tDT\tB-NP\tO' +p289178 +aS'brain\tbrain\tNN\tI-NP\tO' +p289179 +aS'.\t.\t.\tO\tO' +p289180 +asS'History of syncope .' +p289181 +(lp289182 +S'History\tHistory\tNN\tB-NP\tO' +p289183 +aS'of\tof\tIN\tB-PP\tO' +p289184 +aS'syncope\tsyncope\tNN\tB-NP\tO' +p289185 +aS'.\t.\t.\tO\tO' +p289186 +asS'STAT discharge summary .' +p289187 +(lp289188 +S'STAT\tSTAT\tNN\tB-NP\tB-protein' +p289189 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p289190 +aS'summary\tsummary\tNN\tI-NP\tO' +p289191 +aS'.\t.\t.\tO\tO' +p289192 +asS'You may take showers ( no baths ) after your dressings have been removed from your wounds .' +p289193 +(lp289194 +S'You\tYou\tPRP\tB-NP\tB-protein' +p289195 +aS'may\tmay\tMD\tB-VP\tO' +p289196 +aS'take\ttake\tVB\tI-VP\tO' +p289197 +aS'showers\tshower\tNNS\tB-NP\tO' +p289198 +aS'(\t(\t(\tO\tO' +p289199 +aS'no\tno\tDT\tB-NP\tO' +p289200 +aS'baths\tbath\tNNS\tI-NP\tO' +p289201 +aS')\t)\t)\tO\tO' +p289202 +aS'after\tafter\tIN\tB-SBAR\tO' +p289203 +aS'your\tyour\tPRP$\tB-NP\tO' +p289204 +aS'dressings\tdressing\tNNS\tI-NP\tO' +p289205 +aS'have\thave\tVBP\tB-VP\tO' +p289206 +aS'been\tbe\tVBN\tI-VP\tO' +p289207 +aS'removed\tremove\tVBN\tI-VP\tO' +p289208 +aS'from\tfrom\tIN\tB-PP\tO' +p289209 +aS'your\tyour\tPRP$\tB-NP\tO' +p289210 +aS'wounds\twound\tNNS\tI-NP\tO' +p289211 +aS'.\t.\t.\tO\tO' +p289212 +asS'Upon discharge it was the recommendation of the cardiology team that the patient 's prothrombin time be monitored weekly and be kept at a ratio of 3-4 IU .' +p289213 +(lp289214 +S'Upon\tUpon\tIN\tB-PP\tO' +p289215 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p289216 +aS'it\tit\tPRP\tB-NP\tO' +p289217 +aS'was\tbe\tVBD\tB-VP\tO' +p289218 +aS'the\tthe\tDT\tB-NP\tO' +p289219 +aS'recommendation\trecommendation\tNN\tI-NP\tO' +p289220 +aS'of\tof\tIN\tB-PP\tO' +p289221 +aS'the\tthe\tDT\tB-NP\tO' +p289222 +aS'cardiology\tcardiology\tNN\tI-NP\tO' +p289223 +aS'team\tteam\tNN\tI-NP\tO' +p289224 +aS'that\tthat\tIN\tB-SBAR\tO' +p289225 +aS'the\tthe\tDT\tB-NP\tO' +p289226 +aS'patient\tpatient\tNN\tI-NP\tO' +p289227 +aS''s\t'\tNNS\tI-NP\tO' +p289228 +aS'prothrombin\tprothrombin\tNN\tI-NP\tO' +p289229 +aS'time\ttime\tNN\tI-NP\tO' +p289230 +aS'be\tbe\tVB\tB-VP\tO' +p289231 +aS'monitored\tmonitor\tVBN\tI-VP\tO' +p289232 +aS'weekly\tweekly\tRB\tB-ADVP\tO' +p289233 +aS'and\tand\tCC\tO\tO' +p289234 +aS'be\tbe\tVB\tB-VP\tO' +p289235 +aS'kept\tkeep\tVBN\tI-VP\tO' +p289236 +aS'at\tat\tIN\tB-PP\tO' +p289237 +aS'a\ta\tDT\tB-NP\tO' +p289238 +aS'ratio\tratio\tNN\tI-NP\tO' +p289239 +aS'of\tof\tIN\tB-PP\tO' +p289240 +aS'3-4\t3-4\tCD\tB-NP\tO' +p289241 +aS'IU\tIU\tNN\tI-NP\tO' +p289242 +aS'.\t.\t.\tO\tO' +p289243 +asS'It was not felt that the patient would be in need of chronic Coumadin therapy in lieu of this low probability findings in toto .' +p289244 +(lp289245 +S'It\tIt\tPRP\tB-NP\tO' +p289246 +aS'was\tbe\tVBD\tB-VP\tO' +p289247 +aS'not\tnot\tRB\tI-VP\tO' +p289248 +aS'felt\tfelt\tVB\tI-VP\tO' +p289249 +aS'that\tthat\tIN\tB-SBAR\tO' +p289250 +aS'the\tthe\tDT\tB-NP\tO' +p289251 +aS'patient\tpatient\tNN\tI-NP\tO' +p289252 +aS'would\twould\tMD\tB-VP\tO' +p289253 +aS'be\tbe\tVB\tI-VP\tO' +p289254 +aS'in\tin\tIN\tB-PP\tO' +p289255 +aS'need\tneed\tNN\tB-NP\tO' +p289256 +aS'of\tof\tIN\tB-PP\tO' +p289257 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p289258 +aS'Coumadin\tCoumadin\tNN\tI-NP\tO' +p289259 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p289260 +aS'in\tin\tIN\tB-PP\tO' +p289261 +aS'lieu\tlieu\tNN\tB-NP\tO' +p289262 +aS'of\tof\tIN\tB-PP\tO' +p289263 +aS'this\tthis\tDT\tB-NP\tO' +p289264 +aS'low\tlow\tJJ\tI-NP\tO' +p289265 +aS'probability\tprobability\tNN\tI-NP\tO' +p289266 +aS'findings\tfinding\tNNS\tI-NP\tO' +p289267 +aS'in\tin\tIN\tB-PP\tO' +p289268 +aS'toto\ttoto\tNN\tB-NP\tO' +p289269 +aS'.\t.\t.\tO\tO' +p289270 +asS'Protein C , protein S and plasminogen level within normal limits .' +p289271 +(lp289272 +S'Protein\tProtein\tNN\tB-NP\tO' +p289273 +aS'C\tC\tNN\tI-NP\tO' +p289274 +aS',\t,\t,\tO\tO' +p289275 +aS'protein\tprotein\tNN\tB-NP\tO' +p289276 +aS'S\tS\tNN\tI-NP\tO' +p289277 +aS'and\tand\tCC\tI-NP\tO' +p289278 +aS'plasminogen\tplasminogen\tNN\tI-NP\tO' +p289279 +aS'level\tlevel\tNN\tI-NP\tO' +p289280 +aS'within\twithin\tIN\tB-PP\tO' +p289281 +aS'normal\tnormal\tJJ\tB-NP\tO' +p289282 +aS'limits\tlimit\tNNS\tI-NP\tO' +p289283 +aS'.\t.\t.\tO\tO' +p289284 +asS'Colon cancer .' +p289285 +(lp289286 +S'Colon\tColon\tNN\tB-NP\tO' +p289287 +aS'cancer\tcancer\tNN\tI-NP\tO' +p289288 +aS'.\t.\t.\tO\tO' +p289289 +asS"TWI 's in III , V1 ." +p289290 +(lp289291 +S'TWI\tTWI\tNN\tB-NP\tO' +p289292 +aS"'s\t's\tPOS\tB-NP\tO" +p289293 +aS'in\tin\tIN\tB-PP\tO' +p289294 +aS'III\tIII\tCD\tB-NP\tO' +p289295 +aS',\t,\t,\tO\tO' +p289296 +aS'V1\tV1\tNN\tB-NP\tO' +p289297 +aS'.\t.\t.\tO\tO' +p289298 +asS'She developed a right pleural effusion and had a right chest tube placed .' +p289299 +(lp289300 +S'She\tShe\tPRP\tB-NP\tO' +p289301 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p289302 +aS'a\ta\tDT\tB-NP\tO' +p289303 +aS'right\tright\tJJ\tI-NP\tO' +p289304 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p289305 +aS'effusion\teffusion\tNN\tI-NP\tO' +p289306 +aS'and\tand\tCC\tO\tO' +p289307 +aS'had\thave\tVBD\tB-VP\tO' +p289308 +aS'a\ta\tDT\tB-NP\tO' +p289309 +aS'right\tright\tJJ\tI-NP\tO' +p289310 +aS'chest\tchest\tNN\tI-NP\tO' +p289311 +aS'tube\ttube\tNN\tI-NP\tO' +p289312 +aS'placed\tplace\tVBN\tB-VP\tO' +p289313 +aS'.\t.\t.\tO\tO' +p289314 +asS'An magnetic resonance imaging study showed basilar artery disease , questionable aneurysm .' +p289315 +(lp289316 +S'An\tAn\tDT\tB-NP\tO' +p289317 +aS'magnetic\tmagnetic\tJJ\tI-NP\tO' +p289318 +aS'resonance\tresonance\tNN\tI-NP\tO' +p289319 +aS'imaging\timaging\tNN\tI-NP\tO' +p289320 +aS'study\tstudy\tNN\tI-NP\tO' +p289321 +aS'showed\tshow\tVBD\tB-VP\tO' +p289322 +aS'basilar\tbasilar\tJJ\tB-NP\tO' +p289323 +aS'artery\tartery\tNN\tI-NP\tO' +p289324 +aS'disease\tdisease\tNN\tI-NP\tO' +p289325 +aS',\t,\t,\tO\tO' +p289326 +aS'questionable\tquestionable\tJJ\tB-NP\tO' +p289327 +aS'aneurysm\taneurysm\tNN\tI-NP\tO' +p289328 +aS'.\t.\t.\tO\tO' +p289329 +asS'51 yo F h / o HTN , hyperchol , p / w SS chest pressure x 3 days .' +p289330 +(lp289331 +S'51\t51\tCD\tB-NP\tO' +p289332 +aS'yo\tyo\tNN\tI-NP\tO' +p289333 +aS'F\tF\tNN\tI-NP\tO' +p289334 +aS'h\th\tNN\tI-NP\tO' +p289335 +aS'/\t/\tSYM\tB-NP\tO' +p289336 +aS'o\to\tNN\tI-NP\tO' +p289337 +aS'HTN\tHTN\tNN\tI-NP\tO' +p289338 +aS',\t,\t,\tO\tO' +p289339 +aS'hyperchol\thyperchol\tNN\tB-NP\tO' +p289340 +aS',\t,\t,\tO\tO' +p289341 +aS'p\tp\tNN\tB-NP\tO' +p289342 +aS'/\t/\tSYM\tB-NP\tO' +p289343 +aS'w\tw\tNN\tI-NP\tO' +p289344 +aS'SS\tSS\tNN\tI-NP\tO' +p289345 +aS'chest\tchest\tNN\tI-NP\tO' +p289346 +aS'pressure\tpressure\tNN\tI-NP\tO' +p289347 +aS'x\tx\tSYM\tB-VP\tO' +p289348 +aS'3\t3\tCD\tB-NP\tO' +p289349 +aS'days\tday\tNNS\tI-NP\tO' +p289350 +aS'.\t.\t.\tO\tO' +p289351 +asS'You must continue to wear your cervical collar for the next 4 weeks ( through 12-11 ).' +p289352 +(lp289353 +S'You\tYou\tPRP\tB-NP\tB-protein' +p289354 +aS'must\tmust\tMD\tB-VP\tO' +p289355 +aS'continue\tcontinue\tVB\tI-VP\tO' +p289356 +aS'to\tto\tTO\tI-VP\tO' +p289357 +aS'wear\twear\tVB\tI-VP\tO' +p289358 +aS'your\tyour\tPRP$\tB-NP\tO' +p289359 +aS'cervical\tcervical\tJJ\tI-NP\tO' +p289360 +aS'collar\tcollar\tNN\tI-NP\tO' +p289361 +aS'for\tfor\tIN\tB-PP\tO' +p289362 +aS'the\tthe\tDT\tB-NP\tO' +p289363 +aS'next\tnext\tJJ\tI-NP\tO' +p289364 +aS'4\t4\tCD\tI-NP\tO' +p289365 +aS'weeks\tweek\tNNS\tI-NP\tO' +p289366 +aS'(\t(\t(\tO\tO' +p289367 +aS'through\tthrough\tIN\tB-PP\tO' +p289368 +aS'12-11\t12-11\tNN\tB-NP\tO' +p289369 +aS').\t).\t.\tO\tO' +p289370 +asS'The patient did well postoperatively and had a regular diet by the third postoperative day .' +p289371 +(lp289372 +S'The\tThe\tDT\tB-NP\tO' +p289373 +aS'patient\tpatient\tNN\tI-NP\tO' +p289374 +aS'did\tdo\tVBD\tB-VP\tO' +p289375 +aS'well\twell\tRB\tB-ADVP\tO' +p289376 +aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' +p289377 +aS'and\tand\tCC\tO\tO' +p289378 +aS'had\thave\tVBD\tB-VP\tO' +p289379 +aS'a\ta\tDT\tB-NP\tO' +p289380 +aS'regular\tregular\tJJ\tI-NP\tO' +p289381 +aS'diet\tdiet\tNN\tI-NP\tO' +p289382 +aS'by\tby\tIN\tB-PP\tO' +p289383 +aS'the\tthe\tDT\tB-NP\tO' +p289384 +aS'third\tthird\tJJ\tI-NP\tO' +p289385 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p289386 +aS'day\tday\tNN\tI-NP\tO' +p289387 +aS'.\t.\t.\tO\tO' +p289388 +asS'Ms. Swanson also carries a diagnosis of " atypical MS ", which she brought with her to Dr. Billie .' +p289389 +(lp289390 +S'Ms.\tMs.\tNNP\tB-NP\tO' +p289391 +aS'Swanson\tSwanson\tNNP\tI-NP\tO' +p289392 +aS'also\talso\tRB\tB-ADVP\tO' +p289393 +aS'carries\tcarry\tVBZ\tB-VP\tO' +p289394 +aS'a\ta\tDT\tB-NP\tO' +p289395 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p289396 +aS'of\tof\tIN\tB-PP\tO' +p289397 +aS'"\t"\t``\tO\tB-protein' +p289398 +aS'atypical\tatypical\tJJ\tB-NP\tI-protein' +p289399 +aS'MS\tMS\tNN\tI-NP\tI-protein' +p289400 +aS'",\t",\tNN\tI-NP\tI-protein' +p289401 +aS'which\twhich\tWDT\tB-NP\tO' +p289402 +aS'she\tshe\tPRP\tB-NP\tO' +p289403 +aS'brought\tbring\tVBD\tB-VP\tO' +p289404 +aS'with\twith\tIN\tB-PP\tO' +p289405 +aS'her\ther\tPRP\tB-NP\tO' +p289406 +aS'to\tto\tTO\tB-PP\tO' +p289407 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p289408 +aS'Billie\tBillie\tNNP\tI-NP\tO' +p289409 +aS'.\t.\t.\tO\tO' +p289410 +asS'Signed electronically by : DR. Barbara Rogers on : WED 2015-03-25 9:51 AM' +p289411 +(lp289412 +S'Signed\tSign\tVBN\tB-VP\tO' +p289413 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p289414 +aS'by\tby\tIN\tB-PP\tO' +p289415 +aS':\t:\t:\tO\tO' +p289416 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p289417 +aS'Barbara\tBarbara\tNNP\tI-NP\tO' +p289418 +aS'Rogers\tRogers\tNNP\tI-NP\tO' +p289419 +aS'on\ton\tIN\tB-PP\tO' +p289420 +aS':\t:\t:\tO\tO' +p289421 +aS'WED\tWED\tVBD\tB-VP\tO' +p289422 +aS'2015-03-25\t2015-03-25\tCD\tB-NP\tO' +p289423 +aS'9:51\t9:51\tCD\tI-NP\tO' +p289424 +aS'AM\tAM\tNN\tI-NP\tO' +p289425 +asS'Such measures have been continued through December 3 , and patient remains comfortable through this time .' +p289426 +(lp289427 +S'Such\tSuch\tJJ\tB-NP\tO' +p289428 +aS'measures\tmeasure\tNNS\tI-NP\tO' +p289429 +aS'have\thave\tVBP\tB-VP\tO' +p289430 +aS'been\tbe\tVBN\tI-VP\tO' +p289431 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p289432 +aS'through\tthrough\tIN\tB-PP\tO' +p289433 +aS'December\tDecember\tNNP\tB-NP\tO' +p289434 +aS'3\t3\tCD\tI-NP\tO' +p289435 +aS',\t,\t,\tO\tO' +p289436 +aS'and\tand\tCC\tO\tO' +p289437 +aS'patient\tpatient\tNN\tB-NP\tO' +p289438 +aS'remains\tremain\tVBZ\tB-VP\tO' +p289439 +aS'comfortable\tcomfortable\tJJ\tB-ADJP\tO' +p289440 +aS'through\tthrough\tIN\tB-PP\tO' +p289441 +aS'this\tthis\tDT\tB-NP\tO' +p289442 +aS'time\ttime\tNN\tI-NP\tO' +p289443 +aS'.\t.\t.\tO\tO' +p289444 +asS'Clear to auscultation with no wheezes or rales .' +p289445 +(lp289446 +S'Clear\tClear\tJJ\tB-ADJP\tO' +p289447 +aS'to\tto\tTO\tB-PP\tO' +p289448 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p289449 +aS'with\twith\tIN\tB-PP\tO' +p289450 +aS'no\tno\tDT\tB-NP\tO' +p289451 +aS'wheezes\twheeze\tNNS\tI-NP\tO' +p289452 +aS'or\tor\tCC\tI-NP\tO' +p289453 +aS'rales\trale\tNNS\tI-NP\tO' +p289454 +aS'.\t.\t.\tO\tO' +p289455 +asS'The patient is also to follow up with his primary care physician for diabetes management .' +p289456 +(lp289457 +S'The\tThe\tDT\tB-NP\tO' +p289458 +aS'patient\tpatient\tNN\tI-NP\tO' +p289459 +aS'is\tbe\tVBZ\tB-VP\tO' +p289460 +aS'also\talso\tRB\tB-ADVP\tO' +p289461 +aS'to\tto\tTO\tB-VP\tO' +p289462 +aS'follow\tfollow\tVB\tI-VP\tO' +p289463 +aS'up\tup\tRP\tB-PRT\tO' +p289464 +aS'with\twith\tIN\tB-PP\tO' +p289465 +aS'his\this\tPRP$\tB-NP\tO' +p289466 +aS'primary\tprimary\tJJ\tI-NP\tO' +p289467 +aS'care\tcare\tNN\tI-NP\tO' +p289468 +aS'physician\tphysician\tNN\tI-NP\tO' +p289469 +aS'for\tfor\tIN\tB-PP\tO' +p289470 +aS'diabetes\tdiabetes\tNN\tB-NP\tO' +p289471 +aS'management\tmanagement\tNN\tI-NP\tO' +p289472 +aS'.\t.\t.\tO\tO' +p289473 +asS'In 2011 she had mediastinal lymphadenopathy treated with Taxol and changed to Navelbine on 03-28 .' +p289474 +(lp289475 +S'In\tIn\tIN\tB-PP\tO' +p289476 +aS'2011\t2011\tCD\tB-NP\tO' +p289477 +aS'she\tshe\tPRP\tB-NP\tO' +p289478 +aS'had\thave\tVBD\tB-VP\tO' +p289479 +aS'mediastinal\tmediastinal\tJJ\tB-NP\tO' +p289480 +aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' +p289481 +aS'treated\ttreat\tVBN\tB-VP\tO' +p289482 +aS'with\twith\tIN\tB-PP\tO' +p289483 +aS'Taxol\tTaxol\tNN\tB-NP\tO' +p289484 +aS'and\tand\tCC\tO\tO' +p289485 +aS'changed\tchange\tVBD\tB-VP\tO' +p289486 +aS'to\tto\tTO\tB-PP\tO' +p289487 +aS'Navelbine\tNavelbine\tNNP\tB-NP\tO' +p289488 +aS'on\ton\tIN\tB-PP\tO' +p289489 +aS'03-28\t03-28\tCD\tB-NP\tO' +p289490 +aS'.\t.\t.\tO\tO' +p289491 +asS"6. Degenerative disc disease s/p two back surgeries in 80 's" +p289492 +(lp289493 +S'6.\t6.\tLS\tB-NP\tO' +p289494 +aS'Degenerative\tDegenerative\tJJ\tI-NP\tO' +p289495 +aS'disc\tdisc\tNN\tI-NP\tO' +p289496 +aS'disease\tdisease\tNN\tI-NP\tO' +p289497 +aS's/p\ts/p\tNN\tI-NP\tO' +p289498 +aS'two\ttwo\tCD\tB-NP\tO' +p289499 +aS'back\tback\tJJ\tI-NP\tO' +p289500 +aS'surgeries\tsurgery\tNNS\tI-NP\tO' +p289501 +aS'in\tin\tIN\tB-PP\tO' +p289502 +aS'80\t80\tCD\tB-NP\tO' +p289503 +aS"'s\t's\tPOS\tB-NP\tO" +p289504 +asS'Disp :* 135 Tablet (s)* Refills :* 2 *' +p289505 +(lp289506 +S'Disp\tDisp\tNN\tB-NP\tO' +p289507 +aS':*\t:*\tSYM\tI-NP\tO' +p289508 +aS'135\t135\tCD\tI-NP\tO' +p289509 +aS'Tablet\tTablet\tNN\tI-NP\tO' +p289510 +aS'(s)*\t(s)*\tSYM\tB-NP\tO' +p289511 +aS'Refills\tRefill\tNNPS\tI-NP\tO' +p289512 +aS':*\t:*\tSYM\tI-NP\tO' +p289513 +aS'2\t2\tCD\tI-NP\tO' +p289514 +aS'*\t*\tSYM\tB-NP\tO' +p289515 +asS'Norwood nursing facility suggested that the patient had been having shortness of breath and cough for approximately one day with difficulty ambulating , needing to travel in a wheelchair .' +p289516 +(lp289517 +S'Norwood\tNorwood\tNNP\tB-NP\tO' +p289518 +aS'nursing\tnursing\tNN\tI-NP\tO' +p289519 +aS'facility\tfacility\tNN\tI-NP\tO' +p289520 +aS'suggested\tsuggest\tVBD\tB-VP\tO' +p289521 +aS'that\tthat\tIN\tB-SBAR\tO' +p289522 +aS'the\tthe\tDT\tB-NP\tO' +p289523 +aS'patient\tpatient\tNN\tI-NP\tO' +p289524 +aS'had\thave\tVBD\tB-VP\tO' +p289525 +aS'been\tbe\tVBN\tI-VP\tO' +p289526 +aS'having\thave\tVBG\tI-VP\tO' +p289527 +aS'shortness\tshortness\tNN\tB-NP\tO' +p289528 +aS'of\tof\tIN\tB-PP\tO' +p289529 +aS'breath\tbreath\tNN\tB-NP\tO' +p289530 +aS'and\tand\tCC\tI-NP\tO' +p289531 +aS'cough\tcough\tNN\tI-NP\tO' +p289532 +aS'for\tfor\tIN\tB-PP\tO' +p289533 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p289534 +aS'one\tone\tCD\tI-NP\tO' +p289535 +aS'day\tday\tNN\tI-NP\tO' +p289536 +aS'with\twith\tIN\tB-PP\tO' +p289537 +aS'difficulty\tdifficulty\tNN\tB-NP\tO' +p289538 +aS'ambulating\tambulate\tVBG\tB-VP\tO' +p289539 +aS',\t,\t,\tO\tO' +p289540 +aS'needing\tneed\tVBG\tB-VP\tO' +p289541 +aS'to\tto\tTO\tI-VP\tO' +p289542 +aS'travel\ttravel\tVB\tI-VP\tO' +p289543 +aS'in\tin\tIN\tB-PP\tO' +p289544 +aS'a\ta\tDT\tB-NP\tO' +p289545 +aS'wheelchair\twheelchair\tNN\tI-NP\tO' +p289546 +aS'.\t.\t.\tO\tO' +p289547 +asS'5. Fluticasone 50 mcg / Actuation Aerosol , Spray Sig : Two ( 2 ) Spray Nasal DAILY ( Daily ).' +p289548 +(lp289549 +S'5.\t5.\tLS\tB-NP\tO' +p289550 +aS'Fluticasone\tFluticasone\tNN\tI-NP\tO' +p289551 +aS'50\t50\tCD\tI-NP\tO' +p289552 +aS'mcg\tmcg\tNN\tI-NP\tO' +p289553 +aS'/\t/\tSYM\tB-NP\tO' +p289554 +aS'Actuation\tActuation\tNN\tI-NP\tO' +p289555 +aS'Aerosol\tAerosol\tNN\tI-NP\tO' +p289556 +aS',\t,\t,\tO\tO' +p289557 +aS'Spray\tSpray\tNNP\tB-NP\tO' +p289558 +aS'Sig\tSig\tNNP\tI-NP\tO' +p289559 +aS':\t:\t:\tO\tO' +p289560 +aS'Two\tTwo\tCD\tB-NP\tO' +p289561 +aS'(\t(\t(\tO\tO' +p289562 +aS'2\t2\tCD\tB-NP\tO' +p289563 +aS')\t)\t)\tO\tO' +p289564 +aS'Spray\tSpray\tNNP\tB-NP\tO' +p289565 +aS'Nasal\tNasal\tNNP\tI-NP\tO' +p289566 +aS'DAILY\tDAILY\tNNP\tI-NP\tO' +p289567 +aS'(\t(\t(\tO\tO' +p289568 +aS'Daily\tDaily\tNNP\tB-NP\tO' +p289569 +aS').\t).\t)\tO\tO' +p289570 +asS"The baby 's autopsy was reported to be normal ." +p289571 +(lp289572 +S'The\tThe\tDT\tB-NP\tO' +p289573 +aS'baby\tbaby\tNN\tI-NP\tO' +p289574 +aS"'s\t's\tPOS\tB-NP\tO" +p289575 +aS'autopsy\tautopsy\tNN\tI-NP\tO' +p289576 +aS'was\tbe\tVBD\tB-VP\tO' +p289577 +aS'reported\treport\tVBN\tI-VP\tO' +p289578 +aS'to\tto\tTO\tI-VP\tO' +p289579 +aS'be\tbe\tVB\tI-VP\tO' +p289580 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p289581 +aS'.\t.\t.\tO\tO' +p289582 +asS'7. Milk of Magnesia 30 cc q.h.s. p.r.n.' +p289583 +(lp289584 +S'7.\t7.\tLS\tB-LST\tO' +p289585 +aS'Milk\tMilk\tNNP\tB-NP\tO' +p289586 +aS'of\tof\tIN\tB-PP\tO' +p289587 +aS'Magnesia\tMagnesia\tNNP\tB-NP\tO' +p289588 +aS'30\t30\tCD\tI-NP\tO' +p289589 +aS'cc\tcc\tNN\tI-NP\tO' +p289590 +aS'q.h.s.\tq.h.s.\tNN\tI-NP\tO' +p289591 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p289592 +asS'Rectal was guaiac negative with brown stool , good tone but unable to squeeze .' +p289593 +(lp289594 +S'Rectal\tRectal\tJJ\tB-NP\tO' +p289595 +aS'was\tbe\tVBD\tB-VP\tO' +p289596 +aS'guaiac\tguaiac\tJJ\tB-ADJP\tO' +p289597 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p289598 +aS'with\twith\tIN\tB-PP\tO' +p289599 +aS'brown\tbrown\tJJ\tB-NP\tO' +p289600 +aS'stool\tstool\tNN\tI-NP\tO' +p289601 +aS',\t,\t,\tO\tO' +p289602 +aS'good\tgood\tJJ\tB-NP\tO' +p289603 +aS'tone\ttone\tNN\tI-NP\tO' +p289604 +aS'but\tbut\tCC\tO\tO' +p289605 +aS'unable\tunable\tJJ\tB-ADJP\tO' +p289606 +aS'to\tto\tTO\tB-VP\tO' +p289607 +aS'squeeze\tsqueeze\tVB\tI-VP\tO' +p289608 +aS'.\t.\t.\tO\tO' +p289609 +asS'The ascites quickly accumulated after each tap .' +p289610 +(lp289611 +S'The\tThe\tDT\tB-NP\tO' +p289612 +aS'ascites\tascite\tNNS\tI-NP\tO' +p289613 +aS'quickly\tquickly\tRB\tB-ADVP\tO' +p289614 +aS'accumulated\taccumulate\tVBD\tB-VP\tO' +p289615 +aS'after\tafter\tIN\tB-SBAR\tO' +p289616 +aS'each\teach\tDT\tB-NP\tO' +p289617 +aS'tap\ttap\tNN\tI-NP\tB-protein' +p289618 +aS'.\t.\t.\tO\tO' +p289619 +asS'Proceed to the ER/EW/Monica if your wound becomes red , swollen , warm , or produces pus .' +p289620 +(lp289621 +S'Proceed\tProceed\tVB\tB-VP\tO' +p289622 +aS'to\tto\tTO\tB-PP\tO' +p289623 +aS'the\tthe\tDT\tB-NP\tO' +p289624 +aS'ER/EW/Monica\tER/EW/Monica\tNNP\tI-NP\tO' +p289625 +aS'if\tif\tIN\tB-SBAR\tO' +p289626 +aS'your\tyour\tPRP$\tB-NP\tO' +p289627 +aS'wound\twound\tNN\tI-NP\tO' +p289628 +aS'becomes\tbecome\tVBZ\tB-VP\tO' +p289629 +aS'red\tred\tJJ\tB-ADJP\tO' +p289630 +aS',\t,\t,\tO\tO' +p289631 +aS'swollen\tswollen\tNN\tB-NP\tO' +p289632 +aS',\t,\t,\tO\tO' +p289633 +aS'warm\twarm\tNN\tB-NP\tO' +p289634 +aS',\t,\t,\tO\tO' +p289635 +aS'or\tor\tCC\tO\tO' +p289636 +aS'produces\tproduce\tVBZ\tB-VP\tO' +p289637 +aS'pus\tpus\tNN\tB-NP\tO' +p289638 +aS'.\t.\t.\tO\tO' +p289639 +asS'The patient 's workup up until that time included a diagnosis of periampullary adenocarcinoma , which was proven by EGD directed biopsy , and a left renal mass , which was biopsied and found to be an oncocytoma .' +p289640 +(lp289641 +S'The\tThe\tDT\tB-NP\tO' +p289642 +aS'patient\tpatient\tNN\tI-NP\tO' +p289643 +aS''s\t'\tNNS\tI-NP\tO' +p289644 +aS'workup\tworkup\tVBP\tB-VP\tO' +p289645 +aS'up\tup\tRP\tB-PRT\tO' +p289646 +aS'until\tuntil\tIN\tB-PP\tO' +p289647 +aS'that\tthat\tDT\tB-NP\tO' +p289648 +aS'time\ttime\tNN\tI-NP\tO' +p289649 +aS'included\tinclude\tVBD\tB-VP\tO' +p289650 +aS'a\ta\tDT\tB-NP\tO' +p289651 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p289652 +aS'of\tof\tIN\tB-PP\tO' +p289653 +aS'periampullary\tperiampullary\tJJ\tB-NP\tO' +p289654 +aS'adenocarcinoma\tadenocarcinoma\tNN\tI-NP\tO' +p289655 +aS',\t,\t,\tO\tO' +p289656 +aS'which\twhich\tWDT\tB-NP\tO' +p289657 +aS'was\tbe\tVBD\tB-VP\tO' +p289658 +aS'proven\tprove\tVBN\tI-VP\tO' +p289659 +aS'by\tby\tIN\tB-PP\tO' +p289660 +aS'EGD\tEGD\tNN\tB-NP\tB-protein' +p289661 +aS'directed\tdirect\tVBD\tB-VP\tO' +p289662 +aS'biopsy\tbiopsy\tNN\tB-NP\tO' +p289663 +aS',\t,\t,\tO\tO' +p289664 +aS'and\tand\tCC\tO\tO' +p289665 +aS'a\ta\tDT\tB-NP\tO' +p289666 +aS'left\tleft\tJJ\tI-NP\tO' +p289667 +aS'renal\trenal\tJJ\tI-NP\tO' +p289668 +aS'mass\tmass\tNN\tI-NP\tO' +p289669 +aS',\t,\t,\tO\tO' +p289670 +aS'which\twhich\tWDT\tB-NP\tO' +p289671 +aS'was\tbe\tVBD\tB-VP\tO' +p289672 +aS'biopsied\tbiopsie\tVBN\tI-VP\tO' +p289673 +aS'and\tand\tCC\tO\tO' +p289674 +aS'found\tfind\tVBN\tB-VP\tO' +p289675 +aS'to\tto\tTO\tI-VP\tO' +p289676 +aS'be\tbe\tVB\tI-VP\tO' +p289677 +aS'an\tan\tDT\tB-NP\tO' +p289678 +aS'oncocytoma\toncocytoma\tNN\tI-NP\tO' +p289679 +aS'.\t.\t.\tO\tO' +p289680 +asS'Her chest tubes were discontinued and , at the end of the day , she was transferred from the Cardiothoracic Intensive Care Unit to the floor for continuing postoperative care and cardiac rehabilitation .' +p289681 +(lp289682 +S'Her\tHer\tPRP$\tB-NP\tB-protein' +p289683 +aS'chest\tch\tJJS\tI-NP\tO' +p289684 +aS'tubes\ttube\tNNS\tI-NP\tO' +p289685 +aS'were\tbe\tVBD\tB-VP\tO' +p289686 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p289687 +aS'and\tand\tCC\tO\tO' +p289688 +aS',\t,\t,\tO\tO' +p289689 +aS'at\tat\tIN\tB-PP\tO' +p289690 +aS'the\tthe\tDT\tB-NP\tO' +p289691 +aS'end\tend\tNN\tI-NP\tO' +p289692 +aS'of\tof\tIN\tB-PP\tO' +p289693 +aS'the\tthe\tDT\tB-NP\tO' +p289694 +aS'day\tday\tNN\tI-NP\tO' +p289695 +aS',\t,\t,\tO\tO' +p289696 +aS'she\tshe\tPRP\tB-NP\tO' +p289697 +aS'was\tbe\tVBD\tB-VP\tO' +p289698 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p289699 +aS'from\tfrom\tIN\tB-PP\tO' +p289700 +aS'the\tthe\tDT\tB-NP\tO' +p289701 +aS'Cardiothoracic\tCardiothoracic\tNNP\tI-NP\tO' +p289702 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p289703 +aS'Care\tCare\tNNP\tI-NP\tO' +p289704 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p289705 +aS'to\tto\tTO\tB-PP\tO' +p289706 +aS'the\tthe\tDT\tB-NP\tO' +p289707 +aS'floor\tfloor\tNN\tI-NP\tO' +p289708 +aS'for\tfor\tIN\tB-PP\tO' +p289709 +aS'continuing\tcontinue\tVBG\tB-NP\tO' +p289710 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p289711 +aS'care\tcare\tNN\tI-NP\tO' +p289712 +aS'and\tand\tCC\tI-NP\tO' +p289713 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p289714 +aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' +p289715 +aS'.\t.\t.\tO\tO' +p289716 +asS'This is a 37 y/o male patient with PMH Type I DM , HTN , gastroparesis , ESRD on HD ( last in 12/26 per patient ) who presents to CMED CCU with hypertensive urgency unable from the Larry .' +p289717 +(lp289718 +S'This\tThis\tDT\tB-NP\tO' +p289719 +aS'is\tbe\tVBZ\tB-VP\tO' +p289720 +aS'a\ta\tDT\tB-NP\tO' +p289721 +aS'37\t37\tCD\tI-NP\tO' +p289722 +aS'y/o\ty/o\tNN\tI-NP\tO' +p289723 +aS'male\tmale\tJJ\tI-NP\tO' +p289724 +aS'patient\tpatient\tNN\tI-NP\tO' +p289725 +aS'with\twith\tIN\tB-PP\tO' +p289726 +aS'PMH\tPMH\tNN\tB-NP\tO' +p289727 +aS'Type\tType\tNN\tI-NP\tO' +p289728 +aS'I\tI\tCD\tI-NP\tO' +p289729 +aS'DM\tDM\tNN\tI-NP\tO' +p289730 +aS',\t,\t,\tO\tO' +p289731 +aS'HTN\tHTN\tNN\tB-NP\tB-protein' +p289732 +aS',\t,\t,\tO\tO' +p289733 +aS'gastroparesis\tgastroparesis\tNN\tB-NP\tO' +p289734 +aS',\t,\t,\tO\tO' +p289735 +aS'ESRD\tESRD\tNN\tB-NP\tO' +p289736 +aS'on\ton\tIN\tB-PP\tO' +p289737 +aS'HD\tHD\tNN\tB-NP\tO' +p289738 +aS'(\t(\t(\tO\tO' +p289739 +aS'last\tlast\tJJ\tB-ADJP\tO' +p289740 +aS'in\tin\tIN\tB-PP\tO' +p289741 +aS'12/26\t12/26\tCD\tB-NP\tO' +p289742 +aS'per\tper\tIN\tB-PP\tO' +p289743 +aS'patient\tpatient\tNN\tB-NP\tO' +p289744 +aS')\t)\t)\tO\tO' +p289745 +aS'who\twho\tWP\tB-NP\tO' +p289746 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p289747 +aS'to\tto\tTO\tB-PP\tO' +p289748 +aS'CMED\tCMED\tVBN\tB-NP\tO' +p289749 +aS'CCU\tCCU\tNN\tI-NP\tO' +p289750 +aS'with\twith\tIN\tB-PP\tO' +p289751 +aS'hypertensive\thypertensive\tJJ\tB-NP\tO' +p289752 +aS'urgency\turgency\tNN\tI-NP\tO' +p289753 +aS'unable\tunable\tJJ\tB-ADJP\tO' +p289754 +aS'from\tfrom\tIN\tB-PP\tO' +p289755 +aS'the\tthe\tDT\tB-NP\tO' +p289756 +aS'Larry\tLarry\tNNP\tI-NP\tO' +p289757 +aS'.\t.\t.\tO\tO' +p289758 +asS'27. Potassium Chloride 10 mEq Capsule , Sustained Release Sig : Four ( 4 ) Capsule , Sustained Release PO DAILY ( Daily ) .' +p289759 +(lp289760 +S'27.\t27.\tLS\tB-NP\tO' +p289761 +aS'Potassium\tPotassium\tNNP\tI-NP\tO' +p289762 +aS'Chloride\tChloride\tNNP\tI-NP\tO' +p289763 +aS'10\t10\tCD\tI-NP\tO' +p289764 +aS'mEq\tmEq\tNN\tI-NP\tO' +p289765 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p289766 +aS',\t,\t,\tO\tO' +p289767 +aS'Sustained\tSustained\tNNP\tB-NP\tO' +p289768 +aS'Release\tRelease\tNNP\tI-NP\tO' +p289769 +aS'Sig\tSig\tNNP\tI-NP\tB-protein' +p289770 +aS':\t:\t:\tO\tO' +p289771 +aS'Four\tFour\tCD\tB-NP\tO' +p289772 +aS'(\t(\t(\tO\tO' +p289773 +aS'4\t4\tCD\tB-NP\tO' +p289774 +aS')\t)\t)\tO\tO' +p289775 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p289776 +aS',\t,\t,\tO\tO' +p289777 +aS'Sustained\tSustained\tNNP\tB-NP\tO' +p289778 +aS'Release\tRelease\tNNP\tI-NP\tO' +p289779 +aS'PO\tPO\tNNP\tI-NP\tO' +p289780 +aS'DAILY\tDAILY\tNNP\tI-NP\tO' +p289781 +aS'(\t(\t(\tO\tO' +p289782 +aS'Daily\tDaily\tNNP\tB-NP\tO' +p289783 +aS')\t)\t)\tO\tO' +p289784 +aS'.\t.\t.\tO\tO' +p289785 +asS'Per report , She had elevated LFTs at the outside hospital .' +p289786 +(lp289787 +S'Per\tPer\tNNP\tB-NP\tO' +p289788 +aS'report\treport\tNN\tI-NP\tO' +p289789 +aS',\t,\t,\tO\tO' +p289790 +aS'She\tShe\tNNP\tB-NP\tO' +p289791 +aS'had\thave\tVBD\tB-VP\tO' +p289792 +aS'elevated\televate\tVBN\tI-VP\tO' +p289793 +aS'LFTs\tLFT\tNNS\tB-NP\tB-protein' +p289794 +aS'at\tat\tIN\tB-PP\tO' +p289795 +aS'the\tthe\tDT\tB-NP\tO' +p289796 +aS'outside\toutside\tJJ\tI-NP\tO' +p289797 +aS'hospital\thospital\tNN\tI-NP\tO' +p289798 +aS'.\t.\t.\tO\tO' +p289799 +asS'Bacitracin ointment one drop O.D. q.h.s. Ciprofloxacin 500 mg. one p.o. b.i.d. x four more days [ until 5/25/92 ] , for recently discovered siderobacter UTI .' +p289800 +(lp289801 +S'Bacitracin\tBacitracin\tNN\tB-NP\tO' +p289802 +aS'ointment\tointment\tNN\tI-NP\tO' +p289803 +aS'one\tone\tCD\tB-NP\tO' +p289804 +aS'drop\tdrop\tNN\tI-NP\tO' +p289805 +aS'O.D.\tO.D.\tNNP\tB-NP\tO' +p289806 +aS'q.h.s.\tq.h.s.\tFW\tI-NP\tO' +p289807 +aS'Ciprofloxacin\tCiprofloxacin\tNNP\tI-NP\tO' +p289808 +aS'500\t500\tCD\tI-NP\tO' +p289809 +aS'mg.\tmg.\tNN\tI-NP\tO' +p289810 +aS'one\tone\tCD\tB-NP\tO' +p289811 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p289812 +aS'b.i.d.\tb.i.d.\tFW\tI-NP\tO' +p289813 +aS'x\tx\tSYM\tI-NP\tO' +p289814 +aS'four\tfour\tCD\tI-NP\tO' +p289815 +aS'more\tmore\tJJR\tI-NP\tO' +p289816 +aS'days\tday\tNNS\tI-NP\tO' +p289817 +aS'[\t[\t(\tO\tO' +p289818 +aS'until\tuntil\tIN\tB-PP\tO' +p289819 +aS'5/25/92\t5/25/92\tCD\tB-NP\tO' +p289820 +aS']\t]\t)\tO\tO' +p289821 +aS',\t,\t,\tO\tO' +p289822 +aS'for\tfor\tIN\tB-PP\tO' +p289823 +aS'recently\trecently\tRB\tB-NP\tO' +p289824 +aS'discovered\tdiscover\tVBN\tI-NP\tO' +p289825 +aS'siderobacter\tsiderobacter\tNN\tI-NP\tO' +p289826 +aS'UTI\tUTI\tNN\tI-NP\tO' +p289827 +aS'.\t.\t.\tO\tO' +p289828 +asS'The patient continued to do well and his recurrent atrial fibrillation slowly improved ; p.o. doses of Lopressor slowly increased to get better control of his rate and the patient was able to be controlled with a heart rate in the 50s to 60s with Lopressor .' +p289829 +(lp289830 +S'The\tThe\tDT\tB-NP\tO' +p289831 +aS'patient\tpatient\tNN\tI-NP\tO' +p289832 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p289833 +aS'to\tto\tTO\tI-VP\tO' +p289834 +aS'do\tdo\tVB\tI-VP\tO' +p289835 +aS'well\twell\tRB\tB-ADVP\tO' +p289836 +aS'and\tand\tCC\tO\tO' +p289837 +aS'his\this\tPRP$\tB-NP\tO' +p289838 +aS'recurrent\trecurrent\tJJ\tI-NP\tO' +p289839 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p289840 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p289841 +aS'slowly\tslowly\tRB\tB-ADVP\tO' +p289842 +aS'improved\timprove\tVBD\tB-VP\tO' +p289843 +aS';\t;\t:\tO\tO' +p289844 +aS'p.o.\tp.o.\tLS\tB-NP\tO' +p289845 +aS'doses\tdose\tNNS\tI-NP\tO' +p289846 +aS'of\tof\tIN\tB-PP\tO' +p289847 +aS'Lopressor\tLopressor\tNN\tB-NP\tO' +p289848 +aS'slowly\tslowly\tRB\tB-VP\tO' +p289849 +aS'increased\tincrease\tVBN\tI-VP\tO' +p289850 +aS'to\tto\tTO\tB-VP\tO' +p289851 +aS'get\tget\tVB\tI-VP\tO' +p289852 +aS'better\tgood\tJJR\tB-NP\tO' +p289853 +aS'control\tcontrol\tNN\tI-NP\tO' +p289854 +aS'of\tof\tIN\tB-PP\tO' +p289855 +aS'his\this\tPRP$\tB-NP\tO' +p289856 +aS'rate\trate\tNN\tI-NP\tO' +p289857 +aS'and\tand\tCC\tO\tO' +p289858 +aS'the\tthe\tDT\tB-NP\tO' +p289859 +aS'patient\tpatient\tNN\tI-NP\tO' +p289860 +aS'was\tbe\tVBD\tB-VP\tO' +p289861 +aS'able\table\tJJ\tB-ADJP\tO' +p289862 +aS'to\tto\tTO\tB-VP\tO' +p289863 +aS'be\tbe\tVB\tI-VP\tO' +p289864 +aS'controlled\tcontrol\tVBN\tI-VP\tO' +p289865 +aS'with\twith\tIN\tB-PP\tO' +p289866 +aS'a\ta\tDT\tB-NP\tO' +p289867 +aS'heart\theart\tNN\tI-NP\tO' +p289868 +aS'rate\trate\tNN\tI-NP\tO' +p289869 +aS'in\tin\tIN\tB-PP\tO' +p289870 +aS'the\tthe\tDT\tB-NP\tO' +p289871 +aS'50s\t50s\tCD\tI-NP\tO' +p289872 +aS'to\tto\tTO\tB-PP\tO' +p289873 +aS'60s\t60\tNNS\tB-NP\tO' +p289874 +aS'with\twith\tIN\tB-PP\tO' +p289875 +aS'Lopressor\tLopressor\tNN\tB-NP\tB-protein' +p289876 +aS'.\t.\t.\tO\tO' +p289877 +asS'She had a chest tube placed intraoperatively and another placed postoperatively in the recovery room , for what was presumed to be a left pleural effusion .' +p289878 +(lp289879 +S'She\tShe\tPRP\tB-NP\tO' +p289880 +aS'had\thave\tVBD\tB-VP\tO' +p289881 +aS'a\ta\tDT\tB-NP\tO' +p289882 +aS'chest\tchest\tNN\tI-NP\tO' +p289883 +aS'tube\ttube\tNN\tI-NP\tO' +p289884 +aS'placed\tplace\tVBD\tB-VP\tO' +p289885 +aS'intraoperatively\tintraoperatively\tRB\tB-ADVP\tO' +p289886 +aS'and\tand\tCC\tO\tO' +p289887 +aS'another\tanother\tDT\tB-NP\tO' +p289888 +aS'placed\tplace\tVBN\tB-VP\tO' +p289889 +aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' +p289890 +aS'in\tin\tIN\tB-PP\tO' +p289891 +aS'the\tthe\tDT\tB-NP\tO' +p289892 +aS'recovery\trecovery\tNN\tI-NP\tO' +p289893 +aS'room\troom\tNN\tI-NP\tO' +p289894 +aS',\t,\t,\tO\tO' +p289895 +aS'for\tfor\tIN\tB-PP\tO' +p289896 +aS'what\twhat\tWP\tB-NP\tO' +p289897 +aS'was\tbe\tVBD\tB-VP\tO' +p289898 +aS'presumed\tpresume\tVBN\tI-VP\tO' +p289899 +aS'to\tto\tTO\tI-VP\tO' +p289900 +aS'be\tbe\tVB\tI-VP\tO' +p289901 +aS'a\ta\tDT\tB-NP\tO' +p289902 +aS'left\tleft\tJJ\tI-NP\tO' +p289903 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p289904 +aS'effusion\teffusion\tNN\tI-NP\tO' +p289905 +aS'.\t.\t.\tO\tO' +p289906 +asS'On 11-24 he received a permanent DDD pacemaker with a lead that was externally placed on his chest wall due to his healing and infected chest wound .' +p289907 +(lp289908 +S'On\tOn\tIN\tB-PP\tO' +p289909 +aS'11-24\t11-24\tCD\tB-NP\tO' +p289910 +aS'he\the\tPRP\tB-NP\tO' +p289911 +aS'received\treceive\tVBD\tB-VP\tO' +p289912 +aS'a\ta\tDT\tB-NP\tO' +p289913 +aS'permanent\tpermanent\tJJ\tI-NP\tO' +p289914 +aS'DDD\tDDD\tNN\tI-NP\tO' +p289915 +aS'pacemaker\tpacemaker\tNN\tI-NP\tO' +p289916 +aS'with\twith\tIN\tB-PP\tO' +p289917 +aS'a\ta\tDT\tB-NP\tO' +p289918 +aS'lead\tlead\tNN\tI-NP\tO' +p289919 +aS'that\tthat\tWDT\tB-NP\tO' +p289920 +aS'was\tbe\tVBD\tB-VP\tO' +p289921 +aS'externally\texternally\tRB\tI-VP\tO' +p289922 +aS'placed\tplace\tVBN\tI-VP\tO' +p289923 +aS'on\ton\tIN\tB-PP\tO' +p289924 +aS'his\this\tPRP$\tB-NP\tO' +p289925 +aS'chest\tchest\tNN\tI-NP\tO' +p289926 +aS'wall\twall\tNN\tI-NP\tO' +p289927 +aS'due\tdue\tIN\tB-PP\tO' +p289928 +aS'to\tto\tTO\tB-PP\tO' +p289929 +aS'his\this\tPRP$\tB-NP\tO' +p289930 +aS'healing\thealing\tJJ\tI-NP\tO' +p289931 +aS'and\tand\tCC\tI-NP\tO' +p289932 +aS'infected\tinfected\tJJ\tI-NP\tO' +p289933 +aS'chest\tchest\tNN\tI-NP\tO' +p289934 +aS'wound\twound\tNN\tI-NP\tO' +p289935 +aS'.\t.\t.\tO\tO' +p289936 +asS'He was diuresed and was soon saturating very well on room air .' +p289937 +(lp289938 +S'He\tHe\tPRP\tB-NP\tO' +p289939 +aS'was\tbe\tVBD\tB-VP\tO' +p289940 +aS'diuresed\tdiurese\tVBN\tI-VP\tO' +p289941 +aS'and\tand\tCC\tO\tO' +p289942 +aS'was\tbe\tVBD\tB-VP\tO' +p289943 +aS'soon\tsoon\tRB\tI-VP\tO' +p289944 +aS'saturating\tsaturate\tVBG\tI-VP\tO' +p289945 +aS'very\tvery\tRB\tB-ADVP\tO' +p289946 +aS'well\twell\tRB\tI-ADVP\tO' +p289947 +aS'on\ton\tIN\tB-PP\tO' +p289948 +aS'room\troom\tNN\tB-NP\tO' +p289949 +aS'air\tair\tNN\tI-NP\tO' +p289950 +aS'.\t.\t.\tO\tO' +p289951 +asS'There is moderate surrounding edema with 10 mm rightward shift of the normally midline structures with associated mass effect on the lateral ventricles .' +p289952 +(lp289953 +S'There\tThere\tEX\tB-NP\tO' +p289954 +aS'is\tbe\tVBZ\tB-VP\tO' +p289955 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p289956 +aS'surrounding\tsurround\tVBG\tI-NP\tO' +p289957 +aS'edema\tedema\tNN\tI-NP\tO' +p289958 +aS'with\twith\tIN\tB-PP\tO' +p289959 +aS'10\t10\tCD\tB-NP\tO' +p289960 +aS'mm\tmm\tNN\tI-NP\tO' +p289961 +aS'rightward\trightward\tJJ\tI-NP\tO' +p289962 +aS'shift\tshift\tNN\tI-NP\tO' +p289963 +aS'of\tof\tIN\tB-PP\tO' +p289964 +aS'the\tthe\tDT\tB-NP\tO' +p289965 +aS'normally\tnormally\tRB\tI-NP\tO' +p289966 +aS'midline\tmidline\tNN\tI-NP\tO' +p289967 +aS'structures\tstructure\tNNS\tI-NP\tO' +p289968 +aS'with\twith\tIN\tB-PP\tO' +p289969 +aS'associated\tassociate\tVBN\tB-NP\tO' +p289970 +aS'mass\tmass\tNN\tI-NP\tO' +p289971 +aS'effect\teffect\tNN\tI-NP\tO' +p289972 +aS'on\ton\tIN\tB-PP\tO' +p289973 +aS'the\tthe\tDT\tB-NP\tO' +p289974 +aS'lateral\tlateral\tJJ\tI-NP\tO' +p289975 +aS'ventricles\tventricle\tNNS\tI-NP\tO' +p289976 +aS'.\t.\t.\tO\tO' +p289977 +asS'Patient has 8 children , 40 grandchildren and one great-grandaughter .' +p289978 +(lp289979 +S'Patient\tPatient\tNNP\tB-NP\tO' +p289980 +aS'has\thave\tVBZ\tB-VP\tO' +p289981 +aS'8\t8\tCD\tB-NP\tO' +p289982 +aS'children\tchild\tNNS\tI-NP\tO' +p289983 +aS',\t,\t,\tO\tO' +p289984 +aS'40\t40\tCD\tB-NP\tO' +p289985 +aS'grandchildren\tgrandchild\tNNS\tI-NP\tO' +p289986 +aS'and\tand\tCC\tO\tO' +p289987 +aS'one\tone\tCD\tB-NP\tO' +p289988 +aS'great-grandaughter\tgreat-grandaughter\tNN\tI-NP\tO' +p289989 +aS'.\t.\t.\tO\tO' +p289990 +asS'Blood pressure stayed high with an SBP in the 170s , so amlodipine 10 mg q.d. was added and that blood pressure was still elevated .' +p289991 +(lp289992 +S'Blood\tBlood\tNN\tB-NP\tO' +p289993 +aS'pressure\tpressure\tNN\tI-NP\tO' +p289994 +aS'stayed\tstay\tVBD\tB-VP\tO' +p289995 +aS'high\thigh\tJJ\tB-ADJP\tO' +p289996 +aS'with\twith\tIN\tB-PP\tO' +p289997 +aS'an\tan\tDT\tB-NP\tO' +p289998 +aS'SBP\tSBP\tNN\tI-NP\tB-protein' +p289999 +aS'in\tin\tIN\tB-PP\tO' +p290000 +aS'the\tthe\tDT\tB-NP\tO' +p290001 +aS'170s\t170\tNNS\tI-NP\tB-DNA' +p290002 +aS',\t,\t,\tO\tO' +p290003 +aS'so\tso\tRB\tB-NP\tO' +p290004 +aS'amlodipine\tamlodipine\tJJ\tI-NP\tO' +p290005 +aS'10\t10\tCD\tI-NP\tO' +p290006 +aS'mg\tmg\tNN\tI-NP\tO' +p290007 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p290008 +aS'was\tbe\tVBD\tB-VP\tO' +p290009 +aS'added\tadd\tVBN\tI-VP\tO' +p290010 +aS'and\tand\tCC\tO\tO' +p290011 +aS'that\tthat\tIN\tB-SBAR\tO' +p290012 +aS'blood\tblood\tNN\tB-NP\tO' +p290013 +aS'pressure\tpressure\tNN\tI-NP\tO' +p290014 +aS'was\tbe\tVBD\tB-VP\tO' +p290015 +aS'still\tstill\tRB\tI-VP\tO' +p290016 +aS'elevated\televate\tVBN\tI-VP\tO' +p290017 +aS'.\t.\t.\tO\tO' +p290018 +asS'On May 27 , 1998 , the patient desaturated to 40% with a temperature of 100.5 degrees .' +p290019 +(lp290020 +S'On\tOn\tIN\tB-PP\tO' +p290021 +aS'May\tMay\tNNP\tB-NP\tO' +p290022 +aS'27\t27\tCD\tI-NP\tO' +p290023 +aS',\t,\t,\tI-NP\tO' +p290024 +aS'1998\t1998\tCD\tI-NP\tO' +p290025 +aS',\t,\t,\tO\tO' +p290026 +aS'the\tthe\tDT\tB-NP\tO' +p290027 +aS'patient\tpatient\tNN\tI-NP\tO' +p290028 +aS'desaturated\tdesaturate\tVBN\tB-VP\tO' +p290029 +aS'to\tto\tTO\tB-VP\tO' +p290030 +aS'40%\t40%\tVB\tI-VP\tO' +p290031 +aS'with\twith\tIN\tB-PP\tO' +p290032 +aS'a\ta\tDT\tB-NP\tO' +p290033 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p290034 +aS'of\tof\tIN\tB-PP\tO' +p290035 +aS'100.5\t100.5\tCD\tB-NP\tO' +p290036 +aS'degrees\tdegree\tNNS\tI-NP\tO' +p290037 +aS'.\t.\t.\tO\tO' +p290038 +asS'Her hematocrit continued to drop over the next couple of days despite normal platelet count , normal coags , and no obvious source of bleeding .' +p290039 +(lp290040 +S'Her\tHer\tPRP$\tB-NP\tO' +p290041 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p290042 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p290043 +aS'to\tto\tTO\tI-VP\tO' +p290044 +aS'drop\tdrop\tVB\tI-VP\tO' +p290045 +aS'over\tover\tIN\tB-PP\tO' +p290046 +aS'the\tthe\tDT\tB-NP\tO' +p290047 +aS'next\tnext\tJJ\tI-NP\tO' +p290048 +aS'couple\tcouple\tNN\tI-NP\tO' +p290049 +aS'of\tof\tIN\tB-PP\tO' +p290050 +aS'days\tday\tNNS\tB-NP\tO' +p290051 +aS'despite\tdespite\tIN\tB-PP\tO' +p290052 +aS'normal\tnormal\tJJ\tB-NP\tO' +p290053 +aS'platelet\tplatelet\tNN\tI-NP\tO' +p290054 +aS'count\tcount\tNN\tI-NP\tO' +p290055 +aS',\t,\t,\tO\tO' +p290056 +aS'normal\tnormal\tJJ\tB-NP\tO' +p290057 +aS'coags\tcoag\tNNS\tI-NP\tO' +p290058 +aS',\t,\t,\tO\tO' +p290059 +aS'and\tand\tCC\tO\tO' +p290060 +aS'no\tno\tDT\tB-NP\tO' +p290061 +aS'obvious\tobvious\tJJ\tI-NP\tO' +p290062 +aS'source\tsource\tNN\tI-NP\tO' +p290063 +aS'of\tof\tIN\tB-PP\tO' +p290064 +aS'bleeding\tbleed\tVBG\tB-NP\tO' +p290065 +aS'.\t.\t.\tO\tO' +p290066 +asS'The patient had back folliculitis .' +p290067 +(lp290068 +S'The\tThe\tDT\tB-NP\tO' +p290069 +aS'patient\tpatient\tNN\tI-NP\tO' +p290070 +aS'had\thave\tVBD\tB-VP\tO' +p290071 +aS'back\tback\tJJ\tB-NP\tO' +p290072 +aS'folliculitis\tfolliculitis\tNN\tI-NP\tO' +p290073 +aS'.\t.\t.\tO\tO' +p290074 +asS'6. Diverticulosis within the right remnant sigmoid colon .' +p290075 +(lp290076 +S'6.\t6.\tLS\tB-NP\tO' +p290077 +aS'Diverticulosis\tDiverticulosis\tNN\tI-NP\tO' +p290078 +aS'within\twithin\tIN\tB-PP\tO' +p290079 +aS'the\tthe\tDT\tB-NP\tO' +p290080 +aS'right\tright\tJJ\tI-NP\tO' +p290081 +aS'remnant\tremnant\tNN\tI-NP\tO' +p290082 +aS'sigmoid\tsigmoid\tJJ\tI-NP\tO' +p290083 +aS'colon\tcolon\tNN\tI-NP\tO' +p290084 +aS'.\t.\t.\tO\tO' +p290085 +asS'The patient presented to the Emergency Department with a complaint of painless jaundice , weight loss , and fatigue .' +p290086 +(lp290087 +S'The\tThe\tDT\tB-NP\tO' +p290088 +aS'patient\tpatient\tNN\tI-NP\tO' +p290089 +aS'presented\tpresent\tVBN\tB-VP\tO' +p290090 +aS'to\tto\tTO\tB-PP\tO' +p290091 +aS'the\tthe\tDT\tB-NP\tO' +p290092 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p290093 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p290094 +aS'with\twith\tIN\tB-PP\tO' +p290095 +aS'a\ta\tDT\tB-NP\tO' +p290096 +aS'complaint\tcomplaint\tNN\tI-NP\tO' +p290097 +aS'of\tof\tIN\tB-PP\tO' +p290098 +aS'painless\tpainless\tJJ\tB-NP\tO' +p290099 +aS'jaundice\tjaundice\tNN\tI-NP\tO' +p290100 +aS',\t,\t,\tO\tO' +p290101 +aS'weight\tweight\tNN\tB-NP\tO' +p290102 +aS'loss\tloss\tNN\tI-NP\tO' +p290103 +aS',\t,\t,\tO\tO' +p290104 +aS'and\tand\tCC\tO\tO' +p290105 +aS'fatigue\tfatigue\tNN\tB-NP\tO' +p290106 +aS'.\t.\t.\tO\tO' +p290107 +asS'He had no spontaneous movements .' +p290108 +(lp290109 +S'He\tHe\tPRP\tB-NP\tO' +p290110 +aS'had\thave\tVBD\tB-VP\tO' +p290111 +aS'no\tno\tDT\tB-NP\tO' +p290112 +aS'spontaneous\tspontaneous\tJJ\tI-NP\tO' +p290113 +aS'movements\tmovement\tNNS\tI-NP\tO' +p290114 +aS'.\t.\t.\tO\tO' +p290115 +asS'He had a left internal mammary artery graft of the LAD , a single saphenous vein to the right coronary artery with 280 cc per minute flow , and a saphenous vein snake graft to the diagonal and circumflex with 150 cc per minute flow .' +p290116 +(lp290117 +S'He\tHe\tPRP\tB-NP\tO' +p290118 +aS'had\thave\tVBD\tB-VP\tO' +p290119 +aS'a\ta\tDT\tB-NP\tO' +p290120 +aS'left\tleft\tJJ\tI-NP\tO' +p290121 +aS'internal\tinternal\tJJ\tI-NP\tO' +p290122 +aS'mammary\tmammary\tJJ\tI-NP\tO' +p290123 +aS'artery\tartery\tNN\tI-NP\tO' +p290124 +aS'graft\tgraft\tNN\tI-NP\tO' +p290125 +aS'of\tof\tIN\tB-PP\tO' +p290126 +aS'the\tthe\tDT\tB-NP\tO' +p290127 +aS'LAD\tLAD\tNN\tI-NP\tB-protein' +p290128 +aS',\t,\t,\tO\tO' +p290129 +aS'a\ta\tDT\tB-NP\tO' +p290130 +aS'single\tsingle\tJJ\tI-NP\tO' +p290131 +aS'saphenous\tsaphenous\tJJ\tI-NP\tO' +p290132 +aS'vein\tvein\tNN\tI-NP\tO' +p290133 +aS'to\tto\tTO\tB-PP\tO' +p290134 +aS'the\tthe\tDT\tB-NP\tO' +p290135 +aS'right\tright\tJJ\tI-NP\tO' +p290136 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p290137 +aS'artery\tartery\tNN\tI-NP\tO' +p290138 +aS'with\twith\tIN\tB-PP\tO' +p290139 +aS'280\t280\tCD\tB-NP\tO' +p290140 +aS'cc\tcc\tNN\tI-NP\tO' +p290141 +aS'per\tper\tIN\tB-PP\tO' +p290142 +aS'minute\tminute\tNN\tB-NP\tO' +p290143 +aS'flow\tflow\tNN\tI-NP\tO' +p290144 +aS',\t,\t,\tO\tO' +p290145 +aS'and\tand\tCC\tO\tO' +p290146 +aS'a\ta\tDT\tB-NP\tO' +p290147 +aS'saphenous\tsaphenous\tJJ\tI-NP\tO' +p290148 +aS'vein\tvein\tNN\tI-NP\tO' +p290149 +aS'snake\tsnake\tNN\tI-NP\tO' +p290150 +aS'graft\tgraft\tNN\tI-NP\tO' +p290151 +aS'to\tto\tTO\tB-PP\tO' +p290152 +aS'the\tthe\tDT\tB-NP\tO' +p290153 +aS'diagonal\tdiagonal\tJJ\tI-NP\tO' +p290154 +aS'and\tand\tCC\tI-NP\tO' +p290155 +aS'circumflex\tcircumflex\tJJ\tI-NP\tO' +p290156 +aS'with\twith\tIN\tB-PP\tO' +p290157 +aS'150\t150\tCD\tB-NP\tO' +p290158 +aS'cc\tcc\tNN\tI-NP\tO' +p290159 +aS'per\tper\tIN\tB-PP\tO' +p290160 +aS'minute\tminute\tNN\tB-NP\tO' +p290161 +aS'flow\tflow\tNN\tI-NP\tO' +p290162 +aS'.\t.\t.\tO\tO' +p290163 +asS'# ARF : Creatinine has increased from 0.9 on admission to 1.9 on admission to ICU .' +p290164 +(lp290165 +S'#\t#\t#\tB-NP\tO' +p290166 +aS'ARF\tARF\tNN\tI-NP\tB-protein' +p290167 +aS':\t:\t:\tO\tO' +p290168 +aS'Creatinine\tCreatinine\tNN\tB-NP\tO' +p290169 +aS'has\thave\tVBZ\tB-VP\tO' +p290170 +aS'increased\tincrease\tVBN\tI-VP\tO' +p290171 +aS'from\tfrom\tIN\tB-PP\tO' +p290172 +aS'0.9\t0.9\tCD\tB-NP\tO' +p290173 +aS'on\ton\tIN\tB-PP\tO' +p290174 +aS'admission\tadmission\tNN\tB-NP\tO' +p290175 +aS'to\tto\tTO\tB-PP\tO' +p290176 +aS'1.9\t1.9\tCD\tB-NP\tO' +p290177 +aS'on\ton\tIN\tB-PP\tO' +p290178 +aS'admission\tadmission\tNN\tB-NP\tO' +p290179 +aS'to\tto\tTO\tB-PP\tO' +p290180 +aS'ICU\tICU\tNN\tB-NP\tB-protein' +p290181 +aS'.\t.\t.\tO\tO' +p290182 +asS'The patient was started on low dose Lasix and Lopressor which he tolerated well .' +p290183 +(lp290184 +S'The\tThe\tDT\tB-NP\tO' +p290185 +aS'patient\tpatient\tNN\tI-NP\tO' +p290186 +aS'was\tbe\tVBD\tB-VP\tO' +p290187 +aS'started\tstart\tVBN\tI-VP\tO' +p290188 +aS'on\ton\tIN\tB-PP\tO' +p290189 +aS'low\tlow\tJJ\tB-NP\tO' +p290190 +aS'dose\tdose\tNN\tI-NP\tO' +p290191 +aS'Lasix\tLasix\tNN\tI-NP\tO' +p290192 +aS'and\tand\tCC\tI-NP\tO' +p290193 +aS'Lopressor\tLopressor\tNN\tI-NP\tO' +p290194 +aS'which\twhich\tWDT\tB-NP\tO' +p290195 +aS'he\the\tPRP\tB-NP\tO' +p290196 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p290197 +aS'well\twell\tRB\tB-ADVP\tO' +p290198 +aS'.\t.\t.\tO\tO' +p290199 +asS'His Chem-7 revealed sodium of 132 , potassium of 43 , chloride of 97 , bicarbonate of 28 , BUN of 25 , creatinine of 1.3 , glucose of 220 .' +p290200 +(lp290201 +S'His\tHis\tPRP$\tB-NP\tO' +p290202 +aS'Chem-7\tChem-7\tNN\tI-NP\tB-protein' +p290203 +aS'revealed\treveal\tVBD\tB-VP\tO' +p290204 +aS'sodium\tsodium\tNN\tB-NP\tO' +p290205 +aS'of\tof\tIN\tB-PP\tO' +p290206 +aS'132\t132\tCD\tB-NP\tO' +p290207 +aS',\t,\t,\tO\tO' +p290208 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p290209 +aS'of\tof\tIN\tB-PP\tO' +p290210 +aS'43\t43\tCD\tB-NP\tO' +p290211 +aS',\t,\t,\tO\tO' +p290212 +aS'chloride\tchloride\tNN\tB-NP\tO' +p290213 +aS'of\tof\tIN\tB-PP\tO' +p290214 +aS'97\t97\tCD\tB-NP\tO' +p290215 +aS',\t,\t,\tO\tO' +p290216 +aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' +p290217 +aS'of\tof\tIN\tB-PP\tO' +p290218 +aS'28\t28\tCD\tB-NP\tO' +p290219 +aS',\t,\t,\tO\tO' +p290220 +aS'BUN\tBUN\tNN\tB-NP\tO' +p290221 +aS'of\tof\tIN\tB-PP\tO' +p290222 +aS'25\t25\tCD\tB-NP\tO' +p290223 +aS',\t,\t,\tO\tO' +p290224 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p290225 +aS'of\tof\tIN\tB-PP\tO' +p290226 +aS'1.3\t1.3\tCD\tB-NP\tO' +p290227 +aS',\t,\t,\tO\tO' +p290228 +aS'glucose\tglucose\tNN\tB-NP\tO' +p290229 +aS'of\tof\tIN\tB-PP\tO' +p290230 +aS'220\t220\tCD\tB-NP\tO' +p290231 +aS'.\t.\t.\tO\tO' +p290232 +asS'He was started on Coumadin for DVT prophylaxis and Ancef for routine antimicrobial coverage .' +p290233 +(lp290234 +S'He\tHe\tPRP\tB-NP\tO' +p290235 +aS'was\tbe\tVBD\tB-VP\tO' +p290236 +aS'started\tstart\tVBN\tI-VP\tO' +p290237 +aS'on\ton\tIN\tB-PP\tO' +p290238 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p290239 +aS'for\tfor\tIN\tB-PP\tO' +p290240 +aS'DVT\tDVT\tNN\tB-NP\tO' +p290241 +aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' +p290242 +aS'and\tand\tCC\tI-NP\tO' +p290243 +aS'Ancef\tAncef\tNN\tI-NP\tO' +p290244 +aS'for\tfor\tIN\tB-PP\tO' +p290245 +aS'routine\troutine\tJJ\tB-NP\tO' +p290246 +aS'antimicrobial\tantimicrobial\tJJ\tI-NP\tO' +p290247 +aS'coverage\tcoverage\tNN\tI-NP\tO' +p290248 +aS'.\t.\t.\tO\tO' +p290249 +asS'4. Aorta is intact post decannulation' +p290250 +(lp290251 +S'4.\t4.\tLS\tB-LST\tO' +p290252 +aS'Aorta\tAorta\tNNP\tB-NP\tO' +p290253 +aS'is\tbe\tVBZ\tB-VP\tO' +p290254 +aS'intact\tintact\tJJ\tB-NP\tO' +p290255 +aS'post\tpost\tNN\tI-NP\tO' +p290256 +aS'decannulation\tdecannulation\tNN\tI-NP\tO' +p290257 +asS'69 y/o female wtih PMH significant for ESRD on HD , type 2 DM , and recent PE resulting in PEA arrest admitted through the Juan with sepsis of unknown etiology .' +p290258 +(lp290259 +S'69\t69\tCD\tB-NP\tO' +p290260 +aS'y/o\ty/o\tNN\tI-NP\tO' +p290261 +aS'female\tfemale\tJJ\tI-NP\tO' +p290262 +aS'wtih\twtih\tNN\tI-NP\tO' +p290263 +aS'PMH\tPMH\tNN\tI-NP\tO' +p290264 +aS'significant\tsignificant\tJJ\tB-ADJP\tO' +p290265 +aS'for\tfor\tIN\tB-PP\tO' +p290266 +aS'ESRD\tESRD\tNN\tB-NP\tO' +p290267 +aS'on\ton\tIN\tB-PP\tO' +p290268 +aS'HD\tHD\tNN\tB-NP\tO' +p290269 +aS',\t,\t,\tO\tO' +p290270 +aS'type\ttype\tNN\tB-NP\tO' +p290271 +aS'2\t2\tCD\tI-NP\tO' +p290272 +aS'DM\tDM\tNN\tI-NP\tO' +p290273 +aS',\t,\t,\tO\tO' +p290274 +aS'and\tand\tCC\tO\tO' +p290275 +aS'recent\trecent\tJJ\tB-NP\tO' +p290276 +aS'PE\tPE\tNN\tI-NP\tO' +p290277 +aS'resulting\tresult\tVBG\tB-VP\tO' +p290278 +aS'in\tin\tIN\tB-PP\tO' +p290279 +aS'PEA\tPEA\tNN\tB-NP\tO' +p290280 +aS'arrest\tarrest\tNN\tI-NP\tO' +p290281 +aS'admitted\tadmit\tVBN\tB-VP\tO' +p290282 +aS'through\tthrough\tIN\tB-PP\tO' +p290283 +aS'the\tthe\tDT\tB-NP\tO' +p290284 +aS'Juan\tJuan\tNN\tI-NP\tO' +p290285 +aS'with\twith\tIN\tB-PP\tO' +p290286 +aS'sepsis\tsepsis\tNN\tB-NP\tO' +p290287 +aS'of\tof\tIN\tB-PP\tO' +p290288 +aS'unknown\tunknown\tJJ\tB-NP\tO' +p290289 +aS'etiology\tetiology\tNN\tI-NP\tO' +p290290 +aS'.\t.\t.\tO\tO' +p290291 +asS'The patient is a 60-year-old male with a past medical history notable for coronary artery disease and CABG x2 in 2001 .' +p290292 +(lp290293 +S'The\tThe\tDT\tB-NP\tO' +p290294 +aS'patient\tpatient\tNN\tI-NP\tO' +p290295 +aS'is\tbe\tVBZ\tB-VP\tO' +p290296 +aS'a\ta\tDT\tB-NP\tO' +p290297 +aS'60-year-old\t60-year-old\tJJ\tI-NP\tO' +p290298 +aS'male\tmale\tNN\tI-NP\tO' +p290299 +aS'with\twith\tIN\tB-PP\tO' +p290300 +aS'a\ta\tDT\tB-NP\tO' +p290301 +aS'past\tpast\tJJ\tI-NP\tO' +p290302 +aS'medical\tmedical\tJJ\tI-NP\tO' +p290303 +aS'history\thistory\tNN\tI-NP\tO' +p290304 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p290305 +aS'for\tfor\tIN\tB-PP\tO' +p290306 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p290307 +aS'artery\tartery\tNN\tI-NP\tO' +p290308 +aS'disease\tdisease\tNN\tI-NP\tO' +p290309 +aS'and\tand\tCC\tO\tO' +p290310 +aS'CABG\tCABG\tNN\tB-NP\tB-protein' +p290311 +aS'x2\tx2\tNN\tI-NP\tI-protein' +p290312 +aS'in\tin\tIN\tB-PP\tO' +p290313 +aS'2001\t2001\tCD\tB-NP\tO' +p290314 +aS'.\t.\t.\tO\tO' +p290315 +asS'The patient 's admitting chest x-ray showed an elevated left hemidiaphragm consistent with atelectasis versus splinting on that side .' +p290316 +(lp290317 +S'The\tThe\tDT\tB-NP\tO' +p290318 +aS'patient\tpatient\tNN\tI-NP\tO' +p290319 +aS''s\t'\tNNS\tI-NP\tO' +p290320 +aS'admitting\tadmit\tVBG\tB-VP\tO' +p290321 +aS'chest\tchest\tNN\tB-NP\tO' +p290322 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p290323 +aS'showed\tshow\tVBD\tB-VP\tO' +p290324 +aS'an\tan\tDT\tB-NP\tO' +p290325 +aS'elevated\televated\tJJ\tI-NP\tO' +p290326 +aS'left\tleft\tJJ\tI-NP\tO' +p290327 +aS'hemidiaphragm\themidiaphragm\tNN\tI-NP\tO' +p290328 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p290329 +aS'with\twith\tIN\tB-PP\tO' +p290330 +aS'atelectasis\tatelectasis\tNN\tB-NP\tO' +p290331 +aS'versus\tversus\tCC\tI-NP\tO' +p290332 +aS'splinting\tsplinting\tNN\tI-NP\tO' +p290333 +aS'on\ton\tIN\tB-PP\tO' +p290334 +aS'that\tthat\tDT\tB-NP\tO' +p290335 +aS'side\tside\tNN\tI-NP\tO' +p290336 +aS'.\t.\t.\tO\tO' +p290337 +asS'Drug toxicity would be a consideration , although somewhat less likely given the unilaterality of the findings .' +p290338 +(lp290339 +S'Drug\tDrug\tNN\tB-NP\tO' +p290340 +aS'toxicity\ttoxicity\tNN\tI-NP\tO' +p290341 +aS'would\twould\tMD\tB-VP\tO' +p290342 +aS'be\tbe\tVB\tI-VP\tO' +p290343 +aS'a\ta\tDT\tB-NP\tO' +p290344 +aS'consideration\tconsideration\tNN\tI-NP\tO' +p290345 +aS',\t,\t,\tO\tO' +p290346 +aS'although\talthough\tIN\tB-SBAR\tO' +p290347 +aS'somewhat\tsomewhat\tRB\tB-ADJP\tO' +p290348 +aS'less\tless\tRBR\tI-ADJP\tO' +p290349 +aS'likely\tlikely\tJJ\tI-ADJP\tO' +p290350 +aS'given\tgive\tVBN\tB-PP\tO' +p290351 +aS'the\tthe\tDT\tB-NP\tO' +p290352 +aS'unilaterality\tunilaterality\tNN\tI-NP\tO' +p290353 +aS'of\tof\tIN\tB-PP\tO' +p290354 +aS'the\tthe\tDT\tB-NP\tO' +p290355 +aS'findings\tfinding\tNNS\tI-NP\tO' +p290356 +aS'.\t.\t.\tO\tO' +p290357 +asS'Prothrombin time 11.7 , partial thromboplastin time 30.4 .' +p290358 +(lp290359 +S'Prothrombin\tProthrombin\tNN\tB-NP\tB-protein' +p290360 +aS'time\ttime\tNN\tI-NP\tI-protein' +p290361 +aS'11.7\t11.7\tCD\tB-NP\tI-protein' +p290362 +aS',\t,\t,\tO\tO' +p290363 +aS'partial\tpartial\tJJ\tB-NP\tO' +p290364 +aS'thromboplastin\tthromboplastin\tNN\tI-NP\tO' +p290365 +aS'time\ttime\tNN\tI-NP\tO' +p290366 +aS'30.4\t30.4\tCD\tB-NP\tO' +p290367 +aS'.\t.\t.\tO\tO' +p290368 +asS'To Boston Medical Center .' +p290369 +(lp290370 +S'To\tTo\tTO\tB-PP\tO' +p290371 +aS'Boston\tBoston\tNNP\tB-NP\tO' +p290372 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p290373 +aS'Center\tCenter\tNNP\tI-NP\tO' +p290374 +aS'.\t.\t.\tO\tO' +p290375 +asS'Rectal examination was heme negative with normal tone .' +p290376 +(lp290377 +S'Rectal\tRectal\tJJ\tB-NP\tO' +p290378 +aS'examination\texamination\tNN\tI-NP\tO' +p290379 +aS'was\tbe\tVBD\tB-VP\tO' +p290380 +aS'heme\theme\tNN\tB-NP\tO' +p290381 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p290382 +aS'with\twith\tIN\tB-PP\tO' +p290383 +aS'normal\tnormal\tJJ\tB-NP\tO' +p290384 +aS'tone\ttone\tNN\tI-NP\tO' +p290385 +aS'.\t.\t.\tO\tO' +p290386 +asS'Prior to this , he drank a bottle of wine a day' +p290387 +(lp290388 +S'Prior\tPrior\tRB\tB-ADVP\tO' +p290389 +aS'to\tto\tTO\tB-PP\tO' +p290390 +aS'this\tthis\tDT\tB-NP\tO' +p290391 +aS',\t,\t,\tO\tO' +p290392 +aS'he\the\tPRP\tB-NP\tO' +p290393 +aS'drank\tdrink\tVBD\tB-VP\tO' +p290394 +aS'a\ta\tDT\tB-NP\tO' +p290395 +aS'bottle\tbottle\tNN\tI-NP\tO' +p290396 +aS'of\tof\tIN\tB-PP\tO' +p290397 +aS'wine\twine\tNN\tB-NP\tO' +p290398 +aS'a\ta\tDT\tB-NP\tO' +p290399 +aS'day\tday\tNN\tI-NP\tO' +p290400 +asS'The patient subsequently had a limited chest CT at Bri Health which showed diffuse bilateral pulmonary metastases , metastases to the sternum , rib , multiple spinal levels ; internal mammary lymphadenopathy .' +p290401 +(lp290402 +S'The\tThe\tDT\tB-NP\tO' +p290403 +aS'patient\tpatient\tNN\tI-NP\tO' +p290404 +aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' +p290405 +aS'had\thave\tVBD\tB-VP\tO' +p290406 +aS'a\ta\tDT\tB-NP\tO' +p290407 +aS'limited\tlimited\tJJ\tI-NP\tO' +p290408 +aS'chest\tchest\tNN\tI-NP\tO' +p290409 +aS'CT\tCT\tNN\tI-NP\tO' +p290410 +aS'at\tat\tIN\tB-PP\tO' +p290411 +aS'Bri\tBri\tNNP\tB-NP\tO' +p290412 +aS'Health\tHealth\tNNP\tI-NP\tO' +p290413 +aS'which\twhich\tWDT\tB-NP\tO' +p290414 +aS'showed\tshow\tVBD\tB-VP\tO' +p290415 +aS'diffuse\tdiffuse\tJJ\tB-NP\tO' +p290416 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p290417 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p290418 +aS'metastases\tmetastasis\tNNS\tI-NP\tO' +p290419 +aS',\t,\t,\tO\tO' +p290420 +aS'metastases\tmetastasis\tNNS\tB-NP\tO' +p290421 +aS'to\tto\tTO\tB-PP\tO' +p290422 +aS'the\tthe\tDT\tB-NP\tO' +p290423 +aS'sternum\tsternum\tNN\tI-NP\tO' +p290424 +aS',\t,\t,\tO\tO' +p290425 +aS'rib\trib\tNN\tB-NP\tB-protein' +p290426 +aS',\t,\t,\tO\tO' +p290427 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p290428 +aS'spinal\tspinal\tJJ\tI-NP\tO' +p290429 +aS'levels\tlevel\tNNS\tI-NP\tO' +p290430 +aS';\t;\t:\tO\tO' +p290431 +aS'internal\tinternal\tJJ\tB-NP\tO' +p290432 +aS'mammary\tmammary\tJJ\tI-NP\tO' +p290433 +aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' +p290434 +aS'.\t.\t.\tO\tO' +p290435 +asS'6) bilateral Neuropathy of lower extremities' +p290436 +(lp290437 +S'6)\t6)\tLS\tB-NP\tO' +p290438 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p290439 +aS'Neuropathy\tNeuropathy\tNN\tI-NP\tO' +p290440 +aS'of\tof\tIN\tB-PP\tO' +p290441 +aS'lower\tlow\tJJR\tB-NP\tO' +p290442 +aS'extremities\textremity\tNNS\tI-NP\tO' +p290443 +asS'A head and neck CT scan , non-contrast , were ordered though to evaluate for such processes .' +p290444 +(lp290445 +S'A\tA\tDT\tB-NP\tO' +p290446 +aS'head\thead\tNN\tI-NP\tO' +p290447 +aS'and\tand\tCC\tI-NP\tO' +p290448 +aS'neck\tneck\tNN\tI-NP\tO' +p290449 +aS'CT\tCT\tNN\tI-NP\tO' +p290450 +aS'scan\tscan\tNN\tI-NP\tO' +p290451 +aS',\t,\t,\tO\tO' +p290452 +aS'non-contrast\tnon-contrast\tJJ\tB-ADJP\tO' +p290453 +aS',\t,\t,\tO\tO' +p290454 +aS'were\tbe\tVBD\tB-VP\tO' +p290455 +aS'ordered\torder\tVBN\tI-VP\tO' +p290456 +aS'though\tthough\tIN\tB-SBAR\tO' +p290457 +aS'to\tto\tTO\tB-VP\tO' +p290458 +aS'evaluate\tevaluate\tVB\tI-VP\tO' +p290459 +aS'for\tfor\tIN\tB-PP\tO' +p290460 +aS'such\tsuch\tJJ\tB-NP\tO' +p290461 +aS'processes\tprocess\tNNS\tI-NP\tO' +p290462 +aS'.\t.\t.\tO\tO' +p290463 +asS'The patient will have SMH Service that comes to her home once a day for adressing change .' +p290464 +(lp290465 +S'The\tThe\tDT\tB-NP\tO' +p290466 +aS'patient\tpatient\tNN\tI-NP\tO' +p290467 +aS'will\twill\tMD\tB-VP\tO' +p290468 +aS'have\thave\tVB\tI-VP\tO' +p290469 +aS'SMH\tSMH\tNNP\tB-NP\tO' +p290470 +aS'Service\tService\tNNP\tI-NP\tO' +p290471 +aS'that\tthat\tWDT\tB-NP\tO' +p290472 +aS'comes\tcome\tVBZ\tB-VP\tO' +p290473 +aS'to\tto\tTO\tB-PP\tO' +p290474 +aS'her\ther\tPRP$\tB-NP\tO' +p290475 +aS'home\thome\tNN\tI-NP\tO' +p290476 +aS'once\tonce\tIN\tB-SBAR\tO' +p290477 +aS'a\ta\tDT\tB-NP\tO' +p290478 +aS'day\tday\tNN\tI-NP\tO' +p290479 +aS'for\tfor\tIN\tB-PP\tO' +p290480 +aS'adressing\tadresse\tVBG\tB-VP\tO' +p290481 +aS'change\tchange\tNN\tB-NP\tO' +p290482 +aS'.\t.\t.\tO\tO' +p290483 +asS'Blood pressure was 150/79 , a pulse of 81 .' +p290484 +(lp290485 +S'Blood\tBlood\tNN\tB-NP\tO' +p290486 +aS'pressure\tpressure\tNN\tI-NP\tO' +p290487 +aS'was\tbe\tVBD\tB-VP\tO' +p290488 +aS'150/79\t150/79\tCD\tB-NP\tO' +p290489 +aS',\t,\t,\tO\tO' +p290490 +aS'a\ta\tDT\tB-NP\tO' +p290491 +aS'pulse\tpulse\tNN\tI-NP\tO' +p290492 +aS'of\tof\tIN\tB-PP\tO' +p290493 +aS'81\t81\tCD\tB-NP\tO' +p290494 +aS'.\t.\t.\tO\tO' +p290495 +asS'After starting broad spectrum antibiotics - cefepime - vancomycin and flagyl ( for initial concern of aspiration pneumonia ), he responded clinically .' +p290496 +(lp290497 +S'After\tAfter\tIN\tB-PP\tO' +p290498 +aS'starting\tstart\tVBG\tB-VP\tO' +p290499 +aS'broad\tbroad\tJJ\tB-NP\tO' +p290500 +aS'spectrum\tspectrum\tNN\tI-NP\tO' +p290501 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p290502 +aS'-\t-\tHYPH\tB-NP\tO' +p290503 +aS'cefepime\tcefepime\tNN\tI-NP\tO' +p290504 +aS'-\t-\tHYPH\tB-NP\tO' +p290505 +aS'vancomycin\tvancomycin\tNN\tI-NP\tO' +p290506 +aS'and\tand\tCC\tI-NP\tO' +p290507 +aS'flagyl\tflagyl\tNN\tI-NP\tO' +p290508 +aS'(\t(\t(\tO\tO' +p290509 +aS'for\tfor\tIN\tB-PP\tO' +p290510 +aS'initial\tinitial\tJJ\tB-NP\tO' +p290511 +aS'concern\tconcern\tNN\tI-NP\tO' +p290512 +aS'of\tof\tIN\tB-PP\tO' +p290513 +aS'aspiration\taspiration\tNN\tB-NP\tO' +p290514 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p290515 +aS'),\t),\tVBD\tB-VP\tO' +p290516 +aS'he\the\tPRP\tB-NP\tO' +p290517 +aS'responded\trespond\tVBD\tB-VP\tO' +p290518 +aS'clinically\tclinically\tRB\tB-ADVP\tO' +p290519 +aS'.\t.\t.\tO\tO' +p290520 +asS'Thad lesion was read as a facet hypertrophy and not an infectious process .' +p290521 +(lp290522 +S'Thad\tThad\tJJ\tB-NP\tO' +p290523 +aS'lesion\tlesion\tNN\tI-NP\tO' +p290524 +aS'was\tbe\tVBD\tB-VP\tO' +p290525 +aS'read\tread\tVBN\tI-VP\tO' +p290526 +aS'as\tas\tIN\tB-PP\tO' +p290527 +aS'a\ta\tDT\tB-NP\tO' +p290528 +aS'facet\tfacet\tJJ\tI-NP\tO' +p290529 +aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' +p290530 +aS'and\tand\tCC\tB-NP\tO' +p290531 +aS'not\tnot\tRB\tI-NP\tO' +p290532 +aS'an\tan\tDT\tB-NP\tO' +p290533 +aS'infectious\tinfectious\tJJ\tI-NP\tO' +p290534 +aS'process\tprocess\tNN\tI-NP\tO' +p290535 +aS'.\t.\t.\tO\tO' +p290536 +asS'Pilonidal cyst removal .' +p290537 +(lp290538 +S'Pilonidal\tPilonidal\tJJ\tB-NP\tO' +p290539 +aS'cyst\tcyst\tNN\tI-NP\tO' +p290540 +aS'removal\tremoval\tNN\tI-NP\tO' +p290541 +aS'.\t.\t.\tO\tO' +p290542 +asS'Left ventricular function .' +p290543 +(lp290544 +S'Left\tLeave\tVBN\tB-NP\tO' +p290545 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p290546 +aS'function\tfunction\tNN\tI-NP\tO' +p290547 +aS'.\t.\t.\tO\tO' +p290548 +asS'His hematocrit was 44.4 , with white blood count of 11.9 , and platelet count of 410 .' +p290549 +(lp290550 +S'His\tHis\tPRP$\tB-NP\tO' +p290551 +aS'hematocrit\thematocrit\tNN\tI-NP\tB-protein' +p290552 +aS'was\tbe\tVBD\tB-VP\tI-protein' +p290553 +aS'44.4\t44.4\tCD\tB-NP\tI-protein' +p290554 +aS',\t,\t,\tO\tO' +p290555 +aS'with\twith\tIN\tB-PP\tO' +p290556 +aS'white\twhite\tJJ\tB-NP\tO' +p290557 +aS'blood\tblood\tNN\tI-NP\tO' +p290558 +aS'count\tcount\tNN\tI-NP\tO' +p290559 +aS'of\tof\tIN\tB-PP\tO' +p290560 +aS'11.9\t11.9\tCD\tB-NP\tO' +p290561 +aS',\t,\t,\tO\tO' +p290562 +aS'and\tand\tCC\tO\tO' +p290563 +aS'platelet\tplatelet\tNN\tB-NP\tO' +p290564 +aS'count\tcount\tNN\tI-NP\tO' +p290565 +aS'of\tof\tIN\tB-PP\tO' +p290566 +aS'410\t410\tCD\tB-NP\tO' +p290567 +aS'.\t.\t.\tO\tO' +p290568 +asS'4. Tube gastrostomy .' +p290569 +(lp290570 +S'4.\t4.\tLS\tB-NP\tO' +p290571 +aS'Tube\tTube\tNN\tI-NP\tO' +p290572 +aS'gastrostomy\tgastrostomy\tNN\tI-NP\tO' +p290573 +aS'.\t.\t.\tO\tO' +p290574 +asS'Follow-up with his various doctors as noted above .' +p290575 +(lp290576 +S'Follow-up\tFollow-up\tNN\tB-NP\tO' +p290577 +aS'with\twith\tIN\tB-PP\tO' +p290578 +aS'his\this\tPRP$\tB-NP\tO' +p290579 +aS'various\tvarious\tJJ\tI-NP\tO' +p290580 +aS'doctors\tdoctor\tNNS\tI-NP\tO' +p290581 +aS'as\tas\tIN\tB-SBAR\tO' +p290582 +aS'noted\tnote\tVBN\tB-VP\tO' +p290583 +aS'above\tabove\tRB\tB-ADVP\tO' +p290584 +aS'.\t.\t.\tO\tO' +p290585 +asS'Chronic GI bleeding : documented AVMs' +p290586 +(lp290587 +S'Chronic\tChronic\tJJ\tB-NP\tO' +p290588 +aS'GI\tGI\tNN\tI-NP\tO' +p290589 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p290590 +aS':\t:\t:\tO\tO' +p290591 +aS'documented\tdocument\tVBN\tB-NP\tO' +p290592 +aS'AVMs\tAVM\tNNS\tI-NP\tO' +p290593 +asS'Estimated blood loss of 300 cc .' +p290594 +(lp290595 +S'Estimated\tEstimate\tVBN\tB-NP\tO' +p290596 +aS'blood\tblood\tNN\tI-NP\tO' +p290597 +aS'loss\tloss\tNN\tI-NP\tO' +p290598 +aS'of\tof\tIN\tB-PP\tO' +p290599 +aS'300\t300\tCD\tB-NP\tO' +p290600 +aS'cc\tcc\tNN\tI-NP\tO' +p290601 +aS'.\t.\t.\tO\tO' +p290602 +asS'1. AGA 32-5/7 week pre-term female .' +p290603 +(lp290604 +S'1.\t1.\tLS\tB-LST\tO' +p290605 +aS'AGA\tAGA\tNN\tB-NP\tO' +p290606 +aS'32-5/7\t32-5/7\tCD\tI-NP\tO' +p290607 +aS'week\tweek\tNN\tI-NP\tO' +p290608 +aS'pre-term\tpre-term\tJJ\tI-NP\tO' +p290609 +aS'female\tfemale\tNN\tI-NP\tO' +p290610 +aS'.\t.\t.\tO\tO' +p290611 +asS'She continued to have profound weakness , a decreased appetite and weight loss .' +p290612 +(lp290613 +S'She\tShe\tPRP\tB-NP\tO' +p290614 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p290615 +aS'to\tto\tTO\tI-VP\tO' +p290616 +aS'have\thave\tVB\tI-VP\tO' +p290617 +aS'profound\tprofound\tJJ\tB-NP\tO' +p290618 +aS'weakness\tweakness\tNN\tI-NP\tO' +p290619 +aS',\t,\t,\tO\tO' +p290620 +aS'a\ta\tDT\tB-NP\tO' +p290621 +aS'decreased\tdecrease\tVBN\tI-NP\tO' +p290622 +aS'appetite\tappetite\tNN\tI-NP\tO' +p290623 +aS'and\tand\tCC\tI-NP\tO' +p290624 +aS'weight\tweight\tNN\tI-NP\tO' +p290625 +aS'loss\tloss\tNN\tI-NP\tO' +p290626 +aS'.\t.\t.\tO\tO' +p290627 +asS'He denied any history of recent travel .' +p290628 +(lp290629 +S'He\tHe\tPRP\tB-NP\tO' +p290630 +aS'denied\tdeny\tVBD\tB-VP\tO' +p290631 +aS'any\tany\tDT\tB-NP\tO' +p290632 +aS'history\thistory\tNN\tI-NP\tO' +p290633 +aS'of\tof\tIN\tB-PP\tO' +p290634 +aS'recent\trecent\tJJ\tB-NP\tO' +p290635 +aS'travel\ttravel\tNN\tI-NP\tO' +p290636 +aS'.\t.\t.\tO\tO' +p290637 +asS'Chest x-ray shows no infiltrate or pneumothorax .' +p290638 +(lp290639 +S'Chest\tCh\tJJS\tB-NP\tO' +p290640 +aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' +p290641 +aS'shows\tshow\tVBZ\tB-VP\tO' +p290642 +aS'no\tno\tDT\tB-NP\tO' +p290643 +aS'infiltrate\tinfiltrate\tNN\tI-NP\tO' +p290644 +aS'or\tor\tCC\tI-NP\tO' +p290645 +aS'pneumothorax\tpneumothorax\tNN\tI-NP\tO' +p290646 +aS'.\t.\t.\tO\tO' +p290647 +asS'He remained hemodynamically stable throughout the remainder of his operative day .' +p290648 +(lp290649 +S'He\tHe\tPRP\tB-NP\tO' +p290650 +aS'remained\tremain\tVBD\tB-VP\tO' +p290651 +aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' +p290652 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p290653 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p290654 +aS'the\tthe\tDT\tB-NP\tO' +p290655 +aS'remainder\tremainder\tNN\tI-NP\tO' +p290656 +aS'of\tof\tIN\tB-PP\tO' +p290657 +aS'his\this\tPRP$\tB-NP\tO' +p290658 +aS'operative\toperative\tJJ\tI-NP\tO' +p290659 +aS'day\tday\tNN\tI-NP\tO' +p290660 +aS'.\t.\t.\tO\tO' +p290661 +asS'Included Prinzide 12.5 mg po daily , albuterol inhaler prn' +p290662 +(lp290663 +S'Included\tInclude\tVBD\tB-VP\tO' +p290664 +aS'Prinzide\tPrinzide\tNNP\tB-NP\tO' +p290665 +aS'12.5\t12.5\tCD\tI-NP\tO' +p290666 +aS'mg\tmg\tNN\tI-NP\tO' +p290667 +aS'po\tpo\tRB\tB-ADVP\tO' +p290668 +aS'daily\tdaily\tRB\tI-ADVP\tO' +p290669 +aS',\t,\t,\tO\tO' +p290670 +aS'albuterol\talbuterol\tNN\tB-NP\tO' +p290671 +aS'inhaler\tinhaler\tNN\tI-NP\tO' +p290672 +aS'prn\tprn\tNN\tI-NP\tO' +p290673 +asS'He has been asymptomatic .' +p290674 +(lp290675 +S'He\tHe\tPRP\tB-NP\tO' +p290676 +aS'has\thave\tVBZ\tB-VP\tO' +p290677 +aS'been\tbe\tVBN\tI-VP\tO' +p290678 +aS'asymptomatic\tasymptomatic\tJJ\tB-ADJP\tO' +p290679 +aS'.\t.\t.\tO\tO' +p290680 +asS'Had tubular breath sounds especially in the lower lung fields .' +p290681 +(lp290682 +S'Had\tHave\tVBD\tB-VP\tO' +p290683 +aS'tubular\ttubular\tJJ\tB-NP\tO' +p290684 +aS'breath\tbreath\tNN\tI-NP\tO' +p290685 +aS'sounds\tsound\tVBZ\tB-VP\tO' +p290686 +aS'especially\tespecially\tRB\tB-ADVP\tO' +p290687 +aS'in\tin\tIN\tB-PP\tO' +p290688 +aS'the\tthe\tDT\tB-NP\tO' +p290689 +aS'lower\tlow\tJJR\tI-NP\tO' +p290690 +aS'lung\tlung\tNN\tI-NP\tO' +p290691 +aS'fields\tfield\tNNS\tI-NP\tO' +p290692 +aS'.\t.\t.\tO\tO' +p290693 +asS'The patient is to follow-up with Dr. Brenda Hummer four weeks following discharge .' +p290694 +(lp290695 +S'The\tThe\tDT\tB-NP\tO' +p290696 +aS'patient\tpatient\tNN\tI-NP\tO' +p290697 +aS'is\tbe\tVBZ\tB-VP\tO' +p290698 +aS'to\tto\tTO\tB-VP\tO' +p290699 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p290700 +aS'with\twith\tIN\tB-PP\tO' +p290701 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p290702 +aS'Brenda\tBrenda\tNNP\tI-NP\tO' +p290703 +aS'Hummer\tHummer\tNNP\tI-NP\tO' +p290704 +aS'four\tfour\tCD\tB-NP\tO' +p290705 +aS'weeks\tweek\tNNS\tI-NP\tO' +p290706 +aS'following\tfollow\tVBG\tB-PP\tO' +p290707 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p290708 +aS'.\t.\t.\tO\tO' +p290709 +asS'The hCG on admission was 30,710 and on 1/19 was 805 .' +p290710 +(lp290711 +S'The\tThe\tDT\tB-NP\tO' +p290712 +aS'hCG\thCG\tNN\tI-NP\tO' +p290713 +aS'on\ton\tIN\tB-PP\tO' +p290714 +aS'admission\tadmission\tNN\tB-NP\tO' +p290715 +aS'was\tbe\tVBD\tB-VP\tO' +p290716 +aS'30,710\t30,710\tCD\tB-NP\tO' +p290717 +aS'and\tand\tCC\tO\tO' +p290718 +aS'on\ton\tIN\tB-PP\tO' +p290719 +aS'1/19\t1/19\tCD\tB-NP\tO' +p290720 +aS'was\tbe\tVBD\tB-VP\tO' +p290721 +aS'805\t805\tCD\tB-NP\tO' +p290722 +aS'.\t.\t.\tO\tO' +p290723 +asS'Sating 98% on 3 liters .' +p290724 +(lp290725 +S'Sating\tSate\tVBG\tB-VP\tO' +p290726 +aS'98%\t98%\tCD\tB-NP\tO' +p290727 +aS'on\ton\tIN\tB-PP\tO' +p290728 +aS'3\t3\tCD\tB-NP\tO' +p290729 +aS'liters\tliter\tNNS\tI-NP\tO' +p290730 +aS'.\t.\t.\tO\tO' +p290731 +asS'At discharge after about two weeks post-extubation , he had an O2 saturation of approximately 95% on room air .' +p290732 +(lp290733 +S'At\tAt\tIN\tB-PP\tO' +p290734 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p290735 +aS'after\tafter\tIN\tB-PP\tO' +p290736 +aS'about\tabout\tIN\tB-NP\tO' +p290737 +aS'two\ttwo\tCD\tI-NP\tO' +p290738 +aS'weeks\tweek\tNNS\tI-NP\tO' +p290739 +aS'post-extubation\tpost-extubation\tJJ\tB-ADJP\tO' +p290740 +aS',\t,\t,\tO\tO' +p290741 +aS'he\the\tPRP\tB-NP\tO' +p290742 +aS'had\thave\tVBD\tB-VP\tO' +p290743 +aS'an\tan\tDT\tB-NP\tO' +p290744 +aS'O2\tO2\tNN\tI-NP\tO' +p290745 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p290746 +aS'of\tof\tIN\tB-PP\tO' +p290747 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p290748 +aS'95%\t95%\tCD\tI-NP\tO' +p290749 +aS'on\ton\tIN\tB-PP\tO' +p290750 +aS'room\troom\tNN\tB-NP\tO' +p290751 +aS'air\tair\tNN\tI-NP\tO' +p290752 +aS'.\t.\t.\tO\tO' +p290753 +asS'She had an echocardiogram which showed a hyperdynamic left ventricular of normal thickness and size , and no significant valvular disease .' +p290754 +(lp290755 +S'She\tShe\tPRP\tB-NP\tO' +p290756 +aS'had\thave\tVBD\tB-VP\tO' +p290757 +aS'an\tan\tDT\tB-NP\tO' +p290758 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p290759 +aS'which\twhich\tWDT\tB-NP\tO' +p290760 +aS'showed\tshow\tVBD\tB-VP\tO' +p290761 +aS'a\ta\tDT\tB-NP\tO' +p290762 +aS'hyperdynamic\thyperdynamic\tJJ\tI-NP\tO' +p290763 +aS'left\tleft\tNN\tI-NP\tO' +p290764 +aS'ventricular\tventricular\tJJ\tB-ADJP\tO' +p290765 +aS'of\tof\tIN\tB-PP\tO' +p290766 +aS'normal\tnormal\tJJ\tB-NP\tO' +p290767 +aS'thickness\tthickness\tNN\tI-NP\tO' +p290768 +aS'and\tand\tCC\tI-NP\tO' +p290769 +aS'size\tsize\tNN\tI-NP\tO' +p290770 +aS',\t,\t,\tO\tO' +p290771 +aS'and\tand\tCC\tO\tO' +p290772 +aS'no\tno\tDT\tB-NP\tO' +p290773 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p290774 +aS'valvular\tvalvular\tJJ\tI-NP\tO' +p290775 +aS'disease\tdisease\tNN\tI-NP\tO' +p290776 +aS'.\t.\t.\tO\tO' +p290777 +asS'He was told to call a doctor or come to the emergency room should he have any further troubles , breathing , chest pain , or fevers .' +p290778 +(lp290779 +S'He\tHe\tPRP\tB-NP\tO' +p290780 +aS'was\tbe\tVBD\tB-VP\tO' +p290781 +aS'told\ttell\tVBN\tI-VP\tO' +p290782 +aS'to\tto\tTO\tI-VP\tO' +p290783 +aS'call\tcall\tVB\tI-VP\tO' +p290784 +aS'a\ta\tDT\tB-NP\tO' +p290785 +aS'doctor\tdoctor\tNN\tI-NP\tO' +p290786 +aS'or\tor\tCC\tO\tO' +p290787 +aS'come\tcome\tVBN\tB-VP\tO' +p290788 +aS'to\tto\tTO\tB-PP\tO' +p290789 +aS'the\tthe\tDT\tB-NP\tO' +p290790 +aS'emergency\temergency\tNN\tI-NP\tO' +p290791 +aS'room\troom\tNN\tI-NP\tO' +p290792 +aS'should\tshould\tMD\tO\tO' +p290793 +aS'he\the\tPRP\tB-NP\tO' +p290794 +aS'have\thave\tVB\tB-VP\tO' +p290795 +aS'any\tany\tDT\tB-NP\tO' +p290796 +aS'further\tfurther\tJJ\tI-NP\tO' +p290797 +aS'troubles\ttrouble\tNNS\tI-NP\tO' +p290798 +aS',\t,\t,\tO\tO' +p290799 +aS'breathing\tbreathing\tNN\tB-NP\tO' +p290800 +aS',\t,\t,\tO\tO' +p290801 +aS'chest\tchest\tNN\tB-NP\tO' +p290802 +aS'pain\tpain\tNN\tI-NP\tO' +p290803 +aS',\t,\t,\tO\tO' +p290804 +aS'or\tor\tCC\tO\tO' +p290805 +aS'fevers\tfever\tNNS\tB-NP\tO' +p290806 +aS'.\t.\t.\tO\tO' +p290807 +asS'Neck , she has II+ bilateral carotids , no bruits , no jugular venous distention .' +p290808 +(lp290809 +S'Neck\tNeck\tRB\tB-ADVP\tO' +p290810 +aS',\t,\t,\tO\tO' +p290811 +aS'she\tshe\tPRP\tB-NP\tO' +p290812 +aS'has\thave\tVBZ\tB-VP\tO' +p290813 +aS'II+\tII+\tJJ\tB-NP\tO' +p290814 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p290815 +aS'carotids\tcarotid\tNNS\tI-NP\tO' +p290816 +aS',\t,\t,\tO\tO' +p290817 +aS'no\tno\tDT\tB-NP\tO' +p290818 +aS'bruits\tbruit\tNNS\tI-NP\tO' +p290819 +aS',\t,\t,\tO\tO' +p290820 +aS'no\tno\tDT\tB-NP\tO' +p290821 +aS'jugular\tjugular\tJJ\tI-NP\tO' +p290822 +aS'venous\tvenous\tJJ\tI-NP\tO' +p290823 +aS'distention\tdistention\tNN\tI-NP\tO' +p290824 +aS'.\t.\t.\tO\tO' +p290825 +asS'02/90 , total abdominal hysterectomy complicated by ureteral transection with right ureteral tube placed for six weeks , stent tube placed in left ureter six weeks prior to admission for a hydronephrosis post , in 03/91 , bilateral salpingo-oophorectomy and appendectomy .' +p290826 +(lp290827 +S'02/90\t02/90\tCD\tB-NP\tO' +p290828 +aS',\t,\t,\tO\tO' +p290829 +aS'total\ttotal\tJJ\tB-NP\tO' +p290830 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p290831 +aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' +p290832 +aS'complicated\tcomplicate\tVBN\tB-VP\tO' +p290833 +aS'by\tby\tIN\tB-PP\tO' +p290834 +aS'ureteral\tureteral\tJJ\tB-NP\tO' +p290835 +aS'transection\ttransection\tNN\tI-NP\tO' +p290836 +aS'with\twith\tIN\tB-PP\tO' +p290837 +aS'right\tright\tJJ\tB-NP\tO' +p290838 +aS'ureteral\tureteral\tJJ\tI-NP\tO' +p290839 +aS'tube\ttube\tNN\tI-NP\tO' +p290840 +aS'placed\tplace\tVBN\tB-VP\tO' +p290841 +aS'for\tfor\tIN\tB-PP\tO' +p290842 +aS'six\tsix\tCD\tB-NP\tO' +p290843 +aS'weeks\tweek\tNNS\tI-NP\tO' +p290844 +aS',\t,\t,\tO\tO' +p290845 +aS'stent\tstent\tJJ\tB-NP\tO' +p290846 +aS'tube\ttube\tNN\tI-NP\tO' +p290847 +aS'placed\tplace\tVBN\tB-VP\tO' +p290848 +aS'in\tin\tIN\tB-PP\tO' +p290849 +aS'left\tleft\tJJ\tB-NP\tO' +p290850 +aS'ureter\tureter\tNN\tI-NP\tO' +p290851 +aS'six\tsix\tCD\tB-NP\tO' +p290852 +aS'weeks\tweek\tNNS\tI-NP\tO' +p290853 +aS'prior\tprior\tRB\tB-ADVP\tO' +p290854 +aS'to\tto\tTO\tB-PP\tO' +p290855 +aS'admission\tadmission\tNN\tB-NP\tO' +p290856 +aS'for\tfor\tIN\tB-PP\tO' +p290857 +aS'a\ta\tDT\tB-NP\tO' +p290858 +aS'hydronephrosis\thydronephrosis\tNN\tI-NP\tO' +p290859 +aS'post\tpost\tNN\tI-NP\tO' +p290860 +aS',\t,\t,\tO\tO' +p290861 +aS'in\tin\tIN\tB-PP\tO' +p290862 +aS'03/91\t03/91\tCD\tB-NP\tO' +p290863 +aS',\t,\t,\tO\tO' +p290864 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p290865 +aS'salpingo-oophorectomy\tsalpingo-oophorectomy\tNN\tI-NP\tO' +p290866 +aS'and\tand\tCC\tI-NP\tO' +p290867 +aS'appendectomy\tappendectomy\tNN\tI-NP\tO' +p290868 +aS'.\t.\t.\tO\tO' +p290869 +asS'This is a 32 year old male who was recently discharged from Mediplex Rehab Hospital and presents again to us with chief complaint of abdominal pain ( sudden onset left-sided abdominal pain ).' +p290870 +(lp290871 +S'This\tThis\tDT\tB-NP\tO' +p290872 +aS'is\tbe\tVBZ\tB-VP\tO' +p290873 +aS'a\ta\tDT\tB-NP\tO' +p290874 +aS'32\t32\tCD\tI-NP\tO' +p290875 +aS'year\tyear\tNN\tI-NP\tO' +p290876 +aS'old\told\tJJ\tI-NP\tO' +p290877 +aS'male\tmale\tNN\tI-NP\tO' +p290878 +aS'who\twho\tWP\tB-NP\tO' +p290879 +aS'was\tbe\tVBD\tB-VP\tO' +p290880 +aS'recently\trecently\tRB\tI-VP\tO' +p290881 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p290882 +aS'from\tfrom\tIN\tB-PP\tO' +p290883 +aS'Mediplex\tMediplex\tNNP\tB-NP\tO' +p290884 +aS'Rehab\tRehab\tNNP\tI-NP\tO' +p290885 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p290886 +aS'and\tand\tCC\tO\tO' +p290887 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p290888 +aS'again\tagain\tRB\tB-ADVP\tO' +p290889 +aS'to\tto\tTO\tB-PP\tO' +p290890 +aS'us\tus\tPRP\tB-NP\tO' +p290891 +aS'with\twith\tIN\tB-PP\tO' +p290892 +aS'chief\tchief\tNN\tB-NP\tO' +p290893 +aS'complaint\tcomplaint\tNN\tI-NP\tO' +p290894 +aS'of\tof\tIN\tB-PP\tO' +p290895 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p290896 +aS'pain\tpain\tNN\tI-NP\tO' +p290897 +aS'(\t(\t(\tO\tO' +p290898 +aS'sudden\tsudden\tJJ\tB-NP\tO' +p290899 +aS'onset\tonset\tNN\tI-NP\tO' +p290900 +aS'left-sided\tleft-sided\tJJ\tI-NP\tO' +p290901 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p290902 +aS'pain\tpain\tNN\tI-NP\tO' +p290903 +aS').\t).\t.\tO\tO' +p290904 +asS'Ultrasound was obtained of the biliary tree which demonstrated no abnormalities .' +p290905 +(lp290906 +S'Ultrasound\tUltrasound\tNN\tB-NP\tO' +p290907 +aS'was\tbe\tVBD\tB-VP\tO' +p290908 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p290909 +aS'of\tof\tIN\tB-PP\tO' +p290910 +aS'the\tthe\tDT\tB-NP\tO' +p290911 +aS'biliary\tbiliary\tJJ\tI-NP\tO' +p290912 +aS'tree\ttree\tNN\tI-NP\tO' +p290913 +aS'which\twhich\tWDT\tB-NP\tO' +p290914 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p290915 +aS'no\tno\tDT\tB-NP\tO' +p290916 +aS'abnormalities\tabnormality\tNNS\tI-NP\tO' +p290917 +aS'.\t.\t.\tO\tO' +p290918 +asS'His Avandia was discontinued secondary to the side effect profile .' +p290919 +(lp290920 +S'His\tHis\tNNP\tB-NP\tO' +p290921 +aS'Avandia\tAvandia\tNNP\tI-NP\tO' +p290922 +aS'was\tbe\tVBD\tB-VP\tO' +p290923 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p290924 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p290925 +aS'to\tto\tTO\tB-PP\tO' +p290926 +aS'the\tthe\tDT\tB-NP\tO' +p290927 +aS'side\tside\tNN\tI-NP\tO' +p290928 +aS'effect\teffect\tNN\tI-NP\tO' +p290929 +aS'profile\tprofile\tNN\tI-NP\tO' +p290930 +aS'.\t.\t.\tO\tO' +p290931 +asS'Signed electronically by : DR. Kenneth Din on : TUE 2013-09-17 11:14 AM' +p290932 +(lp290933 +S'Signed\tSign\tVBN\tB-VP\tO' +p290934 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p290935 +aS'by\tby\tIN\tB-PP\tO' +p290936 +aS':\t:\t:\tO\tO' +p290937 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p290938 +aS'Kenneth\tKenneth\tNNP\tI-NP\tO' +p290939 +aS'Din\tDin\tNNP\tI-NP\tO' +p290940 +aS'on\ton\tIN\tB-PP\tO' +p290941 +aS':\t:\t:\tO\tO' +p290942 +aS'TUE\tTUE\tNN\tB-NP\tO' +p290943 +aS'2013-09-17\t2013-09-17\tCD\tI-NP\tO' +p290944 +aS'11:14\t11:14\tCD\tI-NP\tO' +p290945 +aS'AM\tAM\tNN\tI-NP\tO' +p290946 +asS'The patient is to be discharged to home with instructions for follow-up .' +p290947 +(lp290948 +S'The\tThe\tDT\tB-NP\tO' +p290949 +aS'patient\tpatient\tNN\tI-NP\tO' +p290950 +aS'is\tbe\tVBZ\tB-VP\tO' +p290951 +aS'to\tto\tTO\tI-VP\tO' +p290952 +aS'be\tbe\tVB\tI-VP\tO' +p290953 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p290954 +aS'to\tto\tTO\tB-PP\tO' +p290955 +aS'home\thome\tNN\tB-NP\tO' +p290956 +aS'with\twith\tIN\tB-PP\tO' +p290957 +aS'instructions\tinstruction\tNNS\tB-NP\tO' +p290958 +aS'for\tfor\tIN\tB-PP\tO' +p290959 +aS'follow-up\tfollow-up\tNN\tB-NP\tO' +p290960 +aS'.\t.\t.\tO\tO' +p290961 +asS"3. Congestive heart failure - During the initial course of the patient 's admission , it was unclear as to whether or not he was volume overloaded or volume depleted ." +p290962 +(lp290963 +S'3.\t3.\tLS\tB-NP\tO' +p290964 +aS'Congestive\tCongestive\tJJ\tI-NP\tO' +p290965 +aS'heart\theart\tNN\tI-NP\tO' +p290966 +aS'failure\tfailure\tNN\tI-NP\tO' +p290967 +aS'-\t-\tHYPH\tB-ADJP\tO' +p290968 +aS'During\tDuring\tIN\tB-PP\tO' +p290969 +aS'the\tthe\tDT\tB-NP\tO' +p290970 +aS'initial\tinitial\tJJ\tI-NP\tO' +p290971 +aS'course\tcourse\tNN\tI-NP\tO' +p290972 +aS'of\tof\tIN\tB-PP\tO' +p290973 +aS'the\tthe\tDT\tB-NP\tO' +p290974 +aS'patient\tpatient\tNN\tI-NP\tO' +p290975 +aS"'s\t's\tPOS\tB-NP\tO" +p290976 +aS'admission\tadmission\tNN\tI-NP\tO' +p290977 +aS',\t,\t,\tO\tO' +p290978 +aS'it\tit\tPRP\tB-NP\tO' +p290979 +aS'was\tbe\tVBD\tB-VP\tO' +p290980 +aS'unclear\tunclear\tJJ\tB-ADJP\tO' +p290981 +aS'as\tas\tIN\tB-PP\tO' +p290982 +aS'to\tto\tTO\tB-PP\tO' +p290983 +aS'whether\twhether\tIN\tB-SBAR\tO' +p290984 +aS'or\tor\tCC\tO\tO' +p290985 +aS'not\tnot\tRB\tO\tO' +p290986 +aS'he\the\tPRP\tB-NP\tO' +p290987 +aS'was\tbe\tVBD\tB-VP\tO' +p290988 +aS'volume\tvolume\tNN\tB-NP\tO' +p290989 +aS'overloaded\toverloaded\tJJ\tB-ADJP\tO' +p290990 +aS'or\tor\tCC\tO\tO' +p290991 +aS'volume\tvolume\tNN\tB-NP\tO' +p290992 +aS'depleted\tdeplete\tVBN\tB-VP\tO' +p290993 +aS'.\t.\t.\tO\tO' +p290994 +asS"## SLE w/ h/o pericarditis , last flare couple years ago , didn 't flare w/ urosepsis" +p290995 +(lp290996 +S'##\t##\t#\tB-NP\tO' +p290997 +aS'SLE\tSLE\tNN\tI-NP\tO' +p290998 +aS'w/\tw/\tNN\tI-NP\tO' +p290999 +aS'h/o\th/o\tNN\tI-NP\tO' +p291000 +aS'pericarditis\tpericarditis\tNN\tI-NP\tO' +p291001 +aS',\t,\t,\tO\tO' +p291002 +aS'last\tlast\tJJ\tB-NP\tO' +p291003 +aS'flare\tflare\tNN\tI-NP\tO' +p291004 +aS'couple\tcouple\tNN\tI-NP\tO' +p291005 +aS'years\tyear\tNNS\tI-NP\tO' +p291006 +aS'ago\tago\tRB\tB-ADVP\tO' +p291007 +aS',\t,\t,\tO\tO' +p291008 +aS'didn\tdidn\tNN\tB-NP\tO' +p291009 +aS"'t\t't\tPOS\tB-NP\tO" +p291010 +aS'flare\tflare\tNN\tI-NP\tO' +p291011 +aS'w/\tw/\tNN\tI-NP\tO' +p291012 +aS'urosepsis\turosepsis\tNN\tI-NP\tO' +p291013 +asS'6) Hyperglycemia : Although he has no known history of diabetes , his elevated FS noted in field with glycosuria prompted fingerstick check but he has not required insulin coverage .' +p291014 +(lp291015 +S'6)\t6)\tCD\tB-NP\tO' +p291016 +aS'Hyperglycemia\tHyperglycemia\tNNP\tI-NP\tO' +p291017 +aS':\t:\t:\tO\tO' +p291018 +aS'Although\tAlthough\tIN\tB-SBAR\tO' +p291019 +aS'he\the\tPRP\tB-NP\tO' +p291020 +aS'has\thave\tVBZ\tB-VP\tO' +p291021 +aS'no\tno\tDT\tB-NP\tO' +p291022 +aS'known\tknow\tVBN\tI-NP\tO' +p291023 +aS'history\thistory\tNN\tI-NP\tO' +p291024 +aS'of\tof\tIN\tB-PP\tO' +p291025 +aS'diabetes\tdiabete\tNNS\tB-NP\tO' +p291026 +aS',\t,\t,\tO\tO' +p291027 +aS'his\this\tPRP$\tB-NP\tO' +p291028 +aS'elevated\televated\tJJ\tI-NP\tO' +p291029 +aS'FS\tFS\tNN\tI-NP\tO' +p291030 +aS'noted\tnote\tVBN\tB-VP\tO' +p291031 +aS'in\tin\tIN\tB-PP\tO' +p291032 +aS'field\tfield\tNN\tB-NP\tO' +p291033 +aS'with\twith\tIN\tB-PP\tO' +p291034 +aS'glycosuria\tglycosuria\tNN\tB-NP\tB-protein' +p291035 +aS'prompted\tprompt\tVBD\tB-VP\tI-protein' +p291036 +aS'fingerstick\tfingerstick\tNN\tB-NP\tI-protein' +p291037 +aS'check\tcheck\tNN\tI-NP\tI-protein' +p291038 +aS'but\tbut\tCC\tO\tO' +p291039 +aS'he\the\tPRP\tB-NP\tO' +p291040 +aS'has\thave\tVBZ\tB-VP\tO' +p291041 +aS'not\tnot\tRB\tI-VP\tO' +p291042 +aS'required\trequire\tVBN\tI-VP\tO' +p291043 +aS'insulin\tinsulin\tNN\tB-NP\tO' +p291044 +aS'coverage\tcoverage\tNN\tI-NP\tO' +p291045 +aS'.\t.\t.\tO\tO' +p291046 +asS'Right lower quadrant source of bleed on red blood cell scan .' +p291047 +(lp291048 +S'Right\tRight\tRB\tB-NP\tO' +p291049 +aS'lower\tlow\tJJR\tI-NP\tO' +p291050 +aS'quadrant\tquadrant\tJJ\tI-NP\tO' +p291051 +aS'source\tsource\tNN\tI-NP\tO' +p291052 +aS'of\tof\tIN\tB-PP\tO' +p291053 +aS'bleed\tbleed\tNN\tB-NP\tO' +p291054 +aS'on\ton\tIN\tB-PP\tO' +p291055 +aS'red\tred\tJJ\tB-NP\tO' +p291056 +aS'blood\tblood\tNN\tI-NP\tO' +p291057 +aS'cell\tcell\tNN\tI-NP\tO' +p291058 +aS'scan\tscan\tNN\tI-NP\tO' +p291059 +aS'.\t.\t.\tO\tO' +p291060 +asS'We contacted the patient 's primary care physician , Dr. Aslinke ______ , regarding his cardiac medication management .' +p291061 +(lp291062 +S'We\tWe\tPRP\tB-NP\tO' +p291063 +aS'contacted\tcontact\tVBD\tB-VP\tO' +p291064 +aS'the\tthe\tDT\tB-NP\tO' +p291065 +aS'patient\tpatient\tNN\tI-NP\tO' +p291066 +aS''s\t'\tNNS\tI-NP\tO' +p291067 +aS'primary\tprimary\tJJ\tB-NP\tO' +p291068 +aS'care\tcare\tNN\tI-NP\tO' +p291069 +aS'physician\tphysician\tNN\tI-NP\tO' +p291070 +aS',\t,\t,\tO\tO' +p291071 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p291072 +aS'Aslinke\tAslinke\tNNP\tI-NP\tO' +p291073 +aS'______\t______\tNNP\tI-NP\tO' +p291074 +aS',\t,\t,\tO\tO' +p291075 +aS'regarding\tregard\tVBG\tB-VP\tO' +p291076 +aS'his\this\tPRP$\tB-NP\tO' +p291077 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p291078 +aS'medication\tmedication\tNN\tI-NP\tO' +p291079 +aS'management\tmanagement\tNN\tI-NP\tO' +p291080 +aS'.\t.\t.\tO\tO' +p291081 +asS'Thyroidectomy .' +p291082 +(lp291083 +S'Thyroidectomy\tThyroidectomy\tNN\tB-NP\tO' +p291084 +aS'.\t.\t.\tO\tO' +p291085 +asS'No history of thyroid disease .' +p291086 +(lp291087 +S'No\tNo\tDT\tB-NP\tO' +p291088 +aS'history\thistory\tNN\tI-NP\tO' +p291089 +aS'of\tof\tIN\tB-PP\tO' +p291090 +aS'thyroid\tthyroid\tJJ\tB-NP\tO' +p291091 +aS'disease\tdisease\tNN\tI-NP\tO' +p291092 +aS'.\t.\t.\tO\tO' +p291093 +asS'She is to follow up with Dr. Acrookesjo in one week and Dr. Work the gastrointestinal fellow here at PUOMC in 2 weeks .' +p291094 +(lp291095 +S'She\tShe\tPRP\tB-NP\tO' +p291096 +aS'is\tbe\tVBZ\tB-VP\tO' +p291097 +aS'to\tto\tTO\tB-VP\tO' +p291098 +aS'follow\tfollow\tVB\tI-VP\tO' +p291099 +aS'up\tup\tRP\tB-PRT\tO' +p291100 +aS'with\twith\tIN\tB-PP\tO' +p291101 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p291102 +aS'Acrookesjo\tAcrookesjo\tNNP\tI-NP\tO' +p291103 +aS'in\tin\tIN\tB-PP\tO' +p291104 +aS'one\tone\tCD\tB-NP\tO' +p291105 +aS'week\tweek\tNN\tI-NP\tO' +p291106 +aS'and\tand\tCC\tO\tO' +p291107 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p291108 +aS'Work\tWork\tNNP\tI-NP\tO' +p291109 +aS'the\tthe\tDT\tB-NP\tO' +p291110 +aS'gastrointestinal\tgastrointestinal\tJJ\tI-NP\tO' +p291111 +aS'fellow\tfellow\tNN\tI-NP\tO' +p291112 +aS'here\there\tRB\tB-ADVP\tO' +p291113 +aS'at\tat\tIN\tB-PP\tO' +p291114 +aS'PUOMC\tPUOMC\tNN\tB-NP\tB-protein' +p291115 +aS'in\tin\tIN\tB-PP\tO' +p291116 +aS'2\t2\tCD\tB-NP\tO' +p291117 +aS'weeks\tweek\tNNS\tI-NP\tO' +p291118 +aS'.\t.\t.\tO\tO' +p291119 +asS'Pt was recently admitted to The Hospital for Orthopedics from 12-07 thorugh 12-14 with hypotension thought to be secondary to overdiuresis at HD.' +p291120 +(lp291121 +S'Pt\tPt\tNN\tB-NP\tO' +p291122 +aS'was\tbe\tVBD\tB-VP\tO' +p291123 +aS'recently\trecently\tRB\tI-VP\tO' +p291124 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p291125 +aS'to\tto\tTO\tB-PP\tO' +p291126 +aS'The\tThe\tDT\tB-NP\tO' +p291127 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p291128 +aS'for\tfor\tIN\tB-PP\tO' +p291129 +aS'Orthopedics\tOrthopedics\tNNP\tB-NP\tO' +p291130 +aS'from\tfrom\tIN\tB-PP\tO' +p291131 +aS'12-07\t12-07\tCD\tB-NP\tO' +p291132 +aS'thorugh\tthorugh\tIN\tB-PP\tO' +p291133 +aS'12-14\t12-14\tCD\tB-NP\tO' +p291134 +aS'with\twith\tIN\tB-PP\tO' +p291135 +aS'hypotension\thypotension\tNN\tB-NP\tO' +p291136 +aS'thought\tthink\tVBN\tB-VP\tO' +p291137 +aS'to\tto\tTO\tI-VP\tO' +p291138 +aS'be\tbe\tVB\tI-VP\tO' +p291139 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p291140 +aS'to\tto\tTO\tB-PP\tO' +p291141 +aS'overdiuresis\toverdiuresis\tNN\tB-NP\tO' +p291142 +aS'at\tat\tIN\tB-PP\tO' +p291143 +aS'HD.\tHD.\tNN\tB-NP\tO' +p291144 +asS'On admission included an ALT of 108 , AST of 286 .' +p291145 +(lp291146 +S'On\tOn\tIN\tB-PP\tO' +p291147 +aS'admission\tadmission\tNN\tB-NP\tO' +p291148 +aS'included\tinclude\tVBD\tB-VP\tO' +p291149 +aS'an\tan\tDT\tB-NP\tO' +p291150 +aS'ALT\tALT\tNN\tI-NP\tB-protein' +p291151 +aS'of\tof\tIN\tB-PP\tO' +p291152 +aS'108\t108\tCD\tB-NP\tO' +p291153 +aS',\t,\t,\tO\tO' +p291154 +aS'AST\tAST\tNN\tB-NP\tO' +p291155 +aS'of\tof\tIN\tB-PP\tO' +p291156 +aS'286\t286\tCD\tB-NP\tO' +p291157 +aS'.\t.\t.\tO\tO' +p291158 +asS'9. Bactrim double strength once daily .' +p291159 +(lp291160 +S'9.\t9.\tLS\tB-NP\tO' +p291161 +aS'Bactrim\tBactrim\tNNP\tI-NP\tO' +p291162 +aS'double\tdouble\tJJ\tI-NP\tO' +p291163 +aS'strength\tstrength\tNN\tI-NP\tO' +p291164 +aS'once\tonce\tRB\tB-ADVP\tO' +p291165 +aS'daily\tdaily\tRB\tI-ADVP\tO' +p291166 +aS'.\t.\t.\tO\tO' +p291167 +asS'On 10 May 1998 , she underwent sternal wound debridement and closure , performed by Dr. Falccouette and Dr. Shuffzeln .' +p291168 +(lp291169 +S'On\tOn\tIN\tB-PP\tO' +p291170 +aS'10\t10\tCD\tB-NP\tO' +p291171 +aS'May\tMay\tNNP\tI-NP\tO' +p291172 +aS'1998\t1998\tCD\tI-NP\tO' +p291173 +aS',\t,\t,\tO\tO' +p291174 +aS'she\tshe\tPRP\tB-NP\tO' +p291175 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p291176 +aS'sternal\tsternal\tJJ\tB-NP\tO' +p291177 +aS'wound\twound\tNN\tI-NP\tO' +p291178 +aS'debridement\tdebridement\tNN\tI-NP\tO' +p291179 +aS'and\tand\tCC\tI-NP\tO' +p291180 +aS'closure\tclosure\tNN\tI-NP\tO' +p291181 +aS',\t,\t,\tO\tO' +p291182 +aS'performed\tperform\tVBN\tB-VP\tO' +p291183 +aS'by\tby\tIN\tB-PP\tO' +p291184 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p291185 +aS'Falccouette\tFalccouette\tNNP\tI-NP\tO' +p291186 +aS'and\tand\tCC\tO\tO' +p291187 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p291188 +aS'Shuffzeln\tShuffzeln\tNNP\tI-NP\tO' +p291189 +aS'.\t.\t.\tO\tO' +p291190 +asS'CD4 ct .' +p291191 +(lp291192 +S'CD4\tCD4\tNN\tB-NP\tB-protein' +p291193 +aS'ct\tct\tNN\tI-NP\tO' +p291194 +aS'.\t.\t.\tO\tO' +p291195 +asS'She was also on round-the-clock Atrovent and albuterol nebulizers .' +p291196 +(lp291197 +S'She\tShe\tPRP\tB-NP\tO' +p291198 +aS'was\tbe\tVBD\tB-VP\tO' +p291199 +aS'also\talso\tRB\tB-ADVP\tO' +p291200 +aS'on\ton\tIN\tB-PP\tO' +p291201 +aS'round-the-clock\tround-the-clock\tJJ\tB-NP\tO' +p291202 +aS'Atrovent\tAtrovent\tNN\tI-NP\tO' +p291203 +aS'and\tand\tCC\tI-NP\tO' +p291204 +aS'albuterol\talbuterol\tNN\tI-NP\tO' +p291205 +aS'nebulizers\tnebulizer\tNNS\tI-NP\tO' +p291206 +aS'.\t.\t.\tO\tO' +p291207 +asS"There was some question regarding restarting of the patient 's Coumadin given her positive lupus anti-coagulant status as well as the presence of her basilar artery stenosis ." +p291208 +(lp291209 +S'There\tThere\tEX\tB-NP\tO' +p291210 +aS'was\tbe\tVBD\tB-VP\tO' +p291211 +aS'some\tsome\tDT\tB-NP\tO' +p291212 +aS'question\tquestion\tNN\tI-NP\tO' +p291213 +aS'regarding\tregard\tVBG\tB-PP\tO' +p291214 +aS'restarting\trestart\tVBG\tB-NP\tO' +p291215 +aS'of\tof\tIN\tB-PP\tO' +p291216 +aS'the\tthe\tDT\tB-NP\tO' +p291217 +aS'patient\tpatient\tNN\tI-NP\tO' +p291218 +aS"'s\t's\tPOS\tB-NP\tO" +p291219 +aS'Coumadin\tCoumadin\tNN\tI-NP\tO' +p291220 +aS'given\tgive\tVBN\tB-VP\tO' +p291221 +aS'her\ther\tPRP$\tB-NP\tO' +p291222 +aS'positive\tpositive\tJJ\tI-NP\tO' +p291223 +aS'lupus\tlupus\tNN\tI-NP\tO' +p291224 +aS'anti-coagulant\tanti-coagulant\tJJ\tI-NP\tO' +p291225 +aS'status\tstatus\tNN\tI-NP\tO' +p291226 +aS'as\tas\tRB\tB-CONJP\tO' +p291227 +aS'well\twell\tRB\tI-CONJP\tO' +p291228 +aS'as\tas\tIN\tI-CONJP\tO' +p291229 +aS'the\tthe\tDT\tB-NP\tO' +p291230 +aS'presence\tpresence\tNN\tI-NP\tO' +p291231 +aS'of\tof\tIN\tB-PP\tO' +p291232 +aS'her\ther\tPRP$\tB-NP\tO' +p291233 +aS'basilar\tbasilar\tJJ\tI-NP\tO' +p291234 +aS'artery\tartery\tNN\tI-NP\tO' +p291235 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p291236 +aS'.\t.\t.\tO\tO' +p291237 +asS'Blood cultures 04/05 revealed Bacteroides fragilis ; 04/06 Fluid collection drainage from IR revealed' +p291238 +(lp291239 +S'Blood\tBlood\tNN\tB-NP\tO' +p291240 +aS'cultures\tculture\tNNS\tI-NP\tO' +p291241 +aS'04/05\t04/05\tCD\tB-NP\tO' +p291242 +aS'revealed\treveal\tVBD\tB-VP\tO' +p291243 +aS'Bacteroides\tBacteroide\tNNS\tB-NP\tO' +p291244 +aS'fragilis\tfragilis\tNN\tI-NP\tO' +p291245 +aS';\t;\t:\tO\tO' +p291246 +aS'04/06\t04/06\tCD\tB-NP\tO' +p291247 +aS'Fluid\tFluid\tNN\tI-NP\tO' +p291248 +aS'collection\tcollection\tNN\tI-NP\tO' +p291249 +aS'drainage\tdrainage\tNN\tI-NP\tO' +p291250 +aS'from\tfrom\tIN\tB-PP\tO' +p291251 +aS'IR\tIR\tNN\tB-NP\tB-protein' +p291252 +aS'revealed\treveal\tVBD\tB-VP\tO' +p291253 +asS'7. Pericarditis .' +p291254 +(lp291255 +S'7.\t7.\tCD\tB-NP\tO' +p291256 +aS'Pericarditis\tPericarditis\tNNP\tI-NP\tO' +p291257 +aS'.\t.\t.\tO\tO' +p291258 +asS'Inform the office that you will need a repeat head CT scan for this appointment .' +p291259 +(lp291260 +S'Inform\tInform\tVB\tB-VP\tO' +p291261 +aS'the\tthe\tDT\tB-NP\tO' +p291262 +aS'office\toffice\tNN\tI-NP\tO' +p291263 +aS'that\tthat\tIN\tB-SBAR\tO' +p291264 +aS'you\tyou\tPRP\tB-NP\tO' +p291265 +aS'will\twill\tMD\tB-VP\tO' +p291266 +aS'need\tneed\tVB\tI-VP\tO' +p291267 +aS'a\ta\tDT\tB-NP\tO' +p291268 +aS'repeat\trepeat\tNN\tI-NP\tO' +p291269 +aS'head\thead\tNN\tI-NP\tO' +p291270 +aS'CT\tCT\tNN\tI-NP\tO' +p291271 +aS'scan\tscan\tNN\tI-NP\tO' +p291272 +aS'for\tfor\tIN\tB-PP\tO' +p291273 +aS'this\tthis\tDT\tB-NP\tO' +p291274 +aS'appointment\tappointment\tNN\tI-NP\tO' +p291275 +aS'.\t.\t.\tO\tO' +p291276 +asS'Dictated By : Marjorie I. Taylor , M.D.' +p291277 +(lp291278 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p291279 +aS'By\tBy\tIN\tB-PP\tO' +p291280 +aS':\t:\t:\tO\tO' +p291281 +aS'Marjorie\tMarjorie\tNNP\tB-NP\tO' +p291282 +aS'I.\tI.\tNNP\tI-NP\tO' +p291283 +aS'Taylor\tTaylor\tNNP\tI-NP\tO' +p291284 +aS',\t,\t,\tO\tO' +p291285 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p291286 +asS'Social smoker in her youth .' +p291287 +(lp291288 +S'Social\tSocial\tJJ\tB-NP\tO' +p291289 +aS'smoker\tsmoker\tNN\tI-NP\tO' +p291290 +aS'in\tin\tIN\tB-PP\tO' +p291291 +aS'her\ther\tPRP$\tB-NP\tO' +p291292 +aS'youth\tyouth\tNN\tI-NP\tO' +p291293 +aS'.\t.\t.\tO\tO' +p291294 +asS'The patient put out 1385 cc urine the day after placement , 950 cc of which came from nephrostomy tube .' +p291295 +(lp291296 +S'The\tThe\tDT\tB-NP\tO' +p291297 +aS'patient\tpatient\tNN\tI-NP\tO' +p291298 +aS'put\tput\tVBD\tB-VP\tO' +p291299 +aS'out\tout\tRP\tB-PRT\tO' +p291300 +aS'1385\t1385\tCD\tB-NP\tO' +p291301 +aS'cc\tcc\tNN\tI-NP\tO' +p291302 +aS'urine\turine\tNN\tI-NP\tO' +p291303 +aS'the\tthe\tDT\tB-NP\tO' +p291304 +aS'day\tday\tNN\tI-NP\tO' +p291305 +aS'after\tafter\tIN\tB-PP\tO' +p291306 +aS'placement\tplacement\tNN\tB-NP\tO' +p291307 +aS',\t,\t,\tO\tO' +p291308 +aS'950\t950\tCD\tB-NP\tO' +p291309 +aS'cc\tcc\tNN\tI-NP\tO' +p291310 +aS'of\tof\tIN\tB-PP\tO' +p291311 +aS'which\twhich\tWDT\tB-NP\tO' +p291312 +aS'came\tcome\tVBD\tB-VP\tO' +p291313 +aS'from\tfrom\tIN\tB-PP\tO' +p291314 +aS'nephrostomy\tnephrostomy\tNN\tB-NP\tO' +p291315 +aS'tube\ttube\tNN\tI-NP\tO' +p291316 +aS'.\t.\t.\tO\tO' +p291317 +asS'--- Hold coumadin for afib given hx of upper GIB and surgery in AM' +p291318 +(lp291319 +S'---\t---\tSYM\tO\tO' +p291320 +aS'Hold\tHold\tNN\tB-NP\tO' +p291321 +aS'coumadin\tcoumadin\tNN\tI-NP\tO' +p291322 +aS'for\tfor\tIN\tB-PP\tO' +p291323 +aS'afib\tafib\tJJ\tB-NP\tO' +p291324 +aS'given\tgive\tVBN\tI-NP\tO' +p291325 +aS'hx\thx\tNN\tI-NP\tO' +p291326 +aS'of\tof\tIN\tB-PP\tO' +p291327 +aS'upper\tupper\tJJ\tB-NP\tO' +p291328 +aS'GIB\tGIB\tNN\tI-NP\tO' +p291329 +aS'and\tand\tCC\tI-NP\tO' +p291330 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p291331 +aS'in\tin\tIN\tB-PP\tO' +p291332 +aS'AM\tAM\tNN\tB-NP\tO' +p291333 +asS'The patient received nebulizer treatment with oxygen saturations increasing up to 98 percent on room air .' +p291334 +(lp291335 +S'The\tThe\tDT\tB-NP\tO' +p291336 +aS'patient\tpatient\tNN\tI-NP\tO' +p291337 +aS'received\treceive\tVBD\tB-VP\tO' +p291338 +aS'nebulizer\tnebulizer\tNN\tB-NP\tO' +p291339 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p291340 +aS'with\twith\tIN\tB-PP\tO' +p291341 +aS'oxygen\toxygen\tNN\tB-NP\tO' +p291342 +aS'saturations\tsaturation\tNNS\tI-NP\tO' +p291343 +aS'increasing\tincrease\tVBG\tB-VP\tO' +p291344 +aS'up\tup\tRB\tB-NP\tO' +p291345 +aS'to\tto\tTO\tI-NP\tO' +p291346 +aS'98\t98\tCD\tI-NP\tO' +p291347 +aS'percent\tpercent\tNN\tI-NP\tO' +p291348 +aS'on\ton\tIN\tB-PP\tO' +p291349 +aS'room\troom\tNN\tB-NP\tO' +p291350 +aS'air\tair\tNN\tI-NP\tO' +p291351 +aS'.\t.\t.\tO\tO' +p291352 +asS'MS. Marshall IS A 64-YEAR OLD , MENTALLY RETARDED , FEMALE WHO PRESENTED WITH AN AQUIRED DEFECT OF THE RIGHT NASAL ALA AND MEDIAL CHEEK REGION AFTER BASAL CELL CARCINOMA WAS RESECTED BY DERMATOLOGY .' +p291353 +(lp291354 +S'MS.\tMS.\tNNP\tB-NP\tO' +p291355 +aS'Marshall\tMarshall\tNNP\tI-NP\tO' +p291356 +aS'IS\tIS\tNNP\tI-NP\tO' +p291357 +aS'A\tA\tNNP\tI-NP\tO' +p291358 +aS'64-YEAR\t64-YEAR\tNNP\tI-NP\tO' +p291359 +aS'OLD\tOLD\tNNP\tI-NP\tO' +p291360 +aS',\t,\t,\tO\tO' +p291361 +aS'MENTALLY\tMENTALLY\tNNP\tB-NP\tO' +p291362 +aS'RETARDED\tRETARDED\tNNP\tI-NP\tO' +p291363 +aS',\t,\t,\tO\tO' +p291364 +aS'FEMALE\tFEMALE\tNNP\tB-NP\tO' +p291365 +aS'WHO\tWHO\tNNP\tI-NP\tO' +p291366 +aS'PRESENTED\tPRESENTED\tNNP\tI-NP\tO' +p291367 +aS'WITH\tWITH\tNNP\tI-NP\tO' +p291368 +aS'AN\tAN\tNN\tI-NP\tO' +p291369 +aS'AQUIRED\tAQUIRED\tVBD\tB-VP\tO' +p291370 +aS'DEFECT\tDEFECT\tNN\tB-NP\tO' +p291371 +aS'OF\tOF\tIN\tB-PP\tO' +p291372 +aS'THE\tTHE\tDT\tB-NP\tO' +p291373 +aS'RIGHT\tRIGHT\tNNP\tI-NP\tO' +p291374 +aS'NASAL\tNASAL\tNNP\tI-NP\tO' +p291375 +aS'ALA\tALA\tNNP\tI-NP\tO' +p291376 +aS'AND\tAND\tNNP\tI-NP\tO' +p291377 +aS'MEDIAL\tMEDIAL\tNNP\tI-NP\tO' +p291378 +aS'CHEEK\tCHEEK\tNNP\tI-NP\tO' +p291379 +aS'REGION\tREGION\tNNP\tI-NP\tO' +p291380 +aS'AFTER\tAFTER\tNNP\tI-NP\tO' +p291381 +aS'BASAL\tBASAL\tNNP\tI-NP\tO' +p291382 +aS'CELL\tCELL\tNNP\tI-NP\tO' +p291383 +aS'CARCINOMA\tCARCINOMA\tNNP\tI-NP\tO' +p291384 +aS'WAS\tWAS\tNNP\tI-NP\tO' +p291385 +aS'RESECTED\tRESECTED\tNNP\tI-NP\tO' +p291386 +aS'BY\tBY\tNNP\tI-NP\tO' +p291387 +aS'DERMATOLOGY\tDERMATOLOGY\tNNP\tI-NP\tO' +p291388 +aS'.\t.\t.\tO\tO' +p291389 +asS'Her electrocardiogram findings were compatible with hypokalemia ( flattening T waves and ST changes ) .' +p291390 +(lp291391 +S'Her\tHer\tPRP$\tB-NP\tO' +p291392 +aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' +p291393 +aS'findings\tfinding\tNNS\tI-NP\tO' +p291394 +aS'were\tbe\tVBD\tB-VP\tO' +p291395 +aS'compatible\tcompatible\tJJ\tB-ADJP\tO' +p291396 +aS'with\twith\tIN\tB-PP\tO' +p291397 +aS'hypokalemia\thypokalemia\tNN\tB-NP\tO' +p291398 +aS'(\t(\t(\tO\tO' +p291399 +aS'flattening\tflatten\tVBG\tB-VP\tO' +p291400 +aS'T\tT\tNN\tB-NP\tO' +p291401 +aS'waves\twave\tNNS\tI-NP\tO' +p291402 +aS'and\tand\tCC\tO\tO' +p291403 +aS'ST\tST\tNN\tB-NP\tO' +p291404 +aS'changes\tchange\tNNS\tI-NP\tO' +p291405 +aS')\t)\t)\tO\tO' +p291406 +aS'.\t.\t.\tO\tO' +p291407 +asS'Consulting Urology was Ryna Baker , M.D.' +p291408 +(lp291409 +S'Consulting\tConsulting\tNNP\tB-NP\tO' +p291410 +aS'Urology\tUrology\tNNP\tI-NP\tO' +p291411 +aS'was\tbe\tVBD\tB-VP\tO' +p291412 +aS'Ryna\tRyna\tNNP\tB-NP\tO' +p291413 +aS'Baker\tBaker\tNNP\tI-NP\tO' +p291414 +aS',\t,\t,\tO\tO' +p291415 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p291416 +asS'The patient is a 79 year old gentleman with a history of an ascending aortic graft replacement in 1991 for aortic dissection .' +p291417 +(lp291418 +S'The\tThe\tDT\tB-NP\tO' +p291419 +aS'patient\tpatient\tNN\tI-NP\tO' +p291420 +aS'is\tbe\tVBZ\tB-VP\tO' +p291421 +aS'a\ta\tDT\tB-NP\tO' +p291422 +aS'79\t79\tCD\tI-NP\tO' +p291423 +aS'year\tyear\tNN\tI-NP\tO' +p291424 +aS'old\told\tJJ\tI-NP\tO' +p291425 +aS'gentleman\tgentleman\tNN\tI-NP\tO' +p291426 +aS'with\twith\tIN\tB-PP\tO' +p291427 +aS'a\ta\tDT\tB-NP\tO' +p291428 +aS'history\thistory\tNN\tI-NP\tO' +p291429 +aS'of\tof\tIN\tB-PP\tO' +p291430 +aS'an\tan\tDT\tB-NP\tO' +p291431 +aS'ascending\tascend\tVBG\tI-NP\tO' +p291432 +aS'aortic\taortic\tJJ\tI-NP\tO' +p291433 +aS'graft\tgraft\tNN\tI-NP\tO' +p291434 +aS'replacement\treplacement\tNN\tI-NP\tO' +p291435 +aS'in\tin\tIN\tB-PP\tO' +p291436 +aS'1991\t1991\tCD\tB-NP\tO' +p291437 +aS'for\tfor\tIN\tB-PP\tO' +p291438 +aS'aortic\taortic\tJJ\tB-NP\tO' +p291439 +aS'dissection\tdissection\tNN\tI-NP\tO' +p291440 +aS'.\t.\t.\tO\tO' +p291441 +asS'She was begun on a heparin drip .' +p291442 +(lp291443 +S'She\tShe\tPRP\tB-NP\tO' +p291444 +aS'was\tbe\tVBD\tB-VP\tO' +p291445 +aS'begun\tbegin\tVBN\tI-VP\tO' +p291446 +aS'on\ton\tIN\tB-PP\tO' +p291447 +aS'a\ta\tDT\tB-NP\tO' +p291448 +aS'heparin\theparin\tNN\tI-NP\tB-protein' +p291449 +aS'drip\tdrip\tNN\tI-NP\tI-protein' +p291450 +aS'.\t.\t.\tO\tO' +p291451 +asS'Weight at time of discharge is 3.13 kilograms .' +p291452 +(lp291453 +S'Weight\tWeight\tNN\tB-NP\tO' +p291454 +aS'at\tat\tIN\tB-PP\tO' +p291455 +aS'time\ttime\tNN\tB-NP\tO' +p291456 +aS'of\tof\tIN\tB-PP\tO' +p291457 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p291458 +aS'is\tbe\tVBZ\tB-VP\tO' +p291459 +aS'3.13\t3.13\tCD\tB-NP\tO' +p291460 +aS'kilograms\tkilogram\tNNS\tI-NP\tO' +p291461 +aS'.\t.\t.\tO\tO' +p291462 +asS'However , she declined further blocks , which were offered to her .' +p291463 +(lp291464 +S'However\tHowever\tRB\tB-ADVP\tO' +p291465 +aS',\t,\t,\tO\tO' +p291466 +aS'she\tshe\tPRP\tB-NP\tO' +p291467 +aS'declined\tdecline\tVBD\tB-VP\tO' +p291468 +aS'further\tfurther\tJJ\tB-NP\tO' +p291469 +aS'blocks\tblock\tNNS\tI-NP\tO' +p291470 +aS',\t,\t,\tO\tO' +p291471 +aS'which\twhich\tWDT\tB-NP\tO' +p291472 +aS'were\tbe\tVBD\tB-VP\tO' +p291473 +aS'offered\toffer\tVBN\tI-VP\tO' +p291474 +aS'to\tto\tTO\tB-PP\tO' +p291475 +aS'her\ther\tPRP\tB-NP\tO' +p291476 +aS'.\t.\t.\tO\tO' +p291477 +asS'The patient was on Propofol for 2 days .' +p291478 +(lp291479 +S'The\tThe\tDT\tB-NP\tO' +p291480 +aS'patient\tpatient\tNN\tI-NP\tO' +p291481 +aS'was\tbe\tVBD\tB-VP\tO' +p291482 +aS'on\ton\tIN\tB-PP\tO' +p291483 +aS'Propofol\tPropofol\tNN\tB-NP\tO' +p291484 +aS'for\tfor\tIN\tB-PP\tO' +p291485 +aS'2\t2\tCD\tB-NP\tO' +p291486 +aS'days\tday\tNNS\tI-NP\tO' +p291487 +aS'.\t.\t.\tO\tO' +p291488 +asS'3. Levaquin 500 mg q.d. for 7 days after discharge .' +p291489 +(lp291490 +S'3.\t3.\tLS\tB-LST\tO' +p291491 +aS'Levaquin\tLevaquin\tNNP\tB-NP\tO' +p291492 +aS'500\t500\tCD\tI-NP\tO' +p291493 +aS'mg\tmg\tNN\tI-NP\tO' +p291494 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p291495 +aS'for\tfor\tIN\tB-PP\tO' +p291496 +aS'7\t7\tCD\tB-NP\tO' +p291497 +aS'days\tday\tNNS\tI-NP\tO' +p291498 +aS'after\tafter\tIN\tB-PP\tO' +p291499 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p291500 +aS'.\t.\t.\tO\tO' +p291501 +asS'Subsequently , the mass continued to increase in size .' +p291502 +(lp291503 +S'Subsequently\tSubsequently\tRB\tB-ADVP\tO' +p291504 +aS',\t,\t,\tO\tO' +p291505 +aS'the\tthe\tDT\tB-NP\tO' +p291506 +aS'mass\tmass\tNN\tI-NP\tO' +p291507 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p291508 +aS'to\tto\tTO\tI-VP\tO' +p291509 +aS'increase\tincrease\tVB\tI-VP\tO' +p291510 +aS'in\tin\tIN\tB-PP\tO' +p291511 +aS'size\tsize\tNN\tB-NP\tO' +p291512 +aS'.\t.\t.\tO\tO' +p291513 +asS'2. Status post respiratory distress .' +p291514 +(lp291515 +S'2.\t2.\tLS\tB-LST\tO' +p291516 +aS'Status\tStatus\tNNP\tB-NP\tO' +p291517 +aS'post\tpost\tIN\tB-PP\tO' +p291518 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p291519 +aS'distress\tdistress\tNN\tI-NP\tO' +p291520 +aS'.\t.\t.\tO\tO' +p291521 +asS'The right upper extremity shows generalized reduction in strength , 4/5 in all joints .' +p291522 +(lp291523 +S'The\tThe\tDT\tB-NP\tO' +p291524 +aS'right\tright\tJJ\tI-NP\tO' +p291525 +aS'upper\tupper\tJJ\tI-NP\tO' +p291526 +aS'extremity\textremity\tNN\tI-NP\tO' +p291527 +aS'shows\tshow\tVBZ\tB-VP\tO' +p291528 +aS'generalized\tgeneralize\tVBN\tB-NP\tO' +p291529 +aS'reduction\treduction\tNN\tI-NP\tO' +p291530 +aS'in\tin\tIN\tB-PP\tO' +p291531 +aS'strength\tstrength\tNN\tB-NP\tO' +p291532 +aS',\t,\t,\tO\tO' +p291533 +aS'4/5\t4/5\tCD\tB-NP\tO' +p291534 +aS'in\tin\tIN\tB-PP\tO' +p291535 +aS'all\tall\tDT\tB-NP\tO' +p291536 +aS'joints\tjoint\tNNS\tI-NP\tO' +p291537 +aS'.\t.\t.\tO\tO' +p291538 +asS'The drain was replaced over the wire , 8-10 by IR , when it was accidentally removed .' +p291539 +(lp291540 +S'The\tThe\tDT\tB-NP\tO' +p291541 +aS'drain\tdrain\tNN\tI-NP\tO' +p291542 +aS'was\tbe\tVBD\tB-VP\tO' +p291543 +aS'replaced\treplace\tVBN\tI-VP\tO' +p291544 +aS'over\tover\tIN\tB-PP\tO' +p291545 +aS'the\tthe\tDT\tB-NP\tO' +p291546 +aS'wire\twire\tNN\tI-NP\tO' +p291547 +aS',\t,\t,\tO\tO' +p291548 +aS'8-10\t8-10\tCD\tB-NP\tO' +p291549 +aS'by\tby\tIN\tB-PP\tO' +p291550 +aS'IR\tIR\tNN\tB-NP\tB-protein' +p291551 +aS',\t,\t,\tO\tO' +p291552 +aS'when\twhen\tWRB\tB-ADVP\tO' +p291553 +aS'it\tit\tPRP\tB-NP\tO' +p291554 +aS'was\tbe\tVBD\tB-VP\tO' +p291555 +aS'accidentally\taccidentally\tRB\tI-VP\tO' +p291556 +aS'removed\tremove\tVBN\tI-VP\tO' +p291557 +aS'.\t.\t.\tO\tO' +p291558 +asS'Her postoperative recovery was really quite remarkable .' +p291559 +(lp291560 +S'Her\tHer\tPRP$\tB-NP\tO' +p291561 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p291562 +aS'recovery\trecovery\tNN\tI-NP\tO' +p291563 +aS'was\tbe\tVBD\tB-VP\tO' +p291564 +aS'really\treally\tRB\tB-ADVP\tO' +p291565 +aS'quite\tquite\tRB\tB-ADJP\tO' +p291566 +aS'remarkable\tremarkable\tJJ\tI-ADJP\tO' +p291567 +aS'.\t.\t.\tO\tO' +p291568 +asS'His family stated that he had a progressive mental decline over the past three years and was initially diagnosed with Parkinson 's disease or features consistent with Parkinsonism .' +p291569 +(lp291570 +S'His\tHis\tPRP$\tB-NP\tO' +p291571 +aS'family\tfamily\tNN\tI-NP\tO' +p291572 +aS'stated\tstate\tVBD\tB-VP\tO' +p291573 +aS'that\tthat\tIN\tB-SBAR\tO' +p291574 +aS'he\the\tPRP\tB-NP\tO' +p291575 +aS'had\thave\tVBD\tB-VP\tO' +p291576 +aS'a\ta\tDT\tB-NP\tO' +p291577 +aS'progressive\tprogressive\tJJ\tI-NP\tO' +p291578 +aS'mental\tmental\tJJ\tI-NP\tO' +p291579 +aS'decline\tdecline\tNN\tI-NP\tO' +p291580 +aS'over\tover\tIN\tB-PP\tO' +p291581 +aS'the\tthe\tDT\tB-NP\tO' +p291582 +aS'past\tpast\tJJ\tI-NP\tO' +p291583 +aS'three\tthree\tCD\tI-NP\tO' +p291584 +aS'years\tyear\tNNS\tI-NP\tO' +p291585 +aS'and\tand\tCC\tO\tO' +p291586 +aS'was\tbe\tVBD\tB-VP\tO' +p291587 +aS'initially\tinitially\tRB\tI-VP\tO' +p291588 +aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' +p291589 +aS'with\twith\tIN\tB-PP\tO' +p291590 +aS'Parkinson\tParkinson\tNNP\tB-NP\tO' +p291591 +aS''s\t'\tNNS\tI-NP\tO' +p291592 +aS'disease\tdisease\tNN\tI-NP\tO' +p291593 +aS'or\tor\tCC\tO\tO' +p291594 +aS'features\tfeature\tNNS\tB-NP\tO' +p291595 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p291596 +aS'with\twith\tIN\tB-PP\tO' +p291597 +aS'Parkinsonism\tParkinsonism\tNNP\tB-NP\tO' +p291598 +aS'.\t.\t.\tO\tO' +p291599 +asS'The vital signs showed a blood pressure of 69 , pulse 80 , respirations 14 , and temperature 99.8 .' +p291600 +(lp291601 +S'The\tThe\tDT\tB-NP\tO' +p291602 +aS'vital\tvital\tJJ\tI-NP\tO' +p291603 +aS'signs\tsign\tNNS\tI-NP\tO' +p291604 +aS'showed\tshow\tVBD\tB-VP\tO' +p291605 +aS'a\ta\tDT\tB-NP\tO' +p291606 +aS'blood\tblood\tNN\tI-NP\tO' +p291607 +aS'pressure\tpressure\tNN\tI-NP\tO' +p291608 +aS'of\tof\tIN\tB-PP\tO' +p291609 +aS'69\t69\tCD\tB-NP\tO' +p291610 +aS',\t,\t,\tO\tO' +p291611 +aS'pulse\tpulse\tNN\tB-NP\tO' +p291612 +aS'80\t80\tCD\tI-NP\tO' +p291613 +aS',\t,\t,\tO\tO' +p291614 +aS'respirations\trespiration\tNNS\tB-NP\tO' +p291615 +aS'14\t14\tCD\tB-NP\tO' +p291616 +aS',\t,\t,\tO\tO' +p291617 +aS'and\tand\tCC\tO\tO' +p291618 +aS'temperature\ttemperature\tNN\tB-NP\tB-protein' +p291619 +aS'99.8\t99.8\tCD\tI-NP\tI-protein' +p291620 +aS'.\t.\t.\tO\tO' +p291621 +asS'Joint is mobile .' +p291622 +(lp291623 +S'Joint\tJoint\tNNP\tB-NP\tO' +p291624 +aS'is\tbe\tVBZ\tB-VP\tO' +p291625 +aS'mobile\tmobile\tJJ\tB-ADJP\tO' +p291626 +aS'.\t.\t.\tO\tO' +p291627 +asS'Prednisone taper as above .' +p291628 +(lp291629 +S'Prednisone\tPrednisone\tNN\tB-NP\tO' +p291630 +aS'taper\ttaper\tNN\tI-NP\tO' +p291631 +aS'as\tas\tIN\tB-PP\tO' +p291632 +aS'above\tabove\tRB\tI-PP\tO' +p291633 +aS'.\t.\t.\tO\tO' +p291634 +asS'At Erich Lindemann Mental Health Center she was discovered to have ARF , a large pericardial effusion , and bilateral pleural effusions .' +p291635 +(lp291636 +S'At\tAt\tIN\tB-PP\tO' +p291637 +aS'Erich\tErich\tNNP\tB-NP\tO' +p291638 +aS'Lindemann\tLindemann\tNNP\tI-NP\tO' +p291639 +aS'Mental\tMental\tNNP\tI-NP\tO' +p291640 +aS'Health\tHealth\tNNP\tI-NP\tO' +p291641 +aS'Center\tCenter\tNNP\tI-NP\tO' +p291642 +aS'she\tshe\tPRP\tB-NP\tO' +p291643 +aS'was\tbe\tVBD\tB-VP\tO' +p291644 +aS'discovered\tdiscover\tVBN\tI-VP\tO' +p291645 +aS'to\tto\tTO\tI-VP\tO' +p291646 +aS'have\thave\tVB\tI-VP\tO' +p291647 +aS'ARF\tARF\tNN\tB-NP\tB-protein' +p291648 +aS',\t,\t,\tO\tO' +p291649 +aS'a\ta\tDT\tB-NP\tO' +p291650 +aS'large\tlarge\tJJ\tI-NP\tO' +p291651 +aS'pericardial\tpericardial\tJJ\tI-NP\tO' +p291652 +aS'effusion\teffusion\tNN\tI-NP\tO' +p291653 +aS',\t,\t,\tO\tO' +p291654 +aS'and\tand\tCC\tO\tO' +p291655 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p291656 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p291657 +aS'effusions\teffusion\tNNS\tI-NP\tO' +p291658 +aS'.\t.\t.\tO\tO' +p291659 +asS'EP was called to deactivate pt dual chamber ICD as per family wishes .' +p291660 +(lp291661 +S'EP\tEP\tNN\tB-NP\tB-protein' +p291662 +aS'was\tbe\tVBD\tB-VP\tO' +p291663 +aS'called\tcall\tVBN\tI-VP\tO' +p291664 +aS'to\tto\tTO\tB-VP\tO' +p291665 +aS'deactivate\tdeactivate\tVB\tI-VP\tO' +p291666 +aS'pt\tpt\tJJ\tB-NP\tO' +p291667 +aS'dual\tdual\tJJ\tI-NP\tO' +p291668 +aS'chamber\tchamber\tNN\tI-NP\tO' +p291669 +aS'ICD\tICD\tNN\tI-NP\tO' +p291670 +aS'as\tas\tIN\tB-PP\tO' +p291671 +aS'per\tper\tIN\tB-PP\tO' +p291672 +aS'family\tfamily\tNN\tB-NP\tO' +p291673 +aS'wishes\twish\tNNS\tI-NP\tO' +p291674 +aS'.\t.\t.\tO\tO' +p291675 +asS'Regular .' +p291676 +(lp291677 +S'Regular\tRegular\tJJ\tB-ADJP\tO' +p291678 +aS'.\t.\t.\tO\tO' +p291679 +asS'He was started on Zosyn and Vanco for his presumed aspiration , " hospital " aquired PNA .' +p291680 +(lp291681 +S'He\tHe\tPRP\tB-NP\tO' +p291682 +aS'was\tbe\tVBD\tB-VP\tO' +p291683 +aS'started\tstart\tVBN\tI-VP\tO' +p291684 +aS'on\ton\tIN\tB-PP\tO' +p291685 +aS'Zosyn\tZosyn\tNNP\tB-NP\tO' +p291686 +aS'and\tand\tCC\tI-NP\tO' +p291687 +aS'Vanco\tVanco\tNNP\tI-NP\tO' +p291688 +aS'for\tfor\tIN\tB-PP\tO' +p291689 +aS'his\this\tPRP$\tB-NP\tB-DNA' +p291690 +aS'presumed\tpresume\tVBN\tI-NP\tO' +p291691 +aS'aspiration\taspiration\tNN\tI-NP\tO' +p291692 +aS',\t,\t,\tO\tO' +p291693 +aS'"\t"\t``\tB-NP\tO' +p291694 +aS'hospital\thospital\tNN\tI-NP\tO' +p291695 +aS'"\t"\t\'\'\tI-NP\tO' +p291696 +aS'aquired\taquired\tJJ\tI-NP\tO' +p291697 +aS'PNA\tPNA\tNN\tI-NP\tO' +p291698 +aS'.\t.\t.\tO\tO' +p291699 +asS'She received a full course of azithromycin for this with resolution of her cough and sputum production .' +p291700 +(lp291701 +S'She\tShe\tPRP\tB-NP\tO' +p291702 +aS'received\treceive\tVBD\tB-VP\tO' +p291703 +aS'a\ta\tDT\tB-NP\tO' +p291704 +aS'full\tfull\tJJ\tI-NP\tO' +p291705 +aS'course\tcourse\tNN\tI-NP\tO' +p291706 +aS'of\tof\tIN\tB-PP\tO' +p291707 +aS'azithromycin\tazithromycin\tNN\tB-NP\tO' +p291708 +aS'for\tfor\tIN\tB-PP\tO' +p291709 +aS'this\tthis\tDT\tB-NP\tO' +p291710 +aS'with\twith\tIN\tB-PP\tO' +p291711 +aS'resolution\tresolution\tNN\tB-NP\tO' +p291712 +aS'of\tof\tIN\tB-PP\tO' +p291713 +aS'her\ther\tPRP$\tB-NP\tO' +p291714 +aS'cough\tcough\tNN\tI-NP\tO' +p291715 +aS'and\tand\tCC\tI-NP\tO' +p291716 +aS'sputum\tsputum\tNN\tI-NP\tO' +p291717 +aS'production\tproduction\tNN\tI-NP\tO' +p291718 +aS'.\t.\t.\tO\tO' +p291719 +asS'Temperature 100.4 , pulse 108 , respirations 20 , blood pressure 110/70 , oxygen saturation 100% on room air .' +p291720 +(lp291721 +S'Temperature\tTemperature\tNN\tB-NP\tB-protein' +p291722 +aS'100.4\t100.4\tCD\tI-NP\tI-protein' +p291723 +aS',\t,\t,\tO\tO' +p291724 +aS'pulse\tpulse\tNN\tB-NP\tO' +p291725 +aS'108\t108\tCD\tI-NP\tO' +p291726 +aS',\t,\t,\tO\tO' +p291727 +aS'respirations\trespiration\tNNS\tB-NP\tO' +p291728 +aS'20\t20\tCD\tB-NP\tO' +p291729 +aS',\t,\t,\tO\tO' +p291730 +aS'blood\tblood\tNN\tB-NP\tO' +p291731 +aS'pressure\tpressure\tNN\tI-NP\tO' +p291732 +aS'110/70\t110/70\tCD\tI-NP\tO' +p291733 +aS',\t,\t,\tO\tO' +p291734 +aS'oxygen\toxygen\tNN\tB-NP\tO' +p291735 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p291736 +aS'100%\t100%\tCD\tI-NP\tO' +p291737 +aS'on\ton\tIN\tB-PP\tO' +p291738 +aS'room\troom\tNN\tB-NP\tO' +p291739 +aS'air\tair\tNN\tI-NP\tO' +p291740 +aS'.\t.\t.\tO\tO' +p291741 +asS'Her dose was increased to 7.5 mg q day the day prior to discharge .' +p291742 +(lp291743 +S'Her\tHer\tPRP$\tB-NP\tO' +p291744 +aS'dose\tdose\tNN\tI-NP\tO' +p291745 +aS'was\tbe\tVBD\tB-VP\tO' +p291746 +aS'increased\tincrease\tVBN\tI-VP\tO' +p291747 +aS'to\tto\tTO\tB-PP\tO' +p291748 +aS'7.5\t7.5\tCD\tB-NP\tO' +p291749 +aS'mg\tmg\tNN\tI-NP\tO' +p291750 +aS'q\tq\tNN\tI-NP\tO' +p291751 +aS'day\tday\tNN\tI-NP\tO' +p291752 +aS'the\tthe\tDT\tB-NP\tO' +p291753 +aS'day\tday\tNN\tI-NP\tO' +p291754 +aS'prior\tprior\tRB\tB-ADVP\tO' +p291755 +aS'to\tto\tTO\tB-VP\tO' +p291756 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p291757 +aS'.\t.\t.\tO\tO' +p291758 +asS'The patient is to follow up in clinic .' +p291759 +(lp291760 +S'The\tThe\tDT\tB-NP\tO' +p291761 +aS'patient\tpatient\tNN\tI-NP\tO' +p291762 +aS'is\tbe\tVBZ\tB-VP\tO' +p291763 +aS'to\tto\tTO\tB-VP\tO' +p291764 +aS'follow\tfollow\tVB\tI-VP\tO' +p291765 +aS'up\tup\tRP\tB-PRT\tO' +p291766 +aS'in\tin\tIN\tB-PP\tO' +p291767 +aS'clinic\tclinic\tNN\tB-NP\tO' +p291768 +aS'.\t.\t.\tO\tO' +p291769 +asS'Nonfocal .' +p291770 +(lp291771 +S'Nonfocal\tNonfocal\tJJ\tB-ADJP\tO' +p291772 +aS'.\t.\t.\tO\tO' +p291773 +asS'Significant for metastatic breast cancer , complicated by fever and neutropenia .' +p291774 +(lp291775 +S'Significant\tSignificant\tJJ\tB-ADJP\tO' +p291776 +aS'for\tfor\tIN\tB-PP\tO' +p291777 +aS'metastatic\tmetastatic\tJJ\tB-NP\tO' +p291778 +aS'breast\tbreast\tNN\tI-NP\tO' +p291779 +aS'cancer\tcancer\tNN\tI-NP\tO' +p291780 +aS',\t,\t,\tO\tO' +p291781 +aS'complicated\tcomplicate\tVBN\tB-VP\tO' +p291782 +aS'by\tby\tIN\tB-PP\tO' +p291783 +aS'fever\tfever\tNN\tB-NP\tO' +p291784 +aS'and\tand\tCC\tI-NP\tO' +p291785 +aS'neutropenia\tneutropenia\tNN\tI-NP\tO' +p291786 +aS'.\t.\t.\tO\tO' +p291787 +asS'Of note , there was a question of misplaced NGT .' +p291788 +(lp291789 +S'Of\tOf\tIN\tB-PP\tO' +p291790 +aS'note\tnote\tNN\tB-NP\tO' +p291791 +aS',\t,\t,\tO\tO' +p291792 +aS'there\tthere\tEX\tB-NP\tO' +p291793 +aS'was\tbe\tVBD\tB-VP\tO' +p291794 +aS'a\ta\tDT\tB-NP\tO' +p291795 +aS'question\tquestion\tNN\tI-NP\tO' +p291796 +aS'of\tof\tIN\tB-PP\tO' +p291797 +aS'misplaced\tmisplace\tVBN\tB-NP\tO' +p291798 +aS'NGT\tNGT\tNN\tI-NP\tO' +p291799 +aS'.\t.\t.\tO\tO' +p291800 +asS'Admitted to TSICU for subarachnoid hemorrhage and multiple spinal fractures .' +p291801 +(lp291802 +S'Admitted\tAdmit\tVBN\tB-VP\tO' +p291803 +aS'to\tto\tTO\tB-PP\tO' +p291804 +aS'TSICU\tTSICU\tNN\tB-NP\tB-protein' +p291805 +aS'for\tfor\tIN\tB-PP\tO' +p291806 +aS'subarachnoid\tsubarachnoid\tJJ\tB-NP\tO' +p291807 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p291808 +aS'and\tand\tCC\tO\tO' +p291809 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p291810 +aS'spinal\tspinal\tJJ\tI-NP\tO' +p291811 +aS'fractures\tfracture\tNNS\tI-NP\tO' +p291812 +aS'.\t.\t.\tO\tO' +p291813 +asS'An echocardiogram was performed to evaluate the LV function , which showed an ejection fraction of 53% with inferoposteriorakinesis / hypokinesis .' +p291814 +(lp291815 +S'An\tAn\tDT\tB-NP\tO' +p291816 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p291817 +aS'was\tbe\tVBD\tB-VP\tO' +p291818 +aS'performed\tperform\tVBN\tI-VP\tO' +p291819 +aS'to\tto\tTO\tI-VP\tO' +p291820 +aS'evaluate\tevaluate\tVB\tI-VP\tO' +p291821 +aS'the\tthe\tDT\tB-NP\tO' +p291822 +aS'LV\tLV\tNN\tI-NP\tO' +p291823 +aS'function\tfunction\tNN\tI-NP\tO' +p291824 +aS',\t,\t,\tO\tO' +p291825 +aS'which\twhich\tWDT\tB-NP\tO' +p291826 +aS'showed\tshow\tVBD\tB-VP\tO' +p291827 +aS'an\tan\tDT\tB-NP\tO' +p291828 +aS'ejection\tejection\tNN\tI-NP\tO' +p291829 +aS'fraction\tfraction\tNN\tI-NP\tO' +p291830 +aS'of\tof\tIN\tB-PP\tO' +p291831 +aS'53%\t53%\tNN\tB-NP\tO' +p291832 +aS'with\twith\tIN\tB-PP\tO' +p291833 +aS'inferoposteriorakinesis\tinferoposteriorakinesis\tNN\tB-NP\tO' +p291834 +aS'/\t/\tSYM\tB-NP\tO' +p291835 +aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' +p291836 +aS'.\t.\t.\tO\tO' +p291837 +asS'Her heart showed a regular rate and rhythm with an S1-S2 , no murmur .' +p291838 +(lp291839 +S'Her\tHer\tPRP$\tB-NP\tO' +p291840 +aS'heart\theart\tNN\tI-NP\tO' +p291841 +aS'showed\tshow\tVBD\tB-VP\tO' +p291842 +aS'a\ta\tDT\tB-NP\tO' +p291843 +aS'regular\tregular\tJJ\tI-NP\tO' +p291844 +aS'rate\trate\tNN\tI-NP\tO' +p291845 +aS'and\tand\tCC\tI-NP\tO' +p291846 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p291847 +aS'with\twith\tIN\tB-PP\tO' +p291848 +aS'an\tan\tDT\tB-NP\tO' +p291849 +aS'S1-S2\tS1-S2\tNN\tI-NP\tB-DNA' +p291850 +aS',\t,\t,\tO\tO' +p291851 +aS'no\tno\tDT\tB-NP\tO' +p291852 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p291853 +aS'.\t.\t.\tO\tO' +p291854 +asS'Lungs had bibasilar rales 1/4 of the way up bilaterally , otherwise clear .' +p291855 +(lp291856 +S'Lungs\tLung\tNNS\tB-NP\tB-protein' +p291857 +aS'had\thave\tVBD\tB-VP\tI-protein' +p291858 +aS'bibasilar\tbibasilar\tJJ\tB-NP\tI-protein' +p291859 +aS'rales\trale\tNNS\tI-NP\tI-protein' +p291860 +aS'1/4\t1/4\tCD\tB-NP\tI-protein' +p291861 +aS'of\tof\tIN\tB-PP\tO' +p291862 +aS'the\tthe\tDT\tB-NP\tO' +p291863 +aS'way\tway\tNN\tI-NP\tO' +p291864 +aS'up\tup\tRB\tB-ADVP\tO' +p291865 +aS'bilaterally\tbilaterally\tRB\tI-ADVP\tO' +p291866 +aS',\t,\t,\tO\tO' +p291867 +aS'otherwise\totherwise\tRB\tB-ADJP\tO' +p291868 +aS'clear\tclear\tJJ\tI-ADJP\tO' +p291869 +aS'.\t.\t.\tO\tO' +p291870 +asS'7. Calcium Acetate 667 mg Tablet Sig : One ( 1 ) Tablet PO TID W/ MEALS ( 3 TIMES A DAY WITH MEALS ) .' +p291871 +(lp291872 +S'7.\t7.\tLS\tB-NP\tO' +p291873 +aS'Calcium\tCalcium\tNN\tI-NP\tO' +p291874 +aS'Acetate\tAcetate\tNN\tI-NP\tO' +p291875 +aS'667\t667\tCD\tI-NP\tO' +p291876 +aS'mg\tmg\tNN\tI-NP\tO' +p291877 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p291878 +aS'Sig\tSig\tNNP\tI-NP\tO' +p291879 +aS':\t:\t:\tO\tO' +p291880 +aS'One\tOne\tCD\tB-NP\tO' +p291881 +aS'(\t(\t(\tO\tO' +p291882 +aS'1\t1\tCD\tB-NP\tO' +p291883 +aS')\t)\t)\tO\tO' +p291884 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p291885 +aS'PO\tPO\tNNP\tI-NP\tO' +p291886 +aS'TID\tTID\tNNP\tI-NP\tO' +p291887 +aS'W/\tW/\tNNP\tI-NP\tO' +p291888 +aS'MEALS\tMEALS\tNNP\tI-NP\tO' +p291889 +aS'(\t(\t(\tO\tO' +p291890 +aS'3\t3\tCD\tB-NP\tO' +p291891 +aS'TIMES\tTIMES\tNN\tI-NP\tO' +p291892 +aS'A\tA\tNN\tI-NP\tO' +p291893 +aS'DAY\tDAY\tNN\tI-NP\tO' +p291894 +aS'WITH\tWITH\tNN\tI-NP\tO' +p291895 +aS'MEALS\tMEALS\tNN\tI-NP\tO' +p291896 +aS')\t)\t)\tO\tO' +p291897 +aS'.\t.\t.\tO\tO' +p291898 +asS'He was transferred to the North Adams Regional Hospital for catheterization .' +p291899 +(lp291900 +S'He\tHe\tPRP\tB-NP\tO' +p291901 +aS'was\tbe\tVBD\tB-VP\tO' +p291902 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p291903 +aS'to\tto\tTO\tB-PP\tO' +p291904 +aS'the\tthe\tDT\tB-NP\tO' +p291905 +aS'North\tNorth\tNNP\tI-NP\tO' +p291906 +aS'Adams\tAdams\tNNP\tI-NP\tO' +p291907 +aS'Regional\tRegional\tNNP\tI-NP\tO' +p291908 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p291909 +aS'for\tfor\tIN\tB-PP\tO' +p291910 +aS'catheterization\tcatheterization\tNN\tB-NP\tO' +p291911 +aS'.\t.\t.\tO\tO' +p291912 +asS'Protonix 40 qd , Colchicine 6 mg bid , Meclizine 25 mg qid prn , glucosamine and oxycodone prn , tessalon prn .' +p291913 +(lp291914 +S'Protonix\tProtonix\tNNP\tB-NP\tO' +p291915 +aS'40\t40\tCD\tI-NP\tO' +p291916 +aS'qd\tqd\tNN\tI-NP\tO' +p291917 +aS',\t,\t,\tO\tO' +p291918 +aS'Colchicine\tColchicine\tNN\tB-NP\tO' +p291919 +aS'6\t6\tCD\tI-NP\tO' +p291920 +aS'mg\tmg\tNN\tI-NP\tO' +p291921 +aS'bid\tbid\tRB\tB-ADVP\tO' +p291922 +aS',\t,\t,\tO\tO' +p291923 +aS'Meclizine\tMeclizine\tNN\tB-NP\tO' +p291924 +aS'25\t25\tCD\tI-NP\tO' +p291925 +aS'mg\tmg\tNN\tI-NP\tO' +p291926 +aS'qid\tqid\tNN\tI-NP\tO' +p291927 +aS'prn\tprn\tNN\tI-NP\tO' +p291928 +aS',\t,\t,\tO\tO' +p291929 +aS'glucosamine\tglucosamine\tNN\tB-NP\tO' +p291930 +aS'and\tand\tCC\tO\tO' +p291931 +aS'oxycodone\toxycodone\tNN\tB-NP\tO' +p291932 +aS'prn\tprn\tNN\tI-NP\tO' +p291933 +aS',\t,\t,\tO\tO' +p291934 +aS'tessalon\ttessalon\tNN\tB-NP\tO' +p291935 +aS'prn\tprn\tNN\tI-NP\tO' +p291936 +aS'.\t.\t.\tO\tO' +p291937 +asS'LLQ pain has improved over the course of this hospitalization .' +p291938 +(lp291939 +S'LLQ\tLLQ\tNN\tB-NP\tB-protein' +p291940 +aS'pain\tpain\tNN\tI-NP\tI-protein' +p291941 +aS'has\thave\tVBZ\tB-VP\tO' +p291942 +aS'improved\timprove\tVBN\tI-VP\tO' +p291943 +aS'over\tover\tIN\tB-PP\tO' +p291944 +aS'the\tthe\tDT\tB-NP\tO' +p291945 +aS'course\tcourse\tNN\tI-NP\tO' +p291946 +aS'of\tof\tIN\tB-PP\tO' +p291947 +aS'this\tthis\tDT\tB-NP\tO' +p291948 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p291949 +aS'.\t.\t.\tO\tO' +p291950 +asS"Given her hx of ileostomy secondary to crohn 's disease and resultant short gut syndrome , the pt requires nutritional support via TPN ." +p291951 +(lp291952 +S'Given\tGive\tVBN\tB-PP\tO' +p291953 +aS'her\ther\tPRP$\tB-NP\tO' +p291954 +aS'hx\thx\tNN\tI-NP\tO' +p291955 +aS'of\tof\tIN\tB-PP\tO' +p291956 +aS'ileostomy\tileostomy\tNN\tB-NP\tO' +p291957 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p291958 +aS'to\tto\tTO\tB-PP\tO' +p291959 +aS'crohn\tcrohn\tNN\tB-NP\tO' +p291960 +aS"'s\t's\tPOS\tB-NP\tO" +p291961 +aS'disease\tdisease\tNN\tI-NP\tO' +p291962 +aS'and\tand\tCC\tO\tO' +p291963 +aS'resultant\tresultant\tJJ\tB-NP\tO' +p291964 +aS'short\tshort\tJJ\tI-NP\tO' +p291965 +aS'gut\tgut\tNN\tI-NP\tO' +p291966 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p291967 +aS',\t,\t,\tO\tO' +p291968 +aS'the\tthe\tDT\tB-NP\tO' +p291969 +aS'pt\tpt\tNN\tI-NP\tO' +p291970 +aS'requires\trequire\tVBZ\tB-VP\tO' +p291971 +aS'nutritional\tnutritional\tJJ\tB-NP\tO' +p291972 +aS'support\tsupport\tNN\tI-NP\tO' +p291973 +aS'via\tvia\tIN\tB-PP\tO' +p291974 +aS'TPN\tTPN\tNN\tB-NP\tB-protein' +p291975 +aS'.\t.\t.\tO\tO' +p291976 +asS'She was reinstated on iron at discharge and her hematocrit was stable .' +p291977 +(lp291978 +S'She\tShe\tPRP\tB-NP\tO' +p291979 +aS'was\tbe\tVBD\tB-VP\tO' +p291980 +aS'reinstated\treinstate\tVBN\tI-VP\tO' +p291981 +aS'on\ton\tIN\tB-PP\tO' +p291982 +aS'iron\tiron\tNN\tB-NP\tO' +p291983 +aS'at\tat\tIN\tB-PP\tO' +p291984 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p291985 +aS'and\tand\tCC\tO\tO' +p291986 +aS'her\ther\tPRP$\tB-NP\tO' +p291987 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p291988 +aS'was\tbe\tVBD\tB-VP\tO' +p291989 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p291990 +aS'.\t.\t.\tO\tO' +p291991 +asS"This is consistent with the remainder of the pt 's history including fever , chills , sob and an elevated WBC count ." +p291992 +(lp291993 +S'This\tThis\tDT\tB-NP\tO' +p291994 +aS'is\tbe\tVBZ\tB-VP\tO' +p291995 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p291996 +aS'with\twith\tIN\tB-PP\tO' +p291997 +aS'the\tthe\tDT\tB-NP\tO' +p291998 +aS'remainder\tremainder\tNN\tI-NP\tO' +p291999 +aS'of\tof\tIN\tB-PP\tO' +p292000 +aS'the\tthe\tDT\tB-NP\tO' +p292001 +aS'pt\tpt\tNN\tI-NP\tO' +p292002 +aS"'s\t's\tPOS\tB-NP\tO" +p292003 +aS'history\thistory\tNN\tI-NP\tO' +p292004 +aS'including\tinclude\tVBG\tB-PP\tO' +p292005 +aS'fever\tfever\tNN\tB-NP\tO' +p292006 +aS',\t,\t,\tO\tO' +p292007 +aS'chills\tchill\tNNS\tB-NP\tO' +p292008 +aS',\t,\t,\tO\tO' +p292009 +aS'sob\tsob\tNN\tB-NP\tB-protein' +p292010 +aS'and\tand\tCC\tO\tO' +p292011 +aS'an\tan\tDT\tB-NP\tO' +p292012 +aS'elevated\televated\tJJ\tI-NP\tO' +p292013 +aS'WBC\tWBC\tNNP\tI-NP\tO' +p292014 +aS'count\tcount\tNN\tI-NP\tO' +p292015 +aS'.\t.\t.\tO\tO' +p292016 +asS'The patient denies any alcohol or tobacco .' +p292017 +(lp292018 +S'The\tThe\tDT\tB-NP\tO' +p292019 +aS'patient\tpatient\tNN\tI-NP\tO' +p292020 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p292021 +aS'any\tany\tDT\tB-NP\tO' +p292022 +aS'alcohol\talcohol\tNN\tI-NP\tO' +p292023 +aS'or\tor\tCC\tI-NP\tO' +p292024 +aS'tobacco\ttobacco\tNN\tI-NP\tO' +p292025 +aS'.\t.\t.\tO\tO' +p292026 +asS'Dictated By : Todd N. Brannon , M.D.' +p292027 +(lp292028 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p292029 +aS'By\tBy\tIN\tB-PP\tO' +p292030 +aS':\t:\t:\tO\tO' +p292031 +aS'Todd\tTodd\tNNP\tB-NP\tO' +p292032 +aS'N.\tN.\tNNP\tI-NP\tO' +p292033 +aS'Brannon\tBrannon\tNNP\tI-NP\tO' +p292034 +aS',\t,\t,\tO\tO' +p292035 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p292036 +asS'4. Chronic renal insufficiency with azotemia .' +p292037 +(lp292038 +S'4.\t4.\tLS\tB-NP\tO' +p292039 +aS'Chronic\tChronic\tJJ\tI-NP\tO' +p292040 +aS'renal\trenal\tJJ\tI-NP\tO' +p292041 +aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' +p292042 +aS'with\twith\tIN\tB-PP\tO' +p292043 +aS'azotemia\tazotemia\tNN\tB-NP\tO' +p292044 +aS'.\t.\t.\tO\tO' +p292045 +asS'FLUIDS , ELECTROLYTES AND NUTRITION : Infant initiated on 60 cc per kg per day of D10W .' +p292046 +(lp292047 +S'FLUIDS\tFLUIDS\tNN\tB-NP\tO' +p292048 +aS',\t,\t,\tI-NP\tO' +p292049 +aS'ELECTROLYTES\tELECTROLYTES\tNN\tI-NP\tO' +p292050 +aS'AND\tAND\tCC\tI-NP\tO' +p292051 +aS'NUTRITION\tNUTRITION\tNN\tI-NP\tO' +p292052 +aS':\t:\t:\tO\tO' +p292053 +aS'Infant\tInfant\tNN\tB-NP\tO' +p292054 +aS'initiated\tinitiate\tVBN\tB-VP\tO' +p292055 +aS'on\ton\tIN\tB-PP\tO' +p292056 +aS'60\t60\tCD\tB-NP\tO' +p292057 +aS'cc\tcc\tNN\tI-NP\tO' +p292058 +aS'per\tper\tIN\tB-PP\tO' +p292059 +aS'kg\tkg\tNN\tB-NP\tO' +p292060 +aS'per\tper\tIN\tB-PP\tO' +p292061 +aS'day\tday\tNN\tB-NP\tO' +p292062 +aS'of\tof\tIN\tB-PP\tO' +p292063 +aS'D10W\tD10W\tNN\tB-NP\tB-protein' +p292064 +aS'.\t.\t.\tO\tO' +p292065 +asS'On physical examination , the patient was resting comfortably when seen , slightly sleepy at first but readily arousable , awake , alert , oriented and conversant .' +p292066 +(lp292067 +S'On\tOn\tIN\tB-PP\tO' +p292068 +aS'physical\tphysical\tJJ\tB-NP\tO' +p292069 +aS'examination\texamination\tNN\tI-NP\tO' +p292070 +aS',\t,\t,\tO\tO' +p292071 +aS'the\tthe\tDT\tB-NP\tO' +p292072 +aS'patient\tpatient\tNN\tI-NP\tO' +p292073 +aS'was\tbe\tVBD\tB-VP\tO' +p292074 +aS'resting\trest\tVBG\tI-VP\tO' +p292075 +aS'comfortably\tcomfortably\tRB\tB-ADVP\tO' +p292076 +aS'when\twhen\tWRB\tB-ADVP\tO' +p292077 +aS'seen\tsee\tVBN\tB-VP\tO' +p292078 +aS',\t,\t,\tO\tO' +p292079 +aS'slightly\tslightly\tRB\tB-ADJP\tO' +p292080 +aS'sleepy\tsleepy\tJJ\tI-ADJP\tO' +p292081 +aS'at\tat\tIN\tB-PP\tO' +p292082 +aS'first\tfirst\tJJ\tB-NP\tO' +p292083 +aS'but\tbut\tCC\tI-NP\tO' +p292084 +aS'readily\treadily\tRB\tI-NP\tO' +p292085 +aS'arousable\tarousable\tJJ\tI-NP\tO' +p292086 +aS',\t,\t,\tI-NP\tO' +p292087 +aS'awake\tawake\tJJ\tI-NP\tO' +p292088 +aS',\t,\t,\tI-NP\tO' +p292089 +aS'alert\talert\tJJ\tI-NP\tO' +p292090 +aS',\t,\t,\tI-NP\tO' +p292091 +aS'oriented\torient\tVBN\tI-NP\tO' +p292092 +aS'and\tand\tCC\tI-NP\tO' +p292093 +aS'conversant\tconversant\tNN\tI-NP\tO' +p292094 +aS'.\t.\t.\tO\tO' +p292095 +asS"The patient 's actual date of discharge was 2011-03-21 ." +p292096 +(lp292097 +S'The\tThe\tDT\tB-NP\tO' +p292098 +aS'patient\tpatient\tNN\tI-NP\tO' +p292099 +aS"'s\t's\tPOS\tB-NP\tO" +p292100 +aS'actual\tactual\tJJ\tI-NP\tO' +p292101 +aS'date\tdate\tNN\tI-NP\tO' +p292102 +aS'of\tof\tIN\tB-PP\tO' +p292103 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p292104 +aS'was\tbe\tVBD\tB-VP\tO' +p292105 +aS'2011-03-21\t2011-03-21\tCD\tB-NP\tO' +p292106 +aS'.\t.\t.\tO\tO' +p292107 +asS'INR 1.1 , PTT 30.3.Chest x-ray shows cardiomegaly .' +p292108 +(lp292109 +S'INR\tINR\tNN\tB-NP\tO' +p292110 +aS'1.1\t1.1\tCD\tI-NP\tO' +p292111 +aS',\t,\t,\tO\tO' +p292112 +aS'PTT\tPTT\tNNP\tB-NP\tO' +p292113 +aS'30.3.Chest\t30.3.Chest\tNNP\tI-NP\tO' +p292114 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p292115 +aS'shows\tshow\tVBZ\tB-VP\tO' +p292116 +aS'cardiomegaly\tcardiomegaly\tRB\tB-ADVP\tO' +p292117 +aS'.\t.\t.\tO\tO' +p292118 +asS'+ lightheadedness when he stood up prompting him to go to OSH Nellie .' +p292119 +(lp292120 +S'+\t+\tSYM\tO\tO' +p292121 +aS'lightheadedness\tlightheadedness\tNN\tB-NP\tO' +p292122 +aS'when\twhen\tWRB\tB-ADVP\tO' +p292123 +aS'he\the\tPRP\tB-NP\tO' +p292124 +aS'stood\tstand\tVBD\tB-VP\tO' +p292125 +aS'up\tup\tRP\tB-PRT\tO' +p292126 +aS'prompting\tprompt\tVBG\tB-VP\tO' +p292127 +aS'him\thim\tPRP\tB-NP\tO' +p292128 +aS'to\tto\tTO\tB-VP\tO' +p292129 +aS'go\tgo\tVB\tI-VP\tO' +p292130 +aS'to\tto\tTO\tB-PP\tO' +p292131 +aS'OSH\tOSH\tNNP\tB-NP\tO' +p292132 +aS'Nellie\tNellie\tNNP\tI-NP\tO' +p292133 +aS'.\t.\t.\tO\tO' +p292134 +asS'She received one unit of PRBC s.' +p292135 +(lp292136 +S'She\tShe\tPRP\tB-NP\tO' +p292137 +aS'received\treceive\tVBD\tB-VP\tO' +p292138 +aS'one\tone\tCD\tB-NP\tO' +p292139 +aS'unit\tunit\tNN\tI-NP\tO' +p292140 +aS'of\tof\tIN\tB-PP\tO' +p292141 +aS'PRBC\tPRBC\tNN\tB-NP\tB-protein' +p292142 +aS's.\ts.\tNN\tI-NP\tI-protein' +p292143 +asS'Studies of her autonomic system did not document any dysautonomia .' +p292144 +(lp292145 +S'Studies\tStudy\tNNS\tB-NP\tO' +p292146 +aS'of\tof\tIN\tB-PP\tO' +p292147 +aS'her\ther\tPRP$\tB-NP\tO' +p292148 +aS'autonomic\tautonomic\tJJ\tI-NP\tO' +p292149 +aS'system\tsystem\tNN\tI-NP\tO' +p292150 +aS'did\tdo\tVBD\tB-VP\tO' +p292151 +aS'not\tnot\tRB\tI-VP\tO' +p292152 +aS'document\tdocument\tVB\tI-VP\tO' +p292153 +aS'any\tany\tDT\tB-NP\tO' +p292154 +aS'dysautonomia\tdysautonomia\tNN\tI-NP\tO' +p292155 +aS'.\t.\t.\tO\tO' +p292156 +asS'The cytology for this biopsy is still pending .' +p292157 +(lp292158 +S'The\tThe\tDT\tB-NP\tO' +p292159 +aS'cytology\tcytology\tNN\tI-NP\tO' +p292160 +aS'for\tfor\tIN\tB-PP\tO' +p292161 +aS'this\tthis\tDT\tB-NP\tO' +p292162 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p292163 +aS'is\tbe\tVBZ\tB-VP\tO' +p292164 +aS'still\tstill\tRB\tI-VP\tO' +p292165 +aS'pending\tpende\tVBG\tI-VP\tO' +p292166 +aS'.\t.\t.\tO\tO' +p292167 +asS'Chest x-ray demonstrating pulmonary edema .' +p292168 +(lp292169 +S'Chest\tCh\tJJS\tB-NP\tO' +p292170 +aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' +p292171 +aS'demonstrating\tdemonstrate\tVBG\tB-VP\tO' +p292172 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p292173 +aS'edema\tedema\tNN\tI-NP\tO' +p292174 +aS'.\t.\t.\tO\tO' +p292175 +asS'Signal average EKG .' +p292176 +(lp292177 +S'Signal\tSignal\tNN\tB-NP\tB-protein' +p292178 +aS'average\taverage\tJJ\tI-NP\tI-protein' +p292179 +aS'EKG\tEKG\tNN\tI-NP\tI-protein' +p292180 +aS'.\t.\t.\tO\tO' +p292181 +asS'Head , eyes , ears , nose , and throat examination revealed the oropharynx was clear .' +p292182 +(lp292183 +S'Head\tHead\tRB\tB-ADVP\tO' +p292184 +aS',\t,\t,\tO\tO' +p292185 +aS'eyes\teye\tNNS\tB-NP\tO' +p292186 +aS',\t,\t,\tO\tO' +p292187 +aS'ears\tear\tNNS\tB-NP\tO' +p292188 +aS',\t,\t,\tO\tO' +p292189 +aS'nose\tnose\tNN\tB-NP\tO' +p292190 +aS',\t,\t,\tO\tO' +p292191 +aS'and\tand\tCC\tO\tO' +p292192 +aS'throat\tthroat\tNN\tB-NP\tO' +p292193 +aS'examination\texamination\tNN\tI-NP\tO' +p292194 +aS'revealed\treveal\tVBD\tB-VP\tO' +p292195 +aS'the\tthe\tDT\tB-NP\tO' +p292196 +aS'oropharynx\toropharynx\tNN\tI-NP\tO' +p292197 +aS'was\tbe\tVBD\tB-VP\tO' +p292198 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p292199 +aS'.\t.\t.\tO\tO' +p292200 +asS'99% saturation on room air .' +p292201 +(lp292202 +S'99%\t99%\tCD\tB-NP\tO' +p292203 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p292204 +aS'on\ton\tIN\tB-PP\tO' +p292205 +aS'room\troom\tNN\tB-NP\tO' +p292206 +aS'air\tair\tNN\tI-NP\tO' +p292207 +aS'.\t.\t.\tO\tO' +p292208 +asS'There were no complications , and the patient tolerated the procedure well .' +p292209 +(lp292210 +S'There\tThere\tEX\tB-NP\tO' +p292211 +aS'were\tbe\tVBD\tB-VP\tO' +p292212 +aS'no\tno\tDT\tB-NP\tO' +p292213 +aS'complications\tcomplication\tNNS\tI-NP\tO' +p292214 +aS',\t,\t,\tO\tO' +p292215 +aS'and\tand\tCC\tO\tO' +p292216 +aS'the\tthe\tDT\tB-NP\tO' +p292217 +aS'patient\tpatient\tNN\tI-NP\tO' +p292218 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p292219 +aS'the\tthe\tDT\tB-NP\tO' +p292220 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p292221 +aS'well\twell\tRB\tB-ADVP\tO' +p292222 +aS'.\t.\t.\tO\tO' +p292223 +asS'1) Born at less than 32 weeks ,' +p292224 +(lp292225 +S'1)\t1)\tLS\tB-LST\tO' +p292226 +aS'Born\tBorn\tNNP\tB-NP\tO' +p292227 +aS'at\tat\tIN\tB-PP\tO' +p292228 +aS'less\tless\tJJR\tB-NP\tO' +p292229 +aS'than\tthan\tIN\tI-NP\tO' +p292230 +aS'32\t32\tCD\tI-NP\tO' +p292231 +aS'weeks\tweek\tNNS\tI-NP\tO' +p292232 +aS',\t,\t,\tO\tO' +p292233 +asS'She was discharged on 09/03/2004 at 12:07 pm in good condition .' +p292234 +(lp292235 +S'She\tShe\tPRP\tB-NP\tO' +p292236 +aS'was\tbe\tVBD\tB-VP\tO' +p292237 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p292238 +aS'on\ton\tIN\tB-PP\tO' +p292239 +aS'09/03/2004\t09/03/2004\tCD\tB-NP\tO' +p292240 +aS'at\tat\tIN\tB-PP\tO' +p292241 +aS'12:07\t12:07\tCD\tB-NP\tO' +p292242 +aS'pm\tpm\tNN\tI-NP\tO' +p292243 +aS'in\tin\tIN\tB-PP\tO' +p292244 +aS'good\tgood\tJJ\tB-NP\tO' +p292245 +aS'condition\tcondition\tNN\tI-NP\tO' +p292246 +aS'.\t.\t.\tO\tO' +p292247 +asS'Non-insulin-requiring diabetes mellitus , and hypercholesterolemia .' +p292248 +(lp292249 +S'Non-insulin-requiring\tNon-insulin-requiring\tJJ\tB-NP\tO' +p292250 +aS'diabetes\tdiabetes\tNN\tI-NP\tO' +p292251 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p292252 +aS',\t,\t,\tO\tO' +p292253 +aS'and\tand\tCC\tO\tO' +p292254 +aS'hypercholesterolemia\thypercholesterolemia\tNN\tB-NP\tO' +p292255 +aS'.\t.\t.\tO\tO' +p292256 +asS'Foley was placed in Deanna .' +p292257 +(lp292258 +S'Foley\tFoley\tNNP\tB-NP\tO' +p292259 +aS'was\tbe\tVBD\tB-VP\tO' +p292260 +aS'placed\tplace\tVBN\tI-VP\tO' +p292261 +aS'in\tin\tIN\tB-PP\tO' +p292262 +aS'Deanna\tDeanna\tNNP\tB-NP\tO' +p292263 +aS'.\t.\t.\tO\tO' +p292264 +asS'HEPATOCELLULAR CARCINOMA , AND HEPATITIS C .' +p292265 +(lp292266 +S'HEPATOCELLULAR\tHEPATOCELLULAR\tNN\tB-NP\tO' +p292267 +aS'CARCINOMA\tCARCINOMA\tNN\tI-NP\tO' +p292268 +aS',\t,\t,\tO\tO' +p292269 +aS'AND\tAND\tCC\tO\tO' +p292270 +aS'HEPATITIS\tHEPATITIS\tNN\tB-NP\tO' +p292271 +aS'C\tC\tNN\tI-NP\tO' +p292272 +aS'.\t.\t.\tO\tO' +p292273 +asS'Pulm had previously been consulted and felt that presentation was c/w PCP , Joann started on Bactrim .' +p292274 +(lp292275 +S'Pulm\tPulm\tNN\tB-NP\tO' +p292276 +aS'had\thave\tVBD\tB-VP\tO' +p292277 +aS'previously\tpreviously\tRB\tI-VP\tO' +p292278 +aS'been\tbe\tVBN\tI-VP\tO' +p292279 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p292280 +aS'and\tand\tCC\tO\tO' +p292281 +aS'felt\tfeel\tVBD\tB-VP\tO' +p292282 +aS'that\tthat\tIN\tB-SBAR\tO' +p292283 +aS'presentation\tpresentation\tNN\tB-NP\tO' +p292284 +aS'was\tbe\tVBD\tB-VP\tO' +p292285 +aS'c/w\tc/w\tNN\tB-NP\tO' +p292286 +aS'PCP\tPCP\tNN\tI-NP\tO' +p292287 +aS',\t,\t,\tO\tO' +p292288 +aS'Joann\tJoann\tNNP\tB-NP\tO' +p292289 +aS'started\tstart\tVBD\tB-VP\tO' +p292290 +aS'on\ton\tIN\tB-PP\tO' +p292291 +aS'Bactrim\tBactrim\tNNP\tB-NP\tO' +p292292 +aS'.\t.\t.\tO\tO' +p292293 +asS'Her pupils were reactive bilaterally .' +p292294 +(lp292295 +S'Her\tHer\tPRP$\tB-NP\tO' +p292296 +aS'pupils\tpupil\tNNS\tI-NP\tO' +p292297 +aS'were\tbe\tVBD\tB-VP\tO' +p292298 +aS'reactive\treactive\tJJ\tB-ADJP\tO' +p292299 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p292300 +aS'.\t.\t.\tO\tO' +p292301 +asS'regular rate and rhythm .' +p292302 +(lp292303 +S'regular\tregular\tJJ\tB-NP\tO' +p292304 +aS'rate\trate\tNN\tI-NP\tO' +p292305 +aS'and\tand\tCC\tI-NP\tO' +p292306 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p292307 +aS'.\t.\t.\tO\tO' +p292308 +asS'Please call Dr. Lewis office for an appointment in 2 weeks .' +p292309 +(lp292310 +S'Please\tPlease\tNNP\tB-NP\tO' +p292311 +aS'call\tcall\tNN\tI-NP\tO' +p292312 +aS'Dr.\tDr.\tNNP\tI-NP\tO' +p292313 +aS'Lewis\tLewis\tNNP\tI-NP\tO' +p292314 +aS'office\toffice\tNN\tI-NP\tO' +p292315 +aS'for\tfor\tIN\tB-PP\tO' +p292316 +aS'an\tan\tDT\tB-NP\tO' +p292317 +aS'appointment\tappointment\tNN\tI-NP\tO' +p292318 +aS'in\tin\tIN\tB-PP\tO' +p292319 +aS'2\t2\tCD\tB-NP\tO' +p292320 +aS'weeks\tweek\tNNS\tI-NP\tO' +p292321 +aS'.\t.\t.\tO\tO' +p292322 +asS'The patient is a 83 yo R-handed man with a history of multiple intracranial hemorrhages during the last few years , pacemaker , hyperlipidemia , arrhythmia who now presents with gradual decline in gait and slowing of mentation over the last week .' +p292323 +(lp292324 +S'The\tThe\tDT\tB-NP\tO' +p292325 +aS'patient\tpatient\tNN\tI-NP\tO' +p292326 +aS'is\tbe\tVBZ\tB-VP\tO' +p292327 +aS'a\ta\tDT\tB-NP\tO' +p292328 +aS'83\t83\tCD\tI-NP\tO' +p292329 +aS'yo\tyo\tNN\tI-NP\tO' +p292330 +aS'R-handed\tR-handed\tJJ\tI-NP\tO' +p292331 +aS'man\tman\tNN\tI-NP\tO' +p292332 +aS'with\twith\tIN\tB-PP\tO' +p292333 +aS'a\ta\tDT\tB-NP\tO' +p292334 +aS'history\thistory\tNN\tI-NP\tO' +p292335 +aS'of\tof\tIN\tB-PP\tO' +p292336 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p292337 +aS'intracranial\tintracranial\tJJ\tI-NP\tO' +p292338 +aS'hemorrhages\themorrhage\tNNS\tI-NP\tO' +p292339 +aS'during\tduring\tIN\tB-PP\tO' +p292340 +aS'the\tthe\tDT\tB-NP\tO' +p292341 +aS'last\tlast\tJJ\tI-NP\tO' +p292342 +aS'few\tfew\tJJ\tI-NP\tO' +p292343 +aS'years\tyear\tNNS\tI-NP\tO' +p292344 +aS',\t,\t,\tO\tO' +p292345 +aS'pacemaker\tpacemaker\tNN\tB-NP\tO' +p292346 +aS',\t,\t,\tO\tO' +p292347 +aS'hyperlipidemia\thyperlipidemia\tNN\tB-NP\tO' +p292348 +aS',\t,\t,\tO\tO' +p292349 +aS'arrhythmia\tarrhythmia\tNN\tB-NP\tO' +p292350 +aS'who\twho\tWP\tB-NP\tO' +p292351 +aS'now\tnow\tRB\tB-ADVP\tO' +p292352 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p292353 +aS'with\twith\tIN\tB-PP\tO' +p292354 +aS'gradual\tgradual\tJJ\tB-NP\tO' +p292355 +aS'decline\tdecline\tNN\tI-NP\tO' +p292356 +aS'in\tin\tIN\tB-PP\tO' +p292357 +aS'gait\tgait\tNN\tB-NP\tO' +p292358 +aS'and\tand\tCC\tI-NP\tO' +p292359 +aS'slowing\tslowing\tNN\tI-NP\tO' +p292360 +aS'of\tof\tIN\tB-PP\tO' +p292361 +aS'mentation\tmentation\tNN\tB-NP\tO' +p292362 +aS'over\tover\tIN\tB-PP\tO' +p292363 +aS'the\tthe\tDT\tB-NP\tO' +p292364 +aS'last\tlast\tJJ\tI-NP\tO' +p292365 +aS'week\tweek\tNN\tI-NP\tO' +p292366 +aS'.\t.\t.\tO\tO' +p292367 +asS'EOMs with full range of movement , no nystagmus .' +p292368 +(lp292369 +S'EOMs\tEOM\tNNS\tB-NP\tO' +p292370 +aS'with\twith\tIN\tB-PP\tO' +p292371 +aS'full\tfull\tJJ\tB-NP\tO' +p292372 +aS'range\trange\tNN\tI-NP\tO' +p292373 +aS'of\tof\tIN\tB-PP\tO' +p292374 +aS'movement\tmovement\tNN\tB-NP\tO' +p292375 +aS',\t,\t,\tO\tO' +p292376 +aS'no\tno\tDT\tB-NP\tO' +p292377 +aS'nystagmus\tnystagmus\tNN\tI-NP\tO' +p292378 +aS'.\t.\t.\tO\tO' +p292379 +asS'The heart rate is regular without murmur .' +p292380 +(lp292381 +S'The\tThe\tDT\tB-NP\tO' +p292382 +aS'heart\theart\tNN\tI-NP\tO' +p292383 +aS'rate\trate\tNN\tI-NP\tO' +p292384 +aS'is\tbe\tVBZ\tB-VP\tO' +p292385 +aS'regular\tregular\tJJ\tB-ADJP\tO' +p292386 +aS'without\twithout\tIN\tB-PP\tO' +p292387 +aS'murmur\tmurmur\tNN\tB-NP\tO' +p292388 +aS'.\t.\t.\tO\tO' +p292389 +asS'However , on the night prior to the planned surgical date the patient suffered an episode of bleeding from her Hickman catheter site .' +p292390 +(lp292391 +S'However\tHowever\tRB\tB-ADVP\tO' +p292392 +aS',\t,\t,\tO\tO' +p292393 +aS'on\ton\tIN\tB-PP\tO' +p292394 +aS'the\tthe\tDT\tB-NP\tO' +p292395 +aS'night\tnight\tNN\tI-NP\tO' +p292396 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p292397 +aS'to\tto\tTO\tB-PP\tO' +p292398 +aS'the\tthe\tDT\tB-NP\tO' +p292399 +aS'planned\tplan\tVBN\tI-NP\tO' +p292400 +aS'surgical\tsurgical\tJJ\tI-NP\tO' +p292401 +aS'date\tdate\tNN\tI-NP\tO' +p292402 +aS'the\tthe\tDT\tB-NP\tO' +p292403 +aS'patient\tpatient\tNN\tI-NP\tO' +p292404 +aS'suffered\tsuffer\tVBD\tB-VP\tO' +p292405 +aS'an\tan\tDT\tB-NP\tO' +p292406 +aS'episode\tepisode\tNN\tI-NP\tO' +p292407 +aS'of\tof\tIN\tB-PP\tO' +p292408 +aS'bleeding\tbleed\tVBG\tB-VP\tO' +p292409 +aS'from\tfrom\tIN\tB-PP\tO' +p292410 +aS'her\ther\tPRP$\tB-NP\tB-DNA' +p292411 +aS'Hickman\tHickman\tNNP\tI-NP\tI-DNA' +p292412 +aS'catheter\tcatheter\tNN\tI-NP\tI-DNA' +p292413 +aS'site\tsite\tNN\tI-NP\tI-DNA' +p292414 +aS'.\t.\t.\tO\tO' +p292415 +asS'Apparently , a bone marrow biopsy at the time confirmed the diagnosis of chronic myelomonocytic leukemia .' +p292416 +(lp292417 +S'Apparently\tApparently\tRB\tB-ADVP\tO' +p292418 +aS',\t,\t,\tO\tO' +p292419 +aS'a\ta\tDT\tB-NP\tO' +p292420 +aS'bone\tbone\tNN\tI-NP\tO' +p292421 +aS'marrow\tmarrow\tNN\tI-NP\tO' +p292422 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p292423 +aS'at\tat\tIN\tB-PP\tO' +p292424 +aS'the\tthe\tDT\tB-NP\tO' +p292425 +aS'time\ttime\tNN\tI-NP\tO' +p292426 +aS'confirmed\tconfirm\tVBD\tB-VP\tO' +p292427 +aS'the\tthe\tDT\tB-NP\tO' +p292428 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p292429 +aS'of\tof\tIN\tB-PP\tO' +p292430 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p292431 +aS'myelomonocytic\tmyelomonocytic\tJJ\tI-NP\tO' +p292432 +aS'leukemia\tleukemia\tNN\tI-NP\tO' +p292433 +aS'.\t.\t.\tO\tO' +p292434 +asS'After this therapy he achieved a protocol eligible minimal disease state .' +p292435 +(lp292436 +S'After\tAfter\tIN\tB-PP\tO' +p292437 +aS'this\tthis\tDT\tB-NP\tO' +p292438 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p292439 +aS'he\the\tPRP\tB-NP\tO' +p292440 +aS'achieved\tachieve\tVBD\tB-VP\tO' +p292441 +aS'a\ta\tDT\tB-NP\tO' +p292442 +aS'protocol\tprotocol\tNN\tI-NP\tO' +p292443 +aS'eligible\teligible\tJJ\tI-NP\tO' +p292444 +aS'minimal\tminimal\tJJ\tI-NP\tO' +p292445 +aS'disease\tdisease\tNN\tI-NP\tO' +p292446 +aS'state\tstate\tNN\tI-NP\tO' +p292447 +aS'.\t.\t.\tO\tO' +p292448 +asS'Dispo : PT/OT worked with patient during admission' +p292449 +(lp292450 +S'Dispo\tDispo\tNNP\tB-NP\tO' +p292451 +aS':\t:\t:\tO\tO' +p292452 +aS'PT/OT\tPT/OT\tNN\tB-NP\tO' +p292453 +aS'worked\twork\tVBD\tB-VP\tO' +p292454 +aS'with\twith\tIN\tB-PP\tO' +p292455 +aS'patient\tpatient\tNN\tB-NP\tO' +p292456 +aS'during\tduring\tIN\tB-PP\tO' +p292457 +aS'admission\tadmission\tNN\tB-NP\tO' +p292458 +asS'The epidural catheter had a morphine infusion initially started at 1 mg a day and increased to 3 mg a day in a period of three days .' +p292459 +(lp292460 +S'The\tThe\tDT\tB-NP\tO' +p292461 +aS'epidural\tepidural\tJJ\tI-NP\tO' +p292462 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p292463 +aS'had\thave\tVBD\tB-VP\tO' +p292464 +aS'a\ta\tDT\tB-NP\tO' +p292465 +aS'morphine\tmorphine\tNN\tI-NP\tO' +p292466 +aS'infusion\tinfusion\tNN\tI-NP\tO' +p292467 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p292468 +aS'started\tstart\tVBD\tB-VP\tO' +p292469 +aS'at\tat\tIN\tB-PP\tO' +p292470 +aS'1\t1\tCD\tB-NP\tO' +p292471 +aS'mg\tmg\tNN\tI-NP\tO' +p292472 +aS'a\ta\tDT\tB-NP\tO' +p292473 +aS'day\tday\tNN\tI-NP\tO' +p292474 +aS'and\tand\tCC\tO\tO' +p292475 +aS'increased\tincrease\tVBD\tB-VP\tO' +p292476 +aS'to\tto\tTO\tB-PP\tO' +p292477 +aS'3\t3\tCD\tB-NP\tO' +p292478 +aS'mg\tmg\tNN\tI-NP\tO' +p292479 +aS'a\ta\tDT\tB-NP\tO' +p292480 +aS'day\tday\tNN\tI-NP\tO' +p292481 +aS'in\tin\tIN\tB-PP\tO' +p292482 +aS'a\ta\tDT\tB-NP\tO' +p292483 +aS'period\tperiod\tNN\tI-NP\tO' +p292484 +aS'of\tof\tIN\tB-PP\tO' +p292485 +aS'three\tthree\tCD\tB-NP\tO' +p292486 +aS'days\tday\tNNS\tI-NP\tO' +p292487 +aS'.\t.\t.\tO\tO' +p292488 +asS'9. Psychosocial - As noted above , paternal aunt was the gestational carrier .' +p292489 +(lp292490 +S'9.\t9.\tLS\tB-NP\tO' +p292491 +aS'Psychosocial\tPsychosocial\tNN\tI-NP\tO' +p292492 +aS'-\t-\tHYPH\tB-ADJP\tO' +p292493 +aS'As\tAs\tIN\tB-SBAR\tO' +p292494 +aS'noted\tnote\tVBN\tB-VP\tO' +p292495 +aS'above\tabove\tRB\tB-ADVP\tO' +p292496 +aS',\t,\t,\tO\tO' +p292497 +aS'paternal\tpaternal\tJJ\tB-NP\tO' +p292498 +aS'aunt\taunt\tNN\tI-NP\tO' +p292499 +aS'was\tbe\tVBD\tB-VP\tO' +p292500 +aS'the\tthe\tDT\tB-NP\tO' +p292501 +aS'gestational\tgestational\tJJ\tI-NP\tO' +p292502 +aS'carrier\tcarrier\tNN\tI-NP\tO' +p292503 +aS'.\t.\t.\tO\tO' +p292504 +asS'White count 7 , hematocrit 24.2 , platelet count was 183 .' +p292505 +(lp292506 +S'White\tWhite\tJJ\tB-NP\tO' +p292507 +aS'count\tcount\tNN\tI-NP\tO' +p292508 +aS'7\t7\tCD\tI-NP\tO' +p292509 +aS',\t,\t,\tO\tO' +p292510 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p292511 +aS'24.2\t24.2\tCD\tI-NP\tI-protein' +p292512 +aS',\t,\t,\tO\tO' +p292513 +aS'platelet\tplatelet\tNN\tB-NP\tB-protein' +p292514 +aS'count\tcount\tNN\tI-NP\tI-protein' +p292515 +aS'was\tbe\tVBD\tB-VP\tI-protein' +p292516 +aS'183\t183\tCD\tB-NP\tI-protein' +p292517 +aS'.\t.\t.\tO\tO' +p292518 +asS'Once the patient was transferred out of the Coronary Care Unit , she appeared to have an element of heart failure in addition to her chronic obstructive pulmonary disease .' +p292519 +(lp292520 +S'Once\tOnce\tRB\tO\tO' +p292521 +aS'the\tthe\tDT\tB-NP\tO' +p292522 +aS'patient\tpatient\tNN\tI-NP\tO' +p292523 +aS'was\tbe\tVBD\tB-VP\tO' +p292524 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p292525 +aS'out\tout\tIN\tB-PP\tO' +p292526 +aS'of\tof\tIN\tB-PP\tO' +p292527 +aS'the\tthe\tDT\tB-NP\tO' +p292528 +aS'Coronary\tCoronary\tNNP\tI-NP\tO' +p292529 +aS'Care\tCare\tNNP\tI-NP\tO' +p292530 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p292531 +aS',\t,\t,\tO\tO' +p292532 +aS'she\tshe\tPRP\tB-NP\tO' +p292533 +aS'appeared\tappear\tVBD\tB-VP\tO' +p292534 +aS'to\tto\tTO\tI-VP\tO' +p292535 +aS'have\thave\tVB\tI-VP\tO' +p292536 +aS'an\tan\tDT\tB-NP\tO' +p292537 +aS'element\telement\tNN\tI-NP\tO' +p292538 +aS'of\tof\tIN\tB-PP\tO' +p292539 +aS'heart\theart\tNN\tB-NP\tO' +p292540 +aS'failure\tfailure\tNN\tI-NP\tO' +p292541 +aS'in\tin\tIN\tB-PP\tO' +p292542 +aS'addition\taddition\tNN\tB-NP\tO' +p292543 +aS'to\tto\tTO\tB-PP\tO' +p292544 +aS'her\ther\tPRP$\tB-NP\tO' +p292545 +aS'chronic\tchronic\tJJ\tI-NP\tO' +p292546 +aS'obstructive\tobstructive\tJJ\tI-NP\tO' +p292547 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p292548 +aS'disease\tdisease\tNN\tI-NP\tO' +p292549 +aS'.\t.\t.\tO\tO' +p292550 +asS'On 2016-02-15 , the patient was taken to the operating room and had an off pump coronary artery bypass graft performed with the left internal mammary artery to the left anterior descending , saphenous vein graft to obtuse marginal and posterior descending artery .' +p292551 +(lp292552 +S'On\tOn\tIN\tB-PP\tO' +p292553 +aS'2016-02-15\t2016-02-15\tCD\tB-NP\tO' +p292554 +aS',\t,\t,\tO\tO' +p292555 +aS'the\tthe\tDT\tB-NP\tO' +p292556 +aS'patient\tpatient\tNN\tI-NP\tO' +p292557 +aS'was\tbe\tVBD\tB-VP\tO' +p292558 +aS'taken\ttake\tVBN\tI-VP\tO' +p292559 +aS'to\tto\tTO\tB-PP\tO' +p292560 +aS'the\tthe\tDT\tB-NP\tO' +p292561 +aS'operating\toperating\tNN\tI-NP\tO' +p292562 +aS'room\troom\tNN\tI-NP\tO' +p292563 +aS'and\tand\tCC\tO\tO' +p292564 +aS'had\thave\tVBD\tB-VP\tO' +p292565 +aS'an\tan\tDT\tB-NP\tO' +p292566 +aS'off\toff\tJJ\tI-NP\tO' +p292567 +aS'pump\tpump\tNN\tI-NP\tO' +p292568 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p292569 +aS'artery\tartery\tNN\tI-NP\tO' +p292570 +aS'bypass\tbypass\tIN\tB-PP\tO' +p292571 +aS'graft\tgraft\tNN\tB-NP\tO' +p292572 +aS'performed\tperform\tVBN\tB-VP\tO' +p292573 +aS'with\twith\tIN\tB-PP\tO' +p292574 +aS'the\tthe\tDT\tB-NP\tO' +p292575 +aS'left\tleft\tJJ\tI-NP\tO' +p292576 +aS'internal\tinternal\tJJ\tI-NP\tO' +p292577 +aS'mammary\tmammary\tJJ\tI-NP\tO' +p292578 +aS'artery\tartery\tNN\tI-NP\tO' +p292579 +aS'to\tto\tTO\tB-PP\tO' +p292580 +aS'the\tthe\tDT\tB-NP\tO' +p292581 +aS'left\tleft\tJJ\tI-NP\tO' +p292582 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p292583 +aS'descending\tdescending\tNN\tI-NP\tO' +p292584 +aS',\t,\t,\tO\tO' +p292585 +aS'saphenous\tsaphenous\tJJ\tB-NP\tO' +p292586 +aS'vein\tvein\tNN\tI-NP\tO' +p292587 +aS'graft\tgraft\tNN\tI-NP\tO' +p292588 +aS'to\tto\tTO\tB-VP\tO' +p292589 +aS'obtuse\tobtuse\tVB\tI-VP\tO' +p292590 +aS'marginal\tmarginal\tJJ\tB-NP\tO' +p292591 +aS'and\tand\tCC\tI-NP\tO' +p292592 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p292593 +aS'descending\tdescend\tVBG\tI-NP\tO' +p292594 +aS'artery\tartery\tNN\tI-NP\tO' +p292595 +aS'.\t.\t.\tO\tO' +p292596 +asS'As above with colostomy .' +p292597 +(lp292598 +S'As\tAs\tIN\tB-PP\tO' +p292599 +aS'above\tabove\tIN\tB-PP\tO' +p292600 +aS'with\twith\tIN\tB-PP\tO' +p292601 +aS'colostomy\tcolostomy\tNN\tB-NP\tO' +p292602 +aS'.\t.\t.\tO\tO' +p292603 +asS'She received blood transfusions intraoperatively and postoperatively in addition to autologous blood .' +p292604 +(lp292605 +S'She\tShe\tPRP\tB-NP\tO' +p292606 +aS'received\treceive\tVBD\tB-VP\tO' +p292607 +aS'blood\tblood\tNN\tB-NP\tO' +p292608 +aS'transfusions\ttransfusion\tNNS\tI-NP\tO' +p292609 +aS'intraoperatively\tintraoperatively\tRB\tB-ADVP\tO' +p292610 +aS'and\tand\tCC\tI-ADVP\tO' +p292611 +aS'postoperatively\tpostoperatively\tRB\tI-ADVP\tO' +p292612 +aS'in\tin\tIN\tB-PP\tO' +p292613 +aS'addition\taddition\tNN\tB-NP\tO' +p292614 +aS'to\tto\tTO\tB-PP\tO' +p292615 +aS'autologous\tautologous\tJJ\tB-NP\tO' +p292616 +aS'blood\tblood\tNN\tI-NP\tO' +p292617 +aS'.\t.\t.\tO\tO' +p292618 +asS'Echocardiogram results were within normal limits revealing a PPS murmur .' +p292619 +(lp292620 +S'Echocardiogram\tEchocardiogram\tNN\tB-NP\tO' +p292621 +aS'results\tresult\tNNS\tI-NP\tO' +p292622 +aS'were\tbe\tVBD\tB-VP\tO' +p292623 +aS'within\twithin\tIN\tB-PP\tO' +p292624 +aS'normal\tnormal\tJJ\tB-NP\tO' +p292625 +aS'limits\tlimit\tNNS\tI-NP\tO' +p292626 +aS'revealing\treveal\tVBG\tB-VP\tO' +p292627 +aS'a\ta\tDT\tB-NP\tO' +p292628 +aS'PPS\tPPS\tNN\tI-NP\tB-protein' +p292629 +aS'murmur\tmurmur\tNN\tI-NP\tI-protein' +p292630 +aS'.\t.\t.\tO\tO' +p292631 +asS'You will be given pain medication which may make you drowsy .' +p292632 +(lp292633 +S'You\tYou\tPRP\tB-NP\tB-protein' +p292634 +aS'will\twill\tMD\tB-VP\tO' +p292635 +aS'be\tbe\tVB\tI-VP\tO' +p292636 +aS'given\tgive\tVBN\tI-VP\tO' +p292637 +aS'pain\tpain\tNN\tB-NP\tO' +p292638 +aS'medication\tmedication\tNN\tI-NP\tO' +p292639 +aS'which\twhich\tWDT\tB-NP\tO' +p292640 +aS'may\tmay\tMD\tB-VP\tO' +p292641 +aS'make\tmake\tVB\tI-VP\tO' +p292642 +aS'you\tyou\tPRP\tB-NP\tO' +p292643 +aS'drowsy\tdrowsy\tJJ\tB-ADJP\tO' +p292644 +aS'.\t.\t.\tO\tO' +p292645 +asS'He received 1 mg IV Narcan ( numerous bottles of oxycontin , percocet were found in room ); his pupils dilated to ~ 8 mm and he became combative / agitated .' +p292646 +(lp292647 +S'He\tHe\tPRP\tB-NP\tO' +p292648 +aS'received\treceive\tVBD\tB-VP\tO' +p292649 +aS'1\t1\tCD\tB-NP\tO' +p292650 +aS'mg\tmg\tNN\tI-NP\tO' +p292651 +aS'IV\tIV\tCD\tB-NP\tO' +p292652 +aS'Narcan\tNarcan\tNN\tI-NP\tO' +p292653 +aS'(\t(\t(\tO\tO' +p292654 +aS'numerous\tnumerous\tJJ\tB-NP\tO' +p292655 +aS'bottles\tbottle\tNNS\tI-NP\tO' +p292656 +aS'of\tof\tIN\tB-PP\tO' +p292657 +aS'oxycontin\toxycontin\tNN\tB-NP\tO' +p292658 +aS',\t,\t,\tO\tO' +p292659 +aS'percocet\tpercocet\tNN\tB-NP\tO' +p292660 +aS'were\tbe\tVBD\tB-VP\tO' +p292661 +aS'found\tfind\tVBN\tI-VP\tO' +p292662 +aS'in\tin\tIN\tB-PP\tO' +p292663 +aS'room\troom\tNN\tB-NP\tO' +p292664 +aS');\t);\tIN\tB-PP\tO' +p292665 +aS'his\this\tPRP$\tB-NP\tO' +p292666 +aS'pupils\tpupil\tNNS\tI-NP\tO' +p292667 +aS'dilated\tdilate\tVBN\tB-VP\tO' +p292668 +aS'to\tto\tTO\tB-VP\tO' +p292669 +aS'~\t~\tVB\tI-VP\tO' +p292670 +aS'8\t8\tCD\tB-NP\tO' +p292671 +aS'mm\tmm\tNN\tI-NP\tO' +p292672 +aS'and\tand\tCC\tO\tO' +p292673 +aS'he\the\tPRP\tB-NP\tO' +p292674 +aS'became\tbecome\tVBD\tB-VP\tO' +p292675 +aS'combative\tcombative\tJJ\tB-ADJP\tO' +p292676 +aS'/\t/\tSYM\tB-NP\tO' +p292677 +aS'agitated\tagitated\tJJ\tB-ADJP\tO' +p292678 +aS'.\t.\t.\tO\tO' +p292679 +asS'Patient was stable with complete clearance of her mental status , advancement of her diet ,' +p292680 +(lp292681 +S'Patient\tPatient\tNN\tB-NP\tO' +p292682 +aS'was\tbe\tVBD\tB-VP\tO' +p292683 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p292684 +aS'with\twith\tIN\tB-PP\tO' +p292685 +aS'complete\tcomplete\tJJ\tB-NP\tO' +p292686 +aS'clearance\tclearance\tNN\tI-NP\tO' +p292687 +aS'of\tof\tIN\tB-PP\tO' +p292688 +aS'her\ther\tPRP$\tB-NP\tO' +p292689 +aS'mental\tmental\tJJ\tI-NP\tO' +p292690 +aS'status\tstatus\tNN\tI-NP\tO' +p292691 +aS',\t,\t,\tO\tO' +p292692 +aS'advancement\tadvancement\tNN\tB-NP\tO' +p292693 +aS'of\tof\tIN\tB-PP\tO' +p292694 +aS'her\ther\tPRP$\tB-NP\tO' +p292695 +aS'diet\tdiet\tNN\tI-NP\tO' +p292696 +aS',\t,\t,\tO\tO' +p292697 +asS'8. Lasix , 20 mg. , po , qD .' +p292698 +(lp292699 +S'8.\t8.\tCD\tB-NP\tO' +p292700 +aS'Lasix\tLasix\tNNP\tI-NP\tO' +p292701 +aS',\t,\t,\tO\tO' +p292702 +aS'20\t20\tCD\tB-NP\tO' +p292703 +aS'mg.\tmg.\tNN\tI-NP\tO' +p292704 +aS',\t,\t,\tO\tO' +p292705 +aS'po\tpo\tNN\tB-NP\tO' +p292706 +aS',\t,\t,\tO\tO' +p292707 +aS'qD\tqD\tNN\tB-NP\tO' +p292708 +aS'.\t.\t.\tO\tO' +p292709 +asS'Recent herpes zoster .' +p292710 +(lp292711 +S'Recent\tRecent\tJJ\tB-NP\tO' +p292712 +aS'herpes\therpes\tNN\tI-NP\tO' +p292713 +aS'zoster\tzoster\tNN\tI-NP\tO' +p292714 +aS'.\t.\t.\tO\tO' +p292715 +asS'PSC , status post hepaticojejunostomy .' +p292716 +(lp292717 +S'PSC\tPSC\tNN\tB-NP\tB-protein' +p292718 +aS',\t,\t,\tO\tO' +p292719 +aS'status\tstatus\tNN\tB-NP\tO' +p292720 +aS'post\tpost\tNN\tI-NP\tO' +p292721 +aS'hepaticojejunostomy\thepaticojejunostomy\tNN\tI-NP\tO' +p292722 +aS'.\t.\t.\tO\tO' +p292723 +asS'You should restart your BP medications after you see your PCP .' +p292724 +(lp292725 +S'You\tYou\tPRP\tB-NP\tB-protein' +p292726 +aS'should\tshould\tMD\tB-VP\tO' +p292727 +aS'restart\trestart\tVB\tI-VP\tO' +p292728 +aS'your\tyour\tPRP$\tB-NP\tO' +p292729 +aS'BP\tBP\tNN\tI-NP\tO' +p292730 +aS'medications\tmedication\tNNS\tI-NP\tO' +p292731 +aS'after\tafter\tIN\tB-SBAR\tO' +p292732 +aS'you\tyou\tPRP\tB-NP\tO' +p292733 +aS'see\tsee\tVBP\tB-VP\tO' +p292734 +aS'your\tyour\tPRP$\tB-NP\tO' +p292735 +aS'PCP\tPCP\tNN\tI-NP\tB-protein' +p292736 +aS'.\t.\t.\tO\tO' +p292737 +asS'Group B strep screening was negative .' +p292738 +(lp292739 +S'Group\tGroup\tNN\tB-NP\tO' +p292740 +aS'B\tB\tNN\tI-NP\tO' +p292741 +aS'strep\tstrep\tNN\tI-NP\tO' +p292742 +aS'screening\tscreening\tNN\tI-NP\tO' +p292743 +aS'was\tbe\tVBD\tB-VP\tO' +p292744 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p292745 +aS'.\t.\t.\tO\tO' +p292746 +asS'No abdominal exercises for 6 weeks' +p292747 +(lp292748 +S'No\tNo\tDT\tB-NP\tO' +p292749 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p292750 +aS'exercises\texercise\tNNS\tI-NP\tO' +p292751 +aS'for\tfor\tIN\tB-PP\tO' +p292752 +aS'6\t6\tCD\tB-NP\tO' +p292753 +aS'weeks\tweek\tNNS\tI-NP\tO' +p292754 +asS'A potassium three days prior to surgery was 2.8 , the level being normalized with p.o. kay ciel prior to admission .' +p292755 +(lp292756 +S'A\tA\tDT\tB-NP\tO' +p292757 +aS'potassium\tpotassium\tNN\tI-NP\tO' +p292758 +aS'three\tthree\tCD\tB-NP\tO' +p292759 +aS'days\tday\tNNS\tI-NP\tO' +p292760 +aS'prior\tprior\tRB\tB-ADVP\tO' +p292761 +aS'to\tto\tTO\tB-PP\tO' +p292762 +aS'surgery\tsurgery\tNN\tB-NP\tO' +p292763 +aS'was\tbe\tVBD\tB-VP\tO' +p292764 +aS'2.8\t2.8\tCD\tB-NP\tO' +p292765 +aS',\t,\t,\tO\tO' +p292766 +aS'the\tthe\tDT\tB-NP\tO' +p292767 +aS'level\tlevel\tNN\tI-NP\tO' +p292768 +aS'being\tbe\tVBG\tB-VP\tO' +p292769 +aS'normalized\tnormalize\tVBN\tI-VP\tO' +p292770 +aS'with\twith\tIN\tB-PP\tO' +p292771 +aS'p.o.\tp.o.\tFW\tB-NP\tO' +p292772 +aS'kay\tkay\tFW\tI-NP\tO' +p292773 +aS'ciel\tciel\tNN\tI-NP\tO' +p292774 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p292775 +aS'to\tto\tTO\tB-PP\tO' +p292776 +aS'admission\tadmission\tNN\tB-NP\tO' +p292777 +aS'.\t.\t.\tO\tO' +p292778 +asS'There was no costovertebral angle tenderness .' +p292779 +(lp292780 +S'There\tThere\tEX\tB-NP\tO' +p292781 +aS'was\tbe\tVBD\tB-VP\tO' +p292782 +aS'no\tno\tDT\tB-NP\tO' +p292783 +aS'costovertebral\tcostovertebral\tJJ\tI-NP\tO' +p292784 +aS'angle\tangle\tNN\tI-NP\tO' +p292785 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p292786 +aS'.\t.\t.\tO\tO' +p292787 +asS'Initially , the patient did well in terms of his pre-status and required less oxygen .' +p292788 +(lp292789 +S'Initially\tInitially\tRB\tB-ADVP\tO' +p292790 +aS',\t,\t,\tO\tO' +p292791 +aS'the\tthe\tDT\tB-NP\tO' +p292792 +aS'patient\tpatient\tNN\tI-NP\tO' +p292793 +aS'did\tdo\tVBD\tB-VP\tO' +p292794 +aS'well\twell\tRB\tB-ADVP\tO' +p292795 +aS'in\tin\tIN\tB-PP\tO' +p292796 +aS'terms\tterm\tNNS\tB-NP\tO' +p292797 +aS'of\tof\tIN\tB-PP\tO' +p292798 +aS'his\this\tPRP$\tB-NP\tO' +p292799 +aS'pre-status\tpre-status\tNN\tI-NP\tO' +p292800 +aS'and\tand\tCC\tO\tO' +p292801 +aS'required\trequire\tVBD\tB-VP\tO' +p292802 +aS'less\tless\tJJR\tB-NP\tO' +p292803 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p292804 +aS'.\t.\t.\tO\tO' +p292805 +asS'The patient was initially told that this was a benign tumor and that it could simply be watched and definitively treated after the delivery of her baby .' +p292806 +(lp292807 +S'The\tThe\tDT\tB-NP\tO' +p292808 +aS'patient\tpatient\tNN\tI-NP\tO' +p292809 +aS'was\tbe\tVBD\tB-VP\tO' +p292810 +aS'initially\tinitially\tRB\tI-VP\tO' +p292811 +aS'told\ttell\tVBN\tI-VP\tO' +p292812 +aS'that\tthat\tIN\tB-SBAR\tO' +p292813 +aS'this\tthis\tDT\tB-NP\tO' +p292814 +aS'was\tbe\tVBD\tB-VP\tO' +p292815 +aS'a\ta\tDT\tB-NP\tO' +p292816 +aS'benign\tbenign\tJJ\tI-NP\tO' +p292817 +aS'tumor\ttumor\tNN\tI-NP\tO' +p292818 +aS'and\tand\tCC\tO\tO' +p292819 +aS'that\tthat\tIN\tB-SBAR\tO' +p292820 +aS'it\tit\tPRP\tB-NP\tO' +p292821 +aS'could\tcould\tMD\tB-VP\tO' +p292822 +aS'simply\tsimply\tRB\tI-VP\tO' +p292823 +aS'be\tbe\tVB\tI-VP\tO' +p292824 +aS'watched\twatch\tVBN\tI-VP\tO' +p292825 +aS'and\tand\tCC\tO\tO' +p292826 +aS'definitively\tdefinitively\tRB\tB-VP\tO' +p292827 +aS'treated\ttreat\tVBN\tI-VP\tO' +p292828 +aS'after\tafter\tIN\tB-PP\tO' +p292829 +aS'the\tthe\tDT\tB-NP\tO' +p292830 +aS'delivery\tdelivery\tNN\tI-NP\tO' +p292831 +aS'of\tof\tIN\tB-PP\tO' +p292832 +aS'her\ther\tPRP$\tB-NP\tO' +p292833 +aS'baby\tbaby\tNN\tI-NP\tO' +p292834 +aS'.\t.\t.\tO\tO' +p292835 +asS'Breath sounds were decreased at the bases only with distant heart sounds and a 2 out of 6 systolic ejection murmur consistent with aortic stenosis with Gallavardin like radiation to the apex .' +p292836 +(lp292837 +S'Breath\tBreath\tNN\tB-NP\tO' +p292838 +aS'sounds\tsound\tNNS\tI-NP\tO' +p292839 +aS'were\tbe\tVBD\tB-VP\tO' +p292840 +aS'decreased\tdecrease\tVBN\tI-VP\tO' +p292841 +aS'at\tat\tIN\tB-PP\tO' +p292842 +aS'the\tthe\tDT\tB-NP\tO' +p292843 +aS'bases\tbase\tNNS\tI-NP\tO' +p292844 +aS'only\tonly\tRB\tB-ADVP\tO' +p292845 +aS'with\twith\tIN\tB-PP\tO' +p292846 +aS'distant\tdistant\tJJ\tB-NP\tO' +p292847 +aS'heart\theart\tNN\tI-NP\tO' +p292848 +aS'sounds\tsound\tNNS\tI-NP\tO' +p292849 +aS'and\tand\tCC\tO\tO' +p292850 +aS'a\ta\tDT\tB-NP\tO' +p292851 +aS'2\t2\tCD\tI-NP\tO' +p292852 +aS'out\tout\tIN\tB-PP\tO' +p292853 +aS'of\tof\tIN\tB-PP\tO' +p292854 +aS'6\t6\tCD\tB-NP\tO' +p292855 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p292856 +aS'ejection\tejection\tNN\tI-NP\tO' +p292857 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p292858 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p292859 +aS'with\twith\tIN\tB-PP\tO' +p292860 +aS'aortic\taortic\tJJ\tB-NP\tO' +p292861 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p292862 +aS'with\twith\tIN\tB-PP\tO' +p292863 +aS'Gallavardin\tGallavardin\tNN\tB-NP\tB-protein' +p292864 +aS'like\tlike\tIN\tB-PP\tO' +p292865 +aS'radiation\tradiation\tNN\tB-NP\tO' +p292866 +aS'to\tto\tTO\tB-PP\tO' +p292867 +aS'the\tthe\tDT\tB-NP\tO' +p292868 +aS'apex\tapex\tNN\tI-NP\tO' +p292869 +aS'.\t.\t.\tO\tO' +p292870 +asS'Major Surgical or Invasive Procedure : see dc summary' +p292871 +(lp292872 +S'Major\tMajor\tJJ\tB-NP\tO' +p292873 +aS'Surgical\tSurgical\tJJ\tI-NP\tO' +p292874 +aS'or\tor\tCC\tI-NP\tO' +p292875 +aS'Invasive\tInvasive\tJJ\tI-NP\tO' +p292876 +aS'Procedure\tProcedure\tNN\tI-NP\tO' +p292877 +aS':\t:\t:\tO\tO' +p292878 +aS'see\tsee\tVB\tB-VP\tO' +p292879 +aS'dc\tdc\tNN\tB-NP\tO' +p292880 +aS'summary\tsummary\tNN\tI-NP\tO' +p292881 +asS'No other known drug use other than Oxycontin / percocet .' +p292882 +(lp292883 +S'No\tNo\tDT\tB-NP\tO' +p292884 +aS'other\tother\tJJ\tI-NP\tO' +p292885 +aS'known\tknow\tVBN\tI-NP\tO' +p292886 +aS'drug\tdrug\tNN\tI-NP\tO' +p292887 +aS'use\tuse\tNN\tI-NP\tO' +p292888 +aS'other\tother\tJJ\tB-ADJP\tO' +p292889 +aS'than\tthan\tIN\tB-PP\tO' +p292890 +aS'Oxycontin\tOxycontin\tNN\tB-NP\tB-protein' +p292891 +aS'/\t/\tSYM\tB-NP\tO' +p292892 +aS'percocet\tpercocet\tNN\tI-NP\tO' +p292893 +aS'.\t.\t.\tO\tO' +p292894 +asS'Chest x-ray was without infiltrates , wand in good position .' +p292895 +(lp292896 +S'Chest\tCh\tJJS\tB-NP\tO' +p292897 +aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' +p292898 +aS'was\tbe\tVBD\tB-VP\tO' +p292899 +aS'without\twithout\tIN\tB-PP\tO' +p292900 +aS'infiltrates\tinfiltrate\tNNS\tB-NP\tO' +p292901 +aS',\t,\t,\tO\tO' +p292902 +aS'wand\twand\tVBP\tB-VP\tO' +p292903 +aS'in\tin\tIN\tB-PP\tO' +p292904 +aS'good\tgood\tJJ\tB-NP\tO' +p292905 +aS'position\tposition\tNN\tI-NP\tO' +p292906 +aS'.\t.\t.\tO\tO' +p292907 +asS'While the patient was awaiting therapeutic anticoagulation with Coumadin , he spontaneously converted into normal sinus rhythm .' +p292908 +(lp292909 +S'While\tWhile\tIN\tB-SBAR\tO' +p292910 +aS'the\tthe\tDT\tB-NP\tO' +p292911 +aS'patient\tpatient\tNN\tI-NP\tO' +p292912 +aS'was\tbe\tVBD\tB-VP\tO' +p292913 +aS'awaiting\tawait\tVBG\tI-VP\tO' +p292914 +aS'therapeutic\ttherapeutic\tJJ\tB-NP\tO' +p292915 +aS'anticoagulation\tanticoagulation\tNN\tI-NP\tO' +p292916 +aS'with\twith\tIN\tB-PP\tO' +p292917 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p292918 +aS',\t,\t,\tO\tO' +p292919 +aS'he\the\tPRP\tB-NP\tO' +p292920 +aS'spontaneously\tspontaneously\tRB\tB-ADVP\tO' +p292921 +aS'converted\tconvert\tVBD\tB-VP\tO' +p292922 +aS'into\tinto\tIN\tB-PP\tO' +p292923 +aS'normal\tnormal\tJJ\tB-NP\tO' +p292924 +aS'sinus\tsinus\tNN\tI-NP\tO' +p292925 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p292926 +aS'.\t.\t.\tO\tO' +p292927 +asS'MRI has been deferred given that the pt currently would not tolerate the procedure .' +p292928 +(lp292929 +S'MRI\tMRI\tNN\tB-NP\tB-protein' +p292930 +aS'has\thave\tVBZ\tB-VP\tO' +p292931 +aS'been\tbe\tVBN\tI-VP\tO' +p292932 +aS'deferred\tdefer\tVBN\tI-VP\tO' +p292933 +aS'given\tgive\tVBN\tB-PP\tO' +p292934 +aS'that\tthat\tIN\tB-SBAR\tO' +p292935 +aS'the\tthe\tDT\tB-NP\tO' +p292936 +aS'pt\tpt\tNN\tI-NP\tO' +p292937 +aS'currently\tcurrently\tRB\tB-ADVP\tO' +p292938 +aS'would\twould\tMD\tB-VP\tO' +p292939 +aS'not\tnot\tRB\tI-VP\tO' +p292940 +aS'tolerate\ttolerate\tVB\tI-VP\tO' +p292941 +aS'the\tthe\tDT\tB-NP\tO' +p292942 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p292943 +aS'.\t.\t.\tO\tO' +p292944 +asS'1. When his O2 saturation was monitored , his pulse oximetry remained in the 90s during his stay .' +p292945 +(lp292946 +S'1.\t1.\tLS\tB-LST\tO' +p292947 +aS'When\tWhen\tWRB\tB-ADVP\tO' +p292948 +aS'his\this\tPRP$\tB-NP\tO' +p292949 +aS'O2\tO2\tNN\tI-NP\tO' +p292950 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p292951 +aS'was\tbe\tVBD\tB-VP\tO' +p292952 +aS'monitored\tmonitor\tVBN\tI-VP\tO' +p292953 +aS',\t,\t,\tO\tO' +p292954 +aS'his\this\tPRP$\tB-NP\tO' +p292955 +aS'pulse\tpulse\tNN\tI-NP\tO' +p292956 +aS'oximetry\toximetry\tNN\tI-NP\tO' +p292957 +aS'remained\tremain\tVBD\tB-VP\tO' +p292958 +aS'in\tin\tIN\tB-PP\tO' +p292959 +aS'the\tthe\tDT\tB-NP\tO' +p292960 +aS'90s\t90\tNNS\tI-NP\tO' +p292961 +aS'during\tduring\tIN\tB-PP\tO' +p292962 +aS'his\this\tPRP$\tB-NP\tO' +p292963 +aS'stay\tstay\tNN\tI-NP\tO' +p292964 +aS'.\t.\t.\tO\tO' +p292965 +asS'May be a small right pleural effusion .' +p292966 +(lp292967 +S'May\tMay\tMD\tB-VP\tO' +p292968 +aS'be\tbe\tVB\tI-VP\tO' +p292969 +aS'a\ta\tDT\tB-NP\tO' +p292970 +aS'small\tsmall\tJJ\tI-NP\tO' +p292971 +aS'right\tright\tJJ\tI-NP\tO' +p292972 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p292973 +aS'effusion\teffusion\tNN\tI-NP\tO' +p292974 +aS'.\t.\t.\tO\tO' +p292975 +asS'Good op site .' +p292976 +(lp292977 +S'Good\tGood\tJJ\tB-NP\tO' +p292978 +aS'op\top\tNN\tI-NP\tO' +p292979 +aS'site\tsite\tNN\tI-NP\tO' +p292980 +aS'.\t.\t.\tO\tO' +p292981 +asS'He was having a bit of a respiratory acidosis , therefore , bicarbonate was added to the dialysate .' +p292982 +(lp292983 +S'He\tHe\tPRP\tB-NP\tO' +p292984 +aS'was\tbe\tVBD\tB-VP\tO' +p292985 +aS'having\thave\tVBG\tI-VP\tO' +p292986 +aS'a\ta\tDT\tB-NP\tO' +p292987 +aS'bit\tbit\tNN\tI-NP\tO' +p292988 +aS'of\tof\tIN\tB-PP\tO' +p292989 +aS'a\ta\tDT\tB-NP\tO' +p292990 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p292991 +aS'acidosis\tacidosis\tNN\tI-NP\tO' +p292992 +aS',\t,\t,\tO\tO' +p292993 +aS'therefore\ttherefore\tRB\tB-ADVP\tO' +p292994 +aS',\t,\t,\tO\tO' +p292995 +aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' +p292996 +aS'was\tbe\tVBD\tB-VP\tO' +p292997 +aS'added\tadd\tVBN\tI-VP\tO' +p292998 +aS'to\tto\tTO\tB-PP\tO' +p292999 +aS'the\tthe\tDT\tB-NP\tO' +p293000 +aS'dialysate\tdialysate\tNN\tI-NP\tO' +p293001 +aS'.\t.\t.\tO\tO' +p293002 +asS'Remember to call for a follow up appointment ( bellow ) .' +p293003 +(lp293004 +S'Remember\tRemember\tVB\tB-VP\tO' +p293005 +aS'to\tto\tTO\tI-VP\tO' +p293006 +aS'call\tcall\tVB\tI-VP\tO' +p293007 +aS'for\tfor\tIN\tB-PP\tO' +p293008 +aS'a\ta\tDT\tB-NP\tO' +p293009 +aS'follow\tfollow\tNN\tI-NP\tO' +p293010 +aS'up\tup\tRP\tB-PRT\tO' +p293011 +aS'appointment\tappointment\tNN\tB-NP\tO' +p293012 +aS'(\t(\t(\tO\tO' +p293013 +aS'bellow\tbellow\tNN\tB-NP\tO' +p293014 +aS')\t)\t)\tO\tO' +p293015 +aS'.\t.\t.\tO\tO' +p293016 +asS'Neurological examination revealed the patient to be alert and oriented times three .' +p293017 +(lp293018 +S'Neurological\tNeurological\tJJ\tB-NP\tO' +p293019 +aS'examination\texamination\tNN\tI-NP\tO' +p293020 +aS'revealed\treveal\tVBD\tB-VP\tO' +p293021 +aS'the\tthe\tDT\tB-NP\tO' +p293022 +aS'patient\tpatient\tNN\tI-NP\tO' +p293023 +aS'to\tto\tTO\tB-VP\tO' +p293024 +aS'be\tbe\tVB\tI-VP\tO' +p293025 +aS'alert\talert\tJJ\tB-ADJP\tO' +p293026 +aS'and\tand\tCC\tO\tO' +p293027 +aS'oriented\torient\tVBN\tB-VP\tO' +p293028 +aS'times\ttime\tNNS\tB-NP\tO' +p293029 +aS'three\tthree\tCD\tB-NP\tO' +p293030 +aS'.\t.\t.\tO\tO' +p293031 +asS'1. Amiodarone 200 mg p.o. q day .' +p293032 +(lp293033 +S'1.\t1.\tLS\tB-NP\tO' +p293034 +aS'Amiodarone\tAmiodarone\tNN\tI-NP\tO' +p293035 +aS'200\t200\tCD\tI-NP\tO' +p293036 +aS'mg\tmg\tNN\tI-NP\tO' +p293037 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p293038 +aS'q\tq\tNN\tI-NP\tO' +p293039 +aS'day\tday\tNN\tI-NP\tO' +p293040 +aS'.\t.\t.\tO\tO' +p293041 +asS'Patient experienced steady decline , with persistent fevers despite all above measures , progressive areas of skin infection , more frequent episodes of confusion , and decreasing oxygen saturation in the setting of bilateral effusion , in the setting of fluid surge spacing .' +p293042 +(lp293043 +S'Patient\tPatient\tNN\tB-NP\tO' +p293044 +aS'experienced\texperience\tVBD\tB-VP\tO' +p293045 +aS'steady\tsteady\tJJ\tB-NP\tO' +p293046 +aS'decline\tdecline\tNN\tI-NP\tO' +p293047 +aS',\t,\t,\tO\tO' +p293048 +aS'with\twith\tIN\tB-PP\tO' +p293049 +aS'persistent\tpersistent\tJJ\tB-NP\tO' +p293050 +aS'fevers\tfever\tNNS\tI-NP\tO' +p293051 +aS'despite\tdespite\tIN\tB-PP\tO' +p293052 +aS'all\tall\tDT\tB-NP\tO' +p293053 +aS'above\tabove\tJJ\tI-NP\tO' +p293054 +aS'measures\tmeasure\tNNS\tI-NP\tO' +p293055 +aS',\t,\t,\tO\tO' +p293056 +aS'progressive\tprogressive\tJJ\tB-NP\tO' +p293057 +aS'areas\tarea\tNNS\tI-NP\tO' +p293058 +aS'of\tof\tIN\tB-PP\tO' +p293059 +aS'skin\tskin\tNN\tB-NP\tO' +p293060 +aS'infection\tinfection\tNN\tI-NP\tO' +p293061 +aS',\t,\t,\tO\tO' +p293062 +aS'more\tmore\tRBR\tB-NP\tO' +p293063 +aS'frequent\tfrequent\tJJ\tI-NP\tO' +p293064 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p293065 +aS'of\tof\tIN\tB-PP\tO' +p293066 +aS'confusion\tconfusion\tNN\tB-NP\tO' +p293067 +aS',\t,\t,\tO\tO' +p293068 +aS'and\tand\tCC\tO\tO' +p293069 +aS'decreasing\tdecrease\tVBG\tB-VP\tO' +p293070 +aS'oxygen\toxygen\tNN\tB-NP\tO' +p293071 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p293072 +aS'in\tin\tIN\tB-PP\tO' +p293073 +aS'the\tthe\tDT\tB-NP\tO' +p293074 +aS'setting\tsetting\tNN\tI-NP\tO' +p293075 +aS'of\tof\tIN\tB-PP\tO' +p293076 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p293077 +aS'effusion\teffusion\tNN\tI-NP\tO' +p293078 +aS',\t,\t,\tO\tO' +p293079 +aS'in\tin\tIN\tB-PP\tO' +p293080 +aS'the\tthe\tDT\tB-NP\tO' +p293081 +aS'setting\tsetting\tNN\tI-NP\tO' +p293082 +aS'of\tof\tIN\tB-PP\tO' +p293083 +aS'fluid\tfluid\tNN\tB-NP\tO' +p293084 +aS'surge\tsurge\tNN\tI-NP\tO' +p293085 +aS'spacing\tspacing\tNN\tI-NP\tO' +p293086 +aS'.\t.\t.\tO\tO' +p293087 +asS'Osteopenia - She was continued on Evista .' +p293088 +(lp293089 +S'Osteopenia\tOsteopenia\tNNP\tB-NP\tO' +p293090 +aS'-\t-\tHYPH\tI-NP\tO' +p293091 +aS'She\tShe\tNNP\tI-NP\tO' +p293092 +aS'was\tbe\tVBD\tB-VP\tO' +p293093 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p293094 +aS'on\ton\tIN\tB-PP\tO' +p293095 +aS'Evista\tEvista\tNNP\tB-NP\tO' +p293096 +aS'.\t.\t.\tO\tO' +p293097 +asS'This study was negative .' +p293098 +(lp293099 +S'This\tThis\tDT\tB-NP\tO' +p293100 +aS'study\tstudy\tNN\tI-NP\tO' +p293101 +aS'was\tbe\tVBD\tB-VP\tO' +p293102 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p293103 +aS'.\t.\t.\tO\tO' +p293104 +asS'3-27-93 , cardiac catheterization and coronary and left ventricular angiography ; 4-2-93 , exercise tolerance test with Thallium .' +p293105 +(lp293106 +S'3-27-93\t3-27-93\tCD\tB-NP\tO' +p293107 +aS',\t,\t,\tO\tO' +p293108 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p293109 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p293110 +aS'and\tand\tCC\tO\tO' +p293111 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p293112 +aS'and\tand\tCC\tI-NP\tO' +p293113 +aS'left\tleft\tJJ\tI-NP\tO' +p293114 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p293115 +aS'angiography\tangiography\tNN\tI-NP\tO' +p293116 +aS';\t;\t:\tO\tO' +p293117 +aS'4-2-93\t4-2-93\tCD\tB-NP\tO' +p293118 +aS',\t,\t,\tO\tO' +p293119 +aS'exercise\texercise\tNN\tB-NP\tO' +p293120 +aS'tolerance\ttolerance\tNN\tI-NP\tO' +p293121 +aS'test\ttest\tNN\tI-NP\tO' +p293122 +aS'with\twith\tIN\tB-PP\tO' +p293123 +aS'Thallium\tThallium\tNN\tB-NP\tO' +p293124 +aS'.\t.\t.\tO\tO' +p293125 +asS'H. Pylori tx .' +p293126 +(lp293127 +S'H.\tH.\tNNP\tB-NP\tO' +p293128 +aS'Pylori\tPylori\tNNP\tI-NP\tO' +p293129 +aS'tx\ttx\tNN\tI-NP\tO' +p293130 +aS'.\t.\t.\tO\tO' +p293131 +asS'No lifting more than 10 pounds for 10 weeks' +p293132 +(lp293133 +S'No\tNo\tDT\tB-NP\tO' +p293134 +aS'lifting\tlift\tVBG\tB-VP\tO' +p293135 +aS'more\tmore\tJJR\tB-NP\tO' +p293136 +aS'than\tthan\tIN\tI-NP\tO' +p293137 +aS'10\t10\tCD\tI-NP\tO' +p293138 +aS'pounds\tpound\tNNS\tI-NP\tO' +p293139 +aS'for\tfor\tIN\tB-PP\tO' +p293140 +aS'10\t10\tCD\tB-NP\tO' +p293141 +aS'weeks\tweek\tNNS\tI-NP\tO' +p293142 +asS'Knee surgery .' +p293143 +(lp293144 +S'Knee\tKnee\tNN\tB-NP\tO' +p293145 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p293146 +aS'.\t.\t.\tO\tO' +p293147 +asS'His neck was supple .' +p293148 +(lp293149 +S'His\tHis\tPRP$\tB-NP\tO' +p293150 +aS'neck\tneck\tNN\tI-NP\tO' +p293151 +aS'was\tbe\tVBD\tB-VP\tO' +p293152 +aS'supple\tsupple\tNN\tB-NP\tO' +p293153 +aS'.\t.\t.\tO\tO' +p293154 +asS'Chest x-ray negative .' +p293155 +(lp293156 +S'Chest\tCh\tJJS\tB-NP\tO' +p293157 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p293158 +aS'negative\tnegative\tJJ\tI-NP\tO' +p293159 +aS'.\t.\t.\tO\tO' +p293160 +asS'Please see your doctor ( Dr Pannell ) on Friday 2018-08-10 for a blood test ( cbc ) .' +p293161 +(lp293162 +S'Please\tPlease\tVB\tB-VP\tO' +p293163 +aS'see\tsee\tVB\tI-VP\tO' +p293164 +aS'your\tyour\tPRP$\tB-NP\tO' +p293165 +aS'doctor\tdoctor\tNN\tI-NP\tO' +p293166 +aS'(\t(\t(\tO\tO' +p293167 +aS'Dr\tDr\tNNP\tB-NP\tO' +p293168 +aS'Pannell\tPannell\tNNP\tI-NP\tO' +p293169 +aS')\t)\t)\tO\tO' +p293170 +aS'on\ton\tIN\tB-PP\tO' +p293171 +aS'Friday\tFriday\tNNP\tB-NP\tO' +p293172 +aS'2018-08-10\t2018-08-10\tCD\tI-NP\tO' +p293173 +aS'for\tfor\tIN\tB-PP\tO' +p293174 +aS'a\ta\tDT\tB-NP\tO' +p293175 +aS'blood\tblood\tNN\tI-NP\tO' +p293176 +aS'test\ttest\tNN\tI-NP\tO' +p293177 +aS'(\t(\t(\tO\tO' +p293178 +aS'cbc\tcbc\tNN\tB-NP\tO' +p293179 +aS')\t)\t)\tO\tO' +p293180 +aS'.\t.\t.\tO\tO' +p293181 +asS'He continued on his zocor , cozaar and labetalol .' +p293182 +(lp293183 +S'He\tHe\tPRP\tB-NP\tO' +p293184 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p293185 +aS'on\ton\tIN\tB-PP\tO' +p293186 +aS'his\this\tPRP$\tB-NP\tO' +p293187 +aS'zocor\tzocor\tNN\tI-NP\tO' +p293188 +aS',\t,\t,\tI-NP\tO' +p293189 +aS'cozaar\tcozaar\tNN\tI-NP\tO' +p293190 +aS'and\tand\tCC\tI-NP\tO' +p293191 +aS'labetalol\tlabetalol\tNN\tI-NP\tO' +p293192 +aS'.\t.\t.\tO\tO' +p293193 +asS'The patient went to the operating room , was admitted to go to the operating room on 2013-01-04 .' +p293194 +(lp293195 +S'The\tThe\tDT\tB-NP\tO' +p293196 +aS'patient\tpatient\tNN\tI-NP\tO' +p293197 +aS'went\tgo\tVBD\tB-VP\tO' +p293198 +aS'to\tto\tTO\tB-PP\tO' +p293199 +aS'the\tthe\tDT\tB-NP\tO' +p293200 +aS'operating\toperating\tNN\tI-NP\tO' +p293201 +aS'room\troom\tNN\tI-NP\tO' +p293202 +aS',\t,\t,\tO\tO' +p293203 +aS'was\tbe\tVBD\tB-VP\tO' +p293204 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p293205 +aS'to\tto\tTO\tB-VP\tO' +p293206 +aS'go\tgo\tVB\tI-VP\tO' +p293207 +aS'to\tto\tTO\tB-PP\tO' +p293208 +aS'the\tthe\tDT\tB-NP\tO' +p293209 +aS'operating\toperating\tNN\tI-NP\tO' +p293210 +aS'room\troom\tNN\tI-NP\tO' +p293211 +aS'on\ton\tIN\tB-PP\tO' +p293212 +aS'2013-01-04\t2013-01-04\tCD\tB-NP\tO' +p293213 +aS'.\t.\t.\tO\tO' +p293214 +asS'The patient improved slowly .' +p293215 +(lp293216 +S'The\tThe\tDT\tB-NP\tO' +p293217 +aS'patient\tpatient\tNN\tI-NP\tO' +p293218 +aS'improved\timprove\tVBD\tB-VP\tO' +p293219 +aS'slowly\tslowly\tRB\tB-ADVP\tO' +p293220 +aS'.\t.\t.\tO\tO' +p293221 +asS'Infant was intubated on day of life two for increased respiratory distress and received one dose of surfactant .' +p293222 +(lp293223 +S'Infant\tInfant\tNN\tB-NP\tO' +p293224 +aS'was\tbe\tVBD\tB-VP\tO' +p293225 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p293226 +aS'on\ton\tIN\tB-PP\tO' +p293227 +aS'day\tday\tNN\tB-NP\tO' +p293228 +aS'of\tof\tIN\tB-PP\tO' +p293229 +aS'life\tlife\tNN\tB-NP\tO' +p293230 +aS'two\ttwo\tCD\tI-NP\tO' +p293231 +aS'for\tfor\tIN\tB-PP\tO' +p293232 +aS'increased\tincrease\tVBN\tB-NP\tO' +p293233 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p293234 +aS'distress\tdistress\tNN\tI-NP\tO' +p293235 +aS'and\tand\tCC\tO\tO' +p293236 +aS'received\treceive\tVBD\tB-VP\tO' +p293237 +aS'one\tone\tCD\tB-NP\tO' +p293238 +aS'dose\tdose\tNN\tI-NP\tO' +p293239 +aS'of\tof\tIN\tB-PP\tO' +p293240 +aS'surfactant\tsurfactant\tNN\tB-NP\tO' +p293241 +aS'.\t.\t.\tO\tO' +p293242 +asS'HTN elev. chol. right facial droop with metal plate secondary to GSW to face right nephrectomy' +p293243 +(lp293244 +S'HTN\tHTN\tNN\tB-NP\tO' +p293245 +aS'elev.\telev.\tNN\tI-NP\tO' +p293246 +aS'chol.\tchol.\tNN\tI-NP\tO' +p293247 +aS'right\tright\tJJ\tI-NP\tO' +p293248 +aS'facial\tfacial\tJJ\tI-NP\tO' +p293249 +aS'droop\tdroop\tNN\tI-NP\tO' +p293250 +aS'with\twith\tIN\tB-PP\tO' +p293251 +aS'metal\tmetal\tNN\tB-NP\tO' +p293252 +aS'plate\tplate\tNN\tI-NP\tO' +p293253 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p293254 +aS'to\tto\tTO\tB-PP\tO' +p293255 +aS'GSW\tGSW\tNN\tB-NP\tB-protein' +p293256 +aS'to\tto\tTO\tB-VP\tO' +p293257 +aS'face\tface\tVB\tI-VP\tO' +p293258 +aS'right\tright\tJJ\tB-NP\tO' +p293259 +aS'nephrectomy\tnephrectomy\tNN\tI-NP\tO' +p293260 +asS'Sensory , hearing screen has not yet been performed , but should be done prior to discharge .' +p293261 +(lp293262 +S'Sensory\tSensory\tJJ\tB-ADJP\tO' +p293263 +aS',\t,\t,\tO\tO' +p293264 +aS'hearing\thear\tVBG\tB-VP\tO' +p293265 +aS'screen\tscreen\tNN\tB-NP\tO' +p293266 +aS'has\thave\tVBZ\tB-VP\tO' +p293267 +aS'not\tnot\tRB\tI-VP\tO' +p293268 +aS'yet\tyet\tRB\tI-VP\tO' +p293269 +aS'been\tbe\tVBN\tI-VP\tO' +p293270 +aS'performed\tperform\tVBN\tI-VP\tO' +p293271 +aS',\t,\t,\tO\tO' +p293272 +aS'but\tbut\tCC\tO\tO' +p293273 +aS'should\tshould\tMD\tB-VP\tO' +p293274 +aS'be\tbe\tVB\tI-VP\tO' +p293275 +aS'done\tdo\tVBN\tI-VP\tO' +p293276 +aS'prior\tprior\tRB\tB-ADVP\tO' +p293277 +aS'to\tto\tTO\tB-VP\tO' +p293278 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p293279 +aS'.\t.\t.\tO\tO' +p293280 +asS'Her presentation was thought likely due to urosepsis given h/o foul smelling urine and in setting of stone w/ hydro + pyelo by CT. The patient went to IR on 2014-11-30 given evidence of right hydronephrosis on imaging for decompression and drainage. Upon admission , she was treated with Vancomycin and Gentamycin and Flagyl .' +p293281 +(lp293282 +S'Her\tHer\tPRP$\tB-NP\tO' +p293283 +aS'presentation\tpresentation\tNN\tI-NP\tO' +p293284 +aS'was\tbe\tVBD\tB-VP\tO' +p293285 +aS'thought\tthink\tVBN\tI-VP\tO' +p293286 +aS'likely\tlikely\tRB\tB-ADJP\tO' +p293287 +aS'due\tdue\tIN\tB-PP\tO' +p293288 +aS'to\tto\tTO\tB-PP\tO' +p293289 +aS'urosepsis\turosepsis\tNN\tB-NP\tO' +p293290 +aS'given\tgive\tVBN\tI-NP\tO' +p293291 +aS'h/o\th/o\tNN\tI-NP\tO' +p293292 +aS'foul\tfoul\tNN\tI-NP\tO' +p293293 +aS'smelling\tsmell\tVBG\tB-VP\tO' +p293294 +aS'urine\turine\tNN\tB-NP\tO' +p293295 +aS'and\tand\tCC\tB-PP\tO' +p293296 +aS'in\tin\tIN\tB-PP\tO' +p293297 +aS'setting\tset\tVBG\tB-NP\tO' +p293298 +aS'of\tof\tIN\tB-PP\tO' +p293299 +aS'stone\tstone\tNN\tB-NP\tO' +p293300 +aS'w/\tw/\tNN\tI-NP\tO' +p293301 +aS'hydro\thydro\tNN\tI-NP\tO' +p293302 +aS'+\t+\tSYM\tB-NP\tO' +p293303 +aS'pyelo\tpyelo\tNN\tI-NP\tO' +p293304 +aS'by\tby\tIN\tB-PP\tO' +p293305 +aS'CT.\tCT.\tNNP\tB-NP\tO' +p293306 +aS'The\tThe\tDT\tB-NP\tO' +p293307 +aS'patient\tpatient\tNN\tI-NP\tO' +p293308 +aS'went\tgo\tVBD\tB-VP\tO' +p293309 +aS'to\tto\tTO\tB-PP\tO' +p293310 +aS'IR\tIR\tNN\tB-NP\tB-protein' +p293311 +aS'on\ton\tIN\tB-PP\tO' +p293312 +aS'2014-11-30\t2014-11-30\tCD\tB-NP\tO' +p293313 +aS'given\tgive\tVBN\tI-NP\tO' +p293314 +aS'evidence\tevidence\tNN\tI-NP\tO' +p293315 +aS'of\tof\tIN\tB-PP\tO' +p293316 +aS'right\tright\tJJ\tB-NP\tO' +p293317 +aS'hydronephrosis\thydronephrosis\tNN\tI-NP\tO' +p293318 +aS'on\ton\tIN\tB-PP\tO' +p293319 +aS'imaging\timaging\tNN\tB-NP\tO' +p293320 +aS'for\tfor\tIN\tB-PP\tO' +p293321 +aS'decompression\tdecompression\tNN\tB-NP\tO' +p293322 +aS'and\tand\tCC\tO\tO' +p293323 +aS'drainage.\tdrainage.\tVB\tB-VP\tO' +p293324 +aS'Upon\tUpon\tNNP\tB-NP\tO' +p293325 +aS'admission\tadmission\tNN\tI-NP\tO' +p293326 +aS',\t,\t,\tO\tO' +p293327 +aS'she\tshe\tPRP\tB-NP\tO' +p293328 +aS'was\tbe\tVBD\tB-VP\tO' +p293329 +aS'treated\ttreat\tVBN\tI-VP\tO' +p293330 +aS'with\twith\tIN\tB-PP\tO' +p293331 +aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' +p293332 +aS'and\tand\tCC\tI-NP\tO' +p293333 +aS'Gentamycin\tGentamycin\tNN\tI-NP\tO' +p293334 +aS'and\tand\tCC\tI-NP\tO' +p293335 +aS'Flagyl\tFlagyl\tNN\tI-NP\tO' +p293336 +aS'.\t.\t.\tO\tO' +p293337 +asS'He was weaned from ventilation on postoperative day one to pressure support ventilation and then to spontaneous breathing on postoperative day two .' +p293338 +(lp293339 +S'He\tHe\tPRP\tB-NP\tO' +p293340 +aS'was\tbe\tVBD\tB-VP\tO' +p293341 +aS'weaned\twean\tVBN\tI-VP\tO' +p293342 +aS'from\tfrom\tIN\tB-PP\tO' +p293343 +aS'ventilation\tventilation\tNN\tB-NP\tO' +p293344 +aS'on\ton\tIN\tB-PP\tO' +p293345 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p293346 +aS'day\tday\tNN\tI-NP\tO' +p293347 +aS'one\tone\tCD\tB-NP\tO' +p293348 +aS'to\tto\tTO\tB-VP\tO' +p293349 +aS'pressure\tpressure\tVB\tI-VP\tO' +p293350 +aS'support\tsupport\tNN\tB-NP\tO' +p293351 +aS'ventilation\tventilation\tNN\tI-NP\tO' +p293352 +aS'and\tand\tCC\tO\tO' +p293353 +aS'then\tthen\tRB\tB-ADVP\tO' +p293354 +aS'to\tto\tTO\tB-PP\tO' +p293355 +aS'spontaneous\tspontaneous\tJJ\tB-NP\tO' +p293356 +aS'breathing\tbreathing\tNN\tI-NP\tO' +p293357 +aS'on\ton\tIN\tB-PP\tO' +p293358 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p293359 +aS'day\tday\tNN\tI-NP\tO' +p293360 +aS'two\ttwo\tCD\tI-NP\tO' +p293361 +aS'.\t.\t.\tO\tO' +p293362 +asS'The patient underwent non-invasive carotid ultrasounds which demonstrated no significant carotid disease .' +p293363 +(lp293364 +S'The\tThe\tDT\tB-NP\tO' +p293365 +aS'patient\tpatient\tNN\tI-NP\tO' +p293366 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p293367 +aS'non-invasive\tnon-invasive\tJJ\tB-NP\tO' +p293368 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p293369 +aS'ultrasounds\tultrasound\tNNS\tI-NP\tO' +p293370 +aS'which\twhich\tWDT\tB-NP\tO' +p293371 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p293372 +aS'no\tno\tDT\tB-NP\tO' +p293373 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p293374 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p293375 +aS'disease\tdisease\tNN\tI-NP\tO' +p293376 +aS'.\t.\t.\tO\tO' +p293377 +asS'Arterial blood gas was 7.24/71/227 .' +p293378 +(lp293379 +S'Arterial\tArterial\tJJ\tB-NP\tO' +p293380 +aS'blood\tblood\tNN\tI-NP\tO' +p293381 +aS'gas\tgas\tNN\tI-NP\tO' +p293382 +aS'was\tbe\tVBD\tB-VP\tO' +p293383 +aS'7.24/71/227\t7.24/71/227\tCD\tB-NP\tO' +p293384 +aS'.\t.\t.\tO\tO' +p293385 +asS'She underwent a TTE at Erich Lindemann Mental Health Center today ( 05-26 ) showing mod-lg circumferential pericardial effusion without evidence of RV diastolic collapse and no MV inflow evidence of tamponade , pacer wire located in RV apex .' +p293386 +(lp293387 +S'She\tShe\tPRP\tB-NP\tO' +p293388 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p293389 +aS'a\ta\tDT\tB-NP\tO' +p293390 +aS'TTE\tTTE\tNNP\tI-NP\tO' +p293391 +aS'at\tat\tIN\tB-PP\tO' +p293392 +aS'Erich\tErich\tNNP\tB-NP\tO' +p293393 +aS'Lindemann\tLindemann\tNNP\tI-NP\tO' +p293394 +aS'Mental\tMental\tNNP\tI-NP\tO' +p293395 +aS'Health\tHealth\tNNP\tI-NP\tO' +p293396 +aS'Center\tCenter\tNNP\tI-NP\tO' +p293397 +aS'today\ttoday\tNN\tB-NP\tO' +p293398 +aS'(\t(\t(\tO\tO' +p293399 +aS'05-26\t05-26\tCD\tB-NP\tO' +p293400 +aS')\t)\t)\tO\tO' +p293401 +aS'showing\tshow\tVBG\tB-VP\tO' +p293402 +aS'mod-lg\tmod-lg\tNN\tB-NP\tO' +p293403 +aS'circumferential\tcircumferential\tJJ\tI-NP\tO' +p293404 +aS'pericardial\tpericardial\tJJ\tI-NP\tO' +p293405 +aS'effusion\teffusion\tNN\tI-NP\tO' +p293406 +aS'without\twithout\tIN\tB-PP\tO' +p293407 +aS'evidence\tevidence\tNN\tB-NP\tO' +p293408 +aS'of\tof\tIN\tB-PP\tO' +p293409 +aS'RV\tRV\tNN\tB-NP\tO' +p293410 +aS'diastolic\tdiastolic\tJJ\tI-NP\tO' +p293411 +aS'collapse\tcollapse\tNN\tI-NP\tO' +p293412 +aS'and\tand\tCC\tO\tO' +p293413 +aS'no\tno\tDT\tB-NP\tO' +p293414 +aS'MV\tMV\tNN\tI-NP\tO' +p293415 +aS'inflow\tinflow\tNN\tI-NP\tO' +p293416 +aS'evidence\tevidence\tNN\tI-NP\tO' +p293417 +aS'of\tof\tIN\tB-PP\tO' +p293418 +aS'tamponade\ttamponade\tNN\tB-NP\tO' +p293419 +aS',\t,\t,\tO\tO' +p293420 +aS'pacer\tpacer\tNN\tB-NP\tO' +p293421 +aS'wire\twire\tNN\tI-NP\tO' +p293422 +aS'located\tlocate\tVBN\tB-VP\tO' +p293423 +aS'in\tin\tIN\tB-PP\tO' +p293424 +aS'RV\tRV\tNN\tB-NP\tO' +p293425 +aS'apex\tapex\tNN\tI-NP\tO' +p293426 +aS'.\t.\t.\tO\tO' +p293427 +asS'The patient is on oxygen by face mask and his saturations have been remaining normal .' +p293428 +(lp293429 +S'The\tThe\tDT\tB-NP\tO' +p293430 +aS'patient\tpatient\tNN\tI-NP\tO' +p293431 +aS'is\tbe\tVBZ\tB-VP\tO' +p293432 +aS'on\ton\tIN\tB-PP\tO' +p293433 +aS'oxygen\toxygen\tNN\tB-NP\tO' +p293434 +aS'by\tby\tIN\tB-PP\tO' +p293435 +aS'face\tface\tNN\tB-NP\tO' +p293436 +aS'mask\tmask\tNN\tI-NP\tO' +p293437 +aS'and\tand\tCC\tO\tO' +p293438 +aS'his\this\tPRP$\tB-NP\tO' +p293439 +aS'saturations\tsaturation\tNNS\tI-NP\tO' +p293440 +aS'have\thave\tVBP\tB-VP\tO' +p293441 +aS'been\tbe\tVBN\tI-VP\tO' +p293442 +aS'remaining\tremain\tVBG\tI-VP\tO' +p293443 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p293444 +aS'.\t.\t.\tO\tO' +p293445 +asS'She was treated with Levaquin given her temperatures and differential diagnosis of increased PE burden load , infections or pneumonia and questionable lymphangitic spread of her cancer .' +p293446 +(lp293447 +S'She\tShe\tPRP\tB-NP\tO' +p293448 +aS'was\tbe\tVBD\tB-VP\tO' +p293449 +aS'treated\ttreat\tVBN\tI-VP\tO' +p293450 +aS'with\twith\tIN\tB-PP\tO' +p293451 +aS'Levaquin\tLevaquin\tNN\tB-NP\tO' +p293452 +aS'given\tgive\tVBN\tB-VP\tO' +p293453 +aS'her\ther\tPRP$\tB-NP\tO' +p293454 +aS'temperatures\ttemperature\tNNS\tI-NP\tO' +p293455 +aS'and\tand\tCC\tO\tO' +p293456 +aS'differential\tdifferential\tJJ\tB-NP\tO' +p293457 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p293458 +aS'of\tof\tIN\tB-PP\tO' +p293459 +aS'increased\tincrease\tVBN\tB-NP\tO' +p293460 +aS'PE\tPE\tNN\tI-NP\tO' +p293461 +aS'burden\tburden\tNN\tI-NP\tO' +p293462 +aS'load\tload\tNN\tI-NP\tO' +p293463 +aS',\t,\t,\tO\tO' +p293464 +aS'infections\tinfection\tNNS\tB-NP\tO' +p293465 +aS'or\tor\tCC\tO\tO' +p293466 +aS'pneumonia\tpneumonia\tNN\tB-NP\tO' +p293467 +aS'and\tand\tCC\tO\tO' +p293468 +aS'questionable\tquestionable\tJJ\tB-NP\tO' +p293469 +aS'lymphangitic\tlymphangitic\tJJ\tI-NP\tO' +p293470 +aS'spread\tspread\tNN\tI-NP\tO' +p293471 +aS'of\tof\tIN\tB-PP\tO' +p293472 +aS'her\ther\tPRP$\tB-NP\tO' +p293473 +aS'cancer\tcancer\tNN\tI-NP\tO' +p293474 +aS'.\t.\t.\tO\tO' +p293475 +asS'A STAT HCT drawn at this time was 31.2 .' +p293476 +(lp293477 +S'A\tA\tDT\tB-NP\tO' +p293478 +aS'STAT\tSTAT\tNN\tI-NP\tB-protein' +p293479 +aS'HCT\tHCT\tNN\tI-NP\tO' +p293480 +aS'drawn\tdraw\tVBN\tB-VP\tO' +p293481 +aS'at\tat\tIN\tB-PP\tO' +p293482 +aS'this\tthis\tDT\tB-NP\tO' +p293483 +aS'time\ttime\tNN\tI-NP\tO' +p293484 +aS'was\tbe\tVBD\tB-VP\tO' +p293485 +aS'31.2\t31.2\tCD\tB-NP\tO' +p293486 +aS'.\t.\t.\tO\tO' +p293487 +asS'Her initial white blood cell count was 11.3 , with a normal differential .' +p293488 +(lp293489 +S'Her\tHer\tPRP$\tB-NP\tO' +p293490 +aS'initial\tinitial\tJJ\tI-NP\tO' +p293491 +aS'white\twhite\tJJ\tI-NP\tO' +p293492 +aS'blood\tblood\tNN\tI-NP\tO' +p293493 +aS'cell\tcell\tNN\tI-NP\tO' +p293494 +aS'count\tcount\tNN\tI-NP\tO' +p293495 +aS'was\tbe\tVBD\tB-VP\tO' +p293496 +aS'11.3\t11.3\tCD\tB-NP\tO' +p293497 +aS',\t,\t,\tO\tO' +p293498 +aS'with\twith\tIN\tB-PP\tO' +p293499 +aS'a\ta\tDT\tB-NP\tO' +p293500 +aS'normal\tnormal\tJJ\tI-NP\tO' +p293501 +aS'differential\tdifferential\tNN\tI-NP\tO' +p293502 +aS'.\t.\t.\tO\tO' +p293503 +asS'She ruled out for myocardial infarction by CPK and troponin and had non diagnostic EKG changes .' +p293504 +(lp293505 +S'She\tShe\tPRP\tB-NP\tO' +p293506 +aS'ruled\trule\tVBD\tB-VP\tO' +p293507 +aS'out\tout\tRP\tB-PRT\tO' +p293508 +aS'for\tfor\tIN\tB-PP\tO' +p293509 +aS'myocardial\tmyocardial\tJJ\tB-NP\tO' +p293510 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p293511 +aS'by\tby\tIN\tB-PP\tO' +p293512 +aS'CPK\tCPK\tNN\tB-NP\tB-protein' +p293513 +aS'and\tand\tCC\tI-NP\tO' +p293514 +aS'troponin\ttroponin\tNN\tI-NP\tO' +p293515 +aS'and\tand\tCC\tO\tO' +p293516 +aS'had\thave\tVBD\tB-VP\tO' +p293517 +aS'non\tnon\tJJ\tB-NP\tO' +p293518 +aS'diagnostic\tdiagnostic\tJJ\tI-NP\tO' +p293519 +aS'EKG\tEKG\tNN\tI-NP\tO' +p293520 +aS'changes\tchange\tNNS\tI-NP\tO' +p293521 +aS'.\t.\t.\tO\tO' +p293522 +asS'She has undergone full teaching in regards to immunosuppressant medications .' +p293523 +(lp293524 +S'She\tShe\tPRP\tB-NP\tO' +p293525 +aS'has\thave\tVBZ\tB-VP\tO' +p293526 +aS'undergone\tundergo\tVBN\tI-VP\tO' +p293527 +aS'full\tfull\tJJ\tB-NP\tO' +p293528 +aS'teaching\tteaching\tNN\tI-NP\tO' +p293529 +aS'in\tin\tIN\tB-PP\tO' +p293530 +aS'regards\tregard\tNNS\tB-NP\tO' +p293531 +aS'to\tto\tTO\tB-PP\tO' +p293532 +aS'immunosuppressant\timmunosuppressant\tJJ\tB-NP\tO' +p293533 +aS'medications\tmedication\tNNS\tI-NP\tO' +p293534 +aS'.\t.\t.\tO\tO' +p293535 +asS'Neurology was consulted and the pt also had MRI which was negative .' +p293536 +(lp293537 +S'Neurology\tNeurology\tNN\tB-NP\tO' +p293538 +aS'was\tbe\tVBD\tB-VP\tO' +p293539 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p293540 +aS'and\tand\tCC\tO\tO' +p293541 +aS'the\tthe\tDT\tB-NP\tO' +p293542 +aS'pt\tpt\tNN\tI-NP\tO' +p293543 +aS'also\talso\tRB\tB-ADVP\tO' +p293544 +aS'had\thave\tVBD\tB-VP\tO' +p293545 +aS'MRI\tMRI\tNN\tB-NP\tB-protein' +p293546 +aS'which\twhich\tWDT\tB-NP\tO' +p293547 +aS'was\tbe\tVBD\tB-VP\tO' +p293548 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p293549 +aS'.\t.\t.\tO\tO' +p293550 +asS'Cerebellar ; The patient demonstrates an intention tremor on finger to nose with the left hand .' +p293551 +(lp293552 +S'Cerebellar\tCerebellar\tNN\tB-NP\tO' +p293553 +aS';\t;\t:\tO\tO' +p293554 +aS'The\tThe\tDT\tB-NP\tO' +p293555 +aS'patient\tpatient\tNN\tI-NP\tO' +p293556 +aS'demonstrates\tdemonstrate\tVBZ\tB-VP\tO' +p293557 +aS'an\tan\tDT\tB-NP\tO' +p293558 +aS'intention\tintention\tNN\tI-NP\tO' +p293559 +aS'tremor\ttremor\tNN\tI-NP\tO' +p293560 +aS'on\ton\tIN\tB-PP\tO' +p293561 +aS'finger\tfinger\tNN\tB-NP\tO' +p293562 +aS'to\tto\tTO\tB-PP\tO' +p293563 +aS'nose\tnose\tNN\tB-NP\tO' +p293564 +aS'with\twith\tIN\tB-PP\tO' +p293565 +aS'the\tthe\tDT\tB-NP\tO' +p293566 +aS'left\tleft\tJJ\tI-NP\tO' +p293567 +aS'hand\thand\tNN\tI-NP\tO' +p293568 +aS'.\t.\t.\tO\tO' +p293569 +asS'52 y.o. male with ESLD due to HCV / EtOH Cirrhosis now with delta MS .' +p293570 +(lp293571 +S'52\t52\tCD\tB-NP\tO' +p293572 +aS'y.o.\ty.o.\tNN\tI-NP\tO' +p293573 +aS'male\tmale\tJJ\tB-ADJP\tO' +p293574 +aS'with\twith\tIN\tB-PP\tO' +p293575 +aS'ESLD\tESLD\tNN\tB-NP\tO' +p293576 +aS'due\tdue\tJJ\tB-ADJP\tO' +p293577 +aS'to\tto\tTO\tB-PP\tO' +p293578 +aS'HCV\tHCV\tNN\tB-NP\tB-protein' +p293579 +aS'/\t/\tSYM\tI-NP\tO' +p293580 +aS'EtOH\tEtOH\tNN\tI-NP\tO' +p293581 +aS'Cirrhosis\tCirrhosis\tNN\tI-NP\tO' +p293582 +aS'now\tnow\tRB\tB-ADVP\tO' +p293583 +aS'with\twith\tIN\tB-PP\tO' +p293584 +aS'delta\tdelta\tNN\tB-NP\tO' +p293585 +aS'MS\tMS\tNN\tI-NP\tO' +p293586 +aS'.\t.\t.\tO\tO' +p293587 +asS'It should be noted that the patient did have episodes of postoperative atrial fibrillation , he was seen by the' +p293588 +(lp293589 +S'It\tIt\tPRP\tB-NP\tO' +p293590 +aS'should\tshould\tMD\tB-VP\tO' +p293591 +aS'be\tbe\tVB\tI-VP\tO' +p293592 +aS'noted\tnote\tVBN\tI-VP\tO' +p293593 +aS'that\tthat\tIN\tB-SBAR\tO' +p293594 +aS'the\tthe\tDT\tB-NP\tO' +p293595 +aS'patient\tpatient\tNN\tI-NP\tO' +p293596 +aS'did\tdo\tVBD\tB-VP\tO' +p293597 +aS'have\thave\tVB\tI-VP\tO' +p293598 +aS'episodes\tepisode\tNNS\tB-NP\tO' +p293599 +aS'of\tof\tIN\tB-PP\tO' +p293600 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p293601 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p293602 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p293603 +aS',\t,\t,\tO\tO' +p293604 +aS'he\the\tPRP\tB-NP\tO' +p293605 +aS'was\tbe\tVBD\tB-VP\tO' +p293606 +aS'seen\tsee\tVBN\tI-VP\tO' +p293607 +aS'by\tby\tIN\tB-PP\tO' +p293608 +aS'the\tthe\tDT\tB-NP\tO' +p293609 +asS'These findings are unchanged from prior studies , and may relate to the " atypical " demyelinating process , suggested in the indication on the prior MRI ; however , they are non-specific .' +p293610 +(lp293611 +S'These\tThese\tDT\tB-NP\tO' +p293612 +aS'findings\tfinding\tNNS\tI-NP\tO' +p293613 +aS'are\tbe\tVBP\tB-VP\tO' +p293614 +aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' +p293615 +aS'from\tfrom\tIN\tB-PP\tO' +p293616 +aS'prior\tprior\tJJ\tB-NP\tO' +p293617 +aS'studies\tstudy\tNNS\tI-NP\tO' +p293618 +aS',\t,\t,\tO\tO' +p293619 +aS'and\tand\tCC\tO\tO' +p293620 +aS'may\tmay\tMD\tB-VP\tO' +p293621 +aS'relate\trelate\tVB\tI-VP\tO' +p293622 +aS'to\tto\tTO\tB-PP\tO' +p293623 +aS'the\tthe\tDT\tB-NP\tO' +p293624 +aS'"\t"\t``\tI-NP\tO' +p293625 +aS'atypical\tatypical\tJJ\tI-NP\tO' +p293626 +aS'"\t"\t\'\'\tI-NP\tO' +p293627 +aS'demyelinating\tdemyelinate\tVBG\tI-NP\tO' +p293628 +aS'process\tprocess\tNN\tI-NP\tO' +p293629 +aS',\t,\t,\tO\tO' +p293630 +aS'suggested\tsuggest\tVBN\tB-VP\tO' +p293631 +aS'in\tin\tIN\tB-PP\tO' +p293632 +aS'the\tthe\tDT\tB-NP\tO' +p293633 +aS'indication\tindication\tNN\tI-NP\tO' +p293634 +aS'on\ton\tIN\tB-PP\tO' +p293635 +aS'the\tthe\tDT\tB-NP\tO' +p293636 +aS'prior\tprior\tJJ\tI-NP\tO' +p293637 +aS'MRI\tMRI\tNN\tI-NP\tO' +p293638 +aS';\t;\t:\tO\tO' +p293639 +aS'however\thowever\tRB\tB-ADVP\tO' +p293640 +aS',\t,\t,\tO\tO' +p293641 +aS'they\tthey\tPRP\tB-NP\tO' +p293642 +aS'are\tbe\tVBP\tB-VP\tO' +p293643 +aS'non-specific\tnon-specific\tJJ\tB-ADJP\tO' +p293644 +aS'.\t.\t.\tO\tO' +p293645 +asS'No lotions , creams or powders to incisions .' +p293646 +(lp293647 +S'No\tNo\tDT\tB-NP\tO' +p293648 +aS'lotions\tlotion\tNNS\tI-NP\tO' +p293649 +aS',\t,\t,\tI-NP\tO' +p293650 +aS'creams\tcream\tNNS\tI-NP\tO' +p293651 +aS'or\tor\tCC\tI-NP\tO' +p293652 +aS'powders\tpowder\tNNS\tI-NP\tO' +p293653 +aS'to\tto\tTO\tB-PP\tO' +p293654 +aS'incisions\tincision\tNNS\tB-NP\tO' +p293655 +aS'.\t.\t.\tO\tO' +p293656 +asS'Mitral Valve - E Wave : 1.1 m / sec' +p293657 +(lp293658 +S'Mitral\tMitral\tJJ\tB-NP\tO' +p293659 +aS'Valve\tValve\tNNP\tI-NP\tO' +p293660 +aS'-\t-\tHYPH\tI-NP\tO' +p293661 +aS'E\tE\tNN\tI-NP\tO' +p293662 +aS'Wave\tWave\tNNP\tI-NP\tO' +p293663 +aS':\t:\t:\tO\tO' +p293664 +aS'1.1\t1.1\tCD\tB-NP\tO' +p293665 +aS'm\tm\tNN\tI-NP\tO' +p293666 +aS'/\t/\tSYM\tB-NP\tO' +p293667 +aS'sec\tsec\tNN\tB-NP\tO' +p293668 +asS'- See course of diuresis above .' +p293669 +(lp293670 +S'-\t-\tHYPH\tB-NP\tO' +p293671 +aS'See\tSee\tNN\tI-NP\tO' +p293672 +aS'course\tcourse\tNN\tI-NP\tO' +p293673 +aS'of\tof\tIN\tB-PP\tO' +p293674 +aS'diuresis\tdiuresis\tNN\tB-NP\tO' +p293675 +aS'above\tabove\tRB\tB-ADVP\tO' +p293676 +aS'.\t.\t.\tO\tO' +p293677 +asS'Rectal examination is nontender and stool is guaiac negative .' +p293678 +(lp293679 +S'Rectal\tRectal\tJJ\tB-NP\tO' +p293680 +aS'examination\texamination\tNN\tI-NP\tO' +p293681 +aS'is\tbe\tVBZ\tB-VP\tO' +p293682 +aS'nontender\tnontender\tJJ\tB-ADJP\tO' +p293683 +aS'and\tand\tCC\tO\tO' +p293684 +aS'stool\tstool\tNN\tB-NP\tO' +p293685 +aS'is\tbe\tVBZ\tB-VP\tO' +p293686 +aS'guaiac\tguaiac\tNN\tB-NP\tO' +p293687 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p293688 +aS'.\t.\t.\tO\tO' +p293689 +asS'She was empirically started on vanco/zosyn for empiric hosp acquired pna coverage' +p293690 +(lp293691 +S'She\tShe\tPRP\tB-NP\tO' +p293692 +aS'was\tbe\tVBD\tB-VP\tO' +p293693 +aS'empirically\tempirically\tRB\tI-VP\tO' +p293694 +aS'started\tstart\tVBN\tI-VP\tO' +p293695 +aS'on\ton\tIN\tB-PP\tO' +p293696 +aS'vanco/zosyn\tvanco/zosyn\tNN\tB-NP\tO' +p293697 +aS'for\tfor\tIN\tB-PP\tO' +p293698 +aS'empiric\tempiric\tJJ\tB-NP\tO' +p293699 +aS'hosp\thosp\tNN\tI-NP\tO' +p293700 +aS'acquired\tacquire\tVBD\tB-VP\tO' +p293701 +aS'pna\tpna\tNN\tB-NP\tO' +p293702 +aS'coverage\tcoverage\tNN\tI-NP\tO' +p293703 +asS'Liver transplant on 2013-05-25 .' +p293704 +(lp293705 +S'Liver\tLiver\tNN\tB-NP\tO' +p293706 +aS'transplant\ttransplant\tNN\tI-NP\tO' +p293707 +aS'on\ton\tIN\tB-PP\tO' +p293708 +aS'2013-05-25\t2013-05-25\tCD\tB-NP\tO' +p293709 +aS'.\t.\t.\tO\tO' +p293710 +asS'1. Hypotension - The patient was initially mildly hypotensive with systolic blood pressures in the 80s .' +p293711 +(lp293712 +S'1.\t1.\tLS\tB-NP\tO' +p293713 +aS'Hypotension\tHypotension\tNN\tI-NP\tO' +p293714 +aS'-\t-\tHYPH\tO\tO' +p293715 +aS'The\tThe\tDT\tB-NP\tO' +p293716 +aS'patient\tpatient\tNN\tI-NP\tO' +p293717 +aS'was\tbe\tVBD\tB-VP\tO' +p293718 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p293719 +aS'mildly\tmildly\tRB\tB-ADJP\tO' +p293720 +aS'hypotensive\thypotensive\tJJ\tI-ADJP\tO' +p293721 +aS'with\twith\tIN\tB-PP\tO' +p293722 +aS'systolic\tsystolic\tJJ\tB-NP\tO' +p293723 +aS'blood\tblood\tNN\tI-NP\tO' +p293724 +aS'pressures\tpressure\tNNS\tI-NP\tO' +p293725 +aS'in\tin\tIN\tB-PP\tO' +p293726 +aS'the\tthe\tDT\tB-NP\tO' +p293727 +aS'80s\t80\tNNS\tI-NP\tO' +p293728 +aS'.\t.\t.\tO\tO' +p293729 +asS'Responsible After Study for Causing Admission )' +p293730 +(lp293731 +S'Responsible\tResponsible\tJJ\tB-ADJP\tO' +p293732 +aS'After\tAfter\tIN\tB-PP\tO' +p293733 +aS'Study\tStudy\tNNP\tB-NP\tO' +p293734 +aS'for\tfor\tIN\tB-PP\tO' +p293735 +aS'Causing\tCausing\tNNP\tB-NP\tO' +p293736 +aS'Admission\tAdmission\tNNP\tI-NP\tO' +p293737 +aS')\t)\t)\tO\tO' +p293738 +asS'His legs have been feeling weaker , bilaterally since the last week .' +p293739 +(lp293740 +S'His\tHis\tPRP$\tB-NP\tO' +p293741 +aS'legs\tleg\tNNS\tI-NP\tO' +p293742 +aS'have\thave\tVBP\tB-VP\tO' +p293743 +aS'been\tbe\tVBN\tI-VP\tO' +p293744 +aS'feeling\tfeel\tVBG\tI-VP\tO' +p293745 +aS'weaker\tweak\tJJR\tB-ADJP\tO' +p293746 +aS',\t,\t,\tO\tO' +p293747 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p293748 +aS'since\tsince\tIN\tB-PP\tO' +p293749 +aS'the\tthe\tDT\tB-NP\tO' +p293750 +aS'last\tlast\tJJ\tI-NP\tO' +p293751 +aS'week\tweek\tNN\tI-NP\tO' +p293752 +aS'.\t.\t.\tO\tO' +p293753 +asS'Dr. Lenni Lung has been consulted .' +p293754 +(lp293755 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p293756 +aS'Lenni\tLenni\tNNP\tI-NP\tO' +p293757 +aS'Lung\tLung\tNNP\tI-NP\tO' +p293758 +aS'has\thave\tVBZ\tB-VP\tO' +p293759 +aS'been\tbe\tVBN\tI-VP\tO' +p293760 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p293761 +aS'.\t.\t.\tO\tO' +p293762 +asS'2. Moderate ascites .' +p293763 +(lp293764 +S'2.\t2.\tLS\tB-NP\tO' +p293765 +aS'Moderate\tModerate\tJJ\tI-NP\tO' +p293766 +aS'ascites\tascite\tNNS\tI-NP\tO' +p293767 +aS'.\t.\t.\tO\tO' +p293768 +asS'Pt will finish course of H. pylori treatment as well .' +p293769 +(lp293770 +S'Pt\tPt\tNN\tB-NP\tO' +p293771 +aS'will\twill\tMD\tB-VP\tO' +p293772 +aS'finish\tfinish\tVB\tI-VP\tO' +p293773 +aS'course\tcourse\tNN\tB-NP\tO' +p293774 +aS'of\tof\tIN\tB-PP\tO' +p293775 +aS'H.\tH.\tNN\tB-NP\tO' +p293776 +aS'pylori\tpylori\tNN\tI-NP\tO' +p293777 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p293778 +aS'as\tas\tRB\tB-ADVP\tO' +p293779 +aS'well\twell\tRB\tI-ADVP\tO' +p293780 +aS'.\t.\t.\tO\tO' +p293781 +asS'There was no egophony .' +p293782 +(lp293783 +S'There\tThere\tEX\tB-NP\tO' +p293784 +aS'was\tbe\tVBD\tB-VP\tO' +p293785 +aS'no\tno\tDT\tB-NP\tO' +p293786 +aS'egophony\tegophony\tNN\tI-NP\tO' +p293787 +aS'.\t.\t.\tO\tO' +p293788 +asS'He continued to have episodes of confusion .' +p293789 +(lp293790 +S'He\tHe\tPRP\tB-NP\tO' +p293791 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p293792 +aS'to\tto\tTO\tI-VP\tO' +p293793 +aS'have\thave\tVB\tI-VP\tO' +p293794 +aS'episodes\tepisode\tNNS\tB-NP\tO' +p293795 +aS'of\tof\tIN\tB-PP\tO' +p293796 +aS'confusion\tconfusion\tNN\tB-NP\tO' +p293797 +aS'.\t.\t.\tO\tO' +p293798 +asS'A perisplenic effusion was noted which appeared to communicate with the lesser sac collection .' +p293799 +(lp293800 +S'A\tA\tDT\tB-NP\tO' +p293801 +aS'perisplenic\tperisplenic\tJJ\tI-NP\tO' +p293802 +aS'effusion\teffusion\tNN\tI-NP\tO' +p293803 +aS'was\tbe\tVBD\tB-VP\tO' +p293804 +aS'noted\tnote\tVBN\tI-VP\tO' +p293805 +aS'which\twhich\tWDT\tB-NP\tO' +p293806 +aS'appeared\tappear\tVBD\tB-VP\tO' +p293807 +aS'to\tto\tTO\tI-VP\tO' +p293808 +aS'communicate\tcommunicate\tVB\tI-VP\tO' +p293809 +aS'with\twith\tIN\tB-PP\tO' +p293810 +aS'the\tthe\tDT\tB-NP\tO' +p293811 +aS'lesser\tless\tJJR\tI-NP\tO' +p293812 +aS'sac\tsac\tNN\tI-NP\tO' +p293813 +aS'collection\tcollection\tNN\tI-NP\tO' +p293814 +aS'.\t.\t.\tO\tO' +p293815 +asS'The patient is a 76-year-old female who was admitted to the medicine service on 04-29-92 with a past history significant for aortic stenosis and chest pain who presented for evaluation for aortic valve replace-ment .' +p293816 +(lp293817 +S'The\tThe\tDT\tB-NP\tO' +p293818 +aS'patient\tpatient\tNN\tI-NP\tO' +p293819 +aS'is\tbe\tVBZ\tB-VP\tO' +p293820 +aS'a\ta\tDT\tB-NP\tO' +p293821 +aS'76-year-old\t76-year-old\tJJ\tI-NP\tO' +p293822 +aS'female\tfemale\tNN\tI-NP\tO' +p293823 +aS'who\twho\tWP\tB-NP\tO' +p293824 +aS'was\tbe\tVBD\tB-VP\tO' +p293825 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p293826 +aS'to\tto\tTO\tB-PP\tO' +p293827 +aS'the\tthe\tDT\tB-NP\tO' +p293828 +aS'medicine\tmedicine\tNN\tI-NP\tO' +p293829 +aS'service\tservice\tNN\tI-NP\tO' +p293830 +aS'on\ton\tIN\tB-PP\tO' +p293831 +aS'04-29-92\t04-29-92\tCD\tB-NP\tO' +p293832 +aS'with\twith\tIN\tB-PP\tO' +p293833 +aS'a\ta\tDT\tB-NP\tO' +p293834 +aS'past\tpast\tJJ\tI-NP\tO' +p293835 +aS'history\thistory\tNN\tI-NP\tO' +p293836 +aS'significant\tsignificant\tJJ\tB-ADJP\tO' +p293837 +aS'for\tfor\tIN\tB-PP\tO' +p293838 +aS'aortic\taortic\tJJ\tB-NP\tO' +p293839 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p293840 +aS'and\tand\tCC\tI-NP\tO' +p293841 +aS'chest\tchest\tNN\tI-NP\tO' +p293842 +aS'pain\tpain\tNN\tI-NP\tO' +p293843 +aS'who\twho\tWP\tB-NP\tO' +p293844 +aS'presented\tpresent\tVBD\tB-VP\tO' +p293845 +aS'for\tfor\tIN\tB-PP\tO' +p293846 +aS'evaluation\tevaluation\tNN\tB-NP\tO' +p293847 +aS'for\tfor\tIN\tB-PP\tO' +p293848 +aS'aortic\taortic\tJJ\tB-NP\tO' +p293849 +aS'valve\tvalve\tNN\tI-NP\tO' +p293850 +aS'replace-ment\treplace-ment\tNN\tI-NP\tO' +p293851 +aS'.\t.\t.\tO\tO' +p293852 +asS'On 2015-04-17 she was taken to the OR for lap converted to open cholecystectomy .' +p293853 +(lp293854 +S'On\tOn\tIN\tB-PP\tO' +p293855 +aS'2015-04-17\t2015-04-17\tCD\tB-NP\tO' +p293856 +aS'she\tshe\tPRP\tB-NP\tO' +p293857 +aS'was\tbe\tVBD\tB-VP\tO' +p293858 +aS'taken\ttake\tVBN\tI-VP\tO' +p293859 +aS'to\tto\tTO\tB-PP\tO' +p293860 +aS'the\tthe\tDT\tB-NP\tO' +p293861 +aS'OR\tOR\tNN\tI-NP\tO' +p293862 +aS'for\tfor\tIN\tB-PP\tO' +p293863 +aS'lap\tlap\tNN\tB-NP\tB-protein' +p293864 +aS'converted\tconvert\tVBN\tB-VP\tO' +p293865 +aS'to\tto\tTO\tI-VP\tO' +p293866 +aS'open\topen\tVB\tI-VP\tO' +p293867 +aS'cholecystectomy\tcholecystectomy\tNN\tB-NP\tO' +p293868 +aS'.\t.\t.\tO\tO' +p293869 +asS'Nothing by mouth initially with morphine as needed for pain and Ativan around the clock for delirium tremens prophylaxis .' +p293870 +(lp293871 +S'Nothing\tNothing\tNN\tB-NP\tO' +p293872 +aS'by\tby\tIN\tB-PP\tO' +p293873 +aS'mouth\tmouth\tNN\tB-NP\tO' +p293874 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p293875 +aS'with\twith\tIN\tB-PP\tO' +p293876 +aS'morphine\tmorphine\tNN\tB-NP\tO' +p293877 +aS'as\tas\tIN\tB-SBAR\tO' +p293878 +aS'needed\tneed\tVBN\tB-VP\tO' +p293879 +aS'for\tfor\tIN\tB-PP\tO' +p293880 +aS'pain\tpain\tNN\tB-NP\tO' +p293881 +aS'and\tand\tCC\tO\tO' +p293882 +aS'Ativan\tAtivan\tNNP\tB-NP\tO' +p293883 +aS'around\taround\tIN\tB-PP\tO' +p293884 +aS'the\tthe\tDT\tB-NP\tO' +p293885 +aS'clock\tclock\tNN\tI-NP\tO' +p293886 +aS'for\tfor\tIN\tB-PP\tO' +p293887 +aS'delirium\tdelirium\tNN\tB-NP\tO' +p293888 +aS'tremens\ttremen\tNNS\tI-NP\tO' +p293889 +aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' +p293890 +aS'.\t.\t.\tO\tO' +p293891 +asS'No axillary dissection was done because she was status post MI .' +p293892 +(lp293893 +S'No\tNo\tDT\tB-NP\tO' +p293894 +aS'axillary\taxillary\tJJ\tI-NP\tO' +p293895 +aS'dissection\tdissection\tNN\tI-NP\tO' +p293896 +aS'was\tbe\tVBD\tB-VP\tO' +p293897 +aS'done\tdo\tVBN\tI-VP\tO' +p293898 +aS'because\tbecause\tIN\tB-SBAR\tO' +p293899 +aS'she\tshe\tPRP\tB-NP\tO' +p293900 +aS'was\tbe\tVBD\tB-VP\tO' +p293901 +aS'status\tstatus\tNN\tB-NP\tO' +p293902 +aS'post\tpost\tNN\tI-NP\tO' +p293903 +aS'MI\tMI\tNN\tI-NP\tO' +p293904 +aS'.\t.\t.\tO\tO' +p293905 +asS'Her PCO2 gradually declined to the 48 range .' +p293906 +(lp293907 +S'Her\tHer\tPRP$\tB-NP\tO' +p293908 +aS'PCO2\tPCO2\tNN\tI-NP\tB-protein' +p293909 +aS'gradually\tgradually\tRB\tB-ADVP\tO' +p293910 +aS'declined\tdecline\tVBD\tB-VP\tO' +p293911 +aS'to\tto\tTO\tB-PP\tO' +p293912 +aS'the\tthe\tDT\tB-NP\tO' +p293913 +aS'48\t48\tCD\tI-NP\tO' +p293914 +aS'range\trange\tNN\tI-NP\tO' +p293915 +aS'.\t.\t.\tO\tO' +p293916 +asS'Steroid complications , including cataract , osteoporosis , diffuse fibrocystic breast disease , trigeminal neuralgia .' +p293917 +(lp293918 +S'Steroid\tSteroid\tJJ\tB-NP\tO' +p293919 +aS'complications\tcomplication\tNNS\tI-NP\tO' +p293920 +aS',\t,\t,\tO\tO' +p293921 +aS'including\tinclude\tVBG\tB-PP\tO' +p293922 +aS'cataract\tcataract\tNN\tB-NP\tO' +p293923 +aS',\t,\t,\tO\tO' +p293924 +aS'osteoporosis\tosteoporosis\tNN\tB-NP\tO' +p293925 +aS',\t,\t,\tO\tO' +p293926 +aS'diffuse\tdiffuse\tJJ\tB-NP\tO' +p293927 +aS'fibrocystic\tfibrocystic\tJJ\tI-NP\tO' +p293928 +aS'breast\tbreast\tNN\tI-NP\tO' +p293929 +aS'disease\tdisease\tNN\tI-NP\tO' +p293930 +aS',\t,\t,\tO\tO' +p293931 +aS'trigeminal\ttrigeminal\tJJ\tB-NP\tO' +p293932 +aS'neuralgia\tneuralgia\tNN\tI-NP\tO' +p293933 +aS'.\t.\t.\tO\tO' +p293934 +asS'reveals no adenopathy , extra ocular movements intact , pupils equal , round , reactive to light and accommodation .' +p293935 +(lp293936 +S'reveals\treveal\tVBZ\tB-VP\tO' +p293937 +aS'no\tno\tDT\tB-NP\tO' +p293938 +aS'adenopathy\tadenopathy\tJJ\tI-NP\tO' +p293939 +aS',\t,\t,\tI-NP\tO' +p293940 +aS'extra\textra\tJJ\tI-NP\tO' +p293941 +aS'ocular\tocular\tJJ\tI-NP\tO' +p293942 +aS'movements\tmovement\tNNS\tI-NP\tO' +p293943 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p293944 +aS',\t,\t,\tO\tO' +p293945 +aS'pupils\tpupil\tNNS\tB-NP\tO' +p293946 +aS'equal\tequal\tJJ\tB-NP\tO' +p293947 +aS',\t,\t,\tI-NP\tO' +p293948 +aS'round\tround\tJJ\tI-NP\tO' +p293949 +aS',\t,\t,\tI-NP\tO' +p293950 +aS'reactive\treactive\tJJ\tI-NP\tO' +p293951 +aS'to\tto\tTO\tB-PP\tO' +p293952 +aS'light\tlight\tNN\tB-NP\tO' +p293953 +aS'and\tand\tCC\tI-NP\tO' +p293954 +aS'accommodation\taccommodation\tNN\tI-NP\tO' +p293955 +aS'.\t.\t.\tO\tO' +p293956 +asS'At the time of presentation the patient denied headache , arm weakness , changes in vision , dysarthria , abdominal pain , nausea or vomiting , chest pain or shortness of breath .' +p293957 +(lp293958 +S'At\tAt\tIN\tB-PP\tO' +p293959 +aS'the\tthe\tDT\tB-NP\tO' +p293960 +aS'time\ttime\tNN\tI-NP\tO' +p293961 +aS'of\tof\tIN\tB-PP\tO' +p293962 +aS'presentation\tpresentation\tNN\tB-NP\tO' +p293963 +aS'the\tthe\tDT\tB-NP\tO' +p293964 +aS'patient\tpatient\tNN\tI-NP\tO' +p293965 +aS'denied\tdeny\tVBD\tB-VP\tO' +p293966 +aS'headache\theadache\tNN\tB-NP\tO' +p293967 +aS',\t,\t,\tO\tO' +p293968 +aS'arm\tarm\tNN\tB-NP\tO' +p293969 +aS'weakness\tweakness\tNN\tI-NP\tO' +p293970 +aS',\t,\t,\tO\tO' +p293971 +aS'changes\tchange\tNNS\tB-NP\tO' +p293972 +aS'in\tin\tIN\tB-PP\tO' +p293973 +aS'vision\tvision\tNN\tB-NP\tO' +p293974 +aS',\t,\t,\tO\tO' +p293975 +aS'dysarthria\tdysarthria\tNN\tB-NP\tO' +p293976 +aS',\t,\t,\tO\tO' +p293977 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p293978 +aS'pain\tpain\tNN\tI-NP\tO' +p293979 +aS',\t,\t,\tO\tO' +p293980 +aS'nausea\tnausea\tNN\tB-NP\tO' +p293981 +aS'or\tor\tCC\tI-NP\tO' +p293982 +aS'vomiting\tvomiting\tNN\tI-NP\tO' +p293983 +aS',\t,\t,\tO\tO' +p293984 +aS'chest\tchest\tNN\tB-NP\tO' +p293985 +aS'pain\tpain\tNN\tI-NP\tO' +p293986 +aS'or\tor\tCC\tI-NP\tO' +p293987 +aS'shortness\tshortness\tNN\tI-NP\tO' +p293988 +aS'of\tof\tIN\tB-PP\tO' +p293989 +aS'breath\tbreath\tNN\tB-NP\tO' +p293990 +aS'.\t.\t.\tO\tO' +p293991 +asS'pending .' +p293992 +(lp293993 +S'pending\tpende\tVBG\tB-PP\tO' +p293994 +aS'.\t.\t.\tO\tO' +p293995 +asS'The patient had an absolute neutropenia with a ANC of 318 ; differential revealed 48 segs , 6 bands , 40 lymphs , 4 monos .' +p293996 +(lp293997 +S'The\tThe\tDT\tB-NP\tO' +p293998 +aS'patient\tpatient\tNN\tI-NP\tO' +p293999 +aS'had\thave\tVBD\tB-VP\tO' +p294000 +aS'an\tan\tDT\tB-NP\tO' +p294001 +aS'absolute\tabsolute\tJJ\tI-NP\tO' +p294002 +aS'neutropenia\tneutropenia\tNN\tI-NP\tO' +p294003 +aS'with\twith\tIN\tB-PP\tO' +p294004 +aS'a\ta\tDT\tB-NP\tO' +p294005 +aS'ANC\tANC\tNNP\tI-NP\tO' +p294006 +aS'of\tof\tIN\tB-PP\tO' +p294007 +aS'318\t318\tCD\tB-NP\tO' +p294008 +aS';\t;\t:\tO\tO' +p294009 +aS'differential\tdifferential\tJJ\tB-NP\tO' +p294010 +aS'revealed\treveal\tVBD\tB-VP\tO' +p294011 +aS'48\t48\tCD\tB-NP\tO' +p294012 +aS'segs\tseg\tNNS\tI-NP\tO' +p294013 +aS',\t,\t,\tO\tO' +p294014 +aS'6\t6\tCD\tB-NP\tO' +p294015 +aS'bands\tband\tNNS\tI-NP\tO' +p294016 +aS',\t,\t,\tO\tO' +p294017 +aS'40\t40\tCD\tB-NP\tO' +p294018 +aS'lymphs\tlymph\tNNS\tI-NP\tO' +p294019 +aS',\t,\t,\tO\tO' +p294020 +aS'4\t4\tCD\tB-NP\tO' +p294021 +aS'monos\tmono\tNNS\tI-NP\tO' +p294022 +aS'.\t.\t.\tO\tO' +p294023 +asS'Cardiac output was 7 ( that was on 6 of dopamine ) .' +p294024 +(lp294025 +S'Cardiac\tCardiac\tJJ\tB-NP\tB-protein' +p294026 +aS'output\toutput\tNN\tI-NP\tI-protein' +p294027 +aS'was\tbe\tVBD\tB-VP\tI-protein' +p294028 +aS'7\t7\tCD\tB-NP\tI-protein' +p294029 +aS'(\t(\t(\tO\tO' +p294030 +aS'that\tthat\tWDT\tB-NP\tO' +p294031 +aS'was\tbe\tVBD\tB-VP\tO' +p294032 +aS'on\ton\tIN\tB-PP\tO' +p294033 +aS'6\t6\tCD\tB-NP\tO' +p294034 +aS'of\tof\tIN\tB-PP\tO' +p294035 +aS'dopamine\tdopamine\tNN\tB-NP\tO' +p294036 +aS')\t)\t)\tO\tO' +p294037 +aS'.\t.\t.\tO\tO' +p294038 +asS'Elderly female in no acute distress' +p294039 +(lp294040 +S'Elderly\tElderly\tJJ\tB-NP\tO' +p294041 +aS'female\tfemale\tNN\tI-NP\tO' +p294042 +aS'in\tin\tIN\tB-PP\tO' +p294043 +aS'no\tno\tDT\tB-NP\tO' +p294044 +aS'acute\tacute\tJJ\tI-NP\tO' +p294045 +aS'distress\tdistress\tNN\tI-NP\tO' +p294046 +asS'The patient 's preliminary admitting physician is DREISSNEIGH , LIRU and the preliminary admitting diagnosis is CP , R / O MI .' +p294047 +(lp294048 +S'The\tThe\tDT\tB-NP\tO' +p294049 +aS'patient\tpatient\tNN\tI-NP\tO' +p294050 +aS''s\t'\tNNS\tI-NP\tO' +p294051 +aS'preliminary\tpreliminary\tJJ\tB-NP\tO' +p294052 +aS'admitting\tadmit\tVBG\tI-NP\tO' +p294053 +aS'physician\tphysician\tNN\tI-NP\tO' +p294054 +aS'is\tbe\tVBZ\tB-VP\tO' +p294055 +aS'DREISSNEIGH\tDREISSNEIGH\tNN\tB-NP\tO' +p294056 +aS',\t,\t,\tO\tO' +p294057 +aS'LIRU\tLIRU\tNN\tB-NP\tO' +p294058 +aS'and\tand\tCC\tO\tO' +p294059 +aS'the\tthe\tDT\tB-NP\tO' +p294060 +aS'preliminary\tpreliminary\tJJ\tI-NP\tO' +p294061 +aS'admitting\tadmit\tVBG\tI-NP\tO' +p294062 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p294063 +aS'is\tbe\tVBZ\tB-VP\tO' +p294064 +aS'CP\tCP\tNN\tB-NP\tB-DNA' +p294065 +aS',\t,\t,\tO\tO' +p294066 +aS'R\tR\tNN\tB-NP\tB-protein' +p294067 +aS'/\t/\tSYM\tB-VP\tO' +p294068 +aS'O\tO\tNN\tB-NP\tB-protein' +p294069 +aS'MI\tMI\tNN\tI-NP\tI-protein' +p294070 +aS'.\t.\t.\tO\tO' +p294071 +asS'At this time , it was believed that her clot was due to a rupture of this parathyroid adenoma .' +p294072 +(lp294073 +S'At\tAt\tIN\tB-PP\tO' +p294074 +aS'this\tthis\tDT\tB-NP\tO' +p294075 +aS'time\ttime\tNN\tI-NP\tO' +p294076 +aS',\t,\t,\tO\tO' +p294077 +aS'it\tit\tPRP\tB-NP\tO' +p294078 +aS'was\tbe\tVBD\tB-VP\tO' +p294079 +aS'believed\tbelieve\tVBN\tI-VP\tO' +p294080 +aS'that\tthat\tIN\tB-SBAR\tO' +p294081 +aS'her\ther\tPRP$\tB-NP\tO' +p294082 +aS'clot\tclot\tNN\tI-NP\tO' +p294083 +aS'was\tbe\tVBD\tB-VP\tO' +p294084 +aS'due\tdue\tJJ\tB-ADJP\tO' +p294085 +aS'to\tto\tTO\tB-PP\tO' +p294086 +aS'a\ta\tDT\tB-NP\tO' +p294087 +aS'rupture\trupture\tNN\tI-NP\tO' +p294088 +aS'of\tof\tIN\tB-PP\tO' +p294089 +aS'this\tthis\tDT\tB-NP\tO' +p294090 +aS'parathyroid\tparathyroid\tJJ\tI-NP\tO' +p294091 +aS'adenoma\tadenoma\tNN\tI-NP\tO' +p294092 +aS'.\t.\t.\tO\tO' +p294093 +asS'13. Warfarin 1 mg Tablet Sig : as directed Tablet PO DAILY ( Daily ) .' +p294094 +(lp294095 +S'13.\t13.\tLS\tB-LST\tO' +p294096 +aS'Warfarin\tWarfarin\tNNP\tB-NP\tO' +p294097 +aS'1\t1\tCD\tI-NP\tO' +p294098 +aS'mg\tmg\tNN\tI-NP\tO' +p294099 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p294100 +aS'Sig\tSig\tNNP\tI-NP\tB-protein' +p294101 +aS':\t:\t:\tO\tO' +p294102 +aS'as\tas\tIN\tB-SBAR\tO' +p294103 +aS'directed\tdirect\tVBN\tB-NP\tO' +p294104 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p294105 +aS'PO\tPO\tNNP\tI-NP\tO' +p294106 +aS'DAILY\tDAILY\tNNP\tI-NP\tO' +p294107 +aS'(\t(\t(\tO\tO' +p294108 +aS'Daily\tDaily\tNNP\tB-NP\tO' +p294109 +aS')\t)\t)\tO\tO' +p294110 +aS'.\t.\t.\tO\tO' +p294111 +asS'His hct has stabilized and improved to close to 30 at the time of 3/21 .' +p294112 +(lp294113 +S'His\tHis\tPRP$\tB-NP\tO' +p294114 +aS'hct\thct\tNN\tI-NP\tO' +p294115 +aS'has\thave\tVBZ\tB-VP\tO' +p294116 +aS'stabilized\tstabilize\tVBN\tI-VP\tO' +p294117 +aS'and\tand\tCC\tI-VP\tO' +p294118 +aS'improved\timprove\tVBN\tI-VP\tO' +p294119 +aS'to\tto\tTO\tB-VP\tO' +p294120 +aS'close\tclose\tVB\tI-VP\tO' +p294121 +aS'to\tto\tTO\tB-PP\tO' +p294122 +aS'30\t30\tCD\tB-NP\tO' +p294123 +aS'at\tat\tIN\tB-PP\tO' +p294124 +aS'the\tthe\tDT\tB-NP\tO' +p294125 +aS'time\ttime\tNN\tI-NP\tO' +p294126 +aS'of\tof\tIN\tB-PP\tO' +p294127 +aS'3/21\t3/21\tCD\tB-NP\tO' +p294128 +aS'.\t.\t.\tO\tO' +p294129 +asS'As a result , IR reviewed the patient 's post-procedure imaging and felt that the catheter was not adequately draining the patient 's fluid collection .' +p294130 +(lp294131 +S'As\tAs\tIN\tB-PP\tO' +p294132 +aS'a\ta\tDT\tB-NP\tO' +p294133 +aS'result\tresult\tNN\tI-NP\tO' +p294134 +aS',\t,\t,\tO\tO' +p294135 +aS'IR\tIR\tNN\tB-NP\tB-protein' +p294136 +aS'reviewed\treview\tVBD\tB-VP\tO' +p294137 +aS'the\tthe\tDT\tB-NP\tO' +p294138 +aS'patient\tpatient\tNN\tI-NP\tO' +p294139 +aS''s\t'\tNNS\tI-NP\tO' +p294140 +aS'post-procedure\tpost-procedure\tJJ\tB-NP\tO' +p294141 +aS'imaging\timaging\tNN\tI-NP\tO' +p294142 +aS'and\tand\tCC\tO\tO' +p294143 +aS'felt\tfeel\tVBD\tB-VP\tO' +p294144 +aS'that\tthat\tIN\tB-SBAR\tO' +p294145 +aS'the\tthe\tDT\tB-NP\tO' +p294146 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p294147 +aS'was\tbe\tVBD\tB-VP\tO' +p294148 +aS'not\tnot\tRB\tI-VP\tO' +p294149 +aS'adequately\tadequately\tRB\tI-VP\tO' +p294150 +aS'draining\tdrain\tVBG\tI-VP\tO' +p294151 +aS'the\tthe\tDT\tB-NP\tO' +p294152 +aS'patient\tpatient\tNN\tI-NP\tO' +p294153 +aS''s\t'\tNNS\tI-NP\tO' +p294154 +aS'fluid\tfluid\tNN\tI-NP\tO' +p294155 +aS'collection\tcollection\tNN\tI-NP\tO' +p294156 +aS'.\t.\t.\tO\tO' +p294157 +asS'The discrepancy in the patient 's pulses and blood pressure was felt to be consistent with a subclavian artery stenosis .' +p294158 +(lp294159 +S'The\tThe\tDT\tB-NP\tO' +p294160 +aS'discrepancy\tdiscrepancy\tNN\tI-NP\tO' +p294161 +aS'in\tin\tIN\tB-PP\tO' +p294162 +aS'the\tthe\tDT\tB-NP\tO' +p294163 +aS'patient\tpatient\tNN\tI-NP\tO' +p294164 +aS''s\t'\tVBZ\tB-VP\tO' +p294165 +aS'pulses\tpulse\tNNS\tB-NP\tO' +p294166 +aS'and\tand\tCC\tO\tO' +p294167 +aS'blood\tblood\tNN\tB-NP\tO' +p294168 +aS'pressure\tpressure\tNN\tI-NP\tO' +p294169 +aS'was\tbe\tVBD\tB-VP\tO' +p294170 +aS'felt\tfeel\tVBN\tI-VP\tO' +p294171 +aS'to\tto\tTO\tI-VP\tO' +p294172 +aS'be\tbe\tVB\tI-VP\tO' +p294173 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p294174 +aS'with\twith\tIN\tB-PP\tO' +p294175 +aS'a\ta\tDT\tB-NP\tO' +p294176 +aS'subclavian\tsubclavian\tJJ\tI-NP\tO' +p294177 +aS'artery\tartery\tNN\tI-NP\tO' +p294178 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p294179 +aS'.\t.\t.\tO\tO' +p294180 +asS'The patient states that the pain began at 10:30 on the day of admission with increase during the day of admission with positive nausea and vomiting , no diarrhea , decreased output from the ostomy , and the pain was radiating to the back .' +p294181 +(lp294182 +S'The\tThe\tDT\tB-NP\tO' +p294183 +aS'patient\tpatient\tNN\tI-NP\tO' +p294184 +aS'states\tstate\tVBZ\tB-VP\tO' +p294185 +aS'that\tthat\tIN\tB-SBAR\tO' +p294186 +aS'the\tthe\tDT\tB-NP\tO' +p294187 +aS'pain\tpain\tNN\tI-NP\tO' +p294188 +aS'began\tbegin\tVBD\tB-VP\tO' +p294189 +aS'at\tat\tIN\tB-PP\tO' +p294190 +aS'10:30\t10:30\tCD\tB-NP\tO' +p294191 +aS'on\ton\tIN\tB-PP\tO' +p294192 +aS'the\tthe\tDT\tB-NP\tO' +p294193 +aS'day\tday\tNN\tI-NP\tO' +p294194 +aS'of\tof\tIN\tB-PP\tO' +p294195 +aS'admission\tadmission\tNN\tB-NP\tO' +p294196 +aS'with\twith\tIN\tB-PP\tO' +p294197 +aS'increase\tincrease\tNN\tB-NP\tO' +p294198 +aS'during\tduring\tIN\tB-PP\tO' +p294199 +aS'the\tthe\tDT\tB-NP\tO' +p294200 +aS'day\tday\tNN\tI-NP\tO' +p294201 +aS'of\tof\tIN\tB-PP\tO' +p294202 +aS'admission\tadmission\tNN\tB-NP\tO' +p294203 +aS'with\twith\tIN\tB-PP\tO' +p294204 +aS'positive\tpositive\tJJ\tB-NP\tO' +p294205 +aS'nausea\tnausea\tNN\tI-NP\tO' +p294206 +aS'and\tand\tCC\tI-NP\tO' +p294207 +aS'vomiting\tvomiting\tNN\tI-NP\tO' +p294208 +aS',\t,\t,\tO\tO' +p294209 +aS'no\tno\tDT\tB-NP\tO' +p294210 +aS'diarrhea\tdiarrhea\tNN\tI-NP\tO' +p294211 +aS',\t,\t,\tO\tO' +p294212 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p294213 +aS'output\toutput\tNN\tB-NP\tO' +p294214 +aS'from\tfrom\tIN\tB-PP\tO' +p294215 +aS'the\tthe\tDT\tB-NP\tO' +p294216 +aS'ostomy\tostomy\tNN\tI-NP\tO' +p294217 +aS',\t,\t,\tO\tO' +p294218 +aS'and\tand\tCC\tO\tO' +p294219 +aS'the\tthe\tDT\tB-NP\tO' +p294220 +aS'pain\tpain\tNN\tI-NP\tO' +p294221 +aS'was\tbe\tVBD\tB-VP\tO' +p294222 +aS'radiating\tradiate\tVBG\tI-VP\tO' +p294223 +aS'to\tto\tTO\tB-PP\tO' +p294224 +aS'the\tthe\tDT\tB-NP\tO' +p294225 +aS'back\tback\tNN\tI-NP\tO' +p294226 +aS'.\t.\t.\tO\tO' +p294227 +asS'This is a chronic problem .' +p294228 +(lp294229 +S'This\tThis\tDT\tB-NP\tO' +p294230 +aS'is\tbe\tVBZ\tB-VP\tO' +p294231 +aS'a\ta\tDT\tB-NP\tO' +p294232 +aS'chronic\tchronic\tJJ\tI-NP\tO' +p294233 +aS'problem\tproblem\tNN\tI-NP\tO' +p294234 +aS'.\t.\t.\tO\tO' +p294235 +asS'Report any weight gain of greater than 2 pounds in 24 hours or 5 pounds in a week' +p294236 +(lp294237 +S'Report\tReport\tVB\tB-VP\tO' +p294238 +aS'any\tany\tDT\tB-NP\tO' +p294239 +aS'weight\tweight\tNN\tI-NP\tO' +p294240 +aS'gain\tgain\tNN\tI-NP\tO' +p294241 +aS'of\tof\tIN\tB-PP\tO' +p294242 +aS'greater\tgreat\tJJR\tB-NP\tO' +p294243 +aS'than\tthan\tIN\tI-NP\tO' +p294244 +aS'2\t2\tCD\tI-NP\tO' +p294245 +aS'pounds\tpound\tNNS\tI-NP\tO' +p294246 +aS'in\tin\tIN\tB-PP\tO' +p294247 +aS'24\t24\tCD\tB-NP\tO' +p294248 +aS'hours\thour\tNNS\tI-NP\tO' +p294249 +aS'or\tor\tCC\tO\tO' +p294250 +aS'5\t5\tCD\tB-NP\tO' +p294251 +aS'pounds\tpound\tNNS\tI-NP\tO' +p294252 +aS'in\tin\tIN\tB-PP\tO' +p294253 +aS'a\ta\tDT\tB-NP\tO' +p294254 +aS'week\tweek\tNN\tI-NP\tO' +p294255 +asS'Patient was generally ill-appearing and nauseated , but alert and oriented times three .' +p294256 +(lp294257 +S'Patient\tPatient\tNN\tB-NP\tO' +p294258 +aS'was\tbe\tVBD\tB-VP\tO' +p294259 +aS'generally\tgenerally\tRB\tB-ADJP\tO' +p294260 +aS'ill-appearing\till-appearing\tJJ\tI-ADJP\tO' +p294261 +aS'and\tand\tCC\tI-ADJP\tO' +p294262 +aS'nauseated\tnauseated\tJJ\tI-ADJP\tO' +p294263 +aS',\t,\t,\tO\tO' +p294264 +aS'but\tbut\tCC\tO\tO' +p294265 +aS'alert\talert\tJJ\tB-NP\tO' +p294266 +aS'and\tand\tCC\tI-NP\tO' +p294267 +aS'oriented\torient\tVBN\tI-NP\tO' +p294268 +aS'times\ttime\tNNS\tI-NP\tO' +p294269 +aS'three\tthree\tCD\tI-NP\tO' +p294270 +aS'.\t.\t.\tO\tO' +p294271 +asS'The diagnosis of Alzheimer 's was made in 1998 .' +p294272 +(lp294273 +S'The\tThe\tDT\tB-NP\tO' +p294274 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p294275 +aS'of\tof\tIN\tB-PP\tO' +p294276 +aS'Alzheimer\tAlzheimer\tNNP\tB-NP\tO' +p294277 +aS''s\t'\tNNS\tI-NP\tO' +p294278 +aS'was\tbe\tVBD\tB-VP\tO' +p294279 +aS'made\tmake\tVBN\tI-VP\tO' +p294280 +aS'in\tin\tIN\tB-PP\tO' +p294281 +aS'1998\t1998\tCD\tB-NP\tO' +p294282 +aS'.\t.\t.\tO\tO' +p294283 +asS'She had a workup by her neurologist and an MRI revealed a C5-6 disc herniation with cord compression and a T2 signal change at that level .' +p294284 +(lp294285 +S'She\tShe\tPRP\tB-NP\tO' +p294286 +aS'had\thave\tVBD\tB-VP\tO' +p294287 +aS'a\ta\tDT\tB-NP\tO' +p294288 +aS'workup\tworkup\tNN\tI-NP\tO' +p294289 +aS'by\tby\tIN\tB-PP\tO' +p294290 +aS'her\ther\tPRP$\tB-NP\tO' +p294291 +aS'neurologist\tneurologist\tNN\tI-NP\tO' +p294292 +aS'and\tand\tCC\tO\tO' +p294293 +aS'an\tan\tDT\tB-NP\tO' +p294294 +aS'MRI\tMRI\tNN\tI-NP\tB-DNA' +p294295 +aS'revealed\treveal\tVBD\tB-VP\tO' +p294296 +aS'a\ta\tDT\tB-NP\tO' +p294297 +aS'C5-6\tC5-6\tNN\tI-NP\tO' +p294298 +aS'disc\tdisc\tNN\tI-NP\tO' +p294299 +aS'herniation\therniation\tNN\tI-NP\tO' +p294300 +aS'with\twith\tIN\tB-PP\tO' +p294301 +aS'cord\tcord\tNN\tB-NP\tO' +p294302 +aS'compression\tcompression\tNN\tI-NP\tO' +p294303 +aS'and\tand\tCC\tO\tO' +p294304 +aS'a\ta\tDT\tB-NP\tO' +p294305 +aS'T2\tT2\tNN\tI-NP\tO' +p294306 +aS'signal\tsignal\tNN\tI-NP\tO' +p294307 +aS'change\tchange\tNN\tI-NP\tO' +p294308 +aS'at\tat\tIN\tB-PP\tO' +p294309 +aS'that\tthat\tDT\tB-NP\tO' +p294310 +aS'level\tlevel\tNN\tI-NP\tO' +p294311 +aS'.\t.\t.\tO\tO' +p294312 +asS'3. With chronic lung disease .' +p294313 +(lp294314 +S'3.\t3.\tLS\tB-LST\tO' +p294315 +aS'With\tWith\tIN\tB-PP\tO' +p294316 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p294317 +aS'lung\tlung\tNN\tI-NP\tO' +p294318 +aS'disease\tdisease\tNN\tI-NP\tO' +p294319 +aS'.\t.\t.\tO\tO' +p294320 +asS'There was also a high density adjacent to the right cerebellar infarction suggesting the presence of hemorrhage .' +p294321 +(lp294322 +S'There\tThere\tEX\tB-NP\tO' +p294323 +aS'was\tbe\tVBD\tB-VP\tO' +p294324 +aS'also\talso\tRB\tB-ADVP\tO' +p294325 +aS'a\ta\tDT\tB-NP\tO' +p294326 +aS'high\thigh\tJJ\tI-NP\tO' +p294327 +aS'density\tdensity\tNN\tI-NP\tO' +p294328 +aS'adjacent\tadjacent\tJJ\tB-ADJP\tO' +p294329 +aS'to\tto\tTO\tB-PP\tO' +p294330 +aS'the\tthe\tDT\tB-NP\tO' +p294331 +aS'right\tright\tJJ\tI-NP\tO' +p294332 +aS'cerebellar\tcerebellar\tJJ\tI-NP\tO' +p294333 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p294334 +aS'suggesting\tsuggest\tVBG\tB-VP\tO' +p294335 +aS'the\tthe\tDT\tB-NP\tO' +p294336 +aS'presence\tpresence\tNN\tI-NP\tO' +p294337 +aS'of\tof\tIN\tB-PP\tO' +p294338 +aS'hemorrhage\themorrhage\tNN\tB-NP\tO' +p294339 +aS'.\t.\t.\tO\tO' +p294340 +asS'7) Kay Ciel 20 mEq p.o. q. day .' +p294341 +(lp294342 +S'7)\t7)\tLS\tB-NP\tO' +p294343 +aS'Kay\tKay\tNNP\tI-NP\tO' +p294344 +aS'Ciel\tCiel\tNNP\tI-NP\tO' +p294345 +aS'20\t20\tCD\tI-NP\tO' +p294346 +aS'mEq\tmEq\tNN\tI-NP\tO' +p294347 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p294348 +aS'q.\tq.\tNN\tI-NP\tO' +p294349 +aS'day\tday\tNN\tI-NP\tO' +p294350 +aS'.\t.\t.\tO\tO' +p294351 +asS'Oligoclonal bands were not assessed as there was not enough CSF per the laboratory .' +p294352 +(lp294353 +S'Oligoclonal\tOligoclonal\tJJ\tB-NP\tO' +p294354 +aS'bands\tband\tNNS\tI-NP\tO' +p294355 +aS'were\tbe\tVBD\tB-VP\tO' +p294356 +aS'not\tnot\tRB\tI-VP\tO' +p294357 +aS'assessed\tassess\tVBN\tI-VP\tO' +p294358 +aS'as\tas\tIN\tB-SBAR\tO' +p294359 +aS'there\tthere\tEX\tB-NP\tO' +p294360 +aS'was\tbe\tVBD\tB-VP\tO' +p294361 +aS'not\tnot\tRB\tO\tO' +p294362 +aS'enough\tenough\tJJ\tB-NP\tO' +p294363 +aS'CSF\tCSF\tNN\tI-NP\tB-protein' +p294364 +aS'per\tper\tIN\tB-PP\tO' +p294365 +aS'the\tthe\tDT\tB-NP\tO' +p294366 +aS'laboratory\tlaboratory\tNN\tI-NP\tO' +p294367 +aS'.\t.\t.\tO\tO' +p294368 +asS'Trachea was midline .' +p294369 +(lp294370 +S'Trachea\tTrachea\tNNP\tB-NP\tO' +p294371 +aS'was\tbe\tVBD\tB-VP\tO' +p294372 +aS'midline\tmidline\tNN\tB-NP\tO' +p294373 +aS'.\t.\t.\tO\tO' +p294374 +asS'She received aspirin , Lasix 40 mg intravenously times two , 0.8 mg of nitroglycerin times four , plus morphine sulfate .' +p294375 +(lp294376 +S'She\tShe\tPRP\tB-NP\tO' +p294377 +aS'received\treceive\tVBD\tB-VP\tO' +p294378 +aS'aspirin\taspirin\tNN\tB-NP\tO' +p294379 +aS',\t,\t,\tO\tO' +p294380 +aS'Lasix\tLasix\tNNP\tB-NP\tO' +p294381 +aS'40\t40\tCD\tI-NP\tO' +p294382 +aS'mg\tmg\tNN\tI-NP\tO' +p294383 +aS'intravenously\tintravenously\tRB\tB-ADVP\tO' +p294384 +aS'times\ttime\tVBZ\tB-VP\tO' +p294385 +aS'two\ttwo\tCD\tB-NP\tO' +p294386 +aS',\t,\t,\tI-NP\tO' +p294387 +aS'0.8\t0.8\tCD\tI-NP\tO' +p294388 +aS'mg\tmg\tNN\tI-NP\tO' +p294389 +aS'of\tof\tIN\tB-PP\tO' +p294390 +aS'nitroglycerin\tnitroglycerin\tNN\tB-NP\tO' +p294391 +aS'times\ttime\tNNS\tI-NP\tO' +p294392 +aS'four\tfour\tCD\tB-NP\tO' +p294393 +aS',\t,\t,\tO\tO' +p294394 +aS'plus\tplus\tCC\tO\tO' +p294395 +aS'morphine\tmorphine\tNN\tB-NP\tO' +p294396 +aS'sulfate\tsulfate\tNN\tI-NP\tO' +p294397 +aS'.\t.\t.\tO\tO' +p294398 +asS'Throughout his stay , Chem-10 was monitored .' +p294399 +(lp294400 +S'Throughout\tThroughout\tIN\tB-PP\tO' +p294401 +aS'his\this\tPRP$\tB-NP\tO' +p294402 +aS'stay\tstay\tNN\tI-NP\tO' +p294403 +aS',\t,\t,\tO\tO' +p294404 +aS'Chem-10\tChem-10\tNN\tB-NP\tB-protein' +p294405 +aS'was\tbe\tVBD\tB-VP\tO' +p294406 +aS'monitored\tmonitor\tVBN\tI-VP\tO' +p294407 +aS'.\t.\t.\tO\tO' +p294408 +asS'Labs stable , NTG sublingual , stress MIBI was negative for ischemia .' +p294409 +(lp294410 +S'Labs\tLab\tNNS\tB-NP\tO' +p294411 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p294412 +aS',\t,\t,\tO\tO' +p294413 +aS'NTG\tNTG\tNN\tB-NP\tB-protein' +p294414 +aS'sublingual\tsublingual\tJJ\tB-ADJP\tO' +p294415 +aS',\t,\t,\tO\tO' +p294416 +aS'stress\tstress\tNN\tB-NP\tO' +p294417 +aS'MIBI\tMIBI\tNNP\tB-NP\tO' +p294418 +aS'was\tbe\tVBD\tB-VP\tO' +p294419 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p294420 +aS'for\tfor\tIN\tB-PP\tO' +p294421 +aS'ischemia\tischemia\tNN\tB-NP\tO' +p294422 +aS'.\t.\t.\tO\tO' +p294423 +asS'A chest X-ray demonstrated right hemidiaphragmatic elevation .' +p294424 +(lp294425 +S'A\tA\tDT\tB-NP\tO' +p294426 +aS'chest\tchest\tNN\tI-NP\tO' +p294427 +aS'X-ray\tX-ray\tNN\tI-NP\tO' +p294428 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p294429 +aS'right\tright\tJJ\tB-NP\tO' +p294430 +aS'hemidiaphragmatic\themidiaphragmatic\tJJ\tI-NP\tO' +p294431 +aS'elevation\televation\tNN\tI-NP\tO' +p294432 +aS'.\t.\t.\tO\tO' +p294433 +asS'He had completed six days of penicillin and Gentamicin and was discharged on Ciprofloxacin and Flagyl for the next seven days .' +p294434 +(lp294435 +S'He\tHe\tPRP\tB-NP\tO' +p294436 +aS'had\thave\tVBD\tB-VP\tO' +p294437 +aS'completed\tcomplete\tVBN\tI-VP\tO' +p294438 +aS'six\tsix\tCD\tB-NP\tO' +p294439 +aS'days\tday\tNNS\tI-NP\tO' +p294440 +aS'of\tof\tIN\tB-PP\tO' +p294441 +aS'penicillin\tpenicillin\tNN\tB-NP\tB-protein' +p294442 +aS'and\tand\tCC\tI-NP\tO' +p294443 +aS'Gentamicin\tGentamicin\tNN\tI-NP\tO' +p294444 +aS'and\tand\tCC\tO\tO' +p294445 +aS'was\tbe\tVBD\tB-VP\tO' +p294446 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p294447 +aS'on\ton\tIN\tB-PP\tO' +p294448 +aS'Ciprofloxacin\tCiprofloxacin\tNN\tB-NP\tO' +p294449 +aS'and\tand\tCC\tI-NP\tO' +p294450 +aS'Flagyl\tFlagyl\tNN\tI-NP\tO' +p294451 +aS'for\tfor\tIN\tB-PP\tO' +p294452 +aS'the\tthe\tDT\tB-NP\tO' +p294453 +aS'next\tnext\tJJ\tI-NP\tO' +p294454 +aS'seven\tseven\tCD\tI-NP\tO' +p294455 +aS'days\tday\tNNS\tI-NP\tO' +p294456 +aS'.\t.\t.\tO\tO' +p294457 +asS'Negative for headaches , vision changes , numbness , tingling , dyspnea , hematuria , abdominal pain , diarrhea , melena or hematochezia .' +p294458 +(lp294459 +S'Negative\tNegative\tJJ\tB-ADJP\tO' +p294460 +aS'for\tfor\tIN\tB-PP\tO' +p294461 +aS'headaches\theadache\tNNS\tB-NP\tO' +p294462 +aS',\t,\t,\tO\tO' +p294463 +aS'vision\tvision\tNN\tB-NP\tO' +p294464 +aS'changes\tchange\tNNS\tI-NP\tO' +p294465 +aS',\t,\t,\tO\tO' +p294466 +aS'numbness\tnumbness\tNN\tB-NP\tO' +p294467 +aS',\t,\t,\tO\tO' +p294468 +aS'tingling\ttingling\tNN\tB-NP\tO' +p294469 +aS',\t,\t,\tO\tO' +p294470 +aS'dyspnea\tdyspnea\tNN\tB-NP\tO' +p294471 +aS',\t,\t,\tO\tO' +p294472 +aS'hematuria\thematuria\tNN\tB-NP\tO' +p294473 +aS',\t,\t,\tO\tO' +p294474 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p294475 +aS'pain\tpain\tNN\tI-NP\tO' +p294476 +aS',\t,\t,\tO\tO' +p294477 +aS'diarrhea\tdiarrhea\tNN\tB-NP\tO' +p294478 +aS',\t,\t,\tO\tO' +p294479 +aS'melena\tmelena\tNN\tB-NP\tO' +p294480 +aS'or\tor\tCC\tI-NP\tO' +p294481 +aS'hematochezia\thematochezia\tNN\tI-NP\tO' +p294482 +aS'.\t.\t.\tO\tO' +p294483 +asS'2. Atorvastatin 10 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' +p294484 +(lp294485 +S'2.\t2.\tLS\tB-LST\tO' +p294486 +aS'Atorvastatin\tAtorvastatin\tNN\tB-NP\tO' +p294487 +aS'10\t10\tCD\tI-NP\tO' +p294488 +aS'mg\tmg\tNN\tI-NP\tO' +p294489 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p294490 +aS'Sig\tSig\tNNP\tI-NP\tO' +p294491 +aS':\t:\t:\tO\tO' +p294492 +aS'One\tOne\tCD\tB-NP\tO' +p294493 +aS'(\t(\t(\tO\tO' +p294494 +aS'1\t1\tCD\tB-NP\tO' +p294495 +aS')\t)\t)\tO\tO' +p294496 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p294497 +aS'PO\tPO\tNN\tI-NP\tO' +p294498 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p294499 +aS'(\t(\t(\tO\tO' +p294500 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p294501 +aS')\t)\t)\tO\tO' +p294502 +aS'.\t.\t.\tO\tO' +p294503 +asS'7. Multivitamin Capsule Sig : One ( 1 ) Capsule PO once a day .' +p294504 +(lp294505 +S'7.\t7.\tCD\tB-NP\tO' +p294506 +aS'Multivitamin\tMultivitamin\tNNP\tI-NP\tO' +p294507 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p294508 +aS'Sig\tSig\tNNP\tI-NP\tO' +p294509 +aS':\t:\t:\tO\tO' +p294510 +aS'One\tOne\tCD\tB-NP\tO' +p294511 +aS'(\t(\t(\tO\tO' +p294512 +aS'1\t1\tCD\tB-NP\tO' +p294513 +aS')\t)\t)\tO\tO' +p294514 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p294515 +aS'PO\tPO\tNNP\tI-NP\tO' +p294516 +aS'once\tonce\tRB\tB-ADVP\tO' +p294517 +aS'a\ta\tDT\tB-NP\tO' +p294518 +aS'day\tday\tNN\tI-NP\tO' +p294519 +aS'.\t.\t.\tO\tO' +p294520 +asS'He was then transferred via Med Flight to the Fairm of Ijordcompmac Hospital .' +p294521 +(lp294522 +S'He\tHe\tPRP\tB-NP\tO' +p294523 +aS'was\tbe\tVBD\tB-VP\tO' +p294524 +aS'then\tthen\tRB\tI-VP\tO' +p294525 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p294526 +aS'via\tvia\tIN\tB-PP\tO' +p294527 +aS'Med\tMed\tNNP\tB-NP\tO' +p294528 +aS'Flight\tFlight\tNNP\tI-NP\tO' +p294529 +aS'to\tto\tTO\tB-PP\tO' +p294530 +aS'the\tthe\tDT\tB-NP\tO' +p294531 +aS'Fairm\tFairm\tNNP\tI-NP\tO' +p294532 +aS'of\tof\tIN\tB-PP\tO' +p294533 +aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' +p294534 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p294535 +aS'.\t.\t.\tO\tO' +p294536 +asS'Trivial mitral regurgitation is seen ."' +p294537 +(lp294538 +S'Trivial\tTrivial\tJJ\tB-NP\tO' +p294539 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p294540 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p294541 +aS'is\tbe\tVBZ\tB-VP\tO' +p294542 +aS'seen\tsee\tVBN\tI-VP\tO' +p294543 +aS'."\t."\t.\tO\tO' +p294544 +asS'4. Aspirin 325 mg p.o. q. day .' +p294545 +(lp294546 +S'4.\t4.\tLS\tB-LST\tO' +p294547 +aS'Aspirin\tAspirin\tNN\tB-NP\tO' +p294548 +aS'325\t325\tCD\tI-NP\tO' +p294549 +aS'mg\tmg\tNN\tI-NP\tO' +p294550 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p294551 +aS'q.\tq.\tNN\tI-NP\tO' +p294552 +aS'day\tday\tNN\tI-NP\tO' +p294553 +aS'.\t.\t.\tO\tO' +p294554 +asS'3. Calcified focus and a small hypodense lesion in the right lobe of the liver , incompletely characterized .' +p294555 +(lp294556 +S'3.\t3.\tLS\tB-NP\tO' +p294557 +aS'Calcified\tCalcify\tVBN\tI-NP\tO' +p294558 +aS'focus\tfocus\tNN\tI-NP\tO' +p294559 +aS'and\tand\tCC\tO\tO' +p294560 +aS'a\ta\tDT\tB-NP\tO' +p294561 +aS'small\tsmall\tJJ\tI-NP\tO' +p294562 +aS'hypodense\thypodense\tNN\tI-NP\tO' +p294563 +aS'lesion\tlesion\tNN\tI-NP\tO' +p294564 +aS'in\tin\tIN\tB-PP\tO' +p294565 +aS'the\tthe\tDT\tB-NP\tO' +p294566 +aS'right\tright\tJJ\tI-NP\tO' +p294567 +aS'lobe\tlobe\tNN\tI-NP\tO' +p294568 +aS'of\tof\tIN\tB-PP\tO' +p294569 +aS'the\tthe\tDT\tB-NP\tO' +p294570 +aS'liver\tliver\tNN\tI-NP\tO' +p294571 +aS',\t,\t,\tO\tO' +p294572 +aS'incompletely\tincompletely\tRB\tB-VP\tO' +p294573 +aS'characterized\tcharacterize\tVBN\tI-VP\tO' +p294574 +aS'.\t.\t.\tO\tO' +p294575 +asS'Decadron has been steadily tapered since arrival on the floor .' +p294576 +(lp294577 +S'Decadron\tDecadron\tNNP\tB-NP\tO' +p294578 +aS'has\thave\tVBZ\tB-VP\tO' +p294579 +aS'been\tbe\tVBN\tI-VP\tO' +p294580 +aS'steadily\tsteadily\tRB\tI-VP\tO' +p294581 +aS'tapered\ttaper\tVBN\tI-VP\tO' +p294582 +aS'since\tsince\tIN\tB-PP\tO' +p294583 +aS'arrival\tarrival\tNN\tB-NP\tO' +p294584 +aS'on\ton\tIN\tB-PP\tO' +p294585 +aS'the\tthe\tDT\tB-NP\tO' +p294586 +aS'floor\tfloor\tNN\tI-NP\tO' +p294587 +aS'.\t.\t.\tO\tO' +p294588 +asS'8. Ranitidine HCl 15 mg/mL Syrup Sig : One 95y ( 150 ) mg PO DAILY ( Daily ) .' +p294589 +(lp294590 +S'8.\t8.\tCD\tB-NP\tO' +p294591 +aS'Ranitidine\tRanitidine\tNN\tI-NP\tO' +p294592 +aS'HCl\tHCl\tNN\tI-NP\tO' +p294593 +aS'15\t15\tCD\tI-NP\tO' +p294594 +aS'mg/mL\tmg/mL\tNN\tI-NP\tO' +p294595 +aS'Syrup\tSyrup\tNNP\tI-NP\tO' +p294596 +aS'Sig\tSig\tNNP\tI-NP\tO' +p294597 +aS':\t:\t:\tO\tO' +p294598 +aS'One\tOne\tCD\tB-NP\tO' +p294599 +aS'95y\t95y\tCD\tI-NP\tO' +p294600 +aS'(\t(\t(\tO\tO' +p294601 +aS'150\t150\tCD\tB-NP\tO' +p294602 +aS')\t)\t)\tO\tO' +p294603 +aS'mg\tmg\tNN\tB-NP\tO' +p294604 +aS'PO\tPO\tNN\tI-NP\tO' +p294605 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p294606 +aS'(\t(\t(\tO\tO' +p294607 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p294608 +aS')\t)\t)\tO\tO' +p294609 +aS'.\t.\t.\tO\tO' +p294610 +asS'Room air arterial blood gas showed a pH of 7.45 , pO2 of 63 , a pCO2 of 41 , and fairly significant AA gradient .' +p294611 +(lp294612 +S'Room\tRoom\tNN\tB-NP\tO' +p294613 +aS'air\tair\tNN\tI-NP\tO' +p294614 +aS'arterial\tarterial\tJJ\tI-NP\tO' +p294615 +aS'blood\tblood\tNN\tI-NP\tO' +p294616 +aS'gas\tgas\tNN\tI-NP\tO' +p294617 +aS'showed\tshow\tVBD\tB-VP\tO' +p294618 +aS'a\ta\tDT\tB-NP\tO' +p294619 +aS'pH\tpH\tNN\tI-NP\tO' +p294620 +aS'of\tof\tIN\tB-PP\tO' +p294621 +aS'7.45\t7.45\tCD\tB-NP\tO' +p294622 +aS',\t,\t,\tO\tO' +p294623 +aS'pO2\tpO2\tNN\tB-NP\tO' +p294624 +aS'of\tof\tIN\tB-PP\tO' +p294625 +aS'63\t63\tCD\tB-NP\tO' +p294626 +aS',\t,\t,\tO\tO' +p294627 +aS'a\ta\tDT\tB-NP\tO' +p294628 +aS'pCO2\tpCO2\tNN\tI-NP\tO' +p294629 +aS'of\tof\tIN\tB-PP\tO' +p294630 +aS'41\t41\tCD\tB-NP\tO' +p294631 +aS',\t,\t,\tO\tO' +p294632 +aS'and\tand\tCC\tO\tO' +p294633 +aS'fairly\tfairly\tRB\tB-NP\tO' +p294634 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p294635 +aS'AA\tAA\tNN\tI-NP\tO' +p294636 +aS'gradient\tgradient\tNN\tI-NP\tO' +p294637 +aS'.\t.\t.\tO\tO' +p294638 +asS'Phone is ( ( 256 ) 348-3764 .' +p294639 +(lp294640 +S'Phone\tPhone\tNN\tB-NP\tO' +p294641 +aS'is\tbe\tVBZ\tB-VP\tO' +p294642 +aS'(\t(\t(\tO\tO' +p294643 +aS'(\t(\t(\tO\tO' +p294644 +aS'256\t256\tCD\tB-NP\tO' +p294645 +aS')\t)\t)\tO\tO' +p294646 +aS'348-3764\t348-3764\tCD\tB-NP\tO' +p294647 +aS'.\t.\t.\tO\tO' +p294648 +asS'Mucous membranes were moist .' +p294649 +(lp294650 +S'Mucous\tMucous\tJJ\tB-NP\tO' +p294651 +aS'membranes\tmembrane\tNNS\tI-NP\tO' +p294652 +aS'were\tbe\tVBD\tB-VP\tO' +p294653 +aS'moist\tmoist\tNN\tB-NP\tO' +p294654 +aS'.\t.\t.\tO\tO' +p294655 +asS'At this time , repeat chest x-ray showed bilateral diffuse infiltrates consistent with ARDS .' +p294656 +(lp294657 +S'At\tAt\tIN\tB-PP\tO' +p294658 +aS'this\tthis\tDT\tB-NP\tO' +p294659 +aS'time\ttime\tNN\tI-NP\tO' +p294660 +aS',\t,\t,\tO\tO' +p294661 +aS'repeat\trepeat\tNN\tB-NP\tO' +p294662 +aS'chest\tchest\tNN\tI-NP\tO' +p294663 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p294664 +aS'showed\tshow\tVBD\tB-VP\tO' +p294665 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p294666 +aS'diffuse\tdiffuse\tJJ\tI-NP\tO' +p294667 +aS'infiltrates\tinfiltrate\tNNS\tI-NP\tO' +p294668 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p294669 +aS'with\twith\tIN\tB-PP\tO' +p294670 +aS'ARDS\tARDS\tNN\tB-NP\tO' +p294671 +aS'.\t.\t.\tO\tO' +p294672 +asS'Tongue protrudes 4 cm .' +p294673 +(lp294674 +S'Tongue\tTongue\tNNP\tB-NP\tO' +p294675 +aS'protrudes\tprotrude\tVBZ\tB-VP\tO' +p294676 +aS'4\t4\tCD\tB-NP\tO' +p294677 +aS'cm\tcm\tNN\tI-NP\tO' +p294678 +aS'.\t.\t.\tO\tO' +p294679 +asS'No calf tenderness .' +p294680 +(lp294681 +S'No\tNo\tDT\tB-NP\tO' +p294682 +aS'calf\tcalf\tNN\tI-NP\tO' +p294683 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p294684 +aS'.\t.\t.\tO\tO' +p294685 +asS'Heart sounds were regular with one out of six holosystolic murmur at the left lower sternal border .' +p294686 +(lp294687 +S'Heart\tHeart\tNN\tB-NP\tO' +p294688 +aS'sounds\tsound\tNNS\tI-NP\tO' +p294689 +aS'were\tbe\tVBD\tB-VP\tO' +p294690 +aS'regular\tregular\tJJ\tB-ADJP\tO' +p294691 +aS'with\twith\tIN\tB-PP\tO' +p294692 +aS'one\tone\tCD\tB-NP\tO' +p294693 +aS'out\tout\tIN\tI-NP\tO' +p294694 +aS'of\tof\tIN\tI-NP\tO' +p294695 +aS'six\tsix\tCD\tI-NP\tO' +p294696 +aS'holosystolic\tholosystolic\tJJ\tI-NP\tO' +p294697 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p294698 +aS'at\tat\tIN\tB-PP\tO' +p294699 +aS'the\tthe\tDT\tB-NP\tO' +p294700 +aS'left\tleft\tJJ\tI-NP\tO' +p294701 +aS'lower\tlow\tJJR\tI-NP\tO' +p294702 +aS'sternal\tsternal\tJJ\tI-NP\tO' +p294703 +aS'border\tborder\tNN\tI-NP\tO' +p294704 +aS'.\t.\t.\tO\tO' +p294705 +asS'Please call with any questions or concerns' +p294706 +(lp294707 +S'Please\tPlease\tNN\tB-NP\tO' +p294708 +aS'call\tcall\tNN\tI-NP\tO' +p294709 +aS'with\twith\tIN\tB-PP\tO' +p294710 +aS'any\tany\tDT\tB-NP\tO' +p294711 +aS'questions\tquestion\tNNS\tI-NP\tO' +p294712 +aS'or\tor\tCC\tI-NP\tO' +p294713 +aS'concerns\tconcern\tNNS\tI-NP\tO' +p294714 +asS's/p hip fx repair : started on lovenox for anti-coagulation .' +p294715 +(lp294716 +S's/p\ts/p\tNN\tB-NP\tO' +p294717 +aS'hip\thip\tNN\tI-NP\tO' +p294718 +aS'fx\tfx\tNN\tI-NP\tO' +p294719 +aS'repair\trepair\tNN\tI-NP\tO' +p294720 +aS':\t:\t:\tO\tO' +p294721 +aS'started\tstart\tVBN\tB-VP\tO' +p294722 +aS'on\ton\tIN\tB-PP\tO' +p294723 +aS'lovenox\tlovenox\tNN\tB-NP\tO' +p294724 +aS'for\tfor\tIN\tB-PP\tO' +p294725 +aS'anti-coagulation\tanti-coagulation\tNN\tB-NP\tO' +p294726 +aS'.\t.\t.\tO\tO' +p294727 +asS'acute renal insufficiency .' +p294728 +(lp294729 +S'acute\tacute\tJJ\tB-NP\tO' +p294730 +aS'renal\trenal\tJJ\tI-NP\tO' +p294731 +aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' +p294732 +aS'.\t.\t.\tO\tO' +p294733 +asS'Postoperative day 2 , the patient was stable without events , all vital signs were stable .' +p294734 +(lp294735 +S'Postoperative\tPostoperative\tJJ\tB-NP\tO' +p294736 +aS'day\tday\tNN\tI-NP\tO' +p294737 +aS'2\t2\tCD\tI-NP\tO' +p294738 +aS',\t,\t,\tO\tO' +p294739 +aS'the\tthe\tDT\tB-NP\tO' +p294740 +aS'patient\tpatient\tNN\tI-NP\tO' +p294741 +aS'was\tbe\tVBD\tB-VP\tO' +p294742 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p294743 +aS'without\twithout\tIN\tB-PP\tO' +p294744 +aS'events\tevent\tNNS\tB-NP\tO' +p294745 +aS',\t,\t,\tO\tO' +p294746 +aS'all\tall\tDT\tB-NP\tO' +p294747 +aS'vital\tvital\tJJ\tI-NP\tO' +p294748 +aS'signs\tsign\tNNS\tI-NP\tO' +p294749 +aS'were\tbe\tVBD\tB-VP\tO' +p294750 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p294751 +aS'.\t.\t.\tO\tO' +p294752 +asS'Her lung sounds are clear and equal .' +p294753 +(lp294754 +S'Her\tHer\tPRP$\tB-NP\tO' +p294755 +aS'lung\tlung\tNN\tI-NP\tO' +p294756 +aS'sounds\tsound\tNNS\tI-NP\tO' +p294757 +aS'are\tbe\tVBP\tB-VP\tO' +p294758 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p294759 +aS'and\tand\tCC\tI-ADJP\tO' +p294760 +aS'equal\tequal\tJJ\tI-ADJP\tO' +p294761 +aS'.\t.\t.\tO\tO' +p294762 +asS'Upon arrival , Neurosurgery promptly placed V. Holtzen bolt .' +p294763 +(lp294764 +S'Upon\tUpon\tIN\tB-PP\tO' +p294765 +aS'arrival\tarrival\tNN\tB-NP\tO' +p294766 +aS',\t,\t,\tO\tO' +p294767 +aS'Neurosurgery\tNeurosurgery\tNNP\tB-NP\tO' +p294768 +aS'promptly\tpromptly\tRB\tB-ADVP\tO' +p294769 +aS'placed\tplace\tVBD\tB-VP\tO' +p294770 +aS'V.\tV.\tNNP\tB-NP\tO' +p294771 +aS'Holtzen\tHoltzen\tNNP\tI-NP\tO' +p294772 +aS'bolt\tbolt\tNN\tI-NP\tO' +p294773 +aS'.\t.\t.\tO\tO' +p294774 +asS'The infant had a course of heme positive stools with grossly bloody streaks and mucus felt to be protein allergy .' +p294775 +(lp294776 +S'The\tThe\tDT\tB-NP\tO' +p294777 +aS'infant\tinfant\tNN\tI-NP\tO' +p294778 +aS'had\thave\tVBD\tB-VP\tO' +p294779 +aS'a\ta\tDT\tB-NP\tO' +p294780 +aS'course\tcourse\tNN\tI-NP\tO' +p294781 +aS'of\tof\tIN\tB-PP\tO' +p294782 +aS'heme\theme\tNN\tB-NP\tO' +p294783 +aS'positive\tpositive\tJJ\tI-NP\tO' +p294784 +aS'stools\tstool\tNNS\tI-NP\tO' +p294785 +aS'with\twith\tIN\tB-PP\tO' +p294786 +aS'grossly\tgrossly\tRB\tB-NP\tO' +p294787 +aS'bloody\tbloody\tJJ\tI-NP\tO' +p294788 +aS'streaks\tstreak\tNNS\tI-NP\tO' +p294789 +aS'and\tand\tCC\tO\tO' +p294790 +aS'mucus\tmucus\tNN\tB-NP\tO' +p294791 +aS'felt\tfeel\tVBD\tB-VP\tO' +p294792 +aS'to\tto\tTO\tI-VP\tO' +p294793 +aS'be\tbe\tVB\tI-VP\tO' +p294794 +aS'protein\tprotein\tNN\tB-NP\tO' +p294795 +aS'allergy\tallergy\tNN\tI-NP\tO' +p294796 +aS'.\t.\t.\tO\tO' +p294797 +asS'A biopsy at that time revealed grade 1B rejection with endothelialitis and eosinophils .' +p294798 +(lp294799 +S'A\tA\tDT\tB-NP\tO' +p294800 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p294801 +aS'at\tat\tIN\tB-PP\tO' +p294802 +aS'that\tthat\tDT\tB-NP\tO' +p294803 +aS'time\ttime\tNN\tI-NP\tO' +p294804 +aS'revealed\treveal\tVBD\tB-VP\tO' +p294805 +aS'grade\tgrade\tNN\tB-NP\tO' +p294806 +aS'1B\t1B\tNN\tI-NP\tO' +p294807 +aS'rejection\trejection\tNN\tI-NP\tO' +p294808 +aS'with\twith\tIN\tB-PP\tO' +p294809 +aS'endothelialitis\tendothelialitis\tNN\tB-NP\tO' +p294810 +aS'and\tand\tCC\tI-NP\tO' +p294811 +aS'eosinophils\teosinophil\tNNS\tI-NP\tB-cell_type' +p294812 +aS'.\t.\t.\tO\tO' +p294813 +asS'TSH was 124 , cortisol 2.1 , 25 hydroxy vitamin D , and 125 dihydroxy vitamin D levels were pending .' +p294814 +(lp294815 +S'TSH\tTSH\tNN\tB-NP\tO' +p294816 +aS'was\tbe\tVBD\tB-VP\tO' +p294817 +aS'124\t124\tCD\tB-NP\tO' +p294818 +aS',\t,\t,\tO\tO' +p294819 +aS'cortisol\tcortisol\tNN\tB-NP\tO' +p294820 +aS'2.1\t2.1\tCD\tI-NP\tO' +p294821 +aS',\t,\t,\tI-NP\tO' +p294822 +aS'25\t25\tCD\tI-NP\tO' +p294823 +aS'hydroxy\thydroxy\tNN\tI-NP\tO' +p294824 +aS'vitamin\tvitamin\tNN\tI-NP\tO' +p294825 +aS'D\tD\tNN\tI-NP\tO' +p294826 +aS',\t,\t,\tO\tO' +p294827 +aS'and\tand\tCC\tO\tO' +p294828 +aS'125\t125\tCD\tB-NP\tO' +p294829 +aS'dihydroxy\tdihydroxy\tNN\tI-NP\tO' +p294830 +aS'vitamin\tvitamin\tNN\tI-NP\tO' +p294831 +aS'D\tD\tNN\tI-NP\tO' +p294832 +aS'levels\tlevel\tNNS\tI-NP\tO' +p294833 +aS'were\tbe\tVBD\tB-VP\tO' +p294834 +aS'pending\tpende\tVBG\tB-ADJP\tO' +p294835 +aS'.\t.\t.\tO\tO' +p294836 +asS'There is evidence of prior cardiac surgery .' +p294837 +(lp294838 +S'There\tThere\tEX\tB-NP\tO' +p294839 +aS'is\tbe\tVBZ\tB-VP\tO' +p294840 +aS'evidence\tevidence\tNN\tB-NP\tO' +p294841 +aS'of\tof\tIN\tB-PP\tO' +p294842 +aS'prior\tprior\tJJ\tB-NP\tO' +p294843 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p294844 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p294845 +aS'.\t.\t.\tO\tO' +p294846 +asS'The patient completed the studies and to be informed of the results as an outpatient .' +p294847 +(lp294848 +S'The\tThe\tDT\tB-NP\tO' +p294849 +aS'patient\tpatient\tNN\tI-NP\tO' +p294850 +aS'completed\tcomplete\tVBD\tB-VP\tO' +p294851 +aS'the\tthe\tDT\tB-NP\tO' +p294852 +aS'studies\tstudy\tNNS\tI-NP\tO' +p294853 +aS'and\tand\tCC\tO\tO' +p294854 +aS'to\tto\tTO\tB-VP\tO' +p294855 +aS'be\tbe\tVB\tI-VP\tO' +p294856 +aS'informed\tinform\tVBN\tI-VP\tO' +p294857 +aS'of\tof\tIN\tB-PP\tO' +p294858 +aS'the\tthe\tDT\tB-NP\tO' +p294859 +aS'results\tresult\tNNS\tI-NP\tO' +p294860 +aS'as\tas\tIN\tB-PP\tO' +p294861 +aS'an\tan\tDT\tB-NP\tO' +p294862 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p294863 +aS'.\t.\t.\tO\tO' +p294864 +asS'CNIS revealed carotid stenosis and she ultimately underwent left carotid stenting by vascular surgery on 10-30 .' +p294865 +(lp294866 +S'CNIS\tCNIS\tNN\tB-NP\tB-protein' +p294867 +aS'revealed\treveal\tVBD\tB-VP\tO' +p294868 +aS'carotid\tcarotid\tNN\tB-NP\tO' +p294869 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p294870 +aS'and\tand\tCC\tO\tO' +p294871 +aS'she\tshe\tPRP\tB-NP\tO' +p294872 +aS'ultimately\tultimately\tRB\tB-ADVP\tO' +p294873 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p294874 +aS'left\tleft\tJJ\tB-NP\tO' +p294875 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p294876 +aS'stenting\tstente\tVBG\tB-VP\tO' +p294877 +aS'by\tby\tIN\tB-PP\tO' +p294878 +aS'vascular\tvascular\tJJ\tB-NP\tO' +p294879 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p294880 +aS'on\ton\tIN\tB-PP\tO' +p294881 +aS'10-30\t10-30\tCD\tB-NP\tO' +p294882 +aS'.\t.\t.\tO\tO' +p294883 +asS'There is a left gaze preference .' +p294884 +(lp294885 +S'There\tThere\tEX\tB-NP\tO' +p294886 +aS'is\tbe\tVBZ\tB-VP\tO' +p294887 +aS'a\ta\tDT\tB-NP\tO' +p294888 +aS'left\tleft\tJJ\tI-NP\tO' +p294889 +aS'gaze\tgaze\tNN\tI-NP\tO' +p294890 +aS'preference\tpreference\tNN\tI-NP\tO' +p294891 +aS'.\t.\t.\tO\tO' +p294892 +asS'Adult respiratory distress syndrome .' +p294893 +(lp294894 +S'Adult\tAdult\tJJ\tB-NP\tO' +p294895 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p294896 +aS'distress\tdistress\tNN\tI-NP\tO' +p294897 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p294898 +aS'.\t.\t.\tO\tO' +p294899 +asS'NECROTIZING PANCREATITIS .' +p294900 +(lp294901 +S'NECROTIZING\tNECROTIZING\tVBG\tB-NP\tO' +p294902 +aS'PANCREATITIS\tPANCREATITIS\tNNS\tI-NP\tO' +p294903 +aS'.\t.\t.\tO\tO' +p294904 +asS'Normocephalic , atraumatic .' +p294905 +(lp294906 +S'Normocephalic\tNormocephalic\tJJ\tB-NP\tO' +p294907 +aS',\t,\t,\tI-NP\tO' +p294908 +aS'atraumatic\tatraumatic\tJJ\tI-NP\tO' +p294909 +aS'.\t.\t.\tO\tO' +p294910 +asS'was performed .' +p294911 +(lp294912 +S'was\tbe\tVBD\tB-VP\tO' +p294913 +aS'performed\tperform\tVBN\tI-VP\tO' +p294914 +aS'.\t.\t.\tO\tO' +p294915 +asS'She had previous history of claudication .' +p294916 +(lp294917 +S'She\tShe\tPRP\tB-NP\tO' +p294918 +aS'had\thave\tVBD\tB-VP\tO' +p294919 +aS'previous\tprevious\tJJ\tB-NP\tO' +p294920 +aS'history\thistory\tNN\tI-NP\tO' +p294921 +aS'of\tof\tIN\tB-PP\tO' +p294922 +aS'claudication\tclaudication\tNN\tB-NP\tO' +p294923 +aS'.\t.\t.\tO\tO' +p294924 +asS'The patient presented with a chief complaint of FEVER .' +p294925 +(lp294926 +S'The\tThe\tDT\tB-NP\tO' +p294927 +aS'patient\tpatient\tNN\tI-NP\tO' +p294928 +aS'presented\tpresent\tVBD\tB-VP\tO' +p294929 +aS'with\twith\tIN\tB-PP\tO' +p294930 +aS'a\ta\tDT\tB-NP\tO' +p294931 +aS'chief\tchief\tJJ\tI-NP\tO' +p294932 +aS'complaint\tcomplaint\tNN\tI-NP\tO' +p294933 +aS'of\tof\tIN\tB-PP\tO' +p294934 +aS'FEVER\tFEVER\tNN\tB-NP\tB-protein' +p294935 +aS'.\t.\t.\tO\tO' +p294936 +asS'The patient also , following his first GI bleed , had an EEG done in 07/2003 which showed gastritis with oozing and evidence of a recent bleed .' +p294937 +(lp294938 +S'The\tThe\tDT\tB-NP\tO' +p294939 +aS'patient\tpatient\tNN\tI-NP\tO' +p294940 +aS'also\talso\tRB\tB-ADVP\tO' +p294941 +aS',\t,\t,\tO\tO' +p294942 +aS'following\tfollow\tVBG\tB-VP\tO' +p294943 +aS'his\this\tPRP$\tB-NP\tO' +p294944 +aS'first\tfirst\tJJ\tI-NP\tO' +p294945 +aS'GI\tGI\tNN\tI-NP\tO' +p294946 +aS'bleed\tbleed\tNN\tI-NP\tO' +p294947 +aS',\t,\t,\tO\tO' +p294948 +aS'had\thave\tVBD\tB-VP\tO' +p294949 +aS'an\tan\tDT\tB-NP\tO' +p294950 +aS'EEG\tEEG\tNN\tI-NP\tB-protein' +p294951 +aS'done\tdo\tVBN\tB-VP\tO' +p294952 +aS'in\tin\tIN\tB-PP\tO' +p294953 +aS'07/2003\t07/2003\tCD\tB-NP\tO' +p294954 +aS'which\twhich\tWDT\tB-NP\tO' +p294955 +aS'showed\tshow\tVBD\tB-VP\tO' +p294956 +aS'gastritis\tgastritis\tNN\tB-NP\tO' +p294957 +aS'with\twith\tIN\tB-PP\tO' +p294958 +aS'oozing\toozing\tNN\tB-NP\tO' +p294959 +aS'and\tand\tCC\tI-NP\tO' +p294960 +aS'evidence\tevidence\tNN\tI-NP\tO' +p294961 +aS'of\tof\tIN\tB-PP\tO' +p294962 +aS'a\ta\tDT\tB-NP\tO' +p294963 +aS'recent\trecent\tJJ\tI-NP\tO' +p294964 +aS'bleed\tbleed\tNN\tI-NP\tO' +p294965 +aS'.\t.\t.\tO\tO' +p294966 +asS'In the meantime , Lasix dosage is increased .' +p294967 +(lp294968 +S'In\tIn\tIN\tB-PP\tO' +p294969 +aS'the\tthe\tDT\tB-NP\tO' +p294970 +aS'meantime\tmeantime\tNN\tI-NP\tO' +p294971 +aS',\t,\t,\tO\tO' +p294972 +aS'Lasix\tLasix\tNN\tB-NP\tO' +p294973 +aS'dosage\tdosage\tNN\tI-NP\tO' +p294974 +aS'is\tbe\tVBZ\tB-VP\tO' +p294975 +aS'increased\tincrease\tVBN\tI-VP\tO' +p294976 +aS'.\t.\t.\tO\tO' +p294977 +asS'Pt was given racemic epinephrine and Decadron 10mg IV x1. CT neck showed tracheal mass per nursing s/o ( pt brought CT ) .' +p294978 +(lp294979 +S'Pt\tPt\tNN\tB-NP\tO' +p294980 +aS'was\tbe\tVBD\tB-VP\tO' +p294981 +aS'given\tgive\tVBN\tI-VP\tO' +p294982 +aS'racemic\tracemic\tJJ\tB-NP\tO' +p294983 +aS'epinephrine\tepinephrine\tNN\tI-NP\tO' +p294984 +aS'and\tand\tCC\tO\tO' +p294985 +aS'Decadron\tDecadron\tNNP\tB-NP\tO' +p294986 +aS'10mg\t10mg\tCD\tB-NP\tO' +p294987 +aS'IV\tIV\tCD\tI-NP\tO' +p294988 +aS'x1.\tx1.\tNN\tI-NP\tO' +p294989 +aS'CT\tCT\tNN\tI-NP\tO' +p294990 +aS'neck\tneck\tNN\tI-NP\tO' +p294991 +aS'showed\tshow\tVBD\tB-VP\tO' +p294992 +aS'tracheal\ttracheal\tJJ\tB-NP\tO' +p294993 +aS'mass\tmass\tNN\tI-NP\tO' +p294994 +aS'per\tper\tIN\tB-PP\tO' +p294995 +aS'nursing\tnurse\tVBG\tB-VP\tO' +p294996 +aS's/o\ts/o\tNN\tB-NP\tO' +p294997 +aS'(\t(\t(\tO\tO' +p294998 +aS'pt\tpt\tNN\tB-NP\tO' +p294999 +aS'brought\tbrought\tNN\tI-NP\tO' +p295000 +aS'CT\tCT\tNN\tI-NP\tO' +p295001 +aS')\t)\t)\tO\tO' +p295002 +aS'.\t.\t.\tO\tO' +p295003 +asS'The patient was admitted to the medical intensive care unit with question of sepsis .' +p295004 +(lp295005 +S'The\tThe\tDT\tB-NP\tO' +p295006 +aS'patient\tpatient\tNN\tI-NP\tO' +p295007 +aS'was\tbe\tVBD\tB-VP\tO' +p295008 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p295009 +aS'to\tto\tTO\tB-PP\tO' +p295010 +aS'the\tthe\tDT\tB-NP\tO' +p295011 +aS'medical\tmedical\tJJ\tI-NP\tO' +p295012 +aS'intensive\tintensive\tJJ\tI-NP\tO' +p295013 +aS'care\tcare\tNN\tI-NP\tO' +p295014 +aS'unit\tunit\tNN\tI-NP\tO' +p295015 +aS'with\twith\tIN\tB-PP\tO' +p295016 +aS'question\tquestion\tNN\tB-NP\tO' +p295017 +aS'of\tof\tIN\tB-PP\tO' +p295018 +aS'sepsis\tsepsis\tNN\tB-NP\tO' +p295019 +aS'.\t.\t.\tO\tO' +p295020 +asS'She had taken Maalox but had no relief with this .' +p295021 +(lp295022 +S'She\tShe\tPRP\tB-NP\tO' +p295023 +aS'had\thave\tVBD\tB-VP\tO' +p295024 +aS'taken\ttake\tVBN\tI-VP\tO' +p295025 +aS'Maalox\tMaalox\tNNP\tB-NP\tO' +p295026 +aS'but\tbut\tCC\tO\tO' +p295027 +aS'had\thave\tVBD\tB-VP\tO' +p295028 +aS'no\tno\tDT\tB-NP\tO' +p295029 +aS'relief\trelief\tNN\tI-NP\tO' +p295030 +aS'with\twith\tIN\tB-PP\tO' +p295031 +aS'this\tthis\tDT\tB-NP\tO' +p295032 +aS'.\t.\t.\tO\tO' +p295033 +asS'94 percent in room air and 96 percent on three liters .' +p295034 +(lp295035 +S'94\t94\tCD\tB-NP\tO' +p295036 +aS'percent\tpercent\tNN\tI-NP\tO' +p295037 +aS'in\tin\tIN\tB-PP\tO' +p295038 +aS'room\troom\tNN\tB-NP\tO' +p295039 +aS'air\tair\tNN\tI-NP\tO' +p295040 +aS'and\tand\tCC\tO\tO' +p295041 +aS'96\t96\tCD\tB-NP\tO' +p295042 +aS'percent\tpercent\tNN\tI-NP\tO' +p295043 +aS'on\ton\tIN\tB-PP\tO' +p295044 +aS'three\tthree\tCD\tB-NP\tO' +p295045 +aS'liters\tliter\tNNS\tI-NP\tO' +p295046 +aS'.\t.\t.\tO\tO' +p295047 +asS'Coagulation studies were 11.3/25.5/0.9 .' +p295048 +(lp295049 +S'Coagulation\tCoagulation\tNN\tB-NP\tO' +p295050 +aS'studies\tstudy\tNNS\tI-NP\tO' +p295051 +aS'were\tbe\tVBD\tB-VP\tO' +p295052 +aS'11.3/25.5/0.9\t11.3/25.5/0.9\tCD\tB-NP\tO' +p295053 +aS'.\t.\t.\tO\tO' +p295054 +asS'He received another unit pRBC on 08-07 .' +p295055 +(lp295056 +S'He\tHe\tPRP\tB-NP\tO' +p295057 +aS'received\treceive\tVBD\tB-VP\tO' +p295058 +aS'another\tanother\tDT\tB-NP\tO' +p295059 +aS'unit\tunit\tNN\tI-NP\tO' +p295060 +aS'pRBC\tpRBC\tNN\tI-NP\tO' +p295061 +aS'on\ton\tIN\tB-PP\tO' +p295062 +aS'08-07\t08-07\tCD\tB-NP\tO' +p295063 +aS'.\t.\t.\tO\tO' +p295064 +asS'Electrolytes were within normal limits .' +p295065 +(lp295066 +S'Electrolytes\tElectrolyte\tNNS\tB-NP\tO' +p295067 +aS'were\tbe\tVBD\tB-VP\tO' +p295068 +aS'within\twithin\tIN\tB-PP\tO' +p295069 +aS'normal\tnormal\tJJ\tB-NP\tO' +p295070 +aS'limits\tlimit\tNNS\tI-NP\tO' +p295071 +aS'.\t.\t.\tO\tO' +p295072 +asS'The patient appeared to have been covered by Ampicillin , Gentamycin and then Unasyn in the outside hospital .' +p295073 +(lp295074 +S'The\tThe\tDT\tB-NP\tO' +p295075 +aS'patient\tpatient\tNN\tI-NP\tO' +p295076 +aS'appeared\tappear\tVBD\tB-VP\tO' +p295077 +aS'to\tto\tTO\tI-VP\tO' +p295078 +aS'have\thave\tVB\tI-VP\tO' +p295079 +aS'been\tbe\tVBN\tI-VP\tO' +p295080 +aS'covered\tcover\tVBN\tI-VP\tO' +p295081 +aS'by\tby\tIN\tB-PP\tO' +p295082 +aS'Ampicillin\tAmpicillin\tNN\tB-NP\tB-protein' +p295083 +aS',\t,\t,\tO\tO' +p295084 +aS'Gentamycin\tGentamycin\tNN\tB-NP\tO' +p295085 +aS'and\tand\tCC\tB-NP\tO' +p295086 +aS'then\tthen\tRB\tI-NP\tO' +p295087 +aS'Unasyn\tUnasyn\tNN\tB-NP\tO' +p295088 +aS'in\tin\tIN\tB-PP\tO' +p295089 +aS'the\tthe\tDT\tB-NP\tO' +p295090 +aS'outside\toutside\tJJ\tI-NP\tO' +p295091 +aS'hospital\thospital\tNN\tI-NP\tO' +p295092 +aS'.\t.\t.\tO\tO' +p295093 +asS'MIXED MESODERMAL CANCER .' +p295094 +(lp295095 +S'MIXED\tMIXED\tVBN\tB-NP\tO' +p295096 +aS'MESODERMAL\tMESODERMAL\tNN\tI-NP\tO' +p295097 +aS'CANCER\tCANCER\tNN\tI-NP\tO' +p295098 +aS'.\t.\t.\tO\tO' +p295099 +asS'Her CA-125 on 6-27-91 , was 249 and on 8-29-91 , was 734 .' +p295100 +(lp295101 +S'Her\tHer\tPRP$\tB-NP\tO' +p295102 +aS'CA-125\tCA-125\tNN\tI-NP\tB-protein' +p295103 +aS'on\ton\tIN\tB-PP\tO' +p295104 +aS'6-27-91\t6-27-91\tNN\tB-NP\tO' +p295105 +aS',\t,\t,\tO\tO' +p295106 +aS'was\tbe\tVBD\tB-VP\tO' +p295107 +aS'249\t249\tCD\tB-NP\tO' +p295108 +aS'and\tand\tCC\tO\tO' +p295109 +aS'on\ton\tIN\tB-PP\tO' +p295110 +aS'8-29-91\t8-29-91\tCD\tB-NP\tO' +p295111 +aS',\t,\t,\tO\tO' +p295112 +aS'was\tbe\tVBD\tB-VP\tO' +p295113 +aS'734\t734\tCD\tB-NP\tO' +p295114 +aS'.\t.\t.\tO\tO' +p295115 +asS'The intra-aortic balloon pump was discontinued on day two .' +p295116 +(lp295117 +S'The\tThe\tDT\tB-NP\tO' +p295118 +aS'intra-aortic\tintra-aortic\tJJ\tI-NP\tO' +p295119 +aS'balloon\tballoon\tNN\tI-NP\tO' +p295120 +aS'pump\tpump\tNN\tI-NP\tO' +p295121 +aS'was\tbe\tVBD\tB-VP\tO' +p295122 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p295123 +aS'on\ton\tIN\tB-PP\tO' +p295124 +aS'day\tday\tNN\tB-NP\tO' +p295125 +aS'two\ttwo\tCD\tI-NP\tO' +p295126 +aS'.\t.\t.\tO\tO' +p295127 +asS'Please follow-up the biopsy results with your doctor .' +p295128 +(lp295129 +S'Please\tPlease\tVB\tB-VP\tO' +p295130 +aS'follow-up\tfollow-up\tJJ\tB-ADJP\tO' +p295131 +aS'the\tthe\tDT\tB-NP\tO' +p295132 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p295133 +aS'results\tresult\tVBZ\tB-VP\tO' +p295134 +aS'with\twith\tIN\tB-PP\tO' +p295135 +aS'your\tyour\tPRP$\tB-NP\tO' +p295136 +aS'doctor\tdoctor\tNN\tI-NP\tO' +p295137 +aS'.\t.\t.\tO\tO' +p295138 +asS'However , her creatinine continued to increase .' +p295139 +(lp295140 +S'However\tHowever\tRB\tB-ADVP\tO' +p295141 +aS',\t,\t,\tO\tO' +p295142 +aS'her\ther\tPRP$\tB-NP\tO' +p295143 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p295144 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p295145 +aS'to\tto\tTO\tI-VP\tO' +p295146 +aS'increase\tincrease\tVB\tI-VP\tO' +p295147 +aS'.\t.\t.\tO\tO' +p295148 +asS'CT Chest - shows bilateral segmental , subsegmental PEs' +p295149 +(lp295150 +S'CT\tCT\tNN\tB-NP\tO' +p295151 +aS'Chest\tChest\tNNP\tI-NP\tO' +p295152 +aS'-\t-\tHYPH\tO\tO' +p295153 +aS'shows\tshow\tVBZ\tB-VP\tO' +p295154 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p295155 +aS'segmental\tsegmental\tJJ\tI-NP\tO' +p295156 +aS',\t,\t,\tI-NP\tO' +p295157 +aS'subsegmental\tsubsegmental\tJJ\tI-NP\tO' +p295158 +aS'PEs\tPE\tNNS\tI-NP\tO' +p295159 +asS'The patient 's hematocrit was 33% on admission and fell to 28 requiring 4 units of packed red blood cells over the course of his hospitalization .' +p295160 +(lp295161 +S'The\tThe\tDT\tB-NP\tO' +p295162 +aS'patient\tpatient\tNN\tI-NP\tO' +p295163 +aS''s\t'\tNNS\tI-NP\tO' +p295164 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p295165 +aS'was\tbe\tVBD\tB-VP\tO' +p295166 +aS'33%\t33%\tNN\tB-NP\tO' +p295167 +aS'on\ton\tIN\tB-PP\tO' +p295168 +aS'admission\tadmission\tNN\tB-NP\tO' +p295169 +aS'and\tand\tCC\tO\tO' +p295170 +aS'fell\tfall\tVBD\tB-VP\tO' +p295171 +aS'to\tto\tTO\tB-PP\tO' +p295172 +aS'28\t28\tCD\tB-NP\tO' +p295173 +aS'requiring\trequire\tVBG\tB-VP\tO' +p295174 +aS'4\t4\tCD\tB-NP\tO' +p295175 +aS'units\tunit\tNNS\tI-NP\tO' +p295176 +aS'of\tof\tIN\tB-PP\tO' +p295177 +aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' +p295178 +aS'red\tred\tJJ\tI-NP\tI-cell_type' +p295179 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p295180 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p295181 +aS'over\tover\tIN\tB-PP\tO' +p295182 +aS'the\tthe\tDT\tB-NP\tO' +p295183 +aS'course\tcourse\tNN\tI-NP\tO' +p295184 +aS'of\tof\tIN\tB-PP\tO' +p295185 +aS'his\this\tPRP$\tB-NP\tO' +p295186 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p295187 +aS'.\t.\t.\tO\tO' +p295188 +asS'Initial chest x-ray in the CMED showed haziness in the left lower lobe and patchy areas on the right side consistent with concerns for pneumonia .' +p295189 +(lp295190 +S'Initial\tInitial\tJJ\tB-NP\tO' +p295191 +aS'chest\tchest\tNN\tI-NP\tO' +p295192 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p295193 +aS'in\tin\tIN\tB-PP\tO' +p295194 +aS'the\tthe\tDT\tB-NP\tO' +p295195 +aS'CMED\tCMED\tNN\tI-NP\tO' +p295196 +aS'showed\tshow\tVBD\tB-VP\tO' +p295197 +aS'haziness\thaziness\tNN\tB-NP\tO' +p295198 +aS'in\tin\tIN\tB-PP\tO' +p295199 +aS'the\tthe\tDT\tB-NP\tO' +p295200 +aS'left\tleft\tJJ\tI-NP\tO' +p295201 +aS'lower\tlow\tJJR\tI-NP\tO' +p295202 +aS'lobe\tlobe\tNN\tI-NP\tO' +p295203 +aS'and\tand\tCC\tO\tO' +p295204 +aS'patchy\tpatchy\tJJ\tB-NP\tO' +p295205 +aS'areas\tarea\tNNS\tI-NP\tO' +p295206 +aS'on\ton\tIN\tB-PP\tO' +p295207 +aS'the\tthe\tDT\tB-NP\tO' +p295208 +aS'right\tright\tJJ\tI-NP\tO' +p295209 +aS'side\tside\tNN\tI-NP\tO' +p295210 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p295211 +aS'with\twith\tIN\tB-PP\tO' +p295212 +aS'concerns\tconcern\tNNS\tB-NP\tO' +p295213 +aS'for\tfor\tIN\tB-PP\tO' +p295214 +aS'pneumonia\tpneumonia\tNN\tB-NP\tO' +p295215 +aS'.\t.\t.\tO\tO' +p295216 +asS'Patient unresponsive to verbal command , sternal rub .' +p295217 +(lp295218 +S'Patient\tPatient\tNN\tB-NP\tO' +p295219 +aS'unresponsive\tunresponsive\tJJ\tB-ADJP\tO' +p295220 +aS'to\tto\tTO\tB-PP\tO' +p295221 +aS'verbal\tverbal\tJJ\tB-NP\tO' +p295222 +aS'command\tcommand\tNN\tI-NP\tO' +p295223 +aS',\t,\t,\tO\tO' +p295224 +aS'sternal\tsternal\tJJ\tB-NP\tO' +p295225 +aS'rub\trub\tNN\tI-NP\tO' +p295226 +aS'.\t.\t.\tO\tO' +p295227 +asS'Mean blood pressure has been 46 to 54 .' +p295228 +(lp295229 +S'Mean\tMean\tJJ\tB-NP\tO' +p295230 +aS'blood\tblood\tNN\tI-NP\tO' +p295231 +aS'pressure\tpressure\tNN\tI-NP\tO' +p295232 +aS'has\thave\tVBZ\tB-VP\tO' +p295233 +aS'been\tbe\tVBN\tI-VP\tO' +p295234 +aS'46\t46\tCD\tB-NP\tO' +p295235 +aS'to\tto\tTO\tB-PP\tO' +p295236 +aS'54\t54\tCD\tB-NP\tO' +p295237 +aS'.\t.\t.\tO\tO' +p295238 +asS'On 9/5/93 , hematocrit 48 , white blood count 11.2 , neutrophiles 67 , bands 14 , lymphs 11 , monos 6% , meta 2% , platelets 220,000 .' +p295239 +(lp295240 +S'On\tOn\tIN\tB-PP\tO' +p295241 +aS'9/5/93\t9/5/93\tCD\tB-NP\tO' +p295242 +aS',\t,\t,\tO\tO' +p295243 +aS'hematocrit\thematocrit\tNN\tB-NP\tO' +p295244 +aS'48\t48\tCD\tI-NP\tO' +p295245 +aS',\t,\t,\tO\tO' +p295246 +aS'white\twhite\tJJ\tB-NP\tO' +p295247 +aS'blood\tblood\tNN\tI-NP\tO' +p295248 +aS'count\tcount\tNN\tI-NP\tO' +p295249 +aS'11.2\t11.2\tCD\tI-NP\tO' +p295250 +aS',\t,\t,\tO\tO' +p295251 +aS'neutrophiles\tneutrophile\tNNS\tB-NP\tO' +p295252 +aS'67\t67\tCD\tB-NP\tO' +p295253 +aS',\t,\t,\tO\tO' +p295254 +aS'bands\tband\tNNS\tB-NP\tB-protein' +p295255 +aS'14\t14\tCD\tB-NP\tI-protein' +p295256 +aS',\t,\t,\tO\tO' +p295257 +aS'lymphs\tlymph\tNNS\tB-NP\tO' +p295258 +aS'11\t11\tCD\tB-NP\tO' +p295259 +aS',\t,\t,\tO\tO' +p295260 +aS'monos\tmono\tNNS\tB-NP\tO' +p295261 +aS'6%\t6%\tCD\tB-NP\tO' +p295262 +aS',\t,\t,\tO\tO' +p295263 +aS'meta\tmeta\tJJ\tB-NP\tB-DNA' +p295264 +aS'2%\t2%\tNN\tI-NP\tI-DNA' +p295265 +aS',\t,\t,\tO\tO' +p295266 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p295267 +aS'220,000\t220,000\tCD\tB-NP\tO' +p295268 +aS'.\t.\t.\tO\tO' +p295269 +asS'Dr. Ca Shuff .' +p295270 +(lp295271 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p295272 +aS'Ca\tCa\tNNP\tI-NP\tO' +p295273 +aS'Shuff\tShuff\tNNP\tI-NP\tO' +p295274 +aS'.\t.\t.\tO\tO' +p295275 +asS'N. Saez clinic consult was obtained due to hyperglycemia and the need for insulin drip in the Intensive Care Unit .' +p295276 +(lp295277 +S'N.\tN.\tNNP\tB-NP\tO' +p295278 +aS'Saez\tSaez\tNNP\tI-NP\tO' +p295279 +aS'clinic\tclinic\tNN\tI-NP\tO' +p295280 +aS'consult\tconsult\tNN\tI-NP\tO' +p295281 +aS'was\tbe\tVBD\tB-VP\tO' +p295282 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p295283 +aS'due\tdue\tJJ\tB-ADJP\tO' +p295284 +aS'to\tto\tTO\tB-PP\tO' +p295285 +aS'hyperglycemia\thyperglycemia\tNN\tB-NP\tO' +p295286 +aS'and\tand\tCC\tO\tO' +p295287 +aS'the\tthe\tDT\tB-NP\tO' +p295288 +aS'need\tneed\tNN\tI-NP\tO' +p295289 +aS'for\tfor\tIN\tB-PP\tO' +p295290 +aS'insulin\tinsulin\tNN\tB-NP\tB-protein' +p295291 +aS'drip\tdrip\tNN\tI-NP\tI-protein' +p295292 +aS'in\tin\tIN\tB-PP\tO' +p295293 +aS'the\tthe\tDT\tB-NP\tO' +p295294 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p295295 +aS'Care\tCare\tNNP\tI-NP\tO' +p295296 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p295297 +aS'.\t.\t.\tO\tO' +p295298 +asS'Her abdomen was benign .' +p295299 +(lp295300 +S'Her\tHer\tPRP$\tB-NP\tO' +p295301 +aS'abdomen\tabdoman\tNNS\tI-NP\tO' +p295302 +aS'was\tbe\tVBD\tB-VP\tO' +p295303 +aS'benign\tbenign\tJJ\tB-ADJP\tO' +p295304 +aS'.\t.\t.\tO\tO' +p295305 +asS'She also denies any recent cough , chest pain , chest palpitations , heart racing .' +p295306 +(lp295307 +S'She\tShe\tPRP\tB-NP\tO' +p295308 +aS'also\talso\tRB\tB-ADVP\tO' +p295309 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p295310 +aS'any\tany\tDT\tB-NP\tO' +p295311 +aS'recent\trecent\tJJ\tI-NP\tO' +p295312 +aS'cough\tcough\tNN\tI-NP\tO' +p295313 +aS',\t,\t,\tO\tO' +p295314 +aS'chest\tchest\tNN\tB-NP\tO' +p295315 +aS'pain\tpain\tNN\tI-NP\tO' +p295316 +aS',\t,\t,\tO\tO' +p295317 +aS'chest\tchest\tNN\tB-NP\tO' +p295318 +aS'palpitations\tpalpitation\tNNS\tI-NP\tO' +p295319 +aS',\t,\t,\tO\tO' +p295320 +aS'heart\theart\tNN\tB-NP\tO' +p295321 +aS'racing\tracing\tNN\tI-NP\tO' +p295322 +aS'.\t.\t.\tO\tO' +p295323 +asS'Also managed with Valium 5 mg PO t.i.d.' +p295324 +(lp295325 +S'Also\tAlso\tRB\tB-ADVP\tO' +p295326 +aS'managed\tmanage\tVBN\tB-VP\tO' +p295327 +aS'with\twith\tIN\tB-PP\tO' +p295328 +aS'Valium\tValium\tNN\tB-NP\tO' +p295329 +aS'5\t5\tCD\tI-NP\tO' +p295330 +aS'mg\tmg\tNN\tI-NP\tO' +p295331 +aS'PO\tPO\tNN\tI-NP\tO' +p295332 +aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' +p295333 +asS'Chest is clear with decreased breath sounds at the left base .' +p295334 +(lp295335 +S'Chest\tChest\tNNP\tB-NP\tO' +p295336 +aS'is\tbe\tVBZ\tB-VP\tO' +p295337 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p295338 +aS'with\twith\tIN\tB-PP\tO' +p295339 +aS'decreased\tdecrease\tVBN\tB-NP\tO' +p295340 +aS'breath\tbreath\tNN\tI-NP\tO' +p295341 +aS'sounds\tsound\tNNS\tI-NP\tO' +p295342 +aS'at\tat\tIN\tB-PP\tO' +p295343 +aS'the\tthe\tDT\tB-NP\tO' +p295344 +aS'left\tleft\tJJ\tI-NP\tO' +p295345 +aS'base\tbase\tNN\tI-NP\tO' +p295346 +aS'.\t.\t.\tO\tO' +p295347 +asS'She was given lasix and 2 mg IV morphine at New England Sinai Hospital & Rehab Center Rehab , and sent to Nantucket Cottage Hospital for further evaluation .' +p295348 +(lp295349 +S'She\tShe\tPRP\tB-NP\tO' +p295350 +aS'was\tbe\tVBD\tB-VP\tO' +p295351 +aS'given\tgive\tVBN\tI-VP\tO' +p295352 +aS'lasix\tlasix\tCD\tB-NP\tO' +p295353 +aS'and\tand\tCC\tI-NP\tO' +p295354 +aS'2\t2\tCD\tI-NP\tO' +p295355 +aS'mg\tmg\tNN\tI-NP\tO' +p295356 +aS'IV\tIV\tCD\tB-NP\tO' +p295357 +aS'morphine\tmorphine\tNN\tI-NP\tO' +p295358 +aS'at\tat\tIN\tB-PP\tO' +p295359 +aS'New\tNew\tNNP\tB-NP\tO' +p295360 +aS'England\tEngland\tNNP\tI-NP\tO' +p295361 +aS'Sinai\tSinai\tNNP\tI-NP\tO' +p295362 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p295363 +aS'&\t&\tCC\tI-NP\tO' +p295364 +aS'Rehab\tRehab\tNNP\tI-NP\tO' +p295365 +aS'Center\tCenter\tNNP\tI-NP\tO' +p295366 +aS'Rehab\tRehab\tNNP\tI-NP\tO' +p295367 +aS',\t,\t,\tO\tO' +p295368 +aS'and\tand\tCC\tO\tO' +p295369 +aS'sent\tsend\tVBN\tB-VP\tO' +p295370 +aS'to\tto\tTO\tB-PP\tO' +p295371 +aS'Nantucket\tNantucket\tNNP\tB-NP\tO' +p295372 +aS'Cottage\tCottage\tNNP\tI-NP\tO' +p295373 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p295374 +aS'for\tfor\tIN\tB-PP\tO' +p295375 +aS'further\tfurther\tJJ\tB-NP\tO' +p295376 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p295377 +aS'.\t.\t.\tO\tO' +p295378 +asS'3. Metoprolol Tartrate 50 mg Tablet Sig :One ( 1 ) Tablet PO BID ( 2 times a day ) .' +p295379 +(lp295380 +S'3.\t3.\tLS\tB-NP\tO' +p295381 +aS'Metoprolol\tMetoprolol\tNN\tI-NP\tO' +p295382 +aS'Tartrate\tTartrate\tNN\tI-NP\tO' +p295383 +aS'50\t50\tCD\tI-NP\tO' +p295384 +aS'mg\tmg\tNN\tI-NP\tO' +p295385 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p295386 +aS'Sig\tSig\tNNP\tI-NP\tB-protein' +p295387 +aS':One\t:One\tNNP\tI-NP\tO' +p295388 +aS'(\t(\t(\tO\tO' +p295389 +aS'1\t1\tCD\tO\tO' +p295390 +aS')\t)\t)\tO\tO' +p295391 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p295392 +aS'PO\tPO\tNN\tI-NP\tO' +p295393 +aS'BID\tBID\tNN\tI-NP\tO' +p295394 +aS'(\t(\t(\tO\tO' +p295395 +aS'2\t2\tCD\tB-NP\tO' +p295396 +aS'times\ttime\tNNS\tI-NP\tO' +p295397 +aS'a\ta\tDT\tB-NP\tO' +p295398 +aS'day\tday\tNN\tI-NP\tO' +p295399 +aS')\t)\t)\tO\tO' +p295400 +aS'.\t.\t.\tO\tO' +p295401 +asS'Proventil 2 puffs q6hours prn .' +p295402 +(lp295403 +S'Proventil\tProventil\tIN\tB-PP\tO' +p295404 +aS'2\t2\tCD\tB-NP\tO' +p295405 +aS'puffs\tpuff\tNNS\tI-NP\tO' +p295406 +aS'q6hours\tq6hour\tNNS\tI-NP\tO' +p295407 +aS'prn\tprn\tNN\tI-NP\tO' +p295408 +aS'.\t.\t.\tO\tO' +p295409 +asS'1. He is instructed to follow-up with Dr. Holloway in four weeks .' +p295410 +(lp295411 +S'1.\t1.\tLS\tB-LST\tO' +p295412 +aS'He\tHe\tPRP\tB-NP\tO' +p295413 +aS'is\tbe\tVBZ\tB-VP\tO' +p295414 +aS'instructed\tinstruct\tVBN\tI-VP\tO' +p295415 +aS'to\tto\tTO\tI-VP\tO' +p295416 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p295417 +aS'with\twith\tIN\tB-PP\tO' +p295418 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p295419 +aS'Holloway\tHolloway\tNNP\tI-NP\tO' +p295420 +aS'in\tin\tIN\tB-PP\tO' +p295421 +aS'four\tfour\tCD\tB-NP\tO' +p295422 +aS'weeks\tweek\tNNS\tI-NP\tO' +p295423 +aS'.\t.\t.\tO\tO' +p295424 +asS'Left Shoulder / Neck strain / sprain .' +p295425 +(lp295426 +S'Left\tLeave\tVBN\tB-NP\tO' +p295427 +aS'Shoulder\tShoulder\tNN\tI-NP\tO' +p295428 +aS'/\t/\tSYM\tO\tO' +p295429 +aS'Neck\tNeck\tNN\tB-NP\tO' +p295430 +aS'strain\tstrain\tNN\tI-NP\tO' +p295431 +aS'/\t/\tSYM\tB-NP\tO' +p295432 +aS'sprain\tsprain\tNN\tI-NP\tO' +p295433 +aS'.\t.\t.\tO\tO' +p295434 +asS'On the day of presentation , he was then found by his daughter lying on his bed groaning , being relatively unresponsive and unable to speak .' +p295435 +(lp295436 +S'On\tOn\tIN\tB-PP\tO' +p295437 +aS'the\tthe\tDT\tB-NP\tO' +p295438 +aS'day\tday\tNN\tI-NP\tO' +p295439 +aS'of\tof\tIN\tB-PP\tO' +p295440 +aS'presentation\tpresentation\tNN\tB-NP\tO' +p295441 +aS',\t,\t,\tO\tO' +p295442 +aS'he\the\tPRP\tB-NP\tO' +p295443 +aS'was\tbe\tVBD\tB-VP\tO' +p295444 +aS'then\tthen\tRB\tI-VP\tO' +p295445 +aS'found\tfind\tVBN\tI-VP\tO' +p295446 +aS'by\tby\tIN\tB-PP\tO' +p295447 +aS'his\this\tPRP$\tB-NP\tO' +p295448 +aS'daughter\tdaughter\tNN\tI-NP\tO' +p295449 +aS'lying\tlie\tVBG\tB-VP\tO' +p295450 +aS'on\ton\tIN\tB-PP\tO' +p295451 +aS'his\this\tPRP$\tB-NP\tO' +p295452 +aS'bed\tbed\tNN\tI-NP\tO' +p295453 +aS'groaning\tgroaning\tNN\tI-NP\tO' +p295454 +aS',\t,\t,\tO\tO' +p295455 +aS'being\tbe\tVBG\tB-VP\tO' +p295456 +aS'relatively\trelatively\tRB\tB-ADJP\tO' +p295457 +aS'unresponsive\tunresponsive\tJJ\tI-ADJP\tO' +p295458 +aS'and\tand\tCC\tI-ADJP\tO' +p295459 +aS'unable\tunable\tJJ\tI-ADJP\tO' +p295460 +aS'to\tto\tTO\tB-VP\tO' +p295461 +aS'speak\tspeak\tVB\tI-VP\tO' +p295462 +aS'.\t.\t.\tO\tO' +p295463 +asS'Lives alone in apartment in Boston .' +p295464 +(lp295465 +S'Lives\tLife\tNNS\tB-NP\tO' +p295466 +aS'alone\talone\tRB\tB-ADVP\tO' +p295467 +aS'in\tin\tIN\tB-PP\tO' +p295468 +aS'apartment\tapartment\tNN\tB-NP\tO' +p295469 +aS'in\tin\tIN\tB-PP\tO' +p295470 +aS'Boston\tBoston\tNNP\tB-NP\tO' +p295471 +aS'.\t.\t.\tO\tO' +p295472 +asS'On the date of transfer , temperature 98.5 , heart rate 80 and irregular , blood pressure 140/60 , oxygen saturation 100% in room air .' +p295473 +(lp295474 +S'On\tOn\tIN\tB-PP\tO' +p295475 +aS'the\tthe\tDT\tB-NP\tO' +p295476 +aS'date\tdate\tNN\tI-NP\tO' +p295477 +aS'of\tof\tIN\tB-PP\tO' +p295478 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p295479 +aS',\t,\t,\tO\tO' +p295480 +aS'temperature\ttemperature\tNN\tB-NP\tB-protein' +p295481 +aS'98.5\t98.5\tCD\tI-NP\tI-protein' +p295482 +aS',\t,\t,\tO\tO' +p295483 +aS'heart\theart\tNN\tB-NP\tO' +p295484 +aS'rate\trate\tNN\tI-NP\tO' +p295485 +aS'80\t80\tCD\tB-NP\tO' +p295486 +aS'and\tand\tCC\tI-NP\tO' +p295487 +aS'irregular\tirregular\tJJ\tI-NP\tO' +p295488 +aS',\t,\t,\tI-NP\tO' +p295489 +aS'blood\tblood\tNN\tI-NP\tO' +p295490 +aS'pressure\tpressure\tNN\tI-NP\tO' +p295491 +aS'140/60\t140/60\tCD\tI-NP\tO' +p295492 +aS',\t,\t,\tO\tO' +p295493 +aS'oxygen\toxygen\tNN\tB-NP\tO' +p295494 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p295495 +aS'100%\t100%\tCD\tI-NP\tO' +p295496 +aS'in\tin\tIN\tB-PP\tO' +p295497 +aS'room\troom\tNN\tB-NP\tO' +p295498 +aS'air\tair\tNN\tI-NP\tO' +p295499 +aS'.\t.\t.\tO\tO' +p295500 +asS'3. Percocet , 5/325 , 1-2 tabs PO q4-6h prn pain .' +p295501 +(lp295502 +S'3.\t3.\tLS\tB-NP\tO' +p295503 +aS'Percocet\tPercocet\tNNP\tI-NP\tO' +p295504 +aS',\t,\t,\tO\tO' +p295505 +aS'5/325\t5/325\tCD\tB-NP\tO' +p295506 +aS',\t,\t,\tO\tO' +p295507 +aS'1-2\t1-2\tCD\tB-NP\tO' +p295508 +aS'tabs\ttab\tNNS\tI-NP\tO' +p295509 +aS'PO\tPO\tNN\tI-NP\tO' +p295510 +aS'q4-6h\tq4-6h\tNN\tI-NP\tO' +p295511 +aS'prn\tprn\tNN\tI-NP\tO' +p295512 +aS'pain\tpain\tNN\tI-NP\tO' +p295513 +aS'.\t.\t.\tO\tO' +p295514 +asS'He initially required a face mask to keep his saturation above 90% .' +p295515 +(lp295516 +S'He\tHe\tPRP\tB-NP\tO' +p295517 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p295518 +aS'required\trequire\tVBD\tB-VP\tO' +p295519 +aS'a\ta\tDT\tB-NP\tO' +p295520 +aS'face\tface\tNN\tI-NP\tO' +p295521 +aS'mask\tmask\tNN\tI-NP\tO' +p295522 +aS'to\tto\tTO\tB-VP\tO' +p295523 +aS'keep\tkeep\tVB\tI-VP\tO' +p295524 +aS'his\this\tPRP$\tB-NP\tO' +p295525 +aS'saturation\tsaturation\tNN\tI-NP\tB-protein' +p295526 +aS'above\tabove\tIN\tB-PP\tI-protein' +p295527 +aS'90%\t90%\tCD\tB-NP\tI-protein' +p295528 +aS'.\t.\t.\tO\tO' +p295529 +asS'The patient is a 74-year-old woman , well known to the cardiac surgery service , readmitted from Glasmif/putdi Health Network with sternal wound infection .' +p295530 +(lp295531 +S'The\tThe\tDT\tB-NP\tO' +p295532 +aS'patient\tpatient\tNN\tI-NP\tO' +p295533 +aS'is\tbe\tVBZ\tB-VP\tO' +p295534 +aS'a\ta\tDT\tB-NP\tO' +p295535 +aS'74-year-old\t74-year-old\tJJ\tI-NP\tO' +p295536 +aS'woman\twoman\tNN\tI-NP\tO' +p295537 +aS',\t,\t,\tO\tO' +p295538 +aS'well\twell\tRB\tB-VP\tO' +p295539 +aS'known\tknow\tVBN\tI-VP\tO' +p295540 +aS'to\tto\tTO\tB-PP\tO' +p295541 +aS'the\tthe\tDT\tB-NP\tO' +p295542 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p295543 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p295544 +aS'service\tservice\tNN\tI-NP\tO' +p295545 +aS',\t,\t,\tO\tO' +p295546 +aS'readmitted\treadmitte\tVBN\tB-VP\tO' +p295547 +aS'from\tfrom\tIN\tB-PP\tO' +p295548 +aS'Glasmif/putdi\tGlasmif/putdi\tNNP\tB-NP\tO' +p295549 +aS'Health\tHealth\tNNP\tI-NP\tO' +p295550 +aS'Network\tNetwork\tNNP\tI-NP\tO' +p295551 +aS'with\twith\tIN\tB-PP\tO' +p295552 +aS'sternal\tsternal\tJJ\tB-NP\tO' +p295553 +aS'wound\twound\tNN\tI-NP\tO' +p295554 +aS'infection\tinfection\tNN\tI-NP\tO' +p295555 +aS'.\t.\t.\tO\tO' +p295556 +asS'His chest tubes were removed .' +p295557 +(lp295558 +S'His\tHis\tPRP$\tB-NP\tB-protein' +p295559 +aS'chest\tch\tJJS\tI-NP\tO' +p295560 +aS'tubes\ttube\tNNS\tI-NP\tO' +p295561 +aS'were\tbe\tVBD\tB-VP\tO' +p295562 +aS'removed\tremove\tVBN\tI-VP\tO' +p295563 +aS'.\t.\t.\tO\tO' +p295564 +asS"Father died in his 80 's of pacemaker failure , also had a myocardial infarction in his 70 's." +p295565 +(lp295566 +S'Father\tFather\tNNP\tB-NP\tO' +p295567 +aS'died\tdie\tVBD\tB-VP\tO' +p295568 +aS'in\tin\tIN\tB-PP\tO' +p295569 +aS'his\this\tPRP$\tB-NP\tO' +p295570 +aS'80\t80\tCD\tI-NP\tO' +p295571 +aS"'s\t'\tNNS\tI-NP\tO" +p295572 +aS'of\tof\tIN\tB-PP\tO' +p295573 +aS'pacemaker\tpacemaker\tNN\tB-NP\tO' +p295574 +aS'failure\tfailure\tNN\tI-NP\tO' +p295575 +aS',\t,\t,\tO\tO' +p295576 +aS'also\talso\tRB\tB-ADVP\tO' +p295577 +aS'had\thave\tVBD\tB-VP\tO' +p295578 +aS'a\ta\tDT\tB-NP\tO' +p295579 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p295580 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p295581 +aS'in\tin\tIN\tB-PP\tO' +p295582 +aS'his\this\tPRP$\tB-NP\tO' +p295583 +aS'70\t70\tCD\tI-NP\tO' +p295584 +aS"'s.\t's.\tPOS\tB-NP\tO" +p295585 +asS'The patient informs his primary care provider who referred him to the emergency room .' +p295586 +(lp295587 +S'The\tThe\tDT\tB-NP\tO' +p295588 +aS'patient\tpatient\tNN\tI-NP\tO' +p295589 +aS'informs\tinform\tVBZ\tB-VP\tO' +p295590 +aS'his\this\tPRP$\tB-NP\tO' +p295591 +aS'primary\tprimary\tJJ\tI-NP\tO' +p295592 +aS'care\tcare\tNN\tI-NP\tO' +p295593 +aS'provider\tprovider\tNN\tI-NP\tO' +p295594 +aS'who\twho\tWP\tB-NP\tO' +p295595 +aS'referred\trefer\tVBD\tB-VP\tO' +p295596 +aS'him\thim\tPRP\tB-NP\tO' +p295597 +aS'to\tto\tTO\tB-PP\tO' +p295598 +aS'the\tthe\tDT\tB-NP\tO' +p295599 +aS'emergency\temergency\tNN\tI-NP\tO' +p295600 +aS'room\troom\tNN\tI-NP\tO' +p295601 +aS'.\t.\t.\tO\tO' +p295602 +asS'Abdomen soft , nontender and distended .' +p295603 +(lp295604 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p295605 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p295606 +aS',\t,\t,\tI-ADJP\tO' +p295607 +aS'nontender\tnontender\tJJ\tI-ADJP\tO' +p295608 +aS'and\tand\tCC\tI-ADJP\tO' +p295609 +aS'distended\tdistended\tJJ\tI-ADJP\tO' +p295610 +aS'.\t.\t.\tO\tO' +p295611 +asS'This would likely less represent asymmetric pulmonary edema .' +p295612 +(lp295613 +S'This\tThis\tDT\tB-NP\tO' +p295614 +aS'would\twould\tMD\tB-VP\tO' +p295615 +aS'likely\tlikely\tRB\tI-VP\tO' +p295616 +aS'less\tless\tRBR\tI-VP\tO' +p295617 +aS'represent\trepresent\tVB\tI-VP\tO' +p295618 +aS'asymmetric\tasymmetric\tJJ\tB-NP\tO' +p295619 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p295620 +aS'edema\tedema\tNN\tI-NP\tO' +p295621 +aS'.\t.\t.\tO\tO' +p295622 +asS'LP was done to evaluate for malignancy , and no malignant cells were seen .' +p295623 +(lp295624 +S'LP\tLP\tNN\tB-NP\tO' +p295625 +aS'was\tbe\tVBD\tB-VP\tO' +p295626 +aS'done\tdo\tVBN\tI-VP\tO' +p295627 +aS'to\tto\tTO\tI-VP\tO' +p295628 +aS'evaluate\tevaluate\tVB\tI-VP\tO' +p295629 +aS'for\tfor\tIN\tB-PP\tO' +p295630 +aS'malignancy\tmalignancy\tNN\tB-NP\tO' +p295631 +aS',\t,\t,\tO\tO' +p295632 +aS'and\tand\tCC\tO\tO' +p295633 +aS'no\tno\tDT\tB-NP\tO' +p295634 +aS'malignant\tmalignant\tJJ\tI-NP\tB-cell_type' +p295635 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p295636 +aS'were\tbe\tVBD\tB-VP\tO' +p295637 +aS'seen\tsee\tVBN\tI-VP\tO' +p295638 +aS'.\t.\t.\tO\tO' +p295639 +asS'Overall , no acute cardiopulmonary abnormality .' +p295640 +(lp295641 +S'Overall\tOverall\tRB\tB-ADVP\tO' +p295642 +aS',\t,\t,\tO\tO' +p295643 +aS'no\tno\tDT\tB-NP\tO' +p295644 +aS'acute\tacute\tJJ\tI-NP\tO' +p295645 +aS'cardiopulmonary\tcardiopulmonary\tJJ\tI-NP\tO' +p295646 +aS'abnormality\tabnormality\tNN\tI-NP\tO' +p295647 +aS'.\t.\t.\tO\tO' +p295648 +asS'The pt required calcium gluconate x1 the day prior to discharge .' +p295649 +(lp295650 +S'The\tThe\tDT\tB-NP\tO' +p295651 +aS'pt\tpt\tNN\tI-NP\tO' +p295652 +aS'required\trequire\tVBD\tB-VP\tO' +p295653 +aS'calcium\tcalcium\tNN\tB-NP\tO' +p295654 +aS'gluconate\tgluconate\tNN\tI-NP\tO' +p295655 +aS'x1\tx1\tCD\tI-NP\tO' +p295656 +aS'the\tthe\tDT\tB-NP\tO' +p295657 +aS'day\tday\tNN\tI-NP\tO' +p295658 +aS'prior\tprior\tRB\tB-ADVP\tO' +p295659 +aS'to\tto\tTO\tB-VP\tO' +p295660 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p295661 +aS'.\t.\t.\tO\tO' +p295662 +asS'Lovenox was held until follow-up with primary care doctor .' +p295663 +(lp295664 +S'Lovenox\tLovenox\tNN\tB-NP\tO' +p295665 +aS'was\tbe\tVBD\tB-VP\tO' +p295666 +aS'held\thold\tVBN\tI-VP\tO' +p295667 +aS'until\tuntil\tIN\tB-PP\tO' +p295668 +aS'follow-up\tfollow-up\tNN\tB-NP\tO' +p295669 +aS'with\twith\tIN\tB-PP\tO' +p295670 +aS'primary\tprimary\tJJ\tB-NP\tO' +p295671 +aS'care\tcare\tNN\tI-NP\tO' +p295672 +aS'doctor\tdoctor\tNN\tI-NP\tO' +p295673 +aS'.\t.\t.\tO\tO' +p295674 +asS'He had been noting night sweats , increasing fatigue , anorexia , and dyspnea , which were not particularly improved by increased transfusions or alterations of hydroxy urea .' +p295675 +(lp295676 +S'He\tHe\tPRP\tB-NP\tO' +p295677 +aS'had\thave\tVBD\tB-VP\tO' +p295678 +aS'been\tbe\tVBN\tI-VP\tO' +p295679 +aS'noting\tnote\tVBG\tI-VP\tO' +p295680 +aS'night\tnight\tNN\tB-NP\tO' +p295681 +aS'sweats\tsweat\tNNS\tI-NP\tO' +p295682 +aS',\t,\t,\tO\tO' +p295683 +aS'increasing\tincrease\tVBG\tB-VP\tO' +p295684 +aS'fatigue\tfatigue\tNN\tB-NP\tO' +p295685 +aS',\t,\t,\tO\tO' +p295686 +aS'anorexia\tanorexia\tNN\tB-NP\tO' +p295687 +aS',\t,\t,\tO\tO' +p295688 +aS'and\tand\tCC\tO\tO' +p295689 +aS'dyspnea\tdyspnea\tNN\tB-NP\tO' +p295690 +aS',\t,\t,\tO\tO' +p295691 +aS'which\twhich\tWDT\tB-NP\tO' +p295692 +aS'were\tbe\tVBD\tB-VP\tO' +p295693 +aS'not\tnot\tRB\tI-VP\tO' +p295694 +aS'particularly\tparticularly\tRB\tI-VP\tO' +p295695 +aS'improved\timprove\tVBN\tI-VP\tO' +p295696 +aS'by\tby\tIN\tB-PP\tO' +p295697 +aS'increased\tincrease\tVBN\tB-NP\tO' +p295698 +aS'transfusions\ttransfusion\tNNS\tI-NP\tO' +p295699 +aS'or\tor\tCC\tI-NP\tO' +p295700 +aS'alterations\talteration\tNNS\tI-NP\tO' +p295701 +aS'of\tof\tIN\tB-PP\tO' +p295702 +aS'hydroxy\thydroxy\tNN\tB-NP\tO' +p295703 +aS'urea\turea\tNN\tI-NP\tO' +p295704 +aS'.\t.\t.\tO\tO' +p295705 +asS'On presentation , her temperature was 98.8 with a heart rate of 100 , blood pressure 110/65 , respiratory rate 18 , and she was saturating at 100% in room air .' +p295706 +(lp295707 +S'On\tOn\tIN\tB-PP\tO' +p295708 +aS'presentation\tpresentation\tNN\tB-NP\tO' +p295709 +aS',\t,\t,\tO\tO' +p295710 +aS'her\ther\tPRP$\tB-NP\tO' +p295711 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p295712 +aS'was\tbe\tVBD\tB-VP\tO' +p295713 +aS'98.8\t98.8\tCD\tB-NP\tO' +p295714 +aS'with\twith\tIN\tB-PP\tO' +p295715 +aS'a\ta\tDT\tB-NP\tO' +p295716 +aS'heart\theart\tNN\tI-NP\tO' +p295717 +aS'rate\trate\tNN\tI-NP\tO' +p295718 +aS'of\tof\tIN\tB-PP\tO' +p295719 +aS'100\t100\tCD\tB-NP\tO' +p295720 +aS',\t,\t,\tO\tO' +p295721 +aS'blood\tblood\tNN\tB-NP\tO' +p295722 +aS'pressure\tpressure\tNN\tI-NP\tO' +p295723 +aS'110/65\t110/65\tCD\tI-NP\tO' +p295724 +aS',\t,\t,\tI-NP\tO' +p295725 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p295726 +aS'rate\trate\tNN\tI-NP\tO' +p295727 +aS'18\t18\tCD\tI-NP\tO' +p295728 +aS',\t,\t,\tO\tO' +p295729 +aS'and\tand\tCC\tO\tO' +p295730 +aS'she\tshe\tPRP\tB-NP\tO' +p295731 +aS'was\tbe\tVBD\tB-VP\tO' +p295732 +aS'saturating\tsaturate\tVBG\tI-VP\tO' +p295733 +aS'at\tat\tIN\tB-PP\tO' +p295734 +aS'100%\t100%\tNN\tB-NP\tO' +p295735 +aS'in\tin\tIN\tB-PP\tO' +p295736 +aS'room\troom\tNN\tB-NP\tO' +p295737 +aS'air\tair\tNN\tI-NP\tO' +p295738 +aS'.\t.\t.\tO\tO' +p295739 +asS'There was no scapular tenderness .' +p295740 +(lp295741 +S'There\tThere\tEX\tB-NP\tO' +p295742 +aS'was\tbe\tVBD\tB-VP\tO' +p295743 +aS'no\tno\tDT\tB-NP\tO' +p295744 +aS'scapular\tscapular\tJJ\tI-NP\tO' +p295745 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p295746 +aS'.\t.\t.\tO\tO' +p295747 +asS'White count of 7.75 , hematocrit of 46.2% , sodium 144 , potassium 3.9 , creatinine 25 , and BUN was 1.4 with a blood sugar of 88 .' +p295748 +(lp295749 +S'White\tWhite\tJJ\tB-NP\tO' +p295750 +aS'count\tcount\tNN\tI-NP\tO' +p295751 +aS'of\tof\tIN\tB-PP\tO' +p295752 +aS'7.75\t7.75\tCD\tB-NP\tO' +p295753 +aS',\t,\t,\tO\tO' +p295754 +aS'hematocrit\thematocrit\tNN\tB-NP\tO' +p295755 +aS'of\tof\tIN\tB-PP\tO' +p295756 +aS'46.2%\t46.2%\tNN\tB-NP\tB-protein' +p295757 +aS',\t,\t,\tO\tO' +p295758 +aS'sodium\tsodium\tNN\tB-NP\tO' +p295759 +aS'144\t144\tCD\tI-NP\tO' +p295760 +aS',\t,\t,\tO\tO' +p295761 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p295762 +aS'3.9\t3.9\tCD\tI-NP\tO' +p295763 +aS',\t,\t,\tO\tO' +p295764 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p295765 +aS'25\t25\tCD\tI-NP\tO' +p295766 +aS',\t,\t,\tO\tO' +p295767 +aS'and\tand\tCC\tO\tO' +p295768 +aS'BUN\tBUN\tNN\tB-NP\tB-protein' +p295769 +aS'was\tbe\tVBD\tB-VP\tO' +p295770 +aS'1.4\t1.4\tCD\tB-NP\tO' +p295771 +aS'with\twith\tIN\tB-PP\tO' +p295772 +aS'a\ta\tDT\tB-NP\tO' +p295773 +aS'blood\tblood\tNN\tI-NP\tO' +p295774 +aS'sugar\tsugar\tNN\tI-NP\tO' +p295775 +aS'of\tof\tIN\tB-PP\tO' +p295776 +aS'88\t88\tCD\tB-NP\tO' +p295777 +aS'.\t.\t.\tO\tO' +p295778 +asS'vital signs in the emergency room were 210/100 for blood pressure , heart rate 70 and irregular .' +p295779 +(lp295780 +S'vital\tvital\tJJ\tB-NP\tO' +p295781 +aS'signs\tsign\tNNS\tI-NP\tO' +p295782 +aS'in\tin\tIN\tB-PP\tO' +p295783 +aS'the\tthe\tDT\tB-NP\tO' +p295784 +aS'emergency\temergency\tNN\tI-NP\tO' +p295785 +aS'room\troom\tNN\tI-NP\tO' +p295786 +aS'were\tbe\tVBD\tB-VP\tO' +p295787 +aS'210/100\t210/100\tCD\tB-NP\tO' +p295788 +aS'for\tfor\tIN\tB-PP\tO' +p295789 +aS'blood\tblood\tNN\tB-NP\tO' +p295790 +aS'pressure\tpressure\tNN\tI-NP\tO' +p295791 +aS',\t,\t,\tO\tO' +p295792 +aS'heart\theart\tNN\tB-NP\tO' +p295793 +aS'rate\trate\tNN\tI-NP\tO' +p295794 +aS'70\t70\tCD\tB-NP\tO' +p295795 +aS'and\tand\tCC\tI-NP\tO' +p295796 +aS'irregular\tirregular\tJJ\tI-NP\tO' +p295797 +aS'.\t.\t.\tO\tO' +p295798 +asS'No thyromegaly .' +p295799 +(lp295800 +S'No\tNo\tDT\tB-NP\tO' +p295801 +aS'thyromegaly\tthyromegaly\tNN\tI-NP\tO' +p295802 +aS'.\t.\t.\tO\tO' +p295803 +asS'She remained hemodynamically stable .' +p295804 +(lp295805 +S'She\tShe\tPRP\tB-NP\tO' +p295806 +aS'remained\tremain\tVBD\tB-VP\tO' +p295807 +aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' +p295808 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p295809 +aS'.\t.\t.\tO\tO' +p295810 +asS'Toes equivocal bilaterally .' +p295811 +(lp295812 +S'Toes\tToe\tVBZ\tB-VP\tO' +p295813 +aS'equivocal\tequivocal\tJJ\tB-ADJP\tO' +p295814 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p295815 +aS'.\t.\t.\tO\tO' +p295816 +asS'Patient became increasingly hypotensive with a rising cr , eventually becoming pressor dependent .' +p295817 +(lp295818 +S'Patient\tPatient\tNN\tB-NP\tO' +p295819 +aS'became\tbecome\tVBD\tB-VP\tO' +p295820 +aS'increasingly\tincreasingly\tRB\tB-ADJP\tO' +p295821 +aS'hypotensive\thypotensive\tJJ\tI-ADJP\tO' +p295822 +aS'with\twith\tIN\tB-PP\tO' +p295823 +aS'a\ta\tDT\tB-NP\tO' +p295824 +aS'rising\trise\tVBG\tI-NP\tO' +p295825 +aS'cr\tcr\tNN\tI-NP\tO' +p295826 +aS',\t,\t,\tO\tO' +p295827 +aS'eventually\teventually\tRB\tB-ADVP\tO' +p295828 +aS'becoming\tbecome\tVBG\tB-VP\tO' +p295829 +aS'pressor\tpressor\tNN\tB-NP\tO' +p295830 +aS'dependent\tdependent\tJJ\tB-ADJP\tO' +p295831 +aS'.\t.\t.\tO\tO' +p295832 +asS'This was treated with sodium bicarbonate and a Swan-Ganz was placed to provide close hemodynamic monitoring .' +p295833 +(lp295834 +S'This\tThis\tDT\tB-NP\tO' +p295835 +aS'was\tbe\tVBD\tB-VP\tO' +p295836 +aS'treated\ttreat\tVBN\tI-VP\tO' +p295837 +aS'with\twith\tIN\tB-PP\tO' +p295838 +aS'sodium\tsodium\tNN\tB-NP\tO' +p295839 +aS'bicarbonate\tbicarbonate\tNN\tI-NP\tO' +p295840 +aS'and\tand\tCC\tO\tO' +p295841 +aS'a\ta\tDT\tB-NP\tO' +p295842 +aS'Swan-Ganz\tSwan-Ganz\tNN\tI-NP\tO' +p295843 +aS'was\tbe\tVBD\tB-VP\tO' +p295844 +aS'placed\tplace\tVBN\tI-VP\tO' +p295845 +aS'to\tto\tTO\tI-VP\tO' +p295846 +aS'provide\tprovide\tVB\tI-VP\tO' +p295847 +aS'close\tclose\tJJ\tB-NP\tO' +p295848 +aS'hemodynamic\themodynamic\tJJ\tI-NP\tO' +p295849 +aS'monitoring\tmonitoring\tNN\tI-NP\tO' +p295850 +aS'.\t.\t.\tO\tO' +p295851 +asS'The plan was for right radical vulvectomy .' +p295852 +(lp295853 +S'The\tThe\tDT\tB-NP\tO' +p295854 +aS'plan\tplan\tNN\tI-NP\tO' +p295855 +aS'was\tbe\tVBD\tB-VP\tO' +p295856 +aS'for\tfor\tIN\tB-PP\tO' +p295857 +aS'right\tright\tJJ\tB-NP\tO' +p295858 +aS'radical\tradical\tNN\tI-NP\tO' +p295859 +aS'vulvectomy\tvulvectomy\tNN\tI-NP\tO' +p295860 +aS'.\t.\t.\tO\tO' +p295861 +asS'A orogastric tube was passed .' +p295862 +(lp295863 +S'A\tA\tDT\tB-NP\tO' +p295864 +aS'orogastric\torogastric\tJJ\tI-NP\tO' +p295865 +aS'tube\ttube\tNN\tI-NP\tO' +p295866 +aS'was\tbe\tVBD\tB-VP\tO' +p295867 +aS'passed\tpass\tVBN\tI-VP\tO' +p295868 +aS'.\t.\t.\tO\tO' +p295869 +asS'9. Oxybutynin 5 mg po bid .' +p295870 +(lp295871 +S'9.\t9.\tCD\tB-NP\tO' +p295872 +aS'Oxybutynin\tOxybutynin\tNN\tI-NP\tO' +p295873 +aS'5\t5\tCD\tB-NP\tO' +p295874 +aS'mg\tmg\tNN\tI-NP\tO' +p295875 +aS'po\tpo\tNN\tI-NP\tO' +p295876 +aS'bid\tbid\tNN\tI-NP\tO' +p295877 +aS'.\t.\t.\tO\tO' +p295878 +asS'This is a 64-year-old man with a history of coronary artery disease , endocarditis status post coronary artery bypass grafting and mitral valve replacement on 2010-08-13 .' +p295879 +(lp295880 +S'This\tThis\tDT\tB-NP\tO' +p295881 +aS'is\tbe\tVBZ\tB-VP\tO' +p295882 +aS'a\ta\tDT\tB-NP\tO' +p295883 +aS'64-year-old\t64-year-old\tJJ\tI-NP\tO' +p295884 +aS'man\tman\tNN\tI-NP\tO' +p295885 +aS'with\twith\tIN\tB-PP\tO' +p295886 +aS'a\ta\tDT\tB-NP\tO' +p295887 +aS'history\thistory\tNN\tI-NP\tO' +p295888 +aS'of\tof\tIN\tB-PP\tO' +p295889 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p295890 +aS'artery\tartery\tNN\tI-NP\tO' +p295891 +aS'disease\tdisease\tNN\tI-NP\tO' +p295892 +aS',\t,\t,\tO\tO' +p295893 +aS'endocarditis\tendocarditis\tNN\tB-NP\tO' +p295894 +aS'status\tstatus\tNN\tI-NP\tO' +p295895 +aS'post\tpost\tNN\tI-NP\tO' +p295896 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p295897 +aS'artery\tartery\tNN\tI-NP\tO' +p295898 +aS'bypass\tbypass\tIN\tB-PP\tO' +p295899 +aS'grafting\tgraft\tVBG\tB-VP\tO' +p295900 +aS'and\tand\tCC\tO\tO' +p295901 +aS'mitral\tmitral\tJJ\tB-NP\tO' +p295902 +aS'valve\tvalve\tNN\tI-NP\tO' +p295903 +aS'replacement\treplacement\tNN\tI-NP\tO' +p295904 +aS'on\ton\tIN\tB-PP\tO' +p295905 +aS'2010-08-13\t2010-08-13\tCD\tB-NP\tO' +p295906 +aS'.\t.\t.\tO\tO' +p295907 +asS'1) No acute cervical spine fracture .' +p295908 +(lp295909 +S'1)\t1)\tLS\tB-LST\tO' +p295910 +aS'No\tNo\tDT\tB-NP\tO' +p295911 +aS'acute\tacute\tJJ\tI-NP\tO' +p295912 +aS'cervical\tcervical\tJJ\tI-NP\tO' +p295913 +aS'spine\tspine\tNN\tI-NP\tO' +p295914 +aS'fracture\tfracture\tNN\tI-NP\tO' +p295915 +aS'.\t.\t.\tO\tO' +p295916 +asS'There were no complications during the patient 's hospitalization and he was discharged in stable condition .' +p295917 +(lp295918 +S'There\tThere\tEX\tB-NP\tO' +p295919 +aS'were\tbe\tVBD\tB-VP\tO' +p295920 +aS'no\tno\tDT\tB-NP\tO' +p295921 +aS'complications\tcomplication\tNNS\tI-NP\tO' +p295922 +aS'during\tduring\tIN\tB-PP\tO' +p295923 +aS'the\tthe\tDT\tB-NP\tO' +p295924 +aS'patient\tpatient\tNN\tI-NP\tO' +p295925 +aS''s\t'\tNNS\tI-NP\tO' +p295926 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p295927 +aS'and\tand\tCC\tO\tO' +p295928 +aS'he\the\tPRP\tB-NP\tO' +p295929 +aS'was\tbe\tVBD\tB-VP\tO' +p295930 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p295931 +aS'in\tin\tIN\tB-PP\tO' +p295932 +aS'stable\tstable\tJJ\tB-NP\tO' +p295933 +aS'condition\tcondition\tNN\tI-NP\tO' +p295934 +aS'.\t.\t.\tO\tO' +p295935 +asS'47 female with h/o HCV cirrhosis compocated by encephalopathy , ascites , and h/o portal vein thrombosis ( right anterior portal vein ) and portalcaval shunt ( reversed flow in main portal vein ) presents from liver clinic with increasing abdominal girth .' +p295936 +(lp295937 +S'47\t47\tCD\tB-NP\tO' +p295938 +aS'female\tfemale\tJJ\tI-NP\tO' +p295939 +aS'with\twith\tIN\tB-PP\tO' +p295940 +aS'h/o\th/o\tNN\tB-NP\tO' +p295941 +aS'HCV\tHCV\tNN\tI-NP\tO' +p295942 +aS'cirrhosis\tcirrhosis\tNN\tI-NP\tO' +p295943 +aS'compocated\tcompocate\tVBN\tB-VP\tO' +p295944 +aS'by\tby\tIN\tB-PP\tO' +p295945 +aS'encephalopathy\tencephalopathy\tNN\tB-NP\tO' +p295946 +aS',\t,\t,\tO\tO' +p295947 +aS'ascites\tascite\tNNS\tB-NP\tO' +p295948 +aS',\t,\t,\tO\tO' +p295949 +aS'and\tand\tCC\tO\tO' +p295950 +aS'h/o\th/o\tNN\tB-NP\tO' +p295951 +aS'portal\tportal\tNN\tI-NP\tO' +p295952 +aS'vein\tvein\tNN\tI-NP\tO' +p295953 +aS'thrombosis\tthrombosis\tNN\tI-NP\tO' +p295954 +aS'(\t(\t(\tO\tO' +p295955 +aS'right\tright\tJJ\tB-NP\tO' +p295956 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p295957 +aS'portal\tportal\tNN\tI-NP\tO' +p295958 +aS'vein\tvein\tNN\tI-NP\tO' +p295959 +aS')\t)\t)\tO\tO' +p295960 +aS'and\tand\tCC\tO\tO' +p295961 +aS'portalcaval\tportalcaval\tNN\tB-NP\tO' +p295962 +aS'shunt\tshunt\tNN\tI-NP\tO' +p295963 +aS'(\t(\t(\tO\tO' +p295964 +aS'reversed\treverse\tVBN\tB-NP\tO' +p295965 +aS'flow\tflow\tNN\tI-NP\tO' +p295966 +aS'in\tin\tIN\tB-PP\tO' +p295967 +aS'main\tmain\tJJ\tB-NP\tO' +p295968 +aS'portal\tportal\tJJ\tI-NP\tO' +p295969 +aS'vein\tvein\tNN\tI-NP\tO' +p295970 +aS')\t)\t)\tO\tO' +p295971 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p295972 +aS'from\tfrom\tIN\tB-PP\tO' +p295973 +aS'liver\tliver\tNN\tB-NP\tO' +p295974 +aS'clinic\tclinic\tNN\tI-NP\tO' +p295975 +aS'with\twith\tIN\tB-PP\tO' +p295976 +aS'increasing\tincrease\tVBG\tB-VP\tO' +p295977 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p295978 +aS'girth\tgirth\tNN\tI-NP\tO' +p295979 +aS'.\t.\t.\tO\tO' +p295980 +asS'Glaucoma , under therapy , status post laser surgery O.D.' +p295981 +(lp295982 +S'Glaucoma\tGlaucoma\tNN\tB-NP\tO' +p295983 +aS',\t,\t,\tO\tO' +p295984 +aS'under\tunder\tIN\tB-PP\tO' +p295985 +aS'therapy\ttherapy\tNN\tB-NP\tO' +p295986 +aS',\t,\t,\tO\tO' +p295987 +aS'status\tstatus\tNN\tB-NP\tO' +p295988 +aS'post\tpost\tNN\tI-NP\tO' +p295989 +aS'laser\tlaser\tNN\tI-NP\tO' +p295990 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p295991 +aS'O.D.\tO.D.\t.\tO\tO' +p295992 +asS'In the ICU she also received an echo that revealed normal function and little valvular disease ( she has two loud systolic murmurs on exam ) , and a hip film revealing no inflammation nor loosening .' +p295993 +(lp295994 +S'In\tIn\tIN\tB-PP\tO' +p295995 +aS'the\tthe\tDT\tB-NP\tO' +p295996 +aS'ICU\tICU\tNN\tI-NP\tB-DNA' +p295997 +aS'she\tshe\tPRP\tB-NP\tO' +p295998 +aS'also\talso\tRB\tB-ADVP\tO' +p295999 +aS'received\treceive\tVBD\tB-VP\tO' +p296000 +aS'an\tan\tDT\tB-NP\tO' +p296001 +aS'echo\techo\tNN\tI-NP\tO' +p296002 +aS'that\tthat\tWDT\tB-NP\tO' +p296003 +aS'revealed\treveal\tVBD\tB-VP\tO' +p296004 +aS'normal\tnormal\tJJ\tB-NP\tO' +p296005 +aS'function\tfunction\tNN\tI-NP\tO' +p296006 +aS'and\tand\tCC\tO\tO' +p296007 +aS'little\tlittle\tJJ\tB-NP\tO' +p296008 +aS'valvular\tvalvular\tJJ\tI-NP\tO' +p296009 +aS'disease\tdisease\tNN\tI-NP\tO' +p296010 +aS'(\t(\t(\tO\tO' +p296011 +aS'she\tshe\tPRP\tB-NP\tO' +p296012 +aS'has\thave\tVBZ\tB-VP\tO' +p296013 +aS'two\ttwo\tCD\tB-NP\tO' +p296014 +aS'loud\tloud\tJJ\tI-NP\tO' +p296015 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p296016 +aS'murmurs\tmurmur\tNNS\tI-NP\tO' +p296017 +aS'on\ton\tIN\tB-PP\tO' +p296018 +aS'exam\texam\tNN\tB-NP\tO' +p296019 +aS')\t)\t)\tO\tO' +p296020 +aS',\t,\t,\tO\tO' +p296021 +aS'and\tand\tCC\tO\tO' +p296022 +aS'a\ta\tDT\tB-NP\tO' +p296023 +aS'hip\thip\tNN\tI-NP\tO' +p296024 +aS'film\tfilm\tNN\tI-NP\tO' +p296025 +aS'revealing\treveal\tVBG\tB-VP\tO' +p296026 +aS'no\tno\tDT\tB-NP\tO' +p296027 +aS'inflammation\tinflammation\tNN\tI-NP\tO' +p296028 +aS'nor\tnor\tCC\tI-NP\tO' +p296029 +aS'loosening\tloosening\tNN\tI-NP\tO' +p296030 +aS'.\t.\t.\tO\tO' +p296031 +asS'Post-operatively , patient was found to have frequent aberrant atrial premature beats and some rare ventricular premature beats .' +p296032 +(lp296033 +S'Post-operatively\tPost-operatively\tRB\tB-ADVP\tO' +p296034 +aS',\t,\t,\tO\tO' +p296035 +aS'patient\tpatient\tNN\tB-NP\tO' +p296036 +aS'was\tbe\tVBD\tB-VP\tO' +p296037 +aS'found\tfind\tVBN\tI-VP\tO' +p296038 +aS'to\tto\tTO\tI-VP\tO' +p296039 +aS'have\thave\tVB\tI-VP\tO' +p296040 +aS'frequent\tfrequent\tJJ\tB-NP\tO' +p296041 +aS'aberrant\taberrant\tJJ\tI-NP\tO' +p296042 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p296043 +aS'premature\tpremature\tJJ\tI-NP\tO' +p296044 +aS'beats\tbeat\tNNS\tI-NP\tO' +p296045 +aS'and\tand\tCC\tO\tO' +p296046 +aS'some\tsome\tDT\tB-NP\tO' +p296047 +aS'rare\trare\tJJ\tI-NP\tO' +p296048 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p296049 +aS'premature\tpremature\tJJ\tI-NP\tO' +p296050 +aS'beats\tbeat\tNNS\tI-NP\tO' +p296051 +aS'.\t.\t.\tO\tO' +p296052 +asS'Surgery was consulted to rule out a TE fistula as the infant had an incidental pass of a gavage tube into his right bronchus .' +p296053 +(lp296054 +S'Surgery\tSurgery\tNN\tB-NP\tO' +p296055 +aS'was\tbe\tVBD\tB-VP\tO' +p296056 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p296057 +aS'to\tto\tTO\tI-VP\tO' +p296058 +aS'rule\trule\tVB\tI-VP\tO' +p296059 +aS'out\tout\tRP\tB-PRT\tO' +p296060 +aS'a\ta\tDT\tB-NP\tO' +p296061 +aS'TE\tTE\tNN\tI-NP\tO' +p296062 +aS'fistula\tfistula\tNN\tI-NP\tO' +p296063 +aS'as\tas\tIN\tB-PP\tO' +p296064 +aS'the\tthe\tDT\tB-NP\tO' +p296065 +aS'infant\tinfant\tNN\tI-NP\tO' +p296066 +aS'had\thave\tVBD\tB-VP\tO' +p296067 +aS'an\tan\tDT\tB-NP\tO' +p296068 +aS'incidental\tincidental\tJJ\tI-NP\tO' +p296069 +aS'pass\tpass\tNN\tI-NP\tO' +p296070 +aS'of\tof\tIN\tB-PP\tO' +p296071 +aS'a\ta\tDT\tB-NP\tO' +p296072 +aS'gavage\tgavage\tNN\tI-NP\tO' +p296073 +aS'tube\ttube\tNN\tI-NP\tO' +p296074 +aS'into\tinto\tIN\tB-PP\tO' +p296075 +aS'his\this\tPRP$\tB-NP\tO' +p296076 +aS'right\tright\tJJ\tI-NP\tO' +p296077 +aS'bronchus\tbronchus\tNN\tI-NP\tO' +p296078 +aS'.\t.\t.\tO\tO' +p296079 +asS'Labs only notable for CK 54 ( nl ) , Trop 0.03 , Hct 35.6 MCV 79 .' +p296080 +(lp296081 +S'Labs\tLab\tNNS\tB-NP\tB-protein' +p296082 +aS'only\tonly\tRB\tB-ADJP\tO' +p296083 +aS'notable\tnotable\tJJ\tI-ADJP\tO' +p296084 +aS'for\tfor\tIN\tB-PP\tO' +p296085 +aS'CK\tCK\tNN\tB-NP\tB-protein' +p296086 +aS'54\t54\tCD\tI-NP\tI-protein' +p296087 +aS'(\t(\t(\tO\tO' +p296088 +aS'nl\tnl\tNN\tB-NP\tB-protein' +p296089 +aS')\t)\t)\tO\tO' +p296090 +aS',\t,\t,\tO\tO' +p296091 +aS'Trop\tTrop\tNN\tB-NP\tB-protein' +p296092 +aS'0.03\t0.03\tCD\tI-NP\tI-protein' +p296093 +aS',\t,\t,\tO\tO' +p296094 +aS'Hct\tHct\tNN\tB-NP\tO' +p296095 +aS'35.6\t35.6\tCD\tI-NP\tO' +p296096 +aS'MCV\tMCV\tNN\tI-NP\tO' +p296097 +aS'79\t79\tCD\tI-NP\tO' +p296098 +aS'.\t.\t.\tO\tO' +p296099 +asS'He could not get an MRI due to his pacemaker .' +p296100 +(lp296101 +S'He\tHe\tPRP\tB-NP\tO' +p296102 +aS'could\tcould\tMD\tB-VP\tO' +p296103 +aS'not\tnot\tRB\tI-VP\tO' +p296104 +aS'get\tget\tVB\tI-VP\tO' +p296105 +aS'an\tan\tDT\tB-NP\tO' +p296106 +aS'MRI\tMRI\tNN\tI-NP\tO' +p296107 +aS'due\tdue\tJJ\tB-ADJP\tO' +p296108 +aS'to\tto\tTO\tB-PP\tO' +p296109 +aS'his\this\tPRP$\tB-NP\tO' +p296110 +aS'pacemaker\tpacemaker\tNN\tI-NP\tO' +p296111 +aS'.\t.\t.\tO\tO' +p296112 +asS'3. Lorazepam 0.5 mg Tablet Sig : One ( 1 ) Tablet PO TID ( 3 times a day ) as needed for anxiety .' +p296113 +(lp296114 +S'3.\t3.\tLS\tB-NP\tO' +p296115 +aS'Lorazepam\tLorazepam\tNN\tI-NP\tO' +p296116 +aS'0.5\t0.5\tCD\tI-NP\tO' +p296117 +aS'mg\tmg\tNN\tI-NP\tO' +p296118 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p296119 +aS'Sig\tSig\tNNP\tI-NP\tO' +p296120 +aS':\t:\t:\tO\tO' +p296121 +aS'One\tOne\tCD\tB-NP\tO' +p296122 +aS'(\t(\t(\tO\tO' +p296123 +aS'1\t1\tCD\tB-NP\tO' +p296124 +aS')\t)\t)\tO\tO' +p296125 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p296126 +aS'PO\tPO\tNN\tI-NP\tO' +p296127 +aS'TID\tTID\tNN\tI-NP\tO' +p296128 +aS'(\t(\t(\tO\tO' +p296129 +aS'3\t3\tCD\tB-NP\tO' +p296130 +aS'times\ttime\tNNS\tI-NP\tO' +p296131 +aS'a\ta\tDT\tB-NP\tO' +p296132 +aS'day\tday\tNN\tI-NP\tO' +p296133 +aS')\t)\t)\tO\tO' +p296134 +aS'as\tas\tIN\tB-SBAR\tO' +p296135 +aS'needed\tneed\tVBN\tB-VP\tO' +p296136 +aS'for\tfor\tIN\tB-PP\tO' +p296137 +aS'anxiety\tanxiety\tNN\tB-NP\tO' +p296138 +aS'.\t.\t.\tO\tO' +p296139 +asS'He does have a lot of anxiety .' +p296140 +(lp296141 +S'He\tHe\tPRP\tB-NP\tO' +p296142 +aS'does\tdo\tVBZ\tB-VP\tO' +p296143 +aS'have\thave\tVB\tI-VP\tO' +p296144 +aS'a\ta\tDT\tB-NP\tO' +p296145 +aS'lot\tlot\tNN\tI-NP\tO' +p296146 +aS'of\tof\tIN\tB-PP\tO' +p296147 +aS'anxiety\tanxiety\tNN\tB-NP\tO' +p296148 +aS'.\t.\t.\tO\tO' +p296149 +asS'Status post radical retropubic prostatectomy .' +p296150 +(lp296151 +S'Status\tStatus\tNNP\tB-NP\tO' +p296152 +aS'post\tpost\tVBD\tB-VP\tO' +p296153 +aS'radical\tradical\tJJ\tB-NP\tO' +p296154 +aS'retropubic\tretropubic\tJJ\tI-NP\tO' +p296155 +aS'prostatectomy\tprostatectomy\tNN\tI-NP\tO' +p296156 +aS'.\t.\t.\tO\tO' +p296157 +asS'In Monica at Hallmark Health System , pt was seen by the Trauma service where a CT of the neck revealed no fracture ( however , the c-collar was maintained secondary to pain ) .' +p296158 +(lp296159 +S'In\tIn\tIN\tB-PP\tO' +p296160 +aS'Monica\tMonica\tNNP\tB-NP\tO' +p296161 +aS'at\tat\tIN\tB-PP\tO' +p296162 +aS'Hallmark\tHallmark\tNNP\tB-NP\tO' +p296163 +aS'Health\tHealth\tNNP\tI-NP\tO' +p296164 +aS'System\tSystem\tNNP\tI-NP\tO' +p296165 +aS',\t,\t,\tO\tO' +p296166 +aS'pt\tpt\tNN\tB-NP\tO' +p296167 +aS'was\tbe\tVBD\tB-VP\tO' +p296168 +aS'seen\tsee\tVBN\tI-VP\tO' +p296169 +aS'by\tby\tIN\tB-PP\tO' +p296170 +aS'the\tthe\tDT\tB-NP\tO' +p296171 +aS'Trauma\tTrauma\tNNP\tI-NP\tO' +p296172 +aS'service\tservice\tNN\tI-NP\tO' +p296173 +aS'where\twhere\tWRB\tB-ADVP\tO' +p296174 +aS'a\ta\tDT\tB-NP\tO' +p296175 +aS'CT\tCT\tNN\tI-NP\tO' +p296176 +aS'of\tof\tIN\tB-PP\tO' +p296177 +aS'the\tthe\tDT\tB-NP\tO' +p296178 +aS'neck\tneck\tNN\tI-NP\tO' +p296179 +aS'revealed\treveal\tVBD\tB-VP\tO' +p296180 +aS'no\tno\tDT\tB-NP\tO' +p296181 +aS'fracture\tfracture\tNN\tI-NP\tO' +p296182 +aS'(\t(\t(\tO\tO' +p296183 +aS'however\thowever\tRB\tB-ADVP\tO' +p296184 +aS',\t,\t,\tO\tO' +p296185 +aS'the\tthe\tDT\tB-NP\tO' +p296186 +aS'c-collar\tc-collar\tNN\tI-NP\tO' +p296187 +aS'was\tbe\tVBD\tB-VP\tO' +p296188 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p296189 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p296190 +aS'to\tto\tTO\tB-VP\tO' +p296191 +aS'pain\tpain\tVB\tI-VP\tO' +p296192 +aS')\t)\t)\tO\tO' +p296193 +aS'.\t.\t.\tO\tO' +p296194 +asS'His mother and father are alive and well .' +p296195 +(lp296196 +S'His\tHis\tPRP$\tB-NP\tO' +p296197 +aS'mother\tmother\tNN\tI-NP\tO' +p296198 +aS'and\tand\tCC\tI-NP\tO' +p296199 +aS'father\tfather\tNN\tI-NP\tO' +p296200 +aS'are\tbe\tVBP\tB-VP\tO' +p296201 +aS'alive\talive\tJJ\tB-ADJP\tO' +p296202 +aS'and\tand\tCC\tO\tO' +p296203 +aS'well\twell\tRB\tB-ADVP\tO' +p296204 +aS'.\t.\t.\tO\tO' +p296205 +asS'A psychiatric consult was also obtained due to his mental status and confusion postoperatively but his psychiatric issues are mostly related to his neurologic insults and he has no distinctive psychiatric disorder , except for perhaps postoperative delirium .' +p296206 +(lp296207 +S'A\tA\tDT\tB-NP\tO' +p296208 +aS'psychiatric\tpsychiatric\tJJ\tI-NP\tO' +p296209 +aS'consult\tconsult\tNN\tI-NP\tO' +p296210 +aS'was\tbe\tVBD\tB-VP\tO' +p296211 +aS'also\talso\tRB\tI-VP\tO' +p296212 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p296213 +aS'due\tdue\tJJ\tB-ADJP\tO' +p296214 +aS'to\tto\tTO\tB-PP\tO' +p296215 +aS'his\this\tPRP$\tB-NP\tO' +p296216 +aS'mental\tmental\tJJ\tI-NP\tO' +p296217 +aS'status\tstatus\tNN\tI-NP\tO' +p296218 +aS'and\tand\tCC\tO\tO' +p296219 +aS'confusion\tconfusion\tNN\tB-NP\tO' +p296220 +aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' +p296221 +aS'but\tbut\tCC\tO\tO' +p296222 +aS'his\this\tPRP$\tB-NP\tO' +p296223 +aS'psychiatric\tpsychiatric\tJJ\tI-NP\tO' +p296224 +aS'issues\tissue\tNNS\tI-NP\tO' +p296225 +aS'are\tbe\tVBP\tB-VP\tO' +p296226 +aS'mostly\tmostly\tRB\tB-ADJP\tO' +p296227 +aS'related\trelated\tJJ\tI-ADJP\tO' +p296228 +aS'to\tto\tTO\tB-PP\tO' +p296229 +aS'his\this\tPRP$\tB-NP\tO' +p296230 +aS'neurologic\tneurologic\tJJ\tI-NP\tO' +p296231 +aS'insults\tinsult\tNNS\tI-NP\tO' +p296232 +aS'and\tand\tCC\tO\tO' +p296233 +aS'he\the\tPRP\tB-NP\tO' +p296234 +aS'has\thave\tVBZ\tB-VP\tO' +p296235 +aS'no\tno\tDT\tB-NP\tO' +p296236 +aS'distinctive\tdistinctive\tJJ\tI-NP\tO' +p296237 +aS'psychiatric\tpsychiatric\tJJ\tI-NP\tO' +p296238 +aS'disorder\tdisorder\tNN\tI-NP\tO' +p296239 +aS',\t,\t,\tO\tO' +p296240 +aS'except\texcept\tIN\tB-PP\tO' +p296241 +aS'for\tfor\tIN\tB-PP\tO' +p296242 +aS'perhaps\tperhaps\tRB\tB-NP\tO' +p296243 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p296244 +aS'delirium\tdelirium\tNN\tI-NP\tO' +p296245 +aS'.\t.\t.\tO\tO' +p296246 +asS'17. Ceftazidime 1 gm IV q.h.d. after dialysis .' +p296247 +(lp296248 +S'17.\t17.\tCD\tB-NP\tO' +p296249 +aS'Ceftazidime\tCeftazidime\tNN\tI-NP\tO' +p296250 +aS'1\t1\tCD\tB-NP\tO' +p296251 +aS'gm\tgm\tNN\tI-NP\tO' +p296252 +aS'IV\tIV\tCD\tB-NP\tO' +p296253 +aS'q.h.d.\tq.h.d.\tNN\tI-NP\tO' +p296254 +aS'after\tafter\tIN\tB-PP\tO' +p296255 +aS'dialysis\tdialysis\tNN\tB-NP\tO' +p296256 +aS'.\t.\t.\tO\tO' +p296257 +asS'Together with the interval development of bilateral pleural effusions , this indicates cardiac insufficiency ( or alternatively volume overload ) and an echocardiogram may be indicated for further evaluation .' +p296258 +(lp296259 +S'Together\tTogether\tRB\tB-ADVP\tO' +p296260 +aS'with\twith\tIN\tB-PP\tO' +p296261 +aS'the\tthe\tDT\tB-NP\tO' +p296262 +aS'interval\tinterval\tJJ\tI-NP\tO' +p296263 +aS'development\tdevelopment\tNN\tI-NP\tO' +p296264 +aS'of\tof\tIN\tB-PP\tO' +p296265 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p296266 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p296267 +aS'effusions\teffusion\tNNS\tI-NP\tO' +p296268 +aS',\t,\t,\tO\tO' +p296269 +aS'this\tthis\tDT\tB-NP\tO' +p296270 +aS'indicates\tindicate\tVBZ\tB-VP\tO' +p296271 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p296272 +aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' +p296273 +aS'(\t(\t(\tO\tO' +p296274 +aS'or\tor\tCC\tO\tO' +p296275 +aS'alternatively\talternatively\tRB\tB-ADVP\tO' +p296276 +aS'volume\tvolume\tNN\tB-NP\tO' +p296277 +aS'overload\toverload\tNN\tI-NP\tO' +p296278 +aS')\t)\t)\tO\tO' +p296279 +aS'and\tand\tCC\tO\tO' +p296280 +aS'an\tan\tDT\tB-NP\tO' +p296281 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p296282 +aS'may\tmay\tMD\tB-VP\tO' +p296283 +aS'be\tbe\tVB\tI-VP\tO' +p296284 +aS'indicated\tindicate\tVBN\tI-VP\tO' +p296285 +aS'for\tfor\tIN\tB-PP\tO' +p296286 +aS'further\tfurther\tJJ\tB-NP\tO' +p296287 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p296288 +aS'.\t.\t.\tO\tO' +p296289 +asS'2. Mild hypertension , especially on prednisone .' +p296290 +(lp296291 +S'2.\t2.\tLS\tB-NP\tO' +p296292 +aS'Mild\tMild\tNNP\tI-NP\tO' +p296293 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p296294 +aS',\t,\t,\tO\tO' +p296295 +aS'especially\tespecially\tRB\tB-ADVP\tO' +p296296 +aS'on\ton\tIN\tB-PP\tO' +p296297 +aS'prednisone\tprednisone\tNN\tB-NP\tO' +p296298 +aS'.\t.\t.\tO\tO' +p296299 +asS'There he was admitted to the CMED .' +p296300 +(lp296301 +S'There\tThere\tEX\tB-NP\tO' +p296302 +aS'he\the\tPRP\tB-NP\tO' +p296303 +aS'was\tbe\tVBD\tB-VP\tO' +p296304 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p296305 +aS'to\tto\tTO\tB-PP\tO' +p296306 +aS'the\tthe\tDT\tB-NP\tO' +p296307 +aS'CMED\tCMED\tNN\tI-NP\tO' +p296308 +aS'.\t.\t.\tO\tO' +p296309 +asS'The patient is a pleasant , elderly female in no acute distress .' +p296310 +(lp296311 +S'The\tThe\tDT\tB-NP\tO' +p296312 +aS'patient\tpatient\tNN\tI-NP\tO' +p296313 +aS'is\tbe\tVBZ\tB-VP\tO' +p296314 +aS'a\ta\tDT\tB-NP\tO' +p296315 +aS'pleasant\tpleasant\tJJ\tI-NP\tO' +p296316 +aS',\t,\t,\tI-NP\tO' +p296317 +aS'elderly\telderly\tJJ\tI-NP\tO' +p296318 +aS'female\tfemale\tNN\tI-NP\tO' +p296319 +aS'in\tin\tIN\tB-PP\tO' +p296320 +aS'no\tno\tDT\tB-NP\tO' +p296321 +aS'acute\tacute\tJJ\tI-NP\tO' +p296322 +aS'distress\tdistress\tNN\tI-NP\tO' +p296323 +aS'.\t.\t.\tO\tO' +p296324 +asS'The arterial blood gases on room air were 7.46/70/41 .' +p296325 +(lp296326 +S'The\tThe\tDT\tB-NP\tO' +p296327 +aS'arterial\tarterial\tJJ\tI-NP\tB-protein' +p296328 +aS'blood\tblood\tNN\tI-NP\tI-protein' +p296329 +aS'gases\tgas\tNNS\tI-NP\tI-protein' +p296330 +aS'on\ton\tIN\tB-PP\tO' +p296331 +aS'room\troom\tNN\tB-NP\tO' +p296332 +aS'air\tair\tNN\tI-NP\tO' +p296333 +aS'were\tbe\tVBD\tB-VP\tO' +p296334 +aS'7.46/70/41\t7.46/70/41\tCD\tB-NP\tO' +p296335 +aS'.\t.\t.\tO\tO' +p296336 +asS'Attending : Walter G Gaines , M.D.' +p296337 +(lp296338 +S'Attending\tAttend\tVBG\tB-VP\tO' +p296339 +aS':\t:\t:\tO\tO' +p296340 +aS'Walter\tWalter\tNNP\tB-NP\tO' +p296341 +aS'G\tG\tNNP\tI-NP\tO' +p296342 +aS'Gaines\tGaines\tNNP\tI-NP\tO' +p296343 +aS',\t,\t,\tO\tO' +p296344 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p296345 +asS'Mr. Patient was a poor candidate for anticoagulation because of his history of metastatic melanoma and the question of CNS metastases .' +p296346 +(lp296347 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p296348 +aS'Patient\tPatient\tNNP\tI-NP\tO' +p296349 +aS'was\tbe\tVBD\tB-VP\tO' +p296350 +aS'a\ta\tDT\tB-NP\tO' +p296351 +aS'poor\tpoor\tJJ\tI-NP\tO' +p296352 +aS'candidate\tcandidate\tNN\tI-NP\tO' +p296353 +aS'for\tfor\tIN\tB-PP\tO' +p296354 +aS'anticoagulation\tanticoagulation\tNN\tB-NP\tO' +p296355 +aS'because\tbecause\tIN\tB-PP\tO' +p296356 +aS'of\tof\tIN\tI-PP\tO' +p296357 +aS'his\this\tPRP$\tB-NP\tO' +p296358 +aS'history\thistory\tNN\tI-NP\tO' +p296359 +aS'of\tof\tIN\tB-PP\tO' +p296360 +aS'metastatic\tmetastatic\tJJ\tB-NP\tO' +p296361 +aS'melanoma\tmelanoma\tNN\tI-NP\tO' +p296362 +aS'and\tand\tCC\tO\tO' +p296363 +aS'the\tthe\tDT\tB-NP\tO' +p296364 +aS'question\tquestion\tNN\tI-NP\tO' +p296365 +aS'of\tof\tIN\tB-PP\tO' +p296366 +aS'CNS\tCNS\tNN\tB-NP\tB-protein' +p296367 +aS'metastases\tmetastasis\tNNS\tI-NP\tI-protein' +p296368 +aS'.\t.\t.\tO\tO' +p296369 +asS'The fevers continued as high as 102.5 degrees F with chills on the morning of admission .' +p296370 +(lp296371 +S'The\tThe\tDT\tB-NP\tO' +p296372 +aS'fevers\tfever\tNNS\tI-NP\tO' +p296373 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p296374 +aS'as\tas\tRB\tB-ADVP\tO' +p296375 +aS'high\thigh\tJJ\tI-ADVP\tO' +p296376 +aS'as\tas\tIN\tB-PP\tO' +p296377 +aS'102.5\t102.5\tCD\tB-NP\tO' +p296378 +aS'degrees\tdegree\tNNS\tI-NP\tO' +p296379 +aS'F\tF\tNN\tI-NP\tO' +p296380 +aS'with\twith\tIN\tB-PP\tO' +p296381 +aS'chills\tchill\tNNS\tB-NP\tO' +p296382 +aS'on\ton\tIN\tB-PP\tO' +p296383 +aS'the\tthe\tDT\tB-NP\tO' +p296384 +aS'morning\tmorning\tNN\tI-NP\tO' +p296385 +aS'of\tof\tIN\tB-PP\tO' +p296386 +aS'admission\tadmission\tNN\tB-NP\tO' +p296387 +aS'.\t.\t.\tO\tO' +p296388 +asS'Urine culture negative .' +p296389 +(lp296390 +S'Urine\tUrine\tNN\tB-NP\tO' +p296391 +aS'culture\tculture\tNN\tI-NP\tO' +p296392 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p296393 +aS'.\t.\t.\tO\tO' +p296394 +asS'Again seen was a slightly irregular contour of the liver with dilated hepatic veins suggesting chronic hepatic vascular congestion .' +p296395 +(lp296396 +S'Again\tAgain\tRB\tB-VP\tO' +p296397 +aS'seen\tsee\tVBN\tI-VP\tO' +p296398 +aS'was\tbe\tVBD\tB-VP\tO' +p296399 +aS'a\ta\tDT\tB-NP\tO' +p296400 +aS'slightly\tslightly\tRB\tI-NP\tO' +p296401 +aS'irregular\tirregular\tJJ\tI-NP\tO' +p296402 +aS'contour\tcontour\tNN\tI-NP\tO' +p296403 +aS'of\tof\tIN\tB-PP\tO' +p296404 +aS'the\tthe\tDT\tB-NP\tO' +p296405 +aS'liver\tliver\tNN\tI-NP\tO' +p296406 +aS'with\twith\tIN\tB-PP\tO' +p296407 +aS'dilated\tdilated\tJJ\tB-NP\tO' +p296408 +aS'hepatic\thepatic\tJJ\tI-NP\tO' +p296409 +aS'veins\tvein\tNNS\tI-NP\tO' +p296410 +aS'suggesting\tsuggest\tVBG\tB-VP\tO' +p296411 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p296412 +aS'hepatic\thepatic\tJJ\tI-NP\tO' +p296413 +aS'vascular\tvascular\tJJ\tI-NP\tO' +p296414 +aS'congestion\tcongestion\tNN\tI-NP\tO' +p296415 +aS'.\t.\t.\tO\tO' +p296416 +asS'She present electively on the morning of her surgery with no recent changes in her medical problems .' +p296417 +(lp296418 +S'She\tShe\tPRP\tB-NP\tO' +p296419 +aS'present\tpresent\tVBP\tB-VP\tO' +p296420 +aS'electively\telectively\tRB\tB-ADVP\tO' +p296421 +aS'on\ton\tIN\tB-PP\tO' +p296422 +aS'the\tthe\tDT\tB-NP\tO' +p296423 +aS'morning\tmorning\tNN\tI-NP\tO' +p296424 +aS'of\tof\tIN\tB-PP\tO' +p296425 +aS'her\ther\tPRP$\tB-NP\tO' +p296426 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p296427 +aS'with\twith\tIN\tB-PP\tO' +p296428 +aS'no\tno\tDT\tB-NP\tO' +p296429 +aS'recent\trecent\tJJ\tI-NP\tO' +p296430 +aS'changes\tchange\tNNS\tI-NP\tO' +p296431 +aS'in\tin\tIN\tB-PP\tO' +p296432 +aS'her\ther\tPRP$\tB-NP\tO' +p296433 +aS'medical\tmedical\tJJ\tI-NP\tO' +p296434 +aS'problems\tproblem\tNNS\tI-NP\tO' +p296435 +aS'.\t.\t.\tO\tO' +p296436 +asS'Pt had been in her usual state of health and performed here regular exercises .' +p296437 +(lp296438 +S'Pt\tPt\tNN\tB-NP\tO' +p296439 +aS'had\thave\tVBD\tB-VP\tO' +p296440 +aS'been\tbe\tVBN\tI-VP\tO' +p296441 +aS'in\tin\tIN\tB-PP\tO' +p296442 +aS'her\ther\tPRP$\tB-NP\tO' +p296443 +aS'usual\tusual\tJJ\tI-NP\tO' +p296444 +aS'state\tstate\tNN\tI-NP\tO' +p296445 +aS'of\tof\tIN\tB-PP\tO' +p296446 +aS'health\thealth\tNN\tB-NP\tO' +p296447 +aS'and\tand\tCC\tO\tO' +p296448 +aS'performed\tperform\tVBN\tB-VP\tO' +p296449 +aS'here\there\tRB\tB-ADVP\tO' +p296450 +aS'regular\tregular\tJJ\tB-NP\tO' +p296451 +aS'exercises\texercise\tNNS\tI-NP\tO' +p296452 +aS'.\t.\t.\tO\tO' +p296453 +asS'Used to work as hat manufacturer .' +p296454 +(lp296455 +S'Used\tUse\tVBN\tB-VP\tO' +p296456 +aS'to\tto\tTO\tB-PP\tO' +p296457 +aS'work\twork\tVB\tB-NP\tO' +p296458 +aS'as\tas\tIN\tB-PP\tO' +p296459 +aS'hat\that\tNN\tB-NP\tO' +p296460 +aS'manufacturer\tmanufacturer\tNN\tI-NP\tO' +p296461 +aS'.\t.\t.\tO\tO' +p296462 +asS'VNA and pediatric primary care physician appointments to be scheduled prior to discharge .' +p296463 +(lp296464 +S'VNA\tVNA\tNN\tB-NP\tO' +p296465 +aS'and\tand\tCC\tI-NP\tO' +p296466 +aS'pediatric\tpediatric\tJJ\tI-NP\tO' +p296467 +aS'primary\tprimary\tJJ\tI-NP\tO' +p296468 +aS'care\tcare\tNN\tI-NP\tO' +p296469 +aS'physician\tphysician\tNN\tI-NP\tO' +p296470 +aS'appointments\tappointment\tNNS\tI-NP\tO' +p296471 +aS'to\tto\tTO\tB-VP\tO' +p296472 +aS'be\tbe\tVB\tI-VP\tO' +p296473 +aS'scheduled\tschedule\tVBN\tI-VP\tO' +p296474 +aS'prior\tprior\tRB\tB-ADVP\tO' +p296475 +aS'to\tto\tTO\tB-VP\tO' +p296476 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p296477 +aS'.\t.\t.\tO\tO' +p296478 +asS'remarkable for diabetes mellitus , premature ventricular contractions , rectal carcinoma , diabetic neuropathy both peripherally and involving the right diaphragm .' +p296479 +(lp296480 +S'remarkable\tremarkable\tJJ\tB-ADJP\tO' +p296481 +aS'for\tfor\tIN\tB-PP\tO' +p296482 +aS'diabetes\tdiabetes\tNN\tB-NP\tO' +p296483 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p296484 +aS',\t,\t,\tO\tO' +p296485 +aS'premature\tpremature\tJJ\tB-NP\tO' +p296486 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p296487 +aS'contractions\tcontraction\tNNS\tI-NP\tO' +p296488 +aS',\t,\t,\tO\tO' +p296489 +aS'rectal\trectal\tJJ\tB-NP\tO' +p296490 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p296491 +aS',\t,\t,\tO\tO' +p296492 +aS'diabetic\tdiabetic\tJJ\tB-NP\tO' +p296493 +aS'neuropathy\tneuropathy\tNN\tI-NP\tO' +p296494 +aS'both\tboth\tCC\tO\tO' +p296495 +aS'peripherally\tperipherally\tRB\tB-ADVP\tO' +p296496 +aS'and\tand\tCC\tO\tO' +p296497 +aS'involving\tinvolve\tVBG\tB-VP\tO' +p296498 +aS'the\tthe\tDT\tB-NP\tO' +p296499 +aS'right\tright\tJJ\tI-NP\tO' +p296500 +aS'diaphragm\tdiaphragm\tNN\tI-NP\tO' +p296501 +aS'.\t.\t.\tO\tO' +p296502 +asS'Her pleural fluid was tapped and it was negative for malignancy .' +p296503 +(lp296504 +S'Her\tHer\tPRP$\tB-NP\tO' +p296505 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p296506 +aS'fluid\tfluid\tNN\tI-NP\tO' +p296507 +aS'was\tbe\tVBD\tB-VP\tO' +p296508 +aS'tapped\ttap\tVBN\tI-VP\tO' +p296509 +aS'and\tand\tCC\tO\tO' +p296510 +aS'it\tit\tPRP\tB-NP\tO' +p296511 +aS'was\tbe\tVBD\tB-VP\tO' +p296512 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p296513 +aS'for\tfor\tIN\tB-PP\tO' +p296514 +aS'malignancy\tmalignancy\tNN\tB-NP\tO' +p296515 +aS'.\t.\t.\tO\tO' +p296516 +asS"At time of discharge she is tolerating a regular diet with TF 's at goal ." +p296517 +(lp296518 +S'At\tAt\tIN\tB-PP\tO' +p296519 +aS'time\ttime\tNN\tB-NP\tO' +p296520 +aS'of\tof\tIN\tB-PP\tO' +p296521 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p296522 +aS'she\tshe\tPRP\tB-NP\tO' +p296523 +aS'is\tbe\tVBZ\tB-VP\tO' +p296524 +aS'tolerating\ttolerate\tVBG\tI-VP\tO' +p296525 +aS'a\ta\tDT\tB-NP\tO' +p296526 +aS'regular\tregular\tJJ\tI-NP\tO' +p296527 +aS'diet\tdiet\tNN\tI-NP\tO' +p296528 +aS'with\twith\tIN\tB-PP\tO' +p296529 +aS'TF\tTF\tNN\tB-NP\tB-protein' +p296530 +aS"'s\t's\tPOS\tB-NP\tO" +p296531 +aS'at\tat\tIN\tB-PP\tO' +p296532 +aS'goal\tgoal\tNN\tB-NP\tO' +p296533 +aS'.\t.\t.\tO\tO' +p296534 +asS'within normal limits .' +p296535 +(lp296536 +S'within\twithin\tIN\tB-PP\tO' +p296537 +aS'normal\tnormal\tJJ\tB-NP\tO' +p296538 +aS'limits\tlimit\tNNS\tI-NP\tO' +p296539 +aS'.\t.\t.\tO\tO' +p296540 +asS'Take all medications as directed and go for all scheduled appointments for anticoagulation monitoring .' +p296541 +(lp296542 +S'Take\tTake\tVB\tB-VP\tO' +p296543 +aS'all\tall\tDT\tB-NP\tO' +p296544 +aS'medications\tmedication\tNNS\tI-NP\tO' +p296545 +aS'as\tas\tIN\tB-SBAR\tO' +p296546 +aS'directed\tdirect\tVBN\tB-VP\tO' +p296547 +aS'and\tand\tCC\tO\tO' +p296548 +aS'go\tgo\tVB\tB-VP\tO' +p296549 +aS'for\tfor\tIN\tB-PP\tO' +p296550 +aS'all\tall\tDT\tB-NP\tO' +p296551 +aS'scheduled\tschedule\tVBN\tI-NP\tO' +p296552 +aS'appointments\tappointment\tNNS\tI-NP\tO' +p296553 +aS'for\tfor\tIN\tB-PP\tO' +p296554 +aS'anticoagulation\tanticoagulation\tNN\tB-NP\tO' +p296555 +aS'monitoring\tmonitoring\tNN\tI-NP\tO' +p296556 +aS'.\t.\t.\tO\tO' +p296557 +asS'Last total cholesterol was 168 in 2015-08-24 .' +p296558 +(lp296559 +S'Last\tLast\tJJ\tB-NP\tO' +p296560 +aS'total\ttotal\tJJ\tI-NP\tO' +p296561 +aS'cholesterol\tcholesterol\tNN\tI-NP\tO' +p296562 +aS'was\tbe\tVBD\tB-VP\tO' +p296563 +aS'168\t168\tCD\tB-NP\tO' +p296564 +aS'in\tin\tIN\tB-PP\tO' +p296565 +aS'2015-08-24\t2015-08-24\tCD\tB-NP\tO' +p296566 +aS'.\t.\t.\tO\tO' +p296567 +asS'An echocardiogram then revealed an ejection fraction of 40% and an endomyocardial biopsy revealed no ejection .' +p296568 +(lp296569 +S'An\tAn\tDT\tB-NP\tO' +p296570 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p296571 +aS'then\tthen\tRB\tB-ADVP\tO' +p296572 +aS'revealed\treveal\tVBD\tB-VP\tO' +p296573 +aS'an\tan\tDT\tB-NP\tO' +p296574 +aS'ejection\tejection\tNN\tI-NP\tO' +p296575 +aS'fraction\tfraction\tNN\tI-NP\tO' +p296576 +aS'of\tof\tIN\tB-PP\tO' +p296577 +aS'40%\t40%\tNN\tB-NP\tO' +p296578 +aS'and\tand\tCC\tO\tO' +p296579 +aS'an\tan\tDT\tB-NP\tO' +p296580 +aS'endomyocardial\tendomyocardial\tJJ\tI-NP\tO' +p296581 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p296582 +aS'revealed\treveal\tVBD\tB-VP\tO' +p296583 +aS'no\tno\tDT\tB-NP\tO' +p296584 +aS'ejection\tejection\tNN\tI-NP\tO' +p296585 +aS'.\t.\t.\tO\tO' +p296586 +asS'Cardiac catheterization was performed without complication from the right neck and right groin on the day of admission .' +p296587 +(lp296588 +S'Cardiac\tCardiac\tJJ\tB-NP\tO' +p296589 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p296590 +aS'was\tbe\tVBD\tB-VP\tO' +p296591 +aS'performed\tperform\tVBN\tI-VP\tO' +p296592 +aS'without\twithout\tIN\tB-PP\tO' +p296593 +aS'complication\tcomplication\tNN\tB-NP\tO' +p296594 +aS'from\tfrom\tIN\tB-PP\tO' +p296595 +aS'the\tthe\tDT\tB-NP\tO' +p296596 +aS'right\tright\tJJ\tI-NP\tO' +p296597 +aS'neck\tneck\tNN\tI-NP\tO' +p296598 +aS'and\tand\tCC\tO\tO' +p296599 +aS'right\tright\tJJ\tB-NP\tO' +p296600 +aS'groin\tgroin\tNN\tI-NP\tO' +p296601 +aS'on\ton\tIN\tB-PP\tO' +p296602 +aS'the\tthe\tDT\tB-NP\tO' +p296603 +aS'day\tday\tNN\tI-NP\tO' +p296604 +aS'of\tof\tIN\tB-PP\tO' +p296605 +aS'admission\tadmission\tNN\tB-NP\tO' +p296606 +aS'.\t.\t.\tO\tO' +p296607 +asS'Mr. Gach is an 80 year old man with aprevious history of coronary artery disease who was transferred from Linghs County Medical Center to Oaksgekesser/ Memorial Hospital because of an apparent infected wound , including the PICC line in his right elbow and positive blood cultures for Staph. aureus associated with fever .' +p296608 +(lp296609 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p296610 +aS'Gach\tGach\tNNP\tI-NP\tO' +p296611 +aS'is\tbe\tVBZ\tB-VP\tO' +p296612 +aS'an\tan\tDT\tB-NP\tO' +p296613 +aS'80\t80\tCD\tI-NP\tO' +p296614 +aS'year\tyear\tNN\tI-NP\tO' +p296615 +aS'old\told\tJJ\tI-NP\tO' +p296616 +aS'man\tman\tNN\tI-NP\tO' +p296617 +aS'with\twith\tIN\tB-PP\tO' +p296618 +aS'aprevious\taprevious\tJJ\tB-NP\tO' +p296619 +aS'history\thistory\tNN\tI-NP\tO' +p296620 +aS'of\tof\tIN\tB-PP\tO' +p296621 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p296622 +aS'artery\tartery\tNN\tI-NP\tO' +p296623 +aS'disease\tdisease\tNN\tI-NP\tO' +p296624 +aS'who\twho\tWP\tB-NP\tO' +p296625 +aS'was\tbe\tVBD\tB-VP\tO' +p296626 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p296627 +aS'from\tfrom\tIN\tB-PP\tO' +p296628 +aS'Linghs\tLinghs\tNNP\tB-NP\tO' +p296629 +aS'County\tCounty\tNNP\tI-NP\tO' +p296630 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p296631 +aS'Center\tCenter\tNNP\tI-NP\tO' +p296632 +aS'to\tto\tTO\tB-PP\tO' +p296633 +aS'Oaksgekesser/\tOaksgekesser/\tNNP\tB-NP\tO' +p296634 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p296635 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p296636 +aS'because\tbecause\tIN\tB-PP\tO' +p296637 +aS'of\tof\tIN\tI-PP\tO' +p296638 +aS'an\tan\tDT\tB-NP\tO' +p296639 +aS'apparent\tapparent\tJJ\tI-NP\tO' +p296640 +aS'infected\tinfected\tJJ\tI-NP\tO' +p296641 +aS'wound\twound\tNN\tI-NP\tO' +p296642 +aS',\t,\t,\tO\tO' +p296643 +aS'including\tinclude\tVBG\tB-PP\tO' +p296644 +aS'the\tthe\tDT\tB-NP\tO' +p296645 +aS'PICC\tPICC\tNN\tI-NP\tB-cell_line' +p296646 +aS'line\tline\tNN\tI-NP\tI-cell_line' +p296647 +aS'in\tin\tIN\tB-PP\tO' +p296648 +aS'his\this\tPRP$\tB-NP\tO' +p296649 +aS'right\tright\tJJ\tI-NP\tO' +p296650 +aS'elbow\telbow\tNN\tI-NP\tO' +p296651 +aS'and\tand\tCC\tO\tO' +p296652 +aS'positive\tpositive\tJJ\tB-NP\tO' +p296653 +aS'blood\tblood\tNN\tI-NP\tO' +p296654 +aS'cultures\tculture\tNNS\tI-NP\tO' +p296655 +aS'for\tfor\tIN\tB-PP\tO' +p296656 +aS'Staph.\tStaph.\tNNP\tB-NP\tO' +p296657 +aS'aureus\taureus\tNN\tI-NP\tO' +p296658 +aS'associated\tassociate\tVBN\tB-VP\tO' +p296659 +aS'with\twith\tIN\tB-PP\tO' +p296660 +aS'fever\tfever\tNN\tB-NP\tO' +p296661 +aS'.\t.\t.\tO\tO' +p296662 +asS'By postoperative day #3 she began ambulating with some great hesitancy .' +p296663 +(lp296664 +S'By\tBy\tIN\tB-PP\tO' +p296665 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p296666 +aS'day\tday\tNN\tI-NP\tO' +p296667 +aS'#3\t#3\tCD\tI-NP\tO' +p296668 +aS'she\tshe\tPRP\tB-NP\tO' +p296669 +aS'began\tbegin\tVBD\tB-VP\tO' +p296670 +aS'ambulating\tambulate\tVBG\tI-VP\tO' +p296671 +aS'with\twith\tIN\tB-PP\tO' +p296672 +aS'some\tsome\tDT\tB-NP\tO' +p296673 +aS'great\tgreat\tJJ\tI-NP\tO' +p296674 +aS'hesitancy\thesitancy\tNN\tI-NP\tO' +p296675 +aS'.\t.\t.\tO\tO' +p296676 +asS'She is from Maryland , apparently had no blood transfusions before the birth of her children so it is presumed heterosexual transmission .' +p296677 +(lp296678 +S'She\tShe\tPRP\tB-NP\tO' +p296679 +aS'is\tbe\tVBZ\tB-VP\tO' +p296680 +aS'from\tfrom\tIN\tB-PP\tO' +p296681 +aS'Maryland\tMaryland\tNNP\tB-NP\tO' +p296682 +aS',\t,\t,\tO\tO' +p296683 +aS'apparently\tapparently\tRB\tB-ADVP\tO' +p296684 +aS'had\thave\tVBD\tB-VP\tO' +p296685 +aS'no\tno\tDT\tB-NP\tO' +p296686 +aS'blood\tblood\tNN\tI-NP\tO' +p296687 +aS'transfusions\ttransfusion\tNNS\tI-NP\tO' +p296688 +aS'before\tbefore\tIN\tB-PP\tO' +p296689 +aS'the\tthe\tDT\tB-NP\tO' +p296690 +aS'birth\tbirth\tNN\tI-NP\tO' +p296691 +aS'of\tof\tIN\tB-PP\tO' +p296692 +aS'her\ther\tPRP$\tB-NP\tO' +p296693 +aS'children\tchild\tNNS\tI-NP\tO' +p296694 +aS'so\tso\tIN\tB-SBAR\tO' +p296695 +aS'it\tit\tPRP\tB-NP\tO' +p296696 +aS'is\tbe\tVBZ\tB-VP\tO' +p296697 +aS'presumed\tpresume\tVBN\tI-VP\tO' +p296698 +aS'heterosexual\theterosexual\tJJ\tB-NP\tO' +p296699 +aS'transmission\ttransmission\tNN\tI-NP\tO' +p296700 +aS'.\t.\t.\tO\tO' +p296701 +asS'A left anterior thoracotomy was made by the Cardiac Surgery fellow who was present .' +p296702 +(lp296703 +S'A\tA\tDT\tB-NP\tO' +p296704 +aS'left\tleft\tJJ\tI-NP\tO' +p296705 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p296706 +aS'thoracotomy\tthoracotomy\tNN\tI-NP\tO' +p296707 +aS'was\tbe\tVBD\tB-VP\tO' +p296708 +aS'made\tmake\tVBN\tI-VP\tO' +p296709 +aS'by\tby\tIN\tB-PP\tO' +p296710 +aS'the\tthe\tDT\tB-NP\tO' +p296711 +aS'Cardiac\tCardiac\tNNP\tI-NP\tO' +p296712 +aS'Surgery\tSurgery\tNNP\tI-NP\tO' +p296713 +aS'fellow\tfellow\tNN\tI-NP\tO' +p296714 +aS'who\twho\tWP\tB-NP\tO' +p296715 +aS'was\tbe\tVBD\tB-VP\tO' +p296716 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p296717 +aS'.\t.\t.\tO\tO' +p296718 +asS'He had developed some hematuria which has resolved .' +p296719 +(lp296720 +S'He\tHe\tPRP\tB-NP\tO' +p296721 +aS'had\thave\tVBD\tB-VP\tO' +p296722 +aS'developed\tdevelop\tVBN\tI-VP\tO' +p296723 +aS'some\tsome\tDT\tB-NP\tO' +p296724 +aS'hematuria\thematuria\tNN\tI-NP\tO' +p296725 +aS'which\twhich\tWDT\tB-NP\tO' +p296726 +aS'has\thave\tVBZ\tB-VP\tO' +p296727 +aS'resolved\tresolve\tVBN\tI-VP\tO' +p296728 +aS'.\t.\t.\tO\tO' +p296729 +asS'This is a 35-year-old gentleman with HIV on HAART , last CD4 count 268 with undetectable viral load who was initially admitted to the CMED CSRU for supraglottitis with significant edema .' +p296730 +(lp296731 +S'This\tThis\tDT\tB-NP\tO' +p296732 +aS'is\tbe\tVBZ\tB-VP\tO' +p296733 +aS'a\ta\tDT\tB-NP\tO' +p296734 +aS'35-year-old\t35-year-old\tJJ\tI-NP\tO' +p296735 +aS'gentleman\tgentleman\tNN\tI-NP\tO' +p296736 +aS'with\twith\tIN\tB-PP\tO' +p296737 +aS'HIV\tHIV\tNN\tB-NP\tO' +p296738 +aS'on\ton\tIN\tB-PP\tO' +p296739 +aS'HAART\tHAART\tNN\tB-NP\tB-protein' +p296740 +aS',\t,\t,\tO\tO' +p296741 +aS'last\tlast\tJJ\tB-NP\tO' +p296742 +aS'CD4\tCD4\tNN\tI-NP\tO' +p296743 +aS'count\tcount\tNN\tI-NP\tO' +p296744 +aS'268\t268\tCD\tI-NP\tO' +p296745 +aS'with\twith\tIN\tB-PP\tO' +p296746 +aS'undetectable\tundetectable\tJJ\tB-NP\tO' +p296747 +aS'viral\tviral\tJJ\tI-NP\tO' +p296748 +aS'load\tload\tNN\tI-NP\tO' +p296749 +aS'who\twho\tWP\tB-NP\tO' +p296750 +aS'was\tbe\tVBD\tB-VP\tO' +p296751 +aS'initially\tinitially\tRB\tI-VP\tO' +p296752 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p296753 +aS'to\tto\tTO\tB-PP\tO' +p296754 +aS'the\tthe\tDT\tB-NP\tO' +p296755 +aS'CMED\tCMED\tVBN\tI-NP\tO' +p296756 +aS'CSRU\tCSRU\tNN\tI-NP\tO' +p296757 +aS'for\tfor\tIN\tB-PP\tO' +p296758 +aS'supraglottitis\tsupraglottitis\tNN\tB-NP\tO' +p296759 +aS'with\twith\tIN\tB-PP\tO' +p296760 +aS'significant\tsignificant\tJJ\tB-NP\tO' +p296761 +aS'edema\tedema\tNN\tI-NP\tO' +p296762 +aS'.\t.\t.\tO\tO' +p296763 +asS'A relook several days later led to a repeat percutaneous transluminal coronary angioplasty .' +p296764 +(lp296765 +S'A\tA\tDT\tB-NP\tO' +p296766 +aS'relook\trelook\tNN\tI-NP\tO' +p296767 +aS'several\tseveral\tJJ\tB-NP\tO' +p296768 +aS'days\tday\tNNS\tI-NP\tO' +p296769 +aS'later\tlater\tRB\tB-ADVP\tO' +p296770 +aS'led\tlead\tVBD\tB-VP\tO' +p296771 +aS'to\tto\tTO\tB-PP\tO' +p296772 +aS'a\ta\tDT\tB-NP\tO' +p296773 +aS'repeat\trepeat\tNN\tI-NP\tO' +p296774 +aS'percutaneous\tpercutaneous\tJJ\tI-NP\tO' +p296775 +aS'transluminal\ttransluminal\tJJ\tI-NP\tO' +p296776 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p296777 +aS'angioplasty\tangioplasty\tNN\tI-NP\tO' +p296778 +aS'.\t.\t.\tO\tO' +p296779 +asS'She was , therefore , cleared for the operating room , and on 3/3/92 , she underwent a left carotid endarterectomy , with continuous electroencephalogram monitoring and vein patch angioplasty , which was uneventful .' +p296780 +(lp296781 +S'She\tShe\tPRP\tB-NP\tO' +p296782 +aS'was\tbe\tVBD\tB-VP\tO' +p296783 +aS',\t,\t,\tO\tO' +p296784 +aS'therefore\ttherefore\tRB\tB-ADVP\tO' +p296785 +aS',\t,\t,\tO\tO' +p296786 +aS'cleared\tclear\tVBD\tB-VP\tO' +p296787 +aS'for\tfor\tIN\tB-PP\tO' +p296788 +aS'the\tthe\tDT\tB-NP\tO' +p296789 +aS'operating\toperating\tNN\tI-NP\tO' +p296790 +aS'room\troom\tNN\tI-NP\tO' +p296791 +aS',\t,\t,\tO\tO' +p296792 +aS'and\tand\tCC\tO\tO' +p296793 +aS'on\ton\tIN\tB-PP\tO' +p296794 +aS'3/3/92\t3/3/92\tCD\tB-NP\tO' +p296795 +aS',\t,\t,\tO\tO' +p296796 +aS'she\tshe\tPRP\tB-NP\tO' +p296797 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p296798 +aS'a\ta\tDT\tB-NP\tO' +p296799 +aS'left\tleft\tJJ\tI-NP\tO' +p296800 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p296801 +aS'endarterectomy\tendarterectomy\tNN\tI-NP\tO' +p296802 +aS',\t,\t,\tO\tO' +p296803 +aS'with\twith\tIN\tB-PP\tO' +p296804 +aS'continuous\tcontinuous\tJJ\tB-NP\tO' +p296805 +aS'electroencephalogram\telectroencephalogram\tNN\tI-NP\tO' +p296806 +aS'monitoring\tmonitoring\tNN\tI-NP\tO' +p296807 +aS'and\tand\tCC\tO\tO' +p296808 +aS'vein\tvein\tNN\tB-NP\tO' +p296809 +aS'patch\tpatch\tNN\tI-NP\tO' +p296810 +aS'angioplasty\tangioplasty\tNN\tI-NP\tO' +p296811 +aS',\t,\t,\tO\tO' +p296812 +aS'which\twhich\tWDT\tB-NP\tO' +p296813 +aS'was\tbe\tVBD\tB-VP\tO' +p296814 +aS'uneventful\tuneventful\tJJ\tB-ADJP\tO' +p296815 +aS'.\t.\t.\tO\tO' +p296816 +asS'On examination of the extremities , the patient moved all extremities and had strength of 5/5 in all of the muscle' +p296817 +(lp296818 +S'On\tOn\tIN\tB-PP\tO' +p296819 +aS'examination\texamination\tNN\tB-NP\tO' +p296820 +aS'of\tof\tIN\tB-PP\tO' +p296821 +aS'the\tthe\tDT\tB-NP\tO' +p296822 +aS'extremities\textremity\tNNS\tI-NP\tO' +p296823 +aS',\t,\t,\tO\tO' +p296824 +aS'the\tthe\tDT\tB-NP\tO' +p296825 +aS'patient\tpatient\tNN\tI-NP\tO' +p296826 +aS'moved\tmove\tVBD\tB-VP\tO' +p296827 +aS'all\tall\tDT\tB-NP\tO' +p296828 +aS'extremities\textremity\tNNS\tI-NP\tO' +p296829 +aS'and\tand\tCC\tO\tO' +p296830 +aS'had\thave\tVBD\tB-VP\tO' +p296831 +aS'strength\tstrength\tNN\tB-NP\tO' +p296832 +aS'of\tof\tIN\tB-PP\tO' +p296833 +aS'5/5\t5/5\tCD\tB-NP\tO' +p296834 +aS'in\tin\tIN\tB-PP\tO' +p296835 +aS'all\tall\tDT\tB-NP\tO' +p296836 +aS'of\tof\tIN\tB-PP\tO' +p296837 +aS'the\tthe\tDT\tB-NP\tO' +p296838 +aS'muscle\tmuscle\tNN\tI-NP\tO' +p296839 +asS'Basically in December 1993 , she returned to the Hem / Onc Clinic with chest wall nodules which turned out to be tumor recurrences and biopsied .' +p296840 +(lp296841 +S'Basically\tBasically\tRB\tB-ADVP\tO' +p296842 +aS'in\tin\tIN\tB-PP\tO' +p296843 +aS'December\tDecember\tNNP\tB-NP\tO' +p296844 +aS'1993\t1993\tCD\tI-NP\tO' +p296845 +aS',\t,\t,\tO\tO' +p296846 +aS'she\tshe\tPRP\tB-NP\tO' +p296847 +aS'returned\treturn\tVBD\tB-VP\tO' +p296848 +aS'to\tto\tTO\tB-PP\tO' +p296849 +aS'the\tthe\tDT\tB-NP\tO' +p296850 +aS'Hem\tHem\tNN\tI-NP\tB-protein' +p296851 +aS'/\t/\tSYM\tB-VP\tO' +p296852 +aS'Onc\tOnc\tNN\tB-NP\tO' +p296853 +aS'Clinic\tClinic\tNN\tI-NP\tO' +p296854 +aS'with\twith\tIN\tB-PP\tO' +p296855 +aS'chest\tchest\tNN\tB-NP\tO' +p296856 +aS'wall\twall\tNN\tI-NP\tO' +p296857 +aS'nodules\tnodule\tNNS\tI-NP\tO' +p296858 +aS'which\twhich\tWDT\tB-NP\tO' +p296859 +aS'turned\tturn\tVBD\tB-VP\tO' +p296860 +aS'out\tout\tRP\tB-PRT\tO' +p296861 +aS'to\tto\tTO\tB-VP\tO' +p296862 +aS'be\tbe\tVB\tI-VP\tO' +p296863 +aS'tumor\ttumor\tNN\tB-NP\tO' +p296864 +aS'recurrences\trecurrence\tNNS\tI-NP\tO' +p296865 +aS'and\tand\tCC\tO\tO' +p296866 +aS'biopsied\tbiopsie\tVBN\tB-VP\tO' +p296867 +aS'.\t.\t.\tO\tO' +p296868 +asS'The patient transfused 1 unit on 10/18/97 for a hematocrit of 29.4 .' +p296869 +(lp296870 +S'The\tThe\tDT\tB-NP\tO' +p296871 +aS'patient\tpatient\tNN\tI-NP\tO' +p296872 +aS'transfused\ttransfuse\tVBD\tB-VP\tO' +p296873 +aS'1\t1\tCD\tB-NP\tO' +p296874 +aS'unit\tunit\tNN\tI-NP\tO' +p296875 +aS'on\ton\tIN\tB-PP\tO' +p296876 +aS'10/18/97\t10/18/97\tCD\tB-NP\tO' +p296877 +aS'for\tfor\tIN\tB-PP\tO' +p296878 +aS'a\ta\tDT\tB-NP\tO' +p296879 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p296880 +aS'of\tof\tIN\tB-PP\tO' +p296881 +aS'29.4\t29.4\tCD\tB-NP\tO' +p296882 +aS'.\t.\t.\tO\tO' +p296883 +asS'6. History of alcohol abuse .' +p296884 +(lp296885 +S'6.\t6.\tLS\tB-NP\tO' +p296886 +aS'History\tHistory\tNN\tI-NP\tO' +p296887 +aS'of\tof\tIN\tB-PP\tO' +p296888 +aS'alcohol\talcohol\tNN\tB-NP\tO' +p296889 +aS'abuse\tabuse\tNN\tI-NP\tO' +p296890 +aS'.\t.\t.\tO\tO' +p296891 +asS'6. Amiodarone 200 mg Tablet Sig : Two ( 2 ) Tablet PO BID ( 2 times a day ): please take 400 mg twice a day until 11-02 then decrease to 400 mg once a day for 1 week and then decrease to 200 mg once a day .' +p296892 +(lp296893 +S'6.\t6.\tCD\tB-NP\tO' +p296894 +aS'Amiodarone\tAmiodarone\tNN\tI-NP\tO' +p296895 +aS'200\t200\tCD\tB-NP\tO' +p296896 +aS'mg\tmg\tNN\tI-NP\tO' +p296897 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p296898 +aS'Sig\tSig\tNNP\tI-NP\tO' +p296899 +aS':\t:\t:\tO\tO' +p296900 +aS'Two\tTwo\tCD\tB-NP\tO' +p296901 +aS'(\t(\t(\tO\tO' +p296902 +aS'2\t2\tCD\tO\tO' +p296903 +aS')\t)\t)\tO\tO' +p296904 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p296905 +aS'PO\tPO\tNN\tI-NP\tO' +p296906 +aS'BID\tBID\tNN\tI-NP\tO' +p296907 +aS'(\t(\t(\tO\tO' +p296908 +aS'2\t2\tCD\tB-NP\tO' +p296909 +aS'times\ttime\tNNS\tI-NP\tO' +p296910 +aS'a\ta\tDT\tB-NP\tO' +p296911 +aS'day\tday\tNN\tI-NP\tO' +p296912 +aS'):\t):\t:\tO\tO' +p296913 +aS'please\tplease\tNN\tB-NP\tO' +p296914 +aS'take\ttake\tVBP\tB-VP\tO' +p296915 +aS'400\t400\tCD\tB-NP\tO' +p296916 +aS'mg\tmg\tNN\tI-NP\tO' +p296917 +aS'twice\ttwice\tRB\tB-NP\tO' +p296918 +aS'a\ta\tDT\tI-NP\tO' +p296919 +aS'day\tday\tNN\tI-NP\tO' +p296920 +aS'until\tuntil\tIN\tB-PP\tO' +p296921 +aS'11-02\t11-02\tCD\tB-NP\tO' +p296922 +aS'then\tthen\tRB\tB-ADVP\tO' +p296923 +aS'decrease\tdecrease\tVB\tB-VP\tO' +p296924 +aS'to\tto\tTO\tB-PP\tO' +p296925 +aS'400\t400\tCD\tB-NP\tO' +p296926 +aS'mg\tmg\tNN\tI-NP\tO' +p296927 +aS'once\tonce\tRB\tB-ADVP\tO' +p296928 +aS'a\ta\tDT\tB-NP\tO' +p296929 +aS'day\tday\tNN\tI-NP\tO' +p296930 +aS'for\tfor\tIN\tB-PP\tO' +p296931 +aS'1\t1\tCD\tB-NP\tO' +p296932 +aS'week\tweek\tNN\tI-NP\tO' +p296933 +aS'and\tand\tCC\tO\tO' +p296934 +aS'then\tthen\tRB\tB-ADVP\tO' +p296935 +aS'decrease\tdecrease\tVB\tB-VP\tO' +p296936 +aS'to\tto\tTO\tB-PP\tO' +p296937 +aS'200\t200\tCD\tB-NP\tO' +p296938 +aS'mg\tmg\tNN\tI-NP\tO' +p296939 +aS'once\tonce\tRB\tB-ADVP\tO' +p296940 +aS'a\ta\tDT\tB-NP\tO' +p296941 +aS'day\tday\tNN\tI-NP\tO' +p296942 +aS'.\t.\t.\tO\tO' +p296943 +asS'She was tolerating clear liquids ad lib .' +p296944 +(lp296945 +S'She\tShe\tPRP\tB-NP\tO' +p296946 +aS'was\tbe\tVBD\tB-VP\tO' +p296947 +aS'tolerating\ttolerate\tVBG\tI-VP\tO' +p296948 +aS'clear\tclear\tJJ\tB-NP\tO' +p296949 +aS'liquids\tliquid\tNNS\tI-NP\tO' +p296950 +aS'ad\tad\tNN\tI-NP\tO' +p296951 +aS'lib\tlib\tNN\tI-NP\tO' +p296952 +aS'.\t.\t.\tO\tO' +p296953 +asS'However on 07-02 Hct dropped .' +p296954 +(lp296955 +S'However\tHowever\tRB\tB-ADVP\tO' +p296956 +aS'on\ton\tIN\tB-PP\tO' +p296957 +aS'07-02\t07-02\tCD\tB-NP\tO' +p296958 +aS'Hct\tHct\tNNP\tI-NP\tO' +p296959 +aS'dropped\tdrop\tVBD\tB-VP\tO' +p296960 +aS'.\t.\t.\tO\tO' +p296961 +asS'4. Thirty pack year tobacco history , quit one month ago .' +p296962 +(lp296963 +S'4.\t4.\tLS\tB-NP\tO' +p296964 +aS'Thirty\tThirty\tCD\tI-NP\tO' +p296965 +aS'pack\tpack\tNN\tI-NP\tO' +p296966 +aS'year\tyear\tNN\tI-NP\tO' +p296967 +aS'tobacco\ttobacco\tNN\tI-NP\tO' +p296968 +aS'history\thistory\tNN\tI-NP\tO' +p296969 +aS',\t,\t,\tO\tO' +p296970 +aS'quit\tquit\tVBD\tB-VP\tO' +p296971 +aS'one\tone\tCD\tB-NP\tO' +p296972 +aS'month\tmonth\tNN\tI-NP\tO' +p296973 +aS'ago\tago\tRB\tB-ADVP\tO' +p296974 +aS'.\t.\t.\tO\tO' +p296975 +asS'The patient had a weight of 1400 gm , length 41.5 cm and head circumference of 29.25 cm .' +p296976 +(lp296977 +S'The\tThe\tDT\tB-NP\tO' +p296978 +aS'patient\tpatient\tNN\tI-NP\tO' +p296979 +aS'had\thave\tVBD\tB-VP\tO' +p296980 +aS'a\ta\tDT\tB-NP\tO' +p296981 +aS'weight\tweight\tNN\tI-NP\tO' +p296982 +aS'of\tof\tIN\tB-PP\tO' +p296983 +aS'1400\t1400\tCD\tB-NP\tO' +p296984 +aS'gm\tgm\tNN\tI-NP\tO' +p296985 +aS',\t,\t,\tO\tO' +p296986 +aS'length\tlength\tNN\tB-NP\tO' +p296987 +aS'41.5\t41.5\tCD\tI-NP\tO' +p296988 +aS'cm\tcm\tNN\tI-NP\tO' +p296989 +aS'and\tand\tCC\tO\tO' +p296990 +aS'head\thead\tNN\tB-NP\tO' +p296991 +aS'circumference\tcircumference\tNN\tI-NP\tO' +p296992 +aS'of\tof\tIN\tB-PP\tO' +p296993 +aS'29.25\t29.25\tCD\tB-NP\tO' +p296994 +aS'cm\tcm\tNN\tI-NP\tO' +p296995 +aS'.\t.\t.\tO\tO' +p296996 +asS'Seldane causes gastrointestinal distress .' +p296997 +(lp296998 +S'Seldane\tSeldane\tNN\tB-NP\tO' +p296999 +aS'causes\tcause\tVBZ\tB-VP\tO' +p297000 +aS'gastrointestinal\tgastrointestinal\tJJ\tB-NP\tO' +p297001 +aS'distress\tdistress\tNN\tI-NP\tO' +p297002 +aS'.\t.\t.\tO\tO' +p297003 +asS'On the day of admission , he felt " congested " in his chest , and had a new fever .' +p297004 +(lp297005 +S'On\tOn\tIN\tB-PP\tO' +p297006 +aS'the\tthe\tDT\tB-NP\tO' +p297007 +aS'day\tday\tNN\tI-NP\tO' +p297008 +aS'of\tof\tIN\tB-PP\tO' +p297009 +aS'admission\tadmission\tNN\tB-NP\tO' +p297010 +aS',\t,\t,\tO\tO' +p297011 +aS'he\the\tPRP\tB-NP\tO' +p297012 +aS'felt\tfeel\tVBD\tB-VP\tO' +p297013 +aS'"\t"\t``\tO\tO' +p297014 +aS'congested\tcongest\tVBN\tB-ADJP\tO' +p297015 +aS'"\t"\t\'\'\tO\tO' +p297016 +aS'in\tin\tIN\tB-PP\tO' +p297017 +aS'his\this\tPRP$\tB-NP\tO' +p297018 +aS'chest\tchest\tNN\tI-NP\tO' +p297019 +aS',\t,\t,\tO\tO' +p297020 +aS'and\tand\tCC\tO\tO' +p297021 +aS'had\thave\tVBD\tB-VP\tO' +p297022 +aS'a\ta\tDT\tB-NP\tO' +p297023 +aS'new\tnew\tJJ\tI-NP\tO' +p297024 +aS'fever\tfever\tNN\tI-NP\tO' +p297025 +aS'.\t.\t.\tO\tO' +p297026 +asS'A stat MRI was notable for multiple abnormal foci consistent with systemic emboli .' +p297027 +(lp297028 +S'A\tA\tDT\tB-NP\tO' +p297029 +aS'stat\tstat\tNN\tI-NP\tO' +p297030 +aS'MRI\tMRI\tNN\tI-NP\tO' +p297031 +aS'was\tbe\tVBD\tB-VP\tO' +p297032 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p297033 +aS'for\tfor\tIN\tB-PP\tO' +p297034 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p297035 +aS'abnormal\tabnormal\tJJ\tI-NP\tO' +p297036 +aS'foci\tfocus\tNNS\tI-NP\tO' +p297037 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p297038 +aS'with\twith\tIN\tB-PP\tO' +p297039 +aS'systemic\tsystemic\tJJ\tB-NP\tO' +p297040 +aS'emboli\tembolus\tNNS\tI-NP\tO' +p297041 +aS'.\t.\t.\tO\tO' +p297042 +asS'Blood pressure most recently 60/37 with a mean of 44 .' +p297043 +(lp297044 +S'Blood\tBlood\tNN\tB-NP\tO' +p297045 +aS'pressure\tpressure\tNN\tI-NP\tO' +p297046 +aS'most\tmost\tRBS\tB-ADVP\tO' +p297047 +aS'recently\trecently\tRB\tI-ADVP\tO' +p297048 +aS'60/37\t60/37\tCD\tB-NP\tO' +p297049 +aS'with\twith\tIN\tB-PP\tO' +p297050 +aS'a\ta\tDT\tB-NP\tO' +p297051 +aS'mean\tmean\tNN\tI-NP\tO' +p297052 +aS'of\tof\tIN\tB-PP\tO' +p297053 +aS'44\t44\tCD\tB-NP\tO' +p297054 +aS'.\t.\t.\tO\tO' +p297055 +asS'To home with services .' +p297056 +(lp297057 +S'To\tTo\tTO\tB-VP\tO' +p297058 +aS'home\thome\tVB\tI-VP\tO' +p297059 +aS'with\twith\tIN\tB-PP\tO' +p297060 +aS'services\tservice\tNNS\tB-NP\tO' +p297061 +aS'.\t.\t.\tO\tO' +p297062 +asS'5. Miconazole Nitrate 2 % Powder Sig : One ( 1 ) Appl Topical TID ( 3 times a day ) .' +p297063 +(lp297064 +S'5.\t5.\tLS\tB-NP\tO' +p297065 +aS'Miconazole\tMiconazole\tNN\tI-NP\tO' +p297066 +aS'Nitrate\tNitrate\tNN\tI-NP\tO' +p297067 +aS'2\t2\tCD\tB-NP\tO' +p297068 +aS'%\t%\tNN\tI-NP\tO' +p297069 +aS'Powder\tPowder\tNNP\tI-NP\tO' +p297070 +aS'Sig\tSig\tNNP\tI-NP\tO' +p297071 +aS':\t:\t:\tO\tO' +p297072 +aS'One\tOne\tCD\tB-NP\tO' +p297073 +aS'(\t(\t(\tO\tO' +p297074 +aS'1\t1\tCD\tB-NP\tO' +p297075 +aS')\t)\t)\tO\tO' +p297076 +aS'Appl\tAppl\tNNP\tB-NP\tO' +p297077 +aS'Topical\tTopical\tJJ\tI-NP\tO' +p297078 +aS'TID\tTID\tNN\tI-NP\tO' +p297079 +aS'(\t(\t(\tO\tO' +p297080 +aS'3\t3\tCD\tB-NP\tO' +p297081 +aS'times\ttime\tNNS\tI-NP\tO' +p297082 +aS'a\ta\tDT\tB-NP\tO' +p297083 +aS'day\tday\tNN\tI-NP\tO' +p297084 +aS')\t)\t)\tO\tO' +p297085 +aS'.\t.\t.\tO\tO' +p297086 +asS'Prn nebs for comfort .' +p297087 +(lp297088 +S'Prn\tPrn\tNN\tB-NP\tO' +p297089 +aS'nebs\tneb\tNNS\tI-NP\tO' +p297090 +aS'for\tfor\tIN\tB-PP\tO' +p297091 +aS'comfort\tcomfort\tNN\tB-NP\tO' +p297092 +aS'.\t.\t.\tO\tO' +p297093 +asS'A chest CT was to be performed and may be yielding .' +p297094 +(lp297095 +S'A\tA\tDT\tB-NP\tO' +p297096 +aS'chest\tchest\tNN\tI-NP\tO' +p297097 +aS'CT\tCT\tNN\tI-NP\tO' +p297098 +aS'was\tbe\tVBD\tB-VP\tO' +p297099 +aS'to\tto\tTO\tI-VP\tO' +p297100 +aS'be\tbe\tVB\tI-VP\tO' +p297101 +aS'performed\tperform\tVBN\tI-VP\tO' +p297102 +aS'and\tand\tCC\tO\tO' +p297103 +aS'may\tmay\tMD\tB-VP\tO' +p297104 +aS'be\tbe\tVB\tI-VP\tO' +p297105 +aS'yielding\tyield\tVBG\tI-VP\tO' +p297106 +aS'.\t.\t.\tO\tO' +p297107 +asS'In the Intensive Care Unit , the patient had a prolonged course .' +p297108 +(lp297109 +S'In\tIn\tIN\tB-PP\tO' +p297110 +aS'the\tthe\tDT\tB-NP\tO' +p297111 +aS'Intensive\tIntensive\tJJ\tI-NP\tB-DNA' +p297112 +aS'Care\tCare\tNNP\tI-NP\tI-DNA' +p297113 +aS'Unit\tUnit\tNNP\tI-NP\tI-DNA' +p297114 +aS',\t,\t,\tO\tO' +p297115 +aS'the\tthe\tDT\tB-NP\tO' +p297116 +aS'patient\tpatient\tNN\tI-NP\tO' +p297117 +aS'had\thave\tVBD\tB-VP\tO' +p297118 +aS'a\ta\tDT\tB-NP\tO' +p297119 +aS'prolonged\tprolong\tVBN\tI-NP\tO' +p297120 +aS'course\tcourse\tNN\tI-NP\tO' +p297121 +aS'.\t.\t.\tO\tO' +p297122 +asS'He was evaluated by the Surgery Department and it is there feeling that there is no indication for surgical intervention / amputation at this time .' +p297123 +(lp297124 +S'He\tHe\tPRP\tB-NP\tO' +p297125 +aS'was\tbe\tVBD\tB-VP\tO' +p297126 +aS'evaluated\tevaluate\tVBN\tI-VP\tO' +p297127 +aS'by\tby\tIN\tB-PP\tO' +p297128 +aS'the\tthe\tDT\tB-NP\tO' +p297129 +aS'Surgery\tSurgery\tNNP\tI-NP\tO' +p297130 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p297131 +aS'and\tand\tCC\tO\tO' +p297132 +aS'it\tit\tPRP\tB-NP\tO' +p297133 +aS'is\tbe\tVBZ\tB-VP\tO' +p297134 +aS'there\tthere\tRB\tI-VP\tO' +p297135 +aS'feeling\tfeel\tVBG\tI-VP\tO' +p297136 +aS'that\tthat\tIN\tB-SBAR\tO' +p297137 +aS'there\tthere\tEX\tB-NP\tO' +p297138 +aS'is\tbe\tVBZ\tB-VP\tO' +p297139 +aS'no\tno\tDT\tB-NP\tO' +p297140 +aS'indication\tindication\tNN\tI-NP\tO' +p297141 +aS'for\tfor\tIN\tB-PP\tO' +p297142 +aS'surgical\tsurgical\tJJ\tB-NP\tO' +p297143 +aS'intervention\tintervention\tNN\tI-NP\tO' +p297144 +aS'/\t/\tSYM\tB-NP\tO' +p297145 +aS'amputation\tamputation\tNN\tI-NP\tO' +p297146 +aS'at\tat\tIN\tB-PP\tO' +p297147 +aS'this\tthis\tDT\tB-NP\tO' +p297148 +aS'time\ttime\tNN\tI-NP\tO' +p297149 +aS'.\t.\t.\tO\tO' +p297150 +asS'Follow up with Dr. Kelley in 4 weeks with head CT - call 716 3268' +p297151 +(lp297152 +S'Follow\tFollow\tVB\tB-VP\tO' +p297153 +aS'up\tup\tRP\tB-PRT\tO' +p297154 +aS'with\twith\tIN\tB-PP\tO' +p297155 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p297156 +aS'Kelley\tKelley\tNNP\tI-NP\tO' +p297157 +aS'in\tin\tIN\tB-PP\tO' +p297158 +aS'4\t4\tCD\tB-NP\tO' +p297159 +aS'weeks\tweek\tNNS\tI-NP\tO' +p297160 +aS'with\twith\tIN\tB-PP\tO' +p297161 +aS'head\thead\tNN\tB-NP\tO' +p297162 +aS'CT\tCT\tNN\tI-NP\tO' +p297163 +aS'-\t-\tHYPH\tB-NP\tO' +p297164 +aS'call\tcall\tNN\tI-NP\tO' +p297165 +aS'716\t716\tCD\tI-NP\tO' +p297166 +aS'3268\t3268\tCD\tI-NP\tO' +p297167 +asS'SEPSIS RELATED TO PICC LINE .' +p297168 +(lp297169 +S'SEPSIS\tSEPSIS\tNNP\tB-NP\tO' +p297170 +aS'RELATED\tRELATED\tNNP\tI-NP\tO' +p297171 +aS'TO\tTO\tNNP\tI-NP\tO' +p297172 +aS'PICC\tPICC\tNNP\tI-NP\tO' +p297173 +aS'LINE\tLINE\tNNP\tI-NP\tO' +p297174 +aS'.\t.\t.\tO\tO' +p297175 +asS'Also of note at that point , hepatitis C virus serologies had come back positive .' +p297176 +(lp297177 +S'Also\tAlso\tRB\tB-ADVP\tO' +p297178 +aS'of\tof\tIN\tB-PP\tO' +p297179 +aS'note\tnote\tNN\tB-NP\tO' +p297180 +aS'at\tat\tIN\tB-PP\tO' +p297181 +aS'that\tthat\tDT\tB-NP\tO' +p297182 +aS'point\tpoint\tNN\tI-NP\tO' +p297183 +aS',\t,\t,\tO\tO' +p297184 +aS'hepatitis\thepatitis\tNN\tB-NP\tO' +p297185 +aS'C\tC\tNN\tI-NP\tO' +p297186 +aS'virus\tvirus\tNN\tI-NP\tO' +p297187 +aS'serologies\tserology\tNNS\tI-NP\tO' +p297188 +aS'had\thave\tVBD\tB-VP\tO' +p297189 +aS'come\tcome\tVBN\tI-VP\tO' +p297190 +aS'back\tback\tRB\tB-ADJP\tO' +p297191 +aS'positive\tpositive\tJJ\tI-ADJP\tO' +p297192 +aS'.\t.\t.\tO\tO' +p297193 +asS'Call with fever , redness or drainage from incision or weight gain more than 2 pounds in one day or five in one week .' +p297194 +(lp297195 +S'Call\tCall\tVB\tB-NP\tO' +p297196 +aS'with\twith\tIN\tB-PP\tO' +p297197 +aS'fever\tfever\tNN\tB-NP\tO' +p297198 +aS',\t,\t,\tO\tO' +p297199 +aS'redness\tredness\tNN\tB-NP\tO' +p297200 +aS'or\tor\tCC\tO\tO' +p297201 +aS'drainage\tdrainage\tNN\tB-NP\tO' +p297202 +aS'from\tfrom\tIN\tB-PP\tO' +p297203 +aS'incision\tincision\tNN\tB-NP\tO' +p297204 +aS'or\tor\tCC\tI-NP\tO' +p297205 +aS'weight\tweight\tNN\tI-NP\tO' +p297206 +aS'gain\tgain\tNN\tI-NP\tO' +p297207 +aS'more\tmore\tJJR\tB-NP\tO' +p297208 +aS'than\tthan\tIN\tI-NP\tO' +p297209 +aS'2\t2\tCD\tI-NP\tO' +p297210 +aS'pounds\tpound\tNNS\tI-NP\tO' +p297211 +aS'in\tin\tIN\tB-PP\tO' +p297212 +aS'one\tone\tCD\tB-NP\tO' +p297213 +aS'day\tday\tNN\tI-NP\tO' +p297214 +aS'or\tor\tCC\tO\tO' +p297215 +aS'five\tfive\tCD\tB-NP\tO' +p297216 +aS'in\tin\tIN\tB-PP\tO' +p297217 +aS'one\tone\tCD\tB-NP\tO' +p297218 +aS'week\tweek\tNN\tI-NP\tO' +p297219 +aS'.\t.\t.\tO\tO' +p297220 +asS'Chest tubes were removed on post-op day two and epicardial pacing wires on post-op day three .' +p297221 +(lp297222 +S'Chest\tChest\tNNP\tB-NP\tO' +p297223 +aS'tubes\ttube\tNNS\tI-NP\tO' +p297224 +aS'were\tbe\tVBD\tB-VP\tO' +p297225 +aS'removed\tremove\tVBN\tI-VP\tO' +p297226 +aS'on\ton\tIN\tB-PP\tO' +p297227 +aS'post-op\tpost-op\tJJ\tB-NP\tO' +p297228 +aS'day\tday\tNN\tI-NP\tO' +p297229 +aS'two\ttwo\tCD\tB-NP\tO' +p297230 +aS'and\tand\tCC\tI-NP\tO' +p297231 +aS'epicardial\tepicardial\tJJ\tI-NP\tO' +p297232 +aS'pacing\tpacing\tNN\tI-NP\tO' +p297233 +aS'wires\twire\tVBZ\tB-VP\tO' +p297234 +aS'on\ton\tIN\tB-PP\tO' +p297235 +aS'post-op\tpost-op\tJJ\tB-NP\tO' +p297236 +aS'day\tday\tNN\tI-NP\tO' +p297237 +aS'three\tthree\tCD\tI-NP\tO' +p297238 +aS'.\t.\t.\tO\tO' +p297239 +asS'30. Insulin Glargine 100 unit / mL Solution Sig : AS INSTRUCTED Subcutaneous twice a day : 7 units in the morning , 18 units in the evening .' +p297240 +(lp297241 +S'30.\t30.\tLS\tB-NP\tO' +p297242 +aS'Insulin\tInsulin\tNN\tI-NP\tB-protein' +p297243 +aS'Glargine\tGlargine\tNN\tI-NP\tI-protein' +p297244 +aS'100\t100\tCD\tI-NP\tI-protein' +p297245 +aS'unit\tunit\tNN\tI-NP\tI-protein' +p297246 +aS'/\t/\tSYM\tB-NP\tO' +p297247 +aS'mL\tmL\tNN\tI-NP\tO' +p297248 +aS'Solution\tSolution\tNNP\tI-NP\tO' +p297249 +aS'Sig\tSig\tNNP\tI-NP\tB-protein' +p297250 +aS':\t:\t:\tO\tO' +p297251 +aS'AS\tAS\tNNP\tB-NP\tO' +p297252 +aS'INSTRUCTED\tINSTRUCTED\tNNP\tI-NP\tO' +p297253 +aS'Subcutaneous\tSubcutaneous\tNNP\tI-NP\tO' +p297254 +aS'twice\ttwice\tRB\tB-NP\tO' +p297255 +aS'a\ta\tDT\tI-NP\tO' +p297256 +aS'day\tday\tNN\tI-NP\tO' +p297257 +aS':\t:\t:\tO\tO' +p297258 +aS'7\t7\tCD\tB-NP\tO' +p297259 +aS'units\tunit\tNNS\tI-NP\tO' +p297260 +aS'in\tin\tIN\tB-PP\tO' +p297261 +aS'the\tthe\tDT\tB-NP\tO' +p297262 +aS'morning\tmorning\tNN\tI-NP\tO' +p297263 +aS',\t,\t,\tO\tO' +p297264 +aS'18\t18\tCD\tB-NP\tO' +p297265 +aS'units\tunit\tNNS\tI-NP\tO' +p297266 +aS'in\tin\tIN\tB-PP\tO' +p297267 +aS'the\tthe\tDT\tB-NP\tO' +p297268 +aS'evening\tevening\tNN\tI-NP\tO' +p297269 +aS'.\t.\t.\tO\tO' +p297270 +asS'Mr. Le was found in bed with a 32 caliber revolver at his side .' +p297271 +(lp297272 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p297273 +aS'Le\tLe\tNNP\tI-NP\tO' +p297274 +aS'was\tbe\tVBD\tB-VP\tO' +p297275 +aS'found\tfind\tVBN\tI-VP\tO' +p297276 +aS'in\tin\tIN\tB-PP\tO' +p297277 +aS'bed\tbed\tNN\tB-NP\tO' +p297278 +aS'with\twith\tIN\tB-PP\tO' +p297279 +aS'a\ta\tDT\tB-NP\tO' +p297280 +aS'32\t32\tCD\tI-NP\tO' +p297281 +aS'caliber\tcaliber\tNN\tI-NP\tO' +p297282 +aS'revolver\trevolver\tNN\tI-NP\tO' +p297283 +aS'at\tat\tIN\tB-PP\tO' +p297284 +aS'his\this\tPRP$\tB-NP\tO' +p297285 +aS'side\tside\tNN\tI-NP\tO' +p297286 +aS'.\t.\t.\tO\tO' +p297287 +asS'The patient received two units of packed red blood cells and the hematocrit rose to 30 the following day .' +p297288 +(lp297289 +S'The\tThe\tDT\tB-NP\tO' +p297290 +aS'patient\tpatient\tNN\tI-NP\tO' +p297291 +aS'received\treceive\tVBD\tB-VP\tO' +p297292 +aS'two\ttwo\tCD\tB-NP\tO' +p297293 +aS'units\tunit\tNNS\tI-NP\tO' +p297294 +aS'of\tof\tIN\tB-PP\tO' +p297295 +aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' +p297296 +aS'red\tred\tJJ\tI-NP\tI-cell_type' +p297297 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p297298 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p297299 +aS'and\tand\tCC\tO\tO' +p297300 +aS'the\tthe\tDT\tB-NP\tO' +p297301 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p297302 +aS'rose\trise\tVBD\tB-VP\tO' +p297303 +aS'to\tto\tTO\tB-PP\tO' +p297304 +aS'30\t30\tCD\tB-NP\tO' +p297305 +aS'the\tthe\tDT\tB-NP\tO' +p297306 +aS'following\tfollow\tVBG\tI-NP\tO' +p297307 +aS'day\tday\tNN\tI-NP\tO' +p297308 +aS'.\t.\t.\tO\tO' +p297309 +asS'A Holter monitor showed ventricular ectopy .' +p297310 +(lp297311 +S'A\tA\tDT\tB-NP\tO' +p297312 +aS'Holter\tHolter\tNNP\tI-NP\tO' +p297313 +aS'monitor\tmonitor\tNN\tI-NP\tO' +p297314 +aS'showed\tshow\tVBD\tB-VP\tO' +p297315 +aS'ventricular\tventricular\tJJ\tB-NP\tO' +p297316 +aS'ectopy\tectopy\tNN\tI-NP\tO' +p297317 +aS'.\t.\t.\tO\tO' +p297318 +asS'This is a 39 year-old female with diabetes type I , hypothyroidism , gastroparesis who was transfered for hypoxic respiratory failure .' +p297319 +(lp297320 +S'This\tThis\tDT\tB-NP\tO' +p297321 +aS'is\tbe\tVBZ\tB-VP\tO' +p297322 +aS'a\ta\tDT\tB-NP\tO' +p297323 +aS'39\t39\tCD\tI-NP\tO' +p297324 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p297325 +aS'female\tfemale\tNN\tI-NP\tO' +p297326 +aS'with\twith\tIN\tB-PP\tO' +p297327 +aS'diabetes\tdiabetes\tNN\tB-NP\tO' +p297328 +aS'type\ttype\tNN\tI-NP\tO' +p297329 +aS'I\tI\tCD\tI-NP\tO' +p297330 +aS',\t,\t,\tO\tO' +p297331 +aS'hypothyroidism\thypothyroidism\tNN\tB-NP\tO' +p297332 +aS',\t,\t,\tO\tO' +p297333 +aS'gastroparesis\tgastroparesis\tNN\tB-NP\tO' +p297334 +aS'who\twho\tWP\tB-NP\tO' +p297335 +aS'was\tbe\tVBD\tB-VP\tO' +p297336 +aS'transfered\ttransfer\tVBN\tI-VP\tO' +p297337 +aS'for\tfor\tIN\tB-PP\tO' +p297338 +aS'hypoxic\thypoxic\tJJ\tB-NP\tO' +p297339 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p297340 +aS'failure\tfailure\tNN\tI-NP\tO' +p297341 +aS'.\t.\t.\tO\tO' +p297342 +asS'3. Intravenous fluids .' +p297343 +(lp297344 +S'3.\t3.\tLS\tB-NP\tO' +p297345 +aS'Intravenous\tIntravenous\tJJ\tI-NP\tO' +p297346 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p297347 +aS'.\t.\t.\tO\tO' +p297348 +asS'The patient denied alcohol or other drug use .' +p297349 +(lp297350 +S'The\tThe\tDT\tB-NP\tO' +p297351 +aS'patient\tpatient\tNN\tI-NP\tO' +p297352 +aS'denied\tdeny\tVBD\tB-VP\tO' +p297353 +aS'alcohol\talcohol\tNN\tB-NP\tO' +p297354 +aS'or\tor\tCC\tO\tO' +p297355 +aS'other\tother\tJJ\tB-NP\tO' +p297356 +aS'drug\tdrug\tNN\tI-NP\tO' +p297357 +aS'use\tuse\tNN\tI-NP\tO' +p297358 +aS'.\t.\t.\tO\tO' +p297359 +asS'1. STATUS POST MOTORVEHICLE ACCIDENT WITH TRANSIENT PARAPLEGIA .' +p297360 +(lp297361 +S'1.\t1.\tLS\tB-LST\tO' +p297362 +aS'STATUS\tSTATUS\tNNP\tB-NP\tO' +p297363 +aS'POST\tPOST\tNNP\tI-NP\tO' +p297364 +aS'MOTORVEHICLE\tMOTORVEHICLE\tNNP\tI-NP\tO' +p297365 +aS'ACCIDENT\tACCIDENT\tNNP\tI-NP\tO' +p297366 +aS'WITH\tWITH\tNNP\tI-NP\tO' +p297367 +aS'TRANSIENT\tTRANSIENT\tNNP\tI-NP\tO' +p297368 +aS'PARAPLEGIA\tPARAPLEGIA\tNNP\tI-NP\tO' +p297369 +aS'.\t.\t.\tO\tO' +p297370 +asS'1. Asthma flare .' +p297371 +(lp297372 +S'1.\t1.\tLS\tB-NP\tO' +p297373 +aS'Asthma\tAsthma\tNN\tI-NP\tO' +p297374 +aS'flare\tflare\tNN\tI-NP\tO' +p297375 +aS'.\t.\t.\tO\tO' +p297376 +asS'Dictated By : Randy EB Brooks , M.D.' +p297377 +(lp297378 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p297379 +aS'By\tBy\tIN\tB-PP\tO' +p297380 +aS':\t:\t:\tO\tO' +p297381 +aS'Randy\tRandy\tNNP\tB-NP\tO' +p297382 +aS'EB\tEB\tNNP\tI-NP\tO' +p297383 +aS'Brooks\tBrooks\tNNP\tI-NP\tO' +p297384 +aS',\t,\t,\tO\tO' +p297385 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p297386 +asS'A small amount of free air is seen in the nondependent portion of the pelvis .' +p297387 +(lp297388 +S'A\tA\tDT\tB-NP\tO' +p297389 +aS'small\tsmall\tJJ\tI-NP\tO' +p297390 +aS'amount\tamount\tNN\tI-NP\tO' +p297391 +aS'of\tof\tIN\tB-PP\tO' +p297392 +aS'free\tfree\tJJ\tB-NP\tO' +p297393 +aS'air\tair\tNN\tI-NP\tO' +p297394 +aS'is\tbe\tVBZ\tB-VP\tO' +p297395 +aS'seen\tsee\tVBN\tI-VP\tO' +p297396 +aS'in\tin\tIN\tB-PP\tO' +p297397 +aS'the\tthe\tDT\tB-NP\tO' +p297398 +aS'nondependent\tnondependent\tJJ\tI-NP\tO' +p297399 +aS'portion\tportion\tNN\tI-NP\tO' +p297400 +aS'of\tof\tIN\tB-PP\tO' +p297401 +aS'the\tthe\tDT\tB-NP\tO' +p297402 +aS'pelvis\tpelvis\tNN\tI-NP\tO' +p297403 +aS'.\t.\t.\tO\tO' +p297404 +asS'She was initially not started on antibiotics .' +p297405 +(lp297406 +S'She\tShe\tPRP\tB-NP\tO' +p297407 +aS'was\tbe\tVBD\tB-VP\tO' +p297408 +aS'initially\tinitially\tRB\tI-VP\tO' +p297409 +aS'not\tnot\tRB\tI-VP\tO' +p297410 +aS'started\tstart\tVBN\tI-VP\tO' +p297411 +aS'on\ton\tIN\tB-PP\tO' +p297412 +aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' +p297413 +aS'.\t.\t.\tO\tO' +p297414 +asS'Oropharynx clear .' +p297415 +(lp297416 +S'Oropharynx\tOropharynx\tNN\tB-NP\tO' +p297417 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p297418 +aS'.\t.\t.\tO\tO' +p297419 +asS'1) RIGHT LOWER EXTREMITY PSEUDOMONAS CELLULITIS .' +p297420 +(lp297421 +S'1)\t1)\tLS\tB-NP\tO' +p297422 +aS'RIGHT\tRIGHT\tNN\tI-NP\tO' +p297423 +aS'LOWER\tLOWER\tNN\tI-NP\tO' +p297424 +aS'EXTREMITY\tEXTREMITY\tNN\tI-NP\tO' +p297425 +aS'PSEUDOMONAS\tPSEUDOMONAS\tNN\tI-NP\tO' +p297426 +aS'CELLULITIS\tCELLULITIS\tNN\tI-NP\tO' +p297427 +aS'.\t.\t.\tO\tO' +p297428 +asS'She went to an outside hospital Emergency Room and was reassured and sent home .' +p297429 +(lp297430 +S'She\tShe\tPRP\tB-NP\tO' +p297431 +aS'went\tgo\tVBD\tB-VP\tO' +p297432 +aS'to\tto\tTO\tB-PP\tO' +p297433 +aS'an\tan\tDT\tB-NP\tO' +p297434 +aS'outside\toutside\tJJ\tI-NP\tO' +p297435 +aS'hospital\thospital\tNN\tI-NP\tO' +p297436 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p297437 +aS'Room\tRoom\tNNP\tI-NP\tO' +p297438 +aS'and\tand\tCC\tO\tO' +p297439 +aS'was\tbe\tVBD\tB-VP\tO' +p297440 +aS'reassured\treassure\tVBN\tI-VP\tO' +p297441 +aS'and\tand\tCC\tO\tO' +p297442 +aS'sent\tsend\tVBN\tB-VP\tO' +p297443 +aS'home\thome\tNN\tB-NP\tO' +p297444 +aS'.\t.\t.\tO\tO' +p297445 +asS'The patient was taken to the operating room on 2013-10-29 for a CABG x5 .' +p297446 +(lp297447 +S'The\tThe\tDT\tB-NP\tO' +p297448 +aS'patient\tpatient\tNN\tI-NP\tO' +p297449 +aS'was\tbe\tVBD\tB-VP\tO' +p297450 +aS'taken\ttake\tVBN\tI-VP\tO' +p297451 +aS'to\tto\tTO\tB-PP\tO' +p297452 +aS'the\tthe\tDT\tB-NP\tO' +p297453 +aS'operating\toperating\tNN\tI-NP\tO' +p297454 +aS'room\troom\tNN\tI-NP\tO' +p297455 +aS'on\ton\tIN\tB-PP\tO' +p297456 +aS'2013-10-29\t2013-10-29\tCD\tB-NP\tO' +p297457 +aS'for\tfor\tIN\tB-PP\tO' +p297458 +aS'a\ta\tDT\tB-NP\tO' +p297459 +aS'CABG\tCABG\tNN\tI-NP\tB-protein' +p297460 +aS'x5\tx5\tNN\tI-NP\tI-protein' +p297461 +aS'.\t.\t.\tO\tO' +p297462 +asS'She was on GI bleed precautions at all times , was too large for IV .' +p297463 +(lp297464 +S'She\tShe\tPRP\tB-NP\tO' +p297465 +aS'was\tbe\tVBD\tB-VP\tO' +p297466 +aS'on\ton\tIN\tB-PP\tO' +p297467 +aS'GI\tGI\tNN\tB-NP\tO' +p297468 +aS'bleed\tbleed\tNN\tI-NP\tO' +p297469 +aS'precautions\tprecaution\tNNS\tI-NP\tO' +p297470 +aS'at\tat\tIN\tB-PP\tO' +p297471 +aS'all\tall\tDT\tB-NP\tO' +p297472 +aS'times\ttime\tNNS\tI-NP\tO' +p297473 +aS',\t,\t,\tO\tO' +p297474 +aS'was\tbe\tVBD\tB-VP\tO' +p297475 +aS'too\ttoo\tRB\tB-ADJP\tO' +p297476 +aS'large\tlarge\tJJ\tI-ADJP\tO' +p297477 +aS'for\tfor\tIN\tB-PP\tO' +p297478 +aS'IV\tIV\tCD\tB-NP\tO' +p297479 +aS'.\t.\t.\tO\tO' +p297480 +asS'She is now able to be discharged home on her admission medications , with the exception of the fact that Vasotec was increased to 10 mg PO bid .' +p297481 +(lp297482 +S'She\tShe\tPRP\tB-NP\tO' +p297483 +aS'is\tbe\tVBZ\tB-VP\tO' +p297484 +aS'now\tnow\tRB\tB-ADVP\tO' +p297485 +aS'able\table\tJJ\tB-ADJP\tO' +p297486 +aS'to\tto\tTO\tB-VP\tO' +p297487 +aS'be\tbe\tVB\tI-VP\tO' +p297488 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p297489 +aS'home\thome\tNN\tB-ADVP\tO' +p297490 +aS'on\ton\tIN\tB-PP\tO' +p297491 +aS'her\ther\tPRP$\tB-NP\tO' +p297492 +aS'admission\tadmission\tNN\tI-NP\tO' +p297493 +aS'medications\tmedication\tNNS\tI-NP\tO' +p297494 +aS',\t,\t,\tO\tO' +p297495 +aS'with\twith\tIN\tB-PP\tO' +p297496 +aS'the\tthe\tDT\tB-NP\tO' +p297497 +aS'exception\texception\tNN\tI-NP\tO' +p297498 +aS'of\tof\tIN\tB-PP\tO' +p297499 +aS'the\tthe\tDT\tB-NP\tO' +p297500 +aS'fact\tfact\tNN\tI-NP\tO' +p297501 +aS'that\tthat\tIN\tB-SBAR\tO' +p297502 +aS'Vasotec\tVasotec\tNNP\tB-NP\tO' +p297503 +aS'was\tbe\tVBD\tB-VP\tO' +p297504 +aS'increased\tincrease\tVBN\tI-VP\tO' +p297505 +aS'to\tto\tTO\tB-PP\tO' +p297506 +aS'10\t10\tCD\tB-NP\tO' +p297507 +aS'mg\tmg\tNN\tI-NP\tO' +p297508 +aS'PO\tPO\tNN\tI-NP\tO' +p297509 +aS'bid\tbid\tNN\tI-NP\tO' +p297510 +aS'.\t.\t.\tO\tO' +p297511 +asS'As a small complication , the patient opened a left ankle wound post saphenous vein harvest , which persists up until now and is of a size 2 x 1 cm .' +p297512 +(lp297513 +S'As\tAs\tIN\tB-PP\tO' +p297514 +aS'a\ta\tDT\tB-NP\tO' +p297515 +aS'small\tsmall\tJJ\tI-NP\tO' +p297516 +aS'complication\tcomplication\tNN\tI-NP\tO' +p297517 +aS',\t,\t,\tO\tO' +p297518 +aS'the\tthe\tDT\tB-NP\tO' +p297519 +aS'patient\tpatient\tNN\tI-NP\tO' +p297520 +aS'opened\topen\tVBD\tB-VP\tO' +p297521 +aS'a\ta\tDT\tB-NP\tO' +p297522 +aS'left\tleft\tJJ\tI-NP\tO' +p297523 +aS'ankle\tankle\tNN\tI-NP\tO' +p297524 +aS'wound\twound\tNN\tI-NP\tO' +p297525 +aS'post\tpost\tNN\tI-NP\tO' +p297526 +aS'saphenous\tsaphenous\tJJ\tI-NP\tO' +p297527 +aS'vein\tvein\tNN\tI-NP\tO' +p297528 +aS'harvest\tharvest\tNN\tI-NP\tO' +p297529 +aS',\t,\t,\tO\tO' +p297530 +aS'which\twhich\tWDT\tB-NP\tO' +p297531 +aS'persists\tpersist\tVBZ\tB-VP\tO' +p297532 +aS'up\tup\tRP\tB-PRT\tO' +p297533 +aS'until\tuntil\tIN\tB-PP\tO' +p297534 +aS'now\tnow\tRB\tB-NP\tO' +p297535 +aS'and\tand\tCC\tO\tO' +p297536 +aS'is\tbe\tVBZ\tB-VP\tO' +p297537 +aS'of\tof\tIN\tB-PP\tO' +p297538 +aS'a\ta\tDT\tB-NP\tO' +p297539 +aS'size\tsize\tNN\tI-NP\tO' +p297540 +aS'2\t2\tCD\tI-NP\tO' +p297541 +aS'x\tx\tSYM\tI-NP\tO' +p297542 +aS'1\t1\tCD\tI-NP\tO' +p297543 +aS'cm\tcm\tNN\tI-NP\tO' +p297544 +aS'.\t.\t.\tO\tO' +p297545 +asS'Blood cultures grew out 4 out of 4 bottles for gram positive cocci , which thereafter proved to be Staph. aureus Methicillin sensitive .' +p297546 +(lp297547 +S'Blood\tBlood\tNN\tB-NP\tB-cell_line' +p297548 +aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' +p297549 +aS'grew\tgrow\tVBD\tB-VP\tO' +p297550 +aS'out\tout\tRP\tB-PRT\tO' +p297551 +aS'4\t4\tCD\tB-NP\tO' +p297552 +aS'out\tout\tIN\tI-NP\tO' +p297553 +aS'of\tof\tIN\tI-NP\tO' +p297554 +aS'4\t4\tCD\tI-NP\tO' +p297555 +aS'bottles\tbottle\tNNS\tI-NP\tO' +p297556 +aS'for\tfor\tIN\tB-PP\tO' +p297557 +aS'gram\tgram\tNN\tB-NP\tB-protein' +p297558 +aS'positive\tpositive\tJJ\tI-NP\tI-protein' +p297559 +aS'cocci\tcoccus\tNNS\tI-NP\tI-protein' +p297560 +aS',\t,\t,\tO\tO' +p297561 +aS'which\twhich\tWDT\tB-NP\tO' +p297562 +aS'thereafter\tthereafter\tRB\tB-ADVP\tO' +p297563 +aS'proved\tprove\tVBD\tB-VP\tO' +p297564 +aS'to\tto\tTO\tI-VP\tO' +p297565 +aS'be\tbe\tVB\tI-VP\tO' +p297566 +aS'Staph.\tStaph.\tFW\tB-NP\tO' +p297567 +aS'aureus\taureus\tFW\tI-NP\tO' +p297568 +aS'Methicillin\tMethicillin\tNN\tI-NP\tO' +p297569 +aS'sensitive\tsensitive\tJJ\tB-ADJP\tO' +p297570 +aS'.\t.\t.\tO\tO' +p297571 +asS'The patient ruled in for myocardial infarction with CPK maximum on hospital day number one peak of 186 and iso of 23.8 and index of 12.8 on September 2 , 1994 .' +p297572 +(lp297573 +S'The\tThe\tDT\tB-NP\tO' +p297574 +aS'patient\tpatient\tNN\tI-NP\tO' +p297575 +aS'ruled\trule\tVBD\tB-VP\tO' +p297576 +aS'in\tin\tIN\tB-PP\tO' +p297577 +aS'for\tfor\tIN\tB-PP\tO' +p297578 +aS'myocardial\tmyocardial\tJJ\tB-NP\tO' +p297579 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p297580 +aS'with\twith\tIN\tB-PP\tO' +p297581 +aS'CPK\tCPK\tNN\tB-NP\tB-protein' +p297582 +aS'maximum\tmaximum\tNN\tI-NP\tO' +p297583 +aS'on\ton\tIN\tB-PP\tO' +p297584 +aS'hospital\thospital\tNN\tB-NP\tO' +p297585 +aS'day\tday\tNN\tI-NP\tO' +p297586 +aS'number\tnumber\tNN\tI-NP\tO' +p297587 +aS'one\tone\tCD\tB-NP\tO' +p297588 +aS'peak\tpeak\tNN\tI-NP\tO' +p297589 +aS'of\tof\tIN\tB-PP\tO' +p297590 +aS'186\t186\tCD\tB-NP\tO' +p297591 +aS'and\tand\tCC\tO\tO' +p297592 +aS'iso\tiso\tNN\tB-NP\tO' +p297593 +aS'of\tof\tIN\tB-PP\tO' +p297594 +aS'23.8\t23.8\tCD\tB-NP\tO' +p297595 +aS'and\tand\tCC\tO\tO' +p297596 +aS'index\tindex\tNN\tB-NP\tO' +p297597 +aS'of\tof\tIN\tB-PP\tO' +p297598 +aS'12.8\t12.8\tCD\tB-NP\tO' +p297599 +aS'on\ton\tIN\tB-PP\tO' +p297600 +aS'September\tSeptember\tNNP\tB-NP\tO' +p297601 +aS'2\t2\tCD\tI-NP\tO' +p297602 +aS',\t,\t,\tI-NP\tO' +p297603 +aS'1994\t1994\tCD\tI-NP\tO' +p297604 +aS'.\t.\t.\tO\tO' +p297605 +asS'The patient 's liver function tests appeared to improve .' +p297606 +(lp297607 +S'The\tThe\tDT\tB-NP\tO' +p297608 +aS'patient\tpatient\tNN\tI-NP\tO' +p297609 +aS''s\t'\tNNS\tI-NP\tO' +p297610 +aS'liver\tliver\tNN\tI-NP\tO' +p297611 +aS'function\tfunction\tNN\tI-NP\tO' +p297612 +aS'tests\ttest\tNNS\tI-NP\tO' +p297613 +aS'appeared\tappear\tVBD\tB-VP\tO' +p297614 +aS'to\tto\tTO\tI-VP\tO' +p297615 +aS'improve\timprove\tVB\tI-VP\tO' +p297616 +aS'.\t.\t.\tO\tO' +p297617 +asS'1. Carotid stenosis .' +p297618 +(lp297619 +S'1.\t1.\tLS\tB-NP\tO' +p297620 +aS'Carotid\tCarotid\tNN\tI-NP\tO' +p297621 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p297622 +aS'.\t.\t.\tO\tO' +p297623 +asS'He was noted to be in rapid AF on several episodes receiving 5 mg IV Lopressor each time with improvement .' +p297624 +(lp297625 +S'He\tHe\tPRP\tB-NP\tO' +p297626 +aS'was\tbe\tVBD\tB-VP\tO' +p297627 +aS'noted\tnote\tVBN\tI-VP\tO' +p297628 +aS'to\tto\tTO\tI-VP\tO' +p297629 +aS'be\tbe\tVB\tI-VP\tO' +p297630 +aS'in\tin\tIN\tB-PP\tO' +p297631 +aS'rapid\trapid\tJJ\tB-NP\tO' +p297632 +aS'AF\tAF\tNN\tI-NP\tO' +p297633 +aS'on\ton\tIN\tB-PP\tO' +p297634 +aS'several\tseveral\tJJ\tB-NP\tO' +p297635 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p297636 +aS'receiving\treceive\tVBG\tB-VP\tO' +p297637 +aS'5\t5\tCD\tB-NP\tO' +p297638 +aS'mg\tmg\tNN\tI-NP\tO' +p297639 +aS'IV\tIV\tCD\tB-NP\tO' +p297640 +aS'Lopressor\tLopressor\tNN\tI-NP\tO' +p297641 +aS'each\teach\tDT\tB-NP\tO' +p297642 +aS'time\ttime\tNN\tI-NP\tO' +p297643 +aS'with\twith\tIN\tB-PP\tO' +p297644 +aS'improvement\timprovement\tNN\tB-NP\tO' +p297645 +aS'.\t.\t.\tO\tO' +p297646 +asS'2. ESRD on hemodialysis started 2017-01-07 on Tu , Th , Sat' +p297647 +(lp297648 +S'2.\t2.\tLS\tB-NP\tO' +p297649 +aS'ESRD\tESRD\tNN\tI-NP\tO' +p297650 +aS'on\ton\tIN\tB-PP\tO' +p297651 +aS'hemodialysis\themodialysis\tNN\tB-NP\tO' +p297652 +aS'started\tstart\tVBD\tB-VP\tO' +p297653 +aS'2017-01-07\t2017-01-07\tCD\tB-NP\tO' +p297654 +aS'on\ton\tIN\tB-PP\tO' +p297655 +aS'Tu\tTu\tNNP\tB-NP\tO' +p297656 +aS',\t,\t,\tO\tO' +p297657 +aS'Th\tTh\tNNP\tB-NP\tO' +p297658 +aS',\t,\t,\tO\tO' +p297659 +aS'Sat\tSat\tNNP\tB-NP\tO' +p297660 +asS'There is moderate pulmonary artery systolic hypertension .' +p297661 +(lp297662 +S'There\tThere\tEX\tB-NP\tO' +p297663 +aS'is\tbe\tVBZ\tB-VP\tO' +p297664 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p297665 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p297666 +aS'artery\tartery\tNN\tI-NP\tO' +p297667 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p297668 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p297669 +aS'.\t.\t.\tO\tO' +p297670 +asS'She has noticed some generalized hoarseness in her voice for the past 5-6 months .' +p297671 +(lp297672 +S'She\tShe\tPRP\tB-NP\tO' +p297673 +aS'has\thave\tVBZ\tB-VP\tO' +p297674 +aS'noticed\tnotice\tVBN\tI-VP\tO' +p297675 +aS'some\tsome\tDT\tB-NP\tO' +p297676 +aS'generalized\tgeneralize\tVBN\tI-NP\tO' +p297677 +aS'hoarseness\thoarseness\tNN\tI-NP\tO' +p297678 +aS'in\tin\tIN\tB-PP\tO' +p297679 +aS'her\ther\tPRP$\tB-NP\tO' +p297680 +aS'voice\tvoice\tNN\tI-NP\tO' +p297681 +aS'for\tfor\tIN\tB-PP\tO' +p297682 +aS'the\tthe\tDT\tB-NP\tO' +p297683 +aS'past\tpast\tJJ\tI-NP\tO' +p297684 +aS'5-6\t5-6\tCD\tI-NP\tO' +p297685 +aS'months\tmonth\tNNS\tI-NP\tO' +p297686 +aS'.\t.\t.\tO\tO' +p297687 +asS'A groin line was placed and the patient was sedated and paralyzed .' +p297688 +(lp297689 +S'A\tA\tDT\tB-NP\tO' +p297690 +aS'groin\tgroin\tNN\tI-NP\tO' +p297691 +aS'line\tline\tNN\tI-NP\tO' +p297692 +aS'was\tbe\tVBD\tB-VP\tO' +p297693 +aS'placed\tplace\tVBN\tI-VP\tO' +p297694 +aS'and\tand\tCC\tO\tO' +p297695 +aS'the\tthe\tDT\tB-NP\tO' +p297696 +aS'patient\tpatient\tNN\tI-NP\tO' +p297697 +aS'was\tbe\tVBD\tB-VP\tO' +p297698 +aS'sedated\tsedate\tVBN\tI-VP\tO' +p297699 +aS'and\tand\tCC\tO\tO' +p297700 +aS'paralyzed\tparalyze\tVBN\tB-VP\tO' +p297701 +aS'.\t.\t.\tO\tO' +p297702 +asS'4. He is also instructed to follow-up with Vascular Surgery and Podiatry for revascularization at the appropriate time frame .' +p297703 +(lp297704 +S'4.\t4.\tLS\tB-LST\tO' +p297705 +aS'He\tHe\tPRP\tB-NP\tB-DNA' +p297706 +aS'is\tbe\tVBZ\tB-VP\tO' +p297707 +aS'also\talso\tRB\tI-VP\tO' +p297708 +aS'instructed\tinstruct\tVBN\tI-VP\tO' +p297709 +aS'to\tto\tTO\tI-VP\tO' +p297710 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p297711 +aS'with\twith\tIN\tB-PP\tO' +p297712 +aS'Vascular\tVascular\tNNP\tB-NP\tO' +p297713 +aS'Surgery\tSurgery\tNNP\tI-NP\tO' +p297714 +aS'and\tand\tCC\tI-NP\tO' +p297715 +aS'Podiatry\tPodiatry\tNNP\tI-NP\tO' +p297716 +aS'for\tfor\tIN\tB-PP\tO' +p297717 +aS'revascularization\trevascularization\tNN\tB-NP\tO' +p297718 +aS'at\tat\tIN\tB-PP\tO' +p297719 +aS'the\tthe\tDT\tB-NP\tO' +p297720 +aS'appropriate\tappropriate\tJJ\tI-NP\tO' +p297721 +aS'time\ttime\tNN\tI-NP\tO' +p297722 +aS'frame\tframe\tNN\tI-NP\tO' +p297723 +aS'.\t.\t.\tO\tO' +p297724 +asS'His ACE inhibitor post MI was initially held due to his creatinine .' +p297725 +(lp297726 +S'His\tHis\tPRP$\tB-NP\tO' +p297727 +aS'ACE\tACE\tNN\tI-NP\tO' +p297728 +aS'inhibitor\tinhibitor\tNN\tI-NP\tO' +p297729 +aS'post\tpost\tNN\tI-NP\tO' +p297730 +aS'MI\tMI\tNN\tI-NP\tO' +p297731 +aS'was\tbe\tVBD\tB-VP\tO' +p297732 +aS'initially\tinitially\tRB\tI-VP\tO' +p297733 +aS'held\thold\tVBN\tI-VP\tO' +p297734 +aS'due\tdue\tJJ\tB-ADJP\tO' +p297735 +aS'to\tto\tTO\tB-PP\tO' +p297736 +aS'his\this\tPRP$\tB-NP\tO' +p297737 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p297738 +aS'.\t.\t.\tO\tO' +p297739 +asS'Abx changed to vanc , zosyn , cipro , fluc , azith .' +p297740 +(lp297741 +S'Abx\tAbx\tNN\tB-NP\tB-protein' +p297742 +aS'changed\tchange\tVBD\tB-VP\tO' +p297743 +aS'to\tto\tTO\tB-PP\tO' +p297744 +aS'vanc\tvanc\tNN\tB-NP\tO' +p297745 +aS',\t,\t,\tO\tO' +p297746 +aS'zosyn\tzosyn\tNN\tB-NP\tO' +p297747 +aS',\t,\t,\tO\tO' +p297748 +aS'cipro\tcipro\tNN\tB-NP\tO' +p297749 +aS',\t,\t,\tO\tO' +p297750 +aS'fluc\tfluc\tNN\tB-NP\tO' +p297751 +aS',\t,\t,\tO\tO' +p297752 +aS'azith\tazith\tNN\tB-NP\tO' +p297753 +aS'.\t.\t.\tO\tO' +p297754 +asS"1. No evidence of colitis or other bowel pathology present to explain the patient 's bright red blood per rectum ." +p297755 +(lp297756 +S'1.\t1.\tLS\tB-LST\tO' +p297757 +aS'No\tNo\tDT\tB-NP\tO' +p297758 +aS'evidence\tevidence\tNN\tI-NP\tO' +p297759 +aS'of\tof\tIN\tB-PP\tO' +p297760 +aS'colitis\tcolitis\tNN\tB-NP\tO' +p297761 +aS'or\tor\tCC\tO\tO' +p297762 +aS'other\tother\tJJ\tB-NP\tO' +p297763 +aS'bowel\tbowel\tNN\tI-NP\tO' +p297764 +aS'pathology\tpathology\tNN\tI-NP\tO' +p297765 +aS'present\tpresent\tVBP\tB-VP\tO' +p297766 +aS'to\tto\tTO\tI-VP\tO' +p297767 +aS'explain\texplain\tVB\tI-VP\tO' +p297768 +aS'the\tthe\tDT\tB-NP\tO' +p297769 +aS'patient\tpatient\tNN\tI-NP\tO' +p297770 +aS"'s\t's\tPOS\tB-NP\tO" +p297771 +aS'bright\tbright\tJJ\tI-NP\tO' +p297772 +aS'red\tred\tJJ\tI-NP\tO' +p297773 +aS'blood\tblood\tNN\tI-NP\tO' +p297774 +aS'per\tper\tIN\tB-PP\tO' +p297775 +aS'rectum\trectum\tNN\tB-NP\tO' +p297776 +aS'.\t.\t.\tO\tO' +p297777 +asS'The patient also had proximal RCA lesion of 80% and a mid RCA lesion of 80-90% which were not intervened upon .' +p297778 +(lp297779 +S'The\tThe\tDT\tB-NP\tO' +p297780 +aS'patient\tpatient\tNN\tI-NP\tO' +p297781 +aS'also\talso\tRB\tB-ADVP\tO' +p297782 +aS'had\thave\tVBD\tB-VP\tO' +p297783 +aS'proximal\tproximal\tJJ\tB-NP\tO' +p297784 +aS'RCA\tRCA\tNN\tI-NP\tO' +p297785 +aS'lesion\tlesion\tNN\tI-NP\tO' +p297786 +aS'of\tof\tIN\tB-PP\tO' +p297787 +aS'80%\t80%\tNN\tB-NP\tO' +p297788 +aS'and\tand\tCC\tO\tO' +p297789 +aS'a\ta\tDT\tB-NP\tO' +p297790 +aS'mid\tmid\tJJ\tI-NP\tO' +p297791 +aS'RCA\tRCA\tNN\tI-NP\tO' +p297792 +aS'lesion\tlesion\tNN\tI-NP\tO' +p297793 +aS'of\tof\tIN\tB-PP\tO' +p297794 +aS'80-90%\t80-90%\tCD\tB-NP\tO' +p297795 +aS'which\twhich\tWDT\tB-NP\tO' +p297796 +aS'were\tbe\tVBD\tB-VP\tO' +p297797 +aS'not\tnot\tRB\tI-VP\tO' +p297798 +aS'intervened\tintervene\tVBN\tI-VP\tO' +p297799 +aS'upon\tupon\tIN\tB-PP\tO' +p297800 +aS'.\t.\t.\tO\tO' +p297801 +asS'Your patient was admitted under the care of TUBBOLM , LISSWHITI N with a preliminary diagnosis of PNEUMONIA .' +p297802 +(lp297803 +S'Your\tYour\tPRP$\tB-NP\tO' +p297804 +aS'patient\tpatient\tNN\tI-NP\tO' +p297805 +aS'was\tbe\tVBD\tB-VP\tO' +p297806 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p297807 +aS'under\tunder\tIN\tB-PP\tO' +p297808 +aS'the\tthe\tDT\tB-NP\tO' +p297809 +aS'care\tcare\tNN\tI-NP\tO' +p297810 +aS'of\tof\tIN\tB-PP\tO' +p297811 +aS'TUBBOLM\tTUBBOLM\tNN\tB-NP\tO' +p297812 +aS',\t,\t,\tO\tO' +p297813 +aS'LISSWHITI\tLISSWHITI\tNNP\tB-NP\tO' +p297814 +aS'N\tN\tNNP\tI-NP\tO' +p297815 +aS'with\twith\tIN\tB-PP\tO' +p297816 +aS'a\ta\tDT\tB-NP\tO' +p297817 +aS'preliminary\tpreliminary\tJJ\tI-NP\tO' +p297818 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p297819 +aS'of\tof\tIN\tB-PP\tO' +p297820 +aS'PNEUMONIA\tPNEUMONIA\tNN\tB-NP\tO' +p297821 +aS'.\t.\t.\tO\tO' +p297822 +asS'From a pulmonary standpoint , he continued to complain of shortness of breath .' +p297823 +(lp297824 +S'From\tFrom\tIN\tB-PP\tO' +p297825 +aS'a\ta\tDT\tB-NP\tO' +p297826 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p297827 +aS'standpoint\tstandpoint\tNN\tI-NP\tO' +p297828 +aS',\t,\t,\tO\tO' +p297829 +aS'he\the\tPRP\tB-NP\tO' +p297830 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p297831 +aS'to\tto\tTO\tI-VP\tO' +p297832 +aS'complain\tcomplain\tVB\tI-VP\tO' +p297833 +aS'of\tof\tIN\tB-PP\tO' +p297834 +aS'shortness\tshortness\tNN\tB-NP\tO' +p297835 +aS'of\tof\tIN\tB-PP\tO' +p297836 +aS'breath\tbreath\tNN\tB-NP\tO' +p297837 +aS'.\t.\t.\tO\tO' +p297838 +asS'It is unclear from history what these studies revealed .' +p297839 +(lp297840 +S'It\tIt\tPRP\tB-NP\tO' +p297841 +aS'is\tbe\tVBZ\tB-VP\tO' +p297842 +aS'unclear\tunclear\tJJ\tB-ADJP\tO' +p297843 +aS'from\tfrom\tIN\tB-PP\tO' +p297844 +aS'history\thistory\tNN\tB-NP\tO' +p297845 +aS'what\twhat\tWP\tB-NP\tO' +p297846 +aS'these\tthese\tDT\tB-NP\tO' +p297847 +aS'studies\tstudy\tNNS\tI-NP\tO' +p297848 +aS'revealed\treveal\tVBD\tB-VP\tO' +p297849 +aS'.\t.\t.\tO\tO' +p297850 +asS'The patient was brought to the Operating Room on February 6 , 1994 where she underwent rigid and flexible bronchoscopy and upper gastrointestinal endoscopy .' +p297851 +(lp297852 +S'The\tThe\tDT\tB-NP\tO' +p297853 +aS'patient\tpatient\tNN\tI-NP\tO' +p297854 +aS'was\tbe\tVBD\tB-VP\tO' +p297855 +aS'brought\tbring\tVBN\tI-VP\tO' +p297856 +aS'to\tto\tTO\tB-PP\tO' +p297857 +aS'the\tthe\tDT\tB-NP\tO' +p297858 +aS'Operating\tOperating\tNNP\tI-NP\tO' +p297859 +aS'Room\tRoom\tNNP\tI-NP\tO' +p297860 +aS'on\ton\tIN\tB-PP\tO' +p297861 +aS'February\tFebruary\tNNP\tB-NP\tO' +p297862 +aS'6\t6\tCD\tI-NP\tO' +p297863 +aS',\t,\t,\tI-NP\tO' +p297864 +aS'1994\t1994\tCD\tI-NP\tO' +p297865 +aS'where\twhere\tWRB\tB-ADVP\tO' +p297866 +aS'she\tshe\tPRP\tB-NP\tO' +p297867 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p297868 +aS'rigid\trigid\tJJ\tB-NP\tO' +p297869 +aS'and\tand\tCC\tI-NP\tO' +p297870 +aS'flexible\tflexible\tJJ\tI-NP\tO' +p297871 +aS'bronchoscopy\tbronchoscopy\tNN\tI-NP\tO' +p297872 +aS'and\tand\tCC\tO\tO' +p297873 +aS'upper\tupper\tJJ\tB-NP\tO' +p297874 +aS'gastrointestinal\tgastrointestinal\tJJ\tI-NP\tO' +p297875 +aS'endoscopy\tendoscopy\tNN\tI-NP\tO' +p297876 +aS'.\t.\t.\tO\tO' +p297877 +asS'Left knee injury .' +p297878 +(lp297879 +S'Left\tLeave\tVBN\tB-NP\tO' +p297880 +aS'knee\tknee\tNN\tI-NP\tO' +p297881 +aS'injury\tinjury\tNN\tI-NP\tO' +p297882 +aS'.\t.\t.\tO\tO' +p297883 +asS'He denied any melana , any hematemesis , nausea or vomiting .' +p297884 +(lp297885 +S'He\tHe\tPRP\tB-NP\tO' +p297886 +aS'denied\tdeny\tVBD\tB-VP\tO' +p297887 +aS'any\tany\tDT\tB-NP\tO' +p297888 +aS'melana\tmelana\tNN\tI-NP\tO' +p297889 +aS',\t,\t,\tO\tO' +p297890 +aS'any\tany\tDT\tB-NP\tO' +p297891 +aS'hematemesis\thematemesis\tNN\tI-NP\tO' +p297892 +aS',\t,\t,\tI-NP\tO' +p297893 +aS'nausea\tnausea\tNN\tI-NP\tO' +p297894 +aS'or\tor\tCC\tI-NP\tO' +p297895 +aS'vomiting\tvomiting\tNN\tI-NP\tO' +p297896 +aS'.\t.\t.\tO\tO' +p297897 +asS'The pupils were bilaterally 4.5 mm and had been dilated at the Purckecation Balpoingdelt Pabarnes- Campa Memorial Hospital .' +p297898 +(lp297899 +S'The\tThe\tDT\tB-NP\tO' +p297900 +aS'pupils\tpupil\tNNS\tI-NP\tO' +p297901 +aS'were\tbe\tVBD\tB-VP\tO' +p297902 +aS'bilaterally\tbilaterally\tRB\tB-NP\tO' +p297903 +aS'4.5\t4.5\tCD\tI-NP\tO' +p297904 +aS'mm\tmm\tNN\tI-NP\tO' +p297905 +aS'and\tand\tCC\tO\tO' +p297906 +aS'had\thave\tVBD\tB-VP\tO' +p297907 +aS'been\tbe\tVBN\tI-VP\tO' +p297908 +aS'dilated\tdilate\tVBN\tI-VP\tO' +p297909 +aS'at\tat\tIN\tB-PP\tO' +p297910 +aS'the\tthe\tDT\tB-NP\tO' +p297911 +aS'Purckecation\tPurckecation\tNNP\tI-NP\tO' +p297912 +aS'Balpoingdelt\tBalpoingdelt\tNNP\tI-NP\tO' +p297913 +aS'Pabarnes-\tPabarnes-\tNNP\tI-NP\tO' +p297914 +aS'Campa\tCampa\tNNP\tI-NP\tO' +p297915 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p297916 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p297917 +aS'.\t.\t.\tO\tO' +p297918 +asS'He was diuresed with lasix with good effect .' +p297919 +(lp297920 +S'He\tHe\tPRP\tB-NP\tO' +p297921 +aS'was\tbe\tVBD\tB-VP\tO' +p297922 +aS'diuresed\tdiurese\tVBN\tI-VP\tO' +p297923 +aS'with\twith\tIN\tB-PP\tO' +p297924 +aS'lasix\tlasix\tNN\tB-NP\tO' +p297925 +aS'with\twith\tIN\tB-PP\tO' +p297926 +aS'good\tgood\tJJ\tB-NP\tO' +p297927 +aS'effect\teffect\tNN\tI-NP\tO' +p297928 +aS'.\t.\t.\tO\tO' +p297929 +asS'By postoperative day # 7 , Mr. Fyfe was tolerating a regular ADA 1800 kilocalorie diet without difficulty with all of his tubes and drains removed .' +p297930 +(lp297931 +S'By\tBy\tIN\tB-PP\tO' +p297932 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p297933 +aS'day\tday\tNN\tI-NP\tO' +p297934 +aS'#\t#\t#\tB-NP\tO' +p297935 +aS'7\t7\tCD\tI-NP\tO' +p297936 +aS',\t,\t,\tO\tO' +p297937 +aS'Mr.\tMr.\tNNP\tB-NP\tO' +p297938 +aS'Fyfe\tFyfe\tNNP\tI-NP\tO' +p297939 +aS'was\tbe\tVBD\tB-VP\tO' +p297940 +aS'tolerating\ttolerate\tVBG\tI-VP\tO' +p297941 +aS'a\ta\tDT\tB-NP\tO' +p297942 +aS'regular\tregular\tJJ\tI-NP\tO' +p297943 +aS'ADA\tADA\tNN\tI-NP\tO' +p297944 +aS'1800\t1800\tCD\tI-NP\tO' +p297945 +aS'kilocalorie\tkilocalorie\tNN\tI-NP\tO' +p297946 +aS'diet\tdiet\tNN\tI-NP\tO' +p297947 +aS'without\twithout\tIN\tB-PP\tO' +p297948 +aS'difficulty\tdifficulty\tNN\tB-NP\tO' +p297949 +aS'with\twith\tIN\tB-PP\tO' +p297950 +aS'all\tall\tDT\tB-NP\tO' +p297951 +aS'of\tof\tIN\tB-PP\tO' +p297952 +aS'his\this\tPRP$\tB-NP\tO' +p297953 +aS'tubes\ttube\tNNS\tI-NP\tO' +p297954 +aS'and\tand\tCC\tI-NP\tO' +p297955 +aS'drains\tdrain\tNNS\tI-NP\tO' +p297956 +aS'removed\tremove\tVBN\tB-VP\tO' +p297957 +aS'.\t.\t.\tO\tO' +p297958 +asS'# Resp : Patient was intermitentely switched from AC to Pressure support trials .' +p297959 +(lp297960 +S'#\t#\t#\tB-NP\tO' +p297961 +aS'Resp\tResp\tNN\tI-NP\tO' +p297962 +aS':\t:\t:\tO\tO' +p297963 +aS'Patient\tPatient\tNN\tB-NP\tO' +p297964 +aS'was\tbe\tVBD\tB-VP\tO' +p297965 +aS'intermitentely\tintermitentely\tRB\tI-VP\tO' +p297966 +aS'switched\tswitch\tVBN\tI-VP\tO' +p297967 +aS'from\tfrom\tIN\tB-PP\tO' +p297968 +aS'AC\tAC\tNN\tB-NP\tO' +p297969 +aS'to\tto\tTO\tB-VP\tO' +p297970 +aS'Pressure\tPressure\tVB\tI-VP\tO' +p297971 +aS'support\tsupport\tNN\tB-NP\tO' +p297972 +aS'trials\ttrial\tNNS\tI-NP\tO' +p297973 +aS'.\t.\t.\tO\tO' +p297974 +asS'Demerol .' +p297975 +(lp297976 +S'Demerol\tDemerol\tNN\tB-NP\tO' +p297977 +aS'.\t.\t.\tO\tO' +p297978 +asS'Sed rate was 58 and repeat 75 .' +p297979 +(lp297980 +S'Sed\tSe\tVBN\tB-NP\tO' +p297981 +aS'rate\trate\tNN\tI-NP\tO' +p297982 +aS'was\tbe\tVBD\tB-VP\tO' +p297983 +aS'58\t58\tCD\tB-NP\tO' +p297984 +aS'and\tand\tCC\tO\tO' +p297985 +aS'repeat\trepeat\tNN\tB-NP\tO' +p297986 +aS'75\t75\tCD\tI-NP\tO' +p297987 +aS'.\t.\t.\tO\tO' +p297988 +asS'However , this was felt to be due to her significant infection .' +p297989 +(lp297990 +S'However\tHowever\tRB\tB-ADVP\tO' +p297991 +aS',\t,\t,\tO\tO' +p297992 +aS'this\tthis\tDT\tB-NP\tO' +p297993 +aS'was\tbe\tVBD\tB-VP\tO' +p297994 +aS'felt\tfeel\tVBN\tI-VP\tO' +p297995 +aS'to\tto\tTO\tI-VP\tO' +p297996 +aS'be\tbe\tVB\tI-VP\tO' +p297997 +aS'due\tdue\tIN\tB-PP\tO' +p297998 +aS'to\tto\tTO\tB-PP\tO' +p297999 +aS'her\ther\tPRP$\tB-NP\tO' +p298000 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p298001 +aS'infection\tinfection\tNN\tI-NP\tO' +p298002 +aS'.\t.\t.\tO\tO' +p298003 +asS'please take your medications and call your doctor if you experience chest pain , abdominal pain or shortness of breath or any thoughts of hurting yourself or anyone else .' +p298004 +(lp298005 +S'please\tplease\tVB\tB-INTJ\tO' +p298006 +aS'take\ttake\tVB\tB-VP\tO' +p298007 +aS'your\tyour\tPRP$\tB-NP\tO' +p298008 +aS'medications\tmedication\tNNS\tI-NP\tO' +p298009 +aS'and\tand\tCC\tO\tO' +p298010 +aS'call\tcall\tVB\tB-VP\tO' +p298011 +aS'your\tyour\tPRP$\tB-NP\tO' +p298012 +aS'doctor\tdoctor\tNN\tI-NP\tO' +p298013 +aS'if\tif\tIN\tB-SBAR\tO' +p298014 +aS'you\tyou\tPRP\tB-NP\tO' +p298015 +aS'experience\texperience\tVBP\tB-VP\tO' +p298016 +aS'chest\tchest\tNN\tB-NP\tO' +p298017 +aS'pain\tpain\tNN\tI-NP\tO' +p298018 +aS',\t,\t,\tO\tO' +p298019 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p298020 +aS'pain\tpain\tNN\tI-NP\tO' +p298021 +aS'or\tor\tCC\tI-NP\tO' +p298022 +aS'shortness\tshortness\tNN\tI-NP\tO' +p298023 +aS'of\tof\tIN\tB-PP\tO' +p298024 +aS'breath\tbreath\tNN\tB-NP\tO' +p298025 +aS'or\tor\tCC\tO\tO' +p298026 +aS'any\tany\tDT\tB-NP\tO' +p298027 +aS'thoughts\tthought\tNNS\tI-NP\tO' +p298028 +aS'of\tof\tIN\tB-PP\tO' +p298029 +aS'hurting\thurt\tVBG\tB-VP\tO' +p298030 +aS'yourself\tyourself\tPRP\tB-NP\tO' +p298031 +aS'or\tor\tCC\tO\tO' +p298032 +aS'anyone\tanyone\tNN\tB-NP\tO' +p298033 +aS'else\telse\tRB\tI-NP\tO' +p298034 +aS'.\t.\t.\tO\tO' +p298035 +asS'3. Senna 8.6 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ) as needed for constipation .' +p298036 +(lp298037 +S'3.\t3.\tLS\tB-LST\tO' +p298038 +aS'Senna\tSenna\tNNP\tB-NP\tO' +p298039 +aS'8.6\t8.6\tCD\tI-NP\tO' +p298040 +aS'mg\tmg\tNN\tI-NP\tO' +p298041 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p298042 +aS'Sig\tSig\tNNP\tI-NP\tO' +p298043 +aS':\t:\t:\tO\tO' +p298044 +aS'One\tOne\tCD\tB-NP\tO' +p298045 +aS'(\t(\t(\tO\tO' +p298046 +aS'1\t1\tCD\tB-NP\tO' +p298047 +aS')\t)\t)\tO\tO' +p298048 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p298049 +aS'PO\tPO\tNN\tI-NP\tO' +p298050 +aS'BID\tBID\tNN\tI-NP\tO' +p298051 +aS'(\t(\t(\tO\tO' +p298052 +aS'2\t2\tCD\tB-NP\tO' +p298053 +aS'times\ttime\tNNS\tI-NP\tO' +p298054 +aS'a\ta\tDT\tB-NP\tO' +p298055 +aS'day\tday\tNN\tI-NP\tO' +p298056 +aS')\t)\t)\tO\tO' +p298057 +aS'as\tas\tIN\tB-SBAR\tO' +p298058 +aS'needed\tneed\tVBN\tB-VP\tO' +p298059 +aS'for\tfor\tIN\tB-PP\tO' +p298060 +aS'constipation\tconstipation\tNN\tB-NP\tO' +p298061 +aS'.\t.\t.\tO\tO' +p298062 +asS'The patient reports the pain began at 4:00 p.m. on the day of admission .' +p298063 +(lp298064 +S'The\tThe\tDT\tB-NP\tO' +p298065 +aS'patient\tpatient\tNN\tI-NP\tO' +p298066 +aS'reports\treport\tVBZ\tB-VP\tO' +p298067 +aS'the\tthe\tDT\tB-NP\tO' +p298068 +aS'pain\tpain\tNN\tI-NP\tO' +p298069 +aS'began\tbegin\tVBD\tB-VP\tO' +p298070 +aS'at\tat\tIN\tB-PP\tO' +p298071 +aS'4:00\t4:00\tCD\tB-NP\tO' +p298072 +aS'p.m.\tp.m.\tNN\tI-NP\tO' +p298073 +aS'on\ton\tIN\tB-PP\tO' +p298074 +aS'the\tthe\tDT\tB-NP\tO' +p298075 +aS'day\tday\tNN\tI-NP\tO' +p298076 +aS'of\tof\tIN\tB-PP\tO' +p298077 +aS'admission\tadmission\tNN\tB-NP\tO' +p298078 +aS'.\t.\t.\tO\tO' +p298079 +asS'Abdominal CT scan on 2/21/00 - Study revealed a prominent pancreas with associated mesenteric stranding .' +p298080 +(lp298081 +S'Abdominal\tAbdominal\tJJ\tB-NP\tO' +p298082 +aS'CT\tCT\tNN\tI-NP\tO' +p298083 +aS'scan\tscan\tNN\tI-NP\tO' +p298084 +aS'on\ton\tIN\tB-PP\tO' +p298085 +aS'2/21/00\t2/21/00\tCD\tB-NP\tO' +p298086 +aS'-\t-\tHYPH\tI-NP\tO' +p298087 +aS'Study\tStudy\tNN\tI-NP\tO' +p298088 +aS'revealed\treveal\tVBD\tB-VP\tO' +p298089 +aS'a\ta\tDT\tB-NP\tO' +p298090 +aS'prominent\tprominent\tJJ\tI-NP\tO' +p298091 +aS'pancreas\tpancreas\tNN\tI-NP\tO' +p298092 +aS'with\twith\tIN\tB-PP\tO' +p298093 +aS'associated\tassociate\tVBN\tB-NP\tO' +p298094 +aS'mesenteric\tmesenteric\tJJ\tI-NP\tO' +p298095 +aS'stranding\tstranding\tNN\tI-NP\tO' +p298096 +aS'.\t.\t.\tO\tO' +p298097 +asS'3 ) Digoxin 0.125 mg p.o. q. day .' +p298098 +(lp298099 +S'3\t3\tLS\tB-LST\tO' +p298100 +aS')\t)\t)\tO\tO' +p298101 +aS'Digoxin\tDigoxin\tNN\tB-NP\tO' +p298102 +aS'0.125\t0.125\tCD\tI-NP\tO' +p298103 +aS'mg\tmg\tNN\tI-NP\tO' +p298104 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p298105 +aS'q.\tq.\tNN\tI-NP\tO' +p298106 +aS'day\tday\tNN\tI-NP\tO' +p298107 +aS'.\t.\t.\tO\tO' +p298108 +asS'The patient received three days of chemotherapy , consisting of 45 mg. of Cisplatin 160 mg. of VP 16 , and tolerated chemotherapy resonably well .' +p298109 +(lp298110 +S'The\tThe\tDT\tB-NP\tO' +p298111 +aS'patient\tpatient\tNN\tI-NP\tO' +p298112 +aS'received\treceive\tVBD\tB-VP\tO' +p298113 +aS'three\tthree\tCD\tB-NP\tO' +p298114 +aS'days\tday\tNNS\tI-NP\tO' +p298115 +aS'of\tof\tIN\tB-PP\tO' +p298116 +aS'chemotherapy\tchemotherapy\tNN\tB-NP\tO' +p298117 +aS',\t,\t,\tO\tO' +p298118 +aS'consisting\tconsist\tVBG\tB-VP\tO' +p298119 +aS'of\tof\tIN\tB-PP\tO' +p298120 +aS'45\t45\tCD\tB-NP\tO' +p298121 +aS'mg.\tmg.\tNN\tI-NP\tO' +p298122 +aS'of\tof\tIN\tB-PP\tO' +p298123 +aS'Cisplatin\tCisplatin\tNN\tB-NP\tO' +p298124 +aS'160\t160\tCD\tI-NP\tO' +p298125 +aS'mg.\tmg.\tNN\tI-NP\tO' +p298126 +aS'of\tof\tIN\tB-PP\tO' +p298127 +aS'VP\tVP\tNN\tB-NP\tB-protein' +p298128 +aS'16\t16\tCD\tI-NP\tI-protein' +p298129 +aS',\t,\t,\tO\tO' +p298130 +aS'and\tand\tCC\tO\tO' +p298131 +aS'tolerated\ttolerate\tVBN\tB-NP\tO' +p298132 +aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' +p298133 +aS'resonably\tresonably\tRB\tB-ADVP\tO' +p298134 +aS'well\twell\tRB\tI-ADVP\tO' +p298135 +aS'.\t.\t.\tO\tO' +p298136 +asS'He was volume resuscitated and managed with D5W and lasix as well as receving FW boluses with his NG tube feeds .' +p298137 +(lp298138 +S'He\tHe\tPRP\tB-NP\tO' +p298139 +aS'was\tbe\tVBD\tB-VP\tO' +p298140 +aS'volume\tvolume\tNN\tB-NP\tO' +p298141 +aS'resuscitated\tresuscitate\tVBN\tB-VP\tO' +p298142 +aS'and\tand\tCC\tO\tO' +p298143 +aS'managed\tmanage\tVBN\tB-VP\tO' +p298144 +aS'with\twith\tIN\tB-PP\tO' +p298145 +aS'D5W\tD5W\tNN\tB-NP\tB-protein' +p298146 +aS'and\tand\tCC\tI-NP\tO' +p298147 +aS'lasix\tlasix\tNN\tI-NP\tO' +p298148 +aS'as\tas\tRB\tB-CONJP\tO' +p298149 +aS'well\twell\tRB\tI-CONJP\tO' +p298150 +aS'as\tas\tIN\tI-CONJP\tO' +p298151 +aS'receving\treceve\tVBG\tB-VP\tO' +p298152 +aS'FW\tFW\tNNP\tB-NP\tO' +p298153 +aS'boluses\tbolus\tNNS\tI-NP\tO' +p298154 +aS'with\twith\tIN\tB-PP\tO' +p298155 +aS'his\this\tPRP$\tB-NP\tO' +p298156 +aS'NG\tNG\tNN\tI-NP\tO' +p298157 +aS'tube\ttube\tNN\tI-NP\tO' +p298158 +aS'feeds\tfeed\tNNS\tI-NP\tO' +p298159 +aS'.\t.\t.\tO\tO' +p298160 +asS'This treadmill test was done on medications , including beta blockers , in hopes to assess an amount of ischemia on treatment .' +p298161 +(lp298162 +S'This\tThis\tDT\tB-NP\tO' +p298163 +aS'treadmill\ttreadmill\tNN\tI-NP\tO' +p298164 +aS'test\ttest\tNN\tI-NP\tO' +p298165 +aS'was\tbe\tVBD\tB-VP\tO' +p298166 +aS'done\tdo\tVBN\tI-VP\tO' +p298167 +aS'on\ton\tIN\tB-PP\tO' +p298168 +aS'medications\tmedication\tNNS\tB-NP\tO' +p298169 +aS',\t,\t,\tO\tO' +p298170 +aS'including\tinclude\tVBG\tB-PP\tO' +p298171 +aS'beta\tbeta\tNN\tB-NP\tO' +p298172 +aS'blockers\tblocker\tNNS\tI-NP\tO' +p298173 +aS',\t,\t,\tO\tO' +p298174 +aS'in\tin\tIN\tB-PP\tO' +p298175 +aS'hopes\thope\tNNS\tB-NP\tO' +p298176 +aS'to\tto\tTO\tB-VP\tO' +p298177 +aS'assess\tassess\tVB\tI-VP\tO' +p298178 +aS'an\tan\tDT\tB-NP\tO' +p298179 +aS'amount\tamount\tNN\tI-NP\tO' +p298180 +aS'of\tof\tIN\tB-PP\tO' +p298181 +aS'ischemia\tischemia\tNN\tB-NP\tO' +p298182 +aS'on\ton\tIN\tB-PP\tO' +p298183 +aS'treatment\ttreatment\tNN\tB-NP\tO' +p298184 +aS'.\t.\t.\tO\tO' +p298185 +asS'Prevertebral soft tissue swelling cannot be excluded secondary to intubation .' +p298186 +(lp298187 +S'Prevertebral\tPrevertebral\tJJ\tB-NP\tO' +p298188 +aS'soft\tsoft\tJJ\tI-NP\tO' +p298189 +aS'tissue\ttissue\tNN\tI-NP\tO' +p298190 +aS'swelling\tswelling\tNN\tI-NP\tO' +p298191 +aS'cannot\tcannot\tMD\tB-VP\tO' +p298192 +aS'be\tbe\tVB\tI-VP\tO' +p298193 +aS'excluded\texclude\tVBN\tI-VP\tO' +p298194 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p298195 +aS'to\tto\tTO\tB-PP\tO' +p298196 +aS'intubation\tintubation\tNN\tB-NP\tO' +p298197 +aS'.\t.\t.\tO\tO' +p298198 +asS'She should also continue on lipitor and lisinopril .' +p298199 +(lp298200 +S'She\tShe\tPRP\tB-NP\tO' +p298201 +aS'should\tshould\tMD\tB-VP\tO' +p298202 +aS'also\talso\tRB\tI-VP\tO' +p298203 +aS'continue\tcontinue\tVB\tI-VP\tO' +p298204 +aS'on\ton\tIN\tB-PP\tO' +p298205 +aS'lipitor\tlipitor\tNN\tB-NP\tO' +p298206 +aS'and\tand\tCC\tI-NP\tO' +p298207 +aS'lisinopril\tlisinopril\tNN\tI-NP\tO' +p298208 +aS'.\t.\t.\tO\tO' +p298209 +asS'Postoperatively he was taken to the cardiac surgical intensive care unit for monitoring .' +p298210 +(lp298211 +S'Postoperatively\tPostoperatively\tRB\tB-ADVP\tO' +p298212 +aS'he\the\tPRP\tB-NP\tO' +p298213 +aS'was\tbe\tVBD\tB-VP\tO' +p298214 +aS'taken\ttake\tVBN\tI-VP\tO' +p298215 +aS'to\tto\tTO\tB-PP\tO' +p298216 +aS'the\tthe\tDT\tB-NP\tO' +p298217 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p298218 +aS'surgical\tsurgical\tJJ\tI-NP\tO' +p298219 +aS'intensive\tintensive\tJJ\tI-NP\tO' +p298220 +aS'care\tcare\tNN\tI-NP\tO' +p298221 +aS'unit\tunit\tNN\tI-NP\tO' +p298222 +aS'for\tfor\tIN\tB-PP\tO' +p298223 +aS'monitoring\tmonitoring\tNN\tB-NP\tO' +p298224 +aS'.\t.\t.\tO\tO' +p298225 +asS"The patient 's finger stick blood glucose levels range from 151 to 390 over the past 24 hours and his insulin scale has been adjusted upward to compensate for that ." +p298226 +(lp298227 +S'The\tThe\tDT\tB-NP\tO' +p298228 +aS'patient\tpatient\tNN\tI-NP\tO' +p298229 +aS"'s\t's\tPOS\tB-NP\tO" +p298230 +aS'finger\tfinger\tNN\tI-NP\tO' +p298231 +aS'stick\tstick\tNN\tI-NP\tO' +p298232 +aS'blood\tblood\tNN\tI-NP\tO' +p298233 +aS'glucose\tglucose\tNN\tI-NP\tO' +p298234 +aS'levels\tlevel\tNNS\tI-NP\tO' +p298235 +aS'range\trange\tVBP\tB-VP\tO' +p298236 +aS'from\tfrom\tIN\tB-PP\tO' +p298237 +aS'151\t151\tCD\tB-NP\tO' +p298238 +aS'to\tto\tTO\tB-PP\tO' +p298239 +aS'390\t390\tCD\tB-NP\tO' +p298240 +aS'over\tover\tIN\tB-PP\tO' +p298241 +aS'the\tthe\tDT\tB-NP\tO' +p298242 +aS'past\tpast\tJJ\tI-NP\tO' +p298243 +aS'24\t24\tCD\tI-NP\tO' +p298244 +aS'hours\thour\tNNS\tI-NP\tO' +p298245 +aS'and\tand\tCC\tO\tO' +p298246 +aS'his\this\tPRP$\tB-NP\tO' +p298247 +aS'insulin\tinsulin\tNN\tI-NP\tO' +p298248 +aS'scale\tscale\tNN\tI-NP\tO' +p298249 +aS'has\thave\tVBZ\tB-VP\tO' +p298250 +aS'been\tbe\tVBN\tI-VP\tO' +p298251 +aS'adjusted\tadjust\tVBN\tI-VP\tO' +p298252 +aS'upward\tupward\tRB\tB-ADVP\tO' +p298253 +aS'to\tto\tTO\tB-VP\tO' +p298254 +aS'compensate\tcompensate\tVB\tI-VP\tO' +p298255 +aS'for\tfor\tIN\tB-PP\tO' +p298256 +aS'that\tthat\tDT\tB-NP\tO' +p298257 +aS'.\t.\t.\tO\tO' +p298258 +asS'72 male s/p fall down 20 stairs' +p298259 +(lp298260 +S'72\t72\tCD\tB-NP\tO' +p298261 +aS'male\tmale\tJJ\tI-NP\tO' +p298262 +aS's/p\ts/p\tNN\tI-NP\tO' +p298263 +aS'fall\tfall\tVBP\tB-VP\tO' +p298264 +aS'down\tdown\tRB\tB-ADVP\tO' +p298265 +aS'20\t20\tCD\tB-NP\tO' +p298266 +aS'stairs\tstair\tNNS\tI-NP\tO' +p298267 +asS'Peak CPK 1117 .' +p298268 +(lp298269 +S'Peak\tPeak\tJJ\tB-NP\tO' +p298270 +aS'CPK\tCPK\tNN\tI-NP\tO' +p298271 +aS'1117\t1117\tCD\tI-NP\tO' +p298272 +aS'.\t.\t.\tO\tO' +p298273 +asS'Prednisone 10 mg po q day , Verapamil 80 mg po t.i.d. , Digoxin 0.25 mg po q day , Isordil 20 mg po t.i.d. , Theo-Dur 200 mg po b.i.d. , Lasix 80mg q am , 40 mg po q pm , Enalapril 2.5 mg po b.i.d. , Pepcid 20 mg po b.i.d.' +p298274 +(lp298275 +S'Prednisone\tPrednisone\tNN\tB-NP\tO' +p298276 +aS'10\t10\tCD\tI-NP\tO' +p298277 +aS'mg\tmg\tNN\tI-NP\tO' +p298278 +aS'po\tpo\tNN\tI-NP\tO' +p298279 +aS'q\tq\tNN\tI-NP\tO' +p298280 +aS'day\tday\tNN\tI-NP\tO' +p298281 +aS',\t,\t,\tO\tO' +p298282 +aS'Verapamil\tVerapamil\tNN\tB-NP\tO' +p298283 +aS'80\t80\tCD\tI-NP\tO' +p298284 +aS'mg\tmg\tNN\tI-NP\tO' +p298285 +aS'po\tpo\tNN\tI-NP\tO' +p298286 +aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' +p298287 +aS',\t,\t,\tO\tO' +p298288 +aS'Digoxin\tDigoxin\tNN\tB-NP\tO' +p298289 +aS'0.25\t0.25\tCD\tI-NP\tO' +p298290 +aS'mg\tmg\tNN\tI-NP\tO' +p298291 +aS'po\tpo\tNN\tI-NP\tO' +p298292 +aS'q\tq\tNN\tI-NP\tO' +p298293 +aS'day\tday\tNN\tI-NP\tO' +p298294 +aS',\t,\t,\tO\tO' +p298295 +aS'Isordil\tIsordil\tNN\tB-NP\tO' +p298296 +aS'20\t20\tCD\tI-NP\tO' +p298297 +aS'mg\tmg\tNN\tI-NP\tO' +p298298 +aS'po\tpo\tNN\tI-NP\tO' +p298299 +aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' +p298300 +aS',\t,\t,\tO\tO' +p298301 +aS'Theo-Dur\tTheo-Dur\tRB\tB-NP\tO' +p298302 +aS'200\t200\tCD\tI-NP\tO' +p298303 +aS'mg\tmg\tNN\tI-NP\tO' +p298304 +aS'po\tpo\tNN\tI-NP\tO' +p298305 +aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' +p298306 +aS',\t,\t,\tO\tO' +p298307 +aS'Lasix\tLasix\tNNP\tB-NP\tO' +p298308 +aS'80mg\t80mg\tCD\tI-NP\tO' +p298309 +aS'q\tq\tNN\tI-NP\tO' +p298310 +aS'am\tam\tNN\tI-NP\tO' +p298311 +aS',\t,\t,\tO\tO' +p298312 +aS'40\t40\tCD\tB-NP\tO' +p298313 +aS'mg\tmg\tNN\tI-NP\tO' +p298314 +aS'po\tpo\tNN\tI-NP\tO' +p298315 +aS'q\tq\tNN\tI-NP\tO' +p298316 +aS'pm\tpm\tNN\tI-NP\tO' +p298317 +aS',\t,\t,\tO\tO' +p298318 +aS'Enalapril\tEnalapril\tNNP\tB-NP\tO' +p298319 +aS'2.5\t2.5\tCD\tI-NP\tO' +p298320 +aS'mg\tmg\tNN\tI-NP\tO' +p298321 +aS'po\tpo\tNN\tI-NP\tO' +p298322 +aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' +p298323 +aS',\t,\t,\tO\tO' +p298324 +aS'Pepcid\tPepcid\tNNP\tB-NP\tO' +p298325 +aS'20\t20\tCD\tI-NP\tO' +p298326 +aS'mg\tmg\tNN\tI-NP\tO' +p298327 +aS'po\tpo\tNN\tI-NP\tO' +p298328 +aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' +p298329 +asS'She had a regular heart rate and rhythm .' +p298330 +(lp298331 +S'She\tShe\tPRP\tB-NP\tO' +p298332 +aS'had\thave\tVBD\tB-VP\tO' +p298333 +aS'a\ta\tDT\tB-NP\tO' +p298334 +aS'regular\tregular\tJJ\tI-NP\tO' +p298335 +aS'heart\theart\tNN\tI-NP\tO' +p298336 +aS'rate\trate\tNN\tI-NP\tO' +p298337 +aS'and\tand\tCC\tI-NP\tO' +p298338 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p298339 +aS'.\t.\t.\tO\tO' +p298340 +asS'The patient tolerated the procedure fairly well , and was transferred to the Intensive Care Unit .' +p298341 +(lp298342 +S'The\tThe\tDT\tB-NP\tO' +p298343 +aS'patient\tpatient\tNN\tI-NP\tO' +p298344 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p298345 +aS'the\tthe\tDT\tB-NP\tO' +p298346 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p298347 +aS'fairly\tfairly\tRB\tB-ADVP\tO' +p298348 +aS'well\twell\tRB\tI-ADVP\tO' +p298349 +aS',\t,\t,\tO\tO' +p298350 +aS'and\tand\tCC\tO\tO' +p298351 +aS'was\tbe\tVBD\tB-VP\tO' +p298352 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p298353 +aS'to\tto\tTO\tB-PP\tO' +p298354 +aS'the\tthe\tDT\tB-NP\tO' +p298355 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p298356 +aS'Care\tCare\tNNP\tI-NP\tO' +p298357 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p298358 +aS'.\t.\t.\tO\tO' +p298359 +asS"When the pt 's MS improved to near baseline before again decompensating , he became extremely tearful and expressed feelings of depression after being in the hospital for so long ." +p298360 +(lp298361 +S'When\tWhen\tWRB\tB-ADVP\tO' +p298362 +aS'the\tthe\tDT\tB-NP\tO' +p298363 +aS'pt\tpt\tNN\tI-NP\tO' +p298364 +aS"'s\t's\tPOS\tB-NP\tO" +p298365 +aS'MS\tMS\tNN\tI-NP\tO' +p298366 +aS'improved\timprove\tVBD\tB-VP\tO' +p298367 +aS'to\tto\tTO\tB-PP\tO' +p298368 +aS'near\tnear\tJJ\tB-NP\tO' +p298369 +aS'baseline\tbaseline\tNN\tI-NP\tO' +p298370 +aS'before\tbefore\tIN\tB-PP\tO' +p298371 +aS'again\tagain\tRB\tB-ADVP\tO' +p298372 +aS'decompensating\tdecompensate\tVBG\tB-VP\tO' +p298373 +aS',\t,\t,\tO\tO' +p298374 +aS'he\the\tPRP\tB-NP\tO' +p298375 +aS'became\tbecome\tVBD\tB-VP\tO' +p298376 +aS'extremely\textremely\tRB\tB-ADJP\tO' +p298377 +aS'tearful\ttearful\tJJ\tI-ADJP\tO' +p298378 +aS'and\tand\tCC\tO\tO' +p298379 +aS'expressed\texpress\tVBN\tB-VP\tO' +p298380 +aS'feelings\tfeeling\tNNS\tB-NP\tO' +p298381 +aS'of\tof\tIN\tB-PP\tO' +p298382 +aS'depression\tdepression\tNN\tB-NP\tO' +p298383 +aS'after\tafter\tIN\tB-PP\tO' +p298384 +aS'being\tbe\tVBG\tB-VP\tO' +p298385 +aS'in\tin\tIN\tB-PP\tO' +p298386 +aS'the\tthe\tDT\tB-NP\tO' +p298387 +aS'hospital\thospital\tNN\tI-NP\tO' +p298388 +aS'for\tfor\tIN\tB-PP\tO' +p298389 +aS'so\tso\tRB\tB-ADVP\tO' +p298390 +aS'long\tlong\tRB\tI-ADVP\tO' +p298391 +aS'.\t.\t.\tO\tO' +p298392 +asS'His daughter awoke him at 7 a.m. , reports he said he felt " cold and shivery ," vomited several times , then drove her to school .' +p298393 +(lp298394 +S'His\tHis\tPRP$\tB-NP\tO' +p298395 +aS'daughter\tdaughter\tNN\tI-NP\tO' +p298396 +aS'awoke\tawake\tVBD\tB-VP\tO' +p298397 +aS'him\thim\tPRP\tB-NP\tO' +p298398 +aS'at\tat\tIN\tB-PP\tO' +p298399 +aS'7\t7\tCD\tB-NP\tO' +p298400 +aS'a.m.\ta.m.\tNN\tI-NP\tO' +p298401 +aS',\t,\t,\tO\tO' +p298402 +aS'reports\treport\tNNS\tB-NP\tO' +p298403 +aS'he\the\tPRP\tB-NP\tO' +p298404 +aS'said\tsay\tVBD\tB-VP\tO' +p298405 +aS'he\the\tPRP\tB-NP\tO' +p298406 +aS'felt\tfeel\tVBD\tB-VP\tO' +p298407 +aS'"\t"\t``\tO\tO' +p298408 +aS'cold\tcold\tJJ\tB-NP\tO' +p298409 +aS'and\tand\tCC\tI-NP\tO' +p298410 +aS'shivery\tshivery\tNN\tI-NP\tO' +p298411 +aS',"\t,"\t,\tO\tO' +p298412 +aS'vomited\tvomit\tVBD\tB-VP\tO' +p298413 +aS'several\tseveral\tJJ\tB-NP\tO' +p298414 +aS'times\ttime\tNNS\tI-NP\tO' +p298415 +aS',\t,\t,\tO\tO' +p298416 +aS'then\tthen\tRB\tB-ADVP\tO' +p298417 +aS'drove\tdrive\tVBD\tB-VP\tO' +p298418 +aS'her\ther\tPRP\tB-NP\tO' +p298419 +aS'to\tto\tTO\tB-PP\tO' +p298420 +aS'school\tschool\tNN\tB-NP\tO' +p298421 +aS'.\t.\t.\tO\tO' +p298422 +asS"Has been hospitalized at Pocasset Mental Health Center and Children 's Hospital Boston numerous times ." +p298423 +(lp298424 +S'Has\tHa\tNNS\tB-NP\tB-protein' +p298425 +aS'been\tbe\tVBN\tB-VP\tO' +p298426 +aS'hospitalized\thospitalize\tVBN\tI-VP\tO' +p298427 +aS'at\tat\tIN\tB-PP\tO' +p298428 +aS'Pocasset\tPocasset\tNNP\tB-NP\tO' +p298429 +aS'Mental\tMental\tNNP\tI-NP\tO' +p298430 +aS'Health\tHealth\tNNP\tI-NP\tO' +p298431 +aS'Center\tCenter\tNNP\tI-NP\tO' +p298432 +aS'and\tand\tCC\tO\tO' +p298433 +aS'Children\tChildren\tNNP\tB-NP\tO' +p298434 +aS"'s\t's\tPOS\tB-NP\tO" +p298435 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p298436 +aS'Boston\tBoston\tNNP\tI-NP\tO' +p298437 +aS'numerous\tnumerous\tJJ\tI-NP\tO' +p298438 +aS'times\ttime\tNNS\tI-NP\tO' +p298439 +aS'.\t.\t.\tO\tO' +p298440 +asS'Oxybutynin Amitriptyline .' +p298441 +(lp298442 +S'Oxybutynin\tOxybutynin\tNN\tB-NP\tO' +p298443 +aS'Amitriptyline\tAmitriptyline\tNN\tI-NP\tO' +p298444 +aS'.\t.\t.\tO\tO' +p298445 +asS'CTAB , mildly decreased breath sounds b/l' +p298446 +(lp298447 +S'CTAB\tCTAB\tNN\tB-NP\tB-protein' +p298448 +aS',\t,\t,\tO\tO' +p298449 +aS'mildly\tmildly\tRB\tB-NP\tO' +p298450 +aS'decreased\tdecrease\tVBN\tI-NP\tO' +p298451 +aS'breath\tbreath\tNN\tI-NP\tO' +p298452 +aS'sounds\tsound\tVBZ\tB-VP\tO' +p298453 +aS'b/l\tb/l\tNN\tB-NP\tO' +p298454 +asS'1. The left atrium is mildly dilated .' +p298455 +(lp298456 +S'1.\t1.\tLS\tB-LST\tO' +p298457 +aS'The\tThe\tDT\tB-NP\tO' +p298458 +aS'left\tleft\tJJ\tI-NP\tO' +p298459 +aS'atrium\tatrium\tNN\tI-NP\tO' +p298460 +aS'is\tbe\tVBZ\tB-VP\tO' +p298461 +aS'mildly\tmildly\tRB\tI-VP\tO' +p298462 +aS'dilated\tdilate\tVBN\tI-VP\tO' +p298463 +aS'.\t.\t.\tO\tO' +p298464 +asS'2. NPH 10 units subcutaneously every morning and 8 units subcutaneously every evening .' +p298465 +(lp298466 +S'2.\t2.\tLS\tB-NP\tO' +p298467 +aS'NPH\tNPH\tNN\tI-NP\tB-protein' +p298468 +aS'10\t10\tCD\tB-NP\tI-protein' +p298469 +aS'units\tunit\tNNS\tI-NP\tI-protein' +p298470 +aS'subcutaneously\tsubcutaneously\tRB\tB-ADVP\tO' +p298471 +aS'every\tevery\tDT\tB-NP\tO' +p298472 +aS'morning\tmorning\tNN\tI-NP\tO' +p298473 +aS'and\tand\tCC\tO\tO' +p298474 +aS'8\t8\tCD\tB-NP\tO' +p298475 +aS'units\tunit\tNNS\tI-NP\tO' +p298476 +aS'subcutaneously\tsubcutaneously\tRB\tB-ADVP\tO' +p298477 +aS'every\tevery\tDT\tB-NP\tO' +p298478 +aS'evening\tevening\tNN\tI-NP\tO' +p298479 +aS'.\t.\t.\tO\tO' +p298480 +asS'He came out here for college at BU and works as a computer programmer .' +p298481 +(lp298482 +S'He\tHe\tPRP\tB-NP\tO' +p298483 +aS'came\tcome\tVBD\tB-VP\tO' +p298484 +aS'out\tout\tRP\tB-PRT\tO' +p298485 +aS'here\there\tRB\tB-ADVP\tO' +p298486 +aS'for\tfor\tIN\tB-PP\tO' +p298487 +aS'college\tcollege\tNN\tB-NP\tO' +p298488 +aS'at\tat\tIN\tB-PP\tO' +p298489 +aS'BU\tBU\tNN\tB-NP\tO' +p298490 +aS'and\tand\tCC\tO\tO' +p298491 +aS'works\twork\tVBZ\tB-VP\tO' +p298492 +aS'as\tas\tIN\tB-PP\tO' +p298493 +aS'a\ta\tDT\tB-NP\tO' +p298494 +aS'computer\tcomputer\tNN\tI-NP\tO' +p298495 +aS'programmer\tprogrammer\tNN\tI-NP\tO' +p298496 +aS'.\t.\t.\tO\tO' +p298497 +asS'- The patient underwent a flex sigmoidoscopy on Friday , 11-02 , which showed old blood in the rectal vault but no active source of bleeding .' +p298498 +(lp298499 +S'-\t-\tHYPH\tO\tO' +p298500 +aS'The\tThe\tDT\tB-NP\tO' +p298501 +aS'patient\tpatient\tNN\tI-NP\tO' +p298502 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p298503 +aS'a\ta\tDT\tB-NP\tO' +p298504 +aS'flex\tflex\tNN\tI-NP\tO' +p298505 +aS'sigmoidoscopy\tsigmoidoscopy\tNN\tI-NP\tO' +p298506 +aS'on\ton\tIN\tB-PP\tO' +p298507 +aS'Friday\tFriday\tNNP\tB-NP\tO' +p298508 +aS',\t,\t,\tO\tO' +p298509 +aS'11-02\t11-02\tCD\tB-NP\tO' +p298510 +aS',\t,\t,\tO\tO' +p298511 +aS'which\twhich\tWDT\tB-NP\tO' +p298512 +aS'showed\tshow\tVBD\tB-VP\tO' +p298513 +aS'old\told\tJJ\tB-NP\tO' +p298514 +aS'blood\tblood\tNN\tI-NP\tO' +p298515 +aS'in\tin\tIN\tB-PP\tO' +p298516 +aS'the\tthe\tDT\tB-NP\tO' +p298517 +aS'rectal\trectal\tJJ\tI-NP\tO' +p298518 +aS'vault\tvault\tNN\tI-NP\tO' +p298519 +aS'but\tbut\tCC\tO\tO' +p298520 +aS'no\tno\tDT\tB-NP\tO' +p298521 +aS'active\tactive\tJJ\tI-NP\tO' +p298522 +aS'source\tsource\tNN\tI-NP\tO' +p298523 +aS'of\tof\tIN\tB-PP\tO' +p298524 +aS'bleeding\tbleed\tVBG\tB-NP\tO' +p298525 +aS'.\t.\t.\tO\tO' +p298526 +asS'Via echocardiogram , found to have aortic stenosis .' +p298527 +(lp298528 +S'Via\tVia\tNNP\tB-NP\tO' +p298529 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p298530 +aS',\t,\t,\tO\tO' +p298531 +aS'found\tfind\tVBN\tB-VP\tO' +p298532 +aS'to\tto\tTO\tI-VP\tO' +p298533 +aS'have\thave\tVB\tI-VP\tO' +p298534 +aS'aortic\taortic\tJJ\tB-NP\tO' +p298535 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p298536 +aS'.\t.\t.\tO\tO' +p298537 +asS'2 ) Schedule GI follow-up if biopsy results abnormal or if continued bleeding .' +p298538 +(lp298539 +S'2\t2\tLS\tB-LST\tO' +p298540 +aS')\t)\t)\tO\tO' +p298541 +aS'Schedule\tSchedule\tNNP\tB-NP\tO' +p298542 +aS'GI\tGI\tNNP\tI-NP\tO' +p298543 +aS'follow-up\tfollow-up\tNN\tI-NP\tO' +p298544 +aS'if\tif\tIN\tB-SBAR\tO' +p298545 +aS'biopsy\tbiopsy\tNN\tB-NP\tO' +p298546 +aS'results\tresult\tNNS\tI-NP\tO' +p298547 +aS'abnormal\tabnormal\tJJ\tB-ADJP\tO' +p298548 +aS'or\tor\tCC\tO\tO' +p298549 +aS'if\tif\tIN\tB-SBAR\tO' +p298550 +aS'continued\tcontinue\tVBN\tB-NP\tO' +p298551 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p298552 +aS'.\t.\t.\tO\tO' +p298553 +asS'4. The ascending , transverse and descending thoracic aorta are normal in diameter and free of atherosclerotic plaque .' +p298554 +(lp298555 +S'4.\t4.\tLS\tB-LST\tO' +p298556 +aS'The\tThe\tDT\tB-NP\tO' +p298557 +aS'ascending\tascending\tNN\tI-NP\tO' +p298558 +aS',\t,\t,\tO\tO' +p298559 +aS'transverse\ttransverse\tJJ\tB-ADJP\tO' +p298560 +aS'and\tand\tCC\tO\tO' +p298561 +aS'descending\tdescend\tVBG\tB-VP\tO' +p298562 +aS'thoracic\tthoracic\tJJ\tB-NP\tO' +p298563 +aS'aorta\taorta\tNNS\tI-NP\tO' +p298564 +aS'are\tbe\tVBP\tB-VP\tO' +p298565 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p298566 +aS'in\tin\tIN\tB-PP\tO' +p298567 +aS'diameter\tdiameter\tNN\tB-NP\tO' +p298568 +aS'and\tand\tCC\tO\tO' +p298569 +aS'free\tfree\tJJ\tB-ADJP\tO' +p298570 +aS'of\tof\tIN\tB-PP\tO' +p298571 +aS'atherosclerotic\tatherosclerotic\tJJ\tB-NP\tO' +p298572 +aS'plaque\tplaque\tNN\tI-NP\tO' +p298573 +aS'.\t.\t.\tO\tO' +p298574 +asS'He is a retired architect .' +p298575 +(lp298576 +S'He\tHe\tPRP\tB-NP\tB-DNA' +p298577 +aS'is\tbe\tVBZ\tB-VP\tO' +p298578 +aS'a\ta\tDT\tB-NP\tO' +p298579 +aS'retired\tretired\tJJ\tI-NP\tO' +p298580 +aS'architect\tarchitect\tNN\tI-NP\tO' +p298581 +aS'.\t.\t.\tO\tO' +p298582 +asS'Please follow up with Urology on 10-16 @ 1:50 PM on the 3rd floor of the Maricle Building , east campus of Lahey Clinic - North Shore' +p298583 +(lp298584 +S'Please\tPlease\tVB\tB-VP\tO' +p298585 +aS'follow\tfollow\tVB\tI-VP\tO' +p298586 +aS'up\tup\tRP\tB-PRT\tO' +p298587 +aS'with\twith\tIN\tB-PP\tO' +p298588 +aS'Urology\tUrology\tNNP\tB-NP\tO' +p298589 +aS'on\ton\tIN\tB-PP\tO' +p298590 +aS'10-16\t10-16\tCD\tB-NP\tO' +p298591 +aS'@\t@\tHYPH\tI-NP\tO' +p298592 +aS'1:50\t1:50\tCD\tI-NP\tO' +p298593 +aS'PM\tPM\tNN\tI-NP\tO' +p298594 +aS'on\ton\tIN\tB-PP\tO' +p298595 +aS'the\tthe\tDT\tB-NP\tO' +p298596 +aS'3rd\t3rd\tJJ\tI-NP\tO' +p298597 +aS'floor\tfloor\tNN\tI-NP\tO' +p298598 +aS'of\tof\tIN\tB-PP\tO' +p298599 +aS'the\tthe\tDT\tB-NP\tO' +p298600 +aS'Maricle\tMaricle\tNNP\tI-NP\tO' +p298601 +aS'Building\tBuilding\tNNP\tI-NP\tO' +p298602 +aS',\t,\t,\tO\tO' +p298603 +aS'east\teast\tJJ\tB-NP\tO' +p298604 +aS'campus\tcampus\tNN\tI-NP\tO' +p298605 +aS'of\tof\tIN\tB-PP\tO' +p298606 +aS'Lahey\tLahey\tNNP\tB-NP\tO' +p298607 +aS'Clinic\tClinic\tNNP\tI-NP\tO' +p298608 +aS'-\t-\tHYPH\tO\tO' +p298609 +aS'North\tNorth\tNNP\tB-NP\tO' +p298610 +aS'Shore\tShore\tNNP\tI-NP\tO' +p298611 +asS'Lorazepam 0.5 mg 1 to 2 tablets twice daily if needed' +p298612 +(lp298613 +S'Lorazepam\tLorazepam\tNN\tB-NP\tO' +p298614 +aS'0.5\t0.5\tCD\tI-NP\tO' +p298615 +aS'mg\tmg\tNN\tI-NP\tO' +p298616 +aS'1\t1\tCD\tB-NP\tO' +p298617 +aS'to\tto\tTO\tI-NP\tO' +p298618 +aS'2\t2\tCD\tI-NP\tO' +p298619 +aS'tablets\ttablet\tNNS\tI-NP\tO' +p298620 +aS'twice\ttwice\tRB\tB-ADVP\tO' +p298621 +aS'daily\tdaily\tRB\tI-ADVP\tO' +p298622 +aS'if\tif\tIN\tB-SBAR\tO' +p298623 +aS'needed\tneed\tVBN\tB-VP\tO' +p298624 +asS'On admission , includes an electrocardiogram that shows DDD pacing .' +p298625 +(lp298626 +S'On\tOn\tIN\tB-PP\tO' +p298627 +aS'admission\tadmission\tNN\tB-NP\tO' +p298628 +aS',\t,\t,\tO\tO' +p298629 +aS'includes\tinclude\tVBZ\tB-VP\tO' +p298630 +aS'an\tan\tDT\tB-NP\tO' +p298631 +aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' +p298632 +aS'that\tthat\tWDT\tB-NP\tO' +p298633 +aS'shows\tshow\tVBZ\tB-VP\tO' +p298634 +aS'DDD\tDDD\tNN\tB-NP\tO' +p298635 +aS'pacing\tpacing\tNN\tI-NP\tO' +p298636 +aS'.\t.\t.\tO\tO' +p298637 +asS'Over the next several days the patient remained in the hospital to reassess for recurrent pleural effusion .' +p298638 +(lp298639 +S'Over\tOver\tIN\tB-PP\tO' +p298640 +aS'the\tthe\tDT\tB-NP\tO' +p298641 +aS'next\tnext\tJJ\tI-NP\tO' +p298642 +aS'several\tseveral\tJJ\tI-NP\tO' +p298643 +aS'days\tday\tNNS\tI-NP\tO' +p298644 +aS'the\tthe\tDT\tB-NP\tO' +p298645 +aS'patient\tpatient\tNN\tI-NP\tO' +p298646 +aS'remained\tremain\tVBD\tB-VP\tO' +p298647 +aS'in\tin\tIN\tB-PP\tO' +p298648 +aS'the\tthe\tDT\tB-NP\tO' +p298649 +aS'hospital\thospital\tNN\tI-NP\tO' +p298650 +aS'to\tto\tTO\tB-VP\tO' +p298651 +aS'reassess\treassess\tVB\tI-VP\tO' +p298652 +aS'for\tfor\tIN\tB-PP\tO' +p298653 +aS'recurrent\trecurrent\tJJ\tB-NP\tO' +p298654 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p298655 +aS'effusion\teffusion\tNN\tI-NP\tO' +p298656 +aS'.\t.\t.\tO\tO' +p298657 +asS'There was no heave .' +p298658 +(lp298659 +S'There\tThere\tEX\tB-NP\tO' +p298660 +aS'was\tbe\tVBD\tB-VP\tO' +p298661 +aS'no\tno\tDT\tB-NP\tO' +p298662 +aS'heave\theave\tNN\tI-NP\tO' +p298663 +aS'.\t.\t.\tO\tO' +p298664 +asS'The patient 's was most recently admitted to Centdick Naco Hospital Medical Center on Martin Luther King Day after becoming acutely short of breath after a five minute walk .' +p298665 +(lp298666 +S'The\tThe\tDT\tB-NP\tO' +p298667 +aS'patient\tpatient\tNN\tI-NP\tO' +p298668 +aS''s\t'\tNNS\tI-NP\tO' +p298669 +aS'was\tbe\tVBD\tB-VP\tO' +p298670 +aS'most\tmost\tRBS\tI-VP\tO' +p298671 +aS'recently\trecently\tRB\tI-VP\tO' +p298672 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p298673 +aS'to\tto\tTO\tB-PP\tO' +p298674 +aS'Centdick\tCentdick\tNNP\tB-NP\tO' +p298675 +aS'Naco\tNaco\tNNP\tI-NP\tO' +p298676 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p298677 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p298678 +aS'Center\tCenter\tNNP\tI-NP\tO' +p298679 +aS'on\ton\tIN\tB-PP\tO' +p298680 +aS'Martin\tMartin\tNNP\tB-NP\tO' +p298681 +aS'Luther\tLuther\tNNP\tI-NP\tO' +p298682 +aS'King\tKing\tNNP\tI-NP\tO' +p298683 +aS'Day\tDay\tNNP\tI-NP\tO' +p298684 +aS'after\tafter\tIN\tB-PP\tO' +p298685 +aS'becoming\tbecome\tVBG\tB-VP\tO' +p298686 +aS'acutely\tacutely\tRB\tB-ADVP\tO' +p298687 +aS'short\tshort\tRB\tI-ADVP\tO' +p298688 +aS'of\tof\tIN\tB-PP\tO' +p298689 +aS'breath\tbreath\tNN\tB-NP\tO' +p298690 +aS'after\tafter\tIN\tB-PP\tO' +p298691 +aS'a\ta\tDT\tB-NP\tO' +p298692 +aS'five\tfive\tCD\tI-NP\tO' +p298693 +aS'minute\tminute\tJJ\tI-NP\tO' +p298694 +aS'walk\twalk\tNN\tI-NP\tO' +p298695 +aS'.\t.\t.\tO\tO' +p298696 +asS'He has received no transfusions in the past week or so .' +p298697 +(lp298698 +S'He\tHe\tPRP\tB-NP\tO' +p298699 +aS'has\thave\tVBZ\tB-VP\tO' +p298700 +aS'received\treceive\tVBN\tI-VP\tO' +p298701 +aS'no\tno\tDT\tB-NP\tO' +p298702 +aS'transfusions\ttransfusion\tNNS\tI-NP\tO' +p298703 +aS'in\tin\tIN\tB-PP\tO' +p298704 +aS'the\tthe\tDT\tB-NP\tO' +p298705 +aS'past\tpast\tJJ\tI-NP\tO' +p298706 +aS'week\tweek\tNN\tI-NP\tO' +p298707 +aS'or\tor\tCC\tI-NP\tO' +p298708 +aS'so\tso\tRB\tI-NP\tO' +p298709 +aS'.\t.\t.\tO\tO' +p298710 +asS'After arrival in the ICU , patient was followed with neuro checks every 1 hour .' +p298711 +(lp298712 +S'After\tAfter\tIN\tB-PP\tO' +p298713 +aS'arrival\tarrival\tNN\tB-NP\tO' +p298714 +aS'in\tin\tIN\tB-PP\tO' +p298715 +aS'the\tthe\tDT\tB-NP\tO' +p298716 +aS'ICU\tICU\tNN\tI-NP\tB-DNA' +p298717 +aS',\t,\t,\tO\tO' +p298718 +aS'patient\tpatient\tNN\tB-NP\tO' +p298719 +aS'was\tbe\tVBD\tB-VP\tO' +p298720 +aS'followed\tfollow\tVBN\tI-VP\tO' +p298721 +aS'with\twith\tIN\tB-PP\tO' +p298722 +aS'neuro\tneuro\tNN\tB-NP\tB-protein' +p298723 +aS'checks\tcheck\tNNS\tI-NP\tI-protein' +p298724 +aS'every\tevery\tDT\tB-NP\tI-protein' +p298725 +aS'1\t1\tCD\tI-NP\tI-protein' +p298726 +aS'hour\thour\tNN\tI-NP\tI-protein' +p298727 +aS'.\t.\t.\tO\tO' +p298728 +asS'2. Type 1 diabetes mellitus for 50 years .' +p298729 +(lp298730 +S'2.\t2.\tLS\tB-LST\tO' +p298731 +aS'Type\tType\tNN\tB-NP\tO' +p298732 +aS'1\t1\tCD\tI-NP\tO' +p298733 +aS'diabetes\tdiabetes\tNN\tI-NP\tO' +p298734 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p298735 +aS'for\tfor\tIN\tB-PP\tO' +p298736 +aS'50\t50\tCD\tB-NP\tO' +p298737 +aS'years\tyear\tNNS\tI-NP\tO' +p298738 +aS'.\t.\t.\tO\tO' +p298739 +asS'He has had chronic bilateral lower extremity swelling since his transplant but the right lower extremity swelling was noticeably increased .' +p298740 +(lp298741 +S'He\tHe\tPRP\tB-NP\tO' +p298742 +aS'has\thave\tVBZ\tB-VP\tO' +p298743 +aS'had\thave\tVBN\tI-VP\tO' +p298744 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p298745 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p298746 +aS'lower\tlow\tJJR\tI-NP\tO' +p298747 +aS'extremity\textremity\tNN\tI-NP\tO' +p298748 +aS'swelling\tswell\tVBG\tB-VP\tO' +p298749 +aS'since\tsince\tIN\tB-PP\tO' +p298750 +aS'his\this\tPRP$\tB-NP\tO' +p298751 +aS'transplant\ttransplant\tNN\tI-NP\tO' +p298752 +aS'but\tbut\tCC\tO\tO' +p298753 +aS'the\tthe\tDT\tB-NP\tO' +p298754 +aS'right\tright\tRB\tI-NP\tO' +p298755 +aS'lower\tlow\tJJR\tI-NP\tO' +p298756 +aS'extremity\textremity\tNN\tI-NP\tO' +p298757 +aS'swelling\tswelling\tNN\tI-NP\tO' +p298758 +aS'was\tbe\tVBD\tB-VP\tO' +p298759 +aS'noticeably\tnoticeably\tRB\tI-VP\tO' +p298760 +aS'increased\tincrease\tVBN\tI-VP\tO' +p298761 +aS'.\t.\t.\tO\tO' +p298762 +asS'7. Lasix drip at 2 per hour .' +p298763 +(lp298764 +S'7.\t7.\tLS\tB-NP\tO' +p298765 +aS'Lasix\tLasix\tNNP\tI-NP\tO' +p298766 +aS'drip\tdrip\tNN\tI-NP\tO' +p298767 +aS'at\tat\tIN\tB-PP\tO' +p298768 +aS'2\t2\tCD\tB-NP\tO' +p298769 +aS'per\tper\tIN\tB-PP\tO' +p298770 +aS'hour\thour\tNN\tB-NP\tO' +p298771 +aS'.\t.\t.\tO\tO' +p298772 +asS'This was thought to be 04-09 the large volume tap verses sepsis though she had no other evidence of sepsis .' +p298773 +(lp298774 +S'This\tThis\tDT\tB-NP\tO' +p298775 +aS'was\tbe\tVBD\tB-VP\tO' +p298776 +aS'thought\tthink\tVBN\tI-VP\tO' +p298777 +aS'to\tto\tTO\tI-VP\tO' +p298778 +aS'be\tbe\tVB\tI-VP\tO' +p298779 +aS'04-09\t04-09\tCD\tB-NP\tO' +p298780 +aS'the\tthe\tDT\tB-NP\tO' +p298781 +aS'large\tlarge\tJJ\tI-NP\tO' +p298782 +aS'volume\tvolume\tNN\tI-NP\tO' +p298783 +aS'tap\ttap\tNN\tI-NP\tO' +p298784 +aS'verses\tverse\tVBZ\tB-VP\tO' +p298785 +aS'sepsis\tsepsis\tNN\tB-NP\tO' +p298786 +aS'though\tthough\tIN\tB-SBAR\tO' +p298787 +aS'she\tshe\tPRP\tB-NP\tO' +p298788 +aS'had\thave\tVBD\tB-VP\tO' +p298789 +aS'no\tno\tDT\tB-NP\tO' +p298790 +aS'other\tother\tJJ\tI-NP\tO' +p298791 +aS'evidence\tevidence\tNN\tI-NP\tO' +p298792 +aS'of\tof\tIN\tB-PP\tO' +p298793 +aS'sepsis\tsepsis\tNN\tB-NP\tO' +p298794 +aS'.\t.\t.\tO\tO' +p298795 +asS'Pneumonia one and a half years ago .' +p298796 +(lp298797 +S'Pneumonia\tPneumonia\tNNP\tB-NP\tO' +p298798 +aS'one\tone\tCD\tI-NP\tO' +p298799 +aS'and\tand\tCC\tO\tO' +p298800 +aS'a\ta\tDT\tB-NP\tO' +p298801 +aS'half\thalf\tNN\tI-NP\tO' +p298802 +aS'years\tyear\tNNS\tI-NP\tO' +p298803 +aS'ago\tago\tRB\tB-ADVP\tO' +p298804 +aS'.\t.\t.\tO\tO' +p298805 +asS'The right modified radical mastectomy contained a 5.5 cm poorly differentiated , Grade III out of III infiltrating ductal carcinoma .' +p298806 +(lp298807 +S'The\tThe\tDT\tB-NP\tO' +p298808 +aS'right\tright\tJJ\tI-NP\tO' +p298809 +aS'modified\tmodified\tJJ\tI-NP\tO' +p298810 +aS'radical\tradical\tJJ\tI-NP\tO' +p298811 +aS'mastectomy\tmastectomy\tNN\tI-NP\tO' +p298812 +aS'contained\tcontain\tVBD\tB-VP\tO' +p298813 +aS'a\ta\tDT\tB-NP\tO' +p298814 +aS'5.5\t5.5\tCD\tI-NP\tO' +p298815 +aS'cm\tcm\tNN\tI-NP\tO' +p298816 +aS'poorly\tpoorly\tRB\tB-VP\tO' +p298817 +aS'differentiated\tdifferentiate\tVBN\tI-VP\tO' +p298818 +aS',\t,\t,\tO\tO' +p298819 +aS'Grade\tGrade\tNN\tB-NP\tB-protein' +p298820 +aS'III\tIII\tCD\tI-NP\tI-protein' +p298821 +aS'out\tout\tIN\tB-PP\tO' +p298822 +aS'of\tof\tIN\tB-PP\tO' +p298823 +aS'III\tIII\tCD\tB-NP\tO' +p298824 +aS'infiltrating\tinfiltrate\tVBG\tB-VP\tO' +p298825 +aS'ductal\tductal\tJJ\tB-NP\tO' +p298826 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p298827 +aS'.\t.\t.\tO\tO' +p298828 +asS'Potassium replacement has caused , according to the patient , marked hyperkalemia in the past .' +p298829 +(lp298830 +S'Potassium\tPotassium\tNN\tB-NP\tO' +p298831 +aS'replacement\treplacement\tNN\tI-NP\tO' +p298832 +aS'has\thave\tVBZ\tB-VP\tO' +p298833 +aS'caused\tcause\tVBN\tI-VP\tO' +p298834 +aS',\t,\t,\tO\tO' +p298835 +aS'according\taccord\tVBG\tB-PP\tO' +p298836 +aS'to\tto\tTO\tB-PP\tO' +p298837 +aS'the\tthe\tDT\tB-NP\tO' +p298838 +aS'patient\tpatient\tNN\tI-NP\tO' +p298839 +aS',\t,\t,\tO\tO' +p298840 +aS'marked\tmarked\tJJ\tB-NP\tO' +p298841 +aS'hyperkalemia\thyperkalemia\tNN\tI-NP\tO' +p298842 +aS'in\tin\tIN\tB-PP\tO' +p298843 +aS'the\tthe\tDT\tB-NP\tO' +p298844 +aS'past\tpast\tNN\tI-NP\tO' +p298845 +aS'.\t.\t.\tO\tO' +p298846 +asS"Gradually over the course of the following days , the patient 's electrolytes again normalized ; however , as the patient continues to take p.o.' s poorly , the patient remained on IV hydration therapy ." +p298847 +(lp298848 +S'Gradually\tGradually\tRB\tB-ADVP\tO' +p298849 +aS'over\tover\tIN\tB-PP\tO' +p298850 +aS'the\tthe\tDT\tB-NP\tO' +p298851 +aS'course\tcourse\tNN\tI-NP\tO' +p298852 +aS'of\tof\tIN\tB-PP\tO' +p298853 +aS'the\tthe\tDT\tB-NP\tO' +p298854 +aS'following\tfollowing\tJJ\tI-NP\tO' +p298855 +aS'days\tday\tNNS\tI-NP\tO' +p298856 +aS',\t,\t,\tO\tO' +p298857 +aS'the\tthe\tDT\tB-NP\tO' +p298858 +aS'patient\tpatient\tNN\tI-NP\tO' +p298859 +aS"'s\t's\tPOS\tB-NP\tO" +p298860 +aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' +p298861 +aS'again\tagain\tRB\tB-ADVP\tO' +p298862 +aS'normalized\tnormalize\tVBD\tB-VP\tO' +p298863 +aS';\t;\t:\tO\tO' +p298864 +aS'however\thowever\tRB\tB-ADVP\tO' +p298865 +aS',\t,\t,\tO\tO' +p298866 +aS'as\tas\tIN\tB-SBAR\tO' +p298867 +aS'the\tthe\tDT\tB-NP\tO' +p298868 +aS'patient\tpatient\tNN\tI-NP\tO' +p298869 +aS'continues\tcontinue\tVBZ\tB-VP\tO' +p298870 +aS'to\tto\tTO\tI-VP\tO' +p298871 +aS'take\ttake\tVB\tI-VP\tO' +p298872 +aS"p.o.'\tp.o.'\tNN\tB-NP\tO" +p298873 +aS's\ts\tNNS\tI-NP\tO' +p298874 +aS'poorly\tpoorly\tRB\tB-ADVP\tO' +p298875 +aS',\t,\t,\tO\tO' +p298876 +aS'the\tthe\tDT\tB-NP\tO' +p298877 +aS'patient\tpatient\tNN\tI-NP\tO' +p298878 +aS'remained\tremain\tVBD\tB-VP\tO' +p298879 +aS'on\ton\tIN\tB-PP\tO' +p298880 +aS'IV\tIV\tCD\tB-NP\tO' +p298881 +aS'hydration\thydration\tNN\tI-NP\tO' +p298882 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p298883 +aS'.\t.\t.\tO\tO' +p298884 +asS'The pain is worsened with deep inspiration or movement .' +p298885 +(lp298886 +S'The\tThe\tDT\tB-NP\tO' +p298887 +aS'pain\tpain\tNN\tI-NP\tO' +p298888 +aS'is\tbe\tVBZ\tB-VP\tO' +p298889 +aS'worsened\tworsen\tVBN\tI-VP\tO' +p298890 +aS'with\twith\tIN\tB-PP\tO' +p298891 +aS'deep\tdeep\tJJ\tB-NP\tO' +p298892 +aS'inspiration\tinspiration\tNN\tI-NP\tO' +p298893 +aS'or\tor\tCC\tI-NP\tO' +p298894 +aS'movement\tmovement\tNN\tI-NP\tO' +p298895 +aS'.\t.\t.\tO\tO' +p298896 +asS'Results have been in the normal range .' +p298897 +(lp298898 +S'Results\tResult\tNNS\tB-NP\tO' +p298899 +aS'have\thave\tVBP\tB-VP\tO' +p298900 +aS'been\tbe\tVBN\tI-VP\tO' +p298901 +aS'in\tin\tIN\tB-PP\tO' +p298902 +aS'the\tthe\tDT\tB-NP\tO' +p298903 +aS'normal\tnormal\tJJ\tI-NP\tO' +p298904 +aS'range\trange\tNN\tI-NP\tO' +p298905 +aS'.\t.\t.\tO\tO' +p298906 +asS'His melanoma was originally diagnosed last fall when he presented with lesions in the liver and spleen , and a chest CT showed left upper lobe nodules .' +p298907 +(lp298908 +S'His\tHis\tPRP$\tB-NP\tO' +p298909 +aS'melanoma\tmelanoma\tNN\tI-NP\tO' +p298910 +aS'was\tbe\tVBD\tB-VP\tO' +p298911 +aS'originally\toriginally\tRB\tI-VP\tO' +p298912 +aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' +p298913 +aS'last\tlast\tJJ\tB-NP\tO' +p298914 +aS'fall\tfall\tNN\tI-NP\tO' +p298915 +aS'when\twhen\tWRB\tB-ADVP\tO' +p298916 +aS'he\the\tPRP\tB-NP\tO' +p298917 +aS'presented\tpresent\tVBD\tB-VP\tO' +p298918 +aS'with\twith\tIN\tB-PP\tO' +p298919 +aS'lesions\tlesion\tNNS\tB-NP\tO' +p298920 +aS'in\tin\tIN\tB-PP\tO' +p298921 +aS'the\tthe\tDT\tB-NP\tO' +p298922 +aS'liver\tliver\tNN\tI-NP\tO' +p298923 +aS'and\tand\tCC\tI-NP\tO' +p298924 +aS'spleen\tspleen\tNN\tI-NP\tO' +p298925 +aS',\t,\t,\tO\tO' +p298926 +aS'and\tand\tCC\tO\tO' +p298927 +aS'a\ta\tDT\tB-NP\tO' +p298928 +aS'chest\tchest\tNN\tI-NP\tO' +p298929 +aS'CT\tCT\tNN\tI-NP\tO' +p298930 +aS'showed\tshow\tVBD\tB-VP\tO' +p298931 +aS'left\tleft\tJJ\tB-NP\tO' +p298932 +aS'upper\tupper\tJJ\tI-NP\tO' +p298933 +aS'lobe\tlobe\tNN\tI-NP\tO' +p298934 +aS'nodules\tnodule\tNNS\tI-NP\tO' +p298935 +aS'.\t.\t.\tO\tO' +p298936 +asS'He was afebrile postoperatively with vital signs stable .' +p298937 +(lp298938 +S'He\tHe\tPRP\tB-NP\tO' +p298939 +aS'was\tbe\tVBD\tB-VP\tO' +p298940 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p298941 +aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' +p298942 +aS'with\twith\tIN\tB-PP\tO' +p298943 +aS'vital\tvital\tJJ\tB-NP\tO' +p298944 +aS'signs\tsign\tNNS\tI-NP\tO' +p298945 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p298946 +aS'.\t.\t.\tO\tO' +p298947 +asS'Pt expired during this admission after family discussion to make her comfort care only .' +p298948 +(lp298949 +S'Pt\tPt\tNN\tB-NP\tO' +p298950 +aS'expired\texpire\tVBD\tB-VP\tO' +p298951 +aS'during\tduring\tIN\tB-PP\tO' +p298952 +aS'this\tthis\tDT\tB-NP\tO' +p298953 +aS'admission\tadmission\tNN\tI-NP\tO' +p298954 +aS'after\tafter\tIN\tB-PP\tO' +p298955 +aS'family\tfamily\tNN\tB-NP\tO' +p298956 +aS'discussion\tdiscussion\tNN\tI-NP\tO' +p298957 +aS'to\tto\tTO\tB-VP\tO' +p298958 +aS'make\tmake\tVB\tI-VP\tO' +p298959 +aS'her\ther\tPRP$\tB-NP\tO' +p298960 +aS'comfort\tcomfort\tNN\tI-NP\tO' +p298961 +aS'care\tcare\tNN\tI-NP\tO' +p298962 +aS'only\tonly\tRB\tB-ADVP\tO' +p298963 +aS'.\t.\t.\tO\tO' +p298964 +asS"Etiology of patient 's tachypnea was unclear ." +p298965 +(lp298966 +S'Etiology\tEtiology\tNN\tB-NP\tO' +p298967 +aS'of\tof\tIN\tB-PP\tO' +p298968 +aS'patient\tpatient\tNN\tB-NP\tO' +p298969 +aS"'s\t's\tPOS\tB-NP\tO" +p298970 +aS'tachypnea\ttachypnea\tNN\tI-NP\tO' +p298971 +aS'was\tbe\tVBD\tB-VP\tO' +p298972 +aS'unclear\tunclear\tJJ\tB-ADJP\tO' +p298973 +aS'.\t.\t.\tO\tO' +p298974 +asS'Do not apply lotions , creams , ointments or powders to incision .' +p298975 +(lp298976 +S'Do\tDo\tVBP\tB-VP\tO' +p298977 +aS'not\tnot\tRB\tI-VP\tO' +p298978 +aS'apply\tapply\tVB\tI-VP\tO' +p298979 +aS'lotions\tlotion\tNNS\tB-NP\tO' +p298980 +aS',\t,\t,\tI-NP\tO' +p298981 +aS'creams\tcream\tNNS\tI-NP\tO' +p298982 +aS',\t,\t,\tI-NP\tO' +p298983 +aS'ointments\tointment\tNNS\tI-NP\tO' +p298984 +aS'or\tor\tCC\tI-NP\tO' +p298985 +aS'powders\tpowder\tNNS\tI-NP\tO' +p298986 +aS'to\tto\tTO\tB-PP\tO' +p298987 +aS'incision\tincision\tNN\tB-NP\tO' +p298988 +aS'.\t.\t.\tO\tO' +p298989 +asS'INFECTIOUS DISEASE : CBC and blood culture obtained on admission .' +p298990 +(lp298991 +S'INFECTIOUS\tINFECTIOUS\tJJ\tB-NP\tO' +p298992 +aS'DISEASE\tDISEASE\tNN\tI-NP\tO' +p298993 +aS':\t:\t:\tO\tO' +p298994 +aS'CBC\tCBC\tNN\tB-NP\tB-protein' +p298995 +aS'and\tand\tCC\tI-NP\tO' +p298996 +aS'blood\tblood\tNN\tI-NP\tO' +p298997 +aS'culture\tculture\tNN\tI-NP\tO' +p298998 +aS'obtained\tobtain\tVBN\tB-VP\tO' +p298999 +aS'on\ton\tIN\tB-PP\tO' +p299000 +aS'admission\tadmission\tNN\tB-NP\tO' +p299001 +aS'.\t.\t.\tO\tO' +p299002 +asS'The abdomen was tympanitic and nontender .' +p299003 +(lp299004 +S'The\tThe\tDT\tB-NP\tO' +p299005 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p299006 +aS'was\tbe\tVBD\tB-VP\tO' +p299007 +aS'tympanitic\ttympanitic\tJJ\tB-ADJP\tO' +p299008 +aS'and\tand\tCC\tI-ADJP\tO' +p299009 +aS'nontender\tnontender\tJJ\tI-ADJP\tO' +p299010 +aS'.\t.\t.\tO\tO' +p299011 +asS'1. Toprol .' +p299012 +(lp299013 +S'1.\t1.\tLS\tB-NP\tO' +p299014 +aS'Toprol\tToprol\tNN\tI-NP\tO' +p299015 +aS'.\t.\t.\tO\tO' +p299016 +asS'JVP flat .' +p299017 +(lp299018 +S'JVP\tJVP\tNN\tB-NP\tO' +p299019 +aS'flat\tflat\tJJ\tB-ADJP\tO' +p299020 +aS'.\t.\t.\tO\tO' +p299021 +asS'He was discharged home on Neupogen .' +p299022 +(lp299023 +S'He\tHe\tPRP\tB-NP\tO' +p299024 +aS'was\tbe\tVBD\tB-VP\tO' +p299025 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p299026 +aS'home\thome\tNN\tB-ADVP\tO' +p299027 +aS'on\ton\tIN\tB-PP\tO' +p299028 +aS'Neupogen\tNeupogen\tNN\tB-NP\tO' +p299029 +aS'.\t.\t.\tO\tO' +p299030 +asS'His tube feedings were advanced .' +p299031 +(lp299032 +S'His\tHis\tPRP$\tB-NP\tO' +p299033 +aS'tube\ttube\tNN\tI-NP\tO' +p299034 +aS'feedings\tfeeding\tNNS\tI-NP\tO' +p299035 +aS'were\tbe\tVBD\tB-VP\tO' +p299036 +aS'advanced\tadvance\tVBN\tI-VP\tO' +p299037 +aS'.\t.\t.\tO\tO' +p299038 +asS'PARTIAL SMALL BOWEL OBSTRUCTION .' +p299039 +(lp299040 +S'PARTIAL\tPARTIAL\tNNP\tB-NP\tO' +p299041 +aS'SMALL\tSMALL\tNNP\tI-NP\tO' +p299042 +aS'BOWEL\tBOWEL\tNNP\tI-NP\tO' +p299043 +aS'OBSTRUCTION\tOBSTRUCTION\tNNP\tI-NP\tO' +p299044 +aS'.\t.\t.\tO\tO' +p299045 +asS'After 30 minutes of active resuscitation including internal cardiac massage , there was no evidence of return of vital signs or electric activity to the heart as noted on electrocardiogram monitors .' +p299046 +(lp299047 +S'After\tAfter\tIN\tB-PP\tO' +p299048 +aS'30\t30\tCD\tB-NP\tO' +p299049 +aS'minutes\tminute\tNNS\tI-NP\tO' +p299050 +aS'of\tof\tIN\tB-PP\tO' +p299051 +aS'active\tactive\tJJ\tB-NP\tO' +p299052 +aS'resuscitation\tresuscitation\tNN\tI-NP\tO' +p299053 +aS'including\tinclude\tVBG\tB-PP\tO' +p299054 +aS'internal\tinternal\tJJ\tB-NP\tO' +p299055 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p299056 +aS'massage\tmassage\tNN\tI-NP\tO' +p299057 +aS',\t,\t,\tO\tO' +p299058 +aS'there\tthere\tEX\tB-NP\tO' +p299059 +aS'was\tbe\tVBD\tB-VP\tO' +p299060 +aS'no\tno\tDT\tB-NP\tO' +p299061 +aS'evidence\tevidence\tNN\tI-NP\tO' +p299062 +aS'of\tof\tIN\tB-PP\tO' +p299063 +aS'return\treturn\tNN\tB-NP\tO' +p299064 +aS'of\tof\tIN\tB-PP\tO' +p299065 +aS'vital\tvital\tJJ\tB-NP\tO' +p299066 +aS'signs\tsign\tNNS\tI-NP\tO' +p299067 +aS'or\tor\tCC\tO\tO' +p299068 +aS'electric\telectric\tJJ\tB-NP\tO' +p299069 +aS'activity\tactivity\tNN\tI-NP\tO' +p299070 +aS'to\tto\tTO\tB-PP\tO' +p299071 +aS'the\tthe\tDT\tB-NP\tO' +p299072 +aS'heart\theart\tNN\tI-NP\tO' +p299073 +aS'as\tas\tIN\tB-SBAR\tO' +p299074 +aS'noted\tnote\tVBN\tB-VP\tO' +p299075 +aS'on\ton\tIN\tB-PP\tO' +p299076 +aS'electrocardiogram\telectrocardiogram\tNN\tB-NP\tO' +p299077 +aS'monitors\tmonitor\tNNS\tI-NP\tO' +p299078 +aS'.\t.\t.\tO\tO' +p299079 +asS'Physical Examination , Laboratory Evaluation , CXR , Chest CT' +p299080 +(lp299081 +S'Physical\tPhysical\tNNP\tB-NP\tO' +p299082 +aS'Examination\tExamination\tNNP\tI-NP\tO' +p299083 +aS',\t,\t,\tO\tO' +p299084 +aS'Laboratory\tLaboratory\tNNP\tB-NP\tO' +p299085 +aS'Evaluation\tEvaluation\tNNP\tI-NP\tO' +p299086 +aS',\t,\t,\tO\tO' +p299087 +aS'CXR\tCXR\tNNP\tB-NP\tB-protein' +p299088 +aS',\t,\t,\tO\tO' +p299089 +aS'Chest\tChest\tNNP\tB-NP\tO' +p299090 +aS'CT\tCT\tNNP\tI-NP\tO' +p299091 +asS'This was done with Falope rings .' +p299092 +(lp299093 +S'This\tThis\tDT\tB-NP\tO' +p299094 +aS'was\tbe\tVBD\tB-VP\tO' +p299095 +aS'done\tdo\tVBN\tI-VP\tO' +p299096 +aS'with\twith\tIN\tB-PP\tO' +p299097 +aS'Falope\tFalope\tNN\tB-NP\tO' +p299098 +aS'rings\tring\tNNS\tI-NP\tO' +p299099 +aS'.\t.\t.\tO\tO' +p299100 +asS'Esophageal mucosa was visible through the trachea .' +p299101 +(lp299102 +S'Esophageal\tEsophageal\tJJ\tB-NP\tO' +p299103 +aS'mucosa\tmucosa\tNN\tI-NP\tO' +p299104 +aS'was\tbe\tVBD\tB-VP\tO' +p299105 +aS'visible\tvisible\tJJ\tB-ADJP\tO' +p299106 +aS'through\tthrough\tIN\tB-PP\tO' +p299107 +aS'the\tthe\tDT\tB-NP\tO' +p299108 +aS'trachea\ttrachea\tNN\tI-NP\tO' +p299109 +aS'.\t.\t.\tO\tO' +p299110 +asS'She is now getting 75 micrograms per hour of the fentanyl patch which is changed every 72 hours .' +p299111 +(lp299112 +S'She\tShe\tPRP\tB-NP\tO' +p299113 +aS'is\tbe\tVBZ\tB-VP\tO' +p299114 +aS'now\tnow\tRB\tI-VP\tO' +p299115 +aS'getting\tget\tVBG\tI-VP\tO' +p299116 +aS'75\t75\tCD\tB-NP\tO' +p299117 +aS'micrograms\tmicrogram\tNNS\tI-NP\tO' +p299118 +aS'per\tper\tIN\tB-PP\tO' +p299119 +aS'hour\thour\tNN\tB-NP\tO' +p299120 +aS'of\tof\tIN\tB-PP\tO' +p299121 +aS'the\tthe\tDT\tB-NP\tO' +p299122 +aS'fentanyl\tfentanyl\tNN\tI-NP\tO' +p299123 +aS'patch\tpatch\tNN\tI-NP\tO' +p299124 +aS'which\twhich\tWDT\tB-NP\tO' +p299125 +aS'is\tbe\tVBZ\tB-VP\tO' +p299126 +aS'changed\tchange\tVBN\tI-VP\tO' +p299127 +aS'every\tevery\tDT\tB-NP\tO' +p299128 +aS'72\t72\tCD\tI-NP\tO' +p299129 +aS'hours\thour\tNNS\tI-NP\tO' +p299130 +aS'.\t.\t.\tO\tO' +p299131 +asS'There is also a left occipital scalp contusion but no associated skull fracture .' +p299132 +(lp299133 +S'There\tThere\tEX\tB-NP\tO' +p299134 +aS'is\tbe\tVBZ\tB-VP\tO' +p299135 +aS'also\talso\tRB\tB-ADVP\tO' +p299136 +aS'a\ta\tDT\tB-NP\tO' +p299137 +aS'left\tleft\tJJ\tI-NP\tO' +p299138 +aS'occipital\toccipital\tNN\tI-NP\tO' +p299139 +aS'scalp\tscalp\tNN\tI-NP\tO' +p299140 +aS'contusion\tcontusion\tNN\tI-NP\tO' +p299141 +aS'but\tbut\tCC\tO\tO' +p299142 +aS'no\tno\tDT\tB-NP\tO' +p299143 +aS'associated\tassociate\tVBN\tI-NP\tO' +p299144 +aS'skull\tskull\tNN\tI-NP\tO' +p299145 +aS'fracture\tfracture\tNN\tI-NP\tO' +p299146 +aS'.\t.\t.\tO\tO' +p299147 +asS'Given persistent lethargy , patient was sent to Falkener Amanda .' +p299148 +(lp299149 +S'Given\tGive\tVBN\tB-NP\tO' +p299150 +aS'persistent\tpersistent\tJJ\tI-NP\tO' +p299151 +aS'lethargy\tlethargy\tNN\tI-NP\tO' +p299152 +aS',\t,\t,\tO\tO' +p299153 +aS'patient\tpatient\tNN\tB-NP\tO' +p299154 +aS'was\tbe\tVBD\tB-VP\tO' +p299155 +aS'sent\tsend\tVBN\tI-VP\tO' +p299156 +aS'to\tto\tTO\tB-PP\tO' +p299157 +aS'Falkener\tFalkener\tNNP\tB-NP\tO' +p299158 +aS'Amanda\tAmanda\tNNP\tI-NP\tO' +p299159 +aS'.\t.\t.\tO\tO' +p299160 +asS'The patient is a 65 year old female with post thoracotomy syndrome that occurred on the site of her thoracotomy incision .' +p299161 +(lp299162 +S'The\tThe\tDT\tB-NP\tO' +p299163 +aS'patient\tpatient\tNN\tI-NP\tO' +p299164 +aS'is\tbe\tVBZ\tB-VP\tO' +p299165 +aS'a\ta\tDT\tB-NP\tO' +p299166 +aS'65\t65\tCD\tI-NP\tO' +p299167 +aS'year\tyear\tNN\tI-NP\tO' +p299168 +aS'old\told\tJJ\tI-NP\tO' +p299169 +aS'female\tfemale\tNN\tI-NP\tO' +p299170 +aS'with\twith\tIN\tB-PP\tO' +p299171 +aS'post\tpost\tNN\tB-NP\tO' +p299172 +aS'thoracotomy\tthoracotomy\tNN\tI-NP\tO' +p299173 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p299174 +aS'that\tthat\tWDT\tB-NP\tO' +p299175 +aS'occurred\toccur\tVBD\tB-VP\tO' +p299176 +aS'on\ton\tIN\tB-PP\tO' +p299177 +aS'the\tthe\tDT\tB-NP\tO' +p299178 +aS'site\tsite\tNN\tI-NP\tO' +p299179 +aS'of\tof\tIN\tB-PP\tO' +p299180 +aS'her\ther\tPRP$\tB-NP\tO' +p299181 +aS'thoracotomy\tthoracotomy\tNN\tI-NP\tO' +p299182 +aS'incision\tincision\tNN\tI-NP\tO' +p299183 +aS'.\t.\t.\tO\tO' +p299184 +asS'2. Bactrim double strength one tablet p.o. q.d. for PCP prophylaxis during his steroid course .' +p299185 +(lp299186 +S'2.\t2.\tLS\tB-NP\tO' +p299187 +aS'Bactrim\tBactrim\tNNP\tI-NP\tO' +p299188 +aS'double\tdouble\tJJ\tI-NP\tO' +p299189 +aS'strength\tstrength\tNN\tI-NP\tO' +p299190 +aS'one\tone\tCD\tB-NP\tO' +p299191 +aS'tablet\ttablet\tNN\tI-NP\tO' +p299192 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p299193 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p299194 +aS'for\tfor\tIN\tB-PP\tO' +p299195 +aS'PCP\tPCP\tNN\tB-NP\tO' +p299196 +aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' +p299197 +aS'during\tduring\tIN\tB-PP\tO' +p299198 +aS'his\this\tPRP$\tB-NP\tO' +p299199 +aS'steroid\tsteroid\tNN\tI-NP\tO' +p299200 +aS'course\tcourse\tNN\tI-NP\tO' +p299201 +aS'.\t.\t.\tO\tO' +p299202 +asS'The patient was discharged with strict instructions to return to the emergency room , should there be an exacerbation of symptoms .' +p299203 +(lp299204 +S'The\tThe\tDT\tB-NP\tO' +p299205 +aS'patient\tpatient\tNN\tI-NP\tO' +p299206 +aS'was\tbe\tVBD\tB-VP\tO' +p299207 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p299208 +aS'with\twith\tIN\tB-PP\tO' +p299209 +aS'strict\tstrict\tJJ\tB-NP\tO' +p299210 +aS'instructions\tinstruction\tNNS\tI-NP\tO' +p299211 +aS'to\tto\tTO\tB-VP\tO' +p299212 +aS'return\treturn\tVB\tI-VP\tO' +p299213 +aS'to\tto\tTO\tB-PP\tO' +p299214 +aS'the\tthe\tDT\tB-NP\tO' +p299215 +aS'emergency\temergency\tNN\tI-NP\tO' +p299216 +aS'room\troom\tNN\tI-NP\tO' +p299217 +aS',\t,\t,\tO\tO' +p299218 +aS'should\tshould\tMD\tB-VP\tO' +p299219 +aS'there\tthere\tRB\tI-VP\tO' +p299220 +aS'be\tbe\tVB\tI-VP\tO' +p299221 +aS'an\tan\tDT\tB-NP\tO' +p299222 +aS'exacerbation\texacerbation\tNN\tI-NP\tO' +p299223 +aS'of\tof\tIN\tB-PP\tO' +p299224 +aS'symptoms\tsymptom\tNNS\tB-NP\tO' +p299225 +aS'.\t.\t.\tO\tO' +p299226 +asS'Please call your doctor or come to Robert if you develop fevers , chills , cp , nausea or vomiting , or any other concerning sx' +p299227 +(lp299228 +S'Please\tPlease\tVB\tB-VP\tO' +p299229 +aS'call\tcall\tVB\tI-VP\tO' +p299230 +aS'your\tyour\tPRP$\tB-NP\tO' +p299231 +aS'doctor\tdoctor\tNN\tI-NP\tO' +p299232 +aS'or\tor\tCC\tO\tO' +p299233 +aS'come\tcome\tVBN\tB-VP\tO' +p299234 +aS'to\tto\tTO\tB-PP\tO' +p299235 +aS'Robert\tRobert\tNNP\tB-NP\tO' +p299236 +aS'if\tif\tIN\tB-SBAR\tO' +p299237 +aS'you\tyou\tPRP\tB-NP\tO' +p299238 +aS'develop\tdevelop\tVBP\tB-VP\tO' +p299239 +aS'fevers\tfever\tNNS\tB-NP\tO' +p299240 +aS',\t,\t,\tI-NP\tO' +p299241 +aS'chills\tchill\tNNS\tI-NP\tO' +p299242 +aS',\t,\t,\tI-NP\tO' +p299243 +aS'cp\tcp\tNN\tI-NP\tB-DNA' +p299244 +aS',\t,\t,\tI-NP\tO' +p299245 +aS'nausea\tnausea\tNN\tI-NP\tO' +p299246 +aS'or\tor\tCC\tI-NP\tO' +p299247 +aS'vomiting\tvomiting\tNN\tI-NP\tO' +p299248 +aS',\t,\t,\tO\tO' +p299249 +aS'or\tor\tCC\tO\tO' +p299250 +aS'any\tany\tDT\tB-NP\tO' +p299251 +aS'other\tother\tJJ\tI-NP\tO' +p299252 +aS'concerning\tconcerning\tNN\tI-NP\tO' +p299253 +aS'sx\tsx\tNN\tI-NP\tO' +p299254 +asS'The patient is to be seen in the burn clinic two days after discharge .' +p299255 +(lp299256 +S'The\tThe\tDT\tB-NP\tO' +p299257 +aS'patient\tpatient\tNN\tI-NP\tO' +p299258 +aS'is\tbe\tVBZ\tB-VP\tO' +p299259 +aS'to\tto\tTO\tI-VP\tO' +p299260 +aS'be\tbe\tVB\tI-VP\tO' +p299261 +aS'seen\tsee\tVBN\tI-VP\tO' +p299262 +aS'in\tin\tIN\tB-PP\tO' +p299263 +aS'the\tthe\tDT\tB-NP\tO' +p299264 +aS'burn\tburn\tNN\tI-NP\tO' +p299265 +aS'clinic\tclinic\tNN\tI-NP\tO' +p299266 +aS'two\ttwo\tCD\tB-NP\tO' +p299267 +aS'days\tday\tNNS\tI-NP\tO' +p299268 +aS'after\tafter\tIN\tB-PP\tO' +p299269 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p299270 +aS'.\t.\t.\tO\tO' +p299271 +asS'Penicillin , Sulfa and Quinidine .' +p299272 +(lp299273 +S'Penicillin\tPenicillin\tNNP\tB-NP\tO' +p299274 +aS',\t,\t,\tI-NP\tO' +p299275 +aS'Sulfa\tSulfa\tNNP\tI-NP\tO' +p299276 +aS'and\tand\tCC\tI-NP\tO' +p299277 +aS'Quinidine\tQuinidine\tNNP\tI-NP\tO' +p299278 +aS'.\t.\t.\tO\tO' +p299279 +asS'Pt required 3 day stay in the surgical ICU and intubation as above .' +p299280 +(lp299281 +S'Pt\tPt\tNN\tB-NP\tO' +p299282 +aS'required\trequire\tVBD\tB-VP\tO' +p299283 +aS'3\t3\tCD\tB-NP\tO' +p299284 +aS'day\tday\tNN\tI-NP\tO' +p299285 +aS'stay\tstay\tNN\tI-NP\tO' +p299286 +aS'in\tin\tIN\tB-PP\tO' +p299287 +aS'the\tthe\tDT\tB-NP\tO' +p299288 +aS'surgical\tsurgical\tJJ\tI-NP\tO' +p299289 +aS'ICU\tICU\tNN\tI-NP\tO' +p299290 +aS'and\tand\tCC\tI-NP\tO' +p299291 +aS'intubation\tintubation\tNN\tI-NP\tO' +p299292 +aS'as\tas\tIN\tB-PP\tO' +p299293 +aS'above\tabove\tRB\tI-PP\tO' +p299294 +aS'.\t.\t.\tO\tO' +p299295 +asS'He has remained in room air since that time .' +p299296 +(lp299297 +S'He\tHe\tPRP\tB-NP\tO' +p299298 +aS'has\thave\tVBZ\tB-VP\tO' +p299299 +aS'remained\tremain\tVBN\tI-VP\tO' +p299300 +aS'in\tin\tIN\tB-PP\tO' +p299301 +aS'room\troom\tNN\tB-NP\tO' +p299302 +aS'air\tair\tNN\tI-NP\tO' +p299303 +aS'since\tsince\tIN\tB-PP\tO' +p299304 +aS'that\tthat\tDT\tB-NP\tO' +p299305 +aS'time\ttime\tNN\tI-NP\tO' +p299306 +aS'.\t.\t.\tO\tO' +p299307 +asS'MRI / MRA .' +p299308 +(lp299309 +S'MRI\tMRI\tNN\tB-NP\tB-protein' +p299310 +aS'/\t/\tSYM\tI-NP\tO' +p299311 +aS'MRA\tMRA\tNN\tI-NP\tB-protein' +p299312 +aS'.\t.\t.\tO\tO' +p299313 +asS'Her blood glucose were under good control .' +p299314 +(lp299315 +S'Her\tHer\tPRP$\tB-NP\tO' +p299316 +aS'blood\tblood\tNN\tI-NP\tO' +p299317 +aS'glucose\tglucose\tNN\tI-NP\tO' +p299318 +aS'were\tbe\tVBD\tB-VP\tO' +p299319 +aS'under\tunder\tIN\tB-PP\tO' +p299320 +aS'good\tgood\tJJ\tB-NP\tO' +p299321 +aS'control\tcontrol\tNN\tI-NP\tO' +p299322 +aS'.\t.\t.\tO\tO' +p299323 +asS'He did not complain about a headache .' +p299324 +(lp299325 +S'He\tHe\tPRP\tB-NP\tO' +p299326 +aS'did\tdo\tVBD\tB-VP\tO' +p299327 +aS'not\tnot\tRB\tI-VP\tO' +p299328 +aS'complain\tcomplain\tVB\tI-VP\tO' +p299329 +aS'about\tabout\tIN\tB-PP\tO' +p299330 +aS'a\ta\tDT\tB-NP\tO' +p299331 +aS'headache\theadache\tNN\tI-NP\tO' +p299332 +aS'.\t.\t.\tO\tO' +p299333 +asS'You were admitted with low blood pressure and fevers likely due to an infection .' +p299334 +(lp299335 +S'You\tYou\tPRP\tB-NP\tO' +p299336 +aS'were\tbe\tVBD\tB-VP\tO' +p299337 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p299338 +aS'with\twith\tIN\tB-PP\tO' +p299339 +aS'low\tlow\tJJ\tB-NP\tO' +p299340 +aS'blood\tblood\tNN\tI-NP\tO' +p299341 +aS'pressure\tpressure\tNN\tI-NP\tO' +p299342 +aS'and\tand\tCC\tO\tO' +p299343 +aS'fevers\tfever\tNNS\tB-NP\tO' +p299344 +aS'likely\tlikely\tRB\tB-ADJP\tO' +p299345 +aS'due\tdue\tIN\tB-PP\tO' +p299346 +aS'to\tto\tTO\tB-PP\tO' +p299347 +aS'an\tan\tDT\tB-NP\tO' +p299348 +aS'infection\tinfection\tNN\tI-NP\tO' +p299349 +aS'.\t.\t.\tO\tO' +p299350 +asS'The patient also had a gastric ulcer repaired at the same time .' +p299351 +(lp299352 +S'The\tThe\tDT\tB-NP\tO' +p299353 +aS'patient\tpatient\tNN\tI-NP\tO' +p299354 +aS'also\talso\tRB\tB-ADVP\tO' +p299355 +aS'had\thave\tVBD\tB-VP\tO' +p299356 +aS'a\ta\tDT\tB-NP\tO' +p299357 +aS'gastric\tgastric\tJJ\tI-NP\tO' +p299358 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p299359 +aS'repaired\trepair\tVBN\tB-VP\tO' +p299360 +aS'at\tat\tIN\tB-PP\tO' +p299361 +aS'the\tthe\tDT\tB-NP\tO' +p299362 +aS'same\tsame\tJJ\tI-NP\tO' +p299363 +aS'time\ttime\tNN\tI-NP\tO' +p299364 +aS'.\t.\t.\tO\tO' +p299365 +asS'He had recently filled a prescription for 560 tablets of Percocet as well as 60 tablets of OxyContin early last month .' +p299366 +(lp299367 +S'He\tHe\tPRP\tB-NP\tO' +p299368 +aS'had\thave\tVBD\tB-VP\tO' +p299369 +aS'recently\trecently\tRB\tI-VP\tO' +p299370 +aS'filled\tfill\tVBN\tI-VP\tO' +p299371 +aS'a\ta\tDT\tB-NP\tO' +p299372 +aS'prescription\tprescription\tNN\tI-NP\tO' +p299373 +aS'for\tfor\tIN\tB-PP\tO' +p299374 +aS'560\t560\tCD\tB-NP\tO' +p299375 +aS'tablets\ttablet\tNNS\tI-NP\tO' +p299376 +aS'of\tof\tIN\tB-PP\tO' +p299377 +aS'Percocet\tPercocet\tNNP\tB-NP\tO' +p299378 +aS'as\tas\tRB\tB-CONJP\tO' +p299379 +aS'well\twell\tRB\tI-CONJP\tO' +p299380 +aS'as\tas\tIN\tI-CONJP\tO' +p299381 +aS'60\t60\tCD\tB-NP\tO' +p299382 +aS'tablets\ttablet\tNNS\tI-NP\tO' +p299383 +aS'of\tof\tIN\tB-PP\tO' +p299384 +aS'OxyContin\tOxyContin\tNN\tB-NP\tO' +p299385 +aS'early\tearly\tJJ\tB-NP\tO' +p299386 +aS'last\tlast\tJJ\tI-NP\tO' +p299387 +aS'month\tmonth\tNN\tI-NP\tO' +p299388 +aS'.\t.\t.\tO\tO' +p299389 +asS'Initial hematocrit was 46.3 percent and platelets 320,000 .' +p299390 +(lp299391 +S'Initial\tInitial\tJJ\tB-NP\tO' +p299392 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p299393 +aS'was\tbe\tVBD\tB-VP\tO' +p299394 +aS'46.3\t46.3\tCD\tB-NP\tO' +p299395 +aS'percent\tpercent\tNN\tI-NP\tO' +p299396 +aS'and\tand\tCC\tI-NP\tO' +p299397 +aS'platelets\tplatelet\tNNS\tI-NP\tB-cell_type' +p299398 +aS'320,000\t320,000\tCD\tB-NP\tO' +p299399 +aS'.\t.\t.\tO\tO' +p299400 +asS'6) POOR NUTRITIONAL STATUS .' +p299401 +(lp299402 +S'6)\t6)\tLS\tB-NP\tO' +p299403 +aS'POOR\tPOOR\tNN\tI-NP\tO' +p299404 +aS'NUTRITIONAL\tNUTRITIONAL\tNN\tI-NP\tO' +p299405 +aS'STATUS\tSTATUS\tNN\tI-NP\tO' +p299406 +aS'.\t.\t.\tO\tO' +p299407 +asS'Her blood pressure was 190/90 when I first saw her on her second hospital day .' +p299408 +(lp299409 +S'Her\tHer\tPRP$\tB-NP\tO' +p299410 +aS'blood\tblood\tNN\tI-NP\tO' +p299411 +aS'pressure\tpressure\tNN\tI-NP\tO' +p299412 +aS'was\tbe\tVBD\tB-VP\tO' +p299413 +aS'190/90\t190/90\tCD\tB-NP\tO' +p299414 +aS'when\twhen\tWRB\tB-ADVP\tO' +p299415 +aS'I\tI\tPRP\tB-NP\tO' +p299416 +aS'first\tfirst\tRB\tB-ADVP\tO' +p299417 +aS'saw\tsee\tVBD\tB-VP\tO' +p299418 +aS'her\ther\tPRP\tB-NP\tO' +p299419 +aS'on\ton\tIN\tB-PP\tO' +p299420 +aS'her\ther\tPRP$\tB-NP\tO' +p299421 +aS'second\tsecond\tJJ\tI-NP\tO' +p299422 +aS'hospital\thospital\tNN\tI-NP\tO' +p299423 +aS'day\tday\tNN\tI-NP\tO' +p299424 +aS'.\t.\t.\tO\tO' +p299425 +asS'they will call you to set up appt .' +p299426 +(lp299427 +S'they\tthey\tPRP\tB-NP\tO' +p299428 +aS'will\twill\tMD\tB-VP\tO' +p299429 +aS'call\tcall\tVB\tI-VP\tO' +p299430 +aS'you\tyou\tPRP\tB-NP\tO' +p299431 +aS'to\tto\tTO\tB-VP\tO' +p299432 +aS'set\tset\tVB\tI-VP\tO' +p299433 +aS'up\tup\tRP\tB-PRT\tO' +p299434 +aS'appt\tappt\tNN\tB-NP\tO' +p299435 +aS'.\t.\t.\tO\tO' +p299436 +asS'Tachycardic , regular .' +p299437 +(lp299438 +S'Tachycardic\tTachycardic\tJJ\tB-NP\tO' +p299439 +aS',\t,\t,\tI-NP\tO' +p299440 +aS'regular\tregular\tJJ\tI-NP\tO' +p299441 +aS'.\t.\t.\tO\tO' +p299442 +asS'Her hospital course was remarkable for ruling in for a myocardial infarction with a peak CPK of 9,379 units with a 5.9% MB fraction .' +p299443 +(lp299444 +S'Her\tHer\tPRP$\tB-NP\tO' +p299445 +aS'hospital\thospital\tNN\tI-NP\tO' +p299446 +aS'course\tcourse\tNN\tI-NP\tO' +p299447 +aS'was\tbe\tVBD\tB-VP\tO' +p299448 +aS'remarkable\tremarkable\tJJ\tB-ADJP\tO' +p299449 +aS'for\tfor\tIN\tB-PP\tO' +p299450 +aS'ruling\trule\tVBG\tB-VP\tO' +p299451 +aS'in\tin\tIN\tB-PP\tO' +p299452 +aS'for\tfor\tIN\tB-PP\tO' +p299453 +aS'a\ta\tDT\tB-NP\tO' +p299454 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p299455 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p299456 +aS'with\twith\tIN\tB-PP\tO' +p299457 +aS'a\ta\tDT\tB-NP\tO' +p299458 +aS'peak\tpeak\tJJ\tI-NP\tO' +p299459 +aS'CPK\tCPK\tNN\tI-NP\tB-protein' +p299460 +aS'of\tof\tIN\tB-PP\tO' +p299461 +aS'9,379\t9,379\tCD\tB-NP\tB-DNA' +p299462 +aS'units\tunit\tNNS\tI-NP\tI-DNA' +p299463 +aS'with\twith\tIN\tB-PP\tO' +p299464 +aS'a\ta\tDT\tB-NP\tO' +p299465 +aS'5.9%\t5.9%\tJJ\tI-NP\tO' +p299466 +aS'MB\tMB\tNN\tI-NP\tO' +p299467 +aS'fraction\tfraction\tNN\tI-NP\tO' +p299468 +aS'.\t.\t.\tO\tO' +p299469 +asS'5. FEN : NGT was placed given her altered mental status , and she has been unable to pass a swallow evaluation , but has improved .' +p299470 +(lp299471 +S'5.\t5.\tLS\tB-NP\tO' +p299472 +aS'FEN\tFEN\tNN\tI-NP\tO' +p299473 +aS':\t:\t:\tO\tO' +p299474 +aS'NGT\tNGT\tNN\tB-NP\tB-protein' +p299475 +aS'was\tbe\tVBD\tB-VP\tO' +p299476 +aS'placed\tplace\tVBN\tI-VP\tO' +p299477 +aS'given\tgive\tVBN\tI-VP\tO' +p299478 +aS'her\ther\tPRP$\tB-NP\tO' +p299479 +aS'altered\taltered\tJJ\tI-NP\tO' +p299480 +aS'mental\tmental\tJJ\tI-NP\tO' +p299481 +aS'status\tstatus\tNN\tI-NP\tO' +p299482 +aS',\t,\t,\tO\tO' +p299483 +aS'and\tand\tCC\tO\tO' +p299484 +aS'she\tshe\tPRP\tB-NP\tO' +p299485 +aS'has\thave\tVBZ\tB-VP\tO' +p299486 +aS'been\tbe\tVBN\tI-VP\tO' +p299487 +aS'unable\tunable\tJJ\tB-ADJP\tO' +p299488 +aS'to\tto\tTO\tB-VP\tO' +p299489 +aS'pass\tpass\tVB\tI-VP\tO' +p299490 +aS'a\ta\tDT\tB-NP\tO' +p299491 +aS'swallow\tswallow\tJJ\tI-NP\tO' +p299492 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p299493 +aS',\t,\t,\tO\tO' +p299494 +aS'but\tbut\tCC\tO\tO' +p299495 +aS'has\thave\tVBZ\tB-VP\tO' +p299496 +aS'improved\timprove\tVBN\tI-VP\tO' +p299497 +aS'.\t.\t.\tO\tO' +p299498 +asS'Drains continued to put out significant amount of fluid .' +p299499 +(lp299500 +S'Drains\tDrain\tNNS\tB-NP\tO' +p299501 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p299502 +aS'to\tto\tTO\tI-VP\tO' +p299503 +aS'put\tput\tVB\tI-VP\tO' +p299504 +aS'out\tout\tRP\tB-PRT\tO' +p299505 +aS'significant\tsignificant\tJJ\tB-NP\tO' +p299506 +aS'amount\tamount\tNN\tI-NP\tO' +p299507 +aS'of\tof\tIN\tB-PP\tO' +p299508 +aS'fluid\tfluid\tNN\tB-NP\tO' +p299509 +aS'.\t.\t.\tO\tO' +p299510 +asS'He had a Myoview on 05-04 which showed fixed inferior wall defect but no evidence of ischemia .' +p299511 +(lp299512 +S'He\tHe\tPRP\tB-NP\tO' +p299513 +aS'had\thave\tVBD\tB-VP\tO' +p299514 +aS'a\ta\tDT\tB-NP\tO' +p299515 +aS'Myoview\tMyoview\tNN\tI-NP\tO' +p299516 +aS'on\ton\tIN\tB-PP\tO' +p299517 +aS'05-04\t05-04\tCD\tB-NP\tO' +p299518 +aS'which\twhich\tWDT\tB-NP\tO' +p299519 +aS'showed\tshow\tVBD\tB-VP\tO' +p299520 +aS'fixed\tfix\tVBN\tB-NP\tO' +p299521 +aS'inferior\tinferior\tJJ\tI-NP\tO' +p299522 +aS'wall\twall\tNN\tI-NP\tO' +p299523 +aS'defect\tdefect\tNN\tI-NP\tO' +p299524 +aS'but\tbut\tCC\tO\tO' +p299525 +aS'no\tno\tDT\tB-NP\tO' +p299526 +aS'evidence\tevidence\tNN\tI-NP\tO' +p299527 +aS'of\tof\tIN\tB-PP\tO' +p299528 +aS'ischemia\tischemia\tNN\tB-NP\tO' +p299529 +aS'.\t.\t.\tO\tO' +p299530 +asS'Pt awoke later that night and felt unsteady on her feet and sustained a mechanical fall .' +p299531 +(lp299532 +S'Pt\tPt\tNN\tB-NP\tO' +p299533 +aS'awoke\tawoke\tNN\tI-NP\tO' +p299534 +aS'later\tlater\tRB\tB-ADVP\tO' +p299535 +aS'that\tthat\tIN\tB-SBAR\tO' +p299536 +aS'night\tnight\tNN\tB-NP\tO' +p299537 +aS'and\tand\tCC\tO\tO' +p299538 +aS'felt\tfeel\tVBD\tB-VP\tO' +p299539 +aS'unsteady\tunsteady\tJJ\tB-ADJP\tO' +p299540 +aS'on\ton\tIN\tB-PP\tO' +p299541 +aS'her\ther\tPRP$\tB-NP\tO' +p299542 +aS'feet\tfoot\tNNS\tI-NP\tO' +p299543 +aS'and\tand\tCC\tO\tO' +p299544 +aS'sustained\tsustain\tVBD\tB-VP\tO' +p299545 +aS'a\ta\tDT\tB-NP\tO' +p299546 +aS'mechanical\tmechanical\tJJ\tI-NP\tO' +p299547 +aS'fall\tfall\tNN\tI-NP\tO' +p299548 +aS'.\t.\t.\tO\tO' +p299549 +asS'The patient was afebrile on admission with a normal white blood cell count but had significant wheezing and rales on physical examination with a possible left lower lobe opacity seen on chest x-ray .' +p299550 +(lp299551 +S'The\tThe\tDT\tB-NP\tO' +p299552 +aS'patient\tpatient\tNN\tI-NP\tO' +p299553 +aS'was\tbe\tVBD\tB-VP\tO' +p299554 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p299555 +aS'on\ton\tIN\tB-PP\tO' +p299556 +aS'admission\tadmission\tNN\tB-NP\tO' +p299557 +aS'with\twith\tIN\tB-PP\tO' +p299558 +aS'a\ta\tDT\tB-NP\tO' +p299559 +aS'normal\tnormal\tJJ\tI-NP\tO' +p299560 +aS'white\twhite\tJJ\tI-NP\tO' +p299561 +aS'blood\tblood\tNN\tI-NP\tO' +p299562 +aS'cell\tcell\tNN\tI-NP\tO' +p299563 +aS'count\tcount\tNN\tI-NP\tO' +p299564 +aS'but\tbut\tCC\tO\tO' +p299565 +aS'had\thave\tVBD\tB-VP\tO' +p299566 +aS'significant\tsignificant\tJJ\tB-NP\tO' +p299567 +aS'wheezing\twheezing\tNN\tI-NP\tO' +p299568 +aS'and\tand\tCC\tO\tO' +p299569 +aS'rales\trale\tNNS\tB-NP\tO' +p299570 +aS'on\ton\tIN\tB-PP\tO' +p299571 +aS'physical\tphysical\tJJ\tB-NP\tO' +p299572 +aS'examination\texamination\tNN\tI-NP\tO' +p299573 +aS'with\twith\tIN\tB-PP\tO' +p299574 +aS'a\ta\tDT\tB-NP\tO' +p299575 +aS'possible\tpossible\tJJ\tI-NP\tO' +p299576 +aS'left\tleave\tVBD\tB-VP\tO' +p299577 +aS'lower\tlow\tJJR\tB-NP\tO' +p299578 +aS'lobe\tlobe\tNN\tI-NP\tO' +p299579 +aS'opacity\topacity\tNN\tI-NP\tO' +p299580 +aS'seen\tsee\tVBN\tB-VP\tO' +p299581 +aS'on\ton\tIN\tB-PP\tO' +p299582 +aS'chest\tchest\tNN\tB-NP\tO' +p299583 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p299584 +aS'.\t.\t.\tO\tO' +p299585 +asS'3. Respiratory .' +p299586 +(lp299587 +S'3.\t3.\tLS\tB-LST\tO' +p299588 +aS'Respiratory\tRespiratory\tNNP\tB-NP\tO' +p299589 +aS'.\t.\t.\tO\tO' +p299590 +asS'1. Potassium Chloride 10 mEq Capsule , Sustained Release Sig : Two ( 2 ) Capsule , Sustained Release PO Q12H ( every 12 hours ) for 5 days .' +p299591 +(lp299592 +S'1.\t1.\tLS\tB-NP\tO' +p299593 +aS'Potassium\tPotassium\tNN\tI-NP\tO' +p299594 +aS'Chloride\tChloride\tNN\tI-NP\tO' +p299595 +aS'10\t10\tCD\tI-NP\tO' +p299596 +aS'mEq\tmEq\tNN\tI-NP\tO' +p299597 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p299598 +aS',\t,\t,\tO\tO' +p299599 +aS'Sustained\tSustained\tNNP\tB-NP\tO' +p299600 +aS'Release\tRelease\tNNP\tI-NP\tO' +p299601 +aS'Sig\tSig\tNNP\tI-NP\tB-protein' +p299602 +aS':\t:\t:\tO\tO' +p299603 +aS'Two\tTwo\tCD\tB-NP\tO' +p299604 +aS'(\t(\t(\tO\tO' +p299605 +aS'2\t2\tCD\tB-NP\tO' +p299606 +aS')\t)\t)\tO\tO' +p299607 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p299608 +aS',\t,\t,\tO\tO' +p299609 +aS'Sustained\tSustained\tNNP\tB-NP\tO' +p299610 +aS'Release\tRelease\tNNP\tI-NP\tO' +p299611 +aS'PO\tPO\tNN\tI-NP\tO' +p299612 +aS'Q12H\tQ12H\tNN\tI-NP\tO' +p299613 +aS'(\t(\t(\tO\tO' +p299614 +aS'every\tevery\tDT\tB-NP\tO' +p299615 +aS'12\t12\tCD\tI-NP\tO' +p299616 +aS'hours\thour\tNNS\tI-NP\tO' +p299617 +aS')\t)\t)\tO\tO' +p299618 +aS'for\tfor\tIN\tB-PP\tO' +p299619 +aS'5\t5\tCD\tB-NP\tO' +p299620 +aS'days\tday\tNNS\tI-NP\tO' +p299621 +aS'.\t.\t.\tO\tO' +p299622 +asS'Patient is on insulin sliding scale with fixed dose .' +p299623 +(lp299624 +S'Patient\tPatient\tNN\tB-NP\tO' +p299625 +aS'is\tbe\tVBZ\tB-VP\tO' +p299626 +aS'on\ton\tIN\tB-PP\tO' +p299627 +aS'insulin\tinsulin\tNN\tB-NP\tB-protein' +p299628 +aS'sliding\tslide\tVBG\tB-VP\tO' +p299629 +aS'scale\tscale\tNN\tB-NP\tO' +p299630 +aS'with\twith\tIN\tB-PP\tO' +p299631 +aS'fixed\tfix\tVBN\tB-NP\tO' +p299632 +aS'dose\tdose\tNN\tI-NP\tO' +p299633 +aS'.\t.\t.\tO\tO' +p299634 +asS'1. Aspirin 325 mg p.o. once daily .' +p299635 +(lp299636 +S'1.\t1.\tLS\tB-LST\tO' +p299637 +aS'Aspirin\tAspirin\tNN\tB-NP\tO' +p299638 +aS'325\t325\tCD\tI-NP\tO' +p299639 +aS'mg\tmg\tNN\tI-NP\tO' +p299640 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p299641 +aS'once\tonce\tRB\tB-ADVP\tO' +p299642 +aS'daily\tdaily\tRB\tI-ADVP\tO' +p299643 +aS'.\t.\t.\tO\tO' +p299644 +asS'Extubation was attempted on 07-14 , but she was re-intubated due to inspiratory stridor .' +p299645 +(lp299646 +S'Extubation\tExtubation\tNN\tB-NP\tO' +p299647 +aS'was\tbe\tVBD\tB-VP\tO' +p299648 +aS'attempted\tattempt\tVBN\tI-VP\tO' +p299649 +aS'on\ton\tIN\tB-PP\tO' +p299650 +aS'07-14\t07-14\tCD\tB-NP\tO' +p299651 +aS',\t,\t,\tO\tO' +p299652 +aS'but\tbut\tCC\tO\tO' +p299653 +aS'she\tshe\tPRP\tB-NP\tO' +p299654 +aS'was\tbe\tVBD\tB-VP\tO' +p299655 +aS're-intubated\tre-intubated\tJJ\tB-ADJP\tO' +p299656 +aS'due\tdue\tJJ\tB-PP\tO' +p299657 +aS'to\tto\tTO\tB-PP\tO' +p299658 +aS'inspiratory\tinspiratory\tJJ\tB-NP\tO' +p299659 +aS'stridor\tstridor\tNN\tI-NP\tO' +p299660 +aS'.\t.\t.\tO\tO' +p299661 +asS'Regular rate and rhythm , S1 , S2 , with III/VI blowing murmur .' +p299662 +(lp299663 +S'Regular\tRegular\tJJ\tB-NP\tO' +p299664 +aS'rate\trate\tNN\tI-NP\tO' +p299665 +aS'and\tand\tCC\tO\tO' +p299666 +aS'rhythm\trhythm\tNN\tB-NP\tO' +p299667 +aS',\t,\t,\tO\tO' +p299668 +aS'S1\tS1\tNN\tB-NP\tB-protein' +p299669 +aS',\t,\t,\tO\tO' +p299670 +aS'S2\tS2\tNN\tB-NP\tB-protein' +p299671 +aS',\t,\t,\tO\tO' +p299672 +aS'with\twith\tIN\tB-PP\tO' +p299673 +aS'III/VI\tIII/VI\tNN\tB-NP\tO' +p299674 +aS'blowing\tblow\tVBG\tB-VP\tO' +p299675 +aS'murmur\tmurmur\tNN\tB-NP\tO' +p299676 +aS'.\t.\t.\tO\tO' +p299677 +asS'Also of note , prior to the upper endoscopy , the patient received fresh frozen plasma to reverse his anticoagulation .' +p299678 +(lp299679 +S'Also\tAlso\tRB\tB-ADVP\tO' +p299680 +aS'of\tof\tIN\tB-PP\tO' +p299681 +aS'note\tnote\tNN\tB-NP\tO' +p299682 +aS',\t,\t,\tO\tO' +p299683 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p299684 +aS'to\tto\tTO\tB-PP\tO' +p299685 +aS'the\tthe\tDT\tB-NP\tO' +p299686 +aS'upper\tupper\tJJ\tI-NP\tO' +p299687 +aS'endoscopy\tendoscopy\tNN\tI-NP\tO' +p299688 +aS',\t,\t,\tO\tO' +p299689 +aS'the\tthe\tDT\tB-NP\tO' +p299690 +aS'patient\tpatient\tNN\tI-NP\tO' +p299691 +aS'received\treceive\tVBD\tB-VP\tO' +p299692 +aS'fresh\tfresh\tJJ\tB-NP\tO' +p299693 +aS'frozen\tfreeze\tVBN\tI-NP\tO' +p299694 +aS'plasma\tplasma\tNN\tI-NP\tO' +p299695 +aS'to\tto\tTO\tB-VP\tO' +p299696 +aS'reverse\treverse\tVB\tI-VP\tO' +p299697 +aS'his\this\tPRP$\tB-NP\tO' +p299698 +aS'anticoagulation\tanticoagulation\tNN\tI-NP\tO' +p299699 +aS'.\t.\t.\tO\tO' +p299700 +asS'The gray-white matter differentiation is preserved .' +p299701 +(lp299702 +S'The\tThe\tDT\tB-NP\tO' +p299703 +aS'gray-white\tgray-white\tJJ\tI-NP\tO' +p299704 +aS'matter\tmatter\tNN\tI-NP\tO' +p299705 +aS'differentiation\tdifferentiation\tNN\tI-NP\tO' +p299706 +aS'is\tbe\tVBZ\tB-VP\tO' +p299707 +aS'preserved\tpreserve\tVBN\tI-VP\tO' +p299708 +aS'.\t.\t.\tO\tO' +p299709 +asS'However , her ionized calcium decreased to 0.97 and she was given one amp of calcium gluconate .' +p299710 +(lp299711 +S'However\tHowever\tRB\tB-ADVP\tO' +p299712 +aS',\t,\t,\tO\tO' +p299713 +aS'her\ther\tPRP$\tB-NP\tO' +p299714 +aS'ionized\tionize\tVBN\tI-NP\tO' +p299715 +aS'calcium\tcalcium\tNN\tI-NP\tO' +p299716 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p299717 +aS'to\tto\tTO\tB-PP\tO' +p299718 +aS'0.97\t0.97\tCD\tB-NP\tO' +p299719 +aS'and\tand\tCC\tO\tO' +p299720 +aS'she\tshe\tPRP\tB-NP\tO' +p299721 +aS'was\tbe\tVBD\tB-VP\tO' +p299722 +aS'given\tgive\tVBN\tI-VP\tO' +p299723 +aS'one\tone\tCD\tB-NP\tO' +p299724 +aS'amp\tamp\tNN\tI-NP\tO' +p299725 +aS'of\tof\tIN\tB-PP\tO' +p299726 +aS'calcium\tcalcium\tNN\tB-NP\tO' +p299727 +aS'gluconate\tgluconate\tNN\tI-NP\tO' +p299728 +aS'.\t.\t.\tO\tO' +p299729 +asS'Electrolytes at this point were sodium 132 , potassium 1.8 .' +p299730 +(lp299731 +S'Electrolytes\tElectrolyte\tNNS\tB-NP\tO' +p299732 +aS'at\tat\tIN\tB-PP\tO' +p299733 +aS'this\tthis\tDT\tB-NP\tO' +p299734 +aS'point\tpoint\tNN\tI-NP\tO' +p299735 +aS'were\tbe\tVBD\tB-VP\tO' +p299736 +aS'sodium\tsodium\tNN\tB-NP\tO' +p299737 +aS'132\t132\tCD\tI-NP\tO' +p299738 +aS',\t,\t,\tO\tO' +p299739 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p299740 +aS'1.8\t1.8\tCD\tI-NP\tO' +p299741 +aS'.\t.\t.\tO\tO' +p299742 +asS'4. Anterior instrumentation L3-L4 .' +p299743 +(lp299744 +S'4.\t4.\tLS\tB-NP\tO' +p299745 +aS'Anterior\tAnterior\tJJ\tI-NP\tO' +p299746 +aS'instrumentation\tinstrumentation\tNN\tI-NP\tO' +p299747 +aS'L3-L4\tL3-L4\tNN\tI-NP\tO' +p299748 +aS'.\t.\t.\tO\tO' +p299749 +asS'She had previously been admitted here at the 24th week after a motor vehicle accident. She was treated with tocolysis and betamethasone at that time .' +p299750 +(lp299751 +S'She\tShe\tPRP\tB-NP\tO' +p299752 +aS'had\thave\tVBD\tB-VP\tO' +p299753 +aS'previously\tpreviously\tRB\tI-VP\tO' +p299754 +aS'been\tbe\tVBN\tI-VP\tO' +p299755 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p299756 +aS'here\there\tRB\tB-ADVP\tO' +p299757 +aS'at\tat\tIN\tB-PP\tO' +p299758 +aS'the\tthe\tDT\tB-NP\tO' +p299759 +aS'24th\t24th\tJJ\tI-NP\tO' +p299760 +aS'week\tweek\tNN\tI-NP\tO' +p299761 +aS'after\tafter\tIN\tB-PP\tO' +p299762 +aS'a\ta\tDT\tB-NP\tO' +p299763 +aS'motor\tmotor\tNN\tI-NP\tO' +p299764 +aS'vehicle\tvehicle\tNN\tI-NP\tO' +p299765 +aS'accident.\taccident.\tNN\tI-NP\tO' +p299766 +aS'She\tShe\tNN\tI-NP\tO' +p299767 +aS'was\tbe\tVBD\tB-VP\tO' +p299768 +aS'treated\ttreat\tVBN\tI-VP\tO' +p299769 +aS'with\twith\tIN\tB-PP\tO' +p299770 +aS'tocolysis\ttocolysis\tNN\tB-NP\tO' +p299771 +aS'and\tand\tCC\tI-NP\tO' +p299772 +aS'betamethasone\tbetamethasone\tNN\tI-NP\tO' +p299773 +aS'at\tat\tIN\tB-PP\tO' +p299774 +aS'that\tthat\tDT\tB-NP\tO' +p299775 +aS'time\ttime\tNN\tI-NP\tO' +p299776 +aS'.\t.\t.\tO\tO' +p299777 +asS'Normoactive bowel sounds , soft , mildly tender at right upper quadrant just inferior to the lower ribs , no epigastric tenderness .' +p299778 +(lp299779 +S'Normoactive\tNormoactive\tJJ\tB-NP\tO' +p299780 +aS'bowel\tbowel\tNN\tI-NP\tO' +p299781 +aS'sounds\tsound\tNNS\tI-NP\tO' +p299782 +aS',\t,\t,\tO\tO' +p299783 +aS'soft\tsoft\tJJ\tB-NP\tO' +p299784 +aS',\t,\t,\tI-NP\tO' +p299785 +aS'mildly\tmildly\tRB\tI-NP\tO' +p299786 +aS'tender\ttender\tNN\tI-NP\tO' +p299787 +aS'at\tat\tIN\tB-PP\tO' +p299788 +aS'right\tright\tJJ\tB-NP\tO' +p299789 +aS'upper\tupper\tJJ\tI-NP\tO' +p299790 +aS'quadrant\tquadrant\tNN\tI-NP\tO' +p299791 +aS'just\tjust\tRB\tB-ADJP\tO' +p299792 +aS'inferior\tinferior\tJJ\tI-ADJP\tO' +p299793 +aS'to\tto\tTO\tB-PP\tO' +p299794 +aS'the\tthe\tDT\tB-NP\tO' +p299795 +aS'lower\tlow\tJJR\tI-NP\tO' +p299796 +aS'ribs\trib\tNNS\tI-NP\tO' +p299797 +aS',\t,\t,\tO\tO' +p299798 +aS'no\tno\tDT\tB-NP\tO' +p299799 +aS'epigastric\tepigastric\tJJ\tI-NP\tO' +p299800 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p299801 +aS'.\t.\t.\tO\tO' +p299802 +asS'ABNORMALITY #2: The background voltages were occasionally lower on the left side , and there were additional bursts of delta slowing seen broadly on the left side alone .' +p299803 +(lp299804 +S'ABNORMALITY\tABNORMALITY\tNN\tB-NP\tO' +p299805 +aS'#2:\t#2:\t:\tO\tO' +p299806 +aS'The\tThe\tDT\tB-NP\tO' +p299807 +aS'background\tbackground\tNN\tI-NP\tO' +p299808 +aS'voltages\tvoltage\tNNS\tI-NP\tO' +p299809 +aS'were\tbe\tVBD\tB-VP\tO' +p299810 +aS'occasionally\toccasionally\tRB\tB-ADJP\tO' +p299811 +aS'lower\tlow\tJJR\tI-ADJP\tO' +p299812 +aS'on\ton\tIN\tB-PP\tO' +p299813 +aS'the\tthe\tDT\tB-NP\tO' +p299814 +aS'left\tleft\tJJ\tI-NP\tO' +p299815 +aS'side\tside\tNN\tI-NP\tO' +p299816 +aS',\t,\t,\tO\tO' +p299817 +aS'and\tand\tCC\tO\tO' +p299818 +aS'there\tthere\tEX\tB-NP\tO' +p299819 +aS'were\tbe\tVBD\tB-VP\tO' +p299820 +aS'additional\tadditional\tJJ\tB-NP\tO' +p299821 +aS'bursts\tburst\tNNS\tI-NP\tO' +p299822 +aS'of\tof\tIN\tB-PP\tO' +p299823 +aS'delta\tdelta\tNN\tB-NP\tO' +p299824 +aS'slowing\tslow\tVBG\tB-VP\tO' +p299825 +aS'seen\tsee\tVBN\tI-VP\tO' +p299826 +aS'broadly\tbroadly\tRB\tB-ADVP\tO' +p299827 +aS'on\ton\tIN\tB-PP\tO' +p299828 +aS'the\tthe\tDT\tB-NP\tO' +p299829 +aS'left\tleft\tJJ\tI-NP\tO' +p299830 +aS'side\tside\tNN\tI-NP\tO' +p299831 +aS'alone\talone\tRB\tB-ADVP\tO' +p299832 +aS'.\t.\t.\tO\tO' +p299833 +asS'Extubated on 03-31 .' +p299834 +(lp299835 +S'Extubated\tExtubate\tVBN\tB-VP\tO' +p299836 +aS'on\ton\tIN\tB-PP\tO' +p299837 +aS'03-31\t03-31\tCD\tB-NP\tO' +p299838 +aS'.\t.\t.\tO\tO' +p299839 +asS'Prior to discharge today , he underwent PFTs .' +p299840 +(lp299841 +S'Prior\tPrior\tRB\tB-ADVP\tO' +p299842 +aS'to\tto\tTO\tB-VP\tO' +p299843 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p299844 +aS'today\ttoday\tNN\tB-NP\tO' +p299845 +aS',\t,\t,\tO\tO' +p299846 +aS'he\the\tPRP\tB-NP\tO' +p299847 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p299848 +aS'PFTs\tPFT\tNNS\tB-NP\tO' +p299849 +aS'.\t.\t.\tO\tO' +p299850 +asS'On 10-02-94 the patient was brought to the operating room where he underwent exploratory laparotomy and left hepatectomy and cholecystectomy by Dr. Duhenile .' +p299851 +(lp299852 +S'On\tOn\tIN\tB-PP\tO' +p299853 +aS'10-02-94\t10-02-94\tCD\tB-NP\tO' +p299854 +aS'the\tthe\tDT\tB-NP\tO' +p299855 +aS'patient\tpatient\tNN\tI-NP\tO' +p299856 +aS'was\tbe\tVBD\tB-VP\tO' +p299857 +aS'brought\tbring\tVBN\tI-VP\tO' +p299858 +aS'to\tto\tTO\tB-PP\tO' +p299859 +aS'the\tthe\tDT\tB-NP\tO' +p299860 +aS'operating\toperating\tNN\tI-NP\tO' +p299861 +aS'room\troom\tNN\tI-NP\tO' +p299862 +aS'where\twhere\tWRB\tB-ADVP\tO' +p299863 +aS'he\the\tPRP\tB-NP\tO' +p299864 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p299865 +aS'exploratory\texploratory\tJJ\tB-NP\tO' +p299866 +aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' +p299867 +aS'and\tand\tCC\tO\tO' +p299868 +aS'left\tleave\tVBD\tB-VP\tO' +p299869 +aS'hepatectomy\thepatectomy\tNN\tB-NP\tO' +p299870 +aS'and\tand\tCC\tI-NP\tO' +p299871 +aS'cholecystectomy\tcholecystectomy\tNN\tI-NP\tO' +p299872 +aS'by\tby\tIN\tB-PP\tO' +p299873 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p299874 +aS'Duhenile\tDuhenile\tNNP\tI-NP\tO' +p299875 +aS'.\t.\t.\tO\tO' +p299876 +asS'IMPRESSION : Unchanged moderate bilateral pleural effusions and mild CHF .' +p299877 +(lp299878 +S'IMPRESSION\tIMPRESSION\tNN\tB-NP\tO' +p299879 +aS':\t:\t:\tO\tO' +p299880 +aS'Unchanged\tUnchanged\tJJ\tB-NP\tO' +p299881 +aS'moderate\tmoderate\tJJ\tI-NP\tO' +p299882 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p299883 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p299884 +aS'effusions\teffusion\tNNS\tI-NP\tO' +p299885 +aS'and\tand\tCC\tO\tO' +p299886 +aS'mild\tmild\tJJ\tB-NP\tO' +p299887 +aS'CHF\tCHF\tNN\tI-NP\tO' +p299888 +aS'.\t.\t.\tO\tO' +p299889 +asS'Prednisone , nebulizers .' +p299890 +(lp299891 +S'Prednisone\tPrednisone\tNN\tB-NP\tO' +p299892 +aS',\t,\t,\tO\tO' +p299893 +aS'nebulizers\tnebulizer\tNNS\tB-NP\tO' +p299894 +aS'.\t.\t.\tO\tO' +p299895 +asS'30 units Lantus insulin with breakfast' +p299896 +(lp299897 +S'30\t30\tCD\tB-NP\tO' +p299898 +aS'units\tunit\tNNS\tI-NP\tO' +p299899 +aS'Lantus\tLantus\tNNP\tB-NP\tO' +p299900 +aS'insulin\tinsulin\tNN\tI-NP\tO' +p299901 +aS'with\twith\tIN\tB-PP\tO' +p299902 +aS'breakfast\tbreakfast\tNN\tB-NP\tO' +p299903 +asS'He had no gag to tube manipulation .' +p299904 +(lp299905 +S'He\tHe\tPRP\tB-NP\tO' +p299906 +aS'had\thave\tVBD\tB-VP\tO' +p299907 +aS'no\tno\tDT\tB-NP\tO' +p299908 +aS'gag\tgag\tNN\tI-NP\tO' +p299909 +aS'to\tto\tTO\tB-VP\tO' +p299910 +aS'tube\ttube\tVB\tI-VP\tO' +p299911 +aS'manipulation\tmanipulation\tNN\tB-NP\tO' +p299912 +aS'.\t.\t.\tO\tO' +p299913 +asS'Earlier during her Intensive Care Unit course she underwent bronchoscopy , which was sent for cytology and multiple bacterial pathogens all of which were negative .' +p299914 +(lp299915 +S'Earlier\tEarlier\tRBR\tB-ADVP\tO' +p299916 +aS'during\tduring\tIN\tB-PP\tO' +p299917 +aS'her\ther\tPRP$\tB-NP\tO' +p299918 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p299919 +aS'Care\tCare\tNNP\tI-NP\tO' +p299920 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p299921 +aS'course\tcourse\tNN\tI-NP\tO' +p299922 +aS'she\tshe\tPRP\tB-NP\tO' +p299923 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p299924 +aS'bronchoscopy\tbronchoscopy\tNN\tB-NP\tO' +p299925 +aS',\t,\t,\tO\tO' +p299926 +aS'which\twhich\tWDT\tB-NP\tO' +p299927 +aS'was\tbe\tVBD\tB-VP\tO' +p299928 +aS'sent\tsend\tVBN\tI-VP\tO' +p299929 +aS'for\tfor\tIN\tB-PP\tO' +p299930 +aS'cytology\tcytology\tNN\tB-NP\tO' +p299931 +aS'and\tand\tCC\tO\tO' +p299932 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p299933 +aS'bacterial\tbacterial\tJJ\tI-NP\tO' +p299934 +aS'pathogens\tpathogen\tNNS\tI-NP\tO' +p299935 +aS'all\tall\tDT\tB-NP\tO' +p299936 +aS'of\tof\tIN\tB-PP\tO' +p299937 +aS'which\twhich\tWDT\tB-NP\tO' +p299938 +aS'were\tbe\tVBD\tB-VP\tO' +p299939 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p299940 +aS'.\t.\t.\tO\tO' +p299941 +asS'The first was on 10/15/97 , which showed clotted blood in the esophagus .' +p299942 +(lp299943 +S'The\tThe\tDT\tB-NP\tO' +p299944 +aS'first\tfirst\tJJ\tI-NP\tO' +p299945 +aS'was\tbe\tVBD\tB-VP\tO' +p299946 +aS'on\ton\tIN\tB-PP\tO' +p299947 +aS'10/15/97\t10/15/97\tCD\tB-NP\tO' +p299948 +aS',\t,\t,\tO\tO' +p299949 +aS'which\twhich\tWDT\tB-NP\tO' +p299950 +aS'showed\tshow\tVBD\tB-VP\tO' +p299951 +aS'clotted\tclotted\tJJ\tB-NP\tO' +p299952 +aS'blood\tblood\tNN\tI-NP\tO' +p299953 +aS'in\tin\tIN\tB-PP\tO' +p299954 +aS'the\tthe\tDT\tB-NP\tO' +p299955 +aS'esophagus\tesophagus\tNN\tI-NP\tO' +p299956 +aS'.\t.\t.\tO\tO' +p299957 +asS'In TSICU , developed MRSA pneumonia with question of aspiration , treated Zosyn --> vanc / levo --> then 2 week course of Linazolid with resolution of fevers and decreased pulmonary secretions .' +p299958 +(lp299959 +S'In\tIn\tIN\tB-PP\tO' +p299960 +aS'TSICU\tTSICU\tNN\tB-NP\tO' +p299961 +aS',\t,\t,\tO\tO' +p299962 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p299963 +aS'MRSA\tMRSA\tNN\tB-NP\tO' +p299964 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p299965 +aS'with\twith\tIN\tB-PP\tO' +p299966 +aS'question\tquestion\tNN\tB-NP\tO' +p299967 +aS'of\tof\tIN\tB-PP\tO' +p299968 +aS'aspiration\taspiration\tNN\tB-NP\tO' +p299969 +aS',\t,\t,\tO\tO' +p299970 +aS'treated\ttreat\tVBN\tB-NP\tO' +p299971 +aS'Zosyn\tZosyn\tNN\tI-NP\tO' +p299972 +aS'-->\t-->\tSYM\tI-NP\tO' +p299973 +aS'vanc\tvanc\tNN\tI-NP\tO' +p299974 +aS'/\t/\tSYM\tB-NP\tO' +p299975 +aS'levo\tlevo\tNN\tI-NP\tO' +p299976 +aS'-->\t-->\tSYM\tO\tO' +p299977 +aS'then\tthen\tRB\tB-ADVP\tO' +p299978 +aS'2\t2\tCD\tB-NP\tO' +p299979 +aS'week\tweek\tNN\tI-NP\tO' +p299980 +aS'course\tcourse\tNN\tI-NP\tO' +p299981 +aS'of\tof\tIN\tB-PP\tO' +p299982 +aS'Linazolid\tLinazolid\tNN\tB-NP\tO' +p299983 +aS'with\twith\tIN\tB-PP\tO' +p299984 +aS'resolution\tresolution\tNN\tB-NP\tO' +p299985 +aS'of\tof\tIN\tB-PP\tO' +p299986 +aS'fevers\tfever\tNNS\tB-NP\tO' +p299987 +aS'and\tand\tCC\tO\tO' +p299988 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p299989 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p299990 +aS'secretions\tsecretion\tNNS\tI-NP\tO' +p299991 +aS'.\t.\t.\tO\tO' +p299992 +asS'The patient with peak bilirubin of 6.5 on day of life 3 .' +p299993 +(lp299994 +S'The\tThe\tDT\tB-NP\tO' +p299995 +aS'patient\tpatient\tNN\tI-NP\tO' +p299996 +aS'with\twith\tIN\tB-PP\tO' +p299997 +aS'peak\tpeak\tJJ\tB-NP\tO' +p299998 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p299999 +aS'of\tof\tIN\tB-PP\tO' +p300000 +aS'6.5\t6.5\tCD\tB-NP\tO' +p300001 +aS'on\ton\tIN\tB-PP\tO' +p300002 +aS'day\tday\tNN\tB-NP\tO' +p300003 +aS'of\tof\tIN\tB-PP\tO' +p300004 +aS'life\tlife\tNN\tB-NP\tB-protein' +p300005 +aS'3\t3\tCD\tI-NP\tI-protein' +p300006 +aS'.\t.\t.\tO\tO' +p300007 +asS'Blood cultures , urine culture , and UA were all done .' +p300008 +(lp300009 +S'Blood\tBlood\tNN\tB-NP\tB-cell_line' +p300010 +aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' +p300011 +aS',\t,\t,\tO\tO' +p300012 +aS'urine\turine\tNN\tB-NP\tO' +p300013 +aS'culture\tculture\tNN\tI-NP\tO' +p300014 +aS',\t,\t,\tO\tO' +p300015 +aS'and\tand\tCC\tO\tO' +p300016 +aS'UA\tUA\tNNP\tB-NP\tO' +p300017 +aS'were\tbe\tVBD\tB-VP\tO' +p300018 +aS'all\tall\tDT\tO\tO' +p300019 +aS'done\tdo\tVBN\tB-VP\tO' +p300020 +aS'.\t.\t.\tO\tO' +p300021 +asS'Pt was note started on ASA as she does not tolerate this well , BB was also not started given SBPs in the 110s .' +p300022 +(lp300023 +S'Pt\tPt\tNN\tB-NP\tO' +p300024 +aS'was\tbe\tVBD\tB-VP\tO' +p300025 +aS'note\tnote\tNN\tB-NP\tO' +p300026 +aS'started\tstart\tVBN\tB-VP\tO' +p300027 +aS'on\ton\tIN\tB-PP\tO' +p300028 +aS'ASA\tASA\tNN\tB-NP\tO' +p300029 +aS'as\tas\tIN\tB-SBAR\tO' +p300030 +aS'she\tshe\tPRP\tB-NP\tO' +p300031 +aS'does\tdo\tVBZ\tB-VP\tO' +p300032 +aS'not\tnot\tRB\tI-VP\tO' +p300033 +aS'tolerate\ttolerate\tVB\tI-VP\tO' +p300034 +aS'this\tthis\tDT\tB-NP\tO' +p300035 +aS'well\twell\tNN\tI-NP\tO' +p300036 +aS',\t,\t,\tO\tO' +p300037 +aS'BB\tBB\tNN\tB-NP\tB-protein' +p300038 +aS'was\tbe\tVBD\tB-VP\tO' +p300039 +aS'also\talso\tRB\tI-VP\tO' +p300040 +aS'not\tnot\tRB\tI-VP\tO' +p300041 +aS'started\tstart\tVBD\tI-VP\tO' +p300042 +aS'given\tgive\tVBN\tI-VP\tO' +p300043 +aS'SBPs\tSBP\tNNS\tB-NP\tB-protein' +p300044 +aS'in\tin\tIN\tB-PP\tO' +p300045 +aS'the\tthe\tDT\tB-NP\tO' +p300046 +aS'110s\t110\tNNS\tI-NP\tB-DNA' +p300047 +aS'.\t.\t.\tO\tO' +p300048 +asS'4. Peripheral vascular disease status post bilateral iliac stenting .' +p300049 +(lp300050 +S'4.\t4.\tLS\tB-NP\tO' +p300051 +aS'Peripheral\tPeripheral\tJJ\tI-NP\tO' +p300052 +aS'vascular\tvascular\tJJ\tI-NP\tO' +p300053 +aS'disease\tdisease\tNN\tI-NP\tO' +p300054 +aS'status\tstatus\tNN\tI-NP\tO' +p300055 +aS'post\tpost\tIN\tB-PP\tO' +p300056 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p300057 +aS'iliac\tiliac\tJJ\tI-NP\tO' +p300058 +aS'stenting\tstenting\tNN\tI-NP\tO' +p300059 +aS'.\t.\t.\tO\tO' +p300060 +asS'6. Enteric-coated aspirin 325 mg p.o. q.d.' +p300061 +(lp300062 +S'6.\t6.\tLS\tB-NP\tO' +p300063 +aS'Enteric-coated\tEnteric-coated\tJJ\tI-NP\tO' +p300064 +aS'aspirin\taspirin\tNN\tI-NP\tO' +p300065 +aS'325\t325\tCD\tI-NP\tO' +p300066 +aS'mg\tmg\tNN\tI-NP\tO' +p300067 +aS'p.o.\tp.o.\tFW\tB-ADVP\tO' +p300068 +aS'q.d.\tq.d.\tFW\tI-ADVP\tO' +p300069 +asS'4. Prinivil 20 mg po qd .' +p300070 +(lp300071 +S'4.\t4.\tLS\tB-NP\tO' +p300072 +aS'Prinivil\tPrinivil\tNNP\tI-NP\tO' +p300073 +aS'20\t20\tCD\tI-NP\tO' +p300074 +aS'mg\tmg\tNN\tI-NP\tO' +p300075 +aS'po\tpo\tNN\tI-NP\tO' +p300076 +aS'qd\tqd\tNN\tI-NP\tO' +p300077 +aS'.\t.\t.\tO\tO' +p300078 +asS'He remained in atrial fibrillation .' +p300079 +(lp300080 +S'He\tHe\tPRP\tB-NP\tO' +p300081 +aS'remained\tremain\tVBD\tB-VP\tO' +p300082 +aS'in\tin\tIN\tB-PP\tO' +p300083 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p300084 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p300085 +aS'.\t.\t.\tO\tO' +p300086 +asS'Right capsular putamenal hemorrhage .' +p300087 +(lp300088 +S'Right\tRight\tRB\tB-NP\tO' +p300089 +aS'capsular\tcapsular\tJJ\tI-NP\tO' +p300090 +aS'putamenal\tputamenal\tJJ\tI-NP\tO' +p300091 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p300092 +aS'.\t.\t.\tO\tO' +p300093 +asS'She reports compliance with her ASA + plavix .' +p300094 +(lp300095 +S'She\tShe\tPRP\tB-NP\tO' +p300096 +aS'reports\treport\tVBZ\tB-VP\tO' +p300097 +aS'compliance\tcompliance\tNN\tB-NP\tO' +p300098 +aS'with\twith\tIN\tB-PP\tO' +p300099 +aS'her\ther\tPRP$\tB-NP\tO' +p300100 +aS'ASA\tASA\tNN\tI-NP\tO' +p300101 +aS'+\t+\tSYM\tB-NP\tO' +p300102 +aS'plavix\tplavix\tNN\tI-NP\tO' +p300103 +aS'.\t.\t.\tO\tO' +p300104 +asS'6. Uterine cavity fluid of unclear etiology .' +p300105 +(lp300106 +S'6.\t6.\tLS\tB-NP\tO' +p300107 +aS'Uterine\tUterine\tNN\tI-NP\tO' +p300108 +aS'cavity\tcavity\tNN\tI-NP\tO' +p300109 +aS'fluid\tfluid\tNN\tI-NP\tO' +p300110 +aS'of\tof\tIN\tB-PP\tO' +p300111 +aS'unclear\tunclear\tJJ\tB-NP\tO' +p300112 +aS'etiology\tetiology\tNN\tI-NP\tO' +p300113 +aS'.\t.\t.\tO\tO' +p300114 +asS'Significant for a brother who had an MI at age 61 .' +p300115 +(lp300116 +S'Significant\tSignificant\tJJ\tB-ADJP\tO' +p300117 +aS'for\tfor\tIN\tB-PP\tO' +p300118 +aS'a\ta\tDT\tB-NP\tO' +p300119 +aS'brother\tbrother\tNN\tI-NP\tO' +p300120 +aS'who\twho\tWP\tB-NP\tO' +p300121 +aS'had\thave\tVBD\tB-VP\tO' +p300122 +aS'an\tan\tDT\tB-NP\tO' +p300123 +aS'MI\tMI\tNN\tI-NP\tO' +p300124 +aS'at\tat\tIN\tB-PP\tO' +p300125 +aS'age\tage\tNN\tB-NP\tO' +p300126 +aS'61\t61\tCD\tI-NP\tO' +p300127 +aS'.\t.\t.\tO\tO' +p300128 +asS'Walking was assessed later and the patient was unstable on his feet .' +p300129 +(lp300130 +S'Walking\tWalk\tVBG\tB-NP\tO' +p300131 +aS'was\tbe\tVBD\tB-VP\tO' +p300132 +aS'assessed\tassess\tVBN\tI-VP\tO' +p300133 +aS'later\tlater\tRB\tB-ADVP\tO' +p300134 +aS'and\tand\tCC\tO\tO' +p300135 +aS'the\tthe\tDT\tB-NP\tO' +p300136 +aS'patient\tpatient\tNN\tI-NP\tO' +p300137 +aS'was\tbe\tVBD\tB-VP\tO' +p300138 +aS'unstable\tunstable\tJJ\tB-ADJP\tO' +p300139 +aS'on\ton\tIN\tB-PP\tO' +p300140 +aS'his\this\tPRP$\tB-NP\tO' +p300141 +aS'feet\tfoot\tNNS\tI-NP\tO' +p300142 +aS'.\t.\t.\tO\tO' +p300143 +asS'Disp :* 60 Tablet (s)* Refills :* 2 *' +p300144 +(lp300145 +S'Disp\tDisp\tNN\tB-NP\tO' +p300146 +aS':*\t:*\tSYM\tI-NP\tO' +p300147 +aS'60\t60\tCD\tI-NP\tO' +p300148 +aS'Tablet\tTablet\tNN\tI-NP\tO' +p300149 +aS'(s)*\t(s)*\tSYM\tB-NP\tO' +p300150 +aS'Refills\tRefill\tNNPS\tI-NP\tO' +p300151 +aS':*\t:*\tSYM\tB-NP\tO' +p300152 +aS'2\t2\tCD\tB-NP\tO' +p300153 +aS'*\t*\tSYM\tB-NP\tO' +p300154 +asS'She was having some pain issues and morphine was making her " jittery ."' +p300155 +(lp300156 +S'She\tShe\tPRP\tB-NP\tO' +p300157 +aS'was\tbe\tVBD\tB-VP\tO' +p300158 +aS'having\thave\tVBG\tI-VP\tO' +p300159 +aS'some\tsome\tDT\tB-NP\tO' +p300160 +aS'pain\tpain\tNN\tI-NP\tO' +p300161 +aS'issues\tissue\tNNS\tI-NP\tO' +p300162 +aS'and\tand\tCC\tO\tO' +p300163 +aS'morphine\tmorphine\tNN\tB-NP\tO' +p300164 +aS'was\tbe\tVBD\tB-VP\tO' +p300165 +aS'making\tmake\tVBG\tI-VP\tO' +p300166 +aS'her\ther\tPRP$\tB-NP\tO' +p300167 +aS'"\t"\t\'\'\tI-NP\tO' +p300168 +aS'jittery\tjittery\tNN\tI-NP\tO' +p300169 +aS'."\t."\t.\tO\tO' +p300170 +asS'You should have a anti-Tissue Transglutaminase Antibody , IgA to rule out celiac disease given your abdominal symptoms .' +p300171 +(lp300172 +S'You\tYou\tPRP\tB-NP\tB-protein' +p300173 +aS'should\tshould\tMD\tB-VP\tO' +p300174 +aS'have\thave\tVB\tI-VP\tO' +p300175 +aS'a\ta\tDT\tB-NP\tO' +p300176 +aS'anti-Tissue\tanti-Tissue\tJJ\tI-NP\tB-protein' +p300177 +aS'Transglutaminase\tTransglutaminase\tNN\tI-NP\tI-protein' +p300178 +aS'Antibody\tAntibody\tNN\tI-NP\tI-protein' +p300179 +aS',\t,\t,\tO\tO' +p300180 +aS'IgA\tIgA\tNN\tB-NP\tB-protein' +p300181 +aS'to\tto\tTO\tB-VP\tO' +p300182 +aS'rule\trule\tVB\tI-VP\tO' +p300183 +aS'out\tout\tRP\tB-PRT\tO' +p300184 +aS'celiac\tceliac\tJJ\tB-NP\tO' +p300185 +aS'disease\tdisease\tNN\tI-NP\tO' +p300186 +aS'given\tgive\tVBN\tB-VP\tO' +p300187 +aS'your\tyour\tPRP$\tB-NP\tO' +p300188 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p300189 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p300190 +aS'.\t.\t.\tO\tO' +p300191 +asS'There was nothing wrong with the prior generator and nothing wrong with the leads .' +p300192 +(lp300193 +S'There\tThere\tEX\tB-NP\tO' +p300194 +aS'was\tbe\tVBD\tB-VP\tO' +p300195 +aS'nothing\tnothing\tNN\tB-NP\tO' +p300196 +aS'wrong\twrong\tJJ\tB-ADJP\tO' +p300197 +aS'with\twith\tIN\tB-PP\tO' +p300198 +aS'the\tthe\tDT\tB-NP\tO' +p300199 +aS'prior\tprior\tJJ\tI-NP\tO' +p300200 +aS'generator\tgenerator\tNN\tI-NP\tO' +p300201 +aS'and\tand\tCC\tO\tO' +p300202 +aS'nothing\tnothing\tNN\tB-NP\tO' +p300203 +aS'wrong\twrong\tJJ\tB-ADJP\tO' +p300204 +aS'with\twith\tIN\tB-PP\tO' +p300205 +aS'the\tthe\tDT\tB-NP\tO' +p300206 +aS'leads\tlead\tNNS\tI-NP\tO' +p300207 +aS'.\t.\t.\tO\tO' +p300208 +asS'5. Status post DDD pacer placement with external generator .' +p300209 +(lp300210 +S'5.\t5.\tLS\tB-LST\tO' +p300211 +aS'Status\tStatus\tNNP\tB-NP\tO' +p300212 +aS'post\tpost\tIN\tB-PP\tO' +p300213 +aS'DDD\tDDD\tNNP\tB-NP\tO' +p300214 +aS'pacer\tpacer\tNN\tI-NP\tO' +p300215 +aS'placement\tplacement\tNN\tI-NP\tO' +p300216 +aS'with\twith\tIN\tB-PP\tO' +p300217 +aS'external\texternal\tJJ\tB-NP\tO' +p300218 +aS'generator\tgenerator\tNN\tI-NP\tO' +p300219 +aS'.\t.\t.\tO\tO' +p300220 +asS'The patient was a prior off-and-on smoker but has quit in 01/19 .' +p300221 +(lp300222 +S'The\tThe\tDT\tB-NP\tO' +p300223 +aS'patient\tpatient\tNN\tI-NP\tO' +p300224 +aS'was\tbe\tVBD\tB-VP\tO' +p300225 +aS'a\ta\tDT\tB-NP\tO' +p300226 +aS'prior\tprior\tJJ\tI-NP\tO' +p300227 +aS'off-and-on\toff-and-on\tJJ\tI-NP\tO' +p300228 +aS'smoker\tsmoker\tNN\tI-NP\tO' +p300229 +aS'but\tbut\tCC\tO\tO' +p300230 +aS'has\thave\tVBZ\tB-VP\tO' +p300231 +aS'quit\tquit\tVBN\tI-VP\tO' +p300232 +aS'in\tin\tIN\tB-PP\tO' +p300233 +aS'01/19\t01/19\tCD\tB-NP\tO' +p300234 +aS'.\t.\t.\tO\tO' +p300235 +asS'The prognosis for rehabilitation potential is guarded .' +p300236 +(lp300237 +S'The\tThe\tDT\tB-NP\tO' +p300238 +aS'prognosis\tprognosis\tNN\tI-NP\tO' +p300239 +aS'for\tfor\tIN\tB-PP\tO' +p300240 +aS'rehabilitation\trehabilitation\tNN\tB-NP\tO' +p300241 +aS'potential\tpotential\tNN\tI-NP\tO' +p300242 +aS'is\tbe\tVBZ\tB-VP\tO' +p300243 +aS'guarded\tguard\tVBN\tI-VP\tO' +p300244 +aS'.\t.\t.\tO\tO' +p300245 +asS'She complained of increased numbness of the right foot over time , and was seen at Sephsandpot Center , where she was found to have palpable right femoral and popliteal pulses , and no pedal pulses .' +p300246 +(lp300247 +S'She\tShe\tPRP\tB-NP\tO' +p300248 +aS'complained\tcomplain\tVBD\tB-VP\tO' +p300249 +aS'of\tof\tIN\tB-PP\tO' +p300250 +aS'increased\tincrease\tVBN\tB-NP\tO' +p300251 +aS'numbness\tnumbness\tNN\tI-NP\tO' +p300252 +aS'of\tof\tIN\tB-PP\tO' +p300253 +aS'the\tthe\tDT\tB-NP\tO' +p300254 +aS'right\tright\tJJ\tI-NP\tO' +p300255 +aS'foot\tfoot\tNN\tI-NP\tO' +p300256 +aS'over\tover\tIN\tB-PP\tO' +p300257 +aS'time\ttime\tNN\tB-NP\tO' +p300258 +aS',\t,\t,\tO\tO' +p300259 +aS'and\tand\tCC\tO\tO' +p300260 +aS'was\tbe\tVBD\tB-VP\tO' +p300261 +aS'seen\tsee\tVBN\tI-VP\tO' +p300262 +aS'at\tat\tIN\tB-PP\tO' +p300263 +aS'Sephsandpot\tSephsandpot\tNNP\tB-NP\tO' +p300264 +aS'Center\tCenter\tNNP\tI-NP\tO' +p300265 +aS',\t,\t,\tO\tO' +p300266 +aS'where\twhere\tWRB\tB-ADVP\tO' +p300267 +aS'she\tshe\tPRP\tB-NP\tO' +p300268 +aS'was\tbe\tVBD\tB-VP\tO' +p300269 +aS'found\tfind\tVBN\tI-VP\tO' +p300270 +aS'to\tto\tTO\tI-VP\tO' +p300271 +aS'have\thave\tVB\tI-VP\tO' +p300272 +aS'palpable\tpalpable\tJJ\tB-NP\tO' +p300273 +aS'right\tright\tJJ\tI-NP\tO' +p300274 +aS'femoral\tfemoral\tJJ\tI-NP\tO' +p300275 +aS'and\tand\tCC\tI-NP\tO' +p300276 +aS'popliteal\tpopliteal\tJJ\tI-NP\tO' +p300277 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p300278 +aS',\t,\t,\tO\tO' +p300279 +aS'and\tand\tCC\tO\tO' +p300280 +aS'no\tno\tDT\tB-NP\tO' +p300281 +aS'pedal\tpedal\tJJ\tI-NP\tO' +p300282 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p300283 +aS'.\t.\t.\tO\tO' +p300284 +asS'He was continued on lidocaine and eventually changed over to amiodarone .' +p300285 +(lp300286 +S'He\tHe\tPRP\tB-NP\tO' +p300287 +aS'was\tbe\tVBD\tB-VP\tO' +p300288 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p300289 +aS'on\ton\tIN\tB-PP\tO' +p300290 +aS'lidocaine\tlidocaine\tNN\tB-NP\tO' +p300291 +aS'and\tand\tCC\tO\tO' +p300292 +aS'eventually\teventually\tRB\tB-VP\tO' +p300293 +aS'changed\tchange\tVBD\tI-VP\tO' +p300294 +aS'over\tover\tRP\tB-PRT\tO' +p300295 +aS'to\tto\tTO\tB-PP\tO' +p300296 +aS'amiodarone\tamiodarone\tNN\tB-NP\tO' +p300297 +aS'.\t.\t.\tO\tO' +p300298 +asS'The patient had a spinal cord stimulator trial on 07/21/99 , the patient had an epidural trial on 07/24/99 .' +p300299 +(lp300300 +S'The\tThe\tDT\tB-NP\tO' +p300301 +aS'patient\tpatient\tNN\tI-NP\tO' +p300302 +aS'had\thave\tVBD\tB-VP\tO' +p300303 +aS'a\ta\tDT\tB-NP\tO' +p300304 +aS'spinal\tspinal\tJJ\tI-NP\tO' +p300305 +aS'cord\tcord\tNN\tI-NP\tO' +p300306 +aS'stimulator\tstimulator\tNN\tI-NP\tO' +p300307 +aS'trial\ttrial\tNN\tI-NP\tO' +p300308 +aS'on\ton\tIN\tB-PP\tO' +p300309 +aS'07/21/99\t07/21/99\tCD\tB-NP\tO' +p300310 +aS',\t,\t,\tO\tO' +p300311 +aS'the\tthe\tDT\tB-NP\tO' +p300312 +aS'patient\tpatient\tNN\tI-NP\tO' +p300313 +aS'had\thave\tVBD\tB-VP\tO' +p300314 +aS'an\tan\tDT\tB-NP\tO' +p300315 +aS'epidural\tepidural\tJJ\tI-NP\tO' +p300316 +aS'trial\ttrial\tNN\tI-NP\tO' +p300317 +aS'on\ton\tIN\tB-PP\tO' +p300318 +aS'07/24/99\t07/24/99\tCD\tB-NP\tO' +p300319 +aS'.\t.\t.\tO\tO' +p300320 +asS'At the time of discharge , he was on a stable antihypertensive regimen appropriate for someone with a decreased ejection fraction .' +p300321 +(lp300322 +S'At\tAt\tIN\tB-PP\tO' +p300323 +aS'the\tthe\tDT\tB-NP\tO' +p300324 +aS'time\ttime\tNN\tI-NP\tO' +p300325 +aS'of\tof\tIN\tB-PP\tO' +p300326 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p300327 +aS',\t,\t,\tO\tO' +p300328 +aS'he\the\tPRP\tB-NP\tO' +p300329 +aS'was\tbe\tVBD\tB-VP\tO' +p300330 +aS'on\ton\tIN\tB-PP\tO' +p300331 +aS'a\ta\tDT\tB-NP\tO' +p300332 +aS'stable\tstable\tJJ\tI-NP\tO' +p300333 +aS'antihypertensive\tantihypertensive\tJJ\tI-NP\tO' +p300334 +aS'regimen\tregimen\tNN\tI-NP\tO' +p300335 +aS'appropriate\tappropriate\tJJ\tB-ADJP\tO' +p300336 +aS'for\tfor\tIN\tB-PP\tO' +p300337 +aS'someone\tsomeone\tNN\tB-NP\tO' +p300338 +aS'with\twith\tIN\tB-PP\tO' +p300339 +aS'a\ta\tDT\tB-NP\tO' +p300340 +aS'decreased\tdecrease\tVBN\tI-NP\tO' +p300341 +aS'ejection\tejection\tNN\tI-NP\tO' +p300342 +aS'fraction\tfraction\tNN\tI-NP\tO' +p300343 +aS'.\t.\t.\tO\tO' +p300344 +asS'Her stress test was cancelled .' +p300345 +(lp300346 +S'Her\tHer\tPRP$\tB-NP\tO' +p300347 +aS'stress\tstress\tNN\tI-NP\tO' +p300348 +aS'test\ttest\tNN\tI-NP\tO' +p300349 +aS'was\tbe\tVBD\tB-VP\tO' +p300350 +aS'cancelled\tcancel\tVBN\tI-VP\tO' +p300351 +aS'.\t.\t.\tO\tO' +p300352 +asS'Pt was found to be H. Pylori positive and therefore was started on empiric treatment .' +p300353 +(lp300354 +S'Pt\tPt\tNN\tB-NP\tO' +p300355 +aS'was\tbe\tVBD\tB-VP\tO' +p300356 +aS'found\tfind\tVBN\tI-VP\tO' +p300357 +aS'to\tto\tTO\tI-VP\tO' +p300358 +aS'be\tbe\tVB\tI-VP\tO' +p300359 +aS'H.\tH.\tNNP\tB-NP\tO' +p300360 +aS'Pylori\tPylori\tNNP\tI-NP\tO' +p300361 +aS'positive\tpositive\tJJ\tI-NP\tO' +p300362 +aS'and\tand\tCC\tO\tO' +p300363 +aS'therefore\ttherefore\tRB\tB-ADVP\tO' +p300364 +aS'was\tbe\tVBD\tB-VP\tO' +p300365 +aS'started\tstart\tVBN\tI-VP\tO' +p300366 +aS'on\ton\tIN\tB-PP\tO' +p300367 +aS'empiric\tempiric\tJJ\tB-NP\tO' +p300368 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p300369 +aS'.\t.\t.\tO\tO' +p300370 +asS'The neck was supple without lymphadenopathy or thyromegaly .' +p300371 +(lp300372 +S'The\tThe\tDT\tB-NP\tO' +p300373 +aS'neck\tneck\tNN\tI-NP\tO' +p300374 +aS'was\tbe\tVBD\tB-VP\tO' +p300375 +aS'supple\tsupple\tNN\tB-NP\tO' +p300376 +aS'without\twithout\tIN\tB-PP\tO' +p300377 +aS'lymphadenopathy\tlymphadenopathy\tNN\tB-NP\tO' +p300378 +aS'or\tor\tCC\tO\tO' +p300379 +aS'thyromegaly\tthyromegaly\tRB\tB-ADVP\tO' +p300380 +aS'.\t.\t.\tO\tO' +p300381 +asS'Positive findings of physical examination include chicken pox lesions on thorax , sunken eyes , thick nasal discharge , dry lips , tongue and mucous membranes , red tonsils .' +p300382 +(lp300383 +S'Positive\tPositive\tJJ\tB-NP\tO' +p300384 +aS'findings\tfinding\tNNS\tI-NP\tO' +p300385 +aS'of\tof\tIN\tB-PP\tO' +p300386 +aS'physical\tphysical\tJJ\tB-NP\tO' +p300387 +aS'examination\texamination\tNN\tI-NP\tO' +p300388 +aS'include\tinclude\tVBP\tB-VP\tO' +p300389 +aS'chicken\tchicken\tNN\tB-NP\tO' +p300390 +aS'pox\tpox\tNN\tI-NP\tO' +p300391 +aS'lesions\tlesion\tNNS\tI-NP\tO' +p300392 +aS'on\ton\tIN\tB-PP\tO' +p300393 +aS'thorax\tthorax\tNN\tB-NP\tO' +p300394 +aS',\t,\t,\tO\tO' +p300395 +aS'sunken\tsunken\tJJ\tB-NP\tO' +p300396 +aS'eyes\teye\tNNS\tI-NP\tO' +p300397 +aS',\t,\t,\tO\tO' +p300398 +aS'thick\tthick\tJJ\tB-NP\tO' +p300399 +aS'nasal\tnasal\tJJ\tI-NP\tO' +p300400 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p300401 +aS',\t,\t,\tO\tO' +p300402 +aS'dry\tdry\tJJ\tB-NP\tO' +p300403 +aS'lips\tlip\tNNS\tI-NP\tO' +p300404 +aS',\t,\t,\tO\tO' +p300405 +aS'tongue\ttongue\tNN\tB-NP\tO' +p300406 +aS'and\tand\tCC\tO\tO' +p300407 +aS'mucous\tmucous\tJJ\tB-NP\tO' +p300408 +aS'membranes\tmembrane\tNNS\tI-NP\tO' +p300409 +aS',\t,\t,\tO\tO' +p300410 +aS'red\tred\tJJ\tB-NP\tO' +p300411 +aS'tonsils\ttonsil\tNNS\tI-NP\tO' +p300412 +aS'.\t.\t.\tO\tO' +p300413 +asS'On physical examination she is an elderly but spry white female in no acute distress .' +p300414 +(lp300415 +S'On\tOn\tIN\tB-PP\tO' +p300416 +aS'physical\tphysical\tJJ\tB-NP\tO' +p300417 +aS'examination\texamination\tNN\tI-NP\tO' +p300418 +aS'she\tshe\tPRP\tB-NP\tO' +p300419 +aS'is\tbe\tVBZ\tB-VP\tO' +p300420 +aS'an\tan\tDT\tB-NP\tO' +p300421 +aS'elderly\telderly\tJJ\tI-NP\tO' +p300422 +aS'but\tbut\tCC\tI-NP\tO' +p300423 +aS'spry\tspry\tJJ\tI-NP\tO' +p300424 +aS'white\twhite\tJJ\tI-NP\tO' +p300425 +aS'female\tfemale\tNN\tI-NP\tO' +p300426 +aS'in\tin\tIN\tB-PP\tO' +p300427 +aS'no\tno\tDT\tB-NP\tO' +p300428 +aS'acute\tacute\tJJ\tI-NP\tO' +p300429 +aS'distress\tdistress\tNN\tI-NP\tO' +p300430 +aS'.\t.\t.\tO\tO' +p300431 +asS'( ? dec in exercise tolerance ) .' +p300432 +(lp300433 +S'(\t(\t(\tO\tO' +p300434 +aS'?\t?\t.\tO\tO' +p300435 +aS'dec\tdec\tNN\tB-NP\tO' +p300436 +aS'in\tin\tIN\tB-PP\tO' +p300437 +aS'exercise\texercise\tNN\tB-NP\tO' +p300438 +aS'tolerance\ttolerance\tNN\tI-NP\tO' +p300439 +aS')\t)\t)\tO\tO' +p300440 +aS'.\t.\t.\tO\tO' +p300441 +asS'Ophthalmology .' +p300442 +(lp300443 +S'Ophthalmology\tOphthalmology\tNN\tB-NP\tO' +p300444 +aS'.\t.\t.\tO\tO' +p300445 +asS'Dr. Liley , call ASAP to schedule 1-2 weeks , Your primary care physician 1-2 weeks , Interventional Radiology , call 329-125-0028 to schedule an appointment when drain outputs are less than 10cc / day . ,' +p300446 +(lp300447 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p300448 +aS'Liley\tLiley\tNNP\tI-NP\tO' +p300449 +aS',\t,\t,\tO\tO' +p300450 +aS'call\tcall\tNN\tB-NP\tO' +p300451 +aS'ASAP\tASAP\tNN\tI-NP\tO' +p300452 +aS'to\tto\tTO\tB-VP\tO' +p300453 +aS'schedule\tschedule\tVB\tI-VP\tO' +p300454 +aS'1-2\t1-2\tCD\tB-NP\tO' +p300455 +aS'weeks\tweek\tNNS\tI-NP\tO' +p300456 +aS',\t,\t,\tO\tO' +p300457 +aS'Your\tYour\tPRP$\tB-NP\tB-protein' +p300458 +aS'primary\tprimary\tJJ\tI-NP\tI-protein' +p300459 +aS'care\tcare\tNN\tI-NP\tI-protein' +p300460 +aS'physician\tphysician\tNN\tI-NP\tI-protein' +p300461 +aS'1-2\t1-2\tCD\tB-NP\tI-protein' +p300462 +aS'weeks\tweek\tNNS\tI-NP\tI-protein' +p300463 +aS',\t,\t,\tO\tO' +p300464 +aS'Interventional\tInterventional\tNNP\tB-NP\tO' +p300465 +aS'Radiology\tRadiology\tNNP\tI-NP\tO' +p300466 +aS',\t,\t,\tO\tO' +p300467 +aS'call\tcall\tVB\tB-VP\tO' +p300468 +aS'329-125-0028\t329-125-0028\tCD\tB-NP\tO' +p300469 +aS'to\tto\tTO\tB-VP\tO' +p300470 +aS'schedule\tschedule\tVB\tI-VP\tO' +p300471 +aS'an\tan\tDT\tB-NP\tO' +p300472 +aS'appointment\tappointment\tNN\tI-NP\tO' +p300473 +aS'when\twhen\tWRB\tB-ADVP\tO' +p300474 +aS'drain\tdrain\tNN\tB-NP\tO' +p300475 +aS'outputs\toutput\tNNS\tI-NP\tO' +p300476 +aS'are\tbe\tVBP\tB-VP\tO' +p300477 +aS'less\tless\tJJR\tB-ADJP\tO' +p300478 +aS'than\tthan\tIN\tB-PP\tO' +p300479 +aS'10cc\t10cc\tNN\tB-NP\tO' +p300480 +aS'/\t/\tSYM\tB-NP\tO' +p300481 +aS'day\tday\tNN\tI-NP\tO' +p300482 +aS'.\t.\tNN\tI-NP\tO' +p300483 +aS',\t,\t,\tO\tO' +p300484 +asS'Chest tube was in place in left internal jugular an pulmonary artery catheter .' +p300485 +(lp300486 +S'Chest\tCh\tJJS\tB-NP\tO' +p300487 +aS'tube\ttube\tNN\tI-NP\tO' +p300488 +aS'was\tbe\tVBD\tB-VP\tO' +p300489 +aS'in\tin\tIN\tB-PP\tO' +p300490 +aS'place\tplace\tNN\tB-NP\tO' +p300491 +aS'in\tin\tIN\tB-PP\tO' +p300492 +aS'left\tleft\tJJ\tB-NP\tO' +p300493 +aS'internal\tinternal\tJJ\tI-NP\tO' +p300494 +aS'jugular\tjugular\tJJ\tI-NP\tO' +p300495 +aS'an\tan\tDT\tB-NP\tO' +p300496 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p300497 +aS'artery\tartery\tNN\tI-NP\tO' +p300498 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p300499 +aS'.\t.\t.\tO\tO' +p300500 +asS'Oxygen 2-4 L to keep Sa02 greater than or equal to 94-95% and wean as tolerated .' +p300501 +(lp300502 +S'Oxygen\tOxygen\tNN\tB-NP\tO' +p300503 +aS'2-4\t2-4\tCD\tI-NP\tO' +p300504 +aS'L\tL\tNN\tI-NP\tO' +p300505 +aS'to\tto\tTO\tB-VP\tO' +p300506 +aS'keep\tkeep\tVB\tI-VP\tO' +p300507 +aS'Sa02\tSa02\tNN\tB-NP\tB-protein' +p300508 +aS'greater\tgreat\tJJR\tB-ADJP\tO' +p300509 +aS'than\tthan\tIN\tB-PP\tO' +p300510 +aS'or\tor\tCC\tO\tO' +p300511 +aS'equal\tequal\tJJ\tB-ADJP\tO' +p300512 +aS'to\tto\tTO\tB-PP\tO' +p300513 +aS'94-95%\t94-95%\tJJ\tB-ADJP\tO' +p300514 +aS'and\tand\tCC\tI-ADJP\tO' +p300515 +aS'wean\twean\tJJ\tI-ADJP\tO' +p300516 +aS'as\tas\tIN\tB-SBAR\tO' +p300517 +aS'tolerated\ttolerate\tVBN\tB-VP\tO' +p300518 +aS'.\t.\t.\tO\tO' +p300519 +asS'In addition , she will return to this hospital in early February for repeat attempt at electrical cardioversion on Amiodarone .' +p300520 +(lp300521 +S'In\tIn\tIN\tB-PP\tO' +p300522 +aS'addition\taddition\tNN\tB-NP\tO' +p300523 +aS',\t,\t,\tO\tO' +p300524 +aS'she\tshe\tPRP\tB-NP\tO' +p300525 +aS'will\twill\tMD\tB-VP\tO' +p300526 +aS'return\treturn\tVB\tI-VP\tO' +p300527 +aS'to\tto\tTO\tB-PP\tO' +p300528 +aS'this\tthis\tDT\tB-NP\tO' +p300529 +aS'hospital\thospital\tNN\tI-NP\tO' +p300530 +aS'in\tin\tIN\tB-PP\tO' +p300531 +aS'early\tearly\tJJ\tB-NP\tO' +p300532 +aS'February\tFebruary\tNNP\tI-NP\tO' +p300533 +aS'for\tfor\tIN\tB-PP\tO' +p300534 +aS'repeat\trepeat\tNN\tB-NP\tO' +p300535 +aS'attempt\tattempt\tNN\tI-NP\tO' +p300536 +aS'at\tat\tIN\tB-PP\tO' +p300537 +aS'electrical\telectrical\tJJ\tB-NP\tO' +p300538 +aS'cardioversion\tcardioversion\tNN\tI-NP\tO' +p300539 +aS'on\ton\tIN\tB-PP\tO' +p300540 +aS'Amiodarone\tAmiodarone\tNN\tB-NP\tO' +p300541 +aS'.\t.\t.\tO\tO' +p300542 +asS'On presentation , temperature 99.3 degrees F , other vital signs were within normal limits .' +p300543 +(lp300544 +S'On\tOn\tIN\tB-PP\tO' +p300545 +aS'presentation\tpresentation\tNN\tB-NP\tO' +p300546 +aS',\t,\t,\tO\tO' +p300547 +aS'temperature\ttemperature\tNN\tB-NP\tO' +p300548 +aS'99.3\t99.3\tCD\tI-NP\tO' +p300549 +aS'degrees\tdegree\tNNS\tI-NP\tO' +p300550 +aS'F\tF\tNN\tI-NP\tO' +p300551 +aS',\t,\t,\tO\tO' +p300552 +aS'other\tother\tJJ\tB-NP\tO' +p300553 +aS'vital\tvital\tJJ\tI-NP\tO' +p300554 +aS'signs\tsign\tNNS\tI-NP\tO' +p300555 +aS'were\tbe\tVBD\tB-VP\tO' +p300556 +aS'within\twithin\tIN\tB-PP\tO' +p300557 +aS'normal\tnormal\tJJ\tB-NP\tO' +p300558 +aS'limits\tlimit\tNNS\tI-NP\tO' +p300559 +aS'.\t.\t.\tO\tO' +p300560 +asS'The mass is reportedly thyroid in origin .' +p300561 +(lp300562 +S'The\tThe\tDT\tB-NP\tO' +p300563 +aS'mass\tmass\tNN\tI-NP\tO' +p300564 +aS'is\tbe\tVBZ\tB-VP\tO' +p300565 +aS'reportedly\treportedly\tRB\tB-ADJP\tO' +p300566 +aS'thyroid\tthyroid\tJJ\tI-ADJP\tO' +p300567 +aS'in\tin\tIN\tB-PP\tO' +p300568 +aS'origin\torigin\tNN\tB-NP\tO' +p300569 +aS'.\t.\t.\tO\tO' +p300570 +asS'This report was created by GUAYTREFTSCOST , AMINE 02/11/2003 04:53 PM' +p300571 +(lp300572 +S'This\tThis\tDT\tB-NP\tO' +p300573 +aS'report\treport\tNN\tI-NP\tO' +p300574 +aS'was\tbe\tVBD\tB-VP\tO' +p300575 +aS'created\tcreate\tVBN\tI-VP\tO' +p300576 +aS'by\tby\tIN\tB-PP\tO' +p300577 +aS'GUAYTREFTSCOST\tGUAYTREFTSCOST\tNN\tB-NP\tO' +p300578 +aS',\t,\t,\tO\tO' +p300579 +aS'AMINE\tAMINE\tVBP\tB-VP\tO' +p300580 +aS'02/11/2003\t02/11/2003\tCD\tB-NP\tO' +p300581 +aS'04:53\t04:53\tCD\tI-NP\tO' +p300582 +aS'PM\tPM\tNN\tI-NP\tO' +p300583 +asS'On admission , the pt was started on treatment doses of enoxaparin .' +p300584 +(lp300585 +S'On\tOn\tIN\tB-PP\tO' +p300586 +aS'admission\tadmission\tNN\tB-NP\tO' +p300587 +aS',\t,\t,\tO\tO' +p300588 +aS'the\tthe\tDT\tB-NP\tO' +p300589 +aS'pt\tpt\tNN\tI-NP\tO' +p300590 +aS'was\tbe\tVBD\tB-VP\tO' +p300591 +aS'started\tstart\tVBN\tI-VP\tO' +p300592 +aS'on\ton\tIN\tB-PP\tO' +p300593 +aS'treatment\ttreatment\tNN\tB-NP\tO' +p300594 +aS'doses\tdose\tNNS\tI-NP\tO' +p300595 +aS'of\tof\tIN\tB-PP\tO' +p300596 +aS'enoxaparin\tenoxaparin\tNN\tB-NP\tO' +p300597 +aS'.\t.\t.\tO\tO' +p300598 +asS'The CCU fellow and team declined to do pericardial drainage , as the pt was hemodynamically stable , without change in appearance of effusion by echo performed at bedside by cards fellow .' +p300599 +(lp300600 +S'The\tThe\tDT\tB-NP\tO' +p300601 +aS'CCU\tCCU\tNN\tI-NP\tO' +p300602 +aS'fellow\tfellow\tNN\tI-NP\tO' +p300603 +aS'and\tand\tCC\tI-NP\tO' +p300604 +aS'team\tteam\tNN\tI-NP\tO' +p300605 +aS'declined\tdecline\tVBD\tB-VP\tO' +p300606 +aS'to\tto\tTO\tI-VP\tO' +p300607 +aS'do\tdo\tVB\tI-VP\tO' +p300608 +aS'pericardial\tpericardial\tJJ\tB-NP\tO' +p300609 +aS'drainage\tdrainage\tNN\tI-NP\tO' +p300610 +aS',\t,\t,\tO\tO' +p300611 +aS'as\tas\tIN\tB-SBAR\tO' +p300612 +aS'the\tthe\tDT\tB-NP\tO' +p300613 +aS'pt\tpt\tNN\tI-NP\tO' +p300614 +aS'was\tbe\tVBD\tB-VP\tO' +p300615 +aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' +p300616 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p300617 +aS',\t,\t,\tO\tO' +p300618 +aS'without\twithout\tIN\tB-PP\tO' +p300619 +aS'change\tchange\tNN\tB-NP\tO' +p300620 +aS'in\tin\tIN\tB-PP\tO' +p300621 +aS'appearance\tappearance\tNN\tB-NP\tO' +p300622 +aS'of\tof\tIN\tB-PP\tO' +p300623 +aS'effusion\teffusion\tNN\tB-NP\tO' +p300624 +aS'by\tby\tIN\tB-PP\tO' +p300625 +aS'echo\techo\tNN\tB-NP\tO' +p300626 +aS'performed\tperform\tVBN\tB-VP\tO' +p300627 +aS'at\tat\tIN\tB-PP\tO' +p300628 +aS'bedside\tbedside\tNN\tB-NP\tO' +p300629 +aS'by\tby\tIN\tB-PP\tO' +p300630 +aS'cards\tcard\tNNS\tB-NP\tO' +p300631 +aS'fellow\tfellow\tVBP\tB-VP\tO' +p300632 +aS'.\t.\t.\tO\tO' +p300633 +asS'There was no drift .' +p300634 +(lp300635 +S'There\tThere\tEX\tB-NP\tO' +p300636 +aS'was\tbe\tVBD\tB-VP\tO' +p300637 +aS'no\tno\tDT\tB-NP\tO' +p300638 +aS'drift\tdrift\tNN\tI-NP\tO' +p300639 +aS'.\t.\t.\tO\tO' +p300640 +asS'The video assisted thoracoscopic study at the outside hospital was consistent with bronchiolitis obliterans organizing pneumonia .' +p300641 +(lp300642 +S'The\tThe\tDT\tB-NP\tO' +p300643 +aS'video\tvideo\tNN\tI-NP\tO' +p300644 +aS'assisted\tassist\tVBD\tB-VP\tO' +p300645 +aS'thoracoscopic\tthoracoscopic\tJJ\tB-NP\tO' +p300646 +aS'study\tstudy\tNN\tI-NP\tO' +p300647 +aS'at\tat\tIN\tB-PP\tO' +p300648 +aS'the\tthe\tDT\tB-NP\tO' +p300649 +aS'outside\toutside\tJJ\tI-NP\tO' +p300650 +aS'hospital\thospital\tNN\tI-NP\tO' +p300651 +aS'was\tbe\tVBD\tB-VP\tO' +p300652 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p300653 +aS'with\twith\tIN\tB-PP\tO' +p300654 +aS'bronchiolitis\tbronchiolitis\tNN\tB-NP\tO' +p300655 +aS'obliterans\tobliteran\tNNS\tI-NP\tO' +p300656 +aS'organizing\torganize\tVBG\tB-VP\tO' +p300657 +aS'pneumonia\tpneumonia\tNN\tB-NP\tO' +p300658 +aS'.\t.\t.\tO\tO' +p300659 +asS'However , they felt this event could not account for his new , severe global deficit ; this was thought to be secondary to a more pervasive process , likely anoxic encephalopathy , for which the prognosis is extremely grim .' +p300660 +(lp300661 +S'However\tHowever\tRB\tB-ADVP\tO' +p300662 +aS',\t,\t,\tO\tO' +p300663 +aS'they\tthey\tPRP\tB-NP\tO' +p300664 +aS'felt\tfeel\tVBD\tB-VP\tO' +p300665 +aS'this\tthis\tDT\tB-NP\tO' +p300666 +aS'event\tevent\tNN\tI-NP\tO' +p300667 +aS'could\tcould\tMD\tB-VP\tO' +p300668 +aS'not\tnot\tRB\tI-VP\tO' +p300669 +aS'account\taccount\tVB\tI-VP\tO' +p300670 +aS'for\tfor\tIN\tB-PP\tO' +p300671 +aS'his\this\tPRP$\tB-NP\tO' +p300672 +aS'new\tnew\tJJ\tI-NP\tO' +p300673 +aS',\t,\t,\tI-NP\tO' +p300674 +aS'severe\tsevere\tJJ\tI-NP\tO' +p300675 +aS'global\tglobal\tJJ\tI-NP\tO' +p300676 +aS'deficit\tdeficit\tNN\tI-NP\tO' +p300677 +aS';\t;\t:\tO\tO' +p300678 +aS'this\tthis\tDT\tB-NP\tO' +p300679 +aS'was\tbe\tVBD\tB-VP\tO' +p300680 +aS'thought\tthink\tVBN\tI-VP\tO' +p300681 +aS'to\tto\tTO\tI-VP\tO' +p300682 +aS'be\tbe\tVB\tI-VP\tO' +p300683 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p300684 +aS'to\tto\tTO\tB-PP\tO' +p300685 +aS'a\ta\tDT\tB-NP\tO' +p300686 +aS'more\tmore\tRBR\tI-NP\tO' +p300687 +aS'pervasive\tpervasive\tJJ\tI-NP\tO' +p300688 +aS'process\tprocess\tNN\tI-NP\tO' +p300689 +aS',\t,\t,\tO\tO' +p300690 +aS'likely\tlikely\tJJ\tB-NP\tO' +p300691 +aS'anoxic\tanoxic\tJJ\tI-NP\tO' +p300692 +aS'encephalopathy\tencephalopathy\tNN\tI-NP\tO' +p300693 +aS',\t,\t,\tO\tO' +p300694 +aS'for\tfor\tIN\tB-PP\tO' +p300695 +aS'which\twhich\tWDT\tB-NP\tO' +p300696 +aS'the\tthe\tDT\tB-NP\tO' +p300697 +aS'prognosis\tprognosis\tNN\tI-NP\tO' +p300698 +aS'is\tbe\tVBZ\tB-VP\tO' +p300699 +aS'extremely\textremely\tRB\tB-ADJP\tO' +p300700 +aS'grim\tgrim\tJJ\tI-ADJP\tO' +p300701 +aS'.\t.\t.\tO\tO' +p300702 +asS'6. Hypertension .' +p300703 +(lp300704 +S'6.\t6.\tLS\tB-NP\tO' +p300705 +aS'Hypertension\tHypertension\tNN\tI-NP\tO' +p300706 +aS'.\t.\t.\tO\tO' +p300707 +asS'ND .' +p300708 +(lp300709 +S'ND\tND\tNN\tB-NP\tO' +p300710 +aS'.\t.\t.\tO\tO' +p300711 +asS'Stress echocardiogram demonstrated an ejection fraction of 40% , hypokinesis of distal anterior wall , akinesis of distal inferior wall and apex .' +p300712 +(lp300713 +S'Stress\tStress\tNN\tB-NP\tO' +p300714 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p300715 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p300716 +aS'an\tan\tDT\tB-NP\tO' +p300717 +aS'ejection\tejection\tNN\tI-NP\tO' +p300718 +aS'fraction\tfraction\tNN\tI-NP\tO' +p300719 +aS'of\tof\tIN\tB-PP\tO' +p300720 +aS'40%\t40%\tNN\tB-NP\tO' +p300721 +aS',\t,\t,\tO\tO' +p300722 +aS'hypokinesis\thypokinesis\tNN\tB-NP\tO' +p300723 +aS'of\tof\tIN\tB-PP\tO' +p300724 +aS'distal\tdistal\tJJ\tB-NP\tO' +p300725 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p300726 +aS'wall\twall\tNN\tI-NP\tO' +p300727 +aS',\t,\t,\tO\tO' +p300728 +aS'akinesis\takinesis\tNN\tB-NP\tO' +p300729 +aS'of\tof\tIN\tB-PP\tO' +p300730 +aS'distal\tdistal\tJJ\tB-NP\tO' +p300731 +aS'inferior\tinferior\tJJ\tI-NP\tO' +p300732 +aS'wall\twall\tNN\tI-NP\tO' +p300733 +aS'and\tand\tCC\tI-NP\tO' +p300734 +aS'apex\tapex\tNN\tI-NP\tO' +p300735 +aS'.\t.\t.\tO\tO' +p300736 +asS'Plt count 1 on 2016-04-29 .' +p300737 +(lp300738 +S'Plt\tPlt\tNN\tB-NP\tB-protein' +p300739 +aS'count\tcount\tNN\tI-NP\tI-protein' +p300740 +aS'1\t1\tCD\tI-NP\tI-protein' +p300741 +aS'on\ton\tIN\tB-PP\tO' +p300742 +aS'2016-04-29\t2016-04-29\tCD\tB-NP\tO' +p300743 +aS'.\t.\t.\tO\tO' +p300744 +asS'The patient is a 79-year-old man status postradical cystoprostatectomy with ileal loop for locally invasive prostate cancer .' +p300745 +(lp300746 +S'The\tThe\tDT\tB-NP\tO' +p300747 +aS'patient\tpatient\tNN\tI-NP\tO' +p300748 +aS'is\tbe\tVBZ\tB-VP\tO' +p300749 +aS'a\ta\tDT\tB-NP\tO' +p300750 +aS'79-year-old\t79-year-old\tJJ\tI-NP\tO' +p300751 +aS'man\tman\tNN\tI-NP\tO' +p300752 +aS'status\tstatus\tNN\tI-NP\tO' +p300753 +aS'postradical\tpostradical\tJJ\tI-NP\tO' +p300754 +aS'cystoprostatectomy\tcystoprostatectomy\tNN\tI-NP\tO' +p300755 +aS'with\twith\tIN\tB-PP\tO' +p300756 +aS'ileal\tileal\tJJ\tB-NP\tO' +p300757 +aS'loop\tloop\tNN\tI-NP\tO' +p300758 +aS'for\tfor\tIN\tB-PP\tO' +p300759 +aS'locally\tlocally\tRB\tB-NP\tO' +p300760 +aS'invasive\tinvasive\tJJ\tI-NP\tO' +p300761 +aS'prostate\tprostate\tNN\tI-NP\tO' +p300762 +aS'cancer\tcancer\tNN\tI-NP\tO' +p300763 +aS'.\t.\t.\tO\tO' +p300764 +asS'Pt had EGD performed to evaluate his poor nutritional status .' +p300765 +(lp300766 +S'Pt\tPt\tNN\tB-NP\tO' +p300767 +aS'had\thave\tVBD\tB-VP\tO' +p300768 +aS'EGD\tEGD\tNN\tB-NP\tB-protein' +p300769 +aS'performed\tperform\tVBN\tB-VP\tO' +p300770 +aS'to\tto\tTO\tB-VP\tO' +p300771 +aS'evaluate\tevaluate\tVB\tI-VP\tO' +p300772 +aS'his\this\tPRP$\tB-NP\tO' +p300773 +aS'poor\tpoor\tJJ\tI-NP\tO' +p300774 +aS'nutritional\tnutritional\tJJ\tI-NP\tO' +p300775 +aS'status\tstatus\tNN\tI-NP\tO' +p300776 +aS'.\t.\t.\tO\tO' +p300777 +asS'In addition , the second major event that had occurred yesterday was a neurologic event of some kind .' +p300778 +(lp300779 +S'In\tIn\tIN\tB-PP\tO' +p300780 +aS'addition\taddition\tNN\tB-NP\tO' +p300781 +aS',\t,\t,\tO\tO' +p300782 +aS'the\tthe\tDT\tB-NP\tO' +p300783 +aS'second\tsecond\tJJ\tI-NP\tO' +p300784 +aS'major\tmajor\tJJ\tI-NP\tO' +p300785 +aS'event\tevent\tNN\tI-NP\tO' +p300786 +aS'that\tthat\tWDT\tB-NP\tO' +p300787 +aS'had\thave\tVBD\tB-VP\tO' +p300788 +aS'occurred\toccur\tVBN\tI-VP\tO' +p300789 +aS'yesterday\tyesterday\tNN\tB-NP\tO' +p300790 +aS'was\tbe\tVBD\tB-VP\tO' +p300791 +aS'a\ta\tDT\tB-NP\tO' +p300792 +aS'neurologic\tneurologic\tJJ\tI-NP\tO' +p300793 +aS'event\tevent\tNN\tI-NP\tO' +p300794 +aS'of\tof\tIN\tB-PP\tO' +p300795 +aS'some\tsome\tDT\tB-NP\tO' +p300796 +aS'kind\tkind\tNN\tI-NP\tO' +p300797 +aS'.\t.\t.\tO\tO' +p300798 +asS'GASTROINTESTINAL : Infant is ad lib feeding .' +p300799 +(lp300800 +S'GASTROINTESTINAL\tGASTROINTESTINAL\tNN\tB-NP\tO' +p300801 +aS':\t:\t:\tO\tO' +p300802 +aS'Infant\tInfant\tNN\tB-NP\tO' +p300803 +aS'is\tbe\tVBZ\tB-VP\tO' +p300804 +aS'ad\tad\tNN\tB-NP\tO' +p300805 +aS'lib\tlib\tNN\tI-NP\tO' +p300806 +aS'feeding\tfeeding\tNN\tI-NP\tO' +p300807 +aS'.\t.\t.\tO\tO' +p300808 +asS'Pentamidine , itraconazole , Levaquin , acyclovir and GCSF were discontinued , along with other medications nonessential to patient 's comfort .' +p300809 +(lp300810 +S'Pentamidine\tPentamidine\tNN\tB-NP\tO' +p300811 +aS',\t,\t,\tI-NP\tO' +p300812 +aS'itraconazole\titraconazole\tNN\tI-NP\tO' +p300813 +aS',\t,\t,\tI-NP\tO' +p300814 +aS'Levaquin\tLevaquin\tNN\tI-NP\tO' +p300815 +aS',\t,\t,\tI-NP\tO' +p300816 +aS'acyclovir\tacyclovir\tNN\tI-NP\tO' +p300817 +aS'and\tand\tCC\tI-NP\tO' +p300818 +aS'GCSF\tGCSF\tNN\tI-NP\tB-protein' +p300819 +aS'were\tbe\tVBD\tB-VP\tO' +p300820 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p300821 +aS',\t,\t,\tO\tO' +p300822 +aS'along\talong\tIN\tB-ADVP\tO' +p300823 +aS'with\twith\tIN\tB-PP\tO' +p300824 +aS'other\tother\tJJ\tB-NP\tO' +p300825 +aS'medications\tmedication\tNNS\tI-NP\tO' +p300826 +aS'nonessential\tnonessential\tJJ\tB-ADJP\tO' +p300827 +aS'to\tto\tTO\tB-PP\tO' +p300828 +aS'patient\tpatient\tNN\tB-NP\tO' +p300829 +aS''s\t'\tNNS\tI-NP\tO' +p300830 +aS'comfort\tcomfort\tNN\tI-NP\tO' +p300831 +aS'.\t.\t.\tO\tO' +p300832 +asS'Percocet 1-2 tablets PO q.4-6 hours prn pain .' +p300833 +(lp300834 +S'Percocet\tPercocet\tIN\tB-PP\tO' +p300835 +aS'1-2\t1-2\tCD\tB-NP\tO' +p300836 +aS'tablets\ttablet\tNNS\tI-NP\tO' +p300837 +aS'PO\tPO\tNN\tI-NP\tO' +p300838 +aS'q.4-6\tq.4-6\tNN\tI-NP\tO' +p300839 +aS'hours\thour\tNNS\tI-NP\tO' +p300840 +aS'prn\tprn\tVBP\tB-VP\tO' +p300841 +aS'pain\tpain\tNN\tB-NP\tO' +p300842 +aS'.\t.\t.\tO\tO' +p300843 +asS'He had a midline abdominal scar and a reducible umbilical hernia .' +p300844 +(lp300845 +S'He\tHe\tPRP\tB-NP\tO' +p300846 +aS'had\thave\tVBD\tB-VP\tO' +p300847 +aS'a\ta\tDT\tB-NP\tO' +p300848 +aS'midline\tmidline\tNN\tI-NP\tO' +p300849 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p300850 +aS'scar\tscar\tNN\tI-NP\tO' +p300851 +aS'and\tand\tCC\tO\tO' +p300852 +aS'a\ta\tDT\tB-NP\tO' +p300853 +aS'reducible\treducible\tJJ\tI-NP\tO' +p300854 +aS'umbilical\tumbilical\tJJ\tI-NP\tO' +p300855 +aS'hernia\thernia\tNN\tI-NP\tO' +p300856 +aS'.\t.\t.\tO\tO' +p300857 +asS'His neurological examination was nonfocal .' +p300858 +(lp300859 +S'His\tHis\tPRP$\tB-NP\tO' +p300860 +aS'neurological\tneurological\tJJ\tI-NP\tO' +p300861 +aS'examination\texamination\tNN\tI-NP\tO' +p300862 +aS'was\tbe\tVBD\tB-VP\tO' +p300863 +aS'nonfocal\tnonfocal\tJJ\tB-ADJP\tO' +p300864 +aS'.\t.\t.\tO\tO' +p300865 +asS'COMPARISON : No prior studies are available .' +p300866 +(lp300867 +S'COMPARISON\tCOMPARISON\tNN\tB-NP\tO' +p300868 +aS':\t:\t:\tO\tO' +p300869 +aS'No\tNo\tDT\tB-NP\tO' +p300870 +aS'prior\tprior\tJJ\tI-NP\tO' +p300871 +aS'studies\tstudy\tNNS\tI-NP\tO' +p300872 +aS'are\tbe\tVBP\tB-VP\tO' +p300873 +aS'available\tavailable\tJJ\tB-ADJP\tO' +p300874 +aS'.\t.\t.\tO\tO' +p300875 +asS'He recieved 2L NS and was started on labetolol gtt and BP decreased to 161/79 .' +p300876 +(lp300877 +S'He\tHe\tPRP\tB-NP\tO' +p300878 +aS'recieved\trecieve\tVBD\tB-VP\tO' +p300879 +aS'2L\t2L\tNN\tB-NP\tO' +p300880 +aS'NS\tNS\tNN\tI-NP\tO' +p300881 +aS'and\tand\tCC\tO\tO' +p300882 +aS'was\tbe\tVBD\tB-VP\tO' +p300883 +aS'started\tstart\tVBN\tI-VP\tO' +p300884 +aS'on\ton\tIN\tB-PP\tO' +p300885 +aS'labetolol\tlabetolol\tNN\tB-NP\tO' +p300886 +aS'gtt\tgtt\tNN\tI-NP\tO' +p300887 +aS'and\tand\tCC\tI-NP\tO' +p300888 +aS'BP\tBP\tNN\tI-NP\tO' +p300889 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p300890 +aS'to\tto\tTO\tB-PP\tO' +p300891 +aS'161/79\t161/79\tCD\tB-NP\tO' +p300892 +aS'.\t.\t.\tO\tO' +p300893 +asS"The patient 's hematocrit was 34.8 at the time of admission ." +p300894 +(lp300895 +S'The\tThe\tDT\tB-NP\tO' +p300896 +aS'patient\tpatient\tNN\tI-NP\tO' +p300897 +aS"'s\t's\tPOS\tB-NP\tO" +p300898 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p300899 +aS'was\tbe\tVBD\tB-VP\tO' +p300900 +aS'34.8\t34.8\tCD\tB-NP\tO' +p300901 +aS'at\tat\tIN\tB-PP\tO' +p300902 +aS'the\tthe\tDT\tB-NP\tO' +p300903 +aS'time\ttime\tNN\tI-NP\tO' +p300904 +aS'of\tof\tIN\tB-PP\tO' +p300905 +aS'admission\tadmission\tNN\tB-NP\tO' +p300906 +aS'.\t.\t.\tO\tO' +p300907 +asS'79F Pmhx CHF,COPD , found down at home , pulseless - CPR initiated w/ conciousness regained on scene .' +p300908 +(lp300909 +S'79F\t79F\tNN\tB-NP\tO' +p300910 +aS'Pmhx\tPmhx\tNN\tI-NP\tO' +p300911 +aS'CHF,COPD\tCHF,COPD\tNN\tI-NP\tO' +p300912 +aS',\t,\t,\tO\tO' +p300913 +aS'found\tfind\tVBN\tB-VP\tO' +p300914 +aS'down\tdown\tRP\tB-PRT\tO' +p300915 +aS'at\tat\tIN\tB-PP\tO' +p300916 +aS'home\thome\tNN\tB-NP\tO' +p300917 +aS',\t,\t,\tO\tO' +p300918 +aS'pulseless\tpulseless\tJJ\tB-NP\tO' +p300919 +aS'-\t-\tHYPH\tI-NP\tO' +p300920 +aS'CPR\tCPR\tNN\tI-NP\tB-protein' +p300921 +aS'initiated\tinitiate\tVBN\tI-NP\tO' +p300922 +aS'w/\tw/\tNN\tI-NP\tO' +p300923 +aS'conciousness\tconciousness\tNN\tI-NP\tO' +p300924 +aS'regained\tregain\tVBN\tB-VP\tO' +p300925 +aS'on\ton\tIN\tB-PP\tO' +p300926 +aS'scene\tscene\tNN\tB-NP\tO' +p300927 +aS'.\t.\t.\tO\tO' +p300928 +asS'Electrocardiogram showed normal sinus rhythm at 63 with normal intervals .' +p300929 +(lp300930 +S'Electrocardiogram\tElectrocardiogram\tNN\tB-NP\tO' +p300931 +aS'showed\tshow\tVBD\tB-VP\tO' +p300932 +aS'normal\tnormal\tJJ\tB-NP\tO' +p300933 +aS'sinus\tsinus\tNN\tI-NP\tO' +p300934 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p300935 +aS'at\tat\tIN\tB-PP\tO' +p300936 +aS'63\t63\tCD\tB-NP\tO' +p300937 +aS'with\twith\tIN\tB-PP\tO' +p300938 +aS'normal\tnormal\tJJ\tB-NP\tO' +p300939 +aS'intervals\tinterval\tNNS\tI-NP\tO' +p300940 +aS'.\t.\t.\tO\tO' +p300941 +asS'The blood pressure was 120/70 millimeters of mercury .' +p300942 +(lp300943 +S'The\tThe\tDT\tB-NP\tO' +p300944 +aS'blood\tblood\tNN\tI-NP\tO' +p300945 +aS'pressure\tpressure\tNN\tI-NP\tO' +p300946 +aS'was\tbe\tVBD\tB-VP\tO' +p300947 +aS'120/70\t120/70\tCD\tB-NP\tO' +p300948 +aS'millimeters\tmillimeter\tNNS\tI-NP\tO' +p300949 +aS'of\tof\tIN\tB-PP\tO' +p300950 +aS'mercury\tmercury\tNN\tB-NP\tO' +p300951 +aS'.\t.\t.\tO\tO' +p300952 +asS'TPA , with residual dysarthria and aphasia' +p300953 +(lp300954 +S'TPA\tTPA\tNN\tB-NP\tO' +p300955 +aS',\t,\t,\tO\tO' +p300956 +aS'with\twith\tIN\tB-PP\tO' +p300957 +aS'residual\tresidual\tJJ\tB-NP\tO' +p300958 +aS'dysarthria\tdysarthria\tNN\tI-NP\tO' +p300959 +aS'and\tand\tCC\tI-NP\tO' +p300960 +aS'aphasia\taphasia\tNN\tI-NP\tO' +p300961 +asS'no palpable thrill or heave .' +p300962 +(lp300963 +S'no\tno\tDT\tB-NP\tO' +p300964 +aS'palpable\tpalpable\tJJ\tI-NP\tO' +p300965 +aS'thrill\tthrill\tNN\tI-NP\tO' +p300966 +aS'or\tor\tCC\tI-NP\tO' +p300967 +aS'heave\theave\tNN\tI-NP\tO' +p300968 +aS'.\t.\t.\tO\tO' +p300969 +asS'Disp :* qs Adhesive Patch , Medicated ( s )* Refills :* 2 *' +p300970 +(lp300971 +S'Disp\tDisp\tNN\tB-NP\tO' +p300972 +aS':*\t:*\tSYM\tI-NP\tO' +p300973 +aS'qs\tq\tNNS\tI-NP\tO' +p300974 +aS'Adhesive\tAdhesive\tJJ\tB-NP\tO' +p300975 +aS'Patch\tPatch\tNNP\tI-NP\tO' +p300976 +aS',\t,\t,\tO\tO' +p300977 +aS'Medicated\tMedicated\tNNP\tB-NP\tO' +p300978 +aS'(\t(\t(\tO\tO' +p300979 +aS's\ts\tNNS\tB-NP\tO' +p300980 +aS')*\t)*\tSYM\tO\tO' +p300981 +aS'Refills\tRefill\tNNPS\tB-NP\tO' +p300982 +aS':*\t:*\tSYM\tI-NP\tO' +p300983 +aS'2\t2\tCD\tI-NP\tO' +p300984 +aS'*\t*\tSYM\tB-NP\tO' +p300985 +asS'Her NPH and a regular sliding scale were started and her drip was discontinued .' +p300986 +(lp300987 +S'Her\tHer\tPRP$\tB-NP\tO' +p300988 +aS'NPH\tNPH\tNN\tI-NP\tB-protein' +p300989 +aS'and\tand\tCC\tO\tO' +p300990 +aS'a\ta\tDT\tB-NP\tO' +p300991 +aS'regular\tregular\tJJ\tI-NP\tO' +p300992 +aS'sliding\tslide\tVBG\tI-NP\tO' +p300993 +aS'scale\tscale\tNN\tI-NP\tO' +p300994 +aS'were\tbe\tVBD\tB-VP\tO' +p300995 +aS'started\tstart\tVBN\tI-VP\tO' +p300996 +aS'and\tand\tCC\tO\tO' +p300997 +aS'her\ther\tPRP$\tB-NP\tO' +p300998 +aS'drip\tdrip\tNN\tI-NP\tO' +p300999 +aS'was\tbe\tVBD\tB-VP\tO' +p301000 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p301001 +aS'.\t.\t.\tO\tO' +p301002 +asS'The patient had bone marrow biopsy , August , 2003 , for persistent pancytopenia , revealing mild hypercelluarity with 80% leukemic cells .' +p301003 +(lp301004 +S'The\tThe\tDT\tB-NP\tO' +p301005 +aS'patient\tpatient\tNN\tI-NP\tO' +p301006 +aS'had\thave\tVBD\tB-VP\tO' +p301007 +aS'bone\tbone\tNN\tB-NP\tO' +p301008 +aS'marrow\tmarrow\tNN\tI-NP\tO' +p301009 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p301010 +aS',\t,\t,\tO\tO' +p301011 +aS'August\tAugust\tNNP\tB-NP\tO' +p301012 +aS',\t,\t,\tO\tO' +p301013 +aS'2003\t2003\tCD\tB-NP\tO' +p301014 +aS',\t,\t,\tO\tO' +p301015 +aS'for\tfor\tIN\tB-PP\tO' +p301016 +aS'persistent\tpersistent\tJJ\tB-NP\tO' +p301017 +aS'pancytopenia\tpancytopenia\tNN\tI-NP\tO' +p301018 +aS',\t,\t,\tO\tO' +p301019 +aS'revealing\treveal\tVBG\tB-VP\tO' +p301020 +aS'mild\tmild\tJJ\tB-NP\tO' +p301021 +aS'hypercelluarity\thypercelluarity\tNN\tI-NP\tO' +p301022 +aS'with\twith\tIN\tB-PP\tO' +p301023 +aS'80%\t80%\tCD\tB-NP\tO' +p301024 +aS'leukemic\tleukemic\tJJ\tI-NP\tB-cell_type' +p301025 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p301026 +aS'.\t.\t.\tO\tO' +p301027 +asS'She will be discharged on Lasix 20 mg for continued control of her edema .' +p301028 +(lp301029 +S'She\tShe\tPRP\tB-NP\tO' +p301030 +aS'will\twill\tMD\tB-VP\tO' +p301031 +aS'be\tbe\tVB\tI-VP\tO' +p301032 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p301033 +aS'on\ton\tIN\tB-PP\tO' +p301034 +aS'Lasix\tLasix\tNN\tB-NP\tO' +p301035 +aS'20\t20\tCD\tI-NP\tO' +p301036 +aS'mg\tmg\tNN\tI-NP\tO' +p301037 +aS'for\tfor\tIN\tB-PP\tO' +p301038 +aS'continued\tcontinue\tVBN\tB-NP\tO' +p301039 +aS'control\tcontrol\tNN\tI-NP\tO' +p301040 +aS'of\tof\tIN\tB-PP\tO' +p301041 +aS'her\ther\tPRP$\tB-NP\tO' +p301042 +aS'edema\tedema\tNN\tI-NP\tO' +p301043 +aS'.\t.\t.\tO\tO' +p301044 +asS'Intermittent grunting , moderate intercostal retractions , diminished air entry , regular rate and rhythm without murmur , 2+ femoral pulses .' +p301045 +(lp301046 +S'Intermittent\tIntermittent\tNNP\tB-NP\tO' +p301047 +aS'grunting\tgrunt\tVBG\tB-VP\tO' +p301048 +aS',\t,\t,\tO\tO' +p301049 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p301050 +aS'intercostal\tintercostal\tJJ\tI-NP\tO' +p301051 +aS'retractions\tretraction\tNNS\tI-NP\tO' +p301052 +aS',\t,\t,\tO\tO' +p301053 +aS'diminished\tdiminish\tVBD\tB-VP\tO' +p301054 +aS'air\tair\tNN\tB-NP\tO' +p301055 +aS'entry\tentry\tNN\tI-NP\tO' +p301056 +aS',\t,\t,\tO\tO' +p301057 +aS'regular\tregular\tJJ\tB-NP\tO' +p301058 +aS'rate\trate\tNN\tI-NP\tO' +p301059 +aS'and\tand\tCC\tI-NP\tO' +p301060 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p301061 +aS'without\twithout\tIN\tB-PP\tO' +p301062 +aS'murmur\tmurmur\tNN\tB-NP\tO' +p301063 +aS',\t,\t,\tO\tO' +p301064 +aS'2+\t2+\tJJ\tB-NP\tO' +p301065 +aS'femoral\tfemoral\tJJ\tI-NP\tO' +p301066 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p301067 +aS'.\t.\t.\tO\tO' +p301068 +asS'# Acid / base status - Respiratory acidosis with metabolic compensation .' +p301069 +(lp301070 +S'#\t#\t#\tB-NP\tO' +p301071 +aS'Acid\tAcid\tNN\tI-NP\tO' +p301072 +aS'/\t/\tSYM\tO\tO' +p301073 +aS'base\tbase\tNN\tB-NP\tO' +p301074 +aS'status\tstatus\tNN\tI-NP\tO' +p301075 +aS'-\t-\tHYPH\tB-NP\tO' +p301076 +aS'Respiratory\tRespiratory\tJJ\tI-NP\tO' +p301077 +aS'acidosis\tacidosis\tNN\tI-NP\tO' +p301078 +aS'with\twith\tIN\tB-PP\tO' +p301079 +aS'metabolic\tmetabolic\tJJ\tB-NP\tO' +p301080 +aS'compensation\tcompensation\tNN\tI-NP\tO' +p301081 +aS'.\t.\t.\tO\tO' +p301082 +asS'Per husband she has no cardiac history , and had a stress test ( unclr how recent ) that was normal' +p301083 +(lp301084 +S'Per\tPer\tNN\tB-NP\tO' +p301085 +aS'husband\thusband\tNN\tI-NP\tO' +p301086 +aS'she\tshe\tPRP\tB-NP\tO' +p301087 +aS'has\thave\tVBZ\tB-VP\tO' +p301088 +aS'no\tno\tDT\tB-NP\tO' +p301089 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p301090 +aS'history\thistory\tNN\tI-NP\tO' +p301091 +aS',\t,\t,\tO\tO' +p301092 +aS'and\tand\tCC\tO\tO' +p301093 +aS'had\thave\tVBD\tB-VP\tO' +p301094 +aS'a\ta\tDT\tB-NP\tO' +p301095 +aS'stress\tstress\tNN\tI-NP\tO' +p301096 +aS'test\ttest\tNN\tI-NP\tO' +p301097 +aS'(\t(\t(\tO\tO' +p301098 +aS'unclr\tunclr\tNN\tB-NP\tO' +p301099 +aS'how\thow\tWRB\tB-ADJP\tO' +p301100 +aS'recent\trecent\tJJ\tI-ADJP\tO' +p301101 +aS')\t)\t)\tO\tO' +p301102 +aS'that\tthat\tWDT\tB-NP\tO' +p301103 +aS'was\tbe\tVBD\tB-VP\tO' +p301104 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p301105 +asS'Chronic myelomonocytic leukemia , without remission , atrial fibrillation , chronic airway obstruction , hypopotassemia , cellulitis , orbital hemorrhage , protein calorie malnutrition , gastrointestinal hemorrhage , pulmonary hemorrhage / pneumonia , hyperglycemia , renal insufficiency , hyperuricemia , hypophosphatemia .' +p301106 +(lp301107 +S'Chronic\tChronic\tJJ\tB-NP\tO' +p301108 +aS'myelomonocytic\tmyelomonocytic\tJJ\tI-NP\tO' +p301109 +aS'leukemia\tleukemia\tNN\tI-NP\tO' +p301110 +aS',\t,\t,\tO\tO' +p301111 +aS'without\twithout\tIN\tB-PP\tO' +p301112 +aS'remission\tremission\tNN\tB-NP\tO' +p301113 +aS',\t,\t,\tO\tO' +p301114 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p301115 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p301116 +aS',\t,\t,\tO\tO' +p301117 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p301118 +aS'airway\tairway\tNN\tI-NP\tO' +p301119 +aS'obstruction\tobstruction\tNN\tI-NP\tO' +p301120 +aS',\t,\t,\tO\tO' +p301121 +aS'hypopotassemia\thypopotassemia\tNN\tB-NP\tO' +p301122 +aS',\t,\t,\tO\tO' +p301123 +aS'cellulitis\tcellulitis\tNN\tB-NP\tO' +p301124 +aS',\t,\t,\tO\tO' +p301125 +aS'orbital\torbital\tJJ\tB-NP\tO' +p301126 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p301127 +aS',\t,\t,\tO\tO' +p301128 +aS'protein\tprotein\tNN\tB-NP\tO' +p301129 +aS'calorie\tcalorie\tNN\tI-NP\tO' +p301130 +aS'malnutrition\tmalnutrition\tNN\tI-NP\tO' +p301131 +aS',\t,\t,\tO\tO' +p301132 +aS'gastrointestinal\tgastrointestinal\tJJ\tB-NP\tO' +p301133 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p301134 +aS',\t,\t,\tO\tO' +p301135 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p301136 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p301137 +aS'/\t/\tSYM\tB-VP\tO' +p301138 +aS'pneumonia\tpneumonia\tNN\tB-NP\tO' +p301139 +aS',\t,\t,\tO\tO' +p301140 +aS'hyperglycemia\thyperglycemia\tNN\tB-NP\tO' +p301141 +aS',\t,\t,\tO\tO' +p301142 +aS'renal\trenal\tJJ\tB-NP\tO' +p301143 +aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' +p301144 +aS',\t,\t,\tO\tO' +p301145 +aS'hyperuricemia\thyperuricemia\tNN\tB-NP\tO' +p301146 +aS',\t,\t,\tO\tO' +p301147 +aS'hypophosphatemia\thypophosphatemia\tNN\tB-NP\tO' +p301148 +aS'.\t.\t.\tO\tO' +p301149 +asS'Between the two of those , her caloric intake was sufficient for her to sustain herself .' +p301150 +(lp301151 +S'Between\tBetween\tIN\tB-PP\tO' +p301152 +aS'the\tthe\tDT\tB-NP\tO' +p301153 +aS'two\ttwo\tCD\tI-NP\tO' +p301154 +aS'of\tof\tIN\tB-PP\tO' +p301155 +aS'those\tthose\tDT\tB-NP\tO' +p301156 +aS',\t,\t,\tO\tO' +p301157 +aS'her\ther\tPRP$\tB-NP\tO' +p301158 +aS'caloric\tcaloric\tJJ\tI-NP\tO' +p301159 +aS'intake\tintake\tNN\tI-NP\tO' +p301160 +aS'was\tbe\tVBD\tB-VP\tO' +p301161 +aS'sufficient\tsufficient\tJJ\tB-ADJP\tO' +p301162 +aS'for\tfor\tIN\tB-SBAR\tO' +p301163 +aS'her\ther\tPRP\tB-NP\tO' +p301164 +aS'to\tto\tTO\tB-VP\tO' +p301165 +aS'sustain\tsustain\tVB\tI-VP\tO' +p301166 +aS'herself\therself\tPRP\tB-NP\tO' +p301167 +aS'.\t.\t.\tO\tO' +p301168 +asS'Lives with her 6-year-old daughter .' +p301169 +(lp301170 +S'Lives\tLife\tNNS\tB-NP\tO' +p301171 +aS'with\twith\tIN\tB-PP\tO' +p301172 +aS'her\ther\tPRP$\tB-NP\tO' +p301173 +aS'6-year-old\t6-year-old\tJJ\tI-NP\tO' +p301174 +aS'daughter\tdaughter\tNN\tI-NP\tO' +p301175 +aS'.\t.\t.\tO\tO' +p301176 +asS'7. Diovan .' +p301177 +(lp301178 +S'7.\t7.\tCD\tB-NP\tO' +p301179 +aS'Diovan\tDiovan\tNNP\tI-NP\tO' +p301180 +aS'.\t.\t.\tO\tO' +p301181 +asS'Chronic blood loss anemia and chronic RBC transfusion .' +p301182 +(lp301183 +S'Chronic\tChronic\tJJ\tB-NP\tO' +p301184 +aS'blood\tblood\tNN\tI-NP\tO' +p301185 +aS'loss\tloss\tNN\tI-NP\tO' +p301186 +aS'anemia\tanemia\tNN\tI-NP\tO' +p301187 +aS'and\tand\tCC\tO\tO' +p301188 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p301189 +aS'RBC\tRBC\tNN\tI-NP\tO' +p301190 +aS'transfusion\ttransfusion\tNN\tI-NP\tO' +p301191 +aS'.\t.\t.\tO\tO' +p301192 +asS'There was only minimal movement on the left side .' +p301193 +(lp301194 +S'There\tThere\tEX\tB-NP\tO' +p301195 +aS'was\tbe\tVBD\tB-VP\tO' +p301196 +aS'only\tonly\tRB\tB-NP\tO' +p301197 +aS'minimal\tminimal\tJJ\tI-NP\tO' +p301198 +aS'movement\tmovement\tNN\tI-NP\tO' +p301199 +aS'on\ton\tIN\tB-PP\tO' +p301200 +aS'the\tthe\tDT\tB-NP\tO' +p301201 +aS'left\tleft\tJJ\tI-NP\tO' +p301202 +aS'side\tside\tNN\tI-NP\tO' +p301203 +aS'.\t.\t.\tO\tO' +p301204 +asS'At 2:30 he was also found with sats in the 90% .' +p301205 +(lp301206 +S'At\tAt\tIN\tB-PP\tO' +p301207 +aS'2:30\t2:30\tCD\tB-NP\tO' +p301208 +aS'he\the\tPRP\tB-NP\tO' +p301209 +aS'was\tbe\tVBD\tB-VP\tO' +p301210 +aS'also\talso\tRB\tI-VP\tO' +p301211 +aS'found\tfind\tVBN\tI-VP\tO' +p301212 +aS'with\twith\tIN\tB-PP\tO' +p301213 +aS'sats\tsat\tNNS\tB-NP\tO' +p301214 +aS'in\tin\tIN\tB-PP\tO' +p301215 +aS'the\tthe\tDT\tB-NP\tO' +p301216 +aS'90%\t90%\tNN\tI-NP\tO' +p301217 +aS'.\t.\t.\tO\tO' +p301218 +asS'The CT of the abdomen was without lymphadenopathy , revealed a right renal cyst , otherwise unremarkable .' +p301219 +(lp301220 +S'The\tThe\tDT\tB-NP\tO' +p301221 +aS'CT\tCT\tNN\tI-NP\tB-protein' +p301222 +aS'of\tof\tIN\tB-PP\tO' +p301223 +aS'the\tthe\tDT\tB-NP\tO' +p301224 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p301225 +aS'was\tbe\tVBD\tB-VP\tO' +p301226 +aS'without\twithout\tIN\tB-PP\tO' +p301227 +aS'lymphadenopathy\tlymphadenopathy\tNN\tB-NP\tO' +p301228 +aS',\t,\t,\tO\tO' +p301229 +aS'revealed\treveal\tVBD\tB-VP\tO' +p301230 +aS'a\ta\tDT\tB-NP\tO' +p301231 +aS'right\tright\tJJ\tI-NP\tO' +p301232 +aS'renal\trenal\tJJ\tI-NP\tO' +p301233 +aS'cyst\tcyst\tNN\tI-NP\tO' +p301234 +aS',\t,\t,\tO\tO' +p301235 +aS'otherwise\totherwise\tRB\tB-ADJP\tO' +p301236 +aS'unremarkable\tunremarkable\tJJ\tI-ADJP\tO' +p301237 +aS'.\t.\t.\tO\tO' +p301238 +asS's/p AVR 05-14 .' +p301239 +(lp301240 +S's/p\ts/p\tNN\tB-NP\tO' +p301241 +aS'AVR\tAVR\tNN\tI-NP\tO' +p301242 +aS'05-14\t05-14\tCD\tI-NP\tO' +p301243 +aS'.\t.\t.\tO\tO' +p301244 +asS'The patient is a 58 year old right hand dominant white male with a long history of hypertension , changed his medications from Aldomet to Clonidine six weeks ago .' +p301245 +(lp301246 +S'The\tThe\tDT\tB-NP\tO' +p301247 +aS'patient\tpatient\tNN\tI-NP\tO' +p301248 +aS'is\tbe\tVBZ\tB-VP\tO' +p301249 +aS'a\ta\tDT\tB-NP\tO' +p301250 +aS'58\t58\tCD\tI-NP\tO' +p301251 +aS'year\tyear\tNN\tI-NP\tO' +p301252 +aS'old\told\tJJ\tI-NP\tO' +p301253 +aS'right\tright\tJJ\tI-NP\tO' +p301254 +aS'hand\thand\tNN\tI-NP\tO' +p301255 +aS'dominant\tdominant\tJJ\tI-NP\tO' +p301256 +aS'white\twhite\tJJ\tI-NP\tO' +p301257 +aS'male\tmale\tNN\tI-NP\tO' +p301258 +aS'with\twith\tIN\tB-PP\tO' +p301259 +aS'a\ta\tDT\tB-NP\tO' +p301260 +aS'long\tlong\tJJ\tI-NP\tO' +p301261 +aS'history\thistory\tNN\tI-NP\tO' +p301262 +aS'of\tof\tIN\tB-PP\tO' +p301263 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p301264 +aS',\t,\t,\tO\tO' +p301265 +aS'changed\tchange\tVBD\tB-VP\tO' +p301266 +aS'his\this\tPRP$\tB-NP\tO' +p301267 +aS'medications\tmedication\tNNS\tI-NP\tO' +p301268 +aS'from\tfrom\tIN\tB-PP\tO' +p301269 +aS'Aldomet\tAldomet\tNNP\tB-NP\tO' +p301270 +aS'to\tto\tTO\tB-PP\tO' +p301271 +aS'Clonidine\tClonidine\tNN\tB-NP\tO' +p301272 +aS'six\tsix\tCD\tB-NP\tO' +p301273 +aS'weeks\tweek\tNNS\tI-NP\tO' +p301274 +aS'ago\tago\tRB\tB-ADVP\tO' +p301275 +aS'.\t.\t.\tO\tO' +p301276 +asS'Father had coronary artery disease .' +p301277 +(lp301278 +S'Father\tFather\tNNP\tB-NP\tO' +p301279 +aS'had\thave\tVBD\tB-VP\tO' +p301280 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p301281 +aS'artery\tartery\tNN\tI-NP\tO' +p301282 +aS'disease\tdisease\tNN\tI-NP\tO' +p301283 +aS'.\t.\t.\tO\tO' +p301284 +asS'History of atypical mycobacterial colonization .' +p301285 +(lp301286 +S'History\tHistory\tNN\tB-NP\tO' +p301287 +aS'of\tof\tIN\tB-PP\tO' +p301288 +aS'atypical\tatypical\tJJ\tB-NP\tO' +p301289 +aS'mycobacterial\tmycobacterial\tJJ\tI-NP\tO' +p301290 +aS'colonization\tcolonization\tNN\tI-NP\tO' +p301291 +aS'.\t.\t.\tO\tO' +p301292 +asS'He will need to be followed up as an out patient for guaiac positive stools and possibly worked up for this in the future .' +p301293 +(lp301294 +S'He\tHe\tPRP\tB-NP\tO' +p301295 +aS'will\twill\tMD\tB-VP\tO' +p301296 +aS'need\tneed\tVB\tI-VP\tO' +p301297 +aS'to\tto\tTO\tI-VP\tO' +p301298 +aS'be\tbe\tVB\tI-VP\tO' +p301299 +aS'followed\tfollow\tVBN\tI-VP\tO' +p301300 +aS'up\tup\tRP\tB-PRT\tO' +p301301 +aS'as\tas\tIN\tB-PP\tO' +p301302 +aS'an\tan\tDT\tB-NP\tO' +p301303 +aS'out\tout\tJJ\tI-NP\tO' +p301304 +aS'patient\tpatient\tNN\tI-NP\tO' +p301305 +aS'for\tfor\tIN\tB-PP\tO' +p301306 +aS'guaiac\tguaiac\tJJ\tB-NP\tO' +p301307 +aS'positive\tpositive\tJJ\tI-NP\tO' +p301308 +aS'stools\tstool\tNNS\tI-NP\tO' +p301309 +aS'and\tand\tCC\tO\tO' +p301310 +aS'possibly\tpossibly\tRB\tB-ADVP\tO' +p301311 +aS'worked\twork\tVBD\tB-VP\tO' +p301312 +aS'up\tup\tRP\tB-PRT\tO' +p301313 +aS'for\tfor\tIN\tB-PP\tO' +p301314 +aS'this\tthis\tDT\tB-NP\tO' +p301315 +aS'in\tin\tIN\tB-PP\tO' +p301316 +aS'the\tthe\tDT\tB-NP\tO' +p301317 +aS'future\tfuture\tNN\tI-NP\tO' +p301318 +aS'.\t.\t.\tO\tO' +p301319 +asS'He was ambulated progressively on the floor .' +p301320 +(lp301321 +S'He\tHe\tPRP\tB-NP\tO' +p301322 +aS'was\tbe\tVBD\tB-VP\tO' +p301323 +aS'ambulated\tambulate\tVBN\tI-VP\tO' +p301324 +aS'progressively\tprogressively\tRB\tB-ADVP\tO' +p301325 +aS'on\ton\tIN\tB-PP\tO' +p301326 +aS'the\tthe\tDT\tB-NP\tO' +p301327 +aS'floor\tfloor\tNN\tI-NP\tO' +p301328 +aS'.\t.\t.\tO\tO' +p301329 +asS'I have advised him that he must not drive until he is seena gain in clinic and his device interrogated .' +p301330 +(lp301331 +S'I\tI\tPRP\tB-NP\tO' +p301332 +aS'have\thave\tVBP\tB-VP\tO' +p301333 +aS'advised\tadvise\tVBN\tI-VP\tO' +p301334 +aS'him\thim\tPRP\tB-NP\tO' +p301335 +aS'that\tthat\tIN\tB-SBAR\tO' +p301336 +aS'he\the\tPRP\tB-NP\tO' +p301337 +aS'must\tmust\tMD\tB-VP\tO' +p301338 +aS'not\tnot\tRB\tI-VP\tO' +p301339 +aS'drive\tdrive\tVB\tI-VP\tO' +p301340 +aS'until\tuntil\tIN\tB-SBAR\tO' +p301341 +aS'he\the\tPRP\tB-NP\tO' +p301342 +aS'is\tbe\tVBZ\tB-VP\tO' +p301343 +aS'seena\tseena\tJJ\tB-NP\tO' +p301344 +aS'gain\tgain\tNN\tI-NP\tO' +p301345 +aS'in\tin\tIN\tB-PP\tO' +p301346 +aS'clinic\tclinic\tNN\tB-NP\tO' +p301347 +aS'and\tand\tCC\tO\tO' +p301348 +aS'his\this\tPRP$\tB-NP\tO' +p301349 +aS'device\tdevice\tNN\tI-NP\tO' +p301350 +aS'interrogated\tinterrogate\tVBD\tB-VP\tO' +p301351 +aS'.\t.\t.\tO\tO' +p301352 +asS'The patient initially came for workup of pancreatic cancer with a questions of palliative chemotherapy .' +p301353 +(lp301354 +S'The\tThe\tDT\tB-NP\tO' +p301355 +aS'patient\tpatient\tNN\tI-NP\tO' +p301356 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p301357 +aS'came\tcome\tVBD\tB-VP\tO' +p301358 +aS'for\tfor\tIN\tB-PP\tO' +p301359 +aS'workup\tworkup\tNN\tB-NP\tO' +p301360 +aS'of\tof\tIN\tB-PP\tO' +p301361 +aS'pancreatic\tpancreatic\tJJ\tB-NP\tO' +p301362 +aS'cancer\tcancer\tNN\tI-NP\tO' +p301363 +aS'with\twith\tIN\tB-PP\tO' +p301364 +aS'a\ta\tDT\tB-NP\tO' +p301365 +aS'questions\tquestion\tNNS\tI-NP\tO' +p301366 +aS'of\tof\tIN\tB-PP\tO' +p301367 +aS'palliative\tpalliative\tJJ\tB-NP\tO' +p301368 +aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' +p301369 +aS'.\t.\t.\tO\tO' +p301370 +asS'5) Lasix 40 mg p.o. q day .' +p301371 +(lp301372 +S'5)\t5)\tLS\tB-NP\tO' +p301373 +aS'Lasix\tLasix\tNNP\tI-NP\tO' +p301374 +aS'40\t40\tCD\tI-NP\tO' +p301375 +aS'mg\tmg\tNN\tI-NP\tO' +p301376 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p301377 +aS'q\tq\tNN\tI-NP\tO' +p301378 +aS'day\tday\tNN\tI-NP\tO' +p301379 +aS'.\t.\t.\tO\tO' +p301380 +asS'The right heart catheterization revealed a cardiac output index of 4.11 and 2.15 respectively .' +p301381 +(lp301382 +S'The\tThe\tDT\tB-NP\tO' +p301383 +aS'right\tright\tJJ\tI-NP\tO' +p301384 +aS'heart\theart\tNN\tI-NP\tO' +p301385 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p301386 +aS'revealed\treveal\tVBD\tB-VP\tO' +p301387 +aS'a\ta\tDT\tB-NP\tO' +p301388 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p301389 +aS'output\toutput\tNN\tI-NP\tO' +p301390 +aS'index\tindex\tNN\tI-NP\tO' +p301391 +aS'of\tof\tIN\tB-PP\tO' +p301392 +aS'4.11\t4.11\tCD\tB-NP\tO' +p301393 +aS'and\tand\tCC\tI-NP\tO' +p301394 +aS'2.15\t2.15\tCD\tI-NP\tO' +p301395 +aS'respectively\trespectively\tRB\tB-ADVP\tO' +p301396 +aS'.\t.\t.\tO\tO' +p301397 +asS'7. Past Discharge Summary mention a history of chronic obstructive pulmonary disease , but the patient has never smoked .' +p301398 +(lp301399 +S'7.\t7.\tCD\tB-NP\tO' +p301400 +aS'Past\tPast\tNNP\tI-NP\tO' +p301401 +aS'Discharge\tDischarge\tNNP\tI-NP\tO' +p301402 +aS'Summary\tSummary\tNNP\tI-NP\tO' +p301403 +aS'mention\tmention\tVB\tB-VP\tO' +p301404 +aS'a\ta\tDT\tB-NP\tO' +p301405 +aS'history\thistory\tNN\tI-NP\tO' +p301406 +aS'of\tof\tIN\tB-PP\tO' +p301407 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p301408 +aS'obstructive\tobstructive\tJJ\tI-NP\tO' +p301409 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p301410 +aS'disease\tdisease\tNN\tI-NP\tO' +p301411 +aS',\t,\t,\tO\tO' +p301412 +aS'but\tbut\tCC\tO\tO' +p301413 +aS'the\tthe\tDT\tB-NP\tO' +p301414 +aS'patient\tpatient\tNN\tI-NP\tO' +p301415 +aS'has\thave\tVBZ\tB-VP\tO' +p301416 +aS'never\tnever\tRB\tI-VP\tO' +p301417 +aS'smoked\tsmoke\tVBN\tI-VP\tO' +p301418 +aS'.\t.\t.\tO\tO' +p301419 +asS'Normal S1 , S2 .' +p301420 +(lp301421 +S'Normal\tNormal\tJJ\tB-NP\tO' +p301422 +aS'S1\tS1\tNN\tI-NP\tO' +p301423 +aS',\t,\t,\tO\tO' +p301424 +aS'S2\tS2\tNN\tB-NP\tB-protein' +p301425 +aS'.\t.\t.\tO\tO' +p301426 +asS'Home with the parents .' +p301427 +(lp301428 +S'Home\tHome\tNN\tB-NP\tO' +p301429 +aS'with\twith\tIN\tB-PP\tO' +p301430 +aS'the\tthe\tDT\tB-NP\tO' +p301431 +aS'parents\tparent\tNNS\tI-NP\tO' +p301432 +aS'.\t.\t.\tO\tO' +p301433 +asS'She continues on her Prednisone taper for her asthma and this is day # 14 of antibiotics .' +p301434 +(lp301435 +S'She\tShe\tPRP\tB-NP\tO' +p301436 +aS'continues\tcontinue\tVBZ\tB-VP\tO' +p301437 +aS'on\ton\tIN\tB-PP\tO' +p301438 +aS'her\ther\tPRP$\tB-NP\tO' +p301439 +aS'Prednisone\tPrednisone\tNN\tI-NP\tO' +p301440 +aS'taper\ttaper\tNN\tI-NP\tO' +p301441 +aS'for\tfor\tIN\tB-PP\tO' +p301442 +aS'her\ther\tPRP$\tB-NP\tO' +p301443 +aS'asthma\tasthma\tNN\tI-NP\tO' +p301444 +aS'and\tand\tCC\tO\tO' +p301445 +aS'this\tthis\tDT\tB-NP\tO' +p301446 +aS'is\tbe\tVBZ\tB-VP\tO' +p301447 +aS'day\tday\tNN\tB-NP\tO' +p301448 +aS'#\t#\t#\tB-NP\tO' +p301449 +aS'14\t14\tCD\tI-NP\tO' +p301450 +aS'of\tof\tIN\tB-PP\tO' +p301451 +aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' +p301452 +aS'.\t.\t.\tO\tO' +p301453 +asS'Normal male with testes palpable bilaterally .' +p301454 +(lp301455 +S'Normal\tNormal\tJJ\tB-NP\tO' +p301456 +aS'male\tmale\tNN\tI-NP\tO' +p301457 +aS'with\twith\tIN\tB-PP\tO' +p301458 +aS'testes\ttestis\tNNS\tB-NP\tO' +p301459 +aS'palpable\tpalpable\tJJ\tB-ADJP\tO' +p301460 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p301461 +aS'.\t.\t.\tO\tO' +p301462 +asS'2. Docusate Sodium 100 mg Capsule Sig : One ( 1 ) Capsule PO BID ( 2 times a day ) as needed for constipation .' +p301463 +(lp301464 +S'2.\t2.\tLS\tB-NP\tO' +p301465 +aS'Docusate\tDocusate\tNN\tI-NP\tO' +p301466 +aS'Sodium\tSodium\tNN\tI-NP\tO' +p301467 +aS'100\t100\tCD\tI-NP\tO' +p301468 +aS'mg\tmg\tNN\tI-NP\tO' +p301469 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p301470 +aS'Sig\tSig\tNNP\tI-NP\tO' +p301471 +aS':\t:\t:\tO\tO' +p301472 +aS'One\tOne\tCD\tB-NP\tO' +p301473 +aS'(\t(\t(\tO\tO' +p301474 +aS'1\t1\tCD\tB-NP\tO' +p301475 +aS')\t)\t)\tO\tO' +p301476 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p301477 +aS'PO\tPO\tNNP\tI-NP\tO' +p301478 +aS'BID\tBID\tNNP\tI-NP\tO' +p301479 +aS'(\t(\t(\tO\tO' +p301480 +aS'2\t2\tCD\tB-NP\tO' +p301481 +aS'times\ttime\tNNS\tI-NP\tO' +p301482 +aS'a\ta\tDT\tB-NP\tO' +p301483 +aS'day\tday\tNN\tI-NP\tO' +p301484 +aS')\t)\t)\tO\tO' +p301485 +aS'as\tas\tIN\tB-SBAR\tO' +p301486 +aS'needed\tneed\tVBN\tB-VP\tO' +p301487 +aS'for\tfor\tIN\tB-PP\tO' +p301488 +aS'constipation\tconstipation\tNN\tB-NP\tO' +p301489 +aS'.\t.\t.\tO\tO' +p301490 +asS'6. Atorvastatin Calcium 80 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' +p301491 +(lp301492 +S'6.\t6.\tLS\tB-NP\tO' +p301493 +aS'Atorvastatin\tAtorvastatin\tNN\tI-NP\tO' +p301494 +aS'Calcium\tCalcium\tNN\tI-NP\tO' +p301495 +aS'80\t80\tCD\tI-NP\tO' +p301496 +aS'mg\tmg\tNN\tI-NP\tO' +p301497 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p301498 +aS'Sig\tSig\tNNP\tI-NP\tO' +p301499 +aS':\t:\t:\tO\tO' +p301500 +aS'One\tOne\tCD\tB-NP\tO' +p301501 +aS'(\t(\t(\tO\tO' +p301502 +aS'1\t1\tCD\tB-NP\tO' +p301503 +aS')\t)\t)\tO\tO' +p301504 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p301505 +aS'PO\tPO\tNN\tI-NP\tO' +p301506 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p301507 +aS'(\t(\t(\tO\tO' +p301508 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p301509 +aS')\t)\t)\tO\tO' +p301510 +aS'.\t.\t.\tO\tO' +p301511 +asS'On examination on transfer to the Intensive Care Unit she is febrile with a low grade temperature of 100.1 , tachycardic to 110 , hypotensive 85/49 , tachypneic into the 50 s and 60 s, 95% on nonrebreather .' +p301512 +(lp301513 +S'On\tOn\tIN\tB-PP\tO' +p301514 +aS'examination\texamination\tNN\tB-NP\tO' +p301515 +aS'on\ton\tIN\tB-PP\tO' +p301516 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p301517 +aS'to\tto\tTO\tB-PP\tO' +p301518 +aS'the\tthe\tDT\tB-NP\tO' +p301519 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p301520 +aS'Care\tCare\tNNP\tI-NP\tO' +p301521 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p301522 +aS'she\tshe\tPRP\tB-NP\tO' +p301523 +aS'is\tbe\tVBZ\tB-VP\tO' +p301524 +aS'febrile\tfebrile\tJJ\tB-ADJP\tO' +p301525 +aS'with\twith\tIN\tB-PP\tO' +p301526 +aS'a\ta\tDT\tB-NP\tO' +p301527 +aS'low\tlow\tJJ\tI-NP\tO' +p301528 +aS'grade\tgrade\tNN\tI-NP\tO' +p301529 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p301530 +aS'of\tof\tIN\tB-PP\tO' +p301531 +aS'100.1\t100.1\tCD\tB-NP\tO' +p301532 +aS',\t,\t,\tO\tO' +p301533 +aS'tachycardic\ttachycardic\tJJ\tB-ADJP\tO' +p301534 +aS'to\tto\tTO\tB-PP\tO' +p301535 +aS'110\t110\tCD\tB-NP\tO' +p301536 +aS',\t,\t,\tO\tO' +p301537 +aS'hypotensive\thypotensive\tJJ\tB-NP\tO' +p301538 +aS'85/49\t85/49\tCD\tI-NP\tO' +p301539 +aS',\t,\t,\tO\tO' +p301540 +aS'tachypneic\ttachypneic\tJJ\tB-ADJP\tO' +p301541 +aS'into\tinto\tIN\tB-PP\tO' +p301542 +aS'the\tthe\tDT\tB-NP\tO' +p301543 +aS'50\t50\tCD\tI-NP\tO' +p301544 +aS's\ts\tNN\tI-NP\tO' +p301545 +aS'and\tand\tCC\tO\tO' +p301546 +aS'60\t60\tCD\tB-NP\tO' +p301547 +aS's,\ts,\tNN\tI-NP\tO' +p301548 +aS'95%\t95%\tCD\tB-NP\tO' +p301549 +aS'on\ton\tIN\tB-PP\tO' +p301550 +aS'nonrebreather\tnonrebreather\tNN\tB-NP\tO' +p301551 +aS'.\t.\t.\tO\tO' +p301552 +asS'To Newborn Nursery .' +p301553 +(lp301554 +S'To\tTo\tTO\tB-PP\tO' +p301555 +aS'Newborn\tNewborn\tNNP\tB-NP\tO' +p301556 +aS'Nursery\tNursery\tNNP\tI-NP\tO' +p301557 +aS'.\t.\t.\tO\tO' +p301558 +asS'Please continue to take all medications as prescirbed and follow up with all your appointments .' +p301559 +(lp301560 +S'Please\tPlease\tNN\tB-NP\tB-protein' +p301561 +aS'continue\tcontinue\tVBP\tB-VP\tO' +p301562 +aS'to\tto\tTO\tI-VP\tO' +p301563 +aS'take\ttake\tVB\tI-VP\tO' +p301564 +aS'all\tall\tDT\tB-NP\tO' +p301565 +aS'medications\tmedication\tNNS\tI-NP\tO' +p301566 +aS'as\tas\tIN\tB-SBAR\tO' +p301567 +aS'prescirbed\tprescirbe\tVBN\tB-VP\tO' +p301568 +aS'and\tand\tCC\tO\tO' +p301569 +aS'follow\tfollow\tVB\tB-VP\tO' +p301570 +aS'up\tup\tRP\tB-PRT\tO' +p301571 +aS'with\twith\tIN\tB-PP\tO' +p301572 +aS'all\tall\tDT\tB-NP\tO' +p301573 +aS'your\tyour\tPRP$\tI-NP\tO' +p301574 +aS'appointments\tappointment\tNNS\tI-NP\tO' +p301575 +aS'.\t.\t.\tO\tO' +p301576 +asS'Subsequent factor 8 levels varied with an initial factor 8 level of 18 after the bolus with which he received another bolus of factor 8 of 50 units / kg and increased factor 8 infusion rate to 65 units / kg / day .' +p301577 +(lp301578 +S'Subsequent\tSubsequent\tJJ\tB-NP\tO' +p301579 +aS'factor\tfactor\tNN\tI-NP\tO' +p301580 +aS'8\t8\tCD\tB-NP\tO' +p301581 +aS'levels\tlevel\tNNS\tI-NP\tO' +p301582 +aS'varied\tvary\tVBD\tB-VP\tO' +p301583 +aS'with\twith\tIN\tB-PP\tO' +p301584 +aS'an\tan\tDT\tB-NP\tO' +p301585 +aS'initial\tinitial\tJJ\tI-NP\tO' +p301586 +aS'factor\tfactor\tNN\tI-NP\tO' +p301587 +aS'8\t8\tCD\tI-NP\tO' +p301588 +aS'level\tlevel\tNN\tI-NP\tO' +p301589 +aS'of\tof\tIN\tB-PP\tO' +p301590 +aS'18\t18\tCD\tB-NP\tO' +p301591 +aS'after\tafter\tIN\tB-PP\tO' +p301592 +aS'the\tthe\tDT\tB-NP\tO' +p301593 +aS'bolus\tbolus\tNN\tI-NP\tO' +p301594 +aS'with\twith\tIN\tB-PP\tO' +p301595 +aS'which\twhich\tWDT\tB-NP\tO' +p301596 +aS'he\the\tPRP\tB-NP\tO' +p301597 +aS'received\treceive\tVBD\tB-VP\tO' +p301598 +aS'another\tanother\tDT\tB-NP\tO' +p301599 +aS'bolus\tbolus\tNN\tI-NP\tO' +p301600 +aS'of\tof\tIN\tB-PP\tO' +p301601 +aS'factor\tfactor\tNN\tB-NP\tO' +p301602 +aS'8\t8\tCD\tI-NP\tO' +p301603 +aS'of\tof\tIN\tB-PP\tO' +p301604 +aS'50\t50\tCD\tB-NP\tO' +p301605 +aS'units\tunit\tNNS\tI-NP\tO' +p301606 +aS'/\t/\tSYM\tB-NP\tO' +p301607 +aS'kg\tkg\tNN\tI-NP\tO' +p301608 +aS'and\tand\tCC\tO\tO' +p301609 +aS'increased\tincrease\tVBD\tB-VP\tO' +p301610 +aS'factor\tfactor\tNN\tB-NP\tO' +p301611 +aS'8\t8\tCD\tI-NP\tO' +p301612 +aS'infusion\tinfusion\tNN\tI-NP\tO' +p301613 +aS'rate\trate\tNN\tI-NP\tO' +p301614 +aS'to\tto\tTO\tB-PP\tO' +p301615 +aS'65\t65\tCD\tB-NP\tO' +p301616 +aS'units\tunit\tNNS\tI-NP\tO' +p301617 +aS'/\t/\tSYM\tB-NP\tO' +p301618 +aS'kg\tkg\tNN\tI-NP\tO' +p301619 +aS'/\t/\tSYM\tB-NP\tO' +p301620 +aS'day\tday\tNN\tI-NP\tO' +p301621 +aS'.\t.\t.\tO\tO' +p301622 +asS'CT scan demonstrated retroperitoneal collection containing both free air and extravasated contrast material .' +p301623 +(lp301624 +S'CT\tCT\tNN\tB-NP\tO' +p301625 +aS'scan\tscan\tNN\tI-NP\tO' +p301626 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p301627 +aS'retroperitoneal\tretroperitoneal\tJJ\tB-NP\tO' +p301628 +aS'collection\tcollection\tNN\tI-NP\tO' +p301629 +aS'containing\tcontain\tVBG\tB-VP\tO' +p301630 +aS'both\tboth\tCC\tO\tO' +p301631 +aS'free\tfree\tJJ\tB-NP\tO' +p301632 +aS'air\tair\tNN\tI-NP\tO' +p301633 +aS'and\tand\tCC\tO\tO' +p301634 +aS'extravasated\textravasate\tVBN\tB-NP\tO' +p301635 +aS'contrast\tcontrast\tNN\tI-NP\tO' +p301636 +aS'material\tmaterial\tNN\tI-NP\tO' +p301637 +aS'.\t.\t.\tO\tO' +p301638 +asS'The remainder of her abdomen was unremarkable without evidence of metastatic spread elsewhere , including the liver .' +p301639 +(lp301640 +S'The\tThe\tDT\tB-NP\tO' +p301641 +aS'remainder\tremainder\tNN\tI-NP\tO' +p301642 +aS'of\tof\tIN\tB-PP\tO' +p301643 +aS'her\ther\tPRP$\tB-NP\tO' +p301644 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p301645 +aS'was\tbe\tVBD\tB-VP\tO' +p301646 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p301647 +aS'without\twithout\tIN\tB-PP\tO' +p301648 +aS'evidence\tevidence\tNN\tB-NP\tO' +p301649 +aS'of\tof\tIN\tB-PP\tO' +p301650 +aS'metastatic\tmetastatic\tJJ\tB-NP\tO' +p301651 +aS'spread\tspread\tNN\tI-NP\tO' +p301652 +aS'elsewhere\telsewhere\tRB\tB-ADVP\tO' +p301653 +aS',\t,\t,\tO\tO' +p301654 +aS'including\tinclude\tVBG\tB-PP\tO' +p301655 +aS'the\tthe\tDT\tB-NP\tO' +p301656 +aS'liver\tliver\tNN\tI-NP\tO' +p301657 +aS'.\t.\t.\tO\tO' +p301658 +asS'The patient was initially transferred to the Intensive Care Unit thought to be exhibiting septic physiology , respiratory distress and hypotensive .' +p301659 +(lp301660 +S'The\tThe\tDT\tB-NP\tO' +p301661 +aS'patient\tpatient\tNN\tI-NP\tO' +p301662 +aS'was\tbe\tVBD\tB-VP\tO' +p301663 +aS'initially\tinitially\tRB\tI-VP\tO' +p301664 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p301665 +aS'to\tto\tTO\tB-PP\tO' +p301666 +aS'the\tthe\tDT\tB-NP\tO' +p301667 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p301668 +aS'Care\tCare\tNNP\tI-NP\tO' +p301669 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p301670 +aS'thought\tthink\tVBD\tB-VP\tO' +p301671 +aS'to\tto\tTO\tI-VP\tO' +p301672 +aS'be\tbe\tVB\tI-VP\tO' +p301673 +aS'exhibiting\texhibit\tVBG\tI-VP\tO' +p301674 +aS'septic\tseptic\tJJ\tB-NP\tO' +p301675 +aS'physiology\tphysiology\tNN\tI-NP\tO' +p301676 +aS',\t,\t,\tO\tO' +p301677 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p301678 +aS'distress\tdistress\tNN\tI-NP\tO' +p301679 +aS'and\tand\tCC\tI-NP\tO' +p301680 +aS'hypotensive\thypotensive\tNN\tI-NP\tO' +p301681 +aS'.\t.\t.\tO\tO' +p301682 +asS'She was type and crossed and transfused two units of packed red blood cells .' +p301683 +(lp301684 +S'She\tShe\tPRP\tB-NP\tO' +p301685 +aS'was\tbe\tVBD\tB-VP\tO' +p301686 +aS'type\ttype\tNN\tB-NP\tO' +p301687 +aS'and\tand\tCC\tO\tO' +p301688 +aS'crossed\tcross\tVBN\tB-VP\tO' +p301689 +aS'and\tand\tCC\tI-VP\tO' +p301690 +aS'transfused\ttransfuse\tVBN\tI-VP\tO' +p301691 +aS'two\ttwo\tCD\tB-NP\tO' +p301692 +aS'units\tunit\tNNS\tI-NP\tO' +p301693 +aS'of\tof\tIN\tB-PP\tO' +p301694 +aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' +p301695 +aS'red\tred\tJJ\tI-NP\tI-cell_type' +p301696 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p301697 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p301698 +aS'.\t.\t.\tO\tO' +p301699 +asS'Feeds at discharge are PE-20 currently at 120 cc per kg per day due to advance 15 cc per kg per day to a total of 150 cc per kg per day .' +p301700 +(lp301701 +S'Feeds\tFeed\tNNS\tB-NP\tO' +p301702 +aS'at\tat\tIN\tB-PP\tO' +p301703 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p301704 +aS'are\tbe\tVBP\tB-VP\tO' +p301705 +aS'PE-20\tPE-20\tNN\tB-NP\tB-protein' +p301706 +aS'currently\tcurrently\tRB\tB-ADVP\tO' +p301707 +aS'at\tat\tIN\tB-PP\tO' +p301708 +aS'120\t120\tCD\tB-NP\tO' +p301709 +aS'cc\tcc\tNN\tI-NP\tO' +p301710 +aS'per\tper\tIN\tB-PP\tO' +p301711 +aS'kg\tkg\tNN\tB-NP\tO' +p301712 +aS'per\tper\tIN\tB-PP\tO' +p301713 +aS'day\tday\tNN\tB-NP\tO' +p301714 +aS'due\tdue\tJJ\tB-ADJP\tO' +p301715 +aS'to\tto\tTO\tB-VP\tO' +p301716 +aS'advance\tadvance\tVB\tI-VP\tO' +p301717 +aS'15\t15\tCD\tB-NP\tO' +p301718 +aS'cc\tcc\tNN\tI-NP\tO' +p301719 +aS'per\tper\tIN\tB-PP\tO' +p301720 +aS'kg\tkg\tNN\tB-NP\tO' +p301721 +aS'per\tper\tIN\tB-PP\tO' +p301722 +aS'day\tday\tNN\tB-NP\tO' +p301723 +aS'to\tto\tTO\tB-PP\tO' +p301724 +aS'a\ta\tDT\tB-NP\tO' +p301725 +aS'total\ttotal\tNN\tI-NP\tO' +p301726 +aS'of\tof\tIN\tB-PP\tO' +p301727 +aS'150\t150\tCD\tB-NP\tO' +p301728 +aS'cc\tcc\tNN\tI-NP\tO' +p301729 +aS'per\tper\tIN\tB-PP\tO' +p301730 +aS'kg\tkg\tNN\tB-NP\tO' +p301731 +aS'per\tper\tIN\tB-PP\tO' +p301732 +aS'day\tday\tNN\tB-NP\tO' +p301733 +aS'.\t.\t.\tO\tO' +p301734 +asS'As a result , the patient was started on Os-Cal 250 mg PO q.i.d. On postoperative day number three , her ionized calcium was 1.06 and her Os-Cal was increased to 500 q.i.d.' +p301735 +(lp301736 +S'As\tAs\tIN\tB-PP\tO' +p301737 +aS'a\ta\tDT\tB-NP\tO' +p301738 +aS'result\tresult\tNN\tI-NP\tO' +p301739 +aS',\t,\t,\tO\tO' +p301740 +aS'the\tthe\tDT\tB-NP\tO' +p301741 +aS'patient\tpatient\tNN\tI-NP\tO' +p301742 +aS'was\tbe\tVBD\tB-VP\tO' +p301743 +aS'started\tstart\tVBN\tI-VP\tO' +p301744 +aS'on\ton\tIN\tB-PP\tO' +p301745 +aS'Os-Cal\tOs-Cal\tJJ\tB-NP\tO' +p301746 +aS'250\t250\tCD\tI-NP\tO' +p301747 +aS'mg\tmg\tNN\tI-NP\tO' +p301748 +aS'PO\tPO\tNN\tI-NP\tO' +p301749 +aS'q.i.d.\tq.i.d.\tNN\tI-NP\tO' +p301750 +aS'On\tOn\tIN\tB-PP\tO' +p301751 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p301752 +aS'day\tday\tNN\tI-NP\tO' +p301753 +aS'number\tnumber\tNN\tI-NP\tO' +p301754 +aS'three\tthree\tCD\tI-NP\tO' +p301755 +aS',\t,\t,\tO\tO' +p301756 +aS'her\ther\tPRP$\tB-NP\tO' +p301757 +aS'ionized\tionize\tVBN\tI-NP\tO' +p301758 +aS'calcium\tcalcium\tNN\tI-NP\tO' +p301759 +aS'was\tbe\tVBD\tB-VP\tO' +p301760 +aS'1.06\t1.06\tCD\tB-NP\tO' +p301761 +aS'and\tand\tCC\tO\tO' +p301762 +aS'her\ther\tPRP$\tB-NP\tO' +p301763 +aS'Os-Cal\tOs-Cal\tJJ\tI-NP\tO' +p301764 +aS'was\tbe\tVBD\tB-VP\tO' +p301765 +aS'increased\tincrease\tVBN\tI-VP\tO' +p301766 +aS'to\tto\tTO\tB-PP\tO' +p301767 +aS'500\t500\tCD\tB-NP\tO' +p301768 +aS'q.i.d.\tq.i.d.\tNN\tI-NP\tO' +p301769 +asS'The patient was discharged home on 9/15/93 .' +p301770 +(lp301771 +S'The\tThe\tDT\tB-NP\tO' +p301772 +aS'patient\tpatient\tNN\tI-NP\tO' +p301773 +aS'was\tbe\tVBD\tB-VP\tO' +p301774 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p301775 +aS'home\thome\tNN\tB-ADVP\tO' +p301776 +aS'on\ton\tIN\tB-PP\tO' +p301777 +aS'9/15/93\t9/15/93\tCD\tB-NP\tO' +p301778 +aS'.\t.\t.\tO\tO' +p301779 +asS'His abdomen was scaphoid , nondistended , nontender with positive bowel sounds .' +p301780 +(lp301781 +S'His\tHis\tPRP$\tB-NP\tO' +p301782 +aS'abdomen\tabdoman\tNNS\tI-NP\tO' +p301783 +aS'was\tbe\tVBD\tB-VP\tO' +p301784 +aS'scaphoid\tscaphoid\tJJ\tB-NP\tO' +p301785 +aS',\t,\t,\tI-NP\tO' +p301786 +aS'nondistended\tnondistended\tJJ\tI-NP\tO' +p301787 +aS',\t,\t,\tI-NP\tO' +p301788 +aS'nontender\tnontender\tJJ\tI-NP\tO' +p301789 +aS'with\twith\tIN\tB-PP\tO' +p301790 +aS'positive\tpositive\tJJ\tB-NP\tO' +p301791 +aS'bowel\tbowel\tNN\tI-NP\tO' +p301792 +aS'sounds\tsound\tNNS\tI-NP\tO' +p301793 +aS'.\t.\t.\tO\tO' +p301794 +asS'The patient remained intubated until postoperative day number five .' +p301795 +(lp301796 +S'The\tThe\tDT\tB-NP\tO' +p301797 +aS'patient\tpatient\tNN\tI-NP\tO' +p301798 +aS'remained\tremain\tVBD\tB-VP\tO' +p301799 +aS'intubated\tintubated\tJJ\tB-ADJP\tO' +p301800 +aS'until\tuntil\tIN\tB-SBAR\tO' +p301801 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p301802 +aS'day\tday\tNN\tI-NP\tO' +p301803 +aS'number\tnumber\tNN\tI-NP\tO' +p301804 +aS'five\tfive\tCD\tI-NP\tO' +p301805 +aS'.\t.\t.\tO\tO' +p301806 +asS'Oxycodone 10 mg. po. q3 hours prn .' +p301807 +(lp301808 +S'Oxycodone\tOxycodone\tNN\tB-NP\tO' +p301809 +aS'10\t10\tCD\tI-NP\tO' +p301810 +aS'mg.\tmg.\tNN\tI-NP\tO' +p301811 +aS'po.\tpo.\tNN\tI-NP\tO' +p301812 +aS'q3\tq3\tNN\tI-NP\tO' +p301813 +aS'hours\thour\tNNS\tI-NP\tO' +p301814 +aS'prn\tprn\tVBP\tB-VP\tO' +p301815 +aS'.\t.\t.\tO\tO' +p301816 +asS'The wall motion abnormalities were noted to be new .' +p301817 +(lp301818 +S'The\tThe\tDT\tB-NP\tO' +p301819 +aS'wall\twall\tNN\tI-NP\tO' +p301820 +aS'motion\tmotion\tNN\tI-NP\tO' +p301821 +aS'abnormalities\tabnormality\tNNS\tI-NP\tO' +p301822 +aS'were\tbe\tVBD\tB-VP\tO' +p301823 +aS'noted\tnote\tVBN\tI-VP\tO' +p301824 +aS'to\tto\tTO\tI-VP\tO' +p301825 +aS'be\tbe\tVB\tI-VP\tO' +p301826 +aS'new\tnew\tJJ\tB-ADJP\tO' +p301827 +aS'.\t.\t.\tO\tO' +p301828 +asS'Villeflardsbroo Ands Tho Cardhako General Hospital' +p301829 +(lp301830 +S'Villeflardsbroo\tVilleflardsbroo\tNNP\tB-NP\tO' +p301831 +aS'Ands\tAnds\tNNP\tI-NP\tO' +p301832 +aS'Tho\tTho\tNNP\tI-NP\tO' +p301833 +aS'Cardhako\tCardhako\tNNP\tI-NP\tO' +p301834 +aS'General\tGeneral\tNNP\tI-NP\tO' +p301835 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p301836 +asS'Surgery was consulted and followed him while he was in house .' +p301837 +(lp301838 +S'Surgery\tSurgery\tNN\tB-NP\tO' +p301839 +aS'was\tbe\tVBD\tB-VP\tO' +p301840 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p301841 +aS'and\tand\tCC\tO\tO' +p301842 +aS'followed\tfollow\tVBD\tB-VP\tO' +p301843 +aS'him\thim\tPRP\tB-NP\tO' +p301844 +aS'while\twhile\tIN\tB-SBAR\tO' +p301845 +aS'he\the\tPRP\tB-NP\tO' +p301846 +aS'was\tbe\tVBD\tB-VP\tO' +p301847 +aS'in\tin\tIN\tB-PP\tO' +p301848 +aS'house\thouse\tNN\tB-NP\tO' +p301849 +aS'.\t.\t.\tO\tO' +p301850 +asS'Normal RV size and function .' +p301851 +(lp301852 +S'Normal\tNormal\tJJ\tB-NP\tO' +p301853 +aS'RV\tRV\tNN\tI-NP\tO' +p301854 +aS'size\tsize\tNN\tI-NP\tO' +p301855 +aS'and\tand\tCC\tI-NP\tO' +p301856 +aS'function\tfunction\tNN\tI-NP\tO' +p301857 +aS'.\t.\t.\tO\tO' +p301858 +asS'Lipitor 40 mg p.o. every day .' +p301859 +(lp301860 +S'Lipitor\tLipitor\tNN\tB-NP\tO' +p301861 +aS'40\t40\tCD\tI-NP\tO' +p301862 +aS'mg\tmg\tNN\tI-NP\tO' +p301863 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p301864 +aS'every\tevery\tDT\tB-NP\tO' +p301865 +aS'day\tday\tNN\tI-NP\tO' +p301866 +aS'.\t.\t.\tO\tO' +p301867 +asS'2 ) The patient is being discharged to A Hospital where she will receive onsite hemodialysis three times per week on Monday , Wednesday and Friday .' +p301868 +(lp301869 +S'2\t2\tLS\tB-LST\tO' +p301870 +aS')\t)\t)\tO\tO' +p301871 +aS'The\tThe\tDT\tB-NP\tO' +p301872 +aS'patient\tpatient\tNN\tI-NP\tO' +p301873 +aS'is\tbe\tVBZ\tB-VP\tO' +p301874 +aS'being\tbe\tVBG\tI-VP\tO' +p301875 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p301876 +aS'to\tto\tTO\tB-PP\tO' +p301877 +aS'A\tA\tNN\tB-NP\tO' +p301878 +aS'Hospital\tHospital\tNN\tI-NP\tO' +p301879 +aS'where\twhere\tWRB\tB-ADVP\tO' +p301880 +aS'she\tshe\tPRP\tB-NP\tO' +p301881 +aS'will\twill\tMD\tB-VP\tO' +p301882 +aS'receive\treceive\tVB\tI-VP\tO' +p301883 +aS'onsite\tonsite\tNN\tB-NP\tO' +p301884 +aS'hemodialysis\themodialysis\tNN\tI-NP\tO' +p301885 +aS'three\tthree\tCD\tB-NP\tO' +p301886 +aS'times\ttime\tNNS\tI-NP\tO' +p301887 +aS'per\tper\tIN\tB-PP\tO' +p301888 +aS'week\tweek\tNN\tB-NP\tO' +p301889 +aS'on\ton\tIN\tB-PP\tO' +p301890 +aS'Monday\tMonday\tNNP\tB-NP\tO' +p301891 +aS',\t,\t,\tO\tO' +p301892 +aS'Wednesday\tWednesday\tNNP\tB-NP\tO' +p301893 +aS'and\tand\tCC\tO\tO' +p301894 +aS'Friday\tFriday\tNNP\tB-NP\tO' +p301895 +aS'.\t.\t.\tO\tO' +p301896 +asS'Hematocrit 23 .' +p301897 +(lp301898 +S'Hematocrit\tHematocrit\tNN\tB-NP\tB-protein' +p301899 +aS'23\t23\tCD\tI-NP\tI-protein' +p301900 +aS'.\t.\t.\tO\tO' +p301901 +asS'His right tib / fib fracture was repaired by Orthopedics on 10-27 ; postoperatively there were no complications .' +p301902 +(lp301903 +S'His\tHis\tPRP$\tB-NP\tO' +p301904 +aS'right\tright\tJJ\tI-NP\tO' +p301905 +aS'tib\ttib\tNN\tI-NP\tO' +p301906 +aS'/\t/\tSYM\tB-NP\tO' +p301907 +aS'fib\tfib\tNN\tI-NP\tO' +p301908 +aS'fracture\tfracture\tNN\tI-NP\tO' +p301909 +aS'was\tbe\tVBD\tB-VP\tO' +p301910 +aS'repaired\trepair\tVBN\tI-VP\tO' +p301911 +aS'by\tby\tIN\tB-PP\tO' +p301912 +aS'Orthopedics\tOrthopedic\tNNS\tB-NP\tO' +p301913 +aS'on\ton\tIN\tB-PP\tO' +p301914 +aS'10-27\t10-27\tCD\tB-NP\tO' +p301915 +aS';\t;\t:\tO\tO' +p301916 +aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' +p301917 +aS'there\tthere\tEX\tB-NP\tO' +p301918 +aS'were\tbe\tVBD\tB-VP\tO' +p301919 +aS'no\tno\tDT\tB-NP\tO' +p301920 +aS'complications\tcomplication\tNNS\tI-NP\tO' +p301921 +aS'.\t.\t.\tO\tO' +p301922 +asS'NO murmurs , rubs or gallops .' +p301923 +(lp301924 +S'NO\tNO\tNN\tB-NP\tO' +p301925 +aS'murmurs\tmurmur\tNNS\tI-NP\tO' +p301926 +aS',\t,\t,\tO\tO' +p301927 +aS'rubs\trub\tNNS\tB-NP\tO' +p301928 +aS'or\tor\tCC\tI-NP\tO' +p301929 +aS'gallops\tgallop\tNNS\tI-NP\tO' +p301930 +aS'.\t.\t.\tO\tO' +p301931 +asS'Head CT demonstrated a large right intracerebral hemorrhage , centered around basal ganglia and putamen .' +p301932 +(lp301933 +S'Head\tHead\tNN\tB-NP\tO' +p301934 +aS'CT\tCT\tNN\tI-NP\tO' +p301935 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p301936 +aS'a\ta\tDT\tB-NP\tO' +p301937 +aS'large\tlarge\tJJ\tI-NP\tO' +p301938 +aS'right\tright\tJJ\tI-NP\tO' +p301939 +aS'intracerebral\tintracerebral\tJJ\tI-NP\tO' +p301940 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p301941 +aS',\t,\t,\tO\tO' +p301942 +aS'centered\tcenter\tVBN\tB-ADJP\tO' +p301943 +aS'around\taround\tIN\tB-PP\tO' +p301944 +aS'basal\tbasal\tJJ\tB-NP\tB-cell_type' +p301945 +aS'ganglia\tganglia\tNNS\tI-NP\tI-cell_type' +p301946 +aS'and\tand\tCC\tI-NP\tO' +p301947 +aS'putamen\tputaman\tNNS\tI-NP\tO' +p301948 +aS'.\t.\t.\tO\tO' +p301949 +asS'She presented to her primary care physician , Dr. Tlandtaze , in Aersing Rocuch Sun , who obtained a CT scan , which demonstrated a mass in the tail of the pancreas .' +p301950 +(lp301951 +S'She\tShe\tPRP\tB-NP\tO' +p301952 +aS'presented\tpresent\tVBD\tB-VP\tO' +p301953 +aS'to\tto\tTO\tB-PP\tO' +p301954 +aS'her\ther\tPRP$\tB-NP\tO' +p301955 +aS'primary\tprimary\tJJ\tI-NP\tO' +p301956 +aS'care\tcare\tNN\tI-NP\tO' +p301957 +aS'physician\tphysician\tNN\tI-NP\tO' +p301958 +aS',\t,\t,\tO\tO' +p301959 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p301960 +aS'Tlandtaze\tTlandtaze\tNNP\tI-NP\tO' +p301961 +aS',\t,\t,\tO\tO' +p301962 +aS'in\tin\tIN\tB-PP\tO' +p301963 +aS'Aersing\tAersing\tNNP\tB-NP\tO' +p301964 +aS'Rocuch\tRocuch\tNNP\tI-NP\tO' +p301965 +aS'Sun\tSun\tNNP\tI-NP\tO' +p301966 +aS',\t,\t,\tO\tO' +p301967 +aS'who\twho\tWP\tB-NP\tO' +p301968 +aS'obtained\tobtain\tVBD\tB-VP\tO' +p301969 +aS'a\ta\tDT\tB-NP\tO' +p301970 +aS'CT\tCT\tNN\tI-NP\tO' +p301971 +aS'scan\tscan\tNN\tI-NP\tO' +p301972 +aS',\t,\t,\tO\tO' +p301973 +aS'which\twhich\tWDT\tB-NP\tO' +p301974 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p301975 +aS'a\ta\tDT\tB-NP\tO' +p301976 +aS'mass\tmass\tNN\tI-NP\tO' +p301977 +aS'in\tin\tIN\tB-PP\tO' +p301978 +aS'the\tthe\tDT\tB-NP\tO' +p301979 +aS'tail\ttail\tNN\tI-NP\tO' +p301980 +aS'of\tof\tIN\tB-PP\tO' +p301981 +aS'the\tthe\tDT\tB-NP\tO' +p301982 +aS'pancreas\tpancreas\tNN\tI-NP\tO' +p301983 +aS'.\t.\t.\tO\tO' +p301984 +asS'He was initially treated with IV Decadron 10 mg up front and then 6 mg q6h.' +p301985 +(lp301986 +S'He\tHe\tPRP\tB-NP\tO' +p301987 +aS'was\tbe\tVBD\tB-VP\tO' +p301988 +aS'initially\tinitially\tRB\tI-VP\tO' +p301989 +aS'treated\ttreat\tVBN\tI-VP\tO' +p301990 +aS'with\twith\tIN\tB-PP\tO' +p301991 +aS'IV\tIV\tCD\tB-NP\tO' +p301992 +aS'Decadron\tDecadron\tNNP\tI-NP\tO' +p301993 +aS'10\t10\tCD\tI-NP\tO' +p301994 +aS'mg\tmg\tNN\tI-NP\tO' +p301995 +aS'up\tup\tIN\tB-PP\tO' +p301996 +aS'front\tfront\tNN\tB-NP\tO' +p301997 +aS'and\tand\tCC\tO\tO' +p301998 +aS'then\tthen\tRB\tO\tO' +p301999 +aS'6\t6\tCD\tB-NP\tO' +p302000 +aS'mg\tmg\tNN\tI-NP\tO' +p302001 +aS'q6h.\tq6h.\tNN\tI-NP\tO' +p302002 +asS'On admission revealed a pleasant , comfortable , tired appearing female .' +p302003 +(lp302004 +S'On\tOn\tIN\tB-PP\tO' +p302005 +aS'admission\tadmission\tNN\tB-NP\tO' +p302006 +aS'revealed\treveal\tVBD\tB-VP\tO' +p302007 +aS'a\ta\tDT\tB-NP\tO' +p302008 +aS'pleasant\tpleasant\tJJ\tI-NP\tO' +p302009 +aS',\t,\t,\tI-NP\tO' +p302010 +aS'comfortable\tcomfortable\tJJ\tI-NP\tO' +p302011 +aS',\t,\t,\tO\tO' +p302012 +aS'tired\ttire\tVBD\tB-VP\tO' +p302013 +aS'appearing\tappear\tVBG\tI-VP\tO' +p302014 +aS'female\tfemale\tJJ\tB-ADJP\tO' +p302015 +aS'.\t.\t.\tO\tO' +p302016 +asS'please follow-up with dr. Lillian becker in gastroenterology within 1-2 weeks , an appointment has been made for on you 2019-02-11 at 3PM .' +p302017 +(lp302018 +S'please\tplease\tVB\tB-VP\tO' +p302019 +aS'follow-up\tfollow-up\tNN\tB-NP\tO' +p302020 +aS'with\twith\tIN\tB-PP\tO' +p302021 +aS'dr.\tdr.\tNN\tB-NP\tO' +p302022 +aS'Lillian\tLillian\tJJ\tI-NP\tO' +p302023 +aS'becker\tbecker\tNN\tI-NP\tO' +p302024 +aS'in\tin\tIN\tB-PP\tO' +p302025 +aS'gastroenterology\tgastroenterology\tNN\tB-NP\tO' +p302026 +aS'within\twithin\tIN\tB-PP\tO' +p302027 +aS'1-2\t1-2\tCD\tB-NP\tO' +p302028 +aS'weeks\tweek\tNNS\tI-NP\tO' +p302029 +aS',\t,\t,\tO\tO' +p302030 +aS'an\tan\tDT\tB-NP\tO' +p302031 +aS'appointment\tappointment\tNN\tI-NP\tO' +p302032 +aS'has\thave\tVBZ\tB-VP\tO' +p302033 +aS'been\tbe\tVBN\tI-VP\tO' +p302034 +aS'made\tmake\tVBN\tI-VP\tO' +p302035 +aS'for\tfor\tIN\tB-PP\tO' +p302036 +aS'on\ton\tIN\tB-PP\tO' +p302037 +aS'you\tyou\tPRP\tB-NP\tO' +p302038 +aS'2019-02-11\t2019-02-11\tCD\tI-NP\tO' +p302039 +aS'at\tat\tIN\tB-PP\tO' +p302040 +aS'3PM\t3PM\tNN\tB-NP\tO' +p302041 +aS'.\t.\t.\tO\tO' +p302042 +asS'OF NOTE , Nortriptyline level came back as 43 ( SUBTHERAPEUTIC -- NORMAL 50-150 ) .' +p302043 +(lp302044 +S'OF\tOF\tIN\tB-PP\tO' +p302045 +aS'NOTE\tNOTE\tNN\tB-NP\tO' +p302046 +aS',\t,\t,\tO\tO' +p302047 +aS'Nortriptyline\tNortriptyline\tNN\tB-NP\tO' +p302048 +aS'level\tlevel\tNN\tI-NP\tO' +p302049 +aS'came\tcome\tVBD\tB-VP\tO' +p302050 +aS'back\tback\tRB\tB-ADVP\tO' +p302051 +aS'as\tas\tIN\tB-PP\tO' +p302052 +aS'43\t43\tCD\tB-NP\tO' +p302053 +aS'(\t(\t(\tO\tO' +p302054 +aS'SUBTHERAPEUTIC\tSUBTHERAPEUTIC\tNN\tB-NP\tO' +p302055 +aS'--\t--\t:\tO\tO' +p302056 +aS'NORMAL\tNORMAL\tNN\tB-NP\tO' +p302057 +aS'50-150\t50-150\tCD\tI-NP\tO' +p302058 +aS')\t)\t)\tO\tO' +p302059 +aS'.\t.\t.\tO\tO' +p302060 +asS'CXR negative .' +p302061 +(lp302062 +S'CXR\tCXR\tNN\tB-NP\tB-protein' +p302063 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p302064 +aS'.\t.\t.\tO\tO' +p302065 +asS'On POD#1 , Mr. Morton received 2 units of pRBCs for post-op anemia ( Hct 25 ).' +p302066 +(lp302067 +S'On\tOn\tIN\tB-PP\tO' +p302068 +aS'POD#1\tPOD#1\tNN\tB-NP\tB-protein' +p302069 +aS',\t,\t,\tO\tO' +p302070 +aS'Mr.\tMr.\tNNP\tB-NP\tO' +p302071 +aS'Morton\tMorton\tNNP\tI-NP\tO' +p302072 +aS'received\treceive\tVBD\tB-VP\tO' +p302073 +aS'2\t2\tCD\tB-NP\tO' +p302074 +aS'units\tunit\tNNS\tI-NP\tO' +p302075 +aS'of\tof\tIN\tB-PP\tO' +p302076 +aS'pRBCs\tpRBC\tNNS\tB-NP\tB-cell_type' +p302077 +aS'for\tfor\tIN\tB-PP\tO' +p302078 +aS'post-op\tpost-op\tJJ\tB-NP\tO' +p302079 +aS'anemia\tanemia\tNN\tI-NP\tO' +p302080 +aS'(\t(\t(\tO\tO' +p302081 +aS'Hct\tHct\tNN\tB-NP\tO' +p302082 +aS'25\t25\tCD\tI-NP\tO' +p302083 +aS').\t).\t.\tO\tO' +p302084 +asS'PERTINENT EXAMINATION demonstrated mild elevation of her jugular venous pulse , with prominent V-waves , and systolic and diastolic murmurs .' +p302085 +(lp302086 +S'PERTINENT\tPERTINENT\tNN\tB-NP\tO' +p302087 +aS'EXAMINATION\tEXAMINATION\tNN\tI-NP\tO' +p302088 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p302089 +aS'mild\tmild\tJJ\tB-NP\tO' +p302090 +aS'elevation\televation\tNN\tI-NP\tO' +p302091 +aS'of\tof\tIN\tB-PP\tO' +p302092 +aS'her\ther\tPRP$\tB-NP\tO' +p302093 +aS'jugular\tjugular\tJJ\tI-NP\tO' +p302094 +aS'venous\tvenous\tJJ\tI-NP\tO' +p302095 +aS'pulse\tpulse\tNN\tI-NP\tO' +p302096 +aS',\t,\t,\tO\tO' +p302097 +aS'with\twith\tIN\tB-PP\tO' +p302098 +aS'prominent\tprominent\tJJ\tB-NP\tO' +p302099 +aS'V-waves\tV-wave\tNNS\tI-NP\tO' +p302100 +aS',\t,\t,\tO\tO' +p302101 +aS'and\tand\tCC\tO\tO' +p302102 +aS'systolic\tsystolic\tJJ\tB-NP\tO' +p302103 +aS'and\tand\tCC\tI-NP\tO' +p302104 +aS'diastolic\tdiastolic\tJJ\tI-NP\tO' +p302105 +aS'murmurs\tmurmur\tNNS\tI-NP\tO' +p302106 +aS'.\t.\t.\tO\tO' +p302107 +asS'She was discharged back to a rehabilitation facility in good condition .' +p302108 +(lp302109 +S'She\tShe\tPRP\tB-NP\tO' +p302110 +aS'was\tbe\tVBD\tB-VP\tO' +p302111 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p302112 +aS'back\tback\tRB\tB-ADVP\tO' +p302113 +aS'to\tto\tTO\tB-PP\tO' +p302114 +aS'a\ta\tDT\tB-NP\tO' +p302115 +aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' +p302116 +aS'facility\tfacility\tNN\tI-NP\tO' +p302117 +aS'in\tin\tIN\tB-PP\tO' +p302118 +aS'good\tgood\tJJ\tB-NP\tO' +p302119 +aS'condition\tcondition\tNN\tI-NP\tO' +p302120 +aS'.\t.\t.\tO\tO' +p302121 +asS'This patient was admitted on 08-04 after a recent discharge from the hospital for sudden onset of left sided abdominal pain .' +p302122 +(lp302123 +S'This\tThis\tDT\tB-NP\tO' +p302124 +aS'patient\tpatient\tNN\tI-NP\tO' +p302125 +aS'was\tbe\tVBD\tB-VP\tO' +p302126 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p302127 +aS'on\ton\tIN\tB-PP\tO' +p302128 +aS'08-04\t08-04\tCD\tB-NP\tO' +p302129 +aS'after\tafter\tIN\tB-PP\tO' +p302130 +aS'a\ta\tDT\tB-NP\tO' +p302131 +aS'recent\trecent\tJJ\tI-NP\tO' +p302132 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p302133 +aS'from\tfrom\tIN\tB-PP\tO' +p302134 +aS'the\tthe\tDT\tB-NP\tO' +p302135 +aS'hospital\thospital\tNN\tI-NP\tO' +p302136 +aS'for\tfor\tIN\tB-PP\tO' +p302137 +aS'sudden\tsudden\tJJ\tB-NP\tO' +p302138 +aS'onset\tonset\tNN\tI-NP\tO' +p302139 +aS'of\tof\tIN\tB-PP\tO' +p302140 +aS'left\tleft\tJJ\tB-NP\tB-protein' +p302141 +aS'sided\tsided\tJJ\tI-NP\tI-protein' +p302142 +aS'abdominal\tabdominal\tJJ\tI-NP\tI-protein' +p302143 +aS'pain\tpain\tNN\tI-NP\tI-protein' +p302144 +aS'.\t.\t.\tO\tO' +p302145 +asS'The patient 's blood pressure has been ranging from approximately 140 to 160 systolic .' +p302146 +(lp302147 +S'The\tThe\tDT\tB-NP\tO' +p302148 +aS'patient\tpatient\tNN\tI-NP\tO' +p302149 +aS''s\t'\tNNS\tI-NP\tO' +p302150 +aS'blood\tblood\tNN\tI-NP\tO' +p302151 +aS'pressure\tpressure\tNN\tI-NP\tO' +p302152 +aS'has\thave\tVBZ\tB-VP\tO' +p302153 +aS'been\tbe\tVBN\tI-VP\tO' +p302154 +aS'ranging\trange\tVBG\tI-VP\tO' +p302155 +aS'from\tfrom\tIN\tB-PP\tO' +p302156 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p302157 +aS'140\t140\tCD\tI-NP\tO' +p302158 +aS'to\tto\tTO\tI-NP\tO' +p302159 +aS'160\t160\tCD\tI-NP\tO' +p302160 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p302161 +aS'.\t.\t.\tO\tO' +p302162 +asS'Other meds : Paxil .' +p302163 +(lp302164 +S'Other\tOther\tJJ\tB-NP\tO' +p302165 +aS'meds\tmed\tNNS\tI-NP\tO' +p302166 +aS':\t:\t:\tO\tO' +p302167 +aS'Paxil\tPaxil\tNN\tB-NP\tO' +p302168 +aS'.\t.\t.\tO\tO' +p302169 +asS'Dermatology was consulted and they felt that this was most likely steroid acne .' +p302170 +(lp302171 +S'Dermatology\tDermatology\tNN\tB-NP\tO' +p302172 +aS'was\tbe\tVBD\tB-VP\tO' +p302173 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p302174 +aS'and\tand\tCC\tO\tO' +p302175 +aS'they\tthey\tPRP\tB-NP\tO' +p302176 +aS'felt\tfeel\tVBD\tB-VP\tO' +p302177 +aS'that\tthat\tIN\tB-SBAR\tO' +p302178 +aS'this\tthis\tDT\tB-NP\tO' +p302179 +aS'was\tbe\tVBD\tB-VP\tO' +p302180 +aS'most\tmost\tRBS\tB-NP\tO' +p302181 +aS'likely\tlikely\tJJ\tI-NP\tO' +p302182 +aS'steroid\tsteroid\tNN\tI-NP\tO' +p302183 +aS'acne\tacne\tNN\tI-NP\tO' +p302184 +aS'.\t.\t.\tO\tO' +p302185 +asS'1. Born at less than 32 weeks ,' +p302186 +(lp302187 +S'1.\t1.\tLS\tB-LST\tO' +p302188 +aS'Born\tBorn\tNNP\tB-NP\tO' +p302189 +aS'at\tat\tIN\tB-PP\tO' +p302190 +aS'less\tless\tJJR\tB-NP\tO' +p302191 +aS'than\tthan\tIN\tI-NP\tO' +p302192 +aS'32\t32\tCD\tI-NP\tO' +p302193 +aS'weeks\tweek\tNNS\tI-NP\tO' +p302194 +aS',\t,\t,\tO\tO' +p302195 +asS'1. Born at less than 32 weeks .' +p302196 +(lp302197 +S'1.\t1.\tLS\tB-LST\tO' +p302198 +aS'Born\tBorn\tNNP\tB-NP\tO' +p302199 +aS'at\tat\tIN\tB-PP\tO' +p302200 +aS'less\tless\tJJR\tB-NP\tO' +p302201 +aS'than\tthan\tIN\tI-NP\tO' +p302202 +aS'32\t32\tCD\tI-NP\tO' +p302203 +aS'weeks\tweek\tNNS\tI-NP\tO' +p302204 +aS'.\t.\t.\tO\tO' +p302205 +asS'The patient was consented for both procedures and brought to the Operating Room .' +p302206 +(lp302207 +S'The\tThe\tDT\tB-NP\tO' +p302208 +aS'patient\tpatient\tNN\tI-NP\tO' +p302209 +aS'was\tbe\tVBD\tB-VP\tO' +p302210 +aS'consented\tconsent\tVBN\tI-VP\tO' +p302211 +aS'for\tfor\tIN\tB-PP\tO' +p302212 +aS'both\tboth\tDT\tB-NP\tO' +p302213 +aS'procedures\tprocedure\tNNS\tI-NP\tO' +p302214 +aS'and\tand\tCC\tO\tO' +p302215 +aS'brought\tbring\tVBN\tB-VP\tO' +p302216 +aS'to\tto\tTO\tB-PP\tO' +p302217 +aS'the\tthe\tDT\tB-NP\tO' +p302218 +aS'Operating\tOperating\tNNP\tI-NP\tO' +p302219 +aS'Room\tRoom\tNNP\tI-NP\tO' +p302220 +aS'.\t.\t.\tO\tO' +p302221 +asS'She was transferred to the Coronary Care Unit in stable condition and still intubated .' +p302222 +(lp302223 +S'She\tShe\tPRP\tB-NP\tO' +p302224 +aS'was\tbe\tVBD\tB-VP\tO' +p302225 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p302226 +aS'to\tto\tTO\tB-PP\tO' +p302227 +aS'the\tthe\tDT\tB-NP\tO' +p302228 +aS'Coronary\tCoronary\tNNP\tI-NP\tO' +p302229 +aS'Care\tCare\tNNP\tI-NP\tO' +p302230 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p302231 +aS'in\tin\tIN\tB-PP\tO' +p302232 +aS'stable\tstable\tJJ\tB-NP\tO' +p302233 +aS'condition\tcondition\tNN\tI-NP\tO' +p302234 +aS'and\tand\tCC\tO\tO' +p302235 +aS'still\tstill\tRB\tB-VP\tO' +p302236 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p302237 +aS'.\t.\t.\tO\tO' +p302238 +asS'She has had continuing vaginal discharge , and was diagnosed with bacterial vaginosis one day prior to admission , and was given a prescription for Flagyl .' +p302239 +(lp302240 +S'She\tShe\tPRP\tB-NP\tO' +p302241 +aS'has\thave\tVBZ\tB-VP\tO' +p302242 +aS'had\thave\tVBN\tI-VP\tO' +p302243 +aS'continuing\tcontinue\tVBG\tI-VP\tO' +p302244 +aS'vaginal\tvaginal\tJJ\tB-NP\tO' +p302245 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p302246 +aS',\t,\t,\tO\tO' +p302247 +aS'and\tand\tCC\tO\tO' +p302248 +aS'was\tbe\tVBD\tB-VP\tO' +p302249 +aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' +p302250 +aS'with\twith\tIN\tB-PP\tO' +p302251 +aS'bacterial\tbacterial\tJJ\tB-NP\tO' +p302252 +aS'vaginosis\tvaginosis\tNN\tI-NP\tO' +p302253 +aS'one\tone\tCD\tB-NP\tO' +p302254 +aS'day\tday\tNN\tI-NP\tO' +p302255 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p302256 +aS'to\tto\tTO\tB-PP\tO' +p302257 +aS'admission\tadmission\tNN\tB-NP\tO' +p302258 +aS',\t,\t,\tO\tO' +p302259 +aS'and\tand\tCC\tO\tO' +p302260 +aS'was\tbe\tVBD\tB-VP\tO' +p302261 +aS'given\tgive\tVBN\tI-VP\tO' +p302262 +aS'a\ta\tDT\tB-NP\tO' +p302263 +aS'prescription\tprescription\tNN\tI-NP\tO' +p302264 +aS'for\tfor\tIN\tB-PP\tO' +p302265 +aS'Flagyl\tFlagyl\tNN\tB-NP\tO' +p302266 +aS'.\t.\t.\tO\tO' +p302267 +asS'1. Born at less than 32 weeks ;' +p302268 +(lp302269 +S'1.\t1.\tLS\tB-LST\tO' +p302270 +aS'Born\tBorn\tNNP\tB-NP\tO' +p302271 +aS'at\tat\tIN\tB-PP\tO' +p302272 +aS'less\tless\tJJR\tB-NP\tO' +p302273 +aS'than\tthan\tIN\tI-NP\tO' +p302274 +aS'32\t32\tCD\tI-NP\tO' +p302275 +aS'weeks\tweek\tNNS\tI-NP\tO' +p302276 +aS';\t;\t:\tO\tO' +p302277 +asS'Pupils are equal , round , and reactive to light .' +p302278 +(lp302279 +S'Pupils\tPupil\tNNS\tB-NP\tO' +p302280 +aS'are\tbe\tVBP\tB-VP\tO' +p302281 +aS'equal\tequal\tJJ\tB-ADJP\tO' +p302282 +aS',\t,\t,\tO\tO' +p302283 +aS'round\tround\tJJ\tB-ADJP\tO' +p302284 +aS',\t,\t,\tO\tO' +p302285 +aS'and\tand\tCC\tO\tO' +p302286 +aS'reactive\treactive\tJJ\tB-ADJP\tO' +p302287 +aS'to\tto\tTO\tB-PP\tO' +p302288 +aS'light\tlight\tNN\tB-NP\tO' +p302289 +aS'.\t.\t.\tO\tO' +p302290 +asS'regular rate and rhythm , normal first and second heart sounds , no murmur , rub or gallop .' +p302291 +(lp302292 +S'regular\tregular\tJJ\tB-NP\tO' +p302293 +aS'rate\trate\tNN\tI-NP\tO' +p302294 +aS'and\tand\tCC\tI-NP\tO' +p302295 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p302296 +aS',\t,\t,\tO\tO' +p302297 +aS'normal\tnormal\tJJ\tB-NP\tO' +p302298 +aS'first\tfirst\tJJ\tI-NP\tO' +p302299 +aS'and\tand\tCC\tI-NP\tO' +p302300 +aS'second\tsecond\tJJ\tI-NP\tO' +p302301 +aS'heart\theart\tNN\tI-NP\tO' +p302302 +aS'sounds\tsound\tNNS\tI-NP\tO' +p302303 +aS',\t,\t,\tO\tO' +p302304 +aS'no\tno\tDT\tB-NP\tO' +p302305 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p302306 +aS',\t,\t,\tI-NP\tO' +p302307 +aS'rub\trub\tNN\tI-NP\tO' +p302308 +aS'or\tor\tCC\tI-NP\tO' +p302309 +aS'gallop\tgallop\tNN\tI-NP\tO' +p302310 +aS'.\t.\t.\tO\tO' +p302311 +asS'The plan is for alternating feeds .' +p302312 +(lp302313 +S'The\tThe\tDT\tB-NP\tO' +p302314 +aS'plan\tplan\tNN\tI-NP\tO' +p302315 +aS'is\tbe\tVBZ\tB-VP\tO' +p302316 +aS'for\tfor\tIN\tB-PP\tO' +p302317 +aS'alternating\talternate\tVBG\tB-VP\tO' +p302318 +aS'feeds\tfeed\tNNS\tB-NP\tO' +p302319 +aS'.\t.\t.\tO\tO' +p302320 +asS'He may need further glucose monitoring in the future .' +p302321 +(lp302322 +S'He\tHe\tPRP\tB-NP\tO' +p302323 +aS'may\tmay\tMD\tB-VP\tO' +p302324 +aS'need\tneed\tVB\tI-VP\tO' +p302325 +aS'further\tfurther\tJJ\tB-NP\tO' +p302326 +aS'glucose\tglucose\tNN\tI-NP\tO' +p302327 +aS'monitoring\tmonitoring\tNN\tI-NP\tO' +p302328 +aS'in\tin\tIN\tB-PP\tO' +p302329 +aS'the\tthe\tDT\tB-NP\tO' +p302330 +aS'future\tfuture\tNN\tI-NP\tO' +p302331 +aS'.\t.\t.\tO\tO' +p302332 +asS'Amphotericin B 40 mg. qday .' +p302333 +(lp302334 +S'Amphotericin\tAmphotericin\tNN\tB-NP\tO' +p302335 +aS'B\tB\tNN\tI-NP\tO' +p302336 +aS'40\t40\tCD\tI-NP\tO' +p302337 +aS'mg.\tmg.\tNN\tI-NP\tO' +p302338 +aS'qday\tqday\tNN\tI-NP\tO' +p302339 +aS'.\t.\t.\tO\tO' +p302340 +asS'The pain became worse over the next few minutes to 07-12 and increased to 10-12 while he was in the ambulance .' +p302341 +(lp302342 +S'The\tThe\tDT\tB-NP\tO' +p302343 +aS'pain\tpain\tNN\tI-NP\tO' +p302344 +aS'became\tbecome\tVBD\tB-VP\tO' +p302345 +aS'worse\tworse\tJJR\tB-ADJP\tO' +p302346 +aS'over\tover\tIN\tB-PP\tO' +p302347 +aS'the\tthe\tDT\tB-NP\tO' +p302348 +aS'next\tnext\tJJ\tI-NP\tO' +p302349 +aS'few\tfew\tJJ\tI-NP\tO' +p302350 +aS'minutes\tminute\tNNS\tI-NP\tO' +p302351 +aS'to\tto\tTO\tB-PP\tO' +p302352 +aS'07-12\t07-12\tCD\tB-NP\tO' +p302353 +aS'and\tand\tCC\tO\tO' +p302354 +aS'increased\tincrease\tVBD\tB-VP\tO' +p302355 +aS'to\tto\tTO\tB-PP\tO' +p302356 +aS'10-12\t10-12\tCD\tB-NP\tO' +p302357 +aS'while\twhile\tIN\tB-SBAR\tO' +p302358 +aS'he\the\tPRP\tB-NP\tO' +p302359 +aS'was\tbe\tVBD\tB-VP\tO' +p302360 +aS'in\tin\tIN\tB-PP\tO' +p302361 +aS'the\tthe\tDT\tB-NP\tO' +p302362 +aS'ambulance\tambulance\tNN\tI-NP\tO' +p302363 +aS'.\t.\t.\tO\tO' +p302364 +asS'The septal leaflets may be partially absent , but there are no coronal images provided for confirmation and the pituitary stalk is present .' +p302365 +(lp302366 +S'The\tThe\tDT\tB-NP\tO' +p302367 +aS'septal\tseptal\tJJ\tI-NP\tO' +p302368 +aS'leaflets\tleaflet\tNNS\tI-NP\tO' +p302369 +aS'may\tmay\tMD\tB-VP\tO' +p302370 +aS'be\tbe\tVB\tI-VP\tO' +p302371 +aS'partially\tpartially\tRB\tB-ADJP\tO' +p302372 +aS'absent\tabsent\tJJ\tI-ADJP\tO' +p302373 +aS',\t,\t,\tO\tO' +p302374 +aS'but\tbut\tCC\tO\tO' +p302375 +aS'there\tthere\tEX\tB-NP\tO' +p302376 +aS'are\tbe\tVBP\tB-VP\tO' +p302377 +aS'no\tno\tDT\tB-NP\tO' +p302378 +aS'coronal\tcoronal\tJJ\tI-NP\tO' +p302379 +aS'images\timage\tNNS\tI-NP\tO' +p302380 +aS'provided\tprovide\tVBN\tB-VP\tO' +p302381 +aS'for\tfor\tIN\tB-PP\tO' +p302382 +aS'confirmation\tconfirmation\tNN\tB-NP\tO' +p302383 +aS'and\tand\tCC\tO\tO' +p302384 +aS'the\tthe\tDT\tB-NP\tO' +p302385 +aS'pituitary\tpituitary\tJJ\tI-NP\tB-protein' +p302386 +aS'stalk\tstalk\tNN\tI-NP\tI-protein' +p302387 +aS'is\tbe\tVBZ\tB-VP\tO' +p302388 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p302389 +aS'.\t.\t.\tO\tO' +p302390 +asS'He will follow-up with Dr. de la Cisneros , Dr. Belt , his cardiologist and his primary care physician as an outpatient .' +p302391 +(lp302392 +S'He\tHe\tPRP\tB-NP\tO' +p302393 +aS'will\twill\tMD\tB-VP\tO' +p302394 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p302395 +aS'with\twith\tIN\tB-PP\tO' +p302396 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p302397 +aS'de\tde\tNNP\tI-NP\tO' +p302398 +aS'la\tla\tNNP\tI-NP\tO' +p302399 +aS'Cisneros\tCisneros\tNNP\tI-NP\tO' +p302400 +aS',\t,\t,\tO\tO' +p302401 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p302402 +aS'Belt\tBelt\tNNP\tI-NP\tO' +p302403 +aS',\t,\t,\tO\tO' +p302404 +aS'his\this\tPRP$\tB-NP\tO' +p302405 +aS'cardiologist\tcardiologist\tNN\tI-NP\tO' +p302406 +aS'and\tand\tCC\tO\tO' +p302407 +aS'his\this\tPRP$\tB-NP\tO' +p302408 +aS'primary\tprimary\tJJ\tI-NP\tO' +p302409 +aS'care\tcare\tNN\tI-NP\tO' +p302410 +aS'physician\tphysician\tNN\tI-NP\tO' +p302411 +aS'as\tas\tIN\tB-PP\tO' +p302412 +aS'an\tan\tDT\tB-NP\tO' +p302413 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p302414 +aS'.\t.\t.\tO\tO' +p302415 +asS'She did receive her VP-16 without complication .' +p302416 +(lp302417 +S'She\tShe\tPRP\tB-NP\tO' +p302418 +aS'did\tdo\tVBD\tB-VP\tO' +p302419 +aS'receive\treceive\tVB\tI-VP\tO' +p302420 +aS'her\ther\tPRP$\tB-NP\tO' +p302421 +aS'VP-16\tVP-16\tNN\tI-NP\tB-protein' +p302422 +aS'without\twithout\tIN\tB-PP\tO' +p302423 +aS'complication\tcomplication\tNN\tB-NP\tO' +p302424 +aS'.\t.\t.\tO\tO' +p302425 +asS'9. Magnesium Hydroxide 400 mg / 5 mL Suspension Sig : Thirty ( 30 ) ML PO Q6H ( every 6 hours ) as needed .' +p302426 +(lp302427 +S'9.\t9.\tLS\tB-NP\tO' +p302428 +aS'Magnesium\tMagnesium\tNNP\tI-NP\tO' +p302429 +aS'Hydroxide\tHydroxide\tNNP\tI-NP\tO' +p302430 +aS'400\t400\tCD\tI-NP\tO' +p302431 +aS'mg\tmg\tNN\tI-NP\tO' +p302432 +aS'/\t/\tSYM\tB-NP\tO' +p302433 +aS'5\t5\tCD\tB-NP\tO' +p302434 +aS'mL\tmL\tNN\tI-NP\tO' +p302435 +aS'Suspension\tSuspension\tNNP\tI-NP\tO' +p302436 +aS'Sig\tSig\tNNP\tI-NP\tO' +p302437 +aS':\t:\t:\tO\tO' +p302438 +aS'Thirty\tThirty\tCD\tB-NP\tO' +p302439 +aS'(\t(\t(\tO\tO' +p302440 +aS'30\t30\tCD\tO\tO' +p302441 +aS')\t)\t)\tO\tO' +p302442 +aS'ML\tML\tNN\tB-NP\tO' +p302443 +aS'PO\tPO\tNN\tI-NP\tO' +p302444 +aS'Q6H\tQ6H\tNN\tI-NP\tO' +p302445 +aS'(\t(\t(\tO\tO' +p302446 +aS'every\tevery\tDT\tB-NP\tO' +p302447 +aS'6\t6\tCD\tI-NP\tO' +p302448 +aS'hours\thour\tNNS\tI-NP\tO' +p302449 +aS')\t)\t)\tO\tO' +p302450 +aS'as\tas\tIN\tB-SBAR\tO' +p302451 +aS'needed\tneed\tVBN\tB-VP\tO' +p302452 +aS'.\t.\t.\tO\tO' +p302453 +asS'6. Senna 8.6 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ) .' +p302454 +(lp302455 +S'6.\t6.\tCD\tB-NP\tO' +p302456 +aS'Senna\tSenna\tNNP\tI-NP\tO' +p302457 +aS'8.6\t8.6\tCD\tI-NP\tO' +p302458 +aS'mg\tmg\tNN\tI-NP\tO' +p302459 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p302460 +aS'Sig\tSig\tNNP\tI-NP\tO' +p302461 +aS':\t:\t:\tO\tO' +p302462 +aS'One\tOne\tCD\tB-NP\tO' +p302463 +aS'(\t(\t(\tO\tO' +p302464 +aS'1\t1\tCD\tB-NP\tO' +p302465 +aS')\t)\t)\tO\tO' +p302466 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p302467 +aS'PO\tPO\tNN\tI-NP\tO' +p302468 +aS'BID\tBID\tNN\tI-NP\tO' +p302469 +aS'(\t(\t(\tO\tO' +p302470 +aS'2\t2\tCD\tB-NP\tO' +p302471 +aS'times\ttime\tNNS\tI-NP\tO' +p302472 +aS'a\ta\tDT\tB-NP\tO' +p302473 +aS'day\tday\tNN\tI-NP\tO' +p302474 +aS')\t)\t)\tO\tO' +p302475 +aS'.\t.\t.\tO\tO' +p302476 +asS'Include Glucovance 5/500 one tablet twice a day , Univasc 7.5 mg once daily , lasix 20 mg every other day , and aspirin 325 mg once daily .' +p302477 +(lp302478 +S'Include\tInclude\tNNP\tB-NP\tO' +p302479 +aS'Glucovance\tGlucovance\tNNP\tI-NP\tO' +p302480 +aS'5/500\t5/500\tCD\tI-NP\tO' +p302481 +aS'one\tone\tCD\tI-NP\tO' +p302482 +aS'tablet\ttablet\tNN\tI-NP\tO' +p302483 +aS'twice\ttwice\tRB\tB-NP\tO' +p302484 +aS'a\ta\tDT\tI-NP\tO' +p302485 +aS'day\tday\tNN\tI-NP\tO' +p302486 +aS',\t,\t,\tO\tO' +p302487 +aS'Univasc\tUnivasc\tNNP\tB-NP\tO' +p302488 +aS'7.5\t7.5\tCD\tI-NP\tO' +p302489 +aS'mg\tmg\tNN\tI-NP\tO' +p302490 +aS'once\tonce\tRB\tB-ADVP\tO' +p302491 +aS'daily\tdaily\tRB\tI-ADVP\tO' +p302492 +aS',\t,\t,\tO\tO' +p302493 +aS'lasix\tlasix\tCD\tB-NP\tO' +p302494 +aS'20\t20\tCD\tI-NP\tO' +p302495 +aS'mg\tmg\tNN\tI-NP\tO' +p302496 +aS'every\tevery\tDT\tB-NP\tO' +p302497 +aS'other\tother\tJJ\tI-NP\tO' +p302498 +aS'day\tday\tNN\tI-NP\tO' +p302499 +aS',\t,\t,\tO\tO' +p302500 +aS'and\tand\tCC\tO\tO' +p302501 +aS'aspirin\taspirin\tNN\tB-NP\tO' +p302502 +aS'325\t325\tCD\tI-NP\tO' +p302503 +aS'mg\tmg\tNN\tI-NP\tO' +p302504 +aS'once\tonce\tRB\tB-ADVP\tO' +p302505 +aS'daily\tdaily\tRB\tI-ADVP\tO' +p302506 +aS'.\t.\t.\tO\tO' +p302507 +asS'Heparin while having a demand ischemic episode' +p302508 +(lp302509 +S'Heparin\tHeparin\tNN\tB-NP\tO' +p302510 +aS'while\twhile\tIN\tB-SBAR\tO' +p302511 +aS'having\thave\tVBG\tB-VP\tO' +p302512 +aS'a\ta\tDT\tB-NP\tO' +p302513 +aS'demand\tdemand\tNN\tI-NP\tO' +p302514 +aS'ischemic\tischemic\tJJ\tI-NP\tO' +p302515 +aS'episode\tepisode\tNN\tI-NP\tO' +p302516 +asS'No exudate .' +p302517 +(lp302518 +S'No\tNo\tDT\tB-NP\tO' +p302519 +aS'exudate\texudate\tNN\tI-NP\tO' +p302520 +aS'.\t.\t.\tO\tO' +p302521 +asS'4. Infectious causes were evaluated .' +p302522 +(lp302523 +S'4.\t4.\tLS\tB-NP\tO' +p302524 +aS'Infectious\tInfectious\tJJ\tI-NP\tO' +p302525 +aS'causes\tcause\tNNS\tI-NP\tO' +p302526 +aS'were\tbe\tVBD\tB-VP\tO' +p302527 +aS'evaluated\tevaluate\tVBN\tI-VP\tO' +p302528 +aS'.\t.\t.\tO\tO' +p302529 +asS'3) No mass is appreciated on this limited non-contrast study ; if clinically concerned , an MRI with gadolinium is recommended .' +p302530 +(lp302531 +S'3)\t3)\tLS\tB-LST\tO' +p302532 +aS'No\tNo\tDT\tB-NP\tO' +p302533 +aS'mass\tmass\tNN\tI-NP\tO' +p302534 +aS'is\tbe\tVBZ\tB-VP\tO' +p302535 +aS'appreciated\tappreciate\tVBN\tI-VP\tO' +p302536 +aS'on\ton\tIN\tB-PP\tO' +p302537 +aS'this\tthis\tDT\tB-NP\tO' +p302538 +aS'limited\tlimited\tJJ\tI-NP\tO' +p302539 +aS'non-contrast\tnon-contrast\tJJ\tI-NP\tO' +p302540 +aS'study\tstudy\tNN\tI-NP\tO' +p302541 +aS';\t;\t:\tO\tO' +p302542 +aS'if\tif\tIN\tB-SBAR\tO' +p302543 +aS'clinically\tclinically\tRB\tB-ADVP\tO' +p302544 +aS'concerned\tconcern\tVBN\tB-VP\tO' +p302545 +aS',\t,\t,\tO\tO' +p302546 +aS'an\tan\tDT\tB-NP\tO' +p302547 +aS'MRI\tMRI\tNN\tI-NP\tB-protein' +p302548 +aS'with\twith\tIN\tB-PP\tO' +p302549 +aS'gadolinium\tgadolinium\tNN\tB-NP\tO' +p302550 +aS'is\tbe\tVBZ\tB-VP\tO' +p302551 +aS'recommended\trecommend\tVBN\tI-VP\tO' +p302552 +aS'.\t.\t.\tO\tO' +p302553 +asS'Following evaluation and treatment , the patient 's disposition at the end of the visit was ADMITTED AS AN INPATIENT TO DAUGHTERSVILLSHAMEN'S HOSPITAL .' +p302554 +(lp302555 +S'Following\tFollow\tVBG\tB-PP\tO' +p302556 +aS'evaluation\tevaluation\tNN\tB-NP\tO' +p302557 +aS'and\tand\tCC\tI-NP\tO' +p302558 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p302559 +aS',\t,\t,\tO\tO' +p302560 +aS'the\tthe\tDT\tB-NP\tO' +p302561 +aS'patient\tpatient\tNN\tI-NP\tO' +p302562 +aS''s\t'\tNNS\tI-NP\tO' +p302563 +aS'disposition\tdisposition\tNN\tI-NP\tO' +p302564 +aS'at\tat\tIN\tB-PP\tO' +p302565 +aS'the\tthe\tDT\tB-NP\tO' +p302566 +aS'end\tend\tNN\tI-NP\tO' +p302567 +aS'of\tof\tIN\tB-PP\tO' +p302568 +aS'the\tthe\tDT\tB-NP\tO' +p302569 +aS'visit\tvisit\tNN\tI-NP\tO' +p302570 +aS'was\tbe\tVBD\tB-VP\tO' +p302571 +aS'ADMITTED\tADMITTED\tVBN\tI-VP\tO' +p302572 +aS'AS\tAS\tJJ\tB-NP\tO' +p302573 +aS'AN\tAN\tNN\tI-NP\tO' +p302574 +aS'INPATIENT\tINPATIENT\tNN\tI-NP\tO' +p302575 +aS'TO\tTO\tTO\tB-PP\tO' +p302576 +aS'DAUGHTERSVILLSHAMEN'S\tDAUGHTERSVILLSHAMEN'S\tNNP\tB-NP\tO' +p302577 +aS'HOSPITAL\tHOSPITAL\tNNP\tI-NP\tO' +p302578 +aS'.\t.\t.\tO\tO' +p302579 +asS'LEFT PARIETAL GLIOBLASTOMA MULTIFORME .' +p302580 +(lp302581 +S'LEFT\tLEFT\tNN\tB-NP\tO' +p302582 +aS'PARIETAL\tPARIETAL\tNN\tI-NP\tO' +p302583 +aS'GLIOBLASTOMA\tGLIOBLASTOMA\tNN\tI-NP\tO' +p302584 +aS'MULTIFORME\tMULTIFORME\tNN\tI-NP\tO' +p302585 +aS'.\t.\t.\tO\tO' +p302586 +asS'CXR 11-06 : Allowing for technical changes , no major adverse interval change has occurred .' +p302587 +(lp302588 +S'CXR\tCXR\tNN\tB-NP\tO' +p302589 +aS'11-06\t11-06\tCD\tI-NP\tO' +p302590 +aS':\t:\t:\tO\tO' +p302591 +aS'Allowing\tAllow\tVBG\tB-VP\tO' +p302592 +aS'for\tfor\tIN\tB-PP\tO' +p302593 +aS'technical\ttechnical\tJJ\tB-NP\tO' +p302594 +aS'changes\tchange\tNNS\tI-NP\tO' +p302595 +aS',\t,\t,\tO\tO' +p302596 +aS'no\tno\tDT\tB-NP\tO' +p302597 +aS'major\tmajor\tJJ\tI-NP\tO' +p302598 +aS'adverse\tadverse\tJJ\tI-NP\tO' +p302599 +aS'interval\tinterval\tNN\tI-NP\tO' +p302600 +aS'change\tchange\tNN\tI-NP\tO' +p302601 +aS'has\thave\tVBZ\tB-VP\tO' +p302602 +aS'occurred\toccur\tVBN\tI-VP\tO' +p302603 +aS'.\t.\t.\tO\tO' +p302604 +asS'Ronald was pronounced dead at 06:59 am .' +p302605 +(lp302606 +S'Ronald\tRonald\tNNP\tB-NP\tO' +p302607 +aS'was\tbe\tVBD\tB-VP\tO' +p302608 +aS'pronounced\tpronounce\tVBN\tI-VP\tO' +p302609 +aS'dead\tdead\tJJ\tB-ADJP\tO' +p302610 +aS'at\tat\tIN\tB-PP\tO' +p302611 +aS'06:59\t06:59\tCD\tB-NP\tO' +p302612 +aS'am\tam\tNN\tI-NP\tO' +p302613 +aS'.\t.\t.\tO\tO' +p302614 +asS'She does not have a home health aide .' +p302615 +(lp302616 +S'She\tShe\tPRP\tB-NP\tO' +p302617 +aS'does\tdo\tVBZ\tB-VP\tO' +p302618 +aS'not\tnot\tRB\tI-VP\tO' +p302619 +aS'have\thave\tVB\tI-VP\tO' +p302620 +aS'a\ta\tDT\tB-NP\tO' +p302621 +aS'home\thome\tNN\tI-NP\tO' +p302622 +aS'health\thealth\tNN\tI-NP\tO' +p302623 +aS'aide\taide\tNN\tI-NP\tO' +p302624 +aS'.\t.\t.\tO\tO' +p302625 +asS'IMPRESSION : No new cortical territorial infarction or hemorrhage is identified .' +p302626 +(lp302627 +S'IMPRESSION\tIMPRESSION\tNN\tB-NP\tO' +p302628 +aS':\t:\t:\tO\tO' +p302629 +aS'No\tNo\tDT\tB-NP\tO' +p302630 +aS'new\tnew\tJJ\tI-NP\tO' +p302631 +aS'cortical\tcortical\tJJ\tI-NP\tO' +p302632 +aS'territorial\tterritorial\tJJ\tI-NP\tO' +p302633 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p302634 +aS'or\tor\tCC\tI-NP\tO' +p302635 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p302636 +aS'is\tbe\tVBZ\tB-VP\tO' +p302637 +aS'identified\tidentify\tVBN\tI-VP\tO' +p302638 +aS'.\t.\t.\tO\tO' +p302639 +asS'Her deep tendon reflexes are symmetric .' +p302640 +(lp302641 +S'Her\tHer\tPRP$\tB-NP\tO' +p302642 +aS'deep\tdeep\tJJ\tI-NP\tO' +p302643 +aS'tendon\ttendon\tNN\tI-NP\tO' +p302644 +aS'reflexes\treflex\tNNS\tI-NP\tO' +p302645 +aS'are\tbe\tVBP\tB-VP\tO' +p302646 +aS'symmetric\tsymmetric\tJJ\tB-ADJP\tO' +p302647 +aS'.\t.\t.\tO\tO' +p302648 +asS'The patient 's potassiums have been repeatedly low and require daily checks and repletion .' +p302649 +(lp302650 +S'The\tThe\tDT\tB-NP\tO' +p302651 +aS'patient\tpatient\tNN\tI-NP\tO' +p302652 +aS''s\t'\tNNS\tI-NP\tO' +p302653 +aS'potassiums\tpotassium\tNNS\tI-NP\tO' +p302654 +aS'have\thave\tVBP\tB-VP\tO' +p302655 +aS'been\tbe\tVBN\tI-VP\tO' +p302656 +aS'repeatedly\trepeatedly\tRB\tB-ADJP\tO' +p302657 +aS'low\tlow\tJJ\tI-ADJP\tO' +p302658 +aS'and\tand\tCC\tO\tO' +p302659 +aS'require\trequire\tVB\tB-VP\tO' +p302660 +aS'daily\tdaily\tJJ\tB-NP\tO' +p302661 +aS'checks\tcheck\tNNS\tI-NP\tO' +p302662 +aS'and\tand\tCC\tI-NP\tO' +p302663 +aS'repletion\trepletion\tNN\tI-NP\tO' +p302664 +aS'.\t.\t.\tO\tO' +p302665 +asS'CONTRAINDICATIONS for IV CONTRAST : renal failure' +p302666 +(lp302667 +S'CONTRAINDICATIONS\tCONTRAINDICATIONS\tNNS\tB-NP\tO' +p302668 +aS'for\tfor\tIN\tB-PP\tO' +p302669 +aS'IV\tIV\tCD\tB-NP\tO' +p302670 +aS'CONTRAST\tCONTRAST\tNN\tI-NP\tO' +p302671 +aS':\t:\t:\tO\tO' +p302672 +aS'renal\trenal\tJJ\tB-NP\tO' +p302673 +aS'failure\tfailure\tNN\tI-NP\tO' +p302674 +asS'2. The patient is to follow-up with Dr. Rota in three to four weeks .' +p302675 +(lp302676 +S'2.\t2.\tLS\tB-LST\tO' +p302677 +aS'The\tThe\tDT\tB-NP\tO' +p302678 +aS'patient\tpatient\tNN\tI-NP\tO' +p302679 +aS'is\tbe\tVBZ\tB-VP\tO' +p302680 +aS'to\tto\tTO\tB-VP\tO' +p302681 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p302682 +aS'with\twith\tIN\tB-PP\tO' +p302683 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p302684 +aS'Rota\tRota\tNNP\tI-NP\tO' +p302685 +aS'in\tin\tIN\tB-PP\tO' +p302686 +aS'three\tthree\tCD\tB-NP\tO' +p302687 +aS'to\tto\tTO\tI-NP\tO' +p302688 +aS'four\tfour\tCD\tI-NP\tO' +p302689 +aS'weeks\tweek\tNNS\tI-NP\tO' +p302690 +aS'.\t.\t.\tO\tO' +p302691 +asS'GI / Abdomen : soft .' +p302692 +(lp302693 +S'GI\tGI\tNN\tB-NP\tO' +p302694 +aS'/\t/\tSYM\tI-NP\tO' +p302695 +aS'Abdomen\tAbdomen\tNN\tI-NP\tO' +p302696 +aS':\t:\t:\tO\tO' +p302697 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p302698 +aS'.\t.\t.\tO\tO' +p302699 +asS'It was evaluated by the IR radiology .' +p302700 +(lp302701 +S'It\tIt\tPRP\tB-NP\tO' +p302702 +aS'was\tbe\tVBD\tB-VP\tO' +p302703 +aS'evaluated\tevaluate\tVBN\tI-VP\tO' +p302704 +aS'by\tby\tIN\tB-PP\tO' +p302705 +aS'the\tthe\tDT\tB-NP\tO' +p302706 +aS'IR\tIR\tNN\tI-NP\tO' +p302707 +aS'radiology\tradiology\tNN\tI-NP\tO' +p302708 +aS'.\t.\t.\tO\tO' +p302709 +asS'Her vital signs are stable , she is afebrile .' +p302710 +(lp302711 +S'Her\tHer\tPRP$\tB-NP\tO' +p302712 +aS'vital\tvital\tJJ\tI-NP\tO' +p302713 +aS'signs\tsign\tNNS\tI-NP\tO' +p302714 +aS'are\tbe\tVBP\tB-VP\tO' +p302715 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p302716 +aS',\t,\t,\tO\tO' +p302717 +aS'she\tshe\tPRP\tB-NP\tO' +p302718 +aS'is\tbe\tVBZ\tB-VP\tO' +p302719 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p302720 +aS'.\t.\t.\tO\tO' +p302721 +asS'The left forearm dressing was noted to be in place , clean , dry , and intact with no saturation .' +p302722 +(lp302723 +S'The\tThe\tDT\tB-NP\tO' +p302724 +aS'left\tleft\tJJ\tI-NP\tO' +p302725 +aS'forearm\tforearm\tNN\tI-NP\tO' +p302726 +aS'dressing\tdressing\tNN\tI-NP\tO' +p302727 +aS'was\tbe\tVBD\tB-VP\tO' +p302728 +aS'noted\tnote\tVBN\tI-VP\tO' +p302729 +aS'to\tto\tTO\tI-VP\tO' +p302730 +aS'be\tbe\tVB\tI-VP\tO' +p302731 +aS'in\tin\tIN\tB-PP\tO' +p302732 +aS'place\tplace\tNN\tB-NP\tO' +p302733 +aS',\t,\t,\tO\tO' +p302734 +aS'clean\tclean\tJJ\tB-NP\tO' +p302735 +aS',\t,\t,\tI-NP\tO' +p302736 +aS'dry\tdry\tJJ\tI-NP\tO' +p302737 +aS',\t,\t,\tO\tO' +p302738 +aS'and\tand\tCC\tO\tO' +p302739 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p302740 +aS'with\twith\tIN\tB-PP\tO' +p302741 +aS'no\tno\tDT\tB-NP\tO' +p302742 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p302743 +aS'.\t.\t.\tO\tO' +p302744 +asS'He was noted not have an increasing left-sided pleural effusion .' +p302745 +(lp302746 +S'He\tHe\tPRP\tB-NP\tO' +p302747 +aS'was\tbe\tVBD\tB-VP\tO' +p302748 +aS'noted\tnote\tVBN\tI-VP\tO' +p302749 +aS'not\tnot\tRB\tO\tO' +p302750 +aS'have\thave\tVB\tB-VP\tO' +p302751 +aS'an\tan\tDT\tB-NP\tO' +p302752 +aS'increasing\tincrease\tVBG\tI-NP\tO' +p302753 +aS'left-sided\tleft-sided\tJJ\tI-NP\tO' +p302754 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p302755 +aS'effusion\teffusion\tNN\tI-NP\tO' +p302756 +aS'.\t.\t.\tO\tO' +p302757 +asS'01-23 PICC placement .' +p302758 +(lp302759 +S'01-23\t01-23\tCD\tB-NP\tO' +p302760 +aS'PICC\tPICC\tNN\tI-NP\tO' +p302761 +aS'placement\tplacement\tNN\tI-NP\tO' +p302762 +aS'.\t.\t.\tO\tO' +p302763 +asS"As for the patient 's ALL and AML , the patient was started on a new chemotherapy protocol called hyper-CVAD on 2012-03-06 ." +p302764 +(lp302765 +S'As\tAs\tIN\tB-PP\tO' +p302766 +aS'for\tfor\tIN\tB-PP\tO' +p302767 +aS'the\tthe\tDT\tB-NP\tO' +p302768 +aS'patient\tpatient\tNN\tI-NP\tO' +p302769 +aS"'s\t's\tPOS\tB-NP\tO" +p302770 +aS'ALL\tALL\tNN\tI-NP\tO' +p302771 +aS'and\tand\tCC\tI-NP\tO' +p302772 +aS'AML\tAML\tNN\tI-NP\tO' +p302773 +aS',\t,\t,\tO\tO' +p302774 +aS'the\tthe\tDT\tB-NP\tO' +p302775 +aS'patient\tpatient\tNN\tI-NP\tO' +p302776 +aS'was\tbe\tVBD\tB-VP\tO' +p302777 +aS'started\tstart\tVBN\tI-VP\tO' +p302778 +aS'on\ton\tIN\tB-PP\tO' +p302779 +aS'a\ta\tDT\tB-NP\tO' +p302780 +aS'new\tnew\tJJ\tI-NP\tO' +p302781 +aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' +p302782 +aS'protocol\tprotocol\tNN\tI-NP\tO' +p302783 +aS'called\tcall\tVBN\tB-VP\tO' +p302784 +aS'hyper-CVAD\thyper-CVAD\tNN\tB-NP\tO' +p302785 +aS'on\ton\tIN\tB-PP\tO' +p302786 +aS'2012-03-06\t2012-03-06\tCD\tB-NP\tO' +p302787 +aS'.\t.\t.\tO\tO' +p302788 +asS'Infection / sepsis was not likely given she was afebrile and had no localizing sx with an improving lung exam and 02 requirement .' +p302789 +(lp302790 +S'Infection\tInfection\tNN\tB-NP\tO' +p302791 +aS'/\t/\tSYM\tI-NP\tO' +p302792 +aS'sepsis\tsepsis\tNN\tI-NP\tO' +p302793 +aS'was\tbe\tVBD\tB-VP\tO' +p302794 +aS'not\tnot\tRB\tI-VP\tO' +p302795 +aS'likely\tlikely\tRB\tI-VP\tO' +p302796 +aS'given\tgive\tVBN\tI-VP\tO' +p302797 +aS'she\tshe\tPRP\tB-NP\tO' +p302798 +aS'was\tbe\tVBD\tB-VP\tO' +p302799 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p302800 +aS'and\tand\tCC\tO\tO' +p302801 +aS'had\thave\tVBD\tB-VP\tO' +p302802 +aS'no\tno\tDT\tB-NP\tO' +p302803 +aS'localizing\tlocalize\tVBG\tI-NP\tO' +p302804 +aS'sx\tsx\tNN\tI-NP\tO' +p302805 +aS'with\twith\tIN\tB-PP\tO' +p302806 +aS'an\tan\tDT\tB-NP\tO' +p302807 +aS'improving\timprove\tVBG\tI-NP\tO' +p302808 +aS'lung\tlung\tNN\tI-NP\tO' +p302809 +aS'exam\texam\tNN\tI-NP\tO' +p302810 +aS'and\tand\tCC\tO\tO' +p302811 +aS'02\t02\tCD\tB-NP\tO' +p302812 +aS'requirement\trequirement\tNN\tI-NP\tO' +p302813 +aS'.\t.\t.\tO\tO' +p302814 +asS'Left ventriculogram demonstrates a mild mitral regurgitation and left ventricular ejection fraction of 58% with normal regional wall motion .' +p302815 +(lp302816 +S'Left\tLeave\tVBN\tB-NP\tO' +p302817 +aS'ventriculogram\tventriculogram\tNN\tI-NP\tO' +p302818 +aS'demonstrates\tdemonstrate\tVBZ\tB-VP\tO' +p302819 +aS'a\ta\tDT\tB-NP\tO' +p302820 +aS'mild\tmild\tJJ\tI-NP\tO' +p302821 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p302822 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p302823 +aS'and\tand\tCC\tO\tO' +p302824 +aS'left\tleave\tVBD\tB-VP\tO' +p302825 +aS'ventricular\tventricular\tJJ\tB-NP\tO' +p302826 +aS'ejection\tejection\tNN\tI-NP\tO' +p302827 +aS'fraction\tfraction\tNN\tI-NP\tO' +p302828 +aS'of\tof\tIN\tB-PP\tO' +p302829 +aS'58%\t58%\tNN\tB-NP\tO' +p302830 +aS'with\twith\tIN\tB-PP\tO' +p302831 +aS'normal\tnormal\tJJ\tB-NP\tO' +p302832 +aS'regional\tregional\tJJ\tI-NP\tO' +p302833 +aS'wall\twall\tNN\tI-NP\tO' +p302834 +aS'motion\tmotion\tNN\tI-NP\tO' +p302835 +aS'.\t.\t.\tO\tO' +p302836 +asS'Signed electronically by : DR. Mary van den Mosley on : WED 2015-10-14 7:16 PM' +p302837 +(lp302838 +S'Signed\tSign\tVBN\tB-VP\tO' +p302839 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p302840 +aS'by\tby\tIN\tB-PP\tO' +p302841 +aS':\t:\t:\tO\tO' +p302842 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p302843 +aS'Mary\tMary\tNNP\tI-NP\tO' +p302844 +aS'van\tvan\tNNP\tI-NP\tO' +p302845 +aS'den\tden\tNNP\tI-NP\tO' +p302846 +aS'Mosley\tMosley\tNNP\tI-NP\tO' +p302847 +aS'on\ton\tIN\tB-PP\tO' +p302848 +aS':\t:\t:\tO\tO' +p302849 +aS'WED\tWED\tVBD\tB-VP\tO' +p302850 +aS'2015-10-14\t2015-10-14\tCD\tB-NP\tO' +p302851 +aS'7:16\t7:16\tCD\tI-NP\tO' +p302852 +aS'PM\tPM\tNN\tI-NP\tO' +p302853 +asS'14. Regular insulin sliding scale .' +p302854 +(lp302855 +S'14.\t14.\tLS\tB-NP\tO' +p302856 +aS'Regular\tRegular\tJJ\tI-NP\tB-protein' +p302857 +aS'insulin\tinsulin\tNN\tI-NP\tI-protein' +p302858 +aS'sliding\tslide\tVBG\tB-VP\tO' +p302859 +aS'scale\tscale\tNN\tB-NP\tO' +p302860 +aS'.\t.\t.\tO\tO' +p302861 +asS'His intra-aortic balloon pump was weaned without problems .' +p302862 +(lp302863 +S'His\tHis\tPRP$\tB-NP\tO' +p302864 +aS'intra-aortic\tintra-aortic\tJJ\tI-NP\tO' +p302865 +aS'balloon\tballoon\tNN\tI-NP\tO' +p302866 +aS'pump\tpump\tNN\tI-NP\tO' +p302867 +aS'was\tbe\tVBD\tB-VP\tO' +p302868 +aS'weaned\twean\tVBN\tI-VP\tO' +p302869 +aS'without\twithout\tIN\tB-PP\tO' +p302870 +aS'problems\tproblem\tNNS\tB-NP\tO' +p302871 +aS'.\t.\t.\tO\tO' +p302872 +asS'There was a left ventricular heave and an S3 galop .' +p302873 +(lp302874 +S'There\tThere\tEX\tB-NP\tO' +p302875 +aS'was\tbe\tVBD\tB-VP\tO' +p302876 +aS'a\ta\tDT\tB-NP\tO' +p302877 +aS'left\tleft\tJJ\tI-NP\tO' +p302878 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p302879 +aS'heave\theave\tNN\tI-NP\tO' +p302880 +aS'and\tand\tCC\tO\tO' +p302881 +aS'an\tan\tDT\tB-NP\tO' +p302882 +aS'S3\tS3\tNN\tI-NP\tB-protein' +p302883 +aS'galop\tgalop\tNN\tI-NP\tI-protein' +p302884 +aS'.\t.\t.\tO\tO' +p302885 +asS"The baby 's bilirubin on 2018-12-31 , was 15.5 / 0.5 at which time double phototherapy was started ." +p302886 +(lp302887 +S'The\tThe\tDT\tB-NP\tO' +p302888 +aS'baby\tbaby\tNN\tI-NP\tO' +p302889 +aS"'s\t's\tPOS\tB-NP\tO" +p302890 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p302891 +aS'on\ton\tIN\tB-PP\tO' +p302892 +aS'2018-12-31\t2018-12-31\tCD\tB-NP\tO' +p302893 +aS',\t,\t,\tO\tO' +p302894 +aS'was\tbe\tVBD\tB-VP\tO' +p302895 +aS'15.5\t15.5\tCD\tB-NP\tO' +p302896 +aS'/\t/\tSYM\tB-NP\tO' +p302897 +aS'0.5\t0.5\tCD\tI-NP\tO' +p302898 +aS'at\tat\tIN\tB-PP\tO' +p302899 +aS'which\twhich\tWDT\tB-NP\tO' +p302900 +aS'time\ttime\tNN\tB-NP\tO' +p302901 +aS'double\tdouble\tJJ\tI-NP\tO' +p302902 +aS'phototherapy\tphototherapy\tNN\tI-NP\tO' +p302903 +aS'was\tbe\tVBD\tB-VP\tO' +p302904 +aS'started\tstart\tVBN\tI-VP\tO' +p302905 +aS'.\t.\t.\tO\tO' +p302906 +asS'Wash incision with mild soap and water , then pat dry .' +p302907 +(lp302908 +S'Wash\tWash\tJJ\tB-NP\tO' +p302909 +aS'incision\tincision\tNN\tI-NP\tO' +p302910 +aS'with\twith\tIN\tB-PP\tO' +p302911 +aS'mild\tmild\tJJ\tB-NP\tO' +p302912 +aS'soap\tsoap\tNN\tI-NP\tO' +p302913 +aS'and\tand\tCC\tI-NP\tO' +p302914 +aS'water\twater\tNN\tI-NP\tO' +p302915 +aS',\t,\t,\tO\tO' +p302916 +aS'then\tthen\tRB\tB-ADJP\tO' +p302917 +aS'pat\tpat\tNN\tI-ADJP\tO' +p302918 +aS'dry\tdry\tJJ\tI-ADJP\tO' +p302919 +aS'.\t.\t.\tO\tO' +p302920 +asS'The LAD had serial 90% lesions proximally , involving the origin of the first diagonal , which was occluded and filled via left to left collaterals .' +p302921 +(lp302922 +S'The\tThe\tDT\tB-NP\tO' +p302923 +aS'LAD\tLAD\tNN\tI-NP\tB-protein' +p302924 +aS'had\thave\tVBD\tB-VP\tO' +p302925 +aS'serial\tserial\tJJ\tB-NP\tO' +p302926 +aS'90%\t90%\tCD\tI-NP\tO' +p302927 +aS'lesions\tlesion\tNNS\tI-NP\tO' +p302928 +aS'proximally\tproximally\tRB\tB-ADVP\tO' +p302929 +aS',\t,\t,\tO\tO' +p302930 +aS'involving\tinvolve\tVBG\tB-VP\tO' +p302931 +aS'the\tthe\tDT\tB-NP\tO' +p302932 +aS'origin\torigin\tNN\tI-NP\tO' +p302933 +aS'of\tof\tIN\tB-PP\tO' +p302934 +aS'the\tthe\tDT\tB-NP\tO' +p302935 +aS'first\tfirst\tJJ\tI-NP\tO' +p302936 +aS'diagonal\tdiagonal\tNN\tI-NP\tO' +p302937 +aS',\t,\t,\tO\tO' +p302938 +aS'which\twhich\tWDT\tB-NP\tO' +p302939 +aS'was\tbe\tVBD\tB-VP\tO' +p302940 +aS'occluded\tocclude\tVBN\tI-VP\tO' +p302941 +aS'and\tand\tCC\tI-VP\tO' +p302942 +aS'filled\tfill\tVBN\tI-VP\tO' +p302943 +aS'via\tvia\tIN\tB-PP\tO' +p302944 +aS'left\tleave\tVBN\tB-VP\tO' +p302945 +aS'to\tto\tTO\tB-PP\tO' +p302946 +aS'left\tleft\tJJ\tB-NP\tO' +p302947 +aS'collaterals\tcollateral\tNNS\tI-NP\tO' +p302948 +aS'.\t.\t.\tO\tO' +p302949 +asS'Papillary adenocarcinoma of the lung .' +p302950 +(lp302951 +S'Papillary\tPapillary\tJJ\tB-NP\tO' +p302952 +aS'adenocarcinoma\tadenocarcinoma\tNN\tI-NP\tO' +p302953 +aS'of\tof\tIN\tB-PP\tO' +p302954 +aS'the\tthe\tDT\tB-NP\tO' +p302955 +aS'lung\tlung\tNN\tI-NP\tO' +p302956 +aS'.\t.\t.\tO\tO' +p302957 +asS'The patient then had one more episode where he was converted to normal sinus rhythm but this lasted only a few hours before reverting back to atrial fibrillation .' +p302958 +(lp302959 +S'The\tThe\tDT\tB-NP\tO' +p302960 +aS'patient\tpatient\tNN\tI-NP\tO' +p302961 +aS'then\tthen\tRB\tB-ADVP\tO' +p302962 +aS'had\thave\tVBD\tB-VP\tO' +p302963 +aS'one\tone\tCD\tB-NP\tO' +p302964 +aS'more\tmore\tJJR\tI-NP\tO' +p302965 +aS'episode\tepisode\tNN\tI-NP\tO' +p302966 +aS'where\twhere\tWRB\tB-ADVP\tO' +p302967 +aS'he\the\tPRP\tB-NP\tO' +p302968 +aS'was\tbe\tVBD\tB-VP\tO' +p302969 +aS'converted\tconvert\tVBN\tI-VP\tO' +p302970 +aS'to\tto\tTO\tB-PP\tO' +p302971 +aS'normal\tnormal\tJJ\tB-NP\tO' +p302972 +aS'sinus\tsinus\tNN\tI-NP\tO' +p302973 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p302974 +aS'but\tbut\tCC\tO\tO' +p302975 +aS'this\tthis\tDT\tB-NP\tO' +p302976 +aS'lasted\tlast\tVBD\tB-VP\tO' +p302977 +aS'only\tonly\tRB\tB-NP\tO' +p302978 +aS'a\ta\tDT\tI-NP\tO' +p302979 +aS'few\tfew\tJJ\tI-NP\tO' +p302980 +aS'hours\thour\tNNS\tI-NP\tO' +p302981 +aS'before\tbefore\tIN\tB-PP\tO' +p302982 +aS'reverting\trevert\tVBG\tB-VP\tO' +p302983 +aS'back\tback\tRB\tB-ADVP\tO' +p302984 +aS'to\tto\tTO\tB-PP\tO' +p302985 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p302986 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p302987 +aS'.\t.\t.\tO\tO' +p302988 +asS'Gerardo is the 1400 gm product of a 32 05-03 week twin gestation born to a 37 year old gravida 1 , para 0 mother .' +p302989 +(lp302990 +S'Gerardo\tGerardo\tNNP\tB-NP\tO' +p302991 +aS'is\tbe\tVBZ\tB-VP\tO' +p302992 +aS'the\tthe\tDT\tB-NP\tO' +p302993 +aS'1400\t1400\tCD\tI-NP\tO' +p302994 +aS'gm\tgm\tNN\tI-NP\tO' +p302995 +aS'product\tproduct\tNN\tI-NP\tO' +p302996 +aS'of\tof\tIN\tB-PP\tO' +p302997 +aS'a\ta\tDT\tB-NP\tO' +p302998 +aS'32\t32\tCD\tI-NP\tO' +p302999 +aS'05-03\t05-03\tCD\tI-NP\tO' +p303000 +aS'week\tweek\tNN\tI-NP\tO' +p303001 +aS'twin\ttwin\tNN\tI-NP\tO' +p303002 +aS'gestation\tgestation\tNN\tI-NP\tO' +p303003 +aS'born\tbear\tVBN\tB-VP\tO' +p303004 +aS'to\tto\tTO\tB-PP\tO' +p303005 +aS'a\ta\tDT\tB-NP\tO' +p303006 +aS'37\t37\tCD\tI-NP\tO' +p303007 +aS'year\tyear\tNN\tI-NP\tO' +p303008 +aS'old\told\tJJ\tI-NP\tO' +p303009 +aS'gravida\tgravida\tNN\tI-NP\tO' +p303010 +aS'1\t1\tCD\tI-NP\tO' +p303011 +aS',\t,\t,\tO\tO' +p303012 +aS'para\tpara\tNN\tB-NP\tO' +p303013 +aS'0\t0\tCD\tI-NP\tO' +p303014 +aS'mother\tmother\tNN\tI-NP\tO' +p303015 +aS'.\t.\t.\tO\tO' +p303016 +asS'Unfortunately her mental status failed to improve despite having been off all sedative medications for several days .' +p303017 +(lp303018 +S'Unfortunately\tUnfortunately\tRB\tB-ADVP\tO' +p303019 +aS'her\ther\tPRP$\tB-NP\tO' +p303020 +aS'mental\tmental\tJJ\tI-NP\tO' +p303021 +aS'status\tstatus\tNN\tI-NP\tO' +p303022 +aS'failed\tfail\tVBD\tB-VP\tO' +p303023 +aS'to\tto\tTO\tI-VP\tO' +p303024 +aS'improve\timprove\tVB\tI-VP\tO' +p303025 +aS'despite\tdespite\tIN\tB-PP\tO' +p303026 +aS'having\thave\tVBG\tB-VP\tO' +p303027 +aS'been\tbe\tVBN\tI-VP\tO' +p303028 +aS'off\toff\tRP\tB-PRT\tO' +p303029 +aS'all\tall\tDT\tB-NP\tO' +p303030 +aS'sedative\tsedative\tJJ\tI-NP\tO' +p303031 +aS'medications\tmedication\tNNS\tI-NP\tO' +p303032 +aS'for\tfor\tIN\tB-PP\tO' +p303033 +aS'several\tseveral\tJJ\tB-NP\tO' +p303034 +aS'days\tday\tNNS\tI-NP\tO' +p303035 +aS'.\t.\t.\tO\tO' +p303036 +asS'HEART - Regular , with a III / VI murmur at the upper left sternal border .' +p303037 +(lp303038 +S'HEART\tHEART\tNN\tB-NP\tB-protein' +p303039 +aS'-\t-\tHYPH\tB-PP\tO' +p303040 +aS'Regular\tRegular\tJJ\tB-ADJP\tO' +p303041 +aS',\t,\t,\tO\tO' +p303042 +aS'with\twith\tIN\tB-PP\tO' +p303043 +aS'a\ta\tDT\tB-NP\tO' +p303044 +aS'III\tIII\tCD\tI-NP\tO' +p303045 +aS'/\t/\tSYM\tI-NP\tO' +p303046 +aS'VI\tVI\tNN\tI-NP\tO' +p303047 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p303048 +aS'at\tat\tIN\tB-PP\tO' +p303049 +aS'the\tthe\tDT\tB-NP\tO' +p303050 +aS'upper\tupper\tJJ\tI-NP\tO' +p303051 +aS'left\tleft\tJJ\tI-NP\tO' +p303052 +aS'sternal\tsternal\tJJ\tI-NP\tO' +p303053 +aS'border\tborder\tNN\tI-NP\tO' +p303054 +aS'.\t.\t.\tO\tO' +p303055 +asS'1. Gastroesophageal reflux disease .' +p303056 +(lp303057 +S'1.\t1.\tLS\tB-NP\tO' +p303058 +aS'Gastroesophageal\tGastroesophageal\tJJ\tI-NP\tO' +p303059 +aS'reflux\treflux\tNN\tI-NP\tO' +p303060 +aS'disease\tdisease\tNN\tI-NP\tO' +p303061 +aS'.\t.\t.\tO\tO' +p303062 +asS'The patient denies any chest pain , shortness of breath , dysuria , diarrhea , bright red blood per rectum .' +p303063 +(lp303064 +S'The\tThe\tDT\tB-NP\tO' +p303065 +aS'patient\tpatient\tNN\tI-NP\tO' +p303066 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p303067 +aS'any\tany\tDT\tB-NP\tO' +p303068 +aS'chest\tch\tJJS\tI-NP\tO' +p303069 +aS'pain\tpain\tNN\tI-NP\tO' +p303070 +aS',\t,\t,\tO\tO' +p303071 +aS'shortness\tshortness\tNN\tB-NP\tO' +p303072 +aS'of\tof\tIN\tB-PP\tO' +p303073 +aS'breath\tbreath\tNN\tB-NP\tO' +p303074 +aS',\t,\t,\tO\tO' +p303075 +aS'dysuria\tdysuria\tNN\tB-NP\tO' +p303076 +aS',\t,\t,\tO\tO' +p303077 +aS'diarrhea\tdiarrhea\tNN\tB-NP\tO' +p303078 +aS',\t,\t,\tO\tO' +p303079 +aS'bright\tbright\tJJ\tB-NP\tO' +p303080 +aS'red\tred\tJJ\tI-NP\tO' +p303081 +aS'blood\tblood\tNN\tI-NP\tO' +p303082 +aS'per\tper\tIN\tB-PP\tO' +p303083 +aS'rectum\trectum\tNN\tB-NP\tO' +p303084 +aS'.\t.\t.\tO\tO' +p303085 +asS'To home with parents .' +p303086 +(lp303087 +S'To\tTo\tTO\tB-VP\tO' +p303088 +aS'home\thome\tVB\tI-VP\tO' +p303089 +aS'with\twith\tIN\tB-PP\tO' +p303090 +aS'parents\tparent\tNNS\tB-NP\tO' +p303091 +aS'.\t.\t.\tO\tO' +p303092 +asS'The patient was admitted to the Medical Service .' +p303093 +(lp303094 +S'The\tThe\tDT\tB-NP\tO' +p303095 +aS'patient\tpatient\tNN\tI-NP\tO' +p303096 +aS'was\tbe\tVBD\tB-VP\tO' +p303097 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p303098 +aS'to\tto\tTO\tB-PP\tO' +p303099 +aS'the\tthe\tDT\tB-NP\tO' +p303100 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p303101 +aS'Service\tService\tNNP\tI-NP\tO' +p303102 +aS'.\t.\t.\tO\tO' +p303103 +asS'Immunizations received , infant has not received any immunizations to date .' +p303104 +(lp303105 +S'Immunizations\tImmunization\tNNS\tB-NP\tO' +p303106 +aS'received\treceive\tVBD\tB-VP\tO' +p303107 +aS',\t,\t,\tO\tO' +p303108 +aS'infant\tinfant\tNN\tB-NP\tO' +p303109 +aS'has\thave\tVBZ\tB-VP\tO' +p303110 +aS'not\tnot\tRB\tI-VP\tO' +p303111 +aS'received\treceive\tVBN\tI-VP\tO' +p303112 +aS'any\tany\tDT\tB-NP\tO' +p303113 +aS'immunizations\timmunization\tNNS\tI-NP\tO' +p303114 +aS'to\tto\tTO\tB-PP\tO' +p303115 +aS'date\tdate\tNN\tB-NP\tO' +p303116 +aS'.\t.\t.\tO\tO' +p303117 +asS'The pt denies abd pain , n/v or increased ostomy output .' +p303118 +(lp303119 +S'The\tThe\tDT\tB-NP\tO' +p303120 +aS'pt\tpt\tNN\tI-NP\tO' +p303121 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p303122 +aS'abd\tabd\tNN\tB-NP\tO' +p303123 +aS'pain\tpain\tNN\tI-NP\tO' +p303124 +aS',\t,\t,\tO\tO' +p303125 +aS'n/v\tn/v\tNN\tB-NP\tO' +p303126 +aS'or\tor\tCC\tO\tO' +p303127 +aS'increased\tincrease\tVBN\tB-NP\tO' +p303128 +aS'ostomy\tostomy\tNN\tI-NP\tO' +p303129 +aS'output\toutput\tNN\tI-NP\tO' +p303130 +aS'.\t.\t.\tO\tO' +p303131 +asS'3. Isosorbide mononitrate 30 q. day .' +p303132 +(lp303133 +S'3.\t3.\tLS\tB-NP\tO' +p303134 +aS'Isosorbide\tIsosorbide\tNN\tI-NP\tO' +p303135 +aS'mononitrate\tmononitrate\tNN\tI-NP\tO' +p303136 +aS'30\t30\tCD\tI-NP\tO' +p303137 +aS'q.\tq.\tNN\tI-NP\tO' +p303138 +aS'day\tday\tNN\tI-NP\tO' +p303139 +aS'.\t.\t.\tO\tO' +p303140 +asS'Left elbow , gross deformity swelling over dorsal forearm , gross deformity left wrist , no skin lacerations .' +p303141 +(lp303142 +S'Left\tLeft\tNNP\tB-NP\tO' +p303143 +aS'elbow\telbow\tNNP\tI-NP\tO' +p303144 +aS',\t,\t,\tO\tO' +p303145 +aS'gross\tgross\tJJ\tB-NP\tO' +p303146 +aS'deformity\tdeformity\tNN\tI-NP\tO' +p303147 +aS'swelling\tswell\tVBG\tB-VP\tO' +p303148 +aS'over\tover\tIN\tB-PP\tO' +p303149 +aS'dorsal\tdorsal\tJJ\tB-NP\tO' +p303150 +aS'forearm\tforearm\tNN\tI-NP\tO' +p303151 +aS',\t,\t,\tO\tO' +p303152 +aS'gross\tgross\tJJ\tB-NP\tO' +p303153 +aS'deformity\tdeformity\tNN\tI-NP\tO' +p303154 +aS'left\tleave\tVBD\tB-VP\tO' +p303155 +aS'wrist\twrist\tNN\tB-NP\tO' +p303156 +aS',\t,\t,\tO\tO' +p303157 +aS'no\tno\tDT\tB-NP\tO' +p303158 +aS'skin\tskin\tNN\tI-NP\tO' +p303159 +aS'lacerations\tlaceration\tNNS\tI-NP\tO' +p303160 +aS'.\t.\t.\tO\tO' +p303161 +asS'3. Occipital scalp laceration .' +p303162 +(lp303163 +S'3.\t3.\tLS\tB-NP\tO' +p303164 +aS'Occipital\tOccipital\tNN\tI-NP\tO' +p303165 +aS'scalp\tscalp\tNN\tI-NP\tO' +p303166 +aS'laceration\tlaceration\tNN\tI-NP\tO' +p303167 +aS'.\t.\t.\tO\tO' +p303168 +asS'3. Chondrocalcinosis .' +p303169 +(lp303170 +S'3.\t3.\tLS\tB-NP\tO' +p303171 +aS'Chondrocalcinosis\tChondrocalcinosis\tNN\tI-NP\tO' +p303172 +aS'.\t.\t.\tO\tO' +p303173 +asS'Reviewed By : Janna L. Desorbo , M.D.' +p303174 +(lp303175 +S'Reviewed\tReview\tVBN\tB-VP\tO' +p303176 +aS'By\tBy\tIN\tB-PP\tO' +p303177 +aS':\t:\t:\tO\tO' +p303178 +aS'Janna\tJanna\tNNP\tB-NP\tO' +p303179 +aS'L.\tL.\tNNP\tI-NP\tO' +p303180 +aS'Desorbo\tDesorbo\tNNP\tI-NP\tO' +p303181 +aS',\t,\t,\tO\tO' +p303182 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p303183 +asS'In general , the patient was groggy status post anesthesia , shivering , but awake .' +p303184 +(lp303185 +S'In\tIn\tIN\tB-PP\tO' +p303186 +aS'general\tgeneral\tJJ\tB-ADJP\tO' +p303187 +aS',\t,\t,\tO\tO' +p303188 +aS'the\tthe\tDT\tB-NP\tO' +p303189 +aS'patient\tpatient\tNN\tI-NP\tO' +p303190 +aS'was\tbe\tVBD\tB-VP\tO' +p303191 +aS'groggy\tgroggy\tJJ\tB-NP\tO' +p303192 +aS'status\tstatus\tNN\tI-NP\tO' +p303193 +aS'post\tpost\tNN\tI-NP\tO' +p303194 +aS'anesthesia\tanesthesia\tNN\tI-NP\tO' +p303195 +aS',\t,\t,\tO\tO' +p303196 +aS'shivering\tshivering\tNN\tB-NP\tO' +p303197 +aS',\t,\t,\tO\tO' +p303198 +aS'but\tbut\tCC\tO\tO' +p303199 +aS'awake\tawake\tNN\tB-NP\tO' +p303200 +aS'.\t.\t.\tO\tO' +p303201 +asS'2. Total hip replacement in 2002 .' +p303202 +(lp303203 +S'2.\t2.\tLS\tB-NP\tO' +p303204 +aS'Total\tTotal\tJJ\tI-NP\tO' +p303205 +aS'hip\thip\tNN\tI-NP\tO' +p303206 +aS'replacement\treplacement\tNN\tI-NP\tO' +p303207 +aS'in\tin\tIN\tB-PP\tO' +p303208 +aS'2002\t2002\tCD\tB-NP\tO' +p303209 +aS'.\t.\t.\tO\tO' +p303210 +asS'Thin , warm , dry , pink , no rashes .' +p303211 +(lp303212 +S'Thin\tThin\tJJ\tB-NP\tO' +p303213 +aS',\t,\t,\tI-NP\tO' +p303214 +aS'warm\twarm\tJJ\tI-NP\tO' +p303215 +aS',\t,\t,\tI-NP\tO' +p303216 +aS'dry\tdry\tJJ\tI-NP\tO' +p303217 +aS',\t,\t,\tI-NP\tO' +p303218 +aS'pink\tpink\tJJ\tI-NP\tO' +p303219 +aS',\t,\t,\tO\tO' +p303220 +aS'no\tno\tDT\tB-NP\tO' +p303221 +aS'rashes\trash\tNNS\tI-NP\tO' +p303222 +aS'.\t.\t.\tO\tO' +p303223 +asS'( at time of admission ) the blood pressure 100/65 ;' +p303224 +(lp303225 +S'(\t(\t(\tO\tO' +p303226 +aS'at\tat\tIN\tB-PP\tO' +p303227 +aS'time\ttime\tNN\tB-NP\tO' +p303228 +aS'of\tof\tIN\tB-PP\tO' +p303229 +aS'admission\tadmission\tNN\tB-NP\tO' +p303230 +aS')\t)\t)\tO\tO' +p303231 +aS'the\tthe\tDT\tB-NP\tO' +p303232 +aS'blood\tblood\tNN\tI-NP\tO' +p303233 +aS'pressure\tpressure\tNN\tI-NP\tO' +p303234 +aS'100/65\t100/65\tCD\tI-NP\tO' +p303235 +aS';\t;\t:\tO\tO' +p303236 +asS'15. Multivitamin , one tablet p.o. q day .' +p303237 +(lp303238 +S'15.\t15.\tLS\tB-NP\tO' +p303239 +aS'Multivitamin\tMultivitamin\tNN\tI-NP\tO' +p303240 +aS',\t,\t,\tO\tO' +p303241 +aS'one\tone\tCD\tB-NP\tO' +p303242 +aS'tablet\ttablet\tNN\tI-NP\tO' +p303243 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p303244 +aS'q\tq\tNN\tI-NP\tO' +p303245 +aS'day\tday\tNN\tI-NP\tO' +p303246 +aS'.\t.\t.\tO\tO' +p303247 +asS'Head , eyes , ears , nose and throat examination - The pupils are equal , round , and reactive to light and accommodation .' +p303248 +(lp303249 +S'Head\tHead\tRB\tB-ADVP\tO' +p303250 +aS',\t,\t,\tO\tO' +p303251 +aS'eyes\teye\tNNS\tB-NP\tO' +p303252 +aS',\t,\t,\tO\tO' +p303253 +aS'ears\tear\tNNS\tB-NP\tO' +p303254 +aS',\t,\t,\tO\tO' +p303255 +aS'nose\tnose\tNN\tB-NP\tO' +p303256 +aS'and\tand\tCC\tO\tO' +p303257 +aS'throat\tthroat\tNN\tB-NP\tO' +p303258 +aS'examination\texamination\tNN\tI-NP\tO' +p303259 +aS'-\t-\tHYPH\tO\tO' +p303260 +aS'The\tThe\tDT\tB-NP\tO' +p303261 +aS'pupils\tpupil\tNNS\tI-NP\tO' +p303262 +aS'are\tbe\tVBP\tB-VP\tO' +p303263 +aS'equal\tequal\tJJ\tB-ADJP\tO' +p303264 +aS',\t,\t,\tO\tO' +p303265 +aS'round\tround\tJJ\tB-ADJP\tO' +p303266 +aS',\t,\t,\tO\tO' +p303267 +aS'and\tand\tCC\tO\tO' +p303268 +aS'reactive\treactive\tJJ\tB-ADJP\tO' +p303269 +aS'to\tto\tTO\tB-PP\tO' +p303270 +aS'light\tlight\tNN\tB-NP\tO' +p303271 +aS'and\tand\tCC\tI-NP\tO' +p303272 +aS'accommodation\taccommodation\tNN\tI-NP\tO' +p303273 +aS'.\t.\t.\tO\tO' +p303274 +asS'7-Pneumonia .' +p303275 +(lp303276 +S'7-Pneumonia\t7-Pneumonia\tNN\tB-NP\tO' +p303277 +aS'.\t.\t.\tO\tO' +p303278 +asS'Exam was notable for RRR with no murmur , bibasilar crackles , guaiac negative .' +p303279 +(lp303280 +S'Exam\tExam\tNNP\tB-NP\tO' +p303281 +aS'was\tbe\tVBD\tB-VP\tO' +p303282 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p303283 +aS'for\tfor\tIN\tB-PP\tO' +p303284 +aS'RRR\tRRR\tNN\tB-NP\tB-protein' +p303285 +aS'with\twith\tIN\tB-PP\tO' +p303286 +aS'no\tno\tDT\tB-NP\tO' +p303287 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p303288 +aS',\t,\t,\tO\tO' +p303289 +aS'bibasilar\tbibasilar\tJJ\tB-NP\tO' +p303290 +aS'crackles\tcrackle\tNNS\tI-NP\tO' +p303291 +aS',\t,\t,\tO\tO' +p303292 +aS'guaiac\tguaiac\tNN\tB-NP\tO' +p303293 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p303294 +aS'.\t.\t.\tO\tO' +p303295 +asS'ISOLATED FROM ONE SET ONLY .' +p303296 +(lp303297 +S'ISOLATED\tISOLATED\tVBN\tB-VP\tO' +p303298 +aS'FROM\tFROM\tNNP\tB-NP\tO' +p303299 +aS'ONE\tONE\tNNP\tI-NP\tO' +p303300 +aS'SET\tSET\tNNP\tI-NP\tO' +p303301 +aS'ONLY\tONLY\tNNP\tI-NP\tO' +p303302 +aS'.\t.\t.\tO\tO' +p303303 +asS'She is interested in quitting smoking .' +p303304 +(lp303305 +S'She\tShe\tPRP\tB-NP\tO' +p303306 +aS'is\tbe\tVBZ\tB-VP\tO' +p303307 +aS'interested\tinterested\tJJ\tB-ADJP\tO' +p303308 +aS'in\tin\tIN\tB-PP\tO' +p303309 +aS'quitting\tquit\tVBG\tB-VP\tO' +p303310 +aS'smoking\tsmoking\tNN\tB-NP\tO' +p303311 +aS'.\t.\t.\tO\tO' +p303312 +asS'Non-focal .' +p303313 +(lp303314 +S'Non-focal\tNon-focal\tJJ\tB-ADJP\tO' +p303315 +aS'.\t.\t.\tO\tO' +p303316 +asS'Ken Nansteel-Miller is the triplet #3 of a spontaneous triamniotic-trichorionic triplet pregnancy born to a 39-year-old G4 P1 spontaneous abortion 2 woman .' +p303317 +(lp303318 +S'Ken\tKen\tNNP\tB-NP\tO' +p303319 +aS'Nansteel-Miller\tNansteel-Miller\tNNP\tI-NP\tO' +p303320 +aS'is\tbe\tVBZ\tB-VP\tO' +p303321 +aS'the\tthe\tDT\tB-NP\tO' +p303322 +aS'triplet\ttriplet\tJJ\tI-NP\tO' +p303323 +aS'#3\t#3\tNN\tI-NP\tO' +p303324 +aS'of\tof\tIN\tB-PP\tO' +p303325 +aS'a\ta\tDT\tB-NP\tO' +p303326 +aS'spontaneous\tspontaneous\tJJ\tI-NP\tO' +p303327 +aS'triamniotic-trichorionic\ttriamniotic-trichorionic\tJJ\tI-NP\tO' +p303328 +aS'triplet\ttriplet\tNN\tI-NP\tO' +p303329 +aS'pregnancy\tpregnancy\tNN\tI-NP\tO' +p303330 +aS'born\tbear\tVBN\tB-VP\tO' +p303331 +aS'to\tto\tTO\tB-PP\tO' +p303332 +aS'a\ta\tDT\tB-NP\tO' +p303333 +aS'39-year-old\t39-year-old\tJJ\tI-NP\tO' +p303334 +aS'G4\tG4\tNN\tI-NP\tO' +p303335 +aS'P1\tP1\tNN\tI-NP\tO' +p303336 +aS'spontaneous\tspontaneous\tJJ\tI-NP\tO' +p303337 +aS'abortion\tabortion\tNN\tI-NP\tO' +p303338 +aS'2\t2\tCD\tI-NP\tO' +p303339 +aS'woman\twoman\tNN\tI-NP\tO' +p303340 +aS'.\t.\t.\tO\tO' +p303341 +asS'Following gadolinium , no evidence of abnormal parenchymal , vascular , or meningeal enhancement seen .' +p303342 +(lp303343 +S'Following\tFollow\tVBG\tB-PP\tO' +p303344 +aS'gadolinium\tgadolinium\tNN\tB-NP\tO' +p303345 +aS',\t,\t,\tO\tO' +p303346 +aS'no\tno\tDT\tB-NP\tO' +p303347 +aS'evidence\tevidence\tNN\tI-NP\tO' +p303348 +aS'of\tof\tIN\tB-PP\tO' +p303349 +aS'abnormal\tabnormal\tJJ\tB-NP\tO' +p303350 +aS'parenchymal\tparenchymal\tJJ\tI-NP\tO' +p303351 +aS',\t,\t,\tI-NP\tO' +p303352 +aS'vascular\tvascular\tJJ\tI-NP\tO' +p303353 +aS',\t,\t,\tI-NP\tO' +p303354 +aS'or\tor\tCC\tI-NP\tO' +p303355 +aS'meningeal\tmeningeal\tJJ\tI-NP\tO' +p303356 +aS'enhancement\tenhancement\tNN\tI-NP\tO' +p303357 +aS'seen\tsee\tVBN\tB-VP\tO' +p303358 +aS'.\t.\t.\tO\tO' +p303359 +asS'From 2/17/00 to 2/21/00 , the patient complained of persistent and occasionally severe epigastric pain .' +p303360 +(lp303361 +S'From\tFrom\tIN\tB-PP\tO' +p303362 +aS'2/17/00\t2/17/00\tCD\tB-NP\tO' +p303363 +aS'to\tto\tTO\tB-PP\tO' +p303364 +aS'2/21/00\t2/21/00\tCD\tB-NP\tO' +p303365 +aS',\t,\t,\tO\tO' +p303366 +aS'the\tthe\tDT\tB-NP\tO' +p303367 +aS'patient\tpatient\tNN\tI-NP\tO' +p303368 +aS'complained\tcomplain\tVBD\tB-VP\tO' +p303369 +aS'of\tof\tIN\tB-PP\tO' +p303370 +aS'persistent\tpersistent\tJJ\tB-NP\tO' +p303371 +aS'and\tand\tCC\tI-NP\tO' +p303372 +aS'occasionally\toccasionally\tRB\tI-NP\tO' +p303373 +aS'severe\tsevere\tJJ\tI-NP\tO' +p303374 +aS'epigastric\tepigastric\tJJ\tI-NP\tO' +p303375 +aS'pain\tpain\tNN\tI-NP\tO' +p303376 +aS'.\t.\t.\tO\tO' +p303377 +asS'His atrioventricular valve gradient was 27 with an AV surface area of .91 .' +p303378 +(lp303379 +S'His\tHis\tPRP$\tB-NP\tO' +p303380 +aS'atrioventricular\tatrioventricular\tJJ\tI-NP\tO' +p303381 +aS'valve\tvalve\tNN\tI-NP\tO' +p303382 +aS'gradient\tgradient\tNN\tI-NP\tO' +p303383 +aS'was\tbe\tVBD\tB-VP\tO' +p303384 +aS'27\t27\tCD\tB-NP\tO' +p303385 +aS'with\twith\tIN\tB-PP\tO' +p303386 +aS'an\tan\tDT\tB-NP\tO' +p303387 +aS'AV\tAV\tNN\tI-NP\tO' +p303388 +aS'surface\tsurface\tNN\tI-NP\tO' +p303389 +aS'area\tarea\tNN\tI-NP\tO' +p303390 +aS'of\tof\tIN\tB-PP\tO' +p303391 +aS'.91\t.91\tNN\tB-NP\tO' +p303392 +aS'.\t.\t.\tO\tO' +p303393 +asS'Pt admitted with E coli SPB and bacteremia .' +p303394 +(lp303395 +S'Pt\tPt\tNN\tB-NP\tO' +p303396 +aS'admitted\tadmit\tVBN\tB-VP\tO' +p303397 +aS'with\twith\tIN\tB-PP\tO' +p303398 +aS'E\tE\tNN\tB-NP\tB-protein' +p303399 +aS'coli\tcoli\tNN\tI-NP\tI-protein' +p303400 +aS'SPB\tSPB\tNN\tI-NP\tI-protein' +p303401 +aS'and\tand\tCC\tI-NP\tO' +p303402 +aS'bacteremia\tbacteremia\tNN\tI-NP\tO' +p303403 +aS'.\t.\t.\tO\tO' +p303404 +asS'Based upon these findings it was felt that Mr. State most likely has multi-factorial dyspnea owing to both his ventilatory limitation and to a chronic low output state .' +p303405 +(lp303406 +S'Based\tBase\tVBN\tB-VP\tO' +p303407 +aS'upon\tupon\tIN\tB-PP\tO' +p303408 +aS'these\tthese\tDT\tB-NP\tO' +p303409 +aS'findings\tfinding\tNNS\tI-NP\tO' +p303410 +aS'it\tit\tPRP\tB-NP\tO' +p303411 +aS'was\tbe\tVBD\tB-VP\tO' +p303412 +aS'felt\tfeel\tVBN\tI-VP\tO' +p303413 +aS'that\tthat\tIN\tB-SBAR\tO' +p303414 +aS'Mr.\tMr.\tNNP\tB-NP\tO' +p303415 +aS'State\tState\tNNP\tI-NP\tO' +p303416 +aS'most\tmost\tRBS\tB-ADVP\tO' +p303417 +aS'likely\tlikely\tRB\tI-ADVP\tO' +p303418 +aS'has\thave\tVBZ\tB-VP\tO' +p303419 +aS'multi-factorial\tmulti-factorial\tJJ\tB-NP\tO' +p303420 +aS'dyspnea\tdyspnea\tNN\tI-NP\tO' +p303421 +aS'owing\towe\tVBG\tB-VP\tO' +p303422 +aS'to\tto\tTO\tB-PP\tO' +p303423 +aS'both\tboth\tCC\tO\tO' +p303424 +aS'his\this\tPRP$\tB-NP\tO' +p303425 +aS'ventilatory\tventilatory\tJJ\tI-NP\tO' +p303426 +aS'limitation\tlimitation\tNN\tI-NP\tO' +p303427 +aS'and\tand\tCC\tB-PP\tO' +p303428 +aS'to\tto\tTO\tB-PP\tO' +p303429 +aS'a\ta\tDT\tB-NP\tO' +p303430 +aS'chronic\tchronic\tJJ\tI-NP\tO' +p303431 +aS'low\tlow\tJJ\tI-NP\tO' +p303432 +aS'output\toutput\tNN\tI-NP\tO' +p303433 +aS'state\tstate\tNN\tI-NP\tO' +p303434 +aS'.\t.\t.\tO\tO' +p303435 +asS'Skin pink and capillary refill less than 2 seconds .' +p303436 +(lp303437 +S'Skin\tSkin\tNNP\tB-NP\tO' +p303438 +aS'pink\tpink\tJJ\tI-NP\tO' +p303439 +aS'and\tand\tCC\tI-NP\tO' +p303440 +aS'capillary\tcapillary\tJJ\tI-NP\tO' +p303441 +aS'refill\trefill\tNN\tI-NP\tO' +p303442 +aS'less\tless\tJJR\tB-NP\tO' +p303443 +aS'than\tthan\tIN\tI-NP\tO' +p303444 +aS'2\t2\tCD\tI-NP\tO' +p303445 +aS'seconds\tsecond\tNNS\tI-NP\tO' +p303446 +aS'.\t.\t.\tO\tO' +p303447 +asS'In addition to the gastrostomy and feeding jejunostomy tube , two Belmont-Gardner drains were placed .' +p303448 +(lp303449 +S'In\tIn\tIN\tB-PP\tO' +p303450 +aS'addition\taddition\tNN\tB-NP\tO' +p303451 +aS'to\tto\tTO\tB-PP\tO' +p303452 +aS'the\tthe\tDT\tB-NP\tO' +p303453 +aS'gastrostomy\tgastrostomy\tNN\tI-NP\tO' +p303454 +aS'and\tand\tCC\tI-NP\tO' +p303455 +aS'feeding\tfeeding\tNN\tI-NP\tO' +p303456 +aS'jejunostomy\tjejunostomy\tNN\tI-NP\tO' +p303457 +aS'tube\ttube\tNN\tI-NP\tO' +p303458 +aS',\t,\t,\tO\tO' +p303459 +aS'two\ttwo\tCD\tB-NP\tO' +p303460 +aS'Belmont-Gardner\tBelmont-Gardner\tNNP\tI-NP\tO' +p303461 +aS'drains\tdrain\tNNS\tI-NP\tO' +p303462 +aS'were\tbe\tVBD\tB-VP\tO' +p303463 +aS'placed\tplace\tVBN\tI-VP\tO' +p303464 +aS'.\t.\t.\tO\tO' +p303465 +asS'Epicardial pacing wires were removed on post-op day four .' +p303466 +(lp303467 +S'Epicardial\tEpicardial\tJJ\tB-NP\tO' +p303468 +aS'pacing\tpacing\tNN\tI-NP\tO' +p303469 +aS'wires\twire\tNNS\tI-NP\tO' +p303470 +aS'were\tbe\tVBD\tB-VP\tO' +p303471 +aS'removed\tremove\tVBN\tI-VP\tO' +p303472 +aS'on\ton\tIN\tB-PP\tO' +p303473 +aS'post-op\tpost-op\tJJ\tB-NP\tO' +p303474 +aS'day\tday\tNN\tI-NP\tO' +p303475 +aS'four\tfour\tCD\tI-NP\tO' +p303476 +aS'.\t.\t.\tO\tO' +p303477 +asS'He was seen by a doctor in Arizona and treated with dressing changes and debridement until approximately six weeks ago , when antibiotics were started with Ciprofloxacin .' +p303478 +(lp303479 +S'He\tHe\tPRP\tB-NP\tO' +p303480 +aS'was\tbe\tVBD\tB-VP\tO' +p303481 +aS'seen\tsee\tVBN\tI-VP\tO' +p303482 +aS'by\tby\tIN\tB-PP\tO' +p303483 +aS'a\ta\tDT\tB-NP\tO' +p303484 +aS'doctor\tdoctor\tNN\tI-NP\tO' +p303485 +aS'in\tin\tIN\tB-PP\tO' +p303486 +aS'Arizona\tArizona\tNNP\tB-NP\tO' +p303487 +aS'and\tand\tCC\tO\tO' +p303488 +aS'treated\ttreat\tVBN\tB-VP\tO' +p303489 +aS'with\twith\tIN\tB-PP\tO' +p303490 +aS'dressing\tdress\tVBG\tB-NP\tO' +p303491 +aS'changes\tchange\tNNS\tI-NP\tO' +p303492 +aS'and\tand\tCC\tI-NP\tO' +p303493 +aS'debridement\tdebridement\tNN\tI-NP\tO' +p303494 +aS'until\tuntil\tIN\tB-PP\tO' +p303495 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p303496 +aS'six\tsix\tCD\tI-NP\tO' +p303497 +aS'weeks\tweek\tNNS\tI-NP\tO' +p303498 +aS'ago\tago\tRB\tB-ADVP\tO' +p303499 +aS',\t,\t,\tO\tO' +p303500 +aS'when\twhen\tWRB\tB-ADVP\tO' +p303501 +aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' +p303502 +aS'were\tbe\tVBD\tB-VP\tO' +p303503 +aS'started\tstart\tVBN\tI-VP\tO' +p303504 +aS'with\twith\tIN\tB-PP\tO' +p303505 +aS'Ciprofloxacin\tCiprofloxacin\tNN\tB-NP\tO' +p303506 +aS'.\t.\t.\tO\tO' +p303507 +asS'These should be followed up as an outaptient .' +p303508 +(lp303509 +S'These\tThese\tDT\tB-NP\tO' +p303510 +aS'should\tshould\tMD\tB-VP\tO' +p303511 +aS'be\tbe\tVB\tI-VP\tO' +p303512 +aS'followed\tfollow\tVBN\tI-VP\tO' +p303513 +aS'up\tup\tRP\tB-PRT\tO' +p303514 +aS'as\tas\tIN\tB-PP\tO' +p303515 +aS'an\tan\tDT\tB-NP\tO' +p303516 +aS'outaptient\toutaptient\tNN\tI-NP\tO' +p303517 +aS'.\t.\t.\tO\tO' +p303518 +asS'The pathology , unfortunately , revealed an aggressive adenocarcinoma ( micropapillary type ; mucin producing ) .' +p303519 +(lp303520 +S'The\tThe\tDT\tB-NP\tO' +p303521 +aS'pathology\tpathology\tNN\tI-NP\tO' +p303522 +aS',\t,\t,\tO\tO' +p303523 +aS'unfortunately\tunfortunately\tRB\tB-ADVP\tO' +p303524 +aS',\t,\t,\tO\tO' +p303525 +aS'revealed\treveal\tVBD\tB-VP\tO' +p303526 +aS'an\tan\tDT\tB-NP\tO' +p303527 +aS'aggressive\taggressive\tJJ\tI-NP\tO' +p303528 +aS'adenocarcinoma\tadenocarcinoma\tNN\tI-NP\tO' +p303529 +aS'(\t(\t(\tO\tO' +p303530 +aS'micropapillary\tmicropapillary\tJJ\tB-NP\tO' +p303531 +aS'type\ttype\tNN\tI-NP\tO' +p303532 +aS';\t;\t:\tO\tO' +p303533 +aS'mucin\tmucin\tNN\tB-NP\tO' +p303534 +aS'producing\tproducing\tNN\tI-NP\tO' +p303535 +aS')\t)\t)\tO\tO' +p303536 +aS'.\t.\t.\tO\tO' +p303537 +asS'Patient was transferred to the floor on 06-20 .' +p303538 +(lp303539 +S'Patient\tPatient\tNN\tB-NP\tO' +p303540 +aS'was\tbe\tVBD\tB-VP\tO' +p303541 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p303542 +aS'to\tto\tTO\tB-PP\tO' +p303543 +aS'the\tthe\tDT\tB-NP\tO' +p303544 +aS'floor\tfloor\tNN\tI-NP\tO' +p303545 +aS'on\ton\tIN\tB-PP\tO' +p303546 +aS'06-20\t06-20\tCD\tB-NP\tO' +p303547 +aS'.\t.\t.\tO\tO' +p303548 +asS'The carotids were normal .' +p303549 +(lp303550 +S'The\tThe\tDT\tB-NP\tO' +p303551 +aS'carotids\tcarotid\tNNS\tI-NP\tO' +p303552 +aS'were\tbe\tVBD\tB-VP\tO' +p303553 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p303554 +aS'.\t.\t.\tO\tO' +p303555 +asS'Right ventricular systolic function is borderline normal .' +p303556 +(lp303557 +S'Right\tRight\tRB\tB-NP\tO' +p303558 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p303559 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p303560 +aS'function\tfunction\tNN\tI-NP\tO' +p303561 +aS'is\tbe\tVBZ\tB-VP\tO' +p303562 +aS'borderline\tborderline\tNN\tB-NP\tO' +p303563 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p303564 +aS'.\t.\t.\tO\tO' +p303565 +asS'By hospital day number six , however , the patient became febrile to 100.7 and repeat urinalysis showed 20-30 white blood cells and 1+ bacteria .' +p303566 +(lp303567 +S'By\tBy\tIN\tB-PP\tO' +p303568 +aS'hospital\thospital\tNN\tB-NP\tO' +p303569 +aS'day\tday\tNN\tI-NP\tO' +p303570 +aS'number\tnumber\tNN\tI-NP\tO' +p303571 +aS'six\tsix\tCD\tI-NP\tO' +p303572 +aS',\t,\t,\tO\tO' +p303573 +aS'however\thowever\tRB\tB-ADVP\tO' +p303574 +aS',\t,\t,\tO\tO' +p303575 +aS'the\tthe\tDT\tB-NP\tO' +p303576 +aS'patient\tpatient\tNN\tI-NP\tO' +p303577 +aS'became\tbecome\tVBD\tB-VP\tO' +p303578 +aS'febrile\tfebrile\tNN\tB-NP\tO' +p303579 +aS'to\tto\tTO\tB-PP\tO' +p303580 +aS'100.7\t100.7\tCD\tB-NP\tO' +p303581 +aS'and\tand\tCC\tO\tO' +p303582 +aS'repeat\trepeat\tNN\tB-NP\tO' +p303583 +aS'urinalysis\turinalysis\tNN\tI-NP\tO' +p303584 +aS'showed\tshow\tVBD\tB-VP\tO' +p303585 +aS'20-30\t20-30\tCD\tB-NP\tO' +p303586 +aS'white\twhite\tJJ\tI-NP\tB-cell_type' +p303587 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p303588 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p303589 +aS'and\tand\tCC\tO\tO' +p303590 +aS'1+\t1+\tJJ\tB-NP\tO' +p303591 +aS'bacteria\tbacteria\tNNS\tI-NP\tO' +p303592 +aS'.\t.\t.\tO\tO' +p303593 +asS'9. TPN .' +p303594 +(lp303595 +S'9.\t9.\tLS\tB-NP\tO' +p303596 +aS'TPN\tTPN\tNN\tI-NP\tB-protein' +p303597 +aS'.\t.\t.\tO\tO' +p303598 +asS'motrin 400-600 mg every 8 hours as needed for pain' +p303599 +(lp303600 +S'motrin\tmotrin\tNN\tB-NP\tO' +p303601 +aS'400-600\t400-600\tCD\tI-NP\tO' +p303602 +aS'mg\tmg\tNN\tI-NP\tO' +p303603 +aS'every\tevery\tDT\tB-NP\tO' +p303604 +aS'8\t8\tCD\tI-NP\tO' +p303605 +aS'hours\thour\tNNS\tI-NP\tO' +p303606 +aS'as\tas\tIN\tB-SBAR\tO' +p303607 +aS'needed\tneed\tVBN\tB-VP\tO' +p303608 +aS'for\tfor\tIN\tB-PP\tO' +p303609 +aS'pain\tpain\tNN\tB-NP\tO' +p303610 +asS'The permanent pathology sections are still pending .' +p303611 +(lp303612 +S'The\tThe\tDT\tB-NP\tO' +p303613 +aS'permanent\tpermanent\tJJ\tI-NP\tO' +p303614 +aS'pathology\tpathology\tNN\tI-NP\tO' +p303615 +aS'sections\tsection\tNNS\tI-NP\tO' +p303616 +aS'are\tbe\tVBP\tB-VP\tO' +p303617 +aS'still\tstill\tRB\tI-VP\tO' +p303618 +aS'pending\tpende\tVBG\tI-VP\tO' +p303619 +aS'.\t.\t.\tO\tO' +p303620 +asS'Her stool cultures were negative .' +p303621 +(lp303622 +S'Her\tHer\tPRP$\tB-NP\tB-cell_line' +p303623 +aS'stool\tstool\tNN\tI-NP\tI-cell_line' +p303624 +aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' +p303625 +aS'were\tbe\tVBD\tB-VP\tO' +p303626 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p303627 +aS'.\t.\t.\tO\tO' +p303628 +asS'The coordination was intact for finger-nose-finger test , rapid alternating hand movements .' +p303629 +(lp303630 +S'The\tThe\tDT\tB-NP\tO' +p303631 +aS'coordination\tcoordination\tNN\tI-NP\tO' +p303632 +aS'was\tbe\tVBD\tB-VP\tO' +p303633 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p303634 +aS'for\tfor\tIN\tB-PP\tO' +p303635 +aS'finger-nose-finger\tfinger-nose-finger\tNN\tB-NP\tO' +p303636 +aS'test\ttest\tNN\tI-NP\tO' +p303637 +aS',\t,\t,\tO\tO' +p303638 +aS'rapid\trapid\tJJ\tB-NP\tO' +p303639 +aS'alternating\talternate\tVBG\tI-NP\tO' +p303640 +aS'hand\thand\tNN\tI-NP\tO' +p303641 +aS'movements\tmovement\tNNS\tI-NP\tO' +p303642 +aS'.\t.\t.\tO\tO' +p303643 +asS'She was restarted on Coumadin 2.5 mg per day .' +p303644 +(lp303645 +S'She\tShe\tPRP\tB-NP\tO' +p303646 +aS'was\tbe\tVBD\tB-VP\tO' +p303647 +aS'restarted\trestart\tVBN\tI-VP\tO' +p303648 +aS'on\ton\tIN\tB-PP\tO' +p303649 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p303650 +aS'2.5\t2.5\tCD\tI-NP\tO' +p303651 +aS'mg\tmg\tNN\tI-NP\tO' +p303652 +aS'per\tper\tIN\tB-PP\tO' +p303653 +aS'day\tday\tNN\tB-NP\tO' +p303654 +aS'.\t.\t.\tO\tO' +p303655 +asS'There was a pulsatile mass felt in the right upper quadrant near the midline .' +p303656 +(lp303657 +S'There\tThere\tEX\tB-NP\tO' +p303658 +aS'was\tbe\tVBD\tB-VP\tO' +p303659 +aS'a\ta\tDT\tB-NP\tO' +p303660 +aS'pulsatile\tpulsatile\tJJ\tI-NP\tO' +p303661 +aS'mass\tmass\tNN\tI-NP\tO' +p303662 +aS'felt\tfeel\tVBD\tB-VP\tO' +p303663 +aS'in\tin\tIN\tB-PP\tO' +p303664 +aS'the\tthe\tDT\tB-NP\tO' +p303665 +aS'right\tright\tJJ\tI-NP\tO' +p303666 +aS'upper\tupper\tJJ\tI-NP\tO' +p303667 +aS'quadrant\tquadrant\tNN\tI-NP\tO' +p303668 +aS'near\tnear\tIN\tB-PP\tO' +p303669 +aS'the\tthe\tDT\tB-NP\tO' +p303670 +aS'midline\tmidline\tNN\tI-NP\tO' +p303671 +aS'.\t.\t.\tO\tO' +p303672 +asS'Coronary artery disease , status post coronary artery bypass graft .' +p303673 +(lp303674 +S'Coronary\tCoronary\tJJ\tB-NP\tO' +p303675 +aS'artery\tartery\tNN\tI-NP\tO' +p303676 +aS'disease\tdisease\tNN\tI-NP\tO' +p303677 +aS',\t,\t,\tO\tO' +p303678 +aS'status\tstatus\tNN\tB-NP\tO' +p303679 +aS'post\tpost\tNN\tI-NP\tO' +p303680 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p303681 +aS'artery\tartery\tNN\tI-NP\tO' +p303682 +aS'bypass\tbypass\tIN\tB-PP\tO' +p303683 +aS'graft\tgraft\tNN\tB-NP\tO' +p303684 +aS'.\t.\t.\tO\tO' +p303685 +asS'Blood cultures drawn at the outside hospital grew out Pseudomonas that was sensitive to Imipenem and Tobramycin .' +p303686 +(lp303687 +S'Blood\tBlood\tNN\tB-NP\tO' +p303688 +aS'cultures\tculture\tNNS\tI-NP\tO' +p303689 +aS'drawn\tdraw\tVBN\tB-VP\tO' +p303690 +aS'at\tat\tIN\tB-PP\tO' +p303691 +aS'the\tthe\tDT\tB-NP\tO' +p303692 +aS'outside\toutside\tJJ\tI-NP\tO' +p303693 +aS'hospital\thospital\tNN\tI-NP\tO' +p303694 +aS'grew\tgrow\tVBD\tB-VP\tO' +p303695 +aS'out\tout\tRP\tB-PRT\tO' +p303696 +aS'Pseudomonas\tPseudomonas\tNNP\tB-NP\tO' +p303697 +aS'that\tthat\tWDT\tB-NP\tO' +p303698 +aS'was\tbe\tVBD\tB-VP\tO' +p303699 +aS'sensitive\tsensitive\tJJ\tB-ADJP\tO' +p303700 +aS'to\tto\tTO\tB-PP\tO' +p303701 +aS'Imipenem\tImipenem\tNN\tB-NP\tO' +p303702 +aS'and\tand\tCC\tI-NP\tO' +p303703 +aS'Tobramycin\tTobramycin\tNN\tI-NP\tO' +p303704 +aS'.\t.\t.\tO\tO' +p303705 +asS'The patient also had a shoulder film done on 10/10/97 that showed a severely comminuted fracture of the proximal left humerus with proximal distraction .' +p303706 +(lp303707 +S'The\tThe\tDT\tB-NP\tO' +p303708 +aS'patient\tpatient\tNN\tI-NP\tO' +p303709 +aS'also\talso\tRB\tB-ADVP\tO' +p303710 +aS'had\thave\tVBD\tB-VP\tO' +p303711 +aS'a\ta\tDT\tB-NP\tO' +p303712 +aS'shoulder\tshoulder\tNN\tI-NP\tO' +p303713 +aS'film\tfilm\tNN\tI-NP\tO' +p303714 +aS'done\tdo\tVBN\tB-VP\tO' +p303715 +aS'on\ton\tIN\tB-PP\tO' +p303716 +aS'10/10/97\t10/10/97\tCD\tB-NP\tO' +p303717 +aS'that\tthat\tWDT\tB-NP\tO' +p303718 +aS'showed\tshow\tVBD\tB-VP\tO' +p303719 +aS'a\ta\tDT\tB-NP\tO' +p303720 +aS'severely\tseverely\tRB\tI-NP\tO' +p303721 +aS'comminuted\tcomminute\tVBN\tI-NP\tO' +p303722 +aS'fracture\tfracture\tNN\tI-NP\tO' +p303723 +aS'of\tof\tIN\tB-PP\tO' +p303724 +aS'the\tthe\tDT\tB-NP\tO' +p303725 +aS'proximal\tproximal\tJJ\tI-NP\tO' +p303726 +aS'left\tleft\tJJ\tI-NP\tO' +p303727 +aS'humerus\thumerus\tNN\tI-NP\tO' +p303728 +aS'with\twith\tIN\tB-PP\tO' +p303729 +aS'proximal\tproximal\tJJ\tB-NP\tO' +p303730 +aS'distraction\tdistraction\tNN\tI-NP\tO' +p303731 +aS'.\t.\t.\tO\tO' +p303732 +asS'Tylenol level was 15 .' +p303733 +(lp303734 +S'Tylenol\tTylenol\tNN\tB-NP\tO' +p303735 +aS'level\tlevel\tNN\tI-NP\tO' +p303736 +aS'was\tbe\tVBD\tB-VP\tO' +p303737 +aS'15\t15\tCD\tB-NP\tO' +p303738 +aS'.\t.\t.\tO\tO' +p303739 +asS'Possible anemia 03-02 operative blood loss .' +p303740 +(lp303741 +S'Possible\tPossible\tJJ\tB-NP\tO' +p303742 +aS'anemia\tanemia\tNN\tI-NP\tO' +p303743 +aS'03-02\t03-02\tCD\tI-NP\tO' +p303744 +aS'operative\toperative\tJJ\tI-NP\tO' +p303745 +aS'blood\tblood\tNN\tI-NP\tO' +p303746 +aS'loss\tloss\tNN\tI-NP\tO' +p303747 +aS'.\t.\t.\tO\tO' +p303748 +asS'XII: Tongue midline without fasciculations .' +p303749 +(lp303750 +S'XII:\tXII:\tNNP\tB-NP\tO' +p303751 +aS'Tongue\tTongue\tNNP\tI-NP\tO' +p303752 +aS'midline\tmidline\tNN\tI-NP\tO' +p303753 +aS'without\twithout\tIN\tB-PP\tO' +p303754 +aS'fasciculations\tfasciculation\tNNS\tB-NP\tO' +p303755 +aS'.\t.\t.\tO\tO' +p303756 +asS'He was taken to the Cardiac Catheterization Lab where cath showed top-normal LVEDP at 12 ; no AF ; widely patent RCA stent ; mild CAD in the left coronary artery symptom ; widely patent diagonal 1 at the site of prior PTCA .' +p303757 +(lp303758 +S'He\tHe\tPRP\tB-NP\tO' +p303759 +aS'was\tbe\tVBD\tB-VP\tO' +p303760 +aS'taken\ttake\tVBN\tI-VP\tO' +p303761 +aS'to\tto\tTO\tB-PP\tO' +p303762 +aS'the\tthe\tDT\tB-NP\tO' +p303763 +aS'Cardiac\tCardiac\tNNP\tI-NP\tO' +p303764 +aS'Catheterization\tCatheterization\tNNP\tI-NP\tO' +p303765 +aS'Lab\tLab\tNNP\tI-NP\tB-protein' +p303766 +aS'where\twhere\tWRB\tB-ADVP\tO' +p303767 +aS'cath\tcath\tNN\tB-NP\tO' +p303768 +aS'showed\tshow\tVBD\tB-VP\tO' +p303769 +aS'top-normal\ttop-normal\tJJ\tB-NP\tO' +p303770 +aS'LVEDP\tLVEDP\tNN\tI-NP\tO' +p303771 +aS'at\tat\tIN\tB-PP\tO' +p303772 +aS'12\t12\tCD\tB-NP\tO' +p303773 +aS';\t;\t:\tO\tO' +p303774 +aS'no\tno\tDT\tB-NP\tO' +p303775 +aS'AF\tAF\tNN\tI-NP\tO' +p303776 +aS';\t;\t:\tO\tO' +p303777 +aS'widely\twidely\tRB\tB-NP\tO' +p303778 +aS'patent\tpatent\tNN\tI-NP\tO' +p303779 +aS'RCA\tRCA\tNN\tI-NP\tO' +p303780 +aS'stent\tstent\tNN\tI-NP\tO' +p303781 +aS';\t;\t:\tO\tO' +p303782 +aS'mild\tmild\tJJ\tB-NP\tO' +p303783 +aS'CAD\tCAD\tNN\tI-NP\tO' +p303784 +aS'in\tin\tIN\tB-PP\tO' +p303785 +aS'the\tthe\tDT\tB-NP\tO' +p303786 +aS'left\tleft\tJJ\tI-NP\tO' +p303787 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p303788 +aS'artery\tartery\tNN\tI-NP\tO' +p303789 +aS'symptom\tsymptom\tNN\tI-NP\tO' +p303790 +aS';\t;\t:\tO\tO' +p303791 +aS'widely\twidely\tRB\tB-NP\tO' +p303792 +aS'patent\tpatent\tNN\tI-NP\tO' +p303793 +aS'diagonal\tdiagonal\tJJ\tI-NP\tO' +p303794 +aS'1\t1\tCD\tI-NP\tO' +p303795 +aS'at\tat\tIN\tB-PP\tO' +p303796 +aS'the\tthe\tDT\tB-NP\tO' +p303797 +aS'site\tsite\tNN\tI-NP\tO' +p303798 +aS'of\tof\tIN\tB-PP\tO' +p303799 +aS'prior\tprior\tJJ\tB-NP\tO' +p303800 +aS'PTCA\tPTCA\tNN\tI-NP\tO' +p303801 +aS'.\t.\t.\tO\tO' +p303802 +asS'Because of the story of hemoptysis , he also underwent an exotic bleeding work up for such things as Wegner 's and Goodpasture 's .' +p303803 +(lp303804 +S'Because\tBecause\tIN\tB-PP\tO' +p303805 +aS'of\tof\tIN\tI-PP\tO' +p303806 +aS'the\tthe\tDT\tB-NP\tO' +p303807 +aS'story\tstory\tNN\tI-NP\tO' +p303808 +aS'of\tof\tIN\tB-PP\tO' +p303809 +aS'hemoptysis\themoptysis\tNN\tB-NP\tO' +p303810 +aS',\t,\t,\tO\tO' +p303811 +aS'he\the\tPRP\tB-NP\tO' +p303812 +aS'also\talso\tRB\tB-ADVP\tO' +p303813 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p303814 +aS'an\tan\tDT\tB-NP\tO' +p303815 +aS'exotic\texotic\tJJ\tI-NP\tO' +p303816 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p303817 +aS'work\twork\tNN\tI-NP\tO' +p303818 +aS'up\tup\tRB\tB-ADVP\tO' +p303819 +aS'for\tfor\tIN\tB-PP\tO' +p303820 +aS'such\tsuch\tJJ\tB-NP\tO' +p303821 +aS'things\tthing\tNNS\tI-NP\tO' +p303822 +aS'as\tas\tIN\tB-PP\tO' +p303823 +aS'Wegner\tWegner\tNN\tB-NP\tO' +p303824 +aS''s\t'\tNNS\tI-NP\tO' +p303825 +aS'and\tand\tCC\tO\tO' +p303826 +aS'Goodpasture\tGoodpasture\tNNP\tB-NP\tO' +p303827 +aS''s\t'\tNNS\tI-NP\tO' +p303828 +aS'.\t.\t.\tO\tO' +p303829 +asS'On 12/23 , she was seen by Dr. Stonge at Bri Health where a 3 x 7 cm left mid clavicular mass was noted .' +p303830 +(lp303831 +S'On\tOn\tIN\tB-PP\tO' +p303832 +aS'12/23\t12/23\tCD\tB-NP\tO' +p303833 +aS',\t,\t,\tO\tO' +p303834 +aS'she\tshe\tPRP\tB-NP\tO' +p303835 +aS'was\tbe\tVBD\tB-VP\tO' +p303836 +aS'seen\tsee\tVBN\tI-VP\tO' +p303837 +aS'by\tby\tIN\tB-PP\tO' +p303838 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p303839 +aS'Stonge\tStonge\tNNP\tI-NP\tO' +p303840 +aS'at\tat\tIN\tB-PP\tO' +p303841 +aS'Bri\tBri\tNNP\tB-NP\tO' +p303842 +aS'Health\tHealth\tNNP\tI-NP\tO' +p303843 +aS'where\twhere\tWRB\tB-ADVP\tO' +p303844 +aS'a\ta\tDT\tB-NP\tO' +p303845 +aS'3\t3\tCD\tI-NP\tO' +p303846 +aS'x\tx\tSYM\tI-NP\tO' +p303847 +aS'7\t7\tCD\tI-NP\tO' +p303848 +aS'cm\tcm\tNN\tI-NP\tO' +p303849 +aS'left\tleave\tVBD\tB-VP\tO' +p303850 +aS'mid\tmid\tJJ\tB-NP\tO' +p303851 +aS'clavicular\tclavicular\tJJ\tI-NP\tO' +p303852 +aS'mass\tmass\tNN\tI-NP\tO' +p303853 +aS'was\tbe\tVBD\tB-VP\tO' +p303854 +aS'noted\tnote\tVBN\tI-VP\tO' +p303855 +aS'.\t.\t.\tO\tO' +p303856 +asS'Also had labile blood sugars with repeated episodes of hypoglycemia , and Strickland recommended sugars in the range of 150-200 .' +p303857 +(lp303858 +S'Also\tAlso\tRB\tB-ADVP\tO' +p303859 +aS'had\thave\tVBD\tB-VP\tO' +p303860 +aS'labile\tlabile\tJJ\tB-NP\tO' +p303861 +aS'blood\tblood\tNN\tI-NP\tO' +p303862 +aS'sugars\tsugar\tNNS\tI-NP\tO' +p303863 +aS'with\twith\tIN\tB-PP\tO' +p303864 +aS'repeated\trepeat\tVBN\tB-NP\tO' +p303865 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p303866 +aS'of\tof\tIN\tB-PP\tO' +p303867 +aS'hypoglycemia\thypoglycemia\tNN\tB-NP\tO' +p303868 +aS',\t,\t,\tO\tO' +p303869 +aS'and\tand\tCC\tO\tO' +p303870 +aS'Strickland\tStrickland\tNNP\tB-NP\tO' +p303871 +aS'recommended\trecommend\tVBD\tB-VP\tO' +p303872 +aS'sugars\tsugar\tNNS\tB-NP\tO' +p303873 +aS'in\tin\tIN\tB-PP\tO' +p303874 +aS'the\tthe\tDT\tB-NP\tO' +p303875 +aS'range\trange\tNN\tI-NP\tO' +p303876 +aS'of\tof\tIN\tB-PP\tO' +p303877 +aS'150-200\t150-200\tCD\tB-NP\tO' +p303878 +aS'.\t.\t.\tO\tO' +p303879 +asS'The patient presented with a chief complaint of INCREASED LETHARGY .' +p303880 +(lp303881 +S'The\tThe\tDT\tB-NP\tO' +p303882 +aS'patient\tpatient\tNN\tI-NP\tO' +p303883 +aS'presented\tpresent\tVBD\tB-VP\tO' +p303884 +aS'with\twith\tIN\tB-PP\tO' +p303885 +aS'a\ta\tDT\tB-NP\tO' +p303886 +aS'chief\tchief\tJJ\tI-NP\tO' +p303887 +aS'complaint\tcomplaint\tNN\tI-NP\tO' +p303888 +aS'of\tof\tIN\tB-PP\tO' +p303889 +aS'INCREASED\tINCREASED\tNNP\tB-NP\tO' +p303890 +aS'LETHARGY\tLETHARGY\tNNP\tI-NP\tO' +p303891 +aS'.\t.\t.\tO\tO' +p303892 +asS'Insulin NPH , 36 subcu q AM , 30 subcu q PM .' +p303893 +(lp303894 +S'Insulin\tInsulin\tNN\tB-NP\tO' +p303895 +aS'NPH\tNPH\tNN\tI-NP\tO' +p303896 +aS',\t,\t,\tO\tO' +p303897 +aS'36\t36\tCD\tB-NP\tO' +p303898 +aS'subcu\tsubcu\tNN\tI-NP\tO' +p303899 +aS'q\tq\tNN\tI-NP\tO' +p303900 +aS'AM\tAM\tNN\tI-NP\tO' +p303901 +aS',\t,\t,\tO\tO' +p303902 +aS'30\t30\tCD\tB-NP\tO' +p303903 +aS'subcu\tsubcu\tNN\tI-NP\tO' +p303904 +aS'q\tq\tNN\tI-NP\tO' +p303905 +aS'PM\tPM\tNN\tI-NP\tO' +p303906 +aS'.\t.\t.\tO\tO' +p303907 +asS'They will monitor your blood pressure and heart rate and lopressor .' +p303908 +(lp303909 +S'They\tThey\tPRP\tB-NP\tO' +p303910 +aS'will\twill\tMD\tB-VP\tO' +p303911 +aS'monitor\tmonitor\tVB\tI-VP\tO' +p303912 +aS'your\tyour\tPRP$\tB-NP\tO' +p303913 +aS'blood\tblood\tNN\tI-NP\tO' +p303914 +aS'pressure\tpressure\tNN\tI-NP\tO' +p303915 +aS'and\tand\tCC\tI-NP\tO' +p303916 +aS'heart\theart\tNN\tI-NP\tO' +p303917 +aS'rate\trate\tNN\tI-NP\tO' +p303918 +aS'and\tand\tCC\tI-NP\tO' +p303919 +aS'lopressor\tlopressor\tNN\tI-NP\tO' +p303920 +aS'.\t.\t.\tO\tO' +p303921 +asS'4. Endocrine .' +p303922 +(lp303923 +S'4.\t4.\tLS\tB-NP\tO' +p303924 +aS'Endocrine\tEndocrine\tNN\tI-NP\tO' +p303925 +aS'.\t.\t.\tO\tO' +p303926 +asS'1. Extensive bilateral diffuse ground glass and more confluent areas of consolidation in both lungs consistent with the recent chest x-ray .' +p303927 +(lp303928 +S'1.\t1.\tLS\tB-NP\tO' +p303929 +aS'Extensive\tExtensive\tJJ\tI-NP\tO' +p303930 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p303931 +aS'diffuse\tdiffuse\tJJ\tI-NP\tO' +p303932 +aS'ground\tground\tNN\tI-NP\tO' +p303933 +aS'glass\tglass\tNN\tI-NP\tO' +p303934 +aS'and\tand\tCC\tO\tO' +p303935 +aS'more\tmore\tRBR\tB-NP\tO' +p303936 +aS'confluent\tconfluent\tJJ\tI-NP\tO' +p303937 +aS'areas\tarea\tNNS\tI-NP\tO' +p303938 +aS'of\tof\tIN\tB-PP\tO' +p303939 +aS'consolidation\tconsolidation\tNN\tB-NP\tO' +p303940 +aS'in\tin\tIN\tB-PP\tO' +p303941 +aS'both\tboth\tDT\tB-NP\tO' +p303942 +aS'lungs\tlung\tNNS\tI-NP\tO' +p303943 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p303944 +aS'with\twith\tIN\tB-PP\tO' +p303945 +aS'the\tthe\tDT\tB-NP\tO' +p303946 +aS'recent\trecent\tJJ\tI-NP\tO' +p303947 +aS'chest\tchest\tNN\tI-NP\tO' +p303948 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p303949 +aS'.\t.\t.\tO\tO' +p303950 +asS'Extraocular movements intact .' +p303951 +(lp303952 +S'Extraocular\tExtraocular\tJJ\tB-NP\tO' +p303953 +aS'movements\tmovement\tNNS\tI-NP\tO' +p303954 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p303955 +aS'.\t.\t.\tO\tO' +p303956 +asS'Urine tox positive for barbiturates , opiates , and methadone .' +p303957 +(lp303958 +S'Urine\tUrine\tNN\tB-NP\tO' +p303959 +aS'tox\ttox\tNN\tI-NP\tO' +p303960 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p303961 +aS'for\tfor\tIN\tB-PP\tO' +p303962 +aS'barbiturates\tbarbiturate\tNNS\tB-NP\tO' +p303963 +aS',\t,\t,\tO\tO' +p303964 +aS'opiates\topiate\tNNS\tB-NP\tO' +p303965 +aS',\t,\t,\tO\tO' +p303966 +aS'and\tand\tCC\tO\tO' +p303967 +aS'methadone\tmethadone\tNN\tB-NP\tO' +p303968 +aS'.\t.\t.\tO\tO' +p303969 +asS'SELF INFLICTED GUNSHOT WOUND TO THE HEAD .' +p303970 +(lp303971 +S'SELF\tSELF\tNN\tB-NP\tO' +p303972 +aS'INFLICTED\tINFLICTED\tVBD\tB-VP\tO' +p303973 +aS'GUNSHOT\tGUNSHOT\tNN\tB-NP\tO' +p303974 +aS'WOUND\tWOUND\tNN\tI-NP\tO' +p303975 +aS'TO\tTO\tTO\tB-PP\tO' +p303976 +aS'THE\tTHE\tDT\tB-NP\tO' +p303977 +aS'HEAD\tHEAD\tNN\tI-NP\tB-protein' +p303978 +aS'.\t.\t.\tO\tO' +p303979 +asS'7. Aricept 5 mg po qd .' +p303980 +(lp303981 +S'7.\t7.\tCD\tB-NP\tO' +p303982 +aS'Aricept\tAricept\tIN\tI-NP\tO' +p303983 +aS'5\t5\tCD\tI-NP\tO' +p303984 +aS'mg\tmg\tNN\tI-NP\tO' +p303985 +aS'po\tpo\tNN\tI-NP\tO' +p303986 +aS'qd\tqd\tNN\tI-NP\tO' +p303987 +aS'.\t.\t.\tO\tO' +p303988 +asS'Interoperatively , he was positive two liters with a stable blood pressure and heart rate , although requiring some neo-synephrine interoperatively .' +p303989 +(lp303990 +S'Interoperatively\tInteroperatively\tRB\tB-ADVP\tO' +p303991 +aS',\t,\t,\tO\tO' +p303992 +aS'he\the\tPRP\tB-NP\tO' +p303993 +aS'was\tbe\tVBD\tB-VP\tO' +p303994 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p303995 +aS'two\ttwo\tCD\tB-NP\tO' +p303996 +aS'liters\tliter\tNNS\tI-NP\tO' +p303997 +aS'with\twith\tIN\tB-PP\tO' +p303998 +aS'a\ta\tDT\tB-NP\tO' +p303999 +aS'stable\tstable\tJJ\tI-NP\tO' +p304000 +aS'blood\tblood\tNN\tI-NP\tO' +p304001 +aS'pressure\tpressure\tNN\tI-NP\tO' +p304002 +aS'and\tand\tCC\tI-NP\tO' +p304003 +aS'heart\theart\tNN\tI-NP\tO' +p304004 +aS'rate\trate\tNN\tI-NP\tO' +p304005 +aS',\t,\t,\tO\tO' +p304006 +aS'although\talthough\tIN\tB-SBAR\tO' +p304007 +aS'requiring\trequire\tVBG\tB-VP\tO' +p304008 +aS'some\tsome\tDT\tB-NP\tO' +p304009 +aS'neo-synephrine\tneo-synephrine\tNN\tI-NP\tO' +p304010 +aS'interoperatively\tinteroperatively\tRB\tB-ADVP\tO' +p304011 +aS'.\t.\t.\tO\tO' +p304012 +asS'The lungs were clear to auscultation bilaterally .' +p304013 +(lp304014 +S'The\tThe\tDT\tB-NP\tO' +p304015 +aS'lungs\tlung\tNNS\tI-NP\tO' +p304016 +aS'were\tbe\tVBD\tB-VP\tO' +p304017 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p304018 +aS'to\tto\tTO\tB-PP\tO' +p304019 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p304020 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p304021 +aS'.\t.\t.\tO\tO' +p304022 +asS'Moltipine 5 mg q. Day .' +p304023 +(lp304024 +S'Moltipine\tMoltipine\tNN\tB-NP\tO' +p304025 +aS'5\t5\tCD\tI-NP\tO' +p304026 +aS'mg\tmg\tNN\tI-NP\tO' +p304027 +aS'q.\tq.\tNNP\tI-NP\tO' +p304028 +aS'Day\tDay\tNNP\tI-NP\tO' +p304029 +aS'.\t.\t.\tO\tO' +p304030 +asS'He was discharged to a rehab facility in fair condition .' +p304031 +(lp304032 +S'He\tHe\tPRP\tB-NP\tO' +p304033 +aS'was\tbe\tVBD\tB-VP\tO' +p304034 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p304035 +aS'to\tto\tTO\tB-PP\tO' +p304036 +aS'a\ta\tDT\tB-NP\tO' +p304037 +aS'rehab\trehab\tNN\tI-NP\tO' +p304038 +aS'facility\tfacility\tNN\tI-NP\tO' +p304039 +aS'in\tin\tIN\tB-PP\tO' +p304040 +aS'fair\tfair\tJJ\tB-NP\tO' +p304041 +aS'condition\tcondition\tNN\tI-NP\tO' +p304042 +aS'.\t.\t.\tO\tO' +p304043 +asS'8. Quetiapine 100 mg Tablet Sig : Three ( 3 ) Tablet PO BID ( 2 times a day ) .' +p304044 +(lp304045 +S'8.\t8.\tCD\tB-NP\tO' +p304046 +aS'Quetiapine\tQuetiapine\tNNP\tI-NP\tO' +p304047 +aS'100\t100\tCD\tI-NP\tO' +p304048 +aS'mg\tmg\tNN\tI-NP\tO' +p304049 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p304050 +aS'Sig\tSig\tNNP\tI-NP\tO' +p304051 +aS':\t:\t:\tO\tO' +p304052 +aS'Three\tThree\tCD\tB-NP\tO' +p304053 +aS'(\t(\t(\tO\tO' +p304054 +aS'3\t3\tCD\tB-NP\tO' +p304055 +aS')\t)\t)\tO\tO' +p304056 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p304057 +aS'PO\tPO\tNN\tI-NP\tO' +p304058 +aS'BID\tBID\tNN\tI-NP\tO' +p304059 +aS'(\t(\t(\tO\tO' +p304060 +aS'2\t2\tCD\tB-NP\tO' +p304061 +aS'times\ttime\tNNS\tI-NP\tO' +p304062 +aS'a\ta\tDT\tB-NP\tO' +p304063 +aS'day\tday\tNN\tI-NP\tO' +p304064 +aS')\t)\t)\tO\tO' +p304065 +aS'.\t.\t.\tO\tO' +p304066 +asS'At 4:30 AM the following morning the patient was found in cardiac arrest .' +p304067 +(lp304068 +S'At\tAt\tIN\tB-PP\tO' +p304069 +aS'4:30\t4:30\tCD\tB-NP\tO' +p304070 +aS'AM\tAM\tVBP\tB-VP\tO' +p304071 +aS'the\tthe\tDT\tB-NP\tO' +p304072 +aS'following\tfollow\tVBG\tI-NP\tO' +p304073 +aS'morning\tmorning\tNN\tI-NP\tO' +p304074 +aS'the\tthe\tDT\tB-NP\tO' +p304075 +aS'patient\tpatient\tNN\tI-NP\tO' +p304076 +aS'was\tbe\tVBD\tB-VP\tO' +p304077 +aS'found\tfind\tVBN\tI-VP\tO' +p304078 +aS'in\tin\tIN\tB-PP\tO' +p304079 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p304080 +aS'arrest\tarrest\tNN\tI-NP\tO' +p304081 +aS'.\t.\t.\tO\tO' +p304082 +asS'Mr. Olander had acute blood loss anemia from the combination of the gunshot wound to the right distal femur as well as requirements for urgent open reduction , internal fixation .' +p304083 +(lp304084 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p304085 +aS'Olander\tOlander\tNNP\tI-NP\tO' +p304086 +aS'had\thave\tVBD\tB-VP\tO' +p304087 +aS'acute\tacute\tJJ\tB-NP\tO' +p304088 +aS'blood\tblood\tNN\tI-NP\tO' +p304089 +aS'loss\tloss\tNN\tI-NP\tO' +p304090 +aS'anemia\tanemia\tNN\tI-NP\tO' +p304091 +aS'from\tfrom\tIN\tB-PP\tO' +p304092 +aS'the\tthe\tDT\tB-NP\tO' +p304093 +aS'combination\tcombination\tNN\tI-NP\tO' +p304094 +aS'of\tof\tIN\tB-PP\tO' +p304095 +aS'the\tthe\tDT\tB-NP\tO' +p304096 +aS'gunshot\tgunshot\tNN\tI-NP\tO' +p304097 +aS'wound\twound\tNN\tI-NP\tO' +p304098 +aS'to\tto\tTO\tB-PP\tO' +p304099 +aS'the\tthe\tDT\tB-NP\tO' +p304100 +aS'right\tright\tJJ\tI-NP\tO' +p304101 +aS'distal\tdistal\tJJ\tI-NP\tO' +p304102 +aS'femur\tfemur\tNN\tI-NP\tO' +p304103 +aS'as\tas\tRB\tB-CONJP\tO' +p304104 +aS'well\twell\tRB\tI-CONJP\tO' +p304105 +aS'as\tas\tIN\tI-CONJP\tO' +p304106 +aS'requirements\trequirement\tNNS\tB-NP\tO' +p304107 +aS'for\tfor\tIN\tB-PP\tO' +p304108 +aS'urgent\turgent\tJJ\tB-NP\tO' +p304109 +aS'open\topen\tJJ\tI-NP\tO' +p304110 +aS'reduction\treduction\tNN\tI-NP\tO' +p304111 +aS',\t,\t,\tO\tO' +p304112 +aS'internal\tinternal\tJJ\tB-NP\tO' +p304113 +aS'fixation\tfixation\tNN\tI-NP\tO' +p304114 +aS'.\t.\t.\tO\tO' +p304115 +asS'The patient has right facial droop , right ptosis , stable and present for greater than one year .' +p304116 +(lp304117 +S'The\tThe\tDT\tB-NP\tO' +p304118 +aS'patient\tpatient\tNN\tI-NP\tO' +p304119 +aS'has\thave\tVBZ\tB-VP\tO' +p304120 +aS'right\tright\tJJ\tB-NP\tO' +p304121 +aS'facial\tfacial\tJJ\tI-NP\tO' +p304122 +aS'droop\tdroop\tNN\tI-NP\tO' +p304123 +aS',\t,\t,\tO\tO' +p304124 +aS'right\tright\tJJ\tB-NP\tO' +p304125 +aS'ptosis\tptosis\tNN\tI-NP\tO' +p304126 +aS',\t,\t,\tO\tO' +p304127 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p304128 +aS'and\tand\tCC\tI-ADJP\tO' +p304129 +aS'present\tpresent\tJJ\tI-ADJP\tO' +p304130 +aS'for\tfor\tIN\tB-PP\tO' +p304131 +aS'greater\tgreat\tJJR\tB-NP\tO' +p304132 +aS'than\tthan\tIN\tI-NP\tO' +p304133 +aS'one\tone\tCD\tI-NP\tO' +p304134 +aS'year\tyear\tNN\tI-NP\tO' +p304135 +aS'.\t.\t.\tO\tO' +p304136 +asS'Oncologist , Dr. Ala Aixknoleskaysneighslemteelenortkote , will call you will your appt .' +p304137 +(lp304138 +S'Oncologist\tOncologist\tNNP\tB-NP\tO' +p304139 +aS',\t,\t,\tO\tO' +p304140 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p304141 +aS'Ala\tAla\tNNP\tI-NP\tO' +p304142 +aS'Aixknoleskaysneighslemteelenortkote\tAixknoleskaysneighslemteelenortkote\tNNP\tI-NP\tO' +p304143 +aS',\t,\t,\tO\tO' +p304144 +aS'will\twill\tMD\tB-VP\tO' +p304145 +aS'call\tcall\tVB\tI-VP\tO' +p304146 +aS'you\tyou\tPRP\tB-NP\tO' +p304147 +aS'will\twill\tMD\tB-VP\tO' +p304148 +aS'your\tyour\tPRP$\tB-NP\tO' +p304149 +aS'appt\tappt\tNN\tI-NP\tO' +p304150 +aS'.\t.\t.\tO\tO' +p304151 +asS'The patient was to have a repeat CT scan in one week .' +p304152 +(lp304153 +S'The\tThe\tDT\tB-NP\tO' +p304154 +aS'patient\tpatient\tNN\tI-NP\tO' +p304155 +aS'was\tbe\tVBD\tB-VP\tO' +p304156 +aS'to\tto\tTO\tB-VP\tO' +p304157 +aS'have\thave\tVB\tI-VP\tO' +p304158 +aS'a\ta\tDT\tB-NP\tO' +p304159 +aS'repeat\trepeat\tNN\tI-NP\tO' +p304160 +aS'CT\tCT\tNN\tI-NP\tO' +p304161 +aS'scan\tscan\tNN\tI-NP\tO' +p304162 +aS'in\tin\tIN\tB-PP\tO' +p304163 +aS'one\tone\tCD\tB-NP\tO' +p304164 +aS'week\tweek\tNN\tI-NP\tO' +p304165 +aS'.\t.\t.\tO\tO' +p304166 +asS'This is on a current regimen of Lopressor 25 mg per NG tube t.i.d. as well as Diltiazem 60 mg per NG tube t.i.d. , and lisinopril 10 mg per NG tube q.d. She occasionally gets hypertensive when she is agitated .' +p304167 +(lp304168 +S'This\tThis\tDT\tB-NP\tO' +p304169 +aS'is\tbe\tVBZ\tB-VP\tO' +p304170 +aS'on\ton\tIN\tB-PP\tO' +p304171 +aS'a\ta\tDT\tB-NP\tO' +p304172 +aS'current\tcurrent\tJJ\tI-NP\tO' +p304173 +aS'regimen\tregimen\tNN\tI-NP\tO' +p304174 +aS'of\tof\tIN\tB-PP\tO' +p304175 +aS'Lopressor\tLopressor\tNN\tB-NP\tO' +p304176 +aS'25\t25\tCD\tI-NP\tO' +p304177 +aS'mg\tmg\tNN\tI-NP\tO' +p304178 +aS'per\tper\tIN\tB-PP\tO' +p304179 +aS'NG\tNG\tNN\tB-NP\tB-protein' +p304180 +aS'tube\ttube\tNN\tI-NP\tI-protein' +p304181 +aS't.i.d.\tt.i.d.\tNN\tI-NP\tI-protein' +p304182 +aS'as\tas\tRB\tB-CONJP\tO' +p304183 +aS'well\twell\tRB\tI-CONJP\tO' +p304184 +aS'as\tas\tIN\tI-CONJP\tO' +p304185 +aS'Diltiazem\tDiltiazem\tNNP\tB-NP\tO' +p304186 +aS'60\t60\tCD\tI-NP\tO' +p304187 +aS'mg\tmg\tNN\tI-NP\tO' +p304188 +aS'per\tper\tIN\tB-PP\tO' +p304189 +aS'NG\tNG\tNN\tB-NP\tO' +p304190 +aS'tube\ttube\tNN\tI-NP\tO' +p304191 +aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' +p304192 +aS',\t,\t,\tO\tO' +p304193 +aS'and\tand\tCC\tO\tO' +p304194 +aS'lisinopril\tlisinopril\tNN\tB-NP\tO' +p304195 +aS'10\t10\tCD\tI-NP\tO' +p304196 +aS'mg\tmg\tNN\tI-NP\tO' +p304197 +aS'per\tper\tIN\tB-PP\tO' +p304198 +aS'NG\tNG\tNN\tB-NP\tO' +p304199 +aS'tube\ttube\tNN\tI-NP\tO' +p304200 +aS'q.d.\tq.d.\tNNP\tI-NP\tO' +p304201 +aS'She\tShe\tNNP\tI-NP\tO' +p304202 +aS'occasionally\toccasionally\tRB\tB-ADVP\tO' +p304203 +aS'gets\tget\tVBZ\tB-VP\tO' +p304204 +aS'hypertensive\thypertensive\tJJ\tB-ADJP\tO' +p304205 +aS'when\twhen\tWRB\tB-ADVP\tO' +p304206 +aS'she\tshe\tPRP\tB-NP\tO' +p304207 +aS'is\tbe\tVBZ\tB-VP\tO' +p304208 +aS'agitated\tagitate\tVBN\tI-VP\tO' +p304209 +aS'.\t.\t.\tO\tO' +p304210 +asS'Dispo - to rehab when resp status improved , PT consulted' +p304211 +(lp304212 +S'Dispo\tDispo\tAFX\tO\tO' +p304213 +aS'-\t-\tHYPH\tO\tO' +p304214 +aS'to\tto\tTO\tB-VP\tO' +p304215 +aS'rehab\trehab\tVB\tI-VP\tO' +p304216 +aS'when\twhen\tWRB\tB-ADVP\tO' +p304217 +aS'resp\tresp\tNN\tB-NP\tO' +p304218 +aS'status\tstatus\tNN\tI-NP\tO' +p304219 +aS'improved\timprove\tVBD\tB-VP\tO' +p304220 +aS',\t,\t,\tO\tO' +p304221 +aS'PT\tPT\tNN\tB-NP\tO' +p304222 +aS'consulted\tconsult\tVBD\tB-VP\tO' +p304223 +asS'3. Lansoprazole 30 mg Susp , Delayed Release for Recon Sig : One ( 1 ) PO DAILY ( Daily ).' +p304224 +(lp304225 +S'3.\t3.\tLS\tB-NP\tO' +p304226 +aS'Lansoprazole\tLansoprazole\tNN\tI-NP\tO' +p304227 +aS'30\t30\tCD\tB-NP\tO' +p304228 +aS'mg\tmg\tNN\tI-NP\tO' +p304229 +aS'Susp\tSusp\tNNP\tB-NP\tO' +p304230 +aS',\t,\t,\tO\tO' +p304231 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p304232 +aS'Release\tRelease\tNNP\tI-NP\tO' +p304233 +aS'for\tfor\tIN\tB-PP\tO' +p304234 +aS'Recon\tRecon\tNNP\tB-NP\tO' +p304235 +aS'Sig\tSig\tNNP\tI-NP\tO' +p304236 +aS':\t:\t:\tO\tO' +p304237 +aS'One\tOne\tCD\tB-NP\tO' +p304238 +aS'(\t(\t(\tO\tO' +p304239 +aS'1\t1\tCD\tB-NP\tO' +p304240 +aS')\t)\t)\tO\tO' +p304241 +aS'PO\tPO\tNN\tB-NP\tO' +p304242 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p304243 +aS'(\t(\t(\tO\tO' +p304244 +aS'Daily\tDaily\tNNP\tB-NP\tO' +p304245 +aS').\t).\t)\tO\tO' +p304246 +asS'There an ABG was done which showed an ABG of 7.42 , 62 , and 55 .' +p304247 +(lp304248 +S'There\tThere\tEX\tB-NP\tO' +p304249 +aS'an\tan\tDT\tB-NP\tO' +p304250 +aS'ABG\tABG\tNN\tI-NP\tO' +p304251 +aS'was\tbe\tVBD\tB-VP\tO' +p304252 +aS'done\tdo\tVBN\tI-VP\tO' +p304253 +aS'which\twhich\tWDT\tB-NP\tO' +p304254 +aS'showed\tshow\tVBD\tB-VP\tO' +p304255 +aS'an\tan\tDT\tB-NP\tO' +p304256 +aS'ABG\tABG\tNN\tI-NP\tO' +p304257 +aS'of\tof\tIN\tB-PP\tO' +p304258 +aS'7.42\t7.42\tCD\tB-NP\tO' +p304259 +aS',\t,\t,\tI-NP\tO' +p304260 +aS'62\t62\tCD\tI-NP\tO' +p304261 +aS',\t,\t,\tO\tO' +p304262 +aS'and\tand\tCC\tO\tO' +p304263 +aS'55\t55\tCD\tB-NP\tO' +p304264 +aS'.\t.\t.\tO\tO' +p304265 +asS'The patient is a 63-year-old female with a three-year history of bilateral hand numbness and occasional weakness .' +p304266 +(lp304267 +S'The\tThe\tDT\tB-NP\tO' +p304268 +aS'patient\tpatient\tNN\tI-NP\tO' +p304269 +aS'is\tbe\tVBZ\tB-VP\tO' +p304270 +aS'a\ta\tDT\tB-NP\tO' +p304271 +aS'63-year-old\t63-year-old\tJJ\tI-NP\tO' +p304272 +aS'female\tfemale\tNN\tI-NP\tO' +p304273 +aS'with\twith\tIN\tB-PP\tO' +p304274 +aS'a\ta\tDT\tB-NP\tO' +p304275 +aS'three-year\tthree-year\tJJ\tI-NP\tO' +p304276 +aS'history\thistory\tNN\tI-NP\tO' +p304277 +aS'of\tof\tIN\tB-PP\tO' +p304278 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p304279 +aS'hand\thand\tNN\tI-NP\tO' +p304280 +aS'numbness\tnumbness\tNN\tI-NP\tO' +p304281 +aS'and\tand\tCC\tO\tO' +p304282 +aS'occasional\toccasional\tJJ\tB-NP\tO' +p304283 +aS'weakness\tweakness\tNN\tI-NP\tO' +p304284 +aS'.\t.\t.\tO\tO' +p304285 +asS'All cultures , including BCx , UCx , pleural fluid culture , and wound culture have been negative .' +p304286 +(lp304287 +S'All\tAll\tDT\tB-NP\tO' +p304288 +aS'cultures\tculture\tNNS\tI-NP\tO' +p304289 +aS',\t,\t,\tO\tO' +p304290 +aS'including\tinclude\tVBG\tB-PP\tO' +p304291 +aS'BCx\tBCx\tNN\tB-NP\tB-protein' +p304292 +aS',\t,\t,\tO\tO' +p304293 +aS'UCx\tUCx\tNN\tB-NP\tB-protein' +p304294 +aS',\t,\t,\tO\tO' +p304295 +aS'pleural\tpleural\tJJ\tB-NP\tO' +p304296 +aS'fluid\tfluid\tNN\tI-NP\tO' +p304297 +aS'culture\tculture\tNN\tI-NP\tO' +p304298 +aS',\t,\t,\tO\tO' +p304299 +aS'and\tand\tCC\tO\tO' +p304300 +aS'wound\twound\tNN\tB-NP\tO' +p304301 +aS'culture\tculture\tNN\tI-NP\tO' +p304302 +aS'have\thave\tVBP\tB-VP\tO' +p304303 +aS'been\tbe\tVBN\tI-VP\tO' +p304304 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p304305 +aS'.\t.\t.\tO\tO' +p304306 +asS'Toes : mute bilaterally ; TFL contracted on the L .' +p304307 +(lp304308 +S'Toes\tToe\tNNS\tB-NP\tO' +p304309 +aS':\t:\t:\tO\tO' +p304310 +aS'mute\tmute\tVB\tB-VP\tO' +p304311 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p304312 +aS';\t;\t:\tO\tO' +p304313 +aS'TFL\tTFL\tNN\tB-NP\tB-protein' +p304314 +aS'contracted\tcontract\tVBD\tB-VP\tO' +p304315 +aS'on\ton\tIN\tB-PP\tO' +p304316 +aS'the\tthe\tDT\tB-NP\tO' +p304317 +aS'L\tL\tNN\tI-NP\tO' +p304318 +aS'.\t.\t.\tO\tO' +p304319 +asS'He continued to be very tenuous from a pulmonary point of view and required frequent chest PT .' +p304320 +(lp304321 +S'He\tHe\tPRP\tB-NP\tO' +p304322 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p304323 +aS'to\tto\tTO\tI-VP\tO' +p304324 +aS'be\tbe\tVB\tI-VP\tO' +p304325 +aS'very\tvery\tRB\tB-ADJP\tO' +p304326 +aS'tenuous\ttenuous\tJJ\tI-ADJP\tO' +p304327 +aS'from\tfrom\tIN\tB-PP\tO' +p304328 +aS'a\ta\tDT\tB-NP\tO' +p304329 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p304330 +aS'point\tpoint\tNN\tI-NP\tO' +p304331 +aS'of\tof\tIN\tB-PP\tO' +p304332 +aS'view\tview\tNN\tB-NP\tO' +p304333 +aS'and\tand\tCC\tO\tO' +p304334 +aS'required\trequire\tVBD\tB-VP\tO' +p304335 +aS'frequent\tfrequent\tJJ\tB-NP\tO' +p304336 +aS'chest\tchest\tNN\tI-NP\tO' +p304337 +aS'PT\tPT\tNN\tI-NP\tO' +p304338 +aS'.\t.\t.\tO\tO' +p304339 +asS'A repeat bilirubin on 2012-05-19 was 8.0/0.3 direct .' +p304340 +(lp304341 +S'A\tA\tDT\tB-NP\tO' +p304342 +aS'repeat\trepeat\tNN\tI-NP\tO' +p304343 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p304344 +aS'on\ton\tIN\tB-PP\tO' +p304345 +aS'2012-05-19\t2012-05-19\tCD\tB-NP\tO' +p304346 +aS'was\tbe\tVBD\tB-VP\tO' +p304347 +aS'8.0/0.3\t8.0/0.3\tCD\tB-ADJP\tO' +p304348 +aS'direct\tdirect\tJJ\tI-ADJP\tO' +p304349 +aS'.\t.\t.\tO\tO' +p304350 +asS'The patient presented in 10-90 , with heavy bleeding per vagina .' +p304351 +(lp304352 +S'The\tThe\tDT\tB-NP\tO' +p304353 +aS'patient\tpatient\tNN\tI-NP\tO' +p304354 +aS'presented\tpresent\tVBD\tB-VP\tO' +p304355 +aS'in\tin\tIN\tB-PP\tO' +p304356 +aS'10-90\t10-90\tCD\tB-NP\tO' +p304357 +aS',\t,\t,\tO\tO' +p304358 +aS'with\twith\tIN\tB-PP\tO' +p304359 +aS'heavy\theavy\tJJ\tB-NP\tO' +p304360 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p304361 +aS'per\tper\tIN\tB-PP\tO' +p304362 +aS'vagina\tvagina\tNN\tB-NP\tO' +p304363 +aS'.\t.\t.\tO\tO' +p304364 +asS'Mother did not receive any antibiotics prior to delivery .' +p304365 +(lp304366 +S'Mother\tMother\tNNP\tB-NP\tO' +p304367 +aS'did\tdo\tVBD\tB-VP\tO' +p304368 +aS'not\tnot\tRB\tI-VP\tO' +p304369 +aS'receive\treceive\tVB\tI-VP\tO' +p304370 +aS'any\tany\tDT\tB-NP\tO' +p304371 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p304372 +aS'prior\tprior\tRB\tB-ADVP\tO' +p304373 +aS'to\tto\tTO\tB-PP\tO' +p304374 +aS'delivery\tdelivery\tNN\tB-NP\tO' +p304375 +aS'.\t.\t.\tO\tO' +p304376 +asS"Doll 's eyes ." +p304377 +(lp304378 +S'Doll\tDoll\tNNP\tB-NP\tO' +p304379 +aS"'s\t's\tPOS\tB-NP\tO" +p304380 +aS'eyes\teye\tNNS\tI-NP\tO' +p304381 +aS'.\t.\t.\tO\tO' +p304382 +asS'no evidence of pulmonary emboli .' +p304383 +(lp304384 +S'no\tno\tDT\tB-NP\tO' +p304385 +aS'evidence\tevidence\tNN\tI-NP\tO' +p304386 +aS'of\tof\tIN\tB-PP\tO' +p304387 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p304388 +aS'emboli\tembolus\tNNS\tI-NP\tO' +p304389 +aS'.\t.\t.\tO\tO' +p304390 +asS'There was a firm nodule in the left lobe of the prostate in the lateral aspect .' +p304391 +(lp304392 +S'There\tThere\tEX\tB-NP\tO' +p304393 +aS'was\tbe\tVBD\tB-VP\tO' +p304394 +aS'a\ta\tDT\tB-NP\tO' +p304395 +aS'firm\tfirm\tJJ\tI-NP\tO' +p304396 +aS'nodule\tnodule\tNN\tI-NP\tO' +p304397 +aS'in\tin\tIN\tB-PP\tO' +p304398 +aS'the\tthe\tDT\tB-NP\tO' +p304399 +aS'left\tleft\tJJ\tI-NP\tO' +p304400 +aS'lobe\tlobe\tNN\tI-NP\tO' +p304401 +aS'of\tof\tIN\tB-PP\tO' +p304402 +aS'the\tthe\tDT\tB-NP\tO' +p304403 +aS'prostate\tprostate\tNN\tI-NP\tO' +p304404 +aS'in\tin\tIN\tB-PP\tO' +p304405 +aS'the\tthe\tDT\tB-NP\tO' +p304406 +aS'lateral\tlateral\tJJ\tI-NP\tO' +p304407 +aS'aspect\taspect\tNN\tI-NP\tO' +p304408 +aS'.\t.\t.\tO\tO' +p304409 +asS'Throughout this time , Mr. Richard temperature continued to increase and was such that on hospital day four , his temperature maximum was 42.2 degrees centigrade .' +p304410 +(lp304411 +S'Throughout\tThroughout\tIN\tB-PP\tO' +p304412 +aS'this\tthis\tDT\tB-NP\tO' +p304413 +aS'time\ttime\tNN\tI-NP\tO' +p304414 +aS',\t,\t,\tO\tO' +p304415 +aS'Mr.\tMr.\tNNP\tB-NP\tO' +p304416 +aS'Richard\tRichard\tNNP\tI-NP\tO' +p304417 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p304418 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p304419 +aS'to\tto\tTO\tI-VP\tO' +p304420 +aS'increase\tincrease\tVB\tI-VP\tO' +p304421 +aS'and\tand\tCC\tO\tO' +p304422 +aS'was\tbe\tVBD\tB-VP\tO' +p304423 +aS'such\tsuch\tJJ\tB-ADJP\tO' +p304424 +aS'that\tthat\tIN\tB-SBAR\tO' +p304425 +aS'on\ton\tIN\tB-PP\tO' +p304426 +aS'hospital\thospital\tNN\tB-NP\tO' +p304427 +aS'day\tday\tNN\tI-NP\tO' +p304428 +aS'four\tfour\tCD\tB-NP\tO' +p304429 +aS',\t,\t,\tO\tO' +p304430 +aS'his\this\tPRP$\tB-NP\tO' +p304431 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p304432 +aS'maximum\tmaximum\tNN\tI-NP\tO' +p304433 +aS'was\tbe\tVBD\tB-VP\tO' +p304434 +aS'42.2\t42.2\tCD\tB-NP\tO' +p304435 +aS'degrees\tdegree\tNNS\tI-NP\tO' +p304436 +aS'centigrade\tcentigrade\tNN\tI-NP\tO' +p304437 +aS'.\t.\t.\tO\tO' +p304438 +asS'2. Left lobe thyroid enlargement with heterogeneous appearance .' +p304439 +(lp304440 +S'2.\t2.\tLS\tB-NP\tO' +p304441 +aS'Left\tLeft\tNN\tI-NP\tO' +p304442 +aS'lobe\tlobe\tNN\tI-NP\tO' +p304443 +aS'thyroid\tthyroid\tNN\tI-NP\tO' +p304444 +aS'enlargement\tenlargement\tNN\tI-NP\tO' +p304445 +aS'with\twith\tIN\tB-PP\tO' +p304446 +aS'heterogeneous\theterogeneous\tJJ\tB-NP\tO' +p304447 +aS'appearance\tappearance\tNN\tI-NP\tO' +p304448 +aS'.\t.\t.\tO\tO' +p304449 +asS'He is to follow up with Dr. Rach Breutznedeaisscarvwierst in Clinic .' +p304450 +(lp304451 +S'He\tHe\tPRP\tB-NP\tO' +p304452 +aS'is\tbe\tVBZ\tB-VP\tO' +p304453 +aS'to\tto\tTO\tB-VP\tO' +p304454 +aS'follow\tfollow\tVB\tI-VP\tO' +p304455 +aS'up\tup\tRP\tB-PRT\tO' +p304456 +aS'with\twith\tIN\tB-PP\tO' +p304457 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p304458 +aS'Rach\tRach\tNNP\tI-NP\tO' +p304459 +aS'Breutznedeaisscarvwierst\tBreutznedeaisscarvwierst\tNNP\tI-NP\tO' +p304460 +aS'in\tin\tIN\tB-PP\tO' +p304461 +aS'Clinic\tClinic\tNNP\tB-NP\tO' +p304462 +aS'.\t.\t.\tO\tO' +p304463 +asS'Soc Hx : lives in Va with her husband , has been up here since April s/p month long hospitalization , no tob/etoh' +p304464 +(lp304465 +S'Soc\tSoc\tNNP\tB-NP\tO' +p304466 +aS'Hx\tHx\tNNP\tI-NP\tO' +p304467 +aS':\t:\t:\tO\tO' +p304468 +aS'lives\tlife\tNNS\tB-NP\tO' +p304469 +aS'in\tin\tIN\tB-PP\tO' +p304470 +aS'Va\tVa\tNNP\tB-NP\tO' +p304471 +aS'with\twith\tIN\tB-PP\tO' +p304472 +aS'her\ther\tPRP$\tB-NP\tO' +p304473 +aS'husband\thusband\tNN\tI-NP\tO' +p304474 +aS',\t,\t,\tO\tO' +p304475 +aS'has\thave\tVBZ\tB-VP\tO' +p304476 +aS'been\tbe\tVBN\tI-VP\tO' +p304477 +aS'up\tup\tRB\tB-ADVP\tO' +p304478 +aS'here\there\tRB\tB-ADVP\tO' +p304479 +aS'since\tsince\tIN\tB-PP\tO' +p304480 +aS'April\tApril\tNNP\tB-NP\tO' +p304481 +aS's/p\ts/p\tNN\tI-NP\tO' +p304482 +aS'month\tmonth\tNN\tI-NP\tO' +p304483 +aS'long\tlong\tJJ\tI-NP\tO' +p304484 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p304485 +aS',\t,\t,\tO\tO' +p304486 +aS'no\tno\tDT\tB-NP\tO' +p304487 +aS'tob/etoh\ttob/etoh\tNN\tI-NP\tO' +p304488 +asS'All cultures were negative .' +p304489 +(lp304490 +S'All\tAll\tDT\tB-NP\tO' +p304491 +aS'cultures\tculture\tNNS\tI-NP\tO' +p304492 +aS'were\tbe\tVBD\tB-VP\tO' +p304493 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p304494 +aS'.\t.\t.\tO\tO' +p304495 +asS'Age appropriate tone and reflexes .' +p304496 +(lp304497 +S'Age\tAge\tNN\tB-NP\tO' +p304498 +aS'appropriate\tappropriate\tJJ\tI-NP\tO' +p304499 +aS'tone\ttone\tNN\tI-NP\tO' +p304500 +aS'and\tand\tCC\tI-NP\tO' +p304501 +aS'reflexes\treflex\tNNS\tI-NP\tO' +p304502 +aS'.\t.\t.\tO\tO' +p304503 +asS"The patient 's also began to climb and the percent blasts in his differential decreased significantly ." +p304504 +(lp304505 +S'The\tThe\tDT\tB-NP\tO' +p304506 +aS'patient\tpatient\tNN\tI-NP\tO' +p304507 +aS"'s\t's\tPOS\tB-NP\tO" +p304508 +aS'also\talso\tRB\tB-ADVP\tO' +p304509 +aS'began\tbegin\tVBD\tB-VP\tO' +p304510 +aS'to\tto\tTO\tB-PP\tO' +p304511 +aS'climb\tclimb\tNN\tB-NP\tO' +p304512 +aS'and\tand\tCC\tO\tO' +p304513 +aS'the\tthe\tDT\tB-NP\tO' +p304514 +aS'percent\tpercent\tNN\tI-NP\tO' +p304515 +aS'blasts\tblast\tNNS\tI-NP\tO' +p304516 +aS'in\tin\tIN\tB-PP\tO' +p304517 +aS'his\this\tPRP$\tB-NP\tO' +p304518 +aS'differential\tdifferential\tJJ\tI-NP\tO' +p304519 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p304520 +aS'significantly\tsignificantly\tRB\tB-ADVP\tO' +p304521 +aS'.\t.\t.\tO\tO' +p304522 +asS'11. Alprazolam 1 mg Tablet Sig : One ( 1 ) Tablet PO QID ( 4 times a day ) .' +p304523 +(lp304524 +S'11.\t11.\tCD\tB-NP\tO' +p304525 +aS'Alprazolam\tAlprazolam\tNNP\tI-NP\tO' +p304526 +aS'1\t1\tCD\tI-NP\tO' +p304527 +aS'mg\tmg\tNN\tI-NP\tO' +p304528 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p304529 +aS'Sig\tSig\tNNP\tI-NP\tO' +p304530 +aS':\t:\t:\tO\tO' +p304531 +aS'One\tOne\tCD\tB-NP\tO' +p304532 +aS'(\t(\t(\tO\tO' +p304533 +aS'1\t1\tCD\tB-NP\tO' +p304534 +aS')\t)\t)\tO\tO' +p304535 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p304536 +aS'PO\tPO\tNN\tI-NP\tO' +p304537 +aS'QID\tQID\tNN\tI-NP\tO' +p304538 +aS'(\t(\t(\tO\tO' +p304539 +aS'4\t4\tCD\tB-NP\tO' +p304540 +aS'times\ttime\tNNS\tI-NP\tO' +p304541 +aS'a\ta\tDT\tB-NP\tO' +p304542 +aS'day\tday\tNN\tI-NP\tO' +p304543 +aS')\t)\t)\tO\tO' +p304544 +aS'.\t.\t.\tO\tO' +p304545 +asS'10. Flolan 5 nanograms per kilograms per minute , continuous infusion .' +p304546 +(lp304547 +S'10.\t10.\tCD\tB-NP\tO' +p304548 +aS'Flolan\tFlolan\tNNP\tI-NP\tO' +p304549 +aS'5\t5\tCD\tI-NP\tO' +p304550 +aS'nanograms\tnanogram\tNNS\tI-NP\tO' +p304551 +aS'per\tper\tIN\tB-PP\tO' +p304552 +aS'kilograms\tkilogram\tNNS\tB-NP\tO' +p304553 +aS'per\tper\tIN\tB-PP\tO' +p304554 +aS'minute\tminute\tNN\tB-NP\tO' +p304555 +aS',\t,\t,\tO\tO' +p304556 +aS'continuous\tcontinuous\tJJ\tB-NP\tO' +p304557 +aS'infusion\tinfusion\tNN\tI-NP\tO' +p304558 +aS'.\t.\t.\tO\tO' +p304559 +asS'2-Renal failure .' +p304560 +(lp304561 +S'2-Renal\t2-Renal\tJJ\tB-NP\tO' +p304562 +aS'failure\tfailure\tNN\tI-NP\tO' +p304563 +aS'.\t.\t.\tO\tO' +p304564 +asS'Pathology was reviewed revealing invasive squamous cell carcinoma .' +p304565 +(lp304566 +S'Pathology\tPathology\tNNS\tB-NP\tO' +p304567 +aS'was\tbe\tVBD\tB-VP\tO' +p304568 +aS'reviewed\treview\tVBN\tI-VP\tO' +p304569 +aS'revealing\treveal\tVBG\tI-VP\tO' +p304570 +aS'invasive\tinvasive\tJJ\tB-NP\tO' +p304571 +aS'squamous\tsquamous\tJJ\tI-NP\tO' +p304572 +aS'cell\tcell\tNN\tI-NP\tO' +p304573 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p304574 +aS'.\t.\t.\tO\tO' +p304575 +asS"Once the patient 's creatinine had improved to baseline , her Lasix and ace inhibitor were restarted and the patient 's creatinine was noted to be stable ." +p304576 +(lp304577 +S'Once\tOnce\tRB\tO\tO' +p304578 +aS'the\tthe\tDT\tB-NP\tO' +p304579 +aS'patient\tpatient\tNN\tI-NP\tO' +p304580 +aS"'s\t's\tPOS\tB-NP\tO" +p304581 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p304582 +aS'had\thave\tVBD\tB-VP\tO' +p304583 +aS'improved\timprove\tVBN\tI-VP\tO' +p304584 +aS'to\tto\tTO\tB-PP\tO' +p304585 +aS'baseline\tbaseline\tNN\tB-NP\tO' +p304586 +aS',\t,\t,\tO\tO' +p304587 +aS'her\ther\tPRP$\tB-NP\tO' +p304588 +aS'Lasix\tLasix\tNN\tI-NP\tO' +p304589 +aS'and\tand\tCC\tI-NP\tO' +p304590 +aS'ace\tace\tNN\tI-NP\tO' +p304591 +aS'inhibitor\tinhibitor\tNN\tI-NP\tO' +p304592 +aS'were\tbe\tVBD\tB-VP\tO' +p304593 +aS'restarted\trestart\tVBN\tI-VP\tO' +p304594 +aS'and\tand\tCC\tO\tO' +p304595 +aS'the\tthe\tDT\tB-NP\tO' +p304596 +aS'patient\tpatient\tNN\tI-NP\tO' +p304597 +aS"'s\t's\tPOS\tB-NP\tO" +p304598 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p304599 +aS'was\tbe\tVBD\tB-VP\tO' +p304600 +aS'noted\tnote\tVBN\tI-VP\tO' +p304601 +aS'to\tto\tTO\tI-VP\tO' +p304602 +aS'be\tbe\tVB\tI-VP\tO' +p304603 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p304604 +aS'.\t.\t.\tO\tO' +p304605 +asS"The patient 's nasogastric tube was removed on the 3rd postoperative day , and with the passage of flatus and good bowel sounds noted , she was started on a liquid diet which was advanced slowly ." +p304606 +(lp304607 +S'The\tThe\tDT\tB-NP\tO' +p304608 +aS'patient\tpatient\tNN\tI-NP\tO' +p304609 +aS"'s\t's\tPOS\tB-NP\tO" +p304610 +aS'nasogastric\tnasogastric\tJJ\tI-NP\tO' +p304611 +aS'tube\ttube\tNN\tI-NP\tO' +p304612 +aS'was\tbe\tVBD\tB-VP\tO' +p304613 +aS'removed\tremove\tVBN\tI-VP\tO' +p304614 +aS'on\ton\tIN\tB-PP\tO' +p304615 +aS'the\tthe\tDT\tB-NP\tO' +p304616 +aS'3rd\t3rd\tJJ\tI-NP\tO' +p304617 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p304618 +aS'day\tday\tNN\tI-NP\tO' +p304619 +aS',\t,\t,\tO\tO' +p304620 +aS'and\tand\tCC\tO\tO' +p304621 +aS'with\twith\tIN\tB-PP\tO' +p304622 +aS'the\tthe\tDT\tB-NP\tO' +p304623 +aS'passage\tpassage\tNN\tI-NP\tO' +p304624 +aS'of\tof\tIN\tB-PP\tO' +p304625 +aS'flatus\tflatus\tNN\tB-NP\tO' +p304626 +aS'and\tand\tCC\tO\tO' +p304627 +aS'good\tgood\tJJ\tB-NP\tO' +p304628 +aS'bowel\tbowel\tNN\tI-NP\tO' +p304629 +aS'sounds\tsound\tVBZ\tB-VP\tO' +p304630 +aS'noted\tnote\tVBN\tI-VP\tO' +p304631 +aS',\t,\t,\tO\tO' +p304632 +aS'she\tshe\tPRP\tB-NP\tO' +p304633 +aS'was\tbe\tVBD\tB-VP\tO' +p304634 +aS'started\tstart\tVBN\tI-VP\tO' +p304635 +aS'on\ton\tIN\tB-PP\tO' +p304636 +aS'a\ta\tDT\tB-NP\tO' +p304637 +aS'liquid\tliquid\tNN\tI-NP\tO' +p304638 +aS'diet\tdiet\tNN\tI-NP\tO' +p304639 +aS'which\twhich\tWDT\tB-NP\tO' +p304640 +aS'was\tbe\tVBD\tB-VP\tO' +p304641 +aS'advanced\tadvance\tVBN\tI-VP\tO' +p304642 +aS'slowly\tslowly\tRB\tB-ADVP\tO' +p304643 +aS'.\t.\t.\tO\tO' +p304644 +asS'This strategy and its incumbent risks , particularly in a patient on Heparin , were discussed at length with both the patient and his family , who were very clear in wanting to proceed with all possible efforts to save the use of his left leg .' +p304645 +(lp304646 +S'This\tThis\tDT\tB-NP\tO' +p304647 +aS'strategy\tstrategy\tNN\tI-NP\tO' +p304648 +aS'and\tand\tCC\tO\tO' +p304649 +aS'its\tits\tPRP$\tB-NP\tO' +p304650 +aS'incumbent\tincumbent\tJJ\tI-NP\tO' +p304651 +aS'risks\trisk\tNNS\tI-NP\tO' +p304652 +aS',\t,\t,\tO\tO' +p304653 +aS'particularly\tparticularly\tRB\tB-ADVP\tO' +p304654 +aS'in\tin\tIN\tB-PP\tO' +p304655 +aS'a\ta\tDT\tB-NP\tO' +p304656 +aS'patient\tpatient\tNN\tI-NP\tO' +p304657 +aS'on\ton\tIN\tB-PP\tO' +p304658 +aS'Heparin\tHeparin\tNN\tB-NP\tO' +p304659 +aS',\t,\t,\tO\tO' +p304660 +aS'were\tbe\tVBD\tB-VP\tO' +p304661 +aS'discussed\tdiscuss\tVBN\tI-VP\tO' +p304662 +aS'at\tat\tIN\tB-PP\tO' +p304663 +aS'length\tlength\tNN\tB-NP\tO' +p304664 +aS'with\twith\tIN\tB-PP\tO' +p304665 +aS'both\tboth\tCC\tO\tO' +p304666 +aS'the\tthe\tDT\tB-NP\tO' +p304667 +aS'patient\tpatient\tNN\tI-NP\tO' +p304668 +aS'and\tand\tCC\tO\tO' +p304669 +aS'his\this\tPRP$\tB-NP\tO' +p304670 +aS'family\tfamily\tNN\tI-NP\tO' +p304671 +aS',\t,\t,\tO\tO' +p304672 +aS'who\twho\tWP\tB-NP\tO' +p304673 +aS'were\tbe\tVBD\tB-VP\tO' +p304674 +aS'very\tvery\tRB\tB-ADJP\tO' +p304675 +aS'clear\tclear\tJJ\tI-ADJP\tO' +p304676 +aS'in\tin\tIN\tB-PP\tO' +p304677 +aS'wanting\twant\tVBG\tB-VP\tO' +p304678 +aS'to\tto\tTO\tI-VP\tO' +p304679 +aS'proceed\tproceed\tVB\tI-VP\tO' +p304680 +aS'with\twith\tIN\tB-PP\tO' +p304681 +aS'all\tall\tDT\tB-NP\tO' +p304682 +aS'possible\tpossible\tJJ\tI-NP\tO' +p304683 +aS'efforts\teffort\tNNS\tI-NP\tO' +p304684 +aS'to\tto\tTO\tB-VP\tO' +p304685 +aS'save\tsave\tVB\tI-VP\tO' +p304686 +aS'the\tthe\tDT\tB-NP\tO' +p304687 +aS'use\tuse\tNN\tI-NP\tO' +p304688 +aS'of\tof\tIN\tB-PP\tO' +p304689 +aS'his\this\tPRP$\tB-NP\tO' +p304690 +aS'left\tleft\tJJ\tI-NP\tO' +p304691 +aS'leg\tleg\tNN\tI-NP\tO' +p304692 +aS'.\t.\t.\tO\tO' +p304693 +asS'The patient did well on the floor , was seen by physical therapy who quickly cleared him to go home on 2015-06-15 and the patient was in good condition .' +p304694 +(lp304695 +S'The\tThe\tDT\tB-NP\tO' +p304696 +aS'patient\tpatient\tNN\tI-NP\tO' +p304697 +aS'did\tdo\tVBD\tB-VP\tO' +p304698 +aS'well\twell\tRB\tB-ADVP\tO' +p304699 +aS'on\ton\tIN\tB-PP\tO' +p304700 +aS'the\tthe\tDT\tB-NP\tO' +p304701 +aS'floor\tfloor\tNN\tI-NP\tO' +p304702 +aS',\t,\t,\tO\tO' +p304703 +aS'was\tbe\tVBD\tB-VP\tO' +p304704 +aS'seen\tsee\tVBN\tI-VP\tO' +p304705 +aS'by\tby\tIN\tB-PP\tO' +p304706 +aS'physical\tphysical\tJJ\tB-NP\tO' +p304707 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p304708 +aS'who\twho\tWP\tB-NP\tO' +p304709 +aS'quickly\tquickly\tRB\tB-ADVP\tO' +p304710 +aS'cleared\tclear\tVBD\tB-VP\tO' +p304711 +aS'him\thim\tPRP\tB-NP\tO' +p304712 +aS'to\tto\tTO\tB-VP\tO' +p304713 +aS'go\tgo\tVB\tI-VP\tO' +p304714 +aS'home\thome\tNN\tB-ADVP\tO' +p304715 +aS'on\ton\tIN\tB-PP\tO' +p304716 +aS'2015-06-15\t2015-06-15\tCD\tB-NP\tO' +p304717 +aS'and\tand\tCC\tO\tO' +p304718 +aS'the\tthe\tDT\tB-NP\tO' +p304719 +aS'patient\tpatient\tNN\tI-NP\tO' +p304720 +aS'was\tbe\tVBD\tB-VP\tO' +p304721 +aS'in\tin\tIN\tB-PP\tO' +p304722 +aS'good\tgood\tJJ\tB-NP\tO' +p304723 +aS'condition\tcondition\tNN\tI-NP\tO' +p304724 +aS'.\t.\t.\tO\tO' +p304725 +asS'improving , but still poor air movement , diffusely wheezy on exam , at baseline 2L o2 requirement' +p304726 +(lp304727 +S'improving\timprove\tVBG\tB-VP\tO' +p304728 +aS',\t,\t,\tO\tO' +p304729 +aS'but\tbut\tCC\tO\tO' +p304730 +aS'still\tstill\tRB\tB-NP\tO' +p304731 +aS'poor\tpoor\tJJ\tI-NP\tO' +p304732 +aS'air\tair\tNN\tI-NP\tO' +p304733 +aS'movement\tmovement\tNN\tI-NP\tO' +p304734 +aS',\t,\t,\tO\tO' +p304735 +aS'diffusely\tdiffusely\tRB\tB-ADJP\tO' +p304736 +aS'wheezy\twheezy\tJJ\tI-ADJP\tO' +p304737 +aS'on\ton\tIN\tB-PP\tO' +p304738 +aS'exam\texam\tNN\tB-NP\tO' +p304739 +aS',\t,\t,\tO\tO' +p304740 +aS'at\tat\tIN\tB-PP\tO' +p304741 +aS'baseline\tbaseline\tNN\tB-NP\tO' +p304742 +aS'2L\t2L\tNN\tI-NP\tO' +p304743 +aS'o2\to2\tNN\tI-NP\tO' +p304744 +aS'requirement\trequirement\tNN\tI-NP\tO' +p304745 +asS'5. Hematology .' +p304746 +(lp304747 +S'5.\t5.\tLS\tB-LST\tO' +p304748 +aS'Hematology\tHematology\tNNP\tB-NP\tO' +p304749 +aS'.\t.\t.\tO\tO' +p304750 +asS'Completed by : Marcel L Beatty , M.D.' +p304751 +(lp304752 +S'Completed\tComplete\tVBN\tB-VP\tO' +p304753 +aS'by\tby\tIN\tB-PP\tO' +p304754 +aS':\t:\t:\tO\tO' +p304755 +aS'Marcel\tMarcel\tNNP\tB-NP\tO' +p304756 +aS'L\tL\tNNP\tI-NP\tO' +p304757 +aS'Beatty\tBeatty\tNNP\tI-NP\tO' +p304758 +aS',\t,\t,\tO\tO' +p304759 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p304760 +asS'Extremities without edema .' +p304761 +(lp304762 +S'Extremities\tExtremity\tNNS\tB-NP\tO' +p304763 +aS'without\twithout\tIN\tB-PP\tO' +p304764 +aS'edema\tedema\tNN\tB-NP\tO' +p304765 +aS'.\t.\t.\tO\tO' +p304766 +asS'The patient was also told that he would have to be admitted for several days during his next cycle of CVAD .' +p304767 +(lp304768 +S'The\tThe\tDT\tB-NP\tO' +p304769 +aS'patient\tpatient\tNN\tI-NP\tO' +p304770 +aS'was\tbe\tVBD\tB-VP\tO' +p304771 +aS'also\talso\tRB\tI-VP\tO' +p304772 +aS'told\ttell\tVBN\tI-VP\tO' +p304773 +aS'that\tthat\tIN\tB-SBAR\tO' +p304774 +aS'he\the\tPRP\tB-NP\tO' +p304775 +aS'would\twould\tMD\tB-VP\tO' +p304776 +aS'have\thave\tVB\tI-VP\tO' +p304777 +aS'to\tto\tTO\tI-VP\tO' +p304778 +aS'be\tbe\tVB\tI-VP\tO' +p304779 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p304780 +aS'for\tfor\tIN\tB-PP\tO' +p304781 +aS'several\tseveral\tJJ\tB-NP\tO' +p304782 +aS'days\tday\tNNS\tI-NP\tO' +p304783 +aS'during\tduring\tIN\tB-PP\tO' +p304784 +aS'his\this\tPRP$\tB-NP\tO' +p304785 +aS'next\tnext\tJJ\tI-NP\tO' +p304786 +aS'cycle\tcycle\tNN\tI-NP\tO' +p304787 +aS'of\tof\tIN\tB-PP\tO' +p304788 +aS'CVAD\tCVAD\tNN\tB-NP\tB-protein' +p304789 +aS'.\t.\t.\tO\tO' +p304790 +asS'EKG showed sinus tachycardia , borderline left axis , normal intervals , LVH , left atrial enlargement , no Q waves , no P-R depressions , no ST segment elevations or depression .' +p304791 +(lp304792 +S'EKG\tEKG\tNN\tB-NP\tB-protein' +p304793 +aS'showed\tshow\tVBD\tB-VP\tO' +p304794 +aS'sinus\tsinus\tNN\tB-NP\tO' +p304795 +aS'tachycardia\ttachycardia\tNN\tI-NP\tO' +p304796 +aS',\t,\t,\tO\tO' +p304797 +aS'borderline\tborderline\tJJ\tB-NP\tO' +p304798 +aS'left\tleft\tJJ\tI-NP\tO' +p304799 +aS'axis\taxis\tNN\tI-NP\tO' +p304800 +aS',\t,\t,\tO\tO' +p304801 +aS'normal\tnormal\tJJ\tB-NP\tO' +p304802 +aS'intervals\tinterval\tNNS\tI-NP\tO' +p304803 +aS',\t,\t,\tO\tO' +p304804 +aS'LVH\tLVH\tNN\tB-NP\tB-protein' +p304805 +aS',\t,\t,\tO\tO' +p304806 +aS'left\tleave\tVBD\tB-VP\tO' +p304807 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p304808 +aS'enlargement\tenlargement\tNN\tI-NP\tO' +p304809 +aS',\t,\t,\tO\tO' +p304810 +aS'no\tno\tDT\tB-NP\tO' +p304811 +aS'Q\tQ\tNN\tI-NP\tO' +p304812 +aS'waves\twave\tNNS\tI-NP\tO' +p304813 +aS',\t,\t,\tO\tO' +p304814 +aS'no\tno\tDT\tB-NP\tO' +p304815 +aS'P-R\tP-R\tNN\tI-NP\tB-protein' +p304816 +aS'depressions\tdepression\tNNS\tI-NP\tO' +p304817 +aS',\t,\t,\tO\tO' +p304818 +aS'no\tno\tDT\tB-NP\tO' +p304819 +aS'ST\tST\tNN\tI-NP\tO' +p304820 +aS'segment\tsegment\tNN\tI-NP\tO' +p304821 +aS'elevations\televation\tNNS\tI-NP\tO' +p304822 +aS'or\tor\tCC\tO\tO' +p304823 +aS'depression\tdepression\tNN\tB-NP\tO' +p304824 +aS'.\t.\t.\tO\tO' +p304825 +asS'( 2 ) abdominal wall hernia .' +p304826 +(lp304827 +S'(\t(\t(\tB-LST\tO' +p304828 +aS'2\t2\tLS\tI-LST\tO' +p304829 +aS')\t)\t)\tO\tO' +p304830 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p304831 +aS'wall\twall\tNN\tI-NP\tO' +p304832 +aS'hernia\thernia\tNN\tI-NP\tO' +p304833 +aS'.\t.\t.\tO\tO' +p304834 +asS'METASTATIC CANCER TO THE LIVER .' +p304835 +(lp304836 +S'METASTATIC\tMETASTATIC\tNN\tB-NP\tO' +p304837 +aS'CANCER\tCANCER\tNN\tI-NP\tO' +p304838 +aS'TO\tTO\tTO\tB-PP\tO' +p304839 +aS'THE\tTHE\tDT\tB-NP\tO' +p304840 +aS'LIVER\tLIVER\tNN\tI-NP\tB-protein' +p304841 +aS'.\t.\t.\tO\tO' +p304842 +asS'Do not lift more than 10 lbs for 2 months .' +p304843 +(lp304844 +S'Do\tDo\tVBP\tB-VP\tO' +p304845 +aS'not\tnot\tRB\tI-VP\tO' +p304846 +aS'lift\tlift\tVB\tI-VP\tO' +p304847 +aS'more\tmore\tJJR\tB-NP\tO' +p304848 +aS'than\tthan\tIN\tI-NP\tO' +p304849 +aS'10\t10\tCD\tI-NP\tO' +p304850 +aS'lbs\tlb\tNNS\tI-NP\tO' +p304851 +aS'for\tfor\tIN\tB-PP\tO' +p304852 +aS'2\t2\tCD\tB-NP\tO' +p304853 +aS'months\tmonth\tNNS\tI-NP\tO' +p304854 +aS'.\t.\t.\tO\tO' +p304855 +asS'Patient did not receive sedation or muscle relaxant since admission to the Pediatric Intensive Care Unit .' +p304856 +(lp304857 +S'Patient\tPatient\tNN\tB-NP\tO' +p304858 +aS'did\tdo\tVBD\tB-VP\tO' +p304859 +aS'not\tnot\tRB\tI-VP\tO' +p304860 +aS'receive\treceive\tVB\tI-VP\tO' +p304861 +aS'sedation\tsedation\tNN\tB-NP\tO' +p304862 +aS'or\tor\tCC\tI-NP\tO' +p304863 +aS'muscle\tmuscle\tNN\tI-NP\tO' +p304864 +aS'relaxant\trelaxant\tNN\tI-NP\tO' +p304865 +aS'since\tsince\tIN\tB-PP\tO' +p304866 +aS'admission\tadmission\tNN\tB-NP\tO' +p304867 +aS'to\tto\tTO\tB-PP\tO' +p304868 +aS'the\tthe\tDT\tB-NP\tO' +p304869 +aS'Pediatric\tPediatric\tNNP\tI-NP\tO' +p304870 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p304871 +aS'Care\tCare\tNNP\tI-NP\tO' +p304872 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p304873 +aS'.\t.\t.\tO\tO' +p304874 +asS'Heart and mediastinum are unremarkable allowing for technique , no sizeable pneumothorax .' +p304875 +(lp304876 +S'Heart\tHeart\tNN\tB-NP\tO' +p304877 +aS'and\tand\tCC\tI-NP\tO' +p304878 +aS'mediastinum\tmediastinum\tNN\tI-NP\tO' +p304879 +aS'are\tbe\tVBP\tB-VP\tO' +p304880 +aS'unremarkable\tunremarkable\tJJ\tB-PP\tO' +p304881 +aS'allowing\tallow\tVBG\tB-VP\tO' +p304882 +aS'for\tfor\tIN\tB-PP\tO' +p304883 +aS'technique\ttechnique\tNN\tB-NP\tO' +p304884 +aS',\t,\t,\tO\tO' +p304885 +aS'no\tno\tDT\tB-NP\tO' +p304886 +aS'sizeable\tsizeable\tJJ\tI-NP\tO' +p304887 +aS'pneumothorax\tpneumothorax\tNN\tI-NP\tO' +p304888 +aS'.\t.\t.\tO\tO' +p304889 +asS'He felt well at home without fevers , chills or rigors .' +p304890 +(lp304891 +S'He\tHe\tPRP\tB-NP\tO' +p304892 +aS'felt\tfeel\tVBD\tB-VP\tO' +p304893 +aS'well\twell\tRB\tB-ADVP\tO' +p304894 +aS'at\tat\tIN\tB-PP\tO' +p304895 +aS'home\thome\tNN\tB-NP\tO' +p304896 +aS'without\twithout\tIN\tB-PP\tO' +p304897 +aS'fevers\tfever\tNNS\tB-NP\tO' +p304898 +aS',\t,\t,\tI-NP\tO' +p304899 +aS'chills\tchill\tNNS\tI-NP\tO' +p304900 +aS'or\tor\tCC\tI-NP\tO' +p304901 +aS'rigors\trigor\tNNS\tI-NP\tO' +p304902 +aS'.\t.\t.\tO\tO' +p304903 +asS'However , evaluation of CXR revealed NGT coiled in esophagus .' +p304904 +(lp304905 +S'However\tHowever\tRB\tB-ADVP\tO' +p304906 +aS',\t,\t,\tO\tO' +p304907 +aS'evaluation\tevaluation\tNN\tB-NP\tO' +p304908 +aS'of\tof\tIN\tB-PP\tO' +p304909 +aS'CXR\tCXR\tNN\tB-NP\tB-protein' +p304910 +aS'revealed\treveal\tVBD\tB-VP\tO' +p304911 +aS'NGT\tNGT\tNN\tB-NP\tB-protein' +p304912 +aS'coiled\tcoil\tVBN\tB-VP\tO' +p304913 +aS'in\tin\tIN\tB-PP\tO' +p304914 +aS'esophagus\tesophagus\tNN\tB-NP\tO' +p304915 +aS'.\t.\t.\tO\tO' +p304916 +asS'He also complained of occasional spells and jitteriness and some orthostatic dizziness and thus Neurology was consulted and EMG 's were performed which were normal .' +p304917 +(lp304918 +S'He\tHe\tPRP\tB-NP\tO' +p304919 +aS'also\talso\tRB\tB-ADVP\tO' +p304920 +aS'complained\tcomplain\tVBD\tB-VP\tO' +p304921 +aS'of\tof\tIN\tB-PP\tO' +p304922 +aS'occasional\toccasional\tJJ\tB-NP\tB-cell_type' +p304923 +aS'spells\tspell\tNNS\tI-NP\tI-cell_type' +p304924 +aS'and\tand\tCC\tO\tO' +p304925 +aS'jitteriness\tjitteriness\tNN\tB-NP\tO' +p304926 +aS'and\tand\tCC\tO\tO' +p304927 +aS'some\tsome\tDT\tB-NP\tO' +p304928 +aS'orthostatic\torthostatic\tJJ\tI-NP\tO' +p304929 +aS'dizziness\tdizziness\tNN\tI-NP\tO' +p304930 +aS'and\tand\tCC\tO\tO' +p304931 +aS'thus\tthus\tRB\tB-ADVP\tO' +p304932 +aS'Neurology\tNeurology\tNNP\tB-NP\tO' +p304933 +aS'was\tbe\tVBD\tB-VP\tO' +p304934 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p304935 +aS'and\tand\tCC\tO\tO' +p304936 +aS'EMG\tEMG\tNN\tB-NP\tB-protein' +p304937 +aS''s\t'\tNNS\tI-NP\tI-protein' +p304938 +aS'were\tbe\tVBD\tB-VP\tO' +p304939 +aS'performed\tperform\tVBN\tI-VP\tO' +p304940 +aS'which\twhich\tWDT\tB-NP\tO' +p304941 +aS'were\tbe\tVBD\tB-VP\tO' +p304942 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p304943 +aS'.\t.\t.\tO\tO' +p304944 +asS'No masses or LAD .' +p304945 +(lp304946 +S'No\tNo\tDT\tB-NP\tO' +p304947 +aS'masses\tmass\tNNS\tI-NP\tO' +p304948 +aS'or\tor\tCC\tI-NP\tO' +p304949 +aS'LAD\tLAD\tNN\tI-NP\tB-protein' +p304950 +aS'.\t.\t.\tO\tO' +p304951 +asS'After a prolonged period of being fed via nasogastric tube , Mr. Knueppel finally had a formal percutaneous endoscopic gastrostomy tube placed in the Intensive Care Unit .' +p304952 +(lp304953 +S'After\tAfter\tIN\tB-PP\tO' +p304954 +aS'a\ta\tDT\tB-NP\tO' +p304955 +aS'prolonged\tprolonged\tJJ\tI-NP\tO' +p304956 +aS'period\tperiod\tNN\tI-NP\tO' +p304957 +aS'of\tof\tIN\tB-PP\tO' +p304958 +aS'being\tbe\tVBG\tB-VP\tO' +p304959 +aS'fed\tfeed\tVBN\tI-VP\tO' +p304960 +aS'via\tvia\tIN\tB-PP\tO' +p304961 +aS'nasogastric\tnasogastric\tJJ\tB-NP\tO' +p304962 +aS'tube\ttube\tNN\tI-NP\tO' +p304963 +aS',\t,\t,\tO\tO' +p304964 +aS'Mr.\tMr.\tNNP\tB-NP\tO' +p304965 +aS'Knueppel\tKnueppel\tNNP\tI-NP\tO' +p304966 +aS'finally\tfinally\tRB\tB-ADVP\tO' +p304967 +aS'had\thave\tVBD\tB-VP\tO' +p304968 +aS'a\ta\tDT\tB-NP\tO' +p304969 +aS'formal\tformal\tJJ\tI-NP\tO' +p304970 +aS'percutaneous\tpercutaneous\tJJ\tI-NP\tO' +p304971 +aS'endoscopic\tendoscopic\tJJ\tI-NP\tO' +p304972 +aS'gastrostomy\tgastrostomy\tNN\tI-NP\tO' +p304973 +aS'tube\ttube\tNN\tI-NP\tO' +p304974 +aS'placed\tplace\tVBN\tB-VP\tO' +p304975 +aS'in\tin\tIN\tB-PP\tO' +p304976 +aS'the\tthe\tDT\tB-NP\tO' +p304977 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p304978 +aS'Care\tCare\tNNP\tI-NP\tO' +p304979 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p304980 +aS'.\t.\t.\tO\tO' +p304981 +asS'Thoracic Surgery was consulted and recommended repeating the CT scan in six weeks as an outpatient .' +p304982 +(lp304983 +S'Thoracic\tThoracic\tNNP\tB-NP\tO' +p304984 +aS'Surgery\tSurgery\tNNP\tI-NP\tO' +p304985 +aS'was\tbe\tVBD\tB-VP\tO' +p304986 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p304987 +aS'and\tand\tCC\tO\tO' +p304988 +aS'recommended\trecommend\tVBN\tB-VP\tO' +p304989 +aS'repeating\trepeat\tVBG\tB-VP\tO' +p304990 +aS'the\tthe\tDT\tB-NP\tO' +p304991 +aS'CT\tCT\tNN\tI-NP\tO' +p304992 +aS'scan\tscan\tNN\tI-NP\tO' +p304993 +aS'in\tin\tIN\tB-PP\tO' +p304994 +aS'six\tsix\tCD\tB-NP\tO' +p304995 +aS'weeks\tweek\tNNS\tI-NP\tO' +p304996 +aS'as\tas\tIN\tB-PP\tO' +p304997 +aS'an\tan\tDT\tB-NP\tO' +p304998 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p304999 +aS'.\t.\t.\tO\tO' +p305000 +asS'She was treated with chemotherapy and bone marrow transplant and then later with Tamoxifen from 2004 to 2001 .' +p305001 +(lp305002 +S'She\tShe\tPRP\tB-NP\tO' +p305003 +aS'was\tbe\tVBD\tB-VP\tO' +p305004 +aS'treated\ttreat\tVBN\tI-VP\tO' +p305005 +aS'with\twith\tIN\tB-PP\tO' +p305006 +aS'chemotherapy\tchemotherapy\tNN\tB-NP\tO' +p305007 +aS'and\tand\tCC\tI-NP\tO' +p305008 +aS'bone\tbone\tNN\tI-NP\tO' +p305009 +aS'marrow\tmarrow\tNN\tI-NP\tO' +p305010 +aS'transplant\ttransplant\tNN\tI-NP\tO' +p305011 +aS'and\tand\tCC\tO\tO' +p305012 +aS'then\tthen\tRB\tB-ADVP\tO' +p305013 +aS'later\tlater\tRBR\tB-ADVP\tO' +p305014 +aS'with\twith\tIN\tB-PP\tO' +p305015 +aS'Tamoxifen\tTamoxifen\tNN\tB-NP\tO' +p305016 +aS'from\tfrom\tIN\tB-PP\tO' +p305017 +aS'2004\t2004\tCD\tB-NP\tO' +p305018 +aS'to\tto\tTO\tB-PP\tO' +p305019 +aS'2001\t2001\tCD\tB-NP\tO' +p305020 +aS'.\t.\t.\tO\tO' +p305021 +asS'Blood cultures and urine cultures are still pending at this hospital visit and the CSF fluid from Whitter Rehabilitation Hospital needs to be further evaluated .' +p305022 +(lp305023 +S'Blood\tBlood\tNN\tB-NP\tO' +p305024 +aS'cultures\tculture\tNNS\tI-NP\tO' +p305025 +aS'and\tand\tCC\tO\tO' +p305026 +aS'urine\turine\tNN\tB-NP\tB-cell_line' +p305027 +aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' +p305028 +aS'are\tbe\tVBP\tB-VP\tO' +p305029 +aS'still\tstill\tRB\tI-VP\tO' +p305030 +aS'pending\tpende\tVBG\tI-VP\tO' +p305031 +aS'at\tat\tIN\tB-PP\tO' +p305032 +aS'this\tthis\tDT\tB-NP\tO' +p305033 +aS'hospital\thospital\tNN\tI-NP\tO' +p305034 +aS'visit\tvisit\tNN\tI-NP\tO' +p305035 +aS'and\tand\tCC\tO\tO' +p305036 +aS'the\tthe\tDT\tB-NP\tO' +p305037 +aS'CSF\tCSF\tNN\tI-NP\tB-protein' +p305038 +aS'fluid\tfluid\tNN\tI-NP\tO' +p305039 +aS'from\tfrom\tIN\tB-PP\tO' +p305040 +aS'Whitter\tWhitter\tNNP\tB-NP\tO' +p305041 +aS'Rehabilitation\tRehabilitation\tNNP\tI-NP\tO' +p305042 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p305043 +aS'needs\tneed\tVBZ\tB-VP\tO' +p305044 +aS'to\tto\tTO\tI-VP\tO' +p305045 +aS'be\tbe\tVB\tI-VP\tO' +p305046 +aS'further\tfurther\tRBR\tB-ADJP\tO' +p305047 +aS'evaluated\tevaluate\tVBN\tI-ADJP\tO' +p305048 +aS'.\t.\t.\tO\tO' +p305049 +asS'He also at baseline has had urinary and fecal urgencies / incontinence .' +p305050 +(lp305051 +S'He\tHe\tPRP\tB-NP\tO' +p305052 +aS'also\talso\tRB\tB-ADVP\tO' +p305053 +aS'at\tat\tIN\tB-PP\tO' +p305054 +aS'baseline\tbaseline\tNN\tB-NP\tO' +p305055 +aS'has\thave\tVBZ\tB-VP\tO' +p305056 +aS'had\thave\tVBN\tI-VP\tO' +p305057 +aS'urinary\turinary\tJJ\tB-NP\tO' +p305058 +aS'and\tand\tCC\tI-NP\tO' +p305059 +aS'fecal\tfecal\tJJ\tI-NP\tO' +p305060 +aS'urgencies\turgency\tNNS\tI-NP\tO' +p305061 +aS'/\t/\tSYM\tB-NP\tO' +p305062 +aS'incontinence\tincontinence\tNN\tI-NP\tO' +p305063 +aS'.\t.\t.\tO\tO' +p305064 +asS'She had her first child at age 21 .' +p305065 +(lp305066 +S'She\tShe\tPRP\tB-NP\tO' +p305067 +aS'had\thave\tVBD\tB-VP\tO' +p305068 +aS'her\ther\tPRP$\tB-NP\tO' +p305069 +aS'first\tfirst\tJJ\tI-NP\tO' +p305070 +aS'child\tchild\tNN\tI-NP\tO' +p305071 +aS'at\tat\tIN\tB-PP\tO' +p305072 +aS'age\tage\tNN\tB-NP\tO' +p305073 +aS'21\t21\tCD\tI-NP\tO' +p305074 +aS'.\t.\t.\tO\tO' +p305075 +asS'3. Hydrochlorothiazide unknown dosage .' +p305076 +(lp305077 +S'3.\t3.\tLS\tB-NP\tO' +p305078 +aS'Hydrochlorothiazide\tHydrochlorothiazide\tNN\tI-NP\tO' +p305079 +aS'unknown\tunknown\tJJ\tI-NP\tO' +p305080 +aS'dosage\tdosage\tNN\tI-NP\tO' +p305081 +aS'.\t.\t.\tO\tO' +p305082 +asS'The pattern recognition was intact .' +p305083 +(lp305084 +S'The\tThe\tDT\tB-NP\tO' +p305085 +aS'pattern\tpattern\tNN\tI-NP\tO' +p305086 +aS'recognition\trecognition\tNN\tI-NP\tO' +p305087 +aS'was\tbe\tVBD\tB-VP\tO' +p305088 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p305089 +aS'.\t.\t.\tO\tO' +p305090 +asS'Note : you have had a cardiac stent placed during this admission .' +p305091 +(lp305092 +S'Note\tNote\tNN\tB-NP\tO' +p305093 +aS':\t:\t:\tO\tO' +p305094 +aS'you\tyou\tPRP\tB-NP\tO' +p305095 +aS'have\thave\tVBP\tB-VP\tO' +p305096 +aS'had\thave\tVBD\tI-VP\tO' +p305097 +aS'a\ta\tDT\tB-NP\tO' +p305098 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p305099 +aS'stent\tstent\tNN\tI-NP\tO' +p305100 +aS'placed\tplace\tVBN\tB-VP\tO' +p305101 +aS'during\tduring\tIN\tB-PP\tO' +p305102 +aS'this\tthis\tDT\tB-NP\tO' +p305103 +aS'admission\tadmission\tNN\tI-NP\tO' +p305104 +aS'.\t.\t.\tO\tO' +p305105 +asS'On pre-operative exam , he was awake , alert , and oriented x3 .' +p305106 +(lp305107 +S'On\tOn\tIN\tB-PP\tO' +p305108 +aS'pre-operative\tpre-operative\tJJ\tB-NP\tO' +p305109 +aS'exam\texam\tNN\tI-NP\tO' +p305110 +aS',\t,\t,\tO\tO' +p305111 +aS'he\the\tPRP\tB-NP\tO' +p305112 +aS'was\tbe\tVBD\tB-VP\tO' +p305113 +aS'awake\tawake\tJJ\tB-ADJP\tO' +p305114 +aS',\t,\t,\tO\tO' +p305115 +aS'alert\talert\tJJ\tB-ADJP\tO' +p305116 +aS',\t,\t,\tO\tO' +p305117 +aS'and\tand\tCC\tO\tO' +p305118 +aS'oriented\torient\tVBN\tB-NP\tO' +p305119 +aS'x3\tx3\tNN\tI-NP\tO' +p305120 +aS'.\t.\t.\tO\tO' +p305121 +asS'Thoracics consulted and chest tube placed .' +p305122 +(lp305123 +S'Thoracics\tThoracic\tNNS\tB-NP\tO' +p305124 +aS'consulted\tconsult\tVBD\tB-VP\tO' +p305125 +aS'and\tand\tCC\tO\tO' +p305126 +aS'chest\tchest\tNN\tB-NP\tO' +p305127 +aS'tube\ttube\tNN\tI-NP\tO' +p305128 +aS'placed\tplace\tVBN\tB-VP\tO' +p305129 +aS'.\t.\t.\tO\tO' +p305130 +asS'Cardiac exam was tachycardic and regular , normal S1 and S2 .' +p305131 +(lp305132 +S'Cardiac\tCardiac\tJJ\tB-NP\tO' +p305133 +aS'exam\texam\tNN\tI-NP\tO' +p305134 +aS'was\tbe\tVBD\tB-VP\tO' +p305135 +aS'tachycardic\ttachycardic\tJJ\tB-ADJP\tO' +p305136 +aS'and\tand\tCC\tI-ADJP\tO' +p305137 +aS'regular\tregular\tJJ\tB-NP\tO' +p305138 +aS',\t,\t,\tI-NP\tO' +p305139 +aS'normal\tnormal\tJJ\tI-NP\tO' +p305140 +aS'S1\tS1\tNN\tI-NP\tB-protein' +p305141 +aS'and\tand\tCC\tI-NP\tO' +p305142 +aS'S2\tS2\tNN\tI-NP\tB-protein' +p305143 +aS'.\t.\t.\tO\tO' +p305144 +asS'ON admission she was taking Quetiapine 300 mg QHS and Clonazepam 1 mg QAM , 1 mg Q3PM , 2 mg PO QHS .' +p305145 +(lp305146 +S'ON\tON\tNN\tB-NP\tO' +p305147 +aS'admission\tadmission\tNN\tI-NP\tO' +p305148 +aS'she\tshe\tPRP\tB-NP\tO' +p305149 +aS'was\tbe\tVBD\tB-VP\tO' +p305150 +aS'taking\ttake\tVBG\tI-VP\tO' +p305151 +aS'Quetiapine\tQuetiapine\tNNP\tB-NP\tO' +p305152 +aS'300\t300\tCD\tI-NP\tO' +p305153 +aS'mg\tmg\tNN\tI-NP\tO' +p305154 +aS'QHS\tQHS\tNN\tI-NP\tO' +p305155 +aS'and\tand\tCC\tO\tO' +p305156 +aS'Clonazepam\tClonazepam\tNN\tB-NP\tO' +p305157 +aS'1\t1\tCD\tI-NP\tO' +p305158 +aS'mg\tmg\tNN\tI-NP\tO' +p305159 +aS'QAM\tQAM\tNN\tI-NP\tO' +p305160 +aS',\t,\t,\tO\tO' +p305161 +aS'1\t1\tCD\tB-NP\tO' +p305162 +aS'mg\tmg\tNN\tI-NP\tO' +p305163 +aS'Q3PM\tQ3PM\tNN\tI-NP\tO' +p305164 +aS',\t,\t,\tO\tO' +p305165 +aS'2\t2\tCD\tB-NP\tO' +p305166 +aS'mg\tmg\tNN\tI-NP\tO' +p305167 +aS'PO\tPO\tNN\tI-NP\tO' +p305168 +aS'QHS\tQHS\tNN\tI-NP\tO' +p305169 +aS'.\t.\t.\tO\tO' +p305170 +asS'Abdomen was soft , nontender , and nondistended , positive bowel sounds .' +p305171 +(lp305172 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p305173 +aS'was\tbe\tVBD\tB-VP\tO' +p305174 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p305175 +aS',\t,\t,\tO\tO' +p305176 +aS'nontender\tnontender\tJJ\tB-ADJP\tO' +p305177 +aS',\t,\t,\tO\tO' +p305178 +aS'and\tand\tCC\tO\tO' +p305179 +aS'nondistended\tnondistended\tJJ\tB-NP\tO' +p305180 +aS',\t,\t,\tI-NP\tO' +p305181 +aS'positive\tpositive\tJJ\tI-NP\tO' +p305182 +aS'bowel\tbowel\tNN\tI-NP\tO' +p305183 +aS'sounds\tsound\tNNS\tI-NP\tO' +p305184 +aS'.\t.\t.\tO\tO' +p305185 +asS'The patient was weaned from mechanical ventilation and subsequently extubated on the night of surgery .' +p305186 +(lp305187 +S'The\tThe\tDT\tB-NP\tO' +p305188 +aS'patient\tpatient\tNN\tI-NP\tO' +p305189 +aS'was\tbe\tVBD\tB-VP\tO' +p305190 +aS'weaned\twean\tVBN\tI-VP\tO' +p305191 +aS'from\tfrom\tIN\tB-PP\tO' +p305192 +aS'mechanical\tmechanical\tJJ\tB-NP\tO' +p305193 +aS'ventilation\tventilation\tNN\tI-NP\tO' +p305194 +aS'and\tand\tCC\tO\tO' +p305195 +aS'subsequently\tsubsequently\tRB\tB-VP\tO' +p305196 +aS'extubated\textubate\tVBN\tI-VP\tO' +p305197 +aS'on\ton\tIN\tB-PP\tO' +p305198 +aS'the\tthe\tDT\tB-NP\tO' +p305199 +aS'night\tnight\tNN\tI-NP\tO' +p305200 +aS'of\tof\tIN\tB-PP\tO' +p305201 +aS'surgery\tsurgery\tNN\tB-NP\tO' +p305202 +aS'.\t.\t.\tO\tO' +p305203 +asS'The patient was discharged to home on the following medications .' +p305204 +(lp305205 +S'The\tThe\tDT\tB-NP\tO' +p305206 +aS'patient\tpatient\tNN\tI-NP\tO' +p305207 +aS'was\tbe\tVBD\tB-VP\tO' +p305208 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p305209 +aS'to\tto\tTO\tB-PP\tO' +p305210 +aS'home\thome\tNN\tB-NP\tO' +p305211 +aS'on\ton\tIN\tB-PP\tO' +p305212 +aS'the\tthe\tDT\tB-NP\tO' +p305213 +aS'following\tfollow\tVBG\tI-NP\tO' +p305214 +aS'medications\tmedication\tNNS\tI-NP\tO' +p305215 +aS'.\t.\t.\tO\tO' +p305216 +asS'Urine cotenine level none detected .' +p305217 +(lp305218 +S'Urine\tUrine\tNN\tB-NP\tO' +p305219 +aS'cotenine\tcotenine\tNN\tI-NP\tO' +p305220 +aS'level\tlevel\tNN\tI-NP\tO' +p305221 +aS'none\tnone\tNN\tI-NP\tO' +p305222 +aS'detected\tdetect\tVBN\tB-VP\tO' +p305223 +aS'.\t.\t.\tO\tO' +p305224 +asS'Please return if your symptoms return , you develop a fever .' +p305225 +(lp305226 +S'Please\tPlease\tNN\tB-NP\tO' +p305227 +aS'return\treturn\tNN\tI-NP\tO' +p305228 +aS'if\tif\tIN\tB-SBAR\tO' +p305229 +aS'your\tyour\tPRP$\tB-NP\tO' +p305230 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p305231 +aS'return\treturn\tVBP\tB-VP\tO' +p305232 +aS',\t,\t,\tO\tO' +p305233 +aS'you\tyou\tPRP\tB-NP\tO' +p305234 +aS'develop\tdevelop\tVBP\tB-VP\tO' +p305235 +aS'a\ta\tDT\tB-NP\tO' +p305236 +aS'fever\tfever\tNN\tI-NP\tO' +p305237 +aS'.\t.\t.\tO\tO' +p305238 +asS'2. Cranial hemorrages ( sub arachnoid and parenchemal )' +p305239 +(lp305240 +S'2.\t2.\tLS\tB-NP\tO' +p305241 +aS'Cranial\tCranial\tJJ\tI-NP\tO' +p305242 +aS'hemorrages\themorrage\tNNS\tI-NP\tO' +p305243 +aS'(\t(\t(\tO\tO' +p305244 +aS'sub\tsub\tNN\tB-NP\tO' +p305245 +aS'arachnoid\tarachnoid\tNN\tI-NP\tO' +p305246 +aS'and\tand\tCC\tO\tO' +p305247 +aS'parenchemal\tparenchemal\tJJ\tB-ADJP\tO' +p305248 +aS')\t)\t)\tO\tO' +p305249 +asS"The family was notified of the patient 's passing ." +p305250 +(lp305251 +S'The\tThe\tDT\tB-NP\tO' +p305252 +aS'family\tfamily\tNN\tI-NP\tO' +p305253 +aS'was\tbe\tVBD\tB-VP\tO' +p305254 +aS'notified\tnotify\tVBN\tI-VP\tO' +p305255 +aS'of\tof\tIN\tB-PP\tO' +p305256 +aS'the\tthe\tDT\tB-NP\tO' +p305257 +aS'patient\tpatient\tNN\tI-NP\tO' +p305258 +aS"'s\t's\tPOS\tB-NP\tO" +p305259 +aS'passing\tpassing\tNN\tI-NP\tO' +p305260 +aS'.\t.\t.\tO\tO' +p305261 +asS'Lives w wife , has home health assistance .' +p305262 +(lp305263 +S'Lives\tLive\tVBZ\tB-VP\tO' +p305264 +aS'w\tw\tNN\tB-NP\tO' +p305265 +aS'wife\twife\tNN\tI-NP\tO' +p305266 +aS',\t,\t,\tO\tO' +p305267 +aS'has\thave\tVBZ\tB-VP\tO' +p305268 +aS'home\thome\tNN\tB-NP\tO' +p305269 +aS'health\thealth\tNN\tI-NP\tO' +p305270 +aS'assistance\tassistance\tNN\tI-NP\tO' +p305271 +aS'.\t.\t.\tO\tO' +p305272 +asS'At the time , Nutrition was following , initially with a low fat , low cholesterol , low sugar diet .' +p305273 +(lp305274 +S'At\tAt\tIN\tB-PP\tO' +p305275 +aS'the\tthe\tDT\tB-NP\tO' +p305276 +aS'time\ttime\tNN\tI-NP\tO' +p305277 +aS',\t,\t,\tO\tO' +p305278 +aS'Nutrition\tNutrition\tNN\tB-NP\tO' +p305279 +aS'was\tbe\tVBD\tB-VP\tO' +p305280 +aS'following\tfollow\tVBG\tI-VP\tO' +p305281 +aS',\t,\t,\tO\tO' +p305282 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p305283 +aS'with\twith\tIN\tB-PP\tO' +p305284 +aS'a\ta\tDT\tB-NP\tO' +p305285 +aS'low\tlow\tJJ\tI-NP\tO' +p305286 +aS'fat\tfat\tNN\tI-NP\tO' +p305287 +aS',\t,\t,\tO\tO' +p305288 +aS'low\tlow\tJJ\tB-NP\tO' +p305289 +aS'cholesterol\tcholesterol\tNN\tI-NP\tO' +p305290 +aS',\t,\t,\tO\tO' +p305291 +aS'low\tlow\tJJ\tB-NP\tO' +p305292 +aS'sugar\tsugar\tNN\tI-NP\tO' +p305293 +aS'diet\tdiet\tNN\tI-NP\tO' +p305294 +aS'.\t.\t.\tO\tO' +p305295 +asS'Continue Lasix .' +p305296 +(lp305297 +S'Continue\tContinue\tNNP\tB-NP\tO' +p305298 +aS'Lasix\tLasix\tNNP\tI-NP\tO' +p305299 +aS'.\t.\t.\tO\tO' +p305300 +asS'His date of birth is 11/7/32 .' +p305301 +(lp305302 +S'His\tHis\tPRP$\tB-NP\tO' +p305303 +aS'date\tdate\tNN\tI-NP\tO' +p305304 +aS'of\tof\tIN\tB-PP\tO' +p305305 +aS'birth\tbirth\tNN\tB-NP\tO' +p305306 +aS'is\tbe\tVBZ\tB-VP\tO' +p305307 +aS'11/7/32\t11/7/32\tCD\tB-NP\tO' +p305308 +aS'.\t.\t.\tO\tO' +p305309 +asS'Cardiac examination was regular rate and rhythm .' +p305310 +(lp305311 +S'Cardiac\tCardiac\tJJ\tB-NP\tO' +p305312 +aS'examination\texamination\tNN\tI-NP\tO' +p305313 +aS'was\tbe\tVBD\tB-VP\tO' +p305314 +aS'regular\tregular\tJJ\tB-NP\tO' +p305315 +aS'rate\trate\tNN\tI-NP\tO' +p305316 +aS'and\tand\tCC\tI-NP\tO' +p305317 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p305318 +aS'.\t.\t.\tO\tO' +p305319 +asS'Dementia .' +p305320 +(lp305321 +S'Dementia\tDementia\tNNP\tB-NP\tO' +p305322 +aS'.\t.\t.\tO\tO' +p305323 +asS'Please follow up with your PCP S. Saracino on 2015-12-30 at 8:00 AM .' +p305324 +(lp305325 +S'Please\tPlease\tVB\tB-VP\tO' +p305326 +aS'follow\tfollow\tVB\tI-VP\tO' +p305327 +aS'up\tup\tRP\tB-PRT\tO' +p305328 +aS'with\twith\tIN\tB-PP\tO' +p305329 +aS'your\tyour\tPRP$\tB-NP\tO' +p305330 +aS'PCP\tPCP\tNN\tI-NP\tO' +p305331 +aS'S.\tS.\tNNP\tI-NP\tO' +p305332 +aS'Saracino\tSaracino\tNNP\tI-NP\tO' +p305333 +aS'on\ton\tIN\tB-PP\tO' +p305334 +aS'2015-12-30\t2015-12-30\tCD\tB-NP\tO' +p305335 +aS'at\tat\tIN\tB-PP\tO' +p305336 +aS'8:00\t8:00\tCD\tB-NP\tO' +p305337 +aS'AM\tAM\tNN\tI-NP\tO' +p305338 +aS'.\t.\t.\tO\tO' +p305339 +asS'He is N. Quinn educated retired data processor who lives with his wife .' +p305340 +(lp305341 +S'He\tHe\tPRP\tB-NP\tO' +p305342 +aS'is\tbe\tVBZ\tB-VP\tO' +p305343 +aS'N.\tN.\tNNP\tB-NP\tO' +p305344 +aS'Quinn\tQuinn\tNNP\tI-NP\tO' +p305345 +aS'educated\teducate\tVBD\tB-VP\tO' +p305346 +aS'retired\tretired\tJJ\tB-NP\tO' +p305347 +aS'data\tdatum\tNNS\tI-NP\tO' +p305348 +aS'processor\tprocessor\tNN\tI-NP\tO' +p305349 +aS'who\twho\tWP\tB-NP\tO' +p305350 +aS'lives\tlive\tVBZ\tB-VP\tO' +p305351 +aS'with\twith\tIN\tB-PP\tO' +p305352 +aS'his\this\tPRP$\tB-NP\tO' +p305353 +aS'wife\twife\tNN\tI-NP\tO' +p305354 +aS'.\t.\t.\tO\tO' +p305355 +asS'He was started on a 50 units / kg bolus of factor 8 followed by continuous factor 8 infusions at 50 units / kg / day divided until hourly infusion rates at 05-10 .' +p305356 +(lp305357 +S'He\tHe\tPRP\tB-NP\tO' +p305358 +aS'was\tbe\tVBD\tB-VP\tO' +p305359 +aS'started\tstart\tVBN\tI-VP\tO' +p305360 +aS'on\ton\tIN\tB-PP\tO' +p305361 +aS'a\ta\tDT\tB-NP\tO' +p305362 +aS'50\t50\tCD\tI-NP\tO' +p305363 +aS'units\tunit\tNNS\tI-NP\tO' +p305364 +aS'/\t/\tSYM\tB-NP\tO' +p305365 +aS'kg\tkg\tNN\tI-NP\tO' +p305366 +aS'bolus\tbolus\tNN\tI-NP\tO' +p305367 +aS'of\tof\tIN\tB-PP\tO' +p305368 +aS'factor\tfactor\tNN\tB-NP\tO' +p305369 +aS'8\t8\tCD\tI-NP\tO' +p305370 +aS'followed\tfollow\tVBN\tB-VP\tO' +p305371 +aS'by\tby\tIN\tB-PP\tO' +p305372 +aS'continuous\tcontinuous\tJJ\tB-NP\tO' +p305373 +aS'factor\tfactor\tNN\tI-NP\tO' +p305374 +aS'8\t8\tCD\tB-NP\tO' +p305375 +aS'infusions\tinfusion\tNNS\tI-NP\tO' +p305376 +aS'at\tat\tIN\tB-PP\tO' +p305377 +aS'50\t50\tCD\tB-NP\tB-DNA' +p305378 +aS'units\tunit\tNNS\tI-NP\tI-DNA' +p305379 +aS'/\t/\tSYM\tB-NP\tO' +p305380 +aS'kg\tkg\tNN\tI-NP\tO' +p305381 +aS'/\t/\tSYM\tB-NP\tO' +p305382 +aS'day\tday\tNN\tI-NP\tO' +p305383 +aS'divided\tdivide\tVBN\tB-VP\tO' +p305384 +aS'until\tuntil\tIN\tB-PP\tO' +p305385 +aS'hourly\thourly\tJJ\tB-NP\tO' +p305386 +aS'infusion\tinfusion\tNN\tI-NP\tO' +p305387 +aS'rates\trate\tNNS\tI-NP\tO' +p305388 +aS'at\tat\tIN\tB-PP\tO' +p305389 +aS'05-10\t05-10\tCD\tB-NP\tO' +p305390 +aS'.\t.\t.\tO\tO' +p305391 +asS'The patient is status post radiation therapy and resection and reconstruction for his laryngeal cancer .' +p305392 +(lp305393 +S'The\tThe\tDT\tB-NP\tO' +p305394 +aS'patient\tpatient\tNN\tI-NP\tO' +p305395 +aS'is\tbe\tVBZ\tB-VP\tO' +p305396 +aS'status\tstatus\tNN\tB-NP\tO' +p305397 +aS'post\tpost\tNN\tI-NP\tO' +p305398 +aS'radiation\tradiation\tNN\tI-NP\tO' +p305399 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p305400 +aS'and\tand\tCC\tO\tO' +p305401 +aS'resection\tresection\tNN\tB-NP\tO' +p305402 +aS'and\tand\tCC\tI-NP\tO' +p305403 +aS'reconstruction\treconstruction\tNN\tI-NP\tO' +p305404 +aS'for\tfor\tIN\tB-PP\tO' +p305405 +aS'his\this\tPRP$\tB-NP\tO' +p305406 +aS'laryngeal\tlaryngeal\tJJ\tI-NP\tO' +p305407 +aS'cancer\tcancer\tNN\tI-NP\tO' +p305408 +aS'.\t.\t.\tO\tO' +p305409 +asS'Dictated By : Salvador BX Hernandez , M.D.' +p305410 +(lp305411 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p305412 +aS'By\tBy\tIN\tB-PP\tO' +p305413 +aS':\t:\t:\tO\tO' +p305414 +aS'Salvador\tSalvador\tNNP\tB-NP\tO' +p305415 +aS'BX\tBX\tNNP\tI-NP\tO' +p305416 +aS'Hernandez\tHernandez\tNNP\tI-NP\tO' +p305417 +aS',\t,\t,\tO\tO' +p305418 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p305419 +asS'70 y/o F w/ tracheobronchomalacia , COPD , PMR , recurrent pneumonias who was recently discharged from Hallmark Health System to Pocasset Mental Health Center' +p305420 +(lp305421 +S'70\t70\tCD\tB-NP\tO' +p305422 +aS'y/o\ty/o\tNN\tI-NP\tO' +p305423 +aS'F\tF\tNN\tI-NP\tO' +p305424 +aS'w/\tw/\tNN\tI-NP\tO' +p305425 +aS'tracheobronchomalacia\ttracheobronchomalacia\tNN\tI-NP\tO' +p305426 +aS',\t,\t,\tO\tO' +p305427 +aS'COPD\tCOPD\tNN\tB-NP\tO' +p305428 +aS',\t,\t,\tO\tO' +p305429 +aS'PMR\tPMR\tNN\tB-NP\tB-protein' +p305430 +aS',\t,\t,\tO\tO' +p305431 +aS'recurrent\trecurrent\tJJ\tB-NP\tO' +p305432 +aS'pneumonias\tpneumonia\tNNS\tI-NP\tO' +p305433 +aS'who\twho\tWP\tB-NP\tO' +p305434 +aS'was\tbe\tVBD\tB-VP\tO' +p305435 +aS'recently\trecently\tRB\tI-VP\tO' +p305436 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p305437 +aS'from\tfrom\tIN\tB-PP\tO' +p305438 +aS'Hallmark\tHallmark\tNNP\tB-NP\tO' +p305439 +aS'Health\tHealth\tNNP\tI-NP\tO' +p305440 +aS'System\tSystem\tNNP\tI-NP\tO' +p305441 +aS'to\tto\tTO\tB-PP\tO' +p305442 +aS'Pocasset\tPocasset\tNNP\tB-NP\tO' +p305443 +aS'Mental\tMental\tNNP\tI-NP\tO' +p305444 +aS'Health\tHealth\tNNP\tI-NP\tO' +p305445 +aS'Center\tCenter\tNNP\tI-NP\tO' +p305446 +asS'In February of 1993 , patient again presented with chest pain , shortness of breath , ruled in for a non-Q wave myocardial infarction with CPK peak of 219 and MB of 20.9 .' +p305447 +(lp305448 +S'In\tIn\tIN\tB-PP\tO' +p305449 +aS'February\tFebruary\tNNP\tB-NP\tO' +p305450 +aS'of\tof\tIN\tB-PP\tO' +p305451 +aS'1993\t1993\tCD\tB-NP\tO' +p305452 +aS',\t,\t,\tO\tO' +p305453 +aS'patient\tpatient\tNN\tB-NP\tO' +p305454 +aS'again\tagain\tRB\tB-ADVP\tO' +p305455 +aS'presented\tpresent\tVBD\tB-VP\tO' +p305456 +aS'with\twith\tIN\tB-PP\tO' +p305457 +aS'chest\tchest\tNN\tB-NP\tO' +p305458 +aS'pain\tpain\tNN\tI-NP\tO' +p305459 +aS',\t,\t,\tO\tO' +p305460 +aS'shortness\tshortness\tNN\tB-NP\tO' +p305461 +aS'of\tof\tIN\tB-PP\tO' +p305462 +aS'breath\tbreath\tNN\tB-NP\tO' +p305463 +aS',\t,\t,\tO\tO' +p305464 +aS'ruled\trule\tVBN\tB-VP\tO' +p305465 +aS'in\tin\tIN\tB-PP\tO' +p305466 +aS'for\tfor\tIN\tB-PP\tO' +p305467 +aS'a\ta\tDT\tB-NP\tO' +p305468 +aS'non-Q\tnon-Q\tJJ\tI-NP\tO' +p305469 +aS'wave\twave\tNN\tI-NP\tO' +p305470 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p305471 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p305472 +aS'with\twith\tIN\tB-PP\tO' +p305473 +aS'CPK\tCPK\tNN\tB-NP\tB-protein' +p305474 +aS'peak\tpeak\tNN\tI-NP\tO' +p305475 +aS'of\tof\tIN\tB-PP\tO' +p305476 +aS'219\t219\tCD\tB-NP\tO' +p305477 +aS'and\tand\tCC\tO\tO' +p305478 +aS'MB\tMB\tNN\tB-NP\tO' +p305479 +aS'of\tof\tIN\tB-PP\tO' +p305480 +aS'20.9\t20.9\tCD\tB-NP\tO' +p305481 +aS'.\t.\t.\tO\tO' +p305482 +asS'7. Tiotropium Bromide 18 mcg Capsule , w/ Inhalation Device Sig : One ( 1 ) Cap Inhalation DAILY ( Daily ).' +p305483 +(lp305484 +S'7.\t7.\tCD\tB-NP\tO' +p305485 +aS'Tiotropium\tTiotropium\tNNP\tI-NP\tO' +p305486 +aS'Bromide\tBromide\tNNP\tI-NP\tO' +p305487 +aS'18\t18\tCD\tI-NP\tO' +p305488 +aS'mcg\tmcg\tNN\tI-NP\tO' +p305489 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p305490 +aS',\t,\t,\tO\tO' +p305491 +aS'w/\tw/\tDT\tB-NP\tO' +p305492 +aS'Inhalation\tInhalation\tNNP\tI-NP\tO' +p305493 +aS'Device\tDevice\tNNP\tI-NP\tO' +p305494 +aS'Sig\tSig\tNNP\tI-NP\tO' +p305495 +aS':\t:\t:\tO\tO' +p305496 +aS'One\tOne\tCD\tB-NP\tO' +p305497 +aS'(\t(\t(\tO\tO' +p305498 +aS'1\t1\tCD\tB-NP\tO' +p305499 +aS')\t)\t)\tO\tO' +p305500 +aS'Cap\tCap\tNN\tB-NP\tO' +p305501 +aS'Inhalation\tInhalation\tNN\tI-NP\tO' +p305502 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p305503 +aS'(\t(\t(\tO\tO' +p305504 +aS'Daily\tDaily\tNNP\tB-NP\tO' +p305505 +aS').\t).\t)\tO\tO' +p305506 +asS'Completed a 7 day course of vancomycin and levofloxacin .' +p305507 +(lp305508 +S'Completed\tComplete\tVBN\tB-VP\tO' +p305509 +aS'a\ta\tDT\tB-NP\tO' +p305510 +aS'7\t7\tCD\tI-NP\tO' +p305511 +aS'day\tday\tNN\tI-NP\tO' +p305512 +aS'course\tcourse\tNN\tI-NP\tO' +p305513 +aS'of\tof\tIN\tB-PP\tO' +p305514 +aS'vancomycin\tvancomycin\tNN\tB-NP\tO' +p305515 +aS'and\tand\tCC\tI-NP\tO' +p305516 +aS'levofloxacin\tlevofloxacin\tNN\tI-NP\tO' +p305517 +aS'.\t.\t.\tO\tO' +p305518 +asS'He did have clubbing and palmar erythema with bilateral ankle edema .' +p305519 +(lp305520 +S'He\tHe\tPRP\tB-NP\tO' +p305521 +aS'did\tdo\tVBD\tB-VP\tO' +p305522 +aS'have\thave\tVB\tI-VP\tO' +p305523 +aS'clubbing\tclubbing\tNN\tB-NP\tO' +p305524 +aS'and\tand\tCC\tO\tO' +p305525 +aS'palmar\tpalmar\tJJ\tB-NP\tO' +p305526 +aS'erythema\terythema\tNN\tI-NP\tO' +p305527 +aS'with\twith\tIN\tB-PP\tO' +p305528 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p305529 +aS'ankle\tankle\tNN\tI-NP\tO' +p305530 +aS'edema\tedema\tNN\tI-NP\tO' +p305531 +aS'.\t.\t.\tO\tO' +p305532 +asS'16. COPD with asbestosis on chest CT scan .' +p305533 +(lp305534 +S'16.\t16.\tLS\tB-NP\tO' +p305535 +aS'COPD\tCOPD\tNN\tI-NP\tO' +p305536 +aS'with\twith\tIN\tB-PP\tO' +p305537 +aS'asbestosis\tasbestosis\tNN\tB-NP\tO' +p305538 +aS'on\ton\tIN\tB-PP\tO' +p305539 +aS'chest\tchest\tNN\tB-NP\tO' +p305540 +aS'CT\tCT\tNN\tI-NP\tO' +p305541 +aS'scan\tscan\tNN\tI-NP\tO' +p305542 +aS'.\t.\t.\tO\tO' +p305543 +asS'No further bleeding noted .' +p305544 +(lp305545 +S'No\tNo\tDT\tB-NP\tO' +p305546 +aS'further\tfurther\tJJ\tI-NP\tO' +p305547 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p305548 +aS'noted\tnote\tVBD\tB-VP\tO' +p305549 +aS'.\t.\t.\tO\tO' +p305550 +asS'The chest was clear to auscultation and percussion .' +p305551 +(lp305552 +S'The\tThe\tDT\tB-NP\tO' +p305553 +aS'chest\tchest\tNN\tI-NP\tO' +p305554 +aS'was\tbe\tVBD\tB-VP\tO' +p305555 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p305556 +aS'to\tto\tTO\tB-PP\tO' +p305557 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p305558 +aS'and\tand\tCC\tI-NP\tO' +p305559 +aS'percussion\tpercussion\tNN\tI-NP\tO' +p305560 +aS'.\t.\t.\tO\tO' +p305561 +asS'Back was nontender .' +p305562 +(lp305563 +S'Back\tBack\tNN\tB-NP\tO' +p305564 +aS'was\tbe\tVBD\tB-VP\tO' +p305565 +aS'nontender\tnontender\tJJ\tB-ADJP\tO' +p305566 +aS'.\t.\t.\tO\tO' +p305567 +asS'She was admitted to the hospital for a pre lung transplant evaluation .' +p305568 +(lp305569 +S'She\tShe\tPRP\tB-NP\tO' +p305570 +aS'was\tbe\tVBD\tB-VP\tO' +p305571 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p305572 +aS'to\tto\tTO\tB-PP\tO' +p305573 +aS'the\tthe\tDT\tB-NP\tO' +p305574 +aS'hospital\thospital\tNN\tI-NP\tO' +p305575 +aS'for\tfor\tIN\tB-PP\tO' +p305576 +aS'a\ta\tDT\tB-NP\tO' +p305577 +aS'pre\tpre\tJJ\tI-NP\tO' +p305578 +aS'lung\tlung\tNN\tI-NP\tO' +p305579 +aS'transplant\ttransplant\tNN\tI-NP\tO' +p305580 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p305581 +aS'.\t.\t.\tO\tO' +p305582 +asS'Her incision has remained clean , dry , intact , with staples removed on POD# 27/18 .' +p305583 +(lp305584 +S'Her\tHer\tPRP$\tB-NP\tO' +p305585 +aS'incision\tincision\tNN\tI-NP\tO' +p305586 +aS'has\thave\tVBZ\tB-VP\tO' +p305587 +aS'remained\tremain\tVBN\tI-VP\tO' +p305588 +aS'clean\tclean\tJJ\tB-NP\tO' +p305589 +aS',\t,\t,\tI-NP\tO' +p305590 +aS'dry\tdry\tJJ\tI-NP\tO' +p305591 +aS',\t,\t,\tI-NP\tO' +p305592 +aS'intact\tintact\tJJ\tI-NP\tO' +p305593 +aS',\t,\t,\tO\tO' +p305594 +aS'with\twith\tIN\tB-PP\tO' +p305595 +aS'staples\tstaple\tNNS\tB-NP\tO' +p305596 +aS'removed\tremove\tVBN\tB-VP\tO' +p305597 +aS'on\ton\tIN\tB-PP\tO' +p305598 +aS'POD#\tPOD#\tNN\tB-NP\tB-DNA' +p305599 +aS'27/18\t27/18\tCD\tI-NP\tI-DNA' +p305600 +aS'.\t.\t.\tO\tO' +p305601 +asS'She was started on aspirin 325 mg q.d. and Plavix 75 mg q.d.' +p305602 +(lp305603 +S'She\tShe\tPRP\tB-NP\tO' +p305604 +aS'was\tbe\tVBD\tB-VP\tO' +p305605 +aS'started\tstart\tVBN\tI-VP\tO' +p305606 +aS'on\ton\tIN\tB-PP\tO' +p305607 +aS'aspirin\taspirin\tNN\tB-NP\tO' +p305608 +aS'325\t325\tCD\tI-NP\tO' +p305609 +aS'mg\tmg\tNN\tI-NP\tO' +p305610 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p305611 +aS'and\tand\tCC\tO\tO' +p305612 +aS'Plavix\tPlavix\tNN\tB-NP\tO' +p305613 +aS'75\t75\tCD\tI-NP\tO' +p305614 +aS'mg\tmg\tNN\tI-NP\tO' +p305615 +aS'q.d.\tq.d.\t.\tO\tO' +p305616 +asS'Clavicles stable .' +p305617 +(lp305618 +S'Clavicles\tClavicle\tNNS\tB-NP\tO' +p305619 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p305620 +aS'.\t.\t.\tO\tO' +p305621 +asS'You can take regular tylenol or motrin for pain and use the percocet for breakthrough pain .' +p305622 +(lp305623 +S'You\tYou\tPRP\tB-NP\tB-protein' +p305624 +aS'can\tcan\tMD\tB-VP\tO' +p305625 +aS'take\ttake\tVB\tI-VP\tO' +p305626 +aS'regular\tregular\tJJ\tB-NP\tO' +p305627 +aS'tylenol\ttylenol\tNN\tI-NP\tO' +p305628 +aS'or\tor\tCC\tI-NP\tO' +p305629 +aS'motrin\tmotrin\tNN\tI-NP\tO' +p305630 +aS'for\tfor\tIN\tB-PP\tO' +p305631 +aS'pain\tpain\tNN\tB-NP\tO' +p305632 +aS'and\tand\tCC\tO\tO' +p305633 +aS'use\tuse\tVB\tB-VP\tO' +p305634 +aS'the\tthe\tDT\tB-NP\tO' +p305635 +aS'percocet\tpercocet\tNN\tI-NP\tO' +p305636 +aS'for\tfor\tIN\tB-PP\tO' +p305637 +aS'breakthrough\tbreakthrough\tNN\tB-NP\tO' +p305638 +aS'pain\tpain\tNN\tI-NP\tO' +p305639 +aS'.\t.\t.\tO\tO' +p305640 +asS'ECHOCARDIOGRAM , CARDIAC CATHETERIZATION , EMG , CT SCAN OF THE CHEST .' +p305641 +(lp305642 +S'ECHOCARDIOGRAM\tECHOCARDIOGRAM\tNN\tB-NP\tO' +p305643 +aS',\t,\t,\tO\tO' +p305644 +aS'CARDIAC\tCARDIAC\tNNP\tB-NP\tO' +p305645 +aS'CATHETERIZATION\tCATHETERIZATION\tNNP\tI-NP\tO' +p305646 +aS',\t,\t,\tO\tO' +p305647 +aS'EMG\tEMG\tNNP\tB-NP\tO' +p305648 +aS',\t,\t,\tO\tO' +p305649 +aS'CT\tCT\tNN\tB-NP\tO' +p305650 +aS'SCAN\tSCAN\tNN\tI-NP\tO' +p305651 +aS'OF\tOF\tIN\tB-PP\tO' +p305652 +aS'THE\tTHE\tDT\tB-NP\tO' +p305653 +aS'CHEST\tCHEST\tNN\tI-NP\tB-DNA' +p305654 +aS'.\t.\t.\tO\tO' +p305655 +asS'Urinalysis was within normal limits .' +p305656 +(lp305657 +S'Urinalysis\tUrinalysis\tNN\tB-NP\tO' +p305658 +aS'was\tbe\tVBD\tB-VP\tO' +p305659 +aS'within\twithin\tIN\tB-PP\tO' +p305660 +aS'normal\tnormal\tJJ\tB-NP\tO' +p305661 +aS'limits\tlimit\tNNS\tI-NP\tO' +p305662 +aS'.\t.\t.\tO\tO' +p305663 +asS'Of note , he likely suffered a second ischemic event during his Coronary Care Unit stay .' +p305664 +(lp305665 +S'Of\tOf\tIN\tB-PP\tO' +p305666 +aS'note\tnote\tNN\tB-NP\tO' +p305667 +aS',\t,\t,\tO\tO' +p305668 +aS'he\the\tPRP\tB-NP\tO' +p305669 +aS'likely\tlikely\tRB\tB-ADVP\tO' +p305670 +aS'suffered\tsuffer\tVBD\tB-VP\tO' +p305671 +aS'a\ta\tDT\tB-NP\tO' +p305672 +aS'second\tsecond\tJJ\tI-NP\tO' +p305673 +aS'ischemic\tischemic\tJJ\tI-NP\tO' +p305674 +aS'event\tevent\tNN\tI-NP\tO' +p305675 +aS'during\tduring\tIN\tB-PP\tO' +p305676 +aS'his\this\tPRP$\tB-NP\tO' +p305677 +aS'Coronary\tCoronary\tNNP\tI-NP\tO' +p305678 +aS'Care\tCare\tNNP\tI-NP\tO' +p305679 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p305680 +aS'stay\tstay\tNN\tI-NP\tO' +p305681 +aS'.\t.\t.\tO\tO' +p305682 +asS'Mild tricuspid regurgitation .' +p305683 +(lp305684 +S'Mild\tMild\tJJ\tB-NP\tO' +p305685 +aS'tricuspid\ttricuspid\tJJ\tI-NP\tO' +p305686 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p305687 +aS'.\t.\t.\tO\tO' +p305688 +asS'The patient was discharged to the medical floor on hospital day three and discharged from the hospital once his INR was within the 2 to 2.5 range .' +p305689 +(lp305690 +S'The\tThe\tDT\tB-NP\tO' +p305691 +aS'patient\tpatient\tNN\tI-NP\tO' +p305692 +aS'was\tbe\tVBD\tB-VP\tO' +p305693 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p305694 +aS'to\tto\tTO\tB-PP\tO' +p305695 +aS'the\tthe\tDT\tB-NP\tO' +p305696 +aS'medical\tmedical\tJJ\tI-NP\tO' +p305697 +aS'floor\tfloor\tNN\tI-NP\tO' +p305698 +aS'on\ton\tIN\tB-PP\tO' +p305699 +aS'hospital\thospital\tNN\tB-NP\tO' +p305700 +aS'day\tday\tNN\tI-NP\tO' +p305701 +aS'three\tthree\tCD\tI-NP\tO' +p305702 +aS'and\tand\tCC\tO\tO' +p305703 +aS'discharged\tdischarge\tVBD\tB-VP\tO' +p305704 +aS'from\tfrom\tIN\tB-PP\tO' +p305705 +aS'the\tthe\tDT\tB-NP\tO' +p305706 +aS'hospital\thospital\tNN\tI-NP\tO' +p305707 +aS'once\tonce\tIN\tB-SBAR\tO' +p305708 +aS'his\this\tPRP$\tB-NP\tO' +p305709 +aS'INR\tINR\tNN\tI-NP\tB-protein' +p305710 +aS'was\tbe\tVBD\tB-VP\tO' +p305711 +aS'within\twithin\tIN\tB-PP\tO' +p305712 +aS'the\tthe\tDT\tB-NP\tO' +p305713 +aS'2\t2\tCD\tI-NP\tO' +p305714 +aS'to\tto\tTO\tI-NP\tO' +p305715 +aS'2.5\t2.5\tCD\tI-NP\tO' +p305716 +aS'range\trange\tNN\tI-NP\tO' +p305717 +aS'.\t.\t.\tO\tO' +p305718 +asS'Patient was gradually put back on her outpatient xanax dose of 1 mg qid and clozaril was restarted .' +p305719 +(lp305720 +S'Patient\tPatient\tNN\tB-NP\tO' +p305721 +aS'was\tbe\tVBD\tB-VP\tO' +p305722 +aS'gradually\tgradually\tRB\tI-VP\tO' +p305723 +aS'put\tput\tVBN\tI-VP\tO' +p305724 +aS'back\tback\tRB\tB-ADVP\tO' +p305725 +aS'on\ton\tIN\tB-PP\tO' +p305726 +aS'her\ther\tPRP$\tB-NP\tO' +p305727 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p305728 +aS'xanax\txanax\tNN\tI-NP\tO' +p305729 +aS'dose\tdose\tNN\tI-NP\tO' +p305730 +aS'of\tof\tIN\tB-PP\tO' +p305731 +aS'1\t1\tCD\tB-NP\tO' +p305732 +aS'mg\tmg\tNN\tI-NP\tO' +p305733 +aS'qid\tqid\tNN\tI-NP\tO' +p305734 +aS'and\tand\tCC\tI-NP\tO' +p305735 +aS'clozaril\tclozaril\tNN\tI-NP\tO' +p305736 +aS'was\tbe\tVBD\tB-VP\tO' +p305737 +aS'restarted\trestart\tVBN\tI-VP\tO' +p305738 +aS'.\t.\t.\tO\tO' +p305739 +asS'Anxiety .' +p305740 +(lp305741 +S'Anxiety\tAnxiety\tNN\tB-NP\tO' +p305742 +aS'.\t.\t.\tO\tO' +p305743 +asS'On call out from the CCU , the pt was satting 93% on 4-5L NC , and through the following night , her oxygen requirement increased to NRB , wherein she was satting upper 80 s- low 90 s.' +p305744 +(lp305745 +S'On\tOn\tIN\tB-PP\tO' +p305746 +aS'call\tcall\tVB\tB-VP\tO' +p305747 +aS'out\tout\tRP\tB-PRT\tO' +p305748 +aS'from\tfrom\tIN\tB-PP\tO' +p305749 +aS'the\tthe\tDT\tB-NP\tO' +p305750 +aS'CCU\tCCU\tNN\tI-NP\tB-DNA' +p305751 +aS',\t,\t,\tO\tO' +p305752 +aS'the\tthe\tDT\tB-NP\tO' +p305753 +aS'pt\tpt\tNN\tI-NP\tO' +p305754 +aS'was\tbe\tVBD\tB-VP\tO' +p305755 +aS'satting\tsatte\tVBG\tI-VP\tO' +p305756 +aS'93%\t93%\tNN\tB-NP\tO' +p305757 +aS'on\ton\tIN\tB-PP\tO' +p305758 +aS'4-5L\t4-5L\tNN\tB-NP\tO' +p305759 +aS'NC\tNC\tNN\tI-NP\tO' +p305760 +aS',\t,\t,\tO\tO' +p305761 +aS'and\tand\tCC\tO\tO' +p305762 +aS'through\tthrough\tIN\tB-PP\tO' +p305763 +aS'the\tthe\tDT\tB-NP\tO' +p305764 +aS'following\tfollow\tVBG\tI-NP\tO' +p305765 +aS'night\tnight\tNN\tI-NP\tO' +p305766 +aS',\t,\t,\tO\tO' +p305767 +aS'her\ther\tPRP$\tB-NP\tO' +p305768 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p305769 +aS'requirement\trequirement\tNN\tI-NP\tO' +p305770 +aS'increased\tincrease\tVBD\tB-VP\tO' +p305771 +aS'to\tto\tTO\tB-PP\tO' +p305772 +aS'NRB\tNRB\tNN\tB-NP\tB-protein' +p305773 +aS',\t,\t,\tO\tO' +p305774 +aS'wherein\twherein\tIN\tB-SBAR\tO' +p305775 +aS'she\tshe\tPRP\tB-NP\tO' +p305776 +aS'was\tbe\tVBD\tB-VP\tO' +p305777 +aS'satting\tsatte\tVBG\tI-VP\tO' +p305778 +aS'upper\tupper\tJJ\tB-NP\tO' +p305779 +aS'80\t80\tCD\tI-NP\tO' +p305780 +aS's-\ts-\tNN\tI-NP\tO' +p305781 +aS'low\tlow\tJJ\tI-NP\tO' +p305782 +aS'90\t90\tCD\tI-NP\tO' +p305783 +aS's.\ts.\tNNS\tI-NP\tO' +p305784 +asS'John was in the Army during World War II .' +p305785 +(lp305786 +S'John\tJohn\tNNP\tB-NP\tO' +p305787 +aS'was\tbe\tVBD\tB-VP\tO' +p305788 +aS'in\tin\tIN\tB-PP\tO' +p305789 +aS'the\tthe\tDT\tB-NP\tO' +p305790 +aS'Army\tArmy\tNNP\tI-NP\tO' +p305791 +aS'during\tduring\tIN\tB-PP\tO' +p305792 +aS'World\tWorld\tNNP\tB-NP\tO' +p305793 +aS'War\tWar\tNNP\tI-NP\tO' +p305794 +aS'II\tII\tNNP\tI-NP\tO' +p305795 +aS'.\t.\t.\tO\tO' +p305796 +asS'2) PAROXYSMAL ATRIAL FIBRILLATION .' +p305797 +(lp305798 +S'2)\t2)\tLS\tB-NP\tO' +p305799 +aS'PAROXYSMAL\tPAROXYSMAL\tNN\tI-NP\tO' +p305800 +aS'ATRIAL\tATRIAL\tNN\tI-NP\tO' +p305801 +aS'FIBRILLATION\tFIBRILLATION\tNN\tI-NP\tO' +p305802 +aS'.\t.\t.\tO\tO' +p305803 +asS'She required several episodes of diuresis due to increasing shortness of breath on postoperative day #1 and postoperative day #2 due to worsening symptoms of shortness of breath from fluid shifts that normally occur during the postpartum period .' +p305804 +(lp305805 +S'She\tShe\tPRP\tB-NP\tO' +p305806 +aS'required\trequire\tVBD\tB-VP\tO' +p305807 +aS'several\tseveral\tJJ\tB-NP\tO' +p305808 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p305809 +aS'of\tof\tIN\tB-PP\tO' +p305810 +aS'diuresis\tdiuresis\tNN\tB-NP\tO' +p305811 +aS'due\tdue\tJJ\tB-ADJP\tO' +p305812 +aS'to\tto\tTO\tB-PP\tO' +p305813 +aS'increasing\tincrease\tVBG\tB-NP\tO' +p305814 +aS'shortness\tshortness\tNN\tI-NP\tO' +p305815 +aS'of\tof\tIN\tB-PP\tO' +p305816 +aS'breath\tbreath\tNN\tB-NP\tO' +p305817 +aS'on\ton\tIN\tB-PP\tO' +p305818 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p305819 +aS'day\tday\tNN\tI-NP\tO' +p305820 +aS'#1\t#1\tNN\tI-NP\tO' +p305821 +aS'and\tand\tCC\tO\tO' +p305822 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p305823 +aS'day\tday\tNN\tI-NP\tO' +p305824 +aS'#2\t#2\tNN\tI-NP\tO' +p305825 +aS'due\tdue\tJJ\tB-ADJP\tO' +p305826 +aS'to\tto\tTO\tB-PP\tO' +p305827 +aS'worsening\tworsen\tVBG\tB-VP\tO' +p305828 +aS'symptoms\tsymptom\tNNS\tB-NP\tO' +p305829 +aS'of\tof\tIN\tB-PP\tO' +p305830 +aS'shortness\tshortness\tNN\tB-NP\tO' +p305831 +aS'of\tof\tIN\tB-PP\tO' +p305832 +aS'breath\tbreath\tNN\tB-NP\tO' +p305833 +aS'from\tfrom\tIN\tB-PP\tO' +p305834 +aS'fluid\tfluid\tNN\tB-NP\tO' +p305835 +aS'shifts\tshift\tNNS\tI-NP\tO' +p305836 +aS'that\tthat\tWDT\tB-NP\tO' +p305837 +aS'normally\tnormally\tRB\tB-ADVP\tO' +p305838 +aS'occur\toccur\tVBP\tB-VP\tO' +p305839 +aS'during\tduring\tIN\tB-PP\tO' +p305840 +aS'the\tthe\tDT\tB-NP\tO' +p305841 +aS'postpartum\tpostpartum\tNN\tI-NP\tO' +p305842 +aS'period\tperiod\tNN\tI-NP\tO' +p305843 +aS'.\t.\t.\tO\tO' +p305844 +asS'No rubs or gallops .' +p305845 +(lp305846 +S'No\tNo\tDT\tB-NP\tO' +p305847 +aS'rubs\trub\tNNS\tI-NP\tO' +p305848 +aS'or\tor\tCC\tI-NP\tO' +p305849 +aS'gallops\tgallop\tNNS\tI-NP\tO' +p305850 +aS'.\t.\t.\tO\tO' +p305851 +asS'Given hypotension and bradycardia , he was slow to wean from Neosynephrine .' +p305852 +(lp305853 +S'Given\tGive\tVBN\tB-NP\tO' +p305854 +aS'hypotension\thypotension\tNN\tI-NP\tO' +p305855 +aS'and\tand\tCC\tI-NP\tO' +p305856 +aS'bradycardia\tbradycardia\tNN\tI-NP\tO' +p305857 +aS',\t,\t,\tO\tO' +p305858 +aS'he\the\tPRP\tB-NP\tO' +p305859 +aS'was\tbe\tVBD\tB-VP\tO' +p305860 +aS'slow\tslow\tJJ\tB-ADJP\tO' +p305861 +aS'to\tto\tTO\tB-VP\tO' +p305862 +aS'wean\twean\tVB\tI-VP\tO' +p305863 +aS'from\tfrom\tIN\tB-PP\tO' +p305864 +aS'Neosynephrine\tNeosynephrine\tNN\tB-NP\tO' +p305865 +aS'.\t.\t.\tO\tO' +p305866 +asS'Mother was transferred to the Debbie-Monaco from Western Mass. Hospital Hospital in the middle of January with increasing polyhydramnios and preterm labor .' +p305867 +(lp305868 +S'Mother\tMother\tDT\tB-NP\tO' +p305869 +aS'was\tbe\tVBD\tB-VP\tO' +p305870 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p305871 +aS'to\tto\tTO\tB-PP\tO' +p305872 +aS'the\tthe\tDT\tB-NP\tO' +p305873 +aS'Debbie-Monaco\tDebbie-Monaco\tNNP\tI-NP\tO' +p305874 +aS'from\tfrom\tIN\tB-PP\tO' +p305875 +aS'Western\tWestern\tNNP\tB-NP\tO' +p305876 +aS'Mass.\tMass.\tNNP\tI-NP\tO' +p305877 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p305878 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p305879 +aS'in\tin\tIN\tB-PP\tO' +p305880 +aS'the\tthe\tDT\tB-NP\tO' +p305881 +aS'middle\tmiddle\tNN\tI-NP\tO' +p305882 +aS'of\tof\tIN\tB-PP\tO' +p305883 +aS'January\tJanuary\tNNP\tB-NP\tO' +p305884 +aS'with\twith\tIN\tB-PP\tO' +p305885 +aS'increasing\tincrease\tVBG\tB-NP\tO' +p305886 +aS'polyhydramnios\tpolyhydramnio\tNNS\tI-NP\tO' +p305887 +aS'and\tand\tCC\tI-NP\tO' +p305888 +aS'preterm\tpreterm\tJJ\tI-NP\tO' +p305889 +aS'labor\tlabor\tNN\tI-NP\tO' +p305890 +aS'.\t.\t.\tO\tO' +p305891 +asS'cystic duct obstruction .' +p305892 +(lp305893 +S'cystic\tcystic\tJJ\tB-NP\tO' +p305894 +aS'duct\tduct\tNN\tI-NP\tO' +p305895 +aS'obstruction\tobstruction\tNN\tI-NP\tO' +p305896 +aS'.\t.\t.\tO\tO' +p305897 +asS'# Code - DNR/DNI .' +p305898 +(lp305899 +S'#\t#\t#\tB-NP\tO' +p305900 +aS'Code\tCode\tNN\tI-NP\tO' +p305901 +aS'-\t-\tHYPH\tB-NP\tO' +p305902 +aS'DNR/DNI\tDNR/DNI\tNN\tI-NP\tO' +p305903 +aS'.\t.\t.\tO\tO' +p305904 +asS'Good pulses throughout .' +p305905 +(lp305906 +S'Good\tGood\tJJ\tB-NP\tO' +p305907 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p305908 +aS'throughout\tthroughout\tIN\tB-ADVP\tO' +p305909 +aS'.\t.\t.\tO\tO' +p305910 +asS'Attending : Patricia Q Pendergrass , M.D.' +p305911 +(lp305912 +S'Attending\tAttend\tVBG\tB-VP\tO' +p305913 +aS':\t:\t:\tO\tO' +p305914 +aS'Patricia\tPatricia\tNNP\tB-NP\tO' +p305915 +aS'Q\tQ\tNNP\tI-NP\tO' +p305916 +aS'Pendergrass\tPendergrass\tNNP\tI-NP\tO' +p305917 +aS',\t,\t,\tO\tO' +p305918 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p305919 +asS'His electrolytes were monitored and repleted carefully .' +p305920 +(lp305921 +S'His\tHis\tPRP$\tB-NP\tO' +p305922 +aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' +p305923 +aS'were\tbe\tVBD\tB-VP\tO' +p305924 +aS'monitored\tmonitor\tVBN\tI-VP\tO' +p305925 +aS'and\tand\tCC\tO\tO' +p305926 +aS'repleted\treplete\tVBN\tB-VP\tO' +p305927 +aS'carefully\tcarefully\tRB\tB-ADVP\tO' +p305928 +aS'.\t.\t.\tO\tO' +p305929 +asS'The exact cause of her liver enzyme elevation is unclear , but we are being careful about administering drugs , which might irritate the liver .' +p305930 +(lp305931 +S'The\tThe\tDT\tB-NP\tO' +p305932 +aS'exact\texact\tJJ\tI-NP\tO' +p305933 +aS'cause\tcause\tNN\tI-NP\tO' +p305934 +aS'of\tof\tIN\tB-PP\tO' +p305935 +aS'her\ther\tPRP$\tB-NP\tO' +p305936 +aS'liver\tliver\tNN\tI-NP\tO' +p305937 +aS'enzyme\tenzyme\tNN\tI-NP\tO' +p305938 +aS'elevation\televation\tNN\tI-NP\tO' +p305939 +aS'is\tbe\tVBZ\tB-VP\tO' +p305940 +aS'unclear\tunclear\tJJ\tB-ADJP\tO' +p305941 +aS',\t,\t,\tO\tO' +p305942 +aS'but\tbut\tCC\tO\tO' +p305943 +aS'we\twe\tPRP\tB-NP\tO' +p305944 +aS'are\tbe\tVBP\tB-VP\tO' +p305945 +aS'being\tbe\tVBG\tI-VP\tO' +p305946 +aS'careful\tcareful\tJJ\tB-ADJP\tO' +p305947 +aS'about\tabout\tIN\tB-PP\tO' +p305948 +aS'administering\tadminister\tVBG\tB-VP\tO' +p305949 +aS'drugs\tdrug\tNNS\tB-NP\tO' +p305950 +aS',\t,\t,\tO\tO' +p305951 +aS'which\twhich\tWDT\tB-NP\tO' +p305952 +aS'might\tmight\tMD\tB-VP\tO' +p305953 +aS'irritate\tirritate\tVB\tI-VP\tO' +p305954 +aS'the\tthe\tDT\tB-NP\tO' +p305955 +aS'liver\tliver\tNN\tI-NP\tO' +p305956 +aS'.\t.\t.\tO\tO' +p305957 +asS'However , this resolved on its own over the hospital course .' +p305958 +(lp305959 +S'However\tHowever\tRB\tB-ADVP\tO' +p305960 +aS',\t,\t,\tO\tO' +p305961 +aS'this\tthis\tDT\tB-NP\tO' +p305962 +aS'resolved\tresolve\tVBD\tB-VP\tO' +p305963 +aS'on\ton\tIN\tB-PP\tO' +p305964 +aS'its\tits\tPRP$\tB-NP\tO' +p305965 +aS'own\town\tJJ\tI-NP\tO' +p305966 +aS'over\tover\tIN\tB-PP\tO' +p305967 +aS'the\tthe\tDT\tB-NP\tO' +p305968 +aS'hospital\thospital\tNN\tI-NP\tO' +p305969 +aS'course\tcourse\tNN\tI-NP\tO' +p305970 +aS'.\t.\t.\tO\tO' +p305971 +asS'3. Radial and ulnar fractures .' +p305972 +(lp305973 +S'3.\t3.\tLS\tB-LST\tO' +p305974 +aS'Radial\tRadial\tNNP\tB-NP\tO' +p305975 +aS'and\tand\tCC\tO\tO' +p305976 +aS'ulnar\tulnar\tJJ\tB-NP\tO' +p305977 +aS'fractures\tfracture\tNNS\tI-NP\tO' +p305978 +aS'.\t.\t.\tO\tO' +p305979 +asS'Heart was regular rate and rhythm , no murmur .' +p305980 +(lp305981 +S'Heart\tHeart\tNNP\tB-NP\tO' +p305982 +aS'was\tbe\tVBD\tB-VP\tO' +p305983 +aS'regular\tregular\tJJ\tB-NP\tO' +p305984 +aS'rate\trate\tNN\tI-NP\tO' +p305985 +aS'and\tand\tCC\tI-NP\tO' +p305986 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p305987 +aS',\t,\t,\tO\tO' +p305988 +aS'no\tno\tDT\tB-NP\tO' +p305989 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p305990 +aS'.\t.\t.\tO\tO' +p305991 +asS'Has been cardiovascular stable throughout hospital course .' +p305992 +(lp305993 +S'Has\tHa\tNNS\tB-NP\tB-protein' +p305994 +aS'been\tbe\tVBN\tB-VP\tO' +p305995 +aS'cardiovascular\tcardiovascular\tJJ\tB-ADJP\tO' +p305996 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p305997 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p305998 +aS'hospital\thospital\tNN\tB-NP\tO' +p305999 +aS'course\tcourse\tNN\tI-NP\tO' +p306000 +aS'.\t.\t.\tO\tO' +p306001 +asS'3. Seasonal allergies .' +p306002 +(lp306003 +S'3.\t3.\tLS\tB-NP\tO' +p306004 +aS'Seasonal\tSeasonal\tJJ\tI-NP\tO' +p306005 +aS'allergies\tallergy\tNNS\tI-NP\tO' +p306006 +aS'.\t.\t.\tO\tO' +p306007 +asS'As noted above , his mental status change was likely toxic-metabolic from acute infection .' +p306008 +(lp306009 +S'As\tAs\tIN\tB-SBAR\tO' +p306010 +aS'noted\tnote\tVBN\tB-VP\tO' +p306011 +aS'above\tabove\tIN\tB-PP\tO' +p306012 +aS',\t,\t,\tO\tO' +p306013 +aS'his\this\tPRP$\tB-NP\tO' +p306014 +aS'mental\tmental\tJJ\tI-NP\tO' +p306015 +aS'status\tstatus\tNN\tI-NP\tO' +p306016 +aS'change\tchange\tNN\tI-NP\tO' +p306017 +aS'was\tbe\tVBD\tB-VP\tO' +p306018 +aS'likely\tlikely\tRB\tB-ADJP\tO' +p306019 +aS'toxic-metabolic\ttoxic-metabolic\tJJ\tI-ADJP\tO' +p306020 +aS'from\tfrom\tIN\tB-PP\tO' +p306021 +aS'acute\tacute\tJJ\tB-NP\tO' +p306022 +aS'infection\tinfection\tNN\tI-NP\tO' +p306023 +aS'.\t.\t.\tO\tO' +p306024 +asS'1. Aspirin 81 mg Tablet , Delayed Release ( E.C. ) Sig : One ( 1 ) Tablet , Delayed Release ( E.C. ) PO DAILY ( Daily ) .' +p306025 +(lp306026 +S'1.\t1.\tLS\tB-NP\tO' +p306027 +aS'Aspirin\tAspirin\tNN\tI-NP\tO' +p306028 +aS'81\t81\tCD\tB-NP\tO' +p306029 +aS'mg\tmg\tNN\tI-NP\tO' +p306030 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p306031 +aS',\t,\t,\tO\tO' +p306032 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p306033 +aS'Release\tRelease\tNNP\tI-NP\tO' +p306034 +aS'(\t(\t(\tO\tO' +p306035 +aS'E.C.\tE.C.\tNNP\tB-NP\tO' +p306036 +aS')\t)\t)\tO\tO' +p306037 +aS'Sig\tSig\tNNP\tB-NP\tO' +p306038 +aS':\t:\t:\tO\tO' +p306039 +aS'One\tOne\tCD\tB-NP\tO' +p306040 +aS'(\t(\t(\tO\tO' +p306041 +aS'1\t1\tCD\tB-NP\tO' +p306042 +aS')\t)\t)\tO\tO' +p306043 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p306044 +aS',\t,\t,\tO\tO' +p306045 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p306046 +aS'Release\tRelease\tNNP\tI-NP\tO' +p306047 +aS'(\t(\t(\tO\tO' +p306048 +aS'E.C.\tE.C.\tNNP\tO\tO' +p306049 +aS')\t)\t)\tO\tO' +p306050 +aS'PO\tPO\tNN\tB-NP\tO' +p306051 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p306052 +aS'(\t(\t(\tO\tO' +p306053 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p306054 +aS')\t)\t)\tO\tO' +p306055 +aS'.\t.\t.\tO\tO' +p306056 +asS'You may need to have further studies at a later date .' +p306057 +(lp306058 +S'You\tYou\tPRP\tB-NP\tB-protein' +p306059 +aS'may\tmay\tMD\tB-VP\tO' +p306060 +aS'need\tneed\tVB\tI-VP\tO' +p306061 +aS'to\tto\tTO\tI-VP\tO' +p306062 +aS'have\thave\tVB\tI-VP\tO' +p306063 +aS'further\tfurther\tJJ\tB-NP\tO' +p306064 +aS'studies\tstudy\tNNS\tI-NP\tO' +p306065 +aS'at\tat\tIN\tB-PP\tO' +p306066 +aS'a\ta\tDT\tB-NP\tO' +p306067 +aS'later\tlater\tJJ\tI-NP\tO' +p306068 +aS'date\tdate\tNN\tI-NP\tO' +p306069 +aS'.\t.\t.\tO\tO' +p306070 +asS'The antibiotic chosen was Levaquin 500 mg 1 tab per day .' +p306071 +(lp306072 +S'The\tThe\tDT\tB-NP\tO' +p306073 +aS'antibiotic\tantibiotic\tJJ\tI-NP\tB-protein' +p306074 +aS'chosen\tchosen\tNN\tI-NP\tI-protein' +p306075 +aS'was\tbe\tVBD\tB-VP\tI-protein' +p306076 +aS'Levaquin\tLevaquin\tNNP\tB-NP\tI-protein' +p306077 +aS'500\t500\tCD\tI-NP\tI-protein' +p306078 +aS'mg\tmg\tNN\tI-NP\tI-protein' +p306079 +aS'1\t1\tCD\tI-NP\tI-protein' +p306080 +aS'tab\ttab\tNN\tI-NP\tI-protein' +p306081 +aS'per\tper\tIN\tB-PP\tO' +p306082 +aS'day\tday\tNN\tB-NP\tO' +p306083 +aS'.\t.\t.\tO\tO' +p306084 +asS'The patient continued to have intermittent episodes of ventricular tachycardia .' +p306085 +(lp306086 +S'The\tThe\tDT\tB-NP\tO' +p306087 +aS'patient\tpatient\tNN\tI-NP\tO' +p306088 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p306089 +aS'to\tto\tTO\tI-VP\tO' +p306090 +aS'have\thave\tVB\tI-VP\tO' +p306091 +aS'intermittent\tintermittent\tJJ\tB-NP\tO' +p306092 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p306093 +aS'of\tof\tIN\tB-PP\tO' +p306094 +aS'ventricular\tventricular\tJJ\tB-NP\tO' +p306095 +aS'tachycardia\ttachycardia\tNN\tI-NP\tO' +p306096 +aS'.\t.\t.\tO\tO' +p306097 +asS'The patient has only male sexual partners and in the last six months has two regular partners who reportedly are human immunodeficiency virus negative and no IV drug use .' +p306098 +(lp306099 +S'The\tThe\tDT\tB-NP\tO' +p306100 +aS'patient\tpatient\tNN\tI-NP\tO' +p306101 +aS'has\thave\tVBZ\tB-VP\tO' +p306102 +aS'only\tonly\tRB\tB-NP\tO' +p306103 +aS'male\tmale\tJJ\tI-NP\tO' +p306104 +aS'sexual\tsexual\tJJ\tI-NP\tO' +p306105 +aS'partners\tpartner\tNNS\tI-NP\tO' +p306106 +aS'and\tand\tCC\tB-PP\tO' +p306107 +aS'in\tin\tIN\tB-PP\tO' +p306108 +aS'the\tthe\tDT\tB-NP\tO' +p306109 +aS'last\tlast\tJJ\tI-NP\tO' +p306110 +aS'six\tsix\tCD\tI-NP\tO' +p306111 +aS'months\tmonth\tNNS\tI-NP\tO' +p306112 +aS'has\thave\tVBZ\tB-VP\tO' +p306113 +aS'two\ttwo\tCD\tB-NP\tO' +p306114 +aS'regular\tregular\tJJ\tI-NP\tO' +p306115 +aS'partners\tpartner\tNNS\tI-NP\tO' +p306116 +aS'who\twho\tWP\tB-NP\tO' +p306117 +aS'reportedly\treportedly\tRB\tB-ADVP\tO' +p306118 +aS'are\tbe\tVBP\tB-VP\tO' +p306119 +aS'human\thuman\tJJ\tB-NP\tO' +p306120 +aS'immunodeficiency\timmunodeficiency\tNN\tI-NP\tO' +p306121 +aS'virus\tvirus\tNN\tI-NP\tO' +p306122 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p306123 +aS'and\tand\tCC\tO\tO' +p306124 +aS'no\tno\tDT\tB-NP\tO' +p306125 +aS'IV\tIV\tCD\tI-NP\tO' +p306126 +aS'drug\tdrug\tNN\tI-NP\tO' +p306127 +aS'use\tuse\tNN\tI-NP\tO' +p306128 +aS'.\t.\t.\tO\tO' +p306129 +asS'Her cardiovascular was regular rate and rhythm .' +p306130 +(lp306131 +S'Her\tHer\tPRP$\tB-NP\tO' +p306132 +aS'cardiovascular\tcardiovascular\tJJ\tI-NP\tO' +p306133 +aS'was\tbe\tVBD\tB-VP\tO' +p306134 +aS'regular\tregular\tJJ\tB-NP\tO' +p306135 +aS'rate\trate\tNN\tI-NP\tO' +p306136 +aS'and\tand\tCC\tI-NP\tO' +p306137 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p306138 +aS'.\t.\t.\tO\tO' +p306139 +asS'He was tolerating food very well and was afebrile throughout admission .' +p306140 +(lp306141 +S'He\tHe\tPRP\tB-NP\tO' +p306142 +aS'was\tbe\tVBD\tB-VP\tO' +p306143 +aS'tolerating\ttolerate\tVBG\tI-VP\tO' +p306144 +aS'food\tfood\tNN\tB-NP\tO' +p306145 +aS'very\tvery\tRB\tB-ADVP\tO' +p306146 +aS'well\twell\tRB\tI-ADVP\tO' +p306147 +aS'and\tand\tCC\tO\tO' +p306148 +aS'was\tbe\tVBD\tB-VP\tO' +p306149 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p306150 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p306151 +aS'admission\tadmission\tNN\tB-NP\tO' +p306152 +aS'.\t.\t.\tO\tO' +p306153 +asS'The cardiac exam showed a regular rate and rhythm with a I / VI systolic ejection murmur .' +p306154 +(lp306155 +S'The\tThe\tDT\tB-NP\tO' +p306156 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p306157 +aS'exam\texam\tNN\tI-NP\tO' +p306158 +aS'showed\tshow\tVBD\tB-VP\tO' +p306159 +aS'a\ta\tDT\tB-NP\tO' +p306160 +aS'regular\tregular\tJJ\tI-NP\tO' +p306161 +aS'rate\trate\tNN\tI-NP\tO' +p306162 +aS'and\tand\tCC\tI-NP\tO' +p306163 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p306164 +aS'with\twith\tIN\tB-PP\tO' +p306165 +aS'a\ta\tDT\tB-NP\tO' +p306166 +aS'I\tI\tNN\tI-NP\tO' +p306167 +aS'/\t/\tSYM\tB-NP\tO' +p306168 +aS'VI\tVI\tNN\tI-NP\tO' +p306169 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p306170 +aS'ejection\tejection\tNN\tI-NP\tO' +p306171 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p306172 +aS'.\t.\t.\tO\tO' +p306173 +asS'Cardiac catheterization 11/03 .' +p306174 +(lp306175 +S'Cardiac\tCardiac\tJJ\tB-NP\tO' +p306176 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p306177 +aS'11/03\t11/03\tCD\tI-NP\tO' +p306178 +aS'.\t.\t.\tO\tO' +p306179 +asS'Feedings at the time of transfer include breast milk 30 with ProMod at 150 cc per kg per day , all gavage given over one hour .' +p306180 +(lp306181 +S'Feedings\tFeeding\tNNS\tB-NP\tO' +p306182 +aS'at\tat\tIN\tB-PP\tO' +p306183 +aS'the\tthe\tDT\tB-NP\tO' +p306184 +aS'time\ttime\tNN\tI-NP\tO' +p306185 +aS'of\tof\tIN\tB-PP\tO' +p306186 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p306187 +aS'include\tinclude\tVBP\tB-VP\tO' +p306188 +aS'breast\tbreast\tNN\tB-NP\tO' +p306189 +aS'milk\tmilk\tNN\tI-NP\tO' +p306190 +aS'30\t30\tCD\tI-NP\tO' +p306191 +aS'with\twith\tIN\tB-PP\tO' +p306192 +aS'ProMod\tProMod\tNN\tB-NP\tO' +p306193 +aS'at\tat\tIN\tB-PP\tO' +p306194 +aS'150\t150\tCD\tB-NP\tO' +p306195 +aS'cc\tcc\tNN\tI-NP\tO' +p306196 +aS'per\tper\tIN\tB-PP\tO' +p306197 +aS'kg\tkg\tNN\tB-NP\tO' +p306198 +aS'per\tper\tIN\tB-PP\tO' +p306199 +aS'day\tday\tNN\tB-NP\tO' +p306200 +aS',\t,\t,\tO\tO' +p306201 +aS'all\tall\tDT\tB-NP\tO' +p306202 +aS'gavage\tgavage\tNN\tI-NP\tO' +p306203 +aS'given\tgive\tVBN\tB-VP\tO' +p306204 +aS'over\tover\tIN\tB-PP\tO' +p306205 +aS'one\tone\tCD\tB-NP\tO' +p306206 +aS'hour\thour\tNN\tI-NP\tO' +p306207 +aS'.\t.\t.\tO\tO' +p306208 +asS'The Plastic Team then took over for reconstruction consisting of radial forearm free flap to floor of mouth .' +p306209 +(lp306210 +S'The\tThe\tDT\tB-NP\tO' +p306211 +aS'Plastic\tPlastic\tJJ\tI-NP\tO' +p306212 +aS'Team\tTeam\tNN\tI-NP\tO' +p306213 +aS'then\tthen\tRB\tB-ADVP\tO' +p306214 +aS'took\ttake\tVBD\tB-VP\tO' +p306215 +aS'over\tover\tRP\tB-PRT\tO' +p306216 +aS'for\tfor\tIN\tB-PP\tO' +p306217 +aS'reconstruction\treconstruction\tNN\tB-NP\tO' +p306218 +aS'consisting\tconsist\tVBG\tB-VP\tO' +p306219 +aS'of\tof\tIN\tB-PP\tO' +p306220 +aS'radial\tradial\tJJ\tB-NP\tB-protein' +p306221 +aS'forearm\tforearm\tNN\tI-NP\tI-protein' +p306222 +aS'free\tfree\tJJ\tI-NP\tI-protein' +p306223 +aS'flap\tflap\tNN\tI-NP\tI-protein' +p306224 +aS'to\tto\tTO\tB-PP\tO' +p306225 +aS'floor\tfloor\tNN\tB-NP\tO' +p306226 +aS'of\tof\tIN\tB-PP\tO' +p306227 +aS'mouth\tmouth\tNN\tB-NP\tO' +p306228 +aS'.\t.\t.\tO\tO' +p306229 +asS'chronic LBP , HTN , anxiety , depression , L arm surgeries ( hardware in place )' +p306230 +(lp306231 +S'chronic\tchronic\tJJ\tB-NP\tO' +p306232 +aS'LBP\tLBP\tNN\tI-NP\tO' +p306233 +aS',\t,\t,\tO\tO' +p306234 +aS'HTN\tHTN\tNN\tB-NP\tB-protein' +p306235 +aS',\t,\t,\tO\tO' +p306236 +aS'anxiety\tanxiety\tNN\tB-NP\tO' +p306237 +aS',\t,\t,\tO\tO' +p306238 +aS'depression\tdepression\tNN\tB-NP\tO' +p306239 +aS',\t,\t,\tO\tO' +p306240 +aS'L\tL\tNN\tB-NP\tO' +p306241 +aS'arm\tarm\tNN\tI-NP\tO' +p306242 +aS'surgeries\tsurgery\tNNS\tI-NP\tO' +p306243 +aS'(\t(\t(\tO\tO' +p306244 +aS'hardware\thardware\tNN\tB-NP\tO' +p306245 +aS'in\tin\tIN\tB-PP\tO' +p306246 +aS'place\tplace\tNN\tB-NP\tO' +p306247 +aS')\t)\t)\tO\tO' +p306248 +asS'Major Surgical or Invasive Procedure : pheresis renal biopsy' +p306249 +(lp306250 +S'Major\tMajor\tJJ\tB-NP\tO' +p306251 +aS'Surgical\tSurgical\tJJ\tI-NP\tO' +p306252 +aS'or\tor\tCC\tI-NP\tO' +p306253 +aS'Invasive\tInvasive\tJJ\tI-NP\tO' +p306254 +aS'Procedure\tProcedure\tNN\tI-NP\tO' +p306255 +aS':\t:\t:\tO\tO' +p306256 +aS'pheresis\tpheresis\tNN\tB-NP\tO' +p306257 +aS'renal\trenal\tJJ\tI-NP\tO' +p306258 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p306259 +asS'No bruits were heard .' +p306260 +(lp306261 +S'No\tNo\tDT\tB-NP\tO' +p306262 +aS'bruits\tbruit\tNNS\tI-NP\tO' +p306263 +aS'were\tbe\tVBD\tB-VP\tO' +p306264 +aS'heard\thear\tVBN\tI-VP\tO' +p306265 +aS'.\t.\t.\tO\tO' +p306266 +asS'Pocasset was admitted to the newborn intensive care unit with mild respiratory distress .' +p306267 +(lp306268 +S'Pocasset\tPocasset\tNN\tB-NP\tO' +p306269 +aS'was\tbe\tVBD\tB-VP\tO' +p306270 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p306271 +aS'to\tto\tTO\tB-PP\tO' +p306272 +aS'the\tthe\tDT\tB-NP\tO' +p306273 +aS'newborn\tnewborn\tJJ\tI-NP\tO' +p306274 +aS'intensive\tintensive\tJJ\tI-NP\tO' +p306275 +aS'care\tcare\tNN\tI-NP\tO' +p306276 +aS'unit\tunit\tNN\tI-NP\tO' +p306277 +aS'with\twith\tIN\tB-PP\tO' +p306278 +aS'mild\tmild\tJJ\tB-NP\tO' +p306279 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p306280 +aS'distress\tdistress\tNN\tI-NP\tO' +p306281 +aS'.\t.\t.\tO\tO' +p306282 +asS'In addition her Vancomycin and Levaquin were also discontinued .' +p306283 +(lp306284 +S'In\tIn\tIN\tB-PP\tO' +p306285 +aS'addition\taddition\tNN\tB-NP\tO' +p306286 +aS'her\ther\tPRP$\tB-NP\tO' +p306287 +aS'Vancomycin\tVancomycin\tNN\tI-NP\tO' +p306288 +aS'and\tand\tCC\tI-NP\tO' +p306289 +aS'Levaquin\tLevaquin\tNN\tI-NP\tB-protein' +p306290 +aS'were\tbe\tVBD\tB-VP\tO' +p306291 +aS'also\talso\tRB\tI-VP\tO' +p306292 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p306293 +aS'.\t.\t.\tO\tO' +p306294 +asS'In addition , patient is to have her own appointment with Podiatry .' +p306295 +(lp306296 +S'In\tIn\tIN\tB-PP\tO' +p306297 +aS'addition\taddition\tNN\tB-NP\tO' +p306298 +aS',\t,\t,\tO\tO' +p306299 +aS'patient\tpatient\tNN\tB-NP\tO' +p306300 +aS'is\tbe\tVBZ\tB-VP\tO' +p306301 +aS'to\tto\tTO\tB-VP\tO' +p306302 +aS'have\thave\tVB\tI-VP\tO' +p306303 +aS'her\ther\tPRP$\tB-NP\tO' +p306304 +aS'own\town\tJJ\tI-NP\tO' +p306305 +aS'appointment\tappointment\tNN\tI-NP\tO' +p306306 +aS'with\twith\tIN\tB-PP\tO' +p306307 +aS'Podiatry\tPodiatry\tNN\tB-NP\tO' +p306308 +aS'.\t.\t.\tO\tO' +p306309 +asS'Persistent pleural effusions .' +p306310 +(lp306311 +S'Persistent\tPersistent\tJJ\tB-NP\tO' +p306312 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p306313 +aS'effusions\teffusion\tNNS\tI-NP\tO' +p306314 +aS'.\t.\t.\tO\tO' +p306315 +asS'2. Obesity .' +p306316 +(lp306317 +S'2.\t2.\tLS\tB-NP\tO' +p306318 +aS'Obesity\tObesity\tNN\tI-NP\tO' +p306319 +aS'.\t.\t.\tO\tO' +p306320 +asS'If you need additional information please call 366-686-5449 .' +p306321 +(lp306322 +S'If\tIf\tIN\tB-SBAR\tO' +p306323 +aS'you\tyou\tPRP\tB-NP\tO' +p306324 +aS'need\tneed\tVBP\tB-VP\tO' +p306325 +aS'additional\tadditional\tJJ\tB-NP\tO' +p306326 +aS'information\tinformation\tNN\tI-NP\tO' +p306327 +aS'please\tplease\tNN\tI-NP\tO' +p306328 +aS'call\tcall\tNN\tI-NP\tO' +p306329 +aS'366-686-5449\t366-686-5449\tCD\tI-NP\tO' +p306330 +aS'.\t.\t.\tO\tO' +p306331 +asS'Testes down bilaterally .' +p306332 +(lp306333 +S'Testes\tTestis\tNNS\tB-NP\tO' +p306334 +aS'down\tdown\tRB\tB-ADVP\tO' +p306335 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p306336 +aS'.\t.\t.\tO\tO' +p306337 +asS'There was focal mitral valve prolapse noted without pathologic mitral regurgitation .' +p306338 +(lp306339 +S'There\tThere\tEX\tB-NP\tO' +p306340 +aS'was\tbe\tVBD\tB-VP\tO' +p306341 +aS'focal\tfocal\tJJ\tB-NP\tO' +p306342 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p306343 +aS'valve\tvalve\tNN\tI-NP\tO' +p306344 +aS'prolapse\tprolapse\tNN\tI-NP\tO' +p306345 +aS'noted\tnote\tVBN\tB-VP\tO' +p306346 +aS'without\twithout\tIN\tB-PP\tO' +p306347 +aS'pathologic\tpathologic\tJJ\tB-NP\tO' +p306348 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p306349 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p306350 +aS'.\t.\t.\tO\tO' +p306351 +asS'Eye closure and smile are symmetric .' +p306352 +(lp306353 +S'Eye\tEye\tNN\tB-NP\tO' +p306354 +aS'closure\tclosure\tNN\tI-NP\tO' +p306355 +aS'and\tand\tCC\tI-NP\tO' +p306356 +aS'smile\tsmile\tNN\tI-NP\tO' +p306357 +aS'are\tbe\tVBP\tB-VP\tO' +p306358 +aS'symmetric\tsymmetric\tJJ\tB-ADJP\tO' +p306359 +aS'.\t.\t.\tO\tO' +p306360 +asS'Significant for what was stated in the HPI .' +p306361 +(lp306362 +S'Significant\tSignificant\tJJ\tB-ADJP\tO' +p306363 +aS'for\tfor\tIN\tB-PP\tO' +p306364 +aS'what\twhat\tWP\tB-NP\tO' +p306365 +aS'was\tbe\tVBD\tB-VP\tO' +p306366 +aS'stated\tstate\tVBN\tI-VP\tO' +p306367 +aS'in\tin\tIN\tB-PP\tO' +p306368 +aS'the\tthe\tDT\tB-NP\tO' +p306369 +aS'HPI\tHPI\tNN\tI-NP\tB-DNA' +p306370 +aS'.\t.\t.\tO\tO' +p306371 +asS'1. Persistent atrial fibrillation .' +p306372 +(lp306373 +S'1.\t1.\tLS\tB-NP\tO' +p306374 +aS'Persistent\tPersistent\tJJ\tI-NP\tO' +p306375 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p306376 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p306377 +aS'.\t.\t.\tO\tO' +p306378 +asS'Radiates to the left arm .' +p306379 +(lp306380 +S'Radiates\tRadiate\tNNS\tB-NP\tO' +p306381 +aS'to\tto\tTO\tB-PP\tO' +p306382 +aS'the\tthe\tDT\tB-NP\tO' +p306383 +aS'left\tleft\tJJ\tI-NP\tO' +p306384 +aS'arm\tarm\tNN\tI-NP\tO' +p306385 +aS'.\t.\t.\tO\tO' +p306386 +asS'Decision to continue Dobhoff at rehab given continued clinical improvement and his poor candidacy for G/J tube .' +p306387 +(lp306388 +S'Decision\tDecision\tNN\tB-NP\tO' +p306389 +aS'to\tto\tTO\tB-VP\tO' +p306390 +aS'continue\tcontinue\tVB\tI-VP\tO' +p306391 +aS'Dobhoff\tDobhoff\tNNP\tB-NP\tO' +p306392 +aS'at\tat\tIN\tB-PP\tO' +p306393 +aS'rehab\trehab\tNN\tB-NP\tO' +p306394 +aS'given\tgive\tVBN\tB-VP\tO' +p306395 +aS'continued\tcontinue\tVBN\tB-NP\tO' +p306396 +aS'clinical\tclinical\tJJ\tI-NP\tO' +p306397 +aS'improvement\timprovement\tNN\tI-NP\tO' +p306398 +aS'and\tand\tCC\tO\tO' +p306399 +aS'his\this\tPRP$\tB-NP\tO' +p306400 +aS'poor\tpoor\tJJ\tI-NP\tO' +p306401 +aS'candidacy\tcandidacy\tNN\tI-NP\tO' +p306402 +aS'for\tfor\tIN\tB-PP\tO' +p306403 +aS'G/J\tG/J\tNN\tB-NP\tO' +p306404 +aS'tube\ttube\tNN\tI-NP\tO' +p306405 +aS'.\t.\t.\tO\tO' +p306406 +asS'4 ) history of colon carcinoma ;' +p306407 +(lp306408 +S'4\t4\tLS\tB-LST\tO' +p306409 +aS')\t)\t)\tO\tO' +p306410 +aS'history\thistory\tNN\tB-NP\tO' +p306411 +aS'of\tof\tIN\tB-PP\tO' +p306412 +aS'colon\tcolon\tNN\tB-NP\tO' +p306413 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p306414 +aS';\t;\t:\tO\tO' +p306415 +asS'They were all negative for malignancy and therefore a hepaticojejunostomy' +p306416 +(lp306417 +S'They\tThey\tPRP\tB-NP\tO' +p306418 +aS'were\tbe\tVBD\tB-VP\tO' +p306419 +aS'all\tall\tDT\tO\tO' +p306420 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p306421 +aS'for\tfor\tIN\tB-PP\tO' +p306422 +aS'malignancy\tmalignancy\tNN\tB-NP\tO' +p306423 +aS'and\tand\tCC\tO\tO' +p306424 +aS'therefore\ttherefore\tRB\tB-ADVP\tO' +p306425 +aS'a\ta\tDT\tB-NP\tO' +p306426 +aS'hepaticojejunostomy\thepaticojejunostomy\tNN\tI-NP\tO' +p306427 +asS"The patient 's INR became supratherapeutic and Coumadin was held ." +p306428 +(lp306429 +S'The\tThe\tDT\tB-NP\tO' +p306430 +aS'patient\tpatient\tNN\tI-NP\tO' +p306431 +aS"'s\t's\tPOS\tB-NP\tO" +p306432 +aS'INR\tINR\tNN\tI-NP\tB-protein' +p306433 +aS'became\tbecome\tVBD\tB-VP\tO' +p306434 +aS'supratherapeutic\tsupratherapeutic\tJJ\tB-ADJP\tO' +p306435 +aS'and\tand\tCC\tO\tO' +p306436 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p306437 +aS'was\tbe\tVBD\tB-VP\tO' +p306438 +aS'held\thold\tVBN\tI-VP\tO' +p306439 +aS'.\t.\t.\tO\tO' +p306440 +asS'The patient underwent his procedure on 12-4-93 , without complications .' +p306441 +(lp306442 +S'The\tThe\tDT\tB-NP\tO' +p306443 +aS'patient\tpatient\tNN\tI-NP\tO' +p306444 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p306445 +aS'his\this\tPRP$\tB-NP\tO' +p306446 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p306447 +aS'on\ton\tIN\tB-PP\tO' +p306448 +aS'12-4-93\t12-4-93\tCD\tB-NP\tO' +p306449 +aS',\t,\t,\tO\tO' +p306450 +aS'without\twithout\tIN\tB-PP\tO' +p306451 +aS'complications\tcomplication\tNNS\tB-NP\tO' +p306452 +aS'.\t.\t.\tO\tO' +p306453 +asS'Continue w/ Risperdal per new psychiatrist' +p306454 +(lp306455 +S'Continue\tContinue\tNNP\tB-NP\tO' +p306456 +aS'w/\tw/\tVBD\tB-VP\tO' +p306457 +aS'Risperdal\tRisperdal\tNNP\tB-NP\tO' +p306458 +aS'per\tper\tIN\tB-PP\tO' +p306459 +aS'new\tnew\tJJ\tB-NP\tO' +p306460 +aS'psychiatrist\tpsychiatrist\tNN\tI-NP\tO' +p306461 +asS'Apparently once his pain was free , his EKG was noted to have hyperacute T-wave anteriorly without progression .' +p306462 +(lp306463 +S'Apparently\tApparently\tRB\tB-ADVP\tO' +p306464 +aS'once\tonce\tRB\tO\tO' +p306465 +aS'his\this\tPRP$\tB-NP\tO' +p306466 +aS'pain\tpain\tNN\tI-NP\tO' +p306467 +aS'was\tbe\tVBD\tB-VP\tO' +p306468 +aS'free\tfree\tJJ\tB-ADJP\tO' +p306469 +aS',\t,\t,\tO\tO' +p306470 +aS'his\this\tPRP$\tB-NP\tO' +p306471 +aS'EKG\tEKG\tNN\tI-NP\tB-protein' +p306472 +aS'was\tbe\tVBD\tB-VP\tO' +p306473 +aS'noted\tnote\tVBN\tI-VP\tO' +p306474 +aS'to\tto\tTO\tI-VP\tO' +p306475 +aS'have\thave\tVB\tI-VP\tO' +p306476 +aS'hyperacute\thyperacute\tJJ\tB-NP\tO' +p306477 +aS'T-wave\tT-wave\tNN\tI-NP\tO' +p306478 +aS'anteriorly\tanteriorly\tRB\tB-ADVP\tO' +p306479 +aS'without\twithout\tIN\tB-PP\tO' +p306480 +aS'progression\tprogression\tNN\tB-NP\tO' +p306481 +aS'.\t.\t.\tO\tO' +p306482 +asS'A full copy of the cardiac catheterization report is enclosed with his transfer materials .' +p306483 +(lp306484 +S'A\tA\tDT\tB-NP\tO' +p306485 +aS'full\tfull\tJJ\tI-NP\tO' +p306486 +aS'copy\tcopy\tNN\tI-NP\tO' +p306487 +aS'of\tof\tIN\tB-PP\tO' +p306488 +aS'the\tthe\tDT\tB-NP\tO' +p306489 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p306490 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p306491 +aS'report\treport\tNN\tI-NP\tO' +p306492 +aS'is\tbe\tVBZ\tB-VP\tO' +p306493 +aS'enclosed\tenclose\tVBN\tI-VP\tO' +p306494 +aS'with\twith\tIN\tB-PP\tO' +p306495 +aS'his\this\tPRP$\tB-NP\tO' +p306496 +aS'transfer\ttransfer\tNN\tI-NP\tO' +p306497 +aS'materials\tmaterial\tNNS\tI-NP\tO' +p306498 +aS'.\t.\t.\tO\tO' +p306499 +asS'There her oxygen she was sating 65% on room air , increased to 98% with a nonrebreather mask .' +p306500 +(lp306501 +S'There\tThere\tEX\tB-NP\tO' +p306502 +aS'her\ther\tPRP$\tB-NP\tO' +p306503 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p306504 +aS'she\tshe\tPRP\tB-NP\tO' +p306505 +aS'was\tbe\tVBD\tB-VP\tO' +p306506 +aS'sating\tsate\tVBG\tI-VP\tO' +p306507 +aS'65%\t65%\tNN\tB-NP\tO' +p306508 +aS'on\ton\tIN\tB-PP\tO' +p306509 +aS'room\troom\tNN\tB-NP\tO' +p306510 +aS'air\tair\tNN\tI-NP\tO' +p306511 +aS',\t,\t,\tO\tO' +p306512 +aS'increased\tincrease\tVBD\tB-VP\tO' +p306513 +aS'to\tto\tTO\tI-VP\tO' +p306514 +aS'98%\t98%\tVB\tI-VP\tO' +p306515 +aS'with\twith\tIN\tB-PP\tO' +p306516 +aS'a\ta\tDT\tB-NP\tO' +p306517 +aS'nonrebreather\tnonrebreather\tJJ\tI-NP\tO' +p306518 +aS'mask\tmask\tNN\tI-NP\tO' +p306519 +aS'.\t.\t.\tO\tO' +p306520 +asS'Continue the dialysis three times a week .' +p306521 +(lp306522 +S'Continue\tContinue\tVB\tB-VP\tO' +p306523 +aS'the\tthe\tDT\tB-NP\tO' +p306524 +aS'dialysis\tdialysis\tNN\tI-NP\tO' +p306525 +aS'three\tthree\tCD\tB-NP\tO' +p306526 +aS'times\ttime\tNNS\tI-NP\tO' +p306527 +aS'a\ta\tDT\tB-NP\tO' +p306528 +aS'week\tweek\tNN\tI-NP\tO' +p306529 +aS'.\t.\t.\tO\tO' +p306530 +asS'Dictated By : Jerry E Ross , M.D.' +p306531 +(lp306532 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p306533 +aS'By\tBy\tIN\tB-PP\tO' +p306534 +aS':\t:\t:\tO\tO' +p306535 +aS'Jerry\tJerry\tNNP\tB-NP\tO' +p306536 +aS'E\tE\tNNP\tI-NP\tO' +p306537 +aS'Ross\tRoss\tNNP\tI-NP\tO' +p306538 +aS',\t,\t,\tO\tO' +p306539 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p306540 +asS'Breath sounds were equal bilaterally with course rhonchi .' +p306541 +(lp306542 +S'Breath\tBreath\tNN\tB-NP\tO' +p306543 +aS'sounds\tsound\tNNS\tI-NP\tO' +p306544 +aS'were\tbe\tVBD\tB-VP\tO' +p306545 +aS'equal\tequal\tJJ\tB-ADJP\tO' +p306546 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p306547 +aS'with\twith\tIN\tB-PP\tO' +p306548 +aS'course\tcourse\tNN\tB-NP\tO' +p306549 +aS'rhonchi\trhonchi\tNN\tI-NP\tO' +p306550 +aS'.\t.\t.\tO\tO' +p306551 +asS'She was found to have right sided weakness and was noted by her husband to have vomited .' +p306552 +(lp306553 +S'She\tShe\tPRP\tB-NP\tO' +p306554 +aS'was\tbe\tVBD\tB-VP\tO' +p306555 +aS'found\tfind\tVBN\tI-VP\tO' +p306556 +aS'to\tto\tTO\tI-VP\tO' +p306557 +aS'have\thave\tVB\tI-VP\tO' +p306558 +aS'right\tright\tJJ\tB-NP\tO' +p306559 +aS'sided\tsided\tJJ\tI-NP\tO' +p306560 +aS'weakness\tweakness\tNN\tI-NP\tO' +p306561 +aS'and\tand\tCC\tO\tO' +p306562 +aS'was\tbe\tVBD\tB-VP\tO' +p306563 +aS'noted\tnote\tVBN\tI-VP\tO' +p306564 +aS'by\tby\tIN\tB-PP\tO' +p306565 +aS'her\ther\tPRP$\tB-NP\tO' +p306566 +aS'husband\thusband\tNN\tI-NP\tO' +p306567 +aS'to\tto\tTO\tB-VP\tO' +p306568 +aS'have\thave\tVB\tI-VP\tO' +p306569 +aS'vomited\tvomit\tVBN\tI-VP\tO' +p306570 +aS'.\t.\t.\tO\tO' +p306571 +asS'Echo in 9/02 showed LVF of 75% with moderate dilatation of the descending aorta .' +p306572 +(lp306573 +S'Echo\tEcho\tNNP\tB-NP\tO' +p306574 +aS'in\tin\tIN\tB-PP\tO' +p306575 +aS'9/02\t9/02\tCD\tB-NP\tO' +p306576 +aS'showed\tshow\tVBD\tB-VP\tO' +p306577 +aS'LVF\tLVF\tNN\tB-NP\tB-protein' +p306578 +aS'of\tof\tIN\tB-PP\tO' +p306579 +aS'75%\t75%\tNN\tB-NP\tO' +p306580 +aS'with\twith\tIN\tB-PP\tO' +p306581 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p306582 +aS'dilatation\tdilatation\tNN\tI-NP\tO' +p306583 +aS'of\tof\tIN\tB-PP\tO' +p306584 +aS'the\tthe\tDT\tB-NP\tO' +p306585 +aS'descending\tdescend\tVBG\tI-NP\tO' +p306586 +aS'aorta\taorta\tNN\tI-NP\tO' +p306587 +aS'.\t.\t.\tO\tO' +p306588 +asS'MRI of the brain revealed multiple foci susceptibility artifact within the brain .' +p306589 +(lp306590 +S'MRI\tMRI\tNN\tB-NP\tO' +p306591 +aS'of\tof\tIN\tB-PP\tO' +p306592 +aS'the\tthe\tDT\tB-NP\tO' +p306593 +aS'brain\tbrain\tNN\tI-NP\tO' +p306594 +aS'revealed\treveal\tVBD\tB-VP\tO' +p306595 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p306596 +aS'foci\tfocus\tNNS\tI-NP\tO' +p306597 +aS'susceptibility\tsusceptibility\tNN\tI-NP\tO' +p306598 +aS'artifact\tartifact\tNN\tI-NP\tO' +p306599 +aS'within\twithin\tIN\tB-PP\tO' +p306600 +aS'the\tthe\tDT\tB-NP\tO' +p306601 +aS'brain\tbrain\tNN\tI-NP\tO' +p306602 +aS'.\t.\t.\tO\tO' +p306603 +asS'His temperature was 97.5 , pulse 90 , respiratory rate 20 , blood pressure 104/60 , o2 sat. 97%.' +p306604 +(lp306605 +S'His\tHis\tPRP$\tB-NP\tO' +p306606 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p306607 +aS'was\tbe\tVBD\tB-VP\tO' +p306608 +aS'97.5\t97.5\tCD\tB-NP\tO' +p306609 +aS',\t,\t,\tO\tO' +p306610 +aS'pulse\tpulse\tNN\tB-NP\tO' +p306611 +aS'90\t90\tCD\tI-NP\tO' +p306612 +aS',\t,\t,\tO\tO' +p306613 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p306614 +aS'rate\trate\tNN\tI-NP\tO' +p306615 +aS'20\t20\tCD\tI-NP\tO' +p306616 +aS',\t,\t,\tO\tO' +p306617 +aS'blood\tblood\tNN\tB-NP\tO' +p306618 +aS'pressure\tpressure\tNN\tI-NP\tO' +p306619 +aS'104/60\t104/60\tCD\tI-NP\tO' +p306620 +aS',\t,\t,\tO\tO' +p306621 +aS'o2\to2\tCD\tB-NP\tO' +p306622 +aS'sat.\tsat.\tJJ\tI-NP\tO' +p306623 +aS'97%.\t97%.\tCD\tI-NP\tO' +p306624 +asS'The chest X-ray was clear .' +p306625 +(lp306626 +S'The\tThe\tDT\tB-NP\tO' +p306627 +aS'chest\tchest\tNN\tI-NP\tO' +p306628 +aS'X-ray\tX-ray\tNN\tI-NP\tO' +p306629 +aS'was\tbe\tVBD\tB-VP\tO' +p306630 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p306631 +aS'.\t.\t.\tO\tO' +p306632 +asS'4. Butalbital .' +p306633 +(lp306634 +S'4.\t4.\tLS\tB-LST\tO' +p306635 +aS'Butalbital\tButalbital\tNNP\tB-NP\tO' +p306636 +aS'.\t.\t.\tO\tO' +p306637 +asS'He was ruled out for a myocardial infarction .' +p306638 +(lp306639 +S'He\tHe\tPRP\tB-NP\tO' +p306640 +aS'was\tbe\tVBD\tB-VP\tO' +p306641 +aS'ruled\trule\tVBN\tI-VP\tO' +p306642 +aS'out\tout\tRP\tB-PRT\tO' +p306643 +aS'for\tfor\tIN\tB-PP\tO' +p306644 +aS'a\ta\tDT\tB-NP\tO' +p306645 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p306646 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p306647 +aS'.\t.\t.\tO\tO' +p306648 +asS'Tracheostomy was also performed on July 17 .' +p306649 +(lp306650 +S'Tracheostomy\tTracheostomy\tNN\tB-NP\tO' +p306651 +aS'was\tbe\tVBD\tB-VP\tO' +p306652 +aS'also\talso\tRB\tI-VP\tO' +p306653 +aS'performed\tperform\tVBN\tI-VP\tO' +p306654 +aS'on\ton\tIN\tB-PP\tO' +p306655 +aS'July\tJuly\tNNP\tB-NP\tO' +p306656 +aS'17\t17\tCD\tI-NP\tO' +p306657 +aS'.\t.\t.\tO\tO' +p306658 +asS'regular rate and rhythm , without ectopy .' +p306659 +(lp306660 +S'regular\tregular\tJJ\tB-NP\tO' +p306661 +aS'rate\trate\tNN\tI-NP\tO' +p306662 +aS'and\tand\tCC\tI-NP\tO' +p306663 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p306664 +aS',\t,\t,\tO\tO' +p306665 +aS'without\twithout\tIN\tB-PP\tO' +p306666 +aS'ectopy\tectopy\tNN\tB-NP\tO' +p306667 +aS'.\t.\t.\tO\tO' +p306668 +asS'The patient may shower but should pat dry incisions afterwards ; no bathing or swimming until further notice .' +p306669 +(lp306670 +S'The\tThe\tDT\tB-NP\tO' +p306671 +aS'patient\tpatient\tNN\tI-NP\tO' +p306672 +aS'may\tmay\tMD\tB-VP\tO' +p306673 +aS'shower\tshower\tVB\tI-VP\tO' +p306674 +aS'but\tbut\tCC\tO\tO' +p306675 +aS'should\tshould\tMD\tB-VP\tO' +p306676 +aS'pat\tpat\tVB\tI-VP\tO' +p306677 +aS'dry\tdry\tJJ\tB-NP\tO' +p306678 +aS'incisions\tincision\tNNS\tI-NP\tO' +p306679 +aS'afterwards\tafterwards\tRB\tB-ADVP\tO' +p306680 +aS';\t;\t:\tO\tO' +p306681 +aS'no\tno\tDT\tB-NP\tO' +p306682 +aS'bathing\tbathing\tNN\tI-NP\tO' +p306683 +aS'or\tor\tCC\tI-NP\tO' +p306684 +aS'swimming\tswimming\tNN\tI-NP\tO' +p306685 +aS'until\tuntil\tIN\tB-SBAR\tO' +p306686 +aS'further\tfurther\tJJ\tB-NP\tO' +p306687 +aS'notice\tnotice\tNN\tI-NP\tO' +p306688 +aS'.\t.\t.\tO\tO' +p306689 +asS"Discussion with the patient 's family by the Intensive Care Unit service has resulted in focusing on her comfort care ." +p306690 +(lp306691 +S'Discussion\tDiscussion\tNN\tB-NP\tO' +p306692 +aS'with\twith\tIN\tB-PP\tO' +p306693 +aS'the\tthe\tDT\tB-NP\tO' +p306694 +aS'patient\tpatient\tNN\tI-NP\tO' +p306695 +aS"'s\t's\tPOS\tB-NP\tO" +p306696 +aS'family\tfamily\tNN\tI-NP\tO' +p306697 +aS'by\tby\tIN\tB-PP\tO' +p306698 +aS'the\tthe\tDT\tB-NP\tO' +p306699 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p306700 +aS'Care\tCare\tNNP\tI-NP\tO' +p306701 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p306702 +aS'service\tservice\tNN\tI-NP\tO' +p306703 +aS'has\thave\tVBZ\tB-VP\tO' +p306704 +aS'resulted\tresult\tVBN\tI-VP\tO' +p306705 +aS'in\tin\tIN\tB-PP\tO' +p306706 +aS'focusing\tfocus\tVBG\tB-VP\tO' +p306707 +aS'on\ton\tIN\tB-PP\tO' +p306708 +aS'her\ther\tPRP$\tB-NP\tO' +p306709 +aS'comfort\tcomfort\tNN\tI-NP\tO' +p306710 +aS'care\tcare\tNN\tI-NP\tO' +p306711 +aS'.\t.\t.\tO\tO' +p306712 +asS"( Part of the patient 's chart from the period 2013-05-09 to 2013-05-23 is currently unavailable , and this dictation will mainly cover the period from 2013-05-23 to 2013-06-02 )" +p306713 +(lp306714 +S'(\t(\t(\tO\tO' +p306715 +aS'Part\tPart\tNN\tB-NP\tO' +p306716 +aS'of\tof\tIN\tB-PP\tO' +p306717 +aS'the\tthe\tDT\tB-NP\tO' +p306718 +aS'patient\tpatient\tNN\tI-NP\tO' +p306719 +aS"'s\t's\tPOS\tB-NP\tO" +p306720 +aS'chart\tchart\tNN\tI-NP\tO' +p306721 +aS'from\tfrom\tIN\tB-PP\tO' +p306722 +aS'the\tthe\tDT\tB-NP\tO' +p306723 +aS'period\tperiod\tNN\tI-NP\tO' +p306724 +aS'2013-05-09\t2013-05-09\tCD\tI-NP\tO' +p306725 +aS'to\tto\tTO\tB-PP\tO' +p306726 +aS'2013-05-23\t2013-05-23\tCD\tB-NP\tO' +p306727 +aS'is\tbe\tVBZ\tB-VP\tO' +p306728 +aS'currently\tcurrently\tRB\tB-ADJP\tO' +p306729 +aS'unavailable\tunavailable\tJJ\tI-ADJP\tO' +p306730 +aS',\t,\t,\tO\tO' +p306731 +aS'and\tand\tCC\tO\tO' +p306732 +aS'this\tthis\tDT\tB-NP\tO' +p306733 +aS'dictation\tdictation\tNN\tI-NP\tO' +p306734 +aS'will\twill\tMD\tB-VP\tO' +p306735 +aS'mainly\tmainly\tRB\tI-VP\tO' +p306736 +aS'cover\tcover\tVB\tI-VP\tO' +p306737 +aS'the\tthe\tDT\tB-NP\tO' +p306738 +aS'period\tperiod\tNN\tI-NP\tO' +p306739 +aS'from\tfrom\tIN\tB-PP\tO' +p306740 +aS'2013-05-23\t2013-05-23\tCD\tB-NP\tO' +p306741 +aS'to\tto\tTO\tB-PP\tO' +p306742 +aS'2013-06-02\t2013-06-02\tCD\tB-NP\tO' +p306743 +aS')\t)\t)\tO\tO' +p306744 +asS'ABDOMEN : Soft , nontender , nondistended .' +p306745 +(lp306746 +S'ABDOMEN\tABDOMEN\tNN\tB-NP\tO' +p306747 +aS':\t:\t:\tO\tO' +p306748 +aS'Soft\tSoft\tJJ\tB-NP\tO' +p306749 +aS',\t,\t,\tI-NP\tO' +p306750 +aS'nontender\tnontender\tJJ\tI-NP\tO' +p306751 +aS',\t,\t,\tI-NP\tO' +p306752 +aS'nondistended\tnondistended\tJJ\tI-NP\tO' +p306753 +aS'.\t.\t.\tO\tO' +p306754 +asS'She initially awoke after surgery , with good hemodynamics .' +p306755 +(lp306756 +S'She\tShe\tPRP\tB-NP\tO' +p306757 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p306758 +aS'awoke\tawake\tVBP\tB-VP\tO' +p306759 +aS'after\tafter\tIN\tB-PP\tO' +p306760 +aS'surgery\tsurgery\tNN\tB-NP\tO' +p306761 +aS',\t,\t,\tO\tO' +p306762 +aS'with\twith\tIN\tB-PP\tO' +p306763 +aS'good\tgood\tJJ\tB-NP\tO' +p306764 +aS'hemodynamics\themodynamic\tNNS\tI-NP\tO' +p306765 +aS'.\t.\t.\tO\tO' +p306766 +asS'chest x-ray from 02-07 had linear atelectasis in right lower lobe with no evidence of a band-like opacity in the left lower lobe which was evident on the chest x-ray on 02-06 .' +p306767 +(lp306768 +S'chest\tch\tJJS\tB-NP\tO' +p306769 +aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' +p306770 +aS'from\tfrom\tIN\tB-PP\tO' +p306771 +aS'02-07\t02-07\tCD\tB-NP\tO' +p306772 +aS'had\thave\tVBD\tB-VP\tO' +p306773 +aS'linear\tlinear\tJJ\tB-NP\tO' +p306774 +aS'atelectasis\tatelectasis\tNN\tI-NP\tO' +p306775 +aS'in\tin\tIN\tB-PP\tO' +p306776 +aS'right\tright\tJJ\tB-NP\tO' +p306777 +aS'lower\tlow\tJJR\tI-NP\tO' +p306778 +aS'lobe\tlobe\tNN\tI-NP\tO' +p306779 +aS'with\twith\tIN\tB-PP\tO' +p306780 +aS'no\tno\tDT\tB-NP\tO' +p306781 +aS'evidence\tevidence\tNN\tI-NP\tO' +p306782 +aS'of\tof\tIN\tB-PP\tO' +p306783 +aS'a\ta\tDT\tB-NP\tO' +p306784 +aS'band-like\tband-like\tJJ\tI-NP\tO' +p306785 +aS'opacity\topacity\tNN\tI-NP\tO' +p306786 +aS'in\tin\tIN\tB-PP\tO' +p306787 +aS'the\tthe\tDT\tB-NP\tO' +p306788 +aS'left\tleft\tJJ\tI-NP\tO' +p306789 +aS'lower\tlow\tJJR\tI-NP\tO' +p306790 +aS'lobe\tlobe\tNN\tI-NP\tO' +p306791 +aS'which\twhich\tWDT\tB-NP\tO' +p306792 +aS'was\tbe\tVBD\tB-VP\tO' +p306793 +aS'evident\tevident\tJJ\tB-ADJP\tO' +p306794 +aS'on\ton\tIN\tB-PP\tO' +p306795 +aS'the\tthe\tDT\tB-NP\tO' +p306796 +aS'chest\tchest\tNN\tI-NP\tO' +p306797 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p306798 +aS'on\ton\tIN\tB-PP\tO' +p306799 +aS'02-06\t02-06\tCD\tB-NP\tO' +p306800 +aS'.\t.\t.\tO\tO' +p306801 +asS'The patient had multiple episodes of rapid atrial fibrillation which again required intravenous Lopressor .' +p306802 +(lp306803 +S'The\tThe\tDT\tB-NP\tO' +p306804 +aS'patient\tpatient\tNN\tI-NP\tO' +p306805 +aS'had\thave\tVBD\tB-VP\tO' +p306806 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p306807 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p306808 +aS'of\tof\tIN\tB-PP\tO' +p306809 +aS'rapid\trapid\tJJ\tB-NP\tO' +p306810 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p306811 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p306812 +aS'which\twhich\tWDT\tB-NP\tO' +p306813 +aS'again\tagain\tRB\tB-ADVP\tO' +p306814 +aS'required\trequire\tVBD\tB-VP\tO' +p306815 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p306816 +aS'Lopressor\tLopressor\tNN\tI-NP\tO' +p306817 +aS'.\t.\t.\tO\tO' +p306818 +asS'Within one minute , the patient lost his blood pressure and CPR was initiated and code was called .' +p306819 +(lp306820 +S'Within\tWithin\tIN\tB-PP\tO' +p306821 +aS'one\tone\tCD\tB-NP\tO' +p306822 +aS'minute\tminute\tNN\tI-NP\tO' +p306823 +aS',\t,\t,\tO\tO' +p306824 +aS'the\tthe\tDT\tB-NP\tO' +p306825 +aS'patient\tpatient\tNN\tI-NP\tO' +p306826 +aS'lost\tlose\tVBD\tB-VP\tO' +p306827 +aS'his\this\tPRP$\tB-NP\tO' +p306828 +aS'blood\tblood\tNN\tI-NP\tO' +p306829 +aS'pressure\tpressure\tNN\tI-NP\tO' +p306830 +aS'and\tand\tCC\tI-NP\tO' +p306831 +aS'CPR\tCPR\tNN\tI-NP\tB-protein' +p306832 +aS'was\tbe\tVBD\tB-VP\tO' +p306833 +aS'initiated\tinitiate\tVBN\tI-VP\tO' +p306834 +aS'and\tand\tCC\tO\tO' +p306835 +aS'code\tcode\tNN\tB-NP\tO' +p306836 +aS'was\tbe\tVBD\tB-VP\tO' +p306837 +aS'called\tcall\tVBN\tI-VP\tO' +p306838 +aS'.\t.\t.\tO\tO' +p306839 +asS'normal study .' +p306840 +(lp306841 +S'normal\tnormal\tJJ\tB-NP\tO' +p306842 +aS'study\tstudy\tNN\tI-NP\tO' +p306843 +aS'.\t.\t.\tO\tO' +p306844 +asS'He continued with pulmonary toilet and q.2h. flap checks .' +p306845 +(lp306846 +S'He\tHe\tPRP\tB-NP\tO' +p306847 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p306848 +aS'with\twith\tIN\tB-PP\tO' +p306849 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p306850 +aS'toilet\ttoilet\tNN\tI-NP\tO' +p306851 +aS'and\tand\tCC\tI-NP\tO' +p306852 +aS'q.2h.\tq.2h.\tNN\tI-NP\tO' +p306853 +aS'flap\tflap\tNN\tI-NP\tO' +p306854 +aS'checks\tcheck\tNNS\tI-NP\tO' +p306855 +aS'.\t.\t.\tO\tO' +p306856 +asS'Pt with WBC of 15.4 with 70% seg .' +p306857 +(lp306858 +S'Pt\tPt\tNN\tB-NP\tO' +p306859 +aS'with\twith\tIN\tB-PP\tO' +p306860 +aS'WBC\tWBC\tNN\tB-NP\tB-protein' +p306861 +aS'of\tof\tIN\tB-PP\tO' +p306862 +aS'15.4\t15.4\tCD\tB-NP\tO' +p306863 +aS'with\twith\tIN\tB-PP\tO' +p306864 +aS'70%\t70%\tJJ\tB-NP\tO' +p306865 +aS'seg\tseg\tNN\tI-NP\tO' +p306866 +aS'.\t.\t.\tO\tO' +p306867 +asS'CXR , LP , UA and abdominal CT showed no sign of infection .' +p306868 +(lp306869 +S'CXR\tCXR\tNN\tB-NP\tB-protein' +p306870 +aS',\t,\t,\tI-NP\tO' +p306871 +aS'LP\tLP\tNN\tI-NP\tO' +p306872 +aS',\t,\t,\tI-NP\tO' +p306873 +aS'UA\tUA\tNN\tI-NP\tO' +p306874 +aS'and\tand\tCC\tI-NP\tO' +p306875 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p306876 +aS'CT\tCT\tNN\tI-NP\tO' +p306877 +aS'showed\tshow\tVBD\tB-VP\tO' +p306878 +aS'no\tno\tDT\tB-NP\tO' +p306879 +aS'sign\tsign\tNN\tI-NP\tO' +p306880 +aS'of\tof\tIN\tB-PP\tO' +p306881 +aS'infection\tinfection\tNN\tB-NP\tO' +p306882 +aS'.\t.\t.\tO\tO' +p306883 +asS'Neurologically the patient is grossly intact .' +p306884 +(lp306885 +S'Neurologically\tNeurologically\tRB\tB-ADVP\tO' +p306886 +aS'the\tthe\tDT\tB-NP\tO' +p306887 +aS'patient\tpatient\tNN\tI-NP\tO' +p306888 +aS'is\tbe\tVBZ\tB-VP\tO' +p306889 +aS'grossly\tgrossly\tRB\tB-ADJP\tO' +p306890 +aS'intact\tintact\tJJ\tI-ADJP\tO' +p306891 +aS'.\t.\t.\tO\tO' +p306892 +asS'RRR , nl s1 s2 , no m/g/r' +p306893 +(lp306894 +S'RRR\tRRR\tNN\tB-NP\tB-protein' +p306895 +aS',\t,\t,\tO\tO' +p306896 +aS'nl\tnl\tNN\tB-NP\tB-protein' +p306897 +aS's1\ts1\tNN\tI-NP\tI-protein' +p306898 +aS's2\ts2\tNN\tI-NP\tI-protein' +p306899 +aS',\t,\t,\tO\tO' +p306900 +aS'no\tno\tDT\tB-NP\tO' +p306901 +aS'm/g/r\tm/g/r\tNN\tI-NP\tO' +p306902 +asS'Lungs ; clear to auscultation bilaterally .' +p306903 +(lp306904 +S'Lungs\tLung\tNNS\tB-NP\tO' +p306905 +aS';\t;\t:\tO\tO' +p306906 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p306907 +aS'to\tto\tTO\tB-PP\tO' +p306908 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p306909 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p306910 +aS'.\t.\t.\tO\tO' +p306911 +asS'His beta blockers were also titrated for maximal BP and HR control .' +p306912 +(lp306913 +S'His\tHis\tPRP$\tB-NP\tO' +p306914 +aS'beta\tbeta\tNN\tI-NP\tO' +p306915 +aS'blockers\tblocker\tNNS\tI-NP\tO' +p306916 +aS'were\tbe\tVBD\tB-VP\tO' +p306917 +aS'also\talso\tRB\tI-VP\tO' +p306918 +aS'titrated\ttitrate\tVBN\tI-VP\tO' +p306919 +aS'for\tfor\tIN\tB-PP\tO' +p306920 +aS'maximal\tmaximal\tJJ\tB-NP\tO' +p306921 +aS'BP\tBP\tNN\tI-NP\tO' +p306922 +aS'and\tand\tCC\tI-NP\tO' +p306923 +aS'HR\tHR\tNN\tI-NP\tO' +p306924 +aS'control\tcontrol\tNN\tI-NP\tO' +p306925 +aS'.\t.\t.\tO\tO' +p306926 +asS'A patent foramen ovale/secundum ASD is present .' +p306927 +(lp306928 +S'A\tA\tDT\tB-NP\tO' +p306929 +aS'patent\tpatent\tNN\tI-NP\tO' +p306930 +aS'foramen\tforamen\tNN\tI-NP\tO' +p306931 +aS'ovale/secundum\tovale/secundum\tNN\tI-NP\tO' +p306932 +aS'ASD\tASD\tNN\tI-NP\tO' +p306933 +aS'is\tbe\tVBZ\tB-VP\tO' +p306934 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p306935 +aS'.\t.\t.\tO\tO' +p306936 +asS'It remained stable at the time of discharge and it was 29.5 on the day of discharge .' +p306937 +(lp306938 +S'It\tIt\tPRP\tB-NP\tO' +p306939 +aS'remained\tremain\tVBD\tB-VP\tO' +p306940 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p306941 +aS'at\tat\tIN\tB-PP\tO' +p306942 +aS'the\tthe\tDT\tB-NP\tO' +p306943 +aS'time\ttime\tNN\tI-NP\tO' +p306944 +aS'of\tof\tIN\tB-PP\tO' +p306945 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p306946 +aS'and\tand\tCC\tO\tO' +p306947 +aS'it\tit\tPRP\tB-NP\tO' +p306948 +aS'was\tbe\tVBD\tB-VP\tO' +p306949 +aS'29.5\t29.5\tCD\tB-NP\tO' +p306950 +aS'on\ton\tIN\tB-PP\tO' +p306951 +aS'the\tthe\tDT\tB-NP\tO' +p306952 +aS'day\tday\tNN\tI-NP\tO' +p306953 +aS'of\tof\tIN\tB-PP\tO' +p306954 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p306955 +aS'.\t.\t.\tO\tO' +p306956 +asS'56 year old man with open RLE fx now s/p fixation' +p306957 +(lp306958 +S'56\t56\tCD\tB-NP\tO' +p306959 +aS'year\tyear\tNN\tI-NP\tO' +p306960 +aS'old\told\tJJ\tI-NP\tO' +p306961 +aS'man\tman\tNN\tI-NP\tO' +p306962 +aS'with\twith\tIN\tB-PP\tO' +p306963 +aS'open\topen\tJJ\tB-NP\tO' +p306964 +aS'RLE\tRLE\tNN\tI-NP\tO' +p306965 +aS'fx\tfx\tNN\tI-NP\tO' +p306966 +aS'now\tnow\tRB\tB-ADVP\tO' +p306967 +aS's/p\ts/p\tVBP\tB-VP\tO' +p306968 +aS'fixation\tfixation\tNN\tB-NP\tO' +p306969 +asS'141-160 mg / dL 5 Units' +p306970 +(lp306971 +S'141-160\t141-160\tCD\tB-NP\tO' +p306972 +aS'mg\tmg\tNN\tI-NP\tO' +p306973 +aS'/\t/\tSYM\tB-NP\tO' +p306974 +aS'dL\tdL\tNN\tI-NP\tO' +p306975 +aS'5\t5\tCD\tB-NP\tO' +p306976 +aS'Units\tUnit\tNNS\tI-NP\tO' +p306977 +asS'His ejection fraction was 55% .' +p306978 +(lp306979 +S'His\tHis\tPRP$\tB-NP\tO' +p306980 +aS'ejection\tejection\tNN\tI-NP\tO' +p306981 +aS'fraction\tfraction\tNN\tI-NP\tO' +p306982 +aS'was\tbe\tVBD\tB-VP\tO' +p306983 +aS'55%\t55%\tCD\tB-NP\tO' +p306984 +aS'.\t.\t.\tO\tO' +p306985 +asS'left bundle branch block .' +p306986 +(lp306987 +S'left\tleft\tJJ\tB-NP\tO' +p306988 +aS'bundle\tbundle\tNN\tI-NP\tO' +p306989 +aS'branch\tbranch\tNN\tI-NP\tO' +p306990 +aS'block\tblock\tNN\tI-NP\tO' +p306991 +aS'.\t.\t.\tO\tO' +p306992 +asS'9. shingles .' +p306993 +(lp306994 +S'9.\t9.\tCD\tB-NP\tO' +p306995 +aS'shingles\tshingle\tNNS\tI-NP\tO' +p306996 +aS'.\t.\t.\tO\tO' +p306997 +asS'Regular rate and rhythm with normal S1 and S2 .' +p306998 +(lp306999 +S'Regular\tRegular\tJJ\tB-NP\tO' +p307000 +aS'rate\trate\tNN\tI-NP\tO' +p307001 +aS'and\tand\tCC\tI-NP\tO' +p307002 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p307003 +aS'with\twith\tIN\tB-PP\tO' +p307004 +aS'normal\tnormal\tJJ\tB-NP\tO' +p307005 +aS'S1\tS1\tNN\tI-NP\tB-protein' +p307006 +aS'and\tand\tCC\tI-NP\tO' +p307007 +aS'S2\tS2\tNN\tI-NP\tB-protein' +p307008 +aS'.\t.\t.\tO\tO' +p307009 +asS'She was continued with aggressive diuresis .' +p307010 +(lp307011 +S'She\tShe\tPRP\tB-NP\tO' +p307012 +aS'was\tbe\tVBD\tB-VP\tO' +p307013 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p307014 +aS'with\twith\tIN\tB-PP\tO' +p307015 +aS'aggressive\taggressive\tJJ\tB-NP\tO' +p307016 +aS'diuresis\tdiuresis\tNN\tI-NP\tO' +p307017 +aS'.\t.\t.\tO\tO' +p307018 +asS'She achieved full feeds on day of life 13 .' +p307019 +(lp307020 +S'She\tShe\tPRP\tB-NP\tO' +p307021 +aS'achieved\tachieve\tVBD\tB-VP\tO' +p307022 +aS'full\tfull\tJJ\tB-NP\tO' +p307023 +aS'feeds\tfeed\tNNS\tI-NP\tO' +p307024 +aS'on\ton\tIN\tB-PP\tO' +p307025 +aS'day\tday\tNN\tB-NP\tO' +p307026 +aS'of\tof\tIN\tB-PP\tO' +p307027 +aS'life\tlife\tNN\tB-NP\tB-protein' +p307028 +aS'13\t13\tCD\tI-NP\tI-protein' +p307029 +aS'.\t.\t.\tO\tO' +p307030 +asS'The family is confident in any decision Dr. Ford would make re : therapy for her MS .' +p307031 +(lp307032 +S'The\tThe\tDT\tB-NP\tO' +p307033 +aS'family\tfamily\tNN\tI-NP\tO' +p307034 +aS'is\tbe\tVBZ\tB-VP\tO' +p307035 +aS'confident\tconfident\tJJ\tB-ADJP\tO' +p307036 +aS'in\tin\tIN\tB-PP\tO' +p307037 +aS'any\tany\tDT\tB-NP\tO' +p307038 +aS'decision\tdecision\tNN\tI-NP\tO' +p307039 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p307040 +aS'Ford\tFord\tNNP\tI-NP\tO' +p307041 +aS'would\twould\tMD\tB-VP\tO' +p307042 +aS'make\tmake\tVB\tI-VP\tO' +p307043 +aS're\tre\tNN\tB-NP\tO' +p307044 +aS':\t:\t:\tO\tO' +p307045 +aS'therapy\ttherapy\tNN\tB-NP\tO' +p307046 +aS'for\tfor\tIN\tB-PP\tO' +p307047 +aS'her\ther\tPRP$\tB-NP\tO' +p307048 +aS'MS\tMS\tNN\tI-NP\tO' +p307049 +aS'.\t.\t.\tO\tO' +p307050 +asS'Meanwhile , the patient 's eosinophilia was treated with a trial of prednisone .' +p307051 +(lp307052 +S'Meanwhile\tMeanwhile\tRB\tB-ADVP\tO' +p307053 +aS',\t,\t,\tO\tO' +p307054 +aS'the\tthe\tDT\tB-NP\tO' +p307055 +aS'patient\tpatient\tNN\tI-NP\tO' +p307056 +aS''s\t'\tNNS\tI-NP\tO' +p307057 +aS'eosinophilia\teosinophilia\tNN\tI-NP\tO' +p307058 +aS'was\tbe\tVBD\tB-VP\tO' +p307059 +aS'treated\ttreat\tVBN\tI-VP\tO' +p307060 +aS'with\twith\tIN\tB-PP\tO' +p307061 +aS'a\ta\tDT\tB-NP\tO' +p307062 +aS'trial\ttrial\tNN\tI-NP\tO' +p307063 +aS'of\tof\tIN\tB-PP\tO' +p307064 +aS'prednisone\tprednisone\tNN\tB-NP\tO' +p307065 +aS'.\t.\t.\tO\tO' +p307066 +asS'The patient was continued on ampicillin and Gentamicin .' +p307067 +(lp307068 +S'The\tThe\tDT\tB-NP\tO' +p307069 +aS'patient\tpatient\tNN\tI-NP\tO' +p307070 +aS'was\tbe\tVBD\tB-VP\tO' +p307071 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p307072 +aS'on\ton\tIN\tB-PP\tO' +p307073 +aS'ampicillin\tampicillin\tNN\tB-NP\tO' +p307074 +aS'and\tand\tCC\tI-NP\tO' +p307075 +aS'Gentamicin\tGentamicin\tNN\tI-NP\tO' +p307076 +aS'.\t.\t.\tO\tO' +p307077 +asS'She was also started on iron supplementation .' +p307078 +(lp307079 +S'She\tShe\tPRP\tB-NP\tO' +p307080 +aS'was\tbe\tVBD\tB-VP\tO' +p307081 +aS'also\talso\tRB\tI-VP\tO' +p307082 +aS'started\tstart\tVBN\tI-VP\tO' +p307083 +aS'on\ton\tIN\tB-PP\tO' +p307084 +aS'iron\tiron\tNN\tB-NP\tO' +p307085 +aS'supplementation\tsupplementation\tNN\tI-NP\tO' +p307086 +aS'.\t.\t.\tO\tO' +p307087 +asS'2. Levofloxacin 500 mg po per day .' +p307088 +(lp307089 +S'2.\t2.\tLS\tB-LST\tO' +p307090 +aS'Levofloxacin\tLevofloxacin\tNNP\tB-NP\tO' +p307091 +aS'500\t500\tCD\tI-NP\tO' +p307092 +aS'mg\tmg\tNN\tI-NP\tO' +p307093 +aS'po\tpo\tNN\tI-NP\tO' +p307094 +aS'per\tper\tIN\tB-PP\tO' +p307095 +aS'day\tday\tNN\tB-NP\tO' +p307096 +aS'.\t.\t.\tO\tO' +p307097 +asS'Symmetric facial features .' +p307098 +(lp307099 +S'Symmetric\tSymmetric\tJJ\tB-NP\tO' +p307100 +aS'facial\tfacial\tJJ\tI-NP\tO' +p307101 +aS'features\tfeature\tNNS\tI-NP\tO' +p307102 +aS'.\t.\t.\tO\tO' +p307103 +asS'Please continue taking your medications as prescribed .' +p307104 +(lp307105 +S'Please\tPlease\tVB\tB-VP\tO' +p307106 +aS'continue\tcontinue\tVB\tI-VP\tO' +p307107 +aS'taking\ttake\tVBG\tI-VP\tO' +p307108 +aS'your\tyour\tPRP$\tB-NP\tO' +p307109 +aS'medications\tmedication\tNNS\tI-NP\tO' +p307110 +aS'as\tas\tIN\tB-SBAR\tO' +p307111 +aS'prescribed\tprescribe\tVBN\tB-VP\tO' +p307112 +aS'.\t.\t.\tO\tO' +p307113 +asS'He was a nondysmorphic male .' +p307114 +(lp307115 +S'He\tHe\tPRP\tB-NP\tO' +p307116 +aS'was\tbe\tVBD\tB-VP\tO' +p307117 +aS'a\ta\tDT\tB-NP\tO' +p307118 +aS'nondysmorphic\tnondysmorphic\tJJ\tI-NP\tO' +p307119 +aS'male\tmale\tNN\tI-NP\tO' +p307120 +aS'.\t.\t.\tO\tO' +p307121 +asS'He was at baseline with respect to his gait ( at baseline unsteady , though he refuses to walk with a walker ) and his mentation ( at baseline difficulties with memory since months ; keeps forgetting appointments ).' +p307122 +(lp307123 +S'He\tHe\tPRP\tB-NP\tO' +p307124 +aS'was\tbe\tVBD\tB-VP\tO' +p307125 +aS'at\tat\tIN\tB-PP\tO' +p307126 +aS'baseline\tbaseline\tNN\tB-NP\tO' +p307127 +aS'with\twith\tIN\tB-PP\tO' +p307128 +aS'respect\trespect\tNN\tB-NP\tO' +p307129 +aS'to\tto\tTO\tB-PP\tO' +p307130 +aS'his\this\tPRP$\tB-NP\tO' +p307131 +aS'gait\tgait\tNN\tI-NP\tO' +p307132 +aS'(\t(\t(\tO\tO' +p307133 +aS'at\tat\tIN\tB-PP\tO' +p307134 +aS'baseline\tbaseline\tNN\tB-NP\tO' +p307135 +aS'unsteady\tunsteady\tJJ\tB-ADJP\tO' +p307136 +aS',\t,\t,\tO\tO' +p307137 +aS'though\tthough\tIN\tB-SBAR\tO' +p307138 +aS'he\the\tPRP\tB-NP\tO' +p307139 +aS'refuses\trefuse\tVBZ\tB-VP\tO' +p307140 +aS'to\tto\tTO\tI-VP\tO' +p307141 +aS'walk\twalk\tVB\tI-VP\tO' +p307142 +aS'with\twith\tIN\tB-PP\tO' +p307143 +aS'a\ta\tDT\tB-NP\tO' +p307144 +aS'walker\twalker\tNN\tI-NP\tO' +p307145 +aS')\t)\t)\tO\tO' +p307146 +aS'and\tand\tCC\tO\tO' +p307147 +aS'his\this\tPRP$\tB-NP\tO' +p307148 +aS'mentation\tmentation\tNN\tI-NP\tO' +p307149 +aS'(\t(\t(\tO\tO' +p307150 +aS'at\tat\tIN\tB-PP\tO' +p307151 +aS'baseline\tbaseline\tNN\tB-NP\tO' +p307152 +aS'difficulties\tdifficulty\tNNS\tI-NP\tO' +p307153 +aS'with\twith\tIN\tB-PP\tO' +p307154 +aS'memory\tmemory\tNN\tB-NP\tO' +p307155 +aS'since\tsince\tIN\tB-PP\tO' +p307156 +aS'months\tmonth\tNNS\tB-NP\tO' +p307157 +aS';\t;\t:\tO\tO' +p307158 +aS'keeps\tkeep\tNNS\tB-NP\tO' +p307159 +aS'forgetting\tforget\tVBG\tB-VP\tO' +p307160 +aS'appointments\tappointment\tNNS\tB-NP\tO' +p307161 +aS').\t).\t)\tO\tO' +p307162 +asS'The was trace mitral regurgitation and trace tricuspid regurgitation .' +p307163 +(lp307164 +S'The\tThe\tDT\tB-NP\tO' +p307165 +aS'was\tbe\tVBD\tB-VP\tO' +p307166 +aS'trace\ttrace\tNN\tB-NP\tO' +p307167 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p307168 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p307169 +aS'and\tand\tCC\tI-NP\tO' +p307170 +aS'trace\ttrace\tNN\tI-NP\tO' +p307171 +aS'tricuspid\ttricuspid\tJJ\tI-NP\tO' +p307172 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p307173 +aS'.\t.\t.\tO\tO' +p307174 +asS'Her primary postoperative development was the passage of some blood clots and blood per rectum on postoperative day # 2 .' +p307175 +(lp307176 +S'Her\tHer\tPRP$\tB-NP\tO' +p307177 +aS'primary\tprimary\tJJ\tI-NP\tO' +p307178 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p307179 +aS'development\tdevelopment\tNN\tI-NP\tO' +p307180 +aS'was\tbe\tVBD\tB-VP\tO' +p307181 +aS'the\tthe\tDT\tB-NP\tO' +p307182 +aS'passage\tpassage\tNN\tI-NP\tO' +p307183 +aS'of\tof\tIN\tB-PP\tO' +p307184 +aS'some\tsome\tDT\tB-NP\tO' +p307185 +aS'blood\tblood\tNN\tI-NP\tO' +p307186 +aS'clots\tclot\tNNS\tI-NP\tO' +p307187 +aS'and\tand\tCC\tO\tO' +p307188 +aS'blood\tblood\tNN\tB-NP\tO' +p307189 +aS'per\tper\tIN\tB-PP\tO' +p307190 +aS'rectum\trectum\tNN\tB-NP\tO' +p307191 +aS'on\ton\tIN\tB-PP\tO' +p307192 +aS'postoperative\tpostoperative\tJJ\tB-NP\tB-protein' +p307193 +aS'day\tday\tNN\tI-NP\tI-protein' +p307194 +aS'#\t#\t#\tB-NP\tI-protein' +p307195 +aS'2\t2\tCD\tI-NP\tI-protein' +p307196 +aS'.\t.\t.\tO\tO' +p307197 +asS'Coronary angiography revealed occlusion of the right coronary artery proximally with insignificant plaquing in the left anterior descending artery and circumflex arteries .' +p307198 +(lp307199 +S'Coronary\tCoronary\tJJ\tB-NP\tO' +p307200 +aS'angiography\tangiography\tNN\tI-NP\tO' +p307201 +aS'revealed\treveal\tVBD\tB-VP\tO' +p307202 +aS'occlusion\tocclusion\tNN\tB-NP\tO' +p307203 +aS'of\tof\tIN\tB-PP\tO' +p307204 +aS'the\tthe\tDT\tB-NP\tO' +p307205 +aS'right\tright\tJJ\tI-NP\tO' +p307206 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p307207 +aS'artery\tartery\tNN\tI-NP\tO' +p307208 +aS'proximally\tproximally\tRB\tB-ADVP\tO' +p307209 +aS'with\twith\tIN\tB-PP\tO' +p307210 +aS'insignificant\tinsignificant\tJJ\tB-NP\tO' +p307211 +aS'plaquing\tplaquing\tNN\tI-NP\tO' +p307212 +aS'in\tin\tIN\tB-PP\tO' +p307213 +aS'the\tthe\tDT\tB-NP\tO' +p307214 +aS'left\tleft\tJJ\tI-NP\tO' +p307215 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p307216 +aS'descending\tdescend\tVBG\tI-NP\tO' +p307217 +aS'artery\tartery\tNN\tI-NP\tO' +p307218 +aS'and\tand\tCC\tI-NP\tO' +p307219 +aS'circumflex\tcircumflex\tNN\tI-NP\tO' +p307220 +aS'arteries\tartery\tNNS\tI-NP\tO' +p307221 +aS'.\t.\t.\tO\tO' +p307222 +asS'She has an associated dry cough but no fevers , chills , or leg pain .' +p307223 +(lp307224 +S'She\tShe\tPRP\tB-NP\tO' +p307225 +aS'has\thave\tVBZ\tB-VP\tO' +p307226 +aS'an\tan\tDT\tB-NP\tO' +p307227 +aS'associated\tassociate\tVBN\tI-NP\tO' +p307228 +aS'dry\tdry\tJJ\tI-NP\tO' +p307229 +aS'cough\tcough\tNN\tI-NP\tO' +p307230 +aS'but\tbut\tCC\tO\tO' +p307231 +aS'no\tno\tDT\tB-NP\tO' +p307232 +aS'fevers\tfever\tNNS\tI-NP\tO' +p307233 +aS',\t,\t,\tO\tO' +p307234 +aS'chills\tchill\tNNS\tB-NP\tO' +p307235 +aS',\t,\t,\tO\tO' +p307236 +aS'or\tor\tCC\tO\tO' +p307237 +aS'leg\tleg\tNN\tB-NP\tO' +p307238 +aS'pain\tpain\tNN\tI-NP\tO' +p307239 +aS'.\t.\t.\tO\tO' +p307240 +asS'There was minimal mitral valve calcification , normal left ventricular contraction , and 2+ mitral regurgitation into a large left atrium .' +p307241 +(lp307242 +S'There\tThere\tEX\tB-NP\tO' +p307243 +aS'was\tbe\tVBD\tB-VP\tO' +p307244 +aS'minimal\tminimal\tJJ\tB-NP\tO' +p307245 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p307246 +aS'valve\tvalve\tNN\tI-NP\tO' +p307247 +aS'calcification\tcalcification\tNN\tI-NP\tO' +p307248 +aS',\t,\t,\tO\tO' +p307249 +aS'normal\tnormal\tJJ\tB-NP\tO' +p307250 +aS'left\tleft\tJJ\tI-NP\tO' +p307251 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p307252 +aS'contraction\tcontraction\tNN\tI-NP\tO' +p307253 +aS',\t,\t,\tO\tO' +p307254 +aS'and\tand\tCC\tO\tO' +p307255 +aS'2+\t2+\tJJ\tB-NP\tO' +p307256 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p307257 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p307258 +aS'into\tinto\tIN\tB-PP\tO' +p307259 +aS'a\ta\tDT\tB-NP\tO' +p307260 +aS'large\tlarge\tJJ\tI-NP\tO' +p307261 +aS'left\tleft\tJJ\tI-NP\tO' +p307262 +aS'atrium\tatrium\tNN\tI-NP\tO' +p307263 +aS'.\t.\t.\tO\tO' +p307264 +asS'Her oxygen saturations improved to only 92% on 100% face mask and she was admitted to Pre Health Intensive Care Unit .' +p307265 +(lp307266 +S'Her\tHer\tPRP$\tB-NP\tO' +p307267 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p307268 +aS'saturations\tsaturation\tNNS\tI-NP\tO' +p307269 +aS'improved\timprove\tVBD\tB-VP\tO' +p307270 +aS'to\tto\tTO\tB-PP\tO' +p307271 +aS'only\tonly\tRB\tB-NP\tO' +p307272 +aS'92%\t92%\tCD\tI-NP\tO' +p307273 +aS'on\ton\tIN\tB-PP\tO' +p307274 +aS'100%\t100%\tCD\tB-NP\tO' +p307275 +aS'face\tface\tNN\tI-NP\tO' +p307276 +aS'mask\tmask\tNN\tI-NP\tO' +p307277 +aS'and\tand\tCC\tO\tO' +p307278 +aS'she\tshe\tPRP\tB-NP\tO' +p307279 +aS'was\tbe\tVBD\tB-VP\tO' +p307280 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p307281 +aS'to\tto\tTO\tB-PP\tO' +p307282 +aS'Pre\tPre\tNNP\tB-NP\tO' +p307283 +aS'Health\tHealth\tNNP\tI-NP\tO' +p307284 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p307285 +aS'Care\tCare\tNNP\tI-NP\tO' +p307286 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p307287 +aS'.\t.\t.\tO\tO' +p307288 +asS'For surgical details , please see seperate dictated operative note .' +p307289 +(lp307290 +S'For\tFor\tIN\tB-PP\tO' +p307291 +aS'surgical\tsurgical\tJJ\tB-NP\tO' +p307292 +aS'details\tdetail\tNNS\tI-NP\tO' +p307293 +aS',\t,\t,\tO\tO' +p307294 +aS'please\tplease\tVB\tB-VP\tO' +p307295 +aS'see\tsee\tVBP\tB-VP\tO' +p307296 +aS'seperate\tseperate\tJJ\tB-NP\tO' +p307297 +aS'dictated\tdictate\tVBN\tI-NP\tO' +p307298 +aS'operative\toperative\tJJ\tI-NP\tO' +p307299 +aS'note\tnote\tNN\tI-NP\tO' +p307300 +aS'.\t.\t.\tO\tO' +p307301 +asS'GI bleed .' +p307302 +(lp307303 +S'GI\tGI\tNN\tB-NP\tO' +p307304 +aS'bleed\tbleed\tNN\tI-NP\tO' +p307305 +aS'.\t.\t.\tO\tO' +p307306 +asS'Temperature 97.4 , heart rate 100 , blood pressure 142/89 , and O2 saturation 94% on room air .' +p307307 +(lp307308 +S'Temperature\tTemperature\tNN\tB-NP\tB-protein' +p307309 +aS'97.4\t97.4\tCD\tI-NP\tI-protein' +p307310 +aS',\t,\t,\tO\tO' +p307311 +aS'heart\theart\tNN\tB-NP\tO' +p307312 +aS'rate\trate\tNN\tI-NP\tO' +p307313 +aS'100\t100\tCD\tI-NP\tO' +p307314 +aS',\t,\t,\tO\tO' +p307315 +aS'blood\tblood\tNN\tB-NP\tO' +p307316 +aS'pressure\tpressure\tNN\tI-NP\tO' +p307317 +aS'142/89\t142/89\tCD\tI-NP\tO' +p307318 +aS',\t,\t,\tO\tO' +p307319 +aS'and\tand\tCC\tO\tO' +p307320 +aS'O2\tO2\tNN\tB-NP\tB-protein' +p307321 +aS'saturation\tsaturation\tNN\tI-NP\tI-protein' +p307322 +aS'94%\t94%\tNN\tI-NP\tI-protein' +p307323 +aS'on\ton\tIN\tB-PP\tO' +p307324 +aS'room\troom\tNN\tB-NP\tO' +p307325 +aS'air\tair\tNN\tI-NP\tO' +p307326 +aS'.\t.\t.\tO\tO' +p307327 +asS'Please see detailed operative note for more information about the procedure .' +p307328 +(lp307329 +S'Please\tPlease\tVB\tB-VP\tO' +p307330 +aS'see\tsee\tVB\tI-VP\tO' +p307331 +aS'detailed\tdetailed\tJJ\tB-NP\tO' +p307332 +aS'operative\toperative\tJJ\tI-NP\tO' +p307333 +aS'note\tnote\tNN\tI-NP\tO' +p307334 +aS'for\tfor\tIN\tB-PP\tO' +p307335 +aS'more\tmore\tJJR\tB-NP\tO' +p307336 +aS'information\tinformation\tNN\tI-NP\tO' +p307337 +aS'about\tabout\tIN\tB-PP\tO' +p307338 +aS'the\tthe\tDT\tB-NP\tO' +p307339 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p307340 +aS'.\t.\t.\tO\tO' +p307341 +asS'13. Dexamethasone 0.5 mg Tablet Sig : Two ( 2 ) Tablet PO Q12H ( every 12 hours ) : Take 2 tablet po bid for four days , then 2 tablet po qday for 7 days , then take one tablet qday for 7 days .' +p307342 +(lp307343 +S'13.\t13.\tLS\tB-NP\tO' +p307344 +aS'Dexamethasone\tDexamethasone\tNN\tI-NP\tO' +p307345 +aS'0.5\t0.5\tCD\tI-NP\tO' +p307346 +aS'mg\tmg\tNN\tI-NP\tO' +p307347 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p307348 +aS'Sig\tSig\tNNP\tI-NP\tO' +p307349 +aS':\t:\t:\tO\tO' +p307350 +aS'Two\tTwo\tCD\tB-NP\tO' +p307351 +aS'(\t(\t(\tO\tO' +p307352 +aS'2\t2\tCD\tO\tO' +p307353 +aS')\t)\t)\tO\tO' +p307354 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p307355 +aS'PO\tPO\tNN\tI-NP\tO' +p307356 +aS'Q12H\tQ12H\tNN\tI-NP\tO' +p307357 +aS'(\t(\t(\tO\tO' +p307358 +aS'every\tevery\tDT\tB-NP\tO' +p307359 +aS'12\t12\tCD\tI-NP\tO' +p307360 +aS'hours\thour\tNNS\tI-NP\tO' +p307361 +aS')\t)\t)\tO\tO' +p307362 +aS':\t:\t:\tO\tO' +p307363 +aS'Take\tTake\tVB\tB-VP\tO' +p307364 +aS'2\t2\tCD\tB-NP\tO' +p307365 +aS'tablet\ttablet\tNN\tI-NP\tO' +p307366 +aS'po\tpo\tNN\tI-NP\tO' +p307367 +aS'bid\tbid\tNN\tI-NP\tO' +p307368 +aS'for\tfor\tIN\tB-PP\tO' +p307369 +aS'four\tfour\tCD\tB-NP\tO' +p307370 +aS'days\tday\tNNS\tI-NP\tO' +p307371 +aS',\t,\t,\tO\tO' +p307372 +aS'then\tthen\tRB\tB-ADVP\tO' +p307373 +aS'2\t2\tCD\tB-NP\tO' +p307374 +aS'tablet\ttablet\tNN\tI-NP\tO' +p307375 +aS'po\tpo\tNN\tI-NP\tO' +p307376 +aS'qday\tqday\tNN\tI-NP\tO' +p307377 +aS'for\tfor\tIN\tB-PP\tO' +p307378 +aS'7\t7\tCD\tB-NP\tO' +p307379 +aS'days\tday\tNNS\tI-NP\tO' +p307380 +aS',\t,\t,\tO\tO' +p307381 +aS'then\tthen\tRB\tO\tO' +p307382 +aS'take\ttake\tVB\tB-VP\tO' +p307383 +aS'one\tone\tCD\tB-NP\tO' +p307384 +aS'tablet\ttablet\tNN\tI-NP\tO' +p307385 +aS'qday\tqday\tNN\tI-NP\tO' +p307386 +aS'for\tfor\tIN\tB-PP\tO' +p307387 +aS'7\t7\tCD\tB-NP\tO' +p307388 +aS'days\tday\tNNS\tI-NP\tO' +p307389 +aS'.\t.\t.\tO\tO' +p307390 +asS'TTE at Erich Lindemann Mental Health Center 05-26 : mod-lg circumferential pericardial eff , no evidence of RV diastolic collapse , no MV inflow evidence of tamponade , pacer lead located in RV apex' +p307391 +(lp307392 +S'TTE\tTTE\tNN\tB-NP\tO' +p307393 +aS'at\tat\tIN\tB-PP\tO' +p307394 +aS'Erich\tErich\tNNP\tB-NP\tO' +p307395 +aS'Lindemann\tLindemann\tNNP\tI-NP\tO' +p307396 +aS'Mental\tMental\tNNP\tI-NP\tO' +p307397 +aS'Health\tHealth\tNNP\tI-NP\tO' +p307398 +aS'Center\tCenter\tNNP\tI-NP\tO' +p307399 +aS'05-26\t05-26\tCD\tI-NP\tO' +p307400 +aS':\t:\t:\tO\tO' +p307401 +aS'mod-lg\tmod-lg\tJJ\tB-NP\tO' +p307402 +aS'circumferential\tcircumferential\tJJ\tI-NP\tO' +p307403 +aS'pericardial\tpericardial\tJJ\tI-NP\tO' +p307404 +aS'eff\teff\tNN\tI-NP\tO' +p307405 +aS',\t,\t,\tO\tO' +p307406 +aS'no\tno\tDT\tB-NP\tO' +p307407 +aS'evidence\tevidence\tNN\tI-NP\tO' +p307408 +aS'of\tof\tIN\tB-PP\tO' +p307409 +aS'RV\tRV\tNN\tB-NP\tO' +p307410 +aS'diastolic\tdiastolic\tJJ\tI-NP\tO' +p307411 +aS'collapse\tcollapse\tNN\tI-NP\tO' +p307412 +aS',\t,\t,\tO\tO' +p307413 +aS'no\tno\tDT\tB-NP\tO' +p307414 +aS'MV\tMV\tNN\tI-NP\tO' +p307415 +aS'inflow\tinflow\tNN\tI-NP\tO' +p307416 +aS'evidence\tevidence\tNN\tI-NP\tO' +p307417 +aS'of\tof\tIN\tB-PP\tO' +p307418 +aS'tamponade\ttamponade\tNN\tB-NP\tO' +p307419 +aS',\t,\t,\tO\tO' +p307420 +aS'pacer\tpacer\tNN\tB-NP\tO' +p307421 +aS'lead\tlead\tNN\tI-NP\tO' +p307422 +aS'located\tlocate\tVBN\tB-VP\tO' +p307423 +aS'in\tin\tIN\tB-PP\tO' +p307424 +aS'RV\tRV\tNN\tB-NP\tO' +p307425 +aS'apex\tapex\tNN\tI-NP\tO' +p307426 +asS'DNR / DNI status initially established early during hospital stay remained in effect .' +p307427 +(lp307428 +S'DNR\tDNR\tNN\tB-NP\tB-protein' +p307429 +aS'/\t/\tSYM\tI-NP\tO' +p307430 +aS'DNI\tDNI\tNN\tI-NP\tO' +p307431 +aS'status\tstatus\tNN\tI-NP\tO' +p307432 +aS'initially\tinitially\tRB\tB-VP\tO' +p307433 +aS'established\testablish\tVBN\tI-VP\tO' +p307434 +aS'early\tearly\tRB\tB-ADVP\tO' +p307435 +aS'during\tduring\tIN\tB-PP\tO' +p307436 +aS'hospital\thospital\tNN\tB-NP\tO' +p307437 +aS'stay\tstay\tNN\tI-NP\tO' +p307438 +aS'remained\tremain\tVBD\tB-VP\tO' +p307439 +aS'in\tin\tIN\tB-PP\tO' +p307440 +aS'effect\teffect\tNN\tB-NP\tO' +p307441 +aS'.\t.\t.\tO\tO' +p307442 +asS'Aspirin one per day which the patient quit taking two weeks prior to admission .' +p307443 +(lp307444 +S'Aspirin\tAspirin\tNN\tB-NP\tO' +p307445 +aS'one\tone\tCD\tI-NP\tO' +p307446 +aS'per\tper\tIN\tB-PP\tO' +p307447 +aS'day\tday\tNN\tB-NP\tO' +p307448 +aS'which\twhich\tWDT\tB-NP\tO' +p307449 +aS'the\tthe\tDT\tB-NP\tO' +p307450 +aS'patient\tpatient\tNN\tI-NP\tO' +p307451 +aS'quit\tquit\tVBD\tB-VP\tO' +p307452 +aS'taking\ttake\tVBG\tI-VP\tO' +p307453 +aS'two\ttwo\tCD\tB-NP\tO' +p307454 +aS'weeks\tweek\tNNS\tI-NP\tO' +p307455 +aS'prior\tprior\tRB\tB-ADVP\tO' +p307456 +aS'to\tto\tTO\tB-PP\tO' +p307457 +aS'admission\tadmission\tNN\tB-NP\tO' +p307458 +aS'.\t.\t.\tO\tO' +p307459 +asS'2) CV - Patient has CAD and CHF with a low hct and major trauma .' +p307460 +(lp307461 +S'2)\t2)\tLS\tB-NP\tO' +p307462 +aS'CV\tCV\tNN\tI-NP\tO' +p307463 +aS'-\t-\tHYPH\tO\tO' +p307464 +aS'Patient\tPatient\tNN\tB-NP\tO' +p307465 +aS'has\thave\tVBZ\tB-VP\tO' +p307466 +aS'CAD\tCAD\tNN\tB-NP\tO' +p307467 +aS'and\tand\tCC\tI-NP\tO' +p307468 +aS'CHF\tCHF\tNN\tI-NP\tB-protein' +p307469 +aS'with\twith\tIN\tB-PP\tO' +p307470 +aS'a\ta\tDT\tB-NP\tO' +p307471 +aS'low\tlow\tJJ\tI-NP\tO' +p307472 +aS'hct\thct\tNN\tI-NP\tO' +p307473 +aS'and\tand\tCC\tO\tO' +p307474 +aS'major\tmajor\tJJ\tB-NP\tO' +p307475 +aS'trauma\ttrauma\tNN\tI-NP\tO' +p307476 +aS'.\t.\t.\tO\tO' +p307477 +asS'He was started on Pentamidine , especially in light of the fact that it was felt that his liver function tests were due possibly to Bactrim .' +p307478 +(lp307479 +S'He\tHe\tPRP\tB-NP\tO' +p307480 +aS'was\tbe\tVBD\tB-VP\tO' +p307481 +aS'started\tstart\tVBN\tI-VP\tO' +p307482 +aS'on\ton\tIN\tB-PP\tO' +p307483 +aS'Pentamidine\tPentamidine\tNN\tB-NP\tO' +p307484 +aS',\t,\t,\tO\tO' +p307485 +aS'especially\tespecially\tRB\tB-ADVP\tO' +p307486 +aS'in\tin\tIN\tB-PP\tO' +p307487 +aS'light\tlight\tNN\tB-NP\tO' +p307488 +aS'of\tof\tIN\tB-PP\tO' +p307489 +aS'the\tthe\tDT\tB-NP\tO' +p307490 +aS'fact\tfact\tNN\tI-NP\tO' +p307491 +aS'that\tthat\tIN\tB-SBAR\tO' +p307492 +aS'it\tit\tPRP\tB-NP\tO' +p307493 +aS'was\tbe\tVBD\tB-VP\tO' +p307494 +aS'felt\tfeel\tVBN\tI-VP\tO' +p307495 +aS'that\tthat\tIN\tB-SBAR\tO' +p307496 +aS'his\this\tPRP$\tB-NP\tO' +p307497 +aS'liver\tliver\tNN\tI-NP\tO' +p307498 +aS'function\tfunction\tNN\tI-NP\tO' +p307499 +aS'tests\ttest\tNNS\tI-NP\tO' +p307500 +aS'were\tbe\tVBD\tB-VP\tO' +p307501 +aS'due\tdue\tJJ\tB-ADJP\tO' +p307502 +aS'possibly\tpossibly\tRB\tB-ADVP\tO' +p307503 +aS'to\tto\tTO\tB-PP\tO' +p307504 +aS'Bactrim\tBactrim\tNNP\tB-NP\tO' +p307505 +aS'.\t.\t.\tO\tO' +p307506 +asS'She had good post percutaneous coronary intervention angiographic results .' +p307507 +(lp307508 +S'She\tShe\tPRP\tB-NP\tO' +p307509 +aS'had\thave\tVBD\tB-VP\tO' +p307510 +aS'good\tgood\tJJ\tB-NP\tO' +p307511 +aS'post\tpost\tNN\tI-NP\tO' +p307512 +aS'percutaneous\tpercutaneous\tJJ\tI-NP\tO' +p307513 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p307514 +aS'intervention\tintervention\tNN\tI-NP\tO' +p307515 +aS'angiographic\tangiographic\tJJ\tI-NP\tO' +p307516 +aS'results\tresult\tNNS\tI-NP\tO' +p307517 +aS'.\t.\t.\tO\tO' +p307518 +asS'Pt was then sent to the The Hospital for Orthopedics Juan for further evaluation .' +p307519 +(lp307520 +S'Pt\tPt\tNN\tB-NP\tO' +p307521 +aS'was\tbe\tVBD\tB-VP\tO' +p307522 +aS'then\tthen\tRB\tI-VP\tO' +p307523 +aS'sent\tsend\tVBN\tI-VP\tO' +p307524 +aS'to\tto\tTO\tB-PP\tO' +p307525 +aS'the\tthe\tDT\tB-NP\tO' +p307526 +aS'The\tThe\tNNP\tI-NP\tO' +p307527 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p307528 +aS'for\tfor\tIN\tB-PP\tO' +p307529 +aS'Orthopedics\tOrthopedics\tNNP\tB-NP\tO' +p307530 +aS'Juan\tJuan\tNNP\tI-NP\tO' +p307531 +aS'for\tfor\tIN\tB-PP\tO' +p307532 +aS'further\tfurther\tJJ\tB-NP\tO' +p307533 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p307534 +aS'.\t.\t.\tO\tO' +p307535 +asS'Thepatient developed a possible drug rash and Nafcillin was changed to Ancef .' +p307536 +(lp307537 +S'Thepatient\tThepatient\tNN\tB-NP\tO' +p307538 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p307539 +aS'a\ta\tDT\tB-NP\tO' +p307540 +aS'possible\tpossible\tJJ\tI-NP\tO' +p307541 +aS'drug\tdrug\tNN\tI-NP\tO' +p307542 +aS'rash\trash\tNN\tI-NP\tO' +p307543 +aS'and\tand\tCC\tI-NP\tO' +p307544 +aS'Nafcillin\tNafcillin\tNN\tI-NP\tB-protein' +p307545 +aS'was\tbe\tVBD\tB-VP\tO' +p307546 +aS'changed\tchange\tVBN\tI-VP\tO' +p307547 +aS'to\tto\tTO\tB-PP\tO' +p307548 +aS'Ancef\tAncef\tNN\tB-NP\tB-protein' +p307549 +aS'.\t.\t.\tO\tO' +p307550 +asS'She was worked up aggressively with the physical therapy and occupational services , made good progress and began ambulating with assistance with a walker but with minimal assistance from an aid .' +p307551 +(lp307552 +S'She\tShe\tPRP\tB-NP\tO' +p307553 +aS'was\tbe\tVBD\tB-VP\tO' +p307554 +aS'worked\twork\tVBN\tI-VP\tO' +p307555 +aS'up\tup\tRP\tB-PRT\tO' +p307556 +aS'aggressively\taggressively\tRB\tB-ADVP\tO' +p307557 +aS'with\twith\tIN\tB-PP\tO' +p307558 +aS'the\tthe\tDT\tB-NP\tO' +p307559 +aS'physical\tphysical\tJJ\tI-NP\tO' +p307560 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p307561 +aS'and\tand\tCC\tO\tO' +p307562 +aS'occupational\toccupational\tJJ\tB-NP\tO' +p307563 +aS'services\tservice\tNNS\tI-NP\tO' +p307564 +aS',\t,\t,\tO\tO' +p307565 +aS'made\tmake\tVBD\tB-VP\tO' +p307566 +aS'good\tgood\tJJ\tB-NP\tO' +p307567 +aS'progress\tprogress\tNN\tI-NP\tO' +p307568 +aS'and\tand\tCC\tO\tO' +p307569 +aS'began\tbegin\tVBD\tB-VP\tO' +p307570 +aS'ambulating\tambulate\tVBG\tI-VP\tO' +p307571 +aS'with\twith\tIN\tB-PP\tO' +p307572 +aS'assistance\tassistance\tNN\tB-NP\tO' +p307573 +aS'with\twith\tIN\tB-PP\tO' +p307574 +aS'a\ta\tDT\tB-NP\tO' +p307575 +aS'walker\twalker\tNN\tI-NP\tO' +p307576 +aS'but\tbut\tCC\tB-PP\tO' +p307577 +aS'with\twith\tIN\tB-PP\tO' +p307578 +aS'minimal\tminimal\tJJ\tB-NP\tO' +p307579 +aS'assistance\tassistance\tNN\tI-NP\tO' +p307580 +aS'from\tfrom\tIN\tB-PP\tO' +p307581 +aS'an\tan\tDT\tB-NP\tO' +p307582 +aS'aid\taid\tNN\tI-NP\tO' +p307583 +aS'.\t.\t.\tO\tO' +p307584 +asS'CXR with bibasilar consolidations .' +p307585 +(lp307586 +S'CXR\tCXR\tNN\tB-NP\tB-protein' +p307587 +aS'with\twith\tIN\tB-PP\tO' +p307588 +aS'bibasilar\tbibasilar\tJJ\tB-NP\tO' +p307589 +aS'consolidations\tconsolidation\tNNS\tI-NP\tO' +p307590 +aS'.\t.\t.\tO\tO' +p307591 +asS'The patient , at the time of transfer , to the Gyn / Onc Service was not antibiotics and the white blood cell count was trending down .' +p307592 +(lp307593 +S'The\tThe\tDT\tB-NP\tO' +p307594 +aS'patient\tpatient\tNN\tI-NP\tO' +p307595 +aS',\t,\t,\tO\tO' +p307596 +aS'at\tat\tIN\tB-PP\tO' +p307597 +aS'the\tthe\tDT\tB-NP\tO' +p307598 +aS'time\ttime\tNN\tI-NP\tO' +p307599 +aS'of\tof\tIN\tB-PP\tO' +p307600 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p307601 +aS',\t,\t,\tO\tO' +p307602 +aS'to\tto\tTO\tB-PP\tO' +p307603 +aS'the\tthe\tDT\tB-NP\tO' +p307604 +aS'Gyn\tGyn\tNN\tI-NP\tB-protein' +p307605 +aS'/\t/\tSYM\tB-NP\tO' +p307606 +aS'Onc\tOnc\tNN\tI-NP\tO' +p307607 +aS'Service\tService\tNN\tI-NP\tO' +p307608 +aS'was\tbe\tVBD\tB-VP\tO' +p307609 +aS'not\tnot\tRB\tO\tO' +p307610 +aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' +p307611 +aS'and\tand\tCC\tO\tO' +p307612 +aS'the\tthe\tDT\tB-NP\tO' +p307613 +aS'white\twhite\tJJ\tI-NP\tO' +p307614 +aS'blood\tblood\tNN\tI-NP\tO' +p307615 +aS'cell\tcell\tNN\tI-NP\tO' +p307616 +aS'count\tcount\tNN\tI-NP\tO' +p307617 +aS'was\tbe\tVBD\tB-VP\tO' +p307618 +aS'trending\ttrend\tVBG\tI-VP\tO' +p307619 +aS'down\tdown\tRP\tB-PRT\tO' +p307620 +aS'.\t.\t.\tO\tO' +p307621 +asS'On arrival to the Emergency Department , she was noted to have a temperature of 98.2 , blood pressure 164/110 , respiratory rate 28 , and heart rate of 74 .' +p307622 +(lp307623 +S'On\tOn\tIN\tB-PP\tO' +p307624 +aS'arrival\tarrival\tNN\tB-NP\tO' +p307625 +aS'to\tto\tTO\tB-PP\tO' +p307626 +aS'the\tthe\tDT\tB-NP\tO' +p307627 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p307628 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p307629 +aS',\t,\t,\tO\tO' +p307630 +aS'she\tshe\tPRP\tB-NP\tO' +p307631 +aS'was\tbe\tVBD\tB-VP\tO' +p307632 +aS'noted\tnote\tVBN\tI-VP\tO' +p307633 +aS'to\tto\tTO\tI-VP\tO' +p307634 +aS'have\thave\tVB\tI-VP\tO' +p307635 +aS'a\ta\tDT\tB-NP\tO' +p307636 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p307637 +aS'of\tof\tIN\tB-PP\tO' +p307638 +aS'98.2\t98.2\tCD\tB-NP\tO' +p307639 +aS',\t,\t,\tO\tO' +p307640 +aS'blood\tblood\tNN\tB-NP\tO' +p307641 +aS'pressure\tpressure\tNN\tI-NP\tO' +p307642 +aS'164/110\t164/110\tCD\tI-NP\tO' +p307643 +aS',\t,\t,\tI-NP\tO' +p307644 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p307645 +aS'rate\trate\tNN\tI-NP\tO' +p307646 +aS'28\t28\tCD\tI-NP\tO' +p307647 +aS',\t,\t,\tO\tO' +p307648 +aS'and\tand\tCC\tO\tO' +p307649 +aS'heart\theart\tNN\tB-NP\tO' +p307650 +aS'rate\trate\tNN\tI-NP\tO' +p307651 +aS'of\tof\tIN\tB-PP\tO' +p307652 +aS'74\t74\tCD\tB-NP\tO' +p307653 +aS'.\t.\t.\tO\tO' +p307654 +asS'First degree AV block with PR interval 220 , left axis deviation , right bundle branch block with a left anterior fascicular block , 0.1103 N. Fifth Cir. depressions in' +p307655 +(lp307656 +S'First\tFirst\tRB\tB-ADVP\tO' +p307657 +aS'degree\tdegree\tVB\tB-VP\tO' +p307658 +aS'AV\tAV\tNN\tB-NP\tO' +p307659 +aS'block\tblock\tNN\tI-NP\tO' +p307660 +aS'with\twith\tIN\tB-PP\tO' +p307661 +aS'PR\tPR\tNN\tB-NP\tB-protein' +p307662 +aS'interval\tinterval\tNN\tI-NP\tO' +p307663 +aS'220\t220\tCD\tI-NP\tO' +p307664 +aS',\t,\t,\tO\tO' +p307665 +aS'left\tleft\tJJ\tB-NP\tO' +p307666 +aS'axis\taxis\tNN\tI-NP\tO' +p307667 +aS'deviation\tdeviation\tNN\tI-NP\tO' +p307668 +aS',\t,\t,\tO\tO' +p307669 +aS'right\tright\tJJ\tB-NP\tO' +p307670 +aS'bundle\tbundle\tNN\tI-NP\tO' +p307671 +aS'branch\tbranch\tNN\tI-NP\tO' +p307672 +aS'block\tblock\tNN\tI-NP\tO' +p307673 +aS'with\twith\tIN\tB-PP\tO' +p307674 +aS'a\ta\tDT\tB-NP\tO' +p307675 +aS'left\tleft\tJJ\tI-NP\tO' +p307676 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p307677 +aS'fascicular\tfascicular\tJJ\tI-NP\tO' +p307678 +aS'block\tblock\tNN\tI-NP\tO' +p307679 +aS',\t,\t,\tO\tO' +p307680 +aS'0.1103\t0.1103\tCD\tB-NP\tO' +p307681 +aS'N.\tN.\tNNP\tI-NP\tO' +p307682 +aS'Fifth\tFifth\tNNP\tI-NP\tO' +p307683 +aS'Cir.\tCir.\tNNP\tI-NP\tO' +p307684 +aS'depressions\tdepression\tNNS\tI-NP\tO' +p307685 +aS'in\tin\tIN\tB-PP\tO' +p307686 +asS'January 3 , 1994 , median sternotomy with mediastinal exploration , radical resection of tumor and aortopulmonary window ; partial resection of adjacent lung , en bloc resection of vagus and phrenic nerves ; partial pericardectomy ; fiberoptic bronchoscopy .' +p307687 +(lp307688 +S'January\tJanuary\tNNP\tB-NP\tO' +p307689 +aS'3\t3\tCD\tI-NP\tO' +p307690 +aS',\t,\t,\tI-NP\tO' +p307691 +aS'1994\t1994\tCD\tI-NP\tO' +p307692 +aS',\t,\t,\tO\tO' +p307693 +aS'median\tmedian\tJJ\tB-NP\tO' +p307694 +aS'sternotomy\tsternotomy\tNN\tI-NP\tO' +p307695 +aS'with\twith\tIN\tB-PP\tO' +p307696 +aS'mediastinal\tmediastinal\tJJ\tB-NP\tO' +p307697 +aS'exploration\texploration\tNN\tI-NP\tO' +p307698 +aS',\t,\t,\tO\tO' +p307699 +aS'radical\tradical\tJJ\tB-NP\tO' +p307700 +aS'resection\tresection\tNN\tI-NP\tO' +p307701 +aS'of\tof\tIN\tB-PP\tO' +p307702 +aS'tumor\ttumor\tNN\tB-NP\tO' +p307703 +aS'and\tand\tCC\tO\tO' +p307704 +aS'aortopulmonary\taortopulmonary\tJJ\tB-NP\tO' +p307705 +aS'window\twindow\tNN\tI-NP\tO' +p307706 +aS';\t;\t:\tO\tO' +p307707 +aS'partial\tpartial\tJJ\tB-NP\tO' +p307708 +aS'resection\tresection\tNN\tI-NP\tO' +p307709 +aS'of\tof\tIN\tB-PP\tO' +p307710 +aS'adjacent\tadjacent\tJJ\tB-NP\tO' +p307711 +aS'lung\tlung\tNN\tI-NP\tO' +p307712 +aS',\t,\t,\tO\tO' +p307713 +aS'en\ten\tIN\tB-PP\tO' +p307714 +aS'bloc\tbloc\tNN\tB-NP\tO' +p307715 +aS'resection\tresection\tNN\tI-NP\tO' +p307716 +aS'of\tof\tIN\tB-PP\tO' +p307717 +aS'vagus\tvagus\tNN\tB-NP\tO' +p307718 +aS'and\tand\tCC\tO\tO' +p307719 +aS'phrenic\tphrenic\tJJ\tB-NP\tO' +p307720 +aS'nerves\tnerve\tNNS\tI-NP\tO' +p307721 +aS';\t;\t:\tO\tO' +p307722 +aS'partial\tpartial\tJJ\tB-NP\tO' +p307723 +aS'pericardectomy\tpericardectomy\tNN\tI-NP\tO' +p307724 +aS';\t;\t:\tO\tO' +p307725 +aS'fiberoptic\tfiberoptic\tJJ\tB-NP\tO' +p307726 +aS'bronchoscopy\tbronchoscopy\tNN\tI-NP\tO' +p307727 +aS'.\t.\t.\tO\tO' +p307728 +asS'The patient was made comfortable with morphine for pain and for air hunger , and sinus suctioning was continued to relieve congestion , in conjunction with continuation of nasal sprays .' +p307729 +(lp307730 +S'The\tThe\tDT\tB-NP\tO' +p307731 +aS'patient\tpatient\tNN\tI-NP\tO' +p307732 +aS'was\tbe\tVBD\tB-VP\tO' +p307733 +aS'made\tmake\tVBN\tI-VP\tO' +p307734 +aS'comfortable\tcomfortable\tJJ\tB-ADJP\tO' +p307735 +aS'with\twith\tIN\tB-PP\tO' +p307736 +aS'morphine\tmorphine\tNN\tB-NP\tO' +p307737 +aS'for\tfor\tIN\tB-PP\tO' +p307738 +aS'pain\tpain\tNN\tB-NP\tO' +p307739 +aS'and\tand\tCC\tB-PP\tO' +p307740 +aS'for\tfor\tIN\tB-PP\tO' +p307741 +aS'air\tair\tNN\tB-NP\tO' +p307742 +aS'hunger\thunger\tNN\tI-NP\tO' +p307743 +aS',\t,\t,\tO\tO' +p307744 +aS'and\tand\tCC\tO\tO' +p307745 +aS'sinus\tsinus\tNN\tB-NP\tO' +p307746 +aS'suctioning\tsuctioning\tNN\tI-NP\tO' +p307747 +aS'was\tbe\tVBD\tB-VP\tO' +p307748 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p307749 +aS'to\tto\tTO\tI-VP\tO' +p307750 +aS'relieve\trelieve\tVB\tI-VP\tO' +p307751 +aS'congestion\tcongestion\tNN\tB-NP\tO' +p307752 +aS',\t,\t,\tO\tO' +p307753 +aS'in\tin\tIN\tB-PP\tO' +p307754 +aS'conjunction\tconjunction\tNN\tB-NP\tO' +p307755 +aS'with\twith\tIN\tB-PP\tO' +p307756 +aS'continuation\tcontinuation\tNN\tB-NP\tO' +p307757 +aS'of\tof\tIN\tB-PP\tO' +p307758 +aS'nasal\tnasal\tJJ\tB-NP\tO' +p307759 +aS'sprays\tspray\tNNS\tI-NP\tO' +p307760 +aS'.\t.\t.\tO\tO' +p307761 +asS'METASTATIC ADENOCARCINOMA OF UNKNOWN PRIMARY .' +p307762 +(lp307763 +S'METASTATIC\tMETASTATIC\tNN\tB-NP\tO' +p307764 +aS'ADENOCARCINOMA\tADENOCARCINOMA\tNN\tI-NP\tO' +p307765 +aS'OF\tOF\tIN\tB-PP\tO' +p307766 +aS'UNKNOWN\tUNKNOWN\tNNP\tB-NP\tO' +p307767 +aS'PRIMARY\tPRIMARY\tNNP\tI-NP\tO' +p307768 +aS'.\t.\t.\tO\tO' +p307769 +asS'Stable hips .' +p307770 +(lp307771 +S'Stable\tStable\tJJ\tB-NP\tO' +p307772 +aS'hips\thip\tNNS\tI-NP\tO' +p307773 +aS'.\t.\t.\tO\tO' +p307774 +asS'He was not overbreathing his ventilator .' +p307775 +(lp307776 +S'He\tHe\tPRP\tB-NP\tO' +p307777 +aS'was\tbe\tVBD\tB-VP\tO' +p307778 +aS'not\tnot\tRB\tI-VP\tO' +p307779 +aS'overbreathing\toverbreathe\tVBG\tI-VP\tO' +p307780 +aS'his\this\tPRP$\tB-NP\tO' +p307781 +aS'ventilator\tventilator\tNN\tI-NP\tO' +p307782 +aS'.\t.\t.\tO\tO' +p307783 +asS'These remained stable and within normal limits .' +p307784 +(lp307785 +S'These\tThese\tDT\tB-NP\tO' +p307786 +aS'remained\tremain\tVBD\tB-VP\tO' +p307787 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p307788 +aS'and\tand\tCC\tO\tO' +p307789 +aS'within\twithin\tIN\tB-PP\tO' +p307790 +aS'normal\tnormal\tJJ\tB-NP\tO' +p307791 +aS'limits\tlimit\tNNS\tI-NP\tO' +p307792 +aS'.\t.\t.\tO\tO' +p307793 +asS'Received metronidazole at Ricky in Mediplex Rehab Hospital .' +p307794 +(lp307795 +S'Received\tReceive\tVBN\tB-NP\tO' +p307796 +aS'metronidazole\tmetronidazole\tNN\tI-NP\tO' +p307797 +aS'at\tat\tIN\tB-PP\tO' +p307798 +aS'Ricky\tRicky\tNNP\tB-NP\tO' +p307799 +aS'in\tin\tIN\tB-PP\tO' +p307800 +aS'Mediplex\tMediplex\tNNP\tB-NP\tO' +p307801 +aS'Rehab\tRehab\tNNP\tI-NP\tO' +p307802 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p307803 +aS'.\t.\t.\tO\tO' +p307804 +asS'Start on day of surgery and continue throughout hospitalization .' +p307805 +(lp307806 +S'Start\tStart\tNN\tB-NP\tO' +p307807 +aS'on\ton\tIN\tB-PP\tO' +p307808 +aS'day\tday\tNN\tB-NP\tO' +p307809 +aS'of\tof\tIN\tB-PP\tO' +p307810 +aS'surgery\tsurgery\tNN\tB-NP\tO' +p307811 +aS'and\tand\tCC\tO\tO' +p307812 +aS'continue\tcontinue\tVB\tB-VP\tO' +p307813 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p307814 +aS'hospitalization\thospitalization\tNN\tB-NP\tO' +p307815 +aS'.\t.\t.\tO\tO' +p307816 +asS'You may shower .' +p307817 +(lp307818 +S'You\tYou\tPRP\tB-NP\tB-protein' +p307819 +aS'may\tmay\tMD\tB-VP\tO' +p307820 +aS'shower\tshower\tVB\tI-VP\tO' +p307821 +aS'.\t.\t.\tO\tO' +p307822 +asS'She does not smoke , does not use birth control pills , does not use drugs .' +p307823 +(lp307824 +S'She\tShe\tPRP\tB-NP\tO' +p307825 +aS'does\tdo\tVBZ\tB-VP\tO' +p307826 +aS'not\tnot\tRB\tI-VP\tO' +p307827 +aS'smoke\tsmoke\tVB\tI-VP\tO' +p307828 +aS',\t,\t,\tO\tO' +p307829 +aS'does\tdo\tVBZ\tB-VP\tO' +p307830 +aS'not\tnot\tRB\tI-VP\tO' +p307831 +aS'use\tuse\tVB\tI-VP\tO' +p307832 +aS'birth\tbirth\tNN\tB-NP\tO' +p307833 +aS'control\tcontrol\tNN\tI-NP\tO' +p307834 +aS'pills\tpill\tNNS\tI-NP\tO' +p307835 +aS',\t,\t,\tO\tO' +p307836 +aS'does\tdo\tVBZ\tB-VP\tO' +p307837 +aS'not\tnot\tRB\tI-VP\tO' +p307838 +aS'use\tuse\tVB\tI-VP\tO' +p307839 +aS'drugs\tdrug\tNNS\tB-NP\tO' +p307840 +aS'.\t.\t.\tO\tO' +p307841 +asS'After her endoscopic retrograde cholangiopancreatography the patient developed " jaw clenching , biting tongue , rigidity and cold / chills ."' +p307842 +(lp307843 +S'After\tAfter\tIN\tB-PP\tO' +p307844 +aS'her\ther\tPRP$\tB-NP\tO' +p307845 +aS'endoscopic\tendoscopic\tJJ\tI-NP\tO' +p307846 +aS'retrograde\tretrograde\tJJ\tI-NP\tO' +p307847 +aS'cholangiopancreatography\tcholangiopancreatography\tNN\tI-NP\tO' +p307848 +aS'the\tthe\tDT\tB-NP\tO' +p307849 +aS'patient\tpatient\tNN\tI-NP\tO' +p307850 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p307851 +aS'"\t"\t``\tO\tO' +p307852 +aS'jaw\tjaw\tJJ\tB-NP\tO' +p307853 +aS'clenching\tclenching\tNN\tI-NP\tO' +p307854 +aS',\t,\t,\tO\tO' +p307855 +aS'biting\tbite\tVBG\tB-VP\tO' +p307856 +aS'tongue\ttongue\tNN\tB-NP\tO' +p307857 +aS',\t,\t,\tI-NP\tO' +p307858 +aS'rigidity\trigidity\tNN\tI-NP\tO' +p307859 +aS'and\tand\tCC\tI-NP\tO' +p307860 +aS'cold\tcold\tNN\tI-NP\tO' +p307861 +aS'/\t/\tSYM\tB-NP\tO' +p307862 +aS'chills\tchill\tNNS\tI-NP\tO' +p307863 +aS'."\t."\t.\tO\tO' +p307864 +asS'She was transfused 1U PRBC , GI consult called , also got zofran and iv protonix and admitted to the FICU .' +p307865 +(lp307866 +S'She\tShe\tPRP\tB-NP\tO' +p307867 +aS'was\tbe\tVBD\tB-VP\tO' +p307868 +aS'transfused\ttransfuse\tVBN\tI-VP\tO' +p307869 +aS'1U\t1U\tNN\tB-NP\tO' +p307870 +aS'PRBC\tPRBC\tNN\tI-NP\tO' +p307871 +aS',\t,\t,\tO\tO' +p307872 +aS'GI\tGI\tNN\tB-NP\tO' +p307873 +aS'consult\tconsult\tNN\tI-NP\tO' +p307874 +aS'called\tcall\tVBN\tB-VP\tO' +p307875 +aS',\t,\t,\tO\tO' +p307876 +aS'also\talso\tRB\tB-ADVP\tO' +p307877 +aS'got\tget\tVBD\tB-VP\tO' +p307878 +aS'zofran\tzofran\tNN\tB-NP\tO' +p307879 +aS'and\tand\tCC\tI-NP\tO' +p307880 +aS'iv\tiv\tNN\tI-NP\tO' +p307881 +aS'protonix\tprotonix\tNN\tI-NP\tO' +p307882 +aS'and\tand\tCC\tO\tO' +p307883 +aS'admitted\tadmit\tVBN\tB-VP\tO' +p307884 +aS'to\tto\tTO\tB-PP\tO' +p307885 +aS'the\tthe\tDT\tB-NP\tO' +p307886 +aS'FICU\tFICU\tNN\tI-NP\tB-DNA' +p307887 +aS'.\t.\t.\tO\tO' +p307888 +asS'Peripheral pulses plus 2 and symmetric .' +p307889 +(lp307890 +S'Peripheral\tPeripheral\tJJ\tB-NP\tO' +p307891 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p307892 +aS'plus\tplus\tCC\tO\tO' +p307893 +aS'2\t2\tCD\tB-NP\tO' +p307894 +aS'and\tand\tCC\tO\tO' +p307895 +aS'symmetric\tsymmetric\tJJ\tB-ADJP\tO' +p307896 +aS'.\t.\t.\tO\tO' +p307897 +asS'3) Small bilateral pleural effusions .' +p307898 +(lp307899 +S'3)\t3)\tLS\tB-NP\tO' +p307900 +aS'Small\tSmall\tJJ\tI-NP\tO' +p307901 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p307902 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p307903 +aS'effusions\teffusion\tNNS\tI-NP\tO' +p307904 +aS'.\t.\t.\tO\tO' +p307905 +asS'11. Miconazole Nitrate 2 % Powder Sig : One ( 1 ) Appl Topical BID ( 2 times a day ) .' +p307906 +(lp307907 +S'11.\t11.\tLS\tB-NP\tO' +p307908 +aS'Miconazole\tMiconazole\tNN\tI-NP\tO' +p307909 +aS'Nitrate\tNitrate\tNN\tI-NP\tO' +p307910 +aS'2\t2\tCD\tB-NP\tO' +p307911 +aS'%\t%\tNN\tI-NP\tO' +p307912 +aS'Powder\tPowder\tNNP\tI-NP\tO' +p307913 +aS'Sig\tSig\tNNP\tI-NP\tO' +p307914 +aS':\t:\t:\tO\tO' +p307915 +aS'One\tOne\tCD\tB-NP\tO' +p307916 +aS'(\t(\t(\tO\tO' +p307917 +aS'1\t1\tCD\tB-NP\tO' +p307918 +aS')\t)\t)\tO\tO' +p307919 +aS'Appl\tAppl\tNNP\tB-NP\tO' +p307920 +aS'Topical\tTopical\tJJ\tI-NP\tO' +p307921 +aS'BID\tBID\tNN\tI-NP\tO' +p307922 +aS'(\t(\t(\tO\tO' +p307923 +aS'2\t2\tCD\tB-NP\tO' +p307924 +aS'times\ttime\tNNS\tI-NP\tO' +p307925 +aS'a\ta\tDT\tB-NP\tO' +p307926 +aS'day\tday\tNN\tI-NP\tO' +p307927 +aS')\t)\t)\tO\tO' +p307928 +aS'.\t.\t.\tO\tO' +p307929 +asS'Adenosine stress test .' +p307930 +(lp307931 +S'Adenosine\tAdenosine\tNN\tB-NP\tO' +p307932 +aS'stress\tstress\tNN\tI-NP\tO' +p307933 +aS'test\ttest\tNN\tI-NP\tO' +p307934 +aS'.\t.\t.\tO\tO' +p307935 +asS'The cardiac catheterization results at that time revealed a right atrial pressure of 7 , pulmonary artery pressure of 29/16 , RV 33/8 , pulmonary capillary wedge pressure of 16 .' +p307936 +(lp307937 +S'The\tThe\tDT\tB-NP\tO' +p307938 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p307939 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p307940 +aS'results\tresult\tNNS\tI-NP\tO' +p307941 +aS'at\tat\tIN\tB-PP\tO' +p307942 +aS'that\tthat\tDT\tB-NP\tO' +p307943 +aS'time\ttime\tNN\tI-NP\tO' +p307944 +aS'revealed\treveal\tVBD\tB-VP\tO' +p307945 +aS'a\ta\tDT\tB-NP\tO' +p307946 +aS'right\tright\tJJ\tI-NP\tO' +p307947 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p307948 +aS'pressure\tpressure\tNN\tI-NP\tO' +p307949 +aS'of\tof\tIN\tB-PP\tO' +p307950 +aS'7\t7\tCD\tB-NP\tO' +p307951 +aS',\t,\t,\tO\tO' +p307952 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p307953 +aS'artery\tartery\tNN\tI-NP\tO' +p307954 +aS'pressure\tpressure\tNN\tI-NP\tO' +p307955 +aS'of\tof\tIN\tB-PP\tO' +p307956 +aS'29/16\t29/16\tCD\tB-NP\tO' +p307957 +aS',\t,\t,\tO\tO' +p307958 +aS'RV\tRV\tNN\tB-NP\tB-protein' +p307959 +aS'33/8\t33/8\tCD\tI-NP\tI-protein' +p307960 +aS',\t,\t,\tO\tO' +p307961 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p307962 +aS'capillary\tcapillary\tJJ\tI-NP\tO' +p307963 +aS'wedge\twedge\tNN\tI-NP\tO' +p307964 +aS'pressure\tpressure\tNN\tI-NP\tO' +p307965 +aS'of\tof\tIN\tB-PP\tO' +p307966 +aS'16\t16\tCD\tB-NP\tO' +p307967 +aS'.\t.\t.\tO\tO' +p307968 +asS'She was also significantly tachypneic .' +p307969 +(lp307970 +S'She\tShe\tPRP\tB-NP\tO' +p307971 +aS'was\tbe\tVBD\tB-VP\tO' +p307972 +aS'also\talso\tRB\tB-ADVP\tO' +p307973 +aS'significantly\tsignificantly\tRB\tB-ADJP\tO' +p307974 +aS'tachypneic\ttachypneic\tJJ\tI-ADJP\tO' +p307975 +aS'.\t.\t.\tO\tO' +p307976 +asS'10. Senna 8.6 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ) as needed .' +p307977 +(lp307978 +S'10.\t10.\tCD\tB-NP\tO' +p307979 +aS'Senna\tSenna\tNNP\tI-NP\tO' +p307980 +aS'8.6\t8.6\tCD\tI-NP\tO' +p307981 +aS'mg\tmg\tNN\tI-NP\tO' +p307982 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p307983 +aS'Sig\tSig\tNNP\tI-NP\tO' +p307984 +aS':\t:\t:\tO\tO' +p307985 +aS'One\tOne\tCD\tB-NP\tO' +p307986 +aS'(\t(\t(\tO\tO' +p307987 +aS'1\t1\tCD\tB-NP\tO' +p307988 +aS')\t)\t)\tO\tO' +p307989 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p307990 +aS'PO\tPO\tNN\tI-NP\tO' +p307991 +aS'BID\tBID\tNN\tI-NP\tO' +p307992 +aS'(\t(\t(\tO\tO' +p307993 +aS'2\t2\tCD\tB-NP\tO' +p307994 +aS'times\ttime\tNNS\tI-NP\tO' +p307995 +aS'a\ta\tDT\tB-NP\tO' +p307996 +aS'day\tday\tNN\tI-NP\tO' +p307997 +aS')\t)\t)\tO\tO' +p307998 +aS'as\tas\tIN\tB-SBAR\tO' +p307999 +aS'needed\tneed\tVBN\tB-VP\tO' +p308000 +aS'.\t.\t.\tO\tO' +p308001 +asS'The Whidden Memorial Hospital hospital course has been smooth with the patient progressively improving .' +p308002 +(lp308003 +S'The\tThe\tDT\tB-NP\tO' +p308004 +aS'Whidden\tWhidden\tNNP\tI-NP\tO' +p308005 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p308006 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p308007 +aS'hospital\thospital\tNN\tI-NP\tO' +p308008 +aS'course\tcourse\tNN\tI-NP\tO' +p308009 +aS'has\thave\tVBZ\tB-VP\tO' +p308010 +aS'been\tbe\tVBN\tI-VP\tO' +p308011 +aS'smooth\tsmooth\tJJ\tB-ADJP\tO' +p308012 +aS'with\twith\tIN\tB-PP\tO' +p308013 +aS'the\tthe\tDT\tB-NP\tO' +p308014 +aS'patient\tpatient\tNN\tI-NP\tO' +p308015 +aS'progressively\tprogressively\tRB\tB-VP\tO' +p308016 +aS'improving\timprove\tVBG\tI-VP\tO' +p308017 +aS'.\t.\t.\tO\tO' +p308018 +asS'All within normal limits .' +p308019 +(lp308020 +S'All\tAll\tDT\tB-NP\tO' +p308021 +aS'within\twithin\tIN\tB-PP\tO' +p308022 +aS'normal\tnormal\tJJ\tB-NP\tO' +p308023 +aS'limits\tlimit\tNNS\tI-NP\tO' +p308024 +aS'.\t.\t.\tO\tO' +p308025 +asS'Includes recent infarct to pons , mid brain , left thalamus , bilateral temporal lobes and left visual cortex , on Coumadin .' +p308026 +(lp308027 +S'Includes\tInclude\tVBZ\tB-VP\tO' +p308028 +aS'recent\trecent\tJJ\tB-NP\tO' +p308029 +aS'infarct\tinfarct\tNN\tI-NP\tO' +p308030 +aS'to\tto\tTO\tB-PP\tO' +p308031 +aS'pons\tpon\tNNS\tB-NP\tO' +p308032 +aS',\t,\t,\tO\tO' +p308033 +aS'mid\tmid\tJJ\tB-NP\tO' +p308034 +aS'brain\tbrain\tNN\tI-NP\tO' +p308035 +aS',\t,\t,\tO\tO' +p308036 +aS'left\tleft\tJJ\tB-NP\tO' +p308037 +aS'thalamus\tthalamus\tNN\tI-NP\tO' +p308038 +aS',\t,\t,\tO\tO' +p308039 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p308040 +aS'temporal\ttemporal\tJJ\tI-NP\tO' +p308041 +aS'lobes\tlobe\tNNS\tI-NP\tO' +p308042 +aS'and\tand\tCC\tO\tO' +p308043 +aS'left\tleft\tJJ\tB-NP\tO' +p308044 +aS'visual\tvisual\tJJ\tI-NP\tO' +p308045 +aS'cortex\tcortex\tNN\tI-NP\tO' +p308046 +aS',\t,\t,\tO\tO' +p308047 +aS'on\ton\tIN\tB-PP\tO' +p308048 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p308049 +aS'.\t.\t.\tO\tO' +p308050 +asS'His diagnosis of progressive supranuclear palsy was placed under question on further examination of his eye movement since he was able to have excellent superior gaze especially with the bells phenomenon which would not be seen with progressive supranuclear palsy .' +p308051 +(lp308052 +S'His\tHis\tPRP$\tB-NP\tO' +p308053 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p308054 +aS'of\tof\tIN\tB-PP\tO' +p308055 +aS'progressive\tprogressive\tJJ\tB-NP\tO' +p308056 +aS'supranuclear\tsupranuclear\tJJ\tI-NP\tO' +p308057 +aS'palsy\tpalsy\tNN\tI-NP\tO' +p308058 +aS'was\tbe\tVBD\tB-VP\tO' +p308059 +aS'placed\tplace\tVBN\tI-VP\tO' +p308060 +aS'under\tunder\tIN\tB-PP\tO' +p308061 +aS'question\tquestion\tNN\tB-NP\tO' +p308062 +aS'on\ton\tIN\tB-PP\tO' +p308063 +aS'further\tfurther\tJJ\tB-NP\tO' +p308064 +aS'examination\texamination\tNN\tI-NP\tO' +p308065 +aS'of\tof\tIN\tB-PP\tO' +p308066 +aS'his\this\tPRP$\tB-NP\tO' +p308067 +aS'eye\teye\tNN\tI-NP\tO' +p308068 +aS'movement\tmovement\tNN\tI-NP\tO' +p308069 +aS'since\tsince\tIN\tB-SBAR\tO' +p308070 +aS'he\the\tPRP\tB-NP\tO' +p308071 +aS'was\tbe\tVBD\tB-VP\tO' +p308072 +aS'able\table\tJJ\tB-ADJP\tO' +p308073 +aS'to\tto\tTO\tB-VP\tO' +p308074 +aS'have\thave\tVB\tI-VP\tO' +p308075 +aS'excellent\texcellent\tJJ\tB-NP\tO' +p308076 +aS'superior\tsuperior\tJJ\tI-NP\tO' +p308077 +aS'gaze\tgaze\tNN\tI-NP\tO' +p308078 +aS'especially\tespecially\tRB\tB-ADVP\tO' +p308079 +aS'with\twith\tIN\tB-PP\tO' +p308080 +aS'the\tthe\tDT\tB-NP\tO' +p308081 +aS'bells\tbell\tNNS\tI-NP\tO' +p308082 +aS'phenomenon\tphenomenon\tNN\tI-NP\tO' +p308083 +aS'which\twhich\tWDT\tB-NP\tO' +p308084 +aS'would\twould\tMD\tB-VP\tO' +p308085 +aS'not\tnot\tRB\tI-VP\tO' +p308086 +aS'be\tbe\tVB\tI-VP\tO' +p308087 +aS'seen\tsee\tVBN\tI-VP\tO' +p308088 +aS'with\twith\tIN\tB-PP\tO' +p308089 +aS'progressive\tprogressive\tJJ\tB-NP\tO' +p308090 +aS'supranuclear\tsupranuclear\tJJ\tI-NP\tO' +p308091 +aS'palsy\tpalsy\tNN\tI-NP\tO' +p308092 +aS'.\t.\t.\tO\tO' +p308093 +asS'6. History of zoster .' +p308094 +(lp308095 +S'6.\t6.\tLS\tB-NP\tO' +p308096 +aS'History\tHistory\tNN\tI-NP\tO' +p308097 +aS'of\tof\tIN\tB-PP\tO' +p308098 +aS'zoster\tzoster\tNN\tB-NP\tO' +p308099 +aS'.\t.\t.\tO\tO' +p308100 +asS'On 05-04 , the patient was transferred back to the O-CMED CSRU' +p308101 +(lp308102 +S'On\tOn\tIN\tB-PP\tO' +p308103 +aS'05-04\t05-04\tCD\tB-NP\tO' +p308104 +aS',\t,\t,\tO\tO' +p308105 +aS'the\tthe\tDT\tB-NP\tO' +p308106 +aS'patient\tpatient\tNN\tI-NP\tO' +p308107 +aS'was\tbe\tVBD\tB-VP\tO' +p308108 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p308109 +aS'back\tback\tRB\tB-ADVP\tO' +p308110 +aS'to\tto\tTO\tB-PP\tO' +p308111 +aS'the\tthe\tDT\tB-NP\tO' +p308112 +aS'O-CMED\tO-CMED\tNNP\tI-NP\tO' +p308113 +aS'CSRU\tCSRU\tNNP\tI-NP\tO' +p308114 +asS'6. Atorvastatin Calcium 20 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' +p308115 +(lp308116 +S'6.\t6.\tLS\tB-NP\tO' +p308117 +aS'Atorvastatin\tAtorvastatin\tNN\tI-NP\tO' +p308118 +aS'Calcium\tCalcium\tNN\tI-NP\tO' +p308119 +aS'20\t20\tCD\tI-NP\tO' +p308120 +aS'mg\tmg\tNN\tI-NP\tO' +p308121 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p308122 +aS'Sig\tSig\tNNP\tI-NP\tO' +p308123 +aS':\t:\t:\tO\tO' +p308124 +aS'One\tOne\tCD\tB-NP\tO' +p308125 +aS'(\t(\t(\tO\tO' +p308126 +aS'1\t1\tCD\tB-NP\tO' +p308127 +aS')\t)\t)\tO\tO' +p308128 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p308129 +aS'PO\tPO\tNN\tI-NP\tO' +p308130 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p308131 +aS'(\t(\t(\tO\tO' +p308132 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p308133 +aS')\t)\t)\tO\tO' +p308134 +aS'.\t.\t.\tO\tO' +p308135 +asS'With regard to the left ventricular thrombus , her goal INR remained 2.5 to 3 ; and the goal was to start heparin once the patient was stable from a thoracotomy and chest tube' +p308136 +(lp308137 +S'With\tWith\tIN\tB-PP\tO' +p308138 +aS'regard\tregard\tNN\tB-NP\tO' +p308139 +aS'to\tto\tTO\tB-PP\tO' +p308140 +aS'the\tthe\tDT\tB-NP\tO' +p308141 +aS'left\tleft\tJJ\tI-NP\tO' +p308142 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p308143 +aS'thrombus\tthrombus\tNN\tI-NP\tO' +p308144 +aS',\t,\t,\tO\tO' +p308145 +aS'her\ther\tPRP$\tB-NP\tO' +p308146 +aS'goal\tgoal\tNN\tI-NP\tB-protein' +p308147 +aS'INR\tINR\tNN\tI-NP\tI-protein' +p308148 +aS'remained\tremain\tVBD\tB-VP\tO' +p308149 +aS'2.5\t2.5\tCD\tB-NP\tO' +p308150 +aS'to\tto\tTO\tB-PP\tO' +p308151 +aS'3\t3\tCD\tB-NP\tO' +p308152 +aS';\t;\t:\tO\tO' +p308153 +aS'and\tand\tCC\tO\tO' +p308154 +aS'the\tthe\tDT\tB-NP\tO' +p308155 +aS'goal\tgoal\tNN\tI-NP\tO' +p308156 +aS'was\tbe\tVBD\tB-VP\tO' +p308157 +aS'to\tto\tTO\tB-VP\tO' +p308158 +aS'start\tstart\tVB\tI-VP\tO' +p308159 +aS'heparin\theparin\tNN\tB-NP\tO' +p308160 +aS'once\tonce\tIN\tB-SBAR\tO' +p308161 +aS'the\tthe\tDT\tB-NP\tO' +p308162 +aS'patient\tpatient\tNN\tI-NP\tO' +p308163 +aS'was\tbe\tVBD\tB-VP\tO' +p308164 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p308165 +aS'from\tfrom\tIN\tB-PP\tO' +p308166 +aS'a\ta\tDT\tB-NP\tO' +p308167 +aS'thoracotomy\tthoracotomy\tNN\tI-NP\tO' +p308168 +aS'and\tand\tCC\tI-NP\tO' +p308169 +aS'chest\tchest\tNN\tI-NP\tO' +p308170 +aS'tube\ttube\tNN\tI-NP\tO' +p308171 +asS'The patient was advised that he needs to speak with his PCP about medication for antianxiety and / or further testing or counseling to help control his anxiety level .' +p308172 +(lp308173 +S'The\tThe\tDT\tB-NP\tO' +p308174 +aS'patient\tpatient\tNN\tI-NP\tO' +p308175 +aS'was\tbe\tVBD\tB-VP\tO' +p308176 +aS'advised\tadvise\tVBN\tI-VP\tO' +p308177 +aS'that\tthat\tIN\tB-SBAR\tO' +p308178 +aS'he\the\tPRP\tB-NP\tO' +p308179 +aS'needs\tneed\tVBZ\tB-VP\tO' +p308180 +aS'to\tto\tTO\tI-VP\tO' +p308181 +aS'speak\tspeak\tVB\tI-VP\tO' +p308182 +aS'with\twith\tIN\tB-PP\tO' +p308183 +aS'his\this\tPRP$\tB-NP\tO' +p308184 +aS'PCP\tPCP\tNN\tI-NP\tB-protein' +p308185 +aS'about\tabout\tIN\tB-PP\tO' +p308186 +aS'medication\tmedication\tNN\tB-NP\tO' +p308187 +aS'for\tfor\tIN\tB-PP\tO' +p308188 +aS'antianxiety\tantianxiety\tNN\tB-NP\tO' +p308189 +aS'and\tand\tCC\tO\tO' +p308190 +aS'/\t/\tSYM\tB-NP\tO' +p308191 +aS'or\tor\tCC\tO\tO' +p308192 +aS'further\tfurther\tJJ\tB-NP\tO' +p308193 +aS'testing\ttesting\tNN\tI-NP\tO' +p308194 +aS'or\tor\tCC\tI-NP\tO' +p308195 +aS'counseling\tcounseling\tNN\tI-NP\tO' +p308196 +aS'to\tto\tTO\tB-VP\tO' +p308197 +aS'help\thelp\tVB\tI-VP\tO' +p308198 +aS'control\tcontrol\tVB\tI-VP\tO' +p308199 +aS'his\this\tPRP$\tB-NP\tO' +p308200 +aS'anxiety\tanxiety\tNN\tI-NP\tO' +p308201 +aS'level\tlevel\tNN\tI-NP\tO' +p308202 +aS'.\t.\t.\tO\tO' +p308203 +asS'Past medical history is as stated above , aortic stenosis , found to be critical on echocardiogram on 4-13-92 , done in Otte A , New Jersey and was found to have left ventricular hypertrophy and ejection fraction of 58% , no right heart wall motion abnormali-ties and an aortic valve gradient of greater than 100 .' +p308204 +(lp308205 +S'Past\tPast\tJJ\tB-NP\tO' +p308206 +aS'medical\tmedical\tJJ\tI-NP\tO' +p308207 +aS'history\thistory\tNN\tI-NP\tO' +p308208 +aS'is\tbe\tVBZ\tB-VP\tO' +p308209 +aS'as\tas\tRB\tI-VP\tO' +p308210 +aS'stated\tstate\tVBN\tI-VP\tO' +p308211 +aS'above\tabove\tRB\tB-ADVP\tO' +p308212 +aS',\t,\t,\tO\tO' +p308213 +aS'aortic\taortic\tJJ\tB-NP\tO' +p308214 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p308215 +aS',\t,\t,\tO\tO' +p308216 +aS'found\tfind\tVBN\tB-VP\tO' +p308217 +aS'to\tto\tTO\tI-VP\tO' +p308218 +aS'be\tbe\tVB\tI-VP\tO' +p308219 +aS'critical\tcritical\tJJ\tB-ADJP\tO' +p308220 +aS'on\ton\tIN\tB-PP\tO' +p308221 +aS'echocardiogram\techocardiogram\tNN\tB-NP\tO' +p308222 +aS'on\ton\tIN\tB-PP\tO' +p308223 +aS'4-13-92\t4-13-92\tNN\tB-NP\tO' +p308224 +aS',\t,\t,\tO\tO' +p308225 +aS'done\tdo\tVBN\tB-VP\tO' +p308226 +aS'in\tin\tIN\tB-PP\tO' +p308227 +aS'Otte\tOtte\tNNP\tB-NP\tO' +p308228 +aS'A\tA\tNNP\tI-NP\tO' +p308229 +aS',\t,\t,\tO\tO' +p308230 +aS'New\tNew\tNNP\tB-NP\tO' +p308231 +aS'Jersey\tJersey\tNNP\tI-NP\tO' +p308232 +aS'and\tand\tCC\tO\tO' +p308233 +aS'was\tbe\tVBD\tB-VP\tO' +p308234 +aS'found\tfind\tVBN\tI-VP\tO' +p308235 +aS'to\tto\tTO\tI-VP\tO' +p308236 +aS'have\thave\tVB\tI-VP\tO' +p308237 +aS'left\tleave\tVBN\tI-VP\tO' +p308238 +aS'ventricular\tventricular\tJJ\tB-NP\tO' +p308239 +aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' +p308240 +aS'and\tand\tCC\tI-NP\tO' +p308241 +aS'ejection\tejection\tNN\tI-NP\tO' +p308242 +aS'fraction\tfraction\tNN\tI-NP\tO' +p308243 +aS'of\tof\tIN\tB-PP\tO' +p308244 +aS'58%\t58%\tNN\tB-NP\tO' +p308245 +aS',\t,\t,\tO\tO' +p308246 +aS'no\tno\tDT\tB-NP\tO' +p308247 +aS'right\tright\tJJ\tI-NP\tO' +p308248 +aS'heart\theart\tNN\tI-NP\tO' +p308249 +aS'wall\twall\tNN\tI-NP\tO' +p308250 +aS'motion\tmotion\tNN\tI-NP\tO' +p308251 +aS'abnormali-ties\tabnormali-ty\tNNS\tI-NP\tO' +p308252 +aS'and\tand\tCC\tO\tO' +p308253 +aS'an\tan\tDT\tB-NP\tO' +p308254 +aS'aortic\taortic\tJJ\tI-NP\tO' +p308255 +aS'valve\tvalve\tNN\tI-NP\tO' +p308256 +aS'gradient\tgradient\tNN\tI-NP\tO' +p308257 +aS'of\tof\tIN\tB-PP\tO' +p308258 +aS'greater\tgreat\tJJR\tB-NP\tO' +p308259 +aS'than\tthan\tIN\tI-NP\tO' +p308260 +aS'100\t100\tCD\tI-NP\tO' +p308261 +aS'.\t.\t.\tO\tO' +p308262 +asS'Her wounds healed well without incident and the needle jejunostomy tube was utilized on the first postoperative day right up until the time of discharge , infusing Vivonex T.E.N.' +p308263 +(lp308264 +S'Her\tHer\tPRP$\tB-NP\tO' +p308265 +aS'wounds\twound\tNNS\tI-NP\tO' +p308266 +aS'healed\theal\tVBD\tB-VP\tO' +p308267 +aS'well\twell\tRB\tB-ADVP\tO' +p308268 +aS'without\twithout\tIN\tB-PP\tO' +p308269 +aS'incident\tincident\tNN\tB-NP\tO' +p308270 +aS'and\tand\tCC\tO\tO' +p308271 +aS'the\tthe\tDT\tB-NP\tO' +p308272 +aS'needle\tneedle\tNN\tI-NP\tO' +p308273 +aS'jejunostomy\tjejunostomy\tNN\tI-NP\tO' +p308274 +aS'tube\ttube\tNN\tI-NP\tO' +p308275 +aS'was\tbe\tVBD\tB-VP\tO' +p308276 +aS'utilized\tutilize\tVBN\tI-VP\tO' +p308277 +aS'on\ton\tIN\tB-PP\tO' +p308278 +aS'the\tthe\tDT\tB-NP\tO' +p308279 +aS'first\tfirst\tJJ\tI-NP\tO' +p308280 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p308281 +aS'day\tday\tNN\tI-NP\tO' +p308282 +aS'right\tright\tRB\tB-ADVP\tO' +p308283 +aS'up\tup\tIN\tB-PP\tO' +p308284 +aS'until\tuntil\tIN\tB-PP\tO' +p308285 +aS'the\tthe\tDT\tB-NP\tO' +p308286 +aS'time\ttime\tNN\tI-NP\tO' +p308287 +aS'of\tof\tIN\tB-PP\tO' +p308288 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p308289 +aS',\t,\t,\tO\tO' +p308290 +aS'infusing\tinfuse\tVBG\tB-VP\tO' +p308291 +aS'Vivonex\tVivonex\tNNP\tB-NP\tO' +p308292 +aS'T.E.N.\tT.E.N.\tNNP\tI-NP\tO' +p308293 +asS'He should follow up with his cardiologist in two to three weeks and he should follow up with his primary care physician in one to two weeks .' +p308294 +(lp308295 +S'He\tHe\tPRP\tB-NP\tO' +p308296 +aS'should\tshould\tMD\tB-VP\tO' +p308297 +aS'follow\tfollow\tVB\tI-VP\tO' +p308298 +aS'up\tup\tRP\tB-PRT\tO' +p308299 +aS'with\twith\tIN\tB-PP\tO' +p308300 +aS'his\this\tPRP$\tB-NP\tO' +p308301 +aS'cardiologist\tcardiologist\tNN\tI-NP\tO' +p308302 +aS'in\tin\tIN\tB-PP\tO' +p308303 +aS'two\ttwo\tCD\tB-NP\tO' +p308304 +aS'to\tto\tTO\tI-NP\tO' +p308305 +aS'three\tthree\tCD\tI-NP\tO' +p308306 +aS'weeks\tweek\tNNS\tI-NP\tO' +p308307 +aS'and\tand\tCC\tO\tO' +p308308 +aS'he\the\tPRP\tB-NP\tO' +p308309 +aS'should\tshould\tMD\tB-VP\tO' +p308310 +aS'follow\tfollow\tVB\tI-VP\tO' +p308311 +aS'up\tup\tRP\tB-PRT\tO' +p308312 +aS'with\twith\tIN\tB-PP\tO' +p308313 +aS'his\this\tPRP$\tB-NP\tO' +p308314 +aS'primary\tprimary\tJJ\tI-NP\tO' +p308315 +aS'care\tcare\tNN\tI-NP\tO' +p308316 +aS'physician\tphysician\tNN\tI-NP\tO' +p308317 +aS'in\tin\tIN\tB-PP\tO' +p308318 +aS'one\tone\tCD\tB-NP\tO' +p308319 +aS'to\tto\tTO\tI-NP\tO' +p308320 +aS'two\ttwo\tCD\tI-NP\tO' +p308321 +aS'weeks\tweek\tNNS\tI-NP\tO' +p308322 +aS'.\t.\t.\tO\tO' +p308323 +asS'She is just begun on Macrodantin at the day of discharge and should continue 100 mg per NG tube q.i.d. for a ten day course .' +p308324 +(lp308325 +S'She\tShe\tPRP\tB-NP\tO' +p308326 +aS'is\tbe\tVBZ\tB-VP\tO' +p308327 +aS'just\tjust\tRB\tI-VP\tO' +p308328 +aS'begun\tbegin\tVBN\tI-VP\tO' +p308329 +aS'on\ton\tIN\tB-PP\tO' +p308330 +aS'Macrodantin\tMacrodantin\tNN\tB-NP\tB-protein' +p308331 +aS'at\tat\tIN\tB-PP\tO' +p308332 +aS'the\tthe\tDT\tB-NP\tO' +p308333 +aS'day\tday\tNN\tI-NP\tO' +p308334 +aS'of\tof\tIN\tB-PP\tO' +p308335 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p308336 +aS'and\tand\tCC\tO\tO' +p308337 +aS'should\tshould\tMD\tB-VP\tO' +p308338 +aS'continue\tcontinue\tVB\tI-VP\tO' +p308339 +aS'100\t100\tCD\tB-NP\tO' +p308340 +aS'mg\tmg\tNN\tI-NP\tO' +p308341 +aS'per\tper\tIN\tB-PP\tO' +p308342 +aS'NG\tNG\tNN\tB-NP\tO' +p308343 +aS'tube\ttube\tNN\tI-NP\tO' +p308344 +aS'q.i.d.\tq.i.d.\tNN\tI-NP\tO' +p308345 +aS'for\tfor\tIN\tB-PP\tO' +p308346 +aS'a\ta\tDT\tB-NP\tO' +p308347 +aS'ten\tten\tCD\tI-NP\tO' +p308348 +aS'day\tday\tNN\tI-NP\tO' +p308349 +aS'course\tcourse\tNN\tI-NP\tO' +p308350 +aS'.\t.\t.\tO\tO' +p308351 +asS'heent - anicteric sclera , op clear with mmm' +p308352 +(lp308353 +S'heent\theent\tJJ\tB-NP\tO' +p308354 +aS'-\t-\tHYPH\tI-NP\tO' +p308355 +aS'anicteric\tanicteric\tJJ\tI-NP\tO' +p308356 +aS'sclera\tsclera\tNN\tI-NP\tO' +p308357 +aS',\t,\t,\tO\tO' +p308358 +aS'op\top\tVBP\tB-VP\tO' +p308359 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p308360 +aS'with\twith\tIN\tB-PP\tO' +p308361 +aS'mmm\tmmm\tNN\tB-NP\tO' +p308362 +asS'# Respiratory Failure - Pt arrived on pressure support ventilation , which was changed to Assist control to make patient more comfortable .' +p308363 +(lp308364 +S'#\t#\t#\tB-NP\tO' +p308365 +aS'Respiratory\tRespiratory\tJJ\tI-NP\tO' +p308366 +aS'Failure\tFailure\tNN\tI-NP\tO' +p308367 +aS'-\t-\tHYPH\tO\tO' +p308368 +aS'Pt\tPt\tNN\tB-NP\tO' +p308369 +aS'arrived\tarrive\tVBN\tB-VP\tO' +p308370 +aS'on\ton\tIN\tB-PP\tO' +p308371 +aS'pressure\tpressure\tNN\tB-NP\tO' +p308372 +aS'support\tsupport\tNN\tI-NP\tO' +p308373 +aS'ventilation\tventilation\tNN\tI-NP\tO' +p308374 +aS',\t,\t,\tO\tO' +p308375 +aS'which\twhich\tWDT\tB-NP\tO' +p308376 +aS'was\tbe\tVBD\tB-VP\tO' +p308377 +aS'changed\tchange\tVBN\tI-VP\tO' +p308378 +aS'to\tto\tTO\tI-VP\tO' +p308379 +aS'Assist\tAssist\tVB\tI-VP\tO' +p308380 +aS'control\tcontrol\tNN\tB-NP\tO' +p308381 +aS'to\tto\tTO\tB-VP\tO' +p308382 +aS'make\tmake\tVB\tI-VP\tO' +p308383 +aS'patient\tpatient\tNN\tB-NP\tO' +p308384 +aS'more\tmore\tRBR\tB-ADJP\tO' +p308385 +aS'comfortable\tcomfortable\tJJ\tI-ADJP\tO' +p308386 +aS'.\t.\t.\tO\tO' +p308387 +asS'His chest x-ray showed diffuse patchy infiltrates on left lung with left upper lung patchy infiltrates and right hemidiaphragm elevated , consistent with adult respiratory distress syndrome from possible pneumonia .' +p308388 +(lp308389 +S'His\tHis\tPRP$\tB-NP\tO' +p308390 +aS'chest\tchest\tNN\tI-NP\tO' +p308391 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p308392 +aS'showed\tshow\tVBD\tB-VP\tO' +p308393 +aS'diffuse\tdiffuse\tJJ\tB-NP\tO' +p308394 +aS'patchy\tpatchy\tJJ\tI-NP\tO' +p308395 +aS'infiltrates\tinfiltrate\tNNS\tI-NP\tO' +p308396 +aS'on\ton\tIN\tB-PP\tO' +p308397 +aS'left\tleft\tJJ\tB-NP\tO' +p308398 +aS'lung\tlung\tNN\tI-NP\tO' +p308399 +aS'with\twith\tIN\tB-PP\tO' +p308400 +aS'left\tleft\tJJ\tB-NP\tB-cell_type' +p308401 +aS'upper\tupper\tJJ\tI-NP\tI-cell_type' +p308402 +aS'lung\tlung\tNN\tI-NP\tI-cell_type' +p308403 +aS'patchy\tpatchy\tNN\tI-NP\tI-cell_type' +p308404 +aS'infiltrates\tinfiltrate\tNNS\tI-NP\tI-cell_type' +p308405 +aS'and\tand\tCC\tO\tO' +p308406 +aS'right\tright\tJJ\tB-NP\tO' +p308407 +aS'hemidiaphragm\themidiaphragm\tNN\tI-NP\tO' +p308408 +aS'elevated\televate\tVBN\tB-VP\tO' +p308409 +aS',\t,\t,\tO\tO' +p308410 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p308411 +aS'with\twith\tIN\tB-PP\tO' +p308412 +aS'adult\tadult\tJJ\tB-NP\tO' +p308413 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p308414 +aS'distress\tdistress\tNN\tI-NP\tO' +p308415 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p308416 +aS'from\tfrom\tIN\tB-PP\tO' +p308417 +aS'possible\tpossible\tJJ\tB-NP\tO' +p308418 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p308419 +aS'.\t.\t.\tO\tO' +p308420 +asS'No gross deformities .' +p308421 +(lp308422 +S'No\tNo\tDT\tB-NP\tO' +p308423 +aS'gross\tgross\tJJ\tI-NP\tO' +p308424 +aS'deformities\tdeformity\tNNS\tI-NP\tO' +p308425 +aS'.\t.\t.\tO\tO' +p308426 +asS'The left vertebral artery had a decreased flow consistent with either native vessel disease or some degree of retrograde flow with subclavian steal phenomenon .' +p308427 +(lp308428 +S'The\tThe\tDT\tB-NP\tO' +p308429 +aS'left\tleft\tJJ\tI-NP\tO' +p308430 +aS'vertebral\tvertebral\tJJ\tI-NP\tO' +p308431 +aS'artery\tartery\tNN\tI-NP\tO' +p308432 +aS'had\thave\tVBD\tB-VP\tO' +p308433 +aS'a\ta\tDT\tB-NP\tO' +p308434 +aS'decreased\tdecrease\tVBN\tI-NP\tO' +p308435 +aS'flow\tflow\tNN\tI-NP\tO' +p308436 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p308437 +aS'with\twith\tIN\tB-PP\tO' +p308438 +aS'either\teither\tCC\tB-NP\tO' +p308439 +aS'native\tnative\tJJ\tI-NP\tO' +p308440 +aS'vessel\tvessel\tNN\tI-NP\tO' +p308441 +aS'disease\tdisease\tNN\tI-NP\tO' +p308442 +aS'or\tor\tCC\tO\tO' +p308443 +aS'some\tsome\tDT\tB-NP\tO' +p308444 +aS'degree\tdegree\tNN\tI-NP\tO' +p308445 +aS'of\tof\tIN\tB-PP\tO' +p308446 +aS'retrograde\tretrograde\tJJ\tB-NP\tO' +p308447 +aS'flow\tflow\tNN\tI-NP\tO' +p308448 +aS'with\twith\tIN\tB-PP\tO' +p308449 +aS'subclavian\tsubclavian\tJJ\tB-NP\tO' +p308450 +aS'steal\tsteal\tJJ\tI-NP\tO' +p308451 +aS'phenomenon\tphenomenon\tNN\tI-NP\tO' +p308452 +aS'.\t.\t.\tO\tO' +p308453 +asS'The patient was transferred to the Gemenadentoolpai Medical Center and was admitted .' +p308454 +(lp308455 +S'The\tThe\tDT\tB-NP\tO' +p308456 +aS'patient\tpatient\tNN\tI-NP\tO' +p308457 +aS'was\tbe\tVBD\tB-VP\tO' +p308458 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p308459 +aS'to\tto\tTO\tB-PP\tO' +p308460 +aS'the\tthe\tDT\tB-NP\tO' +p308461 +aS'Gemenadentoolpai\tGemenadentoolpai\tNNP\tI-NP\tO' +p308462 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p308463 +aS'Center\tCenter\tNNP\tI-NP\tO' +p308464 +aS'and\tand\tCC\tO\tO' +p308465 +aS'was\tbe\tVBD\tB-VP\tO' +p308466 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p308467 +aS'.\t.\t.\tO\tO' +p308468 +asS'While she was not taking adequate pos , she was on IV levothyroxine .' +p308469 +(lp308470 +S'While\tWhile\tIN\tB-SBAR\tO' +p308471 +aS'she\tshe\tPRP\tB-NP\tO' +p308472 +aS'was\tbe\tVBD\tB-VP\tO' +p308473 +aS'not\tnot\tRB\tI-VP\tO' +p308474 +aS'taking\ttake\tVBG\tI-VP\tO' +p308475 +aS'adequate\tadequate\tJJ\tB-NP\tO' +p308476 +aS'pos\tpo\tNNS\tI-NP\tO' +p308477 +aS',\t,\t,\tO\tO' +p308478 +aS'she\tshe\tPRP\tB-NP\tO' +p308479 +aS'was\tbe\tVBD\tB-VP\tO' +p308480 +aS'on\ton\tIN\tB-PP\tO' +p308481 +aS'IV\tIV\tCD\tB-NP\tO' +p308482 +aS'levothyroxine\tlevothyroxine\tNN\tI-NP\tO' +p308483 +aS'.\t.\t.\tO\tO' +p308484 +asS'No parasternal heave .' +p308485 +(lp308486 +S'No\tNo\tDT\tB-NP\tO' +p308487 +aS'parasternal\tparasternal\tJJ\tI-NP\tO' +p308488 +aS'heave\theave\tNN\tI-NP\tO' +p308489 +aS'.\t.\t.\tO\tO' +p308490 +asS'2. Type 1 diabetes mellitus .' +p308491 +(lp308492 +S'2.\t2.\tLS\tB-LST\tO' +p308493 +aS'Type\tType\tNN\tB-NP\tO' +p308494 +aS'1\t1\tCD\tI-NP\tO' +p308495 +aS'diabetes\tdiabetes\tNN\tI-NP\tO' +p308496 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p308497 +aS'.\t.\t.\tO\tO' +p308498 +asS'On day six , an echocardiogram showed an ejection fraction of 44% with anterior akinesis and septal hypokinesis .' +p308499 +(lp308500 +S'On\tOn\tIN\tB-PP\tO' +p308501 +aS'day\tday\tNN\tB-NP\tO' +p308502 +aS'six\tsix\tCD\tI-NP\tO' +p308503 +aS',\t,\t,\tO\tO' +p308504 +aS'an\tan\tDT\tB-NP\tO' +p308505 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p308506 +aS'showed\tshow\tVBD\tB-VP\tO' +p308507 +aS'an\tan\tDT\tB-NP\tO' +p308508 +aS'ejection\tejection\tNN\tI-NP\tO' +p308509 +aS'fraction\tfraction\tNN\tI-NP\tO' +p308510 +aS'of\tof\tIN\tB-PP\tO' +p308511 +aS'44%\t44%\tNN\tB-NP\tO' +p308512 +aS'with\twith\tIN\tB-PP\tO' +p308513 +aS'anterior\tanterior\tJJ\tB-NP\tO' +p308514 +aS'akinesis\takinesis\tNN\tI-NP\tO' +p308515 +aS'and\tand\tCC\tO\tO' +p308516 +aS'septal\tseptal\tJJ\tB-NP\tO' +p308517 +aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' +p308518 +aS'.\t.\t.\tO\tO' +p308519 +asS'The neck was supple , without jugular venous distention or increased thyroid .' +p308520 +(lp308521 +S'The\tThe\tDT\tB-NP\tO' +p308522 +aS'neck\tneck\tNN\tI-NP\tO' +p308523 +aS'was\tbe\tVBD\tB-VP\tO' +p308524 +aS'supple\tsupple\tNN\tB-NP\tO' +p308525 +aS',\t,\t,\tO\tO' +p308526 +aS'without\twithout\tIN\tB-PP\tO' +p308527 +aS'jugular\tjugular\tJJ\tB-NP\tO' +p308528 +aS'venous\tvenous\tJJ\tI-NP\tO' +p308529 +aS'distention\tdistention\tNN\tI-NP\tO' +p308530 +aS'or\tor\tCC\tO\tO' +p308531 +aS'increased\tincrease\tVBN\tB-NP\tO' +p308532 +aS'thyroid\tthyroid\tNN\tI-NP\tO' +p308533 +aS'.\t.\t.\tO\tO' +p308534 +asS'The birth weight was 1,770 grams .' +p308535 +(lp308536 +S'The\tThe\tDT\tB-NP\tO' +p308537 +aS'birth\tbirth\tNN\tI-NP\tO' +p308538 +aS'weight\tweight\tNN\tI-NP\tO' +p308539 +aS'was\tbe\tVBD\tB-VP\tO' +p308540 +aS'1,770\t1,770\tCD\tB-NP\tO' +p308541 +aS'grams\tgram\tNNS\tI-NP\tO' +p308542 +aS'.\t.\t.\tO\tO' +p308543 +asS'This examination was unchanged from the previous examination .' +p308544 +(lp308545 +S'This\tThis\tDT\tB-NP\tO' +p308546 +aS'examination\texamination\tNN\tI-NP\tO' +p308547 +aS'was\tbe\tVBD\tB-VP\tO' +p308548 +aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' +p308549 +aS'from\tfrom\tIN\tB-PP\tO' +p308550 +aS'the\tthe\tDT\tB-NP\tO' +p308551 +aS'previous\tprevious\tJJ\tI-NP\tO' +p308552 +aS'examination\texamination\tNN\tI-NP\tO' +p308553 +aS'.\t.\t.\tO\tO' +p308554 +asS'Suctioned X 1 , mucus not cleared .' +p308555 +(lp308556 +S'Suctioned\tSuctione\tVBN\tB-VP\tO' +p308557 +aS'X\tX\tNN\tB-NP\tB-DNA' +p308558 +aS'1\t1\tCD\tI-NP\tI-DNA' +p308559 +aS',\t,\t,\tO\tO' +p308560 +aS'mucus\tmucus\tNN\tB-NP\tO' +p308561 +aS'not\tnot\tRB\tB-VP\tO' +p308562 +aS'cleared\tclear\tVBN\tI-VP\tO' +p308563 +aS'.\t.\t.\tO\tO' +p308564 +asS'She required disimpaction and had hard stool in the rectum .' +p308565 +(lp308566 +S'She\tShe\tPRP\tB-NP\tO' +p308567 +aS'required\trequire\tVBD\tB-VP\tO' +p308568 +aS'disimpaction\tdisimpaction\tNN\tB-NP\tO' +p308569 +aS'and\tand\tCC\tO\tO' +p308570 +aS'had\thave\tVBD\tB-VP\tO' +p308571 +aS'hard\thard\tJJ\tB-NP\tO' +p308572 +aS'stool\tstool\tNN\tI-NP\tO' +p308573 +aS'in\tin\tIN\tB-PP\tO' +p308574 +aS'the\tthe\tDT\tB-NP\tO' +p308575 +aS'rectum\trectum\tNN\tI-NP\tO' +p308576 +aS'.\t.\t.\tO\tO' +p308577 +asS'If you experience further bleeding or increasing discomfort with swallowing , you must tell your nurse and call your doctor right away .' +p308578 +(lp308579 +S'If\tIf\tIN\tB-SBAR\tO' +p308580 +aS'you\tyou\tPRP\tB-NP\tO' +p308581 +aS'experience\texperience\tVBP\tB-VP\tO' +p308582 +aS'further\tfurther\tRBR\tB-ADVP\tO' +p308583 +aS'bleeding\tbleed\tVBG\tB-VP\tO' +p308584 +aS'or\tor\tCC\tI-VP\tO' +p308585 +aS'increasing\tincrease\tVBG\tI-VP\tO' +p308586 +aS'discomfort\tdiscomfort\tNN\tB-NP\tO' +p308587 +aS'with\twith\tIN\tB-PP\tO' +p308588 +aS'swallowing\tswallow\tVBG\tB-VP\tO' +p308589 +aS',\t,\t,\tO\tO' +p308590 +aS'you\tyou\tPRP\tB-NP\tO' +p308591 +aS'must\tmust\tMD\tB-VP\tO' +p308592 +aS'tell\ttell\tVB\tI-VP\tO' +p308593 +aS'your\tyour\tPRP$\tB-NP\tO' +p308594 +aS'nurse\tnurse\tNN\tI-NP\tO' +p308595 +aS'and\tand\tCC\tO\tO' +p308596 +aS'call\tcall\tVB\tB-VP\tO' +p308597 +aS'your\tyour\tPRP$\tB-NP\tO' +p308598 +aS'doctor\tdoctor\tNN\tI-NP\tO' +p308599 +aS'right\tright\tRB\tB-ADVP\tO' +p308600 +aS'away\taway\tRB\tI-ADVP\tO' +p308601 +aS'.\t.\t.\tO\tO' +p308602 +asS'You should avoid aspirin , motrin or any other nonsteroidal antiinflammatory agents .' +p308603 +(lp308604 +S'You\tYou\tPRP\tB-NP\tB-protein' +p308605 +aS'should\tshould\tMD\tB-VP\tO' +p308606 +aS'avoid\tavoid\tVB\tI-VP\tO' +p308607 +aS'aspirin\taspirin\tNN\tB-NP\tO' +p308608 +aS',\t,\t,\tO\tO' +p308609 +aS'motrin\tmotrin\tNN\tB-NP\tO' +p308610 +aS'or\tor\tCC\tO\tO' +p308611 +aS'any\tany\tDT\tB-NP\tO' +p308612 +aS'other\tother\tJJ\tI-NP\tO' +p308613 +aS'nonsteroidal\tnonsteroidal\tJJ\tI-NP\tO' +p308614 +aS'antiinflammatory\tantiinflammatory\tJJ\tI-NP\tO' +p308615 +aS'agents\tagent\tNNS\tI-NP\tO' +p308616 +aS'.\t.\t.\tO\tO' +p308617 +asS'a diet as he wishes .' +p308618 +(lp308619 +S'a\ta\tDT\tB-NP\tO' +p308620 +aS'diet\tdiet\tNN\tI-NP\tO' +p308621 +aS'as\tas\tIN\tB-SBAR\tO' +p308622 +aS'he\the\tPRP\tB-NP\tO' +p308623 +aS'wishes\twish\tVBZ\tB-VP\tO' +p308624 +aS'.\t.\t.\tO\tO' +p308625 +asS'He did have a magnetic resonance angiography of his kidneys which showed mild right-sided renal artery stenosis .' +p308626 +(lp308627 +S'He\tHe\tPRP\tB-NP\tO' +p308628 +aS'did\tdo\tVBD\tB-VP\tO' +p308629 +aS'have\thave\tVB\tI-VP\tO' +p308630 +aS'a\ta\tDT\tB-NP\tO' +p308631 +aS'magnetic\tmagnetic\tJJ\tI-NP\tO' +p308632 +aS'resonance\tresonance\tNN\tI-NP\tO' +p308633 +aS'angiography\tangiography\tNN\tI-NP\tO' +p308634 +aS'of\tof\tIN\tB-PP\tO' +p308635 +aS'his\this\tPRP$\tB-NP\tO' +p308636 +aS'kidneys\tkidney\tNNS\tI-NP\tO' +p308637 +aS'which\twhich\tWDT\tB-NP\tO' +p308638 +aS'showed\tshow\tVBD\tB-VP\tO' +p308639 +aS'mild\tmild\tJJ\tB-NP\tO' +p308640 +aS'right-sided\tright-sided\tJJ\tI-NP\tO' +p308641 +aS'renal\trenal\tJJ\tI-NP\tO' +p308642 +aS'artery\tartery\tNN\tI-NP\tO' +p308643 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p308644 +aS'.\t.\t.\tO\tO' +p308645 +asS'Motor , sensory , and vascular examinations were intact in all distributions .' +p308646 +(lp308647 +S'Motor\tMotor\tNNP\tB-NP\tO' +p308648 +aS',\t,\t,\tO\tO' +p308649 +aS'sensory\tsensory\tJJ\tB-ADJP\tO' +p308650 +aS',\t,\t,\tO\tO' +p308651 +aS'and\tand\tCC\tO\tO' +p308652 +aS'vascular\tvascular\tJJ\tB-NP\tO' +p308653 +aS'examinations\texamination\tNNS\tI-NP\tO' +p308654 +aS'were\tbe\tVBD\tB-VP\tO' +p308655 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p308656 +aS'in\tin\tIN\tB-PP\tO' +p308657 +aS'all\tall\tDT\tB-NP\tO' +p308658 +aS'distributions\tdistribution\tNNS\tI-NP\tO' +p308659 +aS'.\t.\t.\tO\tO' +p308660 +asS"Pt 's blood cultures came back positive for Staph Aureus and Enterococcus , both were pansensitive ." +p308661 +(lp308662 +S'Pt\tPt\tNN\tB-NP\tO' +p308663 +aS"'s\t's\tPOS\tB-NP\tO" +p308664 +aS'blood\tblood\tNN\tI-NP\tO' +p308665 +aS'cultures\tculture\tNNS\tI-NP\tO' +p308666 +aS'came\tcome\tVBD\tB-VP\tO' +p308667 +aS'back\tback\tRB\tB-ADVP\tO' +p308668 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p308669 +aS'for\tfor\tIN\tB-PP\tO' +p308670 +aS'Staph\tStaph\tNNP\tB-NP\tO' +p308671 +aS'Aureus\tAureus\tNNP\tI-NP\tO' +p308672 +aS'and\tand\tCC\tO\tO' +p308673 +aS'Enterococcus\tEnterococcus\tNNP\tB-NP\tO' +p308674 +aS',\t,\t,\tO\tO' +p308675 +aS'both\tboth\tDT\tB-NP\tO' +p308676 +aS'were\tbe\tVBD\tB-VP\tO' +p308677 +aS'pansensitive\tpansensitive\tJJ\tB-ADJP\tO' +p308678 +aS'.\t.\t.\tO\tO' +p308679 +asS'Please follow-up with your PCP N 6-12 months reguading the right thyroid nodule and the bilateral small lung nodules seen on your chest CT .' +p308680 +(lp308681 +S'Please\tPlease\tNN\tB-NP\tO' +p308682 +aS'follow-up\tfollow-up\tNN\tI-NP\tO' +p308683 +aS'with\twith\tIN\tB-PP\tO' +p308684 +aS'your\tyour\tPRP$\tB-NP\tO' +p308685 +aS'PCP\tPCP\tNN\tI-NP\tO' +p308686 +aS'N\tN\tNN\tI-NP\tO' +p308687 +aS'6-12\t6-12\tNN\tI-NP\tO' +p308688 +aS'months\tmonth\tNNS\tI-NP\tO' +p308689 +aS'reguading\treguade\tVBG\tB-VP\tO' +p308690 +aS'the\tthe\tDT\tB-NP\tO' +p308691 +aS'right\tright\tJJ\tI-NP\tO' +p308692 +aS'thyroid\tthyroid\tNN\tI-NP\tO' +p308693 +aS'nodule\tnodule\tNN\tI-NP\tO' +p308694 +aS'and\tand\tCC\tO\tO' +p308695 +aS'the\tthe\tDT\tB-NP\tO' +p308696 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p308697 +aS'small\tsmall\tJJ\tI-NP\tO' +p308698 +aS'lung\tlung\tNN\tI-NP\tO' +p308699 +aS'nodules\tnodule\tNNS\tI-NP\tO' +p308700 +aS'seen\tsee\tVBN\tB-VP\tO' +p308701 +aS'on\ton\tIN\tB-PP\tO' +p308702 +aS'your\tyour\tPRP$\tB-NP\tO' +p308703 +aS'chest\tchest\tNN\tI-NP\tO' +p308704 +aS'CT\tCT\tNN\tI-NP\tO' +p308705 +aS'.\t.\t.\tO\tO' +p308706 +asS'No tobacco and no alcohol use .' +p308707 +(lp308708 +S'No\tNo\tDT\tB-NP\tO' +p308709 +aS'tobacco\ttobacco\tNN\tI-NP\tO' +p308710 +aS'and\tand\tCC\tO\tO' +p308711 +aS'no\tno\tDT\tB-NP\tO' +p308712 +aS'alcohol\talcohol\tNN\tI-NP\tO' +p308713 +aS'use\tuse\tNN\tI-NP\tO' +p308714 +aS'.\t.\t.\tO\tO' +p308715 +asS'His Isordil was increased in Hospital and blood pressure control was relative episodic with systolic pressures ranging between 100 and 160 .' +p308716 +(lp308717 +S'His\tHis\tPRP$\tB-NP\tO' +p308718 +aS'Isordil\tIsordil\tNN\tI-NP\tO' +p308719 +aS'was\tbe\tVBD\tB-VP\tO' +p308720 +aS'increased\tincrease\tVBN\tI-VP\tO' +p308721 +aS'in\tin\tIN\tB-PP\tO' +p308722 +aS'Hospital\tHospital\tNN\tB-NP\tO' +p308723 +aS'and\tand\tCC\tI-NP\tO' +p308724 +aS'blood\tblood\tNN\tI-NP\tO' +p308725 +aS'pressure\tpressure\tNN\tI-NP\tO' +p308726 +aS'control\tcontrol\tNN\tI-NP\tO' +p308727 +aS'was\tbe\tVBD\tB-VP\tO' +p308728 +aS'relative\trelative\tJJ\tB-ADJP\tO' +p308729 +aS'episodic\tepisodic\tJJ\tI-ADJP\tO' +p308730 +aS'with\twith\tIN\tB-PP\tO' +p308731 +aS'systolic\tsystolic\tJJ\tB-NP\tO' +p308732 +aS'pressures\tpressure\tNNS\tI-NP\tO' +p308733 +aS'ranging\trange\tVBG\tB-VP\tO' +p308734 +aS'between\tbetween\tIN\tB-PP\tO' +p308735 +aS'100\t100\tCD\tB-NP\tB-DNA' +p308736 +aS'and\tand\tCC\tI-NP\tI-DNA' +p308737 +aS'160\t160\tCD\tI-NP\tI-DNA' +p308738 +aS'.\t.\t.\tO\tO' +p308739 +asS'Blood cultures remained negative .' +p308740 +(lp308741 +S'Blood\tBlood\tNN\tB-NP\tB-cell_line' +p308742 +aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' +p308743 +aS'remained\tremain\tVBD\tB-VP\tO' +p308744 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p308745 +aS'.\t.\t.\tO\tO' +p308746 +asS'Right occipital , cerebral infarction .' +p308747 +(lp308748 +S'Right\tRight\tRB\tB-NP\tO' +p308749 +aS'occipital\toccipital\tNN\tI-NP\tO' +p308750 +aS',\t,\t,\tO\tO' +p308751 +aS'cerebral\tcerebral\tJJ\tB-NP\tO' +p308752 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p308753 +aS'.\t.\t.\tO\tO' +p308754 +asS'Serum osmolality was 38397 , calculated osmolality gap was 21 .' +p308755 +(lp308756 +S'Serum\tSerum\tNN\tB-NP\tO' +p308757 +aS'osmolality\tosmolality\tNN\tI-NP\tO' +p308758 +aS'was\tbe\tVBD\tB-VP\tO' +p308759 +aS'38397\t38397\tCD\tB-NP\tO' +p308760 +aS',\t,\t,\tO\tO' +p308761 +aS'calculated\tcalculate\tVBN\tB-NP\tO' +p308762 +aS'osmolality\tosmolality\tNN\tI-NP\tO' +p308763 +aS'gap\tgap\tNN\tI-NP\tO' +p308764 +aS'was\tbe\tVBD\tB-VP\tO' +p308765 +aS'21\t21\tCD\tB-NP\tO' +p308766 +aS'.\t.\t.\tO\tO' +p308767 +asS'Other medications including Prozac .' +p308768 +(lp308769 +S'Other\tOther\tJJ\tB-NP\tO' +p308770 +aS'medications\tmedication\tNNS\tI-NP\tO' +p308771 +aS'including\tinclude\tVBG\tB-PP\tO' +p308772 +aS'Prozac\tProzac\tNN\tB-NP\tO' +p308773 +aS'.\t.\t.\tO\tO' +p308774 +asS'HEENT examination is notable for bilateral esotropia .' +p308775 +(lp308776 +S'HEENT\tHEENT\tNN\tB-NP\tO' +p308777 +aS'examination\texamination\tNN\tI-NP\tO' +p308778 +aS'is\tbe\tVBZ\tB-VP\tO' +p308779 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p308780 +aS'for\tfor\tIN\tB-PP\tO' +p308781 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p308782 +aS'esotropia\tesotropia\tNN\tI-NP\tO' +p308783 +aS'.\t.\t.\tO\tO' +p308784 +asS'Magnesium 1.7 .' +p308785 +(lp308786 +S'Magnesium\tMagnesium\tNNP\tB-NP\tO' +p308787 +aS'1.7\t1.7\tCD\tI-NP\tO' +p308788 +aS'.\t.\t.\tO\tO' +p308789 +asS'Signed electronically by : DR. Donna Nance on : WED 2014-06-04 2:21 PM' +p308790 +(lp308791 +S'Signed\tSign\tVBN\tB-VP\tO' +p308792 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p308793 +aS'by\tby\tIN\tB-PP\tO' +p308794 +aS':\t:\t:\tO\tO' +p308795 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p308796 +aS'Donna\tDonna\tNNP\tI-NP\tO' +p308797 +aS'Nance\tNance\tNNP\tI-NP\tO' +p308798 +aS'on\ton\tIN\tB-PP\tO' +p308799 +aS':\t:\t:\tO\tO' +p308800 +aS'WED\tWED\tVBD\tB-VP\tO' +p308801 +aS'2014-06-04\t2014-06-04\tCD\tB-NP\tO' +p308802 +aS'2:21\t2:21\tCD\tI-NP\tO' +p308803 +aS'PM\tPM\tNN\tI-NP\tO' +p308804 +asS'He is now transferred to the medicine service for further care .' +p308805 +(lp308806 +S'He\tHe\tPRP\tB-NP\tO' +p308807 +aS'is\tbe\tVBZ\tB-VP\tO' +p308808 +aS'now\tnow\tRB\tI-VP\tO' +p308809 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p308810 +aS'to\tto\tTO\tB-PP\tO' +p308811 +aS'the\tthe\tDT\tB-NP\tO' +p308812 +aS'medicine\tmedicine\tNN\tI-NP\tO' +p308813 +aS'service\tservice\tNN\tI-NP\tO' +p308814 +aS'for\tfor\tIN\tB-PP\tO' +p308815 +aS'further\tfurther\tJJ\tB-NP\tO' +p308816 +aS'care\tcare\tNN\tI-NP\tO' +p308817 +aS'.\t.\t.\tO\tO' +p308818 +asS'The patient is discharged to home on 7/10/98 .' +p308819 +(lp308820 +S'The\tThe\tDT\tB-NP\tO' +p308821 +aS'patient\tpatient\tNN\tI-NP\tO' +p308822 +aS'is\tbe\tVBZ\tB-VP\tO' +p308823 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p308824 +aS'to\tto\tTO\tB-PP\tO' +p308825 +aS'home\thome\tNN\tB-NP\tO' +p308826 +aS'on\ton\tIN\tB-PP\tO' +p308827 +aS'7/10/98\t7/10/98\tCD\tB-NP\tO' +p308828 +aS'.\t.\t.\tO\tO' +p308829 +asS'The infant received 48 hours of ampicillin and gentamicin which were discontinued with a negative blood culture .' +p308830 +(lp308831 +S'The\tThe\tDT\tB-NP\tO' +p308832 +aS'infant\tinfant\tNN\tI-NP\tO' +p308833 +aS'received\treceive\tVBD\tB-VP\tO' +p308834 +aS'48\t48\tCD\tB-NP\tO' +p308835 +aS'hours\thour\tNNS\tI-NP\tO' +p308836 +aS'of\tof\tIN\tB-PP\tO' +p308837 +aS'ampicillin\tampicillin\tNN\tB-NP\tO' +p308838 +aS'and\tand\tCC\tI-NP\tO' +p308839 +aS'gentamicin\tgentamicin\tNN\tI-NP\tO' +p308840 +aS'which\twhich\tWDT\tB-NP\tO' +p308841 +aS'were\tbe\tVBD\tB-VP\tO' +p308842 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p308843 +aS'with\twith\tIN\tB-PP\tO' +p308844 +aS'a\ta\tDT\tB-NP\tO' +p308845 +aS'negative\tnegative\tJJ\tI-NP\tO' +p308846 +aS'blood\tblood\tNN\tI-NP\tO' +p308847 +aS'culture\tculture\tNN\tI-NP\tO' +p308848 +aS'.\t.\t.\tO\tO' +p308849 +asS'The patient was brought to CT immediately for stat scan and was found to have a massive occipital spontaneous hemorrhage into the L ventricle requiring ventricular drainage .' +p308850 +(lp308851 +S'The\tThe\tDT\tB-NP\tO' +p308852 +aS'patient\tpatient\tNN\tI-NP\tO' +p308853 +aS'was\tbe\tVBD\tB-VP\tO' +p308854 +aS'brought\tbring\tVBN\tI-VP\tO' +p308855 +aS'to\tto\tTO\tB-PP\tO' +p308856 +aS'CT\tCT\tNN\tB-NP\tB-protein' +p308857 +aS'immediately\timmediately\tRB\tB-ADVP\tO' +p308858 +aS'for\tfor\tIN\tB-PP\tO' +p308859 +aS'stat\tstat\tNN\tB-NP\tO' +p308860 +aS'scan\tscan\tNN\tI-NP\tO' +p308861 +aS'and\tand\tCC\tO\tO' +p308862 +aS'was\tbe\tVBD\tB-VP\tO' +p308863 +aS'found\tfind\tVBN\tI-VP\tO' +p308864 +aS'to\tto\tTO\tI-VP\tO' +p308865 +aS'have\thave\tVB\tI-VP\tO' +p308866 +aS'a\ta\tDT\tB-NP\tO' +p308867 +aS'massive\tmassive\tJJ\tI-NP\tO' +p308868 +aS'occipital\toccipital\tNN\tI-NP\tO' +p308869 +aS'spontaneous\tspontaneous\tJJ\tI-NP\tO' +p308870 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p308871 +aS'into\tinto\tIN\tB-PP\tO' +p308872 +aS'the\tthe\tDT\tB-NP\tO' +p308873 +aS'L\tL\tNN\tI-NP\tO' +p308874 +aS'ventricle\tventricle\tNN\tI-NP\tO' +p308875 +aS'requiring\trequire\tVBG\tB-VP\tO' +p308876 +aS'ventricular\tventricular\tJJ\tB-NP\tO' +p308877 +aS'drainage\tdrainage\tNN\tI-NP\tO' +p308878 +aS'.\t.\t.\tO\tO' +p308879 +asS'Pacer seen in RV apex , but cannot exclude perforation .' +p308880 +(lp308881 +S'Pacer\tPacer\tNN\tB-NP\tO' +p308882 +aS'seen\tsee\tVBN\tB-VP\tO' +p308883 +aS'in\tin\tIN\tB-PP\tO' +p308884 +aS'RV\tRV\tNN\tB-NP\tO' +p308885 +aS'apex\tapex\tNN\tI-NP\tO' +p308886 +aS',\t,\t,\tO\tO' +p308887 +aS'but\tbut\tCC\tO\tO' +p308888 +aS'cannot\tcannot\tMD\tB-VP\tO' +p308889 +aS'exclude\texclude\tVB\tI-VP\tO' +p308890 +aS'perforation\tperforation\tNN\tB-NP\tO' +p308891 +aS'.\t.\t.\tO\tO' +p308892 +asS'The patient was also given instructions to be prudent and stay away from public places as well as small children .' +p308893 +(lp308894 +S'The\tThe\tDT\tB-NP\tO' +p308895 +aS'patient\tpatient\tNN\tI-NP\tO' +p308896 +aS'was\tbe\tVBD\tB-VP\tO' +p308897 +aS'also\talso\tRB\tI-VP\tO' +p308898 +aS'given\tgive\tVBN\tI-VP\tO' +p308899 +aS'instructions\tinstruction\tNNS\tB-NP\tO' +p308900 +aS'to\tto\tTO\tB-VP\tO' +p308901 +aS'be\tbe\tVB\tI-VP\tO' +p308902 +aS'prudent\tprudent\tJJ\tB-ADJP\tO' +p308903 +aS'and\tand\tCC\tO\tO' +p308904 +aS'stay\tstay\tVB\tB-VP\tO' +p308905 +aS'away\taway\tRB\tB-ADVP\tO' +p308906 +aS'from\tfrom\tIN\tB-PP\tO' +p308907 +aS'public\tpublic\tJJ\tB-NP\tO' +p308908 +aS'places\tplace\tNNS\tI-NP\tO' +p308909 +aS'as\tas\tRB\tB-CONJP\tO' +p308910 +aS'well\twell\tRB\tI-CONJP\tO' +p308911 +aS'as\tas\tIN\tI-CONJP\tO' +p308912 +aS'small\tsmall\tJJ\tB-NP\tO' +p308913 +aS'children\tchild\tNNS\tI-NP\tO' +p308914 +aS'.\t.\t.\tO\tO' +p308915 +asS'New lower left lateral CW opacity , likely loculated pleural fluid .' +p308916 +(lp308917 +S'New\tNew\tRB\tB-NP\tO' +p308918 +aS'lower\tlow\tJJR\tI-NP\tO' +p308919 +aS'left\tleft\tJJ\tI-NP\tO' +p308920 +aS'lateral\tlateral\tJJ\tI-NP\tO' +p308921 +aS'CW\tCW\tNN\tI-NP\tO' +p308922 +aS'opacity\topacity\tNN\tI-NP\tO' +p308923 +aS',\t,\t,\tO\tO' +p308924 +aS'likely\tlikely\tRB\tB-VP\tO' +p308925 +aS'loculated\tloculate\tVBN\tI-VP\tO' +p308926 +aS'pleural\tpleural\tJJ\tB-NP\tO' +p308927 +aS'fluid\tfluid\tNN\tI-NP\tO' +p308928 +aS'.\t.\t.\tO\tO' +p308929 +asS'She has no current romantic relationship .' +p308930 +(lp308931 +S'She\tShe\tPRP\tB-NP\tO' +p308932 +aS'has\thave\tVBZ\tB-VP\tO' +p308933 +aS'no\tno\tDT\tB-NP\tO' +p308934 +aS'current\tcurrent\tJJ\tI-NP\tO' +p308935 +aS'romantic\tromantic\tJJ\tI-NP\tO' +p308936 +aS'relationship\trelationship\tNN\tI-NP\tO' +p308937 +aS'.\t.\t.\tO\tO' +p308938 +asS'Electrolytes at this point were a sodium of 143 and potassium 1.7 .' +p308939 +(lp308940 +S'Electrolytes\tElectrolyte\tNNS\tB-NP\tO' +p308941 +aS'at\tat\tIN\tB-PP\tO' +p308942 +aS'this\tthis\tDT\tB-NP\tO' +p308943 +aS'point\tpoint\tNN\tI-NP\tO' +p308944 +aS'were\tbe\tVBD\tB-VP\tO' +p308945 +aS'a\ta\tDT\tB-NP\tO' +p308946 +aS'sodium\tsodium\tNN\tI-NP\tO' +p308947 +aS'of\tof\tIN\tB-PP\tO' +p308948 +aS'143\t143\tCD\tB-NP\tO' +p308949 +aS'and\tand\tCC\tO\tO' +p308950 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p308951 +aS'1.7\t1.7\tCD\tI-NP\tO' +p308952 +aS'.\t.\t.\tO\tO' +p308953 +asS'3. Feeding jejunostomy .' +p308954 +(lp308955 +S'3.\t3.\tLS\tB-NP\tO' +p308956 +aS'Feeding\tFeeding\tNN\tI-NP\tO' +p308957 +aS'jejunostomy\tjejunostomy\tNN\tI-NP\tO' +p308958 +aS'.\t.\t.\tO\tO' +p308959 +asS'Denies IVDU .' +p308960 +(lp308961 +S'Denies\tDeny\tNNS\tB-NP\tO' +p308962 +aS'IVDU\tIVDU\tNN\tI-NP\tO' +p308963 +aS'.\t.\t.\tO\tO' +p308964 +asS'The patient was admitted to NVH and started on vancomycin , levofloxacin and Flagyl .' +p308965 +(lp308966 +S'The\tThe\tDT\tB-NP\tO' +p308967 +aS'patient\tpatient\tNN\tI-NP\tO' +p308968 +aS'was\tbe\tVBD\tB-VP\tO' +p308969 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p308970 +aS'to\tto\tTO\tB-PP\tO' +p308971 +aS'NVH\tNVH\tNN\tB-NP\tB-protein' +p308972 +aS'and\tand\tCC\tO\tO' +p308973 +aS'started\tstart\tVBN\tB-VP\tO' +p308974 +aS'on\ton\tIN\tB-PP\tO' +p308975 +aS'vancomycin\tvancomycin\tNN\tB-NP\tO' +p308976 +aS',\t,\t,\tI-NP\tO' +p308977 +aS'levofloxacin\tlevofloxacin\tNN\tI-NP\tO' +p308978 +aS'and\tand\tCC\tI-NP\tO' +p308979 +aS'Flagyl\tFlagyl\tNN\tI-NP\tO' +p308980 +aS'.\t.\t.\tO\tO' +p308981 +asS'Pulmonary function tests most recently in 2009-01-10 were not obstructive .' +p308982 +(lp308983 +S'Pulmonary\tPulmonary\tJJ\tB-NP\tO' +p308984 +aS'function\tfunction\tNN\tI-NP\tO' +p308985 +aS'tests\ttest\tNNS\tI-NP\tO' +p308986 +aS'most\tmost\tRBS\tB-ADVP\tO' +p308987 +aS'recently\trecently\tRB\tI-ADVP\tO' +p308988 +aS'in\tin\tIN\tB-PP\tO' +p308989 +aS'2009-01-10\t2009-01-10\tCD\tB-NP\tO' +p308990 +aS'were\tbe\tVBD\tB-VP\tO' +p308991 +aS'not\tnot\tRB\tO\tO' +p308992 +aS'obstructive\tobstructive\tJJ\tB-ADJP\tO' +p308993 +aS'.\t.\t.\tO\tO' +p308994 +asS'She was instructed to call Dr. Blinjesc for the results of these tests and to follow up with him for further management if necessary .' +p308995 +(lp308996 +S'She\tShe\tPRP\tB-NP\tO' +p308997 +aS'was\tbe\tVBD\tB-VP\tO' +p308998 +aS'instructed\tinstruct\tVBN\tI-VP\tO' +p308999 +aS'to\tto\tTO\tI-VP\tO' +p309000 +aS'call\tcall\tVB\tI-VP\tO' +p309001 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p309002 +aS'Blinjesc\tBlinjesc\tNNP\tI-NP\tO' +p309003 +aS'for\tfor\tIN\tB-PP\tO' +p309004 +aS'the\tthe\tDT\tB-NP\tO' +p309005 +aS'results\tresult\tNNS\tI-NP\tO' +p309006 +aS'of\tof\tIN\tB-PP\tO' +p309007 +aS'these\tthese\tDT\tB-NP\tO' +p309008 +aS'tests\ttest\tNNS\tI-NP\tO' +p309009 +aS'and\tand\tCC\tO\tO' +p309010 +aS'to\tto\tTO\tB-VP\tO' +p309011 +aS'follow\tfollow\tVB\tI-VP\tO' +p309012 +aS'up\tup\tRP\tB-PRT\tO' +p309013 +aS'with\twith\tIN\tB-PP\tO' +p309014 +aS'him\thim\tPRP\tB-NP\tO' +p309015 +aS'for\tfor\tIN\tB-PP\tO' +p309016 +aS'further\tfurther\tJJ\tB-NP\tO' +p309017 +aS'management\tmanagement\tNN\tI-NP\tO' +p309018 +aS'if\tif\tIN\tB-SBAR\tO' +p309019 +aS'necessary\tnecessary\tJJ\tB-ADJP\tO' +p309020 +aS'.\t.\t.\tO\tO' +p309021 +asS'The infant was initially maintained on IVF , with introduction of enteral feeds on day of life 2 .' +p309022 +(lp309023 +S'The\tThe\tDT\tB-NP\tO' +p309024 +aS'infant\tinfant\tNN\tI-NP\tO' +p309025 +aS'was\tbe\tVBD\tB-VP\tO' +p309026 +aS'initially\tinitially\tRB\tI-VP\tO' +p309027 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p309028 +aS'on\ton\tIN\tB-PP\tO' +p309029 +aS'IVF\tIVF\tNN\tB-NP\tB-protein' +p309030 +aS',\t,\t,\tO\tO' +p309031 +aS'with\twith\tIN\tB-PP\tO' +p309032 +aS'introduction\tintroduction\tNN\tB-NP\tO' +p309033 +aS'of\tof\tIN\tB-PP\tO' +p309034 +aS'enteral\tenteral\tJJ\tB-NP\tO' +p309035 +aS'feeds\tfeed\tNNS\tI-NP\tO' +p309036 +aS'on\ton\tIN\tB-PP\tO' +p309037 +aS'day\tday\tNN\tB-NP\tO' +p309038 +aS'of\tof\tIN\tB-PP\tO' +p309039 +aS'life\tlife\tNN\tB-NP\tB-protein' +p309040 +aS'2\t2\tCD\tI-NP\tI-protein' +p309041 +aS'.\t.\t.\tO\tO' +p309042 +asS'Patients anticoag held during hemothorax .' +p309043 +(lp309044 +S'Patients\tPatient\tNNS\tB-NP\tO' +p309045 +aS'anticoag\tanticoag\tNN\tI-NP\tO' +p309046 +aS'held\thold\tVBN\tB-VP\tO' +p309047 +aS'during\tduring\tIN\tB-PP\tO' +p309048 +aS'hemothorax\themothorax\tNN\tB-NP\tO' +p309049 +aS'.\t.\t.\tO\tO' +p309050 +asS'Hold for loose stools .' +p309051 +(lp309052 +S'Hold\tHold\tNN\tB-NP\tO' +p309053 +aS'for\tfor\tIN\tB-PP\tO' +p309054 +aS'loose\tloose\tJJ\tB-NP\tO' +p309055 +aS'stools\tstool\tNNS\tI-NP\tO' +p309056 +aS'.\t.\t.\tO\tO' +p309057 +asS'We slowly advanced her diet as her mental status improved and repleted her electrolytes , and started on her p.o. medications on hospital day two .' +p309058 +(lp309059 +S'We\tWe\tPRP\tB-NP\tO' +p309060 +aS'slowly\tslowly\tRB\tB-ADVP\tO' +p309061 +aS'advanced\tadvance\tVBD\tB-VP\tO' +p309062 +aS'her\ther\tPRP$\tB-NP\tO' +p309063 +aS'diet\tdiet\tNN\tI-NP\tO' +p309064 +aS'as\tas\tIN\tB-PP\tO' +p309065 +aS'her\ther\tPRP$\tB-NP\tO' +p309066 +aS'mental\tmental\tJJ\tI-NP\tO' +p309067 +aS'status\tstatus\tNN\tI-NP\tO' +p309068 +aS'improved\timprove\tVBD\tB-VP\tO' +p309069 +aS'and\tand\tCC\tI-VP\tO' +p309070 +aS'repleted\treplete\tVBD\tI-VP\tO' +p309071 +aS'her\ther\tPRP$\tB-NP\tO' +p309072 +aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' +p309073 +aS',\t,\t,\tO\tO' +p309074 +aS'and\tand\tCC\tO\tO' +p309075 +aS'started\tstart\tVBD\tB-VP\tO' +p309076 +aS'on\ton\tIN\tB-PP\tO' +p309077 +aS'her\ther\tPRP$\tB-NP\tO' +p309078 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p309079 +aS'medications\tmedication\tNNS\tI-NP\tO' +p309080 +aS'on\ton\tIN\tB-PP\tO' +p309081 +aS'hospital\thospital\tNN\tB-NP\tO' +p309082 +aS'day\tday\tNN\tI-NP\tO' +p309083 +aS'two\ttwo\tCD\tI-NP\tO' +p309084 +aS'.\t.\t.\tO\tO' +p309085 +asS'2. Ipratropium Bromide 0.02 % Solution Sig : One ( 1 ) Inhalation Q6H ( every 6 hours ) as needed .' +p309086 +(lp309087 +S'2.\t2.\tLS\tB-NP\tO' +p309088 +aS'Ipratropium\tIpratropium\tNN\tI-NP\tO' +p309089 +aS'Bromide\tBromide\tNN\tI-NP\tO' +p309090 +aS'0.02\t0.02\tCD\tB-NP\tO' +p309091 +aS'%\t%\tNN\tI-NP\tO' +p309092 +aS'Solution\tSolution\tNNP\tI-NP\tO' +p309093 +aS'Sig\tSig\tNNP\tI-NP\tO' +p309094 +aS':\t:\t:\tO\tO' +p309095 +aS'One\tOne\tCD\tB-NP\tO' +p309096 +aS'(\t(\t(\tO\tO' +p309097 +aS'1\t1\tCD\tB-NP\tO' +p309098 +aS')\t)\t)\tO\tO' +p309099 +aS'Inhalation\tInhalation\tNN\tB-NP\tO' +p309100 +aS'Q6H\tQ6H\tNN\tI-NP\tO' +p309101 +aS'(\t(\t(\tO\tO' +p309102 +aS'every\tevery\tDT\tB-NP\tO' +p309103 +aS'6\t6\tCD\tI-NP\tO' +p309104 +aS'hours\thour\tNNS\tI-NP\tO' +p309105 +aS')\t)\t)\tO\tO' +p309106 +aS'as\tas\tIN\tB-SBAR\tO' +p309107 +aS'needed\tneed\tVBN\tB-VP\tO' +p309108 +aS'.\t.\t.\tO\tO' +p309109 +asS'She was receiving sub .q. heparin for DVT prophylaxis postoperatively .' +p309110 +(lp309111 +S'She\tShe\tPRP\tB-NP\tO' +p309112 +aS'was\tbe\tVBD\tB-VP\tO' +p309113 +aS'receiving\treceive\tVBG\tI-VP\tO' +p309114 +aS'sub\tsub\tNN\tB-NP\tO' +p309115 +aS'.q.\t.q.\tNN\tI-NP\tO' +p309116 +aS'heparin\theparin\tNN\tI-NP\tO' +p309117 +aS'for\tfor\tIN\tB-PP\tO' +p309118 +aS'DVT\tDVT\tNN\tB-NP\tO' +p309119 +aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' +p309120 +aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' +p309121 +aS'.\t.\t.\tO\tO' +p309122 +asS'Heart rate 105 .' +p309123 +(lp309124 +S'Heart\tHeart\tNN\tB-NP\tO' +p309125 +aS'rate\trate\tNN\tI-NP\tO' +p309126 +aS'105\t105\tCD\tI-NP\tO' +p309127 +aS'.\t.\t.\tO\tO' +p309128 +asS'No abscess or pseudocyst .' +p309129 +(lp309130 +S'No\tNo\tDT\tB-NP\tO' +p309131 +aS'abscess\tabscess\tNN\tI-NP\tO' +p309132 +aS'or\tor\tCC\tI-NP\tO' +p309133 +aS'pseudocyst\tpseudocyst\tNN\tI-NP\tO' +p309134 +aS'.\t.\t.\tO\tO' +p309135 +asS'He had a regular heart rate and rhythm , no murmur , and pulses were 2+ and symmetric .' +p309136 +(lp309137 +S'He\tHe\tPRP\tB-NP\tO' +p309138 +aS'had\thave\tVBD\tB-VP\tO' +p309139 +aS'a\ta\tDT\tB-NP\tO' +p309140 +aS'regular\tregular\tJJ\tI-NP\tO' +p309141 +aS'heart\theart\tNN\tI-NP\tO' +p309142 +aS'rate\trate\tNN\tI-NP\tO' +p309143 +aS'and\tand\tCC\tO\tO' +p309144 +aS'rhythm\trhythm\tNN\tB-NP\tO' +p309145 +aS',\t,\t,\tO\tO' +p309146 +aS'no\tno\tDT\tB-NP\tO' +p309147 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p309148 +aS',\t,\t,\tO\tO' +p309149 +aS'and\tand\tCC\tO\tO' +p309150 +aS'pulses\tpulse\tNNS\tB-NP\tO' +p309151 +aS'were\tbe\tVBD\tB-VP\tO' +p309152 +aS'2+\t2+\tJJ\tB-ADJP\tO' +p309153 +aS'and\tand\tCC\tI-ADJP\tO' +p309154 +aS'symmetric\tsymmetric\tJJ\tI-ADJP\tO' +p309155 +aS'.\t.\t.\tO\tO' +p309156 +asS'His catheterization revealed 70% stenosis of the distal left main coronary artery , 90% stenosis of the LAD , 80% stenosis of the circumflex , 90% stenosis of OM2 and a proximally occluded right coronary artery .' +p309157 +(lp309158 +S'His\tHis\tPRP$\tB-NP\tO' +p309159 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p309160 +aS'revealed\treveal\tVBD\tB-VP\tO' +p309161 +aS'70%\t70%\tJJ\tB-NP\tO' +p309162 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p309163 +aS'of\tof\tIN\tB-PP\tO' +p309164 +aS'the\tthe\tDT\tB-NP\tO' +p309165 +aS'distal\tdistal\tJJ\tI-NP\tO' +p309166 +aS'left\tleft\tJJ\tI-NP\tO' +p309167 +aS'main\tmain\tJJ\tI-NP\tO' +p309168 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p309169 +aS'artery\tartery\tNN\tI-NP\tO' +p309170 +aS',\t,\t,\tO\tO' +p309171 +aS'90%\t90%\tCD\tB-NP\tO' +p309172 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p309173 +aS'of\tof\tIN\tB-PP\tO' +p309174 +aS'the\tthe\tDT\tB-NP\tO' +p309175 +aS'LAD\tLAD\tNN\tI-NP\tO' +p309176 +aS',\t,\t,\tO\tO' +p309177 +aS'80%\t80%\tCD\tB-NP\tO' +p309178 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p309179 +aS'of\tof\tIN\tB-PP\tO' +p309180 +aS'the\tthe\tDT\tB-NP\tO' +p309181 +aS'circumflex\tcircumflex\tNN\tI-NP\tO' +p309182 +aS',\t,\t,\tO\tO' +p309183 +aS'90%\t90%\tCD\tB-NP\tO' +p309184 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p309185 +aS'of\tof\tIN\tB-PP\tO' +p309186 +aS'OM2\tOM2\tNN\tB-NP\tB-protein' +p309187 +aS'and\tand\tCC\tO\tO' +p309188 +aS'a\ta\tDT\tB-NP\tO' +p309189 +aS'proximally\tproximally\tRB\tI-NP\tO' +p309190 +aS'occluded\tocclude\tVBN\tI-NP\tO' +p309191 +aS'right\tright\tJJ\tI-NP\tO' +p309192 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p309193 +aS'artery\tartery\tNN\tI-NP\tO' +p309194 +aS'.\t.\t.\tO\tO' +p309195 +asS'6. Single mental status change times two hours during episode of blood transfusion reaction .' +p309196 +(lp309197 +S'6.\t6.\tLS\tB-NP\tO' +p309198 +aS'Single\tSingle\tJJ\tI-NP\tO' +p309199 +aS'mental\tmental\tJJ\tI-NP\tO' +p309200 +aS'status\tstatus\tNN\tI-NP\tO' +p309201 +aS'change\tchange\tNN\tI-NP\tO' +p309202 +aS'times\ttime\tNNS\tI-NP\tO' +p309203 +aS'two\ttwo\tCD\tB-NP\tO' +p309204 +aS'hours\thour\tNNS\tI-NP\tO' +p309205 +aS'during\tduring\tIN\tB-PP\tO' +p309206 +aS'episode\tepisode\tNN\tB-NP\tO' +p309207 +aS'of\tof\tIN\tB-PP\tO' +p309208 +aS'blood\tblood\tNN\tB-NP\tO' +p309209 +aS'transfusion\ttransfusion\tNN\tI-NP\tO' +p309210 +aS'reaction\treaction\tNN\tI-NP\tO' +p309211 +aS'.\t.\t.\tO\tO' +p309212 +asS'Unasyn for antibiotic coverage .' +p309213 +(lp309214 +S'Unasyn\tUnasyn\tIN\tB-PP\tO' +p309215 +aS'for\tfor\tIN\tB-PP\tO' +p309216 +aS'antibiotic\tantibiotic\tJJ\tB-NP\tO' +p309217 +aS'coverage\tcoverage\tNN\tI-NP\tO' +p309218 +aS'.\t.\t.\tO\tO' +p309219 +asS'He is status post multiple angioplasty stents .' +p309220 +(lp309221 +S'He\tHe\tPRP\tB-NP\tO' +p309222 +aS'is\tbe\tVBZ\tB-VP\tO' +p309223 +aS'status\tstatus\tJJ\tB-ADJP\tO' +p309224 +aS'post\tpost\tIN\tB-PP\tO' +p309225 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p309226 +aS'angioplasty\tangioplasty\tJJ\tI-NP\tO' +p309227 +aS'stents\tstent\tNNS\tI-NP\tO' +p309228 +aS'.\t.\t.\tO\tO' +p309229 +asS'Endorses occassional marijuana use .' +p309230 +(lp309231 +S'Endorses\tEndors\tNNS\tB-NP\tO' +p309232 +aS'occassional\toccassional\tJJ\tI-NP\tO' +p309233 +aS'marijuana\tmarijuana\tNN\tI-NP\tO' +p309234 +aS'use\tuse\tNN\tI-NP\tO' +p309235 +aS'.\t.\t.\tO\tO' +p309236 +asS'There was global hypokinesis apical throughout the right ventricle and abnormal septal motion consistent with right ventricular volume overload .' +p309237 +(lp309238 +S'There\tThere\tEX\tB-NP\tO' +p309239 +aS'was\tbe\tVBD\tB-VP\tO' +p309240 +aS'global\tglobal\tJJ\tB-NP\tO' +p309241 +aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' +p309242 +aS'apical\tapical\tJJ\tB-ADJP\tO' +p309243 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p309244 +aS'the\tthe\tDT\tB-NP\tO' +p309245 +aS'right\tright\tJJ\tI-NP\tO' +p309246 +aS'ventricle\tventricle\tNN\tI-NP\tO' +p309247 +aS'and\tand\tCC\tO\tO' +p309248 +aS'abnormal\tabnormal\tJJ\tB-NP\tO' +p309249 +aS'septal\tseptal\tJJ\tI-NP\tO' +p309250 +aS'motion\tmotion\tNN\tI-NP\tO' +p309251 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p309252 +aS'with\twith\tIN\tB-PP\tO' +p309253 +aS'right\tright\tJJ\tB-NP\tO' +p309254 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p309255 +aS'volume\tvolume\tNN\tI-NP\tO' +p309256 +aS'overload\toverload\tNN\tI-NP\tO' +p309257 +aS'.\t.\t.\tO\tO' +p309258 +asS'Attending : Bradley A. Goldware , M.D.' +p309259 +(lp309260 +S'Attending\tAttend\tVBG\tB-VP\tO' +p309261 +aS':\t:\t:\tO\tO' +p309262 +aS'Bradley\tBradley\tNNP\tB-NP\tO' +p309263 +aS'A.\tA.\tNNP\tI-NP\tO' +p309264 +aS'Goldware\tGoldware\tNNP\tI-NP\tO' +p309265 +aS',\t,\t,\tO\tO' +p309266 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p309267 +asS'Mr. Williams is an 85 yo gentleman who has a known cardiac history and has had a h/o worsening chest pain and shortness of breath .' +p309268 +(lp309269 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p309270 +aS'Williams\tWilliams\tNNP\tI-NP\tO' +p309271 +aS'is\tbe\tVBZ\tB-VP\tO' +p309272 +aS'an\tan\tDT\tB-NP\tO' +p309273 +aS'85\t85\tCD\tI-NP\tO' +p309274 +aS'yo\tyo\tNN\tI-NP\tO' +p309275 +aS'gentleman\tgentleman\tNN\tI-NP\tO' +p309276 +aS'who\twho\tWP\tB-NP\tO' +p309277 +aS'has\thave\tVBZ\tB-VP\tO' +p309278 +aS'a\ta\tDT\tB-NP\tO' +p309279 +aS'known\tknown\tJJ\tI-NP\tO' +p309280 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p309281 +aS'history\thistory\tNN\tI-NP\tO' +p309282 +aS'and\tand\tCC\tO\tO' +p309283 +aS'has\thave\tVBZ\tB-VP\tO' +p309284 +aS'had\thave\tVBN\tI-VP\tO' +p309285 +aS'a\ta\tDT\tB-NP\tO' +p309286 +aS'h/o\th/o\tNN\tI-NP\tB-protein' +p309287 +aS'worsening\tworsen\tVBG\tB-VP\tI-protein' +p309288 +aS'chest\tchest\tNN\tB-NP\tI-protein' +p309289 +aS'pain\tpain\tNN\tI-NP\tI-protein' +p309290 +aS'and\tand\tCC\tO\tO' +p309291 +aS'shortness\tshortness\tNN\tB-NP\tO' +p309292 +aS'of\tof\tIN\tB-PP\tO' +p309293 +aS'breath\tbreath\tNN\tB-NP\tO' +p309294 +aS'.\t.\t.\tO\tO' +p309295 +asS'Radiographs demonstrate right hip osteoarthritis .' +p309296 +(lp309297 +S'Radiographs\tRadiograph\tNNS\tB-NP\tO' +p309298 +aS'demonstrate\tdemonstrate\tVBP\tB-VP\tO' +p309299 +aS'right\tright\tJJ\tB-NP\tO' +p309300 +aS'hip\thip\tNN\tI-NP\tO' +p309301 +aS'osteoarthritis\tosteoarthritis\tNN\tI-NP\tO' +p309302 +aS'.\t.\t.\tO\tO' +p309303 +asS'In the Deanna , Tmax 102.8 , BP 100 - 140/60 s, HR 80 s, RR 20 s, Sat 75% on RA in triage , up to 100% on NRB .' +p309304 +(lp309305 +S'In\tIn\tIN\tB-PP\tO' +p309306 +aS'the\tthe\tDT\tB-NP\tO' +p309307 +aS'Deanna\tDeanna\tNNP\tI-NP\tO' +p309308 +aS',\t,\t,\tO\tO' +p309309 +aS'Tmax\tTmax\tNNP\tB-NP\tO' +p309310 +aS'102.8\t102.8\tCD\tI-NP\tO' +p309311 +aS',\t,\t,\tO\tO' +p309312 +aS'BP\tBP\tNN\tB-NP\tB-protein' +p309313 +aS'100\t100\tCD\tI-NP\tI-protein' +p309314 +aS'-\t-\tHYPH\tI-NP\tO' +p309315 +aS'140/60\t140/60\tCD\tI-NP\tB-DNA' +p309316 +aS's,\ts,\tNN\tI-NP\tI-DNA' +p309317 +aS'HR\tHR\tNN\tI-NP\tI-DNA' +p309318 +aS'80\t80\tCD\tI-NP\tI-DNA' +p309319 +aS's,\ts,\tNN\tI-NP\tI-DNA' +p309320 +aS'RR\tRR\tNN\tI-NP\tI-DNA' +p309321 +aS'20\t20\tCD\tB-NP\tI-DNA' +p309322 +aS's,\ts,\tNN\tI-NP\tI-DNA' +p309323 +aS'Sat\tSat\tNNP\tB-NP\tI-DNA' +p309324 +aS'75%\t75%\tCD\tI-NP\tI-DNA' +p309325 +aS'on\ton\tIN\tB-PP\tO' +p309326 +aS'RA\tRA\tNN\tB-NP\tO' +p309327 +aS'in\tin\tIN\tB-PP\tO' +p309328 +aS'triage\ttriage\tNN\tB-NP\tO' +p309329 +aS',\t,\t,\tO\tO' +p309330 +aS'up\tup\tRB\tB-ADVP\tO' +p309331 +aS'to\tto\tTO\tB-PP\tO' +p309332 +aS'100%\t100%\tCD\tB-NP\tO' +p309333 +aS'on\ton\tIN\tB-PP\tO' +p309334 +aS'NRB\tNRB\tNN\tB-NP\tB-protein' +p309335 +aS'.\t.\t.\tO\tO' +p309336 +asS'His nonsustained ventricular tachycardia was treated with a lidocaine drip .' +p309337 +(lp309338 +S'His\tHis\tPRP$\tB-NP\tO' +p309339 +aS'nonsustained\tnonsustained\tJJ\tI-NP\tO' +p309340 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p309341 +aS'tachycardia\ttachycardia\tNN\tI-NP\tO' +p309342 +aS'was\tbe\tVBD\tB-VP\tO' +p309343 +aS'treated\ttreat\tVBN\tI-VP\tO' +p309344 +aS'with\twith\tIN\tB-PP\tO' +p309345 +aS'a\ta\tDT\tB-NP\tO' +p309346 +aS'lidocaine\tlidocaine\tNN\tI-NP\tO' +p309347 +aS'drip\tdrip\tNN\tI-NP\tO' +p309348 +aS'.\t.\t.\tO\tO' +p309349 +asS'1. Increasing large right-sided pleural effusion and pulmonary edema .' +p309350 +(lp309351 +S'1.\t1.\tLS\tB-LST\tO' +p309352 +aS'Increasing\tIncrease\tVBG\tB-VP\tO' +p309353 +aS'large\tlarge\tJJ\tB-NP\tO' +p309354 +aS'right-sided\tright-sided\tJJ\tI-NP\tO' +p309355 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p309356 +aS'effusion\teffusion\tNN\tI-NP\tO' +p309357 +aS'and\tand\tCC\tO\tO' +p309358 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p309359 +aS'edema\tedema\tNN\tI-NP\tO' +p309360 +aS'.\t.\t.\tO\tO' +p309361 +asS'17 year old man with pneumocephalus s/p CMED CCU v. mvc' +p309362 +(lp309363 +S'17\t17\tCD\tB-NP\tO' +p309364 +aS'year\tyear\tNN\tI-NP\tO' +p309365 +aS'old\told\tJJ\tI-NP\tO' +p309366 +aS'man\tman\tNN\tI-NP\tO' +p309367 +aS'with\twith\tIN\tB-PP\tO' +p309368 +aS'pneumocephalus\tpneumocephalus\tNN\tB-NP\tO' +p309369 +aS's/p\ts/p\tNN\tI-NP\tO' +p309370 +aS'CMED\tCMED\tVBD\tB-VP\tO' +p309371 +aS'CCU\tCCU\tNN\tB-NP\tO' +p309372 +aS'v.\tv.\tNN\tI-NP\tO' +p309373 +aS'mvc\tmvc\tNN\tI-NP\tO' +p309374 +asS'Head , eyes , ears , nose and throat examination is normocephalic and atraumatic .' +p309375 +(lp309376 +S'Head\tHead\tRB\tB-ADVP\tO' +p309377 +aS',\t,\t,\tO\tO' +p309378 +aS'eyes\teye\tNNS\tB-NP\tO' +p309379 +aS',\t,\t,\tO\tO' +p309380 +aS'ears\tear\tNNS\tB-NP\tO' +p309381 +aS',\t,\t,\tO\tO' +p309382 +aS'nose\tnose\tNN\tB-NP\tO' +p309383 +aS'and\tand\tCC\tI-NP\tO' +p309384 +aS'throat\tthroat\tNN\tI-NP\tO' +p309385 +aS'examination\texamination\tNN\tI-NP\tO' +p309386 +aS'is\tbe\tVBZ\tB-VP\tO' +p309387 +aS'normocephalic\tnormocephalic\tJJ\tB-ADJP\tO' +p309388 +aS'and\tand\tCC\tI-ADJP\tO' +p309389 +aS'atraumatic\tatraumatic\tJJ\tI-ADJP\tO' +p309390 +aS'.\t.\t.\tO\tO' +p309391 +asS'He had Propofol at 30 mc per kg per minute and Neo-Synephrine to maintain his blood pressure .' +p309392 +(lp309393 +S'He\tHe\tPRP\tB-NP\tO' +p309394 +aS'had\thave\tVBD\tB-VP\tO' +p309395 +aS'Propofol\tPropofol\tNN\tB-NP\tO' +p309396 +aS'at\tat\tIN\tB-PP\tO' +p309397 +aS'30\t30\tCD\tB-NP\tO' +p309398 +aS'mc\tmc\tNN\tI-NP\tO' +p309399 +aS'per\tper\tIN\tB-PP\tO' +p309400 +aS'kg\tkg\tNN\tB-NP\tO' +p309401 +aS'per\tper\tIN\tB-PP\tO' +p309402 +aS'minute\tminute\tNN\tB-NP\tO' +p309403 +aS'and\tand\tCC\tO\tO' +p309404 +aS'Neo-Synephrine\tNeo-Synephrine\tNN\tB-NP\tO' +p309405 +aS'to\tto\tTO\tB-VP\tO' +p309406 +aS'maintain\tmaintain\tVB\tI-VP\tO' +p309407 +aS'his\this\tPRP$\tB-NP\tO' +p309408 +aS'blood\tblood\tNN\tI-NP\tO' +p309409 +aS'pressure\tpressure\tNN\tI-NP\tO' +p309410 +aS'.\t.\t.\tO\tO' +p309411 +asS'Blood cultures were obtained , urine cultures were obtained .' +p309412 +(lp309413 +S'Blood\tBlood\tNN\tB-NP\tB-cell_line' +p309414 +aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' +p309415 +aS'were\tbe\tVBD\tB-VP\tO' +p309416 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p309417 +aS',\t,\t,\tO\tO' +p309418 +aS'urine\turine\tNN\tB-NP\tB-cell_line' +p309419 +aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' +p309420 +aS'were\tbe\tVBD\tB-VP\tO' +p309421 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p309422 +aS'.\t.\t.\tO\tO' +p309423 +asS'Skin without rashes or lesions .' +p309424 +(lp309425 +S'Skin\tSkin\tNN\tB-NP\tO' +p309426 +aS'without\twithout\tIN\tB-PP\tO' +p309427 +aS'rashes\trash\tNNS\tB-NP\tO' +p309428 +aS'or\tor\tCC\tI-NP\tO' +p309429 +aS'lesions\tlesion\tNNS\tI-NP\tO' +p309430 +aS'.\t.\t.\tO\tO' +p309431 +asS'2. Atorvastatin Calcium 20 mg Tablet Sig : One ( 1 ) Tablet PO QD ( once a day ).' +p309432 +(lp309433 +S'2.\t2.\tLS\tB-NP\tO' +p309434 +aS'Atorvastatin\tAtorvastatin\tNN\tI-NP\tO' +p309435 +aS'Calcium\tCalcium\tNN\tI-NP\tO' +p309436 +aS'20\t20\tCD\tI-NP\tO' +p309437 +aS'mg\tmg\tNN\tI-NP\tO' +p309438 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p309439 +aS'Sig\tSig\tNNP\tI-NP\tO' +p309440 +aS':\t:\t:\tO\tO' +p309441 +aS'One\tOne\tCD\tB-NP\tO' +p309442 +aS'(\t(\t(\tO\tO' +p309443 +aS'1\t1\tCD\tB-NP\tO' +p309444 +aS')\t)\t)\tO\tO' +p309445 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p309446 +aS'PO\tPO\tNN\tI-NP\tO' +p309447 +aS'QD\tQD\tNN\tI-NP\tO' +p309448 +aS'(\t(\t(\tO\tO' +p309449 +aS'once\tonce\tRB\tB-ADVP\tO' +p309450 +aS'a\ta\tDT\tB-NP\tO' +p309451 +aS'day\tday\tNN\tI-NP\tO' +p309452 +aS').\t).\t.\tO\tO' +p309453 +asS'5. Immunizations : received hepatitis B on 09-16 .' +p309454 +(lp309455 +S'5.\t5.\tCD\tB-NP\tO' +p309456 +aS'Immunizations\tImmunization\tNNS\tI-NP\tO' +p309457 +aS':\t:\t:\tO\tO' +p309458 +aS'received\treceive\tVBD\tB-VP\tO' +p309459 +aS'hepatitis\thepatitis\tNN\tB-NP\tO' +p309460 +aS'B\tB\tNN\tI-NP\tO' +p309461 +aS'on\ton\tIN\tB-PP\tO' +p309462 +aS'09-16\t09-16\tCD\tB-NP\tO' +p309463 +aS'.\t.\t.\tO\tO' +p309464 +asS'On the night of 05-13 , the patient continued to decline .' +p309465 +(lp309466 +S'On\tOn\tIN\tB-PP\tO' +p309467 +aS'the\tthe\tDT\tB-NP\tO' +p309468 +aS'night\tnight\tNN\tI-NP\tO' +p309469 +aS'of\tof\tIN\tB-PP\tO' +p309470 +aS'05-13\t05-13\tCD\tB-NP\tO' +p309471 +aS',\t,\t,\tO\tO' +p309472 +aS'the\tthe\tDT\tB-NP\tO' +p309473 +aS'patient\tpatient\tNN\tI-NP\tO' +p309474 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p309475 +aS'to\tto\tTO\tI-VP\tO' +p309476 +aS'decline\tdecline\tVB\tI-VP\tO' +p309477 +aS'.\t.\t.\tO\tO' +p309478 +asS'Patient had q.i.d. fingersticks with a Humalog sliding scale and NPH doses were cut in half while she was NPO , and they were brought back to her normal doses on the day of discharge with a full diet .' +p309479 +(lp309480 +S'Patient\tPatient\tNN\tB-NP\tO' +p309481 +aS'had\thave\tVBD\tB-VP\tO' +p309482 +aS'q.i.d.\tq.i.d.\tVBN\tI-VP\tO' +p309483 +aS'fingersticks\tfingerstick\tNNS\tB-NP\tO' +p309484 +aS'with\twith\tIN\tB-PP\tO' +p309485 +aS'a\ta\tDT\tB-NP\tO' +p309486 +aS'Humalog\tHumalog\tNNP\tI-NP\tO' +p309487 +aS'sliding\tslide\tVBG\tI-NP\tO' +p309488 +aS'scale\tscale\tNN\tI-NP\tO' +p309489 +aS'and\tand\tCC\tI-NP\tO' +p309490 +aS'NPH\tNPH\tNN\tI-NP\tB-protein' +p309491 +aS'doses\tdose\tNNS\tI-NP\tI-protein' +p309492 +aS'were\tbe\tVBD\tB-VP\tO' +p309493 +aS'cut\tcut\tVBN\tI-VP\tO' +p309494 +aS'in\tin\tIN\tB-PP\tO' +p309495 +aS'half\thalf\tNN\tB-NP\tO' +p309496 +aS'while\twhile\tIN\tB-SBAR\tO' +p309497 +aS'she\tshe\tPRP\tB-NP\tO' +p309498 +aS'was\tbe\tVBD\tB-VP\tO' +p309499 +aS'NPO\tNPO\tNN\tB-NP\tB-protein' +p309500 +aS',\t,\t,\tO\tO' +p309501 +aS'and\tand\tCC\tO\tO' +p309502 +aS'they\tthey\tPRP\tB-NP\tO' +p309503 +aS'were\tbe\tVBD\tB-VP\tO' +p309504 +aS'brought\tbring\tVBN\tI-VP\tO' +p309505 +aS'back\tback\tRB\tB-ADVP\tO' +p309506 +aS'to\tto\tTO\tB-PP\tO' +p309507 +aS'her\ther\tPRP$\tB-NP\tO' +p309508 +aS'normal\tnormal\tJJ\tI-NP\tO' +p309509 +aS'doses\tdose\tNNS\tI-NP\tO' +p309510 +aS'on\ton\tIN\tB-PP\tO' +p309511 +aS'the\tthe\tDT\tB-NP\tO' +p309512 +aS'day\tday\tNN\tI-NP\tO' +p309513 +aS'of\tof\tIN\tB-PP\tO' +p309514 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p309515 +aS'with\twith\tIN\tB-PP\tO' +p309516 +aS'a\ta\tDT\tB-NP\tO' +p309517 +aS'full\tfull\tJJ\tI-NP\tO' +p309518 +aS'diet\tdiet\tNN\tI-NP\tO' +p309519 +aS'.\t.\t.\tO\tO' +p309520 +asS'Her risk factors for coronary artery disease included a positive family history and an elevated cholesterol level .' +p309521 +(lp309522 +S'Her\tHer\tPRP$\tB-NP\tO' +p309523 +aS'risk\trisk\tNN\tI-NP\tO' +p309524 +aS'factors\tfactor\tNNS\tI-NP\tO' +p309525 +aS'for\tfor\tIN\tB-PP\tO' +p309526 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p309527 +aS'artery\tartery\tNN\tI-NP\tO' +p309528 +aS'disease\tdisease\tNN\tI-NP\tO' +p309529 +aS'included\tinclude\tVBD\tB-VP\tO' +p309530 +aS'a\ta\tDT\tB-NP\tO' +p309531 +aS'positive\tpositive\tJJ\tI-NP\tO' +p309532 +aS'family\tfamily\tNN\tI-NP\tO' +p309533 +aS'history\thistory\tNN\tI-NP\tO' +p309534 +aS'and\tand\tCC\tO\tO' +p309535 +aS'an\tan\tDT\tB-NP\tO' +p309536 +aS'elevated\televated\tJJ\tI-NP\tO' +p309537 +aS'cholesterol\tcholesterol\tNN\tI-NP\tO' +p309538 +aS'level\tlevel\tNN\tI-NP\tO' +p309539 +aS'.\t.\t.\tO\tO' +p309540 +asS'She is transferred to Rockdempbanri Hospital on 05-28-92 to continue her rehabilitation .' +p309541 +(lp309542 +S'She\tShe\tPRP\tB-NP\tO' +p309543 +aS'is\tbe\tVBZ\tB-VP\tO' +p309544 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p309545 +aS'to\tto\tTO\tB-PP\tO' +p309546 +aS'Rockdempbanri\tRockdempbanri\tNNP\tB-NP\tO' +p309547 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p309548 +aS'on\ton\tIN\tB-PP\tO' +p309549 +aS'05-28-92\t05-28-92\tCD\tB-NP\tO' +p309550 +aS'to\tto\tTO\tB-VP\tO' +p309551 +aS'continue\tcontinue\tVB\tI-VP\tO' +p309552 +aS'her\ther\tPRP$\tB-NP\tO' +p309553 +aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' +p309554 +aS'.\t.\t.\tO\tO' +p309555 +asS'After this , the patient had no further problems with her rate control .' +p309556 +(lp309557 +S'After\tAfter\tIN\tB-PP\tO' +p309558 +aS'this\tthis\tDT\tB-NP\tO' +p309559 +aS',\t,\t,\tO\tO' +p309560 +aS'the\tthe\tDT\tB-NP\tO' +p309561 +aS'patient\tpatient\tNN\tI-NP\tO' +p309562 +aS'had\thave\tVBD\tB-VP\tO' +p309563 +aS'no\tno\tDT\tB-NP\tO' +p309564 +aS'further\tfurther\tJJ\tI-NP\tO' +p309565 +aS'problems\tproblem\tNNS\tI-NP\tO' +p309566 +aS'with\twith\tIN\tB-PP\tO' +p309567 +aS'her\ther\tPRP$\tB-NP\tO' +p309568 +aS'rate\trate\tNN\tI-NP\tO' +p309569 +aS'control\tcontrol\tNN\tI-NP\tO' +p309570 +aS'.\t.\t.\tO\tO' +p309571 +asS'He was transferred to the Intensive Care Unit on 12/12/90 on Gentamicin , Vancomycin , Pentamidine , and Prednisone .' +p309572 +(lp309573 +S'He\tHe\tPRP\tB-NP\tO' +p309574 +aS'was\tbe\tVBD\tB-VP\tO' +p309575 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p309576 +aS'to\tto\tTO\tB-PP\tO' +p309577 +aS'the\tthe\tDT\tB-NP\tO' +p309578 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p309579 +aS'Care\tCare\tNNP\tI-NP\tO' +p309580 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p309581 +aS'on\ton\tIN\tB-PP\tO' +p309582 +aS'12/12/90\t12/12/90\tCD\tB-NP\tO' +p309583 +aS'on\ton\tIN\tB-PP\tO' +p309584 +aS'Gentamicin\tGentamicin\tNN\tB-NP\tO' +p309585 +aS',\t,\t,\tO\tO' +p309586 +aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' +p309587 +aS',\t,\t,\tO\tO' +p309588 +aS'Pentamidine\tPentamidine\tNN\tB-NP\tO' +p309589 +aS',\t,\t,\tO\tO' +p309590 +aS'and\tand\tCC\tO\tO' +p309591 +aS'Prednisone\tPrednisone\tNN\tB-NP\tO' +p309592 +aS'.\t.\t.\tO\tO' +p309593 +asS'Coumadin was restarted , and her anticoagulation came into range .' +p309594 +(lp309595 +S'Coumadin\tCoumadin\tNN\tB-NP\tO' +p309596 +aS'was\tbe\tVBD\tB-VP\tO' +p309597 +aS'restarted\trestart\tVBN\tI-VP\tO' +p309598 +aS',\t,\t,\tO\tO' +p309599 +aS'and\tand\tCC\tO\tO' +p309600 +aS'her\ther\tPRP$\tB-NP\tO' +p309601 +aS'anticoagulation\tanticoagulation\tNN\tI-NP\tO' +p309602 +aS'came\tcome\tVBD\tB-VP\tO' +p309603 +aS'into\tinto\tIN\tB-PP\tO' +p309604 +aS'range\trange\tNN\tB-NP\tO' +p309605 +aS'.\t.\t.\tO\tO' +p309606 +asS'The infusion was completed without incidence .' +p309607 +(lp309608 +S'The\tThe\tDT\tB-NP\tO' +p309609 +aS'infusion\tinfusion\tNN\tI-NP\tO' +p309610 +aS'was\tbe\tVBD\tB-VP\tO' +p309611 +aS'completed\tcomplete\tVBN\tI-VP\tO' +p309612 +aS'without\twithout\tIN\tB-PP\tO' +p309613 +aS'incidence\tincidence\tNN\tB-NP\tO' +p309614 +aS'.\t.\t.\tO\tO' +p309615 +asS'He had a repeat echocardiogram which revealed a trivial / physiologic pericardial effusion .' +p309616 +(lp309617 +S'He\tHe\tPRP\tB-NP\tO' +p309618 +aS'had\thave\tVBD\tB-VP\tO' +p309619 +aS'a\ta\tDT\tB-NP\tO' +p309620 +aS'repeat\trepeat\tNN\tI-NP\tO' +p309621 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p309622 +aS'which\twhich\tWDT\tB-NP\tO' +p309623 +aS'revealed\treveal\tVBD\tB-VP\tO' +p309624 +aS'a\ta\tDT\tB-NP\tO' +p309625 +aS'trivial\ttrivial\tJJ\tI-NP\tO' +p309626 +aS'/\t/\tSYM\tI-NP\tO' +p309627 +aS'physiologic\tphysiologic\tJJ\tI-NP\tO' +p309628 +aS'pericardial\tpericardial\tJJ\tI-NP\tO' +p309629 +aS'effusion\teffusion\tNN\tI-NP\tO' +p309630 +aS'.\t.\t.\tO\tO' +p309631 +asS'On hospital day three , Mr. Roach had developed an episode of tachycardia and tachypnea .' +p309632 +(lp309633 +S'On\tOn\tIN\tB-PP\tO' +p309634 +aS'hospital\thospital\tNN\tB-NP\tO' +p309635 +aS'day\tday\tNN\tI-NP\tO' +p309636 +aS'three\tthree\tCD\tI-NP\tO' +p309637 +aS',\t,\t,\tO\tO' +p309638 +aS'Mr.\tMr.\tNNP\tB-NP\tO' +p309639 +aS'Roach\tRoach\tNNP\tI-NP\tO' +p309640 +aS'had\thave\tVBD\tB-VP\tO' +p309641 +aS'developed\tdevelop\tVBN\tI-VP\tO' +p309642 +aS'an\tan\tDT\tB-NP\tO' +p309643 +aS'episode\tepisode\tNN\tI-NP\tO' +p309644 +aS'of\tof\tIN\tB-PP\tO' +p309645 +aS'tachycardia\ttachycardia\tNN\tB-NP\tO' +p309646 +aS'and\tand\tCC\tI-NP\tO' +p309647 +aS'tachypnea\ttachypnea\tNN\tI-NP\tO' +p309648 +aS'.\t.\t.\tO\tO' +p309649 +asS'- Retroperitoneal Squamous Cell Carcinoma of unknown primary , dx' +p309650 +(lp309651 +S'-\t-\tHYPH\tB-NP\tO' +p309652 +aS'Retroperitoneal\tRetroperitoneal\tJJ\tI-NP\tO' +p309653 +aS'Squamous\tSquamous\tJJ\tI-NP\tO' +p309654 +aS'Cell\tCell\tNN\tI-NP\tO' +p309655 +aS'Carcinoma\tCarcinoma\tNN\tI-NP\tO' +p309656 +aS'of\tof\tIN\tB-PP\tO' +p309657 +aS'unknown\tunknown\tJJ\tB-NP\tO' +p309658 +aS'primary\tprimary\tJJ\tI-NP\tO' +p309659 +aS',\t,\t,\tI-NP\tO' +p309660 +aS'dx\tdx\tNN\tI-NP\tO' +p309661 +asS'Respiratory rate 14 .' +p309662 +(lp309663 +S'Respiratory\tRespiratory\tJJ\tB-NP\tO' +p309664 +aS'rate\trate\tNN\tI-NP\tO' +p309665 +aS'14\t14\tCD\tI-NP\tO' +p309666 +aS'.\t.\t.\tO\tO' +p309667 +asS'PT 9.4/10.3 , PTT 27 .' +p309668 +(lp309669 +S'PT\tPT\tNN\tB-NP\tB-protein' +p309670 +aS'9.4/10.3\t9.4/10.3\tCD\tI-NP\tI-protein' +p309671 +aS',\t,\t,\tO\tO' +p309672 +aS'PTT\tPTT\tNN\tB-NP\tO' +p309673 +aS'27\t27\tCD\tI-NP\tO' +p309674 +aS'.\t.\t.\tO\tO' +p309675 +asS'Her creatinine continued to increase , likely due to her worsening liver failure .' +p309676 +(lp309677 +S'Her\tHer\tPRP$\tB-NP\tO' +p309678 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p309679 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p309680 +aS'to\tto\tTO\tI-VP\tO' +p309681 +aS'increase\tincrease\tVB\tI-VP\tO' +p309682 +aS',\t,\t,\tO\tO' +p309683 +aS'likely\tlikely\tRB\tB-ADJP\tO' +p309684 +aS'due\tdue\tIN\tB-PP\tO' +p309685 +aS'to\tto\tTO\tB-PP\tO' +p309686 +aS'her\ther\tPRP$\tB-NP\tO' +p309687 +aS'worsening\tworsen\tVBG\tI-NP\tO' +p309688 +aS'liver\tliver\tNN\tI-NP\tO' +p309689 +aS'failure\tfailure\tNN\tI-NP\tO' +p309690 +aS'.\t.\t.\tO\tO' +p309691 +asS'A Neurosurgery Service consultation was obtained and they felt that no surgical intervention was required .' +p309692 +(lp309693 +S'A\tA\tDT\tB-NP\tO' +p309694 +aS'Neurosurgery\tNeurosurgery\tNNP\tI-NP\tO' +p309695 +aS'Service\tService\tNNP\tI-NP\tO' +p309696 +aS'consultation\tconsultation\tNN\tI-NP\tO' +p309697 +aS'was\tbe\tVBD\tB-VP\tO' +p309698 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p309699 +aS'and\tand\tCC\tO\tO' +p309700 +aS'they\tthey\tPRP\tB-NP\tO' +p309701 +aS'felt\tfeel\tVBD\tB-VP\tO' +p309702 +aS'that\tthat\tIN\tB-SBAR\tO' +p309703 +aS'no\tno\tDT\tB-NP\tO' +p309704 +aS'surgical\tsurgical\tJJ\tI-NP\tO' +p309705 +aS'intervention\tintervention\tNN\tI-NP\tO' +p309706 +aS'was\tbe\tVBD\tB-VP\tO' +p309707 +aS'required\trequire\tVBN\tI-VP\tO' +p309708 +aS'.\t.\t.\tO\tO' +p309709 +asS'5. blunt fracture of the neck of the pancreas .' +p309710 +(lp309711 +S'5.\t5.\tLS\tB-NP\tO' +p309712 +aS'blunt\tblunt\tNN\tI-NP\tO' +p309713 +aS'fracture\tfracture\tNN\tI-NP\tO' +p309714 +aS'of\tof\tIN\tB-PP\tO' +p309715 +aS'the\tthe\tDT\tB-NP\tO' +p309716 +aS'neck\tneck\tNN\tI-NP\tO' +p309717 +aS'of\tof\tIN\tB-PP\tO' +p309718 +aS'the\tthe\tDT\tB-NP\tO' +p309719 +aS'pancreas\tpancreas\tNN\tI-NP\tO' +p309720 +aS'.\t.\t.\tO\tO' +p309721 +asS'4. HISTORY OF COLON CANCER , STATUS POST RESECTION .' +p309722 +(lp309723 +S'4.\t4.\tLS\tB-NP\tO' +p309724 +aS'HISTORY\tHISTORY\tNN\tI-NP\tO' +p309725 +aS'OF\tOF\tIN\tB-PP\tO' +p309726 +aS'COLON\tCOLON\tNN\tB-NP\tO' +p309727 +aS'CANCER\tCANCER\tNN\tI-NP\tO' +p309728 +aS',\t,\t,\tO\tO' +p309729 +aS'STATUS\tSTATUS\tNNP\tB-NP\tO' +p309730 +aS'POST\tPOST\tNNP\tI-NP\tO' +p309731 +aS'RESECTION\tRESECTION\tNNP\tI-NP\tO' +p309732 +aS'.\t.\t.\tO\tO' +p309733 +asS'There is evidence of bilateral occipital and cerebellar infarctions as well .' +p309734 +(lp309735 +S'There\tThere\tEX\tB-NP\tO' +p309736 +aS'is\tbe\tVBZ\tB-VP\tO' +p309737 +aS'evidence\tevidence\tNN\tB-NP\tO' +p309738 +aS'of\tof\tIN\tB-PP\tO' +p309739 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p309740 +aS'occipital\toccipital\tNN\tI-NP\tO' +p309741 +aS'and\tand\tCC\tO\tO' +p309742 +aS'cerebellar\tcerebellar\tJJ\tB-NP\tO' +p309743 +aS'infarctions\tinfarction\tNNS\tI-NP\tO' +p309744 +aS'as\tas\tRB\tB-ADVP\tO' +p309745 +aS'well\twell\tRB\tI-ADVP\tO' +p309746 +aS'.\t.\t.\tO\tO' +p309747 +asS'Bibasilar crackles , right greater than left , no wheezes .' +p309748 +(lp309749 +S'Bibasilar\tBibasilar\tJJ\tB-NP\tO' +p309750 +aS'crackles\tcrackle\tNNS\tI-NP\tO' +p309751 +aS',\t,\t,\tO\tO' +p309752 +aS'right\tright\tRB\tB-ADVP\tO' +p309753 +aS'greater\tgreat\tJJR\tI-ADVP\tO' +p309754 +aS'than\tthan\tIN\tB-PP\tO' +p309755 +aS'left\tleft\tJJ\tB-ADJP\tO' +p309756 +aS',\t,\t,\tO\tO' +p309757 +aS'no\tno\tDT\tB-NP\tO' +p309758 +aS'wheezes\twheeze\tNNS\tI-NP\tO' +p309759 +aS'.\t.\t.\tO\tO' +p309760 +asS'# n/v/ abdominal pain : pt with multiple admissions with similar complaints , etiology 02-08 gastroparesis , improves considerably with ativan , dilaudid , reglan , pt was tolerating PO meds / diet at time of admission to medical service and was restarted on oral reglan .' +p309761 +(lp309762 +S'#\t#\t#\tB-NP\tO' +p309763 +aS'n/v/\tn/v/\tJJ\tI-NP\tO' +p309764 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p309765 +aS'pain\tpain\tNN\tI-NP\tO' +p309766 +aS':\t:\t:\tO\tO' +p309767 +aS'pt\tpt\tNN\tB-NP\tO' +p309768 +aS'with\twith\tIN\tB-PP\tO' +p309769 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p309770 +aS'admissions\tadmission\tNNS\tI-NP\tO' +p309771 +aS'with\twith\tIN\tB-PP\tO' +p309772 +aS'similar\tsimilar\tJJ\tB-NP\tO' +p309773 +aS'complaints\tcomplaint\tNNS\tI-NP\tO' +p309774 +aS',\t,\t,\tO\tO' +p309775 +aS'etiology\tetiology\tNN\tB-NP\tO' +p309776 +aS'02-08\t02-08\tCD\tI-NP\tO' +p309777 +aS'gastroparesis\tgastroparesis\tNN\tI-NP\tO' +p309778 +aS',\t,\t,\tO\tO' +p309779 +aS'improves\timprove\tVBZ\tB-VP\tO' +p309780 +aS'considerably\tconsiderably\tRB\tB-ADVP\tO' +p309781 +aS'with\twith\tIN\tB-PP\tO' +p309782 +aS'ativan\tativan\tNN\tB-NP\tO' +p309783 +aS',\t,\t,\tO\tO' +p309784 +aS'dilaudid\tdilaudid\tNN\tB-NP\tO' +p309785 +aS',\t,\t,\tO\tO' +p309786 +aS'reglan\treglan\tNN\tB-NP\tO' +p309787 +aS',\t,\t,\tO\tO' +p309788 +aS'pt\tpt\tNN\tB-NP\tO' +p309789 +aS'was\tbe\tVBD\tB-VP\tO' +p309790 +aS'tolerating\ttolerate\tVBG\tI-VP\tO' +p309791 +aS'PO\tPO\tNN\tB-NP\tO' +p309792 +aS'meds\tmed\tNNS\tI-NP\tO' +p309793 +aS'/\t/\tSYM\tB-NP\tO' +p309794 +aS'diet\tdiet\tNN\tI-NP\tO' +p309795 +aS'at\tat\tIN\tB-PP\tO' +p309796 +aS'time\ttime\tNN\tB-NP\tO' +p309797 +aS'of\tof\tIN\tB-PP\tO' +p309798 +aS'admission\tadmission\tNN\tB-NP\tO' +p309799 +aS'to\tto\tTO\tB-PP\tO' +p309800 +aS'medical\tmedical\tJJ\tB-NP\tO' +p309801 +aS'service\tservice\tNN\tI-NP\tO' +p309802 +aS'and\tand\tCC\tO\tO' +p309803 +aS'was\tbe\tVBD\tB-VP\tO' +p309804 +aS'restarted\trestart\tVBN\tI-VP\tO' +p309805 +aS'on\ton\tIN\tB-PP\tO' +p309806 +aS'oral\toral\tJJ\tB-NP\tO' +p309807 +aS'reglan\treglan\tNN\tI-NP\tO' +p309808 +aS'.\t.\t.\tO\tO' +p309809 +asS'Negative for tobacco , negative for alcohol .' +p309810 +(lp309811 +S'Negative\tNegative\tJJ\tB-ADJP\tO' +p309812 +aS'for\tfor\tIN\tB-PP\tO' +p309813 +aS'tobacco\ttobacco\tNN\tB-NP\tO' +p309814 +aS',\t,\t,\tO\tO' +p309815 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p309816 +aS'for\tfor\tIN\tB-PP\tO' +p309817 +aS'alcohol\talcohol\tNN\tB-NP\tO' +p309818 +aS'.\t.\t.\tO\tO' +p309819 +asS'There was a dominant right vertebral artery .' +p309820 +(lp309821 +S'There\tThere\tEX\tB-NP\tO' +p309822 +aS'was\tbe\tVBD\tB-VP\tO' +p309823 +aS'a\ta\tDT\tB-NP\tO' +p309824 +aS'dominant\tdominant\tJJ\tI-NP\tO' +p309825 +aS'right\tright\tJJ\tI-NP\tO' +p309826 +aS'vertebral\tvertebral\tJJ\tI-NP\tO' +p309827 +aS'artery\tartery\tNN\tI-NP\tO' +p309828 +aS'.\t.\t.\tO\tO' +p309829 +asS'This was a drop from an immediate postoperative hematocrit of 35.4 .' +p309830 +(lp309831 +S'This\tThis\tDT\tB-NP\tO' +p309832 +aS'was\tbe\tVBD\tB-VP\tO' +p309833 +aS'a\ta\tDT\tB-NP\tO' +p309834 +aS'drop\tdrop\tNN\tI-NP\tO' +p309835 +aS'from\tfrom\tIN\tB-PP\tO' +p309836 +aS'an\tan\tDT\tB-NP\tO' +p309837 +aS'immediate\timmediate\tJJ\tI-NP\tO' +p309838 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p309839 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p309840 +aS'of\tof\tIN\tB-PP\tO' +p309841 +aS'35.4\t35.4\tCD\tB-NP\tO' +p309842 +aS'.\t.\t.\tO\tO' +p309843 +asS'The patient has a history of deep venous thrombosis in 1990 , for which she received 6 months of Coumadin .' +p309844 +(lp309845 +S'The\tThe\tDT\tB-NP\tO' +p309846 +aS'patient\tpatient\tNN\tI-NP\tO' +p309847 +aS'has\thave\tVBZ\tB-VP\tO' +p309848 +aS'a\ta\tDT\tB-NP\tO' +p309849 +aS'history\thistory\tNN\tI-NP\tO' +p309850 +aS'of\tof\tIN\tB-PP\tO' +p309851 +aS'deep\tdeep\tJJ\tB-NP\tO' +p309852 +aS'venous\tvenous\tJJ\tI-NP\tO' +p309853 +aS'thrombosis\tthrombosis\tNN\tI-NP\tO' +p309854 +aS'in\tin\tIN\tB-PP\tO' +p309855 +aS'1990\t1990\tCD\tB-NP\tO' +p309856 +aS',\t,\t,\tO\tO' +p309857 +aS'for\tfor\tIN\tB-PP\tO' +p309858 +aS'which\twhich\tWDT\tB-NP\tO' +p309859 +aS'she\tshe\tPRP\tB-NP\tO' +p309860 +aS'received\treceive\tVBD\tB-VP\tO' +p309861 +aS'6\t6\tCD\tB-NP\tO' +p309862 +aS'months\tmonth\tNNS\tI-NP\tO' +p309863 +aS'of\tof\tIN\tB-PP\tO' +p309864 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p309865 +aS'.\t.\t.\tO\tO' +p309866 +asS'13. Left prosthetic CMED CCU .' +p309867 +(lp309868 +S'13.\t13.\tLS\tB-LST\tO' +p309869 +aS'Left\tLeave\tVBD\tB-VP\tO' +p309870 +aS'prosthetic\tprosthetic\tJJ\tB-NP\tO' +p309871 +aS'CMED\tCMED\tJJ\tI-NP\tO' +p309872 +aS'CCU\tCCU\tNN\tI-NP\tO' +p309873 +aS'.\t.\t.\tO\tO' +p309874 +asS'Plain films taken by his orthopedist in Mongcana Ster Staarv revealed some soft tissue calcification within the medial and lateral compartments of the joint .' +p309875 +(lp309876 +S'Plain\tPlain\tNN\tB-NP\tO' +p309877 +aS'films\tfilm\tNNS\tI-NP\tO' +p309878 +aS'taken\ttake\tVBN\tB-VP\tO' +p309879 +aS'by\tby\tIN\tB-PP\tO' +p309880 +aS'his\this\tPRP$\tB-NP\tO' +p309881 +aS'orthopedist\torthopedist\tNN\tI-NP\tO' +p309882 +aS'in\tin\tIN\tB-PP\tO' +p309883 +aS'Mongcana\tMongcana\tNNP\tB-NP\tO' +p309884 +aS'Ster\tSter\tNNP\tI-NP\tO' +p309885 +aS'Staarv\tStaarv\tNNP\tI-NP\tO' +p309886 +aS'revealed\treveal\tVBD\tB-VP\tO' +p309887 +aS'some\tsome\tDT\tB-NP\tO' +p309888 +aS'soft\tsoft\tJJ\tI-NP\tO' +p309889 +aS'tissue\ttissue\tNN\tI-NP\tO' +p309890 +aS'calcification\tcalcification\tNN\tI-NP\tO' +p309891 +aS'within\twithin\tIN\tB-PP\tO' +p309892 +aS'the\tthe\tDT\tB-NP\tO' +p309893 +aS'medial\tmedial\tJJ\tI-NP\tO' +p309894 +aS'and\tand\tCC\tI-NP\tO' +p309895 +aS'lateral\tlateral\tJJ\tI-NP\tO' +p309896 +aS'compartments\tcompartment\tNNS\tI-NP\tO' +p309897 +aS'of\tof\tIN\tB-PP\tO' +p309898 +aS'the\tthe\tDT\tB-NP\tO' +p309899 +aS'joint\tjoint\tNN\tI-NP\tO' +p309900 +aS'.\t.\t.\tO\tO' +p309901 +asS'She had been managed as an outpatient during her pregnancy and was on multiple medications including Lasix 40 mg daily , Hydralazine 25 mg daily , Toprol XL 100 mg daily , digoxin 0.5 mg daily and Lovenox 40 mg twice daily subcutaneously .' +p309902 +(lp309903 +S'She\tShe\tPRP\tB-NP\tO' +p309904 +aS'had\thave\tVBD\tB-VP\tO' +p309905 +aS'been\tbe\tVBN\tI-VP\tO' +p309906 +aS'managed\tmanage\tVBN\tI-VP\tO' +p309907 +aS'as\tas\tIN\tB-PP\tO' +p309908 +aS'an\tan\tDT\tB-NP\tO' +p309909 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p309910 +aS'during\tduring\tIN\tB-PP\tO' +p309911 +aS'her\ther\tPRP$\tB-NP\tO' +p309912 +aS'pregnancy\tpregnancy\tNN\tI-NP\tO' +p309913 +aS'and\tand\tCC\tO\tO' +p309914 +aS'was\tbe\tVBD\tB-VP\tO' +p309915 +aS'on\ton\tIN\tB-PP\tO' +p309916 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p309917 +aS'medications\tmedication\tNNS\tI-NP\tO' +p309918 +aS'including\tinclude\tVBG\tB-PP\tO' +p309919 +aS'Lasix\tLasix\tNNP\tB-NP\tO' +p309920 +aS'40\t40\tCD\tI-NP\tO' +p309921 +aS'mg\tmg\tNN\tI-NP\tO' +p309922 +aS'daily\tdaily\tJJ\tI-NP\tO' +p309923 +aS',\t,\t,\tO\tO' +p309924 +aS'Hydralazine\tHydralazine\tNN\tB-NP\tO' +p309925 +aS'25\t25\tCD\tI-NP\tO' +p309926 +aS'mg\tmg\tNN\tI-NP\tO' +p309927 +aS'daily\tdaily\tRB\tB-ADVP\tO' +p309928 +aS',\t,\t,\tO\tO' +p309929 +aS'Toprol\tToprol\tNNP\tB-NP\tO' +p309930 +aS'XL\tXL\tNNP\tI-NP\tO' +p309931 +aS'100\t100\tCD\tI-NP\tO' +p309932 +aS'mg\tmg\tNN\tI-NP\tO' +p309933 +aS'daily\tdaily\tJJ\tI-NP\tO' +p309934 +aS',\t,\t,\tO\tO' +p309935 +aS'digoxin\tdigoxin\tNN\tB-NP\tO' +p309936 +aS'0.5\t0.5\tCD\tI-NP\tO' +p309937 +aS'mg\tmg\tNN\tI-NP\tO' +p309938 +aS'daily\tdaily\tJJ\tI-NP\tO' +p309939 +aS'and\tand\tCC\tI-NP\tO' +p309940 +aS'Lovenox\tLovenox\tNNP\tI-NP\tO' +p309941 +aS'40\t40\tCD\tI-NP\tO' +p309942 +aS'mg\tmg\tNN\tI-NP\tO' +p309943 +aS'twice\ttwice\tRB\tB-ADVP\tO' +p309944 +aS'daily\tdaily\tRB\tI-ADVP\tO' +p309945 +aS'subcutaneously\tsubcutaneously\tRB\tI-ADVP\tO' +p309946 +aS'.\t.\t.\tO\tO' +p309947 +asS'On day of delivery mother presented in spontaneous labor .' +p309948 +(lp309949 +S'On\tOn\tIN\tB-PP\tO' +p309950 +aS'day\tday\tNN\tB-NP\tO' +p309951 +aS'of\tof\tIN\tB-PP\tO' +p309952 +aS'delivery\tdelivery\tNN\tB-NP\tO' +p309953 +aS'mother\tmother\tNN\tI-NP\tO' +p309954 +aS'presented\tpresent\tVBN\tB-VP\tO' +p309955 +aS'in\tin\tIN\tB-PP\tO' +p309956 +aS'spontaneous\tspontaneous\tJJ\tB-NP\tO' +p309957 +aS'labor\tlabor\tNN\tI-NP\tO' +p309958 +aS'.\t.\t.\tO\tO' +p309959 +asS'2) Calcium gluconate 1000 mg p.o. q day .' +p309960 +(lp309961 +S'2)\t2)\tLS\tB-NP\tO' +p309962 +aS'Calcium\tCalcium\tNN\tI-NP\tO' +p309963 +aS'gluconate\tgluconate\tNN\tI-NP\tO' +p309964 +aS'1000\t1000\tCD\tI-NP\tO' +p309965 +aS'mg\tmg\tNN\tI-NP\tO' +p309966 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p309967 +aS'q\tq\tNN\tI-NP\tO' +p309968 +aS'day\tday\tNN\tI-NP\tO' +p309969 +aS'.\t.\t.\tO\tO' +p309970 +asS'He has a son who is an orthopedic surgeon .' +p309971 +(lp309972 +S'He\tHe\tPRP\tB-NP\tO' +p309973 +aS'has\thave\tVBZ\tB-VP\tO' +p309974 +aS'a\ta\tDT\tB-NP\tO' +p309975 +aS'son\tson\tNN\tI-NP\tO' +p309976 +aS'who\twho\tWP\tB-NP\tO' +p309977 +aS'is\tbe\tVBZ\tB-VP\tO' +p309978 +aS'an\tan\tDT\tB-NP\tO' +p309979 +aS'orthopedic\torthopedic\tJJ\tI-NP\tO' +p309980 +aS'surgeon\tsurgeon\tNN\tI-NP\tO' +p309981 +aS'.\t.\t.\tO\tO' +p309982 +asS'Her hematocrit remained stable for 4 days prior to discharge .' +p309983 +(lp309984 +S'Her\tHer\tPRP$\tB-NP\tO' +p309985 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p309986 +aS'remained\tremain\tVBD\tB-VP\tO' +p309987 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p309988 +aS'for\tfor\tIN\tB-PP\tO' +p309989 +aS'4\t4\tCD\tB-NP\tO' +p309990 +aS'days\tday\tNNS\tI-NP\tO' +p309991 +aS'prior\tprior\tRB\tB-ADVP\tO' +p309992 +aS'to\tto\tTO\tB-VP\tO' +p309993 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p309994 +aS'.\t.\t.\tO\tO' +p309995 +asS'Cesarean section x 2 , spontaneous abortion x 1 .' +p309996 +(lp309997 +S'Cesarean\tCesarean\tJJ\tB-NP\tO' +p309998 +aS'section\tsection\tNN\tI-NP\tO' +p309999 +aS'x\tx\tSYM\tB-NP\tO' +p310000 +aS'2\t2\tCD\tI-NP\tO' +p310001 +aS',\t,\t,\tO\tO' +p310002 +aS'spontaneous\tspontaneous\tJJ\tB-NP\tO' +p310003 +aS'abortion\tabortion\tNN\tI-NP\tO' +p310004 +aS'x\tx\tSYM\tB-NP\tO' +p310005 +aS'1\t1\tCD\tI-NP\tO' +p310006 +aS'.\t.\t.\tO\tO' +p310007 +asS's/p stroke : continue aspirin , statin , plavix' +p310008 +(lp310009 +S's/p\ts/p\tNN\tB-NP\tO' +p310010 +aS'stroke\tstroke\tVBD\tB-VP\tO' +p310011 +aS':\t:\t:\tO\tO' +p310012 +aS'continue\tcontinue\tVB\tB-VP\tO' +p310013 +aS'aspirin\taspirin\tNN\tB-NP\tO' +p310014 +aS',\t,\t,\tO\tO' +p310015 +aS'statin\tstatin\tNN\tB-NP\tO' +p310016 +aS',\t,\t,\tO\tO' +p310017 +aS'plavix\tplavix\tNN\tB-NP\tO' +p310018 +asS'A hearing screen was performed with automated auditory brain stem responses and the infant passed on both ears .' +p310019 +(lp310020 +S'A\tA\tDT\tB-NP\tO' +p310021 +aS'hearing\thearing\tNN\tI-NP\tO' +p310022 +aS'screen\tscreen\tNN\tI-NP\tO' +p310023 +aS'was\tbe\tVBD\tB-VP\tO' +p310024 +aS'performed\tperform\tVBN\tI-VP\tO' +p310025 +aS'with\twith\tIN\tB-PP\tO' +p310026 +aS'automated\tautomate\tVBN\tB-NP\tO' +p310027 +aS'auditory\tauditory\tJJ\tI-NP\tO' +p310028 +aS'brain\tbrain\tNN\tI-NP\tO' +p310029 +aS'stem\tstem\tNN\tI-NP\tO' +p310030 +aS'responses\tresponse\tNNS\tI-NP\tO' +p310031 +aS'and\tand\tCC\tO\tO' +p310032 +aS'the\tthe\tDT\tB-NP\tO' +p310033 +aS'infant\tinfant\tNN\tI-NP\tO' +p310034 +aS'passed\tpass\tVBN\tB-VP\tO' +p310035 +aS'on\ton\tIN\tB-PP\tO' +p310036 +aS'both\tboth\tDT\tB-NP\tO' +p310037 +aS'ears\tear\tNNS\tI-NP\tO' +p310038 +aS'.\t.\t.\tO\tO' +p310039 +asS'She had a partial gastrectomy in 1972 .' +p310040 +(lp310041 +S'She\tShe\tPRP\tB-NP\tO' +p310042 +aS'had\thave\tVBD\tB-VP\tO' +p310043 +aS'a\ta\tDT\tB-NP\tO' +p310044 +aS'partial\tpartial\tJJ\tI-NP\tO' +p310045 +aS'gastrectomy\tgastrectomy\tNN\tI-NP\tO' +p310046 +aS'in\tin\tIN\tB-PP\tO' +p310047 +aS'1972\t1972\tCD\tB-NP\tO' +p310048 +aS'.\t.\t.\tO\tO' +p310049 +asS'2. Limited evaluation for known sigmoid-vesicle fistula .' +p310050 +(lp310051 +S'2.\t2.\tLS\tB-NP\tO' +p310052 +aS'Limited\tLimited\tJJ\tI-NP\tO' +p310053 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p310054 +aS'for\tfor\tIN\tB-PP\tO' +p310055 +aS'known\tknown\tJJ\tB-NP\tO' +p310056 +aS'sigmoid-vesicle\tsigmoid-vesicle\tNN\tI-NP\tO' +p310057 +aS'fistula\tfistula\tNN\tI-NP\tO' +p310058 +aS'.\t.\t.\tO\tO' +p310059 +asS'Baby was noted to have frequent spitting episodes .' +p310060 +(lp310061 +S'Baby\tBaby\tNNP\tB-NP\tO' +p310062 +aS'was\tbe\tVBD\tB-VP\tO' +p310063 +aS'noted\tnote\tVBN\tI-VP\tO' +p310064 +aS'to\tto\tTO\tI-VP\tO' +p310065 +aS'have\thave\tVB\tI-VP\tO' +p310066 +aS'frequent\tfrequent\tJJ\tB-NP\tO' +p310067 +aS'spitting\tspitting\tNN\tI-NP\tO' +p310068 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p310069 +aS'.\t.\t.\tO\tO' +p310070 +asS'A Holter monitor was obtained and showed that the patient was in normal sinus rhythm .' +p310071 +(lp310072 +S'A\tA\tDT\tB-NP\tO' +p310073 +aS'Holter\tHolter\tNNP\tI-NP\tO' +p310074 +aS'monitor\tmonitor\tNN\tI-NP\tO' +p310075 +aS'was\tbe\tVBD\tB-VP\tO' +p310076 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p310077 +aS'and\tand\tCC\tO\tO' +p310078 +aS'showed\tshow\tVBD\tB-VP\tO' +p310079 +aS'that\tthat\tIN\tB-SBAR\tO' +p310080 +aS'the\tthe\tDT\tB-NP\tO' +p310081 +aS'patient\tpatient\tNN\tI-NP\tO' +p310082 +aS'was\tbe\tVBD\tB-VP\tO' +p310083 +aS'in\tin\tIN\tB-PP\tO' +p310084 +aS'normal\tnormal\tJJ\tB-NP\tO' +p310085 +aS'sinus\tsinus\tNN\tI-NP\tO' +p310086 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p310087 +aS'.\t.\t.\tO\tO' +p310088 +asS'She defervesed by 12-02 and remained clinically stable with normal blood pressures until the day of discharge .' +p310089 +(lp310090 +S'She\tShe\tPRP\tB-NP\tO' +p310091 +aS'defervesed\tdefervese\tVBD\tB-VP\tO' +p310092 +aS'by\tby\tIN\tB-PP\tO' +p310093 +aS'12-02\t12-02\tCD\tB-NP\tO' +p310094 +aS'and\tand\tCC\tO\tO' +p310095 +aS'remained\tremain\tVBD\tB-VP\tO' +p310096 +aS'clinically\tclinically\tRB\tB-ADJP\tO' +p310097 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p310098 +aS'with\twith\tIN\tB-PP\tO' +p310099 +aS'normal\tnormal\tJJ\tB-NP\tO' +p310100 +aS'blood\tblood\tNN\tI-NP\tO' +p310101 +aS'pressures\tpressure\tNNS\tI-NP\tO' +p310102 +aS'until\tuntil\tIN\tB-SBAR\tO' +p310103 +aS'the\tthe\tDT\tB-NP\tO' +p310104 +aS'day\tday\tNN\tI-NP\tO' +p310105 +aS'of\tof\tIN\tB-PP\tO' +p310106 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p310107 +aS'.\t.\t.\tO\tO' +p310108 +asS'The patient should follow-up with Dr. Side in two weeks .' +p310109 +(lp310110 +S'The\tThe\tDT\tB-NP\tO' +p310111 +aS'patient\tpatient\tNN\tI-NP\tO' +p310112 +aS'should\tshould\tMD\tB-VP\tO' +p310113 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p310114 +aS'with\twith\tIN\tB-PP\tO' +p310115 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p310116 +aS'Side\tSide\tNNP\tI-NP\tO' +p310117 +aS'in\tin\tIN\tB-PP\tO' +p310118 +aS'two\ttwo\tCD\tB-NP\tO' +p310119 +aS'weeks\tweek\tNNS\tI-NP\tO' +p310120 +aS'.\t.\t.\tO\tO' +p310121 +asS'The patient did well and was discharged to a rehabilitation facility at that time .' +p310122 +(lp310123 +S'The\tThe\tDT\tB-NP\tO' +p310124 +aS'patient\tpatient\tNN\tI-NP\tO' +p310125 +aS'did\tdo\tVBD\tB-VP\tO' +p310126 +aS'well\twell\tRB\tB-ADVP\tO' +p310127 +aS'and\tand\tCC\tO\tO' +p310128 +aS'was\tbe\tVBD\tB-VP\tO' +p310129 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p310130 +aS'to\tto\tTO\tB-PP\tO' +p310131 +aS'a\ta\tDT\tB-NP\tO' +p310132 +aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' +p310133 +aS'facility\tfacility\tNN\tI-NP\tO' +p310134 +aS'at\tat\tIN\tB-PP\tO' +p310135 +aS'that\tthat\tDT\tB-NP\tO' +p310136 +aS'time\ttime\tNN\tI-NP\tO' +p310137 +aS'.\t.\t.\tO\tO' +p310138 +asS'Well-profused .' +p310139 +(lp310140 +S'Well-profused\tWell-profused\tJJ\tB-ADJP\tO' +p310141 +aS'.\t.\t.\tO\tO' +p310142 +asS'The patient has hypothyroidism , hypertension , and rheumatic fever age 6 with aortic stenosis .' +p310143 +(lp310144 +S'The\tThe\tDT\tB-NP\tO' +p310145 +aS'patient\tpatient\tNN\tI-NP\tO' +p310146 +aS'has\thave\tVBZ\tB-VP\tO' +p310147 +aS'hypothyroidism\thypothyroidism\tNN\tB-NP\tO' +p310148 +aS',\t,\t,\tO\tO' +p310149 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p310150 +aS',\t,\t,\tO\tO' +p310151 +aS'and\tand\tCC\tO\tO' +p310152 +aS'rheumatic\trheumatic\tJJ\tB-NP\tB-protein' +p310153 +aS'fever\tfever\tNN\tI-NP\tI-protein' +p310154 +aS'age\tage\tNN\tI-NP\tI-protein' +p310155 +aS'6\t6\tCD\tI-NP\tI-protein' +p310156 +aS'with\twith\tIN\tB-PP\tO' +p310157 +aS'aortic\taortic\tJJ\tB-NP\tO' +p310158 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p310159 +aS'.\t.\t.\tO\tO' +p310160 +asS'Normal perfusion .' +p310161 +(lp310162 +S'Normal\tNormal\tJJ\tB-NP\tO' +p310163 +aS'perfusion\tperfusion\tNN\tI-NP\tO' +p310164 +aS'.\t.\t.\tO\tO' +p310165 +asS'Right comminuted tibia / fibula fracture' +p310166 +(lp310167 +S'Right\tRight\tRB\tB-NP\tO' +p310168 +aS'comminuted\tcomminute\tVBN\tI-NP\tO' +p310169 +aS'tibia\ttibia\tNN\tI-NP\tO' +p310170 +aS'/\t/\tSYM\tO\tO' +p310171 +aS'fibula\tfibula\tNN\tB-NP\tO' +p310172 +aS'fracture\tfracture\tNN\tI-NP\tO' +p310173 +asS'AST 65 .' +p310174 +(lp310175 +S'AST\tAST\tNN\tB-NP\tO' +p310176 +aS'65\t65\tCD\tI-NP\tO' +p310177 +aS'.\t.\t.\tO\tO' +p310178 +asS'Pt was tolerating regular diet by HD4 , and GI felt that further workup could be continued as an outpatient .' +p310179 +(lp310180 +S'Pt\tPt\tNN\tB-NP\tO' +p310181 +aS'was\tbe\tVBD\tB-VP\tO' +p310182 +aS'tolerating\ttolerate\tVBG\tI-VP\tO' +p310183 +aS'regular\tregular\tJJ\tB-NP\tO' +p310184 +aS'diet\tdiet\tNN\tI-NP\tO' +p310185 +aS'by\tby\tIN\tB-PP\tO' +p310186 +aS'HD4\tHD4\tNN\tB-NP\tB-protein' +p310187 +aS',\t,\t,\tO\tO' +p310188 +aS'and\tand\tCC\tO\tO' +p310189 +aS'GI\tGI\tNN\tB-NP\tO' +p310190 +aS'felt\tfeel\tVBD\tB-VP\tO' +p310191 +aS'that\tthat\tDT\tO\tO' +p310192 +aS'further\tfurther\tJJ\tB-NP\tO' +p310193 +aS'workup\tworkup\tNN\tI-NP\tO' +p310194 +aS'could\tcould\tMD\tB-VP\tO' +p310195 +aS'be\tbe\tVB\tI-VP\tO' +p310196 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p310197 +aS'as\tas\tIN\tB-PP\tO' +p310198 +aS'an\tan\tDT\tB-NP\tO' +p310199 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p310200 +aS'.\t.\t.\tO\tO' +p310201 +asS'The abdomen was soft and non-tender .' +p310202 +(lp310203 +S'The\tThe\tDT\tB-NP\tO' +p310204 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p310205 +aS'was\tbe\tVBD\tB-VP\tO' +p310206 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p310207 +aS'and\tand\tCC\tI-ADJP\tO' +p310208 +aS'non-tender\tnon-tender\tJJ\tI-ADJP\tO' +p310209 +aS'.\t.\t.\tO\tO' +p310210 +asS'Because of her deteriorating status , she underwent prior cardiac catheterization , which confirmed severe mitral stenosis with secondary tricuspid valve regurgitation due to pulmonary hypertension .' +p310211 +(lp310212 +S'Because\tBecause\tIN\tB-PP\tO' +p310213 +aS'of\tof\tIN\tI-PP\tO' +p310214 +aS'her\ther\tPRP$\tB-NP\tO' +p310215 +aS'deteriorating\tdeteriorate\tVBG\tI-NP\tO' +p310216 +aS'status\tstatus\tNN\tI-NP\tO' +p310217 +aS',\t,\t,\tO\tO' +p310218 +aS'she\tshe\tPRP\tB-NP\tO' +p310219 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p310220 +aS'prior\tprior\tJJ\tB-NP\tO' +p310221 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p310222 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p310223 +aS',\t,\t,\tO\tO' +p310224 +aS'which\twhich\tWDT\tB-NP\tO' +p310225 +aS'confirmed\tconfirm\tVBD\tB-VP\tO' +p310226 +aS'severe\tsevere\tJJ\tB-NP\tO' +p310227 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p310228 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p310229 +aS'with\twith\tIN\tB-PP\tO' +p310230 +aS'secondary\tsecondary\tJJ\tB-NP\tO' +p310231 +aS'tricuspid\ttricuspid\tJJ\tI-NP\tO' +p310232 +aS'valve\tvalve\tNN\tI-NP\tO' +p310233 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p310234 +aS'due\tdue\tJJ\tB-ADJP\tO' +p310235 +aS'to\tto\tTO\tB-PP\tO' +p310236 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p310237 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p310238 +aS'.\t.\t.\tO\tO' +p310239 +asS"Consideration was given to treating the patient with a course of calcium channel blocker ; however , given the patient 's poor response to Lopressor , it was determined that this would not be optimal treatment for the patient 's pulmonary hypertension ." +p310240 +(lp310241 +S'Consideration\tConsideration\tNN\tB-NP\tO' +p310242 +aS'was\tbe\tVBD\tB-VP\tO' +p310243 +aS'given\tgive\tVBN\tI-VP\tO' +p310244 +aS'to\tto\tTO\tB-PP\tO' +p310245 +aS'treating\ttreat\tVBG\tB-VP\tO' +p310246 +aS'the\tthe\tDT\tB-NP\tO' +p310247 +aS'patient\tpatient\tNN\tI-NP\tO' +p310248 +aS'with\twith\tIN\tB-PP\tO' +p310249 +aS'a\ta\tDT\tB-NP\tO' +p310250 +aS'course\tcourse\tNN\tI-NP\tO' +p310251 +aS'of\tof\tIN\tB-PP\tO' +p310252 +aS'calcium\tcalcium\tNN\tB-NP\tO' +p310253 +aS'channel\tchannel\tNN\tI-NP\tO' +p310254 +aS'blocker\tblocker\tNN\tI-NP\tO' +p310255 +aS';\t;\t:\tO\tO' +p310256 +aS'however\thowever\tRB\tB-ADVP\tO' +p310257 +aS',\t,\t,\tO\tO' +p310258 +aS'given\tgive\tVBN\tB-PP\tO' +p310259 +aS'the\tthe\tDT\tB-NP\tO' +p310260 +aS'patient\tpatient\tNN\tI-NP\tO' +p310261 +aS"'s\t's\tPOS\tB-NP\tO" +p310262 +aS'poor\tpoor\tJJ\tI-NP\tO' +p310263 +aS'response\tresponse\tNN\tI-NP\tO' +p310264 +aS'to\tto\tTO\tB-PP\tO' +p310265 +aS'Lopressor\tLopressor\tNN\tB-NP\tO' +p310266 +aS',\t,\t,\tO\tO' +p310267 +aS'it\tit\tPRP\tB-NP\tO' +p310268 +aS'was\tbe\tVBD\tB-VP\tO' +p310269 +aS'determined\tdetermine\tVBN\tI-VP\tO' +p310270 +aS'that\tthat\tIN\tB-SBAR\tO' +p310271 +aS'this\tthis\tDT\tB-NP\tO' +p310272 +aS'would\twould\tMD\tB-VP\tO' +p310273 +aS'not\tnot\tRB\tI-VP\tO' +p310274 +aS'be\tbe\tVB\tI-VP\tO' +p310275 +aS'optimal\toptimal\tJJ\tB-NP\tO' +p310276 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p310277 +aS'for\tfor\tIN\tB-PP\tO' +p310278 +aS'the\tthe\tDT\tB-NP\tO' +p310279 +aS'patient\tpatient\tNN\tI-NP\tO' +p310280 +aS"'s\t's\tPOS\tB-NP\tO" +p310281 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p310282 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p310283 +aS'.\t.\t.\tO\tO' +p310284 +asS'Aggressive diuresis was undertaken and the patient responded , albeit sluggishly .' +p310285 +(lp310286 +S'Aggressive\tAggressive\tJJ\tB-NP\tO' +p310287 +aS'diuresis\tdiuresis\tNN\tI-NP\tO' +p310288 +aS'was\tbe\tVBD\tB-VP\tO' +p310289 +aS'undertaken\tundertake\tVBN\tI-VP\tO' +p310290 +aS'and\tand\tCC\tO\tO' +p310291 +aS'the\tthe\tDT\tB-NP\tO' +p310292 +aS'patient\tpatient\tNN\tI-NP\tO' +p310293 +aS'responded\trespond\tVBD\tB-VP\tO' +p310294 +aS',\t,\t,\tO\tO' +p310295 +aS'albeit\talbeit\tIN\tB-PP\tO' +p310296 +aS'sluggishly\tsluggishly\tRB\tB-ADVP\tO' +p310297 +aS'.\t.\t.\tO\tO' +p310298 +asS'3. Nystatin swish and swallow , 5 cc q. 8 hours .' +p310299 +(lp310300 +S'3.\t3.\tLS\tB-LST\tO' +p310301 +aS'Nystatin\tNystatin\tNN\tB-NP\tB-protein' +p310302 +aS'swish\tswish\tVB\tB-VP\tO' +p310303 +aS'and\tand\tCC\tI-VP\tO' +p310304 +aS'swallow\tswallow\tVB\tI-VP\tO' +p310305 +aS',\t,\t,\tO\tO' +p310306 +aS'5\t5\tCD\tB-NP\tO' +p310307 +aS'cc\tcc\tNN\tI-NP\tO' +p310308 +aS'q.\tq.\tNN\tI-NP\tO' +p310309 +aS'8\t8\tCD\tB-NP\tO' +p310310 +aS'hours\thour\tNNS\tI-NP\tO' +p310311 +aS'.\t.\t.\tO\tO' +p310312 +asS'Chemotherapy of IFEX , MESNA and VP-16 .' +p310313 +(lp310314 +S'Chemotherapy\tChemotherapy\tNN\tB-NP\tO' +p310315 +aS'of\tof\tIN\tB-PP\tO' +p310316 +aS'IFEX\tIFEX\tNN\tB-NP\tB-protein' +p310317 +aS',\t,\t,\tI-NP\tO' +p310318 +aS'MESNA\tMESNA\tNN\tI-NP\tB-protein' +p310319 +aS'and\tand\tCC\tI-NP\tO' +p310320 +aS'VP-16\tVP-16\tNN\tI-NP\tB-protein' +p310321 +aS'.\t.\t.\tO\tO' +p310322 +asS'The patient was taken to the Coronary Care Unit late on hospital day number two and received a temporary wire .' +p310323 +(lp310324 +S'The\tThe\tDT\tB-NP\tO' +p310325 +aS'patient\tpatient\tNN\tI-NP\tO' +p310326 +aS'was\tbe\tVBD\tB-VP\tO' +p310327 +aS'taken\ttake\tVBN\tI-VP\tO' +p310328 +aS'to\tto\tTO\tB-PP\tO' +p310329 +aS'the\tthe\tDT\tB-NP\tO' +p310330 +aS'Coronary\tCoronary\tNNP\tI-NP\tO' +p310331 +aS'Care\tCare\tNNP\tI-NP\tO' +p310332 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p310333 +aS'late\tlate\tRB\tB-ADVP\tO' +p310334 +aS'on\ton\tIN\tB-PP\tO' +p310335 +aS'hospital\thospital\tNN\tB-NP\tO' +p310336 +aS'day\tday\tNN\tI-NP\tO' +p310337 +aS'number\tnumber\tNN\tI-NP\tO' +p310338 +aS'two\ttwo\tCD\tB-NP\tO' +p310339 +aS'and\tand\tCC\tO\tO' +p310340 +aS'received\treceive\tVBD\tB-VP\tO' +p310341 +aS'a\ta\tDT\tB-NP\tO' +p310342 +aS'temporary\ttemporary\tJJ\tI-NP\tO' +p310343 +aS'wire\twire\tNN\tI-NP\tO' +p310344 +aS'.\t.\t.\tO\tO' +p310345 +asS'The patient was doing well with minimal to no belly pain and no nausea or vomiting .' +p310346 +(lp310347 +S'The\tThe\tDT\tB-NP\tO' +p310348 +aS'patient\tpatient\tNN\tI-NP\tO' +p310349 +aS'was\tbe\tVBD\tB-VP\tO' +p310350 +aS'doing\tdo\tVBG\tI-VP\tO' +p310351 +aS'well\twell\tRB\tB-ADVP\tO' +p310352 +aS'with\twith\tIN\tB-PP\tO' +p310353 +aS'minimal\tminimal\tJJ\tB-ADJP\tO' +p310354 +aS'to\tto\tTO\tB-PP\tO' +p310355 +aS'no\tno\tDT\tB-NP\tO' +p310356 +aS'belly\tbelly\tRB\tI-NP\tO' +p310357 +aS'pain\tpain\tNN\tI-NP\tO' +p310358 +aS'and\tand\tCC\tO\tO' +p310359 +aS'no\tno\tDT\tB-NP\tO' +p310360 +aS'nausea\tnausea\tNN\tI-NP\tO' +p310361 +aS'or\tor\tCC\tI-NP\tO' +p310362 +aS'vomiting\tvomiting\tNN\tI-NP\tO' +p310363 +aS'.\t.\t.\tO\tO' +p310364 +asS'10. Glucotrol 10 mg qam .' +p310365 +(lp310366 +S'10.\t10.\tCD\tB-NP\tO' +p310367 +aS'Glucotrol\tGlucotrol\tNN\tI-NP\tO' +p310368 +aS'10\t10\tCD\tB-NP\tO' +p310369 +aS'mg\tmg\tNN\tI-NP\tO' +p310370 +aS'qam\tqam\tNN\tI-NP\tO' +p310371 +aS'.\t.\t.\tO\tO' +p310372 +asS'His temperature was 98F .' +p310373 +(lp310374 +S'His\tHis\tPRP$\tB-NP\tO' +p310375 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p310376 +aS'was\tbe\tVBD\tB-VP\tO' +p310377 +aS'98F\t98F\tNN\tB-NP\tO' +p310378 +aS'.\t.\t.\tO\tO' +p310379 +asS'Of note , intraoperative transesophageal echocardiogram evaluation showed only mild mitral regurgitation , so no repair/replacement was indicated .' +p310380 +(lp310381 +S'Of\tOf\tIN\tB-PP\tO' +p310382 +aS'note\tnote\tNN\tB-NP\tO' +p310383 +aS',\t,\t,\tO\tO' +p310384 +aS'intraoperative\tintraoperative\tJJ\tB-NP\tO' +p310385 +aS'transesophageal\ttransesophageal\tJJ\tI-NP\tO' +p310386 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p310387 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p310388 +aS'showed\tshow\tVBD\tB-VP\tO' +p310389 +aS'only\tonly\tRB\tB-NP\tO' +p310390 +aS'mild\tmild\tJJ\tI-NP\tO' +p310391 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p310392 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p310393 +aS',\t,\t,\tO\tO' +p310394 +aS'so\tso\tIN\tO\tO' +p310395 +aS'no\tno\tDT\tB-NP\tO' +p310396 +aS'repair/replacement\trepair/replacement\tNN\tI-NP\tO' +p310397 +aS'was\tbe\tVBD\tB-VP\tO' +p310398 +aS'indicated\tindicate\tVBN\tI-VP\tO' +p310399 +aS'.\t.\t.\tO\tO' +p310400 +asS'The abdomen was benign .' +p310401 +(lp310402 +S'The\tThe\tDT\tB-NP\tO' +p310403 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p310404 +aS'was\tbe\tVBD\tB-VP\tO' +p310405 +aS'benign\tbenign\tJJ\tB-ADJP\tO' +p310406 +aS'.\t.\t.\tO\tO' +p310407 +asS'A repeat CAT scan of the sinuses with finding of progressive thickening of the left maxillary sinus and both sets of ethmoid air cells since prior study of November 9 , indicating progressive infection of Acanthamoeba and any possible superinfection with bacterial sinusitis .' +p310408 +(lp310409 +S'A\tA\tDT\tB-NP\tO' +p310410 +aS'repeat\trepeat\tNN\tI-NP\tO' +p310411 +aS'CAT\tCAT\tNN\tI-NP\tO' +p310412 +aS'scan\tscan\tNN\tI-NP\tO' +p310413 +aS'of\tof\tIN\tB-PP\tO' +p310414 +aS'the\tthe\tDT\tB-NP\tO' +p310415 +aS'sinuses\tsinus\tNNS\tI-NP\tO' +p310416 +aS'with\twith\tIN\tB-PP\tO' +p310417 +aS'finding\tfinding\tNN\tB-NP\tO' +p310418 +aS'of\tof\tIN\tB-PP\tO' +p310419 +aS'progressive\tprogressive\tJJ\tB-NP\tO' +p310420 +aS'thickening\tthickening\tNN\tI-NP\tO' +p310421 +aS'of\tof\tIN\tB-PP\tO' +p310422 +aS'the\tthe\tDT\tB-NP\tO' +p310423 +aS'left\tleft\tJJ\tI-NP\tO' +p310424 +aS'maxillary\tmaxillary\tJJ\tI-NP\tO' +p310425 +aS'sinus\tsinus\tNN\tI-NP\tO' +p310426 +aS'and\tand\tCC\tO\tO' +p310427 +aS'both\tboth\tDT\tB-NP\tO' +p310428 +aS'sets\tset\tNNS\tI-NP\tO' +p310429 +aS'of\tof\tIN\tB-PP\tO' +p310430 +aS'ethmoid\tethmoid\tJJ\tB-NP\tB-cell_type' +p310431 +aS'air\tair\tNN\tI-NP\tI-cell_type' +p310432 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p310433 +aS'since\tsince\tIN\tB-PP\tO' +p310434 +aS'prior\tprior\tJJ\tB-NP\tO' +p310435 +aS'study\tstudy\tNN\tI-NP\tO' +p310436 +aS'of\tof\tIN\tB-PP\tO' +p310437 +aS'November\tNovember\tNNP\tB-NP\tO' +p310438 +aS'9\t9\tCD\tI-NP\tO' +p310439 +aS',\t,\t,\tO\tO' +p310440 +aS'indicating\tindicate\tVBG\tB-VP\tO' +p310441 +aS'progressive\tprogressive\tJJ\tB-NP\tO' +p310442 +aS'infection\tinfection\tNN\tI-NP\tO' +p310443 +aS'of\tof\tIN\tB-PP\tO' +p310444 +aS'Acanthamoeba\tAcanthamoeba\tNNP\tB-NP\tO' +p310445 +aS'and\tand\tCC\tO\tO' +p310446 +aS'any\tany\tDT\tB-NP\tO' +p310447 +aS'possible\tpossible\tJJ\tI-NP\tO' +p310448 +aS'superinfection\tsuperinfection\tNN\tI-NP\tO' +p310449 +aS'with\twith\tIN\tB-PP\tO' +p310450 +aS'bacterial\tbacterial\tJJ\tB-NP\tO' +p310451 +aS'sinusitis\tsinusitis\tNN\tI-NP\tO' +p310452 +aS'.\t.\t.\tO\tO' +p310453 +asS'He had Dorsalis pedis in radial pulses , hands and feet notably tremulous without asterixis .' +p310454 +(lp310455 +S'He\tHe\tPRP\tB-NP\tO' +p310456 +aS'had\thave\tVBD\tB-VP\tO' +p310457 +aS'Dorsalis\tDorsalis\tNNP\tB-NP\tO' +p310458 +aS'pedis\tpedis\tNN\tI-NP\tO' +p310459 +aS'in\tin\tIN\tB-PP\tO' +p310460 +aS'radial\tradial\tJJ\tB-NP\tO' +p310461 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p310462 +aS',\t,\t,\tO\tO' +p310463 +aS'hands\thand\tNNS\tB-NP\tO' +p310464 +aS'and\tand\tCC\tI-NP\tO' +p310465 +aS'feet\tfoot\tNNS\tI-NP\tO' +p310466 +aS'notably\tnotably\tRB\tB-ADJP\tO' +p310467 +aS'tremulous\ttremulous\tJJ\tI-ADJP\tO' +p310468 +aS'without\twithout\tIN\tB-PP\tO' +p310469 +aS'asterixis\tasterixis\tNN\tB-NP\tO' +p310470 +aS'.\t.\t.\tO\tO' +p310471 +asS'Overall left ventricular systolic function is moderately depressed .' +p310472 +(lp310473 +S'Overall\tOverall\tRB\tB-ADVP\tO' +p310474 +aS'left\tleave\tVBD\tB-VP\tO' +p310475 +aS'ventricular\tventricular\tJJ\tB-NP\tO' +p310476 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p310477 +aS'function\tfunction\tNN\tI-NP\tO' +p310478 +aS'is\tbe\tVBZ\tB-VP\tO' +p310479 +aS'moderately\tmoderately\tRB\tI-VP\tO' +p310480 +aS'depressed\tdepress\tVBN\tI-VP\tO' +p310481 +aS'.\t.\t.\tO\tO' +p310482 +asS'He has asked you call the clinic Friday morning for a same day appointment .' +p310483 +(lp310484 +S'He\tHe\tPRP\tB-NP\tO' +p310485 +aS'has\thave\tVBZ\tB-VP\tO' +p310486 +aS'asked\task\tVBN\tI-VP\tO' +p310487 +aS'you\tyou\tPRP\tB-NP\tO' +p310488 +aS'call\tcall\tVBP\tB-VP\tO' +p310489 +aS'the\tthe\tDT\tB-NP\tO' +p310490 +aS'clinic\tclinic\tNN\tI-NP\tO' +p310491 +aS'Friday\tFriday\tNNP\tB-NP\tO' +p310492 +aS'morning\tmorning\tNN\tI-NP\tO' +p310493 +aS'for\tfor\tIN\tB-PP\tO' +p310494 +aS'a\ta\tDT\tB-NP\tO' +p310495 +aS'same\tsame\tJJ\tI-NP\tO' +p310496 +aS'day\tday\tNN\tI-NP\tO' +p310497 +aS'appointment\tappointment\tNN\tI-NP\tO' +p310498 +aS'.\t.\t.\tO\tO' +p310499 +asS'Signed electronically by : DR. Jose Kines on : TUE 2016-04-12 7:03 AM' +p310500 +(lp310501 +S'Signed\tSign\tVBN\tB-VP\tO' +p310502 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p310503 +aS'by\tby\tIN\tB-PP\tO' +p310504 +aS':\t:\t:\tO\tO' +p310505 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p310506 +aS'Jose\tJose\tNNP\tI-NP\tO' +p310507 +aS'Kines\tKines\tNNP\tI-NP\tO' +p310508 +aS'on\ton\tIN\tB-PP\tO' +p310509 +aS':\t:\t:\tO\tO' +p310510 +aS'TUE\tTUE\tNN\tB-NP\tO' +p310511 +aS'2016-04-12\t2016-04-12\tCD\tI-NP\tO' +p310512 +aS'7:03\t7:03\tCD\tI-NP\tO' +p310513 +aS'AM\tAM\tNN\tI-NP\tO' +p310514 +asS'Regular rate and rhythm , S1 , S2 , I / VI systolic ejection murmur .' +p310515 +(lp310516 +S'Regular\tRegular\tJJ\tB-NP\tO' +p310517 +aS'rate\trate\tNN\tI-NP\tO' +p310518 +aS'and\tand\tCC\tO\tO' +p310519 +aS'rhythm\trhythm\tNN\tB-NP\tO' +p310520 +aS',\t,\t,\tO\tO' +p310521 +aS'S1\tS1\tNN\tB-NP\tB-protein' +p310522 +aS',\t,\t,\tO\tO' +p310523 +aS'S2\tS2\tNN\tB-NP\tB-protein' +p310524 +aS',\t,\t,\tO\tO' +p310525 +aS'I\tI\tNN\tB-NP\tO' +p310526 +aS'/\t/\tSYM\tB-NP\tO' +p310527 +aS'VI\tVI\tNN\tI-NP\tO' +p310528 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p310529 +aS'ejection\tejection\tNN\tI-NP\tO' +p310530 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p310531 +aS'.\t.\t.\tO\tO' +p310532 +asS'Remarkable for a white cell count of 0.4 , with 0 neutrophils , 0 bands , 19 lymphs , 0 monos , hematocrit 28.8% , platelets 300,000 .' +p310533 +(lp310534 +S'Remarkable\tRemarkable\tJJ\tB-ADJP\tO' +p310535 +aS'for\tfor\tIN\tB-PP\tO' +p310536 +aS'a\ta\tDT\tB-NP\tO' +p310537 +aS'white\twhite\tJJ\tI-NP\tO' +p310538 +aS'cell\tcell\tNN\tI-NP\tO' +p310539 +aS'count\tcount\tNN\tI-NP\tO' +p310540 +aS'of\tof\tIN\tB-PP\tO' +p310541 +aS'0.4\t0.4\tCD\tB-NP\tO' +p310542 +aS',\t,\t,\tO\tO' +p310543 +aS'with\twith\tIN\tB-PP\tO' +p310544 +aS'0\t0\tCD\tB-NP\tO' +p310545 +aS'neutrophils\tneutrophil\tNNS\tI-NP\tB-cell_type' +p310546 +aS',\t,\t,\tO\tO' +p310547 +aS'0\t0\tCD\tB-NP\tO' +p310548 +aS'bands\tband\tNNS\tI-NP\tO' +p310549 +aS',\t,\t,\tO\tO' +p310550 +aS'19\t19\tCD\tB-NP\tO' +p310551 +aS'lymphs\tlymph\tNNS\tI-NP\tO' +p310552 +aS',\t,\t,\tO\tO' +p310553 +aS'0\t0\tCD\tB-NP\tO' +p310554 +aS'monos\tmono\tNNS\tI-NP\tO' +p310555 +aS',\t,\t,\tO\tO' +p310556 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p310557 +aS'28.8%\t28.8%\tCD\tI-NP\tI-protein' +p310558 +aS',\t,\t,\tO\tO' +p310559 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p310560 +aS'300,000\t300,000\tCD\tB-NP\tO' +p310561 +aS'.\t.\t.\tO\tO' +p310562 +asS'Without edema .' +p310563 +(lp310564 +S'Without\tWithout\tIN\tB-PP\tO' +p310565 +aS'edema\tedema\tNN\tB-NP\tO' +p310566 +aS'.\t.\t.\tO\tO' +p310567 +asS'He was returned to the operating room on July 12 , 13 , 16 , 19 , 21 , and 23 for packing change , irrigation and debridement .' +p310568 +(lp310569 +S'He\tHe\tPRP\tB-NP\tO' +p310570 +aS'was\tbe\tVBD\tB-VP\tO' +p310571 +aS'returned\treturn\tVBN\tI-VP\tO' +p310572 +aS'to\tto\tTO\tB-PP\tO' +p310573 +aS'the\tthe\tDT\tB-NP\tO' +p310574 +aS'operating\toperating\tNN\tI-NP\tO' +p310575 +aS'room\troom\tNN\tI-NP\tO' +p310576 +aS'on\ton\tIN\tB-PP\tO' +p310577 +aS'July\tJuly\tNNP\tB-NP\tO' +p310578 +aS'12\t12\tCD\tI-NP\tO' +p310579 +aS',\t,\t,\tI-NP\tO' +p310580 +aS'13\t13\tCD\tI-NP\tO' +p310581 +aS',\t,\t,\tI-NP\tO' +p310582 +aS'16\t16\tCD\tI-NP\tO' +p310583 +aS',\t,\t,\tI-NP\tO' +p310584 +aS'19\t19\tCD\tI-NP\tO' +p310585 +aS',\t,\t,\tI-NP\tO' +p310586 +aS'21\t21\tCD\tI-NP\tO' +p310587 +aS',\t,\t,\tO\tO' +p310588 +aS'and\tand\tCC\tO\tO' +p310589 +aS'23\t23\tCD\tB-NP\tO' +p310590 +aS'for\tfor\tIN\tB-PP\tO' +p310591 +aS'packing\tpacking\tNN\tB-NP\tO' +p310592 +aS'change\tchange\tNN\tI-NP\tO' +p310593 +aS',\t,\t,\tO\tO' +p310594 +aS'irrigation\tirrigation\tNN\tB-NP\tO' +p310595 +aS'and\tand\tCC\tI-NP\tO' +p310596 +aS'debridement\tdebridement\tNN\tI-NP\tO' +p310597 +aS'.\t.\t.\tO\tO' +p310598 +asS'There is no family history of parathyroid or thyroid diseases .' +p310599 +(lp310600 +S'There\tThere\tEX\tB-NP\tO' +p310601 +aS'is\tbe\tVBZ\tB-VP\tO' +p310602 +aS'no\tno\tDT\tB-NP\tO' +p310603 +aS'family\tfamily\tNN\tI-NP\tO' +p310604 +aS'history\thistory\tNN\tI-NP\tO' +p310605 +aS'of\tof\tIN\tB-PP\tO' +p310606 +aS'parathyroid\tparathyroid\tJJ\tB-NP\tO' +p310607 +aS'or\tor\tCC\tI-NP\tO' +p310608 +aS'thyroid\tthyroid\tJJ\tI-NP\tO' +p310609 +aS'diseases\tdisease\tNNS\tI-NP\tO' +p310610 +aS'.\t.\t.\tO\tO' +p310611 +asS'Each progressive day, Mr. Donald delirium abated with return to baseline mental status early on 09-01 .' +p310612 +(lp310613 +S'Each\tEach\tDT\tB-NP\tO' +p310614 +aS'progressive\tprogressive\tJJ\tI-NP\tO' +p310615 +aS'day,\tday,\tNN\tI-NP\tO' +p310616 +aS'Mr.\tMr.\tNNP\tB-NP\tO' +p310617 +aS'Donald\tDonald\tNNP\tI-NP\tO' +p310618 +aS'delirium\tdelirium\tNN\tI-NP\tO' +p310619 +aS'abated\tabate\tVBD\tB-VP\tO' +p310620 +aS'with\twith\tIN\tB-PP\tO' +p310621 +aS'return\treturn\tNN\tB-NP\tO' +p310622 +aS'to\tto\tTO\tB-PP\tO' +p310623 +aS'baseline\tbaseline\tNN\tB-NP\tO' +p310624 +aS'mental\tmental\tJJ\tI-NP\tO' +p310625 +aS'status\tstatus\tNN\tI-NP\tO' +p310626 +aS'early\tearly\tRB\tB-ADVP\tO' +p310627 +aS'on\ton\tIN\tB-PP\tO' +p310628 +aS'09-01\t09-01\tCD\tB-NP\tO' +p310629 +aS'.\t.\t.\tO\tO' +p310630 +asS'She had a normal pancreas at that time , however , hyperdense kidneys .' +p310631 +(lp310632 +S'She\tShe\tPRP\tB-NP\tO' +p310633 +aS'had\thave\tVBD\tB-VP\tO' +p310634 +aS'a\ta\tDT\tB-NP\tO' +p310635 +aS'normal\tnormal\tJJ\tI-NP\tO' +p310636 +aS'pancreas\tpancreas\tNN\tI-NP\tO' +p310637 +aS'at\tat\tIN\tB-PP\tO' +p310638 +aS'that\tthat\tDT\tB-NP\tO' +p310639 +aS'time\ttime\tNN\tI-NP\tO' +p310640 +aS',\t,\t,\tO\tO' +p310641 +aS'however\thowever\tRB\tB-ADVP\tO' +p310642 +aS',\t,\t,\tO\tO' +p310643 +aS'hyperdense\thyperdense\tNN\tB-NP\tO' +p310644 +aS'kidneys\tkidney\tNNS\tI-NP\tO' +p310645 +aS'.\t.\t.\tO\tO' +p310646 +asS'He was given strict instructions to limit his external rotation no more than 30 degrees .' +p310647 +(lp310648 +S'He\tHe\tPRP\tB-NP\tO' +p310649 +aS'was\tbe\tVBD\tB-VP\tO' +p310650 +aS'given\tgive\tVBN\tI-VP\tO' +p310651 +aS'strict\tstrict\tJJ\tB-NP\tO' +p310652 +aS'instructions\tinstruction\tNNS\tI-NP\tO' +p310653 +aS'to\tto\tTO\tB-VP\tO' +p310654 +aS'limit\tlimit\tVB\tI-VP\tO' +p310655 +aS'his\this\tPRP$\tB-NP\tO' +p310656 +aS'external\texternal\tJJ\tI-NP\tO' +p310657 +aS'rotation\trotation\tNN\tI-NP\tO' +p310658 +aS'no\tno\tRB\tB-NP\tO' +p310659 +aS'more\tmore\tJJR\tI-NP\tO' +p310660 +aS'than\tthan\tIN\tI-NP\tO' +p310661 +aS'30\t30\tCD\tI-NP\tO' +p310662 +aS'degrees\tdegree\tNNS\tI-NP\tO' +p310663 +aS'.\t.\t.\tO\tO' +p310664 +asS'In the cath lab , he was found to have hazy plaque in LAD ( prior stent ) , 80% hazy plaque in circumflex , and a totally occluded PLB ( with collaterals ) .' +p310665 +(lp310666 +S'In\tIn\tIN\tB-PP\tO' +p310667 +aS'the\tthe\tDT\tB-NP\tO' +p310668 +aS'cath\tcath\tNN\tI-NP\tO' +p310669 +aS'lab\tlab\tNN\tI-NP\tO' +p310670 +aS',\t,\t,\tO\tO' +p310671 +aS'he\the\tPRP\tB-NP\tO' +p310672 +aS'was\tbe\tVBD\tB-VP\tO' +p310673 +aS'found\tfind\tVBN\tI-VP\tO' +p310674 +aS'to\tto\tTO\tI-VP\tO' +p310675 +aS'have\thave\tVB\tI-VP\tO' +p310676 +aS'hazy\thazy\tJJ\tB-NP\tO' +p310677 +aS'plaque\tplaque\tNN\tI-NP\tO' +p310678 +aS'in\tin\tIN\tB-PP\tO' +p310679 +aS'LAD\tLAD\tNN\tB-NP\tO' +p310680 +aS'(\t(\t(\tO\tO' +p310681 +aS'prior\tprior\tJJ\tB-NP\tO' +p310682 +aS'stent\tstent\tNN\tI-NP\tO' +p310683 +aS')\t)\t)\tO\tO' +p310684 +aS',\t,\t,\tO\tO' +p310685 +aS'80%\t80%\tCD\tB-NP\tO' +p310686 +aS'hazy\thazy\tJJ\tI-NP\tO' +p310687 +aS'plaque\tplaque\tNN\tI-NP\tO' +p310688 +aS'in\tin\tIN\tB-PP\tO' +p310689 +aS'circumflex\tcircumflex\tNN\tB-NP\tO' +p310690 +aS',\t,\t,\tO\tO' +p310691 +aS'and\tand\tCC\tO\tO' +p310692 +aS'a\ta\tDT\tB-NP\tO' +p310693 +aS'totally\ttotally\tRB\tI-NP\tO' +p310694 +aS'occluded\tocclude\tVBN\tI-NP\tO' +p310695 +aS'PLB\tPLB\tNN\tI-NP\tB-protein' +p310696 +aS'(\t(\t(\tO\tO' +p310697 +aS'with\twith\tIN\tB-PP\tO' +p310698 +aS'collaterals\tcollateral\tNNS\tB-NP\tO' +p310699 +aS')\t)\t)\tO\tO' +p310700 +aS'.\t.\t.\tO\tO' +p310701 +asS'Patient has been on room air maintaining sats above 95% .' +p310702 +(lp310703 +S'Patient\tPatient\tNN\tB-NP\tO' +p310704 +aS'has\thave\tVBZ\tB-VP\tO' +p310705 +aS'been\tbe\tVBN\tI-VP\tO' +p310706 +aS'on\ton\tIN\tB-PP\tO' +p310707 +aS'room\troom\tNN\tB-NP\tB-DNA' +p310708 +aS'air\tair\tNN\tI-NP\tI-DNA' +p310709 +aS'maintaining\tmaintain\tVBG\tB-VP\tI-DNA' +p310710 +aS'sats\tsat\tNNS\tB-NP\tI-DNA' +p310711 +aS'above\tabove\tIN\tB-PP\tI-DNA' +p310712 +aS'95%\t95%\tCD\tB-NP\tI-DNA' +p310713 +aS'.\t.\t.\tO\tO' +p310714 +asS'2. Mavik unknown dosage .' +p310715 +(lp310716 +S'2.\t2.\tLS\tB-NP\tO' +p310717 +aS'Mavik\tMavik\tNNP\tI-NP\tO' +p310718 +aS'unknown\tunknown\tJJ\tI-NP\tO' +p310719 +aS'dosage\tdosage\tNN\tI-NP\tO' +p310720 +aS'.\t.\t.\tO\tO' +p310721 +asS'20. Albuterol 90 mcg/Actuation Aerosol Sig : 4-6 Puffs Inhalation Q6H ( every 6 hours ) .' +p310722 +(lp310723 +S'20.\t20.\tLS\tB-LST\tO' +p310724 +aS'Albuterol\tAlbuterol\tNNP\tB-NP\tO' +p310725 +aS'90\t90\tCD\tI-NP\tO' +p310726 +aS'mcg/Actuation\tmcg/Actuation\tNN\tI-NP\tO' +p310727 +aS'Aerosol\tAerosol\tNNP\tI-NP\tO' +p310728 +aS'Sig\tSig\tNNP\tI-NP\tO' +p310729 +aS':\t:\t:\tO\tO' +p310730 +aS'4-6\t4-6\tCD\tB-NP\tO' +p310731 +aS'Puffs\tPuff\tNNS\tI-NP\tO' +p310732 +aS'Inhalation\tInhalation\tNN\tI-NP\tO' +p310733 +aS'Q6H\tQ6H\tNN\tI-NP\tO' +p310734 +aS'(\t(\t(\tO\tO' +p310735 +aS'every\tevery\tDT\tB-NP\tO' +p310736 +aS'6\t6\tCD\tI-NP\tO' +p310737 +aS'hours\thour\tNNS\tI-NP\tO' +p310738 +aS')\t)\t)\tO\tO' +p310739 +aS'.\t.\t.\tO\tO' +p310740 +asS'She was never hypoxic but initially her arterial blood gas showed a respiratory acidosis with a PCO2 of 71 .' +p310741 +(lp310742 +S'She\tShe\tPRP\tB-NP\tO' +p310743 +aS'was\tbe\tVBD\tB-VP\tO' +p310744 +aS'never\tnever\tRB\tB-ADVP\tO' +p310745 +aS'hypoxic\thypoxic\tJJ\tB-ADJP\tO' +p310746 +aS'but\tbut\tCC\tO\tO' +p310747 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p310748 +aS'her\ther\tPRP$\tB-NP\tO' +p310749 +aS'arterial\tarterial\tJJ\tI-NP\tO' +p310750 +aS'blood\tblood\tNN\tI-NP\tO' +p310751 +aS'gas\tgas\tNN\tI-NP\tO' +p310752 +aS'showed\tshow\tVBD\tB-VP\tO' +p310753 +aS'a\ta\tDT\tB-NP\tO' +p310754 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p310755 +aS'acidosis\tacidosis\tNN\tI-NP\tO' +p310756 +aS'with\twith\tIN\tB-PP\tO' +p310757 +aS'a\ta\tDT\tB-NP\tO' +p310758 +aS'PCO2\tPCO2\tNN\tI-NP\tB-protein' +p310759 +aS'of\tof\tIN\tB-PP\tO' +p310760 +aS'71\t71\tCD\tB-NP\tO' +p310761 +aS'.\t.\t.\tO\tO' +p310762 +asS'Ferrlecit Sodium ferric gluconate Mo-We Fr IV' +p310763 +(lp310764 +S'Ferrlecit\tFerrlecit\tNNP\tB-NP\tO' +p310765 +aS'Sodium\tSodium\tNNP\tI-NP\tO' +p310766 +aS'ferric\tferric\tJJ\tI-NP\tO' +p310767 +aS'gluconate\tgluconate\tNN\tI-NP\tO' +p310768 +aS'Mo-We\tMo-We\tNN\tI-NP\tO' +p310769 +aS'Fr\tFr\tNN\tI-NP\tO' +p310770 +aS'IV\tIV\tCD\tI-NP\tO' +p310771 +asS'2. Vitamin D .' +p310772 +(lp310773 +S'2.\t2.\tLS\tB-NP\tO' +p310774 +aS'Vitamin\tVitamin\tNN\tI-NP\tO' +p310775 +aS'D\tD\tNN\tI-NP\tO' +p310776 +aS'.\t.\t.\tO\tO' +p310777 +asS'This is a patient who , over the past year , has had no menses and thought she had become menopausal .' +p310778 +(lp310779 +S'This\tThis\tDT\tB-NP\tO' +p310780 +aS'is\tbe\tVBZ\tB-VP\tO' +p310781 +aS'a\ta\tDT\tB-NP\tO' +p310782 +aS'patient\tpatient\tNN\tI-NP\tO' +p310783 +aS'who\twho\tWP\tB-NP\tO' +p310784 +aS',\t,\t,\tO\tO' +p310785 +aS'over\tover\tIN\tB-PP\tO' +p310786 +aS'the\tthe\tDT\tB-NP\tO' +p310787 +aS'past\tpast\tJJ\tI-NP\tO' +p310788 +aS'year\tyear\tNN\tI-NP\tO' +p310789 +aS',\t,\t,\tO\tO' +p310790 +aS'has\thave\tVBZ\tB-VP\tO' +p310791 +aS'had\thave\tVBN\tI-VP\tO' +p310792 +aS'no\tno\tDT\tB-NP\tO' +p310793 +aS'menses\tmens\tNNS\tI-NP\tO' +p310794 +aS'and\tand\tCC\tO\tO' +p310795 +aS'thought\tthink\tVBD\tB-VP\tO' +p310796 +aS'she\tshe\tPRP\tB-NP\tO' +p310797 +aS'had\thave\tVBD\tB-VP\tO' +p310798 +aS'become\tbecome\tVBN\tI-VP\tO' +p310799 +aS'menopausal\tmenopausal\tJJ\tB-ADJP\tO' +p310800 +aS'.\t.\t.\tO\tO' +p310801 +asS'This is a 62-year-old hospice chaplain who was referred by Dr. Tomedankell Flowayles and Dr. Es Oarekote for evaluation of his right hip pain .' +p310802 +(lp310803 +S'This\tThis\tDT\tB-NP\tO' +p310804 +aS'is\tbe\tVBZ\tB-VP\tO' +p310805 +aS'a\ta\tDT\tB-NP\tO' +p310806 +aS'62-year-old\t62-year-old\tJJ\tI-NP\tO' +p310807 +aS'hospice\thospice\tNN\tI-NP\tO' +p310808 +aS'chaplain\tchaplain\tNN\tI-NP\tO' +p310809 +aS'who\twho\tWP\tB-NP\tO' +p310810 +aS'was\tbe\tVBD\tB-VP\tO' +p310811 +aS'referred\trefer\tVBN\tI-VP\tO' +p310812 +aS'by\tby\tIN\tB-PP\tO' +p310813 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p310814 +aS'Tomedankell\tTomedankell\tNNP\tI-NP\tO' +p310815 +aS'Flowayles\tFlowayles\tNNP\tI-NP\tO' +p310816 +aS'and\tand\tCC\tO\tO' +p310817 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p310818 +aS'Es\tEs\tNNP\tI-NP\tO' +p310819 +aS'Oarekote\tOarekote\tNNP\tI-NP\tO' +p310820 +aS'for\tfor\tIN\tB-PP\tO' +p310821 +aS'evaluation\tevaluation\tNN\tB-NP\tO' +p310822 +aS'of\tof\tIN\tB-PP\tO' +p310823 +aS'his\this\tPRP$\tB-NP\tO' +p310824 +aS'right\tright\tJJ\tI-NP\tO' +p310825 +aS'hip\thip\tNN\tI-NP\tO' +p310826 +aS'pain\tpain\tNN\tI-NP\tO' +p310827 +aS'.\t.\t.\tO\tO' +p310828 +asS'No current relationship .' +p310829 +(lp310830 +S'No\tNo\tDT\tB-NP\tO' +p310831 +aS'current\tcurrent\tJJ\tI-NP\tO' +p310832 +aS'relationship\trelationship\tNN\tI-NP\tO' +p310833 +aS'.\t.\t.\tO\tO' +p310834 +asS'Due to breech presentation , a hip ultrasound can be considered in 2-4 weeks .' +p310835 +(lp310836 +S'Due\tDue\tJJ\tB-ADJP\tO' +p310837 +aS'to\tto\tTO\tB-VP\tO' +p310838 +aS'breech\tbreech\tVB\tI-VP\tO' +p310839 +aS'presentation\tpresentation\tNN\tB-NP\tO' +p310840 +aS',\t,\t,\tO\tO' +p310841 +aS'a\ta\tDT\tB-NP\tO' +p310842 +aS'hip\thip\tNN\tI-NP\tO' +p310843 +aS'ultrasound\tultrasound\tNN\tI-NP\tO' +p310844 +aS'can\tcan\tMD\tB-VP\tO' +p310845 +aS'be\tbe\tVB\tI-VP\tO' +p310846 +aS'considered\tconsider\tVBN\tI-VP\tO' +p310847 +aS'in\tin\tIN\tB-PP\tO' +p310848 +aS'2-4\t2-4\tCD\tB-NP\tO' +p310849 +aS'weeks\tweek\tNNS\tI-NP\tO' +p310850 +aS'.\t.\t.\tO\tO' +p310851 +asS'94 , bicarbonate 24 , blood urea nitrogen 39 , creatinine 2.0 , glucose 111 .' +p310852 +(lp310853 +S'94\t94\tCD\tB-NP\tO' +p310854 +aS',\t,\t,\tO\tO' +p310855 +aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' +p310856 +aS'24\t24\tCD\tI-NP\tO' +p310857 +aS',\t,\t,\tO\tO' +p310858 +aS'blood\tblood\tNN\tB-NP\tO' +p310859 +aS'urea\turea\tNN\tI-NP\tO' +p310860 +aS'nitrogen\tnitrogen\tNN\tI-NP\tO' +p310861 +aS'39\t39\tCD\tI-NP\tO' +p310862 +aS',\t,\t,\tO\tO' +p310863 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p310864 +aS'2.0\t2.0\tCD\tI-NP\tO' +p310865 +aS',\t,\t,\tO\tO' +p310866 +aS'glucose\tglucose\tNN\tB-NP\tO' +p310867 +aS'111\t111\tCD\tI-NP\tO' +p310868 +aS'.\t.\t.\tO\tO' +p310869 +asS'1. Prematurity at 28-2/7 weeks .' +p310870 +(lp310871 +S'1.\t1.\tLS\tB-NP\tO' +p310872 +aS'Prematurity\tPrematurity\tNN\tI-NP\tO' +p310873 +aS'at\tat\tIN\tB-PP\tO' +p310874 +aS'28-2/7\t28-2/7\tCD\tB-NP\tO' +p310875 +aS'weeks\tweek\tNNS\tI-NP\tO' +p310876 +aS'.\t.\t.\tO\tO' +p310877 +asS'- chest pain or shortness of breath' +p310878 +(lp310879 +S'-\t-\tHYPH\tB-NP\tO' +p310880 +aS'chest\tchest\tNN\tI-NP\tO' +p310881 +aS'pain\tpain\tNN\tI-NP\tO' +p310882 +aS'or\tor\tCC\tI-NP\tO' +p310883 +aS'shortness\tshortness\tNN\tI-NP\tO' +p310884 +aS'of\tof\tIN\tB-PP\tO' +p310885 +aS'breath\tbreath\tNN\tB-NP\tO' +p310886 +asS'While she was on the IV dextrose , she required up to 26 units of glargine for glycemic control .' +p310887 +(lp310888 +S'While\tWhile\tIN\tB-SBAR\tO' +p310889 +aS'she\tshe\tPRP\tB-NP\tO' +p310890 +aS'was\tbe\tVBD\tB-VP\tO' +p310891 +aS'on\ton\tIN\tB-PP\tO' +p310892 +aS'the\tthe\tDT\tB-NP\tO' +p310893 +aS'IV\tIV\tCD\tI-NP\tO' +p310894 +aS'dextrose\tdextrose\tNN\tI-NP\tO' +p310895 +aS',\t,\t,\tO\tO' +p310896 +aS'she\tshe\tPRP\tB-NP\tO' +p310897 +aS'required\trequire\tVBD\tB-VP\tO' +p310898 +aS'up\tup\tRB\tB-NP\tO' +p310899 +aS'to\tto\tTO\tI-NP\tO' +p310900 +aS'26\t26\tCD\tI-NP\tO' +p310901 +aS'units\tunit\tNNS\tI-NP\tO' +p310902 +aS'of\tof\tIN\tB-PP\tO' +p310903 +aS'glargine\tglargine\tNN\tB-NP\tO' +p310904 +aS'for\tfor\tIN\tB-PP\tO' +p310905 +aS'glycemic\tglycemic\tJJ\tB-NP\tO' +p310906 +aS'control\tcontrol\tNN\tI-NP\tO' +p310907 +aS'.\t.\t.\tO\tO' +p310908 +asS'were elevated .' +p310909 +(lp310910 +S'were\tbe\tVBD\tB-VP\tO' +p310911 +aS'elevated\televate\tVBN\tI-VP\tO' +p310912 +aS'.\t.\t.\tO\tO' +p310913 +asS'The patient was transferred to the Intensive Care Unit for respiratory distress and febrile hypotension with a question of a new infiltrate on her chest x-ray .' +p310914 +(lp310915 +S'The\tThe\tDT\tB-NP\tO' +p310916 +aS'patient\tpatient\tNN\tI-NP\tO' +p310917 +aS'was\tbe\tVBD\tB-VP\tO' +p310918 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p310919 +aS'to\tto\tTO\tB-PP\tO' +p310920 +aS'the\tthe\tDT\tB-NP\tO' +p310921 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p310922 +aS'Care\tCare\tNNP\tI-NP\tO' +p310923 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p310924 +aS'for\tfor\tIN\tB-PP\tO' +p310925 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p310926 +aS'distress\tdistress\tNN\tI-NP\tO' +p310927 +aS'and\tand\tCC\tO\tO' +p310928 +aS'febrile\tfebrile\tJJ\tB-NP\tO' +p310929 +aS'hypotension\thypotension\tNN\tI-NP\tO' +p310930 +aS'with\twith\tIN\tB-PP\tO' +p310931 +aS'a\ta\tDT\tB-NP\tO' +p310932 +aS'question\tquestion\tNN\tI-NP\tO' +p310933 +aS'of\tof\tIN\tB-PP\tO' +p310934 +aS'a\ta\tDT\tB-NP\tO' +p310935 +aS'new\tnew\tJJ\tI-NP\tO' +p310936 +aS'infiltrate\tinfiltrate\tNN\tI-NP\tO' +p310937 +aS'on\ton\tIN\tB-PP\tO' +p310938 +aS'her\ther\tPRP$\tB-NP\tO' +p310939 +aS'chest\tchest\tNN\tI-NP\tO' +p310940 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p310941 +aS'.\t.\t.\tO\tO' +p310942 +asS'The patient was in this fashion discharged from the service to continue on her current medications and to call in oneweek to follow up with Dr. Sterpbreutzsterp and Cardiology .' +p310943 +(lp310944 +S'The\tThe\tDT\tB-NP\tO' +p310945 +aS'patient\tpatient\tNN\tI-NP\tO' +p310946 +aS'was\tbe\tVBD\tB-VP\tO' +p310947 +aS'in\tin\tIN\tB-PP\tO' +p310948 +aS'this\tthis\tDT\tB-NP\tO' +p310949 +aS'fashion\tfashion\tNN\tI-NP\tO' +p310950 +aS'discharged\tdischarge\tVBN\tB-VP\tO' +p310951 +aS'from\tfrom\tIN\tB-PP\tO' +p310952 +aS'the\tthe\tDT\tB-NP\tO' +p310953 +aS'service\tservice\tNN\tI-NP\tO' +p310954 +aS'to\tto\tTO\tB-VP\tO' +p310955 +aS'continue\tcontinue\tVB\tI-VP\tO' +p310956 +aS'on\ton\tIN\tB-PP\tO' +p310957 +aS'her\ther\tPRP$\tB-NP\tO' +p310958 +aS'current\tcurrent\tJJ\tI-NP\tO' +p310959 +aS'medications\tmedication\tNNS\tI-NP\tO' +p310960 +aS'and\tand\tCC\tO\tO' +p310961 +aS'to\tto\tTO\tB-VP\tO' +p310962 +aS'call\tcall\tVB\tI-VP\tO' +p310963 +aS'in\tin\tIN\tB-PP\tO' +p310964 +aS'oneweek\toneweek\tNN\tB-NP\tO' +p310965 +aS'to\tto\tTO\tB-VP\tO' +p310966 +aS'follow\tfollow\tVB\tI-VP\tO' +p310967 +aS'up\tup\tRP\tB-PRT\tO' +p310968 +aS'with\twith\tIN\tB-PP\tO' +p310969 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p310970 +aS'Sterpbreutzsterp\tSterpbreutzsterp\tNNP\tI-NP\tO' +p310971 +aS'and\tand\tCC\tO\tO' +p310972 +aS'Cardiology\tCardiology\tNNP\tB-NP\tO' +p310973 +aS'.\t.\t.\tO\tO' +p310974 +asS'Temporal wasting .' +p310975 +(lp310976 +S'Temporal\tTemporal\tJJ\tB-NP\tO' +p310977 +aS'wasting\twasting\tNN\tI-NP\tO' +p310978 +aS'.\t.\t.\tO\tO' +p310979 +asS'Call Dr. Pederson office for appointment in 2-3 weeks -( 869 ) 263-1570.' +p310980 +(lp310981 +S'Call\tCall\tNNP\tB-NP\tO' +p310982 +aS'Dr.\tDr.\tNNP\tI-NP\tO' +p310983 +aS'Pederson\tPederson\tNNP\tI-NP\tO' +p310984 +aS'office\toffice\tNN\tI-NP\tO' +p310985 +aS'for\tfor\tIN\tB-PP\tO' +p310986 +aS'appointment\tappointment\tNN\tB-NP\tO' +p310987 +aS'in\tin\tIN\tB-PP\tO' +p310988 +aS'2-3\t2-3\tCD\tB-NP\tO' +p310989 +aS'weeks\tweek\tNNS\tI-NP\tO' +p310990 +aS'-(\t-(\t(\tO\tO' +p310991 +aS'869\t869\tCD\tB-NP\tO' +p310992 +aS')\t)\t)\tO\tO' +p310993 +aS'263-1570.\t263-1570.\tCD\tB-NP\tO' +p310994 +asS'01-22+ AR .' +p310995 +(lp310996 +S'01-22+\t01-22+\tJJ\tB-NP\tB-protein' +p310997 +aS'AR\tAR\tNNS\tI-NP\tI-protein' +p310998 +aS'.\t.\t.\tO\tO' +p310999 +asS'9. Magnesium Oxide 800 mg p.o. b.i.d.' +p311000 +(lp311001 +S'9.\t9.\tLS\tB-NP\tO' +p311002 +aS'Magnesium\tMagnesium\tNNP\tI-NP\tO' +p311003 +aS'Oxide\tOxide\tNNP\tI-NP\tO' +p311004 +aS'800\t800\tCD\tI-NP\tO' +p311005 +aS'mg\tmg\tNN\tI-NP\tO' +p311006 +aS'p.o.\tp.o.\tFW\tB-ADVP\tO' +p311007 +aS'b.i.d.\tb.i.d.\tFW\tI-ADVP\tO' +p311008 +asS'small pleural effusion , flat diaphrams no acute changes' +p311009 +(lp311010 +S'small\tsmall\tJJ\tB-NP\tO' +p311011 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p311012 +aS'effusion\teffusion\tNN\tI-NP\tO' +p311013 +aS',\t,\t,\tO\tO' +p311014 +aS'flat\tflat\tJJ\tB-NP\tO' +p311015 +aS'diaphrams\tdiaphram\tNNS\tI-NP\tO' +p311016 +aS'no\tno\tDT\tB-NP\tO' +p311017 +aS'acute\tacute\tJJ\tI-NP\tO' +p311018 +aS'changes\tchange\tNNS\tI-NP\tO' +p311019 +asS'He presented to Deaconess-Nashoba Hospital Hospital and the first EKG was found to have ST elevations in V1-V3 of 1-2 mm with T wave inversions in V4-6 , I and L , which progressed to 3-0167 W. Seventh Ave. elevations within 20 minutes .' +p311020 +(lp311021 +S'He\tHe\tPRP\tB-NP\tO' +p311022 +aS'presented\tpresent\tVBD\tB-VP\tO' +p311023 +aS'to\tto\tTO\tB-PP\tO' +p311024 +aS'Deaconess-Nashoba\tDeaconess-Nashoba\tNNP\tB-NP\tO' +p311025 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p311026 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p311027 +aS'and\tand\tCC\tO\tO' +p311028 +aS'the\tthe\tDT\tB-NP\tO' +p311029 +aS'first\tfirst\tJJ\tI-NP\tO' +p311030 +aS'EKG\tEKG\tNN\tI-NP\tO' +p311031 +aS'was\tbe\tVBD\tB-VP\tO' +p311032 +aS'found\tfind\tVBN\tI-VP\tO' +p311033 +aS'to\tto\tTO\tI-VP\tO' +p311034 +aS'have\thave\tVB\tI-VP\tO' +p311035 +aS'ST\tST\tJJ\tB-NP\tO' +p311036 +aS'elevations\televation\tNNS\tI-NP\tO' +p311037 +aS'in\tin\tIN\tB-PP\tO' +p311038 +aS'V1-V3\tV1-V3\tNN\tB-NP\tO' +p311039 +aS'of\tof\tIN\tB-PP\tO' +p311040 +aS'1-2\t1-2\tCD\tB-NP\tO' +p311041 +aS'mm\tmm\tNN\tI-NP\tO' +p311042 +aS'with\twith\tIN\tB-PP\tO' +p311043 +aS'T\tT\tNN\tB-NP\tO' +p311044 +aS'wave\twave\tNN\tI-NP\tO' +p311045 +aS'inversions\tinversion\tNNS\tI-NP\tO' +p311046 +aS'in\tin\tIN\tB-PP\tO' +p311047 +aS'V4-6\tV4-6\tNN\tB-NP\tB-protein' +p311048 +aS',\t,\t,\tI-NP\tO' +p311049 +aS'I\tI\tNN\tI-NP\tO' +p311050 +aS'and\tand\tCC\tI-NP\tO' +p311051 +aS'L\tL\tNN\tI-NP\tO' +p311052 +aS',\t,\t,\tO\tO' +p311053 +aS'which\twhich\tWDT\tB-NP\tO' +p311054 +aS'progressed\tprogress\tVBD\tB-VP\tO' +p311055 +aS'to\tto\tTO\tB-PP\tO' +p311056 +aS'3-0167\t3-0167\tCD\tB-NP\tO' +p311057 +aS'W.\tW.\tNNP\tI-NP\tO' +p311058 +aS'Seventh\tSeventh\tNNP\tI-NP\tO' +p311059 +aS'Ave.\tAve.\tNNP\tI-NP\tO' +p311060 +aS'elevations\televation\tNNS\tI-NP\tO' +p311061 +aS'within\twithin\tIN\tB-PP\tO' +p311062 +aS'20\t20\tCD\tB-NP\tO' +p311063 +aS'minutes\tminute\tNNS\tI-NP\tO' +p311064 +aS'.\t.\t.\tO\tO' +p311065 +asS'5. Zestril 2.5 mg po bid' +p311066 +(lp311067 +S'5.\t5.\tLS\tB-LST\tO' +p311068 +aS'Zestril\tZestril\tNNP\tB-NP\tO' +p311069 +aS'2.5\t2.5\tCD\tI-NP\tO' +p311070 +aS'mg\tmg\tNN\tI-NP\tO' +p311071 +aS'po\tpo\tNN\tI-NP\tO' +p311072 +aS'bid\tbid\tNN\tI-NP\tO' +p311073 +asS'Her course was complicated by post-hypotensive coma as well as subarachnoid hemorrhages and intraparenchymal bleeds .' +p311074 +(lp311075 +S'Her\tHer\tPRP$\tB-NP\tO' +p311076 +aS'course\tcourse\tNN\tI-NP\tO' +p311077 +aS'was\tbe\tVBD\tB-VP\tO' +p311078 +aS'complicated\tcomplicate\tVBN\tI-VP\tO' +p311079 +aS'by\tby\tIN\tB-PP\tO' +p311080 +aS'post-hypotensive\tpost-hypotensive\tJJ\tB-NP\tO' +p311081 +aS'coma\tcoma\tNN\tI-NP\tO' +p311082 +aS'as\tas\tRB\tB-CONJP\tO' +p311083 +aS'well\twell\tRB\tI-CONJP\tO' +p311084 +aS'as\tas\tIN\tI-CONJP\tO' +p311085 +aS'subarachnoid\tsubarachnoid\tJJ\tB-NP\tO' +p311086 +aS'hemorrhages\themorrhage\tNNS\tI-NP\tO' +p311087 +aS'and\tand\tCC\tO\tO' +p311088 +aS'intraparenchymal\tintraparenchymal\tJJ\tB-NP\tO' +p311089 +aS'bleeds\tbleed\tNNS\tI-NP\tO' +p311090 +aS'.\t.\t.\tO\tO' +p311091 +asS'The patient tolerated the procedure fairly well and was transferred intubated to the Cardiac Surgical Intensive Care Unit with his chest open .' +p311092 +(lp311093 +S'The\tThe\tDT\tB-NP\tO' +p311094 +aS'patient\tpatient\tNN\tI-NP\tO' +p311095 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p311096 +aS'the\tthe\tDT\tB-NP\tO' +p311097 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p311098 +aS'fairly\tfairly\tRB\tB-ADVP\tO' +p311099 +aS'well\twell\tRB\tI-ADVP\tO' +p311100 +aS'and\tand\tCC\tO\tO' +p311101 +aS'was\tbe\tVBD\tB-VP\tO' +p311102 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p311103 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p311104 +aS'to\tto\tTO\tB-PP\tO' +p311105 +aS'the\tthe\tDT\tB-NP\tO' +p311106 +aS'Cardiac\tCardiac\tNNP\tI-NP\tO' +p311107 +aS'Surgical\tSurgical\tNNP\tI-NP\tO' +p311108 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p311109 +aS'Care\tCare\tNNP\tI-NP\tO' +p311110 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p311111 +aS'with\twith\tIN\tB-PP\tO' +p311112 +aS'his\this\tPRP$\tB-NP\tO' +p311113 +aS'chest\tchest\tNN\tI-NP\tO' +p311114 +aS'open\topen\tJJ\tB-ADJP\tO' +p311115 +aS'.\t.\t.\tO\tO' +p311116 +asS'Her electrocardiogram revealed normal sinus rhythm , left atrial enlargement , left axis deviation , poor R-wave progression in V1 through V4 , consistent with marked clockwise rotation , cannot rule out an old anteroseptal wall myocardial infarction .' +p311117 +(lp311118 +S'Her\tHer\tPRP$\tB-NP\tO' +p311119 +aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' +p311120 +aS'revealed\treveal\tVBD\tB-VP\tO' +p311121 +aS'normal\tnormal\tJJ\tB-NP\tO' +p311122 +aS'sinus\tsinus\tNN\tI-NP\tO' +p311123 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p311124 +aS',\t,\t,\tO\tO' +p311125 +aS'left\tleave\tVBD\tB-VP\tO' +p311126 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p311127 +aS'enlargement\tenlargement\tNN\tI-NP\tO' +p311128 +aS',\t,\t,\tO\tO' +p311129 +aS'left\tleave\tVBD\tB-VP\tO' +p311130 +aS'axis\taxis\tNN\tB-NP\tO' +p311131 +aS'deviation\tdeviation\tNN\tI-NP\tO' +p311132 +aS',\t,\t,\tO\tO' +p311133 +aS'poor\tpoor\tJJ\tB-NP\tO' +p311134 +aS'R-wave\tR-wave\tNN\tI-NP\tO' +p311135 +aS'progression\tprogression\tNN\tI-NP\tO' +p311136 +aS'in\tin\tIN\tB-PP\tO' +p311137 +aS'V1\tV1\tNN\tB-NP\tO' +p311138 +aS'through\tthrough\tIN\tB-PP\tO' +p311139 +aS'V4\tV4\tNN\tB-NP\tB-protein' +p311140 +aS',\t,\t,\tO\tO' +p311141 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p311142 +aS'with\twith\tIN\tB-PP\tO' +p311143 +aS'marked\tmarked\tJJ\tB-NP\tO' +p311144 +aS'clockwise\tclockwise\tJJ\tI-NP\tO' +p311145 +aS'rotation\trotation\tNN\tI-NP\tO' +p311146 +aS',\t,\t,\tO\tO' +p311147 +aS'cannot\tcannot\tMD\tB-VP\tO' +p311148 +aS'rule\trule\tVB\tI-VP\tO' +p311149 +aS'out\tout\tRP\tB-PRT\tO' +p311150 +aS'an\tan\tDT\tB-NP\tO' +p311151 +aS'old\told\tJJ\tI-NP\tO' +p311152 +aS'anteroseptal\tanteroseptal\tJJ\tI-NP\tO' +p311153 +aS'wall\twall\tNN\tI-NP\tO' +p311154 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p311155 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p311156 +aS'.\t.\t.\tO\tO' +p311157 +asS'Shower , no baths , no lotions , creams or powders to incisions .' +p311158 +(lp311159 +S'Shower\tShower\tNNP\tB-NP\tO' +p311160 +aS',\t,\t,\tO\tO' +p311161 +aS'no\tno\tDT\tB-NP\tO' +p311162 +aS'baths\tbath\tNNS\tI-NP\tO' +p311163 +aS',\t,\t,\tO\tO' +p311164 +aS'no\tno\tDT\tB-NP\tO' +p311165 +aS'lotions\tlotion\tNNS\tI-NP\tO' +p311166 +aS',\t,\t,\tI-NP\tO' +p311167 +aS'creams\tcream\tNNS\tI-NP\tO' +p311168 +aS'or\tor\tCC\tI-NP\tO' +p311169 +aS'powders\tpowder\tNNS\tI-NP\tO' +p311170 +aS'to\tto\tTO\tB-PP\tO' +p311171 +aS'incisions\tincision\tNNS\tB-NP\tO' +p311172 +aS'.\t.\t.\tO\tO' +p311173 +asS'No murmurs .' +p311174 +(lp311175 +S'No\tNo\tDT\tB-NP\tO' +p311176 +aS'murmurs\tmurmur\tNNS\tI-NP\tO' +p311177 +aS'.\t.\t.\tO\tO' +p311178 +asS'An underlying mass lesion or cancer cannot be excluded in this area , and further clinical investigation is recommended .' +p311179 +(lp311180 +S'An\tAn\tDT\tB-NP\tO' +p311181 +aS'underlying\tunderlie\tVBG\tI-NP\tO' +p311182 +aS'mass\tmass\tNN\tI-NP\tO' +p311183 +aS'lesion\tlesion\tNN\tI-NP\tO' +p311184 +aS'or\tor\tCC\tI-NP\tO' +p311185 +aS'cancer\tcancer\tNN\tI-NP\tO' +p311186 +aS'cannot\tcannot\tMD\tB-VP\tO' +p311187 +aS'be\tbe\tVB\tI-VP\tO' +p311188 +aS'excluded\texclude\tVBN\tI-VP\tO' +p311189 +aS'in\tin\tIN\tB-PP\tO' +p311190 +aS'this\tthis\tDT\tB-NP\tO' +p311191 +aS'area\tarea\tNN\tI-NP\tO' +p311192 +aS',\t,\t,\tO\tO' +p311193 +aS'and\tand\tCC\tO\tO' +p311194 +aS'further\tfurther\tJJ\tB-NP\tO' +p311195 +aS'clinical\tclinical\tJJ\tI-NP\tO' +p311196 +aS'investigation\tinvestigation\tNN\tI-NP\tO' +p311197 +aS'is\tbe\tVBZ\tB-VP\tO' +p311198 +aS'recommended\trecommend\tVBN\tI-VP\tO' +p311199 +aS'.\t.\t.\tO\tO' +p311200 +asS'He was found to have a large gastric ulcer and high dose PPI was started .' +p311201 +(lp311202 +S'He\tHe\tPRP\tB-NP\tO' +p311203 +aS'was\tbe\tVBD\tB-VP\tO' +p311204 +aS'found\tfind\tVBN\tI-VP\tO' +p311205 +aS'to\tto\tTO\tI-VP\tO' +p311206 +aS'have\thave\tVB\tI-VP\tO' +p311207 +aS'a\ta\tDT\tB-NP\tO' +p311208 +aS'large\tlarge\tJJ\tI-NP\tO' +p311209 +aS'gastric\tgastric\tJJ\tI-NP\tO' +p311210 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p311211 +aS'and\tand\tCC\tO\tO' +p311212 +aS'high\thigh\tJJ\tB-NP\tO' +p311213 +aS'dose\tdose\tNN\tI-NP\tO' +p311214 +aS'PPI\tPPI\tNN\tI-NP\tO' +p311215 +aS'was\tbe\tVBD\tB-VP\tO' +p311216 +aS'started\tstart\tVBN\tI-VP\tO' +p311217 +aS'.\t.\t.\tO\tO' +p311218 +asS'13. Cyclobenzaprine 10 mg tablet one tablet orally t.i.d.' +p311219 +(lp311220 +S'13.\t13.\tLS\tB-LST\tO' +p311221 +aS'Cyclobenzaprine\tCyclobenzaprine\tNN\tB-NP\tO' +p311222 +aS'10\t10\tCD\tI-NP\tO' +p311223 +aS'mg\tmg\tNN\tI-NP\tO' +p311224 +aS'tablet\ttablet\tNN\tI-NP\tO' +p311225 +aS'one\tone\tCD\tB-NP\tO' +p311226 +aS'tablet\ttablet\tNN\tI-NP\tO' +p311227 +aS'orally\torally\tRB\tB-ADVP\tO' +p311228 +aS't.i.d.\tt.i.d.\tRB\tB-ADVP\tO' +p311229 +asS'He received phototherapy for approximately 72 hours .' +p311230 +(lp311231 +S'He\tHe\tPRP\tB-NP\tO' +p311232 +aS'received\treceive\tVBD\tB-VP\tO' +p311233 +aS'phototherapy\tphototherapy\tNN\tB-NP\tO' +p311234 +aS'for\tfor\tIN\tB-PP\tO' +p311235 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p311236 +aS'72\t72\tCD\tI-NP\tO' +p311237 +aS'hours\thour\tNNS\tI-NP\tO' +p311238 +aS'.\t.\t.\tO\tO' +p311239 +asS'No gross intraparenchymal hemorrhage .' +p311240 +(lp311241 +S'No\tNo\tDT\tB-NP\tO' +p311242 +aS'gross\tgross\tJJ\tI-NP\tO' +p311243 +aS'intraparenchymal\tintraparenchymal\tJJ\tI-NP\tO' +p311244 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p311245 +aS'.\t.\t.\tO\tO' +p311246 +asS'Beginning today , she was noted to be in hypoxic respiratory distress , 87-91% on 2L/NC .' +p311247 +(lp311248 +S'Beginning\tBegin\tVBG\tB-VP\tO' +p311249 +aS'today\ttoday\tNN\tB-NP\tO' +p311250 +aS',\t,\t,\tO\tO' +p311251 +aS'she\tshe\tPRP\tB-NP\tO' +p311252 +aS'was\tbe\tVBD\tB-VP\tO' +p311253 +aS'noted\tnote\tVBN\tI-VP\tO' +p311254 +aS'to\tto\tTO\tI-VP\tO' +p311255 +aS'be\tbe\tVB\tI-VP\tO' +p311256 +aS'in\tin\tIN\tB-PP\tO' +p311257 +aS'hypoxic\thypoxic\tJJ\tB-NP\tO' +p311258 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p311259 +aS'distress\tdistress\tNN\tI-NP\tO' +p311260 +aS',\t,\t,\tO\tO' +p311261 +aS'87-91%\t87-91%\tJJ\tB-ADJP\tO' +p311262 +aS'on\ton\tIN\tB-PP\tO' +p311263 +aS'2L/NC\t2L/NC\tNN\tB-NP\tO' +p311264 +aS'.\t.\t.\tO\tO' +p311265 +asS'The wound erythema was improving and the wound was packed twice a day .' +p311266 +(lp311267 +S'The\tThe\tDT\tB-NP\tO' +p311268 +aS'wound\twound\tNN\tI-NP\tO' +p311269 +aS'erythema\terythema\tNN\tI-NP\tO' +p311270 +aS'was\tbe\tVBD\tB-VP\tO' +p311271 +aS'improving\timprove\tVBG\tI-VP\tO' +p311272 +aS'and\tand\tCC\tO\tO' +p311273 +aS'the\tthe\tDT\tB-NP\tO' +p311274 +aS'wound\twound\tNN\tI-NP\tO' +p311275 +aS'was\tbe\tVBD\tB-VP\tO' +p311276 +aS'packed\tpack\tVBN\tI-VP\tO' +p311277 +aS'twice\ttwice\tRB\tB-NP\tO' +p311278 +aS'a\ta\tDT\tI-NP\tO' +p311279 +aS'day\tday\tNN\tI-NP\tO' +p311280 +aS'.\t.\t.\tO\tO' +p311281 +asS'No masses could be palpated secondary to the patient 's extreme obesity .' +p311282 +(lp311283 +S'No\tNo\tDT\tB-NP\tO' +p311284 +aS'masses\tmass\tNNS\tI-NP\tO' +p311285 +aS'could\tcould\tMD\tB-VP\tO' +p311286 +aS'be\tbe\tVB\tI-VP\tO' +p311287 +aS'palpated\tpalpate\tVBN\tI-VP\tO' +p311288 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p311289 +aS'to\tto\tTO\tB-PP\tO' +p311290 +aS'the\tthe\tDT\tB-NP\tO' +p311291 +aS'patient\tpatient\tNN\tI-NP\tO' +p311292 +aS''s\t'\tNNS\tI-NP\tO' +p311293 +aS'extreme\textreme\tJJ\tB-NP\tO' +p311294 +aS'obesity\tobesity\tNN\tI-NP\tO' +p311295 +aS'.\t.\t.\tO\tO' +p311296 +asS'His other antibiotics were discontinued .' +p311297 +(lp311298 +S'His\tHis\tPRP$\tB-NP\tO' +p311299 +aS'other\tother\tJJ\tI-NP\tO' +p311300 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p311301 +aS'were\tbe\tVBD\tB-VP\tO' +p311302 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p311303 +aS'.\t.\t.\tO\tO' +p311304 +asS'His oropharynx was wide open with no evidence of burn .' +p311305 +(lp311306 +S'His\tHis\tPRP$\tB-NP\tO' +p311307 +aS'oropharynx\toropharynx\tNN\tI-NP\tO' +p311308 +aS'was\tbe\tVBD\tB-VP\tO' +p311309 +aS'wide\twide\tJJ\tB-ADJP\tO' +p311310 +aS'open\topen\tJJ\tB-ADJP\tO' +p311311 +aS'with\twith\tIN\tB-PP\tO' +p311312 +aS'no\tno\tDT\tB-NP\tO' +p311313 +aS'evidence\tevidence\tNN\tI-NP\tO' +p311314 +aS'of\tof\tIN\tB-PP\tO' +p311315 +aS'burn\tburn\tNN\tB-NP\tO' +p311316 +aS'.\t.\t.\tO\tO' +p311317 +asS'Hydrochlorothiazide 50 mg p.o. q day , atenolol 50 mg p.o. q day , dicloxacillin started on December 29 , 2002 , Naproxen 500 mg p.o. t.i.d. , aspirin 81 mg p.o. q day , Tylenol p.r.n.' +p311318 +(lp311319 +S'Hydrochlorothiazide\tHydrochlorothiazide\tNN\tB-NP\tO' +p311320 +aS'50\t50\tCD\tI-NP\tO' +p311321 +aS'mg\tmg\tNN\tI-NP\tO' +p311322 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p311323 +aS'q\tq\tNN\tI-NP\tO' +p311324 +aS'day\tday\tNN\tI-NP\tO' +p311325 +aS',\t,\t,\tO\tO' +p311326 +aS'atenolol\tatenolol\tNN\tB-NP\tO' +p311327 +aS'50\t50\tCD\tI-NP\tO' +p311328 +aS'mg\tmg\tNN\tI-NP\tO' +p311329 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p311330 +aS'q\tq\tNN\tI-NP\tO' +p311331 +aS'day\tday\tNN\tI-NP\tO' +p311332 +aS',\t,\t,\tO\tO' +p311333 +aS'dicloxacillin\tdicloxacillin\tNN\tB-NP\tO' +p311334 +aS'started\tstart\tVBD\tB-VP\tO' +p311335 +aS'on\ton\tIN\tB-PP\tO' +p311336 +aS'December\tDecember\tNNP\tB-NP\tO' +p311337 +aS'29\t29\tCD\tI-NP\tO' +p311338 +aS',\t,\t,\tI-NP\tO' +p311339 +aS'2002\t2002\tCD\tI-NP\tO' +p311340 +aS',\t,\t,\tO\tO' +p311341 +aS'Naproxen\tNaproxen\tNNP\tB-NP\tO' +p311342 +aS'500\t500\tCD\tI-NP\tO' +p311343 +aS'mg\tmg\tNN\tI-NP\tO' +p311344 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p311345 +aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' +p311346 +aS',\t,\t,\tO\tO' +p311347 +aS'aspirin\taspirin\tNN\tB-NP\tO' +p311348 +aS'81\t81\tCD\tI-NP\tO' +p311349 +aS'mg\tmg\tNN\tI-NP\tO' +p311350 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p311351 +aS'q\tq\tNN\tI-NP\tO' +p311352 +aS'day\tday\tNN\tI-NP\tO' +p311353 +aS',\t,\t,\tO\tO' +p311354 +aS'Tylenol\tTylenol\tNN\tB-NP\tO' +p311355 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p311356 +asS'Her saccades were normal .' +p311357 +(lp311358 +S'Her\tHer\tPRP$\tB-NP\tO' +p311359 +aS'saccades\tsaccade\tNNS\tI-NP\tO' +p311360 +aS'were\tbe\tVBD\tB-VP\tO' +p311361 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p311362 +aS'.\t.\t.\tO\tO' +p311363 +asS'On floor on day of transfer 7.25/50/70 on 100% NRB .' +p311364 +(lp311365 +S'On\tOn\tIN\tB-PP\tO' +p311366 +aS'floor\tfloor\tNN\tB-NP\tO' +p311367 +aS'on\ton\tIN\tB-PP\tO' +p311368 +aS'day\tday\tNN\tB-NP\tO' +p311369 +aS'of\tof\tIN\tB-PP\tO' +p311370 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p311371 +aS'7.25/50/70\t7.25/50/70\tCD\tI-NP\tO' +p311372 +aS'on\ton\tIN\tB-PP\tO' +p311373 +aS'100%\t100%\tCD\tB-NP\tO' +p311374 +aS'NRB\tNRB\tNN\tI-NP\tB-protein' +p311375 +aS'.\t.\t.\tO\tO' +p311376 +asS'Pressors weaned off by 04-27 .' +p311377 +(lp311378 +S'Pressors\tPressor\tNNS\tB-NP\tO' +p311379 +aS'weaned\twean\tVBD\tB-VP\tO' +p311380 +aS'off\toff\tRP\tB-PRT\tO' +p311381 +aS'by\tby\tIN\tB-PP\tO' +p311382 +aS'04-27\t04-27\tCD\tB-NP\tO' +p311383 +aS'.\t.\t.\tO\tO' +p311384 +asS'Abnormal EEG due to the moderately slow posterior background and occasional bursts of generalized slowing .' +p311385 +(lp311386 +S'Abnormal\tAbnormal\tJJ\tB-NP\tO' +p311387 +aS'EEG\tEEG\tNN\tI-NP\tO' +p311388 +aS'due\tdue\tJJ\tB-PP\tO' +p311389 +aS'to\tto\tTO\tB-PP\tO' +p311390 +aS'the\tthe\tDT\tB-NP\tO' +p311391 +aS'moderately\tmoderately\tRB\tI-NP\tO' +p311392 +aS'slow\tslow\tJJ\tI-NP\tO' +p311393 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p311394 +aS'background\tbackground\tNN\tI-NP\tO' +p311395 +aS'and\tand\tCC\tO\tO' +p311396 +aS'occasional\toccasional\tJJ\tB-NP\tO' +p311397 +aS'bursts\tburst\tNNS\tI-NP\tO' +p311398 +aS'of\tof\tIN\tB-PP\tO' +p311399 +aS'generalized\tgeneralize\tVBN\tB-NP\tO' +p311400 +aS'slowing\tslow\tVBG\tI-NP\tO' +p311401 +aS'.\t.\t.\tO\tO' +p311402 +asS'On admission , the patient had what appeared to be acute respiratory distress syndrome secondary to community - acquired pneumonia .' +p311403 +(lp311404 +S'On\tOn\tIN\tB-PP\tO' +p311405 +aS'admission\tadmission\tNN\tB-NP\tO' +p311406 +aS',\t,\t,\tO\tO' +p311407 +aS'the\tthe\tDT\tB-NP\tO' +p311408 +aS'patient\tpatient\tNN\tI-NP\tO' +p311409 +aS'had\thave\tVBD\tB-VP\tO' +p311410 +aS'what\twhat\tWP\tB-NP\tO' +p311411 +aS'appeared\tappear\tVBD\tB-VP\tO' +p311412 +aS'to\tto\tTO\tI-VP\tO' +p311413 +aS'be\tbe\tVB\tI-VP\tO' +p311414 +aS'acute\tacute\tJJ\tB-NP\tO' +p311415 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p311416 +aS'distress\tdistress\tNN\tI-NP\tO' +p311417 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p311418 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p311419 +aS'to\tto\tTO\tB-PP\tO' +p311420 +aS'community\tcommunity\tNN\tB-NP\tO' +p311421 +aS'-\t-\tHYPH\tO\tO' +p311422 +aS'acquired\tacquire\tVBN\tB-NP\tO' +p311423 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p311424 +aS'.\t.\t.\tO\tO' +p311425 +asS'( at time of admission ) hematocrit 32.7 ; white blood count 9,000 ; platelet count 336,000 ; sodium 126 , potassium 4.3 , chloride 93 , CO2 19 , BUN 36 , creatinine 1.5 , blood sugar 84 , calcium 11.7 ; the chest X-ray normal .' +p311426 +(lp311427 +S'(\t(\t(\tO\tO' +p311428 +aS'at\tat\tIN\tB-PP\tO' +p311429 +aS'time\ttime\tNN\tB-NP\tO' +p311430 +aS'of\tof\tIN\tB-PP\tO' +p311431 +aS'admission\tadmission\tNN\tB-NP\tO' +p311432 +aS')\t)\t)\tO\tO' +p311433 +aS'hematocrit\thematocrit\tNN\tB-NP\tO' +p311434 +aS'32.7\t32.7\tCD\tI-NP\tO' +p311435 +aS';\t;\t:\tO\tO' +p311436 +aS'white\twhite\tJJ\tB-NP\tO' +p311437 +aS'blood\tblood\tNN\tI-NP\tO' +p311438 +aS'count\tcount\tNN\tI-NP\tO' +p311439 +aS'9,000\t9,000\tCD\tI-NP\tO' +p311440 +aS';\t;\t:\tO\tO' +p311441 +aS'platelet\tplatelet\tNN\tB-NP\tO' +p311442 +aS'count\tcount\tNN\tI-NP\tO' +p311443 +aS'336,000\t336,000\tCD\tI-NP\tO' +p311444 +aS';\t;\t:\tO\tO' +p311445 +aS'sodium\tsodium\tNN\tB-NP\tO' +p311446 +aS'126\t126\tCD\tI-NP\tO' +p311447 +aS',\t,\t,\tO\tO' +p311448 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p311449 +aS'4.3\t4.3\tCD\tI-NP\tO' +p311450 +aS',\t,\t,\tO\tO' +p311451 +aS'chloride\tchloride\tNN\tB-NP\tO' +p311452 +aS'93\t93\tCD\tI-NP\tO' +p311453 +aS',\t,\t,\tO\tO' +p311454 +aS'CO2\tCO2\tNN\tB-NP\tO' +p311455 +aS'19\t19\tCD\tI-NP\tO' +p311456 +aS',\t,\t,\tO\tO' +p311457 +aS'BUN\tBUN\tNN\tB-NP\tB-DNA' +p311458 +aS'36\t36\tCD\tI-NP\tI-DNA' +p311459 +aS',\t,\t,\tO\tO' +p311460 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p311461 +aS'1.5\t1.5\tCD\tI-NP\tO' +p311462 +aS',\t,\t,\tO\tO' +p311463 +aS'blood\tblood\tNN\tB-NP\tO' +p311464 +aS'sugar\tsugar\tNN\tI-NP\tO' +p311465 +aS'84\t84\tCD\tI-NP\tO' +p311466 +aS',\t,\t,\tO\tO' +p311467 +aS'calcium\tcalcium\tNN\tB-NP\tO' +p311468 +aS'11.7\t11.7\tCD\tI-NP\tO' +p311469 +aS';\t;\t:\tO\tO' +p311470 +aS'the\tthe\tDT\tB-NP\tO' +p311471 +aS'chest\tch\tJJS\tI-NP\tO' +p311472 +aS'X-ray\tX-ray\tNN\tI-NP\tO' +p311473 +aS'normal\tnormal\tJJ\tI-NP\tO' +p311474 +aS'.\t.\t.\tO\tO' +p311475 +asS'Her carotids were 2+ bilaterally .' +p311476 +(lp311477 +S'Her\tHer\tPRP$\tB-NP\tO' +p311478 +aS'carotids\tcarotid\tNNS\tI-NP\tO' +p311479 +aS'were\tbe\tVBD\tB-VP\tO' +p311480 +aS'2+\t2+\tJJ\tB-ADJP\tO' +p311481 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p311482 +aS'.\t.\t.\tO\tO' +p311483 +asS'In general , patient in no acute distress .' +p311484 +(lp311485 +S'In\tIn\tIN\tB-PP\tO' +p311486 +aS'general\tgeneral\tJJ\tB-ADJP\tO' +p311487 +aS',\t,\t,\tO\tO' +p311488 +aS'patient\tpatient\tNN\tB-NP\tO' +p311489 +aS'in\tin\tIN\tB-PP\tO' +p311490 +aS'no\tno\tDT\tB-NP\tO' +p311491 +aS'acute\tacute\tJJ\tI-NP\tO' +p311492 +aS'distress\tdistress\tNN\tI-NP\tO' +p311493 +aS'.\t.\t.\tO\tO' +p311494 +asS'Endoscopies were negative except for an extrinsic mass present on the stomach .' +p311495 +(lp311496 +S'Endoscopies\tEndoscopy\tNNS\tB-NP\tO' +p311497 +aS'were\tbe\tVBD\tB-VP\tO' +p311498 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p311499 +aS'except\texcept\tIN\tB-PP\tO' +p311500 +aS'for\tfor\tIN\tB-PP\tO' +p311501 +aS'an\tan\tDT\tB-NP\tO' +p311502 +aS'extrinsic\textrinsic\tJJ\tI-NP\tO' +p311503 +aS'mass\tmass\tNN\tI-NP\tO' +p311504 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p311505 +aS'on\ton\tIN\tB-PP\tO' +p311506 +aS'the\tthe\tDT\tB-NP\tO' +p311507 +aS'stomach\tstomach\tNN\tI-NP\tO' +p311508 +aS'.\t.\t.\tO\tO' +p311509 +asS'IVC filter in place .' +p311510 +(lp311511 +S'IVC\tIVC\tNN\tB-NP\tO' +p311512 +aS'filter\tfilter\tNN\tI-NP\tO' +p311513 +aS'in\tin\tIN\tB-PP\tO' +p311514 +aS'place\tplace\tNN\tB-NP\tO' +p311515 +aS'.\t.\t.\tO\tO' +p311516 +asS'Signed electronically by : DR. Melissa Higuera on : SUN 2014-11-23 6:13 PM' +p311517 +(lp311518 +S'Signed\tSign\tVBN\tB-VP\tO' +p311519 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p311520 +aS'by\tby\tIN\tB-PP\tO' +p311521 +aS':\t:\t:\tO\tO' +p311522 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p311523 +aS'Melissa\tMelissa\tNNP\tI-NP\tO' +p311524 +aS'Higuera\tHiguera\tNNP\tI-NP\tO' +p311525 +aS'on\ton\tIN\tB-PP\tO' +p311526 +aS':\t:\t:\tO\tO' +p311527 +aS'SUN\tSUN\tNN\tB-NP\tO' +p311528 +aS'2014-11-23\t2014-11-23\tCD\tI-NP\tO' +p311529 +aS'6:13\t6:13\tCD\tI-NP\tO' +p311530 +aS'PM\tPM\tNN\tI-NP\tO' +p311531 +asS'She was thereafter transferred to Beverly Hospital for further evaluation and management .' +p311532 +(lp311533 +S'She\tShe\tPRP\tB-NP\tO' +p311534 +aS'was\tbe\tVBD\tB-VP\tO' +p311535 +aS'thereafter\tthereafter\tRB\tI-VP\tO' +p311536 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p311537 +aS'to\tto\tTO\tB-PP\tO' +p311538 +aS'Beverly\tBeverly\tNNP\tB-NP\tO' +p311539 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p311540 +aS'for\tfor\tIN\tB-PP\tO' +p311541 +aS'further\tfurther\tJJ\tB-NP\tO' +p311542 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p311543 +aS'and\tand\tCC\tI-NP\tO' +p311544 +aS'management\tmanagement\tNN\tI-NP\tO' +p311545 +aS'.\t.\t.\tO\tO' +p311546 +asS'5. Carafate , one gram , po or per nasogastric tube , q.i.d. , Cardizem , 30 mg. , po , q6h , digoxin , 0.25 mg. , po or intravenously , qD , fluconazole , 200 mg. , qD , for five more days , after transfer , for a total of a 14 day course , total parenteral nutrition to meet the patient 's nutritional needs .' +p311547 +(lp311548 +S'5.\t5.\tLS\tB-NP\tO' +p311549 +aS'Carafate\tCarafate\tNNP\tI-NP\tO' +p311550 +aS',\t,\t,\tO\tO' +p311551 +aS'one\tone\tCD\tB-NP\tO' +p311552 +aS'gram\tgram\tNN\tI-NP\tO' +p311553 +aS',\t,\t,\tO\tO' +p311554 +aS'po\tpo\tNN\tB-NP\tO' +p311555 +aS'or\tor\tCC\tB-PP\tO' +p311556 +aS'per\tper\tIN\tB-PP\tO' +p311557 +aS'nasogastric\tnasogastric\tJJ\tB-NP\tO' +p311558 +aS'tube\ttube\tNN\tI-NP\tO' +p311559 +aS',\t,\t,\tO\tO' +p311560 +aS'q.i.d.\tq.i.d.\tNN\tB-NP\tO' +p311561 +aS',\t,\t,\tO\tO' +p311562 +aS'Cardizem\tCardizem\tNNP\tB-NP\tO' +p311563 +aS',\t,\t,\tO\tO' +p311564 +aS'30\t30\tCD\tB-NP\tO' +p311565 +aS'mg.\tmg.\tNN\tI-NP\tO' +p311566 +aS',\t,\t,\tO\tO' +p311567 +aS'po\tpo\tNN\tB-NP\tO' +p311568 +aS',\t,\t,\tO\tO' +p311569 +aS'q6h\tq6h\tNN\tB-NP\tO' +p311570 +aS',\t,\t,\tO\tO' +p311571 +aS'digoxin\tdigoxin\tNN\tB-NP\tO' +p311572 +aS',\t,\t,\tO\tO' +p311573 +aS'0.25\t0.25\tCD\tB-NP\tO' +p311574 +aS'mg.\tmg.\tNN\tI-NP\tO' +p311575 +aS',\t,\t,\tO\tO' +p311576 +aS'po\tpo\tNN\tB-NP\tO' +p311577 +aS'or\tor\tCC\tO\tO' +p311578 +aS'intravenously\tintravenously\tRB\tB-ADVP\tO' +p311579 +aS',\t,\t,\tO\tO' +p311580 +aS'qD\tqD\tNN\tB-NP\tO' +p311581 +aS',\t,\t,\tO\tO' +p311582 +aS'fluconazole\tfluconazole\tNN\tB-NP\tO' +p311583 +aS',\t,\t,\tO\tO' +p311584 +aS'200\t200\tCD\tB-NP\tO' +p311585 +aS'mg.\tmg.\tNN\tI-NP\tO' +p311586 +aS',\t,\t,\tO\tO' +p311587 +aS'qD\tqD\tNN\tB-NP\tO' +p311588 +aS',\t,\t,\tO\tO' +p311589 +aS'for\tfor\tIN\tB-PP\tO' +p311590 +aS'five\tfive\tCD\tB-NP\tO' +p311591 +aS'more\tmore\tJJR\tI-NP\tO' +p311592 +aS'days\tday\tNNS\tI-NP\tO' +p311593 +aS',\t,\t,\tO\tO' +p311594 +aS'after\tafter\tIN\tB-PP\tO' +p311595 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p311596 +aS',\t,\t,\tO\tO' +p311597 +aS'for\tfor\tIN\tB-PP\tO' +p311598 +aS'a\ta\tDT\tB-NP\tO' +p311599 +aS'total\ttotal\tNN\tI-NP\tO' +p311600 +aS'of\tof\tIN\tB-PP\tO' +p311601 +aS'a\ta\tDT\tB-NP\tO' +p311602 +aS'14\t14\tCD\tI-NP\tO' +p311603 +aS'day\tday\tNN\tI-NP\tO' +p311604 +aS'course\tcourse\tNN\tI-NP\tO' +p311605 +aS',\t,\t,\tO\tO' +p311606 +aS'total\ttotal\tJJ\tB-NP\tO' +p311607 +aS'parenteral\tparenteral\tJJ\tI-NP\tO' +p311608 +aS'nutrition\tnutrition\tNN\tI-NP\tO' +p311609 +aS'to\tto\tTO\tB-VP\tO' +p311610 +aS'meet\tmeet\tVB\tI-VP\tO' +p311611 +aS'the\tthe\tDT\tB-NP\tO' +p311612 +aS'patient\tpatient\tNN\tI-NP\tO' +p311613 +aS''s\t'\tVBZ\tB-VP\tO' +p311614 +aS'nutritional\tnutritional\tJJ\tB-NP\tO' +p311615 +aS'needs\tneed\tNNS\tI-NP\tO' +p311616 +aS'.\t.\t.\tO\tO' +p311617 +asS'A mammogram done in November 1990 was negative .' +p311618 +(lp311619 +S'A\tA\tDT\tB-NP\tO' +p311620 +aS'mammogram\tmammogram\tNN\tI-NP\tO' +p311621 +aS'done\tdo\tVBN\tB-VP\tO' +p311622 +aS'in\tin\tIN\tB-PP\tO' +p311623 +aS'November\tNovember\tNNP\tB-NP\tO' +p311624 +aS'1990\t1990\tCD\tI-NP\tO' +p311625 +aS'was\tbe\tVBD\tB-VP\tO' +p311626 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p311627 +aS'.\t.\t.\tO\tO' +p311628 +asS'The extraocular muscles were intact .' +p311629 +(lp311630 +S'The\tThe\tDT\tB-NP\tO' +p311631 +aS'extraocular\textraocular\tJJ\tI-NP\tO' +p311632 +aS'muscles\tmuscle\tNNS\tI-NP\tO' +p311633 +aS'were\tbe\tVBD\tB-VP\tO' +p311634 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p311635 +aS'.\t.\t.\tO\tO' +p311636 +asS'Clear to auscultation anteriorly .' +p311637 +(lp311638 +S'Clear\tClear\tJJ\tB-ADJP\tO' +p311639 +aS'to\tto\tTO\tB-PP\tO' +p311640 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p311641 +aS'anteriorly\tanteriorly\tRB\tB-ADVP\tO' +p311642 +aS'.\t.\t.\tO\tO' +p311643 +asS'Cholecystectomy in 1994 , colonoscopy 2004 , status post tonsillectomy , status post appendectomy , status post ORIF of left wrist , status post left ear surgery , NSVD x5 , and hypertension .' +p311644 +(lp311645 +S'Cholecystectomy\tCholecystectomy\tNN\tB-NP\tO' +p311646 +aS'in\tin\tIN\tB-PP\tO' +p311647 +aS'1994\t1994\tCD\tB-NP\tO' +p311648 +aS',\t,\t,\tO\tO' +p311649 +aS'colonoscopy\tcolonoscopy\tNN\tB-NP\tO' +p311650 +aS'2004\t2004\tCD\tI-NP\tO' +p311651 +aS',\t,\t,\tO\tO' +p311652 +aS'status\tstatus\tNN\tB-NP\tO' +p311653 +aS'post\tpost\tNN\tI-NP\tO' +p311654 +aS'tonsillectomy\ttonsillectomy\tNN\tI-NP\tO' +p311655 +aS',\t,\t,\tO\tO' +p311656 +aS'status\tstatus\tNN\tB-NP\tO' +p311657 +aS'post\tpost\tNN\tI-NP\tO' +p311658 +aS'appendectomy\tappendectomy\tNN\tI-NP\tO' +p311659 +aS',\t,\t,\tO\tO' +p311660 +aS'status\tstatus\tNN\tB-NP\tB-protein' +p311661 +aS'post\tpost\tNN\tI-NP\tI-protein' +p311662 +aS'ORIF\tORIF\tNN\tI-NP\tI-protein' +p311663 +aS'of\tof\tIN\tB-PP\tO' +p311664 +aS'left\tleft\tJJ\tB-NP\tO' +p311665 +aS'wrist\twrist\tNN\tI-NP\tO' +p311666 +aS',\t,\t,\tO\tO' +p311667 +aS'status\tstatus\tNN\tB-NP\tO' +p311668 +aS'post\tpost\tNN\tI-NP\tO' +p311669 +aS'left\tleave\tVBD\tB-VP\tO' +p311670 +aS'ear\tear\tNN\tB-NP\tO' +p311671 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p311672 +aS',\t,\t,\tO\tO' +p311673 +aS'NSVD\tNSVD\tNN\tB-NP\tB-protein' +p311674 +aS'x5\tx5\tNN\tI-NP\tI-protein' +p311675 +aS',\t,\t,\tO\tO' +p311676 +aS'and\tand\tCC\tO\tO' +p311677 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p311678 +aS'.\t.\t.\tO\tO' +p311679 +asS'His Decadron dose will be slowly titrated down over time following his neurological exam closely .' +p311680 +(lp311681 +S'His\tHis\tPRP$\tB-NP\tB-protein' +p311682 +aS'Decadron\tDecadron\tNNP\tI-NP\tO' +p311683 +aS'dose\tdose\tNN\tI-NP\tO' +p311684 +aS'will\twill\tMD\tB-VP\tO' +p311685 +aS'be\tbe\tVB\tI-VP\tO' +p311686 +aS'slowly\tslowly\tRB\tI-VP\tO' +p311687 +aS'titrated\ttitrate\tVBN\tI-VP\tO' +p311688 +aS'down\tdown\tIN\tB-ADVP\tO' +p311689 +aS'over\tover\tIN\tB-PP\tO' +p311690 +aS'time\ttime\tNN\tB-NP\tO' +p311691 +aS'following\tfollow\tVBG\tB-PP\tO' +p311692 +aS'his\this\tPRP$\tB-NP\tO' +p311693 +aS'neurological\tneurological\tJJ\tI-NP\tO' +p311694 +aS'exam\texam\tNN\tI-NP\tO' +p311695 +aS'closely\tclosely\tRB\tB-ADVP\tO' +p311696 +aS'.\t.\t.\tO\tO' +p311697 +asS'This is a 44 year-old right handed woman with Down 's syndrome who presents with increased falling and gait unsteadiness and an increased inability to perform her activities of daily living over the past three years .' +p311698 +(lp311699 +S'This\tThis\tDT\tB-NP\tO' +p311700 +aS'is\tbe\tVBZ\tB-VP\tO' +p311701 +aS'a\ta\tDT\tB-NP\tO' +p311702 +aS'44\t44\tCD\tI-NP\tO' +p311703 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p311704 +aS'right\tright\tJJ\tI-NP\tO' +p311705 +aS'handed\thanded\tJJ\tI-NP\tO' +p311706 +aS'woman\twoman\tNN\tI-NP\tO' +p311707 +aS'with\twith\tIN\tB-PP\tO' +p311708 +aS'Down\tDown\tNN\tB-NP\tO' +p311709 +aS''s\t'\tNNS\tI-NP\tO' +p311710 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p311711 +aS'who\twho\tWP\tB-NP\tO' +p311712 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p311713 +aS'with\twith\tIN\tB-PP\tO' +p311714 +aS'increased\tincrease\tVBN\tB-NP\tO' +p311715 +aS'falling\tfall\tVBG\tI-NP\tO' +p311716 +aS'and\tand\tCC\tO\tO' +p311717 +aS'gait\tgait\tVB\tB-VP\tO' +p311718 +aS'unsteadiness\tunsteadiness\tNN\tB-NP\tO' +p311719 +aS'and\tand\tCC\tO\tO' +p311720 +aS'an\tan\tDT\tB-NP\tO' +p311721 +aS'increased\tincrease\tVBN\tI-NP\tO' +p311722 +aS'inability\tinability\tNN\tI-NP\tO' +p311723 +aS'to\tto\tTO\tB-VP\tO' +p311724 +aS'perform\tperform\tVB\tI-VP\tO' +p311725 +aS'her\ther\tPRP$\tB-NP\tO' +p311726 +aS'activities\tactivity\tNNS\tI-NP\tO' +p311727 +aS'of\tof\tIN\tB-PP\tO' +p311728 +aS'daily\tdaily\tJJ\tB-NP\tO' +p311729 +aS'living\tliving\tNN\tI-NP\tO' +p311730 +aS'over\tover\tIN\tB-PP\tO' +p311731 +aS'the\tthe\tDT\tB-NP\tO' +p311732 +aS'past\tpast\tJJ\tI-NP\tO' +p311733 +aS'three\tthree\tCD\tI-NP\tO' +p311734 +aS'years\tyear\tNNS\tI-NP\tO' +p311735 +aS'.\t.\t.\tO\tO' +p311736 +asS'At that time , he ruled in for an NST EMI with a peak CK of 412 and a troponin of 6.23 .' +p311737 +(lp311738 +S'At\tAt\tIN\tB-PP\tO' +p311739 +aS'that\tthat\tDT\tB-NP\tO' +p311740 +aS'time\ttime\tNN\tI-NP\tO' +p311741 +aS',\t,\t,\tO\tO' +p311742 +aS'he\the\tPRP\tB-NP\tO' +p311743 +aS'ruled\trule\tVBD\tB-VP\tO' +p311744 +aS'in\tin\tRP\tB-PRT\tO' +p311745 +aS'for\tfor\tIN\tB-PP\tO' +p311746 +aS'an\tan\tDT\tB-NP\tO' +p311747 +aS'NST\tNST\tNN\tI-NP\tO' +p311748 +aS'EMI\tEMI\tNN\tI-NP\tO' +p311749 +aS'with\twith\tIN\tB-PP\tO' +p311750 +aS'a\ta\tDT\tB-NP\tO' +p311751 +aS'peak\tpeak\tJJ\tI-NP\tO' +p311752 +aS'CK\tCK\tNN\tI-NP\tO' +p311753 +aS'of\tof\tIN\tB-PP\tO' +p311754 +aS'412\t412\tCD\tB-NP\tO' +p311755 +aS'and\tand\tCC\tO\tO' +p311756 +aS'a\ta\tDT\tB-NP\tO' +p311757 +aS'troponin\ttroponin\tNN\tI-NP\tO' +p311758 +aS'of\tof\tIN\tB-PP\tO' +p311759 +aS'6.23\t6.23\tCD\tB-NP\tO' +p311760 +aS'.\t.\t.\tO\tO' +p311761 +asS'The baby had been breast feeding ad lib in the Newborn Nursery .' +p311762 +(lp311763 +S'The\tThe\tDT\tB-NP\tO' +p311764 +aS'baby\tbaby\tNN\tI-NP\tO' +p311765 +aS'had\thave\tVBD\tB-VP\tO' +p311766 +aS'been\tbe\tVBN\tI-VP\tO' +p311767 +aS'breast\tbreast\tNN\tB-NP\tO' +p311768 +aS'feeding\tfeeding\tNN\tI-NP\tO' +p311769 +aS'ad\tad\tNN\tI-NP\tO' +p311770 +aS'lib\tlib\tNN\tI-NP\tO' +p311771 +aS'in\tin\tIN\tB-PP\tO' +p311772 +aS'the\tthe\tDT\tB-NP\tO' +p311773 +aS'Newborn\tNewborn\tNNP\tI-NP\tO' +p311774 +aS'Nursery\tNursery\tNNP\tI-NP\tO' +p311775 +aS'.\t.\t.\tO\tO' +p311776 +asS"95 yo male with PMH large right thyroid cystic mass eroding into trachea , who presented to St. Anne 's Hospital 2018-04-22 with hemoptysis and respiratory distress , now diagnosed with anaplastic thyroid carcinoma ." +p311777 +(lp311778 +S'95\t95\tCD\tB-NP\tO' +p311779 +aS'yo\tyo\tNN\tI-NP\tO' +p311780 +aS'male\tmale\tJJ\tB-ADJP\tO' +p311781 +aS'with\twith\tIN\tB-PP\tO' +p311782 +aS'PMH\tPMH\tNN\tB-NP\tO' +p311783 +aS'large\tlarge\tJJ\tI-NP\tO' +p311784 +aS'right\tright\tJJ\tI-NP\tO' +p311785 +aS'thyroid\tthyroid\tJJ\tI-NP\tO' +p311786 +aS'cystic\tcystic\tJJ\tI-NP\tO' +p311787 +aS'mass\tmass\tNN\tI-NP\tO' +p311788 +aS'eroding\terode\tVBG\tB-VP\tO' +p311789 +aS'into\tinto\tIN\tB-PP\tO' +p311790 +aS'trachea\ttrachea\tNN\tB-NP\tO' +p311791 +aS',\t,\t,\tO\tO' +p311792 +aS'who\twho\tWP\tB-NP\tO' +p311793 +aS'presented\tpresent\tVBD\tB-VP\tO' +p311794 +aS'to\tto\tTO\tB-PP\tO' +p311795 +aS'St.\tSt.\tNNP\tB-NP\tO' +p311796 +aS'Anne\tAnne\tNNP\tI-NP\tO' +p311797 +aS"'s\t's\tPOS\tB-NP\tO" +p311798 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p311799 +aS'2018-04-22\t2018-04-22\tCD\tI-NP\tO' +p311800 +aS'with\twith\tIN\tB-PP\tO' +p311801 +aS'hemoptysis\themoptysis\tNN\tB-NP\tO' +p311802 +aS'and\tand\tCC\tO\tO' +p311803 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p311804 +aS'distress\tdistress\tNN\tI-NP\tO' +p311805 +aS',\t,\t,\tO\tO' +p311806 +aS'now\tnow\tRB\tB-VP\tO' +p311807 +aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' +p311808 +aS'with\twith\tIN\tB-PP\tO' +p311809 +aS'anaplastic\tanaplastic\tJJ\tB-NP\tO' +p311810 +aS'thyroid\tthyroid\tNN\tI-NP\tO' +p311811 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p311812 +aS'.\t.\t.\tO\tO' +p311813 +asS'Neutropenic precautions were taken .' +p311814 +(lp311815 +S'Neutropenic\tNeutropenic\tJJ\tB-NP\tO' +p311816 +aS'precautions\tprecaution\tNNS\tI-NP\tO' +p311817 +aS'were\tbe\tVBD\tB-VP\tO' +p311818 +aS'taken\ttake\tVBN\tI-VP\tO' +p311819 +aS'.\t.\t.\tO\tO' +p311820 +asS'Your obstetrician 6 weeks , No Known Allergies' +p311821 +(lp311822 +S'Your\tYour\tPRP$\tB-NP\tO' +p311823 +aS'obstetrician\tobstetrician\tJJ\tI-NP\tO' +p311824 +aS'6\t6\tCD\tI-NP\tO' +p311825 +aS'weeks\tweek\tNNS\tI-NP\tO' +p311826 +aS',\t,\t,\tO\tO' +p311827 +aS'No\tNo\tNNP\tB-NP\tO' +p311828 +aS'Known\tKnown\tNNP\tI-NP\tO' +p311829 +aS'Allergies\tAllergies\tNNP\tI-NP\tO' +p311830 +asS'High cholesterol .' +p311831 +(lp311832 +S'High\tHigh\tJJ\tB-NP\tO' +p311833 +aS'cholesterol\tcholesterol\tNN\tI-NP\tO' +p311834 +aS'.\t.\t.\tO\tO' +p311835 +asS'Trace aortic regurgitation is seen .' +p311836 +(lp311837 +S'Trace\tTrace\tNN\tB-NP\tO' +p311838 +aS'aortic\taortic\tJJ\tI-NP\tO' +p311839 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p311840 +aS'is\tbe\tVBZ\tB-VP\tO' +p311841 +aS'seen\tsee\tVBN\tI-VP\tO' +p311842 +aS'.\t.\t.\tO\tO' +p311843 +asS'He has had no significant episode of tachycardia or blood pressure alteration during the final days of hospitalization .' +p311844 +(lp311845 +S'He\tHe\tPRP\tB-NP\tO' +p311846 +aS'has\thave\tVBZ\tB-VP\tO' +p311847 +aS'had\thave\tVBN\tI-VP\tO' +p311848 +aS'no\tno\tDT\tB-NP\tO' +p311849 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p311850 +aS'episode\tepisode\tNN\tI-NP\tO' +p311851 +aS'of\tof\tIN\tB-PP\tO' +p311852 +aS'tachycardia\ttachycardia\tNN\tB-NP\tO' +p311853 +aS'or\tor\tCC\tI-NP\tO' +p311854 +aS'blood\tblood\tNN\tI-NP\tO' +p311855 +aS'pressure\tpressure\tNN\tI-NP\tO' +p311856 +aS'alteration\talteration\tNN\tI-NP\tO' +p311857 +aS'during\tduring\tIN\tB-PP\tO' +p311858 +aS'the\tthe\tDT\tB-NP\tO' +p311859 +aS'final\tfinal\tJJ\tI-NP\tO' +p311860 +aS'days\tday\tNNS\tI-NP\tO' +p311861 +aS'of\tof\tIN\tB-PP\tO' +p311862 +aS'hospitalization\thospitalization\tNN\tB-NP\tO' +p311863 +aS'.\t.\t.\tO\tO' +p311864 +asS'The passport in his left arm was pulled and will be replaced if needed after the Amphotericine is completed .' +p311865 +(lp311866 +S'The\tThe\tDT\tB-NP\tO' +p311867 +aS'passport\tpassport\tNN\tI-NP\tO' +p311868 +aS'in\tin\tIN\tB-PP\tO' +p311869 +aS'his\this\tPRP$\tB-NP\tO' +p311870 +aS'left\tleft\tJJ\tI-NP\tO' +p311871 +aS'arm\tarm\tNN\tI-NP\tO' +p311872 +aS'was\tbe\tVBD\tB-VP\tO' +p311873 +aS'pulled\tpull\tVBN\tI-VP\tO' +p311874 +aS'and\tand\tCC\tO\tO' +p311875 +aS'will\twill\tMD\tB-VP\tO' +p311876 +aS'be\tbe\tVB\tI-VP\tO' +p311877 +aS'replaced\treplace\tVBN\tI-VP\tO' +p311878 +aS'if\tif\tIN\tB-SBAR\tO' +p311879 +aS'needed\tneed\tVBN\tB-VP\tO' +p311880 +aS'after\tafter\tIN\tB-PP\tO' +p311881 +aS'the\tthe\tDT\tB-NP\tO' +p311882 +aS'Amphotericine\tAmphotericine\tNN\tI-NP\tO' +p311883 +aS'is\tbe\tVBZ\tB-VP\tO' +p311884 +aS'completed\tcomplete\tVBN\tI-VP\tO' +p311885 +aS'.\t.\t.\tO\tO' +p311886 +asS'He had occasional atrial and ventricular premature beats .' +p311887 +(lp311888 +S'He\tHe\tPRP\tB-NP\tO' +p311889 +aS'had\thave\tVBD\tB-VP\tO' +p311890 +aS'occasional\toccasional\tJJ\tB-NP\tO' +p311891 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p311892 +aS'and\tand\tCC\tI-NP\tO' +p311893 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p311894 +aS'premature\tpremature\tJJ\tI-NP\tO' +p311895 +aS'beats\tbeat\tNNS\tI-NP\tO' +p311896 +aS'.\t.\t.\tO\tO' +p311897 +asS'Social History : non-smoker , occasional etoh , no drugs' +p311898 +(lp311899 +S'Social\tSocial\tJJ\tB-NP\tO' +p311900 +aS'History\tHistory\tNN\tI-NP\tO' +p311901 +aS':\t:\t:\tO\tO' +p311902 +aS'non-smoker\tnon-smoker\tJJ\tB-NP\tO' +p311903 +aS',\t,\t,\tI-NP\tO' +p311904 +aS'occasional\toccasional\tJJ\tI-NP\tO' +p311905 +aS'etoh\tetoh\tNN\tI-NP\tO' +p311906 +aS',\t,\t,\tO\tO' +p311907 +aS'no\tno\tDT\tB-NP\tO' +p311908 +aS'drugs\tdrug\tNNS\tI-NP\tO' +p311909 +asS'She will need follow up with her PCP within B week after discharge from the extended care facility for further BP titration and monitoring of her electrolytes .' +p311910 +(lp311911 +S'She\tShe\tPRP\tB-NP\tO' +p311912 +aS'will\twill\tMD\tB-VP\tO' +p311913 +aS'need\tneed\tVB\tI-VP\tO' +p311914 +aS'follow\tfollow\tVB\tI-VP\tO' +p311915 +aS'up\tup\tRP\tB-PRT\tO' +p311916 +aS'with\twith\tIN\tB-PP\tO' +p311917 +aS'her\ther\tPRP$\tB-NP\tO' +p311918 +aS'PCP\tPCP\tNN\tI-NP\tB-protein' +p311919 +aS'within\twithin\tIN\tB-PP\tO' +p311920 +aS'B\tB\tNN\tB-NP\tO' +p311921 +aS'week\tweek\tNN\tI-NP\tO' +p311922 +aS'after\tafter\tIN\tB-PP\tO' +p311923 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p311924 +aS'from\tfrom\tIN\tB-PP\tO' +p311925 +aS'the\tthe\tDT\tB-NP\tO' +p311926 +aS'extended\textend\tVBN\tI-NP\tO' +p311927 +aS'care\tcare\tNN\tI-NP\tO' +p311928 +aS'facility\tfacility\tNN\tI-NP\tO' +p311929 +aS'for\tfor\tIN\tB-PP\tO' +p311930 +aS'further\tfurther\tJJ\tB-NP\tO' +p311931 +aS'BP\tBP\tNN\tI-NP\tO' +p311932 +aS'titration\ttitration\tNN\tI-NP\tO' +p311933 +aS'and\tand\tCC\tI-NP\tO' +p311934 +aS'monitoring\tmonitoring\tNN\tI-NP\tO' +p311935 +aS'of\tof\tIN\tB-PP\tO' +p311936 +aS'her\ther\tPRP$\tB-NP\tO' +p311937 +aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' +p311938 +aS'.\t.\t.\tO\tO' +p311939 +asS'His medications for his respiratory system are Albuterol nebulizer 0.5 mg. 2.5 cc. q4hours .' +p311940 +(lp311941 +S'His\tHis\tPRP$\tB-NP\tO' +p311942 +aS'medications\tmedication\tNNS\tI-NP\tO' +p311943 +aS'for\tfor\tIN\tB-PP\tO' +p311944 +aS'his\this\tPRP$\tB-NP\tO' +p311945 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p311946 +aS'system\tsystem\tNN\tI-NP\tO' +p311947 +aS'are\tbe\tVBP\tB-VP\tO' +p311948 +aS'Albuterol\tAlbuterol\tNNP\tB-NP\tO' +p311949 +aS'nebulizer\tnebulizer\tNN\tI-NP\tO' +p311950 +aS'0.5\t0.5\tCD\tB-NP\tO' +p311951 +aS'mg.\tmg.\tNN\tI-NP\tO' +p311952 +aS'2.5\t2.5\tCD\tB-NP\tO' +p311953 +aS'cc.\tcc.\tNN\tI-NP\tO' +p311954 +aS'q4hours\tq4hour\tNNS\tI-NP\tO' +p311955 +aS'.\t.\t.\tO\tO' +p311956 +asS'1. An 8 x 7 x 7 mm stone in the proximal right ureter with associated right hydronephrosis and inflammatory perinephric stranding .' +p311957 +(lp311958 +S'1.\t1.\tLS\tB-LST\tO' +p311959 +aS'An\tAn\tDT\tB-NP\tO' +p311960 +aS'8\t8\tCD\tI-NP\tO' +p311961 +aS'x\tx\tSYM\tI-NP\tO' +p311962 +aS'7\t7\tCD\tI-NP\tO' +p311963 +aS'x\tx\tSYM\tI-NP\tO' +p311964 +aS'7\t7\tCD\tI-NP\tO' +p311965 +aS'mm\tmm\tNN\tI-NP\tO' +p311966 +aS'stone\tstone\tNN\tI-NP\tO' +p311967 +aS'in\tin\tIN\tB-PP\tO' +p311968 +aS'the\tthe\tDT\tB-NP\tO' +p311969 +aS'proximal\tproximal\tJJ\tI-NP\tO' +p311970 +aS'right\tright\tJJ\tI-NP\tO' +p311971 +aS'ureter\tureter\tNN\tI-NP\tO' +p311972 +aS'with\twith\tIN\tB-PP\tO' +p311973 +aS'associated\tassociate\tVBN\tB-NP\tO' +p311974 +aS'right\tright\tJJ\tI-NP\tO' +p311975 +aS'hydronephrosis\thydronephrosis\tNN\tI-NP\tO' +p311976 +aS'and\tand\tCC\tO\tO' +p311977 +aS'inflammatory\tinflammatory\tJJ\tB-NP\tO' +p311978 +aS'perinephric\tperinephric\tJJ\tI-NP\tO' +p311979 +aS'stranding\tstranding\tNN\tI-NP\tO' +p311980 +aS'.\t.\t.\tO\tO' +p311981 +asS'There is also left sided subfalcine herniation .' +p311982 +(lp311983 +S'There\tThere\tEX\tB-NP\tO' +p311984 +aS'is\tbe\tVBZ\tB-VP\tO' +p311985 +aS'also\talso\tRB\tI-VP\tO' +p311986 +aS'left\tleave\tVBN\tI-VP\tO' +p311987 +aS'sided\tsided\tJJ\tB-NP\tO' +p311988 +aS'subfalcine\tsubfalcine\tNN\tI-NP\tO' +p311989 +aS'herniation\therniation\tNN\tI-NP\tO' +p311990 +aS'.\t.\t.\tO\tO' +p311991 +asS'Please bring your outpatient lab results to your PCP ( Dr. Hemler )' +p311992 +(lp311993 +S'Please\tPlease\tVB\tB-VP\tO' +p311994 +aS'bring\tbring\tVB\tI-VP\tO' +p311995 +aS'your\tyour\tPRP$\tB-NP\tO' +p311996 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p311997 +aS'lab\tlab\tNN\tI-NP\tO' +p311998 +aS'results\tresult\tNNS\tI-NP\tO' +p311999 +aS'to\tto\tTO\tB-PP\tO' +p312000 +aS'your\tyour\tPRP$\tB-NP\tO' +p312001 +aS'PCP\tPCP\tNN\tI-NP\tO' +p312002 +aS'(\t(\t(\tO\tO' +p312003 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p312004 +aS'Hemler\tHemler\tNNP\tI-NP\tO' +p312005 +aS')\t)\t)\tO\tO' +p312006 +asS'normal posterior and anterior circulation .' +p312007 +(lp312008 +S'normal\tnormal\tJJ\tB-NP\tO' +p312009 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p312010 +aS'and\tand\tCC\tI-NP\tO' +p312011 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p312012 +aS'circulation\tcirculation\tNN\tI-NP\tO' +p312013 +aS'.\t.\t.\tO\tO' +p312014 +asS'Pathology of this resection revealed a Grade III / III infiltrating ductal carcinoma .' +p312015 +(lp312016 +S'Pathology\tPathology\tNNS\tB-NP\tO' +p312017 +aS'of\tof\tIN\tB-PP\tO' +p312018 +aS'this\tthis\tDT\tB-NP\tO' +p312019 +aS'resection\tresection\tNN\tI-NP\tO' +p312020 +aS'revealed\treveal\tVBD\tB-VP\tO' +p312021 +aS'a\ta\tDT\tB-NP\tO' +p312022 +aS'Grade\tGrade\tNN\tI-NP\tB-protein' +p312023 +aS'III\tIII\tCD\tI-NP\tI-protein' +p312024 +aS'/\t/\tSYM\tI-NP\tB-protein' +p312025 +aS'III\tIII\tCD\tI-NP\tI-protein' +p312026 +aS'infiltrating\tinfiltrate\tVBG\tB-VP\tO' +p312027 +aS'ductal\tductal\tJJ\tB-NP\tO' +p312028 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p312029 +aS'.\t.\t.\tO\tO' +p312030 +asS'Exploration of the pancreas revealed a posterior fracture a the superior mesenteric vessels .' +p312031 +(lp312032 +S'Exploration\tExploration\tNN\tB-NP\tO' +p312033 +aS'of\tof\tIN\tB-PP\tO' +p312034 +aS'the\tthe\tDT\tB-NP\tO' +p312035 +aS'pancreas\tpancreas\tNN\tI-NP\tO' +p312036 +aS'revealed\treveal\tVBD\tB-VP\tO' +p312037 +aS'a\ta\tDT\tB-NP\tO' +p312038 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p312039 +aS'fracture\tfracture\tNN\tI-NP\tO' +p312040 +aS'a\ta\tDT\tB-NP\tO' +p312041 +aS'the\tthe\tDT\tI-NP\tO' +p312042 +aS'superior\tsuperior\tJJ\tI-NP\tO' +p312043 +aS'mesenteric\tmesenteric\tJJ\tI-NP\tO' +p312044 +aS'vessels\tvessel\tNNS\tI-NP\tO' +p312045 +aS'.\t.\t.\tO\tO' +p312046 +asS"Hypercholesterolemia ( total cholesterol on admission 300 's several years ago )." +p312047 +(lp312048 +S'Hypercholesterolemia\tHypercholesterolemia\tNN\tB-NP\tO' +p312049 +aS'(\t(\t(\tO\tO' +p312050 +aS'total\ttotal\tJJ\tB-NP\tO' +p312051 +aS'cholesterol\tcholesterol\tNN\tI-NP\tO' +p312052 +aS'on\ton\tIN\tB-PP\tO' +p312053 +aS'admission\tadmission\tNN\tB-NP\tO' +p312054 +aS'300\t300\tCD\tI-NP\tO' +p312055 +aS"'s\t's\tPOS\tB-NP\tO" +p312056 +aS'several\tseveral\tJJ\tI-NP\tO' +p312057 +aS'years\tyear\tNNS\tI-NP\tO' +p312058 +aS'ago\tago\tRB\tB-ADVP\tO' +p312059 +aS').\t).\tVBP\tB-VP\tO' +p312060 +asS'Carotid noninvasives revealed minimal carotid disease .' +p312061 +(lp312062 +S'Carotid\tCarotid\tJJ\tB-NP\tO' +p312063 +aS'noninvasives\tnoninvasive\tNNS\tI-NP\tO' +p312064 +aS'revealed\treveal\tVBD\tB-VP\tO' +p312065 +aS'minimal\tminimal\tJJ\tB-NP\tO' +p312066 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p312067 +aS'disease\tdisease\tNN\tI-NP\tO' +p312068 +aS'.\t.\t.\tO\tO' +p312069 +asS'Osseous structures are remarkable for degenerative changes of the spine , and a fracture of the proximal right humerus , with orthopedic hardware causing beam hardening artifact .' +p312070 +(lp312071 +S'Osseous\tOsseous\tJJ\tB-NP\tO' +p312072 +aS'structures\tstructure\tNNS\tI-NP\tO' +p312073 +aS'are\tbe\tVBP\tB-VP\tO' +p312074 +aS'remarkable\tremarkable\tJJ\tB-ADJP\tO' +p312075 +aS'for\tfor\tIN\tB-PP\tO' +p312076 +aS'degenerative\tdegenerative\tJJ\tB-NP\tO' +p312077 +aS'changes\tchange\tNNS\tI-NP\tO' +p312078 +aS'of\tof\tIN\tB-PP\tO' +p312079 +aS'the\tthe\tDT\tB-NP\tO' +p312080 +aS'spine\tspine\tNN\tI-NP\tO' +p312081 +aS',\t,\t,\tO\tO' +p312082 +aS'and\tand\tCC\tO\tO' +p312083 +aS'a\ta\tDT\tB-NP\tO' +p312084 +aS'fracture\tfracture\tNN\tI-NP\tO' +p312085 +aS'of\tof\tIN\tB-PP\tO' +p312086 +aS'the\tthe\tDT\tB-NP\tO' +p312087 +aS'proximal\tproximal\tJJ\tI-NP\tO' +p312088 +aS'right\tright\tJJ\tI-NP\tO' +p312089 +aS'humerus\thumerus\tNN\tI-NP\tO' +p312090 +aS',\t,\t,\tO\tO' +p312091 +aS'with\twith\tIN\tB-PP\tO' +p312092 +aS'orthopedic\torthopedic\tJJ\tB-NP\tO' +p312093 +aS'hardware\thardware\tNN\tI-NP\tO' +p312094 +aS'causing\tcause\tVBG\tB-VP\tO' +p312095 +aS'beam\tbeam\tNN\tB-NP\tO' +p312096 +aS'hardening\tharden\tVBG\tB-VP\tO' +p312097 +aS'artifact\tartifact\tNN\tB-NP\tO' +p312098 +aS'.\t.\t.\tO\tO' +p312099 +asS'PROSTATE CANCER .' +p312100 +(lp312101 +S'PROSTATE\tPROSTATE\tJJ\tB-NP\tO' +p312102 +aS'CANCER\tCANCER\tNN\tI-NP\tO' +p312103 +aS'.\t.\t.\tO\tO' +p312104 +asS'Alkaline phosphatase 190 .' +p312105 +(lp312106 +S'Alkaline\tAlkaline\tNN\tB-NP\tO' +p312107 +aS'phosphatase\tphosphatase\tNN\tI-NP\tO' +p312108 +aS'190\t190\tCD\tI-NP\tO' +p312109 +aS'.\t.\t.\tO\tO' +p312110 +asS'Active drips included milrinone , Levophed , propofol , and insulin .' +p312111 +(lp312112 +S'Active\tActive\tJJ\tB-NP\tO' +p312113 +aS'drips\tdrip\tNNS\tI-NP\tO' +p312114 +aS'included\tinclude\tVBD\tB-VP\tO' +p312115 +aS'milrinone\tmilrinone\tNN\tB-NP\tO' +p312116 +aS',\t,\t,\tO\tO' +p312117 +aS'Levophed\tLevophe\tVBN\tB-VP\tO' +p312118 +aS',\t,\t,\tO\tO' +p312119 +aS'propofol\tpropofol\tNN\tB-NP\tO' +p312120 +aS',\t,\t,\tO\tO' +p312121 +aS'and\tand\tCC\tO\tO' +p312122 +aS'insulin\tinsulin\tNN\tB-NP\tB-protein' +p312123 +aS'.\t.\t.\tO\tO' +p312124 +asS'He does use the Passy-Muir valve intermittently for his trach .' +p312125 +(lp312126 +S'He\tHe\tPRP\tB-NP\tO' +p312127 +aS'does\tdo\tVBZ\tB-VP\tO' +p312128 +aS'use\tuse\tVB\tI-VP\tO' +p312129 +aS'the\tthe\tDT\tB-NP\tO' +p312130 +aS'Passy-Muir\tPassy-Muir\tNNP\tI-NP\tO' +p312131 +aS'valve\tvalve\tVBP\tB-VP\tO' +p312132 +aS'intermittently\tintermittently\tRB\tB-ADVP\tO' +p312133 +aS'for\tfor\tIN\tB-PP\tO' +p312134 +aS'his\this\tPRP$\tB-NP\tO' +p312135 +aS'trach\ttrach\tNN\tI-NP\tO' +p312136 +aS'.\t.\t.\tO\tO' +p312137 +asS'She was intubated on 07-03 for progressive respiratory failure .' +p312138 +(lp312139 +S'She\tShe\tPRP\tB-NP\tO' +p312140 +aS'was\tbe\tVBD\tB-VP\tO' +p312141 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p312142 +aS'on\ton\tIN\tB-PP\tO' +p312143 +aS'07-03\t07-03\tCD\tB-NP\tO' +p312144 +aS'for\tfor\tIN\tB-PP\tO' +p312145 +aS'progressive\tprogressive\tJJ\tB-NP\tO' +p312146 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p312147 +aS'failure\tfailure\tNN\tI-NP\tO' +p312148 +aS'.\t.\t.\tO\tO' +p312149 +asS'Lymphovascular invasion was present .' +p312150 +(lp312151 +S'Lymphovascular\tLymphovascular\tJJ\tB-NP\tO' +p312152 +aS'invasion\tinvasion\tNN\tI-NP\tO' +p312153 +aS'was\tbe\tVBD\tB-VP\tO' +p312154 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p312155 +aS'.\t.\t.\tO\tO' +p312156 +asS'Referred to Memorial Hospital ( Worcester ) for cardiac catheterization to further evaluate her aortic stenosis .' +p312157 +(lp312158 +S'Referred\tRefer\tVBN\tB-VP\tO' +p312159 +aS'to\tto\tTO\tB-PP\tO' +p312160 +aS'Memorial\tMemorial\tNNP\tB-NP\tO' +p312161 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p312162 +aS'(\t(\t(\tO\tO' +p312163 +aS'Worcester\tWorcester\tNNP\tB-NP\tO' +p312164 +aS')\t)\t)\tO\tO' +p312165 +aS'for\tfor\tIN\tB-PP\tO' +p312166 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p312167 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p312168 +aS'to\tto\tTO\tB-VP\tO' +p312169 +aS'further\tfurther\tRB\tI-VP\tO' +p312170 +aS'evaluate\tevaluate\tVB\tI-VP\tO' +p312171 +aS'her\ther\tPRP$\tB-NP\tO' +p312172 +aS'aortic\taortic\tJJ\tI-NP\tO' +p312173 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p312174 +aS'.\t.\t.\tO\tO' +p312175 +asS'The patient was a 79 - year-old gentleman found down at home unresponsive by his wife after lunch .' +p312176 +(lp312177 +S'The\tThe\tDT\tB-NP\tO' +p312178 +aS'patient\tpatient\tNN\tI-NP\tO' +p312179 +aS'was\tbe\tVBD\tB-VP\tO' +p312180 +aS'a\ta\tDT\tB-NP\tO' +p312181 +aS'79\t79\tCD\tI-NP\tO' +p312182 +aS'-\t-\tHYPH\tI-NP\tO' +p312183 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p312184 +aS'gentleman\tgentleman\tNN\tI-NP\tO' +p312185 +aS'found\tfind\tVBD\tB-VP\tO' +p312186 +aS'down\tdown\tIN\tB-ADVP\tO' +p312187 +aS'at\tat\tIN\tB-PP\tO' +p312188 +aS'home\thome\tNN\tB-NP\tO' +p312189 +aS'unresponsive\tunresponsive\tJJ\tB-ADJP\tO' +p312190 +aS'by\tby\tIN\tB-PP\tO' +p312191 +aS'his\this\tPRP$\tB-NP\tO' +p312192 +aS'wife\twife\tNN\tI-NP\tO' +p312193 +aS'after\tafter\tIN\tB-PP\tO' +p312194 +aS'lunch\tlunch\tNN\tB-NP\tO' +p312195 +aS'.\t.\t.\tO\tO' +p312196 +asS'CT of the C spine was negative and her cervical spine was cleared .' +p312197 +(lp312198 +S'CT\tCT\tNN\tB-NP\tO' +p312199 +aS'of\tof\tIN\tB-PP\tO' +p312200 +aS'the\tthe\tDT\tB-NP\tO' +p312201 +aS'C\tC\tNN\tI-NP\tO' +p312202 +aS'spine\tspine\tNN\tI-NP\tO' +p312203 +aS'was\tbe\tVBD\tB-VP\tO' +p312204 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p312205 +aS'and\tand\tCC\tO\tO' +p312206 +aS'her\ther\tPRP$\tB-NP\tO' +p312207 +aS'cervical\tcervical\tJJ\tI-NP\tO' +p312208 +aS'spine\tspine\tNN\tI-NP\tO' +p312209 +aS'was\tbe\tVBD\tB-VP\tO' +p312210 +aS'cleared\tclear\tVBN\tI-VP\tO' +p312211 +aS'.\t.\t.\tO\tO' +p312212 +asS'Total abdominal hysterectomy , bilateral salpingooophorectomy , bilateral lymph node dissection , omentectomy , lysis of adhesions , removal of mass from surface of transverse colon .' +p312213 +(lp312214 +S'Total\tTotal\tJJ\tB-NP\tO' +p312215 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p312216 +aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' +p312217 +aS',\t,\t,\tO\tO' +p312218 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p312219 +aS'salpingooophorectomy\tsalpingooophorectomy\tNN\tI-NP\tO' +p312220 +aS',\t,\t,\tO\tO' +p312221 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p312222 +aS'lymph\tlymph\tNN\tI-NP\tO' +p312223 +aS'node\tnode\tNN\tI-NP\tO' +p312224 +aS'dissection\tdissection\tNN\tI-NP\tO' +p312225 +aS',\t,\t,\tO\tO' +p312226 +aS'omentectomy\tomentectomy\tNN\tB-NP\tO' +p312227 +aS',\t,\t,\tO\tO' +p312228 +aS'lysis\tlysis\tNN\tB-NP\tO' +p312229 +aS'of\tof\tIN\tB-PP\tO' +p312230 +aS'adhesions\tadhesion\tNNS\tB-NP\tO' +p312231 +aS',\t,\t,\tO\tO' +p312232 +aS'removal\tremoval\tNN\tB-NP\tO' +p312233 +aS'of\tof\tIN\tB-PP\tO' +p312234 +aS'mass\tmass\tNN\tB-NP\tO' +p312235 +aS'from\tfrom\tIN\tB-PP\tO' +p312236 +aS'surface\tsurface\tNN\tB-NP\tO' +p312237 +aS'of\tof\tIN\tB-PP\tO' +p312238 +aS'transverse\ttransverse\tJJ\tB-NP\tO' +p312239 +aS'colon\tcolon\tNN\tI-NP\tO' +p312240 +aS'.\t.\t.\tO\tO' +p312241 +asS'Also a Left non displaced sacral wing fracture and left inferior pubic ramus fx extending the to inferior acetabulum .' +p312242 +(lp312243 +S'Also\tAlso\tRB\tB-ADVP\tO' +p312244 +aS'a\ta\tDT\tB-NP\tO' +p312245 +aS'Left\tLeft\tNNP\tI-NP\tO' +p312246 +aS'non\tnon\tNN\tI-NP\tO' +p312247 +aS'displaced\tdisplace\tVBD\tB-VP\tO' +p312248 +aS'sacral\tsacral\tJJ\tB-NP\tO' +p312249 +aS'wing\twing\tNN\tI-NP\tO' +p312250 +aS'fracture\tfracture\tNN\tI-NP\tO' +p312251 +aS'and\tand\tCC\tO\tO' +p312252 +aS'left\tleave\tVBD\tB-VP\tO' +p312253 +aS'inferior\tinferior\tJJ\tB-NP\tO' +p312254 +aS'pubic\tpubic\tJJ\tI-NP\tO' +p312255 +aS'ramus\tramus\tNN\tI-NP\tO' +p312256 +aS'fx\tfx\tNN\tI-NP\tO' +p312257 +aS'extending\textend\tVBG\tB-VP\tO' +p312258 +aS'the\tthe\tDT\tB-ADVP\tO' +p312259 +aS'to\tto\tTO\tB-PP\tO' +p312260 +aS'inferior\tinferior\tJJ\tB-NP\tO' +p312261 +aS'acetabulum\tacetabulum\tNN\tI-NP\tO' +p312262 +aS'.\t.\t.\tO\tO' +p312263 +asS'The neck was supple .' +p312264 +(lp312265 +S'The\tThe\tDT\tB-NP\tO' +p312266 +aS'neck\tneck\tNN\tI-NP\tO' +p312267 +aS'was\tbe\tVBD\tB-VP\tO' +p312268 +aS'supple\tsupple\tNN\tB-NP\tO' +p312269 +aS'.\t.\t.\tO\tO' +p312270 +asS'No mitral regurgitation is seen .' +p312271 +(lp312272 +S'No\tNo\tDT\tB-NP\tO' +p312273 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p312274 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p312275 +aS'is\tbe\tVBZ\tB-VP\tO' +p312276 +aS'seen\tsee\tVBN\tI-VP\tO' +p312277 +aS'.\t.\t.\tO\tO' +p312278 +asS'Coumadin 5 mg PO q.day , Digoxin 0.25 mg PO q.day , Metoprolol 25 mg PO b.i.d. , Baby aspirin 80 mg PO q.day .' +p312279 +(lp312280 +S'Coumadin\tCoumadin\tNN\tB-NP\tO' +p312281 +aS'5\t5\tCD\tI-NP\tO' +p312282 +aS'mg\tmg\tNN\tI-NP\tO' +p312283 +aS'PO\tPO\tNN\tI-NP\tO' +p312284 +aS'q.day\tq.day\tNN\tI-NP\tO' +p312285 +aS',\t,\t,\tO\tO' +p312286 +aS'Digoxin\tDigoxin\tNN\tB-NP\tO' +p312287 +aS'0.25\t0.25\tCD\tI-NP\tO' +p312288 +aS'mg\tmg\tNN\tI-NP\tO' +p312289 +aS'PO\tPO\tNN\tI-NP\tO' +p312290 +aS'q.day\tq.day\tNN\tI-NP\tO' +p312291 +aS',\t,\t,\tO\tO' +p312292 +aS'Metoprolol\tMetoprolol\tNN\tB-NP\tO' +p312293 +aS'25\t25\tCD\tI-NP\tO' +p312294 +aS'mg\tmg\tNN\tI-NP\tO' +p312295 +aS'PO\tPO\tNN\tI-NP\tO' +p312296 +aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' +p312297 +aS',\t,\t,\tO\tO' +p312298 +aS'Baby\tBaby\tNNP\tB-NP\tO' +p312299 +aS'aspirin\taspirin\tNN\tI-NP\tO' +p312300 +aS'80\t80\tCD\tI-NP\tO' +p312301 +aS'mg\tmg\tNN\tI-NP\tO' +p312302 +aS'PO\tPO\tNN\tI-NP\tO' +p312303 +aS'q.day\tq.day\tNN\tI-NP\tO' +p312304 +aS'.\t.\t.\tO\tO' +p312305 +asS'- s/p fall with right hip fx and ORIF' +p312306 +(lp312307 +S'-\t-\tHYPH\tB-NP\tO' +p312308 +aS's/p\ts/p\tNN\tI-NP\tO' +p312309 +aS'fall\tfall\tNN\tI-NP\tO' +p312310 +aS'with\twith\tIN\tB-PP\tO' +p312311 +aS'right\tright\tJJ\tB-NP\tO' +p312312 +aS'hip\thip\tNN\tI-NP\tO' +p312313 +aS'fx\tfx\tNN\tI-NP\tO' +p312314 +aS'and\tand\tCC\tO\tO' +p312315 +aS'ORIF\tORIF\tNN\tB-NP\tB-protein' +p312316 +asS'The patient did go to operating room on 2014-04-04 and the patient had cadaveric liver transplant performed by Dr. Michael Sanders .' +p312317 +(lp312318 +S'The\tThe\tDT\tB-NP\tO' +p312319 +aS'patient\tpatient\tNN\tI-NP\tO' +p312320 +aS'did\tdo\tVBD\tB-VP\tO' +p312321 +aS'go\tgo\tVB\tI-VP\tO' +p312322 +aS'to\tto\tTO\tB-PP\tO' +p312323 +aS'operating\toperating\tNN\tB-NP\tO' +p312324 +aS'room\troom\tNN\tI-NP\tO' +p312325 +aS'on\ton\tIN\tB-PP\tO' +p312326 +aS'2014-04-04\t2014-04-04\tCD\tB-NP\tO' +p312327 +aS'and\tand\tCC\tO\tO' +p312328 +aS'the\tthe\tDT\tB-NP\tO' +p312329 +aS'patient\tpatient\tNN\tI-NP\tO' +p312330 +aS'had\thave\tVBD\tB-VP\tO' +p312331 +aS'cadaveric\tcadaveric\tJJ\tB-NP\tO' +p312332 +aS'liver\tliver\tNN\tI-NP\tO' +p312333 +aS'transplant\ttransplant\tNN\tI-NP\tO' +p312334 +aS'performed\tperform\tVBN\tB-VP\tO' +p312335 +aS'by\tby\tIN\tB-PP\tO' +p312336 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p312337 +aS'Michael\tMichael\tNNP\tI-NP\tO' +p312338 +aS'Sanders\tSanders\tNNP\tI-NP\tO' +p312339 +aS'.\t.\t.\tO\tO' +p312340 +asS'Extremities revealed 2+ femoral pulses bilaterally , 1+ dorsalis pedis pulses bilaterally .' +p312341 +(lp312342 +S'Extremities\tExtremity\tNNS\tB-NP\tO' +p312343 +aS'revealed\treveal\tVBD\tB-VP\tO' +p312344 +aS'2+\t2+\tJJ\tB-NP\tO' +p312345 +aS'femoral\tfemoral\tJJ\tI-NP\tO' +p312346 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p312347 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p312348 +aS',\t,\t,\tO\tO' +p312349 +aS'1+\t1+\tJJ\tB-NP\tO' +p312350 +aS'dorsalis\tdorsalis\tNN\tI-NP\tO' +p312351 +aS'pedis\tpedis\tNN\tI-NP\tO' +p312352 +aS'pulses\tpulse\tVBZ\tB-VP\tO' +p312353 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p312354 +aS'.\t.\t.\tO\tO' +p312355 +asS'A repeat urinalysis on 10/22/97 was negative .' +p312356 +(lp312357 +S'A\tA\tDT\tB-NP\tO' +p312358 +aS'repeat\trepeat\tNN\tI-NP\tO' +p312359 +aS'urinalysis\turinalysis\tNN\tI-NP\tO' +p312360 +aS'on\ton\tIN\tB-PP\tO' +p312361 +aS'10/22/97\t10/22/97\tCD\tB-NP\tO' +p312362 +aS'was\tbe\tVBD\tB-VP\tO' +p312363 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p312364 +aS'.\t.\t.\tO\tO' +p312365 +asS'He was treated with pulsed IV steroids and Imuran , was augmented with mycophenolate Mofetil .' +p312366 +(lp312367 +S'He\tHe\tPRP\tB-NP\tO' +p312368 +aS'was\tbe\tVBD\tB-VP\tO' +p312369 +aS'treated\ttreat\tVBN\tI-VP\tO' +p312370 +aS'with\twith\tIN\tB-PP\tO' +p312371 +aS'pulsed\tpulsed\tJJ\tB-NP\tO' +p312372 +aS'IV\tIV\tCD\tI-NP\tO' +p312373 +aS'steroids\tsteroid\tNNS\tI-NP\tO' +p312374 +aS'and\tand\tCC\tI-NP\tO' +p312375 +aS'Imuran\tImuran\tNN\tI-NP\tO' +p312376 +aS',\t,\t,\tO\tO' +p312377 +aS'was\tbe\tVBD\tB-VP\tO' +p312378 +aS'augmented\taugment\tVBN\tI-VP\tO' +p312379 +aS'with\twith\tIN\tB-PP\tO' +p312380 +aS'mycophenolate\tmycophenolate\tJJ\tB-NP\tO' +p312381 +aS'Mofetil\tMofetil\tNNP\tI-NP\tO' +p312382 +aS'.\t.\t.\tO\tO' +p312383 +asS'Neurologically , grossly nonfocal .' +p312384 +(lp312385 +S'Neurologically\tNeurologically\tRB\tB-ADVP\tO' +p312386 +aS',\t,\t,\tO\tO' +p312387 +aS'grossly\tgrossly\tRB\tB-ADJP\tO' +p312388 +aS'nonfocal\tnonfocal\tJJ\tI-ADJP\tO' +p312389 +aS'.\t.\t.\tO\tO' +p312390 +asS'Her rectal exam is guaiac negative .' +p312391 +(lp312392 +S'Her\tHer\tPRP$\tB-NP\tO' +p312393 +aS'rectal\trectal\tJJ\tI-NP\tO' +p312394 +aS'exam\texam\tNN\tI-NP\tO' +p312395 +aS'is\tbe\tVBZ\tB-VP\tO' +p312396 +aS'guaiac\tguaiac\tNN\tB-NP\tO' +p312397 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p312398 +aS'.\t.\t.\tO\tO' +p312399 +asS'He received tylenol , levofloxacin 500 mg IV , Flagyl 500 mg and Vancomycin and I L NS .' +p312400 +(lp312401 +S'He\tHe\tPRP\tB-NP\tO' +p312402 +aS'received\treceive\tVBD\tB-VP\tO' +p312403 +aS'tylenol\ttylenol\tNN\tB-NP\tO' +p312404 +aS',\t,\t,\tO\tO' +p312405 +aS'levofloxacin\tlevofloxacin\tNN\tB-NP\tB-protein' +p312406 +aS'500\t500\tCD\tI-NP\tI-protein' +p312407 +aS'mg\tmg\tNN\tI-NP\tI-protein' +p312408 +aS'IV\tIV\tCD\tB-NP\tI-protein' +p312409 +aS',\t,\t,\tO\tO' +p312410 +aS'Flagyl\tFlagyl\tNN\tB-NP\tO' +p312411 +aS'500\t500\tCD\tI-NP\tO' +p312412 +aS'mg\tmg\tNN\tI-NP\tO' +p312413 +aS'and\tand\tCC\tI-NP\tO' +p312414 +aS'Vancomycin\tVancomycin\tNN\tI-NP\tO' +p312415 +aS'and\tand\tCC\tO\tO' +p312416 +aS'I\tI\tPRP\tB-NP\tB-protein' +p312417 +aS'L\tL\tNN\tB-NP\tI-protein' +p312418 +aS'NS\tNS\tNN\tI-NP\tI-protein' +p312419 +aS'.\t.\t.\tO\tO' +p312420 +asS'She continued to make good urine over the first few days and had her urine losses replaced with intravenous fluids .' +p312421 +(lp312422 +S'She\tShe\tPRP\tB-NP\tO' +p312423 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p312424 +aS'to\tto\tTO\tI-VP\tO' +p312425 +aS'make\tmake\tVB\tI-VP\tO' +p312426 +aS'good\tgood\tJJ\tB-NP\tO' +p312427 +aS'urine\turine\tNN\tI-NP\tO' +p312428 +aS'over\tover\tIN\tB-PP\tO' +p312429 +aS'the\tthe\tDT\tB-NP\tO' +p312430 +aS'first\tfirst\tJJ\tI-NP\tO' +p312431 +aS'few\tfew\tJJ\tI-NP\tO' +p312432 +aS'days\tday\tNNS\tI-NP\tO' +p312433 +aS'and\tand\tCC\tO\tO' +p312434 +aS'had\thave\tVBD\tB-VP\tO' +p312435 +aS'her\ther\tPRP$\tB-NP\tO' +p312436 +aS'urine\turine\tNN\tI-NP\tO' +p312437 +aS'losses\tloss\tNNS\tI-NP\tO' +p312438 +aS'replaced\treplace\tVBN\tB-VP\tO' +p312439 +aS'with\twith\tIN\tB-PP\tO' +p312440 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p312441 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p312442 +aS'.\t.\t.\tO\tO' +p312443 +asS'Hematocrit was 22.4 ; white count .59 ; platelets 84.' +p312444 +(lp312445 +S'Hematocrit\tHematocrit\tNN\tB-NP\tB-protein' +p312446 +aS'was\tbe\tVBD\tB-VP\tI-protein' +p312447 +aS'22.4\t22.4\tCD\tB-NP\tI-protein' +p312448 +aS';\t;\t:\tO\tO' +p312449 +aS'white\twhite\tJJ\tB-NP\tO' +p312450 +aS'count\tcount\tNN\tI-NP\tO' +p312451 +aS'.59\t.59\tNN\tI-NP\tO' +p312452 +aS';\t;\t:\tO\tO' +p312453 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p312454 +aS'84.\t84.\tLS\tB-LST\tO' +p312455 +asS'This 68-year-old patient of Dr. Naka Jesc had two episodes of rheumatic fever as a teenager .' +p312456 +(lp312457 +S'This\tThis\tDT\tB-NP\tO' +p312458 +aS'68-year-old\t68-year-old\tJJ\tI-NP\tO' +p312459 +aS'patient\tpatient\tNN\tI-NP\tO' +p312460 +aS'of\tof\tIN\tB-PP\tO' +p312461 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p312462 +aS'Naka\tNaka\tNNP\tI-NP\tO' +p312463 +aS'Jesc\tJesc\tNNP\tI-NP\tO' +p312464 +aS'had\thave\tVBD\tB-VP\tO' +p312465 +aS'two\ttwo\tCD\tB-NP\tO' +p312466 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p312467 +aS'of\tof\tIN\tB-PP\tO' +p312468 +aS'rheumatic\trheumatic\tJJ\tB-NP\tO' +p312469 +aS'fever\tfever\tNN\tI-NP\tO' +p312470 +aS'as\tas\tIN\tB-PP\tO' +p312471 +aS'a\ta\tDT\tB-NP\tO' +p312472 +aS'teenager\tteenager\tNN\tI-NP\tO' +p312473 +aS'.\t.\t.\tO\tO' +p312474 +asS'Cardiovascular exam revealed a regular rate and rhythm with no murmurs , rubs or gallops .' +p312475 +(lp312476 +S'Cardiovascular\tCardiovascular\tJJ\tB-NP\tO' +p312477 +aS'exam\texam\tNN\tI-NP\tO' +p312478 +aS'revealed\treveal\tVBD\tB-VP\tO' +p312479 +aS'a\ta\tDT\tB-NP\tO' +p312480 +aS'regular\tregular\tJJ\tI-NP\tO' +p312481 +aS'rate\trate\tNN\tI-NP\tO' +p312482 +aS'and\tand\tCC\tO\tO' +p312483 +aS'rhythm\trhythm\tNN\tB-NP\tO' +p312484 +aS'with\twith\tIN\tB-PP\tO' +p312485 +aS'no\tno\tDT\tB-NP\tO' +p312486 +aS'murmurs\tmurmur\tNNS\tI-NP\tO' +p312487 +aS',\t,\t,\tI-NP\tO' +p312488 +aS'rubs\trub\tNNS\tI-NP\tO' +p312489 +aS'or\tor\tCC\tI-NP\tO' +p312490 +aS'gallops\tgallop\tNNS\tI-NP\tO' +p312491 +aS'.\t.\t.\tO\tO' +p312492 +asS'4. Pressure , dermal ulcer care b.i.d. dressing change with antibiotic solution .' +p312493 +(lp312494 +S'4.\t4.\tLS\tB-NP\tO' +p312495 +aS'Pressure\tPressure\tNN\tI-NP\tO' +p312496 +aS',\t,\t,\tO\tO' +p312497 +aS'dermal\tdermal\tJJ\tB-NP\tO' +p312498 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p312499 +aS'care\tcare\tNN\tI-NP\tO' +p312500 +aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' +p312501 +aS'dressing\tdress\tVBG\tB-VP\tO' +p312502 +aS'change\tchange\tNN\tB-NP\tO' +p312503 +aS'with\twith\tIN\tB-PP\tO' +p312504 +aS'antibiotic\tantibiotic\tJJ\tB-NP\tO' +p312505 +aS'solution\tsolution\tNN\tI-NP\tO' +p312506 +aS'.\t.\t.\tO\tO' +p312507 +asS'There is surrounding soft tissue swelling .' +p312508 +(lp312509 +S'There\tThere\tEX\tB-NP\tO' +p312510 +aS'is\tbe\tVBZ\tB-VP\tO' +p312511 +aS'surrounding\tsurround\tVBG\tI-VP\tO' +p312512 +aS'soft\tsoft\tJJ\tB-NP\tO' +p312513 +aS'tissue\ttissue\tNN\tI-NP\tO' +p312514 +aS'swelling\tswelling\tNN\tI-NP\tO' +p312515 +aS'.\t.\t.\tO\tO' +p312516 +asS'1. Albuterol 2.5 mg in 2.5 normal saline q4h .' +p312517 +(lp312518 +S'1.\t1.\tLS\tB-LST\tO' +p312519 +aS'Albuterol\tAlbuterol\tNNP\tB-NP\tO' +p312520 +aS'2.5\t2.5\tCD\tI-NP\tO' +p312521 +aS'mg\tmg\tNN\tI-NP\tO' +p312522 +aS'in\tin\tIN\tB-PP\tO' +p312523 +aS'2.5\t2.5\tCD\tB-NP\tO' +p312524 +aS'normal\tnormal\tJJ\tI-NP\tO' +p312525 +aS'saline\tsaline\tNN\tI-NP\tO' +p312526 +aS'q4h\tq4h\tNN\tI-NP\tO' +p312527 +aS'.\t.\t.\tO\tO' +p312528 +asS'He was seen by the pain service who recommended to discontinue Oxycontin , and start Neurontin , MSIR , and lidocaine patch in addition to the standing Tylenol .' +p312529 +(lp312530 +S'He\tHe\tPRP\tB-NP\tO' +p312531 +aS'was\tbe\tVBD\tB-VP\tO' +p312532 +aS'seen\tsee\tVBN\tI-VP\tO' +p312533 +aS'by\tby\tIN\tB-PP\tO' +p312534 +aS'the\tthe\tDT\tB-NP\tO' +p312535 +aS'pain\tpain\tNN\tI-NP\tO' +p312536 +aS'service\tservice\tNN\tI-NP\tO' +p312537 +aS'who\twho\tWP\tB-NP\tO' +p312538 +aS'recommended\trecommend\tVBD\tB-VP\tO' +p312539 +aS'to\tto\tTO\tI-VP\tO' +p312540 +aS'discontinue\tdiscontinue\tVB\tI-VP\tO' +p312541 +aS'Oxycontin\tOxycontin\tNN\tB-NP\tB-protein' +p312542 +aS',\t,\t,\tO\tO' +p312543 +aS'and\tand\tCC\tO\tO' +p312544 +aS'start\tstart\tVB\tB-VP\tO' +p312545 +aS'Neurontin\tNeurontin\tNN\tB-NP\tB-protein' +p312546 +aS',\t,\t,\tO\tO' +p312547 +aS'MSIR\tMSIR\tNN\tB-NP\tB-protein' +p312548 +aS',\t,\t,\tO\tO' +p312549 +aS'and\tand\tCC\tO\tO' +p312550 +aS'lidocaine\tlidocaine\tNN\tB-NP\tO' +p312551 +aS'patch\tpatch\tNN\tI-NP\tO' +p312552 +aS'in\tin\tIN\tB-PP\tO' +p312553 +aS'addition\taddition\tNN\tB-NP\tO' +p312554 +aS'to\tto\tTO\tB-PP\tO' +p312555 +aS'the\tthe\tDT\tB-NP\tO' +p312556 +aS'standing\tstanding\tNN\tI-NP\tO' +p312557 +aS'Tylenol\tTylenol\tNN\tI-NP\tO' +p312558 +aS'.\t.\t.\tO\tO' +p312559 +asS'Normal tone and neonatal reflexes .' +p312560 +(lp312561 +S'Normal\tNormal\tJJ\tB-NP\tO' +p312562 +aS'tone\ttone\tNN\tI-NP\tO' +p312563 +aS'and\tand\tCC\tO\tO' +p312564 +aS'neonatal\tneonatal\tJJ\tB-NP\tO' +p312565 +aS'reflexes\treflex\tNNS\tI-NP\tO' +p312566 +aS'.\t.\t.\tO\tO' +p312567 +asS'He is stable in room air at this time .' +p312568 +(lp312569 +S'He\tHe\tPRP\tB-NP\tO' +p312570 +aS'is\tbe\tVBZ\tB-VP\tO' +p312571 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p312572 +aS'in\tin\tIN\tB-PP\tO' +p312573 +aS'room\troom\tNN\tB-NP\tO' +p312574 +aS'air\tair\tNN\tI-NP\tO' +p312575 +aS'at\tat\tIN\tB-PP\tO' +p312576 +aS'this\tthis\tDT\tB-NP\tO' +p312577 +aS'time\ttime\tNN\tI-NP\tO' +p312578 +aS'.\t.\t.\tO\tO' +p312579 +asS'No hepato or splenomegaly .' +p312580 +(lp312581 +S'No\tNo\tDT\tB-NP\tO' +p312582 +aS'hepato\thepato\tNN\tI-NP\tO' +p312583 +aS'or\tor\tCC\tI-NP\tO' +p312584 +aS'splenomegaly\tsplenomegaly\tNN\tI-NP\tO' +p312585 +aS'.\t.\t.\tO\tO' +p312586 +asS'Prenatal screens were notable for blood type 0 positive , antibody negative , hepatitis B surface antigen negative , RPR nonreactive .' +p312587 +(lp312588 +S'Prenatal\tPrenatal\tJJ\tB-NP\tO' +p312589 +aS'screens\tscreen\tNNS\tI-NP\tO' +p312590 +aS'were\tbe\tVBD\tB-VP\tO' +p312591 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p312592 +aS'for\tfor\tIN\tB-PP\tO' +p312593 +aS'blood\tblood\tNN\tB-NP\tO' +p312594 +aS'type\ttype\tNN\tI-NP\tO' +p312595 +aS'0\t0\tCD\tI-NP\tO' +p312596 +aS'positive\tpositive\tJJ\tI-NP\tO' +p312597 +aS',\t,\t,\tI-NP\tO' +p312598 +aS'antibody\tantibody\tNN\tI-NP\tO' +p312599 +aS'negative\tnegative\tJJ\tI-NP\tO' +p312600 +aS',\t,\t,\tO\tO' +p312601 +aS'hepatitis\thepatitis\tNN\tB-NP\tB-protein' +p312602 +aS'B\tB\tNN\tI-NP\tI-protein' +p312603 +aS'surface\tsurface\tNN\tI-NP\tI-protein' +p312604 +aS'antigen\tantigen\tNN\tI-NP\tI-protein' +p312605 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p312606 +aS',\t,\t,\tO\tO' +p312607 +aS'RPR\tRPR\tNN\tB-NP\tB-protein' +p312608 +aS'nonreactive\tnonreactive\tJJ\tB-ADJP\tO' +p312609 +aS'.\t.\t.\tO\tO' +p312610 +asS'However , her urine output has improved .' +p312611 +(lp312612 +S'However\tHowever\tRB\tB-ADVP\tO' +p312613 +aS',\t,\t,\tO\tO' +p312614 +aS'her\ther\tPRP$\tB-NP\tO' +p312615 +aS'urine\turine\tNN\tI-NP\tO' +p312616 +aS'output\toutput\tNN\tI-NP\tO' +p312617 +aS'has\thave\tVBZ\tB-VP\tO' +p312618 +aS'improved\timprove\tVBN\tI-VP\tO' +p312619 +aS'.\t.\t.\tO\tO' +p312620 +asS'Patient has allergies to penicillin .' +p312621 +(lp312622 +S'Patient\tPatient\tNN\tB-NP\tO' +p312623 +aS'has\thave\tVBZ\tB-VP\tO' +p312624 +aS'allergies\tallergy\tNNS\tB-NP\tO' +p312625 +aS'to\tto\tTO\tB-PP\tO' +p312626 +aS'penicillin\tpenicillin\tNN\tB-NP\tB-protein' +p312627 +aS'.\t.\t.\tO\tO' +p312628 +asS'Abdomen is soft , nontender , no masses , and no hepatosplenomegaly .' +p312629 +(lp312630 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p312631 +aS'is\tbe\tVBZ\tB-VP\tO' +p312632 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p312633 +aS',\t,\t,\tO\tO' +p312634 +aS'nontender\tnontender\tJJ\tB-ADJP\tO' +p312635 +aS',\t,\t,\tO\tO' +p312636 +aS'no\tno\tDT\tB-NP\tO' +p312637 +aS'masses\tmass\tNNS\tI-NP\tO' +p312638 +aS',\t,\t,\tO\tO' +p312639 +aS'and\tand\tCC\tO\tO' +p312640 +aS'no\tno\tDT\tB-NP\tO' +p312641 +aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tI-NP\tO' +p312642 +aS'.\t.\t.\tO\tO' +p312643 +asS'At the time we were to embark on this evaluation , the patient 's family strongly requested that she be transferred to the Sas General Hospital .' +p312644 +(lp312645 +S'At\tAt\tIN\tB-PP\tO' +p312646 +aS'the\tthe\tDT\tB-NP\tO' +p312647 +aS'time\ttime\tNN\tI-NP\tO' +p312648 +aS'we\twe\tPRP\tB-NP\tO' +p312649 +aS'were\tbe\tVBD\tB-VP\tO' +p312650 +aS'to\tto\tTO\tI-VP\tO' +p312651 +aS'embark\tembark\tVB\tI-VP\tO' +p312652 +aS'on\ton\tIN\tB-PP\tO' +p312653 +aS'this\tthis\tDT\tB-NP\tO' +p312654 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p312655 +aS',\t,\t,\tO\tO' +p312656 +aS'the\tthe\tDT\tB-NP\tO' +p312657 +aS'patient\tpatient\tNN\tI-NP\tO' +p312658 +aS''s\t'\tNNS\tI-NP\tO' +p312659 +aS'family\tfamily\tNN\tI-NP\tO' +p312660 +aS'strongly\tstrongly\tRB\tB-VP\tO' +p312661 +aS'requested\trequest\tVBD\tI-VP\tO' +p312662 +aS'that\tthat\tIN\tB-SBAR\tO' +p312663 +aS'she\tshe\tPRP\tB-NP\tO' +p312664 +aS'be\tbe\tVB\tB-VP\tO' +p312665 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p312666 +aS'to\tto\tTO\tB-PP\tO' +p312667 +aS'the\tthe\tDT\tB-NP\tO' +p312668 +aS'Sas\tSas\tNNP\tI-NP\tO' +p312669 +aS'General\tGeneral\tNNP\tI-NP\tO' +p312670 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p312671 +aS'.\t.\t.\tO\tO' +p312672 +asS'One day prior to lumbar puncture , an aerobic culture was similarly pending .' +p312673 +(lp312674 +S'One\tOne\tCD\tB-NP\tO' +p312675 +aS'day\tday\tNN\tI-NP\tO' +p312676 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p312677 +aS'to\tto\tTO\tB-VP\tO' +p312678 +aS'lumbar\tlumbar\tVB\tI-VP\tO' +p312679 +aS'puncture\tpuncture\tNN\tB-NP\tO' +p312680 +aS',\t,\t,\tO\tO' +p312681 +aS'an\tan\tDT\tB-NP\tO' +p312682 +aS'aerobic\taerobic\tJJ\tI-NP\tO' +p312683 +aS'culture\tculture\tNN\tI-NP\tO' +p312684 +aS'was\tbe\tVBD\tB-VP\tO' +p312685 +aS'similarly\tsimilarly\tRB\tI-VP\tO' +p312686 +aS'pending\tpende\tVBG\tI-VP\tO' +p312687 +aS'.\t.\t.\tO\tO' +p312688 +asS'He tried adding lamictal , but this caused a rash .' +p312689 +(lp312690 +S'He\tHe\tPRP\tB-NP\tO' +p312691 +aS'tried\ttry\tVBD\tB-VP\tO' +p312692 +aS'adding\tadd\tVBG\tI-VP\tO' +p312693 +aS'lamictal\tlamictal\tJJ\tB-ADJP\tO' +p312694 +aS',\t,\t,\tO\tO' +p312695 +aS'but\tbut\tCC\tO\tO' +p312696 +aS'this\tthis\tDT\tB-NP\tO' +p312697 +aS'caused\tcause\tVBD\tB-VP\tO' +p312698 +aS'a\ta\tDT\tB-NP\tO' +p312699 +aS'rash\trash\tNN\tI-NP\tO' +p312700 +aS'.\t.\t.\tO\tO' +p312701 +asS'Quit tobacco in 2003 after smoking 1 ppd for " a very long time ".' +p312702 +(lp312703 +S'Quit\tQuit\tNN\tB-NP\tO' +p312704 +aS'tobacco\ttobacco\tNN\tI-NP\tO' +p312705 +aS'in\tin\tIN\tB-PP\tO' +p312706 +aS'2003\t2003\tCD\tB-NP\tO' +p312707 +aS'after\tafter\tIN\tB-PP\tO' +p312708 +aS'smoking\tsmoke\tVBG\tB-VP\tO' +p312709 +aS'1\t1\tCD\tB-NP\tO' +p312710 +aS'ppd\tppd\tNN\tI-NP\tO' +p312711 +aS'for\tfor\tIN\tB-PP\tO' +p312712 +aS'"\t"\t\'\'\tO\tO' +p312713 +aS'a\ta\tDT\tB-NP\tO' +p312714 +aS'very\tvery\tRB\tI-NP\tO' +p312715 +aS'long\tlong\tJJ\tI-NP\tO' +p312716 +aS'time\ttime\tNN\tI-NP\tO' +p312717 +aS'".\t".\t.\tO\tO' +p312718 +asS'S/p right pneumonectomy .' +p312719 +(lp312720 +S'S/p\tS/p\tNN\tB-NP\tO' +p312721 +aS'right\tright\tJJ\tI-NP\tO' +p312722 +aS'pneumonectomy\tpneumonectomy\tNN\tI-NP\tO' +p312723 +aS'.\t.\t.\tO\tO' +p312724 +asS'Left Atrium - Four Chamber Length : 5.1 cm ( nl <= 5.2 cm )' +p312725 +(lp312726 +S'Left\tLeft\tNNP\tB-NP\tO' +p312727 +aS'Atrium\tAtrium\tNNP\tI-NP\tO' +p312728 +aS'-\t-\tHYPH\tB-NP\tO' +p312729 +aS'Four\tFour\tNNP\tI-NP\tO' +p312730 +aS'Chamber\tChamber\tNNP\tI-NP\tO' +p312731 +aS'Length\tLength\tNNP\tI-NP\tO' +p312732 +aS':\t:\t:\tO\tO' +p312733 +aS'5.1\t5.1\tCD\tB-NP\tO' +p312734 +aS'cm\tcm\tNN\tI-NP\tO' +p312735 +aS'(\t(\t(\tO\tO' +p312736 +aS'nl\tnl\tNN\tB-NP\tO' +p312737 +aS'<=\t<=\tSYM\tO\tO' +p312738 +aS'5.2\t5.2\tCD\tB-NP\tO' +p312739 +aS'cm\tcm\tNN\tI-NP\tO' +p312740 +aS')\t)\t)\tO\tO' +p312741 +asS'3. Car seat position screening was performed .' +p312742 +(lp312743 +S'3.\t3.\tLS\tB-NP\tO' +p312744 +aS'Car\tCar\tNN\tI-NP\tB-protein' +p312745 +aS'seat\tseat\tNN\tI-NP\tO' +p312746 +aS'position\tposition\tNN\tI-NP\tO' +p312747 +aS'screening\tscreening\tNN\tI-NP\tO' +p312748 +aS'was\tbe\tVBD\tB-VP\tO' +p312749 +aS'performed\tperform\tVBN\tI-VP\tO' +p312750 +aS'.\t.\t.\tO\tO' +p312751 +asS'Dictated By : Eugene F Balboa , M.D.' +p312752 +(lp312753 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p312754 +aS'By\tBy\tIN\tB-PP\tO' +p312755 +aS':\t:\t:\tO\tO' +p312756 +aS'Eugene\tEugene\tNNP\tB-NP\tO' +p312757 +aS'F\tF\tNNP\tI-NP\tO' +p312758 +aS'Balboa\tBalboa\tNNP\tI-NP\tO' +p312759 +aS',\t,\t,\tO\tO' +p312760 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p312761 +asS'CBC - White blood cell count 8.82 , hemoglobin 15.2 , hematocrit 43 , and platelets 322 .' +p312762 +(lp312763 +S'CBC\tCBC\tNN\tB-NP\tB-protein' +p312764 +aS'-\t-\tHYPH\tI-NP\tO' +p312765 +aS'White\tWhite\tJJ\tI-NP\tO' +p312766 +aS'blood\tblood\tNN\tI-NP\tO' +p312767 +aS'cell\tcell\tNN\tI-NP\tO' +p312768 +aS'count\tcount\tNN\tI-NP\tO' +p312769 +aS'8.82\t8.82\tCD\tB-NP\tO' +p312770 +aS',\t,\t,\tO\tO' +p312771 +aS'hemoglobin\themoglobin\tNN\tB-NP\tB-protein' +p312772 +aS'15.2\t15.2\tCD\tI-NP\tI-protein' +p312773 +aS',\t,\t,\tO\tO' +p312774 +aS'hematocrit\thematocrit\tNN\tB-NP\tO' +p312775 +aS'43\t43\tCD\tI-NP\tO' +p312776 +aS',\t,\t,\tO\tO' +p312777 +aS'and\tand\tCC\tO\tO' +p312778 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p312779 +aS'322\t322\tCD\tB-NP\tO' +p312780 +aS'.\t.\t.\tO\tO' +p312781 +asS'CBC 11.3 / 15.7 / 44.6 / 183 .' +p312782 +(lp312783 +S'CBC\tCBC\tNN\tB-NP\tB-protein' +p312784 +aS'11.3\t11.3\tCD\tI-NP\tI-protein' +p312785 +aS'/\t/\tSYM\tI-NP\tO' +p312786 +aS'15.7\t15.7\tCD\tI-NP\tO' +p312787 +aS'/\t/\tSYM\tI-NP\tO' +p312788 +aS'44.6\t44.6\tCD\tI-NP\tO' +p312789 +aS'/\t/\tSYM\tI-NP\tO' +p312790 +aS'183\t183\tCD\tI-NP\tO' +p312791 +aS'.\t.\t.\tO\tO' +p312792 +asS'They recommended erythromycin and zelnorm .' +p312793 +(lp312794 +S'They\tThey\tPRP\tB-NP\tO' +p312795 +aS'recommended\trecommend\tVBD\tB-VP\tO' +p312796 +aS'erythromycin\terythromycin\tNN\tB-NP\tO' +p312797 +aS'and\tand\tCC\tI-NP\tO' +p312798 +aS'zelnorm\tzelnorm\tNN\tI-NP\tO' +p312799 +aS'.\t.\t.\tO\tO' +p312800 +asS'Her central line , which was left subclavian quad lumen , was removed on the day of discharge .' +p312801 +(lp312802 +S'Her\tHer\tPRP$\tB-NP\tB-cell_line' +p312803 +aS'central\tcentral\tJJ\tI-NP\tI-cell_line' +p312804 +aS'line\tline\tNN\tI-NP\tI-cell_line' +p312805 +aS',\t,\t,\tO\tO' +p312806 +aS'which\twhich\tWDT\tB-NP\tO' +p312807 +aS'was\tbe\tVBD\tB-VP\tO' +p312808 +aS'left\tleave\tVBN\tI-VP\tO' +p312809 +aS'subclavian\tsubclavian\tJJ\tB-NP\tO' +p312810 +aS'quad\tquad\tNN\tI-NP\tO' +p312811 +aS'lumen\tlumen\tNN\tI-NP\tO' +p312812 +aS',\t,\t,\tO\tO' +p312813 +aS'was\tbe\tVBD\tB-VP\tO' +p312814 +aS'removed\tremove\tVBN\tI-VP\tO' +p312815 +aS'on\ton\tIN\tB-PP\tO' +p312816 +aS'the\tthe\tDT\tB-NP\tO' +p312817 +aS'day\tday\tNN\tI-NP\tO' +p312818 +aS'of\tof\tIN\tB-PP\tO' +p312819 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p312820 +aS'.\t.\t.\tO\tO' +p312821 +asS'The patient did well and her suprapubic tube was clamped starting on postoperative day four .' +p312822 +(lp312823 +S'The\tThe\tDT\tB-NP\tO' +p312824 +aS'patient\tpatient\tNN\tI-NP\tO' +p312825 +aS'did\tdo\tVBD\tB-VP\tO' +p312826 +aS'well\twell\tRB\tB-ADVP\tO' +p312827 +aS'and\tand\tCC\tO\tO' +p312828 +aS'her\ther\tPRP$\tB-NP\tO' +p312829 +aS'suprapubic\tsuprapubic\tJJ\tI-NP\tO' +p312830 +aS'tube\ttube\tNN\tI-NP\tO' +p312831 +aS'was\tbe\tVBD\tB-VP\tO' +p312832 +aS'clamped\tclamp\tVBN\tI-VP\tO' +p312833 +aS'starting\tstart\tVBG\tB-PP\tO' +p312834 +aS'on\ton\tIN\tB-PP\tO' +p312835 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p312836 +aS'day\tday\tNN\tI-NP\tO' +p312837 +aS'four\tfour\tCD\tI-NP\tO' +p312838 +aS'.\t.\t.\tO\tO' +p312839 +asS'Ativan 1 mg or Trilafon 4 mg q 4 hours prn nausea , Carafate one gram q.i.d.' +p312840 +(lp312841 +S'Ativan\tAtivan\tIN\tB-PP\tO' +p312842 +aS'1\t1\tCD\tB-NP\tO' +p312843 +aS'mg\tmg\tNN\tI-NP\tO' +p312844 +aS'or\tor\tCC\tO\tO' +p312845 +aS'Trilafon\tTrilafon\tNN\tB-NP\tB-protein' +p312846 +aS'4\t4\tCD\tI-NP\tI-protein' +p312847 +aS'mg\tmg\tNN\tI-NP\tI-protein' +p312848 +aS'q\tq\tNN\tI-NP\tI-protein' +p312849 +aS'4\t4\tCD\tB-NP\tI-protein' +p312850 +aS'hours\thour\tNNS\tI-NP\tI-protein' +p312851 +aS'prn\tprn\tVBP\tB-VP\tO' +p312852 +aS'nausea\tnausea\tNN\tB-NP\tO' +p312853 +aS',\t,\t,\tO\tO' +p312854 +aS'Carafate\tCarafate\tNNP\tB-NP\tO' +p312855 +aS'one\tone\tCD\tI-NP\tO' +p312856 +aS'gram\tgram\tNN\tI-NP\tO' +p312857 +aS'q.i.d.\tq.i.d.\tNN\tI-NP\tO' +p312858 +asS'Patient states that he had chronically had loose stools but over 2 preeceeding days noticed the stool to be dark and tarry .' +p312859 +(lp312860 +S'Patient\tPatient\tNN\tB-NP\tO' +p312861 +aS'states\tstate\tVBZ\tB-VP\tO' +p312862 +aS'that\tthat\tIN\tB-SBAR\tO' +p312863 +aS'he\the\tPRP\tB-NP\tO' +p312864 +aS'had\thave\tVBD\tB-VP\tO' +p312865 +aS'chronically\tchronically\tRB\tI-VP\tO' +p312866 +aS'had\thave\tVBN\tI-VP\tO' +p312867 +aS'loose\tloose\tJJ\tB-NP\tO' +p312868 +aS'stools\tstool\tNNS\tI-NP\tO' +p312869 +aS'but\tbut\tCC\tO\tO' +p312870 +aS'over\tover\tIN\tB-NP\tO' +p312871 +aS'2\t2\tCD\tI-NP\tO' +p312872 +aS'preeceeding\tpreeceeding\tJJ\tI-NP\tO' +p312873 +aS'days\tday\tNNS\tI-NP\tO' +p312874 +aS'noticed\tnotice\tVBD\tB-VP\tO' +p312875 +aS'the\tthe\tDT\tB-NP\tO' +p312876 +aS'stool\tstool\tNN\tI-NP\tO' +p312877 +aS'to\tto\tTO\tB-VP\tO' +p312878 +aS'be\tbe\tVB\tI-VP\tO' +p312879 +aS'dark\tdark\tJJ\tB-ADJP\tO' +p312880 +aS'and\tand\tCC\tI-ADJP\tO' +p312881 +aS'tarry\ttarry\tJJ\tI-ADJP\tO' +p312882 +aS'.\t.\t.\tO\tO' +p312883 +asS'Signed electronically by : DR. Jane B. Hardy on : Sandra 2014-08-07 11:10 AM' +p312884 +(lp312885 +S'Signed\tSign\tVBN\tB-VP\tO' +p312886 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p312887 +aS'by\tby\tIN\tB-PP\tO' +p312888 +aS':\t:\t:\tO\tO' +p312889 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p312890 +aS'Jane\tJane\tNNP\tI-NP\tO' +p312891 +aS'B.\tB.\tNNP\tI-NP\tO' +p312892 +aS'Hardy\tHardy\tNNP\tI-NP\tO' +p312893 +aS'on\ton\tIN\tB-PP\tO' +p312894 +aS':\t:\t:\tO\tO' +p312895 +aS'Sandra\tSandra\tNNP\tB-NP\tO' +p312896 +aS'2014-08-07\t2014-08-07\tCD\tB-NP\tO' +p312897 +aS'11:10\t11:10\tCD\tI-NP\tO' +p312898 +aS'AM\tAM\tNN\tI-NP\tO' +p312899 +asS'Mr. Factor is a 76 year old white male with acute inferior myocardial infarction , who was urgently transferred by Dr. Lenni Factor for cardiac catheterization and possible angioplasty .' +p312900 +(lp312901 +S'Mr.\tMr.\tNNP\tB-NP\tB-protein' +p312902 +aS'Factor\tFactor\tNNP\tI-NP\tI-protein' +p312903 +aS'is\tbe\tVBZ\tB-VP\tO' +p312904 +aS'a\ta\tDT\tB-NP\tO' +p312905 +aS'76\t76\tCD\tI-NP\tO' +p312906 +aS'year\tyear\tNN\tI-NP\tO' +p312907 +aS'old\told\tJJ\tI-NP\tO' +p312908 +aS'white\twhite\tJJ\tI-NP\tO' +p312909 +aS'male\tmale\tNN\tI-NP\tO' +p312910 +aS'with\twith\tIN\tB-PP\tO' +p312911 +aS'acute\tacute\tJJ\tB-NP\tO' +p312912 +aS'inferior\tinferior\tJJ\tI-NP\tO' +p312913 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p312914 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p312915 +aS',\t,\t,\tO\tO' +p312916 +aS'who\twho\tWP\tB-NP\tO' +p312917 +aS'was\tbe\tVBD\tB-VP\tO' +p312918 +aS'urgently\turgently\tRB\tI-VP\tO' +p312919 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p312920 +aS'by\tby\tIN\tB-PP\tO' +p312921 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p312922 +aS'Lenni\tLenni\tNNP\tI-NP\tO' +p312923 +aS'Factor\tFactor\tNNP\tI-NP\tO' +p312924 +aS'for\tfor\tIN\tB-PP\tO' +p312925 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p312926 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p312927 +aS'and\tand\tCC\tO\tO' +p312928 +aS'possible\tpossible\tJJ\tB-NP\tO' +p312929 +aS'angioplasty\tangioplasty\tNN\tI-NP\tO' +p312930 +aS'.\t.\t.\tO\tO' +p312931 +asS'Her urine legionella antigen was negative .' +p312932 +(lp312933 +S'Her\tHer\tPRP$\tB-NP\tO' +p312934 +aS'urine\turine\tNN\tI-NP\tB-protein' +p312935 +aS'legionella\tlegionella\tNN\tI-NP\tI-protein' +p312936 +aS'antigen\tantigen\tNN\tI-NP\tI-protein' +p312937 +aS'was\tbe\tVBD\tB-VP\tO' +p312938 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p312939 +aS'.\t.\t.\tO\tO' +p312940 +asS'He received Ancef preoperatively .' +p312941 +(lp312942 +S'He\tHe\tPRP\tB-NP\tO' +p312943 +aS'received\treceive\tVBD\tB-VP\tO' +p312944 +aS'Ancef\tAncef\tNN\tB-NP\tO' +p312945 +aS'preoperatively\tpreoperatively\tRB\tB-ADVP\tO' +p312946 +aS'.\t.\t.\tO\tO' +p312947 +asS'A pulmonary arteriogram on 01/03/98 demonstrated multiple pulmonary emboli , likely less than one week old , possibly introduced at the time of the renal vein thrombosis of 12/19/97 .' +p312948 +(lp312949 +S'A\tA\tDT\tB-NP\tO' +p312950 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p312951 +aS'arteriogram\tarteriogram\tNN\tI-NP\tO' +p312952 +aS'on\ton\tIN\tB-PP\tO' +p312953 +aS'01/03/98\t01/03/98\tNN\tB-NP\tO' +p312954 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p312955 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p312956 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p312957 +aS'emboli\tembolus\tNNS\tI-NP\tO' +p312958 +aS',\t,\t,\tO\tO' +p312959 +aS'likely\tlikely\tRB\tB-NP\tO' +p312960 +aS'less\tless\tJJR\tI-NP\tO' +p312961 +aS'than\tthan\tIN\tI-NP\tO' +p312962 +aS'one\tone\tCD\tI-NP\tO' +p312963 +aS'week\tweek\tNN\tI-NP\tO' +p312964 +aS'old\told\tJJ\tB-ADJP\tO' +p312965 +aS',\t,\t,\tO\tO' +p312966 +aS'possibly\tpossibly\tRB\tB-VP\tO' +p312967 +aS'introduced\tintroduce\tVBN\tI-VP\tO' +p312968 +aS'at\tat\tIN\tB-PP\tO' +p312969 +aS'the\tthe\tDT\tB-NP\tO' +p312970 +aS'time\ttime\tNN\tI-NP\tO' +p312971 +aS'of\tof\tIN\tB-PP\tO' +p312972 +aS'the\tthe\tDT\tB-NP\tO' +p312973 +aS'renal\trenal\tJJ\tI-NP\tO' +p312974 +aS'vein\tvein\tNN\tI-NP\tO' +p312975 +aS'thrombosis\tthrombosis\tNN\tI-NP\tO' +p312976 +aS'of\tof\tIN\tB-PP\tO' +p312977 +aS'12/19/97\t12/19/97\tCD\tB-NP\tO' +p312978 +aS'.\t.\t.\tO\tO' +p312979 +asS'No medications upon admission .' +p312980 +(lp312981 +S'No\tNo\tDT\tB-NP\tO' +p312982 +aS'medications\tmedication\tNNS\tI-NP\tO' +p312983 +aS'upon\tupon\tIN\tB-PP\tO' +p312984 +aS'admission\tadmission\tNN\tB-NP\tO' +p312985 +aS'.\t.\t.\tO\tO' +p312986 +asS'Signed electronically by : DR. Jackie Mcafee on : TUE 2017-07-11 8:43 AM' +p312987 +(lp312988 +S'Signed\tSign\tVBN\tB-VP\tO' +p312989 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p312990 +aS'by\tby\tIN\tB-PP\tO' +p312991 +aS':\t:\t:\tO\tO' +p312992 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p312993 +aS'Jackie\tJackie\tNNP\tI-NP\tO' +p312994 +aS'Mcafee\tMcafee\tNNP\tI-NP\tO' +p312995 +aS'on\ton\tIN\tB-PP\tO' +p312996 +aS':\t:\t:\tO\tO' +p312997 +aS'TUE\tTUE\tNN\tB-NP\tO' +p312998 +aS'2017-07-11\t2017-07-11\tCD\tI-NP\tO' +p312999 +aS'8:43\t8:43\tCD\tI-NP\tO' +p313000 +aS'AM\tAM\tNN\tI-NP\tO' +p313001 +asS'Telephone number is 444 7700 .' +p313002 +(lp313003 +S'Telephone\tTelephone\tNN\tB-NP\tO' +p313004 +aS'number\tnumber\tNN\tI-NP\tO' +p313005 +aS'is\tbe\tVBZ\tB-VP\tO' +p313006 +aS'444\t444\tCD\tB-NP\tO' +p313007 +aS'7700\t7700\tCD\tI-NP\tO' +p313008 +aS'.\t.\t.\tO\tO' +p313009 +asS"The Foley should be in place until a follow-up appointment with Dr. Aarhalt can be scheduled in approximately one to two weeks at which time a decision regarding the status of the patient 's urinary obstruction will be addressed ." +p313010 +(lp313011 +S'The\tThe\tDT\tB-NP\tO' +p313012 +aS'Foley\tFoley\tNNP\tI-NP\tO' +p313013 +aS'should\tshould\tMD\tB-VP\tO' +p313014 +aS'be\tbe\tVB\tI-VP\tO' +p313015 +aS'in\tin\tIN\tB-PP\tO' +p313016 +aS'place\tplace\tNN\tB-NP\tO' +p313017 +aS'until\tuntil\tIN\tB-SBAR\tO' +p313018 +aS'a\ta\tDT\tB-NP\tO' +p313019 +aS'follow-up\tfollow-up\tJJ\tI-NP\tO' +p313020 +aS'appointment\tappointment\tNN\tI-NP\tO' +p313021 +aS'with\twith\tIN\tB-PP\tO' +p313022 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p313023 +aS'Aarhalt\tAarhalt\tNNP\tI-NP\tO' +p313024 +aS'can\tcan\tMD\tB-VP\tO' +p313025 +aS'be\tbe\tVB\tI-VP\tO' +p313026 +aS'scheduled\tschedule\tVBN\tI-VP\tO' +p313027 +aS'in\tin\tIN\tB-PP\tO' +p313028 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p313029 +aS'one\tone\tCD\tI-NP\tO' +p313030 +aS'to\tto\tTO\tI-NP\tO' +p313031 +aS'two\ttwo\tCD\tI-NP\tO' +p313032 +aS'weeks\tweek\tNNS\tI-NP\tO' +p313033 +aS'at\tat\tIN\tB-PP\tO' +p313034 +aS'which\twhich\tWDT\tB-NP\tO' +p313035 +aS'time\ttime\tNN\tI-NP\tO' +p313036 +aS'a\ta\tDT\tB-NP\tO' +p313037 +aS'decision\tdecision\tNN\tI-NP\tO' +p313038 +aS'regarding\tregard\tVBG\tB-VP\tO' +p313039 +aS'the\tthe\tDT\tB-NP\tO' +p313040 +aS'status\tstatus\tNN\tI-NP\tO' +p313041 +aS'of\tof\tIN\tB-PP\tO' +p313042 +aS'the\tthe\tDT\tB-NP\tO' +p313043 +aS'patient\tpatient\tNN\tI-NP\tO' +p313044 +aS"'s\t's\tPOS\tB-NP\tO" +p313045 +aS'urinary\turinary\tJJ\tI-NP\tO' +p313046 +aS'obstruction\tobstruction\tNN\tI-NP\tO' +p313047 +aS'will\twill\tMD\tB-VP\tO' +p313048 +aS'be\tbe\tVB\tI-VP\tO' +p313049 +aS'addressed\taddress\tVBN\tI-VP\tO' +p313050 +aS'.\t.\t.\tO\tO' +p313051 +asS'She will take her last dose of Coumadin on September 1 in anticipation of cardiac surgery .' +p313052 +(lp313053 +S'She\tShe\tPRP\tB-NP\tO' +p313054 +aS'will\twill\tMD\tB-VP\tO' +p313055 +aS'take\ttake\tVB\tI-VP\tO' +p313056 +aS'her\ther\tPRP$\tB-NP\tO' +p313057 +aS'last\tlast\tJJ\tI-NP\tO' +p313058 +aS'dose\tdose\tNN\tI-NP\tO' +p313059 +aS'of\tof\tIN\tB-PP\tO' +p313060 +aS'Coumadin\tCoumadin\tNNP\tB-NP\tO' +p313061 +aS'on\ton\tIN\tB-PP\tO' +p313062 +aS'September\tSeptember\tNNP\tB-NP\tO' +p313063 +aS'1\t1\tCD\tI-NP\tO' +p313064 +aS'in\tin\tIN\tB-PP\tO' +p313065 +aS'anticipation\tanticipation\tNN\tB-NP\tO' +p313066 +aS'of\tof\tIN\tB-PP\tO' +p313067 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p313068 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p313069 +aS'.\t.\t.\tO\tO' +p313070 +asS'10. Losartan 50 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' +p313071 +(lp313072 +S'10.\t10.\tCD\tB-NP\tO' +p313073 +aS'Losartan\tLosartan\tNNP\tI-NP\tO' +p313074 +aS'50\t50\tCD\tI-NP\tO' +p313075 +aS'mg\tmg\tNN\tI-NP\tO' +p313076 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p313077 +aS'Sig\tSig\tNNP\tI-NP\tO' +p313078 +aS':\t:\t:\tO\tO' +p313079 +aS'One\tOne\tCD\tB-NP\tO' +p313080 +aS'(\t(\t(\tO\tO' +p313081 +aS'1\t1\tCD\tB-NP\tO' +p313082 +aS')\t)\t)\tO\tO' +p313083 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p313084 +aS'PO\tPO\tNN\tI-NP\tO' +p313085 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p313086 +aS'(\t(\t(\tO\tO' +p313087 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p313088 +aS')\t)\t)\tO\tO' +p313089 +aS'.\t.\t.\tO\tO' +p313090 +asS'She was to be discharged today and encouraged to ambulate on her own .' +p313091 +(lp313092 +S'She\tShe\tPRP\tB-NP\tO' +p313093 +aS'was\tbe\tVBD\tB-VP\tO' +p313094 +aS'to\tto\tTO\tI-VP\tO' +p313095 +aS'be\tbe\tVB\tI-VP\tO' +p313096 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p313097 +aS'today\ttoday\tNN\tB-NP\tO' +p313098 +aS'and\tand\tCC\tO\tO' +p313099 +aS'encouraged\tencourage\tVBD\tB-VP\tO' +p313100 +aS'to\tto\tTO\tI-VP\tO' +p313101 +aS'ambulate\tambulate\tVB\tI-VP\tO' +p313102 +aS'on\ton\tIN\tB-PP\tO' +p313103 +aS'her\ther\tPRP$\tB-NP\tO' +p313104 +aS'own\town\tJJ\tI-NP\tO' +p313105 +aS'.\t.\t.\tO\tO' +p313106 +asS'The patient was given an IV load of Decadron and restarted on IV Decadron which was eventually transferred to po Decadron .' +p313107 +(lp313108 +S'The\tThe\tDT\tB-NP\tO' +p313109 +aS'patient\tpatient\tNN\tI-NP\tO' +p313110 +aS'was\tbe\tVBD\tB-VP\tO' +p313111 +aS'given\tgive\tVBN\tI-VP\tO' +p313112 +aS'an\tan\tDT\tB-NP\tO' +p313113 +aS'IV\tIV\tCD\tI-NP\tO' +p313114 +aS'load\tload\tNN\tI-NP\tO' +p313115 +aS'of\tof\tIN\tB-PP\tO' +p313116 +aS'Decadron\tDecadron\tNNP\tB-NP\tO' +p313117 +aS'and\tand\tCC\tO\tO' +p313118 +aS'restarted\trestart\tVBD\tB-VP\tO' +p313119 +aS'on\ton\tIN\tB-PP\tO' +p313120 +aS'IV\tIV\tNNP\tB-NP\tO' +p313121 +aS'Decadron\tDecadron\tNNP\tI-NP\tO' +p313122 +aS'which\twhich\tWDT\tB-NP\tO' +p313123 +aS'was\tbe\tVBD\tB-VP\tO' +p313124 +aS'eventually\teventually\tRB\tI-VP\tO' +p313125 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p313126 +aS'to\tto\tTO\tI-VP\tO' +p313127 +aS'po\tpo\tVB\tI-VP\tO' +p313128 +aS'Decadron\tDecadron\tNNP\tB-NP\tO' +p313129 +aS'.\t.\t.\tO\tO' +p313130 +asS'The orthopaedic service recommended emergent repair of the intratrochanteric fracture secondary to instability .' +p313131 +(lp313132 +S'The\tThe\tDT\tB-NP\tO' +p313133 +aS'orthopaedic\torthopaedic\tJJ\tI-NP\tO' +p313134 +aS'service\tservice\tNN\tI-NP\tO' +p313135 +aS'recommended\trecommend\tVBD\tB-VP\tO' +p313136 +aS'emergent\temergent\tJJ\tB-NP\tO' +p313137 +aS'repair\trepair\tNN\tI-NP\tO' +p313138 +aS'of\tof\tIN\tB-PP\tO' +p313139 +aS'the\tthe\tDT\tB-NP\tO' +p313140 +aS'intratrochanteric\tintratrochanteric\tJJ\tI-NP\tO' +p313141 +aS'fracture\tfracture\tNN\tI-NP\tO' +p313142 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p313143 +aS'to\tto\tTO\tB-PP\tO' +p313144 +aS'instability\tinstability\tNN\tB-NP\tO' +p313145 +aS'.\t.\t.\tO\tO' +p313146 +asS'The patient 's allergies include Septra .' +p313147 +(lp313148 +S'The\tThe\tDT\tB-NP\tO' +p313149 +aS'patient\tpatient\tNN\tI-NP\tO' +p313150 +aS''s\t'\tNNS\tI-NP\tO' +p313151 +aS'allergies\tallergy\tNNS\tI-NP\tO' +p313152 +aS'include\tinclude\tVBP\tB-VP\tO' +p313153 +aS'Septra\tSeptra\tNNP\tB-NP\tO' +p313154 +aS'.\t.\t.\tO\tO' +p313155 +asS'He states that he takes ASA daily and takes motrin 800 mg tid sometimes for pain , last use 2 wks PTA .' +p313156 +(lp313157 +S'He\tHe\tPRP\tB-NP\tO' +p313158 +aS'states\tstate\tVBZ\tB-VP\tO' +p313159 +aS'that\tthat\tIN\tB-SBAR\tO' +p313160 +aS'he\the\tPRP\tB-NP\tO' +p313161 +aS'takes\ttake\tVBZ\tB-VP\tO' +p313162 +aS'ASA\tASA\tNN\tB-NP\tO' +p313163 +aS'daily\tdaily\tRB\tB-ADVP\tO' +p313164 +aS'and\tand\tCC\tO\tO' +p313165 +aS'takes\ttake\tVBZ\tB-VP\tO' +p313166 +aS'motrin\tmotrin\tNN\tB-NP\tO' +p313167 +aS'800\t800\tCD\tI-NP\tO' +p313168 +aS'mg\tmg\tNN\tI-NP\tO' +p313169 +aS'tid\ttid\tNN\tI-NP\tO' +p313170 +aS'sometimes\tsometimes\tRB\tB-ADVP\tO' +p313171 +aS'for\tfor\tIN\tB-PP\tO' +p313172 +aS'pain\tpain\tNN\tB-NP\tO' +p313173 +aS',\t,\t,\tO\tO' +p313174 +aS'last\tlast\tJJ\tB-NP\tO' +p313175 +aS'use\tuse\tNN\tI-NP\tO' +p313176 +aS'2\t2\tCD\tI-NP\tO' +p313177 +aS'wks\twk\tVBZ\tB-VP\tO' +p313178 +aS'PTA\tPTA\tNN\tB-NP\tB-protein' +p313179 +aS'.\t.\t.\tO\tO' +p313180 +asS'The right internal maxillary artery supply to the nasal mucosa was embolized .' +p313181 +(lp313182 +S'The\tThe\tDT\tB-NP\tO' +p313183 +aS'right\tright\tJJ\tI-NP\tO' +p313184 +aS'internal\tinternal\tJJ\tI-NP\tO' +p313185 +aS'maxillary\tmaxillary\tJJ\tI-NP\tO' +p313186 +aS'artery\tartery\tNN\tI-NP\tO' +p313187 +aS'supply\tsupply\tNN\tI-NP\tO' +p313188 +aS'to\tto\tTO\tB-PP\tO' +p313189 +aS'the\tthe\tDT\tB-NP\tO' +p313190 +aS'nasal\tnasal\tJJ\tI-NP\tO' +p313191 +aS'mucosa\tmucosa\tNN\tI-NP\tO' +p313192 +aS'was\tbe\tVBD\tB-VP\tO' +p313193 +aS'embolized\tembolize\tVBN\tI-VP\tO' +p313194 +aS'.\t.\t.\tO\tO' +p313195 +asS'Continue taking all of your regular home medications .' +p313196 +(lp313197 +S'Continue\tContinue\tVB\tB-VP\tO' +p313198 +aS'taking\ttake\tVBG\tI-VP\tO' +p313199 +aS'all\tall\tDT\tB-NP\tO' +p313200 +aS'of\tof\tIN\tB-PP\tO' +p313201 +aS'your\tyour\tPRP$\tB-NP\tO' +p313202 +aS'regular\tregular\tJJ\tI-NP\tO' +p313203 +aS'home\thome\tNN\tI-NP\tO' +p313204 +aS'medications\tmedication\tNNS\tI-NP\tO' +p313205 +aS'.\t.\t.\tO\tO' +p313206 +asS'2. Acetaminophen - Caff - Butalbital 504-61-78 mg Capsule Sig : 01-28 Tablets PO Q4-6H ( every 4 to 6 hours ) as needed for 1 months .' +p313207 +(lp313208 +S'2.\t2.\tLS\tB-NP\tO' +p313209 +aS'Acetaminophen\tAcetaminophen\tNN\tI-NP\tO' +p313210 +aS'-\t-\tHYPH\tB-NP\tO' +p313211 +aS'Caff\tCaff\tNN\tI-NP\tB-protein' +p313212 +aS'-\t-\tHYPH\tI-NP\tO' +p313213 +aS'Butalbital\tButalbital\tJJ\tI-NP\tO' +p313214 +aS'504-61-78\t504-61-78\tCD\tI-NP\tO' +p313215 +aS'mg\tmg\tNN\tI-NP\tO' +p313216 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p313217 +aS'Sig\tSig\tNNP\tI-NP\tO' +p313218 +aS':\t:\t:\tO\tO' +p313219 +aS'01-28\t01-28\tCD\tB-NP\tO' +p313220 +aS'Tablets\tTablet\tNNS\tI-NP\tO' +p313221 +aS'PO\tPO\tNN\tI-NP\tO' +p313222 +aS'Q4-6H\tQ4-6H\tNN\tI-NP\tO' +p313223 +aS'(\t(\t(\tO\tO' +p313224 +aS'every\tevery\tDT\tB-NP\tO' +p313225 +aS'4\t4\tCD\tI-NP\tO' +p313226 +aS'to\tto\tTO\tI-NP\tO' +p313227 +aS'6\t6\tCD\tI-NP\tO' +p313228 +aS'hours\thour\tNNS\tI-NP\tO' +p313229 +aS')\t)\t)\tO\tO' +p313230 +aS'as\tas\tIN\tB-SBAR\tO' +p313231 +aS'needed\tneed\tVBN\tB-VP\tO' +p313232 +aS'for\tfor\tIN\tB-PP\tO' +p313233 +aS'1\t1\tCD\tB-NP\tO' +p313234 +aS'months\tmonth\tNNS\tI-NP\tO' +p313235 +aS'.\t.\t.\tO\tO' +p313236 +asS'He was sitting on the floor legs crossed and stood up when he heard his knee CMED CCU .' +p313237 +(lp313238 +S'He\tHe\tPRP\tB-NP\tO' +p313239 +aS'was\tbe\tVBD\tB-VP\tO' +p313240 +aS'sitting\tsit\tVBG\tI-VP\tO' +p313241 +aS'on\ton\tIN\tB-PP\tO' +p313242 +aS'the\tthe\tDT\tB-NP\tO' +p313243 +aS'floor\tfloor\tNN\tI-NP\tO' +p313244 +aS'legs\tleg\tNNS\tI-NP\tO' +p313245 +aS'crossed\tcross\tVBD\tB-VP\tO' +p313246 +aS'and\tand\tCC\tO\tO' +p313247 +aS'stood\tstand\tVBD\tB-VP\tO' +p313248 +aS'up\tup\tRP\tB-PRT\tO' +p313249 +aS'when\twhen\tWRB\tB-ADVP\tO' +p313250 +aS'he\the\tPRP\tB-NP\tO' +p313251 +aS'heard\thear\tVBD\tB-VP\tO' +p313252 +aS'his\this\tPRP$\tB-NP\tO' +p313253 +aS'knee\tknee\tNN\tI-NP\tO' +p313254 +aS'CMED\tCMED\tNN\tI-NP\tO' +p313255 +aS'CCU\tCCU\tNN\tI-NP\tO' +p313256 +aS'.\t.\t.\tO\tO' +p313257 +asS'Workup revealed ischemic bowel secondary to Celiac and SMA stenoses .' +p313258 +(lp313259 +S'Workup\tWorkup\tNNP\tB-NP\tO' +p313260 +aS'revealed\treveal\tVBD\tB-VP\tO' +p313261 +aS'ischemic\tischemic\tJJ\tB-NP\tO' +p313262 +aS'bowel\tbowel\tNN\tI-NP\tO' +p313263 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p313264 +aS'to\tto\tTO\tB-PP\tO' +p313265 +aS'Celiac\tCeliac\tNN\tB-NP\tO' +p313266 +aS'and\tand\tCC\tI-NP\tO' +p313267 +aS'SMA\tSMA\tNN\tI-NP\tO' +p313268 +aS'stenoses\tstenosis\tNNS\tI-NP\tO' +p313269 +aS'.\t.\t.\tO\tO' +p313270 +asS'hence , no intervention was performed .' +p313271 +(lp313272 +S'hence\thence\tRB\tB-ADVP\tO' +p313273 +aS',\t,\t,\tO\tO' +p313274 +aS'no\tno\tDT\tB-NP\tO' +p313275 +aS'intervention\tintervention\tNN\tI-NP\tO' +p313276 +aS'was\tbe\tVBD\tB-VP\tO' +p313277 +aS'performed\tperform\tVBN\tI-VP\tO' +p313278 +aS'.\t.\t.\tO\tO' +p313279 +asS'That was negative .' +p313280 +(lp313281 +S'That\tThat\tDT\tB-NP\tO' +p313282 +aS'was\tbe\tVBD\tB-VP\tO' +p313283 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p313284 +aS'.\t.\t.\tO\tO' +p313285 +asS'An autopsy was performed as per the family 's wishes .' +p313286 +(lp313287 +S'An\tAn\tDT\tB-NP\tO' +p313288 +aS'autopsy\tautopsy\tNN\tI-NP\tO' +p313289 +aS'was\tbe\tVBD\tB-VP\tO' +p313290 +aS'performed\tperform\tVBN\tI-VP\tO' +p313291 +aS'as\tas\tIN\tB-PP\tO' +p313292 +aS'per\tper\tIN\tB-PP\tO' +p313293 +aS'the\tthe\tDT\tB-NP\tO' +p313294 +aS'family\tfamily\tNN\tI-NP\tO' +p313295 +aS''s\t'\tNNS\tI-NP\tO' +p313296 +aS'wishes\twish\tVBZ\tB-VP\tO' +p313297 +aS'.\t.\t.\tO\tO' +p313298 +asS'An appointment has been made for you with Nurse Daniel Crump at the Loretta Schubert Community Health Center on Friday Novemeber 24 at 2pm .' +p313299 +(lp313300 +S'An\tAn\tDT\tB-NP\tO' +p313301 +aS'appointment\tappointment\tNN\tI-NP\tO' +p313302 +aS'has\thave\tVBZ\tB-VP\tO' +p313303 +aS'been\tbe\tVBN\tI-VP\tO' +p313304 +aS'made\tmake\tVBN\tI-VP\tO' +p313305 +aS'for\tfor\tIN\tB-PP\tO' +p313306 +aS'you\tyou\tPRP\tB-NP\tO' +p313307 +aS'with\twith\tIN\tB-PP\tO' +p313308 +aS'Nurse\tNurse\tNNP\tB-NP\tO' +p313309 +aS'Daniel\tDaniel\tNNP\tI-NP\tO' +p313310 +aS'Crump\tCrump\tNNP\tI-NP\tO' +p313311 +aS'at\tat\tIN\tB-PP\tO' +p313312 +aS'the\tthe\tDT\tB-NP\tO' +p313313 +aS'Loretta\tLoretta\tNNP\tI-NP\tO' +p313314 +aS'Schubert\tSchubert\tNNP\tI-NP\tO' +p313315 +aS'Community\tCommunity\tNNP\tI-NP\tO' +p313316 +aS'Health\tHealth\tNNP\tI-NP\tO' +p313317 +aS'Center\tCenter\tNNP\tI-NP\tO' +p313318 +aS'on\ton\tIN\tB-PP\tO' +p313319 +aS'Friday\tFriday\tNNP\tB-NP\tO' +p313320 +aS'Novemeber\tNovemeber\tNNP\tI-NP\tO' +p313321 +aS'24\t24\tCD\tI-NP\tO' +p313322 +aS'at\tat\tIN\tB-PP\tO' +p313323 +aS'2pm\t2pm\tNN\tB-NP\tO' +p313324 +aS'.\t.\t.\tO\tO' +p313325 +asS'This was to be deferred until after the patient had her Hickman in place .' +p313326 +(lp313327 +S'This\tThis\tDT\tB-NP\tO' +p313328 +aS'was\tbe\tVBD\tB-VP\tO' +p313329 +aS'to\tto\tTO\tI-VP\tO' +p313330 +aS'be\tbe\tVB\tI-VP\tO' +p313331 +aS'deferred\tdefer\tVBN\tI-VP\tO' +p313332 +aS'until\tuntil\tIN\tB-PP\tO' +p313333 +aS'after\tafter\tIN\tB-PP\tO' +p313334 +aS'the\tthe\tDT\tB-NP\tO' +p313335 +aS'patient\tpatient\tNN\tI-NP\tO' +p313336 +aS'had\thave\tVBD\tB-VP\tO' +p313337 +aS'her\ther\tPRP\tB-NP\tO' +p313338 +aS'Hickman\tHickman\tNNP\tI-NP\tO' +p313339 +aS'in\tin\tIN\tB-PP\tO' +p313340 +aS'place\tplace\tNN\tB-NP\tO' +p313341 +aS'.\t.\t.\tO\tO' +p313342 +asS'3. Flovent two puffs four times a day .' +p313343 +(lp313344 +S'3.\t3.\tLS\tB-LST\tO' +p313345 +aS'Flovent\tFlovent\tNNP\tB-NP\tO' +p313346 +aS'two\ttwo\tCD\tB-NP\tO' +p313347 +aS'puffs\tpuff\tNNS\tI-NP\tO' +p313348 +aS'four\tfour\tCD\tB-NP\tO' +p313349 +aS'times\ttime\tNNS\tI-NP\tO' +p313350 +aS'a\ta\tDT\tB-NP\tO' +p313351 +aS'day\tday\tNN\tI-NP\tO' +p313352 +aS'.\t.\t.\tO\tO' +p313353 +asS'He also noted a new two to three-pillow orthopnea and paroxysmal nocturnal dyspnea .' +p313354 +(lp313355 +S'He\tHe\tPRP\tB-NP\tO' +p313356 +aS'also\talso\tRB\tB-ADVP\tO' +p313357 +aS'noted\tnote\tVBD\tB-VP\tO' +p313358 +aS'a\ta\tDT\tB-NP\tO' +p313359 +aS'new\tnew\tJJ\tI-NP\tO' +p313360 +aS'two\ttwo\tCD\tI-NP\tO' +p313361 +aS'to\tto\tTO\tB-PP\tO' +p313362 +aS'three-pillow\tthree-pillow\tJJ\tB-NP\tO' +p313363 +aS'orthopnea\torthopnea\tNN\tI-NP\tO' +p313364 +aS'and\tand\tCC\tO\tO' +p313365 +aS'paroxysmal\tparoxysmal\tJJ\tB-NP\tO' +p313366 +aS'nocturnal\tnocturnal\tJJ\tI-NP\tO' +p313367 +aS'dyspnea\tdyspnea\tNN\tI-NP\tO' +p313368 +aS'.\t.\t.\tO\tO' +p313369 +asS'Lasix , 80 ; Avandia , 4 b.i.d. ; Glipizide , 10 b.i.d.; Imdur , 30 ; Allopurinol ; Zocor , 20 ; Prilosec , 20 , potassium , 40 ; Oxycontin , 30 b.i.d.; subcutaneous heparin ; Unasyn , 1.5 grams q 6 ; Combivent and morphine prn .' +p313370 +(lp313371 +S'Lasix\tLasix\tNNP\tB-NP\tO' +p313372 +aS',\t,\t,\tO\tO' +p313373 +aS'80\t80\tCD\tB-NP\tO' +p313374 +aS';\t;\t:\tO\tO' +p313375 +aS'Avandia\tAvandia\tNNP\tB-NP\tO' +p313376 +aS',\t,\t,\tO\tO' +p313377 +aS'4\t4\tCD\tB-NP\tO' +p313378 +aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' +p313379 +aS';\t;\t:\tO\tO' +p313380 +aS'Glipizide\tGlipizide\tNN\tB-NP\tO' +p313381 +aS',\t,\t,\tO\tO' +p313382 +aS'10\t10\tCD\tB-NP\tO' +p313383 +aS'b.i.d.;\tb.i.d.;\tNN\tI-NP\tO' +p313384 +aS'Imdur\tImdur\tNNP\tI-NP\tO' +p313385 +aS',\t,\t,\tO\tO' +p313386 +aS'30\t30\tCD\tB-NP\tO' +p313387 +aS';\t;\t:\tO\tO' +p313388 +aS'Allopurinol\tAllopurinol\tNN\tB-NP\tO' +p313389 +aS';\t;\t:\tO\tO' +p313390 +aS'Zocor\tZocor\tNNP\tB-NP\tO' +p313391 +aS',\t,\t,\tO\tO' +p313392 +aS'20\t20\tCD\tB-NP\tO' +p313393 +aS';\t;\t:\tO\tO' +p313394 +aS'Prilosec\tPrilosec\tNN\tB-NP\tO' +p313395 +aS',\t,\t,\tO\tO' +p313396 +aS'20\t20\tCD\tB-NP\tO' +p313397 +aS',\t,\t,\tO\tO' +p313398 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p313399 +aS',\t,\t,\tO\tO' +p313400 +aS'40\t40\tCD\tB-NP\tO' +p313401 +aS';\t;\t:\tO\tO' +p313402 +aS'Oxycontin\tOxycontin\tNN\tB-NP\tO' +p313403 +aS',\t,\t,\tO\tO' +p313404 +aS'30\t30\tCD\tB-NP\tO' +p313405 +aS'b.i.d.;\tb.i.d.;\tNN\tI-NP\tO' +p313406 +aS'subcutaneous\tsubcutaneous\tJJ\tI-NP\tO' +p313407 +aS'heparin\theparin\tNN\tI-NP\tO' +p313408 +aS';\t;\t:\tO\tO' +p313409 +aS'Unasyn\tUnasyn\tNN\tB-NP\tO' +p313410 +aS',\t,\t,\tO\tO' +p313411 +aS'1.5\t1.5\tCD\tB-NP\tO' +p313412 +aS'grams\tgram\tNNS\tI-NP\tO' +p313413 +aS'q\tq\tNN\tB-NP\tO' +p313414 +aS'6\t6\tCD\tI-NP\tO' +p313415 +aS';\t;\t:\tO\tO' +p313416 +aS'Combivent\tCombivent\tNN\tB-NP\tO' +p313417 +aS'and\tand\tCC\tI-NP\tO' +p313418 +aS'morphine\tmorphine\tNN\tI-NP\tO' +p313419 +aS'prn\tprn\tNN\tI-NP\tO' +p313420 +aS'.\t.\t.\tO\tO' +p313421 +asS'The abdomen was tender in the left upper quadrant .' +p313422 +(lp313423 +S'The\tThe\tDT\tB-NP\tO' +p313424 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p313425 +aS'was\tbe\tVBD\tB-VP\tO' +p313426 +aS'tender\ttender\tNN\tB-NP\tO' +p313427 +aS'in\tin\tIN\tB-PP\tO' +p313428 +aS'the\tthe\tDT\tB-NP\tO' +p313429 +aS'left\tleft\tJJ\tI-NP\tO' +p313430 +aS'upper\tupper\tJJ\tI-NP\tO' +p313431 +aS'quadrant\tquadrant\tNN\tI-NP\tO' +p313432 +aS'.\t.\t.\tO\tO' +p313433 +asS'Nondysmorphic .' +p313434 +(lp313435 +S'Nondysmorphic\tNondysmorphic\tJJ\tB-ADJP\tO' +p313436 +aS'.\t.\t.\tO\tO' +p313437 +asS'# Anemia : Hct dropped following the tap and there was concern for bleed into her abdomen .' +p313438 +(lp313439 +S'#\t#\t#\tB-NP\tO' +p313440 +aS'Anemia\tAnemia\tNNP\tI-NP\tO' +p313441 +aS':\t:\t:\tO\tO' +p313442 +aS'Hct\tHct\tNNP\tB-NP\tO' +p313443 +aS'dropped\tdrop\tVBD\tB-VP\tO' +p313444 +aS'following\tfollow\tVBG\tB-PP\tO' +p313445 +aS'the\tthe\tDT\tB-NP\tO' +p313446 +aS'tap\ttap\tNN\tI-NP\tB-protein' +p313447 +aS'and\tand\tCC\tO\tO' +p313448 +aS'there\tthere\tEX\tB-NP\tO' +p313449 +aS'was\tbe\tVBD\tB-VP\tO' +p313450 +aS'concern\tconcern\tNN\tB-NP\tO' +p313451 +aS'for\tfor\tIN\tB-PP\tO' +p313452 +aS'bleed\tbleed\tNN\tB-NP\tO' +p313453 +aS'into\tinto\tIN\tB-PP\tO' +p313454 +aS'her\ther\tPRP$\tB-NP\tO' +p313455 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p313456 +aS'.\t.\t.\tO\tO' +p313457 +asS'Pulses were 2+ throughout .' +p313458 +(lp313459 +S'Pulses\tPulse\tNNS\tB-NP\tO' +p313460 +aS'were\tbe\tVBD\tB-VP\tO' +p313461 +aS'2+\t2+\tJJ\tB-ADJP\tO' +p313462 +aS'throughout\tthroughout\tIN\tB-ADVP\tO' +p313463 +aS'.\t.\t.\tO\tO' +p313464 +asS'1. Coronary artery disease , status post coronary artery bypass graft , four vessels .' +p313465 +(lp313466 +S'1.\t1.\tLS\tB-NP\tO' +p313467 +aS'Coronary\tCoronary\tJJ\tI-NP\tO' +p313468 +aS'artery\tartery\tNN\tI-NP\tO' +p313469 +aS'disease\tdisease\tNN\tI-NP\tO' +p313470 +aS',\t,\t,\tO\tO' +p313471 +aS'status\tstatus\tNN\tB-NP\tO' +p313472 +aS'post\tpost\tNN\tI-NP\tO' +p313473 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p313474 +aS'artery\tartery\tNN\tI-NP\tO' +p313475 +aS'bypass\tbypass\tIN\tB-PP\tO' +p313476 +aS'graft\tgraft\tNN\tB-NP\tO' +p313477 +aS',\t,\t,\tO\tO' +p313478 +aS'four\tfour\tCD\tB-NP\tO' +p313479 +aS'vessels\tvessel\tNNS\tI-NP\tO' +p313480 +aS'.\t.\t.\tO\tO' +p313481 +asS'Neck : Supple .' +p313482 +(lp313483 +S'Neck\tNeck\tNNP\tB-NP\tO' +p313484 +aS':\t:\t:\tO\tO' +p313485 +aS'Supple\tSupple\tNNP\tB-NP\tO' +p313486 +aS'.\t.\t.\tO\tO' +p313487 +asS'1. Ca Hx-Klatskin tumor originally diagnosed 2010-08-28 after presenting with painless jaundice .' +p313488 +(lp313489 +S'1.\t1.\tLS\tB-NP\tO' +p313490 +aS'Ca\tCa\tNN\tI-NP\tO' +p313491 +aS'Hx-Klatskin\tHx-Klatskin\tNN\tI-NP\tO' +p313492 +aS'tumor\ttumor\tNN\tI-NP\tO' +p313493 +aS'originally\toriginally\tRB\tB-ADVP\tO' +p313494 +aS'diagnosed\tdiagnose\tVBD\tB-VP\tO' +p313495 +aS'2010-08-28\t2010-08-28\tCD\tB-NP\tO' +p313496 +aS'after\tafter\tIN\tB-PP\tO' +p313497 +aS'presenting\tpresent\tVBG\tB-VP\tO' +p313498 +aS'with\twith\tIN\tB-PP\tO' +p313499 +aS'painless\tpainless\tJJ\tB-NP\tO' +p313500 +aS'jaundice\tjaundice\tNN\tI-NP\tO' +p313501 +aS'.\t.\t.\tO\tO' +p313502 +asS'On March 14 , 1994 , her right lung was pleurodesed .' +p313503 +(lp313504 +S'On\tOn\tIN\tB-PP\tO' +p313505 +aS'March\tMarch\tNNP\tB-NP\tO' +p313506 +aS'14\t14\tCD\tI-NP\tO' +p313507 +aS',\t,\t,\tI-NP\tO' +p313508 +aS'1994\t1994\tCD\tI-NP\tO' +p313509 +aS',\t,\t,\tO\tO' +p313510 +aS'her\ther\tPRP$\tB-NP\tO' +p313511 +aS'right\tright\tJJ\tI-NP\tO' +p313512 +aS'lung\tlung\tNN\tI-NP\tO' +p313513 +aS'was\tbe\tVBD\tB-VP\tO' +p313514 +aS'pleurodesed\tpleurodese\tVBN\tI-VP\tO' +p313515 +aS'.\t.\t.\tO\tO' +p313516 +asS'3. Hypertension .' +p313517 +(lp313518 +S'3.\t3.\tLS\tB-NP\tO' +p313519 +aS'Hypertension\tHypertension\tNN\tI-NP\tO' +p313520 +aS'.\t.\t.\tO\tO' +p313521 +asS'Recent blood pressure 71/31 with a mean of 48 .' +p313522 +(lp313523 +S'Recent\tRecent\tJJ\tB-NP\tO' +p313524 +aS'blood\tblood\tNN\tI-NP\tO' +p313525 +aS'pressure\tpressure\tNN\tI-NP\tO' +p313526 +aS'71/31\t71/31\tCD\tI-NP\tO' +p313527 +aS'with\twith\tIN\tB-PP\tO' +p313528 +aS'a\ta\tDT\tB-NP\tO' +p313529 +aS'mean\tmean\tNN\tI-NP\tO' +p313530 +aS'of\tof\tIN\tB-PP\tO' +p313531 +aS'48\t48\tCD\tB-NP\tO' +p313532 +aS'.\t.\t.\tO\tO' +p313533 +asS'Donepezil 5 mg Tablet Sig : Two ( 2 ) Tablet PO HS ( at bedtime ) .' +p313534 +(lp313535 +S'Donepezil\tDonepezil\tNNP\tB-NP\tO' +p313536 +aS'5\t5\tCD\tI-NP\tO' +p313537 +aS'mg\tmg\tNN\tI-NP\tO' +p313538 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p313539 +aS'Sig\tSig\tNNP\tI-NP\tO' +p313540 +aS':\t:\t:\tO\tO' +p313541 +aS'Two\tTwo\tCD\tB-NP\tO' +p313542 +aS'(\t(\t(\tO\tO' +p313543 +aS'2\t2\tCD\tO\tO' +p313544 +aS')\t)\t)\tO\tO' +p313545 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p313546 +aS'PO\tPO\tNN\tI-NP\tO' +p313547 +aS'HS\tHS\tNN\tI-NP\tO' +p313548 +aS'(\t(\t(\tO\tO' +p313549 +aS'at\tat\tIN\tB-PP\tO' +p313550 +aS'bedtime\tbedtime\tNN\tB-NP\tO' +p313551 +aS')\t)\t)\tO\tO' +p313552 +aS'.\t.\t.\tO\tO' +p313553 +asS'Shortly after Aggrastat was started , the patient became pain free .' +p313554 +(lp313555 +S'Shortly\tShortly\tRB\tB-ADVP\tO' +p313556 +aS'after\tafter\tIN\tB-PP\tO' +p313557 +aS'Aggrastat\tAggrastat\tNN\tB-NP\tO' +p313558 +aS'was\tbe\tVBD\tB-VP\tO' +p313559 +aS'started\tstart\tVBN\tI-VP\tO' +p313560 +aS',\t,\t,\tO\tO' +p313561 +aS'the\tthe\tDT\tB-NP\tO' +p313562 +aS'patient\tpatient\tNN\tI-NP\tO' +p313563 +aS'became\tbecome\tVBD\tB-VP\tO' +p313564 +aS'pain\tpain\tNN\tB-ADJP\tO' +p313565 +aS'free\tfree\tJJ\tI-ADJP\tO' +p313566 +aS'.\t.\t.\tO\tO' +p313567 +asS'Continue all of your medications except for digoxin .' +p313568 +(lp313569 +S'Continue\tContinue\tVB\tB-VP\tO' +p313570 +aS'all\tall\tDT\tB-NP\tO' +p313571 +aS'of\tof\tIN\tB-PP\tO' +p313572 +aS'your\tyour\tPRP$\tB-NP\tO' +p313573 +aS'medications\tmedication\tNNS\tI-NP\tO' +p313574 +aS'except\texcept\tIN\tB-PP\tO' +p313575 +aS'for\tfor\tIN\tB-PP\tO' +p313576 +aS'digoxin\tdigoxin\tNN\tB-NP\tO' +p313577 +aS'.\t.\t.\tO\tO' +p313578 +asS'Evaluation in the emergency room revealed the patient to be stable and he was evaluated by ophthalmology who also felt that the patient had no injury to his eyes .' +p313579 +(lp313580 +S'Evaluation\tEvaluation\tNN\tB-NP\tO' +p313581 +aS'in\tin\tIN\tB-PP\tO' +p313582 +aS'the\tthe\tDT\tB-NP\tO' +p313583 +aS'emergency\temergency\tNN\tI-NP\tO' +p313584 +aS'room\troom\tNN\tI-NP\tO' +p313585 +aS'revealed\treveal\tVBD\tB-VP\tO' +p313586 +aS'the\tthe\tDT\tB-NP\tO' +p313587 +aS'patient\tpatient\tNN\tI-NP\tO' +p313588 +aS'to\tto\tTO\tB-VP\tO' +p313589 +aS'be\tbe\tVB\tI-VP\tO' +p313590 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p313591 +aS'and\tand\tCC\tO\tO' +p313592 +aS'he\the\tPRP\tB-NP\tO' +p313593 +aS'was\tbe\tVBD\tB-VP\tO' +p313594 +aS'evaluated\tevaluate\tVBN\tI-VP\tO' +p313595 +aS'by\tby\tIN\tB-PP\tO' +p313596 +aS'ophthalmology\tophthalmology\tNN\tB-NP\tO' +p313597 +aS'who\twho\tWP\tB-NP\tO' +p313598 +aS'also\talso\tRB\tB-ADVP\tO' +p313599 +aS'felt\tfeel\tVBD\tB-VP\tO' +p313600 +aS'that\tthat\tIN\tB-SBAR\tO' +p313601 +aS'the\tthe\tDT\tB-NP\tO' +p313602 +aS'patient\tpatient\tNN\tI-NP\tO' +p313603 +aS'had\thave\tVBD\tB-VP\tO' +p313604 +aS'no\tno\tDT\tB-NP\tO' +p313605 +aS'injury\tinjury\tNN\tI-NP\tO' +p313606 +aS'to\tto\tTO\tB-PP\tO' +p313607 +aS'his\this\tPRP$\tB-NP\tO' +p313608 +aS'eyes\teye\tNNS\tI-NP\tO' +p313609 +aS'.\t.\t.\tO\tO' +p313610 +asS'Signed electronically by : DR. Antonio Hall on : FRI 2012-05-04 7:48 AM' +p313611 +(lp313612 +S'Signed\tSign\tVBN\tB-VP\tO' +p313613 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p313614 +aS'by\tby\tIN\tB-PP\tO' +p313615 +aS':\t:\t:\tO\tO' +p313616 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p313617 +aS'Antonio\tAntonio\tNNP\tI-NP\tO' +p313618 +aS'Hall\tHall\tNNP\tI-NP\tO' +p313619 +aS'on\ton\tIN\tB-PP\tO' +p313620 +aS':\t:\t:\tO\tO' +p313621 +aS'FRI\tFRI\tCD\tB-NP\tO' +p313622 +aS'2012-05-04\t2012-05-04\tCD\tI-NP\tO' +p313623 +aS'7:48\t7:48\tCD\tI-NP\tO' +p313624 +aS'AM\tAM\tNN\tI-NP\tO' +p313625 +asS'Her heart is regular without murmurs , rubs or gallops , slightly tachycardic .' +p313626 +(lp313627 +S'Her\tHer\tPRP$\tB-NP\tO' +p313628 +aS'heart\theart\tNN\tI-NP\tO' +p313629 +aS'is\tbe\tVBZ\tB-VP\tO' +p313630 +aS'regular\tregular\tJJ\tB-ADJP\tO' +p313631 +aS'without\twithout\tIN\tB-PP\tO' +p313632 +aS'murmurs\tmurmur\tNNS\tB-NP\tO' +p313633 +aS',\t,\t,\tI-NP\tO' +p313634 +aS'rubs\trub\tNNS\tI-NP\tO' +p313635 +aS'or\tor\tCC\tI-NP\tO' +p313636 +aS'gallops\tgallop\tNNS\tI-NP\tO' +p313637 +aS',\t,\t,\tO\tO' +p313638 +aS'slightly\tslightly\tRB\tB-ADJP\tO' +p313639 +aS'tachycardic\ttachycardic\tJJ\tI-ADJP\tO' +p313640 +aS'.\t.\t.\tO\tO' +p313641 +asS'Although he remained hemodynamically stable , we elected to move ahead and transfuse him with nonautologous PRBC .' +p313642 +(lp313643 +S'Although\tAlthough\tIN\tB-SBAR\tO' +p313644 +aS'he\the\tPRP\tB-NP\tO' +p313645 +aS'remained\tremain\tVBD\tB-VP\tO' +p313646 +aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' +p313647 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p313648 +aS',\t,\t,\tO\tO' +p313649 +aS'we\twe\tPRP\tB-NP\tO' +p313650 +aS'elected\telect\tVBD\tB-VP\tO' +p313651 +aS'to\tto\tTO\tI-VP\tO' +p313652 +aS'move\tmove\tVB\tI-VP\tO' +p313653 +aS'ahead\tahead\tRB\tB-ADVP\tO' +p313654 +aS'and\tand\tCC\tO\tO' +p313655 +aS'transfuse\ttransfuse\tVB\tB-VP\tO' +p313656 +aS'him\thim\tPRP\tB-NP\tO' +p313657 +aS'with\twith\tIN\tB-PP\tO' +p313658 +aS'nonautologous\tnonautologous\tJJ\tB-NP\tO' +p313659 +aS'PRBC\tPRBC\tNN\tI-NP\tO' +p313660 +aS'.\t.\t.\tO\tO' +p313661 +asS'We will include a very thorough HPI with this dictation that was done by Dr. Wedleung .' +p313662 +(lp313663 +S'We\tWe\tPRP\tB-NP\tO' +p313664 +aS'will\twill\tMD\tB-VP\tO' +p313665 +aS'include\tinclude\tVB\tI-VP\tO' +p313666 +aS'a\ta\tDT\tB-NP\tO' +p313667 +aS'very\tvery\tRB\tI-NP\tO' +p313668 +aS'thorough\tthorough\tJJ\tI-NP\tO' +p313669 +aS'HPI\tHPI\tNN\tI-NP\tO' +p313670 +aS'with\twith\tIN\tB-PP\tO' +p313671 +aS'this\tthis\tDT\tB-NP\tO' +p313672 +aS'dictation\tdictation\tNN\tI-NP\tO' +p313673 +aS'that\tthat\tWDT\tB-NP\tO' +p313674 +aS'was\tbe\tVBD\tB-VP\tO' +p313675 +aS'done\tdo\tVBN\tI-VP\tO' +p313676 +aS'by\tby\tIN\tB-PP\tO' +p313677 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p313678 +aS'Wedleung\tWedleung\tNNP\tI-NP\tO' +p313679 +aS'.\t.\t.\tO\tO' +p313680 +asS'Extraocular muscles intact .' +p313681 +(lp313682 +S'Extraocular\tExtraocular\tJJ\tB-NP\tO' +p313683 +aS'muscles\tmuscle\tNNS\tI-NP\tO' +p313684 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p313685 +aS'.\t.\t.\tO\tO' +p313686 +asS'Family History : non-contributory .' +p313687 +(lp313688 +S'Family\tFamily\tRB\tB-NP\tO' +p313689 +aS'History\tHistory\tNN\tI-NP\tO' +p313690 +aS':\t:\t:\tO\tO' +p313691 +aS'non-contributory\tnon-contributory\tJJ\tB-ADJP\tO' +p313692 +aS'.\t.\t.\tO\tO' +p313693 +asS'No tendon tear .' +p313694 +(lp313695 +S'No\tNo\tDT\tB-NP\tO' +p313696 +aS'tendon\ttendon\tNN\tI-NP\tO' +p313697 +aS'tear\ttear\tNN\tI-NP\tO' +p313698 +aS'.\t.\t.\tO\tO' +p313699 +asS'Hips increased lax knee but no obvious dislocation .' +p313700 +(lp313701 +S'Hips\tHip\tNNS\tB-NP\tO' +p313702 +aS'increased\tincrease\tVBD\tB-VP\tO' +p313703 +aS'lax\tlax\tNN\tB-NP\tO' +p313704 +aS'knee\tknee\tNN\tI-NP\tO' +p313705 +aS'but\tbut\tCC\tO\tO' +p313706 +aS'no\tno\tDT\tB-NP\tO' +p313707 +aS'obvious\tobvious\tJJ\tI-NP\tO' +p313708 +aS'dislocation\tdislocation\tNN\tI-NP\tO' +p313709 +aS'.\t.\t.\tO\tO' +p313710 +asS'There is mass effect present with shift of the normally midline structures towards the left .' +p313711 +(lp313712 +S'There\tThere\tEX\tB-NP\tO' +p313713 +aS'is\tbe\tVBZ\tB-VP\tO' +p313714 +aS'mass\tmass\tNN\tB-NP\tO' +p313715 +aS'effect\teffect\tNN\tI-NP\tO' +p313716 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p313717 +aS'with\twith\tIN\tB-PP\tO' +p313718 +aS'shift\tshift\tNN\tB-NP\tO' +p313719 +aS'of\tof\tIN\tB-PP\tO' +p313720 +aS'the\tthe\tDT\tB-NP\tO' +p313721 +aS'normally\tnormally\tRB\tI-NP\tO' +p313722 +aS'midline\tmidline\tNN\tI-NP\tO' +p313723 +aS'structures\tstructure\tNNS\tI-NP\tO' +p313724 +aS'towards\ttowards\tIN\tB-PP\tO' +p313725 +aS'the\tthe\tDT\tB-NP\tO' +p313726 +aS'left\tleft\tNN\tI-NP\tO' +p313727 +aS'.\t.\t.\tO\tO' +p313728 +asS'1. As above .' +p313729 +(lp313730 +S'1.\t1.\tLS\tB-LST\tO' +p313731 +aS'As\tAs\tIN\tB-PP\tO' +p313732 +aS'above\tabove\tRB\tB-ADVP\tO' +p313733 +aS'.\t.\t.\tO\tO' +p313734 +asS'These recommendations were followed throughout the admission .' +p313735 +(lp313736 +S'These\tThese\tDT\tB-NP\tO' +p313737 +aS'recommendations\trecommendation\tNNS\tI-NP\tO' +p313738 +aS'were\tbe\tVBD\tB-VP\tO' +p313739 +aS'followed\tfollow\tVBN\tI-VP\tO' +p313740 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p313741 +aS'the\tthe\tDT\tB-NP\tO' +p313742 +aS'admission\tadmission\tNN\tI-NP\tO' +p313743 +aS'.\t.\t.\tO\tO' +p313744 +asS'Extremities two plus pulses bilaterally and nonpitting edema up to the knees in both legs .' +p313745 +(lp313746 +S'Extremities\tExtremity\tNNS\tB-NP\tO' +p313747 +aS'two\ttwo\tCD\tB-NP\tO' +p313748 +aS'plus\tplus\tCC\tO\tO' +p313749 +aS'pulses\tpulse\tNNS\tB-NP\tO' +p313750 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p313751 +aS'and\tand\tCC\tO\tO' +p313752 +aS'nonpitting\tnonpitting\tJJ\tB-NP\tO' +p313753 +aS'edema\tedema\tNN\tI-NP\tO' +p313754 +aS'up\tup\tIN\tB-PP\tO' +p313755 +aS'to\tto\tTO\tB-PP\tO' +p313756 +aS'the\tthe\tDT\tB-NP\tO' +p313757 +aS'knees\tknee\tNNS\tI-NP\tO' +p313758 +aS'in\tin\tIN\tB-PP\tO' +p313759 +aS'both\tboth\tDT\tB-NP\tO' +p313760 +aS'legs\tleg\tNNS\tI-NP\tO' +p313761 +aS'.\t.\t.\tO\tO' +p313762 +asS'significant for current tobacco use .' +p313763 +(lp313764 +S'significant\tsignificant\tJJ\tB-ADJP\tO' +p313765 +aS'for\tfor\tIN\tB-PP\tO' +p313766 +aS'current\tcurrent\tJJ\tB-NP\tO' +p313767 +aS'tobacco\ttobacco\tNN\tI-NP\tO' +p313768 +aS'use\tuse\tNN\tI-NP\tO' +p313769 +aS'.\t.\t.\tO\tO' +p313770 +asS'2. Respiratory - Intubated for airway protection due to change in mental status .' +p313771 +(lp313772 +S'2.\t2.\tLS\tB-NP\tO' +p313773 +aS'Respiratory\tRespiratory\tNN\tI-NP\tO' +p313774 +aS'-\t-\tHYPH\tB-NP\tO' +p313775 +aS'Intubated\tIntubate\tVBN\tB-VP\tO' +p313776 +aS'for\tfor\tIN\tB-PP\tO' +p313777 +aS'airway\tairway\tNN\tB-NP\tO' +p313778 +aS'protection\tprotection\tNN\tI-NP\tO' +p313779 +aS'due\tdue\tJJ\tB-ADJP\tO' +p313780 +aS'to\tto\tTO\tB-VP\tO' +p313781 +aS'change\tchange\tVB\tI-VP\tO' +p313782 +aS'in\tin\tIN\tB-PP\tO' +p313783 +aS'mental\tmental\tJJ\tB-NP\tO' +p313784 +aS'status\tstatus\tNN\tI-NP\tO' +p313785 +aS'.\t.\t.\tO\tO' +p313786 +asS'In the ICU .' +p313787 +(lp313788 +S'In\tIn\tIN\tB-PP\tO' +p313789 +aS'the\tthe\tDT\tB-NP\tO' +p313790 +aS'ICU\tICU\tNN\tI-NP\tB-DNA' +p313791 +aS'.\t.\t.\tO\tO' +p313792 +asS'RUQ US was ordered and returned without signs of infection later .' +p313793 +(lp313794 +S'RUQ\tRUQ\tNN\tB-NP\tO' +p313795 +aS'US\tUS\tNNP\tI-NP\tO' +p313796 +aS'was\tbe\tVBD\tB-VP\tO' +p313797 +aS'ordered\torder\tVBN\tI-VP\tO' +p313798 +aS'and\tand\tCC\tO\tO' +p313799 +aS'returned\treturn\tVBN\tB-VP\tO' +p313800 +aS'without\twithout\tIN\tB-PP\tO' +p313801 +aS'signs\tsign\tNNS\tB-NP\tO' +p313802 +aS'of\tof\tIN\tB-PP\tO' +p313803 +aS'infection\tinfection\tNN\tB-NP\tO' +p313804 +aS'later\tlater\tRB\tB-ADVP\tO' +p313805 +aS'.\t.\t.\tO\tO' +p313806 +asS'4. Protonix 20 mg p.o. q. day .' +p313807 +(lp313808 +S'4.\t4.\tLS\tB-NP\tO' +p313809 +aS'Protonix\tProtonix\tNNP\tI-NP\tO' +p313810 +aS'20\t20\tCD\tI-NP\tO' +p313811 +aS'mg\tmg\tNN\tI-NP\tO' +p313812 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p313813 +aS'q.\tq.\tNN\tI-NP\tO' +p313814 +aS'day\tday\tNN\tI-NP\tO' +p313815 +aS'.\t.\t.\tO\tO' +p313816 +asS'For details of these procedures , please see op notes dictated by Dr. Day on 2016-12-16 .' +p313817 +(lp313818 +S'For\tFor\tIN\tB-PP\tO' +p313819 +aS'details\tdetail\tNNS\tB-NP\tO' +p313820 +aS'of\tof\tIN\tB-PP\tO' +p313821 +aS'these\tthese\tDT\tB-NP\tO' +p313822 +aS'procedures\tprocedure\tNNS\tI-NP\tO' +p313823 +aS',\t,\t,\tO\tO' +p313824 +aS'please\tplease\tVB\tB-INTJ\tO' +p313825 +aS'see\tsee\tVB\tB-VP\tO' +p313826 +aS'op\top\tNN\tB-NP\tO' +p313827 +aS'notes\tnote\tNNS\tI-NP\tO' +p313828 +aS'dictated\tdictate\tVBN\tB-VP\tO' +p313829 +aS'by\tby\tIN\tB-PP\tO' +p313830 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p313831 +aS'Day\tDay\tNNP\tI-NP\tO' +p313832 +aS'on\ton\tIN\tB-PP\tO' +p313833 +aS'2016-12-16\t2016-12-16\tCD\tB-NP\tO' +p313834 +aS'.\t.\t.\tO\tO' +p313835 +asS'2. Coronary artery disease / ischemiccardiomyopathy with ejection fraction of 30% .' +p313836 +(lp313837 +S'2.\t2.\tLS\tB-NP\tO' +p313838 +aS'Coronary\tCoronary\tJJ\tI-NP\tO' +p313839 +aS'artery\tartery\tNN\tI-NP\tO' +p313840 +aS'disease\tdisease\tNN\tI-NP\tO' +p313841 +aS'/\t/\tSYM\tO\tO' +p313842 +aS'ischemiccardiomyopathy\tischemiccardiomyopathy\tNN\tB-NP\tO' +p313843 +aS'with\twith\tIN\tB-PP\tO' +p313844 +aS'ejection\tejection\tNN\tB-NP\tO' +p313845 +aS'fraction\tfraction\tNN\tI-NP\tO' +p313846 +aS'of\tof\tIN\tB-PP\tO' +p313847 +aS'30%\t30%\tCD\tB-NP\tO' +p313848 +aS'.\t.\t.\tO\tO' +p313849 +asS'There is no displacement of the normally midline structures , hydrocephalus , or effacement of the basal cisterns at present .' +p313850 +(lp313851 +S'There\tThere\tEX\tB-NP\tO' +p313852 +aS'is\tbe\tVBZ\tB-VP\tO' +p313853 +aS'no\tno\tDT\tB-NP\tO' +p313854 +aS'displacement\tdisplacement\tNN\tI-NP\tO' +p313855 +aS'of\tof\tIN\tB-PP\tO' +p313856 +aS'the\tthe\tDT\tB-NP\tO' +p313857 +aS'normally\tnormally\tRB\tI-NP\tO' +p313858 +aS'midline\tmidline\tNN\tI-NP\tO' +p313859 +aS'structures\tstructure\tNNS\tI-NP\tO' +p313860 +aS',\t,\t,\tO\tO' +p313861 +aS'hydrocephalus\thydrocephalus\tNN\tB-NP\tO' +p313862 +aS',\t,\t,\tO\tO' +p313863 +aS'or\tor\tCC\tO\tO' +p313864 +aS'effacement\teffacement\tNN\tB-NP\tO' +p313865 +aS'of\tof\tIN\tB-PP\tO' +p313866 +aS'the\tthe\tDT\tB-NP\tO' +p313867 +aS'basal\tbasal\tJJ\tI-NP\tO' +p313868 +aS'cisterns\tcistern\tNNS\tI-NP\tO' +p313869 +aS'at\tat\tIN\tB-PP\tO' +p313870 +aS'present\tpresent\tNN\tB-NP\tO' +p313871 +aS'.\t.\t.\tO\tO' +p313872 +asS'15. Miconazole Nitrate 2 % Powder Sig : One ( 1 ) Appl Topical BID ( 2 times a day ) as needed .' +p313873 +(lp313874 +S'15.\t15.\tLS\tB-NP\tO' +p313875 +aS'Miconazole\tMiconazole\tNN\tI-NP\tO' +p313876 +aS'Nitrate\tNitrate\tNN\tI-NP\tO' +p313877 +aS'2\t2\tCD\tB-NP\tO' +p313878 +aS'%\t%\tNN\tI-NP\tO' +p313879 +aS'Powder\tPowder\tNNP\tI-NP\tO' +p313880 +aS'Sig\tSig\tNNP\tI-NP\tO' +p313881 +aS':\t:\t:\tO\tO' +p313882 +aS'One\tOne\tCD\tB-NP\tO' +p313883 +aS'(\t(\t(\tO\tO' +p313884 +aS'1\t1\tCD\tB-NP\tO' +p313885 +aS')\t)\t)\tO\tO' +p313886 +aS'Appl\tAppl\tNNP\tB-NP\tO' +p313887 +aS'Topical\tTopical\tJJ\tI-NP\tO' +p313888 +aS'BID\tBID\tNN\tI-NP\tO' +p313889 +aS'(\t(\t(\tO\tO' +p313890 +aS'2\t2\tCD\tB-NP\tO' +p313891 +aS'times\ttime\tNNS\tI-NP\tO' +p313892 +aS'a\ta\tDT\tB-NP\tO' +p313893 +aS'day\tday\tNN\tI-NP\tO' +p313894 +aS')\t)\t)\tO\tO' +p313895 +aS'as\tas\tIN\tB-SBAR\tO' +p313896 +aS'needed\tneed\tVBN\tB-VP\tO' +p313897 +aS'.\t.\t.\tO\tO' +p313898 +asS'2. Humalog sliding scale .' +p313899 +(lp313900 +S'2.\t2.\tLS\tB-NP\tO' +p313901 +aS'Humalog\tHumalog\tNN\tI-NP\tO' +p313902 +aS'sliding\tslide\tVBG\tB-VP\tO' +p313903 +aS'scale\tscale\tNN\tB-NP\tO' +p313904 +aS'.\t.\t.\tO\tO' +p313905 +asS'The patient required 2 units of fresh frozen plasma on the night following surgery , and 1 unit of platelets on postop day 1 , but otherwise required no blood products following the liver transplant .' +p313906 +(lp313907 +S'The\tThe\tDT\tB-NP\tO' +p313908 +aS'patient\tpatient\tNN\tI-NP\tO' +p313909 +aS'required\trequire\tVBD\tB-VP\tO' +p313910 +aS'2\t2\tCD\tB-NP\tO' +p313911 +aS'units\tunit\tNNS\tI-NP\tO' +p313912 +aS'of\tof\tIN\tB-PP\tO' +p313913 +aS'fresh\tfresh\tJJ\tB-NP\tO' +p313914 +aS'frozen\tfrozen\tJJ\tI-NP\tO' +p313915 +aS'plasma\tplasma\tNN\tI-NP\tO' +p313916 +aS'on\ton\tIN\tB-PP\tO' +p313917 +aS'the\tthe\tDT\tB-NP\tO' +p313918 +aS'night\tnight\tNN\tI-NP\tO' +p313919 +aS'following\tfollow\tVBG\tB-PP\tO' +p313920 +aS'surgery\tsurgery\tNN\tB-NP\tO' +p313921 +aS',\t,\t,\tO\tO' +p313922 +aS'and\tand\tCC\tO\tO' +p313923 +aS'1\t1\tCD\tB-NP\tO' +p313924 +aS'unit\tunit\tNN\tI-NP\tO' +p313925 +aS'of\tof\tIN\tB-PP\tO' +p313926 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p313927 +aS'on\ton\tIN\tB-PP\tO' +p313928 +aS'postop\tpostop\tNN\tB-NP\tO' +p313929 +aS'day\tday\tNN\tI-NP\tO' +p313930 +aS'1\t1\tCD\tI-NP\tO' +p313931 +aS',\t,\t,\tO\tO' +p313932 +aS'but\tbut\tCC\tO\tO' +p313933 +aS'otherwise\totherwise\tRB\tB-VP\tO' +p313934 +aS'required\trequire\tVBD\tI-VP\tO' +p313935 +aS'no\tno\tDT\tB-NP\tO' +p313936 +aS'blood\tblood\tNN\tI-NP\tO' +p313937 +aS'products\tproduct\tNNS\tI-NP\tO' +p313938 +aS'following\tfollow\tVBG\tB-PP\tO' +p313939 +aS'the\tthe\tDT\tB-NP\tO' +p313940 +aS'liver\tliver\tNN\tI-NP\tO' +p313941 +aS'transplant\ttransplant\tNN\tI-NP\tO' +p313942 +aS'.\t.\t.\tO\tO' +p313943 +asS'The patient was monitored for symptoms of Flolan therapy including nausea , vomiting , first bite jaw claudication , or hypotension .' +p313944 +(lp313945 +S'The\tThe\tDT\tB-NP\tO' +p313946 +aS'patient\tpatient\tNN\tI-NP\tO' +p313947 +aS'was\tbe\tVBD\tB-VP\tO' +p313948 +aS'monitored\tmonitor\tVBN\tI-VP\tO' +p313949 +aS'for\tfor\tIN\tB-PP\tO' +p313950 +aS'symptoms\tsymptom\tNNS\tB-NP\tO' +p313951 +aS'of\tof\tIN\tB-PP\tO' +p313952 +aS'Flolan\tFlolan\tNN\tB-NP\tO' +p313953 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p313954 +aS'including\tinclude\tVBG\tB-PP\tO' +p313955 +aS'nausea\tnausea\tNN\tB-NP\tO' +p313956 +aS',\t,\t,\tO\tO' +p313957 +aS'vomiting\tvomiting\tNN\tB-NP\tO' +p313958 +aS',\t,\t,\tO\tO' +p313959 +aS'first\tfirst\tJJ\tB-NP\tO' +p313960 +aS'bite\tbite\tNN\tI-NP\tO' +p313961 +aS'jaw\tjaw\tNN\tI-NP\tO' +p313962 +aS'claudication\tclaudication\tNN\tI-NP\tO' +p313963 +aS',\t,\t,\tO\tO' +p313964 +aS'or\tor\tCC\tO\tO' +p313965 +aS'hypotension\thypotension\tNN\tB-NP\tO' +p313966 +aS'.\t.\t.\tO\tO' +p313967 +asS'FOLLOW-UP APPOINTMENTS : Dr. Parramore on 10-10 .' +p313968 +(lp313969 +S'FOLLOW-UP\tFOLLOW-UP\tJJ\tB-NP\tO' +p313970 +aS'APPOINTMENTS\tAPPOINTMENTS\tNNS\tI-NP\tO' +p313971 +aS':\t:\t:\tO\tO' +p313972 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p313973 +aS'Parramore\tParramore\tNNP\tI-NP\tO' +p313974 +aS'on\ton\tIN\tB-PP\tO' +p313975 +aS'10-10\t10-10\tCD\tB-NP\tO' +p313976 +aS'.\t.\t.\tO\tO' +p313977 +asS'14. Bisacodyl 5 mg Tablet , Delayed Release ( E.C. ) Sig : Two ( 2 ) Tablet , Delayed Release ( E.C. ) PO BID ( 2 times a day ) as needed .' +p313978 +(lp313979 +S'14.\t14.\tLS\tB-NP\tO' +p313980 +aS'Bisacodyl\tBisacodyl\tNN\tI-NP\tO' +p313981 +aS'5\t5\tCD\tI-NP\tO' +p313982 +aS'mg\tmg\tNN\tI-NP\tO' +p313983 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p313984 +aS',\t,\t,\tO\tO' +p313985 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p313986 +aS'Release\tRelease\tNNP\tI-NP\tO' +p313987 +aS'(\t(\t(\tO\tO' +p313988 +aS'E.C.\tE.C.\tNNP\tB-NP\tO' +p313989 +aS')\t)\t)\tO\tO' +p313990 +aS'Sig\tSig\tNNP\tB-NP\tO' +p313991 +aS':\t:\t:\tO\tO' +p313992 +aS'Two\tTwo\tCD\tB-NP\tO' +p313993 +aS'(\t(\t(\tO\tO' +p313994 +aS'2\t2\tCD\tB-NP\tO' +p313995 +aS')\t)\t)\tO\tO' +p313996 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p313997 +aS',\t,\t,\tO\tO' +p313998 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p313999 +aS'Release\tRelease\tNNP\tI-NP\tO' +p314000 +aS'(\t(\t(\tO\tO' +p314001 +aS'E.C.\tE.C.\tNNP\tO\tO' +p314002 +aS')\t)\t)\tO\tO' +p314003 +aS'PO\tPO\tNN\tB-NP\tO' +p314004 +aS'BID\tBID\tNN\tI-NP\tO' +p314005 +aS'(\t(\t(\tO\tO' +p314006 +aS'2\t2\tCD\tB-NP\tO' +p314007 +aS'times\ttime\tNNS\tI-NP\tO' +p314008 +aS'a\ta\tDT\tB-NP\tO' +p314009 +aS'day\tday\tNN\tI-NP\tO' +p314010 +aS')\t)\t)\tO\tO' +p314011 +aS'as\tas\tIN\tB-SBAR\tO' +p314012 +aS'needed\tneed\tVBN\tB-VP\tO' +p314013 +aS'.\t.\t.\tO\tO' +p314014 +asS'IMPRESSION : No evidence of hydronephrosis .' +p314015 +(lp314016 +S'IMPRESSION\tIMPRESSION\tNN\tB-NP\tO' +p314017 +aS':\t:\t:\tO\tO' +p314018 +aS'No\tNo\tDT\tB-NP\tO' +p314019 +aS'evidence\tevidence\tNN\tI-NP\tO' +p314020 +aS'of\tof\tIN\tB-PP\tO' +p314021 +aS'hydronephrosis\thydronephrosis\tNN\tB-NP\tO' +p314022 +aS'.\t.\t.\tO\tO' +p314023 +asS'The Ticarcillin was stopped after two days when it was felt that he did not have a serious pneumonia .' +p314024 +(lp314025 +S'The\tThe\tDT\tB-NP\tO' +p314026 +aS'Ticarcillin\tTicarcillin\tNN\tI-NP\tB-protein' +p314027 +aS'was\tbe\tVBD\tB-VP\tO' +p314028 +aS'stopped\tstop\tVBN\tI-VP\tO' +p314029 +aS'after\tafter\tIN\tB-PP\tO' +p314030 +aS'two\ttwo\tCD\tB-NP\tO' +p314031 +aS'days\tday\tNNS\tI-NP\tO' +p314032 +aS'when\twhen\tWRB\tB-ADVP\tO' +p314033 +aS'it\tit\tPRP\tB-NP\tO' +p314034 +aS'was\tbe\tVBD\tB-VP\tO' +p314035 +aS'felt\tfeel\tVBN\tI-VP\tO' +p314036 +aS'that\tthat\tIN\tB-SBAR\tO' +p314037 +aS'he\the\tPRP\tB-NP\tO' +p314038 +aS'did\tdo\tVBD\tB-VP\tO' +p314039 +aS'not\tnot\tRB\tI-VP\tO' +p314040 +aS'have\thave\tVB\tI-VP\tO' +p314041 +aS'a\ta\tDT\tB-NP\tO' +p314042 +aS'serious\tserious\tJJ\tI-NP\tO' +p314043 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p314044 +aS'.\t.\t.\tO\tO' +p314045 +asS'The patient was subsequently cleared for discharge to home with instructions for follow-up on postoperative day number five , 2010-06-12 .' +p314046 +(lp314047 +S'The\tThe\tDT\tB-NP\tO' +p314048 +aS'patient\tpatient\tNN\tI-NP\tO' +p314049 +aS'was\tbe\tVBD\tB-VP\tO' +p314050 +aS'subsequently\tsubsequently\tRB\tI-VP\tO' +p314051 +aS'cleared\tclear\tVBN\tI-VP\tO' +p314052 +aS'for\tfor\tIN\tB-PP\tO' +p314053 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p314054 +aS'to\tto\tTO\tB-PP\tO' +p314055 +aS'home\thome\tNN\tB-NP\tO' +p314056 +aS'with\twith\tIN\tB-PP\tO' +p314057 +aS'instructions\tinstruction\tNNS\tB-NP\tO' +p314058 +aS'for\tfor\tIN\tB-PP\tO' +p314059 +aS'follow-up\tfollow-up\tNN\tB-NP\tO' +p314060 +aS'on\ton\tIN\tB-PP\tO' +p314061 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p314062 +aS'day\tday\tNN\tI-NP\tO' +p314063 +aS'number\tnumber\tNN\tI-NP\tO' +p314064 +aS'five\tfive\tCD\tI-NP\tO' +p314065 +aS',\t,\t,\tI-NP\tO' +p314066 +aS'2010-06-12\t2010-06-12\tCD\tI-NP\tO' +p314067 +aS'.\t.\t.\tO\tO' +p314068 +asS'8. Synthroid 125 mcg daily .' +p314069 +(lp314070 +S'8.\t8.\tCD\tB-NP\tO' +p314071 +aS'Synthroid\tSynthroid\tJJ\tI-NP\tO' +p314072 +aS'125\t125\tCD\tI-NP\tO' +p314073 +aS'mcg\tmcg\tNN\tI-NP\tO' +p314074 +aS'daily\tdaily\tRB\tB-ADVP\tO' +p314075 +aS'.\t.\t.\tO\tO' +p314076 +asS'7. Advair 250/50 mcg one puff q.a.m.' +p314077 +(lp314078 +S'7.\t7.\tCD\tB-NP\tO' +p314079 +aS'Advair\tAdvair\tNNP\tI-NP\tO' +p314080 +aS'250/50\t250/50\tCD\tI-NP\tO' +p314081 +aS'mcg\tmcg\tNN\tI-NP\tO' +p314082 +aS'one\tone\tCD\tB-NP\tO' +p314083 +aS'puff\tpuff\tNN\tI-NP\tO' +p314084 +aS'q.a.m.\tq.a.m.\tNN\tI-NP\tO' +p314085 +asS'He works in real estate development and invests in stockmarket .' +p314086 +(lp314087 +S'He\tHe\tPRP\tB-NP\tO' +p314088 +aS'works\twork\tVBZ\tB-VP\tO' +p314089 +aS'in\tin\tIN\tB-PP\tO' +p314090 +aS'real\treal\tJJ\tB-NP\tO' +p314091 +aS'estate\testate\tNN\tI-NP\tO' +p314092 +aS'development\tdevelopment\tNN\tI-NP\tO' +p314093 +aS'and\tand\tCC\tO\tO' +p314094 +aS'invests\tinvest\tNNS\tB-NP\tO' +p314095 +aS'in\tin\tIN\tB-PP\tO' +p314096 +aS'stockmarket\tstockmarket\tNN\tB-NP\tO' +p314097 +aS'.\t.\t.\tO\tO' +p314098 +asS'EKG showed normal sinus rhythm at 90 with normal intervals and ST wave inversions and early R wave progression .' +p314099 +(lp314100 +S'EKG\tEKG\tNN\tB-NP\tB-protein' +p314101 +aS'showed\tshow\tVBD\tB-VP\tO' +p314102 +aS'normal\tnormal\tJJ\tB-NP\tO' +p314103 +aS'sinus\tsinus\tNN\tI-NP\tO' +p314104 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p314105 +aS'at\tat\tIN\tB-PP\tO' +p314106 +aS'90\t90\tCD\tB-NP\tO' +p314107 +aS'with\twith\tIN\tB-PP\tO' +p314108 +aS'normal\tnormal\tJJ\tB-NP\tO' +p314109 +aS'intervals\tinterval\tNNS\tI-NP\tO' +p314110 +aS'and\tand\tCC\tO\tO' +p314111 +aS'ST\tST\tJJ\tB-NP\tO' +p314112 +aS'wave\twave\tNN\tI-NP\tO' +p314113 +aS'inversions\tinversion\tNNS\tI-NP\tO' +p314114 +aS'and\tand\tCC\tO\tO' +p314115 +aS'early\tearly\tJJ\tB-NP\tO' +p314116 +aS'R\tR\tNN\tI-NP\tO' +p314117 +aS'wave\twave\tNN\tI-NP\tO' +p314118 +aS'progression\tprogression\tNN\tI-NP\tO' +p314119 +aS'.\t.\t.\tO\tO' +p314120 +asS'5. Nifedipine 60 mg Tablet Sustained Release Sig : One ( 1 ) Tablet Sustained Release PO BID ( 2 times a day ) .' +p314121 +(lp314122 +S'5.\t5.\tLS\tB-NP\tO' +p314123 +aS'Nifedipine\tNifedipine\tNN\tI-NP\tB-protein' +p314124 +aS'60\t60\tCD\tI-NP\tI-protein' +p314125 +aS'mg\tmg\tNN\tI-NP\tI-protein' +p314126 +aS'Tablet\tTablet\tNNP\tI-NP\tI-protein' +p314127 +aS'Sustained\tSustained\tNNP\tI-NP\tI-protein' +p314128 +aS'Release\tRelease\tNNP\tI-NP\tI-protein' +p314129 +aS'Sig\tSig\tNNP\tI-NP\tB-protein' +p314130 +aS':\t:\t:\tO\tO' +p314131 +aS'One\tOne\tCD\tB-NP\tO' +p314132 +aS'(\t(\t(\tO\tO' +p314133 +aS'1\t1\tCD\tB-NP\tO' +p314134 +aS')\t)\t)\tO\tO' +p314135 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p314136 +aS'Sustained\tSustained\tNNP\tI-NP\tO' +p314137 +aS'Release\tRelease\tNNP\tI-NP\tO' +p314138 +aS'PO\tPO\tNNP\tI-NP\tO' +p314139 +aS'BID\tBID\tNNP\tI-NP\tO' +p314140 +aS'(\t(\t(\tO\tO' +p314141 +aS'2\t2\tCD\tB-NP\tO' +p314142 +aS'times\ttime\tNNS\tI-NP\tO' +p314143 +aS'a\ta\tDT\tB-NP\tO' +p314144 +aS'day\tday\tNN\tI-NP\tO' +p314145 +aS')\t)\t)\tO\tO' +p314146 +aS'.\t.\t.\tO\tO' +p314147 +asS'The patient reported increasingly frequent episodes of dizziness and shortness of breath accompanied with coughing spells after walking approximately a half a mile or climbing three flights of stairs .' +p314148 +(lp314149 +S'The\tThe\tDT\tB-NP\tO' +p314150 +aS'patient\tpatient\tNN\tI-NP\tO' +p314151 +aS'reported\treport\tVBD\tB-VP\tO' +p314152 +aS'increasingly\tincreasingly\tRB\tB-NP\tO' +p314153 +aS'frequent\tfrequent\tJJ\tI-NP\tO' +p314154 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p314155 +aS'of\tof\tIN\tB-PP\tO' +p314156 +aS'dizziness\tdizziness\tNN\tB-NP\tO' +p314157 +aS'and\tand\tCC\tI-NP\tO' +p314158 +aS'shortness\tshortness\tNN\tI-NP\tO' +p314159 +aS'of\tof\tIN\tB-PP\tO' +p314160 +aS'breath\tbreath\tNN\tB-NP\tO' +p314161 +aS'accompanied\taccompany\tVBN\tB-VP\tO' +p314162 +aS'with\twith\tIN\tB-PP\tO' +p314163 +aS'coughing\tcough\tVBG\tB-VP\tO' +p314164 +aS'spells\tspell\tNNS\tB-NP\tO' +p314165 +aS'after\tafter\tIN\tB-PP\tO' +p314166 +aS'walking\twalk\tVBG\tB-VP\tO' +p314167 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p314168 +aS'a\ta\tDT\tI-NP\tO' +p314169 +aS'half\thalf\tPDT\tI-NP\tO' +p314170 +aS'a\ta\tDT\tI-NP\tO' +p314171 +aS'mile\tmile\tNN\tI-NP\tO' +p314172 +aS'or\tor\tCC\tO\tO' +p314173 +aS'climbing\tclimb\tVBG\tB-VP\tO' +p314174 +aS'three\tthree\tCD\tB-NP\tO' +p314175 +aS'flights\tflight\tNNS\tI-NP\tO' +p314176 +aS'of\tof\tIN\tB-PP\tO' +p314177 +aS'stairs\tstair\tNNS\tB-NP\tO' +p314178 +aS'.\t.\t.\tO\tO' +p314179 +asS'He was transferred to the Oncology Service after discussions about the utility of chemotherapy .' +p314180 +(lp314181 +S'He\tHe\tPRP\tB-NP\tO' +p314182 +aS'was\tbe\tVBD\tB-VP\tO' +p314183 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p314184 +aS'to\tto\tTO\tB-PP\tO' +p314185 +aS'the\tthe\tDT\tB-NP\tO' +p314186 +aS'Oncology\tOncology\tNNP\tI-NP\tO' +p314187 +aS'Service\tService\tNNP\tI-NP\tO' +p314188 +aS'after\tafter\tIN\tB-PP\tO' +p314189 +aS'discussions\tdiscussion\tNNS\tB-NP\tO' +p314190 +aS'about\tabout\tIN\tB-PP\tO' +p314191 +aS'the\tthe\tDT\tB-NP\tO' +p314192 +aS'utility\tutility\tNN\tI-NP\tO' +p314193 +aS'of\tof\tIN\tB-PP\tO' +p314194 +aS'chemotherapy\tchemotherapy\tNN\tB-NP\tO' +p314195 +aS'.\t.\t.\tO\tO' +p314196 +asS'Breath sounds slightly crackly , symmetric equal air entry .' +p314197 +(lp314198 +S'Breath\tBreath\tNNP\tB-NP\tO' +p314199 +aS'sounds\tsound\tVBZ\tB-VP\tO' +p314200 +aS'slightly\tslightly\tRB\tB-ADVP\tO' +p314201 +aS'crackly\tcrackly\tRB\tB-ADVP\tO' +p314202 +aS',\t,\t,\tO\tO' +p314203 +aS'symmetric\tsymmetric\tJJ\tB-NP\tO' +p314204 +aS'equal\tequal\tJJ\tI-NP\tO' +p314205 +aS'air\tair\tNN\tI-NP\tO' +p314206 +aS'entry\tentry\tNN\tI-NP\tO' +p314207 +aS'.\t.\t.\tO\tO' +p314208 +asS'Her delirium was felt possibly secondary to withdrawal versus toxic metabolic , but gradually improved slowly , and therefore patient did not receive treatment for barbiturate withdrawal .' +p314209 +(lp314210 +S'Her\tHer\tPRP$\tB-NP\tO' +p314211 +aS'delirium\tdelirium\tNN\tI-NP\tO' +p314212 +aS'was\tbe\tVBD\tB-VP\tO' +p314213 +aS'felt\tfeel\tVBN\tI-VP\tO' +p314214 +aS'possibly\tpossibly\tRB\tB-ADJP\tO' +p314215 +aS'secondary\tsecondary\tJJ\tI-ADJP\tO' +p314216 +aS'to\tto\tTO\tB-PP\tO' +p314217 +aS'withdrawal\twithdrawal\tNN\tB-NP\tO' +p314218 +aS'versus\tversus\tIN\tB-PP\tO' +p314219 +aS'toxic\ttoxic\tJJ\tB-NP\tO' +p314220 +aS'metabolic\tmetabolic\tJJ\tI-NP\tO' +p314221 +aS',\t,\t,\tO\tO' +p314222 +aS'but\tbut\tCC\tO\tO' +p314223 +aS'gradually\tgradually\tRB\tB-VP\tO' +p314224 +aS'improved\timprove\tVBN\tI-VP\tO' +p314225 +aS'slowly\tslowly\tRB\tB-ADVP\tO' +p314226 +aS',\t,\t,\tO\tO' +p314227 +aS'and\tand\tCC\tO\tO' +p314228 +aS'therefore\ttherefore\tRB\tB-ADVP\tO' +p314229 +aS'patient\tpatient\tNN\tB-NP\tO' +p314230 +aS'did\tdo\tVBD\tB-VP\tO' +p314231 +aS'not\tnot\tRB\tI-VP\tO' +p314232 +aS'receive\treceive\tVB\tI-VP\tO' +p314233 +aS'treatment\ttreatment\tNN\tB-NP\tO' +p314234 +aS'for\tfor\tIN\tB-PP\tO' +p314235 +aS'barbiturate\tbarbiturate\tNN\tB-NP\tO' +p314236 +aS'withdrawal\twithdrawal\tNN\tI-NP\tO' +p314237 +aS'.\t.\t.\tO\tO' +p314238 +asS'She sleeps with two pillows at night .' +p314239 +(lp314240 +S'She\tShe\tPRP\tB-NP\tO' +p314241 +aS'sleeps\tsleep\tVBZ\tB-VP\tO' +p314242 +aS'with\twith\tIN\tB-PP\tO' +p314243 +aS'two\ttwo\tCD\tB-NP\tO' +p314244 +aS'pillows\tpillow\tNNS\tI-NP\tO' +p314245 +aS'at\tat\tIN\tB-PP\tO' +p314246 +aS'night\tnight\tNN\tB-NP\tO' +p314247 +aS'.\t.\t.\tO\tO' +p314248 +asS'She states this light-headedness is often associated with shortness of breath and diaphoresis occasionally with nausea .' +p314249 +(lp314250 +S'She\tShe\tPRP\tB-NP\tO' +p314251 +aS'states\tstate\tVBZ\tB-VP\tO' +p314252 +aS'this\tthis\tDT\tB-NP\tO' +p314253 +aS'light-headedness\tlight-headedness\tNN\tI-NP\tO' +p314254 +aS'is\tbe\tVBZ\tB-VP\tO' +p314255 +aS'often\toften\tRB\tI-VP\tO' +p314256 +aS'associated\tassociate\tVBN\tI-VP\tO' +p314257 +aS'with\twith\tIN\tB-PP\tO' +p314258 +aS'shortness\tshortness\tNN\tB-NP\tO' +p314259 +aS'of\tof\tIN\tB-PP\tO' +p314260 +aS'breath\tbreath\tNN\tB-NP\tO' +p314261 +aS'and\tand\tCC\tI-NP\tO' +p314262 +aS'diaphoresis\tdiaphoresis\tNN\tI-NP\tO' +p314263 +aS'occasionally\toccasionally\tRB\tB-ADVP\tO' +p314264 +aS'with\twith\tIN\tB-PP\tO' +p314265 +aS'nausea\tnausea\tNN\tB-NP\tO' +p314266 +aS'.\t.\t.\tO\tO' +p314267 +asS'Once the organism was identified , he was transitioned to a regimen of intravenous penicillin and oral levofloxacin , which had successfully treated the infection during his most recent admission 1 year prior .' +p314268 +(lp314269 +S'Once\tOnce\tRB\tO\tO' +p314270 +aS'the\tthe\tDT\tB-NP\tO' +p314271 +aS'organism\torganism\tNN\tI-NP\tO' +p314272 +aS'was\tbe\tVBD\tB-VP\tO' +p314273 +aS'identified\tidentify\tVBN\tI-VP\tO' +p314274 +aS',\t,\t,\tO\tO' +p314275 +aS'he\the\tPRP\tB-NP\tO' +p314276 +aS'was\tbe\tVBD\tB-VP\tO' +p314277 +aS'transitioned\ttransitione\tVBN\tI-VP\tO' +p314278 +aS'to\tto\tTO\tB-PP\tO' +p314279 +aS'a\ta\tDT\tB-NP\tO' +p314280 +aS'regimen\tregimen\tNN\tI-NP\tO' +p314281 +aS'of\tof\tIN\tB-PP\tO' +p314282 +aS'intravenous\tintravenous\tJJ\tB-NP\tB-protein' +p314283 +aS'penicillin\tpenicillin\tNN\tI-NP\tI-protein' +p314284 +aS'and\tand\tCC\tO\tO' +p314285 +aS'oral\toral\tJJ\tB-NP\tO' +p314286 +aS'levofloxacin\tlevofloxacin\tNN\tI-NP\tO' +p314287 +aS',\t,\t,\tO\tO' +p314288 +aS'which\twhich\tWDT\tB-NP\tO' +p314289 +aS'had\thave\tVBD\tB-VP\tO' +p314290 +aS'successfully\tsuccessfully\tRB\tI-VP\tO' +p314291 +aS'treated\ttreat\tVBN\tI-VP\tO' +p314292 +aS'the\tthe\tDT\tB-NP\tO' +p314293 +aS'infection\tinfection\tNN\tI-NP\tO' +p314294 +aS'during\tduring\tIN\tB-PP\tO' +p314295 +aS'his\this\tPRP$\tB-NP\tB-DNA' +p314296 +aS'most\tmost\tRBS\tI-NP\tO' +p314297 +aS'recent\trecent\tJJ\tI-NP\tO' +p314298 +aS'admission\tadmission\tNN\tI-NP\tO' +p314299 +aS'1\t1\tCD\tI-NP\tO' +p314300 +aS'year\tyear\tNN\tI-NP\tO' +p314301 +aS'prior\tprior\tRB\tB-ADVP\tO' +p314302 +aS'.\t.\t.\tO\tO' +p314303 +asS'She otherwise had normal spontaneous movements and facial expression and did not appear to be abulic .' +p314304 +(lp314305 +S'She\tShe\tPRP\tB-NP\tO' +p314306 +aS'otherwise\totherwise\tRB\tB-ADVP\tO' +p314307 +aS'had\thave\tVBD\tB-VP\tO' +p314308 +aS'normal\tnormal\tJJ\tB-NP\tO' +p314309 +aS'spontaneous\tspontaneous\tJJ\tI-NP\tO' +p314310 +aS'movements\tmovement\tNNS\tI-NP\tO' +p314311 +aS'and\tand\tCC\tO\tO' +p314312 +aS'facial\tfacial\tJJ\tB-NP\tO' +p314313 +aS'expression\texpression\tNN\tB-NP\tO' +p314314 +aS'and\tand\tCC\tO\tO' +p314315 +aS'did\tdo\tVBD\tB-VP\tO' +p314316 +aS'not\tnot\tRB\tI-VP\tO' +p314317 +aS'appear\tappear\tVB\tI-VP\tO' +p314318 +aS'to\tto\tTO\tI-VP\tO' +p314319 +aS'be\tbe\tVB\tI-VP\tO' +p314320 +aS'abulic\tabulic\tJJ\tB-ADJP\tO' +p314321 +aS'.\t.\t.\tO\tO' +p314322 +asS'The blood pressure was 150/86 ; pulse 82 ; respirations 16 .' +p314323 +(lp314324 +S'The\tThe\tDT\tB-NP\tO' +p314325 +aS'blood\tblood\tNN\tI-NP\tO' +p314326 +aS'pressure\tpressure\tNN\tI-NP\tO' +p314327 +aS'was\tbe\tVBD\tB-VP\tO' +p314328 +aS'150/86\t150/86\tCD\tB-NP\tO' +p314329 +aS';\t;\t:\tO\tO' +p314330 +aS'pulse\tpulse\tNN\tB-NP\tO' +p314331 +aS'82\t82\tCD\tI-NP\tO' +p314332 +aS';\t;\t:\tO\tO' +p314333 +aS'respirations\trespiration\tNNS\tB-NP\tO' +p314334 +aS'16\t16\tCD\tB-NP\tO' +p314335 +aS'.\t.\t.\tO\tO' +p314336 +asS'Ticlid 0.25 g po bid .' +p314337 +(lp314338 +S'Ticlid\tTiclid\tNN\tB-NP\tO' +p314339 +aS'0.25\t0.25\tCD\tI-NP\tO' +p314340 +aS'g\tg\tNN\tI-NP\tO' +p314341 +aS'po\tpo\tNN\tI-NP\tO' +p314342 +aS'bid\tbid\tNN\tI-NP\tO' +p314343 +aS'.\t.\t.\tO\tO' +p314344 +asS'Call for further referral .' +p314345 +(lp314346 +S'Call\tCall\tVB\tB-NP\tO' +p314347 +aS'for\tfor\tIN\tB-PP\tO' +p314348 +aS'further\tfurther\tJJ\tB-NP\tO' +p314349 +aS'referral\treferral\tNN\tI-NP\tO' +p314350 +aS'.\t.\t.\tO\tO' +p314351 +asS'2. Subgaleal hemorrhage , resolved .' +p314352 +(lp314353 +S'2.\t2.\tLS\tB-NP\tO' +p314354 +aS'Subgaleal\tSubgaleal\tJJ\tI-NP\tO' +p314355 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p314356 +aS',\t,\t,\tO\tO' +p314357 +aS'resolved\tresolve\tVBN\tB-VP\tO' +p314358 +aS'.\t.\t.\tO\tO' +p314359 +asS'Waltham-Ludlow drains put out on the 13th 620 and 380 .' +p314360 +(lp314361 +S'Waltham-Ludlow\tWaltham-Ludlow\tJJ\tB-NP\tO' +p314362 +aS'drains\tdrain\tNNS\tI-NP\tO' +p314363 +aS'put\tput\tVBP\tB-VP\tO' +p314364 +aS'out\tout\tRP\tB-PRT\tO' +p314365 +aS'on\ton\tIN\tB-PP\tO' +p314366 +aS'the\tthe\tDT\tB-NP\tO' +p314367 +aS'13th\t13th\tJJ\tI-NP\tO' +p314368 +aS'620\t620\tCD\tI-NP\tO' +p314369 +aS'and\tand\tCC\tI-NP\tO' +p314370 +aS'380\t380\tCD\tI-NP\tO' +p314371 +aS'.\t.\t.\tO\tO' +p314372 +asS'Upon further review of Dr. Laymie Fields , Department of Neuroradiology , review of the cervical spine on CT reveals no extrinsic compressive lesions impacting the spinal cord and no enhancing lesions of the spinal cord with contrast .' +p314373 +(lp314374 +S'Upon\tUpon\tIN\tB-PP\tO' +p314375 +aS'further\tfar\tJJR\tB-NP\tO' +p314376 +aS'review\treview\tNN\tI-NP\tO' +p314377 +aS'of\tof\tIN\tB-PP\tO' +p314378 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p314379 +aS'Laymie\tLaymie\tNNP\tI-NP\tO' +p314380 +aS'Fields\tFields\tNNP\tI-NP\tO' +p314381 +aS',\t,\t,\tO\tO' +p314382 +aS'Department\tDepartment\tNNP\tB-NP\tO' +p314383 +aS'of\tof\tIN\tB-PP\tO' +p314384 +aS'Neuroradiology\tNeuroradiology\tNNP\tB-NP\tO' +p314385 +aS',\t,\t,\tO\tO' +p314386 +aS'review\treview\tNN\tB-NP\tO' +p314387 +aS'of\tof\tIN\tB-PP\tO' +p314388 +aS'the\tthe\tDT\tB-NP\tO' +p314389 +aS'cervical\tcervical\tJJ\tI-NP\tO' +p314390 +aS'spine\tspine\tNN\tI-NP\tO' +p314391 +aS'on\ton\tIN\tB-PP\tO' +p314392 +aS'CT\tCT\tNN\tB-NP\tB-protein' +p314393 +aS'reveals\treveal\tVBZ\tB-VP\tO' +p314394 +aS'no\tno\tDT\tB-NP\tO' +p314395 +aS'extrinsic\textrinsic\tJJ\tI-NP\tO' +p314396 +aS'compressive\tcompressive\tJJ\tI-NP\tO' +p314397 +aS'lesions\tlesion\tNNS\tI-NP\tO' +p314398 +aS'impacting\timpact\tVBG\tB-VP\tO' +p314399 +aS'the\tthe\tDT\tB-NP\tO' +p314400 +aS'spinal\tspinal\tJJ\tI-NP\tO' +p314401 +aS'cord\tcord\tNN\tI-NP\tO' +p314402 +aS'and\tand\tCC\tO\tO' +p314403 +aS'no\tno\tDT\tB-NP\tO' +p314404 +aS'enhancing\tenhance\tVBG\tI-NP\tO' +p314405 +aS'lesions\tlesion\tNNS\tI-NP\tO' +p314406 +aS'of\tof\tIN\tB-PP\tO' +p314407 +aS'the\tthe\tDT\tB-NP\tO' +p314408 +aS'spinal\tspinal\tJJ\tI-NP\tO' +p314409 +aS'cord\tcord\tNN\tI-NP\tO' +p314410 +aS'with\twith\tIN\tB-PP\tO' +p314411 +aS'contrast\tcontrast\tNN\tB-NP\tO' +p314412 +aS'.\t.\t.\tO\tO' +p314413 +asS'He was given sc lovenox x 1 and will continue this the day after discharge bid for one day .' +p314414 +(lp314415 +S'He\tHe\tPRP\tB-NP\tO' +p314416 +aS'was\tbe\tVBD\tB-VP\tO' +p314417 +aS'given\tgive\tVBN\tI-VP\tO' +p314418 +aS'sc\tsc\tNN\tB-NP\tO' +p314419 +aS'lovenox\tlovenox\tNN\tI-NP\tO' +p314420 +aS'x\tx\tNN\tI-NP\tO' +p314421 +aS'1\t1\tCD\tI-NP\tO' +p314422 +aS'and\tand\tCC\tO\tO' +p314423 +aS'will\twill\tMD\tB-VP\tO' +p314424 +aS'continue\tcontinue\tVB\tI-VP\tO' +p314425 +aS'this\tthis\tDT\tB-NP\tO' +p314426 +aS'the\tthe\tDT\tB-NP\tO' +p314427 +aS'day\tday\tNN\tI-NP\tO' +p314428 +aS'after\tafter\tIN\tB-PP\tO' +p314429 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p314430 +aS'bid\tbid\tNN\tI-NP\tO' +p314431 +aS'for\tfor\tIN\tB-PP\tO' +p314432 +aS'one\tone\tCD\tB-NP\tO' +p314433 +aS'day\tday\tNN\tI-NP\tO' +p314434 +aS'.\t.\t.\tO\tO' +p314435 +asS'5. Feeding immaturity .' +p314436 +(lp314437 +S'5.\t5.\tLS\tB-NP\tO' +p314438 +aS'Feeding\tFeeding\tNN\tI-NP\tO' +p314439 +aS'immaturity\timmaturity\tNN\tI-NP\tO' +p314440 +aS'.\t.\t.\tO\tO' +p314441 +asS'His neck was supple without lymphadenopathy .' +p314442 +(lp314443 +S'His\tHis\tPRP$\tB-NP\tO' +p314444 +aS'neck\tneck\tNN\tI-NP\tO' +p314445 +aS'was\tbe\tVBD\tB-VP\tO' +p314446 +aS'supple\tsupple\tNN\tB-NP\tO' +p314447 +aS'without\twithout\tIN\tB-PP\tO' +p314448 +aS'lymphadenopathy\tlymphadenopathy\tNN\tB-NP\tO' +p314449 +aS'.\t.\t.\tO\tO' +p314450 +asS'On admission included a hematocrit of 34.2 .' +p314451 +(lp314452 +S'On\tOn\tIN\tB-PP\tO' +p314453 +aS'admission\tadmission\tNN\tB-NP\tO' +p314454 +aS'included\tinclude\tVBD\tB-VP\tO' +p314455 +aS'a\ta\tDT\tB-NP\tO' +p314456 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p314457 +aS'of\tof\tIN\tB-PP\tO' +p314458 +aS'34.2\t34.2\tCD\tB-NP\tO' +p314459 +aS'.\t.\t.\tO\tO' +p314460 +asS'Head , eyes , ears , nose and throat , polypoid lesion just inferior to the left zygoma , elevated superiorly , with visible bone .' +p314461 +(lp314462 +S'Head\tHead\tRB\tB-ADVP\tO' +p314463 +aS',\t,\t,\tO\tO' +p314464 +aS'eyes\teye\tNNS\tB-NP\tO' +p314465 +aS',\t,\t,\tI-NP\tO' +p314466 +aS'ears\tear\tNNS\tI-NP\tO' +p314467 +aS',\t,\t,\tI-NP\tO' +p314468 +aS'nose\tnose\tNN\tI-NP\tO' +p314469 +aS'and\tand\tCC\tI-NP\tO' +p314470 +aS'throat\tthroat\tNN\tI-NP\tO' +p314471 +aS',\t,\t,\tO\tO' +p314472 +aS'polypoid\tpolypoid\tJJ\tB-NP\tO' +p314473 +aS'lesion\tlesion\tNN\tI-NP\tO' +p314474 +aS'just\tjust\tRB\tB-ADJP\tO' +p314475 +aS'inferior\tinferior\tJJ\tI-ADJP\tO' +p314476 +aS'to\tto\tTO\tB-PP\tO' +p314477 +aS'the\tthe\tDT\tB-NP\tO' +p314478 +aS'left\tleft\tJJ\tI-NP\tO' +p314479 +aS'zygoma\tzygoma\tNN\tI-NP\tO' +p314480 +aS',\t,\t,\tO\tO' +p314481 +aS'elevated\televate\tVBN\tB-VP\tO' +p314482 +aS'superiorly\tsuperiorly\tRB\tB-ADVP\tO' +p314483 +aS',\t,\t,\tO\tO' +p314484 +aS'with\twith\tIN\tB-PP\tO' +p314485 +aS'visible\tvisible\tJJ\tB-NP\tO' +p314486 +aS'bone\tbone\tNN\tI-NP\tO' +p314487 +aS'.\t.\t.\tO\tO' +p314488 +asS'12. Acetazolamide Sodium 500 mg Recon Soln Sig : Two Hundred Fifty ( 250 ) Recon Soln Injection Q12H ( every 12 hours ).' +p314489 +(lp314490 +S'12.\t12.\tLS\tB-NP\tO' +p314491 +aS'Acetazolamide\tAcetazolamide\tNN\tI-NP\tO' +p314492 +aS'Sodium\tSodium\tNN\tI-NP\tO' +p314493 +aS'500\t500\tCD\tI-NP\tO' +p314494 +aS'mg\tmg\tNN\tI-NP\tO' +p314495 +aS'Recon\tRecon\tNNP\tI-NP\tO' +p314496 +aS'Soln\tSoln\tNNP\tI-NP\tO' +p314497 +aS'Sig\tSig\tNNP\tI-NP\tO' +p314498 +aS':\t:\t:\tO\tO' +p314499 +aS'Two\tTwo\tCD\tB-NP\tO' +p314500 +aS'Hundred\tHundred\tJJ\tI-NP\tO' +p314501 +aS'Fifty\tFifty\tCD\tI-NP\tO' +p314502 +aS'(\t(\t(\tO\tO' +p314503 +aS'250\t250\tCD\tB-NP\tO' +p314504 +aS')\t)\t)\tO\tO' +p314505 +aS'Recon\tRecon\tNNP\tB-NP\tO' +p314506 +aS'Soln\tSoln\tNNP\tI-NP\tO' +p314507 +aS'Injection\tInjection\tNNP\tI-NP\tO' +p314508 +aS'Q12H\tQ12H\tNN\tI-NP\tO' +p314509 +aS'(\t(\t(\tO\tO' +p314510 +aS'every\tevery\tDT\tB-NP\tO' +p314511 +aS'12\t12\tCD\tI-NP\tO' +p314512 +aS'hours\thour\tNNS\tI-NP\tO' +p314513 +aS').\t).\t)\tO\tO' +p314514 +asS'Continue taking your home medications unless otherwise contraindicated and follow up with PCP .' +p314515 +(lp314516 +S'Continue\tContinue\tIN\tB-PP\tO' +p314517 +aS'taking\ttake\tVBG\tB-VP\tO' +p314518 +aS'your\tyour\tPRP$\tB-NP\tO' +p314519 +aS'home\thome\tNN\tI-NP\tO' +p314520 +aS'medications\tmedication\tNNS\tI-NP\tO' +p314521 +aS'unless\tunless\tIN\tB-SBAR\tO' +p314522 +aS'otherwise\totherwise\tRB\tB-NP\tO' +p314523 +aS'contraindicated\tcontraindicate\tVBN\tI-NP\tO' +p314524 +aS'and\tand\tCC\tO\tO' +p314525 +aS'follow\tfollow\tVB\tB-VP\tO' +p314526 +aS'up\tup\tRP\tB-PRT\tO' +p314527 +aS'with\twith\tIN\tB-PP\tO' +p314528 +aS'PCP\tPCP\tNN\tB-NP\tB-protein' +p314529 +aS'.\t.\t.\tO\tO' +p314530 +asS'8. non insulin dependent diabetes mellitus which was diagnosed in March , 1995 ,' +p314531 +(lp314532 +S'8.\t8.\tLS\tB-NP\tO' +p314533 +aS'non\tnon\tJJ\tI-NP\tO' +p314534 +aS'insulin\tinsulin\tNN\tI-NP\tB-protein' +p314535 +aS'dependent\tdependent\tJJ\tI-NP\tO' +p314536 +aS'diabetes\tdiabetes\tNN\tI-NP\tO' +p314537 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p314538 +aS'which\twhich\tWDT\tB-NP\tO' +p314539 +aS'was\tbe\tVBD\tB-VP\tO' +p314540 +aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' +p314541 +aS'in\tin\tIN\tB-PP\tO' +p314542 +aS'March\tMarch\tNNP\tB-NP\tO' +p314543 +aS',\t,\t,\tO\tO' +p314544 +aS'1995\t1995\tCD\tB-NP\tO' +p314545 +aS',\t,\t,\tO\tO' +p314546 +asS'Codeine .' +p314547 +(lp314548 +S'Codeine\tCodeine\tNN\tB-NP\tO' +p314549 +aS'.\t.\t.\tO\tO' +p314550 +asS'Patient seen by PT and OT who recommended hand exercises and splints for patient .' +p314551 +(lp314552 +S'Patient\tPatient\tNN\tB-NP\tO' +p314553 +aS'seen\tsee\tVBN\tB-VP\tO' +p314554 +aS'by\tby\tIN\tB-PP\tO' +p314555 +aS'PT\tPT\tNN\tB-NP\tO' +p314556 +aS'and\tand\tCC\tI-NP\tO' +p314557 +aS'OT\tOT\tNN\tI-NP\tO' +p314558 +aS'who\twho\tWP\tB-NP\tO' +p314559 +aS'recommended\trecommend\tVBD\tB-VP\tO' +p314560 +aS'hand\thand\tNN\tB-NP\tO' +p314561 +aS'exercises\texercise\tNNS\tI-NP\tO' +p314562 +aS'and\tand\tCC\tI-NP\tO' +p314563 +aS'splints\tsplint\tNNS\tI-NP\tO' +p314564 +aS'for\tfor\tIN\tB-PP\tO' +p314565 +aS'patient\tpatient\tNN\tB-NP\tO' +p314566 +aS'.\t.\t.\tO\tO' +p314567 +asS'CXR ( Youville Hospital 2020-03-09 ): Persistent unchanged L mid and lower lung field airspace disease with moderate L pleural effusion .' +p314568 +(lp314569 +S'CXR\tCXR\tNN\tB-NP\tB-protein' +p314570 +aS'(\t(\t(\tO\tO' +p314571 +aS'Youville\tYouville\tNNP\tB-NP\tO' +p314572 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p314573 +aS'2020-03-09\t2020-03-09\tCD\tI-NP\tO' +p314574 +aS'):\t):\t:\tO\tO' +p314575 +aS'Persistent\tPersistent\tJJ\tB-NP\tO' +p314576 +aS'unchanged\tunchanged\tJJ\tI-NP\tO' +p314577 +aS'L\tL\tNN\tI-NP\tO' +p314578 +aS'mid\tmid\tNN\tI-NP\tO' +p314579 +aS'and\tand\tCC\tO\tO' +p314580 +aS'lower\tlow\tJJR\tB-NP\tO' +p314581 +aS'lung\tlung\tNN\tI-NP\tO' +p314582 +aS'field\tfield\tNN\tI-NP\tO' +p314583 +aS'airspace\tairspace\tNN\tI-NP\tO' +p314584 +aS'disease\tdisease\tNN\tI-NP\tO' +p314585 +aS'with\twith\tIN\tB-PP\tO' +p314586 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p314587 +aS'L\tL\tNN\tI-NP\tO' +p314588 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p314589 +aS'effusion\teffusion\tNN\tI-NP\tO' +p314590 +aS'.\t.\t.\tO\tO' +p314591 +asS'Neurologic : alert , awake , partially interacting and responding to comands .' +p314592 +(lp314593 +S'Neurologic\tNeurologic\tJJ\tB-ADJP\tO' +p314594 +aS':\t:\t:\tO\tO' +p314595 +aS'alert\talert\tJJ\tB-NP\tO' +p314596 +aS',\t,\t,\tI-NP\tO' +p314597 +aS'awake\tawake\tJJ\tI-NP\tO' +p314598 +aS',\t,\t,\tO\tO' +p314599 +aS'partially\tpartially\tRB\tB-VP\tO' +p314600 +aS'interacting\tinteract\tVBG\tI-VP\tO' +p314601 +aS'and\tand\tCC\tI-VP\tO' +p314602 +aS'responding\trespond\tVBG\tI-VP\tO' +p314603 +aS'to\tto\tTO\tB-PP\tO' +p314604 +aS'comands\tcomand\tNNS\tB-NP\tO' +p314605 +aS'.\t.\t.\tO\tO' +p314606 +asS'refrain from motrin at this time .' +p314607 +(lp314608 +S'refrain\trefrain\tNN\tB-NP\tO' +p314609 +aS'from\tfrom\tIN\tB-PP\tO' +p314610 +aS'motrin\tmotrin\tNN\tB-NP\tO' +p314611 +aS'at\tat\tIN\tB-PP\tO' +p314612 +aS'this\tthis\tDT\tB-NP\tO' +p314613 +aS'time\ttime\tNN\tI-NP\tO' +p314614 +aS'.\t.\t.\tO\tO' +p314615 +asS'In discussions with the family , given his age and number of medical problems , it was decided that the patient should be do not resuscitate should he have a terminal cardiac event during his admission or during future admissions .' +p314616 +(lp314617 +S'In\tIn\tIN\tB-PP\tO' +p314618 +aS'discussions\tdiscussion\tNNS\tB-NP\tO' +p314619 +aS'with\twith\tIN\tB-PP\tO' +p314620 +aS'the\tthe\tDT\tB-NP\tO' +p314621 +aS'family\tfamily\tNN\tI-NP\tO' +p314622 +aS',\t,\t,\tO\tO' +p314623 +aS'given\tgive\tVBN\tB-PP\tO' +p314624 +aS'his\this\tPRP$\tB-NP\tO' +p314625 +aS'age\tage\tNN\tI-NP\tO' +p314626 +aS'and\tand\tCC\tI-NP\tO' +p314627 +aS'number\tnumber\tNN\tI-NP\tO' +p314628 +aS'of\tof\tIN\tB-PP\tO' +p314629 +aS'medical\tmedical\tJJ\tB-NP\tO' +p314630 +aS'problems\tproblem\tNNS\tI-NP\tO' +p314631 +aS',\t,\t,\tO\tO' +p314632 +aS'it\tit\tPRP\tB-NP\tO' +p314633 +aS'was\tbe\tVBD\tB-VP\tO' +p314634 +aS'decided\tdecide\tVBN\tI-VP\tO' +p314635 +aS'that\tthat\tIN\tB-SBAR\tO' +p314636 +aS'the\tthe\tDT\tB-NP\tO' +p314637 +aS'patient\tpatient\tNN\tI-NP\tO' +p314638 +aS'should\tshould\tMD\tB-VP\tO' +p314639 +aS'be\tbe\tVB\tI-VP\tO' +p314640 +aS'do\tdo\tVB\tI-VP\tO' +p314641 +aS'not\tnot\tRB\tB-VP\tO' +p314642 +aS'resuscitate\tresuscitate\tVB\tI-VP\tO' +p314643 +aS'should\tshould\tMD\tO\tO' +p314644 +aS'he\the\tPRP\tB-NP\tO' +p314645 +aS'have\thave\tVB\tB-VP\tO' +p314646 +aS'a\ta\tDT\tB-NP\tO' +p314647 +aS'terminal\tterminal\tJJ\tI-NP\tO' +p314648 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p314649 +aS'event\tevent\tNN\tI-NP\tO' +p314650 +aS'during\tduring\tIN\tB-PP\tO' +p314651 +aS'his\this\tPRP$\tB-NP\tO' +p314652 +aS'admission\tadmission\tNN\tI-NP\tO' +p314653 +aS'or\tor\tCC\tB-PP\tO' +p314654 +aS'during\tduring\tIN\tB-PP\tO' +p314655 +aS'future\tfuture\tJJ\tB-NP\tO' +p314656 +aS'admissions\tadmission\tNNS\tI-NP\tO' +p314657 +aS'.\t.\t.\tO\tO' +p314658 +asS'Pt is also paced .' +p314659 +(lp314660 +S'Pt\tPt\tNN\tB-NP\tO' +p314661 +aS'is\tbe\tVBZ\tB-VP\tO' +p314662 +aS'also\talso\tRB\tI-VP\tO' +p314663 +aS'paced\tpace\tVBN\tI-VP\tO' +p314664 +aS'.\t.\t.\tO\tO' +p314665 +asS'Ritalin 5 mg Tablet Sig : see below Tablet PO see below : 1.5 tablets at 10am ( 7.5mg ) , 1 tablet 2pm ( 5mg ) .' +p314666 +(lp314667 +S'Ritalin\tRitalin\tNN\tB-NP\tO' +p314668 +aS'5\t5\tCD\tI-NP\tO' +p314669 +aS'mg\tmg\tNN\tI-NP\tO' +p314670 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p314671 +aS'Sig\tSig\tNNP\tI-NP\tO' +p314672 +aS':\t:\t:\tO\tO' +p314673 +aS'see\tsee\tVB\tB-VP\tO' +p314674 +aS'below\tbelow\tIN\tB-PP\tO' +p314675 +aS'Tablet\tTablet\tNNP\tB-NP\tB-protein' +p314676 +aS'PO\tPO\tNNP\tI-NP\tI-protein' +p314677 +aS'see\tsee\tVBP\tB-VP\tO' +p314678 +aS'below\tbelow\tIN\tB-PP\tO' +p314679 +aS':\t:\t:\tO\tO' +p314680 +aS'1.5\t1.5\tCD\tB-NP\tO' +p314681 +aS'tablets\ttablet\tNNS\tI-NP\tO' +p314682 +aS'at\tat\tIN\tB-PP\tO' +p314683 +aS'10am\t10am\tNN\tB-NP\tO' +p314684 +aS'(\t(\t(\tO\tO' +p314685 +aS'7.5mg\t7.5mg\tNN\tB-NP\tO' +p314686 +aS')\t)\t)\tO\tO' +p314687 +aS',\t,\t,\tO\tO' +p314688 +aS'1\t1\tCD\tB-NP\tO' +p314689 +aS'tablet\ttablet\tNN\tI-NP\tO' +p314690 +aS'2pm\t2pm\tNN\tI-NP\tO' +p314691 +aS'(\t(\t(\tO\tO' +p314692 +aS'5mg\t5mg\tNN\tB-NP\tO' +p314693 +aS')\t)\t)\tO\tO' +p314694 +aS'.\t.\t.\tO\tO' +p314695 +asS'You must have your INR ( blood levels ) checked on a regular basis until your INR levels remain 01-19 .' +p314696 +(lp314697 +S'You\tYou\tPRP\tB-NP\tB-protein' +p314698 +aS'must\tmust\tMD\tB-VP\tO' +p314699 +aS'have\thave\tVB\tI-VP\tO' +p314700 +aS'your\tyour\tPRP$\tB-NP\tO' +p314701 +aS'INR\tINR\tNN\tI-NP\tB-protein' +p314702 +aS'(\t(\t(\tO\tO' +p314703 +aS'blood\tblood\tNN\tB-NP\tO' +p314704 +aS'levels\tlevel\tNNS\tI-NP\tO' +p314705 +aS')\t)\t)\tO\tO' +p314706 +aS'checked\tcheck\tVBN\tB-VP\tO' +p314707 +aS'on\ton\tIN\tB-PP\tO' +p314708 +aS'a\ta\tDT\tB-NP\tO' +p314709 +aS'regular\tregular\tJJ\tI-NP\tO' +p314710 +aS'basis\tbasis\tNN\tI-NP\tO' +p314711 +aS'until\tuntil\tIN\tB-PP\tO' +p314712 +aS'your\tyour\tPRP$\tB-NP\tO' +p314713 +aS'INR\tINR\tNN\tI-NP\tB-protein' +p314714 +aS'levels\tlevel\tNNS\tI-NP\tO' +p314715 +aS'remain\tremain\tVBP\tB-VP\tO' +p314716 +aS'01-19\t01-19\tCD\tB-NP\tO' +p314717 +aS'.\t.\t.\tO\tO' +p314718 +asS'3. Coronary artery disease .' +p314719 +(lp314720 +S'3.\t3.\tLS\tB-NP\tO' +p314721 +aS'Coronary\tCoronary\tJJ\tI-NP\tO' +p314722 +aS'artery\tartery\tNN\tI-NP\tO' +p314723 +aS'disease\tdisease\tNN\tI-NP\tO' +p314724 +aS'.\t.\t.\tO\tO' +p314725 +asS'Her postoperative hematocrit was 31 , compared to a preoperative level of 43 .' +p314726 +(lp314727 +S'Her\tHer\tPRP$\tB-NP\tO' +p314728 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p314729 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p314730 +aS'was\tbe\tVBD\tB-VP\tO' +p314731 +aS'31\t31\tCD\tB-NP\tO' +p314732 +aS',\t,\t,\tO\tO' +p314733 +aS'compared\tcompare\tVBN\tB-PP\tO' +p314734 +aS'to\tto\tTO\tB-PP\tO' +p314735 +aS'a\ta\tDT\tB-NP\tO' +p314736 +aS'preoperative\tpreoperative\tJJ\tI-NP\tO' +p314737 +aS'level\tlevel\tNN\tI-NP\tO' +p314738 +aS'of\tof\tIN\tB-PP\tO' +p314739 +aS'43\t43\tCD\tB-NP\tO' +p314740 +aS'.\t.\t.\tO\tO' +p314741 +asS'Please call the Surgical Intensive Care Unit at Verg Medical Center for any further details that may be needed .' +p314742 +(lp314743 +S'Please\tPlease\tVB\tB-VP\tO' +p314744 +aS'call\tcall\tVB\tI-VP\tO' +p314745 +aS'the\tthe\tDT\tB-NP\tO' +p314746 +aS'Surgical\tSurgical\tNNP\tI-NP\tO' +p314747 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p314748 +aS'Care\tCare\tNNP\tI-NP\tO' +p314749 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p314750 +aS'at\tat\tIN\tB-PP\tO' +p314751 +aS'Verg\tVerg\tNNP\tB-NP\tO' +p314752 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p314753 +aS'Center\tCenter\tNNP\tI-NP\tO' +p314754 +aS'for\tfor\tIN\tB-PP\tO' +p314755 +aS'any\tany\tDT\tB-NP\tO' +p314756 +aS'further\tfurther\tJJ\tI-NP\tO' +p314757 +aS'details\tdetail\tNNS\tI-NP\tO' +p314758 +aS'that\tthat\tWDT\tB-NP\tO' +p314759 +aS'may\tmay\tMD\tB-VP\tO' +p314760 +aS'be\tbe\tVB\tI-VP\tO' +p314761 +aS'needed\tneed\tVBN\tI-VP\tO' +p314762 +aS'.\t.\t.\tO\tO' +p314763 +asS'You can also page Sta Lung , M.D. as I am the dictating physician who has been taking care of Ms. Shuffa for quite some time now .' +p314764 +(lp314765 +S'You\tYou\tPRP\tB-NP\tB-protein' +p314766 +aS'can\tcan\tMD\tB-VP\tO' +p314767 +aS'also\talso\tRB\tI-VP\tO' +p314768 +aS'page\tpage\tVB\tI-VP\tO' +p314769 +aS'Sta\tSta\tNNP\tB-NP\tO' +p314770 +aS'Lung\tLung\tNNP\tI-NP\tO' +p314771 +aS',\t,\t,\tO\tO' +p314772 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p314773 +aS'as\tas\tIN\tB-SBAR\tO' +p314774 +aS'I\tI\tPRP\tB-NP\tO' +p314775 +aS'am\tbe\tVBP\tB-VP\tO' +p314776 +aS'the\tthe\tDT\tB-NP\tO' +p314777 +aS'dictating\tdictate\tVBG\tI-NP\tO' +p314778 +aS'physician\tphysician\tNN\tI-NP\tO' +p314779 +aS'who\twho\tWP\tB-NP\tO' +p314780 +aS'has\thave\tVBZ\tB-VP\tO' +p314781 +aS'been\tbe\tVBN\tI-VP\tO' +p314782 +aS'taking\ttake\tVBG\tI-VP\tO' +p314783 +aS'care\tcare\tNN\tB-NP\tO' +p314784 +aS'of\tof\tIN\tB-PP\tO' +p314785 +aS'Ms.\tMs.\tNNP\tB-NP\tO' +p314786 +aS'Shuffa\tShuffa\tNNP\tI-NP\tO' +p314787 +aS'for\tfor\tIN\tB-PP\tO' +p314788 +aS'quite\tquite\tRB\tB-NP\tO' +p314789 +aS'some\tsome\tDT\tI-NP\tO' +p314790 +aS'time\ttime\tNN\tI-NP\tO' +p314791 +aS'now\tnow\tRB\tB-ADVP\tO' +p314792 +aS'.\t.\t.\tO\tO' +p314793 +asS'ABDOMINAL PAIN .' +p314794 +(lp314795 +S'ABDOMINAL\tABDOMINAL\tJJ\tB-NP\tO' +p314796 +aS'PAIN\tPAIN\tNN\tI-NP\tO' +p314797 +aS'.\t.\t.\tO\tO' +p314798 +asS'Tagged cell and angiographic studies performed immediately after re-exploration on 12-05 did not indetify active bleeding and no emobolization was indicated .' +p314799 +(lp314800 +S'Tagged\tTag\tVBN\tB-NP\tO' +p314801 +aS'cell\tcell\tNN\tI-NP\tO' +p314802 +aS'and\tand\tCC\tO\tO' +p314803 +aS'angiographic\tangiographic\tJJ\tB-NP\tO' +p314804 +aS'studies\tstudy\tNNS\tI-NP\tO' +p314805 +aS'performed\tperform\tVBN\tB-VP\tO' +p314806 +aS'immediately\timmediately\tRB\tB-ADVP\tO' +p314807 +aS'after\tafter\tIN\tB-PP\tO' +p314808 +aS're-exploration\tre-exploration\tNN\tB-NP\tO' +p314809 +aS'on\ton\tIN\tB-PP\tO' +p314810 +aS'12-05\t12-05\tNN\tB-NP\tO' +p314811 +aS'did\tdo\tVBD\tB-VP\tO' +p314812 +aS'not\tnot\tRB\tI-VP\tO' +p314813 +aS'indetify\tindetify\tVB\tI-VP\tO' +p314814 +aS'active\tactive\tJJ\tB-NP\tO' +p314815 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p314816 +aS'and\tand\tCC\tO\tO' +p314817 +aS'no\tno\tDT\tB-NP\tO' +p314818 +aS'emobolization\temobolization\tNN\tI-NP\tO' +p314819 +aS'was\tbe\tVBD\tB-VP\tO' +p314820 +aS'indicated\tindicate\tVBN\tI-VP\tO' +p314821 +aS'.\t.\t.\tO\tO' +p314822 +asS'Over the next three days he increased his activity gradually , was able to do stairs with Physical Therapy and had pain which could be controlled with oral analgesics .' +p314823 +(lp314824 +S'Over\tOver\tIN\tB-PP\tO' +p314825 +aS'the\tthe\tDT\tB-NP\tO' +p314826 +aS'next\tnext\tJJ\tI-NP\tO' +p314827 +aS'three\tthree\tCD\tI-NP\tO' +p314828 +aS'days\tday\tNNS\tI-NP\tO' +p314829 +aS'he\the\tPRP\tB-NP\tO' +p314830 +aS'increased\tincrease\tVBD\tB-VP\tO' +p314831 +aS'his\this\tPRP$\tB-NP\tO' +p314832 +aS'activity\tactivity\tNN\tI-NP\tO' +p314833 +aS'gradually\tgradually\tRB\tB-ADVP\tO' +p314834 +aS',\t,\t,\tO\tO' +p314835 +aS'was\tbe\tVBD\tB-VP\tO' +p314836 +aS'able\table\tJJ\tB-ADJP\tO' +p314837 +aS'to\tto\tTO\tB-VP\tO' +p314838 +aS'do\tdo\tVB\tI-VP\tO' +p314839 +aS'stairs\tstair\tNNS\tB-NP\tO' +p314840 +aS'with\twith\tIN\tB-PP\tO' +p314841 +aS'Physical\tPhysical\tJJ\tB-NP\tO' +p314842 +aS'Therapy\tTherapy\tNN\tI-NP\tO' +p314843 +aS'and\tand\tCC\tO\tO' +p314844 +aS'had\thave\tVBD\tB-VP\tO' +p314845 +aS'pain\tpain\tNN\tB-NP\tO' +p314846 +aS'which\twhich\tWDT\tB-NP\tO' +p314847 +aS'could\tcould\tMD\tB-VP\tO' +p314848 +aS'be\tbe\tVB\tI-VP\tO' +p314849 +aS'controlled\tcontrol\tVBN\tI-VP\tO' +p314850 +aS'with\twith\tIN\tB-PP\tO' +p314851 +aS'oral\toral\tJJ\tB-NP\tO' +p314852 +aS'analgesics\tanalgesic\tNNS\tI-NP\tO' +p314853 +aS'.\t.\t.\tO\tO' +p314854 +asS'Post catheterization echocardiogram showed an ejection fraction of 30% , moderate systolic dysfunction , basal anterior hypokinesis , mid anterior akinesis , basal anteroseptal hypokinesis , mid anteroseptal akinesis .' +p314855 +(lp314856 +S'Post\tPost\tJJ\tB-NP\tO' +p314857 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p314858 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p314859 +aS'showed\tshow\tVBD\tB-VP\tO' +p314860 +aS'an\tan\tDT\tB-NP\tO' +p314861 +aS'ejection\tejection\tNN\tI-NP\tO' +p314862 +aS'fraction\tfraction\tNN\tI-NP\tO' +p314863 +aS'of\tof\tIN\tB-PP\tO' +p314864 +aS'30%\t30%\tCD\tB-NP\tO' +p314865 +aS',\t,\t,\tO\tO' +p314866 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p314867 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p314868 +aS'dysfunction\tdysfunction\tNN\tI-NP\tO' +p314869 +aS',\t,\t,\tO\tO' +p314870 +aS'basal\tbasal\tJJ\tB-NP\tO' +p314871 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p314872 +aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' +p314873 +aS',\t,\t,\tO\tO' +p314874 +aS'mid\tmid\tJJ\tB-NP\tO' +p314875 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p314876 +aS'akinesis\takinesis\tNN\tI-NP\tO' +p314877 +aS',\t,\t,\tO\tO' +p314878 +aS'basal\tbasal\tJJ\tB-NP\tO' +p314879 +aS'anteroseptal\tanteroseptal\tJJ\tI-NP\tO' +p314880 +aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' +p314881 +aS',\t,\t,\tO\tO' +p314882 +aS'mid\tmid\tJJ\tB-NP\tO' +p314883 +aS'anteroseptal\tanteroseptal\tJJ\tI-NP\tO' +p314884 +aS'akinesis\takinesis\tNN\tI-NP\tO' +p314885 +aS'.\t.\t.\tO\tO' +p314886 +asS'PMH : Prostate Ca , Glaucoma' +p314887 +(lp314888 +S'PMH\tPMH\tNN\tB-NP\tO' +p314889 +aS':\t:\t:\tO\tO' +p314890 +aS'Prostate\tProstate\tNNP\tB-NP\tO' +p314891 +aS'Ca\tCa\tNNP\tI-NP\tO' +p314892 +aS',\t,\t,\tO\tO' +p314893 +aS'Glaucoma\tGlaucoma\tNNP\tB-NP\tO' +p314894 +asS'Baby received parenteral nutrition and lipids for four days .' +p314895 +(lp314896 +S'Baby\tBaby\tNNP\tB-NP\tO' +p314897 +aS'received\treceive\tVBD\tB-VP\tO' +p314898 +aS'parenteral\tparenteral\tJJ\tB-NP\tO' +p314899 +aS'nutrition\tnutrition\tNN\tI-NP\tO' +p314900 +aS'and\tand\tCC\tI-NP\tO' +p314901 +aS'lipids\tlipid\tNNS\tI-NP\tO' +p314902 +aS'for\tfor\tIN\tB-PP\tO' +p314903 +aS'four\tfour\tCD\tB-NP\tO' +p314904 +aS'days\tday\tNNS\tI-NP\tO' +p314905 +aS'.\t.\t.\tO\tO' +p314906 +asS'He has been having difficult access problems and now has a left upper arm PTFE .' +p314907 +(lp314908 +S'He\tHe\tPRP\tB-NP\tO' +p314909 +aS'has\thave\tVBZ\tB-VP\tO' +p314910 +aS'been\tbe\tVBN\tI-VP\tO' +p314911 +aS'having\thave\tVBG\tI-VP\tO' +p314912 +aS'difficult\tdifficult\tJJ\tB-NP\tO' +p314913 +aS'access\taccess\tNN\tI-NP\tO' +p314914 +aS'problems\tproblem\tNNS\tI-NP\tO' +p314915 +aS'and\tand\tCC\tO\tO' +p314916 +aS'now\tnow\tRB\tB-VP\tO' +p314917 +aS'has\thave\tVBZ\tI-VP\tO' +p314918 +aS'a\ta\tDT\tB-NP\tO' +p314919 +aS'left\tleft\tJJ\tI-NP\tO' +p314920 +aS'upper\tupper\tJJ\tI-NP\tO' +p314921 +aS'arm\tarm\tNN\tI-NP\tO' +p314922 +aS'PTFE\tPTFE\tNN\tI-NP\tO' +p314923 +aS'.\t.\t.\tO\tO' +p314924 +asS'demonstrated an obese man in no acute distress .' +p314925 +(lp314926 +S'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p314927 +aS'an\tan\tDT\tB-NP\tO' +p314928 +aS'obese\tobese\tJJ\tI-NP\tO' +p314929 +aS'man\tman\tNN\tI-NP\tO' +p314930 +aS'in\tin\tIN\tB-PP\tO' +p314931 +aS'no\tno\tDT\tB-NP\tO' +p314932 +aS'acute\tacute\tJJ\tI-NP\tO' +p314933 +aS'distress\tdistress\tNN\tI-NP\tO' +p314934 +aS'.\t.\t.\tO\tO' +p314935 +asS'4. Gastrointestinal - The infant was started on single phototherapy on day of life two for a maximum bilirubin level of 9.1 with a direct of 0.3 .' +p314936 +(lp314937 +S'4.\t4.\tLS\tB-LST\tO' +p314938 +aS'Gastrointestinal\tGastrointestinal\tJJ\tB-ADJP\tO' +p314939 +aS'-\t-\tHYPH\tO\tO' +p314940 +aS'The\tThe\tDT\tB-NP\tO' +p314941 +aS'infant\tinfant\tNN\tI-NP\tO' +p314942 +aS'was\tbe\tVBD\tB-VP\tO' +p314943 +aS'started\tstart\tVBN\tI-VP\tO' +p314944 +aS'on\ton\tIN\tB-PP\tO' +p314945 +aS'single\tsingle\tJJ\tB-NP\tO' +p314946 +aS'phototherapy\tphototherapy\tNN\tI-NP\tO' +p314947 +aS'on\ton\tIN\tB-PP\tO' +p314948 +aS'day\tday\tNN\tB-NP\tO' +p314949 +aS'of\tof\tIN\tB-PP\tO' +p314950 +aS'life\tlife\tNN\tB-NP\tO' +p314951 +aS'two\ttwo\tCD\tI-NP\tO' +p314952 +aS'for\tfor\tIN\tB-PP\tO' +p314953 +aS'a\ta\tDT\tB-NP\tO' +p314954 +aS'maximum\tmaximum\tNN\tI-NP\tO' +p314955 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p314956 +aS'level\tlevel\tNN\tI-NP\tO' +p314957 +aS'of\tof\tIN\tB-PP\tO' +p314958 +aS'9.1\t9.1\tCD\tB-NP\tO' +p314959 +aS'with\twith\tIN\tB-PP\tO' +p314960 +aS'a\ta\tDT\tB-NP\tO' +p314961 +aS'direct\tdirect\tNN\tI-NP\tO' +p314962 +aS'of\tof\tIN\tB-PP\tO' +p314963 +aS'0.3\t0.3\tCD\tB-NP\tO' +p314964 +aS'.\t.\t.\tO\tO' +p314965 +asS'Once , the patient was tolerating p.o. , the patient was restarted on his HAART regimen and remained stable from that perspective .' +p314966 +(lp314967 +S'Once\tOnce\tRB\tB-ADVP\tO' +p314968 +aS',\t,\t,\tO\tO' +p314969 +aS'the\tthe\tDT\tB-NP\tO' +p314970 +aS'patient\tpatient\tNN\tI-NP\tO' +p314971 +aS'was\tbe\tVBD\tB-VP\tO' +p314972 +aS'tolerating\ttolerate\tVBG\tI-VP\tO' +p314973 +aS'p.o.\tp.o.\tNN\tB-NP\tO' +p314974 +aS',\t,\t,\tO\tO' +p314975 +aS'the\tthe\tDT\tB-NP\tO' +p314976 +aS'patient\tpatient\tNN\tI-NP\tO' +p314977 +aS'was\tbe\tVBD\tB-VP\tO' +p314978 +aS'restarted\trestart\tVBN\tI-VP\tO' +p314979 +aS'on\ton\tIN\tB-PP\tO' +p314980 +aS'his\this\tPRP$\tB-NP\tO' +p314981 +aS'HAART\tHAART\tNN\tI-NP\tO' +p314982 +aS'regimen\tregimen\tNN\tI-NP\tO' +p314983 +aS'and\tand\tCC\tO\tO' +p314984 +aS'remained\tremain\tVBD\tB-VP\tO' +p314985 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p314986 +aS'from\tfrom\tIN\tB-PP\tO' +p314987 +aS'that\tthat\tDT\tB-NP\tO' +p314988 +aS'perspective\tperspective\tNN\tI-NP\tO' +p314989 +aS'.\t.\t.\tO\tO' +p314990 +asS'In addition , he will need to remain on Imdur given use of his right internal mammary artery as a " free " arterial graft in preventing' +p314991 +(lp314992 +S'In\tIn\tIN\tB-PP\tO' +p314993 +aS'addition\taddition\tNN\tB-NP\tO' +p314994 +aS',\t,\t,\tO\tO' +p314995 +aS'he\the\tPRP\tB-NP\tO' +p314996 +aS'will\twill\tMD\tB-VP\tO' +p314997 +aS'need\tneed\tVB\tI-VP\tO' +p314998 +aS'to\tto\tTO\tI-VP\tO' +p314999 +aS'remain\tremain\tVB\tI-VP\tO' +p315000 +aS'on\ton\tIN\tB-PP\tO' +p315001 +aS'Imdur\tImdur\tNNP\tB-NP\tO' +p315002 +aS'given\tgive\tVBN\tB-NP\tO' +p315003 +aS'use\tuse\tNN\tI-NP\tO' +p315004 +aS'of\tof\tIN\tB-PP\tO' +p315005 +aS'his\this\tPRP$\tB-NP\tO' +p315006 +aS'right\tright\tJJ\tI-NP\tO' +p315007 +aS'internal\tinternal\tJJ\tI-NP\tO' +p315008 +aS'mammary\tmammary\tJJ\tI-NP\tO' +p315009 +aS'artery\tartery\tNN\tI-NP\tO' +p315010 +aS'as\tas\tIN\tB-PP\tO' +p315011 +aS'a\ta\tDT\tB-NP\tO' +p315012 +aS'"\t"\t``\tI-NP\tO' +p315013 +aS'free\tfree\tJJ\tI-NP\tO' +p315014 +aS'"\t"\t\'\'\tI-NP\tO' +p315015 +aS'arterial\tarterial\tJJ\tI-NP\tO' +p315016 +aS'graft\tgraft\tNN\tI-NP\tO' +p315017 +aS'in\tin\tIN\tB-PP\tO' +p315018 +aS'preventing\tprevent\tVBG\tB-VP\tO' +p315019 +asS'Estimated disability was none .' +p315020 +(lp315021 +S'Estimated\tEstimate\tVBN\tB-NP\tO' +p315022 +aS'disability\tdisability\tNN\tI-NP\tO' +p315023 +aS'was\tbe\tVBD\tB-VP\tO' +p315024 +aS'none\tnone\tNN\tB-NP\tO' +p315025 +aS'.\t.\t.\tO\tO' +p315026 +asS'At the time an 8 Caucasian catheter was placed in the common hepatic/bioduct for external drainage .' +p315027 +(lp315028 +S'At\tAt\tIN\tB-PP\tO' +p315029 +aS'the\tthe\tDT\tB-NP\tO' +p315030 +aS'time\ttime\tNN\tI-NP\tO' +p315031 +aS'an\tan\tDT\tB-NP\tO' +p315032 +aS'8\t8\tCD\tI-NP\tO' +p315033 +aS'Caucasian\tCaucasian\tJJ\tI-NP\tO' +p315034 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p315035 +aS'was\tbe\tVBD\tB-VP\tO' +p315036 +aS'placed\tplace\tVBN\tI-VP\tO' +p315037 +aS'in\tin\tIN\tB-PP\tO' +p315038 +aS'the\tthe\tDT\tB-NP\tO' +p315039 +aS'common\tcommon\tJJ\tI-NP\tO' +p315040 +aS'hepatic/bioduct\thepatic/bioduct\tNN\tI-NP\tO' +p315041 +aS'for\tfor\tIN\tB-PP\tO' +p315042 +aS'external\texternal\tJJ\tB-NP\tO' +p315043 +aS'drainage\tdrainage\tNN\tI-NP\tO' +p315044 +aS'.\t.\t.\tO\tO' +p315045 +asS'Non-Q wave myocardial infarction .' +p315046 +(lp315047 +S'Non-Q\tNon-Q\tJJ\tB-NP\tO' +p315048 +aS'wave\twave\tNN\tI-NP\tO' +p315049 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p315050 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p315051 +aS'.\t.\t.\tO\tO' +p315052 +asS'There was no clear enhancing mass , but follow up was suggested .' +p315053 +(lp315054 +S'There\tThere\tEX\tB-NP\tO' +p315055 +aS'was\tbe\tVBD\tB-VP\tO' +p315056 +aS'no\tno\tDT\tB-NP\tO' +p315057 +aS'clear\tclear\tJJ\tI-NP\tO' +p315058 +aS'enhancing\tenhance\tVBG\tI-NP\tO' +p315059 +aS'mass\tmass\tNN\tI-NP\tO' +p315060 +aS',\t,\t,\tO\tO' +p315061 +aS'but\tbut\tCC\tO\tO' +p315062 +aS'follow\tfollow\tVB\tB-VP\tO' +p315063 +aS'up\tup\tRP\tB-PRT\tO' +p315064 +aS'was\tbe\tVBD\tB-VP\tO' +p315065 +aS'suggested\tsuggest\tVBN\tI-VP\tO' +p315066 +aS'.\t.\t.\tO\tO' +p315067 +asS'reach six months of age , before this age the family and other caregivers should be considered for immunization against' +p315068 +(lp315069 +S'reach\treach\tVB\tB-VP\tO' +p315070 +aS'six\tsix\tCD\tB-NP\tO' +p315071 +aS'months\tmonth\tNNS\tI-NP\tO' +p315072 +aS'of\tof\tIN\tB-PP\tO' +p315073 +aS'age\tage\tNN\tB-NP\tO' +p315074 +aS',\t,\t,\tO\tO' +p315075 +aS'before\tbefore\tIN\tB-SBAR\tO' +p315076 +aS'this\tthis\tDT\tB-NP\tO' +p315077 +aS'age\tage\tNN\tI-NP\tO' +p315078 +aS'the\tthe\tDT\tB-NP\tO' +p315079 +aS'family\tfamily\tNN\tI-NP\tO' +p315080 +aS'and\tand\tCC\tO\tO' +p315081 +aS'other\tother\tJJ\tB-NP\tO' +p315082 +aS'caregivers\tcaregiver\tNNS\tI-NP\tO' +p315083 +aS'should\tshould\tMD\tB-VP\tO' +p315084 +aS'be\tbe\tVB\tI-VP\tO' +p315085 +aS'considered\tconsider\tVBN\tI-VP\tO' +p315086 +aS'for\tfor\tIN\tB-PP\tO' +p315087 +aS'immunization\timmunization\tNN\tB-NP\tO' +p315088 +aS'against\tagainst\tIN\tB-PP\tO' +p315089 +asS'He was advanced to a regular house diet later on postop day 3 .' +p315090 +(lp315091 +S'He\tHe\tPRP\tB-NP\tO' +p315092 +aS'was\tbe\tVBD\tB-VP\tO' +p315093 +aS'advanced\tadvance\tVBN\tI-VP\tO' +p315094 +aS'to\tto\tTO\tB-PP\tO' +p315095 +aS'a\ta\tDT\tB-NP\tO' +p315096 +aS'regular\tregular\tJJ\tI-NP\tO' +p315097 +aS'house\thouse\tNN\tI-NP\tO' +p315098 +aS'diet\tdiet\tNN\tI-NP\tO' +p315099 +aS'later\tlater\tRB\tB-ADVP\tO' +p315100 +aS'on\ton\tIN\tB-PP\tO' +p315101 +aS'postop\tpostop\tNN\tB-NP\tO' +p315102 +aS'day\tday\tNN\tI-NP\tO' +p315103 +aS'3\t3\tCD\tI-NP\tO' +p315104 +aS'.\t.\t.\tO\tO' +p315105 +asS'White blood cell count were 11.8 , hematocrit 31.5 , platelets 151 .' +p315106 +(lp315107 +S'White\tWhite\tJJ\tB-NP\tO' +p315108 +aS'blood\tblood\tNN\tI-NP\tO' +p315109 +aS'cell\tcell\tNN\tI-NP\tO' +p315110 +aS'count\tcount\tNN\tI-NP\tO' +p315111 +aS'were\tbe\tVBD\tB-VP\tO' +p315112 +aS'11.8\t11.8\tCD\tB-NP\tO' +p315113 +aS',\t,\t,\tO\tO' +p315114 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p315115 +aS'31.5\t31.5\tCD\tI-NP\tI-protein' +p315116 +aS',\t,\t,\tO\tO' +p315117 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p315118 +aS'151\t151\tCD\tB-NP\tO' +p315119 +aS'.\t.\t.\tO\tO' +p315120 +asS'According to her scanty records , an MRI of the spine showed diffuse spinal column involvement with lesions in T4 and T8 with no cord compression at that time .' +p315121 +(lp315122 +S'According\tAccord\tVBG\tB-PP\tO' +p315123 +aS'to\tto\tTO\tB-PP\tO' +p315124 +aS'her\ther\tPRP$\tB-NP\tO' +p315125 +aS'scanty\tscanty\tJJ\tI-NP\tO' +p315126 +aS'records\trecord\tNNS\tI-NP\tO' +p315127 +aS',\t,\t,\tO\tO' +p315128 +aS'an\tan\tDT\tB-NP\tO' +p315129 +aS'MRI\tMRI\tNN\tI-NP\tB-protein' +p315130 +aS'of\tof\tIN\tB-PP\tO' +p315131 +aS'the\tthe\tDT\tB-NP\tO' +p315132 +aS'spine\tspine\tNN\tI-NP\tO' +p315133 +aS'showed\tshow\tVBD\tB-VP\tO' +p315134 +aS'diffuse\tdiffuse\tJJ\tB-NP\tO' +p315135 +aS'spinal\tspinal\tJJ\tI-NP\tO' +p315136 +aS'column\tcolumn\tNN\tI-NP\tO' +p315137 +aS'involvement\tinvolvement\tNN\tI-NP\tO' +p315138 +aS'with\twith\tIN\tB-PP\tO' +p315139 +aS'lesions\tlesion\tNNS\tB-NP\tO' +p315140 +aS'in\tin\tIN\tB-PP\tO' +p315141 +aS'T4\tT4\tNN\tB-NP\tO' +p315142 +aS'and\tand\tCC\tI-NP\tO' +p315143 +aS'T8\tT8\tNN\tI-NP\tO' +p315144 +aS'with\twith\tIN\tB-PP\tO' +p315145 +aS'no\tno\tDT\tB-NP\tO' +p315146 +aS'cord\tcord\tNN\tI-NP\tO' +p315147 +aS'compression\tcompression\tNN\tI-NP\tO' +p315148 +aS'at\tat\tIN\tB-PP\tO' +p315149 +aS'that\tthat\tDT\tB-NP\tO' +p315150 +aS'time\ttime\tNN\tI-NP\tO' +p315151 +aS'.\t.\t.\tO\tO' +p315152 +asS'He lives in senior apartment housing in Cambridge on the second floor .' +p315153 +(lp315154 +S'He\tHe\tPRP\tB-NP\tO' +p315155 +aS'lives\tlive\tVBZ\tB-VP\tO' +p315156 +aS'in\tin\tIN\tB-PP\tO' +p315157 +aS'senior\tsenior\tJJ\tB-NP\tO' +p315158 +aS'apartment\tapartment\tNN\tI-NP\tO' +p315159 +aS'housing\thousing\tNN\tI-NP\tO' +p315160 +aS'in\tin\tIN\tB-PP\tO' +p315161 +aS'Cambridge\tCambridge\tNNP\tB-NP\tO' +p315162 +aS'on\ton\tIN\tB-PP\tO' +p315163 +aS'the\tthe\tDT\tB-NP\tO' +p315164 +aS'second\tsecond\tJJ\tI-NP\tO' +p315165 +aS'floor\tfloor\tNN\tI-NP\tO' +p315166 +aS'.\t.\t.\tO\tO' +p315167 +asS'Initially the patient was treated with broad spectrum antibiotics including Vancomycin , Ceptaz , Levaquin , Clindamycin and _________.' +p315168 +(lp315169 +S'Initially\tInitially\tRB\tB-ADVP\tO' +p315170 +aS'the\tthe\tDT\tB-NP\tO' +p315171 +aS'patient\tpatient\tNN\tI-NP\tO' +p315172 +aS'was\tbe\tVBD\tB-VP\tO' +p315173 +aS'treated\ttreat\tVBN\tI-VP\tO' +p315174 +aS'with\twith\tIN\tB-PP\tO' +p315175 +aS'broad\tbroad\tJJ\tB-NP\tO' +p315176 +aS'spectrum\tspectrum\tNN\tI-NP\tO' +p315177 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p315178 +aS'including\tinclude\tVBG\tB-PP\tO' +p315179 +aS'Vancomycin\tVancomycin\tNNP\tB-NP\tO' +p315180 +aS',\t,\t,\tO\tO' +p315181 +aS'Ceptaz\tCeptaz\tNNP\tB-NP\tO' +p315182 +aS',\t,\t,\tO\tO' +p315183 +aS'Levaquin\tLevaquin\tNNP\tB-NP\tO' +p315184 +aS',\t,\t,\tO\tO' +p315185 +aS'Clindamycin\tClindamycin\tNNP\tB-NP\tO' +p315186 +aS'and\tand\tCC\tO\tO' +p315187 +aS'_________.\t_________.\tNNP\tB-NP\tO' +p315188 +asS'Gastroenterology was consulted to assist in creating the most appropriate diagnostic rhythm given his intubated and sedated status .' +p315189 +(lp315190 +S'Gastroenterology\tGastroenterology\tNN\tB-NP\tO' +p315191 +aS'was\tbe\tVBD\tB-VP\tO' +p315192 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p315193 +aS'to\tto\tTO\tI-VP\tO' +p315194 +aS'assist\tassist\tVB\tI-VP\tO' +p315195 +aS'in\tin\tIN\tB-PP\tO' +p315196 +aS'creating\tcreate\tVBG\tB-VP\tO' +p315197 +aS'the\tthe\tDT\tB-NP\tO' +p315198 +aS'most\tmost\tRBS\tI-NP\tO' +p315199 +aS'appropriate\tappropriate\tJJ\tI-NP\tO' +p315200 +aS'diagnostic\tdiagnostic\tJJ\tI-NP\tO' +p315201 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p315202 +aS'given\tgive\tVBN\tB-VP\tO' +p315203 +aS'his\this\tPRP$\tB-NP\tO' +p315204 +aS'intubated\tintubated\tJJ\tI-NP\tO' +p315205 +aS'and\tand\tCC\tI-NP\tO' +p315206 +aS'sedated\tsedate\tVBN\tI-NP\tO' +p315207 +aS'status\tstatus\tNN\tI-NP\tO' +p315208 +aS'.\t.\t.\tO\tO' +p315209 +asS'Toprol 75 mg po bid , Furosemide 20 mg po bid times one week , potassium chloride 20 mEq po bid while on Lasix , Colace 100 mg po bid while on Percocet , enteric coated Aspirin 325 mg po q day , Indocin 25 mg po bid , Sarna cream applied to affected area prn , Percocet 1-2 tabs po q 4-6 hours prn , Ibuprofen 400 mg po q 6 hours prn , Tylenol 650 mg po q 4-6 hours prn , Ativan 0.5 mg po q 8 hours prn .' +p315210 +(lp315211 +S'Toprol\tToprol\tNN\tB-NP\tO' +p315212 +aS'75\t75\tCD\tI-NP\tO' +p315213 +aS'mg\tmg\tNN\tI-NP\tO' +p315214 +aS'po\tpo\tNN\tI-NP\tO' +p315215 +aS'bid\tbid\tNN\tI-NP\tO' +p315216 +aS',\t,\t,\tO\tO' +p315217 +aS'Furosemide\tFurosemide\tNN\tB-NP\tO' +p315218 +aS'20\t20\tCD\tI-NP\tO' +p315219 +aS'mg\tmg\tNN\tI-NP\tO' +p315220 +aS'po\tpo\tNN\tI-NP\tO' +p315221 +aS'bid\tbid\tNN\tI-NP\tO' +p315222 +aS'times\ttime\tNNS\tI-NP\tO' +p315223 +aS'one\tone\tCD\tB-NP\tO' +p315224 +aS'week\tweek\tNN\tI-NP\tO' +p315225 +aS',\t,\t,\tO\tO' +p315226 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p315227 +aS'chloride\tchloride\tNN\tI-NP\tO' +p315228 +aS'20\t20\tCD\tI-NP\tO' +p315229 +aS'mEq\tmEq\tNN\tI-NP\tO' +p315230 +aS'po\tpo\tNN\tI-NP\tO' +p315231 +aS'bid\tbid\tNN\tI-NP\tO' +p315232 +aS'while\twhile\tIN\tB-SBAR\tO' +p315233 +aS'on\ton\tIN\tB-PP\tO' +p315234 +aS'Lasix\tLasix\tNNP\tB-NP\tO' +p315235 +aS',\t,\t,\tO\tO' +p315236 +aS'Colace\tColace\tNNP\tB-NP\tO' +p315237 +aS'100\t100\tCD\tI-NP\tO' +p315238 +aS'mg\tmg\tNN\tI-NP\tO' +p315239 +aS'po\tpo\tNN\tI-NP\tO' +p315240 +aS'bid\tbid\tNN\tI-NP\tO' +p315241 +aS'while\twhile\tIN\tB-SBAR\tO' +p315242 +aS'on\ton\tIN\tB-PP\tO' +p315243 +aS'Percocet\tPercocet\tNNP\tB-NP\tO' +p315244 +aS',\t,\t,\tO\tO' +p315245 +aS'enteric\tenteric\tJJ\tB-NP\tO' +p315246 +aS'coated\tcoated\tJJ\tI-NP\tO' +p315247 +aS'Aspirin\tAspirin\tNN\tI-NP\tO' +p315248 +aS'325\t325\tCD\tI-NP\tO' +p315249 +aS'mg\tmg\tNN\tI-NP\tO' +p315250 +aS'po\tpo\tNN\tI-NP\tO' +p315251 +aS'q\tq\tNN\tI-NP\tO' +p315252 +aS'day\tday\tNN\tI-NP\tO' +p315253 +aS',\t,\t,\tO\tO' +p315254 +aS'Indocin\tIndocin\tNN\tB-NP\tO' +p315255 +aS'25\t25\tCD\tI-NP\tO' +p315256 +aS'mg\tmg\tNN\tI-NP\tO' +p315257 +aS'po\tpo\tNN\tI-NP\tO' +p315258 +aS'bid\tbid\tNN\tI-NP\tO' +p315259 +aS',\t,\t,\tO\tO' +p315260 +aS'Sarna\tSarna\tNNP\tB-NP\tO' +p315261 +aS'cream\tcream\tNN\tI-NP\tO' +p315262 +aS'applied\tapply\tVBD\tB-VP\tO' +p315263 +aS'to\tto\tTO\tB-PP\tO' +p315264 +aS'affected\taffect\tVBN\tB-NP\tO' +p315265 +aS'area\tarea\tNN\tI-NP\tO' +p315266 +aS'prn\tprn\tNN\tI-NP\tO' +p315267 +aS',\t,\t,\tO\tO' +p315268 +aS'Percocet\tPercocet\tNNP\tB-NP\tB-protein' +p315269 +aS'1-2\t1-2\tCD\tI-NP\tI-protein' +p315270 +aS'tabs\ttab\tNNS\tI-NP\tI-protein' +p315271 +aS'po\tpo\tVBP\tB-VP\tO' +p315272 +aS'q\tq\tNN\tB-NP\tO' +p315273 +aS'4-6\t4-6\tCD\tB-NP\tO' +p315274 +aS'hours\thour\tNNS\tI-NP\tO' +p315275 +aS'prn\tprn\tNN\tI-NP\tO' +p315276 +aS',\t,\t,\tO\tO' +p315277 +aS'Ibuprofen\tIbuprofen\tNN\tB-NP\tB-protein' +p315278 +aS'400\t400\tCD\tI-NP\tI-protein' +p315279 +aS'mg\tmg\tNN\tI-NP\tI-protein' +p315280 +aS'po\tpo\tNN\tI-NP\tI-protein' +p315281 +aS'q\tq\tNN\tI-NP\tI-protein' +p315282 +aS'6\t6\tCD\tB-NP\tI-protein' +p315283 +aS'hours\thour\tNNS\tI-NP\tI-protein' +p315284 +aS'prn\tprn\tNN\tI-NP\tI-protein' +p315285 +aS',\t,\t,\tO\tO' +p315286 +aS'Tylenol\tTylenol\tNN\tB-NP\tO' +p315287 +aS'650\t650\tCD\tI-NP\tO' +p315288 +aS'mg\tmg\tNN\tI-NP\tO' +p315289 +aS'po\tpo\tNN\tI-NP\tO' +p315290 +aS'q\tq\tNN\tI-NP\tO' +p315291 +aS'4-6\t4-6\tCD\tB-NP\tO' +p315292 +aS'hours\thour\tNNS\tI-NP\tO' +p315293 +aS'prn\tprn\tNN\tI-NP\tO' +p315294 +aS',\t,\t,\tO\tO' +p315295 +aS'Ativan\tAtivan\tNNP\tB-NP\tO' +p315296 +aS'0.5\t0.5\tCD\tI-NP\tO' +p315297 +aS'mg\tmg\tNN\tI-NP\tO' +p315298 +aS'po\tpo\tNN\tI-NP\tO' +p315299 +aS'q\tq\tNN\tI-NP\tO' +p315300 +aS'8\t8\tCD\tB-NP\tO' +p315301 +aS'hours\thour\tNNS\tI-NP\tO' +p315302 +aS'prn\tprn\tVBP\tB-VP\tO' +p315303 +aS'.\t.\t.\tO\tO' +p315304 +asS'PT and OT are recommending rehab .' +p315305 +(lp315306 +S'PT\tPT\tNN\tB-NP\tO' +p315307 +aS'and\tand\tCC\tI-NP\tO' +p315308 +aS'OT\tOT\tNN\tI-NP\tO' +p315309 +aS'are\tbe\tVBP\tB-VP\tO' +p315310 +aS'recommending\trecommend\tVBG\tI-VP\tO' +p315311 +aS'rehab\trehab\tNN\tB-NP\tO' +p315312 +aS'.\t.\t.\tO\tO' +p315313 +asS'There were some oval tear drop cells and target cells with a few schistocytes .' +p315314 +(lp315315 +S'There\tThere\tEX\tB-NP\tO' +p315316 +aS'were\tbe\tVBD\tB-VP\tO' +p315317 +aS'some\tsome\tDT\tB-NP\tO' +p315318 +aS'oval\toval\tNN\tI-NP\tB-cell_type' +p315319 +aS'tear\ttear\tNN\tI-NP\tI-cell_type' +p315320 +aS'drop\tdrop\tNN\tI-NP\tI-cell_type' +p315321 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p315322 +aS'and\tand\tCC\tO\tO' +p315323 +aS'target\ttarget\tNN\tB-NP\tB-cell_type' +p315324 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p315325 +aS'with\twith\tIN\tB-PP\tO' +p315326 +aS'a\ta\tDT\tB-NP\tO' +p315327 +aS'few\tfew\tJJ\tI-NP\tO' +p315328 +aS'schistocytes\tschistocyte\tNNS\tI-NP\tO' +p315329 +aS'.\t.\t.\tO\tO' +p315330 +asS'Normal aortic contours .' +p315331 +(lp315332 +S'Normal\tNormal\tJJ\tB-NP\tO' +p315333 +aS'aortic\taortic\tJJ\tI-NP\tO' +p315334 +aS'contours\tcontour\tNNS\tI-NP\tO' +p315335 +aS'.\t.\t.\tO\tO' +p315336 +asS'The patient did have a postoperative serum sodium in the 120s from the 130s three days postoperatively .' +p315337 +(lp315338 +S'The\tThe\tDT\tB-NP\tO' +p315339 +aS'patient\tpatient\tNN\tI-NP\tO' +p315340 +aS'did\tdo\tVBD\tB-VP\tO' +p315341 +aS'have\thave\tVB\tI-VP\tO' +p315342 +aS'a\ta\tDT\tB-NP\tO' +p315343 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p315344 +aS'serum\tserum\tNN\tI-NP\tO' +p315345 +aS'sodium\tsodium\tNN\tI-NP\tO' +p315346 +aS'in\tin\tIN\tB-PP\tO' +p315347 +aS'the\tthe\tDT\tB-NP\tO' +p315348 +aS'120s\t120s\tCD\tI-NP\tO' +p315349 +aS'from\tfrom\tIN\tB-PP\tO' +p315350 +aS'the\tthe\tDT\tB-NP\tO' +p315351 +aS'130s\t130s\tCD\tI-NP\tO' +p315352 +aS'three\tthree\tCD\tI-NP\tO' +p315353 +aS'days\tday\tNNS\tI-NP\tO' +p315354 +aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' +p315355 +aS'.\t.\t.\tO\tO' +p315356 +asS'- Sinus Tach , normal axis HR 119 ST Depression V3-V5 ; S1Q3T3 , p-pulmonale .' +p315357 +(lp315358 +S'-\t-\tHYPH\tB-NP\tO' +p315359 +aS'Sinus\tSinus\tNNP\tI-NP\tO' +p315360 +aS'Tach\tTach\tNNP\tI-NP\tO' +p315361 +aS',\t,\t,\tO\tO' +p315362 +aS'normal\tnormal\tJJ\tB-NP\tO' +p315363 +aS'axis\taxis\tNN\tI-NP\tO' +p315364 +aS'HR\tHR\tNN\tI-NP\tO' +p315365 +aS'119\t119\tCD\tI-NP\tO' +p315366 +aS'ST\tST\tNN\tI-NP\tO' +p315367 +aS'Depression\tDepression\tNN\tI-NP\tO' +p315368 +aS'V3-V5\tV3-V5\tNN\tI-NP\tO' +p315369 +aS';\t;\t:\tO\tO' +p315370 +aS'S1Q3T3\tS1Q3T3\tNN\tB-NP\tO' +p315371 +aS',\t,\t,\tO\tO' +p315372 +aS'p-pulmonale\tp-pulmonale\tNN\tB-NP\tO' +p315373 +aS'.\t.\t.\tO\tO' +p315374 +asS'Mild intermittent grunting noted with mild subcostal retractions .' +p315375 +(lp315376 +S'Mild\tMild\tJJ\tB-NP\tO' +p315377 +aS'intermittent\tintermittent\tJJ\tI-NP\tO' +p315378 +aS'grunting\tgrunting\tNN\tI-NP\tO' +p315379 +aS'noted\tnote\tVBN\tB-VP\tO' +p315380 +aS'with\twith\tIN\tB-PP\tO' +p315381 +aS'mild\tmild\tJJ\tB-NP\tO' +p315382 +aS'subcostal\tsubcostal\tJJ\tI-NP\tO' +p315383 +aS'retractions\tretraction\tNNS\tI-NP\tO' +p315384 +aS'.\t.\t.\tO\tO' +p315385 +asS'Signed electronically by : DR. Stoll Delacy on : Sandra 2018-08-09 4:36 PM' +p315386 +(lp315387 +S'Signed\tSign\tVBN\tB-VP\tO' +p315388 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p315389 +aS'by\tby\tIN\tB-PP\tO' +p315390 +aS':\t:\t:\tO\tO' +p315391 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p315392 +aS'Stoll\tStoll\tNNP\tI-NP\tO' +p315393 +aS'Delacy\tDelacy\tNNP\tI-NP\tO' +p315394 +aS'on\ton\tIN\tB-PP\tO' +p315395 +aS':\t:\t:\tO\tO' +p315396 +aS'Sandra\tSandra\tNNP\tB-NP\tO' +p315397 +aS'2018-08-09\t2018-08-09\tCD\tB-NP\tO' +p315398 +aS'4:36\t4:36\tCD\tI-NP\tO' +p315399 +aS'PM\tPM\tNN\tI-NP\tO' +p315400 +asS'2. Prozac .' +p315401 +(lp315402 +S'2.\t2.\tLS\tB-NP\tO' +p315403 +aS'Prozac\tProzac\tNN\tI-NP\tO' +p315404 +aS'.\t.\t.\tO\tO' +p315405 +asS'The electrocardiogram revealed normal sinus rhythm with premature atrial complexes and right bundle branch block with left anterior hemiblock and old anterior myocardial infarction .' +p315406 +(lp315407 +S'The\tThe\tDT\tB-NP\tO' +p315408 +aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' +p315409 +aS'revealed\treveal\tVBD\tB-VP\tO' +p315410 +aS'normal\tnormal\tJJ\tB-NP\tO' +p315411 +aS'sinus\tsinus\tNN\tI-NP\tO' +p315412 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p315413 +aS'with\twith\tIN\tB-PP\tO' +p315414 +aS'premature\tpremature\tJJ\tB-NP\tB-protein' +p315415 +aS'atrial\tatrial\tJJ\tI-NP\tI-protein' +p315416 +aS'complexes\tcomplex\tNNS\tI-NP\tI-protein' +p315417 +aS'and\tand\tCC\tO\tO' +p315418 +aS'right\tright\tJJ\tB-NP\tO' +p315419 +aS'bundle\tbundle\tNN\tI-NP\tO' +p315420 +aS'branch\tbranch\tNN\tI-NP\tO' +p315421 +aS'block\tblock\tNN\tI-NP\tO' +p315422 +aS'with\twith\tIN\tB-PP\tO' +p315423 +aS'left\tleft\tJJ\tB-NP\tO' +p315424 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p315425 +aS'hemiblock\themiblock\tNN\tI-NP\tO' +p315426 +aS'and\tand\tCC\tO\tO' +p315427 +aS'old\told\tJJ\tB-NP\tO' +p315428 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p315429 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p315430 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p315431 +aS'.\t.\t.\tO\tO' +p315432 +asS'I should mention that his blood pressure therapy was at times limited by a severe headache , although he also had this off the pressor .' +p315433 +(lp315434 +S'I\tI\tPRP\tB-NP\tO' +p315435 +aS'should\tshould\tMD\tB-VP\tO' +p315436 +aS'mention\tmention\tVB\tI-VP\tO' +p315437 +aS'that\tthat\tIN\tB-SBAR\tO' +p315438 +aS'his\this\tPRP$\tB-NP\tO' +p315439 +aS'blood\tblood\tNN\tI-NP\tO' +p315440 +aS'pressure\tpressure\tNN\tI-NP\tO' +p315441 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p315442 +aS'was\tbe\tVBD\tB-VP\tO' +p315443 +aS'at\tat\tIN\tB-PP\tO' +p315444 +aS'times\ttime\tNNS\tB-NP\tO' +p315445 +aS'limited\tlimit\tVBN\tB-VP\tO' +p315446 +aS'by\tby\tIN\tB-PP\tO' +p315447 +aS'a\ta\tDT\tB-NP\tO' +p315448 +aS'severe\tsevere\tJJ\tI-NP\tO' +p315449 +aS'headache\theadache\tNN\tI-NP\tO' +p315450 +aS',\t,\t,\tO\tO' +p315451 +aS'although\talthough\tIN\tB-SBAR\tO' +p315452 +aS'he\the\tPRP\tB-NP\tO' +p315453 +aS'also\talso\tRB\tB-ADVP\tO' +p315454 +aS'had\thave\tVBD\tB-VP\tO' +p315455 +aS'this\tthis\tDT\tB-NP\tO' +p315456 +aS'off\toff\tIN\tB-PP\tO' +p315457 +aS'the\tthe\tDT\tB-NP\tO' +p315458 +aS'pressor\tpressor\tNN\tI-NP\tO' +p315459 +aS'.\t.\t.\tO\tO' +p315460 +asS'Mental status - her speech was fluent without errors .' +p315461 +(lp315462 +S'Mental\tMental\tJJ\tB-NP\tO' +p315463 +aS'status\tstatus\tNN\tI-NP\tO' +p315464 +aS'-\t-\tHYPH\tO\tO' +p315465 +aS'her\ther\tPRP$\tB-NP\tO' +p315466 +aS'speech\tspeech\tNN\tI-NP\tO' +p315467 +aS'was\tbe\tVBD\tB-VP\tO' +p315468 +aS'fluent\tfluent\tJJ\tB-ADJP\tO' +p315469 +aS'without\twithout\tIN\tB-PP\tO' +p315470 +aS'errors\terror\tNNS\tB-NP\tO' +p315471 +aS'.\t.\t.\tO\tO' +p315472 +asS'He weaned to room air and remained on room air the rest of his Neonatal Intensive Care Unit admission .' +p315473 +(lp315474 +S'He\tHe\tPRP\tB-NP\tO' +p315475 +aS'weaned\twean\tVBD\tB-VP\tO' +p315476 +aS'to\tto\tTO\tB-PP\tO' +p315477 +aS'room\troom\tNN\tB-NP\tO' +p315478 +aS'air\tair\tNN\tI-NP\tO' +p315479 +aS'and\tand\tCC\tO\tO' +p315480 +aS'remained\tremain\tVBD\tB-VP\tO' +p315481 +aS'on\ton\tIN\tB-PP\tO' +p315482 +aS'room\troom\tNN\tB-NP\tO' +p315483 +aS'air\tair\tNN\tI-NP\tO' +p315484 +aS'the\tthe\tDT\tB-NP\tO' +p315485 +aS'rest\trest\tNN\tI-NP\tO' +p315486 +aS'of\tof\tIN\tB-PP\tO' +p315487 +aS'his\this\tPRP$\tB-NP\tO' +p315488 +aS'Neonatal\tNeonatal\tNNP\tI-NP\tO' +p315489 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p315490 +aS'Care\tCare\tNNP\tI-NP\tO' +p315491 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p315492 +aS'admission\tadmission\tNN\tI-NP\tO' +p315493 +aS'.\t.\t.\tO\tO' +p315494 +asS'He was becoming more mobile and was taking a high protein high calories diet which he tolerated well .' +p315495 +(lp315496 +S'He\tHe\tPRP\tB-NP\tO' +p315497 +aS'was\tbe\tVBD\tB-VP\tO' +p315498 +aS'becoming\tbecome\tVBG\tI-VP\tO' +p315499 +aS'more\tmore\tRBR\tB-ADJP\tO' +p315500 +aS'mobile\tmobile\tJJ\tI-ADJP\tO' +p315501 +aS'and\tand\tCC\tO\tO' +p315502 +aS'was\tbe\tVBD\tB-VP\tO' +p315503 +aS'taking\ttake\tVBG\tI-VP\tO' +p315504 +aS'a\ta\tDT\tB-NP\tO' +p315505 +aS'high\thigh\tJJ\tI-NP\tO' +p315506 +aS'protein\tprotein\tNN\tI-NP\tO' +p315507 +aS'high\thigh\tJJ\tI-NP\tO' +p315508 +aS'calories\tcalorie\tNNS\tI-NP\tO' +p315509 +aS'diet\tdiet\tNN\tI-NP\tO' +p315510 +aS'which\twhich\tWDT\tB-NP\tO' +p315511 +aS'he\the\tPRP\tB-NP\tO' +p315512 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p315513 +aS'well\twell\tRB\tB-ADVP\tO' +p315514 +aS'.\t.\t.\tO\tO' +p315515 +asS'His urinalysis showed marked occult blood and positive white blood cell screen but was otherwise negative .' +p315516 +(lp315517 +S'His\tHis\tPRP$\tB-NP\tO' +p315518 +aS'urinalysis\turinalysis\tNN\tI-NP\tO' +p315519 +aS'showed\tshow\tVBD\tB-VP\tO' +p315520 +aS'marked\tmarked\tJJ\tB-NP\tO' +p315521 +aS'occult\toccult\tJJ\tI-NP\tO' +p315522 +aS'blood\tblood\tNN\tI-NP\tO' +p315523 +aS'and\tand\tCC\tO\tO' +p315524 +aS'positive\tpositive\tJJ\tB-NP\tO' +p315525 +aS'white\twhite\tJJ\tI-NP\tO' +p315526 +aS'blood\tblood\tNN\tI-NP\tO' +p315527 +aS'cell\tcell\tNN\tI-NP\tO' +p315528 +aS'screen\tscreen\tNN\tI-NP\tO' +p315529 +aS'but\tbut\tCC\tO\tO' +p315530 +aS'was\tbe\tVBD\tB-VP\tO' +p315531 +aS'otherwise\totherwise\tRB\tB-ADJP\tO' +p315532 +aS'negative\tnegative\tJJ\tI-ADJP\tO' +p315533 +aS'.\t.\t.\tO\tO' +p315534 +asS'The patient is a 78 y/o WF w/a PMH significant for HTN and afib who presented to an OSH w/ complaints of abd pain and nausea .' +p315535 +(lp315536 +S'The\tThe\tDT\tB-NP\tO' +p315537 +aS'patient\tpatient\tNN\tI-NP\tO' +p315538 +aS'is\tbe\tVBZ\tB-VP\tO' +p315539 +aS'a\ta\tDT\tB-NP\tO' +p315540 +aS'78\t78\tCD\tI-NP\tO' +p315541 +aS'y/o\ty/o\tNN\tI-NP\tO' +p315542 +aS'WF\tWF\tNN\tI-NP\tO' +p315543 +aS'w/a\tw/a\tNN\tI-NP\tO' +p315544 +aS'PMH\tPMH\tNN\tI-NP\tO' +p315545 +aS'significant\tsignificant\tJJ\tB-ADJP\tO' +p315546 +aS'for\tfor\tIN\tB-PP\tO' +p315547 +aS'HTN\tHTN\tNN\tB-NP\tB-protein' +p315548 +aS'and\tand\tCC\tI-NP\tO' +p315549 +aS'afib\tafib\tNN\tI-NP\tO' +p315550 +aS'who\twho\tWP\tB-NP\tO' +p315551 +aS'presented\tpresent\tVBD\tB-VP\tO' +p315552 +aS'to\tto\tTO\tB-PP\tO' +p315553 +aS'an\tan\tDT\tB-NP\tO' +p315554 +aS'OSH\tOSH\tNN\tI-NP\tO' +p315555 +aS'w/\tw/\tNN\tI-NP\tO' +p315556 +aS'complaints\tcomplaint\tNNS\tI-NP\tO' +p315557 +aS'of\tof\tIN\tB-PP\tO' +p315558 +aS'abd\tabd\tNN\tB-NP\tO' +p315559 +aS'pain\tpain\tNN\tI-NP\tO' +p315560 +aS'and\tand\tCC\tI-NP\tO' +p315561 +aS'nausea\tnausea\tNN\tI-NP\tO' +p315562 +aS'.\t.\t.\tO\tO' +p315563 +asS'Sensation intact in all dermatomes .' +p315564 +(lp315565 +S'Sensation\tSensation\tNN\tB-NP\tO' +p315566 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p315567 +aS'in\tin\tIN\tB-PP\tO' +p315568 +aS'all\tall\tDT\tB-NP\tO' +p315569 +aS'dermatomes\tdermatome\tNNS\tI-NP\tO' +p315570 +aS'.\t.\t.\tO\tO' +p315571 +asS'Pyridium 200 mg po three times a day for UTI symptoms x 2 days .' +p315572 +(lp315573 +S'Pyridium\tPyridium\tNN\tB-NP\tO' +p315574 +aS'200\t200\tCD\tI-NP\tO' +p315575 +aS'mg\tmg\tNN\tI-NP\tO' +p315576 +aS'po\tpo\tIN\tB-PP\tO' +p315577 +aS'three\tthree\tCD\tB-NP\tO' +p315578 +aS'times\ttime\tNNS\tI-NP\tO' +p315579 +aS'a\ta\tDT\tB-NP\tO' +p315580 +aS'day\tday\tNN\tI-NP\tO' +p315581 +aS'for\tfor\tIN\tB-PP\tO' +p315582 +aS'UTI\tUTI\tNN\tB-NP\tO' +p315583 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p315584 +aS'x\tx\tCC\tO\tO' +p315585 +aS'2\t2\tCD\tB-NP\tO' +p315586 +aS'days\tday\tNNS\tI-NP\tO' +p315587 +aS'.\t.\t.\tO\tO' +p315588 +asS'Clips in the left axilla denote prior lymph node dissection .' +p315589 +(lp315590 +S'Clips\tClip\tNNS\tB-NP\tO' +p315591 +aS'in\tin\tIN\tB-PP\tO' +p315592 +aS'the\tthe\tDT\tB-NP\tO' +p315593 +aS'left\tleft\tJJ\tI-NP\tO' +p315594 +aS'axilla\taxilla\tNN\tI-NP\tO' +p315595 +aS'denote\tdenote\tVBP\tB-VP\tO' +p315596 +aS'prior\tprior\tJJ\tB-NP\tO' +p315597 +aS'lymph\tlymph\tNN\tI-NP\tO' +p315598 +aS'node\tnode\tNN\tI-NP\tO' +p315599 +aS'dissection\tdissection\tNN\tI-NP\tO' +p315600 +aS'.\t.\t.\tO\tO' +p315601 +asS"After it was explained that the pt 's prognosis was very poor given that she was not a transplant candidate , the" +p315602 +(lp315603 +S'After\tAfter\tIN\tB-SBAR\tO' +p315604 +aS'it\tit\tPRP\tB-NP\tO' +p315605 +aS'was\tbe\tVBD\tB-VP\tO' +p315606 +aS'explained\texplain\tVBN\tI-VP\tO' +p315607 +aS'that\tthat\tIN\tB-SBAR\tO' +p315608 +aS'the\tthe\tDT\tB-NP\tO' +p315609 +aS'pt\tpt\tNN\tI-NP\tO' +p315610 +aS"'s\t's\tPOS\tB-NP\tO" +p315611 +aS'prognosis\tprognosis\tNN\tI-NP\tO' +p315612 +aS'was\tbe\tVBD\tB-VP\tO' +p315613 +aS'very\tvery\tRB\tB-ADJP\tO' +p315614 +aS'poor\tpoor\tJJ\tI-ADJP\tO' +p315615 +aS'given\tgive\tVBN\tB-PP\tO' +p315616 +aS'that\tthat\tIN\tB-SBAR\tO' +p315617 +aS'she\tshe\tPRP\tB-NP\tO' +p315618 +aS'was\tbe\tVBD\tB-VP\tO' +p315619 +aS'not\tnot\tRB\tO\tO' +p315620 +aS'a\ta\tDT\tB-NP\tO' +p315621 +aS'transplant\ttransplant\tNN\tI-NP\tO' +p315622 +aS'candidate\tcandidate\tNN\tI-NP\tO' +p315623 +aS',\t,\t,\tO\tO' +p315624 +aS'the\tthe\tDT\tO\tO' +p315625 +asS'In the few days prior to his demise , he was intermittently somewhat lethargic buton the morning of June 25 , 1999 , his white count was noted to have increased from 8 to 13,000 .' +p315626 +(lp315627 +S'In\tIn\tIN\tB-PP\tO' +p315628 +aS'the\tthe\tDT\tB-NP\tO' +p315629 +aS'few\tfew\tJJ\tI-NP\tO' +p315630 +aS'days\tday\tNNS\tI-NP\tO' +p315631 +aS'prior\tprior\tRB\tB-ADVP\tO' +p315632 +aS'to\tto\tTO\tB-PP\tO' +p315633 +aS'his\this\tPRP$\tB-NP\tO' +p315634 +aS'demise\tdemise\tNN\tI-NP\tO' +p315635 +aS',\t,\t,\tO\tO' +p315636 +aS'he\the\tPRP\tB-NP\tO' +p315637 +aS'was\tbe\tVBD\tB-VP\tO' +p315638 +aS'intermittently\tintermittently\tRB\tB-NP\tO' +p315639 +aS'somewhat\tsomewhat\tRB\tI-NP\tO' +p315640 +aS'lethargic\tlethargic\tJJ\tI-NP\tO' +p315641 +aS'buton\tbuton\tNN\tI-NP\tO' +p315642 +aS'the\tthe\tDT\tB-NP\tO' +p315643 +aS'morning\tmorning\tNN\tI-NP\tO' +p315644 +aS'of\tof\tIN\tB-PP\tO' +p315645 +aS'June\tJune\tNNP\tB-NP\tO' +p315646 +aS'25\t25\tCD\tI-NP\tO' +p315647 +aS',\t,\t,\tI-NP\tO' +p315648 +aS'1999\t1999\tCD\tI-NP\tO' +p315649 +aS',\t,\t,\tO\tO' +p315650 +aS'his\this\tPRP$\tB-NP\tO' +p315651 +aS'white\twhite\tJJ\tI-NP\tO' +p315652 +aS'count\tcount\tNN\tI-NP\tO' +p315653 +aS'was\tbe\tVBD\tB-VP\tO' +p315654 +aS'noted\tnote\tVBN\tI-VP\tO' +p315655 +aS'to\tto\tTO\tI-VP\tO' +p315656 +aS'have\thave\tVB\tI-VP\tO' +p315657 +aS'increased\tincrease\tVBN\tI-VP\tO' +p315658 +aS'from\tfrom\tIN\tB-PP\tO' +p315659 +aS'8\t8\tCD\tB-NP\tO' +p315660 +aS'to\tto\tTO\tB-PP\tO' +p315661 +aS'13,000\t13,000\tCD\tB-NP\tO' +p315662 +aS'.\t.\t.\tO\tO' +p315663 +asS'The lungs were clear .' +p315664 +(lp315665 +S'The\tThe\tDT\tB-NP\tO' +p315666 +aS'lungs\tlung\tNNS\tI-NP\tO' +p315667 +aS'were\tbe\tVBD\tB-VP\tO' +p315668 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p315669 +aS'.\t.\t.\tO\tO' +p315670 +asS'He was married for many years .' +p315671 +(lp315672 +S'He\tHe\tPRP\tB-NP\tO' +p315673 +aS'was\tbe\tVBD\tB-VP\tO' +p315674 +aS'married\tmarry\tVBN\tI-VP\tO' +p315675 +aS'for\tfor\tIN\tB-PP\tO' +p315676 +aS'many\tmany\tJJ\tB-NP\tO' +p315677 +aS'years\tyear\tNNS\tI-NP\tO' +p315678 +aS'.\t.\t.\tO\tO' +p315679 +asS'2. No medications .' +p315680 +(lp315681 +S'2.\t2.\tLS\tB-LST\tO' +p315682 +aS'No\tNo\tDT\tB-NP\tO' +p315683 +aS'medications\tmedication\tNNS\tI-NP\tO' +p315684 +aS'.\t.\t.\tO\tO' +p315685 +asS'1. A bioprosthesis is well seated in the aortic position , leaflets open well , trace central AI is seen .' +p315686 +(lp315687 +S'1.\t1.\tLS\tB-NP\tO' +p315688 +aS'A\tA\tNN\tI-NP\tO' +p315689 +aS'bioprosthesis\tbioprosthesis\tNN\tI-NP\tO' +p315690 +aS'is\tbe\tVBZ\tB-VP\tO' +p315691 +aS'well\twell\tRB\tI-VP\tO' +p315692 +aS'seated\tseat\tVBN\tI-VP\tO' +p315693 +aS'in\tin\tIN\tB-PP\tO' +p315694 +aS'the\tthe\tDT\tB-NP\tO' +p315695 +aS'aortic\taortic\tJJ\tI-NP\tO' +p315696 +aS'position\tposition\tNN\tI-NP\tO' +p315697 +aS',\t,\t,\tO\tO' +p315698 +aS'leaflets\tleaflet\tVBZ\tB-VP\tO' +p315699 +aS'open\topen\tRP\tB-PRT\tO' +p315700 +aS'well\twell\tRB\tB-ADVP\tO' +p315701 +aS',\t,\t,\tO\tO' +p315702 +aS'trace\ttrace\tNN\tB-NP\tO' +p315703 +aS'central\tcentral\tJJ\tI-NP\tO' +p315704 +aS'AI\tAI\tNN\tI-NP\tO' +p315705 +aS'is\tbe\tVBZ\tB-VP\tO' +p315706 +aS'seen\tsee\tVBN\tI-VP\tO' +p315707 +aS'.\t.\t.\tO\tO' +p315708 +asS'Her hypertension was difficult to manage initially and required three days of Intensive Care Unit with A-line and Nipride intravenously .' +p315709 +(lp315710 +S'Her\tHer\tPRP$\tB-NP\tO' +p315711 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p315712 +aS'was\tbe\tVBD\tB-VP\tO' +p315713 +aS'difficult\tdifficult\tJJ\tB-ADJP\tO' +p315714 +aS'to\tto\tTO\tB-VP\tO' +p315715 +aS'manage\tmanage\tVB\tI-VP\tO' +p315716 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p315717 +aS'and\tand\tCC\tO\tO' +p315718 +aS'required\trequire\tVBD\tB-VP\tO' +p315719 +aS'three\tthree\tCD\tB-NP\tO' +p315720 +aS'days\tday\tNNS\tI-NP\tO' +p315721 +aS'of\tof\tIN\tB-PP\tO' +p315722 +aS'Intensive\tIntensive\tJJ\tB-NP\tO' +p315723 +aS'Care\tCare\tNNP\tI-NP\tO' +p315724 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p315725 +aS'with\twith\tIN\tB-PP\tO' +p315726 +aS'A-line\tA-line\tNNP\tB-NP\tO' +p315727 +aS'and\tand\tCC\tI-NP\tO' +p315728 +aS'Nipride\tNipride\tNNP\tI-NP\tO' +p315729 +aS'intravenously\tintravenously\tRB\tB-ADVP\tO' +p315730 +aS'.\t.\t.\tO\tO' +p315731 +asS'Her affect was slightly inappropriate at times ; for example , singing or humming along while performing some of the motor tasks and giving the impression of indifference to the deficits that were demonstrated on the examination .' +p315732 +(lp315733 +S'Her\tHer\tPRP$\tB-NP\tO' +p315734 +aS'affect\taffect\tNN\tI-NP\tO' +p315735 +aS'was\tbe\tVBD\tB-VP\tO' +p315736 +aS'slightly\tslightly\tRB\tB-ADJP\tO' +p315737 +aS'inappropriate\tinappropriate\tJJ\tI-ADJP\tO' +p315738 +aS'at\tat\tIN\tB-PP\tO' +p315739 +aS'times\ttime\tNNS\tB-NP\tO' +p315740 +aS';\t;\t:\tO\tO' +p315741 +aS'for\tfor\tIN\tB-PP\tO' +p315742 +aS'example\texample\tNN\tB-NP\tO' +p315743 +aS',\t,\t,\tO\tO' +p315744 +aS'singing\tsinging\tNN\tB-NP\tO' +p315745 +aS'or\tor\tCC\tO\tO' +p315746 +aS'humming\thum\tVBG\tB-VP\tO' +p315747 +aS'along\talong\tRB\tB-ADVP\tO' +p315748 +aS'while\twhile\tIN\tB-SBAR\tO' +p315749 +aS'performing\tperform\tVBG\tB-VP\tO' +p315750 +aS'some\tsome\tDT\tB-NP\tO' +p315751 +aS'of\tof\tIN\tB-PP\tO' +p315752 +aS'the\tthe\tDT\tB-NP\tO' +p315753 +aS'motor\tmotor\tNN\tI-NP\tO' +p315754 +aS'tasks\ttask\tNNS\tI-NP\tO' +p315755 +aS'and\tand\tCC\tO\tO' +p315756 +aS'giving\tgive\tVBG\tB-VP\tO' +p315757 +aS'the\tthe\tDT\tB-NP\tO' +p315758 +aS'impression\timpression\tNN\tI-NP\tO' +p315759 +aS'of\tof\tIN\tB-PP\tO' +p315760 +aS'indifference\tindifference\tNN\tB-NP\tO' +p315761 +aS'to\tto\tTO\tB-PP\tO' +p315762 +aS'the\tthe\tDT\tB-NP\tO' +p315763 +aS'deficits\tdeficit\tNNS\tI-NP\tO' +p315764 +aS'that\tthat\tWDT\tB-NP\tO' +p315765 +aS'were\tbe\tVBD\tB-VP\tO' +p315766 +aS'demonstrated\tdemonstrate\tVBN\tI-VP\tO' +p315767 +aS'on\ton\tIN\tB-PP\tO' +p315768 +aS'the\tthe\tDT\tB-NP\tO' +p315769 +aS'examination\texamination\tNN\tI-NP\tO' +p315770 +aS'.\t.\t.\tO\tO' +p315771 +asS'Dr. Ertca Cancer , Dr. Kotefold' +p315772 +(lp315773 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p315774 +aS'Ertca\tErtca\tNNP\tI-NP\tO' +p315775 +aS'Cancer\tCancer\tNNP\tI-NP\tO' +p315776 +aS',\t,\t,\tO\tO' +p315777 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p315778 +aS'Kotefold\tKotefold\tNNP\tI-NP\tO' +p315779 +asS'Right leg wound had Steri-Strips , open to air , clean and dry .' +p315780 +(lp315781 +S'Right\tRight\tNN\tB-NP\tO' +p315782 +aS'leg\tleg\tNN\tI-NP\tO' +p315783 +aS'wound\twound\tNN\tI-NP\tO' +p315784 +aS'had\thave\tVBD\tB-VP\tO' +p315785 +aS'Steri-Strips\tSteri-Strips\tJJ\tB-ADJP\tO' +p315786 +aS',\t,\t,\tO\tO' +p315787 +aS'open\topen\tJJ\tB-ADJP\tO' +p315788 +aS'to\tto\tTO\tB-PP\tO' +p315789 +aS'air\tair\tNN\tB-NP\tO' +p315790 +aS',\t,\t,\tO\tO' +p315791 +aS'clean\tclean\tJJ\tB-ADJP\tO' +p315792 +aS'and\tand\tCC\tI-ADJP\tO' +p315793 +aS'dry\tdry\tJJ\tI-ADJP\tO' +p315794 +aS'.\t.\t.\tO\tO' +p315795 +asS'This small bowel obstruction is likely secondary to closed loop obstruction .' +p315796 +(lp315797 +S'This\tThis\tDT\tB-NP\tO' +p315798 +aS'small\tsmall\tJJ\tI-NP\tO' +p315799 +aS'bowel\tbowel\tNN\tI-NP\tO' +p315800 +aS'obstruction\tobstruction\tNN\tI-NP\tO' +p315801 +aS'is\tbe\tVBZ\tB-VP\tO' +p315802 +aS'likely\tlikely\tRB\tB-ADJP\tO' +p315803 +aS'secondary\tsecondary\tJJ\tI-ADJP\tO' +p315804 +aS'to\tto\tTO\tB-PP\tO' +p315805 +aS'closed\tclose\tVBN\tB-NP\tO' +p315806 +aS'loop\tloop\tNN\tI-NP\tO' +p315807 +aS'obstruction\tobstruction\tNN\tI-NP\tO' +p315808 +aS'.\t.\t.\tO\tO' +p315809 +asS'Depressed affect .' +p315810 +(lp315811 +S'Depressed\tDepress\tVBN\tB-NP\tO' +p315812 +aS'affect\taffect\tNN\tI-NP\tO' +p315813 +aS'.\t.\t.\tO\tO' +p315814 +asS'On POD1 , patient was transferred out of FICU to 12R .' +p315815 +(lp315816 +S'On\tOn\tIN\tB-PP\tO' +p315817 +aS'POD1\tPOD1\tNN\tB-NP\tB-protein' +p315818 +aS',\t,\t,\tO\tO' +p315819 +aS'patient\tpatient\tNN\tB-NP\tO' +p315820 +aS'was\tbe\tVBD\tB-VP\tO' +p315821 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p315822 +aS'out\tout\tIN\tB-PP\tO' +p315823 +aS'of\tof\tIN\tB-PP\tO' +p315824 +aS'FICU\tFICU\tNN\tB-NP\tO' +p315825 +aS'to\tto\tTO\tB-PP\tO' +p315826 +aS'12R\t12R\tNN\tB-NP\tB-protein' +p315827 +aS'.\t.\t.\tO\tO' +p315828 +asS'There is no pleural effusion .' +p315829 +(lp315830 +S'There\tThere\tEX\tB-NP\tO' +p315831 +aS'is\tbe\tVBZ\tB-VP\tO' +p315832 +aS'no\tno\tDT\tB-NP\tO' +p315833 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p315834 +aS'effusion\teffusion\tNN\tI-NP\tO' +p315835 +aS'.\t.\t.\tO\tO' +p315836 +asS'No culture data was sent .' +p315837 +(lp315838 +S'No\tNo\tDT\tB-NP\tO' +p315839 +aS'culture\tculture\tNN\tI-NP\tO' +p315840 +aS'data\tdatum\tNNS\tI-NP\tO' +p315841 +aS'was\tbe\tVBD\tB-VP\tO' +p315842 +aS'sent\tsend\tVBN\tI-VP\tO' +p315843 +aS'.\t.\t.\tO\tO' +p315844 +asS'The patient 's family history was significant for a brother with colon cancer .' +p315845 +(lp315846 +S'The\tThe\tDT\tB-NP\tO' +p315847 +aS'patient\tpatient\tNN\tI-NP\tO' +p315848 +aS''s\t'\tNNS\tI-NP\tO' +p315849 +aS'family\tfamily\tNN\tI-NP\tO' +p315850 +aS'history\thistory\tNN\tI-NP\tO' +p315851 +aS'was\tbe\tVBD\tB-VP\tO' +p315852 +aS'significant\tsignificant\tJJ\tB-ADJP\tO' +p315853 +aS'for\tfor\tIN\tB-PP\tO' +p315854 +aS'a\ta\tDT\tB-NP\tO' +p315855 +aS'brother\tbrother\tNN\tI-NP\tO' +p315856 +aS'with\twith\tIN\tB-PP\tO' +p315857 +aS'colon\tcolon\tNN\tB-NP\tO' +p315858 +aS'cancer\tcancer\tNN\tI-NP\tO' +p315859 +aS'.\t.\t.\tO\tO' +p315860 +asS'The patient did have postoperatively hypokalemia to a level of 2.7 and subsequently was corrected with oral and intravenous potassium on 4/22/93 , the patient underwent a duplex ultrasound examination , which showed no evidence of of deep venous thrombosis .' +p315861 +(lp315862 +S'The\tThe\tDT\tB-NP\tO' +p315863 +aS'patient\tpatient\tNN\tI-NP\tO' +p315864 +aS'did\tdo\tVBD\tB-VP\tO' +p315865 +aS'have\thave\tVB\tI-VP\tO' +p315866 +aS'postoperatively\tpostoperatively\tRB\tB-NP\tO' +p315867 +aS'hypokalemia\thypokalemia\tNN\tI-NP\tO' +p315868 +aS'to\tto\tTO\tB-PP\tO' +p315869 +aS'a\ta\tDT\tB-NP\tO' +p315870 +aS'level\tlevel\tNN\tI-NP\tO' +p315871 +aS'of\tof\tIN\tB-PP\tO' +p315872 +aS'2.7\t2.7\tCD\tB-NP\tO' +p315873 +aS'and\tand\tCC\tO\tO' +p315874 +aS'subsequently\tsubsequently\tRB\tB-VP\tO' +p315875 +aS'was\tbe\tVBD\tI-VP\tO' +p315876 +aS'corrected\tcorrect\tVBN\tI-VP\tO' +p315877 +aS'with\twith\tIN\tB-PP\tO' +p315878 +aS'oral\toral\tJJ\tB-NP\tO' +p315879 +aS'and\tand\tCC\tI-NP\tO' +p315880 +aS'intravenous\tintravenous\tJJ\tI-NP\tO' +p315881 +aS'potassium\tpotassium\tNN\tI-NP\tO' +p315882 +aS'on\ton\tIN\tB-PP\tO' +p315883 +aS'4/22/93\t4/22/93\tCD\tB-NP\tO' +p315884 +aS',\t,\t,\tO\tO' +p315885 +aS'the\tthe\tDT\tB-NP\tO' +p315886 +aS'patient\tpatient\tNN\tI-NP\tO' +p315887 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p315888 +aS'a\ta\tDT\tB-NP\tO' +p315889 +aS'duplex\tduplex\tNN\tI-NP\tO' +p315890 +aS'ultrasound\tultrasound\tNN\tI-NP\tO' +p315891 +aS'examination\texamination\tNN\tI-NP\tO' +p315892 +aS',\t,\t,\tO\tO' +p315893 +aS'which\twhich\tWDT\tB-NP\tO' +p315894 +aS'showed\tshow\tVBD\tB-VP\tO' +p315895 +aS'no\tno\tDT\tB-NP\tO' +p315896 +aS'evidence\tevidence\tNN\tI-NP\tO' +p315897 +aS'of\tof\tIN\tB-PP\tO' +p315898 +aS'of\tof\tIN\tB-PP\tO' +p315899 +aS'deep\tdeep\tJJ\tB-NP\tO' +p315900 +aS'venous\tvenous\tJJ\tI-NP\tO' +p315901 +aS'thrombosis\tthrombosis\tNN\tI-NP\tO' +p315902 +aS'.\t.\t.\tO\tO' +p315903 +asS'Upper endoscopy x 2 were done .' +p315904 +(lp315905 +S'Upper\tUpper\tIN\tB-PP\tO' +p315906 +aS'endoscopy\tendoscopy\tNN\tB-NP\tB-protein' +p315907 +aS'x\tx\tSYM\tB-NP\tI-protein' +p315908 +aS'2\t2\tCD\tI-NP\tI-protein' +p315909 +aS'were\tbe\tVBD\tB-VP\tO' +p315910 +aS'done\tdo\tVBN\tI-VP\tO' +p315911 +aS'.\t.\t.\tO\tO' +p315912 +asS'On postoperative day two the patient was noted to have some swelling in her left lower extremity and this was felt to be a hematoma secondary to her PVR cuff .' +p315913 +(lp315914 +S'On\tOn\tIN\tB-PP\tO' +p315915 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p315916 +aS'day\tday\tNN\tI-NP\tO' +p315917 +aS'two\ttwo\tCD\tB-NP\tO' +p315918 +aS'the\tthe\tDT\tB-NP\tO' +p315919 +aS'patient\tpatient\tNN\tI-NP\tO' +p315920 +aS'was\tbe\tVBD\tB-VP\tO' +p315921 +aS'noted\tnote\tVBN\tI-VP\tO' +p315922 +aS'to\tto\tTO\tI-VP\tO' +p315923 +aS'have\thave\tVB\tI-VP\tO' +p315924 +aS'some\tsome\tDT\tB-NP\tO' +p315925 +aS'swelling\tswelling\tNN\tI-NP\tO' +p315926 +aS'in\tin\tIN\tB-PP\tO' +p315927 +aS'her\ther\tPRP$\tB-NP\tO' +p315928 +aS'left\tleft\tJJ\tI-NP\tO' +p315929 +aS'lower\tlow\tJJR\tI-NP\tO' +p315930 +aS'extremity\textremity\tNN\tI-NP\tO' +p315931 +aS'and\tand\tCC\tO\tO' +p315932 +aS'this\tthis\tDT\tB-NP\tO' +p315933 +aS'was\tbe\tVBD\tB-VP\tO' +p315934 +aS'felt\tfeel\tVBN\tI-VP\tO' +p315935 +aS'to\tto\tTO\tI-VP\tO' +p315936 +aS'be\tbe\tVB\tI-VP\tO' +p315937 +aS'a\ta\tDT\tB-NP\tO' +p315938 +aS'hematoma\thematoma\tNN\tI-NP\tO' +p315939 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p315940 +aS'to\tto\tTO\tB-PP\tO' +p315941 +aS'her\ther\tPRP$\tB-NP\tO' +p315942 +aS'PVR\tPVR\tNN\tI-NP\tB-protein' +p315943 +aS'cuff\tcuff\tNN\tI-NP\tI-protein' +p315944 +aS'.\t.\t.\tO\tO' +p315945 +asS'PT was 11.7 , PTT 26.7 and INR of 0.9 .' +p315946 +(lp315947 +S'PT\tPT\tNN\tB-NP\tO' +p315948 +aS'was\tbe\tVBD\tB-VP\tO' +p315949 +aS'11.7\t11.7\tCD\tB-NP\tO' +p315950 +aS',\t,\t,\tO\tO' +p315951 +aS'PTT\tPTT\tNN\tB-NP\tB-protein' +p315952 +aS'26.7\t26.7\tCD\tI-NP\tI-protein' +p315953 +aS'and\tand\tCC\tO\tO' +p315954 +aS'INR\tINR\tNN\tB-NP\tO' +p315955 +aS'of\tof\tIN\tB-PP\tO' +p315956 +aS'0.9\t0.9\tCD\tB-NP\tO' +p315957 +aS'.\t.\t.\tO\tO' +p315958 +asS'On arrival to unit pt had EGD which revealed grade III esophageal varices with signs of old bleeding .' +p315959 +(lp315960 +S'On\tOn\tIN\tB-PP\tO' +p315961 +aS'arrival\tarrival\tNN\tB-NP\tO' +p315962 +aS'to\tto\tTO\tB-PP\tO' +p315963 +aS'unit\tunit\tNN\tB-NP\tO' +p315964 +aS'pt\tpt\tNN\tI-NP\tO' +p315965 +aS'had\thave\tVBD\tB-VP\tO' +p315966 +aS'EGD\tEGD\tNN\tB-NP\tB-protein' +p315967 +aS'which\twhich\tWDT\tB-NP\tO' +p315968 +aS'revealed\treveal\tVBD\tB-VP\tO' +p315969 +aS'grade\tgrade\tNN\tB-NP\tO' +p315970 +aS'III\tIII\tCD\tI-NP\tO' +p315971 +aS'esophageal\tesophageal\tJJ\tI-NP\tO' +p315972 +aS'varices\tvarix\tNNS\tI-NP\tO' +p315973 +aS'with\twith\tIN\tB-PP\tO' +p315974 +aS'signs\tsign\tNNS\tB-NP\tO' +p315975 +aS'of\tof\tIN\tB-PP\tO' +p315976 +aS'old\told\tJJ\tB-NP\tO' +p315977 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p315978 +aS'.\t.\t.\tO\tO' +p315979 +asS'Limited hemodynamics showed elevated LV and diastolic pressure ( 21 mmHg ).' +p315980 +(lp315981 +S'Limited\tLimit\tVBN\tB-NP\tO' +p315982 +aS'hemodynamics\themodynamic\tNNS\tI-NP\tO' +p315983 +aS'showed\tshow\tVBD\tB-VP\tO' +p315984 +aS'elevated\televated\tJJ\tB-NP\tO' +p315985 +aS'LV\tLV\tNN\tI-NP\tO' +p315986 +aS'and\tand\tCC\tO\tO' +p315987 +aS'diastolic\tdiastolic\tJJ\tB-NP\tO' +p315988 +aS'pressure\tpressure\tNN\tI-NP\tO' +p315989 +aS'(\t(\t(\tO\tO' +p315990 +aS'21\t21\tCD\tB-NP\tO' +p315991 +aS'mmHg\tmmHg\tNN\tI-NP\tO' +p315992 +aS').\t).\t)\tO\tO' +p315993 +asS'He received Lovenox 91 mg SC prior to transport and was transferred to Arbour Hospital for further care .' +p315994 +(lp315995 +S'He\tHe\tPRP\tB-NP\tO' +p315996 +aS'received\treceive\tVBD\tB-VP\tO' +p315997 +aS'Lovenox\tLovenox\tNNP\tB-NP\tO' +p315998 +aS'91\t91\tCD\tI-NP\tO' +p315999 +aS'mg\tmg\tNN\tI-NP\tO' +p316000 +aS'SC\tSC\tNN\tI-NP\tO' +p316001 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p316002 +aS'to\tto\tTO\tB-PP\tO' +p316003 +aS'transport\ttransport\tNN\tB-NP\tO' +p316004 +aS'and\tand\tCC\tO\tO' +p316005 +aS'was\tbe\tVBD\tB-VP\tO' +p316006 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p316007 +aS'to\tto\tTO\tB-PP\tO' +p316008 +aS'Arbour\tArbour\tNNP\tB-NP\tO' +p316009 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p316010 +aS'for\tfor\tIN\tB-PP\tO' +p316011 +aS'further\tfurther\tJJ\tB-NP\tO' +p316012 +aS'care\tcare\tNN\tI-NP\tO' +p316013 +aS'.\t.\t.\tO\tO' +p316014 +asS'She lives with her husband .' +p316015 +(lp316016 +S'She\tShe\tPRP\tB-NP\tO' +p316017 +aS'lives\tlive\tVBZ\tB-VP\tO' +p316018 +aS'with\twith\tIN\tB-PP\tO' +p316019 +aS'her\ther\tPRP$\tB-NP\tO' +p316020 +aS'husband\thusband\tNN\tI-NP\tO' +p316021 +aS'.\t.\t.\tO\tO' +p316022 +asS'The attending was notified as well .' +p316023 +(lp316024 +S'The\tThe\tDT\tB-NP\tO' +p316025 +aS'attending\tattending\tNN\tI-NP\tO' +p316026 +aS'was\tbe\tVBD\tB-VP\tO' +p316027 +aS'notified\tnotify\tVBN\tI-VP\tO' +p316028 +aS'as\tas\tRB\tB-ADVP\tO' +p316029 +aS'well\twell\tRB\tI-ADVP\tO' +p316030 +aS'.\t.\t.\tO\tO' +p316031 +asS'Post EGD his diet was advanced slowly and he did exceptionally well .' +p316032 +(lp316033 +S'Post\tPost\tNNP\tB-NP\tO' +p316034 +aS'EGD\tEGD\tNNP\tI-NP\tO' +p316035 +aS'his\this\tPRP$\tB-NP\tO' +p316036 +aS'diet\tdiet\tNN\tI-NP\tO' +p316037 +aS'was\tbe\tVBD\tB-VP\tO' +p316038 +aS'advanced\tadvance\tVBN\tI-VP\tO' +p316039 +aS'slowly\tslowly\tRB\tB-ADVP\tO' +p316040 +aS'and\tand\tCC\tO\tO' +p316041 +aS'he\the\tPRP\tB-NP\tO' +p316042 +aS'did\tdo\tVBD\tB-VP\tO' +p316043 +aS'exceptionally\texceptionally\tRB\tB-ADVP\tO' +p316044 +aS'well\twell\tRB\tI-ADVP\tO' +p316045 +aS'.\t.\t.\tO\tO' +p316046 +asS'Neuro : reactive to pain , otherwise' +p316047 +(lp316048 +S'Neuro\tNeuro\tNN\tB-NP\tO' +p316049 +aS':\t:\t:\tO\tO' +p316050 +aS'reactive\treactive\tJJ\tB-ADJP\tO' +p316051 +aS'to\tto\tTO\tB-VP\tO' +p316052 +aS'pain\tpain\tVB\tI-VP\tO' +p316053 +aS',\t,\t,\tO\tO' +p316054 +aS'otherwise\totherwise\tRB\tB-ADVP\tO' +p316055 +asS'The patient is able to tolerate po. medicines .' +p316056 +(lp316057 +S'The\tThe\tDT\tB-NP\tO' +p316058 +aS'patient\tpatient\tNN\tI-NP\tO' +p316059 +aS'is\tbe\tVBZ\tB-VP\tO' +p316060 +aS'able\table\tJJ\tB-ADJP\tO' +p316061 +aS'to\tto\tTO\tB-VP\tO' +p316062 +aS'tolerate\ttolerate\tVB\tI-VP\tO' +p316063 +aS'po.\tpo.\tNN\tB-NP\tO' +p316064 +aS'medicines\tmedicine\tNNS\tI-NP\tO' +p316065 +aS'.\t.\t.\tO\tO' +p316066 +asS'G5 , P5 normal Pap smears , sexual active without dyspareunia .' +p316067 +(lp316068 +S'G5\tG5\tNN\tB-NP\tO' +p316069 +aS',\t,\t,\tO\tO' +p316070 +aS'P5\tP5\tNN\tB-NP\tO' +p316071 +aS'normal\tnormal\tJJ\tI-NP\tO' +p316072 +aS'Pap\tPap\tNN\tI-NP\tO' +p316073 +aS'smears\tsmear\tNNS\tI-NP\tO' +p316074 +aS',\t,\t,\tO\tO' +p316075 +aS'sexual\tsexual\tJJ\tB-NP\tO' +p316076 +aS'active\tactive\tJJ\tI-NP\tO' +p316077 +aS'without\twithout\tIN\tB-PP\tO' +p316078 +aS'dyspareunia\tdyspareunia\tNN\tB-NP\tO' +p316079 +aS'.\t.\t.\tO\tO' +p316080 +asS'1 ) GASTROINTESTINAL BLEED .' +p316081 +(lp316082 +S'1\t1\tLS\tB-LST\tO' +p316083 +aS')\t)\t)\tO\tO' +p316084 +aS'GASTROINTESTINAL\tGASTROINTESTINAL\tNN\tB-NP\tO' +p316085 +aS'BLEED\tBLEED\tNN\tI-NP\tO' +p316086 +aS'.\t.\t.\tO\tO' +p316087 +asS'The left sided slowing and voltage reduction surpassed an additional dysfunction on the left side , possibly wide-spread cortical dysfunction .' +p316088 +(lp316089 +S'The\tThe\tDT\tB-NP\tO' +p316090 +aS'left\tleft\tJJ\tI-NP\tO' +p316091 +aS'sided\tsided\tJJ\tI-NP\tO' +p316092 +aS'slowing\tslowing\tNN\tI-NP\tO' +p316093 +aS'and\tand\tCC\tI-NP\tO' +p316094 +aS'voltage\tvoltage\tNN\tI-NP\tO' +p316095 +aS'reduction\treduction\tNN\tI-NP\tO' +p316096 +aS'surpassed\tsurpass\tVBD\tB-VP\tO' +p316097 +aS'an\tan\tDT\tB-NP\tO' +p316098 +aS'additional\tadditional\tJJ\tI-NP\tO' +p316099 +aS'dysfunction\tdysfunction\tNN\tI-NP\tO' +p316100 +aS'on\ton\tIN\tB-PP\tO' +p316101 +aS'the\tthe\tDT\tB-NP\tO' +p316102 +aS'left\tleft\tJJ\tI-NP\tO' +p316103 +aS'side\tside\tNN\tI-NP\tO' +p316104 +aS',\t,\t,\tO\tO' +p316105 +aS'possibly\tpossibly\tRB\tB-NP\tO' +p316106 +aS'wide-spread\twide-spread\tJJ\tI-NP\tO' +p316107 +aS'cortical\tcortical\tJJ\tI-NP\tO' +p316108 +aS'dysfunction\tdysfunction\tNN\tI-NP\tO' +p316109 +aS'.\t.\t.\tO\tO' +p316110 +asS"Dr. Dau 's recommendation is that the patient is to stay on Vancomycin and Levofloxacin for approximately six weeks following discharge and then subsequently on antibiotic regimen for chronic suppression ." +p316111 +(lp316112 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p316113 +aS'Dau\tDau\tNNP\tI-NP\tO' +p316114 +aS"'s\t's\tPOS\tB-NP\tO" +p316115 +aS'recommendation\trecommendation\tNN\tI-NP\tO' +p316116 +aS'is\tbe\tVBZ\tB-VP\tO' +p316117 +aS'that\tthat\tIN\tB-SBAR\tO' +p316118 +aS'the\tthe\tDT\tB-NP\tO' +p316119 +aS'patient\tpatient\tNN\tI-NP\tO' +p316120 +aS'is\tbe\tVBZ\tB-VP\tO' +p316121 +aS'to\tto\tTO\tB-VP\tO' +p316122 +aS'stay\tstay\tVB\tI-VP\tO' +p316123 +aS'on\ton\tIN\tB-PP\tO' +p316124 +aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' +p316125 +aS'and\tand\tCC\tI-NP\tO' +p316126 +aS'Levofloxacin\tLevofloxacin\tNN\tI-NP\tO' +p316127 +aS'for\tfor\tIN\tB-PP\tO' +p316128 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p316129 +aS'six\tsix\tCD\tI-NP\tO' +p316130 +aS'weeks\tweek\tNNS\tI-NP\tO' +p316131 +aS'following\tfollow\tVBG\tB-PP\tO' +p316132 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p316133 +aS'and\tand\tCC\tO\tO' +p316134 +aS'then\tthen\tRB\tB-ADVP\tO' +p316135 +aS'subsequently\tsubsequently\tRB\tI-ADVP\tO' +p316136 +aS'on\ton\tIN\tB-PP\tO' +p316137 +aS'antibiotic\tantibiotic\tJJ\tB-NP\tO' +p316138 +aS'regimen\tregimen\tNN\tI-NP\tO' +p316139 +aS'for\tfor\tIN\tB-PP\tO' +p316140 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p316141 +aS'suppression\tsuppression\tNN\tI-NP\tO' +p316142 +aS'.\t.\t.\tO\tO' +p316143 +asS'This is day 23 of treatment for an approximate six week course .' +p316144 +(lp316145 +S'This\tThis\tDT\tB-NP\tO' +p316146 +aS'is\tbe\tVBZ\tB-VP\tO' +p316147 +aS'day\tday\tNN\tB-NP\tO' +p316148 +aS'23\t23\tCD\tI-NP\tO' +p316149 +aS'of\tof\tIN\tB-PP\tO' +p316150 +aS'treatment\ttreatment\tNN\tB-NP\tO' +p316151 +aS'for\tfor\tIN\tB-PP\tO' +p316152 +aS'an\tan\tDT\tB-NP\tO' +p316153 +aS'approximate\tapproximate\tJJ\tI-NP\tO' +p316154 +aS'six\tsix\tCD\tI-NP\tO' +p316155 +aS'week\tweek\tNN\tI-NP\tO' +p316156 +aS'course\tcourse\tNN\tI-NP\tO' +p316157 +aS'.\t.\t.\tO\tO' +p316158 +asS'She has not required any blood transfusions .' +p316159 +(lp316160 +S'She\tShe\tPRP\tB-NP\tO' +p316161 +aS'has\thave\tVBZ\tB-VP\tO' +p316162 +aS'not\tnot\tRB\tI-VP\tO' +p316163 +aS'required\trequire\tVBN\tI-VP\tO' +p316164 +aS'any\tany\tDT\tB-NP\tO' +p316165 +aS'blood\tblood\tNN\tI-NP\tO' +p316166 +aS'transfusions\ttransfusion\tNNS\tI-NP\tO' +p316167 +aS'.\t.\t.\tO\tO' +p316168 +asS'A panel of serum electrolytes is normal .' +p316169 +(lp316170 +S'A\tA\tDT\tB-NP\tO' +p316171 +aS'panel\tpanel\tNN\tI-NP\tO' +p316172 +aS'of\tof\tIN\tB-PP\tO' +p316173 +aS'serum\tserum\tNN\tB-NP\tO' +p316174 +aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' +p316175 +aS'is\tbe\tVBZ\tB-VP\tO' +p316176 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p316177 +aS'.\t.\t.\tO\tO' +p316178 +asS'He will get 60 of those .' +p316179 +(lp316180 +S'He\tHe\tPRP\tB-NP\tO' +p316181 +aS'will\twill\tMD\tB-VP\tO' +p316182 +aS'get\tget\tVB\tI-VP\tO' +p316183 +aS'60\t60\tCD\tB-NP\tO' +p316184 +aS'of\tof\tIN\tB-PP\tO' +p316185 +aS'those\tthose\tDT\tB-NP\tO' +p316186 +aS'.\t.\t.\tO\tO' +p316187 +asS'Scheduled for 05-21 .' +p316188 +(lp316189 +S'Scheduled\tSchedule\tVBN\tB-VP\tO' +p316190 +aS'for\tfor\tIN\tB-PP\tO' +p316191 +aS'05-21\t05-21\tCD\tB-NP\tO' +p316192 +aS'.\t.\t.\tO\tO' +p316193 +asS'The white blood count is 9.4 , hematocrit 47.1 , and the platelets 253,000 .' +p316194 +(lp316195 +S'The\tThe\tDT\tB-NP\tO' +p316196 +aS'white\twhite\tJJ\tI-NP\tO' +p316197 +aS'blood\tblood\tNN\tI-NP\tO' +p316198 +aS'count\tcount\tNN\tI-NP\tO' +p316199 +aS'is\tbe\tVBZ\tB-VP\tO' +p316200 +aS'9.4\t9.4\tCD\tB-NP\tO' +p316201 +aS',\t,\t,\tO\tO' +p316202 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p316203 +aS'47.1\t47.1\tCD\tI-NP\tI-protein' +p316204 +aS',\t,\t,\tO\tO' +p316205 +aS'and\tand\tCC\tO\tO' +p316206 +aS'the\tthe\tDT\tB-NP\tO' +p316207 +aS'platelets\tplatelet\tNNS\tI-NP\tB-cell_type' +p316208 +aS'253,000\t253,000\tCD\tB-NP\tO' +p316209 +aS'.\t.\t.\tO\tO' +p316210 +asS'Heart was irregular with no murmurs palpated .' +p316211 +(lp316212 +S'Heart\tHeart\tNNP\tB-NP\tO' +p316213 +aS'was\tbe\tVBD\tB-VP\tO' +p316214 +aS'irregular\tirregular\tJJ\tB-ADJP\tO' +p316215 +aS'with\twith\tIN\tB-PP\tO' +p316216 +aS'no\tno\tDT\tB-NP\tO' +p316217 +aS'murmurs\tmurmur\tNNS\tI-NP\tO' +p316218 +aS'palpated\tpalpate\tVBN\tB-VP\tO' +p316219 +aS'.\t.\t.\tO\tO' +p316220 +asS'However , he did have relative pancytopenia following this therapy .' +p316221 +(lp316222 +S'However\tHowever\tRB\tB-ADVP\tO' +p316223 +aS',\t,\t,\tO\tO' +p316224 +aS'he\the\tPRP\tB-NP\tO' +p316225 +aS'did\tdo\tVBD\tB-VP\tO' +p316226 +aS'have\thave\tVB\tI-VP\tO' +p316227 +aS'relative\trelative\tJJ\tB-NP\tO' +p316228 +aS'pancytopenia\tpancytopenia\tNN\tI-NP\tO' +p316229 +aS'following\tfollow\tVBG\tB-PP\tO' +p316230 +aS'this\tthis\tDT\tB-NP\tO' +p316231 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p316232 +aS'.\t.\t.\tO\tO' +p316233 +asS'In October , 1989 , Dr. No re-did her bypass operation .' +p316234 +(lp316235 +S'In\tIn\tIN\tB-PP\tO' +p316236 +aS'October\tOctober\tNNP\tB-NP\tO' +p316237 +aS',\t,\t,\tO\tO' +p316238 +aS'1989\t1989\tCD\tB-NP\tO' +p316239 +aS',\t,\t,\tO\tO' +p316240 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p316241 +aS'No\tNo\tNNP\tI-NP\tO' +p316242 +aS're-did\tre-did\tVBD\tB-VP\tO' +p316243 +aS'her\ther\tPRP$\tB-NP\tO' +p316244 +aS'bypass\tbypass\tNN\tI-NP\tO' +p316245 +aS'operation\toperation\tNN\tI-NP\tO' +p316246 +aS'.\t.\t.\tO\tO' +p316247 +asS'There was trace edema in both lower extremities .' +p316248 +(lp316249 +S'There\tThere\tEX\tB-NP\tO' +p316250 +aS'was\tbe\tVBD\tB-VP\tO' +p316251 +aS'trace\ttrace\tNN\tB-NP\tO' +p316252 +aS'edema\tedema\tNN\tI-NP\tO' +p316253 +aS'in\tin\tIN\tB-PP\tO' +p316254 +aS'both\tboth\tCC\tB-NP\tO' +p316255 +aS'lower\tlow\tJJR\tI-NP\tO' +p316256 +aS'extremities\textremity\tNNS\tI-NP\tO' +p316257 +aS'.\t.\t.\tO\tO' +p316258 +asS'It was difficult to assess free wall motion .' +p316259 +(lp316260 +S'It\tIt\tPRP\tB-NP\tO' +p316261 +aS'was\tbe\tVBD\tB-VP\tO' +p316262 +aS'difficult\tdifficult\tJJ\tB-ADJP\tO' +p316263 +aS'to\tto\tTO\tB-VP\tO' +p316264 +aS'assess\tassess\tVB\tI-VP\tO' +p316265 +aS'free\tfree\tJJ\tB-NP\tO' +p316266 +aS'wall\twall\tNN\tI-NP\tO' +p316267 +aS'motion\tmotion\tNN\tI-NP\tO' +p316268 +aS'.\t.\t.\tO\tO' +p316269 +asS'She has allergies to Morphine , Percocet , Codeine , Penicillin , Xanax and Toradol .' +p316270 +(lp316271 +S'She\tShe\tPRP\tB-NP\tO' +p316272 +aS'has\thave\tVBZ\tB-VP\tO' +p316273 +aS'allergies\tallergy\tNNS\tB-NP\tO' +p316274 +aS'to\tto\tTO\tB-PP\tO' +p316275 +aS'Morphine\tMorphine\tNNP\tB-NP\tO' +p316276 +aS',\t,\t,\tO\tO' +p316277 +aS'Percocet\tPercocet\tNNP\tB-NP\tO' +p316278 +aS',\t,\t,\tO\tO' +p316279 +aS'Codeine\tCodeine\tNNP\tB-NP\tO' +p316280 +aS',\t,\t,\tO\tO' +p316281 +aS'Penicillin\tPenicillin\tNNP\tB-NP\tO' +p316282 +aS',\t,\t,\tO\tO' +p316283 +aS'Xanax\tXanax\tNNP\tB-NP\tO' +p316284 +aS'and\tand\tCC\tO\tO' +p316285 +aS'Toradol\tToradol\tNNP\tB-NP\tO' +p316286 +aS'.\t.\t.\tO\tO' +p316287 +asS'4. Acetaminophen 325 mg Tablet Sig : One ( 1 ) Tablet PO Q4-6H ( every 4 to 6 hours ) as needed .' +p316288 +(lp316289 +S'4.\t4.\tLS\tB-NP\tO' +p316290 +aS'Acetaminophen\tAcetaminophen\tNN\tI-NP\tO' +p316291 +aS'325\t325\tCD\tI-NP\tO' +p316292 +aS'mg\tmg\tNN\tI-NP\tO' +p316293 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p316294 +aS'Sig\tSig\tNNP\tI-NP\tO' +p316295 +aS':\t:\t:\tO\tO' +p316296 +aS'One\tOne\tCD\tB-NP\tO' +p316297 +aS'(\t(\t(\tO\tO' +p316298 +aS'1\t1\tCD\tB-NP\tO' +p316299 +aS')\t)\t)\tO\tO' +p316300 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p316301 +aS'PO\tPO\tNN\tI-NP\tO' +p316302 +aS'Q4-6H\tQ4-6H\tNN\tI-NP\tO' +p316303 +aS'(\t(\t(\tO\tO' +p316304 +aS'every\tevery\tDT\tB-NP\tO' +p316305 +aS'4\t4\tCD\tI-NP\tO' +p316306 +aS'to\tto\tTO\tI-NP\tO' +p316307 +aS'6\t6\tCD\tI-NP\tO' +p316308 +aS'hours\thour\tNNS\tI-NP\tO' +p316309 +aS')\t)\t)\tO\tO' +p316310 +aS'as\tas\tIN\tB-SBAR\tO' +p316311 +aS'needed\tneed\tVBN\tB-VP\tO' +p316312 +aS'.\t.\t.\tO\tO' +p316313 +asS'The electrocardiogram showed atrial fibrillation with slow ventricular response and digitalis effect as well as left ventricular hypertrophy .' +p316314 +(lp316315 +S'The\tThe\tDT\tB-NP\tO' +p316316 +aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' +p316317 +aS'showed\tshow\tVBD\tB-VP\tO' +p316318 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p316319 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p316320 +aS'with\twith\tIN\tB-PP\tO' +p316321 +aS'slow\tslow\tJJ\tB-NP\tO' +p316322 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p316323 +aS'response\tresponse\tNN\tI-NP\tO' +p316324 +aS'and\tand\tCC\tI-NP\tO' +p316325 +aS'digitalis\tdigitalis\tNN\tI-NP\tO' +p316326 +aS'effect\teffect\tNN\tI-NP\tO' +p316327 +aS'as\tas\tRB\tB-CONJP\tO' +p316328 +aS'well\twell\tRB\tI-CONJP\tO' +p316329 +aS'as\tas\tIN\tI-CONJP\tO' +p316330 +aS'left\tleft\tJJ\tB-NP\tO' +p316331 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p316332 +aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' +p316333 +aS'.\t.\t.\tO\tO' +p316334 +asS'Psychiatry was consulted after the patient was extubated , and felt that patient had a high suicide risk , and plan was for her to be admitted to the Psychiatry service once medically stable .' +p316335 +(lp316336 +S'Psychiatry\tPsychiatry\tNN\tB-NP\tO' +p316337 +aS'was\tbe\tVBD\tB-VP\tO' +p316338 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p316339 +aS'after\tafter\tIN\tB-PP\tO' +p316340 +aS'the\tthe\tDT\tB-NP\tO' +p316341 +aS'patient\tpatient\tNN\tI-NP\tO' +p316342 +aS'was\tbe\tVBD\tB-VP\tO' +p316343 +aS'extubated\textubate\tVBN\tI-VP\tO' +p316344 +aS',\t,\t,\tO\tO' +p316345 +aS'and\tand\tCC\tO\tO' +p316346 +aS'felt\tfeel\tVBD\tB-VP\tO' +p316347 +aS'that\tthat\tIN\tB-SBAR\tO' +p316348 +aS'patient\tpatient\tNN\tB-NP\tO' +p316349 +aS'had\thave\tVBD\tB-VP\tO' +p316350 +aS'a\ta\tDT\tB-NP\tO' +p316351 +aS'high\thigh\tJJ\tI-NP\tO' +p316352 +aS'suicide\tsuicide\tNN\tI-NP\tO' +p316353 +aS'risk\trisk\tNN\tI-NP\tO' +p316354 +aS',\t,\t,\tO\tO' +p316355 +aS'and\tand\tCC\tO\tO' +p316356 +aS'plan\tplan\tNN\tB-NP\tO' +p316357 +aS'was\tbe\tVBD\tB-VP\tO' +p316358 +aS'for\tfor\tIN\tB-SBAR\tO' +p316359 +aS'her\ther\tPRP\tB-NP\tO' +p316360 +aS'to\tto\tTO\tB-VP\tO' +p316361 +aS'be\tbe\tVB\tI-VP\tO' +p316362 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p316363 +aS'to\tto\tTO\tB-PP\tO' +p316364 +aS'the\tthe\tDT\tB-NP\tO' +p316365 +aS'Psychiatry\tPsychiatry\tNN\tI-NP\tO' +p316366 +aS'service\tservice\tNN\tI-NP\tO' +p316367 +aS'once\tonce\tRB\tB-ADJP\tO' +p316368 +aS'medically\tmedically\tRB\tI-ADJP\tO' +p316369 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p316370 +aS'.\t.\t.\tO\tO' +p316371 +asS'Anicteric .' +p316372 +(lp316373 +S'Anicteric\tAnicteric\tJJ\tB-ADJP\tO' +p316374 +aS'.\t.\t.\tO\tO' +p316375 +asS'The patient was also seen by physical and occupational therapy during his postoperative course and they recommended that he go to a rehabilitation facility for his recovery .' +p316376 +(lp316377 +S'The\tThe\tDT\tB-NP\tO' +p316378 +aS'patient\tpatient\tNN\tI-NP\tO' +p316379 +aS'was\tbe\tVBD\tB-VP\tO' +p316380 +aS'also\talso\tRB\tI-VP\tO' +p316381 +aS'seen\tsee\tVBN\tI-VP\tO' +p316382 +aS'by\tby\tIN\tB-PP\tO' +p316383 +aS'physical\tphysical\tJJ\tB-NP\tO' +p316384 +aS'and\tand\tCC\tI-NP\tO' +p316385 +aS'occupational\toccupational\tJJ\tI-NP\tO' +p316386 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p316387 +aS'during\tduring\tIN\tB-PP\tO' +p316388 +aS'his\this\tPRP$\tB-NP\tO' +p316389 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p316390 +aS'course\tcourse\tNN\tI-NP\tO' +p316391 +aS'and\tand\tCC\tO\tO' +p316392 +aS'they\tthey\tPRP\tB-NP\tO' +p316393 +aS'recommended\trecommend\tVBD\tB-VP\tO' +p316394 +aS'that\tthat\tIN\tB-SBAR\tO' +p316395 +aS'he\the\tPRP\tB-NP\tO' +p316396 +aS'go\tgo\tVB\tB-VP\tO' +p316397 +aS'to\tto\tTO\tB-PP\tO' +p316398 +aS'a\ta\tDT\tB-NP\tO' +p316399 +aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' +p316400 +aS'facility\tfacility\tNN\tI-NP\tO' +p316401 +aS'for\tfor\tIN\tB-PP\tO' +p316402 +aS'his\this\tPRP$\tB-NP\tO' +p316403 +aS'recovery\trecovery\tNN\tI-NP\tO' +p316404 +aS'.\t.\t.\tO\tO' +p316405 +asS'Abdomen reveals positive bowel sounds , soft , nontender , nondistended .' +p316406 +(lp316407 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p316408 +aS'reveals\treveal\tVBZ\tB-VP\tO' +p316409 +aS'positive\tpositive\tJJ\tB-NP\tO' +p316410 +aS'bowel\tbowel\tNN\tI-NP\tO' +p316411 +aS'sounds\tsound\tNNS\tI-NP\tO' +p316412 +aS',\t,\t,\tO\tO' +p316413 +aS'soft\tsoft\tJJ\tB-NP\tO' +p316414 +aS',\t,\t,\tI-NP\tO' +p316415 +aS'nontender\tnontender\tJJ\tI-NP\tO' +p316416 +aS',\t,\t,\tI-NP\tO' +p316417 +aS'nondistended\tnondistended\tJJ\tI-NP\tO' +p316418 +aS'.\t.\t.\tO\tO' +p316419 +asS'Left ankle was notable for swelling secondary to status post left ankle surgery .' +p316420 +(lp316421 +S'Left\tLeave\tVBN\tB-NP\tO' +p316422 +aS'ankle\tankle\tNN\tI-NP\tO' +p316423 +aS'was\tbe\tVBD\tB-VP\tO' +p316424 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p316425 +aS'for\tfor\tIN\tB-PP\tO' +p316426 +aS'swelling\tswell\tVBG\tB-VP\tO' +p316427 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p316428 +aS'to\tto\tTO\tB-PP\tO' +p316429 +aS'status\tstatus\tNN\tB-NP\tO' +p316430 +aS'post\tpost\tNN\tI-NP\tO' +p316431 +aS'left\tleave\tVBD\tB-VP\tO' +p316432 +aS'ankle\tankle\tDT\tB-NP\tO' +p316433 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p316434 +aS'.\t.\t.\tO\tO' +p316435 +asS'The chest X-ray showed borderline cardiomegaly but no acute cardiac or pulmonary disease .' +p316436 +(lp316437 +S'The\tThe\tDT\tB-NP\tO' +p316438 +aS'chest\tchest\tNN\tI-NP\tO' +p316439 +aS'X-ray\tX-ray\tNN\tI-NP\tO' +p316440 +aS'showed\tshow\tVBD\tB-VP\tO' +p316441 +aS'borderline\tborderline\tJJ\tB-NP\tO' +p316442 +aS'cardiomegaly\tcardiomegaly\tNN\tI-NP\tO' +p316443 +aS'but\tbut\tCC\tO\tO' +p316444 +aS'no\tno\tDT\tB-NP\tO' +p316445 +aS'acute\tacute\tJJ\tI-NP\tO' +p316446 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p316447 +aS'or\tor\tCC\tI-NP\tO' +p316448 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p316449 +aS'disease\tdisease\tNN\tI-NP\tO' +p316450 +aS'.\t.\t.\tO\tO' +p316451 +asS'Her respirations are comfortable .' +p316452 +(lp316453 +S'Her\tHer\tPRP$\tB-NP\tO' +p316454 +aS'respirations\trespiration\tNNS\tI-NP\tO' +p316455 +aS'are\tbe\tVBP\tB-VP\tO' +p316456 +aS'comfortable\tcomfortable\tJJ\tB-ADJP\tO' +p316457 +aS'.\t.\t.\tO\tO' +p316458 +asS'The patient is a 78-year-old female who has had osteoarthritis and noted the sudden onset of left knee pain in 09/89 .' +p316459 +(lp316460 +S'The\tThe\tDT\tB-NP\tO' +p316461 +aS'patient\tpatient\tNN\tI-NP\tO' +p316462 +aS'is\tbe\tVBZ\tB-VP\tO' +p316463 +aS'a\ta\tDT\tB-NP\tO' +p316464 +aS'78-year-old\t78-year-old\tJJ\tI-NP\tO' +p316465 +aS'female\tfemale\tNN\tI-NP\tO' +p316466 +aS'who\twho\tWP\tB-NP\tO' +p316467 +aS'has\thave\tVBZ\tB-VP\tO' +p316468 +aS'had\thave\tVBN\tI-VP\tO' +p316469 +aS'osteoarthritis\tosteoarthritis\tNN\tB-NP\tO' +p316470 +aS'and\tand\tCC\tO\tO' +p316471 +aS'noted\tnote\tVBD\tB-VP\tO' +p316472 +aS'the\tthe\tDT\tB-NP\tO' +p316473 +aS'sudden\tsudden\tJJ\tI-NP\tO' +p316474 +aS'onset\tonset\tNN\tI-NP\tO' +p316475 +aS'of\tof\tIN\tB-PP\tO' +p316476 +aS'left\tleft\tJJ\tB-NP\tB-protein' +p316477 +aS'knee\tknee\tNN\tI-NP\tI-protein' +p316478 +aS'pain\tpain\tNN\tI-NP\tI-protein' +p316479 +aS'in\tin\tIN\tB-PP\tO' +p316480 +aS'09/89\t09/89\tCD\tB-NP\tO' +p316481 +aS'.\t.\t.\tO\tO' +p316482 +asS'1. Levofloxacin 250 mg q. day for ten days .' +p316483 +(lp316484 +S'1.\t1.\tLS\tB-LST\tO' +p316485 +aS'Levofloxacin\tLevofloxacin\tNN\tB-NP\tO' +p316486 +aS'250\t250\tCD\tI-NP\tO' +p316487 +aS'mg\tmg\tNN\tI-NP\tO' +p316488 +aS'q.\tq.\tNN\tI-NP\tO' +p316489 +aS'day\tday\tNN\tI-NP\tO' +p316490 +aS'for\tfor\tIN\tB-PP\tO' +p316491 +aS'ten\tten\tCD\tB-NP\tO' +p316492 +aS'days\tday\tNNS\tI-NP\tO' +p316493 +aS'.\t.\t.\tO\tO' +p316494 +asS'The patient has never been married and has no children .' +p316495 +(lp316496 +S'The\tThe\tDT\tB-NP\tO' +p316497 +aS'patient\tpatient\tNN\tI-NP\tO' +p316498 +aS'has\thave\tVBZ\tB-VP\tO' +p316499 +aS'never\tnever\tRB\tI-VP\tO' +p316500 +aS'been\tbe\tVBN\tI-VP\tO' +p316501 +aS'married\tmarry\tVBN\tI-VP\tO' +p316502 +aS'and\tand\tCC\tO\tO' +p316503 +aS'has\thave\tVBZ\tB-VP\tO' +p316504 +aS'no\tno\tDT\tB-NP\tO' +p316505 +aS'children\tchild\tNNS\tI-NP\tO' +p316506 +aS'.\t.\t.\tO\tO' +p316507 +asS'The urine contained yeast and she was treated with amphotericin .' +p316508 +(lp316509 +S'The\tThe\tDT\tB-NP\tO' +p316510 +aS'urine\turine\tNN\tI-NP\tO' +p316511 +aS'contained\tcontain\tVBD\tB-VP\tO' +p316512 +aS'yeast\tyeast\tNN\tB-NP\tO' +p316513 +aS'and\tand\tCC\tO\tO' +p316514 +aS'she\tshe\tPRP\tB-NP\tO' +p316515 +aS'was\tbe\tVBD\tB-VP\tO' +p316516 +aS'treated\ttreat\tVBN\tI-VP\tO' +p316517 +aS'with\twith\tIN\tB-PP\tO' +p316518 +aS'amphotericin\tamphotericin\tNN\tB-NP\tO' +p316519 +aS'.\t.\t.\tO\tO' +p316520 +asS'12. Ritalin 5 mg Tablet Sig : see below Tablet PO see below : 1.5 tablets at 10 am ( 7.5 mg ) , 1 tablet 2 pm ( 5 mg ) .' +p316521 +(lp316522 +S'12.\t12.\tCD\tB-NP\tO' +p316523 +aS'Ritalin\tRitalin\tNN\tI-NP\tO' +p316524 +aS'5\t5\tCD\tB-NP\tO' +p316525 +aS'mg\tmg\tNN\tI-NP\tO' +p316526 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p316527 +aS'Sig\tSig\tNNP\tI-NP\tO' +p316528 +aS':\t:\t:\tO\tO' +p316529 +aS'see\tsee\tVB\tB-VP\tO' +p316530 +aS'below\tbelow\tIN\tB-PP\tO' +p316531 +aS'Tablet\tTablet\tNNP\tB-NP\tB-protein' +p316532 +aS'PO\tPO\tNNP\tI-NP\tI-protein' +p316533 +aS'see\tsee\tVBP\tB-VP\tO' +p316534 +aS'below\tbelow\tIN\tB-PP\tO' +p316535 +aS':\t:\t:\tO\tO' +p316536 +aS'1.5\t1.5\tCD\tB-NP\tO' +p316537 +aS'tablets\ttablet\tNNS\tI-NP\tO' +p316538 +aS'at\tat\tIN\tB-PP\tO' +p316539 +aS'10\t10\tCD\tB-NP\tO' +p316540 +aS'am\tam\tNN\tI-NP\tO' +p316541 +aS'(\t(\t(\tO\tO' +p316542 +aS'7.5\t7.5\tCD\tB-NP\tO' +p316543 +aS'mg\tmg\tNN\tI-NP\tO' +p316544 +aS')\t)\t)\tO\tO' +p316545 +aS',\t,\t,\tO\tO' +p316546 +aS'1\t1\tCD\tB-NP\tO' +p316547 +aS'tablet\ttablet\tNN\tI-NP\tO' +p316548 +aS'2\t2\tCD\tB-NP\tO' +p316549 +aS'pm\tpm\tNN\tI-NP\tO' +p316550 +aS'(\t(\t(\tO\tO' +p316551 +aS'5\t5\tCD\tB-NP\tO' +p316552 +aS'mg\tmg\tNN\tI-NP\tO' +p316553 +aS')\t)\t)\tO\tO' +p316554 +aS'.\t.\t.\tO\tO' +p316555 +asS'It was discussed with the patient to send him out on Augmentin 500 mg three times a day for ten more days .' +p316556 +(lp316557 +S'It\tIt\tPRP\tB-NP\tO' +p316558 +aS'was\tbe\tVBD\tB-VP\tO' +p316559 +aS'discussed\tdiscuss\tVBN\tI-VP\tO' +p316560 +aS'with\twith\tIN\tB-PP\tO' +p316561 +aS'the\tthe\tDT\tB-NP\tO' +p316562 +aS'patient\tpatient\tNN\tI-NP\tO' +p316563 +aS'to\tto\tTO\tB-VP\tO' +p316564 +aS'send\tsend\tVB\tI-VP\tO' +p316565 +aS'him\thim\tPRP\tB-NP\tO' +p316566 +aS'out\tout\tRP\tB-PRT\tO' +p316567 +aS'on\ton\tIN\tB-PP\tO' +p316568 +aS'Augmentin\tAugmentin\tNNP\tB-NP\tO' +p316569 +aS'500\t500\tCD\tI-NP\tO' +p316570 +aS'mg\tmg\tNN\tI-NP\tO' +p316571 +aS'three\tthree\tCD\tB-NP\tO' +p316572 +aS'times\ttime\tNNS\tI-NP\tO' +p316573 +aS'a\ta\tDT\tB-NP\tO' +p316574 +aS'day\tday\tNN\tI-NP\tO' +p316575 +aS'for\tfor\tIN\tB-PP\tO' +p316576 +aS'ten\tten\tCD\tB-NP\tO' +p316577 +aS'more\tmore\tJJR\tI-NP\tO' +p316578 +aS'days\tday\tNNS\tI-NP\tO' +p316579 +aS'.\t.\t.\tO\tO' +p316580 +asS'12 ) Bactrim Double Strength one tablet p.o. q.o.d.' +p316581 +(lp316582 +S'12\t12\tCD\tB-NP\tO' +p316583 +aS')\t)\t)\tO\tO' +p316584 +aS'Bactrim\tBactrim\tNNP\tB-NP\tO' +p316585 +aS'Double\tDouble\tNNP\tI-NP\tO' +p316586 +aS'Strength\tStrength\tNNP\tI-NP\tO' +p316587 +aS'one\tone\tCD\tI-NP\tO' +p316588 +aS'tablet\ttablet\tNN\tI-NP\tO' +p316589 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p316590 +aS'q.o.d.\tq.o.d.\tNN\tI-NP\tO' +p316591 +asS'She was guaiac negative and the Hemophilus panel was negative .' +p316592 +(lp316593 +S'She\tShe\tPRP\tB-NP\tO' +p316594 +aS'was\tbe\tVBD\tB-VP\tO' +p316595 +aS'guaiac\tguaiac\tJJ\tB-NP\tO' +p316596 +aS'negative\tnegative\tJJ\tI-NP\tO' +p316597 +aS'and\tand\tCC\tO\tO' +p316598 +aS'the\tthe\tDT\tB-NP\tO' +p316599 +aS'Hemophilus\tHemophilus\tNN\tI-NP\tO' +p316600 +aS'panel\tpanel\tNN\tI-NP\tO' +p316601 +aS'was\tbe\tVBD\tB-VP\tO' +p316602 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p316603 +aS'.\t.\t.\tO\tO' +p316604 +asS'On postoperative day number five , the patient felt fine and had an INR of 1.9 with a prothrombin time of 16.6 .' +p316605 +(lp316606 +S'On\tOn\tIN\tB-PP\tO' +p316607 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p316608 +aS'day\tday\tNN\tI-NP\tO' +p316609 +aS'number\tnumber\tNN\tI-NP\tO' +p316610 +aS'five\tfive\tCD\tB-NP\tO' +p316611 +aS',\t,\t,\tO\tO' +p316612 +aS'the\tthe\tDT\tB-NP\tO' +p316613 +aS'patient\tpatient\tNN\tI-NP\tO' +p316614 +aS'felt\tfeel\tVBD\tB-VP\tO' +p316615 +aS'fine\tfine\tJJ\tB-ADJP\tO' +p316616 +aS'and\tand\tCC\tO\tO' +p316617 +aS'had\thave\tVBD\tB-VP\tO' +p316618 +aS'an\tan\tDT\tB-NP\tO' +p316619 +aS'INR\tINR\tNN\tI-NP\tB-protein' +p316620 +aS'of\tof\tIN\tB-PP\tO' +p316621 +aS'1.9\t1.9\tCD\tB-NP\tO' +p316622 +aS'with\twith\tIN\tB-PP\tO' +p316623 +aS'a\ta\tDT\tB-NP\tO' +p316624 +aS'prothrombin\tprothrombin\tNN\tI-NP\tO' +p316625 +aS'time\ttime\tNN\tI-NP\tO' +p316626 +aS'of\tof\tIN\tB-PP\tO' +p316627 +aS'16.6\t16.6\tCD\tB-NP\tO' +p316628 +aS'.\t.\t.\tO\tO' +p316629 +asS'Vasotec 40 mg q.day , Soma 1 tablet q.day , Demerolprn , Clonidine .' +p316630 +(lp316631 +S'Vasotec\tVasotec\tNNP\tB-NP\tO' +p316632 +aS'40\t40\tCD\tI-NP\tO' +p316633 +aS'mg\tmg\tNN\tI-NP\tO' +p316634 +aS'q.day\tq.day\tNN\tI-NP\tO' +p316635 +aS',\t,\t,\tO\tO' +p316636 +aS'Soma\tSoma\tNN\tB-NP\tB-protein' +p316637 +aS'1\t1\tCD\tI-NP\tI-protein' +p316638 +aS'tablet\ttablet\tNN\tI-NP\tO' +p316639 +aS'q.day\tq.day\tNN\tI-NP\tO' +p316640 +aS',\t,\t,\tO\tO' +p316641 +aS'Demerolprn\tDemerolprn\tNN\tB-NP\tO' +p316642 +aS',\t,\t,\tO\tO' +p316643 +aS'Clonidine\tClonidine\tNN\tB-NP\tO' +p316644 +aS'.\t.\t.\tO\tO' +p316645 +asS'His weight is 3.160 kilograms ( 7 pounds 3 ounces ) at birth .' +p316646 +(lp316647 +S'His\tHis\tPRP$\tB-NP\tO' +p316648 +aS'weight\tweight\tNN\tI-NP\tO' +p316649 +aS'is\tbe\tVBZ\tB-VP\tO' +p316650 +aS'3.160\t3.160\tCD\tB-NP\tO' +p316651 +aS'kilograms\tkilogram\tNNS\tI-NP\tO' +p316652 +aS'(\t(\t(\tO\tO' +p316653 +aS'7\t7\tCD\tB-NP\tO' +p316654 +aS'pounds\tpound\tNNS\tI-NP\tO' +p316655 +aS'3\t3\tCD\tB-NP\tO' +p316656 +aS'ounces\tounce\tNNS\tI-NP\tO' +p316657 +aS')\t)\t)\tO\tO' +p316658 +aS'at\tat\tIN\tB-PP\tO' +p316659 +aS'birth\tbirth\tNN\tB-NP\tO' +p316660 +aS'.\t.\t.\tO\tO' +p316661 +asS'The patient was started on Lopressor 75 mg p.o. twice a day with good control with a heart rate of 50s to 60s .' +p316662 +(lp316663 +S'The\tThe\tDT\tB-NP\tO' +p316664 +aS'patient\tpatient\tNN\tI-NP\tO' +p316665 +aS'was\tbe\tVBD\tB-VP\tO' +p316666 +aS'started\tstart\tVBN\tI-VP\tO' +p316667 +aS'on\ton\tIN\tB-PP\tO' +p316668 +aS'Lopressor\tLopressor\tNN\tB-NP\tO' +p316669 +aS'75\t75\tCD\tI-NP\tO' +p316670 +aS'mg\tmg\tNN\tI-NP\tO' +p316671 +aS'p.o.\tp.o.\tRB\tB-NP\tO' +p316672 +aS'twice\ttwice\tRB\tI-NP\tO' +p316673 +aS'a\ta\tDT\tI-NP\tO' +p316674 +aS'day\tday\tNN\tI-NP\tO' +p316675 +aS'with\twith\tIN\tB-PP\tO' +p316676 +aS'good\tgood\tJJ\tB-NP\tO' +p316677 +aS'control\tcontrol\tNN\tI-NP\tO' +p316678 +aS'with\twith\tIN\tB-PP\tO' +p316679 +aS'a\ta\tDT\tB-NP\tO' +p316680 +aS'heart\theart\tNN\tI-NP\tO' +p316681 +aS'rate\trate\tNN\tI-NP\tO' +p316682 +aS'of\tof\tIN\tB-PP\tO' +p316683 +aS'50s\t50s\tCD\tB-NP\tO' +p316684 +aS'to\tto\tTO\tB-PP\tO' +p316685 +aS'60s\t60\tNNS\tB-NP\tO' +p316686 +aS'.\t.\t.\tO\tO' +p316687 +asS'Abdomen - Obese .' +p316688 +(lp316689 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p316690 +aS'-\t-\t:\tO\tO' +p316691 +aS'Obese\tObese\tJJ\tB-ADJP\tO' +p316692 +aS'.\t.\t.\tO\tO' +p316693 +asS'This was discussed with Dr. Jason Long at approximately 6:30 p.m. , 2013-05-23 .' +p316694 +(lp316695 +S'This\tThis\tDT\tB-NP\tO' +p316696 +aS'was\tbe\tVBD\tB-VP\tO' +p316697 +aS'discussed\tdiscuss\tVBN\tI-VP\tO' +p316698 +aS'with\twith\tIN\tB-PP\tO' +p316699 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p316700 +aS'Jason\tJason\tNNP\tI-NP\tO' +p316701 +aS'Long\tLong\tNNP\tI-NP\tO' +p316702 +aS'at\tat\tIN\tB-PP\tO' +p316703 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p316704 +aS'6:30\t6:30\tCD\tI-NP\tO' +p316705 +aS'p.m.\tp.m.\tRB\tB-ADVP\tO' +p316706 +aS',\t,\t,\tO\tO' +p316707 +aS'2013-05-23\t2013-05-23\tCD\tB-NP\tO' +p316708 +aS'.\t.\t.\tO\tO' +p316709 +asS'Reviewed By : Mavis W. Mobley, M.D.' +p316710 +(lp316711 +S'Reviewed\tReview\tVBN\tB-VP\tO' +p316712 +aS'By\tBy\tIN\tB-PP\tO' +p316713 +aS':\t:\t:\tO\tO' +p316714 +aS'Mavis\tMavis\tNNP\tB-NP\tO' +p316715 +aS'W.\tW.\tNNP\tI-NP\tO' +p316716 +aS'Mobley,\tMobley,\tNNP\tI-NP\tO' +p316717 +aS'M.D.\tM.D.\tNNP\tI-NP\tO' +p316718 +asS'On postoperative day 3 , an additional attempt was made to wean the patient from his Neo-Synephrine unsuccessfully .' +p316719 +(lp316720 +S'On\tOn\tIN\tB-PP\tO' +p316721 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p316722 +aS'day\tday\tNN\tI-NP\tO' +p316723 +aS'3\t3\tCD\tI-NP\tO' +p316724 +aS',\t,\t,\tO\tO' +p316725 +aS'an\tan\tDT\tB-NP\tO' +p316726 +aS'additional\tadditional\tJJ\tI-NP\tO' +p316727 +aS'attempt\tattempt\tNN\tI-NP\tO' +p316728 +aS'was\tbe\tVBD\tB-VP\tO' +p316729 +aS'made\tmake\tVBN\tI-VP\tO' +p316730 +aS'to\tto\tTO\tB-VP\tO' +p316731 +aS'wean\twean\tVB\tI-VP\tO' +p316732 +aS'the\tthe\tDT\tB-NP\tO' +p316733 +aS'patient\tpatient\tNN\tI-NP\tO' +p316734 +aS'from\tfrom\tIN\tB-PP\tO' +p316735 +aS'his\this\tPRP$\tB-NP\tO' +p316736 +aS'Neo-Synephrine\tNeo-Synephrine\tNN\tI-NP\tO' +p316737 +aS'unsuccessfully\tunsuccessfully\tRB\tB-ADVP\tO' +p316738 +aS'.\t.\t.\tO\tO' +p316739 +asS'Suck , root , gag , grasp , and morrow were normal .' +p316740 +(lp316741 +S'Suck\tSuck\tNN\tB-NP\tO' +p316742 +aS',\t,\t,\tO\tO' +p316743 +aS'root\troot\tNN\tB-NP\tO' +p316744 +aS',\t,\t,\tO\tO' +p316745 +aS'gag\tgag\tNN\tB-NP\tO' +p316746 +aS',\t,\t,\tO\tO' +p316747 +aS'grasp\tgrasp\tNN\tB-NP\tO' +p316748 +aS',\t,\t,\tO\tO' +p316749 +aS'and\tand\tCC\tO\tO' +p316750 +aS'morrow\tmorrow\tNN\tB-NP\tO' +p316751 +aS'were\tbe\tVBD\tB-VP\tO' +p316752 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p316753 +aS'.\t.\t.\tO\tO' +p316754 +asS'The patient was taken to the operating room on 1/5/97 .' +p316755 +(lp316756 +S'The\tThe\tDT\tB-NP\tO' +p316757 +aS'patient\tpatient\tNN\tI-NP\tO' +p316758 +aS'was\tbe\tVBD\tB-VP\tO' +p316759 +aS'taken\ttake\tVBN\tI-VP\tO' +p316760 +aS'to\tto\tTO\tB-PP\tO' +p316761 +aS'the\tthe\tDT\tB-NP\tO' +p316762 +aS'operating\toperating\tNN\tI-NP\tO' +p316763 +aS'room\troom\tNN\tI-NP\tO' +p316764 +aS'on\ton\tIN\tB-PP\tO' +p316765 +aS'1/5/97\t1/5/97\tCD\tB-NP\tO' +p316766 +aS'.\t.\t.\tO\tO' +p316767 +asS'Both of these etiologies were treated , and he continued to oxygenate and ventilate well on his usual ventilator settings .' +p316768 +(lp316769 +S'Both\tBoth\tDT\tB-NP\tO' +p316770 +aS'of\tof\tIN\tB-PP\tO' +p316771 +aS'these\tthese\tDT\tB-NP\tO' +p316772 +aS'etiologies\tetiology\tNNS\tI-NP\tO' +p316773 +aS'were\tbe\tVBD\tB-VP\tO' +p316774 +aS'treated\ttreat\tVBN\tI-VP\tO' +p316775 +aS',\t,\t,\tO\tO' +p316776 +aS'and\tand\tCC\tO\tO' +p316777 +aS'he\the\tPRP\tB-NP\tO' +p316778 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p316779 +aS'to\tto\tTO\tI-VP\tO' +p316780 +aS'oxygenate\toxygenate\tVB\tI-VP\tO' +p316781 +aS'and\tand\tCC\tI-VP\tO' +p316782 +aS'ventilate\tventilate\tVB\tI-VP\tO' +p316783 +aS'well\twell\tRB\tB-ADVP\tO' +p316784 +aS'on\ton\tIN\tB-PP\tO' +p316785 +aS'his\this\tPRP$\tB-NP\tO' +p316786 +aS'usual\tusual\tJJ\tI-NP\tO' +p316787 +aS'ventilator\tventilator\tNN\tI-NP\tO' +p316788 +aS'settings\tsetting\tNNS\tI-NP\tO' +p316789 +aS'.\t.\t.\tO\tO' +p316790 +asS'Transferred to Mediplex Rehab Hospital ICU where Hct has remained stable .' +p316791 +(lp316792 +S'Transferred\tTransfer\tVBN\tB-VP\tO' +p316793 +aS'to\tto\tTO\tB-PP\tO' +p316794 +aS'Mediplex\tMediplex\tNNP\tB-NP\tO' +p316795 +aS'Rehab\tRehab\tNNP\tI-NP\tO' +p316796 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p316797 +aS'ICU\tICU\tNNP\tI-NP\tO' +p316798 +aS'where\twhere\tWRB\tB-ADVP\tO' +p316799 +aS'Hct\tHct\tNNP\tB-NP\tO' +p316800 +aS'has\thave\tVBZ\tB-VP\tO' +p316801 +aS'remained\tremain\tVBN\tI-VP\tO' +p316802 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p316803 +aS'.\t.\t.\tO\tO' +p316804 +asS'The saphenous vein to the high diagonal or high obtuse marginal was occluded .' +p316805 +(lp316806 +S'The\tThe\tDT\tB-NP\tO' +p316807 +aS'saphenous\tsaphenous\tJJ\tI-NP\tO' +p316808 +aS'vein\tvein\tNN\tI-NP\tO' +p316809 +aS'to\tto\tTO\tB-PP\tO' +p316810 +aS'the\tthe\tDT\tB-NP\tO' +p316811 +aS'high\thigh\tJJ\tI-NP\tO' +p316812 +aS'diagonal\tdiagonal\tJJ\tI-NP\tO' +p316813 +aS'or\tor\tCC\tI-NP\tO' +p316814 +aS'high\thigh\tJJ\tI-NP\tO' +p316815 +aS'obtuse\tobtuse\tNN\tI-NP\tO' +p316816 +aS'marginal\tmarginal\tNN\tI-NP\tO' +p316817 +aS'was\tbe\tVBD\tB-VP\tO' +p316818 +aS'occluded\tocclude\tVBN\tI-VP\tO' +p316819 +aS'.\t.\t.\tO\tO' +p316820 +asS'CBC : White blood cell count is 8.8 , hematocrit 35.5 platelets 266 , PT 13 , PT-T 23.3 , INR was 1.1 .' +p316821 +(lp316822 +S'CBC\tCBC\tNN\tB-NP\tB-protein' +p316823 +aS':\t:\t:\tO\tO' +p316824 +aS'White\tWhite\tJJ\tB-NP\tO' +p316825 +aS'blood\tblood\tNN\tI-NP\tO' +p316826 +aS'cell\tcell\tNN\tI-NP\tO' +p316827 +aS'count\tcount\tNN\tI-NP\tO' +p316828 +aS'is\tbe\tVBZ\tB-VP\tO' +p316829 +aS'8.8\t8.8\tCD\tB-NP\tO' +p316830 +aS',\t,\t,\tO\tO' +p316831 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p316832 +aS'35.5\t35.5\tCD\tB-NP\tI-protein' +p316833 +aS'platelets\tplatelet\tNNS\tI-NP\tI-protein' +p316834 +aS'266\t266\tCD\tB-NP\tI-protein' +p316835 +aS',\t,\t,\tO\tO' +p316836 +aS'PT\tPT\tNN\tB-NP\tB-protein' +p316837 +aS'13\t13\tCD\tI-NP\tI-protein' +p316838 +aS',\t,\t,\tO\tO' +p316839 +aS'PT-T\tPT-T\tNN\tB-NP\tB-protein' +p316840 +aS'23.3\t23.3\tCD\tI-NP\tI-protein' +p316841 +aS',\t,\t,\tO\tO' +p316842 +aS'INR\tINR\tNN\tB-NP\tB-protein' +p316843 +aS'was\tbe\tVBD\tB-VP\tO' +p316844 +aS'1.1\t1.1\tCD\tB-NP\tO' +p316845 +aS'.\t.\t.\tO\tO' +p316846 +asS'He has has stable , mild angina , subsequently , mostly in the setting of stress .' +p316847 +(lp316848 +S'He\tHe\tPRP\tB-NP\tO' +p316849 +aS'has\thave\tVBZ\tB-VP\tO' +p316850 +aS'has\thave\tVBZ\tB-VP\tO' +p316851 +aS'stable\tstable\tJJ\tB-NP\tO' +p316852 +aS',\t,\t,\tI-NP\tO' +p316853 +aS'mild\tmild\tJJ\tI-NP\tO' +p316854 +aS'angina\tangina\tNN\tI-NP\tO' +p316855 +aS',\t,\t,\tO\tO' +p316856 +aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' +p316857 +aS',\t,\t,\tO\tO' +p316858 +aS'mostly\tmostly\tRB\tB-ADVP\tO' +p316859 +aS'in\tin\tIN\tB-PP\tO' +p316860 +aS'the\tthe\tDT\tB-NP\tO' +p316861 +aS'setting\tsetting\tNN\tI-NP\tO' +p316862 +aS'of\tof\tIN\tB-PP\tO' +p316863 +aS'stress\tstress\tNN\tB-NP\tO' +p316864 +aS'.\t.\t.\tO\tO' +p316865 +asS'He denied recent trauma to the area or travel .' +p316866 +(lp316867 +S'He\tHe\tPRP\tB-NP\tO' +p316868 +aS'denied\tdeny\tVBD\tB-VP\tO' +p316869 +aS'recent\trecent\tJJ\tB-NP\tO' +p316870 +aS'trauma\ttrauma\tNN\tI-NP\tO' +p316871 +aS'to\tto\tTO\tB-PP\tO' +p316872 +aS'the\tthe\tDT\tB-NP\tO' +p316873 +aS'area\tarea\tNN\tI-NP\tO' +p316874 +aS'or\tor\tCC\tI-NP\tO' +p316875 +aS'travel\ttravel\tNN\tI-NP\tO' +p316876 +aS'.\t.\t.\tO\tO' +p316877 +asS'The patient had previous episodes of the same infection , with lower extremity cellulitis the likely source .' +p316878 +(lp316879 +S'The\tThe\tDT\tB-NP\tO' +p316880 +aS'patient\tpatient\tNN\tI-NP\tO' +p316881 +aS'had\thave\tVBD\tB-VP\tO' +p316882 +aS'previous\tprevious\tJJ\tB-NP\tO' +p316883 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p316884 +aS'of\tof\tIN\tB-PP\tO' +p316885 +aS'the\tthe\tDT\tB-NP\tO' +p316886 +aS'same\tsame\tJJ\tI-NP\tO' +p316887 +aS'infection\tinfection\tNN\tI-NP\tO' +p316888 +aS',\t,\t,\tO\tO' +p316889 +aS'with\twith\tIN\tB-PP\tO' +p316890 +aS'lower\tlow\tJJR\tB-NP\tO' +p316891 +aS'extremity\textremity\tNN\tI-NP\tO' +p316892 +aS'cellulitis\tcellulitis\tNN\tI-NP\tO' +p316893 +aS'the\tthe\tDT\tB-NP\tO' +p316894 +aS'likely\tlikely\tJJ\tI-NP\tO' +p316895 +aS'source\tsource\tNN\tI-NP\tO' +p316896 +aS'.\t.\t.\tO\tO' +p316897 +asS'Levofloxacin , 250 mg p.o. q.d. ; Albuterol and Atrovent nebs q 4 to6 hours as needed prn wheeze .' +p316898 +(lp316899 +S'Levofloxacin\tLevofloxacin\tNN\tB-NP\tO' +p316900 +aS',\t,\t,\tO\tO' +p316901 +aS'250\t250\tCD\tB-NP\tO' +p316902 +aS'mg\tmg\tNN\tI-NP\tO' +p316903 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p316904 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p316905 +aS';\t;\t:\tO\tO' +p316906 +aS'Albuterol\tAlbuterol\tNN\tB-NP\tO' +p316907 +aS'and\tand\tCC\tI-NP\tO' +p316908 +aS'Atrovent\tAtrovent\tNN\tI-NP\tO' +p316909 +aS'nebs\tneb\tNNS\tI-NP\tO' +p316910 +aS'q\tq\tNN\tI-NP\tO' +p316911 +aS'4\t4\tCD\tI-NP\tO' +p316912 +aS'to6\tto6\tNN\tI-NP\tO' +p316913 +aS'hours\thour\tNNS\tI-NP\tO' +p316914 +aS'as\tas\tIN\tB-PP\tO' +p316915 +aS'needed\tneed\tVBN\tB-NP\tO' +p316916 +aS'prn\tprn\tNN\tI-NP\tO' +p316917 +aS'wheeze\twheeze\tNN\tI-NP\tO' +p316918 +aS'.\t.\t.\tO\tO' +p316919 +asS'Testes distended bilaterally .' +p316920 +(lp316921 +S'Testes\tTestis\tNNS\tB-NP\tO' +p316922 +aS'distended\tdistend\tVBD\tB-VP\tO' +p316923 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p316924 +aS'.\t.\t.\tO\tO' +p316925 +asS'Her pro time and PTT have normalized at the time of discharge .' +p316926 +(lp316927 +S'Her\tHer\tPRP$\tB-NP\tO' +p316928 +aS'pro\tpro\tJJ\tI-NP\tO' +p316929 +aS'time\ttime\tNN\tI-NP\tO' +p316930 +aS'and\tand\tCC\tI-NP\tO' +p316931 +aS'PTT\tPTT\tNN\tI-NP\tO' +p316932 +aS'have\thave\tVBP\tB-VP\tO' +p316933 +aS'normalized\tnormalize\tVBN\tI-VP\tO' +p316934 +aS'at\tat\tIN\tB-PP\tO' +p316935 +aS'the\tthe\tDT\tB-NP\tO' +p316936 +aS'time\ttime\tNN\tI-NP\tO' +p316937 +aS'of\tof\tIN\tB-PP\tO' +p316938 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p316939 +aS'.\t.\t.\tO\tO' +p316940 +asS'The frozen section analysis revealed this to be adenocarcinoma , metastatic disease from the colon most likely .' +p316941 +(lp316942 +S'The\tThe\tDT\tB-NP\tO' +p316943 +aS'frozen\tfrozen\tJJ\tI-NP\tO' +p316944 +aS'section\tsection\tNN\tI-NP\tO' +p316945 +aS'analysis\tanalysis\tNN\tI-NP\tO' +p316946 +aS'revealed\treveal\tVBD\tB-VP\tO' +p316947 +aS'this\tthis\tDT\tB-NP\tO' +p316948 +aS'to\tto\tTO\tB-VP\tO' +p316949 +aS'be\tbe\tVB\tI-VP\tO' +p316950 +aS'adenocarcinoma\tadenocarcinoma\tNN\tB-NP\tO' +p316951 +aS',\t,\t,\tO\tO' +p316952 +aS'metastatic\tmetastatic\tJJ\tB-NP\tO' +p316953 +aS'disease\tdisease\tNN\tI-NP\tO' +p316954 +aS'from\tfrom\tIN\tB-PP\tO' +p316955 +aS'the\tthe\tDT\tB-NP\tO' +p316956 +aS'colon\tcolon\tNN\tI-NP\tO' +p316957 +aS'most\tmost\tRBS\tB-ADVP\tO' +p316958 +aS'likely\tlikely\tRB\tI-ADVP\tO' +p316959 +aS'.\t.\t.\tO\tO' +p316960 +asS"Mr. Pohl is a 53 - year-old male with a history of ETOH , hypertension who presented int he emergency room with increased agitation , like secondary to ETOH intoxication and developed subsequent hypotension , systolic blood pressures in the 80 's, status post Ativan and Haldol , but was responsive" +p316961 +(lp316962 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p316963 +aS'Pohl\tPohl\tNNP\tI-NP\tO' +p316964 +aS'is\tbe\tVBZ\tB-VP\tO' +p316965 +aS'a\ta\tDT\tB-NP\tO' +p316966 +aS'53\t53\tCD\tI-NP\tO' +p316967 +aS'-\t-\tHYPH\tI-NP\tO' +p316968 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p316969 +aS'male\tmale\tNN\tI-NP\tO' +p316970 +aS'with\twith\tIN\tB-PP\tO' +p316971 +aS'a\ta\tDT\tB-NP\tO' +p316972 +aS'history\thistory\tNN\tI-NP\tO' +p316973 +aS'of\tof\tIN\tB-PP\tO' +p316974 +aS'ETOH\tETOH\tNN\tB-NP\tB-protein' +p316975 +aS',\t,\t,\tO\tO' +p316976 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p316977 +aS'who\twho\tWP\tB-NP\tO' +p316978 +aS'presented\tpresent\tVBD\tB-VP\tO' +p316979 +aS'int\tint\tNN\tB-NP\tO' +p316980 +aS'he\the\tPRP\tB-NP\tO' +p316981 +aS'emergency\temergency\tNN\tB-NP\tO' +p316982 +aS'room\troom\tNN\tI-NP\tO' +p316983 +aS'with\twith\tIN\tB-PP\tO' +p316984 +aS'increased\tincrease\tVBN\tB-NP\tO' +p316985 +aS'agitation\tagitation\tNN\tI-NP\tO' +p316986 +aS',\t,\t,\tO\tO' +p316987 +aS'like\tlike\tIN\tB-PP\tO' +p316988 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p316989 +aS'to\tto\tTO\tB-PP\tO' +p316990 +aS'ETOH\tETOH\tNN\tB-NP\tO' +p316991 +aS'intoxication\tintoxication\tNN\tI-NP\tO' +p316992 +aS'and\tand\tCC\tO\tO' +p316993 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p316994 +aS'subsequent\tsubsequent\tJJ\tB-NP\tO' +p316995 +aS'hypotension\thypotension\tNN\tI-NP\tO' +p316996 +aS',\t,\t,\tO\tO' +p316997 +aS'systolic\tsystolic\tJJ\tB-NP\tO' +p316998 +aS'blood\tblood\tNN\tI-NP\tO' +p316999 +aS'pressures\tpressure\tNNS\tI-NP\tO' +p317000 +aS'in\tin\tIN\tB-PP\tO' +p317001 +aS'the\tthe\tDT\tB-NP\tO' +p317002 +aS'80\t80\tCD\tI-NP\tO' +p317003 +aS"'s,\t's,\tPOS\tB-NP\tO" +p317004 +aS'status\tstatus\tNN\tI-NP\tO' +p317005 +aS'post\tpost\tIN\tB-PP\tO' +p317006 +aS'Ativan\tAtivan\tNNP\tB-NP\tO' +p317007 +aS'and\tand\tCC\tI-NP\tO' +p317008 +aS'Haldol\tHaldol\tNNP\tI-NP\tO' +p317009 +aS',\t,\t,\tO\tO' +p317010 +aS'but\tbut\tCC\tO\tO' +p317011 +aS'was\tbe\tVBD\tB-VP\tO' +p317012 +aS'responsive\tresponsive\tJJ\tB-ADJP\tO' +p317013 +asS'Low sodium , responsive to fluid restriction .' +p317014 +(lp317015 +S'Low\tLow\tJJ\tB-NP\tO' +p317016 +aS'sodium\tsodium\tNN\tI-NP\tO' +p317017 +aS',\t,\t,\tO\tO' +p317018 +aS'responsive\tresponsive\tJJ\tB-ADJP\tO' +p317019 +aS'to\tto\tTO\tB-PP\tO' +p317020 +aS'fluid\tfluid\tNN\tB-NP\tO' +p317021 +aS'restriction\trestriction\tNN\tI-NP\tO' +p317022 +aS'.\t.\t.\tO\tO' +p317023 +asS'However , it was titrated too quickly from 10 mg bid to 30 mg bid .' +p317024 +(lp317025 +S'However\tHowever\tRB\tB-ADVP\tO' +p317026 +aS',\t,\t,\tO\tO' +p317027 +aS'it\tit\tPRP\tB-NP\tO' +p317028 +aS'was\tbe\tVBD\tB-VP\tO' +p317029 +aS'titrated\ttitrate\tVBN\tI-VP\tO' +p317030 +aS'too\ttoo\tRB\tB-ADVP\tO' +p317031 +aS'quickly\tquickly\tRB\tI-ADVP\tO' +p317032 +aS'from\tfrom\tIN\tB-PP\tO' +p317033 +aS'10\t10\tCD\tB-NP\tO' +p317034 +aS'mg\tmg\tNN\tI-NP\tO' +p317035 +aS'bid\tbid\tRB\tB-ADVP\tO' +p317036 +aS'to\tto\tTO\tB-PP\tO' +p317037 +aS'30\t30\tCD\tB-NP\tO' +p317038 +aS'mg\tmg\tNN\tI-NP\tO' +p317039 +aS'bid\tbid\tRB\tB-ADVP\tO' +p317040 +aS'.\t.\t.\tO\tO' +p317041 +asS'Metoprolol 100 mg tid , Amiodarone 400 mg tid times 7 days , then bid times 14 days , then q d times 14 days , then 200 mg q d .' +p317042 +(lp317043 +S'Metoprolol\tMetoprolol\tNN\tB-NP\tO' +p317044 +aS'100\t100\tCD\tI-NP\tO' +p317045 +aS'mg\tmg\tNN\tI-NP\tO' +p317046 +aS'tid\ttid\tNN\tI-NP\tO' +p317047 +aS',\t,\t,\tO\tO' +p317048 +aS'Amiodarone\tAmiodarone\tNN\tB-NP\tO' +p317049 +aS'400\t400\tCD\tI-NP\tO' +p317050 +aS'mg\tmg\tNN\tI-NP\tO' +p317051 +aS'tid\ttid\tNN\tI-NP\tO' +p317052 +aS'times\ttime\tNNS\tI-NP\tO' +p317053 +aS'7\t7\tCD\tB-NP\tO' +p317054 +aS'days\tday\tNNS\tI-NP\tO' +p317055 +aS',\t,\t,\tO\tO' +p317056 +aS'then\tthen\tRB\tB-ADVP\tO' +p317057 +aS'bid\tbid\tNN\tB-NP\tO' +p317058 +aS'times\ttime\tNNS\tI-NP\tO' +p317059 +aS'14\t14\tCD\tB-NP\tO' +p317060 +aS'days\tday\tNNS\tI-NP\tO' +p317061 +aS',\t,\t,\tO\tO' +p317062 +aS'then\tthen\tRB\tB-ADVP\tO' +p317063 +aS'q\tq\tNN\tB-NP\tO' +p317064 +aS'd\td\tNN\tI-NP\tO' +p317065 +aS'times\ttime\tNNS\tI-NP\tO' +p317066 +aS'14\t14\tCD\tB-NP\tO' +p317067 +aS'days\tday\tNNS\tI-NP\tO' +p317068 +aS',\t,\t,\tO\tO' +p317069 +aS'then\tthen\tRB\tB-ADVP\tO' +p317070 +aS'200\t200\tCD\tB-NP\tO' +p317071 +aS'mg\tmg\tNN\tI-NP\tO' +p317072 +aS'q\tq\tNN\tI-NP\tO' +p317073 +aS'd\td\tNN\tI-NP\tO' +p317074 +aS'.\t.\t.\tO\tO' +p317075 +asS'Cervical spondylosis as described above .' +p317076 +(lp317077 +S'Cervical\tCervical\tJJ\tB-NP\tO' +p317078 +aS'spondylosis\tspondylosis\tNN\tI-NP\tO' +p317079 +aS'as\tas\tIN\tB-SBAR\tO' +p317080 +aS'described\tdescribe\tVBN\tB-VP\tO' +p317081 +aS'above\tabove\tRB\tB-ADVP\tO' +p317082 +aS'.\t.\t.\tO\tO' +p317083 +asS'He had an echocardiogram which showed an EF 40-45% and severe aortic stenosis .' +p317084 +(lp317085 +S'He\tHe\tPRP\tB-NP\tO' +p317086 +aS'had\thave\tVBD\tB-VP\tO' +p317087 +aS'an\tan\tDT\tB-NP\tO' +p317088 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p317089 +aS'which\twhich\tWDT\tB-NP\tO' +p317090 +aS'showed\tshow\tVBD\tB-VP\tO' +p317091 +aS'an\tan\tDT\tB-NP\tO' +p317092 +aS'EF\tEF\tNN\tI-NP\tO' +p317093 +aS'40-45%\t40-45%\tJJ\tI-NP\tO' +p317094 +aS'and\tand\tCC\tI-NP\tO' +p317095 +aS'severe\tsevere\tJJ\tI-NP\tO' +p317096 +aS'aortic\taortic\tJJ\tI-NP\tO' +p317097 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p317098 +aS'.\t.\t.\tO\tO' +p317099 +asS'1. Coronary artery disease ( s/p stents to LAD and 3rd OM )' +p317100 +(lp317101 +S'1.\t1.\tLS\tB-NP\tO' +p317102 +aS'Coronary\tCoronary\tJJ\tI-NP\tO' +p317103 +aS'artery\tartery\tNN\tI-NP\tO' +p317104 +aS'disease\tdisease\tNN\tI-NP\tO' +p317105 +aS'(\t(\t(\tO\tO' +p317106 +aS's/p\ts/p\tNN\tB-NP\tO' +p317107 +aS'stents\tstent\tNNS\tI-NP\tO' +p317108 +aS'to\tto\tTO\tB-PP\tO' +p317109 +aS'LAD\tLAD\tNN\tB-NP\tO' +p317110 +aS'and\tand\tCC\tO\tO' +p317111 +aS'3rd\t3rd\tCD\tB-NP\tO' +p317112 +aS'OM\tOM\tNNP\tI-NP\tO' +p317113 +aS')\t)\t)\tO\tO' +p317114 +asS'CXR 09-28 : No evidence for pneumonia .' +p317115 +(lp317116 +S'CXR\tCXR\tNN\tB-NP\tO' +p317117 +aS'09-28\t09-28\tCD\tI-NP\tO' +p317118 +aS':\t:\t:\tO\tO' +p317119 +aS'No\tNo\tDT\tB-NP\tO' +p317120 +aS'evidence\tevidence\tNN\tI-NP\tO' +p317121 +aS'for\tfor\tIN\tB-PP\tO' +p317122 +aS'pneumonia\tpneumonia\tNN\tB-NP\tO' +p317123 +aS'.\t.\t.\tO\tO' +p317124 +asS'She had some mid epigastric tenderness and no rebound .' +p317125 +(lp317126 +S'She\tShe\tPRP\tB-NP\tO' +p317127 +aS'had\thave\tVBD\tB-VP\tO' +p317128 +aS'some\tsome\tDT\tB-NP\tO' +p317129 +aS'mid\tmid\tJJ\tI-NP\tO' +p317130 +aS'epigastric\tepigastric\tJJ\tI-NP\tO' +p317131 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p317132 +aS'and\tand\tCC\tO\tO' +p317133 +aS'no\tno\tDT\tB-NP\tO' +p317134 +aS'rebound\trebound\tNN\tI-NP\tO' +p317135 +aS'.\t.\t.\tO\tO' +p317136 +asS'He was seen by speech and swallowing who recommended NPO , he then underwent a video swallow after which he was changed to a diet of thin liquids and soft solids , and felt that his eeating may be limited by his loose teeth .' +p317137 +(lp317138 +S'He\tHe\tPRP\tB-NP\tO' +p317139 +aS'was\tbe\tVBD\tB-VP\tO' +p317140 +aS'seen\tsee\tVBN\tI-VP\tO' +p317141 +aS'by\tby\tIN\tB-PP\tO' +p317142 +aS'speech\tspeech\tNN\tB-NP\tO' +p317143 +aS'and\tand\tCC\tO\tO' +p317144 +aS'swallowing\tswallow\tVBG\tB-VP\tO' +p317145 +aS'who\twho\tWP\tB-NP\tO' +p317146 +aS'recommended\trecommend\tVBD\tB-VP\tO' +p317147 +aS'NPO\tNPO\tNN\tB-NP\tB-protein' +p317148 +aS',\t,\t,\tO\tO' +p317149 +aS'he\the\tPRP\tB-NP\tO' +p317150 +aS'then\tthen\tRB\tB-ADVP\tO' +p317151 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p317152 +aS'a\ta\tDT\tB-NP\tO' +p317153 +aS'video\tvideo\tNN\tI-NP\tO' +p317154 +aS'swallow\tswallow\tNN\tI-NP\tO' +p317155 +aS'after\tafter\tIN\tB-PP\tO' +p317156 +aS'which\twhich\tWDT\tB-NP\tO' +p317157 +aS'he\the\tPRP\tB-NP\tO' +p317158 +aS'was\tbe\tVBD\tB-VP\tO' +p317159 +aS'changed\tchange\tVBN\tI-VP\tO' +p317160 +aS'to\tto\tTO\tB-PP\tO' +p317161 +aS'a\ta\tDT\tB-NP\tO' +p317162 +aS'diet\tdiet\tNN\tI-NP\tO' +p317163 +aS'of\tof\tIN\tB-PP\tO' +p317164 +aS'thin\tthin\tJJ\tB-NP\tO' +p317165 +aS'liquids\tliquid\tNNS\tI-NP\tO' +p317166 +aS'and\tand\tCC\tO\tO' +p317167 +aS'soft\tsoft\tJJ\tB-NP\tO' +p317168 +aS'solids\tsolid\tNNS\tI-NP\tO' +p317169 +aS',\t,\t,\tO\tO' +p317170 +aS'and\tand\tCC\tO\tO' +p317171 +aS'felt\tfeel\tVBD\tB-VP\tO' +p317172 +aS'that\tthat\tIN\tB-SBAR\tO' +p317173 +aS'his\this\tPRP$\tB-NP\tO' +p317174 +aS'eeating\teeating\tNN\tI-NP\tO' +p317175 +aS'may\tmay\tMD\tB-VP\tO' +p317176 +aS'be\tbe\tVB\tI-VP\tO' +p317177 +aS'limited\tlimit\tVBN\tI-VP\tO' +p317178 +aS'by\tby\tIN\tB-PP\tO' +p317179 +aS'his\this\tPRP$\tB-NP\tO' +p317180 +aS'loose\tloose\tJJ\tI-NP\tO' +p317181 +aS'teeth\ttooth\tNNS\tI-NP\tO' +p317182 +aS'.\t.\t.\tO\tO' +p317183 +asS'If there are any questions regarding his care they should be directed to Dr. Cranka 's office at Ph University Of Medical Center and we will be happy to contact any or all of the consultations concerned with Hauth 's care .' +p317184 +(lp317185 +S'If\tIf\tIN\tB-SBAR\tO' +p317186 +aS'there\tthere\tEX\tB-NP\tO' +p317187 +aS'are\tbe\tVBP\tB-VP\tO' +p317188 +aS'any\tany\tDT\tB-NP\tO' +p317189 +aS'questions\tquestion\tNNS\tI-NP\tO' +p317190 +aS'regarding\tregard\tVBG\tB-VP\tO' +p317191 +aS'his\this\tPRP$\tB-NP\tO' +p317192 +aS'care\tcare\tNN\tI-NP\tO' +p317193 +aS'they\tthey\tPRP\tB-NP\tO' +p317194 +aS'should\tshould\tMD\tB-VP\tO' +p317195 +aS'be\tbe\tVB\tI-VP\tO' +p317196 +aS'directed\tdirect\tVBN\tI-VP\tO' +p317197 +aS'to\tto\tTO\tB-PP\tO' +p317198 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p317199 +aS'Cranka\tCranka\tNNP\tI-NP\tO' +p317200 +aS''s\t'\tNNS\tI-NP\tO' +p317201 +aS'office\toffice\tNN\tI-NP\tO' +p317202 +aS'at\tat\tIN\tB-PP\tO' +p317203 +aS'Ph\tPh\tNNP\tB-NP\tO' +p317204 +aS'University\tUniversity\tNNP\tI-NP\tO' +p317205 +aS'Of\tOf\tNNP\tI-NP\tO' +p317206 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p317207 +aS'Center\tCenter\tNNP\tI-NP\tO' +p317208 +aS'and\tand\tCC\tO\tO' +p317209 +aS'we\twe\tPRP\tB-NP\tO' +p317210 +aS'will\twill\tMD\tB-VP\tO' +p317211 +aS'be\tbe\tVB\tI-VP\tO' +p317212 +aS'happy\thappy\tJJ\tB-ADJP\tO' +p317213 +aS'to\tto\tTO\tB-VP\tO' +p317214 +aS'contact\tcontact\tVB\tI-VP\tO' +p317215 +aS'any\tany\tDT\tB-NP\tO' +p317216 +aS'or\tor\tCC\tI-NP\tO' +p317217 +aS'all\tall\tDT\tI-NP\tO' +p317218 +aS'of\tof\tIN\tB-PP\tO' +p317219 +aS'the\tthe\tDT\tB-NP\tO' +p317220 +aS'consultations\tconsultation\tNNS\tI-NP\tO' +p317221 +aS'concerned\tconcern\tVBN\tB-VP\tO' +p317222 +aS'with\twith\tIN\tB-PP\tO' +p317223 +aS'Hauth\tHauth\tNNP\tB-NP\tO' +p317224 +aS''s\t'\tNNS\tI-NP\tO' +p317225 +aS'care\tcare\tNN\tI-NP\tO' +p317226 +aS'.\t.\t.\tO\tO' +p317227 +asS'On admission , weight 1515 grams , 10th to 25th percentile , head circumference 30 cm , 25th to 50th percentile , length 41 cm , 10th to 25th percentile .' +p317228 +(lp317229 +S'On\tOn\tIN\tB-PP\tO' +p317230 +aS'admission\tadmission\tNN\tB-NP\tO' +p317231 +aS',\t,\t,\tO\tO' +p317232 +aS'weight\tweight\tNN\tB-NP\tO' +p317233 +aS'1515\t1515\tCD\tB-NP\tO' +p317234 +aS'grams\tgram\tNNS\tI-NP\tO' +p317235 +aS',\t,\t,\tO\tO' +p317236 +aS'10th\t10th\tJJ\tB-ADJP\tO' +p317237 +aS'to\tto\tTO\tB-PP\tO' +p317238 +aS'25th\t25th\tJJ\tB-NP\tO' +p317239 +aS'percentile\tpercentile\tNN\tI-NP\tO' +p317240 +aS',\t,\t,\tO\tO' +p317241 +aS'head\thead\tNN\tB-NP\tO' +p317242 +aS'circumference\tcircumference\tNN\tI-NP\tO' +p317243 +aS'30\t30\tCD\tI-NP\tO' +p317244 +aS'cm\tcm\tNN\tI-NP\tO' +p317245 +aS',\t,\t,\tO\tO' +p317246 +aS'25th\t25th\tJJ\tB-ADJP\tO' +p317247 +aS'to\tto\tTO\tB-PP\tO' +p317248 +aS'50th\t50th\tJJ\tB-NP\tO' +p317249 +aS'percentile\tpercentile\tNN\tI-NP\tO' +p317250 +aS',\t,\t,\tO\tO' +p317251 +aS'length\tlength\tNN\tB-NP\tO' +p317252 +aS'41\t41\tCD\tI-NP\tO' +p317253 +aS'cm\tcm\tNN\tI-NP\tO' +p317254 +aS',\t,\t,\tO\tO' +p317255 +aS'10th\t10th\tJJ\tB-ADJP\tO' +p317256 +aS'to\tto\tTO\tB-PP\tO' +p317257 +aS'25th\t25th\tJJ\tB-NP\tO' +p317258 +aS'percentile\tpercentile\tNN\tI-NP\tO' +p317259 +aS'.\t.\t.\tO\tO' +p317260 +asS'His heart was regular rate and rhythm with no murmurs , rubs or gallops .' +p317261 +(lp317262 +S'His\tHis\tPRP$\tB-NP\tO' +p317263 +aS'heart\theart\tNN\tI-NP\tO' +p317264 +aS'was\tbe\tVBD\tB-VP\tO' +p317265 +aS'regular\tregular\tJJ\tB-NP\tO' +p317266 +aS'rate\trate\tNN\tI-NP\tO' +p317267 +aS'and\tand\tCC\tO\tO' +p317268 +aS'rhythm\trhythm\tNN\tB-NP\tO' +p317269 +aS'with\twith\tIN\tB-PP\tO' +p317270 +aS'no\tno\tDT\tB-NP\tO' +p317271 +aS'murmurs\tmurmur\tNNS\tI-NP\tO' +p317272 +aS',\t,\t,\tI-NP\tO' +p317273 +aS'rubs\trub\tNNS\tI-NP\tO' +p317274 +aS'or\tor\tCC\tI-NP\tO' +p317275 +aS'gallops\tgallop\tNNS\tI-NP\tO' +p317276 +aS'.\t.\t.\tO\tO' +p317277 +asS'She has a history of gastroparesis secondary to long-standing type I diabetes .' +p317278 +(lp317279 +S'She\tShe\tPRP\tB-NP\tO' +p317280 +aS'has\thave\tVBZ\tB-VP\tO' +p317281 +aS'a\ta\tDT\tB-NP\tO' +p317282 +aS'history\thistory\tNN\tI-NP\tO' +p317283 +aS'of\tof\tIN\tB-PP\tO' +p317284 +aS'gastroparesis\tgastroparesis\tNN\tB-NP\tO' +p317285 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p317286 +aS'to\tto\tTO\tB-PP\tO' +p317287 +aS'long-standing\tlong-standing\tJJ\tB-NP\tO' +p317288 +aS'type\ttype\tNN\tI-NP\tO' +p317289 +aS'I\tI\tCD\tI-NP\tO' +p317290 +aS'diabetes\tdiabete\tNNS\tI-NP\tO' +p317291 +aS'.\t.\t.\tO\tO' +p317292 +asS'1. Nonischemic dilated cardiomyopathy with an ejection fraction of 15-20% .' +p317293 +(lp317294 +S'1.\t1.\tLS\tB-NP\tO' +p317295 +aS'Nonischemic\tNonischemic\tJJ\tI-NP\tO' +p317296 +aS'dilated\tdilated\tJJ\tI-NP\tO' +p317297 +aS'cardiomyopathy\tcardiomyopathy\tNN\tI-NP\tO' +p317298 +aS'with\twith\tIN\tB-PP\tO' +p317299 +aS'an\tan\tDT\tB-NP\tO' +p317300 +aS'ejection\tejection\tNN\tI-NP\tO' +p317301 +aS'fraction\tfraction\tNN\tI-NP\tO' +p317302 +aS'of\tof\tIN\tB-PP\tO' +p317303 +aS'15-20%\t15-20%\tNN\tB-NP\tB-protein' +p317304 +aS'.\t.\t.\tO\tO' +p317305 +asS'None currently .' +p317306 +(lp317307 +S'None\tNone\tNN\tB-NP\tO' +p317308 +aS'currently\tcurrently\tRB\tB-ADVP\tO' +p317309 +aS'.\t.\t.\tO\tO' +p317310 +asS'1. Presumed pneumonia , treated .' +p317311 +(lp317312 +S'1.\t1.\tLS\tB-NP\tO' +p317313 +aS'Presumed\tPresumed\tNNP\tI-NP\tO' +p317314 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p317315 +aS',\t,\t,\tO\tO' +p317316 +aS'treated\ttreat\tVBN\tB-VP\tO' +p317317 +aS'.\t.\t.\tO\tO' +p317318 +asS'He returned to the Wing Memorial & Medical Center intubated from an outside hospital on 2017-02-04 , for respiratory failure and was sent to CMED CSRU .' +p317319 +(lp317320 +S'He\tHe\tPRP\tB-NP\tO' +p317321 +aS'returned\treturn\tVBD\tB-VP\tO' +p317322 +aS'to\tto\tTO\tB-PP\tO' +p317323 +aS'the\tthe\tDT\tB-NP\tO' +p317324 +aS'Wing\tWing\tNNP\tI-NP\tO' +p317325 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p317326 +aS'&\t&\tCC\tI-NP\tO' +p317327 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p317328 +aS'Center\tCenter\tNNP\tI-NP\tO' +p317329 +aS'intubated\tintubate\tVBD\tB-VP\tO' +p317330 +aS'from\tfrom\tIN\tB-PP\tO' +p317331 +aS'an\tan\tDT\tB-NP\tO' +p317332 +aS'outside\toutside\tJJ\tI-NP\tO' +p317333 +aS'hospital\thospital\tNN\tI-NP\tO' +p317334 +aS'on\ton\tIN\tB-PP\tO' +p317335 +aS'2017-02-04\t2017-02-04\tCD\tB-NP\tO' +p317336 +aS',\t,\t,\tO\tO' +p317337 +aS'for\tfor\tIN\tB-PP\tO' +p317338 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p317339 +aS'failure\tfailure\tNN\tI-NP\tO' +p317340 +aS'and\tand\tCC\tO\tO' +p317341 +aS'was\tbe\tVBD\tB-VP\tO' +p317342 +aS'sent\tsend\tVBN\tI-VP\tO' +p317343 +aS'to\tto\tTO\tB-PP\tO' +p317344 +aS'CMED\tCMED\tNNP\tB-NP\tO' +p317345 +aS'CSRU\tCSRU\tNNP\tI-NP\tO' +p317346 +aS'.\t.\t.\tO\tO' +p317347 +asS'The patient appeared to have tolerated the procedure and was transferred to the cardiac intensive care unit for postoperative management .' +p317348 +(lp317349 +S'The\tThe\tDT\tB-NP\tO' +p317350 +aS'patient\tpatient\tNN\tI-NP\tO' +p317351 +aS'appeared\tappear\tVBD\tB-VP\tO' +p317352 +aS'to\tto\tTO\tI-VP\tO' +p317353 +aS'have\thave\tVB\tI-VP\tO' +p317354 +aS'tolerated\ttolerate\tVBN\tI-VP\tO' +p317355 +aS'the\tthe\tDT\tB-NP\tO' +p317356 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p317357 +aS'and\tand\tCC\tO\tO' +p317358 +aS'was\tbe\tVBD\tB-VP\tO' +p317359 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p317360 +aS'to\tto\tTO\tB-PP\tO' +p317361 +aS'the\tthe\tDT\tB-NP\tO' +p317362 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p317363 +aS'intensive\tintensive\tJJ\tI-NP\tO' +p317364 +aS'care\tcare\tNN\tI-NP\tO' +p317365 +aS'unit\tunit\tNN\tI-NP\tO' +p317366 +aS'for\tfor\tIN\tB-PP\tO' +p317367 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p317368 +aS'management\tmanagement\tNN\tI-NP\tO' +p317369 +aS'.\t.\t.\tO\tO' +p317370 +asS'The infant required phototherapy for hyperbilirubinemia through day of life 7 , with peak bilirubin of 7 / 0.3 on day of life 3 , and last bilirubin of 4.9 / 0.3 on day of life 9 .' +p317371 +(lp317372 +S'The\tThe\tDT\tB-NP\tO' +p317373 +aS'infant\tinfant\tNN\tI-NP\tO' +p317374 +aS'required\trequire\tVBD\tB-VP\tO' +p317375 +aS'phototherapy\tphototherapy\tNN\tB-NP\tO' +p317376 +aS'for\tfor\tIN\tB-PP\tO' +p317377 +aS'hyperbilirubinemia\thyperbilirubinemia\tNN\tB-NP\tO' +p317378 +aS'through\tthrough\tIN\tB-PP\tO' +p317379 +aS'day\tday\tNN\tB-NP\tO' +p317380 +aS'of\tof\tIN\tB-PP\tO' +p317381 +aS'life\tlife\tNN\tB-NP\tO' +p317382 +aS'7\t7\tCD\tI-NP\tO' +p317383 +aS',\t,\t,\tO\tO' +p317384 +aS'with\twith\tIN\tB-PP\tO' +p317385 +aS'peak\tpeak\tJJ\tB-NP\tO' +p317386 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p317387 +aS'of\tof\tIN\tB-PP\tO' +p317388 +aS'7\t7\tCD\tB-NP\tO' +p317389 +aS'/\t/\tSYM\tI-NP\tO' +p317390 +aS'0.3\t0.3\tCD\tI-NP\tO' +p317391 +aS'on\ton\tIN\tB-PP\tO' +p317392 +aS'day\tday\tNN\tB-NP\tO' +p317393 +aS'of\tof\tIN\tB-PP\tO' +p317394 +aS'life\tlife\tNN\tB-NP\tO' +p317395 +aS'3\t3\tCD\tI-NP\tO' +p317396 +aS',\t,\t,\tO\tO' +p317397 +aS'and\tand\tCC\tO\tO' +p317398 +aS'last\tlast\tJJ\tB-NP\tO' +p317399 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p317400 +aS'of\tof\tIN\tB-PP\tO' +p317401 +aS'4.9\t4.9\tCD\tB-NP\tO' +p317402 +aS'/\t/\tSYM\tI-NP\tO' +p317403 +aS'0.3\t0.3\tCD\tI-NP\tO' +p317404 +aS'on\ton\tIN\tB-PP\tO' +p317405 +aS'day\tday\tNN\tB-NP\tO' +p317406 +aS'of\tof\tIN\tB-PP\tO' +p317407 +aS'life\tlife\tNN\tB-NP\tB-protein' +p317408 +aS'9\t9\tCD\tI-NP\tI-protein' +p317409 +aS'.\t.\t.\tO\tO' +p317410 +asS'As the patient became more awake , he still remained somewhat confused and a little bit out of it .' +p317411 +(lp317412 +S'As\tAs\tIN\tB-SBAR\tO' +p317413 +aS'the\tthe\tDT\tB-NP\tO' +p317414 +aS'patient\tpatient\tNN\tI-NP\tO' +p317415 +aS'became\tbecome\tVBD\tB-VP\tO' +p317416 +aS'more\tmore\tRBR\tB-ADJP\tO' +p317417 +aS'awake\tawake\tJJ\tI-ADJP\tO' +p317418 +aS',\t,\t,\tO\tO' +p317419 +aS'he\the\tPRP\tB-NP\tO' +p317420 +aS'still\tstill\tRB\tB-ADVP\tO' +p317421 +aS'remained\tremain\tVBD\tB-VP\tO' +p317422 +aS'somewhat\tsomewhat\tRB\tB-ADJP\tO' +p317423 +aS'confused\tconfuse\tVBN\tI-ADJP\tO' +p317424 +aS'and\tand\tCC\tO\tO' +p317425 +aS'a\ta\tDT\tB-NP\tO' +p317426 +aS'little\tlittle\tJJ\tI-NP\tO' +p317427 +aS'bit\tbit\tNN\tI-NP\tO' +p317428 +aS'out\tout\tIN\tB-PP\tO' +p317429 +aS'of\tof\tIN\tB-PP\tO' +p317430 +aS'it\tit\tPRP\tB-NP\tO' +p317431 +aS'.\t.\t.\tO\tO' +p317432 +asS'Lipitor 20 mg p.o. q day .' +p317433 +(lp317434 +S'Lipitor\tLipitor\tNN\tB-NP\tO' +p317435 +aS'20\t20\tCD\tI-NP\tO' +p317436 +aS'mg\tmg\tNN\tI-NP\tO' +p317437 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p317438 +aS'q\tq\tNN\tI-NP\tO' +p317439 +aS'day\tday\tNN\tI-NP\tO' +p317440 +aS'.\t.\t.\tO\tO' +p317441 +asS'In addition to this , the patient will follow-up with Cardiology , Dr. Foster , and Dr. Upshaw , on 2015-07-06 for further monitoring .' +p317442 +(lp317443 +S'In\tIn\tIN\tB-PP\tO' +p317444 +aS'addition\taddition\tNN\tB-NP\tO' +p317445 +aS'to\tto\tTO\tB-PP\tO' +p317446 +aS'this\tthis\tDT\tB-NP\tO' +p317447 +aS',\t,\t,\tO\tO' +p317448 +aS'the\tthe\tDT\tB-NP\tO' +p317449 +aS'patient\tpatient\tNN\tI-NP\tO' +p317450 +aS'will\twill\tMD\tB-VP\tO' +p317451 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p317452 +aS'with\twith\tIN\tB-PP\tO' +p317453 +aS'Cardiology\tCardiology\tNNP\tB-NP\tO' +p317454 +aS',\t,\t,\tO\tO' +p317455 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p317456 +aS'Foster\tFoster\tNNP\tI-NP\tO' +p317457 +aS',\t,\t,\tO\tO' +p317458 +aS'and\tand\tCC\tO\tO' +p317459 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p317460 +aS'Upshaw\tUpshaw\tNNP\tI-NP\tO' +p317461 +aS',\t,\t,\tO\tO' +p317462 +aS'on\ton\tIN\tB-PP\tO' +p317463 +aS'2015-07-06\t2015-07-06\tCD\tB-NP\tO' +p317464 +aS'for\tfor\tIN\tB-PP\tO' +p317465 +aS'further\tfurther\tJJ\tB-NP\tO' +p317466 +aS'monitoring\tmonitoring\tNN\tI-NP\tO' +p317467 +aS'.\t.\t.\tO\tO' +p317468 +asS'INR of 2.0 .' +p317469 +(lp317470 +S'INR\tINR\tNN\tB-NP\tB-protein' +p317471 +aS'of\tof\tIN\tB-PP\tO' +p317472 +aS'2.0\t2.0\tCD\tB-NP\tO' +p317473 +aS'.\t.\t.\tO\tO' +p317474 +asS'Patient was exubated after 1 day in ICU after waking up .' +p317475 +(lp317476 +S'Patient\tPatient\tNN\tB-NP\tO' +p317477 +aS'was\tbe\tVBD\tB-VP\tO' +p317478 +aS'exubated\texubate\tVBN\tI-VP\tO' +p317479 +aS'after\tafter\tIN\tB-PP\tO' +p317480 +aS'1\t1\tCD\tB-NP\tO' +p317481 +aS'day\tday\tNN\tI-NP\tO' +p317482 +aS'in\tin\tIN\tB-PP\tO' +p317483 +aS'ICU\tICU\tNN\tB-NP\tB-protein' +p317484 +aS'after\tafter\tIN\tB-PP\tO' +p317485 +aS'waking\twake\tVBG\tB-VP\tO' +p317486 +aS'up\tup\tRP\tB-PRT\tO' +p317487 +aS'.\t.\t.\tO\tO' +p317488 +asS'Please see report for details .' +p317489 +(lp317490 +S'Please\tPlease\tVB\tB-VP\tO' +p317491 +aS'see\tsee\tVB\tI-VP\tO' +p317492 +aS'report\treport\tNN\tB-NP\tO' +p317493 +aS'for\tfor\tIN\tB-PP\tO' +p317494 +aS'details\tdetail\tNNS\tB-NP\tO' +p317495 +aS'.\t.\t.\tO\tO' +p317496 +asS"Review of OSH echo revealed peak gradient of 64mm ( not 30 's ) ." +p317497 +(lp317498 +S'Review\tReview\tNN\tB-NP\tO' +p317499 +aS'of\tof\tIN\tB-PP\tO' +p317500 +aS'OSH\tOSH\tNN\tB-NP\tO' +p317501 +aS'echo\techo\tNN\tI-NP\tO' +p317502 +aS'revealed\treveal\tVBD\tB-VP\tO' +p317503 +aS'peak\tpeak\tJJ\tB-NP\tO' +p317504 +aS'gradient\tgradient\tNN\tI-NP\tO' +p317505 +aS'of\tof\tIN\tB-PP\tO' +p317506 +aS'64mm\t64mm\tNN\tB-NP\tO' +p317507 +aS'(\t(\t(\tO\tO' +p317508 +aS'not\tnot\tRB\tO\tO' +p317509 +aS'30\t30\tCD\tB-NP\tO' +p317510 +aS"'s\t's\tPOS\tB-NP\tO" +p317511 +aS')\t)\t)\tO\tO' +p317512 +aS'.\t.\t.\tO\tO' +p317513 +asS'Question of vertebral basilar cerebrovascular accident in 2016-08-17 , with associated limb ataxia .' +p317514 +(lp317515 +S'Question\tQuestion\tNN\tB-NP\tO' +p317516 +aS'of\tof\tIN\tB-PP\tO' +p317517 +aS'vertebral\tvertebral\tJJ\tB-NP\tO' +p317518 +aS'basilar\tbasilar\tJJ\tI-NP\tO' +p317519 +aS'cerebrovascular\tcerebrovascular\tJJ\tI-NP\tO' +p317520 +aS'accident\taccident\tNN\tI-NP\tO' +p317521 +aS'in\tin\tIN\tB-PP\tO' +p317522 +aS'2016-08-17\t2016-08-17\tCD\tB-NP\tO' +p317523 +aS',\t,\t,\tO\tO' +p317524 +aS'with\twith\tIN\tB-PP\tO' +p317525 +aS'associated\tassociate\tVBN\tB-NP\tO' +p317526 +aS'limb\tlimb\tNN\tI-NP\tO' +p317527 +aS'ataxia\tataxia\tNN\tI-NP\tO' +p317528 +aS'.\t.\t.\tO\tO' +p317529 +asS'Rhythm became more stable .' +p317530 +(lp317531 +S'Rhythm\tRhythm\tNN\tB-NP\tO' +p317532 +aS'became\tbecome\tVBD\tB-VP\tO' +p317533 +aS'more\tmore\tRBR\tB-ADJP\tO' +p317534 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p317535 +aS'.\t.\t.\tO\tO' +p317536 +asS'Signed electronically by : DR. Vicki Baker on : TUE 2012-07-03 8:23 AM' +p317537 +(lp317538 +S'Signed\tSign\tVBN\tB-VP\tO' +p317539 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p317540 +aS'by\tby\tIN\tB-PP\tO' +p317541 +aS':\t:\t:\tO\tO' +p317542 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p317543 +aS'Vicki\tVicki\tNNP\tI-NP\tO' +p317544 +aS'Baker\tBaker\tNNP\tI-NP\tO' +p317545 +aS'on\ton\tIN\tB-PP\tO' +p317546 +aS':\t:\t:\tO\tO' +p317547 +aS'TUE\tTUE\tNN\tB-NP\tO' +p317548 +aS'2012-07-03\t2012-07-03\tCD\tI-NP\tO' +p317549 +aS'8:23\t8:23\tCD\tI-NP\tO' +p317550 +aS'AM\tAM\tNN\tI-NP\tO' +p317551 +asS'Vital signs were stable .' +p317552 +(lp317553 +S'Vital\tVital\tJJ\tB-NP\tO' +p317554 +aS'signs\tsign\tNNS\tI-NP\tO' +p317555 +aS'were\tbe\tVBD\tB-VP\tO' +p317556 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p317557 +aS'.\t.\t.\tO\tO' +p317558 +asS'We agreed that he should resume his atenolol .' +p317559 +(lp317560 +S'We\tWe\tPRP\tB-NP\tO' +p317561 +aS'agreed\tagree\tVBD\tB-VP\tO' +p317562 +aS'that\tthat\tIN\tB-SBAR\tO' +p317563 +aS'he\the\tPRP\tB-NP\tO' +p317564 +aS'should\tshould\tMD\tB-VP\tO' +p317565 +aS'resume\tresume\tVB\tI-VP\tO' +p317566 +aS'his\this\tPRP$\tB-NP\tO' +p317567 +aS'atenolol\tatenolol\tNN\tI-NP\tO' +p317568 +aS'.\t.\t.\tO\tO' +p317569 +asS'He denied CP , SOB , HA , vision changes , neck stiffness , dysuria , or other symptoms .' +p317570 +(lp317571 +S'He\tHe\tPRP\tB-NP\tO' +p317572 +aS'denied\tdeny\tVBD\tB-VP\tO' +p317573 +aS'CP\tCP\tNN\tB-NP\tB-DNA' +p317574 +aS',\t,\t,\tO\tO' +p317575 +aS'SOB\tSOB\tNN\tB-NP\tB-protein' +p317576 +aS',\t,\t,\tO\tO' +p317577 +aS'HA\tHA\tNN\tB-NP\tO' +p317578 +aS',\t,\t,\tO\tO' +p317579 +aS'vision\tvision\tNN\tB-NP\tO' +p317580 +aS'changes\tchange\tNNS\tI-NP\tO' +p317581 +aS',\t,\t,\tO\tO' +p317582 +aS'neck\tneck\tNN\tB-NP\tO' +p317583 +aS'stiffness\tstiffness\tNN\tI-NP\tO' +p317584 +aS',\t,\t,\tO\tO' +p317585 +aS'dysuria\tdysuria\tNN\tB-NP\tO' +p317586 +aS',\t,\t,\tO\tO' +p317587 +aS'or\tor\tCC\tO\tO' +p317588 +aS'other\tother\tJJ\tB-NP\tO' +p317589 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p317590 +aS'.\t.\t.\tO\tO' +p317591 +asS'2. Aspirin 81 .' +p317592 +(lp317593 +S'2.\t2.\tLS\tB-LST\tO' +p317594 +aS'Aspirin\tAspirin\tNN\tB-NP\tO' +p317595 +aS'81\t81\tCD\tI-NP\tO' +p317596 +aS'.\t.\t.\tO\tO' +p317597 +asS'Otherwise normal small bowel enteroscopy to mid jejunum' +p317598 +(lp317599 +S'Otherwise\tOtherwise\tRB\tB-NP\tO' +p317600 +aS'normal\tnormal\tJJ\tI-NP\tO' +p317601 +aS'small\tsmall\tJJ\tI-NP\tO' +p317602 +aS'bowel\tbowel\tNN\tI-NP\tO' +p317603 +aS'enteroscopy\tenteroscopy\tNN\tI-NP\tO' +p317604 +aS'to\tto\tTO\tB-VP\tO' +p317605 +aS'mid\tmid\tVB\tI-VP\tO' +p317606 +aS'jejunum\tjejunum\tNN\tB-NP\tO' +p317607 +asS'She was followed by Cape Cod Hospital Clinic for treatment of persistent hyperglycemia .' +p317608 +(lp317609 +S'She\tShe\tPRP\tB-NP\tO' +p317610 +aS'was\tbe\tVBD\tB-VP\tO' +p317611 +aS'followed\tfollow\tVBN\tI-VP\tO' +p317612 +aS'by\tby\tIN\tB-PP\tO' +p317613 +aS'Cape\tCape\tNNP\tB-NP\tO' +p317614 +aS'Cod\tCod\tNNP\tI-NP\tO' +p317615 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p317616 +aS'Clinic\tClinic\tNNP\tI-NP\tO' +p317617 +aS'for\tfor\tIN\tB-PP\tO' +p317618 +aS'treatment\ttreatment\tNN\tB-NP\tO' +p317619 +aS'of\tof\tIN\tB-PP\tO' +p317620 +aS'persistent\tpersistent\tJJ\tB-NP\tO' +p317621 +aS'hyperglycemia\thyperglycemia\tNN\tI-NP\tO' +p317622 +aS'.\t.\t.\tO\tO' +p317623 +asS'95 revealed a low-grade oligodendroglioma .' +p317624 +(lp317625 +S'95\t95\tCD\tB-NP\tO' +p317626 +aS'revealed\treveal\tVBD\tB-VP\tO' +p317627 +aS'a\ta\tDT\tB-NP\tO' +p317628 +aS'low-grade\tlow-grade\tJJ\tI-NP\tO' +p317629 +aS'oligodendroglioma\toligodendroglioma\tNN\tI-NP\tO' +p317630 +aS'.\t.\t.\tO\tO' +p317631 +asS'Infant is under phototherapy , which was discontinued on 11-13 .' +p317632 +(lp317633 +S'Infant\tInfant\tNNP\tB-NP\tO' +p317634 +aS'is\tbe\tVBZ\tB-VP\tO' +p317635 +aS'under\tunder\tIN\tB-PP\tO' +p317636 +aS'phototherapy\tphototherapy\tNN\tB-NP\tO' +p317637 +aS',\t,\t,\tO\tO' +p317638 +aS'which\twhich\tWDT\tB-NP\tO' +p317639 +aS'was\tbe\tVBD\tB-VP\tO' +p317640 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p317641 +aS'on\ton\tIN\tB-PP\tO' +p317642 +aS'11-13\t11-13\tCD\tB-NP\tO' +p317643 +aS'.\t.\t.\tO\tO' +p317644 +asS'He has had persistent pain over the years which has worsened in the past several months including inability to sleep .' +p317645 +(lp317646 +S'He\tHe\tPRP\tB-NP\tO' +p317647 +aS'has\thave\tVBZ\tB-VP\tO' +p317648 +aS'had\thave\tVBN\tI-VP\tO' +p317649 +aS'persistent\tpersistent\tJJ\tB-NP\tO' +p317650 +aS'pain\tpain\tNN\tI-NP\tO' +p317651 +aS'over\tover\tIN\tB-PP\tO' +p317652 +aS'the\tthe\tDT\tB-NP\tO' +p317653 +aS'years\tyear\tNNS\tI-NP\tO' +p317654 +aS'which\twhich\tWDT\tB-NP\tO' +p317655 +aS'has\thave\tVBZ\tB-VP\tO' +p317656 +aS'worsened\tworsen\tVBN\tI-VP\tO' +p317657 +aS'in\tin\tIN\tB-PP\tO' +p317658 +aS'the\tthe\tDT\tB-NP\tO' +p317659 +aS'past\tpast\tJJ\tI-NP\tO' +p317660 +aS'several\tseveral\tJJ\tI-NP\tO' +p317661 +aS'months\tmonth\tNNS\tI-NP\tO' +p317662 +aS'including\tinclude\tVBG\tB-PP\tO' +p317663 +aS'inability\tinability\tNN\tB-NP\tO' +p317664 +aS'to\tto\tTO\tB-VP\tO' +p317665 +aS'sleep\tsleep\tVB\tI-VP\tO' +p317666 +aS'.\t.\t.\tO\tO' +p317667 +asS'Dr. von Sampson in 4 weeks' +p317668 +(lp317669 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p317670 +aS'von\tvon\tNNP\tI-NP\tO' +p317671 +aS'Sampson\tSampson\tNNP\tI-NP\tO' +p317672 +aS'in\tin\tIN\tB-PP\tO' +p317673 +aS'4\t4\tCD\tB-NP\tO' +p317674 +aS'weeks\tweek\tNNS\tI-NP\tO' +p317675 +asS'Serum tox was positive for ETOH at 383 , otherwise negative .' +p317676 +(lp317677 +S'Serum\tSerum\tNN\tB-NP\tO' +p317678 +aS'tox\ttox\tNN\tI-NP\tO' +p317679 +aS'was\tbe\tVBD\tB-VP\tO' +p317680 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p317681 +aS'for\tfor\tIN\tB-PP\tO' +p317682 +aS'ETOH\tETOH\tNN\tB-NP\tB-protein' +p317683 +aS'at\tat\tIN\tB-PP\tO' +p317684 +aS'383\t383\tCD\tB-NP\tO' +p317685 +aS',\t,\t,\tO\tO' +p317686 +aS'otherwise\totherwise\tRB\tB-ADJP\tO' +p317687 +aS'negative\tnegative\tJJ\tI-ADJP\tO' +p317688 +aS'.\t.\t.\tO\tO' +p317689 +asS'There is no shift of normally midline structures or hydrocephalus .' +p317690 +(lp317691 +S'There\tThere\tEX\tB-NP\tO' +p317692 +aS'is\tbe\tVBZ\tB-VP\tO' +p317693 +aS'no\tno\tDT\tB-NP\tO' +p317694 +aS'shift\tshift\tNN\tI-NP\tO' +p317695 +aS'of\tof\tIN\tB-PP\tO' +p317696 +aS'normally\tnormally\tRB\tB-NP\tO' +p317697 +aS'midline\tmidline\tNN\tI-NP\tO' +p317698 +aS'structures\tstructure\tNNS\tI-NP\tO' +p317699 +aS'or\tor\tCC\tI-NP\tO' +p317700 +aS'hydrocephalus\thydrocephalus\tNN\tI-NP\tO' +p317701 +aS'.\t.\t.\tO\tO' +p317702 +asS'If you develop trouble breathing , worsening pain , vomiting or any other concerns please return to the ED for further evaluation .' +p317703 +(lp317704 +S'If\tIf\tIN\tB-SBAR\tO' +p317705 +aS'you\tyou\tPRP\tB-NP\tO' +p317706 +aS'develop\tdevelop\tVBP\tB-VP\tO' +p317707 +aS'trouble\ttrouble\tNN\tB-NP\tO' +p317708 +aS'breathing\tbreathing\tNN\tI-NP\tO' +p317709 +aS',\t,\t,\tO\tO' +p317710 +aS'worsening\tworsen\tVBG\tB-VP\tO' +p317711 +aS'pain\tpain\tNN\tB-NP\tO' +p317712 +aS',\t,\t,\tO\tO' +p317713 +aS'vomiting\tvomiting\tNN\tB-NP\tO' +p317714 +aS'or\tor\tCC\tO\tO' +p317715 +aS'any\tany\tDT\tB-NP\tO' +p317716 +aS'other\tother\tJJ\tI-NP\tO' +p317717 +aS'concerns\tconcern\tNNS\tI-NP\tO' +p317718 +aS'please\tplease\tVB\tB-VP\tO' +p317719 +aS'return\treturn\tNN\tB-NP\tO' +p317720 +aS'to\tto\tTO\tB-PP\tO' +p317721 +aS'the\tthe\tDT\tB-NP\tO' +p317722 +aS'ED\tED\tNN\tI-NP\tO' +p317723 +aS'for\tfor\tIN\tB-PP\tO' +p317724 +aS'further\tfurther\tJJ\tB-NP\tO' +p317725 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p317726 +aS'.\t.\t.\tO\tO' +p317727 +asS'Her initial blood culture remained negative and she received 48 hours of ampicillin and gentamicin .' +p317728 +(lp317729 +S'Her\tHer\tPRP$\tB-NP\tO' +p317730 +aS'initial\tinitial\tJJ\tI-NP\tO' +p317731 +aS'blood\tblood\tNN\tI-NP\tO' +p317732 +aS'culture\tculture\tNN\tI-NP\tO' +p317733 +aS'remained\tremain\tVBD\tB-VP\tO' +p317734 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p317735 +aS'and\tand\tCC\tO\tO' +p317736 +aS'she\tshe\tPRP\tB-NP\tO' +p317737 +aS'received\treceive\tVBD\tB-VP\tO' +p317738 +aS'48\t48\tCD\tB-NP\tO' +p317739 +aS'hours\thour\tNNS\tI-NP\tO' +p317740 +aS'of\tof\tIN\tB-PP\tO' +p317741 +aS'ampicillin\tampicillin\tNN\tB-NP\tO' +p317742 +aS'and\tand\tCC\tI-NP\tO' +p317743 +aS'gentamicin\tgentamicin\tNN\tI-NP\tO' +p317744 +aS'.\t.\t.\tO\tO' +p317745 +asS'Her seizure management is difficult , given the higher doses were causing her to fall and slur her speech .' +p317746 +(lp317747 +S'Her\tHer\tPRP$\tB-NP\tO' +p317748 +aS'seizure\tseizure\tNN\tI-NP\tO' +p317749 +aS'management\tmanagement\tNN\tI-NP\tO' +p317750 +aS'is\tbe\tVBZ\tB-VP\tO' +p317751 +aS'difficult\tdifficult\tJJ\tB-ADJP\tO' +p317752 +aS',\t,\t,\tO\tO' +p317753 +aS'given\tgive\tVBN\tB-PP\tO' +p317754 +aS'the\tthe\tDT\tB-NP\tO' +p317755 +aS'higher\thigh\tJJR\tI-NP\tO' +p317756 +aS'doses\tdose\tNNS\tI-NP\tO' +p317757 +aS'were\tbe\tVBD\tB-VP\tO' +p317758 +aS'causing\tcause\tVBG\tI-VP\tO' +p317759 +aS'her\ther\tPRP\tB-NP\tO' +p317760 +aS'to\tto\tTO\tB-VP\tO' +p317761 +aS'fall\tfall\tVB\tI-VP\tO' +p317762 +aS'and\tand\tCC\tI-VP\tO' +p317763 +aS'slur\tslur\tVB\tI-VP\tO' +p317764 +aS'her\ther\tPRP$\tB-NP\tO' +p317765 +aS'speech\tspeech\tNN\tI-NP\tO' +p317766 +aS'.\t.\t.\tO\tO' +p317767 +asS'No herniation is identified .' +p317768 +(lp317769 +S'No\tNo\tDT\tB-NP\tO' +p317770 +aS'herniation\therniation\tNN\tI-NP\tO' +p317771 +aS'is\tbe\tVBZ\tB-VP\tO' +p317772 +aS'identified\tidentify\tVBN\tI-VP\tO' +p317773 +aS'.\t.\t.\tO\tO' +p317774 +asS'During his admission , his am fasting glucose levels were intermittently elevated and his HbA1C was greater than 7 .' +p317775 +(lp317776 +S'During\tDuring\tIN\tB-PP\tO' +p317777 +aS'his\this\tPRP$\tB-NP\tO' +p317778 +aS'admission\tadmission\tNN\tI-NP\tO' +p317779 +aS',\t,\t,\tO\tO' +p317780 +aS'his\this\tPRP$\tB-NP\tO' +p317781 +aS'am\tam\tNN\tI-NP\tO' +p317782 +aS'fasting\tfast\tVBG\tB-VP\tO' +p317783 +aS'glucose\tglucose\tNN\tB-NP\tO' +p317784 +aS'levels\tlevel\tNNS\tI-NP\tO' +p317785 +aS'were\tbe\tVBD\tB-VP\tO' +p317786 +aS'intermittently\tintermittently\tRB\tI-VP\tO' +p317787 +aS'elevated\televate\tVBN\tI-VP\tO' +p317788 +aS'and\tand\tCC\tO\tO' +p317789 +aS'his\this\tPRP$\tB-NP\tO' +p317790 +aS'HbA1C\tHbA1C\tNN\tI-NP\tB-protein' +p317791 +aS'was\tbe\tVBD\tB-VP\tO' +p317792 +aS'greater\tgreat\tJJR\tB-ADJP\tO' +p317793 +aS'than\tthan\tIN\tB-PP\tO' +p317794 +aS'7\t7\tCD\tB-NP\tO' +p317795 +aS'.\t.\t.\tO\tO' +p317796 +asS'Heart is regular rate and rhythm , without murmur .' +p317797 +(lp317798 +S'Heart\tHeart\tNNP\tB-NP\tO' +p317799 +aS'is\tbe\tVBZ\tB-VP\tO' +p317800 +aS'regular\tregular\tJJ\tB-NP\tO' +p317801 +aS'rate\trate\tNN\tI-NP\tO' +p317802 +aS'and\tand\tCC\tI-NP\tO' +p317803 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p317804 +aS',\t,\t,\tO\tO' +p317805 +aS'without\twithout\tIN\tB-PP\tO' +p317806 +aS'murmur\tmurmur\tNN\tB-NP\tO' +p317807 +aS'.\t.\t.\tO\tO' +p317808 +asS'D. One intrauterine device , gross description .' +p317809 +(lp317810 +S'D.\tD.\tNNP\tB-NP\tO' +p317811 +aS'One\tOne\tCD\tI-NP\tO' +p317812 +aS'intrauterine\tintrauterine\tJJ\tI-NP\tO' +p317813 +aS'device\tdevice\tNN\tI-NP\tO' +p317814 +aS',\t,\t,\tO\tO' +p317815 +aS'gross\tgross\tJJ\tB-NP\tO' +p317816 +aS'description\tdescription\tNN\tI-NP\tO' +p317817 +aS'.\t.\t.\tO\tO' +p317818 +asS"However , subsequent it was determined that the patient 's hypotension may have been related to his rapid ventricular response and right heart failure ." +p317819 +(lp317820 +S'However\tHowever\tRB\tB-ADVP\tO' +p317821 +aS',\t,\t,\tO\tO' +p317822 +aS'subsequent\tsubsequent\tJJ\tB-ADJP\tO' +p317823 +aS'it\tit\tPRP\tB-NP\tO' +p317824 +aS'was\tbe\tVBD\tB-VP\tO' +p317825 +aS'determined\tdetermine\tVBN\tI-VP\tO' +p317826 +aS'that\tthat\tIN\tB-SBAR\tO' +p317827 +aS'the\tthe\tDT\tB-NP\tO' +p317828 +aS'patient\tpatient\tNN\tI-NP\tO' +p317829 +aS"'s\t's\tPOS\tB-NP\tO" +p317830 +aS'hypotension\thypotension\tNN\tI-NP\tO' +p317831 +aS'may\tmay\tMD\tB-VP\tO' +p317832 +aS'have\thave\tVB\tI-VP\tO' +p317833 +aS'been\tbe\tVBN\tI-VP\tO' +p317834 +aS'related\trelate\tVBN\tI-VP\tO' +p317835 +aS'to\tto\tTO\tB-PP\tO' +p317836 +aS'his\this\tPRP$\tB-NP\tO' +p317837 +aS'rapid\trapid\tJJ\tI-NP\tO' +p317838 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p317839 +aS'response\tresponse\tNN\tI-NP\tO' +p317840 +aS'and\tand\tCC\tI-NP\tO' +p317841 +aS'right\tright\tJJ\tI-NP\tO' +p317842 +aS'heart\theart\tNN\tI-NP\tO' +p317843 +aS'failure\tfailure\tNN\tI-NP\tO' +p317844 +aS'.\t.\t.\tO\tO' +p317845 +asS'Dr. Jescdrig was called and a consultation was done and he placed bilateral ureteral stents in her kidneys .' +p317846 +(lp317847 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p317848 +aS'Jescdrig\tJescdrig\tNNP\tI-NP\tO' +p317849 +aS'was\tbe\tVBD\tB-VP\tO' +p317850 +aS'called\tcall\tVBN\tI-VP\tO' +p317851 +aS'and\tand\tCC\tO\tO' +p317852 +aS'a\ta\tDT\tB-NP\tO' +p317853 +aS'consultation\tconsultation\tNN\tI-NP\tO' +p317854 +aS'was\tbe\tVBD\tB-VP\tO' +p317855 +aS'done\tdo\tVBN\tI-VP\tO' +p317856 +aS'and\tand\tCC\tO\tO' +p317857 +aS'he\the\tPRP\tB-NP\tO' +p317858 +aS'placed\tplace\tVBD\tB-VP\tO' +p317859 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p317860 +aS'ureteral\tureteral\tJJ\tI-NP\tO' +p317861 +aS'stents\tstent\tNNS\tI-NP\tO' +p317862 +aS'in\tin\tIN\tB-PP\tO' +p317863 +aS'her\ther\tPRP$\tB-NP\tO' +p317864 +aS'kidneys\tkidney\tNNS\tI-NP\tO' +p317865 +aS'.\t.\t.\tO\tO' +p317866 +asS'She is an emergency room physician at the Pauline .' +p317867 +(lp317868 +S'She\tShe\tPRP\tB-NP\tO' +p317869 +aS'is\tbe\tVBZ\tB-VP\tO' +p317870 +aS'an\tan\tDT\tB-NP\tO' +p317871 +aS'emergency\temergency\tNN\tI-NP\tO' +p317872 +aS'room\troom\tNN\tI-NP\tO' +p317873 +aS'physician\tphysician\tNN\tI-NP\tO' +p317874 +aS'at\tat\tIN\tB-PP\tO' +p317875 +aS'the\tthe\tDT\tB-NP\tO' +p317876 +aS'Pauline\tPauline\tNN\tI-NP\tO' +p317877 +aS'.\t.\t.\tO\tO' +p317878 +asS'please follow-up with your dialysis physician regarding replacing your PORT .' +p317879 +(lp317880 +S'please\tplease\tVB\tB-VP\tO' +p317881 +aS'follow-up\tfollow-up\tNN\tB-NP\tO' +p317882 +aS'with\twith\tIN\tB-PP\tO' +p317883 +aS'your\tyour\tPRP$\tB-NP\tO' +p317884 +aS'dialysis\tdialysis\tNN\tI-NP\tO' +p317885 +aS'physician\tphysician\tNN\tI-NP\tO' +p317886 +aS'regarding\tregard\tVBG\tB-VP\tO' +p317887 +aS'replacing\treplace\tVBG\tI-VP\tO' +p317888 +aS'your\tyour\tPRP$\tB-NP\tO' +p317889 +aS'PORT\tPORT\tNN\tI-NP\tO' +p317890 +aS'.\t.\t.\tO\tO' +p317891 +asS'At ELMVH ED , BP 160/87 .' +p317892 +(lp317893 +S'At\tAt\tIN\tB-PP\tO' +p317894 +aS'ELMVH\tELMVH\tNNP\tB-NP\tO' +p317895 +aS'ED\tED\tNNP\tI-NP\tO' +p317896 +aS',\t,\t,\tO\tO' +p317897 +aS'BP\tBP\tNNP\tB-NP\tO' +p317898 +aS'160/87\t160/87\tCD\tI-NP\tO' +p317899 +aS'.\t.\t.\tO\tO' +p317900 +asS'VIII: Hearing intact to finger rub bilaterally .' +p317901 +(lp317902 +S'VIII:\tVIII:\tNNP\tB-NP\tO' +p317903 +aS'Hearing\tHearing\tNNP\tI-NP\tO' +p317904 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p317905 +aS'to\tto\tTO\tB-VP\tO' +p317906 +aS'finger\tfinger\tVB\tI-VP\tO' +p317907 +aS'rub\trub\tNN\tB-NP\tB-protein' +p317908 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p317909 +aS'.\t.\t.\tO\tO' +p317910 +asS'Responsible After Study for Causing Admission ) s / p ventral hernia repair' +p317911 +(lp317912 +S'Responsible\tResponsible\tJJ\tB-ADJP\tO' +p317913 +aS'After\tAfter\tIN\tB-PP\tO' +p317914 +aS'Study\tStudy\tNN\tB-NP\tO' +p317915 +aS'for\tfor\tIN\tB-PP\tO' +p317916 +aS'Causing\tCause\tVBG\tB-NP\tO' +p317917 +aS'Admission\tAdmission\tNN\tI-NP\tO' +p317918 +aS')\t)\t)\tI-NP\tO' +p317919 +aS's\ts\tNN\tI-NP\tO' +p317920 +aS'/\t/\tSYM\tB-NP\tO' +p317921 +aS'p\tp\tNN\tI-NP\tO' +p317922 +aS'ventral\tventral\tJJ\tI-NP\tO' +p317923 +aS'hernia\thernia\tNN\tI-NP\tO' +p317924 +aS'repair\trepair\tNN\tI-NP\tO' +p317925 +asS'PRINCIPAL DISCHARGE DIAGNOSIS ; Responsible After Study for Causing Admission ) s / p cesarean' +p317926 +(lp317927 +S'PRINCIPAL\tPRINCIPAL\tJJ\tB-NP\tO' +p317928 +aS'DISCHARGE\tDISCHARGE\tNN\tI-NP\tO' +p317929 +aS'DIAGNOSIS\tDIAGNOSIS\tNN\tI-NP\tO' +p317930 +aS';\t;\t:\tO\tO' +p317931 +aS'Responsible\tResponsible\tJJ\tB-ADJP\tO' +p317932 +aS'After\tAfter\tIN\tB-PP\tO' +p317933 +aS'Study\tStudy\tNN\tB-NP\tO' +p317934 +aS'for\tfor\tIN\tB-PP\tO' +p317935 +aS'Causing\tCause\tVBG\tB-NP\tO' +p317936 +aS'Admission\tAdmission\tNN\tI-NP\tO' +p317937 +aS')\t)\t)\tI-NP\tO' +p317938 +aS's\ts\tNN\tI-NP\tO' +p317939 +aS'/\t/\tSYM\tB-NP\tO' +p317940 +aS'p\tp\tNN\tI-NP\tO' +p317941 +aS'cesarean\tcesarean\tJJ\tB-ADJP\tO' +p317942 +asS'She is in no apparent distress .' +p317943 +(lp317944 +S'She\tShe\tPRP\tB-NP\tO' +p317945 +aS'is\tbe\tVBZ\tB-VP\tO' +p317946 +aS'in\tin\tIN\tB-PP\tO' +p317947 +aS'no\tno\tDT\tB-NP\tO' +p317948 +aS'apparent\tapparent\tJJ\tI-NP\tO' +p317949 +aS'distress\tdistress\tNN\tI-NP\tO' +p317950 +aS'.\t.\t.\tO\tO' +p317951 +asS'On physical examination she was afebrile with a blood pressure of 170/100 , heart rate of 70 .' +p317952 +(lp317953 +S'On\tOn\tIN\tB-PP\tO' +p317954 +aS'physical\tphysical\tJJ\tB-NP\tO' +p317955 +aS'examination\texamination\tNN\tI-NP\tO' +p317956 +aS'she\tshe\tPRP\tB-NP\tO' +p317957 +aS'was\tbe\tVBD\tB-VP\tO' +p317958 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p317959 +aS'with\twith\tIN\tB-PP\tO' +p317960 +aS'a\ta\tDT\tB-NP\tO' +p317961 +aS'blood\tblood\tNN\tI-NP\tO' +p317962 +aS'pressure\tpressure\tNN\tI-NP\tO' +p317963 +aS'of\tof\tIN\tB-PP\tO' +p317964 +aS'170/100\t170/100\tCD\tB-NP\tO' +p317965 +aS',\t,\t,\tO\tO' +p317966 +aS'heart\theart\tNN\tB-NP\tO' +p317967 +aS'rate\trate\tNN\tI-NP\tO' +p317968 +aS'of\tof\tIN\tB-PP\tO' +p317969 +aS'70\t70\tCD\tB-NP\tO' +p317970 +aS'.\t.\t.\tO\tO' +p317971 +asS'Chest with moderate intercostal retractions , fair breath sounds bilaterally , no crackles .' +p317972 +(lp317973 +S'Chest\tCh\tJJS\tB-ADVP\tO' +p317974 +aS'with\twith\tIN\tB-PP\tO' +p317975 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p317976 +aS'intercostal\tintercostal\tJJ\tI-NP\tO' +p317977 +aS'retractions\tretraction\tNNS\tI-NP\tO' +p317978 +aS',\t,\t,\tO\tO' +p317979 +aS'fair\tfair\tJJ\tB-NP\tO' +p317980 +aS'breath\tbreath\tNN\tI-NP\tO' +p317981 +aS'sounds\tsound\tVBZ\tB-VP\tO' +p317982 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p317983 +aS',\t,\t,\tO\tO' +p317984 +aS'no\tno\tDT\tB-NP\tO' +p317985 +aS'crackles\tcrackle\tNNS\tI-NP\tO' +p317986 +aS'.\t.\t.\tO\tO' +p317987 +asS'Cranial nerves II through XII grossly intact with a slight deviation of the uvula and tongue to the right .' +p317988 +(lp317989 +S'Cranial\tCranial\tNNP\tB-NP\tO' +p317990 +aS'nerves\tnerve\tVBZ\tB-VP\tO' +p317991 +aS'II\tII\tCD\tB-NP\tO' +p317992 +aS'through\tthrough\tIN\tB-PP\tO' +p317993 +aS'XII\tXII\tCD\tB-NP\tB-DNA' +p317994 +aS'grossly\tgrossly\tRB\tB-ADJP\tO' +p317995 +aS'intact\tintact\tJJ\tI-ADJP\tO' +p317996 +aS'with\twith\tIN\tB-PP\tO' +p317997 +aS'a\ta\tDT\tB-NP\tO' +p317998 +aS'slight\tslight\tJJ\tI-NP\tO' +p317999 +aS'deviation\tdeviation\tNN\tI-NP\tO' +p318000 +aS'of\tof\tIN\tB-PP\tO' +p318001 +aS'the\tthe\tDT\tB-NP\tO' +p318002 +aS'uvula\tuvula\tNN\tI-NP\tO' +p318003 +aS'and\tand\tCC\tI-NP\tO' +p318004 +aS'tongue\ttongue\tNN\tI-NP\tO' +p318005 +aS'to\tto\tTO\tB-PP\tO' +p318006 +aS'the\tthe\tDT\tB-NP\tO' +p318007 +aS'right\tright\tNN\tI-NP\tO' +p318008 +aS'.\t.\t.\tO\tO' +p318009 +asS'Prior to this result , the patient had already been on Ampicillin , Sulbactam and Gentamycin .' +p318010 +(lp318011 +S'Prior\tPrior\tRB\tB-ADVP\tO' +p318012 +aS'to\tto\tTO\tB-PP\tO' +p318013 +aS'this\tthis\tDT\tB-NP\tO' +p318014 +aS'result\tresult\tNN\tI-NP\tO' +p318015 +aS',\t,\t,\tO\tO' +p318016 +aS'the\tthe\tDT\tB-NP\tO' +p318017 +aS'patient\tpatient\tNN\tI-NP\tO' +p318018 +aS'had\thave\tVBD\tB-VP\tO' +p318019 +aS'already\talready\tRB\tI-VP\tO' +p318020 +aS'been\tbe\tVBN\tI-VP\tO' +p318021 +aS'on\ton\tIN\tB-PP\tO' +p318022 +aS'Ampicillin\tAmpicillin\tNN\tB-NP\tB-protein' +p318023 +aS',\t,\t,\tI-NP\tO' +p318024 +aS'Sulbactam\tSulbactam\tNN\tI-NP\tO' +p318025 +aS'and\tand\tCC\tI-NP\tO' +p318026 +aS'Gentamycin\tGentamycin\tNN\tI-NP\tO' +p318027 +aS'.\t.\t.\tO\tO' +p318028 +asS'She has had multiple prednisone tapers ( see History of Present Illness ) .' +p318029 +(lp318030 +S'She\tShe\tPRP\tB-NP\tO' +p318031 +aS'has\thave\tVBZ\tB-VP\tO' +p318032 +aS'had\thave\tVBN\tI-VP\tO' +p318033 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p318034 +aS'prednisone\tprednisone\tNN\tI-NP\tO' +p318035 +aS'tapers\ttaper\tNNS\tI-NP\tO' +p318036 +aS'(\t(\t(\tO\tO' +p318037 +aS'see\tsee\tVB\tB-VP\tO' +p318038 +aS'History\tHistory\tNN\tB-NP\tO' +p318039 +aS'of\tof\tIN\tB-PP\tO' +p318040 +aS'Present\tPresent\tNNP\tB-NP\tO' +p318041 +aS'Illness\tIllness\tNNP\tI-NP\tO' +p318042 +aS')\t)\t)\tO\tO' +p318043 +aS'.\t.\t.\tO\tO' +p318044 +asS'She is afebrile , her vital signs are stable .' +p318045 +(lp318046 +S'She\tShe\tPRP\tB-NP\tO' +p318047 +aS'is\tbe\tVBZ\tB-VP\tO' +p318048 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p318049 +aS',\t,\t,\tO\tO' +p318050 +aS'her\ther\tPRP$\tB-NP\tO' +p318051 +aS'vital\tvital\tJJ\tI-NP\tO' +p318052 +aS'signs\tsign\tNNS\tI-NP\tO' +p318053 +aS'are\tbe\tVBP\tB-VP\tO' +p318054 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p318055 +aS'.\t.\t.\tO\tO' +p318056 +asS'She has a normal S1 , S2 heart sound and no murmur .' +p318057 +(lp318058 +S'She\tShe\tPRP\tB-NP\tO' +p318059 +aS'has\thave\tVBZ\tB-VP\tO' +p318060 +aS'a\ta\tDT\tB-NP\tO' +p318061 +aS'normal\tnormal\tJJ\tI-NP\tO' +p318062 +aS'S1\tS1\tNN\tI-NP\tO' +p318063 +aS',\t,\t,\tO\tO' +p318064 +aS'S2\tS2\tNN\tB-NP\tO' +p318065 +aS'heart\theart\tNN\tI-NP\tO' +p318066 +aS'sound\tsound\tNN\tI-NP\tO' +p318067 +aS'and\tand\tCC\tO\tO' +p318068 +aS'no\tno\tDT\tB-NP\tO' +p318069 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p318070 +aS'.\t.\t.\tO\tO' +p318071 +asS'HOWEVER , SHE WAS SLOW TO AWAKE FROM ANESTHESIA , AND WAS ADMITTED TO THE CMED CCU OBSERVATION .' +p318072 +(lp318073 +S'HOWEVER\tHOWEVER\tNN\tB-NP\tO' +p318074 +aS',\t,\t,\tO\tO' +p318075 +aS'SHE\tSHE\tNNP\tB-NP\tO' +p318076 +aS'WAS\tWAS\tNNP\tI-NP\tO' +p318077 +aS'SLOW\tSLOW\tNNP\tI-NP\tO' +p318078 +aS'TO\tTO\tNNP\tI-NP\tO' +p318079 +aS'AWAKE\tAWAKE\tNNP\tI-NP\tO' +p318080 +aS'FROM\tFROM\tNNP\tI-NP\tO' +p318081 +aS'ANESTHESIA\tANESTHESIA\tNNP\tI-NP\tO' +p318082 +aS',\t,\t,\tO\tO' +p318083 +aS'AND\tAND\tCC\tO\tO' +p318084 +aS'WAS\tWAS\tNNP\tB-NP\tO' +p318085 +aS'ADMITTED\tADMITTED\tVBD\tB-VP\tO' +p318086 +aS'TO\tTO\tTO\tB-PP\tO' +p318087 +aS'THE\tTHE\tDT\tB-NP\tO' +p318088 +aS'CMED\tCMED\tJJ\tI-NP\tO' +p318089 +aS'CCU\tCCU\tNN\tI-NP\tO' +p318090 +aS'OBSERVATION\tOBSERVATION\tNN\tI-NP\tO' +p318091 +aS'.\t.\t.\tO\tO' +p318092 +asS'Ext : no peripheral edema , R leg shortened and rotated , + cellulitis' +p318093 +(lp318094 +S'Ext\tExt\tNN\tB-NP\tO' +p318095 +aS':\t:\t:\tO\tO' +p318096 +aS'no\tno\tDT\tB-NP\tO' +p318097 +aS'peripheral\tperipheral\tJJ\tI-NP\tO' +p318098 +aS'edema\tedema\tNN\tI-NP\tO' +p318099 +aS',\t,\t,\tO\tO' +p318100 +aS'R\tR\tNN\tB-NP\tO' +p318101 +aS'leg\tleg\tNN\tI-NP\tO' +p318102 +aS'shortened\tshorten\tVBD\tB-VP\tO' +p318103 +aS'and\tand\tCC\tI-VP\tO' +p318104 +aS'rotated\trotate\tVBD\tI-VP\tO' +p318105 +aS',\t,\t,\tO\tO' +p318106 +aS'+\t+\tSYM\tO\tO' +p318107 +aS'cellulitis\tcellulitis\tNN\tB-NP\tO' +p318108 +asS'Abdomen : soft , NT/ND , normoactive bowel sounds , no masses or organomegaly noted .' +p318109 +(lp318110 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p318111 +aS':\t:\t:\tO\tO' +p318112 +aS'soft\tsoft\tJJ\tB-NP\tO' +p318113 +aS',\t,\t,\tI-NP\tO' +p318114 +aS'NT/ND\tNT/ND\tNN\tI-NP\tB-protein' +p318115 +aS',\t,\t,\tO\tO' +p318116 +aS'normoactive\tnormoactive\tJJ\tB-NP\tO' +p318117 +aS'bowel\tbowel\tNN\tI-NP\tO' +p318118 +aS'sounds\tsound\tNNS\tI-NP\tO' +p318119 +aS',\t,\t,\tO\tO' +p318120 +aS'no\tno\tDT\tB-NP\tO' +p318121 +aS'masses\tmass\tNNS\tI-NP\tO' +p318122 +aS'or\tor\tCC\tO\tO' +p318123 +aS'organomegaly\torganomegaly\tRB\tB-VP\tO' +p318124 +aS'noted\tnote\tVBN\tI-VP\tO' +p318125 +aS'.\t.\t.\tO\tO' +p318126 +asS'She is single , no children .' +p318127 +(lp318128 +S'She\tShe\tPRP\tB-NP\tO' +p318129 +aS'is\tbe\tVBZ\tB-VP\tO' +p318130 +aS'single\tsingle\tJJ\tB-ADJP\tO' +p318131 +aS',\t,\t,\tO\tO' +p318132 +aS'no\tno\tDT\tB-NP\tO' +p318133 +aS'children\tchild\tNNS\tI-NP\tO' +p318134 +aS'.\t.\t.\tO\tO' +p318135 +asS'There are simple atheroma in the ascending aorta .' +p318136 +(lp318137 +S'There\tThere\tEX\tB-NP\tO' +p318138 +aS'are\tbe\tVBP\tB-VP\tO' +p318139 +aS'simple\tsimple\tJJ\tB-NP\tO' +p318140 +aS'atheroma\tatheroma\tNN\tI-NP\tO' +p318141 +aS'in\tin\tIN\tB-PP\tO' +p318142 +aS'the\tthe\tDT\tB-NP\tO' +p318143 +aS'ascending\tascend\tVBG\tI-NP\tO' +p318144 +aS'aorta\taorta\tNN\tI-NP\tO' +p318145 +aS'.\t.\t.\tO\tO' +p318146 +asS'soft , nontender with hepatosplenomegaly , or hepatojugular reflex , bruits or pulsations .' +p318147 +(lp318148 +S'soft\tsoft\tJJ\tB-ADVP\tO' +p318149 +aS',\t,\t,\tO\tO' +p318150 +aS'nontender\tnontender\tJJ\tB-ADJP\tO' +p318151 +aS'with\twith\tIN\tB-PP\tO' +p318152 +aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tB-NP\tO' +p318153 +aS',\t,\t,\tO\tO' +p318154 +aS'or\tor\tCC\tO\tO' +p318155 +aS'hepatojugular\thepatojugular\tJJ\tB-NP\tO' +p318156 +aS'reflex\treflex\tNN\tI-NP\tO' +p318157 +aS',\t,\t,\tO\tO' +p318158 +aS'bruits\tbruit\tNNS\tB-NP\tO' +p318159 +aS'or\tor\tCC\tI-NP\tO' +p318160 +aS'pulsations\tpulsation\tNNS\tI-NP\tO' +p318161 +aS'.\t.\t.\tO\tO' +p318162 +asS'3. Docusate Sodium 100 mg Capsule Sig : One ( 1 ) Capsule PO BID ( 2 times a day ): Take as necessary for constipation .' +p318163 +(lp318164 +S'3.\t3.\tLS\tB-NP\tO' +p318165 +aS'Docusate\tDocusate\tNN\tI-NP\tO' +p318166 +aS'Sodium\tSodium\tNN\tI-NP\tO' +p318167 +aS'100\t100\tCD\tI-NP\tO' +p318168 +aS'mg\tmg\tNN\tI-NP\tO' +p318169 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p318170 +aS'Sig\tSig\tNNP\tI-NP\tO' +p318171 +aS':\t:\t:\tO\tO' +p318172 +aS'One\tOne\tCD\tB-NP\tO' +p318173 +aS'(\t(\t(\tO\tO' +p318174 +aS'1\t1\tCD\tB-NP\tO' +p318175 +aS')\t)\t)\tO\tO' +p318176 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p318177 +aS'PO\tPO\tNNP\tI-NP\tO' +p318178 +aS'BID\tBID\tNNP\tI-NP\tO' +p318179 +aS'(\t(\t(\tO\tO' +p318180 +aS'2\t2\tCD\tB-NP\tO' +p318181 +aS'times\ttime\tNNS\tI-NP\tO' +p318182 +aS'a\ta\tDT\tB-NP\tO' +p318183 +aS'day\tday\tNN\tI-NP\tO' +p318184 +aS'):\t):\t:\tO\tO' +p318185 +aS'Take\tTake\tVB\tB-VP\tO' +p318186 +aS'as\tas\tRB\tB-ADJP\tO' +p318187 +aS'necessary\tnecessary\tJJ\tI-ADJP\tO' +p318188 +aS'for\tfor\tIN\tB-PP\tO' +p318189 +aS'constipation\tconstipation\tNN\tB-NP\tO' +p318190 +aS'.\t.\t.\tO\tO' +p318191 +asS'Mr. Vazquez is a 48 year old man with a history of hepatitis C , bipolar disorder with suicide attempts in the past , recent CMED admit earlier in 4/05 who was found alert approximately one hour after taking an unspecified number of pills .' +p318192 +(lp318193 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p318194 +aS'Vazquez\tVazquez\tNNP\tI-NP\tO' +p318195 +aS'is\tbe\tVBZ\tB-VP\tO' +p318196 +aS'a\ta\tDT\tB-NP\tO' +p318197 +aS'48\t48\tCD\tI-NP\tO' +p318198 +aS'year\tyear\tNN\tI-NP\tO' +p318199 +aS'old\told\tJJ\tI-NP\tO' +p318200 +aS'man\tman\tNN\tI-NP\tO' +p318201 +aS'with\twith\tIN\tB-PP\tO' +p318202 +aS'a\ta\tDT\tB-NP\tO' +p318203 +aS'history\thistory\tNN\tI-NP\tO' +p318204 +aS'of\tof\tIN\tB-PP\tO' +p318205 +aS'hepatitis\thepatitis\tNN\tB-NP\tO' +p318206 +aS'C\tC\tNN\tI-NP\tO' +p318207 +aS',\t,\t,\tO\tO' +p318208 +aS'bipolar\tbipolar\tJJ\tB-NP\tO' +p318209 +aS'disorder\tdisorder\tNN\tI-NP\tO' +p318210 +aS'with\twith\tIN\tB-PP\tO' +p318211 +aS'suicide\tsuicide\tNN\tB-NP\tO' +p318212 +aS'attempts\tattempt\tNNS\tI-NP\tO' +p318213 +aS'in\tin\tIN\tB-PP\tO' +p318214 +aS'the\tthe\tDT\tB-NP\tO' +p318215 +aS'past\tpast\tNN\tI-NP\tO' +p318216 +aS',\t,\t,\tO\tO' +p318217 +aS'recent\trecent\tJJ\tB-NP\tO' +p318218 +aS'CMED\tCMED\tNN\tI-NP\tO' +p318219 +aS'admit\tadmit\tVBP\tB-VP\tO' +p318220 +aS'earlier\tearlier\tRBR\tB-ADVP\tO' +p318221 +aS'in\tin\tIN\tB-PP\tO' +p318222 +aS'4/05\t4/05\tCD\tB-NP\tO' +p318223 +aS'who\twho\tWP\tB-NP\tO' +p318224 +aS'was\tbe\tVBD\tB-VP\tO' +p318225 +aS'found\tfind\tVBN\tI-VP\tO' +p318226 +aS'alert\talert\tRB\tB-PP\tO' +p318227 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p318228 +aS'one\tone\tCD\tI-NP\tO' +p318229 +aS'hour\thour\tNN\tI-NP\tO' +p318230 +aS'after\tafter\tIN\tB-PP\tO' +p318231 +aS'taking\ttake\tVBG\tB-VP\tO' +p318232 +aS'an\tan\tDT\tB-NP\tO' +p318233 +aS'unspecified\tunspecified\tJJ\tI-NP\tO' +p318234 +aS'number\tnumber\tNN\tI-NP\tO' +p318235 +aS'of\tof\tIN\tB-PP\tO' +p318236 +aS'pills\tpill\tNNS\tB-NP\tO' +p318237 +aS'.\t.\t.\tO\tO' +p318238 +asS'White blood cell 12.9 , hemoglobin 11.5 , hematocrit 32.8 , platelet count 197,000 , sodium 141 , potassium 3.6 , chloride 110 , bicarbonate 21 , BUN 20 , creatinine 0.7 , glucose 189 , PT 13.3 , INR 1.2 , PTT 30.0 , amylase 57 , arterial blood gas 7.32 , 35 , 159 , 19 , -7 .' +p318239 +(lp318240 +S'White\tWhite\tJJ\tB-NP\tO' +p318241 +aS'blood\tblood\tNN\tI-NP\tO' +p318242 +aS'cell\tcell\tNN\tI-NP\tO' +p318243 +aS'12.9\t12.9\tCD\tI-NP\tO' +p318244 +aS',\t,\t,\tO\tO' +p318245 +aS'hemoglobin\themoglobin\tNN\tB-NP\tB-protein' +p318246 +aS'11.5\t11.5\tCD\tI-NP\tI-protein' +p318247 +aS',\t,\t,\tO\tO' +p318248 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p318249 +aS'32.8\t32.8\tCD\tI-NP\tI-protein' +p318250 +aS',\t,\t,\tO\tO' +p318251 +aS'platelet\tplatelet\tNN\tB-NP\tB-protein' +p318252 +aS'count\tcount\tNN\tI-NP\tI-protein' +p318253 +aS'197,000\t197,000\tCD\tI-NP\tI-protein' +p318254 +aS',\t,\t,\tO\tO' +p318255 +aS'sodium\tsodium\tNN\tB-NP\tO' +p318256 +aS'141\t141\tCD\tI-NP\tO' +p318257 +aS',\t,\t,\tO\tO' +p318258 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p318259 +aS'3.6\t3.6\tCD\tI-NP\tO' +p318260 +aS',\t,\t,\tO\tO' +p318261 +aS'chloride\tchloride\tNN\tB-NP\tO' +p318262 +aS'110\t110\tCD\tI-NP\tO' +p318263 +aS',\t,\t,\tO\tO' +p318264 +aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' +p318265 +aS'21\t21\tCD\tI-NP\tO' +p318266 +aS',\t,\t,\tO\tO' +p318267 +aS'BUN\tBUN\tNN\tB-NP\tB-DNA' +p318268 +aS'20\t20\tCD\tI-NP\tI-DNA' +p318269 +aS',\t,\t,\tO\tO' +p318270 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p318271 +aS'0.7\t0.7\tCD\tI-NP\tO' +p318272 +aS',\t,\t,\tO\tO' +p318273 +aS'glucose\tglucose\tNN\tB-NP\tO' +p318274 +aS'189\t189\tCD\tI-NP\tO' +p318275 +aS',\t,\t,\tO\tO' +p318276 +aS'PT\tPT\tNN\tB-NP\tB-cell_line' +p318277 +aS'13.3\t13.3\tCD\tI-NP\tI-cell_line' +p318278 +aS',\t,\t,\tO\tO' +p318279 +aS'INR\tINR\tNN\tB-NP\tB-protein' +p318280 +aS'1.2\t1.2\tCD\tI-NP\tI-protein' +p318281 +aS',\t,\t,\tO\tO' +p318282 +aS'PTT\tPTT\tNN\tB-NP\tB-protein' +p318283 +aS'30.0\t30.0\tCD\tI-NP\tI-protein' +p318284 +aS',\t,\t,\tO\tO' +p318285 +aS'amylase\tamylase\tNN\tB-NP\tB-protein' +p318286 +aS'57\t57\tCD\tI-NP\tI-protein' +p318287 +aS',\t,\t,\tO\tO' +p318288 +aS'arterial\tarterial\tJJ\tB-NP\tO' +p318289 +aS'blood\tblood\tNN\tI-NP\tO' +p318290 +aS'gas\tgas\tNN\tI-NP\tO' +p318291 +aS'7.32\t7.32\tCD\tI-NP\tO' +p318292 +aS',\t,\t,\tI-NP\tO' +p318293 +aS'35\t35\tCD\tI-NP\tO' +p318294 +aS',\t,\t,\tI-NP\tO' +p318295 +aS'159\t159\tCD\tI-NP\tO' +p318296 +aS',\t,\t,\tI-NP\tO' +p318297 +aS'19\t19\tCD\tI-NP\tO' +p318298 +aS',\t,\t,\tI-NP\tO' +p318299 +aS'-7\t-7\tCD\tI-NP\tO' +p318300 +aS'.\t.\t.\tO\tO' +p318301 +asS'5. Metoprolol 50 mg p.o. twice a day .' +p318302 +(lp318303 +S'5.\t5.\tLS\tB-NP\tO' +p318304 +aS'Metoprolol\tMetoprolol\tNN\tI-NP\tO' +p318305 +aS'50\t50\tCD\tI-NP\tO' +p318306 +aS'mg\tmg\tNN\tI-NP\tO' +p318307 +aS'p.o.\tp.o.\tRB\tB-NP\tO' +p318308 +aS'twice\ttwice\tRB\tI-NP\tO' +p318309 +aS'a\ta\tDT\tI-NP\tO' +p318310 +aS'day\tday\tNN\tI-NP\tO' +p318311 +aS'.\t.\t.\tO\tO' +p318312 +asS'The physiology at the time of transfer to the Medical Intensive Care Unit was consistent with a septic process .' +p318313 +(lp318314 +S'The\tThe\tDT\tB-NP\tO' +p318315 +aS'physiology\tphysiology\tNN\tI-NP\tO' +p318316 +aS'at\tat\tIN\tB-PP\tO' +p318317 +aS'the\tthe\tDT\tB-NP\tO' +p318318 +aS'time\ttime\tNN\tI-NP\tO' +p318319 +aS'of\tof\tIN\tB-PP\tO' +p318320 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p318321 +aS'to\tto\tTO\tB-PP\tO' +p318322 +aS'the\tthe\tDT\tB-NP\tO' +p318323 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p318324 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p318325 +aS'Care\tCare\tNNP\tI-NP\tO' +p318326 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p318327 +aS'was\tbe\tVBD\tB-VP\tO' +p318328 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p318329 +aS'with\twith\tIN\tB-PP\tO' +p318330 +aS'a\ta\tDT\tB-NP\tO' +p318331 +aS'septic\tseptic\tJJ\tI-NP\tO' +p318332 +aS'process\tprocess\tNN\tI-NP\tO' +p318333 +aS'.\t.\t.\tO\tO' +p318334 +asS'He will need close monitoring of his creatinine post discharge in the setting of reinstitution of his ACE inhibitor .' +p318335 +(lp318336 +S'He\tHe\tPRP\tB-NP\tO' +p318337 +aS'will\twill\tMD\tB-VP\tO' +p318338 +aS'need\tneed\tVB\tI-VP\tO' +p318339 +aS'close\tclose\tJJ\tB-NP\tO' +p318340 +aS'monitoring\tmonitoring\tNN\tI-NP\tO' +p318341 +aS'of\tof\tIN\tB-PP\tO' +p318342 +aS'his\this\tPRP$\tB-NP\tO' +p318343 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p318344 +aS'post\tpost\tNN\tI-NP\tO' +p318345 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p318346 +aS'in\tin\tIN\tB-PP\tO' +p318347 +aS'the\tthe\tDT\tB-NP\tO' +p318348 +aS'setting\tsetting\tNN\tI-NP\tO' +p318349 +aS'of\tof\tIN\tB-PP\tO' +p318350 +aS'reinstitution\treinstitution\tNN\tB-NP\tO' +p318351 +aS'of\tof\tIN\tB-PP\tO' +p318352 +aS'his\this\tPRP$\tB-NP\tO' +p318353 +aS'ACE\tACE\tNN\tI-NP\tO' +p318354 +aS'inhibitor\tinhibitor\tNN\tI-NP\tO' +p318355 +aS'.\t.\t.\tO\tO' +p318356 +asS'Over the course of the night the patient drained an additional 400 cc of serosanguineous fluid from his pericardial drain pouch .' +p318357 +(lp318358 +S'Over\tOver\tIN\tB-PP\tO' +p318359 +aS'the\tthe\tDT\tB-NP\tO' +p318360 +aS'course\tcourse\tNN\tI-NP\tO' +p318361 +aS'of\tof\tIN\tB-PP\tO' +p318362 +aS'the\tthe\tDT\tB-NP\tO' +p318363 +aS'night\tnight\tNN\tI-NP\tO' +p318364 +aS'the\tthe\tDT\tB-NP\tO' +p318365 +aS'patient\tpatient\tNN\tI-NP\tO' +p318366 +aS'drained\tdrain\tVBD\tB-VP\tO' +p318367 +aS'an\tan\tDT\tB-NP\tO' +p318368 +aS'additional\tadditional\tJJ\tI-NP\tO' +p318369 +aS'400\t400\tCD\tI-NP\tO' +p318370 +aS'cc\tcc\tNN\tI-NP\tO' +p318371 +aS'of\tof\tIN\tB-PP\tO' +p318372 +aS'serosanguineous\tserosanguineous\tJJ\tB-NP\tO' +p318373 +aS'fluid\tfluid\tNN\tI-NP\tO' +p318374 +aS'from\tfrom\tIN\tB-PP\tO' +p318375 +aS'his\this\tPRP$\tB-NP\tO' +p318376 +aS'pericardial\tpericardial\tJJ\tI-NP\tO' +p318377 +aS'drain\tdrain\tNN\tI-NP\tO' +p318378 +aS'pouch\tpouch\tNN\tI-NP\tO' +p318379 +aS'.\t.\t.\tO\tO' +p318380 +asS'He was afebrile with stable vital signs' +p318381 +(lp318382 +S'He\tHe\tPRP\tB-NP\tO' +p318383 +aS'was\tbe\tVBD\tB-VP\tO' +p318384 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p318385 +aS'with\twith\tIN\tB-PP\tO' +p318386 +aS'stable\tstable\tJJ\tB-NP\tO' +p318387 +aS'vital\tvital\tJJ\tI-NP\tO' +p318388 +aS'signs\tsign\tNNS\tI-NP\tO' +p318389 +asS'Severe systolic HTN also noted .' +p318390 +(lp318391 +S'Severe\tSevere\tJJ\tB-NP\tO' +p318392 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p318393 +aS'HTN\tHTN\tNN\tI-NP\tO' +p318394 +aS'also\talso\tRB\tB-ADVP\tO' +p318395 +aS'noted\tnote\tVBD\tB-VP\tO' +p318396 +aS'.\t.\t.\tO\tO' +p318397 +asS'She therefore _________ criteria for a spontaneous bacterial peritonitis .' +p318398 +(lp318399 +S'She\tShe\tPRP\tB-NP\tO' +p318400 +aS'therefore\ttherefore\tRB\tB-ADVP\tO' +p318401 +aS'_________\t_________\tVBP\tB-VP\tO' +p318402 +aS'criteria\tcriterion\tNNS\tB-NP\tO' +p318403 +aS'for\tfor\tIN\tB-PP\tO' +p318404 +aS'a\ta\tDT\tB-NP\tO' +p318405 +aS'spontaneous\tspontaneous\tJJ\tI-NP\tO' +p318406 +aS'bacterial\tbacterial\tJJ\tI-NP\tO' +p318407 +aS'peritonitis\tperitonitis\tNN\tI-NP\tO' +p318408 +aS'.\t.\t.\tO\tO' +p318409 +asS'4. Clopidogrel 75 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' +p318410 +(lp318411 +S'4.\t4.\tLS\tB-NP\tO' +p318412 +aS'Clopidogrel\tClopidogrel\tNN\tI-NP\tO' +p318413 +aS'75\t75\tCD\tI-NP\tO' +p318414 +aS'mg\tmg\tNN\tI-NP\tO' +p318415 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p318416 +aS'Sig\tSig\tNNP\tI-NP\tO' +p318417 +aS':\t:\t:\tO\tO' +p318418 +aS'One\tOne\tCD\tB-NP\tO' +p318419 +aS'(\t(\t(\tO\tO' +p318420 +aS'1\t1\tCD\tB-NP\tO' +p318421 +aS')\t)\t)\tO\tO' +p318422 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p318423 +aS'PO\tPO\tNN\tI-NP\tO' +p318424 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p318425 +aS'(\t(\t(\tO\tO' +p318426 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p318427 +aS')\t)\t)\tO\tO' +p318428 +aS'.\t.\t.\tO\tO' +p318429 +asS'On admission , FI02 was 50-60% , PID 30-32/PEEP of 5.7 , total volume was between 140 to 210 during Intensive Care Unit stay .' +p318430 +(lp318431 +S'On\tOn\tIN\tB-PP\tO' +p318432 +aS'admission\tadmission\tNN\tB-NP\tO' +p318433 +aS',\t,\t,\tO\tO' +p318434 +aS'FI02\tFI02\tNN\tB-NP\tB-protein' +p318435 +aS'was\tbe\tVBD\tB-VP\tO' +p318436 +aS'50-60%\t50-60%\tJJ\tB-ADJP\tO' +p318437 +aS',\t,\t,\tO\tO' +p318438 +aS'PID\tPID\tNN\tB-NP\tO' +p318439 +aS'30-32/PEEP\t30-32/PEEP\tNN\tI-NP\tO' +p318440 +aS'of\tof\tIN\tB-PP\tO' +p318441 +aS'5.7\t5.7\tCD\tB-NP\tO' +p318442 +aS',\t,\t,\tO\tO' +p318443 +aS'total\ttotal\tJJ\tB-NP\tO' +p318444 +aS'volume\tvolume\tNN\tI-NP\tO' +p318445 +aS'was\tbe\tVBD\tB-VP\tO' +p318446 +aS'between\tbetween\tIN\tB-PP\tO' +p318447 +aS'140\t140\tCD\tB-NP\tB-DNA' +p318448 +aS'to\tto\tTO\tB-PP\tI-DNA' +p318449 +aS'210\t210\tCD\tB-NP\tI-DNA' +p318450 +aS'during\tduring\tIN\tB-PP\tO' +p318451 +aS'Intensive\tIntensive\tNNP\tB-NP\tO' +p318452 +aS'Care\tCare\tNNP\tI-NP\tO' +p318453 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p318454 +aS'stay\tstay\tNN\tI-NP\tO' +p318455 +aS'.\t.\t.\tO\tO' +p318456 +asS'Angiography revealed a right dominant system with a 40% lesion in the distal left main, several tight lesions in the proximal and mid left anterior descending artery , and a 90% stenosis in the proximal circumflex .' +p318457 +(lp318458 +S'Angiography\tAngiography\tNN\tB-NP\tO' +p318459 +aS'revealed\treveal\tVBD\tB-VP\tO' +p318460 +aS'a\ta\tDT\tB-NP\tO' +p318461 +aS'right\tright\tJJ\tI-NP\tO' +p318462 +aS'dominant\tdominant\tJJ\tI-NP\tO' +p318463 +aS'system\tsystem\tNN\tI-NP\tO' +p318464 +aS'with\twith\tIN\tB-PP\tO' +p318465 +aS'a\ta\tDT\tB-NP\tO' +p318466 +aS'40%\t40%\tJJ\tI-NP\tO' +p318467 +aS'lesion\tlesion\tNN\tI-NP\tO' +p318468 +aS'in\tin\tIN\tB-PP\tO' +p318469 +aS'the\tthe\tDT\tB-NP\tO' +p318470 +aS'distal\tdistal\tJJ\tI-NP\tO' +p318471 +aS'left\tleft\tJJ\tI-NP\tO' +p318472 +aS'main,\tmain,\tNN\tI-NP\tO' +p318473 +aS'several\tseveral\tJJ\tB-NP\tO' +p318474 +aS'tight\ttight\tJJ\tI-NP\tO' +p318475 +aS'lesions\tlesion\tNNS\tI-NP\tO' +p318476 +aS'in\tin\tIN\tB-PP\tO' +p318477 +aS'the\tthe\tDT\tB-NP\tO' +p318478 +aS'proximal\tproximal\tJJ\tI-NP\tO' +p318479 +aS'and\tand\tCC\tI-NP\tO' +p318480 +aS'mid\tmid\tJJ\tI-NP\tO' +p318481 +aS'left\tleft\tJJ\tI-NP\tO' +p318482 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p318483 +aS'descending\tdescend\tVBG\tI-NP\tO' +p318484 +aS'artery\tartery\tNN\tI-NP\tO' +p318485 +aS',\t,\t,\tO\tO' +p318486 +aS'and\tand\tCC\tO\tO' +p318487 +aS'a\ta\tDT\tB-NP\tO' +p318488 +aS'90%\t90%\tNN\tI-NP\tO' +p318489 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p318490 +aS'in\tin\tIN\tB-PP\tO' +p318491 +aS'the\tthe\tDT\tB-NP\tO' +p318492 +aS'proximal\tproximal\tJJ\tI-NP\tO' +p318493 +aS'circumflex\tcircumflex\tNN\tI-NP\tO' +p318494 +aS'.\t.\t.\tO\tO' +p318495 +asS'The patient had a very firm nodule at the vertex of her calvarium .' +p318496 +(lp318497 +S'The\tThe\tDT\tB-NP\tO' +p318498 +aS'patient\tpatient\tNN\tI-NP\tO' +p318499 +aS'had\thave\tVBD\tB-VP\tO' +p318500 +aS'a\ta\tDT\tB-NP\tO' +p318501 +aS'very\tvery\tRB\tI-NP\tO' +p318502 +aS'firm\tfirm\tJJ\tI-NP\tO' +p318503 +aS'nodule\tnodule\tNN\tI-NP\tO' +p318504 +aS'at\tat\tIN\tB-PP\tO' +p318505 +aS'the\tthe\tDT\tB-NP\tO' +p318506 +aS'vertex\tvertex\tNN\tI-NP\tO' +p318507 +aS'of\tof\tIN\tB-PP\tO' +p318508 +aS'her\ther\tPRP$\tB-NP\tO' +p318509 +aS'calvarium\tcalvarium\tNN\tI-NP\tO' +p318510 +aS'.\t.\t.\tO\tO' +p318511 +asS'# FEN - tube feeds are held in route in anticipation of extubation .' +p318512 +(lp318513 +S'#\t#\t#\tB-NP\tO' +p318514 +aS'FEN\tFEN\tNN\tI-NP\tO' +p318515 +aS'-\t-\tHYPH\tB-NP\tO' +p318516 +aS'tube\ttube\tNN\tI-NP\tO' +p318517 +aS'feeds\tfeed\tNNS\tI-NP\tO' +p318518 +aS'are\tbe\tVBP\tB-VP\tO' +p318519 +aS'held\thold\tVBN\tI-VP\tO' +p318520 +aS'in\tin\tIN\tB-PP\tO' +p318521 +aS'route\troute\tNN\tB-NP\tO' +p318522 +aS'in\tin\tIN\tB-PP\tO' +p318523 +aS'anticipation\tanticipation\tNN\tB-NP\tO' +p318524 +aS'of\tof\tIN\tB-PP\tO' +p318525 +aS'extubation\textubation\tNN\tB-NP\tO' +p318526 +aS'.\t.\t.\tO\tO' +p318527 +asS'The patient was brought to the operating room for resuscitation .' +p318528 +(lp318529 +S'The\tThe\tDT\tB-NP\tO' +p318530 +aS'patient\tpatient\tNN\tI-NP\tO' +p318531 +aS'was\tbe\tVBD\tB-VP\tO' +p318532 +aS'brought\tbring\tVBN\tI-VP\tO' +p318533 +aS'to\tto\tTO\tB-PP\tO' +p318534 +aS'the\tthe\tDT\tB-NP\tO' +p318535 +aS'operating\toperating\tNN\tI-NP\tO' +p318536 +aS'room\troom\tNN\tI-NP\tO' +p318537 +aS'for\tfor\tIN\tB-PP\tO' +p318538 +aS'resuscitation\tresuscitation\tNN\tB-NP\tO' +p318539 +aS'.\t.\t.\tO\tO' +p318540 +asS'Therefore he was able to be discharged home .' +p318541 +(lp318542 +S'Therefore\tTherefore\tRB\tB-ADVP\tO' +p318543 +aS'he\the\tPRP\tB-NP\tO' +p318544 +aS'was\tbe\tVBD\tB-VP\tO' +p318545 +aS'able\table\tJJ\tB-ADJP\tO' +p318546 +aS'to\tto\tTO\tB-VP\tO' +p318547 +aS'be\tbe\tVB\tI-VP\tO' +p318548 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p318549 +aS'home\thome\tNN\tB-ADVP\tO' +p318550 +aS'.\t.\t.\tO\tO' +p318551 +asS'2) PELVIC PAIN .' +p318552 +(lp318553 +S'2)\t2)\tLS\tB-NP\tO' +p318554 +aS'PELVIC\tPELVIC\tNN\tI-NP\tB-protein' +p318555 +aS'PAIN\tPAIN\tNN\tI-NP\tI-protein' +p318556 +aS'.\t.\t.\tO\tO' +p318557 +asS'The following day the patient defervesced .' +p318558 +(lp318559 +S'The\tThe\tDT\tB-NP\tO' +p318560 +aS'following\tfollow\tVBG\tI-NP\tO' +p318561 +aS'day\tday\tNN\tI-NP\tO' +p318562 +aS'the\tthe\tDT\tB-NP\tO' +p318563 +aS'patient\tpatient\tNN\tI-NP\tO' +p318564 +aS'defervesced\tdefervesce\tVBD\tB-VP\tO' +p318565 +aS'.\t.\t.\tO\tO' +p318566 +asS'8. Chronic obstructive pulmonary disease .' +p318567 +(lp318568 +S'8.\t8.\tLS\tB-NP\tO' +p318569 +aS'Chronic\tChronic\tJJ\tI-NP\tO' +p318570 +aS'obstructive\tobstructive\tJJ\tI-NP\tO' +p318571 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p318572 +aS'disease\tdisease\tNN\tI-NP\tO' +p318573 +aS'.\t.\t.\tO\tO' +p318574 +asS'The patient was a thin well-appearing man who was visibly restless in bed .' +p318575 +(lp318576 +S'The\tThe\tDT\tB-NP\tO' +p318577 +aS'patient\tpatient\tNN\tI-NP\tO' +p318578 +aS'was\tbe\tVBD\tB-VP\tO' +p318579 +aS'a\ta\tDT\tB-NP\tO' +p318580 +aS'thin\tthin\tJJ\tI-NP\tO' +p318581 +aS'well-appearing\twell-appearing\tJJ\tI-NP\tO' +p318582 +aS'man\tman\tNN\tI-NP\tO' +p318583 +aS'who\twho\tWP\tB-NP\tO' +p318584 +aS'was\tbe\tVBD\tB-VP\tO' +p318585 +aS'visibly\tvisibly\tRB\tB-ADJP\tO' +p318586 +aS'restless\trestless\tJJ\tI-ADJP\tO' +p318587 +aS'in\tin\tIN\tB-PP\tO' +p318588 +aS'bed\tbed\tNN\tB-NP\tO' +p318589 +aS'.\t.\t.\tO\tO' +p318590 +asS'There is colonic diverticulosis most prominent at the hepatic flexure .' +p318591 +(lp318592 +S'There\tThere\tEX\tB-NP\tO' +p318593 +aS'is\tbe\tVBZ\tB-VP\tO' +p318594 +aS'colonic\tcolonic\tJJ\tB-NP\tO' +p318595 +aS'diverticulosis\tdiverticulosis\tNN\tI-NP\tO' +p318596 +aS'most\tmost\tRBS\tB-ADJP\tO' +p318597 +aS'prominent\tprominent\tJJ\tI-ADJP\tO' +p318598 +aS'at\tat\tIN\tB-PP\tO' +p318599 +aS'the\tthe\tDT\tB-NP\tO' +p318600 +aS'hepatic\thepatic\tJJ\tI-NP\tB-DNA' +p318601 +aS'flexure\tflexure\tNN\tI-NP\tI-DNA' +p318602 +aS'.\t.\t.\tO\tO' +p318603 +asS'This was performed by Dr. Medicine and Dr. Room .' +p318604 +(lp318605 +S'This\tThis\tDT\tB-NP\tO' +p318606 +aS'was\tbe\tVBD\tB-VP\tO' +p318607 +aS'performed\tperform\tVBN\tI-VP\tO' +p318608 +aS'by\tby\tIN\tB-PP\tO' +p318609 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p318610 +aS'Medicine\tMedicine\tNNP\tI-NP\tO' +p318611 +aS'and\tand\tCC\tO\tO' +p318612 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p318613 +aS'Room\tRoom\tNNP\tI-NP\tO' +p318614 +aS'.\t.\t.\tO\tO' +p318615 +asS'He tolerated the surgery well and was transferred from the OR to the CSRU on Epinephrinne and Propofol infusions .' +p318616 +(lp318617 +S'He\tHe\tPRP\tB-NP\tO' +p318618 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p318619 +aS'the\tthe\tDT\tB-NP\tO' +p318620 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p318621 +aS'well\twell\tRB\tB-ADVP\tO' +p318622 +aS'and\tand\tCC\tO\tO' +p318623 +aS'was\tbe\tVBD\tB-VP\tO' +p318624 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p318625 +aS'from\tfrom\tIN\tB-PP\tO' +p318626 +aS'the\tthe\tDT\tB-NP\tO' +p318627 +aS'OR\tOR\tNN\tI-NP\tO' +p318628 +aS'to\tto\tTO\tB-PP\tO' +p318629 +aS'the\tthe\tDT\tB-NP\tO' +p318630 +aS'CSRU\tCSRU\tNNP\tI-NP\tO' +p318631 +aS'on\ton\tIN\tB-PP\tO' +p318632 +aS'Epinephrinne\tEpinephrinne\tNNP\tB-NP\tO' +p318633 +aS'and\tand\tCC\tI-NP\tO' +p318634 +aS'Propofol\tPropofol\tNNP\tI-NP\tO' +p318635 +aS'infusions\tinfusion\tNNS\tI-NP\tO' +p318636 +aS'.\t.\t.\tO\tO' +p318637 +asS'The patient was maintained on PPI for reflux disease and known gastritis .' +p318638 +(lp318639 +S'The\tThe\tDT\tB-NP\tO' +p318640 +aS'patient\tpatient\tNN\tI-NP\tO' +p318641 +aS'was\tbe\tVBD\tB-VP\tO' +p318642 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p318643 +aS'on\ton\tIN\tB-PP\tO' +p318644 +aS'PPI\tPPI\tNN\tB-NP\tB-protein' +p318645 +aS'for\tfor\tIN\tB-PP\tO' +p318646 +aS'reflux\treflux\tNN\tB-NP\tO' +p318647 +aS'disease\tdisease\tNN\tI-NP\tO' +p318648 +aS'and\tand\tCC\tO\tO' +p318649 +aS'known\tknow\tVBN\tB-NP\tO' +p318650 +aS'gastritis\tgastritis\tNN\tI-NP\tO' +p318651 +aS'.\t.\t.\tO\tO' +p318652 +asS'His MCV was 92 , MCH 32.1 , and MCHE 34.8 .' +p318653 +(lp318654 +S'His\tHis\tPRP$\tB-NP\tO' +p318655 +aS'MCV\tMCV\tNN\tI-NP\tO' +p318656 +aS'was\tbe\tVBD\tB-VP\tO' +p318657 +aS'92\t92\tCD\tB-NP\tO' +p318658 +aS',\t,\t,\tO\tO' +p318659 +aS'MCH\tMCH\tNN\tB-NP\tB-protein' +p318660 +aS'32.1\t32.1\tCD\tI-NP\tI-protein' +p318661 +aS',\t,\t,\tO\tO' +p318662 +aS'and\tand\tCC\tO\tO' +p318663 +aS'MCHE\tMCHE\tNN\tB-NP\tB-protein' +p318664 +aS'34.8\t34.8\tCD\tI-NP\tI-protein' +p318665 +aS'.\t.\t.\tO\tO' +p318666 +asS'He was awake , occasionally sleepy but easily aroused , oriented to self , Oaksgekesser/ Memorial Hospital and the date .' +p318667 +(lp318668 +S'He\tHe\tPRP\tB-NP\tO' +p318669 +aS'was\tbe\tVBD\tB-VP\tO' +p318670 +aS'awake\tawake\tJJ\tB-ADJP\tO' +p318671 +aS',\t,\t,\tO\tO' +p318672 +aS'occasionally\toccasionally\tRB\tB-ADJP\tO' +p318673 +aS'sleepy\tsleepy\tJJ\tI-ADJP\tO' +p318674 +aS'but\tbut\tCC\tO\tO' +p318675 +aS'easily\teasily\tRB\tB-VP\tO' +p318676 +aS'aroused\tarouse\tVBN\tI-VP\tO' +p318677 +aS',\t,\t,\tO\tO' +p318678 +aS'oriented\torient\tVBN\tB-VP\tO' +p318679 +aS'to\tto\tTO\tB-PP\tO' +p318680 +aS'self\tself\tPRP\tB-NP\tO' +p318681 +aS',\t,\t,\tO\tO' +p318682 +aS'Oaksgekesser/\tOaksgekesser/\tNNP\tB-NP\tO' +p318683 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p318684 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p318685 +aS'and\tand\tCC\tO\tO' +p318686 +aS'the\tthe\tDT\tB-NP\tO' +p318687 +aS'date\tdate\tNN\tI-NP\tO' +p318688 +aS'.\t.\t.\tO\tO' +p318689 +asS'5. History of Streptococcemia in the year 2008 ; source was unclear but presumed to be urinary .' +p318690 +(lp318691 +S'5.\t5.\tLS\tB-NP\tO' +p318692 +aS'History\tHistory\tNN\tI-NP\tO' +p318693 +aS'of\tof\tIN\tB-PP\tO' +p318694 +aS'Streptococcemia\tStreptococcemia\tNNP\tB-NP\tO' +p318695 +aS'in\tin\tIN\tB-PP\tO' +p318696 +aS'the\tthe\tDT\tB-NP\tO' +p318697 +aS'year\tyear\tNN\tI-NP\tO' +p318698 +aS'2008\t2008\tCD\tI-NP\tO' +p318699 +aS';\t;\t:\tO\tO' +p318700 +aS'source\tsource\tNN\tB-NP\tO' +p318701 +aS'was\tbe\tVBD\tB-VP\tO' +p318702 +aS'unclear\tunclear\tJJ\tB-ADJP\tO' +p318703 +aS'but\tbut\tCC\tO\tO' +p318704 +aS'presumed\tpresume\tVBN\tB-VP\tO' +p318705 +aS'to\tto\tTO\tI-VP\tO' +p318706 +aS'be\tbe\tVB\tI-VP\tO' +p318707 +aS'urinary\turinary\tJJ\tB-ADJP\tO' +p318708 +aS'.\t.\t.\tO\tO' +p318709 +asS'## blindness in right CMED CSRU .' +p318710 +(lp318711 +S'##\t##\t#\tB-NP\tO' +p318712 +aS'blindness\tblindness\tNN\tI-NP\tO' +p318713 +aS'in\tin\tIN\tB-PP\tO' +p318714 +aS'right\tright\tJJ\tB-NP\tO' +p318715 +aS'CMED\tCMED\tNNP\tI-NP\tO' +p318716 +aS'CSRU\tCSRU\tNNP\tI-NP\tO' +p318717 +aS'.\t.\t.\tO\tO' +p318718 +asS'This report was created by HERDES , NEWSHALIE 04/21/2005 06:47 AM' +p318719 +(lp318720 +S'This\tThis\tDT\tB-NP\tO' +p318721 +aS'report\treport\tNN\tI-NP\tO' +p318722 +aS'was\tbe\tVBD\tB-VP\tO' +p318723 +aS'created\tcreate\tVBN\tI-VP\tO' +p318724 +aS'by\tby\tIN\tB-PP\tO' +p318725 +aS'HERDES\tHERDES\tNNP\tB-NP\tO' +p318726 +aS',\t,\t,\tO\tO' +p318727 +aS'NEWSHALIE\tNEWSHALIE\tNNP\tB-NP\tO' +p318728 +aS'04/21/2005\t04/21/2005\tCD\tB-NP\tO' +p318729 +aS'06:47\t06:47\tCD\tI-NP\tO' +p318730 +aS'AM\tAM\tNN\tI-NP\tO' +p318731 +asS'On the third hospital day , she did have some pain and was treated with Percocet .' +p318732 +(lp318733 +S'On\tOn\tIN\tB-PP\tO' +p318734 +aS'the\tthe\tDT\tB-NP\tO' +p318735 +aS'third\tthird\tJJ\tI-NP\tO' +p318736 +aS'hospital\thospital\tNN\tI-NP\tO' +p318737 +aS'day\tday\tNN\tI-NP\tO' +p318738 +aS',\t,\t,\tO\tO' +p318739 +aS'she\tshe\tPRP\tB-NP\tO' +p318740 +aS'did\tdo\tVBD\tB-VP\tO' +p318741 +aS'have\thave\tVB\tI-VP\tO' +p318742 +aS'some\tsome\tDT\tB-NP\tO' +p318743 +aS'pain\tpain\tNN\tI-NP\tO' +p318744 +aS'and\tand\tCC\tO\tO' +p318745 +aS'was\tbe\tVBD\tB-VP\tO' +p318746 +aS'treated\ttreat\tVBN\tI-VP\tO' +p318747 +aS'with\twith\tIN\tB-PP\tO' +p318748 +aS'Percocet\tPercocet\tNNP\tB-NP\tO' +p318749 +aS'.\t.\t.\tO\tO' +p318750 +asS'She had some metabolic abnormalities which were corrected ( hypernatremia , hyperphosphatemia ) , but neurologic exam was unchanged .' +p318751 +(lp318752 +S'She\tShe\tPRP\tB-NP\tO' +p318753 +aS'had\thave\tVBD\tB-VP\tO' +p318754 +aS'some\tsome\tDT\tB-NP\tO' +p318755 +aS'metabolic\tmetabolic\tJJ\tI-NP\tO' +p318756 +aS'abnormalities\tabnormality\tNNS\tI-NP\tO' +p318757 +aS'which\twhich\tWDT\tB-NP\tO' +p318758 +aS'were\tbe\tVBD\tB-VP\tO' +p318759 +aS'corrected\tcorrect\tVBN\tI-VP\tO' +p318760 +aS'(\t(\t(\tO\tO' +p318761 +aS'hypernatremia\thypernatremia\tNN\tB-NP\tO' +p318762 +aS',\t,\t,\tO\tO' +p318763 +aS'hyperphosphatemia\thyperphosphatemia\tNN\tB-NP\tO' +p318764 +aS')\t)\t)\tO\tO' +p318765 +aS',\t,\t,\tO\tO' +p318766 +aS'but\tbut\tCC\tO\tO' +p318767 +aS'neurologic\tneurologic\tJJ\tB-NP\tO' +p318768 +aS'exam\texam\tNN\tI-NP\tO' +p318769 +aS'was\tbe\tVBD\tB-VP\tO' +p318770 +aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' +p318771 +aS'.\t.\t.\tO\tO' +p318772 +asS'It was a poor study .' +p318773 +(lp318774 +S'It\tIt\tPRP\tB-NP\tO' +p318775 +aS'was\tbe\tVBD\tB-VP\tO' +p318776 +aS'a\ta\tDT\tB-NP\tO' +p318777 +aS'poor\tpoor\tJJ\tI-NP\tO' +p318778 +aS'study\tstudy\tNN\tI-NP\tO' +p318779 +aS'.\t.\t.\tO\tO' +p318780 +asS'Continue 150 cc per kilo per day of Special Care 20 calories advancing caloric intake as required to maintain weight gain of 3 grams per kilogram per day .' +p318781 +(lp318782 +S'Continue\tContinue\tIN\tB-PP\tO' +p318783 +aS'150\t150\tCD\tB-NP\tO' +p318784 +aS'cc\tcc\tNN\tI-NP\tO' +p318785 +aS'per\tper\tIN\tB-PP\tO' +p318786 +aS'kilo\tkilo\tNN\tB-NP\tO' +p318787 +aS'per\tper\tIN\tB-PP\tO' +p318788 +aS'day\tday\tNN\tB-NP\tO' +p318789 +aS'of\tof\tIN\tB-PP\tO' +p318790 +aS'Special\tSpecial\tNNP\tB-NP\tO' +p318791 +aS'Care\tCare\tNNP\tI-NP\tO' +p318792 +aS'20\t20\tCD\tI-NP\tO' +p318793 +aS'calories\tcalorie\tNNS\tI-NP\tO' +p318794 +aS'advancing\tadvance\tVBG\tB-VP\tO' +p318795 +aS'caloric\tcaloric\tJJ\tB-NP\tO' +p318796 +aS'intake\tintake\tNN\tI-NP\tO' +p318797 +aS'as\tas\tIN\tB-SBAR\tO' +p318798 +aS'required\trequire\tVBN\tB-VP\tO' +p318799 +aS'to\tto\tTO\tI-VP\tO' +p318800 +aS'maintain\tmaintain\tVB\tI-VP\tO' +p318801 +aS'weight\tweight\tNN\tB-NP\tO' +p318802 +aS'gain\tgain\tNN\tI-NP\tO' +p318803 +aS'of\tof\tIN\tB-PP\tO' +p318804 +aS'3\t3\tCD\tB-NP\tO' +p318805 +aS'grams\tgram\tNNS\tI-NP\tO' +p318806 +aS'per\tper\tIN\tB-PP\tO' +p318807 +aS'kilogram\tkilogram\tNN\tB-NP\tO' +p318808 +aS'per\tper\tIN\tB-PP\tO' +p318809 +aS'day\tday\tNN\tB-NP\tO' +p318810 +aS'.\t.\t.\tO\tO' +p318811 +asS"However on 09/08/98 the Infectious Disease Service was made aware that the patient 's intraoperative cultures had also grown out Mycoplasma humilius ." +p318812 +(lp318813 +S'However\tHowever\tRB\tB-ADVP\tO' +p318814 +aS'on\ton\tIN\tB-PP\tO' +p318815 +aS'09/08/98\t09/08/98\tCD\tB-NP\tO' +p318816 +aS'the\tthe\tDT\tB-NP\tO' +p318817 +aS'Infectious\tInfectious\tNNP\tI-NP\tO' +p318818 +aS'Disease\tDisease\tNNP\tI-NP\tO' +p318819 +aS'Service\tService\tNNP\tI-NP\tO' +p318820 +aS'was\tbe\tVBD\tB-VP\tO' +p318821 +aS'made\tmake\tVBN\tI-VP\tO' +p318822 +aS'aware\taware\tJJ\tB-ADJP\tO' +p318823 +aS'that\tthat\tIN\tB-SBAR\tO' +p318824 +aS'the\tthe\tDT\tB-NP\tO' +p318825 +aS'patient\tpatient\tNN\tI-NP\tO' +p318826 +aS"'s\t's\tPOS\tB-NP\tO" +p318827 +aS'intraoperative\tintraoperative\tJJ\tI-NP\tO' +p318828 +aS'cultures\tculture\tNNS\tI-NP\tO' +p318829 +aS'had\thave\tVBD\tB-VP\tO' +p318830 +aS'also\talso\tRB\tI-VP\tO' +p318831 +aS'grown\tgrow\tVBN\tI-VP\tO' +p318832 +aS'out\tout\tRP\tB-PRT\tO' +p318833 +aS'Mycoplasma\tMycoplasma\tNN\tB-NP\tO' +p318834 +aS'humilius\thumilius\tNN\tI-NP\tO' +p318835 +aS'.\t.\t.\tO\tO' +p318836 +asS'5. The mitral valve leaflets are mildly thickened .' +p318837 +(lp318838 +S'5.\t5.\tLS\tB-LST\tO' +p318839 +aS'The\tThe\tDT\tB-NP\tO' +p318840 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p318841 +aS'valve\tvalve\tNN\tI-NP\tO' +p318842 +aS'leaflets\tleaflet\tNNS\tI-NP\tO' +p318843 +aS'are\tbe\tVBP\tB-VP\tO' +p318844 +aS'mildly\tmildly\tRB\tI-VP\tO' +p318845 +aS'thickened\tthicken\tVBN\tI-VP\tO' +p318846 +aS'.\t.\t.\tO\tO' +p318847 +asS'The patient also now complains of increased right upper quadrant / right rib cage pain and new headache .' +p318848 +(lp318849 +S'The\tThe\tDT\tB-NP\tO' +p318850 +aS'patient\tpatient\tNN\tI-NP\tO' +p318851 +aS'also\talso\tRB\tB-ADVP\tO' +p318852 +aS'now\tnow\tRB\tB-ADVP\tO' +p318853 +aS'complains\tcomplain\tVBZ\tB-VP\tO' +p318854 +aS'of\tof\tIN\tB-PP\tO' +p318855 +aS'increased\tincrease\tVBN\tB-NP\tO' +p318856 +aS'right\tright\tJJ\tI-NP\tO' +p318857 +aS'upper\tupper\tJJ\tI-NP\tO' +p318858 +aS'quadrant\tquadrant\tNN\tI-NP\tO' +p318859 +aS'/\t/\tSYM\tB-NP\tO' +p318860 +aS'right\tright\tJJ\tI-NP\tO' +p318861 +aS'rib\trib\tNN\tI-NP\tO' +p318862 +aS'cage\tcage\tNN\tI-NP\tO' +p318863 +aS'pain\tpain\tNN\tI-NP\tO' +p318864 +aS'and\tand\tCC\tO\tO' +p318865 +aS'new\tnew\tJJ\tB-NP\tO' +p318866 +aS'headache\theadache\tNN\tI-NP\tO' +p318867 +aS'.\t.\t.\tO\tO' +p318868 +asS'Now adm for r / o MI , eval of ? demand ischemia , plus w / u of HTN urgency ( which may be very new in onset ) .' +p318869 +(lp318870 +S'Now\tNow\tRB\tB-ADVP\tO' +p318871 +aS'adm\tadm\tNN\tB-NP\tO' +p318872 +aS'for\tfor\tIN\tB-PP\tO' +p318873 +aS'r\tr\tNN\tB-NP\tO' +p318874 +aS'/\t/\tSYM\tI-NP\tO' +p318875 +aS'o\to\tNN\tI-NP\tO' +p318876 +aS'MI\tMI\tNN\tI-NP\tO' +p318877 +aS',\t,\t,\tO\tO' +p318878 +aS'eval\teval\tNN\tB-NP\tO' +p318879 +aS'of\tof\tIN\tB-PP\tO' +p318880 +aS'?\t?\t.\tO\tO' +p318881 +aS'demand\tdemand\tNN\tB-NP\tO' +p318882 +aS'ischemia\tischemia\tNN\tI-NP\tO' +p318883 +aS',\t,\t,\tO\tO' +p318884 +aS'plus\tplus\tCC\tB-PP\tO' +p318885 +aS'w\tw\tNN\tB-NP\tO' +p318886 +aS'/\t/\tSYM\tI-NP\tO' +p318887 +aS'u\tu\tNN\tI-NP\tO' +p318888 +aS'of\tof\tIN\tB-PP\tO' +p318889 +aS'HTN\tHTN\tNN\tB-NP\tO' +p318890 +aS'urgency\turgency\tNN\tI-NP\tO' +p318891 +aS'(\t(\t(\tO\tO' +p318892 +aS'which\twhich\tWDT\tB-NP\tO' +p318893 +aS'may\tmay\tMD\tB-VP\tO' +p318894 +aS'be\tbe\tVB\tI-VP\tO' +p318895 +aS'very\tvery\tRB\tB-ADJP\tO' +p318896 +aS'new\tnew\tJJ\tI-ADJP\tO' +p318897 +aS'in\tin\tIN\tB-PP\tO' +p318898 +aS'onset\tonset\tNN\tB-NP\tO' +p318899 +aS')\t)\t)\tO\tO' +p318900 +aS'.\t.\t.\tO\tO' +p318901 +asS'Head , eyes , ears , nose and throat examination - The pupils are equal , round and reactive to light and accommodation .' +p318902 +(lp318903 +S'Head\tHead\tRB\tB-ADVP\tO' +p318904 +aS',\t,\t,\tO\tO' +p318905 +aS'eyes\teye\tNNS\tB-NP\tO' +p318906 +aS',\t,\t,\tO\tO' +p318907 +aS'ears\tear\tNNS\tB-NP\tO' +p318908 +aS',\t,\t,\tO\tO' +p318909 +aS'nose\tnose\tNN\tB-NP\tO' +p318910 +aS'and\tand\tCC\tO\tO' +p318911 +aS'throat\tthroat\tNN\tB-NP\tO' +p318912 +aS'examination\texamination\tNN\tI-NP\tO' +p318913 +aS'-\t-\tHYPH\tO\tO' +p318914 +aS'The\tThe\tDT\tB-NP\tO' +p318915 +aS'pupils\tpupil\tNNS\tI-NP\tO' +p318916 +aS'are\tbe\tVBP\tB-VP\tO' +p318917 +aS'equal\tequal\tJJ\tB-NP\tO' +p318918 +aS',\t,\t,\tI-NP\tO' +p318919 +aS'round\tround\tJJ\tI-NP\tO' +p318920 +aS'and\tand\tCC\tI-NP\tO' +p318921 +aS'reactive\treactive\tJJ\tI-NP\tO' +p318922 +aS'to\tto\tTO\tB-PP\tO' +p318923 +aS'light\tlight\tNN\tB-NP\tO' +p318924 +aS'and\tand\tCC\tI-NP\tO' +p318925 +aS'accommodation\taccommodation\tNN\tI-NP\tO' +p318926 +aS'.\t.\t.\tO\tO' +p318927 +asS'Weaning and potential extubation complicated by mechanical disadvantage from large ascites as well as continued somnolence ( off sedation ).' +p318928 +(lp318929 +S'Weaning\tWeaning\tNN\tB-NP\tO' +p318930 +aS'and\tand\tCC\tI-NP\tO' +p318931 +aS'potential\tpotential\tJJ\tI-NP\tO' +p318932 +aS'extubation\textubation\tNN\tI-NP\tO' +p318933 +aS'complicated\tcomplicate\tVBN\tB-VP\tO' +p318934 +aS'by\tby\tIN\tB-PP\tO' +p318935 +aS'mechanical\tmechanical\tJJ\tB-NP\tO' +p318936 +aS'disadvantage\tdisadvantage\tNN\tI-NP\tO' +p318937 +aS'from\tfrom\tIN\tB-PP\tO' +p318938 +aS'large\tlarge\tJJ\tB-NP\tO' +p318939 +aS'ascites\tascite\tNNS\tI-NP\tO' +p318940 +aS'as\tas\tRB\tB-CONJP\tO' +p318941 +aS'well\twell\tRB\tI-CONJP\tO' +p318942 +aS'as\tas\tIN\tI-CONJP\tO' +p318943 +aS'continued\tcontinued\tJJ\tB-NP\tO' +p318944 +aS'somnolence\tsomnolence\tNN\tI-NP\tO' +p318945 +aS'(\t(\t(\tO\tO' +p318946 +aS'off\toff\tIN\tB-PP\tO' +p318947 +aS'sedation\tsedation\tNN\tB-NP\tO' +p318948 +aS').\t).\t.\tO\tO' +p318949 +asS'She denied any associated nausea , vomiting , diaphoresis , lightheadedness , or dizziness .' +p318950 +(lp318951 +S'She\tShe\tPRP\tB-NP\tO' +p318952 +aS'denied\tdeny\tVBD\tB-VP\tO' +p318953 +aS'any\tany\tDT\tB-NP\tO' +p318954 +aS'associated\tassociate\tVBN\tI-NP\tO' +p318955 +aS'nausea\tnausea\tNN\tI-NP\tO' +p318956 +aS',\t,\t,\tO\tO' +p318957 +aS'vomiting\tvomiting\tNN\tB-NP\tO' +p318958 +aS',\t,\t,\tO\tO' +p318959 +aS'diaphoresis\tdiaphoresis\tNN\tB-NP\tO' +p318960 +aS',\t,\t,\tO\tO' +p318961 +aS'lightheadedness\tlightheadedness\tNN\tB-NP\tO' +p318962 +aS',\t,\t,\tO\tO' +p318963 +aS'or\tor\tCC\tO\tO' +p318964 +aS'dizziness\tdizziness\tNN\tB-NP\tO' +p318965 +aS'.\t.\t.\tO\tO' +p318966 +asS'The laboratory data revealed normal electrolytes , BUN and creatinine , normal liver function tests , a first CPK of 140 , and a hematocrit of 43.1 .' +p318967 +(lp318968 +S'The\tThe\tDT\tB-NP\tO' +p318969 +aS'laboratory\tlaboratory\tNN\tI-NP\tO' +p318970 +aS'data\tdatum\tNNS\tI-NP\tO' +p318971 +aS'revealed\treveal\tVBD\tB-VP\tO' +p318972 +aS'normal\tnormal\tJJ\tB-NP\tO' +p318973 +aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' +p318974 +aS',\t,\t,\tO\tO' +p318975 +aS'BUN\tBUN\tNN\tB-NP\tB-protein' +p318976 +aS'and\tand\tCC\tI-NP\tO' +p318977 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p318978 +aS',\t,\t,\tO\tO' +p318979 +aS'normal\tnormal\tJJ\tB-NP\tO' +p318980 +aS'liver\tliver\tNN\tI-NP\tO' +p318981 +aS'function\tfunction\tNN\tI-NP\tO' +p318982 +aS'tests\ttest\tNNS\tI-NP\tO' +p318983 +aS',\t,\t,\tO\tO' +p318984 +aS'a\ta\tDT\tB-NP\tO' +p318985 +aS'first\tfirst\tJJ\tI-NP\tO' +p318986 +aS'CPK\tCPK\tNN\tI-NP\tB-protein' +p318987 +aS'of\tof\tIN\tB-PP\tO' +p318988 +aS'140\t140\tCD\tB-NP\tO' +p318989 +aS',\t,\t,\tO\tO' +p318990 +aS'and\tand\tCC\tO\tO' +p318991 +aS'a\ta\tDT\tB-NP\tO' +p318992 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p318993 +aS'of\tof\tIN\tB-PP\tO' +p318994 +aS'43.1\t43.1\tCD\tB-NP\tO' +p318995 +aS'.\t.\t.\tO\tO' +p318996 +asS'Given standing NSAID , tylenol for pain control .' +p318997 +(lp318998 +S'Given\tGive\tVBN\tB-NP\tO' +p318999 +aS'standing\tstanding\tNN\tI-NP\tO' +p319000 +aS'NSAID\tNSAID\tNN\tI-NP\tO' +p319001 +aS',\t,\t,\tO\tO' +p319002 +aS'tylenol\ttylenol\tNN\tB-NP\tO' +p319003 +aS'for\tfor\tIN\tB-PP\tO' +p319004 +aS'pain\tpain\tNN\tB-NP\tO' +p319005 +aS'control\tcontrol\tNN\tI-NP\tO' +p319006 +aS'.\t.\t.\tO\tO' +p319007 +asS'ABNORMALITY #3: The background rhythms were dominated by much faster beta rhythm .' +p319008 +(lp319009 +S'ABNORMALITY\tABNORMALITY\tNN\tB-NP\tO' +p319010 +aS'#3:\t#3:\t:\tO\tO' +p319011 +aS'The\tThe\tDT\tB-NP\tO' +p319012 +aS'background\tbackground\tNN\tI-NP\tO' +p319013 +aS'rhythms\trhythm\tNNS\tI-NP\tO' +p319014 +aS'were\tbe\tVBD\tB-VP\tO' +p319015 +aS'dominated\tdominate\tVBN\tI-VP\tO' +p319016 +aS'by\tby\tIN\tB-PP\tO' +p319017 +aS'much\tmuch\tRB\tB-NP\tO' +p319018 +aS'faster\tfast\tJJR\tI-NP\tO' +p319019 +aS'beta\tbeta\tNN\tI-NP\tO' +p319020 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p319021 +aS'.\t.\t.\tO\tO' +p319022 +asS'Tube feedings were started 48 hours after the procedure .' +p319023 +(lp319024 +S'Tube\tTube\tNN\tB-NP\tO' +p319025 +aS'feedings\tfeeding\tNNS\tI-NP\tO' +p319026 +aS'were\tbe\tVBD\tB-VP\tO' +p319027 +aS'started\tstart\tVBN\tI-VP\tO' +p319028 +aS'48\t48\tCD\tB-NP\tO' +p319029 +aS'hours\thour\tNNS\tI-NP\tO' +p319030 +aS'after\tafter\tIN\tB-PP\tO' +p319031 +aS'the\tthe\tDT\tB-NP\tO' +p319032 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p319033 +aS'.\t.\t.\tO\tO' +p319034 +asS'The urine culture was pending at the time of this dictation .' +p319035 +(lp319036 +S'The\tThe\tDT\tB-NP\tO' +p319037 +aS'urine\turine\tNN\tI-NP\tO' +p319038 +aS'culture\tculture\tNN\tI-NP\tO' +p319039 +aS'was\tbe\tVBD\tB-VP\tO' +p319040 +aS'pending\tpende\tVBG\tI-VP\tO' +p319041 +aS'at\tat\tIN\tB-PP\tO' +p319042 +aS'the\tthe\tDT\tB-NP\tO' +p319043 +aS'time\ttime\tNN\tI-NP\tO' +p319044 +aS'of\tof\tIN\tB-PP\tO' +p319045 +aS'this\tthis\tDT\tB-NP\tO' +p319046 +aS'dictation\tdictation\tNN\tI-NP\tO' +p319047 +aS'.\t.\t.\tO\tO' +p319048 +asS'POD#6 , her diet was advanced to regular .' +p319049 +(lp319050 +S'POD#6\tPOD#6\tNN\tB-NP\tB-protein' +p319051 +aS',\t,\t,\tO\tO' +p319052 +aS'her\ther\tPRP$\tB-NP\tO' +p319053 +aS'diet\tdiet\tNN\tI-NP\tO' +p319054 +aS'was\tbe\tVBD\tB-VP\tO' +p319055 +aS'advanced\tadvance\tVBN\tI-VP\tO' +p319056 +aS'to\tto\tTO\tB-PP\tO' +p319057 +aS'regular\tregular\tJJ\tB-NP\tO' +p319058 +aS'.\t.\t.\tO\tO' +p319059 +asS'Ms. Shuffa underwent an EGD and flexible bronchoscopy on 9/16/00 shortly after she arrived .' +p319060 +(lp319061 +S'Ms.\tMs.\tNNP\tB-NP\tO' +p319062 +aS'Shuffa\tShuffa\tNNP\tI-NP\tO' +p319063 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p319064 +aS'an\tan\tDT\tB-NP\tO' +p319065 +aS'EGD\tEGD\tNN\tI-NP\tB-protein' +p319066 +aS'and\tand\tCC\tI-NP\tO' +p319067 +aS'flexible\tflexible\tJJ\tI-NP\tO' +p319068 +aS'bronchoscopy\tbronchoscopy\tNN\tI-NP\tO' +p319069 +aS'on\ton\tIN\tB-PP\tO' +p319070 +aS'9/16/00\t9/16/00\tCD\tB-NP\tO' +p319071 +aS'shortly\tshortly\tRB\tB-ADVP\tO' +p319072 +aS'after\tafter\tIN\tB-SBAR\tO' +p319073 +aS'she\tshe\tPRP\tB-NP\tO' +p319074 +aS'arrived\tarrive\tVBD\tB-VP\tO' +p319075 +aS'.\t.\t.\tO\tO' +p319076 +asS'8) Status post total hip replacement .' +p319077 +(lp319078 +S'8)\t8)\tLS\tB-LST\tO' +p319079 +aS'Status\tStatus\tNNP\tB-NP\tO' +p319080 +aS'post\tpost\tIN\tB-PP\tO' +p319081 +aS'total\ttotal\tJJ\tB-NP\tO' +p319082 +aS'hip\thip\tNN\tI-NP\tO' +p319083 +aS'replacement\treplacement\tNN\tI-NP\tO' +p319084 +aS'.\t.\t.\tO\tO' +p319085 +asS'Seen by renal who felt was c/w ATN .' +p319086 +(lp319087 +S'Seen\tSeen\tNN\tB-NP\tO' +p319088 +aS'by\tby\tIN\tB-PP\tO' +p319089 +aS'renal\trenal\tJJ\tB-NP\tO' +p319090 +aS'who\twho\tWP\tB-NP\tO' +p319091 +aS'felt\tfeel\tVBD\tB-VP\tO' +p319092 +aS'was\tbe\tVBD\tB-VP\tO' +p319093 +aS'c/w\tc/w\tJJ\tB-NP\tO' +p319094 +aS'ATN\tATN\tNN\tI-NP\tO' +p319095 +aS'.\t.\t.\tO\tO' +p319096 +asS'Both plantars were upgoing .' +p319097 +(lp319098 +S'Both\tBoth\tDT\tB-NP\tO' +p319099 +aS'plantars\tplantar\tNNS\tI-NP\tO' +p319100 +aS'were\tbe\tVBD\tB-VP\tO' +p319101 +aS'upgoing\tupgoe\tVBG\tI-VP\tO' +p319102 +aS'.\t.\t.\tO\tO' +p319103 +asS'Her PT drifted down to a level of 12.9 by 7/3 and therefore she will be discharged with 4 mg of Coumadin per day to be followed by the Coumadin Clinic at Cowerin Tonli Medical Center .' +p319104 +(lp319105 +S'Her\tHer\tPRP$\tB-NP\tO' +p319106 +aS'PT\tPT\tNN\tI-NP\tO' +p319107 +aS'drifted\tdrift\tVBD\tB-VP\tO' +p319108 +aS'down\tdown\tRB\tB-ADVP\tO' +p319109 +aS'to\tto\tTO\tB-PP\tO' +p319110 +aS'a\ta\tDT\tB-NP\tO' +p319111 +aS'level\tlevel\tNN\tI-NP\tO' +p319112 +aS'of\tof\tIN\tB-PP\tO' +p319113 +aS'12.9\t12.9\tCD\tB-NP\tO' +p319114 +aS'by\tby\tIN\tB-PP\tO' +p319115 +aS'7/3\t7/3\tCD\tB-NP\tO' +p319116 +aS'and\tand\tCC\tO\tO' +p319117 +aS'therefore\ttherefore\tRB\tB-ADVP\tO' +p319118 +aS'she\tshe\tPRP\tB-NP\tO' +p319119 +aS'will\twill\tMD\tB-VP\tO' +p319120 +aS'be\tbe\tVB\tI-VP\tO' +p319121 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p319122 +aS'with\twith\tIN\tB-PP\tO' +p319123 +aS'4\t4\tCD\tB-NP\tO' +p319124 +aS'mg\tmg\tNN\tI-NP\tO' +p319125 +aS'of\tof\tIN\tB-PP\tO' +p319126 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p319127 +aS'per\tper\tIN\tB-PP\tO' +p319128 +aS'day\tday\tNN\tB-NP\tO' +p319129 +aS'to\tto\tTO\tB-VP\tO' +p319130 +aS'be\tbe\tVB\tI-VP\tO' +p319131 +aS'followed\tfollow\tVBN\tI-VP\tO' +p319132 +aS'by\tby\tIN\tB-PP\tO' +p319133 +aS'the\tthe\tDT\tB-NP\tO' +p319134 +aS'Coumadin\tCoumadin\tNNP\tI-NP\tO' +p319135 +aS'Clinic\tClinic\tNNP\tI-NP\tO' +p319136 +aS'at\tat\tIN\tB-PP\tO' +p319137 +aS'Cowerin\tCowerin\tNNP\tB-NP\tO' +p319138 +aS'Tonli\tTonli\tNNP\tI-NP\tO' +p319139 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p319140 +aS'Center\tCenter\tNNP\tI-NP\tO' +p319141 +aS'.\t.\t.\tO\tO' +p319142 +asS'On postop day 9 , the patient had a similar increased abdominal pain episode and was taken back to the operating room for another emergent exploratory laparotomy revealing another peroration at the site of previous repair .' +p319143 +(lp319144 +S'On\tOn\tIN\tB-PP\tO' +p319145 +aS'postop\tpostop\tJJ\tB-NP\tO' +p319146 +aS'day\tday\tNN\tI-NP\tO' +p319147 +aS'9\t9\tCD\tI-NP\tO' +p319148 +aS',\t,\t,\tO\tO' +p319149 +aS'the\tthe\tDT\tB-NP\tO' +p319150 +aS'patient\tpatient\tNN\tI-NP\tO' +p319151 +aS'had\thave\tVBD\tB-VP\tO' +p319152 +aS'a\ta\tDT\tB-NP\tO' +p319153 +aS'similar\tsimilar\tJJ\tI-NP\tO' +p319154 +aS'increased\tincrease\tVBN\tI-NP\tO' +p319155 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p319156 +aS'pain\tpain\tNN\tI-NP\tO' +p319157 +aS'episode\tepisode\tNN\tI-NP\tO' +p319158 +aS'and\tand\tCC\tO\tO' +p319159 +aS'was\tbe\tVBD\tB-VP\tO' +p319160 +aS'taken\ttake\tVBN\tI-VP\tO' +p319161 +aS'back\tback\tRB\tB-ADVP\tO' +p319162 +aS'to\tto\tTO\tB-PP\tO' +p319163 +aS'the\tthe\tDT\tB-NP\tO' +p319164 +aS'operating\toperating\tNN\tI-NP\tO' +p319165 +aS'room\troom\tNN\tI-NP\tO' +p319166 +aS'for\tfor\tIN\tB-PP\tO' +p319167 +aS'another\tanother\tDT\tB-NP\tO' +p319168 +aS'emergent\temergent\tJJ\tI-NP\tO' +p319169 +aS'exploratory\texploratory\tJJ\tI-NP\tO' +p319170 +aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' +p319171 +aS'revealing\treveal\tVBG\tB-VP\tO' +p319172 +aS'another\tanother\tDT\tB-NP\tO' +p319173 +aS'peroration\tperoration\tNN\tI-NP\tO' +p319174 +aS'at\tat\tIN\tB-PP\tO' +p319175 +aS'the\tthe\tDT\tB-NP\tO' +p319176 +aS'site\tsite\tNN\tI-NP\tO' +p319177 +aS'of\tof\tIN\tB-PP\tO' +p319178 +aS'previous\tprevious\tJJ\tB-NP\tO' +p319179 +aS'repair\trepair\tNN\tI-NP\tO' +p319180 +aS'.\t.\t.\tO\tO' +p319181 +asS'No nausea or vomiting , no change in her bowel movements .' +p319182 +(lp319183 +S'No\tNo\tDT\tB-NP\tO' +p319184 +aS'nausea\tnausea\tNN\tI-NP\tO' +p319185 +aS'or\tor\tCC\tI-NP\tO' +p319186 +aS'vomiting\tvomiting\tNN\tI-NP\tO' +p319187 +aS',\t,\t,\tO\tO' +p319188 +aS'no\tno\tDT\tB-NP\tO' +p319189 +aS'change\tchange\tNN\tI-NP\tO' +p319190 +aS'in\tin\tIN\tB-PP\tO' +p319191 +aS'her\ther\tPRP$\tB-NP\tO' +p319192 +aS'bowel\tbowel\tNN\tI-NP\tO' +p319193 +aS'movements\tmovement\tNNS\tI-NP\tO' +p319194 +aS'.\t.\t.\tO\tO' +p319195 +asS'Initial head ultrasound on day of life seven was normal .' +p319196 +(lp319197 +S'Initial\tInitial\tJJ\tB-NP\tO' +p319198 +aS'head\thead\tNN\tI-NP\tO' +p319199 +aS'ultrasound\tultrasound\tNN\tI-NP\tO' +p319200 +aS'on\ton\tIN\tB-PP\tO' +p319201 +aS'day\tday\tNN\tB-NP\tO' +p319202 +aS'of\tof\tIN\tB-PP\tO' +p319203 +aS'life\tlife\tNN\tB-NP\tO' +p319204 +aS'seven\tseven\tCD\tI-NP\tO' +p319205 +aS'was\tbe\tVBD\tB-VP\tO' +p319206 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p319207 +aS'.\t.\t.\tO\tO' +p319208 +asS'Dementia ; congestive heart failure .' +p319209 +(lp319210 +S'Dementia\tDementia\tNN\tB-NP\tO' +p319211 +aS';\t;\t:\tO\tO' +p319212 +aS'congestive\tcongestive\tJJ\tB-NP\tO' +p319213 +aS'heart\theart\tNN\tI-NP\tO' +p319214 +aS'failure\tfailure\tNN\tI-NP\tO' +p319215 +aS'.\t.\t.\tO\tO' +p319216 +asS'The vital signs showed a temperature of 96.8 , heart rate 80 , blood pressure 180/78 , respiratory rate 18 , and she was satting 95 percent on two liters nasal cannula .' +p319217 +(lp319218 +S'The\tThe\tDT\tB-NP\tO' +p319219 +aS'vital\tvital\tJJ\tI-NP\tO' +p319220 +aS'signs\tsign\tNNS\tI-NP\tO' +p319221 +aS'showed\tshow\tVBD\tB-VP\tO' +p319222 +aS'a\ta\tDT\tB-NP\tO' +p319223 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p319224 +aS'of\tof\tIN\tB-PP\tO' +p319225 +aS'96.8\t96.8\tCD\tB-NP\tO' +p319226 +aS',\t,\t,\tO\tO' +p319227 +aS'heart\theart\tNN\tB-NP\tO' +p319228 +aS'rate\trate\tNN\tI-NP\tO' +p319229 +aS'80\t80\tCD\tI-NP\tO' +p319230 +aS',\t,\t,\tO\tO' +p319231 +aS'blood\tblood\tNN\tB-NP\tO' +p319232 +aS'pressure\tpressure\tNN\tI-NP\tO' +p319233 +aS'180/78\t180/78\tCD\tI-NP\tO' +p319234 +aS',\t,\t,\tI-NP\tO' +p319235 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p319236 +aS'rate\trate\tNN\tI-NP\tO' +p319237 +aS'18\t18\tCD\tI-NP\tO' +p319238 +aS',\t,\t,\tO\tO' +p319239 +aS'and\tand\tCC\tO\tO' +p319240 +aS'she\tshe\tPRP\tB-NP\tO' +p319241 +aS'was\tbe\tVBD\tB-VP\tO' +p319242 +aS'satting\tsatte\tVBG\tI-VP\tO' +p319243 +aS'95\t95\tCD\tB-NP\tO' +p319244 +aS'percent\tpercent\tNN\tI-NP\tO' +p319245 +aS'on\ton\tIN\tB-PP\tO' +p319246 +aS'two\ttwo\tCD\tB-NP\tO' +p319247 +aS'liters\tliter\tNNS\tI-NP\tO' +p319248 +aS'nasal\tnasal\tJJ\tI-NP\tO' +p319249 +aS'cannula\tcannula\tNN\tI-NP\tO' +p319250 +aS'.\t.\t.\tO\tO' +p319251 +asS'8. Senna one once daily .' +p319252 +(lp319253 +S'8.\t8.\tCD\tB-NP\tO' +p319254 +aS'Senna\tSenna\tNNP\tI-NP\tO' +p319255 +aS'one\tone\tCD\tI-NP\tO' +p319256 +aS'once\tonce\tRB\tB-ADVP\tO' +p319257 +aS'daily\tdaily\tRB\tI-ADVP\tO' +p319258 +aS'.\t.\t.\tO\tO' +p319259 +asS'Another polyp was found in the antrum and cold biopsies were obtained there .' +p319260 +(lp319261 +S'Another\tAnother\tDT\tB-NP\tO' +p319262 +aS'polyp\tpolyp\tNN\tI-NP\tO' +p319263 +aS'was\tbe\tVBD\tB-VP\tO' +p319264 +aS'found\tfind\tVBN\tI-VP\tO' +p319265 +aS'in\tin\tIN\tB-PP\tO' +p319266 +aS'the\tthe\tDT\tB-NP\tO' +p319267 +aS'antrum\tantrum\tNN\tI-NP\tO' +p319268 +aS'and\tand\tCC\tI-NP\tO' +p319269 +aS'cold\tcold\tJJ\tI-NP\tO' +p319270 +aS'biopsies\tbiopsy\tNNS\tI-NP\tO' +p319271 +aS'were\tbe\tVBD\tB-VP\tO' +p319272 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p319273 +aS'there\tthere\tRB\tB-ADVP\tO' +p319274 +aS'.\t.\t.\tO\tO' +p319275 +asS'Therefore we decided to work up her cirrhosis .' +p319276 +(lp319277 +S'Therefore\tTherefore\tRB\tB-ADVP\tO' +p319278 +aS'we\twe\tPRP\tB-NP\tO' +p319279 +aS'decided\tdecide\tVBD\tB-VP\tO' +p319280 +aS'to\tto\tTO\tI-VP\tO' +p319281 +aS'work\twork\tVB\tI-VP\tO' +p319282 +aS'up\tup\tRP\tB-PRT\tO' +p319283 +aS'her\ther\tPRP$\tB-NP\tO' +p319284 +aS'cirrhosis\tcirrhosis\tNN\tI-NP\tO' +p319285 +aS'.\t.\t.\tO\tO' +p319286 +asS'She was moving all joints and extremities well .' +p319287 +(lp319288 +S'She\tShe\tPRP\tB-NP\tO' +p319289 +aS'was\tbe\tVBD\tB-VP\tO' +p319290 +aS'moving\tmove\tVBG\tI-VP\tO' +p319291 +aS'all\tall\tDT\tB-NP\tO' +p319292 +aS'joints\tjoint\tNNS\tI-NP\tO' +p319293 +aS'and\tand\tCC\tI-NP\tO' +p319294 +aS'extremities\textremity\tNNS\tI-NP\tO' +p319295 +aS'well\twell\tRB\tB-ADVP\tO' +p319296 +aS'.\t.\t.\tO\tO' +p319297 +asS'Lower extremity blood pressures demonstrated systolics of 205-210 .' +p319298 +(lp319299 +S'Lower\tLow\tJJR\tB-NP\tO' +p319300 +aS'extremity\textremity\tNN\tI-NP\tO' +p319301 +aS'blood\tblood\tNN\tI-NP\tO' +p319302 +aS'pressures\tpressure\tNNS\tI-NP\tO' +p319303 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p319304 +aS'systolics\tsystolic\tNNS\tB-NP\tO' +p319305 +aS'of\tof\tIN\tB-PP\tO' +p319306 +aS'205-210\t205-210\tCD\tB-NP\tO' +p319307 +aS'.\t.\t.\tO\tO' +p319308 +asS'Left ventricular aneurysm was also noted ; however , no ischemia was seen .' +p319309 +(lp319310 +S'Left\tLeave\tVBN\tB-NP\tO' +p319311 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p319312 +aS'aneurysm\taneurysm\tNN\tI-NP\tO' +p319313 +aS'was\tbe\tVBD\tB-VP\tO' +p319314 +aS'also\talso\tRB\tI-VP\tO' +p319315 +aS'noted\tnote\tVBN\tI-VP\tO' +p319316 +aS';\t;\t:\tO\tO' +p319317 +aS'however\thowever\tRB\tB-ADVP\tO' +p319318 +aS',\t,\t,\tO\tO' +p319319 +aS'no\tno\tDT\tB-NP\tO' +p319320 +aS'ischemia\tischemia\tNN\tI-NP\tO' +p319321 +aS'was\tbe\tVBD\tB-VP\tO' +p319322 +aS'seen\tsee\tVBN\tI-VP\tO' +p319323 +aS'.\t.\t.\tO\tO' +p319324 +asS'Fingerstick glucose revealed a sugar of 12 .' +p319325 +(lp319326 +S'Fingerstick\tFingerstick\tJJ\tB-NP\tO' +p319327 +aS'glucose\tglucose\tNN\tI-NP\tO' +p319328 +aS'revealed\treveal\tVBD\tB-VP\tO' +p319329 +aS'a\ta\tDT\tB-NP\tO' +p319330 +aS'sugar\tsugar\tNN\tI-NP\tO' +p319331 +aS'of\tof\tIN\tB-PP\tO' +p319332 +aS'12\t12\tCD\tB-NP\tO' +p319333 +aS'.\t.\t.\tO\tO' +p319334 +asS'SocHx : Mr Peres generally lives with his wife but has spent a great deal of time recently at rehab .' +p319335 +(lp319336 +S'SocHx\tSocHx\tNNP\tB-NP\tO' +p319337 +aS':\t:\t:\tO\tO' +p319338 +aS'Mr\tMr\tNNP\tB-NP\tO' +p319339 +aS'Peres\tPeres\tNNP\tI-NP\tO' +p319340 +aS'generally\tgenerally\tRB\tB-ADVP\tO' +p319341 +aS'lives\tlive\tVBZ\tB-VP\tO' +p319342 +aS'with\twith\tIN\tB-PP\tO' +p319343 +aS'his\this\tPRP$\tB-NP\tO' +p319344 +aS'wife\twife\tNN\tI-NP\tO' +p319345 +aS'but\tbut\tCC\tO\tO' +p319346 +aS'has\thave\tVBZ\tB-VP\tO' +p319347 +aS'spent\tspend\tVBN\tI-VP\tO' +p319348 +aS'a\ta\tDT\tB-NP\tO' +p319349 +aS'great\tgreat\tJJ\tI-NP\tO' +p319350 +aS'deal\tdeal\tNN\tI-NP\tO' +p319351 +aS'of\tof\tIN\tB-PP\tO' +p319352 +aS'time\ttime\tNN\tB-NP\tO' +p319353 +aS'recently\trecently\tRB\tB-ADVP\tO' +p319354 +aS'at\tat\tIN\tB-PP\tO' +p319355 +aS'rehab\trehab\tNN\tB-NP\tO' +p319356 +aS'.\t.\t.\tO\tO' +p319357 +asS'He was in no acute distress , non-toxic .' +p319358 +(lp319359 +S'He\tHe\tPRP\tB-NP\tO' +p319360 +aS'was\tbe\tVBD\tB-VP\tO' +p319361 +aS'in\tin\tIN\tB-PP\tO' +p319362 +aS'no\tno\tDT\tB-NP\tO' +p319363 +aS'acute\tacute\tJJ\tI-NP\tO' +p319364 +aS'distress\tdistress\tNN\tI-NP\tO' +p319365 +aS',\t,\t,\tO\tO' +p319366 +aS'non-toxic\tnon-toxic\tJJ\tB-ADJP\tO' +p319367 +aS'.\t.\t.\tO\tO' +p319368 +asS'2. Twin #2 of twin gestation .' +p319369 +(lp319370 +S'2.\t2.\tLS\tB-NP\tO' +p319371 +aS'Twin\tTwin\tNNP\tI-NP\tO' +p319372 +aS'#2\t#2\tNN\tI-NP\tO' +p319373 +aS'of\tof\tIN\tB-PP\tO' +p319374 +aS'twin\ttwin\tNN\tB-NP\tO' +p319375 +aS'gestation\tgestation\tNN\tI-NP\tO' +p319376 +aS'.\t.\t.\tO\tO' +p319377 +asS'A pap smear that was obtained by her primary care physician showed an endometrial cell and thus she was referred to a gynecologist for an endometrial biopsy .' +p319378 +(lp319379 +S'A\tA\tDT\tB-NP\tO' +p319380 +aS'pap\tpap\tNN\tI-NP\tO' +p319381 +aS'smear\tsmear\tNN\tI-NP\tO' +p319382 +aS'that\tthat\tWDT\tB-NP\tO' +p319383 +aS'was\tbe\tVBD\tB-VP\tO' +p319384 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p319385 +aS'by\tby\tIN\tB-PP\tO' +p319386 +aS'her\ther\tPRP$\tB-NP\tO' +p319387 +aS'primary\tprimary\tJJ\tI-NP\tO' +p319388 +aS'care\tcare\tNN\tI-NP\tO' +p319389 +aS'physician\tphysician\tNN\tI-NP\tO' +p319390 +aS'showed\tshow\tVBD\tB-VP\tO' +p319391 +aS'an\tan\tDT\tB-NP\tO' +p319392 +aS'endometrial\tendometrial\tJJ\tI-NP\tO' +p319393 +aS'cell\tcell\tNN\tI-NP\tO' +p319394 +aS'and\tand\tCC\tO\tO' +p319395 +aS'thus\tthus\tRB\tB-ADVP\tO' +p319396 +aS'she\tshe\tPRP\tB-NP\tO' +p319397 +aS'was\tbe\tVBD\tB-VP\tO' +p319398 +aS'referred\trefer\tVBN\tI-VP\tO' +p319399 +aS'to\tto\tTO\tB-PP\tO' +p319400 +aS'a\ta\tDT\tB-NP\tO' +p319401 +aS'gynecologist\tgynecologist\tNN\tI-NP\tO' +p319402 +aS'for\tfor\tIN\tB-PP\tO' +p319403 +aS'an\tan\tDT\tB-NP\tO' +p319404 +aS'endometrial\tendometrial\tJJ\tI-NP\tO' +p319405 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p319406 +aS'.\t.\t.\tO\tO' +p319407 +asS'Cholesterol 188 , triglyceride was 127 .' +p319408 +(lp319409 +S'Cholesterol\tCholesterol\tNN\tB-NP\tB-protein' +p319410 +aS'188\t188\tCD\tI-NP\tI-protein' +p319411 +aS',\t,\t,\tO\tO' +p319412 +aS'triglyceride\ttriglyceride\tNN\tB-NP\tO' +p319413 +aS'was\tbe\tVBD\tB-VP\tO' +p319414 +aS'127\t127\tCD\tB-NP\tO' +p319415 +aS'.\t.\t.\tO\tO' +p319416 +asS'6. Congestive heart failure .' +p319417 +(lp319418 +S'6.\t6.\tLS\tB-NP\tO' +p319419 +aS'Congestive\tCongestive\tJJ\tI-NP\tO' +p319420 +aS'heart\theart\tNN\tI-NP\tO' +p319421 +aS'failure\tfailure\tNN\tI-NP\tO' +p319422 +aS'.\t.\t.\tO\tO' +p319423 +asS'2. CMED CCU drops .' +p319424 +(lp319425 +S'2.\t2.\tLS\tB-LST\tO' +p319426 +aS'CMED\tCMED\tVBD\tB-VP\tO' +p319427 +aS'CCU\tCCU\tNN\tB-NP\tB-protein' +p319428 +aS'drops\tdrop\tNNS\tI-NP\tI-protein' +p319429 +aS'.\t.\t.\tO\tO' +p319430 +asS'Her chest is clear to auscultation .' +p319431 +(lp319432 +S'Her\tHer\tPRP$\tB-NP\tO' +p319433 +aS'chest\tchest\tNN\tI-NP\tO' +p319434 +aS'is\tbe\tVBZ\tB-VP\tO' +p319435 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p319436 +aS'to\tto\tTO\tB-PP\tO' +p319437 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p319438 +aS'.\t.\t.\tO\tO' +p319439 +asS'Unclear whether there are chronic pulmonary embolus but did have positive test for deep venous thrombosis and will be treated with Coumadin .' +p319440 +(lp319441 +S'Unclear\tUnclear\tJJ\tB-ADJP\tO' +p319442 +aS'whether\twhether\tIN\tB-SBAR\tO' +p319443 +aS'there\tthere\tEX\tB-NP\tO' +p319444 +aS'are\tbe\tVBP\tB-VP\tO' +p319445 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p319446 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p319447 +aS'embolus\tembolus\tNN\tI-NP\tO' +p319448 +aS'but\tbut\tCC\tO\tO' +p319449 +aS'did\tdo\tVBD\tB-VP\tO' +p319450 +aS'have\thave\tVB\tI-VP\tO' +p319451 +aS'positive\tpositive\tJJ\tB-NP\tO' +p319452 +aS'test\ttest\tNN\tI-NP\tO' +p319453 +aS'for\tfor\tIN\tB-PP\tO' +p319454 +aS'deep\tdeep\tJJ\tB-NP\tO' +p319455 +aS'venous\tvenous\tJJ\tI-NP\tO' +p319456 +aS'thrombosis\tthrombosis\tNN\tI-NP\tO' +p319457 +aS'and\tand\tCC\tO\tO' +p319458 +aS'will\twill\tMD\tB-VP\tO' +p319459 +aS'be\tbe\tVB\tI-VP\tO' +p319460 +aS'treated\ttreat\tVBN\tI-VP\tO' +p319461 +aS'with\twith\tIN\tB-PP\tO' +p319462 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p319463 +aS'.\t.\t.\tO\tO' +p319464 +asS'His name is Andrea and his phone number is 794 1029 x. 1385 .' +p319465 +(lp319466 +S'His\tHis\tPRP$\tB-NP\tO' +p319467 +aS'name\tname\tNN\tI-NP\tO' +p319468 +aS'is\tbe\tVBZ\tB-VP\tO' +p319469 +aS'Andrea\tAndrea\tNNP\tB-NP\tO' +p319470 +aS'and\tand\tCC\tO\tO' +p319471 +aS'his\this\tPRP$\tB-NP\tO' +p319472 +aS'phone\tphone\tNN\tI-NP\tO' +p319473 +aS'number\tnumber\tNN\tI-NP\tO' +p319474 +aS'is\tbe\tVBZ\tB-VP\tO' +p319475 +aS'794\t794\tCD\tB-NP\tO' +p319476 +aS'1029\t1029\tCD\tI-NP\tO' +p319477 +aS'x.\tx.\tNN\tI-NP\tO' +p319478 +aS'1385\t1385\tCD\tI-NP\tO' +p319479 +aS'.\t.\t.\tO\tO' +p319480 +asS'She was referred for valve surgery .' +p319481 +(lp319482 +S'She\tShe\tPRP\tB-NP\tO' +p319483 +aS'was\tbe\tVBD\tB-VP\tO' +p319484 +aS'referred\trefer\tVBN\tI-VP\tO' +p319485 +aS'for\tfor\tIN\tB-PP\tO' +p319486 +aS'valve\tvalve\tNN\tB-NP\tO' +p319487 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p319488 +aS'.\t.\t.\tO\tO' +p319489 +asS'Sternocleidomastoid and trapezius normal bilaterally .' +p319490 +(lp319491 +S'Sternocleidomastoid\tSternocleidomastoid\tJJ\tB-NP\tO' +p319492 +aS'and\tand\tCC\tI-NP\tO' +p319493 +aS'trapezius\ttrapezius\tNN\tI-NP\tO' +p319494 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p319495 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p319496 +aS'.\t.\t.\tO\tO' +p319497 +asS'The electrocardiogram showed pseudonormalization of T waves in V1 through V6 and Q waves in V1 through V3 .' +p319498 +(lp319499 +S'The\tThe\tDT\tB-NP\tO' +p319500 +aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' +p319501 +aS'showed\tshow\tVBD\tB-VP\tO' +p319502 +aS'pseudonormalization\tpseudonormalization\tNN\tB-NP\tO' +p319503 +aS'of\tof\tIN\tB-PP\tO' +p319504 +aS'T\tT\tNN\tB-NP\tO' +p319505 +aS'waves\twave\tNNS\tI-NP\tO' +p319506 +aS'in\tin\tIN\tB-PP\tO' +p319507 +aS'V1\tV1\tNN\tB-NP\tO' +p319508 +aS'through\tthrough\tIN\tB-PP\tO' +p319509 +aS'V6\tV6\tNN\tB-NP\tB-protein' +p319510 +aS'and\tand\tCC\tI-NP\tO' +p319511 +aS'Q\tQ\tNN\tI-NP\tO' +p319512 +aS'waves\twave\tNNS\tI-NP\tO' +p319513 +aS'in\tin\tIN\tB-PP\tO' +p319514 +aS'V1\tV1\tNN\tB-NP\tO' +p319515 +aS'through\tthrough\tIN\tB-PP\tO' +p319516 +aS'V3\tV3\tNN\tB-NP\tB-protein' +p319517 +aS'.\t.\t.\tO\tO' +p319518 +asS'His pain medication was then changed to Dilaudid IV in an attempt to better alleviate his symptoms .' +p319519 +(lp319520 +S'His\tHis\tPRP$\tB-NP\tO' +p319521 +aS'pain\tpain\tNN\tI-NP\tO' +p319522 +aS'medication\tmedication\tNN\tI-NP\tO' +p319523 +aS'was\tbe\tVBD\tB-VP\tO' +p319524 +aS'then\tthen\tRB\tI-VP\tO' +p319525 +aS'changed\tchange\tVBN\tI-VP\tO' +p319526 +aS'to\tto\tTO\tB-PP\tO' +p319527 +aS'Dilaudid\tDilaudid\tNN\tB-NP\tB-protein' +p319528 +aS'IV\tIV\tCD\tI-NP\tI-protein' +p319529 +aS'in\tin\tIN\tB-PP\tO' +p319530 +aS'an\tan\tDT\tB-NP\tO' +p319531 +aS'attempt\tattempt\tNN\tI-NP\tO' +p319532 +aS'to\tto\tTO\tB-VP\tO' +p319533 +aS'better\twell\tRBR\tI-VP\tO' +p319534 +aS'alleviate\talleviate\tVB\tI-VP\tO' +p319535 +aS'his\this\tPRP$\tB-NP\tO' +p319536 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p319537 +aS'.\t.\t.\tO\tO' +p319538 +asS'He was diuresed and ruled out for myocardial infarction .' +p319539 +(lp319540 +S'He\tHe\tPRP\tB-NP\tO' +p319541 +aS'was\tbe\tVBD\tB-VP\tO' +p319542 +aS'diuresed\tdiurese\tVBN\tI-VP\tO' +p319543 +aS'and\tand\tCC\tI-VP\tO' +p319544 +aS'ruled\trule\tVBN\tI-VP\tO' +p319545 +aS'out\tout\tRP\tB-PRT\tO' +p319546 +aS'for\tfor\tIN\tB-PP\tO' +p319547 +aS'myocardial\tmyocardial\tJJ\tB-NP\tO' +p319548 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p319549 +aS'.\t.\t.\tO\tO' +p319550 +asS'She has been off of her hypercholesterol medicines .' +p319551 +(lp319552 +S'She\tShe\tPRP\tB-NP\tO' +p319553 +aS'has\thave\tVBZ\tB-VP\tO' +p319554 +aS'been\tbe\tVBN\tI-VP\tO' +p319555 +aS'off\toff\tRP\tB-PRT\tO' +p319556 +aS'of\tof\tIN\tB-PP\tO' +p319557 +aS'her\ther\tPRP$\tB-NP\tO' +p319558 +aS'hypercholesterol\thypercholesterol\tNN\tI-NP\tO' +p319559 +aS'medicines\tmedicine\tNNS\tI-NP\tO' +p319560 +aS'.\t.\t.\tO\tO' +p319561 +asS'She has a maternal uncle and maternal aunt both with colon cancer who have passed away from this disease .' +p319562 +(lp319563 +S'She\tShe\tPRP\tB-NP\tO' +p319564 +aS'has\thave\tVBZ\tB-VP\tO' +p319565 +aS'a\ta\tDT\tB-NP\tO' +p319566 +aS'maternal\tmaternal\tJJ\tI-NP\tO' +p319567 +aS'uncle\tuncle\tNN\tI-NP\tO' +p319568 +aS'and\tand\tCC\tO\tO' +p319569 +aS'maternal\tmaternal\tJJ\tB-NP\tO' +p319570 +aS'aunt\taunt\tNN\tI-NP\tO' +p319571 +aS'both\tboth\tCC\tB-PP\tO' +p319572 +aS'with\twith\tIN\tB-PP\tO' +p319573 +aS'colon\tcolon\tNN\tB-NP\tO' +p319574 +aS'cancer\tcancer\tNN\tI-NP\tO' +p319575 +aS'who\twho\tWP\tB-NP\tO' +p319576 +aS'have\thave\tVBP\tB-VP\tO' +p319577 +aS'passed\tpass\tVBN\tI-VP\tO' +p319578 +aS'away\taway\tRB\tB-ADVP\tO' +p319579 +aS'from\tfrom\tIN\tB-PP\tO' +p319580 +aS'this\tthis\tDT\tB-NP\tO' +p319581 +aS'disease\tdisease\tNN\tI-NP\tO' +p319582 +aS'.\t.\t.\tO\tO' +p319583 +asS'On hospital day two the patient was transferred from the cardiac surgery recovery unit to 07-02 for continuing care .' +p319584 +(lp319585 +S'On\tOn\tIN\tB-PP\tO' +p319586 +aS'hospital\thospital\tNN\tB-NP\tO' +p319587 +aS'day\tday\tNN\tI-NP\tO' +p319588 +aS'two\ttwo\tCD\tB-NP\tO' +p319589 +aS'the\tthe\tDT\tB-NP\tO' +p319590 +aS'patient\tpatient\tNN\tI-NP\tO' +p319591 +aS'was\tbe\tVBD\tB-VP\tO' +p319592 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p319593 +aS'from\tfrom\tIN\tB-PP\tO' +p319594 +aS'the\tthe\tDT\tB-NP\tO' +p319595 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p319596 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p319597 +aS'recovery\trecovery\tNN\tI-NP\tO' +p319598 +aS'unit\tunit\tNN\tI-NP\tO' +p319599 +aS'to\tto\tTO\tB-PP\tO' +p319600 +aS'07-02\t07-02\tCD\tB-NP\tO' +p319601 +aS'for\tfor\tIN\tB-PP\tO' +p319602 +aS'continuing\tcontinue\tVBG\tB-NP\tO' +p319603 +aS'care\tcare\tNN\tI-NP\tO' +p319604 +aS'.\t.\t.\tO\tO' +p319605 +asS'5. Senna 8.6 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ) as needed .' +p319606 +(lp319607 +S'5.\t5.\tLS\tB-LST\tO' +p319608 +aS'Senna\tSenna\tNNP\tB-NP\tO' +p319609 +aS'8.6\t8.6\tCD\tI-NP\tO' +p319610 +aS'mg\tmg\tNN\tI-NP\tO' +p319611 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p319612 +aS'Sig\tSig\tNNP\tI-NP\tO' +p319613 +aS':\t:\t:\tO\tO' +p319614 +aS'One\tOne\tCD\tB-NP\tO' +p319615 +aS'(\t(\t(\tO\tO' +p319616 +aS'1\t1\tCD\tB-NP\tO' +p319617 +aS')\t)\t)\tO\tO' +p319618 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p319619 +aS'PO\tPO\tNN\tI-NP\tO' +p319620 +aS'BID\tBID\tNN\tI-NP\tO' +p319621 +aS'(\t(\t(\tO\tO' +p319622 +aS'2\t2\tCD\tB-NP\tO' +p319623 +aS'times\ttime\tNNS\tI-NP\tO' +p319624 +aS'a\ta\tDT\tB-NP\tO' +p319625 +aS'day\tday\tNN\tI-NP\tO' +p319626 +aS')\t)\t)\tO\tO' +p319627 +aS'as\tas\tIN\tB-SBAR\tO' +p319628 +aS'needed\tneed\tVBN\tB-VP\tO' +p319629 +aS'.\t.\t.\tO\tO' +p319630 +asS'On 04-01 she was seen by physical therapy was thought to benefit from acute rehabilitation .' +p319631 +(lp319632 +S'On\tOn\tIN\tB-PP\tO' +p319633 +aS'04-01\t04-01\tCD\tB-NP\tO' +p319634 +aS'she\tshe\tPRP\tB-NP\tO' +p319635 +aS'was\tbe\tVBD\tB-VP\tO' +p319636 +aS'seen\tsee\tVBN\tI-VP\tO' +p319637 +aS'by\tby\tIN\tB-PP\tO' +p319638 +aS'physical\tphysical\tJJ\tB-NP\tO' +p319639 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p319640 +aS'was\tbe\tVBD\tB-VP\tO' +p319641 +aS'thought\tthink\tVBN\tI-VP\tO' +p319642 +aS'to\tto\tTO\tI-VP\tO' +p319643 +aS'benefit\tbenefit\tVB\tI-VP\tO' +p319644 +aS'from\tfrom\tIN\tB-PP\tO' +p319645 +aS'acute\tacute\tJJ\tB-NP\tO' +p319646 +aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' +p319647 +aS'.\t.\t.\tO\tO' +p319648 +asS'He has been in and out of atrial fibrillation and normal sinus rhythm .' +p319649 +(lp319650 +S'He\tHe\tPRP\tB-NP\tO' +p319651 +aS'has\thave\tVBZ\tB-VP\tO' +p319652 +aS'been\tbe\tVBN\tI-VP\tO' +p319653 +aS'in\tin\tIN\tB-PP\tO' +p319654 +aS'and\tand\tCC\tI-PP\tO' +p319655 +aS'out\tout\tIN\tI-PP\tO' +p319656 +aS'of\tof\tIN\tB-PP\tO' +p319657 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p319658 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p319659 +aS'and\tand\tCC\tO\tO' +p319660 +aS'normal\tnormal\tJJ\tB-NP\tO' +p319661 +aS'sinus\tsinus\tNN\tI-NP\tO' +p319662 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p319663 +aS'.\t.\t.\tO\tO' +p319664 +asS'4. History of right inguinal hernia in 2002 .' +p319665 +(lp319666 +S'4.\t4.\tLS\tB-NP\tO' +p319667 +aS'History\tHistory\tNN\tI-NP\tO' +p319668 +aS'of\tof\tIN\tB-PP\tO' +p319669 +aS'right\tright\tJJ\tB-NP\tO' +p319670 +aS'inguinal\tinguinal\tJJ\tI-NP\tO' +p319671 +aS'hernia\thernia\tNN\tI-NP\tO' +p319672 +aS'in\tin\tIN\tB-PP\tO' +p319673 +aS'2002\t2002\tCD\tB-NP\tO' +p319674 +aS'.\t.\t.\tO\tO' +p319675 +asS'The patient has left chest wound and left gluteal pressure ulcer .' +p319676 +(lp319677 +S'The\tThe\tDT\tB-NP\tO' +p319678 +aS'patient\tpatient\tNN\tI-NP\tO' +p319679 +aS'has\thave\tVBZ\tB-VP\tO' +p319680 +aS'left\tleave\tVBN\tI-VP\tO' +p319681 +aS'chest\tchest\tNN\tB-NP\tO' +p319682 +aS'wound\twound\tNN\tI-NP\tO' +p319683 +aS'and\tand\tCC\tO\tO' +p319684 +aS'left\tleave\tVBD\tB-VP\tO' +p319685 +aS'gluteal\tgluteal\tJJ\tB-NP\tO' +p319686 +aS'pressure\tpressure\tNN\tI-NP\tO' +p319687 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p319688 +aS'.\t.\t.\tO\tO' +p319689 +asS'Although not fully this may have contributed to his hypocalcemia and volume requirements .' +p319690 +(lp319691 +S'Although\tAlthough\tIN\tB-SBAR\tO' +p319692 +aS'not\tnot\tRB\tO\tO' +p319693 +aS'fully\tfully\tRB\tB-ADVP\tO' +p319694 +aS'this\tthis\tDT\tB-NP\tO' +p319695 +aS'may\tmay\tMD\tB-VP\tO' +p319696 +aS'have\thave\tVB\tI-VP\tO' +p319697 +aS'contributed\tcontribute\tVBN\tI-VP\tO' +p319698 +aS'to\tto\tTO\tB-PP\tO' +p319699 +aS'his\this\tPRP$\tB-NP\tO' +p319700 +aS'hypocalcemia\thypocalcemia\tNN\tI-NP\tO' +p319701 +aS'and\tand\tCC\tI-NP\tO' +p319702 +aS'volume\tvolume\tNN\tI-NP\tO' +p319703 +aS'requirements\trequirement\tNNS\tI-NP\tO' +p319704 +aS'.\t.\t.\tO\tO' +p319705 +asS'Hematocrit was 33.0 , platelet count 627 , white blood cell count 10,000 , MCV 79.8 .' +p319706 +(lp319707 +S'Hematocrit\tHematocrit\tNN\tB-NP\tB-protein' +p319708 +aS'was\tbe\tVBD\tB-VP\tI-protein' +p319709 +aS'33.0\t33.0\tCD\tB-NP\tI-protein' +p319710 +aS',\t,\t,\tO\tO' +p319711 +aS'platelet\tplatelet\tNN\tB-NP\tB-protein' +p319712 +aS'count\tcount\tNN\tI-NP\tI-protein' +p319713 +aS'627\t627\tCD\tI-NP\tI-protein' +p319714 +aS',\t,\t,\tO\tO' +p319715 +aS'white\twhite\tJJ\tB-NP\tO' +p319716 +aS'blood\tblood\tNN\tI-NP\tO' +p319717 +aS'cell\tcell\tNN\tI-NP\tO' +p319718 +aS'count\tcount\tNN\tI-NP\tO' +p319719 +aS'10,000\t10,000\tCD\tB-NP\tO' +p319720 +aS',\t,\t,\tO\tO' +p319721 +aS'MCV\tMCV\tNN\tB-NP\tB-protein' +p319722 +aS'79.8\t79.8\tCD\tI-NP\tI-protein' +p319723 +aS'.\t.\t.\tO\tO' +p319724 +asS'The patient was found to have weakness in the proximal muscles as well as the capability of the muscles .' +p319725 +(lp319726 +S'The\tThe\tDT\tB-NP\tO' +p319727 +aS'patient\tpatient\tNN\tI-NP\tO' +p319728 +aS'was\tbe\tVBD\tB-VP\tO' +p319729 +aS'found\tfind\tVBN\tI-VP\tO' +p319730 +aS'to\tto\tTO\tI-VP\tO' +p319731 +aS'have\thave\tVB\tI-VP\tO' +p319732 +aS'weakness\tweakness\tNN\tB-NP\tO' +p319733 +aS'in\tin\tIN\tB-PP\tO' +p319734 +aS'the\tthe\tDT\tB-NP\tO' +p319735 +aS'proximal\tproximal\tJJ\tI-NP\tO' +p319736 +aS'muscles\tmuscle\tNNS\tI-NP\tO' +p319737 +aS'as\tas\tRB\tB-CONJP\tO' +p319738 +aS'well\twell\tRB\tI-CONJP\tO' +p319739 +aS'as\tas\tIN\tI-CONJP\tO' +p319740 +aS'the\tthe\tDT\tB-NP\tO' +p319741 +aS'capability\tcapability\tNN\tI-NP\tO' +p319742 +aS'of\tof\tIN\tB-PP\tO' +p319743 +aS'the\tthe\tDT\tB-NP\tO' +p319744 +aS'muscles\tmuscle\tNNS\tI-NP\tO' +p319745 +aS'.\t.\t.\tO\tO' +p319746 +asS'BACTRIM .' +p319747 +(lp319748 +S'BACTRIM\tBACTRIM\tNN\tB-NP\tO' +p319749 +aS'.\t.\t.\tO\tO' +p319750 +asS'5/5 strength upper extremities bilaterally .' +p319751 +(lp319752 +S'5/5\t5/5\tCD\tB-NP\tO' +p319753 +aS'strength\tstrength\tNN\tI-NP\tO' +p319754 +aS'upper\tupper\tJJ\tI-NP\tO' +p319755 +aS'extremities\textremity\tNNS\tI-NP\tO' +p319756 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p319757 +aS'.\t.\t.\tO\tO' +p319758 +asS'The patient 's respiratory status continued to improve but towards the last 2-3 days of his hospitalization the amount of improvement was minimal .' +p319759 +(lp319760 +S'The\tThe\tDT\tB-NP\tO' +p319761 +aS'patient\tpatient\tNN\tI-NP\tO' +p319762 +aS''s\t'\tNNS\tI-NP\tO' +p319763 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p319764 +aS'status\tstatus\tNN\tI-NP\tO' +p319765 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p319766 +aS'to\tto\tTO\tI-VP\tO' +p319767 +aS'improve\timprove\tVB\tI-VP\tO' +p319768 +aS'but\tbut\tCC\tO\tO' +p319769 +aS'towards\ttowards\tIN\tB-PP\tO' +p319770 +aS'the\tthe\tDT\tB-NP\tO' +p319771 +aS'last\tlast\tJJ\tI-NP\tO' +p319772 +aS'2-3\t2-3\tCD\tI-NP\tO' +p319773 +aS'days\tday\tNNS\tI-NP\tO' +p319774 +aS'of\tof\tIN\tB-PP\tO' +p319775 +aS'his\this\tPRP$\tB-NP\tO' +p319776 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p319777 +aS'the\tthe\tDT\tB-NP\tO' +p319778 +aS'amount\tamount\tNN\tI-NP\tO' +p319779 +aS'of\tof\tIN\tB-PP\tO' +p319780 +aS'improvement\timprovement\tNN\tB-NP\tO' +p319781 +aS'was\tbe\tVBD\tB-VP\tO' +p319782 +aS'minimal\tminimal\tJJ\tB-ADJP\tO' +p319783 +aS'.\t.\t.\tO\tO' +p319784 +asS'She delivered a 2809 gram male infant on 03/16/2002 at 02:50 am with apgar scores of 7 and 9 at one and five minutes respectively at 38.0 weeks gestation via spontaneous vertex vaginal delivery .' +p319785 +(lp319786 +S'She\tShe\tPRP\tB-NP\tO' +p319787 +aS'delivered\tdeliver\tVBD\tB-VP\tO' +p319788 +aS'a\ta\tDT\tB-NP\tO' +p319789 +aS'2809\t2809\tCD\tI-NP\tO' +p319790 +aS'gram\tgram\tNN\tI-NP\tO' +p319791 +aS'male\tmale\tJJ\tI-NP\tO' +p319792 +aS'infant\tinfant\tNN\tI-NP\tO' +p319793 +aS'on\ton\tIN\tB-PP\tO' +p319794 +aS'03/16/2002\t03/16/2002\tCD\tB-NP\tO' +p319795 +aS'at\tat\tIN\tB-PP\tO' +p319796 +aS'02:50\t02:50\tCD\tB-NP\tO' +p319797 +aS'am\tam\tNN\tI-NP\tO' +p319798 +aS'with\twith\tIN\tB-PP\tO' +p319799 +aS'apgar\tapgar\tNN\tB-NP\tO' +p319800 +aS'scores\tscore\tNNS\tI-NP\tO' +p319801 +aS'of\tof\tIN\tB-PP\tO' +p319802 +aS'7\t7\tCD\tB-NP\tO' +p319803 +aS'and\tand\tCC\tI-NP\tO' +p319804 +aS'9\t9\tCD\tI-NP\tO' +p319805 +aS'at\tat\tIN\tB-PP\tO' +p319806 +aS'one\tone\tCD\tB-NP\tO' +p319807 +aS'and\tand\tCC\tI-NP\tO' +p319808 +aS'five\tfive\tCD\tI-NP\tO' +p319809 +aS'minutes\tminute\tNNS\tI-NP\tO' +p319810 +aS'respectively\trespectively\tRB\tB-ADVP\tO' +p319811 +aS'at\tat\tIN\tB-PP\tO' +p319812 +aS'38.0\t38.0\tCD\tB-NP\tO' +p319813 +aS'weeks\tweek\tNNS\tI-NP\tO' +p319814 +aS'gestation\tgestation\tNN\tI-NP\tO' +p319815 +aS'via\tvia\tIN\tB-PP\tO' +p319816 +aS'spontaneous\tspontaneous\tJJ\tB-NP\tO' +p319817 +aS'vertex\tvertex\tNN\tI-NP\tO' +p319818 +aS'vaginal\tvaginal\tJJ\tI-NP\tO' +p319819 +aS'delivery\tdelivery\tNN\tI-NP\tO' +p319820 +aS'.\t.\t.\tO\tO' +p319821 +asS'The patient walks with a walker at baseline and goes out for dinner and shopping with her sister .' +p319822 +(lp319823 +S'The\tThe\tDT\tB-NP\tO' +p319824 +aS'patient\tpatient\tNN\tI-NP\tO' +p319825 +aS'walks\twalk\tVBZ\tB-VP\tO' +p319826 +aS'with\twith\tIN\tB-PP\tO' +p319827 +aS'a\ta\tDT\tB-NP\tO' +p319828 +aS'walker\twalker\tNN\tI-NP\tO' +p319829 +aS'at\tat\tIN\tB-PP\tO' +p319830 +aS'baseline\tbaseline\tNN\tB-NP\tO' +p319831 +aS'and\tand\tCC\tO\tO' +p319832 +aS'goes\tgo\tVBZ\tB-VP\tO' +p319833 +aS'out\tout\tRP\tB-PRT\tO' +p319834 +aS'for\tfor\tIN\tB-PP\tO' +p319835 +aS'dinner\tdinner\tNN\tB-NP\tO' +p319836 +aS'and\tand\tCC\tI-NP\tO' +p319837 +aS'shopping\tshopping\tNN\tI-NP\tO' +p319838 +aS'with\twith\tIN\tB-PP\tO' +p319839 +aS'her\ther\tPRP$\tB-NP\tO' +p319840 +aS'sister\tsister\tNN\tI-NP\tO' +p319841 +aS'.\t.\t.\tO\tO' +p319842 +asS'Mr. Mass was placed on multiple courses of antibiotics .' +p319843 +(lp319844 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p319845 +aS'Mass\tMass\tNNP\tI-NP\tO' +p319846 +aS'was\tbe\tVBD\tB-VP\tO' +p319847 +aS'placed\tplace\tVBN\tI-VP\tO' +p319848 +aS'on\ton\tIN\tB-PP\tO' +p319849 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p319850 +aS'courses\tcourse\tNNS\tI-NP\tO' +p319851 +aS'of\tof\tIN\tB-PP\tO' +p319852 +aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' +p319853 +aS'.\t.\t.\tO\tO' +p319854 +asS'Chest : HD line in place without erythema' +p319855 +(lp319856 +S'Chest\tChest\tNNP\tB-NP\tO' +p319857 +aS':\t:\t:\tO\tO' +p319858 +aS'HD\tHD\tNN\tB-NP\tO' +p319859 +aS'line\tline\tNN\tI-NP\tO' +p319860 +aS'in\tin\tIN\tB-PP\tO' +p319861 +aS'place\tplace\tNN\tB-NP\tO' +p319862 +aS'without\twithout\tIN\tB-PP\tO' +p319863 +aS'erythema\terythema\tNN\tB-NP\tO' +p319864 +asS'Admitted after acute onset left chest pain .' +p319865 +(lp319866 +S'Admitted\tAdmit\tVBN\tB-VP\tO' +p319867 +aS'after\tafter\tIN\tB-PP\tO' +p319868 +aS'acute\tacute\tJJ\tB-NP\tO' +p319869 +aS'onset\tonset\tNN\tI-NP\tO' +p319870 +aS'left\tleave\tVBD\tB-VP\tO' +p319871 +aS'chest\tchest\tNN\tB-NP\tO' +p319872 +aS'pain\tpain\tNN\tI-NP\tO' +p319873 +aS'.\t.\t.\tO\tO' +p319874 +asS'Healthy-appearing woman , in no acute distress .' +p319875 +(lp319876 +S'Healthy-appearing\tHealthy-appearing\tJJ\tB-NP\tO' +p319877 +aS'woman\twoman\tNN\tI-NP\tO' +p319878 +aS',\t,\t,\tO\tO' +p319879 +aS'in\tin\tIN\tB-PP\tO' +p319880 +aS'no\tno\tDT\tB-NP\tO' +p319881 +aS'acute\tacute\tJJ\tI-NP\tO' +p319882 +aS'distress\tdistress\tNN\tI-NP\tO' +p319883 +aS'.\t.\t.\tO\tO' +p319884 +asS'Repeat chest x-rays and chest CT scans appeared consistent with pulmonary edema from volume overload given her renal failure and eventually , the patient 's pulmonary status did improve after significant volume removal with dialysis for several weeks .' +p319885 +(lp319886 +S'Repeat\tRepeat\tNN\tB-NP\tO' +p319887 +aS'chest\tchest\tNN\tI-NP\tO' +p319888 +aS'x-rays\tx-ray\tNNS\tI-NP\tO' +p319889 +aS'and\tand\tCC\tO\tO' +p319890 +aS'chest\tchest\tNN\tB-NP\tO' +p319891 +aS'CT\tCT\tNN\tI-NP\tO' +p319892 +aS'scans\tscan\tNNS\tI-NP\tO' +p319893 +aS'appeared\tappear\tVBD\tB-VP\tO' +p319894 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p319895 +aS'with\twith\tIN\tB-PP\tO' +p319896 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p319897 +aS'edema\tedema\tNN\tI-NP\tO' +p319898 +aS'from\tfrom\tIN\tB-PP\tO' +p319899 +aS'volume\tvolume\tNN\tB-NP\tO' +p319900 +aS'overload\toverload\tNN\tI-NP\tO' +p319901 +aS'given\tgive\tVBN\tB-VP\tO' +p319902 +aS'her\ther\tPRP$\tB-NP\tO' +p319903 +aS'renal\trenal\tJJ\tI-NP\tO' +p319904 +aS'failure\tfailure\tNN\tI-NP\tO' +p319905 +aS'and\tand\tCC\tO\tO' +p319906 +aS'eventually\teventually\tRB\tB-ADVP\tO' +p319907 +aS',\t,\t,\tO\tO' +p319908 +aS'the\tthe\tDT\tB-NP\tO' +p319909 +aS'patient\tpatient\tNN\tI-NP\tO' +p319910 +aS''s\t'\tNNS\tI-NP\tO' +p319911 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p319912 +aS'status\tstatus\tNN\tI-NP\tO' +p319913 +aS'did\tdo\tVBD\tB-VP\tO' +p319914 +aS'improve\timprove\tVB\tI-VP\tO' +p319915 +aS'after\tafter\tIN\tB-PP\tO' +p319916 +aS'significant\tsignificant\tJJ\tB-NP\tO' +p319917 +aS'volume\tvolume\tNN\tI-NP\tO' +p319918 +aS'removal\tremoval\tNN\tI-NP\tO' +p319919 +aS'with\twith\tIN\tB-PP\tO' +p319920 +aS'dialysis\tdialysis\tNN\tB-NP\tO' +p319921 +aS'for\tfor\tIN\tB-PP\tO' +p319922 +aS'several\tseveral\tJJ\tB-NP\tO' +p319923 +aS'weeks\tweek\tNNS\tI-NP\tO' +p319924 +aS'.\t.\t.\tO\tO' +p319925 +asS'Head circumference 24.5 cm , length 45.5 cm .' +p319926 +(lp319927 +S'Head\tHead\tNN\tB-NP\tO' +p319928 +aS'circumference\tcircumference\tNN\tI-NP\tO' +p319929 +aS'24.5\t24.5\tCD\tI-NP\tO' +p319930 +aS'cm\tcm\tNN\tI-NP\tO' +p319931 +aS',\t,\t,\tO\tO' +p319932 +aS'length\tlength\tNN\tB-NP\tO' +p319933 +aS'45.5\t45.5\tCD\tI-NP\tO' +p319934 +aS'cm\tcm\tNN\tI-NP\tO' +p319935 +aS'.\t.\t.\tO\tO' +p319936 +asS'She was never on an anticonvulsant due to her former beliefs as N. Derk Scientist .' +p319937 +(lp319938 +S'She\tShe\tPRP\tB-NP\tO' +p319939 +aS'was\tbe\tVBD\tB-VP\tO' +p319940 +aS'never\tnever\tRB\tB-ADVP\tO' +p319941 +aS'on\ton\tIN\tB-PP\tO' +p319942 +aS'an\tan\tDT\tB-NP\tO' +p319943 +aS'anticonvulsant\tanticonvulsant\tNN\tI-NP\tO' +p319944 +aS'due\tdue\tJJ\tB-ADJP\tO' +p319945 +aS'to\tto\tTO\tB-PP\tO' +p319946 +aS'her\ther\tPRP$\tB-NP\tO' +p319947 +aS'former\tformer\tJJ\tI-NP\tO' +p319948 +aS'beliefs\tbelief\tNNS\tI-NP\tO' +p319949 +aS'as\tas\tIN\tB-PP\tO' +p319950 +aS'N.\tN.\tNNP\tB-NP\tO' +p319951 +aS'Derk\tDerk\tNNP\tI-NP\tO' +p319952 +aS'Scientist\tScientist\tNNP\tI-NP\tO' +p319953 +aS'.\t.\t.\tO\tO' +p319954 +asS'Left-sided subclavian line is unchanged in position .' +p319955 +(lp319956 +S'Left-sided\tLeft-sided\tJJ\tB-NP\tB-cell_line' +p319957 +aS'subclavian\tsubclavian\tJJ\tI-NP\tI-cell_line' +p319958 +aS'line\tline\tNN\tI-NP\tI-cell_line' +p319959 +aS'is\tbe\tVBZ\tB-VP\tO' +p319960 +aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' +p319961 +aS'in\tin\tIN\tB-PP\tO' +p319962 +aS'position\tposition\tNN\tB-NP\tO' +p319963 +aS'.\t.\t.\tO\tO' +p319964 +asS'Elevated CK on 02-07 is likely secondary to mild rhabdomyolysis .' +p319965 +(lp319966 +S'Elevated\tElevated\tJJ\tB-NP\tO' +p319967 +aS'CK\tCK\tNN\tI-NP\tO' +p319968 +aS'on\ton\tIN\tB-PP\tO' +p319969 +aS'02-07\t02-07\tCD\tB-NP\tO' +p319970 +aS'is\tbe\tVBZ\tB-VP\tO' +p319971 +aS'likely\tlikely\tRB\tB-ADJP\tO' +p319972 +aS'secondary\tsecondary\tJJ\tI-ADJP\tO' +p319973 +aS'to\tto\tTO\tB-PP\tO' +p319974 +aS'mild\tmild\tJJ\tB-NP\tO' +p319975 +aS'rhabdomyolysis\trhabdomyolysis\tNN\tI-NP\tO' +p319976 +aS'.\t.\t.\tO\tO' +p319977 +asS'No urinary calculi are seen .' +p319978 +(lp319979 +S'No\tNo\tDT\tB-NP\tO' +p319980 +aS'urinary\turinary\tJJ\tI-NP\tO' +p319981 +aS'calculi\tcalculus\tNNS\tI-NP\tO' +p319982 +aS'are\tbe\tVBP\tB-VP\tO' +p319983 +aS'seen\tsee\tVBN\tI-VP\tO' +p319984 +aS'.\t.\t.\tO\tO' +p319985 +asS'Full .' +p319986 +(lp319987 +S'Full\tFull\tJJ\tB-ADJP\tO' +p319988 +aS'.\t.\t.\tO\tO' +p319989 +asS'Tylenol , 650 mg p.o. q 4 prn ; Allopurinol , 100 mg p.o. q.d. ; Peridex mouthwash , 10 ml b.i.d.; cholysteramineresin , 4 grams p.o. q.d. ; clotrimazole , one troche p.o. q.i.d. ; Fentanyl patch , 100 mcg per hour topical q 72 hours ; glipizide , 10 mg p.o. q.d.; Atarax , 25 operating table 50 mg p.o. q 6 to 8 hours prn itching ; regular sliding scale insulin ; KBL mouthwash , 15 ccp .o. q.d. prn mouth discomfort ; Lactulose , 30 ml p.o. q.i.d. that was started on January 30 , for no bowel movements with instructions to continue until bowel movement and then decrease to b.i.d. or q.d. ; Lidocaine , 2% , 10 ml UR q 3 to 4 hours prn for pain around Foley site ; Ativan , 0.25 to 0.5 mg IV q 4 to 6 hours prn anxiety with instructions to use caution .' +p319990 +(lp319991 +S'Tylenol\tTylenol\tNN\tB-NP\tO' +p319992 +aS',\t,\t,\tO\tO' +p319993 +aS'650\t650\tCD\tB-NP\tO' +p319994 +aS'mg\tmg\tNN\tI-NP\tO' +p319995 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p319996 +aS'q\tq\tNN\tI-NP\tO' +p319997 +aS'4\t4\tCD\tI-NP\tO' +p319998 +aS'prn\tprn\tNN\tI-NP\tO' +p319999 +aS';\t;\t:\tO\tO' +p320000 +aS'Allopurinol\tAllopurinol\tNN\tB-NP\tO' +p320001 +aS',\t,\t,\tO\tO' +p320002 +aS'100\t100\tCD\tB-NP\tO' +p320003 +aS'mg\tmg\tNN\tI-NP\tO' +p320004 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p320005 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p320006 +aS';\t;\t:\tO\tO' +p320007 +aS'Peridex\tPeridex\tNN\tB-NP\tO' +p320008 +aS'mouthwash\tmouthwash\tNN\tI-NP\tO' +p320009 +aS',\t,\t,\tO\tO' +p320010 +aS'10\t10\tCD\tB-NP\tO' +p320011 +aS'ml\tml\tNN\tI-NP\tO' +p320012 +aS'b.i.d.;\tb.i.d.;\tNN\tI-NP\tO' +p320013 +aS'cholysteramineresin\tcholysteramineresin\tNN\tI-NP\tO' +p320014 +aS',\t,\t,\tO\tO' +p320015 +aS'4\t4\tCD\tB-NP\tO' +p320016 +aS'grams\tgram\tNNS\tI-NP\tO' +p320017 +aS'p.o.\tp.o.\tFW\tB-ADVP\tO' +p320018 +aS'q.d.\tq.d.\tFW\tI-ADVP\tO' +p320019 +aS';\t;\t:\tO\tO' +p320020 +aS'clotrimazole\tclotrimazole\tNN\tB-NP\tO' +p320021 +aS',\t,\t,\tO\tO' +p320022 +aS'one\tone\tCD\tB-NP\tO' +p320023 +aS'troche\ttroche\tNN\tI-NP\tO' +p320024 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p320025 +aS'q.i.d.\tq.i.d.\tNN\tI-NP\tO' +p320026 +aS';\t;\t:\tO\tO' +p320027 +aS'Fentanyl\tFentanyl\tNN\tB-NP\tO' +p320028 +aS'patch\tpatch\tNN\tI-NP\tO' +p320029 +aS',\t,\t,\tO\tO' +p320030 +aS'100\t100\tCD\tB-NP\tO' +p320031 +aS'mcg\tmcg\tNN\tI-NP\tO' +p320032 +aS'per\tper\tIN\tB-PP\tO' +p320033 +aS'hour\thour\tNN\tB-NP\tO' +p320034 +aS'topical\ttopical\tJJ\tB-NP\tO' +p320035 +aS'q\tq\tNN\tI-NP\tO' +p320036 +aS'72\t72\tCD\tB-NP\tO' +p320037 +aS'hours\thour\tNNS\tI-NP\tO' +p320038 +aS';\t;\t:\tO\tO' +p320039 +aS'glipizide\tglipizide\tNN\tB-NP\tO' +p320040 +aS',\t,\t,\tO\tO' +p320041 +aS'10\t10\tCD\tB-NP\tO' +p320042 +aS'mg\tmg\tNN\tI-NP\tO' +p320043 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p320044 +aS'q.d.;\tq.d.;\tNN\tI-NP\tO' +p320045 +aS'Atarax\tAtarax\tNN\tI-NP\tO' +p320046 +aS',\t,\t,\tO\tO' +p320047 +aS'25\t25\tCD\tB-NP\tO' +p320048 +aS'operating\toperate\tVBG\tI-NP\tO' +p320049 +aS'table\ttable\tNN\tI-NP\tB-protein' +p320050 +aS'50\t50\tCD\tI-NP\tI-protein' +p320051 +aS'mg\tmg\tNN\tI-NP\tI-protein' +p320052 +aS'p.o.\tp.o.\tNN\tI-NP\tI-protein' +p320053 +aS'q\tq\tNN\tI-NP\tI-protein' +p320054 +aS'6\t6\tCD\tB-NP\tI-protein' +p320055 +aS'to\tto\tTO\tI-NP\tO' +p320056 +aS'8\t8\tCD\tI-NP\tO' +p320057 +aS'hours\thour\tNNS\tI-NP\tO' +p320058 +aS'prn\tprn\tVBP\tB-VP\tO' +p320059 +aS'itching\titch\tVBG\tI-VP\tO' +p320060 +aS';\t;\t:\tO\tO' +p320061 +aS'regular\tregular\tJJ\tB-NP\tO' +p320062 +aS'sliding\tslide\tVBG\tI-NP\tO' +p320063 +aS'scale\tscale\tNN\tI-NP\tB-protein' +p320064 +aS'insulin\tinsulin\tNN\tI-NP\tI-protein' +p320065 +aS';\t;\t:\tO\tO' +p320066 +aS'KBL\tKBL\tNN\tB-NP\tO' +p320067 +aS'mouthwash\tmouthwash\tNN\tI-NP\tO' +p320068 +aS',\t,\t,\tO\tO' +p320069 +aS'15\t15\tCD\tB-NP\tO' +p320070 +aS'ccp\tccp\tNN\tI-NP\tO' +p320071 +aS'.o.\t.o.\tNN\tI-NP\tO' +p320072 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p320073 +aS'prn\tprn\tNN\tI-NP\tO' +p320074 +aS'mouth\tmouth\tNN\tI-NP\tO' +p320075 +aS'discomfort\tdiscomfort\tNN\tI-NP\tO' +p320076 +aS';\t;\t:\tO\tO' +p320077 +aS'Lactulose\tLactulose\tNN\tB-NP\tO' +p320078 +aS',\t,\t,\tO\tO' +p320079 +aS'30\t30\tCD\tB-NP\tO' +p320080 +aS'ml\tml\tNN\tI-NP\tO' +p320081 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p320082 +aS'q.i.d.\tq.i.d.\tNN\tI-NP\tO' +p320083 +aS'that\tthat\tWDT\tB-NP\tO' +p320084 +aS'was\tbe\tVBD\tB-VP\tO' +p320085 +aS'started\tstart\tVBN\tI-VP\tO' +p320086 +aS'on\ton\tIN\tB-PP\tO' +p320087 +aS'January\tJanuary\tNNP\tB-NP\tO' +p320088 +aS'30\t30\tCD\tI-NP\tO' +p320089 +aS',\t,\t,\tO\tO' +p320090 +aS'for\tfor\tIN\tB-PP\tO' +p320091 +aS'no\tno\tDT\tB-NP\tO' +p320092 +aS'bowel\tbowel\tNN\tI-NP\tO' +p320093 +aS'movements\tmovement\tNNS\tI-NP\tO' +p320094 +aS'with\twith\tIN\tB-PP\tO' +p320095 +aS'instructions\tinstruction\tNNS\tB-NP\tO' +p320096 +aS'to\tto\tTO\tB-VP\tO' +p320097 +aS'continue\tcontinue\tVB\tI-VP\tO' +p320098 +aS'until\tuntil\tIN\tB-PP\tO' +p320099 +aS'bowel\tbowel\tNN\tB-NP\tO' +p320100 +aS'movement\tmovement\tNN\tI-NP\tO' +p320101 +aS'and\tand\tCC\tO\tO' +p320102 +aS'then\tthen\tRB\tB-VP\tO' +p320103 +aS'decrease\tdecrease\tVB\tI-VP\tO' +p320104 +aS'to\tto\tTO\tI-VP\tO' +p320105 +aS'b.i.d.\tb.i.d.\tVB\tI-VP\tO' +p320106 +aS'or\tor\tCC\tI-VP\tO' +p320107 +aS'q.d.\tq.d.\tVB\tI-VP\tO' +p320108 +aS';\t;\t:\tO\tO' +p320109 +aS'Lidocaine\tLidocaine\tNN\tB-NP\tO' +p320110 +aS',\t,\t,\tO\tO' +p320111 +aS'2%\t2%\tCD\tB-NP\tO' +p320112 +aS',\t,\t,\tO\tO' +p320113 +aS'10\t10\tCD\tB-NP\tO' +p320114 +aS'ml\tml\tNN\tI-NP\tO' +p320115 +aS'UR\tUR\tNN\tI-NP\tO' +p320116 +aS'q\tq\tNN\tI-NP\tO' +p320117 +aS'3\t3\tCD\tB-NP\tO' +p320118 +aS'to\tto\tTO\tI-NP\tO' +p320119 +aS'4\t4\tCD\tI-NP\tO' +p320120 +aS'hours\thour\tNNS\tI-NP\tO' +p320121 +aS'prn\tprn\tVBP\tB-VP\tO' +p320122 +aS'for\tfor\tIN\tB-PP\tO' +p320123 +aS'pain\tpain\tNN\tB-NP\tB-DNA' +p320124 +aS'around\taround\tIN\tB-PP\tI-DNA' +p320125 +aS'Foley\tFoley\tNNP\tB-NP\tI-DNA' +p320126 +aS'site\tsite\tNN\tI-NP\tI-DNA' +p320127 +aS';\t;\t:\tO\tO' +p320128 +aS'Ativan\tAtivan\tNNP\tB-NP\tO' +p320129 +aS',\t,\t,\tO\tO' +p320130 +aS'0.25\t0.25\tCD\tB-NP\tO' +p320131 +aS'to\tto\tTO\tI-NP\tO' +p320132 +aS'0.5\t0.5\tCD\tI-NP\tO' +p320133 +aS'mg\tmg\tNN\tI-NP\tO' +p320134 +aS'IV\tIV\tCD\tB-NP\tO' +p320135 +aS'q\tq\tNN\tI-NP\tO' +p320136 +aS'4\t4\tCD\tB-NP\tO' +p320137 +aS'to\tto\tTO\tI-NP\tO' +p320138 +aS'6\t6\tCD\tI-NP\tO' +p320139 +aS'hours\thour\tNNS\tI-NP\tO' +p320140 +aS'prn\tprn\tVBP\tB-VP\tO' +p320141 +aS'anxiety\tanxiety\tNN\tB-NP\tO' +p320142 +aS'with\twith\tIN\tB-PP\tO' +p320143 +aS'instructions\tinstruction\tNNS\tB-NP\tO' +p320144 +aS'to\tto\tTO\tB-VP\tO' +p320145 +aS'use\tuse\tVB\tI-VP\tO' +p320146 +aS'caution\tcaution\tNN\tB-NP\tO' +p320147 +aS'.\t.\t.\tO\tO' +p320148 +asS'The patient states that his swelling of his face began two days prior to admission and has doubled since then .' +p320149 +(lp320150 +S'The\tThe\tDT\tB-NP\tO' +p320151 +aS'patient\tpatient\tNN\tI-NP\tO' +p320152 +aS'states\tstate\tVBZ\tB-VP\tO' +p320153 +aS'that\tthat\tIN\tB-SBAR\tO' +p320154 +aS'his\this\tPRP$\tB-NP\tO' +p320155 +aS'swelling\tswelling\tNN\tI-NP\tO' +p320156 +aS'of\tof\tIN\tB-PP\tO' +p320157 +aS'his\this\tPRP$\tB-NP\tO' +p320158 +aS'face\tface\tNN\tI-NP\tO' +p320159 +aS'began\tbegin\tVBD\tB-VP\tO' +p320160 +aS'two\ttwo\tCD\tB-NP\tO' +p320161 +aS'days\tday\tNNS\tI-NP\tO' +p320162 +aS'prior\tprior\tRB\tB-ADVP\tO' +p320163 +aS'to\tto\tTO\tB-PP\tO' +p320164 +aS'admission\tadmission\tNN\tB-NP\tO' +p320165 +aS'and\tand\tCC\tO\tO' +p320166 +aS'has\thave\tVBZ\tB-VP\tO' +p320167 +aS'doubled\tdouble\tVBN\tI-VP\tO' +p320168 +aS'since\tsince\tIN\tB-PP\tO' +p320169 +aS'then\tthen\tRB\tB-NP\tO' +p320170 +aS'.\t.\t.\tO\tO' +p320171 +asS'This is a 76 year old white male with severe chronic obstructive pulmonary disease who has had several recent admissions to Oaksgekesser/ Memorial Hospital for respiratory insuffiencey most often secondary to pneumonia .' +p320172 +(lp320173 +S'This\tThis\tDT\tB-NP\tO' +p320174 +aS'is\tbe\tVBZ\tB-VP\tO' +p320175 +aS'a\ta\tDT\tB-NP\tO' +p320176 +aS'76\t76\tCD\tI-NP\tO' +p320177 +aS'year\tyear\tNN\tI-NP\tO' +p320178 +aS'old\told\tJJ\tI-NP\tO' +p320179 +aS'white\twhite\tJJ\tI-NP\tO' +p320180 +aS'male\tmale\tNN\tI-NP\tO' +p320181 +aS'with\twith\tIN\tB-PP\tO' +p320182 +aS'severe\tsevere\tJJ\tB-NP\tO' +p320183 +aS'chronic\tchronic\tJJ\tI-NP\tO' +p320184 +aS'obstructive\tobstructive\tJJ\tI-NP\tO' +p320185 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p320186 +aS'disease\tdisease\tNN\tI-NP\tO' +p320187 +aS'who\twho\tWP\tB-NP\tO' +p320188 +aS'has\thave\tVBZ\tB-VP\tO' +p320189 +aS'had\thave\tVBD\tI-VP\tO' +p320190 +aS'several\tseveral\tJJ\tB-NP\tO' +p320191 +aS'recent\trecent\tJJ\tI-NP\tO' +p320192 +aS'admissions\tadmission\tNNS\tI-NP\tO' +p320193 +aS'to\tto\tTO\tB-PP\tO' +p320194 +aS'Oaksgekesser/\tOaksgekesser/\tNNP\tB-NP\tO' +p320195 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p320196 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p320197 +aS'for\tfor\tIN\tB-PP\tO' +p320198 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p320199 +aS'insuffiencey\tinsuffiencey\tNN\tI-NP\tO' +p320200 +aS'most\tmost\tRBS\tB-ADVP\tO' +p320201 +aS'often\toften\tRB\tI-ADVP\tO' +p320202 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p320203 +aS'to\tto\tTO\tB-PP\tO' +p320204 +aS'pneumonia\tpneumonia\tNN\tB-NP\tO' +p320205 +aS'.\t.\t.\tO\tO' +p320206 +asS'He was to return to the hospital with any signs of shaking chills or fever .' +p320207 +(lp320208 +S'He\tHe\tPRP\tB-NP\tO' +p320209 +aS'was\tbe\tVBD\tB-VP\tO' +p320210 +aS'to\tto\tTO\tB-VP\tO' +p320211 +aS'return\treturn\tVB\tI-VP\tO' +p320212 +aS'to\tto\tTO\tB-PP\tO' +p320213 +aS'the\tthe\tDT\tB-NP\tO' +p320214 +aS'hospital\thospital\tNN\tI-NP\tO' +p320215 +aS'with\twith\tIN\tB-PP\tO' +p320216 +aS'any\tany\tDT\tB-NP\tO' +p320217 +aS'signs\tsign\tNNS\tI-NP\tO' +p320218 +aS'of\tof\tIN\tB-PP\tO' +p320219 +aS'shaking\tshake\tVBG\tB-VP\tO' +p320220 +aS'chills\tchill\tNNS\tB-NP\tO' +p320221 +aS'or\tor\tCC\tI-NP\tO' +p320222 +aS'fever\tfever\tNN\tI-NP\tO' +p320223 +aS'.\t.\t.\tO\tO' +p320224 +asS'No creams , lotions , powders , or ointments to incisions' +p320225 +(lp320226 +S'No\tNo\tDT\tB-NP\tO' +p320227 +aS'creams\tcream\tNNS\tI-NP\tO' +p320228 +aS',\t,\t,\tO\tO' +p320229 +aS'lotions\tlotion\tNNS\tB-NP\tO' +p320230 +aS',\t,\t,\tO\tO' +p320231 +aS'powders\tpowder\tNNS\tB-NP\tO' +p320232 +aS',\t,\t,\tO\tO' +p320233 +aS'or\tor\tCC\tO\tO' +p320234 +aS'ointments\tointment\tNNS\tB-NP\tO' +p320235 +aS'to\tto\tTO\tB-PP\tO' +p320236 +aS'incisions\tincision\tNNS\tB-NP\tO' +p320237 +asS'The patient has been lethargic and bed ridden for the past two weeks , although there was no evidence of fever or chills over this time .' +p320238 +(lp320239 +S'The\tThe\tDT\tB-NP\tO' +p320240 +aS'patient\tpatient\tNN\tI-NP\tO' +p320241 +aS'has\thave\tVBZ\tB-VP\tO' +p320242 +aS'been\tbe\tVBN\tI-VP\tO' +p320243 +aS'lethargic\tlethargic\tJJ\tB-ADJP\tO' +p320244 +aS'and\tand\tCC\tO\tO' +p320245 +aS'bed\tbed\tNN\tB-NP\tO' +p320246 +aS'ridden\tridden\tJJ\tB-ADJP\tO' +p320247 +aS'for\tfor\tIN\tB-PP\tO' +p320248 +aS'the\tthe\tDT\tB-NP\tO' +p320249 +aS'past\tpast\tJJ\tI-NP\tO' +p320250 +aS'two\ttwo\tCD\tI-NP\tO' +p320251 +aS'weeks\tweek\tNNS\tI-NP\tO' +p320252 +aS',\t,\t,\tO\tO' +p320253 +aS'although\talthough\tIN\tB-SBAR\tO' +p320254 +aS'there\tthere\tEX\tB-NP\tO' +p320255 +aS'was\tbe\tVBD\tB-VP\tO' +p320256 +aS'no\tno\tDT\tB-NP\tO' +p320257 +aS'evidence\tevidence\tNN\tI-NP\tO' +p320258 +aS'of\tof\tIN\tB-PP\tO' +p320259 +aS'fever\tfever\tNN\tB-NP\tO' +p320260 +aS'or\tor\tCC\tI-NP\tO' +p320261 +aS'chills\tchill\tNNS\tI-NP\tO' +p320262 +aS'over\tover\tIN\tB-PP\tO' +p320263 +aS'this\tthis\tDT\tB-NP\tO' +p320264 +aS'time\ttime\tNN\tI-NP\tO' +p320265 +aS'.\t.\t.\tO\tO' +p320266 +asS'Umbilical stump dry .' +p320267 +(lp320268 +S'Umbilical\tUmbilical\tJJ\tB-NP\tO' +p320269 +aS'stump\tstump\tNN\tI-NP\tO' +p320270 +aS'dry\tdry\tNN\tI-NP\tO' +p320271 +aS'.\t.\t.\tO\tO' +p320272 +asS'This is a 20-year-old female with no significant past medical history , who was the unrestrained passenger in a high speed rollover motor vehicle accident on 2010-06-27 .' +p320273 +(lp320274 +S'This\tThis\tDT\tB-NP\tO' +p320275 +aS'is\tbe\tVBZ\tB-VP\tO' +p320276 +aS'a\ta\tDT\tB-NP\tO' +p320277 +aS'20-year-old\t20-year-old\tJJ\tI-NP\tO' +p320278 +aS'female\tfemale\tNN\tI-NP\tO' +p320279 +aS'with\twith\tIN\tB-PP\tO' +p320280 +aS'no\tno\tDT\tB-NP\tO' +p320281 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p320282 +aS'past\tpast\tJJ\tI-NP\tO' +p320283 +aS'medical\tmedical\tJJ\tI-NP\tO' +p320284 +aS'history\thistory\tNN\tI-NP\tO' +p320285 +aS',\t,\t,\tO\tO' +p320286 +aS'who\twho\tWP\tB-NP\tO' +p320287 +aS'was\tbe\tVBD\tB-VP\tO' +p320288 +aS'the\tthe\tDT\tB-NP\tO' +p320289 +aS'unrestrained\tunrestrained\tJJ\tI-NP\tO' +p320290 +aS'passenger\tpassenger\tNN\tI-NP\tO' +p320291 +aS'in\tin\tIN\tB-PP\tO' +p320292 +aS'a\ta\tDT\tB-NP\tO' +p320293 +aS'high\thigh\tJJ\tI-NP\tO' +p320294 +aS'speed\tspeed\tNN\tI-NP\tO' +p320295 +aS'rollover\trollover\tNN\tI-NP\tO' +p320296 +aS'motor\tmotor\tNN\tI-NP\tO' +p320297 +aS'vehicle\tvehicle\tNN\tI-NP\tO' +p320298 +aS'accident\taccident\tNN\tI-NP\tO' +p320299 +aS'on\ton\tIN\tB-PP\tO' +p320300 +aS'2010-06-27\t2010-06-27\tCD\tB-NP\tO' +p320301 +aS'.\t.\t.\tO\tO' +p320302 +asS'Temperature 97.9 .' +p320303 +(lp320304 +S'Temperature\tTemperature\tNN\tB-NP\tO' +p320305 +aS'97.9\t97.9\tCD\tI-NP\tO' +p320306 +aS'.\t.\t.\tO\tO' +p320307 +asS'No hypoglycemia issues noted .' +p320308 +(lp320309 +S'No\tNo\tDT\tB-NP\tO' +p320310 +aS'hypoglycemia\thypoglycemia\tNN\tI-NP\tO' +p320311 +aS'issues\tissue\tNNS\tI-NP\tO' +p320312 +aS'noted\tnote\tVBD\tB-VP\tO' +p320313 +aS'.\t.\t.\tO\tO' +p320314 +asS'4. Hypertension .' +p320315 +(lp320316 +S'4.\t4.\tLS\tB-NP\tO' +p320317 +aS'Hypertension\tHypertension\tNN\tI-NP\tO' +p320318 +aS'.\t.\t.\tO\tO' +p320319 +asS'8. Prevacid 30 mg PO twice a day .' +p320320 +(lp320321 +S'8.\t8.\tCD\tB-NP\tO' +p320322 +aS'Prevacid\tPrevacid\tNN\tI-NP\tO' +p320323 +aS'30\t30\tCD\tB-NP\tO' +p320324 +aS'mg\tmg\tNN\tI-NP\tO' +p320325 +aS'PO\tPO\tNN\tI-NP\tO' +p320326 +aS'twice\ttwice\tRB\tB-NP\tO' +p320327 +aS'a\ta\tDT\tI-NP\tO' +p320328 +aS'day\tday\tNN\tI-NP\tO' +p320329 +aS'.\t.\t.\tO\tO' +p320330 +asS'11. Ferrous sulfate 325 mg t.i.d.' +p320331 +(lp320332 +S'11.\t11.\tLS\tB-NP\tO' +p320333 +aS'Ferrous\tFerrous\tNNP\tI-NP\tO' +p320334 +aS'sulfate\tsulfate\tNN\tI-NP\tO' +p320335 +aS'325\t325\tCD\tI-NP\tO' +p320336 +aS'mg\tmg\tNN\tI-NP\tO' +p320337 +aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' +p320338 +asS'She had some difficulties with confusion in the early postoperative period which were attributable to her advanced age and a sundowning effect .' +p320339 +(lp320340 +S'She\tShe\tPRP\tB-NP\tO' +p320341 +aS'had\thave\tVBD\tB-VP\tO' +p320342 +aS'some\tsome\tDT\tB-NP\tO' +p320343 +aS'difficulties\tdifficulty\tNNS\tI-NP\tO' +p320344 +aS'with\twith\tIN\tB-PP\tO' +p320345 +aS'confusion\tconfusion\tNN\tB-NP\tO' +p320346 +aS'in\tin\tIN\tB-PP\tO' +p320347 +aS'the\tthe\tDT\tB-NP\tO' +p320348 +aS'early\tearly\tJJ\tI-NP\tO' +p320349 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p320350 +aS'period\tperiod\tNN\tI-NP\tO' +p320351 +aS'which\twhich\tWDT\tB-NP\tO' +p320352 +aS'were\tbe\tVBD\tB-VP\tO' +p320353 +aS'attributable\tattributable\tJJ\tB-ADJP\tO' +p320354 +aS'to\tto\tTO\tB-PP\tO' +p320355 +aS'her\ther\tPRP$\tB-NP\tO' +p320356 +aS'advanced\tadvanced\tJJ\tI-NP\tO' +p320357 +aS'age\tage\tNN\tI-NP\tO' +p320358 +aS'and\tand\tCC\tO\tO' +p320359 +aS'a\ta\tDT\tB-NP\tO' +p320360 +aS'sundowning\tsundowning\tNN\tI-NP\tO' +p320361 +aS'effect\teffect\tNN\tI-NP\tO' +p320362 +aS'.\t.\t.\tO\tO' +p320363 +asS'Follow up with Dr. Fede Duhenile .' +p320364 +(lp320365 +S'Follow\tFollow\tVB\tB-VP\tO' +p320366 +aS'up\tup\tRP\tB-PRT\tO' +p320367 +aS'with\twith\tIN\tB-PP\tO' +p320368 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p320369 +aS'Fede\tFede\tNNP\tI-NP\tO' +p320370 +aS'Duhenile\tDuhenile\tNNP\tI-NP\tO' +p320371 +aS'.\t.\t.\tO\tO' +p320372 +asS'Chief Complaint : worsening chest pain and shortness of breath' +p320373 +(lp320374 +S'Chief\tChief\tNNP\tB-NP\tO' +p320375 +aS'Complaint\tComplaint\tNNP\tI-NP\tO' +p320376 +aS':\t:\t:\tO\tO' +p320377 +aS'worsening\tworsen\tVBG\tB-VP\tO' +p320378 +aS'chest\tchest\tNN\tB-NP\tO' +p320379 +aS'pain\tpain\tNN\tI-NP\tO' +p320380 +aS'and\tand\tCC\tO\tO' +p320381 +aS'shortness\tshortness\tNN\tB-NP\tO' +p320382 +aS'of\tof\tIN\tB-PP\tO' +p320383 +aS'breath\tbreath\tNN\tB-NP\tO' +p320384 +asS'Good tone .' +p320385 +(lp320386 +S'Good\tGood\tJJ\tB-INTJ\tO' +p320387 +aS'tone\ttone\tNN\tI-INTJ\tO' +p320388 +aS'.\t.\t.\tO\tO' +p320389 +asS'There was no family history of aneurysms .' +p320390 +(lp320391 +S'There\tThere\tEX\tB-NP\tO' +p320392 +aS'was\tbe\tVBD\tB-VP\tO' +p320393 +aS'no\tno\tDT\tB-NP\tO' +p320394 +aS'family\tfamily\tNN\tI-NP\tO' +p320395 +aS'history\thistory\tNN\tI-NP\tO' +p320396 +aS'of\tof\tIN\tB-PP\tO' +p320397 +aS'aneurysms\taneurysm\tNNS\tB-NP\tO' +p320398 +aS'.\t.\t.\tO\tO' +p320399 +asS'The Keflex was stopped when she developed the diarrhea .' +p320400 +(lp320401 +S'The\tThe\tDT\tB-NP\tO' +p320402 +aS'Keflex\tKeflex\tNNP\tI-NP\tO' +p320403 +aS'was\tbe\tVBD\tB-VP\tO' +p320404 +aS'stopped\tstop\tVBN\tI-VP\tO' +p320405 +aS'when\twhen\tWRB\tB-ADVP\tO' +p320406 +aS'she\tshe\tPRP\tB-NP\tO' +p320407 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p320408 +aS'the\tthe\tDT\tB-NP\tO' +p320409 +aS'diarrhea\tdiarrhea\tNN\tI-NP\tO' +p320410 +aS'.\t.\t.\tO\tO' +p320411 +asS"Earlier in her Intensive Care Unit course the team was concerned about possible pulmonary embolisms as a possible source of the patient 's respiratory decompensation ." +p320412 +(lp320413 +S'Earlier\tEarlier\tRBR\tB-ADVP\tO' +p320414 +aS'in\tin\tIN\tB-PP\tO' +p320415 +aS'her\ther\tPRP$\tB-NP\tO' +p320416 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p320417 +aS'Care\tCare\tNNP\tI-NP\tO' +p320418 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p320419 +aS'course\tcourse\tNN\tI-NP\tO' +p320420 +aS'the\tthe\tDT\tB-NP\tO' +p320421 +aS'team\tteam\tNN\tI-NP\tO' +p320422 +aS'was\tbe\tVBD\tB-VP\tO' +p320423 +aS'concerned\tconcerned\tJJ\tB-ADJP\tO' +p320424 +aS'about\tabout\tIN\tB-PP\tO' +p320425 +aS'possible\tpossible\tJJ\tB-NP\tO' +p320426 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p320427 +aS'embolisms\tembolism\tNNS\tI-NP\tO' +p320428 +aS'as\tas\tIN\tB-PP\tO' +p320429 +aS'a\ta\tDT\tB-NP\tO' +p320430 +aS'possible\tpossible\tJJ\tI-NP\tO' +p320431 +aS'source\tsource\tNN\tI-NP\tO' +p320432 +aS'of\tof\tIN\tB-PP\tO' +p320433 +aS'the\tthe\tDT\tB-NP\tO' +p320434 +aS'patient\tpatient\tNN\tI-NP\tO' +p320435 +aS"'s\t's\tPOS\tB-NP\tO" +p320436 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p320437 +aS'decompensation\tdecompensation\tNN\tI-NP\tO' +p320438 +aS'.\t.\t.\tO\tO' +p320439 +asS'57 yo F with h/o polyglandular autoimmune syndrome initially admitted in May to FICU for suicide overdose then transferred to Whittier Rehab Hospital 4 for depression , who was transferred to the medical floor for a syncopal episode and hypotension to 60 systolic that returned to baseline with 2.5L IVF who was subsequently transferred to the CMED CSRU for a recurrent episode of hypotension , fevers and concern for sepsis .' +p320440 +(lp320441 +S'57\t57\tCD\tB-NP\tO' +p320442 +aS'yo\tyo\tNN\tI-NP\tO' +p320443 +aS'F\tF\tNN\tI-NP\tO' +p320444 +aS'with\twith\tIN\tB-PP\tO' +p320445 +aS'h/o\th/o\tNN\tB-NP\tO' +p320446 +aS'polyglandular\tpolyglandular\tJJ\tI-NP\tO' +p320447 +aS'autoimmune\tautoimmune\tJJ\tI-NP\tO' +p320448 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p320449 +aS'initially\tinitially\tRB\tB-VP\tO' +p320450 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p320451 +aS'in\tin\tIN\tB-PP\tO' +p320452 +aS'May\tMay\tNNP\tB-NP\tO' +p320453 +aS'to\tto\tTO\tB-PP\tO' +p320454 +aS'FICU\tFICU\tNN\tB-NP\tO' +p320455 +aS'for\tfor\tIN\tB-PP\tO' +p320456 +aS'suicide\tsuicide\tNN\tB-NP\tO' +p320457 +aS'overdose\toverdose\tNN\tI-NP\tO' +p320458 +aS'then\tthen\tRB\tB-VP\tO' +p320459 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p320460 +aS'to\tto\tTO\tB-PP\tO' +p320461 +aS'Whittier\tWhittier\tNNP\tB-NP\tO' +p320462 +aS'Rehab\tRehab\tNNP\tI-NP\tO' +p320463 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p320464 +aS'4\t4\tCD\tI-NP\tO' +p320465 +aS'for\tfor\tIN\tB-PP\tO' +p320466 +aS'depression\tdepression\tNN\tB-NP\tO' +p320467 +aS',\t,\t,\tO\tO' +p320468 +aS'who\twho\tWP\tB-NP\tO' +p320469 +aS'was\tbe\tVBD\tB-VP\tO' +p320470 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p320471 +aS'to\tto\tTO\tB-PP\tO' +p320472 +aS'the\tthe\tDT\tB-NP\tO' +p320473 +aS'medical\tmedical\tJJ\tI-NP\tO' +p320474 +aS'floor\tfloor\tNN\tI-NP\tO' +p320475 +aS'for\tfor\tIN\tB-PP\tO' +p320476 +aS'a\ta\tDT\tB-NP\tO' +p320477 +aS'syncopal\tsyncopal\tJJ\tI-NP\tO' +p320478 +aS'episode\tepisode\tNN\tI-NP\tO' +p320479 +aS'and\tand\tCC\tI-NP\tO' +p320480 +aS'hypotension\thypotension\tNN\tI-NP\tO' +p320481 +aS'to\tto\tTO\tB-PP\tO' +p320482 +aS'60\t60\tCD\tB-NP\tO' +p320483 +aS'systolic\tsystolic\tNN\tI-NP\tO' +p320484 +aS'that\tthat\tWDT\tB-NP\tO' +p320485 +aS'returned\treturn\tVBD\tB-VP\tO' +p320486 +aS'to\tto\tTO\tB-PP\tO' +p320487 +aS'baseline\tbaseline\tNN\tB-NP\tO' +p320488 +aS'with\twith\tIN\tB-PP\tO' +p320489 +aS'2.5L\t2.5L\tNN\tB-NP\tO' +p320490 +aS'IVF\tIVF\tNN\tI-NP\tO' +p320491 +aS'who\twho\tWP\tB-NP\tO' +p320492 +aS'was\tbe\tVBD\tB-VP\tO' +p320493 +aS'subsequently\tsubsequently\tRB\tI-VP\tO' +p320494 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p320495 +aS'to\tto\tTO\tB-PP\tO' +p320496 +aS'the\tthe\tDT\tB-NP\tO' +p320497 +aS'CMED\tCMED\tNNP\tI-NP\tO' +p320498 +aS'CSRU\tCSRU\tNNP\tI-NP\tO' +p320499 +aS'for\tfor\tIN\tB-PP\tO' +p320500 +aS'a\ta\tDT\tB-NP\tO' +p320501 +aS'recurrent\trecurrent\tJJ\tI-NP\tO' +p320502 +aS'episode\tepisode\tNN\tI-NP\tO' +p320503 +aS'of\tof\tIN\tB-PP\tO' +p320504 +aS'hypotension\thypotension\tNN\tB-NP\tO' +p320505 +aS',\t,\t,\tI-NP\tO' +p320506 +aS'fevers\tfever\tNNS\tI-NP\tO' +p320507 +aS'and\tand\tCC\tI-NP\tO' +p320508 +aS'concern\tconcern\tNN\tI-NP\tO' +p320509 +aS'for\tfor\tIN\tB-PP\tO' +p320510 +aS'sepsis\tsepsis\tNN\tB-NP\tO' +p320511 +aS'.\t.\t.\tO\tO' +p320512 +asS'1) Endotracheal tube is slightly proximal in location , and could be advanced approximately 1.5 cm for more optimal placement .' +p320513 +(lp320514 +S'1)\t1)\tLS\tB-NP\tO' +p320515 +aS'Endotracheal\tEndotracheal\tJJ\tI-NP\tO' +p320516 +aS'tube\ttube\tNN\tI-NP\tO' +p320517 +aS'is\tbe\tVBZ\tB-VP\tO' +p320518 +aS'slightly\tslightly\tRB\tB-ADJP\tO' +p320519 +aS'proximal\tproximal\tJJ\tI-ADJP\tO' +p320520 +aS'in\tin\tIN\tB-PP\tO' +p320521 +aS'location\tlocation\tNN\tB-NP\tO' +p320522 +aS',\t,\t,\tO\tO' +p320523 +aS'and\tand\tCC\tO\tO' +p320524 +aS'could\tcould\tMD\tB-VP\tO' +p320525 +aS'be\tbe\tVB\tI-VP\tO' +p320526 +aS'advanced\tadvance\tVBN\tI-VP\tO' +p320527 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p320528 +aS'1.5\t1.5\tCD\tI-NP\tO' +p320529 +aS'cm\tcm\tNN\tI-NP\tO' +p320530 +aS'for\tfor\tIN\tB-PP\tO' +p320531 +aS'more\tmore\tRBR\tB-NP\tO' +p320532 +aS'optimal\toptimal\tJJ\tI-NP\tO' +p320533 +aS'placement\tplacement\tNN\tI-NP\tO' +p320534 +aS'.\t.\t.\tO\tO' +p320535 +asS'Head ultrasound was performed on 2015-11-16 and was normal .' +p320536 +(lp320537 +S'Head\tHead\tNN\tB-NP\tO' +p320538 +aS'ultrasound\tultrasound\tNN\tI-NP\tO' +p320539 +aS'was\tbe\tVBD\tB-VP\tO' +p320540 +aS'performed\tperform\tVBN\tI-VP\tO' +p320541 +aS'on\ton\tIN\tB-PP\tO' +p320542 +aS'2015-11-16\t2015-11-16\tCD\tB-NP\tO' +p320543 +aS'and\tand\tCC\tO\tO' +p320544 +aS'was\tbe\tVBD\tB-VP\tO' +p320545 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p320546 +aS'.\t.\t.\tO\tO' +p320547 +asS'They recommended that the patient may benefit from a trial of continuous positive pressure at the bedside .' +p320548 +(lp320549 +S'They\tThey\tPRP\tB-NP\tO' +p320550 +aS'recommended\trecommend\tVBD\tB-VP\tO' +p320551 +aS'that\tthat\tIN\tB-SBAR\tO' +p320552 +aS'the\tthe\tDT\tB-NP\tO' +p320553 +aS'patient\tpatient\tNN\tI-NP\tO' +p320554 +aS'may\tmay\tMD\tB-VP\tO' +p320555 +aS'benefit\tbenefit\tVB\tI-VP\tO' +p320556 +aS'from\tfrom\tIN\tB-PP\tO' +p320557 +aS'a\ta\tDT\tB-NP\tO' +p320558 +aS'trial\ttrial\tNN\tI-NP\tO' +p320559 +aS'of\tof\tIN\tB-PP\tO' +p320560 +aS'continuous\tcontinuous\tJJ\tB-NP\tO' +p320561 +aS'positive\tpositive\tJJ\tI-NP\tO' +p320562 +aS'pressure\tpressure\tNN\tI-NP\tO' +p320563 +aS'at\tat\tIN\tB-PP\tO' +p320564 +aS'the\tthe\tDT\tB-NP\tO' +p320565 +aS'bedside\tbedside\tNN\tI-NP\tO' +p320566 +aS'.\t.\t.\tO\tO' +p320567 +asS'3. Mirtazapine 15 mg Tablet Sig : One ( 1 ) Tablet PO HS ( at bedtime ) .' +p320568 +(lp320569 +S'3.\t3.\tLS\tB-LST\tO' +p320570 +aS'Mirtazapine\tMirtazapine\tNNP\tB-NP\tO' +p320571 +aS'15\t15\tCD\tI-NP\tO' +p320572 +aS'mg\tmg\tNN\tI-NP\tO' +p320573 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p320574 +aS'Sig\tSig\tNNP\tI-NP\tO' +p320575 +aS':\t:\t:\tO\tO' +p320576 +aS'One\tOne\tCD\tB-NP\tO' +p320577 +aS'(\t(\t(\tO\tO' +p320578 +aS'1\t1\tCD\tB-NP\tO' +p320579 +aS')\t)\t)\tO\tO' +p320580 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p320581 +aS'PO\tPO\tNN\tI-NP\tO' +p320582 +aS'HS\tHS\tNN\tI-NP\tO' +p320583 +aS'(\t(\t(\tO\tO' +p320584 +aS'at\tat\tIN\tB-PP\tO' +p320585 +aS'bedtime\tbedtime\tNN\tB-NP\tO' +p320586 +aS')\t)\t)\tO\tO' +p320587 +aS'.\t.\t.\tO\tO' +p320588 +asS'Please return to the hospital if you have falls , headache , visual changes , muscle weakness , chest pain , shortness of breath .' +p320589 +(lp320590 +S'Please\tPlease\tVB\tB-VP\tO' +p320591 +aS'return\treturn\tVB\tI-VP\tO' +p320592 +aS'to\tto\tTO\tB-PP\tO' +p320593 +aS'the\tthe\tDT\tB-NP\tO' +p320594 +aS'hospital\thospital\tNN\tI-NP\tO' +p320595 +aS'if\tif\tIN\tB-SBAR\tO' +p320596 +aS'you\tyou\tPRP\tB-NP\tO' +p320597 +aS'have\thave\tVBP\tB-VP\tO' +p320598 +aS'falls\tfall\tNNS\tB-NP\tO' +p320599 +aS',\t,\t,\tO\tO' +p320600 +aS'headache\theadache\tNN\tB-NP\tO' +p320601 +aS',\t,\t,\tO\tO' +p320602 +aS'visual\tvisual\tJJ\tB-NP\tO' +p320603 +aS'changes\tchange\tNNS\tI-NP\tO' +p320604 +aS',\t,\t,\tO\tO' +p320605 +aS'muscle\tmuscle\tNN\tB-NP\tO' +p320606 +aS'weakness\tweakness\tNN\tI-NP\tO' +p320607 +aS',\t,\t,\tO\tO' +p320608 +aS'chest\tchest\tNN\tB-NP\tO' +p320609 +aS'pain\tpain\tNN\tI-NP\tO' +p320610 +aS',\t,\t,\tO\tO' +p320611 +aS'shortness\tshortness\tNN\tB-NP\tO' +p320612 +aS'of\tof\tIN\tB-PP\tO' +p320613 +aS'breath\tbreath\tNN\tB-NP\tO' +p320614 +aS'.\t.\t.\tO\tO' +p320615 +asS'12. Folate 1 mg p.o. q day .' +p320616 +(lp320617 +S'12.\t12.\tCD\tB-NP\tO' +p320618 +aS'Folate\tFolate\tNNP\tI-NP\tO' +p320619 +aS'1\t1\tCD\tI-NP\tO' +p320620 +aS'mg\tmg\tNN\tI-NP\tO' +p320621 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p320622 +aS'q\tq\tNN\tI-NP\tO' +p320623 +aS'day\tday\tNN\tI-NP\tO' +p320624 +aS'.\t.\t.\tO\tO' +p320625 +asS'3. Vertebral Spacer at L3-L4 .' +p320626 +(lp320627 +S'3.\t3.\tLS\tB-NP\tO' +p320628 +aS'Vertebral\tVertebral\tJJ\tI-NP\tO' +p320629 +aS'Spacer\tSpacer\tNN\tI-NP\tO' +p320630 +aS'at\tat\tIN\tB-PP\tO' +p320631 +aS'L3-L4\tL3-L4\tNN\tB-NP\tB-DNA' +p320632 +aS'.\t.\t.\tO\tO' +p320633 +asS'Remote tobacco use .' +p320634 +(lp320635 +S'Remote\tRemote\tJJ\tB-NP\tO' +p320636 +aS'tobacco\ttobacco\tNN\tI-NP\tO' +p320637 +aS'use\tuse\tNN\tI-NP\tO' +p320638 +aS'.\t.\t.\tO\tO' +p320639 +asS'A subfascial J-P was left .' +p320640 +(lp320641 +S'A\tA\tDT\tB-NP\tO' +p320642 +aS'subfascial\tsubfascial\tJJ\tI-NP\tO' +p320643 +aS'J-P\tJ-P\tNN\tI-NP\tO' +p320644 +aS'was\tbe\tVBD\tB-VP\tO' +p320645 +aS'left\tleave\tVBN\tI-VP\tO' +p320646 +aS'.\t.\t.\tO\tO' +p320647 +asS'Our opinion was not to intervene or have any further studies for acute period and to continued to observe .' +p320648 +(lp320649 +S'Our\tOur\tPRP$\tB-NP\tO' +p320650 +aS'opinion\topinion\tNN\tI-NP\tO' +p320651 +aS'was\tbe\tVBD\tB-VP\tO' +p320652 +aS'not\tnot\tRB\tO\tO' +p320653 +aS'to\tto\tTO\tB-VP\tO' +p320654 +aS'intervene\tintervene\tVB\tI-VP\tO' +p320655 +aS'or\tor\tCC\tI-VP\tO' +p320656 +aS'have\thave\tVB\tI-VP\tO' +p320657 +aS'any\tany\tDT\tB-NP\tO' +p320658 +aS'further\tfurther\tJJ\tI-NP\tO' +p320659 +aS'studies\tstudy\tNNS\tI-NP\tO' +p320660 +aS'for\tfor\tIN\tB-PP\tO' +p320661 +aS'acute\tacute\tJJ\tB-NP\tO' +p320662 +aS'period\tperiod\tNN\tI-NP\tO' +p320663 +aS'and\tand\tCC\tO\tO' +p320664 +aS'to\tto\tTO\tB-VP\tO' +p320665 +aS'continued\tcontinue\tVBD\tI-VP\tO' +p320666 +aS'to\tto\tTO\tI-VP\tO' +p320667 +aS'observe\tobserve\tVB\tI-VP\tO' +p320668 +aS'.\t.\t.\tO\tO' +p320669 +asS'Cardiovascularly , the patient did extremely well following the surgery .' +p320670 +(lp320671 +S'Cardiovascularly\tCardiovascularly\tRB\tB-ADVP\tO' +p320672 +aS',\t,\t,\tO\tO' +p320673 +aS'the\tthe\tDT\tB-NP\tO' +p320674 +aS'patient\tpatient\tNN\tI-NP\tO' +p320675 +aS'did\tdo\tVBD\tB-VP\tO' +p320676 +aS'extremely\textremely\tRB\tB-VP\tO' +p320677 +aS'well\twell\tRB\tI-VP\tO' +p320678 +aS'following\tfollow\tVBG\tI-VP\tO' +p320679 +aS'the\tthe\tDT\tB-NP\tO' +p320680 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p320681 +aS'.\t.\t.\tO\tO' +p320682 +asS'The patient had patent carotids bilaterally on her neck MRA .' +p320683 +(lp320684 +S'The\tThe\tDT\tB-NP\tO' +p320685 +aS'patient\tpatient\tNN\tI-NP\tO' +p320686 +aS'had\thave\tVBD\tB-VP\tO' +p320687 +aS'patent\tpatent\tNN\tB-NP\tO' +p320688 +aS'carotids\tcarotid\tNNS\tI-NP\tO' +p320689 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p320690 +aS'on\ton\tIN\tB-PP\tO' +p320691 +aS'her\ther\tPRP$\tB-NP\tO' +p320692 +aS'neck\tneck\tNN\tI-NP\tO' +p320693 +aS'MRA\tMRA\tNN\tI-NP\tO' +p320694 +aS'.\t.\t.\tO\tO' +p320695 +asS'Father deceased from complications from MS .' +p320696 +(lp320697 +S'Father\tFather\tNNP\tB-NP\tO' +p320698 +aS'deceased\tdecease\tVBD\tB-VP\tO' +p320699 +aS'from\tfrom\tIN\tB-PP\tO' +p320700 +aS'complications\tcomplication\tNNS\tB-NP\tO' +p320701 +aS'from\tfrom\tIN\tB-PP\tO' +p320702 +aS'MS\tMS\tNN\tB-NP\tO' +p320703 +aS'.\t.\t.\tO\tO' +p320704 +asS'A. Born at less than 32 weeks gestation .' +p320705 +(lp320706 +S'A.\tA.\tNNP\tB-NP\tO' +p320707 +aS'Born\tBorn\tNNP\tI-NP\tO' +p320708 +aS'at\tat\tIN\tB-PP\tO' +p320709 +aS'less\tless\tJJR\tB-NP\tO' +p320710 +aS'than\tthan\tIN\tI-NP\tO' +p320711 +aS'32\t32\tCD\tI-NP\tO' +p320712 +aS'weeks\tweek\tNNS\tI-NP\tO' +p320713 +aS'gestation\tgestation\tNN\tI-NP\tO' +p320714 +aS'.\t.\t.\tO\tO' +p320715 +asS'1. History of high cholesterol .' +p320716 +(lp320717 +S'1.\t1.\tLS\tB-NP\tO' +p320718 +aS'History\tHistory\tNN\tI-NP\tO' +p320719 +aS'of\tof\tIN\tB-PP\tO' +p320720 +aS'high\thigh\tJJ\tB-NP\tO' +p320721 +aS'cholesterol\tcholesterol\tNN\tI-NP\tO' +p320722 +aS'.\t.\t.\tO\tO' +p320723 +asS'F / U with Dr. Wierstkotea within 1 week .' +p320724 +(lp320725 +S'F\tF\tNN\tB-NP\tO' +p320726 +aS'/\t/\tSYM\tI-NP\tO' +p320727 +aS'U\tU\tNN\tI-NP\tO' +p320728 +aS'with\twith\tIN\tB-PP\tO' +p320729 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p320730 +aS'Wierstkotea\tWierstkotea\tNNP\tI-NP\tO' +p320731 +aS'within\twithin\tIN\tB-PP\tO' +p320732 +aS'1\t1\tCD\tB-NP\tO' +p320733 +aS'week\tweek\tNN\tI-NP\tO' +p320734 +aS'.\t.\t.\tO\tO' +p320735 +asS'Ears normal .' +p320736 +(lp320737 +S'Ears\tEar\tNNS\tB-NP\tO' +p320738 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p320739 +aS'.\t.\t.\tO\tO' +p320740 +asS'No rashes or petechiae , linear and burn scars as above' +p320741 +(lp320742 +S'No\tNo\tDT\tB-NP\tO' +p320743 +aS'rashes\trash\tNNS\tI-NP\tO' +p320744 +aS'or\tor\tCC\tI-NP\tO' +p320745 +aS'petechiae\tpetechiae\tNNS\tI-NP\tO' +p320746 +aS',\t,\t,\tO\tO' +p320747 +aS'linear\tlinear\tJJ\tB-NP\tO' +p320748 +aS'and\tand\tCC\tI-NP\tO' +p320749 +aS'burn\tburn\tJJ\tI-NP\tO' +p320750 +aS'scars\tscar\tNNS\tI-NP\tO' +p320751 +aS'as\tas\tIN\tB-PP\tO' +p320752 +aS'above\tabove\tIN\tB-ADVP\tO' +p320753 +asS'This 68 year old female had rheumatic fever in the past , and has had chronic atrial fibrillation .' +p320754 +(lp320755 +S'This\tThis\tDT\tB-NP\tO' +p320756 +aS'68\t68\tCD\tI-NP\tO' +p320757 +aS'year\tyear\tNN\tI-NP\tO' +p320758 +aS'old\told\tJJ\tI-NP\tO' +p320759 +aS'female\tfemale\tNN\tI-NP\tO' +p320760 +aS'had\thave\tVBD\tB-VP\tO' +p320761 +aS'rheumatic\trheumatic\tJJ\tB-NP\tO' +p320762 +aS'fever\tfever\tNN\tI-NP\tO' +p320763 +aS'in\tin\tIN\tB-PP\tO' +p320764 +aS'the\tthe\tDT\tB-NP\tO' +p320765 +aS'past\tpast\tNN\tI-NP\tO' +p320766 +aS',\t,\t,\tO\tO' +p320767 +aS'and\tand\tCC\tO\tO' +p320768 +aS'has\thave\tVBZ\tB-VP\tO' +p320769 +aS'had\thave\tVBN\tI-VP\tO' +p320770 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p320771 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p320772 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p320773 +aS'.\t.\t.\tO\tO' +p320774 +asS'Intubated , sedated , not responsive to command , retracts to pain' +p320775 +(lp320776 +S'Intubated\tIntubate\tVBN\tB-VP\tO' +p320777 +aS',\t,\t,\tO\tO' +p320778 +aS'sedated\tsedate\tVBN\tB-NP\tO' +p320779 +aS',\t,\t,\tI-NP\tO' +p320780 +aS'not\tnot\tRB\tI-NP\tO' +p320781 +aS'responsive\tresponsive\tJJ\tB-ADJP\tO' +p320782 +aS'to\tto\tTO\tB-PP\tO' +p320783 +aS'command\tcommand\tNN\tB-NP\tO' +p320784 +aS',\t,\t,\tO\tO' +p320785 +aS'retracts\tretract\tVBZ\tB-VP\tO' +p320786 +aS'to\tto\tTO\tI-VP\tO' +p320787 +aS'pain\tpain\tVB\tI-VP\tO' +p320788 +asS'As she was felt by the CCU to be a poor candidate for right heart cath , was hemodynamically stable with blood pressure 110 s- 120 s systolic and pulse 70 s- 80 s , she was called out of the CCU and back to the cardiac floor without intervention .' +p320789 +(lp320790 +S'As\tAs\tIN\tB-SBAR\tO' +p320791 +aS'she\tshe\tPRP\tB-NP\tO' +p320792 +aS'was\tbe\tVBD\tB-VP\tO' +p320793 +aS'felt\tfeel\tVBN\tI-VP\tO' +p320794 +aS'by\tby\tIN\tB-PP\tO' +p320795 +aS'the\tthe\tDT\tB-NP\tO' +p320796 +aS'CCU\tCCU\tNN\tI-NP\tB-protein' +p320797 +aS'to\tto\tTO\tB-VP\tO' +p320798 +aS'be\tbe\tVB\tI-VP\tO' +p320799 +aS'a\ta\tDT\tB-NP\tO' +p320800 +aS'poor\tpoor\tJJ\tI-NP\tO' +p320801 +aS'candidate\tcandidate\tNN\tI-NP\tO' +p320802 +aS'for\tfor\tIN\tB-PP\tO' +p320803 +aS'right\tright\tJJ\tB-NP\tO' +p320804 +aS'heart\theart\tNN\tI-NP\tO' +p320805 +aS'cath\tcath\tNN\tI-NP\tO' +p320806 +aS',\t,\t,\tO\tO' +p320807 +aS'was\tbe\tVBD\tB-VP\tO' +p320808 +aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' +p320809 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p320810 +aS'with\twith\tIN\tB-PP\tO' +p320811 +aS'blood\tblood\tNN\tB-NP\tO' +p320812 +aS'pressure\tpressure\tNN\tI-NP\tO' +p320813 +aS'110\t110\tCD\tI-NP\tO' +p320814 +aS's-\ts-\tHYPH\tI-NP\tO' +p320815 +aS'120\t120\tCD\tI-NP\tO' +p320816 +aS's\ts\tNN\tI-NP\tO' +p320817 +aS'systolic\tsystolic\tJJ\tB-ADJP\tO' +p320818 +aS'and\tand\tCC\tO\tO' +p320819 +aS'pulse\tpulse\tNN\tB-NP\tO' +p320820 +aS'70\t70\tCD\tI-NP\tO' +p320821 +aS's-\ts-\tHYPH\tI-NP\tO' +p320822 +aS'80\t80\tCD\tI-NP\tO' +p320823 +aS's\ts\tNN\tI-NP\tO' +p320824 +aS',\t,\t,\tO\tO' +p320825 +aS'she\tshe\tPRP\tB-NP\tO' +p320826 +aS'was\tbe\tVBD\tB-VP\tO' +p320827 +aS'called\tcall\tVBN\tI-VP\tO' +p320828 +aS'out\tout\tIN\tB-PP\tO' +p320829 +aS'of\tof\tIN\tB-PP\tO' +p320830 +aS'the\tthe\tDT\tB-NP\tO' +p320831 +aS'CCU\tCCU\tNN\tI-NP\tO' +p320832 +aS'and\tand\tCC\tO\tO' +p320833 +aS'back\tback\tRB\tB-ADVP\tO' +p320834 +aS'to\tto\tTO\tB-PP\tO' +p320835 +aS'the\tthe\tDT\tB-NP\tO' +p320836 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p320837 +aS'floor\tfloor\tNN\tI-NP\tO' +p320838 +aS'without\twithout\tIN\tB-PP\tO' +p320839 +aS'intervention\tintervention\tNN\tB-NP\tO' +p320840 +aS'.\t.\t.\tO\tO' +p320841 +asS'The patient was admitted to the Medical ICU where his hypotension was managed with IVF hydration and he was maintained on a diltiazam drip for atrial fibrillation .' +p320842 +(lp320843 +S'The\tThe\tDT\tB-NP\tO' +p320844 +aS'patient\tpatient\tNN\tI-NP\tO' +p320845 +aS'was\tbe\tVBD\tB-VP\tO' +p320846 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p320847 +aS'to\tto\tTO\tB-PP\tO' +p320848 +aS'the\tthe\tDT\tB-NP\tO' +p320849 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p320850 +aS'ICU\tICU\tNNP\tI-NP\tO' +p320851 +aS'where\twhere\tWRB\tB-ADVP\tO' +p320852 +aS'his\this\tPRP$\tB-NP\tO' +p320853 +aS'hypotension\thypotension\tNN\tI-NP\tO' +p320854 +aS'was\tbe\tVBD\tB-VP\tO' +p320855 +aS'managed\tmanage\tVBN\tI-VP\tO' +p320856 +aS'with\twith\tIN\tB-PP\tO' +p320857 +aS'IVF\tIVF\tNN\tB-NP\tO' +p320858 +aS'hydration\thydration\tNN\tI-NP\tO' +p320859 +aS'and\tand\tCC\tO\tO' +p320860 +aS'he\the\tPRP\tB-NP\tO' +p320861 +aS'was\tbe\tVBD\tB-VP\tO' +p320862 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p320863 +aS'on\ton\tIN\tB-PP\tO' +p320864 +aS'a\ta\tDT\tB-NP\tO' +p320865 +aS'diltiazam\tdiltiazam\tNN\tI-NP\tO' +p320866 +aS'drip\tdrip\tNN\tI-NP\tO' +p320867 +aS'for\tfor\tIN\tB-PP\tO' +p320868 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p320869 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p320870 +aS'.\t.\t.\tO\tO' +p320871 +asS'This was changed to Solu-Medrol part way through the course due to her hematologic problems , see below .' +p320872 +(lp320873 +S'This\tThis\tDT\tB-NP\tO' +p320874 +aS'was\tbe\tVBD\tB-VP\tO' +p320875 +aS'changed\tchange\tVBN\tI-VP\tO' +p320876 +aS'to\tto\tTO\tB-PP\tO' +p320877 +aS'Solu-Medrol\tSolu-Medrol\tJJ\tB-NP\tO' +p320878 +aS'part\tpart\tNN\tI-NP\tO' +p320879 +aS'way\tway\tNN\tI-NP\tO' +p320880 +aS'through\tthrough\tIN\tB-PP\tO' +p320881 +aS'the\tthe\tDT\tB-NP\tO' +p320882 +aS'course\tcourse\tNN\tI-NP\tO' +p320883 +aS'due\tdue\tJJ\tB-ADJP\tO' +p320884 +aS'to\tto\tTO\tB-PP\tO' +p320885 +aS'her\ther\tPRP$\tB-NP\tO' +p320886 +aS'hematologic\thematologic\tJJ\tI-NP\tO' +p320887 +aS'problems\tproblem\tNNS\tI-NP\tO' +p320888 +aS',\t,\t,\tO\tO' +p320889 +aS'see\tsee\tVB\tB-VP\tO' +p320890 +aS'below\tbelow\tIN\tB-ADVP\tO' +p320891 +aS'.\t.\t.\tO\tO' +p320892 +asS'A renal ultrasound was obtained .' +p320893 +(lp320894 +S'A\tA\tDT\tB-NP\tO' +p320895 +aS'renal\trenal\tJJ\tI-NP\tO' +p320896 +aS'ultrasound\tultrasound\tNN\tI-NP\tO' +p320897 +aS'was\tbe\tVBD\tB-VP\tO' +p320898 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p320899 +aS'.\t.\t.\tO\tO' +p320900 +asS'She was discharged with a prescription for Tylenol #3 with Physical Therapy .' +p320901 +(lp320902 +S'She\tShe\tPRP\tB-NP\tO' +p320903 +aS'was\tbe\tVBD\tB-VP\tO' +p320904 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p320905 +aS'with\twith\tIN\tB-PP\tO' +p320906 +aS'a\ta\tDT\tB-NP\tO' +p320907 +aS'prescription\tprescription\tNN\tI-NP\tO' +p320908 +aS'for\tfor\tIN\tB-PP\tO' +p320909 +aS'Tylenol\tTylenol\tNN\tB-NP\tO' +p320910 +aS'#3\t#3\tNN\tI-NP\tO' +p320911 +aS'with\twith\tIN\tB-PP\tO' +p320912 +aS'Physical\tPhysical\tJJ\tB-NP\tO' +p320913 +aS'Therapy\tTherapy\tNN\tI-NP\tO' +p320914 +aS'.\t.\t.\tO\tO' +p320915 +asS'There is a remote right frontal infarct .' +p320916 +(lp320917 +S'There\tThere\tEX\tB-NP\tO' +p320918 +aS'is\tbe\tVBZ\tB-VP\tO' +p320919 +aS'a\ta\tDT\tB-NP\tO' +p320920 +aS'remote\tremote\tJJ\tI-NP\tO' +p320921 +aS'right\tright\tJJ\tI-NP\tO' +p320922 +aS'frontal\tfrontal\tJJ\tI-NP\tO' +p320923 +aS'infarct\tinfarct\tNN\tI-NP\tO' +p320924 +aS'.\t.\t.\tO\tO' +p320925 +asS'Patient remained on suicide precautions , but was deemed not to need ICU level monitoring , and was transferred to the floor on 01-11 .' +p320926 +(lp320927 +S'Patient\tPatient\tNN\tB-NP\tO' +p320928 +aS'remained\tremain\tVBD\tB-VP\tO' +p320929 +aS'on\ton\tIN\tB-PP\tO' +p320930 +aS'suicide\tsuicide\tNN\tB-NP\tO' +p320931 +aS'precautions\tprecaution\tNNS\tI-NP\tO' +p320932 +aS',\t,\t,\tO\tO' +p320933 +aS'but\tbut\tCC\tO\tO' +p320934 +aS'was\tbe\tVBD\tB-VP\tO' +p320935 +aS'deemed\tdeem\tVBN\tI-VP\tO' +p320936 +aS'not\tnot\tRB\tO\tO' +p320937 +aS'to\tto\tTO\tB-VP\tO' +p320938 +aS'need\tneed\tVB\tI-VP\tO' +p320939 +aS'ICU\tICU\tNN\tB-NP\tB-protein' +p320940 +aS'level\tlevel\tNN\tI-NP\tO' +p320941 +aS'monitoring\tmonitoring\tNN\tI-NP\tO' +p320942 +aS',\t,\t,\tO\tO' +p320943 +aS'and\tand\tCC\tO\tO' +p320944 +aS'was\tbe\tVBD\tB-VP\tO' +p320945 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p320946 +aS'to\tto\tTO\tB-PP\tO' +p320947 +aS'the\tthe\tDT\tB-NP\tO' +p320948 +aS'floor\tfloor\tNN\tI-NP\tO' +p320949 +aS'on\ton\tIN\tB-PP\tO' +p320950 +aS'01-11\t01-11\tNN\tB-NP\tO' +p320951 +aS'.\t.\t.\tO\tO' +p320952 +asS'5. Isosorbide Mononitrate 30 mg Tablet Sustained Release 24 hr Sig : One ( 1 ) Tablet Sustained Release 24 hr PO DAILY ( Daily ).' +p320953 +(lp320954 +S'5.\t5.\tLS\tB-NP\tO' +p320955 +aS'Isosorbide\tIsosorbide\tNN\tI-NP\tO' +p320956 +aS'Mononitrate\tMononitrate\tNN\tI-NP\tO' +p320957 +aS'30\t30\tCD\tI-NP\tO' +p320958 +aS'mg\tmg\tNN\tI-NP\tO' +p320959 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p320960 +aS'Sustained\tSustain\tVBD\tB-VP\tO' +p320961 +aS'Release\tRelease\tNNP\tB-NP\tO' +p320962 +aS'24\t24\tCD\tI-NP\tO' +p320963 +aS'hr\thr\tNN\tI-NP\tO' +p320964 +aS'Sig\tSig\tNNP\tI-NP\tO' +p320965 +aS':\t:\t:\tO\tO' +p320966 +aS'One\tOne\tCD\tB-NP\tO' +p320967 +aS'(\t(\t(\tO\tO' +p320968 +aS'1\t1\tCD\tB-NP\tO' +p320969 +aS')\t)\t)\tO\tO' +p320970 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p320971 +aS'Sustained\tSustain\tVBD\tB-VP\tO' +p320972 +aS'Release\tRelease\tNNP\tB-NP\tO' +p320973 +aS'24\t24\tCD\tI-NP\tO' +p320974 +aS'hr\thr\tNN\tI-NP\tO' +p320975 +aS'PO\tPO\tNN\tI-NP\tO' +p320976 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p320977 +aS'(\t(\t(\tO\tO' +p320978 +aS'Daily\tDaily\tNNP\tB-NP\tO' +p320979 +aS').\t).\t)\tO\tO' +p320980 +asS"Was at this doctor 's office and complained of severe headache ." +p320981 +(lp320982 +S'Was\tWa\tNNS\tB-NP\tB-protein' +p320983 +aS'at\tat\tIN\tB-PP\tO' +p320984 +aS'this\tthis\tDT\tB-NP\tO' +p320985 +aS'doctor\tdoctor\tNN\tI-NP\tO' +p320986 +aS"'s\t's\tPOS\tB-NP\tO" +p320987 +aS'office\toffice\tNN\tI-NP\tO' +p320988 +aS'and\tand\tCC\tO\tO' +p320989 +aS'complained\tcomplain\tVBD\tB-VP\tO' +p320990 +aS'of\tof\tIN\tB-PP\tO' +p320991 +aS'severe\tsevere\tJJ\tB-NP\tO' +p320992 +aS'headache\theadache\tNN\tI-NP\tO' +p320993 +aS'.\t.\t.\tO\tO' +p320994 +asS'1. Acetaminophen 325 mg Tablet Sig : Two ( 2 ) Tablet PO Q4-6H ( every 4 to 6 hours ) as needed for fever or pain .' +p320995 +(lp320996 +S'1.\t1.\tLS\tB-NP\tO' +p320997 +aS'Acetaminophen\tAcetaminophen\tNN\tI-NP\tO' +p320998 +aS'325\t325\tCD\tI-NP\tO' +p320999 +aS'mg\tmg\tNN\tI-NP\tO' +p321000 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p321001 +aS'Sig\tSig\tNNP\tI-NP\tO' +p321002 +aS':\t:\t:\tO\tO' +p321003 +aS'Two\tTwo\tCD\tB-NP\tO' +p321004 +aS'(\t(\t(\tO\tO' +p321005 +aS'2\t2\tCD\tO\tO' +p321006 +aS')\t)\t)\tO\tO' +p321007 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p321008 +aS'PO\tPO\tNN\tI-NP\tO' +p321009 +aS'Q4-6H\tQ4-6H\tNN\tI-NP\tO' +p321010 +aS'(\t(\t(\tO\tO' +p321011 +aS'every\tevery\tDT\tB-NP\tO' +p321012 +aS'4\t4\tCD\tI-NP\tO' +p321013 +aS'to\tto\tTO\tI-NP\tO' +p321014 +aS'6\t6\tCD\tI-NP\tO' +p321015 +aS'hours\thour\tNNS\tI-NP\tO' +p321016 +aS')\t)\t)\tO\tO' +p321017 +aS'as\tas\tIN\tB-SBAR\tO' +p321018 +aS'needed\tneed\tVBN\tB-VP\tO' +p321019 +aS'for\tfor\tIN\tB-PP\tO' +p321020 +aS'fever\tfever\tNN\tB-NP\tO' +p321021 +aS'or\tor\tCC\tI-NP\tO' +p321022 +aS'pain\tpain\tNN\tI-NP\tO' +p321023 +aS'.\t.\t.\tO\tO' +p321024 +asS'Extremities had no edema .' +p321025 +(lp321026 +S'Extremities\tExtremity\tNNS\tB-NP\tO' +p321027 +aS'had\thave\tVBD\tB-VP\tO' +p321028 +aS'no\tno\tDT\tB-NP\tO' +p321029 +aS'edema\tedema\tNN\tI-NP\tO' +p321030 +aS'.\t.\t.\tO\tO' +p321031 +asS'This pain often follows bowel movement but does occur spontaneously .' +p321032 +(lp321033 +S'This\tThis\tDT\tB-NP\tO' +p321034 +aS'pain\tpain\tNN\tI-NP\tO' +p321035 +aS'often\toften\tRB\tB-ADVP\tO' +p321036 +aS'follows\tfollow\tVBZ\tB-VP\tO' +p321037 +aS'bowel\tbowel\tNN\tB-NP\tO' +p321038 +aS'movement\tmovement\tNN\tI-NP\tO' +p321039 +aS'but\tbut\tCC\tO\tO' +p321040 +aS'does\tdo\tVBZ\tB-VP\tO' +p321041 +aS'occur\toccur\tVB\tI-VP\tO' +p321042 +aS'spontaneously\tspontaneously\tRB\tB-ADVP\tO' +p321043 +aS'.\t.\t.\tO\tO' +p321044 +asS'Given this we were unable to offer her additional therapy. Hematology/Oncology service at Mediplex Rehab Hospital confirmed her grim prognosis and expective survival in terms of weeks to months with no further available treatment .' +p321045 +(lp321046 +S'Given\tGive\tVBN\tB-PP\tO' +p321047 +aS'this\tthis\tDT\tB-NP\tO' +p321048 +aS'we\twe\tPRP\tB-NP\tO' +p321049 +aS'were\tbe\tVBD\tB-VP\tO' +p321050 +aS'unable\tunable\tJJ\tB-ADJP\tO' +p321051 +aS'to\tto\tTO\tB-VP\tO' +p321052 +aS'offer\toffer\tVB\tI-VP\tO' +p321053 +aS'her\ther\tPRP$\tB-NP\tO' +p321054 +aS'additional\tadditional\tJJ\tI-NP\tO' +p321055 +aS'therapy.\ttherapy.\tNNP\tI-NP\tO' +p321056 +aS'Hematology/Oncology\tHematology/Oncology\tNNP\tI-NP\tO' +p321057 +aS'service\tservice\tNN\tI-NP\tO' +p321058 +aS'at\tat\tIN\tB-PP\tO' +p321059 +aS'Mediplex\tMediplex\tNNP\tB-NP\tO' +p321060 +aS'Rehab\tRehab\tNNP\tI-NP\tO' +p321061 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p321062 +aS'confirmed\tconfirm\tVBD\tB-VP\tO' +p321063 +aS'her\ther\tPRP$\tB-NP\tO' +p321064 +aS'grim\tgrim\tJJ\tI-NP\tO' +p321065 +aS'prognosis\tprognosis\tNN\tI-NP\tO' +p321066 +aS'and\tand\tCC\tO\tO' +p321067 +aS'expective\texpective\tJJ\tB-NP\tO' +p321068 +aS'survival\tsurvival\tNN\tI-NP\tO' +p321069 +aS'in\tin\tIN\tB-PP\tO' +p321070 +aS'terms\tterm\tNNS\tB-NP\tO' +p321071 +aS'of\tof\tIN\tB-PP\tO' +p321072 +aS'weeks\tweek\tNNS\tB-NP\tO' +p321073 +aS'to\tto\tTO\tB-PP\tO' +p321074 +aS'months\tmonth\tNNS\tB-NP\tO' +p321075 +aS'with\twith\tIN\tB-PP\tO' +p321076 +aS'no\tno\tDT\tB-NP\tO' +p321077 +aS'further\tfurther\tJJ\tI-NP\tO' +p321078 +aS'available\tavailable\tJJ\tI-NP\tO' +p321079 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p321080 +aS'.\t.\t.\tO\tO' +p321081 +asS'However , his urine culture from the same day remained negative , and this was discontinued two days later .' +p321082 +(lp321083 +S'However\tHowever\tRB\tB-ADVP\tO' +p321084 +aS',\t,\t,\tO\tO' +p321085 +aS'his\this\tPRP$\tB-NP\tO' +p321086 +aS'urine\turine\tJJ\tI-NP\tO' +p321087 +aS'culture\tculture\tNN\tI-NP\tO' +p321088 +aS'from\tfrom\tIN\tB-PP\tO' +p321089 +aS'the\tthe\tDT\tB-NP\tO' +p321090 +aS'same\tsame\tJJ\tI-NP\tO' +p321091 +aS'day\tday\tNN\tI-NP\tO' +p321092 +aS'remained\tremain\tVBD\tB-VP\tO' +p321093 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p321094 +aS',\t,\t,\tO\tO' +p321095 +aS'and\tand\tCC\tO\tO' +p321096 +aS'this\tthis\tDT\tB-NP\tO' +p321097 +aS'was\tbe\tVBD\tB-VP\tO' +p321098 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p321099 +aS'two\ttwo\tCD\tB-NP\tO' +p321100 +aS'days\tday\tNNS\tI-NP\tO' +p321101 +aS'later\tlater\tRB\tB-ADVP\tO' +p321102 +aS'.\t.\t.\tO\tO' +p321103 +asS'It is for this reason that she is discharged with an nasogastric tube and that no plans for G tube placement are made at this time .' +p321104 +(lp321105 +S'It\tIt\tPRP\tB-NP\tO' +p321106 +aS'is\tbe\tVBZ\tB-VP\tO' +p321107 +aS'for\tfor\tIN\tB-PP\tO' +p321108 +aS'this\tthis\tDT\tB-NP\tO' +p321109 +aS'reason\treason\tNN\tI-NP\tO' +p321110 +aS'that\tthat\tIN\tB-SBAR\tO' +p321111 +aS'she\tshe\tPRP\tB-NP\tO' +p321112 +aS'is\tbe\tVBZ\tB-VP\tO' +p321113 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p321114 +aS'with\twith\tIN\tB-PP\tO' +p321115 +aS'an\tan\tDT\tB-NP\tO' +p321116 +aS'nasogastric\tnasogastric\tJJ\tI-NP\tO' +p321117 +aS'tube\ttube\tNN\tI-NP\tO' +p321118 +aS'and\tand\tCC\tO\tO' +p321119 +aS'that\tthat\tIN\tB-SBAR\tO' +p321120 +aS'no\tno\tDT\tB-NP\tO' +p321121 +aS'plans\tplan\tNNS\tI-NP\tO' +p321122 +aS'for\tfor\tIN\tB-PP\tO' +p321123 +aS'G\tG\tNN\tB-NP\tO' +p321124 +aS'tube\ttube\tNN\tI-NP\tO' +p321125 +aS'placement\tplacement\tNN\tI-NP\tO' +p321126 +aS'are\tbe\tVBP\tB-VP\tO' +p321127 +aS'made\tmake\tVBN\tI-VP\tO' +p321128 +aS'at\tat\tIN\tB-PP\tO' +p321129 +aS'this\tthis\tDT\tB-NP\tO' +p321130 +aS'time\ttime\tNN\tI-NP\tO' +p321131 +aS'.\t.\t.\tO\tO' +p321132 +asS'White blood cell count of 22.8 , hematocrit of 42.1 .' +p321133 +(lp321134 +S'White\tWhite\tJJ\tB-NP\tO' +p321135 +aS'blood\tblood\tNN\tI-NP\tO' +p321136 +aS'cell\tcell\tNN\tI-NP\tO' +p321137 +aS'count\tcount\tNN\tI-NP\tO' +p321138 +aS'of\tof\tIN\tB-PP\tO' +p321139 +aS'22.8\t22.8\tCD\tB-NP\tO' +p321140 +aS',\t,\t,\tO\tO' +p321141 +aS'hematocrit\thematocrit\tNN\tB-NP\tO' +p321142 +aS'of\tof\tIN\tB-PP\tO' +p321143 +aS'42.1\t42.1\tCD\tB-NP\tO' +p321144 +aS'.\t.\t.\tO\tO' +p321145 +asS'Apgars were seven at one minute and eight at five minutes .' +p321146 +(lp321147 +S'Apgars\tApgar\tNNS\tB-NP\tO' +p321148 +aS'were\tbe\tVBD\tB-VP\tO' +p321149 +aS'seven\tseven\tCD\tB-NP\tO' +p321150 +aS'at\tat\tIN\tB-PP\tO' +p321151 +aS'one\tone\tCD\tB-NP\tO' +p321152 +aS'minute\tminute\tNN\tI-NP\tO' +p321153 +aS'and\tand\tCC\tO\tO' +p321154 +aS'eight\teight\tCD\tB-NP\tO' +p321155 +aS'at\tat\tIN\tB-PP\tO' +p321156 +aS'five\tfive\tCD\tB-NP\tO' +p321157 +aS'minutes\tminute\tNNS\tI-NP\tO' +p321158 +aS'.\t.\t.\tO\tO' +p321159 +asS'We continued his ampicillin , Gentamicin , and Flagyl .' +p321160 +(lp321161 +S'We\tWe\tPRP\tB-NP\tO' +p321162 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p321163 +aS'his\this\tPRP$\tB-NP\tO' +p321164 +aS'ampicillin\tampicillin\tNN\tI-NP\tO' +p321165 +aS',\t,\t,\tO\tO' +p321166 +aS'Gentamicin\tGentamicin\tNN\tB-NP\tO' +p321167 +aS',\t,\t,\tO\tO' +p321168 +aS'and\tand\tCC\tO\tO' +p321169 +aS'Flagyl\tFlagyl\tNN\tB-NP\tO' +p321170 +aS'.\t.\t.\tO\tO' +p321171 +asS'Wife verbally agrees to understanding .' +p321172 +(lp321173 +S'Wife\tWife\tNNP\tB-NP\tO' +p321174 +aS'verbally\tverbally\tRB\tB-ADVP\tO' +p321175 +aS'agrees\tagree\tVBZ\tB-VP\tO' +p321176 +aS'to\tto\tTO\tB-PP\tO' +p321177 +aS'understanding\tunderstand\tVBG\tB-NP\tO' +p321178 +aS'.\t.\t.\tO\tO' +p321179 +asS'She will need to follow up with Dr. Uph on 02/21/03 at 9:30 a.m.' +p321180 +(lp321181 +S'She\tShe\tPRP\tB-NP\tO' +p321182 +aS'will\twill\tMD\tB-VP\tO' +p321183 +aS'need\tneed\tVB\tI-VP\tO' +p321184 +aS'to\tto\tTO\tI-VP\tO' +p321185 +aS'follow\tfollow\tVB\tI-VP\tO' +p321186 +aS'up\tup\tRP\tB-PRT\tO' +p321187 +aS'with\twith\tIN\tB-PP\tO' +p321188 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p321189 +aS'Uph\tUph\tNNP\tI-NP\tO' +p321190 +aS'on\ton\tIN\tB-PP\tO' +p321191 +aS'02/21/03\t02/21/03\tCD\tB-NP\tO' +p321192 +aS'at\tat\tIN\tB-PP\tO' +p321193 +aS'9:30\t9:30\tCD\tB-NP\tO' +p321194 +aS'a.m.\ta.m.\tNN\tI-NP\tO' +p321195 +asS"b) Addison 's disease , dxed 1960" +p321196 +(lp321197 +S'b)\tb)\tLS\tB-NP\tO' +p321198 +aS'Addison\tAddison\tNN\tI-NP\tO' +p321199 +aS"'s\t's\tPOS\tB-NP\tO" +p321200 +aS'disease\tdisease\tNN\tI-NP\tO' +p321201 +aS',\t,\t,\tO\tO' +p321202 +aS'dxed\tdxe\tVBD\tB-VP\tO' +p321203 +aS'1960\t1960\tCD\tB-NP\tO' +p321204 +asS'The lungs showed mild inspiratory wheeze and moderate expiratory wheezes .' +p321205 +(lp321206 +S'The\tThe\tDT\tB-NP\tO' +p321207 +aS'lungs\tlung\tNNS\tI-NP\tO' +p321208 +aS'showed\tshow\tVBD\tB-VP\tO' +p321209 +aS'mild\tmild\tJJ\tB-NP\tO' +p321210 +aS'inspiratory\tinspiratory\tJJ\tI-NP\tO' +p321211 +aS'wheeze\twheeze\tNN\tI-NP\tO' +p321212 +aS'and\tand\tCC\tO\tO' +p321213 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p321214 +aS'expiratory\texpiratory\tJJ\tI-NP\tO' +p321215 +aS'wheezes\twheeze\tNNS\tI-NP\tO' +p321216 +aS'.\t.\t.\tO\tO' +p321217 +asS'PT 14.1 with an INR of 1.4 , PTT 36.7 .' +p321218 +(lp321219 +S'PT\tPT\tNN\tB-NP\tO' +p321220 +aS'14.1\t14.1\tCD\tI-NP\tO' +p321221 +aS'with\twith\tIN\tB-PP\tO' +p321222 +aS'an\tan\tDT\tB-NP\tO' +p321223 +aS'INR\tINR\tNN\tI-NP\tB-protein' +p321224 +aS'of\tof\tIN\tB-PP\tO' +p321225 +aS'1.4\t1.4\tCD\tB-NP\tO' +p321226 +aS',\t,\t,\tO\tO' +p321227 +aS'PTT\tPTT\tNN\tB-NP\tB-protein' +p321228 +aS'36.7\t36.7\tCD\tI-NP\tI-protein' +p321229 +aS'.\t.\t.\tO\tO' +p321230 +asS'The wound had a beefy red cellulitic area surrounding an open area , blanching to touch .' +p321231 +(lp321232 +S'The\tThe\tDT\tB-NP\tO' +p321233 +aS'wound\twound\tNN\tI-NP\tO' +p321234 +aS'had\thave\tVBD\tB-VP\tO' +p321235 +aS'a\ta\tDT\tB-NP\tO' +p321236 +aS'beefy\tbeefy\tJJ\tI-NP\tO' +p321237 +aS'red\tred\tJJ\tI-NP\tO' +p321238 +aS'cellulitic\tcellulitic\tJJ\tI-NP\tO' +p321239 +aS'area\tarea\tNN\tI-NP\tO' +p321240 +aS'surrounding\tsurround\tVBG\tB-VP\tO' +p321241 +aS'an\tan\tDT\tB-NP\tO' +p321242 +aS'open\topen\tJJ\tI-NP\tO' +p321243 +aS'area\tarea\tNN\tI-NP\tO' +p321244 +aS',\t,\t,\tO\tO' +p321245 +aS'blanching\tblanch\tVBG\tB-VP\tO' +p321246 +aS'to\tto\tTO\tI-VP\tO' +p321247 +aS'touch\ttouch\tVB\tI-VP\tO' +p321248 +aS'.\t.\t.\tO\tO' +p321249 +asS'He was well-appearing and in no apparent distress .' +p321250 +(lp321251 +S'He\tHe\tPRP\tB-NP\tO' +p321252 +aS'was\tbe\tVBD\tB-VP\tO' +p321253 +aS'well-appearing\twell-appearing\tJJ\tB-ADJP\tO' +p321254 +aS'and\tand\tCC\tO\tO' +p321255 +aS'in\tin\tIN\tB-PP\tO' +p321256 +aS'no\tno\tDT\tB-NP\tO' +p321257 +aS'apparent\tapparent\tJJ\tI-NP\tO' +p321258 +aS'distress\tdistress\tNN\tI-NP\tO' +p321259 +aS'.\t.\t.\tO\tO' +p321260 +asS'Coronary artery disease with congestive heart failure .' +p321261 +(lp321262 +S'Coronary\tCoronary\tJJ\tB-NP\tO' +p321263 +aS'artery\tartery\tNN\tI-NP\tO' +p321264 +aS'disease\tdisease\tNN\tI-NP\tO' +p321265 +aS'with\twith\tIN\tB-PP\tO' +p321266 +aS'congestive\tcongestive\tJJ\tB-NP\tO' +p321267 +aS'heart\theart\tNN\tI-NP\tO' +p321268 +aS'failure\tfailure\tNN\tI-NP\tO' +p321269 +aS'.\t.\t.\tO\tO' +p321270 +asS'All of her stools were guaiaced .' +p321271 +(lp321272 +S'All\tAll\tDT\tB-NP\tO' +p321273 +aS'of\tof\tIN\tB-PP\tO' +p321274 +aS'her\ther\tPRP$\tB-NP\tO' +p321275 +aS'stools\tstool\tNNS\tI-NP\tO' +p321276 +aS'were\tbe\tVBD\tB-VP\tO' +p321277 +aS'guaiaced\tguaiace\tVBN\tI-VP\tO' +p321278 +aS'.\t.\t.\tO\tO' +p321279 +asS'His blood pressure was 114 to 123/62 .' +p321280 +(lp321281 +S'His\tHis\tPRP$\tB-NP\tO' +p321282 +aS'blood\tblood\tNN\tI-NP\tO' +p321283 +aS'pressure\tpressure\tNN\tI-NP\tO' +p321284 +aS'was\tbe\tVBD\tB-VP\tO' +p321285 +aS'114\t114\tCD\tB-NP\tO' +p321286 +aS'to\tto\tTO\tB-PP\tO' +p321287 +aS'123/62\t123/62\tCD\tB-NP\tO' +p321288 +aS'.\t.\t.\tO\tO' +p321289 +asS'In general , a well appearing elderly female in no acute distress .' +p321290 +(lp321291 +S'In\tIn\tIN\tB-PP\tO' +p321292 +aS'general\tgeneral\tJJ\tB-ADJP\tO' +p321293 +aS',\t,\t,\tO\tO' +p321294 +aS'a\ta\tDT\tB-NP\tO' +p321295 +aS'well\twell\tRB\tI-NP\tO' +p321296 +aS'appearing\tappear\tVBG\tI-NP\tO' +p321297 +aS'elderly\telderly\tJJ\tI-NP\tO' +p321298 +aS'female\tfemale\tNN\tI-NP\tO' +p321299 +aS'in\tin\tIN\tB-PP\tO' +p321300 +aS'no\tno\tDT\tB-NP\tO' +p321301 +aS'acute\tacute\tJJ\tI-NP\tO' +p321302 +aS'distress\tdistress\tNN\tI-NP\tO' +p321303 +aS'.\t.\t.\tO\tO' +p321304 +asS'The patient was taken emergently to the operating room on 2009-05-02 for his CABG , right coronary endarterectomy , removal of RCA stents and retrieval of the aortic guidewire .' +p321305 +(lp321306 +S'The\tThe\tDT\tB-NP\tO' +p321307 +aS'patient\tpatient\tNN\tI-NP\tO' +p321308 +aS'was\tbe\tVBD\tB-VP\tO' +p321309 +aS'taken\ttake\tVBN\tI-VP\tO' +p321310 +aS'emergently\temergently\tRB\tB-ADVP\tO' +p321311 +aS'to\tto\tTO\tB-PP\tO' +p321312 +aS'the\tthe\tDT\tB-NP\tO' +p321313 +aS'operating\toperating\tNN\tI-NP\tO' +p321314 +aS'room\troom\tNN\tI-NP\tO' +p321315 +aS'on\ton\tIN\tB-PP\tO' +p321316 +aS'2009-05-02\t2009-05-02\tCD\tB-NP\tO' +p321317 +aS'for\tfor\tIN\tB-PP\tO' +p321318 +aS'his\this\tPRP$\tB-NP\tO' +p321319 +aS'CABG\tCABG\tNN\tI-NP\tB-protein' +p321320 +aS',\t,\t,\tO\tO' +p321321 +aS'right\tright\tJJ\tB-NP\tO' +p321322 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p321323 +aS'endarterectomy\tendarterectomy\tNN\tI-NP\tO' +p321324 +aS',\t,\t,\tO\tO' +p321325 +aS'removal\tremoval\tNN\tB-NP\tO' +p321326 +aS'of\tof\tIN\tB-PP\tO' +p321327 +aS'RCA\tRCA\tNN\tB-NP\tO' +p321328 +aS'stents\tstent\tNNS\tI-NP\tO' +p321329 +aS'and\tand\tCC\tO\tO' +p321330 +aS'retrieval\tretrieval\tNN\tB-NP\tO' +p321331 +aS'of\tof\tIN\tB-PP\tO' +p321332 +aS'the\tthe\tDT\tB-NP\tO' +p321333 +aS'aortic\taortic\tJJ\tI-NP\tO' +p321334 +aS'guidewire\tguidewire\tNN\tI-NP\tO' +p321335 +aS'.\t.\t.\tO\tO' +p321336 +asS'Penicillins / Codeine / Heparin Agents / Levofloxacin' +p321337 +(lp321338 +S'Penicillins\tPenicillin\tNNS\tB-NP\tB-protein' +p321339 +aS'/\t/\tSYM\tB-NP\tO' +p321340 +aS'Codeine\tCodeine\tNN\tI-NP\tO' +p321341 +aS'/\t/\tSYM\tO\tO' +p321342 +aS'Heparin\tHeparin\tNN\tB-NP\tO' +p321343 +aS'Agents\tAgent\tNNPS\tI-NP\tO' +p321344 +aS'/\t/\tSYM\tB-VP\tO' +p321345 +aS'Levofloxacin\tLevofloxacin\tNN\tB-NP\tO' +p321346 +asS'On 7/9/99 , the patient was tolerating a house diet .' +p321347 +(lp321348 +S'On\tOn\tIN\tB-PP\tO' +p321349 +aS'7/9/99\t7/9/99\tCD\tB-NP\tO' +p321350 +aS',\t,\t,\tO\tO' +p321351 +aS'the\tthe\tDT\tB-NP\tO' +p321352 +aS'patient\tpatient\tNN\tI-NP\tO' +p321353 +aS'was\tbe\tVBD\tB-VP\tO' +p321354 +aS'tolerating\ttolerate\tVBG\tI-VP\tO' +p321355 +aS'a\ta\tDT\tB-NP\tO' +p321356 +aS'house\thouse\tNN\tI-NP\tO' +p321357 +aS'diet\tdiet\tNN\tI-NP\tO' +p321358 +aS'.\t.\t.\tO\tO' +p321359 +asS'USOH until 3 day PTa , dev new SS chest pressure sometimes rad to back and L neck / jaw .' +p321360 +(lp321361 +S'USOH\tUSOH\tNN\tB-NP\tO' +p321362 +aS'until\tuntil\tIN\tB-PP\tO' +p321363 +aS'3\t3\tCD\tB-NP\tO' +p321364 +aS'day\tday\tNN\tI-NP\tO' +p321365 +aS'PTa\tPTa\tNN\tI-NP\tO' +p321366 +aS',\t,\t,\tO\tO' +p321367 +aS'dev\tdev\tVBP\tB-VP\tO' +p321368 +aS'new\tnew\tJJ\tB-NP\tO' +p321369 +aS'SS\tSS\tNN\tI-NP\tO' +p321370 +aS'chest\tchest\tNN\tI-NP\tO' +p321371 +aS'pressure\tpressure\tNN\tI-NP\tO' +p321372 +aS'sometimes\tsometimes\tRB\tB-ADVP\tO' +p321373 +aS'rad\trad\tVBD\tB-VP\tO' +p321374 +aS'to\tto\tTO\tI-VP\tO' +p321375 +aS'back\tback\tVB\tI-VP\tO' +p321376 +aS'and\tand\tCC\tO\tO' +p321377 +aS'L\tL\tNN\tB-NP\tO' +p321378 +aS'neck\tneck\tNN\tI-NP\tO' +p321379 +aS'/\t/\tSYM\tB-NP\tO' +p321380 +aS'jaw\tjaw\tNN\tI-NP\tO' +p321381 +aS'.\t.\t.\tO\tO' +p321382 +asS'Lungs are clear to auscultation bilaterally .' +p321383 +(lp321384 +S'Lungs\tLung\tNNS\tB-NP\tO' +p321385 +aS'are\tbe\tVBP\tB-VP\tO' +p321386 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p321387 +aS'to\tto\tTO\tB-PP\tO' +p321388 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p321389 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p321390 +aS'.\t.\t.\tO\tO' +p321391 +asS'An autopsy will be performed .' +p321392 +(lp321393 +S'An\tAn\tDT\tB-NP\tO' +p321394 +aS'autopsy\tautopsy\tNN\tI-NP\tO' +p321395 +aS'will\twill\tMD\tB-VP\tO' +p321396 +aS'be\tbe\tVB\tI-VP\tO' +p321397 +aS'performed\tperform\tVBN\tI-VP\tO' +p321398 +aS'.\t.\t.\tO\tO' +p321399 +asS'He initially did well after extubation and completed approximately two weeks of Bactrim and a steroid taper .' +p321400 +(lp321401 +S'He\tHe\tPRP\tB-NP\tO' +p321402 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p321403 +aS'did\tdo\tVBD\tB-VP\tO' +p321404 +aS'well\twell\tRB\tB-ADVP\tO' +p321405 +aS'after\tafter\tIN\tB-PP\tO' +p321406 +aS'extubation\textubation\tNN\tB-NP\tO' +p321407 +aS'and\tand\tCC\tO\tO' +p321408 +aS'completed\tcomplete\tVBD\tB-VP\tO' +p321409 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p321410 +aS'two\ttwo\tCD\tI-NP\tO' +p321411 +aS'weeks\tweek\tNNS\tI-NP\tO' +p321412 +aS'of\tof\tIN\tB-PP\tO' +p321413 +aS'Bactrim\tBactrim\tNNP\tB-NP\tO' +p321414 +aS'and\tand\tCC\tO\tO' +p321415 +aS'a\ta\tDT\tB-NP\tO' +p321416 +aS'steroid\tsteroid\tNN\tI-NP\tO' +p321417 +aS'taper\ttaper\tNN\tI-NP\tO' +p321418 +aS'.\t.\t.\tO\tO' +p321419 +asS'2. unstable angina ( postmyocardial infarction angina ) ,' +p321420 +(lp321421 +S'2.\t2.\tLS\tB-NP\tO' +p321422 +aS'unstable\tunstable\tJJ\tI-NP\tO' +p321423 +aS'angina\tangina\tNN\tI-NP\tO' +p321424 +aS'(\t(\t(\tO\tO' +p321425 +aS'postmyocardial\tpostmyocardial\tJJ\tB-NP\tO' +p321426 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p321427 +aS'angina\tangina\tNN\tI-NP\tO' +p321428 +aS')\t)\t)\tO\tO' +p321429 +aS',\t,\t,\tO\tO' +p321430 +asS'No creams , lotions or ointments to incisions .' +p321431 +(lp321432 +S'No\tNo\tDT\tB-NP\tO' +p321433 +aS'creams\tcream\tNNS\tI-NP\tO' +p321434 +aS',\t,\t,\tI-NP\tO' +p321435 +aS'lotions\tlotion\tNNS\tI-NP\tO' +p321436 +aS'or\tor\tCC\tI-NP\tO' +p321437 +aS'ointments\tointment\tNNS\tI-NP\tO' +p321438 +aS'to\tto\tTO\tB-PP\tO' +p321439 +aS'incisions\tincision\tNNS\tB-NP\tO' +p321440 +aS'.\t.\t.\tO\tO' +p321441 +asS'Has children but they are not nearby .' +p321442 +(lp321443 +S'Has\tHas\tNNP\tB-NP\tO' +p321444 +aS'children\tchild\tNNS\tI-NP\tO' +p321445 +aS'but\tbut\tCC\tO\tO' +p321446 +aS'they\tthey\tPRP\tB-NP\tO' +p321447 +aS'are\tbe\tVBP\tB-VP\tO' +p321448 +aS'not\tnot\tRB\tO\tO' +p321449 +aS'nearby\tnearby\tRB\tB-ADVP\tO' +p321450 +aS'.\t.\t.\tO\tO' +p321451 +asS'Her chest pain was controlled with morphine .' +p321452 +(lp321453 +S'Her\tHer\tPRP$\tB-NP\tO' +p321454 +aS'chest\tchest\tNN\tI-NP\tO' +p321455 +aS'pain\tpain\tNN\tI-NP\tO' +p321456 +aS'was\tbe\tVBD\tB-VP\tO' +p321457 +aS'controlled\tcontrol\tVBN\tI-VP\tO' +p321458 +aS'with\twith\tIN\tB-PP\tO' +p321459 +aS'morphine\tmorphine\tNN\tB-NP\tO' +p321460 +aS'.\t.\t.\tO\tO' +p321461 +asS'The patient is discharged to rehabilitation .' +p321462 +(lp321463 +S'The\tThe\tDT\tB-NP\tO' +p321464 +aS'patient\tpatient\tNN\tI-NP\tO' +p321465 +aS'is\tbe\tVBZ\tB-VP\tO' +p321466 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p321467 +aS'to\tto\tTO\tB-PP\tO' +p321468 +aS'rehabilitation\trehabilitation\tNN\tB-NP\tO' +p321469 +aS'.\t.\t.\tO\tO' +p321470 +asS'Her electrolytes were all within normal limits .' +p321471 +(lp321472 +S'Her\tHer\tPRP$\tB-NP\tO' +p321473 +aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' +p321474 +aS'were\tbe\tVBD\tB-VP\tO' +p321475 +aS'all\tall\tDT\tO\tO' +p321476 +aS'within\twithin\tIN\tB-PP\tO' +p321477 +aS'normal\tnormal\tJJ\tB-NP\tO' +p321478 +aS'limits\tlimit\tNNS\tI-NP\tO' +p321479 +aS'.\t.\t.\tO\tO' +p321480 +asS'Ultimately it was decided by 06-28 that the patient had shown minimal improvement and minimal evidence of improvement status , it was decided at this point for the patient to be extubated and to move toward CMO care .' +p321481 +(lp321482 +S'Ultimately\tUltimately\tRB\tB-ADVP\tO' +p321483 +aS'it\tit\tPRP\tB-NP\tO' +p321484 +aS'was\tbe\tVBD\tB-VP\tO' +p321485 +aS'decided\tdecide\tVBN\tI-VP\tO' +p321486 +aS'by\tby\tIN\tB-PP\tO' +p321487 +aS'06-28\t06-28\tCD\tB-NP\tO' +p321488 +aS'that\tthat\tIN\tB-SBAR\tO' +p321489 +aS'the\tthe\tDT\tB-NP\tO' +p321490 +aS'patient\tpatient\tNN\tI-NP\tO' +p321491 +aS'had\thave\tVBD\tB-VP\tO' +p321492 +aS'shown\tshow\tVBN\tI-VP\tO' +p321493 +aS'minimal\tminimal\tJJ\tB-NP\tO' +p321494 +aS'improvement\timprovement\tNN\tI-NP\tO' +p321495 +aS'and\tand\tCC\tO\tO' +p321496 +aS'minimal\tminimal\tJJ\tB-NP\tO' +p321497 +aS'evidence\tevidence\tNN\tI-NP\tO' +p321498 +aS'of\tof\tIN\tB-PP\tO' +p321499 +aS'improvement\timprovement\tNN\tB-NP\tO' +p321500 +aS'status\tstatus\tNN\tI-NP\tO' +p321501 +aS',\t,\t,\tO\tO' +p321502 +aS'it\tit\tPRP\tB-NP\tO' +p321503 +aS'was\tbe\tVBD\tB-VP\tO' +p321504 +aS'decided\tdecide\tVBN\tI-VP\tO' +p321505 +aS'at\tat\tIN\tB-PP\tO' +p321506 +aS'this\tthis\tDT\tB-NP\tO' +p321507 +aS'point\tpoint\tNN\tI-NP\tO' +p321508 +aS'for\tfor\tIN\tB-PP\tO' +p321509 +aS'the\tthe\tDT\tB-NP\tO' +p321510 +aS'patient\tpatient\tNN\tI-NP\tO' +p321511 +aS'to\tto\tTO\tB-VP\tO' +p321512 +aS'be\tbe\tVB\tI-VP\tO' +p321513 +aS'extubated\textubate\tVBN\tI-VP\tO' +p321514 +aS'and\tand\tCC\tO\tO' +p321515 +aS'to\tto\tTO\tB-VP\tO' +p321516 +aS'move\tmove\tVB\tI-VP\tO' +p321517 +aS'toward\ttoward\tIN\tB-PP\tO' +p321518 +aS'CMO\tCMO\tNN\tB-NP\tB-DNA' +p321519 +aS'care\tcare\tNN\tI-NP\tI-DNA' +p321520 +aS'.\t.\t.\tO\tO' +p321521 +asS'At OSH , she was treated with 7 days of vancomycin , as well as 13 days ( of 14-day planned course ) of Ciprofloxacin and Zosyn .' +p321522 +(lp321523 +S'At\tAt\tIN\tB-PP\tO' +p321524 +aS'OSH\tOSH\tNN\tB-NP\tO' +p321525 +aS',\t,\t,\tO\tO' +p321526 +aS'she\tshe\tPRP\tB-NP\tO' +p321527 +aS'was\tbe\tVBD\tB-VP\tO' +p321528 +aS'treated\ttreat\tVBN\tI-VP\tO' +p321529 +aS'with\twith\tIN\tB-PP\tO' +p321530 +aS'7\t7\tCD\tB-NP\tO' +p321531 +aS'days\tday\tNNS\tI-NP\tO' +p321532 +aS'of\tof\tIN\tB-PP\tO' +p321533 +aS'vancomycin\tvancomycin\tNN\tB-NP\tO' +p321534 +aS',\t,\t,\tO\tO' +p321535 +aS'as\tas\tRB\tB-CONJP\tO' +p321536 +aS'well\twell\tRB\tI-CONJP\tO' +p321537 +aS'as\tas\tIN\tI-CONJP\tO' +p321538 +aS'13\t13\tCD\tB-NP\tO' +p321539 +aS'days\tday\tNNS\tI-NP\tO' +p321540 +aS'(\t(\t(\tO\tO' +p321541 +aS'of\tof\tIN\tB-PP\tO' +p321542 +aS'14-day\t14-day\tJJ\tB-NP\tO' +p321543 +aS'planned\tplan\tVBN\tI-NP\tO' +p321544 +aS'course\tcourse\tNN\tI-NP\tO' +p321545 +aS')\t)\t)\tO\tO' +p321546 +aS'of\tof\tIN\tB-PP\tO' +p321547 +aS'Ciprofloxacin\tCiprofloxacin\tNN\tB-NP\tO' +p321548 +aS'and\tand\tCC\tI-NP\tO' +p321549 +aS'Zosyn\tZosyn\tNN\tI-NP\tO' +p321550 +aS'.\t.\t.\tO\tO' +p321551 +asS'FULL CODE .' +p321552 +(lp321553 +S'FULL\tFULL\tNN\tB-NP\tO' +p321554 +aS'CODE\tCODE\tNN\tI-NP\tO' +p321555 +aS'.\t.\t.\tO\tO' +p321556 +asS'lisinopril , protonix , glipizide , metformin , asa' +p321557 +(lp321558 +S'lisinopril\tlisinopril\tNN\tB-NP\tO' +p321559 +aS',\t,\t,\tO\tO' +p321560 +aS'protonix\tprotonix\tNN\tB-NP\tO' +p321561 +aS',\t,\t,\tO\tO' +p321562 +aS'glipizide\tglipizide\tNN\tB-NP\tO' +p321563 +aS',\t,\t,\tO\tO' +p321564 +aS'metformin\tmetformin\tNN\tB-NP\tO' +p321565 +aS',\t,\t,\tO\tO' +p321566 +aS'asa\tasa\tNN\tB-NP\tO' +p321567 +asS'She described the pain as being exacerbated by eating and described an associated weight loss .' +p321568 +(lp321569 +S'She\tShe\tPRP\tB-NP\tO' +p321570 +aS'described\tdescribe\tVBD\tB-VP\tO' +p321571 +aS'the\tthe\tDT\tB-NP\tO' +p321572 +aS'pain\tpain\tNN\tI-NP\tO' +p321573 +aS'as\tas\tIN\tB-PP\tO' +p321574 +aS'being\tbe\tVBG\tB-VP\tO' +p321575 +aS'exacerbated\texacerbate\tVBN\tI-VP\tO' +p321576 +aS'by\tby\tIN\tB-PP\tO' +p321577 +aS'eating\teat\tVBG\tB-VP\tO' +p321578 +aS'and\tand\tCC\tO\tO' +p321579 +aS'described\tdescribe\tVBD\tB-VP\tO' +p321580 +aS'an\tan\tDT\tB-NP\tO' +p321581 +aS'associated\tassociate\tVBN\tI-NP\tO' +p321582 +aS'weight\tweight\tNN\tI-NP\tO' +p321583 +aS'loss\tloss\tNN\tI-NP\tO' +p321584 +aS'.\t.\t.\tO\tO' +p321585 +asS'The pupils were equally round and reactive to light .' +p321586 +(lp321587 +S'The\tThe\tDT\tB-NP\tO' +p321588 +aS'pupils\tpupil\tNNS\tI-NP\tO' +p321589 +aS'were\tbe\tVBD\tB-VP\tO' +p321590 +aS'equally\tequally\tRB\tB-ADJP\tO' +p321591 +aS'round\tround\tJJ\tI-ADJP\tO' +p321592 +aS'and\tand\tCC\tI-ADJP\tO' +p321593 +aS'reactive\treactive\tJJ\tI-ADJP\tO' +p321594 +aS'to\tto\tTO\tB-PP\tO' +p321595 +aS'light\tlight\tNN\tB-NP\tO' +p321596 +aS'.\t.\t.\tO\tO' +p321597 +asS'Upon waking on the morning of admission , she had 10/10 chest pain associated with nausea .' +p321598 +(lp321599 +S'Upon\tUpon\tIN\tB-PP\tO' +p321600 +aS'waking\twake\tVBG\tB-VP\tO' +p321601 +aS'on\ton\tIN\tB-PP\tO' +p321602 +aS'the\tthe\tDT\tB-NP\tO' +p321603 +aS'morning\tmorning\tNN\tI-NP\tO' +p321604 +aS'of\tof\tIN\tB-PP\tO' +p321605 +aS'admission\tadmission\tNN\tB-NP\tO' +p321606 +aS',\t,\t,\tO\tO' +p321607 +aS'she\tshe\tPRP\tB-NP\tO' +p321608 +aS'had\thave\tVBD\tB-VP\tO' +p321609 +aS'10/10\t10/10\tCD\tB-NP\tO' +p321610 +aS'chest\tchest\tNN\tI-NP\tO' +p321611 +aS'pain\tpain\tNN\tI-NP\tO' +p321612 +aS'associated\tassociate\tVBN\tB-VP\tO' +p321613 +aS'with\twith\tIN\tB-PP\tO' +p321614 +aS'nausea\tnausea\tNN\tB-NP\tO' +p321615 +aS'.\t.\t.\tO\tO' +p321616 +asS'The patient was taken to the recovery room and then to the postoperative floor in stable condition .' +p321617 +(lp321618 +S'The\tThe\tDT\tB-NP\tO' +p321619 +aS'patient\tpatient\tNN\tI-NP\tO' +p321620 +aS'was\tbe\tVBD\tB-VP\tO' +p321621 +aS'taken\ttake\tVBN\tI-VP\tO' +p321622 +aS'to\tto\tTO\tB-PP\tO' +p321623 +aS'the\tthe\tDT\tB-NP\tO' +p321624 +aS'recovery\trecovery\tNN\tI-NP\tO' +p321625 +aS'room\troom\tNN\tI-NP\tO' +p321626 +aS'and\tand\tCC\tO\tO' +p321627 +aS'then\tthen\tRB\tB-ADVP\tO' +p321628 +aS'to\tto\tTO\tB-PP\tO' +p321629 +aS'the\tthe\tDT\tB-NP\tO' +p321630 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p321631 +aS'floor\tfloor\tNN\tI-NP\tO' +p321632 +aS'in\tin\tIN\tB-PP\tO' +p321633 +aS'stable\tstable\tJJ\tB-NP\tO' +p321634 +aS'condition\tcondition\tNN\tI-NP\tO' +p321635 +aS'.\t.\t.\tO\tO' +p321636 +asS'Discharge Condition: stable .' +p321637 +(lp321638 +S'Discharge\tDischarge\tNNP\tB-NP\tO' +p321639 +aS'Condition:\tCondition:\tNNP\tI-NP\tO' +p321640 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p321641 +aS'.\t.\t.\tO\tO' +p321642 +asS'The patient was diagnosed as having an acute myocardial infarction .' +p321643 +(lp321644 +S'The\tThe\tDT\tB-NP\tO' +p321645 +aS'patient\tpatient\tNN\tI-NP\tO' +p321646 +aS'was\tbe\tVBD\tB-VP\tO' +p321647 +aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' +p321648 +aS'as\tas\tIN\tB-PP\tO' +p321649 +aS'having\thave\tVBG\tB-VP\tO' +p321650 +aS'an\tan\tDT\tB-NP\tO' +p321651 +aS'acute\tacute\tJJ\tI-NP\tO' +p321652 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p321653 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p321654 +aS'.\t.\t.\tO\tO' +p321655 +asS'This revealed no extravasation of contrast and no aortic aneurysm .' +p321656 +(lp321657 +S'This\tThis\tDT\tB-NP\tO' +p321658 +aS'revealed\treveal\tVBD\tB-VP\tO' +p321659 +aS'no\tno\tDT\tB-NP\tO' +p321660 +aS'extravasation\textravasation\tNN\tI-NP\tO' +p321661 +aS'of\tof\tIN\tB-PP\tO' +p321662 +aS'contrast\tcontrast\tNN\tB-NP\tO' +p321663 +aS'and\tand\tCC\tO\tO' +p321664 +aS'no\tno\tDT\tB-NP\tO' +p321665 +aS'aortic\taortic\tJJ\tI-NP\tO' +p321666 +aS'aneurysm\taneurysm\tNN\tI-NP\tO' +p321667 +aS'.\t.\t.\tO\tO' +p321668 +asS'Tracheoesophageal fistula .' +p321669 +(lp321670 +S'Tracheoesophageal\tTracheoesophageal\tJJ\tB-NP\tO' +p321671 +aS'fistula\tfistula\tNN\tI-NP\tO' +p321672 +aS'.\t.\t.\tO\tO' +p321673 +asS'He then developed positive blood cultures with Staphylococcus aureus sensitive to levofloxacin , and that was continued .' +p321674 +(lp321675 +S'He\tHe\tPRP\tB-NP\tO' +p321676 +aS'then\tthen\tRB\tB-ADVP\tO' +p321677 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p321678 +aS'positive\tpositive\tJJ\tB-NP\tO' +p321679 +aS'blood\tblood\tNN\tI-NP\tO' +p321680 +aS'cultures\tculture\tNNS\tI-NP\tO' +p321681 +aS'with\twith\tIN\tB-PP\tO' +p321682 +aS'Staphylococcus\tStaphylococcus\tFW\tB-NP\tO' +p321683 +aS'aureus\taureus\tFW\tI-NP\tO' +p321684 +aS'sensitive\tsensitive\tJJ\tB-ADJP\tO' +p321685 +aS'to\tto\tTO\tB-PP\tO' +p321686 +aS'levofloxacin\tlevofloxacin\tNN\tB-NP\tO' +p321687 +aS',\t,\t,\tO\tO' +p321688 +aS'and\tand\tCC\tO\tO' +p321689 +aS'that\tthat\tDT\tB-NP\tO' +p321690 +aS'was\tbe\tVBD\tB-VP\tO' +p321691 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p321692 +aS'.\t.\t.\tO\tO' +p321693 +asS'The patient 's INR had dropped to 1.7 at the time of operation , and remained in this range initially , but began to rise to 2.0 with her Coumadin dosing .' +p321694 +(lp321695 +S'The\tThe\tDT\tB-NP\tO' +p321696 +aS'patient\tpatient\tNN\tI-NP\tO' +p321697 +aS''s\t'\tNNS\tI-NP\tO' +p321698 +aS'INR\tINR\tNN\tI-NP\tB-protein' +p321699 +aS'had\thave\tVBD\tB-VP\tO' +p321700 +aS'dropped\tdrop\tVBN\tI-VP\tO' +p321701 +aS'to\tto\tTO\tB-PP\tO' +p321702 +aS'1.7\t1.7\tCD\tB-NP\tO' +p321703 +aS'at\tat\tIN\tB-PP\tO' +p321704 +aS'the\tthe\tDT\tB-NP\tO' +p321705 +aS'time\ttime\tNN\tI-NP\tO' +p321706 +aS'of\tof\tIN\tB-PP\tO' +p321707 +aS'operation\toperation\tNN\tB-NP\tO' +p321708 +aS',\t,\t,\tO\tO' +p321709 +aS'and\tand\tCC\tO\tO' +p321710 +aS'remained\tremain\tVBD\tB-VP\tO' +p321711 +aS'in\tin\tIN\tB-PP\tO' +p321712 +aS'this\tthis\tDT\tB-NP\tO' +p321713 +aS'range\trange\tNN\tI-NP\tO' +p321714 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p321715 +aS',\t,\t,\tO\tO' +p321716 +aS'but\tbut\tCC\tO\tO' +p321717 +aS'began\tbegin\tVBD\tB-VP\tO' +p321718 +aS'to\tto\tTO\tI-VP\tO' +p321719 +aS'rise\trise\tVB\tI-VP\tO' +p321720 +aS'to\tto\tTO\tB-PP\tO' +p321721 +aS'2.0\t2.0\tCD\tB-NP\tO' +p321722 +aS'with\twith\tIN\tB-PP\tO' +p321723 +aS'her\ther\tPRP$\tB-NP\tO' +p321724 +aS'Coumadin\tCoumadin\tNN\tI-NP\tO' +p321725 +aS'dosing\tdosing\tNN\tI-NP\tO' +p321726 +aS'.\t.\t.\tO\tO' +p321727 +asS'A : 39 year old male w/ HTN , chronic LBP on narcotics presents after being found unresponsive at home .' +p321728 +(lp321729 +S'A\tA\tDT\tB-NP\tO' +p321730 +aS':\t:\t:\tO\tO' +p321731 +aS'39\t39\tCD\tB-NP\tO' +p321732 +aS'year\tyear\tNN\tI-NP\tO' +p321733 +aS'old\told\tJJ\tI-NP\tO' +p321734 +aS'male\tmale\tJJ\tI-NP\tO' +p321735 +aS'w/\tw/\tNN\tI-NP\tO' +p321736 +aS'HTN\tHTN\tNN\tI-NP\tO' +p321737 +aS',\t,\t,\tO\tO' +p321738 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p321739 +aS'LBP\tLBP\tNN\tI-NP\tO' +p321740 +aS'on\ton\tIN\tB-PP\tO' +p321741 +aS'narcotics\tnarcotic\tNNS\tB-NP\tO' +p321742 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p321743 +aS'after\tafter\tIN\tB-PP\tO' +p321744 +aS'being\tbe\tVBG\tB-VP\tO' +p321745 +aS'found\tfind\tVBN\tI-VP\tO' +p321746 +aS'unresponsive\tunresponsive\tJJ\tB-ADJP\tO' +p321747 +aS'at\tat\tIN\tB-PP\tO' +p321748 +aS'home\thome\tNN\tB-NP\tO' +p321749 +aS'.\t.\t.\tO\tO' +p321750 +asS'The left anterior descending had a severe 80% proximal stenosis with a filling defect consistent with intraluminal thrombus .' +p321751 +(lp321752 +S'The\tThe\tDT\tB-NP\tO' +p321753 +aS'left\tleft\tJJ\tI-NP\tO' +p321754 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p321755 +aS'descending\tdescending\tNN\tI-NP\tO' +p321756 +aS'had\thave\tVBD\tB-VP\tO' +p321757 +aS'a\ta\tDT\tB-NP\tO' +p321758 +aS'severe\tsevere\tJJ\tI-NP\tO' +p321759 +aS'80%\t80%\tCD\tI-NP\tO' +p321760 +aS'proximal\tproximal\tJJ\tI-NP\tO' +p321761 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p321762 +aS'with\twith\tIN\tB-PP\tO' +p321763 +aS'a\ta\tDT\tB-NP\tO' +p321764 +aS'filling\tfill\tVBG\tI-NP\tO' +p321765 +aS'defect\tdefect\tNN\tI-NP\tO' +p321766 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p321767 +aS'with\twith\tIN\tB-PP\tO' +p321768 +aS'intraluminal\tintraluminal\tJJ\tB-NP\tO' +p321769 +aS'thrombus\tthrombus\tNN\tI-NP\tO' +p321770 +aS'.\t.\t.\tO\tO' +p321771 +asS'She was unable to name glasses .' +p321772 +(lp321773 +S'She\tShe\tPRP\tB-NP\tO' +p321774 +aS'was\tbe\tVBD\tB-VP\tO' +p321775 +aS'unable\tunable\tJJ\tB-ADJP\tO' +p321776 +aS'to\tto\tTO\tB-VP\tO' +p321777 +aS'name\tname\tVB\tI-VP\tO' +p321778 +aS'glasses\tglass\tNNS\tB-NP\tO' +p321779 +aS'.\t.\t.\tO\tO' +p321780 +asS'His bilirubin on 05-13 was 18.4 ; and on 05-14 it was 14.7 .' +p321781 +(lp321782 +S'His\tHis\tPRP$\tB-NP\tO' +p321783 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p321784 +aS'on\ton\tIN\tB-PP\tO' +p321785 +aS'05-13\t05-13\tCD\tB-NP\tO' +p321786 +aS'was\tbe\tVBD\tB-VP\tO' +p321787 +aS'18.4\t18.4\tCD\tB-NP\tO' +p321788 +aS';\t;\t:\tO\tO' +p321789 +aS'and\tand\tCC\tO\tO' +p321790 +aS'on\ton\tIN\tB-PP\tO' +p321791 +aS'05-14\t05-14\tCD\tB-NP\tO' +p321792 +aS'it\tit\tPRP\tB-NP\tO' +p321793 +aS'was\tbe\tVBD\tB-VP\tO' +p321794 +aS'14.7\t14.7\tCD\tB-NP\tO' +p321795 +aS'.\t.\t.\tO\tO' +p321796 +asS'Additionally , the patient underwent a exercise stress test on 8/6/98 with a heart rate proceeding from 76 to 93 beats per minute .' +p321797 +(lp321798 +S'Additionally\tAdditionally\tRB\tB-ADVP\tO' +p321799 +aS',\t,\t,\tO\tO' +p321800 +aS'the\tthe\tDT\tB-NP\tO' +p321801 +aS'patient\tpatient\tNN\tI-NP\tO' +p321802 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p321803 +aS'a\ta\tDT\tB-NP\tO' +p321804 +aS'exercise\texercise\tNN\tI-NP\tO' +p321805 +aS'stress\tstress\tNN\tI-NP\tO' +p321806 +aS'test\ttest\tNN\tI-NP\tO' +p321807 +aS'on\ton\tIN\tB-PP\tO' +p321808 +aS'8/6/98\t8/6/98\tCD\tB-NP\tO' +p321809 +aS'with\twith\tIN\tB-PP\tO' +p321810 +aS'a\ta\tDT\tB-NP\tO' +p321811 +aS'heart\theart\tNN\tI-NP\tO' +p321812 +aS'rate\trate\tNN\tI-NP\tO' +p321813 +aS'proceeding\tproceed\tVBG\tB-VP\tO' +p321814 +aS'from\tfrom\tIN\tB-PP\tO' +p321815 +aS'76\t76\tCD\tB-NP\tO' +p321816 +aS'to\tto\tTO\tI-NP\tO' +p321817 +aS'93\t93\tCD\tI-NP\tO' +p321818 +aS'beats\tbeat\tNNS\tI-NP\tO' +p321819 +aS'per\tper\tIN\tB-PP\tO' +p321820 +aS'minute\tminute\tNN\tB-NP\tO' +p321821 +aS'.\t.\t.\tO\tO' +p321822 +asS'2. Enteric-coated aspirin 325 mg p.o. q. day .' +p321823 +(lp321824 +S'2.\t2.\tLS\tB-NP\tO' +p321825 +aS'Enteric-coated\tEnteric-coated\tJJ\tI-NP\tO' +p321826 +aS'aspirin\taspirin\tNN\tI-NP\tO' +p321827 +aS'325\t325\tCD\tI-NP\tO' +p321828 +aS'mg\tmg\tNN\tI-NP\tO' +p321829 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p321830 +aS'q.\tq.\tNN\tI-NP\tO' +p321831 +aS'day\tday\tNN\tI-NP\tO' +p321832 +aS'.\t.\t.\tO\tO' +p321833 +asS'1. The patient is to follow-up with Dr. Neri in one to two weeks .' +p321834 +(lp321835 +S'1.\t1.\tLS\tB-LST\tO' +p321836 +aS'The\tThe\tDT\tB-NP\tO' +p321837 +aS'patient\tpatient\tNN\tI-NP\tO' +p321838 +aS'is\tbe\tVBZ\tB-VP\tO' +p321839 +aS'to\tto\tTO\tB-VP\tO' +p321840 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p321841 +aS'with\twith\tIN\tB-PP\tO' +p321842 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p321843 +aS'Neri\tNeri\tNNP\tI-NP\tO' +p321844 +aS'in\tin\tIN\tB-PP\tO' +p321845 +aS'one\tone\tCD\tB-NP\tO' +p321846 +aS'to\tto\tTO\tI-NP\tO' +p321847 +aS'two\ttwo\tCD\tI-NP\tO' +p321848 +aS'weeks\tweek\tNNS\tI-NP\tO' +p321849 +aS'.\t.\t.\tO\tO' +p321850 +asS'Reflexes are down on the right side .' +p321851 +(lp321852 +S'Reflexes\tReflex\tNNS\tB-NP\tO' +p321853 +aS'are\tbe\tVBP\tB-VP\tO' +p321854 +aS'down\tdown\tRB\tB-ADVP\tO' +p321855 +aS'on\ton\tIN\tB-PP\tO' +p321856 +aS'the\tthe\tDT\tB-NP\tO' +p321857 +aS'right\tright\tJJ\tI-NP\tO' +p321858 +aS'side\tside\tNN\tI-NP\tO' +p321859 +aS'.\t.\t.\tO\tO' +p321860 +asS'The extremities are well perfused and there is no clubbing , cyanosis or edema .' +p321861 +(lp321862 +S'The\tThe\tDT\tB-NP\tO' +p321863 +aS'extremities\textremity\tNNS\tI-NP\tO' +p321864 +aS'are\tbe\tVBP\tB-VP\tO' +p321865 +aS'well\twell\tRB\tI-VP\tO' +p321866 +aS'perfused\tperfuse\tVBN\tI-VP\tO' +p321867 +aS'and\tand\tCC\tO\tO' +p321868 +aS'there\tthere\tEX\tB-NP\tO' +p321869 +aS'is\tbe\tVBZ\tB-VP\tO' +p321870 +aS'no\tno\tDT\tB-NP\tO' +p321871 +aS'clubbing\tclubbing\tNN\tI-NP\tO' +p321872 +aS',\t,\t,\tI-NP\tO' +p321873 +aS'cyanosis\tcyanosis\tNN\tI-NP\tO' +p321874 +aS'or\tor\tCC\tI-NP\tO' +p321875 +aS'edema\tedema\tNN\tI-NP\tO' +p321876 +aS'.\t.\t.\tO\tO' +p321877 +asS'General : Nondysmorphic preterm male in mild respiratory distress .' +p321878 +(lp321879 +S'General\tGeneral\tJJ\tB-ADJP\tO' +p321880 +aS':\t:\t:\tO\tO' +p321881 +aS'Nondysmorphic\tNondysmorphic\tJJ\tB-NP\tO' +p321882 +aS'preterm\tpreterm\tJJ\tI-NP\tO' +p321883 +aS'male\tmale\tNN\tI-NP\tO' +p321884 +aS'in\tin\tIN\tB-PP\tO' +p321885 +aS'mild\tmild\tJJ\tB-NP\tO' +p321886 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p321887 +aS'distress\tdistress\tNN\tI-NP\tO' +p321888 +aS'.\t.\t.\tO\tO' +p321889 +asS'Temperature was 98.1 , heart rate 116 , blood pressure 120/68 , and room air O2 saturation was 93% .' +p321890 +(lp321891 +S'Temperature\tTemperature\tNN\tB-NP\tO' +p321892 +aS'was\tbe\tVBD\tB-VP\tO' +p321893 +aS'98.1\t98.1\tCD\tB-NP\tO' +p321894 +aS',\t,\t,\tO\tO' +p321895 +aS'heart\theart\tNN\tB-NP\tO' +p321896 +aS'rate\trate\tNN\tI-NP\tO' +p321897 +aS'116\t116\tCD\tI-NP\tO' +p321898 +aS',\t,\t,\tO\tO' +p321899 +aS'blood\tblood\tNN\tB-NP\tO' +p321900 +aS'pressure\tpressure\tNN\tI-NP\tO' +p321901 +aS'120/68\t120/68\tCD\tI-NP\tO' +p321902 +aS',\t,\t,\tO\tO' +p321903 +aS'and\tand\tCC\tO\tO' +p321904 +aS'room\troom\tNN\tB-NP\tO' +p321905 +aS'air\tair\tNN\tI-NP\tO' +p321906 +aS'O2\tO2\tNN\tI-NP\tO' +p321907 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p321908 +aS'was\tbe\tVBD\tB-VP\tO' +p321909 +aS'93%\t93%\tCD\tB-NP\tO' +p321910 +aS'.\t.\t.\tO\tO' +p321911 +asS'There is increased signal seen along the sulci on FLAIR images at the convexity which could be secondary to subarachnoid hemorrhage .' +p321912 +(lp321913 +S'There\tThere\tEX\tB-NP\tO' +p321914 +aS'is\tbe\tVBZ\tB-VP\tO' +p321915 +aS'increased\tincrease\tVBN\tB-NP\tO' +p321916 +aS'signal\tsignal\tNN\tI-NP\tO' +p321917 +aS'seen\tsee\tVBN\tB-VP\tO' +p321918 +aS'along\talong\tIN\tB-PP\tO' +p321919 +aS'the\tthe\tDT\tB-NP\tO' +p321920 +aS'sulci\tsulci\tNN\tI-NP\tO' +p321921 +aS'on\ton\tIN\tB-PP\tO' +p321922 +aS'FLAIR\tFLAIR\tNN\tB-NP\tO' +p321923 +aS'images\timage\tNNS\tI-NP\tO' +p321924 +aS'at\tat\tIN\tB-PP\tO' +p321925 +aS'the\tthe\tDT\tB-NP\tO' +p321926 +aS'convexity\tconvexity\tNN\tI-NP\tO' +p321927 +aS'which\twhich\tWDT\tB-NP\tO' +p321928 +aS'could\tcould\tMD\tB-VP\tO' +p321929 +aS'be\tbe\tVB\tI-VP\tO' +p321930 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p321931 +aS'to\tto\tTO\tB-PP\tO' +p321932 +aS'subarachnoid\tsubarachnoid\tJJ\tB-NP\tO' +p321933 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p321934 +aS'.\t.\t.\tO\tO' +p321935 +asS'The patient was given ASA , Plavix , heparin drip x 24 hours , nitro drip , atorvastatin , metoprolol , and lisinopril .' +p321936 +(lp321937 +S'The\tThe\tDT\tB-NP\tO' +p321938 +aS'patient\tpatient\tNN\tI-NP\tO' +p321939 +aS'was\tbe\tVBD\tB-VP\tO' +p321940 +aS'given\tgive\tVBN\tI-VP\tO' +p321941 +aS'ASA\tASA\tNNP\tB-NP\tO' +p321942 +aS',\t,\t,\tO\tO' +p321943 +aS'Plavix\tPlavix\tNNP\tB-NP\tO' +p321944 +aS',\t,\t,\tO\tO' +p321945 +aS'heparin\theparin\tNN\tB-NP\tO' +p321946 +aS'drip\tdrip\tNN\tI-NP\tO' +p321947 +aS'x\tx\tSYM\tB-VP\tO' +p321948 +aS'24\t24\tCD\tB-NP\tO' +p321949 +aS'hours\thour\tNNS\tI-NP\tO' +p321950 +aS',\t,\t,\tO\tO' +p321951 +aS'nitro\tnitro\tNN\tB-NP\tO' +p321952 +aS'drip\tdrip\tNN\tI-NP\tO' +p321953 +aS',\t,\t,\tO\tO' +p321954 +aS'atorvastatin\tatorvastatin\tNN\tB-NP\tO' +p321955 +aS',\t,\t,\tO\tO' +p321956 +aS'metoprolol\tmetoprolol\tNN\tB-NP\tO' +p321957 +aS',\t,\t,\tO\tO' +p321958 +aS'and\tand\tCC\tO\tO' +p321959 +aS'lisinopril\tlisinopril\tNN\tB-NP\tO' +p321960 +aS'.\t.\t.\tO\tO' +p321961 +asS'On HD 4 pt continued to show a severe respiratory acidosis , was continued on a morphine drip , and was difficult to arouse .' +p321962 +(lp321963 +S'On\tOn\tIN\tB-PP\tO' +p321964 +aS'HD\tHD\tNN\tB-NP\tB-protein' +p321965 +aS'4\t4\tCD\tI-NP\tI-protein' +p321966 +aS'pt\tpt\tNN\tI-NP\tO' +p321967 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p321968 +aS'to\tto\tTO\tI-VP\tO' +p321969 +aS'show\tshow\tVB\tI-VP\tO' +p321970 +aS'a\ta\tDT\tB-NP\tO' +p321971 +aS'severe\tsevere\tJJ\tI-NP\tO' +p321972 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p321973 +aS'acidosis\tacidosis\tNN\tI-NP\tO' +p321974 +aS',\t,\t,\tO\tO' +p321975 +aS'was\tbe\tVBD\tB-VP\tO' +p321976 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p321977 +aS'on\ton\tIN\tB-PP\tO' +p321978 +aS'a\ta\tDT\tB-NP\tO' +p321979 +aS'morphine\tmorphine\tNN\tI-NP\tO' +p321980 +aS'drip\tdrip\tNN\tI-NP\tO' +p321981 +aS',\t,\t,\tO\tO' +p321982 +aS'and\tand\tCC\tO\tO' +p321983 +aS'was\tbe\tVBD\tB-VP\tO' +p321984 +aS'difficult\tdifficult\tJJ\tB-ADJP\tO' +p321985 +aS'to\tto\tTO\tB-VP\tO' +p321986 +aS'arouse\tarouse\tVB\tI-VP\tO' +p321987 +aS'.\t.\t.\tO\tO' +p321988 +asS'Revealed a sodium 136 , potassium 4.5 , BUN 47 , creatinine 2.4 , glucose 136. hematocrit 40% .' +p321989 +(lp321990 +S'Revealed\tReveal\tVBD\tB-VP\tO' +p321991 +aS'a\ta\tDT\tB-NP\tO' +p321992 +aS'sodium\tsodium\tNN\tI-NP\tO' +p321993 +aS'136\t136\tCD\tI-NP\tO' +p321994 +aS',\t,\t,\tO\tO' +p321995 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p321996 +aS'4.5\t4.5\tCD\tI-NP\tO' +p321997 +aS',\t,\t,\tO\tO' +p321998 +aS'BUN\tBUN\tNN\tB-NP\tB-DNA' +p321999 +aS'47\t47\tCD\tI-NP\tI-DNA' +p322000 +aS',\t,\t,\tO\tO' +p322001 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p322002 +aS'2.4\t2.4\tCD\tI-NP\tO' +p322003 +aS',\t,\t,\tO\tO' +p322004 +aS'glucose\tglucose\tNN\tB-NP\tB-protein' +p322005 +aS'136.\t136.\tCD\tI-NP\tI-protein' +p322006 +aS'hematocrit\thematocrit\tNN\tI-NP\tI-protein' +p322007 +aS'40%\t40%\tNN\tI-NP\tI-protein' +p322008 +aS'.\t.\t.\tO\tO' +p322009 +asS'Heart rate was 77 .' +p322010 +(lp322011 +S'Heart\tHeart\tNN\tB-NP\tO' +p322012 +aS'rate\trate\tNN\tI-NP\tO' +p322013 +aS'was\tbe\tVBD\tB-VP\tO' +p322014 +aS'77\t77\tCD\tB-NP\tO' +p322015 +aS'.\t.\t.\tO\tO' +p322016 +asS'He was also found to havesome pieces of toast in his mouth .' +p322017 +(lp322018 +S'He\tHe\tPRP\tB-NP\tO' +p322019 +aS'was\tbe\tVBD\tB-VP\tO' +p322020 +aS'also\talso\tRB\tI-VP\tO' +p322021 +aS'found\tfind\tVBN\tI-VP\tO' +p322022 +aS'to\tto\tTO\tB-PP\tO' +p322023 +aS'havesome\thavesome\tJJ\tB-NP\tO' +p322024 +aS'pieces\tpiece\tNNS\tI-NP\tO' +p322025 +aS'of\tof\tIN\tB-PP\tO' +p322026 +aS'toast\ttoast\tNN\tB-NP\tO' +p322027 +aS'in\tin\tIN\tB-PP\tO' +p322028 +aS'his\this\tPRP$\tB-NP\tO' +p322029 +aS'mouth\tmouth\tNN\tI-NP\tO' +p322030 +aS'.\t.\t.\tO\tO' +p322031 +asS'She is not undergoing any treatment .' +p322032 +(lp322033 +S'She\tShe\tPRP\tB-NP\tO' +p322034 +aS'is\tbe\tVBZ\tB-VP\tO' +p322035 +aS'not\tnot\tRB\tI-VP\tO' +p322036 +aS'undergoing\tundergo\tVBG\tI-VP\tO' +p322037 +aS'any\tany\tDT\tB-NP\tO' +p322038 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p322039 +aS'.\t.\t.\tO\tO' +p322040 +asS'At that time it appeared well adhered to the underlying skin .' +p322041 +(lp322042 +S'At\tAt\tIN\tB-PP\tO' +p322043 +aS'that\tthat\tDT\tB-NP\tO' +p322044 +aS'time\ttime\tNN\tI-NP\tO' +p322045 +aS'it\tit\tPRP\tB-NP\tO' +p322046 +aS'appeared\tappear\tVBD\tB-VP\tO' +p322047 +aS'well\twell\tRB\tI-VP\tO' +p322048 +aS'adhered\tadhere\tVBN\tI-VP\tO' +p322049 +aS'to\tto\tTO\tB-PP\tO' +p322050 +aS'the\tthe\tDT\tB-NP\tO' +p322051 +aS'underlying\tunderlying\tJJ\tI-NP\tO' +p322052 +aS'skin\tskin\tNN\tI-NP\tO' +p322053 +aS'.\t.\t.\tO\tO' +p322054 +asS'A chest x-ray was also negative for any pneumonia .' +p322055 +(lp322056 +S'A\tA\tDT\tB-NP\tO' +p322057 +aS'chest\tchest\tNN\tI-NP\tO' +p322058 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p322059 +aS'was\tbe\tVBD\tB-VP\tO' +p322060 +aS'also\talso\tRB\tB-ADVP\tO' +p322061 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p322062 +aS'for\tfor\tIN\tB-PP\tO' +p322063 +aS'any\tany\tDT\tB-NP\tO' +p322064 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p322065 +aS'.\t.\t.\tO\tO' +p322066 +asS'Dakin 's solution 1/4 strength to ulcer of penis .' +p322067 +(lp322068 +S'Dakin\tDakin\tNNP\tB-NP\tO' +p322069 +aS''s\t'\tNNS\tI-NP\tO' +p322070 +aS'solution\tsolution\tNN\tI-NP\tO' +p322071 +aS'1/4\t1/4\tCD\tB-NP\tO' +p322072 +aS'strength\tstrength\tNN\tI-NP\tO' +p322073 +aS'to\tto\tTO\tB-PP\tO' +p322074 +aS'ulcer\tulcer\tNN\tB-NP\tO' +p322075 +aS'of\tof\tIN\tB-PP\tO' +p322076 +aS'penis\tpenis\tNN\tB-NP\tO' +p322077 +aS'.\t.\t.\tO\tO' +p322078 +asS'White blood count 9.6 , hematocrit 38.8 , platelet 348,000 , mean corpuscular volume 85 and 86 , MCH 29 , MCHC 34 .' +p322079 +(lp322080 +S'White\tWhite\tJJ\tB-NP\tO' +p322081 +aS'blood\tblood\tNN\tI-NP\tO' +p322082 +aS'count\tcount\tNN\tI-NP\tO' +p322083 +aS'9.6\t9.6\tCD\tI-NP\tO' +p322084 +aS',\t,\t,\tO\tO' +p322085 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p322086 +aS'38.8\t38.8\tCD\tI-NP\tI-protein' +p322087 +aS',\t,\t,\tO\tO' +p322088 +aS'platelet\tplatelet\tNN\tB-NP\tB-protein' +p322089 +aS'348,000\t348,000\tCD\tI-NP\tI-protein' +p322090 +aS',\t,\t,\tO\tO' +p322091 +aS'mean\tmean\tJJ\tB-NP\tO' +p322092 +aS'corpuscular\tcorpuscular\tJJ\tI-NP\tO' +p322093 +aS'volume\tvolume\tNN\tI-NP\tO' +p322094 +aS'85\t85\tCD\tI-NP\tO' +p322095 +aS'and\tand\tCC\tI-NP\tO' +p322096 +aS'86\t86\tCD\tI-NP\tO' +p322097 +aS',\t,\t,\tO\tO' +p322098 +aS'MCH\tMCH\tNN\tB-NP\tB-DNA' +p322099 +aS'29\t29\tCD\tI-NP\tI-DNA' +p322100 +aS',\t,\t,\tO\tO' +p322101 +aS'MCHC\tMCHC\tNN\tB-NP\tO' +p322102 +aS'34\t34\tCD\tI-NP\tO' +p322103 +aS'.\t.\t.\tO\tO' +p322104 +asS'She speaks some English and seems to understand more than she speaks .' +p322105 +(lp322106 +S'She\tShe\tPRP\tB-NP\tO' +p322107 +aS'speaks\tspeak\tVBZ\tB-VP\tO' +p322108 +aS'some\tsome\tDT\tB-NP\tO' +p322109 +aS'English\tEnglish\tJJ\tI-NP\tO' +p322110 +aS'and\tand\tCC\tO\tO' +p322111 +aS'seems\tseem\tVBZ\tB-VP\tO' +p322112 +aS'to\tto\tTO\tI-VP\tO' +p322113 +aS'understand\tunderstand\tVB\tI-VP\tO' +p322114 +aS'more\tmore\tJJR\tB-NP\tO' +p322115 +aS'than\tthan\tIN\tB-SBAR\tO' +p322116 +aS'she\tshe\tPRP\tB-NP\tO' +p322117 +aS'speaks\tspeak\tVBZ\tB-VP\tO' +p322118 +aS'.\t.\t.\tO\tO' +p322119 +asS'2. Zoloft 50 mg by mouth once per day .' +p322120 +(lp322121 +S'2.\t2.\tLS\tB-LST\tO' +p322122 +aS'Zoloft\tZoloft\tNNP\tB-NP\tO' +p322123 +aS'50\t50\tCD\tI-NP\tO' +p322124 +aS'mg\tmg\tNN\tI-NP\tO' +p322125 +aS'by\tby\tIN\tB-PP\tO' +p322126 +aS'mouth\tmouth\tNN\tB-NP\tO' +p322127 +aS'once\tonce\tRB\tB-ADVP\tO' +p322128 +aS'per\tper\tIN\tB-PP\tO' +p322129 +aS'day\tday\tNN\tB-NP\tO' +p322130 +aS'.\t.\t.\tO\tO' +p322131 +asS'Despite extraordinary measures , stable sinus rhythm could not be restored .' +p322132 +(lp322133 +S'Despite\tDespite\tIN\tB-PP\tO' +p322134 +aS'extraordinary\textraordinary\tJJ\tB-NP\tO' +p322135 +aS'measures\tmeasure\tNNS\tI-NP\tO' +p322136 +aS',\t,\t,\tO\tO' +p322137 +aS'stable\tstable\tJJ\tB-NP\tO' +p322138 +aS'sinus\tsinus\tNN\tI-NP\tO' +p322139 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p322140 +aS'could\tcould\tMD\tB-VP\tO' +p322141 +aS'not\tnot\tRB\tI-VP\tO' +p322142 +aS'be\tbe\tVB\tI-VP\tO' +p322143 +aS'restored\trestore\tVBN\tI-VP\tO' +p322144 +aS'.\t.\t.\tO\tO' +p322145 +asS'3. Gastrointestinal adenocarcinoma ( as noted in History of Present Illness ) .' +p322146 +(lp322147 +S'3.\t3.\tLS\tB-NP\tO' +p322148 +aS'Gastrointestinal\tGastrointestinal\tJJ\tI-NP\tO' +p322149 +aS'adenocarcinoma\tadenocarcinoma\tNN\tI-NP\tO' +p322150 +aS'(\t(\t(\tO\tO' +p322151 +aS'as\tas\tIN\tB-SBAR\tO' +p322152 +aS'noted\tnote\tVBN\tB-VP\tO' +p322153 +aS'in\tin\tIN\tB-PP\tO' +p322154 +aS'History\tHistory\tNN\tB-NP\tO' +p322155 +aS'of\tof\tIN\tB-PP\tO' +p322156 +aS'Present\tPresent\tNNP\tB-NP\tO' +p322157 +aS'Illness\tIllness\tNNP\tI-NP\tO' +p322158 +aS')\t)\t)\tO\tO' +p322159 +aS'.\t.\t.\tO\tO' +p322160 +asS'The patient is a native of Nahuter with a 70+ pack year smoking history ( 2 1/2-3 pack per day x 35 years ) whose symptoms began last 12/92 when he had a persistent cough and fever .' +p322161 +(lp322162 +S'The\tThe\tDT\tB-NP\tO' +p322163 +aS'patient\tpatient\tNN\tI-NP\tO' +p322164 +aS'is\tbe\tVBZ\tB-VP\tO' +p322165 +aS'a\ta\tDT\tB-NP\tO' +p322166 +aS'native\tnative\tNN\tI-NP\tO' +p322167 +aS'of\tof\tIN\tB-PP\tO' +p322168 +aS'Nahuter\tNahuter\tNNP\tB-NP\tO' +p322169 +aS'with\twith\tIN\tB-PP\tO' +p322170 +aS'a\ta\tDT\tB-NP\tO' +p322171 +aS'70+\t70+\tJJ\tI-NP\tO' +p322172 +aS'pack\tpack\tNN\tI-NP\tO' +p322173 +aS'year\tyear\tNN\tI-NP\tO' +p322174 +aS'smoking\tsmoking\tNN\tI-NP\tO' +p322175 +aS'history\thistory\tNN\tI-NP\tO' +p322176 +aS'(\t(\t(\tO\tO' +p322177 +aS'2\t2\tCD\tB-NP\tO' +p322178 +aS'1/2-3\t1/2-3\tCD\tI-NP\tO' +p322179 +aS'pack\tpack\tNN\tI-NP\tO' +p322180 +aS'per\tper\tIN\tB-PP\tO' +p322181 +aS'day\tday\tNN\tB-NP\tO' +p322182 +aS'x\tx\tSYM\tO\tO' +p322183 +aS'35\t35\tCD\tB-NP\tO' +p322184 +aS'years\tyear\tNNS\tI-NP\tO' +p322185 +aS')\t)\t)\tO\tO' +p322186 +aS'whose\twhose\tWP$\tB-NP\tO' +p322187 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p322188 +aS'began\tbegin\tVBD\tB-VP\tO' +p322189 +aS'last\tlast\tRB\tB-NP\tO' +p322190 +aS'12/92\t12/92\tCD\tI-NP\tO' +p322191 +aS'when\twhen\tWRB\tB-ADVP\tO' +p322192 +aS'he\the\tPRP\tB-NP\tO' +p322193 +aS'had\thave\tVBD\tB-VP\tO' +p322194 +aS'a\ta\tDT\tB-NP\tO' +p322195 +aS'persistent\tpersistent\tJJ\tI-NP\tO' +p322196 +aS'cough\tcough\tNN\tI-NP\tO' +p322197 +aS'and\tand\tCC\tI-NP\tO' +p322198 +aS'fever\tfever\tNN\tI-NP\tO' +p322199 +aS'.\t.\t.\tO\tO' +p322200 +asS'The patient is to be discharged today to Lahey Clinic - North Shore Hospital for long-term pulmonary ........ therapy and further evaluation of her obstructive-sleep apnea .' +p322201 +(lp322202 +S'The\tThe\tDT\tB-NP\tO' +p322203 +aS'patient\tpatient\tNN\tI-NP\tO' +p322204 +aS'is\tbe\tVBZ\tB-VP\tO' +p322205 +aS'to\tto\tTO\tI-VP\tO' +p322206 +aS'be\tbe\tVB\tI-VP\tO' +p322207 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p322208 +aS'today\ttoday\tNN\tB-NP\tO' +p322209 +aS'to\tto\tTO\tB-PP\tO' +p322210 +aS'Lahey\tLahey\tNNP\tB-NP\tO' +p322211 +aS'Clinic\tClinic\tNNP\tI-NP\tO' +p322212 +aS'-\t-\tHYPH\tO\tO' +p322213 +aS'North\tNorth\tNNP\tB-NP\tO' +p322214 +aS'Shore\tShore\tNNP\tI-NP\tO' +p322215 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p322216 +aS'for\tfor\tIN\tB-PP\tO' +p322217 +aS'long-term\tlong-term\tJJ\tB-NP\tO' +p322218 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p322219 +aS'........\t........\t:\tO\tO' +p322220 +aS'therapy\ttherapy\tNN\tB-NP\tO' +p322221 +aS'and\tand\tCC\tO\tO' +p322222 +aS'further\tfurther\tJJ\tB-NP\tO' +p322223 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p322224 +aS'of\tof\tIN\tB-PP\tO' +p322225 +aS'her\ther\tPRP$\tB-NP\tO' +p322226 +aS'obstructive-sleep\tobstructive-sleep\tJJ\tI-NP\tO' +p322227 +aS'apnea\tapnea\tNN\tI-NP\tO' +p322228 +aS'.\t.\t.\tO\tO' +p322229 +asS'She should eventually have a tissue transglutaminase to rule out celiac disease .' +p322230 +(lp322231 +S'She\tShe\tPRP\tB-NP\tO' +p322232 +aS'should\tshould\tMD\tB-VP\tO' +p322233 +aS'eventually\teventually\tRB\tI-VP\tO' +p322234 +aS'have\thave\tVB\tI-VP\tO' +p322235 +aS'a\ta\tDT\tB-NP\tO' +p322236 +aS'tissue\ttissue\tNN\tI-NP\tB-protein' +p322237 +aS'transglutaminase\ttransglutaminase\tNN\tI-NP\tI-protein' +p322238 +aS'to\tto\tTO\tB-VP\tO' +p322239 +aS'rule\trule\tVB\tI-VP\tO' +p322240 +aS'out\tout\tRP\tB-PRT\tO' +p322241 +aS'celiac\tceliac\tJJ\tB-NP\tO' +p322242 +aS'disease\tdisease\tNN\tI-NP\tO' +p322243 +aS'.\t.\t.\tO\tO' +p322244 +asS'2015-11-02 Coronary Artery Bypass Graft x 2 ( Lima to LAD , SVG to OM )' +p322245 +(lp322246 +S'2015-11-02\t2015-11-02\tCD\tB-NP\tO' +p322247 +aS'Coronary\tCoronary\tNNP\tI-NP\tO' +p322248 +aS'Artery\tArtery\tNNP\tI-NP\tO' +p322249 +aS'Bypass\tBypass\tNNP\tI-NP\tO' +p322250 +aS'Graft\tGraft\tNNP\tI-NP\tO' +p322251 +aS'x\tx\tNN\tI-NP\tO' +p322252 +aS'2\t2\tCD\tI-NP\tO' +p322253 +aS'(\t(\t(\tO\tO' +p322254 +aS'Lima\tLima\tNN\tB-NP\tO' +p322255 +aS'to\tto\tTO\tB-PP\tO' +p322256 +aS'LAD\tLAD\tNN\tB-NP\tB-protein' +p322257 +aS',\t,\t,\tO\tO' +p322258 +aS'SVG\tSVG\tNN\tB-NP\tO' +p322259 +aS'to\tto\tTO\tB-PP\tO' +p322260 +aS'OM\tOM\tNN\tB-NP\tO' +p322261 +aS')\t)\t)\tO\tO' +p322262 +asS'For the concern of a perforated viscus , the patient was taken to exploratory laparotomy on 01/06/98 , during which the bowel was run without evidence of perforation .' +p322263 +(lp322264 +S'For\tFor\tIN\tB-PP\tO' +p322265 +aS'the\tthe\tDT\tB-NP\tO' +p322266 +aS'concern\tconcern\tNN\tI-NP\tO' +p322267 +aS'of\tof\tIN\tB-PP\tO' +p322268 +aS'a\ta\tDT\tB-NP\tO' +p322269 +aS'perforated\tperforated\tJJ\tI-NP\tO' +p322270 +aS'viscus\tviscus\tNN\tI-NP\tO' +p322271 +aS',\t,\t,\tO\tO' +p322272 +aS'the\tthe\tDT\tB-NP\tO' +p322273 +aS'patient\tpatient\tNN\tI-NP\tO' +p322274 +aS'was\tbe\tVBD\tB-VP\tO' +p322275 +aS'taken\ttake\tVBN\tI-VP\tO' +p322276 +aS'to\tto\tTO\tB-PP\tO' +p322277 +aS'exploratory\texploratory\tJJ\tB-NP\tO' +p322278 +aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' +p322279 +aS'on\ton\tIN\tB-PP\tO' +p322280 +aS'01/06/98\t01/06/98\tCD\tB-NP\tO' +p322281 +aS',\t,\t,\tO\tO' +p322282 +aS'during\tduring\tIN\tB-PP\tO' +p322283 +aS'which\twhich\tWDT\tB-NP\tO' +p322284 +aS'the\tthe\tDT\tB-NP\tO' +p322285 +aS'bowel\tbowel\tNN\tI-NP\tO' +p322286 +aS'was\tbe\tVBD\tB-VP\tO' +p322287 +aS'run\trun\tVBN\tI-VP\tO' +p322288 +aS'without\twithout\tIN\tB-PP\tO' +p322289 +aS'evidence\tevidence\tNN\tB-NP\tO' +p322290 +aS'of\tof\tIN\tB-PP\tO' +p322291 +aS'perforation\tperforation\tNN\tB-NP\tO' +p322292 +aS'.\t.\t.\tO\tO' +p322293 +asS'6. Colace 100 mg twice a day .' +p322294 +(lp322295 +S'6.\t6.\tCD\tB-NP\tO' +p322296 +aS'Colace\tColace\tNNP\tI-NP\tO' +p322297 +aS'100\t100\tCD\tI-NP\tO' +p322298 +aS'mg\tmg\tNN\tI-NP\tO' +p322299 +aS'twice\ttwice\tRB\tB-NP\tO' +p322300 +aS'a\ta\tDT\tI-NP\tO' +p322301 +aS'day\tday\tNN\tI-NP\tO' +p322302 +aS'.\t.\t.\tO\tO' +p322303 +asS'The mother had spontaneous onset of labor and progressed to a spontaneous vaginal delivery .' +p322304 +(lp322305 +S'The\tThe\tDT\tB-NP\tO' +p322306 +aS'mother\tmother\tNN\tI-NP\tO' +p322307 +aS'had\thave\tVBD\tB-VP\tO' +p322308 +aS'spontaneous\tspontaneous\tJJ\tB-NP\tO' +p322309 +aS'onset\tonset\tNN\tI-NP\tO' +p322310 +aS'of\tof\tIN\tB-PP\tO' +p322311 +aS'labor\tlabor\tNN\tB-NP\tO' +p322312 +aS'and\tand\tCC\tO\tO' +p322313 +aS'progressed\tprogress\tVBD\tB-VP\tO' +p322314 +aS'to\tto\tTO\tB-PP\tO' +p322315 +aS'a\ta\tDT\tB-NP\tO' +p322316 +aS'spontaneous\tspontaneous\tJJ\tI-NP\tO' +p322317 +aS'vaginal\tvaginal\tJJ\tI-NP\tO' +p322318 +aS'delivery\tdelivery\tNN\tI-NP\tO' +p322319 +aS'.\t.\t.\tO\tO' +p322320 +asS'The patient on ranitidine 150 mg p.o. b.i.d. for gastrointestinal prophylaxis .' +p322321 +(lp322322 +S'The\tThe\tDT\tB-NP\tO' +p322323 +aS'patient\tpatient\tNN\tI-NP\tO' +p322324 +aS'on\ton\tIN\tB-PP\tO' +p322325 +aS'ranitidine\tranitidine\tNN\tB-NP\tB-protein' +p322326 +aS'150\t150\tCD\tI-NP\tI-protein' +p322327 +aS'mg\tmg\tNN\tI-NP\tI-protein' +p322328 +aS'p.o.\tp.o.\tNN\tI-NP\tI-protein' +p322329 +aS'b.i.d.\tb.i.d.\tNN\tI-NP\tI-protein' +p322330 +aS'for\tfor\tIN\tB-PP\tO' +p322331 +aS'gastrointestinal\tgastrointestinal\tJJ\tB-NP\tO' +p322332 +aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' +p322333 +aS'.\t.\t.\tO\tO' +p322334 +asS'He was transfused with 1/2 units of packed red blood cells and given Lasix periodically to prevent him from going into congestive heart failure has he had on his prior transfusion .' +p322335 +(lp322336 +S'He\tHe\tPRP\tB-NP\tO' +p322337 +aS'was\tbe\tVBD\tB-VP\tO' +p322338 +aS'transfused\ttransfuse\tVBN\tI-VP\tO' +p322339 +aS'with\twith\tIN\tB-PP\tO' +p322340 +aS'1/2\t1/2\tCD\tB-NP\tO' +p322341 +aS'units\tunit\tNNS\tI-NP\tO' +p322342 +aS'of\tof\tIN\tB-PP\tO' +p322343 +aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' +p322344 +aS'red\tred\tJJ\tI-NP\tI-cell_type' +p322345 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p322346 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p322347 +aS'and\tand\tCC\tO\tO' +p322348 +aS'given\tgive\tVBN\tB-VP\tO' +p322349 +aS'Lasix\tLasix\tNNP\tB-NP\tO' +p322350 +aS'periodically\tperiodically\tRB\tB-ADVP\tO' +p322351 +aS'to\tto\tTO\tB-VP\tO' +p322352 +aS'prevent\tprevent\tVB\tI-VP\tO' +p322353 +aS'him\thim\tPRP\tB-NP\tO' +p322354 +aS'from\tfrom\tIN\tB-PP\tO' +p322355 +aS'going\tgo\tVBG\tB-VP\tO' +p322356 +aS'into\tinto\tIN\tB-PP\tO' +p322357 +aS'congestive\tcongestive\tJJ\tB-NP\tO' +p322358 +aS'heart\theart\tNN\tI-NP\tO' +p322359 +aS'failure\tfailure\tNN\tI-NP\tO' +p322360 +aS'has\thave\tVBZ\tB-VP\tO' +p322361 +aS'he\the\tPRP\tB-NP\tO' +p322362 +aS'had\thave\tVBD\tB-VP\tO' +p322363 +aS'on\ton\tIN\tB-PP\tO' +p322364 +aS'his\this\tPRP$\tB-NP\tO' +p322365 +aS'prior\tprior\tJJ\tI-NP\tO' +p322366 +aS'transfusion\ttransfusion\tNN\tI-NP\tO' +p322367 +aS'.\t.\t.\tO\tO' +p322368 +asS'Right dialysis catheter ( 2018-11-05 ) was changed over a wire 2019-01-08 .' +p322369 +(lp322370 +S'Right\tRight\tNN\tB-NP\tO' +p322371 +aS'dialysis\tdialysis\tNN\tI-NP\tO' +p322372 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p322373 +aS'(\t(\t(\tO\tO' +p322374 +aS'2018-11-05\t2018-11-05\tCD\tB-NP\tO' +p322375 +aS')\t)\t)\tO\tO' +p322376 +aS'was\tbe\tVBD\tB-VP\tO' +p322377 +aS'changed\tchange\tVBN\tI-VP\tO' +p322378 +aS'over\tover\tIN\tB-PP\tO' +p322379 +aS'a\ta\tDT\tB-NP\tO' +p322380 +aS'wire\twire\tNN\tI-NP\tO' +p322381 +aS'2019-01-08\t2019-01-08\tCD\tI-NP\tO' +p322382 +aS'.\t.\t.\tO\tO' +p322383 +asS'Make an appointment with Dr. Murray for 4 weeks .' +p322384 +(lp322385 +S'Make\tMake\tVB\tB-VP\tO' +p322386 +aS'an\tan\tDT\tB-NP\tO' +p322387 +aS'appointment\tappointment\tNN\tI-NP\tO' +p322388 +aS'with\twith\tIN\tB-PP\tO' +p322389 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p322390 +aS'Murray\tMurray\tNNP\tI-NP\tO' +p322391 +aS'for\tfor\tIN\tB-PP\tO' +p322392 +aS'4\t4\tCD\tB-NP\tO' +p322393 +aS'weeks\tweek\tNNS\tI-NP\tO' +p322394 +aS'.\t.\t.\tO\tO' +p322395 +asS'2. Rule out sepsis , off antibiotics .' +p322396 +(lp322397 +S'2.\t2.\tLS\tB-LST\tO' +p322398 +aS'Rule\tRule\tNNP\tB-NP\tO' +p322399 +aS'out\tout\tIN\tB-PP\tO' +p322400 +aS'sepsis\tsepsis\tNN\tB-NP\tO' +p322401 +aS',\t,\t,\tO\tO' +p322402 +aS'off\toff\tIN\tB-PP\tO' +p322403 +aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' +p322404 +aS'.\t.\t.\tO\tO' +p322405 +asS'The patient 's white count at the time of discharge is within normal limits .' +p322406 +(lp322407 +S'The\tThe\tDT\tB-NP\tO' +p322408 +aS'patient\tpatient\tNN\tI-NP\tO' +p322409 +aS''s\t'\tNNS\tI-NP\tO' +p322410 +aS'white\twhite\tJJ\tB-NP\tO' +p322411 +aS'count\tcount\tNN\tI-NP\tO' +p322412 +aS'at\tat\tIN\tB-PP\tO' +p322413 +aS'the\tthe\tDT\tB-NP\tO' +p322414 +aS'time\ttime\tNN\tI-NP\tO' +p322415 +aS'of\tof\tIN\tB-PP\tO' +p322416 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p322417 +aS'is\tbe\tVBZ\tB-VP\tO' +p322418 +aS'within\twithin\tIN\tB-PP\tO' +p322419 +aS'normal\tnormal\tJJ\tB-NP\tO' +p322420 +aS'limits\tlimit\tNNS\tI-NP\tO' +p322421 +aS'.\t.\t.\tO\tO' +p322422 +asS'The patient 's sister died eight years prior to the patient 's admission of leukemia , and he otherwise has no next of kin with the exception of one brother in Washington , with whom his relationship is tenuous .' +p322423 +(lp322424 +S'The\tThe\tDT\tB-NP\tO' +p322425 +aS'patient\tpatient\tNN\tI-NP\tO' +p322426 +aS''s\t'\tNNS\tI-NP\tO' +p322427 +aS'sister\tsister\tNN\tI-NP\tO' +p322428 +aS'died\tdie\tVBD\tB-VP\tO' +p322429 +aS'eight\teight\tCD\tB-NP\tO' +p322430 +aS'years\tyear\tNNS\tI-NP\tO' +p322431 +aS'prior\tprior\tRB\tB-ADVP\tO' +p322432 +aS'to\tto\tTO\tB-PP\tO' +p322433 +aS'the\tthe\tDT\tB-NP\tO' +p322434 +aS'patient\tpatient\tNN\tI-NP\tO' +p322435 +aS''s\t'\tNNS\tI-NP\tO' +p322436 +aS'admission\tadmission\tNN\tI-NP\tO' +p322437 +aS'of\tof\tIN\tB-PP\tO' +p322438 +aS'leukemia\tleukemia\tNN\tB-NP\tO' +p322439 +aS',\t,\t,\tO\tO' +p322440 +aS'and\tand\tCC\tO\tO' +p322441 +aS'he\the\tPRP\tB-NP\tO' +p322442 +aS'otherwise\totherwise\tRB\tB-ADVP\tO' +p322443 +aS'has\thave\tVBZ\tB-VP\tO' +p322444 +aS'no\tno\tDT\tB-NP\tO' +p322445 +aS'next\tnext\tNN\tI-NP\tO' +p322446 +aS'of\tof\tIN\tB-PP\tO' +p322447 +aS'kin\tkin\tNN\tB-NP\tO' +p322448 +aS'with\twith\tIN\tB-PP\tO' +p322449 +aS'the\tthe\tDT\tB-NP\tO' +p322450 +aS'exception\texception\tNN\tI-NP\tO' +p322451 +aS'of\tof\tIN\tB-PP\tO' +p322452 +aS'one\tone\tCD\tB-NP\tO' +p322453 +aS'brother\tbrother\tNN\tI-NP\tO' +p322454 +aS'in\tin\tIN\tB-PP\tO' +p322455 +aS'Washington\tWashington\tNNP\tB-NP\tO' +p322456 +aS',\t,\t,\tO\tO' +p322457 +aS'with\twith\tIN\tB-PP\tO' +p322458 +aS'whom\twhom\tWP\tB-NP\tO' +p322459 +aS'his\this\tPRP$\tB-NP\tO' +p322460 +aS'relationship\trelationship\tNN\tI-NP\tO' +p322461 +aS'is\tbe\tVBZ\tB-VP\tO' +p322462 +aS'tenuous\ttenuous\tJJ\tB-ADJP\tO' +p322463 +aS'.\t.\t.\tO\tO' +p322464 +asS'The patient had been doing aerobics three times a week until a couple of weeks before admission .' +p322465 +(lp322466 +S'The\tThe\tDT\tB-NP\tO' +p322467 +aS'patient\tpatient\tNN\tI-NP\tO' +p322468 +aS'had\thave\tVBD\tB-VP\tO' +p322469 +aS'been\tbe\tVBN\tI-VP\tO' +p322470 +aS'doing\tdo\tVBG\tI-VP\tO' +p322471 +aS'aerobics\taerobic\tNNS\tB-NP\tO' +p322472 +aS'three\tthree\tCD\tB-NP\tO' +p322473 +aS'times\ttime\tNNS\tI-NP\tO' +p322474 +aS'a\ta\tDT\tB-NP\tO' +p322475 +aS'week\tweek\tNN\tI-NP\tO' +p322476 +aS'until\tuntil\tIN\tB-SBAR\tO' +p322477 +aS'a\ta\tDT\tB-NP\tO' +p322478 +aS'couple\tcouple\tNN\tI-NP\tO' +p322479 +aS'of\tof\tIN\tB-PP\tO' +p322480 +aS'weeks\tweek\tNNS\tB-NP\tO' +p322481 +aS'before\tbefore\tIN\tB-PP\tO' +p322482 +aS'admission\tadmission\tNN\tB-NP\tO' +p322483 +aS'.\t.\t.\tO\tO' +p322484 +asS'WHOLE BLOOD , MISCELLANEOUS CHEMISTRY Glucose Lactate Na K Cl calHCO3' +p322485 +(lp322486 +S'WHOLE\tWHOLE\tJJ\tB-NP\tO' +p322487 +aS'BLOOD\tBLOOD\tNN\tI-NP\tO' +p322488 +aS',\t,\t,\tO\tO' +p322489 +aS'MISCELLANEOUS\tMISCELLANEOUS\tNNP\tB-NP\tO' +p322490 +aS'CHEMISTRY\tCHEMISTRY\tNNP\tI-NP\tO' +p322491 +aS'Glucose\tGlucose\tNN\tI-NP\tO' +p322492 +aS'Lactate\tLactate\tNN\tI-NP\tO' +p322493 +aS'Na\tNa\tNN\tI-NP\tO' +p322494 +aS'K\tK\tNN\tI-NP\tO' +p322495 +aS'Cl\tCl\tNN\tI-NP\tO' +p322496 +aS'calHCO3\tcalHCO3\tNN\tI-NP\tO' +p322497 +asS'COMPARISONS : None .' +p322498 +(lp322499 +S'COMPARISONS\tCOMPARISONS\tNNS\tB-NP\tO' +p322500 +aS':\t:\t:\tO\tO' +p322501 +aS'None\tNone\tNN\tB-NP\tO' +p322502 +aS'.\t.\t.\tO\tO' +p322503 +asS'Heart was regular with a I / VI systolic ejection murmur without jugular venous distention .' +p322504 +(lp322505 +S'Heart\tHeart\tNNP\tB-NP\tO' +p322506 +aS'was\tbe\tVBD\tB-VP\tO' +p322507 +aS'regular\tregular\tJJ\tB-ADJP\tO' +p322508 +aS'with\twith\tIN\tB-PP\tO' +p322509 +aS'a\ta\tDT\tB-NP\tO' +p322510 +aS'I\tI\tNN\tI-NP\tO' +p322511 +aS'/\t/\tSYM\tB-NP\tO' +p322512 +aS'VI\tVI\tNN\tI-NP\tO' +p322513 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p322514 +aS'ejection\tejection\tNN\tI-NP\tO' +p322515 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p322516 +aS'without\twithout\tIN\tB-PP\tO' +p322517 +aS'jugular\tjugular\tJJ\tB-NP\tO' +p322518 +aS'venous\tvenous\tJJ\tI-NP\tO' +p322519 +aS'distention\tdistention\tNN\tI-NP\tO' +p322520 +aS'.\t.\t.\tO\tO' +p322521 +asS'The patient was brought to the Operating Room on January 3 , 1994 where she underwent a median sternotomy with removal of her mediastinal mass .' +p322522 +(lp322523 +S'The\tThe\tDT\tB-NP\tO' +p322524 +aS'patient\tpatient\tNN\tI-NP\tO' +p322525 +aS'was\tbe\tVBD\tB-VP\tO' +p322526 +aS'brought\tbring\tVBN\tI-VP\tO' +p322527 +aS'to\tto\tTO\tB-PP\tO' +p322528 +aS'the\tthe\tDT\tB-NP\tO' +p322529 +aS'Operating\tOperating\tNNP\tI-NP\tO' +p322530 +aS'Room\tRoom\tNNP\tI-NP\tO' +p322531 +aS'on\ton\tIN\tB-PP\tO' +p322532 +aS'January\tJanuary\tNNP\tB-NP\tO' +p322533 +aS'3\t3\tCD\tI-NP\tO' +p322534 +aS',\t,\t,\tI-NP\tO' +p322535 +aS'1994\t1994\tCD\tI-NP\tO' +p322536 +aS'where\twhere\tWRB\tB-ADVP\tO' +p322537 +aS'she\tshe\tPRP\tB-NP\tO' +p322538 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p322539 +aS'a\ta\tDT\tB-NP\tO' +p322540 +aS'median\tmedian\tJJ\tI-NP\tO' +p322541 +aS'sternotomy\tsternotomy\tNN\tI-NP\tO' +p322542 +aS'with\twith\tIN\tB-PP\tO' +p322543 +aS'removal\tremoval\tNN\tB-NP\tO' +p322544 +aS'of\tof\tIN\tB-PP\tO' +p322545 +aS'her\ther\tPRP$\tB-NP\tO' +p322546 +aS'mediastinal\tmediastinal\tJJ\tI-NP\tO' +p322547 +aS'mass\tmass\tNN\tI-NP\tO' +p322548 +aS'.\t.\t.\tO\tO' +p322549 +asS'Supple , no masses , no lymphadenopathy .' +p322550 +(lp322551 +S'Supple\tSupple\tNNP\tB-NP\tO' +p322552 +aS',\t,\t,\tO\tO' +p322553 +aS'no\tno\tDT\tB-NP\tO' +p322554 +aS'masses\tmass\tNNS\tI-NP\tO' +p322555 +aS',\t,\t,\tO\tO' +p322556 +aS'no\tno\tDT\tB-NP\tO' +p322557 +aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' +p322558 +aS'.\t.\t.\tO\tO' +p322559 +asS'Her two month immunizations have not yet been given .' +p322560 +(lp322561 +S'Her\tHer\tPRP$\tB-NP\tO' +p322562 +aS'two\ttwo\tCD\tI-NP\tO' +p322563 +aS'month\tmonth\tNN\tI-NP\tO' +p322564 +aS'immunizations\timmunization\tNNS\tI-NP\tO' +p322565 +aS'have\thave\tVBP\tB-VP\tO' +p322566 +aS'not\tnot\tRB\tI-VP\tO' +p322567 +aS'yet\tyet\tRB\tI-VP\tO' +p322568 +aS'been\tbe\tVBN\tI-VP\tO' +p322569 +aS'given\tgive\tVBN\tI-VP\tO' +p322570 +aS'.\t.\t.\tO\tO' +p322571 +asS'There is no evidence of right pleural effusion or right pneumothorax .' +p322572 +(lp322573 +S'There\tThere\tEX\tB-NP\tO' +p322574 +aS'is\tbe\tVBZ\tB-VP\tO' +p322575 +aS'no\tno\tDT\tB-NP\tO' +p322576 +aS'evidence\tevidence\tNN\tI-NP\tO' +p322577 +aS'of\tof\tIN\tB-PP\tO' +p322578 +aS'right\tright\tJJ\tB-NP\tO' +p322579 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p322580 +aS'effusion\teffusion\tNN\tI-NP\tO' +p322581 +aS'or\tor\tCC\tO\tO' +p322582 +aS'right\tright\tJJ\tB-NP\tO' +p322583 +aS'pneumothorax\tpneumothorax\tNN\tI-NP\tO' +p322584 +aS'.\t.\t.\tO\tO' +p322585 +asS'The patient was transferred to the floor without any complications .' +p322586 +(lp322587 +S'The\tThe\tDT\tB-NP\tO' +p322588 +aS'patient\tpatient\tNN\tI-NP\tO' +p322589 +aS'was\tbe\tVBD\tB-VP\tO' +p322590 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p322591 +aS'to\tto\tTO\tB-PP\tO' +p322592 +aS'the\tthe\tDT\tB-NP\tO' +p322593 +aS'floor\tfloor\tNN\tI-NP\tO' +p322594 +aS'without\twithout\tIN\tB-PP\tO' +p322595 +aS'any\tany\tDT\tB-NP\tO' +p322596 +aS'complications\tcomplication\tNNS\tI-NP\tO' +p322597 +aS'.\t.\t.\tO\tO' +p322598 +asS'Morphine / Histamine H2 Inhibitors / Heparin Agents' +p322599 +(lp322600 +S'Morphine\tMorphine\tNN\tB-NP\tO' +p322601 +aS'/\t/\tSYM\tI-NP\tO' +p322602 +aS'Histamine\tHistamine\tNN\tI-NP\tO' +p322603 +aS'H2\tH2\tNN\tI-NP\tO' +p322604 +aS'Inhibitors\tInhibitor\tNNS\tI-NP\tO' +p322605 +aS'/\t/\tSYM\tB-NP\tO' +p322606 +aS'Heparin\tHeparin\tNN\tI-NP\tO' +p322607 +aS'Agents\tAgent\tNNS\tI-NP\tO' +p322608 +asS'EMS was activated , however , the patient refused to go to the hospital .' +p322609 +(lp322610 +S'EMS\tEMS\tNNS\tB-NP\tO' +p322611 +aS'was\tbe\tVBD\tB-VP\tO' +p322612 +aS'activated\tactivate\tVBN\tI-VP\tO' +p322613 +aS',\t,\t,\tO\tO' +p322614 +aS'however\thowever\tRB\tB-ADVP\tO' +p322615 +aS',\t,\t,\tO\tO' +p322616 +aS'the\tthe\tDT\tB-NP\tO' +p322617 +aS'patient\tpatient\tNN\tI-NP\tO' +p322618 +aS'refused\trefuse\tVBD\tB-VP\tO' +p322619 +aS'to\tto\tTO\tI-VP\tO' +p322620 +aS'go\tgo\tVB\tI-VP\tO' +p322621 +aS'to\tto\tTO\tB-PP\tO' +p322622 +aS'the\tthe\tDT\tB-NP\tO' +p322623 +aS'hospital\thospital\tNN\tI-NP\tO' +p322624 +aS'.\t.\t.\tO\tO' +p322625 +asS'Phenobarbital levels were 31.4 , 30.2 , and 50 .' +p322626 +(lp322627 +S'Phenobarbital\tPhenobarbital\tNN\tB-NP\tO' +p322628 +aS'levels\tlevel\tNNS\tI-NP\tO' +p322629 +aS'were\tbe\tVBD\tB-VP\tO' +p322630 +aS'31.4\t31.4\tCD\tB-NP\tO' +p322631 +aS',\t,\t,\tI-NP\tO' +p322632 +aS'30.2\t30.2\tCD\tI-NP\tO' +p322633 +aS',\t,\t,\tO\tO' +p322634 +aS'and\tand\tCC\tO\tO' +p322635 +aS'50\t50\tCD\tB-NP\tO' +p322636 +aS'.\t.\t.\tO\tO' +p322637 +asS'His balloon pump had already been removed and on postoperative day #3 , he was transferred to the floor on Lopressor and amiodarone in normal sinus rhythm .' +p322638 +(lp322639 +S'His\tHis\tPRP$\tB-NP\tO' +p322640 +aS'balloon\tballoon\tNN\tI-NP\tO' +p322641 +aS'pump\tpump\tNN\tI-NP\tO' +p322642 +aS'had\thave\tVBD\tB-VP\tO' +p322643 +aS'already\talready\tRB\tI-VP\tO' +p322644 +aS'been\tbe\tVBN\tI-VP\tO' +p322645 +aS'removed\tremove\tVBN\tI-VP\tO' +p322646 +aS'and\tand\tCC\tO\tO' +p322647 +aS'on\ton\tIN\tB-PP\tO' +p322648 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p322649 +aS'day\tday\tNN\tI-NP\tO' +p322650 +aS'#3\t#3\tNN\tI-NP\tO' +p322651 +aS',\t,\t,\tO\tO' +p322652 +aS'he\the\tPRP\tB-NP\tO' +p322653 +aS'was\tbe\tVBD\tB-VP\tO' +p322654 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p322655 +aS'to\tto\tTO\tB-PP\tO' +p322656 +aS'the\tthe\tDT\tB-NP\tO' +p322657 +aS'floor\tfloor\tNN\tI-NP\tO' +p322658 +aS'on\ton\tIN\tB-PP\tO' +p322659 +aS'Lopressor\tLopressor\tNN\tB-NP\tO' +p322660 +aS'and\tand\tCC\tI-NP\tO' +p322661 +aS'amiodarone\tamiodarone\tNN\tI-NP\tO' +p322662 +aS'in\tin\tIN\tB-PP\tO' +p322663 +aS'normal\tnormal\tJJ\tB-NP\tO' +p322664 +aS'sinus\tsinus\tNN\tI-NP\tO' +p322665 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p322666 +aS'.\t.\t.\tO\tO' +p322667 +asS'He is a 39 year-old gentleman with hyperlipidemia and smoking who presented with acute onset of chest pain since five in the morning with radiation to the left arm and nausea .' +p322668 +(lp322669 +S'He\tHe\tPRP\tB-NP\tB-DNA' +p322670 +aS'is\tbe\tVBZ\tB-VP\tO' +p322671 +aS'a\ta\tDT\tB-NP\tO' +p322672 +aS'39\t39\tCD\tI-NP\tO' +p322673 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p322674 +aS'gentleman\tgentleman\tNN\tI-NP\tO' +p322675 +aS'with\twith\tIN\tB-PP\tO' +p322676 +aS'hyperlipidemia\thyperlipidemia\tNN\tB-NP\tO' +p322677 +aS'and\tand\tCC\tI-NP\tO' +p322678 +aS'smoking\tsmoking\tNN\tI-NP\tO' +p322679 +aS'who\twho\tWP\tB-NP\tO' +p322680 +aS'presented\tpresent\tVBD\tB-VP\tO' +p322681 +aS'with\twith\tIN\tB-PP\tO' +p322682 +aS'acute\tacute\tJJ\tB-NP\tO' +p322683 +aS'onset\tonset\tNN\tI-NP\tO' +p322684 +aS'of\tof\tIN\tB-PP\tO' +p322685 +aS'chest\tchest\tNN\tB-NP\tO' +p322686 +aS'pain\tpain\tNN\tI-NP\tO' +p322687 +aS'since\tsince\tIN\tB-PP\tO' +p322688 +aS'five\tfive\tCD\tB-NP\tO' +p322689 +aS'in\tin\tIN\tB-PP\tO' +p322690 +aS'the\tthe\tDT\tB-NP\tO' +p322691 +aS'morning\tmorning\tNN\tI-NP\tO' +p322692 +aS'with\twith\tIN\tB-PP\tO' +p322693 +aS'radiation\tradiation\tNN\tB-NP\tO' +p322694 +aS'to\tto\tTO\tB-PP\tO' +p322695 +aS'the\tthe\tDT\tB-NP\tO' +p322696 +aS'left\tleft\tJJ\tI-NP\tO' +p322697 +aS'arm\tarm\tNN\tI-NP\tO' +p322698 +aS'and\tand\tCC\tI-NP\tO' +p322699 +aS'nausea\tnausea\tNN\tI-NP\tO' +p322700 +aS'.\t.\t.\tO\tO' +p322701 +asS'Started on Labetalol and then Nipride drip for BP control ; discontinued as goal BP in 130-160 s.' +p322702 +(lp322703 +S'Started\tStart\tVBN\tB-VP\tO' +p322704 +aS'on\ton\tIN\tB-PP\tO' +p322705 +aS'Labetalol\tLabetalol\tNN\tB-NP\tO' +p322706 +aS'and\tand\tCC\tB-NP\tO' +p322707 +aS'then\tthen\tRB\tI-NP\tO' +p322708 +aS'Nipride\tNipride\tNN\tB-NP\tO' +p322709 +aS'drip\tdrip\tNN\tI-NP\tO' +p322710 +aS'for\tfor\tIN\tB-PP\tO' +p322711 +aS'BP\tBP\tNN\tB-NP\tO' +p322712 +aS'control\tcontrol\tNN\tI-NP\tO' +p322713 +aS';\t;\t:\tO\tO' +p322714 +aS'discontinued\tdiscontinue\tVBN\tB-VP\tO' +p322715 +aS'as\tas\tIN\tB-PP\tO' +p322716 +aS'goal\tgoal\tNN\tB-NP\tO' +p322717 +aS'BP\tBP\tNN\tI-NP\tO' +p322718 +aS'in\tin\tIN\tB-PP\tO' +p322719 +aS'130-160\t130-160\tCD\tB-NP\tO' +p322720 +aS's.\ts.\tNNS\tI-NP\tO' +p322721 +asS'The patient lives alone and works full time doing secretarial work .' +p322722 +(lp322723 +S'The\tThe\tDT\tB-NP\tO' +p322724 +aS'patient\tpatient\tNN\tI-NP\tO' +p322725 +aS'lives\tlive\tVBZ\tB-VP\tO' +p322726 +aS'alone\talone\tRB\tB-ADVP\tO' +p322727 +aS'and\tand\tCC\tO\tO' +p322728 +aS'works\twork\tVBZ\tB-VP\tO' +p322729 +aS'full\tfull\tJJ\tB-NP\tO' +p322730 +aS'time\ttime\tNN\tI-NP\tO' +p322731 +aS'doing\tdo\tVBG\tB-VP\tO' +p322732 +aS'secretarial\tsecretarial\tJJ\tB-NP\tO' +p322733 +aS'work\twork\tNN\tI-NP\tO' +p322734 +aS'.\t.\t.\tO\tO' +p322735 +asS'Resting regional wall motion abnormalities include apical dyskinesis and distal anterior , septal , mid and distal inferior and inferolateral wall akinesis .' +p322736 +(lp322737 +S'Resting\tRest\tVBG\tB-VP\tO' +p322738 +aS'regional\tregional\tJJ\tB-NP\tO' +p322739 +aS'wall\twall\tNN\tI-NP\tO' +p322740 +aS'motion\tmotion\tNN\tI-NP\tO' +p322741 +aS'abnormalities\tabnormality\tNNS\tI-NP\tO' +p322742 +aS'include\tinclude\tVBP\tB-VP\tO' +p322743 +aS'apical\tapical\tJJ\tB-NP\tO' +p322744 +aS'dyskinesis\tdyskinesis\tNN\tI-NP\tO' +p322745 +aS'and\tand\tCC\tO\tO' +p322746 +aS'distal\tdistal\tJJ\tB-NP\tO' +p322747 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p322748 +aS',\t,\t,\tI-NP\tO' +p322749 +aS'septal\tseptal\tJJ\tI-NP\tO' +p322750 +aS',\t,\t,\tI-NP\tO' +p322751 +aS'mid\tmid\tJJ\tI-NP\tO' +p322752 +aS'and\tand\tCC\tI-NP\tO' +p322753 +aS'distal\tdistal\tJJ\tI-NP\tO' +p322754 +aS'inferior\tinferior\tJJ\tI-NP\tO' +p322755 +aS'and\tand\tCC\tI-NP\tO' +p322756 +aS'inferolateral\tinferolateral\tJJ\tI-NP\tO' +p322757 +aS'wall\twall\tNN\tI-NP\tO' +p322758 +aS'akinesis\takinesis\tNN\tI-NP\tO' +p322759 +aS'.\t.\t.\tO\tO' +p322760 +asS'4. CAD s/p velocity stenting proximal LAD 2002' +p322761 +(lp322762 +S'4.\t4.\tLS\tB-NP\tO' +p322763 +aS'CAD\tCAD\tNN\tI-NP\tO' +p322764 +aS's/p\ts/p\tNN\tI-NP\tO' +p322765 +aS'velocity\tvelocity\tNN\tI-NP\tO' +p322766 +aS'stenting\tstente\tVBG\tB-VP\tO' +p322767 +aS'proximal\tproximal\tJJ\tB-NP\tO' +p322768 +aS'LAD\tLAD\tNN\tI-NP\tO' +p322769 +aS'2002\t2002\tCD\tI-NP\tO' +p322770 +asS'PLEASE SEE ADDENDUM FOR ANY CHANGE IN MEDICATIONS AND DISCHARGE DATE .' +p322771 +(lp322772 +S'PLEASE\tPLEASE\tNNP\tB-NP\tO' +p322773 +aS'SEE\tSEE\tNNP\tI-NP\tO' +p322774 +aS'ADDENDUM\tADDENDUM\tNNP\tI-NP\tO' +p322775 +aS'FOR\tFOR\tNNP\tI-NP\tO' +p322776 +aS'ANY\tANY\tNNP\tI-NP\tO' +p322777 +aS'CHANGE\tCHANGE\tNNP\tI-NP\tO' +p322778 +aS'IN\tIN\tNNP\tI-NP\tO' +p322779 +aS'MEDICATIONS\tMEDICATIONS\tNNP\tI-NP\tO' +p322780 +aS'AND\tAND\tCC\tO\tO' +p322781 +aS'DISCHARGE\tDISCHARGE\tNNP\tB-NP\tO' +p322782 +aS'DATE\tDATE\tNNP\tI-NP\tO' +p322783 +aS'.\t.\t.\tO\tO' +p322784 +asS'He was seen in FLFDMC where he was noted to have jaundice and newly palpable liver edge .' +p322785 +(lp322786 +S'He\tHe\tPRP\tB-NP\tO' +p322787 +aS'was\tbe\tVBD\tB-VP\tO' +p322788 +aS'seen\tsee\tVBN\tI-VP\tO' +p322789 +aS'in\tin\tIN\tB-PP\tO' +p322790 +aS'FLFDMC\tFLFDMC\tNN\tB-NP\tB-cell_type' +p322791 +aS'where\twhere\tWRB\tB-ADVP\tO' +p322792 +aS'he\the\tPRP\tB-NP\tO' +p322793 +aS'was\tbe\tVBD\tB-VP\tO' +p322794 +aS'noted\tnote\tVBN\tI-VP\tO' +p322795 +aS'to\tto\tTO\tI-VP\tO' +p322796 +aS'have\thave\tVB\tI-VP\tO' +p322797 +aS'jaundice\tjaundice\tNN\tB-NP\tO' +p322798 +aS'and\tand\tCC\tO\tO' +p322799 +aS'newly\tnewly\tRB\tB-NP\tO' +p322800 +aS'palpable\tpalpable\tJJ\tI-NP\tO' +p322801 +aS'liver\tliver\tNN\tI-NP\tO' +p322802 +aS'edge\tedge\tNN\tI-NP\tO' +p322803 +aS'.\t.\t.\tO\tO' +p322804 +asS'scheduled c / s for breech' +p322805 +(lp322806 +S'scheduled\tschedule\tVBN\tB-NP\tO' +p322807 +aS'c\tc\tNN\tI-NP\tO' +p322808 +aS'/\t/\tSYM\tI-NP\tO' +p322809 +aS's\ts\tNN\tI-NP\tO' +p322810 +aS'for\tfor\tIN\tB-PP\tO' +p322811 +aS'breech\tbreech\tNN\tB-NP\tO' +p322812 +asS'9. Avandia 4 mg p.o. q. day .' +p322813 +(lp322814 +S'9.\t9.\tCD\tB-NP\tO' +p322815 +aS'Avandia\tAvandia\tNNP\tI-NP\tO' +p322816 +aS'4\t4\tCD\tI-NP\tO' +p322817 +aS'mg\tmg\tNN\tI-NP\tO' +p322818 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p322819 +aS'q.\tq.\tNN\tI-NP\tO' +p322820 +aS'day\tday\tNN\tI-NP\tO' +p322821 +aS'.\t.\t.\tO\tO' +p322822 +asS'Atropine was given and heart rate returned to the 70s and his blood pressure returned to the 120s over 80s .' +p322823 +(lp322824 +S'Atropine\tAtropine\tNN\tB-NP\tO' +p322825 +aS'was\tbe\tVBD\tB-VP\tO' +p322826 +aS'given\tgive\tVBN\tI-VP\tO' +p322827 +aS'and\tand\tCC\tO\tO' +p322828 +aS'heart\theart\tNN\tB-NP\tO' +p322829 +aS'rate\trate\tNN\tI-NP\tO' +p322830 +aS'returned\treturn\tVBD\tB-VP\tO' +p322831 +aS'to\tto\tTO\tB-PP\tO' +p322832 +aS'the\tthe\tDT\tB-NP\tO' +p322833 +aS'70s\t70\tNNS\tI-NP\tO' +p322834 +aS'and\tand\tCC\tO\tO' +p322835 +aS'his\this\tPRP$\tB-NP\tO' +p322836 +aS'blood\tblood\tNN\tI-NP\tO' +p322837 +aS'pressure\tpressure\tNN\tI-NP\tO' +p322838 +aS'returned\treturn\tVBD\tB-VP\tO' +p322839 +aS'to\tto\tTO\tB-PP\tO' +p322840 +aS'the\tthe\tDT\tB-NP\tO' +p322841 +aS'120s\t120s\tCD\tI-NP\tO' +p322842 +aS'over\tover\tIN\tB-PP\tO' +p322843 +aS'80s\t80s\tCD\tB-NP\tO' +p322844 +aS'.\t.\t.\tO\tO' +p322845 +asS'She is do not resuscitate in agreement with the wishes of her multiple family members .' +p322846 +(lp322847 +S'She\tShe\tPRP\tB-NP\tO' +p322848 +aS'is\tbe\tVBZ\tB-VP\tO' +p322849 +aS'do\tdo\tVBP\tI-VP\tO' +p322850 +aS'not\tnot\tRB\tI-VP\tO' +p322851 +aS'resuscitate\tresuscitate\tVB\tI-VP\tO' +p322852 +aS'in\tin\tIN\tB-PP\tO' +p322853 +aS'agreement\tagreement\tNN\tB-NP\tO' +p322854 +aS'with\twith\tIN\tB-PP\tO' +p322855 +aS'the\tthe\tDT\tB-NP\tO' +p322856 +aS'wishes\twish\tNNS\tI-NP\tO' +p322857 +aS'of\tof\tIN\tB-PP\tO' +p322858 +aS'her\ther\tPRP$\tB-NP\tB-protein' +p322859 +aS'multiple\tmultiple\tJJ\tI-NP\tI-protein' +p322860 +aS'family\tfamily\tNN\tI-NP\tI-protein' +p322861 +aS'members\tmember\tNNS\tI-NP\tI-protein' +p322862 +aS'.\t.\t.\tO\tO' +p322863 +asS'He was involved in a long extrication with a blood pressure of 88 at the scene .' +p322864 +(lp322865 +S'He\tHe\tPRP\tB-NP\tO' +p322866 +aS'was\tbe\tVBD\tB-VP\tO' +p322867 +aS'involved\tinvolve\tVBN\tI-VP\tO' +p322868 +aS'in\tin\tIN\tB-PP\tO' +p322869 +aS'a\ta\tDT\tB-NP\tO' +p322870 +aS'long\tlong\tJJ\tI-NP\tO' +p322871 +aS'extrication\textrication\tNN\tI-NP\tO' +p322872 +aS'with\twith\tIN\tB-PP\tO' +p322873 +aS'a\ta\tDT\tB-NP\tO' +p322874 +aS'blood\tblood\tNN\tI-NP\tO' +p322875 +aS'pressure\tpressure\tNN\tI-NP\tO' +p322876 +aS'of\tof\tIN\tB-PP\tO' +p322877 +aS'88\t88\tCD\tB-NP\tO' +p322878 +aS'at\tat\tIN\tB-PP\tO' +p322879 +aS'the\tthe\tDT\tB-NP\tO' +p322880 +aS'scene\tscene\tNN\tI-NP\tO' +p322881 +aS'.\t.\t.\tO\tO' +p322882 +asS'After discussing this with his PCP , Leon was clear that the patient had had recurrent DVTs and ultimately a PE and his PCP felt strongly that he required long-term anticoagulation .' +p322883 +(lp322884 +S'After\tAfter\tIN\tB-PP\tO' +p322885 +aS'discussing\tdiscuss\tVBG\tB-VP\tO' +p322886 +aS'this\tthis\tDT\tB-NP\tO' +p322887 +aS'with\twith\tIN\tB-PP\tO' +p322888 +aS'his\this\tPRP$\tB-NP\tO' +p322889 +aS'PCP\tPCP\tNN\tI-NP\tB-DNA' +p322890 +aS',\t,\t,\tO\tO' +p322891 +aS'Leon\tLeon\tNNP\tB-NP\tO' +p322892 +aS'was\tbe\tVBD\tB-VP\tO' +p322893 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p322894 +aS'that\tthat\tIN\tB-SBAR\tO' +p322895 +aS'the\tthe\tDT\tB-NP\tO' +p322896 +aS'patient\tpatient\tNN\tI-NP\tO' +p322897 +aS'had\thave\tVBD\tB-VP\tO' +p322898 +aS'had\thave\tVBN\tI-VP\tO' +p322899 +aS'recurrent\trecurrent\tJJ\tB-NP\tO' +p322900 +aS'DVTs\tDVT\tNNS\tI-NP\tO' +p322901 +aS'and\tand\tCC\tO\tO' +p322902 +aS'ultimately\tultimately\tRB\tB-ADVP\tO' +p322903 +aS'a\ta\tDT\tB-NP\tO' +p322904 +aS'PE\tPE\tNN\tI-NP\tO' +p322905 +aS'and\tand\tCC\tO\tO' +p322906 +aS'his\this\tPRP$\tB-NP\tO' +p322907 +aS'PCP\tPCP\tNN\tI-NP\tB-DNA' +p322908 +aS'felt\tfeel\tVBD\tB-VP\tO' +p322909 +aS'strongly\tstrongly\tRB\tB-ADVP\tO' +p322910 +aS'that\tthat\tIN\tB-SBAR\tO' +p322911 +aS'he\the\tPRP\tB-NP\tO' +p322912 +aS'required\trequire\tVBD\tB-VP\tO' +p322913 +aS'long-term\tlong-term\tJJ\tB-NP\tO' +p322914 +aS'anticoagulation\tanticoagulation\tNN\tI-NP\tO' +p322915 +aS'.\t.\t.\tO\tO' +p322916 +asS'On the day of admission , the patient went to the Operating Room and underwent a minimally invasive' +p322917 +(lp322918 +S'On\tOn\tIN\tB-PP\tO' +p322919 +aS'the\tthe\tDT\tB-NP\tO' +p322920 +aS'day\tday\tNN\tI-NP\tO' +p322921 +aS'of\tof\tIN\tB-PP\tO' +p322922 +aS'admission\tadmission\tNN\tB-NP\tO' +p322923 +aS',\t,\t,\tO\tO' +p322924 +aS'the\tthe\tDT\tB-NP\tO' +p322925 +aS'patient\tpatient\tNN\tI-NP\tO' +p322926 +aS'went\tgo\tVBD\tB-VP\tO' +p322927 +aS'to\tto\tTO\tB-PP\tO' +p322928 +aS'the\tthe\tDT\tB-NP\tO' +p322929 +aS'Operating\tOperating\tNNP\tI-NP\tO' +p322930 +aS'Room\tRoom\tNNP\tI-NP\tO' +p322931 +aS'and\tand\tCC\tO\tO' +p322932 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p322933 +aS'a\ta\tDT\tB-NP\tO' +p322934 +aS'minimally\tminimally\tRB\tI-NP\tO' +p322935 +aS'invasive\tinvasive\tJJ\tI-NP\tO' +p322936 +asS'Extremities no clubbing , cyanosis or edema .' +p322937 +(lp322938 +S'Extremities\tExtremity\tNNS\tB-NP\tO' +p322939 +aS'no\tno\tDT\tB-NP\tO' +p322940 +aS'clubbing\tclubbing\tNN\tI-NP\tO' +p322941 +aS',\t,\t,\tO\tO' +p322942 +aS'cyanosis\tcyanosis\tNN\tB-NP\tO' +p322943 +aS'or\tor\tCC\tI-NP\tO' +p322944 +aS'edema\tedema\tNN\tI-NP\tO' +p322945 +aS'.\t.\t.\tO\tO' +p322946 +asS'Dr. Streeter from Cardiothoracic Surgery will follow up with the patient for further management in approximately one month as an outpatient .' +p322947 +(lp322948 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p322949 +aS'Streeter\tStreeter\tNNP\tI-NP\tO' +p322950 +aS'from\tfrom\tIN\tB-PP\tO' +p322951 +aS'Cardiothoracic\tCardiothoracic\tNNP\tB-NP\tO' +p322952 +aS'Surgery\tSurgery\tNNP\tI-NP\tO' +p322953 +aS'will\twill\tMD\tB-VP\tO' +p322954 +aS'follow\tfollow\tVB\tI-VP\tO' +p322955 +aS'up\tup\tRP\tB-PRT\tO' +p322956 +aS'with\twith\tIN\tB-PP\tO' +p322957 +aS'the\tthe\tDT\tB-NP\tO' +p322958 +aS'patient\tpatient\tNN\tI-NP\tO' +p322959 +aS'for\tfor\tIN\tB-PP\tO' +p322960 +aS'further\tfurther\tJJ\tB-NP\tO' +p322961 +aS'management\tmanagement\tNN\tI-NP\tO' +p322962 +aS'in\tin\tIN\tB-PP\tO' +p322963 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p322964 +aS'one\tone\tCD\tI-NP\tO' +p322965 +aS'month\tmonth\tNN\tI-NP\tO' +p322966 +aS'as\tas\tIN\tB-PP\tO' +p322967 +aS'an\tan\tDT\tB-NP\tO' +p322968 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p322969 +aS'.\t.\t.\tO\tO' +p322970 +asS'S/P Subtotal Colectomy , Ileostomy , Gastrostomy tube' +p322971 +(lp322972 +S'S/P\tS/P\tNNP\tB-NP\tO' +p322973 +aS'Subtotal\tSubtotal\tNNP\tI-NP\tO' +p322974 +aS'Colectomy\tColectomy\tNNP\tI-NP\tO' +p322975 +aS',\t,\t,\tO\tO' +p322976 +aS'Ileostomy\tIleostomy\tNNP\tB-NP\tO' +p322977 +aS',\t,\t,\tO\tO' +p322978 +aS'Gastrostomy\tGastrostomy\tNNP\tB-NP\tO' +p322979 +aS'tube\ttube\tNNP\tI-NP\tO' +p322980 +asS'( 589 ) 690-3703 .' +p322981 +(lp322982 +S'(\t(\t(\tO\tO' +p322983 +aS'589\t589\tCD\tB-NP\tO' +p322984 +aS')\t)\t)\tO\tO' +p322985 +aS'690-3703\t690-3703\tCD\tB-NP\tO' +p322986 +aS'.\t.\t.\tO\tO' +p322987 +asS'However , tube placement was complicated by renal artery puncture , afib , and increased dyspnea .' +p322988 +(lp322989 +S'However\tHowever\tRB\tB-ADVP\tO' +p322990 +aS',\t,\t,\tO\tO' +p322991 +aS'tube\ttube\tNN\tB-NP\tO' +p322992 +aS'placement\tplacement\tNN\tI-NP\tO' +p322993 +aS'was\tbe\tVBD\tB-VP\tO' +p322994 +aS'complicated\tcomplicate\tVBN\tI-VP\tO' +p322995 +aS'by\tby\tIN\tB-PP\tO' +p322996 +aS'renal\trenal\tJJ\tB-NP\tO' +p322997 +aS'artery\tartery\tNN\tI-NP\tO' +p322998 +aS'puncture\tpuncture\tNN\tI-NP\tO' +p322999 +aS',\t,\t,\tO\tO' +p323000 +aS'afib\tafib\tNN\tB-NP\tO' +p323001 +aS',\t,\t,\tO\tO' +p323002 +aS'and\tand\tCC\tO\tO' +p323003 +aS'increased\tincrease\tVBN\tB-NP\tO' +p323004 +aS'dyspnea\tdyspnea\tNN\tI-NP\tO' +p323005 +aS'.\t.\t.\tO\tO' +p323006 +asS'He did have a small troponin leak , felt to be related to right heart strain in the setting of P-pulmonale related to clot burden .' +p323007 +(lp323008 +S'He\tHe\tPRP\tB-NP\tO' +p323009 +aS'did\tdo\tVBD\tB-VP\tO' +p323010 +aS'have\thave\tVB\tI-VP\tO' +p323011 +aS'a\ta\tDT\tB-NP\tO' +p323012 +aS'small\tsmall\tJJ\tI-NP\tO' +p323013 +aS'troponin\ttroponin\tNN\tI-NP\tO' +p323014 +aS'leak\tleak\tNN\tI-NP\tO' +p323015 +aS',\t,\t,\tO\tO' +p323016 +aS'felt\tfeel\tVBD\tB-VP\tO' +p323017 +aS'to\tto\tTO\tI-VP\tO' +p323018 +aS'be\tbe\tVB\tI-VP\tO' +p323019 +aS'related\trelated\tJJ\tB-ADJP\tO' +p323020 +aS'to\tto\tTO\tB-PP\tO' +p323021 +aS'right\tright\tJJ\tB-NP\tO' +p323022 +aS'heart\theart\tNN\tI-NP\tO' +p323023 +aS'strain\tstrain\tNN\tI-NP\tO' +p323024 +aS'in\tin\tIN\tB-PP\tO' +p323025 +aS'the\tthe\tDT\tB-NP\tO' +p323026 +aS'setting\tsetting\tNN\tI-NP\tO' +p323027 +aS'of\tof\tIN\tB-PP\tO' +p323028 +aS'P-pulmonale\tP-pulmonale\tNN\tB-NP\tO' +p323029 +aS'related\trelate\tVBN\tB-VP\tO' +p323030 +aS'to\tto\tTO\tB-PP\tO' +p323031 +aS'clot\tclot\tNN\tB-NP\tO' +p323032 +aS'burden\tburden\tNN\tI-NP\tO' +p323033 +aS'.\t.\t.\tO\tO' +p323034 +asS'HEIGHT NORMAL 66 HEENT NORMAL MOUTH NORMAL NECK NORMAL BREASTS NORMAL NIPPLES NORMAL CHEST NORMAL COR NORMAL ABDOMEN NORMAL EXTREM NORMAL SKIN mottled on both lower extremities .' +p323035 +(lp323036 +S'HEIGHT\tHEIGHT\tNN\tB-NP\tB-protein' +p323037 +aS'NORMAL\tNORMAL\tNN\tI-NP\tI-protein' +p323038 +aS'66\t66\tCD\tI-NP\tI-protein' +p323039 +aS'HEENT\tHEENT\tNNP\tI-NP\tI-protein' +p323040 +aS'NORMAL\tNORMAL\tNNP\tI-NP\tI-protein' +p323041 +aS'MOUTH\tMOUTH\tNNP\tI-NP\tI-protein' +p323042 +aS'NORMAL\tNORMAL\tNNP\tI-NP\tI-protein' +p323043 +aS'NECK\tNECK\tNNP\tI-NP\tI-protein' +p323044 +aS'NORMAL\tNORMAL\tNNP\tI-NP\tI-protein' +p323045 +aS'BREASTS\tBREASTS\tNNP\tI-NP\tI-protein' +p323046 +aS'NORMAL\tNORMAL\tNNP\tI-NP\tI-protein' +p323047 +aS'NIPPLES\tNIPPLES\tNNP\tI-NP\tI-protein' +p323048 +aS'NORMAL\tNORMAL\tNNP\tI-NP\tI-protein' +p323049 +aS'CHEST\tCHEST\tNNP\tI-NP\tI-protein' +p323050 +aS'NORMAL\tNORMAL\tNNP\tI-NP\tI-protein' +p323051 +aS'COR\tCOR\tNNP\tI-NP\tI-protein' +p323052 +aS'NORMAL\tNORMAL\tNNP\tI-NP\tI-protein' +p323053 +aS'ABDOMEN\tABDOMEN\tNNP\tI-NP\tI-protein' +p323054 +aS'NORMAL\tNORMAL\tNNP\tI-NP\tI-protein' +p323055 +aS'EXTREM\tEXTREM\tNNP\tI-NP\tI-protein' +p323056 +aS'NORMAL\tNORMAL\tNNP\tI-NP\tI-protein' +p323057 +aS'SKIN\tSKIN\tNNP\tI-NP\tI-protein' +p323058 +aS'mottled\tmottle\tVBD\tB-VP\tO' +p323059 +aS'on\ton\tIN\tB-PP\tO' +p323060 +aS'both\tboth\tDT\tB-NP\tO' +p323061 +aS'lower\tlow\tJJR\tI-NP\tO' +p323062 +aS'extremities\textremity\tNNS\tI-NP\tO' +p323063 +aS'.\t.\t.\tO\tO' +p323064 +asS'2. Anxiety .' +p323065 +(lp323066 +S'2.\t2.\tLS\tB-NP\tO' +p323067 +aS'Anxiety\tAnxiety\tNN\tI-NP\tO' +p323068 +aS'.\t.\t.\tO\tO' +p323069 +asS'This is a 49 year-old male with a history of a low anterior resection in May of 1998 and a recurrence of metastasis with asleeve of section of left colon diverting ileostomy for recurrent metastasis later in May of 1999 who presents with anterior midepigastric abdominal pain .' +p323070 +(lp323071 +S'This\tThis\tDT\tB-NP\tO' +p323072 +aS'is\tbe\tVBZ\tB-VP\tO' +p323073 +aS'a\ta\tDT\tB-NP\tO' +p323074 +aS'49\t49\tCD\tI-NP\tO' +p323075 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p323076 +aS'male\tmale\tNN\tI-NP\tO' +p323077 +aS'with\twith\tIN\tB-PP\tO' +p323078 +aS'a\ta\tDT\tB-NP\tO' +p323079 +aS'history\thistory\tNN\tI-NP\tO' +p323080 +aS'of\tof\tIN\tB-PP\tO' +p323081 +aS'a\ta\tDT\tB-NP\tO' +p323082 +aS'low\tlow\tJJ\tI-NP\tO' +p323083 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p323084 +aS'resection\tresection\tNN\tI-NP\tO' +p323085 +aS'in\tin\tIN\tB-PP\tO' +p323086 +aS'May\tMay\tNNP\tB-NP\tO' +p323087 +aS'of\tof\tIN\tB-PP\tO' +p323088 +aS'1998\t1998\tCD\tB-NP\tO' +p323089 +aS'and\tand\tCC\tO\tO' +p323090 +aS'a\ta\tDT\tB-NP\tO' +p323091 +aS'recurrence\trecurrence\tNN\tI-NP\tO' +p323092 +aS'of\tof\tIN\tB-PP\tO' +p323093 +aS'metastasis\tmetastasis\tNN\tB-NP\tO' +p323094 +aS'with\twith\tIN\tB-PP\tO' +p323095 +aS'asleeve\tasleeve\tNN\tB-NP\tO' +p323096 +aS'of\tof\tIN\tB-PP\tO' +p323097 +aS'section\tsection\tNN\tB-NP\tO' +p323098 +aS'of\tof\tIN\tB-PP\tO' +p323099 +aS'left\tleft\tJJ\tB-NP\tO' +p323100 +aS'colon\tcolon\tNN\tI-NP\tO' +p323101 +aS'diverting\tdivert\tVBG\tB-VP\tO' +p323102 +aS'ileostomy\tileostomy\tNN\tB-NP\tO' +p323103 +aS'for\tfor\tIN\tB-PP\tO' +p323104 +aS'recurrent\trecurrent\tJJ\tB-NP\tO' +p323105 +aS'metastasis\tmetastasis\tNN\tI-NP\tO' +p323106 +aS'later\tlater\tRB\tB-ADVP\tO' +p323107 +aS'in\tin\tIN\tB-PP\tO' +p323108 +aS'May\tMay\tNNP\tB-NP\tO' +p323109 +aS'of\tof\tIN\tB-PP\tO' +p323110 +aS'1999\t1999\tCD\tB-NP\tO' +p323111 +aS'who\twho\tWP\tB-NP\tO' +p323112 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p323113 +aS'with\twith\tIN\tB-PP\tO' +p323114 +aS'anterior\tanterior\tJJ\tB-NP\tB-protein' +p323115 +aS'midepigastric\tmidepigastric\tJJ\tI-NP\tI-protein' +p323116 +aS'abdominal\tabdominal\tJJ\tI-NP\tI-protein' +p323117 +aS'pain\tpain\tNN\tI-NP\tI-protein' +p323118 +aS'.\t.\t.\tO\tO' +p323119 +asS'Florinef is to be considered , however stopping the Isordil is one goal .' +p323120 +(lp323121 +S'Florinef\tFlorinef\tNN\tB-NP\tB-protein' +p323122 +aS'is\tbe\tVBZ\tB-VP\tO' +p323123 +aS'to\tto\tTO\tI-VP\tO' +p323124 +aS'be\tbe\tVB\tI-VP\tO' +p323125 +aS'considered\tconsider\tVBN\tI-VP\tO' +p323126 +aS',\t,\t,\tO\tO' +p323127 +aS'however\thowever\tRB\tB-VP\tO' +p323128 +aS'stopping\tstop\tVBG\tI-VP\tO' +p323129 +aS'the\tthe\tDT\tB-NP\tO' +p323130 +aS'Isordil\tIsordil\tNN\tI-NP\tO' +p323131 +aS'is\tbe\tVBZ\tB-VP\tO' +p323132 +aS'one\tone\tCD\tB-NP\tO' +p323133 +aS'goal\tgoal\tNN\tI-NP\tO' +p323134 +aS'.\t.\t.\tO\tO' +p323135 +asS'2. Hemorrhoidectomy .' +p323136 +(lp323137 +S'2.\t2.\tLS\tB-NP\tO' +p323138 +aS'Hemorrhoidectomy\tHemorrhoidectomy\tNN\tI-NP\tO' +p323139 +aS'.\t.\t.\tO\tO' +p323140 +asS'7. Left common femoral dorsalis pedis bypass graft .' +p323141 +(lp323142 +S'7.\t7.\tLS\tB-NP\tO' +p323143 +aS'Left\tLeft\tNNP\tI-NP\tO' +p323144 +aS'common\tcommon\tJJ\tI-NP\tO' +p323145 +aS'femoral\tfemoral\tJJ\tI-NP\tO' +p323146 +aS'dorsalis\tdorsalis\tNN\tI-NP\tO' +p323147 +aS'pedis\tpedis\tNN\tI-NP\tO' +p323148 +aS'bypass\tbypass\tIN\tB-PP\tO' +p323149 +aS'graft\tgraft\tNN\tB-NP\tO' +p323150 +aS'.\t.\t.\tO\tO' +p323151 +asS'She was started on _________ with excellent diuresis , however , her renal functioning worsening .' +p323152 +(lp323153 +S'She\tShe\tPRP\tB-NP\tO' +p323154 +aS'was\tbe\tVBD\tB-VP\tO' +p323155 +aS'started\tstart\tVBN\tI-VP\tO' +p323156 +aS'on\ton\tIN\tB-PP\tO' +p323157 +aS'_________\t_________\tNN\tB-NP\tO' +p323158 +aS'with\twith\tIN\tB-PP\tO' +p323159 +aS'excellent\texcellent\tJJ\tB-NP\tO' +p323160 +aS'diuresis\tdiuresis\tNN\tI-NP\tO' +p323161 +aS',\t,\t,\tO\tO' +p323162 +aS'however\thowever\tRB\tB-ADVP\tO' +p323163 +aS',\t,\t,\tO\tO' +p323164 +aS'her\ther\tPRP$\tB-NP\tO' +p323165 +aS'renal\trenal\tJJ\tI-NP\tO' +p323166 +aS'functioning\tfunctioning\tNN\tI-NP\tO' +p323167 +aS'worsening\tworsen\tVBG\tB-VP\tO' +p323168 +aS'.\t.\t.\tO\tO' +p323169 +asS'The patient was subsequently taken to the operating room where he underwent a reoperative coronary artery bypass graft times three with a subaortic proximal graft from the aorta to the OM1 and then OM2 and aorta to the LAD with a wide graft per Dr. Lumar Jongguild .' +p323170 +(lp323171 +S'The\tThe\tDT\tB-NP\tO' +p323172 +aS'patient\tpatient\tNN\tI-NP\tO' +p323173 +aS'was\tbe\tVBD\tB-VP\tO' +p323174 +aS'subsequently\tsubsequently\tRB\tI-VP\tO' +p323175 +aS'taken\ttake\tVBN\tI-VP\tO' +p323176 +aS'to\tto\tTO\tB-PP\tO' +p323177 +aS'the\tthe\tDT\tB-NP\tO' +p323178 +aS'operating\toperating\tNN\tI-NP\tO' +p323179 +aS'room\troom\tNN\tI-NP\tO' +p323180 +aS'where\twhere\tWRB\tB-ADVP\tO' +p323181 +aS'he\the\tPRP\tB-NP\tO' +p323182 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p323183 +aS'a\ta\tDT\tB-NP\tO' +p323184 +aS'reoperative\treoperative\tJJ\tI-NP\tO' +p323185 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p323186 +aS'artery\tartery\tNN\tI-NP\tO' +p323187 +aS'bypass\tbypass\tIN\tB-PP\tO' +p323188 +aS'graft\tgraft\tNN\tB-NP\tO' +p323189 +aS'times\ttime\tNNS\tI-NP\tO' +p323190 +aS'three\tthree\tCD\tB-NP\tO' +p323191 +aS'with\twith\tIN\tB-PP\tO' +p323192 +aS'a\ta\tDT\tB-NP\tO' +p323193 +aS'subaortic\tsubaortic\tJJ\tI-NP\tO' +p323194 +aS'proximal\tproximal\tJJ\tI-NP\tO' +p323195 +aS'graft\tgraft\tNN\tI-NP\tO' +p323196 +aS'from\tfrom\tIN\tB-PP\tO' +p323197 +aS'the\tthe\tDT\tB-NP\tO' +p323198 +aS'aorta\taorta\tNN\tI-NP\tO' +p323199 +aS'to\tto\tTO\tB-PP\tO' +p323200 +aS'the\tthe\tDT\tB-NP\tO' +p323201 +aS'OM1\tOM1\tNN\tI-NP\tB-DNA' +p323202 +aS'and\tand\tCC\tB-NP\tO' +p323203 +aS'then\tthen\tRB\tI-NP\tO' +p323204 +aS'OM2\tOM2\tNN\tB-NP\tB-protein' +p323205 +aS'and\tand\tCC\tI-NP\tO' +p323206 +aS'aorta\taorta\tNN\tI-NP\tO' +p323207 +aS'to\tto\tTO\tB-PP\tO' +p323208 +aS'the\tthe\tDT\tB-NP\tO' +p323209 +aS'LAD\tLAD\tNN\tI-NP\tB-protein' +p323210 +aS'with\twith\tIN\tB-PP\tO' +p323211 +aS'a\ta\tDT\tB-NP\tO' +p323212 +aS'wide\twide\tJJ\tI-NP\tO' +p323213 +aS'graft\tgraft\tNN\tI-NP\tO' +p323214 +aS'per\tper\tIN\tB-PP\tO' +p323215 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p323216 +aS'Lumar\tLumar\tNNP\tI-NP\tO' +p323217 +aS'Jongguild\tJongguild\tNNP\tI-NP\tO' +p323218 +aS'.\t.\t.\tO\tO' +p323219 +asS'He was also discharged on Augmentin XR 1000 mg / 62.5 mg sustained release 1 tablet q. 12h . for 2 weeks .' +p323220 +(lp323221 +S'He\tHe\tPRP\tB-NP\tO' +p323222 +aS'was\tbe\tVBD\tB-VP\tO' +p323223 +aS'also\talso\tRB\tI-VP\tO' +p323224 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p323225 +aS'on\ton\tIN\tB-PP\tO' +p323226 +aS'Augmentin\tAugmentin\tNN\tB-NP\tO' +p323227 +aS'XR\tXR\tNN\tI-NP\tO' +p323228 +aS'1000\t1000\tCD\tI-NP\tO' +p323229 +aS'mg\tmg\tNN\tI-NP\tO' +p323230 +aS'/\t/\tSYM\tB-NP\tO' +p323231 +aS'62.5\t62.5\tCD\tB-NP\tO' +p323232 +aS'mg\tmg\tNN\tI-NP\tO' +p323233 +aS'sustained\tsustain\tVBD\tB-VP\tO' +p323234 +aS'release\trelease\tNN\tB-NP\tO' +p323235 +aS'1\t1\tCD\tI-NP\tO' +p323236 +aS'tablet\ttablet\tNN\tI-NP\tO' +p323237 +aS'q.\tq.\tNN\tI-NP\tO' +p323238 +aS'12h\t12h\tNN\tI-NP\tO' +p323239 +aS'.\t.\t.\tO\tO' +p323240 +aS'for\tfor\tIN\tB-PP\tO' +p323241 +aS'2\t2\tCD\tB-NP\tO' +p323242 +aS'weeks\tweek\tNNS\tI-NP\tO' +p323243 +aS'.\t.\t.\tO\tO' +p323244 +asS'This is to notify you that your patient , KOTE , YGA arrived in the Emergency Department at Ponta,itri- University Medical Center on 06/15/2000 01:09 PM .' +p323245 +(lp323246 +S'This\tThis\tDT\tB-NP\tO' +p323247 +aS'is\tbe\tVBZ\tB-VP\tO' +p323248 +aS'to\tto\tTO\tB-VP\tO' +p323249 +aS'notify\tnotify\tVB\tI-VP\tO' +p323250 +aS'you\tyou\tPRP\tB-NP\tO' +p323251 +aS'that\tthat\tIN\tB-SBAR\tO' +p323252 +aS'your\tyour\tPRP$\tB-NP\tO' +p323253 +aS'patient\tpatient\tNN\tI-NP\tO' +p323254 +aS',\t,\t,\tO\tO' +p323255 +aS'KOTE\tKOTE\tNN\tB-NP\tO' +p323256 +aS',\t,\t,\tO\tO' +p323257 +aS'YGA\tYGA\tNNP\tB-NP\tO' +p323258 +aS'arrived\tarrive\tVBD\tB-VP\tO' +p323259 +aS'in\tin\tIN\tB-PP\tO' +p323260 +aS'the\tthe\tDT\tB-NP\tO' +p323261 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p323262 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p323263 +aS'at\tat\tIN\tB-PP\tO' +p323264 +aS'Ponta,itri-\tPonta,itri-\tNNP\tB-NP\tO' +p323265 +aS'University\tUniversity\tNNP\tI-NP\tO' +p323266 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p323267 +aS'Center\tCenter\tNNP\tI-NP\tO' +p323268 +aS'on\ton\tIN\tB-PP\tO' +p323269 +aS'06/15/2000\t06/15/2000\tCD\tB-NP\tO' +p323270 +aS'01:09\t01:09\tCD\tI-NP\tO' +p323271 +aS'PM\tPM\tNN\tI-NP\tO' +p323272 +aS'.\t.\t.\tO\tO' +p323273 +asS'Received vancomycin / levafloxacin at OSH .' +p323274 +(lp323275 +S'Received\tReceive\tVBN\tB-NP\tO' +p323276 +aS'vancomycin\tvancomycin\tNN\tI-NP\tO' +p323277 +aS'/\t/\tSYM\tB-NP\tO' +p323278 +aS'levafloxacin\tlevafloxacin\tNN\tI-NP\tO' +p323279 +aS'at\tat\tIN\tB-PP\tO' +p323280 +aS'OSH\tOSH\tNN\tB-NP\tB-protein' +p323281 +aS'.\t.\t.\tO\tO' +p323282 +asS"- CAD s/p CABG x4 in ' 03 ." +p323283 +(lp323284 +S'-\t-\tHYPH\tB-NP\tO' +p323285 +aS'CAD\tCAD\tNN\tI-NP\tO' +p323286 +aS's/p\ts/p\tNN\tI-NP\tO' +p323287 +aS'CABG\tCABG\tNN\tI-NP\tO' +p323288 +aS'x4\tx4\tNN\tI-NP\tO' +p323289 +aS'in\tin\tIN\tB-PP\tO' +p323290 +aS"'\t'\t''\tO\tO" +p323291 +aS'03\t03\tCD\tB-NP\tO' +p323292 +aS'.\t.\t.\tO\tO' +p323293 +asS'Normal bowel sounds present .' +p323294 +(lp323295 +S'Normal\tNormal\tJJ\tB-NP\tO' +p323296 +aS'bowel\tbowel\tNN\tI-NP\tO' +p323297 +aS'sounds\tsound\tVBZ\tB-VP\tO' +p323298 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p323299 +aS'.\t.\t.\tO\tO' +p323300 +asS'Indeed , at the time of discharge she was conscious and she was cooperative and she was able to communicate very nicely with everyone including her family , except for the mental instability that she had because of her cerebral atrophy due to senility .' +p323301 +(lp323302 +S'Indeed\tIndeed\tRB\tB-ADVP\tO' +p323303 +aS',\t,\t,\tO\tO' +p323304 +aS'at\tat\tIN\tB-PP\tO' +p323305 +aS'the\tthe\tDT\tB-NP\tO' +p323306 +aS'time\ttime\tNN\tI-NP\tO' +p323307 +aS'of\tof\tIN\tB-PP\tO' +p323308 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p323309 +aS'she\tshe\tPRP\tB-NP\tO' +p323310 +aS'was\tbe\tVBD\tB-VP\tO' +p323311 +aS'conscious\tconscious\tJJ\tB-ADJP\tO' +p323312 +aS'and\tand\tCC\tO\tO' +p323313 +aS'she\tshe\tPRP\tB-NP\tO' +p323314 +aS'was\tbe\tVBD\tB-VP\tO' +p323315 +aS'cooperative\tcooperative\tJJ\tB-ADJP\tO' +p323316 +aS'and\tand\tCC\tO\tO' +p323317 +aS'she\tshe\tPRP\tB-NP\tO' +p323318 +aS'was\tbe\tVBD\tB-VP\tO' +p323319 +aS'able\table\tJJ\tB-ADJP\tO' +p323320 +aS'to\tto\tTO\tB-VP\tO' +p323321 +aS'communicate\tcommunicate\tVB\tI-VP\tO' +p323322 +aS'very\tvery\tRB\tB-ADVP\tO' +p323323 +aS'nicely\tnicely\tRB\tI-ADVP\tO' +p323324 +aS'with\twith\tIN\tB-PP\tO' +p323325 +aS'everyone\teveryone\tNN\tB-NP\tO' +p323326 +aS'including\tinclude\tVBG\tB-PP\tO' +p323327 +aS'her\ther\tPRP$\tB-NP\tO' +p323328 +aS'family\tfamily\tNN\tI-NP\tO' +p323329 +aS',\t,\t,\tO\tO' +p323330 +aS'except\texcept\tIN\tB-PP\tO' +p323331 +aS'for\tfor\tIN\tB-PP\tO' +p323332 +aS'the\tthe\tDT\tB-NP\tO' +p323333 +aS'mental\tmental\tJJ\tI-NP\tO' +p323334 +aS'instability\tinstability\tNN\tI-NP\tO' +p323335 +aS'that\tthat\tIN\tB-SBAR\tO' +p323336 +aS'she\tshe\tPRP\tB-NP\tO' +p323337 +aS'had\thave\tVBD\tB-VP\tO' +p323338 +aS'because\tbecause\tIN\tB-PP\tO' +p323339 +aS'of\tof\tIN\tI-PP\tO' +p323340 +aS'her\ther\tPRP$\tB-NP\tO' +p323341 +aS'cerebral\tcerebral\tJJ\tI-NP\tO' +p323342 +aS'atrophy\tatrophy\tNN\tI-NP\tO' +p323343 +aS'due\tdue\tJJ\tB-ADJP\tO' +p323344 +aS'to\tto\tTO\tB-PP\tO' +p323345 +aS'senility\tsenility\tNN\tB-NP\tO' +p323346 +aS'.\t.\t.\tO\tO' +p323347 +asS'At the time of transfer , he was initially admitted to the CMI Service after undergoing cardiac catheterization which revealed a long LAD lesion that was angioplastied without stent placement , and a total occlusion of the RCA with collaterals .' +p323348 +(lp323349 +S'At\tAt\tIN\tB-PP\tO' +p323350 +aS'the\tthe\tDT\tB-NP\tO' +p323351 +aS'time\ttime\tNN\tI-NP\tO' +p323352 +aS'of\tof\tIN\tB-PP\tO' +p323353 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p323354 +aS',\t,\t,\tO\tO' +p323355 +aS'he\the\tPRP\tB-NP\tO' +p323356 +aS'was\tbe\tVBD\tB-VP\tO' +p323357 +aS'initially\tinitially\tRB\tI-VP\tO' +p323358 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p323359 +aS'to\tto\tTO\tB-PP\tO' +p323360 +aS'the\tthe\tDT\tB-NP\tO' +p323361 +aS'CMI\tCMI\tNNP\tI-NP\tO' +p323362 +aS'Service\tService\tNNP\tI-NP\tO' +p323363 +aS'after\tafter\tIN\tB-PP\tO' +p323364 +aS'undergoing\tundergo\tVBG\tB-VP\tO' +p323365 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p323366 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p323367 +aS'which\twhich\tWDT\tB-NP\tO' +p323368 +aS'revealed\treveal\tVBD\tB-VP\tO' +p323369 +aS'a\ta\tDT\tB-NP\tO' +p323370 +aS'long\tlong\tJJ\tI-NP\tO' +p323371 +aS'LAD\tLAD\tNN\tI-NP\tO' +p323372 +aS'lesion\tlesion\tNN\tI-NP\tO' +p323373 +aS'that\tthat\tWDT\tB-NP\tO' +p323374 +aS'was\tbe\tVBD\tB-VP\tO' +p323375 +aS'angioplastied\tangioplastie\tVBN\tI-VP\tO' +p323376 +aS'without\twithout\tIN\tB-PP\tO' +p323377 +aS'stent\tstent\tJJ\tB-NP\tO' +p323378 +aS'placement\tplacement\tNN\tI-NP\tO' +p323379 +aS',\t,\t,\tO\tO' +p323380 +aS'and\tand\tCC\tO\tO' +p323381 +aS'a\ta\tDT\tB-NP\tO' +p323382 +aS'total\ttotal\tJJ\tI-NP\tO' +p323383 +aS'occlusion\tocclusion\tNN\tI-NP\tO' +p323384 +aS'of\tof\tIN\tB-PP\tO' +p323385 +aS'the\tthe\tDT\tB-NP\tO' +p323386 +aS'RCA\tRCA\tNN\tI-NP\tB-protein' +p323387 +aS'with\twith\tIN\tB-PP\tO' +p323388 +aS'collaterals\tcollateral\tNNS\tB-NP\tO' +p323389 +aS'.\t.\t.\tO\tO' +p323390 +asS'This necessitated emergent intubation .' +p323391 +(lp323392 +S'This\tThis\tDT\tB-NP\tO' +p323393 +aS'necessitated\tnecessitated\tJJ\tI-NP\tO' +p323394 +aS'emergent\temergent\tJJ\tI-NP\tO' +p323395 +aS'intubation\tintubation\tNN\tI-NP\tO' +p323396 +aS'.\t.\t.\tO\tO' +p323397 +asS'2. Follow-up bilirubin in 1 day ; f/u with PMD in 1-3 days .' +p323398 +(lp323399 +S'2.\t2.\tLS\tB-NP\tO' +p323400 +aS'Follow-up\tFollow-up\tNN\tI-NP\tO' +p323401 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p323402 +aS'in\tin\tIN\tB-PP\tO' +p323403 +aS'1\t1\tCD\tB-NP\tO' +p323404 +aS'day\tday\tNN\tI-NP\tO' +p323405 +aS';\t;\t:\tO\tO' +p323406 +aS'f/u\tf/u\tNN\tB-NP\tO' +p323407 +aS'with\twith\tIN\tB-PP\tO' +p323408 +aS'PMD\tPMD\tNN\tB-NP\tO' +p323409 +aS'in\tin\tIN\tB-PP\tO' +p323410 +aS'1-3\t1-3\tCD\tB-NP\tO' +p323411 +aS'days\tday\tNNS\tI-NP\tO' +p323412 +aS'.\t.\t.\tO\tO' +p323413 +asS'Supple , midline , without masses or lymphadenopathy .' +p323414 +(lp323415 +S'Supple\tSupple\tNN\tB-NP\tO' +p323416 +aS',\t,\t,\tO\tO' +p323417 +aS'midline\tmidline\tNN\tB-NP\tO' +p323418 +aS',\t,\t,\tO\tO' +p323419 +aS'without\twithout\tIN\tB-PP\tO' +p323420 +aS'masses\tmass\tNNS\tB-NP\tO' +p323421 +aS'or\tor\tCC\tI-NP\tO' +p323422 +aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' +p323423 +aS'.\t.\t.\tO\tO' +p323424 +asS'Patient deceased .' +p323425 +(lp323426 +S'Patient\tPatient\tNN\tB-NP\tO' +p323427 +aS'deceased\tdecease\tVBD\tB-VP\tO' +p323428 +aS'.\t.\t.\tO\tO' +p323429 +asS'Infant has an audible murmur .' +p323430 +(lp323431 +S'Infant\tInfant\tNNP\tB-NP\tO' +p323432 +aS'has\thave\tVBZ\tB-VP\tO' +p323433 +aS'an\tan\tDT\tB-NP\tO' +p323434 +aS'audible\taudible\tJJ\tI-NP\tO' +p323435 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p323436 +aS'.\t.\t.\tO\tO' +p323437 +asS'The neck is supple with no lymphadenopathy .' +p323438 +(lp323439 +S'The\tThe\tDT\tB-NP\tO' +p323440 +aS'neck\tneck\tNN\tI-NP\tO' +p323441 +aS'is\tbe\tVBZ\tB-VP\tO' +p323442 +aS'supple\tsupple\tNN\tB-NP\tO' +p323443 +aS'with\twith\tIN\tB-PP\tO' +p323444 +aS'no\tno\tDT\tB-NP\tO' +p323445 +aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' +p323446 +aS'.\t.\t.\tO\tO' +p323447 +asS'The patient had an electrocardiogram which showed no acute ischemic change .' +p323448 +(lp323449 +S'The\tThe\tDT\tB-NP\tO' +p323450 +aS'patient\tpatient\tNN\tI-NP\tO' +p323451 +aS'had\thave\tVBD\tB-VP\tO' +p323452 +aS'an\tan\tDT\tB-NP\tO' +p323453 +aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' +p323454 +aS'which\twhich\tWDT\tB-NP\tO' +p323455 +aS'showed\tshow\tVBD\tB-VP\tO' +p323456 +aS'no\tno\tDT\tB-NP\tO' +p323457 +aS'acute\tacute\tJJ\tI-NP\tO' +p323458 +aS'ischemic\tischemic\tJJ\tI-NP\tO' +p323459 +aS'change\tchange\tNN\tI-NP\tO' +p323460 +aS'.\t.\t.\tO\tO' +p323461 +asS'She has not had a stroke , or transient ischemic attack .' +p323462 +(lp323463 +S'She\tShe\tPRP\tB-NP\tO' +p323464 +aS'has\thave\tVBZ\tB-VP\tO' +p323465 +aS'not\tnot\tRB\tI-VP\tO' +p323466 +aS'had\thave\tVBN\tI-VP\tO' +p323467 +aS'a\ta\tDT\tB-NP\tO' +p323468 +aS'stroke\tstroke\tNN\tI-NP\tO' +p323469 +aS',\t,\t,\tO\tO' +p323470 +aS'or\tor\tCC\tO\tO' +p323471 +aS'transient\ttransient\tJJ\tB-NP\tO' +p323472 +aS'ischemic\tischemic\tJJ\tI-NP\tO' +p323473 +aS'attack\tattack\tNN\tI-NP\tO' +p323474 +aS'.\t.\t.\tO\tO' +p323475 +asS'Pneumonia .' +p323476 +(lp323477 +S'Pneumonia\tPneumonia\tNNP\tB-NP\tO' +p323478 +aS'.\t.\t.\tO\tO' +p323479 +asS'He will follow-up with his primary care doctor , Dr. Gillis , after discharge , Johannes for Diabetes management , and Psychiatry for further management of his impulsive behaviors .' +p323480 +(lp323481 +S'He\tHe\tPRP\tB-NP\tO' +p323482 +aS'will\twill\tMD\tB-VP\tO' +p323483 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p323484 +aS'with\twith\tIN\tB-PP\tO' +p323485 +aS'his\this\tPRP$\tB-NP\tO' +p323486 +aS'primary\tprimary\tJJ\tI-NP\tO' +p323487 +aS'care\tcare\tNN\tI-NP\tO' +p323488 +aS'doctor\tdoctor\tNN\tI-NP\tO' +p323489 +aS',\t,\t,\tO\tO' +p323490 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p323491 +aS'Gillis\tGillis\tNNP\tI-NP\tO' +p323492 +aS',\t,\t,\tO\tO' +p323493 +aS'after\tafter\tIN\tB-PP\tO' +p323494 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p323495 +aS',\t,\t,\tO\tO' +p323496 +aS'Johannes\tJohannes\tNNP\tB-NP\tO' +p323497 +aS'for\tfor\tIN\tB-PP\tO' +p323498 +aS'Diabetes\tDiabetes\tNNP\tB-NP\tO' +p323499 +aS'management\tmanagement\tNN\tI-NP\tO' +p323500 +aS',\t,\t,\tO\tO' +p323501 +aS'and\tand\tCC\tO\tO' +p323502 +aS'Psychiatry\tPsychiatry\tNN\tB-NP\tO' +p323503 +aS'for\tfor\tIN\tB-PP\tO' +p323504 +aS'further\tfurther\tJJ\tB-NP\tO' +p323505 +aS'management\tmanagement\tNN\tI-NP\tO' +p323506 +aS'of\tof\tIN\tB-PP\tO' +p323507 +aS'his\this\tPRP$\tB-NP\tO' +p323508 +aS'impulsive\timpulsive\tJJ\tI-NP\tO' +p323509 +aS'behaviors\tbehavior\tNNS\tI-NP\tO' +p323510 +aS'.\t.\t.\tO\tO' +p323511 +asS'In six months , he was hospitalized for pneumonia x four .' +p323512 +(lp323513 +S'In\tIn\tIN\tB-PP\tO' +p323514 +aS'six\tsix\tCD\tB-NP\tO' +p323515 +aS'months\tmonth\tNNS\tI-NP\tO' +p323516 +aS',\t,\t,\tO\tO' +p323517 +aS'he\the\tPRP\tB-NP\tO' +p323518 +aS'was\tbe\tVBD\tB-VP\tO' +p323519 +aS'hospitalized\thospitalize\tVBN\tI-VP\tO' +p323520 +aS'for\tfor\tIN\tB-PP\tO' +p323521 +aS'pneumonia\tpneumonia\tNN\tB-NP\tO' +p323522 +aS'x\tx\tSYM\tB-NP\tO' +p323523 +aS'four\tfour\tCD\tI-NP\tO' +p323524 +aS'.\t.\t.\tO\tO' +p323525 +asS'11. Percocet one to two tablets p.o. q. four hours p.r.n. pain .' +p323526 +(lp323527 +S'11.\t11.\tLS\tB-LST\tO' +p323528 +aS'Percocet\tPercocet\tNNP\tB-NP\tO' +p323529 +aS'one\tone\tCD\tI-NP\tO' +p323530 +aS'to\tto\tTO\tI-NP\tO' +p323531 +aS'two\ttwo\tCD\tI-NP\tO' +p323532 +aS'tablets\ttablet\tNNS\tI-NP\tO' +p323533 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p323534 +aS'q.\tq.\tFW\tI-NP\tO' +p323535 +aS'four\tfour\tCD\tI-NP\tO' +p323536 +aS'hours\thour\tNNS\tI-NP\tO' +p323537 +aS'p.r.n.\tp.r.n.\tJJ\tI-NP\tO' +p323538 +aS'pain\tpain\tNN\tI-NP\tO' +p323539 +aS'.\t.\t.\tO\tO' +p323540 +asS'The patient ruled out for an MI with negative CK X4 and negative troponin X4 .' +p323541 +(lp323542 +S'The\tThe\tDT\tB-NP\tO' +p323543 +aS'patient\tpatient\tNN\tI-NP\tO' +p323544 +aS'ruled\trule\tVBD\tB-VP\tO' +p323545 +aS'out\tout\tRP\tB-PRT\tO' +p323546 +aS'for\tfor\tIN\tB-PP\tO' +p323547 +aS'an\tan\tDT\tB-NP\tO' +p323548 +aS'MI\tMI\tNN\tI-NP\tO' +p323549 +aS'with\twith\tIN\tB-PP\tO' +p323550 +aS'negative\tnegative\tJJ\tB-NP\tO' +p323551 +aS'CK\tCK\tNN\tI-NP\tB-protein' +p323552 +aS'X4\tX4\tNN\tI-NP\tI-protein' +p323553 +aS'and\tand\tCC\tO\tO' +p323554 +aS'negative\tnegative\tJJ\tB-NP\tO' +p323555 +aS'troponin\ttroponin\tNN\tI-NP\tO' +p323556 +aS'X4\tX4\tNN\tI-NP\tO' +p323557 +aS'.\t.\t.\tO\tO' +p323558 +asS"2. Grave's , status post radiation resulting in hypothyroidism ." +p323559 +(lp323560 +S'2.\t2.\tLS\tB-LST\tO' +p323561 +aS"Grave's\tGrave's\tNN\tB-NP\tO" +p323562 +aS',\t,\t,\tO\tO' +p323563 +aS'status\tstatus\tNN\tB-NP\tO' +p323564 +aS'post\tpost\tNN\tI-NP\tO' +p323565 +aS'radiation\tradiation\tNN\tI-NP\tO' +p323566 +aS'resulting\tresult\tVBG\tB-VP\tO' +p323567 +aS'in\tin\tIN\tB-PP\tO' +p323568 +aS'hypothyroidism\thypothyroidism\tNN\tB-NP\tO' +p323569 +aS'.\t.\t.\tO\tO' +p323570 +asS'History obtained from husband as above .' +p323571 +(lp323572 +S'History\tHistory\tNN\tB-NP\tO' +p323573 +aS'obtained\tobtain\tVBN\tB-VP\tO' +p323574 +aS'from\tfrom\tIN\tB-PP\tO' +p323575 +aS'husband\thusband\tNN\tB-NP\tO' +p323576 +aS'as\tas\tIN\tB-PP\tO' +p323577 +aS'above\tabove\tRB\tB-ADVP\tO' +p323578 +aS'.\t.\t.\tO\tO' +p323579 +asS'The patient has received physical therapy and occupational therapy and her recovery is near complete .' +p323580 +(lp323581 +S'The\tThe\tDT\tB-NP\tO' +p323582 +aS'patient\tpatient\tNN\tI-NP\tO' +p323583 +aS'has\thave\tVBZ\tB-VP\tO' +p323584 +aS'received\treceive\tVBN\tI-VP\tO' +p323585 +aS'physical\tphysical\tJJ\tB-NP\tO' +p323586 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p323587 +aS'and\tand\tCC\tO\tO' +p323588 +aS'occupational\toccupational\tJJ\tB-NP\tO' +p323589 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p323590 +aS'and\tand\tCC\tO\tO' +p323591 +aS'her\ther\tPRP$\tB-NP\tO' +p323592 +aS'recovery\trecovery\tNN\tI-NP\tO' +p323593 +aS'is\tbe\tVBZ\tB-VP\tO' +p323594 +aS'near\tnear\tRB\tB-ADJP\tO' +p323595 +aS'complete\tcomplete\tJJ\tI-ADJP\tO' +p323596 +aS'.\t.\t.\tO\tO' +p323597 +asS'Intubated for MS changes and lethargy and concern for airway protection .' +p323598 +(lp323599 +S'Intubated\tIntubate\tVBN\tB-VP\tO' +p323600 +aS'for\tfor\tIN\tB-PP\tO' +p323601 +aS'MS\tMS\tNN\tB-NP\tO' +p323602 +aS'changes\tchange\tNNS\tI-NP\tO' +p323603 +aS'and\tand\tCC\tO\tO' +p323604 +aS'lethargy\tlethargy\tNN\tB-NP\tO' +p323605 +aS'and\tand\tCC\tI-NP\tO' +p323606 +aS'concern\tconcern\tNN\tI-NP\tO' +p323607 +aS'for\tfor\tIN\tB-PP\tO' +p323608 +aS'airway\tairway\tNN\tB-NP\tO' +p323609 +aS'protection\tprotection\tNN\tI-NP\tO' +p323610 +aS'.\t.\t.\tO\tO' +p323611 +asS'1. Prograf 4 mg p.o. b.i.d. ( this may change depending on her most recent Prograf level which will be drawn on the morning of 11-28 ) .' +p323612 +(lp323613 +S'1.\t1.\tLS\tB-NP\tO' +p323614 +aS'Prograf\tPrograf\tNN\tI-NP\tO' +p323615 +aS'4\t4\tCD\tI-NP\tO' +p323616 +aS'mg\tmg\tNN\tI-NP\tO' +p323617 +aS'p.o.\tp.o.\tFW\tB-ADVP\tO' +p323618 +aS'b.i.d.\tb.i.d.\tFW\tI-ADVP\tO' +p323619 +aS'(\t(\t(\tO\tO' +p323620 +aS'this\tthis\tDT\tB-NP\tO' +p323621 +aS'may\tmay\tMD\tB-VP\tO' +p323622 +aS'change\tchange\tVB\tI-VP\tO' +p323623 +aS'depending\tdepend\tVBG\tI-VP\tO' +p323624 +aS'on\ton\tIN\tB-PP\tO' +p323625 +aS'her\ther\tPRP\tB-NP\tO' +p323626 +aS'most\tmost\tRBS\tI-NP\tO' +p323627 +aS'recent\trecent\tJJ\tI-NP\tO' +p323628 +aS'Prograf\tPrograf\tNN\tI-NP\tO' +p323629 +aS'level\tlevel\tNN\tI-NP\tO' +p323630 +aS'which\twhich\tWDT\tB-NP\tO' +p323631 +aS'will\twill\tMD\tB-VP\tO' +p323632 +aS'be\tbe\tVB\tI-VP\tO' +p323633 +aS'drawn\tdraw\tVBN\tI-VP\tO' +p323634 +aS'on\ton\tIN\tB-PP\tO' +p323635 +aS'the\tthe\tDT\tB-NP\tO' +p323636 +aS'morning\tmorning\tNN\tI-NP\tO' +p323637 +aS'of\tof\tIN\tB-PP\tO' +p323638 +aS'11-28\t11-28\tCD\tB-NP\tO' +p323639 +aS')\t)\t)\tO\tO' +p323640 +aS'.\t.\t.\tO\tO' +p323641 +asS'Levothyroxine Sodium 75 mcg PO DAILY' +p323642 +(lp323643 +S'Levothyroxine\tLevothyroxine\tNN\tB-NP\tO' +p323644 +aS'Sodium\tSodium\tNN\tI-NP\tO' +p323645 +aS'75\t75\tCD\tI-NP\tO' +p323646 +aS'mcg\tmcg\tNN\tI-NP\tO' +p323647 +aS'PO\tPO\tNN\tI-NP\tO' +p323648 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p323649 +asS'Thereafter , the patient had a long and complicated postoperative course .' +p323650 +(lp323651 +S'Thereafter\tThereafter\tRB\tB-ADVP\tO' +p323652 +aS',\t,\t,\tO\tO' +p323653 +aS'the\tthe\tDT\tB-NP\tO' +p323654 +aS'patient\tpatient\tNN\tI-NP\tO' +p323655 +aS'had\thave\tVBD\tB-VP\tO' +p323656 +aS'a\ta\tDT\tB-NP\tO' +p323657 +aS'long\tlong\tJJ\tI-NP\tO' +p323658 +aS'and\tand\tCC\tI-NP\tO' +p323659 +aS'complicated\tcomplicated\tJJ\tI-NP\tO' +p323660 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p323661 +aS'course\tcourse\tNN\tI-NP\tO' +p323662 +aS'.\t.\t.\tO\tO' +p323663 +asS'An initial head CT scan had revealed extracranial soft tissue swelling most prominently at the right frontal-parietal-occipital area extending to the left and to the upper cervical region .' +p323664 +(lp323665 +S'An\tAn\tDT\tB-NP\tO' +p323666 +aS'initial\tinitial\tJJ\tI-NP\tO' +p323667 +aS'head\thead\tNN\tI-NP\tO' +p323668 +aS'CT\tCT\tNN\tI-NP\tO' +p323669 +aS'scan\tscan\tNN\tI-NP\tO' +p323670 +aS'had\thave\tVBD\tB-VP\tO' +p323671 +aS'revealed\treveal\tVBN\tI-VP\tO' +p323672 +aS'extracranial\textracranial\tJJ\tB-NP\tO' +p323673 +aS'soft\tsoft\tJJ\tI-NP\tO' +p323674 +aS'tissue\ttissue\tNN\tI-NP\tO' +p323675 +aS'swelling\tswell\tVBG\tB-VP\tO' +p323676 +aS'most\tmost\tRBS\tB-ADVP\tO' +p323677 +aS'prominently\tprominently\tRB\tI-ADVP\tO' +p323678 +aS'at\tat\tIN\tB-PP\tO' +p323679 +aS'the\tthe\tDT\tB-NP\tO' +p323680 +aS'right\tright\tJJ\tI-NP\tO' +p323681 +aS'frontal-parietal-occipital\tfrontal-parietal-occipital\tJJ\tI-NP\tO' +p323682 +aS'area\tarea\tNN\tI-NP\tO' +p323683 +aS'extending\textend\tVBG\tB-VP\tO' +p323684 +aS'to\tto\tTO\tB-PP\tO' +p323685 +aS'the\tthe\tDT\tB-NP\tO' +p323686 +aS'left\tleft\tJJ\tI-NP\tO' +p323687 +aS'and\tand\tCC\tB-PP\tO' +p323688 +aS'to\tto\tTO\tB-PP\tO' +p323689 +aS'the\tthe\tDT\tB-NP\tO' +p323690 +aS'upper\tupper\tJJ\tI-NP\tB-DNA' +p323691 +aS'cervical\tcervical\tJJ\tI-NP\tI-DNA' +p323692 +aS'region\tregion\tNN\tI-NP\tI-DNA' +p323693 +aS'.\t.\t.\tO\tO' +p323694 +asS'14. Nicotine 14 mg / 24 hr Patch 24 HR Sig : One ( 1 ) Patch 24 HR Transdermal DAILY ( Daily ) .' +p323695 +(lp323696 +S'14.\t14.\tLS\tB-NP\tO' +p323697 +aS'Nicotine\tNicotine\tNN\tI-NP\tB-protein' +p323698 +aS'14\t14\tCD\tI-NP\tI-protein' +p323699 +aS'mg\tmg\tNN\tI-NP\tI-protein' +p323700 +aS'/\t/\tSYM\tB-NP\tI-protein' +p323701 +aS'24\t24\tCD\tB-NP\tI-protein' +p323702 +aS'hr\thr\tNN\tI-NP\tI-protein' +p323703 +aS'Patch\tPatch\tNN\tI-NP\tI-protein' +p323704 +aS'24\t24\tCD\tI-NP\tI-protein' +p323705 +aS'HR\tHR\tNN\tI-NP\tI-protein' +p323706 +aS'Sig\tSig\tNNP\tI-NP\tO' +p323707 +aS':\t:\t:\tO\tO' +p323708 +aS'One\tOne\tCD\tB-NP\tO' +p323709 +aS'(\t(\t(\tO\tO' +p323710 +aS'1\t1\tCD\tB-NP\tO' +p323711 +aS')\t)\t)\tO\tO' +p323712 +aS'Patch\tPatch\tVBP\tB-VP\tO' +p323713 +aS'24\t24\tCD\tB-NP\tO' +p323714 +aS'HR\tHR\tNN\tI-NP\tO' +p323715 +aS'Transdermal\tTransdermal\tJJ\tI-NP\tO' +p323716 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p323717 +aS'(\t(\t(\tO\tO' +p323718 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p323719 +aS')\t)\t)\tO\tO' +p323720 +aS'.\t.\t.\tO\tO' +p323721 +asS'The pain lasted for 30 seconds following pushing a wheelbarrow and resolved with rest .' +p323722 +(lp323723 +S'The\tThe\tDT\tB-NP\tO' +p323724 +aS'pain\tpain\tNN\tI-NP\tO' +p323725 +aS'lasted\tlast\tVBN\tB-VP\tO' +p323726 +aS'for\tfor\tIN\tB-PP\tO' +p323727 +aS'30\t30\tCD\tB-NP\tO' +p323728 +aS'seconds\tsecond\tNNS\tI-NP\tO' +p323729 +aS'following\tfollow\tVBG\tB-PP\tO' +p323730 +aS'pushing\tpush\tVBG\tB-VP\tO' +p323731 +aS'a\ta\tDT\tB-NP\tO' +p323732 +aS'wheelbarrow\twheelbarrow\tWRB\tI-NP\tO' +p323733 +aS'and\tand\tCC\tO\tO' +p323734 +aS'resolved\tresolve\tVBN\tB-VP\tO' +p323735 +aS'with\twith\tIN\tB-PP\tO' +p323736 +aS'rest\trest\tNN\tB-NP\tO' +p323737 +aS'.\t.\t.\tO\tO' +p323738 +asS'Sodium 141 .' +p323739 +(lp323740 +S'Sodium\tSodium\tNN\tB-NP\tB-protein' +p323741 +aS'141\t141\tCD\tI-NP\tI-protein' +p323742 +aS'.\t.\t.\tO\tO' +p323743 +asS'Patient converted to normal sinus rhythm once on Quinidine .' +p323744 +(lp323745 +S'Patient\tPatient\tNN\tB-NP\tO' +p323746 +aS'converted\tconvert\tVBD\tB-VP\tO' +p323747 +aS'to\tto\tTO\tB-PP\tO' +p323748 +aS'normal\tnormal\tJJ\tB-NP\tO' +p323749 +aS'sinus\tsinus\tNN\tI-NP\tO' +p323750 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p323751 +aS'once\tonce\tRB\tB-ADVP\tO' +p323752 +aS'on\ton\tIN\tB-PP\tO' +p323753 +aS'Quinidine\tQuinidine\tNN\tB-NP\tO' +p323754 +aS'.\t.\t.\tO\tO' +p323755 +asS'Heart is regular rate and rhythm with a III/VI systolic ejection murmur .' +p323756 +(lp323757 +S'Heart\tHeart\tNNP\tB-NP\tO' +p323758 +aS'is\tbe\tVBZ\tB-VP\tO' +p323759 +aS'regular\tregular\tJJ\tB-NP\tO' +p323760 +aS'rate\trate\tNN\tI-NP\tO' +p323761 +aS'and\tand\tCC\tI-NP\tO' +p323762 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p323763 +aS'with\twith\tIN\tB-PP\tO' +p323764 +aS'a\ta\tDT\tB-NP\tO' +p323765 +aS'III/VI\tIII/VI\tNN\tI-NP\tO' +p323766 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p323767 +aS'ejection\tejection\tNN\tI-NP\tO' +p323768 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p323769 +aS'.\t.\t.\tO\tO' +p323770 +asS'This was started on 4/2/99 and should be continued for ten days .' +p323771 +(lp323772 +S'This\tThis\tDT\tB-NP\tO' +p323773 +aS'was\tbe\tVBD\tB-VP\tO' +p323774 +aS'started\tstart\tVBN\tI-VP\tO' +p323775 +aS'on\ton\tIN\tB-PP\tO' +p323776 +aS'4/2/99\t4/2/99\tCD\tB-NP\tO' +p323777 +aS'and\tand\tCC\tO\tO' +p323778 +aS'should\tshould\tMD\tB-VP\tO' +p323779 +aS'be\tbe\tVB\tI-VP\tO' +p323780 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p323781 +aS'for\tfor\tIN\tB-PP\tO' +p323782 +aS'ten\tten\tCD\tB-NP\tO' +p323783 +aS'days\tday\tNNS\tI-NP\tO' +p323784 +aS'.\t.\t.\tO\tO' +p323785 +asS'No evidence of bile duct dilatation .' +p323786 +(lp323787 +S'No\tNo\tDT\tB-NP\tO' +p323788 +aS'evidence\tevidence\tNN\tI-NP\tO' +p323789 +aS'of\tof\tIN\tB-PP\tO' +p323790 +aS'bile\tbile\tNN\tB-NP\tO' +p323791 +aS'duct\tduct\tNN\tI-NP\tO' +p323792 +aS'dilatation\tdilatation\tNN\tI-NP\tO' +p323793 +aS'.\t.\t.\tO\tO' +p323794 +asS'Aspirin was resumed. On postoperative day one , he was transferred to the cardiac surgical step down unit .' +p323795 +(lp323796 +S'Aspirin\tAspirin\tNN\tB-NP\tO' +p323797 +aS'was\tbe\tVBD\tB-VP\tO' +p323798 +aS'resumed.\tresumed.\tVBN\tI-VP\tO' +p323799 +aS'On\tOn\tIN\tB-PP\tO' +p323800 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p323801 +aS'day\tday\tNN\tI-NP\tO' +p323802 +aS'one\tone\tCD\tB-NP\tO' +p323803 +aS',\t,\t,\tO\tO' +p323804 +aS'he\the\tPRP\tB-NP\tO' +p323805 +aS'was\tbe\tVBD\tB-VP\tO' +p323806 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p323807 +aS'to\tto\tTO\tB-PP\tO' +p323808 +aS'the\tthe\tDT\tB-NP\tO' +p323809 +aS'cardiac\tcardiac\tJJ\tI-NP\tB-DNA' +p323810 +aS'surgical\tsurgical\tJJ\tI-NP\tI-DNA' +p323811 +aS'step\tstep\tNN\tI-NP\tI-DNA' +p323812 +aS'down\tdown\tIN\tB-PP\tI-DNA' +p323813 +aS'unit\tunit\tNN\tB-NP\tI-DNA' +p323814 +aS'.\t.\t.\tO\tO' +p323815 +asS'He sustained left humerus fracture and left tib-fib fracture .' +p323816 +(lp323817 +S'He\tHe\tPRP\tB-NP\tO' +p323818 +aS'sustained\tsustain\tVBD\tB-VP\tO' +p323819 +aS'left\tleft\tJJ\tB-NP\tO' +p323820 +aS'humerus\thumerus\tJJ\tI-NP\tO' +p323821 +aS'fracture\tfracture\tNN\tI-NP\tO' +p323822 +aS'and\tand\tCC\tO\tO' +p323823 +aS'left\tleave\tVBD\tB-VP\tO' +p323824 +aS'tib-fib\ttib-fib\tJJ\tB-NP\tO' +p323825 +aS'fracture\tfracture\tNN\tI-NP\tO' +p323826 +aS'.\t.\t.\tO\tO' +p323827 +asS'She occasionally drinks alcohol .' +p323828 +(lp323829 +S'She\tShe\tPRP\tB-NP\tO' +p323830 +aS'occasionally\toccasionally\tRB\tB-ADVP\tO' +p323831 +aS'drinks\tdrink\tVBZ\tB-VP\tO' +p323832 +aS'alcohol\talcohol\tNN\tB-NP\tO' +p323833 +aS'.\t.\t.\tO\tO' +p323834 +asS'He was unable to stand without extensive assistance .' +p323835 +(lp323836 +S'He\tHe\tPRP\tB-NP\tO' +p323837 +aS'was\tbe\tVBD\tB-VP\tO' +p323838 +aS'unable\tunable\tJJ\tB-ADJP\tO' +p323839 +aS'to\tto\tTO\tB-VP\tO' +p323840 +aS'stand\tstand\tVB\tI-VP\tO' +p323841 +aS'without\twithout\tIN\tB-PP\tO' +p323842 +aS'extensive\textensive\tJJ\tB-NP\tO' +p323843 +aS'assistance\tassistance\tNN\tI-NP\tO' +p323844 +aS'.\t.\t.\tO\tO' +p323845 +asS'The patient was observed in the CMED CSRU for 48 hours and noted to have decrease in swelling on serial exams .' +p323846 +(lp323847 +S'The\tThe\tDT\tB-NP\tO' +p323848 +aS'patient\tpatient\tNN\tI-NP\tO' +p323849 +aS'was\tbe\tVBD\tB-VP\tO' +p323850 +aS'observed\tobserve\tVBN\tI-VP\tO' +p323851 +aS'in\tin\tIN\tB-PP\tO' +p323852 +aS'the\tthe\tDT\tB-NP\tO' +p323853 +aS'CMED\tCMED\tNNP\tI-NP\tO' +p323854 +aS'CSRU\tCSRU\tNNP\tI-NP\tO' +p323855 +aS'for\tfor\tIN\tB-PP\tO' +p323856 +aS'48\t48\tCD\tB-NP\tO' +p323857 +aS'hours\thour\tNNS\tI-NP\tO' +p323858 +aS'and\tand\tCC\tO\tO' +p323859 +aS'noted\tnote\tVBN\tB-VP\tO' +p323860 +aS'to\tto\tTO\tI-VP\tO' +p323861 +aS'have\thave\tVB\tI-VP\tO' +p323862 +aS'decrease\tdecrease\tNN\tB-NP\tO' +p323863 +aS'in\tin\tIN\tB-PP\tO' +p323864 +aS'swelling\tswell\tVBG\tB-VP\tO' +p323865 +aS'on\ton\tIN\tB-PP\tO' +p323866 +aS'serial\tserial\tJJ\tB-NP\tO' +p323867 +aS'exams\texam\tNNS\tI-NP\tO' +p323868 +aS'.\t.\t.\tO\tO' +p323869 +asS'Her legs are tender to touch bilaterally .' +p323870 +(lp323871 +S'Her\tHer\tPRP$\tB-NP\tO' +p323872 +aS'legs\tleg\tNNS\tI-NP\tO' +p323873 +aS'are\tbe\tVBP\tB-VP\tO' +p323874 +aS'tender\ttender\tNN\tB-NP\tO' +p323875 +aS'to\tto\tTO\tB-VP\tO' +p323876 +aS'touch\ttouch\tVB\tI-VP\tO' +p323877 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p323878 +aS'.\t.\t.\tO\tO' +p323879 +asS'There was no significant change in size of the subacute pontine hemorrhage .' +p323880 +(lp323881 +S'There\tThere\tEX\tB-NP\tO' +p323882 +aS'was\tbe\tVBD\tB-VP\tO' +p323883 +aS'no\tno\tDT\tB-NP\tO' +p323884 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p323885 +aS'change\tchange\tNN\tI-NP\tO' +p323886 +aS'in\tin\tIN\tB-PP\tO' +p323887 +aS'size\tsize\tNN\tB-NP\tO' +p323888 +aS'of\tof\tIN\tB-PP\tO' +p323889 +aS'the\tthe\tDT\tB-NP\tO' +p323890 +aS'subacute\tsubacute\tJJ\tI-NP\tO' +p323891 +aS'pontine\tpontine\tNN\tI-NP\tO' +p323892 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p323893 +aS'.\t.\t.\tO\tO' +p323894 +asS'Hepatitis B vaccine was administered at the time of birth on 2012-05-13 .' +p323895 +(lp323896 +S'Hepatitis\tHepatitis\tNN\tB-NP\tO' +p323897 +aS'B\tB\tNN\tI-NP\tO' +p323898 +aS'vaccine\tvaccine\tNN\tI-NP\tO' +p323899 +aS'was\tbe\tVBD\tB-VP\tO' +p323900 +aS'administered\tadminister\tVBN\tI-VP\tO' +p323901 +aS'at\tat\tIN\tB-PP\tO' +p323902 +aS'the\tthe\tDT\tB-NP\tO' +p323903 +aS'time\ttime\tNN\tI-NP\tO' +p323904 +aS'of\tof\tIN\tB-PP\tO' +p323905 +aS'birth\tbirth\tNN\tB-NP\tO' +p323906 +aS'on\ton\tIN\tB-PP\tO' +p323907 +aS'2012-05-13\t2012-05-13\tCD\tB-NP\tO' +p323908 +aS'.\t.\t.\tO\tO' +p323909 +asS'She has a very strong family history of coronary artery disease with a mother , sister and brother dying of myocardial infarction .' +p323910 +(lp323911 +S'She\tShe\tPRP\tB-NP\tO' +p323912 +aS'has\thave\tVBZ\tB-VP\tO' +p323913 +aS'a\ta\tDT\tB-NP\tO' +p323914 +aS'very\tvery\tRB\tI-NP\tO' +p323915 +aS'strong\tstrong\tJJ\tI-NP\tO' +p323916 +aS'family\tfamily\tNN\tI-NP\tO' +p323917 +aS'history\thistory\tNN\tI-NP\tO' +p323918 +aS'of\tof\tIN\tB-PP\tO' +p323919 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p323920 +aS'artery\tartery\tNN\tI-NP\tO' +p323921 +aS'disease\tdisease\tNN\tI-NP\tO' +p323922 +aS'with\twith\tIN\tB-PP\tO' +p323923 +aS'a\ta\tDT\tB-NP\tO' +p323924 +aS'mother\tmother\tNN\tI-NP\tO' +p323925 +aS',\t,\t,\tI-NP\tO' +p323926 +aS'sister\tsister\tNN\tI-NP\tO' +p323927 +aS'and\tand\tCC\tI-NP\tO' +p323928 +aS'brother\tbrother\tNN\tI-NP\tO' +p323929 +aS'dying\tdying\tNN\tI-NP\tO' +p323930 +aS'of\tof\tIN\tB-PP\tO' +p323931 +aS'myocardial\tmyocardial\tJJ\tB-NP\tO' +p323932 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p323933 +aS'.\t.\t.\tO\tO' +p323934 +asS'The patient was admitted to the Surgical Intensive Care Unit postoperatively with stable hemodynamics on Lidocaine at one , Dobutamine at 200 and Nipride .' +p323935 +(lp323936 +S'The\tThe\tDT\tB-NP\tO' +p323937 +aS'patient\tpatient\tNN\tI-NP\tO' +p323938 +aS'was\tbe\tVBD\tB-VP\tO' +p323939 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p323940 +aS'to\tto\tTO\tB-PP\tO' +p323941 +aS'the\tthe\tDT\tB-NP\tO' +p323942 +aS'Surgical\tSurgical\tNNP\tI-NP\tO' +p323943 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p323944 +aS'Care\tCare\tNNP\tI-NP\tO' +p323945 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p323946 +aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' +p323947 +aS'with\twith\tIN\tB-PP\tO' +p323948 +aS'stable\tstable\tJJ\tB-NP\tO' +p323949 +aS'hemodynamics\themodynamic\tNNS\tI-NP\tO' +p323950 +aS'on\ton\tIN\tB-PP\tO' +p323951 +aS'Lidocaine\tLidocaine\tNN\tB-NP\tO' +p323952 +aS'at\tat\tIN\tB-PP\tO' +p323953 +aS'one\tone\tCD\tB-NP\tO' +p323954 +aS',\t,\t,\tO\tO' +p323955 +aS'Dobutamine\tDobutamine\tNN\tB-NP\tO' +p323956 +aS'at\tat\tIN\tB-PP\tO' +p323957 +aS'200\t200\tCD\tB-NP\tO' +p323958 +aS'and\tand\tCC\tO\tO' +p323959 +aS'Nipride\tNipride\tNNP\tB-NP\tO' +p323960 +aS'.\t.\t.\tO\tO' +p323961 +asS'Laboratory data showed an hematocrit of 31.6 , PT 13 , INR 1.2 , potassium 4.5 , BUN 18 , creatinine 0.9 .' +p323962 +(lp323963 +S'Laboratory\tLaboratory\tNN\tB-NP\tO' +p323964 +aS'data\tdatum\tNNS\tI-NP\tO' +p323965 +aS'showed\tshow\tVBD\tB-VP\tO' +p323966 +aS'an\tan\tDT\tB-NP\tO' +p323967 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p323968 +aS'of\tof\tIN\tB-PP\tO' +p323969 +aS'31.6\t31.6\tCD\tB-NP\tO' +p323970 +aS',\t,\t,\tO\tO' +p323971 +aS'PT\tPT\tNN\tB-NP\tB-protein' +p323972 +aS'13\t13\tCD\tI-NP\tI-protein' +p323973 +aS',\t,\t,\tO\tO' +p323974 +aS'INR\tINR\tNN\tB-NP\tB-protein' +p323975 +aS'1.2\t1.2\tCD\tI-NP\tI-protein' +p323976 +aS',\t,\t,\tO\tO' +p323977 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p323978 +aS'4.5\t4.5\tCD\tI-NP\tO' +p323979 +aS',\t,\t,\tO\tO' +p323980 +aS'BUN\tBUN\tNN\tB-NP\tB-DNA' +p323981 +aS'18\t18\tCD\tI-NP\tI-DNA' +p323982 +aS',\t,\t,\tO\tO' +p323983 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p323984 +aS'0.9\t0.9\tCD\tI-NP\tO' +p323985 +aS'.\t.\t.\tO\tO' +p323986 +asS'No nasal flaring .' +p323987 +(lp323988 +S'No\tNo\tDT\tB-NP\tO' +p323989 +aS'nasal\tnasal\tJJ\tI-NP\tO' +p323990 +aS'flaring\tflaring\tNN\tI-NP\tO' +p323991 +aS'.\t.\t.\tO\tO' +p323992 +asS'The patient was hydrated well and given Adriamycin 27 mg and DTIC 450 mg daily for four days .' +p323993 +(lp323994 +S'The\tThe\tDT\tB-NP\tO' +p323995 +aS'patient\tpatient\tNN\tI-NP\tO' +p323996 +aS'was\tbe\tVBD\tB-VP\tO' +p323997 +aS'hydrated\thydrate\tVBN\tI-VP\tO' +p323998 +aS'well\twell\tRB\tB-ADVP\tO' +p323999 +aS'and\tand\tCC\tO\tO' +p324000 +aS'given\tgive\tVBN\tB-VP\tO' +p324001 +aS'Adriamycin\tAdriamycin\tNN\tB-NP\tO' +p324002 +aS'27\t27\tCD\tI-NP\tO' +p324003 +aS'mg\tmg\tNN\tI-NP\tO' +p324004 +aS'and\tand\tCC\tO\tO' +p324005 +aS'DTIC\tDTIC\tNN\tB-NP\tO' +p324006 +aS'450\t450\tCD\tI-NP\tO' +p324007 +aS'mg\tmg\tNN\tI-NP\tO' +p324008 +aS'daily\tdaily\tRB\tB-ADVP\tO' +p324009 +aS'for\tfor\tIN\tB-PP\tO' +p324010 +aS'four\tfour\tCD\tB-NP\tO' +p324011 +aS'days\tday\tNNS\tI-NP\tO' +p324012 +aS'.\t.\t.\tO\tO' +p324013 +asS'There was no formal strength test done .' +p324014 +(lp324015 +S'There\tThere\tEX\tB-NP\tO' +p324016 +aS'was\tbe\tVBD\tB-VP\tO' +p324017 +aS'no\tno\tDT\tB-NP\tO' +p324018 +aS'formal\tformal\tJJ\tI-NP\tO' +p324019 +aS'strength\tstrength\tNN\tI-NP\tO' +p324020 +aS'test\ttest\tNN\tI-NP\tO' +p324021 +aS'done\tdo\tVBN\tB-VP\tO' +p324022 +aS'.\t.\t.\tO\tO' +p324023 +asS'Her left knee had 5 degrees of valgus , 120 degrees of flexion , full extension and slight valgus instability .' +p324024 +(lp324025 +S'Her\tHer\tPRP$\tB-NP\tO' +p324026 +aS'left\tleft\tJJ\tI-NP\tO' +p324027 +aS'knee\tknee\tNN\tI-NP\tO' +p324028 +aS'had\thave\tVBD\tB-VP\tO' +p324029 +aS'5\t5\tCD\tB-NP\tO' +p324030 +aS'degrees\tdegree\tNNS\tI-NP\tO' +p324031 +aS'of\tof\tIN\tB-PP\tO' +p324032 +aS'valgus\tvalgus\tNN\tB-NP\tO' +p324033 +aS',\t,\t,\tO\tO' +p324034 +aS'120\t120\tCD\tB-NP\tO' +p324035 +aS'degrees\tdegree\tNNS\tI-NP\tO' +p324036 +aS'of\tof\tIN\tB-PP\tO' +p324037 +aS'flexion\tflexion\tNN\tB-NP\tO' +p324038 +aS',\t,\t,\tO\tO' +p324039 +aS'full\tfull\tJJ\tB-NP\tO' +p324040 +aS'extension\textension\tNN\tI-NP\tO' +p324041 +aS'and\tand\tCC\tO\tO' +p324042 +aS'slight\tslight\tJJ\tB-NP\tO' +p324043 +aS'valgus\tvalgus\tNN\tI-NP\tO' +p324044 +aS'instability\tinstability\tNN\tI-NP\tO' +p324045 +aS'.\t.\t.\tO\tO' +p324046 +asS'She denied any suicidality but did endorse depression .' +p324047 +(lp324048 +S'She\tShe\tPRP\tB-NP\tO' +p324049 +aS'denied\tdeny\tVBD\tB-VP\tO' +p324050 +aS'any\tany\tDT\tB-NP\tO' +p324051 +aS'suicidality\tsuicidality\tNN\tI-NP\tO' +p324052 +aS'but\tbut\tCC\tO\tO' +p324053 +aS'did\tdo\tVBD\tB-VP\tO' +p324054 +aS'endorse\tendorse\tNN\tB-NP\tO' +p324055 +aS'depression\tdepression\tNN\tI-NP\tO' +p324056 +aS'.\t.\t.\tO\tO' +p324057 +asS'There appears to be a decreased and sluggish flow within the right and left hepatic veins with loss of normal respiratory variations , wave forms and the intrahepatic portion .' +p324058 +(lp324059 +S'There\tThere\tEX\tB-NP\tO' +p324060 +aS'appears\tappear\tVBZ\tB-VP\tO' +p324061 +aS'to\tto\tTO\tI-VP\tO' +p324062 +aS'be\tbe\tVB\tI-VP\tO' +p324063 +aS'a\ta\tDT\tB-NP\tO' +p324064 +aS'decreased\tdecrease\tVBN\tI-NP\tO' +p324065 +aS'and\tand\tCC\tI-NP\tO' +p324066 +aS'sluggish\tsluggish\tJJ\tI-NP\tO' +p324067 +aS'flow\tflow\tNN\tI-NP\tO' +p324068 +aS'within\twithin\tIN\tB-PP\tO' +p324069 +aS'the\tthe\tDT\tB-NP\tO' +p324070 +aS'right\tright\tNN\tI-NP\tO' +p324071 +aS'and\tand\tCC\tO\tO' +p324072 +aS'left\tleave\tVBD\tB-VP\tO' +p324073 +aS'hepatic\thepatic\tJJ\tB-NP\tO' +p324074 +aS'veins\tvein\tNNS\tI-NP\tO' +p324075 +aS'with\twith\tIN\tB-PP\tO' +p324076 +aS'loss\tloss\tNN\tB-NP\tO' +p324077 +aS'of\tof\tIN\tB-PP\tO' +p324078 +aS'normal\tnormal\tJJ\tB-NP\tO' +p324079 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p324080 +aS'variations\tvariation\tNNS\tI-NP\tO' +p324081 +aS',\t,\t,\tO\tO' +p324082 +aS'wave\twave\tNN\tB-NP\tO' +p324083 +aS'forms\tform\tNNS\tI-NP\tO' +p324084 +aS'and\tand\tCC\tO\tO' +p324085 +aS'the\tthe\tDT\tB-NP\tO' +p324086 +aS'intrahepatic\tintrahepatic\tJJ\tI-NP\tO' +p324087 +aS'portion\tportion\tNN\tI-NP\tO' +p324088 +aS'.\t.\t.\tO\tO' +p324089 +asS'42 yom with PMH of HTN , hyperchol admitted to OSH 1 day ago with black tarry stools X 2 days .' +p324090 +(lp324091 +S'42\t42\tCD\tB-NP\tO' +p324092 +aS'yom\tyom\tNN\tI-NP\tO' +p324093 +aS'with\twith\tIN\tB-PP\tO' +p324094 +aS'PMH\tPMH\tNN\tB-NP\tO' +p324095 +aS'of\tof\tIN\tB-PP\tO' +p324096 +aS'HTN\tHTN\tNN\tB-NP\tB-protein' +p324097 +aS',\t,\t,\tO\tO' +p324098 +aS'hyperchol\thyperchol\tNN\tB-NP\tO' +p324099 +aS'admitted\tadmit\tVBN\tB-VP\tO' +p324100 +aS'to\tto\tTO\tB-PP\tO' +p324101 +aS'OSH\tOSH\tNN\tB-NP\tB-protein' +p324102 +aS'1\t1\tCD\tI-NP\tI-protein' +p324103 +aS'day\tday\tNN\tI-NP\tO' +p324104 +aS'ago\tago\tRB\tB-ADVP\tO' +p324105 +aS'with\twith\tIN\tB-PP\tO' +p324106 +aS'black\tblack\tJJ\tB-NP\tO' +p324107 +aS'tarry\ttarry\tNN\tI-NP\tO' +p324108 +aS'stools\tstool\tNNS\tI-NP\tO' +p324109 +aS'X\tX\tSYM\tO\tO' +p324110 +aS'2\t2\tCD\tB-NP\tO' +p324111 +aS'days\tday\tNNS\tI-NP\tO' +p324112 +aS'.\t.\t.\tO\tO' +p324113 +asS'Urinalysis had 5-10 white blood cells and 2+ bacteria .' +p324114 +(lp324115 +S'Urinalysis\tUrinalysis\tNN\tB-NP\tO' +p324116 +aS'had\thave\tVBD\tB-VP\tO' +p324117 +aS'5-10\t5-10\tCD\tB-NP\tO' +p324118 +aS'white\twhite\tJJ\tI-NP\tB-cell_type' +p324119 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p324120 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p324121 +aS'and\tand\tCC\tO\tO' +p324122 +aS'2+\t2+\tJJ\tB-NP\tO' +p324123 +aS'bacteria\tbacteria\tNNS\tI-NP\tO' +p324124 +aS'.\t.\t.\tO\tO' +p324125 +asS'PT 14 , INR 1.3 , PTT 115 .' +p324126 +(lp324127 +S'PT\tPT\tNN\tB-NP\tB-protein' +p324128 +aS'14\t14\tCD\tI-NP\tI-protein' +p324129 +aS',\t,\t,\tO\tO' +p324130 +aS'INR\tINR\tNN\tB-NP\tB-protein' +p324131 +aS'1.3\t1.3\tCD\tI-NP\tI-protein' +p324132 +aS',\t,\t,\tO\tO' +p324133 +aS'PTT\tPTT\tNN\tB-NP\tB-protein' +p324134 +aS'115\t115\tCD\tI-NP\tI-protein' +p324135 +aS'.\t.\t.\tO\tO' +p324136 +asS'Negative blood cultures at this point .' +p324137 +(lp324138 +S'Negative\tNegative\tJJ\tB-NP\tO' +p324139 +aS'blood\tblood\tNN\tI-NP\tO' +p324140 +aS'cultures\tculture\tNNS\tI-NP\tO' +p324141 +aS'at\tat\tIN\tB-PP\tO' +p324142 +aS'this\tthis\tDT\tB-NP\tO' +p324143 +aS'point\tpoint\tNN\tI-NP\tO' +p324144 +aS'.\t.\t.\tO\tO' +p324145 +asS'The face was symmetric .' +p324146 +(lp324147 +S'The\tThe\tDT\tB-NP\tO' +p324148 +aS'face\tface\tNN\tI-NP\tO' +p324149 +aS'was\tbe\tVBD\tB-VP\tO' +p324150 +aS'symmetric\tsymmetric\tJJ\tB-ADJP\tO' +p324151 +aS'.\t.\t.\tO\tO' +p324152 +asS'He has had uncoordination of his feet and began having a cane four to five months ago with the increasing weakness .' +p324153 +(lp324154 +S'He\tHe\tPRP\tB-NP\tO' +p324155 +aS'has\thave\tVBZ\tB-VP\tO' +p324156 +aS'had\thave\tVBN\tI-VP\tO' +p324157 +aS'uncoordination\tuncoordination\tNN\tB-NP\tO' +p324158 +aS'of\tof\tIN\tB-PP\tO' +p324159 +aS'his\this\tPRP$\tB-NP\tO' +p324160 +aS'feet\tfoot\tNNS\tI-NP\tO' +p324161 +aS'and\tand\tCC\tO\tO' +p324162 +aS'began\tbegin\tVBD\tB-VP\tO' +p324163 +aS'having\thave\tVBG\tI-VP\tO' +p324164 +aS'a\ta\tDT\tB-NP\tO' +p324165 +aS'cane\tcane\tNN\tI-NP\tO' +p324166 +aS'four\tfour\tCD\tB-NP\tO' +p324167 +aS'to\tto\tTO\tI-NP\tO' +p324168 +aS'five\tfive\tCD\tI-NP\tO' +p324169 +aS'months\tmonth\tNNS\tI-NP\tO' +p324170 +aS'ago\tago\tRB\tB-ADVP\tO' +p324171 +aS'with\twith\tIN\tB-PP\tO' +p324172 +aS'the\tthe\tDT\tB-NP\tO' +p324173 +aS'increasing\tincrease\tVBG\tI-NP\tO' +p324174 +aS'weakness\tweakness\tNN\tI-NP\tO' +p324175 +aS'.\t.\t.\tO\tO' +p324176 +asS'Lives with wife ; +ETOH use' +p324177 +(lp324178 +S'Lives\tLife\tNNS\tB-NP\tO' +p324179 +aS'with\twith\tIN\tB-PP\tO' +p324180 +aS'wife\twife\tNN\tB-NP\tO' +p324181 +aS';\t;\t:\tO\tO' +p324182 +aS'+ETOH\t+ETOH\tNN\tB-NP\tO' +p324183 +aS'use\tuse\tNN\tI-NP\tO' +p324184 +asS'They were concerned that the fall might have caused another bleed , as had happened in the past , and this prompted them to come to the Deanna .' +p324185 +(lp324186 +S'They\tThey\tPRP\tB-NP\tO' +p324187 +aS'were\tbe\tVBD\tB-VP\tO' +p324188 +aS'concerned\tconcern\tVBN\tB-ADJP\tO' +p324189 +aS'that\tthat\tIN\tB-SBAR\tO' +p324190 +aS'the\tthe\tDT\tB-NP\tO' +p324191 +aS'fall\tfall\tNN\tI-NP\tO' +p324192 +aS'might\tmight\tMD\tB-VP\tO' +p324193 +aS'have\thave\tVB\tI-VP\tO' +p324194 +aS'caused\tcause\tVBN\tI-VP\tO' +p324195 +aS'another\tanother\tDT\tB-NP\tO' +p324196 +aS'bleed\tbleed\tNN\tI-NP\tO' +p324197 +aS',\t,\t,\tO\tO' +p324198 +aS'as\tas\tIN\tB-SBAR\tO' +p324199 +aS'had\thave\tVBD\tB-VP\tO' +p324200 +aS'happened\thappen\tVBN\tI-VP\tO' +p324201 +aS'in\tin\tIN\tB-PP\tO' +p324202 +aS'the\tthe\tDT\tB-NP\tO' +p324203 +aS'past\tpast\tNN\tI-NP\tO' +p324204 +aS',\t,\t,\tO\tO' +p324205 +aS'and\tand\tCC\tO\tO' +p324206 +aS'this\tthis\tDT\tB-NP\tO' +p324207 +aS'prompted\tprompt\tVBD\tB-VP\tO' +p324208 +aS'them\tthem\tPRP\tB-NP\tO' +p324209 +aS'to\tto\tTO\tB-VP\tO' +p324210 +aS'come\tcome\tVB\tI-VP\tO' +p324211 +aS'to\tto\tTO\tB-PP\tO' +p324212 +aS'the\tthe\tDT\tB-NP\tO' +p324213 +aS'Deanna\tDeanna\tNNP\tI-NP\tO' +p324214 +aS'.\t.\t.\tO\tO' +p324215 +asS'Will follow-up with his PMD ; biopsy results to be followed closely .' +p324216 +(lp324217 +S'Will\tWill\tMD\tB-VP\tO' +p324218 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p324219 +aS'with\twith\tIN\tB-PP\tO' +p324220 +aS'his\this\tPRP$\tB-NP\tO' +p324221 +aS'PMD\tPMD\tNN\tI-NP\tO' +p324222 +aS';\t;\t:\tO\tO' +p324223 +aS'biopsy\tbiopsy\tNN\tB-NP\tO' +p324224 +aS'results\tresult\tNNS\tI-NP\tO' +p324225 +aS'to\tto\tTO\tB-VP\tO' +p324226 +aS'be\tbe\tVB\tI-VP\tO' +p324227 +aS'followed\tfollow\tVBN\tI-VP\tO' +p324228 +aS'closely\tclosely\tRB\tB-ADVP\tO' +p324229 +aS'.\t.\t.\tO\tO' +p324230 +asS'7. Spironolactone 25 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' +p324231 +(lp324232 +S'7.\t7.\tCD\tB-NP\tO' +p324233 +aS'Spironolactone\tSpironolactone\tNN\tI-NP\tO' +p324234 +aS'25\t25\tCD\tB-NP\tO' +p324235 +aS'mg\tmg\tNN\tI-NP\tO' +p324236 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p324237 +aS'Sig\tSig\tNNP\tI-NP\tO' +p324238 +aS':\t:\t:\tO\tO' +p324239 +aS'One\tOne\tCD\tB-NP\tO' +p324240 +aS'(\t(\t(\tO\tO' +p324241 +aS'1\t1\tCD\tB-NP\tO' +p324242 +aS')\t)\t)\tO\tO' +p324243 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p324244 +aS'PO\tPO\tNN\tI-NP\tO' +p324245 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p324246 +aS'(\t(\t(\tO\tO' +p324247 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p324248 +aS')\t)\t)\tO\tO' +p324249 +aS'.\t.\t.\tO\tO' +p324250 +asS'No evidence of immediate hardware complication .' +p324251 +(lp324252 +S'No\tNo\tDT\tB-NP\tO' +p324253 +aS'evidence\tevidence\tNN\tI-NP\tO' +p324254 +aS'of\tof\tIN\tB-PP\tO' +p324255 +aS'immediate\timmediate\tJJ\tB-NP\tO' +p324256 +aS'hardware\thardware\tNN\tI-NP\tO' +p324257 +aS'complication\tcomplication\tNN\tI-NP\tO' +p324258 +aS'.\t.\t.\tO\tO' +p324259 +asS'The patient was loaded once again with Digoxin and his beta blocker was increased to 100 mg of Lopressor , three times a day .' +p324260 +(lp324261 +S'The\tThe\tDT\tB-NP\tO' +p324262 +aS'patient\tpatient\tNN\tI-NP\tO' +p324263 +aS'was\tbe\tVBD\tB-VP\tO' +p324264 +aS'loaded\tload\tVBN\tI-VP\tO' +p324265 +aS'once\tonce\tRB\tB-ADVP\tO' +p324266 +aS'again\tagain\tRB\tI-ADVP\tO' +p324267 +aS'with\twith\tIN\tB-PP\tO' +p324268 +aS'Digoxin\tDigoxin\tNN\tB-NP\tO' +p324269 +aS'and\tand\tCC\tO\tO' +p324270 +aS'his\this\tPRP$\tB-NP\tO' +p324271 +aS'beta\tbeta\tNN\tI-NP\tO' +p324272 +aS'blocker\tblocker\tNN\tI-NP\tO' +p324273 +aS'was\tbe\tVBD\tB-VP\tO' +p324274 +aS'increased\tincrease\tVBN\tI-VP\tO' +p324275 +aS'to\tto\tTO\tB-PP\tO' +p324276 +aS'100\t100\tCD\tB-NP\tO' +p324277 +aS'mg\tmg\tNN\tI-NP\tO' +p324278 +aS'of\tof\tIN\tB-PP\tO' +p324279 +aS'Lopressor\tLopressor\tNN\tB-NP\tB-protein' +p324280 +aS',\t,\t,\tO\tO' +p324281 +aS'three\tthree\tCD\tB-NP\tO' +p324282 +aS'times\ttime\tNNS\tI-NP\tO' +p324283 +aS'a\ta\tDT\tB-NP\tO' +p324284 +aS'day\tday\tNN\tI-NP\tO' +p324285 +aS'.\t.\t.\tO\tO' +p324286 +asS'The patient had been off his regular medications since during the admission and will be discharged off his medications .' +p324287 +(lp324288 +S'The\tThe\tDT\tB-NP\tO' +p324289 +aS'patient\tpatient\tNN\tI-NP\tO' +p324290 +aS'had\thave\tVBD\tB-VP\tO' +p324291 +aS'been\tbe\tVBN\tI-VP\tO' +p324292 +aS'off\toff\tRP\tB-PRT\tO' +p324293 +aS'his\this\tPRP$\tB-NP\tO' +p324294 +aS'regular\tregular\tJJ\tI-NP\tO' +p324295 +aS'medications\tmedication\tNNS\tI-NP\tO' +p324296 +aS'since\tsince\tIN\tB-PP\tO' +p324297 +aS'during\tduring\tIN\tB-PP\tO' +p324298 +aS'the\tthe\tDT\tB-NP\tO' +p324299 +aS'admission\tadmission\tNN\tI-NP\tO' +p324300 +aS'and\tand\tCC\tO\tO' +p324301 +aS'will\twill\tMD\tB-VP\tO' +p324302 +aS'be\tbe\tVB\tI-VP\tO' +p324303 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p324304 +aS'off\toff\tRP\tB-PRT\tO' +p324305 +aS'his\this\tPRP$\tB-NP\tO' +p324306 +aS'medications\tmedication\tNNS\tI-NP\tO' +p324307 +aS'.\t.\t.\tO\tO' +p324308 +asS'5. Coronary artery disease .' +p324309 +(lp324310 +S'5.\t5.\tLS\tB-NP\tO' +p324311 +aS'Coronary\tCoronary\tJJ\tI-NP\tO' +p324312 +aS'artery\tartery\tNN\tI-NP\tO' +p324313 +aS'disease\tdisease\tNN\tI-NP\tO' +p324314 +aS'.\t.\t.\tO\tO' +p324315 +asS'A parameter monitor for his neurologic status PaCO2 which was maintained between 35 and 40 during his hospitalization .' +p324316 +(lp324317 +S'A\tA\tDT\tB-NP\tO' +p324318 +aS'parameter\tparameter\tNN\tI-NP\tO' +p324319 +aS'monitor\tmonitor\tNN\tI-NP\tO' +p324320 +aS'for\tfor\tIN\tB-PP\tO' +p324321 +aS'his\this\tPRP$\tB-NP\tO' +p324322 +aS'neurologic\tneurologic\tJJ\tI-NP\tB-protein' +p324323 +aS'status\tstatus\tNN\tI-NP\tI-protein' +p324324 +aS'PaCO2\tPaCO2\tNN\tI-NP\tI-protein' +p324325 +aS'which\twhich\tWDT\tB-NP\tO' +p324326 +aS'was\tbe\tVBD\tB-VP\tO' +p324327 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p324328 +aS'between\tbetween\tIN\tB-PP\tO' +p324329 +aS'35\t35\tCD\tB-NP\tO' +p324330 +aS'and\tand\tCC\tI-NP\tO' +p324331 +aS'40\t40\tCD\tI-NP\tO' +p324332 +aS'during\tduring\tIN\tB-PP\tO' +p324333 +aS'his\this\tPRP$\tB-NP\tO' +p324334 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p324335 +aS'.\t.\t.\tO\tO' +p324336 +asS'The patient was discharged home on admission medications .' +p324337 +(lp324338 +S'The\tThe\tDT\tB-NP\tO' +p324339 +aS'patient\tpatient\tNN\tI-NP\tO' +p324340 +aS'was\tbe\tVBD\tB-VP\tO' +p324341 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p324342 +aS'home\thome\tNN\tB-ADVP\tO' +p324343 +aS'on\ton\tIN\tB-PP\tO' +p324344 +aS'admission\tadmission\tNN\tB-NP\tO' +p324345 +aS'medications\tmedication\tNNS\tI-NP\tO' +p324346 +aS'.\t.\t.\tO\tO' +p324347 +asS'1. Ativan 1 mg po twice a day .' +p324348 +(lp324349 +S'1.\t1.\tLS\tB-LST\tO' +p324350 +aS'Ativan\tAtivan\tNNP\tB-NP\tO' +p324351 +aS'1\t1\tCD\tI-NP\tO' +p324352 +aS'mg\tmg\tNN\tI-NP\tO' +p324353 +aS'po\tpo\tRB\tB-NP\tO' +p324354 +aS'twice\ttwice\tRB\tI-NP\tO' +p324355 +aS'a\ta\tDT\tI-NP\tO' +p324356 +aS'day\tday\tNN\tI-NP\tO' +p324357 +aS'.\t.\t.\tO\tO' +p324358 +asS'2. Basilar stenosis .' +p324359 +(lp324360 +S'2.\t2.\tLS\tB-NP\tO' +p324361 +aS'Basilar\tBasilar\tJJ\tI-NP\tO' +p324362 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p324363 +aS'.\t.\t.\tO\tO' +p324364 +asS'14. Coumadin 2 mg Tablet Sig : One ( 1 ) Tablet PO once a day .' +p324365 +(lp324366 +S'14.\t14.\tLS\tO\tO' +p324367 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p324368 +aS'2\t2\tCD\tI-NP\tO' +p324369 +aS'mg\tmg\tNN\tI-NP\tO' +p324370 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p324371 +aS'Sig\tSig\tNNP\tI-NP\tO' +p324372 +aS':\t:\t:\tO\tO' +p324373 +aS'One\tOne\tCD\tB-NP\tO' +p324374 +aS'(\t(\t(\tO\tO' +p324375 +aS'1\t1\tCD\tB-NP\tO' +p324376 +aS')\t)\t)\tO\tO' +p324377 +aS'Tablet\tTablet\tNN\tB-NP\tB-protein' +p324378 +aS'PO\tPO\tNN\tI-NP\tI-protein' +p324379 +aS'once\tonce\tRB\tO\tO' +p324380 +aS'a\ta\tDT\tB-NP\tO' +p324381 +aS'day\tday\tNN\tI-NP\tO' +p324382 +aS'.\t.\t.\tO\tO' +p324383 +asS'SLEEP : No normal waking or sleeping morphologies were seen .' +p324384 +(lp324385 +S'SLEEP\tSLEEP\tNN\tB-NP\tB-protein' +p324386 +aS':\t:\t:\tO\tO' +p324387 +aS'No\tNo\tDT\tB-NP\tO' +p324388 +aS'normal\tnormal\tJJ\tI-NP\tO' +p324389 +aS'waking\twaking\tNN\tI-NP\tO' +p324390 +aS'or\tor\tCC\tI-NP\tO' +p324391 +aS'sleeping\tsleeping\tNN\tI-NP\tO' +p324392 +aS'morphologies\tmorphology\tNNS\tI-NP\tO' +p324393 +aS'were\tbe\tVBD\tB-VP\tO' +p324394 +aS'seen\tsee\tVBN\tI-VP\tO' +p324395 +aS'.\t.\t.\tO\tO' +p324396 +asS'The patient was continued on Vancomycin and Gentamycin while speciation and sensitivities were pending .' +p324397 +(lp324398 +S'The\tThe\tDT\tB-NP\tO' +p324399 +aS'patient\tpatient\tNN\tI-NP\tO' +p324400 +aS'was\tbe\tVBD\tB-VP\tO' +p324401 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p324402 +aS'on\ton\tIN\tB-PP\tO' +p324403 +aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' +p324404 +aS'and\tand\tCC\tI-NP\tO' +p324405 +aS'Gentamycin\tGentamycin\tNN\tI-NP\tO' +p324406 +aS'while\twhile\tIN\tB-SBAR\tO' +p324407 +aS'speciation\tspeciation\tNN\tB-NP\tO' +p324408 +aS'and\tand\tCC\tI-NP\tO' +p324409 +aS'sensitivities\tsensitivity\tNNS\tI-NP\tO' +p324410 +aS'were\tbe\tVBD\tB-VP\tO' +p324411 +aS'pending\tpende\tVBG\tB-ADJP\tO' +p324412 +aS'.\t.\t.\tO\tO' +p324413 +asS'Abd soft , NT/ND , + bs , no masses , ostomy in RLQ pink , with stool' +p324414 +(lp324415 +S'Abd\tAbd\tNN\tB-NP\tO' +p324416 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p324417 +aS',\t,\t,\tO\tO' +p324418 +aS'NT/ND\tNT/ND\tNN\tB-NP\tB-protein' +p324419 +aS',\t,\t,\tO\tO' +p324420 +aS'+\t+\tJJ\tB-NP\tO' +p324421 +aS'bs\tb\tNNS\tI-NP\tO' +p324422 +aS',\t,\t,\tO\tO' +p324423 +aS'no\tno\tDT\tB-NP\tO' +p324424 +aS'masses\tmass\tNNS\tI-NP\tO' +p324425 +aS',\t,\t,\tO\tO' +p324426 +aS'ostomy\tostomy\tNN\tB-NP\tO' +p324427 +aS'in\tin\tIN\tB-PP\tO' +p324428 +aS'RLQ\tRLQ\tNN\tB-NP\tO' +p324429 +aS'pink\tpink\tNN\tI-NP\tO' +p324430 +aS',\t,\t,\tO\tO' +p324431 +aS'with\twith\tIN\tB-PP\tO' +p324432 +aS'stool\tstool\tNN\tB-NP\tO' +p324433 +asS'At 16 hours of life he was noted to have increased work of breathing with tachypnea , flaring and grunting .' +p324434 +(lp324435 +S'At\tAt\tIN\tB-PP\tO' +p324436 +aS'16\t16\tCD\tB-NP\tO' +p324437 +aS'hours\thour\tNNS\tI-NP\tO' +p324438 +aS'of\tof\tIN\tB-PP\tO' +p324439 +aS'life\tlife\tNN\tB-NP\tO' +p324440 +aS'he\the\tPRP\tB-NP\tO' +p324441 +aS'was\tbe\tVBD\tB-VP\tO' +p324442 +aS'noted\tnote\tVBN\tI-VP\tO' +p324443 +aS'to\tto\tTO\tI-VP\tO' +p324444 +aS'have\thave\tVB\tI-VP\tO' +p324445 +aS'increased\tincrease\tVBN\tB-NP\tO' +p324446 +aS'work\twork\tNN\tI-NP\tO' +p324447 +aS'of\tof\tIN\tB-PP\tO' +p324448 +aS'breathing\tbreathing\tNN\tB-NP\tO' +p324449 +aS'with\twith\tIN\tB-PP\tO' +p324450 +aS'tachypnea\ttachypnea\tNN\tB-NP\tO' +p324451 +aS',\t,\t,\tI-NP\tO' +p324452 +aS'flaring\tflaring\tNN\tI-NP\tO' +p324453 +aS'and\tand\tCC\tI-NP\tO' +p324454 +aS'grunting\tgrunting\tNN\tI-NP\tO' +p324455 +aS'.\t.\t.\tO\tO' +p324456 +asS'Gait was wide based , very unsteady , veering to the left and to the right .' +p324457 +(lp324458 +S'Gait\tGait\tNNP\tB-NP\tO' +p324459 +aS'was\tbe\tVBD\tB-VP\tO' +p324460 +aS'wide\twide\tJJ\tB-ADJP\tO' +p324461 +aS'based\tbase\tVBN\tB-VP\tO' +p324462 +aS',\t,\t,\tO\tO' +p324463 +aS'very\tvery\tRB\tB-ADJP\tO' +p324464 +aS'unsteady\tunsteady\tJJ\tI-ADJP\tO' +p324465 +aS',\t,\t,\tO\tO' +p324466 +aS'veering\tveer\tVBG\tB-VP\tO' +p324467 +aS'to\tto\tTO\tB-PP\tO' +p324468 +aS'the\tthe\tDT\tB-NP\tO' +p324469 +aS'left\tleft\tJJ\tI-NP\tO' +p324470 +aS'and\tand\tCC\tB-PP\tO' +p324471 +aS'to\tto\tTO\tB-PP\tO' +p324472 +aS'the\tthe\tDT\tB-NP\tO' +p324473 +aS'right\tright\tNN\tI-NP\tO' +p324474 +aS'.\t.\t.\tO\tO' +p324475 +asS'A small amount of nondependent free air is seen in the anterior aspect of the abdomen .' +p324476 +(lp324477 +S'A\tA\tDT\tB-NP\tO' +p324478 +aS'small\tsmall\tJJ\tI-NP\tO' +p324479 +aS'amount\tamount\tNN\tI-NP\tO' +p324480 +aS'of\tof\tIN\tB-PP\tO' +p324481 +aS'nondependent\tnondependent\tJJ\tB-NP\tO' +p324482 +aS'free\tfree\tJJ\tI-NP\tO' +p324483 +aS'air\tair\tNN\tI-NP\tO' +p324484 +aS'is\tbe\tVBZ\tB-VP\tO' +p324485 +aS'seen\tsee\tVBN\tI-VP\tO' +p324486 +aS'in\tin\tIN\tB-PP\tO' +p324487 +aS'the\tthe\tDT\tB-NP\tO' +p324488 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p324489 +aS'aspect\taspect\tNN\tI-NP\tO' +p324490 +aS'of\tof\tIN\tB-PP\tO' +p324491 +aS'the\tthe\tDT\tB-NP\tO' +p324492 +aS'abdomen\tabdoman\tNNS\tI-NP\tO' +p324493 +aS'.\t.\t.\tO\tO' +p324494 +asS'With Dr. Vivian Hansen , UMass Memorial Medical Center , 3rd floor Morris on Monday 12-08 at @ 1:30pm ( you also have an appointment scheduled with Dr. Hipp for 01-14 ) .' +p324495 +(lp324496 +S'With\tWith\tIN\tB-PP\tO' +p324497 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p324498 +aS'Vivian\tVivian\tNNP\tI-NP\tO' +p324499 +aS'Hansen\tHansen\tNNP\tI-NP\tO' +p324500 +aS',\t,\t,\tO\tO' +p324501 +aS'UMass\tUMass\tNNP\tB-NP\tO' +p324502 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p324503 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p324504 +aS'Center\tCenter\tNNP\tI-NP\tO' +p324505 +aS',\t,\t,\tO\tO' +p324506 +aS'3rd\t3rd\tCD\tB-NP\tO' +p324507 +aS'floor\tfloor\tNN\tI-NP\tO' +p324508 +aS'Morris\tMorris\tNNP\tB-NP\tO' +p324509 +aS'on\ton\tIN\tB-PP\tO' +p324510 +aS'Monday\tMonday\tNNP\tB-NP\tO' +p324511 +aS'12-08\t12-08\tCD\tI-NP\tO' +p324512 +aS'at\tat\tIN\tB-PP\tO' +p324513 +aS'@\t@\tNN\tB-NP\tO' +p324514 +aS'1:30pm\t1:30pm\tNN\tI-NP\tO' +p324515 +aS'(\t(\t(\tO\tO' +p324516 +aS'you\tyou\tPRP\tB-NP\tO' +p324517 +aS'also\talso\tRB\tB-ADVP\tO' +p324518 +aS'have\thave\tVBP\tB-VP\tO' +p324519 +aS'an\tan\tDT\tB-NP\tO' +p324520 +aS'appointment\tappointment\tNN\tI-NP\tO' +p324521 +aS'scheduled\tschedule\tVBN\tB-VP\tO' +p324522 +aS'with\twith\tIN\tB-PP\tO' +p324523 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p324524 +aS'Hipp\tHipp\tNNP\tI-NP\tO' +p324525 +aS'for\tfor\tIN\tB-PP\tO' +p324526 +aS'01-14\t01-14\tCD\tB-NP\tO' +p324527 +aS')\t)\t)\tO\tO' +p324528 +aS'.\t.\t.\tO\tO' +p324529 +asS'Intraoperatively , the patient suffered hypotension with induction and respiratory insufficiency .' +p324530 +(lp324531 +S'Intraoperatively\tIntraoperatively\tRB\tB-ADVP\tO' +p324532 +aS',\t,\t,\tO\tO' +p324533 +aS'the\tthe\tDT\tB-NP\tO' +p324534 +aS'patient\tpatient\tNN\tI-NP\tO' +p324535 +aS'suffered\tsuffer\tVBD\tB-VP\tO' +p324536 +aS'hypotension\thypotension\tNN\tB-NP\tO' +p324537 +aS'with\twith\tIN\tB-PP\tO' +p324538 +aS'induction\tinduction\tNN\tB-NP\tO' +p324539 +aS'and\tand\tCC\tO\tO' +p324540 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p324541 +aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' +p324542 +aS'.\t.\t.\tO\tO' +p324543 +asS'The patient was seen in consultation by the Electrophysiology service , Dr. Slusslashgodle , who said that he had no indication for patch placement at the time of surgery .' +p324544 +(lp324545 +S'The\tThe\tDT\tB-NP\tO' +p324546 +aS'patient\tpatient\tNN\tI-NP\tO' +p324547 +aS'was\tbe\tVBD\tB-VP\tO' +p324548 +aS'seen\tsee\tVBN\tI-VP\tO' +p324549 +aS'in\tin\tIN\tB-PP\tO' +p324550 +aS'consultation\tconsultation\tNN\tB-NP\tO' +p324551 +aS'by\tby\tIN\tB-PP\tO' +p324552 +aS'the\tthe\tDT\tB-NP\tO' +p324553 +aS'Electrophysiology\tElectrophysiology\tNN\tI-NP\tO' +p324554 +aS'service\tservice\tNN\tI-NP\tO' +p324555 +aS',\t,\t,\tO\tO' +p324556 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p324557 +aS'Slusslashgodle\tSlusslashgodle\tNNP\tI-NP\tO' +p324558 +aS',\t,\t,\tO\tO' +p324559 +aS'who\twho\tWP\tB-NP\tO' +p324560 +aS'said\tsay\tVBD\tB-VP\tO' +p324561 +aS'that\tthat\tIN\tB-SBAR\tO' +p324562 +aS'he\the\tPRP\tB-NP\tO' +p324563 +aS'had\thave\tVBD\tB-VP\tO' +p324564 +aS'no\tno\tDT\tB-NP\tO' +p324565 +aS'indication\tindication\tNN\tI-NP\tO' +p324566 +aS'for\tfor\tIN\tB-PP\tO' +p324567 +aS'patch\tpatch\tNN\tB-NP\tO' +p324568 +aS'placement\tplacement\tNN\tI-NP\tO' +p324569 +aS'at\tat\tIN\tB-PP\tO' +p324570 +aS'the\tthe\tDT\tB-NP\tO' +p324571 +aS'time\ttime\tNN\tI-NP\tO' +p324572 +aS'of\tof\tIN\tB-PP\tO' +p324573 +aS'surgery\tsurgery\tNN\tB-NP\tO' +p324574 +aS'.\t.\t.\tO\tO' +p324575 +asS'Of note , at the outside hospital , an endoscopy and colonoscopy were performed .' +p324576 +(lp324577 +S'Of\tOf\tIN\tB-PP\tO' +p324578 +aS'note\tnote\tNN\tB-NP\tO' +p324579 +aS',\t,\t,\tO\tO' +p324580 +aS'at\tat\tIN\tB-PP\tO' +p324581 +aS'the\tthe\tDT\tB-NP\tO' +p324582 +aS'outside\toutside\tJJ\tI-NP\tO' +p324583 +aS'hospital\thospital\tNN\tI-NP\tO' +p324584 +aS',\t,\t,\tO\tO' +p324585 +aS'an\tan\tDT\tB-NP\tO' +p324586 +aS'endoscopy\tendoscopy\tNN\tI-NP\tO' +p324587 +aS'and\tand\tCC\tI-NP\tO' +p324588 +aS'colonoscopy\tcolonoscopy\tNN\tI-NP\tO' +p324589 +aS'were\tbe\tVBD\tB-VP\tO' +p324590 +aS'performed\tperform\tVBN\tI-VP\tO' +p324591 +aS'.\t.\t.\tO\tO' +p324592 +asS'Lungs were clear to percussion and auscultation with a few scattered rales , left greater than right .' +p324593 +(lp324594 +S'Lungs\tLung\tNNS\tB-NP\tO' +p324595 +aS'were\tbe\tVBD\tB-VP\tO' +p324596 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p324597 +aS'to\tto\tTO\tB-PP\tO' +p324598 +aS'percussion\tpercussion\tNN\tB-NP\tO' +p324599 +aS'and\tand\tCC\tI-NP\tO' +p324600 +aS'auscultation\tauscultation\tNN\tI-NP\tO' +p324601 +aS'with\twith\tIN\tB-PP\tO' +p324602 +aS'a\ta\tDT\tB-NP\tO' +p324603 +aS'few\tfew\tJJ\tI-NP\tO' +p324604 +aS'scattered\tscattered\tJJ\tI-NP\tO' +p324605 +aS'rales\trale\tNNS\tI-NP\tO' +p324606 +aS',\t,\t,\tO\tO' +p324607 +aS'left\tleave\tVBD\tB-VP\tO' +p324608 +aS'greater\tgreat\tJJR\tB-ADJP\tO' +p324609 +aS'than\tthan\tIN\tB-PP\tO' +p324610 +aS'right\tright\tJJ\tB-ADJP\tO' +p324611 +aS'.\t.\t.\tO\tO' +p324612 +asS'Aspirin 81 mg q.day .' +p324613 +(lp324614 +S'Aspirin\tAspirin\tNN\tB-NP\tO' +p324615 +aS'81\t81\tCD\tI-NP\tO' +p324616 +aS'mg\tmg\tNN\tI-NP\tO' +p324617 +aS'q.day\tq.day\tNN\tI-NP\tO' +p324618 +aS'.\t.\t.\tO\tO' +p324619 +asS'She continued to have occasional episodes of dizziness , shortness of breath , and hypotension whenever the alarm sounded suggesting that the Flolan bag needed to be changed .' +p324620 +(lp324621 +S'She\tShe\tPRP\tB-NP\tO' +p324622 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p324623 +aS'to\tto\tTO\tI-VP\tO' +p324624 +aS'have\thave\tVB\tI-VP\tO' +p324625 +aS'occasional\toccasional\tJJ\tB-NP\tO' +p324626 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p324627 +aS'of\tof\tIN\tB-PP\tO' +p324628 +aS'dizziness\tdizziness\tNN\tB-NP\tO' +p324629 +aS',\t,\t,\tO\tO' +p324630 +aS'shortness\tshortness\tNN\tB-NP\tO' +p324631 +aS'of\tof\tIN\tB-PP\tO' +p324632 +aS'breath\tbreath\tNN\tB-NP\tO' +p324633 +aS',\t,\t,\tO\tO' +p324634 +aS'and\tand\tCC\tO\tO' +p324635 +aS'hypotension\thypotension\tNN\tB-NP\tO' +p324636 +aS'whenever\twhenever\tWRB\tB-ADVP\tO' +p324637 +aS'the\tthe\tDT\tB-NP\tO' +p324638 +aS'alarm\talarm\tNN\tI-NP\tO' +p324639 +aS'sounded\tsound\tVBD\tB-VP\tO' +p324640 +aS'suggesting\tsuggest\tVBG\tI-VP\tO' +p324641 +aS'that\tthat\tIN\tB-SBAR\tO' +p324642 +aS'the\tthe\tDT\tB-NP\tO' +p324643 +aS'Flolan\tFlolan\tNNP\tI-NP\tO' +p324644 +aS'bag\tbag\tNN\tI-NP\tO' +p324645 +aS'needed\tneed\tVBN\tB-VP\tO' +p324646 +aS'to\tto\tTO\tI-VP\tO' +p324647 +aS'be\tbe\tVB\tI-VP\tO' +p324648 +aS'changed\tchange\tVBN\tI-VP\tO' +p324649 +aS'.\t.\t.\tO\tO' +p324650 +asS'KCL 40 mEq. po. bid .' +p324651 +(lp324652 +S'KCL\tKCL\tNN\tB-NP\tO' +p324653 +aS'40\t40\tCD\tI-NP\tO' +p324654 +aS'mEq.\tmEq.\tNN\tI-NP\tO' +p324655 +aS'po.\tpo.\tNN\tI-NP\tO' +p324656 +aS'bid\tbid\tNN\tI-NP\tO' +p324657 +aS'.\t.\t.\tO\tO' +p324658 +asS'Physical therapy was consulted and the patient was ambulating extremely well with minimal assistance .' +p324659 +(lp324660 +S'Physical\tPhysical\tJJ\tB-NP\tO' +p324661 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p324662 +aS'was\tbe\tVBD\tB-VP\tO' +p324663 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p324664 +aS'and\tand\tCC\tO\tO' +p324665 +aS'the\tthe\tDT\tB-NP\tO' +p324666 +aS'patient\tpatient\tNN\tI-NP\tO' +p324667 +aS'was\tbe\tVBD\tB-VP\tO' +p324668 +aS'ambulating\tambulate\tVBG\tI-VP\tO' +p324669 +aS'extremely\textremely\tRB\tB-ADVP\tO' +p324670 +aS'well\twell\tRB\tI-ADVP\tO' +p324671 +aS'with\twith\tIN\tB-PP\tO' +p324672 +aS'minimal\tminimal\tJJ\tB-NP\tO' +p324673 +aS'assistance\tassistance\tNN\tI-NP\tO' +p324674 +aS'.\t.\t.\tO\tO' +p324675 +asS'Head magnetic resonance imaging study and magnetic resonance imaging angiogram with and without gadolinium .' +p324676 +(lp324677 +S'Head\tHead\tJJ\tB-NP\tO' +p324678 +aS'magnetic\tmagnetic\tJJ\tI-NP\tO' +p324679 +aS'resonance\tresonance\tNN\tI-NP\tO' +p324680 +aS'imaging\timaging\tNN\tI-NP\tO' +p324681 +aS'study\tstudy\tNN\tI-NP\tO' +p324682 +aS'and\tand\tCC\tO\tO' +p324683 +aS'magnetic\tmagnetic\tJJ\tB-NP\tO' +p324684 +aS'resonance\tresonance\tNN\tI-NP\tO' +p324685 +aS'imaging\timaging\tNN\tI-NP\tO' +p324686 +aS'angiogram\tangiogram\tNN\tI-NP\tO' +p324687 +aS'with\twith\tIN\tB-PP\tO' +p324688 +aS'and\tand\tCC\tI-PP\tO' +p324689 +aS'without\twithout\tIN\tI-PP\tO' +p324690 +aS'gadolinium\tgadolinium\tNN\tB-NP\tO' +p324691 +aS'.\t.\t.\tO\tO' +p324692 +asS'14) Zoloft 25 mg p.o. q day .' +p324693 +(lp324694 +S'14)\t14)\tLS\tB-NP\tO' +p324695 +aS'Zoloft\tZoloft\tNNP\tI-NP\tO' +p324696 +aS'25\t25\tCD\tI-NP\tO' +p324697 +aS'mg\tmg\tNN\tI-NP\tO' +p324698 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p324699 +aS'q\tq\tNN\tI-NP\tO' +p324700 +aS'day\tday\tNN\tI-NP\tO' +p324701 +aS'.\t.\t.\tO\tO' +p324702 +asS'4. Prednisone taper completed .' +p324703 +(lp324704 +S'4.\t4.\tLS\tB-NP\tO' +p324705 +aS'Prednisone\tPrednisone\tNN\tI-NP\tO' +p324706 +aS'taper\ttaper\tNN\tI-NP\tO' +p324707 +aS'completed\tcomplete\tVBN\tB-VP\tO' +p324708 +aS'.\t.\t.\tO\tO' +p324709 +asS'A left breast lumpectomy was reportedly benign .' +p324710 +(lp324711 +S'A\tA\tDT\tB-NP\tO' +p324712 +aS'left\tleft\tJJ\tI-NP\tO' +p324713 +aS'breast\tbreast\tNN\tI-NP\tO' +p324714 +aS'lumpectomy\tlumpectomy\tNN\tI-NP\tO' +p324715 +aS'was\tbe\tVBD\tB-VP\tO' +p324716 +aS'reportedly\treportedly\tRB\tB-ADJP\tO' +p324717 +aS'benign\tbenign\tJJ\tI-ADJP\tO' +p324718 +aS'.\t.\t.\tO\tO' +p324719 +asS'Do no take bath or swim .' +p324720 +(lp324721 +S'Do\tDo\tVBP\tB-VP\tO' +p324722 +aS'no\tno\tDT\tB-NP\tO' +p324723 +aS'take\ttake\tNN\tI-NP\tO' +p324724 +aS'bath\tbath\tNN\tI-NP\tO' +p324725 +aS'or\tor\tCC\tI-NP\tO' +p324726 +aS'swim\tswim\tNN\tI-NP\tO' +p324727 +aS'.\t.\t.\tO\tO' +p324728 +asS'The patient is a 48-year-old white man who is 20 days status post orthotopic cardiac transplant who was readmitted for sternal wound infection .' +p324729 +(lp324730 +S'The\tThe\tDT\tB-NP\tO' +p324731 +aS'patient\tpatient\tNN\tI-NP\tO' +p324732 +aS'is\tbe\tVBZ\tB-VP\tO' +p324733 +aS'a\ta\tDT\tB-NP\tO' +p324734 +aS'48-year-old\t48-year-old\tJJ\tI-NP\tO' +p324735 +aS'white\twhite\tJJ\tI-NP\tO' +p324736 +aS'man\tman\tNN\tI-NP\tO' +p324737 +aS'who\twho\tWP\tB-NP\tO' +p324738 +aS'is\tbe\tVBZ\tB-VP\tO' +p324739 +aS'20\t20\tCD\tB-NP\tO' +p324740 +aS'days\tday\tNNS\tI-NP\tO' +p324741 +aS'status\tstatus\tNN\tI-NP\tO' +p324742 +aS'post\tpost\tIN\tB-PP\tO' +p324743 +aS'orthotopic\torthotopic\tJJ\tB-NP\tO' +p324744 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p324745 +aS'transplant\ttransplant\tNN\tI-NP\tO' +p324746 +aS'who\twho\tWP\tB-NP\tO' +p324747 +aS'was\tbe\tVBD\tB-VP\tO' +p324748 +aS'readmitted\treadmitte\tVBN\tI-VP\tO' +p324749 +aS'for\tfor\tIN\tB-PP\tO' +p324750 +aS'sternal\tsternal\tJJ\tB-NP\tO' +p324751 +aS'wound\twound\tNN\tI-NP\tO' +p324752 +aS'infection\tinfection\tNN\tI-NP\tO' +p324753 +aS'.\t.\t.\tO\tO' +p324754 +asS'11. Fentanyl patch 25 mcg an hour , change patch every 72 hours .' +p324755 +(lp324756 +S'11.\t11.\tLS\tB-NP\tO' +p324757 +aS'Fentanyl\tFentanyl\tNN\tI-NP\tO' +p324758 +aS'patch\tpatch\tNN\tI-NP\tO' +p324759 +aS'25\t25\tCD\tB-NP\tO' +p324760 +aS'mcg\tmcg\tNN\tI-NP\tO' +p324761 +aS'an\tan\tDT\tB-NP\tO' +p324762 +aS'hour\thour\tNN\tI-NP\tO' +p324763 +aS',\t,\t,\tO\tO' +p324764 +aS'change\tchange\tNN\tB-NP\tO' +p324765 +aS'patch\tpatch\tNN\tI-NP\tO' +p324766 +aS'every\tevery\tDT\tB-NP\tO' +p324767 +aS'72\t72\tCD\tI-NP\tO' +p324768 +aS'hours\thour\tNNS\tI-NP\tO' +p324769 +aS'.\t.\t.\tO\tO' +p324770 +asS'On transfer pt denies any complaints .' +p324771 +(lp324772 +S'On\tOn\tIN\tB-PP\tO' +p324773 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p324774 +aS'pt\tpt\tNN\tI-NP\tO' +p324775 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p324776 +aS'any\tany\tDT\tB-NP\tO' +p324777 +aS'complaints\tcomplaint\tNNS\tI-NP\tO' +p324778 +aS'.\t.\t.\tO\tO' +p324779 +asS'The patient was started on nebulizer treatment .' +p324780 +(lp324781 +S'The\tThe\tDT\tB-NP\tO' +p324782 +aS'patient\tpatient\tNN\tI-NP\tO' +p324783 +aS'was\tbe\tVBD\tB-VP\tO' +p324784 +aS'started\tstart\tVBN\tI-VP\tO' +p324785 +aS'on\ton\tIN\tB-PP\tO' +p324786 +aS'nebulizer\tnebulizer\tNN\tB-NP\tO' +p324787 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p324788 +aS'.\t.\t.\tO\tO' +p324789 +asS'The patient was alert but in mild discomfort .' +p324790 +(lp324791 +S'The\tThe\tDT\tB-NP\tO' +p324792 +aS'patient\tpatient\tNN\tI-NP\tO' +p324793 +aS'was\tbe\tVBD\tB-VP\tO' +p324794 +aS'alert\talert\tJJ\tB-ADJP\tO' +p324795 +aS'but\tbut\tCC\tB-PP\tO' +p324796 +aS'in\tin\tIN\tB-PP\tO' +p324797 +aS'mild\tmild\tJJ\tB-NP\tO' +p324798 +aS'discomfort\tdiscomfort\tNN\tI-NP\tO' +p324799 +aS'.\t.\t.\tO\tO' +p324800 +asS'ABDOMEN - There is a soft abdomen with a question of eventful hernia .' +p324801 +(lp324802 +S'ABDOMEN\tABDOMEN\tNN\tB-NP\tO' +p324803 +aS'-\t-\tHYPH\tO\tO' +p324804 +aS'There\tThere\tEX\tB-NP\tO' +p324805 +aS'is\tbe\tVBZ\tB-VP\tO' +p324806 +aS'a\ta\tDT\tB-NP\tO' +p324807 +aS'soft\tsoft\tJJ\tI-NP\tO' +p324808 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p324809 +aS'with\twith\tIN\tB-PP\tO' +p324810 +aS'a\ta\tDT\tB-NP\tO' +p324811 +aS'question\tquestion\tNN\tI-NP\tO' +p324812 +aS'of\tof\tIN\tB-PP\tO' +p324813 +aS'eventful\teventful\tJJ\tB-NP\tO' +p324814 +aS'hernia\thernia\tNN\tI-NP\tO' +p324815 +aS'.\t.\t.\tO\tO' +p324816 +asS'He had a bronchoscopy immediately done which showed no fresh blood , just old clot and a pulmonary arterial line placed in the right internal jugular vein .' +p324817 +(lp324818 +S'He\tHe\tPRP\tB-NP\tO' +p324819 +aS'had\thave\tVBD\tB-VP\tO' +p324820 +aS'a\ta\tDT\tB-NP\tO' +p324821 +aS'bronchoscopy\tbronchoscopy\tNN\tI-NP\tO' +p324822 +aS'immediately\timmediately\tRB\tB-VP\tO' +p324823 +aS'done\tdo\tVBN\tI-VP\tO' +p324824 +aS'which\twhich\tWDT\tB-NP\tO' +p324825 +aS'showed\tshow\tVBD\tB-VP\tO' +p324826 +aS'no\tno\tDT\tB-NP\tO' +p324827 +aS'fresh\tfresh\tJJ\tI-NP\tO' +p324828 +aS'blood\tblood\tNN\tI-NP\tO' +p324829 +aS',\t,\t,\tO\tO' +p324830 +aS'just\tjust\tRB\tB-NP\tO' +p324831 +aS'old\told\tJJ\tI-NP\tO' +p324832 +aS'clot\tclot\tNN\tI-NP\tO' +p324833 +aS'and\tand\tCC\tO\tO' +p324834 +aS'a\ta\tDT\tB-NP\tO' +p324835 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tB-cell_line' +p324836 +aS'arterial\tarterial\tJJ\tI-NP\tI-cell_line' +p324837 +aS'line\tline\tNN\tI-NP\tI-cell_line' +p324838 +aS'placed\tplace\tVBN\tB-VP\tO' +p324839 +aS'in\tin\tIN\tB-PP\tO' +p324840 +aS'the\tthe\tDT\tB-NP\tO' +p324841 +aS'right\tright\tJJ\tI-NP\tO' +p324842 +aS'internal\tinternal\tJJ\tI-NP\tO' +p324843 +aS'jugular\tjugular\tJJ\tI-NP\tO' +p324844 +aS'vein\tvein\tNN\tI-NP\tO' +p324845 +aS'.\t.\t.\tO\tO' +p324846 +asS'Please follow up with your PCP Richard , Kevin Robinson ( 771 ) 937-5400 upon discharge .' +p324847 +(lp324848 +S'Please\tPlease\tVB\tB-VP\tO' +p324849 +aS'follow\tfollow\tVB\tI-VP\tO' +p324850 +aS'up\tup\tRP\tB-PRT\tO' +p324851 +aS'with\twith\tIN\tB-PP\tO' +p324852 +aS'your\tyour\tPRP$\tB-NP\tO' +p324853 +aS'PCP\tPCP\tNN\tI-NP\tO' +p324854 +aS'Richard\tRichard\tNNP\tI-NP\tO' +p324855 +aS',\t,\t,\tO\tO' +p324856 +aS'Kevin\tKevin\tNNP\tB-NP\tO' +p324857 +aS'Robinson\tRobinson\tNNP\tI-NP\tO' +p324858 +aS'(\t(\t(\tO\tO' +p324859 +aS'771\t771\tCD\tB-NP\tO' +p324860 +aS')\t)\t)\tO\tO' +p324861 +aS'937-5400\t937-5400\tCD\tB-NP\tO' +p324862 +aS'upon\tupon\tIN\tB-PP\tO' +p324863 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p324864 +aS'.\t.\t.\tO\tO' +p324865 +asS'The most recent electrolytes on day of life five were sodium 145 , chloride 115 , potassium 4 , TCO2 of 21 .' +p324866 +(lp324867 +S'The\tThe\tDT\tB-NP\tO' +p324868 +aS'most\tmost\tRBS\tI-NP\tO' +p324869 +aS'recent\trecent\tJJ\tI-NP\tO' +p324870 +aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' +p324871 +aS'on\ton\tIN\tB-PP\tO' +p324872 +aS'day\tday\tNN\tB-NP\tO' +p324873 +aS'of\tof\tIN\tB-PP\tO' +p324874 +aS'life\tlife\tNN\tB-NP\tO' +p324875 +aS'five\tfive\tCD\tI-NP\tO' +p324876 +aS'were\tbe\tVBD\tB-VP\tO' +p324877 +aS'sodium\tsodium\tNN\tB-NP\tO' +p324878 +aS'145\t145\tCD\tI-NP\tO' +p324879 +aS',\t,\t,\tO\tO' +p324880 +aS'chloride\tchloride\tNN\tB-NP\tO' +p324881 +aS'115\t115\tCD\tI-NP\tO' +p324882 +aS',\t,\t,\tO\tO' +p324883 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p324884 +aS'4\t4\tCD\tI-NP\tO' +p324885 +aS',\t,\t,\tO\tO' +p324886 +aS'TCO2\tTCO2\tNN\tB-NP\tB-protein' +p324887 +aS'of\tof\tIN\tB-PP\tO' +p324888 +aS'21\t21\tCD\tB-NP\tO' +p324889 +aS'.\t.\t.\tO\tO' +p324890 +asS'Her postoperative course was marked only by prolonged ileus , perhaps secondary to constipation , with persistent vomiting , requiring intravenous fluids , however , on 03/07/92 , she had a large bowel movement , after aggressive bowel regime , felt significantly better , was able to tolerate PO 's .' +p324891 +(lp324892 +S'Her\tHer\tPRP$\tB-NP\tO' +p324893 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p324894 +aS'course\tcourse\tNN\tI-NP\tO' +p324895 +aS'was\tbe\tVBD\tB-VP\tO' +p324896 +aS'marked\tmark\tVBN\tI-VP\tO' +p324897 +aS'only\tonly\tRB\tB-ADVP\tO' +p324898 +aS'by\tby\tIN\tB-PP\tO' +p324899 +aS'prolonged\tprolonged\tJJ\tB-NP\tO' +p324900 +aS'ileus\tileus\tNN\tI-NP\tO' +p324901 +aS',\t,\t,\tO\tO' +p324902 +aS'perhaps\tperhaps\tRB\tB-ADJP\tO' +p324903 +aS'secondary\tsecondary\tJJ\tI-ADJP\tO' +p324904 +aS'to\tto\tTO\tB-PP\tO' +p324905 +aS'constipation\tconstipation\tNN\tB-NP\tO' +p324906 +aS',\t,\t,\tO\tO' +p324907 +aS'with\twith\tIN\tB-PP\tO' +p324908 +aS'persistent\tpersistent\tJJ\tB-NP\tO' +p324909 +aS'vomiting\tvomiting\tNN\tI-NP\tO' +p324910 +aS',\t,\t,\tO\tO' +p324911 +aS'requiring\trequire\tVBG\tB-VP\tO' +p324912 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p324913 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p324914 +aS',\t,\t,\tO\tO' +p324915 +aS'however\thowever\tRB\tB-ADVP\tO' +p324916 +aS',\t,\t,\tO\tO' +p324917 +aS'on\ton\tIN\tB-PP\tO' +p324918 +aS'03/07/92\t03/07/92\tCD\tB-NP\tO' +p324919 +aS',\t,\t,\tO\tO' +p324920 +aS'she\tshe\tPRP\tB-NP\tO' +p324921 +aS'had\thave\tVBD\tB-VP\tO' +p324922 +aS'a\ta\tDT\tB-NP\tO' +p324923 +aS'large\tlarge\tJJ\tI-NP\tO' +p324924 +aS'bowel\tbowel\tNN\tI-NP\tO' +p324925 +aS'movement\tmovement\tNN\tI-NP\tO' +p324926 +aS',\t,\t,\tO\tO' +p324927 +aS'after\tafter\tIN\tB-PP\tO' +p324928 +aS'aggressive\taggressive\tJJ\tB-NP\tO' +p324929 +aS'bowel\tbowel\tNN\tI-NP\tO' +p324930 +aS'regime\tregime\tNN\tI-NP\tO' +p324931 +aS',\t,\t,\tO\tO' +p324932 +aS'felt\tfeel\tVBD\tB-VP\tO' +p324933 +aS'significantly\tsignificantly\tRB\tB-ADJP\tO' +p324934 +aS'better\tgood\tJJR\tI-ADJP\tO' +p324935 +aS',\t,\t,\tO\tO' +p324936 +aS'was\tbe\tVBD\tB-VP\tO' +p324937 +aS'able\table\tJJ\tB-ADJP\tO' +p324938 +aS'to\tto\tTO\tB-VP\tO' +p324939 +aS'tolerate\ttolerate\tVB\tI-VP\tO' +p324940 +aS'PO\tPO\tNN\tB-NP\tB-protein' +p324941 +aS''s\t'\tNNS\tI-NP\tI-protein' +p324942 +aS'.\t.\t.\tO\tO' +p324943 +asS'On admission , the Baby Lucas is well appearing , no jaundice .' +p324944 +(lp324945 +S'On\tOn\tIN\tB-PP\tO' +p324946 +aS'admission\tadmission\tNN\tB-NP\tO' +p324947 +aS',\t,\t,\tO\tO' +p324948 +aS'the\tthe\tDT\tB-NP\tO' +p324949 +aS'Baby\tBaby\tNNP\tI-NP\tO' +p324950 +aS'Lucas\tLucas\tNNP\tI-NP\tO' +p324951 +aS'is\tbe\tVBZ\tB-VP\tO' +p324952 +aS'well\twell\tRB\tI-VP\tO' +p324953 +aS'appearing\tappear\tVBG\tI-VP\tO' +p324954 +aS',\t,\t,\tO\tO' +p324955 +aS'no\tno\tDT\tB-NP\tO' +p324956 +aS'jaundice\tjaundice\tNN\tI-NP\tO' +p324957 +aS'.\t.\t.\tO\tO' +p324958 +asS'Sep/24/05 cardiac catheterization and coronary angiography , 02/23/92 - transfemoral aortogram , bilateral carotid arteriogram , abdominal aortogram .' +p324959 +(lp324960 +S'Sep/24/05\tSep/24/05\tCD\tB-NP\tO' +p324961 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p324962 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p324963 +aS'and\tand\tCC\tO\tO' +p324964 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p324965 +aS'angiography\tangiography\tNN\tI-NP\tO' +p324966 +aS',\t,\t,\tO\tO' +p324967 +aS'02/23/92\t02/23/92\tCD\tB-NP\tO' +p324968 +aS'-\t-\tHYPH\tI-NP\tO' +p324969 +aS'transfemoral\ttransfemoral\tJJ\tI-NP\tO' +p324970 +aS'aortogram\taortogram\tNN\tI-NP\tO' +p324971 +aS',\t,\t,\tO\tO' +p324972 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p324973 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p324974 +aS'arteriogram\tarteriogram\tNN\tI-NP\tO' +p324975 +aS',\t,\t,\tO\tO' +p324976 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p324977 +aS'aortogram\taortogram\tNN\tI-NP\tO' +p324978 +aS'.\t.\t.\tO\tO' +p324979 +asS'An I-head CT revealed left sphenoid and left maxillary sinusitis with mild cerebral edema and no focal hemorrhages .' +p324980 +(lp324981 +S'An\tAn\tDT\tB-NP\tO' +p324982 +aS'I-head\tI-head\tJJ\tI-NP\tO' +p324983 +aS'CT\tCT\tNN\tI-NP\tO' +p324984 +aS'revealed\treveal\tVBD\tB-VP\tO' +p324985 +aS'left\tleft\tJJ\tB-NP\tO' +p324986 +aS'sphenoid\tsphenoid\tNN\tI-NP\tO' +p324987 +aS'and\tand\tCC\tO\tO' +p324988 +aS'left\tleave\tVBD\tB-VP\tO' +p324989 +aS'maxillary\tmaxillary\tJJ\tB-NP\tO' +p324990 +aS'sinusitis\tsinusitis\tNN\tI-NP\tO' +p324991 +aS'with\twith\tIN\tB-PP\tO' +p324992 +aS'mild\tmild\tJJ\tB-NP\tO' +p324993 +aS'cerebral\tcerebral\tJJ\tI-NP\tO' +p324994 +aS'edema\tedema\tNN\tI-NP\tO' +p324995 +aS'and\tand\tCC\tO\tO' +p324996 +aS'no\tno\tDT\tB-NP\tO' +p324997 +aS'focal\tfocal\tJJ\tI-NP\tO' +p324998 +aS'hemorrhages\themorrhage\tNNS\tI-NP\tO' +p324999 +aS'.\t.\t.\tO\tO' +p325000 +asS'Last hemoglobin A1c was 11.4 .' +p325001 +(lp325002 +S'Last\tLast\tJJ\tB-NP\tO' +p325003 +aS'hemoglobin\themoglobin\tNN\tI-NP\tO' +p325004 +aS'A1c\tA1c\tNN\tI-NP\tO' +p325005 +aS'was\tbe\tVBD\tB-VP\tO' +p325006 +aS'11.4\t11.4\tCD\tB-NP\tO' +p325007 +aS'.\t.\t.\tO\tO' +p325008 +asS'3. Flomax 0.4 mg p.o. q. day .' +p325009 +(lp325010 +S'3.\t3.\tLS\tB-LST\tO' +p325011 +aS'Flomax\tFlomax\tNN\tB-NP\tO' +p325012 +aS'0.4\t0.4\tCD\tI-NP\tO' +p325013 +aS'mg\tmg\tNN\tI-NP\tO' +p325014 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p325015 +aS'q.\tq.\tNN\tI-NP\tO' +p325016 +aS'day\tday\tNN\tI-NP\tO' +p325017 +aS'.\t.\t.\tO\tO' +p325018 +asS'Liver function tests were obtained and they were slightly elevated liver function tests and ALT was 44 , AST was 34 ; alkaline phosphatase was 199 , within normal limits .' +p325019 +(lp325020 +S'Liver\tLiver\tNN\tB-NP\tO' +p325021 +aS'function\tfunction\tNN\tI-NP\tO' +p325022 +aS'tests\ttest\tNNS\tI-NP\tO' +p325023 +aS'were\tbe\tVBD\tB-VP\tO' +p325024 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p325025 +aS'and\tand\tCC\tO\tO' +p325026 +aS'they\tthey\tPRP\tB-NP\tO' +p325027 +aS'were\tbe\tVBD\tB-VP\tO' +p325028 +aS'slightly\tslightly\tRB\tB-ADJP\tO' +p325029 +aS'elevated\televated\tJJ\tB-NP\tO' +p325030 +aS'liver\tliver\tNN\tI-NP\tO' +p325031 +aS'function\tfunction\tNN\tI-NP\tO' +p325032 +aS'tests\ttest\tNNS\tI-NP\tO' +p325033 +aS'and\tand\tCC\tO\tO' +p325034 +aS'ALT\tALT\tNN\tB-NP\tO' +p325035 +aS'was\tbe\tVBD\tB-VP\tO' +p325036 +aS'44\t44\tCD\tB-NP\tO' +p325037 +aS',\t,\t,\tO\tO' +p325038 +aS'AST\tAST\tNN\tB-NP\tO' +p325039 +aS'was\tbe\tVBD\tB-VP\tO' +p325040 +aS'34\t34\tCD\tB-NP\tO' +p325041 +aS';\t;\t:\tO\tO' +p325042 +aS'alkaline\talkaline\tNN\tB-NP\tB-protein' +p325043 +aS'phosphatase\tphosphatase\tNN\tI-NP\tI-protein' +p325044 +aS'was\tbe\tVBD\tB-VP\tO' +p325045 +aS'199\t199\tCD\tB-NP\tO' +p325046 +aS',\t,\t,\tO\tO' +p325047 +aS'within\twithin\tIN\tB-PP\tO' +p325048 +aS'normal\tnormal\tJJ\tB-NP\tO' +p325049 +aS'limits\tlimit\tNNS\tI-NP\tO' +p325050 +aS'.\t.\t.\tO\tO' +p325051 +asS'While having angiography , he had a transient increase in his blood pressure and became diaphoretic and thus precipitated the evaluation for cardiac disease .' +p325052 +(lp325053 +S'While\tWhile\tIN\tB-SBAR\tO' +p325054 +aS'having\thave\tVBG\tB-VP\tO' +p325055 +aS'angiography\tangiography\tNN\tB-NP\tO' +p325056 +aS',\t,\t,\tO\tO' +p325057 +aS'he\the\tPRP\tB-NP\tO' +p325058 +aS'had\thave\tVBD\tB-VP\tO' +p325059 +aS'a\ta\tDT\tB-NP\tO' +p325060 +aS'transient\ttransient\tJJ\tI-NP\tO' +p325061 +aS'increase\tincrease\tNN\tI-NP\tO' +p325062 +aS'in\tin\tIN\tB-PP\tO' +p325063 +aS'his\this\tPRP$\tB-NP\tO' +p325064 +aS'blood\tblood\tNN\tI-NP\tO' +p325065 +aS'pressure\tpressure\tNN\tI-NP\tO' +p325066 +aS'and\tand\tCC\tO\tO' +p325067 +aS'became\tbecome\tVBD\tB-VP\tO' +p325068 +aS'diaphoretic\tdiaphoretic\tJJ\tB-ADJP\tO' +p325069 +aS'and\tand\tCC\tO\tO' +p325070 +aS'thus\tthus\tRB\tB-VP\tO' +p325071 +aS'precipitated\tprecipitate\tVBD\tI-VP\tO' +p325072 +aS'the\tthe\tDT\tB-NP\tO' +p325073 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p325074 +aS'for\tfor\tIN\tB-PP\tO' +p325075 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p325076 +aS'disease\tdisease\tNN\tI-NP\tO' +p325077 +aS'.\t.\t.\tO\tO' +p325078 +asS'She was discharged home with follow-up in two weeks .' +p325079 +(lp325080 +S'She\tShe\tPRP\tB-NP\tO' +p325081 +aS'was\tbe\tVBD\tB-VP\tO' +p325082 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p325083 +aS'home\thome\tNN\tB-ADVP\tO' +p325084 +aS'with\twith\tIN\tB-PP\tO' +p325085 +aS'follow-up\tfollow-up\tNN\tB-NP\tO' +p325086 +aS'in\tin\tIN\tB-PP\tO' +p325087 +aS'two\ttwo\tCD\tB-NP\tO' +p325088 +aS'weeks\tweek\tNNS\tI-NP\tO' +p325089 +aS'.\t.\t.\tO\tO' +p325090 +asS'He had no pallor or obvious jaundice .' +p325091 +(lp325092 +S'He\tHe\tPRP\tB-NP\tO' +p325093 +aS'had\thave\tVBD\tB-VP\tO' +p325094 +aS'no\tno\tDT\tB-NP\tO' +p325095 +aS'pallor\tpallor\tNN\tI-NP\tO' +p325096 +aS'or\tor\tCC\tO\tO' +p325097 +aS'obvious\tobvious\tJJ\tB-NP\tO' +p325098 +aS'jaundice\tjaundice\tNN\tI-NP\tO' +p325099 +aS'.\t.\t.\tO\tO' +p325100 +asS'upon arriving home please contact the King and arrange to be seen within 1-2 weeks .' +p325101 +(lp325102 +S'upon\tupon\tIN\tB-PP\tO' +p325103 +aS'arriving\tarrive\tVBG\tB-VP\tO' +p325104 +aS'home\thome\tNN\tB-NP\tO' +p325105 +aS'please\tplease\tNN\tI-NP\tO' +p325106 +aS'contact\tcontact\tVBP\tB-VP\tO' +p325107 +aS'the\tthe\tDT\tB-NP\tO' +p325108 +aS'King\tKing\tNNP\tI-NP\tO' +p325109 +aS'and\tand\tCC\tO\tO' +p325110 +aS'arrange\tarrange\tNN\tB-NP\tO' +p325111 +aS'to\tto\tTO\tB-VP\tO' +p325112 +aS'be\tbe\tVB\tI-VP\tO' +p325113 +aS'seen\tsee\tVBN\tI-VP\tO' +p325114 +aS'within\twithin\tIN\tB-PP\tO' +p325115 +aS'1-2\t1-2\tCD\tB-NP\tO' +p325116 +aS'weeks\tweek\tNNS\tI-NP\tO' +p325117 +aS'.\t.\t.\tO\tO' +p325118 +asS'The patient was started on Diflucan .' +p325119 +(lp325120 +S'The\tThe\tDT\tB-NP\tO' +p325121 +aS'patient\tpatient\tNN\tI-NP\tO' +p325122 +aS'was\tbe\tVBD\tB-VP\tO' +p325123 +aS'started\tstart\tVBN\tI-VP\tO' +p325124 +aS'on\ton\tIN\tB-PP\tO' +p325125 +aS'Diflucan\tDiflucan\tNNP\tB-NP\tO' +p325126 +aS'.\t.\t.\tO\tO' +p325127 +asS'This catheter was placed when the patient started to demonstrate septic physiology and for increasing pressor support .' +p325128 +(lp325129 +S'This\tThis\tDT\tB-NP\tO' +p325130 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p325131 +aS'was\tbe\tVBD\tB-VP\tO' +p325132 +aS'placed\tplace\tVBN\tI-VP\tO' +p325133 +aS'when\twhen\tWRB\tB-ADVP\tO' +p325134 +aS'the\tthe\tDT\tB-NP\tO' +p325135 +aS'patient\tpatient\tNN\tI-NP\tO' +p325136 +aS'started\tstart\tVBD\tB-VP\tO' +p325137 +aS'to\tto\tTO\tI-VP\tO' +p325138 +aS'demonstrate\tdemonstrate\tVB\tI-VP\tO' +p325139 +aS'septic\tseptic\tJJ\tB-NP\tO' +p325140 +aS'physiology\tphysiology\tNN\tI-NP\tO' +p325141 +aS'and\tand\tCC\tB-PP\tO' +p325142 +aS'for\tfor\tIN\tB-PP\tO' +p325143 +aS'increasing\tincrease\tVBG\tB-VP\tO' +p325144 +aS'pressor\tpressor\tNN\tB-NP\tO' +p325145 +aS'support\tsupport\tNN\tI-NP\tO' +p325146 +aS'.\t.\t.\tO\tO' +p325147 +asS'final pathology revealed right Fallopian tube and ovary with benign paratubal cysts and adhesions .' +p325148 +(lp325149 +S'final\tfinal\tJJ\tB-NP\tO' +p325150 +aS'pathology\tpathology\tNN\tI-NP\tO' +p325151 +aS'revealed\treveal\tVBD\tB-VP\tO' +p325152 +aS'right\tright\tJJ\tB-NP\tO' +p325153 +aS'Fallopian\tFallopian\tJJ\tI-NP\tO' +p325154 +aS'tube\ttube\tNN\tI-NP\tO' +p325155 +aS'and\tand\tCC\tI-NP\tO' +p325156 +aS'ovary\tovary\tNN\tI-NP\tO' +p325157 +aS'with\twith\tIN\tB-PP\tO' +p325158 +aS'benign\tbenign\tJJ\tB-NP\tO' +p325159 +aS'paratubal\tparatubal\tJJ\tI-NP\tO' +p325160 +aS'cysts\tcyst\tNNS\tI-NP\tO' +p325161 +aS'and\tand\tCC\tI-NP\tO' +p325162 +aS'adhesions\tadhesion\tNNS\tI-NP\tO' +p325163 +aS'.\t.\t.\tO\tO' +p325164 +asS'Data collected there included a chest x-ray which was unremarkable .' +p325165 +(lp325166 +S'Data\tDatum\tNNS\tB-NP\tO' +p325167 +aS'collected\tcollect\tVBN\tB-VP\tO' +p325168 +aS'there\tthere\tEX\tB-NP\tO' +p325169 +aS'included\tinclude\tVBD\tB-VP\tO' +p325170 +aS'a\ta\tDT\tB-NP\tO' +p325171 +aS'chest\tchest\tNN\tI-NP\tO' +p325172 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p325173 +aS'which\twhich\tWDT\tB-NP\tO' +p325174 +aS'was\tbe\tVBD\tB-VP\tO' +p325175 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p325176 +aS'.\t.\t.\tO\tO' +p325177 +asS'Call the IR clinic on Monday to confirm your appointment : ( 236 ) 672 0628 .' +p325178 +(lp325179 +S'Call\tCall\tVB\tB-VP\tO' +p325180 +aS'the\tthe\tDT\tB-NP\tO' +p325181 +aS'IR\tIR\tNN\tI-NP\tO' +p325182 +aS'clinic\tclinic\tNN\tI-NP\tO' +p325183 +aS'on\ton\tIN\tB-PP\tO' +p325184 +aS'Monday\tMonday\tNNP\tB-NP\tO' +p325185 +aS'to\tto\tTO\tB-VP\tO' +p325186 +aS'confirm\tconfirm\tVB\tI-VP\tO' +p325187 +aS'your\tyour\tPRP$\tB-NP\tO' +p325188 +aS'appointment\tappointment\tNN\tI-NP\tO' +p325189 +aS':\t:\t:\tO\tO' +p325190 +aS'(\t(\t(\tO\tO' +p325191 +aS'236\t236\tCD\tB-NP\tO' +p325192 +aS')\t)\t)\tO\tO' +p325193 +aS'672\t672\tCD\tB-NP\tO' +p325194 +aS'0628\t0628\tCD\tI-NP\tO' +p325195 +aS'.\t.\t.\tO\tO' +p325196 +asS'She presented to Charlton Memorial Hospital Hospital Emergency Department with inferior ST elevations ; at which time she became acutely hypotensive to a systolic blood pressure of 70 to 80 after receiving one ublingual nitroglycerin .' +p325197 +(lp325198 +S'She\tShe\tPRP\tB-NP\tO' +p325199 +aS'presented\tpresent\tVBD\tB-VP\tO' +p325200 +aS'to\tto\tTO\tB-PP\tO' +p325201 +aS'Charlton\tCharlton\tNNP\tB-NP\tO' +p325202 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p325203 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p325204 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p325205 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p325206 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p325207 +aS'with\twith\tIN\tB-PP\tO' +p325208 +aS'inferior\tinferior\tJJ\tB-NP\tO' +p325209 +aS'ST\tST\tJJ\tI-NP\tO' +p325210 +aS'elevations\televation\tNNS\tI-NP\tO' +p325211 +aS';\t;\t:\tO\tO' +p325212 +aS'at\tat\tIN\tB-PP\tO' +p325213 +aS'which\twhich\tWDT\tB-NP\tO' +p325214 +aS'time\ttime\tNN\tI-NP\tO' +p325215 +aS'she\tshe\tPRP\tB-NP\tO' +p325216 +aS'became\tbecome\tVBD\tB-VP\tO' +p325217 +aS'acutely\tacutely\tRB\tB-ADJP\tO' +p325218 +aS'hypotensive\thypotensive\tJJ\tI-ADJP\tO' +p325219 +aS'to\tto\tTO\tB-PP\tO' +p325220 +aS'a\ta\tDT\tB-NP\tO' +p325221 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p325222 +aS'blood\tblood\tNN\tI-NP\tO' +p325223 +aS'pressure\tpressure\tNN\tI-NP\tO' +p325224 +aS'of\tof\tIN\tB-PP\tO' +p325225 +aS'70\t70\tCD\tB-NP\tO' +p325226 +aS'to\tto\tTO\tB-PP\tO' +p325227 +aS'80\t80\tCD\tB-NP\tO' +p325228 +aS'after\tafter\tIN\tB-PP\tO' +p325229 +aS'receiving\treceive\tVBG\tB-VP\tO' +p325230 +aS'one\tone\tCD\tB-NP\tO' +p325231 +aS'ublingual\tublingual\tJJ\tI-NP\tO' +p325232 +aS'nitroglycerin\tnitroglycerin\tNN\tI-NP\tO' +p325233 +aS'.\t.\t.\tO\tO' +p325234 +asS'Family is invested and involved .' +p325235 +(lp325236 +S'Family\tFamily\tRB\tB-ADVP\tO' +p325237 +aS'is\tbe\tVBZ\tB-VP\tO' +p325238 +aS'invested\tinvest\tVBN\tI-VP\tO' +p325239 +aS'and\tand\tCC\tI-VP\tO' +p325240 +aS'involved\tinvolve\tVBN\tI-VP\tO' +p325241 +aS'.\t.\t.\tO\tO' +p325242 +asS'Ms. Sterpkoteneish is a 69-year-old woman , who over the past six months has noted increasing pain in her left upper quadrant radiating to the back .' +p325243 +(lp325244 +S'Ms.\tMs.\tNNP\tB-NP\tO' +p325245 +aS'Sterpkoteneish\tSterpkoteneish\tNNP\tI-NP\tO' +p325246 +aS'is\tbe\tVBZ\tB-VP\tO' +p325247 +aS'a\ta\tDT\tB-NP\tO' +p325248 +aS'69-year-old\t69-year-old\tJJ\tI-NP\tO' +p325249 +aS'woman\twoman\tNN\tI-NP\tO' +p325250 +aS',\t,\t,\tO\tO' +p325251 +aS'who\twho\tWP\tB-NP\tO' +p325252 +aS'over\tover\tIN\tB-PP\tO' +p325253 +aS'the\tthe\tDT\tB-NP\tO' +p325254 +aS'past\tpast\tJJ\tI-NP\tO' +p325255 +aS'six\tsix\tCD\tI-NP\tO' +p325256 +aS'months\tmonth\tNNS\tI-NP\tO' +p325257 +aS'has\thave\tVBZ\tB-VP\tO' +p325258 +aS'noted\tnote\tVBN\tI-VP\tO' +p325259 +aS'increasing\tincrease\tVBG\tB-NP\tO' +p325260 +aS'pain\tpain\tNN\tI-NP\tO' +p325261 +aS'in\tin\tIN\tB-PP\tO' +p325262 +aS'her\ther\tPRP$\tB-NP\tO' +p325263 +aS'left\tleft\tJJ\tI-NP\tO' +p325264 +aS'upper\tupper\tJJ\tI-NP\tO' +p325265 +aS'quadrant\tquadrant\tNN\tI-NP\tO' +p325266 +aS'radiating\tradiate\tVBG\tB-VP\tO' +p325267 +aS'to\tto\tTO\tB-PP\tO' +p325268 +aS'the\tthe\tDT\tB-NP\tO' +p325269 +aS'back\tback\tNN\tI-NP\tO' +p325270 +aS'.\t.\t.\tO\tO' +p325271 +asS'The patient was given printed instructions for neck strains ( English ) .' +p325272 +(lp325273 +S'The\tThe\tDT\tB-NP\tO' +p325274 +aS'patient\tpatient\tNN\tI-NP\tO' +p325275 +aS'was\tbe\tVBD\tB-VP\tO' +p325276 +aS'given\tgive\tVBN\tI-VP\tO' +p325277 +aS'printed\tprint\tVBN\tB-NP\tO' +p325278 +aS'instructions\tinstruction\tNNS\tI-NP\tO' +p325279 +aS'for\tfor\tIN\tB-PP\tO' +p325280 +aS'neck\tneck\tNN\tB-NP\tO' +p325281 +aS'strains\tstrain\tNNS\tI-NP\tO' +p325282 +aS'(\t(\t(\tO\tO' +p325283 +aS'English\tEnglish\tNNS\tB-NP\tO' +p325284 +aS')\t)\t)\tO\tO' +p325285 +aS'.\t.\t.\tO\tO' +p325286 +asS'The patient remained symptom free during his stay in the hospital , saturating well in room air .' +p325287 +(lp325288 +S'The\tThe\tDT\tB-NP\tO' +p325289 +aS'patient\tpatient\tNN\tI-NP\tO' +p325290 +aS'remained\tremain\tVBD\tB-VP\tO' +p325291 +aS'symptom\tsymptom\tNN\tB-ADJP\tO' +p325292 +aS'free\tfree\tJJ\tI-ADJP\tO' +p325293 +aS'during\tduring\tIN\tB-PP\tO' +p325294 +aS'his\this\tPRP$\tB-NP\tO' +p325295 +aS'stay\tstay\tNN\tI-NP\tO' +p325296 +aS'in\tin\tIN\tB-PP\tO' +p325297 +aS'the\tthe\tDT\tB-NP\tO' +p325298 +aS'hospital\thospital\tNN\tI-NP\tO' +p325299 +aS',\t,\t,\tO\tO' +p325300 +aS'saturating\tsaturate\tVBG\tB-VP\tO' +p325301 +aS'well\twell\tRB\tB-ADVP\tO' +p325302 +aS'in\tin\tIN\tB-PP\tO' +p325303 +aS'room\troom\tNN\tB-NP\tO' +p325304 +aS'air\tair\tNN\tI-NP\tO' +p325305 +aS'.\t.\t.\tO\tO' +p325306 +asS'There was no leg length discrepancy .' +p325307 +(lp325308 +S'There\tThere\tEX\tB-NP\tO' +p325309 +aS'was\tbe\tVBD\tB-VP\tO' +p325310 +aS'no\tno\tDT\tB-NP\tO' +p325311 +aS'leg\tleg\tNN\tI-NP\tO' +p325312 +aS'length\tlength\tNN\tI-NP\tO' +p325313 +aS'discrepancy\tdiscrepancy\tNN\tI-NP\tO' +p325314 +aS'.\t.\t.\tO\tO' +p325315 +asS'She refused ambulance to the Emergency Room and was driven to Well General Hospital Emergency Room by her sister .' +p325316 +(lp325317 +S'She\tShe\tPRP\tB-NP\tO' +p325318 +aS'refused\trefuse\tVBD\tB-VP\tO' +p325319 +aS'ambulance\tambulance\tNN\tB-NP\tO' +p325320 +aS'to\tto\tTO\tB-PP\tO' +p325321 +aS'the\tthe\tDT\tB-NP\tO' +p325322 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p325323 +aS'Room\tRoom\tNNP\tI-NP\tO' +p325324 +aS'and\tand\tCC\tO\tO' +p325325 +aS'was\tbe\tVBD\tB-VP\tO' +p325326 +aS'driven\tdrive\tVBN\tI-VP\tO' +p325327 +aS'to\tto\tTO\tB-PP\tO' +p325328 +aS'Well\tWell\tNNP\tB-NP\tO' +p325329 +aS'General\tGeneral\tNNP\tI-NP\tO' +p325330 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p325331 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p325332 +aS'Room\tRoom\tNNP\tI-NP\tO' +p325333 +aS'by\tby\tIN\tB-PP\tO' +p325334 +aS'her\ther\tPRP$\tB-NP\tO' +p325335 +aS'sister\tsister\tNN\tI-NP\tO' +p325336 +aS'.\t.\t.\tO\tO' +p325337 +asS'Her spleen could not be palpated .' +p325338 +(lp325339 +S'Her\tHer\tPRP$\tB-NP\tO' +p325340 +aS'spleen\tspleen\tNN\tI-NP\tO' +p325341 +aS'could\tcould\tMD\tB-VP\tO' +p325342 +aS'not\tnot\tRB\tI-VP\tO' +p325343 +aS'be\tbe\tVB\tI-VP\tO' +p325344 +aS'palpated\tpalpate\tVBN\tI-VP\tO' +p325345 +aS'.\t.\t.\tO\tO' +p325346 +asS'Left costophrenic angle has been excluded from the study and cannot be assessed .' +p325347 +(lp325348 +S'Left\tLeave\tVBN\tB-NP\tO' +p325349 +aS'costophrenic\tcostophrenic\tJJ\tI-NP\tO' +p325350 +aS'angle\tangle\tNN\tI-NP\tO' +p325351 +aS'has\thave\tVBZ\tB-VP\tO' +p325352 +aS'been\tbe\tVBN\tI-VP\tO' +p325353 +aS'excluded\texclude\tVBN\tI-VP\tO' +p325354 +aS'from\tfrom\tIN\tB-PP\tO' +p325355 +aS'the\tthe\tDT\tB-NP\tO' +p325356 +aS'study\tstudy\tNN\tI-NP\tO' +p325357 +aS'and\tand\tCC\tO\tO' +p325358 +aS'cannot\tcannot\tMD\tB-VP\tO' +p325359 +aS'be\tbe\tVB\tI-VP\tO' +p325360 +aS'assessed\tassess\tVBN\tI-VP\tO' +p325361 +aS'.\t.\t.\tO\tO' +p325362 +asS'Loaded with Dilantin and 50 grams Mannitol .' +p325363 +(lp325364 +S'Loaded\tLoad\tVBN\tB-VP\tO' +p325365 +aS'with\twith\tIN\tB-PP\tO' +p325366 +aS'Dilantin\tDilantin\tNN\tB-NP\tO' +p325367 +aS'and\tand\tCC\tO\tO' +p325368 +aS'50\t50\tCD\tB-NP\tO' +p325369 +aS'grams\tgram\tNNS\tI-NP\tO' +p325370 +aS'Mannitol\tMannitol\tNNP\tB-NP\tO' +p325371 +aS'.\t.\t.\tO\tO' +p325372 +asS'Unremarkable with normal electrolytes except for glucose of 328 .' +p325373 +(lp325374 +S'Unremarkable\tUnremarkable\tJJ\tB-ADJP\tO' +p325375 +aS'with\twith\tIN\tB-PP\tO' +p325376 +aS'normal\tnormal\tJJ\tB-NP\tO' +p325377 +aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' +p325378 +aS'except\texcept\tIN\tB-PP\tO' +p325379 +aS'for\tfor\tIN\tB-PP\tO' +p325380 +aS'glucose\tglucose\tNN\tB-NP\tO' +p325381 +aS'of\tof\tIN\tB-PP\tO' +p325382 +aS'328\t328\tCD\tB-NP\tO' +p325383 +aS'.\t.\t.\tO\tO' +p325384 +asS'Regular rate and rhythm ; S1-S2 ; positive S4 ; no murmur .' +p325385 +(lp325386 +S'Regular\tRegular\tJJ\tB-NP\tO' +p325387 +aS'rate\trate\tNN\tI-NP\tO' +p325388 +aS'and\tand\tCC\tI-NP\tO' +p325389 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p325390 +aS';\t;\t:\tO\tO' +p325391 +aS'S1-S2\tS1-S2\tNN\tB-NP\tO' +p325392 +aS';\t;\t:\tO\tO' +p325393 +aS'positive\tpositive\tJJ\tB-NP\tO' +p325394 +aS'S4\tS4\tNN\tI-NP\tO' +p325395 +aS';\t;\t:\tO\tO' +p325396 +aS'no\tno\tDT\tB-NP\tO' +p325397 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p325398 +aS'.\t.\t.\tO\tO' +p325399 +asS'At the time of this dictation , the patient was able to bear weight with the assistance of Physical Therapy and a walker .' +p325400 +(lp325401 +S'At\tAt\tIN\tB-PP\tO' +p325402 +aS'the\tthe\tDT\tB-NP\tO' +p325403 +aS'time\ttime\tNN\tI-NP\tO' +p325404 +aS'of\tof\tIN\tB-PP\tO' +p325405 +aS'this\tthis\tDT\tB-NP\tO' +p325406 +aS'dictation\tdictation\tNN\tI-NP\tO' +p325407 +aS',\t,\t,\tO\tO' +p325408 +aS'the\tthe\tDT\tB-NP\tO' +p325409 +aS'patient\tpatient\tNN\tI-NP\tO' +p325410 +aS'was\tbe\tVBD\tB-VP\tO' +p325411 +aS'able\table\tJJ\tB-ADJP\tO' +p325412 +aS'to\tto\tTO\tB-VP\tO' +p325413 +aS'bear\tbear\tVB\tI-VP\tO' +p325414 +aS'weight\tweight\tNN\tB-NP\tO' +p325415 +aS'with\twith\tIN\tB-PP\tO' +p325416 +aS'the\tthe\tDT\tB-NP\tO' +p325417 +aS'assistance\tassistance\tNN\tI-NP\tO' +p325418 +aS'of\tof\tIN\tB-PP\tO' +p325419 +aS'Physical\tPhysical\tJJ\tB-NP\tO' +p325420 +aS'Therapy\tTherapy\tNN\tI-NP\tO' +p325421 +aS'and\tand\tCC\tO\tO' +p325422 +aS'a\ta\tDT\tB-NP\tO' +p325423 +aS'walker\twalker\tNN\tI-NP\tO' +p325424 +aS'.\t.\t.\tO\tO' +p325425 +asS'He gets short of breath with one flight of stairs .' +p325426 +(lp325427 +S'He\tHe\tPRP\tB-NP\tO' +p325428 +aS'gets\tget\tVBZ\tB-VP\tO' +p325429 +aS'short\tshort\tJJ\tB-ADJP\tO' +p325430 +aS'of\tof\tIN\tB-PP\tO' +p325431 +aS'breath\tbreath\tNN\tB-NP\tO' +p325432 +aS'with\twith\tIN\tB-PP\tO' +p325433 +aS'one\tone\tCD\tB-NP\tO' +p325434 +aS'flight\tflight\tNN\tI-NP\tO' +p325435 +aS'of\tof\tIN\tB-PP\tO' +p325436 +aS'stairs\tstair\tNNS\tB-NP\tO' +p325437 +aS'.\t.\t.\tO\tO' +p325438 +asS'4/28/95 .' +p325439 +(lp325440 +S'4/28/95\t4/28/95\tCD\tB-NP\tO' +p325441 +aS'.\t.\t.\tO\tO' +p325442 +asS'Gen : middle aged obese female lying in bed on her left side asleep , speaking slowly .' +p325443 +(lp325444 +S'Gen\tGen\tNN\tB-NP\tO' +p325445 +aS':\t:\t:\tO\tO' +p325446 +aS'middle\tmiddle\tJJ\tB-NP\tO' +p325447 +aS'aged\taged\tJJ\tI-NP\tO' +p325448 +aS'obese\tobese\tJJ\tI-NP\tO' +p325449 +aS'female\tfemale\tNN\tI-NP\tO' +p325450 +aS'lying\tlie\tVBG\tB-VP\tO' +p325451 +aS'in\tin\tIN\tB-PP\tO' +p325452 +aS'bed\tbed\tNN\tB-NP\tO' +p325453 +aS'on\ton\tIN\tB-PP\tO' +p325454 +aS'her\ther\tPRP$\tB-NP\tO' +p325455 +aS'left\tleft\tJJ\tI-NP\tO' +p325456 +aS'side\tside\tNN\tI-NP\tO' +p325457 +aS'asleep\tasleep\tNN\tI-NP\tO' +p325458 +aS',\t,\t,\tO\tO' +p325459 +aS'speaking\tspeak\tVBG\tB-VP\tO' +p325460 +aS'slowly\tslowly\tRB\tB-ADVP\tO' +p325461 +aS'.\t.\t.\tO\tO' +p325462 +asS'4. Fentanyl Citrate ( PF ) 0.05 mg/mL Solution Sig : 25-100 mcg Injection Q2H ( every 2 hours ) as needed for comfort .' +p325463 +(lp325464 +S'4.\t4.\tLS\tB-NP\tO' +p325465 +aS'Fentanyl\tFentanyl\tNN\tI-NP\tO' +p325466 +aS'Citrate\tCitrate\tNN\tI-NP\tO' +p325467 +aS'(\t(\t(\tO\tO' +p325468 +aS'PF\tPF\tNN\tB-NP\tO' +p325469 +aS')\t)\t)\tO\tO' +p325470 +aS'0.05\t0.05\tCD\tB-NP\tO' +p325471 +aS'mg/mL\tmg/mL\tNN\tI-NP\tO' +p325472 +aS'Solution\tSolution\tNNP\tI-NP\tO' +p325473 +aS'Sig\tSig\tNNP\tI-NP\tO' +p325474 +aS':\t:\t:\tO\tO' +p325475 +aS'25-100\t25-100\tCD\tB-NP\tO' +p325476 +aS'mcg\tmcg\tNN\tI-NP\tO' +p325477 +aS'Injection\tInjection\tNN\tI-NP\tO' +p325478 +aS'Q2H\tQ2H\tNN\tI-NP\tO' +p325479 +aS'(\t(\t(\tO\tO' +p325480 +aS'every\tevery\tDT\tB-NP\tO' +p325481 +aS'2\t2\tCD\tI-NP\tO' +p325482 +aS'hours\thour\tNNS\tI-NP\tO' +p325483 +aS')\t)\t)\tO\tO' +p325484 +aS'as\tas\tIN\tB-SBAR\tO' +p325485 +aS'needed\tneed\tVBN\tB-VP\tO' +p325486 +aS'for\tfor\tIN\tB-PP\tO' +p325487 +aS'comfort\tcomfort\tNN\tB-NP\tO' +p325488 +aS'.\t.\t.\tO\tO' +p325489 +asS'No S3 , S4 .' +p325490 +(lp325491 +S'No\tNo\tDT\tB-NP\tO' +p325492 +aS'S3\tS3\tNN\tI-NP\tB-protein' +p325493 +aS',\t,\t,\tO\tO' +p325494 +aS'S4\tS4\tNN\tB-NP\tB-protein' +p325495 +aS'.\t.\t.\tO\tO' +p325496 +asS'Patient had , as noted above , his anticoagulation was initially reversed despite his having artificial valves .' +p325497 +(lp325498 +S'Patient\tPatient\tNN\tB-NP\tO' +p325499 +aS'had\thave\tVBD\tB-VP\tO' +p325500 +aS',\t,\t,\tO\tO' +p325501 +aS'as\tas\tIN\tB-SBAR\tO' +p325502 +aS'noted\tnote\tVBN\tB-VP\tO' +p325503 +aS'above\tabove\tIN\tB-PP\tO' +p325504 +aS',\t,\t,\tO\tO' +p325505 +aS'his\this\tPRP$\tB-NP\tO' +p325506 +aS'anticoagulation\tanticoagulation\tNN\tI-NP\tO' +p325507 +aS'was\tbe\tVBD\tB-VP\tO' +p325508 +aS'initially\tinitially\tRB\tI-VP\tO' +p325509 +aS'reversed\treverse\tVBN\tI-VP\tO' +p325510 +aS'despite\tdespite\tIN\tB-PP\tO' +p325511 +aS'his\this\tPRP$\tB-NP\tB-DNA' +p325512 +aS'having\thave\tVBG\tI-NP\tO' +p325513 +aS'artificial\tartificial\tJJ\tI-NP\tO' +p325514 +aS'valves\tvalve\tNNS\tI-NP\tO' +p325515 +aS'.\t.\t.\tO\tO' +p325516 +asS'Pt finished the 3 week course of meropenem while in house and was discharged to rehab on day 34/42 of the vancomycin .' +p325517 +(lp325518 +S'Pt\tPt\tNN\tB-NP\tO' +p325519 +aS'finished\tfinish\tVBD\tB-VP\tO' +p325520 +aS'the\tthe\tDT\tB-NP\tO' +p325521 +aS'3\t3\tCD\tI-NP\tO' +p325522 +aS'week\tweek\tNN\tI-NP\tO' +p325523 +aS'course\tcourse\tNN\tI-NP\tO' +p325524 +aS'of\tof\tIN\tB-PP\tO' +p325525 +aS'meropenem\tmeropenem\tNN\tB-NP\tO' +p325526 +aS'while\twhile\tIN\tB-SBAR\tO' +p325527 +aS'in\tin\tIN\tB-PP\tO' +p325528 +aS'house\thouse\tNN\tB-NP\tO' +p325529 +aS'and\tand\tCC\tO\tO' +p325530 +aS'was\tbe\tVBD\tB-VP\tO' +p325531 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p325532 +aS'to\tto\tTO\tI-VP\tO' +p325533 +aS'rehab\trehab\tVB\tI-VP\tO' +p325534 +aS'on\ton\tIN\tB-PP\tO' +p325535 +aS'day\tday\tNN\tB-NP\tO' +p325536 +aS'34/42\t34/42\tCD\tI-NP\tO' +p325537 +aS'of\tof\tIN\tB-PP\tO' +p325538 +aS'the\tthe\tDT\tB-NP\tO' +p325539 +aS'vancomycin\tvancomycin\tNN\tI-NP\tO' +p325540 +aS'.\t.\t.\tO\tO' +p325541 +asS'In the Lori pt was given 3L NS as well as 1 unit of FFP , and oxygen requirements contimued to climb .' +p325542 +(lp325543 +S'In\tIn\tIN\tB-PP\tO' +p325544 +aS'the\tthe\tDT\tB-NP\tO' +p325545 +aS'Lori\tLori\tNNP\tI-NP\tO' +p325546 +aS'pt\tpt\tNN\tI-NP\tO' +p325547 +aS'was\tbe\tVBD\tB-VP\tO' +p325548 +aS'given\tgive\tVBN\tI-VP\tO' +p325549 +aS'3L\t3L\tNN\tB-NP\tO' +p325550 +aS'NS\tNS\tNN\tI-NP\tO' +p325551 +aS'as\tas\tRB\tB-CONJP\tO' +p325552 +aS'well\twell\tRB\tI-CONJP\tO' +p325553 +aS'as\tas\tIN\tI-CONJP\tO' +p325554 +aS'1\t1\tCD\tB-NP\tO' +p325555 +aS'unit\tunit\tNN\tI-NP\tO' +p325556 +aS'of\tof\tIN\tB-PP\tO' +p325557 +aS'FFP\tFFP\tNN\tB-NP\tB-protein' +p325558 +aS',\t,\t,\tO\tO' +p325559 +aS'and\tand\tCC\tO\tO' +p325560 +aS'oxygen\toxygen\tNN\tB-NP\tO' +p325561 +aS'requirements\trequirement\tNNS\tI-NP\tO' +p325562 +aS'contimued\tcontimue\tVBN\tB-VP\tO' +p325563 +aS'to\tto\tTO\tB-VP\tO' +p325564 +aS'climb\tclimb\tVB\tI-VP\tO' +p325565 +aS'.\t.\t.\tO\tO' +p325566 +asS"You are being transferred to another hospital , intubated , with the plan to extubate upon arrival to Women 's and Infants hosptial and initiation of palliative care ." +p325567 +(lp325568 +S'You\tYou\tPRP\tB-NP\tB-protein' +p325569 +aS'are\tbe\tVBP\tB-VP\tO' +p325570 +aS'being\tbe\tVBG\tI-VP\tO' +p325571 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p325572 +aS'to\tto\tTO\tB-PP\tO' +p325573 +aS'another\tanother\tDT\tB-NP\tO' +p325574 +aS'hospital\thospital\tNN\tI-NP\tO' +p325575 +aS',\t,\t,\tO\tO' +p325576 +aS'intubated\tintubate\tVBN\tB-VP\tO' +p325577 +aS',\t,\t,\tO\tO' +p325578 +aS'with\twith\tIN\tB-PP\tO' +p325579 +aS'the\tthe\tDT\tB-NP\tO' +p325580 +aS'plan\tplan\tNN\tI-NP\tO' +p325581 +aS'to\tto\tTO\tB-VP\tO' +p325582 +aS'extubate\textubate\tVB\tI-VP\tO' +p325583 +aS'upon\tupon\tIN\tB-PP\tO' +p325584 +aS'arrival\tarrival\tNN\tB-NP\tO' +p325585 +aS'to\tto\tTO\tB-PP\tO' +p325586 +aS'Women\tWomen\tNNP\tB-NP\tO' +p325587 +aS"'s\t's\tPOS\tB-NP\tO" +p325588 +aS'and\tand\tCC\tO\tO' +p325589 +aS'Infants\tInfant\tNNPS\tB-NP\tO' +p325590 +aS'hosptial\thosptial\tJJ\tB-ADJP\tO' +p325591 +aS'and\tand\tCC\tO\tO' +p325592 +aS'initiation\tinitiation\tNN\tB-NP\tO' +p325593 +aS'of\tof\tIN\tB-PP\tO' +p325594 +aS'palliative\tpalliative\tJJ\tB-NP\tO' +p325595 +aS'care\tcare\tNN\tI-NP\tO' +p325596 +aS'.\t.\t.\tO\tO' +p325597 +asS'On the left , his pupils went from 2.5 mm to 2 mm , also brisk .' +p325598 +(lp325599 +S'On\tOn\tIN\tB-PP\tO' +p325600 +aS'the\tthe\tDT\tB-NP\tO' +p325601 +aS'left\tleft\tNN\tI-NP\tO' +p325602 +aS',\t,\t,\tO\tO' +p325603 +aS'his\this\tPRP$\tB-NP\tO' +p325604 +aS'pupils\tpupil\tNNS\tI-NP\tO' +p325605 +aS'went\tgo\tVBD\tB-VP\tO' +p325606 +aS'from\tfrom\tIN\tB-PP\tO' +p325607 +aS'2.5\t2.5\tCD\tB-NP\tO' +p325608 +aS'mm\tmm\tNN\tI-NP\tO' +p325609 +aS'to\tto\tTO\tB-PP\tO' +p325610 +aS'2\t2\tCD\tB-NP\tO' +p325611 +aS'mm\tmm\tNN\tI-NP\tO' +p325612 +aS',\t,\t,\tO\tO' +p325613 +aS'also\talso\tRB\tB-ADVP\tO' +p325614 +aS'brisk\tbrisk\tJJ\tB-ADJP\tO' +p325615 +aS'.\t.\t.\tO\tO' +p325616 +asS'20. Insulin Lispro ( Human ) 100 unit / mL Cartridge Sig : One ( 1 ) Subcutaneous four times a day : As directed by sliding scale-please see attached scale .' +p325617 +(lp325618 +S'20.\t20.\tLS\tB-NP\tO' +p325619 +aS'Insulin\tInsulin\tNN\tI-NP\tB-protein' +p325620 +aS'Lispro\tLispro\tNN\tI-NP\tI-protein' +p325621 +aS'(\t(\t(\tO\tI-protein' +p325622 +aS'Human\tHuman\tJJ\tB-ADJP\tI-protein' +p325623 +aS')\t)\t)\tO\tI-protein' +p325624 +aS'100\t100\tCD\tB-NP\tI-protein' +p325625 +aS'unit\tunit\tNN\tI-NP\tI-protein' +p325626 +aS'/\t/\tSYM\tB-NP\tO' +p325627 +aS'mL\tmL\tNN\tI-NP\tO' +p325628 +aS'Cartridge\tCartridge\tNNP\tI-NP\tO' +p325629 +aS'Sig\tSig\tNNP\tI-NP\tO' +p325630 +aS':\t:\t:\tO\tO' +p325631 +aS'One\tOne\tCD\tB-NP\tO' +p325632 +aS'(\t(\t(\tO\tO' +p325633 +aS'1\t1\tCD\tB-NP\tO' +p325634 +aS')\t)\t)\tO\tO' +p325635 +aS'Subcutaneous\tSubcutaneous\tJJ\tB-VP\tO' +p325636 +aS'four\tfour\tCD\tB-NP\tO' +p325637 +aS'times\ttime\tNNS\tI-NP\tO' +p325638 +aS'a\ta\tDT\tB-NP\tO' +p325639 +aS'day\tday\tNN\tI-NP\tO' +p325640 +aS':\t:\t:\tO\tO' +p325641 +aS'As\tAs\tIN\tB-NP\tO' +p325642 +aS'directed\tdirect\tVBN\tB-VP\tO' +p325643 +aS'by\tby\tIN\tB-PP\tO' +p325644 +aS'sliding\tslide\tVBG\tB-VP\tO' +p325645 +aS'scale-please\tscale-please\tNN\tB-NP\tB-protein' +p325646 +aS'see\tsee\tVB\tB-VP\tO' +p325647 +aS'attached\tattach\tVBN\tB-NP\tO' +p325648 +aS'scale\tscale\tNN\tI-NP\tO' +p325649 +aS'.\t.\t.\tO\tO' +p325650 +asS'1. The patient will follow-up with Dr. de las Grau in four weeks .' +p325651 +(lp325652 +S'1.\t1.\tLS\tB-LST\tO' +p325653 +aS'The\tThe\tDT\tB-NP\tO' +p325654 +aS'patient\tpatient\tNN\tI-NP\tO' +p325655 +aS'will\twill\tMD\tB-VP\tO' +p325656 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p325657 +aS'with\twith\tIN\tB-PP\tO' +p325658 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p325659 +aS'de\tde\tIN\tI-NP\tO' +p325660 +aS'las\tlas\tNNP\tI-NP\tO' +p325661 +aS'Grau\tGrau\tNNP\tI-NP\tO' +p325662 +aS'in\tin\tIN\tB-PP\tO' +p325663 +aS'four\tfour\tCD\tB-NP\tO' +p325664 +aS'weeks\tweek\tNNS\tI-NP\tO' +p325665 +aS'.\t.\t.\tO\tO' +p325666 +asS'A renal consult was obtained and their assessment was that this was probably a mixture of hypovolemia as well as SIADH .' +p325667 +(lp325668 +S'A\tA\tDT\tB-NP\tO' +p325669 +aS'renal\trenal\tJJ\tI-NP\tO' +p325670 +aS'consult\tconsult\tNN\tI-NP\tO' +p325671 +aS'was\tbe\tVBD\tB-VP\tO' +p325672 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p325673 +aS'and\tand\tCC\tO\tO' +p325674 +aS'their\ttheir\tPRP$\tB-NP\tO' +p325675 +aS'assessment\tassessment\tNN\tI-NP\tO' +p325676 +aS'was\tbe\tVBD\tB-VP\tO' +p325677 +aS'that\tthat\tIN\tB-SBAR\tO' +p325678 +aS'this\tthis\tDT\tB-NP\tO' +p325679 +aS'was\tbe\tVBD\tB-VP\tO' +p325680 +aS'probably\tprobably\tRB\tB-ADVP\tO' +p325681 +aS'a\ta\tDT\tB-NP\tO' +p325682 +aS'mixture\tmixture\tNN\tI-NP\tO' +p325683 +aS'of\tof\tIN\tB-PP\tO' +p325684 +aS'hypovolemia\thypovolemia\tNN\tB-NP\tO' +p325685 +aS'as\tas\tRB\tB-CONJP\tO' +p325686 +aS'well\twell\tRB\tI-CONJP\tO' +p325687 +aS'as\tas\tIN\tI-CONJP\tO' +p325688 +aS'SIADH\tSIADH\tNN\tB-NP\tB-protein' +p325689 +aS'.\t.\t.\tO\tO' +p325690 +asS'Baby girl Fritsche is the 1670 gram product of a 31 and 06-17 week gestation born to a 34 - year-old G2 P1 now 2 woman .' +p325691 +(lp325692 +S'Baby\tBaby\tNNP\tB-NP\tO' +p325693 +aS'girl\tgirl\tNN\tI-NP\tO' +p325694 +aS'Fritsche\tFritsche\tNNP\tI-NP\tO' +p325695 +aS'is\tbe\tVBZ\tB-VP\tO' +p325696 +aS'the\tthe\tDT\tB-NP\tO' +p325697 +aS'1670\t1670\tCD\tI-NP\tO' +p325698 +aS'gram\tgram\tNN\tI-NP\tO' +p325699 +aS'product\tproduct\tNN\tI-NP\tO' +p325700 +aS'of\tof\tIN\tB-PP\tO' +p325701 +aS'a\ta\tDT\tB-NP\tO' +p325702 +aS'31\t31\tCD\tI-NP\tO' +p325703 +aS'and\tand\tCC\tI-NP\tO' +p325704 +aS'06-17\t06-17\tCD\tI-NP\tO' +p325705 +aS'week\tweek\tNN\tI-NP\tO' +p325706 +aS'gestation\tgestation\tNN\tI-NP\tO' +p325707 +aS'born\tbear\tVBN\tB-VP\tO' +p325708 +aS'to\tto\tTO\tB-PP\tO' +p325709 +aS'a\ta\tDT\tB-NP\tO' +p325710 +aS'34\t34\tCD\tI-NP\tO' +p325711 +aS'-\t-\tHYPH\tI-NP\tO' +p325712 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p325713 +aS'G2\tG2\tNN\tI-NP\tO' +p325714 +aS'P1\tP1\tNN\tI-NP\tO' +p325715 +aS'now\tnow\tRB\tB-ADVP\tO' +p325716 +aS'2\t2\tCD\tB-NP\tO' +p325717 +aS'woman\twoman\tNN\tI-NP\tO' +p325718 +aS'.\t.\t.\tO\tO' +p325719 +asS'Tongue is midline .' +p325720 +(lp325721 +S'Tongue\tTongue\tNN\tB-NP\tO' +p325722 +aS'is\tbe\tVBZ\tB-VP\tO' +p325723 +aS'midline\tmidline\tNN\tB-NP\tO' +p325724 +aS'.\t.\t.\tO\tO' +p325725 +asS'The patient tolerated the procedure extremely well .' +p325726 +(lp325727 +S'The\tThe\tDT\tB-NP\tO' +p325728 +aS'patient\tpatient\tNN\tI-NP\tO' +p325729 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p325730 +aS'the\tthe\tDT\tB-NP\tO' +p325731 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p325732 +aS'extremely\textremely\tRB\tB-ADVP\tO' +p325733 +aS'well\twell\tRB\tI-ADVP\tO' +p325734 +aS'.\t.\t.\tO\tO' +p325735 +asS"Pt 's INR was eleveted as he was on home coumadin ." +p325736 +(lp325737 +S'Pt\tPt\tNN\tB-NP\tO' +p325738 +aS"'s\t's\tPOS\tB-NP\tO" +p325739 +aS'INR\tINR\tNN\tI-NP\tB-protein' +p325740 +aS'was\tbe\tVBD\tB-VP\tO' +p325741 +aS'eleveted\televete\tVBN\tI-VP\tO' +p325742 +aS'as\tas\tIN\tB-SBAR\tO' +p325743 +aS'he\the\tPRP\tB-NP\tO' +p325744 +aS'was\tbe\tVBD\tB-VP\tO' +p325745 +aS'on\ton\tIN\tB-PP\tO' +p325746 +aS'home\thome\tNN\tB-NP\tO' +p325747 +aS'coumadin\tcoumadin\tNN\tI-NP\tO' +p325748 +aS'.\t.\t.\tO\tO' +p325749 +asS'As a result , you were started on thyroid supplements .' +p325750 +(lp325751 +S'As\tAs\tIN\tB-PP\tO' +p325752 +aS'a\ta\tDT\tB-NP\tO' +p325753 +aS'result\tresult\tNN\tI-NP\tO' +p325754 +aS',\t,\t,\tO\tO' +p325755 +aS'you\tyou\tPRP\tB-NP\tO' +p325756 +aS'were\tbe\tVBD\tB-VP\tO' +p325757 +aS'started\tstart\tVBN\tI-VP\tO' +p325758 +aS'on\ton\tIN\tB-PP\tO' +p325759 +aS'thyroid\tthyroid\tJJ\tB-NP\tB-DNA' +p325760 +aS'supplements\tsupplement\tNNS\tI-NP\tI-DNA' +p325761 +aS'.\t.\t.\tO\tO' +p325762 +asS'Performance status was 0 .' +p325763 +(lp325764 +S'Performance\tPerformance\tNN\tB-NP\tO' +p325765 +aS'status\tstatus\tNN\tI-NP\tO' +p325766 +aS'was\tbe\tVBD\tB-VP\tO' +p325767 +aS'0\t0\tCD\tB-NP\tO' +p325768 +aS'.\t.\t.\tO\tO' +p325769 +asS'He will also require close follow up with his primary care provider for coumadin management .' +p325770 +(lp325771 +S'He\tHe\tPRP\tB-NP\tO' +p325772 +aS'will\twill\tMD\tB-VP\tO' +p325773 +aS'also\talso\tRB\tI-VP\tO' +p325774 +aS'require\trequire\tVB\tI-VP\tO' +p325775 +aS'close\tclose\tRB\tB-ADVP\tO' +p325776 +aS'follow\tfollow\tVB\tB-VP\tO' +p325777 +aS'up\tup\tRP\tB-PRT\tO' +p325778 +aS'with\twith\tIN\tB-PP\tO' +p325779 +aS'his\this\tPRP$\tB-NP\tO' +p325780 +aS'primary\tprimary\tJJ\tI-NP\tO' +p325781 +aS'care\tcare\tNN\tI-NP\tO' +p325782 +aS'provider\tprovider\tNN\tI-NP\tO' +p325783 +aS'for\tfor\tIN\tB-PP\tO' +p325784 +aS'coumadin\tcoumadin\tNN\tB-NP\tO' +p325785 +aS'management\tmanagement\tNN\tI-NP\tO' +p325786 +aS'.\t.\t.\tO\tO' +p325787 +asS'Throught the stay his labs remained normal and his pain controlled .' +p325788 +(lp325789 +S'Throught\tThrought\tVBN\tB-VP\tO' +p325790 +aS'the\tthe\tDT\tB-NP\tO' +p325791 +aS'stay\tstay\tNN\tI-NP\tO' +p325792 +aS'his\this\tPRP$\tB-NP\tO' +p325793 +aS'labs\tlab\tNNS\tI-NP\tO' +p325794 +aS'remained\tremain\tVBD\tB-VP\tO' +p325795 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p325796 +aS'and\tand\tCC\tO\tO' +p325797 +aS'his\this\tPRP$\tB-NP\tO' +p325798 +aS'pain\tpain\tNN\tI-NP\tO' +p325799 +aS'controlled\tcontrol\tVBN\tB-VP\tO' +p325800 +aS'.\t.\t.\tO\tO' +p325801 +asS'On motor examination , patient was noted to be of normal motor function throughout except for a slight weakness of the right dorsi flexion and plantar flexion , both noted to be about 4/5 and sensory examination was intact throughout .' +p325802 +(lp325803 +S'On\tOn\tIN\tB-PP\tO' +p325804 +aS'motor\tmotor\tNN\tB-NP\tO' +p325805 +aS'examination\texamination\tNN\tI-NP\tO' +p325806 +aS',\t,\t,\tO\tO' +p325807 +aS'patient\tpatient\tNN\tB-NP\tO' +p325808 +aS'was\tbe\tVBD\tB-VP\tO' +p325809 +aS'noted\tnote\tVBN\tI-VP\tO' +p325810 +aS'to\tto\tTO\tI-VP\tO' +p325811 +aS'be\tbe\tVB\tI-VP\tO' +p325812 +aS'of\tof\tIN\tB-PP\tO' +p325813 +aS'normal\tnormal\tJJ\tB-NP\tO' +p325814 +aS'motor\tmotor\tNN\tI-NP\tO' +p325815 +aS'function\tfunction\tNN\tI-NP\tO' +p325816 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p325817 +aS'except\texcept\tIN\tB-PP\tO' +p325818 +aS'for\tfor\tIN\tB-PP\tO' +p325819 +aS'a\ta\tDT\tB-NP\tO' +p325820 +aS'slight\tslight\tJJ\tI-NP\tO' +p325821 +aS'weakness\tweakness\tNN\tI-NP\tO' +p325822 +aS'of\tof\tIN\tB-PP\tO' +p325823 +aS'the\tthe\tDT\tB-NP\tO' +p325824 +aS'right\tright\tJJ\tI-NP\tO' +p325825 +aS'dorsi\tdorsi\tNN\tI-NP\tO' +p325826 +aS'flexion\tflexion\tNN\tI-NP\tO' +p325827 +aS'and\tand\tCC\tO\tO' +p325828 +aS'plantar\tplantar\tNN\tB-NP\tO' +p325829 +aS'flexion\tflexion\tNN\tI-NP\tO' +p325830 +aS',\t,\t,\tO\tO' +p325831 +aS'both\tboth\tDT\tB-NP\tO' +p325832 +aS'noted\tnote\tVBD\tB-VP\tO' +p325833 +aS'to\tto\tTO\tI-VP\tO' +p325834 +aS'be\tbe\tVB\tI-VP\tO' +p325835 +aS'about\tabout\tRB\tB-NP\tO' +p325836 +aS'4/5\t4/5\tCD\tI-NP\tO' +p325837 +aS'and\tand\tCC\tI-NP\tO' +p325838 +aS'sensory\tsensory\tJJ\tI-NP\tO' +p325839 +aS'examination\texamination\tNN\tI-NP\tO' +p325840 +aS'was\tbe\tVBD\tB-VP\tO' +p325841 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p325842 +aS'throughout\tthroughout\tIN\tB-ADVP\tO' +p325843 +aS'.\t.\t.\tO\tO' +p325844 +asS'At the time of admission , laboratories were remarkable for a partial thromboplastin time of 31.7 , INR 1.4 , potassium 3.2 , glucose 182 , lactate was initially 6.6 .' +p325845 +(lp325846 +S'At\tAt\tIN\tB-PP\tO' +p325847 +aS'the\tthe\tDT\tB-NP\tO' +p325848 +aS'time\ttime\tNN\tI-NP\tO' +p325849 +aS'of\tof\tIN\tB-PP\tO' +p325850 +aS'admission\tadmission\tNN\tB-NP\tO' +p325851 +aS',\t,\t,\tO\tO' +p325852 +aS'laboratories\tlaboratory\tNNS\tB-NP\tO' +p325853 +aS'were\tbe\tVBD\tB-VP\tO' +p325854 +aS'remarkable\tremarkable\tJJ\tB-ADJP\tO' +p325855 +aS'for\tfor\tIN\tB-PP\tO' +p325856 +aS'a\ta\tDT\tB-NP\tO' +p325857 +aS'partial\tpartial\tJJ\tI-NP\tO' +p325858 +aS'thromboplastin\tthromboplastin\tNN\tI-NP\tO' +p325859 +aS'time\ttime\tNN\tI-NP\tO' +p325860 +aS'of\tof\tIN\tB-PP\tO' +p325861 +aS'31.7\t31.7\tCD\tB-NP\tO' +p325862 +aS',\t,\t,\tO\tO' +p325863 +aS'INR\tINR\tNN\tB-NP\tB-protein' +p325864 +aS'1.4\t1.4\tCD\tI-NP\tI-protein' +p325865 +aS',\t,\t,\tO\tO' +p325866 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p325867 +aS'3.2\t3.2\tCD\tI-NP\tO' +p325868 +aS',\t,\t,\tO\tO' +p325869 +aS'glucose\tglucose\tNN\tB-NP\tO' +p325870 +aS'182\t182\tCD\tI-NP\tO' +p325871 +aS',\t,\t,\tO\tO' +p325872 +aS'lactate\tlactate\tNN\tB-NP\tO' +p325873 +aS'was\tbe\tVBD\tB-VP\tO' +p325874 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p325875 +aS'6.6\t6.6\tCD\tB-NP\tO' +p325876 +aS'.\t.\t.\tO\tO' +p325877 +asS'Rare drinks per week .' +p325878 +(lp325879 +S'Rare\tRare\tNN\tB-NP\tO' +p325880 +aS'drinks\tdrink\tNNS\tI-NP\tO' +p325881 +aS'per\tper\tIN\tB-PP\tO' +p325882 +aS'week\tweek\tNN\tB-NP\tO' +p325883 +aS'.\t.\t.\tO\tO' +p325884 +asS'The patient was given 250 cc of normal saline and her blood pressure responded coming back up to the high 90 s.' +p325885 +(lp325886 +S'The\tThe\tDT\tB-NP\tO' +p325887 +aS'patient\tpatient\tNN\tI-NP\tO' +p325888 +aS'was\tbe\tVBD\tB-VP\tO' +p325889 +aS'given\tgive\tVBN\tI-VP\tO' +p325890 +aS'250\t250\tCD\tB-NP\tO' +p325891 +aS'cc\tcc\tNN\tI-NP\tO' +p325892 +aS'of\tof\tIN\tB-PP\tO' +p325893 +aS'normal\tnormal\tJJ\tB-NP\tO' +p325894 +aS'saline\tsaline\tNN\tI-NP\tO' +p325895 +aS'and\tand\tCC\tO\tO' +p325896 +aS'her\ther\tPRP$\tB-NP\tO' +p325897 +aS'blood\tblood\tNN\tI-NP\tO' +p325898 +aS'pressure\tpressure\tNN\tI-NP\tO' +p325899 +aS'responded\trespond\tVBD\tB-VP\tO' +p325900 +aS'coming\tcome\tVBG\tI-VP\tO' +p325901 +aS'back\tback\tRB\tB-ADVP\tO' +p325902 +aS'up\tup\tIN\tB-PP\tO' +p325903 +aS'to\tto\tTO\tB-PP\tO' +p325904 +aS'the\tthe\tDT\tB-NP\tO' +p325905 +aS'high\thigh\tJJ\tI-NP\tO' +p325906 +aS'90\t90\tCD\tI-NP\tO' +p325907 +aS's.\ts.\tNNS\tI-NP\tO' +p325908 +asS'HEENT - Normocephalic , atraumatic .' +p325909 +(lp325910 +S'HEENT\tHEENT\tNN\tB-NP\tB-protein' +p325911 +aS'-\t-\tHYPH\tB-NP\tO' +p325912 +aS'Normocephalic\tNormocephalic\tJJ\tI-NP\tO' +p325913 +aS',\t,\t,\tI-NP\tO' +p325914 +aS'atraumatic\tatraumatic\tJJ\tI-NP\tO' +p325915 +aS'.\t.\t.\tO\tO' +p325916 +asS'Her chest X-ray showed bilateral air space disease , consistent with pneumonia or adult respiratory distress syndrome .' +p325917 +(lp325918 +S'Her\tHer\tPRP$\tB-NP\tO' +p325919 +aS'chest\tchest\tNN\tI-NP\tO' +p325920 +aS'X-ray\tX-ray\tNN\tI-NP\tO' +p325921 +aS'showed\tshow\tVBD\tB-VP\tO' +p325922 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p325923 +aS'air\tair\tNN\tI-NP\tO' +p325924 +aS'space\tspace\tNN\tI-NP\tO' +p325925 +aS'disease\tdisease\tNN\tI-NP\tO' +p325926 +aS',\t,\t,\tO\tO' +p325927 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p325928 +aS'with\twith\tIN\tB-PP\tO' +p325929 +aS'pneumonia\tpneumonia\tNN\tB-NP\tO' +p325930 +aS'or\tor\tCC\tO\tO' +p325931 +aS'adult\tadult\tJJ\tB-NP\tO' +p325932 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p325933 +aS'distress\tdistress\tNN\tI-NP\tO' +p325934 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p325935 +aS'.\t.\t.\tO\tO' +p325936 +asS'She did state that she experienced some shortness of breath ( her usual anginal equivalent ) and believes she did experience some lightheadedness as well , but denies blacking out or falling .' +p325937 +(lp325938 +S'She\tShe\tPRP\tB-NP\tO' +p325939 +aS'did\tdo\tVBD\tB-VP\tO' +p325940 +aS'state\tstate\tNN\tB-NP\tO' +p325941 +aS'that\tthat\tIN\tB-SBAR\tO' +p325942 +aS'she\tshe\tPRP\tB-NP\tO' +p325943 +aS'experienced\texperience\tVBD\tB-VP\tO' +p325944 +aS'some\tsome\tDT\tB-NP\tO' +p325945 +aS'shortness\tshortness\tNN\tI-NP\tO' +p325946 +aS'of\tof\tIN\tB-PP\tO' +p325947 +aS'breath\tbreath\tNN\tB-NP\tO' +p325948 +aS'(\t(\t(\tO\tO' +p325949 +aS'her\ther\tPRP$\tB-NP\tO' +p325950 +aS'usual\tusual\tJJ\tI-NP\tO' +p325951 +aS'anginal\tanginal\tJJ\tI-NP\tO' +p325952 +aS'equivalent\tequivalent\tNN\tI-NP\tO' +p325953 +aS')\t)\t)\tO\tO' +p325954 +aS'and\tand\tCC\tO\tO' +p325955 +aS'believes\tbelieve\tVBZ\tB-VP\tO' +p325956 +aS'she\tshe\tPRP\tB-NP\tO' +p325957 +aS'did\tdo\tVBD\tB-VP\tO' +p325958 +aS'experience\texperience\tVB\tI-VP\tO' +p325959 +aS'some\tsome\tDT\tB-NP\tO' +p325960 +aS'lightheadedness\tlightheadedness\tNN\tI-NP\tO' +p325961 +aS'as\tas\tRB\tB-ADVP\tO' +p325962 +aS'well\twell\tRB\tI-ADVP\tO' +p325963 +aS',\t,\t,\tO\tO' +p325964 +aS'but\tbut\tCC\tO\tO' +p325965 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p325966 +aS'blacking\tblack\tVBG\tI-VP\tO' +p325967 +aS'out\tout\tRP\tB-PRT\tO' +p325968 +aS'or\tor\tCC\tO\tO' +p325969 +aS'falling\tfall\tVBG\tB-VP\tO' +p325970 +aS'.\t.\t.\tO\tO' +p325971 +asS'Chest x-ray was negative for infiltrate .' +p325972 +(lp325973 +S'Chest\tCh\tJJS\tB-NP\tO' +p325974 +aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' +p325975 +aS'was\tbe\tVBD\tB-VP\tO' +p325976 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p325977 +aS'for\tfor\tIN\tB-PP\tO' +p325978 +aS'infiltrate\tinfiltrate\tNN\tB-NP\tO' +p325979 +aS'.\t.\t.\tO\tO' +p325980 +asS'6. Norvasc , 5 mg PO daily .' +p325981 +(lp325982 +S'6.\t6.\tLS\tB-NP\tO' +p325983 +aS'Norvasc\tNorvasc\tNNP\tI-NP\tO' +p325984 +aS',\t,\t,\tO\tO' +p325985 +aS'5\t5\tCD\tB-NP\tO' +p325986 +aS'mg\tmg\tNN\tI-NP\tO' +p325987 +aS'PO\tPO\tNN\tI-NP\tO' +p325988 +aS'daily\tdaily\tRB\tB-ADVP\tO' +p325989 +aS'.\t.\t.\tO\tO' +p325990 +asS'Heparin induced thrombocytopenia antibody panel was sent .' +p325991 +(lp325992 +S'Heparin\tHeparin\tNN\tB-NP\tO' +p325993 +aS'induced\tinduce\tVBD\tB-VP\tO' +p325994 +aS'thrombocytopenia\tthrombocytopenia\tNN\tB-NP\tB-protein' +p325995 +aS'antibody\tantibody\tNN\tI-NP\tI-protein' +p325996 +aS'panel\tpanel\tNN\tI-NP\tO' +p325997 +aS'was\tbe\tVBD\tB-VP\tO' +p325998 +aS'sent\tsend\tVBN\tI-VP\tO' +p325999 +aS'.\t.\t.\tO\tO' +p326000 +asS'Estratab one PO q.day .' +p326001 +(lp326002 +S'Estratab\tEstratab\tNN\tB-NP\tO' +p326003 +aS'one\tone\tCD\tI-NP\tO' +p326004 +aS'PO\tPO\tNN\tI-NP\tO' +p326005 +aS'q.day\tq.day\tNN\tI-NP\tO' +p326006 +aS'.\t.\t.\tO\tO' +p326007 +asS'His past surgical history had included gastric ulcer surgery and appendectomy .' +p326008 +(lp326009 +S'His\tHis\tPRP$\tB-NP\tO' +p326010 +aS'past\tpast\tJJ\tI-NP\tO' +p326011 +aS'surgical\tsurgical\tJJ\tI-NP\tO' +p326012 +aS'history\thistory\tNN\tI-NP\tO' +p326013 +aS'had\thave\tVBD\tB-VP\tO' +p326014 +aS'included\tinclude\tVBN\tI-VP\tO' +p326015 +aS'gastric\tgastric\tJJ\tB-NP\tO' +p326016 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p326017 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p326018 +aS'and\tand\tCC\tI-NP\tO' +p326019 +aS'appendectomy\tappendectomy\tNN\tI-NP\tO' +p326020 +aS'.\t.\t.\tO\tO' +p326021 +asS'Pupil o.s. reacted to light .' +p326022 +(lp326023 +S'Pupil\tPupil\tNNP\tB-NP\tO' +p326024 +aS'o.s.\to.s.\tNNS\tI-NP\tO' +p326025 +aS'reacted\treact\tVBD\tB-VP\tO' +p326026 +aS'to\tto\tTO\tB-PP\tO' +p326027 +aS'light\tlight\tNN\tB-NP\tO' +p326028 +aS'.\t.\t.\tO\tO' +p326029 +asS'1. Prolonged Respiratory Transition .' +p326030 +(lp326031 +S'1.\t1.\tLS\tB-LST\tO' +p326032 +aS'Prolonged\tProlonged\tNNP\tB-NP\tO' +p326033 +aS'Respiratory\tRespiratory\tNNP\tI-NP\tO' +p326034 +aS'Transition\tTransition\tNNP\tI-NP\tO' +p326035 +aS'.\t.\t.\tO\tO' +p326036 +asS'She persisted with right sided seizure activity there and was given valium 10 mg and ativan 1 mg , as well as loaded with dilantin 1000 mg .' +p326037 +(lp326038 +S'She\tShe\tPRP\tB-NP\tO' +p326039 +aS'persisted\tpersist\tVBD\tB-VP\tO' +p326040 +aS'with\twith\tIN\tB-PP\tO' +p326041 +aS'right\tright\tJJ\tB-NP\tO' +p326042 +aS'sided\tsided\tJJ\tI-NP\tO' +p326043 +aS'seizure\tseizure\tNN\tI-NP\tO' +p326044 +aS'activity\tactivity\tNN\tI-NP\tO' +p326045 +aS'there\tthere\tRB\tB-ADVP\tO' +p326046 +aS'and\tand\tCC\tO\tO' +p326047 +aS'was\tbe\tVBD\tB-VP\tO' +p326048 +aS'given\tgive\tVBN\tI-VP\tO' +p326049 +aS'valium\tvalium\tNN\tB-NP\tO' +p326050 +aS'10\t10\tCD\tI-NP\tO' +p326051 +aS'mg\tmg\tNN\tI-NP\tO' +p326052 +aS'and\tand\tCC\tI-NP\tO' +p326053 +aS'ativan\tativan\tNN\tI-NP\tO' +p326054 +aS'1\t1\tCD\tI-NP\tO' +p326055 +aS'mg\tmg\tNN\tI-NP\tO' +p326056 +aS',\t,\t,\tO\tO' +p326057 +aS'as\tas\tRB\tB-CONJP\tO' +p326058 +aS'well\twell\tRB\tI-CONJP\tO' +p326059 +aS'as\tas\tIN\tI-CONJP\tO' +p326060 +aS'loaded\tload\tVBN\tB-VP\tO' +p326061 +aS'with\twith\tIN\tB-PP\tO' +p326062 +aS'dilantin\tdilantin\tNN\tB-NP\tO' +p326063 +aS'1000\t1000\tCD\tI-NP\tO' +p326064 +aS'mg\tmg\tNN\tI-NP\tO' +p326065 +aS'.\t.\t.\tO\tO' +p326066 +asS'On admission , infant did not require supplemental oxygen or respiratory support .' +p326067 +(lp326068 +S'On\tOn\tIN\tB-PP\tO' +p326069 +aS'admission\tadmission\tNN\tB-NP\tO' +p326070 +aS',\t,\t,\tO\tO' +p326071 +aS'infant\tinfant\tNN\tB-NP\tO' +p326072 +aS'did\tdo\tVBD\tB-VP\tO' +p326073 +aS'not\tnot\tRB\tI-VP\tO' +p326074 +aS'require\trequire\tVB\tI-VP\tO' +p326075 +aS'supplemental\tsupplemental\tJJ\tB-NP\tO' +p326076 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p326077 +aS'or\tor\tCC\tO\tO' +p326078 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p326079 +aS'support\tsupport\tNN\tI-NP\tO' +p326080 +aS'.\t.\t.\tO\tO' +p326081 +asS'Left forearm and wrist series demonstrated transverse mid shaft radial fracture with ulnar displacement .' +p326082 +(lp326083 +S'Left\tLeft\tJJ\tB-NP\tO' +p326084 +aS'forearm\tforearm\tNN\tI-NP\tO' +p326085 +aS'and\tand\tCC\tI-NP\tO' +p326086 +aS'wrist\twrist\tNN\tI-NP\tO' +p326087 +aS'series\tseries\tNN\tI-NP\tO' +p326088 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p326089 +aS'transverse\ttransverse\tJJ\tB-NP\tO' +p326090 +aS'mid\tmid\tJJ\tI-NP\tO' +p326091 +aS'shaft\tshaft\tNN\tI-NP\tO' +p326092 +aS'radial\tradial\tNN\tI-NP\tO' +p326093 +aS'fracture\tfracture\tNN\tI-NP\tO' +p326094 +aS'with\twith\tIN\tB-PP\tO' +p326095 +aS'ulnar\tulnar\tJJ\tB-NP\tO' +p326096 +aS'displacement\tdisplacement\tNN\tI-NP\tO' +p326097 +aS'.\t.\t.\tO\tO' +p326098 +asS'3l .' +p326099 +(lp326100 +S'3l\t3l\tLS\tB-LST\tO' +p326101 +aS'.\t.\t.\tO\tO' +p326102 +asS'10. Perforated viscus .' +p326103 +(lp326104 +S'10.\t10.\tLS\tB-NP\tO' +p326105 +aS'Perforated\tPerforated\tNNP\tI-NP\tO' +p326106 +aS'viscus\tviscus\tNN\tI-NP\tO' +p326107 +aS'.\t.\t.\tO\tO' +p326108 +asS'Foley was also discontinued .' +p326109 +(lp326110 +S'Foley\tFoley\tNNP\tB-NP\tO' +p326111 +aS'was\tbe\tVBD\tB-VP\tO' +p326112 +aS'also\talso\tRB\tI-VP\tO' +p326113 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p326114 +aS'.\t.\t.\tO\tO' +p326115 +asS'Sensory - Dense loss to touch on the right arm and leg' +p326116 +(lp326117 +S'Sensory\tSensory\tJJ\tB-NP\tO' +p326118 +aS'-\t-\tHYPH\tI-NP\tO' +p326119 +aS'Dense\tDense\tNN\tI-NP\tO' +p326120 +aS'loss\tloss\tNN\tI-NP\tO' +p326121 +aS'to\tto\tTO\tB-VP\tO' +p326122 +aS'touch\ttouch\tVB\tI-VP\tO' +p326123 +aS'on\ton\tIN\tB-PP\tO' +p326124 +aS'the\tthe\tDT\tB-NP\tO' +p326125 +aS'right\tright\tJJ\tI-NP\tO' +p326126 +aS'arm\tarm\tNN\tI-NP\tO' +p326127 +aS'and\tand\tCC\tI-NP\tO' +p326128 +aS'leg\tleg\tNN\tI-NP\tO' +p326129 +asS'2. Aggrenox .' +p326130 +(lp326131 +S'2.\t2.\tLS\tB-NP\tO' +p326132 +aS'Aggrenox\tAggrenox\tNN\tI-NP\tO' +p326133 +aS'.\t.\t.\tO\tO' +p326134 +asS'He denies chills , no chest pain , no LE swelling .' +p326135 +(lp326136 +S'He\tHe\tPRP\tB-NP\tO' +p326137 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p326138 +aS'chills\tchill\tNNS\tB-NP\tO' +p326139 +aS',\t,\t,\tO\tO' +p326140 +aS'no\tno\tDT\tB-NP\tO' +p326141 +aS'chest\tchest\tNN\tI-NP\tO' +p326142 +aS'pain\tpain\tNN\tI-NP\tO' +p326143 +aS',\t,\t,\tO\tO' +p326144 +aS'no\tno\tDT\tB-NP\tO' +p326145 +aS'LE\tLE\tNN\tI-NP\tO' +p326146 +aS'swelling\tswelling\tNN\tI-NP\tO' +p326147 +aS'.\t.\t.\tO\tO' +p326148 +asS'Pt was maintained on SSI with small amount of standing insulin while he was NPO and then his dose was gradually increased as he received tube feeds .' +p326149 +(lp326150 +S'Pt\tPt\tNN\tB-NP\tO' +p326151 +aS'was\tbe\tVBD\tB-VP\tO' +p326152 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p326153 +aS'on\ton\tIN\tB-PP\tO' +p326154 +aS'SSI\tSSI\tNN\tB-NP\tO' +p326155 +aS'with\twith\tIN\tB-PP\tO' +p326156 +aS'small\tsmall\tJJ\tB-NP\tO' +p326157 +aS'amount\tamount\tNN\tI-NP\tO' +p326158 +aS'of\tof\tIN\tB-PP\tO' +p326159 +aS'standing\tstand\tVBG\tB-VP\tO' +p326160 +aS'insulin\tinsulin\tNN\tB-NP\tB-protein' +p326161 +aS'while\twhile\tIN\tB-SBAR\tO' +p326162 +aS'he\the\tPRP\tB-NP\tO' +p326163 +aS'was\tbe\tVBD\tB-VP\tO' +p326164 +aS'NPO\tNPO\tNN\tB-NP\tB-protein' +p326165 +aS'and\tand\tCC\tO\tO' +p326166 +aS'then\tthen\tRB\tO\tO' +p326167 +aS'his\this\tPRP$\tB-NP\tO' +p326168 +aS'dose\tdose\tNN\tI-NP\tO' +p326169 +aS'was\tbe\tVBD\tB-VP\tO' +p326170 +aS'gradually\tgradually\tRB\tI-VP\tO' +p326171 +aS'increased\tincrease\tVBN\tI-VP\tO' +p326172 +aS'as\tas\tIN\tB-SBAR\tO' +p326173 +aS'he\the\tPRP\tB-NP\tO' +p326174 +aS'received\treceive\tVBD\tB-VP\tO' +p326175 +aS'tube\ttube\tNN\tB-NP\tO' +p326176 +aS'feeds\tfeed\tNNS\tI-NP\tO' +p326177 +aS'.\t.\t.\tO\tO' +p326178 +asS'Serum acetone was normal .' +p326179 +(lp326180 +S'Serum\tSerum\tNN\tB-NP\tO' +p326181 +aS'acetone\tacetone\tNN\tI-NP\tO' +p326182 +aS'was\tbe\tVBD\tB-VP\tO' +p326183 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p326184 +aS'.\t.\t.\tO\tO' +p326185 +asS'Her renal function significantly improved , and her discharge creatinine was 3.1 .' +p326186 +(lp326187 +S'Her\tHer\tPRP$\tB-NP\tO' +p326188 +aS'renal\trenal\tJJ\tI-NP\tO' +p326189 +aS'function\tfunction\tNN\tI-NP\tO' +p326190 +aS'significantly\tsignificantly\tRB\tB-VP\tO' +p326191 +aS'improved\timprove\tVBD\tI-VP\tO' +p326192 +aS',\t,\t,\tO\tO' +p326193 +aS'and\tand\tCC\tO\tO' +p326194 +aS'her\ther\tPRP$\tB-NP\tO' +p326195 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p326196 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p326197 +aS'was\tbe\tVBD\tB-VP\tO' +p326198 +aS'3.1\t3.1\tCD\tB-NP\tO' +p326199 +aS'.\t.\t.\tO\tO' +p326200 +asS'She had no evidence of SBP .' +p326201 +(lp326202 +S'She\tShe\tPRP\tB-NP\tO' +p326203 +aS'had\thave\tVBD\tB-VP\tO' +p326204 +aS'no\tno\tDT\tB-NP\tO' +p326205 +aS'evidence\tevidence\tNN\tI-NP\tO' +p326206 +aS'of\tof\tIN\tB-PP\tO' +p326207 +aS'SBP\tSBP\tNN\tB-NP\tB-protein' +p326208 +aS'.\t.\t.\tO\tO' +p326209 +asS'Fine motor movements are slow but accurate in the left and right hands .' +p326210 +(lp326211 +S'Fine\tFine\tJJ\tB-NP\tO' +p326212 +aS'motor\tmotor\tNN\tI-NP\tO' +p326213 +aS'movements\tmovement\tNNS\tI-NP\tO' +p326214 +aS'are\tbe\tVBP\tB-VP\tO' +p326215 +aS'slow\tslow\tJJ\tB-ADJP\tO' +p326216 +aS'but\tbut\tCC\tI-ADJP\tO' +p326217 +aS'accurate\taccurate\tJJ\tI-ADJP\tO' +p326218 +aS'in\tin\tIN\tB-PP\tO' +p326219 +aS'the\tthe\tDT\tB-NP\tO' +p326220 +aS'left\tleft\tJJ\tI-NP\tO' +p326221 +aS'and\tand\tCC\tI-NP\tO' +p326222 +aS'right\tright\tJJ\tI-NP\tO' +p326223 +aS'hands\thand\tNNS\tI-NP\tO' +p326224 +aS'.\t.\t.\tO\tO' +p326225 +asS'Several of these were coil embolized during this admission .' +p326226 +(lp326227 +S'Several\tSeveral\tJJ\tB-ADJP\tO' +p326228 +aS'of\tof\tIN\tB-PP\tO' +p326229 +aS'these\tthese\tDT\tB-NP\tO' +p326230 +aS'were\tbe\tVBD\tB-VP\tO' +p326231 +aS'coil\tcoil\tNN\tB-NP\tO' +p326232 +aS'embolized\tembolize\tVBN\tB-VP\tO' +p326233 +aS'during\tduring\tIN\tB-PP\tO' +p326234 +aS'this\tthis\tDT\tB-NP\tO' +p326235 +aS'admission\tadmission\tNN\tI-NP\tO' +p326236 +aS'.\t.\t.\tO\tO' +p326237 +asS'She developed congestive heart failure and required pressor support .' +p326238 +(lp326239 +S'She\tShe\tPRP\tB-NP\tO' +p326240 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p326241 +aS'congestive\tcongestive\tJJ\tB-NP\tO' +p326242 +aS'heart\theart\tNN\tI-NP\tO' +p326243 +aS'failure\tfailure\tNN\tI-NP\tO' +p326244 +aS'and\tand\tCC\tO\tO' +p326245 +aS'required\trequire\tVBD\tB-VP\tO' +p326246 +aS'pressor\tpressor\tNN\tB-NP\tO' +p326247 +aS'support\tsupport\tNN\tI-NP\tO' +p326248 +aS'.\t.\t.\tO\tO' +p326249 +asS'She received Nitropaste , aspirin , laboratory studies and was taken to the floor for further management .' +p326250 +(lp326251 +S'She\tShe\tPRP\tB-NP\tO' +p326252 +aS'received\treceive\tVBD\tB-VP\tO' +p326253 +aS'Nitropaste\tNitropaste\tNN\tB-NP\tO' +p326254 +aS',\t,\t,\tO\tO' +p326255 +aS'aspirin\taspirin\tNN\tB-NP\tO' +p326256 +aS',\t,\t,\tO\tO' +p326257 +aS'laboratory\tlaboratory\tNN\tB-NP\tO' +p326258 +aS'studies\tstudy\tNNS\tI-NP\tO' +p326259 +aS'and\tand\tCC\tO\tO' +p326260 +aS'was\tbe\tVBD\tB-VP\tO' +p326261 +aS'taken\ttake\tVBN\tI-VP\tO' +p326262 +aS'to\tto\tTO\tB-PP\tO' +p326263 +aS'the\tthe\tDT\tB-NP\tO' +p326264 +aS'floor\tfloor\tNN\tI-NP\tO' +p326265 +aS'for\tfor\tIN\tB-PP\tO' +p326266 +aS'further\tfurther\tJJ\tB-NP\tO' +p326267 +aS'management\tmanagement\tNN\tI-NP\tO' +p326268 +aS'.\t.\t.\tO\tO' +p326269 +asS'I have changed some of your blood pressure meds .' +p326270 +(lp326271 +S'I\tI\tPRP\tB-NP\tO' +p326272 +aS'have\thave\tVBP\tB-VP\tO' +p326273 +aS'changed\tchange\tVBN\tI-VP\tO' +p326274 +aS'some\tsome\tDT\tB-NP\tO' +p326275 +aS'of\tof\tIN\tB-PP\tO' +p326276 +aS'your\tyour\tPRP$\tB-NP\tO' +p326277 +aS'blood\tblood\tNN\tI-NP\tO' +p326278 +aS'pressure\tpressure\tNN\tI-NP\tO' +p326279 +aS'meds\tmed\tNNS\tI-NP\tO' +p326280 +aS'.\t.\t.\tO\tO' +p326281 +asS'He was continued on azithromycin and cefuroxime until bronchoscopy results were known , negative .' +p326282 +(lp326283 +S'He\tHe\tPRP\tB-NP\tO' +p326284 +aS'was\tbe\tVBD\tB-VP\tO' +p326285 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p326286 +aS'on\ton\tIN\tB-PP\tO' +p326287 +aS'azithromycin\tazithromycin\tNN\tB-NP\tO' +p326288 +aS'and\tand\tCC\tI-NP\tO' +p326289 +aS'cefuroxime\tcefuroxime\tNN\tI-NP\tO' +p326290 +aS'until\tuntil\tIN\tB-PP\tO' +p326291 +aS'bronchoscopy\tbronchoscopy\tNN\tB-NP\tO' +p326292 +aS'results\tresult\tNNS\tI-NP\tO' +p326293 +aS'were\tbe\tVBD\tB-VP\tO' +p326294 +aS'known\tknow\tVBN\tI-VP\tO' +p326295 +aS',\t,\t,\tO\tO' +p326296 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p326297 +aS'.\t.\t.\tO\tO' +p326298 +asS'Therefore , he had a repeat colonoscopy on 11-06 which showed expected mucosal signs of moderate ulcerative colitis , no polyps , w/ 8 mm ulcer at junction of distal descending colon and sigmoid colon .' +p326299 +(lp326300 +S'Therefore\tTherefore\tRB\tB-ADVP\tO' +p326301 +aS',\t,\t,\tO\tO' +p326302 +aS'he\the\tPRP\tB-NP\tO' +p326303 +aS'had\thave\tVBD\tB-VP\tO' +p326304 +aS'a\ta\tDT\tB-NP\tO' +p326305 +aS'repeat\trepeat\tNN\tI-NP\tO' +p326306 +aS'colonoscopy\tcolonoscopy\tNN\tI-NP\tO' +p326307 +aS'on\ton\tIN\tB-PP\tO' +p326308 +aS'11-06\t11-06\tCD\tB-NP\tO' +p326309 +aS'which\twhich\tWDT\tB-NP\tO' +p326310 +aS'showed\tshow\tVBD\tB-VP\tO' +p326311 +aS'expected\texpect\tVBN\tI-VP\tO' +p326312 +aS'mucosal\tmucosal\tJJ\tB-NP\tO' +p326313 +aS'signs\tsign\tNNS\tI-NP\tO' +p326314 +aS'of\tof\tIN\tB-PP\tO' +p326315 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p326316 +aS'ulcerative\tulcerative\tJJ\tI-NP\tO' +p326317 +aS'colitis\tcolitis\tNN\tI-NP\tO' +p326318 +aS',\t,\t,\tO\tO' +p326319 +aS'no\tno\tDT\tB-NP\tO' +p326320 +aS'polyps\tpolyp\tNNS\tI-NP\tO' +p326321 +aS',\t,\t,\tO\tO' +p326322 +aS'w/\tw/\tSYM\tB-NP\tO' +p326323 +aS'8\t8\tCD\tI-NP\tO' +p326324 +aS'mm\tmm\tNN\tI-NP\tO' +p326325 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p326326 +aS'at\tat\tIN\tB-PP\tO' +p326327 +aS'junction\tjunction\tNN\tB-NP\tO' +p326328 +aS'of\tof\tIN\tB-PP\tO' +p326329 +aS'distal\tdistal\tJJ\tB-NP\tO' +p326330 +aS'descending\tdescend\tVBG\tI-NP\tO' +p326331 +aS'colon\tcolon\tNN\tI-NP\tO' +p326332 +aS'and\tand\tCC\tO\tO' +p326333 +aS'sigmoid\tsigmoid\tJJ\tB-NP\tO' +p326334 +aS'colon\tcolon\tNN\tI-NP\tO' +p326335 +aS'.\t.\t.\tO\tO' +p326336 +asS'The patient was then admitted for further evaluation .' +p326337 +(lp326338 +S'The\tThe\tDT\tB-NP\tO' +p326339 +aS'patient\tpatient\tNN\tI-NP\tO' +p326340 +aS'was\tbe\tVBD\tB-VP\tO' +p326341 +aS'then\tthen\tRB\tI-VP\tO' +p326342 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p326343 +aS'for\tfor\tIN\tB-PP\tO' +p326344 +aS'further\tfurther\tJJ\tB-NP\tO' +p326345 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p326346 +aS'.\t.\t.\tO\tO' +p326347 +asS'He was thoroughly evaluated by neurology and underwent head CT , MRI , LP , and EEG .' +p326348 +(lp326349 +S'He\tHe\tPRP\tB-NP\tO' +p326350 +aS'was\tbe\tVBD\tB-VP\tO' +p326351 +aS'thoroughly\tthoroughly\tRB\tI-VP\tO' +p326352 +aS'evaluated\tevaluate\tVBN\tI-VP\tO' +p326353 +aS'by\tby\tIN\tB-PP\tO' +p326354 +aS'neurology\tneurology\tNN\tB-NP\tO' +p326355 +aS'and\tand\tCC\tO\tO' +p326356 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p326357 +aS'head\thead\tNN\tB-NP\tO' +p326358 +aS'CT\tCT\tNN\tI-NP\tO' +p326359 +aS',\t,\t,\tO\tO' +p326360 +aS'MRI\tMRI\tNN\tB-NP\tB-protein' +p326361 +aS',\t,\t,\tO\tO' +p326362 +aS'LP\tLP\tNN\tB-NP\tO' +p326363 +aS',\t,\t,\tO\tO' +p326364 +aS'and\tand\tCC\tO\tO' +p326365 +aS'EEG\tEEG\tNN\tB-NP\tB-protein' +p326366 +aS'.\t.\t.\tO\tO' +p326367 +asS'negative per the emergency room .' +p326368 +(lp326369 +S'negative\tnegative\tJJ\tB-ADJP\tO' +p326370 +aS'per\tper\tIN\tB-PP\tO' +p326371 +aS'the\tthe\tDT\tB-NP\tO' +p326372 +aS'emergency\temergency\tNN\tI-NP\tO' +p326373 +aS'room\troom\tNN\tI-NP\tO' +p326374 +aS'.\t.\t.\tO\tO' +p326375 +asS'A chest CT also revealed a small pulmonary nodule with a necrotic mass involving the right lung posteriorly .' +p326376 +(lp326377 +S'A\tA\tDT\tB-NP\tO' +p326378 +aS'chest\tch\tJJS\tI-NP\tO' +p326379 +aS'CT\tCT\tNN\tI-NP\tB-protein' +p326380 +aS'also\talso\tRB\tB-ADVP\tO' +p326381 +aS'revealed\treveal\tVBD\tB-VP\tO' +p326382 +aS'a\ta\tDT\tB-NP\tO' +p326383 +aS'small\tsmall\tJJ\tI-NP\tO' +p326384 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p326385 +aS'nodule\tnodule\tNN\tI-NP\tO' +p326386 +aS'with\twith\tIN\tB-PP\tO' +p326387 +aS'a\ta\tDT\tB-NP\tO' +p326388 +aS'necrotic\tnecrotic\tJJ\tI-NP\tO' +p326389 +aS'mass\tmass\tNN\tI-NP\tO' +p326390 +aS'involving\tinvolve\tVBG\tB-VP\tO' +p326391 +aS'the\tthe\tDT\tB-NP\tO' +p326392 +aS'right\tright\tJJ\tI-NP\tO' +p326393 +aS'lung\tlung\tNN\tI-NP\tO' +p326394 +aS'posteriorly\tposteriorly\tRB\tB-ADVP\tO' +p326395 +aS'.\t.\t.\tO\tO' +p326396 +asS'He was attempted on multiple different drugs including Procainamide , Diltiazem , Esmolol , Sotalol , Amiodarone .' +p326397 +(lp326398 +S'He\tHe\tPRP\tB-NP\tO' +p326399 +aS'was\tbe\tVBD\tB-VP\tO' +p326400 +aS'attempted\tattempt\tVBN\tI-VP\tO' +p326401 +aS'on\ton\tIN\tB-PP\tO' +p326402 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p326403 +aS'different\tdifferent\tJJ\tI-NP\tO' +p326404 +aS'drugs\tdrug\tNNS\tI-NP\tO' +p326405 +aS'including\tinclude\tVBG\tB-PP\tO' +p326406 +aS'Procainamide\tProcainamide\tNNP\tB-NP\tO' +p326407 +aS',\t,\t,\tO\tO' +p326408 +aS'Diltiazem\tDiltiazem\tNNP\tB-NP\tO' +p326409 +aS',\t,\t,\tO\tO' +p326410 +aS'Esmolol\tEsmolol\tNNP\tB-NP\tO' +p326411 +aS',\t,\t,\tO\tO' +p326412 +aS'Sotalol\tSotalol\tNNP\tB-NP\tO' +p326413 +aS',\t,\t,\tO\tO' +p326414 +aS'Amiodarone\tAmiodarone\tNNP\tB-NP\tO' +p326415 +aS'.\t.\t.\tO\tO' +p326416 +asS'8. Metoclopramide 5 mg p.o. b.i.d. , take 30 minutes before meals .' +p326417 +(lp326418 +S'8.\t8.\tCD\tB-NP\tO' +p326419 +aS'Metoclopramide\tMetoclopramide\tNN\tI-NP\tO' +p326420 +aS'5\t5\tCD\tB-NP\tO' +p326421 +aS'mg\tmg\tNN\tI-NP\tO' +p326422 +aS'p.o.\tp.o.\tFW\tB-ADVP\tO' +p326423 +aS'b.i.d.\tb.i.d.\tFW\tI-ADVP\tO' +p326424 +aS',\t,\t,\tO\tO' +p326425 +aS'take\ttake\tVB\tB-VP\tO' +p326426 +aS'30\t30\tCD\tB-NP\tO' +p326427 +aS'minutes\tminute\tNNS\tI-NP\tO' +p326428 +aS'before\tbefore\tIN\tB-PP\tO' +p326429 +aS'meals\tmeal\tNNS\tB-NP\tO' +p326430 +aS'.\t.\t.\tO\tO' +p326431 +asS'( 1 ) status post hysterectomy and bilateral oophorectomy .' +p326432 +(lp326433 +S'(\t(\t(\tB-LST\tO' +p326434 +aS'1\t1\tLS\tI-LST\tO' +p326435 +aS')\t)\t)\tO\tO' +p326436 +aS'status\tstatus\tNN\tB-NP\tO' +p326437 +aS'post\tpost\tNN\tI-NP\tO' +p326438 +aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' +p326439 +aS'and\tand\tCC\tO\tO' +p326440 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p326441 +aS'oophorectomy\toophorectomy\tNN\tI-NP\tO' +p326442 +aS'.\t.\t.\tO\tO' +p326443 +asS'Dictated By : Larry W. Nagy , M.D.' +p326444 +(lp326445 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p326446 +aS'By\tBy\tIN\tB-PP\tO' +p326447 +aS':\t:\t:\tO\tO' +p326448 +aS'Larry\tLarry\tNNP\tB-NP\tO' +p326449 +aS'W.\tW.\tNNP\tI-NP\tO' +p326450 +aS'Nagy\tNagy\tNNP\tI-NP\tO' +p326451 +aS',\t,\t,\tO\tO' +p326452 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p326453 +asS'An abdominal and pelvic CT scan with IV contrast revealed bilateral pulmonary nodules and bilateral pleural effusions , extensive liver metastases , narrowing of the intra hepatic IVC and distention of the azygous system suggestive of IVC obstruction by liver metastases ; ascites ; multiple bony metastases ; and an isolated splenic metastases .' +p326454 +(lp326455 +S'An\tAn\tDT\tB-NP\tO' +p326456 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p326457 +aS'and\tand\tCC\tI-NP\tO' +p326458 +aS'pelvic\tpelvic\tJJ\tI-NP\tO' +p326459 +aS'CT\tCT\tNN\tI-NP\tO' +p326460 +aS'scan\tscan\tNN\tI-NP\tO' +p326461 +aS'with\twith\tIN\tB-PP\tO' +p326462 +aS'IV\tIV\tCD\tB-NP\tO' +p326463 +aS'contrast\tcontrast\tNN\tI-NP\tO' +p326464 +aS'revealed\treveal\tVBD\tB-VP\tO' +p326465 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p326466 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p326467 +aS'nodules\tnodule\tNNS\tI-NP\tO' +p326468 +aS'and\tand\tCC\tO\tO' +p326469 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p326470 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p326471 +aS'effusions\teffusion\tNNS\tI-NP\tO' +p326472 +aS',\t,\t,\tO\tO' +p326473 +aS'extensive\textensive\tJJ\tB-NP\tO' +p326474 +aS'liver\tliver\tNN\tI-NP\tO' +p326475 +aS'metastases\tmetastasis\tNNS\tI-NP\tO' +p326476 +aS',\t,\t,\tO\tO' +p326477 +aS'narrowing\tnarrow\tVBG\tB-VP\tO' +p326478 +aS'of\tof\tIN\tB-PP\tO' +p326479 +aS'the\tthe\tDT\tB-NP\tO' +p326480 +aS'intra\tintra\tJJ\tI-NP\tO' +p326481 +aS'hepatic\thepatic\tJJ\tI-NP\tO' +p326482 +aS'IVC\tIVC\tNN\tI-NP\tO' +p326483 +aS'and\tand\tCC\tI-NP\tO' +p326484 +aS'distention\tdistention\tNN\tI-NP\tO' +p326485 +aS'of\tof\tIN\tB-PP\tO' +p326486 +aS'the\tthe\tDT\tB-NP\tO' +p326487 +aS'azygous\tazygous\tJJ\tI-NP\tO' +p326488 +aS'system\tsystem\tNN\tI-NP\tO' +p326489 +aS'suggestive\tsuggestive\tJJ\tB-ADJP\tO' +p326490 +aS'of\tof\tIN\tB-PP\tO' +p326491 +aS'IVC\tIVC\tNN\tB-NP\tO' +p326492 +aS'obstruction\tobstruction\tNN\tI-NP\tO' +p326493 +aS'by\tby\tIN\tB-PP\tO' +p326494 +aS'liver\tliver\tNN\tB-NP\tB-protein' +p326495 +aS'metastases\tmetastasis\tNNS\tI-NP\tI-protein' +p326496 +aS';\t;\t:\tO\tO' +p326497 +aS'ascites\tascite\tNNS\tB-NP\tO' +p326498 +aS';\t;\t:\tO\tO' +p326499 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p326500 +aS'bony\tbony\tJJ\tI-NP\tO' +p326501 +aS'metastases\tmetastasis\tNNS\tI-NP\tO' +p326502 +aS';\t;\t:\tO\tO' +p326503 +aS'and\tand\tCC\tO\tO' +p326504 +aS'an\tan\tDT\tB-NP\tO' +p326505 +aS'isolated\tisolate\tVBN\tI-NP\tO' +p326506 +aS'splenic\tsplenic\tJJ\tI-NP\tB-protein' +p326507 +aS'metastases\tmetastasis\tNNS\tI-NP\tI-protein' +p326508 +aS'.\t.\t.\tO\tO' +p326509 +asS"Throughout hospital course patient 's troponin trended down to less than 0.3 ." +p326510 +(lp326511 +S'Throughout\tThroughout\tIN\tB-PP\tO' +p326512 +aS'hospital\thospital\tNN\tB-NP\tO' +p326513 +aS'course\tcourse\tNN\tI-NP\tO' +p326514 +aS'patient\tpatient\tNN\tI-NP\tO' +p326515 +aS"'s\t's\tPOS\tB-NP\tO" +p326516 +aS'troponin\ttroponin\tNN\tI-NP\tO' +p326517 +aS'trended\ttrend\tVBD\tB-VP\tO' +p326518 +aS'down\tdown\tRB\tB-ADVP\tO' +p326519 +aS'to\tto\tTO\tB-PP\tO' +p326520 +aS'less\tless\tJJR\tB-NP\tO' +p326521 +aS'than\tthan\tIN\tI-NP\tO' +p326522 +aS'0.3\t0.3\tCD\tI-NP\tO' +p326523 +aS'.\t.\t.\tO\tO' +p326524 +asS'1. Aortic stenosis status post aortic valve replacement with a #21 mosaic porcine valve' +p326525 +(lp326526 +S'1.\t1.\tLS\tB-NP\tO' +p326527 +aS'Aortic\tAortic\tJJ\tI-NP\tO' +p326528 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p326529 +aS'status\tstatus\tNN\tI-NP\tO' +p326530 +aS'post\tpost\tNN\tI-NP\tO' +p326531 +aS'aortic\taortic\tJJ\tI-NP\tO' +p326532 +aS'valve\tvalve\tNN\tI-NP\tO' +p326533 +aS'replacement\treplacement\tNN\tI-NP\tO' +p326534 +aS'with\twith\tIN\tB-PP\tO' +p326535 +aS'a\ta\tDT\tB-NP\tO' +p326536 +aS'#21\t#21\tNN\tI-NP\tO' +p326537 +aS'mosaic\tmosaic\tJJ\tI-NP\tO' +p326538 +aS'porcine\tporcine\tJJ\tI-NP\tO' +p326539 +aS'valve\tvalve\tNN\tI-NP\tO' +p326540 +asS'Her diet was advanced without difficulty and the patient was stable for discharge .' +p326541 +(lp326542 +S'Her\tHer\tPRP$\tB-NP\tO' +p326543 +aS'diet\tdiet\tNN\tI-NP\tO' +p326544 +aS'was\tbe\tVBD\tB-VP\tO' +p326545 +aS'advanced\tadvance\tVBN\tI-VP\tO' +p326546 +aS'without\twithout\tIN\tB-PP\tO' +p326547 +aS'difficulty\tdifficulty\tNN\tB-NP\tO' +p326548 +aS'and\tand\tCC\tO\tO' +p326549 +aS'the\tthe\tDT\tB-NP\tO' +p326550 +aS'patient\tpatient\tNN\tI-NP\tO' +p326551 +aS'was\tbe\tVBD\tB-VP\tO' +p326552 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p326553 +aS'for\tfor\tIN\tB-PP\tO' +p326554 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p326555 +aS'.\t.\t.\tO\tO' +p326556 +asS'Cardiac and mediastinal contours are stable in the postoperative period .' +p326557 +(lp326558 +S'Cardiac\tCardiac\tJJ\tB-NP\tO' +p326559 +aS'and\tand\tCC\tI-NP\tO' +p326560 +aS'mediastinal\tmediastinal\tJJ\tI-NP\tO' +p326561 +aS'contours\tcontour\tNNS\tI-NP\tO' +p326562 +aS'are\tbe\tVBP\tB-VP\tO' +p326563 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p326564 +aS'in\tin\tIN\tB-PP\tO' +p326565 +aS'the\tthe\tDT\tB-NP\tO' +p326566 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p326567 +aS'period\tperiod\tNN\tI-NP\tO' +p326568 +aS'.\t.\t.\tO\tO' +p326569 +asS'At Vaila Medical Center , she had a hematocrit of 25 and was transfused 2 units of packed red blood cells .' +p326570 +(lp326571 +S'At\tAt\tIN\tB-PP\tO' +p326572 +aS'Vaila\tVaila\tNNP\tB-NP\tO' +p326573 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p326574 +aS'Center\tCenter\tNNP\tI-NP\tO' +p326575 +aS',\t,\t,\tO\tO' +p326576 +aS'she\tshe\tPRP\tB-NP\tO' +p326577 +aS'had\thave\tVBD\tB-VP\tO' +p326578 +aS'a\ta\tDT\tB-NP\tO' +p326579 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p326580 +aS'of\tof\tIN\tB-PP\tO' +p326581 +aS'25\t25\tCD\tB-NP\tO' +p326582 +aS'and\tand\tCC\tO\tO' +p326583 +aS'was\tbe\tVBD\tB-VP\tO' +p326584 +aS'transfused\ttransfuse\tVBN\tI-VP\tO' +p326585 +aS'2\t2\tCD\tB-NP\tO' +p326586 +aS'units\tunit\tNNS\tI-NP\tO' +p326587 +aS'of\tof\tIN\tB-PP\tO' +p326588 +aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' +p326589 +aS'red\tred\tJJ\tI-NP\tI-cell_type' +p326590 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p326591 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p326592 +aS'.\t.\t.\tO\tO' +p326593 +asS'House / ADA 2100 cals / dy' +p326594 +(lp326595 +S'House\tHouse\tNN\tB-NP\tO' +p326596 +aS'/\t/\tSYM\tI-NP\tO' +p326597 +aS'ADA\tADA\tNN\tI-NP\tO' +p326598 +aS'2100\t2100\tCD\tB-NP\tO' +p326599 +aS'cals\tcal\tNNS\tI-NP\tO' +p326600 +aS'/\t/\tSYM\tB-NP\tO' +p326601 +aS'dy\tdy\tNN\tB-NP\tO' +p326602 +asS'His pulse was in the 70s , blood pressure 119/58 .' +p326603 +(lp326604 +S'His\tHis\tPRP$\tB-NP\tO' +p326605 +aS'pulse\tpulse\tNN\tI-NP\tO' +p326606 +aS'was\tbe\tVBD\tB-VP\tO' +p326607 +aS'in\tin\tIN\tB-PP\tO' +p326608 +aS'the\tthe\tDT\tB-NP\tO' +p326609 +aS'70s\t70\tNNS\tI-NP\tO' +p326610 +aS',\t,\t,\tO\tO' +p326611 +aS'blood\tblood\tNN\tB-NP\tO' +p326612 +aS'pressure\tpressure\tNN\tI-NP\tO' +p326613 +aS'119/58\t119/58\tCD\tI-NP\tO' +p326614 +aS'.\t.\t.\tO\tO' +p326615 +asS'Blood cultures drawn on admission subsequently grew Pseudomonas aeruginosa .' +p326616 +(lp326617 +S'Blood\tBlood\tNN\tB-NP\tO' +p326618 +aS'cultures\tculture\tNNS\tI-NP\tO' +p326619 +aS'drawn\tdraw\tVBN\tB-VP\tO' +p326620 +aS'on\ton\tIN\tB-PP\tO' +p326621 +aS'admission\tadmission\tNN\tB-NP\tO' +p326622 +aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' +p326623 +aS'grew\tgrow\tVBD\tB-VP\tO' +p326624 +aS'Pseudomonas\tPseudomonas\tNN\tB-NP\tO' +p326625 +aS'aeruginosa\taeruginosa\tNN\tI-NP\tO' +p326626 +aS'.\t.\t.\tO\tO' +p326627 +asS'Hematocrit on admission was 54.0% .' +p326628 +(lp326629 +S'Hematocrit\tHematocrit\tNN\tB-NP\tO' +p326630 +aS'on\ton\tIN\tB-PP\tO' +p326631 +aS'admission\tadmission\tNN\tB-NP\tO' +p326632 +aS'was\tbe\tVBD\tB-VP\tO' +p326633 +aS'54.0%\t54.0%\tCD\tB-NP\tO' +p326634 +aS'.\t.\t.\tO\tO' +p326635 +asS'Iron studies showed a mixed picture with decreased iron and decreased iron to TIBC ratio suggestive of iron-deficiency anemia , but also normal to high MCV .' +p326636 +(lp326637 +S'Iron\tIron\tNN\tB-NP\tO' +p326638 +aS'studies\tstudy\tNNS\tI-NP\tO' +p326639 +aS'showed\tshow\tVBD\tB-VP\tO' +p326640 +aS'a\ta\tDT\tB-NP\tO' +p326641 +aS'mixed\tmix\tVBN\tI-NP\tO' +p326642 +aS'picture\tpicture\tNN\tI-NP\tO' +p326643 +aS'with\twith\tIN\tB-PP\tO' +p326644 +aS'decreased\tdecrease\tVBN\tB-NP\tO' +p326645 +aS'iron\tiron\tNN\tI-NP\tO' +p326646 +aS'and\tand\tCC\tO\tO' +p326647 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p326648 +aS'iron\tiron\tNN\tB-NP\tO' +p326649 +aS'to\tto\tTO\tB-PP\tO' +p326650 +aS'TIBC\tTIBC\tNN\tB-NP\tO' +p326651 +aS'ratio\tratio\tNN\tI-NP\tO' +p326652 +aS'suggestive\tsuggestive\tJJ\tB-ADJP\tO' +p326653 +aS'of\tof\tIN\tB-PP\tO' +p326654 +aS'iron-deficiency\tiron-deficiency\tNN\tB-NP\tO' +p326655 +aS'anemia\tanemia\tNN\tI-NP\tO' +p326656 +aS',\t,\t,\tO\tO' +p326657 +aS'but\tbut\tCC\tB-CONJP\tO' +p326658 +aS'also\talso\tRB\tI-CONJP\tO' +p326659 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p326660 +aS'to\tto\tTO\tB-PP\tO' +p326661 +aS'high\thigh\tJJ\tB-NP\tO' +p326662 +aS'MCV\tMCV\tNN\tI-NP\tO' +p326663 +aS'.\t.\t.\tO\tO' +p326664 +asS'Chest and pelvis X-rays were negative for fractures .' +p326665 +(lp326666 +S'Chest\tChest\tNNP\tB-NP\tO' +p326667 +aS'and\tand\tCC\tO\tO' +p326668 +aS'pelvis\tpelvis\tNN\tB-NP\tO' +p326669 +aS'X-rays\tX-ray\tNNS\tI-NP\tO' +p326670 +aS'were\tbe\tVBD\tB-VP\tO' +p326671 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p326672 +aS'for\tfor\tIN\tB-PP\tO' +p326673 +aS'fractures\tfracture\tNNS\tB-NP\tO' +p326674 +aS'.\t.\t.\tO\tO' +p326675 +asS'Her admission coagulation studies were notable for a prothrombin time INR of 11.8 and 0.9 , respectively with a partial thromboplastin time of 25.2 .' +p326676 +(lp326677 +S'Her\tHer\tPRP$\tB-NP\tO' +p326678 +aS'admission\tadmission\tNN\tI-NP\tO' +p326679 +aS'coagulation\tcoagulation\tNN\tI-NP\tO' +p326680 +aS'studies\tstudy\tNNS\tI-NP\tO' +p326681 +aS'were\tbe\tVBD\tB-VP\tO' +p326682 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p326683 +aS'for\tfor\tIN\tB-PP\tO' +p326684 +aS'a\ta\tDT\tB-NP\tO' +p326685 +aS'prothrombin\tprothrombin\tNN\tI-NP\tO' +p326686 +aS'time\ttime\tNN\tI-NP\tO' +p326687 +aS'INR\tINR\tNN\tI-NP\tO' +p326688 +aS'of\tof\tIN\tB-PP\tO' +p326689 +aS'11.8\t11.8\tCD\tB-NP\tO' +p326690 +aS'and\tand\tCC\tI-NP\tO' +p326691 +aS'0.9\t0.9\tCD\tI-NP\tO' +p326692 +aS',\t,\t,\tO\tO' +p326693 +aS'respectively\trespectively\tRB\tB-ADVP\tO' +p326694 +aS'with\twith\tIN\tB-PP\tO' +p326695 +aS'a\ta\tDT\tB-NP\tO' +p326696 +aS'partial\tpartial\tJJ\tI-NP\tO' +p326697 +aS'thromboplastin\tthromboplastin\tNN\tI-NP\tO' +p326698 +aS'time\ttime\tNN\tI-NP\tO' +p326699 +aS'of\tof\tIN\tB-PP\tO' +p326700 +aS'25.2\t25.2\tCD\tB-NP\tO' +p326701 +aS'.\t.\t.\tO\tO' +p326702 +asS'No obvious evidence of trauma .' +p326703 +(lp326704 +S'No\tNo\tDT\tB-NP\tO' +p326705 +aS'obvious\tobvious\tJJ\tI-NP\tO' +p326706 +aS'evidence\tevidence\tNN\tI-NP\tO' +p326707 +aS'of\tof\tIN\tB-PP\tO' +p326708 +aS'trauma\ttrauma\tNN\tB-NP\tO' +p326709 +aS'.\t.\t.\tO\tO' +p326710 +asS'Infarction of left middle cerebral artery inferior division , s/p' +p326711 +(lp326712 +S'Infarction\tInfarction\tNN\tB-NP\tO' +p326713 +aS'of\tof\tIN\tB-PP\tO' +p326714 +aS'left\tleft\tJJ\tB-NP\tO' +p326715 +aS'middle\tmiddle\tJJ\tI-NP\tO' +p326716 +aS'cerebral\tcerebral\tJJ\tI-NP\tO' +p326717 +aS'artery\tartery\tNN\tI-NP\tO' +p326718 +aS'inferior\tinferior\tJJ\tI-NP\tO' +p326719 +aS'division\tdivision\tNN\tI-NP\tO' +p326720 +aS',\t,\t,\tO\tO' +p326721 +aS's/p\ts/p\tNN\tB-NP\tO' +p326722 +asS'Likely hepatic encepholopathy initially , and later likely related to sedation and delayed clearance from liver disease .' +p326723 +(lp326724 +S'Likely\tLikely\tRB\tB-NP\tO' +p326725 +aS'hepatic\thepatic\tJJ\tI-NP\tO' +p326726 +aS'encepholopathy\tencepholopathy\tNN\tI-NP\tO' +p326727 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p326728 +aS',\t,\t,\tO\tO' +p326729 +aS'and\tand\tCC\tO\tO' +p326730 +aS'later\tlater\tRB\tB-VP\tO' +p326731 +aS'likely\tlikely\tRB\tI-VP\tO' +p326732 +aS'related\trelate\tVBN\tI-VP\tO' +p326733 +aS'to\tto\tTO\tB-PP\tO' +p326734 +aS'sedation\tsedation\tNN\tB-NP\tO' +p326735 +aS'and\tand\tCC\tO\tO' +p326736 +aS'delayed\tdelay\tVBN\tB-NP\tO' +p326737 +aS'clearance\tclearance\tNN\tI-NP\tO' +p326738 +aS'from\tfrom\tIN\tB-PP\tO' +p326739 +aS'liver\tliver\tNN\tB-NP\tO' +p326740 +aS'disease\tdisease\tNN\tI-NP\tO' +p326741 +aS'.\t.\t.\tO\tO' +p326742 +asS'On postoperative day eight which is Memorial Day the patient was started on Carboplatin-Taxolchemo therapy , which she tolerated without complication .' +p326743 +(lp326744 +S'On\tOn\tIN\tB-PP\tO' +p326745 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p326746 +aS'day\tday\tNN\tI-NP\tO' +p326747 +aS'eight\teight\tCD\tI-NP\tO' +p326748 +aS'which\twhich\tWDT\tB-NP\tO' +p326749 +aS'is\tbe\tVBZ\tB-VP\tO' +p326750 +aS'Memorial\tMemorial\tNNP\tB-NP\tO' +p326751 +aS'Day\tDay\tNNP\tI-NP\tO' +p326752 +aS'the\tthe\tDT\tB-NP\tO' +p326753 +aS'patient\tpatient\tNN\tI-NP\tO' +p326754 +aS'was\tbe\tVBD\tB-VP\tO' +p326755 +aS'started\tstart\tVBN\tI-VP\tO' +p326756 +aS'on\ton\tIN\tB-PP\tO' +p326757 +aS'Carboplatin-Taxolchemo\tCarboplatin-Taxolchemo\tNNP\tB-NP\tO' +p326758 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p326759 +aS',\t,\t,\tO\tO' +p326760 +aS'which\twhich\tWDT\tB-NP\tO' +p326761 +aS'she\tshe\tPRP\tB-NP\tO' +p326762 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p326763 +aS'without\twithout\tIN\tB-PP\tO' +p326764 +aS'complication\tcomplication\tNN\tB-NP\tO' +p326765 +aS'.\t.\t.\tO\tO' +p326766 +asS'10. Flomax 0.4 mg po every day .' +p326767 +(lp326768 +S'10.\t10.\tCD\tB-NP\tO' +p326769 +aS'Flomax\tFlomax\tNN\tI-NP\tO' +p326770 +aS'0.4\t0.4\tCD\tB-NP\tO' +p326771 +aS'mg\tmg\tNN\tI-NP\tO' +p326772 +aS'po\tpo\tRB\tB-ADVP\tO' +p326773 +aS'every\tevery\tDT\tB-NP\tO' +p326774 +aS'day\tday\tNN\tI-NP\tO' +p326775 +aS'.\t.\t.\tO\tO' +p326776 +asS'Aspirin , 325 mg daily .' +p326777 +(lp326778 +S'Aspirin\tAspirin\tNN\tB-NP\tO' +p326779 +aS',\t,\t,\tO\tO' +p326780 +aS'325\t325\tCD\tB-NP\tO' +p326781 +aS'mg\tmg\tNN\tI-NP\tO' +p326782 +aS'daily\tdaily\tRB\tB-ADVP\tO' +p326783 +aS'.\t.\t.\tO\tO' +p326784 +asS'Dictated By : Elizabeth A Eaton , M.D.' +p326785 +(lp326786 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p326787 +aS'By\tBy\tIN\tB-PP\tO' +p326788 +aS':\t:\t:\tO\tO' +p326789 +aS'Elizabeth\tElizabeth\tNNP\tB-NP\tO' +p326790 +aS'A\tA\tNNP\tI-NP\tO' +p326791 +aS'Eaton\tEaton\tNNP\tI-NP\tO' +p326792 +aS',\t,\t,\tO\tO' +p326793 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p326794 +asS'She has known allergy to penicillin , vancomycin and erythromycin .' +p326795 +(lp326796 +S'She\tShe\tPRP\tB-NP\tO' +p326797 +aS'has\thave\tVBZ\tB-VP\tO' +p326798 +aS'known\tknow\tVBN\tI-VP\tO' +p326799 +aS'allergy\tallergy\tNN\tB-NP\tO' +p326800 +aS'to\tto\tTO\tB-PP\tO' +p326801 +aS'penicillin\tpenicillin\tNN\tB-NP\tB-protein' +p326802 +aS',\t,\t,\tI-NP\tO' +p326803 +aS'vancomycin\tvancomycin\tNN\tI-NP\tO' +p326804 +aS'and\tand\tCC\tI-NP\tO' +p326805 +aS'erythromycin\terythromycin\tNN\tI-NP\tO' +p326806 +aS'.\t.\t.\tO\tO' +p326807 +asS'Lungs : ? decreased BS over left middle lung , otherwise CTA' +p326808 +(lp326809 +S'Lungs\tLung\tNNS\tB-NP\tO' +p326810 +aS':\t:\t:\tO\tO' +p326811 +aS'?\t?\t.\tO\tO' +p326812 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p326813 +aS'BS\tBS\tNNP\tB-NP\tO' +p326814 +aS'over\tover\tIN\tB-PP\tO' +p326815 +aS'left\tleft\tJJ\tB-NP\tO' +p326816 +aS'middle\tmiddle\tJJ\tI-NP\tO' +p326817 +aS'lung\tlung\tNN\tI-NP\tO' +p326818 +aS',\t,\t,\tO\tO' +p326819 +aS'otherwise\totherwise\tRB\tB-NP\tO' +p326820 +aS'CTA\tCTA\tNN\tI-NP\tB-protein' +p326821 +asS'Urine culture later grew out contaminated specimen .' +p326822 +(lp326823 +S'Urine\tUrine\tNN\tB-NP\tO' +p326824 +aS'culture\tculture\tNN\tI-NP\tO' +p326825 +aS'later\tlater\tRB\tB-ADVP\tO' +p326826 +aS'grew\tgrow\tVBD\tB-VP\tO' +p326827 +aS'out\tout\tRP\tB-PRT\tO' +p326828 +aS'contaminated\tcontaminate\tVBN\tB-NP\tO' +p326829 +aS'specimen\tspecimen\tNN\tI-NP\tO' +p326830 +aS'.\t.\t.\tO\tO' +p326831 +asS'The dominant left circumflex was occluded with left-to-left filling .' +p326832 +(lp326833 +S'The\tThe\tDT\tB-NP\tO' +p326834 +aS'dominant\tdominant\tJJ\tI-NP\tO' +p326835 +aS'left\tleft\tJJ\tI-NP\tO' +p326836 +aS'circumflex\tcircumflex\tNN\tI-NP\tO' +p326837 +aS'was\tbe\tVBD\tB-VP\tO' +p326838 +aS'occluded\tocclude\tVBN\tI-VP\tO' +p326839 +aS'with\twith\tIN\tB-PP\tO' +p326840 +aS'left-to-left\tleft-to-left\tJJ\tB-NP\tO' +p326841 +aS'filling\tfilling\tNN\tI-NP\tO' +p326842 +aS'.\t.\t.\tO\tO' +p326843 +asS'Mother had a history of anxiety and asthma as well as moderate cigarette smoking .' +p326844 +(lp326845 +S'Mother\tMother\tNNP\tB-NP\tO' +p326846 +aS'had\thave\tVBD\tB-VP\tO' +p326847 +aS'a\ta\tDT\tB-NP\tO' +p326848 +aS'history\thistory\tNN\tI-NP\tO' +p326849 +aS'of\tof\tIN\tB-PP\tO' +p326850 +aS'anxiety\tanxiety\tNN\tB-NP\tO' +p326851 +aS'and\tand\tCC\tI-NP\tO' +p326852 +aS'asthma\tasthma\tNN\tI-NP\tO' +p326853 +aS'as\tas\tRB\tB-CONJP\tO' +p326854 +aS'well\twell\tRB\tI-CONJP\tO' +p326855 +aS'as\tas\tIN\tI-CONJP\tO' +p326856 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p326857 +aS'cigarette\tcigarette\tNN\tI-NP\tO' +p326858 +aS'smoking\tsmoking\tNN\tI-NP\tO' +p326859 +aS'.\t.\t.\tO\tO' +p326860 +asS'The baby was intubated in the Delivery Room , received two doses of surfactant .' +p326861 +(lp326862 +S'The\tThe\tDT\tB-NP\tO' +p326863 +aS'baby\tbaby\tNN\tI-NP\tO' +p326864 +aS'was\tbe\tVBD\tB-VP\tO' +p326865 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p326866 +aS'in\tin\tIN\tB-PP\tO' +p326867 +aS'the\tthe\tDT\tB-NP\tO' +p326868 +aS'Delivery\tDelivery\tNNP\tI-NP\tO' +p326869 +aS'Room\tRoom\tNNP\tI-NP\tO' +p326870 +aS',\t,\t,\tO\tO' +p326871 +aS'received\treceive\tVBD\tB-VP\tO' +p326872 +aS'two\ttwo\tCD\tB-NP\tO' +p326873 +aS'doses\tdose\tNNS\tI-NP\tO' +p326874 +aS'of\tof\tIN\tB-PP\tO' +p326875 +aS'surfactant\tsurfactant\tNN\tB-NP\tO' +p326876 +aS'.\t.\t.\tO\tO' +p326877 +asS'No pronator drift .' +p326878 +(lp326879 +S'No\tNo\tDT\tB-NP\tO' +p326880 +aS'pronator\tpronator\tNN\tI-NP\tO' +p326881 +aS'drift\tdrift\tNN\tI-NP\tO' +p326882 +aS'.\t.\t.\tO\tO' +p326883 +asS'After returning home after conferring with his wife , and the pain lasted another half hour , he came to the emergency room .' +p326884 +(lp326885 +S'After\tAfter\tIN\tB-PP\tO' +p326886 +aS'returning\treturn\tVBG\tB-VP\tO' +p326887 +aS'home\thome\tNN\tB-NP\tO' +p326888 +aS'after\tafter\tIN\tB-PP\tO' +p326889 +aS'conferring\tconfer\tVBG\tB-VP\tO' +p326890 +aS'with\twith\tIN\tB-PP\tO' +p326891 +aS'his\this\tPRP$\tB-NP\tO' +p326892 +aS'wife\twife\tNN\tI-NP\tO' +p326893 +aS',\t,\t,\tO\tO' +p326894 +aS'and\tand\tCC\tO\tO' +p326895 +aS'the\tthe\tDT\tB-NP\tO' +p326896 +aS'pain\tpain\tNN\tI-NP\tO' +p326897 +aS'lasted\tlast\tVBD\tB-VP\tO' +p326898 +aS'another\tanother\tDT\tB-NP\tO' +p326899 +aS'half\thalf\tJJ\tI-NP\tO' +p326900 +aS'hour\thour\tNN\tI-NP\tO' +p326901 +aS',\t,\t,\tO\tO' +p326902 +aS'he\the\tPRP\tB-NP\tO' +p326903 +aS'came\tcome\tVBD\tB-VP\tO' +p326904 +aS'to\tto\tTO\tB-PP\tO' +p326905 +aS'the\tthe\tDT\tB-NP\tO' +p326906 +aS'emergency\temergency\tNN\tI-NP\tO' +p326907 +aS'room\troom\tNN\tI-NP\tO' +p326908 +aS'.\t.\t.\tO\tO' +p326909 +asS'On further questioning , the patient described that his father passed away approximately forty to fifty years prior to his admission , and the gun was found in a box in their home .' +p326910 +(lp326911 +S'On\tOn\tIN\tB-PP\tO' +p326912 +aS'further\tfurther\tJJ\tB-NP\tO' +p326913 +aS'questioning\tquestioning\tNN\tI-NP\tO' +p326914 +aS',\t,\t,\tO\tO' +p326915 +aS'the\tthe\tDT\tB-NP\tO' +p326916 +aS'patient\tpatient\tNN\tI-NP\tO' +p326917 +aS'described\tdescribe\tVBD\tB-VP\tO' +p326918 +aS'that\tthat\tDT\tO\tO' +p326919 +aS'his\this\tPRP$\tB-NP\tO' +p326920 +aS'father\tfather\tNN\tI-NP\tO' +p326921 +aS'passed\tpass\tVBD\tB-VP\tO' +p326922 +aS'away\taway\tRB\tB-ADVP\tO' +p326923 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p326924 +aS'forty\tforty\tCD\tI-NP\tO' +p326925 +aS'to\tto\tTO\tI-NP\tO' +p326926 +aS'fifty\tfifty\tCD\tI-NP\tO' +p326927 +aS'years\tyear\tNNS\tI-NP\tO' +p326928 +aS'prior\tprior\tRB\tB-ADVP\tO' +p326929 +aS'to\tto\tTO\tB-PP\tO' +p326930 +aS'his\this\tPRP$\tB-NP\tO' +p326931 +aS'admission\tadmission\tNN\tI-NP\tO' +p326932 +aS',\t,\t,\tO\tO' +p326933 +aS'and\tand\tCC\tO\tO' +p326934 +aS'the\tthe\tDT\tB-NP\tO' +p326935 +aS'gun\tgun\tNN\tI-NP\tO' +p326936 +aS'was\tbe\tVBD\tB-VP\tO' +p326937 +aS'found\tfind\tVBN\tI-VP\tO' +p326938 +aS'in\tin\tIN\tB-PP\tO' +p326939 +aS'a\ta\tDT\tB-NP\tO' +p326940 +aS'box\tbox\tNN\tI-NP\tB-DNA' +p326941 +aS'in\tin\tIN\tB-PP\tO' +p326942 +aS'their\ttheir\tPRP$\tB-NP\tO' +p326943 +aS'home\thome\tNN\tI-NP\tO' +p326944 +aS'.\t.\t.\tO\tO' +p326945 +asS'She came to the Emergency Department on the 2011-03-10 , with temperature of 99.0 F .; blood pressure of 97/50 ; heart rate 100 ; respirations 27 ; O2 saturation 84% on room air and 94% on two liters .' +p326946 +(lp326947 +S'She\tShe\tPRP\tB-NP\tO' +p326948 +aS'came\tcome\tVBD\tB-VP\tO' +p326949 +aS'to\tto\tTO\tB-PP\tO' +p326950 +aS'the\tthe\tDT\tB-NP\tO' +p326951 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p326952 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p326953 +aS'on\ton\tIN\tB-PP\tO' +p326954 +aS'the\tthe\tDT\tB-NP\tO' +p326955 +aS'2011-03-10\t2011-03-10\tCD\tI-NP\tO' +p326956 +aS',\t,\t,\tO\tO' +p326957 +aS'with\twith\tIN\tB-PP\tO' +p326958 +aS'temperature\ttemperature\tNN\tB-NP\tO' +p326959 +aS'of\tof\tIN\tB-PP\tO' +p326960 +aS'99.0\t99.0\tCD\tB-NP\tO' +p326961 +aS'F\tF\tNN\tI-NP\tO' +p326962 +aS'.;\t.;\tNN\tI-NP\tO' +p326963 +aS'blood\tblood\tNN\tI-NP\tO' +p326964 +aS'pressure\tpressure\tNN\tI-NP\tO' +p326965 +aS'of\tof\tIN\tB-PP\tO' +p326966 +aS'97/50\t97/50\tCD\tB-NP\tO' +p326967 +aS';\t;\t:\tO\tO' +p326968 +aS'heart\theart\tNN\tB-NP\tO' +p326969 +aS'rate\trate\tNN\tI-NP\tO' +p326970 +aS'100\t100\tCD\tI-NP\tO' +p326971 +aS';\t;\t:\tO\tO' +p326972 +aS'respirations\trespiration\tNNS\tB-NP\tO' +p326973 +aS'27\t27\tCD\tB-NP\tO' +p326974 +aS';\t;\t:\tO\tO' +p326975 +aS'O2\tO2\tNN\tB-NP\tO' +p326976 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p326977 +aS'84%\t84%\tNN\tI-NP\tO' +p326978 +aS'on\ton\tIN\tB-PP\tO' +p326979 +aS'room\troom\tNN\tB-NP\tO' +p326980 +aS'air\tair\tNN\tI-NP\tO' +p326981 +aS'and\tand\tCC\tI-NP\tO' +p326982 +aS'94%\t94%\tNN\tI-NP\tO' +p326983 +aS'on\ton\tIN\tB-PP\tO' +p326984 +aS'two\ttwo\tCD\tB-NP\tO' +p326985 +aS'liters\tliter\tNNS\tI-NP\tO' +p326986 +aS'.\t.\t.\tO\tO' +p326987 +asS'Soft , NT , ND , + NABS .' +p326988 +(lp326989 +S'Soft\tSoft\tRB\tB-ADVP\tO' +p326990 +aS',\t,\t,\tO\tO' +p326991 +aS'NT\tNT\tNN\tB-NP\tO' +p326992 +aS',\t,\t,\tO\tO' +p326993 +aS'ND\tND\tNN\tB-NP\tO' +p326994 +aS',\t,\t,\tO\tO' +p326995 +aS'+\t+\tSYM\tB-NP\tO' +p326996 +aS'NABS\tNABS\tNNP\tB-NP\tO' +p326997 +aS'.\t.\t.\tO\tO' +p326998 +asS'Acyclovir was eventually increased from her maintenance dose for a herpes zoster breakout on her right upper back .' +p326999 +(lp327000 +S'Acyclovir\tAcyclovir\tNN\tB-NP\tO' +p327001 +aS'was\tbe\tVBD\tB-VP\tO' +p327002 +aS'eventually\teventually\tRB\tI-VP\tO' +p327003 +aS'increased\tincrease\tVBN\tI-VP\tO' +p327004 +aS'from\tfrom\tIN\tB-PP\tO' +p327005 +aS'her\ther\tPRP$\tB-NP\tO' +p327006 +aS'maintenance\tmaintenance\tNN\tI-NP\tO' +p327007 +aS'dose\tdose\tNN\tI-NP\tO' +p327008 +aS'for\tfor\tIN\tB-PP\tO' +p327009 +aS'a\ta\tDT\tB-NP\tO' +p327010 +aS'herpes\therpes\tNN\tI-NP\tO' +p327011 +aS'zoster\tzoster\tNN\tI-NP\tO' +p327012 +aS'breakout\tbreakout\tNN\tI-NP\tO' +p327013 +aS'on\ton\tIN\tB-PP\tO' +p327014 +aS'her\ther\tPRP$\tB-NP\tO' +p327015 +aS'right\tright\tJJ\tI-NP\tO' +p327016 +aS'upper\tupper\tJJ\tI-NP\tO' +p327017 +aS'back\tback\tNN\tI-NP\tO' +p327018 +aS'.\t.\t.\tO\tO' +p327019 +asS'HEENT showed tongue with laceration on the right edge .' +p327020 +(lp327021 +S'HEENT\tHEENT\tNN\tB-NP\tO' +p327022 +aS'showed\tshow\tVBD\tB-VP\tO' +p327023 +aS'tongue\ttongue\tNN\tB-NP\tO' +p327024 +aS'with\twith\tIN\tB-PP\tO' +p327025 +aS'laceration\tlaceration\tNN\tB-NP\tO' +p327026 +aS'on\ton\tIN\tB-PP\tO' +p327027 +aS'the\tthe\tDT\tB-NP\tO' +p327028 +aS'right\tright\tJJ\tI-NP\tO' +p327029 +aS'edge\tedge\tNN\tI-NP\tO' +p327030 +aS'.\t.\t.\tO\tO' +p327031 +asS'CT HEAD FINDINGS : There is moderately severe , confluent periventricular white matter hypodensity surrounding the frontal horns , posterior horns , and more superiorly , involving the centra semiovale .' +p327032 +(lp327033 +S'CT\tCT\tNN\tB-NP\tO' +p327034 +aS'HEAD\tHEAD\tNN\tI-NP\tO' +p327035 +aS'FINDINGS\tFINDINGS\tNNS\tI-NP\tO' +p327036 +aS':\t:\t:\tO\tO' +p327037 +aS'There\tThere\tEX\tB-NP\tO' +p327038 +aS'is\tbe\tVBZ\tB-VP\tO' +p327039 +aS'moderately\tmoderately\tRB\tB-NP\tO' +p327040 +aS'severe\tsevere\tJJ\tI-NP\tO' +p327041 +aS',\t,\t,\tI-NP\tO' +p327042 +aS'confluent\tconfluent\tJJ\tI-NP\tO' +p327043 +aS'periventricular\tperiventricular\tJJ\tI-NP\tO' +p327044 +aS'white\twhite\tJJ\tI-NP\tO' +p327045 +aS'matter\tmatter\tNN\tI-NP\tO' +p327046 +aS'hypodensity\thypodensity\tNN\tI-NP\tO' +p327047 +aS'surrounding\tsurround\tVBG\tB-VP\tO' +p327048 +aS'the\tthe\tDT\tB-NP\tO' +p327049 +aS'frontal\tfrontal\tJJ\tI-NP\tO' +p327050 +aS'horns\thorn\tNNS\tI-NP\tO' +p327051 +aS',\t,\t,\tO\tO' +p327052 +aS'posterior\tposterior\tJJ\tB-NP\tO' +p327053 +aS'horns\thorn\tNNS\tI-NP\tO' +p327054 +aS',\t,\t,\tO\tO' +p327055 +aS'and\tand\tCC\tO\tO' +p327056 +aS'more\tmore\tRBR\tB-ADVP\tO' +p327057 +aS'superiorly\tsuperiorly\tRB\tI-ADVP\tO' +p327058 +aS',\t,\t,\tO\tO' +p327059 +aS'involving\tinvolve\tVBG\tB-VP\tO' +p327060 +aS'the\tthe\tDT\tB-NP\tO' +p327061 +aS'centra\tcentra\tNN\tI-NP\tO' +p327062 +aS'semiovale\tsemiovale\tNN\tI-NP\tO' +p327063 +aS'.\t.\t.\tO\tO' +p327064 +asS'That day , cranial computerized tomography scan and cervical spine films were normal .' +p327065 +(lp327066 +S'That\tThat\tDT\tB-NP\tO' +p327067 +aS'day\tday\tNN\tI-NP\tO' +p327068 +aS',\t,\t,\tO\tO' +p327069 +aS'cranial\tcranial\tJJ\tB-NP\tO' +p327070 +aS'computerized\tcomputerized\tJJ\tI-NP\tO' +p327071 +aS'tomography\ttomography\tNN\tI-NP\tO' +p327072 +aS'scan\tscan\tNN\tI-NP\tO' +p327073 +aS'and\tand\tCC\tO\tO' +p327074 +aS'cervical\tcervical\tJJ\tB-NP\tO' +p327075 +aS'spine\tspine\tNN\tI-NP\tO' +p327076 +aS'films\tfilm\tNNS\tI-NP\tO' +p327077 +aS'were\tbe\tVBD\tB-VP\tO' +p327078 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p327079 +aS'.\t.\t.\tO\tO' +p327080 +asS'Failed coronary artery bypass graft , prior myocardial infarction , hypertension , elevated cholesterol , renal insufficiency , congestive heart failure .' +p327081 +(lp327082 +S'Failed\tFail\tVBN\tB-NP\tO' +p327083 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p327084 +aS'artery\tartery\tNN\tI-NP\tO' +p327085 +aS'bypass\tbypass\tIN\tB-PP\tO' +p327086 +aS'graft\tgraft\tNN\tB-NP\tO' +p327087 +aS',\t,\t,\tO\tO' +p327088 +aS'prior\tprior\tJJ\tB-NP\tO' +p327089 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p327090 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p327091 +aS',\t,\t,\tO\tO' +p327092 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p327093 +aS',\t,\t,\tO\tO' +p327094 +aS'elevated\televated\tJJ\tB-NP\tO' +p327095 +aS'cholesterol\tcholesterol\tNN\tI-NP\tO' +p327096 +aS',\t,\t,\tO\tO' +p327097 +aS'renal\trenal\tJJ\tB-NP\tO' +p327098 +aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' +p327099 +aS',\t,\t,\tO\tO' +p327100 +aS'congestive\tcongestive\tJJ\tB-NP\tO' +p327101 +aS'heart\theart\tNN\tI-NP\tO' +p327102 +aS'failure\tfailure\tNN\tI-NP\tO' +p327103 +aS'.\t.\t.\tO\tO' +p327104 +asS'The abdomen was soft , nontender , and nondistended with active bowel sounds .' +p327105 +(lp327106 +S'The\tThe\tDT\tB-NP\tO' +p327107 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p327108 +aS'was\tbe\tVBD\tB-VP\tO' +p327109 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p327110 +aS',\t,\t,\tO\tO' +p327111 +aS'nontender\tnontender\tJJ\tB-ADJP\tO' +p327112 +aS',\t,\t,\tO\tO' +p327113 +aS'and\tand\tCC\tO\tO' +p327114 +aS'nondistended\tnondistended\tJJ\tB-ADJP\tO' +p327115 +aS'with\twith\tIN\tB-PP\tO' +p327116 +aS'active\tactive\tJJ\tB-NP\tO' +p327117 +aS'bowel\tbowel\tNN\tI-NP\tO' +p327118 +aS'sounds\tsound\tNNS\tI-NP\tO' +p327119 +aS'.\t.\t.\tO\tO' +p327120 +asS'The optic fundi was normal .' +p327121 +(lp327122 +S'The\tThe\tDT\tB-NP\tO' +p327123 +aS'optic\toptic\tJJ\tI-NP\tO' +p327124 +aS'fundi\tfundi\tNN\tI-NP\tO' +p327125 +aS'was\tbe\tVBD\tB-VP\tO' +p327126 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p327127 +aS'.\t.\t.\tO\tO' +p327128 +asS'Was living alone in ALF .' +p327129 +(lp327130 +S'Was\tBe\tVBD\tB-VP\tO' +p327131 +aS'living\tlive\tVBG\tI-VP\tO' +p327132 +aS'alone\talone\tRB\tB-ADVP\tO' +p327133 +aS'in\tin\tIN\tB-PP\tO' +p327134 +aS'ALF\tALF\tNN\tB-NP\tB-protein' +p327135 +aS'.\t.\t.\tO\tO' +p327136 +asS'There was a grade II-II apical and systolic murmur .' +p327137 +(lp327138 +S'There\tThere\tEX\tB-NP\tO' +p327139 +aS'was\tbe\tVBD\tB-VP\tO' +p327140 +aS'a\ta\tDT\tB-NP\tO' +p327141 +aS'grade\tgrade\tNN\tI-NP\tO' +p327142 +aS'II-II\tII-II\tNN\tI-NP\tO' +p327143 +aS'apical\tapical\tJJ\tI-NP\tO' +p327144 +aS'and\tand\tCC\tI-NP\tO' +p327145 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p327146 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p327147 +aS'.\t.\t.\tO\tO' +p327148 +asS'Brian quit smoking and drinking in 1980s .' +p327149 +(lp327150 +S'Brian\tBrian\tJJ\tB-NP\tO' +p327151 +aS'quit\tquit\tNN\tI-NP\tO' +p327152 +aS'smoking\tsmoking\tNN\tI-NP\tO' +p327153 +aS'and\tand\tCC\tI-NP\tO' +p327154 +aS'drinking\tdrinking\tNN\tI-NP\tO' +p327155 +aS'in\tin\tIN\tB-PP\tO' +p327156 +aS'1980s\t1980s\tCD\tB-NP\tO' +p327157 +aS'.\t.\t.\tO\tO' +p327158 +asS'The phone no. at the Ona Hospital is 337-4296 , 936 area code .' +p327159 +(lp327160 +S'The\tThe\tDT\tB-NP\tO' +p327161 +aS'phone\tphone\tNN\tI-NP\tO' +p327162 +aS'no.\tno.\tNN\tI-NP\tO' +p327163 +aS'at\tat\tIN\tB-PP\tO' +p327164 +aS'the\tthe\tDT\tB-NP\tO' +p327165 +aS'Ona\tOna\tNNP\tI-NP\tO' +p327166 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p327167 +aS'is\tbe\tVBZ\tB-VP\tO' +p327168 +aS'337-4296\t337-4296\tCD\tB-NP\tO' +p327169 +aS',\t,\t,\tI-NP\tO' +p327170 +aS'936\t936\tCD\tI-NP\tO' +p327171 +aS'area\tarea\tNN\tI-NP\tO' +p327172 +aS'code\tcode\tNN\tI-NP\tO' +p327173 +aS'.\t.\t.\tO\tO' +p327174 +asS'Cardiac enzymes trending down on 12.7.05 , anticoagulated while having leak .' +p327175 +(lp327176 +S'Cardiac\tCardiac\tJJ\tB-NP\tB-protein' +p327177 +aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' +p327178 +aS'trending\ttrend\tVBG\tB-VP\tO' +p327179 +aS'down\tdown\tRP\tB-PRT\tO' +p327180 +aS'on\ton\tIN\tB-PP\tO' +p327181 +aS'12.7.05\t12.7.05\tCD\tB-NP\tO' +p327182 +aS',\t,\t,\tO\tO' +p327183 +aS'anticoagulated\tanticoagulate\tVBN\tB-VP\tO' +p327184 +aS'while\twhile\tIN\tB-SBAR\tO' +p327185 +aS'having\thave\tVBG\tB-VP\tO' +p327186 +aS'leak\tleak\tNN\tB-NP\tO' +p327187 +aS'.\t.\t.\tO\tO' +p327188 +asS'Neurologically , she was awoken from sleep by voice , cooperative , but mildly drowsy .' +p327189 +(lp327190 +S'Neurologically\tNeurologically\tRB\tB-ADVP\tO' +p327191 +aS',\t,\t,\tO\tO' +p327192 +aS'she\tshe\tPRP\tB-NP\tO' +p327193 +aS'was\tbe\tVBD\tB-VP\tO' +p327194 +aS'awoken\tawake\tVBN\tI-VP\tO' +p327195 +aS'from\tfrom\tIN\tB-PP\tO' +p327196 +aS'sleep\tsleep\tNN\tB-NP\tO' +p327197 +aS'by\tby\tIN\tB-PP\tO' +p327198 +aS'voice\tvoice\tNN\tB-NP\tO' +p327199 +aS',\t,\t,\tO\tO' +p327200 +aS'cooperative\tcooperative\tNN\tB-NP\tO' +p327201 +aS',\t,\t,\tO\tO' +p327202 +aS'but\tbut\tCC\tO\tO' +p327203 +aS'mildly\tmildly\tRB\tB-ADJP\tO' +p327204 +aS'drowsy\tdrowsy\tJJ\tI-ADJP\tO' +p327205 +aS'.\t.\t.\tO\tO' +p327206 +asS'There are no echocardiographic signs of tamponade' +p327207 +(lp327208 +S'There\tThere\tEX\tB-NP\tO' +p327209 +aS'are\tbe\tVBP\tB-VP\tO' +p327210 +aS'no\tno\tDT\tB-NP\tO' +p327211 +aS'echocardiographic\techocardiographic\tJJ\tI-NP\tO' +p327212 +aS'signs\tsign\tNNS\tI-NP\tO' +p327213 +aS'of\tof\tIN\tB-PP\tO' +p327214 +aS'tamponade\ttamponade\tNN\tB-NP\tO' +p327215 +asS'A blood gas at this point showed a pH of 7.49 , pO2 61 , pCO2 of 33 on 100% non-rebreather mask .' +p327216 +(lp327217 +S'A\tA\tDT\tB-NP\tO' +p327218 +aS'blood\tblood\tNN\tI-NP\tO' +p327219 +aS'gas\tgas\tNN\tI-NP\tO' +p327220 +aS'at\tat\tIN\tB-PP\tO' +p327221 +aS'this\tthis\tDT\tB-NP\tO' +p327222 +aS'point\tpoint\tNN\tI-NP\tO' +p327223 +aS'showed\tshow\tVBD\tB-VP\tO' +p327224 +aS'a\ta\tDT\tB-NP\tO' +p327225 +aS'pH\tpH\tNN\tI-NP\tO' +p327226 +aS'of\tof\tIN\tB-PP\tO' +p327227 +aS'7.49\t7.49\tCD\tB-NP\tO' +p327228 +aS',\t,\t,\tO\tO' +p327229 +aS'pO2\tpO2\tNN\tB-NP\tO' +p327230 +aS'61\t61\tCD\tI-NP\tO' +p327231 +aS',\t,\t,\tO\tO' +p327232 +aS'pCO2\tpCO2\tNN\tB-NP\tO' +p327233 +aS'of\tof\tIN\tB-PP\tO' +p327234 +aS'33\t33\tCD\tB-NP\tO' +p327235 +aS'on\ton\tIN\tB-PP\tO' +p327236 +aS'100%\t100%\tCD\tB-NP\tO' +p327237 +aS'non-rebreather\tnon-rebreather\tJJ\tI-NP\tO' +p327238 +aS'mask\tmask\tNN\tI-NP\tO' +p327239 +aS'.\t.\t.\tO\tO' +p327240 +asS'2. Folic acid 1 mg daily' +p327241 +(lp327242 +S'2.\t2.\tLS\tB-NP\tO' +p327243 +aS'Folic\tFolic\tJJ\tI-NP\tO' +p327244 +aS'acid\tacid\tNN\tI-NP\tO' +p327245 +aS'1\t1\tCD\tI-NP\tO' +p327246 +aS'mg\tmg\tNN\tI-NP\tO' +p327247 +aS'daily\tdaily\tJJ\tI-NP\tO' +p327248 +asS'They live in Ohio .' +p327249 +(lp327250 +S'They\tThey\tPRP\tB-NP\tO' +p327251 +aS'live\tlive\tVBP\tB-VP\tO' +p327252 +aS'in\tin\tIN\tB-PP\tO' +p327253 +aS'Ohio\tOhio\tNNP\tB-NP\tO' +p327254 +aS'.\t.\t.\tO\tO' +p327255 +asS'Cachectic , lays with eyes closed .' +p327256 +(lp327257 +S'Cachectic\tCachectic\tNNP\tB-NP\tO' +p327258 +aS',\t,\t,\tO\tO' +p327259 +aS'lays\tlay\tVBZ\tB-VP\tO' +p327260 +aS'with\twith\tIN\tB-PP\tO' +p327261 +aS'eyes\teye\tNNS\tB-NP\tO' +p327262 +aS'closed\tclose\tVBD\tB-VP\tO' +p327263 +aS'.\t.\t.\tO\tO' +p327264 +asS'5. Hypertension .' +p327265 +(lp327266 +S'5.\t5.\tLS\tB-NP\tO' +p327267 +aS'Hypertension\tHypertension\tNN\tI-NP\tO' +p327268 +aS'.\t.\t.\tO\tO' +p327269 +asS'She was slow to advance on enteral feeds and gradually attained full enteral volume on day of life 13 .' +p327270 +(lp327271 +S'She\tShe\tPRP\tB-NP\tO' +p327272 +aS'was\tbe\tVBD\tB-VP\tO' +p327273 +aS'slow\tslow\tJJ\tB-ADJP\tO' +p327274 +aS'to\tto\tTO\tB-VP\tO' +p327275 +aS'advance\tadvance\tVB\tI-VP\tO' +p327276 +aS'on\ton\tIN\tB-PP\tO' +p327277 +aS'enteral\tenteral\tJJ\tB-NP\tO' +p327278 +aS'feeds\tfeed\tNNS\tI-NP\tO' +p327279 +aS'and\tand\tCC\tO\tO' +p327280 +aS'gradually\tgradually\tRB\tB-VP\tO' +p327281 +aS'attained\tattain\tVBN\tI-VP\tO' +p327282 +aS'full\tfull\tJJ\tB-NP\tO' +p327283 +aS'enteral\tenteral\tJJ\tI-NP\tO' +p327284 +aS'volume\tvolume\tNN\tI-NP\tO' +p327285 +aS'on\ton\tIN\tB-PP\tO' +p327286 +aS'day\tday\tNN\tB-NP\tO' +p327287 +aS'of\tof\tIN\tB-PP\tO' +p327288 +aS'life\tlife\tNN\tB-NP\tB-protein' +p327289 +aS'13\t13\tCD\tI-NP\tI-protein' +p327290 +aS'.\t.\t.\tO\tO' +p327291 +asS'The patient was instructed to call her PCP , Dr. Ruby Godfrey , to follow up the week of discharge .' +p327292 +(lp327293 +S'The\tThe\tDT\tB-NP\tO' +p327294 +aS'patient\tpatient\tNN\tI-NP\tO' +p327295 +aS'was\tbe\tVBD\tB-VP\tO' +p327296 +aS'instructed\tinstruct\tVBN\tI-VP\tO' +p327297 +aS'to\tto\tTO\tI-VP\tO' +p327298 +aS'call\tcall\tVB\tI-VP\tO' +p327299 +aS'her\ther\tPRP$\tB-NP\tO' +p327300 +aS'PCP\tPCP\tNN\tI-NP\tB-DNA' +p327301 +aS',\t,\t,\tO\tO' +p327302 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p327303 +aS'Ruby\tRuby\tNNP\tI-NP\tO' +p327304 +aS'Godfrey\tGodfrey\tNNP\tI-NP\tO' +p327305 +aS',\t,\t,\tO\tO' +p327306 +aS'to\tto\tTO\tB-VP\tO' +p327307 +aS'follow\tfollow\tVB\tI-VP\tO' +p327308 +aS'up\tup\tRP\tB-PRT\tO' +p327309 +aS'the\tthe\tDT\tB-NP\tO' +p327310 +aS'week\tweek\tNN\tI-NP\tO' +p327311 +aS'of\tof\tIN\tB-PP\tO' +p327312 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p327313 +aS'.\t.\t.\tO\tO' +p327314 +asS'A 40-year-old female with history of non-ST-elevation myocardial infarction in 2016-09-30 with stent to the LAD and 50% to the mid LAD , had instent restenosis in 2017-04-02 and then underwent brachytherapy to the RCA , who presented to Baldpate Hospital with several weeks of chest pain similar to her anginal equivalent and MI in the past .' +p327315 +(lp327316 +S'A\tA\tDT\tB-NP\tO' +p327317 +aS'40-year-old\t40-year-old\tJJ\tI-NP\tO' +p327318 +aS'female\tfemale\tNN\tI-NP\tO' +p327319 +aS'with\twith\tIN\tB-PP\tO' +p327320 +aS'history\thistory\tNN\tB-NP\tO' +p327321 +aS'of\tof\tIN\tB-PP\tO' +p327322 +aS'non-ST-elevation\tnon-ST-elevation\tJJ\tB-NP\tO' +p327323 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p327324 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p327325 +aS'in\tin\tIN\tB-PP\tO' +p327326 +aS'2016-09-30\t2016-09-30\tCD\tB-NP\tO' +p327327 +aS'with\twith\tIN\tB-PP\tO' +p327328 +aS'stent\tstent\tNN\tB-NP\tO' +p327329 +aS'to\tto\tTO\tB-PP\tO' +p327330 +aS'the\tthe\tDT\tB-NP\tO' +p327331 +aS'LAD\tLAD\tNN\tI-NP\tO' +p327332 +aS'and\tand\tCC\tO\tO' +p327333 +aS'50%\t50%\tCD\tB-NP\tO' +p327334 +aS'to\tto\tTO\tB-PP\tO' +p327335 +aS'the\tthe\tDT\tB-NP\tO' +p327336 +aS'mid\tmid\tJJ\tI-NP\tO' +p327337 +aS'LAD\tLAD\tNN\tI-NP\tO' +p327338 +aS',\t,\t,\tO\tO' +p327339 +aS'had\thave\tVBD\tB-VP\tO' +p327340 +aS'instent\tinstent\tJJ\tB-NP\tO' +p327341 +aS'restenosis\trestenosis\tNN\tI-NP\tO' +p327342 +aS'in\tin\tIN\tB-PP\tO' +p327343 +aS'2017-04-02\t2017-04-02\tCD\tB-NP\tO' +p327344 +aS'and\tand\tCC\tO\tO' +p327345 +aS'then\tthen\tRB\tO\tO' +p327346 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p327347 +aS'brachytherapy\tbrachytherapy\tNN\tB-NP\tO' +p327348 +aS'to\tto\tTO\tB-PP\tO' +p327349 +aS'the\tthe\tDT\tB-NP\tO' +p327350 +aS'RCA\tRCA\tNN\tI-NP\tB-protein' +p327351 +aS',\t,\t,\tO\tO' +p327352 +aS'who\twho\tWP\tB-NP\tO' +p327353 +aS'presented\tpresent\tVBD\tB-VP\tO' +p327354 +aS'to\tto\tTO\tI-VP\tO' +p327355 +aS'Baldpate\tBaldpate\tVB\tI-VP\tO' +p327356 +aS'Hospital\tHospital\tNN\tB-NP\tO' +p327357 +aS'with\twith\tIN\tB-PP\tO' +p327358 +aS'several\tseveral\tJJ\tB-NP\tO' +p327359 +aS'weeks\tweek\tNNS\tI-NP\tO' +p327360 +aS'of\tof\tIN\tB-PP\tO' +p327361 +aS'chest\tchest\tNN\tB-NP\tO' +p327362 +aS'pain\tpain\tNN\tI-NP\tO' +p327363 +aS'similar\tsimilar\tJJ\tB-ADJP\tO' +p327364 +aS'to\tto\tTO\tB-PP\tO' +p327365 +aS'her\ther\tPRP$\tB-NP\tO' +p327366 +aS'anginal\tanginal\tJJ\tI-NP\tO' +p327367 +aS'equivalent\tequivalent\tNN\tI-NP\tO' +p327368 +aS'and\tand\tCC\tI-NP\tO' +p327369 +aS'MI\tMI\tNN\tI-NP\tO' +p327370 +aS'in\tin\tIN\tB-PP\tO' +p327371 +aS'the\tthe\tDT\tB-NP\tO' +p327372 +aS'past\tpast\tNN\tI-NP\tO' +p327373 +aS'.\t.\t.\tO\tO' +p327374 +asS'Major Surgical or Invasive Procedure : bronchoscopy' +p327375 +(lp327376 +S'Major\tMajor\tJJ\tB-NP\tO' +p327377 +aS'Surgical\tSurgical\tJJ\tI-NP\tO' +p327378 +aS'or\tor\tCC\tI-NP\tO' +p327379 +aS'Invasive\tInvasive\tJJ\tI-NP\tO' +p327380 +aS'Procedure\tProcedure\tNN\tI-NP\tO' +p327381 +aS':\t:\t:\tO\tO' +p327382 +aS'bronchoscopy\tbronchoscopy\tNN\tB-NP\tO' +p327383 +asS'On postoperative day #1 , 2010-06-30 , the patient was noted to be clinically stable , tolerating oral intake , and expressive of adequate amounts of urine independent of a Foley catheter .' +p327384 +(lp327385 +S'On\tOn\tIN\tB-PP\tO' +p327386 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p327387 +aS'day\tday\tNN\tI-NP\tO' +p327388 +aS'#1\t#1\tCD\tI-NP\tO' +p327389 +aS',\t,\t,\tI-NP\tO' +p327390 +aS'2010-06-30\t2010-06-30\tCD\tI-NP\tO' +p327391 +aS',\t,\t,\tO\tO' +p327392 +aS'the\tthe\tDT\tB-NP\tO' +p327393 +aS'patient\tpatient\tNN\tI-NP\tO' +p327394 +aS'was\tbe\tVBD\tB-VP\tO' +p327395 +aS'noted\tnote\tVBN\tI-VP\tO' +p327396 +aS'to\tto\tTO\tI-VP\tO' +p327397 +aS'be\tbe\tVB\tI-VP\tO' +p327398 +aS'clinically\tclinically\tRB\tB-ADJP\tO' +p327399 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p327400 +aS',\t,\t,\tO\tO' +p327401 +aS'tolerating\ttolerate\tVBG\tB-VP\tO' +p327402 +aS'oral\toral\tJJ\tB-NP\tO' +p327403 +aS'intake\tintake\tNN\tI-NP\tO' +p327404 +aS',\t,\t,\tO\tO' +p327405 +aS'and\tand\tCC\tO\tO' +p327406 +aS'expressive\texpressive\tJJ\tB-ADJP\tO' +p327407 +aS'of\tof\tIN\tB-PP\tO' +p327408 +aS'adequate\tadequate\tJJ\tB-NP\tO' +p327409 +aS'amounts\tamount\tNNS\tI-NP\tO' +p327410 +aS'of\tof\tIN\tB-PP\tO' +p327411 +aS'urine\turine\tNN\tB-NP\tO' +p327412 +aS'independent\tindependent\tJJ\tB-ADJP\tO' +p327413 +aS'of\tof\tIN\tB-PP\tO' +p327414 +aS'a\ta\tDT\tB-NP\tO' +p327415 +aS'Foley\tFoley\tNNP\tI-NP\tO' +p327416 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p327417 +aS'.\t.\t.\tO\tO' +p327418 +asS'Laboratory studies on admission were notable for a sodium of 131 , potassium 6.2 , BUN 111 , creatinine 3.9 , white blood cell count 23 , hematocrit 27 with 2+ schistocytes and 2+ spherocytes on the smear , platelet count 92 and LDH 496 .' +p327419 +(lp327420 +S'Laboratory\tLaboratory\tNN\tB-NP\tO' +p327421 +aS'studies\tstudy\tNNS\tI-NP\tO' +p327422 +aS'on\ton\tIN\tB-PP\tO' +p327423 +aS'admission\tadmission\tNN\tB-NP\tO' +p327424 +aS'were\tbe\tVBD\tB-VP\tO' +p327425 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p327426 +aS'for\tfor\tIN\tB-PP\tO' +p327427 +aS'a\ta\tDT\tB-NP\tO' +p327428 +aS'sodium\tsodium\tNN\tI-NP\tO' +p327429 +aS'of\tof\tIN\tB-PP\tO' +p327430 +aS'131\t131\tNN\tB-NP\tO' +p327431 +aS',\t,\t,\tO\tO' +p327432 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p327433 +aS'6.2\t6.2\tCD\tI-NP\tO' +p327434 +aS',\t,\t,\tO\tO' +p327435 +aS'BUN\tBUN\tNN\tB-NP\tB-cell_line' +p327436 +aS'111\t111\tCD\tI-NP\tI-cell_line' +p327437 +aS',\t,\t,\tO\tO' +p327438 +aS'creatinine\tcreatinine\tNN\tB-NP\tB-protein' +p327439 +aS'3.9\t3.9\tCD\tI-NP\tI-protein' +p327440 +aS',\t,\t,\tO\tO' +p327441 +aS'white\twhite\tJJ\tB-NP\tO' +p327442 +aS'blood\tblood\tNN\tI-NP\tO' +p327443 +aS'cell\tcell\tNN\tI-NP\tO' +p327444 +aS'count\tcount\tNN\tI-NP\tO' +p327445 +aS'23\t23\tCD\tB-NP\tO' +p327446 +aS',\t,\t,\tO\tO' +p327447 +aS'hematocrit\thematocrit\tNN\tB-NP\tO' +p327448 +aS'27\t27\tCD\tI-NP\tO' +p327449 +aS'with\twith\tIN\tB-PP\tO' +p327450 +aS'2+\t2+\tJJ\tB-NP\tB-cell_type' +p327451 +aS'schistocytes\tschistocyte\tNNS\tI-NP\tI-cell_type' +p327452 +aS'and\tand\tCC\tO\tO' +p327453 +aS'2+\t2+\tJJ\tB-NP\tB-cell_type' +p327454 +aS'spherocytes\tspherocyte\tNNS\tI-NP\tI-cell_type' +p327455 +aS'on\ton\tIN\tB-PP\tO' +p327456 +aS'the\tthe\tDT\tB-NP\tO' +p327457 +aS'smear\tsmear\tNN\tI-NP\tO' +p327458 +aS',\t,\t,\tO\tO' +p327459 +aS'platelet\tplatelet\tNN\tB-NP\tB-protein' +p327460 +aS'count\tcount\tNN\tI-NP\tI-protein' +p327461 +aS'92\t92\tCD\tI-NP\tI-protein' +p327462 +aS'and\tand\tCC\tO\tO' +p327463 +aS'LDH\tLDH\tNN\tB-NP\tB-protein' +p327464 +aS'496\t496\tCD\tI-NP\tI-protein' +p327465 +aS'.\t.\t.\tO\tO' +p327466 +asS'Dolls eye was negative .' +p327467 +(lp327468 +S'Dolls\tDoll\tNNS\tB-NP\tO' +p327469 +aS'eye\teye\tNN\tI-NP\tO' +p327470 +aS'was\tbe\tVBD\tB-VP\tO' +p327471 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p327472 +aS'.\t.\t.\tO\tO' +p327473 +asS'There was no peripheral edema .' +p327474 +(lp327475 +S'There\tThere\tEX\tB-NP\tO' +p327476 +aS'was\tbe\tVBD\tB-VP\tO' +p327477 +aS'no\tno\tDT\tB-NP\tO' +p327478 +aS'peripheral\tperipheral\tJJ\tI-NP\tO' +p327479 +aS'edema\tedema\tNN\tI-NP\tO' +p327480 +aS'.\t.\t.\tO\tO' +p327481 +asS'On discharge included etidronate , 475 mg IV q day ; heparin , 5000 units subcutaneously b.i.d. ; Decadron , 4 mg po q six hours ; MS Contin , 45 mg po b.i.d. ; Pepcid , 20 mg po b.i.d. ; Senekot , one tablet po t.i.d. ; Bronkosol , 0.25 cc q four hours .' +p327482 +(lp327483 +S'On\tOn\tIN\tB-PP\tO' +p327484 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p327485 +aS'included\tinclude\tVBD\tB-VP\tO' +p327486 +aS'etidronate\tetidronate\tNN\tB-NP\tO' +p327487 +aS',\t,\t,\tO\tO' +p327488 +aS'475\t475\tCD\tB-NP\tO' +p327489 +aS'mg\tmg\tNN\tI-NP\tO' +p327490 +aS'IV\tIV\tCD\tB-NP\tO' +p327491 +aS'q\tq\tNN\tI-NP\tO' +p327492 +aS'day\tday\tNN\tI-NP\tO' +p327493 +aS';\t;\t:\tO\tO' +p327494 +aS'heparin\theparin\tNN\tB-NP\tO' +p327495 +aS',\t,\t,\tO\tO' +p327496 +aS'5000\t5000\tCD\tB-NP\tO' +p327497 +aS'units\tunit\tNNS\tI-NP\tO' +p327498 +aS'subcutaneously\tsubcutaneously\tRB\tB-ADVP\tO' +p327499 +aS'b.i.d.\tb.i.d.\tRB\tB-ADVP\tO' +p327500 +aS';\t;\t:\tO\tO' +p327501 +aS'Decadron\tDecadron\tNNP\tB-NP\tO' +p327502 +aS',\t,\t,\tO\tO' +p327503 +aS'4\t4\tCD\tB-NP\tO' +p327504 +aS'mg\tmg\tNN\tI-NP\tO' +p327505 +aS'po\tpo\tNN\tI-NP\tO' +p327506 +aS'q\tq\tNN\tI-NP\tO' +p327507 +aS'six\tsix\tCD\tB-NP\tO' +p327508 +aS'hours\thour\tNNS\tI-NP\tO' +p327509 +aS';\t;\t:\tO\tO' +p327510 +aS'MS\tMS\tNNP\tB-NP\tO' +p327511 +aS'Contin\tContin\tNNP\tI-NP\tO' +p327512 +aS',\t,\t,\tO\tO' +p327513 +aS'45\t45\tCD\tB-NP\tO' +p327514 +aS'mg\tmg\tNN\tI-NP\tO' +p327515 +aS'po\tpo\tNN\tI-NP\tO' +p327516 +aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' +p327517 +aS';\t;\t:\tO\tO' +p327518 +aS'Pepcid\tPepcid\tNN\tB-NP\tO' +p327519 +aS',\t,\t,\tO\tO' +p327520 +aS'20\t20\tCD\tB-NP\tO' +p327521 +aS'mg\tmg\tNN\tI-NP\tO' +p327522 +aS'po\tpo\tNN\tI-NP\tO' +p327523 +aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' +p327524 +aS';\t;\t:\tO\tO' +p327525 +aS'Senekot\tSenekot\tNNP\tB-NP\tO' +p327526 +aS',\t,\t,\tO\tO' +p327527 +aS'one\tone\tCD\tB-NP\tO' +p327528 +aS'tablet\ttablet\tNN\tI-NP\tO' +p327529 +aS'po\tpo\tNN\tI-NP\tO' +p327530 +aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' +p327531 +aS';\t;\t:\tO\tO' +p327532 +aS'Bronkosol\tBronkosol\tNN\tB-NP\tO' +p327533 +aS',\t,\t,\tO\tO' +p327534 +aS'0.25\t0.25\tCD\tB-NP\tO' +p327535 +aS'cc\tcc\tNN\tI-NP\tO' +p327536 +aS'q\tq\tNN\tI-NP\tO' +p327537 +aS'four\tfour\tCD\tB-NP\tO' +p327538 +aS'hours\thour\tNNS\tI-NP\tO' +p327539 +aS'.\t.\t.\tO\tO' +p327540 +asS'However , due to the absence of clear benefit at this level , and further deterioration in his left sided strength , this goal was increased and Neo-Synephrine was added to his regimen to achieve mean arterial pressures in the 110-120 range .' +p327541 +(lp327542 +S'However\tHowever\tRB\tB-ADVP\tO' +p327543 +aS',\t,\t,\tO\tO' +p327544 +aS'due\tdue\tJJ\tB-PP\tO' +p327545 +aS'to\tto\tTO\tI-PP\tO' +p327546 +aS'the\tthe\tDT\tB-NP\tO' +p327547 +aS'absence\tabsence\tNN\tI-NP\tO' +p327548 +aS'of\tof\tIN\tB-PP\tO' +p327549 +aS'clear\tclear\tJJ\tB-NP\tO' +p327550 +aS'benefit\tbenefit\tNN\tI-NP\tO' +p327551 +aS'at\tat\tIN\tB-PP\tO' +p327552 +aS'this\tthis\tDT\tB-NP\tO' +p327553 +aS'level\tlevel\tNN\tI-NP\tO' +p327554 +aS',\t,\t,\tO\tO' +p327555 +aS'and\tand\tCC\tO\tO' +p327556 +aS'further\tfurther\tJJ\tB-NP\tO' +p327557 +aS'deterioration\tdeterioration\tNN\tI-NP\tO' +p327558 +aS'in\tin\tIN\tB-PP\tO' +p327559 +aS'his\this\tPRP$\tB-NP\tO' +p327560 +aS'left\tleft\tJJ\tI-NP\tO' +p327561 +aS'sided\tsided\tJJ\tI-NP\tO' +p327562 +aS'strength\tstrength\tNN\tI-NP\tO' +p327563 +aS',\t,\t,\tO\tO' +p327564 +aS'this\tthis\tDT\tB-NP\tO' +p327565 +aS'goal\tgoal\tNN\tI-NP\tO' +p327566 +aS'was\tbe\tVBD\tB-VP\tO' +p327567 +aS'increased\tincrease\tVBN\tI-VP\tO' +p327568 +aS'and\tand\tCC\tO\tO' +p327569 +aS'Neo-Synephrine\tNeo-Synephrine\tNN\tB-NP\tO' +p327570 +aS'was\tbe\tVBD\tB-VP\tO' +p327571 +aS'added\tadd\tVBN\tI-VP\tO' +p327572 +aS'to\tto\tTO\tB-PP\tO' +p327573 +aS'his\this\tPRP$\tB-NP\tO' +p327574 +aS'regimen\tregimen\tNN\tI-NP\tO' +p327575 +aS'to\tto\tTO\tB-VP\tO' +p327576 +aS'achieve\tachieve\tVB\tI-VP\tO' +p327577 +aS'mean\tmean\tJJ\tB-NP\tO' +p327578 +aS'arterial\tarterial\tJJ\tI-NP\tO' +p327579 +aS'pressures\tpressure\tNNS\tI-NP\tO' +p327580 +aS'in\tin\tIN\tB-PP\tO' +p327581 +aS'the\tthe\tDT\tB-NP\tO' +p327582 +aS'110-120\t110-120\tCD\tI-NP\tO' +p327583 +aS'range\trange\tNN\tI-NP\tO' +p327584 +aS'.\t.\t.\tO\tO' +p327585 +asS'IN ED vitals p86 bp 127/88 sat 100% .' +p327586 +(lp327587 +S'IN\tIN\tIN\tB-PP\tO' +p327588 +aS'ED\tED\tNNP\tB-NP\tO' +p327589 +aS'vitals\tvital\tNNS\tI-NP\tO' +p327590 +aS'p86\tp86\tNN\tI-NP\tB-protein' +p327591 +aS'bp\tbp\tNN\tI-NP\tI-protein' +p327592 +aS'127/88\t127/88\tCD\tI-NP\tI-protein' +p327593 +aS'sat\tsit\tVBD\tB-VP\tI-protein' +p327594 +aS'100%\t100%\tCD\tB-NP\tI-protein' +p327595 +aS'.\t.\t.\tO\tO' +p327596 +asS'The patient presented to Bournewood Hospital on the morning of admission with a chief complaint of substernal burning without radiation which developed while doing exercise .' +p327597 +(lp327598 +S'The\tThe\tDT\tB-NP\tO' +p327599 +aS'patient\tpatient\tNN\tI-NP\tO' +p327600 +aS'presented\tpresent\tVBN\tB-VP\tO' +p327601 +aS'to\tto\tTO\tB-PP\tO' +p327602 +aS'Bournewood\tBournewood\tNNP\tB-NP\tO' +p327603 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p327604 +aS'on\ton\tIN\tB-PP\tO' +p327605 +aS'the\tthe\tDT\tB-NP\tO' +p327606 +aS'morning\tmorning\tNN\tI-NP\tO' +p327607 +aS'of\tof\tIN\tB-PP\tO' +p327608 +aS'admission\tadmission\tNN\tB-NP\tO' +p327609 +aS'with\twith\tIN\tB-PP\tO' +p327610 +aS'a\ta\tDT\tB-NP\tO' +p327611 +aS'chief\tchief\tJJ\tI-NP\tO' +p327612 +aS'complaint\tcomplaint\tNN\tI-NP\tO' +p327613 +aS'of\tof\tIN\tB-PP\tO' +p327614 +aS'substernal\tsubsternal\tJJ\tB-NP\tO' +p327615 +aS'burning\tburning\tNN\tI-NP\tO' +p327616 +aS'without\twithout\tIN\tB-PP\tO' +p327617 +aS'radiation\tradiation\tNN\tB-NP\tO' +p327618 +aS'which\twhich\tWDT\tB-NP\tO' +p327619 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p327620 +aS'while\twhile\tIN\tB-SBAR\tO' +p327621 +aS'doing\tdo\tVBG\tB-VP\tO' +p327622 +aS'exercise\texercise\tNN\tB-NP\tO' +p327623 +aS'.\t.\t.\tO\tO' +p327624 +asS'Magnesium 2.0 mEq per liter , phosphate 8 mg / dl .' +p327625 +(lp327626 +S'Magnesium\tMagnesium\tNN\tB-NP\tO' +p327627 +aS'2.0\t2.0\tCD\tI-NP\tO' +p327628 +aS'mEq\tmEq\tNN\tI-NP\tO' +p327629 +aS'per\tper\tIN\tB-PP\tO' +p327630 +aS'liter\tliter\tNN\tB-NP\tO' +p327631 +aS',\t,\t,\tO\tO' +p327632 +aS'phosphate\tphosphate\tNN\tB-NP\tO' +p327633 +aS'8\t8\tCD\tI-NP\tO' +p327634 +aS'mg\tmg\tNN\tI-NP\tO' +p327635 +aS'/\t/\tSYM\tB-NP\tO' +p327636 +aS'dl\tdl\tNN\tI-NP\tO' +p327637 +aS'.\t.\t.\tO\tO' +p327638 +asS'There is no pneumothorax identified .' +p327639 +(lp327640 +S'There\tThere\tEX\tB-NP\tO' +p327641 +aS'is\tbe\tVBZ\tB-VP\tO' +p327642 +aS'no\tno\tDT\tB-NP\tO' +p327643 +aS'pneumothorax\tpneumothorax\tNN\tI-NP\tO' +p327644 +aS'identified\tidentify\tVBD\tB-VP\tO' +p327645 +aS'.\t.\t.\tO\tO' +p327646 +asS'Please see Dr. Uph 's office note for further details .' +p327647 +(lp327648 +S'Please\tPlease\tVB\tB-VP\tO' +p327649 +aS'see\tsee\tVB\tI-VP\tO' +p327650 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p327651 +aS'Uph\tUph\tNNP\tI-NP\tO' +p327652 +aS''s\t'\tNNS\tI-NP\tO' +p327653 +aS'office\toffice\tNN\tI-NP\tO' +p327654 +aS'note\tnote\tNN\tI-NP\tO' +p327655 +aS'for\tfor\tIN\tB-PP\tO' +p327656 +aS'further\tfurther\tJJ\tB-NP\tO' +p327657 +aS'details\tdetail\tNNS\tI-NP\tO' +p327658 +aS'.\t.\t.\tO\tO' +p327659 +asS'Over the last 2 weeks , husband reports patient becoming increasingly weak , unable to leave bed , confused , unable to feed herself .' +p327660 +(lp327661 +S'Over\tOver\tIN\tB-PP\tO' +p327662 +aS'the\tthe\tDT\tB-NP\tO' +p327663 +aS'last\tlast\tJJ\tI-NP\tB-protein' +p327664 +aS'2\t2\tCD\tI-NP\tI-protein' +p327665 +aS'weeks\tweek\tNNS\tI-NP\tI-protein' +p327666 +aS',\t,\t,\tO\tO' +p327667 +aS'husband\thusband\tNN\tB-NP\tO' +p327668 +aS'reports\treport\tVBZ\tB-VP\tO' +p327669 +aS'patient\tpatient\tNN\tB-NP\tO' +p327670 +aS'becoming\tbecome\tVBG\tB-VP\tO' +p327671 +aS'increasingly\tincreasingly\tRB\tB-ADJP\tO' +p327672 +aS'weak\tweak\tJJ\tI-ADJP\tO' +p327673 +aS',\t,\t,\tO\tO' +p327674 +aS'unable\tunable\tJJ\tB-ADJP\tO' +p327675 +aS'to\tto\tTO\tB-VP\tO' +p327676 +aS'leave\tleave\tVB\tI-VP\tO' +p327677 +aS'bed\tbed\tNN\tB-NP\tO' +p327678 +aS',\t,\t,\tO\tO' +p327679 +aS'confused\tconfused\tJJ\tB-ADJP\tO' +p327680 +aS',\t,\t,\tO\tO' +p327681 +aS'unable\tunable\tJJ\tB-ADJP\tO' +p327682 +aS'to\tto\tTO\tB-VP\tO' +p327683 +aS'feed\tfeed\tVB\tI-VP\tO' +p327684 +aS'herself\therself\tPRP\tB-NP\tO' +p327685 +aS'.\t.\t.\tO\tO' +p327686 +asS'EEG was performed and revealed encephalopathy .' +p327687 +(lp327688 +S'EEG\tEEG\tNN\tB-NP\tB-protein' +p327689 +aS'was\tbe\tVBD\tB-VP\tO' +p327690 +aS'performed\tperform\tVBN\tI-VP\tO' +p327691 +aS'and\tand\tCC\tO\tO' +p327692 +aS'revealed\treveal\tVBN\tB-VP\tO' +p327693 +aS'encephalopathy\tencephalopathy\tNN\tB-NP\tO' +p327694 +aS'.\t.\t.\tO\tO' +p327695 +asS'This resolved with Tylenol and as needed doses of oxycodone .' +p327696 +(lp327697 +S'This\tThis\tDT\tB-NP\tO' +p327698 +aS'resolved\tresolve\tVBN\tB-VP\tO' +p327699 +aS'with\twith\tIN\tB-PP\tO' +p327700 +aS'Tylenol\tTylenol\tNN\tB-NP\tO' +p327701 +aS'and\tand\tCC\tB-PP\tO' +p327702 +aS'as\tas\tIN\tB-PP\tO' +p327703 +aS'needed\tneed\tVBN\tB-NP\tO' +p327704 +aS'doses\tdose\tNNS\tI-NP\tO' +p327705 +aS'of\tof\tIN\tB-PP\tO' +p327706 +aS'oxycodone\toxycodone\tNN\tB-NP\tO' +p327707 +aS'.\t.\t.\tO\tO' +p327708 +asS'She had a prior cesarean section done , two vaginal births after cesarean section .' +p327709 +(lp327710 +S'She\tShe\tPRP\tB-NP\tO' +p327711 +aS'had\thave\tVBD\tB-VP\tO' +p327712 +aS'a\ta\tDT\tB-NP\tO' +p327713 +aS'prior\tprior\tJJ\tI-NP\tO' +p327714 +aS'cesarean\tcesarean\tJJ\tI-NP\tO' +p327715 +aS'section\tsection\tNN\tI-NP\tO' +p327716 +aS'done\tdo\tVBN\tB-VP\tO' +p327717 +aS',\t,\t,\tO\tO' +p327718 +aS'two\ttwo\tCD\tB-NP\tO' +p327719 +aS'vaginal\tvaginal\tJJ\tI-NP\tO' +p327720 +aS'births\tbirth\tNNS\tI-NP\tO' +p327721 +aS'after\tafter\tIN\tB-PP\tO' +p327722 +aS'cesarean\tcesarean\tJJ\tB-NP\tO' +p327723 +aS'section\tsection\tNN\tI-NP\tO' +p327724 +aS'.\t.\t.\tO\tO' +p327725 +asS'Odell does not believe the pt would want to be intubated , with central line , right heart cath , in the CCU .' +p327726 +(lp327727 +S'Odell\tOdell\tNNP\tB-NP\tO' +p327728 +aS'does\tdo\tVBZ\tB-VP\tO' +p327729 +aS'not\tnot\tRB\tI-VP\tO' +p327730 +aS'believe\tbelieve\tVB\tI-VP\tO' +p327731 +aS'the\tthe\tDT\tB-NP\tO' +p327732 +aS'pt\tpt\tNN\tI-NP\tO' +p327733 +aS'would\twould\tMD\tB-VP\tO' +p327734 +aS'want\twant\tVB\tI-VP\tO' +p327735 +aS'to\tto\tTO\tI-VP\tO' +p327736 +aS'be\tbe\tVB\tI-VP\tO' +p327737 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p327738 +aS',\t,\t,\tO\tO' +p327739 +aS'with\twith\tIN\tB-PP\tO' +p327740 +aS'central\tcentral\tJJ\tB-NP\tO' +p327741 +aS'line\tline\tNN\tI-NP\tO' +p327742 +aS',\t,\t,\tO\tO' +p327743 +aS'right\tright\tJJ\tB-NP\tO' +p327744 +aS'heart\theart\tNN\tI-NP\tO' +p327745 +aS'cath\tcath\tNN\tI-NP\tO' +p327746 +aS',\t,\t,\tO\tO' +p327747 +aS'in\tin\tIN\tB-PP\tO' +p327748 +aS'the\tthe\tDT\tB-NP\tO' +p327749 +aS'CCU\tCCU\tNN\tI-NP\tB-DNA' +p327750 +aS'.\t.\t.\tO\tO' +p327751 +asS'The heart was regular .' +p327752 +(lp327753 +S'The\tThe\tDT\tB-NP\tO' +p327754 +aS'heart\theart\tNN\tI-NP\tO' +p327755 +aS'was\tbe\tVBD\tB-VP\tO' +p327756 +aS'regular\tregular\tJJ\tB-ADJP\tO' +p327757 +aS'.\t.\t.\tO\tO' +p327758 +asS'His most recent cultures are negative .' +p327759 +(lp327760 +S'His\tHis\tPRP$\tB-NP\tB-cell_line' +p327761 +aS'most\tmost\tRBS\tI-NP\tI-cell_line' +p327762 +aS'recent\trecent\tJJ\tI-NP\tI-cell_line' +p327763 +aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' +p327764 +aS'are\tbe\tVBP\tB-VP\tO' +p327765 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p327766 +aS'.\t.\t.\tO\tO' +p327767 +asS'tobacco : 16 pack year hx ; quit 24 years ago' +p327768 +(lp327769 +S'tobacco\ttobacco\tNN\tB-NP\tO' +p327770 +aS':\t:\t:\tO\tO' +p327771 +aS'16\t16\tCD\tB-NP\tO' +p327772 +aS'pack\tpack\tNN\tI-NP\tO' +p327773 +aS'year\tyear\tNN\tI-NP\tO' +p327774 +aS'hx\thx\tNN\tI-NP\tO' +p327775 +aS';\t;\t:\tO\tO' +p327776 +aS'quit\tquit\tNN\tB-NP\tO' +p327777 +aS'24\t24\tCD\tB-NP\tO' +p327778 +aS'years\tyear\tNNS\tI-NP\tO' +p327779 +aS'ago\tago\tIN\tB-ADVP\tO' +p327780 +asS'Albumin was 4.9 .' +p327781 +(lp327782 +S'Albumin\tAlbumin\tNNP\tB-NP\tO' +p327783 +aS'was\tbe\tVBD\tB-VP\tO' +p327784 +aS'4.9\t4.9\tCD\tB-NP\tO' +p327785 +aS'.\t.\t.\tO\tO' +p327786 +asS'We had her down to a low pressure support of 7 in the last week .' +p327787 +(lp327788 +S'We\tWe\tPRP\tB-NP\tO' +p327789 +aS'had\thave\tVBD\tB-VP\tO' +p327790 +aS'her\ther\tPRP$\tB-NP\tO' +p327791 +aS'down\tdown\tNN\tI-NP\tO' +p327792 +aS'to\tto\tTO\tB-PP\tO' +p327793 +aS'a\ta\tDT\tB-NP\tO' +p327794 +aS'low\tlow\tJJ\tI-NP\tO' +p327795 +aS'pressure\tpressure\tNN\tI-NP\tO' +p327796 +aS'support\tsupport\tNN\tI-NP\tO' +p327797 +aS'of\tof\tIN\tB-PP\tO' +p327798 +aS'7\t7\tCD\tB-NP\tO' +p327799 +aS'in\tin\tIN\tB-PP\tO' +p327800 +aS'the\tthe\tDT\tB-NP\tO' +p327801 +aS'last\tlast\tJJ\tI-NP\tO' +p327802 +aS'week\tweek\tNN\tI-NP\tO' +p327803 +aS'.\t.\t.\tO\tO' +p327804 +asS'Irregularly / irregular without murmurs , rubs , or gallops .' +p327805 +(lp327806 +S'Irregularly\tIrregularly\tRB\tB-ADVP\tO' +p327807 +aS'/\t/\tSYM\tB-NP\tO' +p327808 +aS'irregular\tirregular\tJJ\tB-ADJP\tO' +p327809 +aS'without\twithout\tIN\tB-PP\tO' +p327810 +aS'murmurs\tmurmur\tNNS\tB-NP\tO' +p327811 +aS',\t,\t,\tO\tO' +p327812 +aS'rubs\trub\tNNS\tB-NP\tO' +p327813 +aS',\t,\t,\tO\tO' +p327814 +aS'or\tor\tCC\tO\tO' +p327815 +aS'gallops\tgallop\tNNS\tB-NP\tO' +p327816 +aS'.\t.\t.\tO\tO' +p327817 +asS'blood pressure 118/75 , pulse 88 , respirations 20 , in no acute distress .' +p327818 +(lp327819 +S'blood\tblood\tNN\tB-NP\tO' +p327820 +aS'pressure\tpressure\tNN\tI-NP\tO' +p327821 +aS'118/75\t118/75\tCD\tI-NP\tO' +p327822 +aS',\t,\t,\tO\tO' +p327823 +aS'pulse\tpulse\tNN\tB-NP\tO' +p327824 +aS'88\t88\tCD\tI-NP\tO' +p327825 +aS',\t,\t,\tO\tO' +p327826 +aS'respirations\trespiration\tNNS\tB-NP\tO' +p327827 +aS'20\t20\tCD\tB-NP\tO' +p327828 +aS',\t,\t,\tO\tO' +p327829 +aS'in\tin\tIN\tB-PP\tO' +p327830 +aS'no\tno\tDT\tB-NP\tO' +p327831 +aS'acute\tacute\tJJ\tI-NP\tO' +p327832 +aS'distress\tdistress\tNN\tI-NP\tO' +p327833 +aS'.\t.\t.\tO\tO' +p327834 +asS'no evidence of clubbing , cyanosis or edema .' +p327835 +(lp327836 +S'no\tno\tDT\tB-NP\tO' +p327837 +aS'evidence\tevidence\tNN\tI-NP\tO' +p327838 +aS'of\tof\tIN\tB-PP\tO' +p327839 +aS'clubbing\tclubbing\tNN\tB-NP\tO' +p327840 +aS',\t,\t,\tI-NP\tO' +p327841 +aS'cyanosis\tcyanosis\tNN\tI-NP\tO' +p327842 +aS'or\tor\tCC\tI-NP\tO' +p327843 +aS'edema\tedema\tNN\tI-NP\tO' +p327844 +aS'.\t.\t.\tO\tO' +p327845 +asS'2. Car seat positioning screening passed .' +p327846 +(lp327847 +S'2.\t2.\tLS\tB-NP\tO' +p327848 +aS'Car\tCar\tNN\tI-NP\tB-protein' +p327849 +aS'seat\tseat\tNN\tI-NP\tO' +p327850 +aS'positioning\tposition\tVBG\tB-VP\tO' +p327851 +aS'screening\tscreening\tNN\tB-NP\tO' +p327852 +aS'passed\tpass\tVBD\tB-VP\tO' +p327853 +aS'.\t.\t.\tO\tO' +p327854 +asS'17. Ibuprofen 600 mg Tablet Sig : One ( 1 ) Tablet PO Q8H ( every 8 hours ) as needed for pain .' +p327855 +(lp327856 +S'17.\t17.\tCD\tB-NP\tO' +p327857 +aS'Ibuprofen\tIbuprofen\tNN\tI-NP\tO' +p327858 +aS'600\t600\tCD\tB-NP\tO' +p327859 +aS'mg\tmg\tNN\tI-NP\tO' +p327860 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p327861 +aS'Sig\tSig\tNNP\tI-NP\tO' +p327862 +aS':\t:\t:\tO\tO' +p327863 +aS'One\tOne\tCD\tB-NP\tO' +p327864 +aS'(\t(\t(\tO\tO' +p327865 +aS'1\t1\tCD\tB-NP\tO' +p327866 +aS')\t)\t)\tO\tO' +p327867 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p327868 +aS'PO\tPO\tNN\tI-NP\tO' +p327869 +aS'Q8H\tQ8H\tNN\tI-NP\tO' +p327870 +aS'(\t(\t(\tO\tO' +p327871 +aS'every\tevery\tDT\tB-NP\tO' +p327872 +aS'8\t8\tCD\tI-NP\tO' +p327873 +aS'hours\thour\tNNS\tI-NP\tO' +p327874 +aS')\t)\t)\tO\tO' +p327875 +aS'as\tas\tIN\tB-SBAR\tO' +p327876 +aS'needed\tneed\tVBN\tB-VP\tO' +p327877 +aS'for\tfor\tIN\tB-PP\tO' +p327878 +aS'pain\tpain\tNN\tB-NP\tO' +p327879 +aS'.\t.\t.\tO\tO' +p327880 +asS'A mammogram of the right breast with shadow biopsy was negative .' +p327881 +(lp327882 +S'A\tA\tDT\tB-NP\tO' +p327883 +aS'mammogram\tmammogram\tNN\tI-NP\tO' +p327884 +aS'of\tof\tIN\tB-PP\tO' +p327885 +aS'the\tthe\tDT\tB-NP\tO' +p327886 +aS'right\tright\tJJ\tI-NP\tO' +p327887 +aS'breast\tbreast\tNN\tI-NP\tO' +p327888 +aS'with\twith\tIN\tB-PP\tO' +p327889 +aS'shadow\tshadow\tNN\tB-NP\tO' +p327890 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p327891 +aS'was\tbe\tVBD\tB-VP\tO' +p327892 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p327893 +aS'.\t.\t.\tO\tO' +p327894 +asS'In the am of 6/13 , he was given 1 unit pRBC for a Hct of 21.8 .' +p327895 +(lp327896 +S'In\tIn\tIN\tB-PP\tO' +p327897 +aS'the\tthe\tDT\tB-NP\tO' +p327898 +aS'am\tam\tNN\tI-NP\tO' +p327899 +aS'of\tof\tIN\tB-PP\tO' +p327900 +aS'6/13\t6/13\tCD\tB-NP\tO' +p327901 +aS',\t,\t,\tO\tO' +p327902 +aS'he\the\tPRP\tB-NP\tO' +p327903 +aS'was\tbe\tVBD\tB-VP\tO' +p327904 +aS'given\tgive\tVBN\tI-VP\tO' +p327905 +aS'1\t1\tCD\tB-NP\tO' +p327906 +aS'unit\tunit\tNN\tI-NP\tO' +p327907 +aS'pRBC\tpRBC\tNN\tI-NP\tO' +p327908 +aS'for\tfor\tIN\tB-PP\tO' +p327909 +aS'a\ta\tDT\tB-NP\tO' +p327910 +aS'Hct\tHct\tNN\tI-NP\tB-protein' +p327911 +aS'of\tof\tIN\tB-PP\tO' +p327912 +aS'21.8\t21.8\tCD\tB-NP\tO' +p327913 +aS'.\t.\t.\tO\tO' +p327914 +asS'1. Post endoscopic retrograde cholangiopancreatography pancreatitis .' +p327915 +(lp327916 +S'1.\t1.\tLS\tB-NP\tO' +p327917 +aS'Post\tPost\tRBS\tI-NP\tO' +p327918 +aS'endoscopic\tendoscopic\tJJ\tI-NP\tO' +p327919 +aS'retrograde\tretrograde\tJJ\tI-NP\tO' +p327920 +aS'cholangiopancreatography\tcholangiopancreatography\tNN\tI-NP\tO' +p327921 +aS'pancreatitis\tpancreatitis\tNN\tI-NP\tO' +p327922 +aS'.\t.\t.\tO\tO' +p327923 +asS'There was no ataxia noted .' +p327924 +(lp327925 +S'There\tThere\tEX\tB-NP\tO' +p327926 +aS'was\tbe\tVBD\tB-VP\tO' +p327927 +aS'no\tno\tDT\tB-NP\tO' +p327928 +aS'ataxia\tataxia\tNN\tI-NP\tO' +p327929 +aS'noted\tnote\tVBD\tB-VP\tO' +p327930 +aS'.\t.\t.\tO\tO' +p327931 +asS'She was in her usual state of good health until December when she was seen emergently for treatment of a perforated colon cancer .' +p327932 +(lp327933 +S'She\tShe\tPRP\tB-NP\tO' +p327934 +aS'was\tbe\tVBD\tB-VP\tO' +p327935 +aS'in\tin\tIN\tB-PP\tO' +p327936 +aS'her\ther\tPRP$\tB-NP\tO' +p327937 +aS'usual\tusual\tJJ\tI-NP\tO' +p327938 +aS'state\tstate\tNN\tI-NP\tO' +p327939 +aS'of\tof\tIN\tB-PP\tO' +p327940 +aS'good\tgood\tJJ\tB-NP\tO' +p327941 +aS'health\thealth\tNN\tI-NP\tO' +p327942 +aS'until\tuntil\tIN\tB-PP\tO' +p327943 +aS'December\tDecember\tNNP\tB-NP\tO' +p327944 +aS'when\twhen\tWRB\tB-ADVP\tO' +p327945 +aS'she\tshe\tPRP\tB-NP\tO' +p327946 +aS'was\tbe\tVBD\tB-VP\tO' +p327947 +aS'seen\tsee\tVBN\tI-VP\tO' +p327948 +aS'emergently\temergently\tRB\tB-ADVP\tO' +p327949 +aS'for\tfor\tIN\tB-PP\tO' +p327950 +aS'treatment\ttreatment\tNN\tB-NP\tO' +p327951 +aS'of\tof\tIN\tB-PP\tO' +p327952 +aS'a\ta\tDT\tB-NP\tO' +p327953 +aS'perforated\tperforate\tVBN\tI-NP\tO' +p327954 +aS'colon\tcolon\tNN\tI-NP\tO' +p327955 +aS'cancer\tcancer\tNN\tI-NP\tO' +p327956 +aS'.\t.\t.\tO\tO' +p327957 +asS'In order to facilitate therapy and to promote mobility , an MRI of the knee was done .' +p327958 +(lp327959 +S'In\tIn\tIN\tB-SBAR\tO' +p327960 +aS'order\torder\tNN\tO\tO' +p327961 +aS'to\tto\tTO\tB-VP\tO' +p327962 +aS'facilitate\tfacilitate\tVB\tI-VP\tO' +p327963 +aS'therapy\ttherapy\tNN\tB-NP\tO' +p327964 +aS'and\tand\tCC\tO\tO' +p327965 +aS'to\tto\tTO\tB-VP\tO' +p327966 +aS'promote\tpromote\tVB\tI-VP\tO' +p327967 +aS'mobility\tmobility\tNN\tB-NP\tO' +p327968 +aS',\t,\t,\tO\tO' +p327969 +aS'an\tan\tDT\tB-NP\tO' +p327970 +aS'MRI\tMRI\tNN\tI-NP\tB-protein' +p327971 +aS'of\tof\tIN\tB-PP\tO' +p327972 +aS'the\tthe\tDT\tB-NP\tO' +p327973 +aS'knee\tknee\tNN\tI-NP\tO' +p327974 +aS'was\tbe\tVBD\tB-VP\tO' +p327975 +aS'done\tdo\tVBN\tI-VP\tO' +p327976 +aS'.\t.\t.\tO\tO' +p327977 +asS'She was given 20 mg of intravenous Lasix with impressive urine output and improvement in her overall fluid status .' +p327978 +(lp327979 +S'She\tShe\tPRP\tB-NP\tO' +p327980 +aS'was\tbe\tVBD\tB-VP\tO' +p327981 +aS'given\tgive\tVBN\tI-VP\tO' +p327982 +aS'20\t20\tCD\tB-NP\tO' +p327983 +aS'mg\tmg\tNN\tI-NP\tO' +p327984 +aS'of\tof\tIN\tB-PP\tO' +p327985 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p327986 +aS'Lasix\tLasix\tNN\tI-NP\tO' +p327987 +aS'with\twith\tIN\tB-PP\tO' +p327988 +aS'impressive\timpressive\tJJ\tB-NP\tO' +p327989 +aS'urine\turine\tNN\tI-NP\tO' +p327990 +aS'output\toutput\tNN\tI-NP\tO' +p327991 +aS'and\tand\tCC\tI-NP\tO' +p327992 +aS'improvement\timprovement\tNN\tI-NP\tO' +p327993 +aS'in\tin\tIN\tB-PP\tO' +p327994 +aS'her\ther\tPRP$\tB-NP\tO' +p327995 +aS'overall\toverall\tJJ\tI-NP\tO' +p327996 +aS'fluid\tfluid\tNN\tI-NP\tO' +p327997 +aS'status\tstatus\tNN\tI-NP\tO' +p327998 +aS'.\t.\t.\tO\tO' +p327999 +asS'Do not lift more than 10 pounds for 2 months .' +p328000 +(lp328001 +S'Do\tDo\tVBP\tB-VP\tO' +p328002 +aS'not\tnot\tRB\tI-VP\tO' +p328003 +aS'lift\tlift\tVB\tI-VP\tO' +p328004 +aS'more\tmore\tJJR\tB-NP\tO' +p328005 +aS'than\tthan\tIN\tI-NP\tO' +p328006 +aS'10\t10\tCD\tI-NP\tO' +p328007 +aS'pounds\tpound\tNNS\tI-NP\tO' +p328008 +aS'for\tfor\tIN\tB-PP\tO' +p328009 +aS'2\t2\tCD\tB-NP\tO' +p328010 +aS'months\tmonth\tNNS\tI-NP\tO' +p328011 +aS'.\t.\t.\tO\tO' +p328012 +asS'Cool extremities .' +p328013 +(lp328014 +S'Cool\tCool\tNN\tB-NP\tO' +p328015 +aS'extremities\textremity\tNNS\tI-NP\tO' +p328016 +aS'.\t.\t.\tO\tO' +p328017 +asS'2. To follow-up with his Cardiologist , Dr. Delores Padilla within one to two weeks of discharge .' +p328018 +(lp328019 +S'2.\t2.\tLS\tB-LST\tO' +p328020 +aS'To\tTo\tTO\tB-VP\tO' +p328021 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p328022 +aS'with\twith\tIN\tB-PP\tO' +p328023 +aS'his\this\tPRP$\tB-NP\tO' +p328024 +aS'Cardiologist\tCardiologist\tNNP\tI-NP\tO' +p328025 +aS',\t,\t,\tO\tO' +p328026 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p328027 +aS'Delores\tDelores\tNNP\tI-NP\tO' +p328028 +aS'Padilla\tPadilla\tNNP\tI-NP\tO' +p328029 +aS'within\twithin\tIN\tB-PP\tO' +p328030 +aS'one\tone\tCD\tB-NP\tO' +p328031 +aS'to\tto\tTO\tI-NP\tO' +p328032 +aS'two\ttwo\tCD\tI-NP\tO' +p328033 +aS'weeks\tweek\tNNS\tI-NP\tO' +p328034 +aS'of\tof\tIN\tB-PP\tO' +p328035 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p328036 +aS'.\t.\t.\tO\tO' +p328037 +asS'Initially decided not to escilate care and make DNR 05-05 .' +p328038 +(lp328039 +S'Initially\tInitially\tRB\tB-ADVP\tO' +p328040 +aS'decided\tdecide\tVBN\tB-VP\tO' +p328041 +aS'not\tnot\tRB\tO\tO' +p328042 +aS'to\tto\tTO\tB-VP\tO' +p328043 +aS'escilate\tescilate\tVB\tI-VP\tO' +p328044 +aS'care\tcare\tNN\tB-NP\tO' +p328045 +aS'and\tand\tCC\tO\tO' +p328046 +aS'make\tmake\tVB\tB-VP\tO' +p328047 +aS'DNR\tDNR\tNN\tB-NP\tO' +p328048 +aS'05-05\t05-05\tCD\tI-NP\tO' +p328049 +aS'.\t.\t.\tO\tO' +p328050 +asS'She was also seen by Cardiology , and she underwent cardiac catheterization , as part of her preop evaluation , which revealed normal resting hemodynamics , and a moderate posterior descending artery , and obtuse marginal stenoses .' +p328051 +(lp328052 +S'She\tShe\tPRP\tB-NP\tO' +p328053 +aS'was\tbe\tVBD\tB-VP\tO' +p328054 +aS'also\talso\tRB\tI-VP\tO' +p328055 +aS'seen\tsee\tVBN\tI-VP\tO' +p328056 +aS'by\tby\tIN\tB-PP\tO' +p328057 +aS'Cardiology\tCardiology\tNNP\tB-NP\tO' +p328058 +aS',\t,\t,\tO\tO' +p328059 +aS'and\tand\tCC\tO\tO' +p328060 +aS'she\tshe\tPRP\tB-NP\tO' +p328061 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p328062 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p328063 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p328064 +aS',\t,\t,\tO\tO' +p328065 +aS'as\tas\tIN\tB-PP\tO' +p328066 +aS'part\tpart\tNN\tB-NP\tO' +p328067 +aS'of\tof\tIN\tB-PP\tO' +p328068 +aS'her\ther\tPRP$\tB-NP\tO' +p328069 +aS'preop\tpreop\tNN\tI-NP\tO' +p328070 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p328071 +aS',\t,\t,\tO\tO' +p328072 +aS'which\twhich\tWDT\tB-NP\tO' +p328073 +aS'revealed\treveal\tVBD\tB-VP\tO' +p328074 +aS'normal\tnormal\tJJ\tB-NP\tO' +p328075 +aS'resting\trest\tVBG\tI-NP\tO' +p328076 +aS'hemodynamics\themodynamic\tNNS\tI-NP\tO' +p328077 +aS',\t,\t,\tO\tO' +p328078 +aS'and\tand\tCC\tO\tO' +p328079 +aS'a\ta\tDT\tB-NP\tO' +p328080 +aS'moderate\tmoderate\tJJ\tI-NP\tO' +p328081 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p328082 +aS'descending\tdescend\tVBG\tI-NP\tO' +p328083 +aS'artery\tartery\tNN\tI-NP\tO' +p328084 +aS',\t,\t,\tO\tO' +p328085 +aS'and\tand\tCC\tO\tO' +p328086 +aS'obtuse\tobtuse\tVB\tB-VP\tO' +p328087 +aS'marginal\tmarginal\tJJ\tB-NP\tO' +p328088 +aS'stenoses\tstenosis\tNNS\tI-NP\tO' +p328089 +aS'.\t.\t.\tO\tO' +p328090 +asS'1. Docusate Sodium 100 mg Capsule Sig : One ( 1 ) Capsule PO BID ( 2 times a day ) .' +p328091 +(lp328092 +S'1.\t1.\tLS\tB-NP\tO' +p328093 +aS'Docusate\tDocusate\tNN\tI-NP\tO' +p328094 +aS'Sodium\tSodium\tNN\tI-NP\tO' +p328095 +aS'100\t100\tCD\tI-NP\tO' +p328096 +aS'mg\tmg\tNN\tI-NP\tO' +p328097 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p328098 +aS'Sig\tSig\tNNP\tI-NP\tO' +p328099 +aS':\t:\t:\tO\tO' +p328100 +aS'One\tOne\tCD\tB-NP\tO' +p328101 +aS'(\t(\t(\tO\tO' +p328102 +aS'1\t1\tCD\tB-NP\tO' +p328103 +aS')\t)\t)\tO\tO' +p328104 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p328105 +aS'PO\tPO\tNNP\tI-NP\tO' +p328106 +aS'BID\tBID\tNNP\tI-NP\tO' +p328107 +aS'(\t(\t(\tO\tO' +p328108 +aS'2\t2\tCD\tB-NP\tO' +p328109 +aS'times\ttime\tNNS\tI-NP\tO' +p328110 +aS'a\ta\tDT\tB-NP\tO' +p328111 +aS'day\tday\tNN\tI-NP\tO' +p328112 +aS')\t)\t)\tO\tO' +p328113 +aS'.\t.\t.\tO\tO' +p328114 +asS'On admission , in general , the patient was in no acute distress , comfortable .' +p328115 +(lp328116 +S'On\tOn\tIN\tB-PP\tO' +p328117 +aS'admission\tadmission\tNN\tB-NP\tO' +p328118 +aS',\t,\t,\tO\tO' +p328119 +aS'in\tin\tIN\tB-PP\tO' +p328120 +aS'general\tgeneral\tJJ\tB-ADJP\tO' +p328121 +aS',\t,\t,\tO\tO' +p328122 +aS'the\tthe\tDT\tB-NP\tO' +p328123 +aS'patient\tpatient\tNN\tI-NP\tO' +p328124 +aS'was\tbe\tVBD\tB-VP\tO' +p328125 +aS'in\tin\tIN\tB-PP\tO' +p328126 +aS'no\tno\tDT\tB-NP\tO' +p328127 +aS'acute\tacute\tJJ\tI-NP\tO' +p328128 +aS'distress\tdistress\tNN\tI-NP\tO' +p328129 +aS',\t,\t,\tO\tO' +p328130 +aS'comfortable\tcomfortable\tJJ\tB-ADJP\tO' +p328131 +aS'.\t.\t.\tO\tO' +p328132 +asS'He had midline catheter that was still in place and was draining bile .' +p328133 +(lp328134 +S'He\tHe\tPRP\tB-NP\tO' +p328135 +aS'had\thave\tVBD\tB-VP\tO' +p328136 +aS'midline\tmidline\tNN\tB-NP\tO' +p328137 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p328138 +aS'that\tthat\tWDT\tB-NP\tO' +p328139 +aS'was\tbe\tVBD\tB-VP\tO' +p328140 +aS'still\tstill\tRB\tB-ADVP\tO' +p328141 +aS'in\tin\tIN\tB-PP\tO' +p328142 +aS'place\tplace\tNN\tB-NP\tO' +p328143 +aS'and\tand\tCC\tO\tO' +p328144 +aS'was\tbe\tVBD\tB-VP\tO' +p328145 +aS'draining\tdrain\tVBG\tI-VP\tO' +p328146 +aS'bile\tbile\tNN\tB-NP\tO' +p328147 +aS'.\t.\t.\tO\tO' +p328148 +asS'Conant palsy with Left sided weakness' +p328149 +(lp328150 +S'Conant\tConant\tJJ\tB-NP\tO' +p328151 +aS'palsy\tpalsy\tNN\tI-NP\tO' +p328152 +aS'with\twith\tIN\tB-PP\tO' +p328153 +aS'Left\tLeft\tJJ\tB-NP\tO' +p328154 +aS'sided\tsided\tJJ\tI-NP\tO' +p328155 +aS'weakness\tweakness\tNN\tI-NP\tO' +p328156 +asS'Tongue deviated to the left .' +p328157 +(lp328158 +S'Tongue\tTongue\tNNP\tB-NP\tO' +p328159 +aS'deviated\tdeviate\tVBD\tB-VP\tO' +p328160 +aS'to\tto\tTO\tB-PP\tO' +p328161 +aS'the\tthe\tDT\tB-NP\tO' +p328162 +aS'left\tleft\tNN\tI-NP\tO' +p328163 +aS'.\t.\t.\tO\tO' +p328164 +asS'Last ABG there was 6.98 , 31 , 171 , bicarbonate of 7 .' +p328165 +(lp328166 +S'Last\tLast\tJJ\tB-NP\tO' +p328167 +aS'ABG\tABG\tNN\tI-NP\tO' +p328168 +aS'there\tthere\tEX\tB-NP\tO' +p328169 +aS'was\tbe\tVBD\tB-VP\tO' +p328170 +aS'6.98\t6.98\tCD\tB-NP\tO' +p328171 +aS',\t,\t,\tI-NP\tO' +p328172 +aS'31\t31\tCD\tI-NP\tO' +p328173 +aS',\t,\t,\tI-NP\tO' +p328174 +aS'171\t171\tCD\tI-NP\tO' +p328175 +aS',\t,\t,\tO\tO' +p328176 +aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' +p328177 +aS'of\tof\tIN\tB-PP\tO' +p328178 +aS'7\t7\tCD\tB-NP\tO' +p328179 +aS'.\t.\t.\tO\tO' +p328180 +asS'She had menarche at age 15 .' +p328181 +(lp328182 +S'She\tShe\tPRP\tB-NP\tO' +p328183 +aS'had\thave\tVBD\tB-VP\tO' +p328184 +aS'menarche\tmenarche\tPRP\tB-NP\tO' +p328185 +aS'at\tat\tIN\tB-PP\tO' +p328186 +aS'age\tage\tNN\tB-NP\tO' +p328187 +aS'15\t15\tCD\tI-NP\tO' +p328188 +aS'.\t.\t.\tO\tO' +p328189 +asS'He had no pedal edema or lower extremity lesions .' +p328190 +(lp328191 +S'He\tHe\tPRP\tB-NP\tO' +p328192 +aS'had\thave\tVBD\tB-VP\tO' +p328193 +aS'no\tno\tDT\tB-NP\tO' +p328194 +aS'pedal\tpedal\tJJ\tI-NP\tO' +p328195 +aS'edema\tedema\tNN\tI-NP\tO' +p328196 +aS'or\tor\tCC\tO\tO' +p328197 +aS'lower\tlow\tJJR\tB-NP\tO' +p328198 +aS'extremity\textremity\tNN\tI-NP\tO' +p328199 +aS'lesions\tlesion\tNNS\tI-NP\tO' +p328200 +aS'.\t.\t.\tO\tO' +p328201 +asS'over 100 red blood cells per high powered field , 20-50 white blood cells per high powered field .' +p328202 +(lp328203 +S'over\tover\tIN\tB-PP\tO' +p328204 +aS'100\t100\tCD\tB-NP\tO' +p328205 +aS'red\tred\tJJ\tI-NP\tO' +p328206 +aS'blood\tblood\tNN\tI-NP\tO' +p328207 +aS'cells\tcell\tNNS\tI-NP\tO' +p328208 +aS'per\tper\tIN\tB-PP\tO' +p328209 +aS'high\thigh\tJJ\tB-NP\tO' +p328210 +aS'powered\tpowered\tJJ\tI-NP\tO' +p328211 +aS'field\tfield\tNN\tI-NP\tO' +p328212 +aS',\t,\t,\tO\tO' +p328213 +aS'20-50\t20-50\tCD\tB-NP\tO' +p328214 +aS'white\twhite\tJJ\tI-NP\tB-cell_type' +p328215 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p328216 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p328217 +aS'per\tper\tIN\tB-PP\tO' +p328218 +aS'high\thigh\tJJ\tB-NP\tO' +p328219 +aS'powered\tpowered\tJJ\tI-NP\tO' +p328220 +aS'field\tfield\tNN\tI-NP\tO' +p328221 +aS'.\t.\t.\tO\tO' +p328222 +asS'Studies revealed a hematocrit of 32.6 , white count of 6.0 .' +p328223 +(lp328224 +S'Studies\tStudy\tNNS\tB-NP\tO' +p328225 +aS'revealed\treveal\tVBD\tB-VP\tO' +p328226 +aS'a\ta\tDT\tB-NP\tO' +p328227 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p328228 +aS'of\tof\tIN\tB-PP\tO' +p328229 +aS'32.6\t32.6\tCD\tB-NP\tO' +p328230 +aS',\t,\t,\tO\tO' +p328231 +aS'white\twhite\tJJ\tB-NP\tO' +p328232 +aS'count\tcount\tNN\tI-NP\tO' +p328233 +aS'of\tof\tIN\tB-PP\tO' +p328234 +aS'6.0\t6.0\tCD\tB-NP\tO' +p328235 +aS'.\t.\t.\tO\tO' +p328236 +asS'A repeat head CT scan on 05-15 had shown the resolution of the subdural hematoma and significant improvement of the subgaleal bleed .' +p328237 +(lp328238 +S'A\tA\tDT\tB-NP\tO' +p328239 +aS'repeat\trepeat\tNN\tI-NP\tO' +p328240 +aS'head\thead\tNN\tI-NP\tO' +p328241 +aS'CT\tCT\tNN\tI-NP\tO' +p328242 +aS'scan\tscan\tNN\tI-NP\tO' +p328243 +aS'on\ton\tIN\tB-PP\tO' +p328244 +aS'05-15\t05-15\tCD\tB-NP\tO' +p328245 +aS'had\thave\tVBD\tB-VP\tO' +p328246 +aS'shown\tshow\tVBN\tI-VP\tO' +p328247 +aS'the\tthe\tDT\tB-NP\tO' +p328248 +aS'resolution\tresolution\tNN\tI-NP\tO' +p328249 +aS'of\tof\tIN\tB-PP\tO' +p328250 +aS'the\tthe\tDT\tB-NP\tO' +p328251 +aS'subdural\tsubdural\tJJ\tI-NP\tO' +p328252 +aS'hematoma\thematoma\tNN\tI-NP\tO' +p328253 +aS'and\tand\tCC\tO\tO' +p328254 +aS'significant\tsignificant\tJJ\tB-NP\tO' +p328255 +aS'improvement\timprovement\tNN\tI-NP\tO' +p328256 +aS'of\tof\tIN\tB-PP\tO' +p328257 +aS'the\tthe\tDT\tB-NP\tO' +p328258 +aS'subgaleal\tsubgaleal\tJJ\tI-NP\tO' +p328259 +aS'bleed\tbleed\tNN\tI-NP\tO' +p328260 +aS'.\t.\t.\tO\tO' +p328261 +asS'- Biopsies were obtained during his colonoscopy and he should follow up with gastroenterology for the results .' +p328262 +(lp328263 +S'-\t-\tHYPH\tB-NP\tO' +p328264 +aS'Biopsies\tBiopsy\tNNS\tI-NP\tO' +p328265 +aS'were\tbe\tVBD\tB-VP\tO' +p328266 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p328267 +aS'during\tduring\tIN\tB-PP\tO' +p328268 +aS'his\this\tPRP$\tB-NP\tO' +p328269 +aS'colonoscopy\tcolonoscopy\tNN\tI-NP\tO' +p328270 +aS'and\tand\tCC\tO\tO' +p328271 +aS'he\the\tPRP\tB-NP\tO' +p328272 +aS'should\tshould\tMD\tB-VP\tO' +p328273 +aS'follow\tfollow\tVB\tI-VP\tO' +p328274 +aS'up\tup\tRP\tB-PRT\tO' +p328275 +aS'with\twith\tIN\tB-PP\tO' +p328276 +aS'gastroenterology\tgastroenterology\tNN\tB-NP\tO' +p328277 +aS'for\tfor\tIN\tB-PP\tO' +p328278 +aS'the\tthe\tDT\tB-NP\tO' +p328279 +aS'results\tresult\tNNS\tI-NP\tO' +p328280 +aS'.\t.\t.\tO\tO' +p328281 +asS'cholecystectomy , total abdominal hysterectomy , cataract excision .' +p328282 +(lp328283 +S'cholecystectomy\tcholecystectomy\tNN\tB-NP\tO' +p328284 +aS',\t,\t,\tO\tO' +p328285 +aS'total\ttotal\tJJ\tB-NP\tO' +p328286 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p328287 +aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' +p328288 +aS',\t,\t,\tO\tO' +p328289 +aS'cataract\tcataract\tNN\tB-NP\tO' +p328290 +aS'excision\texcision\tNN\tI-NP\tO' +p328291 +aS'.\t.\t.\tO\tO' +p328292 +asS'Respiratory rate 18 .' +p328293 +(lp328294 +S'Respiratory\tRespiratory\tJJ\tB-NP\tO' +p328295 +aS'rate\trate\tNN\tI-NP\tO' +p328296 +aS'18\t18\tCD\tI-NP\tO' +p328297 +aS'.\t.\t.\tO\tO' +p328298 +asS"Peak CPK was 2494 with 18% MB 's ." +p328299 +(lp328300 +S'Peak\tPeak\tJJ\tB-NP\tO' +p328301 +aS'CPK\tCPK\tNN\tI-NP\tB-protein' +p328302 +aS'was\tbe\tVBD\tB-VP\tO' +p328303 +aS'2494\t2494\tCD\tB-NP\tO' +p328304 +aS'with\twith\tIN\tB-PP\tO' +p328305 +aS'18%\t18%\tCD\tB-NP\tO' +p328306 +aS'MB\tMB\tNN\tI-NP\tO' +p328307 +aS"'s\t's\tPOS\tB-NP\tO" +p328308 +aS'.\t.\t.\tO\tO' +p328309 +asS'Car seat positioning screening has not been obtained .' +p328310 +(lp328311 +S'Car\tCar\tNN\tB-NP\tB-protein' +p328312 +aS'seat\tseat\tNN\tI-NP\tO' +p328313 +aS'positioning\tpositioning\tNN\tI-NP\tO' +p328314 +aS'screening\tscreening\tNN\tI-NP\tO' +p328315 +aS'has\thave\tVBZ\tB-VP\tO' +p328316 +aS'not\tnot\tRB\tI-VP\tO' +p328317 +aS'been\tbe\tVBN\tI-VP\tO' +p328318 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p328319 +aS'.\t.\t.\tO\tO' +p328320 +asS'It is associated with SOB as well as fevers , chills .' +p328321 +(lp328322 +S'It\tIt\tPRP\tB-NP\tO' +p328323 +aS'is\tbe\tVBZ\tB-VP\tO' +p328324 +aS'associated\tassociate\tVBN\tI-VP\tO' +p328325 +aS'with\twith\tIN\tB-PP\tO' +p328326 +aS'SOB\tSOB\tNN\tB-NP\tB-protein' +p328327 +aS'as\tas\tRB\tB-CONJP\tO' +p328328 +aS'well\twell\tRB\tI-CONJP\tO' +p328329 +aS'as\tas\tIN\tI-CONJP\tO' +p328330 +aS'fevers\tfever\tNNS\tB-NP\tO' +p328331 +aS',\t,\t,\tO\tO' +p328332 +aS'chills\tchill\tNNS\tB-NP\tO' +p328333 +aS'.\t.\t.\tO\tO' +p328334 +asS'6. Ipratropium Bromide 0.02 % Solution Sig : One ( 1 ) Inhalation Q4H ( every 4 hours ) .' +p328335 +(lp328336 +S'6.\t6.\tLS\tB-NP\tO' +p328337 +aS'Ipratropium\tIpratropium\tNNP\tI-NP\tO' +p328338 +aS'Bromide\tBromide\tNNP\tI-NP\tO' +p328339 +aS'0.02\t0.02\tCD\tI-NP\tO' +p328340 +aS'%\t%\tNN\tI-NP\tO' +p328341 +aS'Solution\tSolution\tNNP\tI-NP\tO' +p328342 +aS'Sig\tSig\tNNP\tI-NP\tO' +p328343 +aS':\t:\t:\tO\tO' +p328344 +aS'One\tOne\tCD\tB-NP\tO' +p328345 +aS'(\t(\t(\tO\tO' +p328346 +aS'1\t1\tCD\tB-NP\tO' +p328347 +aS')\t)\t)\tO\tO' +p328348 +aS'Inhalation\tInhalation\tNN\tB-NP\tO' +p328349 +aS'Q4H\tQ4H\tNN\tI-NP\tO' +p328350 +aS'(\t(\t(\tO\tO' +p328351 +aS'every\tevery\tDT\tB-NP\tO' +p328352 +aS'4\t4\tCD\tI-NP\tO' +p328353 +aS'hours\thour\tNNS\tI-NP\tO' +p328354 +aS')\t)\t)\tO\tO' +p328355 +aS'.\t.\t.\tO\tO' +p328356 +asS'Pain 2/10 persisted , relieved by MSO4 .' +p328357 +(lp328358 +S'Pain\tPain\tNN\tB-NP\tO' +p328359 +aS'2/10\t2/10\tCD\tI-NP\tO' +p328360 +aS'persisted\tpersist\tVBD\tB-VP\tO' +p328361 +aS',\t,\t,\tO\tO' +p328362 +aS'relieved\trelieve\tVBN\tB-VP\tO' +p328363 +aS'by\tby\tIN\tB-PP\tO' +p328364 +aS'MSO4\tMSO4\tNN\tB-NP\tB-protein' +p328365 +aS'.\t.\t.\tO\tO' +p328366 +asS'Aortic stenosis .' +p328367 +(lp328368 +S'Aortic\tAortic\tJJ\tB-NP\tO' +p328369 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p328370 +aS'.\t.\t.\tO\tO' +p328371 +asS'After remaining stable in the CSRU for several days without change in neuro status she was transferred back to the SDU on post-op day four .' +p328372 +(lp328373 +S'After\tAfter\tIN\tB-PP\tO' +p328374 +aS'remaining\tremain\tVBG\tB-VP\tO' +p328375 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p328376 +aS'in\tin\tIN\tB-PP\tO' +p328377 +aS'the\tthe\tDT\tB-NP\tO' +p328378 +aS'CSRU\tCSRU\tNN\tI-NP\tO' +p328379 +aS'for\tfor\tIN\tB-PP\tO' +p328380 +aS'several\tseveral\tJJ\tB-NP\tO' +p328381 +aS'days\tday\tNNS\tI-NP\tO' +p328382 +aS'without\twithout\tIN\tB-PP\tO' +p328383 +aS'change\tchange\tNN\tB-NP\tO' +p328384 +aS'in\tin\tIN\tB-PP\tO' +p328385 +aS'neuro\tneuro\tNN\tB-NP\tO' +p328386 +aS'status\tstatus\tNN\tI-NP\tO' +p328387 +aS'she\tshe\tPRP\tB-NP\tO' +p328388 +aS'was\tbe\tVBD\tB-VP\tO' +p328389 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p328390 +aS'back\tback\tRB\tB-ADVP\tO' +p328391 +aS'to\tto\tTO\tB-PP\tO' +p328392 +aS'the\tthe\tDT\tB-NP\tO' +p328393 +aS'SDU\tSDU\tNN\tI-NP\tO' +p328394 +aS'on\ton\tIN\tB-PP\tO' +p328395 +aS'post-op\tpost-op\tJJ\tB-NP\tO' +p328396 +aS'day\tday\tNN\tI-NP\tO' +p328397 +aS'four\tfour\tCD\tI-NP\tO' +p328398 +aS'.\t.\t.\tO\tO' +p328399 +asS'The patient was then transferred to the CSRU , intubated , in stable condition .' +p328400 +(lp328401 +S'The\tThe\tDT\tB-NP\tO' +p328402 +aS'patient\tpatient\tNN\tI-NP\tO' +p328403 +aS'was\tbe\tVBD\tB-VP\tO' +p328404 +aS'then\tthen\tRB\tI-VP\tO' +p328405 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p328406 +aS'to\tto\tTO\tB-PP\tO' +p328407 +aS'the\tthe\tDT\tB-NP\tO' +p328408 +aS'CSRU\tCSRU\tNN\tI-NP\tB-DNA' +p328409 +aS',\t,\t,\tO\tO' +p328410 +aS'intubated\tintubate\tVBN\tB-VP\tO' +p328411 +aS',\t,\t,\tO\tO' +p328412 +aS'in\tin\tIN\tB-PP\tO' +p328413 +aS'stable\tstable\tJJ\tB-NP\tO' +p328414 +aS'condition\tcondition\tNN\tI-NP\tO' +p328415 +aS'.\t.\t.\tO\tO' +p328416 +asS'No coronary disease , no diabetes and no hypertension .' +p328417 +(lp328418 +S'No\tNo\tDT\tB-NP\tO' +p328419 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p328420 +aS'disease\tdisease\tNN\tI-NP\tO' +p328421 +aS',\t,\t,\tO\tO' +p328422 +aS'no\tno\tDT\tB-NP\tO' +p328423 +aS'diabetes\tdiabete\tNNS\tI-NP\tO' +p328424 +aS'and\tand\tCC\tO\tO' +p328425 +aS'no\tno\tDT\tB-NP\tO' +p328426 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p328427 +aS'.\t.\t.\tO\tO' +p328428 +asS'19. Levofloxacin 500 mg Tablet Sig : One ( 1 ) Tablet PO Q24H ( every 24 hours ) for 2 days .' +p328429 +(lp328430 +S'19.\t19.\tCD\tB-NP\tO' +p328431 +aS'Levofloxacin\tLevofloxacin\tNN\tI-NP\tO' +p328432 +aS'500\t500\tCD\tB-NP\tO' +p328433 +aS'mg\tmg\tNN\tI-NP\tO' +p328434 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p328435 +aS'Sig\tSig\tNNP\tI-NP\tO' +p328436 +aS':\t:\t:\tO\tO' +p328437 +aS'One\tOne\tCD\tB-NP\tO' +p328438 +aS'(\t(\t(\tO\tO' +p328439 +aS'1\t1\tCD\tB-NP\tO' +p328440 +aS')\t)\t)\tO\tO' +p328441 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p328442 +aS'PO\tPO\tNN\tI-NP\tO' +p328443 +aS'Q24H\tQ24H\tNN\tI-NP\tO' +p328444 +aS'(\t(\t(\tO\tO' +p328445 +aS'every\tevery\tDT\tB-NP\tO' +p328446 +aS'24\t24\tCD\tI-NP\tO' +p328447 +aS'hours\thour\tNNS\tI-NP\tO' +p328448 +aS')\t)\t)\tO\tO' +p328449 +aS'for\tfor\tIN\tB-PP\tO' +p328450 +aS'2\t2\tCD\tB-NP\tO' +p328451 +aS'days\tday\tNNS\tI-NP\tO' +p328452 +aS'.\t.\t.\tO\tO' +p328453 +asS'She will be discharged on this dose in addition to 1 day of Lovenox .' +p328454 +(lp328455 +S'She\tShe\tPRP\tB-NP\tO' +p328456 +aS'will\twill\tMD\tB-VP\tO' +p328457 +aS'be\tbe\tVB\tI-VP\tO' +p328458 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p328459 +aS'on\ton\tIN\tB-PP\tO' +p328460 +aS'this\tthis\tDT\tB-NP\tO' +p328461 +aS'dose\tdose\tNN\tI-NP\tO' +p328462 +aS'in\tin\tIN\tB-PP\tO' +p328463 +aS'addition\taddition\tNN\tB-NP\tO' +p328464 +aS'to\tto\tTO\tB-PP\tO' +p328465 +aS'1\t1\tCD\tB-NP\tO' +p328466 +aS'day\tday\tNN\tI-NP\tO' +p328467 +aS'of\tof\tIN\tB-PP\tO' +p328468 +aS'Lovenox\tLovenox\tNNP\tB-NP\tO' +p328469 +aS'.\t.\t.\tO\tO' +p328470 +asS'5. GU .' +p328471 +(lp328472 +S'5.\t5.\tLS\tB-NP\tO' +p328473 +aS'GU\tGU\tNN\tI-NP\tO' +p328474 +aS'.\t.\t.\tO\tO' +p328475 +asS'Vascular Surgery Service was also consulted .' +p328476 +(lp328477 +S'Vascular\tVascular\tNNP\tB-NP\tO' +p328478 +aS'Surgery\tSurgery\tNNP\tI-NP\tO' +p328479 +aS'Service\tService\tNNP\tI-NP\tO' +p328480 +aS'was\tbe\tVBD\tB-VP\tO' +p328481 +aS'also\talso\tRB\tI-VP\tO' +p328482 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p328483 +aS'.\t.\t.\tO\tO' +p328484 +asS'There was some concern that the patient may have a partial biliary obstruction and the patient was sent for an magnetic resonance cholangiopancreatography to further evaluate the biliary system .' +p328485 +(lp328486 +S'There\tThere\tEX\tB-NP\tO' +p328487 +aS'was\tbe\tVBD\tB-VP\tO' +p328488 +aS'some\tsome\tDT\tB-NP\tO' +p328489 +aS'concern\tconcern\tNN\tI-NP\tO' +p328490 +aS'that\tthat\tIN\tB-SBAR\tO' +p328491 +aS'the\tthe\tDT\tB-NP\tO' +p328492 +aS'patient\tpatient\tNN\tI-NP\tO' +p328493 +aS'may\tmay\tMD\tB-VP\tO' +p328494 +aS'have\thave\tVB\tI-VP\tO' +p328495 +aS'a\ta\tDT\tB-NP\tO' +p328496 +aS'partial\tpartial\tJJ\tI-NP\tO' +p328497 +aS'biliary\tbiliary\tJJ\tI-NP\tO' +p328498 +aS'obstruction\tobstruction\tNN\tI-NP\tO' +p328499 +aS'and\tand\tCC\tO\tO' +p328500 +aS'the\tthe\tDT\tB-NP\tO' +p328501 +aS'patient\tpatient\tNN\tI-NP\tO' +p328502 +aS'was\tbe\tVBD\tB-VP\tO' +p328503 +aS'sent\tsend\tVBN\tI-VP\tO' +p328504 +aS'for\tfor\tIN\tB-PP\tO' +p328505 +aS'an\tan\tDT\tB-NP\tO' +p328506 +aS'magnetic\tmagnetic\tJJ\tI-NP\tO' +p328507 +aS'resonance\tresonance\tNN\tI-NP\tO' +p328508 +aS'cholangiopancreatography\tcholangiopancreatography\tNN\tI-NP\tO' +p328509 +aS'to\tto\tTO\tB-VP\tO' +p328510 +aS'further\tfurther\tRB\tI-VP\tO' +p328511 +aS'evaluate\tevaluate\tVB\tI-VP\tO' +p328512 +aS'the\tthe\tDT\tB-NP\tO' +p328513 +aS'biliary\tbiliary\tJJ\tI-NP\tO' +p328514 +aS'system\tsystem\tNN\tI-NP\tO' +p328515 +aS'.\t.\t.\tO\tO' +p328516 +asS'He was intermittently restless and somewhat confused , and as his respiratory status deteriorated , the family agreed to a low dose Morphine drip which made him much more comfortable .' +p328517 +(lp328518 +S'He\tHe\tPRP\tB-NP\tO' +p328519 +aS'was\tbe\tVBD\tB-VP\tO' +p328520 +aS'intermittently\tintermittently\tRB\tB-ADJP\tO' +p328521 +aS'restless\trestless\tJJ\tI-ADJP\tO' +p328522 +aS'and\tand\tCC\tO\tO' +p328523 +aS'somewhat\tsomewhat\tRB\tB-ADJP\tO' +p328524 +aS'confused\tconfused\tJJ\tI-ADJP\tO' +p328525 +aS',\t,\t,\tO\tO' +p328526 +aS'and\tand\tCC\tO\tO' +p328527 +aS'as\tas\tIN\tB-PP\tO' +p328528 +aS'his\this\tPRP$\tB-NP\tO' +p328529 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p328530 +aS'status\tstatus\tNN\tI-NP\tO' +p328531 +aS'deteriorated\tdeteriorate\tVBN\tB-VP\tO' +p328532 +aS',\t,\t,\tO\tO' +p328533 +aS'the\tthe\tDT\tB-NP\tO' +p328534 +aS'family\tfamily\tNN\tI-NP\tO' +p328535 +aS'agreed\tagree\tVBD\tB-VP\tO' +p328536 +aS'to\tto\tTO\tB-PP\tO' +p328537 +aS'a\ta\tDT\tB-NP\tO' +p328538 +aS'low\tlow\tJJ\tI-NP\tO' +p328539 +aS'dose\tdose\tNN\tI-NP\tO' +p328540 +aS'Morphine\tMorphine\tNN\tI-NP\tO' +p328541 +aS'drip\tdrip\tNN\tI-NP\tO' +p328542 +aS'which\twhich\tWDT\tB-NP\tO' +p328543 +aS'made\tmake\tVBD\tB-VP\tO' +p328544 +aS'him\thim\tPRP\tB-NP\tO' +p328545 +aS'much\tmuch\tRB\tB-ADJP\tO' +p328546 +aS'more\tmore\tRBR\tI-ADJP\tO' +p328547 +aS'comfortable\tcomfortable\tJJ\tI-ADJP\tO' +p328548 +aS'.\t.\t.\tO\tO' +p328549 +asS'He has been managing at home on restricted activity but able to get around with a walker but on the day before admission he became increasing dyspneic and on the day of admission he collapsed and was unable to walk to his bed .' +p328550 +(lp328551 +S'He\tHe\tPRP\tB-NP\tO' +p328552 +aS'has\thave\tVBZ\tB-VP\tO' +p328553 +aS'been\tbe\tVBN\tI-VP\tO' +p328554 +aS'managing\tmanage\tVBG\tI-VP\tO' +p328555 +aS'at\tat\tIN\tB-PP\tO' +p328556 +aS'home\thome\tNN\tB-NP\tO' +p328557 +aS'on\ton\tIN\tB-PP\tO' +p328558 +aS'restricted\trestricted\tJJ\tB-NP\tO' +p328559 +aS'activity\tactivity\tNN\tI-NP\tO' +p328560 +aS'but\tbut\tCC\tO\tO' +p328561 +aS'able\table\tJJ\tB-ADJP\tO' +p328562 +aS'to\tto\tTO\tB-VP\tO' +p328563 +aS'get\tget\tVB\tI-VP\tO' +p328564 +aS'around\taround\tRP\tB-PRT\tO' +p328565 +aS'with\twith\tIN\tB-PP\tO' +p328566 +aS'a\ta\tDT\tB-NP\tO' +p328567 +aS'walker\twalker\tNN\tI-NP\tO' +p328568 +aS'but\tbut\tCC\tB-PP\tO' +p328569 +aS'on\ton\tIN\tB-PP\tO' +p328570 +aS'the\tthe\tDT\tB-NP\tO' +p328571 +aS'day\tday\tNN\tI-NP\tO' +p328572 +aS'before\tbefore\tIN\tB-PP\tO' +p328573 +aS'admission\tadmission\tNN\tB-NP\tO' +p328574 +aS'he\the\tPRP\tB-NP\tO' +p328575 +aS'became\tbecome\tVBD\tB-VP\tO' +p328576 +aS'increasing\tincrease\tVBG\tB-ADJP\tO' +p328577 +aS'dyspneic\tdyspneic\tJJ\tI-ADJP\tO' +p328578 +aS'and\tand\tCC\tO\tO' +p328579 +aS'on\ton\tIN\tB-PP\tO' +p328580 +aS'the\tthe\tDT\tB-NP\tO' +p328581 +aS'day\tday\tNN\tI-NP\tO' +p328582 +aS'of\tof\tIN\tB-PP\tO' +p328583 +aS'admission\tadmission\tNN\tB-NP\tO' +p328584 +aS'he\the\tPRP\tB-NP\tO' +p328585 +aS'collapsed\tcollapse\tVBD\tB-VP\tO' +p328586 +aS'and\tand\tCC\tO\tO' +p328587 +aS'was\tbe\tVBD\tB-VP\tO' +p328588 +aS'unable\tunable\tJJ\tB-ADJP\tO' +p328589 +aS'to\tto\tTO\tB-VP\tO' +p328590 +aS'walk\twalk\tVB\tI-VP\tO' +p328591 +aS'to\tto\tTO\tB-PP\tO' +p328592 +aS'his\this\tPRP$\tB-NP\tO' +p328593 +aS'bed\tbed\tNN\tI-NP\tO' +p328594 +aS'.\t.\t.\tO\tO' +p328595 +asS'GI .' +p328596 +(lp328597 +S'GI\tGI\tLS\tB-LST\tO' +p328598 +aS'.\t.\t.\tO\tO' +p328599 +asS'Her mental status , tachypnea , and hypoxia all improved , and patient was subsequently transferred back to the floor medical team on 2017-01-15 .' +p328600 +(lp328601 +S'Her\tHer\tPRP$\tB-NP\tO' +p328602 +aS'mental\tmental\tJJ\tI-NP\tO' +p328603 +aS'status\tstatus\tNN\tI-NP\tO' +p328604 +aS',\t,\t,\tO\tO' +p328605 +aS'tachypnea\ttachypnea\tNN\tB-NP\tO' +p328606 +aS',\t,\t,\tO\tO' +p328607 +aS'and\tand\tCC\tO\tO' +p328608 +aS'hypoxia\thypoxia\tNN\tB-NP\tO' +p328609 +aS'all\tall\tDT\tB-NP\tO' +p328610 +aS'improved\timprove\tVBN\tI-NP\tO' +p328611 +aS',\t,\t,\tI-NP\tO' +p328612 +aS'and\tand\tCC\tI-NP\tO' +p328613 +aS'patient\tpatient\tNN\tI-NP\tO' +p328614 +aS'was\tbe\tVBD\tB-VP\tO' +p328615 +aS'subsequently\tsubsequently\tRB\tI-VP\tO' +p328616 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p328617 +aS'back\tback\tRB\tB-ADVP\tO' +p328618 +aS'to\tto\tTO\tB-PP\tO' +p328619 +aS'the\tthe\tDT\tB-NP\tO' +p328620 +aS'floor\tfloor\tNN\tI-NP\tO' +p328621 +aS'medical\tmedical\tJJ\tI-NP\tO' +p328622 +aS'team\tteam\tNN\tI-NP\tO' +p328623 +aS'on\ton\tIN\tB-PP\tO' +p328624 +aS'2017-01-15\t2017-01-15\tCD\tB-NP\tO' +p328625 +aS'.\t.\t.\tO\tO' +p328626 +asS'She will be maintained on a PT between 15 and 17 with Coumadin .' +p328627 +(lp328628 +S'She\tShe\tPRP\tB-NP\tO' +p328629 +aS'will\twill\tMD\tB-VP\tO' +p328630 +aS'be\tbe\tVB\tI-VP\tO' +p328631 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p328632 +aS'on\ton\tIN\tB-PP\tO' +p328633 +aS'a\ta\tDT\tB-NP\tO' +p328634 +aS'PT\tPT\tNN\tI-NP\tO' +p328635 +aS'between\tbetween\tIN\tB-PP\tO' +p328636 +aS'15\t15\tCD\tB-NP\tO' +p328637 +aS'and\tand\tCC\tI-NP\tO' +p328638 +aS'17\t17\tCD\tI-NP\tO' +p328639 +aS'with\twith\tIN\tB-PP\tO' +p328640 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p328641 +aS'.\t.\t.\tO\tO' +p328642 +asS'Initially he was treated with intravenous fluids with a dramatic response in his systolic blood pressure .' +p328643 +(lp328644 +S'Initially\tInitially\tRB\tB-ADVP\tO' +p328645 +aS'he\the\tPRP\tB-NP\tO' +p328646 +aS'was\tbe\tVBD\tB-VP\tO' +p328647 +aS'treated\ttreat\tVBN\tI-VP\tO' +p328648 +aS'with\twith\tIN\tB-PP\tO' +p328649 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p328650 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p328651 +aS'with\twith\tIN\tB-PP\tO' +p328652 +aS'a\ta\tDT\tB-NP\tO' +p328653 +aS'dramatic\tdramatic\tJJ\tI-NP\tO' +p328654 +aS'response\tresponse\tNN\tI-NP\tO' +p328655 +aS'in\tin\tIN\tB-PP\tO' +p328656 +aS'his\this\tPRP$\tB-NP\tO' +p328657 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p328658 +aS'blood\tblood\tNN\tI-NP\tO' +p328659 +aS'pressure\tpressure\tNN\tI-NP\tO' +p328660 +aS'.\t.\t.\tO\tO' +p328661 +asS'Over the course of the hospitalization , the patient 's white blood cell count rose from 0.4 to 6.3 after he was given G-CSF , a course lasting from 9/28/01 until 9/30/01 .' +p328662 +(lp328663 +S'Over\tOver\tIN\tB-PP\tO' +p328664 +aS'the\tthe\tDT\tB-NP\tO' +p328665 +aS'course\tcourse\tNN\tI-NP\tO' +p328666 +aS'of\tof\tIN\tB-PP\tO' +p328667 +aS'the\tthe\tDT\tB-NP\tO' +p328668 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p328669 +aS',\t,\t,\tO\tO' +p328670 +aS'the\tthe\tDT\tB-NP\tO' +p328671 +aS'patient\tpatient\tNN\tI-NP\tO' +p328672 +aS''s\t'\tNNS\tI-NP\tO' +p328673 +aS'white\twhite\tJJ\tB-NP\tO' +p328674 +aS'blood\tblood\tNN\tI-NP\tO' +p328675 +aS'cell\tcell\tNN\tI-NP\tO' +p328676 +aS'count\tcount\tNN\tI-NP\tO' +p328677 +aS'rose\trise\tVBD\tB-VP\tO' +p328678 +aS'from\tfrom\tIN\tB-PP\tO' +p328679 +aS'0.4\t0.4\tCD\tB-NP\tO' +p328680 +aS'to\tto\tTO\tB-PP\tO' +p328681 +aS'6.3\t6.3\tCD\tB-NP\tO' +p328682 +aS'after\tafter\tIN\tB-SBAR\tO' +p328683 +aS'he\the\tPRP\tB-NP\tO' +p328684 +aS'was\tbe\tVBD\tB-VP\tO' +p328685 +aS'given\tgive\tVBN\tI-VP\tO' +p328686 +aS'G-CSF\tG-CSF\tNN\tB-NP\tB-protein' +p328687 +aS',\t,\t,\tO\tO' +p328688 +aS'a\ta\tDT\tB-NP\tO' +p328689 +aS'course\tcourse\tNN\tI-NP\tO' +p328690 +aS'lasting\tlast\tVBG\tB-VP\tO' +p328691 +aS'from\tfrom\tIN\tB-PP\tO' +p328692 +aS'9/28/01\t9/28/01\tCD\tB-NP\tO' +p328693 +aS'until\tuntil\tIN\tB-PP\tO' +p328694 +aS'9/30/01\t9/30/01\tCD\tB-NP\tO' +p328695 +aS'.\t.\t.\tO\tO' +p328696 +asS'4. Linezolid 600 mg Tablet Sig : One ( 1 ) Tablet PO Q12H ( every 12 hours ): Last dose 2014-11-20 .' +p328697 +(lp328698 +S'4.\t4.\tLS\tB-NP\tO' +p328699 +aS'Linezolid\tLinezolid\tNN\tI-NP\tO' +p328700 +aS'600\t600\tCD\tI-NP\tO' +p328701 +aS'mg\tmg\tNN\tI-NP\tO' +p328702 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p328703 +aS'Sig\tSig\tNNP\tI-NP\tO' +p328704 +aS':\t:\t:\tO\tO' +p328705 +aS'One\tOne\tCD\tB-NP\tO' +p328706 +aS'(\t(\t(\tO\tO' +p328707 +aS'1\t1\tCD\tB-NP\tO' +p328708 +aS')\t)\t)\tO\tO' +p328709 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p328710 +aS'PO\tPO\tNN\tI-NP\tO' +p328711 +aS'Q12H\tQ12H\tNN\tI-NP\tO' +p328712 +aS'(\t(\t(\tO\tO' +p328713 +aS'every\tevery\tDT\tB-NP\tO' +p328714 +aS'12\t12\tCD\tI-NP\tO' +p328715 +aS'hours\thour\tNNS\tI-NP\tO' +p328716 +aS'):\t):\t:\tO\tO' +p328717 +aS'Last\tLast\tJJ\tB-NP\tO' +p328718 +aS'dose\tdose\tNN\tI-NP\tO' +p328719 +aS'2014-11-20\t2014-11-20\tCD\tI-NP\tO' +p328720 +aS'.\t.\t.\tO\tO' +p328721 +asS'The patient was also instructed to followup with Dr. Both of the Cardiology Service Fairm of Ijordcompmac Hospital following his discharge so that his antihypertension medications could be appropriately adjusted .' +p328722 +(lp328723 +S'The\tThe\tDT\tB-NP\tO' +p328724 +aS'patient\tpatient\tNN\tI-NP\tO' +p328725 +aS'was\tbe\tVBD\tB-VP\tO' +p328726 +aS'also\talso\tRB\tI-VP\tO' +p328727 +aS'instructed\tinstruct\tVBN\tI-VP\tO' +p328728 +aS'to\tto\tTO\tI-VP\tO' +p328729 +aS'followup\tfollowup\tVB\tI-VP\tO' +p328730 +aS'with\twith\tIN\tB-PP\tO' +p328731 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p328732 +aS'Both\tBoth\tNNP\tI-NP\tO' +p328733 +aS'of\tof\tIN\tB-PP\tO' +p328734 +aS'the\tthe\tDT\tB-NP\tO' +p328735 +aS'Cardiology\tCardiology\tNNP\tI-NP\tO' +p328736 +aS'Service\tService\tNNP\tI-NP\tO' +p328737 +aS'Fairm\tFairm\tNNP\tI-NP\tO' +p328738 +aS'of\tof\tIN\tB-PP\tO' +p328739 +aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' +p328740 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p328741 +aS'following\tfollow\tVBG\tB-PP\tO' +p328742 +aS'his\this\tPRP$\tB-NP\tO' +p328743 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p328744 +aS'so\tso\tIN\tB-SBAR\tO' +p328745 +aS'that\tthat\tIN\tI-SBAR\tO' +p328746 +aS'his\this\tPRP$\tB-NP\tO' +p328747 +aS'antihypertension\tantihypertension\tNN\tI-NP\tO' +p328748 +aS'medications\tmedication\tNNS\tI-NP\tO' +p328749 +aS'could\tcould\tMD\tB-VP\tO' +p328750 +aS'be\tbe\tVB\tI-VP\tO' +p328751 +aS'appropriately\tappropriately\tRB\tI-VP\tO' +p328752 +aS'adjusted\tadjust\tVBN\tI-VP\tO' +p328753 +aS'.\t.\t.\tO\tO' +p328754 +asS'Soft .' +p328755 +(lp328756 +S'Soft\tSoft\tNNP\tB-NP\tO' +p328757 +aS'.\t.\t.\tO\tO' +p328758 +asS'The parents are involved .' +p328759 +(lp328760 +S'The\tThe\tDT\tB-NP\tO' +p328761 +aS'parents\tparent\tNNS\tI-NP\tO' +p328762 +aS'are\tbe\tVBP\tB-VP\tO' +p328763 +aS'involved\tinvolve\tVBN\tI-VP\tO' +p328764 +aS'.\t.\t.\tO\tO' +p328765 +asS'She was admitted to the trauma ICU .' +p328766 +(lp328767 +S'She\tShe\tPRP\tB-NP\tO' +p328768 +aS'was\tbe\tVBD\tB-VP\tO' +p328769 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p328770 +aS'to\tto\tTO\tB-PP\tO' +p328771 +aS'the\tthe\tDT\tB-NP\tO' +p328772 +aS'trauma\ttrauma\tNN\tI-NP\tO' +p328773 +aS'ICU\tICU\tNN\tI-NP\tO' +p328774 +aS'.\t.\t.\tO\tO' +p328775 +asS'An ABG was attempted in the Deanna however it was limited by pt discomfort .' +p328776 +(lp328777 +S'An\tAn\tDT\tB-NP\tO' +p328778 +aS'ABG\tABG\tNN\tI-NP\tO' +p328779 +aS'was\tbe\tVBD\tB-VP\tO' +p328780 +aS'attempted\tattempt\tVBN\tI-VP\tO' +p328781 +aS'in\tin\tIN\tB-PP\tO' +p328782 +aS'the\tthe\tDT\tB-NP\tO' +p328783 +aS'Deanna\tDeanna\tNNP\tI-NP\tO' +p328784 +aS'however\thowever\tRB\tB-ADVP\tO' +p328785 +aS'it\tit\tPRP\tB-NP\tO' +p328786 +aS'was\tbe\tVBD\tB-VP\tO' +p328787 +aS'limited\tlimit\tVBN\tI-VP\tO' +p328788 +aS'by\tby\tIN\tB-PP\tO' +p328789 +aS'pt\tpt\tNN\tB-NP\tO' +p328790 +aS'discomfort\tdiscomfort\tNN\tI-NP\tO' +p328791 +aS'.\t.\t.\tO\tO' +p328792 +asS'Thus , embolization on the left side was not possible .' +p328793 +(lp328794 +S'Thus\tThus\tRB\tB-ADVP\tO' +p328795 +aS',\t,\t,\tO\tO' +p328796 +aS'embolization\tembolization\tNN\tB-NP\tO' +p328797 +aS'on\ton\tIN\tB-PP\tO' +p328798 +aS'the\tthe\tDT\tB-NP\tO' +p328799 +aS'left\tleft\tJJ\tI-NP\tO' +p328800 +aS'side\tside\tNN\tI-NP\tO' +p328801 +aS'was\tbe\tVBD\tB-VP\tO' +p328802 +aS'not\tnot\tRB\tO\tO' +p328803 +aS'possible\tpossible\tJJ\tB-ADJP\tO' +p328804 +aS'.\t.\t.\tO\tO' +p328805 +asS'The oropharynx is negative .' +p328806 +(lp328807 +S'The\tThe\tDT\tB-NP\tO' +p328808 +aS'oropharynx\toropharynx\tNN\tI-NP\tO' +p328809 +aS'is\tbe\tVBZ\tB-VP\tO' +p328810 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p328811 +aS'.\t.\t.\tO\tO' +p328812 +asS'6. HYDROCELE .' +p328813 +(lp328814 +S'6.\t6.\tLS\tB-NP\tO' +p328815 +aS'HYDROCELE\tHYDROCELE\tNN\tI-NP\tO' +p328816 +aS'.\t.\t.\tO\tO' +p328817 +asS'She subsequently developed hypotension with SBP in the 70s .' +p328818 +(lp328819 +S'She\tShe\tPRP\tB-NP\tO' +p328820 +aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' +p328821 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p328822 +aS'hypotension\thypotension\tNN\tB-NP\tO' +p328823 +aS'with\twith\tIN\tB-PP\tO' +p328824 +aS'SBP\tSBP\tNN\tB-NP\tB-protein' +p328825 +aS'in\tin\tIN\tB-PP\tO' +p328826 +aS'the\tthe\tDT\tB-NP\tO' +p328827 +aS'70s\t70\tNNS\tI-NP\tO' +p328828 +aS'.\t.\t.\tO\tO' +p328829 +asS'She was taken to the Operating Room on 11/30/93 where Dr. Tiveloydherdes performed a cadaveric renal allograft to the left iliac fossa which she tolerated well .' +p328830 +(lp328831 +S'She\tShe\tPRP\tB-NP\tO' +p328832 +aS'was\tbe\tVBD\tB-VP\tO' +p328833 +aS'taken\ttake\tVBN\tI-VP\tO' +p328834 +aS'to\tto\tTO\tB-PP\tO' +p328835 +aS'the\tthe\tDT\tB-NP\tO' +p328836 +aS'Operating\tOperating\tNNP\tI-NP\tO' +p328837 +aS'Room\tRoom\tNNP\tI-NP\tO' +p328838 +aS'on\ton\tIN\tB-PP\tO' +p328839 +aS'11/30/93\t11/30/93\tCD\tB-NP\tO' +p328840 +aS'where\twhere\tWRB\tB-ADVP\tO' +p328841 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p328842 +aS'Tiveloydherdes\tTiveloydherdes\tNNP\tI-NP\tO' +p328843 +aS'performed\tperform\tVBD\tB-VP\tO' +p328844 +aS'a\ta\tDT\tB-NP\tO' +p328845 +aS'cadaveric\tcadaveric\tJJ\tI-NP\tO' +p328846 +aS'renal\trenal\tJJ\tI-NP\tO' +p328847 +aS'allograft\tallograft\tNN\tI-NP\tO' +p328848 +aS'to\tto\tTO\tB-PP\tO' +p328849 +aS'the\tthe\tDT\tB-NP\tO' +p328850 +aS'left\tleft\tJJ\tI-NP\tO' +p328851 +aS'iliac\tiliac\tJJ\tI-NP\tO' +p328852 +aS'fossa\tfossa\tNN\tI-NP\tO' +p328853 +aS'which\twhich\tWDT\tB-NP\tO' +p328854 +aS'she\tshe\tPRP\tB-NP\tO' +p328855 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p328856 +aS'well\twell\tRB\tB-ADVP\tO' +p328857 +aS'.\t.\t.\tO\tO' +p328858 +asS'4) During your hospital stay you were also found to have low thyroid hormone levels .' +p328859 +(lp328860 +S'4)\t4)\tLS\tB-LST\tO' +p328861 +aS'During\tDuring\tIN\tB-PP\tO' +p328862 +aS'your\tyour\tPRP$\tB-NP\tO' +p328863 +aS'hospital\thospital\tNN\tI-NP\tO' +p328864 +aS'stay\tstay\tNN\tI-NP\tO' +p328865 +aS'you\tyou\tPRP\tB-NP\tO' +p328866 +aS'were\tbe\tVBD\tB-VP\tO' +p328867 +aS'also\talso\tRB\tI-VP\tO' +p328868 +aS'found\tfind\tVBN\tI-VP\tO' +p328869 +aS'to\tto\tTO\tI-VP\tO' +p328870 +aS'have\thave\tVB\tI-VP\tO' +p328871 +aS'low\tlow\tJJ\tB-NP\tO' +p328872 +aS'thyroid\tthyroid\tNN\tI-NP\tO' +p328873 +aS'hormone\thormone\tNN\tI-NP\tO' +p328874 +aS'levels\tlevel\tNNS\tI-NP\tO' +p328875 +aS'.\t.\t.\tO\tO' +p328876 +asS'Betamethasone complete at approximately 26 weeks and 31 weeks .' +p328877 +(lp328878 +S'Betamethasone\tBetamethasone\tNN\tB-NP\tO' +p328879 +aS'complete\tcomplete\tJJ\tB-ADJP\tO' +p328880 +aS'at\tat\tIN\tB-PP\tO' +p328881 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p328882 +aS'26\t26\tCD\tI-NP\tO' +p328883 +aS'weeks\tweek\tNNS\tI-NP\tO' +p328884 +aS'and\tand\tCC\tO\tO' +p328885 +aS'31\t31\tCD\tB-NP\tO' +p328886 +aS'weeks\tweek\tNNS\tI-NP\tO' +p328887 +aS'.\t.\t.\tO\tO' +p328888 +asS'The fracture fragments retained their proper site of articulation with the glenoid fossa .' +p328889 +(lp328890 +S'The\tThe\tDT\tB-NP\tO' +p328891 +aS'fracture\tfracture\tNN\tI-NP\tB-DNA' +p328892 +aS'fragments\tfragment\tNNS\tI-NP\tI-DNA' +p328893 +aS'retained\tretain\tVBD\tB-VP\tI-DNA' +p328894 +aS'their\ttheir\tPRP$\tB-NP\tI-DNA' +p328895 +aS'proper\tproper\tJJ\tI-NP\tI-DNA' +p328896 +aS'site\tsite\tNN\tI-NP\tI-DNA' +p328897 +aS'of\tof\tIN\tB-PP\tO' +p328898 +aS'articulation\tarticulation\tNN\tB-NP\tO' +p328899 +aS'with\twith\tIN\tB-PP\tO' +p328900 +aS'the\tthe\tDT\tB-NP\tO' +p328901 +aS'glenoid\tglenoid\tJJ\tI-NP\tO' +p328902 +aS'fossa\tfossa\tNN\tI-NP\tO' +p328903 +aS'.\t.\t.\tO\tO' +p328904 +asS'Her HR decreased to 70s-80s .' +p328905 +(lp328906 +S'Her\tHer\tPRP$\tB-NP\tO' +p328907 +aS'HR\tHR\tNN\tI-NP\tB-protein' +p328908 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p328909 +aS'to\tto\tTO\tB-PP\tO' +p328910 +aS'70s-80s\t70s-80\tNNS\tB-NP\tB-DNA' +p328911 +aS'.\t.\t.\tO\tO' +p328912 +asS'Patient is married , an immigrant from Mondca , South Carolina who lived close to Scond at time of nuclear disaster .' +p328913 +(lp328914 +S'Patient\tPatient\tNN\tB-NP\tO' +p328915 +aS'is\tbe\tVBZ\tB-VP\tO' +p328916 +aS'married\tmarry\tVBN\tI-VP\tO' +p328917 +aS',\t,\t,\tO\tO' +p328918 +aS'an\tan\tDT\tB-NP\tO' +p328919 +aS'immigrant\timmigrant\tNN\tI-NP\tO' +p328920 +aS'from\tfrom\tIN\tB-PP\tO' +p328921 +aS'Mondca\tMondca\tNNP\tB-NP\tO' +p328922 +aS',\t,\t,\tO\tO' +p328923 +aS'South\tSouth\tNNP\tB-NP\tO' +p328924 +aS'Carolina\tCarolina\tNNP\tI-NP\tO' +p328925 +aS'who\twho\tWP\tB-NP\tO' +p328926 +aS'lived\tlive\tVBD\tB-VP\tO' +p328927 +aS'close\tclose\tRB\tB-ADVP\tO' +p328928 +aS'to\tto\tTO\tB-VP\tO' +p328929 +aS'Scond\tScond\tVB\tI-VP\tO' +p328930 +aS'at\tat\tIN\tB-PP\tO' +p328931 +aS'time\ttime\tNN\tB-NP\tO' +p328932 +aS'of\tof\tIN\tB-PP\tO' +p328933 +aS'nuclear\tnuclear\tJJ\tB-NP\tO' +p328934 +aS'disaster\tdisaster\tNN\tI-NP\tO' +p328935 +aS'.\t.\t.\tO\tO' +p328936 +asS'He received multiple treatments for this over the succeeding weeks .' +p328937 +(lp328938 +S'He\tHe\tPRP\tB-NP\tO' +p328939 +aS'received\treceive\tVBD\tB-VP\tO' +p328940 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p328941 +aS'treatments\ttreatment\tNNS\tI-NP\tO' +p328942 +aS'for\tfor\tIN\tB-PP\tO' +p328943 +aS'this\tthis\tDT\tB-NP\tO' +p328944 +aS'over\tover\tIN\tB-PP\tO' +p328945 +aS'the\tthe\tDT\tB-NP\tO' +p328946 +aS'succeeding\tsucceed\tVBG\tI-NP\tO' +p328947 +aS'weeks\tweek\tNNS\tI-NP\tO' +p328948 +aS'.\t.\t.\tO\tO' +p328949 +asS'He has a history of abuse of Percocet according to his brother .' +p328950 +(lp328951 +S'He\tHe\tPRP\tB-NP\tO' +p328952 +aS'has\thave\tVBZ\tB-VP\tO' +p328953 +aS'a\ta\tDT\tB-NP\tO' +p328954 +aS'history\thistory\tNN\tI-NP\tO' +p328955 +aS'of\tof\tIN\tB-PP\tO' +p328956 +aS'abuse\tabuse\tNN\tB-NP\tO' +p328957 +aS'of\tof\tIN\tB-PP\tO' +p328958 +aS'Percocet\tPercocet\tNNP\tB-NP\tO' +p328959 +aS'according\taccord\tVBG\tB-PP\tO' +p328960 +aS'to\tto\tTO\tB-PP\tO' +p328961 +aS'his\this\tPRP$\tB-NP\tO' +p328962 +aS'brother\tbrother\tNN\tI-NP\tO' +p328963 +aS'.\t.\t.\tO\tO' +p328964 +asS'--- pain control with diluadid , tylenol' +p328965 +(lp328966 +S'---\t---\tSYM\tO\tO' +p328967 +aS'pain\tpain\tNN\tB-NP\tO' +p328968 +aS'control\tcontrol\tNN\tI-NP\tO' +p328969 +aS'with\twith\tIN\tB-PP\tO' +p328970 +aS'diluadid\tdiluadid\tNN\tB-NP\tO' +p328971 +aS',\t,\t,\tO\tO' +p328972 +aS'tylenol\ttylenol\tNN\tB-NP\tO' +p328973 +asS'Not answering other questions .' +p328974 +(lp328975 +S'Not\tNot\tRB\tO\tO' +p328976 +aS'answering\tanswer\tVBG\tB-VP\tO' +p328977 +aS'other\tother\tJJ\tB-NP\tO' +p328978 +aS'questions\tquestion\tNNS\tI-NP\tO' +p328979 +aS'.\t.\t.\tO\tO' +p328980 +asS'2+ edema to the knees .' +p328981 +(lp328982 +S'2+\t2+\tJJ\tB-NP\tO' +p328983 +aS'edema\tedema\tNN\tI-NP\tO' +p328984 +aS'to\tto\tTO\tB-PP\tO' +p328985 +aS'the\tthe\tDT\tB-NP\tO' +p328986 +aS'knees\tknee\tNNS\tI-NP\tO' +p328987 +aS'.\t.\t.\tO\tO' +p328988 +asS'ABG revealed widened A-a gradient so a d-dimer was sent which was elevated .' +p328989 +(lp328990 +S'ABG\tABG\tNN\tB-NP\tO' +p328991 +aS'revealed\treveal\tVBD\tB-VP\tO' +p328992 +aS'widened\twiden\tVBN\tI-VP\tO' +p328993 +aS'A-a\tA-a\tNN\tB-NP\tO' +p328994 +aS'gradient\tgradient\tNN\tI-NP\tO' +p328995 +aS'so\tso\tIN\tB-PP\tO' +p328996 +aS'a\ta\tDT\tB-NP\tO' +p328997 +aS'd-dimer\td-dimer\tNN\tI-NP\tB-protein' +p328998 +aS'was\tbe\tVBD\tB-VP\tO' +p328999 +aS'sent\tsend\tVBN\tI-VP\tO' +p329000 +aS'which\twhich\tWDT\tB-NP\tO' +p329001 +aS'was\tbe\tVBD\tB-VP\tO' +p329002 +aS'elevated\televate\tVBN\tI-VP\tO' +p329003 +aS'.\t.\t.\tO\tO' +p329004 +asS'Family meeting was held to discuss grave prognosis , and patient was made cmo .' +p329005 +(lp329006 +S'Family\tFamily\tRB\tB-NP\tO' +p329007 +aS'meeting\tmeeting\tNN\tI-NP\tO' +p329008 +aS'was\tbe\tVBD\tB-VP\tO' +p329009 +aS'held\thold\tVBN\tI-VP\tO' +p329010 +aS'to\tto\tTO\tB-VP\tO' +p329011 +aS'discuss\tdiscuss\tVB\tI-VP\tO' +p329012 +aS'grave\tgrave\tJJ\tB-NP\tO' +p329013 +aS'prognosis\tprognosis\tNN\tI-NP\tO' +p329014 +aS',\t,\t,\tO\tO' +p329015 +aS'and\tand\tCC\tO\tO' +p329016 +aS'patient\tpatient\tNN\tB-NP\tO' +p329017 +aS'was\tbe\tVBD\tB-VP\tO' +p329018 +aS'made\tmake\tVBN\tI-VP\tO' +p329019 +aS'cmo\tcmo\tNN\tB-NP\tO' +p329020 +aS'.\t.\t.\tO\tO' +p329021 +asS'- saddle PE , no CD or report sent' +p329022 +(lp329023 +S'-\t-\tHYPH\tB-NP\tO' +p329024 +aS'saddle\tsaddle\tNN\tI-NP\tO' +p329025 +aS'PE\tPE\tNN\tI-NP\tO' +p329026 +aS',\t,\t,\tO\tO' +p329027 +aS'no\tno\tDT\tB-NP\tO' +p329028 +aS'CD\tCD\tNN\tI-NP\tO' +p329029 +aS'or\tor\tCC\tI-NP\tO' +p329030 +aS'report\treport\tNN\tI-NP\tO' +p329031 +aS'sent\tsend\tVBD\tB-VP\tO' +p329032 +asS'At the time he complained of no chest pain , weakness or cough , although he is intermittently short of breath .' +p329033 +(lp329034 +S'At\tAt\tIN\tB-PP\tO' +p329035 +aS'the\tthe\tDT\tB-NP\tO' +p329036 +aS'time\ttime\tNN\tI-NP\tO' +p329037 +aS'he\the\tPRP\tB-NP\tO' +p329038 +aS'complained\tcomplain\tVBD\tB-VP\tO' +p329039 +aS'of\tof\tIN\tB-PP\tO' +p329040 +aS'no\tno\tDT\tB-NP\tO' +p329041 +aS'chest\tchest\tNN\tI-NP\tO' +p329042 +aS'pain\tpain\tNN\tI-NP\tO' +p329043 +aS',\t,\t,\tI-NP\tO' +p329044 +aS'weakness\tweakness\tNN\tI-NP\tO' +p329045 +aS'or\tor\tCC\tI-NP\tO' +p329046 +aS'cough\tcough\tNN\tI-NP\tO' +p329047 +aS',\t,\t,\tO\tO' +p329048 +aS'although\talthough\tIN\tB-SBAR\tO' +p329049 +aS'he\the\tPRP\tB-NP\tO' +p329050 +aS'is\tbe\tVBZ\tB-VP\tO' +p329051 +aS'intermittently\tintermittently\tRB\tB-ADJP\tO' +p329052 +aS'short\tshort\tJJ\tI-ADJP\tO' +p329053 +aS'of\tof\tIN\tB-PP\tO' +p329054 +aS'breath\tbreath\tNN\tB-NP\tO' +p329055 +aS'.\t.\t.\tO\tO' +p329056 +asS'Head CT was done which patient reported demonstrated three lesions in the left parietal region of the brain .' +p329057 +(lp329058 +S'Head\tHead\tNN\tB-NP\tO' +p329059 +aS'CT\tCT\tNN\tI-NP\tO' +p329060 +aS'was\tbe\tVBD\tB-VP\tO' +p329061 +aS'done\tdo\tVBN\tI-VP\tO' +p329062 +aS'which\twhich\tWDT\tB-NP\tO' +p329063 +aS'patient\tpatient\tNN\tI-NP\tO' +p329064 +aS'reported\treport\tVBD\tB-VP\tO' +p329065 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p329066 +aS'three\tthree\tCD\tB-NP\tO' +p329067 +aS'lesions\tlesion\tNNS\tI-NP\tO' +p329068 +aS'in\tin\tIN\tB-PP\tO' +p329069 +aS'the\tthe\tDT\tB-NP\tO' +p329070 +aS'left\tleft\tJJ\tI-NP\tB-DNA' +p329071 +aS'parietal\tparietal\tJJ\tI-NP\tI-DNA' +p329072 +aS'region\tregion\tNN\tI-NP\tI-DNA' +p329073 +aS'of\tof\tIN\tB-PP\tO' +p329074 +aS'the\tthe\tDT\tB-NP\tO' +p329075 +aS'brain\tbrain\tNN\tI-NP\tO' +p329076 +aS'.\t.\t.\tO\tO' +p329077 +asS'This is a patient with recurrence of a mixed mesodermal cancer at the vaginal apex who presents for local excision .' +p329078 +(lp329079 +S'This\tThis\tDT\tB-NP\tO' +p329080 +aS'is\tbe\tVBZ\tB-VP\tO' +p329081 +aS'a\ta\tDT\tB-NP\tO' +p329082 +aS'patient\tpatient\tNN\tI-NP\tO' +p329083 +aS'with\twith\tIN\tB-PP\tO' +p329084 +aS'recurrence\trecurrence\tNN\tB-NP\tO' +p329085 +aS'of\tof\tIN\tB-PP\tO' +p329086 +aS'a\ta\tDT\tB-NP\tO' +p329087 +aS'mixed\tmix\tVBN\tI-NP\tO' +p329088 +aS'mesodermal\tmesodermal\tJJ\tI-NP\tO' +p329089 +aS'cancer\tcancer\tNN\tI-NP\tO' +p329090 +aS'at\tat\tIN\tB-PP\tO' +p329091 +aS'the\tthe\tDT\tB-NP\tO' +p329092 +aS'vaginal\tvaginal\tJJ\tI-NP\tO' +p329093 +aS'apex\tapex\tNN\tI-NP\tO' +p329094 +aS'who\twho\tWP\tB-NP\tO' +p329095 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p329096 +aS'for\tfor\tIN\tB-PP\tO' +p329097 +aS'local\tlocal\tJJ\tB-NP\tO' +p329098 +aS'excision\texcision\tNN\tI-NP\tO' +p329099 +aS'.\t.\t.\tO\tO' +p329100 +asS'Chromosomal studies were negative .' +p329101 +(lp329102 +S'Chromosomal\tChromosomal\tJJ\tB-NP\tO' +p329103 +aS'studies\tstudy\tNNS\tI-NP\tO' +p329104 +aS'were\tbe\tVBD\tB-VP\tO' +p329105 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p329106 +aS'.\t.\t.\tO\tO' +p329107 +asS'7. Coronary artery disease ( as noted previously ).' +p329108 +(lp329109 +S'7.\t7.\tLS\tB-NP\tO' +p329110 +aS'Coronary\tCoronary\tJJ\tI-NP\tO' +p329111 +aS'artery\tartery\tNN\tI-NP\tO' +p329112 +aS'disease\tdisease\tNN\tI-NP\tO' +p329113 +aS'(\t(\t(\tO\tO' +p329114 +aS'as\tas\tIN\tB-SBAR\tO' +p329115 +aS'noted\tnote\tVBN\tB-VP\tO' +p329116 +aS'previously\tpreviously\tRB\tB-ADVP\tO' +p329117 +aS').\t).\tRB\tB-ADVP\tO' +p329118 +asS'No history of hypotension .' +p329119 +(lp329120 +S'No\tNo\tDT\tB-NP\tO' +p329121 +aS'history\thistory\tNN\tI-NP\tO' +p329122 +aS'of\tof\tIN\tB-PP\tO' +p329123 +aS'hypotension\thypotension\tNN\tB-NP\tO' +p329124 +aS'.\t.\t.\tO\tO' +p329125 +asS'Patient did well and was extubated uneventfully on 12-17 .' +p329126 +(lp329127 +S'Patient\tPatient\tNN\tB-NP\tO' +p329128 +aS'did\tdo\tVBD\tB-VP\tO' +p329129 +aS'well\twell\tRB\tB-ADVP\tO' +p329130 +aS'and\tand\tCC\tO\tO' +p329131 +aS'was\tbe\tVBD\tB-VP\tO' +p329132 +aS'extubated\textubate\tVBN\tI-VP\tO' +p329133 +aS'uneventfully\tuneventfully\tRB\tB-ADVP\tO' +p329134 +aS'on\ton\tIN\tB-PP\tO' +p329135 +aS'12-17\t12-17\tCD\tB-NP\tO' +p329136 +aS'.\t.\t.\tO\tO' +p329137 +asS'His sternum is stable. His incision is clean and dry Steri Strips intact .' +p329138 +(lp329139 +S'His\tHis\tPRP$\tB-NP\tO' +p329140 +aS'sternum\tsternum\tNN\tI-NP\tO' +p329141 +aS'is\tbe\tVBZ\tB-VP\tO' +p329142 +aS'stable.\tstable.\tVBG\tI-VP\tO' +p329143 +aS'His\tHis\tPRP$\tB-NP\tO' +p329144 +aS'incision\tincision\tNN\tI-NP\tO' +p329145 +aS'is\tbe\tVBZ\tB-VP\tO' +p329146 +aS'clean\tclean\tJJ\tB-NP\tO' +p329147 +aS'and\tand\tCC\tI-NP\tO' +p329148 +aS'dry\tdry\tJJ\tI-NP\tO' +p329149 +aS'Steri\tSteri\tNNP\tI-NP\tO' +p329150 +aS'Strips\tStrips\tNNP\tI-NP\tO' +p329151 +aS'intact\tintact\tJJ\tI-NP\tO' +p329152 +aS'.\t.\t.\tO\tO' +p329153 +asS'She has never been married .' +p329154 +(lp329155 +S'She\tShe\tPRP\tB-NP\tO' +p329156 +aS'has\thave\tVBZ\tB-VP\tO' +p329157 +aS'never\tnever\tRB\tI-VP\tO' +p329158 +aS'been\tbe\tVBN\tI-VP\tO' +p329159 +aS'married\tmarry\tVBN\tI-VP\tO' +p329160 +aS'.\t.\t.\tO\tO' +p329161 +asS'She presented in labor on the day of delivery .' +p329162 +(lp329163 +S'She\tShe\tPRP\tB-NP\tO' +p329164 +aS'presented\tpresent\tVBD\tB-VP\tO' +p329165 +aS'in\tin\tIN\tB-PP\tO' +p329166 +aS'labor\tlabor\tNN\tB-NP\tO' +p329167 +aS'on\ton\tIN\tB-PP\tO' +p329168 +aS'the\tthe\tDT\tB-NP\tO' +p329169 +aS'day\tday\tNN\tI-NP\tO' +p329170 +aS'of\tof\tIN\tB-PP\tO' +p329171 +aS'delivery\tdelivery\tNN\tB-NP\tO' +p329172 +aS'.\t.\t.\tO\tO' +p329173 +asS'The range of motion was 15 to 120 degree on the right side ; and on the left side , it was zero to 135 .' +p329174 +(lp329175 +S'The\tThe\tDT\tB-NP\tO' +p329176 +aS'range\trange\tNN\tI-NP\tO' +p329177 +aS'of\tof\tIN\tB-PP\tO' +p329178 +aS'motion\tmotion\tNN\tB-NP\tO' +p329179 +aS'was\tbe\tVBD\tB-VP\tO' +p329180 +aS'15\t15\tCD\tB-NP\tO' +p329181 +aS'to\tto\tTO\tI-NP\tO' +p329182 +aS'120\t120\tCD\tI-NP\tO' +p329183 +aS'degree\tdegree\tNN\tI-NP\tO' +p329184 +aS'on\ton\tIN\tB-PP\tO' +p329185 +aS'the\tthe\tDT\tB-NP\tO' +p329186 +aS'right\tright\tJJ\tI-NP\tO' +p329187 +aS'side\tside\tNN\tI-NP\tO' +p329188 +aS';\t;\t:\tB-PP\tO' +p329189 +aS'and\tand\tCC\tI-PP\tO' +p329190 +aS'on\ton\tIN\tB-PP\tO' +p329191 +aS'the\tthe\tDT\tB-NP\tO' +p329192 +aS'left\tleft\tJJ\tI-NP\tO' +p329193 +aS'side\tside\tNN\tI-NP\tO' +p329194 +aS',\t,\t,\tO\tO' +p329195 +aS'it\tit\tPRP\tB-NP\tO' +p329196 +aS'was\tbe\tVBD\tB-VP\tO' +p329197 +aS'zero\tzero\tCD\tB-NP\tO' +p329198 +aS'to\tto\tTO\tB-PP\tO' +p329199 +aS'135\t135\tCD\tB-NP\tO' +p329200 +aS'.\t.\t.\tO\tO' +p329201 +asS'6. Lamotrigine 100 mg Tablet Sig : 1.5 Tablets PO BID ( 2 times a day ) .' +p329202 +(lp329203 +S'6.\t6.\tCD\tB-NP\tO' +p329204 +aS'Lamotrigine\tLamotrigine\tNN\tI-NP\tO' +p329205 +aS'100\t100\tCD\tB-NP\tO' +p329206 +aS'mg\tmg\tNN\tI-NP\tO' +p329207 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p329208 +aS'Sig\tSig\tNNP\tI-NP\tO' +p329209 +aS':\t:\t:\tO\tO' +p329210 +aS'1.5\t1.5\tCD\tB-NP\tO' +p329211 +aS'Tablets\tTablet\tNNS\tI-NP\tO' +p329212 +aS'PO\tPO\tNN\tI-NP\tO' +p329213 +aS'BID\tBID\tNN\tI-NP\tO' +p329214 +aS'(\t(\t(\tO\tO' +p329215 +aS'2\t2\tCD\tB-NP\tO' +p329216 +aS'times\ttime\tNNS\tI-NP\tO' +p329217 +aS'a\ta\tDT\tB-NP\tO' +p329218 +aS'day\tday\tNN\tI-NP\tO' +p329219 +aS')\t)\t)\tO\tO' +p329220 +aS'.\t.\t.\tO\tO' +p329221 +asS'HPI : This is a 79 y/o M with h/o of HTN , DM , recent CVA Theresa , chronic respiratory failure on vent , trached , ESRD on HD who was sent from rehab facility for worsening mental status .' +p329222 +(lp329223 +S'HPI\tHPI\tLS\tB-LST\tB-cell_type' +p329224 +aS':\t:\t:\tO\tO' +p329225 +aS'This\tThis\tDT\tB-NP\tO' +p329226 +aS'is\tbe\tVBZ\tB-VP\tO' +p329227 +aS'a\ta\tDT\tB-NP\tO' +p329228 +aS'79\t79\tCD\tI-NP\tO' +p329229 +aS'y/o\ty/o\tNN\tI-NP\tO' +p329230 +aS'M\tM\tNN\tI-NP\tO' +p329231 +aS'with\twith\tIN\tB-PP\tO' +p329232 +aS'h/o\th/o\tNN\tB-NP\tO' +p329233 +aS'of\tof\tIN\tB-PP\tO' +p329234 +aS'HTN\tHTN\tNN\tB-NP\tB-protein' +p329235 +aS',\t,\t,\tO\tO' +p329236 +aS'DM\tDM\tNN\tB-NP\tO' +p329237 +aS',\t,\t,\tO\tO' +p329238 +aS'recent\trecent\tJJ\tB-NP\tO' +p329239 +aS'CVA\tCVA\tNNP\tI-NP\tO' +p329240 +aS'Theresa\tTheresa\tNNP\tI-NP\tO' +p329241 +aS',\t,\t,\tO\tO' +p329242 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p329243 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p329244 +aS'failure\tfailure\tNN\tI-NP\tO' +p329245 +aS'on\ton\tIN\tB-PP\tO' +p329246 +aS'vent\tvent\tNN\tB-NP\tO' +p329247 +aS',\t,\t,\tO\tO' +p329248 +aS'trached\ttrache\tVBN\tB-VP\tO' +p329249 +aS',\t,\t,\tO\tO' +p329250 +aS'ESRD\tESRD\tNN\tB-NP\tO' +p329251 +aS'on\ton\tIN\tB-PP\tO' +p329252 +aS'HD\tHD\tNN\tB-NP\tO' +p329253 +aS'who\twho\tWP\tB-NP\tO' +p329254 +aS'was\tbe\tVBD\tB-VP\tO' +p329255 +aS'sent\tsend\tVBN\tI-VP\tO' +p329256 +aS'from\tfrom\tIN\tB-PP\tO' +p329257 +aS'rehab\trehab\tNN\tB-NP\tO' +p329258 +aS'facility\tfacility\tNN\tI-NP\tO' +p329259 +aS'for\tfor\tIN\tB-PP\tO' +p329260 +aS'worsening\tworsen\tVBG\tB-VP\tO' +p329261 +aS'mental\tmental\tJJ\tB-NP\tO' +p329262 +aS'status\tstatus\tNN\tI-NP\tO' +p329263 +aS'.\t.\t.\tO\tO' +p329264 +asS'She had a normal cortisol stimulation test .' +p329265 +(lp329266 +S'She\tShe\tPRP\tB-NP\tO' +p329267 +aS'had\thave\tVBD\tB-VP\tO' +p329268 +aS'a\ta\tDT\tB-NP\tO' +p329269 +aS'normal\tnormal\tJJ\tI-NP\tO' +p329270 +aS'cortisol\tcortisol\tNN\tI-NP\tO' +p329271 +aS'stimulation\tstimulation\tNN\tI-NP\tO' +p329272 +aS'test\ttest\tNN\tI-NP\tO' +p329273 +aS'.\t.\t.\tO\tO' +p329274 +asS'The patient was normal volume and displayed no evidence CHF signs or symptoms .' +p329275 +(lp329276 +S'The\tThe\tDT\tB-NP\tO' +p329277 +aS'patient\tpatient\tNN\tI-NP\tO' +p329278 +aS'was\tbe\tVBD\tB-VP\tO' +p329279 +aS'normal\tnormal\tJJ\tB-NP\tO' +p329280 +aS'volume\tvolume\tNN\tI-NP\tO' +p329281 +aS'and\tand\tCC\tO\tO' +p329282 +aS'displayed\tdisplay\tVBD\tB-VP\tO' +p329283 +aS'no\tno\tDT\tB-NP\tO' +p329284 +aS'evidence\tevidence\tNN\tI-NP\tO' +p329285 +aS'CHF\tCHF\tNN\tI-NP\tO' +p329286 +aS'signs\tsign\tNNS\tI-NP\tO' +p329287 +aS'or\tor\tCC\tI-NP\tO' +p329288 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p329289 +aS'.\t.\t.\tO\tO' +p329290 +asS'- atrovent standing .' +p329291 +(lp329292 +S'-\t-\tHYPH\tB-NP\tO' +p329293 +aS'atrovent\tatrovent\tJJ\tI-NP\tO' +p329294 +aS'standing\tstanding\tNN\tI-NP\tO' +p329295 +aS'.\t.\t.\tO\tO' +p329296 +asS'Variceal banding .' +p329297 +(lp329298 +S'Variceal\tVariceal\tJJ\tB-NP\tO' +p329299 +aS'banding\tbanding\tNN\tI-NP\tO' +p329300 +aS'.\t.\t.\tO\tO' +p329301 +asS'EKG showed sinus brady , with old LAD and new ST depressions in V1-V4 .' +p329302 +(lp329303 +S'EKG\tEKG\tNN\tB-NP\tB-protein' +p329304 +aS'showed\tshow\tVBD\tB-VP\tO' +p329305 +aS'sinus\tsinus\tNN\tB-NP\tO' +p329306 +aS'brady\tbrady\tNN\tI-NP\tO' +p329307 +aS',\t,\t,\tO\tO' +p329308 +aS'with\twith\tIN\tB-PP\tO' +p329309 +aS'old\told\tJJ\tB-NP\tO' +p329310 +aS'LAD\tLAD\tNN\tI-NP\tO' +p329311 +aS'and\tand\tCC\tO\tO' +p329312 +aS'new\tnew\tJJ\tB-NP\tO' +p329313 +aS'ST\tST\tNN\tI-NP\tO' +p329314 +aS'depressions\tdepression\tNNS\tI-NP\tO' +p329315 +aS'in\tin\tIN\tB-PP\tO' +p329316 +aS'V1-V4\tV1-V4\tNN\tB-NP\tO' +p329317 +aS'.\t.\t.\tO\tO' +p329318 +asS'Tissue Doppler imaging suggests an increased left ventricular filling pressure ( PCWP > 18 mmHg ).' +p329319 +(lp329320 +S'Tissue\tTissue\tNNP\tB-NP\tO' +p329321 +aS'Doppler\tDoppler\tNNP\tI-NP\tO' +p329322 +aS'imaging\timaging\tNN\tI-NP\tO' +p329323 +aS'suggests\tsuggest\tVBZ\tB-VP\tO' +p329324 +aS'an\tan\tDT\tB-NP\tO' +p329325 +aS'increased\tincrease\tVBN\tI-NP\tO' +p329326 +aS'left\tleft\tJJ\tI-NP\tO' +p329327 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p329328 +aS'filling\tfilling\tNN\tI-NP\tO' +p329329 +aS'pressure\tpressure\tNN\tI-NP\tO' +p329330 +aS'(\t(\t(\tO\tO' +p329331 +aS'PCWP\tPCWP\tNN\tB-NP\tO' +p329332 +aS'>\t>\tSYM\tO\tO' +p329333 +aS'18\t18\tCD\tB-NP\tO' +p329334 +aS'mmHg\tmmHg\tNN\tI-NP\tO' +p329335 +aS').\t).\t)\tO\tO' +p329336 +asS'Urine output of 900 cc .' +p329337 +(lp329338 +S'Urine\tUrine\tNN\tB-NP\tO' +p329339 +aS'output\toutput\tNN\tI-NP\tO' +p329340 +aS'of\tof\tIN\tB-PP\tO' +p329341 +aS'900\t900\tCD\tB-NP\tO' +p329342 +aS'cc\tcc\tNN\tI-NP\tO' +p329343 +aS'.\t.\t.\tO\tO' +p329344 +asS'Pt failed BIPAP and pCO2 remained in the 90s but maintaining mentation .' +p329345 +(lp329346 +S'Pt\tPt\tNN\tB-NP\tO' +p329347 +aS'failed\tfail\tVBD\tB-VP\tO' +p329348 +aS'BIPAP\tBIPAP\tNN\tB-NP\tB-protein' +p329349 +aS'and\tand\tCC\tI-NP\tO' +p329350 +aS'pCO2\tpCO2\tNN\tI-NP\tO' +p329351 +aS'remained\tremain\tVBD\tB-VP\tO' +p329352 +aS'in\tin\tIN\tB-PP\tO' +p329353 +aS'the\tthe\tDT\tB-NP\tO' +p329354 +aS'90s\t90\tNNS\tI-NP\tO' +p329355 +aS'but\tbut\tCC\tO\tO' +p329356 +aS'maintaining\tmaintain\tVBG\tB-VP\tO' +p329357 +aS'mentation\tmentation\tNN\tB-NP\tO' +p329358 +aS'.\t.\t.\tO\tO' +p329359 +asS'Her neurologic exam was stable postoperatively with 5/5 bilaterally , tibial , EHL , FHL , gastroc soleus , and intact quadriceps .' +p329360 +(lp329361 +S'Her\tHer\tPRP$\tB-NP\tO' +p329362 +aS'neurologic\tneurologic\tJJ\tI-NP\tO' +p329363 +aS'exam\texam\tNN\tI-NP\tO' +p329364 +aS'was\tbe\tVBD\tB-VP\tO' +p329365 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p329366 +aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' +p329367 +aS'with\twith\tIN\tB-PP\tO' +p329368 +aS'5/5\t5/5\tCD\tB-NP\tO' +p329369 +aS'bilaterally\tbilaterally\tRB\tI-NP\tO' +p329370 +aS',\t,\t,\tO\tO' +p329371 +aS'tibial\ttibial\tJJ\tB-NP\tO' +p329372 +aS',\t,\t,\tI-NP\tO' +p329373 +aS'EHL\tEHL\tNN\tI-NP\tB-protein' +p329374 +aS',\t,\t,\tO\tO' +p329375 +aS'FHL\tFHL\tNN\tB-NP\tB-protein' +p329376 +aS',\t,\t,\tO\tO' +p329377 +aS'gastroc\tgastroc\tNN\tB-NP\tO' +p329378 +aS'soleus\tsoleus\tNN\tI-NP\tO' +p329379 +aS',\t,\t,\tO\tO' +p329380 +aS'and\tand\tCC\tO\tO' +p329381 +aS'intact\tintact\tJJ\tB-NP\tO' +p329382 +aS'quadriceps\tquadricep\tNNS\tI-NP\tO' +p329383 +aS'.\t.\t.\tO\tO' +p329384 +asS'CIWA scale over night was 1 for tremor and the patient did not require any Valium for alcohol withdrawal .' +p329385 +(lp329386 +S'CIWA\tCIWA\tNN\tB-NP\tO' +p329387 +aS'scale\tscale\tNN\tI-NP\tO' +p329388 +aS'over\tover\tIN\tB-PP\tO' +p329389 +aS'night\tnight\tNN\tB-NP\tB-protein' +p329390 +aS'was\tbe\tVBD\tB-VP\tI-protein' +p329391 +aS'1\t1\tCD\tB-NP\tI-protein' +p329392 +aS'for\tfor\tIN\tB-PP\tO' +p329393 +aS'tremor\ttremor\tNN\tB-NP\tO' +p329394 +aS'and\tand\tCC\tO\tO' +p329395 +aS'the\tthe\tDT\tB-NP\tO' +p329396 +aS'patient\tpatient\tNN\tI-NP\tO' +p329397 +aS'did\tdo\tVBD\tB-VP\tO' +p329398 +aS'not\tnot\tRB\tI-VP\tO' +p329399 +aS'require\trequire\tVB\tI-VP\tO' +p329400 +aS'any\tany\tDT\tB-NP\tO' +p329401 +aS'Valium\tValium\tNN\tI-NP\tO' +p329402 +aS'for\tfor\tIN\tB-PP\tO' +p329403 +aS'alcohol\talcohol\tNN\tB-NP\tO' +p329404 +aS'withdrawal\twithdrawal\tNN\tI-NP\tO' +p329405 +aS'.\t.\t.\tO\tO' +p329406 +asS'No edema , positive dorsalis pedis pulses .' +p329407 +(lp329408 +S'No\tNo\tDT\tB-NP\tO' +p329409 +aS'edema\tedema\tNN\tI-NP\tO' +p329410 +aS',\t,\t,\tO\tO' +p329411 +aS'positive\tpositive\tJJ\tB-NP\tO' +p329412 +aS'dorsalis\tdorsalis\tNN\tI-NP\tO' +p329413 +aS'pedis\tpedis\tNN\tI-NP\tO' +p329414 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p329415 +aS'.\t.\t.\tO\tO' +p329416 +asS'5. High cholesterol .' +p329417 +(lp329418 +S'5.\t5.\tLS\tB-NP\tO' +p329419 +aS'High\tHigh\tJJ\tI-NP\tO' +p329420 +aS'cholesterol\tcholesterol\tNN\tI-NP\tO' +p329421 +aS'.\t.\t.\tO\tO' +p329422 +asS"Patient is a 75 year old right handed male with past medical history of coronary artery disease s/p NQWMI 02-25 , s/p LAD angioplasty and stent 05-26 , dementia , hyperlipidemia , aortic stenosis , atrial fibrillation on coumadin who presented from his CMED CSRU doctor 's office wtih acute onset left sided weakness and dysarthria ." +p329423 +(lp329424 +S'Patient\tPatient\tNN\tB-NP\tO' +p329425 +aS'is\tbe\tVBZ\tB-VP\tO' +p329426 +aS'a\ta\tDT\tB-NP\tO' +p329427 +aS'75\t75\tCD\tI-NP\tO' +p329428 +aS'year\tyear\tNN\tI-NP\tO' +p329429 +aS'old\told\tJJ\tI-NP\tO' +p329430 +aS'right\tright\tJJ\tI-NP\tO' +p329431 +aS'handed\thand\tVBN\tB-VP\tO' +p329432 +aS'male\tmale\tJJ\tB-ADJP\tO' +p329433 +aS'with\twith\tIN\tB-PP\tO' +p329434 +aS'past\tpast\tJJ\tB-NP\tO' +p329435 +aS'medical\tmedical\tJJ\tI-NP\tO' +p329436 +aS'history\thistory\tNN\tI-NP\tO' +p329437 +aS'of\tof\tIN\tB-PP\tO' +p329438 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p329439 +aS'artery\tartery\tNN\tI-NP\tO' +p329440 +aS'disease\tdisease\tNN\tI-NP\tO' +p329441 +aS's/p\ts/p\tNN\tI-NP\tO' +p329442 +aS'NQWMI\tNQWMI\tNN\tI-NP\tO' +p329443 +aS'02-25\t02-25\tCD\tI-NP\tO' +p329444 +aS',\t,\t,\tO\tO' +p329445 +aS's/p\ts/p\tNN\tB-NP\tO' +p329446 +aS'LAD\tLAD\tNN\tI-NP\tO' +p329447 +aS'angioplasty\tangioplasty\tNN\tI-NP\tO' +p329448 +aS'and\tand\tCC\tO\tO' +p329449 +aS'stent\tstent\tNN\tB-NP\tO' +p329450 +aS'05-26\t05-26\tCD\tI-NP\tO' +p329451 +aS',\t,\t,\tO\tO' +p329452 +aS'dementia\tdementia\tNN\tB-NP\tO' +p329453 +aS',\t,\t,\tO\tO' +p329454 +aS'hyperlipidemia\thyperlipidemia\tNN\tB-NP\tO' +p329455 +aS',\t,\t,\tO\tO' +p329456 +aS'aortic\taortic\tJJ\tB-NP\tO' +p329457 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p329458 +aS',\t,\t,\tO\tO' +p329459 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p329460 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p329461 +aS'on\ton\tIN\tB-PP\tO' +p329462 +aS'coumadin\tcoumadin\tNN\tB-NP\tO' +p329463 +aS'who\twho\tWP\tB-NP\tO' +p329464 +aS'presented\tpresent\tVBD\tB-VP\tO' +p329465 +aS'from\tfrom\tIN\tB-PP\tO' +p329466 +aS'his\this\tPRP$\tB-NP\tB-DNA' +p329467 +aS'CMED\tCMED\tNNP\tI-NP\tO' +p329468 +aS'CSRU\tCSRU\tNNP\tI-NP\tO' +p329469 +aS'doctor\tdoctor\tNN\tI-NP\tO' +p329470 +aS"'s\t's\tPOS\tB-NP\tO" +p329471 +aS'office\toffice\tNN\tI-NP\tO' +p329472 +aS'wtih\twtih\tNN\tI-NP\tO' +p329473 +aS'acute\tacute\tJJ\tI-NP\tO' +p329474 +aS'onset\tonset\tNN\tI-NP\tO' +p329475 +aS'left\tleave\tVBD\tB-VP\tO' +p329476 +aS'sided\tsided\tJJ\tB-NP\tO' +p329477 +aS'weakness\tweakness\tNN\tI-NP\tO' +p329478 +aS'and\tand\tCC\tI-NP\tO' +p329479 +aS'dysarthria\tdysarthria\tNN\tI-NP\tO' +p329480 +aS'.\t.\t.\tO\tO' +p329481 +asS'The neck was supple with full range of motion .' +p329482 +(lp329483 +S'The\tThe\tDT\tB-NP\tO' +p329484 +aS'neck\tneck\tNN\tI-NP\tO' +p329485 +aS'was\tbe\tVBD\tB-VP\tO' +p329486 +aS'supple\tsupple\tNN\tB-NP\tO' +p329487 +aS'with\twith\tIN\tB-PP\tO' +p329488 +aS'full\tfull\tJJ\tB-NP\tO' +p329489 +aS'range\trange\tNN\tI-NP\tO' +p329490 +aS'of\tof\tIN\tB-PP\tO' +p329491 +aS'motion\tmotion\tNN\tB-NP\tO' +p329492 +aS'.\t.\t.\tO\tO' +p329493 +asS'The patient is discharged in fair condition with medical approval to the Pasi .' +p329494 +(lp329495 +S'The\tThe\tDT\tB-NP\tO' +p329496 +aS'patient\tpatient\tNN\tI-NP\tO' +p329497 +aS'is\tbe\tVBZ\tB-VP\tO' +p329498 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p329499 +aS'in\tin\tIN\tB-PP\tO' +p329500 +aS'fair\tfair\tJJ\tB-NP\tO' +p329501 +aS'condition\tcondition\tNN\tI-NP\tO' +p329502 +aS'with\twith\tIN\tB-PP\tO' +p329503 +aS'medical\tmedical\tJJ\tB-NP\tO' +p329504 +aS'approval\tapproval\tNN\tI-NP\tO' +p329505 +aS'to\tto\tTO\tB-PP\tO' +p329506 +aS'the\tthe\tDT\tB-NP\tO' +p329507 +aS'Pasi\tPasi\tNNP\tI-NP\tO' +p329508 +aS'.\t.\t.\tO\tO' +p329509 +asS'The major vascular structures at the skull base are normal .' +p329510 +(lp329511 +S'The\tThe\tDT\tB-NP\tO' +p329512 +aS'major\tmajor\tJJ\tI-NP\tO' +p329513 +aS'vascular\tvascular\tJJ\tI-NP\tO' +p329514 +aS'structures\tstructure\tNNS\tI-NP\tO' +p329515 +aS'at\tat\tIN\tB-PP\tO' +p329516 +aS'the\tthe\tDT\tB-NP\tO' +p329517 +aS'skull\tskull\tNN\tI-NP\tO' +p329518 +aS'base\tbase\tNN\tI-NP\tO' +p329519 +aS'are\tbe\tVBP\tB-VP\tO' +p329520 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p329521 +aS'.\t.\t.\tO\tO' +p329522 +asS'The patient was instructed to followup with her internist regarding further evaluation of her hypertension , and should be assessed regarding further management , as an inpatient , or while receiving chemotherapy .' +p329523 +(lp329524 +S'The\tThe\tDT\tB-NP\tO' +p329525 +aS'patient\tpatient\tNN\tI-NP\tO' +p329526 +aS'was\tbe\tVBD\tB-VP\tO' +p329527 +aS'instructed\tinstruct\tVBN\tI-VP\tO' +p329528 +aS'to\tto\tTO\tI-VP\tO' +p329529 +aS'followup\tfollowup\tVB\tI-VP\tO' +p329530 +aS'with\twith\tIN\tB-PP\tO' +p329531 +aS'her\ther\tPRP$\tB-NP\tO' +p329532 +aS'internist\tinternist\tNN\tI-NP\tO' +p329533 +aS'regarding\tregard\tVBG\tB-VP\tO' +p329534 +aS'further\tfurther\tJJ\tB-NP\tO' +p329535 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p329536 +aS'of\tof\tIN\tB-PP\tO' +p329537 +aS'her\ther\tPRP$\tB-NP\tO' +p329538 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p329539 +aS',\t,\t,\tO\tO' +p329540 +aS'and\tand\tCC\tO\tO' +p329541 +aS'should\tshould\tMD\tB-VP\tO' +p329542 +aS'be\tbe\tVB\tI-VP\tO' +p329543 +aS'assessed\tassess\tVBN\tI-VP\tO' +p329544 +aS'regarding\tregard\tVBG\tB-PP\tO' +p329545 +aS'further\tfurther\tJJ\tB-NP\tO' +p329546 +aS'management\tmanagement\tNN\tI-NP\tO' +p329547 +aS',\t,\t,\tO\tO' +p329548 +aS'as\tas\tIN\tB-PP\tO' +p329549 +aS'an\tan\tDT\tB-NP\tO' +p329550 +aS'inpatient\tinpatient\tNN\tI-NP\tO' +p329551 +aS',\t,\t,\tO\tO' +p329552 +aS'or\tor\tCC\tO\tO' +p329553 +aS'while\twhile\tIN\tB-SBAR\tO' +p329554 +aS'receiving\treceive\tVBG\tB-VP\tO' +p329555 +aS'chemotherapy\tchemotherapy\tNN\tB-NP\tO' +p329556 +aS'.\t.\t.\tO\tO' +p329557 +asS'B. Cervix with squamous metaplasia .' +p329558 +(lp329559 +S'B.\tB.\tNNP\tB-NP\tO' +p329560 +aS'Cervix\tCervix\tNNP\tI-NP\tO' +p329561 +aS'with\twith\tIN\tB-PP\tO' +p329562 +aS'squamous\tsquamous\tJJ\tB-NP\tO' +p329563 +aS'metaplasia\tmetaplasia\tNN\tI-NP\tO' +p329564 +aS'.\t.\t.\tO\tO' +p329565 +asS'Patient was instructed by PT on the correct way to ambulate , weight bearing as tolerated in the RLE . .' +p329566 +(lp329567 +S'Patient\tPatient\tNN\tB-NP\tO' +p329568 +aS'was\tbe\tVBD\tB-VP\tO' +p329569 +aS'instructed\tinstruct\tVBN\tI-VP\tO' +p329570 +aS'by\tby\tIN\tB-PP\tO' +p329571 +aS'PT\tPT\tNN\tB-NP\tO' +p329572 +aS'on\ton\tIN\tB-PP\tO' +p329573 +aS'the\tthe\tDT\tB-NP\tO' +p329574 +aS'correct\tcorrect\tJJ\tI-NP\tO' +p329575 +aS'way\tway\tNN\tI-NP\tO' +p329576 +aS'to\tto\tTO\tB-VP\tO' +p329577 +aS'ambulate\tambulate\tVB\tI-VP\tO' +p329578 +aS',\t,\t,\tO\tO' +p329579 +aS'weight\tweight\tNN\tB-NP\tO' +p329580 +aS'bearing\tbear\tVBG\tB-VP\tO' +p329581 +aS'as\tas\tIN\tB-SBAR\tO' +p329582 +aS'tolerated\ttolerate\tVBN\tB-VP\tO' +p329583 +aS'in\tin\tIN\tB-PP\tO' +p329584 +aS'the\tthe\tDT\tB-NP\tO' +p329585 +aS'RLE\tRLE\tNN\tI-NP\tB-DNA' +p329586 +aS'.\t.\t.\tO\tO' +p329587 +aS'.\t.\t.\tO\tO' +p329588 +asS'A PICC was breifly placed , however removed as it is unclear if pt can reliably flush this .' +p329589 +(lp329590 +S'A\tA\tDT\tB-NP\tO' +p329591 +aS'PICC\tPICC\tNN\tI-NP\tB-DNA' +p329592 +aS'was\tbe\tVBD\tB-VP\tO' +p329593 +aS'breifly\tbreifly\tRB\tI-VP\tO' +p329594 +aS'placed\tplace\tVBN\tI-VP\tO' +p329595 +aS',\t,\t,\tO\tO' +p329596 +aS'however\thowever\tRB\tB-VP\tO' +p329597 +aS'removed\tremove\tVBN\tI-VP\tO' +p329598 +aS'as\tas\tIN\tB-SBAR\tO' +p329599 +aS'it\tit\tPRP\tB-NP\tO' +p329600 +aS'is\tbe\tVBZ\tB-VP\tO' +p329601 +aS'unclear\tunclear\tJJ\tB-ADJP\tO' +p329602 +aS'if\tif\tIN\tB-SBAR\tO' +p329603 +aS'pt\tpt\tNN\tB-NP\tO' +p329604 +aS'can\tcan\tMD\tB-VP\tO' +p329605 +aS'reliably\treliably\tRB\tI-VP\tO' +p329606 +aS'flush\tflush\tVB\tI-VP\tO' +p329607 +aS'this\tthis\tDT\tB-NP\tO' +p329608 +aS'.\t.\t.\tO\tO' +p329609 +asS'2+ femoral pulses .' +p329610 +(lp329611 +S'2+\t2+\tJJ\tB-NP\tO' +p329612 +aS'femoral\tfemoral\tJJ\tI-NP\tO' +p329613 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p329614 +aS'.\t.\t.\tO\tO' +p329615 +asS'9. Levofloxacin 250 mg p.o. daily to complete a fourteen day course .' +p329616 +(lp329617 +S'9.\t9.\tCD\tB-NP\tO' +p329618 +aS'Levofloxacin\tLevofloxacin\tNN\tI-NP\tO' +p329619 +aS'250\t250\tCD\tB-NP\tO' +p329620 +aS'mg\tmg\tNN\tI-NP\tO' +p329621 +aS'p.o.\tp.o.\tRB\tB-ADVP\tO' +p329622 +aS'daily\tdaily\tRB\tI-ADVP\tO' +p329623 +aS'to\tto\tTO\tB-VP\tO' +p329624 +aS'complete\tcomplete\tVB\tI-VP\tO' +p329625 +aS'a\ta\tDT\tB-NP\tO' +p329626 +aS'fourteen\tfourteen\tJJ\tI-NP\tO' +p329627 +aS'day\tday\tNN\tI-NP\tO' +p329628 +aS'course\tcourse\tNN\tI-NP\tO' +p329629 +aS'.\t.\t.\tO\tO' +p329630 +asS'She lived with her husband caring for him .' +p329631 +(lp329632 +S'She\tShe\tPRP\tB-NP\tO' +p329633 +aS'lived\tlive\tVBD\tB-VP\tO' +p329634 +aS'with\twith\tIN\tB-PP\tO' +p329635 +aS'her\ther\tPRP$\tB-NP\tO' +p329636 +aS'husband\thusband\tNN\tI-NP\tO' +p329637 +aS'caring\tcare\tVBG\tB-VP\tO' +p329638 +aS'for\tfor\tIN\tB-PP\tO' +p329639 +aS'him\thim\tPRP\tB-NP\tO' +p329640 +aS'.\t.\t.\tO\tO' +p329641 +asS'HEENT : + scleral icterus .' +p329642 +(lp329643 +S'HEENT\tHEENT\tNN\tB-NP\tO' +p329644 +aS':\t:\t:\tO\tO' +p329645 +aS'+\t+\tSYM\tB-NP\tO' +p329646 +aS'scleral\tscleral\tJJ\tI-NP\tO' +p329647 +aS'icterus\ticterus\tNN\tI-NP\tO' +p329648 +aS'.\t.\t.\tO\tO' +p329649 +asS'Her hematocrit stayed stable at approximately 32 .' +p329650 +(lp329651 +S'Her\tHer\tPRP$\tB-NP\tO' +p329652 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p329653 +aS'stayed\tstay\tVBD\tB-VP\tO' +p329654 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p329655 +aS'at\tat\tIN\tB-PP\tO' +p329656 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p329657 +aS'32\t32\tCD\tI-NP\tO' +p329658 +aS'.\t.\t.\tO\tO' +p329659 +asS'Call 887 415 4220 to schedule an appointment with Orthopedics for late November .' +p329660 +(lp329661 +S'Call\tCall\tVB\tB-NP\tO' +p329662 +aS'887\t887\tCD\tB-NP\tO' +p329663 +aS'415\t415\tCD\tI-NP\tO' +p329664 +aS'4220\t4220\tCD\tI-NP\tO' +p329665 +aS'to\tto\tTO\tB-VP\tO' +p329666 +aS'schedule\tschedule\tVB\tI-VP\tO' +p329667 +aS'an\tan\tDT\tB-NP\tO' +p329668 +aS'appointment\tappointment\tNN\tI-NP\tO' +p329669 +aS'with\twith\tIN\tB-PP\tO' +p329670 +aS'Orthopedics\tOrthopedic\tNNS\tB-NP\tO' +p329671 +aS'for\tfor\tIN\tB-PP\tO' +p329672 +aS'late\tlate\tJJ\tB-NP\tO' +p329673 +aS'November\tNovember\tNNP\tI-NP\tO' +p329674 +aS'.\t.\t.\tO\tO' +p329675 +asS'She will be continued to be followed closely by cardiology as an outpatient , with likely plans for cardiac catheterization and surgical repair when she grows to 3.5 to 4 kg .' +p329676 +(lp329677 +S'She\tShe\tPRP\tB-NP\tO' +p329678 +aS'will\twill\tMD\tB-VP\tO' +p329679 +aS'be\tbe\tVB\tI-VP\tO' +p329680 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p329681 +aS'to\tto\tTO\tI-VP\tO' +p329682 +aS'be\tbe\tVB\tI-VP\tO' +p329683 +aS'followed\tfollow\tVBN\tI-VP\tO' +p329684 +aS'closely\tclosely\tRB\tB-ADVP\tO' +p329685 +aS'by\tby\tIN\tB-PP\tO' +p329686 +aS'cardiology\tcardiology\tNN\tB-NP\tO' +p329687 +aS'as\tas\tIN\tB-PP\tO' +p329688 +aS'an\tan\tDT\tB-NP\tO' +p329689 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p329690 +aS',\t,\t,\tO\tO' +p329691 +aS'with\twith\tIN\tB-PP\tO' +p329692 +aS'likely\tlikely\tJJ\tB-NP\tO' +p329693 +aS'plans\tplan\tNNS\tI-NP\tO' +p329694 +aS'for\tfor\tIN\tB-PP\tO' +p329695 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p329696 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p329697 +aS'and\tand\tCC\tO\tO' +p329698 +aS'surgical\tsurgical\tJJ\tB-NP\tO' +p329699 +aS'repair\trepair\tNN\tI-NP\tO' +p329700 +aS'when\twhen\tWRB\tB-ADVP\tO' +p329701 +aS'she\tshe\tPRP\tB-NP\tO' +p329702 +aS'grows\tgrow\tVBZ\tB-VP\tO' +p329703 +aS'to\tto\tTO\tB-PP\tO' +p329704 +aS'3.5\t3.5\tCD\tB-NP\tO' +p329705 +aS'to\tto\tTO\tI-NP\tO' +p329706 +aS'4\t4\tCD\tI-NP\tO' +p329707 +aS'kg\tkg\tNN\tI-NP\tO' +p329708 +aS'.\t.\t.\tO\tO' +p329709 +asS'Tube and requisition of the CSF labeled tube # 1 was notable for color pink , turbidity slight , xanthochromia yes , red blood cells 3,800 , white blood cells 3 , neutrophils 58 , bands 4 , lymphs 29 , monos 6 , eos 2 and basos 1 .' +p329710 +(lp329711 +S'Tube\tTube\tNN\tB-NP\tO' +p329712 +aS'and\tand\tCC\tI-NP\tO' +p329713 +aS'requisition\trequisition\tNN\tI-NP\tO' +p329714 +aS'of\tof\tIN\tB-PP\tO' +p329715 +aS'the\tthe\tDT\tB-NP\tO' +p329716 +aS'CSF\tCSF\tNN\tI-NP\tB-protein' +p329717 +aS'labeled\tlabel\tVBN\tI-NP\tO' +p329718 +aS'tube\ttube\tNN\tI-NP\tO' +p329719 +aS'#\t#\t#\tB-NP\tO' +p329720 +aS'1\t1\tCD\tI-NP\tO' +p329721 +aS'was\tbe\tVBD\tB-VP\tO' +p329722 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p329723 +aS'for\tfor\tIN\tB-PP\tO' +p329724 +aS'color\tcolor\tNN\tB-NP\tO' +p329725 +aS'pink\tpink\tNN\tI-NP\tO' +p329726 +aS',\t,\t,\tO\tO' +p329727 +aS'turbidity\tturbidity\tNN\tB-NP\tO' +p329728 +aS'slight\tslight\tJJ\tB-ADJP\tO' +p329729 +aS',\t,\t,\tO\tO' +p329730 +aS'xanthochromia\txanthochromia\tNN\tB-NP\tO' +p329731 +aS'yes\tye\tNNS\tI-NP\tO' +p329732 +aS',\t,\t,\tO\tO' +p329733 +aS'red\tred\tJJ\tB-NP\tB-cell_type' +p329734 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p329735 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p329736 +aS'3,800\t3,800\tCD\tB-NP\tO' +p329737 +aS',\t,\t,\tO\tO' +p329738 +aS'white\twhite\tJJ\tB-NP\tB-cell_type' +p329739 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p329740 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p329741 +aS'3\t3\tCD\tB-NP\tO' +p329742 +aS',\t,\t,\tO\tO' +p329743 +aS'neutrophils\tneutrophil\tNNS\tB-NP\tB-cell_type' +p329744 +aS'58\t58\tCD\tB-NP\tO' +p329745 +aS',\t,\t,\tO\tO' +p329746 +aS'bands\tband\tNNS\tB-NP\tB-protein' +p329747 +aS'4\t4\tCD\tB-NP\tI-protein' +p329748 +aS',\t,\t,\tO\tO' +p329749 +aS'lymphs\tlymph\tNNS\tB-NP\tO' +p329750 +aS'29\t29\tCD\tB-NP\tO' +p329751 +aS',\t,\t,\tO\tO' +p329752 +aS'monos\tmono\tNNS\tB-NP\tO' +p329753 +aS'6\t6\tCD\tB-NP\tO' +p329754 +aS',\t,\t,\tO\tO' +p329755 +aS'eos\teo\tNNS\tB-NP\tO' +p329756 +aS'2\t2\tCD\tB-NP\tO' +p329757 +aS'and\tand\tCC\tO\tO' +p329758 +aS'basos\tbasos\tNN\tB-NP\tO' +p329759 +aS'1\t1\tCD\tI-NP\tO' +p329760 +aS'.\t.\t.\tO\tO' +p329761 +asS'Major Surgical or Invasive Procedure : colonoscopy egd' +p329762 +(lp329763 +S'Major\tMajor\tJJ\tB-NP\tO' +p329764 +aS'Surgical\tSurgical\tJJ\tI-NP\tO' +p329765 +aS'or\tor\tCC\tI-NP\tO' +p329766 +aS'Invasive\tInvasive\tJJ\tI-NP\tO' +p329767 +aS'Procedure\tProcedure\tNN\tI-NP\tO' +p329768 +aS':\t:\t:\tO\tO' +p329769 +aS'colonoscopy\tcolonoscopy\tNN\tB-NP\tO' +p329770 +aS'egd\tegd\tNN\tI-NP\tO' +p329771 +asS'There was no scleral icterus .' +p329772 +(lp329773 +S'There\tThere\tEX\tB-NP\tO' +p329774 +aS'was\tbe\tVBD\tB-VP\tO' +p329775 +aS'no\tno\tDT\tB-NP\tO' +p329776 +aS'scleral\tscleral\tJJ\tI-NP\tO' +p329777 +aS'icterus\ticterus\tNN\tI-NP\tO' +p329778 +aS'.\t.\t.\tO\tO' +p329779 +asS'He states that he primarily relies on friends .' +p329780 +(lp329781 +S'He\tHe\tPRP\tB-NP\tO' +p329782 +aS'states\tstate\tVBZ\tB-VP\tO' +p329783 +aS'that\tthat\tIN\tB-SBAR\tO' +p329784 +aS'he\the\tPRP\tB-NP\tO' +p329785 +aS'primarily\tprimarily\tRB\tB-ADVP\tO' +p329786 +aS'relies\trely\tVBZ\tB-VP\tO' +p329787 +aS'on\ton\tIN\tB-PP\tO' +p329788 +aS'friends\tfriend\tNNS\tB-NP\tO' +p329789 +aS'.\t.\t.\tO\tO' +p329790 +asS'9. Furosemide 20 mg Tablet Sig : One ( 1 ) Tablet PO every twelve ( 12 ) hours .' +p329791 +(lp329792 +S'9.\t9.\tCD\tB-NP\tO' +p329793 +aS'Furosemide\tFurosemide\tNN\tI-NP\tO' +p329794 +aS'20\t20\tCD\tB-NP\tO' +p329795 +aS'mg\tmg\tNN\tI-NP\tO' +p329796 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p329797 +aS'Sig\tSig\tNNP\tI-NP\tO' +p329798 +aS':\t:\t:\tO\tO' +p329799 +aS'One\tOne\tCD\tB-NP\tO' +p329800 +aS'(\t(\t(\tO\tO' +p329801 +aS'1\t1\tCD\tB-NP\tO' +p329802 +aS')\t)\t)\tO\tO' +p329803 +aS'Tablet\tTablet\tNN\tB-NP\tB-protein' +p329804 +aS'PO\tPO\tNN\tI-NP\tI-protein' +p329805 +aS'every\tevery\tDT\tB-NP\tO' +p329806 +aS'twelve\ttwelve\tCD\tI-NP\tO' +p329807 +aS'(\t(\t(\tO\tO' +p329808 +aS'12\t12\tCD\tB-NP\tO' +p329809 +aS')\t)\t)\tO\tO' +p329810 +aS'hours\thour\tNNS\tB-NP\tO' +p329811 +aS'.\t.\t.\tO\tO' +p329812 +asS'3. Oxycodone - Acetaminophen 5-325 mg Tablet Sig : 1-2 Tablets PO Q4-6H ( every 4 to 6 hours ) as needed .' +p329813 +(lp329814 +S'3.\t3.\tLS\tB-NP\tO' +p329815 +aS'Oxycodone\tOxycodone\tNN\tI-NP\tO' +p329816 +aS'-\t-\tHYPH\tO\tO' +p329817 +aS'Acetaminophen\tAcetaminophen\tNN\tB-NP\tO' +p329818 +aS'5-325\t5-325\tCD\tI-NP\tO' +p329819 +aS'mg\tmg\tNN\tI-NP\tO' +p329820 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p329821 +aS'Sig\tSig\tNNP\tI-NP\tO' +p329822 +aS':\t:\t:\tO\tO' +p329823 +aS'1-2\t1-2\tCD\tB-NP\tO' +p329824 +aS'Tablets\tTablet\tNNS\tI-NP\tO' +p329825 +aS'PO\tPO\tNN\tI-NP\tO' +p329826 +aS'Q4-6H\tQ4-6H\tNN\tI-NP\tO' +p329827 +aS'(\t(\t(\tO\tO' +p329828 +aS'every\tevery\tDT\tB-NP\tO' +p329829 +aS'4\t4\tCD\tI-NP\tO' +p329830 +aS'to\tto\tTO\tI-NP\tO' +p329831 +aS'6\t6\tCD\tI-NP\tO' +p329832 +aS'hours\thour\tNNS\tI-NP\tO' +p329833 +aS')\t)\t)\tO\tO' +p329834 +aS'as\tas\tIN\tB-SBAR\tO' +p329835 +aS'needed\tneed\tVBN\tB-VP\tO' +p329836 +aS'.\t.\t.\tO\tO' +p329837 +asS'The patient reported feeling at his baseline with chronic mild dyspnea on exertion until two weeks prior to admission .' +p329838 +(lp329839 +S'The\tThe\tDT\tB-NP\tO' +p329840 +aS'patient\tpatient\tNN\tI-NP\tO' +p329841 +aS'reported\treport\tVBD\tB-VP\tO' +p329842 +aS'feeling\tfeel\tVBG\tI-VP\tO' +p329843 +aS'at\tat\tIN\tB-PP\tO' +p329844 +aS'his\this\tPRP$\tB-NP\tO' +p329845 +aS'baseline\tbaseline\tNN\tI-NP\tO' +p329846 +aS'with\twith\tIN\tB-PP\tO' +p329847 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p329848 +aS'mild\tmild\tJJ\tI-NP\tO' +p329849 +aS'dyspnea\tdyspnea\tNN\tI-NP\tO' +p329850 +aS'on\ton\tIN\tB-PP\tO' +p329851 +aS'exertion\texertion\tNN\tB-NP\tO' +p329852 +aS'until\tuntil\tIN\tB-PP\tO' +p329853 +aS'two\ttwo\tCD\tB-NP\tO' +p329854 +aS'weeks\tweek\tNNS\tI-NP\tO' +p329855 +aS'prior\tprior\tRB\tB-ADVP\tO' +p329856 +aS'to\tto\tTO\tB-PP\tO' +p329857 +aS'admission\tadmission\tNN\tB-NP\tO' +p329858 +aS'.\t.\t.\tO\tO' +p329859 +asS'Per their recommendations , silvadine was applied to the tendons to prevent dessication .' +p329860 +(lp329861 +S'Per\tPer\tIN\tB-PP\tO' +p329862 +aS'their\ttheir\tPRP$\tB-NP\tO' +p329863 +aS'recommendations\trecommendation\tNNS\tI-NP\tO' +p329864 +aS',\t,\t,\tO\tO' +p329865 +aS'silvadine\tsilvadine\tNN\tB-NP\tO' +p329866 +aS'was\tbe\tVBD\tB-VP\tO' +p329867 +aS'applied\tapply\tVBN\tI-VP\tO' +p329868 +aS'to\tto\tTO\tB-PP\tO' +p329869 +aS'the\tthe\tDT\tB-NP\tO' +p329870 +aS'tendons\ttendon\tNNS\tI-NP\tO' +p329871 +aS'to\tto\tTO\tB-VP\tO' +p329872 +aS'prevent\tprevent\tVB\tI-VP\tO' +p329873 +aS'dessication\tdessication\tNN\tB-NP\tO' +p329874 +aS'.\t.\t.\tO\tO' +p329875 +asS'This is the end of part 1 of this dictation summary for Patricia Jackson .' +p329876 +(lp329877 +S'This\tThis\tDT\tB-NP\tO' +p329878 +aS'is\tbe\tVBZ\tB-VP\tO' +p329879 +aS'the\tthe\tDT\tB-NP\tO' +p329880 +aS'end\tend\tNN\tI-NP\tO' +p329881 +aS'of\tof\tIN\tB-PP\tO' +p329882 +aS'part\tpart\tNN\tB-NP\tO' +p329883 +aS'1\t1\tCD\tI-NP\tO' +p329884 +aS'of\tof\tIN\tB-PP\tO' +p329885 +aS'this\tthis\tDT\tB-NP\tO' +p329886 +aS'dictation\tdictation\tNN\tI-NP\tO' +p329887 +aS'summary\tsummary\tNN\tI-NP\tO' +p329888 +aS'for\tfor\tIN\tB-PP\tO' +p329889 +aS'Patricia\tPatricia\tNNP\tB-NP\tO' +p329890 +aS'Jackson\tJackson\tNNP\tI-NP\tO' +p329891 +aS'.\t.\t.\tO\tO' +p329892 +asS'The family was present .' +p329893 +(lp329894 +S'The\tThe\tDT\tB-NP\tO' +p329895 +aS'family\tfamily\tNN\tI-NP\tO' +p329896 +aS'was\tbe\tVBD\tB-VP\tO' +p329897 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p329898 +aS'.\t.\t.\tO\tO' +p329899 +asS'The plan was q. 1-hour neuro checks .' +p329900 +(lp329901 +S'The\tThe\tDT\tB-NP\tO' +p329902 +aS'plan\tplan\tNN\tI-NP\tO' +p329903 +aS'was\tbe\tVBD\tB-VP\tO' +p329904 +aS'q.\tq.\tNN\tB-NP\tO' +p329905 +aS'1-hour\t1-hour\tJJ\tI-NP\tO' +p329906 +aS'neuro\tneuro\tNN\tI-NP\tO' +p329907 +aS'checks\tcheck\tNNS\tI-NP\tO' +p329908 +aS'.\t.\t.\tO\tO' +p329909 +asS'In general , in no acute distress .' +p329910 +(lp329911 +S'In\tIn\tIN\tB-PP\tO' +p329912 +aS'general\tgeneral\tJJ\tB-ADJP\tO' +p329913 +aS',\t,\t,\tO\tO' +p329914 +aS'in\tin\tIN\tB-PP\tO' +p329915 +aS'no\tno\tDT\tB-NP\tO' +p329916 +aS'acute\tacute\tJJ\tI-NP\tO' +p329917 +aS'distress\tdistress\tNN\tI-NP\tO' +p329918 +aS'.\t.\t.\tO\tO' +p329919 +asS'On the day of admission , the patient was with some friends , rose from a chair to leave and felt dizzy while ambulating , fell and hit elbow with minor head trauma .' +p329920 +(lp329921 +S'On\tOn\tIN\tB-PP\tO' +p329922 +aS'the\tthe\tDT\tB-NP\tO' +p329923 +aS'day\tday\tNN\tI-NP\tO' +p329924 +aS'of\tof\tIN\tB-PP\tO' +p329925 +aS'admission\tadmission\tNN\tB-NP\tO' +p329926 +aS',\t,\t,\tO\tO' +p329927 +aS'the\tthe\tDT\tB-NP\tO' +p329928 +aS'patient\tpatient\tNN\tI-NP\tO' +p329929 +aS'was\tbe\tVBD\tB-VP\tO' +p329930 +aS'with\twith\tIN\tB-PP\tO' +p329931 +aS'some\tsome\tDT\tB-NP\tO' +p329932 +aS'friends\tfriend\tNNS\tI-NP\tO' +p329933 +aS',\t,\t,\tO\tO' +p329934 +aS'rose\trise\tVBD\tB-VP\tO' +p329935 +aS'from\tfrom\tIN\tB-PP\tO' +p329936 +aS'a\ta\tDT\tB-NP\tO' +p329937 +aS'chair\tchair\tNN\tI-NP\tO' +p329938 +aS'to\tto\tTO\tB-VP\tO' +p329939 +aS'leave\tleave\tVB\tI-VP\tO' +p329940 +aS'and\tand\tCC\tO\tO' +p329941 +aS'felt\tfeel\tVBD\tB-VP\tO' +p329942 +aS'dizzy\tdizzy\tJJ\tB-ADJP\tO' +p329943 +aS'while\twhile\tIN\tB-SBAR\tO' +p329944 +aS'ambulating\tambulate\tVBG\tB-VP\tO' +p329945 +aS',\t,\t,\tO\tO' +p329946 +aS'fell\tfall\tVBD\tB-VP\tO' +p329947 +aS'and\tand\tCC\tI-VP\tO' +p329948 +aS'hit\thit\tVBD\tI-VP\tO' +p329949 +aS'elbow\telbow\tNN\tB-NP\tO' +p329950 +aS'with\twith\tIN\tB-PP\tO' +p329951 +aS'minor\tminor\tJJ\tB-NP\tO' +p329952 +aS'head\thead\tNN\tI-NP\tO' +p329953 +aS'trauma\ttrauma\tNN\tI-NP\tO' +p329954 +aS'.\t.\t.\tO\tO' +p329955 +asS'6. Meclizine 25 mg q8hours p.r.n.' +p329956 +(lp329957 +S'6.\t6.\tCD\tB-NP\tO' +p329958 +aS'Meclizine\tMeclizine\tNN\tI-NP\tO' +p329959 +aS'25\t25\tCD\tB-NP\tO' +p329960 +aS'mg\tmg\tNN\tI-NP\tO' +p329961 +aS'q8hours\tq8hour\tNNS\tI-NP\tO' +p329962 +aS'p.r.n.\tp.r.n.\tVBP\tB-VP\tO' +p329963 +asS'The patient was ultimately discharged on postoperative day number 16 , tolerating a regular diet , and adequate pain control on p.o. pain medications , having no anginal symptoms and with an INR of 2.0 .' +p329964 +(lp329965 +S'The\tThe\tDT\tB-NP\tO' +p329966 +aS'patient\tpatient\tNN\tI-NP\tO' +p329967 +aS'was\tbe\tVBD\tB-VP\tO' +p329968 +aS'ultimately\tultimately\tRB\tI-VP\tO' +p329969 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p329970 +aS'on\ton\tIN\tB-PP\tO' +p329971 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p329972 +aS'day\tday\tNN\tI-NP\tO' +p329973 +aS'number\tnumber\tNN\tI-NP\tO' +p329974 +aS'16\t16\tCD\tI-NP\tO' +p329975 +aS',\t,\t,\tO\tO' +p329976 +aS'tolerating\ttolerate\tVBG\tB-VP\tO' +p329977 +aS'a\ta\tDT\tB-NP\tO' +p329978 +aS'regular\tregular\tJJ\tI-NP\tO' +p329979 +aS'diet\tdiet\tNN\tI-NP\tO' +p329980 +aS',\t,\t,\tO\tO' +p329981 +aS'and\tand\tCC\tO\tO' +p329982 +aS'adequate\tadequate\tJJ\tB-NP\tO' +p329983 +aS'pain\tpain\tNN\tI-NP\tO' +p329984 +aS'control\tcontrol\tNN\tI-NP\tO' +p329985 +aS'on\ton\tIN\tB-PP\tO' +p329986 +aS'p.o.\tp.o.\tFW\tB-NP\tO' +p329987 +aS'pain\tpain\tNN\tI-NP\tO' +p329988 +aS'medications\tmedication\tNNS\tI-NP\tO' +p329989 +aS',\t,\t,\tO\tO' +p329990 +aS'having\thave\tVBG\tB-VP\tO' +p329991 +aS'no\tno\tDT\tB-NP\tO' +p329992 +aS'anginal\tanginal\tJJ\tI-NP\tO' +p329993 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p329994 +aS'and\tand\tCC\tB-PP\tO' +p329995 +aS'with\twith\tIN\tB-PP\tO' +p329996 +aS'an\tan\tDT\tB-NP\tO' +p329997 +aS'INR\tINR\tNN\tI-NP\tB-protein' +p329998 +aS'of\tof\tIN\tB-PP\tO' +p329999 +aS'2.0\t2.0\tCD\tB-NP\tO' +p330000 +aS'.\t.\t.\tO\tO' +p330001 +asS'9. Lipitor 40 mg Tablet Sig : One ( 1 ) Tablet PO once a day .' +p330002 +(lp330003 +S'9.\t9.\tCD\tB-NP\tO' +p330004 +aS'Lipitor\tLipitor\tNNP\tI-NP\tO' +p330005 +aS'40\t40\tCD\tI-NP\tO' +p330006 +aS'mg\tmg\tNN\tI-NP\tO' +p330007 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p330008 +aS'Sig\tSig\tNNP\tI-NP\tO' +p330009 +aS':\t:\t:\tO\tO' +p330010 +aS'One\tOne\tCD\tB-NP\tO' +p330011 +aS'(\t(\t(\tO\tO' +p330012 +aS'1\t1\tCD\tB-NP\tO' +p330013 +aS')\t)\t)\tO\tO' +p330014 +aS'Tablet\tTablet\tNN\tB-NP\tB-protein' +p330015 +aS'PO\tPO\tNN\tI-NP\tI-protein' +p330016 +aS'once\tonce\tRB\tO\tO' +p330017 +aS'a\ta\tDT\tB-NP\tO' +p330018 +aS'day\tday\tNN\tI-NP\tO' +p330019 +aS'.\t.\t.\tO\tO' +p330020 +asS'Limited examination .' +p330021 +(lp330022 +S'Limited\tLimit\tVBN\tB-NP\tO' +p330023 +aS'examination\texamination\tNN\tI-NP\tO' +p330024 +aS'.\t.\t.\tO\tO' +p330025 +asS'Dictated By : Brett E.X. Im , M.D.' +p330026 +(lp330027 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p330028 +aS'By\tBy\tIN\tB-PP\tO' +p330029 +aS':\t:\t:\tO\tO' +p330030 +aS'Brett\tBrett\tNNP\tB-NP\tO' +p330031 +aS'E.X.\tE.X.\tNNP\tI-NP\tO' +p330032 +aS'Im\tIm\tNNP\tI-NP\tO' +p330033 +aS',\t,\t,\tO\tO' +p330034 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p330035 +asS'He was transferred to Hallmark Health System for further care .' +p330036 +(lp330037 +S'He\tHe\tPRP\tB-NP\tO' +p330038 +aS'was\tbe\tVBD\tB-VP\tO' +p330039 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p330040 +aS'to\tto\tTO\tB-PP\tO' +p330041 +aS'Hallmark\tHallmark\tNNP\tB-NP\tO' +p330042 +aS'Health\tHealth\tNNP\tI-NP\tO' +p330043 +aS'System\tSystem\tNNP\tI-NP\tO' +p330044 +aS'for\tfor\tIN\tB-PP\tO' +p330045 +aS'further\tfurther\tJJ\tB-NP\tO' +p330046 +aS'care\tcare\tNN\tI-NP\tO' +p330047 +aS'.\t.\t.\tO\tO' +p330048 +asS'11-03 PMNs and <10 epithelial cells/100X field .' +p330049 +(lp330050 +S'11-03\t11-03\tCD\tB-NP\tO' +p330051 +aS'PMNs\tPMN\tNNS\tI-NP\tB-cell_type' +p330052 +aS'and\tand\tCC\tO\tO' +p330053 +aS'<10\t<10\tCD\tB-NP\tO' +p330054 +aS'epithelial\tepithelial\tJJ\tI-NP\tO' +p330055 +aS'cells/100X\tcells/100X\tNN\tI-NP\tO' +p330056 +aS'field\tfield\tNN\tI-NP\tO' +p330057 +aS'.\t.\t.\tO\tO' +p330058 +asS'There are persistent bifrontal and right parietal hemorrhagic contusions with surrounding edema and possible small left frontal subarachnoid hemorrhage ( adjacent to falx ) which are largely unchanged .' +p330059 +(lp330060 +S'There\tThere\tEX\tB-NP\tO' +p330061 +aS'are\tbe\tVBP\tB-VP\tO' +p330062 +aS'persistent\tpersistent\tJJ\tB-NP\tO' +p330063 +aS'bifrontal\tbifrontal\tJJ\tI-NP\tO' +p330064 +aS'and\tand\tCC\tI-NP\tO' +p330065 +aS'right\tright\tJJ\tI-NP\tO' +p330066 +aS'parietal\tparietal\tJJ\tI-NP\tO' +p330067 +aS'hemorrhagic\themorrhagic\tJJ\tI-NP\tO' +p330068 +aS'contusions\tcontusion\tNNS\tI-NP\tO' +p330069 +aS'with\twith\tIN\tB-PP\tO' +p330070 +aS'surrounding\tsurround\tVBG\tB-VP\tO' +p330071 +aS'edema\tedema\tNN\tB-NP\tO' +p330072 +aS'and\tand\tCC\tO\tO' +p330073 +aS'possible\tpossible\tJJ\tB-NP\tO' +p330074 +aS'small\tsmall\tJJ\tI-NP\tO' +p330075 +aS'left\tleft\tJJ\tI-NP\tO' +p330076 +aS'frontal\tfrontal\tJJ\tI-NP\tO' +p330077 +aS'subarachnoid\tsubarachnoid\tJJ\tI-NP\tO' +p330078 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p330079 +aS'(\t(\t(\tO\tO' +p330080 +aS'adjacent\tadjacent\tJJ\tB-ADJP\tO' +p330081 +aS'to\tto\tTO\tB-PP\tO' +p330082 +aS'falx\tfalx\tNN\tB-NP\tO' +p330083 +aS')\t)\t)\tO\tO' +p330084 +aS'which\twhich\tWDT\tB-NP\tO' +p330085 +aS'are\tbe\tVBP\tB-VP\tO' +p330086 +aS'largely\tlargely\tRB\tB-ADJP\tO' +p330087 +aS'unchanged\tunchanged\tJJ\tI-ADJP\tO' +p330088 +aS'.\t.\t.\tO\tO' +p330089 +asS'He was tranferred to the CMED .' +p330090 +(lp330091 +S'He\tHe\tPRP\tB-NP\tO' +p330092 +aS'was\tbe\tVBD\tB-VP\tO' +p330093 +aS'tranferred\ttranferre\tVBN\tI-VP\tO' +p330094 +aS'to\tto\tTO\tB-PP\tO' +p330095 +aS'the\tthe\tDT\tB-NP\tO' +p330096 +aS'CMED\tCMED\tNN\tI-NP\tO' +p330097 +aS'.\t.\t.\tO\tO' +p330098 +asS'His only positive result was a sputum culture for Pseudomonas and this came after he had already been on antibiotics .' +p330099 +(lp330100 +S'His\tHis\tPRP$\tB-NP\tO' +p330101 +aS'only\tonly\tJJ\tI-NP\tO' +p330102 +aS'positive\tpositive\tJJ\tI-NP\tO' +p330103 +aS'result\tresult\tNN\tI-NP\tO' +p330104 +aS'was\tbe\tVBD\tB-VP\tO' +p330105 +aS'a\ta\tDT\tB-NP\tO' +p330106 +aS'sputum\tsputum\tNN\tI-NP\tO' +p330107 +aS'culture\tculture\tNN\tI-NP\tO' +p330108 +aS'for\tfor\tIN\tB-PP\tO' +p330109 +aS'Pseudomonas\tPseudomonas\tNNP\tB-NP\tO' +p330110 +aS'and\tand\tCC\tO\tO' +p330111 +aS'this\tthis\tDT\tB-NP\tO' +p330112 +aS'came\tcome\tVBD\tB-VP\tO' +p330113 +aS'after\tafter\tIN\tB-SBAR\tO' +p330114 +aS'he\the\tPRP\tB-NP\tO' +p330115 +aS'had\thave\tVBD\tB-VP\tO' +p330116 +aS'already\talready\tRB\tI-VP\tO' +p330117 +aS'been\tbe\tVBN\tI-VP\tO' +p330118 +aS'on\ton\tIN\tB-PP\tO' +p330119 +aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' +p330120 +aS'.\t.\t.\tO\tO' +p330121 +asS'Pt continued to have elev pancreatic enzymes and pentamidine was switched to clinda/primaquine .' +p330122 +(lp330123 +S'Pt\tPt\tNN\tB-NP\tO' +p330124 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p330125 +aS'to\tto\tTO\tI-VP\tO' +p330126 +aS'have\thave\tVB\tI-VP\tO' +p330127 +aS'elev\telev\tNN\tB-NP\tB-protein' +p330128 +aS'pancreatic\tpancreatic\tJJ\tI-NP\tI-protein' +p330129 +aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' +p330130 +aS'and\tand\tCC\tO\tO' +p330131 +aS'pentamidine\tpentamidine\tNN\tB-NP\tO' +p330132 +aS'was\tbe\tVBD\tB-VP\tO' +p330133 +aS'switched\tswitch\tVBN\tI-VP\tO' +p330134 +aS'to\tto\tTO\tB-PP\tO' +p330135 +aS'clinda/primaquine\tclinda/primaquine\tNN\tB-NP\tO' +p330136 +aS'.\t.\t.\tO\tO' +p330137 +asS'HER WOUND HAS REMAIND DRY AND CLOSED , WITHOUT EVIDENCE OF INFECTION OR BREAKDOWN .' +p330138 +(lp330139 +S'HER\tHER\tNN\tB-NP\tO' +p330140 +aS'WOUND\tWOUND\tNN\tI-NP\tO' +p330141 +aS'HAS\tHAS\tVBZ\tB-VP\tO' +p330142 +aS'REMAIND\tREMAIND\tNNP\tB-NP\tO' +p330143 +aS'DRY\tDRY\tNNP\tI-NP\tO' +p330144 +aS'AND\tAND\tCC\tO\tO' +p330145 +aS'CLOSED\tCLOSED\tVBN\tB-VP\tO' +p330146 +aS',\t,\t,\tO\tO' +p330147 +aS'WITHOUT\tWITHOUT\tNN\tB-NP\tO' +p330148 +aS'EVIDENCE\tEVIDENCE\tNN\tI-NP\tO' +p330149 +aS'OF\tOF\tIN\tB-PP\tO' +p330150 +aS'INFECTION\tINFECTION\tNN\tB-NP\tO' +p330151 +aS'OR\tOR\tNN\tI-NP\tO' +p330152 +aS'BREAKDOWN\tBREAKDOWN\tNN\tI-NP\tO' +p330153 +aS'.\t.\t.\tO\tO' +p330154 +asS'He was again treated with IV Ceftazidime for presumed pseudomonal pneumonia and discharged home on IV antibiotics which he is presently on .' +p330155 +(lp330156 +S'He\tHe\tPRP\tB-NP\tO' +p330157 +aS'was\tbe\tVBD\tB-VP\tO' +p330158 +aS'again\tagain\tRB\tI-VP\tO' +p330159 +aS'treated\ttreat\tVBN\tI-VP\tO' +p330160 +aS'with\twith\tIN\tB-PP\tO' +p330161 +aS'IV\tIV\tCD\tB-NP\tO' +p330162 +aS'Ceftazidime\tCeftazidime\tNN\tI-NP\tO' +p330163 +aS'for\tfor\tIN\tB-PP\tO' +p330164 +aS'presumed\tpresume\tVBN\tB-NP\tO' +p330165 +aS'pseudomonal\tpseudomonal\tJJ\tI-NP\tO' +p330166 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p330167 +aS'and\tand\tCC\tO\tO' +p330168 +aS'discharged\tdischarge\tVBD\tB-VP\tO' +p330169 +aS'home\thome\tNN\tB-NP\tO' +p330170 +aS'on\ton\tIN\tB-PP\tO' +p330171 +aS'IV\tIV\tCD\tB-NP\tO' +p330172 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p330173 +aS'which\twhich\tWDT\tB-NP\tO' +p330174 +aS'he\the\tPRP\tB-NP\tO' +p330175 +aS'is\tbe\tVBZ\tB-VP\tO' +p330176 +aS'presently\tpresently\tRB\tB-ADVP\tO' +p330177 +aS'on\ton\tRB\tI-ADVP\tO' +p330178 +aS'.\t.\t.\tO\tO' +p330179 +asS'The patient had been initially very hypoglycemic on admission secondary to overdosing on insulin ; however , with glucose repletion both in the Emergency Department and in the ICU , this resolved and the patient also began to eat .' +p330180 +(lp330181 +S'The\tThe\tDT\tB-NP\tO' +p330182 +aS'patient\tpatient\tNN\tI-NP\tO' +p330183 +aS'had\thave\tVBD\tB-VP\tO' +p330184 +aS'been\tbe\tVBN\tI-VP\tO' +p330185 +aS'initially\tinitially\tRB\tB-ADJP\tO' +p330186 +aS'very\tvery\tRB\tI-ADJP\tO' +p330187 +aS'hypoglycemic\thypoglycemic\tJJ\tI-ADJP\tO' +p330188 +aS'on\ton\tIN\tB-PP\tO' +p330189 +aS'admission\tadmission\tNN\tB-NP\tO' +p330190 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p330191 +aS'to\tto\tTO\tB-PP\tO' +p330192 +aS'overdosing\toverdose\tVBG\tB-VP\tO' +p330193 +aS'on\ton\tIN\tB-PP\tO' +p330194 +aS'insulin\tinsulin\tNN\tB-NP\tB-protein' +p330195 +aS';\t;\t:\tO\tO' +p330196 +aS'however\thowever\tRB\tB-ADVP\tO' +p330197 +aS',\t,\t,\tO\tO' +p330198 +aS'with\twith\tIN\tB-PP\tO' +p330199 +aS'glucose\tglucose\tNN\tB-NP\tO' +p330200 +aS'repletion\trepletion\tNN\tI-NP\tO' +p330201 +aS'both\tboth\tCC\tB-PP\tO' +p330202 +aS'in\tin\tIN\tB-PP\tO' +p330203 +aS'the\tthe\tDT\tB-NP\tO' +p330204 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p330205 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p330206 +aS'and\tand\tCC\tB-PP\tO' +p330207 +aS'in\tin\tIN\tB-PP\tO' +p330208 +aS'the\tthe\tDT\tB-NP\tO' +p330209 +aS'ICU\tICU\tNN\tI-NP\tB-DNA' +p330210 +aS',\t,\t,\tO\tO' +p330211 +aS'this\tthis\tDT\tB-NP\tO' +p330212 +aS'resolved\tresolve\tVBN\tB-VP\tO' +p330213 +aS'and\tand\tCC\tO\tO' +p330214 +aS'the\tthe\tDT\tB-NP\tO' +p330215 +aS'patient\tpatient\tNN\tI-NP\tO' +p330216 +aS'also\talso\tRB\tB-ADVP\tO' +p330217 +aS'began\tbegin\tVBD\tB-VP\tO' +p330218 +aS'to\tto\tTO\tI-VP\tO' +p330219 +aS'eat\teat\tVB\tI-VP\tO' +p330220 +aS'.\t.\t.\tO\tO' +p330221 +asS'The neck showed a 1 x 1 centimeter submaxillary right lymph node .' +p330222 +(lp330223 +S'The\tThe\tDT\tB-NP\tO' +p330224 +aS'neck\tneck\tNN\tI-NP\tO' +p330225 +aS'showed\tshow\tVBD\tB-VP\tO' +p330226 +aS'a\ta\tDT\tB-NP\tO' +p330227 +aS'1\t1\tCD\tI-NP\tO' +p330228 +aS'x\tx\tSYM\tI-NP\tO' +p330229 +aS'1\t1\tCD\tI-NP\tO' +p330230 +aS'centimeter\tcentimeter\tNN\tI-NP\tO' +p330231 +aS'submaxillary\tsubmaxillary\tJJ\tI-NP\tO' +p330232 +aS'right\tright\tJJ\tI-NP\tO' +p330233 +aS'lymph\tlymph\tNN\tI-NP\tO' +p330234 +aS'node\tnode\tNN\tI-NP\tO' +p330235 +aS'.\t.\t.\tO\tO' +p330236 +asS'No significant subarachnoid or intraventricular hemorrhage is appreciated .' +p330237 +(lp330238 +S'No\tNo\tDT\tB-NP\tO' +p330239 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p330240 +aS'subarachnoid\tsubarachnoid\tNN\tI-NP\tO' +p330241 +aS'or\tor\tCC\tO\tO' +p330242 +aS'intraventricular\tintraventricular\tJJ\tB-NP\tO' +p330243 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p330244 +aS'is\tbe\tVBZ\tB-VP\tO' +p330245 +aS'appreciated\tappreciate\tVBN\tI-VP\tO' +p330246 +aS'.\t.\t.\tO\tO' +p330247 +asS'CV : tachycardic , regular rhythm , III/VI systolic , crescendo-decrescendo at USB bilaterally .' +p330248 +(lp330249 +S'CV\tCV\tNN\tB-NP\tO' +p330250 +aS':\t:\t:\tO\tO' +p330251 +aS'tachycardic\ttachycardic\tJJ\tB-NP\tO' +p330252 +aS',\t,\t,\tI-NP\tO' +p330253 +aS'regular\tregular\tJJ\tI-NP\tO' +p330254 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p330255 +aS',\t,\t,\tO\tO' +p330256 +aS'III/VI\tIII/VI\tCD\tB-NP\tO' +p330257 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p330258 +aS',\t,\t,\tI-NP\tO' +p330259 +aS'crescendo-decrescendo\tcrescendo-decrescendo\tJJ\tI-NP\tO' +p330260 +aS'at\tat\tIN\tB-PP\tO' +p330261 +aS'USB\tUSB\tNNP\tB-NP\tO' +p330262 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p330263 +aS'.\t.\t.\tO\tO' +p330264 +asS'Metastatic cancer to the liver .' +p330265 +(lp330266 +S'Metastatic\tMetastatic\tJJ\tB-NP\tO' +p330267 +aS'cancer\tcancer\tNN\tI-NP\tO' +p330268 +aS'to\tto\tTO\tB-PP\tO' +p330269 +aS'the\tthe\tDT\tB-NP\tO' +p330270 +aS'liver\tliver\tNN\tI-NP\tO' +p330271 +aS'.\t.\t.\tO\tO' +p330272 +asS'You are finishing a course of antibiotics and have been stable for days .' +p330273 +(lp330274 +S'You\tYou\tPRP\tB-NP\tB-protein' +p330275 +aS'are\tbe\tVBP\tB-VP\tO' +p330276 +aS'finishing\tfinish\tVBG\tI-VP\tO' +p330277 +aS'a\ta\tDT\tB-NP\tO' +p330278 +aS'course\tcourse\tNN\tI-NP\tO' +p330279 +aS'of\tof\tIN\tB-PP\tO' +p330280 +aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' +p330281 +aS'and\tand\tCC\tO\tO' +p330282 +aS'have\thave\tVBP\tB-VP\tO' +p330283 +aS'been\tbe\tVBN\tI-VP\tO' +p330284 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p330285 +aS'for\tfor\tIN\tB-PP\tO' +p330286 +aS'days\tday\tNNS\tB-NP\tO' +p330287 +aS'.\t.\t.\tO\tO' +p330288 +asS'Lungs were clear .' +p330289 +(lp330290 +S'Lungs\tLung\tNNS\tB-NP\tO' +p330291 +aS'were\tbe\tVBD\tB-VP\tO' +p330292 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p330293 +aS'.\t.\t.\tO\tO' +p330294 +asS'Penicillins / Keflex / Sulfa ( Sulfonamides ) / Nickel / Erythromycin Ethylsuccinate' +p330295 +(lp330296 +S'Penicillins\tPenicillin\tNNS\tB-NP\tB-protein' +p330297 +aS'/\t/\tSYM\tB-NP\tO' +p330298 +aS'Keflex\tKeflex\tNN\tI-NP\tO' +p330299 +aS'/\t/\tSYM\tB-NP\tO' +p330300 +aS'Sulfa\tSulfa\tNN\tI-NP\tO' +p330301 +aS'(\t(\t(\tO\tO' +p330302 +aS'Sulfonamides\tSulfonamide\tNNS\tB-NP\tO' +p330303 +aS')\t)\t)\tO\tO' +p330304 +aS'/\t/\tSYM\tB-NP\tO' +p330305 +aS'Nickel\tNickel\tNN\tI-NP\tO' +p330306 +aS'/\t/\tSYM\tO\tO' +p330307 +aS'Erythromycin\tErythromycin\tNN\tB-NP\tO' +p330308 +aS'Ethylsuccinate\tEthylsuccinate\tNN\tI-NP\tO' +p330309 +asS'The antrum was palpable 3 cm below the costal margin .' +p330310 +(lp330311 +S'The\tThe\tDT\tB-NP\tO' +p330312 +aS'antrum\tantrum\tNN\tI-NP\tO' +p330313 +aS'was\tbe\tVBD\tB-VP\tO' +p330314 +aS'palpable\tpalpable\tJJ\tB-NP\tO' +p330315 +aS'3\t3\tCD\tI-NP\tO' +p330316 +aS'cm\tcm\tNN\tI-NP\tO' +p330317 +aS'below\tbelow\tIN\tB-PP\tO' +p330318 +aS'the\tthe\tDT\tB-NP\tO' +p330319 +aS'costal\tcostal\tJJ\tI-NP\tO' +p330320 +aS'margin\tmargin\tNN\tI-NP\tO' +p330321 +aS'.\t.\t.\tO\tO' +p330322 +asS'1. Primary pediatrician .' +p330323 +(lp330324 +S'1.\t1.\tLS\tB-NP\tO' +p330325 +aS'Primary\tPrimary\tJJ\tI-NP\tO' +p330326 +aS'pediatrician\tpediatrician\tNN\tI-NP\tO' +p330327 +aS'.\t.\t.\tO\tO' +p330328 +asS'Blood pressure of 138/49 .' +p330329 +(lp330330 +S'Blood\tBlood\tNN\tB-NP\tO' +p330331 +aS'pressure\tpressure\tNN\tI-NP\tO' +p330332 +aS'of\tof\tIN\tB-PP\tO' +p330333 +aS'138/49\t138/49\tCD\tB-NP\tO' +p330334 +aS'.\t.\t.\tO\tO' +p330335 +asS'Dr. Telshey Swatlleebtik Dr. Eri Lfsquarc' +p330336 +(lp330337 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p330338 +aS'Telshey\tTelshey\tNNP\tI-NP\tO' +p330339 +aS'Swatlleebtik\tSwatlleebtik\tNNP\tI-NP\tO' +p330340 +aS'Dr.\tDr.\tNNP\tI-NP\tO' +p330341 +aS'Eri\tEri\tNNP\tI-NP\tO' +p330342 +aS'Lfsquarc\tLfsquarc\tNNP\tI-NP\tO' +p330343 +asS'Her alkaline phosphatase was slightly elevated but otherwise relatively normal .' +p330344 +(lp330345 +S'Her\tHer\tPRP$\tB-NP\tO' +p330346 +aS'alkaline\talkaline\tNN\tI-NP\tB-protein' +p330347 +aS'phosphatase\tphosphatase\tNN\tI-NP\tI-protein' +p330348 +aS'was\tbe\tVBD\tB-VP\tO' +p330349 +aS'slightly\tslightly\tRB\tB-ADJP\tO' +p330350 +aS'elevated\televated\tJJ\tI-ADJP\tO' +p330351 +aS'but\tbut\tCC\tO\tO' +p330352 +aS'otherwise\totherwise\tRB\tB-ADJP\tO' +p330353 +aS'relatively\trelatively\tRB\tI-ADJP\tO' +p330354 +aS'normal\tnormal\tJJ\tI-ADJP\tO' +p330355 +aS'.\t.\t.\tO\tO' +p330356 +asS'Gen : lying flat in bed , pleasant and conversational , NAD' +p330357 +(lp330358 +S'Gen\tGen\tNN\tB-NP\tO' +p330359 +aS':\t:\t:\tO\tO' +p330360 +aS'lying\tlie\tVBG\tB-VP\tO' +p330361 +aS'flat\tflat\tJJ\tB-ADJP\tO' +p330362 +aS'in\tin\tIN\tB-PP\tO' +p330363 +aS'bed\tbed\tNN\tB-NP\tO' +p330364 +aS',\t,\t,\tO\tO' +p330365 +aS'pleasant\tpleasant\tNN\tB-NP\tO' +p330366 +aS'and\tand\tCC\tO\tO' +p330367 +aS'conversational\tconversational\tJJ\tB-ADJP\tO' +p330368 +aS',\t,\t,\tO\tO' +p330369 +aS'NAD\tNAD\tNN\tB-NP\tO' +p330370 +asS'CMED CSRU staff was called about 30 minutes of age for grunting , flaring and retractions and the baby was admitted to the CMED CSRU .' +p330371 +(lp330372 +S'CMED\tCMED\tNNP\tB-NP\tO' +p330373 +aS'CSRU\tCSRU\tNNP\tI-NP\tO' +p330374 +aS'staff\tstaff\tNN\tI-NP\tO' +p330375 +aS'was\tbe\tVBD\tB-VP\tO' +p330376 +aS'called\tcall\tVBN\tI-VP\tO' +p330377 +aS'about\tabout\tRB\tB-NP\tO' +p330378 +aS'30\t30\tCD\tI-NP\tO' +p330379 +aS'minutes\tminute\tNNS\tI-NP\tO' +p330380 +aS'of\tof\tIN\tB-PP\tO' +p330381 +aS'age\tage\tNN\tB-NP\tO' +p330382 +aS'for\tfor\tIN\tB-PP\tO' +p330383 +aS'grunting\tgrunt\tVBG\tB-NP\tO' +p330384 +aS',\t,\t,\tI-NP\tO' +p330385 +aS'flaring\tflaring\tNN\tI-NP\tO' +p330386 +aS'and\tand\tCC\tI-NP\tO' +p330387 +aS'retractions\tretraction\tNNS\tI-NP\tO' +p330388 +aS'and\tand\tCC\tO\tO' +p330389 +aS'the\tthe\tDT\tB-NP\tO' +p330390 +aS'baby\tbaby\tNN\tI-NP\tO' +p330391 +aS'was\tbe\tVBD\tB-VP\tO' +p330392 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p330393 +aS'to\tto\tTO\tB-PP\tO' +p330394 +aS'the\tthe\tDT\tB-NP\tO' +p330395 +aS'CMED\tCMED\tNNP\tI-NP\tO' +p330396 +aS'CSRU\tCSRU\tNNP\tI-NP\tO' +p330397 +aS'.\t.\t.\tO\tO' +p330398 +asS'The patient was treated with Adriamycin 25 mg , Cis-platinum 40 mg , preceded by Mannitol 12.5 grams intravenous bolus , and Zofran 11 mg on two occasions given as an antiemetic .' +p330399 +(lp330400 +S'The\tThe\tDT\tB-NP\tO' +p330401 +aS'patient\tpatient\tNN\tI-NP\tO' +p330402 +aS'was\tbe\tVBD\tB-VP\tO' +p330403 +aS'treated\ttreat\tVBN\tI-VP\tO' +p330404 +aS'with\twith\tIN\tB-PP\tO' +p330405 +aS'Adriamycin\tAdriamycin\tNN\tB-NP\tO' +p330406 +aS'25\t25\tCD\tI-NP\tO' +p330407 +aS'mg\tmg\tNN\tI-NP\tO' +p330408 +aS',\t,\t,\tO\tO' +p330409 +aS'Cis-platinum\tCis-platinum\tNN\tB-NP\tO' +p330410 +aS'40\t40\tCD\tI-NP\tO' +p330411 +aS'mg\tmg\tNN\tI-NP\tO' +p330412 +aS',\t,\t,\tO\tO' +p330413 +aS'preceded\tprecede\tVBN\tB-VP\tO' +p330414 +aS'by\tby\tIN\tB-PP\tO' +p330415 +aS'Mannitol\tMannitol\tNN\tB-NP\tB-protein' +p330416 +aS'12.5\t12.5\tCD\tI-NP\tI-protein' +p330417 +aS'grams\tgram\tVBZ\tB-VP\tO' +p330418 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p330419 +aS'bolus\tbolus\tNN\tI-NP\tO' +p330420 +aS',\t,\t,\tO\tO' +p330421 +aS'and\tand\tCC\tO\tO' +p330422 +aS'Zofran\tZofran\tNN\tB-NP\tO' +p330423 +aS'11\t11\tCD\tI-NP\tO' +p330424 +aS'mg\tmg\tNN\tI-NP\tO' +p330425 +aS'on\ton\tIN\tB-PP\tO' +p330426 +aS'two\ttwo\tCD\tB-NP\tO' +p330427 +aS'occasions\toccasion\tNNS\tI-NP\tO' +p330428 +aS'given\tgive\tVBN\tB-VP\tO' +p330429 +aS'as\tas\tIN\tB-PP\tO' +p330430 +aS'an\tan\tDT\tB-NP\tO' +p330431 +aS'antiemetic\tantiemetic\tJJ\tI-NP\tO' +p330432 +aS'.\t.\t.\tO\tO' +p330433 +asS'She had a CK of 212 and MB of 21 , and a troponin of 0.56 .' +p330434 +(lp330435 +S'She\tShe\tPRP\tB-NP\tO' +p330436 +aS'had\thave\tVBD\tB-VP\tO' +p330437 +aS'a\ta\tDT\tB-NP\tO' +p330438 +aS'CK\tCK\tNN\tI-NP\tB-protein' +p330439 +aS'of\tof\tIN\tB-PP\tO' +p330440 +aS'212\t212\tCD\tB-NP\tO' +p330441 +aS'and\tand\tCC\tO\tO' +p330442 +aS'MB\tMB\tNN\tB-NP\tO' +p330443 +aS'of\tof\tIN\tB-PP\tO' +p330444 +aS'21\t21\tCD\tB-NP\tO' +p330445 +aS',\t,\t,\tO\tO' +p330446 +aS'and\tand\tCC\tO\tO' +p330447 +aS'a\ta\tDT\tB-NP\tO' +p330448 +aS'troponin\ttroponin\tNN\tI-NP\tO' +p330449 +aS'of\tof\tIN\tB-PP\tO' +p330450 +aS'0.56\t0.56\tCD\tB-NP\tO' +p330451 +aS'.\t.\t.\tO\tO' +p330452 +asS'He has a PICC line in place for continued treatment with Rocephin and he will have a visiting nurse to help him to administer these medications .' +p330453 +(lp330454 +S'He\tHe\tPRP\tB-NP\tO' +p330455 +aS'has\thave\tVBZ\tB-VP\tO' +p330456 +aS'a\ta\tDT\tB-NP\tO' +p330457 +aS'PICC\tPICC\tNN\tI-NP\tB-cell_line' +p330458 +aS'line\tline\tNN\tI-NP\tI-cell_line' +p330459 +aS'in\tin\tIN\tB-PP\tO' +p330460 +aS'place\tplace\tNN\tB-NP\tO' +p330461 +aS'for\tfor\tIN\tB-PP\tO' +p330462 +aS'continued\tcontinued\tJJ\tB-NP\tO' +p330463 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p330464 +aS'with\twith\tIN\tB-PP\tO' +p330465 +aS'Rocephin\tRocephin\tNN\tB-NP\tO' +p330466 +aS'and\tand\tCC\tO\tO' +p330467 +aS'he\the\tPRP\tB-NP\tO' +p330468 +aS'will\twill\tMD\tB-VP\tO' +p330469 +aS'have\thave\tVB\tI-VP\tO' +p330470 +aS'a\ta\tDT\tB-NP\tO' +p330471 +aS'visiting\tvisit\tVBG\tI-NP\tO' +p330472 +aS'nurse\tnurse\tNN\tI-NP\tO' +p330473 +aS'to\tto\tTO\tB-VP\tO' +p330474 +aS'help\thelp\tVB\tI-VP\tO' +p330475 +aS'him\thim\tPRP\tB-NP\tO' +p330476 +aS'to\tto\tTO\tB-VP\tO' +p330477 +aS'administer\tadminister\tVB\tI-VP\tO' +p330478 +aS'these\tthese\tDT\tB-NP\tO' +p330479 +aS'medications\tmedication\tNNS\tI-NP\tO' +p330480 +aS'.\t.\t.\tO\tO' +p330481 +asS'Based upon the above results , he was transferred to the Mediplex Rehab Hospital for surgical revascularization .' +p330482 +(lp330483 +S'Based\tBase\tVBN\tB-VP\tO' +p330484 +aS'upon\tupon\tIN\tB-PP\tO' +p330485 +aS'the\tthe\tDT\tB-NP\tO' +p330486 +aS'above\tabove\tJJ\tI-NP\tO' +p330487 +aS'results\tresult\tNNS\tI-NP\tO' +p330488 +aS',\t,\t,\tO\tO' +p330489 +aS'he\the\tPRP\tB-NP\tO' +p330490 +aS'was\tbe\tVBD\tB-VP\tO' +p330491 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p330492 +aS'to\tto\tTO\tB-PP\tO' +p330493 +aS'the\tthe\tDT\tB-NP\tO' +p330494 +aS'Mediplex\tMediplex\tNNP\tI-NP\tO' +p330495 +aS'Rehab\tRehab\tNNP\tI-NP\tO' +p330496 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p330497 +aS'for\tfor\tIN\tB-PP\tO' +p330498 +aS'surgical\tsurgical\tJJ\tB-NP\tO' +p330499 +aS'revascularization\trevascularization\tNN\tI-NP\tO' +p330500 +aS'.\t.\t.\tO\tO' +p330501 +asS'Signed electronically by : DR. Edward Larue on : TUE 2013-05-14 5:11 AM' +p330502 +(lp330503 +S'Signed\tSign\tVBN\tB-VP\tO' +p330504 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p330505 +aS'by\tby\tIN\tB-PP\tO' +p330506 +aS':\t:\t:\tO\tO' +p330507 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p330508 +aS'Edward\tEdward\tNNP\tI-NP\tO' +p330509 +aS'Larue\tLarue\tNNP\tI-NP\tO' +p330510 +aS'on\ton\tIN\tB-PP\tO' +p330511 +aS':\t:\t:\tO\tO' +p330512 +aS'TUE\tTUE\tNN\tB-NP\tO' +p330513 +aS'2013-05-14\t2013-05-14\tCD\tI-NP\tO' +p330514 +aS'5:11\t5:11\tCD\tI-NP\tO' +p330515 +aS'AM\tAM\tNN\tI-NP\tO' +p330516 +asS'Peritoneal dialysis catheter placement , peritoneal dialysis , arterial catheterization , venous catheterization , continuous mechanical ventilation , and parenteral nutrition .' +p330517 +(lp330518 +S'Peritoneal\tPeritoneal\tJJ\tB-NP\tO' +p330519 +aS'dialysis\tdialysis\tNN\tI-NP\tO' +p330520 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p330521 +aS'placement\tplacement\tNN\tI-NP\tO' +p330522 +aS',\t,\t,\tO\tO' +p330523 +aS'peritoneal\tperitoneal\tJJ\tB-NP\tO' +p330524 +aS'dialysis\tdialysis\tNN\tI-NP\tO' +p330525 +aS',\t,\t,\tO\tO' +p330526 +aS'arterial\tarterial\tJJ\tB-NP\tO' +p330527 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p330528 +aS',\t,\t,\tO\tO' +p330529 +aS'venous\tvenous\tJJ\tB-NP\tO' +p330530 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p330531 +aS',\t,\t,\tO\tO' +p330532 +aS'continuous\tcontinuous\tJJ\tB-NP\tO' +p330533 +aS'mechanical\tmechanical\tJJ\tI-NP\tO' +p330534 +aS'ventilation\tventilation\tNN\tI-NP\tO' +p330535 +aS',\t,\t,\tO\tO' +p330536 +aS'and\tand\tCC\tO\tO' +p330537 +aS'parenteral\tparenteral\tJJ\tB-NP\tO' +p330538 +aS'nutrition\tnutrition\tNN\tI-NP\tO' +p330539 +aS'.\t.\t.\tO\tO' +p330540 +asS'Pt was intubated prior to tunneled catheter removal , see below .' +p330541 +(lp330542 +S'Pt\tPt\tNN\tB-NP\tO' +p330543 +aS'was\tbe\tVBD\tB-VP\tO' +p330544 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p330545 +aS'prior\tprior\tRB\tB-ADVP\tO' +p330546 +aS'to\tto\tTO\tB-PP\tO' +p330547 +aS'tunneled\ttunnel\tVBN\tB-NP\tO' +p330548 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p330549 +aS'removal\tremoval\tNN\tI-NP\tO' +p330550 +aS',\t,\t,\tO\tO' +p330551 +aS'see\tsee\tVB\tB-VP\tO' +p330552 +aS'below\tbelow\tIN\tB-ADVP\tO' +p330553 +aS'.\t.\t.\tO\tO' +p330554 +asS'He went on to develop profound thrombocytopenia complicated by hemorrhage .' +p330555 +(lp330556 +S'He\tHe\tPRP\tB-NP\tO' +p330557 +aS'went\tgo\tVBD\tB-VP\tO' +p330558 +aS'on\ton\tRP\tB-PRT\tO' +p330559 +aS'to\tto\tTO\tB-VP\tO' +p330560 +aS'develop\tdevelop\tVB\tI-VP\tO' +p330561 +aS'profound\tprofound\tJJ\tB-NP\tO' +p330562 +aS'thrombocytopenia\tthrombocytopenia\tNN\tI-NP\tO' +p330563 +aS'complicated\tcomplicate\tVBN\tB-VP\tO' +p330564 +aS'by\tby\tIN\tB-PP\tO' +p330565 +aS'hemorrhage\themorrhage\tNN\tB-NP\tO' +p330566 +aS'.\t.\t.\tO\tO' +p330567 +asS'Lungs : Coarse breath sounds anterolaterally .' +p330568 +(lp330569 +S'Lungs\tLung\tNNS\tB-NP\tO' +p330570 +aS':\t:\t:\tO\tO' +p330571 +aS'Coarse\tCoarse\tNN\tB-NP\tO' +p330572 +aS'breath\tbreath\tNN\tI-NP\tO' +p330573 +aS'sounds\tsound\tVBZ\tB-VP\tO' +p330574 +aS'anterolaterally\tanterolaterally\tRB\tB-ADVP\tO' +p330575 +aS'.\t.\t.\tO\tO' +p330576 +asS'The ET tube and right PICC line in standard placements .' +p330577 +(lp330578 +S'The\tThe\tDT\tB-NP\tO' +p330579 +aS'ET\tET\tNN\tI-NP\tO' +p330580 +aS'tube\ttube\tNN\tI-NP\tO' +p330581 +aS'and\tand\tCC\tI-NP\tO' +p330582 +aS'right\tright\tJJ\tI-NP\tO' +p330583 +aS'PICC\tPICC\tNN\tI-NP\tO' +p330584 +aS'line\tline\tNN\tI-NP\tO' +p330585 +aS'in\tin\tIN\tB-PP\tO' +p330586 +aS'standard\tstandard\tJJ\tB-NP\tO' +p330587 +aS'placements\tplacement\tNNS\tI-NP\tO' +p330588 +aS'.\t.\t.\tO\tO' +p330589 +asS'Neck revealed no lymphadenopathy .' +p330590 +(lp330591 +S'Neck\tNeck\tNN\tB-NP\tO' +p330592 +aS'revealed\treveal\tVBD\tB-VP\tO' +p330593 +aS'no\tno\tDT\tB-NP\tO' +p330594 +aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' +p330595 +aS'.\t.\t.\tO\tO' +p330596 +asS'The morning of admission the mother developed vaginal bleeding and fetal bradycardia was noted .' +p330597 +(lp330598 +S'The\tThe\tDT\tB-NP\tO' +p330599 +aS'morning\tmorning\tNN\tI-NP\tO' +p330600 +aS'of\tof\tIN\tB-PP\tO' +p330601 +aS'admission\tadmission\tNN\tB-NP\tO' +p330602 +aS'the\tthe\tDT\tB-NP\tO' +p330603 +aS'mother\tmother\tNN\tI-NP\tO' +p330604 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p330605 +aS'vaginal\tvaginal\tJJ\tB-NP\tO' +p330606 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p330607 +aS'and\tand\tCC\tO\tO' +p330608 +aS'fetal\tfetal\tJJ\tB-NP\tO' +p330609 +aS'bradycardia\tbradycardia\tNN\tI-NP\tO' +p330610 +aS'was\tbe\tVBD\tB-VP\tO' +p330611 +aS'noted\tnote\tVBN\tI-VP\tO' +p330612 +aS'.\t.\t.\tO\tO' +p330613 +asS'Attending : Faye B. Jones , M.D.' +p330614 +(lp330615 +S'Attending\tAttend\tVBG\tB-VP\tO' +p330616 +aS':\t:\t:\tO\tO' +p330617 +aS'Faye\tFaye\tNNP\tB-NP\tO' +p330618 +aS'B.\tB.\tNNP\tI-NP\tO' +p330619 +aS'Jones\tJones\tNNP\tI-NP\tO' +p330620 +aS',\t,\t,\tO\tO' +p330621 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p330622 +asS'She was treated with a sliding-scale of regular insulin while she was in house .' +p330623 +(lp330624 +S'She\tShe\tPRP\tB-NP\tO' +p330625 +aS'was\tbe\tVBD\tB-VP\tO' +p330626 +aS'treated\ttreat\tVBN\tI-VP\tO' +p330627 +aS'with\twith\tIN\tB-PP\tO' +p330628 +aS'a\ta\tDT\tB-NP\tO' +p330629 +aS'sliding-scale\tsliding-scale\tNN\tI-NP\tO' +p330630 +aS'of\tof\tIN\tB-PP\tO' +p330631 +aS'regular\tregular\tJJ\tB-NP\tB-protein' +p330632 +aS'insulin\tinsulin\tNN\tI-NP\tI-protein' +p330633 +aS'while\twhile\tIN\tB-SBAR\tO' +p330634 +aS'she\tshe\tPRP\tB-NP\tO' +p330635 +aS'was\tbe\tVBD\tB-VP\tO' +p330636 +aS'in\tin\tIN\tB-PP\tO' +p330637 +aS'house\thouse\tNN\tB-NP\tO' +p330638 +aS'.\t.\t.\tO\tO' +p330639 +asS'The patient tolerated the procedure well with a bypass time of 155 minutes and a crossclamp time of' +p330640 +(lp330641 +S'The\tThe\tDT\tB-NP\tO' +p330642 +aS'patient\tpatient\tNN\tI-NP\tO' +p330643 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p330644 +aS'the\tthe\tDT\tB-NP\tO' +p330645 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p330646 +aS'well\twell\tRB\tB-ADVP\tO' +p330647 +aS'with\twith\tIN\tB-PP\tO' +p330648 +aS'a\ta\tDT\tB-NP\tO' +p330649 +aS'bypass\tbypass\tNN\tI-NP\tO' +p330650 +aS'time\ttime\tNN\tI-NP\tO' +p330651 +aS'of\tof\tIN\tB-PP\tO' +p330652 +aS'155\t155\tCD\tB-NP\tO' +p330653 +aS'minutes\tminute\tNNS\tI-NP\tO' +p330654 +aS'and\tand\tCC\tO\tO' +p330655 +aS'a\ta\tDT\tB-NP\tO' +p330656 +aS'crossclamp\tcrossclamp\tNN\tI-NP\tO' +p330657 +aS'time\ttime\tNN\tI-NP\tO' +p330658 +aS'of\tof\tIN\tB-PP\tO' +p330659 +asS'She had no definite S3 .' +p330660 +(lp330661 +S'She\tShe\tPRP\tB-NP\tO' +p330662 +aS'had\thave\tVBD\tB-VP\tO' +p330663 +aS'no\tno\tDT\tB-NP\tO' +p330664 +aS'definite\tdefinite\tJJ\tI-NP\tO' +p330665 +aS'S3\tS3\tNN\tI-NP\tO' +p330666 +aS'.\t.\t.\tO\tO' +p330667 +asS'He has had one bowel movement today which is on 2014-03-31 .' +p330668 +(lp330669 +S'He\tHe\tPRP\tB-NP\tO' +p330670 +aS'has\thave\tVBZ\tB-VP\tO' +p330671 +aS'had\thave\tVBD\tI-VP\tO' +p330672 +aS'one\tone\tCD\tB-NP\tO' +p330673 +aS'bowel\tbowel\tNN\tI-NP\tO' +p330674 +aS'movement\tmovement\tNN\tI-NP\tO' +p330675 +aS'today\ttoday\tNN\tB-NP\tO' +p330676 +aS'which\twhich\tWDT\tB-NP\tO' +p330677 +aS'is\tbe\tVBZ\tB-VP\tO' +p330678 +aS'on\ton\tIN\tB-PP\tO' +p330679 +aS'2014-03-31\t2014-03-31\tCD\tB-NP\tO' +p330680 +aS'.\t.\t.\tO\tO' +p330681 +asS'The hematocrit on 05-12 was 48.7 with a reticulocyte count of 1.9 , and his blood type is O+ / Coombs negative .' +p330682 +(lp330683 +S'The\tThe\tDT\tB-NP\tO' +p330684 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p330685 +aS'on\ton\tIN\tB-PP\tO' +p330686 +aS'05-12\t05-12\tNN\tB-NP\tO' +p330687 +aS'was\tbe\tVBD\tB-VP\tO' +p330688 +aS'48.7\t48.7\tCD\tB-NP\tO' +p330689 +aS'with\twith\tIN\tB-PP\tO' +p330690 +aS'a\ta\tDT\tB-NP\tO' +p330691 +aS'reticulocyte\treticulocyte\tNN\tI-NP\tO' +p330692 +aS'count\tcount\tNN\tI-NP\tO' +p330693 +aS'of\tof\tIN\tB-PP\tO' +p330694 +aS'1.9\t1.9\tCD\tB-NP\tO' +p330695 +aS',\t,\t,\tO\tO' +p330696 +aS'and\tand\tCC\tO\tO' +p330697 +aS'his\this\tPRP$\tB-NP\tO' +p330698 +aS'blood\tblood\tNN\tI-NP\tO' +p330699 +aS'type\ttype\tNN\tI-NP\tO' +p330700 +aS'is\tbe\tVBZ\tB-VP\tO' +p330701 +aS'O+\tO+\tJJ\tB-ADJP\tO' +p330702 +aS'/\t/\tSYM\tB-NP\tO' +p330703 +aS'Coombs\tCoomb\tNNS\tI-NP\tO' +p330704 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p330705 +aS'.\t.\t.\tO\tO' +p330706 +asS'Status post coronary bypass surgery .' +p330707 +(lp330708 +S'Status\tStatus\tNNP\tB-NP\tO' +p330709 +aS'post\tpost\tVBD\tB-VP\tO' +p330710 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p330711 +aS'bypass\tbypass\tNN\tI-NP\tO' +p330712 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p330713 +aS'.\t.\t.\tO\tO' +p330714 +asS'He remained hemodynamically stable .' +p330715 +(lp330716 +S'He\tHe\tPRP\tB-NP\tO' +p330717 +aS'remained\tremain\tVBD\tB-VP\tO' +p330718 +aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' +p330719 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p330720 +aS'.\t.\t.\tO\tO' +p330721 +asS'The patient presented in acute renal failure with a BUN of 101 and a creatinine of 3.7 .' +p330722 +(lp330723 +S'The\tThe\tDT\tB-NP\tO' +p330724 +aS'patient\tpatient\tNN\tI-NP\tO' +p330725 +aS'presented\tpresent\tVBD\tB-VP\tO' +p330726 +aS'in\tin\tIN\tB-PP\tO' +p330727 +aS'acute\tacute\tJJ\tB-NP\tO' +p330728 +aS'renal\trenal\tJJ\tI-NP\tO' +p330729 +aS'failure\tfailure\tNN\tI-NP\tO' +p330730 +aS'with\twith\tIN\tB-PP\tO' +p330731 +aS'a\ta\tDT\tB-NP\tO' +p330732 +aS'BUN\tBUN\tNN\tI-NP\tO' +p330733 +aS'of\tof\tIN\tB-PP\tO' +p330734 +aS'101\t101\tCD\tB-NP\tO' +p330735 +aS'and\tand\tCC\tO\tO' +p330736 +aS'a\ta\tDT\tB-NP\tO' +p330737 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p330738 +aS'of\tof\tIN\tB-PP\tO' +p330739 +aS'3.7\t3.7\tCD\tB-NP\tO' +p330740 +aS'.\t.\t.\tO\tO' +p330741 +asS'The patient 's neurovascular examination was intact .' +p330742 +(lp330743 +S'The\tThe\tDT\tB-NP\tO' +p330744 +aS'patient\tpatient\tNN\tI-NP\tO' +p330745 +aS''s\t'\tNNS\tI-NP\tO' +p330746 +aS'neurovascular\tneurovascular\tJJ\tB-NP\tO' +p330747 +aS'examination\texamination\tNN\tI-NP\tO' +p330748 +aS'was\tbe\tVBD\tB-VP\tO' +p330749 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p330750 +aS'.\t.\t.\tO\tO' +p330751 +asS'Follow up examinations have found a suspicious left lower lobe finding .' +p330752 +(lp330753 +S'Follow\tFollow\tVB\tB-VP\tO' +p330754 +aS'up\tup\tRP\tB-PRT\tO' +p330755 +aS'examinations\texamination\tNNS\tB-NP\tO' +p330756 +aS'have\thave\tVBP\tB-VP\tO' +p330757 +aS'found\tfind\tVBN\tI-VP\tO' +p330758 +aS'a\ta\tDT\tB-NP\tO' +p330759 +aS'suspicious\tsuspicious\tJJ\tI-NP\tO' +p330760 +aS'left\tleave\tVBD\tB-VP\tO' +p330761 +aS'lower\tlow\tJJR\tB-NP\tO' +p330762 +aS'lobe\tlobe\tNN\tI-NP\tO' +p330763 +aS'finding\tfinding\tNN\tI-NP\tO' +p330764 +aS'.\t.\t.\tO\tO' +p330765 +asS'Disp :* 30 Capsule (s)* Refills :* 0 *' +p330766 +(lp330767 +S'Disp\tDisp\tNN\tB-NP\tO' +p330768 +aS':*\t:*\tSYM\tI-NP\tO' +p330769 +aS'30\t30\tCD\tI-NP\tO' +p330770 +aS'Capsule\tCapsule\tNN\tI-NP\tO' +p330771 +aS'(s)*\t(s)*\tSYM\tB-NP\tO' +p330772 +aS'Refills\tRefill\tNNPS\tI-NP\tO' +p330773 +aS':*\t:*\tSYM\tI-NP\tO' +p330774 +aS'0\t0\tCD\tI-NP\tO' +p330775 +aS'*\t*\tSYM\tB-NP\tO' +p330776 +asS'A Urology consultation was obtained , and it was recommended that an IVP be obtained .' +p330777 +(lp330778 +S'A\tA\tDT\tB-NP\tO' +p330779 +aS'Urology\tUrology\tNNP\tI-NP\tO' +p330780 +aS'consultation\tconsultation\tNN\tI-NP\tO' +p330781 +aS'was\tbe\tVBD\tB-VP\tO' +p330782 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p330783 +aS',\t,\t,\tO\tO' +p330784 +aS'and\tand\tCC\tO\tO' +p330785 +aS'it\tit\tPRP\tB-NP\tO' +p330786 +aS'was\tbe\tVBD\tB-VP\tO' +p330787 +aS'recommended\trecommend\tVBN\tI-VP\tO' +p330788 +aS'that\tthat\tIN\tB-SBAR\tO' +p330789 +aS'an\tan\tDT\tB-NP\tO' +p330790 +aS'IVP\tIVP\tNN\tI-NP\tB-protein' +p330791 +aS'be\tbe\tVB\tB-VP\tO' +p330792 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p330793 +aS'.\t.\t.\tO\tO' +p330794 +asS'Developed requirement for multiple pressors , then arrhythmias .' +p330795 +(lp330796 +S'Developed\tDevelop\tVBN\tB-NP\tO' +p330797 +aS'requirement\trequirement\tNN\tI-NP\tO' +p330798 +aS'for\tfor\tIN\tB-PP\tO' +p330799 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p330800 +aS'pressors\tpressor\tNNS\tI-NP\tO' +p330801 +aS',\t,\t,\tO\tO' +p330802 +aS'then\tthen\tRB\tB-ADVP\tO' +p330803 +aS'arrhythmias\tarrhythmia\tNNS\tB-NP\tO' +p330804 +aS'.\t.\t.\tO\tO' +p330805 +asS'It should be noted that while in the hospital , the patient received an abdominal ultrasound which is significant for a grossly enlarged liver with multiple foci of cancer .' +p330806 +(lp330807 +S'It\tIt\tPRP\tB-NP\tO' +p330808 +aS'should\tshould\tMD\tB-VP\tO' +p330809 +aS'be\tbe\tVB\tI-VP\tO' +p330810 +aS'noted\tnote\tVBN\tI-VP\tO' +p330811 +aS'that\tthat\tIN\tB-SBAR\tO' +p330812 +aS'while\twhile\tNN\tB-NP\tO' +p330813 +aS'in\tin\tIN\tB-PP\tO' +p330814 +aS'the\tthe\tDT\tB-NP\tO' +p330815 +aS'hospital\thospital\tNN\tI-NP\tO' +p330816 +aS',\t,\t,\tO\tO' +p330817 +aS'the\tthe\tDT\tB-NP\tO' +p330818 +aS'patient\tpatient\tNN\tI-NP\tO' +p330819 +aS'received\treceive\tVBD\tB-VP\tO' +p330820 +aS'an\tan\tDT\tB-NP\tO' +p330821 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p330822 +aS'ultrasound\tultrasound\tNN\tI-NP\tO' +p330823 +aS'which\twhich\tWDT\tB-NP\tO' +p330824 +aS'is\tbe\tVBZ\tB-VP\tO' +p330825 +aS'significant\tsignificant\tJJ\tB-ADJP\tO' +p330826 +aS'for\tfor\tIN\tB-PP\tO' +p330827 +aS'a\ta\tDT\tB-NP\tO' +p330828 +aS'grossly\tgrossly\tRB\tI-NP\tO' +p330829 +aS'enlarged\tenlarge\tVBN\tI-NP\tO' +p330830 +aS'liver\tliver\tNN\tI-NP\tO' +p330831 +aS'with\twith\tIN\tB-PP\tO' +p330832 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p330833 +aS'foci\tfocus\tNNS\tI-NP\tO' +p330834 +aS'of\tof\tIN\tB-PP\tO' +p330835 +aS'cancer\tcancer\tNN\tB-NP\tO' +p330836 +aS'.\t.\t.\tO\tO' +p330837 +asS'Images of his head , abdomen , and thorax were obtained .' +p330838 +(lp330839 +S'Images\tImage\tNNS\tB-NP\tO' +p330840 +aS'of\tof\tIN\tB-PP\tO' +p330841 +aS'his\this\tPRP$\tB-NP\tO' +p330842 +aS'head\thead\tNN\tI-NP\tO' +p330843 +aS',\t,\t,\tO\tO' +p330844 +aS'abdomen\tabdomen\tNN\tB-NP\tO' +p330845 +aS',\t,\t,\tO\tO' +p330846 +aS'and\tand\tCC\tO\tO' +p330847 +aS'thorax\tthorax\tNN\tB-NP\tO' +p330848 +aS'were\tbe\tVBD\tB-VP\tO' +p330849 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p330850 +aS'.\t.\t.\tO\tO' +p330851 +asS'Please refer to full discharge summary for details .' +p330852 +(lp330853 +S'Please\tPlease\tNN\tB-NP\tB-protein' +p330854 +aS'refer\trefer\tVBP\tB-VP\tO' +p330855 +aS'to\tto\tTO\tB-PP\tO' +p330856 +aS'full\tfull\tJJ\tB-NP\tO' +p330857 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p330858 +aS'summary\tsummary\tNN\tI-NP\tO' +p330859 +aS'for\tfor\tIN\tB-PP\tO' +p330860 +aS'details\tdetail\tNNS\tB-NP\tO' +p330861 +aS'.\t.\t.\tO\tO' +p330862 +asS'She has had progressive heart failure and an evaluation demonstrated worsening mitral stenosis with severe pulmonary hypertension .' +p330863 +(lp330864 +S'She\tShe\tPRP\tB-NP\tO' +p330865 +aS'has\thave\tVBZ\tB-VP\tO' +p330866 +aS'had\thave\tVBN\tI-VP\tO' +p330867 +aS'progressive\tprogressive\tJJ\tB-NP\tO' +p330868 +aS'heart\theart\tNN\tI-NP\tO' +p330869 +aS'failure\tfailure\tNN\tI-NP\tO' +p330870 +aS'and\tand\tCC\tO\tO' +p330871 +aS'an\tan\tDT\tB-NP\tO' +p330872 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p330873 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p330874 +aS'worsening\tworsen\tVBG\tI-VP\tO' +p330875 +aS'mitral\tmitral\tJJ\tB-NP\tO' +p330876 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p330877 +aS'with\twith\tIN\tB-PP\tO' +p330878 +aS'severe\tsevere\tJJ\tB-NP\tO' +p330879 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p330880 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p330881 +aS'.\t.\t.\tO\tO' +p330882 +asS'Dictated By : Gerald R. Quiroz , M.D.' +p330883 +(lp330884 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p330885 +aS'By\tBy\tIN\tB-PP\tO' +p330886 +aS':\t:\t:\tO\tO' +p330887 +aS'Gerald\tGerald\tNNP\tB-NP\tO' +p330888 +aS'R.\tR.\tNNP\tI-NP\tO' +p330889 +aS'Quiroz\tQuiroz\tNNP\tI-NP\tO' +p330890 +aS',\t,\t,\tO\tO' +p330891 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p330892 +asS"According to her guardian she was discharged to her NH for a few days after her pacer was placed 05-08 , which was complicated by a PTX requiring CT placement which had been d/c 'd in the hospital after resolution of her PTX ." +p330893 +(lp330894 +S'According\tAccord\tVBG\tB-PP\tO' +p330895 +aS'to\tto\tTO\tB-PP\tO' +p330896 +aS'her\ther\tPRP$\tB-NP\tO' +p330897 +aS'guardian\tguardian\tJJ\tI-NP\tO' +p330898 +aS'she\tshe\tPRP\tB-NP\tO' +p330899 +aS'was\tbe\tVBD\tB-VP\tO' +p330900 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p330901 +aS'to\tto\tTO\tB-PP\tO' +p330902 +aS'her\ther\tPRP$\tB-NP\tO' +p330903 +aS'NH\tNH\tNN\tI-NP\tO' +p330904 +aS'for\tfor\tIN\tB-PP\tO' +p330905 +aS'a\ta\tDT\tB-NP\tO' +p330906 +aS'few\tfew\tJJ\tI-NP\tO' +p330907 +aS'days\tday\tNNS\tI-NP\tO' +p330908 +aS'after\tafter\tIN\tB-PP\tO' +p330909 +aS'her\ther\tPRP$\tB-NP\tO' +p330910 +aS'pacer\tpacer\tNN\tI-NP\tO' +p330911 +aS'was\tbe\tVBD\tB-VP\tO' +p330912 +aS'placed\tplace\tVBN\tI-VP\tO' +p330913 +aS'05-08\t05-08\tCD\tB-NP\tO' +p330914 +aS',\t,\t,\tO\tO' +p330915 +aS'which\twhich\tWDT\tB-NP\tO' +p330916 +aS'was\tbe\tVBD\tB-VP\tO' +p330917 +aS'complicated\tcomplicate\tVBN\tI-VP\tO' +p330918 +aS'by\tby\tIN\tB-PP\tO' +p330919 +aS'a\ta\tDT\tB-NP\tO' +p330920 +aS'PTX\tPTX\tNN\tI-NP\tB-protein' +p330921 +aS'requiring\trequire\tVBG\tB-VP\tO' +p330922 +aS'CT\tCT\tNN\tB-NP\tO' +p330923 +aS'placement\tplacement\tNN\tI-NP\tO' +p330924 +aS'which\twhich\tWDT\tB-NP\tO' +p330925 +aS'had\thave\tVBD\tB-VP\tO' +p330926 +aS'been\tbe\tVBN\tI-VP\tO' +p330927 +aS'd/c\td/c\tNN\tB-NP\tO' +p330928 +aS"'d\t'd\tMD\tB-VP\tO" +p330929 +aS'in\tin\tIN\tB-PP\tO' +p330930 +aS'the\tthe\tDT\tB-NP\tO' +p330931 +aS'hospital\thospital\tNN\tI-NP\tO' +p330932 +aS'after\tafter\tIN\tB-PP\tO' +p330933 +aS'resolution\tresolution\tNN\tB-NP\tO' +p330934 +aS'of\tof\tIN\tB-PP\tO' +p330935 +aS'her\ther\tPRP$\tB-NP\tO' +p330936 +aS'PTX\tPTX\tNN\tI-NP\tB-protein' +p330937 +aS'.\t.\t.\tO\tO' +p330938 +asS'ID was consulted who suggested broad spectrum antibiotics if she were to spike .' +p330939 +(lp330940 +S'ID\tID\tNN\tB-NP\tO' +p330941 +aS'was\tbe\tVBD\tB-VP\tO' +p330942 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p330943 +aS'who\twho\tWP\tB-NP\tO' +p330944 +aS'suggested\tsuggest\tVBD\tB-VP\tO' +p330945 +aS'broad\tbroad\tJJ\tB-NP\tO' +p330946 +aS'spectrum\tspectrum\tNN\tI-NP\tO' +p330947 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p330948 +aS'if\tif\tIN\tB-SBAR\tO' +p330949 +aS'she\tshe\tPRP\tB-NP\tO' +p330950 +aS'were\tbe\tVBD\tB-VP\tO' +p330951 +aS'to\tto\tTO\tI-VP\tO' +p330952 +aS'spike\tspike\tVB\tI-VP\tO' +p330953 +aS'.\t.\t.\tO\tO' +p330954 +asS'So an magnetic resonance imaging angiogram was obtained and showed the right parietal occipital hemorrhage .' +p330955 +(lp330956 +S'So\tSo\tRB\tB-ADVP\tO' +p330957 +aS'an\tan\tDT\tB-NP\tO' +p330958 +aS'magnetic\tmagnetic\tJJ\tI-NP\tO' +p330959 +aS'resonance\tresonance\tNN\tI-NP\tO' +p330960 +aS'imaging\timaging\tNN\tI-NP\tO' +p330961 +aS'angiogram\tangiogram\tNN\tI-NP\tO' +p330962 +aS'was\tbe\tVBD\tB-VP\tO' +p330963 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p330964 +aS'and\tand\tCC\tO\tO' +p330965 +aS'showed\tshow\tVBD\tB-VP\tO' +p330966 +aS'the\tthe\tDT\tB-NP\tO' +p330967 +aS'right\tright\tJJ\tI-NP\tO' +p330968 +aS'parietal\tparietal\tJJ\tI-NP\tO' +p330969 +aS'occipital\toccipital\tNN\tI-NP\tO' +p330970 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p330971 +aS'.\t.\t.\tO\tO' +p330972 +asS'clear to auscultation and percussion .' +p330973 +(lp330974 +S'clear\tclear\tJJ\tB-ADJP\tO' +p330975 +aS'to\tto\tTO\tB-PP\tO' +p330976 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p330977 +aS'and\tand\tCC\tI-NP\tO' +p330978 +aS'percussion\tpercussion\tNN\tI-NP\tO' +p330979 +aS'.\t.\t.\tO\tO' +p330980 +asS'Since that time she has continued to have exertional left chest burning , radiating to the left neck and arm , relieved by nitroglycerin .' +p330981 +(lp330982 +S'Since\tSince\tIN\tB-PP\tO' +p330983 +aS'that\tthat\tDT\tB-NP\tO' +p330984 +aS'time\ttime\tNN\tI-NP\tO' +p330985 +aS'she\tshe\tPRP\tB-NP\tO' +p330986 +aS'has\thave\tVBZ\tB-VP\tO' +p330987 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p330988 +aS'to\tto\tTO\tI-VP\tO' +p330989 +aS'have\thave\tVB\tI-VP\tO' +p330990 +aS'exertional\texertional\tJJ\tB-NP\tO' +p330991 +aS'left\tleft\tJJ\tI-NP\tO' +p330992 +aS'chest\tchest\tNN\tI-NP\tO' +p330993 +aS'burning\tburning\tNN\tI-NP\tO' +p330994 +aS',\t,\t,\tO\tO' +p330995 +aS'radiating\tradiate\tVBG\tB-VP\tO' +p330996 +aS'to\tto\tTO\tB-PP\tO' +p330997 +aS'the\tthe\tDT\tB-NP\tO' +p330998 +aS'left\tleft\tJJ\tI-NP\tO' +p330999 +aS'neck\tneck\tNN\tI-NP\tO' +p331000 +aS'and\tand\tCC\tI-NP\tO' +p331001 +aS'arm\tarm\tNN\tI-NP\tO' +p331002 +aS',\t,\t,\tO\tO' +p331003 +aS'relieved\trelieve\tVBN\tB-VP\tO' +p331004 +aS'by\tby\tIN\tB-PP\tO' +p331005 +aS'nitroglycerin\tnitroglycerin\tNN\tB-NP\tB-protein' +p331006 +aS'.\t.\t.\tO\tO' +p331007 +asS"In order to aid in optimization of the patient 's fluid status , the patient was on continuous Baker Baker dialysis during the procedure ." +p331008 +(lp331009 +S'In\tIn\tIN\tB-SBAR\tO' +p331010 +aS'order\torder\tNN\tO\tO' +p331011 +aS'to\tto\tTO\tB-VP\tO' +p331012 +aS'aid\taid\tVB\tI-VP\tO' +p331013 +aS'in\tin\tIN\tB-PP\tO' +p331014 +aS'optimization\toptimization\tNN\tB-NP\tO' +p331015 +aS'of\tof\tIN\tB-PP\tO' +p331016 +aS'the\tthe\tDT\tB-NP\tO' +p331017 +aS'patient\tpatient\tNN\tI-NP\tO' +p331018 +aS"'s\t's\tPOS\tB-NP\tO" +p331019 +aS'fluid\tfluid\tNN\tI-NP\tO' +p331020 +aS'status\tstatus\tNN\tI-NP\tO' +p331021 +aS',\t,\t,\tO\tO' +p331022 +aS'the\tthe\tDT\tB-NP\tO' +p331023 +aS'patient\tpatient\tNN\tI-NP\tO' +p331024 +aS'was\tbe\tVBD\tB-VP\tO' +p331025 +aS'on\ton\tIN\tB-PP\tO' +p331026 +aS'continuous\tcontinuous\tJJ\tB-NP\tO' +p331027 +aS'Baker\tBaker\tNNP\tI-NP\tO' +p331028 +aS'Baker\tBaker\tNNP\tI-NP\tO' +p331029 +aS'dialysis\tdialysis\tNN\tI-NP\tO' +p331030 +aS'during\tduring\tIN\tB-PP\tO' +p331031 +aS'the\tthe\tDT\tB-NP\tO' +p331032 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p331033 +aS'.\t.\t.\tO\tO' +p331034 +asS'The patient was extremely reluctant to undergo surgery , although he understands that this may become necessary in the future .' +p331035 +(lp331036 +S'The\tThe\tDT\tB-NP\tO' +p331037 +aS'patient\tpatient\tNN\tI-NP\tO' +p331038 +aS'was\tbe\tVBD\tB-VP\tO' +p331039 +aS'extremely\textremely\tRB\tB-ADJP\tO' +p331040 +aS'reluctant\treluctant\tJJ\tI-ADJP\tO' +p331041 +aS'to\tto\tTO\tB-VP\tO' +p331042 +aS'undergo\tundergo\tVB\tI-VP\tO' +p331043 +aS'surgery\tsurgery\tNN\tB-NP\tO' +p331044 +aS',\t,\t,\tO\tO' +p331045 +aS'although\talthough\tIN\tB-SBAR\tO' +p331046 +aS'he\the\tPRP\tB-NP\tO' +p331047 +aS'understands\tunderstand\tVBZ\tB-VP\tO' +p331048 +aS'that\tthat\tIN\tB-SBAR\tO' +p331049 +aS'this\tthis\tDT\tB-NP\tO' +p331050 +aS'may\tmay\tMD\tB-VP\tO' +p331051 +aS'become\tbecome\tVB\tI-VP\tO' +p331052 +aS'necessary\tnecessary\tJJ\tB-ADJP\tO' +p331053 +aS'in\tin\tIN\tB-PP\tO' +p331054 +aS'the\tthe\tDT\tB-NP\tO' +p331055 +aS'future\tfuture\tNN\tI-NP\tO' +p331056 +aS'.\t.\t.\tO\tO' +p331057 +asS'Chest demonstrated bilateral holosystolic bruits over the subclavians , left greater than right with few bibasilar crackles .' +p331058 +(lp331059 +S'Chest\tChest\tNNP\tB-NP\tO' +p331060 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p331061 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p331062 +aS'holosystolic\tholosystolic\tJJ\tI-NP\tO' +p331063 +aS'bruits\tbruit\tNNS\tI-NP\tO' +p331064 +aS'over\tover\tIN\tB-PP\tO' +p331065 +aS'the\tthe\tDT\tB-NP\tO' +p331066 +aS'subclavians\tsubclavian\tNNS\tI-NP\tO' +p331067 +aS',\t,\t,\tO\tO' +p331068 +aS'left\tleave\tVBD\tB-VP\tO' +p331069 +aS'greater\tgreat\tJJR\tB-ADJP\tO' +p331070 +aS'than\tthan\tIN\tB-SBAR\tO' +p331071 +aS'right\tright\tRB\tB-ADVP\tO' +p331072 +aS'with\twith\tIN\tB-PP\tO' +p331073 +aS'few\tfew\tJJ\tB-NP\tO' +p331074 +aS'bibasilar\tbibasilar\tJJ\tI-NP\tO' +p331075 +aS'crackles\tcrackle\tNNS\tI-NP\tO' +p331076 +aS'.\t.\t.\tO\tO' +p331077 +asS'Slightly dry MM .' +p331078 +(lp331079 +S'Slightly\tSlightly\tRB\tB-NP\tO' +p331080 +aS'dry\tdry\tJJ\tI-NP\tO' +p331081 +aS'MM\tMM\tNN\tI-NP\tO' +p331082 +aS'.\t.\t.\tO\tO' +p331083 +asS'The patient is to follow-up with her endocrinologist at the Mahoney , as well as her primary care physician .' +p331084 +(lp331085 +S'The\tThe\tDT\tB-NP\tO' +p331086 +aS'patient\tpatient\tNN\tI-NP\tO' +p331087 +aS'is\tbe\tVBZ\tB-VP\tO' +p331088 +aS'to\tto\tTO\tB-VP\tO' +p331089 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p331090 +aS'with\twith\tIN\tB-PP\tO' +p331091 +aS'her\ther\tPRP$\tB-NP\tO' +p331092 +aS'endocrinologist\tendocrinologist\tNN\tI-NP\tO' +p331093 +aS'at\tat\tIN\tB-PP\tO' +p331094 +aS'the\tthe\tDT\tB-NP\tO' +p331095 +aS'Mahoney\tMahoney\tNNP\tI-NP\tO' +p331096 +aS',\t,\t,\tO\tO' +p331097 +aS'as\tas\tRB\tB-CONJP\tO' +p331098 +aS'well\twell\tRB\tI-CONJP\tO' +p331099 +aS'as\tas\tIN\tI-CONJP\tO' +p331100 +aS'her\ther\tPRP$\tB-NP\tO' +p331101 +aS'primary\tprimary\tJJ\tI-NP\tO' +p331102 +aS'care\tcare\tNN\tI-NP\tO' +p331103 +aS'physician\tphysician\tNN\tI-NP\tO' +p331104 +aS'.\t.\t.\tO\tO' +p331105 +asS'On hospital day #2 , the patient was noted to have increased dyspnea on exertion .' +p331106 +(lp331107 +S'On\tOn\tIN\tB-PP\tO' +p331108 +aS'hospital\thospital\tNN\tB-NP\tO' +p331109 +aS'day\tday\tNN\tI-NP\tO' +p331110 +aS'#2\t#2\tNN\tI-NP\tO' +p331111 +aS',\t,\t,\tO\tO' +p331112 +aS'the\tthe\tDT\tB-NP\tO' +p331113 +aS'patient\tpatient\tNN\tI-NP\tO' +p331114 +aS'was\tbe\tVBD\tB-VP\tO' +p331115 +aS'noted\tnote\tVBN\tI-VP\tO' +p331116 +aS'to\tto\tTO\tI-VP\tO' +p331117 +aS'have\thave\tVB\tI-VP\tO' +p331118 +aS'increased\tincrease\tVBN\tB-NP\tO' +p331119 +aS'dyspnea\tdyspnea\tNN\tI-NP\tO' +p331120 +aS'on\ton\tIN\tB-PP\tO' +p331121 +aS'exertion\texertion\tNN\tB-NP\tO' +p331122 +aS'.\t.\t.\tO\tO' +p331123 +asS'Cardiac and infectious sources of hypotension were considered , but cardiac enzymes were not changed from prior studies and he had no localizing signs of infection ; blood cultures were sent and a ultrasound of the L arm AVF ordered to rule out abscess at the site .' +p331124 +(lp331125 +S'Cardiac\tCardiac\tJJ\tB-NP\tO' +p331126 +aS'and\tand\tCC\tI-NP\tO' +p331127 +aS'infectious\tinfectious\tJJ\tI-NP\tO' +p331128 +aS'sources\tsource\tNNS\tI-NP\tO' +p331129 +aS'of\tof\tIN\tB-PP\tO' +p331130 +aS'hypotension\thypotension\tNN\tB-NP\tO' +p331131 +aS'were\tbe\tVBD\tB-VP\tO' +p331132 +aS'considered\tconsider\tVBN\tI-VP\tO' +p331133 +aS',\t,\t,\tO\tO' +p331134 +aS'but\tbut\tCC\tO\tO' +p331135 +aS'cardiac\tcardiac\tJJ\tB-NP\tB-protein' +p331136 +aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' +p331137 +aS'were\tbe\tVBD\tB-VP\tO' +p331138 +aS'not\tnot\tRB\tI-VP\tO' +p331139 +aS'changed\tchange\tVBN\tI-VP\tO' +p331140 +aS'from\tfrom\tIN\tB-PP\tO' +p331141 +aS'prior\tprior\tJJ\tB-NP\tO' +p331142 +aS'studies\tstudy\tNNS\tI-NP\tO' +p331143 +aS'and\tand\tCC\tO\tO' +p331144 +aS'he\the\tPRP\tB-NP\tO' +p331145 +aS'had\thave\tVBD\tB-VP\tO' +p331146 +aS'no\tno\tDT\tB-NP\tO' +p331147 +aS'localizing\tlocalize\tVBG\tI-NP\tO' +p331148 +aS'signs\tsign\tNNS\tI-NP\tO' +p331149 +aS'of\tof\tIN\tB-PP\tO' +p331150 +aS'infection\tinfection\tNN\tB-NP\tO' +p331151 +aS';\t;\t:\tO\tO' +p331152 +aS'blood\tblood\tNN\tB-NP\tO' +p331153 +aS'cultures\tculture\tNNS\tI-NP\tO' +p331154 +aS'were\tbe\tVBD\tB-VP\tO' +p331155 +aS'sent\tsend\tVBN\tI-VP\tO' +p331156 +aS'and\tand\tCC\tO\tO' +p331157 +aS'a\ta\tDT\tB-NP\tO' +p331158 +aS'ultrasound\tultrasound\tNN\tI-NP\tO' +p331159 +aS'of\tof\tIN\tB-PP\tO' +p331160 +aS'the\tthe\tDT\tB-NP\tO' +p331161 +aS'L\tL\tNN\tI-NP\tB-protein' +p331162 +aS'arm\tarm\tNN\tI-NP\tI-protein' +p331163 +aS'AVF\tAVF\tNN\tI-NP\tI-protein' +p331164 +aS'ordered\torder\tVBN\tB-VP\tO' +p331165 +aS'to\tto\tTO\tB-VP\tO' +p331166 +aS'rule\trule\tVB\tI-VP\tO' +p331167 +aS'out\tout\tRP\tB-PRT\tO' +p331168 +aS'abscess\tabscess\tNN\tB-NP\tO' +p331169 +aS'at\tat\tIN\tB-PP\tO' +p331170 +aS'the\tthe\tDT\tB-NP\tO' +p331171 +aS'site\tsite\tNN\tI-NP\tO' +p331172 +aS'.\t.\t.\tO\tO' +p331173 +asS'She was transferred to the Ph University Of Medical Center Intensive Care Unit where on January 25 in the morning her hematocrit was found to be 27.4 .' +p331174 +(lp331175 +S'She\tShe\tPRP\tB-NP\tO' +p331176 +aS'was\tbe\tVBD\tB-VP\tO' +p331177 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p331178 +aS'to\tto\tTO\tB-PP\tO' +p331179 +aS'the\tthe\tDT\tB-NP\tO' +p331180 +aS'Ph\tPh\tNNP\tI-NP\tO' +p331181 +aS'University\tUniversity\tNNP\tI-NP\tO' +p331182 +aS'Of\tOf\tNNP\tI-NP\tO' +p331183 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p331184 +aS'Center\tCenter\tNNP\tI-NP\tO' +p331185 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p331186 +aS'Care\tCare\tNNP\tI-NP\tO' +p331187 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p331188 +aS'where\twhere\tWRB\tB-ADVP\tO' +p331189 +aS'on\ton\tIN\tB-PP\tO' +p331190 +aS'January\tJanuary\tNNP\tB-NP\tO' +p331191 +aS'25\t25\tCD\tI-NP\tO' +p331192 +aS'in\tin\tIN\tB-PP\tO' +p331193 +aS'the\tthe\tDT\tB-NP\tO' +p331194 +aS'morning\tmorning\tNN\tI-NP\tO' +p331195 +aS'her\ther\tPRP$\tB-NP\tO' +p331196 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p331197 +aS'was\tbe\tVBD\tB-VP\tO' +p331198 +aS'found\tfind\tVBN\tI-VP\tO' +p331199 +aS'to\tto\tTO\tI-VP\tO' +p331200 +aS'be\tbe\tVB\tI-VP\tO' +p331201 +aS'27.4\t27.4\tCD\tB-NP\tO' +p331202 +aS'.\t.\t.\tO\tO' +p331203 +asS'The right ankle was somewhat tender from this edema .' +p331204 +(lp331205 +S'The\tThe\tDT\tB-NP\tO' +p331206 +aS'right\tright\tJJ\tI-NP\tO' +p331207 +aS'ankle\tankle\tNN\tI-NP\tO' +p331208 +aS'was\tbe\tVBD\tB-VP\tO' +p331209 +aS'somewhat\tsomewhat\tRB\tI-VP\tO' +p331210 +aS'tender\ttender\tVB\tI-VP\tO' +p331211 +aS'from\tfrom\tIN\tB-PP\tO' +p331212 +aS'this\tthis\tDT\tB-NP\tO' +p331213 +aS'edema\tedema\tNN\tI-NP\tO' +p331214 +aS'.\t.\t.\tO\tO' +p331215 +asS'Fluids , electrolytes and nutrition - She was tolerating a house diet upon discharge .' +p331216 +(lp331217 +S'Fluids\tFluid\tNNS\tB-NP\tO' +p331218 +aS',\t,\t,\tO\tO' +p331219 +aS'electrolytes\telectrolyte\tNNS\tB-NP\tO' +p331220 +aS'and\tand\tCC\tO\tO' +p331221 +aS'nutrition\tnutrition\tNN\tB-NP\tO' +p331222 +aS'-\t-\tHYPH\tI-NP\tO' +p331223 +aS'She\tShe\tNN\tB-NP\tB-protein' +p331224 +aS'was\tbe\tVBD\tB-VP\tO' +p331225 +aS'tolerating\ttolerate\tVBG\tI-VP\tO' +p331226 +aS'a\ta\tDT\tB-NP\tO' +p331227 +aS'house\thouse\tNN\tI-NP\tO' +p331228 +aS'diet\tdiet\tNN\tI-NP\tO' +p331229 +aS'upon\tupon\tIN\tB-PP\tO' +p331230 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p331231 +aS'.\t.\t.\tO\tO' +p331232 +asS'The above treatments were continued .' +p331233 +(lp331234 +S'The\tThe\tDT\tB-NP\tO' +p331235 +aS'above\tabove\tJJ\tI-NP\tO' +p331236 +aS'treatments\ttreatment\tNNS\tI-NP\tO' +p331237 +aS'were\tbe\tVBD\tB-VP\tO' +p331238 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p331239 +aS'.\t.\t.\tO\tO' +p331240 +asS'The patient slowly weaned off Neo-Synephrine as tolerated .' +p331241 +(lp331242 +S'The\tThe\tDT\tB-NP\tO' +p331243 +aS'patient\tpatient\tNN\tI-NP\tO' +p331244 +aS'slowly\tslowly\tRB\tB-ADVP\tO' +p331245 +aS'weaned\twean\tVBD\tB-VP\tO' +p331246 +aS'off\toff\tRP\tB-PRT\tO' +p331247 +aS'Neo-Synephrine\tNeo-Synephrine\tNN\tB-NP\tO' +p331248 +aS'as\tas\tIN\tB-SBAR\tO' +p331249 +aS'tolerated\ttolerate\tVBN\tB-VP\tO' +p331250 +aS'.\t.\t.\tO\tO' +p331251 +asS'The patient had an electrocardiogram with normal sinus rhythm at 70 , normal axis , normal intervals , low voltage in the limb leads .' +p331252 +(lp331253 +S'The\tThe\tDT\tB-NP\tO' +p331254 +aS'patient\tpatient\tNN\tI-NP\tO' +p331255 +aS'had\thave\tVBD\tB-VP\tO' +p331256 +aS'an\tan\tDT\tB-NP\tO' +p331257 +aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' +p331258 +aS'with\twith\tIN\tB-PP\tO' +p331259 +aS'normal\tnormal\tJJ\tB-NP\tO' +p331260 +aS'sinus\tsinus\tNN\tI-NP\tO' +p331261 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p331262 +aS'at\tat\tIN\tB-PP\tO' +p331263 +aS'70\t70\tCD\tB-NP\tO' +p331264 +aS',\t,\t,\tO\tO' +p331265 +aS'normal\tnormal\tJJ\tB-NP\tO' +p331266 +aS'axis\taxis\tNN\tI-NP\tO' +p331267 +aS',\t,\t,\tO\tO' +p331268 +aS'normal\tnormal\tJJ\tB-NP\tO' +p331269 +aS'intervals\tinterval\tNNS\tI-NP\tO' +p331270 +aS',\t,\t,\tO\tO' +p331271 +aS'low\tlow\tJJ\tB-NP\tO' +p331272 +aS'voltage\tvoltage\tNN\tI-NP\tO' +p331273 +aS'in\tin\tIN\tB-PP\tO' +p331274 +aS'the\tthe\tDT\tB-NP\tO' +p331275 +aS'limb\tlimb\tNN\tI-NP\tO' +p331276 +aS'leads\tlead\tVBZ\tB-VP\tO' +p331277 +aS'.\t.\t.\tO\tO' +p331278 +asS'The patient was also told to continue on a neutropenic diet .' +p331279 +(lp331280 +S'The\tThe\tDT\tB-NP\tO' +p331281 +aS'patient\tpatient\tNN\tI-NP\tO' +p331282 +aS'was\tbe\tVBD\tB-VP\tO' +p331283 +aS'also\talso\tRB\tI-VP\tO' +p331284 +aS'told\ttell\tVBN\tI-VP\tO' +p331285 +aS'to\tto\tTO\tI-VP\tO' +p331286 +aS'continue\tcontinue\tVB\tI-VP\tO' +p331287 +aS'on\ton\tIN\tB-PP\tO' +p331288 +aS'a\ta\tDT\tB-NP\tO' +p331289 +aS'neutropenic\tneutropenic\tJJ\tI-NP\tO' +p331290 +aS'diet\tdiet\tNN\tI-NP\tO' +p331291 +aS'.\t.\t.\tO\tO' +p331292 +asS'He did well in immediate postoperative period .' +p331293 +(lp331294 +S'He\tHe\tPRP\tB-NP\tO' +p331295 +aS'did\tdo\tVBD\tB-VP\tO' +p331296 +aS'well\twell\tRB\tB-ADVP\tO' +p331297 +aS'in\tin\tIN\tB-PP\tO' +p331298 +aS'immediate\timmediate\tJJ\tB-NP\tO' +p331299 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p331300 +aS'period\tperiod\tNN\tI-NP\tO' +p331301 +aS'.\t.\t.\tO\tO' +p331302 +asS'A follow up chest computerized tomography scan led to a tissue biopsy via flexible bronchoscopy in 07/93 .' +p331303 +(lp331304 +S'A\tA\tDT\tB-NP\tO' +p331305 +aS'follow\tfollow\tVB\tB-VP\tO' +p331306 +aS'up\tup\tRP\tB-PRT\tO' +p331307 +aS'chest\tch\tJJS\tB-NP\tO' +p331308 +aS'computerized\tcomputerized\tJJ\tI-NP\tO' +p331309 +aS'tomography\ttomography\tNN\tI-NP\tO' +p331310 +aS'scan\tscan\tNN\tI-NP\tO' +p331311 +aS'led\tlead\tVBD\tB-VP\tO' +p331312 +aS'to\tto\tTO\tB-PP\tO' +p331313 +aS'a\ta\tDT\tB-NP\tO' +p331314 +aS'tissue\ttissue\tNN\tI-NP\tO' +p331315 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p331316 +aS'via\tvia\tIN\tB-PP\tO' +p331317 +aS'flexible\tflexible\tJJ\tB-NP\tO' +p331318 +aS'bronchoscopy\tbronchoscopy\tNN\tI-NP\tO' +p331319 +aS'in\tin\tIN\tB-PP\tO' +p331320 +aS'07/93\t07/93\tCD\tB-NP\tO' +p331321 +aS'.\t.\t.\tO\tO' +p331322 +asS'In the newborn nursery he was started on PO feedings on demand .' +p331323 +(lp331324 +S'In\tIn\tIN\tB-PP\tO' +p331325 +aS'the\tthe\tDT\tB-NP\tO' +p331326 +aS'newborn\tnewborn\tJJ\tI-NP\tO' +p331327 +aS'nursery\tnursery\tNN\tI-NP\tO' +p331328 +aS'he\the\tPRP\tB-NP\tO' +p331329 +aS'was\tbe\tVBD\tB-VP\tO' +p331330 +aS'started\tstart\tVBN\tI-VP\tO' +p331331 +aS'on\ton\tIN\tB-PP\tO' +p331332 +aS'PO\tPO\tNN\tB-NP\tO' +p331333 +aS'feedings\tfeeding\tNNS\tI-NP\tO' +p331334 +aS'on\ton\tIN\tB-PP\tO' +p331335 +aS'demand\tdemand\tNN\tB-NP\tO' +p331336 +aS'.\t.\t.\tO\tO' +p331337 +asS'CT abdomen consistent with large necrotic pelvic mass - not sampled 02-12 coagulopathy .' +p331338 +(lp331339 +S'CT\tCT\tNN\tB-NP\tO' +p331340 +aS'abdomen\tabdoman\tNNS\tI-NP\tO' +p331341 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p331342 +aS'with\twith\tIN\tB-PP\tO' +p331343 +aS'large\tlarge\tJJ\tB-NP\tO' +p331344 +aS'necrotic\tnecrotic\tJJ\tI-NP\tO' +p331345 +aS'pelvic\tpelvic\tJJ\tI-NP\tO' +p331346 +aS'mass\tmass\tNN\tI-NP\tO' +p331347 +aS'-\t-\tHYPH\tB-VP\tO' +p331348 +aS'not\tnot\tRB\tI-VP\tO' +p331349 +aS'sampled\tsample\tVBN\tI-VP\tO' +p331350 +aS'02-12\t02-12\tJJ\tB-NP\tO' +p331351 +aS'coagulopathy\tcoagulopathy\tNN\tI-NP\tO' +p331352 +aS'.\t.\t.\tO\tO' +p331353 +asS'5+ throughout , except left hand intrinsic muscles were 4+ , 3+ in the middle digits .' +p331354 +(lp331355 +S'5+\t5+\tJJ\tB-ADJP\tO' +p331356 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p331357 +aS',\t,\t,\tO\tO' +p331358 +aS'except\texcept\tIN\tB-PP\tO' +p331359 +aS'left\tleft\tJJ\tB-NP\tO' +p331360 +aS'hand\thand\tNN\tI-NP\tO' +p331361 +aS'intrinsic\tintrinsic\tJJ\tI-NP\tO' +p331362 +aS'muscles\tmuscle\tNNS\tI-NP\tO' +p331363 +aS'were\tbe\tVBD\tB-VP\tO' +p331364 +aS'4+\t4+\tJJ\tB-ADJP\tO' +p331365 +aS',\t,\t,\tO\tO' +p331366 +aS'3+\t3+\tJJ\tB-ADJP\tO' +p331367 +aS'in\tin\tIN\tB-PP\tO' +p331368 +aS'the\tthe\tDT\tB-NP\tO' +p331369 +aS'middle\tmiddle\tJJ\tI-NP\tO' +p331370 +aS'digits\tdigit\tNNS\tI-NP\tO' +p331371 +aS'.\t.\t.\tO\tO' +p331372 +asS'Transferred to unit and urgently intubated ( labs below. )' +p331373 +(lp331374 +S'Transferred\tTransfer\tVBN\tB-VP\tO' +p331375 +aS'to\tto\tTO\tB-PP\tO' +p331376 +aS'unit\tunit\tNN\tB-NP\tO' +p331377 +aS'and\tand\tCC\tO\tO' +p331378 +aS'urgently\turgently\tRB\tB-ADJP\tO' +p331379 +aS'intubated\tintubated\tJJ\tI-ADJP\tO' +p331380 +aS'(\t(\t(\tO\tO' +p331381 +aS'labs\tlab\tNNS\tB-NP\tO' +p331382 +aS'below.\tbelow.\tIN\tB-PP\tO' +p331383 +aS')\t)\t)\tO\tO' +p331384 +asS'In the Juan , his VS were 97.8 150/80 88 12 89-94% 3L NC .' +p331385 +(lp331386 +S'In\tIn\tIN\tB-PP\tO' +p331387 +aS'the\tthe\tDT\tB-NP\tO' +p331388 +aS'Juan\tJuan\tNNP\tI-NP\tO' +p331389 +aS',\t,\t,\tO\tO' +p331390 +aS'his\this\tPRP$\tB-NP\tO' +p331391 +aS'VS\tVS\tNNS\tI-NP\tO' +p331392 +aS'were\tbe\tVBD\tB-VP\tO' +p331393 +aS'97.8\t97.8\tCD\tB-NP\tO' +p331394 +aS'150/80\t150/80\tCD\tI-NP\tO' +p331395 +aS'88\t88\tCD\tI-NP\tO' +p331396 +aS'12\t12\tCD\tI-NP\tO' +p331397 +aS'89-94%\t89-94%\tJJ\tI-NP\tO' +p331398 +aS'3L\t3L\tNN\tI-NP\tO' +p331399 +aS'NC\tNC\tNN\tI-NP\tO' +p331400 +aS'.\t.\t.\tO\tO' +p331401 +asS'On admission , white count was 7.2 with 57% neutrophils , 40% lymphocytes , l mononuclear cell , and 1.6 eosinophils .' +p331402 +(lp331403 +S'On\tOn\tIN\tB-PP\tO' +p331404 +aS'admission\tadmission\tNN\tB-NP\tO' +p331405 +aS',\t,\t,\tO\tO' +p331406 +aS'white\twhite\tJJ\tB-NP\tO' +p331407 +aS'count\tcount\tNN\tI-NP\tO' +p331408 +aS'was\tbe\tVBD\tB-VP\tO' +p331409 +aS'7.2\t7.2\tCD\tB-NP\tO' +p331410 +aS'with\twith\tIN\tB-PP\tO' +p331411 +aS'57%\t57%\tCD\tB-NP\tO' +p331412 +aS'neutrophils\tneutrophil\tNNS\tI-NP\tB-cell_type' +p331413 +aS',\t,\t,\tO\tO' +p331414 +aS'40%\t40%\tJJ\tB-NP\tB-cell_line' +p331415 +aS'lymphocytes\tlymphocyte\tNNS\tI-NP\tI-cell_line' +p331416 +aS',\t,\t,\tO\tO' +p331417 +aS'l\tl\tNN\tB-NP\tB-cell_type' +p331418 +aS'mononuclear\tmononuclear\tJJ\tI-NP\tI-cell_type' +p331419 +aS'cell\tcell\tNN\tI-NP\tI-cell_type' +p331420 +aS',\t,\t,\tO\tO' +p331421 +aS'and\tand\tCC\tO\tO' +p331422 +aS'1.6\t1.6\tCD\tB-NP\tO' +p331423 +aS'eosinophils\teosinophil\tNNS\tI-NP\tB-cell_type' +p331424 +aS'.\t.\t.\tO\tO' +p331425 +asS'There was no dorsal , pedal pulse on the right .' +p331426 +(lp331427 +S'There\tThere\tEX\tB-NP\tO' +p331428 +aS'was\tbe\tVBD\tB-VP\tO' +p331429 +aS'no\tno\tDT\tB-NP\tO' +p331430 +aS'dorsal\tdorsal\tJJ\tI-NP\tO' +p331431 +aS',\t,\t,\tI-NP\tO' +p331432 +aS'pedal\tpedal\tJJ\tI-NP\tO' +p331433 +aS'pulse\tpulse\tNN\tI-NP\tO' +p331434 +aS'on\ton\tIN\tB-PP\tO' +p331435 +aS'the\tthe\tDT\tB-NP\tO' +p331436 +aS'right\tright\tNN\tI-NP\tO' +p331437 +aS'.\t.\t.\tO\tO' +p331438 +asS'Abdomen is obese , nontender , decreased bowel sounds .' +p331439 +(lp331440 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p331441 +aS'is\tbe\tVBZ\tB-VP\tO' +p331442 +aS'obese\tobese\tJJ\tB-NP\tO' +p331443 +aS',\t,\t,\tI-NP\tO' +p331444 +aS'nontender\tnontender\tJJ\tI-NP\tO' +p331445 +aS',\t,\t,\tI-NP\tO' +p331446 +aS'decreased\tdecrease\tVBN\tI-NP\tO' +p331447 +aS'bowel\tbowel\tNN\tI-NP\tO' +p331448 +aS'sounds\tsound\tNNS\tI-NP\tO' +p331449 +aS'.\t.\t.\tO\tO' +p331450 +asS'10. Zofran 4 mg PO once a day as needed for nausea .' +p331451 +(lp331452 +S'10.\t10.\tCD\tB-NP\tO' +p331453 +aS'Zofran\tZofran\tNN\tI-NP\tB-protein' +p331454 +aS'4\t4\tCD\tB-NP\tI-protein' +p331455 +aS'mg\tmg\tNN\tI-NP\tI-protein' +p331456 +aS'PO\tPO\tNN\tI-NP\tI-protein' +p331457 +aS'once\tonce\tRB\tO\tO' +p331458 +aS'a\ta\tDT\tB-NP\tO' +p331459 +aS'day\tday\tNN\tI-NP\tO' +p331460 +aS'as\tas\tIN\tB-SBAR\tO' +p331461 +aS'needed\tneed\tVBN\tB-VP\tO' +p331462 +aS'for\tfor\tIN\tB-PP\tO' +p331463 +aS'nausea\tnausea\tNN\tB-NP\tO' +p331464 +aS'.\t.\t.\tO\tO' +p331465 +asS'2. Infant of a diabetic mother .' +p331466 +(lp331467 +S'2.\t2.\tLS\tB-NP\tO' +p331468 +aS'Infant\tInfant\tNN\tI-NP\tO' +p331469 +aS'of\tof\tIN\tB-PP\tO' +p331470 +aS'a\ta\tDT\tB-NP\tO' +p331471 +aS'diabetic\tdiabetic\tJJ\tI-NP\tO' +p331472 +aS'mother\tmother\tNN\tI-NP\tO' +p331473 +aS'.\t.\t.\tO\tO' +p331474 +asS'She was initially covered broadly with vancomycin , ciprofloxacin , and falgyl .' +p331475 +(lp331476 +S'She\tShe\tPRP\tB-NP\tO' +p331477 +aS'was\tbe\tVBD\tB-VP\tO' +p331478 +aS'initially\tinitially\tRB\tI-VP\tO' +p331479 +aS'covered\tcover\tVBN\tI-VP\tO' +p331480 +aS'broadly\tbroadly\tRB\tB-ADVP\tO' +p331481 +aS'with\twith\tIN\tB-PP\tO' +p331482 +aS'vancomycin\tvancomycin\tNN\tB-NP\tO' +p331483 +aS',\t,\t,\tO\tO' +p331484 +aS'ciprofloxacin\tciprofloxacin\tNN\tB-NP\tO' +p331485 +aS',\t,\t,\tO\tO' +p331486 +aS'and\tand\tCC\tO\tO' +p331487 +aS'falgyl\tfalgyl\tNN\tB-NP\tO' +p331488 +aS'.\t.\t.\tO\tO' +p331489 +asS'We will now hold his coumadin given his recent falls and bleeding risk .' +p331490 +(lp331491 +S'We\tWe\tPRP\tB-NP\tO' +p331492 +aS'will\twill\tMD\tB-VP\tO' +p331493 +aS'now\tnow\tRB\tI-VP\tO' +p331494 +aS'hold\thold\tVB\tI-VP\tO' +p331495 +aS'his\this\tPRP$\tB-NP\tO' +p331496 +aS'coumadin\tcoumadin\tNN\tI-NP\tO' +p331497 +aS'given\tgive\tVBN\tB-VP\tO' +p331498 +aS'his\this\tPRP$\tB-NP\tO' +p331499 +aS'recent\trecent\tJJ\tI-NP\tO' +p331500 +aS'falls\tfall\tNNS\tI-NP\tO' +p331501 +aS'and\tand\tCC\tO\tO' +p331502 +aS'bleeding\tbleed\tVBG\tB-VP\tO' +p331503 +aS'risk\trisk\tNN\tB-NP\tO' +p331504 +aS'.\t.\t.\tO\tO' +p331505 +asS'GRAM NEGATIVE ROD( S ) .' +p331506 +(lp331507 +S'GRAM\tGRAM\tNNP\tB-NP\tO' +p331508 +aS'NEGATIVE\tNEGATIVE\tNNP\tI-NP\tO' +p331509 +aS'ROD(\tROD(\tNNP\tI-NP\tO' +p331510 +aS'S\tS\tNNP\tI-NP\tO' +p331511 +aS')\t)\t)\tO\tO' +p331512 +aS'.\t.\t.\tO\tO' +p331513 +asS'No murmur noted .' +p331514 +(lp331515 +S'No\tNo\tDT\tB-NP\tO' +p331516 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p331517 +aS'noted\tnote\tVBD\tB-VP\tO' +p331518 +aS'.\t.\t.\tO\tO' +p331519 +asS'This 68 year old female has rheumatic heart disease .' +p331520 +(lp331521 +S'This\tThis\tDT\tB-NP\tO' +p331522 +aS'68\t68\tCD\tI-NP\tO' +p331523 +aS'year\tyear\tNN\tI-NP\tO' +p331524 +aS'old\told\tJJ\tI-NP\tO' +p331525 +aS'female\tfemale\tNN\tI-NP\tO' +p331526 +aS'has\thave\tVBZ\tB-VP\tO' +p331527 +aS'rheumatic\trheumatic\tJJ\tB-NP\tO' +p331528 +aS'heart\theart\tNN\tI-NP\tO' +p331529 +aS'disease\tdisease\tNN\tI-NP\tO' +p331530 +aS'.\t.\t.\tO\tO' +p331531 +asS'nuchal cord .' +p331532 +(lp331533 +S'nuchal\tnuchal\tJJ\tB-NP\tO' +p331534 +aS'cord\tcord\tNN\tI-NP\tO' +p331535 +aS'.\t.\t.\tO\tO' +p331536 +asS'The patient is approximately three weeks following his procedure and several of these stitches will be removed prior to discharge .' +p331537 +(lp331538 +S'The\tThe\tDT\tB-NP\tO' +p331539 +aS'patient\tpatient\tNN\tI-NP\tO' +p331540 +aS'is\tbe\tVBZ\tB-VP\tO' +p331541 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p331542 +aS'three\tthree\tCD\tI-NP\tO' +p331543 +aS'weeks\tweek\tNNS\tI-NP\tO' +p331544 +aS'following\tfollow\tVBG\tB-PP\tO' +p331545 +aS'his\this\tPRP$\tB-NP\tO' +p331546 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p331547 +aS'and\tand\tCC\tO\tO' +p331548 +aS'several\tseveral\tJJ\tB-NP\tO' +p331549 +aS'of\tof\tIN\tB-PP\tO' +p331550 +aS'these\tthese\tDT\tB-NP\tO' +p331551 +aS'stitches\tstitch\tNNS\tI-NP\tO' +p331552 +aS'will\twill\tMD\tB-VP\tO' +p331553 +aS'be\tbe\tVB\tI-VP\tO' +p331554 +aS'removed\tremove\tVBN\tI-VP\tO' +p331555 +aS'prior\tprior\tRB\tB-ADVP\tO' +p331556 +aS'to\tto\tTO\tB-VP\tO' +p331557 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p331558 +aS'.\t.\t.\tO\tO' +p331559 +asS'The pt uses a wheelchair often at baseline due to pain from arthritis .' +p331560 +(lp331561 +S'The\tThe\tDT\tB-NP\tO' +p331562 +aS'pt\tpt\tNN\tI-NP\tO' +p331563 +aS'uses\tuse\tVBZ\tB-VP\tO' +p331564 +aS'a\ta\tDT\tB-NP\tO' +p331565 +aS'wheelchair\twheelchair\tNN\tI-NP\tO' +p331566 +aS'often\toften\tRB\tB-ADVP\tO' +p331567 +aS'at\tat\tIN\tB-PP\tO' +p331568 +aS'baseline\tbaseline\tNN\tB-NP\tO' +p331569 +aS'due\tdue\tJJ\tB-ADJP\tO' +p331570 +aS'to\tto\tTO\tB-VP\tO' +p331571 +aS'pain\tpain\tVB\tI-VP\tO' +p331572 +aS'from\tfrom\tIN\tB-PP\tO' +p331573 +aS'arthritis\tarthritis\tNN\tB-NP\tO' +p331574 +aS'.\t.\t.\tO\tO' +p331575 +asS'Status post placement of percutaneous transhepatic biliary drainage with placement of 8 Caucasian nephrostomy catheter in the common bile duct .' +p331576 +(lp331577 +S'Status\tStatus\tNNP\tB-NP\tO' +p331578 +aS'post\tpost\tNN\tI-NP\tO' +p331579 +aS'placement\tplacement\tNN\tI-NP\tO' +p331580 +aS'of\tof\tIN\tB-PP\tO' +p331581 +aS'percutaneous\tpercutaneous\tJJ\tB-NP\tO' +p331582 +aS'transhepatic\ttranshepatic\tJJ\tI-NP\tO' +p331583 +aS'biliary\tbiliary\tJJ\tI-NP\tO' +p331584 +aS'drainage\tdrainage\tNN\tI-NP\tO' +p331585 +aS'with\twith\tIN\tB-PP\tO' +p331586 +aS'placement\tplacement\tNN\tB-NP\tO' +p331587 +aS'of\tof\tIN\tB-PP\tO' +p331588 +aS'8\t8\tCD\tB-NP\tO' +p331589 +aS'Caucasian\tCaucasian\tJJ\tI-NP\tO' +p331590 +aS'nephrostomy\tnephrostomy\tNN\tI-NP\tO' +p331591 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p331592 +aS'in\tin\tIN\tB-PP\tO' +p331593 +aS'the\tthe\tDT\tB-NP\tO' +p331594 +aS'common\tcommon\tJJ\tI-NP\tO' +p331595 +aS'bile\tbile\tNN\tI-NP\tO' +p331596 +aS'duct\tduct\tNN\tI-NP\tO' +p331597 +aS'.\t.\t.\tO\tO' +p331598 +asS'He underwent a right craniotomy with resection and gliadel wafers on 2012-05-02 at Hallmark Health System by Dr. Ackley .' +p331599 +(lp331600 +S'He\tHe\tPRP\tB-NP\tO' +p331601 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p331602 +aS'a\ta\tDT\tB-NP\tO' +p331603 +aS'right\tright\tJJ\tI-NP\tO' +p331604 +aS'craniotomy\tcraniotomy\tNN\tI-NP\tO' +p331605 +aS'with\twith\tIN\tB-PP\tO' +p331606 +aS'resection\tresection\tNN\tB-NP\tO' +p331607 +aS'and\tand\tCC\tI-NP\tO' +p331608 +aS'gliadel\tgliadel\tNN\tI-NP\tO' +p331609 +aS'wafers\twafer\tNNS\tI-NP\tO' +p331610 +aS'on\ton\tIN\tB-PP\tO' +p331611 +aS'2012-05-02\t2012-05-02\tCD\tB-NP\tO' +p331612 +aS'at\tat\tIN\tB-PP\tO' +p331613 +aS'Hallmark\tHallmark\tNNP\tB-NP\tO' +p331614 +aS'Health\tHealth\tNNP\tI-NP\tO' +p331615 +aS'System\tSystem\tNNP\tI-NP\tO' +p331616 +aS'by\tby\tIN\tB-PP\tO' +p331617 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p331618 +aS'Ackley\tAckley\tNNP\tI-NP\tO' +p331619 +aS'.\t.\t.\tO\tO' +p331620 +asS'The patient was apparently alone at home , his neighbors heard a single shot , and the paramedics were called .' +p331621 +(lp331622 +S'The\tThe\tDT\tB-NP\tO' +p331623 +aS'patient\tpatient\tNN\tI-NP\tO' +p331624 +aS'was\tbe\tVBD\tB-VP\tO' +p331625 +aS'apparently\tapparently\tRB\tB-ADVP\tO' +p331626 +aS'alone\talone\tRB\tB-ADVP\tO' +p331627 +aS'at\tat\tIN\tB-PP\tO' +p331628 +aS'home\thome\tNN\tB-NP\tO' +p331629 +aS',\t,\t,\tO\tO' +p331630 +aS'his\this\tPRP$\tB-NP\tO' +p331631 +aS'neighbors\tneighbor\tNNS\tI-NP\tO' +p331632 +aS'heard\thear\tVBD\tB-VP\tO' +p331633 +aS'a\ta\tDT\tB-NP\tO' +p331634 +aS'single\tsingle\tJJ\tI-NP\tO' +p331635 +aS'shot\tshot\tNN\tI-NP\tO' +p331636 +aS',\t,\t,\tO\tO' +p331637 +aS'and\tand\tCC\tO\tO' +p331638 +aS'the\tthe\tDT\tB-NP\tO' +p331639 +aS'paramedics\tparamedic\tNNS\tI-NP\tO' +p331640 +aS'were\tbe\tVBD\tB-VP\tO' +p331641 +aS'called\tcall\tVBN\tI-VP\tO' +p331642 +aS'.\t.\t.\tO\tO' +p331643 +asS'The patient was tolerant of a full regular diet and had his pain well controlled via oral pain medications .' +p331644 +(lp331645 +S'The\tThe\tDT\tB-NP\tO' +p331646 +aS'patient\tpatient\tNN\tI-NP\tO' +p331647 +aS'was\tbe\tVBD\tB-VP\tO' +p331648 +aS'tolerant\ttolerant\tJJ\tB-ADJP\tO' +p331649 +aS'of\tof\tIN\tB-PP\tO' +p331650 +aS'a\ta\tDT\tB-NP\tO' +p331651 +aS'full\tfull\tJJ\tI-NP\tO' +p331652 +aS'regular\tregular\tJJ\tI-NP\tO' +p331653 +aS'diet\tdiet\tNN\tI-NP\tO' +p331654 +aS'and\tand\tCC\tO\tO' +p331655 +aS'had\thave\tVBD\tB-VP\tO' +p331656 +aS'his\this\tPRP$\tB-NP\tO' +p331657 +aS'pain\tpain\tNN\tI-NP\tO' +p331658 +aS'well\twell\tRB\tB-VP\tO' +p331659 +aS'controlled\tcontrol\tVBN\tI-VP\tO' +p331660 +aS'via\tvia\tIN\tB-PP\tO' +p331661 +aS'oral\toral\tJJ\tB-NP\tO' +p331662 +aS'pain\tpain\tNN\tI-NP\tO' +p331663 +aS'medications\tmedication\tNNS\tI-NP\tO' +p331664 +aS'.\t.\t.\tO\tO' +p331665 +asS'White blood cell count 9.8 , hematocrit 44.1 , platelets 262 , prothrombin time 10.4/ 10.3 , partial thromboplastin time 25.9 .' +p331666 +(lp331667 +S'White\tWhite\tJJ\tB-NP\tO' +p331668 +aS'blood\tblood\tNN\tI-NP\tO' +p331669 +aS'cell\tcell\tNN\tI-NP\tO' +p331670 +aS'count\tcount\tNN\tI-NP\tO' +p331671 +aS'9.8\t9.8\tCD\tB-NP\tO' +p331672 +aS',\t,\t,\tO\tO' +p331673 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p331674 +aS'44.1\t44.1\tCD\tI-NP\tI-protein' +p331675 +aS',\t,\t,\tO\tO' +p331676 +aS'platelets\tplatelet\tNNS\tB-NP\tB-protein' +p331677 +aS'262\t262\tCD\tB-NP\tI-protein' +p331678 +aS',\t,\t,\tO\tO' +p331679 +aS'prothrombin\tprothrombin\tNN\tB-NP\tB-protein' +p331680 +aS'time\ttime\tNN\tI-NP\tI-protein' +p331681 +aS'10.4/\t10.4/\tCD\tB-NP\tI-protein' +p331682 +aS'10.3\t10.3\tCD\tI-NP\tI-protein' +p331683 +aS',\t,\t,\tO\tO' +p331684 +aS'partial\tpartial\tJJ\tB-NP\tO' +p331685 +aS'thromboplastin\tthromboplastin\tNN\tI-NP\tO' +p331686 +aS'time\ttime\tNN\tI-NP\tO' +p331687 +aS'25.9\t25.9\tCD\tB-NP\tO' +p331688 +aS'.\t.\t.\tO\tO' +p331689 +asS'He was treated with broad spectrum antibiotics for a 14 day course for clinical SBP .' +p331690 +(lp331691 +S'He\tHe\tPRP\tB-NP\tO' +p331692 +aS'was\tbe\tVBD\tB-VP\tO' +p331693 +aS'treated\ttreat\tVBN\tI-VP\tO' +p331694 +aS'with\twith\tIN\tB-PP\tO' +p331695 +aS'broad\tbroad\tJJ\tB-NP\tO' +p331696 +aS'spectrum\tspectrum\tNN\tI-NP\tO' +p331697 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p331698 +aS'for\tfor\tIN\tB-PP\tO' +p331699 +aS'a\ta\tDT\tB-NP\tO' +p331700 +aS'14\t14\tCD\tI-NP\tO' +p331701 +aS'day\tday\tNN\tI-NP\tO' +p331702 +aS'course\tcourse\tNN\tI-NP\tO' +p331703 +aS'for\tfor\tIN\tB-PP\tO' +p331704 +aS'clinical\tclinical\tJJ\tB-NP\tO' +p331705 +aS'SBP\tSBP\tNN\tI-NP\tO' +p331706 +aS'.\t.\t.\tO\tO' +p331707 +asS'He had no history of headaches or recent illness .' +p331708 +(lp331709 +S'He\tHe\tPRP\tB-NP\tO' +p331710 +aS'had\thave\tVBD\tB-VP\tO' +p331711 +aS'no\tno\tDT\tB-NP\tO' +p331712 +aS'history\thistory\tNN\tI-NP\tO' +p331713 +aS'of\tof\tIN\tB-PP\tO' +p331714 +aS'headaches\theadache\tNNS\tB-NP\tO' +p331715 +aS'or\tor\tCC\tO\tO' +p331716 +aS'recent\trecent\tJJ\tB-NP\tO' +p331717 +aS'illness\tillness\tNN\tI-NP\tO' +p331718 +aS'.\t.\t.\tO\tO' +p331719 +asS'She did very well over the course of her admission with no evidence of further bleeding .' +p331720 +(lp331721 +S'She\tShe\tPRP\tB-NP\tO' +p331722 +aS'did\tdo\tVBD\tB-VP\tO' +p331723 +aS'very\tvery\tRB\tB-ADVP\tO' +p331724 +aS'well\twell\tRB\tI-ADVP\tO' +p331725 +aS'over\tover\tIN\tB-PP\tO' +p331726 +aS'the\tthe\tDT\tB-NP\tO' +p331727 +aS'course\tcourse\tNN\tI-NP\tO' +p331728 +aS'of\tof\tIN\tB-PP\tO' +p331729 +aS'her\ther\tPRP$\tB-NP\tO' +p331730 +aS'admission\tadmission\tNN\tI-NP\tO' +p331731 +aS'with\twith\tIN\tB-PP\tO' +p331732 +aS'no\tno\tDT\tB-NP\tO' +p331733 +aS'evidence\tevidence\tNN\tI-NP\tO' +p331734 +aS'of\tof\tIN\tB-PP\tO' +p331735 +aS'further\tfurther\tJJ\tB-NP\tO' +p331736 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p331737 +aS'.\t.\t.\tO\tO' +p331738 +asS'4. Magnesium Hydroxide 400 mg / 5 mL Suspension Sig : Thirty ( 30 ) ML PO Q6H ( every 6 hours ) as needed for constipation .' +p331739 +(lp331740 +S'4.\t4.\tLS\tB-NP\tO' +p331741 +aS'Magnesium\tMagnesium\tNNP\tI-NP\tO' +p331742 +aS'Hydroxide\tHydroxide\tNNP\tI-NP\tO' +p331743 +aS'400\t400\tCD\tI-NP\tO' +p331744 +aS'mg\tmg\tNN\tI-NP\tO' +p331745 +aS'/\t/\tSYM\tB-NP\tO' +p331746 +aS'5\t5\tCD\tB-NP\tO' +p331747 +aS'mL\tmL\tNN\tI-NP\tO' +p331748 +aS'Suspension\tSuspension\tNNP\tI-NP\tO' +p331749 +aS'Sig\tSig\tNNP\tI-NP\tO' +p331750 +aS':\t:\t:\tO\tO' +p331751 +aS'Thirty\tThirty\tCD\tB-NP\tO' +p331752 +aS'(\t(\t(\tO\tO' +p331753 +aS'30\t30\tCD\tO\tO' +p331754 +aS')\t)\t)\tO\tO' +p331755 +aS'ML\tML\tNN\tB-NP\tO' +p331756 +aS'PO\tPO\tNN\tI-NP\tO' +p331757 +aS'Q6H\tQ6H\tNN\tI-NP\tO' +p331758 +aS'(\t(\t(\tO\tO' +p331759 +aS'every\tevery\tDT\tB-NP\tO' +p331760 +aS'6\t6\tCD\tI-NP\tO' +p331761 +aS'hours\thour\tNNS\tI-NP\tO' +p331762 +aS')\t)\t)\tO\tO' +p331763 +aS'as\tas\tIN\tB-SBAR\tO' +p331764 +aS'needed\tneed\tVBN\tB-VP\tO' +p331765 +aS'for\tfor\tIN\tB-PP\tO' +p331766 +aS'constipation\tconstipation\tNN\tB-NP\tO' +p331767 +aS'.\t.\t.\tO\tO' +p331768 +asS'Colace , 100 mg tid .' +p331769 +(lp331770 +S'Colace\tColace\tNNP\tB-NP\tO' +p331771 +aS',\t,\t,\tO\tO' +p331772 +aS'100\t100\tCD\tB-NP\tO' +p331773 +aS'mg\tmg\tNN\tI-NP\tO' +p331774 +aS'tid\ttid\tNN\tI-NP\tO' +p331775 +aS'.\t.\t.\tO\tO' +p331776 +asS'Jule remained in room air without any evidence of respiratory distress and was without any further dusky spells or pale episodes in the 48 hours prior to discharge .' +p331777 +(lp331778 +S'Jule\tJule\tNNP\tB-NP\tO' +p331779 +aS'remained\tremain\tVBD\tB-VP\tO' +p331780 +aS'in\tin\tIN\tB-PP\tO' +p331781 +aS'room\troom\tNN\tB-NP\tO' +p331782 +aS'air\tair\tNN\tI-NP\tO' +p331783 +aS'without\twithout\tIN\tB-PP\tO' +p331784 +aS'any\tany\tDT\tB-NP\tO' +p331785 +aS'evidence\tevidence\tNN\tI-NP\tO' +p331786 +aS'of\tof\tIN\tB-PP\tO' +p331787 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p331788 +aS'distress\tdistress\tNN\tI-NP\tO' +p331789 +aS'and\tand\tCC\tO\tO' +p331790 +aS'was\tbe\tVBD\tB-VP\tO' +p331791 +aS'without\twithout\tIN\tB-PP\tO' +p331792 +aS'any\tany\tDT\tB-NP\tO' +p331793 +aS'further\tfurther\tJJ\tI-NP\tO' +p331794 +aS'dusky\tdusky\tJJ\tI-NP\tO' +p331795 +aS'spells\tspell\tNNS\tI-NP\tO' +p331796 +aS'or\tor\tCC\tO\tO' +p331797 +aS'pale\tpale\tJJ\tB-NP\tO' +p331798 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p331799 +aS'in\tin\tIN\tB-PP\tO' +p331800 +aS'the\tthe\tDT\tB-NP\tO' +p331801 +aS'48\t48\tCD\tI-NP\tO' +p331802 +aS'hours\thour\tNNS\tI-NP\tO' +p331803 +aS'prior\tprior\tRB\tB-ADVP\tO' +p331804 +aS'to\tto\tTO\tB-VP\tO' +p331805 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p331806 +aS'.\t.\t.\tO\tO' +p331807 +asS'Nizatidine by mouth 150 mg twice a day , insulin 70/30 human injection under skin 12 units every night , insulin 70/30 human injection subcutaneous 26 units every morning , Lovenox injection under skin 40 mg once a day , and levofloxacin by mouth 250 mg once a day .' +p331808 +(lp331809 +S'Nizatidine\tNizatidine\tNN\tB-NP\tO' +p331810 +aS'by\tby\tIN\tB-PP\tO' +p331811 +aS'mouth\tmouth\tNN\tB-NP\tO' +p331812 +aS'150\t150\tCD\tI-NP\tO' +p331813 +aS'mg\tmg\tNN\tI-NP\tO' +p331814 +aS'twice\ttwice\tRB\tB-NP\tO' +p331815 +aS'a\ta\tDT\tI-NP\tO' +p331816 +aS'day\tday\tNN\tI-NP\tO' +p331817 +aS',\t,\t,\tO\tO' +p331818 +aS'insulin\tinsulin\tNN\tB-NP\tB-protein' +p331819 +aS'70/30\t70/30\tCD\tI-NP\tI-protein' +p331820 +aS'human\thuman\tJJ\tI-NP\tI-protein' +p331821 +aS'injection\tinjection\tNN\tI-NP\tI-protein' +p331822 +aS'under\tunder\tIN\tB-PP\tI-protein' +p331823 +aS'skin\tskin\tNN\tB-NP\tI-protein' +p331824 +aS'12\t12\tCD\tB-NP\tI-protein' +p331825 +aS'units\tunit\tNNS\tI-NP\tI-protein' +p331826 +aS'every\tevery\tDT\tB-NP\tO' +p331827 +aS'night\tnight\tNN\tI-NP\tO' +p331828 +aS',\t,\t,\tO\tO' +p331829 +aS'insulin\tinsulin\tNN\tB-NP\tB-protein' +p331830 +aS'70/30\t70/30\tCD\tI-NP\tI-protein' +p331831 +aS'human\thuman\tJJ\tI-NP\tI-protein' +p331832 +aS'injection\tinjection\tNN\tI-NP\tI-protein' +p331833 +aS'subcutaneous\tsubcutaneous\tJJ\tI-NP\tI-protein' +p331834 +aS'26\t26\tCD\tI-NP\tI-protein' +p331835 +aS'units\tunit\tNNS\tI-NP\tI-protein' +p331836 +aS'every\tevery\tDT\tB-NP\tO' +p331837 +aS'morning\tmorning\tNN\tI-NP\tO' +p331838 +aS',\t,\t,\tO\tO' +p331839 +aS'Lovenox\tLovenox\tNN\tB-NP\tO' +p331840 +aS'injection\tinjection\tNN\tI-NP\tO' +p331841 +aS'under\tunder\tIN\tB-PP\tO' +p331842 +aS'skin\tskin\tNN\tB-NP\tO' +p331843 +aS'40\t40\tCD\tI-NP\tO' +p331844 +aS'mg\tmg\tNN\tI-NP\tO' +p331845 +aS'once\tonce\tRB\tB-ADVP\tO' +p331846 +aS'a\ta\tDT\tB-NP\tO' +p331847 +aS'day\tday\tNN\tI-NP\tO' +p331848 +aS',\t,\t,\tO\tO' +p331849 +aS'and\tand\tCC\tO\tO' +p331850 +aS'levofloxacin\tlevofloxacin\tNN\tB-NP\tO' +p331851 +aS'by\tby\tIN\tB-PP\tO' +p331852 +aS'mouth\tmouth\tNN\tB-NP\tO' +p331853 +aS'250\t250\tCD\tI-NP\tO' +p331854 +aS'mg\tmg\tNN\tI-NP\tO' +p331855 +aS'once\tonce\tRB\tB-ADVP\tO' +p331856 +aS'a\ta\tDT\tB-NP\tO' +p331857 +aS'day\tday\tNN\tI-NP\tO' +p331858 +aS'.\t.\t.\tO\tO' +p331859 +asS'The patient reached full volume feeds by day of life 6 and had calories increased to maximum of 26 kilocalories per ounce of Similac special care until 2014-12-03 , at which point this was weaned to 24 kilocalories per ounce of straight Similac .' +p331860 +(lp331861 +S'The\tThe\tDT\tB-NP\tO' +p331862 +aS'patient\tpatient\tNN\tI-NP\tO' +p331863 +aS'reached\treach\tVBD\tB-VP\tO' +p331864 +aS'full\tfull\tJJ\tB-NP\tO' +p331865 +aS'volume\tvolume\tNN\tI-NP\tO' +p331866 +aS'feeds\tfeed\tNNS\tI-NP\tO' +p331867 +aS'by\tby\tIN\tB-PP\tO' +p331868 +aS'day\tday\tNN\tB-NP\tO' +p331869 +aS'of\tof\tIN\tB-PP\tO' +p331870 +aS'life\tlife\tNN\tB-NP\tO' +p331871 +aS'6\t6\tCD\tI-NP\tO' +p331872 +aS'and\tand\tCC\tO\tO' +p331873 +aS'had\thave\tVBD\tB-VP\tO' +p331874 +aS'calories\tcalorie\tNNS\tB-NP\tO' +p331875 +aS'increased\tincrease\tVBN\tB-VP\tO' +p331876 +aS'to\tto\tTO\tB-PP\tO' +p331877 +aS'maximum\tmaximum\tNN\tB-NP\tO' +p331878 +aS'of\tof\tIN\tB-PP\tO' +p331879 +aS'26\t26\tCD\tB-NP\tO' +p331880 +aS'kilocalories\tkilocalorie\tNNS\tI-NP\tO' +p331881 +aS'per\tper\tIN\tB-PP\tO' +p331882 +aS'ounce\tounce\tNN\tB-NP\tO' +p331883 +aS'of\tof\tIN\tB-PP\tO' +p331884 +aS'Similac\tSimilac\tNN\tB-NP\tO' +p331885 +aS'special\tspecial\tJJ\tI-NP\tO' +p331886 +aS'care\tcare\tNN\tI-NP\tO' +p331887 +aS'until\tuntil\tIN\tB-PP\tO' +p331888 +aS'2014-12-03\t2014-12-03\tCD\tB-NP\tO' +p331889 +aS',\t,\t,\tO\tO' +p331890 +aS'at\tat\tIN\tB-PP\tO' +p331891 +aS'which\twhich\tWDT\tB-NP\tO' +p331892 +aS'point\tpoint\tNN\tI-NP\tO' +p331893 +aS'this\tthis\tDT\tB-NP\tO' +p331894 +aS'was\tbe\tVBD\tB-VP\tO' +p331895 +aS'weaned\twean\tVBN\tI-VP\tO' +p331896 +aS'to\tto\tTO\tB-PP\tO' +p331897 +aS'24\t24\tCD\tB-NP\tO' +p331898 +aS'kilocalories\tkilocalorie\tNNS\tI-NP\tO' +p331899 +aS'per\tper\tIN\tB-PP\tO' +p331900 +aS'ounce\tounce\tNN\tB-NP\tO' +p331901 +aS'of\tof\tIN\tB-PP\tO' +p331902 +aS'straight\tstraight\tJJ\tB-NP\tO' +p331903 +aS'Similac\tSimilac\tNN\tI-NP\tO' +p331904 +aS'.\t.\t.\tO\tO' +p331905 +asS'He was maintained variously on Levophed , Dobutamine , Dopamine , and ultimately Epinephrine for blood pressure support .' +p331906 +(lp331907 +S'He\tHe\tPRP\tB-NP\tO' +p331908 +aS'was\tbe\tVBD\tB-VP\tO' +p331909 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p331910 +aS'variously\tvariously\tRB\tB-ADVP\tO' +p331911 +aS'on\ton\tIN\tB-PP\tO' +p331912 +aS'Levophed\tLevophed\tNNP\tB-NP\tO' +p331913 +aS',\t,\t,\tO\tO' +p331914 +aS'Dobutamine\tDobutamine\tNN\tB-NP\tO' +p331915 +aS',\t,\t,\tO\tO' +p331916 +aS'Dopamine\tDopamine\tNN\tB-NP\tO' +p331917 +aS',\t,\t,\tO\tO' +p331918 +aS'and\tand\tCC\tO\tO' +p331919 +aS'ultimately\tultimately\tRB\tB-ADVP\tO' +p331920 +aS'Epinephrine\tEpinephrine\tNN\tB-NP\tO' +p331921 +aS'for\tfor\tIN\tB-PP\tO' +p331922 +aS'blood\tblood\tNN\tB-NP\tO' +p331923 +aS'pressure\tpressure\tNN\tI-NP\tO' +p331924 +aS'support\tsupport\tNN\tI-NP\tO' +p331925 +aS'.\t.\t.\tO\tO' +p331926 +asS'On arrival to the FICU the patient was intubated and non-sedated .' +p331927 +(lp331928 +S'On\tOn\tIN\tB-PP\tO' +p331929 +aS'arrival\tarrival\tNN\tB-NP\tO' +p331930 +aS'to\tto\tTO\tB-PP\tO' +p331931 +aS'the\tthe\tDT\tB-NP\tO' +p331932 +aS'FICU\tFICU\tNN\tI-NP\tO' +p331933 +aS'the\tthe\tDT\tB-NP\tO' +p331934 +aS'patient\tpatient\tNN\tI-NP\tO' +p331935 +aS'was\tbe\tVBD\tB-VP\tO' +p331936 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p331937 +aS'and\tand\tCC\tO\tO' +p331938 +aS'non-sedated\tnon-sedated\tJJ\tB-ADJP\tO' +p331939 +aS'.\t.\t.\tO\tO' +p331940 +asS'Without cyanosis or edema .' +p331941 +(lp331942 +S'Without\tWithout\tIN\tB-PP\tO' +p331943 +aS'cyanosis\tcyanosis\tNN\tB-NP\tO' +p331944 +aS'or\tor\tCC\tI-NP\tO' +p331945 +aS'edema\tedema\tNN\tI-NP\tO' +p331946 +aS'.\t.\t.\tO\tO' +p331947 +asS'The patient with severe peripheral vascular disease .' +p331948 +(lp331949 +S'The\tThe\tDT\tB-NP\tO' +p331950 +aS'patient\tpatient\tNN\tI-NP\tO' +p331951 +aS'with\twith\tIN\tB-PP\tO' +p331952 +aS'severe\tsevere\tJJ\tB-NP\tO' +p331953 +aS'peripheral\tperipheral\tJJ\tI-NP\tO' +p331954 +aS'vascular\tvascular\tJJ\tI-NP\tO' +p331955 +aS'disease\tdisease\tNN\tI-NP\tO' +p331956 +aS'.\t.\t.\tO\tO' +p331957 +asS'Should not drive while on pain medication .' +p331958 +(lp331959 +S'Should\tShould\tMD\tB-VP\tO' +p331960 +aS'not\tnot\tRB\tI-VP\tO' +p331961 +aS'drive\tdrive\tVB\tI-VP\tO' +p331962 +aS'while\twhile\tIN\tB-SBAR\tO' +p331963 +aS'on\ton\tIN\tB-PP\tO' +p331964 +aS'pain\tpain\tNN\tB-NP\tO' +p331965 +aS'medication\tmedication\tNN\tI-NP\tO' +p331966 +aS'.\t.\t.\tO\tO' +p331967 +asS'Heart , chest , and abdominal examinations were normal .' +p331968 +(lp331969 +S'Heart\tHeart\tNN\tB-NP\tO' +p331970 +aS',\t,\t,\tO\tO' +p331971 +aS'chest\tchest\tNN\tB-NP\tO' +p331972 +aS',\t,\t,\tO\tO' +p331973 +aS'and\tand\tCC\tO\tO' +p331974 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p331975 +aS'examinations\texamination\tNNS\tI-NP\tO' +p331976 +aS'were\tbe\tVBD\tB-VP\tO' +p331977 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p331978 +aS'.\t.\t.\tO\tO' +p331979 +asS"Over the next two days after admission , the patient 's vent settings were gradually weaned , and she was extubated two days after being transferred to this hospital ." +p331980 +(lp331981 +S'Over\tOver\tIN\tB-PP\tO' +p331982 +aS'the\tthe\tDT\tB-NP\tO' +p331983 +aS'next\tnext\tJJ\tI-NP\tO' +p331984 +aS'two\ttwo\tCD\tI-NP\tO' +p331985 +aS'days\tday\tNNS\tI-NP\tO' +p331986 +aS'after\tafter\tIN\tB-PP\tO' +p331987 +aS'admission\tadmission\tNN\tB-NP\tO' +p331988 +aS',\t,\t,\tO\tO' +p331989 +aS'the\tthe\tDT\tB-NP\tO' +p331990 +aS'patient\tpatient\tNN\tI-NP\tO' +p331991 +aS"'s\t's\tPOS\tB-NP\tO" +p331992 +aS'vent\tvent\tNN\tI-NP\tO' +p331993 +aS'settings\tsetting\tNNS\tI-NP\tO' +p331994 +aS'were\tbe\tVBD\tB-VP\tO' +p331995 +aS'gradually\tgradually\tRB\tI-VP\tO' +p331996 +aS'weaned\twean\tVBN\tI-VP\tO' +p331997 +aS',\t,\t,\tO\tO' +p331998 +aS'and\tand\tCC\tO\tO' +p331999 +aS'she\tshe\tPRP\tB-NP\tO' +p332000 +aS'was\tbe\tVBD\tB-VP\tO' +p332001 +aS'extubated\textubate\tVBN\tI-VP\tO' +p332002 +aS'two\ttwo\tCD\tB-NP\tO' +p332003 +aS'days\tday\tNNS\tI-NP\tO' +p332004 +aS'after\tafter\tIN\tB-PP\tO' +p332005 +aS'being\tbe\tVBG\tB-VP\tO' +p332006 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p332007 +aS'to\tto\tTO\tB-PP\tO' +p332008 +aS'this\tthis\tDT\tB-NP\tO' +p332009 +aS'hospital\thospital\tNN\tI-NP\tO' +p332010 +aS'.\t.\t.\tO\tO' +p332011 +asS'The pt reports sharp 10/10 chest pain under the right breast which is getting progressively worse .' +p332012 +(lp332013 +S'The\tThe\tDT\tB-NP\tO' +p332014 +aS'pt\tpt\tNN\tI-NP\tO' +p332015 +aS'reports\treport\tVBZ\tB-VP\tO' +p332016 +aS'sharp\tsharp\tJJ\tB-NP\tO' +p332017 +aS'10/10\t10/10\tCD\tI-NP\tO' +p332018 +aS'chest\tchest\tNN\tI-NP\tO' +p332019 +aS'pain\tpain\tNN\tI-NP\tO' +p332020 +aS'under\tunder\tIN\tB-PP\tO' +p332021 +aS'the\tthe\tDT\tB-NP\tO' +p332022 +aS'right\tright\tJJ\tI-NP\tO' +p332023 +aS'breast\tbreast\tNN\tI-NP\tO' +p332024 +aS'which\twhich\tWDT\tB-NP\tO' +p332025 +aS'is\tbe\tVBZ\tB-VP\tO' +p332026 +aS'getting\tget\tVBG\tI-VP\tO' +p332027 +aS'progressively\tprogressively\tRB\tB-ADJP\tO' +p332028 +aS'worse\tworse\tJJR\tI-ADJP\tO' +p332029 +aS'.\t.\t.\tO\tO' +p332030 +asS'Infant was initially nothing by mouth receiving 80 cc per kilogram per day of D10W intravenously .' +p332031 +(lp332032 +S'Infant\tInfant\tNN\tB-NP\tO' +p332033 +aS'was\tbe\tVBD\tB-VP\tO' +p332034 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p332035 +aS'nothing\tnothing\tNN\tB-NP\tO' +p332036 +aS'by\tby\tIN\tB-PP\tO' +p332037 +aS'mouth\tmouth\tNN\tB-NP\tO' +p332038 +aS'receiving\treceive\tVBG\tB-VP\tO' +p332039 +aS'80\t80\tCD\tB-NP\tO' +p332040 +aS'cc\tcc\tNN\tI-NP\tO' +p332041 +aS'per\tper\tIN\tB-PP\tO' +p332042 +aS'kilogram\tkilogram\tNN\tB-NP\tO' +p332043 +aS'per\tper\tIN\tB-PP\tO' +p332044 +aS'day\tday\tNN\tB-NP\tO' +p332045 +aS'of\tof\tIN\tB-PP\tO' +p332046 +aS'D10W\tD10W\tNN\tB-NP\tB-protein' +p332047 +aS'intravenously\tintravenously\tRB\tB-ADVP\tO' +p332048 +aS'.\t.\t.\tO\tO' +p332049 +asS'9. Timoptic 0.5% b.i.d. to both eyes ,' +p332050 +(lp332051 +S'9.\t9.\tCD\tB-NP\tO' +p332052 +aS'Timoptic\tTimoptic\tNNP\tI-NP\tO' +p332053 +aS'0.5%\t0.5%\tCD\tI-NP\tO' +p332054 +aS'b.i.d.\tb.i.d.\tVBD\tB-VP\tO' +p332055 +aS'to\tto\tTO\tB-PP\tO' +p332056 +aS'both\tboth\tDT\tB-NP\tO' +p332057 +aS'eyes\teye\tNNS\tI-NP\tO' +p332058 +aS',\t,\t,\tO\tO' +p332059 +asS'On admission include a white blood cell count of 5.6 , hematocrit of 32.5 , platelets of 202 .' +p332060 +(lp332061 +S'On\tOn\tIN\tB-PP\tO' +p332062 +aS'admission\tadmission\tNN\tB-NP\tO' +p332063 +aS'include\tinclude\tVBP\tB-VP\tO' +p332064 +aS'a\ta\tDT\tB-NP\tO' +p332065 +aS'white\twhite\tJJ\tI-NP\tO' +p332066 +aS'blood\tblood\tNN\tI-NP\tO' +p332067 +aS'cell\tcell\tNN\tI-NP\tO' +p332068 +aS'count\tcount\tNN\tI-NP\tO' +p332069 +aS'of\tof\tIN\tB-PP\tO' +p332070 +aS'5.6\t5.6\tCD\tB-NP\tO' +p332071 +aS',\t,\t,\tO\tO' +p332072 +aS'hematocrit\thematocrit\tNN\tB-NP\tO' +p332073 +aS'of\tof\tIN\tB-PP\tO' +p332074 +aS'32.5\t32.5\tCD\tB-NP\tO' +p332075 +aS',\t,\t,\tO\tO' +p332076 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p332077 +aS'of\tof\tIN\tB-PP\tO' +p332078 +aS'202\t202\tCD\tB-NP\tO' +p332079 +aS'.\t.\t.\tO\tO' +p332080 +asS'There is a small pericardial effusion .' +p332081 +(lp332082 +S'There\tThere\tEX\tB-NP\tO' +p332083 +aS'is\tbe\tVBZ\tB-VP\tO' +p332084 +aS'a\ta\tDT\tB-NP\tO' +p332085 +aS'small\tsmall\tJJ\tI-NP\tO' +p332086 +aS'pericardial\tpericardial\tJJ\tI-NP\tO' +p332087 +aS'effusion\teffusion\tNN\tI-NP\tO' +p332088 +aS'.\t.\t.\tO\tO' +p332089 +asS'There was mild asterixis .' +p332090 +(lp332091 +S'There\tThere\tEX\tB-NP\tO' +p332092 +aS'was\tbe\tVBD\tB-VP\tO' +p332093 +aS'mild\tmild\tJJ\tB-NP\tO' +p332094 +aS'asterixis\tasterixis\tNN\tI-NP\tO' +p332095 +aS'.\t.\t.\tO\tO' +p332096 +asS'Her mood appeared stable throughout her hospitalization .' +p332097 +(lp332098 +S'Her\tHer\tPRP$\tB-NP\tO' +p332099 +aS'mood\tmood\tNN\tI-NP\tO' +p332100 +aS'appeared\tappear\tVBD\tB-VP\tO' +p332101 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p332102 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p332103 +aS'her\ther\tPRP$\tB-NP\tO' +p332104 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p332105 +aS'.\t.\t.\tO\tO' +p332106 +asS'2. Status post cholecystectomy .' +p332107 +(lp332108 +S'2.\t2.\tLS\tB-NP\tO' +p332109 +aS'Status\tStatus\tNNP\tI-NP\tO' +p332110 +aS'post\tpost\tNN\tI-NP\tO' +p332111 +aS'cholecystectomy\tcholecystectomy\tNN\tI-NP\tO' +p332112 +aS'.\t.\t.\tO\tO' +p332113 +asS'Metoprolol 75 mg p.o. twice a day .' +p332114 +(lp332115 +S'Metoprolol\tMetoprolol\tNN\tB-NP\tO' +p332116 +aS'75\t75\tCD\tI-NP\tO' +p332117 +aS'mg\tmg\tNN\tI-NP\tO' +p332118 +aS'p.o.\tp.o.\tRB\tB-NP\tO' +p332119 +aS'twice\ttwice\tRB\tI-NP\tO' +p332120 +aS'a\ta\tDT\tI-NP\tO' +p332121 +aS'day\tday\tNN\tI-NP\tO' +p332122 +aS'.\t.\t.\tO\tO' +p332123 +asS'Hydralazine was stopped .' +p332124 +(lp332125 +S'Hydralazine\tHydralazine\tNN\tB-NP\tO' +p332126 +aS'was\tbe\tVBD\tB-VP\tO' +p332127 +aS'stopped\tstop\tVBN\tI-VP\tO' +p332128 +aS'.\t.\t.\tO\tO' +p332129 +asS'Intravenous chemotherapy .' +p332130 +(lp332131 +S'Intravenous\tIntravenous\tJJ\tB-NP\tO' +p332132 +aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' +p332133 +aS'.\t.\t.\tO\tO' +p332134 +asS"Mother has Dr Fishman's contact information ." +p332135 +(lp332136 +S'Mother\tMother\tNNP\tB-NP\tO' +p332137 +aS'has\thave\tVBZ\tB-VP\tO' +p332138 +aS'Dr\tDr\tNNP\tB-NP\tO' +p332139 +aS"Fishman's\tFishman's\tNNP\tI-NP\tO" +p332140 +aS'contact\tcontact\tNN\tI-NP\tO' +p332141 +aS'information\tinformation\tNN\tI-NP\tO' +p332142 +aS'.\t.\t.\tO\tO' +p332143 +asS'She will continue her coumadin at rehab to achieve an INR between 03-22 .' +p332144 +(lp332145 +S'She\tShe\tPRP\tB-NP\tO' +p332146 +aS'will\twill\tMD\tB-VP\tO' +p332147 +aS'continue\tcontinue\tVB\tI-VP\tO' +p332148 +aS'her\ther\tPRP$\tB-NP\tO' +p332149 +aS'coumadin\tcoumadin\tNN\tI-NP\tO' +p332150 +aS'at\tat\tIN\tB-PP\tO' +p332151 +aS'rehab\trehab\tNN\tB-NP\tO' +p332152 +aS'to\tto\tTO\tB-VP\tO' +p332153 +aS'achieve\tachieve\tVB\tI-VP\tO' +p332154 +aS'an\tan\tDT\tB-NP\tO' +p332155 +aS'INR\tINR\tNN\tI-NP\tB-protein' +p332156 +aS'between\tbetween\tIN\tB-PP\tO' +p332157 +aS'03-22\t03-22\tCD\tB-NP\tO' +p332158 +aS'.\t.\t.\tO\tO' +p332159 +asS'well developed male in no acute distress' +p332160 +(lp332161 +S'well\twell\tRB\tB-NP\tO' +p332162 +aS'developed\tdevelop\tVBN\tI-NP\tO' +p332163 +aS'male\tmale\tNN\tI-NP\tO' +p332164 +aS'in\tin\tIN\tB-PP\tO' +p332165 +aS'no\tno\tDT\tB-NP\tO' +p332166 +aS'acute\tacute\tJJ\tI-NP\tO' +p332167 +aS'distress\tdistress\tNN\tI-NP\tO' +p332168 +asS'5. Ferrous Sulfate 325 ( 65 ) mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) : Take for one month then stop .' +p332169 +(lp332170 +S'5.\t5.\tLS\tB-NP\tO' +p332171 +aS'Ferrous\tFerrous\tNNP\tI-NP\tO' +p332172 +aS'Sulfate\tSulfate\tNNP\tI-NP\tO' +p332173 +aS'325\t325\tCD\tI-NP\tO' +p332174 +aS'(\t(\t(\tO\tO' +p332175 +aS'65\t65\tCD\tB-NP\tO' +p332176 +aS')\t)\t)\tO\tO' +p332177 +aS'mg\tmg\tNN\tB-NP\tO' +p332178 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p332179 +aS'Sig\tSig\tNNP\tI-NP\tO' +p332180 +aS':\t:\t:\tO\tO' +p332181 +aS'One\tOne\tCD\tB-NP\tO' +p332182 +aS'(\t(\t(\tO\tO' +p332183 +aS'1\t1\tCD\tB-NP\tO' +p332184 +aS')\t)\t)\tO\tO' +p332185 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p332186 +aS'PO\tPO\tNNP\tI-NP\tO' +p332187 +aS'DAILY\tDAILY\tNNP\tI-NP\tO' +p332188 +aS'(\t(\t(\tO\tO' +p332189 +aS'Daily\tDaily\tNNP\tB-NP\tO' +p332190 +aS')\t)\t)\tO\tO' +p332191 +aS':\t:\t:\tO\tO' +p332192 +aS'Take\tTake\tVB\tB-VP\tO' +p332193 +aS'for\tfor\tIN\tB-PP\tO' +p332194 +aS'one\tone\tCD\tB-NP\tO' +p332195 +aS'month\tmonth\tNN\tI-NP\tO' +p332196 +aS'then\tthen\tRB\tB-ADVP\tO' +p332197 +aS'stop\tstop\tVB\tB-VP\tO' +p332198 +aS'.\t.\t.\tO\tO' +p332199 +asS'Periods regular .' +p332200 +(lp332201 +S'Periods\tPeriod\tNNS\tB-NP\tO' +p332202 +aS'regular\tregular\tJJ\tB-ADJP\tO' +p332203 +aS'.\t.\t.\tO\tO' +p332204 +asS'The patient reported fatigue and nausea , as well as noted coca cola colored urine .' +p332205 +(lp332206 +S'The\tThe\tDT\tB-NP\tO' +p332207 +aS'patient\tpatient\tNN\tI-NP\tO' +p332208 +aS'reported\treport\tVBD\tB-VP\tO' +p332209 +aS'fatigue\tfatigue\tNN\tB-NP\tO' +p332210 +aS'and\tand\tCC\tI-NP\tO' +p332211 +aS'nausea\tnausea\tNN\tI-NP\tO' +p332212 +aS',\t,\t,\tO\tO' +p332213 +aS'as\tas\tRB\tB-CONJP\tO' +p332214 +aS'well\twell\tRB\tI-CONJP\tO' +p332215 +aS'as\tas\tIN\tI-CONJP\tO' +p332216 +aS'noted\tnote\tVBN\tB-NP\tO' +p332217 +aS'coca\tcoca\tNN\tI-NP\tO' +p332218 +aS'cola\tcola\tNN\tI-NP\tO' +p332219 +aS'colored\tcolor\tVBD\tB-VP\tO' +p332220 +aS'urine\turine\tNN\tB-NP\tO' +p332221 +aS'.\t.\t.\tO\tO' +p332222 +asS'repair of first degree perineal laceration' +p332223 +(lp332224 +S'repair\trepair\tNN\tB-NP\tO' +p332225 +aS'of\tof\tIN\tB-PP\tO' +p332226 +aS'first\tfirst\tJJ\tB-NP\tO' +p332227 +aS'degree\tdegree\tNN\tI-NP\tO' +p332228 +aS'perineal\tperineal\tJJ\tI-NP\tO' +p332229 +aS'laceration\tlaceration\tNN\tI-NP\tO' +p332230 +asS'The GI service was consulted and an upper endoscopy study showed grade III varices with no active bleeding and a clean base gastric ulcer possibly secondary to the Blakemore tube .' +p332231 +(lp332232 +S'The\tThe\tDT\tB-NP\tO' +p332233 +aS'GI\tGI\tNN\tI-NP\tO' +p332234 +aS'service\tservice\tNN\tI-NP\tO' +p332235 +aS'was\tbe\tVBD\tB-VP\tO' +p332236 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p332237 +aS'and\tand\tCC\tO\tO' +p332238 +aS'an\tan\tDT\tB-NP\tO' +p332239 +aS'upper\tupper\tJJ\tI-NP\tO' +p332240 +aS'endoscopy\tendoscopy\tNN\tI-NP\tO' +p332241 +aS'study\tstudy\tNN\tI-NP\tO' +p332242 +aS'showed\tshow\tVBD\tB-VP\tO' +p332243 +aS'grade\tgrade\tNN\tB-NP\tO' +p332244 +aS'III\tIII\tCD\tB-NP\tO' +p332245 +aS'varices\tvarix\tNNS\tI-NP\tO' +p332246 +aS'with\twith\tIN\tB-PP\tO' +p332247 +aS'no\tno\tDT\tB-NP\tO' +p332248 +aS'active\tactive\tJJ\tI-NP\tO' +p332249 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p332250 +aS'and\tand\tCC\tO\tO' +p332251 +aS'a\ta\tDT\tB-NP\tO' +p332252 +aS'clean\tclean\tJJ\tI-NP\tO' +p332253 +aS'base\tbase\tNN\tI-NP\tO' +p332254 +aS'gastric\tgastric\tJJ\tI-NP\tO' +p332255 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p332256 +aS'possibly\tpossibly\tRB\tB-ADJP\tO' +p332257 +aS'secondary\tsecondary\tJJ\tI-ADJP\tO' +p332258 +aS'to\tto\tTO\tB-PP\tO' +p332259 +aS'the\tthe\tDT\tB-NP\tO' +p332260 +aS'Blakemore\tBlakemore\tNNP\tI-NP\tO' +p332261 +aS'tube\ttube\tNN\tI-NP\tO' +p332262 +aS'.\t.\t.\tO\tO' +p332263 +asS'He was married , with children , and was a church minister .' +p332264 +(lp332265 +S'He\tHe\tPRP\tB-NP\tO' +p332266 +aS'was\tbe\tVBD\tB-VP\tO' +p332267 +aS'married\tmarry\tVBN\tI-VP\tO' +p332268 +aS',\t,\t,\tO\tO' +p332269 +aS'with\twith\tIN\tB-PP\tO' +p332270 +aS'children\tchild\tNNS\tB-NP\tO' +p332271 +aS',\t,\t,\tO\tO' +p332272 +aS'and\tand\tCC\tO\tO' +p332273 +aS'was\tbe\tVBD\tB-VP\tO' +p332274 +aS'a\ta\tDT\tB-NP\tO' +p332275 +aS'church\tchurch\tNN\tI-NP\tO' +p332276 +aS'minister\tminister\tNN\tI-NP\tO' +p332277 +aS'.\t.\t.\tO\tO' +p332278 +asS'She denies fever .' +p332279 +(lp332280 +S'She\tShe\tPRP\tB-NP\tO' +p332281 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p332282 +aS'fever\tfever\tNN\tB-NP\tO' +p332283 +aS'.\t.\t.\tO\tO' +p332284 +asS'1. Enoxaparin Sodium 80 mg / 0.8 mL Syringe Sig : One ( 1 ) syringe Subcutaneous Q12H ( every 12 hours ) : May discontinue once INR therapeutic as directed by your physician .' +p332285 +(lp332286 +S'1.\t1.\tLS\tB-NP\tO' +p332287 +aS'Enoxaparin\tEnoxaparin\tNN\tI-NP\tO' +p332288 +aS'Sodium\tSodium\tNN\tI-NP\tO' +p332289 +aS'80\t80\tCD\tI-NP\tO' +p332290 +aS'mg\tmg\tNN\tI-NP\tO' +p332291 +aS'/\t/\tSYM\tB-NP\tO' +p332292 +aS'0.8\t0.8\tCD\tB-NP\tO' +p332293 +aS'mL\tmL\tNN\tI-NP\tO' +p332294 +aS'Syringe\tSyringe\tNNP\tI-NP\tO' +p332295 +aS'Sig\tSig\tNNP\tI-NP\tO' +p332296 +aS':\t:\t:\tO\tO' +p332297 +aS'One\tOne\tCD\tB-NP\tO' +p332298 +aS'(\t(\t(\tO\tO' +p332299 +aS'1\t1\tCD\tB-NP\tO' +p332300 +aS')\t)\t)\tO\tO' +p332301 +aS'syringe\tsyringe\tNN\tB-NP\tO' +p332302 +aS'Subcutaneous\tSubcutaneous\tJJ\tI-NP\tO' +p332303 +aS'Q12H\tQ12H\tNN\tI-NP\tO' +p332304 +aS'(\t(\t(\tO\tO' +p332305 +aS'every\tevery\tDT\tB-NP\tO' +p332306 +aS'12\t12\tCD\tI-NP\tO' +p332307 +aS'hours\thour\tNNS\tI-NP\tO' +p332308 +aS')\t)\t)\tO\tO' +p332309 +aS':\t:\t:\tO\tO' +p332310 +aS'May\tMay\tMD\tO\tO' +p332311 +aS'discontinue\tdiscontinue\tVBP\tB-VP\tO' +p332312 +aS'once\tonce\tRB\tB-ADVP\tO' +p332313 +aS'INR\tINR\tNN\tB-ADJP\tO' +p332314 +aS'therapeutic\ttherapeutic\tJJ\tI-ADJP\tO' +p332315 +aS'as\tas\tIN\tB-SBAR\tO' +p332316 +aS'directed\tdirect\tVBN\tB-VP\tO' +p332317 +aS'by\tby\tIN\tB-PP\tO' +p332318 +aS'your\tyour\tPRP$\tB-NP\tO' +p332319 +aS'physician\tphysician\tNN\tI-NP\tO' +p332320 +aS'.\t.\t.\tO\tO' +p332321 +asS'The past surgical history is notable for a 1971 mastectomy on the right , 1937 appendectomy , 1991 cholecystectomy , 1992 transverse colectomy , 1992 exploratory laparotomy , 1991 bilateral cataract surgery .' +p332322 +(lp332323 +S'The\tThe\tDT\tB-NP\tO' +p332324 +aS'past\tpast\tJJ\tI-NP\tO' +p332325 +aS'surgical\tsurgical\tJJ\tI-NP\tO' +p332326 +aS'history\thistory\tNN\tI-NP\tO' +p332327 +aS'is\tbe\tVBZ\tB-VP\tO' +p332328 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p332329 +aS'for\tfor\tIN\tB-PP\tO' +p332330 +aS'a\ta\tDT\tB-NP\tO' +p332331 +aS'1971\t1971\tCD\tI-NP\tO' +p332332 +aS'mastectomy\tmastectomy\tNN\tI-NP\tO' +p332333 +aS'on\ton\tIN\tB-PP\tO' +p332334 +aS'the\tthe\tDT\tB-NP\tO' +p332335 +aS'right\tright\tNN\tI-NP\tO' +p332336 +aS',\t,\t,\tO\tO' +p332337 +aS'1937\t1937\tCD\tB-NP\tO' +p332338 +aS'appendectomy\tappendectomy\tNN\tI-NP\tO' +p332339 +aS',\t,\t,\tO\tO' +p332340 +aS'1991\t1991\tCD\tB-NP\tO' +p332341 +aS'cholecystectomy\tcholecystectomy\tNN\tI-NP\tO' +p332342 +aS',\t,\t,\tO\tO' +p332343 +aS'1992\t1992\tCD\tB-NP\tO' +p332344 +aS'transverse\ttransverse\tJJ\tI-NP\tO' +p332345 +aS'colectomy\tcolectomy\tNN\tI-NP\tO' +p332346 +aS',\t,\t,\tO\tO' +p332347 +aS'1992\t1992\tCD\tB-NP\tO' +p332348 +aS'exploratory\texploratory\tJJ\tI-NP\tO' +p332349 +aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' +p332350 +aS',\t,\t,\tO\tO' +p332351 +aS'1991\t1991\tCD\tB-NP\tO' +p332352 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p332353 +aS'cataract\tcataract\tNN\tI-NP\tO' +p332354 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p332355 +aS'.\t.\t.\tO\tO' +p332356 +asS'The patient presents today with complaints of fever and a temperature of 100 .' +p332357 +(lp332358 +S'The\tThe\tDT\tB-NP\tO' +p332359 +aS'patient\tpatient\tNN\tI-NP\tO' +p332360 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p332361 +aS'today\ttoday\tNN\tB-NP\tO' +p332362 +aS'with\twith\tIN\tB-PP\tO' +p332363 +aS'complaints\tcomplaint\tNNS\tB-NP\tO' +p332364 +aS'of\tof\tIN\tB-PP\tO' +p332365 +aS'fever\tfever\tNN\tB-NP\tO' +p332366 +aS'and\tand\tCC\tO\tO' +p332367 +aS'a\ta\tDT\tB-NP\tO' +p332368 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p332369 +aS'of\tof\tIN\tB-PP\tO' +p332370 +aS'100\t100\tCD\tB-NP\tO' +p332371 +aS'.\t.\t.\tO\tO' +p332372 +asS'A electrocardiogram showed nonspecific T-wave abnormalities , otherwise , it was normal .' +p332373 +(lp332374 +S'A\tA\tDT\tB-NP\tO' +p332375 +aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' +p332376 +aS'showed\tshow\tVBD\tB-VP\tO' +p332377 +aS'nonspecific\tnonspecific\tJJ\tB-NP\tO' +p332378 +aS'T-wave\tT-wave\tNN\tI-NP\tO' +p332379 +aS'abnormalities\tabnormality\tNNS\tI-NP\tO' +p332380 +aS',\t,\t,\tO\tO' +p332381 +aS'otherwise\totherwise\tRB\tB-ADVP\tO' +p332382 +aS',\t,\t,\tO\tO' +p332383 +aS'it\tit\tPRP\tB-NP\tO' +p332384 +aS'was\tbe\tVBD\tB-VP\tO' +p332385 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p332386 +aS'.\t.\t.\tO\tO' +p332387 +asS'However , on 02/10/91 , his respiratory rate increased and his oxygen saturation decreased .' +p332388 +(lp332389 +S'However\tHowever\tRB\tB-ADVP\tO' +p332390 +aS',\t,\t,\tO\tO' +p332391 +aS'on\ton\tIN\tB-PP\tO' +p332392 +aS'02/10/91\t02/10/91\tCD\tB-NP\tO' +p332393 +aS',\t,\t,\tO\tO' +p332394 +aS'his\this\tPRP$\tB-NP\tO' +p332395 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p332396 +aS'rate\trate\tNN\tI-NP\tO' +p332397 +aS'increased\tincrease\tVBD\tB-VP\tO' +p332398 +aS'and\tand\tCC\tO\tO' +p332399 +aS'his\this\tPRP$\tB-NP\tO' +p332400 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p332401 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p332402 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p332403 +aS'.\t.\t.\tO\tO' +p332404 +asS'The patient was unresponsive , poor perfusion .' +p332405 +(lp332406 +S'The\tThe\tDT\tB-NP\tO' +p332407 +aS'patient\tpatient\tNN\tI-NP\tO' +p332408 +aS'was\tbe\tVBD\tB-VP\tO' +p332409 +aS'unresponsive\tunresponsive\tJJ\tB-NP\tO' +p332410 +aS',\t,\t,\tI-NP\tO' +p332411 +aS'poor\tpoor\tJJ\tI-NP\tO' +p332412 +aS'perfusion\tperfusion\tNN\tI-NP\tO' +p332413 +aS'.\t.\t.\tO\tO' +p332414 +asS'Old inferior wall myocardial infarction in 1984 .' +p332415 +(lp332416 +S'Old\tOld\tJJ\tB-NP\tO' +p332417 +aS'inferior\tinferior\tJJ\tI-NP\tO' +p332418 +aS'wall\twall\tNN\tI-NP\tO' +p332419 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p332420 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p332421 +aS'in\tin\tIN\tB-PP\tO' +p332422 +aS'1984\t1984\tCD\tB-NP\tO' +p332423 +aS'.\t.\t.\tO\tO' +p332424 +asS'ROS otherwise negative .' +p332425 +(lp332426 +S'ROS\tROS\tNN\tB-NP\tO' +p332427 +aS'otherwise\totherwise\tRB\tB-ADJP\tO' +p332428 +aS'negative\tnegative\tJJ\tI-ADJP\tO' +p332429 +aS'.\t.\t.\tO\tO' +p332430 +asS'They agreed with a do not resuscitate status early on in the hospitalization and in the course of being maintain on low dose Morphine , he ultimately expired on 2/28/94 with the family present .' +p332431 +(lp332432 +S'They\tThey\tPRP\tB-NP\tO' +p332433 +aS'agreed\tagree\tVBD\tB-VP\tO' +p332434 +aS'with\twith\tIN\tB-PP\tO' +p332435 +aS'a\ta\tDT\tB-NP\tO' +p332436 +aS'do\tdo\tVBP\tB-VP\tO' +p332437 +aS'not\tnot\tRB\tI-VP\tO' +p332438 +aS'resuscitate\tresuscitate\tVB\tI-VP\tO' +p332439 +aS'status\tstatus\tNN\tB-NP\tO' +p332440 +aS'early\tearly\tRB\tB-ADVP\tO' +p332441 +aS'on\ton\tIN\tB-PP\tO' +p332442 +aS'in\tin\tIN\tB-PP\tO' +p332443 +aS'the\tthe\tDT\tB-NP\tO' +p332444 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p332445 +aS'and\tand\tCC\tB-PP\tO' +p332446 +aS'in\tin\tIN\tB-PP\tO' +p332447 +aS'the\tthe\tDT\tB-NP\tO' +p332448 +aS'course\tcourse\tNN\tI-NP\tO' +p332449 +aS'of\tof\tIN\tB-PP\tO' +p332450 +aS'being\tbe\tVBG\tB-VP\tO' +p332451 +aS'maintain\tmaintain\tNN\tB-NP\tO' +p332452 +aS'on\ton\tIN\tB-PP\tO' +p332453 +aS'low\tlow\tJJ\tB-NP\tO' +p332454 +aS'dose\tdose\tNN\tI-NP\tO' +p332455 +aS'Morphine\tMorphine\tNN\tI-NP\tO' +p332456 +aS',\t,\t,\tO\tO' +p332457 +aS'he\the\tPRP\tB-NP\tO' +p332458 +aS'ultimately\tultimately\tRB\tB-ADVP\tO' +p332459 +aS'expired\texpire\tVBD\tB-VP\tO' +p332460 +aS'on\ton\tIN\tB-PP\tO' +p332461 +aS'2/28/94\t2/28/94\tCD\tB-NP\tO' +p332462 +aS'with\twith\tIN\tB-PP\tO' +p332463 +aS'the\tthe\tDT\tB-NP\tO' +p332464 +aS'family\tfamily\tNN\tI-NP\tO' +p332465 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p332466 +aS'.\t.\t.\tO\tO' +p332467 +asS'Iron 325 ( 65 ) mg twice a day' +p332468 +(lp332469 +S'Iron\tIron\tNNP\tB-NP\tO' +p332470 +aS'325\t325\tCD\tI-NP\tO' +p332471 +aS'(\t(\t(\tO\tO' +p332472 +aS'65\t65\tCD\tB-NP\tO' +p332473 +aS')\t)\t)\tO\tO' +p332474 +aS'mg\tmg\tNN\tB-NP\tO' +p332475 +aS'twice\ttwice\tRB\tB-NP\tO' +p332476 +aS'a\ta\tDT\tI-NP\tO' +p332477 +aS'day\tday\tNN\tI-NP\tO' +p332478 +asS'No aortic regurgitation present .' +p332479 +(lp332480 +S'No\tNo\tDT\tB-NP\tO' +p332481 +aS'aortic\taortic\tJJ\tI-NP\tO' +p332482 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p332483 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p332484 +aS'.\t.\t.\tO\tO' +p332485 +asS'This culture remained negative with normal cell counts and chemistries .' +p332486 +(lp332487 +S'This\tThis\tDT\tB-NP\tO' +p332488 +aS'culture\tculture\tNN\tI-NP\tO' +p332489 +aS'remained\tremain\tVBD\tB-VP\tO' +p332490 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p332491 +aS'with\twith\tIN\tB-PP\tO' +p332492 +aS'normal\tnormal\tJJ\tB-NP\tO' +p332493 +aS'cell\tcell\tNN\tI-NP\tO' +p332494 +aS'counts\tcount\tNNS\tI-NP\tO' +p332495 +aS'and\tand\tCC\tI-NP\tO' +p332496 +aS'chemistries\tchemistry\tNNS\tI-NP\tO' +p332497 +aS'.\t.\t.\tO\tO' +p332498 +asS'She tolerates them very well and has approximately 200 cc to 300 cc of stool per day .' +p332499 +(lp332500 +S'She\tShe\tPRP\tB-NP\tO' +p332501 +aS'tolerates\ttolerate\tVBZ\tB-VP\tO' +p332502 +aS'them\tthem\tPRP\tB-NP\tO' +p332503 +aS'very\tvery\tRB\tB-ADVP\tO' +p332504 +aS'well\twell\tRB\tI-ADVP\tO' +p332505 +aS'and\tand\tCC\tO\tO' +p332506 +aS'has\thave\tVBZ\tB-VP\tO' +p332507 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p332508 +aS'200\t200\tCD\tI-NP\tO' +p332509 +aS'cc\tcc\tNN\tI-NP\tO' +p332510 +aS'to\tto\tTO\tB-PP\tO' +p332511 +aS'300\t300\tCD\tB-NP\tO' +p332512 +aS'cc\tcc\tNN\tI-NP\tO' +p332513 +aS'of\tof\tIN\tB-PP\tO' +p332514 +aS'stool\tstool\tNN\tB-NP\tO' +p332515 +aS'per\tper\tIN\tB-PP\tO' +p332516 +aS'day\tday\tNN\tB-NP\tO' +p332517 +aS'.\t.\t.\tO\tO' +p332518 +asS'Paratracheal mediastinal hematoma is resolving .' +p332519 +(lp332520 +S'Paratracheal\tParatracheal\tJJ\tB-NP\tO' +p332521 +aS'mediastinal\tmediastinal\tJJ\tI-NP\tO' +p332522 +aS'hematoma\thematoma\tNN\tI-NP\tO' +p332523 +aS'is\tbe\tVBZ\tB-VP\tO' +p332524 +aS'resolving\tresolve\tVBG\tI-VP\tO' +p332525 +aS'.\t.\t.\tO\tO' +p332526 +asS'His d-sticks were greater than 80 .' +p332527 +(lp332528 +S'His\tHis\tPRP$\tB-NP\tO' +p332529 +aS'd-sticks\td-stick\tNNS\tI-NP\tO' +p332530 +aS'were\tbe\tVBD\tB-VP\tO' +p332531 +aS'greater\tgreat\tJJR\tB-ADJP\tO' +p332532 +aS'than\tthan\tIN\tB-PP\tO' +p332533 +aS'80\t80\tCD\tB-NP\tO' +p332534 +aS'.\t.\t.\tO\tO' +p332535 +asS'ABDOMEN : soft and distended , but no actual tenderness .' +p332536 +(lp332537 +S'ABDOMEN\tABDOMEN\tNN\tB-NP\tO' +p332538 +aS':\t:\t:\tO\tO' +p332539 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p332540 +aS'and\tand\tCC\tI-ADJP\tO' +p332541 +aS'distended\tdistended\tJJ\tI-ADJP\tO' +p332542 +aS',\t,\t,\tO\tO' +p332543 +aS'but\tbut\tCC\tO\tO' +p332544 +aS'no\tno\tDT\tB-NP\tO' +p332545 +aS'actual\tactual\tJJ\tI-NP\tO' +p332546 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p332547 +aS'.\t.\t.\tO\tO' +p332548 +asS'His renal function fluctuated throughout his hospital stay , and when he was in the Medical Intensive Care Unit he did have decreased urine output in the setting of cardiogenic shock .' +p332549 +(lp332550 +S'His\tHis\tPRP$\tB-NP\tO' +p332551 +aS'renal\trenal\tJJ\tI-NP\tO' +p332552 +aS'function\tfunction\tNN\tI-NP\tO' +p332553 +aS'fluctuated\tfluctuate\tVBN\tB-VP\tO' +p332554 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p332555 +aS'his\this\tPRP$\tB-NP\tO' +p332556 +aS'hospital\thospital\tNN\tI-NP\tO' +p332557 +aS'stay\tstay\tNN\tI-NP\tO' +p332558 +aS',\t,\t,\tO\tO' +p332559 +aS'and\tand\tCC\tO\tO' +p332560 +aS'when\twhen\tWRB\tB-ADVP\tO' +p332561 +aS'he\the\tPRP\tB-NP\tO' +p332562 +aS'was\tbe\tVBD\tB-VP\tO' +p332563 +aS'in\tin\tIN\tB-PP\tO' +p332564 +aS'the\tthe\tDT\tB-NP\tO' +p332565 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p332566 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p332567 +aS'Care\tCare\tNNP\tI-NP\tO' +p332568 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p332569 +aS'he\the\tPRP\tB-NP\tO' +p332570 +aS'did\tdo\tVBD\tB-VP\tO' +p332571 +aS'have\thave\tVB\tI-VP\tO' +p332572 +aS'decreased\tdecrease\tVBN\tI-VP\tO' +p332573 +aS'urine\turine\tNN\tB-NP\tO' +p332574 +aS'output\toutput\tNN\tI-NP\tO' +p332575 +aS'in\tin\tIN\tB-PP\tO' +p332576 +aS'the\tthe\tDT\tB-NP\tO' +p332577 +aS'setting\tsetting\tNN\tI-NP\tO' +p332578 +aS'of\tof\tIN\tB-PP\tO' +p332579 +aS'cardiogenic\tcardiogenic\tJJ\tB-NP\tO' +p332580 +aS'shock\tshock\tNN\tI-NP\tO' +p332581 +aS'.\t.\t.\tO\tO' +p332582 +asS'Her hematocrit remained stable throughout this course .' +p332583 +(lp332584 +S'Her\tHer\tPRP$\tB-NP\tO' +p332585 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p332586 +aS'remained\tremain\tVBD\tB-VP\tO' +p332587 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p332588 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p332589 +aS'this\tthis\tDT\tB-NP\tO' +p332590 +aS'course\tcourse\tNN\tI-NP\tO' +p332591 +aS'.\t.\t.\tO\tO' +p332592 +asS'She has severe memory deficits , but nevertheless , is able to engage in conversation , answers questions , names things well , does calculations and recognizes family members and states preferences .' +p332593 +(lp332594 +S'She\tShe\tPRP\tB-NP\tO' +p332595 +aS'has\thave\tVBZ\tB-VP\tO' +p332596 +aS'severe\tsevere\tJJ\tB-NP\tO' +p332597 +aS'memory\tmemory\tNN\tI-NP\tO' +p332598 +aS'deficits\tdeficit\tNNS\tI-NP\tO' +p332599 +aS',\t,\t,\tO\tO' +p332600 +aS'but\tbut\tCC\tO\tO' +p332601 +aS'nevertheless\tnevertheless\tRB\tB-ADVP\tO' +p332602 +aS',\t,\t,\tO\tO' +p332603 +aS'is\tbe\tVBZ\tB-VP\tO' +p332604 +aS'able\table\tJJ\tB-ADJP\tO' +p332605 +aS'to\tto\tTO\tB-VP\tO' +p332606 +aS'engage\tengage\tVB\tI-VP\tO' +p332607 +aS'in\tin\tIN\tB-PP\tO' +p332608 +aS'conversation\tconversation\tNN\tB-NP\tO' +p332609 +aS',\t,\t,\tO\tO' +p332610 +aS'answers\tanswer\tNNS\tB-NP\tO' +p332611 +aS'questions\tquestion\tNNS\tI-NP\tO' +p332612 +aS',\t,\t,\tO\tO' +p332613 +aS'names\tname\tVBZ\tB-VP\tO' +p332614 +aS'things\tthing\tNNS\tB-NP\tO' +p332615 +aS'well\twell\tRB\tB-INTJ\tO' +p332616 +aS',\t,\t,\tO\tO' +p332617 +aS'does\tdo\tVBZ\tB-VP\tO' +p332618 +aS'calculations\tcalculation\tNNS\tB-NP\tO' +p332619 +aS'and\tand\tCC\tO\tO' +p332620 +aS'recognizes\trecognize\tVBZ\tB-VP\tO' +p332621 +aS'family\tfamily\tNN\tB-NP\tO' +p332622 +aS'members\tmember\tNNS\tI-NP\tO' +p332623 +aS'and\tand\tCC\tO\tO' +p332624 +aS'states\tstate\tNNS\tB-NP\tO' +p332625 +aS'preferences\tpreference\tNNS\tI-NP\tO' +p332626 +aS'.\t.\t.\tO\tO' +p332627 +asS'The wife and the patient have two children together .' +p332628 +(lp332629 +S'The\tThe\tDT\tB-NP\tO' +p332630 +aS'wife\twife\tNN\tI-NP\tO' +p332631 +aS'and\tand\tCC\tO\tO' +p332632 +aS'the\tthe\tDT\tB-NP\tO' +p332633 +aS'patient\tpatient\tNN\tI-NP\tO' +p332634 +aS'have\thave\tVBP\tB-VP\tO' +p332635 +aS'two\ttwo\tCD\tB-NP\tO' +p332636 +aS'children\tchild\tNNS\tI-NP\tO' +p332637 +aS'together\ttogether\tRB\tB-ADVP\tO' +p332638 +aS'.\t.\t.\tO\tO' +p332639 +asS'Palate elevates in midline .' +p332640 +(lp332641 +S'Palate\tPalate\tNN\tB-NP\tO' +p332642 +aS'elevates\televate\tNNS\tI-NP\tO' +p332643 +aS'in\tin\tIN\tB-PP\tO' +p332644 +aS'midline\tmidline\tNN\tB-NP\tO' +p332645 +aS'.\t.\t.\tO\tO' +p332646 +asS'The baby is now healthy , about four months old .' +p332647 +(lp332648 +S'The\tThe\tDT\tB-NP\tO' +p332649 +aS'baby\tbaby\tNN\tI-NP\tO' +p332650 +aS'is\tbe\tVBZ\tB-VP\tO' +p332651 +aS'now\tnow\tRB\tB-ADVP\tO' +p332652 +aS'healthy\thealthy\tJJ\tB-ADJP\tO' +p332653 +aS',\t,\t,\tO\tO' +p332654 +aS'about\tabout\tIN\tB-NP\tO' +p332655 +aS'four\tfour\tCD\tI-NP\tO' +p332656 +aS'months\tmonth\tNNS\tI-NP\tO' +p332657 +aS'old\told\tJJ\tB-ADJP\tO' +p332658 +aS'.\t.\t.\tO\tO' +p332659 +asS'Discharge medications include Percocet and Colace .' +p332660 +(lp332661 +S'Discharge\tDischarge\tNN\tB-NP\tO' +p332662 +aS'medications\tmedication\tNNS\tI-NP\tO' +p332663 +aS'include\tinclude\tVBP\tB-VP\tO' +p332664 +aS'Percocet\tPercocet\tNNP\tB-NP\tO' +p332665 +aS'and\tand\tCC\tI-NP\tO' +p332666 +aS'Colace\tColace\tNNP\tI-NP\tO' +p332667 +aS'.\t.\t.\tO\tO' +p332668 +asS'The patient presented with a chief complaint of LEFT LEG FX HIP .' +p332669 +(lp332670 +S'The\tThe\tDT\tB-NP\tO' +p332671 +aS'patient\tpatient\tNN\tI-NP\tO' +p332672 +aS'presented\tpresent\tVBD\tB-VP\tO' +p332673 +aS'with\twith\tIN\tB-PP\tO' +p332674 +aS'a\ta\tDT\tB-NP\tO' +p332675 +aS'chief\tchief\tJJ\tI-NP\tO' +p332676 +aS'complaint\tcomplaint\tNN\tI-NP\tO' +p332677 +aS'of\tof\tIN\tB-PP\tO' +p332678 +aS'LEFT\tLEFT\tNNP\tB-NP\tO' +p332679 +aS'LEG\tLEG\tNNP\tI-NP\tO' +p332680 +aS'FX\tFX\tNNP\tI-NP\tO' +p332681 +aS'HIP\tHIP\tNNP\tI-NP\tO' +p332682 +aS'.\t.\t.\tO\tO' +p332683 +asS'4) coronary artery disease .' +p332684 +(lp332685 +S'4)\t4)\tLS\tB-NP\tO' +p332686 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p332687 +aS'artery\tartery\tNN\tI-NP\tO' +p332688 +aS'disease\tdisease\tNN\tI-NP\tO' +p332689 +aS'.\t.\t.\tO\tO' +p332690 +asS'He was taken to the operating room on 2019-10-01 where he underwent a CABG x 3 .' +p332691 +(lp332692 +S'He\tHe\tPRP\tB-NP\tO' +p332693 +aS'was\tbe\tVBD\tB-VP\tO' +p332694 +aS'taken\ttake\tVBN\tI-VP\tO' +p332695 +aS'to\tto\tTO\tB-PP\tO' +p332696 +aS'the\tthe\tDT\tB-NP\tO' +p332697 +aS'operating\toperating\tNN\tI-NP\tO' +p332698 +aS'room\troom\tNN\tI-NP\tO' +p332699 +aS'on\ton\tIN\tB-PP\tO' +p332700 +aS'2019-10-01\t2019-10-01\tCD\tB-NP\tO' +p332701 +aS'where\twhere\tWRB\tB-ADVP\tO' +p332702 +aS'he\the\tPRP\tB-NP\tO' +p332703 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p332704 +aS'a\ta\tDT\tB-NP\tO' +p332705 +aS'CABG\tCABG\tNN\tI-NP\tB-protein' +p332706 +aS'x\tx\tNN\tI-NP\tI-protein' +p332707 +aS'3\t3\tCD\tI-NP\tI-protein' +p332708 +aS'.\t.\t.\tO\tO' +p332709 +asS'She had reduced but adequate air movement .' +p332710 +(lp332711 +S'She\tShe\tPRP\tB-NP\tO' +p332712 +aS'had\thave\tVBD\tB-VP\tO' +p332713 +aS'reduced\treduce\tVBN\tI-VP\tO' +p332714 +aS'but\tbut\tCC\tO\tO' +p332715 +aS'adequate\tadequate\tJJ\tB-NP\tO' +p332716 +aS'air\tair\tNN\tI-NP\tO' +p332717 +aS'movement\tmovement\tNN\tI-NP\tO' +p332718 +aS'.\t.\t.\tO\tO' +p332719 +asS'Nasal trumpet suction was done and he was found to have food like material that was easily suctioned out .' +p332720 +(lp332721 +S'Nasal\tNasal\tJJ\tB-NP\tO' +p332722 +aS'trumpet\ttrumpet\tNN\tI-NP\tO' +p332723 +aS'suction\tsuction\tNN\tI-NP\tO' +p332724 +aS'was\tbe\tVBD\tB-VP\tO' +p332725 +aS'done\tdo\tVBN\tI-VP\tO' +p332726 +aS'and\tand\tCC\tO\tO' +p332727 +aS'he\the\tPRP\tB-NP\tO' +p332728 +aS'was\tbe\tVBD\tB-VP\tO' +p332729 +aS'found\tfind\tVBN\tI-VP\tO' +p332730 +aS'to\tto\tTO\tI-VP\tO' +p332731 +aS'have\thave\tVB\tI-VP\tO' +p332732 +aS'food\tfood\tNN\tB-NP\tO' +p332733 +aS'like\tlike\tIN\tB-PP\tO' +p332734 +aS'material\tmaterial\tNN\tB-NP\tO' +p332735 +aS'that\tthat\tWDT\tB-NP\tO' +p332736 +aS'was\tbe\tVBD\tB-VP\tO' +p332737 +aS'easily\teasily\tRB\tI-VP\tO' +p332738 +aS'suctioned\tsuctione\tVBN\tI-VP\tO' +p332739 +aS'out\tout\tRP\tB-PRT\tO' +p332740 +aS'.\t.\t.\tO\tO' +p332741 +asS'sodium 140 , potassium 4 , chloride 107 , CO2 25.4 , BUN 9 , creatinine .8 , blood sugar 130 .' +p332742 +(lp332743 +S'sodium\tsodium\tNN\tB-NP\tO' +p332744 +aS'140\t140\tCD\tI-NP\tO' +p332745 +aS',\t,\t,\tO\tO' +p332746 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p332747 +aS'4\t4\tCD\tI-NP\tO' +p332748 +aS',\t,\t,\tO\tO' +p332749 +aS'chloride\tchloride\tNN\tB-NP\tO' +p332750 +aS'107\t107\tCD\tI-NP\tO' +p332751 +aS',\t,\t,\tO\tO' +p332752 +aS'CO2\tCO2\tNN\tB-NP\tB-cell_line' +p332753 +aS'25.4\t25.4\tCD\tI-NP\tI-cell_line' +p332754 +aS',\t,\t,\tO\tO' +p332755 +aS'BUN\tBUN\tNN\tB-NP\tB-protein' +p332756 +aS'9\t9\tCD\tI-NP\tI-protein' +p332757 +aS',\t,\t,\tO\tO' +p332758 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p332759 +aS'.8\t.8\tCD\tI-NP\tO' +p332760 +aS',\t,\t,\tO\tO' +p332761 +aS'blood\tblood\tNN\tB-NP\tO' +p332762 +aS'sugar\tsugar\tNN\tI-NP\tO' +p332763 +aS'130\t130\tCD\tI-NP\tO' +p332764 +aS'.\t.\t.\tO\tO' +p332765 +asS'No manifestations of SLE during this admission .' +p332766 +(lp332767 +S'No\tNo\tDT\tB-NP\tO' +p332768 +aS'manifestations\tmanifestation\tNNS\tI-NP\tO' +p332769 +aS'of\tof\tIN\tB-PP\tO' +p332770 +aS'SLE\tSLE\tNN\tB-NP\tO' +p332771 +aS'during\tduring\tIN\tB-PP\tO' +p332772 +aS'this\tthis\tDT\tB-NP\tO' +p332773 +aS'admission\tadmission\tNN\tI-NP\tO' +p332774 +aS'.\t.\t.\tO\tO' +p332775 +asS'Her pain medications were changed around until an acceptable regime was accomplished .' +p332776 +(lp332777 +S'Her\tHer\tPRP$\tB-NP\tO' +p332778 +aS'pain\tpain\tNN\tI-NP\tO' +p332779 +aS'medications\tmedication\tNNS\tI-NP\tO' +p332780 +aS'were\tbe\tVBD\tB-VP\tO' +p332781 +aS'changed\tchange\tVBN\tI-VP\tO' +p332782 +aS'around\taround\tIN\tB-PP\tO' +p332783 +aS'until\tuntil\tIN\tB-PP\tO' +p332784 +aS'an\tan\tDT\tB-NP\tO' +p332785 +aS'acceptable\tacceptable\tJJ\tI-NP\tO' +p332786 +aS'regime\tregime\tNN\tI-NP\tO' +p332787 +aS'was\tbe\tVBD\tB-VP\tO' +p332788 +aS'accomplished\taccomplish\tVBN\tI-VP\tO' +p332789 +aS'.\t.\t.\tO\tO' +p332790 +asS'Her pain is located in the groin and thigh .' +p332791 +(lp332792 +S'Her\tHer\tPRP$\tB-NP\tO' +p332793 +aS'pain\tpain\tNN\tI-NP\tO' +p332794 +aS'is\tbe\tVBZ\tB-VP\tO' +p332795 +aS'located\tlocate\tVBN\tI-VP\tO' +p332796 +aS'in\tin\tIN\tB-PP\tO' +p332797 +aS'the\tthe\tDT\tB-NP\tO' +p332798 +aS'groin\tgroin\tNN\tI-NP\tO' +p332799 +aS'and\tand\tCC\tI-NP\tO' +p332800 +aS'thigh\tthigh\tNN\tI-NP\tO' +p332801 +aS'.\t.\t.\tO\tO' +p332802 +asS'2. Resting hemodynamics revealed elevated right and left sided filling pressures with a mean RA pressure of 12 mm Hg and a mean wedge pressure 24 mm Hg .' +p332803 +(lp332804 +S'2.\t2.\tLS\tB-NP\tO' +p332805 +aS'Resting\tResting\tNN\tI-NP\tO' +p332806 +aS'hemodynamics\themodynamic\tNNS\tI-NP\tO' +p332807 +aS'revealed\treveal\tVBD\tB-VP\tO' +p332808 +aS'elevated\televate\tVBN\tI-VP\tO' +p332809 +aS'right\tright\tJJ\tB-NP\tO' +p332810 +aS'and\tand\tCC\tI-NP\tO' +p332811 +aS'left\tleft\tJJ\tI-NP\tO' +p332812 +aS'sided\tside\tVBD\tB-VP\tO' +p332813 +aS'filling\tfill\tVBG\tI-VP\tO' +p332814 +aS'pressures\tpressure\tNNS\tB-NP\tO' +p332815 +aS'with\twith\tIN\tB-PP\tO' +p332816 +aS'a\ta\tDT\tB-NP\tO' +p332817 +aS'mean\tmean\tJJ\tI-NP\tO' +p332818 +aS'RA\tRA\tNN\tI-NP\tO' +p332819 +aS'pressure\tpressure\tNN\tI-NP\tO' +p332820 +aS'of\tof\tIN\tB-PP\tO' +p332821 +aS'12\t12\tCD\tB-NP\tO' +p332822 +aS'mm\tmm\tNN\tI-NP\tO' +p332823 +aS'Hg\tHg\tNN\tI-NP\tO' +p332824 +aS'and\tand\tCC\tO\tO' +p332825 +aS'a\ta\tDT\tB-NP\tO' +p332826 +aS'mean\tmean\tJJ\tI-NP\tO' +p332827 +aS'wedge\twedge\tNN\tI-NP\tO' +p332828 +aS'pressure\tpressure\tNN\tI-NP\tO' +p332829 +aS'24\t24\tCD\tI-NP\tO' +p332830 +aS'mm\tmm\tNN\tI-NP\tO' +p332831 +aS'Hg\tHg\tNN\tI-NP\tO' +p332832 +aS'.\t.\t.\tO\tO' +p332833 +asS'IMPENDING SPINAL CORD COMPRESSION .' +p332834 +(lp332835 +S'IMPENDING\tIMPENDING\tVBG\tB-VP\tO' +p332836 +aS'SPINAL\tSPINAL\tJJ\tB-NP\tO' +p332837 +aS'CORD\tCORD\tNN\tI-NP\tO' +p332838 +aS'COMPRESSION\tCOMPRESSION\tNN\tI-NP\tO' +p332839 +aS'.\t.\t.\tO\tO' +p332840 +asS'Her pupils equal round reactive to light and accomodation , normocephalic , atraumatic , extraocular muscles intact .' +p332841 +(lp332842 +S'Her\tHer\tPRP$\tB-NP\tO' +p332843 +aS'pupils\tpupil\tNNS\tI-NP\tO' +p332844 +aS'equal\tequal\tJJ\tI-NP\tO' +p332845 +aS'round\tround\tNN\tI-NP\tO' +p332846 +aS'reactive\treactive\tJJ\tB-ADJP\tO' +p332847 +aS'to\tto\tTO\tB-PP\tO' +p332848 +aS'light\tlight\tNN\tB-NP\tO' +p332849 +aS'and\tand\tCC\tI-NP\tO' +p332850 +aS'accomodation\taccomodation\tNN\tI-NP\tO' +p332851 +aS',\t,\t,\tO\tO' +p332852 +aS'normocephalic\tnormocephalic\tJJ\tB-NP\tO' +p332853 +aS',\t,\t,\tI-NP\tO' +p332854 +aS'atraumatic\tatraumatic\tJJ\tI-NP\tO' +p332855 +aS',\t,\t,\tI-NP\tO' +p332856 +aS'extraocular\textraocular\tJJ\tI-NP\tO' +p332857 +aS'muscles\tmuscle\tNNS\tI-NP\tO' +p332858 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p332859 +aS'.\t.\t.\tO\tO' +p332860 +asS'This was added on the evening prior to discharge and on the day of discharge her anion gap acidosis had resolved .' +p332861 +(lp332862 +S'This\tThis\tDT\tB-NP\tO' +p332863 +aS'was\tbe\tVBD\tB-VP\tO' +p332864 +aS'added\tadd\tVBN\tI-VP\tO' +p332865 +aS'on\ton\tIN\tB-PP\tO' +p332866 +aS'the\tthe\tDT\tB-NP\tO' +p332867 +aS'evening\tevening\tNN\tI-NP\tO' +p332868 +aS'prior\tprior\tRB\tB-ADVP\tO' +p332869 +aS'to\tto\tTO\tB-VP\tO' +p332870 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p332871 +aS'and\tand\tCC\tO\tO' +p332872 +aS'on\ton\tIN\tB-PP\tO' +p332873 +aS'the\tthe\tDT\tB-NP\tO' +p332874 +aS'day\tday\tNN\tI-NP\tO' +p332875 +aS'of\tof\tIN\tB-PP\tO' +p332876 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p332877 +aS'her\ther\tPRP$\tB-NP\tO' +p332878 +aS'anion\tanion\tNN\tI-NP\tO' +p332879 +aS'gap\tgap\tNN\tI-NP\tO' +p332880 +aS'acidosis\tacidosis\tNN\tI-NP\tO' +p332881 +aS'had\thave\tVBD\tB-VP\tO' +p332882 +aS'resolved\tresolve\tVBN\tI-VP\tO' +p332883 +aS'.\t.\t.\tO\tO' +p332884 +asS'Fluids , electrolytes and nutrition .' +p332885 +(lp332886 +S'Fluids\tFluid\tNNS\tB-NP\tO' +p332887 +aS',\t,\t,\tI-NP\tO' +p332888 +aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' +p332889 +aS'and\tand\tCC\tI-NP\tO' +p332890 +aS'nutrition\tnutrition\tNN\tI-NP\tO' +p332891 +aS'.\t.\t.\tO\tO' +p332892 +asS'The air- fluid level in the right sphenoid sinus and bilateral opacification of the mastoid air cells are unchanged .' +p332893 +(lp332894 +S'The\tThe\tDT\tB-NP\tO' +p332895 +aS'air-\tair-\tNN\tI-NP\tO' +p332896 +aS'fluid\tfluid\tNN\tI-NP\tO' +p332897 +aS'level\tlevel\tNN\tI-NP\tO' +p332898 +aS'in\tin\tIN\tB-PP\tO' +p332899 +aS'the\tthe\tDT\tB-NP\tO' +p332900 +aS'right\tright\tJJ\tI-NP\tO' +p332901 +aS'sphenoid\tsphenoid\tNN\tI-NP\tO' +p332902 +aS'sinus\tsinus\tNN\tI-NP\tO' +p332903 +aS'and\tand\tCC\tO\tO' +p332904 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p332905 +aS'opacification\topacification\tNN\tI-NP\tO' +p332906 +aS'of\tof\tIN\tB-PP\tO' +p332907 +aS'the\tthe\tDT\tB-NP\tO' +p332908 +aS'mastoid\tmastoid\tJJ\tI-NP\tB-cell_type' +p332909 +aS'air\tair\tNN\tI-NP\tI-cell_type' +p332910 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p332911 +aS'are\tbe\tVBP\tB-VP\tO' +p332912 +aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' +p332913 +aS'.\t.\t.\tO\tO' +p332914 +asS'Because of this continued agitation , a head CT was performed on 07/01/00 and it revealed an intraparenchymal hemorrhage .' +p332915 +(lp332916 +S'Because\tBecause\tIN\tB-PP\tO' +p332917 +aS'of\tof\tIN\tI-PP\tO' +p332918 +aS'this\tthis\tDT\tB-NP\tO' +p332919 +aS'continued\tcontinued\tJJ\tI-NP\tO' +p332920 +aS'agitation\tagitation\tNN\tI-NP\tO' +p332921 +aS',\t,\t,\tO\tO' +p332922 +aS'a\ta\tDT\tB-NP\tO' +p332923 +aS'head\thead\tNN\tI-NP\tO' +p332924 +aS'CT\tCT\tNN\tI-NP\tO' +p332925 +aS'was\tbe\tVBD\tB-VP\tO' +p332926 +aS'performed\tperform\tVBN\tI-VP\tO' +p332927 +aS'on\ton\tIN\tB-PP\tO' +p332928 +aS'07/01/00\t07/01/00\tCD\tB-NP\tO' +p332929 +aS'and\tand\tCC\tO\tO' +p332930 +aS'it\tit\tPRP\tB-NP\tO' +p332931 +aS'revealed\treveal\tVBD\tB-VP\tO' +p332932 +aS'an\tan\tDT\tB-NP\tO' +p332933 +aS'intraparenchymal\tintraparenchymal\tJJ\tI-NP\tO' +p332934 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p332935 +aS'.\t.\t.\tO\tO' +p332936 +asS'2) You were admitted to the hospital and started on an antibiotic called Levaquin for a pneumonia .' +p332937 +(lp332938 +S'2)\t2)\tLS\tB-LST\tO' +p332939 +aS'You\tYou\tPRP\tB-NP\tB-protein' +p332940 +aS'were\tbe\tVBD\tB-VP\tO' +p332941 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p332942 +aS'to\tto\tTO\tB-PP\tO' +p332943 +aS'the\tthe\tDT\tB-NP\tO' +p332944 +aS'hospital\thospital\tNN\tI-NP\tO' +p332945 +aS'and\tand\tCC\tO\tO' +p332946 +aS'started\tstart\tVBD\tB-VP\tO' +p332947 +aS'on\ton\tIN\tB-PP\tO' +p332948 +aS'an\tan\tDT\tB-NP\tO' +p332949 +aS'antibiotic\tantibiotic\tNN\tI-NP\tO' +p332950 +aS'called\tcall\tVBN\tB-VP\tO' +p332951 +aS'Levaquin\tLevaquin\tNNP\tB-NP\tO' +p332952 +aS'for\tfor\tIN\tB-PP\tO' +p332953 +aS'a\ta\tDT\tB-NP\tO' +p332954 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p332955 +aS'.\t.\t.\tO\tO' +p332956 +asS'Nitroglycerin 1 tablet sublingual q. 5 minutes X3 p.r.n. chest pain .' +p332957 +(lp332958 +S'Nitroglycerin\tNitroglycerin\tNN\tB-NP\tB-protein' +p332959 +aS'1\t1\tCD\tI-NP\tI-protein' +p332960 +aS'tablet\ttablet\tNN\tI-NP\tI-protein' +p332961 +aS'sublingual\tsublingual\tJJ\tI-NP\tI-protein' +p332962 +aS'q.\tq.\tNN\tI-NP\tI-protein' +p332963 +aS'5\t5\tCD\tB-NP\tI-protein' +p332964 +aS'minutes\tminute\tNNS\tI-NP\tI-protein' +p332965 +aS'X3\tX3\tNN\tI-NP\tI-protein' +p332966 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tI-protein' +p332967 +aS'chest\tchest\tNN\tI-NP\tI-protein' +p332968 +aS'pain\tpain\tNN\tI-NP\tI-protein' +p332969 +aS'.\t.\t.\tO\tO' +p332970 +asS'No evidence of pneumonia .' +p332971 +(lp332972 +S'No\tNo\tDT\tB-NP\tO' +p332973 +aS'evidence\tevidence\tNN\tI-NP\tO' +p332974 +aS'of\tof\tIN\tB-PP\tO' +p332975 +aS'pneumonia\tpneumonia\tNN\tB-NP\tO' +p332976 +aS'.\t.\t.\tO\tO' +p332977 +asS'Pt was in severe " back pain " as per daughter which was treated with dilaudid .' +p332978 +(lp332979 +S'Pt\tPt\tNN\tB-NP\tO' +p332980 +aS'was\tbe\tVBD\tB-VP\tO' +p332981 +aS'in\tin\tIN\tB-PP\tO' +p332982 +aS'severe\tsevere\tJJ\tB-NP\tO' +p332983 +aS'"\t"\t``\tI-NP\tO' +p332984 +aS'back\tback\tJJ\tI-NP\tO' +p332985 +aS'pain\tpain\tNN\tI-NP\tO' +p332986 +aS'"\t"\t\'\'\tO\tO' +p332987 +aS'as\tas\tIN\tB-PP\tO' +p332988 +aS'per\tper\tIN\tB-PP\tO' +p332989 +aS'daughter\tdaughter\tNN\tB-NP\tO' +p332990 +aS'which\twhich\tWDT\tB-NP\tO' +p332991 +aS'was\tbe\tVBD\tB-VP\tO' +p332992 +aS'treated\ttreat\tVBN\tI-VP\tO' +p332993 +aS'with\twith\tIN\tB-PP\tO' +p332994 +aS'dilaudid\tdilaudid\tNN\tB-NP\tO' +p332995 +aS'.\t.\t.\tO\tO' +p332996 +asS'This raised the question of potential esophageal rupture .' +p332997 +(lp332998 +S'This\tThis\tDT\tB-NP\tO' +p332999 +aS'raised\traise\tVBD\tB-VP\tO' +p333000 +aS'the\tthe\tDT\tB-NP\tO' +p333001 +aS'question\tquestion\tNN\tI-NP\tO' +p333002 +aS'of\tof\tIN\tB-PP\tO' +p333003 +aS'potential\tpotential\tJJ\tB-NP\tO' +p333004 +aS'esophageal\tesophageal\tJJ\tI-NP\tO' +p333005 +aS'rupture\trupture\tNN\tI-NP\tO' +p333006 +aS'.\t.\t.\tO\tO' +p333007 +asS'The family was informed and all questions were answered .' +p333008 +(lp333009 +S'The\tThe\tDT\tB-NP\tO' +p333010 +aS'family\tfamily\tNN\tI-NP\tO' +p333011 +aS'was\tbe\tVBD\tB-VP\tO' +p333012 +aS'informed\tinform\tVBN\tI-VP\tO' +p333013 +aS'and\tand\tCC\tO\tO' +p333014 +aS'all\tall\tDT\tB-NP\tO' +p333015 +aS'questions\tquestion\tNNS\tI-NP\tO' +p333016 +aS'were\tbe\tVBD\tB-VP\tO' +p333017 +aS'answered\tanswer\tVBN\tI-VP\tO' +p333018 +aS'.\t.\t.\tO\tO' +p333019 +asS"The patient was admitted to the Cardiac Surgical Intensive Care Unit given the patient 's precarious condition ." +p333020 +(lp333021 +S'The\tThe\tDT\tB-NP\tO' +p333022 +aS'patient\tpatient\tNN\tI-NP\tO' +p333023 +aS'was\tbe\tVBD\tB-VP\tO' +p333024 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p333025 +aS'to\tto\tTO\tB-PP\tO' +p333026 +aS'the\tthe\tDT\tB-NP\tO' +p333027 +aS'Cardiac\tCardiac\tNNP\tI-NP\tO' +p333028 +aS'Surgical\tSurgical\tNNP\tI-NP\tO' +p333029 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p333030 +aS'Care\tCare\tNNP\tI-NP\tO' +p333031 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p333032 +aS'given\tgive\tVBN\tB-VP\tO' +p333033 +aS'the\tthe\tDT\tB-NP\tO' +p333034 +aS'patient\tpatient\tNN\tI-NP\tO' +p333035 +aS"'s\t's\tPOS\tB-NP\tO" +p333036 +aS'precarious\tprecarious\tJJ\tI-NP\tO' +p333037 +aS'condition\tcondition\tNN\tI-NP\tO' +p333038 +aS'.\t.\t.\tO\tO' +p333039 +asS'Abdomen grossly distended , tympanitic , plus right upper quadrant tenderness and no rebound .' +p333040 +(lp333041 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p333042 +aS'grossly\tgrossly\tRB\tB-ADJP\tO' +p333043 +aS'distended\tdistended\tJJ\tI-ADJP\tO' +p333044 +aS',\t,\t,\tO\tO' +p333045 +aS'tympanitic\ttympanitic\tJJ\tB-ADJP\tO' +p333046 +aS',\t,\t,\tO\tO' +p333047 +aS'plus\tplus\tCC\tO\tO' +p333048 +aS'right\tright\tJJ\tB-NP\tO' +p333049 +aS'upper\tupper\tJJ\tI-NP\tO' +p333050 +aS'quadrant\tquadrant\tJJ\tI-NP\tO' +p333051 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p333052 +aS'and\tand\tCC\tO\tO' +p333053 +aS'no\tno\tDT\tB-NP\tO' +p333054 +aS'rebound\trebound\tNN\tI-NP\tO' +p333055 +aS'.\t.\t.\tO\tO' +p333056 +asS'He also , as Neo-Synephrinewas tapered , developed mild sensory findings , in particular diminished large fiber sensibility in his left hand , although he at times , including near the end of his Intensive Care Unit stay had a right gaze preference .' +p333057 +(lp333058 +S'He\tHe\tPRP\tB-NP\tO' +p333059 +aS'also\talso\tRB\tB-ADVP\tO' +p333060 +aS',\t,\t,\tO\tO' +p333061 +aS'as\tas\tIN\tB-SBAR\tO' +p333062 +aS'Neo-Synephrinewas\tNeo-Synephrinewas\tNNP\tB-NP\tO' +p333063 +aS'tapered\ttaper\tVBD\tB-VP\tO' +p333064 +aS',\t,\t,\tO\tO' +p333065 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p333066 +aS'mild\tmild\tJJ\tB-NP\tO' +p333067 +aS'sensory\tsensory\tJJ\tI-NP\tO' +p333068 +aS'findings\tfinding\tNNS\tI-NP\tO' +p333069 +aS',\t,\t,\tO\tO' +p333070 +aS'in\tin\tIN\tB-PP\tO' +p333071 +aS'particular\tparticular\tJJ\tB-NP\tO' +p333072 +aS'diminished\tdiminish\tVBN\tI-NP\tO' +p333073 +aS'large\tlarge\tJJ\tI-NP\tO' +p333074 +aS'fiber\tfiber\tNN\tI-NP\tO' +p333075 +aS'sensibility\tsensibility\tNN\tI-NP\tO' +p333076 +aS'in\tin\tIN\tB-PP\tO' +p333077 +aS'his\this\tPRP$\tB-NP\tO' +p333078 +aS'left\tleft\tJJ\tI-NP\tO' +p333079 +aS'hand\thand\tNN\tI-NP\tO' +p333080 +aS',\t,\t,\tO\tO' +p333081 +aS'although\talthough\tIN\tB-SBAR\tO' +p333082 +aS'he\the\tPRP\tB-NP\tO' +p333083 +aS'at\tat\tIN\tB-PP\tO' +p333084 +aS'times\ttime\tNNS\tB-NP\tO' +p333085 +aS',\t,\t,\tO\tO' +p333086 +aS'including\tinclude\tVBG\tB-PP\tO' +p333087 +aS'near\tnear\tIN\tB-PP\tO' +p333088 +aS'the\tthe\tDT\tB-NP\tO' +p333089 +aS'end\tend\tNN\tI-NP\tO' +p333090 +aS'of\tof\tIN\tB-PP\tO' +p333091 +aS'his\this\tPRP$\tB-NP\tO' +p333092 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p333093 +aS'Care\tCare\tNNP\tI-NP\tO' +p333094 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p333095 +aS'stay\tstay\tNN\tI-NP\tO' +p333096 +aS'had\thave\tVBD\tB-VP\tO' +p333097 +aS'a\ta\tDT\tB-NP\tO' +p333098 +aS'right\tright\tJJ\tI-NP\tO' +p333099 +aS'gaze\tgaze\tNN\tI-NP\tO' +p333100 +aS'preference\tpreference\tNN\tI-NP\tO' +p333101 +aS'.\t.\t.\tO\tO' +p333102 +asS'Normal peripheral pulses .' +p333103 +(lp333104 +S'Normal\tNormal\tJJ\tB-NP\tO' +p333105 +aS'peripheral\tperipheral\tJJ\tI-NP\tO' +p333106 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p333107 +aS'.\t.\t.\tO\tO' +p333108 +asS'The patient will be followed at rehabilitation by her primary care physician , Dr. Both .' +p333109 +(lp333110 +S'The\tThe\tDT\tB-NP\tO' +p333111 +aS'patient\tpatient\tNN\tI-NP\tO' +p333112 +aS'will\twill\tMD\tB-VP\tO' +p333113 +aS'be\tbe\tVB\tI-VP\tO' +p333114 +aS'followed\tfollow\tVBN\tI-VP\tO' +p333115 +aS'at\tat\tIN\tB-PP\tO' +p333116 +aS'rehabilitation\trehabilitation\tNN\tB-NP\tO' +p333117 +aS'by\tby\tIN\tB-PP\tO' +p333118 +aS'her\ther\tPRP$\tB-NP\tO' +p333119 +aS'primary\tprimary\tJJ\tI-NP\tO' +p333120 +aS'care\tcare\tNN\tI-NP\tO' +p333121 +aS'physician\tphysician\tNN\tI-NP\tO' +p333122 +aS',\t,\t,\tO\tO' +p333123 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p333124 +aS'Both\tBoth\tNNP\tI-NP\tO' +p333125 +aS'.\t.\t.\tO\tO' +p333126 +asS'His course was then complicated by fevers and neutropenia which were treated with antibiotics and a diffuse erythroderm felt to be a drug reaction .' +p333127 +(lp333128 +S'His\tHis\tPRP$\tB-NP\tO' +p333129 +aS'course\tcourse\tNN\tI-NP\tO' +p333130 +aS'was\tbe\tVBD\tB-VP\tO' +p333131 +aS'then\tthen\tRB\tI-VP\tO' +p333132 +aS'complicated\tcomplicate\tVBN\tI-VP\tO' +p333133 +aS'by\tby\tIN\tB-PP\tO' +p333134 +aS'fevers\tfever\tNNS\tB-NP\tO' +p333135 +aS'and\tand\tCC\tO\tO' +p333136 +aS'neutropenia\tneutropenia\tNN\tB-NP\tO' +p333137 +aS'which\twhich\tWDT\tB-NP\tO' +p333138 +aS'were\tbe\tVBD\tB-VP\tO' +p333139 +aS'treated\ttreat\tVBN\tI-VP\tO' +p333140 +aS'with\twith\tIN\tB-PP\tO' +p333141 +aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' +p333142 +aS'and\tand\tCC\tO\tO' +p333143 +aS'a\ta\tDT\tB-NP\tO' +p333144 +aS'diffuse\tdiffuse\tJJ\tI-NP\tO' +p333145 +aS'erythroderm\terythroderm\tNN\tI-NP\tO' +p333146 +aS'felt\tfeel\tVBD\tB-VP\tO' +p333147 +aS'to\tto\tTO\tI-VP\tO' +p333148 +aS'be\tbe\tVB\tI-VP\tO' +p333149 +aS'a\ta\tDT\tB-NP\tO' +p333150 +aS'drug\tdrug\tNN\tI-NP\tO' +p333151 +aS'reaction\treaction\tNN\tI-NP\tO' +p333152 +aS'.\t.\t.\tO\tO' +p333153 +asS'Signed electronically by : DR. Greg Jones on : FRI 2014-04-25 2:37 PM' +p333154 +(lp333155 +S'Signed\tSign\tVBN\tB-VP\tO' +p333156 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p333157 +aS'by\tby\tIN\tB-PP\tO' +p333158 +aS':\t:\t:\tO\tO' +p333159 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p333160 +aS'Greg\tGreg\tNNP\tI-NP\tO' +p333161 +aS'Jones\tJones\tNNP\tI-NP\tO' +p333162 +aS'on\ton\tIN\tB-PP\tO' +p333163 +aS':\t:\t:\tO\tO' +p333164 +aS'FRI\tFRI\tCD\tB-NP\tO' +p333165 +aS'2014-04-25\t2014-04-25\tCD\tI-NP\tO' +p333166 +aS'2:37\t2:37\tCD\tI-NP\tO' +p333167 +aS'PM\tPM\tNN\tI-NP\tO' +p333168 +asS'The patient 's pro time bumped to 19.5 on hospital day # 3 , and the patient was instructed to continue with 2 1/2 mg. qhs and is to followup with Anticoagulation Clinic in one week for further pro time checks and adjustments .' +p333169 +(lp333170 +S'The\tThe\tDT\tB-NP\tO' +p333171 +aS'patient\tpatient\tNN\tI-NP\tO' +p333172 +aS''s\t'\tNNS\tI-NP\tO' +p333173 +aS'pro\tpro\tJJ\tB-NP\tO' +p333174 +aS'time\ttime\tNN\tI-NP\tO' +p333175 +aS'bumped\tbump\tVBD\tB-VP\tO' +p333176 +aS'to\tto\tTO\tB-PP\tO' +p333177 +aS'19.5\t19.5\tCD\tB-NP\tO' +p333178 +aS'on\ton\tIN\tB-PP\tO' +p333179 +aS'hospital\thospital\tNN\tB-NP\tO' +p333180 +aS'day\tday\tNN\tI-NP\tO' +p333181 +aS'#\t#\t#\tB-NP\tO' +p333182 +aS'3\t3\tCD\tI-NP\tO' +p333183 +aS',\t,\t,\tO\tO' +p333184 +aS'and\tand\tCC\tO\tO' +p333185 +aS'the\tthe\tDT\tB-NP\tO' +p333186 +aS'patient\tpatient\tNN\tI-NP\tO' +p333187 +aS'was\tbe\tVBD\tB-VP\tO' +p333188 +aS'instructed\tinstruct\tVBN\tI-VP\tO' +p333189 +aS'to\tto\tTO\tI-VP\tO' +p333190 +aS'continue\tcontinue\tVB\tI-VP\tO' +p333191 +aS'with\twith\tIN\tB-PP\tO' +p333192 +aS'2\t2\tCD\tB-NP\tO' +p333193 +aS'1/2\t1/2\tCD\tI-NP\tO' +p333194 +aS'mg.\tmg.\tNN\tI-NP\tO' +p333195 +aS'qhs\tqh\tNNS\tI-NP\tO' +p333196 +aS'and\tand\tCC\tO\tO' +p333197 +aS'is\tbe\tVBZ\tB-VP\tO' +p333198 +aS'to\tto\tTO\tB-VP\tO' +p333199 +aS'followup\tfollowup\tVB\tI-VP\tO' +p333200 +aS'with\twith\tIN\tB-PP\tO' +p333201 +aS'Anticoagulation\tAnticoagulation\tNNP\tB-NP\tO' +p333202 +aS'Clinic\tClinic\tNNP\tI-NP\tO' +p333203 +aS'in\tin\tIN\tB-PP\tO' +p333204 +aS'one\tone\tCD\tB-NP\tO' +p333205 +aS'week\tweek\tNN\tI-NP\tO' +p333206 +aS'for\tfor\tIN\tB-PP\tO' +p333207 +aS'further\tfurther\tJJ\tB-NP\tO' +p333208 +aS'pro\tpro\tJJ\tI-NP\tO' +p333209 +aS'time\ttime\tNN\tI-NP\tO' +p333210 +aS'checks\tcheck\tNNS\tI-NP\tO' +p333211 +aS'and\tand\tCC\tI-NP\tO' +p333212 +aS'adjustments\tadjustment\tNNS\tI-NP\tO' +p333213 +aS'.\t.\t.\tO\tO' +p333214 +asS'Her pulse is 72 , irregularly irregular , blood pressure 96/60 , temperature 97.9 , respirations 18 .' +p333215 +(lp333216 +S'Her\tHer\tPRP$\tB-NP\tO' +p333217 +aS'pulse\tpulse\tNN\tI-NP\tO' +p333218 +aS'is\tbe\tVBZ\tB-VP\tO' +p333219 +aS'72\t72\tCD\tB-NP\tO' +p333220 +aS',\t,\t,\tO\tO' +p333221 +aS'irregularly\tirregularly\tRB\tB-ADJP\tO' +p333222 +aS'irregular\tirregular\tJJ\tI-ADJP\tO' +p333223 +aS',\t,\t,\tO\tO' +p333224 +aS'blood\tblood\tNN\tB-NP\tO' +p333225 +aS'pressure\tpressure\tNN\tI-NP\tO' +p333226 +aS'96/60\t96/60\tCD\tI-NP\tO' +p333227 +aS',\t,\t,\tO\tO' +p333228 +aS'temperature\ttemperature\tNN\tB-NP\tB-protein' +p333229 +aS'97.9\t97.9\tCD\tI-NP\tI-protein' +p333230 +aS',\t,\t,\tO\tO' +p333231 +aS'respirations\trespiration\tNNS\tB-NP\tO' +p333232 +aS'18\t18\tCD\tB-NP\tO' +p333233 +aS'.\t.\t.\tO\tO' +p333234 +asS'A Neurosurgery consultation was obtained , and it was their impression that the patient 's paraplegia might possibly represent a cord concussion , and recommended treatment with intravenous steroids for 24 hours .' +p333235 +(lp333236 +S'A\tA\tDT\tB-NP\tO' +p333237 +aS'Neurosurgery\tNeurosurgery\tNNP\tI-NP\tO' +p333238 +aS'consultation\tconsultation\tNN\tI-NP\tO' +p333239 +aS'was\tbe\tVBD\tB-VP\tO' +p333240 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p333241 +aS',\t,\t,\tO\tO' +p333242 +aS'and\tand\tCC\tO\tO' +p333243 +aS'it\tit\tPRP\tB-NP\tO' +p333244 +aS'was\tbe\tVBD\tB-VP\tO' +p333245 +aS'their\ttheir\tPRP$\tB-NP\tO' +p333246 +aS'impression\timpression\tNN\tI-NP\tO' +p333247 +aS'that\tthat\tIN\tB-SBAR\tO' +p333248 +aS'the\tthe\tDT\tB-NP\tO' +p333249 +aS'patient\tpatient\tNN\tI-NP\tO' +p333250 +aS''s\t'\tNNS\tI-NP\tO' +p333251 +aS'paraplegia\tparaplegia\tNN\tI-NP\tO' +p333252 +aS'might\tmight\tMD\tB-VP\tO' +p333253 +aS'possibly\tpossibly\tRB\tI-VP\tO' +p333254 +aS'represent\trepresent\tVB\tI-VP\tO' +p333255 +aS'a\ta\tDT\tB-NP\tO' +p333256 +aS'cord\tcord\tNN\tI-NP\tO' +p333257 +aS'concussion\tconcussion\tNN\tI-NP\tO' +p333258 +aS',\t,\t,\tO\tO' +p333259 +aS'and\tand\tCC\tO\tO' +p333260 +aS'recommended\trecommend\tVBD\tB-VP\tO' +p333261 +aS'treatment\ttreatment\tNN\tB-NP\tO' +p333262 +aS'with\twith\tIN\tB-PP\tO' +p333263 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p333264 +aS'steroids\tsteroid\tNNS\tI-NP\tO' +p333265 +aS'for\tfor\tIN\tB-PP\tO' +p333266 +aS'24\t24\tCD\tB-NP\tO' +p333267 +aS'hours\thour\tNNS\tI-NP\tO' +p333268 +aS'.\t.\t.\tO\tO' +p333269 +asS'The patient was given printed instructions for abdominal pain ( English ) .' +p333270 +(lp333271 +S'The\tThe\tDT\tB-NP\tO' +p333272 +aS'patient\tpatient\tNN\tI-NP\tO' +p333273 +aS'was\tbe\tVBD\tB-VP\tO' +p333274 +aS'given\tgive\tVBN\tI-VP\tO' +p333275 +aS'printed\tprint\tVBN\tB-NP\tO' +p333276 +aS'instructions\tinstruction\tNNS\tI-NP\tO' +p333277 +aS'for\tfor\tIN\tB-PP\tO' +p333278 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p333279 +aS'pain\tpain\tNN\tI-NP\tO' +p333280 +aS'(\t(\t(\tO\tO' +p333281 +aS'English\tEnglish\tNN\tB-NP\tO' +p333282 +aS')\t)\t)\tO\tO' +p333283 +aS'.\t.\t.\tO\tO' +p333284 +asS'The patient early this morning to the Ruthie with his usual nausea , vomiting , abdominal pain and was found to be hypertensive to 256/110 , HR 102 , T 99.2 , RR 22 , 92% RA .' +p333285 +(lp333286 +S'The\tThe\tDT\tB-NP\tO' +p333287 +aS'patient\tpatient\tNN\tI-NP\tO' +p333288 +aS'early\tearly\tRB\tB-NP\tO' +p333289 +aS'this\tthis\tDT\tI-NP\tO' +p333290 +aS'morning\tmorning\tNN\tI-NP\tO' +p333291 +aS'to\tto\tTO\tB-PP\tO' +p333292 +aS'the\tthe\tDT\tB-NP\tO' +p333293 +aS'Ruthie\tRuthie\tNNP\tI-NP\tO' +p333294 +aS'with\twith\tIN\tB-PP\tO' +p333295 +aS'his\this\tPRP$\tB-NP\tO' +p333296 +aS'usual\tusual\tJJ\tI-NP\tO' +p333297 +aS'nausea\tnausea\tNN\tI-NP\tO' +p333298 +aS',\t,\t,\tO\tO' +p333299 +aS'vomiting\tvomit\tVBG\tB-VP\tO' +p333300 +aS',\t,\t,\tO\tO' +p333301 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p333302 +aS'pain\tpain\tNN\tI-NP\tO' +p333303 +aS'and\tand\tCC\tO\tO' +p333304 +aS'was\tbe\tVBD\tB-VP\tO' +p333305 +aS'found\tfind\tVBN\tI-VP\tO' +p333306 +aS'to\tto\tTO\tI-VP\tO' +p333307 +aS'be\tbe\tVB\tI-VP\tO' +p333308 +aS'hypertensive\thypertensive\tJJ\tB-ADJP\tO' +p333309 +aS'to\tto\tTO\tB-PP\tO' +p333310 +aS'256/110\t256/110\tCD\tB-NP\tO' +p333311 +aS',\t,\t,\tO\tO' +p333312 +aS'HR\tHR\tNN\tB-NP\tB-cell_line' +p333313 +aS'102\t102\tCD\tI-NP\tI-cell_line' +p333314 +aS',\t,\t,\tO\tO' +p333315 +aS'T\tT\tNN\tB-NP\tB-cell_line' +p333316 +aS'99.2\t99.2\tCD\tI-NP\tI-cell_line' +p333317 +aS',\t,\t,\tO\tO' +p333318 +aS'RR\tRR\tNN\tB-NP\tB-protein' +p333319 +aS'22\t22\tCD\tI-NP\tI-protein' +p333320 +aS',\t,\t,\tO\tO' +p333321 +aS'92%\t92%\tCD\tB-NP\tO' +p333322 +aS'RA\tRA\tNN\tI-NP\tO' +p333323 +aS'.\t.\t.\tO\tO' +p333324 +asS'In that setting he was hypotensive down to the 92/45 , and was given 1 L NS .' +p333325 +(lp333326 +S'In\tIn\tIN\tB-PP\tO' +p333327 +aS'that\tthat\tDT\tB-NP\tO' +p333328 +aS'setting\tset\tVBG\tB-VP\tO' +p333329 +aS'he\the\tPRP\tB-NP\tO' +p333330 +aS'was\tbe\tVBD\tB-VP\tO' +p333331 +aS'hypotensive\thypotensive\tJJ\tB-ADJP\tO' +p333332 +aS'down\tdown\tIN\tB-PP\tO' +p333333 +aS'to\tto\tTO\tB-PP\tO' +p333334 +aS'the\tthe\tDT\tB-NP\tO' +p333335 +aS'92/45\t92/45\tCD\tI-NP\tO' +p333336 +aS',\t,\t,\tO\tO' +p333337 +aS'and\tand\tCC\tO\tO' +p333338 +aS'was\tbe\tVBD\tB-VP\tO' +p333339 +aS'given\tgive\tVBN\tI-VP\tO' +p333340 +aS'1\t1\tCD\tB-NP\tO' +p333341 +aS'L\tL\tNN\tI-NP\tO' +p333342 +aS'NS\tNS\tNN\tI-NP\tO' +p333343 +aS'.\t.\t.\tO\tO' +p333344 +asS'Ileostomy bag present with gas and stool .' +p333345 +(lp333346 +S'Ileostomy\tIleostomy\tNN\tB-NP\tO' +p333347 +aS'bag\tbag\tNN\tI-NP\tO' +p333348 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p333349 +aS'with\twith\tIN\tB-PP\tO' +p333350 +aS'gas\tgas\tNN\tB-NP\tB-DNA' +p333351 +aS'and\tand\tCC\tI-NP\tO' +p333352 +aS'stool\tstool\tNN\tI-NP\tO' +p333353 +aS'.\t.\t.\tO\tO' +p333354 +asS'She was started on nystatin swish and swallow QID .' +p333355 +(lp333356 +S'She\tShe\tPRP\tB-NP\tO' +p333357 +aS'was\tbe\tVBD\tB-VP\tO' +p333358 +aS'started\tstart\tVBN\tI-VP\tO' +p333359 +aS'on\ton\tIN\tB-PP\tO' +p333360 +aS'nystatin\tnystatin\tNN\tB-NP\tO' +p333361 +aS'swish\tswish\tVB\tB-VP\tO' +p333362 +aS'and\tand\tCC\tI-VP\tO' +p333363 +aS'swallow\tswallow\tVB\tI-VP\tO' +p333364 +aS'QID\tQID\tNNP\tB-NP\tO' +p333365 +aS'.\t.\t.\tO\tO' +p333366 +asS'He was transferred to the newborn nursery for further care .' +p333367 +(lp333368 +S'He\tHe\tPRP\tB-NP\tO' +p333369 +aS'was\tbe\tVBD\tB-VP\tO' +p333370 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p333371 +aS'to\tto\tTO\tB-PP\tO' +p333372 +aS'the\tthe\tDT\tB-NP\tO' +p333373 +aS'newborn\tnewborn\tJJ\tI-NP\tO' +p333374 +aS'nursery\tnursery\tNN\tI-NP\tO' +p333375 +aS'for\tfor\tIN\tB-PP\tO' +p333376 +aS'further\tfurther\tJJ\tB-NP\tO' +p333377 +aS'care\tcare\tNN\tI-NP\tO' +p333378 +aS'.\t.\t.\tO\tO' +p333379 +asS'This is 1st pain since MI ( though patient reports chronic baseline chest tightness x8-10 years of unclear etiology ) .' +p333380 +(lp333381 +S'This\tThis\tDT\tB-NP\tO' +p333382 +aS'is\tbe\tVBZ\tB-VP\tO' +p333383 +aS'1st\t1st\tJJ\tB-NP\tO' +p333384 +aS'pain\tpain\tNN\tI-NP\tO' +p333385 +aS'since\tsince\tIN\tB-PP\tO' +p333386 +aS'MI\tMI\tNN\tB-NP\tO' +p333387 +aS'(\t(\t(\tO\tO' +p333388 +aS'though\tthough\tIN\tB-SBAR\tO' +p333389 +aS'patient\tpatient\tNN\tB-NP\tO' +p333390 +aS'reports\treport\tVBZ\tB-VP\tO' +p333391 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p333392 +aS'baseline\tbaseline\tNN\tI-NP\tO' +p333393 +aS'chest\tchest\tNN\tI-NP\tO' +p333394 +aS'tightness\ttightness\tNN\tI-NP\tO' +p333395 +aS'x8-10\tx8-10\tCD\tB-NP\tO' +p333396 +aS'years\tyear\tNNS\tI-NP\tO' +p333397 +aS'of\tof\tIN\tB-PP\tO' +p333398 +aS'unclear\tunclear\tJJ\tB-NP\tO' +p333399 +aS'etiology\tetiology\tNN\tI-NP\tO' +p333400 +aS')\t)\t)\tO\tO' +p333401 +aS'.\t.\t.\tO\tO' +p333402 +asS'He went to the Operating Room on 2016-03-10 with Urology for hematuria where he had a cystoscopy transurethral resection of prostate placement .' +p333403 +(lp333404 +S'He\tHe\tPRP\tB-NP\tO' +p333405 +aS'went\tgo\tVBD\tB-VP\tO' +p333406 +aS'to\tto\tTO\tB-PP\tO' +p333407 +aS'the\tthe\tDT\tB-NP\tO' +p333408 +aS'Operating\tOperating\tNNP\tI-NP\tO' +p333409 +aS'Room\tRoom\tNNP\tI-NP\tO' +p333410 +aS'on\ton\tIN\tB-PP\tO' +p333411 +aS'2016-03-10\t2016-03-10\tCD\tB-NP\tO' +p333412 +aS'with\twith\tIN\tB-PP\tO' +p333413 +aS'Urology\tUrology\tNNP\tB-NP\tO' +p333414 +aS'for\tfor\tIN\tB-PP\tO' +p333415 +aS'hematuria\thematuria\tNN\tB-NP\tO' +p333416 +aS'where\twhere\tWRB\tB-ADVP\tO' +p333417 +aS'he\the\tPRP\tB-NP\tO' +p333418 +aS'had\thave\tVBD\tB-VP\tO' +p333419 +aS'a\ta\tDT\tB-NP\tO' +p333420 +aS'cystoscopy\tcystoscopy\tNN\tI-NP\tO' +p333421 +aS'transurethral\ttransurethral\tJJ\tI-NP\tO' +p333422 +aS'resection\tresection\tNN\tI-NP\tO' +p333423 +aS'of\tof\tIN\tB-PP\tO' +p333424 +aS'prostate\tprostate\tNN\tB-NP\tO' +p333425 +aS'placement\tplacement\tNN\tI-NP\tO' +p333426 +aS'.\t.\t.\tO\tO' +p333427 +asS'First , he had right lower extremity swelling and lower extremity noninvasives confirmed the diagnosis of a femoral deep venous thrombosis .' +p333428 +(lp333429 +S'First\tFirst\tRB\tB-ADVP\tO' +p333430 +aS',\t,\t,\tO\tO' +p333431 +aS'he\the\tPRP\tB-NP\tO' +p333432 +aS'had\thave\tVBD\tB-VP\tO' +p333433 +aS'right\tright\tJJ\tB-NP\tO' +p333434 +aS'lower\tlow\tJJR\tI-NP\tO' +p333435 +aS'extremity\textremity\tNN\tI-NP\tO' +p333436 +aS'swelling\tswelling\tNN\tI-NP\tO' +p333437 +aS'and\tand\tCC\tO\tO' +p333438 +aS'lower\tlow\tJJR\tB-NP\tO' +p333439 +aS'extremity\textremity\tNN\tI-NP\tO' +p333440 +aS'noninvasives\tnoninvasive\tNNS\tI-NP\tO' +p333441 +aS'confirmed\tconfirm\tVBD\tB-VP\tO' +p333442 +aS'the\tthe\tDT\tB-NP\tO' +p333443 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p333444 +aS'of\tof\tIN\tB-PP\tO' +p333445 +aS'a\ta\tDT\tB-NP\tO' +p333446 +aS'femoral\tfemoral\tJJ\tI-NP\tO' +p333447 +aS'deep\tdeep\tJJ\tI-NP\tO' +p333448 +aS'venous\tvenous\tJJ\tI-NP\tO' +p333449 +aS'thrombosis\tthrombosis\tNN\tI-NP\tO' +p333450 +aS'.\t.\t.\tO\tO' +p333451 +asS'2. INTRAPARENCHYMAL BLEED .' +p333452 +(lp333453 +S'2.\t2.\tLS\tB-NP\tO' +p333454 +aS'INTRAPARENCHYMAL\tINTRAPARENCHYMAL\tNN\tI-NP\tO' +p333455 +aS'BLEED\tBLEED\tNN\tI-NP\tO' +p333456 +aS'.\t.\t.\tO\tO' +p333457 +asS'The patient then underwent liposuction of her abdomen , inner thighs , hips , flanks , chest and arms with Dr. Chain .' +p333458 +(lp333459 +S'The\tThe\tDT\tB-NP\tO' +p333460 +aS'patient\tpatient\tNN\tI-NP\tO' +p333461 +aS'then\tthen\tRB\tB-ADVP\tO' +p333462 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p333463 +aS'liposuction\tliposuction\tNN\tB-NP\tO' +p333464 +aS'of\tof\tIN\tB-PP\tO' +p333465 +aS'her\ther\tPRP$\tB-NP\tO' +p333466 +aS'abdomen\tabdoman\tNNS\tI-NP\tO' +p333467 +aS',\t,\t,\tO\tO' +p333468 +aS'inner\tinner\tJJ\tB-NP\tO' +p333469 +aS'thighs\tthigh\tNNS\tI-NP\tO' +p333470 +aS',\t,\t,\tO\tO' +p333471 +aS'hips\thip\tNNS\tB-NP\tO' +p333472 +aS',\t,\t,\tO\tO' +p333473 +aS'flanks\tflank\tNNS\tB-NP\tO' +p333474 +aS',\t,\t,\tO\tO' +p333475 +aS'chest\tchest\tNN\tB-NP\tO' +p333476 +aS'and\tand\tCC\tI-NP\tO' +p333477 +aS'arms\tarm\tNNS\tI-NP\tO' +p333478 +aS'with\twith\tIN\tB-PP\tO' +p333479 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p333480 +aS'Chain\tChain\tNNP\tI-NP\tO' +p333481 +aS'.\t.\t.\tO\tO' +p333482 +asS'The patient also complained of fatigue and " feeling down " .' +p333483 +(lp333484 +S'The\tThe\tDT\tB-NP\tO' +p333485 +aS'patient\tpatient\tNN\tI-NP\tO' +p333486 +aS'also\talso\tRB\tB-ADVP\tO' +p333487 +aS'complained\tcomplain\tVBD\tB-VP\tO' +p333488 +aS'of\tof\tIN\tB-PP\tO' +p333489 +aS'fatigue\tfatigue\tNN\tB-NP\tO' +p333490 +aS'and\tand\tCC\tI-NP\tO' +p333491 +aS'"\t"\tNN\tI-NP\tO' +p333492 +aS'feeling\tfeel\tVBG\tB-VP\tO' +p333493 +aS'down\tdown\tRP\tB-PRT\tO' +p333494 +aS'"\t"\tNN\tB-NP\tO' +p333495 +aS'.\t.\t.\tO\tO' +p333496 +asS'Severe cardiomegaly and left lower lobe atelectasis unchanged .' +p333497 +(lp333498 +S'Severe\tSevere\tJJ\tB-NP\tO' +p333499 +aS'cardiomegaly\tcardiomegaly\tNN\tI-NP\tO' +p333500 +aS'and\tand\tCC\tO\tO' +p333501 +aS'left\tleave\tVBD\tB-VP\tO' +p333502 +aS'lower\tlow\tJJR\tB-NP\tO' +p333503 +aS'lobe\tlobe\tNN\tI-NP\tO' +p333504 +aS'atelectasis\tatelectasis\tNN\tI-NP\tO' +p333505 +aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' +p333506 +aS'.\t.\t.\tO\tO' +p333507 +asS'Variceal bleeding .' +p333508 +(lp333509 +S'Variceal\tVariceal\tJJ\tB-NP\tO' +p333510 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p333511 +aS'.\t.\t.\tO\tO' +p333512 +asS'Again , patient 's cardiac risk factors include hypertension , diabetes mellitus , increasing cholesterol and a positive family history and tobacco use .' +p333513 +(lp333514 +S'Again\tAgain\tRB\tB-ADVP\tO' +p333515 +aS',\t,\t,\tO\tO' +p333516 +aS'patient\tpatient\tNN\tB-NP\tO' +p333517 +aS''s\t'\tNNS\tI-NP\tO' +p333518 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p333519 +aS'risk\trisk\tNN\tI-NP\tO' +p333520 +aS'factors\tfactor\tNNS\tI-NP\tO' +p333521 +aS'include\tinclude\tVBP\tB-VP\tO' +p333522 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p333523 +aS',\t,\t,\tO\tO' +p333524 +aS'diabetes\tdiabetes\tNN\tB-NP\tO' +p333525 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p333526 +aS',\t,\t,\tO\tO' +p333527 +aS'increasing\tincrease\tVBG\tB-VP\tO' +p333528 +aS'cholesterol\tcholesterol\tNN\tB-NP\tO' +p333529 +aS'and\tand\tCC\tO\tO' +p333530 +aS'a\ta\tDT\tB-NP\tO' +p333531 +aS'positive\tpositive\tJJ\tI-NP\tO' +p333532 +aS'family\tfamily\tNN\tI-NP\tO' +p333533 +aS'history\thistory\tNN\tI-NP\tO' +p333534 +aS'and\tand\tCC\tI-NP\tO' +p333535 +aS'tobacco\ttobacco\tNN\tI-NP\tO' +p333536 +aS'use\tuse\tNN\tI-NP\tO' +p333537 +aS'.\t.\t.\tO\tO' +p333538 +asS'He was started on a lasix gtt the night of admission with a good response .' +p333539 +(lp333540 +S'He\tHe\tPRP\tB-NP\tO' +p333541 +aS'was\tbe\tVBD\tB-VP\tO' +p333542 +aS'started\tstart\tVBN\tI-VP\tO' +p333543 +aS'on\ton\tIN\tB-PP\tO' +p333544 +aS'a\ta\tDT\tB-NP\tO' +p333545 +aS'lasix\tlasix\tNN\tI-NP\tO' +p333546 +aS'gtt\tgtt\tNN\tI-NP\tO' +p333547 +aS'the\tthe\tDT\tB-NP\tO' +p333548 +aS'night\tnight\tNN\tI-NP\tO' +p333549 +aS'of\tof\tIN\tB-PP\tO' +p333550 +aS'admission\tadmission\tNN\tB-NP\tO' +p333551 +aS'with\twith\tIN\tB-PP\tO' +p333552 +aS'a\ta\tDT\tB-NP\tO' +p333553 +aS'good\tgood\tJJ\tI-NP\tO' +p333554 +aS'response\tresponse\tNN\tI-NP\tO' +p333555 +aS'.\t.\t.\tO\tO' +p333556 +asS'In addition , consideration was given to sarcoidosis , human immunodeficiency virus , and drug-induced given her history of herbal medication use .' +p333557 +(lp333558 +S'In\tIn\tIN\tB-PP\tO' +p333559 +aS'addition\taddition\tNN\tB-NP\tO' +p333560 +aS',\t,\t,\tO\tO' +p333561 +aS'consideration\tconsideration\tNN\tB-NP\tO' +p333562 +aS'was\tbe\tVBD\tB-VP\tO' +p333563 +aS'given\tgive\tVBN\tI-VP\tO' +p333564 +aS'to\tto\tTO\tB-PP\tO' +p333565 +aS'sarcoidosis\tsarcoidosis\tNN\tB-NP\tO' +p333566 +aS',\t,\t,\tO\tO' +p333567 +aS'human\thuman\tJJ\tB-NP\tO' +p333568 +aS'immunodeficiency\timmunodeficiency\tNN\tI-NP\tO' +p333569 +aS'virus\tvirus\tNN\tI-NP\tO' +p333570 +aS',\t,\t,\tO\tO' +p333571 +aS'and\tand\tCC\tO\tO' +p333572 +aS'drug-induced\tdrug-induced\tJJ\tB-ADJP\tO' +p333573 +aS'given\tgive\tVBN\tB-PP\tO' +p333574 +aS'her\ther\tPRP$\tB-NP\tO' +p333575 +aS'history\thistory\tNN\tI-NP\tO' +p333576 +aS'of\tof\tIN\tB-PP\tO' +p333577 +aS'herbal\therbal\tJJ\tB-NP\tO' +p333578 +aS'medication\tmedication\tNN\tI-NP\tO' +p333579 +aS'use\tuse\tNN\tI-NP\tO' +p333580 +aS'.\t.\t.\tO\tO' +p333581 +asS'The poor prognosis for the patient and child were discussed and after the patient decided to have an elective abortion , an abdominal CT scan was obtained which revealed diffuse metastatic lesions of the liverspine , ribs and most of the lymph nodes .' +p333582 +(lp333583 +S'The\tThe\tDT\tB-NP\tO' +p333584 +aS'poor\tpoor\tJJ\tI-NP\tO' +p333585 +aS'prognosis\tprognosis\tNN\tI-NP\tO' +p333586 +aS'for\tfor\tIN\tB-PP\tO' +p333587 +aS'the\tthe\tDT\tB-NP\tO' +p333588 +aS'patient\tpatient\tNN\tI-NP\tO' +p333589 +aS'and\tand\tCC\tI-NP\tO' +p333590 +aS'child\tchild\tNN\tI-NP\tO' +p333591 +aS'were\tbe\tVBD\tB-VP\tO' +p333592 +aS'discussed\tdiscuss\tVBN\tI-VP\tO' +p333593 +aS'and\tand\tCC\tO\tO' +p333594 +aS'after\tafter\tIN\tB-PP\tO' +p333595 +aS'the\tthe\tDT\tB-NP\tO' +p333596 +aS'patient\tpatient\tNN\tI-NP\tO' +p333597 +aS'decided\tdecide\tVBD\tB-VP\tO' +p333598 +aS'to\tto\tTO\tI-VP\tO' +p333599 +aS'have\thave\tVB\tI-VP\tO' +p333600 +aS'an\tan\tDT\tB-NP\tO' +p333601 +aS'elective\telective\tJJ\tI-NP\tO' +p333602 +aS'abortion\tabortion\tNN\tI-NP\tO' +p333603 +aS',\t,\t,\tO\tO' +p333604 +aS'an\tan\tDT\tB-NP\tO' +p333605 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p333606 +aS'CT\tCT\tNN\tI-NP\tO' +p333607 +aS'scan\tscan\tNN\tI-NP\tO' +p333608 +aS'was\tbe\tVBD\tB-VP\tO' +p333609 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p333610 +aS'which\twhich\tWDT\tB-NP\tO' +p333611 +aS'revealed\treveal\tVBD\tB-VP\tO' +p333612 +aS'diffuse\tdiffuse\tJJ\tB-NP\tO' +p333613 +aS'metastatic\tmetastatic\tJJ\tI-NP\tO' +p333614 +aS'lesions\tlesion\tNNS\tI-NP\tO' +p333615 +aS'of\tof\tIN\tB-PP\tO' +p333616 +aS'the\tthe\tDT\tB-NP\tO' +p333617 +aS'liverspine\tliverspine\tNN\tI-NP\tO' +p333618 +aS',\t,\t,\tO\tO' +p333619 +aS'ribs\trib\tNNS\tB-NP\tO' +p333620 +aS'and\tand\tCC\tO\tO' +p333621 +aS'most\tmost\tJJS\tB-NP\tO' +p333622 +aS'of\tof\tIN\tB-PP\tO' +p333623 +aS'the\tthe\tDT\tB-NP\tO' +p333624 +aS'lymph\tlymph\tNN\tI-NP\tO' +p333625 +aS'nodes\tnode\tNNS\tI-NP\tO' +p333626 +aS'.\t.\t.\tO\tO' +p333627 +asS'DISCHARGE MEDICATIONS are the same with the addition of viscous lidocaine jelly to be applied to buttock prn and viscous lidocaine swish and swallow tid prn before meals .' +p333628 +(lp333629 +S'DISCHARGE\tDISCHARGE\tNN\tB-NP\tO' +p333630 +aS'MEDICATIONS\tMEDICATIONS\tNNS\tI-NP\tO' +p333631 +aS'are\tbe\tVBP\tB-VP\tO' +p333632 +aS'the\tthe\tDT\tB-NP\tO' +p333633 +aS'same\tsame\tJJ\tI-NP\tO' +p333634 +aS'with\twith\tIN\tB-PP\tO' +p333635 +aS'the\tthe\tDT\tB-NP\tO' +p333636 +aS'addition\taddition\tNN\tI-NP\tO' +p333637 +aS'of\tof\tIN\tB-PP\tO' +p333638 +aS'viscous\tviscous\tJJ\tB-NP\tO' +p333639 +aS'lidocaine\tlidocaine\tNN\tI-NP\tO' +p333640 +aS'jelly\tjelly\tRB\tB-ADVP\tO' +p333641 +aS'to\tto\tTO\tB-VP\tO' +p333642 +aS'be\tbe\tVB\tI-VP\tO' +p333643 +aS'applied\tapply\tVBN\tI-VP\tO' +p333644 +aS'to\tto\tTO\tI-VP\tO' +p333645 +aS'buttock\tbuttock\tVB\tI-VP\tO' +p333646 +aS'prn\tprn\tNN\tB-NP\tO' +p333647 +aS'and\tand\tCC\tO\tO' +p333648 +aS'viscous\tviscous\tJJ\tB-NP\tO' +p333649 +aS'lidocaine\tlidocaine\tNN\tI-NP\tO' +p333650 +aS'swish\tswish\tVB\tB-VP\tO' +p333651 +aS'and\tand\tCC\tI-VP\tO' +p333652 +aS'swallow\tswallow\tVB\tI-VP\tO' +p333653 +aS'tid\ttid\tJJ\tB-NP\tO' +p333654 +aS'prn\tprn\tNN\tI-NP\tO' +p333655 +aS'before\tbefore\tIN\tB-PP\tO' +p333656 +aS'meals\tmeal\tNNS\tB-NP\tO' +p333657 +aS'.\t.\t.\tO\tO' +p333658 +asS'She is a pleasant , obese , black female in no apparent distress .' +p333659 +(lp333660 +S'She\tShe\tPRP\tB-NP\tO' +p333661 +aS'is\tbe\tVBZ\tB-VP\tO' +p333662 +aS'a\ta\tDT\tB-NP\tO' +p333663 +aS'pleasant\tpleasant\tJJ\tI-NP\tO' +p333664 +aS',\t,\t,\tI-NP\tO' +p333665 +aS'obese\tobese\tJJ\tI-NP\tO' +p333666 +aS',\t,\t,\tI-NP\tO' +p333667 +aS'black\tblack\tJJ\tI-NP\tO' +p333668 +aS'female\tfemale\tNN\tI-NP\tO' +p333669 +aS'in\tin\tIN\tB-PP\tO' +p333670 +aS'no\tno\tDT\tB-NP\tO' +p333671 +aS'apparent\tapparent\tJJ\tI-NP\tO' +p333672 +aS'distress\tdistress\tNN\tI-NP\tO' +p333673 +aS'.\t.\t.\tO\tO' +p333674 +asS'He was loaded with Mannitol and Dilantin in the emergency room .' +p333675 +(lp333676 +S'He\tHe\tPRP\tB-NP\tO' +p333677 +aS'was\tbe\tVBD\tB-VP\tO' +p333678 +aS'loaded\tload\tVBN\tI-VP\tO' +p333679 +aS'with\twith\tIN\tB-PP\tO' +p333680 +aS'Mannitol\tMannitol\tNN\tB-NP\tO' +p333681 +aS'and\tand\tCC\tI-NP\tO' +p333682 +aS'Dilantin\tDilantin\tNN\tI-NP\tB-protein' +p333683 +aS'in\tin\tIN\tB-PP\tO' +p333684 +aS'the\tthe\tDT\tB-NP\tO' +p333685 +aS'emergency\temergency\tNN\tI-NP\tO' +p333686 +aS'room\troom\tNN\tI-NP\tO' +p333687 +aS'.\t.\t.\tO\tO' +p333688 +asS'The patient is a 64 year old gentleman with a history of elevated PSA , prostate cancer .' +p333689 +(lp333690 +S'The\tThe\tDT\tB-NP\tO' +p333691 +aS'patient\tpatient\tNN\tI-NP\tO' +p333692 +aS'is\tbe\tVBZ\tB-VP\tO' +p333693 +aS'a\ta\tDT\tB-NP\tO' +p333694 +aS'64\t64\tCD\tI-NP\tO' +p333695 +aS'year\tyear\tNN\tI-NP\tO' +p333696 +aS'old\told\tJJ\tI-NP\tO' +p333697 +aS'gentleman\tgentleman\tNN\tI-NP\tO' +p333698 +aS'with\twith\tIN\tB-PP\tO' +p333699 +aS'a\ta\tDT\tB-NP\tO' +p333700 +aS'history\thistory\tNN\tI-NP\tO' +p333701 +aS'of\tof\tIN\tB-PP\tO' +p333702 +aS'elevated\televated\tJJ\tB-NP\tO' +p333703 +aS'PSA\tPSA\tNN\tI-NP\tB-protein' +p333704 +aS',\t,\t,\tO\tO' +p333705 +aS'prostate\tprostate\tNN\tB-NP\tO' +p333706 +aS'cancer\tcancer\tNN\tI-NP\tO' +p333707 +aS'.\t.\t.\tO\tO' +p333708 +asS'Over the course of the hospitalization , the swelling and tenderness and erythema have steadily decreased .' +p333709 +(lp333710 +S'Over\tOver\tIN\tB-PP\tO' +p333711 +aS'the\tthe\tDT\tB-NP\tO' +p333712 +aS'course\tcourse\tNN\tI-NP\tO' +p333713 +aS'of\tof\tIN\tB-PP\tO' +p333714 +aS'the\tthe\tDT\tB-NP\tO' +p333715 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p333716 +aS',\t,\t,\tO\tO' +p333717 +aS'the\tthe\tDT\tB-NP\tO' +p333718 +aS'swelling\tswelling\tNN\tI-NP\tO' +p333719 +aS'and\tand\tCC\tI-NP\tO' +p333720 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p333721 +aS'and\tand\tCC\tI-NP\tO' +p333722 +aS'erythema\terythema\tNN\tI-NP\tO' +p333723 +aS'have\thave\tVBP\tB-VP\tO' +p333724 +aS'steadily\tsteadily\tRB\tI-VP\tO' +p333725 +aS'decreased\tdecrease\tVBN\tI-VP\tO' +p333726 +aS'.\t.\t.\tO\tO' +p333727 +asS'He has steroid injections in the right and in the left four times .' +p333728 +(lp333729 +S'He\tHe\tPRP\tB-NP\tO' +p333730 +aS'has\thave\tVBZ\tB-VP\tO' +p333731 +aS'steroid\tsteroid\tJJ\tB-NP\tO' +p333732 +aS'injections\tinjection\tNNS\tI-NP\tO' +p333733 +aS'in\tin\tIN\tB-PP\tO' +p333734 +aS'the\tthe\tDT\tB-NP\tO' +p333735 +aS'right\tright\tNN\tI-NP\tO' +p333736 +aS'and\tand\tCC\tB-PP\tO' +p333737 +aS'in\tin\tIN\tB-PP\tO' +p333738 +aS'the\tthe\tDT\tB-NP\tO' +p333739 +aS'left\tleft\tJJ\tI-NP\tO' +p333740 +aS'four\tfour\tCD\tI-NP\tO' +p333741 +aS'times\ttime\tNNS\tI-NP\tO' +p333742 +aS'.\t.\t.\tO\tO' +p333743 +asS'Hypothyroid - She was continued on her Synthroid .' +p333744 +(lp333745 +S'Hypothyroid\tHypothyroid\tNN\tB-NP\tO' +p333746 +aS'-\t-\tHYPH\tI-NP\tO' +p333747 +aS'She\tShe\tNN\tI-NP\tB-protein' +p333748 +aS'was\tbe\tVBD\tB-VP\tO' +p333749 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p333750 +aS'on\ton\tIN\tB-PP\tO' +p333751 +aS'her\ther\tPRP$\tB-NP\tO' +p333752 +aS'Synthroid\tSynthroid\tNN\tI-NP\tO' +p333753 +aS'.\t.\t.\tO\tO' +p333754 +asS'4. Nitropaste , 1 inch to chest wall , q8h.' +p333755 +(lp333756 +S'4.\t4.\tLS\tB-NP\tO' +p333757 +aS'Nitropaste\tNitropaste\tNN\tI-NP\tO' +p333758 +aS',\t,\t,\tO\tO' +p333759 +aS'1\t1\tCD\tB-NP\tO' +p333760 +aS'inch\tinch\tNN\tI-NP\tO' +p333761 +aS'to\tto\tTO\tB-VP\tO' +p333762 +aS'chest\tchest\tVB\tI-VP\tO' +p333763 +aS'wall\twall\tNN\tB-NP\tO' +p333764 +aS',\t,\t,\tO\tO' +p333765 +aS'q8h.\tq8h.\tNN\tB-NP\tO' +p333766 +asS'He will be discharged to home and was cleared by Physical Therapy .' +p333767 +(lp333768 +S'He\tHe\tPRP\tB-NP\tO' +p333769 +aS'will\twill\tMD\tB-VP\tO' +p333770 +aS'be\tbe\tVB\tI-VP\tO' +p333771 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p333772 +aS'to\tto\tTO\tB-PP\tO' +p333773 +aS'home\thome\tNN\tB-NP\tO' +p333774 +aS'and\tand\tCC\tO\tO' +p333775 +aS'was\tbe\tVBD\tB-VP\tO' +p333776 +aS'cleared\tclear\tVBN\tI-VP\tO' +p333777 +aS'by\tby\tIN\tB-PP\tO' +p333778 +aS'Physical\tPhysical\tJJ\tB-NP\tO' +p333779 +aS'Therapy\tTherapy\tNN\tI-NP\tO' +p333780 +aS'.\t.\t.\tO\tO' +p333781 +asS'IMPRESSION : No evidence of significant abnormality .' +p333782 +(lp333783 +S'IMPRESSION\tIMPRESSION\tNN\tB-NP\tO' +p333784 +aS':\t:\t:\tO\tO' +p333785 +aS'No\tNo\tDT\tB-NP\tO' +p333786 +aS'evidence\tevidence\tNN\tI-NP\tO' +p333787 +aS'of\tof\tIN\tB-PP\tO' +p333788 +aS'significant\tsignificant\tJJ\tB-NP\tO' +p333789 +aS'abnormality\tabnormality\tNN\tI-NP\tO' +p333790 +aS'.\t.\t.\tO\tO' +p333791 +asS'Left lower lobe basal opacity .' +p333792 +(lp333793 +S'Left\tLeave\tVBN\tB-VP\tO' +p333794 +aS'lower\tlow\tJJR\tB-NP\tO' +p333795 +aS'lobe\tlobe\tNN\tI-NP\tO' +p333796 +aS'basal\tbasal\tJJ\tI-NP\tO' +p333797 +aS'opacity\topacity\tNN\tI-NP\tO' +p333798 +aS'.\t.\t.\tO\tO' +p333799 +asS'Subsequently all antibiotics , blood draws and supportive blood pressure medications were withdrawn .' +p333800 +(lp333801 +S'Subsequently\tSubsequently\tRB\tB-ADVP\tO' +p333802 +aS'all\tall\tDT\tB-NP\tO' +p333803 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p333804 +aS',\t,\t,\tO\tO' +p333805 +aS'blood\tblood\tNN\tB-NP\tO' +p333806 +aS'draws\tdraw\tNNS\tI-NP\tO' +p333807 +aS'and\tand\tCC\tO\tO' +p333808 +aS'supportive\tsupportive\tJJ\tB-NP\tO' +p333809 +aS'blood\tblood\tNN\tI-NP\tO' +p333810 +aS'pressure\tpressure\tNN\tI-NP\tO' +p333811 +aS'medications\tmedication\tNNS\tI-NP\tO' +p333812 +aS'were\tbe\tVBD\tB-VP\tO' +p333813 +aS'withdrawn\twithdraw\tVBN\tI-VP\tO' +p333814 +aS'.\t.\t.\tO\tO' +p333815 +asS'On postoperative day number two , interestingly , the patient was complaining of sensitivity to light from an unknown etiology .' +p333816 +(lp333817 +S'On\tOn\tIN\tB-PP\tO' +p333818 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p333819 +aS'day\tday\tNN\tI-NP\tO' +p333820 +aS'number\tnumber\tNN\tI-NP\tO' +p333821 +aS'two\ttwo\tCD\tB-NP\tO' +p333822 +aS',\t,\t,\tO\tO' +p333823 +aS'interestingly\tinterestingly\tRB\tB-ADVP\tO' +p333824 +aS',\t,\t,\tO\tO' +p333825 +aS'the\tthe\tDT\tB-NP\tO' +p333826 +aS'patient\tpatient\tNN\tI-NP\tO' +p333827 +aS'was\tbe\tVBD\tB-VP\tO' +p333828 +aS'complaining\tcomplain\tVBG\tI-VP\tO' +p333829 +aS'of\tof\tIN\tB-PP\tO' +p333830 +aS'sensitivity\tsensitivity\tNN\tB-NP\tO' +p333831 +aS'to\tto\tTO\tB-PP\tO' +p333832 +aS'light\tlight\tNN\tB-NP\tO' +p333833 +aS'from\tfrom\tIN\tB-PP\tO' +p333834 +aS'an\tan\tDT\tB-NP\tO' +p333835 +aS'unknown\tunknown\tJJ\tI-NP\tO' +p333836 +aS'etiology\tetiology\tNN\tI-NP\tO' +p333837 +aS'.\t.\t.\tO\tO' +p333838 +asS'On 06/26/00 due to agitation , change in mental status and increased respiratory distress , the patient was intubated .' +p333839 +(lp333840 +S'On\tOn\tIN\tB-PP\tO' +p333841 +aS'06/26/00\t06/26/00\tCD\tB-NP\tO' +p333842 +aS'due\tdue\tIN\tB-PP\tO' +p333843 +aS'to\tto\tTO\tB-PP\tO' +p333844 +aS'agitation\tagitation\tNN\tB-NP\tO' +p333845 +aS',\t,\t,\tO\tO' +p333846 +aS'change\tchange\tNN\tB-NP\tO' +p333847 +aS'in\tin\tIN\tB-PP\tO' +p333848 +aS'mental\tmental\tJJ\tB-NP\tO' +p333849 +aS'status\tstatus\tNN\tI-NP\tO' +p333850 +aS'and\tand\tCC\tO\tO' +p333851 +aS'increased\tincrease\tVBD\tB-VP\tO' +p333852 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p333853 +aS'distress\tdistress\tNN\tI-NP\tO' +p333854 +aS',\t,\t,\tO\tO' +p333855 +aS'the\tthe\tDT\tB-NP\tO' +p333856 +aS'patient\tpatient\tNN\tI-NP\tO' +p333857 +aS'was\tbe\tVBD\tB-VP\tO' +p333858 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p333859 +aS'.\t.\t.\tO\tO' +p333860 +asS'Her ferritin and iron studies did not reveal any evidence of hemochromatosis and her hep serologies were all negative .' +p333861 +(lp333862 +S'Her\tHer\tPRP$\tB-NP\tO' +p333863 +aS'ferritin\tferritin\tNN\tI-NP\tB-protein' +p333864 +aS'and\tand\tCC\tI-NP\tO' +p333865 +aS'iron\tiron\tNN\tI-NP\tO' +p333866 +aS'studies\tstudy\tNNS\tI-NP\tO' +p333867 +aS'did\tdo\tVBD\tB-VP\tO' +p333868 +aS'not\tnot\tRB\tI-VP\tO' +p333869 +aS'reveal\treveal\tVB\tI-VP\tO' +p333870 +aS'any\tany\tDT\tB-NP\tO' +p333871 +aS'evidence\tevidence\tNN\tI-NP\tO' +p333872 +aS'of\tof\tIN\tB-PP\tO' +p333873 +aS'hemochromatosis\themochromatosis\tNN\tB-NP\tO' +p333874 +aS'and\tand\tCC\tO\tO' +p333875 +aS'her\ther\tPRP$\tB-NP\tO' +p333876 +aS'hep\thep\tNN\tI-NP\tO' +p333877 +aS'serologies\tserology\tNNS\tI-NP\tO' +p333878 +aS'were\tbe\tVBD\tB-VP\tO' +p333879 +aS'all\tall\tDT\tO\tO' +p333880 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p333881 +aS'.\t.\t.\tO\tO' +p333882 +asS'The patient has a history of congestive heart failure .' +p333883 +(lp333884 +S'The\tThe\tDT\tB-NP\tO' +p333885 +aS'patient\tpatient\tNN\tI-NP\tO' +p333886 +aS'has\thave\tVBZ\tB-VP\tO' +p333887 +aS'a\ta\tDT\tB-NP\tO' +p333888 +aS'history\thistory\tNN\tI-NP\tO' +p333889 +aS'of\tof\tIN\tB-PP\tO' +p333890 +aS'congestive\tcongestive\tJJ\tB-NP\tO' +p333891 +aS'heart\theart\tNN\tI-NP\tO' +p333892 +aS'failure\tfailure\tNN\tI-NP\tO' +p333893 +aS'.\t.\t.\tO\tO' +p333894 +asS'Please complete a total 14 day course of linezolid .' +p333895 +(lp333896 +S'Please\tPlease\tVB\tB-VP\tO' +p333897 +aS'complete\tcomplete\tVB\tI-VP\tO' +p333898 +aS'a\ta\tDT\tB-NP\tO' +p333899 +aS'total\ttotal\tJJ\tI-NP\tO' +p333900 +aS'14\t14\tCD\tI-NP\tO' +p333901 +aS'day\tday\tNN\tI-NP\tO' +p333902 +aS'course\tcourse\tNN\tI-NP\tO' +p333903 +aS'of\tof\tIN\tB-PP\tO' +p333904 +aS'linezolid\tlinezolid\tNN\tB-NP\tO' +p333905 +aS'.\t.\t.\tO\tO' +p333906 +asS'On HD 2 she was switched to Fioricet , which helped with her headaches .' +p333907 +(lp333908 +S'On\tOn\tIN\tB-PP\tO' +p333909 +aS'HD\tHD\tNN\tB-NP\tB-protein' +p333910 +aS'2\t2\tCD\tI-NP\tI-protein' +p333911 +aS'she\tshe\tPRP\tB-NP\tO' +p333912 +aS'was\tbe\tVBD\tB-VP\tO' +p333913 +aS'switched\tswitch\tVBN\tI-VP\tO' +p333914 +aS'to\tto\tTO\tB-PP\tO' +p333915 +aS'Fioricet\tFioricet\tNNP\tB-NP\tO' +p333916 +aS',\t,\t,\tO\tO' +p333917 +aS'which\twhich\tWDT\tB-NP\tO' +p333918 +aS'helped\thelp\tVBD\tB-VP\tO' +p333919 +aS'with\twith\tIN\tB-PP\tO' +p333920 +aS'her\ther\tPRP$\tB-NP\tO' +p333921 +aS'headaches\theadache\tNNS\tI-NP\tO' +p333922 +aS'.\t.\t.\tO\tO' +p333923 +asS'An endotracheal tube terminates just above the thoracic inlet approximately 6.5 cm above the carina .' +p333924 +(lp333925 +S'An\tAn\tDT\tB-NP\tO' +p333926 +aS'endotracheal\tendotracheal\tJJ\tI-NP\tO' +p333927 +aS'tube\ttube\tNN\tI-NP\tO' +p333928 +aS'terminates\tterminate\tVBZ\tB-VP\tO' +p333929 +aS'just\tjust\tRB\tB-PP\tO' +p333930 +aS'above\tabove\tIN\tI-PP\tO' +p333931 +aS'the\tthe\tDT\tB-NP\tO' +p333932 +aS'thoracic\tthoracic\tJJ\tI-NP\tO' +p333933 +aS'inlet\tinlet\tNN\tI-NP\tO' +p333934 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p333935 +aS'6.5\t6.5\tCD\tI-NP\tO' +p333936 +aS'cm\tcm\tNN\tI-NP\tO' +p333937 +aS'above\tabove\tIN\tB-PP\tO' +p333938 +aS'the\tthe\tDT\tB-NP\tO' +p333939 +aS'carina\tcarina\tNN\tI-NP\tO' +p333940 +aS'.\t.\t.\tO\tO' +p333941 +asS'Gen : young male , intubated , sedated , in hard collar .' +p333942 +(lp333943 +S'Gen\tGen\tNN\tB-NP\tO' +p333944 +aS':\t:\t:\tO\tO' +p333945 +aS'young\tyoung\tJJ\tB-NP\tO' +p333946 +aS'male\tmale\tJJ\tI-NP\tO' +p333947 +aS',\t,\t,\tO\tO' +p333948 +aS'intubated\tintubate\tVBN\tB-VP\tO' +p333949 +aS',\t,\t,\tO\tO' +p333950 +aS'sedated\tsedate\tVBN\tB-VP\tO' +p333951 +aS',\t,\t,\tO\tO' +p333952 +aS'in\tin\tIN\tB-PP\tO' +p333953 +aS'hard\thard\tJJ\tB-NP\tO' +p333954 +aS'collar\tcollar\tNN\tI-NP\tO' +p333955 +aS'.\t.\t.\tO\tO' +p333956 +asS'Echocardiogram revealing segmental left ventricular dysfunction involving inferoseptal , inferior and posterior segments at the base and mid ventricular level .' +p333957 +(lp333958 +S'Echocardiogram\tEchocardiogram\tNN\tB-NP\tO' +p333959 +aS'revealing\treveal\tVBG\tB-VP\tO' +p333960 +aS'segmental\tsegmental\tJJ\tB-NP\tO' +p333961 +aS'left\tleft\tJJ\tI-NP\tO' +p333962 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p333963 +aS'dysfunction\tdysfunction\tNN\tI-NP\tO' +p333964 +aS'involving\tinvolve\tVBG\tB-VP\tO' +p333965 +aS'inferoseptal\tinferoseptal\tJJ\tB-NP\tO' +p333966 +aS',\t,\t,\tI-NP\tO' +p333967 +aS'inferior\tinferior\tJJ\tI-NP\tO' +p333968 +aS'and\tand\tCC\tI-NP\tO' +p333969 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p333970 +aS'segments\tsegment\tNNS\tI-NP\tO' +p333971 +aS'at\tat\tIN\tB-PP\tO' +p333972 +aS'the\tthe\tDT\tB-NP\tO' +p333973 +aS'base\tbase\tNN\tI-NP\tO' +p333974 +aS'and\tand\tCC\tI-NP\tO' +p333975 +aS'mid\tmid\tJJ\tI-NP\tO' +p333976 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p333977 +aS'level\tlevel\tNN\tI-NP\tO' +p333978 +aS'.\t.\t.\tO\tO' +p333979 +asS'Electronically signed by Lisa John , MD on 2017-06-13 18:41 .' +p333980 +(lp333981 +S'Electronically\tElectronically\tRB\tB-ADVP\tO' +p333982 +aS'signed\tsign\tVBN\tB-VP\tO' +p333983 +aS'by\tby\tIN\tB-PP\tO' +p333984 +aS'Lisa\tLisa\tNNP\tB-NP\tO' +p333985 +aS'John\tJohn\tNNP\tI-NP\tO' +p333986 +aS',\t,\t,\tO\tO' +p333987 +aS'MD\tMD\tNN\tB-NP\tO' +p333988 +aS'on\ton\tIN\tB-PP\tO' +p333989 +aS'2017-06-13\t2017-06-13\tCD\tB-NP\tO' +p333990 +aS'18:41\t18:41\tCD\tI-NP\tO' +p333991 +aS'.\t.\t.\tO\tO' +p333992 +asS'The patient is a divorced mother of two on Medicaid .' +p333993 +(lp333994 +S'The\tThe\tDT\tB-NP\tO' +p333995 +aS'patient\tpatient\tNN\tI-NP\tO' +p333996 +aS'is\tbe\tVBZ\tB-VP\tO' +p333997 +aS'a\ta\tDT\tB-NP\tO' +p333998 +aS'divorced\tdivorced\tJJ\tI-NP\tO' +p333999 +aS'mother\tmother\tNN\tI-NP\tO' +p334000 +aS'of\tof\tIN\tB-PP\tO' +p334001 +aS'two\ttwo\tCD\tB-NP\tO' +p334002 +aS'on\ton\tIN\tB-PP\tO' +p334003 +aS'Medicaid\tMedicaid\tNNP\tB-NP\tO' +p334004 +aS'.\t.\t.\tO\tO' +p334005 +asS'2. Endocarditis .' +p334006 +(lp334007 +S'2.\t2.\tLS\tB-NP\tO' +p334008 +aS'Endocarditis\tEndocarditis\tNN\tI-NP\tO' +p334009 +aS'.\t.\t.\tO\tO' +p334010 +asS'Correlation with mammography is suggested .' +p334011 +(lp334012 +S'Correlation\tCorrelation\tNN\tB-NP\tO' +p334013 +aS'with\twith\tIN\tB-PP\tO' +p334014 +aS'mammography\tmammography\tNN\tB-NP\tO' +p334015 +aS'is\tbe\tVBZ\tB-VP\tO' +p334016 +aS'suggested\tsuggest\tVBN\tI-VP\tO' +p334017 +aS'.\t.\t.\tO\tO' +p334018 +asS'Continue to take the insulin as you were taking prior to the hospital visit' +p334019 +(lp334020 +S'Continue\tContinue\tNNP\tB-NP\tO' +p334021 +aS'to\tto\tTO\tB-VP\tO' +p334022 +aS'take\ttake\tVB\tI-VP\tO' +p334023 +aS'the\tthe\tDT\tB-NP\tO' +p334024 +aS'insulin\tinsulin\tNN\tI-NP\tB-protein' +p334025 +aS'as\tas\tIN\tB-SBAR\tO' +p334026 +aS'you\tyou\tPRP\tB-NP\tO' +p334027 +aS'were\tbe\tVBD\tB-VP\tO' +p334028 +aS'taking\ttake\tVBG\tI-VP\tO' +p334029 +aS'prior\tprior\tJJ\tB-ADVP\tO' +p334030 +aS'to\tto\tTO\tB-PP\tO' +p334031 +aS'the\tthe\tDT\tB-NP\tO' +p334032 +aS'hospital\thospital\tNN\tI-NP\tO' +p334033 +aS'visit\tvisit\tNN\tI-NP\tO' +p334034 +asS'Patient has a history of suicidal ideations and self mutilation .' +p334035 +(lp334036 +S'Patient\tPatient\tNN\tB-NP\tO' +p334037 +aS'has\thave\tVBZ\tB-VP\tO' +p334038 +aS'a\ta\tDT\tB-NP\tO' +p334039 +aS'history\thistory\tNN\tI-NP\tO' +p334040 +aS'of\tof\tIN\tB-PP\tO' +p334041 +aS'suicidal\tsuicidal\tJJ\tB-NP\tO' +p334042 +aS'ideations\tideation\tNNS\tI-NP\tO' +p334043 +aS'and\tand\tCC\tO\tO' +p334044 +aS'self\tself\tNN\tB-NP\tO' +p334045 +aS'mutilation\tmutilation\tNN\tI-NP\tO' +p334046 +aS'.\t.\t.\tO\tO' +p334047 +asS'We want her INR to remain between 2 and 3 .' +p334048 +(lp334049 +S'We\tWe\tPRP\tB-NP\tO' +p334050 +aS'want\twant\tVBP\tB-VP\tO' +p334051 +aS'her\ther\tPRP$\tB-NP\tO' +p334052 +aS'INR\tINR\tNN\tI-NP\tB-protein' +p334053 +aS'to\tto\tTO\tB-VP\tO' +p334054 +aS'remain\tremain\tVB\tI-VP\tO' +p334055 +aS'between\tbetween\tIN\tB-NP\tO' +p334056 +aS'2\t2\tCD\tI-NP\tO' +p334057 +aS'and\tand\tCC\tI-NP\tO' +p334058 +aS'3\t3\tCD\tI-NP\tO' +p334059 +aS'.\t.\t.\tO\tO' +p334060 +asS'Signed electronically by : DR. Felix Garcia on : FRI 2012-06-15 4:29 PM' +p334061 +(lp334062 +S'Signed\tSign\tVBN\tB-VP\tO' +p334063 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p334064 +aS'by\tby\tIN\tB-PP\tO' +p334065 +aS':\t:\t:\tO\tO' +p334066 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p334067 +aS'Felix\tFelix\tNNP\tI-NP\tO' +p334068 +aS'Garcia\tGarcia\tNNP\tI-NP\tO' +p334069 +aS'on\ton\tIN\tB-PP\tO' +p334070 +aS':\t:\t:\tO\tO' +p334071 +aS'FRI\tFRI\tCD\tB-NP\tO' +p334072 +aS'2012-06-15\t2012-06-15\tCD\tI-NP\tO' +p334073 +aS'4:29\t4:29\tCD\tI-NP\tO' +p334074 +aS'PM\tPM\tNN\tI-NP\tO' +p334075 +asS'prn albuterol only given A fib with RVR' +p334076 +(lp334077 +S'prn\tprn\tNN\tB-NP\tO' +p334078 +aS'albuterol\talbuterol\tNN\tI-NP\tO' +p334079 +aS'only\tonly\tRB\tB-NP\tO' +p334080 +aS'given\tgive\tVBN\tI-NP\tO' +p334081 +aS'A\tA\tNN\tI-NP\tO' +p334082 +aS'fib\tfib\tNN\tI-NP\tO' +p334083 +aS'with\twith\tIN\tB-PP\tO' +p334084 +aS'RVR\tRVR\tNN\tB-NP\tB-protein' +p334085 +asS'Neurologic examination - somnolent , awake , arousable to commands , though he falls asleep rapidly .' +p334086 +(lp334087 +S'Neurologic\tNeurologic\tJJ\tB-NP\tO' +p334088 +aS'examination\texamination\tNN\tI-NP\tO' +p334089 +aS'-\t-\tHYPH\tB-NP\tO' +p334090 +aS'somnolent\tsomnolent\tJJ\tI-NP\tO' +p334091 +aS',\t,\t,\tI-NP\tO' +p334092 +aS'awake\tawake\tJJ\tI-NP\tO' +p334093 +aS',\t,\t,\tI-NP\tO' +p334094 +aS'arousable\tarousable\tJJ\tI-NP\tO' +p334095 +aS'to\tto\tTO\tB-PP\tO' +p334096 +aS'commands\tcommand\tNNS\tB-NP\tO' +p334097 +aS',\t,\t,\tO\tO' +p334098 +aS'though\tthough\tIN\tB-SBAR\tO' +p334099 +aS'he\the\tPRP\tB-NP\tO' +p334100 +aS'falls\tfall\tVBZ\tB-VP\tO' +p334101 +aS'asleep\tasleep\tRB\tB-ADVP\tO' +p334102 +aS'rapidly\trapidly\tRB\tB-ADVP\tO' +p334103 +aS'.\t.\t.\tO\tO' +p334104 +asS'She was discharged on 06/16/2001 at 12:00 pm in stable condition .' +p334105 +(lp334106 +S'She\tShe\tPRP\tB-NP\tO' +p334107 +aS'was\tbe\tVBD\tB-VP\tO' +p334108 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p334109 +aS'on\ton\tIN\tB-PP\tO' +p334110 +aS'06/16/2001\t06/16/2001\tCD\tB-NP\tO' +p334111 +aS'at\tat\tIN\tB-PP\tO' +p334112 +aS'12:00\t12:00\tCD\tB-NP\tO' +p334113 +aS'pm\tpm\tNN\tI-NP\tO' +p334114 +aS'in\tin\tIN\tB-PP\tO' +p334115 +aS'stable\tstable\tJJ\tB-NP\tO' +p334116 +aS'condition\tcondition\tNN\tI-NP\tO' +p334117 +aS'.\t.\t.\tO\tO' +p334118 +asS'after the procedure and 2 more units of packed red blood cells , the patient was hemodynamically stable and hematocrit was stable at 31.2 .' +p334119 +(lp334120 +S'after\tafter\tIN\tB-PP\tO' +p334121 +aS'the\tthe\tDT\tB-NP\tO' +p334122 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p334123 +aS'and\tand\tCC\tI-NP\tO' +p334124 +aS'2\t2\tCD\tI-NP\tO' +p334125 +aS'more\tmore\tJJR\tI-NP\tO' +p334126 +aS'units\tunit\tNNS\tI-NP\tO' +p334127 +aS'of\tof\tIN\tB-PP\tO' +p334128 +aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' +p334129 +aS'red\tred\tJJ\tI-NP\tI-cell_type' +p334130 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p334131 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p334132 +aS',\t,\t,\tO\tO' +p334133 +aS'the\tthe\tDT\tB-NP\tO' +p334134 +aS'patient\tpatient\tNN\tI-NP\tO' +p334135 +aS'was\tbe\tVBD\tB-VP\tO' +p334136 +aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' +p334137 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p334138 +aS'and\tand\tCC\tO\tO' +p334139 +aS'hematocrit\thematocrit\tNN\tB-NP\tO' +p334140 +aS'was\tbe\tVBD\tB-VP\tO' +p334141 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p334142 +aS'at\tat\tIN\tB-PP\tO' +p334143 +aS'31.2\t31.2\tCD\tB-NP\tO' +p334144 +aS'.\t.\t.\tO\tO' +p334145 +asS'Anterior fontanel was soft , open and flat .' +p334146 +(lp334147 +S'Anterior\tAnterior\tJJ\tB-NP\tO' +p334148 +aS'fontanel\tfontanel\tNN\tI-NP\tO' +p334149 +aS'was\tbe\tVBD\tB-VP\tO' +p334150 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p334151 +aS',\t,\t,\tI-ADJP\tO' +p334152 +aS'open\topen\tJJ\tI-ADJP\tO' +p334153 +aS'and\tand\tCC\tI-ADJP\tO' +p334154 +aS'flat\tflat\tJJ\tI-ADJP\tO' +p334155 +aS'.\t.\t.\tO\tO' +p334156 +asS'Lungs were clear to auscultation and percussion bilaterally .' +p334157 +(lp334158 +S'Lungs\tLung\tNNS\tB-NP\tO' +p334159 +aS'were\tbe\tVBD\tB-VP\tO' +p334160 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p334161 +aS'to\tto\tTO\tB-PP\tO' +p334162 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p334163 +aS'and\tand\tCC\tI-NP\tO' +p334164 +aS'percussion\tpercussion\tNN\tI-NP\tO' +p334165 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p334166 +aS'.\t.\t.\tO\tO' +p334167 +asS'To be continued in a separate dictation .' +p334168 +(lp334169 +S'To\tTo\tTO\tB-VP\tO' +p334170 +aS'be\tbe\tVB\tI-VP\tO' +p334171 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p334172 +aS'in\tin\tIN\tB-PP\tO' +p334173 +aS'a\ta\tDT\tB-NP\tO' +p334174 +aS'separate\tseparate\tJJ\tI-NP\tO' +p334175 +aS'dictation\tdictation\tNN\tI-NP\tO' +p334176 +aS'.\t.\t.\tO\tO' +p334177 +asS'Fibrinogen was 192 .' +p334178 +(lp334179 +S'Fibrinogen\tFibrinogen\tNN\tB-NP\tB-protein' +p334180 +aS'was\tbe\tVBD\tB-VP\tO' +p334181 +aS'192\t192\tCD\tB-NP\tO' +p334182 +aS'.\t.\t.\tO\tO' +p334183 +asS'Dictated By : Catherine K Thomas , M.D.' +p334184 +(lp334185 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p334186 +aS'By\tBy\tIN\tB-PP\tO' +p334187 +aS':\t:\t:\tO\tO' +p334188 +aS'Catherine\tCatherine\tNNP\tB-NP\tO' +p334189 +aS'K\tK\tNNP\tI-NP\tO' +p334190 +aS'Thomas\tThomas\tNNP\tI-NP\tO' +p334191 +aS',\t,\t,\tO\tO' +p334192 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p334193 +asS'30-year-old woman with metastatic squamous cell carcinoma of unknown primary .' +p334194 +(lp334195 +S'30-year-old\t30-year-old\tJJ\tB-NP\tO' +p334196 +aS'woman\twoman\tNN\tI-NP\tO' +p334197 +aS'with\twith\tIN\tB-PP\tO' +p334198 +aS'metastatic\tmetastatic\tJJ\tB-NP\tO' +p334199 +aS'squamous\tsquamous\tJJ\tI-NP\tO' +p334200 +aS'cell\tcell\tNN\tI-NP\tO' +p334201 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p334202 +aS'of\tof\tIN\tB-PP\tO' +p334203 +aS'unknown\tunknown\tJJ\tB-NP\tO' +p334204 +aS'primary\tprimary\tNN\tI-NP\tO' +p334205 +aS'.\t.\t.\tO\tO' +p334206 +asS'Transthoracic echo demonstrated gradients of 100 peak and 65 mean across the aortic valve and there was mild aortic insufficiency and ejection fraction was noted to be 18% with global hypokinesis .' +p334207 +(lp334208 +S'Transthoracic\tTransthoracic\tJJ\tB-NP\tO' +p334209 +aS'echo\techo\tNN\tI-NP\tO' +p334210 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p334211 +aS'gradients\tgradient\tNNS\tB-NP\tO' +p334212 +aS'of\tof\tIN\tB-PP\tO' +p334213 +aS'100\t100\tCD\tB-NP\tO' +p334214 +aS'peak\tpeak\tNN\tI-NP\tO' +p334215 +aS'and\tand\tCC\tO\tO' +p334216 +aS'65\t65\tCD\tB-NP\tO' +p334217 +aS'mean\tmean\tNN\tI-NP\tO' +p334218 +aS'across\tacross\tIN\tB-PP\tO' +p334219 +aS'the\tthe\tDT\tB-NP\tO' +p334220 +aS'aortic\taortic\tJJ\tI-NP\tO' +p334221 +aS'valve\tvalve\tNN\tI-NP\tO' +p334222 +aS'and\tand\tCC\tO\tO' +p334223 +aS'there\tthere\tEX\tB-NP\tO' +p334224 +aS'was\tbe\tVBD\tB-VP\tO' +p334225 +aS'mild\tmild\tJJ\tB-NP\tO' +p334226 +aS'aortic\taortic\tJJ\tI-NP\tO' +p334227 +aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' +p334228 +aS'and\tand\tCC\tI-NP\tO' +p334229 +aS'ejection\tejection\tNN\tI-NP\tO' +p334230 +aS'fraction\tfraction\tNN\tI-NP\tO' +p334231 +aS'was\tbe\tVBD\tB-VP\tO' +p334232 +aS'noted\tnote\tVBN\tI-VP\tO' +p334233 +aS'to\tto\tTO\tI-VP\tO' +p334234 +aS'be\tbe\tVB\tI-VP\tO' +p334235 +aS'18%\t18%\tCD\tB-NP\tO' +p334236 +aS'with\twith\tIN\tB-PP\tO' +p334237 +aS'global\tglobal\tJJ\tB-NP\tO' +p334238 +aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' +p334239 +aS'.\t.\t.\tO\tO' +p334240 +asS'Abnormal portable EEG due to the slow and disorganized background and bursts of generalized slowing .' +p334241 +(lp334242 +S'Abnormal\tAbnormal\tJJ\tB-NP\tO' +p334243 +aS'portable\tportable\tJJ\tI-NP\tO' +p334244 +aS'EEG\tEEG\tNN\tI-NP\tO' +p334245 +aS'due\tdue\tJJ\tB-PP\tO' +p334246 +aS'to\tto\tTO\tB-PP\tO' +p334247 +aS'the\tthe\tDT\tB-NP\tO' +p334248 +aS'slow\tslow\tJJ\tI-NP\tO' +p334249 +aS'and\tand\tCC\tI-NP\tO' +p334250 +aS'disorganized\tdisorganized\tJJ\tI-NP\tO' +p334251 +aS'background\tbackground\tNN\tI-NP\tO' +p334252 +aS'and\tand\tCC\tI-NP\tO' +p334253 +aS'bursts\tburst\tNNS\tI-NP\tO' +p334254 +aS'of\tof\tIN\tB-PP\tO' +p334255 +aS'generalized\tgeneralize\tVBN\tB-NP\tO' +p334256 +aS'slowing\tslow\tVBG\tI-NP\tO' +p334257 +aS'.\t.\t.\tO\tO' +p334258 +asS'This is a 104 year old female patient with a history of chronic obstructive pulmonary disease , coronary artery disease , hypertension and cerebrovascular accident who presents with shortness of breath and cough .' +p334259 +(lp334260 +S'This\tThis\tDT\tB-NP\tO' +p334261 +aS'is\tbe\tVBZ\tB-VP\tO' +p334262 +aS'a\ta\tDT\tB-NP\tO' +p334263 +aS'104\t104\tCD\tI-NP\tO' +p334264 +aS'year\tyear\tNN\tI-NP\tO' +p334265 +aS'old\told\tJJ\tI-NP\tO' +p334266 +aS'female\tfemale\tJJ\tI-NP\tO' +p334267 +aS'patient\tpatient\tNN\tI-NP\tO' +p334268 +aS'with\twith\tIN\tB-PP\tO' +p334269 +aS'a\ta\tDT\tB-NP\tO' +p334270 +aS'history\thistory\tNN\tI-NP\tO' +p334271 +aS'of\tof\tIN\tB-PP\tO' +p334272 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p334273 +aS'obstructive\tobstructive\tJJ\tI-NP\tO' +p334274 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p334275 +aS'disease\tdisease\tNN\tI-NP\tO' +p334276 +aS',\t,\t,\tO\tO' +p334277 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p334278 +aS'artery\tartery\tNN\tI-NP\tO' +p334279 +aS'disease\tdisease\tNN\tI-NP\tO' +p334280 +aS',\t,\t,\tO\tO' +p334281 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p334282 +aS'and\tand\tCC\tO\tO' +p334283 +aS'cerebrovascular\tcerebrovascular\tJJ\tB-NP\tO' +p334284 +aS'accident\taccident\tNN\tI-NP\tO' +p334285 +aS'who\twho\tWP\tB-NP\tO' +p334286 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p334287 +aS'with\twith\tIN\tB-PP\tO' +p334288 +aS'shortness\tshortness\tNN\tB-NP\tO' +p334289 +aS'of\tof\tIN\tB-PP\tO' +p334290 +aS'breath\tbreath\tNN\tB-NP\tO' +p334291 +aS'and\tand\tCC\tI-NP\tO' +p334292 +aS'cough\tcough\tNN\tI-NP\tO' +p334293 +aS'.\t.\t.\tO\tO' +p334294 +asS'Normal reflexes on the left side .' +p334295 +(lp334296 +S'Normal\tNormal\tJJ\tB-NP\tO' +p334297 +aS'reflexes\treflex\tNNS\tI-NP\tO' +p334298 +aS'on\ton\tIN\tB-PP\tO' +p334299 +aS'the\tthe\tDT\tB-NP\tO' +p334300 +aS'left\tleft\tJJ\tI-NP\tO' +p334301 +aS'side\tside\tNN\tI-NP\tO' +p334302 +aS'.\t.\t.\tO\tO' +p334303 +asS'Her HEENT examination is benign .' +p334304 +(lp334305 +S'Her\tHer\tPRP$\tB-NP\tO' +p334306 +aS'HEENT\tHEENT\tNN\tI-NP\tO' +p334307 +aS'examination\texamination\tNN\tI-NP\tO' +p334308 +aS'is\tbe\tVBZ\tB-VP\tO' +p334309 +aS'benign\tbenign\tJJ\tB-ADJP\tO' +p334310 +aS'.\t.\t.\tO\tO' +p334311 +asS'The patient was extubated overnight without incident .' +p334312 +(lp334313 +S'The\tThe\tDT\tB-NP\tO' +p334314 +aS'patient\tpatient\tNN\tI-NP\tO' +p334315 +aS'was\tbe\tVBD\tB-VP\tO' +p334316 +aS'extubated\textubate\tVBN\tI-VP\tO' +p334317 +aS'overnight\tovernight\tRB\tB-ADVP\tO' +p334318 +aS'without\twithout\tIN\tB-PP\tO' +p334319 +aS'incident\tincident\tNN\tB-NP\tO' +p334320 +aS'.\t.\t.\tO\tO' +p334321 +asS'9. Depression .' +p334322 +(lp334323 +S'9.\t9.\tLS\tB-LST\tO' +p334324 +aS'Depression\tDepression\tNNP\tB-NP\tO' +p334325 +aS'.\t.\t.\tO\tO' +p334326 +asS'Multiple bilateral healed rib fractures are present .' +p334327 +(lp334328 +S'Multiple\tMultiple\tJJ\tB-NP\tO' +p334329 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p334330 +aS'healed\theal\tVBN\tI-NP\tO' +p334331 +aS'rib\trib\tNN\tI-NP\tO' +p334332 +aS'fractures\tfracture\tNNS\tI-NP\tO' +p334333 +aS'are\tbe\tVBP\tB-VP\tO' +p334334 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p334335 +aS'.\t.\t.\tO\tO' +p334336 +asS'He denied the use of tobacco and drugs .' +p334337 +(lp334338 +S'He\tHe\tPRP\tB-NP\tO' +p334339 +aS'denied\tdeny\tVBD\tB-VP\tO' +p334340 +aS'the\tthe\tDT\tB-NP\tO' +p334341 +aS'use\tuse\tNN\tI-NP\tO' +p334342 +aS'of\tof\tIN\tB-PP\tO' +p334343 +aS'tobacco\ttobacco\tNN\tB-NP\tO' +p334344 +aS'and\tand\tCC\tI-NP\tO' +p334345 +aS'drugs\tdrug\tNNS\tI-NP\tO' +p334346 +aS'.\t.\t.\tO\tO' +p334347 +asS'Autologous bone marrow infusion occurred on 10/29/00 and was uneventful .' +p334348 +(lp334349 +S'Autologous\tAutologous\tJJ\tB-NP\tO' +p334350 +aS'bone\tbone\tNN\tI-NP\tO' +p334351 +aS'marrow\tmarrow\tNN\tI-NP\tO' +p334352 +aS'infusion\tinfusion\tNN\tI-NP\tO' +p334353 +aS'occurred\toccur\tVBD\tB-VP\tO' +p334354 +aS'on\ton\tIN\tB-PP\tO' +p334355 +aS'10/29/00\t10/29/00\tCD\tB-NP\tO' +p334356 +aS'and\tand\tCC\tO\tO' +p334357 +aS'was\tbe\tVBD\tB-VP\tO' +p334358 +aS'uneventful\tuneventful\tJJ\tB-ADJP\tO' +p334359 +aS'.\t.\t.\tO\tO' +p334360 +asS'The family maintained an extraordinary vigil over the days of his hospitalization , providing him with some food and constant attention , while we awaited the results of his chemotherapy and treatment of his infection .' +p334361 +(lp334362 +S'The\tThe\tDT\tB-NP\tO' +p334363 +aS'family\tfamily\tNN\tI-NP\tO' +p334364 +aS'maintained\tmaintain\tVBD\tB-VP\tO' +p334365 +aS'an\tan\tDT\tB-NP\tO' +p334366 +aS'extraordinary\textraordinary\tJJ\tI-NP\tO' +p334367 +aS'vigil\tvigil\tNN\tI-NP\tO' +p334368 +aS'over\tover\tIN\tB-PP\tO' +p334369 +aS'the\tthe\tDT\tB-NP\tO' +p334370 +aS'days\tday\tNNS\tI-NP\tO' +p334371 +aS'of\tof\tIN\tB-PP\tO' +p334372 +aS'his\this\tPRP$\tB-NP\tO' +p334373 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p334374 +aS',\t,\t,\tO\tO' +p334375 +aS'providing\tprovide\tVBG\tB-VP\tO' +p334376 +aS'him\thim\tPRP\tB-NP\tO' +p334377 +aS'with\twith\tIN\tB-PP\tO' +p334378 +aS'some\tsome\tDT\tB-NP\tO' +p334379 +aS'food\tfood\tNN\tI-NP\tO' +p334380 +aS'and\tand\tCC\tI-NP\tO' +p334381 +aS'constant\tconstant\tJJ\tI-NP\tO' +p334382 +aS'attention\tattention\tNN\tI-NP\tO' +p334383 +aS',\t,\t,\tO\tO' +p334384 +aS'while\twhile\tIN\tB-SBAR\tO' +p334385 +aS'we\twe\tPRP\tB-NP\tO' +p334386 +aS'awaited\tawait\tVBD\tB-VP\tO' +p334387 +aS'the\tthe\tDT\tB-NP\tO' +p334388 +aS'results\tresult\tNNS\tI-NP\tO' +p334389 +aS'of\tof\tIN\tB-PP\tO' +p334390 +aS'his\this\tPRP$\tB-NP\tO' +p334391 +aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' +p334392 +aS'and\tand\tCC\tI-NP\tO' +p334393 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p334394 +aS'of\tof\tIN\tB-PP\tO' +p334395 +aS'his\this\tPRP$\tB-NP\tO' +p334396 +aS'infection\tinfection\tNN\tI-NP\tO' +p334397 +aS'.\t.\t.\tO\tO' +p334398 +asS'Prozac .' +p334399 +(lp334400 +S'Prozac\tProzac\tNN\tB-NP\tO' +p334401 +aS'.\t.\t.\tO\tO' +p334402 +asS'Jugular venous pressure was 8 with a brisk inspiratory descent .' +p334403 +(lp334404 +S'Jugular\tJugular\tJJ\tB-NP\tB-protein' +p334405 +aS'venous\tvenous\tJJ\tI-NP\tI-protein' +p334406 +aS'pressure\tpressure\tNN\tI-NP\tI-protein' +p334407 +aS'was\tbe\tVBD\tB-VP\tI-protein' +p334408 +aS'8\t8\tCD\tB-NP\tI-protein' +p334409 +aS'with\twith\tIN\tB-PP\tO' +p334410 +aS'a\ta\tDT\tB-NP\tO' +p334411 +aS'brisk\tbrisk\tJJ\tI-NP\tO' +p334412 +aS'inspiratory\tinspiratory\tJJ\tI-NP\tO' +p334413 +aS'descent\tdescent\tNN\tI-NP\tO' +p334414 +aS'.\t.\t.\tO\tO' +p334415 +asS'Moving all extremities well .' +p334416 +(lp334417 +S'Moving\tMove\tVBG\tB-VP\tO' +p334418 +aS'all\tall\tDT\tB-NP\tO' +p334419 +aS'extremities\textremity\tNNS\tI-NP\tO' +p334420 +aS'well\twell\tRB\tB-ADVP\tO' +p334421 +aS'.\t.\t.\tO\tO' +p334422 +asS'Exploratory laparotomy , left colectomy , end-transverse colostomy , drainage of pancreatic necrosis .' +p334423 +(lp334424 +S'Exploratory\tExploratory\tJJ\tB-NP\tO' +p334425 +aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' +p334426 +aS',\t,\t,\tO\tO' +p334427 +aS'left\tleft\tJJ\tB-NP\tO' +p334428 +aS'colectomy\tcolectomy\tNN\tI-NP\tO' +p334429 +aS',\t,\t,\tO\tO' +p334430 +aS'end-transverse\tend-transverse\tJJ\tB-NP\tO' +p334431 +aS'colostomy\tcolostomy\tNN\tI-NP\tO' +p334432 +aS',\t,\t,\tO\tO' +p334433 +aS'drainage\tdrainage\tNN\tB-NP\tO' +p334434 +aS'of\tof\tIN\tB-PP\tO' +p334435 +aS'pancreatic\tpancreatic\tJJ\tB-NP\tO' +p334436 +aS'necrosis\tnecrosis\tNN\tI-NP\tO' +p334437 +aS'.\t.\t.\tO\tO' +p334438 +asS'7. Alterajel .' +p334439 +(lp334440 +S'7.\t7.\tCD\tB-NP\tO' +p334441 +aS'Alterajel\tAlterajel\tNNP\tI-NP\tO' +p334442 +aS'.\t.\t.\tO\tO' +p334443 +asS'Positive drooling .' +p334444 +(lp334445 +S'Positive\tPositive\tJJ\tB-NP\tO' +p334446 +aS'drooling\tdrooling\tNN\tI-NP\tO' +p334447 +aS'.\t.\t.\tO\tO' +p334448 +asS'Temperature was 99.1 , blood pressure 132/74 , heart rate 80 , respirations 18 , 02 sat 99% on room air .' +p334449 +(lp334450 +S'Temperature\tTemperature\tNN\tB-NP\tO' +p334451 +aS'was\tbe\tVBD\tB-VP\tO' +p334452 +aS'99.1\t99.1\tCD\tB-NP\tO' +p334453 +aS',\t,\t,\tO\tO' +p334454 +aS'blood\tblood\tNN\tB-NP\tO' +p334455 +aS'pressure\tpressure\tNN\tI-NP\tO' +p334456 +aS'132/74\t132/74\tCD\tI-NP\tO' +p334457 +aS',\t,\t,\tO\tO' +p334458 +aS'heart\theart\tNN\tB-NP\tO' +p334459 +aS'rate\trate\tNN\tI-NP\tO' +p334460 +aS'80\t80\tCD\tI-NP\tO' +p334461 +aS',\t,\t,\tO\tO' +p334462 +aS'respirations\trespiration\tNNS\tB-NP\tO' +p334463 +aS'18\t18\tCD\tI-NP\tO' +p334464 +aS',\t,\t,\tI-NP\tO' +p334465 +aS'02\t02\tCD\tI-NP\tO' +p334466 +aS'sat\tsit\tVBD\tB-VP\tO' +p334467 +aS'99%\t99%\tCD\tB-NP\tO' +p334468 +aS'on\ton\tIN\tB-PP\tO' +p334469 +aS'room\troom\tNN\tB-NP\tO' +p334470 +aS'air\tair\tNN\tI-NP\tO' +p334471 +aS'.\t.\t.\tO\tO' +p334472 +asS'Normal spine , hip , clavicles , small mass at the site of previous right quadriceps intramuscular injection .' +p334473 +(lp334474 +S'Normal\tNormal\tJJ\tB-NP\tO' +p334475 +aS'spine\tspine\tNN\tI-NP\tO' +p334476 +aS',\t,\t,\tO\tO' +p334477 +aS'hip\thip\tNN\tB-NP\tO' +p334478 +aS',\t,\t,\tO\tO' +p334479 +aS'clavicles\tclavicle\tNNS\tB-NP\tO' +p334480 +aS',\t,\t,\tO\tO' +p334481 +aS'small\tsmall\tJJ\tB-NP\tO' +p334482 +aS'mass\tmass\tNN\tI-NP\tO' +p334483 +aS'at\tat\tIN\tB-PP\tO' +p334484 +aS'the\tthe\tDT\tB-NP\tO' +p334485 +aS'site\tsite\tNN\tI-NP\tO' +p334486 +aS'of\tof\tIN\tB-PP\tO' +p334487 +aS'previous\tprevious\tJJ\tB-NP\tO' +p334488 +aS'right\tright\tJJ\tI-NP\tO' +p334489 +aS'quadriceps\tquadricep\tNNS\tI-NP\tO' +p334490 +aS'intramuscular\tintramuscular\tJJ\tB-NP\tO' +p334491 +aS'injection\tinjection\tNN\tI-NP\tO' +p334492 +aS'.\t.\t.\tO\tO' +p334493 +asS'3. Paraplegia status post thoracic aortic aneurysm repair .' +p334494 +(lp334495 +S'3.\t3.\tLS\tB-NP\tO' +p334496 +aS'Paraplegia\tParaplegia\tNNP\tI-NP\tO' +p334497 +aS'status\tstatus\tNN\tI-NP\tO' +p334498 +aS'post\tpost\tNN\tI-NP\tO' +p334499 +aS'thoracic\tthoracic\tJJ\tI-NP\tO' +p334500 +aS'aortic\taortic\tJJ\tI-NP\tO' +p334501 +aS'aneurysm\taneurysm\tNN\tI-NP\tO' +p334502 +aS'repair\trepair\tNN\tI-NP\tO' +p334503 +aS'.\t.\t.\tO\tO' +p334504 +asS'Total abdominal hysterectomy .' +p334505 +(lp334506 +S'Total\tTotal\tJJ\tB-NP\tO' +p334507 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p334508 +aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' +p334509 +aS'.\t.\t.\tO\tO' +p334510 +asS'The patient was breathing comfortably .' +p334511 +(lp334512 +S'The\tThe\tDT\tB-NP\tO' +p334513 +aS'patient\tpatient\tNN\tI-NP\tO' +p334514 +aS'was\tbe\tVBD\tB-VP\tO' +p334515 +aS'breathing\tbreathe\tVBG\tI-VP\tO' +p334516 +aS'comfortably\tcomfortably\tRB\tB-ADVP\tO' +p334517 +aS'.\t.\t.\tO\tO' +p334518 +asS'2. Diabetic nephropathy resulting in ESRD for which she is on HD .' +p334519 +(lp334520 +S'2.\t2.\tLS\tB-NP\tO' +p334521 +aS'Diabetic\tDiabetic\tJJ\tI-NP\tO' +p334522 +aS'nephropathy\tnephropathy\tNN\tI-NP\tO' +p334523 +aS'resulting\tresult\tVBG\tB-VP\tO' +p334524 +aS'in\tin\tIN\tB-PP\tO' +p334525 +aS'ESRD\tESRD\tNNP\tB-NP\tO' +p334526 +aS'for\tfor\tIN\tB-PP\tO' +p334527 +aS'which\twhich\tWDT\tB-NP\tO' +p334528 +aS'she\tshe\tPRP\tB-NP\tO' +p334529 +aS'is\tbe\tVBZ\tB-VP\tO' +p334530 +aS'on\ton\tIN\tB-PP\tO' +p334531 +aS'HD\tHD\tNN\tB-NP\tO' +p334532 +aS'.\t.\t.\tO\tO' +p334533 +asS'The patient presented with a chief complaint of PNEUMONIA .' +p334534 +(lp334535 +S'The\tThe\tDT\tB-NP\tO' +p334536 +aS'patient\tpatient\tNN\tI-NP\tO' +p334537 +aS'presented\tpresent\tVBD\tB-VP\tO' +p334538 +aS'with\twith\tIN\tB-PP\tO' +p334539 +aS'a\ta\tDT\tB-NP\tO' +p334540 +aS'chief\tchief\tJJ\tI-NP\tO' +p334541 +aS'complaint\tcomplaint\tNN\tI-NP\tO' +p334542 +aS'of\tof\tIN\tB-PP\tO' +p334543 +aS'PNEUMONIA\tPNEUMONIA\tNN\tB-NP\tO' +p334544 +aS'.\t.\t.\tO\tO' +p334545 +asS'There is a patchy area of increased opacity in the left retrocardiac region , which was not seen on the earlier study .' +p334546 +(lp334547 +S'There\tThere\tEX\tB-NP\tO' +p334548 +aS'is\tbe\tVBZ\tB-VP\tO' +p334549 +aS'a\ta\tDT\tB-NP\tO' +p334550 +aS'patchy\tpatchy\tJJ\tI-NP\tO' +p334551 +aS'area\tarea\tNN\tI-NP\tO' +p334552 +aS'of\tof\tIN\tB-PP\tO' +p334553 +aS'increased\tincrease\tVBN\tB-NP\tO' +p334554 +aS'opacity\topacity\tNN\tI-NP\tO' +p334555 +aS'in\tin\tIN\tB-PP\tO' +p334556 +aS'the\tthe\tDT\tB-NP\tO' +p334557 +aS'left\tleft\tJJ\tI-NP\tB-DNA' +p334558 +aS'retrocardiac\tretrocardiac\tJJ\tI-NP\tI-DNA' +p334559 +aS'region\tregion\tNN\tI-NP\tI-DNA' +p334560 +aS',\t,\t,\tO\tO' +p334561 +aS'which\twhich\tWDT\tB-NP\tO' +p334562 +aS'was\tbe\tVBD\tB-VP\tO' +p334563 +aS'not\tnot\tRB\tI-VP\tO' +p334564 +aS'seen\tsee\tVBN\tI-VP\tO' +p334565 +aS'on\ton\tIN\tB-PP\tO' +p334566 +aS'the\tthe\tDT\tB-NP\tO' +p334567 +aS'earlier\tearly\tJJR\tI-NP\tO' +p334568 +aS'study\tstudy\tNN\tI-NP\tO' +p334569 +aS'.\t.\t.\tO\tO' +p334570 +asS'The patient had a cardiac catheterization which revealed three vessel disease and the patient now presents for elective coronary artery bypass grafting .' +p334571 +(lp334572 +S'The\tThe\tDT\tB-NP\tO' +p334573 +aS'patient\tpatient\tNN\tI-NP\tO' +p334574 +aS'had\thave\tVBD\tB-VP\tO' +p334575 +aS'a\ta\tDT\tB-NP\tO' +p334576 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p334577 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p334578 +aS'which\twhich\tWDT\tB-NP\tO' +p334579 +aS'revealed\treveal\tVBD\tB-VP\tO' +p334580 +aS'three\tthree\tCD\tB-NP\tO' +p334581 +aS'vessel\tvessel\tNN\tI-NP\tO' +p334582 +aS'disease\tdisease\tNN\tI-NP\tO' +p334583 +aS'and\tand\tCC\tO\tO' +p334584 +aS'the\tthe\tDT\tB-NP\tO' +p334585 +aS'patient\tpatient\tNN\tI-NP\tO' +p334586 +aS'now\tnow\tRB\tB-ADVP\tO' +p334587 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p334588 +aS'for\tfor\tIN\tB-PP\tO' +p334589 +aS'elective\telective\tJJ\tB-NP\tO' +p334590 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p334591 +aS'artery\tartery\tNN\tI-NP\tO' +p334592 +aS'bypass\tbypass\tIN\tB-PP\tO' +p334593 +aS'grafting\tgrafting\tNN\tB-NP\tO' +p334594 +aS'.\t.\t.\tO\tO' +p334595 +asS'7. Senna 8.6 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ) .' +p334596 +(lp334597 +S'7.\t7.\tCD\tB-NP\tO' +p334598 +aS'Senna\tSenna\tNNP\tI-NP\tO' +p334599 +aS'8.6\t8.6\tCD\tI-NP\tO' +p334600 +aS'mg\tmg\tNN\tI-NP\tO' +p334601 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p334602 +aS'Sig\tSig\tNNP\tI-NP\tO' +p334603 +aS':\t:\t:\tO\tO' +p334604 +aS'One\tOne\tCD\tB-NP\tO' +p334605 +aS'(\t(\t(\tO\tO' +p334606 +aS'1\t1\tCD\tB-NP\tO' +p334607 +aS')\t)\t)\tO\tO' +p334608 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p334609 +aS'PO\tPO\tNN\tI-NP\tO' +p334610 +aS'BID\tBID\tNN\tI-NP\tO' +p334611 +aS'(\t(\t(\tO\tO' +p334612 +aS'2\t2\tCD\tB-NP\tO' +p334613 +aS'times\ttime\tNNS\tI-NP\tO' +p334614 +aS'a\ta\tDT\tB-NP\tO' +p334615 +aS'day\tday\tNN\tI-NP\tO' +p334616 +aS')\t)\t)\tO\tO' +p334617 +aS'.\t.\t.\tO\tO' +p334618 +asS'When pt spiked a temperature and became hypotensive she was started on Linezolid was started for presumed VRE infection in the urine .' +p334619 +(lp334620 +S'When\tWhen\tWRB\tB-ADVP\tO' +p334621 +aS'pt\tpt\tNN\tB-NP\tO' +p334622 +aS'spiked\tspike\tVBD\tB-VP\tO' +p334623 +aS'a\ta\tDT\tB-NP\tO' +p334624 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p334625 +aS'and\tand\tCC\tO\tO' +p334626 +aS'became\tbecome\tVBD\tB-VP\tO' +p334627 +aS'hypotensive\thypotensive\tJJ\tB-ADJP\tO' +p334628 +aS'she\tshe\tPRP\tB-NP\tO' +p334629 +aS'was\tbe\tVBD\tB-VP\tO' +p334630 +aS'started\tstart\tVBN\tI-VP\tO' +p334631 +aS'on\ton\tIN\tB-PP\tO' +p334632 +aS'Linezolid\tLinezolid\tNN\tB-NP\tO' +p334633 +aS'was\tbe\tVBD\tB-VP\tO' +p334634 +aS'started\tstart\tVBN\tI-VP\tO' +p334635 +aS'for\tfor\tIN\tB-PP\tO' +p334636 +aS'presumed\tpresume\tVBN\tB-NP\tO' +p334637 +aS'VRE\tVRE\tNN\tI-NP\tO' +p334638 +aS'infection\tinfection\tNN\tI-NP\tO' +p334639 +aS'in\tin\tIN\tB-PP\tO' +p334640 +aS'the\tthe\tDT\tB-NP\tO' +p334641 +aS'urine\turine\tNN\tI-NP\tO' +p334642 +aS'.\t.\t.\tO\tO' +p334643 +asS'Conditions , Infections , Complications , affecting Treatment / Stay s / p Roux en Y gastric bypass .' +p334644 +(lp334645 +S'Conditions\tCondition\tNNS\tB-NP\tO' +p334646 +aS',\t,\t,\tO\tO' +p334647 +aS'Infections\tInfection\tNNS\tB-NP\tO' +p334648 +aS',\t,\t,\tO\tO' +p334649 +aS'Complications\tComplication\tNNS\tB-NP\tO' +p334650 +aS',\t,\t,\tO\tO' +p334651 +aS'affecting\taffect\tVBG\tB-VP\tO' +p334652 +aS'Treatment\tTreatment\tNN\tB-NP\tO' +p334653 +aS'/\t/\tSYM\tI-NP\tO' +p334654 +aS'Stay\tStay\tNN\tI-NP\tO' +p334655 +aS's\ts\tNN\tI-NP\tO' +p334656 +aS'/\t/\tSYM\tB-NP\tO' +p334657 +aS'p\tp\tNN\tI-NP\tO' +p334658 +aS'Roux\tRoux\tNNP\tI-NP\tO' +p334659 +aS'en\ten\tIN\tB-PP\tO' +p334660 +aS'Y\tY\tNNP\tB-NP\tO' +p334661 +aS'gastric\tgastric\tJJ\tI-NP\tO' +p334662 +aS'bypass\tbypass\tNN\tI-NP\tO' +p334663 +aS'.\t.\t.\tO\tO' +p334664 +asS'The patient was given printed instructions for urinary tract infection ( Portugese ) .' +p334665 +(lp334666 +S'The\tThe\tDT\tB-NP\tO' +p334667 +aS'patient\tpatient\tNN\tI-NP\tO' +p334668 +aS'was\tbe\tVBD\tB-VP\tO' +p334669 +aS'given\tgive\tVBN\tI-VP\tO' +p334670 +aS'printed\tprint\tVBN\tB-NP\tO' +p334671 +aS'instructions\tinstruction\tNNS\tI-NP\tO' +p334672 +aS'for\tfor\tIN\tB-PP\tO' +p334673 +aS'urinary\turinary\tJJ\tB-NP\tO' +p334674 +aS'tract\ttract\tNN\tI-NP\tO' +p334675 +aS'infection\tinfection\tNN\tI-NP\tO' +p334676 +aS'(\t(\t(\tO\tO' +p334677 +aS'Portugese\tPortugese\tNN\tB-NP\tO' +p334678 +aS')\t)\t)\tO\tO' +p334679 +aS'.\t.\t.\tO\tO' +p334680 +asS'The patient was re-admitted to the surgical service and taken to the CMED .' +p334681 +(lp334682 +S'The\tThe\tDT\tB-NP\tO' +p334683 +aS'patient\tpatient\tNN\tI-NP\tO' +p334684 +aS'was\tbe\tVBD\tB-VP\tO' +p334685 +aS're-admitted\tre-admitted\tJJ\tB-ADJP\tO' +p334686 +aS'to\tto\tTO\tB-PP\tO' +p334687 +aS'the\tthe\tDT\tB-NP\tO' +p334688 +aS'surgical\tsurgical\tJJ\tI-NP\tO' +p334689 +aS'service\tservice\tNN\tI-NP\tO' +p334690 +aS'and\tand\tCC\tO\tO' +p334691 +aS'taken\ttake\tVBN\tB-VP\tO' +p334692 +aS'to\tto\tTO\tB-PP\tO' +p334693 +aS'the\tthe\tDT\tB-NP\tO' +p334694 +aS'CMED\tCMED\tNN\tI-NP\tO' +p334695 +aS'.\t.\t.\tO\tO' +p334696 +asS'On physical examination , patient is in no acute distress , afebrile , blood pressure 134/80 , heart rate 80 and regular , no bruits .' +p334697 +(lp334698 +S'On\tOn\tIN\tB-PP\tO' +p334699 +aS'physical\tphysical\tJJ\tB-NP\tO' +p334700 +aS'examination\texamination\tNN\tI-NP\tO' +p334701 +aS',\t,\t,\tO\tO' +p334702 +aS'patient\tpatient\tNN\tB-NP\tO' +p334703 +aS'is\tbe\tVBZ\tB-VP\tO' +p334704 +aS'in\tin\tIN\tB-PP\tO' +p334705 +aS'no\tno\tDT\tB-NP\tO' +p334706 +aS'acute\tacute\tJJ\tI-NP\tO' +p334707 +aS'distress\tdistress\tNN\tI-NP\tO' +p334708 +aS',\t,\t,\tO\tO' +p334709 +aS'afebrile\tafebrile\tNN\tB-NP\tO' +p334710 +aS',\t,\t,\tO\tO' +p334711 +aS'blood\tblood\tNN\tB-NP\tO' +p334712 +aS'pressure\tpressure\tNN\tI-NP\tO' +p334713 +aS'134/80\t134/80\tCD\tI-NP\tO' +p334714 +aS',\t,\t,\tO\tO' +p334715 +aS'heart\theart\tNN\tB-NP\tO' +p334716 +aS'rate\trate\tNN\tI-NP\tO' +p334717 +aS'80\t80\tCD\tI-NP\tO' +p334718 +aS'and\tand\tCC\tO\tO' +p334719 +aS'regular\tregular\tJJ\tB-NP\tO' +p334720 +aS',\t,\t,\tO\tO' +p334721 +aS'no\tno\tDT\tB-NP\tO' +p334722 +aS'bruits\tbruit\tNNS\tI-NP\tO' +p334723 +aS'.\t.\t.\tO\tO' +p334724 +asS'The hypernatremia fully resolved when he resumed eating on his own and had access to free water .' +p334725 +(lp334726 +S'The\tThe\tDT\tB-NP\tO' +p334727 +aS'hypernatremia\thypernatremia\tNN\tI-NP\tO' +p334728 +aS'fully\tfully\tRB\tB-VP\tO' +p334729 +aS'resolved\tresolve\tVBN\tI-VP\tO' +p334730 +aS'when\twhen\tWRB\tB-ADVP\tO' +p334731 +aS'he\the\tPRP\tB-NP\tO' +p334732 +aS'resumed\tresume\tVBD\tB-VP\tO' +p334733 +aS'eating\teat\tVBG\tI-VP\tO' +p334734 +aS'on\ton\tIN\tB-PP\tO' +p334735 +aS'his\this\tPRP$\tB-NP\tO' +p334736 +aS'own\town\tJJ\tI-NP\tO' +p334737 +aS'and\tand\tCC\tO\tO' +p334738 +aS'had\thave\tVBD\tB-VP\tO' +p334739 +aS'access\taccess\tNN\tB-NP\tO' +p334740 +aS'to\tto\tTO\tB-PP\tO' +p334741 +aS'free\tfree\tJJ\tB-NP\tO' +p334742 +aS'water\twater\tNN\tI-NP\tO' +p334743 +aS'.\t.\t.\tO\tO' +p334744 +asS'The myocardial infarction was attributed to demand ischemia secondary to acute hematocrit drop exacerbated by tachycardia secondary to blood transfusion reaction .' +p334745 +(lp334746 +S'The\tThe\tDT\tB-NP\tO' +p334747 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p334748 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p334749 +aS'was\tbe\tVBD\tB-VP\tO' +p334750 +aS'attributed\tattribute\tVBN\tI-VP\tO' +p334751 +aS'to\tto\tTO\tI-VP\tO' +p334752 +aS'demand\tdemand\tVB\tI-VP\tO' +p334753 +aS'ischemia\tischemia\tNN\tB-NP\tO' +p334754 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p334755 +aS'to\tto\tTO\tB-PP\tO' +p334756 +aS'acute\tacute\tJJ\tB-NP\tO' +p334757 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p334758 +aS'drop\tdrop\tNN\tI-NP\tO' +p334759 +aS'exacerbated\texacerbate\tVBN\tB-VP\tO' +p334760 +aS'by\tby\tIN\tB-PP\tO' +p334761 +aS'tachycardia\ttachycardia\tNN\tB-NP\tO' +p334762 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p334763 +aS'to\tto\tTO\tB-PP\tO' +p334764 +aS'blood\tblood\tNN\tB-NP\tO' +p334765 +aS'transfusion\ttransfusion\tNN\tI-NP\tO' +p334766 +aS'reaction\treaction\tNN\tI-NP\tO' +p334767 +aS'.\t.\t.\tO\tO' +p334768 +asS'The patient was admitted for liver transplant workup and to await liver transplant .' +p334769 +(lp334770 +S'The\tThe\tDT\tB-NP\tO' +p334771 +aS'patient\tpatient\tNN\tI-NP\tO' +p334772 +aS'was\tbe\tVBD\tB-VP\tO' +p334773 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p334774 +aS'for\tfor\tIN\tB-PP\tO' +p334775 +aS'liver\tliver\tNN\tB-NP\tO' +p334776 +aS'transplant\ttransplant\tNN\tI-NP\tO' +p334777 +aS'workup\tworkup\tNN\tI-NP\tO' +p334778 +aS'and\tand\tCC\tO\tO' +p334779 +aS'to\tto\tTO\tB-VP\tO' +p334780 +aS'await\tawait\tVB\tI-VP\tO' +p334781 +aS'liver\tliver\tNN\tB-NP\tO' +p334782 +aS'transplant\ttransplant\tNN\tI-NP\tO' +p334783 +aS'.\t.\t.\tO\tO' +p334784 +asS'Flaccid .' +p334785 +(lp334786 +S'Flaccid\tFlaccid\tNN\tB-NP\tO' +p334787 +aS'.\t.\t.\tO\tO' +p334788 +asS"Father with MI in 50 's and underwent CABG ." +p334789 +(lp334790 +S'Father\tFather\tRB\tB-ADVP\tO' +p334791 +aS'with\twith\tIN\tB-PP\tO' +p334792 +aS'MI\tMI\tNN\tB-NP\tO' +p334793 +aS'in\tin\tIN\tB-PP\tO' +p334794 +aS'50\t50\tCD\tB-NP\tO' +p334795 +aS"'s\t's\tPOS\tB-NP\tO" +p334796 +aS'and\tand\tCC\tO\tO' +p334797 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p334798 +aS'CABG\tCABG\tNN\tB-NP\tB-protein' +p334799 +aS'.\t.\t.\tO\tO' +p334800 +asS'She had an intact gag reflex .' +p334801 +(lp334802 +S'She\tShe\tPRP\tB-NP\tO' +p334803 +aS'had\thave\tVBD\tB-VP\tO' +p334804 +aS'an\tan\tDT\tB-NP\tO' +p334805 +aS'intact\tintact\tJJ\tI-NP\tO' +p334806 +aS'gag\tgag\tNN\tI-NP\tO' +p334807 +aS'reflex\treflex\tNN\tI-NP\tO' +p334808 +aS'.\t.\t.\tO\tO' +p334809 +asS'This regimen , that being AmBisome , was recommended by the Infectious Disease physicians , who felt that AmBisome was a better drug of choice as compared to fluconazole .' +p334810 +(lp334811 +S'This\tThis\tDT\tB-NP\tO' +p334812 +aS'regimen\tregimen\tNN\tI-NP\tO' +p334813 +aS',\t,\t,\tO\tO' +p334814 +aS'that\tthat\tIN\tB-SBAR\tO' +p334815 +aS'being\tbe\tVBG\tB-VP\tO' +p334816 +aS'AmBisome\tAmBisome\tNNP\tB-NP\tO' +p334817 +aS',\t,\t,\tO\tO' +p334818 +aS'was\tbe\tVBD\tB-VP\tO' +p334819 +aS'recommended\trecommend\tVBN\tI-VP\tO' +p334820 +aS'by\tby\tIN\tB-PP\tO' +p334821 +aS'the\tthe\tDT\tB-NP\tO' +p334822 +aS'Infectious\tInfectious\tJJ\tI-NP\tO' +p334823 +aS'Disease\tDisease\tNN\tI-NP\tO' +p334824 +aS'physicians\tphysician\tNNS\tI-NP\tO' +p334825 +aS',\t,\t,\tO\tO' +p334826 +aS'who\twho\tWP\tB-NP\tO' +p334827 +aS'felt\tfeel\tVBD\tB-VP\tO' +p334828 +aS'that\tthat\tIN\tB-SBAR\tO' +p334829 +aS'AmBisome\tAmBisome\tNNP\tB-NP\tO' +p334830 +aS'was\tbe\tVBD\tB-VP\tO' +p334831 +aS'a\ta\tDT\tB-NP\tO' +p334832 +aS'better\tgood\tJJR\tI-NP\tO' +p334833 +aS'drug\tdrug\tNN\tI-NP\tO' +p334834 +aS'of\tof\tIN\tB-PP\tO' +p334835 +aS'choice\tchoice\tNN\tB-NP\tO' +p334836 +aS'as\tas\tIN\tB-SBAR\tO' +p334837 +aS'compared\tcompare\tVBN\tB-PP\tO' +p334838 +aS'to\tto\tTO\tB-PP\tO' +p334839 +aS'fluconazole\tfluconazole\tNN\tB-NP\tO' +p334840 +aS'.\t.\t.\tO\tO' +p334841 +asS"In the Juan , the pt 's VS were singificant for a fever of 103.8 , tachycardia in the 130s-150s , and initial hypertensive in the 140s ." +p334842 +(lp334843 +S'In\tIn\tIN\tB-PP\tO' +p334844 +aS'the\tthe\tDT\tB-NP\tO' +p334845 +aS'Juan\tJuan\tNNP\tI-NP\tO' +p334846 +aS',\t,\t,\tO\tO' +p334847 +aS'the\tthe\tDT\tB-NP\tO' +p334848 +aS'pt\tpt\tNN\tI-NP\tO' +p334849 +aS"'s\t's\tPOS\tB-NP\tO" +p334850 +aS'VS\tVS\tNN\tI-NP\tO' +p334851 +aS'were\tbe\tVBD\tB-VP\tO' +p334852 +aS'singificant\tsingificant\tJJ\tB-ADJP\tO' +p334853 +aS'for\tfor\tIN\tB-PP\tO' +p334854 +aS'a\ta\tDT\tB-NP\tO' +p334855 +aS'fever\tfever\tNN\tI-NP\tO' +p334856 +aS'of\tof\tIN\tB-PP\tO' +p334857 +aS'103.8\t103.8\tCD\tB-NP\tO' +p334858 +aS',\t,\t,\tO\tO' +p334859 +aS'tachycardia\ttachycardia\tNN\tB-NP\tO' +p334860 +aS'in\tin\tIN\tB-PP\tO' +p334861 +aS'the\tthe\tDT\tB-NP\tO' +p334862 +aS'130s-150s\t130s-150\tNNS\tI-NP\tO' +p334863 +aS',\t,\t,\tO\tO' +p334864 +aS'and\tand\tCC\tO\tO' +p334865 +aS'initial\tinitial\tJJ\tB-NP\tO' +p334866 +aS'hypertensive\thypertensive\tNN\tI-NP\tO' +p334867 +aS'in\tin\tIN\tB-PP\tO' +p334868 +aS'the\tthe\tDT\tB-NP\tO' +p334869 +aS'140s\t140\tNNS\tI-NP\tB-DNA' +p334870 +aS'.\t.\t.\tO\tO' +p334871 +asS'Coumadin as adjusted by Prothrombin times , Isordil 20 mg. tid , Micronase 1.25 mg. daily , aspirin 81 mg. daily , nitroglycerin 0.3 mg. SL prn .' +p334872 +(lp334873 +S'Coumadin\tCoumadin\tNN\tB-NP\tO' +p334874 +aS'as\tas\tIN\tB-SBAR\tO' +p334875 +aS'adjusted\tadjust\tVBN\tB-VP\tO' +p334876 +aS'by\tby\tIN\tB-PP\tO' +p334877 +aS'Prothrombin\tProthrombin\tNN\tB-NP\tO' +p334878 +aS'times\ttime\tNNS\tI-NP\tO' +p334879 +aS',\t,\t,\tO\tO' +p334880 +aS'Isordil\tIsordil\tNN\tB-NP\tO' +p334881 +aS'20\t20\tCD\tI-NP\tO' +p334882 +aS'mg.\tmg.\tNN\tI-NP\tO' +p334883 +aS'tid\ttid\tNN\tI-NP\tO' +p334884 +aS',\t,\t,\tO\tO' +p334885 +aS'Micronase\tMicronase\tNN\tB-NP\tO' +p334886 +aS'1.25\t1.25\tCD\tI-NP\tO' +p334887 +aS'mg.\tmg.\tNN\tI-NP\tO' +p334888 +aS'daily\tdaily\tRB\tB-ADVP\tO' +p334889 +aS',\t,\t,\tO\tO' +p334890 +aS'aspirin\taspirin\tNN\tB-NP\tO' +p334891 +aS'81\t81\tCD\tI-NP\tO' +p334892 +aS'mg.\tmg.\tNN\tI-NP\tO' +p334893 +aS'daily\tdaily\tRB\tB-ADVP\tO' +p334894 +aS',\t,\t,\tO\tO' +p334895 +aS'nitroglycerin\tnitroglycerin\tNN\tB-NP\tO' +p334896 +aS'0.3\t0.3\tCD\tI-NP\tO' +p334897 +aS'mg.\tmg.\tNN\tI-NP\tO' +p334898 +aS'SL\tSL\tNN\tI-NP\tO' +p334899 +aS'prn\tprn\tNN\tI-NP\tO' +p334900 +aS'.\t.\t.\tO\tO' +p334901 +asS'He was made to ambulate on postoperative day one .' +p334902 +(lp334903 +S'He\tHe\tPRP\tB-NP\tO' +p334904 +aS'was\tbe\tVBD\tB-VP\tO' +p334905 +aS'made\tmake\tVBN\tI-VP\tO' +p334906 +aS'to\tto\tTO\tI-VP\tO' +p334907 +aS'ambulate\tambulate\tVB\tI-VP\tO' +p334908 +aS'on\ton\tIN\tB-PP\tO' +p334909 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p334910 +aS'day\tday\tNN\tI-NP\tO' +p334911 +aS'one\tone\tCD\tI-NP\tO' +p334912 +aS'.\t.\t.\tO\tO' +p334913 +asS'Four bands were placed without difficulty .' +p334914 +(lp334915 +S'Four\tFour\tCD\tB-NP\tO' +p334916 +aS'bands\tband\tNNS\tI-NP\tO' +p334917 +aS'were\tbe\tVBD\tB-VP\tO' +p334918 +aS'placed\tplace\tVBN\tI-VP\tO' +p334919 +aS'without\twithout\tIN\tB-PP\tO' +p334920 +aS'difficulty\tdifficulty\tNN\tB-NP\tO' +p334921 +aS'.\t.\t.\tO\tO' +p334922 +asS'The patient 's social history is notable for a heavy smoking history .' +p334923 +(lp334924 +S'The\tThe\tDT\tB-NP\tO' +p334925 +aS'patient\tpatient\tNN\tI-NP\tO' +p334926 +aS''s\t'\tNNS\tI-NP\tO' +p334927 +aS'social\tsocial\tJJ\tB-NP\tO' +p334928 +aS'history\thistory\tNN\tI-NP\tO' +p334929 +aS'is\tbe\tVBZ\tB-VP\tO' +p334930 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p334931 +aS'for\tfor\tIN\tB-PP\tO' +p334932 +aS'a\ta\tDT\tB-NP\tO' +p334933 +aS'heavy\theavy\tJJ\tI-NP\tO' +p334934 +aS'smoking\tsmoking\tNN\tI-NP\tO' +p334935 +aS'history\thistory\tNN\tI-NP\tO' +p334936 +aS'.\t.\t.\tO\tO' +p334937 +asS'POD#4 , bilious drainage was noted in her JP .' +p334938 +(lp334939 +S'POD#4\tPOD#4\tNN\tB-NP\tB-protein' +p334940 +aS',\t,\t,\tO\tO' +p334941 +aS'bilious\tbilious\tJJ\tB-NP\tO' +p334942 +aS'drainage\tdrainage\tNN\tI-NP\tO' +p334943 +aS'was\tbe\tVBD\tB-VP\tO' +p334944 +aS'noted\tnote\tVBN\tI-VP\tO' +p334945 +aS'in\tin\tIN\tB-PP\tO' +p334946 +aS'her\ther\tPRP$\tB-NP\tO' +p334947 +aS'JP\tJP\tNN\tI-NP\tB-protein' +p334948 +aS'.\t.\t.\tO\tO' +p334949 +asS'She has no children .' +p334950 +(lp334951 +S'She\tShe\tPRP\tB-NP\tO' +p334952 +aS'has\thave\tVBZ\tB-VP\tO' +p334953 +aS'no\tno\tDT\tB-NP\tO' +p334954 +aS'children\tchild\tNNS\tI-NP\tO' +p334955 +aS'.\t.\t.\tO\tO' +p334956 +asS'She needs home oxygen and is currently at 2 liters nasal cannula oxygen .' +p334957 +(lp334958 +S'She\tShe\tPRP\tB-NP\tO' +p334959 +aS'needs\tneed\tVBZ\tB-VP\tO' +p334960 +aS'home\thome\tNN\tB-NP\tO' +p334961 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p334962 +aS'and\tand\tCC\tO\tO' +p334963 +aS'is\tbe\tVBZ\tB-VP\tO' +p334964 +aS'currently\tcurrently\tRB\tB-ADVP\tO' +p334965 +aS'at\tat\tIN\tB-PP\tO' +p334966 +aS'2\t2\tCD\tB-NP\tO' +p334967 +aS'liters\tliter\tNNS\tI-NP\tO' +p334968 +aS'nasal\tnasal\tJJ\tB-NP\tO' +p334969 +aS'cannula\tcannula\tNN\tI-NP\tO' +p334970 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p334971 +aS'.\t.\t.\tO\tO' +p334972 +asS'The patient has been experiencing chronic , stable angina pectoris over the past one to one and a half years approximately once every three months .' +p334973 +(lp334974 +S'The\tThe\tDT\tB-NP\tO' +p334975 +aS'patient\tpatient\tNN\tI-NP\tO' +p334976 +aS'has\thave\tVBZ\tB-VP\tO' +p334977 +aS'been\tbe\tVBN\tI-VP\tO' +p334978 +aS'experiencing\texperience\tVBG\tI-VP\tO' +p334979 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p334980 +aS',\t,\t,\tI-NP\tO' +p334981 +aS'stable\tstable\tJJ\tI-NP\tO' +p334982 +aS'angina\tangina\tNN\tI-NP\tO' +p334983 +aS'pectoris\tpectoris\tNN\tI-NP\tO' +p334984 +aS'over\tover\tIN\tB-PP\tO' +p334985 +aS'the\tthe\tDT\tB-NP\tO' +p334986 +aS'past\tpast\tJJ\tI-NP\tO' +p334987 +aS'one\tone\tCD\tI-NP\tO' +p334988 +aS'to\tto\tTO\tI-NP\tO' +p334989 +aS'one\tone\tCD\tI-NP\tO' +p334990 +aS'and\tand\tCC\tO\tO' +p334991 +aS'a\ta\tDT\tB-NP\tO' +p334992 +aS'half\thalf\tNN\tI-NP\tO' +p334993 +aS'years\tyear\tNNS\tI-NP\tO' +p334994 +aS'approximately\tapproximately\tRB\tB-ADVP\tO' +p334995 +aS'once\tonce\tRB\tI-ADVP\tO' +p334996 +aS'every\tevery\tDT\tB-NP\tO' +p334997 +aS'three\tthree\tCD\tI-NP\tO' +p334998 +aS'months\tmonth\tNNS\tI-NP\tO' +p334999 +aS'.\t.\t.\tO\tO' +p335000 +asS'Continue all other home medications EXCEPT do not take digoxin .' +p335001 +(lp335002 +S'Continue\tContinue\tVB\tB-VP\tO' +p335003 +aS'all\tall\tDT\tB-NP\tO' +p335004 +aS'other\tother\tJJ\tI-NP\tO' +p335005 +aS'home\thome\tNN\tI-NP\tO' +p335006 +aS'medications\tmedication\tNNS\tI-NP\tO' +p335007 +aS'EXCEPT\tEXCEPT\tNN\tI-NP\tO' +p335008 +aS'do\tdo\tVBP\tB-VP\tO' +p335009 +aS'not\tnot\tRB\tI-VP\tO' +p335010 +aS'take\ttake\tVB\tI-VP\tO' +p335011 +aS'digoxin\tdigoxin\tNN\tB-NP\tO' +p335012 +aS'.\t.\t.\tO\tO' +p335013 +asS'X-ray of the hands and wrist were obtained which were negative .' +p335014 +(lp335015 +S'X-ray\tX-ray\tNN\tB-NP\tO' +p335016 +aS'of\tof\tIN\tB-PP\tO' +p335017 +aS'the\tthe\tDT\tB-NP\tO' +p335018 +aS'hands\thand\tNNS\tI-NP\tO' +p335019 +aS'and\tand\tCC\tI-NP\tO' +p335020 +aS'wrist\twrist\tNN\tI-NP\tO' +p335021 +aS'were\tbe\tVBD\tB-VP\tO' +p335022 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p335023 +aS'which\twhich\tWDT\tB-NP\tO' +p335024 +aS'were\tbe\tVBD\tB-VP\tO' +p335025 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p335026 +aS'.\t.\t.\tO\tO' +p335027 +asS'7. Amiodarone 200 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' +p335028 +(lp335029 +S'7.\t7.\tCD\tB-NP\tO' +p335030 +aS'Amiodarone\tAmiodarone\tNN\tI-NP\tO' +p335031 +aS'200\t200\tCD\tB-NP\tO' +p335032 +aS'mg\tmg\tNN\tI-NP\tO' +p335033 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p335034 +aS'Sig\tSig\tNNP\tI-NP\tO' +p335035 +aS':\t:\t:\tO\tO' +p335036 +aS'One\tOne\tCD\tB-NP\tO' +p335037 +aS'(\t(\t(\tO\tO' +p335038 +aS'1\t1\tCD\tB-NP\tO' +p335039 +aS')\t)\t)\tO\tO' +p335040 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p335041 +aS'PO\tPO\tNN\tI-NP\tO' +p335042 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p335043 +aS'(\t(\t(\tO\tO' +p335044 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p335045 +aS')\t)\t)\tO\tO' +p335046 +aS'.\t.\t.\tO\tO' +p335047 +asS'She has a St. Jude 's mechanical valve and has been on Coumadin since then ,' +p335048 +(lp335049 +S'She\tShe\tPRP\tB-NP\tO' +p335050 +aS'has\thave\tVBZ\tB-VP\tO' +p335051 +aS'a\ta\tDT\tB-NP\tO' +p335052 +aS'St.\tSt.\tNNP\tI-NP\tO' +p335053 +aS'Jude\tJude\tNNP\tI-NP\tO' +p335054 +aS''s\t'\tVBZ\tB-VP\tO' +p335055 +aS'mechanical\tmechanical\tJJ\tB-NP\tO' +p335056 +aS'valve\tvalve\tNN\tI-NP\tO' +p335057 +aS'and\tand\tCC\tO\tO' +p335058 +aS'has\thave\tVBZ\tB-VP\tO' +p335059 +aS'been\tbe\tVBN\tI-VP\tO' +p335060 +aS'on\ton\tIN\tB-PP\tO' +p335061 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p335062 +aS'since\tsince\tIN\tB-PP\tO' +p335063 +aS'then\tthen\tRB\tB-NP\tO' +p335064 +aS',\t,\t,\tO\tO' +p335065 +asS'AC , RR 15 , PEEP 5 , Vt 500 cc , FiO2 1.0 .' +p335066 +(lp335067 +S'AC\tAC\tNN\tB-NP\tO' +p335068 +aS',\t,\t,\tO\tO' +p335069 +aS'RR\tRR\tNN\tB-NP\tB-protein' +p335070 +aS'15\t15\tCD\tI-NP\tI-protein' +p335071 +aS',\t,\t,\tO\tO' +p335072 +aS'PEEP\tPEEP\tNN\tB-NP\tB-protein' +p335073 +aS'5\t5\tCD\tI-NP\tI-protein' +p335074 +aS',\t,\t,\tO\tO' +p335075 +aS'Vt\tVt\tNNP\tB-NP\tO' +p335076 +aS'500\t500\tCD\tI-NP\tO' +p335077 +aS'cc\tcc\tNN\tI-NP\tO' +p335078 +aS',\t,\t,\tO\tO' +p335079 +aS'FiO2\tFiO2\tCD\tB-NP\tO' +p335080 +aS'1.0\t1.0\tCD\tI-NP\tO' +p335081 +aS'.\t.\t.\tO\tO' +p335082 +asS'The patient will followup with Dr. ______________at Omend Hospital and with Dr. Deep at the Barb Memorial Hospital .' +p335083 +(lp335084 +S'The\tThe\tDT\tB-NP\tO' +p335085 +aS'patient\tpatient\tNN\tI-NP\tO' +p335086 +aS'will\twill\tMD\tB-VP\tO' +p335087 +aS'followup\tfollowup\tVB\tI-VP\tO' +p335088 +aS'with\twith\tIN\tB-PP\tO' +p335089 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p335090 +aS'______________at\t______________at\tNNP\tI-NP\tO' +p335091 +aS'Omend\tOmend\tNNP\tI-NP\tO' +p335092 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p335093 +aS'and\tand\tCC\tB-PP\tO' +p335094 +aS'with\twith\tIN\tB-PP\tO' +p335095 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p335096 +aS'Deep\tDeep\tNNP\tI-NP\tO' +p335097 +aS'at\tat\tIN\tB-PP\tO' +p335098 +aS'the\tthe\tDT\tB-NP\tO' +p335099 +aS'Barb\tBarb\tNNP\tI-NP\tO' +p335100 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p335101 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p335102 +aS'.\t.\t.\tO\tO' +p335103 +asS'A CT and MRI scan corroborated multiple cerebral infarcts .' +p335104 +(lp335105 +S'A\tA\tDT\tB-NP\tO' +p335106 +aS'CT\tCT\tNN\tI-NP\tO' +p335107 +aS'and\tand\tCC\tI-NP\tO' +p335108 +aS'MRI\tMRI\tNN\tI-NP\tO' +p335109 +aS'scan\tscan\tNN\tI-NP\tO' +p335110 +aS'corroborated\tcorroborate\tVBD\tB-VP\tO' +p335111 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p335112 +aS'cerebral\tcerebral\tJJ\tI-NP\tO' +p335113 +aS'infarcts\tinfarct\tNNS\tI-NP\tO' +p335114 +aS'.\t.\t.\tO\tO' +p335115 +asS'She does have chest tightness since two days ago , coinciding with her wheezing .' +p335116 +(lp335117 +S'She\tShe\tPRP\tB-NP\tO' +p335118 +aS'does\tdo\tVBZ\tB-VP\tO' +p335119 +aS'have\thave\tVB\tI-VP\tO' +p335120 +aS'chest\tchest\tNN\tB-NP\tO' +p335121 +aS'tightness\ttightness\tNN\tI-NP\tO' +p335122 +aS'since\tsince\tIN\tB-PP\tO' +p335123 +aS'two\ttwo\tCD\tB-NP\tO' +p335124 +aS'days\tday\tNNS\tI-NP\tO' +p335125 +aS'ago\tago\tRB\tB-ADVP\tO' +p335126 +aS',\t,\t,\tO\tO' +p335127 +aS'coinciding\tcoincide\tVBG\tB-VP\tO' +p335128 +aS'with\twith\tIN\tB-PP\tO' +p335129 +aS'her\ther\tPRP$\tB-NP\tO' +p335130 +aS'wheezing\twheezing\tNN\tI-NP\tO' +p335131 +aS'.\t.\t.\tO\tO' +p335132 +asS'7. Status post percutaneous tracheostomy .' +p335133 +(lp335134 +S'7.\t7.\tCD\tB-NP\tO' +p335135 +aS'Status\tStatus\tNNP\tI-NP\tO' +p335136 +aS'post\tpost\tIN\tB-PP\tO' +p335137 +aS'percutaneous\tpercutaneous\tJJ\tB-NP\tO' +p335138 +aS'tracheostomy\ttracheostomy\tNN\tI-NP\tO' +p335139 +aS'.\t.\t.\tO\tO' +p335140 +asS'Supple , no JVD , no carotid bruits' +p335141 +(lp335142 +S'Supple\tSupple\tNNP\tB-NP\tO' +p335143 +aS',\t,\t,\tO\tO' +p335144 +aS'no\tno\tDT\tB-NP\tO' +p335145 +aS'JVD\tJVD\tNNP\tI-NP\tO' +p335146 +aS',\t,\t,\tO\tO' +p335147 +aS'no\tno\tDT\tB-NP\tO' +p335148 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p335149 +aS'bruits\tbruit\tNNS\tI-NP\tO' +p335150 +asS'4. Type 1 diabetes mellitus for 50 years .' +p335151 +(lp335152 +S'4.\t4.\tLS\tB-LST\tO' +p335153 +aS'Type\tType\tNN\tB-NP\tO' +p335154 +aS'1\t1\tCD\tI-NP\tO' +p335155 +aS'diabetes\tdiabetes\tNN\tI-NP\tO' +p335156 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p335157 +aS'for\tfor\tIN\tB-PP\tO' +p335158 +aS'50\t50\tCD\tB-NP\tO' +p335159 +aS'years\tyear\tNNS\tI-NP\tO' +p335160 +aS'.\t.\t.\tO\tO' +p335161 +asS'LVEF now 50% .' +p335162 +(lp335163 +S'LVEF\tLVEF\tNN\tB-NP\tB-protein' +p335164 +aS'now\tnow\tRB\tB-ADVP\tO' +p335165 +aS'50%\t50%\tCD\tB-NP\tO' +p335166 +aS'.\t.\t.\tO\tO' +p335167 +asS'There were no intraoperative complications .' +p335168 +(lp335169 +S'There\tThere\tEX\tB-NP\tO' +p335170 +aS'were\tbe\tVBD\tB-VP\tO' +p335171 +aS'no\tno\tDT\tB-NP\tO' +p335172 +aS'intraoperative\tintraoperative\tJJ\tI-NP\tO' +p335173 +aS'complications\tcomplication\tNNS\tI-NP\tO' +p335174 +aS'.\t.\t.\tO\tO' +p335175 +asS'No external female genitalia .' +p335176 +(lp335177 +S'No\tNo\tDT\tB-NP\tO' +p335178 +aS'external\texternal\tJJ\tI-NP\tO' +p335179 +aS'female\tfemale\tJJ\tI-NP\tO' +p335180 +aS'genitalia\tgenitalia\tNNS\tI-NP\tO' +p335181 +aS'.\t.\t.\tO\tO' +p335182 +asS'Pulses were all easily palpable .' +p335183 +(lp335184 +S'Pulses\tPulse\tNNS\tB-NP\tO' +p335185 +aS'were\tbe\tVBD\tB-VP\tO' +p335186 +aS'all\tall\tDT\tB-NP\tO' +p335187 +aS'easily\teasily\tRB\tI-NP\tO' +p335188 +aS'palpable\tpalpable\tJJ\tI-NP\tO' +p335189 +aS'.\t.\t.\tO\tO' +p335190 +asS'Light followed the patient .' +p335191 +(lp335192 +S'Light\tLight\tNN\tB-NP\tO' +p335193 +aS'followed\tfollow\tVBD\tB-VP\tO' +p335194 +aS'the\tthe\tDT\tB-NP\tO' +p335195 +aS'patient\tpatient\tNN\tI-NP\tO' +p335196 +aS'.\t.\t.\tO\tO' +p335197 +asS'She was off TLS precautions .' +p335198 +(lp335199 +S'She\tShe\tPRP\tB-NP\tO' +p335200 +aS'was\tbe\tVBD\tB-VP\tO' +p335201 +aS'off\toff\tRP\tB-ADVP\tO' +p335202 +aS'TLS\tTLS\tNN\tB-NP\tO' +p335203 +aS'precautions\tprecaution\tNNS\tI-NP\tO' +p335204 +aS'.\t.\t.\tO\tO' +p335205 +asS'Pupils are equal , round , and reactive to light and accommodation .' +p335206 +(lp335207 +S'Pupils\tPupil\tNNS\tB-NP\tO' +p335208 +aS'are\tbe\tVBP\tB-VP\tO' +p335209 +aS'equal\tequal\tJJ\tB-ADJP\tO' +p335210 +aS',\t,\t,\tO\tO' +p335211 +aS'round\tround\tJJ\tB-ADJP\tO' +p335212 +aS',\t,\t,\tO\tO' +p335213 +aS'and\tand\tCC\tO\tO' +p335214 +aS'reactive\treactive\tJJ\tB-ADJP\tO' +p335215 +aS'to\tto\tTO\tB-PP\tO' +p335216 +aS'light\tlight\tNN\tB-NP\tO' +p335217 +aS'and\tand\tCC\tI-NP\tO' +p335218 +aS'accommodation\taccommodation\tNN\tI-NP\tO' +p335219 +aS'.\t.\t.\tO\tO' +p335220 +asS'2. Coronary artery disease , status post anterior myocardial infarction in 1993 .' +p335221 +(lp335222 +S'2.\t2.\tLS\tB-NP\tO' +p335223 +aS'Coronary\tCoronary\tJJ\tI-NP\tO' +p335224 +aS'artery\tartery\tNN\tI-NP\tO' +p335225 +aS'disease\tdisease\tNN\tI-NP\tO' +p335226 +aS',\t,\t,\tO\tO' +p335227 +aS'status\tstatus\tNN\tB-NP\tO' +p335228 +aS'post\tpost\tVBD\tB-VP\tO' +p335229 +aS'anterior\tanterior\tJJ\tB-NP\tO' +p335230 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p335231 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p335232 +aS'in\tin\tIN\tB-PP\tO' +p335233 +aS'1993\t1993\tCD\tB-NP\tO' +p335234 +aS'.\t.\t.\tO\tO' +p335235 +asS'He was sedated and ventilated by his tracheostomy 6 cuff Shiley tube .' +p335236 +(lp335237 +S'He\tHe\tPRP\tB-NP\tO' +p335238 +aS'was\tbe\tVBD\tB-VP\tO' +p335239 +aS'sedated\tsedate\tVBN\tI-VP\tO' +p335240 +aS'and\tand\tCC\tO\tO' +p335241 +aS'ventilated\tventilate\tVBN\tB-VP\tO' +p335242 +aS'by\tby\tIN\tB-PP\tO' +p335243 +aS'his\this\tPRP$\tB-NP\tO' +p335244 +aS'tracheostomy\ttracheostomy\tNN\tI-NP\tB-protein' +p335245 +aS'6\t6\tCD\tI-NP\tI-protein' +p335246 +aS'cuff\tcuff\tNN\tI-NP\tI-protein' +p335247 +aS'Shiley\tShiley\tNNP\tI-NP\tO' +p335248 +aS'tube\ttube\tNNP\tI-NP\tO' +p335249 +aS'.\t.\t.\tO\tO' +p335250 +asS'Urecholine 25 mg t.i.d. Colace .' +p335251 +(lp335252 +S'Urecholine\tUrecholine\tNN\tB-NP\tO' +p335253 +aS'25\t25\tCD\tI-NP\tO' +p335254 +aS'mg\tmg\tNN\tI-NP\tO' +p335255 +aS't.i.d.\tt.i.d.\tIN\tB-PP\tO' +p335256 +aS'Colace\tColace\tNNP\tB-NP\tO' +p335257 +aS'.\t.\t.\tO\tO' +p335258 +asS'CV irreg irreg , sternum stable incision CDI' +p335259 +(lp335260 +S'CV\tCV\tNN\tB-NP\tO' +p335261 +aS'irreg\tirreg\tNN\tI-NP\tO' +p335262 +aS'irreg\tirreg\tNN\tI-NP\tO' +p335263 +aS',\t,\t,\tO\tO' +p335264 +aS'sternum\tsternum\tNN\tB-NP\tO' +p335265 +aS'stable\tstable\tJJ\tI-NP\tO' +p335266 +aS'incision\tincision\tNN\tI-NP\tO' +p335267 +aS'CDI\tCDI\tNN\tI-NP\tO' +p335268 +asS'Lower extremities show patellar reflexes 3+ left , 4+ right , no cross deductor reflexes and absent ankle jerks .' +p335269 +(lp335270 +S'Lower\tLow\tJJR\tB-NP\tO' +p335271 +aS'extremities\textremity\tNNS\tI-NP\tO' +p335272 +aS'show\tshow\tVBP\tB-VP\tO' +p335273 +aS'patellar\tpatellar\tJJ\tB-NP\tO' +p335274 +aS'reflexes\treflex\tNNS\tI-NP\tO' +p335275 +aS'3+\t3+\tJJ\tB-NP\tO' +p335276 +aS'left\tleft\tJJ\tI-NP\tO' +p335277 +aS',\t,\t,\tI-NP\tO' +p335278 +aS'4+\t4+\tJJ\tI-NP\tO' +p335279 +aS'right\tright\tNN\tI-NP\tO' +p335280 +aS',\t,\t,\tO\tO' +p335281 +aS'no\tno\tDT\tB-NP\tO' +p335282 +aS'cross\tcross\tNN\tI-NP\tO' +p335283 +aS'deductor\tdeductor\tNN\tI-NP\tO' +p335284 +aS'reflexes\treflex\tNNS\tI-NP\tO' +p335285 +aS'and\tand\tCC\tO\tO' +p335286 +aS'absent\tabsent\tJJ\tB-NP\tO' +p335287 +aS'ankle\tankle\tNN\tI-NP\tO' +p335288 +aS'jerks\tjerk\tNNS\tI-NP\tO' +p335289 +aS'.\t.\t.\tO\tO' +p335290 +asS'POD#3 she was advanced to sips and clears , foley catheter was discontinued .' +p335291 +(lp335292 +S'POD#3\tPOD#3\tNN\tB-NP\tB-protein' +p335293 +aS'she\tshe\tPRP\tB-NP\tO' +p335294 +aS'was\tbe\tVBD\tB-VP\tO' +p335295 +aS'advanced\tadvance\tVBN\tI-VP\tO' +p335296 +aS'to\tto\tTO\tB-PP\tO' +p335297 +aS'sips\tsip\tNNS\tB-NP\tO' +p335298 +aS'and\tand\tCC\tI-NP\tO' +p335299 +aS'clears\tclear\tNNS\tI-NP\tO' +p335300 +aS',\t,\t,\tO\tO' +p335301 +aS'foley\tfoley\tJJ\tB-NP\tO' +p335302 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p335303 +aS'was\tbe\tVBD\tB-VP\tO' +p335304 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p335305 +aS'.\t.\t.\tO\tO' +p335306 +asS'1. Small amount of intraventricular hemorrhage .' +p335307 +(lp335308 +S'1.\t1.\tLS\tB-NP\tO' +p335309 +aS'Small\tSmall\tJJ\tI-NP\tO' +p335310 +aS'amount\tamount\tNN\tI-NP\tO' +p335311 +aS'of\tof\tIN\tB-PP\tO' +p335312 +aS'intraventricular\tintraventricular\tJJ\tB-NP\tO' +p335313 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p335314 +aS'.\t.\t.\tO\tO' +p335315 +asS'Per pt and son , no James pna .' +p335316 +(lp335317 +S'Per\tPer\tNN\tB-NP\tO' +p335318 +aS'pt\tpt\tNN\tI-NP\tO' +p335319 +aS'and\tand\tCC\tI-NP\tO' +p335320 +aS'son\tson\tNN\tI-NP\tO' +p335321 +aS',\t,\t,\tO\tO' +p335322 +aS'no\tno\tDT\tB-NP\tO' +p335323 +aS'James\tJames\tNNP\tI-NP\tO' +p335324 +aS'pna\tpna\tNN\tI-NP\tO' +p335325 +aS'.\t.\t.\tO\tO' +p335326 +asS'12. Aspirin 81 mg Tablet , Chewable Sig : One ( 1 ) Tablet , Chewable PO DAILY ( Daily ) .' +p335327 +(lp335328 +S'12.\t12.\tCD\tB-NP\tO' +p335329 +aS'Aspirin\tAspirin\tNN\tI-NP\tO' +p335330 +aS'81\t81\tCD\tB-NP\tO' +p335331 +aS'mg\tmg\tNN\tI-NP\tO' +p335332 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p335333 +aS',\t,\t,\tO\tO' +p335334 +aS'Chewable\tChewable\tNNP\tB-NP\tO' +p335335 +aS'Sig\tSig\tNNP\tI-NP\tO' +p335336 +aS':\t:\t:\tO\tO' +p335337 +aS'One\tOne\tCD\tB-NP\tO' +p335338 +aS'(\t(\t(\tO\tO' +p335339 +aS'1\t1\tCD\tB-NP\tO' +p335340 +aS')\t)\t)\tO\tO' +p335341 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p335342 +aS',\t,\t,\tO\tO' +p335343 +aS'Chewable\tChewable\tNNP\tB-NP\tO' +p335344 +aS'PO\tPO\tNNP\tI-NP\tO' +p335345 +aS'DAILY\tDAILY\tNNP\tI-NP\tO' +p335346 +aS'(\t(\t(\tO\tO' +p335347 +aS'Daily\tDaily\tNNP\tB-NP\tO' +p335348 +aS')\t)\t)\tO\tO' +p335349 +aS'.\t.\t.\tO\tO' +p335350 +asS'He will be discharged to rehab on a regimen of Coumadin 5 mg po today then daily for an INR goal of 2-3 , Ofloxacin 400 mg po bid to be discontinued on 11/05/96 , Dexedrine 5 mg po qd , Omeprazole 20mg po qd , Erythromycin eye ointment OU bid , Heparin at its present rate adjusting per partial thromboplastin time bid , and discontinuing when the Coumadin is therapeutic , Tylenol 650 mg po q4 prn , Colace 100 mg po bid .' +p335351 +(lp335352 +S'He\tHe\tPRP\tB-NP\tO' +p335353 +aS'will\twill\tMD\tB-VP\tO' +p335354 +aS'be\tbe\tVB\tI-VP\tO' +p335355 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p335356 +aS'to\tto\tTO\tI-VP\tO' +p335357 +aS'rehab\trehab\tVB\tI-VP\tO' +p335358 +aS'on\ton\tIN\tB-PP\tO' +p335359 +aS'a\ta\tDT\tB-NP\tO' +p335360 +aS'regimen\tregimen\tNN\tI-NP\tO' +p335361 +aS'of\tof\tIN\tB-PP\tO' +p335362 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p335363 +aS'5\t5\tCD\tI-NP\tO' +p335364 +aS'mg\tmg\tNN\tI-NP\tO' +p335365 +aS'po\tpo\tNN\tI-NP\tO' +p335366 +aS'today\ttoday\tNN\tB-NP\tO' +p335367 +aS'then\tthen\tRB\tB-ADVP\tO' +p335368 +aS'daily\tdaily\tRB\tB-ADVP\tO' +p335369 +aS'for\tfor\tIN\tB-PP\tO' +p335370 +aS'an\tan\tDT\tB-NP\tO' +p335371 +aS'INR\tINR\tNN\tI-NP\tO' +p335372 +aS'goal\tgoal\tNN\tI-NP\tO' +p335373 +aS'of\tof\tIN\tB-PP\tO' +p335374 +aS'2-3\t2-3\tNN\tB-NP\tO' +p335375 +aS',\t,\t,\tO\tO' +p335376 +aS'Ofloxacin\tOfloxacin\tNN\tB-NP\tO' +p335377 +aS'400\t400\tCD\tI-NP\tO' +p335378 +aS'mg\tmg\tNN\tI-NP\tO' +p335379 +aS'po\tpo\tNN\tI-NP\tO' +p335380 +aS'bid\tbid\tNN\tI-NP\tO' +p335381 +aS'to\tto\tTO\tB-VP\tO' +p335382 +aS'be\tbe\tVB\tI-VP\tO' +p335383 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p335384 +aS'on\ton\tIN\tB-PP\tO' +p335385 +aS'11/05/96\t11/05/96\tCD\tB-NP\tO' +p335386 +aS',\t,\t,\tO\tO' +p335387 +aS'Dexedrine\tDexedrine\tNN\tB-NP\tO' +p335388 +aS'5\t5\tCD\tI-NP\tO' +p335389 +aS'mg\tmg\tNN\tI-NP\tO' +p335390 +aS'po\tpo\tNN\tI-NP\tO' +p335391 +aS'qd\tqd\tNN\tI-NP\tO' +p335392 +aS',\t,\t,\tO\tO' +p335393 +aS'Omeprazole\tOmeprazole\tNN\tB-NP\tO' +p335394 +aS'20mg\t20mg\tNN\tI-NP\tO' +p335395 +aS'po\tpo\tNN\tI-NP\tO' +p335396 +aS'qd\tqd\tNN\tI-NP\tO' +p335397 +aS',\t,\t,\tO\tO' +p335398 +aS'Erythromycin\tErythromycin\tNN\tB-NP\tO' +p335399 +aS'eye\teye\tNN\tI-NP\tO' +p335400 +aS'ointment\tointment\tNN\tI-NP\tO' +p335401 +aS'OU\tOU\tNN\tI-NP\tO' +p335402 +aS'bid\tbid\tNN\tI-NP\tO' +p335403 +aS',\t,\t,\tO\tO' +p335404 +aS'Heparin\tHeparin\tNN\tB-NP\tO' +p335405 +aS'at\tat\tIN\tB-PP\tO' +p335406 +aS'its\tits\tPRP$\tB-NP\tO' +p335407 +aS'present\tpresent\tJJ\tI-NP\tO' +p335408 +aS'rate\trate\tNN\tI-NP\tO' +p335409 +aS'adjusting\tadjust\tVBG\tB-VP\tO' +p335410 +aS'per\tper\tIN\tB-PP\tO' +p335411 +aS'partial\tpartial\tJJ\tB-NP\tO' +p335412 +aS'thromboplastin\tthromboplastin\tNN\tI-NP\tO' +p335413 +aS'time\ttime\tNN\tI-NP\tO' +p335414 +aS'bid\tbid\tNN\tB-VP\tO' +p335415 +aS',\t,\t,\tO\tO' +p335416 +aS'and\tand\tCC\tO\tO' +p335417 +aS'discontinuing\tdiscontinue\tVBG\tB-VP\tO' +p335418 +aS'when\twhen\tWRB\tB-ADVP\tO' +p335419 +aS'the\tthe\tDT\tB-NP\tO' +p335420 +aS'Coumadin\tCoumadin\tNN\tI-NP\tO' +p335421 +aS'is\tbe\tVBZ\tB-VP\tO' +p335422 +aS'therapeutic\ttherapeutic\tJJ\tB-ADJP\tO' +p335423 +aS',\t,\t,\tO\tO' +p335424 +aS'Tylenol\tTylenol\tNN\tB-NP\tO' +p335425 +aS'650\t650\tCD\tI-NP\tO' +p335426 +aS'mg\tmg\tNN\tI-NP\tO' +p335427 +aS'po\tpo\tNN\tI-NP\tO' +p335428 +aS'q4\tq4\tNN\tI-NP\tO' +p335429 +aS'prn\tprn\tNN\tI-NP\tO' +p335430 +aS',\t,\t,\tO\tO' +p335431 +aS'Colace\tColace\tNNP\tB-NP\tO' +p335432 +aS'100\t100\tCD\tI-NP\tO' +p335433 +aS'mg\tmg\tNN\tI-NP\tO' +p335434 +aS'po\tpo\tNN\tI-NP\tO' +p335435 +aS'bid\tbid\tNN\tI-NP\tO' +p335436 +aS'.\t.\t.\tO\tO' +p335437 +asS'HEENT : NC/AT .' +p335438 +(lp335439 +S'HEENT\tHEENT\tNN\tB-NP\tO' +p335440 +aS':\t:\t:\tO\tO' +p335441 +aS'NC/AT\tNC/AT\tNN\tB-NP\tB-protein' +p335442 +aS'.\t.\t.\tO\tO' +p335443 +asS'On 9/7 , 5:30 a.m. , D5 quarter normal saline , and 40 of K phosphate at 100 cc's per hour was given .' +p335444 +(lp335445 +S'On\tOn\tIN\tB-PP\tO' +p335446 +aS'9/7\t9/7\tCD\tB-NP\tO' +p335447 +aS',\t,\t,\tO\tO' +p335448 +aS'5:30\t5:30\tCD\tB-NP\tO' +p335449 +aS'a.m.\ta.m.\tNN\tI-NP\tO' +p335450 +aS',\t,\t,\tO\tO' +p335451 +aS'D5\tD5\tNN\tB-NP\tO' +p335452 +aS'quarter\tquarter\tNN\tI-NP\tO' +p335453 +aS'normal\tnormal\tJJ\tI-NP\tO' +p335454 +aS'saline\tsaline\tNN\tI-NP\tO' +p335455 +aS',\t,\t,\tO\tO' +p335456 +aS'and\tand\tCC\tO\tO' +p335457 +aS'40\t40\tCD\tB-NP\tO' +p335458 +aS'of\tof\tIN\tB-PP\tO' +p335459 +aS'K\tK\tNN\tB-NP\tO' +p335460 +aS'phosphate\tphosphate\tNN\tI-NP\tO' +p335461 +aS'at\tat\tIN\tB-PP\tO' +p335462 +aS'100\t100\tCD\tB-NP\tO' +p335463 +aS'cc's\tcc'\tNNS\tI-NP\tO' +p335464 +aS'per\tper\tIN\tB-PP\tO' +p335465 +aS'hour\thour\tNN\tB-NP\tO' +p335466 +aS'was\tbe\tVBD\tB-VP\tO' +p335467 +aS'given\tgive\tVBN\tI-VP\tO' +p335468 +aS'.\t.\t.\tO\tO' +p335469 +asS'General : sleepy , arouses to voice but limited participation with physical exam' +p335470 +(lp335471 +S'General\tGeneral\tNNP\tB-NP\tO' +p335472 +aS':\t:\t:\tO\tO' +p335473 +aS'sleepy\tsleepy\tNN\tB-NP\tO' +p335474 +aS',\t,\t,\tO\tO' +p335475 +aS'arouses\tarouse\tVBZ\tB-VP\tO' +p335476 +aS'to\tto\tTO\tB-PP\tO' +p335477 +aS'voice\tvoice\tNN\tB-NP\tO' +p335478 +aS'but\tbut\tCC\tO\tO' +p335479 +aS'limited\tlimited\tJJ\tB-NP\tO' +p335480 +aS'participation\tparticipation\tNN\tI-NP\tO' +p335481 +aS'with\twith\tIN\tB-PP\tO' +p335482 +aS'physical\tphysical\tJJ\tB-NP\tO' +p335483 +aS'exam\texam\tNN\tI-NP\tO' +p335484 +asS'1. Recurrent cholangiocarcinoma , with intrahepatic bile duct dilatation and gastric outlet obstruction ; exact extent of disease is unclear , but likely extensive .' +p335485 +(lp335486 +S'1.\t1.\tLS\tB-NP\tO' +p335487 +aS'Recurrent\tRecurrent\tJJ\tI-NP\tO' +p335488 +aS'cholangiocarcinoma\tcholangiocarcinoma\tNN\tI-NP\tO' +p335489 +aS',\t,\t,\tO\tO' +p335490 +aS'with\twith\tIN\tB-PP\tO' +p335491 +aS'intrahepatic\tintrahepatic\tJJ\tB-NP\tO' +p335492 +aS'bile\tbile\tNN\tI-NP\tO' +p335493 +aS'duct\tduct\tNN\tI-NP\tO' +p335494 +aS'dilatation\tdilatation\tNN\tI-NP\tO' +p335495 +aS'and\tand\tCC\tO\tO' +p335496 +aS'gastric\tgastric\tJJ\tB-NP\tO' +p335497 +aS'outlet\toutlet\tNN\tI-NP\tO' +p335498 +aS'obstruction\tobstruction\tNN\tI-NP\tO' +p335499 +aS';\t;\t:\tO\tO' +p335500 +aS'exact\texact\tJJ\tB-NP\tO' +p335501 +aS'extent\textent\tNN\tI-NP\tO' +p335502 +aS'of\tof\tIN\tB-PP\tO' +p335503 +aS'disease\tdisease\tNN\tB-NP\tO' +p335504 +aS'is\tbe\tVBZ\tB-VP\tO' +p335505 +aS'unclear\tunclear\tJJ\tB-ADJP\tO' +p335506 +aS',\t,\t,\tO\tO' +p335507 +aS'but\tbut\tCC\tO\tO' +p335508 +aS'likely\tlikely\tRB\tB-ADJP\tO' +p335509 +aS'extensive\textensive\tJJ\tI-ADJP\tO' +p335510 +aS'.\t.\t.\tO\tO' +p335511 +asS'The lungs exhibited right basilar dullness one quarter of the way up .' +p335512 +(lp335513 +S'The\tThe\tDT\tB-NP\tO' +p335514 +aS'lungs\tlung\tNNS\tI-NP\tO' +p335515 +aS'exhibited\texhibit\tVBD\tB-VP\tO' +p335516 +aS'right\tright\tJJ\tB-NP\tO' +p335517 +aS'basilar\tbasilar\tJJ\tI-NP\tO' +p335518 +aS'dullness\tdullness\tNN\tI-NP\tO' +p335519 +aS'one\tone\tCD\tI-NP\tO' +p335520 +aS'quarter\tquarter\tNN\tI-NP\tO' +p335521 +aS'of\tof\tIN\tB-PP\tO' +p335522 +aS'the\tthe\tDT\tB-NP\tO' +p335523 +aS'way\tway\tNN\tI-NP\tO' +p335524 +aS'up\tup\tRP\tB-PRT\tO' +p335525 +aS'.\t.\t.\tO\tO' +p335526 +asS'After admission to L&D , the patient was administered Pitocin for elective induction of labor and progressed uneventfully and went on to deliver a viable female infant , weight 3595 g , Apgars 11-11 .' +p335527 +(lp335528 +S'After\tAfter\tIN\tB-PP\tO' +p335529 +aS'admission\tadmission\tNN\tB-NP\tO' +p335530 +aS'to\tto\tTO\tB-PP\tO' +p335531 +aS'L&D\tL&D\tNN\tB-NP\tO' +p335532 +aS',\t,\t,\tO\tO' +p335533 +aS'the\tthe\tDT\tB-NP\tO' +p335534 +aS'patient\tpatient\tNN\tI-NP\tO' +p335535 +aS'was\tbe\tVBD\tB-VP\tO' +p335536 +aS'administered\tadminister\tVBN\tI-VP\tO' +p335537 +aS'Pitocin\tPitocin\tNNP\tB-NP\tO' +p335538 +aS'for\tfor\tIN\tB-PP\tO' +p335539 +aS'elective\telective\tJJ\tB-NP\tO' +p335540 +aS'induction\tinduction\tNN\tI-NP\tO' +p335541 +aS'of\tof\tIN\tB-PP\tO' +p335542 +aS'labor\tlabor\tNN\tB-NP\tO' +p335543 +aS'and\tand\tCC\tO\tO' +p335544 +aS'progressed\tprogress\tVBD\tB-VP\tO' +p335545 +aS'uneventfully\tuneventfully\tRB\tB-ADVP\tO' +p335546 +aS'and\tand\tCC\tO\tO' +p335547 +aS'went\tgo\tVBD\tB-VP\tO' +p335548 +aS'on\ton\tRP\tB-PRT\tO' +p335549 +aS'to\tto\tTO\tB-VP\tO' +p335550 +aS'deliver\tdeliver\tVB\tI-VP\tO' +p335551 +aS'a\ta\tDT\tB-NP\tO' +p335552 +aS'viable\tviable\tJJ\tI-NP\tO' +p335553 +aS'female\tfemale\tJJ\tI-NP\tO' +p335554 +aS'infant\tinfant\tNN\tI-NP\tO' +p335555 +aS',\t,\t,\tO\tO' +p335556 +aS'weight\tweight\tNN\tB-NP\tO' +p335557 +aS'3595\t3595\tCD\tI-NP\tO' +p335558 +aS'g\tg\tNN\tI-NP\tO' +p335559 +aS',\t,\t,\tO\tO' +p335560 +aS'Apgars\tApgars\tNNP\tB-NP\tO' +p335561 +aS'11-11\t11-11\tCD\tI-NP\tO' +p335562 +aS'.\t.\t.\tO\tO' +p335563 +asS'Clear otherwise .' +p335564 +(lp335565 +S'Clear\tClear\tVB\tB-VP\tO' +p335566 +aS'otherwise\totherwise\tRB\tB-ADVP\tO' +p335567 +aS'.\t.\t.\tO\tO' +p335568 +asS'1 cypher stent placed in LAD , 2 cypher stents placed in Left' +p335569 +(lp335570 +S'1\t1\tCD\tB-NP\tO' +p335571 +aS'cypher\tcypher\tNN\tI-NP\tO' +p335572 +aS'stent\tstent\tNN\tI-NP\tO' +p335573 +aS'placed\tplace\tVBN\tB-VP\tO' +p335574 +aS'in\tin\tIN\tB-PP\tO' +p335575 +aS'LAD\tLAD\tNN\tB-NP\tO' +p335576 +aS',\t,\t,\tO\tO' +p335577 +aS'2\t2\tCD\tB-NP\tO' +p335578 +aS'cypher\tcypher\tNN\tI-NP\tO' +p335579 +aS'stents\tstent\tNNS\tI-NP\tO' +p335580 +aS'placed\tplace\tVBN\tB-VP\tO' +p335581 +aS'in\tin\tIN\tB-PP\tO' +p335582 +aS'Left\tLeft\tNN\tB-NP\tO' +p335583 +asS'Your antibiotics were stopped 2016-05-15 ( Vancomycin 1000mg q24 and Aztreonam 1000mg q8 ) as your micorbiology data has been negative and your course for pseudomonal sepsis has been completed .' +p335584 +(lp335585 +S'Your\tYour\tPRP$\tB-NP\tO' +p335586 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p335587 +aS'were\tbe\tVBD\tB-VP\tO' +p335588 +aS'stopped\tstop\tVBN\tI-VP\tO' +p335589 +aS'2016-05-15\t2016-05-15\tCD\tB-NP\tO' +p335590 +aS'(\t(\t(\tO\tO' +p335591 +aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' +p335592 +aS'1000mg\t1000mg\tNN\tI-NP\tO' +p335593 +aS'q24\tq24\tNN\tI-NP\tO' +p335594 +aS'and\tand\tCC\tO\tO' +p335595 +aS'Aztreonam\tAztreonam\tNN\tB-NP\tO' +p335596 +aS'1000mg\t1000mg\tNN\tI-NP\tO' +p335597 +aS'q8\tq8\tNN\tI-NP\tO' +p335598 +aS')\t)\t)\tO\tO' +p335599 +aS'as\tas\tIN\tB-PP\tO' +p335600 +aS'your\tyour\tPRP$\tB-NP\tO' +p335601 +aS'micorbiology\tmicorbiology\tNN\tI-NP\tO' +p335602 +aS'data\tdatum\tNNS\tI-NP\tO' +p335603 +aS'has\thave\tVBZ\tB-VP\tO' +p335604 +aS'been\tbe\tVBN\tI-VP\tO' +p335605 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p335606 +aS'and\tand\tCC\tO\tO' +p335607 +aS'your\tyour\tPRP$\tB-NP\tO' +p335608 +aS'course\tcourse\tNN\tI-NP\tO' +p335609 +aS'for\tfor\tIN\tB-PP\tO' +p335610 +aS'pseudomonal\tpseudomonal\tJJ\tB-NP\tO' +p335611 +aS'sepsis\tsepsis\tNN\tI-NP\tO' +p335612 +aS'has\thave\tVBZ\tB-VP\tO' +p335613 +aS'been\tbe\tVBN\tI-VP\tO' +p335614 +aS'completed\tcomplete\tVBN\tI-VP\tO' +p335615 +aS'.\t.\t.\tO\tO' +p335616 +asS'He was placed on Unasyn 3 grams IV q.6h.' +p335617 +(lp335618 +S'He\tHe\tPRP\tB-NP\tO' +p335619 +aS'was\tbe\tVBD\tB-VP\tO' +p335620 +aS'placed\tplace\tVBN\tI-VP\tO' +p335621 +aS'on\ton\tIN\tB-PP\tO' +p335622 +aS'Unasyn\tUnasyn\tNN\tB-NP\tO' +p335623 +aS'3\t3\tCD\tB-NP\tO' +p335624 +aS'grams\tgram\tNNS\tI-NP\tO' +p335625 +aS'IV\tIV\tCD\tB-NP\tO' +p335626 +aS'q.6h.\tq.6h.\tNN\tI-NP\tO' +p335627 +asS'Pupils were fixed and dilated .' +p335628 +(lp335629 +S'Pupils\tPupil\tNNS\tB-NP\tO' +p335630 +aS'were\tbe\tVBD\tB-VP\tO' +p335631 +aS'fixed\tfix\tVBN\tI-VP\tO' +p335632 +aS'and\tand\tCC\tO\tO' +p335633 +aS'dilated\tdilate\tVBN\tB-VP\tO' +p335634 +aS'.\t.\t.\tO\tO' +p335635 +asS'CT examinations of the head , chest , abdomen and pelvis were all unremarkable .' +p335636 +(lp335637 +S'CT\tCT\tNN\tB-NP\tO' +p335638 +aS'examinations\texamination\tNNS\tI-NP\tO' +p335639 +aS'of\tof\tIN\tB-PP\tO' +p335640 +aS'the\tthe\tDT\tB-NP\tO' +p335641 +aS'head\thead\tNN\tI-NP\tO' +p335642 +aS',\t,\t,\tI-NP\tO' +p335643 +aS'chest\tchest\tNN\tI-NP\tO' +p335644 +aS',\t,\t,\tI-NP\tO' +p335645 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p335646 +aS'and\tand\tCC\tI-NP\tO' +p335647 +aS'pelvis\tpelvis\tNN\tI-NP\tO' +p335648 +aS'were\tbe\tVBD\tB-VP\tO' +p335649 +aS'all\tall\tDT\tO\tO' +p335650 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p335651 +aS'.\t.\t.\tO\tO' +p335652 +asS'Chest x-ray shows a large left pleural effusion .' +p335653 +(lp335654 +S'Chest\tCh\tJJS\tB-NP\tO' +p335655 +aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' +p335656 +aS'shows\tshow\tVBZ\tB-VP\tO' +p335657 +aS'a\ta\tDT\tB-NP\tO' +p335658 +aS'large\tlarge\tJJ\tI-NP\tO' +p335659 +aS'left\tleft\tJJ\tI-NP\tO' +p335660 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p335661 +aS'effusion\teffusion\tNN\tI-NP\tO' +p335662 +aS'.\t.\t.\tO\tO' +p335663 +asS'1. Asthma as a child which recurred in 2001 .' +p335664 +(lp335665 +S'1.\t1.\tLS\tB-NP\tO' +p335666 +aS'Asthma\tAsthma\tNN\tI-NP\tO' +p335667 +aS'as\tas\tIN\tB-PP\tO' +p335668 +aS'a\ta\tDT\tB-NP\tO' +p335669 +aS'child\tchild\tNN\tI-NP\tO' +p335670 +aS'which\twhich\tWDT\tB-NP\tO' +p335671 +aS'recurred\trecur\tVBD\tB-VP\tO' +p335672 +aS'in\tin\tIN\tB-PP\tO' +p335673 +aS'2001\t2001\tCD\tB-NP\tO' +p335674 +aS'.\t.\t.\tO\tO' +p335675 +asS'DISPO : transfer to inpatient CMED likely tomorrow' +p335676 +(lp335677 +S'DISPO\tDISPO\tNN\tB-NP\tB-protein' +p335678 +aS':\t:\t:\tO\tO' +p335679 +aS'transfer\ttransfer\tVB\tB-VP\tO' +p335680 +aS'to\tto\tTO\tB-PP\tO' +p335681 +aS'inpatient\tinpatient\tNN\tB-NP\tO' +p335682 +aS'CMED\tCMED\tVBD\tB-VP\tO' +p335683 +aS'likely\tlikely\tRB\tB-ADVP\tO' +p335684 +aS'tomorrow\ttomorrow\tNN\tB-NP\tO' +p335685 +asS'He had multiple tattoos .' +p335686 +(lp335687 +S'He\tHe\tPRP\tB-NP\tO' +p335688 +aS'had\thave\tVBD\tB-VP\tO' +p335689 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p335690 +aS'tattoos\ttattoo\tNNS\tI-NP\tO' +p335691 +aS'.\t.\t.\tO\tO' +p335692 +asS'He was started on aspirin .' +p335693 +(lp335694 +S'He\tHe\tPRP\tB-NP\tO' +p335695 +aS'was\tbe\tVBD\tB-VP\tO' +p335696 +aS'started\tstart\tVBN\tI-VP\tO' +p335697 +aS'on\ton\tIN\tB-PP\tO' +p335698 +aS'aspirin\taspirin\tNN\tB-NP\tO' +p335699 +aS'.\t.\t.\tO\tO' +p335700 +asS'Temperature 98.8 , heart rate 68 , blood pressure 107/82 , and oxygen saturation 99% on room air .' +p335701 +(lp335702 +S'Temperature\tTemperature\tNN\tB-NP\tB-protein' +p335703 +aS'98.8\t98.8\tCD\tI-NP\tI-protein' +p335704 +aS',\t,\t,\tO\tO' +p335705 +aS'heart\theart\tNN\tB-NP\tO' +p335706 +aS'rate\trate\tNN\tI-NP\tO' +p335707 +aS'68\t68\tCD\tI-NP\tO' +p335708 +aS',\t,\t,\tO\tO' +p335709 +aS'blood\tblood\tNN\tB-NP\tO' +p335710 +aS'pressure\tpressure\tNN\tI-NP\tO' +p335711 +aS'107/82\t107/82\tCD\tI-NP\tO' +p335712 +aS',\t,\t,\tO\tO' +p335713 +aS'and\tand\tCC\tO\tO' +p335714 +aS'oxygen\toxygen\tNN\tB-NP\tB-protein' +p335715 +aS'saturation\tsaturation\tNN\tI-NP\tI-protein' +p335716 +aS'99%\t99%\tCD\tI-NP\tI-protein' +p335717 +aS'on\ton\tIN\tB-PP\tO' +p335718 +aS'room\troom\tNN\tB-NP\tO' +p335719 +aS'air\tair\tNN\tI-NP\tO' +p335720 +aS'.\t.\t.\tO\tO' +p335721 +asS'Right arm was 180/80 , left 188/72 , and A-line was 151/61 .' +p335722 +(lp335723 +S'Right\tRight\tNN\tB-NP\tB-protein' +p335724 +aS'arm\tarm\tNN\tI-NP\tI-protein' +p335725 +aS'was\tbe\tVBD\tB-VP\tI-protein' +p335726 +aS'180/80\t180/80\tCD\tB-NP\tI-protein' +p335727 +aS',\t,\t,\tO\tO' +p335728 +aS'left\tleave\tVBD\tB-VP\tO' +p335729 +aS'188/72\t188/72\tCD\tB-NP\tO' +p335730 +aS',\t,\t,\tO\tO' +p335731 +aS'and\tand\tCC\tO\tO' +p335732 +aS'A-line\tA-line\tNN\tB-NP\tB-cell_line' +p335733 +aS'was\tbe\tVBD\tB-VP\tO' +p335734 +aS'151/61\t151/61\tCD\tB-NP\tO' +p335735 +aS'.\t.\t.\tO\tO' +p335736 +asS'His father had Hemochromatosis and DMII .' +p335737 +(lp335738 +S'His\tHis\tPRP$\tB-NP\tO' +p335739 +aS'father\tfather\tNN\tI-NP\tO' +p335740 +aS'had\thave\tVBD\tB-VP\tO' +p335741 +aS'Hemochromatosis\tHemochromatosis\tNN\tB-NP\tO' +p335742 +aS'and\tand\tCC\tI-NP\tO' +p335743 +aS'DMII\tDMII\tNN\tI-NP\tB-protein' +p335744 +aS'.\t.\t.\tO\tO' +p335745 +asS'He had no chest pain or shortness of breath .' +p335746 +(lp335747 +S'He\tHe\tPRP\tB-NP\tO' +p335748 +aS'had\thave\tVBD\tB-VP\tO' +p335749 +aS'no\tno\tDT\tB-NP\tO' +p335750 +aS'chest\tchest\tNN\tI-NP\tO' +p335751 +aS'pain\tpain\tNN\tI-NP\tO' +p335752 +aS'or\tor\tCC\tI-NP\tO' +p335753 +aS'shortness\tshortness\tNN\tI-NP\tO' +p335754 +aS'of\tof\tIN\tB-PP\tO' +p335755 +aS'breath\tbreath\tNN\tB-NP\tO' +p335756 +aS'.\t.\t.\tO\tO' +p335757 +asS'He is a retired painter .' +p335758 +(lp335759 +S'He\tHe\tPRP\tB-NP\tB-DNA' +p335760 +aS'is\tbe\tVBZ\tB-VP\tO' +p335761 +aS'a\ta\tDT\tB-NP\tO' +p335762 +aS'retired\tretired\tJJ\tI-NP\tO' +p335763 +aS'painter\tpainter\tNN\tI-NP\tO' +p335764 +aS'.\t.\t.\tO\tO' +p335765 +asS'On standing , she tended to fall to the front , back or sides without trying to stop her fall initially , and extensive gait testing was deferred due to concerns for safety .' +p335766 +(lp335767 +S'On\tOn\tIN\tB-PP\tO' +p335768 +aS'standing\tstanding\tNN\tB-NP\tO' +p335769 +aS',\t,\t,\tO\tO' +p335770 +aS'she\tshe\tPRP\tB-NP\tO' +p335771 +aS'tended\ttend\tVBD\tB-VP\tO' +p335772 +aS'to\tto\tTO\tI-VP\tO' +p335773 +aS'fall\tfall\tVB\tI-VP\tO' +p335774 +aS'to\tto\tTO\tB-PP\tO' +p335775 +aS'the\tthe\tDT\tB-NP\tO' +p335776 +aS'front\tfront\tNN\tI-NP\tO' +p335777 +aS',\t,\t,\tO\tO' +p335778 +aS'back\tback\tRB\tB-ADVP\tO' +p335779 +aS'or\tor\tCC\tO\tO' +p335780 +aS'sides\tside\tVBZ\tB-VP\tO' +p335781 +aS'without\twithout\tIN\tB-PP\tO' +p335782 +aS'trying\ttry\tVBG\tB-VP\tO' +p335783 +aS'to\tto\tTO\tI-VP\tO' +p335784 +aS'stop\tstop\tVB\tI-VP\tO' +p335785 +aS'her\ther\tPRP\tB-NP\tO' +p335786 +aS'fall\tfall\tVB\tB-VP\tO' +p335787 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p335788 +aS',\t,\t,\tO\tO' +p335789 +aS'and\tand\tCC\tO\tO' +p335790 +aS'extensive\textensive\tJJ\tB-NP\tO' +p335791 +aS'gait\tgait\tNN\tI-NP\tO' +p335792 +aS'testing\ttesting\tNN\tI-NP\tO' +p335793 +aS'was\tbe\tVBD\tB-VP\tO' +p335794 +aS'deferred\tdefer\tVBN\tI-VP\tO' +p335795 +aS'due\tdue\tJJ\tB-ADJP\tO' +p335796 +aS'to\tto\tTO\tB-PP\tO' +p335797 +aS'concerns\tconcern\tNNS\tB-NP\tO' +p335798 +aS'for\tfor\tIN\tB-PP\tO' +p335799 +aS'safety\tsafety\tNN\tB-NP\tO' +p335800 +aS'.\t.\t.\tO\tO' +p335801 +asS'The patient was kept on a house diet .' +p335802 +(lp335803 +S'The\tThe\tDT\tB-NP\tO' +p335804 +aS'patient\tpatient\tNN\tI-NP\tO' +p335805 +aS'was\tbe\tVBD\tB-VP\tO' +p335806 +aS'kept\tkeep\tVBN\tI-VP\tO' +p335807 +aS'on\ton\tIN\tB-PP\tO' +p335808 +aS'a\ta\tDT\tB-NP\tO' +p335809 +aS'house\thouse\tNN\tI-NP\tO' +p335810 +aS'diet\tdiet\tNN\tI-NP\tO' +p335811 +aS'.\t.\t.\tO\tO' +p335812 +asS'He has had no episodes of spontaneous apnea during admission .' +p335813 +(lp335814 +S'He\tHe\tPRP\tB-NP\tO' +p335815 +aS'has\thave\tVBZ\tB-VP\tO' +p335816 +aS'had\thave\tVBN\tI-VP\tO' +p335817 +aS'no\tno\tDT\tB-NP\tO' +p335818 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p335819 +aS'of\tof\tIN\tB-PP\tO' +p335820 +aS'spontaneous\tspontaneous\tJJ\tB-NP\tO' +p335821 +aS'apnea\tapnea\tNN\tI-NP\tO' +p335822 +aS'during\tduring\tIN\tB-PP\tO' +p335823 +aS'admission\tadmission\tNN\tB-NP\tO' +p335824 +aS'.\t.\t.\tO\tO' +p335825 +asS'She will follow-up with Dr. Welch with an echocardiogram on 2015-07-24 in a meeting to discuss risk stratification for sudden cardiac death and possible ICD placement .' +p335826 +(lp335827 +S'She\tShe\tPRP\tB-NP\tO' +p335828 +aS'will\twill\tMD\tB-VP\tO' +p335829 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p335830 +aS'with\twith\tIN\tB-PP\tO' +p335831 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p335832 +aS'Welch\tWelch\tNNP\tI-NP\tO' +p335833 +aS'with\twith\tIN\tB-PP\tO' +p335834 +aS'an\tan\tDT\tB-NP\tO' +p335835 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p335836 +aS'on\ton\tIN\tB-PP\tO' +p335837 +aS'2015-07-24\t2015-07-24\tCD\tB-NP\tO' +p335838 +aS'in\tin\tIN\tB-PP\tO' +p335839 +aS'a\ta\tDT\tB-NP\tO' +p335840 +aS'meeting\tmeeting\tNN\tI-NP\tO' +p335841 +aS'to\tto\tTO\tB-VP\tO' +p335842 +aS'discuss\tdiscuss\tVB\tI-VP\tO' +p335843 +aS'risk\trisk\tNN\tB-NP\tO' +p335844 +aS'stratification\tstratification\tNN\tI-NP\tO' +p335845 +aS'for\tfor\tIN\tB-PP\tO' +p335846 +aS'sudden\tsudden\tJJ\tB-NP\tO' +p335847 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p335848 +aS'death\tdeath\tNN\tI-NP\tO' +p335849 +aS'and\tand\tCC\tO\tO' +p335850 +aS'possible\tpossible\tJJ\tB-NP\tO' +p335851 +aS'ICD\tICD\tNN\tI-NP\tO' +p335852 +aS'placement\tplacement\tNN\tI-NP\tO' +p335853 +aS'.\t.\t.\tO\tO' +p335854 +asS'The inferior vena cava is dilated ( >2.5 cm ) .' +p335855 +(lp335856 +S'The\tThe\tDT\tB-NP\tO' +p335857 +aS'inferior\tinferior\tJJ\tI-NP\tO' +p335858 +aS'vena\tvena\tNN\tI-NP\tO' +p335859 +aS'cava\tcava\tNN\tI-NP\tO' +p335860 +aS'is\tbe\tVBZ\tB-VP\tO' +p335861 +aS'dilated\tdilate\tVBN\tI-VP\tO' +p335862 +aS'(\t(\t(\tO\tO' +p335863 +aS'>2.5\t>2.5\tCD\tB-NP\tO' +p335864 +aS'cm\tcm\tNN\tI-NP\tO' +p335865 +aS')\t)\t)\tO\tO' +p335866 +aS'.\t.\t.\tO\tO' +p335867 +asS'On examination , she is in no apparent distress and is alert and oriented .' +p335868 +(lp335869 +S'On\tOn\tIN\tB-PP\tO' +p335870 +aS'examination\texamination\tNN\tB-NP\tO' +p335871 +aS',\t,\t,\tO\tO' +p335872 +aS'she\tshe\tPRP\tB-NP\tO' +p335873 +aS'is\tbe\tVBZ\tB-VP\tO' +p335874 +aS'in\tin\tIN\tB-PP\tO' +p335875 +aS'no\tno\tDT\tB-NP\tO' +p335876 +aS'apparent\tapparent\tJJ\tI-NP\tO' +p335877 +aS'distress\tdistress\tNN\tI-NP\tO' +p335878 +aS'and\tand\tCC\tO\tO' +p335879 +aS'is\tbe\tVBZ\tB-VP\tO' +p335880 +aS'alert\talert\tJJ\tB-ADJP\tO' +p335881 +aS'and\tand\tCC\tI-ADJP\tO' +p335882 +aS'oriented\toriented\tJJ\tI-ADJP\tO' +p335883 +aS'.\t.\t.\tO\tO' +p335884 +asS'The differential diagnosis of this is wide including viral , fungal and atypical mycobacterial infections .' +p335885 +(lp335886 +S'The\tThe\tDT\tB-NP\tO' +p335887 +aS'differential\tdifferential\tJJ\tI-NP\tO' +p335888 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p335889 +aS'of\tof\tIN\tB-PP\tO' +p335890 +aS'this\tthis\tDT\tB-NP\tO' +p335891 +aS'is\tbe\tVBZ\tB-VP\tO' +p335892 +aS'wide\twide\tJJ\tB-ADJP\tO' +p335893 +aS'including\tinclude\tVBG\tB-PP\tO' +p335894 +aS'viral\tviral\tJJ\tB-NP\tO' +p335895 +aS',\t,\t,\tI-NP\tO' +p335896 +aS'fungal\tfungal\tJJ\tI-NP\tO' +p335897 +aS'and\tand\tCC\tI-NP\tO' +p335898 +aS'atypical\tatypical\tJJ\tI-NP\tO' +p335899 +aS'mycobacterial\tmycobacterial\tJJ\tI-NP\tO' +p335900 +aS'infections\tinfection\tNNS\tI-NP\tO' +p335901 +aS'.\t.\t.\tO\tO' +p335902 +asS'Her hematocrit preoperatively was 36 and postoperatively was 33 and then 32 .' +p335903 +(lp335904 +S'Her\tHer\tPRP$\tB-NP\tO' +p335905 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p335906 +aS'preoperatively\tpreoperatively\tRB\tB-ADVP\tO' +p335907 +aS'was\tbe\tVBD\tB-VP\tO' +p335908 +aS'36\t36\tCD\tB-NP\tO' +p335909 +aS'and\tand\tCC\tO\tO' +p335910 +aS'postoperatively\tpostoperatively\tRB\tB-VP\tO' +p335911 +aS'was\tbe\tVBD\tI-VP\tO' +p335912 +aS'33\t33\tCD\tB-NP\tO' +p335913 +aS'and\tand\tCC\tO\tO' +p335914 +aS'then\tthen\tRB\tO\tO' +p335915 +aS'32\t32\tCD\tB-NP\tO' +p335916 +aS'.\t.\t.\tO\tO' +p335917 +asS'Arterial blood gas showed a mild metabolic acidosis .' +p335918 +(lp335919 +S'Arterial\tArterial\tJJ\tB-NP\tO' +p335920 +aS'blood\tblood\tNN\tI-NP\tO' +p335921 +aS'gas\tgas\tNN\tI-NP\tO' +p335922 +aS'showed\tshow\tVBD\tB-VP\tO' +p335923 +aS'a\ta\tDT\tB-NP\tO' +p335924 +aS'mild\tmild\tJJ\tI-NP\tO' +p335925 +aS'metabolic\tmetabolic\tJJ\tI-NP\tO' +p335926 +aS'acidosis\tacidosis\tNN\tI-NP\tO' +p335927 +aS'.\t.\t.\tO\tO' +p335928 +asS'Improving clots on LENI .' +p335929 +(lp335930 +S'Improving\tImprove\tVBG\tB-VP\tO' +p335931 +aS'clots\tclot\tNNS\tB-NP\tO' +p335932 +aS'on\ton\tIN\tB-PP\tO' +p335933 +aS'LENI\tLENI\tNN\tB-NP\tB-protein' +p335934 +aS'.\t.\t.\tO\tO' +p335935 +asS'Head CT done 05-04 with bilateral SAH and L temporal parenchymal hematoma .' +p335936 +(lp335937 +S'Head\tHead\tJJ\tB-NP\tO' +p335938 +aS'CT\tCT\tNN\tI-NP\tO' +p335939 +aS'done\tdo\tVBN\tB-VP\tO' +p335940 +aS'05-04\t05-04\tCD\tB-NP\tO' +p335941 +aS'with\twith\tIN\tB-PP\tO' +p335942 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p335943 +aS'SAH\tSAH\tNN\tI-NP\tO' +p335944 +aS'and\tand\tCC\tI-NP\tO' +p335945 +aS'L\tL\tNN\tI-NP\tO' +p335946 +aS'temporal\ttemporal\tJJ\tI-NP\tO' +p335947 +aS'parenchymal\tparenchymal\tJJ\tI-NP\tO' +p335948 +aS'hematoma\thematoma\tNN\tI-NP\tO' +p335949 +aS'.\t.\t.\tO\tO' +p335950 +asS'Mr. Knueppel was admitted to the CCU at the Mass. Eye & Ear Infirmary .' +p335951 +(lp335952 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p335953 +aS'Knueppel\tKnueppel\tNNP\tI-NP\tO' +p335954 +aS'was\tbe\tVBD\tB-VP\tO' +p335955 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p335956 +aS'to\tto\tTO\tB-PP\tO' +p335957 +aS'the\tthe\tDT\tB-NP\tO' +p335958 +aS'CCU\tCCU\tNN\tI-NP\tB-DNA' +p335959 +aS'at\tat\tIN\tB-PP\tO' +p335960 +aS'the\tthe\tDT\tB-NP\tO' +p335961 +aS'Mass.\tMass.\tNNP\tI-NP\tO' +p335962 +aS'Eye\tEye\tNNP\tI-NP\tO' +p335963 +aS'&\t&\tCC\tI-NP\tO' +p335964 +aS'Ear\tEar\tNNP\tI-NP\tO' +p335965 +aS'Infirmary\tInfirmary\tNNP\tI-NP\tO' +p335966 +aS'.\t.\t.\tO\tO' +p335967 +asS'Please follow up with Dr Erb - 3/30/07 at 10:00am .' +p335968 +(lp335969 +S'Please\tPlease\tVB\tB-VP\tO' +p335970 +aS'follow\tfollow\tVB\tI-VP\tO' +p335971 +aS'up\tup\tRP\tB-PRT\tO' +p335972 +aS'with\twith\tIN\tB-PP\tO' +p335973 +aS'Dr\tDr\tNN\tB-NP\tO' +p335974 +aS'Erb\tErb\tNN\tI-NP\tB-protein' +p335975 +aS'-\t-\tHYPH\tO\tO' +p335976 +aS'3/30/07\t3/30/07\tCD\tB-NP\tO' +p335977 +aS'at\tat\tIN\tB-PP\tO' +p335978 +aS'10:00am\t10:00am\tNN\tB-NP\tO' +p335979 +aS'.\t.\t.\tO\tO' +p335980 +asS'1. Coronary artery disease , status post 5-vessel coronary artery bypass graft on 2009-09-11 .' +p335981 +(lp335982 +S'1.\t1.\tLS\tB-NP\tO' +p335983 +aS'Coronary\tCoronary\tJJ\tI-NP\tO' +p335984 +aS'artery\tartery\tNN\tI-NP\tO' +p335985 +aS'disease\tdisease\tNN\tI-NP\tO' +p335986 +aS',\t,\t,\tO\tO' +p335987 +aS'status\tstatus\tNN\tB-NP\tO' +p335988 +aS'post\tpost\tVBD\tB-VP\tO' +p335989 +aS'5-vessel\t5-vessel\tJJ\tB-NP\tO' +p335990 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p335991 +aS'artery\tartery\tNN\tI-NP\tO' +p335992 +aS'bypass\tbypass\tIN\tB-PP\tO' +p335993 +aS'graft\tgraft\tNN\tB-NP\tO' +p335994 +aS'on\ton\tIN\tB-PP\tO' +p335995 +aS'2009-09-11\t2009-09-11\tCD\tB-NP\tO' +p335996 +aS'.\t.\t.\tO\tO' +p335997 +asS'Significant for colon carcinoma .' +p335998 +(lp335999 +S'Significant\tSignificant\tJJ\tB-ADJP\tO' +p336000 +aS'for\tfor\tIN\tB-PP\tO' +p336001 +aS'colon\tcolon\tNN\tB-NP\tO' +p336002 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p336003 +aS'.\t.\t.\tO\tO' +p336004 +asS'Seen by heme and GCSF started .' +p336005 +(lp336006 +S'Seen\tSeen\tNN\tB-NP\tO' +p336007 +aS'by\tby\tIN\tB-PP\tO' +p336008 +aS'heme\theme\tNN\tB-NP\tB-protein' +p336009 +aS'and\tand\tCC\tI-NP\tO' +p336010 +aS'GCSF\tGCSF\tNN\tI-NP\tB-protein' +p336011 +aS'started\tstart\tVBD\tB-VP\tO' +p336012 +aS'.\t.\t.\tO\tO' +p336013 +asS'He ultimately was brought to the operating room on 03-19 .' +p336014 +(lp336015 +S'He\tHe\tPRP\tB-NP\tO' +p336016 +aS'ultimately\tultimately\tRB\tB-ADVP\tO' +p336017 +aS'was\tbe\tVBD\tB-VP\tO' +p336018 +aS'brought\tbring\tVBN\tI-VP\tO' +p336019 +aS'to\tto\tTO\tB-PP\tO' +p336020 +aS'the\tthe\tDT\tB-NP\tO' +p336021 +aS'operating\toperating\tNN\tI-NP\tO' +p336022 +aS'room\troom\tNN\tI-NP\tO' +p336023 +aS'on\ton\tIN\tB-PP\tO' +p336024 +aS'03-19\t03-19\tCD\tB-NP\tO' +p336025 +aS'.\t.\t.\tO\tO' +p336026 +asS'His wounds were dressed with antiointment and Xeroform with the plan to take him to the operating room for debridement under general anesthesia and application of artificial skin .' +p336027 +(lp336028 +S'His\tHis\tPRP$\tB-NP\tO' +p336029 +aS'wounds\twound\tNNS\tI-NP\tO' +p336030 +aS'were\tbe\tVBD\tB-VP\tO' +p336031 +aS'dressed\tdress\tVBN\tI-VP\tO' +p336032 +aS'with\twith\tIN\tB-PP\tO' +p336033 +aS'antiointment\tantiointment\tNN\tB-NP\tO' +p336034 +aS'and\tand\tCC\tI-NP\tO' +p336035 +aS'Xeroform\tXeroform\tNN\tI-NP\tO' +p336036 +aS'with\twith\tIN\tB-PP\tO' +p336037 +aS'the\tthe\tDT\tB-NP\tO' +p336038 +aS'plan\tplan\tNN\tI-NP\tO' +p336039 +aS'to\tto\tTO\tB-VP\tO' +p336040 +aS'take\ttake\tVB\tI-VP\tO' +p336041 +aS'him\thim\tPRP\tB-NP\tO' +p336042 +aS'to\tto\tTO\tB-PP\tO' +p336043 +aS'the\tthe\tDT\tB-NP\tO' +p336044 +aS'operating\toperating\tNN\tI-NP\tO' +p336045 +aS'room\troom\tNN\tI-NP\tO' +p336046 +aS'for\tfor\tIN\tB-PP\tO' +p336047 +aS'debridement\tdebridement\tNN\tB-NP\tO' +p336048 +aS'under\tunder\tIN\tB-PP\tO' +p336049 +aS'general\tgeneral\tJJ\tB-NP\tO' +p336050 +aS'anesthesia\tanesthesia\tNN\tI-NP\tO' +p336051 +aS'and\tand\tCC\tI-NP\tO' +p336052 +aS'application\tapplication\tNN\tI-NP\tO' +p336053 +aS'of\tof\tIN\tB-PP\tO' +p336054 +aS'artificial\tartificial\tJJ\tB-NP\tO' +p336055 +aS'skin\tskin\tNN\tI-NP\tO' +p336056 +aS'.\t.\t.\tO\tO' +p336057 +asS'He was sent to Bournewood Hospital via ambulance .' +p336058 +(lp336059 +S'He\tHe\tPRP\tB-NP\tO' +p336060 +aS'was\tbe\tVBD\tB-VP\tO' +p336061 +aS'sent\tsend\tVBN\tI-VP\tO' +p336062 +aS'to\tto\tTO\tB-PP\tO' +p336063 +aS'Bournewood\tBournewood\tNNP\tB-NP\tO' +p336064 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p336065 +aS'via\tvia\tIN\tB-PP\tO' +p336066 +aS'ambulance\tambulance\tNN\tB-NP\tO' +p336067 +aS'.\t.\t.\tO\tO' +p336068 +asS'Unchanged appearance of right pneumonectomy .' +p336069 +(lp336070 +S'Unchanged\tUnchanged\tJJ\tB-NP\tO' +p336071 +aS'appearance\tappearance\tNN\tI-NP\tO' +p336072 +aS'of\tof\tIN\tB-PP\tO' +p336073 +aS'right\tright\tJJ\tB-NP\tO' +p336074 +aS'pneumonectomy\tpneumonectomy\tNN\tI-NP\tO' +p336075 +aS'.\t.\t.\tO\tO' +p336076 +asS'3. Car seat position screening was performed for screening and the infant passed .' +p336077 +(lp336078 +S'3.\t3.\tLS\tB-NP\tO' +p336079 +aS'Car\tCar\tNN\tI-NP\tB-protein' +p336080 +aS'seat\tseat\tNN\tI-NP\tO' +p336081 +aS'position\tposition\tNN\tI-NP\tO' +p336082 +aS'screening\tscreening\tNN\tI-NP\tO' +p336083 +aS'was\tbe\tVBD\tB-VP\tO' +p336084 +aS'performed\tperform\tVBN\tI-VP\tO' +p336085 +aS'for\tfor\tIN\tB-PP\tO' +p336086 +aS'screening\tscreening\tNN\tB-NP\tO' +p336087 +aS'and\tand\tCC\tO\tO' +p336088 +aS'the\tthe\tDT\tB-NP\tO' +p336089 +aS'infant\tinfant\tNN\tI-NP\tO' +p336090 +aS'passed\tpass\tVBN\tB-VP\tO' +p336091 +aS'.\t.\t.\tO\tO' +p336092 +asS'Denies any recent use of EtOH or illicit drugs .' +p336093 +(lp336094 +S'Denies\tDeny\tNNS\tB-NP\tO' +p336095 +aS'any\tany\tDT\tB-NP\tO' +p336096 +aS'recent\trecent\tJJ\tI-NP\tO' +p336097 +aS'use\tuse\tNN\tI-NP\tO' +p336098 +aS'of\tof\tIN\tB-PP\tO' +p336099 +aS'EtOH\tEtOH\tNN\tB-NP\tO' +p336100 +aS'or\tor\tCC\tO\tO' +p336101 +aS'illicit\tillicit\tJJ\tB-NP\tO' +p336102 +aS'drugs\tdrug\tNNS\tI-NP\tO' +p336103 +aS'.\t.\t.\tO\tO' +p336104 +asS'A large filling defect is seen in the distal duct representing a stone .' +p336105 +(lp336106 +S'A\tA\tDT\tB-NP\tO' +p336107 +aS'large\tlarge\tJJ\tI-NP\tO' +p336108 +aS'filling\tfilling\tNN\tI-NP\tO' +p336109 +aS'defect\tdefect\tNN\tI-NP\tO' +p336110 +aS'is\tbe\tVBZ\tB-VP\tO' +p336111 +aS'seen\tsee\tVBN\tI-VP\tO' +p336112 +aS'in\tin\tIN\tB-PP\tO' +p336113 +aS'the\tthe\tDT\tB-NP\tO' +p336114 +aS'distal\tdistal\tJJ\tI-NP\tO' +p336115 +aS'duct\tduct\tNN\tI-NP\tO' +p336116 +aS'representing\trepresent\tVBG\tB-VP\tO' +p336117 +aS'a\ta\tDT\tB-NP\tO' +p336118 +aS'stone\tstone\tNN\tI-NP\tO' +p336119 +aS'.\t.\t.\tO\tO' +p336120 +asS'She underwent an open laparoscopy , total abdominal hysterectomy , bilateral salpingo-oophorectomy , lysis of adhesions , Birch procedure , and suprapubic Foley catheter placement and Jackson-Pratt drain placement .' +p336121 +(lp336122 +S'She\tShe\tPRP\tB-NP\tO' +p336123 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p336124 +aS'an\tan\tDT\tB-NP\tO' +p336125 +aS'open\topen\tJJ\tI-NP\tO' +p336126 +aS'laparoscopy\tlaparoscopy\tNN\tI-NP\tO' +p336127 +aS',\t,\t,\tO\tO' +p336128 +aS'total\ttotal\tJJ\tB-NP\tO' +p336129 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p336130 +aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' +p336131 +aS',\t,\t,\tO\tO' +p336132 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p336133 +aS'salpingo-oophorectomy\tsalpingo-oophorectomy\tNN\tI-NP\tO' +p336134 +aS',\t,\t,\tO\tO' +p336135 +aS'lysis\tlysis\tNN\tB-NP\tO' +p336136 +aS'of\tof\tIN\tB-PP\tO' +p336137 +aS'adhesions\tadhesion\tNNS\tB-NP\tO' +p336138 +aS',\t,\t,\tO\tO' +p336139 +aS'Birch\tBirch\tNNP\tB-NP\tO' +p336140 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p336141 +aS',\t,\t,\tO\tO' +p336142 +aS'and\tand\tCC\tO\tO' +p336143 +aS'suprapubic\tsuprapubic\tJJ\tB-NP\tO' +p336144 +aS'Foley\tFoley\tNNP\tI-NP\tO' +p336145 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p336146 +aS'placement\tplacement\tNN\tI-NP\tO' +p336147 +aS'and\tand\tCC\tO\tO' +p336148 +aS'Jackson-Pratt\tJackson-Pratt\tJJ\tB-NP\tO' +p336149 +aS'drain\tdrain\tNN\tI-NP\tO' +p336150 +aS'placement\tplacement\tNN\tI-NP\tO' +p336151 +aS'.\t.\t.\tO\tO' +p336152 +asS'He did have a slight elevation of his TPK with an additional value of 198 with a MB fraction of 5.7 , which makes for a percentage of 2.9 .' +p336153 +(lp336154 +S'He\tHe\tPRP\tB-NP\tO' +p336155 +aS'did\tdo\tVBD\tB-VP\tO' +p336156 +aS'have\thave\tVB\tI-VP\tO' +p336157 +aS'a\ta\tDT\tB-NP\tO' +p336158 +aS'slight\tslight\tJJ\tI-NP\tO' +p336159 +aS'elevation\televation\tNN\tI-NP\tO' +p336160 +aS'of\tof\tIN\tB-PP\tO' +p336161 +aS'his\this\tPRP$\tB-NP\tO' +p336162 +aS'TPK\tTPK\tNN\tI-NP\tB-protein' +p336163 +aS'with\twith\tIN\tB-PP\tO' +p336164 +aS'an\tan\tDT\tB-NP\tO' +p336165 +aS'additional\tadditional\tJJ\tI-NP\tO' +p336166 +aS'value\tvalue\tNN\tI-NP\tO' +p336167 +aS'of\tof\tIN\tB-PP\tO' +p336168 +aS'198\t198\tCD\tB-NP\tO' +p336169 +aS'with\twith\tIN\tB-PP\tO' +p336170 +aS'a\ta\tDT\tB-NP\tO' +p336171 +aS'MB\tMB\tNN\tI-NP\tO' +p336172 +aS'fraction\tfraction\tNN\tI-NP\tO' +p336173 +aS'of\tof\tIN\tB-PP\tO' +p336174 +aS'5.7\t5.7\tCD\tB-NP\tO' +p336175 +aS',\t,\t,\tO\tO' +p336176 +aS'which\twhich\tWDT\tB-NP\tO' +p336177 +aS'makes\tmake\tVBZ\tB-VP\tO' +p336178 +aS'for\tfor\tIN\tB-PP\tO' +p336179 +aS'a\ta\tDT\tB-NP\tO' +p336180 +aS'percentage\tpercentage\tNN\tI-NP\tO' +p336181 +aS'of\tof\tIN\tB-PP\tO' +p336182 +aS'2.9\t2.9\tCD\tB-NP\tO' +p336183 +aS'.\t.\t.\tO\tO' +p336184 +asS'On postoperative day two , the patient remained hemodynamically stable .' +p336185 +(lp336186 +S'On\tOn\tIN\tB-PP\tO' +p336187 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p336188 +aS'day\tday\tNN\tI-NP\tO' +p336189 +aS'two\ttwo\tCD\tB-NP\tO' +p336190 +aS',\t,\t,\tO\tO' +p336191 +aS'the\tthe\tDT\tB-NP\tO' +p336192 +aS'patient\tpatient\tNN\tI-NP\tO' +p336193 +aS'remained\tremain\tVBD\tB-VP\tO' +p336194 +aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' +p336195 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p336196 +aS'.\t.\t.\tO\tO' +p336197 +asS"Please return to the hospital or call Dr. Alvarado 's office if you experience chills or fever greater than 101 degrees F." +p336198 +(lp336199 +S'Please\tPlease\tVB\tB-VP\tO' +p336200 +aS'return\treturn\tVB\tI-VP\tO' +p336201 +aS'to\tto\tTO\tB-PP\tO' +p336202 +aS'the\tthe\tDT\tB-NP\tO' +p336203 +aS'hospital\thospital\tNN\tI-NP\tO' +p336204 +aS'or\tor\tCC\tO\tO' +p336205 +aS'call\tcall\tVB\tB-VP\tO' +p336206 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p336207 +aS'Alvarado\tAlvarado\tNNP\tI-NP\tO' +p336208 +aS"'s\t's\tPOS\tB-NP\tO" +p336209 +aS'office\toffice\tNN\tI-NP\tO' +p336210 +aS'if\tif\tIN\tB-SBAR\tO' +p336211 +aS'you\tyou\tPRP\tB-NP\tO' +p336212 +aS'experience\texperience\tVBP\tB-VP\tO' +p336213 +aS'chills\tchill\tNNS\tB-NP\tO' +p336214 +aS'or\tor\tCC\tO\tO' +p336215 +aS'fever\tfever\tRB\tB-ADJP\tO' +p336216 +aS'greater\tgreat\tJJR\tI-ADJP\tO' +p336217 +aS'than\tthan\tIN\tB-PP\tO' +p336218 +aS'101\t101\tCD\tB-NP\tO' +p336219 +aS'degrees\tdegree\tNNS\tI-NP\tO' +p336220 +aS'F.\tF.\tNNP\tB-NP\tO' +p336221 +asS'Patient is now admitted for elective left parietal stereotactic biopsy of the tumor .' +p336222 +(lp336223 +S'Patient\tPatient\tNN\tB-NP\tO' +p336224 +aS'is\tbe\tVBZ\tB-VP\tO' +p336225 +aS'now\tnow\tRB\tI-VP\tO' +p336226 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p336227 +aS'for\tfor\tIN\tB-PP\tO' +p336228 +aS'elective\telective\tJJ\tB-NP\tO' +p336229 +aS'left\tleft\tJJ\tI-NP\tO' +p336230 +aS'parietal\tparietal\tJJ\tI-NP\tO' +p336231 +aS'stereotactic\tstereotactic\tJJ\tI-NP\tO' +p336232 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p336233 +aS'of\tof\tIN\tB-PP\tO' +p336234 +aS'the\tthe\tDT\tB-NP\tO' +p336235 +aS'tumor\ttumor\tNN\tI-NP\tO' +p336236 +aS'.\t.\t.\tO\tO' +p336237 +asS'4.) Right parietal intracranial bleeding following 1996 cardiac cath' +p336238 +(lp336239 +S'4.)\t4.)\tLS\tB-NP\tO' +p336240 +aS'Right\tRight\tNN\tI-NP\tO' +p336241 +aS'parietal\tparietal\tJJ\tI-NP\tO' +p336242 +aS'intracranial\tintracranial\tJJ\tI-NP\tO' +p336243 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p336244 +aS'following\tfollow\tVBG\tB-PP\tO' +p336245 +aS'1996\t1996\tCD\tB-NP\tO' +p336246 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p336247 +aS'cath\tcath\tNN\tI-NP\tO' +p336248 +asS'There was an occlusion in the proximal calf , of the peroneal and anterior tibial arteries .' +p336249 +(lp336250 +S'There\tThere\tEX\tB-NP\tO' +p336251 +aS'was\tbe\tVBD\tB-VP\tO' +p336252 +aS'an\tan\tDT\tB-NP\tO' +p336253 +aS'occlusion\tocclusion\tNN\tI-NP\tO' +p336254 +aS'in\tin\tIN\tB-PP\tO' +p336255 +aS'the\tthe\tDT\tB-NP\tO' +p336256 +aS'proximal\tproximal\tJJ\tI-NP\tO' +p336257 +aS'calf\tcalf\tNN\tI-NP\tO' +p336258 +aS',\t,\t,\tO\tO' +p336259 +aS'of\tof\tIN\tB-PP\tO' +p336260 +aS'the\tthe\tDT\tB-NP\tO' +p336261 +aS'peroneal\tperoneal\tJJ\tI-NP\tO' +p336262 +aS'and\tand\tCC\tI-NP\tO' +p336263 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p336264 +aS'tibial\ttibial\tJJ\tI-NP\tO' +p336265 +aS'arteries\tartery\tNNS\tI-NP\tO' +p336266 +aS'.\t.\t.\tO\tO' +p336267 +asS'There are multiple possible contributions and this is where her need for careful internal medical evaluation has arisen .' +p336268 +(lp336269 +S'There\tThere\tEX\tB-NP\tO' +p336270 +aS'are\tbe\tVBP\tB-VP\tO' +p336271 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p336272 +aS'possible\tpossible\tJJ\tI-NP\tO' +p336273 +aS'contributions\tcontribution\tNNS\tI-NP\tO' +p336274 +aS'and\tand\tCC\tO\tO' +p336275 +aS'this\tthis\tDT\tB-NP\tO' +p336276 +aS'is\tbe\tVBZ\tB-VP\tO' +p336277 +aS'where\twhere\tWRB\tB-ADVP\tO' +p336278 +aS'her\ther\tPRP$\tB-NP\tO' +p336279 +aS'need\tneed\tNN\tI-NP\tO' +p336280 +aS'for\tfor\tIN\tB-PP\tO' +p336281 +aS'careful\tcareful\tJJ\tB-NP\tO' +p336282 +aS'internal\tinternal\tJJ\tI-NP\tO' +p336283 +aS'medical\tmedical\tJJ\tI-NP\tO' +p336284 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p336285 +aS'has\thave\tVBZ\tB-VP\tO' +p336286 +aS'arisen\tarise\tVBN\tI-VP\tO' +p336287 +aS'.\t.\t.\tO\tO' +p336288 +asS'Dictated By : Kenneth O. Hogan , M.D.' +p336289 +(lp336290 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p336291 +aS'By\tBy\tIN\tB-PP\tO' +p336292 +aS':\t:\t:\tO\tO' +p336293 +aS'Kenneth\tKenneth\tNNP\tB-NP\tO' +p336294 +aS'O.\tO.\tNNP\tI-NP\tO' +p336295 +aS'Hogan\tHogan\tNNP\tI-NP\tO' +p336296 +aS',\t,\t,\tO\tO' +p336297 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p336298 +asS'The resuscitation efforts were discontinued at 4:15 AM and were begun at 3:38 AM .' +p336299 +(lp336300 +S'The\tThe\tDT\tB-NP\tO' +p336301 +aS'resuscitation\tresuscitation\tNN\tI-NP\tO' +p336302 +aS'efforts\teffort\tNNS\tI-NP\tO' +p336303 +aS'were\tbe\tVBD\tB-VP\tO' +p336304 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p336305 +aS'at\tat\tIN\tB-PP\tO' +p336306 +aS'4:15\t4:15\tCD\tB-NP\tO' +p336307 +aS'AM\tAM\tNN\tI-NP\tO' +p336308 +aS'and\tand\tCC\tO\tO' +p336309 +aS'were\tbe\tVBD\tB-VP\tO' +p336310 +aS'begun\tbegin\tVBN\tI-VP\tO' +p336311 +aS'at\tat\tIN\tB-PP\tO' +p336312 +aS'3:38\t3:38\tCD\tB-NP\tO' +p336313 +aS'AM\tAM\tNN\tI-NP\tO' +p336314 +aS'.\t.\t.\tO\tO' +p336315 +asS'Cardiac exam showed a normal PMI , regular rate and rhythm , normal S1 , physiologically split S2 .' +p336316 +(lp336317 +S'Cardiac\tCardiac\tJJ\tB-NP\tO' +p336318 +aS'exam\texam\tNN\tI-NP\tO' +p336319 +aS'showed\tshow\tVBD\tB-VP\tO' +p336320 +aS'a\ta\tDT\tB-NP\tO' +p336321 +aS'normal\tnormal\tJJ\tI-NP\tO' +p336322 +aS'PMI\tPMI\tNN\tI-NP\tO' +p336323 +aS',\t,\t,\tO\tO' +p336324 +aS'regular\tregular\tJJ\tB-NP\tO' +p336325 +aS'rate\trate\tNN\tI-NP\tO' +p336326 +aS'and\tand\tCC\tI-NP\tO' +p336327 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p336328 +aS',\t,\t,\tO\tO' +p336329 +aS'normal\tnormal\tJJ\tB-NP\tO' +p336330 +aS'S1\tS1\tNN\tI-NP\tO' +p336331 +aS',\t,\t,\tO\tO' +p336332 +aS'physiologically\tphysiologically\tRB\tB-NP\tO' +p336333 +aS'split\tsplit\tJJ\tI-NP\tO' +p336334 +aS'S2\tS2\tNN\tI-NP\tO' +p336335 +aS'.\t.\t.\tO\tO' +p336336 +asS'Dr. Tikkerth felt that the patient had mild adjustment related anxiety under good control with a history of tobacco abuse in the past .' +p336337 +(lp336338 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p336339 +aS'Tikkerth\tTikkerth\tNNP\tI-NP\tO' +p336340 +aS'felt\tfeel\tVBD\tB-VP\tO' +p336341 +aS'that\tthat\tIN\tB-SBAR\tO' +p336342 +aS'the\tthe\tDT\tB-NP\tO' +p336343 +aS'patient\tpatient\tNN\tI-NP\tO' +p336344 +aS'had\thave\tVBD\tB-VP\tO' +p336345 +aS'mild\tmild\tJJ\tB-NP\tO' +p336346 +aS'adjustment\tadjustment\tNN\tI-NP\tO' +p336347 +aS'related\trelate\tVBN\tB-NP\tO' +p336348 +aS'anxiety\tanxiety\tNN\tI-NP\tO' +p336349 +aS'under\tunder\tIN\tB-PP\tO' +p336350 +aS'good\tgood\tJJ\tB-NP\tO' +p336351 +aS'control\tcontrol\tNN\tI-NP\tO' +p336352 +aS'with\twith\tIN\tB-PP\tO' +p336353 +aS'a\ta\tDT\tB-NP\tO' +p336354 +aS'history\thistory\tNN\tI-NP\tO' +p336355 +aS'of\tof\tIN\tB-PP\tO' +p336356 +aS'tobacco\ttobacco\tNN\tB-NP\tO' +p336357 +aS'abuse\tabuse\tNN\tI-NP\tO' +p336358 +aS'in\tin\tIN\tB-PP\tO' +p336359 +aS'the\tthe\tDT\tB-NP\tO' +p336360 +aS'past\tpast\tNN\tI-NP\tO' +p336361 +aS'.\t.\t.\tO\tO' +p336362 +asS'She had remained normotensive throughout her CMED CSRU stay .' +p336363 +(lp336364 +S'She\tShe\tPRP\tB-NP\tO' +p336365 +aS'had\thave\tVBD\tB-VP\tO' +p336366 +aS'remained\tremain\tVBN\tI-VP\tO' +p336367 +aS'normotensive\tnormotensive\tJJ\tB-ADJP\tO' +p336368 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p336369 +aS'her\ther\tPRP$\tB-NP\tO' +p336370 +aS'CMED\tCMED\tNNP\tI-NP\tO' +p336371 +aS'CSRU\tCSRU\tNNP\tI-NP\tO' +p336372 +aS'stay\tstay\tNN\tI-NP\tO' +p336373 +aS'.\t.\t.\tO\tO' +p336374 +asS'She is admitted to rule out myocardial infarction .' +p336375 +(lp336376 +S'She\tShe\tPRP\tB-NP\tO' +p336377 +aS'is\tbe\tVBZ\tB-VP\tO' +p336378 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p336379 +aS'to\tto\tTO\tI-VP\tO' +p336380 +aS'rule\trule\tVB\tI-VP\tO' +p336381 +aS'out\tout\tRP\tB-PRT\tO' +p336382 +aS'myocardial\tmyocardial\tJJ\tB-NP\tO' +p336383 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p336384 +aS'.\t.\t.\tO\tO' +p336385 +asS'She had a normal abdominal exploration of a small uterus with superficial invasion on gross examination , normal ovaries .' +p336386 +(lp336387 +S'She\tShe\tPRP\tB-NP\tO' +p336388 +aS'had\thave\tVBD\tB-VP\tO' +p336389 +aS'a\ta\tDT\tB-NP\tO' +p336390 +aS'normal\tnormal\tJJ\tI-NP\tO' +p336391 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p336392 +aS'exploration\texploration\tNN\tI-NP\tO' +p336393 +aS'of\tof\tIN\tB-PP\tO' +p336394 +aS'a\ta\tDT\tB-NP\tO' +p336395 +aS'small\tsmall\tJJ\tI-NP\tO' +p336396 +aS'uterus\tuterus\tNN\tI-NP\tO' +p336397 +aS'with\twith\tIN\tB-PP\tO' +p336398 +aS'superficial\tsuperficial\tJJ\tB-NP\tO' +p336399 +aS'invasion\tinvasion\tNN\tI-NP\tO' +p336400 +aS'on\ton\tIN\tB-PP\tO' +p336401 +aS'gross\tgross\tJJ\tB-NP\tO' +p336402 +aS'examination\texamination\tNN\tI-NP\tO' +p336403 +aS',\t,\t,\tO\tO' +p336404 +aS'normal\tnormal\tJJ\tB-NP\tO' +p336405 +aS'ovaries\tovary\tNNS\tI-NP\tO' +p336406 +aS'.\t.\t.\tO\tO' +p336407 +asS'3. Ativan .5 mg twice a day .' +p336408 +(lp336409 +S'3.\t3.\tLS\tB-LST\tO' +p336410 +aS'Ativan\tAtivan\tNNP\tB-NP\tO' +p336411 +aS'.5\t.5\tCD\tI-NP\tO' +p336412 +aS'mg\tmg\tNN\tI-NP\tO' +p336413 +aS'twice\ttwice\tRB\tB-NP\tO' +p336414 +aS'a\ta\tDT\tI-NP\tO' +p336415 +aS'day\tday\tNN\tI-NP\tO' +p336416 +aS'.\t.\t.\tO\tO' +p336417 +asS'The patient is a 71 year old white female with metastatic ovarian carcinoma , who recently underwent an exploratory laparotomy on 5/2 by Dr. Korcblinknud .' +p336418 +(lp336419 +S'The\tThe\tDT\tB-NP\tO' +p336420 +aS'patient\tpatient\tNN\tI-NP\tO' +p336421 +aS'is\tbe\tVBZ\tB-VP\tO' +p336422 +aS'a\ta\tDT\tB-NP\tO' +p336423 +aS'71\t71\tCD\tI-NP\tO' +p336424 +aS'year\tyear\tNN\tI-NP\tO' +p336425 +aS'old\told\tJJ\tI-NP\tO' +p336426 +aS'white\twhite\tJJ\tI-NP\tO' +p336427 +aS'female\tfemale\tNN\tI-NP\tO' +p336428 +aS'with\twith\tIN\tB-PP\tO' +p336429 +aS'metastatic\tmetastatic\tJJ\tB-NP\tO' +p336430 +aS'ovarian\tovarian\tJJ\tI-NP\tO' +p336431 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p336432 +aS',\t,\t,\tO\tO' +p336433 +aS'who\twho\tWP\tB-NP\tO' +p336434 +aS'recently\trecently\tRB\tB-ADVP\tO' +p336435 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p336436 +aS'an\tan\tDT\tB-NP\tO' +p336437 +aS'exploratory\texploratory\tJJ\tI-NP\tO' +p336438 +aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' +p336439 +aS'on\ton\tIN\tB-PP\tO' +p336440 +aS'5/2\t5/2\tCD\tB-NP\tO' +p336441 +aS'by\tby\tIN\tB-PP\tO' +p336442 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p336443 +aS'Korcblinknud\tKorcblinknud\tNNP\tI-NP\tO' +p336444 +aS'.\t.\t.\tO\tO' +p336445 +asS'Examination revealed a tired , fatigued man with cool extremities .' +p336446 +(lp336447 +S'Examination\tExamination\tNN\tB-NP\tO' +p336448 +aS'revealed\treveal\tVBD\tB-VP\tO' +p336449 +aS'a\ta\tDT\tB-NP\tO' +p336450 +aS'tired\ttired\tJJ\tI-NP\tO' +p336451 +aS',\t,\t,\tI-NP\tO' +p336452 +aS'fatigued\tfatigued\tJJ\tI-NP\tO' +p336453 +aS'man\tman\tNN\tI-NP\tO' +p336454 +aS'with\twith\tIN\tB-PP\tO' +p336455 +aS'cool\tcool\tJJ\tB-NP\tO' +p336456 +aS'extremities\textremity\tNNS\tI-NP\tO' +p336457 +aS'.\t.\t.\tO\tO' +p336458 +asS'She had an anastomosis between the left internal mammary artery and the left anterior descending artery , saphenous vein graft to RCA , saphenous vein graft to OM .' +p336459 +(lp336460 +S'She\tShe\tPRP\tB-NP\tO' +p336461 +aS'had\thave\tVBD\tB-VP\tO' +p336462 +aS'an\tan\tDT\tB-NP\tO' +p336463 +aS'anastomosis\tanastomosis\tNN\tI-NP\tO' +p336464 +aS'between\tbetween\tIN\tB-PP\tO' +p336465 +aS'the\tthe\tDT\tB-NP\tO' +p336466 +aS'left\tleft\tJJ\tI-NP\tO' +p336467 +aS'internal\tinternal\tJJ\tI-NP\tO' +p336468 +aS'mammary\tmammary\tJJ\tI-NP\tO' +p336469 +aS'artery\tartery\tNN\tI-NP\tO' +p336470 +aS'and\tand\tCC\tO\tO' +p336471 +aS'the\tthe\tDT\tB-NP\tO' +p336472 +aS'left\tleft\tJJ\tI-NP\tO' +p336473 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p336474 +aS'descending\tdescend\tVBG\tI-NP\tO' +p336475 +aS'artery\tartery\tNN\tI-NP\tO' +p336476 +aS',\t,\t,\tO\tO' +p336477 +aS'saphenous\tsaphenous\tJJ\tB-NP\tO' +p336478 +aS'vein\tvein\tNN\tI-NP\tO' +p336479 +aS'graft\tgraft\tNN\tI-NP\tO' +p336480 +aS'to\tto\tTO\tB-PP\tO' +p336481 +aS'RCA\tRCA\tNN\tB-NP\tB-protein' +p336482 +aS',\t,\t,\tO\tO' +p336483 +aS'saphenous\tsaphenous\tJJ\tB-NP\tO' +p336484 +aS'vein\tvein\tNN\tI-NP\tO' +p336485 +aS'graft\tgraft\tNN\tI-NP\tO' +p336486 +aS'to\tto\tTO\tB-PP\tO' +p336487 +aS'OM\tOM\tNN\tB-NP\tO' +p336488 +aS'.\t.\t.\tO\tO' +p336489 +asS'His pressure is 150/90 .' +p336490 +(lp336491 +S'His\tHis\tPRP$\tB-NP\tO' +p336492 +aS'pressure\tpressure\tNN\tI-NP\tO' +p336493 +aS'is\tbe\tVBZ\tB-VP\tO' +p336494 +aS'150/90\t150/90\tCD\tB-NP\tO' +p336495 +aS'.\t.\t.\tO\tO' +p336496 +asS'The patient presented with a chief complaint of WEAK .' +p336497 +(lp336498 +S'The\tThe\tDT\tB-NP\tO' +p336499 +aS'patient\tpatient\tNN\tI-NP\tO' +p336500 +aS'presented\tpresent\tVBD\tB-VP\tO' +p336501 +aS'with\twith\tIN\tB-PP\tO' +p336502 +aS'a\ta\tDT\tB-NP\tO' +p336503 +aS'chief\tchief\tJJ\tI-NP\tO' +p336504 +aS'complaint\tcomplaint\tNN\tI-NP\tO' +p336505 +aS'of\tof\tIN\tB-PP\tO' +p336506 +aS'WEAK\tWEAK\tNN\tB-NP\tB-protein' +p336507 +aS'.\t.\t.\tO\tO' +p336508 +asS'NEURO : A&Ox3 .' +p336509 +(lp336510 +S'NEURO\tNEURO\tNN\tB-NP\tB-protein' +p336511 +aS':\t:\t:\tO\tO' +p336512 +aS'A&Ox3\tA&Ox3\tNN\tB-NP\tO' +p336513 +aS'.\t.\t.\tO\tO' +p336514 +asS'He was asked to continue on his Nexium , iron and vitamin C and was continued on his other home medications .' +p336515 +(lp336516 +S'He\tHe\tPRP\tB-NP\tO' +p336517 +aS'was\tbe\tVBD\tB-VP\tO' +p336518 +aS'asked\task\tVBN\tI-VP\tO' +p336519 +aS'to\tto\tTO\tI-VP\tO' +p336520 +aS'continue\tcontinue\tVB\tI-VP\tO' +p336521 +aS'on\ton\tIN\tB-PP\tO' +p336522 +aS'his\this\tPRP$\tB-NP\tO' +p336523 +aS'Nexium\tNexium\tNN\tI-NP\tO' +p336524 +aS',\t,\t,\tI-NP\tO' +p336525 +aS'iron\tiron\tNN\tI-NP\tO' +p336526 +aS'and\tand\tCC\tI-NP\tO' +p336527 +aS'vitamin\tvitamin\tNN\tI-NP\tO' +p336528 +aS'C\tC\tNN\tI-NP\tO' +p336529 +aS'and\tand\tCC\tO\tO' +p336530 +aS'was\tbe\tVBD\tB-VP\tO' +p336531 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p336532 +aS'on\ton\tIN\tB-PP\tO' +p336533 +aS'his\this\tPRP$\tB-NP\tO' +p336534 +aS'other\tother\tJJ\tI-NP\tO' +p336535 +aS'home\thome\tNN\tI-NP\tO' +p336536 +aS'medications\tmedication\tNNS\tI-NP\tO' +p336537 +aS'.\t.\t.\tO\tO' +p336538 +asS'BNP was elevated at 7500 .' +p336539 +(lp336540 +S'BNP\tBNP\tNN\tB-NP\tB-protein' +p336541 +aS'was\tbe\tVBD\tB-VP\tO' +p336542 +aS'elevated\televate\tVBN\tI-VP\tO' +p336543 +aS'at\tat\tIN\tB-PP\tO' +p336544 +aS'7500\t7500\tCD\tB-NP\tO' +p336545 +aS'.\t.\t.\tO\tO' +p336546 +asS'9. Pericarditis .' +p336547 +(lp336548 +S'9.\t9.\tLS\tB-LST\tO' +p336549 +aS'Pericarditis\tPericarditis\tNNP\tB-NP\tO' +p336550 +aS'.\t.\t.\tO\tO' +p336551 +asS'On admission included Percocet for pain and multivitamins .' +p336552 +(lp336553 +S'On\tOn\tIN\tB-PP\tO' +p336554 +aS'admission\tadmission\tNN\tB-NP\tO' +p336555 +aS'included\tinclude\tVBD\tB-VP\tO' +p336556 +aS'Percocet\tPercocet\tNNP\tB-NP\tO' +p336557 +aS'for\tfor\tIN\tB-PP\tO' +p336558 +aS'pain\tpain\tNN\tB-NP\tO' +p336559 +aS'and\tand\tCC\tI-NP\tO' +p336560 +aS'multivitamins\tmultivitamin\tNNS\tI-NP\tO' +p336561 +aS'.\t.\t.\tO\tO' +p336562 +asS'In the emergency room , his ultrasound showed mild hydronephrosis with new perinephric fluid surrounding the transplant kidney and hence , underwent a CT scan of his abdomen / pelvis which showed a large left-sided of retroperitoneal hemorrhage extending down to the level of the renal transplant possibly related to recent transplant biopsy .' +p336563 +(lp336564 +S'In\tIn\tIN\tB-PP\tO' +p336565 +aS'the\tthe\tDT\tB-NP\tO' +p336566 +aS'emergency\temergency\tNN\tI-NP\tO' +p336567 +aS'room\troom\tNN\tI-NP\tO' +p336568 +aS',\t,\t,\tO\tO' +p336569 +aS'his\this\tPRP$\tB-NP\tO' +p336570 +aS'ultrasound\tultrasound\tNN\tI-NP\tO' +p336571 +aS'showed\tshow\tVBD\tB-VP\tO' +p336572 +aS'mild\tmild\tJJ\tB-NP\tO' +p336573 +aS'hydronephrosis\thydronephrosis\tNN\tI-NP\tO' +p336574 +aS'with\twith\tIN\tB-PP\tO' +p336575 +aS'new\tnew\tJJ\tB-NP\tO' +p336576 +aS'perinephric\tperinephric\tJJ\tI-NP\tO' +p336577 +aS'fluid\tfluid\tNN\tI-NP\tO' +p336578 +aS'surrounding\tsurround\tVBG\tB-VP\tO' +p336579 +aS'the\tthe\tDT\tB-NP\tO' +p336580 +aS'transplant\ttransplant\tNN\tI-NP\tO' +p336581 +aS'kidney\tkidney\tNN\tI-NP\tO' +p336582 +aS'and\tand\tCC\tO\tO' +p336583 +aS'hence\thence\tRB\tB-ADVP\tO' +p336584 +aS',\t,\t,\tO\tO' +p336585 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p336586 +aS'a\ta\tDT\tB-NP\tO' +p336587 +aS'CT\tCT\tNN\tI-NP\tO' +p336588 +aS'scan\tscan\tNN\tI-NP\tO' +p336589 +aS'of\tof\tIN\tB-PP\tO' +p336590 +aS'his\this\tPRP$\tB-NP\tO' +p336591 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p336592 +aS'/\t/\tSYM\tI-NP\tO' +p336593 +aS'pelvis\tpelvis\tNN\tI-NP\tO' +p336594 +aS'which\twhich\tWDT\tB-NP\tO' +p336595 +aS'showed\tshow\tVBD\tB-VP\tO' +p336596 +aS'a\ta\tDT\tB-NP\tO' +p336597 +aS'large\tlarge\tJJ\tI-NP\tO' +p336598 +aS'left-sided\tleft-sided\tJJ\tI-NP\tO' +p336599 +aS'of\tof\tIN\tB-PP\tO' +p336600 +aS'retroperitoneal\tretroperitoneal\tJJ\tB-NP\tO' +p336601 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p336602 +aS'extending\textend\tVBG\tB-VP\tO' +p336603 +aS'down\tdown\tRP\tB-PRT\tO' +p336604 +aS'to\tto\tTO\tB-PP\tO' +p336605 +aS'the\tthe\tDT\tB-NP\tO' +p336606 +aS'level\tlevel\tNN\tI-NP\tO' +p336607 +aS'of\tof\tIN\tB-PP\tO' +p336608 +aS'the\tthe\tDT\tB-NP\tO' +p336609 +aS'renal\trenal\tJJ\tI-NP\tO' +p336610 +aS'transplant\ttransplant\tNN\tI-NP\tO' +p336611 +aS'possibly\tpossibly\tRB\tB-ADJP\tO' +p336612 +aS'related\trelated\tJJ\tI-ADJP\tO' +p336613 +aS'to\tto\tTO\tB-PP\tO' +p336614 +aS'recent\trecent\tJJ\tB-NP\tO' +p336615 +aS'transplant\ttransplant\tNN\tI-NP\tO' +p336616 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p336617 +aS'.\t.\t.\tO\tO' +p336618 +asS'The patient 's pain has not been relieved by Darvocet and Advil .' +p336619 +(lp336620 +S'The\tThe\tDT\tB-NP\tO' +p336621 +aS'patient\tpatient\tNN\tI-NP\tO' +p336622 +aS''s\t'\tNNS\tI-NP\tO' +p336623 +aS'pain\tpain\tNN\tI-NP\tO' +p336624 +aS'has\thave\tVBZ\tB-VP\tO' +p336625 +aS'not\tnot\tRB\tI-VP\tO' +p336626 +aS'been\tbe\tVBN\tI-VP\tO' +p336627 +aS'relieved\trelieve\tVBN\tI-VP\tO' +p336628 +aS'by\tby\tIN\tB-PP\tO' +p336629 +aS'Darvocet\tDarvocet\tNNP\tB-NP\tO' +p336630 +aS'and\tand\tCC\tI-NP\tO' +p336631 +aS'Advil\tAdvil\tNNP\tI-NP\tO' +p336632 +aS'.\t.\t.\tO\tO' +p336633 +asS'8. Furosemide 40 mg Tablet Sig : 1.5 Tablets PO BID ( 2 times a day ).' +p336634 +(lp336635 +S'8.\t8.\tCD\tB-NP\tO' +p336636 +aS'Furosemide\tFurosemide\tNNP\tI-NP\tO' +p336637 +aS'40\t40\tCD\tI-NP\tO' +p336638 +aS'mg\tmg\tNN\tI-NP\tO' +p336639 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p336640 +aS'Sig\tSig\tNNP\tI-NP\tO' +p336641 +aS':\t:\t:\tO\tO' +p336642 +aS'1.5\t1.5\tCD\tB-NP\tO' +p336643 +aS'Tablets\tTablet\tNNS\tI-NP\tO' +p336644 +aS'PO\tPO\tNN\tI-NP\tO' +p336645 +aS'BID\tBID\tNN\tI-NP\tO' +p336646 +aS'(\t(\t(\tO\tO' +p336647 +aS'2\t2\tCD\tB-NP\tO' +p336648 +aS'times\ttime\tNNS\tI-NP\tO' +p336649 +aS'a\ta\tDT\tB-NP\tO' +p336650 +aS'day\tday\tNN\tI-NP\tO' +p336651 +aS').\t).\t.\tO\tO' +p336652 +asS'The neurological examination was nonfocal .' +p336653 +(lp336654 +S'The\tThe\tDT\tB-NP\tO' +p336655 +aS'neurological\tneurological\tJJ\tI-NP\tO' +p336656 +aS'examination\texamination\tNN\tI-NP\tO' +p336657 +aS'was\tbe\tVBD\tB-VP\tO' +p336658 +aS'nonfocal\tnonfocal\tJJ\tB-ADJP\tO' +p336659 +aS'.\t.\t.\tO\tO' +p336660 +asS'The patient 's hemodynamics had improved markedly with the evacuation of the peritoneal pancreatic fluid , so that he was no longer on pressors .' +p336661 +(lp336662 +S'The\tThe\tDT\tB-NP\tO' +p336663 +aS'patient\tpatient\tNN\tI-NP\tO' +p336664 +aS''s\t'\tNNS\tI-NP\tO' +p336665 +aS'hemodynamics\themodynamic\tNNS\tI-NP\tO' +p336666 +aS'had\thave\tVBD\tB-VP\tO' +p336667 +aS'improved\timprove\tVBN\tI-VP\tO' +p336668 +aS'markedly\tmarkedly\tRB\tB-ADVP\tO' +p336669 +aS'with\twith\tIN\tB-PP\tO' +p336670 +aS'the\tthe\tDT\tB-NP\tO' +p336671 +aS'evacuation\tevacuation\tNN\tI-NP\tO' +p336672 +aS'of\tof\tIN\tB-PP\tO' +p336673 +aS'the\tthe\tDT\tB-NP\tO' +p336674 +aS'peritoneal\tperitoneal\tJJ\tI-NP\tO' +p336675 +aS'pancreatic\tpancreatic\tJJ\tI-NP\tO' +p336676 +aS'fluid\tfluid\tNN\tI-NP\tO' +p336677 +aS',\t,\t,\tO\tO' +p336678 +aS'so\tso\tIN\tB-SBAR\tO' +p336679 +aS'that\tthat\tIN\tI-SBAR\tO' +p336680 +aS'he\the\tPRP\tB-NP\tO' +p336681 +aS'was\tbe\tVBD\tB-VP\tO' +p336682 +aS'no\tno\tRB\tB-ADVP\tO' +p336683 +aS'longer\tlonger\tRBR\tI-ADVP\tO' +p336684 +aS'on\ton\tIN\tB-PP\tO' +p336685 +aS'pressors\tpressor\tNNS\tB-NP\tO' +p336686 +aS'.\t.\t.\tO\tO' +p336687 +asS'He was fitted with a hinged Mcdonald brace for his LLE .' +p336688 +(lp336689 +S'He\tHe\tPRP\tB-NP\tO' +p336690 +aS'was\tbe\tVBD\tB-VP\tO' +p336691 +aS'fitted\tfit\tVBN\tI-VP\tO' +p336692 +aS'with\twith\tIN\tB-PP\tO' +p336693 +aS'a\ta\tDT\tB-NP\tO' +p336694 +aS'hinged\thinge\tVBN\tI-NP\tO' +p336695 +aS'Mcdonald\tMcdonald\tNNP\tI-NP\tO' +p336696 +aS'brace\tbrace\tNN\tI-NP\tO' +p336697 +aS'for\tfor\tIN\tB-PP\tO' +p336698 +aS'his\this\tPRP$\tB-NP\tO' +p336699 +aS'LLE\tLLE\tNN\tI-NP\tO' +p336700 +aS'.\t.\t.\tO\tO' +p336701 +asS'There is normal alignment of the cervical vertebral bodies without acute fracture or traumatic malalignment .' +p336702 +(lp336703 +S'There\tThere\tEX\tB-NP\tO' +p336704 +aS'is\tbe\tVBZ\tB-VP\tO' +p336705 +aS'normal\tnormal\tJJ\tB-NP\tO' +p336706 +aS'alignment\talignment\tNN\tI-NP\tO' +p336707 +aS'of\tof\tIN\tB-PP\tO' +p336708 +aS'the\tthe\tDT\tB-NP\tO' +p336709 +aS'cervical\tcervical\tJJ\tI-NP\tO' +p336710 +aS'vertebral\tvertebral\tJJ\tI-NP\tO' +p336711 +aS'bodies\tbody\tNNS\tI-NP\tO' +p336712 +aS'without\twithout\tIN\tB-PP\tO' +p336713 +aS'acute\tacute\tJJ\tB-NP\tO' +p336714 +aS'fracture\tfracture\tNN\tI-NP\tO' +p336715 +aS'or\tor\tCC\tO\tO' +p336716 +aS'traumatic\ttraumatic\tJJ\tB-NP\tO' +p336717 +aS'malalignment\tmalalignment\tNN\tI-NP\tO' +p336718 +aS'.\t.\t.\tO\tO' +p336719 +asS'Infant has not received any antibiotics .' +p336720 +(lp336721 +S'Infant\tInfant\tNNP\tB-NP\tO' +p336722 +aS'has\thave\tVBZ\tB-VP\tO' +p336723 +aS'not\tnot\tRB\tI-VP\tO' +p336724 +aS'received\treceive\tVBN\tI-VP\tO' +p336725 +aS'any\tany\tDT\tB-NP\tO' +p336726 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p336727 +aS'.\t.\t.\tO\tO' +p336728 +asS'Pt feeling well , denies abd pain , N/V , LH , SOB , CP .' +p336729 +(lp336730 +S'Pt\tPt\tNN\tB-NP\tO' +p336731 +aS'feeling\tfeeling\tNN\tI-NP\tO' +p336732 +aS'well\twell\tRB\tB-ADVP\tO' +p336733 +aS',\t,\t,\tO\tO' +p336734 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p336735 +aS'abd\tabd\tNN\tB-NP\tO' +p336736 +aS'pain\tpain\tNN\tI-NP\tO' +p336737 +aS',\t,\t,\tO\tO' +p336738 +aS'N/V\tN/V\tNN\tB-NP\tO' +p336739 +aS',\t,\t,\tO\tO' +p336740 +aS'LH\tLH\tNN\tB-NP\tO' +p336741 +aS',\t,\t,\tO\tO' +p336742 +aS'SOB\tSOB\tNN\tB-NP\tB-protein' +p336743 +aS',\t,\t,\tO\tO' +p336744 +aS'CP\tCP\tNN\tB-NP\tB-DNA' +p336745 +aS'.\t.\t.\tO\tO' +p336746 +asS'On postoperative day two , he was afebrile , vital signs were stable .' +p336747 +(lp336748 +S'On\tOn\tIN\tB-PP\tO' +p336749 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p336750 +aS'day\tday\tNN\tI-NP\tO' +p336751 +aS'two\ttwo\tCD\tI-NP\tO' +p336752 +aS',\t,\t,\tO\tO' +p336753 +aS'he\the\tPRP\tB-NP\tO' +p336754 +aS'was\tbe\tVBD\tB-VP\tO' +p336755 +aS'afebrile\tafebrile\tJJ\tB-NP\tO' +p336756 +aS',\t,\t,\tI-NP\tO' +p336757 +aS'vital\tvital\tJJ\tI-NP\tO' +p336758 +aS'signs\tsign\tNNS\tI-NP\tO' +p336759 +aS'were\tbe\tVBD\tB-VP\tO' +p336760 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p336761 +aS'.\t.\t.\tO\tO' +p336762 +asS'A magnetic resonance imaging and magnetic resonance angiogram study was obtained , which showed no clear evidence of arterial dissections or infarction or other pathologic processes .' +p336763 +(lp336764 +S'A\tA\tDT\tB-NP\tO' +p336765 +aS'magnetic\tmagnetic\tJJ\tI-NP\tO' +p336766 +aS'resonance\tresonance\tNN\tI-NP\tO' +p336767 +aS'imaging\timaging\tNN\tI-NP\tO' +p336768 +aS'and\tand\tCC\tO\tO' +p336769 +aS'magnetic\tmagnetic\tJJ\tB-NP\tO' +p336770 +aS'resonance\tresonance\tNN\tI-NP\tO' +p336771 +aS'angiogram\tangiogram\tNN\tI-NP\tO' +p336772 +aS'study\tstudy\tNN\tI-NP\tO' +p336773 +aS'was\tbe\tVBD\tB-VP\tO' +p336774 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p336775 +aS',\t,\t,\tO\tO' +p336776 +aS'which\twhich\tWDT\tB-NP\tO' +p336777 +aS'showed\tshow\tVBD\tB-VP\tO' +p336778 +aS'no\tno\tDT\tB-NP\tO' +p336779 +aS'clear\tclear\tJJ\tI-NP\tO' +p336780 +aS'evidence\tevidence\tNN\tI-NP\tO' +p336781 +aS'of\tof\tIN\tB-PP\tO' +p336782 +aS'arterial\tarterial\tJJ\tB-NP\tO' +p336783 +aS'dissections\tdissection\tNNS\tI-NP\tO' +p336784 +aS'or\tor\tCC\tO\tO' +p336785 +aS'infarction\tinfarction\tNN\tB-NP\tO' +p336786 +aS'or\tor\tCC\tO\tO' +p336787 +aS'other\tother\tJJ\tB-NP\tO' +p336788 +aS'pathologic\tpathologic\tJJ\tI-NP\tO' +p336789 +aS'processes\tprocess\tNNS\tI-NP\tO' +p336790 +aS'.\t.\t.\tO\tO' +p336791 +asS'Normal aortic valve leaflets .' +p336792 +(lp336793 +S'Normal\tNormal\tJJ\tB-NP\tO' +p336794 +aS'aortic\taortic\tJJ\tI-NP\tO' +p336795 +aS'valve\tvalve\tNN\tI-NP\tO' +p336796 +aS'leaflets\tleaflet\tNNS\tI-NP\tO' +p336797 +aS'.\t.\t.\tO\tO' +p336798 +asS'At this time , she is given 3 mg and was gradually increased to her regular regimen of 4 mg alternating with 3 mg.' +p336799 +(lp336800 +S'At\tAt\tIN\tB-PP\tO' +p336801 +aS'this\tthis\tDT\tB-NP\tO' +p336802 +aS'time\ttime\tNN\tI-NP\tO' +p336803 +aS',\t,\t,\tO\tO' +p336804 +aS'she\tshe\tPRP\tB-NP\tO' +p336805 +aS'is\tbe\tVBZ\tB-VP\tO' +p336806 +aS'given\tgive\tVBN\tI-VP\tO' +p336807 +aS'3\t3\tCD\tB-NP\tO' +p336808 +aS'mg\tmg\tNN\tI-NP\tO' +p336809 +aS'and\tand\tCC\tO\tO' +p336810 +aS'was\tbe\tVBD\tB-VP\tO' +p336811 +aS'gradually\tgradually\tRB\tI-VP\tO' +p336812 +aS'increased\tincrease\tVBN\tI-VP\tO' +p336813 +aS'to\tto\tTO\tB-PP\tO' +p336814 +aS'her\ther\tPRP$\tB-NP\tO' +p336815 +aS'regular\tregular\tJJ\tI-NP\tO' +p336816 +aS'regimen\tregimen\tNN\tI-NP\tO' +p336817 +aS'of\tof\tIN\tB-PP\tO' +p336818 +aS'4\t4\tCD\tB-NP\tO' +p336819 +aS'mg\tmg\tNN\tI-NP\tO' +p336820 +aS'alternating\talternate\tVBG\tB-VP\tO' +p336821 +aS'with\twith\tIN\tB-PP\tO' +p336822 +aS'3\t3\tCD\tB-NP\tO' +p336823 +aS'mg.\tmg.\tNN\tI-NP\tO' +p336824 +asS'On admission Digoxin 7.3 , sodium 142 , potassium 2.8 ( was supplemented ) , blood urea nitrogen 15 , creatinine .9 , calcium 9.3 , phosphorus 1.9 , magnesium 1.8 .' +p336825 +(lp336826 +S'On\tOn\tIN\tB-PP\tO' +p336827 +aS'admission\tadmission\tNN\tB-NP\tO' +p336828 +aS'Digoxin\tDigoxin\tNN\tI-NP\tO' +p336829 +aS'7.3\t7.3\tCD\tI-NP\tO' +p336830 +aS',\t,\t,\tO\tO' +p336831 +aS'sodium\tsodium\tNN\tB-NP\tO' +p336832 +aS'142\t142\tCD\tI-NP\tO' +p336833 +aS',\t,\t,\tO\tO' +p336834 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p336835 +aS'2.8\t2.8\tCD\tI-NP\tO' +p336836 +aS'(\t(\t(\tO\tO' +p336837 +aS'was\tbe\tVBD\tB-VP\tO' +p336838 +aS'supplemented\tsupplement\tVBN\tI-VP\tO' +p336839 +aS')\t)\t)\tO\tO' +p336840 +aS',\t,\t,\tO\tO' +p336841 +aS'blood\tblood\tNN\tB-NP\tO' +p336842 +aS'urea\turea\tNN\tI-NP\tO' +p336843 +aS'nitrogen\tnitrogen\tNN\tI-NP\tO' +p336844 +aS'15\t15\tCD\tI-NP\tO' +p336845 +aS',\t,\t,\tO\tO' +p336846 +aS'creatinine\tcreatinine\tNN\tB-NP\tB-protein' +p336847 +aS'.9\t.9\tCD\tI-NP\tI-protein' +p336848 +aS',\t,\t,\tO\tO' +p336849 +aS'calcium\tcalcium\tNN\tB-NP\tO' +p336850 +aS'9.3\t9.3\tCD\tI-NP\tO' +p336851 +aS',\t,\t,\tO\tO' +p336852 +aS'phosphorus\tphosphorus\tNN\tB-NP\tO' +p336853 +aS'1.9\t1.9\tCD\tI-NP\tO' +p336854 +aS',\t,\t,\tO\tO' +p336855 +aS'magnesium\tmagnesium\tNN\tB-NP\tO' +p336856 +aS'1.8\t1.8\tCD\tI-NP\tO' +p336857 +aS'.\t.\t.\tO\tO' +p336858 +asS'you will need a repeat echo within 3-6 months' +p336859 +(lp336860 +S'you\tyou\tPRP\tB-NP\tO' +p336861 +aS'will\twill\tMD\tB-VP\tO' +p336862 +aS'need\tneed\tVB\tI-VP\tO' +p336863 +aS'a\ta\tDT\tB-NP\tO' +p336864 +aS'repeat\trepeat\tNN\tI-NP\tO' +p336865 +aS'echo\techo\tNN\tI-NP\tO' +p336866 +aS'within\twithin\tIN\tB-PP\tO' +p336867 +aS'3-6\t3-6\tCD\tB-NP\tO' +p336868 +aS'months\tmonth\tNNS\tI-NP\tO' +p336869 +asS'These wounds should be treated with three times daily wet to dry dressings .' +p336870 +(lp336871 +S'These\tThese\tDT\tB-NP\tO' +p336872 +aS'wounds\twound\tNNS\tI-NP\tO' +p336873 +aS'should\tshould\tMD\tB-VP\tO' +p336874 +aS'be\tbe\tVB\tI-VP\tO' +p336875 +aS'treated\ttreat\tVBN\tI-VP\tO' +p336876 +aS'with\twith\tIN\tB-PP\tO' +p336877 +aS'three\tthree\tCD\tB-NP\tO' +p336878 +aS'times\ttime\tNNS\tI-NP\tO' +p336879 +aS'daily\tdaily\tRB\tI-NP\tO' +p336880 +aS'wet\twet\tJJ\tI-ADJP\tO' +p336881 +aS'to\tto\tTO\tB-PP\tO' +p336882 +aS'dry\tdry\tJJ\tB-NP\tO' +p336883 +aS'dressings\tdressing\tNNS\tI-NP\tO' +p336884 +aS'.\t.\t.\tO\tO' +p336885 +asS'The patient was diagnosed for B12 deficiency due to her long history of poor p.o. intake .' +p336886 +(lp336887 +S'The\tThe\tDT\tB-NP\tO' +p336888 +aS'patient\tpatient\tNN\tI-NP\tO' +p336889 +aS'was\tbe\tVBD\tB-VP\tO' +p336890 +aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' +p336891 +aS'for\tfor\tIN\tB-PP\tO' +p336892 +aS'B12\tB12\tNN\tB-NP\tB-protein' +p336893 +aS'deficiency\tdeficiency\tNN\tI-NP\tO' +p336894 +aS'due\tdue\tIN\tB-PP\tO' +p336895 +aS'to\tto\tTO\tB-PP\tO' +p336896 +aS'her\ther\tPRP$\tB-NP\tO' +p336897 +aS'long\tlong\tJJ\tI-NP\tO' +p336898 +aS'history\thistory\tNN\tI-NP\tO' +p336899 +aS'of\tof\tIN\tB-PP\tO' +p336900 +aS'poor\tpoor\tJJ\tB-NP\tO' +p336901 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p336902 +aS'intake\tintake\tNN\tI-NP\tO' +p336903 +aS'.\t.\t.\tO\tO' +p336904 +asS'He was treated with aspirin , heparin , and intravenous nitroglycerin .' +p336905 +(lp336906 +S'He\tHe\tPRP\tB-NP\tO' +p336907 +aS'was\tbe\tVBD\tB-VP\tO' +p336908 +aS'treated\ttreat\tVBN\tI-VP\tO' +p336909 +aS'with\twith\tIN\tB-PP\tO' +p336910 +aS'aspirin\taspirin\tNN\tB-NP\tO' +p336911 +aS',\t,\t,\tO\tO' +p336912 +aS'heparin\theparin\tNN\tB-NP\tO' +p336913 +aS',\t,\t,\tO\tO' +p336914 +aS'and\tand\tCC\tO\tO' +p336915 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p336916 +aS'nitroglycerin\tnitroglycerin\tNN\tI-NP\tO' +p336917 +aS'.\t.\t.\tO\tO' +p336918 +asS'5. Ipratropium Bromide 18 mcg / Actuation Aerosol Sig : Two ( 2 ) Puff Inhalation QID ( 4 times a day ) .' +p336919 +(lp336920 +S'5.\t5.\tLS\tB-NP\tO' +p336921 +aS'Ipratropium\tIpratropium\tNN\tI-NP\tO' +p336922 +aS'Bromide\tBromide\tNN\tI-NP\tO' +p336923 +aS'18\t18\tCD\tI-NP\tO' +p336924 +aS'mcg\tmcg\tNN\tI-NP\tO' +p336925 +aS'/\t/\tSYM\tB-NP\tO' +p336926 +aS'Actuation\tActuation\tNN\tI-NP\tO' +p336927 +aS'Aerosol\tAerosol\tNNP\tI-NP\tO' +p336928 +aS'Sig\tSig\tNNP\tI-NP\tO' +p336929 +aS':\t:\t:\tO\tO' +p336930 +aS'Two\tTwo\tCD\tB-NP\tO' +p336931 +aS'(\t(\t(\tO\tO' +p336932 +aS'2\t2\tCD\tO\tO' +p336933 +aS')\t)\t)\tO\tO' +p336934 +aS'Puff\tPuff\tNN\tB-NP\tO' +p336935 +aS'Inhalation\tInhalation\tNN\tI-NP\tO' +p336936 +aS'QID\tQID\tNN\tI-NP\tO' +p336937 +aS'(\t(\t(\tO\tO' +p336938 +aS'4\t4\tCD\tB-NP\tO' +p336939 +aS'times\ttime\tNNS\tI-NP\tO' +p336940 +aS'a\ta\tDT\tB-NP\tO' +p336941 +aS'day\tday\tNN\tI-NP\tO' +p336942 +aS')\t)\t)\tO\tO' +p336943 +aS'.\t.\t.\tO\tO' +p336944 +asS'[ Due to acoustic shadowing , the severity of mitral regurgitation may be significantly UNDERestimated .]' +p336945 +(lp336946 +S'[\t[\t(\tO\tO' +p336947 +aS'Due\tDue\tJJ\tB-PP\tO' +p336948 +aS'to\tto\tTO\tI-PP\tO' +p336949 +aS'acoustic\tacoustic\tJJ\tB-NP\tO' +p336950 +aS'shadowing\tshadowing\tNN\tI-NP\tO' +p336951 +aS',\t,\t,\tO\tO' +p336952 +aS'the\tthe\tDT\tB-NP\tO' +p336953 +aS'severity\tseverity\tNN\tI-NP\tO' +p336954 +aS'of\tof\tIN\tB-PP\tO' +p336955 +aS'mitral\tmitral\tJJ\tB-NP\tO' +p336956 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p336957 +aS'may\tmay\tMD\tB-VP\tO' +p336958 +aS'be\tbe\tVB\tI-VP\tO' +p336959 +aS'significantly\tsignificantly\tRB\tI-VP\tO' +p336960 +aS'UNDERestimated\tUNDERestimate\tVBN\tI-VP\tO' +p336961 +aS'.]\t.]\t.\tO\tO' +p336962 +asS'The extremities were warm and well perfuse .' +p336963 +(lp336964 +S'The\tThe\tDT\tB-NP\tO' +p336965 +aS'extremities\textremity\tNNS\tI-NP\tO' +p336966 +aS'were\tbe\tVBD\tB-VP\tO' +p336967 +aS'warm\twarm\tJJ\tB-ADJP\tO' +p336968 +aS'and\tand\tCC\tO\tO' +p336969 +aS'well\twell\tRB\tB-VP\tO' +p336970 +aS'perfuse\tperfuse\tVBP\tI-VP\tO' +p336971 +aS'.\t.\t.\tO\tO' +p336972 +asS'This was restarted post extubation .' +p336973 +(lp336974 +S'This\tThis\tDT\tB-NP\tO' +p336975 +aS'was\tbe\tVBD\tB-VP\tO' +p336976 +aS'restarted\trestart\tVBN\tI-VP\tO' +p336977 +aS'post\tpost\tJJ\tB-NP\tO' +p336978 +aS'extubation\textubation\tNN\tI-NP\tO' +p336979 +aS'.\t.\t.\tO\tO' +p336980 +asS'He was transferred to the Ro Woodma Healthcare for further cardiac care .' +p336981 +(lp336982 +S'He\tHe\tPRP\tB-NP\tO' +p336983 +aS'was\tbe\tVBD\tB-VP\tO' +p336984 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p336985 +aS'to\tto\tTO\tB-PP\tO' +p336986 +aS'the\tthe\tDT\tB-NP\tO' +p336987 +aS'Ro\tRo\tNNP\tI-NP\tO' +p336988 +aS'Woodma\tWoodma\tNNP\tI-NP\tO' +p336989 +aS'Healthcare\tHealthcare\tNNP\tI-NP\tO' +p336990 +aS'for\tfor\tIN\tB-PP\tO' +p336991 +aS'further\tfurther\tJJ\tB-NP\tO' +p336992 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p336993 +aS'care\tcare\tNN\tI-NP\tO' +p336994 +aS'.\t.\t.\tO\tO' +p336995 +asS'She has very mild left lower extremity pain which is largely unchanged .' +p336996 +(lp336997 +S'She\tShe\tPRP\tB-NP\tO' +p336998 +aS'has\thave\tVBZ\tB-VP\tO' +p336999 +aS'very\tvery\tRB\tB-ADJP\tO' +p337000 +aS'mild\tmild\tJJ\tI-ADJP\tO' +p337001 +aS'left\tleave\tVBD\tB-VP\tO' +p337002 +aS'lower\tlow\tJJR\tB-NP\tO' +p337003 +aS'extremity\textremity\tNN\tI-NP\tO' +p337004 +aS'pain\tpain\tNN\tI-NP\tO' +p337005 +aS'which\twhich\tWDT\tB-NP\tO' +p337006 +aS'is\tbe\tVBZ\tB-VP\tO' +p337007 +aS'largely\tlargely\tRB\tB-ADJP\tO' +p337008 +aS'unchanged\tunchanged\tJJ\tI-ADJP\tO' +p337009 +aS'.\t.\t.\tO\tO' +p337010 +asS'The left subclavian Tesio which she has in place will last for several months in the mean time .' +p337011 +(lp337012 +S'The\tThe\tDT\tB-NP\tO' +p337013 +aS'left\tleft\tJJ\tI-NP\tO' +p337014 +aS'subclavian\tsubclavian\tJJ\tI-NP\tO' +p337015 +aS'Tesio\tTesio\tNN\tI-NP\tO' +p337016 +aS'which\twhich\tWDT\tB-NP\tO' +p337017 +aS'she\tshe\tPRP\tB-NP\tO' +p337018 +aS'has\thave\tVBZ\tB-VP\tO' +p337019 +aS'in\tin\tIN\tB-PP\tO' +p337020 +aS'place\tplace\tNN\tB-NP\tO' +p337021 +aS'will\twill\tMD\tB-VP\tO' +p337022 +aS'last\tlast\tVB\tI-VP\tO' +p337023 +aS'for\tfor\tIN\tB-PP\tO' +p337024 +aS'several\tseveral\tJJ\tB-NP\tO' +p337025 +aS'months\tmonth\tNNS\tI-NP\tO' +p337026 +aS'in\tin\tIN\tB-PP\tO' +p337027 +aS'the\tthe\tDT\tB-NP\tO' +p337028 +aS'mean\tmean\tJJ\tI-NP\tO' +p337029 +aS'time\ttime\tNN\tI-NP\tO' +p337030 +aS'.\t.\t.\tO\tO' +p337031 +asS'Patient improved that her mental status with improvement of her oxygenation and ventilation as well as for correction of her respiratory acidosis .' +p337032 +(lp337033 +S'Patient\tPatient\tNN\tB-NP\tO' +p337034 +aS'improved\timprove\tVBD\tB-VP\tO' +p337035 +aS'that\tthat\tIN\tB-SBAR\tO' +p337036 +aS'her\ther\tPRP$\tB-NP\tO' +p337037 +aS'mental\tmental\tJJ\tI-NP\tO' +p337038 +aS'status\tstatus\tNN\tI-NP\tO' +p337039 +aS'with\twith\tIN\tB-PP\tO' +p337040 +aS'improvement\timprovement\tNN\tB-NP\tO' +p337041 +aS'of\tof\tIN\tB-PP\tO' +p337042 +aS'her\ther\tPRP$\tB-NP\tO' +p337043 +aS'oxygenation\toxygenation\tNN\tI-NP\tO' +p337044 +aS'and\tand\tCC\tI-NP\tO' +p337045 +aS'ventilation\tventilation\tNN\tI-NP\tO' +p337046 +aS'as\tas\tRB\tB-CONJP\tO' +p337047 +aS'well\twell\tRB\tI-CONJP\tO' +p337048 +aS'as\tas\tIN\tI-CONJP\tO' +p337049 +aS'for\tfor\tIN\tB-PP\tO' +p337050 +aS'correction\tcorrection\tNN\tB-NP\tO' +p337051 +aS'of\tof\tIN\tB-PP\tO' +p337052 +aS'her\ther\tPRP$\tB-NP\tO' +p337053 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p337054 +aS'acidosis\tacidosis\tNN\tI-NP\tO' +p337055 +aS'.\t.\t.\tO\tO' +p337056 +asS'There was no aortic stenosis .' +p337057 +(lp337058 +S'There\tThere\tEX\tB-NP\tO' +p337059 +aS'was\tbe\tVBD\tB-VP\tO' +p337060 +aS'no\tno\tDT\tB-NP\tO' +p337061 +aS'aortic\taortic\tJJ\tI-NP\tO' +p337062 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p337063 +aS'.\t.\t.\tO\tO' +p337064 +asS'MAINTENANCE CHEMOTHERAPY .' +p337065 +(lp337066 +S'MAINTENANCE\tMAINTENANCE\tNNP\tB-NP\tO' +p337067 +aS'CHEMOTHERAPY\tCHEMOTHERAPY\tNNP\tI-NP\tO' +p337068 +aS'.\t.\t.\tO\tO' +p337069 +asS'1. laparoscopic cholecystectomy 03/93 by Dr. Sapmal ,' +p337070 +(lp337071 +S'1.\t1.\tLS\tB-NP\tO' +p337072 +aS'laparoscopic\tlaparoscopic\tJJ\tI-NP\tO' +p337073 +aS'cholecystectomy\tcholecystectomy\tNN\tI-NP\tO' +p337074 +aS'03/93\t03/93\tCD\tI-NP\tO' +p337075 +aS'by\tby\tIN\tB-PP\tO' +p337076 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p337077 +aS'Sapmal\tSapmal\tNNP\tI-NP\tO' +p337078 +aS',\t,\t,\tO\tO' +p337079 +asS'Has a cousin with a brain tumor .' +p337080 +(lp337081 +S'Has\tHas\tIN\tB-PP\tO' +p337082 +aS'a\ta\tDT\tB-NP\tO' +p337083 +aS'cousin\tcousin\tNN\tI-NP\tO' +p337084 +aS'with\twith\tIN\tB-PP\tO' +p337085 +aS'a\ta\tDT\tB-NP\tO' +p337086 +aS'brain\tbrain\tNN\tI-NP\tO' +p337087 +aS'tumor\ttumor\tNN\tI-NP\tO' +p337088 +aS'.\t.\t.\tO\tO' +p337089 +asS'In addition , it was noted that she had saphenous vein harvested from both thighs .' +p337090 +(lp337091 +S'In\tIn\tIN\tB-PP\tO' +p337092 +aS'addition\taddition\tNN\tB-NP\tO' +p337093 +aS',\t,\t,\tO\tO' +p337094 +aS'it\tit\tPRP\tB-NP\tO' +p337095 +aS'was\tbe\tVBD\tB-VP\tO' +p337096 +aS'noted\tnote\tVBN\tI-VP\tO' +p337097 +aS'that\tthat\tIN\tB-SBAR\tO' +p337098 +aS'she\tshe\tPRP\tB-NP\tO' +p337099 +aS'had\thave\tVBD\tB-VP\tO' +p337100 +aS'saphenous\tsaphenous\tJJ\tB-NP\tO' +p337101 +aS'vein\tvein\tNN\tI-NP\tO' +p337102 +aS'harvested\tharvest\tVBN\tB-VP\tO' +p337103 +aS'from\tfrom\tIN\tB-PP\tO' +p337104 +aS'both\tboth\tDT\tB-NP\tO' +p337105 +aS'thighs\tthigh\tNNS\tI-NP\tO' +p337106 +aS'.\t.\t.\tO\tO' +p337107 +asS'Strength was decreased in both lower extremities .' +p337108 +(lp337109 +S'Strength\tStrength\tNN\tB-NP\tO' +p337110 +aS'was\tbe\tVBD\tB-VP\tO' +p337111 +aS'decreased\tdecrease\tVBN\tI-VP\tO' +p337112 +aS'in\tin\tIN\tB-PP\tO' +p337113 +aS'both\tboth\tCC\tB-NP\tO' +p337114 +aS'lower\tlow\tJJR\tI-NP\tO' +p337115 +aS'extremities\textremity\tNNS\tI-NP\tO' +p337116 +aS'.\t.\t.\tO\tO' +p337117 +asS'abd - soft , minimally distended , nt , no rebound/guarding , nabs' +p337118 +(lp337119 +S'abd\tabd\tNN\tB-NP\tO' +p337120 +aS'-\t-\tHYPH\tB-PP\tO' +p337121 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p337122 +aS',\t,\t,\tO\tO' +p337123 +aS'minimally\tminimally\tRB\tB-ADJP\tO' +p337124 +aS'distended\tdistended\tJJ\tI-ADJP\tO' +p337125 +aS',\t,\t,\tO\tO' +p337126 +aS'nt\tnt\tNN\tB-NP\tO' +p337127 +aS',\t,\t,\tO\tO' +p337128 +aS'no\tno\tDT\tB-NP\tO' +p337129 +aS'rebound/guarding\trebound/guarding\tNN\tI-NP\tO' +p337130 +aS',\t,\t,\tO\tO' +p337131 +aS'nabs\tnab\tNNS\tB-NP\tO' +p337132 +asS'Please evaluate resolution of COPD exacerbation and need for any further antibiocis' +p337133 +(lp337134 +S'Please\tPlease\tVB\tB-VP\tO' +p337135 +aS'evaluate\tevaluate\tVB\tI-VP\tO' +p337136 +aS'resolution\tresolution\tNN\tB-NP\tO' +p337137 +aS'of\tof\tIN\tB-PP\tO' +p337138 +aS'COPD\tCOPD\tNN\tB-NP\tO' +p337139 +aS'exacerbation\texacerbation\tNN\tI-NP\tO' +p337140 +aS'and\tand\tCC\tO\tO' +p337141 +aS'need\tneed\tVB\tB-VP\tO' +p337142 +aS'for\tfor\tIN\tB-PP\tO' +p337143 +aS'any\tany\tDT\tB-NP\tO' +p337144 +aS'further\tfurther\tJJ\tI-NP\tO' +p337145 +aS'antibiocis\tantibiocis\tNN\tI-NP\tO' +p337146 +asS'He has been receiving chemotherapy since then .' +p337147 +(lp337148 +S'He\tHe\tPRP\tB-NP\tO' +p337149 +aS'has\thave\tVBZ\tB-VP\tO' +p337150 +aS'been\tbe\tVBN\tI-VP\tO' +p337151 +aS'receiving\treceive\tVBG\tI-VP\tO' +p337152 +aS'chemotherapy\tchemotherapy\tNN\tB-NP\tO' +p337153 +aS'since\tsince\tIN\tB-PP\tO' +p337154 +aS'then\tthen\tRB\tB-NP\tO' +p337155 +aS'.\t.\t.\tO\tO' +p337156 +asS'Immunotyping was negative as well ( per verbal report ).' +p337157 +(lp337158 +S'Immunotyping\tImmunotyping\tNN\tB-NP\tO' +p337159 +aS'was\tbe\tVBD\tB-VP\tO' +p337160 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p337161 +aS'as\tas\tRB\tB-ADVP\tO' +p337162 +aS'well\twell\tRB\tI-ADVP\tO' +p337163 +aS'(\t(\t(\tO\tO' +p337164 +aS'per\tper\tIN\tB-PP\tO' +p337165 +aS'verbal\tverbal\tJJ\tB-NP\tO' +p337166 +aS'report\treport\tNN\tI-NP\tO' +p337167 +aS').\t).\t.\tO\tO' +p337168 +asS'Concurrent blood cultures grew out candida species at HCHP .' +p337169 +(lp337170 +S'Concurrent\tConcurrent\tJJ\tB-NP\tO' +p337171 +aS'blood\tblood\tNN\tI-NP\tO' +p337172 +aS'cultures\tculture\tNNS\tI-NP\tO' +p337173 +aS'grew\tgrow\tVBD\tB-VP\tO' +p337174 +aS'out\tout\tRP\tB-PRT\tO' +p337175 +aS'candida\tcandida\tNN\tB-NP\tO' +p337176 +aS'species\tspecie\tNNS\tI-NP\tO' +p337177 +aS'at\tat\tIN\tB-PP\tO' +p337178 +aS'HCHP\tHCHP\tNN\tB-NP\tB-DNA' +p337179 +aS'.\t.\t.\tO\tO' +p337180 +asS'Renal transplant medicine and transplant surgery were made aware and the pt was admitted to transplant' +p337181 +(lp337182 +S'Renal\tRenal\tJJ\tB-NP\tO' +p337183 +aS'transplant\ttransplant\tNN\tI-NP\tO' +p337184 +aS'medicine\tmedicine\tNN\tI-NP\tO' +p337185 +aS'and\tand\tCC\tO\tO' +p337186 +aS'transplant\ttransplant\tNN\tB-NP\tO' +p337187 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p337188 +aS'were\tbe\tVBD\tB-VP\tO' +p337189 +aS'made\tmake\tVBN\tI-VP\tO' +p337190 +aS'aware\taware\tJJ\tB-ADJP\tO' +p337191 +aS'and\tand\tCC\tO\tO' +p337192 +aS'the\tthe\tDT\tB-NP\tO' +p337193 +aS'pt\tpt\tNN\tI-NP\tO' +p337194 +aS'was\tbe\tVBD\tB-VP\tO' +p337195 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p337196 +aS'to\tto\tTO\tB-PP\tO' +p337197 +aS'transplant\ttransplant\tNN\tB-NP\tO' +p337198 +asS'Cardiac catheterization demonstrates no significant disease in the coronary arteries .' +p337199 +(lp337200 +S'Cardiac\tCardiac\tJJ\tB-NP\tO' +p337201 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p337202 +aS'demonstrates\tdemonstrate\tVBZ\tB-VP\tO' +p337203 +aS'no\tno\tDT\tB-NP\tO' +p337204 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p337205 +aS'disease\tdisease\tNN\tI-NP\tO' +p337206 +aS'in\tin\tIN\tB-PP\tO' +p337207 +aS'the\tthe\tDT\tB-NP\tO' +p337208 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p337209 +aS'arteries\tartery\tNNS\tI-NP\tO' +p337210 +aS'.\t.\t.\tO\tO' +p337211 +asS'2. No evidence of intraabdominal abscess or of diverticulitis .' +p337212 +(lp337213 +S'2.\t2.\tLS\tB-LST\tO' +p337214 +aS'No\tNo\tDT\tB-NP\tO' +p337215 +aS'evidence\tevidence\tNN\tI-NP\tO' +p337216 +aS'of\tof\tIN\tB-PP\tO' +p337217 +aS'intraabdominal\tintraabdominal\tJJ\tB-NP\tO' +p337218 +aS'abscess\tabscess\tNN\tI-NP\tO' +p337219 +aS'or\tor\tCC\tB-PP\tO' +p337220 +aS'of\tof\tIN\tB-PP\tO' +p337221 +aS'diverticulitis\tdiverticulitis\tNN\tB-NP\tO' +p337222 +aS'.\t.\t.\tO\tO' +p337223 +asS'5. 3-mm noncalcified pulmonary nodule within the right lower lobe .' +p337224 +(lp337225 +S'5.\t5.\tLS\tB-LST\tO' +p337226 +aS'3-mm\t3-mm\t:\tO\tO' +p337227 +aS'noncalcified\tnoncalcified\tJJ\tB-NP\tO' +p337228 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p337229 +aS'nodule\tnodule\tNN\tI-NP\tO' +p337230 +aS'within\twithin\tIN\tB-PP\tO' +p337231 +aS'the\tthe\tDT\tB-NP\tO' +p337232 +aS'right\tright\tJJ\tI-NP\tO' +p337233 +aS'lower\tlow\tJJR\tI-NP\tO' +p337234 +aS'lobe\tlobe\tNN\tI-NP\tO' +p337235 +aS'.\t.\t.\tO\tO' +p337236 +asS'8. Prandin 0.5 mg once daily' +p337237 +(lp337238 +S'8.\t8.\tCD\tB-NP\tO' +p337239 +aS'Prandin\tPrandin\tNN\tI-NP\tO' +p337240 +aS'0.5\t0.5\tCD\tB-NP\tO' +p337241 +aS'mg\tmg\tNN\tI-NP\tO' +p337242 +aS'once\tonce\tRB\tB-ADVP\tO' +p337243 +aS'daily\tdaily\tRB\tI-ADVP\tO' +p337244 +asS'The electrocardiogram reveals normal sinus rhythm at 66 beats per minute , with no ST changes , there is R wave progression .' +p337245 +(lp337246 +S'The\tThe\tDT\tB-NP\tO' +p337247 +aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' +p337248 +aS'reveals\treveal\tVBZ\tB-VP\tO' +p337249 +aS'normal\tnormal\tJJ\tB-NP\tO' +p337250 +aS'sinus\tsinus\tNN\tI-NP\tO' +p337251 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p337252 +aS'at\tat\tIN\tB-PP\tO' +p337253 +aS'66\t66\tCD\tB-NP\tO' +p337254 +aS'beats\tbeat\tNNS\tI-NP\tO' +p337255 +aS'per\tper\tIN\tB-PP\tO' +p337256 +aS'minute\tminute\tNN\tB-NP\tO' +p337257 +aS',\t,\t,\tO\tO' +p337258 +aS'with\twith\tIN\tB-PP\tO' +p337259 +aS'no\tno\tDT\tB-NP\tO' +p337260 +aS'ST\tST\tNN\tI-NP\tO' +p337261 +aS'changes\tchange\tNNS\tI-NP\tO' +p337262 +aS',\t,\t,\tO\tO' +p337263 +aS'there\tthere\tEX\tB-NP\tO' +p337264 +aS'is\tbe\tVBZ\tB-VP\tO' +p337265 +aS'R\tR\tNN\tB-NP\tO' +p337266 +aS'wave\twave\tNN\tI-NP\tO' +p337267 +aS'progression\tprogression\tNN\tI-NP\tO' +p337268 +aS'.\t.\t.\tO\tO' +p337269 +asS'A few weeks prior to admission , he fell down on his back and started taking ibuprofen 1000 mg once a day for pain and Vioxx in addition to his aspirin and Coumadin regimen .' +p337270 +(lp337271 +S'A\tA\tDT\tB-NP\tO' +p337272 +aS'few\tfew\tJJ\tI-NP\tO' +p337273 +aS'weeks\tweek\tNNS\tI-NP\tO' +p337274 +aS'prior\tprior\tRB\tB-ADVP\tO' +p337275 +aS'to\tto\tTO\tB-PP\tO' +p337276 +aS'admission\tadmission\tNN\tB-NP\tO' +p337277 +aS',\t,\t,\tO\tO' +p337278 +aS'he\the\tPRP\tB-NP\tO' +p337279 +aS'fell\tfall\tVBD\tB-VP\tO' +p337280 +aS'down\tdown\tRP\tB-PRT\tO' +p337281 +aS'on\ton\tIN\tB-PP\tO' +p337282 +aS'his\this\tPRP$\tB-NP\tO' +p337283 +aS'back\tback\tNN\tI-NP\tO' +p337284 +aS'and\tand\tCC\tO\tO' +p337285 +aS'started\tstart\tVBD\tB-VP\tO' +p337286 +aS'taking\ttake\tVBG\tI-VP\tO' +p337287 +aS'ibuprofen\tibuprofen\tNN\tB-NP\tO' +p337288 +aS'1000\t1000\tCD\tI-NP\tO' +p337289 +aS'mg\tmg\tNN\tI-NP\tO' +p337290 +aS'once\tonce\tRB\tB-ADVP\tO' +p337291 +aS'a\ta\tDT\tB-NP\tO' +p337292 +aS'day\tday\tNN\tI-NP\tO' +p337293 +aS'for\tfor\tIN\tB-PP\tO' +p337294 +aS'pain\tpain\tNN\tB-NP\tO' +p337295 +aS'and\tand\tCC\tI-NP\tO' +p337296 +aS'Vioxx\tVioxx\tNN\tI-NP\tO' +p337297 +aS'in\tin\tIN\tB-PP\tO' +p337298 +aS'addition\taddition\tNN\tB-NP\tO' +p337299 +aS'to\tto\tTO\tB-PP\tO' +p337300 +aS'his\this\tPRP$\tB-NP\tO' +p337301 +aS'aspirin\taspirin\tNN\tI-NP\tO' +p337302 +aS'and\tand\tCC\tI-NP\tO' +p337303 +aS'Coumadin\tCoumadin\tNN\tI-NP\tO' +p337304 +aS'regimen\tregimen\tNN\tI-NP\tO' +p337305 +aS'.\t.\t.\tO\tO' +p337306 +asS'Heart , S1 and S2 appreciated , no murmurs , rubs or gallops .' +p337307 +(lp337308 +S'Heart\tHeart\tNN\tB-NP\tO' +p337309 +aS',\t,\t,\tI-NP\tO' +p337310 +aS'S1\tS1\tNN\tI-NP\tB-protein' +p337311 +aS'and\tand\tCC\tI-NP\tO' +p337312 +aS'S2\tS2\tNN\tI-NP\tB-protein' +p337313 +aS'appreciated\tappreciate\tVBN\tB-VP\tO' +p337314 +aS',\t,\t,\tO\tO' +p337315 +aS'no\tno\tDT\tB-NP\tO' +p337316 +aS'murmurs\tmurmur\tNNS\tI-NP\tO' +p337317 +aS',\t,\t,\tI-NP\tO' +p337318 +aS'rubs\trub\tNNS\tI-NP\tO' +p337319 +aS'or\tor\tCC\tI-NP\tO' +p337320 +aS'gallops\tgallop\tNNS\tI-NP\tO' +p337321 +aS'.\t.\t.\tO\tO' +p337322 +asS'levofloxacin 250 mg IV daily ( started 05-24 )' +p337323 +(lp337324 +S'levofloxacin\tlevofloxacin\tNN\tB-NP\tO' +p337325 +aS'250\t250\tCD\tI-NP\tO' +p337326 +aS'mg\tmg\tNN\tI-NP\tO' +p337327 +aS'IV\tIV\tCD\tB-NP\tO' +p337328 +aS'daily\tdaily\tJJ\tI-NP\tO' +p337329 +aS'(\t(\t(\tO\tO' +p337330 +aS'started\tstart\tVBN\tB-VP\tO' +p337331 +aS'05-24\t05-24\tCD\tB-NP\tO' +p337332 +aS')\t)\t)\tO\tO' +p337333 +asS'The patient tolerated the procedure well and was taken to the recovery room in good condition .' +p337334 +(lp337335 +S'The\tThe\tDT\tB-NP\tO' +p337336 +aS'patient\tpatient\tNN\tI-NP\tO' +p337337 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p337338 +aS'the\tthe\tDT\tB-NP\tO' +p337339 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p337340 +aS'well\twell\tRB\tB-ADVP\tO' +p337341 +aS'and\tand\tCC\tO\tO' +p337342 +aS'was\tbe\tVBD\tB-VP\tO' +p337343 +aS'taken\ttake\tVBN\tI-VP\tO' +p337344 +aS'to\tto\tTO\tB-PP\tO' +p337345 +aS'the\tthe\tDT\tB-NP\tO' +p337346 +aS'recovery\trecovery\tNN\tI-NP\tO' +p337347 +aS'room\troom\tNN\tI-NP\tO' +p337348 +aS'in\tin\tIN\tB-PP\tO' +p337349 +aS'good\tgood\tJJ\tB-NP\tO' +p337350 +aS'condition\tcondition\tNN\tI-NP\tO' +p337351 +aS'.\t.\t.\tO\tO' +p337352 +asS'Pt was then discharged to Arbour-Fuller Hospital Senior Life where she was in her normal state of health until three days ago .' +p337353 +(lp337354 +S'Pt\tPt\tNN\tB-NP\tO' +p337355 +aS'was\tbe\tVBD\tB-VP\tO' +p337356 +aS'then\tthen\tRB\tI-VP\tO' +p337357 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p337358 +aS'to\tto\tTO\tB-PP\tO' +p337359 +aS'Arbour-Fuller\tArbour-Fuller\tNNP\tB-NP\tO' +p337360 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p337361 +aS'Senior\tSenior\tNNP\tI-NP\tO' +p337362 +aS'Life\tLife\tNNP\tI-NP\tO' +p337363 +aS'where\twhere\tWRB\tB-ADVP\tO' +p337364 +aS'she\tshe\tPRP\tB-NP\tO' +p337365 +aS'was\tbe\tVBD\tB-VP\tO' +p337366 +aS'in\tin\tIN\tB-PP\tO' +p337367 +aS'her\ther\tPRP$\tB-NP\tO' +p337368 +aS'normal\tnormal\tJJ\tI-NP\tO' +p337369 +aS'state\tstate\tNN\tI-NP\tO' +p337370 +aS'of\tof\tIN\tB-PP\tO' +p337371 +aS'health\thealth\tNN\tB-NP\tO' +p337372 +aS'until\tuntil\tIN\tB-PP\tO' +p337373 +aS'three\tthree\tCD\tB-NP\tO' +p337374 +aS'days\tday\tNNS\tI-NP\tO' +p337375 +aS'ago\tago\tRB\tB-ADVP\tO' +p337376 +aS'.\t.\t.\tO\tO' +p337377 +asS'Her urine output subsequently increased .' +p337378 +(lp337379 +S'Her\tHer\tPRP$\tB-NP\tO' +p337380 +aS'urine\turine\tNN\tI-NP\tO' +p337381 +aS'output\toutput\tNN\tI-NP\tO' +p337382 +aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' +p337383 +aS'increased\tincrease\tVBD\tB-VP\tO' +p337384 +aS'.\t.\t.\tO\tO' +p337385 +asS'Blood type O+ , antibody negative , rubella immune , RPR nonreactive , hepatitis B surface antigen negative , group beta Strep positive .' +p337386 +(lp337387 +S'Blood\tBlood\tNN\tB-NP\tO' +p337388 +aS'type\ttype\tNN\tI-NP\tO' +p337389 +aS'O+\tO+\tNN\tI-NP\tO' +p337390 +aS',\t,\t,\tO\tO' +p337391 +aS'antibody\tantibody\tNN\tB-NP\tO' +p337392 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p337393 +aS',\t,\t,\tO\tO' +p337394 +aS'rubella\trubella\tNN\tB-NP\tO' +p337395 +aS'immune\timmune\tJJ\tB-ADJP\tO' +p337396 +aS',\t,\t,\tO\tO' +p337397 +aS'RPR\tRPR\tNN\tB-NP\tB-protein' +p337398 +aS'nonreactive\tnonreactive\tJJ\tB-ADJP\tO' +p337399 +aS',\t,\t,\tO\tO' +p337400 +aS'hepatitis\thepatitis\tNN\tB-NP\tB-protein' +p337401 +aS'B\tB\tNN\tI-NP\tI-protein' +p337402 +aS'surface\tsurface\tNN\tI-NP\tI-protein' +p337403 +aS'antigen\tantigen\tNN\tI-NP\tI-protein' +p337404 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p337405 +aS',\t,\t,\tO\tO' +p337406 +aS'group\tgroup\tNN\tB-NP\tO' +p337407 +aS'beta\tbeta\tNN\tI-NP\tO' +p337408 +aS'Strep\tStrep\tNN\tI-NP\tO' +p337409 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p337410 +aS'.\t.\t.\tO\tO' +p337411 +asS'Comments : Notified Glenn Shives 2013-09-05 6:50 p' +p337412 +(lp337413 +S'Comments\tComment\tNNS\tB-NP\tO' +p337414 +aS':\t:\t:\tO\tO' +p337415 +aS'Notified\tNotified\tNNP\tB-NP\tO' +p337416 +aS'Glenn\tGlenn\tNNP\tI-NP\tO' +p337417 +aS'Shives\tShives\tNNP\tI-NP\tO' +p337418 +aS'2013-09-05\t2013-09-05\tCD\tI-NP\tO' +p337419 +aS'6:50\t6:50\tCD\tI-NP\tO' +p337420 +aS'p\tp\tNN\tI-NP\tO' +p337421 +asS'The patient had subsequent dobutamine MIBI which was positive for inducible ischemia in the distribution of posterior descending coronary artery and posterolateral coronary artery with a small to medium perfusion defect in the inferolateral wall and basal inferior wall which was partially reversible .' +p337422 +(lp337423 +S'The\tThe\tDT\tB-NP\tO' +p337424 +aS'patient\tpatient\tNN\tI-NP\tO' +p337425 +aS'had\thave\tVBD\tB-VP\tO' +p337426 +aS'subsequent\tsubsequent\tJJ\tB-NP\tO' +p337427 +aS'dobutamine\tdobutamine\tNN\tI-NP\tO' +p337428 +aS'MIBI\tMIBI\tNN\tI-NP\tO' +p337429 +aS'which\twhich\tWDT\tB-NP\tO' +p337430 +aS'was\tbe\tVBD\tB-VP\tO' +p337431 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p337432 +aS'for\tfor\tIN\tB-PP\tO' +p337433 +aS'inducible\tinducible\tJJ\tB-NP\tO' +p337434 +aS'ischemia\tischemia\tNN\tI-NP\tO' +p337435 +aS'in\tin\tIN\tB-PP\tO' +p337436 +aS'the\tthe\tDT\tB-NP\tO' +p337437 +aS'distribution\tdistribution\tNN\tI-NP\tO' +p337438 +aS'of\tof\tIN\tB-PP\tO' +p337439 +aS'posterior\tposterior\tJJ\tB-NP\tO' +p337440 +aS'descending\tdescend\tVBG\tI-NP\tO' +p337441 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p337442 +aS'artery\tartery\tNN\tI-NP\tO' +p337443 +aS'and\tand\tCC\tI-NP\tO' +p337444 +aS'posterolateral\tposterolateral\tJJ\tI-NP\tO' +p337445 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p337446 +aS'artery\tartery\tNN\tI-NP\tO' +p337447 +aS'with\twith\tIN\tB-PP\tO' +p337448 +aS'a\ta\tDT\tB-NP\tO' +p337449 +aS'small\tsmall\tJJ\tI-NP\tO' +p337450 +aS'to\tto\tTO\tB-PP\tO' +p337451 +aS'medium\tmedium\tNN\tB-NP\tO' +p337452 +aS'perfusion\tperfusion\tNN\tI-NP\tO' +p337453 +aS'defect\tdefect\tNN\tI-NP\tO' +p337454 +aS'in\tin\tIN\tB-PP\tO' +p337455 +aS'the\tthe\tDT\tB-NP\tO' +p337456 +aS'inferolateral\tinferolateral\tJJ\tI-NP\tO' +p337457 +aS'wall\twall\tNN\tI-NP\tO' +p337458 +aS'and\tand\tCC\tO\tO' +p337459 +aS'basal\tbasal\tJJ\tB-NP\tO' +p337460 +aS'inferior\tinferior\tJJ\tI-NP\tO' +p337461 +aS'wall\twall\tNN\tI-NP\tO' +p337462 +aS'which\twhich\tWDT\tB-NP\tO' +p337463 +aS'was\tbe\tVBD\tB-VP\tO' +p337464 +aS'partially\tpartially\tRB\tB-ADJP\tO' +p337465 +aS'reversible\treversible\tJJ\tI-ADJP\tO' +p337466 +aS'.\t.\t.\tO\tO' +p337467 +asS'Initial radiologic evaluation showed negative C-spine , thoracic spine , and lumbosacral spine films .' +p337468 +(lp337469 +S'Initial\tInitial\tJJ\tB-NP\tO' +p337470 +aS'radiologic\tradiologic\tJJ\tI-NP\tO' +p337471 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p337472 +aS'showed\tshow\tVBD\tB-VP\tO' +p337473 +aS'negative\tnegative\tJJ\tB-NP\tO' +p337474 +aS'C-spine\tC-spine\tNN\tI-NP\tO' +p337475 +aS',\t,\t,\tO\tO' +p337476 +aS'thoracic\tthoracic\tJJ\tB-NP\tO' +p337477 +aS'spine\tspine\tNN\tI-NP\tO' +p337478 +aS',\t,\t,\tO\tO' +p337479 +aS'and\tand\tCC\tO\tO' +p337480 +aS'lumbosacral\tlumbosacral\tJJ\tB-NP\tB-cell_type' +p337481 +aS'spine\tspine\tNN\tI-NP\tI-cell_type' +p337482 +aS'films\tfilm\tNNS\tI-NP\tI-cell_type' +p337483 +aS'.\t.\t.\tO\tO' +p337484 +asS'The patient is a 61 - year-old Caucasian-speaking woman with a history of hypercholesterolemia and tobacco use who developed waxing and waning left substernal chest pain with radiation to the left shoulder on 2011-11-17 which lasted that entire day .' +p337485 +(lp337486 +S'The\tThe\tDT\tB-NP\tO' +p337487 +aS'patient\tpatient\tNN\tI-NP\tO' +p337488 +aS'is\tbe\tVBZ\tB-VP\tO' +p337489 +aS'a\ta\tDT\tB-NP\tO' +p337490 +aS'61\t61\tCD\tI-NP\tO' +p337491 +aS'-\t-\tHYPH\tI-NP\tO' +p337492 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p337493 +aS'Caucasian-speaking\tCaucasian-speaking\tJJ\tI-NP\tO' +p337494 +aS'woman\twoman\tNN\tI-NP\tO' +p337495 +aS'with\twith\tIN\tB-PP\tO' +p337496 +aS'a\ta\tDT\tB-NP\tO' +p337497 +aS'history\thistory\tNN\tI-NP\tO' +p337498 +aS'of\tof\tIN\tB-PP\tO' +p337499 +aS'hypercholesterolemia\thypercholesterolemia\tNN\tB-NP\tO' +p337500 +aS'and\tand\tCC\tI-NP\tO' +p337501 +aS'tobacco\ttobacco\tNN\tI-NP\tO' +p337502 +aS'use\tuse\tNN\tI-NP\tO' +p337503 +aS'who\twho\tWP\tB-NP\tO' +p337504 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p337505 +aS'waxing\twax\tVBG\tI-VP\tO' +p337506 +aS'and\tand\tCC\tI-VP\tO' +p337507 +aS'waning\twan\tVBG\tI-VP\tO' +p337508 +aS'left\tleft\tJJ\tB-NP\tO' +p337509 +aS'substernal\tsubsternal\tJJ\tI-NP\tO' +p337510 +aS'chest\tchest\tNN\tI-NP\tO' +p337511 +aS'pain\tpain\tNN\tI-NP\tO' +p337512 +aS'with\twith\tIN\tB-PP\tO' +p337513 +aS'radiation\tradiation\tNN\tB-NP\tO' +p337514 +aS'to\tto\tTO\tB-PP\tO' +p337515 +aS'the\tthe\tDT\tB-NP\tO' +p337516 +aS'left\tleft\tJJ\tI-NP\tO' +p337517 +aS'shoulder\tshoulder\tNN\tI-NP\tO' +p337518 +aS'on\ton\tIN\tB-PP\tO' +p337519 +aS'2011-11-17\t2011-11-17\tCD\tB-NP\tO' +p337520 +aS'which\twhich\tWDT\tB-NP\tO' +p337521 +aS'lasted\tlast\tVBD\tB-VP\tO' +p337522 +aS'that\tthat\tDT\tB-NP\tO' +p337523 +aS'entire\tentire\tJJ\tI-NP\tO' +p337524 +aS'day\tday\tNN\tI-NP\tO' +p337525 +aS'.\t.\t.\tO\tO' +p337526 +asS'3. Aspirin 325 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' +p337527 +(lp337528 +S'3.\t3.\tLS\tB-NP\tO' +p337529 +aS'Aspirin\tAspirin\tNN\tI-NP\tO' +p337530 +aS'325\t325\tCD\tI-NP\tO' +p337531 +aS'mg\tmg\tNN\tI-NP\tO' +p337532 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p337533 +aS'Sig\tSig\tNNP\tI-NP\tO' +p337534 +aS':\t:\t:\tO\tO' +p337535 +aS'One\tOne\tCD\tB-NP\tO' +p337536 +aS'(\t(\t(\tO\tO' +p337537 +aS'1\t1\tCD\tB-NP\tO' +p337538 +aS')\t)\t)\tO\tO' +p337539 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p337540 +aS'PO\tPO\tNN\tI-NP\tO' +p337541 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p337542 +aS'(\t(\t(\tO\tO' +p337543 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p337544 +aS')\t)\t)\tO\tO' +p337545 +aS'.\t.\t.\tO\tO' +p337546 +asS'For all these infections , the patient was treated with Vancomycin and he was also on Levofloxacin and Flagyl for presumed aspiration pneumonia at the time of his admission .' +p337547 +(lp337548 +S'For\tFor\tIN\tB-PP\tO' +p337549 +aS'all\tall\tPDT\tB-NP\tO' +p337550 +aS'these\tthese\tDT\tI-NP\tO' +p337551 +aS'infections\tinfection\tNNS\tI-NP\tO' +p337552 +aS',\t,\t,\tO\tO' +p337553 +aS'the\tthe\tDT\tB-NP\tO' +p337554 +aS'patient\tpatient\tNN\tI-NP\tO' +p337555 +aS'was\tbe\tVBD\tB-VP\tO' +p337556 +aS'treated\ttreat\tVBN\tI-VP\tO' +p337557 +aS'with\twith\tIN\tB-PP\tO' +p337558 +aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' +p337559 +aS'and\tand\tCC\tO\tO' +p337560 +aS'he\the\tPRP\tB-NP\tO' +p337561 +aS'was\tbe\tVBD\tB-VP\tO' +p337562 +aS'also\talso\tRB\tB-ADVP\tO' +p337563 +aS'on\ton\tIN\tB-PP\tO' +p337564 +aS'Levofloxacin\tLevofloxacin\tNN\tB-NP\tO' +p337565 +aS'and\tand\tCC\tI-NP\tO' +p337566 +aS'Flagyl\tFlagyl\tNN\tI-NP\tO' +p337567 +aS'for\tfor\tIN\tB-PP\tO' +p337568 +aS'presumed\tpresume\tVBN\tB-NP\tO' +p337569 +aS'aspiration\taspiration\tNN\tI-NP\tO' +p337570 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p337571 +aS'at\tat\tIN\tB-PP\tO' +p337572 +aS'the\tthe\tDT\tB-NP\tO' +p337573 +aS'time\ttime\tNN\tI-NP\tO' +p337574 +aS'of\tof\tIN\tB-PP\tO' +p337575 +aS'his\this\tPRP$\tB-NP\tO' +p337576 +aS'admission\tadmission\tNN\tI-NP\tO' +p337577 +aS'.\t.\t.\tO\tO' +p337578 +asS'benign .' +p337579 +(lp337580 +S'benign\tbenign\tJJ\tB-ADJP\tO' +p337581 +aS'.\t.\t.\tO\tO' +p337582 +asS'She had normal sensation and pulses in both legs .' +p337583 +(lp337584 +S'She\tShe\tPRP\tB-NP\tO' +p337585 +aS'had\thave\tVBD\tB-VP\tO' +p337586 +aS'normal\tnormal\tJJ\tB-NP\tO' +p337587 +aS'sensation\tsensation\tNN\tI-NP\tO' +p337588 +aS'and\tand\tCC\tI-NP\tO' +p337589 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p337590 +aS'in\tin\tIN\tB-PP\tO' +p337591 +aS'both\tboth\tDT\tB-NP\tO' +p337592 +aS'legs\tleg\tNNS\tI-NP\tO' +p337593 +aS'.\t.\t.\tO\tO' +p337594 +asS'The plan is to complete a full course of XRT to the spinal region for the plasmacytoma .' +p337595 +(lp337596 +S'The\tThe\tDT\tB-NP\tO' +p337597 +aS'plan\tplan\tNN\tI-NP\tO' +p337598 +aS'is\tbe\tVBZ\tB-VP\tO' +p337599 +aS'to\tto\tTO\tB-VP\tO' +p337600 +aS'complete\tcomplete\tVB\tI-VP\tO' +p337601 +aS'a\ta\tDT\tB-NP\tO' +p337602 +aS'full\tfull\tJJ\tI-NP\tO' +p337603 +aS'course\tcourse\tNN\tI-NP\tO' +p337604 +aS'of\tof\tIN\tB-PP\tO' +p337605 +aS'XRT\tXRT\tNN\tB-NP\tB-protein' +p337606 +aS'to\tto\tTO\tB-PP\tO' +p337607 +aS'the\tthe\tDT\tB-NP\tO' +p337608 +aS'spinal\tspinal\tJJ\tI-NP\tB-DNA' +p337609 +aS'region\tregion\tNN\tI-NP\tI-DNA' +p337610 +aS'for\tfor\tIN\tB-PP\tO' +p337611 +aS'the\tthe\tDT\tB-NP\tO' +p337612 +aS'plasmacytoma\tplasmacytoma\tNN\tI-NP\tO' +p337613 +aS'.\t.\t.\tO\tO' +p337614 +asS'He had flat T waves in I and aVL , which were unchanged from previous ECG .' +p337615 +(lp337616 +S'He\tHe\tPRP\tB-NP\tO' +p337617 +aS'had\thave\tVBD\tB-VP\tO' +p337618 +aS'flat\tflat\tJJ\tB-NP\tO' +p337619 +aS'T\tT\tNN\tI-NP\tO' +p337620 +aS'waves\twave\tNNS\tI-NP\tO' +p337621 +aS'in\tin\tIN\tB-PP\tO' +p337622 +aS'I\tI\tNN\tB-NP\tO' +p337623 +aS'and\tand\tCC\tI-NP\tO' +p337624 +aS'aVL\taVL\tNN\tI-NP\tO' +p337625 +aS',\t,\t,\tO\tO' +p337626 +aS'which\twhich\tWDT\tB-NP\tO' +p337627 +aS'were\tbe\tVBD\tB-VP\tO' +p337628 +aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' +p337629 +aS'from\tfrom\tIN\tB-PP\tO' +p337630 +aS'previous\tprevious\tJJ\tB-NP\tO' +p337631 +aS'ECG\tECG\tNN\tI-NP\tO' +p337632 +aS'.\t.\t.\tO\tO' +p337633 +asS'Located within the atrium of the right lateral ventricle is an 18 x 10 mm nodular area of increased density which is separate from the choroid plexus .' +p337634 +(lp337635 +S'Located\tLocate\tVBN\tB-VP\tO' +p337636 +aS'within\twithin\tIN\tB-PP\tO' +p337637 +aS'the\tthe\tDT\tB-NP\tO' +p337638 +aS'atrium\tatrium\tNN\tI-NP\tO' +p337639 +aS'of\tof\tIN\tB-PP\tO' +p337640 +aS'the\tthe\tDT\tB-NP\tO' +p337641 +aS'right\tright\tJJ\tI-NP\tO' +p337642 +aS'lateral\tlateral\tJJ\tI-NP\tO' +p337643 +aS'ventricle\tventricle\tNN\tI-NP\tO' +p337644 +aS'is\tbe\tVBZ\tB-VP\tO' +p337645 +aS'an\tan\tDT\tB-NP\tO' +p337646 +aS'18\t18\tCD\tI-NP\tO' +p337647 +aS'x\tx\tSYM\tI-NP\tO' +p337648 +aS'10\t10\tCD\tI-NP\tO' +p337649 +aS'mm\tmm\tNN\tI-NP\tO' +p337650 +aS'nodular\tnodular\tJJ\tI-NP\tO' +p337651 +aS'area\tarea\tNN\tI-NP\tO' +p337652 +aS'of\tof\tIN\tB-PP\tO' +p337653 +aS'increased\tincrease\tVBN\tB-NP\tO' +p337654 +aS'density\tdensity\tNN\tI-NP\tO' +p337655 +aS'which\twhich\tWDT\tB-NP\tO' +p337656 +aS'is\tbe\tVBZ\tB-VP\tO' +p337657 +aS'separate\tseparate\tJJ\tB-ADJP\tO' +p337658 +aS'from\tfrom\tIN\tB-PP\tO' +p337659 +aS'the\tthe\tDT\tB-NP\tO' +p337660 +aS'choroid\tchoroid\tJJ\tI-NP\tO' +p337661 +aS'plexus\tplexus\tNN\tI-NP\tO' +p337662 +aS'.\t.\t.\tO\tO' +p337663 +asS'During the last admission the question of a mass underlying a hemorrhage in the R-frontal region was raised .' +p337664 +(lp337665 +S'During\tDuring\tIN\tB-PP\tO' +p337666 +aS'the\tthe\tDT\tB-NP\tO' +p337667 +aS'last\tlast\tJJ\tI-NP\tO' +p337668 +aS'admission\tadmission\tNN\tI-NP\tO' +p337669 +aS'the\tthe\tDT\tB-NP\tO' +p337670 +aS'question\tquestion\tNN\tI-NP\tO' +p337671 +aS'of\tof\tIN\tB-PP\tO' +p337672 +aS'a\ta\tDT\tB-NP\tO' +p337673 +aS'mass\tmass\tNN\tI-NP\tO' +p337674 +aS'underlying\tunderlie\tVBG\tB-VP\tO' +p337675 +aS'a\ta\tDT\tB-NP\tO' +p337676 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p337677 +aS'in\tin\tIN\tB-PP\tO' +p337678 +aS'the\tthe\tDT\tB-NP\tO' +p337679 +aS'R-frontal\tR-frontal\tJJ\tI-NP\tB-DNA' +p337680 +aS'region\tregion\tNN\tI-NP\tI-DNA' +p337681 +aS'was\tbe\tVBD\tB-VP\tO' +p337682 +aS'raised\traise\tVBN\tI-VP\tO' +p337683 +aS'.\t.\t.\tO\tO' +p337684 +asS'large pericardial effusion , transfer from OSH' +p337685 +(lp337686 +S'large\tlarge\tJJ\tB-NP\tO' +p337687 +aS'pericardial\tpericardial\tJJ\tI-NP\tO' +p337688 +aS'effusion\teffusion\tNN\tI-NP\tO' +p337689 +aS',\t,\t,\tO\tO' +p337690 +aS'transfer\ttransfer\tVBP\tB-VP\tO' +p337691 +aS'from\tfrom\tIN\tB-PP\tO' +p337692 +aS'OSH\tOSH\tNN\tB-NP\tO' +p337693 +asS'The infant has been appropriate for gestational age .' +p337694 +(lp337695 +S'The\tThe\tDT\tB-NP\tO' +p337696 +aS'infant\tinfant\tNN\tI-NP\tO' +p337697 +aS'has\thave\tVBZ\tB-VP\tO' +p337698 +aS'been\tbe\tVBN\tI-VP\tO' +p337699 +aS'appropriate\tappropriate\tJJ\tB-ADJP\tO' +p337700 +aS'for\tfor\tIN\tB-PP\tO' +p337701 +aS'gestational\tgestational\tJJ\tB-NP\tO' +p337702 +aS'age\tage\tNN\tI-NP\tO' +p337703 +aS'.\t.\t.\tO\tO' +p337704 +asS"WBC 's , few bacteria ." +p337705 +(lp337706 +S'WBC\tWBC\tNNP\tB-NP\tO' +p337707 +aS"'s\t's\tPOS\tB-NP\tO" +p337708 +aS',\t,\t,\tO\tO' +p337709 +aS'few\tfew\tJJ\tB-NP\tO' +p337710 +aS'bacteria\tbacteria\tNNS\tI-NP\tO' +p337711 +aS'.\t.\t.\tO\tO' +p337712 +asS"A family meeting on 2016-05-13 was held and these findings communicated with the patient 's family ." +p337713 +(lp337714 +S'A\tA\tDT\tB-NP\tO' +p337715 +aS'family\tfamily\tNN\tI-NP\tO' +p337716 +aS'meeting\tmeeting\tNN\tI-NP\tO' +p337717 +aS'on\ton\tIN\tB-PP\tO' +p337718 +aS'2016-05-13\t2016-05-13\tNN\tB-NP\tO' +p337719 +aS'was\tbe\tVBD\tB-VP\tO' +p337720 +aS'held\thold\tVBN\tI-VP\tO' +p337721 +aS'and\tand\tCC\tO\tO' +p337722 +aS'these\tthese\tDT\tB-NP\tO' +p337723 +aS'findings\tfinding\tNNS\tI-NP\tO' +p337724 +aS'communicated\tcommunicate\tVBN\tB-VP\tO' +p337725 +aS'with\twith\tIN\tB-PP\tO' +p337726 +aS'the\tthe\tDT\tB-NP\tO' +p337727 +aS'patient\tpatient\tNN\tI-NP\tO' +p337728 +aS"'s\t's\tPOS\tB-NP\tO" +p337729 +aS'family\tfamily\tNN\tI-NP\tO' +p337730 +aS'.\t.\t.\tO\tO' +p337731 +asS'The circumflex showed mild atherosclerotic .' +p337732 +(lp337733 +S'The\tThe\tDT\tB-NP\tO' +p337734 +aS'circumflex\tcircumflex\tNN\tI-NP\tO' +p337735 +aS'showed\tshow\tVBD\tB-VP\tO' +p337736 +aS'mild\tmild\tJJ\tB-NP\tO' +p337737 +aS'atherosclerotic\tatherosclerotic\tNN\tI-NP\tO' +p337738 +aS'.\t.\t.\tO\tO' +p337739 +asS'1. Episode of pneumonia in 1996 .' +p337740 +(lp337741 +S'1.\t1.\tLS\tB-NP\tO' +p337742 +aS'Episode\tEpisode\tNN\tI-NP\tO' +p337743 +aS'of\tof\tIN\tB-PP\tO' +p337744 +aS'pneumonia\tpneumonia\tNN\tB-NP\tO' +p337745 +aS'in\tin\tIN\tB-PP\tO' +p337746 +aS'1996\t1996\tCD\tB-NP\tO' +p337747 +aS'.\t.\t.\tO\tO' +p337748 +asS'His troponin was 29.7 .' +p337749 +(lp337750 +S'His\tHis\tPRP$\tB-NP\tO' +p337751 +aS'troponin\ttroponin\tNN\tI-NP\tO' +p337752 +aS'was\tbe\tVBD\tB-VP\tO' +p337753 +aS'29.7\t29.7\tCD\tB-NP\tO' +p337754 +aS'.\t.\t.\tO\tO' +p337755 +asS'Soft , NT/ND with normoactive BS .' +p337756 +(lp337757 +S'Soft\tSoft\tRB\tB-ADVP\tO' +p337758 +aS',\t,\t,\tO\tO' +p337759 +aS'NT/ND\tNT/ND\tNN\tB-NP\tB-protein' +p337760 +aS'with\twith\tIN\tB-PP\tO' +p337761 +aS'normoactive\tnormoactive\tJJ\tB-NP\tO' +p337762 +aS'BS\tBS\tNNP\tI-NP\tO' +p337763 +aS'.\t.\t.\tO\tO' +p337764 +asS'After extubation , the patient was oxygenating well on face mask .' +p337765 +(lp337766 +S'After\tAfter\tIN\tB-PP\tO' +p337767 +aS'extubation\textubation\tNN\tB-NP\tO' +p337768 +aS',\t,\t,\tO\tO' +p337769 +aS'the\tthe\tDT\tB-NP\tO' +p337770 +aS'patient\tpatient\tNN\tI-NP\tO' +p337771 +aS'was\tbe\tVBD\tB-VP\tO' +p337772 +aS'oxygenating\toxygenate\tVBG\tI-VP\tO' +p337773 +aS'well\twell\tRB\tB-ADVP\tO' +p337774 +aS'on\ton\tIN\tB-PP\tO' +p337775 +aS'face\tface\tNN\tB-NP\tO' +p337776 +aS'mask\tmask\tNN\tI-NP\tO' +p337777 +aS'.\t.\t.\tO\tO' +p337778 +asS'He was put on 100% nonrebreather and his oxygen saturations improved to the low nineties .' +p337779 +(lp337780 +S'He\tHe\tPRP\tB-NP\tO' +p337781 +aS'was\tbe\tVBD\tB-VP\tO' +p337782 +aS'put\tput\tVBN\tI-VP\tO' +p337783 +aS'on\ton\tIN\tB-PP\tO' +p337784 +aS'100%\t100%\tNN\tB-NP\tO' +p337785 +aS'nonrebreather\tnonrebreather\tNN\tI-NP\tO' +p337786 +aS'and\tand\tCC\tO\tO' +p337787 +aS'his\this\tPRP$\tB-NP\tO' +p337788 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p337789 +aS'saturations\tsaturation\tNNS\tI-NP\tO' +p337790 +aS'improved\timprove\tVBD\tB-VP\tO' +p337791 +aS'to\tto\tTO\tB-PP\tO' +p337792 +aS'the\tthe\tDT\tB-NP\tO' +p337793 +aS'low\tlow\tJJ\tI-NP\tO' +p337794 +aS'nineties\tninety\tNNS\tI-NP\tO' +p337795 +aS'.\t.\t.\tO\tO' +p337796 +asS'Urinalysis negative except for large blood .' +p337797 +(lp337798 +S'Urinalysis\tUrinalysis\tNN\tB-NP\tO' +p337799 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p337800 +aS'except\texcept\tIN\tB-PP\tO' +p337801 +aS'for\tfor\tIN\tB-PP\tO' +p337802 +aS'large\tlarge\tJJ\tB-NP\tO' +p337803 +aS'blood\tblood\tNN\tI-NP\tO' +p337804 +aS'.\t.\t.\tO\tO' +p337805 +asS'The patient was scheduled for peripherally inserted central catheter line placement knowing that he was going to need long term intravenous antibiotics .' +p337806 +(lp337807 +S'The\tThe\tDT\tB-NP\tO' +p337808 +aS'patient\tpatient\tNN\tI-NP\tO' +p337809 +aS'was\tbe\tVBD\tB-VP\tO' +p337810 +aS'scheduled\tschedule\tVBN\tI-VP\tO' +p337811 +aS'for\tfor\tIN\tB-PP\tO' +p337812 +aS'peripherally\tperipherally\tRB\tB-NP\tO' +p337813 +aS'inserted\tinsert\tVBN\tI-NP\tO' +p337814 +aS'central\tcentral\tJJ\tI-NP\tO' +p337815 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p337816 +aS'line\tline\tNN\tI-NP\tO' +p337817 +aS'placement\tplacement\tNN\tI-NP\tO' +p337818 +aS'knowing\tknow\tVBG\tB-VP\tO' +p337819 +aS'that\tthat\tIN\tB-SBAR\tO' +p337820 +aS'he\the\tPRP\tB-NP\tO' +p337821 +aS'was\tbe\tVBD\tB-VP\tO' +p337822 +aS'going\tgo\tVBG\tI-VP\tO' +p337823 +aS'to\tto\tTO\tI-VP\tO' +p337824 +aS'need\tneed\tVB\tI-VP\tO' +p337825 +aS'long\tlong\tJJ\tB-NP\tO' +p337826 +aS'term\tterm\tNN\tI-NP\tO' +p337827 +aS'intravenous\tintravenous\tJJ\tI-NP\tO' +p337828 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p337829 +aS'.\t.\t.\tO\tO' +p337830 +asS'His wife says his hands and lips have been blue .' +p337831 +(lp337832 +S'His\tHis\tPRP$\tB-NP\tO' +p337833 +aS'wife\twife\tNN\tI-NP\tO' +p337834 +aS'says\tsay\tVBZ\tB-VP\tO' +p337835 +aS'his\this\tPRP$\tB-NP\tO' +p337836 +aS'hands\thand\tNNS\tI-NP\tO' +p337837 +aS'and\tand\tCC\tI-NP\tO' +p337838 +aS'lips\tlip\tNNS\tI-NP\tO' +p337839 +aS'have\thave\tVBP\tB-VP\tO' +p337840 +aS'been\tbe\tVBN\tI-VP\tO' +p337841 +aS'blue\tblue\tJJ\tB-ADJP\tO' +p337842 +aS'.\t.\t.\tO\tO' +p337843 +asS'Some spotting on the day prior to admission , but not a normal period .' +p337844 +(lp337845 +S'Some\tSome\tDT\tB-NP\tO' +p337846 +aS'spotting\tspotting\tNN\tI-NP\tO' +p337847 +aS'on\ton\tIN\tB-PP\tO' +p337848 +aS'the\tthe\tDT\tB-NP\tO' +p337849 +aS'day\tday\tNN\tI-NP\tO' +p337850 +aS'prior\tprior\tRB\tB-ADVP\tO' +p337851 +aS'to\tto\tTO\tB-PP\tO' +p337852 +aS'admission\tadmission\tNN\tB-NP\tO' +p337853 +aS',\t,\t,\tO\tO' +p337854 +aS'but\tbut\tCC\tB-CONJP\tO' +p337855 +aS'not\tnot\tRB\tI-CONJP\tO' +p337856 +aS'a\ta\tDT\tB-NP\tO' +p337857 +aS'normal\tnormal\tJJ\tI-NP\tO' +p337858 +aS'period\tperiod\tNN\tI-NP\tO' +p337859 +aS'.\t.\t.\tO\tO' +p337860 +asS'His troponins remained lower than his baseline levels and there was no suspicion of ACS causing syncope .' +p337861 +(lp337862 +S'His\tHis\tPRP$\tB-NP\tO' +p337863 +aS'troponins\ttroponin\tNNS\tI-NP\tO' +p337864 +aS'remained\tremain\tVBD\tB-VP\tO' +p337865 +aS'lower\tlow\tJJR\tB-ADJP\tO' +p337866 +aS'than\tthan\tIN\tB-PP\tO' +p337867 +aS'his\this\tPRP$\tB-NP\tO' +p337868 +aS'baseline\tbaseline\tNN\tI-NP\tO' +p337869 +aS'levels\tlevel\tNNS\tI-NP\tO' +p337870 +aS'and\tand\tCC\tO\tO' +p337871 +aS'there\tthere\tEX\tB-NP\tO' +p337872 +aS'was\tbe\tVBD\tB-VP\tO' +p337873 +aS'no\tno\tDT\tB-NP\tO' +p337874 +aS'suspicion\tsuspicion\tNN\tI-NP\tO' +p337875 +aS'of\tof\tIN\tB-PP\tO' +p337876 +aS'ACS\tACS\tNN\tB-NP\tO' +p337877 +aS'causing\tcause\tVBG\tB-VP\tO' +p337878 +aS'syncope\tsyncope\tNN\tB-NP\tO' +p337879 +aS'.\t.\t.\tO\tO' +p337880 +asS'His amylase decreased to 51 , and the increased back to 151 on hospital day #10 .' +p337881 +(lp337882 +S'His\tHis\tPRP$\tB-NP\tO' +p337883 +aS'amylase\tamylase\tNN\tI-NP\tB-protein' +p337884 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p337885 +aS'to\tto\tTO\tB-PP\tO' +p337886 +aS'51\t51\tCD\tB-NP\tO' +p337887 +aS',\t,\t,\tO\tO' +p337888 +aS'and\tand\tCC\tO\tO' +p337889 +aS'the\tthe\tDT\tB-NP\tO' +p337890 +aS'increased\tincrease\tVBD\tB-VP\tO' +p337891 +aS'back\tback\tRB\tB-ADVP\tO' +p337892 +aS'to\tto\tTO\tB-PP\tO' +p337893 +aS'151\t151\tCD\tB-NP\tO' +p337894 +aS'on\ton\tIN\tB-PP\tO' +p337895 +aS'hospital\thospital\tNN\tB-NP\tO' +p337896 +aS'day\tday\tNN\tI-NP\tO' +p337897 +aS'#10\t#10\tCD\tI-NP\tO' +p337898 +aS'.\t.\t.\tO\tO' +p337899 +asS'2. Amiodarone taper 400 mg po tid x4 days , then bid x7 days , qd x7 days , then 200 mg po qd' +p337900 +(lp337901 +S'2.\t2.\tLS\tB-NP\tO' +p337902 +aS'Amiodarone\tAmiodarone\tNN\tI-NP\tO' +p337903 +aS'taper\ttaper\tNN\tI-NP\tO' +p337904 +aS'400\t400\tCD\tI-NP\tO' +p337905 +aS'mg\tmg\tNN\tI-NP\tO' +p337906 +aS'po\tpo\tNN\tI-NP\tO' +p337907 +aS'tid\ttid\tNN\tI-NP\tO' +p337908 +aS'x4\tx4\tNN\tI-NP\tO' +p337909 +aS'days\tday\tNNS\tI-NP\tO' +p337910 +aS',\t,\t,\tO\tO' +p337911 +aS'then\tthen\tRB\tB-ADVP\tO' +p337912 +aS'bid\tbid\tVBD\tB-VP\tO' +p337913 +aS'x7\tx7\tNN\tB-NP\tO' +p337914 +aS'days\tday\tNNS\tI-NP\tO' +p337915 +aS',\t,\t,\tO\tO' +p337916 +aS'qd\tqd\tNN\tB-NP\tO' +p337917 +aS'x7\tx7\tCD\tB-NP\tO' +p337918 +aS'days\tday\tNNS\tI-NP\tO' +p337919 +aS',\t,\t,\tO\tO' +p337920 +aS'then\tthen\tRB\tB-ADVP\tO' +p337921 +aS'200\t200\tCD\tB-NP\tO' +p337922 +aS'mg\tmg\tNN\tI-NP\tO' +p337923 +aS'po\tpo\tNN\tI-NP\tO' +p337924 +aS'qd\tqd\tNN\tI-NP\tO' +p337925 +asS'3. Sepsis suspect ruled out with antibiotics .' +p337926 +(lp337927 +S'3.\t3.\tLS\tB-LST\tO' +p337928 +aS'Sepsis\tSepsis\tNNP\tB-NP\tO' +p337929 +aS'suspect\tsuspect\tVB\tB-VP\tO' +p337930 +aS'ruled\trule\tVBD\tB-VP\tO' +p337931 +aS'out\tout\tRP\tB-PRT\tO' +p337932 +aS'with\twith\tIN\tB-PP\tO' +p337933 +aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' +p337934 +aS'.\t.\t.\tO\tO' +p337935 +asS'S1 , S2 with Grade II/VI SEM . +S3 .' +p337936 +(lp337937 +S'S1\tS1\tNN\tB-NP\tB-protein' +p337938 +aS',\t,\t,\tO\tO' +p337939 +aS'S2\tS2\tNN\tB-NP\tB-protein' +p337940 +aS'with\twith\tIN\tB-PP\tO' +p337941 +aS'Grade\tGrade\tNNP\tB-NP\tO' +p337942 +aS'II/VI\tII/VI\tNNP\tI-NP\tO' +p337943 +aS'SEM\tSEM\tNNP\tI-NP\tO' +p337944 +aS'.\t.\t.\tI-NP\tO' +p337945 +aS'+S3\t+S3\tNNP\tI-NP\tB-protein' +p337946 +aS'.\t.\t.\tO\tO' +p337947 +asS'His headache improved , but her remained profoundly weak and intermittently febrile with dyspnea .' +p337948 +(lp337949 +S'His\tHis\tPRP$\tB-NP\tO' +p337950 +aS'headache\theadache\tNN\tI-NP\tO' +p337951 +aS'improved\timprove\tVBD\tB-VP\tO' +p337952 +aS',\t,\t,\tO\tO' +p337953 +aS'but\tbut\tCC\tO\tO' +p337954 +aS'her\ther\tPRP\tB-NP\tO' +p337955 +aS'remained\tremain\tVBD\tB-VP\tO' +p337956 +aS'profoundly\tprofoundly\tRB\tB-ADJP\tO' +p337957 +aS'weak\tweak\tJJ\tI-ADJP\tO' +p337958 +aS'and\tand\tCC\tO\tO' +p337959 +aS'intermittently\tintermittently\tRB\tB-ADJP\tO' +p337960 +aS'febrile\tfebrile\tJJ\tI-ADJP\tO' +p337961 +aS'with\twith\tIN\tB-PP\tO' +p337962 +aS'dyspnea\tdyspnea\tNN\tB-NP\tO' +p337963 +aS'.\t.\t.\tO\tO' +p337964 +asS'directional angioplasty of the right coronary artery , left main and left anterior descending vessels .' +p337965 +(lp337966 +S'directional\tdirectional\tJJ\tB-NP\tO' +p337967 +aS'angioplasty\tangioplasty\tNN\tI-NP\tO' +p337968 +aS'of\tof\tIN\tB-PP\tO' +p337969 +aS'the\tthe\tDT\tB-NP\tO' +p337970 +aS'right\tright\tJJ\tI-NP\tO' +p337971 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p337972 +aS'artery\tartery\tNN\tI-NP\tO' +p337973 +aS',\t,\t,\tO\tO' +p337974 +aS'left\tleave\tVBD\tB-VP\tO' +p337975 +aS'main\tmain\tJJ\tB-NP\tO' +p337976 +aS'and\tand\tCC\tI-NP\tO' +p337977 +aS'left\tleft\tJJ\tI-NP\tO' +p337978 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p337979 +aS'descending\tdescend\tVBG\tI-NP\tO' +p337980 +aS'vessels\tvessel\tNNS\tI-NP\tO' +p337981 +aS'.\t.\t.\tO\tO' +p337982 +asS'Chronic left pleural effusion .' +p337983 +(lp337984 +S'Chronic\tChronic\tJJ\tB-NP\tO' +p337985 +aS'left\tleft\tJJ\tI-NP\tO' +p337986 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p337987 +aS'effusion\teffusion\tNN\tI-NP\tO' +p337988 +aS'.\t.\t.\tO\tO' +p337989 +asS'Urine culture and blood culture have been unremarkable on 2014-04-03 .' +p337990 +(lp337991 +S'Urine\tUrine\tNN\tB-NP\tO' +p337992 +aS'culture\tculture\tNN\tI-NP\tO' +p337993 +aS'and\tand\tCC\tO\tO' +p337994 +aS'blood\tblood\tNN\tB-NP\tO' +p337995 +aS'culture\tculture\tNN\tI-NP\tO' +p337996 +aS'have\thave\tVBP\tB-VP\tO' +p337997 +aS'been\tbe\tVBN\tI-VP\tO' +p337998 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p337999 +aS'on\ton\tIN\tB-PP\tO' +p338000 +aS'2014-04-03\t2014-04-03\tCD\tB-NP\tO' +p338001 +aS'.\t.\t.\tO\tO' +p338002 +asS'Case was discussed with neurology .' +p338003 +(lp338004 +S'Case\tCase\tNN\tB-NP\tB-protein' +p338005 +aS'was\tbe\tVBD\tB-VP\tO' +p338006 +aS'discussed\tdiscuss\tVBN\tI-VP\tO' +p338007 +aS'with\twith\tIN\tB-PP\tO' +p338008 +aS'neurology\tneurology\tNN\tB-NP\tO' +p338009 +aS'.\t.\t.\tO\tO' +p338010 +asS'The chest was clear .' +p338011 +(lp338012 +S'The\tThe\tDT\tB-NP\tO' +p338013 +aS'chest\tchest\tNN\tI-NP\tO' +p338014 +aS'was\tbe\tVBD\tB-VP\tO' +p338015 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p338016 +aS'.\t.\t.\tO\tO' +p338017 +asS'Normal Correa , Kimberly , HTS .' +p338018 +(lp338019 +S'Normal\tNormal\tNNP\tB-NP\tO' +p338020 +aS'Correa\tCorrea\tNNP\tI-NP\tO' +p338021 +aS',\t,\t,\tO\tO' +p338022 +aS'Kimberly\tKimberly\tNNP\tB-NP\tO' +p338023 +aS',\t,\t,\tO\tO' +p338024 +aS'HTS\tHTS\tNNP\tB-NP\tO' +p338025 +aS'.\t.\t.\tO\tO' +p338026 +asS'Call your doctor in the morning for an appointment with the pain clinic .' +p338027 +(lp338028 +S'Call\tCall\tVB\tB-VP\tO' +p338029 +aS'your\tyour\tPRP$\tB-NP\tO' +p338030 +aS'doctor\tdoctor\tNN\tI-NP\tO' +p338031 +aS'in\tin\tIN\tB-PP\tO' +p338032 +aS'the\tthe\tDT\tB-NP\tO' +p338033 +aS'morning\tmorning\tNN\tI-NP\tO' +p338034 +aS'for\tfor\tIN\tB-PP\tO' +p338035 +aS'an\tan\tDT\tB-NP\tO' +p338036 +aS'appointment\tappointment\tNN\tI-NP\tO' +p338037 +aS'with\twith\tIN\tB-PP\tO' +p338038 +aS'the\tthe\tDT\tB-NP\tO' +p338039 +aS'pain\tpain\tNN\tI-NP\tO' +p338040 +aS'clinic\tclinic\tNN\tI-NP\tO' +p338041 +aS'.\t.\t.\tO\tO' +p338042 +asS'Cardiac silhouette and mediastinal contours are stable .' +p338043 +(lp338044 +S'Cardiac\tCardiac\tJJ\tB-NP\tO' +p338045 +aS'silhouette\tsilhouette\tNN\tI-NP\tO' +p338046 +aS'and\tand\tCC\tO\tO' +p338047 +aS'mediastinal\tmediastinal\tJJ\tB-NP\tO' +p338048 +aS'contours\tcontour\tNNS\tI-NP\tO' +p338049 +aS'are\tbe\tVBP\tB-VP\tO' +p338050 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p338051 +aS'.\t.\t.\tO\tO' +p338052 +asS'6. Hypercholesterolemia .' +p338053 +(lp338054 +S'6.\t6.\tLS\tB-NP\tO' +p338055 +aS'Hypercholesterolemia\tHypercholesterolemia\tNN\tI-NP\tO' +p338056 +aS'.\t.\t.\tO\tO' +p338057 +asS'She is status post an open cholecystectomy in 1968 , status post hysterectomy and axillary node biopsy which failed .' +p338058 +(lp338059 +S'She\tShe\tPRP\tB-NP\tO' +p338060 +aS'is\tbe\tVBZ\tB-VP\tO' +p338061 +aS'status\tstatus\tNN\tB-NP\tO' +p338062 +aS'post\tpost\tIN\tB-PP\tO' +p338063 +aS'an\tan\tDT\tB-NP\tO' +p338064 +aS'open\topen\tJJ\tI-NP\tO' +p338065 +aS'cholecystectomy\tcholecystectomy\tNN\tI-NP\tO' +p338066 +aS'in\tin\tIN\tB-PP\tO' +p338067 +aS'1968\t1968\tCD\tB-NP\tO' +p338068 +aS',\t,\t,\tO\tO' +p338069 +aS'status\tstatus\tNN\tB-NP\tO' +p338070 +aS'post\tpost\tNN\tI-NP\tO' +p338071 +aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' +p338072 +aS'and\tand\tCC\tO\tO' +p338073 +aS'axillary\taxillary\tJJ\tB-NP\tO' +p338074 +aS'node\tnode\tNN\tI-NP\tO' +p338075 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p338076 +aS'which\twhich\tWDT\tB-NP\tO' +p338077 +aS'failed\tfail\tVBD\tB-VP\tO' +p338078 +aS'.\t.\t.\tO\tO' +p338079 +asS'He had a subtotal colectomy on 03/22/05 which was uncomplicated .' +p338080 +(lp338081 +S'He\tHe\tPRP\tB-NP\tO' +p338082 +aS'had\thave\tVBD\tB-VP\tO' +p338083 +aS'a\ta\tDT\tB-NP\tO' +p338084 +aS'subtotal\tsubtotal\tJJ\tI-NP\tO' +p338085 +aS'colectomy\tcolectomy\tNN\tI-NP\tO' +p338086 +aS'on\ton\tIN\tB-PP\tO' +p338087 +aS'03/22/05\t03/22/05\tCD\tB-NP\tO' +p338088 +aS'which\twhich\tWDT\tB-NP\tO' +p338089 +aS'was\tbe\tVBD\tB-VP\tO' +p338090 +aS'uncomplicated\tuncomplicated\tJJ\tB-ADJP\tO' +p338091 +aS'.\t.\t.\tO\tO' +p338092 +asS'He will be visited by LDAMC for blood pressure and incision checks .' +p338093 +(lp338094 +S'He\tHe\tPRP\tB-NP\tO' +p338095 +aS'will\twill\tMD\tB-VP\tO' +p338096 +aS'be\tbe\tVB\tI-VP\tO' +p338097 +aS'visited\tvisit\tVBN\tI-VP\tO' +p338098 +aS'by\tby\tIN\tB-PP\tO' +p338099 +aS'LDAMC\tLDAMC\tNN\tB-NP\tB-protein' +p338100 +aS'for\tfor\tIN\tB-PP\tO' +p338101 +aS'blood\tblood\tNN\tB-NP\tO' +p338102 +aS'pressure\tpressure\tNN\tI-NP\tO' +p338103 +aS'and\tand\tCC\tI-NP\tO' +p338104 +aS'incision\tincision\tNN\tI-NP\tO' +p338105 +aS'checks\tcheck\tNNS\tI-NP\tO' +p338106 +aS'.\t.\t.\tO\tO' +p338107 +asS'82 F with h/o COPD , CAD , pafib and SSS s/p pacer on 05-08 for symptomatic pauses is transferred for large pericardial effusion ? needing drainage and CHF .' +p338108 +(lp338109 +S'82\t82\tCD\tB-NP\tO' +p338110 +aS'F\tF\tNN\tI-NP\tO' +p338111 +aS'with\twith\tIN\tB-PP\tO' +p338112 +aS'h/o\th/o\tNN\tB-NP\tO' +p338113 +aS'COPD\tCOPD\tNN\tI-NP\tO' +p338114 +aS',\t,\t,\tO\tO' +p338115 +aS'CAD\tCAD\tNN\tB-NP\tB-protein' +p338116 +aS',\t,\t,\tO\tO' +p338117 +aS'pafib\tpafib\tNN\tB-NP\tO' +p338118 +aS'and\tand\tCC\tO\tO' +p338119 +aS'SSS\tSSS\tNN\tB-NP\tO' +p338120 +aS's/p\ts/p\tNN\tI-NP\tO' +p338121 +aS'pacer\tpacer\tNN\tI-NP\tO' +p338122 +aS'on\ton\tIN\tB-PP\tO' +p338123 +aS'05-08\t05-08\tCD\tB-NP\tO' +p338124 +aS'for\tfor\tIN\tB-PP\tO' +p338125 +aS'symptomatic\tsymptomatic\tJJ\tB-NP\tO' +p338126 +aS'pauses\tpause\tNNS\tI-NP\tO' +p338127 +aS'is\tbe\tVBZ\tB-VP\tO' +p338128 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p338129 +aS'for\tfor\tIN\tB-PP\tO' +p338130 +aS'large\tlarge\tJJ\tB-NP\tO' +p338131 +aS'pericardial\tpericardial\tJJ\tI-NP\tO' +p338132 +aS'effusion\teffusion\tNN\tI-NP\tO' +p338133 +aS'?\t?\t.\tO\tO' +p338134 +aS'needing\tneed\tVBG\tB-VP\tO' +p338135 +aS'drainage\tdrainage\tNN\tB-NP\tO' +p338136 +aS'and\tand\tCC\tI-NP\tO' +p338137 +aS'CHF\tCHF\tNN\tI-NP\tB-protein' +p338138 +aS'.\t.\t.\tO\tO' +p338139 +asS'Her oxygen saturations were greater than 94% at the time .' +p338140 +(lp338141 +S'Her\tHer\tPRP$\tB-NP\tO' +p338142 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p338143 +aS'saturations\tsaturation\tNNS\tI-NP\tO' +p338144 +aS'were\tbe\tVBD\tB-VP\tO' +p338145 +aS'greater\tgreat\tJJR\tB-ADJP\tO' +p338146 +aS'than\tthan\tIN\tB-PP\tO' +p338147 +aS'94%\t94%\tCD\tB-NP\tO' +p338148 +aS'at\tat\tIN\tB-PP\tO' +p338149 +aS'the\tthe\tDT\tB-NP\tO' +p338150 +aS'time\ttime\tNN\tI-NP\tO' +p338151 +aS'.\t.\t.\tO\tO' +p338152 +asS'1. Open reduction and internal fixation of femur 2011-01-21 .' +p338153 +(lp338154 +S'1.\t1.\tLS\tB-NP\tO' +p338155 +aS'Open\tOpen\tNN\tI-NP\tO' +p338156 +aS'reduction\treduction\tNN\tI-NP\tO' +p338157 +aS'and\tand\tCC\tO\tO' +p338158 +aS'internal\tinternal\tJJ\tB-NP\tO' +p338159 +aS'fixation\tfixation\tNN\tI-NP\tO' +p338160 +aS'of\tof\tIN\tB-PP\tO' +p338161 +aS'femur\tfemur\tNN\tB-NP\tO' +p338162 +aS'2011-01-21\t2011-01-21\tCD\tI-NP\tO' +p338163 +aS'.\t.\t.\tO\tO' +p338164 +asS'5. Immunizations received : Hepatitis B vaccine on 2020-01-19 .' +p338165 +(lp338166 +S'5.\t5.\tLS\tB-NP\tO' +p338167 +aS'Immunizations\tImmunization\tNNS\tI-NP\tO' +p338168 +aS'received\treceive\tVBD\tB-VP\tO' +p338169 +aS':\t:\t:\tO\tO' +p338170 +aS'Hepatitis\tHepatitis\tNN\tB-NP\tO' +p338171 +aS'B\tB\tNN\tI-NP\tO' +p338172 +aS'vaccine\tvaccine\tNN\tI-NP\tO' +p338173 +aS'on\ton\tIN\tB-PP\tO' +p338174 +aS'2020-01-19\t2020-01-19\tCD\tB-NP\tO' +p338175 +aS'.\t.\t.\tO\tO' +p338176 +asS'The patient was admitted to the Operating Room where she underwent an unremarkable laparoscopic tubal ligation .' +p338177 +(lp338178 +S'The\tThe\tDT\tB-NP\tO' +p338179 +aS'patient\tpatient\tNN\tI-NP\tO' +p338180 +aS'was\tbe\tVBD\tB-VP\tO' +p338181 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p338182 +aS'to\tto\tTO\tB-PP\tO' +p338183 +aS'the\tthe\tDT\tB-NP\tO' +p338184 +aS'Operating\tOperating\tNNP\tI-NP\tO' +p338185 +aS'Room\tRoom\tNNP\tI-NP\tO' +p338186 +aS'where\twhere\tWRB\tB-ADVP\tO' +p338187 +aS'she\tshe\tPRP\tB-NP\tO' +p338188 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p338189 +aS'an\tan\tDT\tB-NP\tO' +p338190 +aS'unremarkable\tunremarkable\tJJ\tI-NP\tO' +p338191 +aS'laparoscopic\tlaparoscopic\tJJ\tI-NP\tO' +p338192 +aS'tubal\ttubal\tJJ\tI-NP\tO' +p338193 +aS'ligation\tligation\tNN\tI-NP\tO' +p338194 +aS'.\t.\t.\tO\tO' +p338195 +asS'TTE was obtained which was not concerning for endocarditis .' +p338196 +(lp338197 +S'TTE\tTTE\tNN\tB-NP\tO' +p338198 +aS'was\tbe\tVBD\tB-VP\tO' +p338199 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p338200 +aS'which\twhich\tWDT\tB-NP\tO' +p338201 +aS'was\tbe\tVBD\tB-VP\tO' +p338202 +aS'not\tnot\tRB\tI-VP\tO' +p338203 +aS'concerning\tconcern\tVBG\tI-VP\tO' +p338204 +aS'for\tfor\tIN\tB-PP\tO' +p338205 +aS'endocarditis\tendocarditis\tNN\tB-NP\tO' +p338206 +aS'.\t.\t.\tO\tO' +p338207 +asS'At the time of discharge , her potassium had been low despite repletion ,' +p338208 +(lp338209 +S'At\tAt\tIN\tB-PP\tO' +p338210 +aS'the\tthe\tDT\tB-NP\tO' +p338211 +aS'time\ttime\tNN\tI-NP\tO' +p338212 +aS'of\tof\tIN\tB-PP\tO' +p338213 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p338214 +aS',\t,\t,\tO\tO' +p338215 +aS'her\ther\tPRP$\tB-NP\tO' +p338216 +aS'potassium\tpotassium\tNN\tI-NP\tO' +p338217 +aS'had\thave\tVBD\tB-VP\tO' +p338218 +aS'been\tbe\tVBN\tI-VP\tO' +p338219 +aS'low\tlow\tJJ\tB-ADJP\tO' +p338220 +aS'despite\tdespite\tIN\tB-PP\tO' +p338221 +aS'repletion\trepletion\tNN\tB-NP\tO' +p338222 +aS',\t,\t,\tO\tO' +p338223 +asS'2. Combivent two puffs four times a day .' +p338224 +(lp338225 +S'2.\t2.\tLS\tB-LST\tO' +p338226 +aS'Combivent\tCombivent\tNNP\tB-NP\tO' +p338227 +aS'two\ttwo\tCD\tB-NP\tO' +p338228 +aS'puffs\tpuff\tNNS\tI-NP\tO' +p338229 +aS'four\tfour\tCD\tB-NP\tO' +p338230 +aS'times\ttime\tNNS\tI-NP\tO' +p338231 +aS'a\ta\tDT\tB-NP\tO' +p338232 +aS'day\tday\tNN\tI-NP\tO' +p338233 +aS'.\t.\t.\tO\tO' +p338234 +asS'6. The mitral valve appears structurally normal with trivial mitral regurgitation .' +p338235 +(lp338236 +S'6.\t6.\tLS\tB-LST\tO' +p338237 +aS'The\tThe\tDT\tB-NP\tO' +p338238 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p338239 +aS'valve\tvalve\tNN\tI-NP\tO' +p338240 +aS'appears\tappear\tVBZ\tB-VP\tO' +p338241 +aS'structurally\tstructurally\tRB\tB-ADJP\tO' +p338242 +aS'normal\tnormal\tJJ\tI-ADJP\tO' +p338243 +aS'with\twith\tIN\tB-PP\tO' +p338244 +aS'trivial\ttrivial\tJJ\tB-NP\tO' +p338245 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p338246 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p338247 +aS'.\t.\t.\tO\tO' +p338248 +asS'He had been on a diazepam CIWA scale prophylaxis against DT s; however , he had a very low CIWA scale during his entire admission and did not need any benzodiazepines .' +p338249 +(lp338250 +S'He\tHe\tPRP\tB-NP\tO' +p338251 +aS'had\thave\tVBD\tB-VP\tO' +p338252 +aS'been\tbe\tVBN\tI-VP\tO' +p338253 +aS'on\ton\tIN\tB-PP\tO' +p338254 +aS'a\ta\tDT\tB-NP\tO' +p338255 +aS'diazepam\tdiazepam\tNN\tI-NP\tO' +p338256 +aS'CIWA\tCIWA\tNNP\tI-NP\tO' +p338257 +aS'scale\tscale\tNN\tI-NP\tO' +p338258 +aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' +p338259 +aS'against\tagainst\tIN\tB-PP\tO' +p338260 +aS'DT\tDT\tNN\tB-NP\tB-protein' +p338261 +aS's;\ts;\tNN\tI-NP\tI-protein' +p338262 +aS'however\thowever\tRB\tB-ADVP\tO' +p338263 +aS',\t,\t,\tO\tO' +p338264 +aS'he\the\tPRP\tB-NP\tO' +p338265 +aS'had\thave\tVBD\tB-VP\tO' +p338266 +aS'a\ta\tDT\tB-NP\tO' +p338267 +aS'very\tvery\tRB\tI-NP\tO' +p338268 +aS'low\tlow\tJJ\tI-NP\tO' +p338269 +aS'CIWA\tCIWA\tNNP\tI-NP\tO' +p338270 +aS'scale\tscale\tNN\tI-NP\tO' +p338271 +aS'during\tduring\tIN\tB-PP\tO' +p338272 +aS'his\this\tPRP$\tB-NP\tO' +p338273 +aS'entire\tentire\tJJ\tI-NP\tO' +p338274 +aS'admission\tadmission\tNN\tI-NP\tO' +p338275 +aS'and\tand\tCC\tO\tO' +p338276 +aS'did\tdo\tVBD\tB-VP\tO' +p338277 +aS'not\tnot\tRB\tI-VP\tO' +p338278 +aS'need\tneed\tVB\tI-VP\tO' +p338279 +aS'any\tany\tDT\tB-NP\tO' +p338280 +aS'benzodiazepines\tbenzodiazepine\tNNS\tI-NP\tO' +p338281 +aS'.\t.\t.\tO\tO' +p338282 +asS'Please do not drive while on this medication .' +p338283 +(lp338284 +S'Please\tPlease\tNN\tB-NP\tB-protein' +p338285 +aS'do\tdo\tVBP\tB-VP\tO' +p338286 +aS'not\tnot\tRB\tI-VP\tO' +p338287 +aS'drive\tdrive\tVB\tI-VP\tO' +p338288 +aS'while\twhile\tIN\tB-SBAR\tO' +p338289 +aS'on\ton\tIN\tB-PP\tO' +p338290 +aS'this\tthis\tDT\tB-NP\tO' +p338291 +aS'medication\tmedication\tNN\tI-NP\tO' +p338292 +aS'.\t.\t.\tO\tO' +p338293 +asS'For blood pressure control she was maintained on metoprolol at the request of her primary care physician and enalapril was discontinued .' +p338294 +(lp338295 +S'For\tFor\tIN\tB-PP\tO' +p338296 +aS'blood\tblood\tNN\tB-NP\tO' +p338297 +aS'pressure\tpressure\tNN\tI-NP\tO' +p338298 +aS'control\tcontrol\tNN\tI-NP\tO' +p338299 +aS'she\tshe\tPRP\tB-NP\tO' +p338300 +aS'was\tbe\tVBD\tB-VP\tO' +p338301 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p338302 +aS'on\ton\tIN\tB-PP\tO' +p338303 +aS'metoprolol\tmetoprolol\tNN\tB-NP\tO' +p338304 +aS'at\tat\tIN\tB-PP\tO' +p338305 +aS'the\tthe\tDT\tB-NP\tO' +p338306 +aS'request\trequest\tNN\tI-NP\tO' +p338307 +aS'of\tof\tIN\tB-PP\tO' +p338308 +aS'her\ther\tPRP$\tB-NP\tO' +p338309 +aS'primary\tprimary\tJJ\tI-NP\tO' +p338310 +aS'care\tcare\tNN\tI-NP\tO' +p338311 +aS'physician\tphysician\tNN\tI-NP\tO' +p338312 +aS'and\tand\tCC\tI-NP\tO' +p338313 +aS'enalapril\tenalapril\tNN\tI-NP\tO' +p338314 +aS'was\tbe\tVBD\tB-VP\tO' +p338315 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p338316 +aS'.\t.\t.\tO\tO' +p338317 +asS'Extubated 12-28 with no incident .' +p338318 +(lp338319 +S'Extubated\tExtubate\tVBN\tB-VP\tO' +p338320 +aS'12-28\t12-28\tCD\tB-NP\tO' +p338321 +aS'with\twith\tIN\tB-PP\tO' +p338322 +aS'no\tno\tDT\tB-NP\tO' +p338323 +aS'incident\tincident\tNN\tI-NP\tO' +p338324 +aS'.\t.\t.\tO\tO' +p338325 +asS'Father with CAD at 90 , diabetes , CVA , hypercholesterolemia .' +p338326 +(lp338327 +S'Father\tFather\tRB\tB-ADVP\tO' +p338328 +aS'with\twith\tIN\tB-PP\tO' +p338329 +aS'CAD\tCAD\tNN\tB-NP\tO' +p338330 +aS'at\tat\tIN\tB-PP\tO' +p338331 +aS'90\t90\tCD\tB-NP\tO' +p338332 +aS',\t,\t,\tO\tO' +p338333 +aS'diabetes\tdiabetes\tNN\tB-NP\tO' +p338334 +aS',\t,\t,\tO\tO' +p338335 +aS'CVA\tCVA\tNN\tB-NP\tB-protein' +p338336 +aS',\t,\t,\tO\tO' +p338337 +aS'hypercholesterolemia\thypercholesterolemia\tNN\tB-NP\tO' +p338338 +aS'.\t.\t.\tO\tO' +p338339 +asS'Globulin was 1.6 , uric acid was 6.5 , alkaline phosphatase 150 , SGPT 11 , SGOT 85 , LDH 524 , CK 152 , NH3 81 .' +p338340 +(lp338341 +S'Globulin\tGlobulin\tNN\tB-NP\tB-protein' +p338342 +aS'was\tbe\tVBD\tB-VP\tO' +p338343 +aS'1.6\t1.6\tCD\tB-NP\tO' +p338344 +aS',\t,\t,\tO\tO' +p338345 +aS'uric\turic\tJJ\tB-NP\tO' +p338346 +aS'acid\tacid\tNN\tI-NP\tO' +p338347 +aS'was\tbe\tVBD\tB-VP\tO' +p338348 +aS'6.5\t6.5\tCD\tB-NP\tO' +p338349 +aS',\t,\t,\tO\tO' +p338350 +aS'alkaline\talkaline\tNN\tB-NP\tO' +p338351 +aS'phosphatase\tphosphatase\tNN\tI-NP\tO' +p338352 +aS'150\t150\tCD\tI-NP\tO' +p338353 +aS',\t,\t,\tO\tO' +p338354 +aS'SGPT\tSGPT\tNN\tB-NP\tB-DNA' +p338355 +aS'11\t11\tCD\tI-NP\tI-DNA' +p338356 +aS',\t,\t,\tO\tO' +p338357 +aS'SGOT\tSGOT\tNN\tB-NP\tO' +p338358 +aS'85\t85\tCD\tI-NP\tO' +p338359 +aS',\t,\t,\tO\tO' +p338360 +aS'LDH\tLDH\tNN\tB-NP\tB-protein' +p338361 +aS'524\t524\tCD\tI-NP\tI-protein' +p338362 +aS',\t,\t,\tO\tO' +p338363 +aS'CK\tCK\tNN\tB-NP\tB-cell_line' +p338364 +aS'152\t152\tCD\tI-NP\tI-cell_line' +p338365 +aS',\t,\t,\tO\tO' +p338366 +aS'NH3\tNH3\tNN\tB-NP\tB-protein' +p338367 +aS'81\t81\tCD\tI-NP\tO' +p338368 +aS'.\t.\t.\tO\tO' +p338369 +asS'The patient expired on 1/19/96 at 11:35 p.m.' +p338370 +(lp338371 +S'The\tThe\tDT\tB-NP\tO' +p338372 +aS'patient\tpatient\tNN\tI-NP\tO' +p338373 +aS'expired\texpire\tVBD\tB-VP\tO' +p338374 +aS'on\ton\tIN\tB-PP\tO' +p338375 +aS'1/19/96\t1/19/96\tCD\tB-NP\tO' +p338376 +aS'at\tat\tIN\tB-PP\tO' +p338377 +aS'11:35\t11:35\tCD\tB-NP\tO' +p338378 +aS'p.m.\tp.m.\tNN\tI-NP\tO' +p338379 +asS'Moderate leukocytes , 06-09 RBCs , 21-50 lymphocytes , many bacteria , 06-09 epithelial cells .' +p338380 +(lp338381 +S'Moderate\tModerate\tJJ\tB-NP\tB-cell_type' +p338382 +aS'leukocytes\tleukocyte\tNNS\tI-NP\tI-cell_type' +p338383 +aS',\t,\t,\tO\tO' +p338384 +aS'06-09\t06-09\tCD\tB-NP\tO' +p338385 +aS'RBCs\tRBC\tNNS\tI-NP\tB-cell_type' +p338386 +aS',\t,\t,\tO\tO' +p338387 +aS'21-50\t21-50\tCD\tB-NP\tO' +p338388 +aS'lymphocytes\tlymphocyte\tNNS\tI-NP\tB-cell_type' +p338389 +aS',\t,\t,\tO\tO' +p338390 +aS'many\tmany\tJJ\tB-NP\tO' +p338391 +aS'bacteria\tbacteria\tNNS\tI-NP\tO' +p338392 +aS',\t,\t,\tO\tO' +p338393 +aS'06-09\t06-09\tCD\tB-NP\tO' +p338394 +aS'epithelial\tepithelial\tJJ\tI-NP\tB-cell_type' +p338395 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p338396 +aS'.\t.\t.\tO\tO' +p338397 +asS'Her heel-to-shin and finger-to-nose testing was fully intact bilaterally without ataxia or tremor .' +p338398 +(lp338399 +S'Her\tHer\tPRP$\tB-NP\tO' +p338400 +aS'heel-to-shin\theel-to-shin\tJJ\tI-NP\tO' +p338401 +aS'and\tand\tCC\tI-NP\tO' +p338402 +aS'finger-to-nose\tfinger-to-nose\tJJ\tI-NP\tO' +p338403 +aS'testing\ttesting\tNN\tI-NP\tO' +p338404 +aS'was\tbe\tVBD\tB-VP\tO' +p338405 +aS'fully\tfully\tRB\tB-ADJP\tO' +p338406 +aS'intact\tintact\tJJ\tI-ADJP\tO' +p338407 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p338408 +aS'without\twithout\tIN\tB-PP\tO' +p338409 +aS'ataxia\tataxia\tNN\tB-NP\tO' +p338410 +aS'or\tor\tCC\tI-NP\tO' +p338411 +aS'tremor\ttremor\tNN\tI-NP\tO' +p338412 +aS'.\t.\t.\tO\tO' +p338413 +asS'She initially presented to Brottlake Medical Center on 9/15/00 complaining of acute onset dysphasia to liquids and solids .' +p338414 +(lp338415 +S'She\tShe\tPRP\tB-NP\tO' +p338416 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p338417 +aS'presented\tpresent\tVBD\tB-VP\tO' +p338418 +aS'to\tto\tTO\tB-PP\tO' +p338419 +aS'Brottlake\tBrottlake\tNNP\tB-NP\tO' +p338420 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p338421 +aS'Center\tCenter\tNNP\tI-NP\tO' +p338422 +aS'on\ton\tIN\tB-PP\tO' +p338423 +aS'9/15/00\t9/15/00\tCD\tB-NP\tO' +p338424 +aS'complaining\tcomplaining\tNN\tI-NP\tO' +p338425 +aS'of\tof\tIN\tB-PP\tO' +p338426 +aS'acute\tacute\tJJ\tB-NP\tO' +p338427 +aS'onset\tonset\tNN\tI-NP\tO' +p338428 +aS'dysphasia\tdysphasia\tNN\tI-NP\tO' +p338429 +aS'to\tto\tTO\tB-PP\tO' +p338430 +aS'liquids\tliquid\tNNS\tB-NP\tO' +p338431 +aS'and\tand\tCC\tI-NP\tO' +p338432 +aS'solids\tsolid\tNNS\tI-NP\tO' +p338433 +aS'.\t.\t.\tO\tO' +p338434 +asS'She received a total of 4 liters of NS then was started on levophed for continued hypotension .' +p338435 +(lp338436 +S'She\tShe\tPRP\tB-NP\tO' +p338437 +aS'received\treceive\tVBD\tB-VP\tO' +p338438 +aS'a\ta\tDT\tB-NP\tO' +p338439 +aS'total\ttotal\tNN\tI-NP\tO' +p338440 +aS'of\tof\tIN\tB-PP\tO' +p338441 +aS'4\t4\tCD\tB-NP\tO' +p338442 +aS'liters\tliter\tNNS\tI-NP\tO' +p338443 +aS'of\tof\tIN\tB-PP\tO' +p338444 +aS'NS\tNS\tNN\tB-NP\tO' +p338445 +aS'then\tthen\tRB\tB-ADVP\tO' +p338446 +aS'was\tbe\tVBD\tB-VP\tO' +p338447 +aS'started\tstart\tVBN\tI-VP\tO' +p338448 +aS'on\ton\tIN\tB-PP\tO' +p338449 +aS'levophed\tlevophe\tVBN\tB-VP\tO' +p338450 +aS'for\tfor\tIN\tB-PP\tO' +p338451 +aS'continued\tcontinued\tJJ\tB-NP\tO' +p338452 +aS'hypotension\thypotension\tNN\tI-NP\tO' +p338453 +aS'.\t.\t.\tO\tO' +p338454 +asS'There was a question of a cyst in her kidney with a stone right below the cyst , although this did not seem to be clinically significant .' +p338455 +(lp338456 +S'There\tThere\tEX\tB-NP\tO' +p338457 +aS'was\tbe\tVBD\tB-VP\tO' +p338458 +aS'a\ta\tDT\tB-NP\tO' +p338459 +aS'question\tquestion\tNN\tI-NP\tO' +p338460 +aS'of\tof\tIN\tB-PP\tO' +p338461 +aS'a\ta\tDT\tB-NP\tO' +p338462 +aS'cyst\tcyst\tNN\tI-NP\tO' +p338463 +aS'in\tin\tIN\tB-PP\tO' +p338464 +aS'her\ther\tPRP$\tB-NP\tO' +p338465 +aS'kidney\tkidney\tNN\tI-NP\tO' +p338466 +aS'with\twith\tIN\tB-PP\tO' +p338467 +aS'a\ta\tDT\tB-NP\tO' +p338468 +aS'stone\tstone\tNN\tI-NP\tO' +p338469 +aS'right\tright\tRB\tB-ADVP\tO' +p338470 +aS'below\tbelow\tIN\tB-PP\tO' +p338471 +aS'the\tthe\tDT\tB-NP\tO' +p338472 +aS'cyst\tcyst\tNN\tI-NP\tO' +p338473 +aS',\t,\t,\tO\tO' +p338474 +aS'although\talthough\tIN\tB-SBAR\tO' +p338475 +aS'this\tthis\tDT\tB-NP\tO' +p338476 +aS'did\tdo\tVBD\tB-VP\tO' +p338477 +aS'not\tnot\tRB\tI-VP\tO' +p338478 +aS'seem\tseem\tVB\tI-VP\tO' +p338479 +aS'to\tto\tTO\tI-VP\tO' +p338480 +aS'be\tbe\tVB\tI-VP\tO' +p338481 +aS'clinically\tclinically\tRB\tB-ADJP\tO' +p338482 +aS'significant\tsignificant\tJJ\tI-ADJP\tO' +p338483 +aS'.\t.\t.\tO\tO' +p338484 +asS'The cause of this erythema is not know at this time but has not shown extensive progression .' +p338485 +(lp338486 +S'The\tThe\tDT\tB-NP\tO' +p338487 +aS'cause\tcause\tNN\tI-NP\tO' +p338488 +aS'of\tof\tIN\tB-PP\tO' +p338489 +aS'this\tthis\tDT\tB-NP\tO' +p338490 +aS'erythema\terythema\tNN\tI-NP\tO' +p338491 +aS'is\tbe\tVBZ\tB-VP\tO' +p338492 +aS'not\tnot\tRB\tI-VP\tO' +p338493 +aS'know\tknow\tVB\tI-VP\tO' +p338494 +aS'at\tat\tIN\tB-PP\tO' +p338495 +aS'this\tthis\tDT\tB-NP\tO' +p338496 +aS'time\ttime\tNN\tI-NP\tO' +p338497 +aS'but\tbut\tCC\tO\tO' +p338498 +aS'has\thave\tVBZ\tB-VP\tO' +p338499 +aS'not\tnot\tRB\tI-VP\tO' +p338500 +aS'shown\tshow\tVBN\tI-VP\tO' +p338501 +aS'extensive\textensive\tJJ\tB-NP\tO' +p338502 +aS'progression\tprogression\tNN\tI-NP\tO' +p338503 +aS'.\t.\t.\tO\tO' +p338504 +asS'Thomasine was tranferred from MWMC ( where he was admitted on 02-15 with fevers and positive blood cultures ) to IDMC for further treatment and possibly MVR .' +p338505 +(lp338506 +S'Thomasine\tThomasine\tNN\tB-NP\tO' +p338507 +aS'was\tbe\tVBD\tB-VP\tO' +p338508 +aS'tranferred\ttranferre\tVBN\tI-VP\tO' +p338509 +aS'from\tfrom\tIN\tB-PP\tO' +p338510 +aS'MWMC\tMWMC\tNN\tB-NP\tB-cell_type' +p338511 +aS'(\t(\t(\tO\tO' +p338512 +aS'where\twhere\tWRB\tB-ADVP\tO' +p338513 +aS'he\the\tPRP\tB-NP\tO' +p338514 +aS'was\tbe\tVBD\tB-VP\tO' +p338515 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p338516 +aS'on\ton\tIN\tB-PP\tO' +p338517 +aS'02-15\t02-15\tCD\tB-NP\tO' +p338518 +aS'with\twith\tIN\tB-PP\tO' +p338519 +aS'fevers\tfever\tNNS\tB-NP\tO' +p338520 +aS'and\tand\tCC\tO\tO' +p338521 +aS'positive\tpositive\tJJ\tB-NP\tO' +p338522 +aS'blood\tblood\tNN\tI-NP\tO' +p338523 +aS'cultures\tculture\tNNS\tI-NP\tO' +p338524 +aS')\t)\t)\tO\tO' +p338525 +aS'to\tto\tTO\tB-PP\tO' +p338526 +aS'IDMC\tIDMC\tNN\tB-NP\tB-protein' +p338527 +aS'for\tfor\tIN\tB-PP\tO' +p338528 +aS'further\tfurther\tJJ\tB-NP\tO' +p338529 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p338530 +aS'and\tand\tCC\tO\tO' +p338531 +aS'possibly\tpossibly\tRB\tB-ADVP\tO' +p338532 +aS'MVR\tMVR\tNN\tB-NP\tB-protein' +p338533 +aS'.\t.\t.\tO\tO' +p338534 +asS'Result of a second biopsy , which was done three weeks after the operation , is still pending .' +p338535 +(lp338536 +S'Result\tResult\tNN\tB-NP\tO' +p338537 +aS'of\tof\tIN\tB-PP\tO' +p338538 +aS'a\ta\tDT\tB-NP\tO' +p338539 +aS'second\tsecond\tJJ\tI-NP\tO' +p338540 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p338541 +aS',\t,\t,\tO\tO' +p338542 +aS'which\twhich\tWDT\tB-NP\tO' +p338543 +aS'was\tbe\tVBD\tB-VP\tO' +p338544 +aS'done\tdo\tVBN\tI-VP\tO' +p338545 +aS'three\tthree\tCD\tB-NP\tO' +p338546 +aS'weeks\tweek\tNNS\tI-NP\tO' +p338547 +aS'after\tafter\tIN\tB-SBAR\tO' +p338548 +aS'the\tthe\tDT\tB-NP\tO' +p338549 +aS'operation\toperation\tNN\tI-NP\tO' +p338550 +aS',\t,\t,\tO\tO' +p338551 +aS'is\tbe\tVBZ\tB-VP\tO' +p338552 +aS'still\tstill\tRB\tI-VP\tO' +p338553 +aS'pending\tpende\tVBG\tI-VP\tO' +p338554 +aS'.\t.\t.\tO\tO' +p338555 +asS'However , with her history of disease , patient underwent a cardiac catheterization .' +p338556 +(lp338557 +S'However\tHowever\tRB\tB-ADVP\tO' +p338558 +aS',\t,\t,\tO\tO' +p338559 +aS'with\twith\tIN\tB-PP\tO' +p338560 +aS'her\ther\tPRP$\tB-NP\tO' +p338561 +aS'history\thistory\tNN\tI-NP\tO' +p338562 +aS'of\tof\tIN\tB-PP\tO' +p338563 +aS'disease\tdisease\tNN\tB-NP\tO' +p338564 +aS',\t,\t,\tO\tO' +p338565 +aS'patient\tpatient\tNN\tB-NP\tO' +p338566 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p338567 +aS'a\ta\tDT\tB-NP\tO' +p338568 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p338569 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p338570 +aS'.\t.\t.\tO\tO' +p338571 +asS'1) Please follow up with your PCP and cardiologist , David , Larry Robinson ( 771 ) 937-5400 , upon discharge .' +p338572 +(lp338573 +S'1)\t1)\tLS\tB-NP\tO' +p338574 +aS'Please\tPlease\tNN\tI-NP\tB-protein' +p338575 +aS'follow\tfollow\tVB\tB-VP\tO' +p338576 +aS'up\tup\tRP\tB-PRT\tO' +p338577 +aS'with\twith\tIN\tB-PP\tO' +p338578 +aS'your\tyour\tPRP$\tB-NP\tO' +p338579 +aS'PCP\tPCP\tNN\tI-NP\tO' +p338580 +aS'and\tand\tCC\tI-NP\tO' +p338581 +aS'cardiologist\tcardiologist\tNN\tI-NP\tO' +p338582 +aS',\t,\t,\tO\tO' +p338583 +aS'David\tDavid\tNNP\tB-NP\tO' +p338584 +aS',\t,\t,\tO\tO' +p338585 +aS'Larry\tLarry\tNNP\tB-NP\tO' +p338586 +aS'Robinson\tRobinson\tNNP\tI-NP\tO' +p338587 +aS'(\t(\t(\tO\tO' +p338588 +aS'771\t771\tCD\tB-NP\tO' +p338589 +aS')\t)\t)\tO\tO' +p338590 +aS'937-5400\t937-5400\tCD\tB-NP\tO' +p338591 +aS',\t,\t,\tO\tO' +p338592 +aS'upon\tupon\tIN\tB-PP\tO' +p338593 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p338594 +aS'.\t.\t.\tO\tO' +p338595 +asS'A few days later , on 11-07 , the patient began to develop dyspnea on exertion with normal activity .' +p338596 +(lp338597 +S'A\tA\tDT\tB-NP\tO' +p338598 +aS'few\tfew\tJJ\tI-NP\tO' +p338599 +aS'days\tday\tNNS\tI-NP\tO' +p338600 +aS'later\tlater\tRB\tB-ADVP\tO' +p338601 +aS',\t,\t,\tO\tO' +p338602 +aS'on\ton\tIN\tB-PP\tO' +p338603 +aS'11-07\t11-07\tCD\tB-NP\tO' +p338604 +aS',\t,\t,\tO\tO' +p338605 +aS'the\tthe\tDT\tB-NP\tO' +p338606 +aS'patient\tpatient\tNN\tI-NP\tO' +p338607 +aS'began\tbegin\tVBD\tB-VP\tO' +p338608 +aS'to\tto\tTO\tI-VP\tO' +p338609 +aS'develop\tdevelop\tVB\tI-VP\tO' +p338610 +aS'dyspnea\tdyspnea\tNN\tB-NP\tO' +p338611 +aS'on\ton\tIN\tB-PP\tO' +p338612 +aS'exertion\texertion\tNN\tB-NP\tO' +p338613 +aS'with\twith\tIN\tB-PP\tO' +p338614 +aS'normal\tnormal\tJJ\tB-NP\tO' +p338615 +aS'activity\tactivity\tNN\tI-NP\tO' +p338616 +aS'.\t.\t.\tO\tO' +p338617 +asS'The paranasal sinuses and mastoid air cells are well aerated .' +p338618 +(lp338619 +S'The\tThe\tDT\tB-NP\tO' +p338620 +aS'paranasal\tparanasal\tJJ\tI-NP\tO' +p338621 +aS'sinuses\tsinus\tNNS\tI-NP\tO' +p338622 +aS'and\tand\tCC\tO\tO' +p338623 +aS'mastoid\tmastoid\tJJ\tB-NP\tO' +p338624 +aS'air\tair\tNN\tI-NP\tO' +p338625 +aS'cells\tcell\tNNS\tI-NP\tO' +p338626 +aS'are\tbe\tVBP\tB-VP\tO' +p338627 +aS'well\twell\tRB\tI-VP\tO' +p338628 +aS'aerated\taerate\tVBN\tI-VP\tO' +p338629 +aS'.\t.\t.\tO\tO' +p338630 +asS'No adventitious movements , no tremor , no asterixis .' +p338631 +(lp338632 +S'No\tNo\tDT\tB-NP\tO' +p338633 +aS'adventitious\tadventitious\tJJ\tI-NP\tO' +p338634 +aS'movements\tmovement\tNNS\tI-NP\tO' +p338635 +aS',\t,\t,\tO\tO' +p338636 +aS'no\tno\tDT\tB-NP\tO' +p338637 +aS'tremor\ttremor\tNN\tI-NP\tO' +p338638 +aS',\t,\t,\tO\tO' +p338639 +aS'no\tno\tDT\tB-NP\tO' +p338640 +aS'asterixis\tasterixis\tNN\tI-NP\tO' +p338641 +aS'.\t.\t.\tO\tO' +p338642 +asS'Warm , dry - c/c/e , pulses 2+ throughout' +p338643 +(lp338644 +S'Warm\tWarm\tNNP\tB-NP\tO' +p338645 +aS',\t,\t,\tO\tO' +p338646 +aS'dry\tdry\tJJ\tB-NP\tO' +p338647 +aS'-\t-\tHYPH\tI-NP\tO' +p338648 +aS'c/c/e\tc/c/e\tNN\tI-NP\tO' +p338649 +aS',\t,\t,\tO\tO' +p338650 +aS'pulses\tpulse\tVBZ\tB-VP\tO' +p338651 +aS'2+\t2+\tJJ\tB-ADJP\tO' +p338652 +aS'throughout\tthroughout\tIN\tO\tO' +p338653 +asS'HPI This is a 60 yo gentleman who previously had an ileocolic resection for a right colon cancer , and was found to have recurrent disease on colonoscopy .' +p338654 +(lp338655 +S'HPI\tHPI\tLS\tB-LST\tO' +p338656 +aS'This\tThis\tDT\tB-NP\tO' +p338657 +aS'is\tbe\tVBZ\tB-VP\tO' +p338658 +aS'a\ta\tDT\tB-NP\tO' +p338659 +aS'60\t60\tCD\tI-NP\tO' +p338660 +aS'yo\tyo\tNN\tI-NP\tO' +p338661 +aS'gentleman\tgentleman\tNN\tI-NP\tO' +p338662 +aS'who\twho\tWP\tB-NP\tO' +p338663 +aS'previously\tpreviously\tRB\tB-ADVP\tO' +p338664 +aS'had\thave\tVBD\tB-VP\tO' +p338665 +aS'an\tan\tDT\tB-NP\tO' +p338666 +aS'ileocolic\tileocolic\tJJ\tI-NP\tO' +p338667 +aS'resection\tresection\tNN\tI-NP\tO' +p338668 +aS'for\tfor\tIN\tB-PP\tO' +p338669 +aS'a\ta\tDT\tB-NP\tO' +p338670 +aS'right\tright\tJJ\tI-NP\tO' +p338671 +aS'colon\tcolon\tNN\tI-NP\tO' +p338672 +aS'cancer\tcancer\tNN\tI-NP\tO' +p338673 +aS',\t,\t,\tO\tO' +p338674 +aS'and\tand\tCC\tO\tO' +p338675 +aS'was\tbe\tVBD\tB-VP\tO' +p338676 +aS'found\tfind\tVBN\tI-VP\tO' +p338677 +aS'to\tto\tTO\tI-VP\tO' +p338678 +aS'have\thave\tVB\tI-VP\tO' +p338679 +aS'recurrent\trecurrent\tJJ\tB-NP\tO' +p338680 +aS'disease\tdisease\tNN\tI-NP\tO' +p338681 +aS'on\ton\tIN\tB-PP\tO' +p338682 +aS'colonoscopy\tcolonoscopy\tNN\tB-NP\tO' +p338683 +aS'.\t.\t.\tO\tO' +p338684 +asS'He uses a cane p.r.n. for walking .' +p338685 +(lp338686 +S'He\tHe\tPRP\tB-NP\tO' +p338687 +aS'uses\tuse\tVBZ\tB-VP\tO' +p338688 +aS'a\ta\tDT\tB-NP\tO' +p338689 +aS'cane\tcane\tNN\tI-NP\tO' +p338690 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p338691 +aS'for\tfor\tIN\tB-PP\tO' +p338692 +aS'walking\twalk\tVBG\tB-NP\tO' +p338693 +aS'.\t.\t.\tO\tO' +p338694 +asS'The patient presented with a chief complaint of R THUMB INJURY .' +p338695 +(lp338696 +S'The\tThe\tDT\tB-NP\tO' +p338697 +aS'patient\tpatient\tNN\tI-NP\tO' +p338698 +aS'presented\tpresent\tVBD\tB-VP\tO' +p338699 +aS'with\twith\tIN\tB-PP\tO' +p338700 +aS'a\ta\tDT\tB-NP\tO' +p338701 +aS'chief\tchief\tJJ\tI-NP\tO' +p338702 +aS'complaint\tcomplaint\tNN\tI-NP\tO' +p338703 +aS'of\tof\tIN\tB-PP\tO' +p338704 +aS'R\tR\tNN\tB-NP\tO' +p338705 +aS'THUMB\tTHUMB\tNN\tI-NP\tO' +p338706 +aS'INJURY\tINJURY\tNN\tI-NP\tO' +p338707 +aS'.\t.\t.\tO\tO' +p338708 +asS'The patient was found out of bed but no signs of head trauma , no loss of consciousness .' +p338709 +(lp338710 +S'The\tThe\tDT\tB-NP\tO' +p338711 +aS'patient\tpatient\tNN\tI-NP\tO' +p338712 +aS'was\tbe\tVBD\tB-VP\tO' +p338713 +aS'found\tfind\tVBN\tI-VP\tO' +p338714 +aS'out\tout\tIN\tB-PP\tO' +p338715 +aS'of\tof\tIN\tB-PP\tO' +p338716 +aS'bed\tbed\tNN\tB-NP\tO' +p338717 +aS'but\tbut\tCC\tO\tO' +p338718 +aS'no\tno\tDT\tB-NP\tO' +p338719 +aS'signs\tsign\tNNS\tI-NP\tO' +p338720 +aS'of\tof\tIN\tB-PP\tO' +p338721 +aS'head\thead\tNN\tB-NP\tO' +p338722 +aS'trauma\ttrauma\tNN\tI-NP\tO' +p338723 +aS',\t,\t,\tO\tO' +p338724 +aS'no\tno\tDT\tB-NP\tO' +p338725 +aS'loss\tloss\tNN\tI-NP\tO' +p338726 +aS'of\tof\tIN\tB-PP\tO' +p338727 +aS'consciousness\tconsciousness\tNN\tB-NP\tO' +p338728 +aS'.\t.\t.\tO\tO' +p338729 +asS'A paracentesis was repeated with removal of 2.5 liters of fluid .' +p338730 +(lp338731 +S'A\tA\tDT\tB-NP\tO' +p338732 +aS'paracentesis\tparacentesis\tNN\tI-NP\tO' +p338733 +aS'was\tbe\tVBD\tB-VP\tO' +p338734 +aS'repeated\trepeat\tVBN\tI-VP\tO' +p338735 +aS'with\twith\tIN\tB-PP\tO' +p338736 +aS'removal\tremoval\tNN\tB-NP\tO' +p338737 +aS'of\tof\tIN\tB-PP\tO' +p338738 +aS'2.5\t2.5\tCD\tB-NP\tO' +p338739 +aS'liters\tliter\tNNS\tI-NP\tO' +p338740 +aS'of\tof\tIN\tB-PP\tO' +p338741 +aS'fluid\tfluid\tNN\tB-NP\tO' +p338742 +aS'.\t.\t.\tO\tO' +p338743 +asS'5. No immunizations administered .' +p338744 +(lp338745 +S'5.\t5.\tLS\tB-LST\tO' +p338746 +aS'No\tNo\tDT\tB-NP\tO' +p338747 +aS'immunizations\timmunization\tNNS\tI-NP\tO' +p338748 +aS'administered\tadminister\tVBN\tB-VP\tO' +p338749 +aS'.\t.\t.\tO\tO' +p338750 +asS'The patient was screened by the rehabilitation facility and felt to be an acceptable candidate .' +p338751 +(lp338752 +S'The\tThe\tDT\tB-NP\tO' +p338753 +aS'patient\tpatient\tNN\tI-NP\tO' +p338754 +aS'was\tbe\tVBD\tB-VP\tO' +p338755 +aS'screened\tscreen\tVBN\tI-VP\tO' +p338756 +aS'by\tby\tIN\tB-PP\tO' +p338757 +aS'the\tthe\tDT\tB-NP\tO' +p338758 +aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' +p338759 +aS'facility\tfacility\tNN\tI-NP\tO' +p338760 +aS'and\tand\tCC\tO\tO' +p338761 +aS'felt\tfeel\tVBD\tB-VP\tO' +p338762 +aS'to\tto\tTO\tI-VP\tO' +p338763 +aS'be\tbe\tVB\tI-VP\tO' +p338764 +aS'an\tan\tDT\tB-NP\tO' +p338765 +aS'acceptable\tacceptable\tJJ\tI-NP\tO' +p338766 +aS'candidate\tcandidate\tNN\tI-NP\tO' +p338767 +aS'.\t.\t.\tO\tO' +p338768 +asS'RIGHT HIP , OSTEOARTHRITIS .' +p338769 +(lp338770 +S'RIGHT\tRIGHT\tNN\tB-NP\tO' +p338771 +aS'HIP\tHIP\tNN\tI-NP\tO' +p338772 +aS',\t,\t,\tO\tO' +p338773 +aS'OSTEOARTHRITIS\tOSTEOARTHRITIS\tNN\tB-NP\tO' +p338774 +aS'.\t.\t.\tO\tO' +p338775 +asS'Morphine Sulfate / Codeine / Keflex / Sudafed' +p338776 +(lp338777 +S'Morphine\tMorphine\tNN\tB-NP\tO' +p338778 +aS'Sulfate\tSulfate\tNN\tI-NP\tO' +p338779 +aS'/\t/\tSYM\tB-NP\tO' +p338780 +aS'Codeine\tCodeine\tNN\tI-NP\tO' +p338781 +aS'/\t/\tSYM\tI-NP\tO' +p338782 +aS'Keflex\tKeflex\tNN\tI-NP\tO' +p338783 +aS'/\t/\tSYM\tB-NP\tO' +p338784 +aS'Sudafed\tSudafe\tVBN\tB-VP\tO' +p338785 +asS'The patient states he has no known drug allergies .' +p338786 +(lp338787 +S'The\tThe\tDT\tB-NP\tO' +p338788 +aS'patient\tpatient\tNN\tI-NP\tO' +p338789 +aS'states\tstate\tVBZ\tB-VP\tO' +p338790 +aS'he\the\tPRP\tB-NP\tO' +p338791 +aS'has\thave\tVBZ\tB-VP\tO' +p338792 +aS'no\tno\tDT\tB-NP\tO' +p338793 +aS'known\tknow\tVBN\tI-NP\tO' +p338794 +aS'drug\tdrug\tNN\tI-NP\tO' +p338795 +aS'allergies\tallergy\tNNS\tI-NP\tO' +p338796 +aS'.\t.\t.\tO\tO' +p338797 +asS'On postop day number one she was afebrile and doing well with a PCA for pain control .' +p338798 +(lp338799 +S'On\tOn\tIN\tB-PP\tO' +p338800 +aS'postop\tpostop\tJJ\tB-NP\tO' +p338801 +aS'day\tday\tNN\tI-NP\tO' +p338802 +aS'number\tnumber\tNN\tI-NP\tO' +p338803 +aS'one\tone\tCD\tB-NP\tO' +p338804 +aS'she\tshe\tPRP\tB-NP\tO' +p338805 +aS'was\tbe\tVBD\tB-VP\tO' +p338806 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p338807 +aS'and\tand\tCC\tO\tO' +p338808 +aS'doing\tdo\tVBG\tB-VP\tO' +p338809 +aS'well\twell\tRB\tB-ADVP\tO' +p338810 +aS'with\twith\tIN\tB-PP\tO' +p338811 +aS'a\ta\tDT\tB-NP\tO' +p338812 +aS'PCA\tPCA\tNN\tI-NP\tO' +p338813 +aS'for\tfor\tIN\tB-PP\tO' +p338814 +aS'pain\tpain\tNN\tB-NP\tO' +p338815 +aS'control\tcontrol\tNN\tI-NP\tO' +p338816 +aS'.\t.\t.\tO\tO' +p338817 +asS"Preprocedure of PTC on 10-30 she was transfused 1 unit PRBC 's, 2 platelets and 2U FFP and procedure went without complication ." +p338818 +(lp338819 +S'Preprocedure\tPreprocedure\tNN\tB-NP\tO' +p338820 +aS'of\tof\tIN\tB-PP\tO' +p338821 +aS'PTC\tPTC\tNN\tB-NP\tB-protein' +p338822 +aS'on\ton\tIN\tB-PP\tO' +p338823 +aS'10-30\t10-30\tCD\tB-NP\tO' +p338824 +aS'she\tshe\tPRP\tB-NP\tO' +p338825 +aS'was\tbe\tVBD\tB-VP\tO' +p338826 +aS'transfused\ttransfuse\tVBN\tI-VP\tO' +p338827 +aS'1\t1\tCD\tB-NP\tO' +p338828 +aS'unit\tunit\tNN\tI-NP\tO' +p338829 +aS'PRBC\tPRBC\tNN\tI-NP\tO' +p338830 +aS"'s,\t's,\tPOS\tB-NP\tO" +p338831 +aS'2\t2\tCD\tI-NP\tO' +p338832 +aS'platelets\tplatelet\tNNS\tI-NP\tB-cell_type' +p338833 +aS'and\tand\tCC\tI-NP\tO' +p338834 +aS'2U\t2U\tNN\tI-NP\tO' +p338835 +aS'FFP\tFFP\tNN\tI-NP\tO' +p338836 +aS'and\tand\tCC\tI-NP\tO' +p338837 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p338838 +aS'went\tgo\tVBD\tB-VP\tO' +p338839 +aS'without\twithout\tIN\tB-PP\tO' +p338840 +aS'complication\tcomplication\tNN\tB-NP\tO' +p338841 +aS'.\t.\t.\tO\tO' +p338842 +asS'Renal ultrasound was normal .' +p338843 +(lp338844 +S'Renal\tRenal\tJJ\tB-NP\tO' +p338845 +aS'ultrasound\tultrasound\tNN\tI-NP\tO' +p338846 +aS'was\tbe\tVBD\tB-VP\tO' +p338847 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p338848 +aS'.\t.\t.\tO\tO' +p338849 +asS'He had 4 surgeries ( 3 cardiac surgeries ) earlier in the summer , so it is likely that he required copious IVF hydration surrounding these procedures which may have been the cause of his massive fluid overload .' +p338850 +(lp338851 +S'He\tHe\tPRP\tB-NP\tO' +p338852 +aS'had\thave\tVBD\tB-VP\tO' +p338853 +aS'4\t4\tCD\tB-NP\tO' +p338854 +aS'surgeries\tsurgery\tNNS\tI-NP\tO' +p338855 +aS'(\t(\t(\tO\tO' +p338856 +aS'3\t3\tCD\tB-NP\tO' +p338857 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p338858 +aS'surgeries\tsurgery\tNNS\tI-NP\tO' +p338859 +aS')\t)\t)\tO\tO' +p338860 +aS'earlier\tearlier\tRBR\tB-ADVP\tO' +p338861 +aS'in\tin\tIN\tB-PP\tO' +p338862 +aS'the\tthe\tDT\tB-NP\tO' +p338863 +aS'summer\tsummer\tNN\tI-NP\tO' +p338864 +aS',\t,\t,\tO\tO' +p338865 +aS'so\tso\tIN\tB-SBAR\tO' +p338866 +aS'it\tit\tPRP\tB-NP\tO' +p338867 +aS'is\tbe\tVBZ\tB-VP\tO' +p338868 +aS'likely\tlikely\tJJ\tB-ADJP\tO' +p338869 +aS'that\tthat\tIN\tB-SBAR\tO' +p338870 +aS'he\the\tPRP\tB-NP\tO' +p338871 +aS'required\trequire\tVBD\tB-VP\tO' +p338872 +aS'copious\tcopious\tJJ\tB-NP\tO' +p338873 +aS'IVF\tIVF\tNN\tI-NP\tO' +p338874 +aS'hydration\thydration\tNN\tI-NP\tO' +p338875 +aS'surrounding\tsurround\tVBG\tB-VP\tO' +p338876 +aS'these\tthese\tDT\tB-NP\tO' +p338877 +aS'procedures\tprocedure\tNNS\tI-NP\tO' +p338878 +aS'which\twhich\tWDT\tB-NP\tO' +p338879 +aS'may\tmay\tMD\tB-VP\tO' +p338880 +aS'have\thave\tVB\tI-VP\tO' +p338881 +aS'been\tbe\tVBN\tI-VP\tO' +p338882 +aS'the\tthe\tDT\tB-NP\tO' +p338883 +aS'cause\tcause\tNN\tI-NP\tO' +p338884 +aS'of\tof\tIN\tB-PP\tO' +p338885 +aS'his\this\tPRP$\tB-NP\tO' +p338886 +aS'massive\tmassive\tJJ\tI-NP\tO' +p338887 +aS'fluid\tfluid\tNN\tI-NP\tO' +p338888 +aS'overload\toverload\tNN\tI-NP\tO' +p338889 +aS'.\t.\t.\tO\tO' +p338890 +asS'While on the floor , he continued to be diuresed .' +p338891 +(lp338892 +S'While\tWhile\tIN\tB-SBAR\tO' +p338893 +aS'on\ton\tIN\tB-PP\tO' +p338894 +aS'the\tthe\tDT\tB-NP\tO' +p338895 +aS'floor\tfloor\tNN\tI-NP\tO' +p338896 +aS',\t,\t,\tO\tO' +p338897 +aS'he\the\tPRP\tB-NP\tO' +p338898 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p338899 +aS'to\tto\tTO\tI-VP\tO' +p338900 +aS'be\tbe\tVB\tI-VP\tO' +p338901 +aS'diuresed\tdiurese\tVBN\tI-VP\tO' +p338902 +aS'.\t.\t.\tO\tO' +p338903 +asS'The patient denied any more gastrointestinal symptoms .' +p338904 +(lp338905 +S'The\tThe\tDT\tB-NP\tO' +p338906 +aS'patient\tpatient\tNN\tI-NP\tO' +p338907 +aS'denied\tdeny\tVBD\tB-VP\tO' +p338908 +aS'any\tany\tDT\tB-NP\tO' +p338909 +aS'more\tmore\tRBR\tI-NP\tO' +p338910 +aS'gastrointestinal\tgastrointestinal\tJJ\tI-NP\tO' +p338911 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p338912 +aS'.\t.\t.\tO\tO' +p338913 +asS'Mr. Reese is a 70 - year-old gentleman with end stage liver disease secondary to alcoholic cirrhosis .' +p338914 +(lp338915 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p338916 +aS'Reese\tReese\tNNP\tI-NP\tO' +p338917 +aS'is\tbe\tVBZ\tB-VP\tO' +p338918 +aS'a\ta\tDT\tB-NP\tO' +p338919 +aS'70\t70\tCD\tI-NP\tO' +p338920 +aS'-\t-\tHYPH\tI-NP\tO' +p338921 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p338922 +aS'gentleman\tgentleman\tNN\tI-NP\tO' +p338923 +aS'with\twith\tIN\tB-PP\tO' +p338924 +aS'end\tend\tNN\tB-NP\tO' +p338925 +aS'stage\tstage\tNN\tI-NP\tO' +p338926 +aS'liver\tliver\tNN\tI-NP\tO' +p338927 +aS'disease\tdisease\tNN\tI-NP\tO' +p338928 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p338929 +aS'to\tto\tTO\tB-PP\tO' +p338930 +aS'alcoholic\talcoholic\tJJ\tB-NP\tO' +p338931 +aS'cirrhosis\tcirrhosis\tNN\tI-NP\tO' +p338932 +aS'.\t.\t.\tO\tO' +p338933 +asS'much of the recording .' +p338934 +(lp338935 +S'much\tmuch\tRB\tB-NP\tO' +p338936 +aS'of\tof\tIN\tB-PP\tO' +p338937 +aS'the\tthe\tDT\tB-NP\tO' +p338938 +aS'recording\trecording\tNN\tI-NP\tO' +p338939 +aS'.\t.\t.\tO\tO' +p338940 +asS'Cadaveric pancreas transplantation .' +p338941 +(lp338942 +S'Cadaveric\tCadaveric\tJJ\tB-NP\tO' +p338943 +aS'pancreas\tpancreas\tNN\tI-NP\tO' +p338944 +aS'transplantation\ttransplantation\tNN\tI-NP\tO' +p338945 +aS'.\t.\t.\tO\tO' +p338946 +asS'3. Follow-up with Cardiologist in four weeks .' +p338947 +(lp338948 +S'3.\t3.\tLS\tB-NP\tO' +p338949 +aS'Follow-up\tFollow-up\tNN\tI-NP\tO' +p338950 +aS'with\twith\tIN\tB-PP\tO' +p338951 +aS'Cardiologist\tCardiologist\tNN\tB-NP\tO' +p338952 +aS'in\tin\tIN\tB-PP\tO' +p338953 +aS'four\tfour\tCD\tB-NP\tO' +p338954 +aS'weeks\tweek\tNNS\tI-NP\tO' +p338955 +aS'.\t.\t.\tO\tO' +p338956 +asS'He had good femoral pulses bilaterally .' +p338957 +(lp338958 +S'He\tHe\tPRP\tB-NP\tO' +p338959 +aS'had\thave\tVBD\tB-VP\tO' +p338960 +aS'good\tgood\tJJ\tB-NP\tO' +p338961 +aS'femoral\tfemoral\tJJ\tI-NP\tO' +p338962 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p338963 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p338964 +aS'.\t.\t.\tO\tO' +p338965 +asS'This is left for further follow up as an outpatient .' +p338966 +(lp338967 +S'This\tThis\tDT\tB-NP\tO' +p338968 +aS'is\tbe\tVBZ\tB-VP\tO' +p338969 +aS'left\tleave\tVBN\tI-VP\tO' +p338970 +aS'for\tfor\tIN\tB-PP\tO' +p338971 +aS'further\tfurther\tJJ\tB-NP\tO' +p338972 +aS'follow\tfollow\tVB\tB-VP\tO' +p338973 +aS'up\tup\tRP\tB-PRT\tO' +p338974 +aS'as\tas\tIN\tB-PP\tO' +p338975 +aS'an\tan\tDT\tB-NP\tO' +p338976 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p338977 +aS'.\t.\t.\tO\tO' +p338978 +asS'The patient was transferred to Fairm of Ijordcompmac Hospital and had 4-7 mm ST segment elevations across the precordium with Q's in V1 and V2 , 2 mm ST elevation in AVL , and 1-2 mm reciprocal ST depression in II , III , and F.' +p338979 +(lp338980 +S'The\tThe\tDT\tB-NP\tO' +p338981 +aS'patient\tpatient\tNN\tI-NP\tO' +p338982 +aS'was\tbe\tVBD\tB-VP\tO' +p338983 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p338984 +aS'to\tto\tTO\tB-PP\tO' +p338985 +aS'Fairm\tFairm\tNNP\tB-NP\tO' +p338986 +aS'of\tof\tIN\tB-PP\tO' +p338987 +aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' +p338988 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p338989 +aS'and\tand\tCC\tO\tO' +p338990 +aS'had\thave\tVBD\tB-VP\tO' +p338991 +aS'4-7\t4-7\tCD\tB-NP\tO' +p338992 +aS'mm\tmm\tNN\tI-NP\tO' +p338993 +aS'ST\tST\tNN\tI-NP\tO' +p338994 +aS'segment\tsegment\tNN\tI-NP\tO' +p338995 +aS'elevations\televation\tNNS\tI-NP\tO' +p338996 +aS'across\tacross\tIN\tB-PP\tO' +p338997 +aS'the\tthe\tDT\tB-NP\tO' +p338998 +aS'precordium\tprecordium\tNN\tI-NP\tO' +p338999 +aS'with\twith\tIN\tB-PP\tO' +p339000 +aS'Q's\tQ'\tNNS\tB-NP\tB-DNA' +p339001 +aS'in\tin\tIN\tB-PP\tO' +p339002 +aS'V1\tV1\tNN\tB-NP\tO' +p339003 +aS'and\tand\tCC\tI-NP\tO' +p339004 +aS'V2\tV2\tNN\tI-NP\tO' +p339005 +aS',\t,\t,\tO\tO' +p339006 +aS'2\t2\tCD\tB-NP\tO' +p339007 +aS'mm\tmm\tNN\tI-NP\tO' +p339008 +aS'ST\tST\tNN\tI-NP\tO' +p339009 +aS'elevation\televation\tNN\tI-NP\tO' +p339010 +aS'in\tin\tIN\tB-PP\tO' +p339011 +aS'AVL\tAVL\tNN\tB-NP\tO' +p339012 +aS',\t,\t,\tO\tO' +p339013 +aS'and\tand\tCC\tO\tO' +p339014 +aS'1-2\t1-2\tCD\tB-NP\tO' +p339015 +aS'mm\tmm\tNN\tI-NP\tO' +p339016 +aS'reciprocal\treciprocal\tJJ\tI-NP\tO' +p339017 +aS'ST\tST\tNN\tI-NP\tO' +p339018 +aS'depression\tdepression\tNN\tI-NP\tO' +p339019 +aS'in\tin\tIN\tB-PP\tO' +p339020 +aS'II\tII\tCD\tB-NP\tO' +p339021 +aS',\t,\t,\tI-NP\tO' +p339022 +aS'III\tIII\tCD\tI-NP\tO' +p339023 +aS',\t,\t,\tO\tO' +p339024 +aS'and\tand\tCC\tO\tO' +p339025 +aS'F.\tF.\tNNP\tB-NP\tO' +p339026 +asS'Pt is being AV paced , on an infusion of phenylephrine' +p339027 +(lp339028 +S'Pt\tPt\tNN\tB-NP\tO' +p339029 +aS'is\tbe\tVBZ\tB-VP\tO' +p339030 +aS'being\tbe\tVBG\tI-VP\tO' +p339031 +aS'AV\tAV\tNNP\tB-NP\tO' +p339032 +aS'paced\tpace\tVBD\tB-VP\tO' +p339033 +aS',\t,\t,\tO\tO' +p339034 +aS'on\ton\tIN\tB-PP\tO' +p339035 +aS'an\tan\tDT\tB-NP\tO' +p339036 +aS'infusion\tinfusion\tNN\tI-NP\tO' +p339037 +aS'of\tof\tIN\tB-PP\tO' +p339038 +aS'phenylephrine\tphenylephrine\tNN\tB-NP\tO' +p339039 +asS'This morning while on a cruise ship , she was eating breakfast when she suddenly noticed she could not see a roll on her plate although she knew that it was there .' +p339040 +(lp339041 +S'This\tThis\tDT\tB-NP\tO' +p339042 +aS'morning\tmorning\tNN\tI-NP\tO' +p339043 +aS'while\twhile\tIN\tB-SBAR\tO' +p339044 +aS'on\ton\tIN\tB-PP\tO' +p339045 +aS'a\ta\tDT\tB-NP\tO' +p339046 +aS'cruise\tcruise\tNN\tI-NP\tO' +p339047 +aS'ship\tship\tNN\tI-NP\tO' +p339048 +aS',\t,\t,\tO\tO' +p339049 +aS'she\tshe\tPRP\tB-NP\tO' +p339050 +aS'was\tbe\tVBD\tB-VP\tO' +p339051 +aS'eating\teat\tVBG\tI-VP\tO' +p339052 +aS'breakfast\tbreakfast\tNN\tB-NP\tO' +p339053 +aS'when\twhen\tWRB\tB-ADVP\tO' +p339054 +aS'she\tshe\tPRP\tB-NP\tO' +p339055 +aS'suddenly\tsuddenly\tRB\tB-ADVP\tO' +p339056 +aS'noticed\tnotice\tVBD\tB-VP\tO' +p339057 +aS'she\tshe\tPRP\tB-NP\tO' +p339058 +aS'could\tcould\tMD\tB-VP\tO' +p339059 +aS'not\tnot\tRB\tI-VP\tO' +p339060 +aS'see\tsee\tVB\tI-VP\tO' +p339061 +aS'a\ta\tDT\tB-NP\tO' +p339062 +aS'roll\troll\tNN\tI-NP\tO' +p339063 +aS'on\ton\tIN\tB-PP\tO' +p339064 +aS'her\ther\tPRP$\tB-NP\tO' +p339065 +aS'plate\tplate\tNN\tI-NP\tO' +p339066 +aS'although\talthough\tIN\tB-SBAR\tO' +p339067 +aS'she\tshe\tPRP\tB-NP\tO' +p339068 +aS'knew\tknow\tVBD\tB-VP\tO' +p339069 +aS'that\tthat\tIN\tB-SBAR\tO' +p339070 +aS'it\tit\tPRP\tB-NP\tO' +p339071 +aS'was\tbe\tVBD\tB-VP\tO' +p339072 +aS'there\tthere\tRB\tB-ADVP\tO' +p339073 +aS'.\t.\t.\tO\tO' +p339074 +asS'The patient also had a history of platelet reaction .' +p339075 +(lp339076 +S'The\tThe\tDT\tB-NP\tO' +p339077 +aS'patient\tpatient\tNN\tI-NP\tO' +p339078 +aS'also\talso\tRB\tB-ADVP\tO' +p339079 +aS'had\thave\tVBD\tB-VP\tO' +p339080 +aS'a\ta\tDT\tB-NP\tO' +p339081 +aS'history\thistory\tNN\tI-NP\tO' +p339082 +aS'of\tof\tIN\tB-PP\tO' +p339083 +aS'platelet\tplatelet\tNN\tB-NP\tO' +p339084 +aS'reaction\treaction\tNN\tI-NP\tO' +p339085 +aS'.\t.\t.\tO\tO' +p339086 +asS'Persantine thallium is scheduled at this time , but is yet to be performed .' +p339087 +(lp339088 +S'Persantine\tPersantine\tJJ\tB-NP\tO' +p339089 +aS'thallium\tthallium\tNN\tI-NP\tO' +p339090 +aS'is\tbe\tVBZ\tB-VP\tO' +p339091 +aS'scheduled\tschedule\tVBN\tI-VP\tO' +p339092 +aS'at\tat\tIN\tB-PP\tO' +p339093 +aS'this\tthis\tDT\tB-NP\tO' +p339094 +aS'time\ttime\tNN\tI-NP\tO' +p339095 +aS',\t,\t,\tO\tO' +p339096 +aS'but\tbut\tCC\tO\tO' +p339097 +aS'is\tbe\tVBZ\tB-VP\tO' +p339098 +aS'yet\tyet\tRB\tI-VP\tO' +p339099 +aS'to\tto\tTO\tI-VP\tO' +p339100 +aS'be\tbe\tVB\tI-VP\tO' +p339101 +aS'performed\tperform\tVBN\tI-VP\tO' +p339102 +aS'.\t.\t.\tO\tO' +p339103 +asS'No organomegaly or masses .' +p339104 +(lp339105 +S'No\tNo\tDT\tB-NP\tO' +p339106 +aS'organomegaly\torganomegaly\tNN\tI-NP\tO' +p339107 +aS'or\tor\tCC\tI-NP\tO' +p339108 +aS'masses\tmass\tNNS\tI-NP\tO' +p339109 +aS'.\t.\t.\tO\tO' +p339110 +asS'Other differential includes ischemia .' +p339111 +(lp339112 +S'Other\tOther\tJJ\tB-NP\tO' +p339113 +aS'differential\tdifferential\tJJ\tI-NP\tO' +p339114 +aS'includes\tinclude\tVBZ\tB-VP\tO' +p339115 +aS'ischemia\tischemia\tNN\tB-NP\tO' +p339116 +aS'.\t.\t.\tO\tO' +p339117 +asS'On 05-01-92 she was taken to the operating room at which time she underwent an aortic valve replacement with a # 19 St. Jude valve , coronary artery bypass graft times one with saphenous vein graft from the posterior descending artery to the obtuse marginal and right carotid endarterectomy .' +p339118 +(lp339119 +S'On\tOn\tIN\tB-PP\tO' +p339120 +aS'05-01-92\t05-01-92\tCD\tB-NP\tO' +p339121 +aS'she\tshe\tPRP\tB-NP\tO' +p339122 +aS'was\tbe\tVBD\tB-VP\tO' +p339123 +aS'taken\ttake\tVBN\tI-VP\tO' +p339124 +aS'to\tto\tTO\tB-PP\tO' +p339125 +aS'the\tthe\tDT\tB-NP\tO' +p339126 +aS'operating\toperating\tNN\tI-NP\tO' +p339127 +aS'room\troom\tNN\tI-NP\tO' +p339128 +aS'at\tat\tIN\tB-PP\tO' +p339129 +aS'which\twhich\tWDT\tB-NP\tO' +p339130 +aS'time\ttime\tNN\tI-NP\tO' +p339131 +aS'she\tshe\tPRP\tB-NP\tO' +p339132 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p339133 +aS'an\tan\tDT\tB-NP\tO' +p339134 +aS'aortic\taortic\tJJ\tI-NP\tO' +p339135 +aS'valve\tvalve\tNN\tI-NP\tO' +p339136 +aS'replacement\treplacement\tNN\tI-NP\tO' +p339137 +aS'with\twith\tIN\tB-PP\tO' +p339138 +aS'a\ta\tDT\tB-NP\tO' +p339139 +aS'#\t#\t#\tI-NP\tO' +p339140 +aS'19\t19\tCD\tI-NP\tO' +p339141 +aS'St.\tSt.\tNNP\tI-NP\tO' +p339142 +aS'Jude\tJude\tNNP\tI-NP\tO' +p339143 +aS'valve\tvalve\tNNP\tI-NP\tO' +p339144 +aS',\t,\t,\tO\tO' +p339145 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p339146 +aS'artery\tartery\tNN\tI-NP\tO' +p339147 +aS'bypass\tbypass\tIN\tB-PP\tO' +p339148 +aS'graft\tgraft\tNN\tB-NP\tO' +p339149 +aS'times\ttime\tNNS\tI-NP\tO' +p339150 +aS'one\tone\tCD\tB-NP\tO' +p339151 +aS'with\twith\tIN\tB-PP\tO' +p339152 +aS'saphenous\tsaphenous\tJJ\tB-NP\tO' +p339153 +aS'vein\tvein\tNN\tI-NP\tO' +p339154 +aS'graft\tgraft\tNN\tI-NP\tO' +p339155 +aS'from\tfrom\tIN\tB-PP\tO' +p339156 +aS'the\tthe\tDT\tB-NP\tO' +p339157 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p339158 +aS'descending\tdescend\tVBG\tI-NP\tO' +p339159 +aS'artery\tartery\tNN\tI-NP\tO' +p339160 +aS'to\tto\tTO\tB-PP\tO' +p339161 +aS'the\tthe\tDT\tB-NP\tO' +p339162 +aS'obtuse\tobtuse\tNN\tI-NP\tO' +p339163 +aS'marginal\tmarginal\tJJ\tI-NP\tO' +p339164 +aS'and\tand\tCC\tI-NP\tO' +p339165 +aS'right\tright\tJJ\tI-NP\tO' +p339166 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p339167 +aS'endarterectomy\tendarterectomy\tNN\tI-NP\tO' +p339168 +aS'.\t.\t.\tO\tO' +p339169 +asS'Gait disorder .' +p339170 +(lp339171 +S'Gait\tGait\tNN\tB-NP\tO' +p339172 +aS'disorder\tdisorder\tNN\tI-NP\tO' +p339173 +aS'.\t.\t.\tO\tO' +p339174 +asS"After lengthy discussions with the patient and the patient 's family as well as the various consultant services it was decided that the patient was a viable candidate for aortic root replacement procedure using homograft ." +p339175 +(lp339176 +S'After\tAfter\tIN\tB-PP\tO' +p339177 +aS'lengthy\tlengthy\tJJ\tB-NP\tO' +p339178 +aS'discussions\tdiscussion\tNNS\tI-NP\tO' +p339179 +aS'with\twith\tIN\tB-PP\tO' +p339180 +aS'the\tthe\tDT\tB-NP\tO' +p339181 +aS'patient\tpatient\tNN\tI-NP\tO' +p339182 +aS'and\tand\tCC\tO\tO' +p339183 +aS'the\tthe\tDT\tB-NP\tO' +p339184 +aS'patient\tpatient\tNN\tI-NP\tO' +p339185 +aS"'s\t's\tPOS\tB-NP\tO" +p339186 +aS'family\tfamily\tNN\tI-NP\tO' +p339187 +aS'as\tas\tRB\tB-CONJP\tO' +p339188 +aS'well\twell\tRB\tI-CONJP\tO' +p339189 +aS'as\tas\tIN\tI-CONJP\tO' +p339190 +aS'the\tthe\tDT\tB-NP\tO' +p339191 +aS'various\tvarious\tJJ\tI-NP\tO' +p339192 +aS'consultant\tconsultant\tNN\tI-NP\tO' +p339193 +aS'services\tservice\tNNS\tI-NP\tO' +p339194 +aS'it\tit\tPRP\tB-NP\tO' +p339195 +aS'was\tbe\tVBD\tB-VP\tO' +p339196 +aS'decided\tdecide\tVBN\tI-VP\tO' +p339197 +aS'that\tthat\tIN\tB-SBAR\tO' +p339198 +aS'the\tthe\tDT\tB-NP\tO' +p339199 +aS'patient\tpatient\tNN\tI-NP\tO' +p339200 +aS'was\tbe\tVBD\tB-VP\tO' +p339201 +aS'a\ta\tDT\tB-NP\tO' +p339202 +aS'viable\tviable\tJJ\tI-NP\tO' +p339203 +aS'candidate\tcandidate\tNN\tI-NP\tO' +p339204 +aS'for\tfor\tIN\tB-PP\tO' +p339205 +aS'aortic\taortic\tJJ\tB-NP\tO' +p339206 +aS'root\troot\tNN\tI-NP\tO' +p339207 +aS'replacement\treplacement\tNN\tI-NP\tO' +p339208 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p339209 +aS'using\tuse\tVBG\tB-VP\tO' +p339210 +aS'homograft\thomograft\tNN\tB-NP\tO' +p339211 +aS'.\t.\t.\tO\tO' +p339212 +asS'CT 11-04 : No acute intracranial hemorrhage .' +p339213 +(lp339214 +S'CT\tCT\tNN\tB-NP\tO' +p339215 +aS'11-04\t11-04\tCD\tI-NP\tO' +p339216 +aS':\t:\t:\tO\tO' +p339217 +aS'No\tNo\tDT\tB-NP\tO' +p339218 +aS'acute\tacute\tJJ\tI-NP\tO' +p339219 +aS'intracranial\tintracranial\tJJ\tI-NP\tO' +p339220 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p339221 +aS'.\t.\t.\tO\tO' +p339222 +asS'His oxygen saturations remained good and he did not require supplemental oxygen more than a couple of days after his extubation .' +p339223 +(lp339224 +S'His\tHis\tPRP$\tB-NP\tO' +p339225 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p339226 +aS'saturations\tsaturation\tNNS\tI-NP\tO' +p339227 +aS'remained\tremain\tVBD\tB-VP\tO' +p339228 +aS'good\tgood\tJJ\tB-ADJP\tO' +p339229 +aS'and\tand\tCC\tO\tO' +p339230 +aS'he\the\tPRP\tB-NP\tO' +p339231 +aS'did\tdo\tVBD\tB-VP\tO' +p339232 +aS'not\tnot\tRB\tI-VP\tO' +p339233 +aS'require\trequire\tVB\tI-VP\tO' +p339234 +aS'supplemental\tsupplemental\tJJ\tB-NP\tO' +p339235 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p339236 +aS'more\tmore\tJJR\tB-NP\tO' +p339237 +aS'than\tthan\tIN\tB-PP\tO' +p339238 +aS'a\ta\tDT\tB-NP\tO' +p339239 +aS'couple\tcouple\tNN\tI-NP\tO' +p339240 +aS'of\tof\tIN\tB-PP\tO' +p339241 +aS'days\tday\tNNS\tB-NP\tO' +p339242 +aS'after\tafter\tIN\tB-PP\tO' +p339243 +aS'his\this\tPRP$\tB-NP\tO' +p339244 +aS'extubation\textubation\tNN\tI-NP\tO' +p339245 +aS'.\t.\t.\tO\tO' +p339246 +asS'Patient was transferred to the PP floor in stable condition .' +p339247 +(lp339248 +S'Patient\tPatient\tNN\tB-NP\tO' +p339249 +aS'was\tbe\tVBD\tB-VP\tO' +p339250 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p339251 +aS'to\tto\tTO\tB-PP\tO' +p339252 +aS'the\tthe\tDT\tB-NP\tO' +p339253 +aS'PP\tPP\tNN\tI-NP\tB-protein' +p339254 +aS'floor\tfloor\tNN\tI-NP\tI-protein' +p339255 +aS'in\tin\tIN\tB-PP\tO' +p339256 +aS'stable\tstable\tJJ\tB-NP\tO' +p339257 +aS'condition\tcondition\tNN\tI-NP\tO' +p339258 +aS'.\t.\t.\tO\tO' +p339259 +asS'In addition , his cyclosporin levels were checked .' +p339260 +(lp339261 +S'In\tIn\tIN\tB-PP\tO' +p339262 +aS'addition\taddition\tNN\tB-NP\tO' +p339263 +aS',\t,\t,\tO\tO' +p339264 +aS'his\this\tPRP$\tB-NP\tO' +p339265 +aS'cyclosporin\tcyclosporin\tNN\tI-NP\tO' +p339266 +aS'levels\tlevel\tNNS\tI-NP\tO' +p339267 +aS'were\tbe\tVBD\tB-VP\tO' +p339268 +aS'checked\tcheck\tVBN\tI-VP\tO' +p339269 +aS'.\t.\t.\tO\tO' +p339270 +asS"The patient 's preoperative chest x-ray showed bilateral effusions and bibasilar atelectasis ." +p339271 +(lp339272 +S'The\tThe\tDT\tB-NP\tO' +p339273 +aS'patient\tpatient\tNN\tI-NP\tO' +p339274 +aS"'s\t's\tPOS\tB-NP\tO" +p339275 +aS'preoperative\tpreoperative\tJJ\tI-NP\tO' +p339276 +aS'chest\tchest\tNN\tI-NP\tO' +p339277 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p339278 +aS'showed\tshow\tVBD\tB-VP\tO' +p339279 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p339280 +aS'effusions\teffusion\tNNS\tI-NP\tO' +p339281 +aS'and\tand\tCC\tO\tO' +p339282 +aS'bibasilar\tbibasilar\tJJ\tB-NP\tO' +p339283 +aS'atelectasis\tatelectasis\tNN\tI-NP\tO' +p339284 +aS'.\t.\t.\tO\tO' +p339285 +asS'Continue to wear your left arm splint , but take it off daily to inspect your skin' +p339286 +(lp339287 +S'Continue\tContinue\tNNP\tB-NP\tO' +p339288 +aS'to\tto\tTO\tB-VP\tO' +p339289 +aS'wear\twear\tVB\tI-VP\tO' +p339290 +aS'your\tyour\tPRP$\tB-NP\tO' +p339291 +aS'left\tleft\tJJ\tI-NP\tO' +p339292 +aS'arm\tarm\tNN\tI-NP\tO' +p339293 +aS'splint\tsplint\tNN\tI-NP\tO' +p339294 +aS',\t,\t,\tO\tO' +p339295 +aS'but\tbut\tCC\tO\tO' +p339296 +aS'take\ttake\tVB\tB-VP\tO' +p339297 +aS'it\tit\tPRP\tB-NP\tO' +p339298 +aS'off\toff\tRP\tB-PRT\tO' +p339299 +aS'daily\tdaily\tRB\tB-ADVP\tO' +p339300 +aS'to\tto\tTO\tB-VP\tO' +p339301 +aS'inspect\tinspect\tVB\tI-VP\tO' +p339302 +aS'your\tyour\tPRP$\tB-NP\tO' +p339303 +aS'skin\tskin\tNN\tI-NP\tO' +p339304 +asS'70 y/o male with h/o CAD , T2DM , hyperlipidemia , and COPD who presented to the Juan on 2017-09-03 with worsening SOB x 5 days from Morton Hospital & Medical Center .' +p339305 +(lp339306 +S'70\t70\tCD\tB-NP\tO' +p339307 +aS'y/o\ty/o\tNN\tI-NP\tO' +p339308 +aS'male\tmale\tJJ\tB-ADJP\tO' +p339309 +aS'with\twith\tIN\tB-PP\tO' +p339310 +aS'h/o\th/o\tNN\tB-NP\tO' +p339311 +aS'CAD\tCAD\tNN\tI-NP\tO' +p339312 +aS',\t,\t,\tO\tO' +p339313 +aS'T2DM\tT2DM\tNN\tB-NP\tO' +p339314 +aS',\t,\t,\tO\tO' +p339315 +aS'hyperlipidemia\thyperlipidemia\tNN\tB-NP\tO' +p339316 +aS',\t,\t,\tO\tO' +p339317 +aS'and\tand\tCC\tO\tO' +p339318 +aS'COPD\tCOPD\tNN\tB-NP\tO' +p339319 +aS'who\twho\tWP\tB-NP\tO' +p339320 +aS'presented\tpresent\tVBD\tB-VP\tO' +p339321 +aS'to\tto\tTO\tB-PP\tO' +p339322 +aS'the\tthe\tDT\tB-NP\tO' +p339323 +aS'Juan\tJuan\tNNP\tI-NP\tO' +p339324 +aS'on\ton\tIN\tB-PP\tO' +p339325 +aS'2017-09-03\t2017-09-03\tCD\tB-NP\tO' +p339326 +aS'with\twith\tIN\tB-PP\tO' +p339327 +aS'worsening\tworsen\tVBG\tB-VP\tO' +p339328 +aS'SOB\tSOB\tNN\tB-NP\tB-protein' +p339329 +aS'x\tx\tSYM\tO\tO' +p339330 +aS'5\t5\tCD\tB-NP\tO' +p339331 +aS'days\tday\tNNS\tI-NP\tO' +p339332 +aS'from\tfrom\tIN\tB-PP\tO' +p339333 +aS'Morton\tMorton\tNNP\tB-NP\tO' +p339334 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p339335 +aS'&\t&\tCC\tI-NP\tO' +p339336 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p339337 +aS'Center\tCenter\tNNP\tI-NP\tO' +p339338 +aS'.\t.\t.\tO\tO' +p339339 +asS'This report was created by SHOULDER , RYBAM 06/05/2002 04:26 PM' +p339340 +(lp339341 +S'This\tThis\tDT\tB-NP\tO' +p339342 +aS'report\treport\tNN\tI-NP\tO' +p339343 +aS'was\tbe\tVBD\tB-VP\tO' +p339344 +aS'created\tcreate\tVBN\tI-VP\tO' +p339345 +aS'by\tby\tIN\tB-PP\tO' +p339346 +aS'SHOULDER\tSHOULDER\tNN\tB-NP\tO' +p339347 +aS',\t,\t,\tO\tO' +p339348 +aS'RYBAM\tRYBAM\tNN\tB-NP\tO' +p339349 +aS'06/05/2002\t06/05/2002\tCD\tI-NP\tO' +p339350 +aS'04:26\t04:26\tCD\tI-NP\tO' +p339351 +aS'PM\tPM\tNN\tI-NP\tO' +p339352 +asS'Please see operative report for surgical details .' +p339353 +(lp339354 +S'Please\tPlease\tVB\tB-VP\tO' +p339355 +aS'see\tsee\tVB\tI-VP\tO' +p339356 +aS'operative\toperative\tJJ\tB-NP\tO' +p339357 +aS'report\treport\tNN\tI-NP\tO' +p339358 +aS'for\tfor\tIN\tB-PP\tO' +p339359 +aS'surgical\tsurgical\tJJ\tB-NP\tO' +p339360 +aS'details\tdetail\tNNS\tI-NP\tO' +p339361 +aS'.\t.\t.\tO\tO' +p339362 +asS'OSH 27.5 hct at 2:50 AM 01-20 .' +p339363 +(lp339364 +S'OSH\tOSH\tNN\tB-NP\tO' +p339365 +aS'27.5\t27.5\tCD\tI-NP\tO' +p339366 +aS'hct\thct\tNN\tI-NP\tO' +p339367 +aS'at\tat\tIN\tB-PP\tO' +p339368 +aS'2:50\t2:50\tCD\tB-NP\tO' +p339369 +aS'AM\tAM\tNN\tI-NP\tO' +p339370 +aS'01-20\t01-20\tCD\tI-NP\tO' +p339371 +aS'.\t.\t.\tO\tO' +p339372 +asS'Pat incision wounds dry , do not scrub wound when showering .' +p339373 +(lp339374 +S'Pat\tPat\tNN\tB-NP\tO' +p339375 +aS'incision\tincision\tNN\tI-NP\tO' +p339376 +aS'wounds\twound\tNNS\tI-NP\tO' +p339377 +aS'dry\tdry\tJJ\tB-ADJP\tO' +p339378 +aS',\t,\t,\tO\tO' +p339379 +aS'do\tdo\tVBP\tB-VP\tO' +p339380 +aS'not\tnot\tRB\tI-VP\tO' +p339381 +aS'scrub\tscrub\tVB\tI-VP\tO' +p339382 +aS'wound\twound\tNN\tB-NP\tO' +p339383 +aS'when\twhen\tWRB\tB-ADVP\tO' +p339384 +aS'showering\tshower\tVBG\tB-VP\tO' +p339385 +aS'.\t.\t.\tO\tO' +p339386 +asS'He lapsed first into a junctional rhythm and then had very infrequent ventricular escape beats on telemetry .' +p339387 +(lp339388 +S'He\tHe\tPRP\tB-NP\tO' +p339389 +aS'lapsed\tlapse\tVBD\tB-VP\tO' +p339390 +aS'first\tfirst\tRB\tB-ADVP\tO' +p339391 +aS'into\tinto\tIN\tB-PP\tO' +p339392 +aS'a\ta\tDT\tB-NP\tO' +p339393 +aS'junctional\tjunctional\tJJ\tI-NP\tO' +p339394 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p339395 +aS'and\tand\tCC\tO\tO' +p339396 +aS'then\tthen\tRB\tB-VP\tO' +p339397 +aS'had\thave\tVBD\tI-VP\tO' +p339398 +aS'very\tvery\tRB\tB-NP\tO' +p339399 +aS'infrequent\tinfrequent\tJJ\tI-NP\tO' +p339400 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p339401 +aS'escape\tescape\tNN\tI-NP\tO' +p339402 +aS'beats\tbeat\tNNS\tI-NP\tO' +p339403 +aS'on\ton\tIN\tB-PP\tO' +p339404 +aS'telemetry\ttelemetry\tNN\tB-NP\tO' +p339405 +aS'.\t.\t.\tO\tO' +p339406 +asS'On admission showed a non-toxic appearing male with temperature 99.5 , blood pressure 82/50 , heart rate 118 , respiratory rate 15 .' +p339407 +(lp339408 +S'On\tOn\tIN\tB-PP\tO' +p339409 +aS'admission\tadmission\tNN\tB-NP\tO' +p339410 +aS'showed\tshow\tVBD\tB-VP\tO' +p339411 +aS'a\ta\tDT\tB-NP\tO' +p339412 +aS'non-toxic\tnon-toxic\tJJ\tI-NP\tO' +p339413 +aS'appearing\tappear\tVBG\tI-NP\tO' +p339414 +aS'male\tmale\tJJ\tI-NP\tO' +p339415 +aS'with\twith\tIN\tB-PP\tO' +p339416 +aS'temperature\ttemperature\tNN\tB-NP\tB-protein' +p339417 +aS'99.5\t99.5\tCD\tI-NP\tI-protein' +p339418 +aS',\t,\t,\tO\tO' +p339419 +aS'blood\tblood\tNN\tB-NP\tO' +p339420 +aS'pressure\tpressure\tNN\tI-NP\tO' +p339421 +aS'82/50\t82/50\tCD\tI-NP\tO' +p339422 +aS',\t,\t,\tO\tO' +p339423 +aS'heart\theart\tNN\tB-NP\tO' +p339424 +aS'rate\trate\tNN\tI-NP\tO' +p339425 +aS'118\t118\tCD\tI-NP\tO' +p339426 +aS',\t,\t,\tI-NP\tO' +p339427 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p339428 +aS'rate\trate\tNN\tI-NP\tO' +p339429 +aS'15\t15\tCD\tI-NP\tO' +p339430 +aS'.\t.\t.\tO\tO' +p339431 +asS'He is being covered by regular insulin sliding scale .' +p339432 +(lp339433 +S'He\tHe\tPRP\tB-NP\tO' +p339434 +aS'is\tbe\tVBZ\tB-VP\tO' +p339435 +aS'being\tbe\tVBG\tI-VP\tO' +p339436 +aS'covered\tcover\tVBN\tI-VP\tO' +p339437 +aS'by\tby\tIN\tB-PP\tO' +p339438 +aS'regular\tregular\tJJ\tB-NP\tB-protein' +p339439 +aS'insulin\tinsulin\tNN\tI-NP\tI-protein' +p339440 +aS'sliding\tslide\tVBG\tB-VP\tO' +p339441 +aS'scale\tscale\tNN\tB-NP\tO' +p339442 +aS'.\t.\t.\tO\tO' +p339443 +asS'Guaifenesin 100 mg / 5 mL Liquid Sig : 01-28 teaspoons PO every six ( 6 ) hours as needed for cold symptoms .' +p339444 +(lp339445 +S'Guaifenesin\tGuaifenesin\tNN\tB-NP\tO' +p339446 +aS'100\t100\tCD\tI-NP\tO' +p339447 +aS'mg\tmg\tNN\tI-NP\tO' +p339448 +aS'/\t/\tSYM\tB-NP\tO' +p339449 +aS'5\t5\tCD\tB-NP\tO' +p339450 +aS'mL\tmL\tNN\tI-NP\tO' +p339451 +aS'Liquid\tLiquid\tNNP\tI-NP\tO' +p339452 +aS'Sig\tSig\tNNP\tI-NP\tO' +p339453 +aS':\t:\t:\tO\tO' +p339454 +aS'01-28\t01-28\tCD\tB-NP\tO' +p339455 +aS'teaspoons\tteaspoon\tNNS\tI-NP\tO' +p339456 +aS'PO\tPO\tNN\tI-NP\tO' +p339457 +aS'every\tevery\tDT\tB-NP\tO' +p339458 +aS'six\tsix\tCD\tI-NP\tO' +p339459 +aS'(\t(\t(\tO\tO' +p339460 +aS'6\t6\tCD\tB-NP\tO' +p339461 +aS')\t)\t)\tO\tO' +p339462 +aS'hours\thour\tNNS\tB-NP\tO' +p339463 +aS'as\tas\tIN\tB-SBAR\tO' +p339464 +aS'needed\tneed\tVBN\tB-VP\tO' +p339465 +aS'for\tfor\tIN\tB-PP\tO' +p339466 +aS'cold\tcold\tJJ\tB-NP\tO' +p339467 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p339468 +aS'.\t.\t.\tO\tO' +p339469 +asS'An Ophthalmology consult was obtained to determine the presence of optic nerves .' +p339470 +(lp339471 +S'An\tAn\tDT\tB-NP\tO' +p339472 +aS'Ophthalmology\tOphthalmology\tNNP\tI-NP\tO' +p339473 +aS'consult\tconsult\tNN\tI-NP\tO' +p339474 +aS'was\tbe\tVBD\tB-VP\tO' +p339475 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p339476 +aS'to\tto\tTO\tB-VP\tO' +p339477 +aS'determine\tdetermine\tVB\tI-VP\tO' +p339478 +aS'the\tthe\tDT\tB-NP\tO' +p339479 +aS'presence\tpresence\tNN\tI-NP\tO' +p339480 +aS'of\tof\tIN\tB-PP\tO' +p339481 +aS'optic\toptic\tJJ\tB-NP\tO' +p339482 +aS'nerves\tnerve\tNNS\tI-NP\tO' +p339483 +aS'.\t.\t.\tO\tO' +p339484 +asS'Strength full power 05-31 execept Right Dubord 03-31 .' +p339485 +(lp339486 +S'Strength\tStrength\tNN\tB-NP\tO' +p339487 +aS'full\tfull\tJJ\tI-NP\tO' +p339488 +aS'power\tpower\tNN\tI-NP\tO' +p339489 +aS'05-31\t05-31\tCD\tI-NP\tO' +p339490 +aS'execept\texecept\tNN\tI-NP\tO' +p339491 +aS'Right\tRight\tNNP\tI-NP\tO' +p339492 +aS'Dubord\tDubord\tNNP\tI-NP\tO' +p339493 +aS'03-31\t03-31\tCD\tI-NP\tO' +p339494 +aS'.\t.\t.\tO\tO' +p339495 +asS'Prenatal screens included blood type A+ , antibody screen negative , rubella immune , RPR nonreactive .' +p339496 +(lp339497 +S'Prenatal\tPrenatal\tJJ\tB-NP\tO' +p339498 +aS'screens\tscreen\tNNS\tI-NP\tO' +p339499 +aS'included\tinclude\tVBD\tB-VP\tO' +p339500 +aS'blood\tblood\tNN\tB-NP\tO' +p339501 +aS'type\ttype\tNN\tI-NP\tO' +p339502 +aS'A+\tA+\tNN\tI-NP\tO' +p339503 +aS',\t,\t,\tO\tO' +p339504 +aS'antibody\tantibody\tNN\tB-NP\tO' +p339505 +aS'screen\tscreen\tNN\tI-NP\tO' +p339506 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p339507 +aS',\t,\t,\tO\tO' +p339508 +aS'rubella\trubella\tNN\tB-NP\tO' +p339509 +aS'immune\timmune\tJJ\tB-ADJP\tO' +p339510 +aS',\t,\t,\tO\tO' +p339511 +aS'RPR\tRPR\tNN\tB-NP\tB-protein' +p339512 +aS'nonreactive\tnonreactive\tJJ\tB-ADJP\tO' +p339513 +aS'.\t.\t.\tO\tO' +p339514 +asS'6. Pantoprazole Sodium 40 mg Tablet , Delayed Release ( E.C. ) Sig : One ( 1 ) Tablet , Delayed Release ( E.C. ) PO Q24H ( every 24 hours ) .' +p339515 +(lp339516 +S'6.\t6.\tLS\tB-NP\tO' +p339517 +aS'Pantoprazole\tPantoprazole\tNN\tI-NP\tO' +p339518 +aS'Sodium\tSodium\tNN\tI-NP\tO' +p339519 +aS'40\t40\tCD\tI-NP\tO' +p339520 +aS'mg\tmg\tNN\tI-NP\tO' +p339521 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p339522 +aS',\t,\t,\tO\tO' +p339523 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p339524 +aS'Release\tRelease\tNNP\tI-NP\tO' +p339525 +aS'(\t(\t(\tO\tO' +p339526 +aS'E.C.\tE.C.\tNNP\tB-NP\tO' +p339527 +aS')\t)\t)\tO\tO' +p339528 +aS'Sig\tSig\tNNP\tB-NP\tO' +p339529 +aS':\t:\t:\tO\tO' +p339530 +aS'One\tOne\tCD\tB-NP\tO' +p339531 +aS'(\t(\t(\tO\tO' +p339532 +aS'1\t1\tCD\tB-NP\tO' +p339533 +aS')\t)\t)\tO\tO' +p339534 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p339535 +aS',\t,\t,\tO\tO' +p339536 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p339537 +aS'Release\tRelease\tNNP\tI-NP\tO' +p339538 +aS'(\t(\t(\tO\tO' +p339539 +aS'E.C.\tE.C.\tNNP\tO\tO' +p339540 +aS')\t)\t)\tO\tO' +p339541 +aS'PO\tPO\tNN\tB-NP\tO' +p339542 +aS'Q24H\tQ24H\tNN\tI-NP\tO' +p339543 +aS'(\t(\t(\tO\tO' +p339544 +aS'every\tevery\tDT\tB-NP\tO' +p339545 +aS'24\t24\tCD\tI-NP\tO' +p339546 +aS'hours\thour\tNNS\tI-NP\tO' +p339547 +aS')\t)\t)\tO\tO' +p339548 +aS'.\t.\t.\tO\tO' +p339549 +asS'The fracture was seen by Orthopedics and was reduced .' +p339550 +(lp339551 +S'The\tThe\tDT\tB-NP\tO' +p339552 +aS'fracture\tfracture\tNN\tI-NP\tO' +p339553 +aS'was\tbe\tVBD\tB-VP\tO' +p339554 +aS'seen\tsee\tVBN\tI-VP\tO' +p339555 +aS'by\tby\tIN\tB-PP\tO' +p339556 +aS'Orthopedics\tOrthopedic\tNNS\tB-NP\tO' +p339557 +aS'and\tand\tCC\tO\tO' +p339558 +aS'was\tbe\tVBD\tB-VP\tO' +p339559 +aS'reduced\treduce\tVBN\tI-VP\tO' +p339560 +aS'.\t.\t.\tO\tO' +p339561 +asS'GEN : NAD , pleasant speaking in full sentences' +p339562 +(lp339563 +S'GEN\tGEN\tNN\tB-NP\tO' +p339564 +aS':\t:\t:\tO\tO' +p339565 +aS'NAD\tNAD\tNN\tB-NP\tO' +p339566 +aS',\t,\t,\tO\tO' +p339567 +aS'pleasant\tpleasant\tNN\tB-NP\tO' +p339568 +aS'speaking\tspeak\tVBG\tB-VP\tO' +p339569 +aS'in\tin\tIN\tB-PP\tO' +p339570 +aS'full\tfull\tJJ\tB-NP\tO' +p339571 +aS'sentences\tsentence\tNNS\tI-NP\tO' +p339572 +asS'3. Tylenol #3 .' +p339573 +(lp339574 +S'3.\t3.\tLS\tB-NP\tO' +p339575 +aS'Tylenol\tTylenol\tNN\tI-NP\tO' +p339576 +aS'#3\t#3\tNN\tI-NP\tO' +p339577 +aS'.\t.\t.\tO\tO' +p339578 +asS'possible drainage of the abscess vs. hysterectomy .' +p339579 +(lp339580 +S'possible\tpossible\tJJ\tB-NP\tO' +p339581 +aS'drainage\tdrainage\tNN\tI-NP\tO' +p339582 +aS'of\tof\tIN\tB-PP\tO' +p339583 +aS'the\tthe\tDT\tB-NP\tO' +p339584 +aS'abscess\tabscess\tNN\tI-NP\tO' +p339585 +aS'vs.\tvs.\tFW\tB-NP\tO' +p339586 +aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' +p339587 +aS'.\t.\t.\tO\tO' +p339588 +asS'Carotids were 2+ .' +p339589 +(lp339590 +S'Carotids\tCarotid\tNNS\tB-NP\tO' +p339591 +aS'were\tbe\tVBD\tB-VP\tO' +p339592 +aS'2+\t2+\tJJ\tB-ADJP\tO' +p339593 +aS'.\t.\t.\tO\tO' +p339594 +asS'He was therefore transferred to Saints Medical Center for endoscopic retrogram cholangiopancreatography .' +p339595 +(lp339596 +S'He\tHe\tPRP\tB-NP\tO' +p339597 +aS'was\tbe\tVBD\tB-VP\tO' +p339598 +aS'therefore\ttherefore\tRB\tI-VP\tO' +p339599 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p339600 +aS'to\tto\tTO\tB-PP\tO' +p339601 +aS'Saints\tSaints\tNNP\tB-NP\tO' +p339602 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p339603 +aS'Center\tCenter\tNNP\tI-NP\tO' +p339604 +aS'for\tfor\tIN\tB-PP\tO' +p339605 +aS'endoscopic\tendoscopic\tJJ\tB-NP\tO' +p339606 +aS'retrogram\tretrogram\tNN\tI-NP\tO' +p339607 +aS'cholangiopancreatography\tcholangiopancreatography\tNN\tI-NP\tO' +p339608 +aS'.\t.\t.\tO\tO' +p339609 +asS'3. Left superior/inferior pubic rami fractures .' +p339610 +(lp339611 +S'3.\t3.\tLS\tB-LST\tO' +p339612 +aS'Left\tLeave\tVBD\tB-VP\tO' +p339613 +aS'superior/inferior\tsuperior/inferior\tJJ\tB-NP\tO' +p339614 +aS'pubic\tpubic\tJJ\tI-NP\tO' +p339615 +aS'rami\trami\tNN\tI-NP\tO' +p339616 +aS'fractures\tfracture\tNNS\tI-NP\tO' +p339617 +aS'.\t.\t.\tO\tO' +p339618 +asS'Dictated By : Melinda U Yantis , M.D.' +p339619 +(lp339620 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p339621 +aS'By\tBy\tIN\tB-PP\tO' +p339622 +aS':\t:\t:\tO\tO' +p339623 +aS'Melinda\tMelinda\tNNP\tB-NP\tO' +p339624 +aS'U\tU\tNNP\tI-NP\tO' +p339625 +aS'Yantis\tYantis\tNNP\tI-NP\tO' +p339626 +aS',\t,\t,\tO\tO' +p339627 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p339628 +asS'Severe blunt abdominal trauma with rupture of liver , left renal vein , pancreas , and transverse mesocolon .' +p339629 +(lp339630 +S'Severe\tSevere\tJJ\tB-NP\tO' +p339631 +aS'blunt\tblunt\tNN\tI-NP\tO' +p339632 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p339633 +aS'trauma\ttrauma\tNN\tI-NP\tO' +p339634 +aS'with\twith\tIN\tB-PP\tO' +p339635 +aS'rupture\trupture\tNN\tB-NP\tO' +p339636 +aS'of\tof\tIN\tB-PP\tO' +p339637 +aS'liver\tliver\tNN\tB-NP\tO' +p339638 +aS',\t,\t,\tO\tO' +p339639 +aS'left\tleave\tVBD\tB-VP\tO' +p339640 +aS'renal\trenal\tJJ\tB-NP\tO' +p339641 +aS'vein\tvein\tNN\tI-NP\tO' +p339642 +aS',\t,\t,\tO\tO' +p339643 +aS'pancreas\tpancreas\tNN\tB-NP\tO' +p339644 +aS',\t,\t,\tO\tO' +p339645 +aS'and\tand\tCC\tO\tO' +p339646 +aS'transverse\ttransverse\tJJ\tB-NP\tO' +p339647 +aS'mesocolon\tmesocolon\tNN\tI-NP\tO' +p339648 +aS'.\t.\t.\tO\tO' +p339649 +asS'clear amniotic fluid , no antepartum maternal fever or fetal tachycardia , no antepartum antibiotic prophylaxis .' +p339650 +(lp339651 +S'clear\tclear\tJJ\tB-NP\tO' +p339652 +aS'amniotic\tamniotic\tJJ\tI-NP\tO' +p339653 +aS'fluid\tfluid\tNN\tI-NP\tO' +p339654 +aS',\t,\t,\tO\tO' +p339655 +aS'no\tno\tDT\tB-NP\tO' +p339656 +aS'antepartum\tantepartum\tNN\tI-NP\tO' +p339657 +aS'maternal\tmaternal\tJJ\tI-NP\tO' +p339658 +aS'fever\tfever\tNN\tI-NP\tO' +p339659 +aS'or\tor\tCC\tO\tO' +p339660 +aS'fetal\tfetal\tJJ\tB-NP\tO' +p339661 +aS'tachycardia\ttachycardia\tNN\tI-NP\tO' +p339662 +aS',\t,\t,\tO\tO' +p339663 +aS'no\tno\tDT\tB-NP\tO' +p339664 +aS'antepartum\tantepartum\tNN\tI-NP\tO' +p339665 +aS'antibiotic\tantibiotic\tJJ\tI-NP\tO' +p339666 +aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' +p339667 +aS'.\t.\t.\tO\tO' +p339668 +asS'The review of systems was essentially negative .' +p339669 +(lp339670 +S'The\tThe\tDT\tB-NP\tO' +p339671 +aS'review\treview\tNN\tI-NP\tO' +p339672 +aS'of\tof\tIN\tB-PP\tO' +p339673 +aS'systems\tsystem\tNNS\tB-NP\tO' +p339674 +aS'was\tbe\tVBD\tB-VP\tO' +p339675 +aS'essentially\tessentially\tRB\tB-ADJP\tO' +p339676 +aS'negative\tnegative\tJJ\tI-ADJP\tO' +p339677 +aS'.\t.\t.\tO\tO' +p339678 +asS'Sensation was intact to light touch .' +p339679 +(lp339680 +S'Sensation\tSensation\tNN\tB-NP\tO' +p339681 +aS'was\tbe\tVBD\tB-VP\tO' +p339682 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p339683 +aS'to\tto\tTO\tB-PP\tO' +p339684 +aS'light\tlight\tJJ\tB-NP\tO' +p339685 +aS'touch\ttouch\tNN\tI-NP\tO' +p339686 +aS'.\t.\t.\tO\tO' +p339687 +asS'The pregnancy was complicated by anemia .' +p339688 +(lp339689 +S'The\tThe\tDT\tB-NP\tO' +p339690 +aS'pregnancy\tpregnancy\tNN\tI-NP\tO' +p339691 +aS'was\tbe\tVBD\tB-VP\tO' +p339692 +aS'complicated\tcomplicate\tVBN\tI-VP\tO' +p339693 +aS'by\tby\tIN\tB-PP\tO' +p339694 +aS'anemia\tanemia\tNN\tB-NP\tO' +p339695 +aS'.\t.\t.\tO\tO' +p339696 +asS'It was of much lower voltage on the left .' +p339697 +(lp339698 +S'It\tIt\tPRP\tB-NP\tO' +p339699 +aS'was\tbe\tVBD\tB-VP\tO' +p339700 +aS'of\tof\tIN\tB-PP\tO' +p339701 +aS'much\tmuch\tRB\tB-NP\tO' +p339702 +aS'lower\tlow\tJJR\tI-NP\tO' +p339703 +aS'voltage\tvoltage\tNN\tI-NP\tO' +p339704 +aS'on\ton\tIN\tB-PP\tO' +p339705 +aS'the\tthe\tDT\tB-NP\tO' +p339706 +aS'left\tleft\tNN\tI-NP\tO' +p339707 +aS'.\t.\t.\tO\tO' +p339708 +asS'This revealed some supraglottic edema which revealed with time , without further intervention .' +p339709 +(lp339710 +S'This\tThis\tDT\tB-NP\tO' +p339711 +aS'revealed\treveal\tVBD\tB-VP\tO' +p339712 +aS'some\tsome\tDT\tB-NP\tO' +p339713 +aS'supraglottic\tsupraglottic\tJJ\tI-NP\tO' +p339714 +aS'edema\tedema\tNN\tI-NP\tO' +p339715 +aS'which\twhich\tWDT\tB-NP\tO' +p339716 +aS'revealed\treveal\tVBD\tB-VP\tO' +p339717 +aS'with\twith\tIN\tB-PP\tO' +p339718 +aS'time\ttime\tNN\tB-NP\tO' +p339719 +aS',\t,\t,\tO\tO' +p339720 +aS'without\twithout\tIN\tB-PP\tO' +p339721 +aS'further\tfurther\tJJ\tB-NP\tO' +p339722 +aS'intervention\tintervention\tNN\tI-NP\tO' +p339723 +aS'.\t.\t.\tO\tO' +p339724 +asS'Active , pink newborn in no distress on radiate warmer .' +p339725 +(lp339726 +S'Active\tActive\tJJ\tB-NP\tO' +p339727 +aS',\t,\t,\tI-NP\tO' +p339728 +aS'pink\tpink\tJJ\tI-NP\tO' +p339729 +aS'newborn\tnewborn\tNN\tI-NP\tO' +p339730 +aS'in\tin\tIN\tB-PP\tO' +p339731 +aS'no\tno\tDT\tB-NP\tO' +p339732 +aS'distress\tdistress\tNN\tI-NP\tO' +p339733 +aS'on\ton\tIN\tB-PP\tO' +p339734 +aS'radiate\tradiate\tNN\tB-NP\tO' +p339735 +aS'warmer\twarmer\tNN\tI-NP\tO' +p339736 +aS'.\t.\t.\tO\tO' +p339737 +asS'She will be followed by Dr. Mielke and home care services .' +p339738 +(lp339739 +S'She\tShe\tPRP\tB-NP\tO' +p339740 +aS'will\twill\tMD\tB-VP\tO' +p339741 +aS'be\tbe\tVB\tI-VP\tO' +p339742 +aS'followed\tfollow\tVBN\tI-VP\tO' +p339743 +aS'by\tby\tIN\tB-PP\tO' +p339744 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p339745 +aS'Mielke\tMielke\tNNP\tI-NP\tO' +p339746 +aS'and\tand\tCC\tO\tO' +p339747 +aS'home\thome\tNN\tB-NP\tO' +p339748 +aS'care\tcare\tNN\tI-NP\tO' +p339749 +aS'services\tservice\tNNS\tI-NP\tO' +p339750 +aS'.\t.\t.\tO\tO' +p339751 +asS'Treated with IV dilantin and decadron .' +p339752 +(lp339753 +S'Treated\tTreat\tVBN\tB-VP\tO' +p339754 +aS'with\twith\tIN\tB-PP\tO' +p339755 +aS'IV\tIV\tCD\tB-NP\tO' +p339756 +aS'dilantin\tdilantin\tNN\tI-NP\tO' +p339757 +aS'and\tand\tCC\tI-NP\tO' +p339758 +aS'decadron\tdecadron\tNN\tI-NP\tO' +p339759 +aS'.\t.\t.\tO\tO' +p339760 +asS'PT was 14.5 , PTT 25.5 .' +p339761 +(lp339762 +S'PT\tPT\tNN\tB-NP\tO' +p339763 +aS'was\tbe\tVBD\tB-VP\tO' +p339764 +aS'14.5\t14.5\tCD\tB-NP\tO' +p339765 +aS',\t,\t,\tO\tO' +p339766 +aS'PTT\tPTT\tNN\tB-NP\tB-protein' +p339767 +aS'25.5\t25.5\tCD\tI-NP\tI-protein' +p339768 +aS'.\t.\t.\tO\tO' +p339769 +asS'The left ventriculography shows anterior akinesis and apical severe hypokinesis with a moderately depressed ejection fraction , cardiac output of 3.9 , index of 2.0 .' +p339770 +(lp339771 +S'The\tThe\tDT\tB-NP\tO' +p339772 +aS'left\tleft\tJJ\tI-NP\tO' +p339773 +aS'ventriculography\tventriculography\tNN\tI-NP\tO' +p339774 +aS'shows\tshow\tVBZ\tB-VP\tO' +p339775 +aS'anterior\tanterior\tJJ\tB-NP\tO' +p339776 +aS'akinesis\takinesis\tNN\tI-NP\tO' +p339777 +aS'and\tand\tCC\tO\tO' +p339778 +aS'apical\tapical\tJJ\tB-NP\tO' +p339779 +aS'severe\tsevere\tJJ\tI-NP\tO' +p339780 +aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' +p339781 +aS'with\twith\tIN\tB-PP\tO' +p339782 +aS'a\ta\tDT\tB-NP\tO' +p339783 +aS'moderately\tmoderately\tRB\tI-NP\tO' +p339784 +aS'depressed\tdepressed\tJJ\tI-NP\tO' +p339785 +aS'ejection\tejection\tNN\tI-NP\tO' +p339786 +aS'fraction\tfraction\tNN\tI-NP\tO' +p339787 +aS',\t,\t,\tO\tO' +p339788 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p339789 +aS'output\toutput\tNN\tI-NP\tO' +p339790 +aS'of\tof\tIN\tB-PP\tO' +p339791 +aS'3.9\t3.9\tCD\tB-NP\tO' +p339792 +aS',\t,\t,\tO\tO' +p339793 +aS'index\tindex\tNN\tB-NP\tO' +p339794 +aS'of\tof\tIN\tB-PP\tO' +p339795 +aS'2.0\t2.0\tCD\tB-NP\tO' +p339796 +aS'.\t.\t.\tO\tO' +p339797 +asS'Low potassium , thought due to Gentamicin .' +p339798 +(lp339799 +S'Low\tLow\tJJ\tB-NP\tO' +p339800 +aS'potassium\tpotassium\tNN\tI-NP\tO' +p339801 +aS',\t,\t,\tO\tO' +p339802 +aS'thought\tthink\tVBD\tB-VP\tO' +p339803 +aS'due\tdue\tIN\tB-PP\tO' +p339804 +aS'to\tto\tTO\tB-PP\tO' +p339805 +aS'Gentamicin\tGentamicin\tNN\tB-NP\tO' +p339806 +aS'.\t.\t.\tO\tO' +p339807 +asS'However , her white blood cell count was never really elevated and she did not have a bandemia .' +p339808 +(lp339809 +S'However\tHowever\tRB\tB-ADVP\tO' +p339810 +aS',\t,\t,\tO\tO' +p339811 +aS'her\ther\tPRP$\tB-NP\tO' +p339812 +aS'white\twhite\tJJ\tI-NP\tO' +p339813 +aS'blood\tblood\tNN\tI-NP\tO' +p339814 +aS'cell\tcell\tNN\tI-NP\tO' +p339815 +aS'count\tcount\tNN\tI-NP\tO' +p339816 +aS'was\tbe\tVBD\tB-VP\tO' +p339817 +aS'never\tnever\tRB\tI-VP\tO' +p339818 +aS'really\treally\tRB\tI-VP\tO' +p339819 +aS'elevated\televate\tVBN\tI-VP\tO' +p339820 +aS'and\tand\tCC\tO\tO' +p339821 +aS'she\tshe\tPRP\tB-NP\tO' +p339822 +aS'did\tdo\tVBD\tB-VP\tO' +p339823 +aS'not\tnot\tRB\tI-VP\tO' +p339824 +aS'have\thave\tVB\tI-VP\tO' +p339825 +aS'a\ta\tDT\tB-NP\tO' +p339826 +aS'bandemia\tbandemia\tNN\tI-NP\tO' +p339827 +aS'.\t.\t.\tO\tO' +p339828 +asS'Leona Wheeler is to be transferred on 2015-07-17 to a rehabilitation facility .' +p339829 +(lp339830 +S'Leona\tLeona\tNNP\tB-NP\tO' +p339831 +aS'Wheeler\tWheeler\tNNP\tI-NP\tO' +p339832 +aS'is\tbe\tVBZ\tB-VP\tO' +p339833 +aS'to\tto\tTO\tI-VP\tO' +p339834 +aS'be\tbe\tVB\tI-VP\tO' +p339835 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p339836 +aS'on\ton\tIN\tB-PP\tO' +p339837 +aS'2015-07-17\t2015-07-17\tCD\tB-NP\tO' +p339838 +aS'to\tto\tTO\tB-PP\tO' +p339839 +aS'a\ta\tDT\tB-NP\tO' +p339840 +aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' +p339841 +aS'facility\tfacility\tNN\tI-NP\tO' +p339842 +aS'.\t.\t.\tO\tO' +p339843 +asS'She had a PCEA for pain , then a Dilaudid PCA .' +p339844 +(lp339845 +S'She\tShe\tPRP\tB-NP\tO' +p339846 +aS'had\thave\tVBD\tB-VP\tO' +p339847 +aS'a\ta\tDT\tB-NP\tO' +p339848 +aS'PCEA\tPCEA\tNN\tI-NP\tO' +p339849 +aS'for\tfor\tIN\tB-PP\tO' +p339850 +aS'pain\tpain\tNN\tB-NP\tO' +p339851 +aS',\t,\t,\tO\tO' +p339852 +aS'then\tthen\tRB\tB-ADVP\tO' +p339853 +aS'a\ta\tDT\tB-NP\tO' +p339854 +aS'Dilaudid\tDilaudid\tNNP\tI-NP\tO' +p339855 +aS'PCA\tPCA\tNN\tI-NP\tO' +p339856 +aS'.\t.\t.\tO\tO' +p339857 +asS'Theo-Dur level was 15 .' +p339858 +(lp339859 +S'Theo-Dur\tTheo-Dur\tJJ\tB-NP\tO' +p339860 +aS'level\tlevel\tNN\tI-NP\tO' +p339861 +aS'was\tbe\tVBD\tB-VP\tO' +p339862 +aS'15\t15\tCD\tB-NP\tO' +p339863 +aS'.\t.\t.\tO\tO' +p339864 +asS'An exercise tolerance test with Thallium was to be performed in order to assess myocardial viability in the infarct zone .' +p339865 +(lp339866 +S'An\tAn\tDT\tB-NP\tO' +p339867 +aS'exercise\texercise\tNN\tI-NP\tO' +p339868 +aS'tolerance\ttolerance\tNN\tI-NP\tO' +p339869 +aS'test\ttest\tNN\tI-NP\tO' +p339870 +aS'with\twith\tIN\tB-PP\tO' +p339871 +aS'Thallium\tThallium\tNN\tB-NP\tO' +p339872 +aS'was\tbe\tVBD\tB-VP\tO' +p339873 +aS'to\tto\tTO\tI-VP\tO' +p339874 +aS'be\tbe\tVB\tI-VP\tO' +p339875 +aS'performed\tperform\tVBN\tI-VP\tO' +p339876 +aS'in\tin\tIN\tB-SBAR\tO' +p339877 +aS'order\torder\tNN\tO\tO' +p339878 +aS'to\tto\tTO\tB-VP\tO' +p339879 +aS'assess\tassess\tVB\tI-VP\tO' +p339880 +aS'myocardial\tmyocardial\tJJ\tB-NP\tO' +p339881 +aS'viability\tviability\tNN\tI-NP\tO' +p339882 +aS'in\tin\tIN\tB-PP\tO' +p339883 +aS'the\tthe\tDT\tB-NP\tO' +p339884 +aS'infarct\tinfarct\tNN\tI-NP\tO' +p339885 +aS'zone\tzone\tNN\tI-NP\tO' +p339886 +aS'.\t.\t.\tO\tO' +p339887 +asS'Metformin 500 mg twice a day .' +p339888 +(lp339889 +S'Metformin\tMetformin\tNN\tB-NP\tO' +p339890 +aS'500\t500\tCD\tI-NP\tO' +p339891 +aS'mg\tmg\tNN\tI-NP\tO' +p339892 +aS'twice\ttwice\tRB\tB-NP\tO' +p339893 +aS'a\ta\tDT\tI-NP\tO' +p339894 +aS'day\tday\tNN\tI-NP\tO' +p339895 +aS'.\t.\t.\tO\tO' +p339896 +asS'He expressed interest in taking an anti-depressant for a short time while he was recovering and was started on Celexa .' +p339897 +(lp339898 +S'He\tHe\tPRP\tB-NP\tO' +p339899 +aS'expressed\texpress\tVBD\tB-VP\tO' +p339900 +aS'interest\tinterest\tNN\tB-NP\tO' +p339901 +aS'in\tin\tIN\tB-PP\tO' +p339902 +aS'taking\ttake\tVBG\tB-VP\tO' +p339903 +aS'an\tan\tDT\tB-NP\tO' +p339904 +aS'anti-depressant\tanti-depressant\tJJ\tI-NP\tO' +p339905 +aS'for\tfor\tIN\tB-PP\tO' +p339906 +aS'a\ta\tDT\tB-NP\tO' +p339907 +aS'short\tshort\tJJ\tI-NP\tO' +p339908 +aS'time\ttime\tNN\tI-NP\tO' +p339909 +aS'while\twhile\tIN\tB-SBAR\tO' +p339910 +aS'he\the\tPRP\tB-NP\tO' +p339911 +aS'was\tbe\tVBD\tB-VP\tO' +p339912 +aS'recovering\trecover\tVBG\tI-VP\tO' +p339913 +aS'and\tand\tCC\tO\tO' +p339914 +aS'was\tbe\tVBD\tB-VP\tO' +p339915 +aS'started\tstart\tVBN\tI-VP\tO' +p339916 +aS'on\ton\tIN\tB-PP\tO' +p339917 +aS'Celexa\tCelexa\tNNP\tB-NP\tO' +p339918 +aS'.\t.\t.\tO\tO' +p339919 +asS'For cranial nerves the patient had minimal blurred vision in left upper quadrant .' +p339920 +(lp339921 +S'For\tFor\tIN\tB-PP\tO' +p339922 +aS'cranial\tcranial\tJJ\tB-NP\tO' +p339923 +aS'nerves\tnerve\tNNS\tI-NP\tO' +p339924 +aS'the\tthe\tDT\tB-NP\tO' +p339925 +aS'patient\tpatient\tNN\tI-NP\tO' +p339926 +aS'had\thave\tVBD\tB-VP\tO' +p339927 +aS'minimal\tminimal\tJJ\tB-NP\tO' +p339928 +aS'blurred\tblur\tVBN\tI-NP\tO' +p339929 +aS'vision\tvision\tNN\tI-NP\tO' +p339930 +aS'in\tin\tIN\tB-PP\tO' +p339931 +aS'left\tleft\tJJ\tB-NP\tO' +p339932 +aS'upper\tupper\tJJ\tI-NP\tO' +p339933 +aS'quadrant\tquadrant\tNN\tI-NP\tO' +p339934 +aS'.\t.\t.\tO\tO' +p339935 +asS'The patient is a 52 - year-old female with no known cardiopulmonary history who presented with a chief complaint of dyspnea on exertion as well as exertional chest tightness which was acute-on-chronic .' +p339936 +(lp339937 +S'The\tThe\tDT\tB-NP\tO' +p339938 +aS'patient\tpatient\tNN\tI-NP\tO' +p339939 +aS'is\tbe\tVBZ\tB-VP\tO' +p339940 +aS'a\ta\tDT\tB-NP\tO' +p339941 +aS'52\t52\tCD\tI-NP\tO' +p339942 +aS'-\t-\tHYPH\tI-NP\tO' +p339943 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p339944 +aS'female\tfemale\tNN\tI-NP\tO' +p339945 +aS'with\twith\tIN\tB-PP\tO' +p339946 +aS'no\tno\tDT\tB-NP\tO' +p339947 +aS'known\tknown\tJJ\tI-NP\tO' +p339948 +aS'cardiopulmonary\tcardiopulmonary\tJJ\tI-NP\tO' +p339949 +aS'history\thistory\tNN\tI-NP\tO' +p339950 +aS'who\twho\tWP\tB-NP\tO' +p339951 +aS'presented\tpresent\tVBD\tB-VP\tO' +p339952 +aS'with\twith\tIN\tB-PP\tO' +p339953 +aS'a\ta\tDT\tB-NP\tO' +p339954 +aS'chief\tchief\tJJ\tI-NP\tO' +p339955 +aS'complaint\tcomplaint\tNN\tI-NP\tO' +p339956 +aS'of\tof\tIN\tB-PP\tO' +p339957 +aS'dyspnea\tdyspnea\tNN\tB-NP\tO' +p339958 +aS'on\ton\tIN\tB-PP\tO' +p339959 +aS'exertion\texertion\tNN\tB-NP\tO' +p339960 +aS'as\tas\tRB\tB-CONJP\tO' +p339961 +aS'well\twell\tRB\tI-CONJP\tO' +p339962 +aS'as\tas\tIN\tI-CONJP\tO' +p339963 +aS'exertional\texertional\tJJ\tB-NP\tO' +p339964 +aS'chest\tchest\tNN\tI-NP\tO' +p339965 +aS'tightness\ttightness\tNN\tI-NP\tO' +p339966 +aS'which\twhich\tWDT\tB-NP\tO' +p339967 +aS'was\tbe\tVBD\tB-VP\tO' +p339968 +aS'acute-on-chronic\tacute-on-chronic\tJJ\tB-ADJP\tO' +p339969 +aS'.\t.\t.\tO\tO' +p339970 +asS'8. Sensory .' +p339971 +(lp339972 +S'8.\t8.\tCD\tB-NP\tO' +p339973 +aS'Sensory\tSensory\tNNP\tI-NP\tO' +p339974 +aS'.\t.\t.\tO\tO' +p339975 +asS'14. The steroid will be kept for now and tapered at a later date on follow up with Dr. Coma .' +p339976 +(lp339977 +S'14.\t14.\tLS\tB-LST\tO' +p339978 +aS'The\tThe\tDT\tB-NP\tO' +p339979 +aS'steroid\tsteroid\tNN\tI-NP\tO' +p339980 +aS'will\twill\tMD\tB-VP\tO' +p339981 +aS'be\tbe\tVB\tI-VP\tO' +p339982 +aS'kept\tkeep\tVBN\tI-VP\tO' +p339983 +aS'for\tfor\tIN\tB-PP\tO' +p339984 +aS'now\tnow\tRB\tB-NP\tO' +p339985 +aS'and\tand\tCC\tO\tO' +p339986 +aS'tapered\ttaper\tVBD\tB-VP\tO' +p339987 +aS'at\tat\tIN\tB-PP\tO' +p339988 +aS'a\ta\tDT\tB-NP\tO' +p339989 +aS'later\tlater\tJJ\tI-NP\tO' +p339990 +aS'date\tdate\tNN\tI-NP\tO' +p339991 +aS'on\ton\tIN\tB-PP\tO' +p339992 +aS'follow\tfollow\tVB\tB-VP\tO' +p339993 +aS'up\tup\tRP\tB-PRT\tO' +p339994 +aS'with\twith\tIN\tB-PP\tO' +p339995 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p339996 +aS'Coma\tComa\tNNP\tI-NP\tO' +p339997 +aS'.\t.\t.\tO\tO' +p339998 +asS'Birth weight was 2.985 kg .' +p339999 +(lp340000 +S'Birth\tBirth\tNN\tB-NP\tO' +p340001 +aS'weight\tweight\tNN\tI-NP\tO' +p340002 +aS'was\tbe\tVBD\tB-VP\tO' +p340003 +aS'2.985\t2.985\tCD\tB-NP\tO' +p340004 +aS'kg\tkg\tNN\tI-NP\tO' +p340005 +aS'.\t.\t.\tO\tO' +p340006 +asS'In regards to his rhythm , he has an underlying right bundle branch block and first-degree AV block which were stable throughout this admission .' +p340007 +(lp340008 +S'In\tIn\tIN\tB-PP\tO' +p340009 +aS'regards\tregard\tNNS\tB-NP\tO' +p340010 +aS'to\tto\tTO\tB-PP\tO' +p340011 +aS'his\this\tPRP$\tB-NP\tO' +p340012 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p340013 +aS',\t,\t,\tO\tO' +p340014 +aS'he\the\tPRP\tB-NP\tO' +p340015 +aS'has\thave\tVBZ\tB-VP\tO' +p340016 +aS'an\tan\tDT\tB-NP\tO' +p340017 +aS'underlying\tunderlie\tVBG\tI-NP\tO' +p340018 +aS'right\tright\tJJ\tI-NP\tO' +p340019 +aS'bundle\tbundle\tNN\tI-NP\tO' +p340020 +aS'branch\tbranch\tNN\tI-NP\tO' +p340021 +aS'block\tblock\tNN\tI-NP\tO' +p340022 +aS'and\tand\tCC\tO\tO' +p340023 +aS'first-degree\tfirst-degree\tJJ\tB-NP\tO' +p340024 +aS'AV\tAV\tNN\tI-NP\tO' +p340025 +aS'block\tblock\tNN\tI-NP\tO' +p340026 +aS'which\twhich\tWDT\tB-NP\tO' +p340027 +aS'were\tbe\tVBD\tB-VP\tO' +p340028 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p340029 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p340030 +aS'this\tthis\tDT\tB-NP\tO' +p340031 +aS'admission\tadmission\tNN\tI-NP\tO' +p340032 +aS'.\t.\t.\tO\tO' +p340033 +asS'She climbs stairs one at a time and denied rest pain .' +p340034 +(lp340035 +S'She\tShe\tPRP\tB-NP\tO' +p340036 +aS'climbs\tclimb\tVBZ\tB-VP\tO' +p340037 +aS'stairs\tstair\tVBZ\tB-VP\tO' +p340038 +aS'one\tone\tCD\tB-NP\tO' +p340039 +aS'at\tat\tIN\tB-PP\tO' +p340040 +aS'a\ta\tDT\tB-NP\tO' +p340041 +aS'time\ttime\tNN\tI-NP\tO' +p340042 +aS'and\tand\tCC\tO\tO' +p340043 +aS'denied\tdeny\tVBD\tB-VP\tO' +p340044 +aS'rest\trest\tNN\tB-NP\tO' +p340045 +aS'pain\tpain\tNN\tI-NP\tO' +p340046 +aS'.\t.\t.\tO\tO' +p340047 +asS'3. Fluticasone Propionate 110 mcg / Actuation Aerosol Sig : Two ( 2 ) Puff Inhalation BID ( 2 times a day ) .' +p340048 +(lp340049 +S'3.\t3.\tLS\tB-NP\tO' +p340050 +aS'Fluticasone\tFluticasone\tNN\tI-NP\tO' +p340051 +aS'Propionate\tPropionate\tNN\tI-NP\tO' +p340052 +aS'110\t110\tCD\tI-NP\tO' +p340053 +aS'mcg\tmcg\tNN\tI-NP\tO' +p340054 +aS'/\t/\tSYM\tB-NP\tO' +p340055 +aS'Actuation\tActuation\tNN\tI-NP\tO' +p340056 +aS'Aerosol\tAerosol\tNNP\tI-NP\tO' +p340057 +aS'Sig\tSig\tNNP\tI-NP\tO' +p340058 +aS':\t:\t:\tO\tO' +p340059 +aS'Two\tTwo\tCD\tB-NP\tO' +p340060 +aS'(\t(\t(\tO\tO' +p340061 +aS'2\t2\tCD\tO\tO' +p340062 +aS')\t)\t)\tO\tO' +p340063 +aS'Puff\tPuff\tNN\tB-NP\tO' +p340064 +aS'Inhalation\tInhalation\tNN\tI-NP\tO' +p340065 +aS'BID\tBID\tNN\tI-NP\tO' +p340066 +aS'(\t(\t(\tO\tO' +p340067 +aS'2\t2\tCD\tB-NP\tO' +p340068 +aS'times\ttime\tNNS\tI-NP\tO' +p340069 +aS'a\ta\tDT\tB-NP\tO' +p340070 +aS'day\tday\tNN\tI-NP\tO' +p340071 +aS')\t)\t)\tO\tO' +p340072 +aS'.\t.\t.\tO\tO' +p340073 +asS'7. KCl 40 mEq once daily' +p340074 +(lp340075 +S'7.\t7.\tCD\tB-NP\tO' +p340076 +aS'KCl\tKCl\tNN\tI-NP\tO' +p340077 +aS'40\t40\tCD\tB-NP\tO' +p340078 +aS'mEq\tmEq\tNN\tI-NP\tO' +p340079 +aS'once\tonce\tRB\tB-ADVP\tO' +p340080 +aS'daily\tdaily\tRB\tI-ADVP\tO' +p340081 +asS'Noted for friendly , jovial 44 year-old woman with Down 's .' +p340082 +(lp340083 +S'Noted\tNote\tVBN\tB-VP\tO' +p340084 +aS'for\tfor\tIN\tB-PP\tO' +p340085 +aS'friendly\tfriendly\tJJ\tB-NP\tO' +p340086 +aS',\t,\t,\tI-NP\tO' +p340087 +aS'jovial\tjovial\tJJ\tI-NP\tO' +p340088 +aS'44\t44\tCD\tI-NP\tO' +p340089 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p340090 +aS'woman\twoman\tNN\tI-NP\tO' +p340091 +aS'with\twith\tIN\tB-PP\tO' +p340092 +aS'Down\tDown\tNN\tB-NP\tO' +p340093 +aS''s\t'\tNNS\tI-NP\tO' +p340094 +aS'.\t.\t.\tO\tO' +p340095 +asS'Albumin 2.5 .' +p340096 +(lp340097 +S'Albumin\tAlbumin\tNNP\tB-NP\tO' +p340098 +aS'2.5\t2.5\tCD\tI-NP\tO' +p340099 +aS'.\t.\t.\tO\tO' +p340100 +asS"The patient 's weight on 05-01 was 101.4 ." +p340101 +(lp340102 +S'The\tThe\tDT\tB-NP\tO' +p340103 +aS'patient\tpatient\tNN\tI-NP\tO' +p340104 +aS"'s\t's\tPOS\tB-NP\tO" +p340105 +aS'weight\tweight\tNN\tI-NP\tO' +p340106 +aS'on\ton\tIN\tB-PP\tO' +p340107 +aS'05-01\t05-01\tCD\tB-NP\tO' +p340108 +aS'was\tbe\tVBD\tB-VP\tO' +p340109 +aS'101.4\t101.4\tCD\tB-NP\tO' +p340110 +aS'.\t.\t.\tO\tO' +p340111 +asS'The last apnea and bradycardia was on 06-10 .' +p340112 +(lp340113 +S'The\tThe\tDT\tB-NP\tO' +p340114 +aS'last\tlast\tJJ\tI-NP\tO' +p340115 +aS'apnea\tapnea\tNN\tI-NP\tO' +p340116 +aS'and\tand\tCC\tI-NP\tO' +p340117 +aS'bradycardia\tbradycardia\tNN\tI-NP\tO' +p340118 +aS'was\tbe\tVBD\tB-VP\tO' +p340119 +aS'on\ton\tIN\tB-PP\tO' +p340120 +aS'06-10\t06-10\tCD\tB-NP\tO' +p340121 +aS'.\t.\t.\tO\tO' +p340122 +asS'Neck : supple , no JVD ,' +p340123 +(lp340124 +S'Neck\tNeck\tNN\tB-NP\tO' +p340125 +aS':\t:\t:\tO\tO' +p340126 +aS'supple\tsupple\tNN\tB-NP\tO' +p340127 +aS',\t,\t,\tO\tO' +p340128 +aS'no\tno\tDT\tB-NP\tO' +p340129 +aS'JVD\tJVD\tNN\tI-NP\tB-protein' +p340130 +aS',\t,\t,\tO\tO' +p340131 +asS'EKG showed sinus tachycardia at 100 and echo revealed pericardial effusion , a 10 mm pulsus paradoxus was noted , and no evidence of tamponade .' +p340132 +(lp340133 +S'EKG\tEKG\tNN\tB-NP\tB-protein' +p340134 +aS'showed\tshow\tVBD\tB-VP\tO' +p340135 +aS'sinus\tsinus\tNN\tB-NP\tO' +p340136 +aS'tachycardia\ttachycardia\tNN\tI-NP\tO' +p340137 +aS'at\tat\tIN\tB-PP\tO' +p340138 +aS'100\t100\tCD\tB-NP\tO' +p340139 +aS'and\tand\tCC\tO\tO' +p340140 +aS'echo\techo\tNN\tB-NP\tO' +p340141 +aS'revealed\treveal\tVBD\tB-VP\tO' +p340142 +aS'pericardial\tpericardial\tJJ\tB-NP\tO' +p340143 +aS'effusion\teffusion\tNN\tI-NP\tO' +p340144 +aS',\t,\t,\tO\tO' +p340145 +aS'a\ta\tDT\tB-NP\tO' +p340146 +aS'10\t10\tCD\tI-NP\tO' +p340147 +aS'mm\tmm\tNN\tI-NP\tO' +p340148 +aS'pulsus\tpulsus\tNN\tI-NP\tO' +p340149 +aS'paradoxus\tparadoxus\tNN\tI-NP\tO' +p340150 +aS'was\tbe\tVBD\tB-VP\tO' +p340151 +aS'noted\tnote\tVBN\tI-VP\tO' +p340152 +aS',\t,\t,\tO\tO' +p340153 +aS'and\tand\tCC\tO\tO' +p340154 +aS'no\tno\tDT\tB-NP\tO' +p340155 +aS'evidence\tevidence\tNN\tI-NP\tO' +p340156 +aS'of\tof\tIN\tB-PP\tO' +p340157 +aS'tamponade\ttamponade\tNN\tB-NP\tO' +p340158 +aS'.\t.\t.\tO\tO' +p340159 +asS'The pain was subsequently relieved with high dose Dilaudid .' +p340160 +(lp340161 +S'The\tThe\tDT\tB-NP\tO' +p340162 +aS'pain\tpain\tNN\tI-NP\tO' +p340163 +aS'was\tbe\tVBD\tB-VP\tO' +p340164 +aS'subsequently\tsubsequently\tRB\tI-VP\tO' +p340165 +aS'relieved\trelieve\tVBN\tI-VP\tO' +p340166 +aS'with\twith\tIN\tB-PP\tO' +p340167 +aS'high\thigh\tJJ\tB-NP\tO' +p340168 +aS'dose\tdose\tNN\tI-NP\tO' +p340169 +aS'Dilaudid\tDilaudid\tNNP\tI-NP\tO' +p340170 +aS'.\t.\t.\tO\tO' +p340171 +asS'The calves were nontender .' +p340172 +(lp340173 +S'The\tThe\tDT\tB-NP\tO' +p340174 +aS'calves\tcalf\tNNS\tI-NP\tO' +p340175 +aS'were\tbe\tVBD\tB-VP\tO' +p340176 +aS'nontender\tnontender\tJJ\tB-ADJP\tO' +p340177 +aS'.\t.\t.\tO\tO' +p340178 +asS"The patient 's serum and urine electrolytes indicated that this diuresis was appropriate ." +p340179 +(lp340180 +S'The\tThe\tDT\tB-NP\tO' +p340181 +aS'patient\tpatient\tNN\tI-NP\tO' +p340182 +aS"'s\t's\tPOS\tB-NP\tO" +p340183 +aS'serum\tserum\tNN\tI-NP\tO' +p340184 +aS'and\tand\tCC\tI-NP\tO' +p340185 +aS'urine\turine\tNN\tI-NP\tO' +p340186 +aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' +p340187 +aS'indicated\tindicate\tVBD\tB-VP\tO' +p340188 +aS'that\tthat\tIN\tB-SBAR\tO' +p340189 +aS'this\tthis\tDT\tB-NP\tO' +p340190 +aS'diuresis\tdiuresis\tNN\tI-NP\tO' +p340191 +aS'was\tbe\tVBD\tB-VP\tO' +p340192 +aS'appropriate\tappropriate\tJJ\tB-ADJP\tO' +p340193 +aS'.\t.\t.\tO\tO' +p340194 +asS'No evidence of active end organ damage .' +p340195 +(lp340196 +S'No\tNo\tDT\tB-NP\tO' +p340197 +aS'evidence\tevidence\tNN\tI-NP\tO' +p340198 +aS'of\tof\tIN\tB-PP\tO' +p340199 +aS'active\tactive\tJJ\tB-NP\tO' +p340200 +aS'end\tend\tNN\tI-NP\tO' +p340201 +aS'organ\torgan\tNN\tI-NP\tO' +p340202 +aS'damage\tdamage\tNN\tI-NP\tO' +p340203 +aS'.\t.\t.\tO\tO' +p340204 +asS'Multiple episodes of diabetic ketoacidosis in the past , migraine headaches and attention deficit disorder .' +p340205 +(lp340206 +S'Multiple\tMultiple\tJJ\tB-NP\tO' +p340207 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p340208 +aS'of\tof\tIN\tB-PP\tO' +p340209 +aS'diabetic\tdiabetic\tJJ\tB-NP\tO' +p340210 +aS'ketoacidosis\tketoacidosis\tNN\tI-NP\tO' +p340211 +aS'in\tin\tIN\tB-PP\tO' +p340212 +aS'the\tthe\tDT\tB-NP\tO' +p340213 +aS'past\tpast\tNN\tI-NP\tO' +p340214 +aS',\t,\t,\tO\tO' +p340215 +aS'migraine\tmigraine\tNN\tB-NP\tO' +p340216 +aS'headaches\theadache\tNNS\tI-NP\tO' +p340217 +aS'and\tand\tCC\tO\tO' +p340218 +aS'attention\tattention\tNN\tB-NP\tO' +p340219 +aS'deficit\tdeficit\tNN\tI-NP\tO' +p340220 +aS'disorder\tdisorder\tNN\tI-NP\tO' +p340221 +aS'.\t.\t.\tO\tO' +p340222 +asS"2. Alzheimer 's disease ." +p340223 +(lp340224 +S'2.\t2.\tLS\tB-LST\tO' +p340225 +aS'Alzheimer\tAlzheimer\tNNP\tB-NP\tO' +p340226 +aS"'s\t's\tPOS\tB-NP\tO" +p340227 +aS'disease\tdisease\tNN\tI-NP\tO' +p340228 +aS'.\t.\t.\tO\tO' +p340229 +asS'He will need to continue on Lovenox injections for at least 4-6 weeks .' +p340230 +(lp340231 +S'He\tHe\tPRP\tB-NP\tO' +p340232 +aS'will\twill\tMD\tB-VP\tO' +p340233 +aS'need\tneed\tVB\tI-VP\tO' +p340234 +aS'to\tto\tTO\tI-VP\tO' +p340235 +aS'continue\tcontinue\tVB\tI-VP\tO' +p340236 +aS'on\ton\tIN\tB-PP\tO' +p340237 +aS'Lovenox\tLovenox\tNNP\tB-NP\tO' +p340238 +aS'injections\tinjection\tNNS\tI-NP\tO' +p340239 +aS'for\tfor\tIN\tB-PP\tO' +p340240 +aS'at\tat\tIN\tB-NP\tO' +p340241 +aS'least\tleast\tJJS\tI-NP\tO' +p340242 +aS'4-6\t4-6\tCD\tI-NP\tO' +p340243 +aS'weeks\tweek\tNNS\tI-NP\tO' +p340244 +aS'.\t.\t.\tO\tO' +p340245 +asS'The baby emerged with spontaneous cry , received routine care and then was intubated in the Delivery Room due to inconsistent respiratory effort and increased work of breathing .' +p340246 +(lp340247 +S'The\tThe\tDT\tB-NP\tO' +p340248 +aS'baby\tbaby\tNN\tI-NP\tO' +p340249 +aS'emerged\temerge\tVBD\tB-VP\tO' +p340250 +aS'with\twith\tIN\tB-PP\tO' +p340251 +aS'spontaneous\tspontaneous\tJJ\tB-NP\tO' +p340252 +aS'cry\tcry\tNN\tI-NP\tO' +p340253 +aS',\t,\t,\tO\tO' +p340254 +aS'received\treceive\tVBD\tB-VP\tO' +p340255 +aS'routine\troutine\tJJ\tB-NP\tO' +p340256 +aS'care\tcare\tNN\tI-NP\tO' +p340257 +aS'and\tand\tCC\tO\tO' +p340258 +aS'then\tthen\tRB\tB-ADVP\tO' +p340259 +aS'was\tbe\tVBD\tB-VP\tO' +p340260 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p340261 +aS'in\tin\tIN\tB-PP\tO' +p340262 +aS'the\tthe\tDT\tB-NP\tO' +p340263 +aS'Delivery\tDelivery\tNNP\tI-NP\tO' +p340264 +aS'Room\tRoom\tNNP\tI-NP\tO' +p340265 +aS'due\tdue\tJJ\tB-ADJP\tO' +p340266 +aS'to\tto\tTO\tB-PP\tO' +p340267 +aS'inconsistent\tinconsistent\tJJ\tB-NP\tO' +p340268 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p340269 +aS'effort\teffort\tNN\tI-NP\tO' +p340270 +aS'and\tand\tCC\tO\tO' +p340271 +aS'increased\tincrease\tVBN\tB-NP\tO' +p340272 +aS'work\twork\tNN\tI-NP\tO' +p340273 +aS'of\tof\tIN\tB-PP\tO' +p340274 +aS'breathing\tbreathing\tNN\tB-NP\tO' +p340275 +aS'.\t.\t.\tO\tO' +p340276 +asS'8. Amiodarone 200 mg Tablet Sig : Two ( 2 ) Tablet PO DAILY ( Daily ) for 2 days : for 2 days , then start 200 mg daily ongoing on 05-20 .' +p340277 +(lp340278 +S'8.\t8.\tCD\tB-NP\tO' +p340279 +aS'Amiodarone\tAmiodarone\tNN\tI-NP\tO' +p340280 +aS'200\t200\tCD\tB-NP\tO' +p340281 +aS'mg\tmg\tNN\tI-NP\tO' +p340282 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p340283 +aS'Sig\tSig\tNNP\tI-NP\tO' +p340284 +aS':\t:\t:\tO\tO' +p340285 +aS'Two\tTwo\tCD\tB-NP\tO' +p340286 +aS'(\t(\t(\tO\tO' +p340287 +aS'2\t2\tCD\tO\tO' +p340288 +aS')\t)\t)\tO\tO' +p340289 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p340290 +aS'PO\tPO\tNN\tI-NP\tO' +p340291 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p340292 +aS'(\t(\t(\tO\tO' +p340293 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p340294 +aS')\t)\t)\tO\tO' +p340295 +aS'for\tfor\tIN\tB-PP\tO' +p340296 +aS'2\t2\tCD\tB-NP\tO' +p340297 +aS'days\tday\tNNS\tI-NP\tO' +p340298 +aS':\t:\t:\tO\tO' +p340299 +aS'for\tfor\tIN\tB-PP\tO' +p340300 +aS'2\t2\tCD\tB-NP\tO' +p340301 +aS'days\tday\tNNS\tI-NP\tO' +p340302 +aS',\t,\t,\tO\tO' +p340303 +aS'then\tthen\tRB\tB-ADVP\tO' +p340304 +aS'start\tstart\tVB\tB-VP\tO' +p340305 +aS'200\t200\tCD\tB-NP\tO' +p340306 +aS'mg\tmg\tNN\tI-NP\tO' +p340307 +aS'daily\tdaily\tJJ\tI-NP\tO' +p340308 +aS'ongoing\tongoe\tVBG\tB-VP\tO' +p340309 +aS'on\ton\tIN\tB-PP\tO' +p340310 +aS'05-20\t05-20\tCD\tB-NP\tO' +p340311 +aS'.\t.\t.\tO\tO' +p340312 +asS'At that time she was transferred from the Intensive Care Unit to Coden 2 for the Lemgarson Hospital service .' +p340313 +(lp340314 +S'At\tAt\tIN\tB-PP\tO' +p340315 +aS'that\tthat\tDT\tB-NP\tO' +p340316 +aS'time\ttime\tNN\tI-NP\tO' +p340317 +aS'she\tshe\tPRP\tB-NP\tO' +p340318 +aS'was\tbe\tVBD\tB-VP\tO' +p340319 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p340320 +aS'from\tfrom\tIN\tB-PP\tO' +p340321 +aS'the\tthe\tDT\tB-NP\tO' +p340322 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p340323 +aS'Care\tCare\tNNP\tI-NP\tO' +p340324 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p340325 +aS'to\tto\tTO\tB-PP\tO' +p340326 +aS'Coden\tCoden\tNNP\tB-NP\tO' +p340327 +aS'2\t2\tCD\tI-NP\tO' +p340328 +aS'for\tfor\tIN\tB-PP\tO' +p340329 +aS'the\tthe\tDT\tB-NP\tO' +p340330 +aS'Lemgarson\tLemgarson\tNNP\tI-NP\tO' +p340331 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p340332 +aS'service\tservice\tNN\tI-NP\tO' +p340333 +aS'.\t.\t.\tO\tO' +p340334 +asS'04-24 Urine Cx : pseudomonas as above' +p340335 +(lp340336 +S'04-24\t04-24\tCD\tB-NP\tO' +p340337 +aS'Urine\tUrine\tNN\tI-NP\tO' +p340338 +aS'Cx\tCx\tNN\tI-NP\tO' +p340339 +aS':\t:\t:\tO\tO' +p340340 +aS'pseudomonas\tpseudomona\tNNS\tB-NP\tO' +p340341 +aS'as\tas\tIN\tB-PP\tO' +p340342 +aS'above\tabove\tIN\tI-PP\tO' +p340343 +asS'He is a retired fire fighter .' +p340344 +(lp340345 +S'He\tHe\tPRP\tB-NP\tB-DNA' +p340346 +aS'is\tbe\tVBZ\tB-VP\tO' +p340347 +aS'a\ta\tDT\tB-NP\tO' +p340348 +aS'retired\tretired\tJJ\tI-NP\tO' +p340349 +aS'fire\tfire\tNN\tI-NP\tO' +p340350 +aS'fighter\tfighter\tNN\tI-NP\tO' +p340351 +aS'.\t.\t.\tO\tO' +p340352 +asS'PTT 36.4 , repeat PTT 50.9 .' +p340353 +(lp340354 +S'PTT\tPTT\tNN\tB-NP\tB-protein' +p340355 +aS'36.4\t36.4\tCD\tI-NP\tI-protein' +p340356 +aS',\t,\t,\tO\tO' +p340357 +aS'repeat\trepeat\tNN\tB-NP\tO' +p340358 +aS'PTT\tPTT\tNN\tI-NP\tO' +p340359 +aS'50.9\t50.9\tCD\tI-NP\tO' +p340360 +aS'.\t.\t.\tO\tO' +p340361 +asS'She was slightly agitated on the first postoperative day but this resolved by the second postoperative day .' +p340362 +(lp340363 +S'She\tShe\tPRP\tB-NP\tO' +p340364 +aS'was\tbe\tVBD\tB-VP\tO' +p340365 +aS'slightly\tslightly\tRB\tI-VP\tO' +p340366 +aS'agitated\tagitate\tVBN\tI-VP\tO' +p340367 +aS'on\ton\tIN\tB-PP\tO' +p340368 +aS'the\tthe\tDT\tB-NP\tO' +p340369 +aS'first\tfirst\tJJ\tI-NP\tO' +p340370 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p340371 +aS'day\tday\tNN\tI-NP\tO' +p340372 +aS'but\tbut\tCC\tO\tO' +p340373 +aS'this\tthis\tDT\tB-NP\tO' +p340374 +aS'resolved\tresolve\tVBN\tB-VP\tO' +p340375 +aS'by\tby\tIN\tB-PP\tO' +p340376 +aS'the\tthe\tDT\tB-NP\tO' +p340377 +aS'second\tsecond\tJJ\tI-NP\tO' +p340378 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p340379 +aS'day\tday\tNN\tI-NP\tO' +p340380 +aS'.\t.\t.\tO\tO' +p340381 +asS'1. Coronary artery disease status post non-ST-elevation myocardial infarction in 2009-05-05 , status post cardiac catheterization with left anterior descending artery stent placement in 05/2001 .' +p340382 +(lp340383 +S'1.\t1.\tLS\tB-NP\tO' +p340384 +aS'Coronary\tCoronary\tJJ\tI-NP\tO' +p340385 +aS'artery\tartery\tNN\tI-NP\tO' +p340386 +aS'disease\tdisease\tNN\tI-NP\tO' +p340387 +aS'status\tstatus\tNN\tI-NP\tO' +p340388 +aS'post\tpost\tIN\tB-PP\tO' +p340389 +aS'non-ST-elevation\tnon-ST-elevation\tJJ\tB-NP\tO' +p340390 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p340391 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p340392 +aS'in\tin\tIN\tB-PP\tO' +p340393 +aS'2009-05-05\t2009-05-05\tCD\tB-NP\tO' +p340394 +aS',\t,\t,\tO\tO' +p340395 +aS'status\tstatus\tNN\tB-NP\tO' +p340396 +aS'post\tpost\tNN\tI-NP\tO' +p340397 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p340398 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p340399 +aS'with\twith\tIN\tB-PP\tO' +p340400 +aS'left\tleft\tJJ\tB-NP\tO' +p340401 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p340402 +aS'descending\tdescend\tVBG\tI-NP\tO' +p340403 +aS'artery\tartery\tNN\tI-NP\tO' +p340404 +aS'stent\tstent\tJJ\tI-NP\tO' +p340405 +aS'placement\tplacement\tNN\tI-NP\tO' +p340406 +aS'in\tin\tIN\tB-PP\tO' +p340407 +aS'05/2001\t05/2001\tCD\tB-NP\tO' +p340408 +aS'.\t.\t.\tO\tO' +p340409 +asS'The patient tolerated this without difficulty .' +p340410 +(lp340411 +S'The\tThe\tDT\tB-NP\tO' +p340412 +aS'patient\tpatient\tNN\tI-NP\tO' +p340413 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p340414 +aS'this\tthis\tDT\tB-NP\tO' +p340415 +aS'without\twithout\tIN\tB-PP\tO' +p340416 +aS'difficulty\tdifficulty\tNN\tB-NP\tO' +p340417 +aS'.\t.\t.\tO\tO' +p340418 +asS'On March 13 , 1994 , she regained some level of consciousness .' +p340419 +(lp340420 +S'On\tOn\tIN\tB-PP\tO' +p340421 +aS'March\tMarch\tNNP\tB-NP\tO' +p340422 +aS'13\t13\tCD\tI-NP\tO' +p340423 +aS',\t,\t,\tI-NP\tO' +p340424 +aS'1994\t1994\tCD\tI-NP\tO' +p340425 +aS',\t,\t,\tO\tO' +p340426 +aS'she\tshe\tPRP\tB-NP\tO' +p340427 +aS'regained\tregain\tVBD\tB-VP\tO' +p340428 +aS'some\tsome\tDT\tB-NP\tO' +p340429 +aS'level\tlevel\tNN\tI-NP\tO' +p340430 +aS'of\tof\tIN\tB-PP\tO' +p340431 +aS'consciousness\tconsciousness\tNN\tB-NP\tO' +p340432 +aS'.\t.\t.\tO\tO' +p340433 +asS'1. Gastrointestinal .' +p340434 +(lp340435 +S'1.\t1.\tLS\tB-LST\tO' +p340436 +aS'Gastrointestinal\tGastrointestinal\tNNP\tB-NP\tO' +p340437 +aS'.\t.\t.\tO\tO' +p340438 +asS'During entire post-op course she was followed by physical therapy for strength and mobility .' +p340439 +(lp340440 +S'During\tDuring\tIN\tB-PP\tO' +p340441 +aS'entire\tentire\tJJ\tB-NP\tO' +p340442 +aS'post-op\tpost-op\tJJ\tI-NP\tO' +p340443 +aS'course\tcourse\tNN\tI-NP\tO' +p340444 +aS'she\tshe\tPRP\tB-NP\tO' +p340445 +aS'was\tbe\tVBD\tB-VP\tO' +p340446 +aS'followed\tfollow\tVBN\tI-VP\tO' +p340447 +aS'by\tby\tIN\tB-PP\tO' +p340448 +aS'physical\tphysical\tJJ\tB-NP\tO' +p340449 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p340450 +aS'for\tfor\tIN\tB-PP\tO' +p340451 +aS'strength\tstrength\tNN\tB-NP\tO' +p340452 +aS'and\tand\tCC\tI-NP\tO' +p340453 +aS'mobility\tmobility\tNN\tI-NP\tO' +p340454 +aS'.\t.\t.\tO\tO' +p340455 +asS'He received several units of packed red blood cells to increase his hematocrit and oncotic pressure .' +p340456 +(lp340457 +S'He\tHe\tPRP\tB-NP\tO' +p340458 +aS'received\treceive\tVBD\tB-VP\tO' +p340459 +aS'several\tseveral\tJJ\tB-NP\tO' +p340460 +aS'units\tunit\tNNS\tI-NP\tO' +p340461 +aS'of\tof\tIN\tB-PP\tO' +p340462 +aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' +p340463 +aS'red\tred\tJJ\tI-NP\tI-cell_type' +p340464 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p340465 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p340466 +aS'to\tto\tTO\tB-VP\tO' +p340467 +aS'increase\tincrease\tVB\tI-VP\tO' +p340468 +aS'his\this\tPRP$\tB-NP\tO' +p340469 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p340470 +aS'and\tand\tCC\tO\tO' +p340471 +aS'oncotic\toncotic\tJJ\tB-NP\tO' +p340472 +aS'pressure\tpressure\tNN\tI-NP\tO' +p340473 +aS'.\t.\t.\tO\tO' +p340474 +asS'Chest tubes were removed when output was low .' +p340475 +(lp340476 +S'Chest\tChest\tNNP\tB-NP\tO' +p340477 +aS'tubes\ttube\tNNS\tI-NP\tO' +p340478 +aS'were\tbe\tVBD\tB-VP\tO' +p340479 +aS'removed\tremove\tVBN\tI-VP\tO' +p340480 +aS'when\twhen\tWRB\tB-ADVP\tO' +p340481 +aS'output\toutput\tNN\tB-NP\tO' +p340482 +aS'was\tbe\tVBD\tB-VP\tO' +p340483 +aS'low\tlow\tJJ\tB-ADJP\tO' +p340484 +aS'.\t.\t.\tO\tO' +p340485 +asS'Currently living at Beth Israel Deaconess Hospital-Needham Rehab .' +p340486 +(lp340487 +S'Currently\tCurrently\tRB\tB-ADVP\tO' +p340488 +aS'living\tlive\tVBG\tB-VP\tO' +p340489 +aS'at\tat\tIN\tB-PP\tO' +p340490 +aS'Beth\tBeth\tNNP\tB-NP\tO' +p340491 +aS'Israel\tIsrael\tNNP\tI-NP\tO' +p340492 +aS'Deaconess\tDeaconess\tNNP\tI-NP\tO' +p340493 +aS'Hospital-Needham\tHospital-Needham\tNNP\tI-NP\tO' +p340494 +aS'Rehab\tRehab\tNNP\tI-NP\tO' +p340495 +aS'.\t.\t.\tO\tO' +p340496 +asS'On 2010-05-27 , an echocardiogram was done which revealed critical fibrocalcific aortic stenosis with a peak gradient of 125 mmHg , a mean gradient of 74 mmHg , an Oak Bluffs of 0.44 , and 1+ aortic and mitral insufficiency .' +p340497 +(lp340498 +S'On\tOn\tIN\tB-PP\tO' +p340499 +aS'2010-05-27\t2010-05-27\tCD\tB-NP\tO' +p340500 +aS',\t,\t,\tO\tO' +p340501 +aS'an\tan\tDT\tB-NP\tO' +p340502 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p340503 +aS'was\tbe\tVBD\tB-VP\tO' +p340504 +aS'done\tdo\tVBN\tI-VP\tO' +p340505 +aS'which\twhich\tWDT\tB-NP\tO' +p340506 +aS'revealed\treveal\tVBD\tB-VP\tO' +p340507 +aS'critical\tcritical\tJJ\tB-NP\tO' +p340508 +aS'fibrocalcific\tfibrocalcific\tJJ\tI-NP\tO' +p340509 +aS'aortic\taortic\tJJ\tI-NP\tO' +p340510 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p340511 +aS'with\twith\tIN\tB-PP\tO' +p340512 +aS'a\ta\tDT\tB-NP\tO' +p340513 +aS'peak\tpeak\tJJ\tI-NP\tO' +p340514 +aS'gradient\tgradient\tNN\tI-NP\tO' +p340515 +aS'of\tof\tIN\tB-PP\tO' +p340516 +aS'125\t125\tCD\tB-NP\tO' +p340517 +aS'mmHg\tmmHg\tNN\tI-NP\tO' +p340518 +aS',\t,\t,\tO\tO' +p340519 +aS'a\ta\tDT\tB-NP\tO' +p340520 +aS'mean\tmean\tJJ\tI-NP\tO' +p340521 +aS'gradient\tgradient\tNN\tI-NP\tO' +p340522 +aS'of\tof\tIN\tB-PP\tO' +p340523 +aS'74\t74\tCD\tB-NP\tO' +p340524 +aS'mmHg\tmmHg\tNN\tI-NP\tO' +p340525 +aS',\t,\t,\tO\tO' +p340526 +aS'an\tan\tDT\tB-NP\tO' +p340527 +aS'Oak\tOak\tNNP\tI-NP\tB-protein' +p340528 +aS'Bluffs\tBluff\tNNPS\tI-NP\tO' +p340529 +aS'of\tof\tIN\tB-PP\tO' +p340530 +aS'0.44\t0.44\tCD\tB-NP\tO' +p340531 +aS',\t,\t,\tO\tO' +p340532 +aS'and\tand\tCC\tO\tO' +p340533 +aS'1+\t1+\tJJ\tB-NP\tO' +p340534 +aS'aortic\taortic\tJJ\tI-NP\tO' +p340535 +aS'and\tand\tCC\tI-NP\tO' +p340536 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p340537 +aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' +p340538 +aS'.\t.\t.\tO\tO' +p340539 +asS'White blood cell count 7.8 with 86% polymorphonuclear cells , 11.1 lymphocytes , hemoglobin 14.3 , hematocrit 40.5 , MCV 88 , INR 1.0 , PTT 24.7 , PT 12.3 , platelet count 295,000 , glucose 81 , BUN 15 , creatinine 0.8 , sodium 142 , potassium 4.2 , chloride 104 , CO2 26 , calcium 9.3 , phosphate 4.8 , magnesium 2.3 .' +p340540 +(lp340541 +S'White\tWhite\tJJ\tB-NP\tO' +p340542 +aS'blood\tblood\tNN\tI-NP\tO' +p340543 +aS'cell\tcell\tNN\tI-NP\tO' +p340544 +aS'count\tcount\tNN\tI-NP\tO' +p340545 +aS'7.8\t7.8\tCD\tB-NP\tO' +p340546 +aS'with\twith\tIN\tB-PP\tO' +p340547 +aS'86%\t86%\tCD\tB-NP\tO' +p340548 +aS'polymorphonuclear\tpolymorphonuclear\tJJ\tI-NP\tB-cell_type' +p340549 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p340550 +aS',\t,\t,\tO\tO' +p340551 +aS'11.1\t11.1\tCD\tB-NP\tO' +p340552 +aS'lymphocytes\tlymphocyte\tNNS\tI-NP\tB-cell_type' +p340553 +aS',\t,\t,\tO\tO' +p340554 +aS'hemoglobin\themoglobin\tNN\tB-NP\tB-protein' +p340555 +aS'14.3\t14.3\tCD\tI-NP\tI-protein' +p340556 +aS',\t,\t,\tO\tO' +p340557 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p340558 +aS'40.5\t40.5\tCD\tI-NP\tI-protein' +p340559 +aS',\t,\t,\tO\tO' +p340560 +aS'MCV\tMCV\tNN\tB-NP\tB-DNA' +p340561 +aS'88\t88\tCD\tI-NP\tI-DNA' +p340562 +aS',\t,\t,\tO\tO' +p340563 +aS'INR\tINR\tNN\tB-NP\tB-protein' +p340564 +aS'1.0\t1.0\tCD\tI-NP\tI-protein' +p340565 +aS',\t,\t,\tO\tO' +p340566 +aS'PTT\tPTT\tNN\tB-NP\tB-protein' +p340567 +aS'24.7\t24.7\tCD\tI-NP\tI-protein' +p340568 +aS',\t,\t,\tO\tO' +p340569 +aS'PT\tPT\tNN\tB-NP\tB-protein' +p340570 +aS'12.3\t12.3\tCD\tI-NP\tI-protein' +p340571 +aS',\t,\t,\tO\tO' +p340572 +aS'platelet\tplatelet\tNN\tB-NP\tB-protein' +p340573 +aS'count\tcount\tNN\tI-NP\tI-protein' +p340574 +aS'295,000\t295,000\tCD\tI-NP\tI-protein' +p340575 +aS',\t,\t,\tO\tO' +p340576 +aS'glucose\tglucose\tNN\tB-NP\tB-protein' +p340577 +aS'81\t81\tCD\tI-NP\tI-protein' +p340578 +aS',\t,\t,\tO\tO' +p340579 +aS'BUN\tBUN\tNNP\tB-NP\tO' +p340580 +aS'15\t15\tCD\tI-NP\tO' +p340581 +aS',\t,\t,\tO\tO' +p340582 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p340583 +aS'0.8\t0.8\tCD\tI-NP\tO' +p340584 +aS',\t,\t,\tO\tO' +p340585 +aS'sodium\tsodium\tNN\tB-NP\tO' +p340586 +aS'142\t142\tCD\tI-NP\tO' +p340587 +aS',\t,\t,\tO\tO' +p340588 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p340589 +aS'4.2\t4.2\tCD\tI-NP\tO' +p340590 +aS',\t,\t,\tO\tO' +p340591 +aS'chloride\tchloride\tNN\tB-NP\tO' +p340592 +aS'104\t104\tCD\tI-NP\tO' +p340593 +aS',\t,\t,\tO\tO' +p340594 +aS'CO2\tCO2\tNN\tB-NP\tO' +p340595 +aS'26\t26\tCD\tI-NP\tO' +p340596 +aS',\t,\t,\tO\tO' +p340597 +aS'calcium\tcalcium\tNN\tB-NP\tO' +p340598 +aS'9.3\t9.3\tCD\tI-NP\tO' +p340599 +aS',\t,\t,\tO\tO' +p340600 +aS'phosphate\tphosphate\tNN\tB-NP\tO' +p340601 +aS'4.8\t4.8\tCD\tI-NP\tO' +p340602 +aS',\t,\t,\tO\tO' +p340603 +aS'magnesium\tmagnesium\tNN\tB-NP\tO' +p340604 +aS'2.3\t2.3\tCD\tI-NP\tO' +p340605 +aS'.\t.\t.\tO\tO' +p340606 +asS'7. Influenza immunization is recommended annually in the fall for all infants once they reach 6 months of age .' +p340607 +(lp340608 +S'7.\t7.\tLS\tB-NP\tO' +p340609 +aS'Influenza\tInfluenza\tNN\tI-NP\tO' +p340610 +aS'immunization\timmunization\tNN\tI-NP\tO' +p340611 +aS'is\tbe\tVBZ\tB-VP\tO' +p340612 +aS'recommended\trecommend\tVBN\tI-VP\tO' +p340613 +aS'annually\tannually\tRB\tB-ADVP\tO' +p340614 +aS'in\tin\tIN\tB-PP\tO' +p340615 +aS'the\tthe\tDT\tB-NP\tO' +p340616 +aS'fall\tfall\tNN\tI-NP\tO' +p340617 +aS'for\tfor\tIN\tB-PP\tO' +p340618 +aS'all\tall\tDT\tB-NP\tO' +p340619 +aS'infants\tinfant\tNNS\tI-NP\tO' +p340620 +aS'once\tonce\tIN\tB-SBAR\tO' +p340621 +aS'they\tthey\tPRP\tB-NP\tO' +p340622 +aS'reach\treach\tVBP\tB-VP\tO' +p340623 +aS'6\t6\tCD\tB-NP\tO' +p340624 +aS'months\tmonth\tNNS\tI-NP\tO' +p340625 +aS'of\tof\tIN\tB-PP\tO' +p340626 +aS'age\tage\tNN\tB-NP\tO' +p340627 +aS'.\t.\t.\tO\tO' +p340628 +asS'2014-11-11 : Tracheostomy performed without complication .' +p340629 +(lp340630 +S'2014-11-11\t2014-11-11\tCD\tB-NP\tO' +p340631 +aS':\t:\t:\tO\tO' +p340632 +aS'Tracheostomy\tTracheostomy\tNN\tB-NP\tO' +p340633 +aS'performed\tperform\tVBN\tB-VP\tO' +p340634 +aS'without\twithout\tIN\tB-PP\tO' +p340635 +aS'complication\tcomplication\tNN\tB-NP\tO' +p340636 +aS'.\t.\t.\tO\tO' +p340637 +asS'He was alert and oriented .' +p340638 +(lp340639 +S'He\tHe\tPRP\tB-NP\tO' +p340640 +aS'was\tbe\tVBD\tB-VP\tO' +p340641 +aS'alert\talert\tJJ\tB-ADJP\tO' +p340642 +aS'and\tand\tCC\tI-ADJP\tO' +p340643 +aS'oriented\toriented\tJJ\tI-ADJP\tO' +p340644 +aS'.\t.\t.\tO\tO' +p340645 +asS'The patient was continued on his admission medications .' +p340646 +(lp340647 +S'The\tThe\tDT\tB-NP\tO' +p340648 +aS'patient\tpatient\tNN\tI-NP\tO' +p340649 +aS'was\tbe\tVBD\tB-VP\tO' +p340650 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p340651 +aS'on\ton\tIN\tB-PP\tO' +p340652 +aS'his\this\tPRP$\tB-NP\tO' +p340653 +aS'admission\tadmission\tNN\tI-NP\tO' +p340654 +aS'medications\tmedication\tNNS\tI-NP\tO' +p340655 +aS'.\t.\t.\tO\tO' +p340656 +asS'On Blake , Nancy pe less likely' +p340657 +(lp340658 +S'On\tOn\tIN\tB-PP\tO' +p340659 +aS'Blake\tBlake\tNNP\tB-NP\tO' +p340660 +aS',\t,\t,\tO\tO' +p340661 +aS'Nancy\tNancy\tNNP\tB-NP\tO' +p340662 +aS'pe\tpe\tVBP\tB-VP\tO' +p340663 +aS'less\tless\tRBR\tB-ADJP\tO' +p340664 +aS'likely\tlikely\tJJ\tI-ADJP\tO' +p340665 +asS'Withdrawal to pain was still present .' +p340666 +(lp340667 +S'Withdrawal\tWithdrawal\tNN\tB-NP\tO' +p340668 +aS'to\tto\tTO\tB-PP\tO' +p340669 +aS'pain\tpain\tNN\tB-NP\tO' +p340670 +aS'was\tbe\tVBD\tB-VP\tO' +p340671 +aS'still\tstill\tRB\tB-ADVP\tO' +p340672 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p340673 +aS'.\t.\t.\tO\tO' +p340674 +asS'15. Hydralazine hydrochloride 10 mg IV q. six hours p.r.n. systolic blood pressure greater than 140 .' +p340675 +(lp340676 +S'15.\t15.\tLS\tB-NP\tO' +p340677 +aS'Hydralazine\tHydralazine\tNN\tI-NP\tO' +p340678 +aS'hydrochloride\thydrochloride\tNN\tI-NP\tO' +p340679 +aS'10\t10\tCD\tI-NP\tO' +p340680 +aS'mg\tmg\tNN\tI-NP\tO' +p340681 +aS'IV\tIV\tCD\tB-NP\tO' +p340682 +aS'q.\tq.\tNN\tI-NP\tO' +p340683 +aS'six\tsix\tCD\tB-NP\tO' +p340684 +aS'hours\thour\tNNS\tI-NP\tO' +p340685 +aS'p.r.n.\tp.r.n.\tVBP\tB-VP\tO' +p340686 +aS'systolic\tsystolic\tJJ\tB-NP\tO' +p340687 +aS'blood\tblood\tNN\tI-NP\tO' +p340688 +aS'pressure\tpressure\tNN\tI-NP\tO' +p340689 +aS'greater\tgreat\tJJR\tB-ADJP\tO' +p340690 +aS'than\tthan\tIN\tB-PP\tO' +p340691 +aS'140\t140\tCD\tB-NP\tO' +p340692 +aS'.\t.\t.\tO\tO' +p340693 +asS'4. Peripheral vascular disease .' +p340694 +(lp340695 +S'4.\t4.\tLS\tB-NP\tO' +p340696 +aS'Peripheral\tPeripheral\tJJ\tI-NP\tO' +p340697 +aS'vascular\tvascular\tJJ\tI-NP\tO' +p340698 +aS'disease\tdisease\tNN\tI-NP\tO' +p340699 +aS'.\t.\t.\tO\tO' +p340700 +asS'outpatient course and pleurodesis if the pt becomes symptomatic 02-07 fluid accumulation .' +p340701 +(lp340702 +S'outpatient\toutpatient\tNN\tB-NP\tO' +p340703 +aS'course\tcourse\tNN\tI-NP\tO' +p340704 +aS'and\tand\tCC\tI-NP\tO' +p340705 +aS'pleurodesis\tpleurodesis\tNN\tI-NP\tO' +p340706 +aS'if\tif\tIN\tB-SBAR\tO' +p340707 +aS'the\tthe\tDT\tB-NP\tO' +p340708 +aS'pt\tpt\tNN\tI-NP\tO' +p340709 +aS'becomes\tbecome\tVBZ\tB-VP\tO' +p340710 +aS'symptomatic\tsymptomatic\tJJ\tB-NP\tO' +p340711 +aS'02-07\t02-07\tCD\tI-NP\tO' +p340712 +aS'fluid\tfluid\tNN\tI-NP\tO' +p340713 +aS'accumulation\taccumulation\tNN\tI-NP\tO' +p340714 +aS'.\t.\t.\tO\tO' +p340715 +asS'The patient will be discharged in stable condition .' +p340716 +(lp340717 +S'The\tThe\tDT\tB-NP\tO' +p340718 +aS'patient\tpatient\tNN\tI-NP\tO' +p340719 +aS'will\twill\tMD\tB-VP\tO' +p340720 +aS'be\tbe\tVB\tI-VP\tO' +p340721 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p340722 +aS'in\tin\tIN\tB-PP\tO' +p340723 +aS'stable\tstable\tJJ\tB-NP\tO' +p340724 +aS'condition\tcondition\tNN\tI-NP\tO' +p340725 +aS'.\t.\t.\tO\tO' +p340726 +asS'prep was inadequate .' +p340727 +(lp340728 +S'prep\tprep\tNN\tB-NP\tO' +p340729 +aS'was\tbe\tVBD\tB-VP\tO' +p340730 +aS'inadequate\tinadequate\tJJ\tB-ADJP\tO' +p340731 +aS'.\t.\t.\tO\tO' +p340732 +asS'Nares were patent .' +p340733 +(lp340734 +S'Nares\tNare\tNNS\tB-NP\tO' +p340735 +aS'were\tbe\tVBD\tB-VP\tO' +p340736 +aS'patent\tpatent\tNN\tB-NP\tO' +p340737 +aS'.\t.\t.\tO\tO' +p340738 +asS'Lives with wife , retired 12 years ago after working as electrician for Attleboro Donald' +p340739 +(lp340740 +S'Lives\tLife\tNNS\tB-NP\tO' +p340741 +aS'with\twith\tIN\tB-PP\tO' +p340742 +aS'wife\twife\tNN\tB-NP\tO' +p340743 +aS',\t,\t,\tO\tO' +p340744 +aS'retired\tretire\tVBD\tB-VP\tO' +p340745 +aS'12\t12\tCD\tB-NP\tO' +p340746 +aS'years\tyear\tNNS\tI-NP\tO' +p340747 +aS'ago\tago\tRB\tB-ADVP\tO' +p340748 +aS'after\tafter\tIN\tB-PP\tO' +p340749 +aS'working\twork\tVBG\tB-VP\tO' +p340750 +aS'as\tas\tIN\tB-PP\tO' +p340751 +aS'electrician\telectrician\tNN\tB-NP\tO' +p340752 +aS'for\tfor\tIN\tB-PP\tO' +p340753 +aS'Attleboro\tAttleboro\tNNP\tB-NP\tO' +p340754 +aS'Donald\tDonald\tNNP\tI-NP\tO' +p340755 +asS'PATHOLOGY uterus , tubes , ovaries 12-04' +p340756 +(lp340757 +S'PATHOLOGY\tPATHOLOGY\tNN\tB-NP\tO' +p340758 +aS'uterus\tuterus\tNN\tI-NP\tO' +p340759 +aS',\t,\t,\tO\tO' +p340760 +aS'tubes\ttube\tNNS\tB-NP\tO' +p340761 +aS',\t,\t,\tO\tO' +p340762 +aS'ovaries\tovary\tNNS\tB-NP\tO' +p340763 +aS'12-04\t12-04\tCD\tB-NP\tO' +p340764 +asS'Pulmonary consult was done , and it was felt that the patient should undergo a formal sleep study , full PFTs , and a repeat CT scan in 1 year to assess for pulmonary nodule that was seen .' +p340765 +(lp340766 +S'Pulmonary\tPulmonary\tJJ\tB-NP\tO' +p340767 +aS'consult\tconsult\tNN\tI-NP\tO' +p340768 +aS'was\tbe\tVBD\tB-VP\tO' +p340769 +aS'done\tdo\tVBN\tI-VP\tO' +p340770 +aS',\t,\t,\tO\tO' +p340771 +aS'and\tand\tCC\tO\tO' +p340772 +aS'it\tit\tPRP\tB-NP\tO' +p340773 +aS'was\tbe\tVBD\tB-VP\tO' +p340774 +aS'felt\tfeel\tVBN\tI-VP\tO' +p340775 +aS'that\tthat\tIN\tB-SBAR\tO' +p340776 +aS'the\tthe\tDT\tB-NP\tO' +p340777 +aS'patient\tpatient\tNN\tI-NP\tO' +p340778 +aS'should\tshould\tMD\tB-VP\tO' +p340779 +aS'undergo\tundergo\tVB\tI-VP\tO' +p340780 +aS'a\ta\tDT\tB-NP\tO' +p340781 +aS'formal\tformal\tJJ\tI-NP\tO' +p340782 +aS'sleep\tsleep\tNN\tI-NP\tO' +p340783 +aS'study\tstudy\tNN\tI-NP\tO' +p340784 +aS',\t,\t,\tO\tO' +p340785 +aS'full\tfull\tJJ\tB-NP\tO' +p340786 +aS'PFTs\tPFT\tNNS\tI-NP\tO' +p340787 +aS',\t,\t,\tO\tO' +p340788 +aS'and\tand\tCC\tO\tO' +p340789 +aS'a\ta\tDT\tB-NP\tO' +p340790 +aS'repeat\trepeat\tNN\tI-NP\tO' +p340791 +aS'CT\tCT\tNN\tI-NP\tO' +p340792 +aS'scan\tscan\tNN\tI-NP\tO' +p340793 +aS'in\tin\tIN\tB-PP\tO' +p340794 +aS'1\t1\tCD\tB-NP\tO' +p340795 +aS'year\tyear\tNN\tI-NP\tO' +p340796 +aS'to\tto\tTO\tB-VP\tO' +p340797 +aS'assess\tassess\tVB\tI-VP\tO' +p340798 +aS'for\tfor\tIN\tB-PP\tO' +p340799 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p340800 +aS'nodule\tnodule\tNN\tI-NP\tO' +p340801 +aS'that\tthat\tWDT\tB-NP\tO' +p340802 +aS'was\tbe\tVBD\tB-VP\tO' +p340803 +aS'seen\tsee\tVBN\tI-VP\tO' +p340804 +aS'.\t.\t.\tO\tO' +p340805 +asS'His PT and PTT are now normal , however , he continues to run a low platelet count .' +p340806 +(lp340807 +S'His\tHis\tPRP$\tB-NP\tO' +p340808 +aS'PT\tPT\tNN\tI-NP\tO' +p340809 +aS'and\tand\tCC\tI-NP\tO' +p340810 +aS'PTT\tPTT\tNN\tI-NP\tO' +p340811 +aS'are\tbe\tVBP\tB-VP\tO' +p340812 +aS'now\tnow\tRB\tB-ADVP\tO' +p340813 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p340814 +aS',\t,\t,\tO\tO' +p340815 +aS'however\thowever\tRB\tB-ADVP\tO' +p340816 +aS',\t,\t,\tO\tO' +p340817 +aS'he\the\tPRP\tB-NP\tO' +p340818 +aS'continues\tcontinue\tVBZ\tB-VP\tO' +p340819 +aS'to\tto\tTO\tI-VP\tO' +p340820 +aS'run\trun\tVB\tI-VP\tO' +p340821 +aS'a\ta\tDT\tB-NP\tO' +p340822 +aS'low\tlow\tJJ\tI-NP\tO' +p340823 +aS'platelet\tplatelet\tNN\tI-NP\tO' +p340824 +aS'count\tcount\tNN\tI-NP\tO' +p340825 +aS'.\t.\t.\tO\tO' +p340826 +asS'Dictated By : Scott OK Astarita , M.D.' +p340827 +(lp340828 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p340829 +aS'By\tBy\tIN\tB-PP\tO' +p340830 +aS':\t:\t:\tO\tO' +p340831 +aS'Scott\tScott\tNNP\tB-NP\tO' +p340832 +aS'OK\tOK\tNNP\tI-NP\tO' +p340833 +aS'Astarita\tAstarita\tNNP\tI-NP\tO' +p340834 +aS',\t,\t,\tO\tO' +p340835 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p340836 +asS'The patient was evaluated by Dr. Rhalt of Dentvailr. Medical Center .' +p340837 +(lp340838 +S'The\tThe\tDT\tB-NP\tO' +p340839 +aS'patient\tpatient\tNN\tI-NP\tO' +p340840 +aS'was\tbe\tVBD\tB-VP\tO' +p340841 +aS'evaluated\tevaluate\tVBN\tI-VP\tO' +p340842 +aS'by\tby\tIN\tB-PP\tO' +p340843 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p340844 +aS'Rhalt\tRhalt\tNNP\tI-NP\tO' +p340845 +aS'of\tof\tIN\tB-PP\tO' +p340846 +aS'Dentvailr.\tDentvailr.\tNNP\tB-NP\tO' +p340847 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p340848 +aS'Center\tCenter\tNNP\tI-NP\tO' +p340849 +aS'.\t.\t.\tO\tO' +p340850 +asS'Slept well , but on the am of admission had same burning across chest ( " deeper than heartburn " ) so went to her MD 's office .' +p340851 +(lp340852 +S'Slept\tSlept\tRB\tB-ADVP\tO' +p340853 +aS'well\twell\tRB\tI-ADVP\tO' +p340854 +aS',\t,\t,\tO\tO' +p340855 +aS'but\tbut\tCC\tO\tO' +p340856 +aS'on\ton\tIN\tB-PP\tO' +p340857 +aS'the\tthe\tDT\tB-NP\tO' +p340858 +aS'am\tam\tNN\tI-NP\tO' +p340859 +aS'of\tof\tIN\tB-PP\tO' +p340860 +aS'admission\tadmission\tNN\tB-NP\tO' +p340861 +aS'had\thave\tVBD\tB-VP\tO' +p340862 +aS'same\tsame\tJJ\tB-NP\tO' +p340863 +aS'burning\tburning\tNN\tI-NP\tO' +p340864 +aS'across\tacross\tIN\tB-PP\tO' +p340865 +aS'chest\tchest\tNN\tB-NP\tO' +p340866 +aS'(\t(\t(\tO\tO' +p340867 +aS'"\t"\tNN\tB-NP\tO' +p340868 +aS'deeper\tdeep\tJJR\tB-ADJP\tO' +p340869 +aS'than\tthan\tIN\tB-PP\tO' +p340870 +aS'heartburn\theartburn\tNN\tB-NP\tO' +p340871 +aS'"\t"\tNN\tI-NP\tO' +p340872 +aS')\t)\t)\tO\tO' +p340873 +aS'so\tso\tRB\tB-ADVP\tO' +p340874 +aS'went\tgo\tVBD\tB-VP\tO' +p340875 +aS'to\tto\tTO\tB-PP\tO' +p340876 +aS'her\ther\tPRP$\tB-NP\tO' +p340877 +aS'MD\tMD\tNN\tI-NP\tO' +p340878 +aS''s\t'\tNNS\tI-NP\tO' +p340879 +aS'office\toffice\tNN\tI-NP\tO' +p340880 +aS'.\t.\t.\tO\tO' +p340881 +asS'He had a firm nodule in the left lower lobe .' +p340882 +(lp340883 +S'He\tHe\tPRP\tB-NP\tO' +p340884 +aS'had\thave\tVBD\tB-VP\tO' +p340885 +aS'a\ta\tDT\tB-NP\tO' +p340886 +aS'firm\tfirm\tJJ\tI-NP\tO' +p340887 +aS'nodule\tnodule\tNN\tI-NP\tO' +p340888 +aS'in\tin\tIN\tB-PP\tO' +p340889 +aS'the\tthe\tDT\tB-NP\tO' +p340890 +aS'left\tleft\tJJ\tI-NP\tO' +p340891 +aS'lower\tlow\tJJR\tI-NP\tO' +p340892 +aS'lobe\tlobe\tNN\tI-NP\tO' +p340893 +aS'.\t.\t.\tO\tO' +p340894 +asS'Absent in LUE , left ankle .' +p340895 +(lp340896 +S'Absent\tAbsent\tNN\tB-NP\tO' +p340897 +aS'in\tin\tIN\tB-PP\tO' +p340898 +aS'LUE\tLUE\tNN\tB-NP\tO' +p340899 +aS',\t,\t,\tO\tO' +p340900 +aS'left\tleave\tVBD\tB-VP\tO' +p340901 +aS'ankle\tankle\tNN\tB-NP\tO' +p340902 +aS'.\t.\t.\tO\tO' +p340903 +asS'Did not require lasix on discharge .' +p340904 +(lp340905 +S'Did\tDo\tVBD\tB-VP\tO' +p340906 +aS'not\tnot\tRB\tI-VP\tO' +p340907 +aS'require\trequire\tVB\tI-VP\tO' +p340908 +aS'lasix\tlasix\tNN\tB-NP\tO' +p340909 +aS'on\ton\tIN\tB-PP\tO' +p340910 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p340911 +aS'.\t.\t.\tO\tO' +p340912 +asS'The patient is a 68 year old , right handed caucasian female , former R.N. who complained of several days of vertigo , one day of double vision , dysarthria and worsening of vertigo .' +p340913 +(lp340914 +S'The\tThe\tDT\tB-NP\tO' +p340915 +aS'patient\tpatient\tNN\tI-NP\tO' +p340916 +aS'is\tbe\tVBZ\tB-VP\tO' +p340917 +aS'a\ta\tDT\tB-NP\tO' +p340918 +aS'68\t68\tCD\tI-NP\tO' +p340919 +aS'year\tyear\tNN\tI-NP\tO' +p340920 +aS'old\told\tJJ\tI-NP\tO' +p340921 +aS',\t,\t,\tI-NP\tO' +p340922 +aS'right\tright\tJJ\tI-NP\tO' +p340923 +aS'handed\thand\tVBN\tI-NP\tO' +p340924 +aS'caucasian\tcaucasian\tJJ\tI-NP\tO' +p340925 +aS'female\tfemale\tJJ\tI-NP\tO' +p340926 +aS',\t,\t,\tI-NP\tO' +p340927 +aS'former\tformer\tJJ\tI-NP\tO' +p340928 +aS'R.N.\tR.N.\tNNP\tI-NP\tO' +p340929 +aS'who\twho\tWP\tB-NP\tO' +p340930 +aS'complained\tcomplain\tVBD\tB-VP\tO' +p340931 +aS'of\tof\tIN\tB-PP\tO' +p340932 +aS'several\tseveral\tJJ\tB-NP\tO' +p340933 +aS'days\tday\tNNS\tI-NP\tO' +p340934 +aS'of\tof\tIN\tB-PP\tO' +p340935 +aS'vertigo\tvertigo\tNN\tB-NP\tO' +p340936 +aS',\t,\t,\tO\tO' +p340937 +aS'one\tone\tCD\tB-NP\tO' +p340938 +aS'day\tday\tNN\tI-NP\tO' +p340939 +aS'of\tof\tIN\tB-PP\tO' +p340940 +aS'double\tdouble\tJJ\tB-NP\tO' +p340941 +aS'vision\tvision\tNN\tI-NP\tO' +p340942 +aS',\t,\t,\tO\tO' +p340943 +aS'dysarthria\tdysarthria\tNN\tB-NP\tO' +p340944 +aS'and\tand\tCC\tO\tO' +p340945 +aS'worsening\tworsen\tVBG\tB-VP\tO' +p340946 +aS'of\tof\tIN\tB-PP\tO' +p340947 +aS'vertigo\tvertigo\tNN\tB-NP\tO' +p340948 +aS'.\t.\t.\tO\tO' +p340949 +asS'full strength Replete with fiber at 70 cc. per hour .' +p340950 +(lp340951 +S'full\tfull\tJJ\tB-NP\tO' +p340952 +aS'strength\tstrength\tNN\tI-NP\tO' +p340953 +aS'Replete\tReplete\tJJ\tB-ADJP\tO' +p340954 +aS'with\twith\tIN\tB-PP\tO' +p340955 +aS'fiber\tfiber\tNN\tB-NP\tO' +p340956 +aS'at\tat\tIN\tB-PP\tO' +p340957 +aS'70\t70\tCD\tB-NP\tO' +p340958 +aS'cc.\tcc.\tNN\tI-NP\tO' +p340959 +aS'per\tper\tIN\tB-PP\tO' +p340960 +aS'hour\thour\tNN\tB-NP\tO' +p340961 +aS'.\t.\t.\tO\tO' +p340962 +asS'No known drug allergies at the time of admission , however , it is assumed that her rigidity and jaw clenching was secondary to Fentanyl .' +p340963 +(lp340964 +S'No\tNo\tDT\tB-NP\tO' +p340965 +aS'known\tknow\tVBN\tI-NP\tO' +p340966 +aS'drug\tdrug\tNN\tI-NP\tO' +p340967 +aS'allergies\tallergy\tNNS\tI-NP\tO' +p340968 +aS'at\tat\tIN\tB-PP\tO' +p340969 +aS'the\tthe\tDT\tB-NP\tO' +p340970 +aS'time\ttime\tNN\tI-NP\tO' +p340971 +aS'of\tof\tIN\tB-PP\tO' +p340972 +aS'admission\tadmission\tNN\tB-NP\tO' +p340973 +aS',\t,\t,\tO\tO' +p340974 +aS'however\thowever\tRB\tB-ADVP\tO' +p340975 +aS',\t,\t,\tO\tO' +p340976 +aS'it\tit\tPRP\tB-NP\tO' +p340977 +aS'is\tbe\tVBZ\tB-VP\tO' +p340978 +aS'assumed\tassume\tVBN\tI-VP\tO' +p340979 +aS'that\tthat\tIN\tB-SBAR\tO' +p340980 +aS'her\ther\tPRP$\tB-NP\tO' +p340981 +aS'rigidity\trigidity\tNN\tI-NP\tO' +p340982 +aS'and\tand\tCC\tI-NP\tO' +p340983 +aS'jaw\tjaw\tNN\tI-NP\tO' +p340984 +aS'clenching\tclenching\tNN\tI-NP\tO' +p340985 +aS'was\tbe\tVBD\tB-VP\tO' +p340986 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p340987 +aS'to\tto\tTO\tB-PP\tO' +p340988 +aS'Fentanyl\tFentanyl\tNN\tB-NP\tO' +p340989 +aS'.\t.\t.\tO\tO' +p340990 +asS'Troponins remained mildly elevated as high as 0.6 throughout her admission , and most recent result now 0.1 .' +p340991 +(lp340992 +S'Troponins\tTroponin\tNNS\tB-NP\tB-protein' +p340993 +aS'remained\tremain\tVBD\tB-VP\tO' +p340994 +aS'mildly\tmildly\tRB\tI-VP\tO' +p340995 +aS'elevated\televate\tVBN\tI-VP\tO' +p340996 +aS'as\tas\tRB\tB-ADJP\tO' +p340997 +aS'high\thigh\tJJ\tI-ADJP\tO' +p340998 +aS'as\tas\tIN\tB-PP\tO' +p340999 +aS'0.6\t0.6\tCD\tB-NP\tO' +p341000 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p341001 +aS'her\ther\tPRP$\tB-NP\tO' +p341002 +aS'admission\tadmission\tNN\tI-NP\tO' +p341003 +aS',\t,\t,\tO\tO' +p341004 +aS'and\tand\tCC\tO\tO' +p341005 +aS'most\tmost\tRBS\tB-NP\tO' +p341006 +aS'recent\trecent\tJJ\tI-NP\tO' +p341007 +aS'result\tresult\tNN\tI-NP\tO' +p341008 +aS'now\tnow\tRB\tB-ADVP\tO' +p341009 +aS'0.1\t0.1\tCD\tB-NP\tO' +p341010 +aS'.\t.\t.\tO\tO' +p341011 +asS'Boston Coma Scale of 15 .' +p341012 +(lp341013 +S'Boston\tBoston\tNNP\tB-NP\tO' +p341014 +aS'Coma\tComa\tNNP\tI-NP\tO' +p341015 +aS'Scale\tScale\tNNP\tI-NP\tO' +p341016 +aS'of\tof\tIN\tB-PP\tO' +p341017 +aS'15\t15\tCD\tB-NP\tO' +p341018 +aS'.\t.\t.\tO\tO' +p341019 +asS'Asian-speaking only .' +p341020 +(lp341021 +S'Asian-speaking\tAsian-speake\tVBG\tB-VP\tO' +p341022 +aS'only\tonly\tRB\tB-ADVP\tO' +p341023 +aS'.\t.\t.\tO\tO' +p341024 +asS'8. Dilated cardiomyopathy ( also as noted above ).' +p341025 +(lp341026 +S'8.\t8.\tLS\tB-LST\tO' +p341027 +aS'Dilated\tDilate\tVBD\tB-VP\tO' +p341028 +aS'cardiomyopathy\tcardiomyopathy\tNN\tB-NP\tO' +p341029 +aS'(\t(\t(\tO\tO' +p341030 +aS'also\talso\tRB\tB-ADVP\tO' +p341031 +aS'as\tas\tIN\tB-SBAR\tO' +p341032 +aS'noted\tnote\tVBN\tB-VP\tO' +p341033 +aS'above\tabove\tIN\tB-PP\tO' +p341034 +aS').\t).\tNN\tB-NP\tO' +p341035 +asS'3. Respiratory distress , resolved .' +p341036 +(lp341037 +S'3.\t3.\tLS\tB-NP\tO' +p341038 +aS'Respiratory\tRespiratory\tJJ\tI-NP\tO' +p341039 +aS'distress\tdistress\tNN\tI-NP\tO' +p341040 +aS',\t,\t,\tO\tO' +p341041 +aS'resolved\tresolve\tVBN\tB-VP\tO' +p341042 +aS'.\t.\t.\tO\tO' +p341043 +asS'Attending : Maria X White , M.D.' +p341044 +(lp341045 +S'Attending\tAttend\tVBG\tB-VP\tO' +p341046 +aS':\t:\t:\tO\tO' +p341047 +aS'Maria\tMaria\tNNP\tB-NP\tO' +p341048 +aS'X\tX\tNNP\tI-NP\tO' +p341049 +aS'White\tWhite\tNNP\tI-NP\tO' +p341050 +aS',\t,\t,\tO\tO' +p341051 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p341052 +asS'221-240 mg / dL 13 Units' +p341053 +(lp341054 +S'221-240\t221-240\tCD\tB-NP\tO' +p341055 +aS'mg\tmg\tNN\tI-NP\tO' +p341056 +aS'/\t/\tSYM\tB-NP\tO' +p341057 +aS'dL\tdL\tNN\tI-NP\tO' +p341058 +aS'13\t13\tCD\tB-NP\tO' +p341059 +aS'Units\tUnit\tNNS\tI-NP\tO' +p341060 +asS'Penicillin .' +p341061 +(lp341062 +S'Penicillin\tPenicillin\tNNP\tB-NP\tO' +p341063 +aS'.\t.\t.\tO\tO' +p341064 +asS'2. Folic Acid 1 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' +p341065 +(lp341066 +S'2.\t2.\tLS\tB-NP\tO' +p341067 +aS'Folic\tFolic\tJJ\tI-NP\tO' +p341068 +aS'Acid\tAcid\tNN\tI-NP\tO' +p341069 +aS'1\t1\tCD\tI-NP\tO' +p341070 +aS'mg\tmg\tNN\tI-NP\tO' +p341071 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p341072 +aS'Sig\tSig\tNNP\tI-NP\tO' +p341073 +aS':\t:\t:\tO\tO' +p341074 +aS'One\tOne\tCD\tB-NP\tO' +p341075 +aS'(\t(\t(\tO\tO' +p341076 +aS'1\t1\tCD\tB-NP\tO' +p341077 +aS')\t)\t)\tO\tO' +p341078 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p341079 +aS'PO\tPO\tNN\tI-NP\tO' +p341080 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p341081 +aS'(\t(\t(\tO\tO' +p341082 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p341083 +aS')\t)\t)\tO\tO' +p341084 +aS'.\t.\t.\tO\tO' +p341085 +asS'Father died at age 56 of coronary artery disease .' +p341086 +(lp341087 +S'Father\tFather\tNNP\tB-NP\tO' +p341088 +aS'died\tdie\tVBD\tB-VP\tO' +p341089 +aS'at\tat\tIN\tB-PP\tO' +p341090 +aS'age\tage\tNN\tB-NP\tO' +p341091 +aS'56\t56\tCD\tI-NP\tO' +p341092 +aS'of\tof\tIN\tB-PP\tO' +p341093 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p341094 +aS'artery\tartery\tNN\tI-NP\tO' +p341095 +aS'disease\tdisease\tNN\tI-NP\tO' +p341096 +aS'.\t.\t.\tO\tO' +p341097 +asS'No bruits .' +p341098 +(lp341099 +S'No\tNo\tDT\tB-NP\tO' +p341100 +aS'bruits\tbruit\tNNS\tI-NP\tO' +p341101 +aS'.\t.\t.\tO\tO' +p341102 +asS'Strength , sensation , coordination and cranial nerve function were all normal .' +p341103 +(lp341104 +S'Strength\tStrength\tNN\tB-NP\tO' +p341105 +aS',\t,\t,\tI-NP\tO' +p341106 +aS'sensation\tsensation\tNN\tI-NP\tO' +p341107 +aS',\t,\t,\tI-NP\tO' +p341108 +aS'coordination\tcoordination\tNN\tI-NP\tO' +p341109 +aS'and\tand\tCC\tI-NP\tO' +p341110 +aS'cranial\tcranial\tJJ\tI-NP\tO' +p341111 +aS'nerve\tnerve\tNN\tI-NP\tO' +p341112 +aS'function\tfunction\tNN\tI-NP\tO' +p341113 +aS'were\tbe\tVBD\tB-VP\tO' +p341114 +aS'all\tall\tDT\tO\tO' +p341115 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p341116 +aS'.\t.\t.\tO\tO' +p341117 +asS'2. Hypothyroidism .' +p341118 +(lp341119 +S'2.\t2.\tLS\tB-NP\tO' +p341120 +aS'Hypothyroidism\tHypothyroidism\tNN\tI-NP\tO' +p341121 +aS'.\t.\t.\tO\tO' +p341122 +asS'The patient was maintained on heparin anticoagulation .' +p341123 +(lp341124 +S'The\tThe\tDT\tB-NP\tO' +p341125 +aS'patient\tpatient\tNN\tI-NP\tO' +p341126 +aS'was\tbe\tVBD\tB-VP\tO' +p341127 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p341128 +aS'on\ton\tIN\tB-PP\tO' +p341129 +aS'heparin\theparin\tNN\tB-NP\tO' +p341130 +aS'anticoagulation\tanticoagulation\tNN\tI-NP\tO' +p341131 +aS'.\t.\t.\tO\tO' +p341132 +asS'The morphine is for breakthrough pain .' +p341133 +(lp341134 +S'The\tThe\tDT\tB-NP\tO' +p341135 +aS'morphine\tmorphine\tNN\tI-NP\tO' +p341136 +aS'is\tbe\tVBZ\tB-VP\tO' +p341137 +aS'for\tfor\tIN\tB-PP\tO' +p341138 +aS'breakthrough\tbreakthrough\tNN\tB-NP\tO' +p341139 +aS'pain\tpain\tNN\tI-NP\tO' +p341140 +aS'.\t.\t.\tO\tO' +p341141 +asS'She was to continue on a BRAT diet over the weekend and two days after discharge she could advance to a low fat no dairy diet .' +p341142 +(lp341143 +S'She\tShe\tPRP\tB-NP\tO' +p341144 +aS'was\tbe\tVBD\tB-VP\tO' +p341145 +aS'to\tto\tTO\tI-VP\tO' +p341146 +aS'continue\tcontinue\tVB\tI-VP\tO' +p341147 +aS'on\ton\tIN\tB-PP\tO' +p341148 +aS'a\ta\tDT\tB-NP\tO' +p341149 +aS'BRAT\tBRAT\tNN\tI-NP\tO' +p341150 +aS'diet\tdiet\tNN\tI-NP\tO' +p341151 +aS'over\tover\tIN\tB-PP\tO' +p341152 +aS'the\tthe\tDT\tB-NP\tO' +p341153 +aS'weekend\tweekend\tNN\tI-NP\tO' +p341154 +aS'and\tand\tCC\tO\tO' +p341155 +aS'two\ttwo\tCD\tB-NP\tO' +p341156 +aS'days\tday\tNNS\tI-NP\tO' +p341157 +aS'after\tafter\tIN\tB-PP\tO' +p341158 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p341159 +aS'she\tshe\tPRP\tB-NP\tO' +p341160 +aS'could\tcould\tMD\tB-VP\tO' +p341161 +aS'advance\tadvance\tVB\tI-VP\tO' +p341162 +aS'to\tto\tTO\tB-PP\tO' +p341163 +aS'a\ta\tDT\tB-NP\tO' +p341164 +aS'low\tlow\tJJ\tI-NP\tO' +p341165 +aS'fat\tfat\tNN\tI-NP\tO' +p341166 +aS'no\tno\tDT\tB-NP\tO' +p341167 +aS'dairy\tdairy\tNN\tI-NP\tO' +p341168 +aS'diet\tdiet\tNN\tI-NP\tO' +p341169 +aS'.\t.\t.\tO\tO' +p341170 +asS'However , upon transfer from the operating room table to the RICU bed , he suffered a cardiac arrest , which upon investigation was a primary respiratory arrest ; the initial arterial blood gas was 32/88/6.92 .' +p341171 +(lp341172 +S'However\tHowever\tRB\tB-ADVP\tO' +p341173 +aS',\t,\t,\tO\tO' +p341174 +aS'upon\tupon\tIN\tB-PP\tO' +p341175 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p341176 +aS'from\tfrom\tIN\tB-PP\tO' +p341177 +aS'the\tthe\tDT\tB-NP\tO' +p341178 +aS'operating\toperating\tNN\tI-NP\tO' +p341179 +aS'room\troom\tNN\tI-NP\tO' +p341180 +aS'table\ttable\tNN\tI-NP\tO' +p341181 +aS'to\tto\tTO\tB-PP\tO' +p341182 +aS'the\tthe\tDT\tB-NP\tO' +p341183 +aS'RICU\tRICU\tNNP\tI-NP\tO' +p341184 +aS'bed\tbed\tNN\tI-NP\tO' +p341185 +aS',\t,\t,\tO\tO' +p341186 +aS'he\the\tPRP\tB-NP\tO' +p341187 +aS'suffered\tsuffer\tVBD\tB-VP\tO' +p341188 +aS'a\ta\tDT\tB-NP\tO' +p341189 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p341190 +aS'arrest\tarrest\tNN\tI-NP\tO' +p341191 +aS',\t,\t,\tO\tO' +p341192 +aS'which\twhich\tWDT\tB-NP\tO' +p341193 +aS'upon\tupon\tIN\tB-PP\tO' +p341194 +aS'investigation\tinvestigation\tNN\tB-NP\tO' +p341195 +aS'was\tbe\tVBD\tB-VP\tO' +p341196 +aS'a\ta\tDT\tB-NP\tO' +p341197 +aS'primary\tprimary\tJJ\tI-NP\tO' +p341198 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p341199 +aS'arrest\tarrest\tNN\tI-NP\tO' +p341200 +aS';\t;\t:\tO\tO' +p341201 +aS'the\tthe\tDT\tB-NP\tO' +p341202 +aS'initial\tinitial\tJJ\tI-NP\tO' +p341203 +aS'arterial\tarterial\tJJ\tI-NP\tO' +p341204 +aS'blood\tblood\tNN\tI-NP\tO' +p341205 +aS'gas\tgas\tNN\tI-NP\tO' +p341206 +aS'was\tbe\tVBD\tB-VP\tO' +p341207 +aS'32/88/6.92\t32/88/6.92\tCD\tB-NP\tO' +p341208 +aS'.\t.\t.\tO\tO' +p341209 +asS"Given all the findings on the aortogram and the subsequent chest computer tomogram scan it was discovered that the patient 's only real surgical option for cure was a risky operation that involved removal and replacement of the aortic graft probably with homograft and long term antibiotic coverage as well as a plastic surgical reconstructive procedure ." +p341210 +(lp341211 +S'Given\tGive\tVBN\tB-PP\tO' +p341212 +aS'all\tall\tPDT\tB-NP\tO' +p341213 +aS'the\tthe\tDT\tI-NP\tO' +p341214 +aS'findings\tfinding\tNNS\tI-NP\tO' +p341215 +aS'on\ton\tIN\tB-PP\tO' +p341216 +aS'the\tthe\tDT\tB-NP\tO' +p341217 +aS'aortogram\taortogram\tNN\tI-NP\tO' +p341218 +aS'and\tand\tCC\tO\tO' +p341219 +aS'the\tthe\tDT\tB-NP\tO' +p341220 +aS'subsequent\tsubsequent\tJJ\tI-NP\tO' +p341221 +aS'chest\tchest\tNN\tI-NP\tO' +p341222 +aS'computer\tcomputer\tNN\tI-NP\tO' +p341223 +aS'tomogram\ttomogram\tNN\tI-NP\tO' +p341224 +aS'scan\tscan\tNN\tI-NP\tO' +p341225 +aS'it\tit\tPRP\tB-NP\tO' +p341226 +aS'was\tbe\tVBD\tB-VP\tO' +p341227 +aS'discovered\tdiscover\tVBN\tI-VP\tO' +p341228 +aS'that\tthat\tIN\tB-SBAR\tO' +p341229 +aS'the\tthe\tDT\tB-NP\tO' +p341230 +aS'patient\tpatient\tNN\tI-NP\tO' +p341231 +aS"'s\t's\tPOS\tB-NP\tO" +p341232 +aS'only\tonly\tJJ\tI-NP\tO' +p341233 +aS'real\treal\tJJ\tI-NP\tO' +p341234 +aS'surgical\tsurgical\tJJ\tI-NP\tO' +p341235 +aS'option\toption\tNN\tI-NP\tO' +p341236 +aS'for\tfor\tIN\tB-PP\tO' +p341237 +aS'cure\tcure\tNN\tB-NP\tO' +p341238 +aS'was\tbe\tVBD\tB-VP\tO' +p341239 +aS'a\ta\tDT\tB-NP\tO' +p341240 +aS'risky\trisky\tJJ\tI-NP\tO' +p341241 +aS'operation\toperation\tNN\tI-NP\tO' +p341242 +aS'that\tthat\tWDT\tB-NP\tO' +p341243 +aS'involved\tinvolve\tVBD\tB-VP\tO' +p341244 +aS'removal\tremoval\tNN\tB-NP\tO' +p341245 +aS'and\tand\tCC\tI-NP\tO' +p341246 +aS'replacement\treplacement\tNN\tI-NP\tO' +p341247 +aS'of\tof\tIN\tB-PP\tO' +p341248 +aS'the\tthe\tDT\tB-NP\tO' +p341249 +aS'aortic\taortic\tJJ\tI-NP\tO' +p341250 +aS'graft\tgraft\tNN\tI-NP\tO' +p341251 +aS'probably\tprobably\tRB\tB-ADVP\tO' +p341252 +aS'with\twith\tIN\tB-PP\tO' +p341253 +aS'homograft\thomograft\tNN\tB-NP\tO' +p341254 +aS'and\tand\tCC\tI-NP\tO' +p341255 +aS'long\tlong\tJJ\tI-NP\tO' +p341256 +aS'term\tterm\tNN\tI-NP\tO' +p341257 +aS'antibiotic\tantibiotic\tJJ\tI-NP\tO' +p341258 +aS'coverage\tcoverage\tNN\tI-NP\tO' +p341259 +aS'as\tas\tRB\tB-CONJP\tO' +p341260 +aS'well\twell\tRB\tI-CONJP\tO' +p341261 +aS'as\tas\tIN\tI-CONJP\tO' +p341262 +aS'a\ta\tDT\tB-NP\tO' +p341263 +aS'plastic\tplastic\tJJ\tI-NP\tO' +p341264 +aS'surgical\tsurgical\tJJ\tI-NP\tO' +p341265 +aS'reconstructive\treconstructive\tJJ\tI-NP\tO' +p341266 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p341267 +aS'.\t.\t.\tO\tO' +p341268 +asS'Chest was clear , bilateral cardiac exam showed regular rate and rhythm , abdomen was soft , nontender , except for mild left upper quadrant tenderness with a well healed , midline abdominal scar .' +p341269 +(lp341270 +S'Chest\tChest\tNNP\tB-NP\tO' +p341271 +aS'was\tbe\tVBD\tB-VP\tO' +p341272 +aS'clear\tclear\tJJ\tB-NP\tO' +p341273 +aS',\t,\t,\tI-NP\tO' +p341274 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p341275 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p341276 +aS'exam\texam\tNN\tI-NP\tO' +p341277 +aS'showed\tshow\tVBD\tB-VP\tO' +p341278 +aS'regular\tregular\tJJ\tB-NP\tO' +p341279 +aS'rate\trate\tNN\tI-NP\tO' +p341280 +aS'and\tand\tCC\tI-NP\tO' +p341281 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p341282 +aS',\t,\t,\tO\tO' +p341283 +aS'abdomen\tabdomen\tNN\tB-NP\tO' +p341284 +aS'was\tbe\tVBD\tB-VP\tO' +p341285 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p341286 +aS',\t,\t,\tO\tO' +p341287 +aS'nontender\tnontender\tJJ\tB-ADJP\tO' +p341288 +aS',\t,\t,\tO\tO' +p341289 +aS'except\texcept\tIN\tB-PP\tO' +p341290 +aS'for\tfor\tIN\tB-PP\tO' +p341291 +aS'mild\tmild\tJJ\tB-NP\tO' +p341292 +aS'left\tleft\tJJ\tI-NP\tO' +p341293 +aS'upper\tupper\tJJ\tI-NP\tO' +p341294 +aS'quadrant\tquadrant\tJJ\tI-NP\tO' +p341295 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p341296 +aS'with\twith\tIN\tB-PP\tO' +p341297 +aS'a\ta\tDT\tB-NP\tO' +p341298 +aS'well\twell\tRB\tI-NP\tO' +p341299 +aS'healed\thealed\tJJ\tI-NP\tO' +p341300 +aS',\t,\t,\tI-NP\tO' +p341301 +aS'midline\tmidline\tNN\tI-NP\tO' +p341302 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p341303 +aS'scar\tscar\tNN\tI-NP\tO' +p341304 +aS'.\t.\t.\tO\tO' +p341305 +asS'A number of indwelling closed suction drains were left in place so as to drain the bed underneath the muscle flaps .' +p341306 +(lp341307 +S'A\tA\tDT\tB-NP\tO' +p341308 +aS'number\tnumber\tNN\tI-NP\tO' +p341309 +aS'of\tof\tIN\tB-PP\tO' +p341310 +aS'indwelling\tindwell\tVBG\tB-VP\tO' +p341311 +aS'closed\tclosed\tJJ\tB-NP\tO' +p341312 +aS'suction\tsuction\tNN\tI-NP\tO' +p341313 +aS'drains\tdrain\tNNS\tI-NP\tO' +p341314 +aS'were\tbe\tVBD\tB-VP\tO' +p341315 +aS'left\tleave\tVBN\tI-VP\tO' +p341316 +aS'in\tin\tIN\tB-PP\tO' +p341317 +aS'place\tplace\tNN\tB-NP\tO' +p341318 +aS'so\tso\tRB\tB-SBAR\tO' +p341319 +aS'as\tas\tIN\tI-SBAR\tO' +p341320 +aS'to\tto\tTO\tB-VP\tO' +p341321 +aS'drain\tdrain\tVB\tI-VP\tO' +p341322 +aS'the\tthe\tDT\tB-NP\tO' +p341323 +aS'bed\tbed\tNN\tI-NP\tO' +p341324 +aS'underneath\tunderneath\tIN\tB-PP\tO' +p341325 +aS'the\tthe\tDT\tB-NP\tO' +p341326 +aS'muscle\tmuscle\tNN\tI-NP\tB-protein' +p341327 +aS'flaps\tflap\tNNS\tI-NP\tI-protein' +p341328 +aS'.\t.\t.\tO\tO' +p341329 +asS'The drainage had been decreasing and the patient continued to be afebrile .' +p341330 +(lp341331 +S'The\tThe\tDT\tB-NP\tO' +p341332 +aS'drainage\tdrainage\tNN\tI-NP\tO' +p341333 +aS'had\thave\tVBD\tB-VP\tO' +p341334 +aS'been\tbe\tVBN\tI-VP\tO' +p341335 +aS'decreasing\tdecrease\tVBG\tI-VP\tO' +p341336 +aS'and\tand\tCC\tO\tO' +p341337 +aS'the\tthe\tDT\tB-NP\tO' +p341338 +aS'patient\tpatient\tNN\tI-NP\tO' +p341339 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p341340 +aS'to\tto\tTO\tI-VP\tO' +p341341 +aS'be\tbe\tVB\tI-VP\tO' +p341342 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p341343 +aS'.\t.\t.\tO\tO' +p341344 +asS'The patient developed ulceration after IM injection .' +p341345 +(lp341346 +S'The\tThe\tDT\tB-NP\tO' +p341347 +aS'patient\tpatient\tNN\tI-NP\tO' +p341348 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p341349 +aS'ulceration\tulceration\tNN\tB-NP\tO' +p341350 +aS'after\tafter\tIN\tB-PP\tO' +p341351 +aS'IM\tIM\tNN\tB-NP\tO' +p341352 +aS'injection\tinjection\tNN\tI-NP\tO' +p341353 +aS'.\t.\t.\tO\tO' +p341354 +asS'Her son , Nertland is nearby and he works at the Em Nysonken Medical Center on Verville .' +p341355 +(lp341356 +S'Her\tHer\tPRP$\tB-NP\tO' +p341357 +aS'son\tson\tNN\tI-NP\tO' +p341358 +aS',\t,\t,\tO\tO' +p341359 +aS'Nertland\tNertland\tNNP\tB-NP\tO' +p341360 +aS'is\tbe\tVBZ\tB-VP\tO' +p341361 +aS'nearby\tnearby\tRB\tB-ADVP\tO' +p341362 +aS'and\tand\tCC\tO\tO' +p341363 +aS'he\the\tPRP\tB-NP\tO' +p341364 +aS'works\twork\tVBZ\tB-VP\tO' +p341365 +aS'at\tat\tIN\tB-PP\tO' +p341366 +aS'the\tthe\tDT\tB-NP\tO' +p341367 +aS'Em\tEm\tNNP\tI-NP\tO' +p341368 +aS'Nysonken\tNysonken\tNNP\tI-NP\tO' +p341369 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p341370 +aS'Center\tCenter\tNNP\tI-NP\tO' +p341371 +aS'on\ton\tIN\tB-PP\tO' +p341372 +aS'Verville\tVerville\tNNP\tB-NP\tO' +p341373 +aS'.\t.\t.\tO\tO' +p341374 +asS'Statin was also deffered .' +p341375 +(lp341376 +S'Statin\tStatin\tNN\tB-NP\tB-protein' +p341377 +aS'was\tbe\tVBD\tB-VP\tO' +p341378 +aS'also\talso\tRB\tI-VP\tO' +p341379 +aS'deffered\tdeffere\tVBN\tI-VP\tO' +p341380 +aS'.\t.\t.\tO\tO' +p341381 +asS'Preserved LV systolic function on phenylephrine .' +p341382 +(lp341383 +S'Preserved\tPreserve\tVBN\tB-NP\tO' +p341384 +aS'LV\tLV\tNN\tI-NP\tO' +p341385 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p341386 +aS'function\tfunction\tNN\tI-NP\tO' +p341387 +aS'on\ton\tIN\tB-PP\tO' +p341388 +aS'phenylephrine\tphenylephrine\tNN\tB-NP\tO' +p341389 +aS'.\t.\t.\tO\tO' +p341390 +asS'Her only additional medication on discharge is Percocet as needed for pain .' +p341391 +(lp341392 +S'Her\tHer\tPRP$\tB-NP\tO' +p341393 +aS'only\tonly\tJJ\tI-NP\tO' +p341394 +aS'additional\tadditional\tJJ\tI-NP\tO' +p341395 +aS'medication\tmedication\tNN\tI-NP\tO' +p341396 +aS'on\ton\tIN\tB-PP\tO' +p341397 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p341398 +aS'is\tbe\tVBZ\tB-VP\tO' +p341399 +aS'Percocet\tPercocet\tNNP\tB-NP\tO' +p341400 +aS'as\tas\tIN\tB-SBAR\tO' +p341401 +aS'needed\tneed\tVBN\tB-VP\tO' +p341402 +aS'for\tfor\tIN\tB-PP\tO' +p341403 +aS'pain\tpain\tNN\tB-NP\tO' +p341404 +aS'.\t.\t.\tO\tO' +p341405 +asS'Guaiac negative .' +p341406 +(lp341407 +S'Guaiac\tGuaiac\tNN\tB-NP\tO' +p341408 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p341409 +aS'.\t.\t.\tO\tO' +p341410 +asS'She was also started on Decadron in preparation for her chemotherapy .' +p341411 +(lp341412 +S'She\tShe\tPRP\tB-NP\tO' +p341413 +aS'was\tbe\tVBD\tB-VP\tO' +p341414 +aS'also\talso\tRB\tI-VP\tO' +p341415 +aS'started\tstart\tVBN\tI-VP\tO' +p341416 +aS'on\ton\tIN\tB-PP\tO' +p341417 +aS'Decadron\tDecadron\tNNP\tB-NP\tO' +p341418 +aS'in\tin\tIN\tB-PP\tO' +p341419 +aS'preparation\tpreparation\tNN\tB-NP\tO' +p341420 +aS'for\tfor\tIN\tB-PP\tO' +p341421 +aS'her\ther\tPRP$\tB-NP\tO' +p341422 +aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' +p341423 +aS'.\t.\t.\tO\tO' +p341424 +asS'Reflexes 4+ overall in the upper extremities and 3+ overall in the lower extremities , an upgoing left toe and a down going right toe .' +p341425 +(lp341426 +S'Reflexes\tReflex\tNNS\tB-NP\tO' +p341427 +aS'4+\t4+\tJJ\tB-ADJP\tO' +p341428 +aS'overall\toverall\tNN\tB-ADVP\tO' +p341429 +aS'in\tin\tIN\tB-PP\tO' +p341430 +aS'the\tthe\tDT\tB-NP\tO' +p341431 +aS'upper\tupper\tJJ\tI-NP\tO' +p341432 +aS'extremities\textremity\tNNS\tI-NP\tO' +p341433 +aS'and\tand\tCC\tO\tO' +p341434 +aS'3+\t3+\tJJ\tB-NP\tO' +p341435 +aS'overall\toverall\tRB\tB-ADVP\tO' +p341436 +aS'in\tin\tIN\tB-PP\tO' +p341437 +aS'the\tthe\tDT\tB-NP\tO' +p341438 +aS'lower\tlow\tJJR\tI-NP\tO' +p341439 +aS'extremities\textremity\tNNS\tI-NP\tO' +p341440 +aS',\t,\t,\tO\tO' +p341441 +aS'an\tan\tDT\tB-NP\tO' +p341442 +aS'upgoing\tupgoe\tVBG\tI-NP\tO' +p341443 +aS'left\tleft\tJJ\tI-NP\tO' +p341444 +aS'toe\ttoe\tNN\tI-NP\tO' +p341445 +aS'and\tand\tCC\tO\tO' +p341446 +aS'a\ta\tDT\tB-NP\tO' +p341447 +aS'down\tdown\tRB\tI-NP\tO' +p341448 +aS'going\tgo\tVBG\tI-NP\tO' +p341449 +aS'right\tright\tJJ\tI-NP\tO' +p341450 +aS'toe\ttoe\tNN\tI-NP\tO' +p341451 +aS'.\t.\t.\tO\tO' +p341452 +asS'He was discharged to home in stable condition and feeling well .' +p341453 +(lp341454 +S'He\tHe\tPRP\tB-NP\tO' +p341455 +aS'was\tbe\tVBD\tB-VP\tO' +p341456 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p341457 +aS'to\tto\tTO\tB-PP\tO' +p341458 +aS'home\thome\tNN\tB-NP\tO' +p341459 +aS'in\tin\tIN\tB-PP\tO' +p341460 +aS'stable\tstable\tJJ\tB-NP\tO' +p341461 +aS'condition\tcondition\tNN\tI-NP\tO' +p341462 +aS'and\tand\tCC\tI-NP\tO' +p341463 +aS'feeling\tfeeling\tNN\tI-NP\tO' +p341464 +aS'well\twell\tRB\tB-ADVP\tO' +p341465 +aS'.\t.\t.\tO\tO' +p341466 +asS'+ Egophony .' +p341467 +(lp341468 +S'+\t+\tSYM\tO\tO' +p341469 +aS'Egophony\tEgophony\tNNP\tB-NP\tO' +p341470 +aS'.\t.\t.\tO\tO' +p341471 +asS'7.) H/O DVT ( right sided ) and subsequent PE , put onto lifetime warfarin' +p341472 +(lp341473 +S'7.)\t7.)\tLS\tB-NP\tO' +p341474 +aS'H/O\tH/O\tNN\tI-NP\tB-protein' +p341475 +aS'DVT\tDVT\tNN\tI-NP\tI-protein' +p341476 +aS'(\t(\t(\tO\tO' +p341477 +aS'right\tright\tJJ\tB-NP\tO' +p341478 +aS'sided\tsided\tJJ\tI-NP\tO' +p341479 +aS')\t)\t)\tO\tO' +p341480 +aS'and\tand\tCC\tO\tO' +p341481 +aS'subsequent\tsubsequent\tJJ\tB-NP\tO' +p341482 +aS'PE\tPE\tNN\tI-NP\tO' +p341483 +aS',\t,\t,\tO\tO' +p341484 +aS'put\tput\tVBN\tB-VP\tO' +p341485 +aS'onto\tonto\tIN\tB-PP\tO' +p341486 +aS'lifetime\tlifetime\tNN\tB-NP\tO' +p341487 +aS'warfarin\twarfarin\tNN\tI-NP\tO' +p341488 +asS'Normal S1 and S2 without murmurs or rubs .' +p341489 +(lp341490 +S'Normal\tNormal\tJJ\tB-NP\tO' +p341491 +aS'S1\tS1\tNN\tI-NP\tB-protein' +p341492 +aS'and\tand\tCC\tO\tO' +p341493 +aS'S2\tS2\tNN\tB-NP\tB-protein' +p341494 +aS'without\twithout\tIN\tB-PP\tO' +p341495 +aS'murmurs\tmurmur\tNNS\tB-NP\tO' +p341496 +aS'or\tor\tCC\tI-NP\tO' +p341497 +aS'rubs\trub\tNNS\tI-NP\tO' +p341498 +aS'.\t.\t.\tO\tO' +p341499 +asS'Blood electrolytes were remarkable for a sodium of 148 and a potassium of 5.1 .' +p341500 +(lp341501 +S'Blood\tBlood\tNN\tB-NP\tO' +p341502 +aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' +p341503 +aS'were\tbe\tVBD\tB-VP\tO' +p341504 +aS'remarkable\tremarkable\tJJ\tB-ADJP\tO' +p341505 +aS'for\tfor\tIN\tB-PP\tO' +p341506 +aS'a\ta\tDT\tB-NP\tO' +p341507 +aS'sodium\tsodium\tNN\tI-NP\tO' +p341508 +aS'of\tof\tIN\tB-PP\tO' +p341509 +aS'148\t148\tCD\tB-NP\tO' +p341510 +aS'and\tand\tCC\tO\tO' +p341511 +aS'a\ta\tDT\tB-NP\tO' +p341512 +aS'potassium\tpotassium\tNN\tI-NP\tO' +p341513 +aS'of\tof\tIN\tB-PP\tO' +p341514 +aS'5.1\t5.1\tCD\tB-NP\tO' +p341515 +aS'.\t.\t.\tO\tO' +p341516 +asS'No SOB , ? fever at home .' +p341517 +(lp341518 +S'No\tNo\tDT\tB-NP\tO' +p341519 +aS'SOB\tSOB\tNN\tI-NP\tB-protein' +p341520 +aS',\t,\t,\tO\tO' +p341521 +aS'?\t?\t.\tO\tO' +p341522 +aS'fever\tfever\tNN\tB-NP\tO' +p341523 +aS'at\tat\tIN\tB-PP\tO' +p341524 +aS'home\thome\tNN\tB-NP\tO' +p341525 +aS'.\t.\t.\tO\tO' +p341526 +asS'The patient told other staff that he had a few cocktails and drinking a few more glasses of wine when he ran into some friends at a bar .' +p341527 +(lp341528 +S'The\tThe\tDT\tB-NP\tO' +p341529 +aS'patient\tpatient\tNN\tI-NP\tO' +p341530 +aS'told\ttell\tVBD\tB-VP\tO' +p341531 +aS'other\tother\tJJ\tB-NP\tO' +p341532 +aS'staff\tstaff\tNN\tI-NP\tO' +p341533 +aS'that\tthat\tIN\tB-NP\tO' +p341534 +aS'he\the\tPRP\tB-NP\tO' +p341535 +aS'had\thave\tVBD\tB-VP\tO' +p341536 +aS'a\ta\tDT\tB-NP\tO' +p341537 +aS'few\tfew\tJJ\tI-NP\tO' +p341538 +aS'cocktails\tcocktail\tNNS\tI-NP\tO' +p341539 +aS'and\tand\tCC\tO\tO' +p341540 +aS'drinking\tdrink\tVBG\tB-VP\tO' +p341541 +aS'a\ta\tDT\tB-NP\tO' +p341542 +aS'few\tfew\tJJ\tI-NP\tO' +p341543 +aS'more\tmore\tJJR\tI-NP\tO' +p341544 +aS'glasses\tglass\tNNS\tI-NP\tO' +p341545 +aS'of\tof\tIN\tB-PP\tO' +p341546 +aS'wine\twine\tNN\tB-NP\tO' +p341547 +aS'when\twhen\tWRB\tB-ADVP\tO' +p341548 +aS'he\the\tPRP\tB-NP\tO' +p341549 +aS'ran\trun\tVBD\tB-VP\tO' +p341550 +aS'into\tinto\tIN\tB-PP\tO' +p341551 +aS'some\tsome\tDT\tB-NP\tO' +p341552 +aS'friends\tfriend\tNNS\tI-NP\tO' +p341553 +aS'at\tat\tIN\tB-PP\tO' +p341554 +aS'a\ta\tDT\tB-NP\tO' +p341555 +aS'bar\tbar\tNN\tI-NP\tB-protein' +p341556 +aS'.\t.\t.\tO\tO' +p341557 +asS'She tolerated the procedure well and was transferred to the CSRU for invasive monitoring in stable condition .' +p341558 +(lp341559 +S'She\tShe\tPRP\tB-NP\tO' +p341560 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p341561 +aS'the\tthe\tDT\tB-NP\tO' +p341562 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p341563 +aS'well\twell\tRB\tB-ADVP\tO' +p341564 +aS'and\tand\tCC\tO\tO' +p341565 +aS'was\tbe\tVBD\tB-VP\tO' +p341566 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p341567 +aS'to\tto\tTO\tB-PP\tO' +p341568 +aS'the\tthe\tDT\tB-NP\tO' +p341569 +aS'CSRU\tCSRU\tNN\tI-NP\tO' +p341570 +aS'for\tfor\tIN\tB-PP\tO' +p341571 +aS'invasive\tinvasive\tJJ\tB-NP\tO' +p341572 +aS'monitoring\tmonitoring\tNN\tI-NP\tO' +p341573 +aS'in\tin\tIN\tB-PP\tO' +p341574 +aS'stable\tstable\tJJ\tB-NP\tO' +p341575 +aS'condition\tcondition\tNN\tI-NP\tO' +p341576 +aS'.\t.\t.\tO\tO' +p341577 +asS'The patient 's father died at age 69 with metastatic prostate cancer .' +p341578 +(lp341579 +S'The\tThe\tDT\tB-NP\tO' +p341580 +aS'patient\tpatient\tNN\tI-NP\tO' +p341581 +aS''s\t'\tNNS\tI-NP\tO' +p341582 +aS'father\tfather\tNN\tI-NP\tO' +p341583 +aS'died\tdie\tVBD\tB-VP\tO' +p341584 +aS'at\tat\tIN\tB-PP\tO' +p341585 +aS'age\tage\tNN\tB-NP\tO' +p341586 +aS'69\t69\tCD\tI-NP\tO' +p341587 +aS'with\twith\tIN\tB-PP\tO' +p341588 +aS'metastatic\tmetastatic\tJJ\tB-NP\tO' +p341589 +aS'prostate\tprostate\tNN\tI-NP\tO' +p341590 +aS'cancer\tcancer\tNN\tI-NP\tO' +p341591 +aS'.\t.\t.\tO\tO' +p341592 +asS'She also has food allergies to raw vegetables as well as some shortness of breath and throat constriction with shrimp .' +p341593 +(lp341594 +S'She\tShe\tPRP\tB-NP\tO' +p341595 +aS'also\talso\tRB\tB-ADVP\tO' +p341596 +aS'has\thave\tVBZ\tB-VP\tO' +p341597 +aS'food\tfood\tNN\tB-NP\tO' +p341598 +aS'allergies\tallergy\tNNS\tI-NP\tO' +p341599 +aS'to\tto\tTO\tB-PP\tO' +p341600 +aS'raw\traw\tJJ\tB-NP\tO' +p341601 +aS'vegetables\tvegetable\tNNS\tI-NP\tO' +p341602 +aS'as\tas\tRB\tB-CONJP\tO' +p341603 +aS'well\twell\tRB\tI-CONJP\tO' +p341604 +aS'as\tas\tIN\tI-CONJP\tO' +p341605 +aS'some\tsome\tDT\tB-NP\tO' +p341606 +aS'shortness\tshortness\tNN\tI-NP\tO' +p341607 +aS'of\tof\tIN\tB-PP\tO' +p341608 +aS'breath\tbreath\tNN\tB-NP\tO' +p341609 +aS'and\tand\tCC\tI-NP\tO' +p341610 +aS'throat\tthroat\tNN\tI-NP\tO' +p341611 +aS'constriction\tconstriction\tNN\tI-NP\tO' +p341612 +aS'with\twith\tIN\tB-PP\tO' +p341613 +aS'shrimp\tshrimp\tNN\tB-NP\tO' +p341614 +aS'.\t.\t.\tO\tO' +p341615 +asS'Head CT There is diffuse metastatic disease .' +p341616 +(lp341617 +S'Head\tHead\tJJ\tB-NP\tO' +p341618 +aS'CT\tCT\tNN\tI-NP\tO' +p341619 +aS'There\tThere\tEX\tB-NP\tO' +p341620 +aS'is\tbe\tVBZ\tB-VP\tO' +p341621 +aS'diffuse\tdiffuse\tJJ\tB-NP\tO' +p341622 +aS'metastatic\tmetastatic\tJJ\tI-NP\tO' +p341623 +aS'disease\tdisease\tNN\tI-NP\tO' +p341624 +aS'.\t.\t.\tO\tO' +p341625 +asS'Temperature 98.4 , heart rate 78 and sinus rhythm , blood pressure 106/50 , respiratory rate 18 , oxygen saturation 97% on room air .' +p341626 +(lp341627 +S'Temperature\tTemperature\tNN\tB-NP\tB-protein' +p341628 +aS'98.4\t98.4\tCD\tI-NP\tI-protein' +p341629 +aS',\t,\t,\tO\tO' +p341630 +aS'heart\theart\tNN\tB-NP\tO' +p341631 +aS'rate\trate\tNN\tI-NP\tO' +p341632 +aS'78\t78\tCD\tB-NP\tO' +p341633 +aS'and\tand\tCC\tI-NP\tO' +p341634 +aS'sinus\tsinus\tNN\tI-NP\tO' +p341635 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p341636 +aS',\t,\t,\tO\tO' +p341637 +aS'blood\tblood\tNN\tB-NP\tO' +p341638 +aS'pressure\tpressure\tNN\tI-NP\tO' +p341639 +aS'106/50\t106/50\tCD\tI-NP\tO' +p341640 +aS',\t,\t,\tO\tO' +p341641 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p341642 +aS'rate\trate\tNN\tI-NP\tO' +p341643 +aS'18\t18\tCD\tI-NP\tO' +p341644 +aS',\t,\t,\tO\tO' +p341645 +aS'oxygen\toxygen\tNN\tB-NP\tO' +p341646 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p341647 +aS'97%\t97%\tNN\tI-NP\tO' +p341648 +aS'on\ton\tIN\tB-PP\tO' +p341649 +aS'room\troom\tNN\tB-NP\tO' +p341650 +aS'air\tair\tNN\tI-NP\tO' +p341651 +aS'.\t.\t.\tO\tO' +p341652 +asS'The patient 's preliminary admitting physician is LINKETHORE , HANSVERLLEN G and the preliminary diagnosis is HEMATURIA .' +p341653 +(lp341654 +S'The\tThe\tDT\tB-NP\tO' +p341655 +aS'patient\tpatient\tNN\tI-NP\tO' +p341656 +aS''s\t'\tNNS\tI-NP\tO' +p341657 +aS'preliminary\tpreliminary\tJJ\tB-NP\tO' +p341658 +aS'admitting\tadmit\tVBG\tI-NP\tO' +p341659 +aS'physician\tphysician\tNN\tI-NP\tO' +p341660 +aS'is\tbe\tVBZ\tB-VP\tO' +p341661 +aS'LINKETHORE\tLINKETHORE\tNNP\tB-NP\tO' +p341662 +aS',\t,\t,\tO\tO' +p341663 +aS'HANSVERLLEN\tHANSVERLLEN\tNNP\tB-NP\tO' +p341664 +aS'G\tG\tNNP\tI-NP\tO' +p341665 +aS'and\tand\tCC\tO\tO' +p341666 +aS'the\tthe\tDT\tB-NP\tO' +p341667 +aS'preliminary\tpreliminary\tJJ\tI-NP\tO' +p341668 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p341669 +aS'is\tbe\tVBZ\tB-VP\tO' +p341670 +aS'HEMATURIA\tHEMATURIA\tNN\tB-NP\tO' +p341671 +aS'.\t.\t.\tO\tO' +p341672 +asS'Bilateral pectoralis major myocutaneous advancement flap .' +p341673 +(lp341674 +S'Bilateral\tBilateral\tJJ\tB-NP\tO' +p341675 +aS'pectoralis\tpectoralis\tNN\tI-NP\tO' +p341676 +aS'major\tmajor\tJJ\tI-NP\tO' +p341677 +aS'myocutaneous\tmyocutaneous\tJJ\tI-NP\tO' +p341678 +aS'advancement\tadvancement\tNN\tI-NP\tO' +p341679 +aS'flap\tflap\tNN\tI-NP\tO' +p341680 +aS'.\t.\t.\tO\tO' +p341681 +asS'The patient 's father died at the age of 83 of CHF .' +p341682 +(lp341683 +S'The\tThe\tDT\tB-NP\tO' +p341684 +aS'patient\tpatient\tNN\tI-NP\tO' +p341685 +aS''s\t'\tNNS\tI-NP\tO' +p341686 +aS'father\tfather\tNN\tI-NP\tO' +p341687 +aS'died\tdie\tVBD\tB-VP\tO' +p341688 +aS'at\tat\tIN\tB-PP\tO' +p341689 +aS'the\tthe\tDT\tB-NP\tO' +p341690 +aS'age\tage\tNN\tI-NP\tO' +p341691 +aS'of\tof\tIN\tB-PP\tO' +p341692 +aS'83\t83\tCD\tB-NP\tO' +p341693 +aS'of\tof\tIN\tB-PP\tO' +p341694 +aS'CHF\tCHF\tNN\tB-NP\tB-protein' +p341695 +aS'.\t.\t.\tO\tO' +p341696 +asS'The patient otherwise continued to do well and was becoming more oriented as time went on and as his blood pressure was brought under control .' +p341697 +(lp341698 +S'The\tThe\tDT\tB-NP\tO' +p341699 +aS'patient\tpatient\tNN\tI-NP\tO' +p341700 +aS'otherwise\totherwise\tRB\tB-ADVP\tO' +p341701 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p341702 +aS'to\tto\tTO\tI-VP\tO' +p341703 +aS'do\tdo\tVB\tI-VP\tO' +p341704 +aS'well\twell\tRB\tB-ADVP\tO' +p341705 +aS'and\tand\tCC\tO\tO' +p341706 +aS'was\tbe\tVBD\tB-VP\tO' +p341707 +aS'becoming\tbecome\tVBG\tI-VP\tO' +p341708 +aS'more\tmore\tRBR\tB-ADJP\tO' +p341709 +aS'oriented\torient\tVBN\tI-ADJP\tO' +p341710 +aS'as\tas\tIN\tB-SBAR\tO' +p341711 +aS'time\ttime\tNN\tB-NP\tO' +p341712 +aS'went\tgo\tVBD\tB-VP\tO' +p341713 +aS'on\ton\tIN\tB-PP\tO' +p341714 +aS'and\tand\tCC\tI-PP\tO' +p341715 +aS'as\tas\tIN\tI-PP\tO' +p341716 +aS'his\this\tPRP$\tB-NP\tO' +p341717 +aS'blood\tblood\tNN\tI-NP\tO' +p341718 +aS'pressure\tpressure\tNN\tI-NP\tO' +p341719 +aS'was\tbe\tVBD\tB-VP\tO' +p341720 +aS'brought\tbring\tVBN\tI-VP\tO' +p341721 +aS'under\tunder\tIN\tB-PP\tO' +p341722 +aS'control\tcontrol\tNN\tB-NP\tO' +p341723 +aS'.\t.\t.\tO\tO' +p341724 +asS'She was started on her immunosuppressive agents as per protocol .' +p341725 +(lp341726 +S'She\tShe\tPRP\tB-NP\tO' +p341727 +aS'was\tbe\tVBD\tB-VP\tO' +p341728 +aS'started\tstart\tVBN\tI-VP\tO' +p341729 +aS'on\ton\tIN\tB-PP\tO' +p341730 +aS'her\ther\tPRP$\tB-NP\tO' +p341731 +aS'immunosuppressive\timmunosuppressive\tJJ\tI-NP\tO' +p341732 +aS'agents\tagent\tNNS\tI-NP\tO' +p341733 +aS'as\tas\tIN\tB-PP\tO' +p341734 +aS'per\tper\tIN\tB-PP\tO' +p341735 +aS'protocol\tprotocol\tNN\tB-NP\tO' +p341736 +aS'.\t.\t.\tO\tO' +p341737 +asS'Signed electronically by : DR. Elizabeth Gabriele on : FRI 2010-09-10 3:04 PM' +p341738 +(lp341739 +S'Signed\tSign\tVBN\tB-VP\tO' +p341740 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p341741 +aS'by\tby\tIN\tB-PP\tO' +p341742 +aS':\t:\t:\tO\tO' +p341743 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p341744 +aS'Elizabeth\tElizabeth\tNNP\tI-NP\tO' +p341745 +aS'Gabriele\tGabriele\tNNP\tI-NP\tO' +p341746 +aS'on\ton\tIN\tB-PP\tO' +p341747 +aS':\t:\t:\tO\tO' +p341748 +aS'FRI\tFRI\tCD\tB-NP\tO' +p341749 +aS'2010-09-10\t2010-09-10\tCD\tI-NP\tO' +p341750 +aS'3:04\t3:04\tCD\tI-NP\tO' +p341751 +aS'PM\tPM\tNN\tI-NP\tO' +p341752 +asS'This is consistent with intraparenchymal hemorrhage , more likely hypertensive in etiology .' +p341753 +(lp341754 +S'This\tThis\tDT\tB-NP\tO' +p341755 +aS'is\tbe\tVBZ\tB-VP\tO' +p341756 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p341757 +aS'with\twith\tIN\tB-PP\tO' +p341758 +aS'intraparenchymal\tintraparenchymal\tJJ\tB-NP\tO' +p341759 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p341760 +aS',\t,\t,\tO\tO' +p341761 +aS'more\tmore\tRBR\tB-NP\tO' +p341762 +aS'likely\tlikely\tJJ\tI-NP\tO' +p341763 +aS'hypertensive\thypertensive\tNN\tI-NP\tO' +p341764 +aS'in\tin\tIN\tB-PP\tO' +p341765 +aS'etiology\tetiology\tNN\tB-NP\tO' +p341766 +aS'.\t.\t.\tO\tO' +p341767 +asS'She was placed on 50% vent mask , which improved her oxygenation to 97% .' +p341768 +(lp341769 +S'She\tShe\tPRP\tB-NP\tO' +p341770 +aS'was\tbe\tVBD\tB-VP\tO' +p341771 +aS'placed\tplace\tVBN\tI-VP\tO' +p341772 +aS'on\ton\tIN\tB-PP\tO' +p341773 +aS'50%\t50%\tCD\tB-NP\tO' +p341774 +aS'vent\tvent\tNN\tI-NP\tO' +p341775 +aS'mask\tmask\tNN\tI-NP\tO' +p341776 +aS',\t,\t,\tO\tO' +p341777 +aS'which\twhich\tWDT\tB-NP\tO' +p341778 +aS'improved\timprove\tVBD\tB-VP\tO' +p341779 +aS'her\ther\tPRP$\tB-NP\tO' +p341780 +aS'oxygenation\toxygenation\tNN\tI-NP\tO' +p341781 +aS'to\tto\tTO\tB-PP\tO' +p341782 +aS'97%\t97%\tCD\tB-NP\tO' +p341783 +aS'.\t.\t.\tO\tO' +p341784 +asS'Initial improvement was followed by recurrence of low SVR , high cardiac output , ongoing acidosis , requiring norepinephrine infusion in the 30 to 40 mcg per minute range ; drainage from the Jackson-Pratt drains were minimal despite irrigation and manipulation .' +p341785 +(lp341786 +S'Initial\tInitial\tJJ\tB-NP\tO' +p341787 +aS'improvement\timprovement\tNN\tI-NP\tO' +p341788 +aS'was\tbe\tVBD\tB-VP\tO' +p341789 +aS'followed\tfollow\tVBN\tI-VP\tO' +p341790 +aS'by\tby\tIN\tB-PP\tO' +p341791 +aS'recurrence\trecurrence\tNN\tB-NP\tO' +p341792 +aS'of\tof\tIN\tB-PP\tO' +p341793 +aS'low\tlow\tJJ\tB-NP\tO' +p341794 +aS'SVR\tSVR\tNN\tI-NP\tO' +p341795 +aS',\t,\t,\tO\tO' +p341796 +aS'high\thigh\tJJ\tB-NP\tO' +p341797 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p341798 +aS'output\toutput\tNN\tI-NP\tO' +p341799 +aS',\t,\t,\tO\tO' +p341800 +aS'ongoing\tongoing\tJJ\tB-NP\tO' +p341801 +aS'acidosis\tacidosis\tNN\tI-NP\tO' +p341802 +aS',\t,\t,\tO\tO' +p341803 +aS'requiring\trequire\tVBG\tB-VP\tO' +p341804 +aS'norepinephrine\tnorepinephrine\tNN\tB-NP\tO' +p341805 +aS'infusion\tinfusion\tNN\tI-NP\tO' +p341806 +aS'in\tin\tIN\tB-PP\tO' +p341807 +aS'the\tthe\tDT\tB-NP\tO' +p341808 +aS'30\t30\tCD\tI-NP\tO' +p341809 +aS'to\tto\tTO\tI-NP\tO' +p341810 +aS'40\t40\tCD\tI-NP\tO' +p341811 +aS'mcg\tmcg\tNN\tI-NP\tO' +p341812 +aS'per\tper\tIN\tB-PP\tO' +p341813 +aS'minute\tminute\tNN\tB-NP\tO' +p341814 +aS'range\trange\tNN\tI-NP\tO' +p341815 +aS';\t;\t:\tO\tO' +p341816 +aS'drainage\tdrainage\tNN\tB-NP\tO' +p341817 +aS'from\tfrom\tIN\tB-PP\tO' +p341818 +aS'the\tthe\tDT\tB-NP\tO' +p341819 +aS'Jackson-Pratt\tJackson-Pratt\tJJ\tI-NP\tB-protein' +p341820 +aS'drains\tdrain\tNNS\tI-NP\tI-protein' +p341821 +aS'were\tbe\tVBD\tB-VP\tO' +p341822 +aS'minimal\tminimal\tJJ\tB-ADJP\tO' +p341823 +aS'despite\tdespite\tIN\tB-PP\tO' +p341824 +aS'irrigation\tirrigation\tNN\tB-NP\tO' +p341825 +aS'and\tand\tCC\tI-NP\tO' +p341826 +aS'manipulation\tmanipulation\tNN\tI-NP\tO' +p341827 +aS'.\t.\t.\tO\tO' +p341828 +asS'PRINCIPAL DISCHARGE DIAGNOSIS ; Responsible After Study for Causing Admission )' +p341829 +(lp341830 +S'PRINCIPAL\tPRINCIPAL\tJJ\tB-NP\tO' +p341831 +aS'DISCHARGE\tDISCHARGE\tNN\tI-NP\tO' +p341832 +aS'DIAGNOSIS\tDIAGNOSIS\tNN\tI-NP\tO' +p341833 +aS';\t;\t:\tO\tO' +p341834 +aS'Responsible\tResponsible\tJJ\tB-ADJP\tO' +p341835 +aS'After\tAfter\tIN\tB-PP\tO' +p341836 +aS'Study\tStudy\tNNP\tB-NP\tO' +p341837 +aS'for\tfor\tIN\tB-PP\tO' +p341838 +aS'Causing\tCausing\tNNP\tB-NP\tO' +p341839 +aS'Admission\tAdmission\tNNP\tI-NP\tO' +p341840 +aS')\t)\t)\tO\tO' +p341841 +asS"Given the patient 's persistent hypotensive episodes , and decreased urine output , she was transferred back to the Medical Intensive Care Unit for management prior to initiation of Flolan therapy ." +p341842 +(lp341843 +S'Given\tGive\tVBN\tB-PP\tO' +p341844 +aS'the\tthe\tDT\tB-NP\tO' +p341845 +aS'patient\tpatient\tNN\tI-NP\tO' +p341846 +aS"'s\t's\tPOS\tB-NP\tO" +p341847 +aS'persistent\tpersistent\tJJ\tI-NP\tO' +p341848 +aS'hypotensive\thypotensive\tJJ\tI-NP\tO' +p341849 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p341850 +aS',\t,\t,\tO\tO' +p341851 +aS'and\tand\tCC\tO\tO' +p341852 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p341853 +aS'urine\turine\tNN\tB-NP\tO' +p341854 +aS'output\toutput\tNN\tI-NP\tO' +p341855 +aS',\t,\t,\tO\tO' +p341856 +aS'she\tshe\tPRP\tB-NP\tO' +p341857 +aS'was\tbe\tVBD\tB-VP\tO' +p341858 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p341859 +aS'back\tback\tRB\tB-ADVP\tO' +p341860 +aS'to\tto\tTO\tB-PP\tO' +p341861 +aS'the\tthe\tDT\tB-NP\tO' +p341862 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p341863 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p341864 +aS'Care\tCare\tNNP\tI-NP\tO' +p341865 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p341866 +aS'for\tfor\tIN\tB-PP\tO' +p341867 +aS'management\tmanagement\tNN\tB-NP\tO' +p341868 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p341869 +aS'to\tto\tTO\tB-PP\tO' +p341870 +aS'initiation\tinitiation\tNN\tB-NP\tO' +p341871 +aS'of\tof\tIN\tB-PP\tO' +p341872 +aS'Flolan\tFlolan\tNN\tB-NP\tO' +p341873 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p341874 +aS'.\t.\t.\tO\tO' +p341875 +asS'In addition , he also complained of difficulty with swallowing , necessitating only soft and liquid diet .' +p341876 +(lp341877 +S'In\tIn\tIN\tB-PP\tO' +p341878 +aS'addition\taddition\tNN\tB-NP\tO' +p341879 +aS',\t,\t,\tO\tO' +p341880 +aS'he\the\tPRP\tB-NP\tO' +p341881 +aS'also\talso\tRB\tB-ADVP\tO' +p341882 +aS'complained\tcomplain\tVBD\tB-VP\tO' +p341883 +aS'of\tof\tIN\tB-PP\tO' +p341884 +aS'difficulty\tdifficulty\tNN\tB-NP\tO' +p341885 +aS'with\twith\tIN\tB-PP\tO' +p341886 +aS'swallowing\tswallow\tVBG\tB-NP\tO' +p341887 +aS',\t,\t,\tO\tO' +p341888 +aS'necessitating\tnecessitate\tVBG\tB-VP\tO' +p341889 +aS'only\tonly\tRB\tB-NP\tO' +p341890 +aS'soft\tsoft\tJJ\tI-NP\tO' +p341891 +aS'and\tand\tCC\tI-NP\tO' +p341892 +aS'liquid\tliquid\tJJ\tI-NP\tO' +p341893 +aS'diet\tdiet\tNN\tI-NP\tO' +p341894 +aS'.\t.\t.\tO\tO' +p341895 +asS'She quit 35 years ago .' +p341896 +(lp341897 +S'She\tShe\tPRP\tB-NP\tO' +p341898 +aS'quit\tquit\tVBD\tB-VP\tO' +p341899 +aS'35\t35\tCD\tB-NP\tO' +p341900 +aS'years\tyear\tNNS\tI-NP\tO' +p341901 +aS'ago\tago\tRB\tB-ADVP\tO' +p341902 +aS'.\t.\t.\tO\tO' +p341903 +asS'Please take medications as prescribed and read warning labels carefully .' +p341904 +(lp341905 +S'Please\tPlease\tVB\tB-VP\tO' +p341906 +aS'take\ttake\tVB\tI-VP\tO' +p341907 +aS'medications\tmedication\tNNS\tB-NP\tO' +p341908 +aS'as\tas\tIN\tB-SBAR\tO' +p341909 +aS'prescribed\tprescribe\tVBN\tB-VP\tO' +p341910 +aS'and\tand\tCC\tO\tO' +p341911 +aS'read\tread\tVB\tB-VP\tO' +p341912 +aS'warning\twarn\tVBG\tB-NP\tO' +p341913 +aS'labels\tlabel\tNNS\tI-NP\tO' +p341914 +aS'carefully\tcarefully\tRB\tB-ADVP\tO' +p341915 +aS'.\t.\t.\tO\tO' +p341916 +asS'There was there was obstructive uropathy on the right side , as well as questionable gastric outlet obstruction and peritoneal carcinomatosis .' +p341917 +(lp341918 +S'There\tThere\tEX\tB-NP\tO' +p341919 +aS'was\tbe\tVBD\tB-VP\tO' +p341920 +aS'there\tthere\tEX\tB-NP\tO' +p341921 +aS'was\tbe\tVBD\tB-VP\tO' +p341922 +aS'obstructive\tobstructive\tJJ\tB-NP\tO' +p341923 +aS'uropathy\turopathy\tNN\tI-NP\tO' +p341924 +aS'on\ton\tIN\tB-PP\tO' +p341925 +aS'the\tthe\tDT\tB-NP\tO' +p341926 +aS'right\tright\tJJ\tI-NP\tO' +p341927 +aS'side\tside\tNN\tI-NP\tO' +p341928 +aS',\t,\t,\tO\tO' +p341929 +aS'as\tas\tRB\tB-CONJP\tO' +p341930 +aS'well\twell\tRB\tI-CONJP\tO' +p341931 +aS'as\tas\tIN\tI-CONJP\tO' +p341932 +aS'questionable\tquestionable\tJJ\tB-NP\tO' +p341933 +aS'gastric\tgastric\tJJ\tI-NP\tO' +p341934 +aS'outlet\toutlet\tNN\tI-NP\tO' +p341935 +aS'obstruction\tobstruction\tNN\tI-NP\tO' +p341936 +aS'and\tand\tCC\tO\tO' +p341937 +aS'peritoneal\tperitoneal\tJJ\tB-NP\tO' +p341938 +aS'carcinomatosis\tcarcinomatosis\tNN\tI-NP\tO' +p341939 +aS'.\t.\t.\tO\tO' +p341940 +asS'He has a left subclavian PermCath access for his dialysis which takes place on Monday , Wednesday and Friday .' +p341941 +(lp341942 +S'He\tHe\tPRP\tB-NP\tO' +p341943 +aS'has\thave\tVBZ\tB-VP\tO' +p341944 +aS'a\ta\tDT\tB-NP\tO' +p341945 +aS'left\tleft\tJJ\tI-NP\tO' +p341946 +aS'subclavian\tsubclavian\tJJ\tI-NP\tO' +p341947 +aS'PermCath\tPermCath\tNN\tI-NP\tO' +p341948 +aS'access\taccess\tNN\tI-NP\tO' +p341949 +aS'for\tfor\tIN\tB-PP\tO' +p341950 +aS'his\this\tPRP$\tB-NP\tO' +p341951 +aS'dialysis\tdialysis\tNN\tI-NP\tO' +p341952 +aS'which\twhich\tWDT\tB-NP\tO' +p341953 +aS'takes\ttake\tVBZ\tB-VP\tO' +p341954 +aS'place\tplace\tNN\tB-NP\tO' +p341955 +aS'on\ton\tIN\tB-PP\tO' +p341956 +aS'Monday\tMonday\tNNP\tB-NP\tO' +p341957 +aS',\t,\t,\tO\tO' +p341958 +aS'Wednesday\tWednesday\tNNP\tB-NP\tO' +p341959 +aS'and\tand\tCC\tO\tO' +p341960 +aS'Friday\tFriday\tNNP\tB-NP\tO' +p341961 +aS'.\t.\t.\tO\tO' +p341962 +asS'He has had symptoms of dribbling , stress incontinence , hematuria , but has no dysuria .' +p341963 +(lp341964 +S'He\tHe\tPRP\tB-NP\tO' +p341965 +aS'has\thave\tVBZ\tB-VP\tO' +p341966 +aS'had\thave\tVBN\tI-VP\tO' +p341967 +aS'symptoms\tsymptom\tNNS\tB-NP\tO' +p341968 +aS'of\tof\tIN\tB-PP\tO' +p341969 +aS'dribbling\tdribbling\tNN\tB-NP\tO' +p341970 +aS',\t,\t,\tO\tO' +p341971 +aS'stress\tstress\tNN\tB-NP\tO' +p341972 +aS'incontinence\tincontinence\tNN\tI-NP\tO' +p341973 +aS',\t,\t,\tO\tO' +p341974 +aS'hematuria\thematuria\tNN\tB-NP\tO' +p341975 +aS',\t,\t,\tO\tO' +p341976 +aS'but\tbut\tCC\tO\tO' +p341977 +aS'has\thave\tVBZ\tB-VP\tO' +p341978 +aS'no\tno\tDT\tB-NP\tO' +p341979 +aS'dysuria\tdysuria\tNN\tI-NP\tO' +p341980 +aS'.\t.\t.\tO\tO' +p341981 +asS'Brandon felt well and was seen by PT who suggested a rehab/Hahnemann Hospital ( Worcester ) to work on walking with the eventual goal of returning to assisted living with his wife when walking improved .' +p341982 +(lp341983 +S'Brandon\tBrandon\tNNP\tB-NP\tO' +p341984 +aS'felt\tfeel\tVBD\tB-VP\tO' +p341985 +aS'well\twell\tRB\tB-ADVP\tO' +p341986 +aS'and\tand\tCC\tO\tO' +p341987 +aS'was\tbe\tVBD\tB-VP\tO' +p341988 +aS'seen\tsee\tVBN\tI-VP\tO' +p341989 +aS'by\tby\tIN\tB-PP\tO' +p341990 +aS'PT\tPT\tNN\tB-NP\tO' +p341991 +aS'who\twho\tWP\tB-NP\tO' +p341992 +aS'suggested\tsuggest\tVBD\tB-VP\tO' +p341993 +aS'a\ta\tDT\tB-NP\tO' +p341994 +aS'rehab/Hahnemann\trehab/Hahnemann\tNN\tI-NP\tO' +p341995 +aS'Hospital\tHospital\tNN\tI-NP\tO' +p341996 +aS'(\t(\t(\tO\tO' +p341997 +aS'Worcester\tWorcester\tNN\tB-NP\tO' +p341998 +aS')\t)\t)\tO\tO' +p341999 +aS'to\tto\tTO\tB-VP\tO' +p342000 +aS'work\twork\tVB\tI-VP\tO' +p342001 +aS'on\ton\tIN\tB-PP\tO' +p342002 +aS'walking\twalk\tVBG\tB-VP\tO' +p342003 +aS'with\twith\tIN\tB-PP\tO' +p342004 +aS'the\tthe\tDT\tB-NP\tO' +p342005 +aS'eventual\teventual\tJJ\tI-NP\tO' +p342006 +aS'goal\tgoal\tNN\tI-NP\tO' +p342007 +aS'of\tof\tIN\tB-PP\tO' +p342008 +aS'returning\treturn\tVBG\tB-VP\tO' +p342009 +aS'to\tto\tTO\tB-PP\tO' +p342010 +aS'assisted\tassist\tVBN\tB-NP\tO' +p342011 +aS'living\tlive\tVBG\tI-NP\tO' +p342012 +aS'with\twith\tIN\tB-PP\tO' +p342013 +aS'his\this\tPRP$\tB-NP\tO' +p342014 +aS'wife\twife\tNN\tI-NP\tO' +p342015 +aS'when\twhen\tWRB\tB-ADVP\tO' +p342016 +aS'walking\twalk\tVBG\tB-VP\tO' +p342017 +aS'improved\timprove\tVBN\tI-VP\tO' +p342018 +aS'.\t.\t.\tO\tO' +p342019 +asS'He had 2+ carotids , no bruits .' +p342020 +(lp342021 +S'He\tHe\tPRP\tB-NP\tO' +p342022 +aS'had\thave\tVBD\tB-VP\tO' +p342023 +aS'2+\t2+\tJJ\tB-NP\tO' +p342024 +aS'carotids\tcarotid\tNNS\tI-NP\tO' +p342025 +aS',\t,\t,\tO\tO' +p342026 +aS'no\tno\tDT\tB-NP\tO' +p342027 +aS'bruits\tbruit\tNNS\tI-NP\tO' +p342028 +aS'.\t.\t.\tO\tO' +p342029 +asS'Chest was clear to auscultation but with poor air entry .' +p342030 +(lp342031 +S'Chest\tChest\tNNP\tB-NP\tO' +p342032 +aS'was\tbe\tVBD\tB-VP\tO' +p342033 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p342034 +aS'to\tto\tTO\tB-PP\tO' +p342035 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p342036 +aS'but\tbut\tCC\tB-PP\tO' +p342037 +aS'with\twith\tIN\tB-PP\tO' +p342038 +aS'poor\tpoor\tJJ\tB-NP\tO' +p342039 +aS'air\tair\tNN\tI-NP\tO' +p342040 +aS'entry\tentry\tNN\tI-NP\tO' +p342041 +aS'.\t.\t.\tO\tO' +p342042 +asS'Oak Bluffs PHYSICIAN : Gregory,Domingo J .' +p342043 +(lp342044 +S'Oak\tOak\tNNP\tB-NP\tB-protein' +p342045 +aS'Bluffs\tBluff\tNNPS\tI-NP\tO' +p342046 +aS'PHYSICIAN\tPHYSICIAN\tNNP\tI-NP\tO' +p342047 +aS':\t:\t:\tO\tO' +p342048 +aS'Gregory,Domingo\tGregory,Domingo\tNNP\tB-NP\tO' +p342049 +aS'J\tJ\tNNP\tI-NP\tO' +p342050 +aS'.\t.\t.\tO\tO' +p342051 +asS'2ND STRAIN .' +p342052 +(lp342053 +S'2ND\t2ND\tNN\tB-NP\tO' +p342054 +aS'STRAIN\tSTRAIN\tNN\tI-NP\tO' +p342055 +aS'.\t.\t.\tO\tO' +p342056 +asS'The Intensive Care Unit course was notable for initially receiving broad spectrum antibiotics as well as a white blood cell count of 11.0 with 15 bands .' +p342057 +(lp342058 +S'The\tThe\tDT\tB-NP\tO' +p342059 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p342060 +aS'Care\tCare\tNNP\tI-NP\tO' +p342061 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p342062 +aS'course\tcourse\tNN\tI-NP\tO' +p342063 +aS'was\tbe\tVBD\tB-VP\tO' +p342064 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p342065 +aS'for\tfor\tIN\tB-PP\tO' +p342066 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p342067 +aS'receiving\treceive\tVBG\tB-VP\tO' +p342068 +aS'broad\tbroad\tJJ\tB-NP\tO' +p342069 +aS'spectrum\tspectrum\tNN\tI-NP\tO' +p342070 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p342071 +aS'as\tas\tRB\tB-CONJP\tO' +p342072 +aS'well\twell\tRB\tI-CONJP\tO' +p342073 +aS'as\tas\tIN\tI-CONJP\tO' +p342074 +aS'a\ta\tDT\tB-NP\tO' +p342075 +aS'white\twhite\tJJ\tI-NP\tO' +p342076 +aS'blood\tblood\tNN\tI-NP\tO' +p342077 +aS'cell\tcell\tNN\tI-NP\tO' +p342078 +aS'count\tcount\tNN\tI-NP\tO' +p342079 +aS'of\tof\tIN\tB-PP\tO' +p342080 +aS'11.0\t11.0\tCD\tB-NP\tO' +p342081 +aS'with\twith\tIN\tB-PP\tO' +p342082 +aS'15\t15\tCD\tB-NP\tO' +p342083 +aS'bands\tband\tNNS\tI-NP\tO' +p342084 +aS'.\t.\t.\tO\tO' +p342085 +asS'The patient is a 49 year old man who was admitted to the Medical Intensive Care Unit status post cardiac arrest .' +p342086 +(lp342087 +S'The\tThe\tDT\tB-NP\tO' +p342088 +aS'patient\tpatient\tNN\tI-NP\tO' +p342089 +aS'is\tbe\tVBZ\tB-VP\tO' +p342090 +aS'a\ta\tDT\tB-NP\tO' +p342091 +aS'49\t49\tCD\tI-NP\tO' +p342092 +aS'year\tyear\tNN\tI-NP\tO' +p342093 +aS'old\told\tJJ\tI-NP\tO' +p342094 +aS'man\tman\tNN\tI-NP\tO' +p342095 +aS'who\twho\tWP\tB-NP\tO' +p342096 +aS'was\tbe\tVBD\tB-VP\tO' +p342097 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p342098 +aS'to\tto\tTO\tB-PP\tO' +p342099 +aS'the\tthe\tDT\tB-NP\tO' +p342100 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p342101 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p342102 +aS'Care\tCare\tNNP\tI-NP\tO' +p342103 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p342104 +aS'status\tstatus\tNN\tI-NP\tO' +p342105 +aS'post\tpost\tNN\tI-NP\tO' +p342106 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p342107 +aS'arrest\tarrest\tNN\tI-NP\tO' +p342108 +aS'.\t.\t.\tO\tO' +p342109 +asS'The patient saw her PCP and was known to have an oxygen saturation of 82 to 85 percent on room air .' +p342110 +(lp342111 +S'The\tThe\tDT\tB-NP\tO' +p342112 +aS'patient\tpatient\tNN\tI-NP\tO' +p342113 +aS'saw\tsee\tVBD\tB-VP\tO' +p342114 +aS'her\ther\tPRP$\tB-NP\tO' +p342115 +aS'PCP\tPCP\tNN\tI-NP\tO' +p342116 +aS'and\tand\tCC\tO\tO' +p342117 +aS'was\tbe\tVBD\tB-VP\tO' +p342118 +aS'known\tknow\tVBN\tI-VP\tO' +p342119 +aS'to\tto\tTO\tI-VP\tO' +p342120 +aS'have\thave\tVB\tI-VP\tO' +p342121 +aS'an\tan\tDT\tB-NP\tO' +p342122 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p342123 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p342124 +aS'of\tof\tIN\tB-PP\tO' +p342125 +aS'82\t82\tCD\tB-NP\tO' +p342126 +aS'to\tto\tTO\tI-NP\tO' +p342127 +aS'85\t85\tCD\tI-NP\tO' +p342128 +aS'percent\tpercent\tNN\tI-NP\tO' +p342129 +aS'on\ton\tIN\tB-PP\tO' +p342130 +aS'room\troom\tNN\tB-NP\tO' +p342131 +aS'air\tair\tNN\tI-NP\tO' +p342132 +aS'.\t.\t.\tO\tO' +p342133 +asS'The assessment at the time of admission was that of an 86 year old female with poorly differentiated gastric adenocarcinoma , admitted for resection .' +p342134 +(lp342135 +S'The\tThe\tDT\tB-NP\tO' +p342136 +aS'assessment\tassessment\tNN\tI-NP\tO' +p342137 +aS'at\tat\tIN\tB-PP\tO' +p342138 +aS'the\tthe\tDT\tB-NP\tO' +p342139 +aS'time\ttime\tNN\tI-NP\tO' +p342140 +aS'of\tof\tIN\tB-PP\tO' +p342141 +aS'admission\tadmission\tNN\tB-NP\tO' +p342142 +aS'was\tbe\tVBD\tB-VP\tO' +p342143 +aS'that\tthat\tDT\tB-NP\tO' +p342144 +aS'of\tof\tIN\tB-PP\tO' +p342145 +aS'an\tan\tDT\tB-NP\tO' +p342146 +aS'86\t86\tCD\tI-NP\tO' +p342147 +aS'year\tyear\tNN\tI-NP\tO' +p342148 +aS'old\told\tJJ\tI-NP\tO' +p342149 +aS'female\tfemale\tNN\tI-NP\tO' +p342150 +aS'with\twith\tIN\tB-PP\tO' +p342151 +aS'poorly\tpoorly\tRB\tB-NP\tO' +p342152 +aS'differentiated\tdifferentiate\tVBN\tI-NP\tO' +p342153 +aS'gastric\tgastric\tJJ\tI-NP\tO' +p342154 +aS'adenocarcinoma\tadenocarcinoma\tNN\tI-NP\tO' +p342155 +aS',\t,\t,\tO\tO' +p342156 +aS'admitted\tadmit\tVBN\tB-VP\tO' +p342157 +aS'for\tfor\tIN\tB-PP\tO' +p342158 +aS'resection\tresection\tNN\tB-NP\tO' +p342159 +aS'.\t.\t.\tO\tO' +p342160 +asS'The patient diuresed and responded to Lasix 100 mg administered in the emergency room and was admitted to a monitored bed .' +p342161 +(lp342162 +S'The\tThe\tDT\tB-NP\tO' +p342163 +aS'patient\tpatient\tNN\tI-NP\tO' +p342164 +aS'diuresed\tdiurese\tVBD\tB-VP\tO' +p342165 +aS'and\tand\tCC\tO\tO' +p342166 +aS'responded\trespond\tVBD\tB-VP\tO' +p342167 +aS'to\tto\tTO\tB-PP\tO' +p342168 +aS'Lasix\tLasix\tNNP\tB-NP\tO' +p342169 +aS'100\t100\tCD\tI-NP\tO' +p342170 +aS'mg\tmg\tNN\tI-NP\tO' +p342171 +aS'administered\tadminister\tVBN\tB-VP\tO' +p342172 +aS'in\tin\tIN\tB-PP\tO' +p342173 +aS'the\tthe\tDT\tB-NP\tO' +p342174 +aS'emergency\temergency\tNN\tI-NP\tO' +p342175 +aS'room\troom\tNN\tI-NP\tO' +p342176 +aS'and\tand\tCC\tO\tO' +p342177 +aS'was\tbe\tVBD\tB-VP\tO' +p342178 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p342179 +aS'to\tto\tTO\tB-PP\tO' +p342180 +aS'a\ta\tDT\tB-NP\tO' +p342181 +aS'monitored\tmonitor\tVBN\tI-NP\tO' +p342182 +aS'bed\tbed\tNN\tI-NP\tO' +p342183 +aS'.\t.\t.\tO\tO' +p342184 +asS'Signed electronically by : DR. Earnestine Marsden on : WED 2012-03-21 1:21 PM' +p342185 +(lp342186 +S'Signed\tSign\tVBN\tB-VP\tO' +p342187 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p342188 +aS'by\tby\tIN\tB-PP\tO' +p342189 +aS':\t:\t:\tO\tO' +p342190 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p342191 +aS'Earnestine\tEarnestine\tNNP\tI-NP\tO' +p342192 +aS'Marsden\tMarsden\tNNP\tI-NP\tO' +p342193 +aS'on\ton\tIN\tB-PP\tO' +p342194 +aS':\t:\t:\tO\tO' +p342195 +aS'WED\tWED\tVBD\tB-VP\tO' +p342196 +aS'2012-03-21\t2012-03-21\tCD\tB-NP\tO' +p342197 +aS'1:21\t1:21\tCD\tI-NP\tO' +p342198 +aS'PM\tPM\tNN\tI-NP\tO' +p342199 +asS'Had fall pta with ? fx on initial CT , neg fx on f/u ct .' +p342200 +(lp342201 +S'Had\tHave\tVBD\tB-VP\tO' +p342202 +aS'fall\tfall\tNN\tB-NP\tO' +p342203 +aS'pta\tpta\tNN\tI-NP\tO' +p342204 +aS'with\twith\tIN\tB-PP\tO' +p342205 +aS'?\t?\t.\tO\tO' +p342206 +aS'fx\tfx\tNN\tB-NP\tO' +p342207 +aS'on\ton\tIN\tB-PP\tO' +p342208 +aS'initial\tinitial\tJJ\tB-NP\tO' +p342209 +aS'CT\tCT\tNN\tI-NP\tO' +p342210 +aS',\t,\t,\tO\tO' +p342211 +aS'neg\tneg\tNN\tB-NP\tO' +p342212 +aS'fx\tfx\tNN\tI-NP\tO' +p342213 +aS'on\ton\tIN\tB-PP\tO' +p342214 +aS'f/u\tf/u\tNN\tB-NP\tO' +p342215 +aS'ct\tct\tNN\tI-NP\tO' +p342216 +aS'.\t.\t.\tO\tO' +p342217 +asS'In the lower extremities on the left hip flexor is 1/5 , knee flexion and extension is 3/5 and 4/5 respectively and plantar and dorsiflexion is 4/5 .' +p342218 +(lp342219 +S'In\tIn\tIN\tB-PP\tO' +p342220 +aS'the\tthe\tDT\tB-NP\tO' +p342221 +aS'lower\tlow\tJJR\tI-NP\tO' +p342222 +aS'extremities\textremity\tNNS\tI-NP\tO' +p342223 +aS'on\ton\tIN\tB-PP\tO' +p342224 +aS'the\tthe\tDT\tB-NP\tO' +p342225 +aS'left\tleft\tJJ\tI-NP\tO' +p342226 +aS'hip\thip\tNN\tI-NP\tO' +p342227 +aS'flexor\tflexor\tNN\tI-NP\tO' +p342228 +aS'is\tbe\tVBZ\tB-VP\tO' +p342229 +aS'1/5\t1/5\tCD\tB-NP\tO' +p342230 +aS',\t,\t,\tO\tO' +p342231 +aS'knee\tknee\tNN\tB-NP\tO' +p342232 +aS'flexion\tflexion\tNN\tI-NP\tO' +p342233 +aS'and\tand\tCC\tI-NP\tO' +p342234 +aS'extension\textension\tNN\tI-NP\tO' +p342235 +aS'is\tbe\tVBZ\tB-VP\tO' +p342236 +aS'3/5\t3/5\tCD\tB-NP\tO' +p342237 +aS'and\tand\tCC\tI-NP\tO' +p342238 +aS'4/5\t4/5\tCD\tI-NP\tO' +p342239 +aS'respectively\trespectively\tRB\tB-ADVP\tO' +p342240 +aS'and\tand\tCC\tO\tO' +p342241 +aS'plantar\tplantar\tNN\tB-NP\tO' +p342242 +aS'and\tand\tCC\tI-NP\tO' +p342243 +aS'dorsiflexion\tdorsiflexion\tNN\tI-NP\tO' +p342244 +aS'is\tbe\tVBZ\tB-VP\tO' +p342245 +aS'4/5\t4/5\tCD\tB-NP\tO' +p342246 +aS'.\t.\t.\tO\tO' +p342247 +asS'The abdomen is soft , nontender , nondistended , without hepatosplenomegaly .' +p342248 +(lp342249 +S'The\tThe\tDT\tB-NP\tO' +p342250 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p342251 +aS'is\tbe\tVBZ\tB-VP\tO' +p342252 +aS'soft\tsoft\tJJ\tB-NP\tO' +p342253 +aS',\t,\t,\tI-NP\tO' +p342254 +aS'nontender\tnontender\tJJ\tI-NP\tO' +p342255 +aS',\t,\t,\tI-NP\tO' +p342256 +aS'nondistended\tnondistended\tJJ\tI-NP\tO' +p342257 +aS',\t,\t,\tO\tO' +p342258 +aS'without\twithout\tIN\tB-PP\tO' +p342259 +aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tB-NP\tO' +p342260 +aS'.\t.\t.\tO\tO' +p342261 +asS'He currently notes improvement in his throat pain after some Decadron and clindamycin .' +p342262 +(lp342263 +S'He\tHe\tPRP\tB-NP\tO' +p342264 +aS'currently\tcurrently\tRB\tB-ADVP\tO' +p342265 +aS'notes\tnote\tVBZ\tB-VP\tO' +p342266 +aS'improvement\timprovement\tNN\tB-NP\tO' +p342267 +aS'in\tin\tIN\tB-PP\tO' +p342268 +aS'his\this\tPRP$\tB-NP\tO' +p342269 +aS'throat\tthroat\tNN\tI-NP\tO' +p342270 +aS'pain\tpain\tNN\tI-NP\tO' +p342271 +aS'after\tafter\tIN\tB-PP\tO' +p342272 +aS'some\tsome\tDT\tB-NP\tO' +p342273 +aS'Decadron\tDecadron\tNNP\tI-NP\tO' +p342274 +aS'and\tand\tCC\tO\tO' +p342275 +aS'clindamycin\tclindamycin\tNN\tB-NP\tO' +p342276 +aS'.\t.\t.\tO\tO' +p342277 +asS'2. Metoprolol Tartrate 25 mg Tablet Sig : Three ( 3 ) Tablet PO TID ( 3 times a day ).' +p342278 +(lp342279 +S'2.\t2.\tLS\tB-NP\tO' +p342280 +aS'Metoprolol\tMetoprolol\tNN\tI-NP\tO' +p342281 +aS'Tartrate\tTartrate\tNN\tI-NP\tO' +p342282 +aS'25\t25\tCD\tI-NP\tO' +p342283 +aS'mg\tmg\tNN\tI-NP\tO' +p342284 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p342285 +aS'Sig\tSig\tNNP\tI-NP\tO' +p342286 +aS':\t:\t:\tO\tO' +p342287 +aS'Three\tThree\tCD\tB-NP\tO' +p342288 +aS'(\t(\t(\tO\tO' +p342289 +aS'3\t3\tCD\tB-NP\tO' +p342290 +aS')\t)\t)\tO\tO' +p342291 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p342292 +aS'PO\tPO\tNN\tI-NP\tO' +p342293 +aS'TID\tTID\tNN\tI-NP\tO' +p342294 +aS'(\t(\t(\tO\tO' +p342295 +aS'3\t3\tCD\tB-NP\tO' +p342296 +aS'times\ttime\tNNS\tI-NP\tO' +p342297 +aS'a\ta\tDT\tB-NP\tO' +p342298 +aS'day\tday\tNN\tI-NP\tO' +p342299 +aS').\t).\t.\tO\tO' +p342300 +asS'1) Resp failure - pt admitted w/ primarily hypoxic respiratory failure .' +p342301 +(lp342302 +S'1)\t1)\tLS\tB-NP\tO' +p342303 +aS'Resp\tResp\tNN\tI-NP\tO' +p342304 +aS'failure\tfailure\tNN\tI-NP\tO' +p342305 +aS'-\t-\tHYPH\tB-NP\tO' +p342306 +aS'pt\tpt\tNN\tI-NP\tO' +p342307 +aS'admitted\tadmit\tVBN\tI-NP\tO' +p342308 +aS'w/\tw/\tNN\tI-NP\tO' +p342309 +aS'primarily\tprimarily\tRB\tB-NP\tO' +p342310 +aS'hypoxic\thypoxic\tJJ\tI-NP\tO' +p342311 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p342312 +aS'failure\tfailure\tNN\tI-NP\tO' +p342313 +aS'.\t.\t.\tO\tO' +p342314 +asS'Sensation : intact to noxious stimuli in all four extremities' +p342315 +(lp342316 +S'Sensation\tSensation\tNN\tB-NP\tO' +p342317 +aS':\t:\t:\tO\tO' +p342318 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p342319 +aS'to\tto\tTO\tB-PP\tO' +p342320 +aS'noxious\tnoxious\tJJ\tB-NP\tO' +p342321 +aS'stimuli\tstimulus\tNNS\tI-NP\tO' +p342322 +aS'in\tin\tIN\tB-PP\tO' +p342323 +aS'all\tall\tDT\tB-NP\tO' +p342324 +aS'four\tfour\tCD\tI-NP\tO' +p342325 +aS'extremities\textremity\tNNS\tI-NP\tO' +p342326 +asS'3. FEN .' +p342327 +(lp342328 +S'3.\t3.\tLS\tB-NP\tO' +p342329 +aS'FEN\tFEN\tNN\tI-NP\tO' +p342330 +aS'.\t.\t.\tO\tO' +p342331 +asS'Include Lamictal 50 mgs bid , Aricept 10 mgs qhs , BuSpar 15 mgs bid , Trazodone 100 mgs qhs .' +p342332 +(lp342333 +S'Include\tInclude\tDT\tB-NP\tO' +p342334 +aS'Lamictal\tLamictal\tJJ\tI-NP\tO' +p342335 +aS'50\t50\tCD\tI-NP\tO' +p342336 +aS'mgs\tmg\tNNS\tI-NP\tO' +p342337 +aS'bid\tbid\tNN\tI-NP\tO' +p342338 +aS',\t,\t,\tO\tO' +p342339 +aS'Aricept\tAricept\tNNP\tB-NP\tO' +p342340 +aS'10\t10\tCD\tI-NP\tO' +p342341 +aS'mgs\tmg\tNNS\tI-NP\tO' +p342342 +aS'qhs\tqh\tNNS\tI-NP\tO' +p342343 +aS',\t,\t,\tO\tO' +p342344 +aS'BuSpar\tBuSpar\tNNP\tB-NP\tO' +p342345 +aS'15\t15\tCD\tI-NP\tO' +p342346 +aS'mgs\tmg\tNNS\tI-NP\tO' +p342347 +aS'bid\tbid\tNN\tB-VP\tO' +p342348 +aS',\t,\t,\tO\tO' +p342349 +aS'Trazodone\tTrazodone\tNN\tB-NP\tO' +p342350 +aS'100\t100\tCD\tI-NP\tO' +p342351 +aS'mgs\tmg\tNNS\tI-NP\tO' +p342352 +aS'qhs\tqh\tNNS\tI-NP\tO' +p342353 +aS'.\t.\t.\tO\tO' +p342354 +asS'137 / 4.3 / 104 / 22 / 14 / 0.7 / 155 .' +p342355 +(lp342356 +S'137\t137\tCD\tB-NP\tO' +p342357 +aS'/\t/\tSYM\tI-NP\tO' +p342358 +aS'4.3\t4.3\tCD\tI-NP\tO' +p342359 +aS'/\t/\tSYM\tI-NP\tO' +p342360 +aS'104\t104\tCD\tI-NP\tO' +p342361 +aS'/\t/\tSYM\tI-NP\tO' +p342362 +aS'22\t22\tCD\tI-NP\tO' +p342363 +aS'/\t/\tSYM\tI-NP\tO' +p342364 +aS'14\t14\tCD\tI-NP\tO' +p342365 +aS'/\t/\tSYM\tI-NP\tO' +p342366 +aS'0.7\t0.7\tCD\tI-NP\tO' +p342367 +aS'/\t/\tSYM\tI-NP\tO' +p342368 +aS'155\t155\tCD\tI-NP\tO' +p342369 +aS'.\t.\t.\tO\tO' +p342370 +asS'3) Atrial fibrillation : Rate controlled and on warfarin .' +p342371 +(lp342372 +S'3)\t3)\tLS\tB-NP\tO' +p342373 +aS'Atrial\tAtrial\tJJ\tI-NP\tO' +p342374 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p342375 +aS':\t:\t:\tO\tO' +p342376 +aS'Rate\tRate\tNN\tB-NP\tO' +p342377 +aS'controlled\tcontrol\tVBN\tB-VP\tO' +p342378 +aS'and\tand\tCC\tO\tO' +p342379 +aS'on\ton\tIN\tB-PP\tO' +p342380 +aS'warfarin\twarfarin\tNN\tB-NP\tO' +p342381 +aS'.\t.\t.\tO\tO' +p342382 +asS'As a result she was able to be discharged home on June 30 , 1994 .' +p342383 +(lp342384 +S'As\tAs\tIN\tB-PP\tO' +p342385 +aS'a\ta\tDT\tB-NP\tO' +p342386 +aS'result\tresult\tNN\tI-NP\tO' +p342387 +aS'she\tshe\tPRP\tB-NP\tO' +p342388 +aS'was\tbe\tVBD\tB-VP\tO' +p342389 +aS'able\table\tJJ\tB-ADJP\tO' +p342390 +aS'to\tto\tTO\tB-VP\tO' +p342391 +aS'be\tbe\tVB\tI-VP\tO' +p342392 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p342393 +aS'home\thome\tNN\tB-ADVP\tO' +p342394 +aS'on\ton\tIN\tB-PP\tO' +p342395 +aS'June\tJune\tNNP\tB-NP\tO' +p342396 +aS'30\t30\tCD\tI-NP\tO' +p342397 +aS',\t,\t,\tI-NP\tO' +p342398 +aS'1994\t1994\tCD\tI-NP\tO' +p342399 +aS'.\t.\t.\tO\tO' +p342400 +asS'He was placed on Zantac 150 mg. PO b.i.d. and H Pylori serology was sent .' +p342401 +(lp342402 +S'He\tHe\tPRP\tB-NP\tO' +p342403 +aS'was\tbe\tVBD\tB-VP\tO' +p342404 +aS'placed\tplace\tVBN\tI-VP\tO' +p342405 +aS'on\ton\tIN\tB-PP\tO' +p342406 +aS'Zantac\tZantac\tNN\tB-NP\tO' +p342407 +aS'150\t150\tCD\tI-NP\tO' +p342408 +aS'mg.\tmg.\tNN\tI-NP\tO' +p342409 +aS'PO\tPO\tNN\tI-NP\tO' +p342410 +aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' +p342411 +aS'and\tand\tCC\tO\tO' +p342412 +aS'H\tH\tNN\tB-NP\tO' +p342413 +aS'Pylori\tPylori\tNN\tI-NP\tO' +p342414 +aS'serology\tserology\tNN\tI-NP\tO' +p342415 +aS'was\tbe\tVBD\tB-VP\tO' +p342416 +aS'sent\tsend\tVBN\tI-VP\tO' +p342417 +aS'.\t.\t.\tO\tO' +p342418 +asS'NPO .' +p342419 +(lp342420 +S'NPO\tNPO\tNN\tB-NP\tB-protein' +p342421 +aS'.\t.\t.\tO\tO' +p342422 +asS'The oropharynx was clear and the fundi were normal .' +p342423 +(lp342424 +S'The\tThe\tDT\tB-NP\tO' +p342425 +aS'oropharynx\toropharynx\tNN\tI-NP\tO' +p342426 +aS'was\tbe\tVBD\tB-VP\tO' +p342427 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p342428 +aS'and\tand\tCC\tO\tO' +p342429 +aS'the\tthe\tDT\tB-NP\tO' +p342430 +aS'fundi\tfundi\tNN\tI-NP\tO' +p342431 +aS'were\tbe\tVBD\tB-VP\tO' +p342432 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p342433 +aS'.\t.\t.\tO\tO' +p342434 +asS'His incision was noted to be clean , dry , and intact with no evidence of cellulitis or purulent drainage .' +p342435 +(lp342436 +S'His\tHis\tPRP$\tB-NP\tO' +p342437 +aS'incision\tincision\tNN\tI-NP\tO' +p342438 +aS'was\tbe\tVBD\tB-VP\tO' +p342439 +aS'noted\tnote\tVBN\tI-VP\tO' +p342440 +aS'to\tto\tTO\tI-VP\tO' +p342441 +aS'be\tbe\tVB\tI-VP\tO' +p342442 +aS'clean\tclean\tJJ\tB-ADJP\tO' +p342443 +aS',\t,\t,\tO\tO' +p342444 +aS'dry\tdry\tJJ\tB-ADJP\tO' +p342445 +aS',\t,\t,\tO\tO' +p342446 +aS'and\tand\tCC\tO\tO' +p342447 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p342448 +aS'with\twith\tIN\tB-PP\tO' +p342449 +aS'no\tno\tDT\tB-NP\tO' +p342450 +aS'evidence\tevidence\tNN\tI-NP\tO' +p342451 +aS'of\tof\tIN\tB-PP\tO' +p342452 +aS'cellulitis\tcellulitis\tNN\tB-NP\tO' +p342453 +aS'or\tor\tCC\tO\tO' +p342454 +aS'purulent\tpurulent\tJJ\tB-NP\tO' +p342455 +aS'drainage\tdrainage\tNN\tI-NP\tO' +p342456 +aS'.\t.\t.\tO\tO' +p342457 +asS"The patient 's platelets , white count , and hematocrit have all been stable ." +p342458 +(lp342459 +S'The\tThe\tDT\tB-NP\tO' +p342460 +aS'patient\tpatient\tNN\tI-NP\tO' +p342461 +aS"'s\t's\tPOS\tB-NP\tO" +p342462 +aS'platelets\tplatelet\tNNS\tI-NP\tB-cell_type' +p342463 +aS',\t,\t,\tO\tO' +p342464 +aS'white\twhite\tJJ\tB-NP\tO' +p342465 +aS'count\tcount\tNN\tI-NP\tO' +p342466 +aS',\t,\t,\tO\tO' +p342467 +aS'and\tand\tCC\tO\tO' +p342468 +aS'hematocrit\thematocrit\tNN\tB-NP\tO' +p342469 +aS'have\thave\tVBP\tO\tO' +p342470 +aS'all\tall\tDT\tO\tO' +p342471 +aS'been\tbe\tVBN\tB-VP\tO' +p342472 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p342473 +aS'.\t.\t.\tO\tO' +p342474 +asS'Musculoskeletal : 5/5 strength all extremities' +p342475 +(lp342476 +S'Musculoskeletal\tMusculoskeletal\tJJ\tB-ADJP\tO' +p342477 +aS':\t:\t:\tO\tO' +p342478 +aS'5/5\t5/5\tCD\tB-NP\tO' +p342479 +aS'strength\tstrength\tNN\tI-NP\tO' +p342480 +aS'all\tall\tDT\tB-NP\tO' +p342481 +aS'extremities\textremity\tNNS\tI-NP\tO' +p342482 +asS'This should be followed up by her primary care physician .' +p342483 +(lp342484 +S'This\tThis\tDT\tB-NP\tO' +p342485 +aS'should\tshould\tMD\tB-VP\tO' +p342486 +aS'be\tbe\tVB\tI-VP\tO' +p342487 +aS'followed\tfollow\tVBN\tI-VP\tO' +p342488 +aS'up\tup\tRP\tB-PRT\tO' +p342489 +aS'by\tby\tIN\tB-PP\tO' +p342490 +aS'her\ther\tPRP$\tB-NP\tO' +p342491 +aS'primary\tprimary\tJJ\tI-NP\tO' +p342492 +aS'care\tcare\tNN\tI-NP\tO' +p342493 +aS'physician\tphysician\tNN\tI-NP\tO' +p342494 +aS'.\t.\t.\tO\tO' +p342495 +asS'Disp :* 120 Tablet (s)* Refills :* 2 *' +p342496 +(lp342497 +S'Disp\tDisp\tNN\tB-NP\tO' +p342498 +aS':*\t:*\tSYM\tI-NP\tO' +p342499 +aS'120\t120\tCD\tI-NP\tO' +p342500 +aS'Tablet\tTablet\tNN\tI-NP\tO' +p342501 +aS'(s)*\t(s)*\tSYM\tB-NP\tO' +p342502 +aS'Refills\tRefill\tNNPS\tI-NP\tO' +p342503 +aS':*\t:*\tSYM\tI-NP\tO' +p342504 +aS'2\t2\tCD\tI-NP\tO' +p342505 +aS'*\t*\tSYM\tB-NP\tO' +p342506 +asS'He came in on Carafate , Enteric Coated Aspirin , Albuterol Inhaler , Atrovent Inhaler , Procan SR , Mevacor , and Digoxin .' +p342507 +(lp342508 +S'He\tHe\tPRP\tB-NP\tO' +p342509 +aS'came\tcome\tVBD\tB-VP\tO' +p342510 +aS'in\tin\tRP\tB-PRT\tO' +p342511 +aS'on\ton\tIN\tB-PP\tO' +p342512 +aS'Carafate\tCarafate\tNNP\tB-NP\tO' +p342513 +aS',\t,\t,\tO\tO' +p342514 +aS'Enteric\tEnteric\tNNP\tB-NP\tO' +p342515 +aS'Coated\tCoated\tNNP\tI-NP\tO' +p342516 +aS'Aspirin\tAspirin\tNNP\tI-NP\tO' +p342517 +aS',\t,\t,\tO\tO' +p342518 +aS'Albuterol\tAlbuterol\tNNP\tB-NP\tO' +p342519 +aS'Inhaler\tInhaler\tNNP\tI-NP\tO' +p342520 +aS',\t,\t,\tO\tO' +p342521 +aS'Atrovent\tAtrovent\tNNP\tB-NP\tO' +p342522 +aS'Inhaler\tInhaler\tNNP\tI-NP\tO' +p342523 +aS',\t,\t,\tO\tO' +p342524 +aS'Procan\tProcan\tNNP\tB-NP\tO' +p342525 +aS'SR\tSR\tNNP\tI-NP\tO' +p342526 +aS',\t,\t,\tO\tO' +p342527 +aS'Mevacor\tMevacor\tNNP\tB-NP\tO' +p342528 +aS',\t,\t,\tO\tO' +p342529 +aS'and\tand\tCC\tO\tO' +p342530 +aS'Digoxin\tDigoxin\tNN\tB-NP\tO' +p342531 +aS'.\t.\t.\tO\tO' +p342532 +asS'Call for any fever , redness or drainage from wounds .' +p342533 +(lp342534 +S'Call\tCall\tVB\tB-NP\tO' +p342535 +aS'for\tfor\tIN\tB-PP\tO' +p342536 +aS'any\tany\tDT\tB-NP\tO' +p342537 +aS'fever\tfever\tNN\tI-NP\tO' +p342538 +aS',\t,\t,\tI-NP\tO' +p342539 +aS'redness\tredness\tNN\tI-NP\tO' +p342540 +aS'or\tor\tCC\tI-NP\tO' +p342541 +aS'drainage\tdrainage\tNN\tI-NP\tO' +p342542 +aS'from\tfrom\tIN\tB-PP\tO' +p342543 +aS'wounds\twound\tNNS\tB-NP\tO' +p342544 +aS'.\t.\t.\tO\tO' +p342545 +asS'The patient has been scheduled to have the second part of the sleep study done on June 18 , 2006 , at 8:30 p.m. at RWH in the Esley Community Hospital , 10th floor sleep lab , phone number 133-225-1257 .' +p342546 +(lp342547 +S'The\tThe\tDT\tB-NP\tO' +p342548 +aS'patient\tpatient\tNN\tI-NP\tO' +p342549 +aS'has\thave\tVBZ\tB-VP\tO' +p342550 +aS'been\tbe\tVBN\tI-VP\tO' +p342551 +aS'scheduled\tschedule\tVBN\tI-VP\tO' +p342552 +aS'to\tto\tTO\tI-VP\tO' +p342553 +aS'have\thave\tVB\tI-VP\tO' +p342554 +aS'the\tthe\tDT\tB-NP\tO' +p342555 +aS'second\tsecond\tJJ\tI-NP\tO' +p342556 +aS'part\tpart\tNN\tI-NP\tO' +p342557 +aS'of\tof\tIN\tB-PP\tO' +p342558 +aS'the\tthe\tDT\tB-NP\tO' +p342559 +aS'sleep\tsleep\tJJ\tI-NP\tO' +p342560 +aS'study\tstudy\tNN\tI-NP\tO' +p342561 +aS'done\tdo\tVBN\tB-VP\tO' +p342562 +aS'on\ton\tIN\tB-PP\tO' +p342563 +aS'June\tJune\tNNP\tB-NP\tO' +p342564 +aS'18\t18\tCD\tI-NP\tO' +p342565 +aS',\t,\t,\tI-NP\tO' +p342566 +aS'2006\t2006\tCD\tI-NP\tO' +p342567 +aS',\t,\t,\tO\tO' +p342568 +aS'at\tat\tIN\tB-PP\tO' +p342569 +aS'8:30\t8:30\tCD\tB-NP\tO' +p342570 +aS'p.m.\tp.m.\tNN\tI-NP\tO' +p342571 +aS'at\tat\tIN\tB-PP\tO' +p342572 +aS'RWH\tRWH\tNN\tB-NP\tB-protein' +p342573 +aS'in\tin\tIN\tB-PP\tO' +p342574 +aS'the\tthe\tDT\tB-NP\tO' +p342575 +aS'Esley\tEsley\tNNP\tI-NP\tO' +p342576 +aS'Community\tCommunity\tNNP\tI-NP\tO' +p342577 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p342578 +aS',\t,\t,\tO\tO' +p342579 +aS'10th\t10th\tJJ\tB-NP\tO' +p342580 +aS'floor\tfloor\tNN\tI-NP\tO' +p342581 +aS'sleep\tsleep\tNN\tI-NP\tO' +p342582 +aS'lab\tlab\tNN\tI-NP\tO' +p342583 +aS',\t,\t,\tO\tO' +p342584 +aS'phone\tphone\tNN\tB-NP\tO' +p342585 +aS'number\tnumber\tNN\tI-NP\tO' +p342586 +aS'133-225-1257\t133-225-1257\tCD\tI-NP\tO' +p342587 +aS'.\t.\t.\tO\tO' +p342588 +asS'His wife noted personality changes with increased irritability .' +p342589 +(lp342590 +S'His\tHis\tPRP$\tB-NP\tO' +p342591 +aS'wife\twife\tNN\tI-NP\tO' +p342592 +aS'noted\tnote\tVBD\tB-VP\tO' +p342593 +aS'personality\tpersonality\tNN\tB-NP\tO' +p342594 +aS'changes\tchange\tNNS\tI-NP\tO' +p342595 +aS'with\twith\tIN\tB-PP\tO' +p342596 +aS'increased\tincrease\tVBN\tB-NP\tO' +p342597 +aS'irritability\tirritability\tNN\tI-NP\tO' +p342598 +aS'.\t.\t.\tO\tO' +p342599 +asS'To Western Mass. Hospital Hospital .' +p342600 +(lp342601 +S'To\tTo\tTO\tB-PP\tO' +p342602 +aS'Western\tWestern\tNNP\tB-NP\tO' +p342603 +aS'Mass.\tMass.\tNNP\tI-NP\tO' +p342604 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p342605 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p342606 +aS'.\t.\t.\tO\tO' +p342607 +asS'Right foot and femur series demonstrated no evidence of fracture displacement .' +p342608 +(lp342609 +S'Right\tRight\tNN\tB-NP\tO' +p342610 +aS'foot\tfoot\tNN\tI-NP\tO' +p342611 +aS'and\tand\tCC\tO\tO' +p342612 +aS'femur\tfemur\tNN\tB-NP\tO' +p342613 +aS'series\tseries\tNN\tI-NP\tO' +p342614 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p342615 +aS'no\tno\tDT\tB-NP\tO' +p342616 +aS'evidence\tevidence\tNN\tI-NP\tO' +p342617 +aS'of\tof\tIN\tB-PP\tO' +p342618 +aS'fracture\tfracture\tNN\tB-NP\tO' +p342619 +aS'displacement\tdisplacement\tNN\tI-NP\tO' +p342620 +aS'.\t.\t.\tO\tO' +p342621 +asS'- Follow up with your surgeon in 1-2 weeks for wound check .' +p342622 +(lp342623 +S'-\t-\tHYPH\tO\tO' +p342624 +aS'Follow\tFollow\tVB\tB-VP\tO' +p342625 +aS'up\tup\tRP\tB-PRT\tO' +p342626 +aS'with\twith\tIN\tB-PP\tO' +p342627 +aS'your\tyour\tPRP$\tB-NP\tO' +p342628 +aS'surgeon\tsurgeon\tNN\tI-NP\tO' +p342629 +aS'in\tin\tIN\tB-PP\tO' +p342630 +aS'1-2\t1-2\tCD\tB-NP\tO' +p342631 +aS'weeks\tweek\tNNS\tI-NP\tO' +p342632 +aS'for\tfor\tIN\tB-PP\tO' +p342633 +aS'wound\twound\tNN\tB-NP\tO' +p342634 +aS'check\tcheck\tNN\tI-NP\tO' +p342635 +aS'.\t.\t.\tO\tO' +p342636 +asS"The patient 's hematocrit on the day of discharge was 35.6 showing significant bump in her count after her second two units of packed RBC 's ." +p342637 +(lp342638 +S'The\tThe\tDT\tB-NP\tO' +p342639 +aS'patient\tpatient\tNN\tI-NP\tO' +p342640 +aS"'s\t's\tPOS\tB-NP\tO" +p342641 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p342642 +aS'on\ton\tIN\tB-PP\tO' +p342643 +aS'the\tthe\tDT\tB-NP\tO' +p342644 +aS'day\tday\tNN\tI-NP\tO' +p342645 +aS'of\tof\tIN\tB-PP\tO' +p342646 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p342647 +aS'was\tbe\tVBD\tB-VP\tO' +p342648 +aS'35.6\t35.6\tCD\tB-NP\tO' +p342649 +aS'showing\tshow\tVBG\tB-VP\tO' +p342650 +aS'significant\tsignificant\tJJ\tB-NP\tO' +p342651 +aS'bump\tbump\tNN\tI-NP\tO' +p342652 +aS'in\tin\tIN\tB-PP\tO' +p342653 +aS'her\ther\tPRP$\tB-NP\tO' +p342654 +aS'count\tcount\tNN\tI-NP\tO' +p342655 +aS'after\tafter\tIN\tB-PP\tO' +p342656 +aS'her\ther\tPRP$\tB-NP\tO' +p342657 +aS'second\tsecond\tJJ\tI-NP\tO' +p342658 +aS'two\ttwo\tCD\tI-NP\tO' +p342659 +aS'units\tunit\tNNS\tI-NP\tO' +p342660 +aS'of\tof\tIN\tB-PP\tO' +p342661 +aS'packed\tpacked\tJJ\tB-NP\tO' +p342662 +aS'RBC\tRBC\tNN\tI-NP\tO' +p342663 +aS"'s\t's\tPOS\tB-NP\tO" +p342664 +aS'.\t.\t.\tO\tO' +p342665 +asS'near syncope , dehydration vs cardiogenic' +p342666 +(lp342667 +S'near\tnear\tIN\tB-PP\tO' +p342668 +aS'syncope\tsyncope\tNN\tB-NP\tO' +p342669 +aS',\t,\t,\tO\tO' +p342670 +aS'dehydration\tdehydration\tNN\tB-NP\tO' +p342671 +aS'vs\tvs\tIN\tB-PP\tO' +p342672 +aS'cardiogenic\tcardiogenic\tJJ\tB-NP\tO' +p342673 +asS'She has JVD to angle of the jaw , no bruits .' +p342674 +(lp342675 +S'She\tShe\tPRP\tB-NP\tO' +p342676 +aS'has\thave\tVBZ\tB-VP\tO' +p342677 +aS'JVD\tJVD\tVBN\tI-VP\tO' +p342678 +aS'to\tto\tTO\tB-PP\tO' +p342679 +aS'angle\tangle\tNN\tB-NP\tO' +p342680 +aS'of\tof\tIN\tB-PP\tO' +p342681 +aS'the\tthe\tDT\tB-NP\tO' +p342682 +aS'jaw\tjaw\tNN\tI-NP\tO' +p342683 +aS',\t,\t,\tO\tO' +p342684 +aS'no\tno\tDT\tB-NP\tO' +p342685 +aS'bruits\tbruit\tNNS\tI-NP\tO' +p342686 +aS'.\t.\t.\tO\tO' +p342687 +asS'Full term male infant with cyanosis episodes .' +p342688 +(lp342689 +S'Full\tFull\tJJ\tB-NP\tO' +p342690 +aS'term\tterm\tNN\tI-NP\tO' +p342691 +aS'male\tmale\tJJ\tI-NP\tO' +p342692 +aS'infant\tinfant\tNN\tI-NP\tO' +p342693 +aS'with\twith\tIN\tB-PP\tO' +p342694 +aS'cyanosis\tcyanosis\tNN\tB-NP\tO' +p342695 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p342696 +aS'.\t.\t.\tO\tO' +p342697 +asS'No prolonged rupture of membranes .' +p342698 +(lp342699 +S'No\tNo\tDT\tB-NP\tO' +p342700 +aS'prolonged\tprolonged\tJJ\tI-NP\tO' +p342701 +aS'rupture\trupture\tNN\tI-NP\tO' +p342702 +aS'of\tof\tIN\tB-PP\tO' +p342703 +aS'membranes\tmembrane\tNNS\tB-NP\tO' +p342704 +aS'.\t.\t.\tO\tO' +p342705 +asS'Normal S1 and S2 without murmur .' +p342706 +(lp342707 +S'Normal\tNormal\tJJ\tB-NP\tO' +p342708 +aS'S1\tS1\tNN\tI-NP\tB-protein' +p342709 +aS'and\tand\tCC\tO\tO' +p342710 +aS'S2\tS2\tNN\tB-NP\tB-protein' +p342711 +aS'without\twithout\tIN\tB-PP\tO' +p342712 +aS'murmur\tmurmur\tNN\tB-NP\tO' +p342713 +aS'.\t.\t.\tO\tO' +p342714 +asS'Laboratories on admission revealed white count 7.8 , hematocrit was 41.7 , platelets of 252 , MCV 89 , RDW 12.7 .' +p342715 +(lp342716 +S'Laboratories\tLaboratory\tNNS\tB-NP\tO' +p342717 +aS'on\ton\tIN\tB-PP\tO' +p342718 +aS'admission\tadmission\tNN\tB-NP\tO' +p342719 +aS'revealed\treveal\tVBD\tB-VP\tO' +p342720 +aS'white\twhite\tJJ\tB-NP\tO' +p342721 +aS'count\tcount\tNN\tI-NP\tO' +p342722 +aS'7.8\t7.8\tCD\tI-NP\tO' +p342723 +aS',\t,\t,\tO\tO' +p342724 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p342725 +aS'was\tbe\tVBD\tB-VP\tI-protein' +p342726 +aS'41.7\t41.7\tCD\tB-NP\tI-protein' +p342727 +aS',\t,\t,\tO\tO' +p342728 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p342729 +aS'of\tof\tIN\tB-PP\tO' +p342730 +aS'252\t252\tCD\tB-NP\tO' +p342731 +aS',\t,\t,\tO\tO' +p342732 +aS'MCV\tMCV\tNN\tB-NP\tB-DNA' +p342733 +aS'89\t89\tCD\tI-NP\tI-DNA' +p342734 +aS',\t,\t,\tO\tO' +p342735 +aS'RDW\tRDW\tNNP\tB-NP\tO' +p342736 +aS'12.7\t12.7\tCD\tI-NP\tO' +p342737 +aS'.\t.\t.\tO\tO' +p342738 +asS'Use ice to sore areas for the next few days .' +p342739 +(lp342740 +S'Use\tUse\tNN\tB-NP\tO' +p342741 +aS'ice\tice\tNN\tI-NP\tO' +p342742 +aS'to\tto\tTO\tB-VP\tO' +p342743 +aS'sore\tsore\tVB\tI-VP\tO' +p342744 +aS'areas\tarea\tNNS\tB-NP\tO' +p342745 +aS'for\tfor\tIN\tB-PP\tO' +p342746 +aS'the\tthe\tDT\tB-NP\tO' +p342747 +aS'next\tnext\tJJ\tI-NP\tO' +p342748 +aS'few\tfew\tJJ\tI-NP\tO' +p342749 +aS'days\tday\tNNS\tI-NP\tO' +p342750 +aS'.\t.\t.\tO\tO' +p342751 +asS'This showed lymphangitic spread of cancer in the chest , question of pulmonary nodules in the chest , pericardial effusion , multiple liver metastases , decreased function of the left kidney , dilated left intrarenal collecting system and proximal ureter , and periaortic lymphadenopathy .' +p342752 +(lp342753 +S'This\tThis\tDT\tB-NP\tO' +p342754 +aS'showed\tshow\tVBD\tB-VP\tO' +p342755 +aS'lymphangitic\tlymphangitic\tJJ\tB-NP\tO' +p342756 +aS'spread\tspread\tNN\tI-NP\tO' +p342757 +aS'of\tof\tIN\tB-PP\tO' +p342758 +aS'cancer\tcancer\tNN\tB-NP\tO' +p342759 +aS'in\tin\tIN\tB-PP\tO' +p342760 +aS'the\tthe\tDT\tB-NP\tO' +p342761 +aS'chest\tchest\tNN\tI-NP\tO' +p342762 +aS',\t,\t,\tO\tO' +p342763 +aS'question\tquestion\tNN\tB-NP\tO' +p342764 +aS'of\tof\tIN\tB-PP\tO' +p342765 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p342766 +aS'nodules\tnodule\tNNS\tI-NP\tO' +p342767 +aS'in\tin\tIN\tB-PP\tO' +p342768 +aS'the\tthe\tDT\tB-NP\tO' +p342769 +aS'chest\tchest\tNN\tI-NP\tO' +p342770 +aS',\t,\t,\tO\tO' +p342771 +aS'pericardial\tpericardial\tJJ\tB-NP\tO' +p342772 +aS'effusion\teffusion\tNN\tI-NP\tO' +p342773 +aS',\t,\t,\tO\tO' +p342774 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p342775 +aS'liver\tliver\tNN\tI-NP\tO' +p342776 +aS'metastases\tmetastasis\tNNS\tI-NP\tO' +p342777 +aS',\t,\t,\tO\tO' +p342778 +aS'decreased\tdecrease\tVBN\tB-NP\tO' +p342779 +aS'function\tfunction\tNN\tI-NP\tO' +p342780 +aS'of\tof\tIN\tB-PP\tO' +p342781 +aS'the\tthe\tDT\tB-NP\tO' +p342782 +aS'left\tleft\tJJ\tI-NP\tO' +p342783 +aS'kidney\tkidney\tNN\tI-NP\tO' +p342784 +aS',\t,\t,\tO\tO' +p342785 +aS'dilated\tdilate\tVBN\tB-VP\tO' +p342786 +aS'left\tleave\tVBD\tB-VP\tO' +p342787 +aS'intrarenal\tintrarenal\tJJ\tB-NP\tO' +p342788 +aS'collecting\tcollect\tVBG\tI-NP\tO' +p342789 +aS'system\tsystem\tNN\tI-NP\tO' +p342790 +aS'and\tand\tCC\tO\tO' +p342791 +aS'proximal\tproximal\tJJ\tB-NP\tO' +p342792 +aS'ureter\tureter\tNN\tI-NP\tO' +p342793 +aS',\t,\t,\tO\tO' +p342794 +aS'and\tand\tCC\tO\tO' +p342795 +aS'periaortic\tperiaortic\tJJ\tB-NP\tO' +p342796 +aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' +p342797 +aS'.\t.\t.\tO\tO' +p342798 +asS'The patient is to maintain her figure-of-eight clavicular splint and left posterior forearm splint in place for fourteen days following discharge .' +p342799 +(lp342800 +S'The\tThe\tDT\tB-NP\tO' +p342801 +aS'patient\tpatient\tNN\tI-NP\tO' +p342802 +aS'is\tbe\tVBZ\tB-VP\tO' +p342803 +aS'to\tto\tTO\tB-VP\tO' +p342804 +aS'maintain\tmaintain\tVB\tI-VP\tO' +p342805 +aS'her\ther\tPRP\tB-NP\tO' +p342806 +aS'figure-of-eight\tfigure-of-eight\tJJ\tI-NP\tO' +p342807 +aS'clavicular\tclavicular\tJJ\tI-NP\tO' +p342808 +aS'splint\tsplint\tNN\tI-NP\tO' +p342809 +aS'and\tand\tCC\tO\tO' +p342810 +aS'left\tleave\tVBD\tB-VP\tO' +p342811 +aS'posterior\tposterior\tJJ\tB-NP\tO' +p342812 +aS'forearm\tforearm\tNN\tI-NP\tO' +p342813 +aS'splint\tsplint\tNN\tI-NP\tO' +p342814 +aS'in\tin\tIN\tB-PP\tO' +p342815 +aS'place\tplace\tNN\tB-NP\tO' +p342816 +aS'for\tfor\tIN\tB-PP\tO' +p342817 +aS'fourteen\tfourteen\tCD\tB-NP\tO' +p342818 +aS'days\tday\tNNS\tI-NP\tO' +p342819 +aS'following\tfollow\tVBG\tB-PP\tO' +p342820 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p342821 +aS'.\t.\t.\tO\tO' +p342822 +asS'He recently developed fatigue and dyspnea and workup disclosed a large liver mass which was biopsied and revealed to be poorly differentiated neoplasm most consistent with metastatic rectal discontinued .' +p342823 +(lp342824 +S'He\tHe\tPRP\tB-NP\tO' +p342825 +aS'recently\trecently\tRB\tB-ADVP\tO' +p342826 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p342827 +aS'fatigue\tfatigue\tNN\tB-NP\tO' +p342828 +aS'and\tand\tCC\tI-NP\tO' +p342829 +aS'dyspnea\tdyspnea\tNN\tI-NP\tO' +p342830 +aS'and\tand\tCC\tI-NP\tO' +p342831 +aS'workup\tworkup\tNN\tI-NP\tO' +p342832 +aS'disclosed\tdisclose\tVBD\tB-VP\tO' +p342833 +aS'a\ta\tDT\tB-NP\tO' +p342834 +aS'large\tlarge\tJJ\tI-NP\tO' +p342835 +aS'liver\tliver\tNN\tI-NP\tO' +p342836 +aS'mass\tmass\tNN\tI-NP\tO' +p342837 +aS'which\twhich\tWDT\tB-NP\tO' +p342838 +aS'was\tbe\tVBD\tB-VP\tO' +p342839 +aS'biopsied\tbiopsie\tVBN\tI-VP\tO' +p342840 +aS'and\tand\tCC\tO\tO' +p342841 +aS'revealed\treveal\tVBN\tB-VP\tO' +p342842 +aS'to\tto\tTO\tI-VP\tO' +p342843 +aS'be\tbe\tVB\tI-VP\tO' +p342844 +aS'poorly\tpoorly\tRB\tB-NP\tO' +p342845 +aS'differentiated\tdifferentiate\tVBN\tI-NP\tO' +p342846 +aS'neoplasm\tneoplasm\tNN\tI-NP\tO' +p342847 +aS'most\tmost\tRBS\tB-ADJP\tO' +p342848 +aS'consistent\tconsistent\tJJ\tI-ADJP\tO' +p342849 +aS'with\twith\tIN\tB-PP\tO' +p342850 +aS'metastatic\tmetastatic\tJJ\tB-NP\tO' +p342851 +aS'rectal\trectal\tJJ\tI-NP\tO' +p342852 +aS'discontinued\tdiscontinue\tVBN\tB-VP\tO' +p342853 +aS'.\t.\t.\tO\tO' +p342854 +asS'There is mild aortic valve stenosis .' +p342855 +(lp342856 +S'There\tThere\tEX\tB-NP\tO' +p342857 +aS'is\tbe\tVBZ\tB-VP\tO' +p342858 +aS'mild\tmild\tJJ\tB-NP\tO' +p342859 +aS'aortic\taortic\tJJ\tI-NP\tO' +p342860 +aS'valve\tvalve\tNN\tI-NP\tO' +p342861 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p342862 +aS'.\t.\t.\tO\tO' +p342863 +asS'Full enteral feedings were achieved by day of life #7 .' +p342864 +(lp342865 +S'Full\tFull\tJJ\tB-NP\tO' +p342866 +aS'enteral\tenteral\tJJ\tI-NP\tO' +p342867 +aS'feedings\tfeeding\tNNS\tI-NP\tO' +p342868 +aS'were\tbe\tVBD\tB-VP\tO' +p342869 +aS'achieved\tachieve\tVBN\tI-VP\tO' +p342870 +aS'by\tby\tIN\tB-PP\tO' +p342871 +aS'day\tday\tNN\tB-NP\tO' +p342872 +aS'of\tof\tIN\tB-PP\tO' +p342873 +aS'life\tlife\tNN\tB-NP\tO' +p342874 +aS'#7\t#7\tCD\tI-NP\tO' +p342875 +aS'.\t.\t.\tO\tO' +p342876 +asS'Responsible After Study for Causing Admission ) Primary c / s for breech' +p342877 +(lp342878 +S'Responsible\tResponsible\tJJ\tB-ADJP\tO' +p342879 +aS'After\tAfter\tIN\tB-PP\tO' +p342880 +aS'Study\tStudy\tNN\tB-NP\tO' +p342881 +aS'for\tfor\tIN\tB-PP\tO' +p342882 +aS'Causing\tCause\tVBG\tB-NP\tO' +p342883 +aS'Admission\tAdmission\tNN\tI-NP\tO' +p342884 +aS')\t)\t)\tI-NP\tO' +p342885 +aS'Primary\tPrimary\tJJ\tI-NP\tO' +p342886 +aS'c\tc\tNN\tI-NP\tO' +p342887 +aS'/\t/\tSYM\tI-NP\tO' +p342888 +aS's\ts\tNN\tI-NP\tO' +p342889 +aS'for\tfor\tIN\tB-PP\tO' +p342890 +aS'breech\tbreech\tNN\tB-NP\tO' +p342891 +asS'She has a history of heavy alcohol use .' +p342892 +(lp342893 +S'She\tShe\tPRP\tB-NP\tO' +p342894 +aS'has\thave\tVBZ\tB-VP\tO' +p342895 +aS'a\ta\tDT\tB-NP\tO' +p342896 +aS'history\thistory\tNN\tI-NP\tO' +p342897 +aS'of\tof\tIN\tB-PP\tO' +p342898 +aS'heavy\theavy\tJJ\tB-NP\tO' +p342899 +aS'alcohol\talcohol\tNN\tI-NP\tO' +p342900 +aS'use\tuse\tNN\tI-NP\tO' +p342901 +aS'.\t.\t.\tO\tO' +p342902 +asS'INR 1.4 .' +p342903 +(lp342904 +S'INR\tINR\tNN\tB-NP\tO' +p342905 +aS'1.4\t1.4\tCD\tI-NP\tO' +p342906 +aS'.\t.\t.\tO\tO' +p342907 +asS'By report the patient was at that time told that there was no more that could be done for him and was then apparently placed on comfort measures and pain control at the outside hospital .' +p342908 +(lp342909 +S'By\tBy\tIN\tB-PP\tO' +p342910 +aS'report\treport\tNN\tB-NP\tO' +p342911 +aS'the\tthe\tDT\tB-NP\tO' +p342912 +aS'patient\tpatient\tNN\tI-NP\tO' +p342913 +aS'was\tbe\tVBD\tB-VP\tO' +p342914 +aS'at\tat\tIN\tB-PP\tO' +p342915 +aS'that\tthat\tDT\tB-NP\tO' +p342916 +aS'time\ttime\tNN\tI-NP\tO' +p342917 +aS'told\ttell\tVBD\tB-VP\tO' +p342918 +aS'that\tthat\tIN\tB-SBAR\tO' +p342919 +aS'there\tthere\tEX\tB-NP\tO' +p342920 +aS'was\tbe\tVBD\tB-VP\tO' +p342921 +aS'no\tno\tDT\tB-NP\tO' +p342922 +aS'more\tmore\tJJR\tI-NP\tO' +p342923 +aS'that\tthat\tWDT\tB-NP\tO' +p342924 +aS'could\tcould\tMD\tB-VP\tO' +p342925 +aS'be\tbe\tVB\tI-VP\tO' +p342926 +aS'done\tdo\tVBN\tI-VP\tO' +p342927 +aS'for\tfor\tIN\tB-PP\tO' +p342928 +aS'him\thim\tPRP\tB-NP\tO' +p342929 +aS'and\tand\tCC\tO\tO' +p342930 +aS'was\tbe\tVBD\tB-VP\tO' +p342931 +aS'then\tthen\tRB\tI-VP\tO' +p342932 +aS'apparently\tapparently\tRB\tI-VP\tO' +p342933 +aS'placed\tplace\tVBN\tI-VP\tO' +p342934 +aS'on\ton\tIN\tB-PP\tO' +p342935 +aS'comfort\tcomfort\tNN\tB-NP\tO' +p342936 +aS'measures\tmeasure\tNNS\tI-NP\tO' +p342937 +aS'and\tand\tCC\tO\tO' +p342938 +aS'pain\tpain\tNN\tB-NP\tO' +p342939 +aS'control\tcontrol\tNN\tI-NP\tO' +p342940 +aS'at\tat\tIN\tB-PP\tO' +p342941 +aS'the\tthe\tDT\tB-NP\tO' +p342942 +aS'outside\toutside\tJJ\tI-NP\tO' +p342943 +aS'hospital\thospital\tNN\tI-NP\tO' +p342944 +aS'.\t.\t.\tO\tO' +p342945 +asS'Left Ventricle - Diastolic Dimension : 5.3 cm ( nl <= 5.6 cm )' +p342946 +(lp342947 +S'Left\tLeft\tNNP\tB-NP\tO' +p342948 +aS'Ventricle\tVentricle\tNNP\tI-NP\tO' +p342949 +aS'-\t-\tHYPH\tB-NP\tO' +p342950 +aS'Diastolic\tDiastolic\tNNP\tI-NP\tO' +p342951 +aS'Dimension\tDimension\tNN\tI-NP\tO' +p342952 +aS':\t:\t:\tO\tO' +p342953 +aS'5.3\t5.3\tCD\tB-NP\tO' +p342954 +aS'cm\tcm\tNN\tI-NP\tO' +p342955 +aS'(\t(\t(\tO\tO' +p342956 +aS'nl\tnl\tNN\tB-NP\tO' +p342957 +aS'<=\t<=\tSYM\tO\tO' +p342958 +aS'5.6\t5.6\tCD\tB-NP\tO' +p342959 +aS'cm\tcm\tNN\tI-NP\tO' +p342960 +aS')\t)\t)\tO\tO' +p342961 +asS'The sensory exam revealed no focal deficits to limited exam .' +p342962 +(lp342963 +S'The\tThe\tDT\tB-NP\tO' +p342964 +aS'sensory\tsensory\tJJ\tI-NP\tO' +p342965 +aS'exam\texam\tNN\tI-NP\tO' +p342966 +aS'revealed\treveal\tVBD\tB-VP\tO' +p342967 +aS'no\tno\tDT\tB-NP\tO' +p342968 +aS'focal\tfocal\tJJ\tI-NP\tO' +p342969 +aS'deficits\tdeficit\tNNS\tI-NP\tO' +p342970 +aS'to\tto\tTO\tB-PP\tO' +p342971 +aS'limited\tlimited\tJJ\tB-NP\tO' +p342972 +aS'exam\texam\tNN\tI-NP\tO' +p342973 +aS'.\t.\t.\tO\tO' +p342974 +asS'He was diuresed towards his pre-op weight .' +p342975 +(lp342976 +S'He\tHe\tPRP\tB-NP\tO' +p342977 +aS'was\tbe\tVBD\tB-VP\tO' +p342978 +aS'diuresed\tdiurese\tVBN\tI-VP\tO' +p342979 +aS'towards\ttowards\tIN\tB-PP\tO' +p342980 +aS'his\this\tPRP$\tB-NP\tO' +p342981 +aS'pre-op\tpre-op\tJJ\tI-NP\tO' +p342982 +aS'weight\tweight\tNN\tI-NP\tO' +p342983 +aS'.\t.\t.\tO\tO' +p342984 +asS'PT 17.6 , PTT 48.7 , fibrinogen 686 , TT 39.2 .' +p342985 +(lp342986 +S'PT\tPT\tNN\tB-NP\tB-protein' +p342987 +aS'17.6\t17.6\tCD\tI-NP\tI-protein' +p342988 +aS',\t,\t,\tO\tO' +p342989 +aS'PTT\tPTT\tNN\tB-NP\tB-protein' +p342990 +aS'48.7\t48.7\tCD\tI-NP\tI-protein' +p342991 +aS',\t,\t,\tO\tO' +p342992 +aS'fibrinogen\tfibrinogen\tNN\tB-NP\tB-protein' +p342993 +aS'686\t686\tCD\tI-NP\tI-protein' +p342994 +aS',\t,\t,\tO\tO' +p342995 +aS'TT\tTT\tNN\tB-NP\tB-cell_line' +p342996 +aS'39.2\t39.2\tCD\tI-NP\tI-cell_line' +p342997 +aS'.\t.\t.\tO\tO' +p342998 +asS'On postoperative day three , the patient had a port placed .' +p342999 +(lp343000 +S'On\tOn\tIN\tB-PP\tO' +p343001 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p343002 +aS'day\tday\tNN\tI-NP\tO' +p343003 +aS'three\tthree\tCD\tI-NP\tO' +p343004 +aS',\t,\t,\tO\tO' +p343005 +aS'the\tthe\tDT\tB-NP\tO' +p343006 +aS'patient\tpatient\tNN\tI-NP\tO' +p343007 +aS'had\thave\tVBD\tB-VP\tO' +p343008 +aS'a\ta\tDT\tB-NP\tO' +p343009 +aS'port\tport\tNN\tI-NP\tO' +p343010 +aS'placed\tplace\tVBN\tB-VP\tO' +p343011 +aS'.\t.\t.\tO\tO' +p343012 +asS'Baby was vigorous at delivery , was bulb suction , dried , and had free flow oxygen administered briefly .' +p343013 +(lp343014 +S'Baby\tBaby\tNNP\tB-NP\tO' +p343015 +aS'was\tbe\tVBD\tB-VP\tO' +p343016 +aS'vigorous\tvigorous\tJJ\tB-ADJP\tO' +p343017 +aS'at\tat\tIN\tB-PP\tO' +p343018 +aS'delivery\tdelivery\tNN\tB-NP\tO' +p343019 +aS',\t,\t,\tO\tO' +p343020 +aS'was\tbe\tVBD\tB-VP\tO' +p343021 +aS'bulb\tbulb\tNN\tB-NP\tO' +p343022 +aS'suction\tsuction\tNN\tI-NP\tO' +p343023 +aS',\t,\t,\tO\tO' +p343024 +aS'dried\tdry\tVBN\tB-VP\tO' +p343025 +aS',\t,\t,\tO\tO' +p343026 +aS'and\tand\tCC\tO\tO' +p343027 +aS'had\thave\tVBD\tB-VP\tO' +p343028 +aS'free\tfree\tJJ\tB-NP\tO' +p343029 +aS'flow\tflow\tNN\tI-NP\tO' +p343030 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p343031 +aS'administered\tadminister\tVBN\tB-VP\tO' +p343032 +aS'briefly\tbriefly\tRB\tB-ADVP\tO' +p343033 +aS'.\t.\t.\tO\tO' +p343034 +asS'Breast cancer in multiple female relatives .' +p343035 +(lp343036 +S'Breast\tBreast\tNN\tB-NP\tO' +p343037 +aS'cancer\tcancer\tNN\tI-NP\tO' +p343038 +aS'in\tin\tIN\tB-PP\tO' +p343039 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p343040 +aS'female\tfemale\tJJ\tI-NP\tO' +p343041 +aS'relatives\trelative\tNNS\tI-NP\tO' +p343042 +aS'.\t.\t.\tO\tO' +p343043 +asS'Urine cultures , blood cultures and sputum cultures were sent .' +p343044 +(lp343045 +S'Urine\tUrine\tNN\tB-NP\tB-cell_line' +p343046 +aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' +p343047 +aS',\t,\t,\tO\tO' +p343048 +aS'blood\tblood\tNN\tB-NP\tO' +p343049 +aS'cultures\tculture\tNNS\tI-NP\tO' +p343050 +aS'and\tand\tCC\tO\tO' +p343051 +aS'sputum\tsputum\tNN\tB-NP\tO' +p343052 +aS'cultures\tculture\tNNS\tI-NP\tO' +p343053 +aS'were\tbe\tVBD\tB-VP\tO' +p343054 +aS'sent\tsend\tVBN\tI-VP\tO' +p343055 +aS'.\t.\t.\tO\tO' +p343056 +asS"Given the patient 's right thigh hematoma , a duplex evaluation of the right lower extremity was performed on 2010-06-28 and demonstrated no evidence of major arterial or venous injury in the level of" +p343057 +(lp343058 +S'Given\tGive\tVBN\tB-PP\tO' +p343059 +aS'the\tthe\tDT\tB-NP\tO' +p343060 +aS'patient\tpatient\tNN\tI-NP\tO' +p343061 +aS"'s\t's\tPOS\tB-NP\tO" +p343062 +aS'right\tright\tJJ\tI-NP\tO' +p343063 +aS'thigh\tthigh\tJJ\tI-NP\tO' +p343064 +aS'hematoma\thematoma\tNN\tI-NP\tO' +p343065 +aS',\t,\t,\tO\tO' +p343066 +aS'a\ta\tDT\tB-NP\tO' +p343067 +aS'duplex\tduplex\tNN\tI-NP\tO' +p343068 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p343069 +aS'of\tof\tIN\tB-PP\tO' +p343070 +aS'the\tthe\tDT\tB-NP\tO' +p343071 +aS'right\tright\tJJ\tI-NP\tO' +p343072 +aS'lower\tlow\tJJR\tI-NP\tO' +p343073 +aS'extremity\textremity\tNN\tI-NP\tO' +p343074 +aS'was\tbe\tVBD\tB-VP\tO' +p343075 +aS'performed\tperform\tVBN\tI-VP\tO' +p343076 +aS'on\ton\tIN\tB-PP\tO' +p343077 +aS'2010-06-28\t2010-06-28\tCD\tB-NP\tO' +p343078 +aS'and\tand\tCC\tO\tO' +p343079 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p343080 +aS'no\tno\tDT\tB-NP\tO' +p343081 +aS'evidence\tevidence\tNN\tI-NP\tO' +p343082 +aS'of\tof\tIN\tB-PP\tO' +p343083 +aS'major\tmajor\tJJ\tB-NP\tO' +p343084 +aS'arterial\tarterial\tJJ\tI-NP\tO' +p343085 +aS'or\tor\tCC\tI-NP\tO' +p343086 +aS'venous\tvenous\tJJ\tI-NP\tO' +p343087 +aS'injury\tinjury\tNN\tI-NP\tO' +p343088 +aS'in\tin\tIN\tB-PP\tO' +p343089 +aS'the\tthe\tDT\tB-NP\tO' +p343090 +aS'level\tlevel\tNN\tI-NP\tO' +p343091 +aS'of\tof\tIN\tB-PP\tO' +p343092 +asS'On 12/12/96 she had an uncomplicated total abdominal hysterectomy and bilateral salpingo-oophorectomy .' +p343093 +(lp343094 +S'On\tOn\tIN\tB-PP\tO' +p343095 +aS'12/12/96\t12/12/96\tCD\tB-NP\tO' +p343096 +aS'she\tshe\tPRP\tB-NP\tO' +p343097 +aS'had\thave\tVBD\tB-VP\tO' +p343098 +aS'an\tan\tDT\tB-NP\tO' +p343099 +aS'uncomplicated\tuncomplicated\tJJ\tI-NP\tO' +p343100 +aS'total\ttotal\tJJ\tI-NP\tO' +p343101 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p343102 +aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' +p343103 +aS'and\tand\tCC\tO\tO' +p343104 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p343105 +aS'salpingo-oophorectomy\tsalpingo-oophorectomy\tNN\tI-NP\tO' +p343106 +aS'.\t.\t.\tO\tO' +p343107 +asS'Now continued on 1 mg BID , to complete a 7 day course , which will be tapered to 1 mg qday on 01-15 , and subsequently to 0.5 mg qday x 7 days then to be discontinued .' +p343108 +(lp343109 +S'Now\tNow\tRB\tB-ADVP\tO' +p343110 +aS'continued\tcontinue\tVBN\tB-PP\tO' +p343111 +aS'on\ton\tIN\tB-PP\tO' +p343112 +aS'1\t1\tCD\tB-NP\tO' +p343113 +aS'mg\tmg\tNN\tI-NP\tO' +p343114 +aS'BID\tBID\tNN\tI-NP\tO' +p343115 +aS',\t,\t,\tO\tO' +p343116 +aS'to\tto\tTO\tB-VP\tO' +p343117 +aS'complete\tcomplete\tVB\tI-VP\tO' +p343118 +aS'a\ta\tDT\tB-NP\tO' +p343119 +aS'7\t7\tCD\tI-NP\tO' +p343120 +aS'day\tday\tNN\tI-NP\tO' +p343121 +aS'course\tcourse\tNN\tI-NP\tO' +p343122 +aS',\t,\t,\tO\tO' +p343123 +aS'which\twhich\tWDT\tB-NP\tO' +p343124 +aS'will\twill\tMD\tB-VP\tO' +p343125 +aS'be\tbe\tVB\tI-VP\tO' +p343126 +aS'tapered\ttaper\tVBN\tI-VP\tO' +p343127 +aS'to\tto\tTO\tB-PP\tO' +p343128 +aS'1\t1\tCD\tB-NP\tO' +p343129 +aS'mg\tmg\tNN\tI-NP\tO' +p343130 +aS'qday\tqday\tNN\tI-NP\tO' +p343131 +aS'on\ton\tIN\tB-PP\tO' +p343132 +aS'01-15\t01-15\tCD\tB-NP\tO' +p343133 +aS',\t,\t,\tO\tO' +p343134 +aS'and\tand\tCC\tO\tO' +p343135 +aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' +p343136 +aS'to\tto\tTO\tB-PP\tO' +p343137 +aS'0.5\t0.5\tCD\tB-NP\tO' +p343138 +aS'mg\tmg\tNN\tI-NP\tO' +p343139 +aS'qday\tqday\tNN\tI-NP\tO' +p343140 +aS'x\tx\tSYM\tB-VP\tO' +p343141 +aS'7\t7\tCD\tB-NP\tO' +p343142 +aS'days\tday\tNNS\tI-NP\tO' +p343143 +aS'then\tthen\tRB\tB-ADVP\tO' +p343144 +aS'to\tto\tTO\tB-VP\tO' +p343145 +aS'be\tbe\tVB\tI-VP\tO' +p343146 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p343147 +aS'.\t.\t.\tO\tO' +p343148 +asS'However , at this point , his liver function test abnormalities appeared more consistent with a cholestatic picture with his direct bilirubin being 12.1 and total being 14.1 .' +p343149 +(lp343150 +S'However\tHowever\tRB\tB-ADVP\tO' +p343151 +aS',\t,\t,\tO\tO' +p343152 +aS'at\tat\tIN\tB-PP\tO' +p343153 +aS'this\tthis\tDT\tB-NP\tO' +p343154 +aS'point\tpoint\tNN\tI-NP\tO' +p343155 +aS',\t,\t,\tO\tO' +p343156 +aS'his\this\tPRP$\tB-NP\tO' +p343157 +aS'liver\tliver\tNN\tI-NP\tO' +p343158 +aS'function\tfunction\tNN\tI-NP\tO' +p343159 +aS'test\ttest\tNN\tI-NP\tO' +p343160 +aS'abnormalities\tabnormality\tNNS\tI-NP\tO' +p343161 +aS'appeared\tappear\tVBD\tB-VP\tO' +p343162 +aS'more\tmore\tRBR\tB-ADJP\tO' +p343163 +aS'consistent\tconsistent\tJJ\tI-ADJP\tO' +p343164 +aS'with\twith\tIN\tB-PP\tO' +p343165 +aS'a\ta\tDT\tB-NP\tO' +p343166 +aS'cholestatic\tcholestatic\tJJ\tI-NP\tO' +p343167 +aS'picture\tpicture\tNN\tI-NP\tO' +p343168 +aS'with\twith\tIN\tB-PP\tO' +p343169 +aS'his\this\tPRP$\tB-NP\tO' +p343170 +aS'direct\tdirect\tJJ\tI-NP\tO' +p343171 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p343172 +aS'being\tbe\tVBG\tB-VP\tO' +p343173 +aS'12.1\t12.1\tCD\tB-NP\tO' +p343174 +aS'and\tand\tCC\tO\tO' +p343175 +aS'total\ttotal\tJJ\tB-NP\tO' +p343176 +aS'being\tbe\tVBG\tB-VP\tO' +p343177 +aS'14.1\t14.1\tCD\tB-NP\tO' +p343178 +aS'.\t.\t.\tO\tO' +p343179 +asS'She presented on clinic on 06-20 with hypotension for which she was given intravenous fluids .' +p343180 +(lp343181 +S'She\tShe\tPRP\tB-NP\tO' +p343182 +aS'presented\tpresent\tVBD\tB-VP\tO' +p343183 +aS'on\ton\tIN\tB-PP\tO' +p343184 +aS'clinic\tclinic\tNN\tB-NP\tO' +p343185 +aS'on\ton\tIN\tB-PP\tO' +p343186 +aS'06-20\t06-20\tCD\tB-NP\tO' +p343187 +aS'with\twith\tIN\tB-PP\tO' +p343188 +aS'hypotension\thypotension\tNN\tB-NP\tO' +p343189 +aS'for\tfor\tIN\tB-PP\tO' +p343190 +aS'which\twhich\tWDT\tB-NP\tO' +p343191 +aS'she\tshe\tPRP\tB-NP\tO' +p343192 +aS'was\tbe\tVBD\tB-VP\tO' +p343193 +aS'given\tgive\tVBN\tI-VP\tO' +p343194 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p343195 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p343196 +aS'.\t.\t.\tO\tO' +p343197 +asS'At the time of discharge , the patient was tolerating her Flolan therapy well .' +p343198 +(lp343199 +S'At\tAt\tIN\tB-PP\tO' +p343200 +aS'the\tthe\tDT\tB-NP\tO' +p343201 +aS'time\ttime\tNN\tI-NP\tO' +p343202 +aS'of\tof\tIN\tB-PP\tO' +p343203 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p343204 +aS',\t,\t,\tO\tO' +p343205 +aS'the\tthe\tDT\tB-NP\tO' +p343206 +aS'patient\tpatient\tNN\tI-NP\tO' +p343207 +aS'was\tbe\tVBD\tB-VP\tO' +p343208 +aS'tolerating\ttolerate\tVBG\tI-VP\tO' +p343209 +aS'her\ther\tPRP$\tB-NP\tO' +p343210 +aS'Flolan\tFlolan\tNNP\tI-NP\tO' +p343211 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p343212 +aS'well\twell\tRB\tB-ADVP\tO' +p343213 +aS'.\t.\t.\tO\tO' +p343214 +asS'On 02/06/91 , he was seen in FLFDMC and at that point , his temperature was noted to be 101.4 and he had malaise and diarrhea .' +p343215 +(lp343216 +S'On\tOn\tIN\tB-PP\tO' +p343217 +aS'02/06/91\t02/06/91\tCD\tB-NP\tO' +p343218 +aS',\t,\t,\tO\tO' +p343219 +aS'he\the\tPRP\tB-NP\tO' +p343220 +aS'was\tbe\tVBD\tB-VP\tO' +p343221 +aS'seen\tsee\tVBN\tI-VP\tO' +p343222 +aS'in\tin\tIN\tB-PP\tO' +p343223 +aS'FLFDMC\tFLFDMC\tNN\tB-NP\tB-cell_type' +p343224 +aS'and\tand\tCC\tB-PP\tO' +p343225 +aS'at\tat\tIN\tB-PP\tO' +p343226 +aS'that\tthat\tDT\tB-NP\tO' +p343227 +aS'point\tpoint\tNN\tI-NP\tO' +p343228 +aS',\t,\t,\tO\tO' +p343229 +aS'his\this\tPRP$\tB-NP\tO' +p343230 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p343231 +aS'was\tbe\tVBD\tB-VP\tO' +p343232 +aS'noted\tnote\tVBN\tI-VP\tO' +p343233 +aS'to\tto\tTO\tI-VP\tO' +p343234 +aS'be\tbe\tVB\tI-VP\tO' +p343235 +aS'101.4\t101.4\tCD\tB-NP\tO' +p343236 +aS'and\tand\tCC\tO\tO' +p343237 +aS'he\the\tPRP\tB-NP\tO' +p343238 +aS'had\thave\tVBD\tB-VP\tO' +p343239 +aS'malaise\tmalaise\tNN\tB-NP\tO' +p343240 +aS'and\tand\tCC\tI-NP\tO' +p343241 +aS'diarrhea\tdiarrhea\tNN\tI-NP\tO' +p343242 +aS'.\t.\t.\tO\tO' +p343243 +asS'The Neurology Service evaluated the patient who felt that her agitation was most likely due to infection , her multiple medications , or her metabolic condition .' +p343244 +(lp343245 +S'The\tThe\tDT\tB-NP\tO' +p343246 +aS'Neurology\tNeurology\tNNP\tI-NP\tO' +p343247 +aS'Service\tService\tNNP\tI-NP\tO' +p343248 +aS'evaluated\tevaluate\tVBD\tB-VP\tO' +p343249 +aS'the\tthe\tDT\tB-NP\tO' +p343250 +aS'patient\tpatient\tNN\tI-NP\tO' +p343251 +aS'who\twho\tWP\tB-NP\tO' +p343252 +aS'felt\tfeel\tVBD\tB-VP\tO' +p343253 +aS'that\tthat\tDT\tO\tO' +p343254 +aS'her\ther\tPRP$\tB-NP\tO' +p343255 +aS'agitation\tagitation\tNN\tI-NP\tO' +p343256 +aS'was\tbe\tVBD\tB-VP\tO' +p343257 +aS'most\tmost\tRBS\tB-ADVP\tO' +p343258 +aS'likely\tlikely\tRB\tI-ADVP\tO' +p343259 +aS'due\tdue\tIN\tB-PP\tO' +p343260 +aS'to\tto\tTO\tB-PP\tO' +p343261 +aS'infection\tinfection\tNN\tB-NP\tO' +p343262 +aS',\t,\t,\tO\tO' +p343263 +aS'her\ther\tPRP$\tB-NP\tO' +p343264 +aS'multiple\tmultiple\tJJ\tI-NP\tO' +p343265 +aS'medications\tmedication\tNNS\tI-NP\tO' +p343266 +aS',\t,\t,\tO\tO' +p343267 +aS'or\tor\tCC\tO\tO' +p343268 +aS'her\ther\tPRP$\tB-NP\tO' +p343269 +aS'metabolic\tmetabolic\tJJ\tI-NP\tO' +p343270 +aS'condition\tcondition\tNN\tI-NP\tO' +p343271 +aS'.\t.\t.\tO\tO' +p343272 +asS'Head CT scan showed a 2 x 2 x 2 left anterior temporal hemorrhage with minimal surrounding edema .' +p343273 +(lp343274 +S'Head\tHead\tJJ\tB-NP\tO' +p343275 +aS'CT\tCT\tNN\tI-NP\tO' +p343276 +aS'scan\tscan\tNN\tI-NP\tO' +p343277 +aS'showed\tshow\tVBD\tB-VP\tO' +p343278 +aS'a\ta\tDT\tB-NP\tO' +p343279 +aS'2\t2\tCD\tI-NP\tO' +p343280 +aS'x\tx\tSYM\tI-NP\tO' +p343281 +aS'2\t2\tCD\tI-NP\tO' +p343282 +aS'x\tx\tSYM\tI-NP\tO' +p343283 +aS'2\t2\tCD\tI-NP\tO' +p343284 +aS'left\tleave\tVBD\tB-VP\tO' +p343285 +aS'anterior\tanterior\tJJ\tB-NP\tO' +p343286 +aS'temporal\ttemporal\tJJ\tI-NP\tO' +p343287 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p343288 +aS'with\twith\tIN\tB-PP\tO' +p343289 +aS'minimal\tminimal\tJJ\tB-NP\tO' +p343290 +aS'surrounding\tsurround\tVBG\tI-NP\tO' +p343291 +aS'edema\tedema\tNN\tI-NP\tO' +p343292 +aS'.\t.\t.\tO\tO' +p343293 +asS'She was afebrile and had normal vital signs .' +p343294 +(lp343295 +S'She\tShe\tPRP\tB-NP\tO' +p343296 +aS'was\tbe\tVBD\tB-VP\tO' +p343297 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p343298 +aS'and\tand\tCC\tO\tO' +p343299 +aS'had\thave\tVBD\tB-VP\tO' +p343300 +aS'normal\tnormal\tJJ\tB-NP\tO' +p343301 +aS'vital\tvital\tJJ\tI-NP\tO' +p343302 +aS'signs\tsign\tNNS\tI-NP\tO' +p343303 +aS'.\t.\t.\tO\tO' +p343304 +asS'House / ADA 2100 cals / day / Low saturated fat low cholesterol < FDI >' +p343305 +(lp343306 +S'House\tHouse\tNN\tB-NP\tO' +p343307 +aS'/\t/\tSYM\tI-NP\tO' +p343308 +aS'ADA\tADA\tNN\tI-NP\tO' +p343309 +aS'2100\t2100\tCD\tB-NP\tO' +p343310 +aS'cals\tcal\tNNS\tI-NP\tO' +p343311 +aS'/\t/\tSYM\tB-NP\tO' +p343312 +aS'day\tday\tNN\tI-NP\tO' +p343313 +aS'/\t/\tSYM\tB-NP\tO' +p343314 +aS'Low\tLow\tNN\tI-NP\tO' +p343315 +aS'saturated\tsaturate\tVBD\tB-VP\tO' +p343316 +aS'fat\tfat\tJJ\tB-NP\tO' +p343317 +aS'low\tlow\tJJ\tI-NP\tO' +p343318 +aS'cholesterol\tcholesterol\tNN\tI-NP\tO' +p343319 +aS'<\t<\tCC\tO\tO' +p343320 +aS'FDI\tFDI\tNNP\tB-NP\tO' +p343321 +aS'>\t>\t:\tO\tO' +p343322 +asS'They recommended follow-up examination due on the week of 12/20 .' +p343323 +(lp343324 +S'They\tThey\tPRP\tB-NP\tO' +p343325 +aS'recommended\trecommend\tVBD\tB-VP\tO' +p343326 +aS'follow-up\tfollow-up\tJJ\tB-NP\tO' +p343327 +aS'examination\texamination\tNN\tI-NP\tO' +p343328 +aS'due\tdue\tJJ\tB-ADJP\tO' +p343329 +aS'on\ton\tIN\tB-PP\tO' +p343330 +aS'the\tthe\tDT\tB-NP\tO' +p343331 +aS'week\tweek\tNN\tI-NP\tO' +p343332 +aS'of\tof\tIN\tB-PP\tO' +p343333 +aS'12/20\t12/20\tCD\tB-NP\tO' +p343334 +aS'.\t.\t.\tO\tO' +p343335 +asS'He had an electroencephalogram performed on his initial admittance to the Intensive Care Unit which did not show any evidence of seizure activity .' +p343336 +(lp343337 +S'He\tHe\tPRP\tB-NP\tO' +p343338 +aS'had\thave\tVBD\tB-VP\tO' +p343339 +aS'an\tan\tDT\tB-NP\tO' +p343340 +aS'electroencephalogram\telectroencephalogram\tNN\tI-NP\tO' +p343341 +aS'performed\tperform\tVBN\tB-VP\tO' +p343342 +aS'on\ton\tIN\tB-PP\tO' +p343343 +aS'his\this\tPRP$\tB-NP\tO' +p343344 +aS'initial\tinitial\tJJ\tI-NP\tO' +p343345 +aS'admittance\tadmittance\tNN\tI-NP\tO' +p343346 +aS'to\tto\tTO\tB-PP\tO' +p343347 +aS'the\tthe\tDT\tB-NP\tO' +p343348 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p343349 +aS'Care\tCare\tNNP\tI-NP\tO' +p343350 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p343351 +aS'which\twhich\tWDT\tB-NP\tO' +p343352 +aS'did\tdo\tVBD\tB-VP\tO' +p343353 +aS'not\tnot\tRB\tI-VP\tO' +p343354 +aS'show\tshow\tVB\tI-VP\tO' +p343355 +aS'any\tany\tDT\tB-NP\tO' +p343356 +aS'evidence\tevidence\tNN\tI-NP\tO' +p343357 +aS'of\tof\tIN\tB-PP\tO' +p343358 +aS'seizure\tseizure\tNN\tB-NP\tO' +p343359 +aS'activity\tactivity\tNN\tI-NP\tO' +p343360 +aS'.\t.\t.\tO\tO' +p343361 +asS'He is currently married , has 10 children .' +p343362 +(lp343363 +S'He\tHe\tPRP\tB-NP\tO' +p343364 +aS'is\tbe\tVBZ\tB-VP\tO' +p343365 +aS'currently\tcurrently\tRB\tI-VP\tO' +p343366 +aS'married\tmarry\tVBN\tI-VP\tO' +p343367 +aS',\t,\t,\tO\tO' +p343368 +aS'has\thave\tVBZ\tB-VP\tO' +p343369 +aS'10\t10\tCD\tB-NP\tO' +p343370 +aS'children\tchild\tNNS\tI-NP\tO' +p343371 +aS'.\t.\t.\tO\tO' +p343372 +asS'In general , confused white man , in mild distress .' +p343373 +(lp343374 +S'In\tIn\tIN\tB-PP\tO' +p343375 +aS'general\tgeneral\tJJ\tB-NP\tO' +p343376 +aS',\t,\t,\tI-NP\tO' +p343377 +aS'confused\tconfused\tJJ\tI-NP\tO' +p343378 +aS'white\twhite\tJJ\tI-NP\tO' +p343379 +aS'man\tman\tNN\tI-NP\tO' +p343380 +aS',\t,\t,\tO\tO' +p343381 +aS'in\tin\tIN\tB-PP\tO' +p343382 +aS'mild\tmild\tJJ\tB-NP\tO' +p343383 +aS'distress\tdistress\tNN\tI-NP\tO' +p343384 +aS'.\t.\t.\tO\tO' +p343385 +asS'The EGD did show three esophageal ulcers that were localized and apparent suggestion of pill esophagitis .' +p343386 +(lp343387 +S'The\tThe\tDT\tB-NP\tO' +p343388 +aS'EGD\tEGD\tNN\tI-NP\tB-protein' +p343389 +aS'did\tdo\tVBD\tB-VP\tO' +p343390 +aS'show\tshow\tVB\tI-VP\tO' +p343391 +aS'three\tthree\tCD\tB-NP\tO' +p343392 +aS'esophageal\tesophageal\tJJ\tI-NP\tO' +p343393 +aS'ulcers\tulcer\tNNS\tI-NP\tO' +p343394 +aS'that\tthat\tWDT\tB-NP\tO' +p343395 +aS'were\tbe\tVBD\tB-VP\tO' +p343396 +aS'localized\tlocalize\tVBN\tI-VP\tO' +p343397 +aS'and\tand\tCC\tO\tO' +p343398 +aS'apparent\tapparent\tJJ\tB-NP\tO' +p343399 +aS'suggestion\tsuggestion\tNN\tI-NP\tO' +p343400 +aS'of\tof\tIN\tB-PP\tO' +p343401 +aS'pill\tpill\tNN\tB-NP\tO' +p343402 +aS'esophagitis\tesophagitis\tNN\tI-NP\tO' +p343403 +aS'.\t.\t.\tO\tO' +p343404 +asS'9. Carbidopa - Levodopa 50 - 200 mg Tablet Sustained Release Sig : One ( 1 ) Tablet PO TID ( 3 times a day ) .' +p343405 +(lp343406 +S'9.\t9.\tCD\tB-NP\tO' +p343407 +aS'Carbidopa\tCarbidopa\tNNP\tI-NP\tO' +p343408 +aS'-\t-\tHYPH\tO\tO' +p343409 +aS'Levodopa\tLevodopa\tNNP\tB-NP\tO' +p343410 +aS'50\t50\tCD\tI-NP\tO' +p343411 +aS'-\t-\tHYPH\tI-NP\tO' +p343412 +aS'200\t200\tCD\tI-NP\tO' +p343413 +aS'mg\tmg\tNN\tI-NP\tO' +p343414 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p343415 +aS'Sustained\tSustained\tNNP\tI-NP\tO' +p343416 +aS'Release\tRelease\tNNP\tI-NP\tO' +p343417 +aS'Sig\tSig\tNNP\tI-NP\tB-protein' +p343418 +aS':\t:\t:\tO\tO' +p343419 +aS'One\tOne\tCD\tB-NP\tO' +p343420 +aS'(\t(\t(\tO\tO' +p343421 +aS'1\t1\tCD\tB-NP\tO' +p343422 +aS')\t)\t)\tO\tO' +p343423 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p343424 +aS'PO\tPO\tNN\tI-NP\tO' +p343425 +aS'TID\tTID\tNN\tI-NP\tO' +p343426 +aS'(\t(\t(\tO\tO' +p343427 +aS'3\t3\tCD\tB-NP\tO' +p343428 +aS'times\ttime\tNNS\tI-NP\tO' +p343429 +aS'a\ta\tDT\tB-NP\tO' +p343430 +aS'day\tday\tNN\tI-NP\tO' +p343431 +aS')\t)\t)\tO\tO' +p343432 +aS'.\t.\t.\tO\tO' +p343433 +asS'She was discharged to home on hospital day number eight , on oral antibiotics .' +p343434 +(lp343435 +S'She\tShe\tPRP\tB-NP\tO' +p343436 +aS'was\tbe\tVBD\tB-VP\tO' +p343437 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p343438 +aS'to\tto\tTO\tB-PP\tO' +p343439 +aS'home\thome\tNN\tB-NP\tO' +p343440 +aS'on\ton\tIN\tB-PP\tO' +p343441 +aS'hospital\thospital\tNN\tB-NP\tO' +p343442 +aS'day\tday\tNN\tI-NP\tO' +p343443 +aS'number\tnumber\tNN\tI-NP\tO' +p343444 +aS'eight\teight\tCD\tB-NP\tO' +p343445 +aS',\t,\t,\tO\tO' +p343446 +aS'on\ton\tIN\tB-PP\tO' +p343447 +aS'oral\toral\tJJ\tB-NP\tO' +p343448 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p343449 +aS'.\t.\t.\tO\tO' +p343450 +asS'The infant was initially started on 80 cc / kg / day of intravenous fluid D10W and advanced to 150 cc / kg / day by day of life four .' +p343451 +(lp343452 +S'The\tThe\tDT\tB-NP\tO' +p343453 +aS'infant\tinfant\tNN\tI-NP\tO' +p343454 +aS'was\tbe\tVBD\tB-VP\tO' +p343455 +aS'initially\tinitially\tRB\tI-VP\tO' +p343456 +aS'started\tstart\tVBN\tI-VP\tO' +p343457 +aS'on\ton\tIN\tB-PP\tO' +p343458 +aS'80\t80\tCD\tB-NP\tO' +p343459 +aS'cc\tcc\tNN\tI-NP\tO' +p343460 +aS'/\t/\tSYM\tB-NP\tO' +p343461 +aS'kg\tkg\tNN\tI-NP\tO' +p343462 +aS'/\t/\tSYM\tB-NP\tO' +p343463 +aS'day\tday\tNN\tI-NP\tO' +p343464 +aS'of\tof\tIN\tB-PP\tO' +p343465 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p343466 +aS'fluid\tfluid\tNN\tI-NP\tO' +p343467 +aS'D10W\tD10W\tNN\tI-NP\tO' +p343468 +aS'and\tand\tCC\tO\tO' +p343469 +aS'advanced\tadvance\tVBN\tB-VP\tO' +p343470 +aS'to\tto\tTO\tB-PP\tO' +p343471 +aS'150\t150\tCD\tB-NP\tO' +p343472 +aS'cc\tcc\tNN\tI-NP\tO' +p343473 +aS'/\t/\tSYM\tB-NP\tO' +p343474 +aS'kg\tkg\tNN\tI-NP\tO' +p343475 +aS'/\t/\tSYM\tB-NP\tO' +p343476 +aS'day\tday\tNN\tI-NP\tO' +p343477 +aS'by\tby\tIN\tB-PP\tO' +p343478 +aS'day\tday\tNN\tB-NP\tO' +p343479 +aS'of\tof\tIN\tB-PP\tO' +p343480 +aS'life\tlife\tNN\tB-NP\tO' +p343481 +aS'four\tfour\tCD\tI-NP\tO' +p343482 +aS'.\t.\t.\tO\tO' +p343483 +asS'Dr. Hashimoto , No Known Allergies' +p343484 +(lp343485 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p343486 +aS'Hashimoto\tHashimoto\tNNP\tI-NP\tO' +p343487 +aS',\t,\t,\tO\tO' +p343488 +aS'No\tNo\tNNP\tB-NP\tO' +p343489 +aS'Known\tKnown\tNNP\tI-NP\tO' +p343490 +aS'Allergies\tAllergies\tNNP\tI-NP\tO' +p343491 +asS'Serum markers were normal .' +p343492 +(lp343493 +S'Serum\tSerum\tNN\tB-NP\tB-protein' +p343494 +aS'markers\tmarker\tNNS\tI-NP\tI-protein' +p343495 +aS'were\tbe\tVBD\tB-VP\tO' +p343496 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p343497 +aS'.\t.\t.\tO\tO' +p343498 +asS'There is no hepatosplenomegaly noted on abdominal exam .' +p343499 +(lp343500 +S'There\tThere\tEX\tB-NP\tO' +p343501 +aS'is\tbe\tVBZ\tB-VP\tO' +p343502 +aS'no\tno\tDT\tB-NP\tO' +p343503 +aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tI-NP\tO' +p343504 +aS'noted\tnote\tVBN\tB-VP\tO' +p343505 +aS'on\ton\tIN\tB-PP\tO' +p343506 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p343507 +aS'exam\texam\tNN\tI-NP\tO' +p343508 +aS'.\t.\t.\tO\tO' +p343509 +asS'No chest pain , no shortness of breath , 1+ ankle edema .' +p343510 +(lp343511 +S'No\tNo\tDT\tB-NP\tO' +p343512 +aS'chest\tchest\tNN\tI-NP\tO' +p343513 +aS'pain\tpain\tNN\tI-NP\tO' +p343514 +aS',\t,\t,\tO\tO' +p343515 +aS'no\tno\tDT\tB-NP\tO' +p343516 +aS'shortness\tshortness\tNN\tI-NP\tO' +p343517 +aS'of\tof\tIN\tB-PP\tO' +p343518 +aS'breath\tbreath\tNN\tB-NP\tO' +p343519 +aS',\t,\t,\tO\tO' +p343520 +aS'1+\t1+\tJJ\tB-NP\tO' +p343521 +aS'ankle\tankle\tNN\tI-NP\tO' +p343522 +aS'edema\tedema\tNN\tI-NP\tO' +p343523 +aS'.\t.\t.\tO\tO' +p343524 +asS'She received intermittent doses of Lasix to assure overall negative intakes and outputs .' +p343525 +(lp343526 +S'She\tShe\tPRP\tB-NP\tO' +p343527 +aS'received\treceive\tVBD\tB-VP\tO' +p343528 +aS'intermittent\tintermittent\tJJ\tB-NP\tO' +p343529 +aS'doses\tdose\tNNS\tI-NP\tO' +p343530 +aS'of\tof\tIN\tB-PP\tO' +p343531 +aS'Lasix\tLasix\tNNP\tB-NP\tO' +p343532 +aS'to\tto\tTO\tB-VP\tO' +p343533 +aS'assure\tassure\tVB\tI-VP\tO' +p343534 +aS'overall\toverall\tJJ\tB-NP\tO' +p343535 +aS'negative\tnegative\tJJ\tI-NP\tO' +p343536 +aS'intakes\tintake\tNNS\tI-NP\tO' +p343537 +aS'and\tand\tCC\tI-NP\tO' +p343538 +aS'outputs\toutput\tNNS\tI-NP\tO' +p343539 +aS'.\t.\t.\tO\tO' +p343540 +asS'The patient denies melena , bright red blood per rectum , no emesis , or fevers or chills .' +p343541 +(lp343542 +S'The\tThe\tDT\tB-NP\tO' +p343543 +aS'patient\tpatient\tNN\tI-NP\tO' +p343544 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p343545 +aS'melena\tmelena\tNN\tB-NP\tO' +p343546 +aS',\t,\t,\tO\tO' +p343547 +aS'bright\tbright\tJJ\tB-NP\tO' +p343548 +aS'red\tred\tJJ\tI-NP\tO' +p343549 +aS'blood\tblood\tNN\tI-NP\tO' +p343550 +aS'per\tper\tIN\tB-PP\tO' +p343551 +aS'rectum\trectum\tNN\tB-NP\tO' +p343552 +aS',\t,\t,\tO\tO' +p343553 +aS'no\tno\tDT\tB-NP\tO' +p343554 +aS'emesis\temesis\tNN\tI-NP\tO' +p343555 +aS',\t,\t,\tO\tO' +p343556 +aS'or\tor\tCC\tO\tO' +p343557 +aS'fevers\tfever\tNNS\tB-NP\tO' +p343558 +aS'or\tor\tCC\tI-NP\tO' +p343559 +aS'chills\tchill\tNNS\tI-NP\tO' +p343560 +aS'.\t.\t.\tO\tO' +p343561 +asS'Anterior fontanelle , soft and flat , palate intact , nondysmorphic features .' +p343562 +(lp343563 +S'Anterior\tAnterior\tJJ\tB-NP\tO' +p343564 +aS'fontanelle\tfontanelle\tNN\tI-NP\tO' +p343565 +aS',\t,\t,\tO\tO' +p343566 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p343567 +aS'and\tand\tCC\tI-ADJP\tO' +p343568 +aS'flat\tflat\tJJ\tI-ADJP\tO' +p343569 +aS',\t,\t,\tO\tO' +p343570 +aS'palate\tpalate\tVB\tB-VP\tO' +p343571 +aS'intact\tintact\tJJ\tB-NP\tO' +p343572 +aS',\t,\t,\tI-NP\tO' +p343573 +aS'nondysmorphic\tnondysmorphic\tJJ\tI-NP\tO' +p343574 +aS'features\tfeature\tNNS\tI-NP\tO' +p343575 +aS'.\t.\t.\tO\tO' +p343576 +asS'The patient does not smoke .' +p343577 +(lp343578 +S'The\tThe\tDT\tB-NP\tO' +p343579 +aS'patient\tpatient\tNN\tI-NP\tO' +p343580 +aS'does\tdo\tVBZ\tB-VP\tO' +p343581 +aS'not\tnot\tRB\tI-VP\tO' +p343582 +aS'smoke\tsmoke\tVB\tI-VP\tO' +p343583 +aS'.\t.\t.\tO\tO' +p343584 +asS'He is successfully extubated on 08-12 and hypertension transferred to the floor in stable condition where the Pain Service is managing his epidural with very good effect and he is tolerating a regular p.o. diet and is making adequate amount of urine .' +p343585 +(lp343586 +S'He\tHe\tPRP\tB-NP\tO' +p343587 +aS'is\tbe\tVBZ\tB-VP\tO' +p343588 +aS'successfully\tsuccessfully\tRB\tI-VP\tO' +p343589 +aS'extubated\textubate\tVBN\tI-VP\tO' +p343590 +aS'on\ton\tIN\tB-PP\tO' +p343591 +aS'08-12\t08-12\tNN\tB-NP\tO' +p343592 +aS'and\tand\tCC\tI-NP\tO' +p343593 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p343594 +aS'transferred\ttransfer\tVBN\tB-VP\tO' +p343595 +aS'to\tto\tTO\tB-PP\tO' +p343596 +aS'the\tthe\tDT\tB-NP\tO' +p343597 +aS'floor\tfloor\tNN\tI-NP\tO' +p343598 +aS'in\tin\tIN\tB-PP\tO' +p343599 +aS'stable\tstable\tJJ\tB-NP\tO' +p343600 +aS'condition\tcondition\tNN\tI-NP\tO' +p343601 +aS'where\twhere\tWRB\tB-ADVP\tO' +p343602 +aS'the\tthe\tDT\tB-NP\tO' +p343603 +aS'Pain\tPain\tNNP\tI-NP\tO' +p343604 +aS'Service\tService\tNNP\tI-NP\tO' +p343605 +aS'is\tbe\tVBZ\tB-VP\tO' +p343606 +aS'managing\tmanage\tVBG\tI-VP\tO' +p343607 +aS'his\this\tPRP$\tB-NP\tO' +p343608 +aS'epidural\tepidural\tNN\tI-NP\tO' +p343609 +aS'with\twith\tIN\tB-PP\tO' +p343610 +aS'very\tvery\tRB\tB-NP\tO' +p343611 +aS'good\tgood\tJJ\tI-NP\tO' +p343612 +aS'effect\teffect\tNN\tI-NP\tO' +p343613 +aS'and\tand\tCC\tO\tO' +p343614 +aS'he\the\tPRP\tB-NP\tO' +p343615 +aS'is\tbe\tVBZ\tB-VP\tO' +p343616 +aS'tolerating\ttolerate\tVBG\tI-VP\tO' +p343617 +aS'a\ta\tDT\tB-NP\tO' +p343618 +aS'regular\tregular\tJJ\tI-NP\tO' +p343619 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p343620 +aS'diet\tdiet\tNN\tI-NP\tO' +p343621 +aS'and\tand\tCC\tO\tO' +p343622 +aS'is\tbe\tVBZ\tB-VP\tO' +p343623 +aS'making\tmake\tVBG\tI-VP\tO' +p343624 +aS'adequate\tadequate\tJJ\tB-NP\tO' +p343625 +aS'amount\tamount\tNN\tI-NP\tO' +p343626 +aS'of\tof\tIN\tB-PP\tO' +p343627 +aS'urine\turine\tNN\tB-NP\tO' +p343628 +aS'.\t.\t.\tO\tO' +p343629 +asS'In addition pt will be given vancomycin at dialysis x 2 week course ( last day 2019-02-05 ) given his PORT line infection .' +p343630 +(lp343631 +S'In\tIn\tIN\tB-PP\tO' +p343632 +aS'addition\taddition\tNN\tB-NP\tO' +p343633 +aS'pt\tpt\tNN\tI-NP\tO' +p343634 +aS'will\twill\tMD\tB-VP\tO' +p343635 +aS'be\tbe\tVB\tI-VP\tO' +p343636 +aS'given\tgive\tVBN\tI-VP\tO' +p343637 +aS'vancomycin\tvancomycin\tNN\tB-NP\tO' +p343638 +aS'at\tat\tIN\tB-PP\tO' +p343639 +aS'dialysis\tdialysis\tNN\tB-NP\tO' +p343640 +aS'x\tx\tSYM\tO\tO' +p343641 +aS'2\t2\tCD\tB-NP\tO' +p343642 +aS'week\tweek\tNN\tI-NP\tO' +p343643 +aS'course\tcourse\tNN\tI-NP\tO' +p343644 +aS'(\t(\t(\tO\tO' +p343645 +aS'last\tlast\tJJ\tB-NP\tO' +p343646 +aS'day\tday\tNN\tI-NP\tO' +p343647 +aS'2019-02-05\t2019-02-05\tCD\tI-NP\tO' +p343648 +aS')\t)\t)\tO\tO' +p343649 +aS'given\tgive\tVBN\tB-VP\tO' +p343650 +aS'his\this\tPRP$\tB-NP\tO' +p343651 +aS'PORT\tPORT\tNN\tI-NP\tO' +p343652 +aS'line\tline\tNN\tI-NP\tO' +p343653 +aS'infection\tinfection\tNN\tI-NP\tO' +p343654 +aS'.\t.\t.\tO\tO' +p343655 +asS'11. History of hemoptysis , on Coumadin .' +p343656 +(lp343657 +S'11.\t11.\tLS\tB-NP\tO' +p343658 +aS'History\tHistory\tNN\tI-NP\tO' +p343659 +aS'of\tof\tIN\tB-PP\tO' +p343660 +aS'hemoptysis\themoptysis\tNN\tB-NP\tO' +p343661 +aS',\t,\t,\tO\tO' +p343662 +aS'on\ton\tIN\tB-PP\tO' +p343663 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p343664 +aS'.\t.\t.\tO\tO' +p343665 +asS'He was taken to fluoroscopy , where oral contrast was demonstrated to be extravasating through a posterior duodenum .' +p343666 +(lp343667 +S'He\tHe\tPRP\tB-NP\tO' +p343668 +aS'was\tbe\tVBD\tB-VP\tO' +p343669 +aS'taken\ttake\tVBN\tI-VP\tO' +p343670 +aS'to\tto\tTO\tI-VP\tO' +p343671 +aS'fluoroscopy\tfluoroscopy\tVB\tI-VP\tO' +p343672 +aS',\t,\t,\tO\tO' +p343673 +aS'where\twhere\tWRB\tB-ADVP\tO' +p343674 +aS'oral\toral\tJJ\tB-NP\tO' +p343675 +aS'contrast\tcontrast\tNN\tI-NP\tO' +p343676 +aS'was\tbe\tVBD\tB-VP\tO' +p343677 +aS'demonstrated\tdemonstrate\tVBN\tI-VP\tO' +p343678 +aS'to\tto\tTO\tI-VP\tO' +p343679 +aS'be\tbe\tVB\tI-VP\tO' +p343680 +aS'extravasating\textravasate\tVBG\tI-VP\tO' +p343681 +aS'through\tthrough\tIN\tB-PP\tO' +p343682 +aS'a\ta\tDT\tB-NP\tO' +p343683 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p343684 +aS'duodenum\tduodenum\tNN\tI-NP\tO' +p343685 +aS'.\t.\t.\tO\tO' +p343686 +asS'The patient has had no symptoms until approximately two years ago when she began having classic biliary colic pain with right upper quadrant epigastric pain radiating to midback with nausea , but without vomiting .' +p343687 +(lp343688 +S'The\tThe\tDT\tB-NP\tO' +p343689 +aS'patient\tpatient\tNN\tI-NP\tO' +p343690 +aS'has\thave\tVBZ\tB-VP\tO' +p343691 +aS'had\thave\tVBN\tI-VP\tO' +p343692 +aS'no\tno\tDT\tB-NP\tO' +p343693 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p343694 +aS'until\tuntil\tIN\tB-PP\tO' +p343695 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p343696 +aS'two\ttwo\tCD\tI-NP\tO' +p343697 +aS'years\tyear\tNNS\tI-NP\tO' +p343698 +aS'ago\tago\tRB\tB-ADVP\tO' +p343699 +aS'when\twhen\tWRB\tB-ADVP\tO' +p343700 +aS'she\tshe\tPRP\tB-NP\tO' +p343701 +aS'began\tbegin\tVBD\tB-VP\tO' +p343702 +aS'having\thave\tVBG\tI-VP\tO' +p343703 +aS'classic\tclassic\tJJ\tB-NP\tO' +p343704 +aS'biliary\tbiliary\tJJ\tI-NP\tO' +p343705 +aS'colic\tcolic\tJJ\tI-NP\tO' +p343706 +aS'pain\tpain\tNN\tI-NP\tO' +p343707 +aS'with\twith\tIN\tB-PP\tO' +p343708 +aS'right\tright\tJJ\tB-NP\tO' +p343709 +aS'upper\tupper\tJJ\tI-NP\tO' +p343710 +aS'quadrant\tquadrant\tJJ\tI-NP\tO' +p343711 +aS'epigastric\tepigastric\tJJ\tI-NP\tO' +p343712 +aS'pain\tpain\tNN\tI-NP\tO' +p343713 +aS'radiating\tradiate\tVBG\tB-VP\tO' +p343714 +aS'to\tto\tTO\tI-VP\tO' +p343715 +aS'midback\tmidback\tVB\tI-VP\tO' +p343716 +aS'with\twith\tIN\tB-PP\tO' +p343717 +aS'nausea\tnausea\tNN\tB-NP\tO' +p343718 +aS',\t,\t,\tO\tO' +p343719 +aS'but\tbut\tCC\tO\tO' +p343720 +aS'without\twithout\tIN\tB-PP\tO' +p343721 +aS'vomiting\tvomit\tVBG\tB-VP\tO' +p343722 +aS'.\t.\t.\tO\tO' +p343723 +asS'House / Low saturated fat low cholesterol < FDI >' +p343724 +(lp343725 +S'House\tHouse\tNN\tB-NP\tO' +p343726 +aS'/\t/\tSYM\tI-NP\tO' +p343727 +aS'Low\tLow\tNN\tI-NP\tO' +p343728 +aS'saturated\tsaturate\tVBD\tB-VP\tO' +p343729 +aS'fat\tfat\tJJ\tB-NP\tO' +p343730 +aS'low\tlow\tJJ\tI-NP\tO' +p343731 +aS'cholesterol\tcholesterol\tNN\tI-NP\tO' +p343732 +aS'<\t<\tCC\tO\tO' +p343733 +aS'FDI\tFDI\tNNP\tB-NP\tO' +p343734 +aS'>\t>\t:\tO\tO' +p343735 +asS"Tf 's were dc 'ed prior to second surgery ." +p343736 +(lp343737 +S'Tf\tTf\tNNP\tB-NP\tO' +p343738 +aS"'s\t's\tPOS\tB-NP\tO" +p343739 +aS'were\tbe\tVBD\tB-VP\tO' +p343740 +aS'dc\tdc\tNN\tB-NP\tB-cell_type' +p343741 +aS"'ed\t'e\tVBD\tB-VP\tO" +p343742 +aS'prior\tprior\tRB\tB-ADVP\tO' +p343743 +aS'to\tto\tTO\tB-PP\tO' +p343744 +aS'second\tsecond\tJJ\tB-NP\tO' +p343745 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p343746 +aS'.\t.\t.\tO\tO' +p343747 +asS'post angiogram her eyes were closed .' +p343748 +(lp343749 +S'post\tpost\tIN\tB-PP\tO' +p343750 +aS'angiogram\tangiogram\tNN\tB-NP\tO' +p343751 +aS'her\ther\tPRP$\tB-NP\tO' +p343752 +aS'eyes\teye\tNNS\tI-NP\tO' +p343753 +aS'were\tbe\tVBD\tB-VP\tO' +p343754 +aS'closed\tclose\tVBN\tI-VP\tO' +p343755 +aS'.\t.\t.\tO\tO' +p343756 +asS'Initially he had been on lamotrigine but the was stopped in 10/12 when the pt was noted to be developing a new rash .' +p343757 +(lp343758 +S'Initially\tInitially\tRB\tB-ADVP\tO' +p343759 +aS'he\the\tPRP\tB-NP\tO' +p343760 +aS'had\thave\tVBD\tB-VP\tO' +p343761 +aS'been\tbe\tVBN\tI-VP\tO' +p343762 +aS'on\ton\tIN\tB-PP\tO' +p343763 +aS'lamotrigine\tlamotrigine\tNN\tB-NP\tO' +p343764 +aS'but\tbut\tCC\tO\tO' +p343765 +aS'the\tthe\tDT\tB-NP\tO' +p343766 +aS'was\tbe\tVBD\tB-VP\tO' +p343767 +aS'stopped\tstop\tVBN\tI-VP\tO' +p343768 +aS'in\tin\tIN\tB-PP\tO' +p343769 +aS'10/12\t10/12\tCD\tB-NP\tO' +p343770 +aS'when\twhen\tWRB\tB-ADVP\tO' +p343771 +aS'the\tthe\tDT\tB-NP\tO' +p343772 +aS'pt\tpt\tNN\tI-NP\tO' +p343773 +aS'was\tbe\tVBD\tB-VP\tO' +p343774 +aS'noted\tnote\tVBN\tI-VP\tO' +p343775 +aS'to\tto\tTO\tI-VP\tO' +p343776 +aS'be\tbe\tVB\tI-VP\tO' +p343777 +aS'developing\tdevelop\tVBG\tI-VP\tO' +p343778 +aS'a\ta\tDT\tB-NP\tO' +p343779 +aS'new\tnew\tJJ\tI-NP\tO' +p343780 +aS'rash\trash\tNN\tI-NP\tO' +p343781 +aS'.\t.\t.\tO\tO' +p343782 +asS'The patient required 100% oxygen to maintain adequate oxygen saturations on the ventilator .' +p343783 +(lp343784 +S'The\tThe\tDT\tB-NP\tO' +p343785 +aS'patient\tpatient\tNN\tI-NP\tO' +p343786 +aS'required\trequire\tVBD\tB-VP\tO' +p343787 +aS'100%\t100%\tCD\tB-NP\tO' +p343788 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p343789 +aS'to\tto\tTO\tB-VP\tO' +p343790 +aS'maintain\tmaintain\tVB\tI-VP\tO' +p343791 +aS'adequate\tadequate\tJJ\tB-NP\tO' +p343792 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p343793 +aS'saturations\tsaturation\tNNS\tI-NP\tO' +p343794 +aS'on\ton\tIN\tB-PP\tO' +p343795 +aS'the\tthe\tDT\tB-NP\tO' +p343796 +aS'ventilator\tventilator\tNN\tI-NP\tO' +p343797 +aS'.\t.\t.\tO\tO' +p343798 +asS'Signed electronically by : DR. Charles Y.S. Warnock on : Maxine 2013-06-20 5:29 PM' +p343799 +(lp343800 +S'Signed\tSign\tVBN\tB-VP\tO' +p343801 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p343802 +aS'by\tby\tIN\tB-PP\tO' +p343803 +aS':\t:\t:\tO\tO' +p343804 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p343805 +aS'Charles\tCharles\tNNP\tI-NP\tO' +p343806 +aS'Y.S.\tY.S.\tNNP\tI-NP\tO' +p343807 +aS'Warnock\tWarnock\tNNP\tI-NP\tO' +p343808 +aS'on\ton\tIN\tB-PP\tO' +p343809 +aS':\t:\t:\tO\tO' +p343810 +aS'Maxine\tMaxine\tNN\tB-NP\tO' +p343811 +aS'2013-06-20\t2013-06-20\tCD\tI-NP\tO' +p343812 +aS'5:29\t5:29\tCD\tI-NP\tO' +p343813 +aS'PM\tPM\tNN\tI-NP\tO' +p343814 +asS'13. Multivitamins .' +p343815 +(lp343816 +S'13.\t13.\tLS\tB-NP\tO' +p343817 +aS'Multivitamins\tMultivitamin\tNNS\tI-NP\tO' +p343818 +aS'.\t.\t.\tO\tO' +p343819 +asS'CT OF THE ABDOMEN WITHOUT IV CONTRAST : There are bilateral pleural effusions , right greater the left ; there is compressive atelectasis at the left lung base .' +p343820 +(lp343821 +S'CT\tCT\tNN\tB-NP\tO' +p343822 +aS'OF\tOF\tIN\tB-PP\tO' +p343823 +aS'THE\tTHE\tDT\tB-NP\tO' +p343824 +aS'ABDOMEN\tABDOMEN\tNN\tI-NP\tO' +p343825 +aS'WITHOUT\tWITHOUT\tNN\tI-NP\tO' +p343826 +aS'IV\tIV\tCD\tI-NP\tO' +p343827 +aS'CONTRAST\tCONTRAST\tNN\tI-NP\tO' +p343828 +aS':\t:\t:\tO\tO' +p343829 +aS'There\tThere\tEX\tB-NP\tO' +p343830 +aS'are\tbe\tVBP\tB-VP\tO' +p343831 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p343832 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p343833 +aS'effusions\teffusion\tNNS\tI-NP\tO' +p343834 +aS',\t,\t,\tO\tO' +p343835 +aS'right\tright\tRB\tB-ADVP\tO' +p343836 +aS'greater\tgreat\tJJR\tI-ADVP\tO' +p343837 +aS'the\tthe\tDT\tB-NP\tO' +p343838 +aS'left\tleft\tNN\tI-NP\tO' +p343839 +aS';\t;\t:\tO\tO' +p343840 +aS'there\tthere\tEX\tB-NP\tO' +p343841 +aS'is\tbe\tVBZ\tB-VP\tO' +p343842 +aS'compressive\tcompressive\tJJ\tB-NP\tO' +p343843 +aS'atelectasis\tatelectasis\tNN\tI-NP\tO' +p343844 +aS'at\tat\tIN\tB-PP\tO' +p343845 +aS'the\tthe\tDT\tB-NP\tO' +p343846 +aS'left\tleft\tJJ\tI-NP\tO' +p343847 +aS'lung\tlung\tNN\tI-NP\tO' +p343848 +aS'base\tbase\tNN\tI-NP\tO' +p343849 +aS'.\t.\t.\tO\tO' +p343850 +asS'Denies ETOH , rare Tobacco .' +p343851 +(lp343852 +S'Denies\tDeny\tNNS\tB-NP\tO' +p343853 +aS'ETOH\tETOH\tNN\tI-NP\tO' +p343854 +aS',\t,\t,\tO\tO' +p343855 +aS'rare\trare\tJJ\tB-NP\tO' +p343856 +aS'Tobacco\tTobacco\tNNP\tI-NP\tO' +p343857 +aS'.\t.\t.\tO\tO' +p343858 +asS'Ext : + distal pulses , no edema' +p343859 +(lp343860 +S'Ext\tExt\tNN\tB-NP\tO' +p343861 +aS':\t:\t:\tO\tO' +p343862 +aS'+\t+\tSYM\tB-NP\tO' +p343863 +aS'distal\tdistal\tJJ\tI-NP\tO' +p343864 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p343865 +aS',\t,\t,\tO\tO' +p343866 +aS'no\tno\tDT\tB-NP\tO' +p343867 +aS'edema\tedema\tNN\tI-NP\tO' +p343868 +asS'The estimated blood loss was 300 cc .' +p343869 +(lp343870 +S'The\tThe\tDT\tB-NP\tO' +p343871 +aS'estimated\testimate\tVBN\tI-NP\tO' +p343872 +aS'blood\tblood\tNN\tI-NP\tO' +p343873 +aS'loss\tloss\tNN\tI-NP\tO' +p343874 +aS'was\tbe\tVBD\tB-VP\tO' +p343875 +aS'300\t300\tCD\tB-NP\tO' +p343876 +aS'cc\tcc\tNN\tI-NP\tO' +p343877 +aS'.\t.\t.\tO\tO' +p343878 +asS'She subsequently could not urinate and was in pain secondary to her problem .' +p343879 +(lp343880 +S'She\tShe\tPRP\tB-NP\tO' +p343881 +aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' +p343882 +aS'could\tcould\tMD\tB-VP\tO' +p343883 +aS'not\tnot\tRB\tI-VP\tO' +p343884 +aS'urinate\turinate\tVB\tI-VP\tO' +p343885 +aS'and\tand\tCC\tO\tO' +p343886 +aS'was\tbe\tVBD\tB-VP\tO' +p343887 +aS'in\tin\tIN\tB-PP\tO' +p343888 +aS'pain\tpain\tNN\tB-NP\tO' +p343889 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p343890 +aS'to\tto\tTO\tB-PP\tO' +p343891 +aS'her\ther\tPRP$\tB-NP\tO' +p343892 +aS'problem\tproblem\tNN\tI-NP\tO' +p343893 +aS'.\t.\t.\tO\tO' +p343894 +asS'5. Zantac 150 mg po bid .' +p343895 +(lp343896 +S'5.\t5.\tLS\tB-LST\tO' +p343897 +aS'Zantac\tZantac\tNN\tB-NP\tO' +p343898 +aS'150\t150\tCD\tI-NP\tO' +p343899 +aS'mg\tmg\tNN\tI-NP\tO' +p343900 +aS'po\tpo\tNN\tI-NP\tO' +p343901 +aS'bid\tbid\tNN\tI-NP\tO' +p343902 +aS'.\t.\t.\tO\tO' +p343903 +asS'There is no evidence of acute intra - or extra - axial hemorrhage .' +p343904 +(lp343905 +S'There\tThere\tEX\tB-NP\tO' +p343906 +aS'is\tbe\tVBZ\tB-VP\tO' +p343907 +aS'no\tno\tDT\tB-NP\tO' +p343908 +aS'evidence\tevidence\tNN\tI-NP\tO' +p343909 +aS'of\tof\tIN\tB-PP\tO' +p343910 +aS'acute\tacute\tJJ\tB-NP\tO' +p343911 +aS'intra\tintra\tAFX\tI-NP\tO' +p343912 +aS'-\t-\tHYPH\tI-NP\tO' +p343913 +aS'or\tor\tCC\tI-NP\tO' +p343914 +aS'extra\textra\tAFX\tI-NP\tO' +p343915 +aS'-\t-\tHYPH\tI-NP\tO' +p343916 +aS'axial\taxial\tJJ\tI-NP\tO' +p343917 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p343918 +aS'.\t.\t.\tO\tO' +p343919 +asS'Ileus .' +p343920 +(lp343921 +S'Ileus\tIleus\tNN\tB-NP\tO' +p343922 +aS'.\t.\t.\tO\tO' +p343923 +asS'Elderly man in NAD , VSS' +p343924 +(lp343925 +S'Elderly\tElderly\tJJ\tB-NP\tO' +p343926 +aS'man\tman\tNN\tI-NP\tO' +p343927 +aS'in\tin\tIN\tB-PP\tO' +p343928 +aS'NAD\tNAD\tNN\tB-NP\tO' +p343929 +aS',\t,\t,\tO\tO' +p343930 +aS'VSS\tVSS\tNN\tB-NP\tB-protein' +p343931 +asS'Patient was instructed to restart Sutent next Monday .' +p343932 +(lp343933 +S'Patient\tPatient\tNN\tB-NP\tO' +p343934 +aS'was\tbe\tVBD\tB-VP\tO' +p343935 +aS'instructed\tinstruct\tVBN\tI-VP\tO' +p343936 +aS'to\tto\tTO\tI-VP\tO' +p343937 +aS'restart\trestart\tVB\tI-VP\tO' +p343938 +aS'Sutent\tSutent\tNNP\tO\tO' +p343939 +aS'next\tnext\tIN\tB-NP\tO' +p343940 +aS'Monday\tMonday\tNNP\tI-NP\tO' +p343941 +aS'.\t.\t.\tO\tO' +p343942 +asS'His intra-aortic balloon pump was weaned the following day and he was transferred out of the Surgical Intensive Care Unit .' +p343943 +(lp343944 +S'His\tHis\tPRP$\tB-NP\tO' +p343945 +aS'intra-aortic\tintra-aortic\tJJ\tI-NP\tO' +p343946 +aS'balloon\tballoon\tNN\tI-NP\tO' +p343947 +aS'pump\tpump\tNN\tI-NP\tO' +p343948 +aS'was\tbe\tVBD\tB-VP\tO' +p343949 +aS'weaned\twean\tVBN\tI-VP\tO' +p343950 +aS'the\tthe\tDT\tB-NP\tO' +p343951 +aS'following\tfollow\tVBG\tI-NP\tO' +p343952 +aS'day\tday\tNN\tI-NP\tO' +p343953 +aS'and\tand\tCC\tO\tO' +p343954 +aS'he\the\tPRP\tB-NP\tO' +p343955 +aS'was\tbe\tVBD\tB-VP\tO' +p343956 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p343957 +aS'out\tout\tIN\tB-PP\tO' +p343958 +aS'of\tof\tIN\tB-PP\tO' +p343959 +aS'the\tthe\tDT\tB-NP\tO' +p343960 +aS'Surgical\tSurgical\tNNP\tI-NP\tO' +p343961 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p343962 +aS'Care\tCare\tNNP\tI-NP\tO' +p343963 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p343964 +aS'.\t.\t.\tO\tO' +p343965 +asS'Flap checks carried out q.2h. initially in the Surgical Intensive Care Unit showing positive biphasic Doppler signals .' +p343966 +(lp343967 +S'Flap\tFlap\tNN\tB-NP\tO' +p343968 +aS'checks\tcheck\tNNS\tI-NP\tO' +p343969 +aS'carried\tcarry\tVBN\tB-VP\tO' +p343970 +aS'out\tout\tRP\tB-PRT\tO' +p343971 +aS'q.2h.\tq.2h.\tNN\tB-NP\tO' +p343972 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p343973 +aS'in\tin\tIN\tB-PP\tO' +p343974 +aS'the\tthe\tDT\tB-NP\tO' +p343975 +aS'Surgical\tSurgical\tNNP\tI-NP\tO' +p343976 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p343977 +aS'Care\tCare\tNNP\tI-NP\tO' +p343978 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p343979 +aS'showing\tshow\tVBG\tB-VP\tO' +p343980 +aS'positive\tpositive\tJJ\tB-NP\tO' +p343981 +aS'biphasic\tbiphasic\tJJ\tI-NP\tO' +p343982 +aS'Doppler\tDoppler\tNNP\tI-NP\tO' +p343983 +aS'signals\tsignal\tNNS\tI-NP\tO' +p343984 +aS'.\t.\t.\tO\tO' +p343985 +asS'ECHO was done and confirmed normal ejection fraction .' +p343986 +(lp343987 +S'ECHO\tECHO\tNN\tB-NP\tB-protein' +p343988 +aS'was\tbe\tVBD\tB-VP\tO' +p343989 +aS'done\tdo\tVBN\tI-VP\tO' +p343990 +aS'and\tand\tCC\tO\tO' +p343991 +aS'confirmed\tconfirm\tVBN\tB-VP\tO' +p343992 +aS'normal\tnormal\tJJ\tB-NP\tO' +p343993 +aS'ejection\tejection\tNN\tI-NP\tO' +p343994 +aS'fraction\tfraction\tNN\tI-NP\tO' +p343995 +aS'.\t.\t.\tO\tO' +p343996 +asS'His chest x-ray was notable for clear lungs with no edema or infiltrates and small bilateral effusions .' +p343997 +(lp343998 +S'His\tHis\tPRP$\tB-NP\tO' +p343999 +aS'chest\tchest\tNN\tI-NP\tO' +p344000 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p344001 +aS'was\tbe\tVBD\tB-VP\tO' +p344002 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p344003 +aS'for\tfor\tIN\tB-PP\tO' +p344004 +aS'clear\tclear\tJJ\tB-NP\tO' +p344005 +aS'lungs\tlung\tNNS\tI-NP\tO' +p344006 +aS'with\twith\tIN\tB-PP\tO' +p344007 +aS'no\tno\tDT\tB-NP\tO' +p344008 +aS'edema\tedema\tNN\tI-NP\tO' +p344009 +aS'or\tor\tCC\tI-NP\tO' +p344010 +aS'infiltrates\tinfiltrate\tNNS\tI-NP\tO' +p344011 +aS'and\tand\tCC\tO\tO' +p344012 +aS'small\tsmall\tJJ\tB-NP\tO' +p344013 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p344014 +aS'effusions\teffusion\tNNS\tI-NP\tO' +p344015 +aS'.\t.\t.\tO\tO' +p344016 +asS'fetal bradycardia .' +p344017 +(lp344018 +S'fetal\tfetal\tJJ\tB-NP\tO' +p344019 +aS'bradycardia\tbradycardia\tNN\tI-NP\tO' +p344020 +aS'.\t.\t.\tO\tO' +p344021 +asS'6. Vasotec .' +p344022 +(lp344023 +S'6.\t6.\tLS\tB-LST\tO' +p344024 +aS'Vasotec\tVasotec\tNNP\tB-NP\tO' +p344025 +aS'.\t.\t.\tO\tO' +p344026 +asS'Chest - CTA b/l with good air entry' +p344027 +(lp344028 +S'Chest\tChest\tAFX\tB-NP\tO' +p344029 +aS'-\t-\tHYPH\tI-NP\tO' +p344030 +aS'CTA\tCTA\tNN\tI-NP\tO' +p344031 +aS'b/l\tb/l\tNN\tI-NP\tO' +p344032 +aS'with\twith\tIN\tB-PP\tO' +p344033 +aS'good\tgood\tJJ\tB-NP\tO' +p344034 +aS'air\tair\tNN\tI-NP\tO' +p344035 +aS'entry\tentry\tNN\tI-NP\tO' +p344036 +asS'The location was variable .' +p344037 +(lp344038 +S'The\tThe\tDT\tB-NP\tO' +p344039 +aS'location\tlocation\tNN\tI-NP\tO' +p344040 +aS'was\tbe\tVBD\tB-VP\tO' +p344041 +aS'variable\tvariable\tJJ\tB-ADJP\tO' +p344042 +aS'.\t.\t.\tO\tO' +p344043 +asS'dr. kote 6 weeks , No Known Allergies' +p344044 +(lp344045 +S'dr.\tdr.\tLS\tB-LST\tO' +p344046 +aS'kote\tkote\tVBP\tB-VP\tO' +p344047 +aS'6\t6\tCD\tB-NP\tO' +p344048 +aS'weeks\tweek\tNNS\tI-NP\tO' +p344049 +aS',\t,\t,\tO\tO' +p344050 +aS'No\tNo\tNNP\tB-NP\tO' +p344051 +aS'Known\tKnown\tNNP\tI-NP\tO' +p344052 +aS'Allergies\tAllergies\tNNP\tI-NP\tO' +p344053 +asS'She reported h/o fatigue and anorexia for the past few days and had noticed foul smelling urine and some abdominal distension , similar to prior episodes of pyelo .' +p344054 +(lp344055 +S'She\tShe\tPRP\tB-NP\tO' +p344056 +aS'reported\treport\tVBD\tB-VP\tO' +p344057 +aS'h/o\th/o\tNN\tB-NP\tO' +p344058 +aS'fatigue\tfatigue\tNN\tI-NP\tO' +p344059 +aS'and\tand\tCC\tI-NP\tO' +p344060 +aS'anorexia\tanorexia\tNN\tI-NP\tO' +p344061 +aS'for\tfor\tIN\tB-PP\tO' +p344062 +aS'the\tthe\tDT\tB-NP\tO' +p344063 +aS'past\tpast\tJJ\tI-NP\tO' +p344064 +aS'few\tfew\tJJ\tI-NP\tO' +p344065 +aS'days\tday\tNNS\tI-NP\tO' +p344066 +aS'and\tand\tCC\tO\tO' +p344067 +aS'had\thave\tVBD\tB-VP\tO' +p344068 +aS'noticed\tnotice\tVBN\tI-VP\tO' +p344069 +aS'foul\tfoul\tJJ\tB-NP\tO' +p344070 +aS'smelling\tsmell\tVBG\tI-NP\tO' +p344071 +aS'urine\turine\tNN\tI-NP\tO' +p344072 +aS'and\tand\tCC\tO\tO' +p344073 +aS'some\tsome\tDT\tB-NP\tO' +p344074 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p344075 +aS'distension\tdistension\tNN\tI-NP\tO' +p344076 +aS',\t,\t,\tO\tO' +p344077 +aS'similar\tsimilar\tJJ\tB-ADJP\tO' +p344078 +aS'to\tto\tTO\tB-PP\tO' +p344079 +aS'prior\tprior\tJJ\tB-NP\tO' +p344080 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p344081 +aS'of\tof\tIN\tB-PP\tO' +p344082 +aS'pyelo\tpyelo\tNN\tB-NP\tO' +p344083 +aS'.\t.\t.\tO\tO' +p344084 +asS'On postoperative day 7 , it was decided that the patient would be stable and ready to be discharged to home on the following day .' +p344085 +(lp344086 +S'On\tOn\tIN\tB-PP\tO' +p344087 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p344088 +aS'day\tday\tNN\tI-NP\tO' +p344089 +aS'7\t7\tCD\tI-NP\tO' +p344090 +aS',\t,\t,\tO\tO' +p344091 +aS'it\tit\tPRP\tB-NP\tO' +p344092 +aS'was\tbe\tVBD\tB-VP\tO' +p344093 +aS'decided\tdecide\tVBN\tI-VP\tO' +p344094 +aS'that\tthat\tIN\tB-SBAR\tO' +p344095 +aS'the\tthe\tDT\tB-NP\tO' +p344096 +aS'patient\tpatient\tNN\tI-NP\tO' +p344097 +aS'would\twould\tMD\tB-VP\tO' +p344098 +aS'be\tbe\tVB\tI-VP\tO' +p344099 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p344100 +aS'and\tand\tCC\tI-ADJP\tO' +p344101 +aS'ready\tready\tJJ\tI-ADJP\tO' +p344102 +aS'to\tto\tTO\tB-VP\tO' +p344103 +aS'be\tbe\tVB\tI-VP\tO' +p344104 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p344105 +aS'to\tto\tTO\tB-PP\tO' +p344106 +aS'home\thome\tNN\tB-NP\tO' +p344107 +aS'on\ton\tIN\tB-PP\tO' +p344108 +aS'the\tthe\tDT\tB-NP\tO' +p344109 +aS'following\tfollow\tVBG\tI-NP\tO' +p344110 +aS'day\tday\tNN\tI-NP\tO' +p344111 +aS'.\t.\t.\tO\tO' +p344112 +asS'Eye closing was tight .' +p344113 +(lp344114 +S'Eye\tEye\tNN\tB-NP\tO' +p344115 +aS'closing\tclosing\tNN\tI-NP\tO' +p344116 +aS'was\tbe\tVBD\tB-VP\tO' +p344117 +aS'tight\ttight\tJJ\tB-ADJP\tO' +p344118 +aS'.\t.\t.\tO\tO' +p344119 +asS'Potassium at the outside hospital was 3.1 .' +p344120 +(lp344121 +S'Potassium\tPotassium\tNN\tB-NP\tO' +p344122 +aS'at\tat\tIN\tB-PP\tO' +p344123 +aS'the\tthe\tDT\tB-NP\tO' +p344124 +aS'outside\toutside\tJJ\tI-NP\tO' +p344125 +aS'hospital\thospital\tNN\tI-NP\tO' +p344126 +aS'was\tbe\tVBD\tB-VP\tO' +p344127 +aS'3.1\t3.1\tCD\tB-NP\tO' +p344128 +aS'.\t.\t.\tO\tO' +p344129 +asS'The urinalysis revealed a specific gravity of 1.15 , pH 5.0 , and 4+ albumin , positive occult blood , with 0-5 granular casts and 5-10 RBCs and 3-5 WBCs .' +p344130 +(lp344131 +S'The\tThe\tDT\tB-NP\tO' +p344132 +aS'urinalysis\turinalysis\tNN\tI-NP\tO' +p344133 +aS'revealed\treveal\tVBD\tB-VP\tO' +p344134 +aS'a\ta\tDT\tB-NP\tO' +p344135 +aS'specific\tspecific\tJJ\tI-NP\tO' +p344136 +aS'gravity\tgravity\tNN\tI-NP\tO' +p344137 +aS'of\tof\tIN\tB-PP\tO' +p344138 +aS'1.15\t1.15\tCD\tB-NP\tO' +p344139 +aS',\t,\t,\tO\tO' +p344140 +aS'pH\tpH\tNN\tB-NP\tO' +p344141 +aS'5.0\t5.0\tCD\tI-NP\tO' +p344142 +aS',\t,\t,\tO\tO' +p344143 +aS'and\tand\tCC\tO\tO' +p344144 +aS'4+\t4+\tJJ\tB-NP\tB-protein' +p344145 +aS'albumin\talbumin\tNN\tI-NP\tI-protein' +p344146 +aS',\t,\t,\tO\tO' +p344147 +aS'positive\tpositive\tJJ\tB-NP\tO' +p344148 +aS'occult\toccult\tJJ\tI-NP\tO' +p344149 +aS'blood\tblood\tNN\tI-NP\tO' +p344150 +aS',\t,\t,\tO\tO' +p344151 +aS'with\twith\tIN\tB-PP\tO' +p344152 +aS'0-5\t0-5\tCD\tB-NP\tO' +p344153 +aS'granular\tgranular\tJJ\tI-NP\tO' +p344154 +aS'casts\tcast\tNNS\tI-NP\tO' +p344155 +aS'and\tand\tCC\tO\tO' +p344156 +aS'5-10\t5-10\tCD\tB-NP\tO' +p344157 +aS'RBCs\tRBC\tNNS\tI-NP\tO' +p344158 +aS'and\tand\tCC\tO\tO' +p344159 +aS'3-5\t3-5\tCD\tB-NP\tO' +p344160 +aS'WBCs\tWBC\tNNS\tI-NP\tO' +p344161 +aS'.\t.\t.\tO\tO' +p344162 +asS'He had had two falls to his wife 's recollection , both times slipping off the edge of a chair backwards .' +p344163 +(lp344164 +S'He\tHe\tPRP\tB-NP\tO' +p344165 +aS'had\thave\tVBD\tB-VP\tO' +p344166 +aS'had\thave\tVBN\tI-VP\tO' +p344167 +aS'two\ttwo\tCD\tB-NP\tO' +p344168 +aS'falls\tfall\tNNS\tI-NP\tO' +p344169 +aS'to\tto\tTO\tB-PP\tO' +p344170 +aS'his\this\tPRP$\tB-NP\tO' +p344171 +aS'wife\twife\tNN\tI-NP\tO' +p344172 +aS''s\t'\tNNS\tI-NP\tO' +p344173 +aS'recollection\trecollection\tNN\tI-NP\tO' +p344174 +aS',\t,\t,\tO\tO' +p344175 +aS'both\tboth\tDT\tB-NP\tO' +p344176 +aS'times\ttime\tNNS\tI-NP\tO' +p344177 +aS'slipping\tslip\tVBG\tB-VP\tO' +p344178 +aS'off\toff\tIN\tB-PP\tO' +p344179 +aS'the\tthe\tDT\tB-NP\tO' +p344180 +aS'edge\tedge\tNN\tI-NP\tO' +p344181 +aS'of\tof\tIN\tB-PP\tO' +p344182 +aS'a\ta\tDT\tB-NP\tO' +p344183 +aS'chair\tchair\tNN\tI-NP\tO' +p344184 +aS'backwards\tbackward\tNNS\tI-NP\tO' +p344185 +aS'.\t.\t.\tO\tO' +p344186 +asS'He was then transferred to Linghs County Medical Center .' +p344187 +(lp344188 +S'He\tHe\tPRP\tB-NP\tO' +p344189 +aS'was\tbe\tVBD\tB-VP\tO' +p344190 +aS'then\tthen\tRB\tI-VP\tO' +p344191 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p344192 +aS'to\tto\tTO\tB-PP\tO' +p344193 +aS'Linghs\tLinghs\tNNP\tB-NP\tO' +p344194 +aS'County\tCounty\tNNP\tI-NP\tO' +p344195 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p344196 +aS'Center\tCenter\tNNP\tI-NP\tO' +p344197 +aS'.\t.\t.\tO\tO' +p344198 +asS'Laser surgery for retinopathy .' +p344199 +(lp344200 +S'Laser\tLaser\tNN\tB-NP\tO' +p344201 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p344202 +aS'for\tfor\tIN\tB-PP\tO' +p344203 +aS'retinopathy\tretinopathy\tNN\tB-NP\tO' +p344204 +aS'.\t.\t.\tO\tO' +p344205 +asS'There is anteroseptal hypokinesis with mid and apical akinesis .' +p344206 +(lp344207 +S'There\tThere\tEX\tB-NP\tO' +p344208 +aS'is\tbe\tVBZ\tB-VP\tO' +p344209 +aS'anteroseptal\tanteroseptal\tJJ\tB-NP\tO' +p344210 +aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' +p344211 +aS'with\twith\tIN\tB-PP\tO' +p344212 +aS'mid\tmid\tJJ\tB-NP\tO' +p344213 +aS'and\tand\tCC\tI-NP\tO' +p344214 +aS'apical\tapical\tJJ\tI-NP\tO' +p344215 +aS'akinesis\takinesis\tNN\tI-NP\tO' +p344216 +aS'.\t.\t.\tO\tO' +p344217 +asS'no bruits .' +p344218 +(lp344219 +S'no\tno\tDT\tB-NP\tO' +p344220 +aS'bruits\tbruit\tNNS\tI-NP\tO' +p344221 +aS'.\t.\t.\tO\tO' +p344222 +asS'Disp :* 14 Capsule , Sustained Release (s)* Refills :* 0 *' +p344223 +(lp344224 +S'Disp\tDisp\tNN\tB-NP\tO' +p344225 +aS':*\t:*\tSYM\tI-NP\tO' +p344226 +aS'14\t14\tCD\tI-NP\tO' +p344227 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p344228 +aS',\t,\t,\tO\tO' +p344229 +aS'Sustained\tSustained\tNNP\tB-NP\tO' +p344230 +aS'Release\tRelease\tNNP\tI-NP\tO' +p344231 +aS'(s)*\t(s)*\tSYM\tB-NP\tO' +p344232 +aS'Refills\tRefill\tNNPS\tI-NP\tO' +p344233 +aS':*\t:*\tSYM\tI-NP\tO' +p344234 +aS'0\t0\tCD\tI-NP\tO' +p344235 +aS'*\t*\tSYM\tB-NP\tO' +p344236 +asS'Pain control was initiated with morphine but was then changed to Demerol , which gave the patient better relief of his epigastric pain .' +p344237 +(lp344238 +S'Pain\tPain\tNN\tB-NP\tO' +p344239 +aS'control\tcontrol\tNN\tI-NP\tO' +p344240 +aS'was\tbe\tVBD\tB-VP\tO' +p344241 +aS'initiated\tinitiate\tVBN\tI-VP\tO' +p344242 +aS'with\twith\tIN\tB-PP\tO' +p344243 +aS'morphine\tmorphine\tNN\tB-NP\tO' +p344244 +aS'but\tbut\tCC\tO\tO' +p344245 +aS'was\tbe\tVBD\tB-VP\tO' +p344246 +aS'then\tthen\tRB\tI-VP\tO' +p344247 +aS'changed\tchange\tVBN\tI-VP\tO' +p344248 +aS'to\tto\tTO\tB-PP\tO' +p344249 +aS'Demerol\tDemerol\tNN\tB-NP\tO' +p344250 +aS',\t,\t,\tO\tO' +p344251 +aS'which\twhich\tWDT\tB-NP\tO' +p344252 +aS'gave\tgive\tVBD\tB-VP\tO' +p344253 +aS'the\tthe\tDT\tB-NP\tO' +p344254 +aS'patient\tpatient\tNN\tI-NP\tO' +p344255 +aS'better\tgood\tJJR\tB-NP\tO' +p344256 +aS'relief\trelief\tNN\tI-NP\tO' +p344257 +aS'of\tof\tIN\tB-PP\tO' +p344258 +aS'his\this\tPRP$\tB-NP\tO' +p344259 +aS'epigastric\tepigastric\tJJ\tI-NP\tB-protein' +p344260 +aS'pain\tpain\tNN\tI-NP\tI-protein' +p344261 +aS'.\t.\t.\tO\tO' +p344262 +asS'On physical exam , she was noted to have bilateral lower extremity edema , mildly elevated pressures in the 140 to 150/90 range , and jugular venous distension .' +p344263 +(lp344264 +S'On\tOn\tIN\tB-PP\tO' +p344265 +aS'physical\tphysical\tJJ\tB-NP\tO' +p344266 +aS'exam\texam\tNN\tI-NP\tO' +p344267 +aS',\t,\t,\tO\tO' +p344268 +aS'she\tshe\tPRP\tB-NP\tO' +p344269 +aS'was\tbe\tVBD\tB-VP\tO' +p344270 +aS'noted\tnote\tVBN\tI-VP\tO' +p344271 +aS'to\tto\tTO\tI-VP\tO' +p344272 +aS'have\thave\tVB\tI-VP\tO' +p344273 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p344274 +aS'lower\tlow\tJJR\tI-NP\tO' +p344275 +aS'extremity\textremity\tNN\tI-NP\tO' +p344276 +aS'edema\tedema\tNN\tI-NP\tO' +p344277 +aS',\t,\t,\tO\tO' +p344278 +aS'mildly\tmildly\tRB\tB-NP\tO' +p344279 +aS'elevated\televated\tJJ\tI-NP\tO' +p344280 +aS'pressures\tpressure\tNNS\tI-NP\tO' +p344281 +aS'in\tin\tIN\tB-PP\tO' +p344282 +aS'the\tthe\tDT\tB-NP\tO' +p344283 +aS'140\t140\tCD\tI-NP\tO' +p344284 +aS'to\tto\tTO\tI-NP\tO' +p344285 +aS'150/90\t150/90\tCD\tI-NP\tO' +p344286 +aS'range\trange\tNN\tI-NP\tO' +p344287 +aS',\t,\t,\tO\tO' +p344288 +aS'and\tand\tCC\tO\tO' +p344289 +aS'jugular\tjugular\tJJ\tB-NP\tO' +p344290 +aS'venous\tvenous\tJJ\tI-NP\tO' +p344291 +aS'distension\tdistension\tNN\tI-NP\tO' +p344292 +aS'.\t.\t.\tO\tO' +p344293 +asS'His cardiac risk factors included hypertension , diabetes mellitus , hypercholesterolemia , cigarette smoking , and a positive family history .' +p344294 +(lp344295 +S'His\tHis\tPRP$\tB-NP\tO' +p344296 +aS'cardiac\tcardiac\tJJ\tI-NP\tB-protein' +p344297 +aS'risk\trisk\tNN\tI-NP\tI-protein' +p344298 +aS'factors\tfactor\tNNS\tI-NP\tI-protein' +p344299 +aS'included\tinclude\tVBD\tB-VP\tO' +p344300 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p344301 +aS',\t,\t,\tO\tO' +p344302 +aS'diabetes\tdiabetes\tNN\tB-NP\tO' +p344303 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p344304 +aS',\t,\t,\tO\tO' +p344305 +aS'hypercholesterolemia\thypercholesterolemia\tNN\tB-NP\tO' +p344306 +aS',\t,\t,\tO\tO' +p344307 +aS'cigarette\tcigarette\tNN\tB-NP\tO' +p344308 +aS'smoking\tsmoking\tNN\tI-NP\tO' +p344309 +aS',\t,\t,\tO\tO' +p344310 +aS'and\tand\tCC\tO\tO' +p344311 +aS'a\ta\tDT\tB-NP\tO' +p344312 +aS'positive\tpositive\tJJ\tI-NP\tO' +p344313 +aS'family\tfamily\tNN\tI-NP\tO' +p344314 +aS'history\thistory\tNN\tI-NP\tO' +p344315 +aS'.\t.\t.\tO\tO' +p344316 +asS'Tone initially low normal but improved within normal limits on admission .' +p344317 +(lp344318 +S'Tone\tTone\tNN\tB-NP\tO' +p344319 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p344320 +aS'low\tlow\tJJ\tB-NP\tO' +p344321 +aS'normal\tnormal\tJJ\tI-NP\tO' +p344322 +aS'but\tbut\tCC\tO\tO' +p344323 +aS'improved\timprove\tVBD\tB-VP\tO' +p344324 +aS'within\twithin\tIN\tB-PP\tO' +p344325 +aS'normal\tnormal\tJJ\tB-NP\tO' +p344326 +aS'limits\tlimit\tNNS\tI-NP\tO' +p344327 +aS'on\ton\tIN\tB-PP\tO' +p344328 +aS'admission\tadmission\tNN\tB-NP\tO' +p344329 +aS'.\t.\t.\tO\tO' +p344330 +asS'7. Hypothyroidism .' +p344331 +(lp344332 +S'7.\t7.\tCD\tB-NP\tO' +p344333 +aS'Hypothyroidism\tHypothyroidism\tNNP\tI-NP\tO' +p344334 +aS'.\t.\t.\tO\tO' +p344335 +asS'She continued to have nausea despite an agressive anti-emetic regimen .' +p344336 +(lp344337 +S'She\tShe\tPRP\tB-NP\tO' +p344338 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p344339 +aS'to\tto\tTO\tI-VP\tO' +p344340 +aS'have\thave\tVB\tI-VP\tO' +p344341 +aS'nausea\tnausea\tNN\tB-NP\tO' +p344342 +aS'despite\tdespite\tIN\tB-PP\tO' +p344343 +aS'an\tan\tDT\tB-NP\tO' +p344344 +aS'agressive\tagressive\tJJ\tI-NP\tO' +p344345 +aS'anti-emetic\tanti-emetic\tJJ\tI-NP\tO' +p344346 +aS'regimen\tregimen\tNN\tI-NP\tO' +p344347 +aS'.\t.\t.\tO\tO' +p344348 +asS'From a medical standpoint , the patient did well .' +p344349 +(lp344350 +S'From\tFrom\tIN\tB-PP\tO' +p344351 +aS'a\ta\tDT\tB-NP\tO' +p344352 +aS'medical\tmedical\tJJ\tI-NP\tO' +p344353 +aS'standpoint\tstandpoint\tNN\tI-NP\tO' +p344354 +aS',\t,\t,\tO\tO' +p344355 +aS'the\tthe\tDT\tB-NP\tO' +p344356 +aS'patient\tpatient\tNN\tI-NP\tO' +p344357 +aS'did\tdo\tVBD\tB-VP\tO' +p344358 +aS'well\twell\tRB\tB-ADVP\tO' +p344359 +aS'.\t.\t.\tO\tO' +p344360 +asS'2. Docusate Sodium 100 mg Capsule Sig : One ( 1 ) Capsule PO BID ( 2 times a day ) for 1 months .' +p344361 +(lp344362 +S'2.\t2.\tLS\tB-NP\tO' +p344363 +aS'Docusate\tDocusate\tNN\tI-NP\tO' +p344364 +aS'Sodium\tSodium\tNN\tI-NP\tO' +p344365 +aS'100\t100\tCD\tI-NP\tO' +p344366 +aS'mg\tmg\tNN\tI-NP\tO' +p344367 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p344368 +aS'Sig\tSig\tNNP\tI-NP\tO' +p344369 +aS':\t:\t:\tO\tO' +p344370 +aS'One\tOne\tCD\tB-NP\tO' +p344371 +aS'(\t(\t(\tO\tO' +p344372 +aS'1\t1\tCD\tB-NP\tO' +p344373 +aS')\t)\t)\tO\tO' +p344374 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p344375 +aS'PO\tPO\tNNP\tI-NP\tO' +p344376 +aS'BID\tBID\tNNP\tI-NP\tO' +p344377 +aS'(\t(\t(\tO\tO' +p344378 +aS'2\t2\tCD\tB-NP\tO' +p344379 +aS'times\ttime\tNNS\tI-NP\tO' +p344380 +aS'a\ta\tDT\tB-NP\tO' +p344381 +aS'day\tday\tNN\tI-NP\tO' +p344382 +aS')\t)\t)\tO\tO' +p344383 +aS'for\tfor\tIN\tB-PP\tO' +p344384 +aS'1\t1\tCD\tB-NP\tO' +p344385 +aS'months\tmonth\tNNS\tI-NP\tO' +p344386 +aS'.\t.\t.\tO\tO' +p344387 +asS'In lieu of a standard discharge summary given this patient 's complicated hospital course and associated illnesses I feel it best to just provide a system summary concerning this patient 's current status .' +p344388 +(lp344389 +S'In\tIn\tIN\tB-PP\tO' +p344390 +aS'lieu\tlieu\tNN\tB-NP\tO' +p344391 +aS'of\tof\tIN\tB-PP\tO' +p344392 +aS'a\ta\tDT\tB-NP\tO' +p344393 +aS'standard\tstandard\tJJ\tI-NP\tO' +p344394 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p344395 +aS'summary\tsummary\tNN\tI-NP\tO' +p344396 +aS'given\tgive\tVBN\tB-VP\tO' +p344397 +aS'this\tthis\tDT\tB-NP\tO' +p344398 +aS'patient\tpatient\tNN\tI-NP\tO' +p344399 +aS''s\t'\tNNS\tI-NP\tO' +p344400 +aS'complicated\tcomplicate\tVBD\tB-VP\tO' +p344401 +aS'hospital\thospital\tNN\tB-NP\tO' +p344402 +aS'course\tcourse\tNN\tI-NP\tO' +p344403 +aS'and\tand\tCC\tO\tO' +p344404 +aS'associated\tassociate\tVBN\tB-NP\tO' +p344405 +aS'illnesses\tillness\tNNS\tI-NP\tO' +p344406 +aS'I\tI\tPRP\tB-NP\tO' +p344407 +aS'feel\tfeel\tVBP\tB-VP\tO' +p344408 +aS'it\tit\tPRP\tB-NP\tO' +p344409 +aS'best\twell\tRBS\tB-VP\tO' +p344410 +aS'to\tto\tTO\tI-VP\tO' +p344411 +aS'just\tjust\tRB\tI-VP\tO' +p344412 +aS'provide\tprovide\tVB\tI-VP\tO' +p344413 +aS'a\ta\tDT\tB-NP\tO' +p344414 +aS'system\tsystem\tNN\tI-NP\tO' +p344415 +aS'summary\tsummary\tNN\tI-NP\tO' +p344416 +aS'concerning\tconcern\tVBG\tB-VP\tO' +p344417 +aS'this\tthis\tDT\tB-NP\tO' +p344418 +aS'patient\tpatient\tNN\tI-NP\tO' +p344419 +aS''s\t'\tNNS\tI-NP\tO' +p344420 +aS'current\tcurrent\tJJ\tB-NP\tO' +p344421 +aS'status\tstatus\tNN\tI-NP\tO' +p344422 +aS'.\t.\t.\tO\tO' +p344423 +asS"The patient 's surgical incision was also healing well by the time of discharge with no evidence of infection ." +p344424 +(lp344425 +S'The\tThe\tDT\tB-NP\tO' +p344426 +aS'patient\tpatient\tNN\tI-NP\tO' +p344427 +aS"'s\t's\tPOS\tB-NP\tO" +p344428 +aS'surgical\tsurgical\tJJ\tI-NP\tO' +p344429 +aS'incision\tincision\tNN\tI-NP\tO' +p344430 +aS'was\tbe\tVBD\tB-VP\tO' +p344431 +aS'also\talso\tRB\tI-VP\tO' +p344432 +aS'healing\theal\tVBG\tI-VP\tO' +p344433 +aS'well\twell\tRB\tB-ADVP\tO' +p344434 +aS'by\tby\tIN\tB-PP\tO' +p344435 +aS'the\tthe\tDT\tB-NP\tO' +p344436 +aS'time\ttime\tNN\tI-NP\tO' +p344437 +aS'of\tof\tIN\tB-PP\tO' +p344438 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p344439 +aS'with\twith\tIN\tB-PP\tO' +p344440 +aS'no\tno\tDT\tB-NP\tO' +p344441 +aS'evidence\tevidence\tNN\tI-NP\tO' +p344442 +aS'of\tof\tIN\tB-PP\tO' +p344443 +aS'infection\tinfection\tNN\tB-NP\tO' +p344444 +aS'.\t.\t.\tO\tO' +p344445 +asS'As stated the patient was status post endoscopic retrograde cholangiopancreatography with stent' +p344446 +(lp344447 +S'As\tAs\tIN\tB-SBAR\tO' +p344448 +aS'stated\tstate\tVBN\tB-VP\tO' +p344449 +aS'the\tthe\tDT\tB-NP\tO' +p344450 +aS'patient\tpatient\tNN\tI-NP\tO' +p344451 +aS'was\tbe\tVBD\tB-VP\tO' +p344452 +aS'status\tstatus\tNN\tB-NP\tO' +p344453 +aS'post\tpost\tIN\tB-PP\tO' +p344454 +aS'endoscopic\tendoscopic\tJJ\tB-NP\tO' +p344455 +aS'retrograde\tretrograde\tJJ\tI-NP\tO' +p344456 +aS'cholangiopancreatography\tcholangiopancreatography\tNN\tI-NP\tO' +p344457 +aS'with\twith\tIN\tB-PP\tO' +p344458 +aS'stent\tstent\tNN\tB-NP\tO' +p344459 +asS'The medical examiner was called and the case was discussed , and he declined autopsy of the case .' +p344460 +(lp344461 +S'The\tThe\tDT\tB-NP\tO' +p344462 +aS'medical\tmedical\tJJ\tI-NP\tO' +p344463 +aS'examiner\texaminer\tNN\tI-NP\tO' +p344464 +aS'was\tbe\tVBD\tB-VP\tO' +p344465 +aS'called\tcall\tVBN\tI-VP\tO' +p344466 +aS'and\tand\tCC\tO\tO' +p344467 +aS'the\tthe\tDT\tB-NP\tO' +p344468 +aS'case\tcase\tNN\tI-NP\tO' +p344469 +aS'was\tbe\tVBD\tB-VP\tO' +p344470 +aS'discussed\tdiscuss\tVBN\tI-VP\tO' +p344471 +aS',\t,\t,\tO\tO' +p344472 +aS'and\tand\tCC\tO\tO' +p344473 +aS'he\the\tPRP\tB-NP\tO' +p344474 +aS'declined\tdecline\tVBD\tB-VP\tO' +p344475 +aS'autopsy\tautopsy\tNN\tB-NP\tO' +p344476 +aS'of\tof\tIN\tB-PP\tO' +p344477 +aS'the\tthe\tDT\tB-NP\tO' +p344478 +aS'case\tcase\tNN\tI-NP\tO' +p344479 +aS'.\t.\t.\tO\tO' +p344480 +asS'Cardiovascular .' +p344481 +(lp344482 +S'Cardiovascular\tCardiovascular\tJJ\tB-ADJP\tO' +p344483 +aS'.\t.\t.\tO\tO' +p344484 +asS'2. Metoprolol Tartrate 50 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ) .' +p344485 +(lp344486 +S'2.\t2.\tLS\tB-NP\tO' +p344487 +aS'Metoprolol\tMetoprolol\tNN\tI-NP\tO' +p344488 +aS'Tartrate\tTartrate\tNN\tI-NP\tO' +p344489 +aS'50\t50\tCD\tI-NP\tO' +p344490 +aS'mg\tmg\tNN\tI-NP\tO' +p344491 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p344492 +aS'Sig\tSig\tNNP\tI-NP\tO' +p344493 +aS':\t:\t:\tO\tO' +p344494 +aS'One\tOne\tCD\tB-NP\tO' +p344495 +aS'(\t(\t(\tO\tO' +p344496 +aS'1\t1\tCD\tB-NP\tO' +p344497 +aS')\t)\t)\tO\tO' +p344498 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p344499 +aS'PO\tPO\tNN\tI-NP\tO' +p344500 +aS'BID\tBID\tNN\tI-NP\tO' +p344501 +aS'(\t(\t(\tO\tO' +p344502 +aS'2\t2\tCD\tB-NP\tO' +p344503 +aS'times\ttime\tNNS\tI-NP\tO' +p344504 +aS'a\ta\tDT\tB-NP\tO' +p344505 +aS'day\tday\tNN\tI-NP\tO' +p344506 +aS')\t)\t)\tO\tO' +p344507 +aS'.\t.\t.\tO\tO' +p344508 +asS'A chest x-ray in the Oaksgekesser/ Memorial Hospital Emergency Room showed new changes on his chest x-ray on top of his usual severe bilateral emphysema_____ with scarring in both lungs .' +p344509 +(lp344510 +S'A\tA\tDT\tB-NP\tO' +p344511 +aS'chest\tch\tJJS\tI-NP\tO' +p344512 +aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' +p344513 +aS'in\tin\tIN\tB-PP\tO' +p344514 +aS'the\tthe\tDT\tB-NP\tO' +p344515 +aS'Oaksgekesser/\tOaksgekesser/\tNNP\tI-NP\tO' +p344516 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p344517 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p344518 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p344519 +aS'Room\tRoom\tNNP\tI-NP\tO' +p344520 +aS'showed\tshow\tVBD\tB-VP\tO' +p344521 +aS'new\tnew\tJJ\tB-NP\tO' +p344522 +aS'changes\tchange\tNNS\tI-NP\tO' +p344523 +aS'on\ton\tIN\tB-PP\tO' +p344524 +aS'his\this\tPRP$\tB-NP\tO' +p344525 +aS'chest\tchest\tNN\tI-NP\tO' +p344526 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p344527 +aS'on\ton\tIN\tB-PP\tO' +p344528 +aS'top\ttop\tNN\tB-NP\tO' +p344529 +aS'of\tof\tIN\tB-PP\tO' +p344530 +aS'his\this\tPRP$\tB-NP\tO' +p344531 +aS'usual\tusual\tJJ\tI-NP\tO' +p344532 +aS'severe\tsevere\tJJ\tI-NP\tO' +p344533 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p344534 +aS'emphysema_____\temphysema_____\tNN\tI-NP\tO' +p344535 +aS'with\twith\tIN\tB-PP\tO' +p344536 +aS'scarring\tscar\tVBG\tB-VP\tO' +p344537 +aS'in\tin\tIN\tB-PP\tO' +p344538 +aS'both\tboth\tDT\tB-NP\tO' +p344539 +aS'lungs\tlung\tNNS\tI-NP\tO' +p344540 +aS'.\t.\t.\tO\tO' +p344541 +asS'As given above .' +p344542 +(lp344543 +S'As\tAs\tIN\tB-SBAR\tO' +p344544 +aS'given\tgive\tVBN\tB-VP\tO' +p344545 +aS'above\tabove\tRB\tB-ADVP\tO' +p344546 +aS'.\t.\t.\tO\tO' +p344547 +asS'Difficulty with word finding at times .' +p344548 +(lp344549 +S'Difficulty\tDifficulty\tNN\tB-NP\tO' +p344550 +aS'with\twith\tIN\tB-PP\tO' +p344551 +aS'word\tword\tNN\tB-NP\tO' +p344552 +aS'finding\tfinding\tNN\tI-NP\tO' +p344553 +aS'at\tat\tIN\tB-PP\tO' +p344554 +aS'times\ttime\tNNS\tB-NP\tO' +p344555 +aS'.\t.\t.\tO\tO' +p344556 +asS'She had a dominant right coronary artery with minor disease .' +p344557 +(lp344558 +S'She\tShe\tPRP\tB-NP\tO' +p344559 +aS'had\thave\tVBD\tB-VP\tO' +p344560 +aS'a\ta\tDT\tB-NP\tO' +p344561 +aS'dominant\tdominant\tJJ\tI-NP\tO' +p344562 +aS'right\tright\tJJ\tI-NP\tO' +p344563 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p344564 +aS'artery\tartery\tNN\tI-NP\tO' +p344565 +aS'with\twith\tIN\tB-PP\tO' +p344566 +aS'minor\tminor\tJJ\tB-NP\tO' +p344567 +aS'disease\tdisease\tNN\tI-NP\tO' +p344568 +aS'.\t.\t.\tO\tO' +p344569 +asS'Signed electronically by : DR. Janice Carpenter on : Andrea 2010-04-01 8:20 AM' +p344570 +(lp344571 +S'Signed\tSign\tVBN\tB-VP\tO' +p344572 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p344573 +aS'by\tby\tIN\tB-PP\tO' +p344574 +aS':\t:\t:\tO\tO' +p344575 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p344576 +aS'Janice\tJanice\tNNP\tI-NP\tO' +p344577 +aS'Carpenter\tCarpenter\tNNP\tI-NP\tO' +p344578 +aS'on\ton\tIN\tB-PP\tO' +p344579 +aS':\t:\t:\tO\tO' +p344580 +aS'Andrea\tAndrea\tNNP\tB-NP\tO' +p344581 +aS'2010-04-01\t2010-04-01\tCD\tB-NP\tO' +p344582 +aS'8:20\t8:20\tCD\tI-NP\tO' +p344583 +aS'AM\tAM\tNN\tI-NP\tO' +p344584 +asS'He required some sedation and restraint and was begun on whatever Physical Therapy he could have given his head injury .' +p344585 +(lp344586 +S'He\tHe\tPRP\tB-NP\tO' +p344587 +aS'required\trequire\tVBD\tB-VP\tO' +p344588 +aS'some\tsome\tDT\tB-NP\tO' +p344589 +aS'sedation\tsedation\tNN\tI-NP\tO' +p344590 +aS'and\tand\tCC\tI-NP\tO' +p344591 +aS'restraint\trestraint\tNN\tI-NP\tO' +p344592 +aS'and\tand\tCC\tO\tO' +p344593 +aS'was\tbe\tVBD\tB-VP\tO' +p344594 +aS'begun\tbegin\tVBN\tI-VP\tO' +p344595 +aS'on\ton\tIN\tB-PP\tO' +p344596 +aS'whatever\twhatever\tWDT\tB-NP\tO' +p344597 +aS'Physical\tPhysical\tJJ\tI-NP\tO' +p344598 +aS'Therapy\tTherapy\tNN\tI-NP\tO' +p344599 +aS'he\the\tPRP\tB-NP\tO' +p344600 +aS'could\tcould\tMD\tB-VP\tO' +p344601 +aS'have\thave\tVB\tI-VP\tO' +p344602 +aS'given\tgive\tVBN\tI-VP\tO' +p344603 +aS'his\this\tPRP$\tB-NP\tO' +p344604 +aS'head\thead\tNN\tI-NP\tO' +p344605 +aS'injury\tinjury\tNN\tI-NP\tO' +p344606 +aS'.\t.\t.\tO\tO' +p344607 +asS'Intravenous antibiotics chemotherapy .' +p344608 +(lp344609 +S'Intravenous\tIntravenous\tJJ\tB-NP\tO' +p344610 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p344611 +aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' +p344612 +aS'.\t.\t.\tO\tO' +p344613 +asS'3. Flovent 110 micrograms aerosol two puffs b.i.d.' +p344614 +(lp344615 +S'3.\t3.\tLS\tB-LST\tO' +p344616 +aS'Flovent\tFlovent\tNNP\tB-NP\tO' +p344617 +aS'110\t110\tCD\tI-NP\tO' +p344618 +aS'micrograms\tmicrogram\tNNS\tI-NP\tO' +p344619 +aS'aerosol\taerosol\tNN\tI-NP\tO' +p344620 +aS'two\ttwo\tCD\tB-NP\tO' +p344621 +aS'puffs\tpuff\tNNS\tI-NP\tO' +p344622 +aS'b.i.d.\tb.i.d.\tRB\tB-ADVP\tO' +p344623 +asS'The patient tolerated a regular diet throughout the course of her hospital stay .' +p344624 +(lp344625 +S'The\tThe\tDT\tB-NP\tO' +p344626 +aS'patient\tpatient\tNN\tI-NP\tO' +p344627 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p344628 +aS'a\ta\tDT\tB-NP\tO' +p344629 +aS'regular\tregular\tJJ\tI-NP\tO' +p344630 +aS'diet\tdiet\tNN\tI-NP\tO' +p344631 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p344632 +aS'the\tthe\tDT\tB-NP\tO' +p344633 +aS'course\tcourse\tNN\tI-NP\tO' +p344634 +aS'of\tof\tIN\tB-PP\tO' +p344635 +aS'her\ther\tPRP$\tB-NP\tO' +p344636 +aS'hospital\thospital\tNN\tI-NP\tO' +p344637 +aS'stay\tstay\tNN\tI-NP\tO' +p344638 +aS'.\t.\t.\tO\tO' +p344639 +asS'Aspirin 81 mg qd , Toprol XL 50 mg qd , MVI , Flexeril 10 mg qhs , Plavix 75 mg qd ( last on 10-18 )' +p344640 +(lp344641 +S'Aspirin\tAspirin\tNN\tB-NP\tO' +p344642 +aS'81\t81\tCD\tI-NP\tO' +p344643 +aS'mg\tmg\tNN\tI-NP\tO' +p344644 +aS'qd\tqd\tNN\tI-NP\tO' +p344645 +aS',\t,\t,\tO\tO' +p344646 +aS'Toprol\tToprol\tNNP\tB-NP\tO' +p344647 +aS'XL\tXL\tNNP\tI-NP\tO' +p344648 +aS'50\t50\tCD\tI-NP\tO' +p344649 +aS'mg\tmg\tNN\tI-NP\tO' +p344650 +aS'qd\tqd\tNN\tI-NP\tO' +p344651 +aS',\t,\t,\tO\tO' +p344652 +aS'MVI\tMVI\tNNP\tB-NP\tO' +p344653 +aS',\t,\t,\tO\tO' +p344654 +aS'Flexeril\tFlexeril\tNNP\tB-NP\tO' +p344655 +aS'10\t10\tCD\tI-NP\tO' +p344656 +aS'mg\tmg\tNN\tI-NP\tO' +p344657 +aS'qhs\tqh\tNNS\tI-NP\tO' +p344658 +aS',\t,\t,\tO\tO' +p344659 +aS'Plavix\tPlavix\tNN\tB-NP\tO' +p344660 +aS'75\t75\tCD\tI-NP\tO' +p344661 +aS'mg\tmg\tNN\tI-NP\tO' +p344662 +aS'qd\tqd\tNN\tI-NP\tO' +p344663 +aS'(\t(\t(\tO\tO' +p344664 +aS'last\tlast\tJJ\tB-ADJP\tO' +p344665 +aS'on\ton\tIN\tB-PP\tO' +p344666 +aS'10-18\t10-18\tCD\tB-NP\tO' +p344667 +aS')\t)\t)\tO\tO' +p344668 +asS'Son died at 14 d/t ASD .' +p344669 +(lp344670 +S'Son\tSon\tNNP\tB-NP\tO' +p344671 +aS'died\tdie\tVBD\tB-VP\tO' +p344672 +aS'at\tat\tIN\tB-PP\tO' +p344673 +aS'14\t14\tCD\tB-NP\tO' +p344674 +aS'd/t\td/t\tNN\tI-NP\tO' +p344675 +aS'ASD\tASD\tNN\tI-NP\tO' +p344676 +aS'.\t.\t.\tO\tO' +p344677 +asS'61-120 mg / dL 1 Units 0 Units 0 Units 0 Units' +p344678 +(lp344679 +S'61-120\t61-120\tCD\tB-NP\tO' +p344680 +aS'mg\tmg\tNN\tI-NP\tO' +p344681 +aS'/\t/\tSYM\tB-NP\tO' +p344682 +aS'dL\tdL\tNN\tB-NP\tB-protein' +p344683 +aS'1\t1\tCD\tI-NP\tI-protein' +p344684 +aS'Units\tUnits\tNNP\tI-NP\tI-protein' +p344685 +aS'0\t0\tCD\tI-NP\tI-protein' +p344686 +aS'Units\tUnits\tNNP\tI-NP\tI-protein' +p344687 +aS'0\t0\tCD\tI-NP\tI-protein' +p344688 +aS'Units\tUnits\tNNP\tI-NP\tI-protein' +p344689 +aS'0\t0\tCD\tI-NP\tI-protein' +p344690 +aS'Units\tUnit\tNNS\tI-NP\tI-protein' +p344691 +asS'No R/R/W .' +p344692 +(lp344693 +S'No\tNo\tDT\tB-NP\tO' +p344694 +aS'R/R/W\tR/R/W\tNNP\tI-NP\tO' +p344695 +aS'.\t.\t.\tO\tO' +p344696 +asS'Her abdomen was obese , soft , nontender .' +p344697 +(lp344698 +S'Her\tHer\tPRP$\tB-NP\tO' +p344699 +aS'abdomen\tabdoman\tNNS\tI-NP\tO' +p344700 +aS'was\tbe\tVBD\tB-VP\tO' +p344701 +aS'obese\tobese\tJJ\tB-NP\tO' +p344702 +aS',\t,\t,\tI-NP\tO' +p344703 +aS'soft\tsoft\tJJ\tI-NP\tO' +p344704 +aS',\t,\t,\tI-NP\tO' +p344705 +aS'nontender\tnontender\tJJ\tI-NP\tO' +p344706 +aS'.\t.\t.\tO\tO' +p344707 +asS'Normal neurologic examination .' +p344708 +(lp344709 +S'Normal\tNormal\tJJ\tB-NP\tO' +p344710 +aS'neurologic\tneurologic\tJJ\tI-NP\tO' +p344711 +aS'examination\texamination\tNN\tI-NP\tO' +p344712 +aS'.\t.\t.\tO\tO' +p344713 +asS'Her amylase was mildly elevated but has been down since then .' +p344714 +(lp344715 +S'Her\tHer\tPRP$\tB-NP\tO' +p344716 +aS'amylase\tamylase\tNN\tI-NP\tB-protein' +p344717 +aS'was\tbe\tVBD\tB-VP\tO' +p344718 +aS'mildly\tmildly\tRB\tI-VP\tO' +p344719 +aS'elevated\televate\tVBN\tI-VP\tO' +p344720 +aS'but\tbut\tCC\tO\tO' +p344721 +aS'has\thave\tVBZ\tB-VP\tO' +p344722 +aS'been\tbe\tVBN\tI-VP\tO' +p344723 +aS'down\tdown\tRP\tB-PRT\tO' +p344724 +aS'since\tsince\tIN\tB-PP\tO' +p344725 +aS'then\tthen\tRB\tB-NP\tO' +p344726 +aS'.\t.\t.\tO\tO' +p344727 +asS'He uses condoms consistently .' +p344728 +(lp344729 +S'He\tHe\tPRP\tB-NP\tO' +p344730 +aS'uses\tuse\tVBZ\tB-VP\tO' +p344731 +aS'condoms\tcondom\tNNS\tB-NP\tO' +p344732 +aS'consistently\tconsistently\tRB\tB-ADVP\tO' +p344733 +aS'.\t.\t.\tO\tO' +p344734 +asS'The patient transfused 2 units of 10/16/97 for a hematocrit of 30.03 .' +p344735 +(lp344736 +S'The\tThe\tDT\tB-NP\tO' +p344737 +aS'patient\tpatient\tNN\tI-NP\tO' +p344738 +aS'transfused\ttransfuse\tVBN\tB-VP\tO' +p344739 +aS'2\t2\tCD\tB-NP\tO' +p344740 +aS'units\tunit\tNNS\tI-NP\tO' +p344741 +aS'of\tof\tIN\tB-PP\tO' +p344742 +aS'10/16/97\t10/16/97\tCD\tB-NP\tO' +p344743 +aS'for\tfor\tIN\tB-PP\tO' +p344744 +aS'a\ta\tDT\tB-NP\tO' +p344745 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p344746 +aS'of\tof\tIN\tB-PP\tO' +p344747 +aS'30.03\t30.03\tCD\tB-NP\tO' +p344748 +aS'.\t.\t.\tO\tO' +p344749 +asS'Blood culture was sent but he was never started on antibiotics .' +p344750 +(lp344751 +S'Blood\tBlood\tNN\tB-NP\tO' +p344752 +aS'culture\tculture\tNN\tI-NP\tO' +p344753 +aS'was\tbe\tVBD\tB-VP\tO' +p344754 +aS'sent\tsend\tVBN\tI-VP\tO' +p344755 +aS'but\tbut\tCC\tO\tO' +p344756 +aS'he\the\tPRP\tB-NP\tO' +p344757 +aS'was\tbe\tVBD\tB-VP\tO' +p344758 +aS'never\tnever\tRB\tI-VP\tO' +p344759 +aS'started\tstart\tVBN\tI-VP\tO' +p344760 +aS'on\ton\tIN\tB-PP\tO' +p344761 +aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' +p344762 +aS'.\t.\t.\tO\tO' +p344763 +asS"57 y/o F with multiple medical problems including polyendocrine deficiency comprised of adrenal insufficiency , DM , premature ovarian failure , hypoparathyroidism , addison 's disease and also breast CA and depression with multiple suicide attempts in the past who originally presented s/p tylenol with codeine overdose and hypotension , was intubated and admitted to the FICU ." +p344764 +(lp344765 +S'57\t57\tCD\tB-NP\tO' +p344766 +aS'y/o\ty/o\tNN\tI-NP\tO' +p344767 +aS'F\tF\tNN\tI-NP\tO' +p344768 +aS'with\twith\tIN\tB-PP\tO' +p344769 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p344770 +aS'medical\tmedical\tJJ\tI-NP\tO' +p344771 +aS'problems\tproblem\tNNS\tI-NP\tO' +p344772 +aS'including\tinclude\tVBG\tB-PP\tO' +p344773 +aS'polyendocrine\tpolyendocrine\tJJ\tB-NP\tO' +p344774 +aS'deficiency\tdeficiency\tNN\tI-NP\tO' +p344775 +aS'comprised\tcomprise\tVBN\tB-VP\tO' +p344776 +aS'of\tof\tIN\tB-PP\tO' +p344777 +aS'adrenal\tadrenal\tJJ\tB-NP\tO' +p344778 +aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' +p344779 +aS',\t,\t,\tO\tO' +p344780 +aS'DM\tDM\tNN\tB-NP\tO' +p344781 +aS',\t,\t,\tO\tO' +p344782 +aS'premature\tpremature\tJJ\tB-NP\tO' +p344783 +aS'ovarian\tovarian\tJJ\tI-NP\tO' +p344784 +aS'failure\tfailure\tNN\tI-NP\tO' +p344785 +aS',\t,\t,\tO\tO' +p344786 +aS'hypoparathyroidism\thypoparathyroidism\tNN\tB-NP\tO' +p344787 +aS',\t,\t,\tO\tO' +p344788 +aS'addison\taddison\tNN\tB-NP\tO' +p344789 +aS"'s\t's\tPOS\tB-NP\tO" +p344790 +aS'disease\tdisease\tNN\tI-NP\tO' +p344791 +aS'and\tand\tCC\tO\tO' +p344792 +aS'also\talso\tRB\tB-ADVP\tO' +p344793 +aS'breast\tbreast\tNN\tB-NP\tO' +p344794 +aS'CA\tCA\tNN\tI-NP\tO' +p344795 +aS'and\tand\tCC\tO\tO' +p344796 +aS'depression\tdepression\tNN\tB-NP\tO' +p344797 +aS'with\twith\tIN\tB-PP\tO' +p344798 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p344799 +aS'suicide\tsuicide\tNN\tI-NP\tO' +p344800 +aS'attempts\tattempt\tNNS\tI-NP\tO' +p344801 +aS'in\tin\tIN\tB-PP\tO' +p344802 +aS'the\tthe\tDT\tB-NP\tO' +p344803 +aS'past\tpast\tNN\tI-NP\tO' +p344804 +aS'who\twho\tWP\tB-NP\tO' +p344805 +aS'originally\toriginally\tRB\tB-ADVP\tO' +p344806 +aS'presented\tpresent\tVBD\tB-VP\tO' +p344807 +aS's/p\ts/p\tNN\tB-NP\tO' +p344808 +aS'tylenol\ttylenol\tNN\tI-NP\tO' +p344809 +aS'with\twith\tIN\tB-PP\tO' +p344810 +aS'codeine\tcodeine\tNN\tB-NP\tO' +p344811 +aS'overdose\toverdose\tNN\tI-NP\tO' +p344812 +aS'and\tand\tCC\tI-NP\tO' +p344813 +aS'hypotension\thypotension\tNN\tI-NP\tO' +p344814 +aS',\t,\t,\tO\tO' +p344815 +aS'was\tbe\tVBD\tB-VP\tO' +p344816 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p344817 +aS'and\tand\tCC\tO\tO' +p344818 +aS'admitted\tadmit\tVBN\tB-VP\tO' +p344819 +aS'to\tto\tTO\tB-PP\tO' +p344820 +aS'the\tthe\tDT\tB-NP\tO' +p344821 +aS'FICU\tFICU\tNN\tI-NP\tB-DNA' +p344822 +aS'.\t.\t.\tO\tO' +p344823 +asS'Will also have INR checked at once weekly until target of INR of 2.0 to 3.0 is reached .' +p344824 +(lp344825 +S'Will\tWill\tMD\tB-VP\tO' +p344826 +aS'also\talso\tRB\tI-VP\tO' +p344827 +aS'have\thave\tVB\tI-VP\tO' +p344828 +aS'INR\tINR\tNN\tB-NP\tB-protein' +p344829 +aS'checked\tcheck\tVBN\tB-VP\tO' +p344830 +aS'at\tat\tIN\tB-PP\tO' +p344831 +aS'once\tonce\tRB\tB-ADVP\tO' +p344832 +aS'weekly\tweekly\tJJ\tI-ADVP\tO' +p344833 +aS'until\tuntil\tIN\tB-PP\tO' +p344834 +aS'target\ttarget\tNN\tB-NP\tO' +p344835 +aS'of\tof\tIN\tB-PP\tO' +p344836 +aS'INR\tINR\tNN\tB-NP\tB-protein' +p344837 +aS'of\tof\tIN\tB-PP\tO' +p344838 +aS'2.0\t2.0\tCD\tB-NP\tO' +p344839 +aS'to\tto\tTO\tB-PP\tO' +p344840 +aS'3.0\t3.0\tCD\tB-NP\tO' +p344841 +aS'is\tbe\tVBZ\tB-VP\tO' +p344842 +aS'reached\treach\tVBN\tI-VP\tO' +p344843 +aS'.\t.\t.\tO\tO' +p344844 +asS"The patient 's pain control was with morphine ." +p344845 +(lp344846 +S'The\tThe\tDT\tB-NP\tO' +p344847 +aS'patient\tpatient\tNN\tI-NP\tO' +p344848 +aS"'s\t's\tPOS\tB-NP\tO" +p344849 +aS'pain\tpain\tNN\tI-NP\tO' +p344850 +aS'control\tcontrol\tNN\tI-NP\tO' +p344851 +aS'was\tbe\tVBD\tB-VP\tO' +p344852 +aS'with\twith\tIN\tB-PP\tO' +p344853 +aS'morphine\tmorphine\tNN\tB-NP\tO' +p344854 +aS'.\t.\t.\tO\tO' +p344855 +asS'She has no chest pain , shortness of breath or fever .' +p344856 +(lp344857 +S'She\tShe\tPRP\tB-NP\tO' +p344858 +aS'has\thave\tVBZ\tB-VP\tO' +p344859 +aS'no\tno\tDT\tB-NP\tO' +p344860 +aS'chest\tchest\tNN\tI-NP\tO' +p344861 +aS'pain\tpain\tNN\tI-NP\tO' +p344862 +aS',\t,\t,\tO\tO' +p344863 +aS'shortness\tshortness\tNN\tB-NP\tO' +p344864 +aS'of\tof\tIN\tB-PP\tO' +p344865 +aS'breath\tbreath\tNN\tB-NP\tO' +p344866 +aS'or\tor\tCC\tI-NP\tO' +p344867 +aS'fever\tfever\tNN\tI-NP\tO' +p344868 +aS'.\t.\t.\tO\tO' +p344869 +asS'There is a small amount of pericardial fluid .' +p344870 +(lp344871 +S'There\tThere\tEX\tB-NP\tO' +p344872 +aS'is\tbe\tVBZ\tB-VP\tO' +p344873 +aS'a\ta\tDT\tB-NP\tO' +p344874 +aS'small\tsmall\tJJ\tI-NP\tO' +p344875 +aS'amount\tamount\tNN\tI-NP\tO' +p344876 +aS'of\tof\tIN\tB-PP\tO' +p344877 +aS'pericardial\tpericardial\tJJ\tB-NP\tO' +p344878 +aS'fluid\tfluid\tNN\tI-NP\tO' +p344879 +aS'.\t.\t.\tO\tO' +p344880 +asS'Her SPO2 was 98 percent on room air .' +p344881 +(lp344882 +S'Her\tHer\tPRP$\tB-NP\tO' +p344883 +aS'SPO2\tSPO2\tNN\tI-NP\tB-protein' +p344884 +aS'was\tbe\tVBD\tB-VP\tO' +p344885 +aS'98\t98\tCD\tB-NP\tO' +p344886 +aS'percent\tpercent\tNN\tI-NP\tO' +p344887 +aS'on\ton\tIN\tB-PP\tO' +p344888 +aS'room\troom\tNN\tB-NP\tO' +p344889 +aS'air\tair\tNN\tI-NP\tO' +p344890 +aS'.\t.\t.\tO\tO' +p344891 +asS'It was felt that he may have had some component of vascular congestion from his congestive heart failure as well as possibly some mild cirrhotic changes secondary to his previous alcohol use .' +p344892 +(lp344893 +S'It\tIt\tPRP\tB-NP\tO' +p344894 +aS'was\tbe\tVBD\tB-VP\tO' +p344895 +aS'felt\tfeel\tVBN\tI-VP\tO' +p344896 +aS'that\tthat\tIN\tB-SBAR\tO' +p344897 +aS'he\the\tPRP\tB-NP\tO' +p344898 +aS'may\tmay\tMD\tB-VP\tO' +p344899 +aS'have\thave\tVB\tI-VP\tO' +p344900 +aS'had\thave\tVBN\tI-VP\tO' +p344901 +aS'some\tsome\tDT\tB-NP\tO' +p344902 +aS'component\tcomponent\tNN\tI-NP\tO' +p344903 +aS'of\tof\tIN\tB-PP\tO' +p344904 +aS'vascular\tvascular\tJJ\tB-NP\tO' +p344905 +aS'congestion\tcongestion\tNN\tI-NP\tO' +p344906 +aS'from\tfrom\tIN\tB-PP\tO' +p344907 +aS'his\this\tPRP$\tB-NP\tO' +p344908 +aS'congestive\tcongestive\tJJ\tI-NP\tO' +p344909 +aS'heart\theart\tNN\tI-NP\tO' +p344910 +aS'failure\tfailure\tNN\tI-NP\tO' +p344911 +aS'as\tas\tRB\tB-CONJP\tO' +p344912 +aS'well\twell\tRB\tI-CONJP\tO' +p344913 +aS'as\tas\tIN\tI-CONJP\tO' +p344914 +aS'possibly\tpossibly\tRB\tB-NP\tO' +p344915 +aS'some\tsome\tDT\tI-NP\tO' +p344916 +aS'mild\tmild\tJJ\tI-NP\tO' +p344917 +aS'cirrhotic\tcirrhotic\tJJ\tI-NP\tO' +p344918 +aS'changes\tchange\tNNS\tI-NP\tO' +p344919 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p344920 +aS'to\tto\tTO\tB-PP\tO' +p344921 +aS'his\this\tPRP$\tB-NP\tO' +p344922 +aS'previous\tprevious\tJJ\tI-NP\tO' +p344923 +aS'alcohol\talcohol\tNN\tI-NP\tO' +p344924 +aS'use\tuse\tNN\tI-NP\tO' +p344925 +aS'.\t.\t.\tO\tO' +p344926 +asS'Ambulatory saturation was 82% on room air .' +p344927 +(lp344928 +S'Ambulatory\tAmbulatory\tJJ\tB-NP\tO' +p344929 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p344930 +aS'was\tbe\tVBD\tB-VP\tO' +p344931 +aS'82%\t82%\tNN\tB-NP\tO' +p344932 +aS'on\ton\tIN\tB-PP\tO' +p344933 +aS'room\troom\tNN\tB-NP\tO' +p344934 +aS'air\tair\tNN\tI-NP\tO' +p344935 +aS'.\t.\t.\tO\tO' +p344936 +asS'OTHER DIAGNOSIS ; Conditions , Infections , Complications , affecting Treatment / Stay' +p344937 +(lp344938 +S'OTHER\tOTHER\tNN\tB-NP\tO' +p344939 +aS'DIAGNOSIS\tDIAGNOSIS\tNN\tI-NP\tO' +p344940 +aS';\t;\t:\tO\tO' +p344941 +aS'Conditions\tCondition\tNNS\tB-NP\tO' +p344942 +aS',\t,\t,\tO\tO' +p344943 +aS'Infections\tInfection\tNNS\tB-NP\tO' +p344944 +aS',\t,\t,\tO\tO' +p344945 +aS'Complications\tComplication\tNNS\tB-NP\tO' +p344946 +aS',\t,\t,\tO\tO' +p344947 +aS'affecting\taffect\tVBG\tB-VP\tO' +p344948 +aS'Treatment\tTreatment\tNN\tB-NP\tO' +p344949 +aS'/\t/\tSYM\tB-VP\tO' +p344950 +aS'Stay\tStay\tNN\tB-NP\tO' +p344951 +asS'Again , this was unsuccessful .' +p344952 +(lp344953 +S'Again\tAgain\tRB\tB-ADVP\tO' +p344954 +aS',\t,\t,\tO\tO' +p344955 +aS'this\tthis\tDT\tB-NP\tO' +p344956 +aS'was\tbe\tVBD\tB-VP\tO' +p344957 +aS'unsuccessful\tunsuccessful\tJJ\tB-ADJP\tO' +p344958 +aS'.\t.\t.\tO\tO' +p344959 +asS'1 L was removed .' +p344960 +(lp344961 +S'1\t1\tCD\tB-NP\tO' +p344962 +aS'L\tL\tNN\tI-NP\tO' +p344963 +aS'was\tbe\tVBD\tB-VP\tO' +p344964 +aS'removed\tremove\tVBN\tI-VP\tO' +p344965 +aS'.\t.\t.\tO\tO' +p344966 +asS'Patient is intubated and sedated .' +p344967 +(lp344968 +S'Patient\tPatient\tNN\tB-NP\tO' +p344969 +aS'is\tbe\tVBZ\tB-VP\tO' +p344970 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p344971 +aS'and\tand\tCC\tI-VP\tO' +p344972 +aS'sedated\tsedate\tVBN\tI-VP\tO' +p344973 +aS'.\t.\t.\tO\tO' +p344974 +asS'Soft NT/ND , + BS without masses or hepatomegaly / splenomegaly' +p344975 +(lp344976 +S'Soft\tSoft\tNNP\tB-NP\tO' +p344977 +aS'NT/ND\tNT/ND\tNNP\tI-NP\tO' +p344978 +aS',\t,\t,\tO\tO' +p344979 +aS'+\t+\tNNP\tB-NP\tO' +p344980 +aS'BS\tBS\tNNP\tI-NP\tO' +p344981 +aS'without\twithout\tIN\tB-PP\tO' +p344982 +aS'masses\tmass\tNNS\tB-NP\tO' +p344983 +aS'or\tor\tCC\tI-NP\tO' +p344984 +aS'hepatomegaly\thepatomegaly\tNN\tI-NP\tO' +p344985 +aS'/\t/\tSYM\tB-NP\tO' +p344986 +aS'splenomegaly\tsplenomegaly\tNN\tB-NP\tO' +p344987 +asS'Able to follow simple commands .' +p344988 +(lp344989 +S'Able\tAble\tNN\tB-NP\tO' +p344990 +aS'to\tto\tTO\tB-VP\tO' +p344991 +aS'follow\tfollow\tVB\tI-VP\tO' +p344992 +aS'simple\tsimple\tJJ\tB-NP\tO' +p344993 +aS'commands\tcommand\tNNS\tI-NP\tO' +p344994 +aS'.\t.\t.\tO\tO' +p344995 +asS'Total bilirubin was 2.8 .' +p344996 +(lp344997 +S'Total\tTotal\tJJ\tB-NP\tO' +p344998 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p344999 +aS'was\tbe\tVBD\tB-VP\tO' +p345000 +aS'2.8\t2.8\tCD\tB-NP\tO' +p345001 +aS'.\t.\t.\tO\tO' +p345002 +asS'The patient his undergoing a TTE prior to discharge to rule out a thrombus .' +p345003 +(lp345004 +S'The\tThe\tDT\tB-NP\tO' +p345005 +aS'patient\tpatient\tNN\tI-NP\tO' +p345006 +aS'his\this\tPRP$\tB-NP\tO' +p345007 +aS'undergoing\tundergo\tVBG\tB-VP\tO' +p345008 +aS'a\ta\tDT\tB-NP\tO' +p345009 +aS'TTE\tTTE\tNN\tI-NP\tO' +p345010 +aS'prior\tprior\tRB\tB-ADVP\tO' +p345011 +aS'to\tto\tTO\tB-VP\tO' +p345012 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p345013 +aS'to\tto\tTO\tI-VP\tO' +p345014 +aS'rule\trule\tVB\tI-VP\tO' +p345015 +aS'out\tout\tRP\tB-PRT\tO' +p345016 +aS'a\ta\tDT\tB-NP\tO' +p345017 +aS'thrombus\tthrombus\tNN\tI-NP\tO' +p345018 +aS'.\t.\t.\tO\tO' +p345019 +asS'Urine culture came back positive for VRE , however , since patient improved without treatement ( ie Linezolid ) initially .' +p345020 +(lp345021 +S'Urine\tUrine\tNN\tB-NP\tO' +p345022 +aS'culture\tculture\tNN\tI-NP\tO' +p345023 +aS'came\tcome\tVBD\tB-VP\tO' +p345024 +aS'back\tback\tRB\tB-ADVP\tO' +p345025 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p345026 +aS'for\tfor\tIN\tB-PP\tO' +p345027 +aS'VRE\tVRE\tNN\tB-NP\tB-DNA' +p345028 +aS',\t,\t,\tO\tO' +p345029 +aS'however\thowever\tRB\tB-ADVP\tO' +p345030 +aS',\t,\t,\tO\tO' +p345031 +aS'since\tsince\tIN\tB-SBAR\tO' +p345032 +aS'patient\tpatient\tNN\tB-NP\tO' +p345033 +aS'improved\timprove\tVBD\tB-VP\tO' +p345034 +aS'without\twithout\tIN\tB-PP\tO' +p345035 +aS'treatement\ttreatement\tNN\tB-NP\tO' +p345036 +aS'(\t(\t(\tO\tO' +p345037 +aS'ie\tie\tNN\tB-NP\tO' +p345038 +aS'Linezolid\tLinezolid\tNN\tI-NP\tO' +p345039 +aS')\t)\t)\tO\tO' +p345040 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p345041 +aS'.\t.\t.\tO\tO' +p345042 +asS'The blood pressure was 113/70 , pulse 66 , respirations 20 , and a temperature of 96.8 .' +p345043 +(lp345044 +S'The\tThe\tDT\tB-NP\tO' +p345045 +aS'blood\tblood\tNN\tI-NP\tO' +p345046 +aS'pressure\tpressure\tNN\tI-NP\tO' +p345047 +aS'was\tbe\tVBD\tB-VP\tO' +p345048 +aS'113/70\t113/70\tCD\tB-NP\tO' +p345049 +aS',\t,\t,\tO\tO' +p345050 +aS'pulse\tpulse\tNN\tB-NP\tO' +p345051 +aS'66\t66\tCD\tI-NP\tO' +p345052 +aS',\t,\t,\tO\tO' +p345053 +aS'respirations\trespiration\tNNS\tB-NP\tO' +p345054 +aS'20\t20\tCD\tB-NP\tO' +p345055 +aS',\t,\t,\tO\tO' +p345056 +aS'and\tand\tCC\tO\tO' +p345057 +aS'a\ta\tDT\tB-NP\tO' +p345058 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p345059 +aS'of\tof\tIN\tB-PP\tO' +p345060 +aS'96.8\t96.8\tCD\tB-NP\tO' +p345061 +aS'.\t.\t.\tO\tO' +p345062 +asS'RRR with holosystolic murmur soft , NT , ND , + BS warm , well-perfused , no edema , superficial varicosities neuro grossly intact' +p345063 +(lp345064 +S'RRR\tRRR\tNN\tB-NP\tB-protein' +p345065 +aS'with\twith\tIN\tB-PP\tO' +p345066 +aS'holosystolic\tholosystolic\tJJ\tB-NP\tO' +p345067 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p345068 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p345069 +aS',\t,\t,\tO\tO' +p345070 +aS'NT\tNT\tNN\tB-NP\tO' +p345071 +aS',\t,\t,\tO\tO' +p345072 +aS'ND\tND\tNN\tB-NP\tO' +p345073 +aS',\t,\t,\tO\tO' +p345074 +aS'+\t+\tSYM\tB-NP\tO' +p345075 +aS'BS\tBS\tNNP\tI-NP\tO' +p345076 +aS'warm\twarm\tJJ\tI-NP\tO' +p345077 +aS',\t,\t,\tI-NP\tO' +p345078 +aS'well-perfused\twell-perfused\tJJ\tI-NP\tO' +p345079 +aS',\t,\t,\tO\tO' +p345080 +aS'no\tno\tDT\tB-NP\tO' +p345081 +aS'edema\tedema\tNN\tI-NP\tO' +p345082 +aS',\t,\t,\tO\tO' +p345083 +aS'superficial\tsuperficial\tJJ\tB-NP\tO' +p345084 +aS'varicosities\tvaricosity\tNNS\tI-NP\tO' +p345085 +aS'neuro\tneuro\tRB\tB-ADJP\tO' +p345086 +aS'grossly\tgrossly\tRB\tI-ADJP\tO' +p345087 +aS'intact\tintact\tJJ\tI-ADJP\tO' +p345088 +asS'This is thought to be the insighting cause of his massive rhabdomyolysis and hepatic failure .' +p345089 +(lp345090 +S'This\tThis\tDT\tB-NP\tO' +p345091 +aS'is\tbe\tVBZ\tB-VP\tO' +p345092 +aS'thought\tthink\tVBN\tI-VP\tO' +p345093 +aS'to\tto\tTO\tI-VP\tO' +p345094 +aS'be\tbe\tVB\tI-VP\tO' +p345095 +aS'the\tthe\tDT\tB-NP\tO' +p345096 +aS'insighting\tinsighting\tNN\tI-NP\tO' +p345097 +aS'cause\tcause\tNN\tI-NP\tO' +p345098 +aS'of\tof\tIN\tB-PP\tO' +p345099 +aS'his\this\tPRP$\tB-NP\tO' +p345100 +aS'massive\tmassive\tJJ\tI-NP\tO' +p345101 +aS'rhabdomyolysis\trhabdomyolysis\tNN\tI-NP\tO' +p345102 +aS'and\tand\tCC\tI-NP\tO' +p345103 +aS'hepatic\thepatic\tJJ\tI-NP\tO' +p345104 +aS'failure\tfailure\tNN\tI-NP\tO' +p345105 +aS'.\t.\t.\tO\tO' +p345106 +asS"At the same time the patient was seen in consultation by the Infectious Disease Service who upon culturing the patient 's sternal drainage switched the patient from intravenous Unasyn to Levofloxacin for what appeared to be Citrobacter and Diphtheroids in the wound cultures ." +p345107 +(lp345108 +S'At\tAt\tIN\tB-PP\tO' +p345109 +aS'the\tthe\tDT\tB-NP\tO' +p345110 +aS'same\tsame\tJJ\tI-NP\tO' +p345111 +aS'time\ttime\tNN\tI-NP\tO' +p345112 +aS'the\tthe\tDT\tB-NP\tO' +p345113 +aS'patient\tpatient\tNN\tI-NP\tO' +p345114 +aS'was\tbe\tVBD\tB-VP\tO' +p345115 +aS'seen\tsee\tVBN\tI-VP\tO' +p345116 +aS'in\tin\tIN\tB-PP\tO' +p345117 +aS'consultation\tconsultation\tNN\tB-NP\tO' +p345118 +aS'by\tby\tIN\tB-PP\tO' +p345119 +aS'the\tthe\tDT\tB-NP\tO' +p345120 +aS'Infectious\tInfectious\tNNP\tI-NP\tO' +p345121 +aS'Disease\tDisease\tNNP\tI-NP\tO' +p345122 +aS'Service\tService\tNNP\tI-NP\tO' +p345123 +aS'who\twho\tWP\tB-NP\tO' +p345124 +aS'upon\tupon\tIN\tB-PP\tO' +p345125 +aS'culturing\tculture\tVBG\tB-VP\tO' +p345126 +aS'the\tthe\tDT\tB-NP\tO' +p345127 +aS'patient\tpatient\tNN\tI-NP\tO' +p345128 +aS"'s\t's\tPOS\tB-NP\tO" +p345129 +aS'sternal\tsternal\tJJ\tI-NP\tO' +p345130 +aS'drainage\tdrainage\tNN\tI-NP\tO' +p345131 +aS'switched\tswitch\tVBD\tB-VP\tO' +p345132 +aS'the\tthe\tDT\tB-NP\tO' +p345133 +aS'patient\tpatient\tNN\tI-NP\tO' +p345134 +aS'from\tfrom\tIN\tB-PP\tO' +p345135 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p345136 +aS'Unasyn\tUnasyn\tNN\tI-NP\tO' +p345137 +aS'to\tto\tTO\tB-PP\tO' +p345138 +aS'Levofloxacin\tLevofloxacin\tNN\tB-NP\tO' +p345139 +aS'for\tfor\tIN\tB-PP\tO' +p345140 +aS'what\twhat\tWP\tB-NP\tO' +p345141 +aS'appeared\tappear\tVBD\tB-VP\tO' +p345142 +aS'to\tto\tTO\tI-VP\tO' +p345143 +aS'be\tbe\tVB\tI-VP\tO' +p345144 +aS'Citrobacter\tCitrobacter\tNNP\tB-NP\tO' +p345145 +aS'and\tand\tCC\tI-NP\tO' +p345146 +aS'Diphtheroids\tDiphtheroids\tNNP\tI-NP\tO' +p345147 +aS'in\tin\tIN\tB-PP\tO' +p345148 +aS'the\tthe\tDT\tB-NP\tO' +p345149 +aS'wound\twound\tJJ\tI-NP\tB-cell_line' +p345150 +aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' +p345151 +aS'.\t.\t.\tO\tO' +p345152 +asS'A stent was placed successfully .' +p345153 +(lp345154 +S'A\tA\tDT\tB-NP\tO' +p345155 +aS'stent\tstent\tNN\tI-NP\tO' +p345156 +aS'was\tbe\tVBD\tB-VP\tO' +p345157 +aS'placed\tplace\tVBN\tI-VP\tO' +p345158 +aS'successfully\tsuccessfully\tRB\tB-ADVP\tO' +p345159 +aS'.\t.\t.\tO\tO' +p345160 +asS'7. Nursing home resident .' +p345161 +(lp345162 +S'7.\t7.\tLS\tB-LST\tO' +p345163 +aS'Nursing\tNurse\tVBG\tB-VP\tO' +p345164 +aS'home\thome\tNN\tB-NP\tO' +p345165 +aS'resident\tresident\tNN\tI-NP\tO' +p345166 +aS'.\t.\t.\tO\tO' +p345167 +asS'Holding Metformin until Friday due to CT with contrast .' +p345168 +(lp345169 +S'Holding\tHolding\tNNP\tB-NP\tO' +p345170 +aS'Metformin\tMetformin\tNNP\tI-NP\tO' +p345171 +aS'until\tuntil\tIN\tB-PP\tO' +p345172 +aS'Friday\tFriday\tNNP\tB-NP\tO' +p345173 +aS'due\tdue\tIN\tB-PP\tO' +p345174 +aS'to\tto\tTO\tI-PP\tO' +p345175 +aS'CT\tCT\tNN\tB-NP\tB-protein' +p345176 +aS'with\twith\tIN\tB-PP\tO' +p345177 +aS'contrast\tcontrast\tNN\tB-NP\tO' +p345178 +aS'.\t.\t.\tO\tO' +p345179 +asS"Pt 's Hct trended down slowly throughout his hospitalization ." +p345180 +(lp345181 +S'Pt\tPt\tNN\tB-NP\tO' +p345182 +aS"'s\t's\tPOS\tB-NP\tO" +p345183 +aS'Hct\tHct\tNN\tI-NP\tO' +p345184 +aS'trended\ttrend\tVBD\tB-VP\tO' +p345185 +aS'down\tdown\tRP\tB-PRT\tO' +p345186 +aS'slowly\tslowly\tRB\tB-ADVP\tO' +p345187 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p345188 +aS'his\this\tPRP$\tB-NP\tO' +p345189 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p345190 +aS'.\t.\t.\tO\tO' +p345191 +asS'The Foley was discontinued and the patient was urinating on her own .' +p345192 +(lp345193 +S'The\tThe\tDT\tB-NP\tO' +p345194 +aS'Foley\tFoley\tNNP\tI-NP\tO' +p345195 +aS'was\tbe\tVBD\tB-VP\tO' +p345196 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p345197 +aS'and\tand\tCC\tO\tO' +p345198 +aS'the\tthe\tDT\tB-NP\tO' +p345199 +aS'patient\tpatient\tNN\tI-NP\tO' +p345200 +aS'was\tbe\tVBD\tB-VP\tO' +p345201 +aS'urinating\turinate\tVBG\tI-VP\tO' +p345202 +aS'on\ton\tIN\tB-PP\tO' +p345203 +aS'her\ther\tPRP$\tB-NP\tO' +p345204 +aS'own\town\tJJ\tI-NP\tO' +p345205 +aS'.\t.\t.\tO\tO' +p345206 +asS'He had faint bibasilar crackles on lung examination .' +p345207 +(lp345208 +S'He\tHe\tPRP\tB-NP\tO' +p345209 +aS'had\thave\tVBD\tB-VP\tO' +p345210 +aS'faint\tfaint\tJJ\tB-NP\tO' +p345211 +aS'bibasilar\tbibasilar\tJJ\tI-NP\tO' +p345212 +aS'crackles\tcrackle\tNNS\tI-NP\tO' +p345213 +aS'on\ton\tIN\tB-PP\tO' +p345214 +aS'lung\tlung\tNN\tB-NP\tO' +p345215 +aS'examination\texamination\tNN\tI-NP\tO' +p345216 +aS'.\t.\t.\tO\tO' +p345217 +asS'The patient is , therefore , discharged after a three day hospitalization , with plans for re-admission for the neuroradiology procedure .' +p345218 +(lp345219 +S'The\tThe\tDT\tB-NP\tO' +p345220 +aS'patient\tpatient\tNN\tI-NP\tO' +p345221 +aS'is\tbe\tVBZ\tB-VP\tO' +p345222 +aS',\t,\t,\tO\tO' +p345223 +aS'therefore\ttherefore\tRB\tB-ADVP\tO' +p345224 +aS',\t,\t,\tO\tO' +p345225 +aS'discharged\tdischarge\tVBD\tB-VP\tO' +p345226 +aS'after\tafter\tIN\tB-PP\tO' +p345227 +aS'a\ta\tDT\tB-NP\tO' +p345228 +aS'three\tthree\tCD\tI-NP\tO' +p345229 +aS'day\tday\tNN\tI-NP\tO' +p345230 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p345231 +aS',\t,\t,\tO\tO' +p345232 +aS'with\twith\tIN\tB-PP\tO' +p345233 +aS'plans\tplan\tNNS\tB-NP\tO' +p345234 +aS'for\tfor\tIN\tB-PP\tO' +p345235 +aS're-admission\tre-admission\tNN\tB-NP\tO' +p345236 +aS'for\tfor\tIN\tB-PP\tO' +p345237 +aS'the\tthe\tDT\tB-NP\tO' +p345238 +aS'neuroradiology\tneuroradiology\tNN\tI-NP\tO' +p345239 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p345240 +aS'.\t.\t.\tO\tO' +p345241 +asS'So accepted to be on dilaudid p.o. which was started at a dosage of 2-4 meg but since then we have tapered it up .' +p345242 +(lp345243 +S'So\tSo\tRB\tO\tO' +p345244 +aS'accepted\taccept\tVBN\tB-VP\tO' +p345245 +aS'to\tto\tTO\tI-VP\tO' +p345246 +aS'be\tbe\tVB\tI-VP\tO' +p345247 +aS'on\ton\tIN\tB-PP\tO' +p345248 +aS'dilaudid\tdilaudid\tJJ\tB-NP\tO' +p345249 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p345250 +aS'which\twhich\tWDT\tB-NP\tO' +p345251 +aS'was\tbe\tVBD\tB-VP\tO' +p345252 +aS'started\tstart\tVBN\tI-VP\tO' +p345253 +aS'at\tat\tIN\tB-PP\tO' +p345254 +aS'a\ta\tDT\tB-NP\tO' +p345255 +aS'dosage\tdosage\tNN\tI-NP\tO' +p345256 +aS'of\tof\tIN\tB-PP\tO' +p345257 +aS'2-4\t2-4\tCD\tB-NP\tO' +p345258 +aS'meg\tmeg\tNN\tI-NP\tO' +p345259 +aS'but\tbut\tCC\tB-PP\tO' +p345260 +aS'since\tsince\tIN\tB-PP\tO' +p345261 +aS'then\tthen\tRB\tB-NP\tO' +p345262 +aS'we\twe\tPRP\tB-NP\tO' +p345263 +aS'have\thave\tVBP\tB-VP\tO' +p345264 +aS'tapered\ttaper\tVBN\tI-VP\tO' +p345265 +aS'it\tit\tPRP\tB-NP\tO' +p345266 +aS'up\tup\tRP\tB-PRT\tO' +p345267 +aS'.\t.\t.\tO\tO' +p345268 +asS'She was hemodynamically stable .' +p345269 +(lp345270 +S'She\tShe\tPRP\tB-NP\tO' +p345271 +aS'was\tbe\tVBD\tB-VP\tO' +p345272 +aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' +p345273 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p345274 +aS'.\t.\t.\tO\tO' +p345275 +asS'Her gait was notable for requiring assist .' +p345276 +(lp345277 +S'Her\tHer\tPRP$\tB-NP\tO' +p345278 +aS'gait\tgait\tNN\tI-NP\tO' +p345279 +aS'was\tbe\tVBD\tB-VP\tO' +p345280 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p345281 +aS'for\tfor\tIN\tB-PP\tO' +p345282 +aS'requiring\trequire\tVBG\tB-VP\tO' +p345283 +aS'assist\tassist\tNN\tB-NP\tO' +p345284 +aS'.\t.\t.\tO\tO' +p345285 +asS'He was placed on Levo and Ceftriaxone .' +p345286 +(lp345287 +S'He\tHe\tPRP\tB-NP\tO' +p345288 +aS'was\tbe\tVBD\tB-VP\tO' +p345289 +aS'placed\tplace\tVBN\tI-VP\tO' +p345290 +aS'on\ton\tIN\tB-PP\tO' +p345291 +aS'Levo\tLevo\tNNP\tB-NP\tO' +p345292 +aS'and\tand\tCC\tI-NP\tO' +p345293 +aS'Ceftriaxone\tCeftriaxone\tNNP\tI-NP\tO' +p345294 +aS'.\t.\t.\tO\tO' +p345295 +asS'3. Lactulose 30 ml tid ( titrated to 4 to 5 bowel movements qd ) .' +p345296 +(lp345297 +S'3.\t3.\tLS\tB-LST\tO' +p345298 +aS'Lactulose\tLactulose\tNN\tB-NP\tO' +p345299 +aS'30\t30\tCD\tI-NP\tO' +p345300 +aS'ml\tml\tNN\tI-NP\tO' +p345301 +aS'tid\ttid\tNN\tI-NP\tO' +p345302 +aS'(\t(\t(\tO\tO' +p345303 +aS'titrated\ttitrate\tVBN\tB-VP\tO' +p345304 +aS'to\tto\tTO\tB-PP\tO' +p345305 +aS'4\t4\tCD\tB-NP\tO' +p345306 +aS'to\tto\tTO\tI-NP\tO' +p345307 +aS'5\t5\tCD\tI-NP\tO' +p345308 +aS'bowel\tbowel\tNN\tI-NP\tO' +p345309 +aS'movements\tmovement\tNNS\tI-NP\tO' +p345310 +aS'qd\tqd\tNN\tI-NP\tO' +p345311 +aS')\t)\t)\tO\tO' +p345312 +aS'.\t.\t.\tO\tO' +p345313 +asS'Levofloxacin 500 mg every day for 7 days' +p345314 +(lp345315 +S'Levofloxacin\tLevofloxacin\tNN\tB-NP\tO' +p345316 +aS'500\t500\tCD\tI-NP\tO' +p345317 +aS'mg\tmg\tNN\tI-NP\tO' +p345318 +aS'every\tevery\tDT\tB-NP\tO' +p345319 +aS'day\tday\tNN\tI-NP\tO' +p345320 +aS'for\tfor\tIN\tB-PP\tO' +p345321 +aS'7\t7\tCD\tB-NP\tO' +p345322 +aS'days\tday\tNNS\tI-NP\tO' +p345323 +asS'Former Vermont blacksmith .' +p345324 +(lp345325 +S'Former\tFormer\tNNP\tB-NP\tO' +p345326 +aS'Vermont\tVermont\tNNP\tI-NP\tO' +p345327 +aS'blacksmith\tblacksmith\tNN\tI-NP\tO' +p345328 +aS'.\t.\t.\tO\tO' +p345329 +asS'please call your primary care doctor on monday for follow up next week .' +p345330 +(lp345331 +S'please\tplease\tVB\tB-VP\tO' +p345332 +aS'call\tcall\tVB\tI-VP\tO' +p345333 +aS'your\tyour\tPRP$\tB-NP\tO' +p345334 +aS'primary\tprimary\tJJ\tI-NP\tO' +p345335 +aS'care\tcare\tNN\tI-NP\tO' +p345336 +aS'doctor\tdoctor\tNN\tI-NP\tO' +p345337 +aS'on\ton\tIN\tB-PP\tO' +p345338 +aS'monday\tmonday\tNN\tB-NP\tO' +p345339 +aS'for\tfor\tIN\tB-PP\tO' +p345340 +aS'follow\tfollow\tVB\tB-VP\tO' +p345341 +aS'up\tup\tRP\tB-PRT\tO' +p345342 +aS'next\tnext\tJJ\tB-NP\tO' +p345343 +aS'week\tweek\tNN\tI-NP\tO' +p345344 +aS'.\t.\t.\tO\tO' +p345345 +asS'Please see Dr. Holbrook ( 984 ) 452 0816 on monday and have your coumadin level checked .' +p345346 +(lp345347 +S'Please\tPlease\tVB\tB-VP\tO' +p345348 +aS'see\tsee\tVB\tI-VP\tO' +p345349 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p345350 +aS'Holbrook\tHolbrook\tNNP\tI-NP\tO' +p345351 +aS'(\t(\t(\tO\tO' +p345352 +aS'984\t984\tCD\tB-NP\tO' +p345353 +aS')\t)\t)\tO\tO' +p345354 +aS'452\t452\tCD\tB-NP\tO' +p345355 +aS'0816\t0816\tCD\tI-NP\tO' +p345356 +aS'on\ton\tIN\tB-PP\tO' +p345357 +aS'monday\tmonday\tNN\tB-NP\tO' +p345358 +aS'and\tand\tCC\tO\tO' +p345359 +aS'have\thave\tVBP\tB-VP\tO' +p345360 +aS'your\tyour\tPRP$\tB-NP\tO' +p345361 +aS'coumadin\tcoumadin\tNN\tI-NP\tO' +p345362 +aS'level\tlevel\tNN\tI-NP\tO' +p345363 +aS'checked\tcheck\tVBD\tB-VP\tO' +p345364 +aS'.\t.\t.\tO\tO' +p345365 +asS'No stigmata of IV drug use .' +p345366 +(lp345367 +S'No\tNo\tDT\tB-NP\tO' +p345368 +aS'stigmata\tstigmata\tNN\tI-NP\tO' +p345369 +aS'of\tof\tIN\tB-PP\tO' +p345370 +aS'IV\tIV\tCD\tB-NP\tO' +p345371 +aS'drug\tdrug\tNN\tI-NP\tO' +p345372 +aS'use\tuse\tNN\tI-NP\tO' +p345373 +aS'.\t.\t.\tO\tO' +p345374 +asS'She urinates frequently , but occasionally the urine is very slow to start .' +p345375 +(lp345376 +S'She\tShe\tPRP\tB-NP\tO' +p345377 +aS'urinates\turinate\tVBZ\tB-VP\tO' +p345378 +aS'frequently\tfrequently\tRB\tB-ADVP\tO' +p345379 +aS',\t,\t,\tO\tO' +p345380 +aS'but\tbut\tCC\tO\tO' +p345381 +aS'occasionally\toccasionally\tRB\tB-ADVP\tO' +p345382 +aS'the\tthe\tDT\tB-NP\tO' +p345383 +aS'urine\turine\tNN\tI-NP\tO' +p345384 +aS'is\tbe\tVBZ\tB-VP\tO' +p345385 +aS'very\tvery\tRB\tB-ADJP\tO' +p345386 +aS'slow\tslow\tJJ\tI-ADJP\tO' +p345387 +aS'to\tto\tTO\tB-VP\tO' +p345388 +aS'start\tstart\tVB\tI-VP\tO' +p345389 +aS'.\t.\t.\tO\tO' +p345390 +asS'Patient received as transfer from outside hospital .' +p345391 +(lp345392 +S'Patient\tPatient\tNN\tB-NP\tO' +p345393 +aS'received\treceive\tVBD\tB-VP\tO' +p345394 +aS'as\tas\tIN\tB-PP\tO' +p345395 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p345396 +aS'from\tfrom\tIN\tB-PP\tO' +p345397 +aS'outside\toutside\tJJ\tB-NP\tO' +p345398 +aS'hospital\thospital\tNN\tI-NP\tO' +p345399 +aS'.\t.\t.\tO\tO' +p345400 +asS'She delivered a 3550 gram male infant on 08/31/2004 at 09:33 pm with apgar scores of 9 and 9 at one and five minutes respectively at 41.0 weeks gestation via spontaneous vertex vaginal delivery .' +p345401 +(lp345402 +S'She\tShe\tPRP\tB-NP\tO' +p345403 +aS'delivered\tdeliver\tVBD\tB-VP\tO' +p345404 +aS'a\ta\tDT\tB-NP\tO' +p345405 +aS'3550\t3550\tCD\tI-NP\tO' +p345406 +aS'gram\tgram\tNN\tI-NP\tO' +p345407 +aS'male\tmale\tJJ\tI-NP\tO' +p345408 +aS'infant\tinfant\tNN\tI-NP\tO' +p345409 +aS'on\ton\tIN\tB-PP\tO' +p345410 +aS'08/31/2004\t08/31/2004\tCD\tB-NP\tO' +p345411 +aS'at\tat\tIN\tB-PP\tO' +p345412 +aS'09:33\t09:33\tCD\tB-NP\tO' +p345413 +aS'pm\tpm\tNN\tI-NP\tO' +p345414 +aS'with\twith\tIN\tB-PP\tO' +p345415 +aS'apgar\tapgar\tNN\tB-NP\tO' +p345416 +aS'scores\tscore\tNNS\tI-NP\tO' +p345417 +aS'of\tof\tIN\tB-PP\tO' +p345418 +aS'9\t9\tCD\tB-NP\tO' +p345419 +aS'and\tand\tCC\tI-NP\tO' +p345420 +aS'9\t9\tCD\tI-NP\tO' +p345421 +aS'at\tat\tIN\tB-PP\tO' +p345422 +aS'one\tone\tCD\tB-NP\tO' +p345423 +aS'and\tand\tCC\tI-NP\tO' +p345424 +aS'five\tfive\tCD\tI-NP\tO' +p345425 +aS'minutes\tminute\tNNS\tI-NP\tO' +p345426 +aS'respectively\trespectively\tRB\tB-ADVP\tO' +p345427 +aS'at\tat\tIN\tB-PP\tO' +p345428 +aS'41.0\t41.0\tCD\tB-NP\tO' +p345429 +aS'weeks\tweek\tNNS\tI-NP\tO' +p345430 +aS'gestation\tgestation\tNN\tI-NP\tO' +p345431 +aS'via\tvia\tIN\tB-PP\tO' +p345432 +aS'spontaneous\tspontaneous\tJJ\tB-NP\tO' +p345433 +aS'vertex\tvertex\tNN\tI-NP\tO' +p345434 +aS'vaginal\tvaginal\tJJ\tI-NP\tO' +p345435 +aS'delivery\tdelivery\tNN\tI-NP\tO' +p345436 +aS'.\t.\t.\tO\tO' +p345437 +asS'On 8-17-93 , she was taken to the cardiac catheterization laboratory where she underwent percutaneous transluminal coronary angioplasty of the proximal left anterior descending .' +p345438 +(lp345439 +S'On\tOn\tIN\tB-PP\tO' +p345440 +aS'8-17-93\t8-17-93\tCD\tB-NP\tO' +p345441 +aS',\t,\t,\tO\tO' +p345442 +aS'she\tshe\tPRP\tB-NP\tO' +p345443 +aS'was\tbe\tVBD\tB-VP\tO' +p345444 +aS'taken\ttake\tVBN\tI-VP\tO' +p345445 +aS'to\tto\tTO\tB-PP\tO' +p345446 +aS'the\tthe\tDT\tB-NP\tO' +p345447 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p345448 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p345449 +aS'laboratory\tlaboratory\tNN\tI-NP\tO' +p345450 +aS'where\twhere\tWRB\tB-ADVP\tO' +p345451 +aS'she\tshe\tPRP\tB-NP\tO' +p345452 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p345453 +aS'percutaneous\tpercutaneous\tJJ\tB-NP\tO' +p345454 +aS'transluminal\ttransluminal\tJJ\tI-NP\tO' +p345455 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p345456 +aS'angioplasty\tangioplasty\tNN\tI-NP\tO' +p345457 +aS'of\tof\tIN\tB-PP\tO' +p345458 +aS'the\tthe\tDT\tB-NP\tO' +p345459 +aS'proximal\tproximal\tJJ\tI-NP\tO' +p345460 +aS'left\tleft\tJJ\tI-NP\tO' +p345461 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p345462 +aS'descending\tdescending\tNN\tI-NP\tO' +p345463 +aS'.\t.\t.\tO\tO' +p345464 +asS'A repeat head CT 12 hours after the first was largely unchanged .' +p345465 +(lp345466 +S'A\tA\tDT\tB-NP\tO' +p345467 +aS'repeat\trepeat\tNN\tI-NP\tO' +p345468 +aS'head\thead\tNN\tI-NP\tO' +p345469 +aS'CT\tCT\tNN\tI-NP\tO' +p345470 +aS'12\t12\tCD\tB-NP\tO' +p345471 +aS'hours\thour\tNNS\tI-NP\tO' +p345472 +aS'after\tafter\tIN\tB-PP\tO' +p345473 +aS'the\tthe\tDT\tB-NP\tO' +p345474 +aS'first\tfirst\tJJ\tI-NP\tO' +p345475 +aS'was\tbe\tVBD\tB-VP\tO' +p345476 +aS'largely\tlargely\tRB\tB-ADJP\tO' +p345477 +aS'unchanged\tunchanged\tJJ\tI-ADJP\tO' +p345478 +aS'.\t.\t.\tO\tO' +p345479 +asS'There was no evidence for a definite leak but there was evidence for gas bubbles in the anterior posterior distal ends of the grafts consistent with an infectious process .' +p345480 +(lp345481 +S'There\tThere\tEX\tB-NP\tO' +p345482 +aS'was\tbe\tVBD\tB-VP\tO' +p345483 +aS'no\tno\tDT\tB-NP\tO' +p345484 +aS'evidence\tevidence\tNN\tI-NP\tO' +p345485 +aS'for\tfor\tIN\tB-PP\tO' +p345486 +aS'a\ta\tDT\tB-NP\tO' +p345487 +aS'definite\tdefinite\tJJ\tI-NP\tO' +p345488 +aS'leak\tleak\tNN\tI-NP\tO' +p345489 +aS'but\tbut\tCC\tO\tO' +p345490 +aS'there\tthere\tEX\tB-NP\tO' +p345491 +aS'was\tbe\tVBD\tB-VP\tO' +p345492 +aS'evidence\tevidence\tNN\tB-NP\tO' +p345493 +aS'for\tfor\tIN\tB-PP\tO' +p345494 +aS'gas\tgas\tNN\tB-NP\tO' +p345495 +aS'bubbles\tbubble\tNNS\tI-NP\tO' +p345496 +aS'in\tin\tIN\tB-PP\tO' +p345497 +aS'the\tthe\tDT\tB-NP\tO' +p345498 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p345499 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p345500 +aS'distal\tdistal\tJJ\tI-NP\tO' +p345501 +aS'ends\tend\tNNS\tI-NP\tO' +p345502 +aS'of\tof\tIN\tB-PP\tO' +p345503 +aS'the\tthe\tDT\tB-NP\tO' +p345504 +aS'grafts\tgraft\tNNS\tI-NP\tO' +p345505 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p345506 +aS'with\twith\tIN\tB-PP\tO' +p345507 +aS'an\tan\tDT\tB-NP\tO' +p345508 +aS'infectious\tinfectious\tJJ\tI-NP\tO' +p345509 +aS'process\tprocess\tNN\tI-NP\tO' +p345510 +aS'.\t.\t.\tO\tO' +p345511 +asS'2. Atrial fibrillation on Coumadin .' +p345512 +(lp345513 +S'2.\t2.\tLS\tB-NP\tO' +p345514 +aS'Atrial\tAtrial\tJJ\tI-NP\tO' +p345515 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p345516 +aS'on\ton\tIN\tB-PP\tO' +p345517 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p345518 +aS'.\t.\t.\tO\tO' +p345519 +asS'The patient was on no medications .' +p345520 +(lp345521 +S'The\tThe\tDT\tB-NP\tO' +p345522 +aS'patient\tpatient\tNN\tI-NP\tO' +p345523 +aS'was\tbe\tVBD\tB-VP\tO' +p345524 +aS'on\ton\tIN\tB-PP\tO' +p345525 +aS'no\tno\tDT\tB-NP\tO' +p345526 +aS'medications\tmedication\tNNS\tI-NP\tO' +p345527 +aS'.\t.\t.\tO\tO' +p345528 +asS'He denies any ilicit drug use .' +p345529 +(lp345530 +S'He\tHe\tPRP\tB-NP\tO' +p345531 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p345532 +aS'any\tany\tDT\tB-NP\tO' +p345533 +aS'ilicit\tilicit\tJJ\tI-NP\tO' +p345534 +aS'drug\tdrug\tNN\tI-NP\tO' +p345535 +aS'use\tuse\tNN\tI-NP\tO' +p345536 +aS'.\t.\t.\tO\tO' +p345537 +asS'Pathology revealed poorly differentiated squamous cell carcinoma of the cervix with spots of vaginal margins and metastatic squamous cell carcinoma in the cardinal ligaments with extensive lymphatic invasion .' +p345538 +(lp345539 +S'Pathology\tPathology\tNNS\tB-NP\tO' +p345540 +aS'revealed\treveal\tVBD\tB-VP\tO' +p345541 +aS'poorly\tpoorly\tRB\tB-NP\tO' +p345542 +aS'differentiated\tdifferentiate\tVBN\tI-NP\tO' +p345543 +aS'squamous\tsquamous\tJJ\tI-NP\tO' +p345544 +aS'cell\tcell\tNN\tI-NP\tO' +p345545 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p345546 +aS'of\tof\tIN\tB-PP\tO' +p345547 +aS'the\tthe\tDT\tB-NP\tO' +p345548 +aS'cervix\tcervix\tNN\tI-NP\tO' +p345549 +aS'with\twith\tIN\tB-PP\tO' +p345550 +aS'spots\tspot\tNNS\tB-NP\tO' +p345551 +aS'of\tof\tIN\tB-PP\tO' +p345552 +aS'vaginal\tvaginal\tJJ\tB-NP\tO' +p345553 +aS'margins\tmargin\tNNS\tI-NP\tO' +p345554 +aS'and\tand\tCC\tO\tO' +p345555 +aS'metastatic\tmetastatic\tJJ\tB-NP\tO' +p345556 +aS'squamous\tsquamous\tJJ\tI-NP\tO' +p345557 +aS'cell\tcell\tNN\tI-NP\tO' +p345558 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p345559 +aS'in\tin\tIN\tB-PP\tO' +p345560 +aS'the\tthe\tDT\tB-NP\tO' +p345561 +aS'cardinal\tcardinal\tJJ\tI-NP\tO' +p345562 +aS'ligaments\tligament\tNNS\tI-NP\tO' +p345563 +aS'with\twith\tIN\tB-PP\tO' +p345564 +aS'extensive\textensive\tJJ\tB-NP\tO' +p345565 +aS'lymphatic\tlymphatic\tJJ\tI-NP\tO' +p345566 +aS'invasion\tinvasion\tNN\tI-NP\tO' +p345567 +aS'.\t.\t.\tO\tO' +p345568 +asS'Left facial droop .' +p345569 +(lp345570 +S'Left\tLeave\tVBN\tB-NP\tO' +p345571 +aS'facial\tfacial\tJJ\tI-NP\tO' +p345572 +aS'droop\tdroop\tNN\tI-NP\tO' +p345573 +aS'.\t.\t.\tO\tO' +p345574 +asS'Her calcium channel blocker and ace inhibitor were continued .' +p345575 +(lp345576 +S'Her\tHer\tPRP$\tB-NP\tO' +p345577 +aS'calcium\tcalcium\tNN\tI-NP\tO' +p345578 +aS'channel\tchannel\tNN\tI-NP\tO' +p345579 +aS'blocker\tblocker\tNN\tI-NP\tO' +p345580 +aS'and\tand\tCC\tO\tO' +p345581 +aS'ace\tace\tNN\tB-NP\tO' +p345582 +aS'inhibitor\tinhibitor\tNN\tI-NP\tO' +p345583 +aS'were\tbe\tVBD\tB-VP\tO' +p345584 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p345585 +aS'.\t.\t.\tO\tO' +p345586 +asS'Perforated diverticulitis .' +p345587 +(lp345588 +S'Perforated\tPerforate\tVBN\tB-NP\tO' +p345589 +aS'diverticulitis\tdiverticulitis\tNN\tI-NP\tO' +p345590 +aS'.\t.\t.\tO\tO' +p345591 +asS'Neurologically , the patient is awake , alert and oriented times three .' +p345592 +(lp345593 +S'Neurologically\tNeurologically\tRB\tB-ADVP\tO' +p345594 +aS',\t,\t,\tO\tO' +p345595 +aS'the\tthe\tDT\tB-NP\tO' +p345596 +aS'patient\tpatient\tNN\tI-NP\tO' +p345597 +aS'is\tbe\tVBZ\tB-VP\tO' +p345598 +aS'awake\tawake\tJJ\tB-ADJP\tO' +p345599 +aS',\t,\t,\tO\tO' +p345600 +aS'alert\talert\tJJ\tB-ADJP\tO' +p345601 +aS'and\tand\tCC\tO\tO' +p345602 +aS'oriented\torient\tVBN\tB-VP\tO' +p345603 +aS'times\ttime\tNNS\tB-NP\tO' +p345604 +aS'three\tthree\tCD\tB-NP\tO' +p345605 +aS'.\t.\t.\tO\tO' +p345606 +asS'Thyroid cyst was aspirated with removal of 300cc of fluid .' +p345607 +(lp345608 +S'Thyroid\tThyroid\tJJ\tB-NP\tO' +p345609 +aS'cyst\tcyst\tNN\tI-NP\tO' +p345610 +aS'was\tbe\tVBD\tB-VP\tO' +p345611 +aS'aspirated\taspirate\tVBN\tI-VP\tO' +p345612 +aS'with\twith\tIN\tB-PP\tO' +p345613 +aS'removal\tremoval\tNN\tB-NP\tO' +p345614 +aS'of\tof\tIN\tB-PP\tO' +p345615 +aS'300cc\t300cc\tNN\tB-NP\tO' +p345616 +aS'of\tof\tIN\tB-PP\tO' +p345617 +aS'fluid\tfluid\tNN\tB-NP\tO' +p345618 +aS'.\t.\t.\tO\tO' +p345619 +asS'CONDITION ON DISCHARGE was stable .' +p345620 +(lp345621 +S'CONDITION\tCONDITION\tNN\tB-NP\tO' +p345622 +aS'ON\tON\tNN\tI-NP\tO' +p345623 +aS'DISCHARGE\tDISCHARGE\tNN\tI-NP\tO' +p345624 +aS'was\tbe\tVBD\tB-VP\tO' +p345625 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p345626 +aS'.\t.\t.\tO\tO' +p345627 +asS'She was discharged on Coumadin for a goal INR of 2.5 to 3 .' +p345628 +(lp345629 +S'She\tShe\tPRP\tB-NP\tO' +p345630 +aS'was\tbe\tVBD\tB-VP\tO' +p345631 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p345632 +aS'on\ton\tIN\tB-PP\tO' +p345633 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p345634 +aS'for\tfor\tIN\tB-PP\tO' +p345635 +aS'a\ta\tDT\tB-NP\tO' +p345636 +aS'goal\tgoal\tNN\tI-NP\tO' +p345637 +aS'INR\tINR\tNN\tI-NP\tO' +p345638 +aS'of\tof\tIN\tB-PP\tO' +p345639 +aS'2.5\t2.5\tCD\tB-NP\tO' +p345640 +aS'to\tto\tTO\tB-PP\tO' +p345641 +aS'3\t3\tCD\tB-NP\tO' +p345642 +aS'.\t.\t.\tO\tO' +p345643 +asS'B12 was noted to be low and the patient was given an injection of IM B12 while in the hospital .' +p345644 +(lp345645 +S'B12\tB12\tNN\tB-NP\tB-protein' +p345646 +aS'was\tbe\tVBD\tB-VP\tO' +p345647 +aS'noted\tnote\tVBN\tI-VP\tO' +p345648 +aS'to\tto\tTO\tI-VP\tO' +p345649 +aS'be\tbe\tVB\tI-VP\tO' +p345650 +aS'low\tlow\tJJ\tB-ADJP\tO' +p345651 +aS'and\tand\tCC\tO\tO' +p345652 +aS'the\tthe\tDT\tB-NP\tO' +p345653 +aS'patient\tpatient\tNN\tI-NP\tO' +p345654 +aS'was\tbe\tVBD\tB-VP\tO' +p345655 +aS'given\tgive\tVBN\tI-VP\tO' +p345656 +aS'an\tan\tDT\tB-NP\tO' +p345657 +aS'injection\tinjection\tNN\tI-NP\tO' +p345658 +aS'of\tof\tIN\tB-PP\tO' +p345659 +aS'IM\tIM\tNN\tB-NP\tB-protein' +p345660 +aS'B12\tB12\tNN\tI-NP\tI-protein' +p345661 +aS'while\twhile\tIN\tB-SBAR\tO' +p345662 +aS'in\tin\tIN\tB-PP\tO' +p345663 +aS'the\tthe\tDT\tB-NP\tO' +p345664 +aS'hospital\thospital\tNN\tI-NP\tO' +p345665 +aS'.\t.\t.\tO\tO' +p345666 +asS'The skin was without lesions .' +p345667 +(lp345668 +S'The\tThe\tDT\tB-NP\tO' +p345669 +aS'skin\tskin\tNN\tI-NP\tO' +p345670 +aS'was\tbe\tVBD\tB-VP\tO' +p345671 +aS'without\twithout\tIN\tB-PP\tO' +p345672 +aS'lesions\tlesion\tNNS\tB-NP\tO' +p345673 +aS'.\t.\t.\tO\tO' +p345674 +asS'Otherwise , there was pulmonary insufficiency , tricuspid insufficiency , mitral insufficiency and aortic insufficiency .' +p345675 +(lp345676 +S'Otherwise\tOtherwise\tRB\tB-ADVP\tO' +p345677 +aS',\t,\t,\tO\tO' +p345678 +aS'there\tthere\tEX\tB-NP\tO' +p345679 +aS'was\tbe\tVBD\tB-VP\tO' +p345680 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p345681 +aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' +p345682 +aS',\t,\t,\tO\tO' +p345683 +aS'tricuspid\ttricuspid\tJJ\tB-NP\tO' +p345684 +aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' +p345685 +aS',\t,\t,\tO\tO' +p345686 +aS'mitral\tmitral\tJJ\tB-NP\tO' +p345687 +aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' +p345688 +aS'and\tand\tCC\tO\tO' +p345689 +aS'aortic\taortic\tJJ\tB-NP\tO' +p345690 +aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' +p345691 +aS'.\t.\t.\tO\tO' +p345692 +asS'The patient has a Greenfield filter in .' +p345693 +(lp345694 +S'The\tThe\tDT\tB-NP\tO' +p345695 +aS'patient\tpatient\tNN\tI-NP\tO' +p345696 +aS'has\thave\tVBZ\tB-VP\tO' +p345697 +aS'a\ta\tDT\tB-NP\tO' +p345698 +aS'Greenfield\tGreenfield\tNNP\tI-NP\tO' +p345699 +aS'filter\tfilter\tNN\tI-NP\tO' +p345700 +aS'in\tin\tIN\tB-PP\tO' +p345701 +aS'.\t.\t.\tO\tO' +p345702 +asS'5. Dehydration .' +p345703 +(lp345704 +S'5.\t5.\tLS\tB-NP\tO' +p345705 +aS'Dehydration\tDehydration\tNN\tI-NP\tO' +p345706 +aS'.\t.\t.\tO\tO' +p345707 +asS'A complex plaque was found in the aortic arch in the descending thoracic aorta , although this plaque is non-mobile .' +p345708 +(lp345709 +S'A\tA\tDT\tB-NP\tO' +p345710 +aS'complex\tcomplex\tJJ\tI-NP\tO' +p345711 +aS'plaque\tplaque\tNN\tI-NP\tO' +p345712 +aS'was\tbe\tVBD\tB-VP\tO' +p345713 +aS'found\tfind\tVBN\tI-VP\tO' +p345714 +aS'in\tin\tIN\tB-PP\tO' +p345715 +aS'the\tthe\tDT\tB-NP\tO' +p345716 +aS'aortic\taortic\tJJ\tI-NP\tO' +p345717 +aS'arch\tarch\tNN\tI-NP\tO' +p345718 +aS'in\tin\tIN\tB-PP\tO' +p345719 +aS'the\tthe\tDT\tB-NP\tO' +p345720 +aS'descending\tdescend\tVBG\tI-NP\tO' +p345721 +aS'thoracic\tthoracic\tJJ\tI-NP\tO' +p345722 +aS'aorta\taorta\tNN\tI-NP\tO' +p345723 +aS',\t,\t,\tO\tO' +p345724 +aS'although\talthough\tIN\tB-SBAR\tO' +p345725 +aS'this\tthis\tDT\tB-NP\tO' +p345726 +aS'plaque\tplaque\tNN\tI-NP\tO' +p345727 +aS'is\tbe\tVBZ\tB-VP\tO' +p345728 +aS'non-mobile\tnon-mobile\tJJ\tB-ADJP\tO' +p345729 +aS'.\t.\t.\tO\tO' +p345730 +asS'Approximately 100 cc.'s of thick brownish material was aspirated through the indwelling catheter .' +p345731 +(lp345732 +S'Approximately\tApproximately\tRB\tB-NP\tO' +p345733 +aS'100\t100\tCD\tI-NP\tO' +p345734 +aS'cc.'s\tcc.'\tNNS\tI-NP\tO' +p345735 +aS'of\tof\tIN\tB-PP\tO' +p345736 +aS'thick\tthick\tJJ\tB-NP\tO' +p345737 +aS'brownish\tbrownish\tJJ\tI-NP\tO' +p345738 +aS'material\tmaterial\tNN\tI-NP\tO' +p345739 +aS'was\tbe\tVBD\tB-VP\tO' +p345740 +aS'aspirated\taspirate\tVBN\tI-VP\tO' +p345741 +aS'through\tthrough\tIN\tB-PP\tO' +p345742 +aS'the\tthe\tDT\tB-NP\tO' +p345743 +aS'indwelling\tindwell\tVBG\tI-NP\tO' +p345744 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p345745 +aS'.\t.\t.\tO\tO' +p345746 +asS'She was treated in IUC for unstable angina with nitroglycerin .' +p345747 +(lp345748 +S'She\tShe\tPRP\tB-NP\tO' +p345749 +aS'was\tbe\tVBD\tB-VP\tO' +p345750 +aS'treated\ttreat\tVBN\tI-VP\tO' +p345751 +aS'in\tin\tIN\tB-PP\tO' +p345752 +aS'IUC\tIUC\tNN\tB-NP\tB-protein' +p345753 +aS'for\tfor\tIN\tB-PP\tO' +p345754 +aS'unstable\tunstable\tJJ\tB-NP\tO' +p345755 +aS'angina\tangina\tNN\tI-NP\tO' +p345756 +aS'with\twith\tIN\tB-PP\tO' +p345757 +aS'nitroglycerin\tnitroglycerin\tNN\tB-NP\tB-protein' +p345758 +aS'.\t.\t.\tO\tO' +p345759 +asS'On 06-27 , his nutrition regimen was changed to Deliver 2.0 at 70 cc / hr with 15 g ProMod .' +p345760 +(lp345761 +S'On\tOn\tIN\tB-PP\tO' +p345762 +aS'06-27\t06-27\tCD\tB-NP\tO' +p345763 +aS',\t,\t,\tO\tO' +p345764 +aS'his\this\tPRP$\tB-NP\tO' +p345765 +aS'nutrition\tnutrition\tNN\tI-NP\tO' +p345766 +aS'regimen\tregimen\tNN\tI-NP\tO' +p345767 +aS'was\tbe\tVBD\tB-VP\tO' +p345768 +aS'changed\tchange\tVBN\tI-VP\tO' +p345769 +aS'to\tto\tTO\tI-VP\tO' +p345770 +aS'Deliver\tDeliver\tVB\tI-VP\tO' +p345771 +aS'2.0\t2.0\tCD\tB-NP\tO' +p345772 +aS'at\tat\tIN\tB-PP\tO' +p345773 +aS'70\t70\tCD\tB-NP\tO' +p345774 +aS'cc\tcc\tNN\tI-NP\tO' +p345775 +aS'/\t/\tSYM\tB-NP\tO' +p345776 +aS'hr\thr\tNN\tI-NP\tO' +p345777 +aS'with\twith\tIN\tB-PP\tO' +p345778 +aS'15\t15\tCD\tB-NP\tO' +p345779 +aS'g\tg\tNN\tI-NP\tO' +p345780 +aS'ProMod\tProMod\tNN\tI-NP\tO' +p345781 +aS'.\t.\t.\tO\tO' +p345782 +asS'She was given an oral prednisone taper .' +p345783 +(lp345784 +S'She\tShe\tPRP\tB-NP\tO' +p345785 +aS'was\tbe\tVBD\tB-VP\tO' +p345786 +aS'given\tgive\tVBN\tI-VP\tO' +p345787 +aS'an\tan\tDT\tB-NP\tO' +p345788 +aS'oral\toral\tJJ\tI-NP\tO' +p345789 +aS'prednisone\tprednisone\tNN\tI-NP\tO' +p345790 +aS'taper\ttaper\tNN\tI-NP\tO' +p345791 +aS'.\t.\t.\tO\tO' +p345792 +asS'He is now transferred to Mediplex Rehab Hospital for futher workup and Rx .' +p345793 +(lp345794 +S'He\tHe\tPRP\tB-NP\tO' +p345795 +aS'is\tbe\tVBZ\tB-VP\tO' +p345796 +aS'now\tnow\tRB\tI-VP\tO' +p345797 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p345798 +aS'to\tto\tTO\tB-PP\tO' +p345799 +aS'Mediplex\tMediplex\tNNP\tB-NP\tO' +p345800 +aS'Rehab\tRehab\tNNP\tI-NP\tO' +p345801 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p345802 +aS'for\tfor\tIN\tB-PP\tO' +p345803 +aS'futher\tfuther\tJJ\tB-NP\tO' +p345804 +aS'workup\tworkup\tNN\tI-NP\tO' +p345805 +aS'and\tand\tCC\tI-NP\tO' +p345806 +aS'Rx\tRx\tNN\tI-NP\tB-protein' +p345807 +aS'.\t.\t.\tO\tO' +p345808 +asS'Total bilirubin was 0.9 .' +p345809 +(lp345810 +S'Total\tTotal\tJJ\tB-NP\tO' +p345811 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p345812 +aS'was\tbe\tVBD\tB-VP\tO' +p345813 +aS'0.9\t0.9\tCD\tB-NP\tO' +p345814 +aS'.\t.\t.\tO\tO' +p345815 +asS'2. Open reduction and internal fixation of radius and ulna 2011-01-21 .' +p345816 +(lp345817 +S'2.\t2.\tLS\tB-NP\tO' +p345818 +aS'Open\tOpen\tNN\tI-NP\tO' +p345819 +aS'reduction\treduction\tNN\tI-NP\tO' +p345820 +aS'and\tand\tCC\tO\tO' +p345821 +aS'internal\tinternal\tJJ\tB-NP\tO' +p345822 +aS'fixation\tfixation\tNN\tI-NP\tO' +p345823 +aS'of\tof\tIN\tB-PP\tO' +p345824 +aS'radius\tradius\tNN\tB-NP\tO' +p345825 +aS'and\tand\tCC\tO\tO' +p345826 +aS'ulna\tulna\tNN\tB-NP\tO' +p345827 +aS'2011-01-21\t2011-01-21\tCD\tI-NP\tO' +p345828 +aS'.\t.\t.\tO\tO' +p345829 +asS'pupils equal , round , reactive to light and accommodation , extra ocular movements were intact .' +p345830 +(lp345831 +S'pupils\tpupil\tNNS\tB-NP\tO' +p345832 +aS'equal\tequal\tJJ\tI-NP\tO' +p345833 +aS',\t,\t,\tI-NP\tO' +p345834 +aS'round\tround\tJJ\tI-NP\tO' +p345835 +aS',\t,\t,\tI-NP\tO' +p345836 +aS'reactive\treactive\tJJ\tI-NP\tO' +p345837 +aS'to\tto\tTO\tB-PP\tO' +p345838 +aS'light\tlight\tNN\tB-NP\tO' +p345839 +aS'and\tand\tCC\tI-NP\tO' +p345840 +aS'accommodation\taccommodation\tNN\tI-NP\tO' +p345841 +aS',\t,\t,\tO\tO' +p345842 +aS'extra\textra\tJJ\tB-NP\tO' +p345843 +aS'ocular\tocular\tJJ\tI-NP\tO' +p345844 +aS'movements\tmovement\tNNS\tI-NP\tO' +p345845 +aS'were\tbe\tVBD\tB-VP\tO' +p345846 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p345847 +aS'.\t.\t.\tO\tO' +p345848 +asS'5) Depression : He was restarted on his paxil on 03-25 and was given 1:1 sitter for suicidal ideation leading up to his suicide leading up to this admission .' +p345849 +(lp345850 +S'5)\t5)\tCD\tB-NP\tO' +p345851 +aS'Depression\tDepression\tNN\tI-NP\tO' +p345852 +aS':\t:\t:\tO\tO' +p345853 +aS'He\tHe\tPRP\tB-NP\tO' +p345854 +aS'was\tbe\tVBD\tB-VP\tO' +p345855 +aS'restarted\trestart\tVBN\tI-VP\tO' +p345856 +aS'on\ton\tIN\tB-PP\tO' +p345857 +aS'his\this\tPRP$\tB-NP\tO' +p345858 +aS'paxil\tpaxil\tNN\tI-NP\tO' +p345859 +aS'on\ton\tIN\tB-PP\tO' +p345860 +aS'03-25\t03-25\tCD\tB-NP\tO' +p345861 +aS'and\tand\tCC\tO\tO' +p345862 +aS'was\tbe\tVBD\tB-VP\tO' +p345863 +aS'given\tgive\tVBN\tI-VP\tO' +p345864 +aS'1:1\t1:1\tCD\tB-NP\tO' +p345865 +aS'sitter\tsitter\tNN\tI-NP\tO' +p345866 +aS'for\tfor\tIN\tB-PP\tO' +p345867 +aS'suicidal\tsuicidal\tJJ\tB-NP\tO' +p345868 +aS'ideation\tideation\tNN\tI-NP\tO' +p345869 +aS'leading\tlead\tVBG\tB-VP\tO' +p345870 +aS'up\tup\tIN\tB-PP\tO' +p345871 +aS'to\tto\tTO\tB-PP\tO' +p345872 +aS'his\this\tPRP$\tB-NP\tO' +p345873 +aS'suicide\tsuicide\tNN\tI-NP\tO' +p345874 +aS'leading\tlead\tVBG\tB-VP\tO' +p345875 +aS'up\tup\tIN\tB-PP\tO' +p345876 +aS'to\tto\tTO\tB-PP\tO' +p345877 +aS'this\tthis\tDT\tB-NP\tO' +p345878 +aS'admission\tadmission\tNN\tI-NP\tO' +p345879 +aS'.\t.\t.\tO\tO' +p345880 +asS'Over the past several months , the patient has had increasing transfusing requirements .' +p345881 +(lp345882 +S'Over\tOver\tIN\tB-PP\tO' +p345883 +aS'the\tthe\tDT\tB-NP\tO' +p345884 +aS'past\tpast\tJJ\tI-NP\tO' +p345885 +aS'several\tseveral\tJJ\tI-NP\tO' +p345886 +aS'months\tmonth\tNNS\tI-NP\tO' +p345887 +aS',\t,\t,\tO\tO' +p345888 +aS'the\tthe\tDT\tB-NP\tO' +p345889 +aS'patient\tpatient\tNN\tI-NP\tO' +p345890 +aS'has\thave\tVBZ\tB-VP\tO' +p345891 +aS'had\thave\tVBN\tI-VP\tO' +p345892 +aS'increasing\tincrease\tVBG\tI-VP\tO' +p345893 +aS'transfusing\ttransfusing\tNN\tB-NP\tO' +p345894 +aS'requirements\trequirement\tNNS\tI-NP\tO' +p345895 +aS'.\t.\t.\tO\tO' +p345896 +asS'Other bowel loops are unremarkable on this limited study .' +p345897 +(lp345898 +S'Other\tOther\tJJ\tB-NP\tO' +p345899 +aS'bowel\tbowel\tNN\tI-NP\tO' +p345900 +aS'loops\tloop\tNNS\tI-NP\tO' +p345901 +aS'are\tbe\tVBP\tB-VP\tO' +p345902 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p345903 +aS'on\ton\tIN\tB-PP\tO' +p345904 +aS'this\tthis\tDT\tB-NP\tO' +p345905 +aS'limited\tlimit\tVBN\tI-NP\tO' +p345906 +aS'study\tstudy\tNN\tI-NP\tO' +p345907 +aS'.\t.\t.\tO\tO' +p345908 +asS'Rebound bilirubin 6.4 .' +p345909 +(lp345910 +S'Rebound\tRebound\tJJ\tB-NP\tO' +p345911 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p345912 +aS'6.4\t6.4\tCD\tI-NP\tO' +p345913 +aS'.\t.\t.\tO\tO' +p345914 +asS'The patient was admitted from 2016-01-21 to 2016-02-03 ; at which time she was ruled out for a myocardial infarction .' +p345915 +(lp345916 +S'The\tThe\tDT\tB-NP\tO' +p345917 +aS'patient\tpatient\tNN\tI-NP\tO' +p345918 +aS'was\tbe\tVBD\tB-VP\tO' +p345919 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p345920 +aS'from\tfrom\tIN\tB-PP\tO' +p345921 +aS'2016-01-21\t2016-01-21\tCD\tB-NP\tO' +p345922 +aS'to\tto\tTO\tB-PP\tO' +p345923 +aS'2016-02-03\t2016-02-03\tCD\tB-NP\tO' +p345924 +aS';\t;\t:\tO\tO' +p345925 +aS'at\tat\tIN\tB-PP\tO' +p345926 +aS'which\twhich\tWDT\tB-NP\tO' +p345927 +aS'time\ttime\tNN\tI-NP\tO' +p345928 +aS'she\tshe\tPRP\tB-NP\tO' +p345929 +aS'was\tbe\tVBD\tB-VP\tO' +p345930 +aS'ruled\trule\tVBN\tI-VP\tO' +p345931 +aS'out\tout\tRP\tB-PRT\tO' +p345932 +aS'for\tfor\tIN\tB-PP\tO' +p345933 +aS'a\ta\tDT\tB-NP\tO' +p345934 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p345935 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p345936 +aS'.\t.\t.\tO\tO' +p345937 +asS'-- Will discuss beta-blocker risks and benefits with primary cardiologist' +p345938 +(lp345939 +S'--\t--\t:\tO\tO' +p345940 +aS'Will\tWill\tMD\tB-VP\tO' +p345941 +aS'discuss\tdiscuss\tVBP\tI-VP\tO' +p345942 +aS'beta-blocker\tbeta-blocker\tNN\tB-NP\tO' +p345943 +aS'risks\trisk\tNNS\tI-NP\tO' +p345944 +aS'and\tand\tCC\tI-NP\tO' +p345945 +aS'benefits\tbenefit\tNNS\tI-NP\tO' +p345946 +aS'with\twith\tIN\tB-PP\tO' +p345947 +aS'primary\tprimary\tJJ\tB-NP\tO' +p345948 +aS'cardiologist\tcardiologist\tNN\tI-NP\tO' +p345949 +asS'LUNGS : + crackles at L base > R base .' +p345950 +(lp345951 +S'LUNGS\tLUNGS\tNN\tB-NP\tO' +p345952 +aS':\t:\t:\tO\tO' +p345953 +aS'+\t+\tSYM\tB-NP\tO' +p345954 +aS'crackles\tcrackle\tNNS\tI-NP\tO' +p345955 +aS'at\tat\tIN\tB-PP\tO' +p345956 +aS'L\tL\tNN\tB-NP\tB-protein' +p345957 +aS'base\tbase\tNN\tI-NP\tI-protein' +p345958 +aS'>\t>\tSYM\tB-NP\tO' +p345959 +aS'R\tR\tNN\tI-NP\tB-protein' +p345960 +aS'base\tbase\tNN\tI-NP\tI-protein' +p345961 +aS'.\t.\t.\tO\tO' +p345962 +asS's / p motor vehicle accident , muscle contusions' +p345963 +(lp345964 +S's\ts\tNN\tB-NP\tO' +p345965 +aS'/\t/\tSYM\tI-NP\tO' +p345966 +aS'p\tp\tNN\tI-NP\tO' +p345967 +aS'motor\tmotor\tNN\tI-NP\tO' +p345968 +aS'vehicle\tvehicle\tNN\tI-NP\tO' +p345969 +aS'accident\taccident\tNN\tI-NP\tO' +p345970 +aS',\t,\t,\tO\tO' +p345971 +aS'muscle\tmuscle\tNN\tB-NP\tO' +p345972 +aS'contusions\tcontusion\tNNS\tI-NP\tO' +p345973 +asS'preop w/ for knee surgery revealed cardiac dz , asymptomatic' +p345974 +(lp345975 +S'preop\tpreop\tJJ\tB-NP\tO' +p345976 +aS'w/\tw/\tNN\tI-NP\tO' +p345977 +aS'for\tfor\tIN\tB-PP\tO' +p345978 +aS'knee\tknee\tNN\tB-NP\tO' +p345979 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p345980 +aS'revealed\treveal\tVBD\tB-VP\tO' +p345981 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p345982 +aS'dz\tdz\tNN\tI-NP\tO' +p345983 +aS',\t,\t,\tO\tO' +p345984 +aS'asymptomatic\tasymptomatic\tJJ\tB-ADJP\tO' +p345985 +asS'Chest x-ray showed equivocal retrocardiac opacity .' +p345986 +(lp345987 +S'Chest\tCh\tJJS\tB-NP\tO' +p345988 +aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' +p345989 +aS'showed\tshow\tVBD\tB-VP\tO' +p345990 +aS'equivocal\tequivocal\tJJ\tB-NP\tO' +p345991 +aS'retrocardiac\tretrocardiac\tJJ\tI-NP\tO' +p345992 +aS'opacity\topacity\tNN\tI-NP\tO' +p345993 +aS'.\t.\t.\tO\tO' +p345994 +asS'She was given 500 mg p.o. q.d. of metformin to treat her steroid-induced diabetes on discharge .' +p345995 +(lp345996 +S'She\tShe\tPRP\tB-NP\tO' +p345997 +aS'was\tbe\tVBD\tB-VP\tO' +p345998 +aS'given\tgive\tVBN\tI-VP\tO' +p345999 +aS'500\t500\tCD\tB-NP\tO' +p346000 +aS'mg\tmg\tNN\tI-NP\tO' +p346001 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p346002 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p346003 +aS'of\tof\tIN\tB-PP\tO' +p346004 +aS'metformin\tmetformin\tNN\tB-NP\tO' +p346005 +aS'to\tto\tTO\tB-VP\tO' +p346006 +aS'treat\ttreat\tVB\tI-VP\tO' +p346007 +aS'her\ther\tPRP$\tB-NP\tO' +p346008 +aS'steroid-induced\tsteroid-induced\tJJ\tI-NP\tO' +p346009 +aS'diabetes\tdiabetes\tNN\tI-NP\tO' +p346010 +aS'on\ton\tIN\tB-PP\tO' +p346011 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p346012 +aS'.\t.\t.\tO\tO' +p346013 +asS'Responsible After Study for Causing Admission ) abdominal fluid collection' +p346014 +(lp346015 +S'Responsible\tResponsible\tJJ\tB-ADJP\tO' +p346016 +aS'After\tAfter\tIN\tB-PP\tO' +p346017 +aS'Study\tStudy\tNN\tB-NP\tO' +p346018 +aS'for\tfor\tIN\tB-PP\tO' +p346019 +aS'Causing\tCause\tVBG\tB-NP\tO' +p346020 +aS'Admission\tAdmission\tNN\tI-NP\tO' +p346021 +aS')\t)\t)\tI-NP\tO' +p346022 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p346023 +aS'fluid\tfluid\tNN\tI-NP\tO' +p346024 +aS'collection\tcollection\tNN\tI-NP\tO' +p346025 +asS'The patient was then continued by report on Dicloxacillin for approximately one year following that reconstructive operation .' +p346026 +(lp346027 +S'The\tThe\tDT\tB-NP\tO' +p346028 +aS'patient\tpatient\tNN\tI-NP\tO' +p346029 +aS'was\tbe\tVBD\tB-VP\tO' +p346030 +aS'then\tthen\tRB\tI-VP\tO' +p346031 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p346032 +aS'by\tby\tIN\tB-PP\tO' +p346033 +aS'report\treport\tNN\tB-NP\tO' +p346034 +aS'on\ton\tIN\tB-PP\tO' +p346035 +aS'Dicloxacillin\tDicloxacillin\tNNP\tB-NP\tO' +p346036 +aS'for\tfor\tIN\tB-PP\tO' +p346037 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p346038 +aS'one\tone\tCD\tI-NP\tO' +p346039 +aS'year\tyear\tNN\tI-NP\tO' +p346040 +aS'following\tfollow\tVBG\tB-PP\tO' +p346041 +aS'that\tthat\tIN\tB-SBAR\tO' +p346042 +aS'reconstructive\treconstructive\tJJ\tB-NP\tO' +p346043 +aS'operation\toperation\tNN\tI-NP\tO' +p346044 +aS'.\t.\t.\tO\tO' +p346045 +asS'Titrate prn .' +p346046 +(lp346047 +S'Titrate\tTitrate\tNN\tB-NP\tO' +p346048 +aS'prn\tprn\tNN\tI-NP\tO' +p346049 +aS'.\t.\t.\tO\tO' +p346050 +asS'He had no evidence of cholecystitis or gallstones or any abnormalities with the liver or kidneys .' +p346051 +(lp346052 +S'He\tHe\tPRP\tB-NP\tO' +p346053 +aS'had\thave\tVBD\tB-VP\tO' +p346054 +aS'no\tno\tDT\tB-NP\tO' +p346055 +aS'evidence\tevidence\tNN\tI-NP\tO' +p346056 +aS'of\tof\tIN\tB-PP\tO' +p346057 +aS'cholecystitis\tcholecystitis\tNN\tB-NP\tO' +p346058 +aS'or\tor\tCC\tI-NP\tO' +p346059 +aS'gallstones\tgallstone\tNNS\tI-NP\tO' +p346060 +aS'or\tor\tCC\tO\tO' +p346061 +aS'any\tany\tDT\tB-NP\tO' +p346062 +aS'abnormalities\tabnormality\tNNS\tI-NP\tO' +p346063 +aS'with\twith\tIN\tB-PP\tO' +p346064 +aS'the\tthe\tDT\tB-NP\tO' +p346065 +aS'liver\tliver\tNN\tI-NP\tO' +p346066 +aS'or\tor\tCC\tI-NP\tO' +p346067 +aS'kidneys\tkidney\tNNS\tI-NP\tO' +p346068 +aS'.\t.\t.\tO\tO' +p346069 +asS'She called the nurses and patted the infant on the back .' +p346070 +(lp346071 +S'She\tShe\tPRP\tB-NP\tO' +p346072 +aS'called\tcall\tVBD\tB-VP\tO' +p346073 +aS'the\tthe\tDT\tB-NP\tO' +p346074 +aS'nurses\tnurse\tNNS\tI-NP\tO' +p346075 +aS'and\tand\tCC\tO\tO' +p346076 +aS'patted\tpat\tVBD\tB-VP\tO' +p346077 +aS'the\tthe\tDT\tB-NP\tO' +p346078 +aS'infant\tinfant\tNN\tI-NP\tO' +p346079 +aS'on\ton\tIN\tB-PP\tO' +p346080 +aS'the\tthe\tDT\tB-NP\tO' +p346081 +aS'back\tback\tNN\tI-NP\tO' +p346082 +aS'.\t.\t.\tO\tO' +p346083 +asS'She was extensively counseled regarding other methods of birth control and desired to proceed with definitive surgical therapy .' +p346084 +(lp346085 +S'She\tShe\tPRP\tB-NP\tO' +p346086 +aS'was\tbe\tVBD\tB-VP\tO' +p346087 +aS'extensively\textensively\tRB\tI-VP\tO' +p346088 +aS'counseled\tcounsel\tVBN\tI-VP\tO' +p346089 +aS'regarding\tregard\tVBG\tB-PP\tO' +p346090 +aS'other\tother\tJJ\tB-NP\tO' +p346091 +aS'methods\tmethod\tNNS\tI-NP\tO' +p346092 +aS'of\tof\tIN\tB-PP\tO' +p346093 +aS'birth\tbirth\tNN\tB-NP\tO' +p346094 +aS'control\tcontrol\tNN\tI-NP\tO' +p346095 +aS'and\tand\tCC\tO\tO' +p346096 +aS'desired\tdesire\tVBN\tB-VP\tO' +p346097 +aS'to\tto\tTO\tI-VP\tO' +p346098 +aS'proceed\tproceed\tVB\tI-VP\tO' +p346099 +aS'with\twith\tIN\tB-PP\tO' +p346100 +aS'definitive\tdefinitive\tJJ\tB-NP\tO' +p346101 +aS'surgical\tsurgical\tJJ\tI-NP\tO' +p346102 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p346103 +aS'.\t.\t.\tO\tO' +p346104 +asS'She denies any CP / cough / fever / abd pain / diarrhea / black or bloody stools / headache .' +p346105 +(lp346106 +S'She\tShe\tPRP\tB-NP\tO' +p346107 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p346108 +aS'any\tany\tDT\tB-NP\tO' +p346109 +aS'CP\tCP\tNN\tI-NP\tB-DNA' +p346110 +aS'/\t/\tSYM\tB-NP\tO' +p346111 +aS'cough\tcough\tNN\tI-NP\tO' +p346112 +aS'/\t/\tSYM\tI-NP\tO' +p346113 +aS'fever\tfever\tNN\tI-NP\tO' +p346114 +aS'/\t/\tSYM\tI-NP\tO' +p346115 +aS'abd\tabd\tNN\tI-NP\tO' +p346116 +aS'pain\tpain\tNN\tI-NP\tO' +p346117 +aS'/\t/\tSYM\tB-NP\tO' +p346118 +aS'diarrhea\tdiarrhea\tNN\tI-NP\tO' +p346119 +aS'/\t/\tSYM\tB-VP\tO' +p346120 +aS'black\tblack\tJJ\tB-NP\tO' +p346121 +aS'or\tor\tCC\tI-NP\tO' +p346122 +aS'bloody\tbloody\tJJ\tI-NP\tO' +p346123 +aS'stools\tstool\tNNS\tI-NP\tO' +p346124 +aS'/\t/\tSYM\tB-NP\tO' +p346125 +aS'headache\theadache\tNN\tI-NP\tO' +p346126 +aS'.\t.\t.\tO\tO' +p346127 +asS'He was transferred to the Medical Intensive Care Unit from the Transplant Service for ventilatory management in the setting of hypotension .' +p346128 +(lp346129 +S'He\tHe\tPRP\tB-NP\tO' +p346130 +aS'was\tbe\tVBD\tB-VP\tO' +p346131 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p346132 +aS'to\tto\tTO\tB-PP\tO' +p346133 +aS'the\tthe\tDT\tB-NP\tO' +p346134 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p346135 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p346136 +aS'Care\tCare\tNNP\tI-NP\tO' +p346137 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p346138 +aS'from\tfrom\tIN\tB-PP\tO' +p346139 +aS'the\tthe\tDT\tB-NP\tO' +p346140 +aS'Transplant\tTransplant\tNNP\tI-NP\tO' +p346141 +aS'Service\tService\tNNP\tI-NP\tO' +p346142 +aS'for\tfor\tIN\tB-PP\tO' +p346143 +aS'ventilatory\tventilatory\tJJ\tB-NP\tO' +p346144 +aS'management\tmanagement\tNN\tI-NP\tO' +p346145 +aS'in\tin\tIN\tB-PP\tO' +p346146 +aS'the\tthe\tDT\tB-NP\tO' +p346147 +aS'setting\tsetting\tNN\tI-NP\tO' +p346148 +aS'of\tof\tIN\tB-PP\tO' +p346149 +aS'hypotension\thypotension\tNN\tB-NP\tO' +p346150 +aS'.\t.\t.\tO\tO' +p346151 +asS'A bone scan showed increased uptake at the manubrium at the site of an old fracture , as well as in the right supraclavicular area .' +p346152 +(lp346153 +S'A\tA\tDT\tB-NP\tO' +p346154 +aS'bone\tbone\tNN\tI-NP\tO' +p346155 +aS'scan\tscan\tNN\tI-NP\tO' +p346156 +aS'showed\tshow\tVBD\tB-VP\tO' +p346157 +aS'increased\tincrease\tVBN\tB-NP\tO' +p346158 +aS'uptake\tuptake\tNN\tI-NP\tO' +p346159 +aS'at\tat\tIN\tB-PP\tO' +p346160 +aS'the\tthe\tDT\tB-NP\tO' +p346161 +aS'manubrium\tmanubrium\tNN\tI-NP\tO' +p346162 +aS'at\tat\tIN\tB-PP\tO' +p346163 +aS'the\tthe\tDT\tB-NP\tO' +p346164 +aS'site\tsite\tNN\tI-NP\tO' +p346165 +aS'of\tof\tIN\tB-PP\tO' +p346166 +aS'an\tan\tDT\tB-NP\tO' +p346167 +aS'old\told\tJJ\tI-NP\tO' +p346168 +aS'fracture\tfracture\tNN\tI-NP\tO' +p346169 +aS',\t,\t,\tO\tO' +p346170 +aS'as\tas\tRB\tB-CONJP\tO' +p346171 +aS'well\twell\tRB\tI-CONJP\tO' +p346172 +aS'as\tas\tIN\tI-CONJP\tO' +p346173 +aS'in\tin\tIN\tB-PP\tO' +p346174 +aS'the\tthe\tDT\tB-NP\tO' +p346175 +aS'right\tright\tJJ\tI-NP\tO' +p346176 +aS'supraclavicular\tsupraclavicular\tJJ\tI-NP\tO' +p346177 +aS'area\tarea\tNN\tI-NP\tO' +p346178 +aS'.\t.\t.\tO\tO' +p346179 +asS'The patient was also reduced to 400 mg q. day of amiodarone .' +p346180 +(lp346181 +S'The\tThe\tDT\tB-NP\tO' +p346182 +aS'patient\tpatient\tNN\tI-NP\tO' +p346183 +aS'was\tbe\tVBD\tB-VP\tO' +p346184 +aS'also\talso\tRB\tI-VP\tO' +p346185 +aS'reduced\treduce\tVBN\tI-VP\tO' +p346186 +aS'to\tto\tTO\tB-PP\tO' +p346187 +aS'400\t400\tCD\tB-NP\tO' +p346188 +aS'mg\tmg\tNN\tI-NP\tO' +p346189 +aS'q.\tq.\tNN\tI-NP\tO' +p346190 +aS'day\tday\tNN\tI-NP\tO' +p346191 +aS'of\tof\tIN\tB-PP\tO' +p346192 +aS'amiodarone\tamiodarone\tNN\tB-NP\tO' +p346193 +aS'.\t.\t.\tO\tO' +p346194 +asS'His secretary can help you clarify your insurance .' +p346195 +(lp346196 +S'His\tHis\tPRP$\tB-NP\tO' +p346197 +aS'secretary\tsecretary\tNN\tI-NP\tO' +p346198 +aS'can\tcan\tMD\tB-VP\tO' +p346199 +aS'help\thelp\tVB\tI-VP\tO' +p346200 +aS'you\tyou\tPRP\tB-NP\tO' +p346201 +aS'clarify\tclarify\tVB\tB-VP\tO' +p346202 +aS'your\tyour\tPRP$\tB-NP\tO' +p346203 +aS'insurance\tinsurance\tNN\tI-NP\tO' +p346204 +aS'.\t.\t.\tO\tO' +p346205 +asS'The chest is clear to auscultation bilaterally .' +p346206 +(lp346207 +S'The\tThe\tDT\tB-NP\tO' +p346208 +aS'chest\tchest\tNN\tI-NP\tO' +p346209 +aS'is\tbe\tVBZ\tB-VP\tO' +p346210 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p346211 +aS'to\tto\tTO\tB-PP\tO' +p346212 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p346213 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p346214 +aS'.\t.\t.\tO\tO' +p346215 +asS'1. Oxycodone-Acetaminophen 5-325 mg Tablet Sig : 1-2 Tablets PO Q4-6H ( every 4 to 6 hours ) as needed .' +p346216 +(lp346217 +S'1.\t1.\tLS\tB-NP\tO' +p346218 +aS'Oxycodone-Acetaminophen\tOxycodone-Acetaminophen\tNN\tI-NP\tO' +p346219 +aS'5-325\t5-325\tCD\tI-NP\tO' +p346220 +aS'mg\tmg\tNN\tI-NP\tO' +p346221 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p346222 +aS'Sig\tSig\tNNP\tI-NP\tO' +p346223 +aS':\t:\t:\tO\tO' +p346224 +aS'1-2\t1-2\tCD\tB-NP\tO' +p346225 +aS'Tablets\tTablet\tNNS\tI-NP\tO' +p346226 +aS'PO\tPO\tNN\tI-NP\tO' +p346227 +aS'Q4-6H\tQ4-6H\tNN\tI-NP\tO' +p346228 +aS'(\t(\t(\tO\tO' +p346229 +aS'every\tevery\tDT\tB-NP\tO' +p346230 +aS'4\t4\tCD\tI-NP\tO' +p346231 +aS'to\tto\tTO\tI-NP\tO' +p346232 +aS'6\t6\tCD\tI-NP\tO' +p346233 +aS'hours\thour\tNNS\tI-NP\tO' +p346234 +aS')\t)\t)\tO\tO' +p346235 +aS'as\tas\tIN\tB-SBAR\tO' +p346236 +aS'needed\tneed\tVBN\tB-VP\tO' +p346237 +aS'.\t.\t.\tO\tO' +p346238 +asS'Throughout the month of June , she had a rising Potassium phosphate and increasing volume overload with decreasing response to diuretics and she was finally initiated on dialysis with ultrafiltration on July 12 , 1998 .' +p346239 +(lp346240 +S'Throughout\tThroughout\tIN\tB-PP\tO' +p346241 +aS'the\tthe\tDT\tB-NP\tO' +p346242 +aS'month\tmonth\tNN\tI-NP\tO' +p346243 +aS'of\tof\tIN\tB-PP\tO' +p346244 +aS'June\tJune\tNNP\tB-NP\tO' +p346245 +aS',\t,\t,\tO\tO' +p346246 +aS'she\tshe\tPRP\tB-NP\tO' +p346247 +aS'had\thave\tVBD\tB-VP\tO' +p346248 +aS'a\ta\tDT\tB-NP\tO' +p346249 +aS'rising\trise\tVBG\tI-NP\tO' +p346250 +aS'Potassium\tPotassium\tNN\tI-NP\tO' +p346251 +aS'phosphate\tphosphate\tNN\tI-NP\tO' +p346252 +aS'and\tand\tCC\tO\tO' +p346253 +aS'increasing\tincrease\tVBG\tB-NP\tO' +p346254 +aS'volume\tvolume\tNN\tI-NP\tO' +p346255 +aS'overload\toverload\tNN\tI-NP\tO' +p346256 +aS'with\twith\tIN\tB-PP\tO' +p346257 +aS'decreasing\tdecrease\tVBG\tB-VP\tO' +p346258 +aS'response\tresponse\tNN\tB-NP\tO' +p346259 +aS'to\tto\tTO\tB-PP\tO' +p346260 +aS'diuretics\tdiuretic\tNNS\tB-NP\tO' +p346261 +aS'and\tand\tCC\tO\tO' +p346262 +aS'she\tshe\tPRP\tB-NP\tO' +p346263 +aS'was\tbe\tVBD\tB-VP\tO' +p346264 +aS'finally\tfinally\tRB\tI-VP\tO' +p346265 +aS'initiated\tinitiate\tVBN\tI-VP\tO' +p346266 +aS'on\ton\tIN\tB-PP\tO' +p346267 +aS'dialysis\tdialysis\tNN\tB-NP\tO' +p346268 +aS'with\twith\tIN\tB-PP\tO' +p346269 +aS'ultrafiltration\tultrafiltration\tNN\tB-NP\tO' +p346270 +aS'on\ton\tIN\tB-PP\tO' +p346271 +aS'July\tJuly\tNNP\tB-NP\tO' +p346272 +aS'12\t12\tCD\tI-NP\tO' +p346273 +aS',\t,\t,\tO\tO' +p346274 +aS'1998\t1998\tCD\tB-NP\tO' +p346275 +aS'.\t.\t.\tO\tO' +p346276 +asS'Myocardial infarction also in l983 and l988 , congestive heart failure in l989 , diverticulitis in l978 , and spontaneous pneumothorax in l956 .' +p346277 +(lp346278 +S'Myocardial\tMyocardial\tJJ\tB-NP\tO' +p346279 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p346280 +aS'also\talso\tRB\tB-ADVP\tO' +p346281 +aS'in\tin\tIN\tB-PP\tO' +p346282 +aS'l983\tl983\tNN\tB-NP\tB-protein' +p346283 +aS'and\tand\tCC\tI-NP\tO' +p346284 +aS'l988\tl988\tNN\tI-NP\tB-protein' +p346285 +aS',\t,\t,\tO\tO' +p346286 +aS'congestive\tcongestive\tJJ\tB-NP\tO' +p346287 +aS'heart\theart\tNN\tI-NP\tO' +p346288 +aS'failure\tfailure\tNN\tI-NP\tO' +p346289 +aS'in\tin\tIN\tB-PP\tO' +p346290 +aS'l989\tl989\tNN\tB-NP\tB-protein' +p346291 +aS',\t,\t,\tO\tO' +p346292 +aS'diverticulitis\tdiverticulitis\tNN\tB-NP\tO' +p346293 +aS'in\tin\tIN\tB-PP\tO' +p346294 +aS'l978\tl978\tNN\tB-NP\tB-protein' +p346295 +aS',\t,\t,\tO\tO' +p346296 +aS'and\tand\tCC\tO\tO' +p346297 +aS'spontaneous\tspontaneous\tJJ\tB-NP\tO' +p346298 +aS'pneumothorax\tpneumothorax\tNN\tI-NP\tO' +p346299 +aS'in\tin\tIN\tB-PP\tO' +p346300 +aS'l956\tl956\tNN\tB-NP\tB-protein' +p346301 +aS'.\t.\t.\tO\tO' +p346302 +asS'Started on omeprazole 40 mg po bid x6 wks .' +p346303 +(lp346304 +S'Started\tStart\tVBN\tB-VP\tO' +p346305 +aS'on\ton\tIN\tB-PP\tO' +p346306 +aS'omeprazole\tomeprazole\tNN\tB-NP\tB-protein' +p346307 +aS'40\t40\tCD\tI-NP\tI-protein' +p346308 +aS'mg\tmg\tNN\tI-NP\tI-protein' +p346309 +aS'po\tpo\tNN\tI-NP\tI-protein' +p346310 +aS'bid\tbid\tNN\tI-NP\tI-protein' +p346311 +aS'x6\tx6\tCD\tB-NP\tI-protein' +p346312 +aS'wks\twk\tNNS\tI-NP\tI-protein' +p346313 +aS'.\t.\t.\tO\tO' +p346314 +asS'1. Aspirin 325 mg p.o. q. day .' +p346315 +(lp346316 +S'1.\t1.\tLS\tB-LST\tO' +p346317 +aS'Aspirin\tAspirin\tNN\tB-NP\tO' +p346318 +aS'325\t325\tCD\tI-NP\tO' +p346319 +aS'mg\tmg\tNN\tI-NP\tO' +p346320 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p346321 +aS'q.\tq.\tNN\tI-NP\tO' +p346322 +aS'day\tday\tNN\tI-NP\tO' +p346323 +aS'.\t.\t.\tO\tO' +p346324 +asS'The clinical picture was concerning for a post-operative hematoma .' +p346325 +(lp346326 +S'The\tThe\tDT\tB-NP\tO' +p346327 +aS'clinical\tclinical\tJJ\tI-NP\tO' +p346328 +aS'picture\tpicture\tNN\tI-NP\tO' +p346329 +aS'was\tbe\tVBD\tB-VP\tO' +p346330 +aS'concerning\tconcern\tVBG\tI-VP\tO' +p346331 +aS'for\tfor\tIN\tB-PP\tO' +p346332 +aS'a\ta\tDT\tB-NP\tO' +p346333 +aS'post-operative\tpost-operative\tJJ\tI-NP\tO' +p346334 +aS'hematoma\thematoma\tNN\tI-NP\tO' +p346335 +aS'.\t.\t.\tO\tO' +p346336 +asS'4. SUTENT 50 mg Capsule Sig : One ( 1 ) Capsule PO Every other day : Please restart on Wallace , 06-24 .' +p346337 +(lp346338 +S'4.\t4.\tLS\tB-NP\tO' +p346339 +aS'SUTENT\tSUTENT\tNN\tI-NP\tO' +p346340 +aS'50\t50\tCD\tI-NP\tO' +p346341 +aS'mg\tmg\tNN\tI-NP\tO' +p346342 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p346343 +aS'Sig\tSig\tNNP\tI-NP\tO' +p346344 +aS':\t:\t:\tO\tO' +p346345 +aS'One\tOne\tCD\tB-NP\tO' +p346346 +aS'(\t(\t(\tO\tO' +p346347 +aS'1\t1\tCD\tB-NP\tO' +p346348 +aS')\t)\t)\tO\tO' +p346349 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p346350 +aS'PO\tPO\tNNP\tI-NP\tO' +p346351 +aS'Every\tEvery\tDT\tB-NP\tO' +p346352 +aS'other\tother\tJJ\tI-NP\tO' +p346353 +aS'day\tday\tNN\tI-NP\tO' +p346354 +aS':\t:\t:\tO\tO' +p346355 +aS'Please\tPlease\tNN\tB-NP\tB-protein' +p346356 +aS'restart\trestart\tVB\tB-VP\tO' +p346357 +aS'on\ton\tIN\tB-PP\tO' +p346358 +aS'Wallace\tWallace\tNNP\tB-NP\tO' +p346359 +aS',\t,\t,\tO\tO' +p346360 +aS'06-24\t06-24\tCD\tB-NP\tO' +p346361 +aS'.\t.\t.\tO\tO' +p346362 +asS'Pulmonary vascularity is normal , lungs are clear .' +p346363 +(lp346364 +S'Pulmonary\tPulmonary\tJJ\tB-NP\tO' +p346365 +aS'vascularity\tvascularity\tNN\tI-NP\tO' +p346366 +aS'is\tbe\tVBZ\tB-VP\tO' +p346367 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p346368 +aS',\t,\t,\tO\tO' +p346369 +aS'lungs\tlung\tNNS\tB-NP\tO' +p346370 +aS'are\tbe\tVBP\tB-VP\tO' +p346371 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p346372 +aS'.\t.\t.\tO\tO' +p346373 +asS'22 year old female transfer from outside hospital after a motor vehicle accident with diagnosed liver laceration by CT scan .' +p346374 +(lp346375 +S'22\t22\tCD\tB-NP\tO' +p346376 +aS'year\tyear\tNN\tI-NP\tO' +p346377 +aS'old\told\tJJ\tI-NP\tO' +p346378 +aS'female\tfemale\tJJ\tI-NP\tO' +p346379 +aS'transfer\ttransfer\tNN\tI-NP\tO' +p346380 +aS'from\tfrom\tIN\tB-PP\tO' +p346381 +aS'outside\toutside\tJJ\tB-NP\tO' +p346382 +aS'hospital\thospital\tNN\tI-NP\tO' +p346383 +aS'after\tafter\tIN\tB-PP\tO' +p346384 +aS'a\ta\tDT\tB-NP\tO' +p346385 +aS'motor\tmotor\tNN\tI-NP\tO' +p346386 +aS'vehicle\tvehicle\tNN\tI-NP\tO' +p346387 +aS'accident\taccident\tNN\tI-NP\tO' +p346388 +aS'with\twith\tIN\tB-PP\tO' +p346389 +aS'diagnosed\tdiagnose\tVBN\tB-NP\tO' +p346390 +aS'liver\tliver\tNN\tI-NP\tO' +p346391 +aS'laceration\tlaceration\tNN\tI-NP\tO' +p346392 +aS'by\tby\tIN\tB-PP\tO' +p346393 +aS'CT\tCT\tNN\tB-NP\tO' +p346394 +aS'scan\tscan\tNN\tI-NP\tO' +p346395 +aS'.\t.\t.\tO\tO' +p346396 +asS'Two drains were used .' +p346397 +(lp346398 +S'Two\tTwo\tCD\tB-NP\tO' +p346399 +aS'drains\tdrain\tNNS\tI-NP\tO' +p346400 +aS'were\tbe\tVBD\tB-VP\tO' +p346401 +aS'used\tuse\tVBN\tI-VP\tO' +p346402 +aS'.\t.\t.\tO\tO' +p346403 +asS'The patient 's differential diagnosis included initially a question of an atypical pneumonia or PCP .' +p346404 +(lp346405 +S'The\tThe\tDT\tB-NP\tO' +p346406 +aS'patient\tpatient\tNN\tI-NP\tO' +p346407 +aS''s\t'\tNNS\tI-NP\tO' +p346408 +aS'differential\tdifferential\tJJ\tB-NP\tO' +p346409 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p346410 +aS'included\tinclude\tVBD\tB-VP\tO' +p346411 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p346412 +aS'a\ta\tDT\tB-NP\tO' +p346413 +aS'question\tquestion\tNN\tI-NP\tO' +p346414 +aS'of\tof\tIN\tB-PP\tO' +p346415 +aS'an\tan\tDT\tB-NP\tO' +p346416 +aS'atypical\tatypical\tJJ\tI-NP\tO' +p346417 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p346418 +aS'or\tor\tCC\tI-NP\tO' +p346419 +aS'PCP\tPCP\tNN\tI-NP\tB-protein' +p346420 +aS'.\t.\t.\tO\tO' +p346421 +asS'Recent neuro w / u including EEG , carotid u / s , head ct ( old stroke ) , dobutamine-MIBI ( fixed defect and small inferolateral reversible ) were all negative .' +p346422 +(lp346423 +S'Recent\tRecent\tJJ\tB-NP\tO' +p346424 +aS'neuro\tneuro\tNN\tI-NP\tO' +p346425 +aS'w\tw\tNN\tI-NP\tO' +p346426 +aS'/\t/\tSYM\tO\tO' +p346427 +aS'u\tu\tNN\tB-NP\tO' +p346428 +aS'including\tinclude\tVBG\tB-PP\tO' +p346429 +aS'EEG\tEEG\tNN\tB-NP\tB-protein' +p346430 +aS',\t,\t,\tO\tO' +p346431 +aS'carotid\tcarotid\tNN\tB-NP\tO' +p346432 +aS'u\tu\tNN\tI-NP\tO' +p346433 +aS'/\t/\tSYM\tI-NP\tO' +p346434 +aS's\ts\tNN\tI-NP\tO' +p346435 +aS',\t,\t,\tO\tO' +p346436 +aS'head\thead\tNN\tB-NP\tO' +p346437 +aS'ct\tct\tNN\tI-NP\tO' +p346438 +aS'(\t(\t(\tO\tO' +p346439 +aS'old\told\tJJ\tB-NP\tO' +p346440 +aS'stroke\tstroke\tNN\tI-NP\tO' +p346441 +aS')\t)\t)\tO\tO' +p346442 +aS',\t,\t,\tO\tO' +p346443 +aS'dobutamine-MIBI\tdobutamine-MIBI\tNN\tB-NP\tO' +p346444 +aS'(\t(\t(\tO\tO' +p346445 +aS'fixed\tfix\tVBN\tB-NP\tO' +p346446 +aS'defect\tdefect\tNN\tI-NP\tO' +p346447 +aS'and\tand\tCC\tO\tO' +p346448 +aS'small\tsmall\tJJ\tB-NP\tO' +p346449 +aS'inferolateral\tinferolateral\tJJ\tI-NP\tO' +p346450 +aS'reversible\treversible\tJJ\tI-NP\tO' +p346451 +aS')\t)\t)\tO\tO' +p346452 +aS'were\tbe\tVBD\tB-VP\tO' +p346453 +aS'all\tall\tDT\tO\tO' +p346454 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p346455 +aS'.\t.\t.\tO\tO' +p346456 +asS'bleed ?' +p346457 +(lp346458 +S'bleed\tbleed\tVBN\tB-VP\tO' +p346459 +aS'?\t?\t.\tO\tO' +p346460 +asS'Lungs : breath sounds clear and equal bilaterally , no retractions .' +p346461 +(lp346462 +S'Lungs\tLung\tNNS\tB-NP\tO' +p346463 +aS':\t:\t:\tO\tO' +p346464 +aS'breath\tbreath\tNN\tB-NP\tO' +p346465 +aS'sounds\tsound\tVBZ\tB-VP\tO' +p346466 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p346467 +aS'and\tand\tCC\tI-ADJP\tO' +p346468 +aS'equal\tequal\tJJ\tI-ADJP\tO' +p346469 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p346470 +aS',\t,\t,\tO\tO' +p346471 +aS'no\tno\tDT\tB-NP\tO' +p346472 +aS'retractions\tretraction\tNNS\tI-NP\tO' +p346473 +aS'.\t.\t.\tO\tO' +p346474 +asS'oropharynx was intubated with blood as well .' +p346475 +(lp346476 +S'oropharynx\toropharynx\tNN\tB-NP\tO' +p346477 +aS'was\tbe\tVBD\tB-VP\tO' +p346478 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p346479 +aS'with\twith\tIN\tB-PP\tO' +p346480 +aS'blood\tblood\tNN\tB-NP\tO' +p346481 +aS'as\tas\tRB\tB-ADVP\tO' +p346482 +aS'well\twell\tRB\tI-ADVP\tO' +p346483 +aS'.\t.\t.\tO\tO' +p346484 +asS'She was uncomfortable and slow to have bowel movements , although she did have flatus .' +p346485 +(lp346486 +S'She\tShe\tPRP\tB-NP\tO' +p346487 +aS'was\tbe\tVBD\tB-VP\tO' +p346488 +aS'uncomfortable\tuncomfortable\tJJ\tB-ADJP\tO' +p346489 +aS'and\tand\tCC\tO\tO' +p346490 +aS'slow\tslow\tJJ\tB-ADJP\tO' +p346491 +aS'to\tto\tTO\tB-VP\tO' +p346492 +aS'have\thave\tVB\tI-VP\tO' +p346493 +aS'bowel\tbowel\tNN\tB-NP\tO' +p346494 +aS'movements\tmovement\tNNS\tI-NP\tO' +p346495 +aS',\t,\t,\tO\tO' +p346496 +aS'although\talthough\tIN\tB-SBAR\tO' +p346497 +aS'she\tshe\tPRP\tB-NP\tO' +p346498 +aS'did\tdo\tVBD\tB-VP\tO' +p346499 +aS'have\thave\tVB\tI-VP\tO' +p346500 +aS'flatus\tflatus\tNN\tB-NP\tO' +p346501 +aS'.\t.\t.\tO\tO' +p346502 +asS'She received three days of intravenous etidronate with normal saline diuresis and the serum calcium subsequently decreased to 9.0 .' +p346503 +(lp346504 +S'She\tShe\tPRP\tB-NP\tO' +p346505 +aS'received\treceive\tVBD\tB-VP\tO' +p346506 +aS'three\tthree\tCD\tB-NP\tO' +p346507 +aS'days\tday\tNNS\tI-NP\tO' +p346508 +aS'of\tof\tIN\tB-PP\tO' +p346509 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p346510 +aS'etidronate\tetidronate\tNN\tI-NP\tO' +p346511 +aS'with\twith\tIN\tB-PP\tO' +p346512 +aS'normal\tnormal\tJJ\tB-NP\tO' +p346513 +aS'saline\tsaline\tNN\tI-NP\tO' +p346514 +aS'diuresis\tdiuresis\tNN\tI-NP\tO' +p346515 +aS'and\tand\tCC\tO\tO' +p346516 +aS'the\tthe\tDT\tB-NP\tO' +p346517 +aS'serum\tserum\tNN\tI-NP\tO' +p346518 +aS'calcium\tcalcium\tNN\tI-NP\tO' +p346519 +aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' +p346520 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p346521 +aS'to\tto\tTO\tB-PP\tO' +p346522 +aS'9.0\t9.0\tCD\tB-NP\tO' +p346523 +aS'.\t.\t.\tO\tO' +p346524 +asS"He had been admitted to the St. Margaret 's Center for Women & Infants multiple times early in 2013 for management of encephalopathy and ascites ." +p346525 +(lp346526 +S'He\tHe\tPRP\tB-NP\tO' +p346527 +aS'had\thave\tVBD\tB-VP\tO' +p346528 +aS'been\tbe\tVBN\tI-VP\tO' +p346529 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p346530 +aS'to\tto\tTO\tB-PP\tO' +p346531 +aS'the\tthe\tDT\tB-NP\tO' +p346532 +aS'St.\tSt.\tNNP\tI-NP\tO' +p346533 +aS'Margaret\tMargaret\tNNP\tI-NP\tO' +p346534 +aS"'s\t's\tPOS\tB-NP\tO" +p346535 +aS'Center\tCenter\tNNP\tI-NP\tO' +p346536 +aS'for\tfor\tIN\tB-PP\tO' +p346537 +aS'Women\tWomen\tNNP\tB-NP\tO' +p346538 +aS'&\t&\tCC\tI-NP\tO' +p346539 +aS'Infants\tInfant\tNNPS\tI-NP\tO' +p346540 +aS'multiple\tmultiple\tJJ\tI-NP\tO' +p346541 +aS'times\ttime\tNNS\tI-NP\tO' +p346542 +aS'early\tearly\tRB\tB-ADVP\tO' +p346543 +aS'in\tin\tIN\tB-PP\tO' +p346544 +aS'2013\t2013\tCD\tB-NP\tO' +p346545 +aS'for\tfor\tIN\tB-PP\tO' +p346546 +aS'management\tmanagement\tNN\tB-NP\tO' +p346547 +aS'of\tof\tIN\tB-PP\tO' +p346548 +aS'encephalopathy\tencephalopathy\tNN\tB-NP\tO' +p346549 +aS'and\tand\tCC\tI-NP\tO' +p346550 +aS'ascites\tascite\tNNS\tI-NP\tO' +p346551 +aS'.\t.\t.\tO\tO' +p346552 +asS'He had no cardiac murmur .' +p346553 +(lp346554 +S'He\tHe\tPRP\tB-NP\tO' +p346555 +aS'had\thave\tVBD\tB-VP\tO' +p346556 +aS'no\tno\tDT\tB-NP\tO' +p346557 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p346558 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p346559 +aS'.\t.\t.\tO\tO' +p346560 +asS'The left volar forearm has the PPD just proximal to the wrist crease and a candida albicans placed just distal to the antecubital fossa .' +p346561 +(lp346562 +S'The\tThe\tDT\tB-NP\tO' +p346563 +aS'left\tleft\tJJ\tI-NP\tO' +p346564 +aS'volar\tvolar\tJJ\tI-NP\tO' +p346565 +aS'forearm\tforearm\tNN\tI-NP\tO' +p346566 +aS'has\thave\tVBZ\tB-VP\tO' +p346567 +aS'the\tthe\tDT\tB-NP\tO' +p346568 +aS'PPD\tPPD\tNN\tI-NP\tB-protein' +p346569 +aS'just\tjust\tRB\tB-ADJP\tO' +p346570 +aS'proximal\tproximal\tJJ\tI-ADJP\tO' +p346571 +aS'to\tto\tTO\tB-PP\tO' +p346572 +aS'the\tthe\tDT\tB-NP\tO' +p346573 +aS'wrist\twrist\tNN\tI-NP\tO' +p346574 +aS'crease\tcrease\tNN\tI-NP\tO' +p346575 +aS'and\tand\tCC\tO\tO' +p346576 +aS'a\ta\tDT\tB-NP\tO' +p346577 +aS'candida\tcandida\tNN\tI-NP\tO' +p346578 +aS'albicans\talbican\tNNS\tI-NP\tO' +p346579 +aS'placed\tplace\tVBD\tB-VP\tO' +p346580 +aS'just\tjust\tRB\tB-NP\tO' +p346581 +aS'distal\tdistal\tJJ\tI-NP\tO' +p346582 +aS'to\tto\tTO\tB-PP\tO' +p346583 +aS'the\tthe\tDT\tB-NP\tO' +p346584 +aS'antecubital\tantecubital\tJJ\tI-NP\tO' +p346585 +aS'fossa\tfossa\tNN\tI-NP\tO' +p346586 +aS'.\t.\t.\tO\tO' +p346587 +asS'The patient was begun on Gentamicin , Vancomycin and Piperacillin , which was changed to Gentamicin and Ceftazidime .' +p346588 +(lp346589 +S'The\tThe\tDT\tB-NP\tO' +p346590 +aS'patient\tpatient\tNN\tI-NP\tO' +p346591 +aS'was\tbe\tVBD\tB-VP\tO' +p346592 +aS'begun\tbegin\tVBN\tI-VP\tO' +p346593 +aS'on\ton\tIN\tB-PP\tO' +p346594 +aS'Gentamicin\tGentamicin\tNN\tB-NP\tO' +p346595 +aS',\t,\t,\tI-NP\tO' +p346596 +aS'Vancomycin\tVancomycin\tNN\tI-NP\tO' +p346597 +aS'and\tand\tCC\tI-NP\tO' +p346598 +aS'Piperacillin\tPiperacillin\tNN\tI-NP\tB-protein' +p346599 +aS',\t,\t,\tO\tO' +p346600 +aS'which\twhich\tWDT\tB-NP\tO' +p346601 +aS'was\tbe\tVBD\tB-VP\tO' +p346602 +aS'changed\tchange\tVBN\tI-VP\tO' +p346603 +aS'to\tto\tTO\tB-PP\tO' +p346604 +aS'Gentamicin\tGentamicin\tNN\tB-NP\tO' +p346605 +aS'and\tand\tCC\tI-NP\tO' +p346606 +aS'Ceftazidime\tCeftazidime\tNN\tI-NP\tO' +p346607 +aS'.\t.\t.\tO\tO' +p346608 +asS'Urine tox screen negative for benzos , barbiturates , opiates , cocaine , amphetamines , and methadone .' +p346609 +(lp346610 +S'Urine\tUrine\tNN\tB-NP\tO' +p346611 +aS'tox\ttox\tNN\tI-NP\tO' +p346612 +aS'screen\tscreen\tNN\tI-NP\tO' +p346613 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p346614 +aS'for\tfor\tIN\tB-PP\tO' +p346615 +aS'benzos\tbenzo\tNNS\tB-NP\tO' +p346616 +aS',\t,\t,\tO\tO' +p346617 +aS'barbiturates\tbarbiturate\tNNS\tB-NP\tO' +p346618 +aS',\t,\t,\tO\tO' +p346619 +aS'opiates\topiate\tNNS\tB-NP\tO' +p346620 +aS',\t,\t,\tO\tO' +p346621 +aS'cocaine\tcocaine\tNN\tB-NP\tO' +p346622 +aS',\t,\t,\tO\tO' +p346623 +aS'amphetamines\tamphetamine\tNNS\tB-NP\tO' +p346624 +aS',\t,\t,\tO\tO' +p346625 +aS'and\tand\tCC\tO\tO' +p346626 +aS'methadone\tmethadone\tNN\tB-NP\tO' +p346627 +aS'.\t.\t.\tO\tO' +p346628 +asS'5 ) Thiamine .' +p346629 +(lp346630 +S'5\t5\tLS\tB-LST\tO' +p346631 +aS')\t)\t)\tO\tO' +p346632 +aS'Thiamine\tThiamine\tNN\tB-NP\tO' +p346633 +aS'.\t.\t.\tO\tO' +p346634 +asS'Social use of alcohol .' +p346635 +(lp346636 +S'Social\tSocial\tJJ\tB-NP\tO' +p346637 +aS'use\tuse\tNN\tI-NP\tO' +p346638 +aS'of\tof\tIN\tB-PP\tO' +p346639 +aS'alcohol\talcohol\tNN\tB-NP\tO' +p346640 +aS'.\t.\t.\tO\tO' +p346641 +asS'Chem-7 : Sodium 145 , potassium 3.4 , chloride 116 , bicarb 21 , BUN 12 , creatinine 0.6 , glucose 96 , calcium 7.2 , phos 3.6 , magnesium 1.7 .' +p346642 +(lp346643 +S'Chem-7\tChem-7\tNN\tB-NP\tO' +p346644 +aS':\t:\t:\tO\tO' +p346645 +aS'Sodium\tSodium\tNN\tB-NP\tO' +p346646 +aS'145\t145\tCD\tI-NP\tO' +p346647 +aS',\t,\t,\tO\tO' +p346648 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p346649 +aS'3.4\t3.4\tCD\tI-NP\tO' +p346650 +aS',\t,\t,\tO\tO' +p346651 +aS'chloride\tchloride\tNN\tB-NP\tO' +p346652 +aS'116\t116\tCD\tI-NP\tO' +p346653 +aS',\t,\t,\tO\tO' +p346654 +aS'bicarb\tbicarb\tNN\tB-NP\tO' +p346655 +aS'21\t21\tCD\tI-NP\tO' +p346656 +aS',\t,\t,\tO\tO' +p346657 +aS'BUN\tBUN\tNN\tB-NP\tB-DNA' +p346658 +aS'12\t12\tCD\tI-NP\tI-DNA' +p346659 +aS',\t,\t,\tO\tO' +p346660 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p346661 +aS'0.6\t0.6\tCD\tI-NP\tO' +p346662 +aS',\t,\t,\tO\tO' +p346663 +aS'glucose\tglucose\tNN\tB-NP\tB-protein' +p346664 +aS'96\t96\tCD\tI-NP\tI-protein' +p346665 +aS',\t,\t,\tO\tO' +p346666 +aS'calcium\tcalcium\tNN\tB-NP\tO' +p346667 +aS'7.2\t7.2\tCD\tI-NP\tO' +p346668 +aS',\t,\t,\tO\tO' +p346669 +aS'phos\tpho\tNNS\tB-NP\tO' +p346670 +aS'3.6\t3.6\tCD\tB-NP\tO' +p346671 +aS',\t,\t,\tO\tO' +p346672 +aS'magnesium\tmagnesium\tNN\tB-NP\tO' +p346673 +aS'1.7\t1.7\tCD\tI-NP\tO' +p346674 +aS'.\t.\t.\tO\tO' +p346675 +asS'She was started on appropriate antibiotics .' +p346676 +(lp346677 +S'She\tShe\tPRP\tB-NP\tO' +p346678 +aS'was\tbe\tVBD\tB-VP\tO' +p346679 +aS'started\tstart\tVBN\tI-VP\tO' +p346680 +aS'on\ton\tIN\tB-PP\tO' +p346681 +aS'appropriate\tappropriate\tJJ\tB-NP\tO' +p346682 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p346683 +aS'.\t.\t.\tO\tO' +p346684 +asS'She was intially maintained on an insulin drip for tight glycemic control .' +p346685 +(lp346686 +S'She\tShe\tPRP\tB-NP\tO' +p346687 +aS'was\tbe\tVBD\tB-VP\tO' +p346688 +aS'intially\tintially\tRB\tI-VP\tO' +p346689 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p346690 +aS'on\ton\tIN\tB-PP\tO' +p346691 +aS'an\tan\tDT\tB-NP\tO' +p346692 +aS'insulin\tinsulin\tNN\tI-NP\tO' +p346693 +aS'drip\tdrip\tNN\tI-NP\tO' +p346694 +aS'for\tfor\tIN\tB-PP\tO' +p346695 +aS'tight\ttight\tJJ\tB-NP\tO' +p346696 +aS'glycemic\tglycemic\tJJ\tI-NP\tO' +p346697 +aS'control\tcontrol\tNN\tI-NP\tO' +p346698 +aS'.\t.\t.\tO\tO' +p346699 +asS'Alleyne blood type is O+ / Coombs negative .' +p346700 +(lp346701 +S'Alleyne\tAlleyne\tNN\tB-NP\tO' +p346702 +aS'blood\tblood\tNN\tI-NP\tO' +p346703 +aS'type\ttype\tNN\tI-NP\tO' +p346704 +aS'is\tbe\tVBZ\tB-VP\tO' +p346705 +aS'O+\tO+\tJJ\tB-ADJP\tO' +p346706 +aS'/\t/\tSYM\tB-NP\tO' +p346707 +aS'Coombs\tCoomb\tNNS\tI-NP\tO' +p346708 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p346709 +aS'.\t.\t.\tO\tO' +p346710 +asS'blood pressure , and heart rate remained stable , and her oxygen saturations were well above 90% during the daytime on 2 liters nasal cannula and at night on the BiPAP settings' +p346711 +(lp346712 +S'blood\tblood\tNN\tB-NP\tO' +p346713 +aS'pressure\tpressure\tNN\tI-NP\tO' +p346714 +aS',\t,\t,\tO\tO' +p346715 +aS'and\tand\tCC\tO\tO' +p346716 +aS'heart\theart\tNN\tB-NP\tO' +p346717 +aS'rate\trate\tNN\tI-NP\tO' +p346718 +aS'remained\tremain\tVBD\tB-VP\tO' +p346719 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p346720 +aS',\t,\t,\tO\tO' +p346721 +aS'and\tand\tCC\tO\tO' +p346722 +aS'her\ther\tPRP$\tB-NP\tO' +p346723 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p346724 +aS'saturations\tsaturation\tNNS\tI-NP\tO' +p346725 +aS'were\tbe\tVBD\tB-VP\tO' +p346726 +aS'well\twell\tRB\tB-ADVP\tO' +p346727 +aS'above\tabove\tIN\tB-PP\tO' +p346728 +aS'90%\t90%\tCD\tB-NP\tO' +p346729 +aS'during\tduring\tIN\tB-PP\tO' +p346730 +aS'the\tthe\tDT\tB-NP\tO' +p346731 +aS'daytime\tdaytime\tNN\tI-NP\tO' +p346732 +aS'on\ton\tIN\tB-PP\tO' +p346733 +aS'2\t2\tCD\tB-NP\tO' +p346734 +aS'liters\tliter\tNNS\tI-NP\tO' +p346735 +aS'nasal\tnasal\tJJ\tB-NP\tO' +p346736 +aS'cannula\tcannula\tNN\tI-NP\tO' +p346737 +aS'and\tand\tCC\tB-PP\tO' +p346738 +aS'at\tat\tIN\tB-PP\tO' +p346739 +aS'night\tnight\tNN\tB-NP\tO' +p346740 +aS'on\ton\tIN\tB-PP\tO' +p346741 +aS'the\tthe\tDT\tB-NP\tO' +p346742 +aS'BiPAP\tBiPAP\tNN\tI-NP\tO' +p346743 +aS'settings\tsetting\tNNS\tI-NP\tO' +p346744 +asS'Disp :* 30 Cap (s)* Refills :* 2 *' +p346745 +(lp346746 +S'Disp\tDisp\tNN\tB-NP\tO' +p346747 +aS':*\t:*\tSYM\tI-NP\tO' +p346748 +aS'30\t30\tCD\tI-NP\tO' +p346749 +aS'Cap\tCap\tNN\tI-NP\tB-protein' +p346750 +aS'(s)*\t(s)*\tSYM\tB-NP\tO' +p346751 +aS'Refills\tRefill\tNNPS\tI-NP\tO' +p346752 +aS':*\t:*\tSYM\tI-NP\tO' +p346753 +aS'2\t2\tCD\tI-NP\tO' +p346754 +aS'*\t*\tSYM\tB-NP\tO' +p346755 +asS'LABORATORY AND RADIOLOGIC DATA : On admission , white count 10.8 , hematocrit 38.2 , platelets 324,000 .' +p346756 +(lp346757 +S'LABORATORY\tLABORATORY\tNN\tB-NP\tO' +p346758 +aS'AND\tAND\tCC\tI-NP\tO' +p346759 +aS'RADIOLOGIC\tRADIOLOGIC\tNN\tI-NP\tO' +p346760 +aS'DATA\tDATA\tNN\tI-NP\tO' +p346761 +aS':\t:\t:\tO\tO' +p346762 +aS'On\tOn\tIN\tB-PP\tO' +p346763 +aS'admission\tadmission\tNN\tB-NP\tO' +p346764 +aS',\t,\t,\tO\tO' +p346765 +aS'white\twhite\tJJ\tB-NP\tO' +p346766 +aS'count\tcount\tNN\tI-NP\tO' +p346767 +aS'10.8\t10.8\tCD\tI-NP\tO' +p346768 +aS',\t,\t,\tO\tO' +p346769 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p346770 +aS'38.2\t38.2\tCD\tI-NP\tI-protein' +p346771 +aS',\t,\t,\tO\tO' +p346772 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p346773 +aS'324,000\t324,000\tCD\tB-NP\tO' +p346774 +aS'.\t.\t.\tO\tO' +p346775 +asS'She was treated with IVF for her ARF .' +p346776 +(lp346777 +S'She\tShe\tPRP\tB-NP\tO' +p346778 +aS'was\tbe\tVBD\tB-VP\tO' +p346779 +aS'treated\ttreat\tVBN\tI-VP\tO' +p346780 +aS'with\twith\tIN\tB-PP\tO' +p346781 +aS'IVF\tIVF\tNN\tB-NP\tB-protein' +p346782 +aS'for\tfor\tIN\tB-PP\tO' +p346783 +aS'her\ther\tPRP$\tB-NP\tO' +p346784 +aS'ARF\tARF\tNN\tI-NP\tB-protein' +p346785 +aS'.\t.\t.\tO\tO' +p346786 +asS'He was admitted to the trauma service . Orthopedics and Neurosurgery were consulted because of his injuries .' +p346787 +(lp346788 +S'He\tHe\tPRP\tB-NP\tO' +p346789 +aS'was\tbe\tVBD\tB-VP\tO' +p346790 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p346791 +aS'to\tto\tTO\tB-PP\tO' +p346792 +aS'the\tthe\tDT\tB-NP\tO' +p346793 +aS'trauma\ttrauma\tNN\tI-NP\tO' +p346794 +aS'service\tservice\tNN\tI-NP\tO' +p346795 +aS'.\t.\t.\tI-NP\tO' +p346796 +aS'Orthopedics\tOrthopedic\tNNPS\tI-NP\tB-cell_type' +p346797 +aS'and\tand\tCC\tO\tO' +p346798 +aS'Neurosurgery\tNeurosurgery\tNN\tB-NP\tO' +p346799 +aS'were\tbe\tVBD\tB-VP\tO' +p346800 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p346801 +aS'because\tbecause\tIN\tB-PP\tO' +p346802 +aS'of\tof\tIN\tI-PP\tO' +p346803 +aS'his\this\tPRP$\tB-NP\tO' +p346804 +aS'injuries\tinjury\tNNS\tI-NP\tO' +p346805 +aS'.\t.\t.\tO\tO' +p346806 +asS'On the day of transfer to the General Medical Floor the patient had received clear liquids .' +p346807 +(lp346808 +S'On\tOn\tIN\tB-PP\tO' +p346809 +aS'the\tthe\tDT\tB-NP\tO' +p346810 +aS'day\tday\tNN\tI-NP\tO' +p346811 +aS'of\tof\tIN\tB-PP\tO' +p346812 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p346813 +aS'to\tto\tTO\tB-PP\tO' +p346814 +aS'the\tthe\tDT\tB-NP\tO' +p346815 +aS'General\tGeneral\tNNP\tI-NP\tO' +p346816 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p346817 +aS'Floor\tFloor\tNNP\tI-NP\tO' +p346818 +aS'the\tthe\tDT\tB-NP\tO' +p346819 +aS'patient\tpatient\tNN\tI-NP\tO' +p346820 +aS'had\thave\tVBD\tB-VP\tO' +p346821 +aS'received\treceive\tVBN\tI-VP\tO' +p346822 +aS'clear\tclear\tJJ\tB-NP\tO' +p346823 +aS'liquids\tliquid\tNNS\tI-NP\tO' +p346824 +aS'.\t.\t.\tO\tO' +p346825 +asS'On 2014-04-09 , FK level was 10.3 .' +p346826 +(lp346827 +S'On\tOn\tIN\tB-PP\tO' +p346828 +aS'2014-04-09\t2014-04-09\tCD\tB-NP\tO' +p346829 +aS',\t,\t,\tO\tO' +p346830 +aS'FK\tFK\tNN\tB-NP\tB-protein' +p346831 +aS'level\tlevel\tNN\tI-NP\tO' +p346832 +aS'was\tbe\tVBD\tB-VP\tO' +p346833 +aS'10.3\t10.3\tCD\tB-NP\tO' +p346834 +aS'.\t.\t.\tO\tO' +p346835 +asS'Patient was intubated in John for airway protection and administation of charcoal .' +p346836 +(lp346837 +S'Patient\tPatient\tNN\tB-NP\tO' +p346838 +aS'was\tbe\tVBD\tB-VP\tO' +p346839 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p346840 +aS'in\tin\tIN\tB-PP\tO' +p346841 +aS'John\tJohn\tNNP\tB-NP\tO' +p346842 +aS'for\tfor\tIN\tB-PP\tO' +p346843 +aS'airway\tairway\tNN\tB-NP\tO' +p346844 +aS'protection\tprotection\tNN\tI-NP\tO' +p346845 +aS'and\tand\tCC\tI-NP\tO' +p346846 +aS'administation\tadministation\tNN\tI-NP\tO' +p346847 +aS'of\tof\tIN\tB-PP\tO' +p346848 +aS'charcoal\tcharcoal\tNN\tB-NP\tO' +p346849 +aS'.\t.\t.\tO\tO' +p346850 +asS'Facial sensation intact to light touch and pinprick .' +p346851 +(lp346852 +S'Facial\tFacial\tJJ\tB-NP\tO' +p346853 +aS'sensation\tsensation\tNN\tI-NP\tO' +p346854 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p346855 +aS'to\tto\tTO\tB-PP\tO' +p346856 +aS'light\tlight\tJJ\tB-NP\tO' +p346857 +aS'touch\ttouch\tNN\tI-NP\tO' +p346858 +aS'and\tand\tCC\tI-NP\tO' +p346859 +aS'pinprick\tpinprick\tNN\tI-NP\tO' +p346860 +aS'.\t.\t.\tO\tO' +p346861 +asS'Mr. Knueppel should follow-up with his orthopedic surgeon in the Worcester State Hospital for reassessment of his injury and possible removal of the splint .' +p346862 +(lp346863 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p346864 +aS'Knueppel\tKnueppel\tNNP\tI-NP\tO' +p346865 +aS'should\tshould\tMD\tB-VP\tO' +p346866 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p346867 +aS'with\twith\tIN\tB-PP\tO' +p346868 +aS'his\this\tPRP$\tB-NP\tO' +p346869 +aS'orthopedic\torthopedic\tJJ\tI-NP\tO' +p346870 +aS'surgeon\tsurgeon\tNN\tI-NP\tO' +p346871 +aS'in\tin\tIN\tB-PP\tO' +p346872 +aS'the\tthe\tDT\tB-NP\tO' +p346873 +aS'Worcester\tWorcester\tNNP\tI-NP\tO' +p346874 +aS'State\tState\tNNP\tI-NP\tO' +p346875 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p346876 +aS'for\tfor\tIN\tB-PP\tO' +p346877 +aS'reassessment\treassessment\tNN\tB-NP\tO' +p346878 +aS'of\tof\tIN\tB-PP\tO' +p346879 +aS'his\this\tPRP$\tB-NP\tO' +p346880 +aS'injury\tinjury\tNN\tI-NP\tO' +p346881 +aS'and\tand\tCC\tI-NP\tO' +p346882 +aS'possible\tpossible\tJJ\tI-NP\tO' +p346883 +aS'removal\tremoval\tNN\tI-NP\tO' +p346884 +aS'of\tof\tIN\tB-PP\tO' +p346885 +aS'the\tthe\tDT\tB-NP\tO' +p346886 +aS'splint\tsplint\tNN\tI-NP\tO' +p346887 +aS'.\t.\t.\tO\tO' +p346888 +asS'He had normal male genitalia with bilaterally descended testes .' +p346889 +(lp346890 +S'He\tHe\tPRP\tB-NP\tO' +p346891 +aS'had\thave\tVBD\tB-VP\tO' +p346892 +aS'normal\tnormal\tJJ\tB-NP\tO' +p346893 +aS'male\tmale\tJJ\tI-NP\tO' +p346894 +aS'genitalia\tgenitalia\tNN\tI-NP\tO' +p346895 +aS'with\twith\tIN\tB-PP\tO' +p346896 +aS'bilaterally\tbilaterally\tRB\tB-NP\tO' +p346897 +aS'descended\tdescend\tVBN\tI-NP\tO' +p346898 +aS'testes\ttestis\tNNS\tI-NP\tO' +p346899 +aS'.\t.\t.\tO\tO' +p346900 +asS'Echocardiogram showed 50% ejection fraction with mild mitral regurgitation .' +p346901 +(lp346902 +S'Echocardiogram\tEchocardiogram\tNN\tB-NP\tO' +p346903 +aS'showed\tshow\tVBD\tB-VP\tO' +p346904 +aS'50%\t50%\tCD\tB-NP\tO' +p346905 +aS'ejection\tejection\tNN\tI-NP\tO' +p346906 +aS'fraction\tfraction\tNN\tI-NP\tO' +p346907 +aS'with\twith\tIN\tB-PP\tO' +p346908 +aS'mild\tmild\tJJ\tB-NP\tO' +p346909 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p346910 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p346911 +aS'.\t.\t.\tO\tO' +p346912 +asS'Now sent in to Amesbury by VNA because of asymptomatic sinus tachycardia .' +p346913 +(lp346914 +S'Now\tNow\tRB\tB-ADVP\tO' +p346915 +aS'sent\tsend\tVBN\tB-VP\tO' +p346916 +aS'in\tin\tRP\tB-PRT\tO' +p346917 +aS'to\tto\tTO\tB-PP\tO' +p346918 +aS'Amesbury\tAmesbury\tNNP\tB-NP\tO' +p346919 +aS'by\tby\tIN\tB-PP\tO' +p346920 +aS'VNA\tVNA\tNN\tB-NP\tB-protein' +p346921 +aS'because\tbecause\tIN\tB-PP\tO' +p346922 +aS'of\tof\tIN\tI-PP\tO' +p346923 +aS'asymptomatic\tasymptomatic\tJJ\tB-NP\tO' +p346924 +aS'sinus\tsinus\tNN\tI-NP\tO' +p346925 +aS'tachycardia\ttachycardia\tNN\tI-NP\tO' +p346926 +aS'.\t.\t.\tO\tO' +p346927 +asS'The initial part to this Discharge Summary confirmation number was 276836 ( I believe ) .' +p346928 +(lp346929 +S'The\tThe\tDT\tB-NP\tO' +p346930 +aS'initial\tinitial\tJJ\tI-NP\tO' +p346931 +aS'part\tpart\tNN\tI-NP\tO' +p346932 +aS'to\tto\tTO\tB-PP\tO' +p346933 +aS'this\tthis\tDT\tB-NP\tO' +p346934 +aS'Discharge\tDischarge\tNN\tI-NP\tO' +p346935 +aS'Summary\tSummary\tJJ\tI-NP\tO' +p346936 +aS'confirmation\tconfirmation\tNN\tI-NP\tO' +p346937 +aS'number\tnumber\tNN\tI-NP\tO' +p346938 +aS'was\tbe\tVBD\tB-VP\tO' +p346939 +aS'276836\t276836\tCD\tB-NP\tO' +p346940 +aS'(\t(\t(\tO\tO' +p346941 +aS'I\tI\tPRP\tB-NP\tO' +p346942 +aS'believe\tbelieve\tVBP\tB-VP\tO' +p346943 +aS')\t)\t)\tO\tO' +p346944 +aS'.\t.\t.\tO\tO' +p346945 +asS'The patient was transferred back to the general medicine service where she continued to exhibit signs of chronic obstructive pulmonary disease exacerbation and nebulizers , steroids and antibiotics were continued .' +p346946 +(lp346947 +S'The\tThe\tDT\tB-NP\tO' +p346948 +aS'patient\tpatient\tNN\tI-NP\tO' +p346949 +aS'was\tbe\tVBD\tB-VP\tO' +p346950 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p346951 +aS'back\tback\tRB\tB-ADVP\tO' +p346952 +aS'to\tto\tTO\tB-PP\tO' +p346953 +aS'the\tthe\tDT\tB-NP\tO' +p346954 +aS'general\tgeneral\tJJ\tI-NP\tO' +p346955 +aS'medicine\tmedicine\tNN\tI-NP\tO' +p346956 +aS'service\tservice\tNN\tI-NP\tO' +p346957 +aS'where\twhere\tWRB\tB-ADVP\tO' +p346958 +aS'she\tshe\tPRP\tB-NP\tO' +p346959 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p346960 +aS'to\tto\tTO\tI-VP\tO' +p346961 +aS'exhibit\texhibit\tVB\tI-VP\tO' +p346962 +aS'signs\tsign\tNNS\tB-NP\tO' +p346963 +aS'of\tof\tIN\tB-PP\tO' +p346964 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p346965 +aS'obstructive\tobstructive\tJJ\tI-NP\tO' +p346966 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p346967 +aS'disease\tdisease\tNN\tI-NP\tO' +p346968 +aS'exacerbation\texacerbation\tNN\tI-NP\tO' +p346969 +aS'and\tand\tCC\tI-NP\tO' +p346970 +aS'nebulizers\tnebulizer\tNNS\tI-NP\tO' +p346971 +aS',\t,\t,\tI-NP\tO' +p346972 +aS'steroids\tsteroid\tNNS\tI-NP\tO' +p346973 +aS'and\tand\tCC\tI-NP\tO' +p346974 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p346975 +aS'were\tbe\tVBD\tB-VP\tO' +p346976 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p346977 +aS'.\t.\t.\tO\tO' +p346978 +asS'Ciprofloxacin 500 mg. po. q12 .' +p346979 +(lp346980 +S'Ciprofloxacin\tCiprofloxacin\tNN\tB-NP\tO' +p346981 +aS'500\t500\tCD\tI-NP\tO' +p346982 +aS'mg.\tmg.\tNN\tI-NP\tO' +p346983 +aS'po.\tpo.\tNN\tI-NP\tO' +p346984 +aS'q12\tq12\tNN\tI-NP\tO' +p346985 +aS'.\t.\t.\tO\tO' +p346986 +asS"Patient 's last admission was significant for a negative ex-lap ." +p346987 +(lp346988 +S'Patient\tPatient\tNNP\tB-NP\tO' +p346989 +aS"'s\t's\tPOS\tB-NP\tO" +p346990 +aS'last\tlast\tJJ\tI-NP\tO' +p346991 +aS'admission\tadmission\tNN\tI-NP\tO' +p346992 +aS'was\tbe\tVBD\tB-VP\tO' +p346993 +aS'significant\tsignificant\tJJ\tB-ADJP\tO' +p346994 +aS'for\tfor\tIN\tB-PP\tO' +p346995 +aS'a\ta\tDT\tB-NP\tO' +p346996 +aS'negative\tnegative\tJJ\tI-NP\tO' +p346997 +aS'ex-lap\tex-lap\tNN\tI-NP\tO' +p346998 +aS'.\t.\t.\tO\tO' +p346999 +asS'He reports severe dyspnea on exertion .' +p347000 +(lp347001 +S'He\tHe\tPRP\tB-NP\tO' +p347002 +aS'reports\treport\tVBZ\tB-VP\tO' +p347003 +aS'severe\tsevere\tJJ\tB-NP\tO' +p347004 +aS'dyspnea\tdyspnea\tNN\tI-NP\tO' +p347005 +aS'on\ton\tIN\tB-PP\tO' +p347006 +aS'exertion\texertion\tNN\tB-NP\tO' +p347007 +aS'.\t.\t.\tO\tO' +p347008 +asS'1. Continue ad lib feeding .' +p347009 +(lp347010 +S'1.\t1.\tLS\tB-NP\tO' +p347011 +aS'Continue\tContinue\tNN\tI-NP\tO' +p347012 +aS'ad\tad\tNN\tI-NP\tO' +p347013 +aS'lib\tlib\tNN\tI-NP\tO' +p347014 +aS'feeding\tfeeding\tNN\tI-NP\tO' +p347015 +aS'.\t.\t.\tO\tO' +p347016 +asS'Abdomen is soft , nontender with a pulsatile mass in the epigastrium .' +p347017 +(lp347018 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p347019 +aS'is\tbe\tVBZ\tB-VP\tO' +p347020 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p347021 +aS',\t,\t,\tO\tO' +p347022 +aS'nontender\tnontender\tJJ\tB-ADJP\tO' +p347023 +aS'with\twith\tIN\tB-PP\tO' +p347024 +aS'a\ta\tDT\tB-NP\tO' +p347025 +aS'pulsatile\tpulsatile\tJJ\tI-NP\tO' +p347026 +aS'mass\tmass\tNN\tI-NP\tO' +p347027 +aS'in\tin\tIN\tB-PP\tO' +p347028 +aS'the\tthe\tDT\tB-NP\tO' +p347029 +aS'epigastrium\tepigastrium\tNN\tI-NP\tO' +p347030 +aS'.\t.\t.\tO\tO' +p347031 +asS'Rectal bleeding from inferior mesenteric artery tributaries supplying sigmoid colon .' +p347032 +(lp347033 +S'Rectal\tRectal\tJJ\tB-NP\tO' +p347034 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p347035 +aS'from\tfrom\tIN\tB-PP\tO' +p347036 +aS'inferior\tinferior\tJJ\tB-NP\tO' +p347037 +aS'mesenteric\tmesenteric\tJJ\tI-NP\tO' +p347038 +aS'artery\tartery\tNN\tI-NP\tO' +p347039 +aS'tributaries\ttributary\tNNS\tI-NP\tO' +p347040 +aS'supplying\tsupply\tVBG\tB-VP\tO' +p347041 +aS'sigmoid\tsigmoid\tJJ\tB-NP\tO' +p347042 +aS'colon\tcolon\tNN\tI-NP\tO' +p347043 +aS'.\t.\t.\tO\tO' +p347044 +asS'Postoperative laboratories revealed sodium was 134 , potassium was 4.1 , chloride was 102 , bicarbonate was 28 , blood urea nitrogen was 18 , creatinine was 0.8 , and glucose was 148 .' +p347045 +(lp347046 +S'Postoperative\tPostoperative\tJJ\tB-NP\tO' +p347047 +aS'laboratories\tlaboratory\tNNS\tI-NP\tO' +p347048 +aS'revealed\treveal\tVBD\tB-VP\tO' +p347049 +aS'sodium\tsodium\tNN\tB-NP\tO' +p347050 +aS'was\tbe\tVBD\tB-VP\tO' +p347051 +aS'134\t134\tCD\tB-NP\tO' +p347052 +aS',\t,\t,\tO\tO' +p347053 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p347054 +aS'was\tbe\tVBD\tB-VP\tO' +p347055 +aS'4.1\t4.1\tCD\tB-NP\tO' +p347056 +aS',\t,\t,\tO\tO' +p347057 +aS'chloride\tchloride\tNN\tB-NP\tO' +p347058 +aS'was\tbe\tVBD\tB-VP\tO' +p347059 +aS'102\t102\tCD\tB-NP\tO' +p347060 +aS',\t,\t,\tO\tO' +p347061 +aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' +p347062 +aS'was\tbe\tVBD\tB-VP\tO' +p347063 +aS'28\t28\tCD\tB-NP\tO' +p347064 +aS',\t,\t,\tO\tO' +p347065 +aS'blood\tblood\tNN\tB-NP\tO' +p347066 +aS'urea\turea\tNN\tI-NP\tO' +p347067 +aS'nitrogen\tnitrogen\tNN\tI-NP\tO' +p347068 +aS'was\tbe\tVBD\tB-VP\tO' +p347069 +aS'18\t18\tCD\tB-NP\tO' +p347070 +aS',\t,\t,\tO\tO' +p347071 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p347072 +aS'was\tbe\tVBD\tB-VP\tO' +p347073 +aS'0.8\t0.8\tCD\tB-NP\tO' +p347074 +aS',\t,\t,\tO\tO' +p347075 +aS'and\tand\tCC\tO\tO' +p347076 +aS'glucose\tglucose\tNN\tB-NP\tB-protein' +p347077 +aS'was\tbe\tVBD\tB-VP\tI-protein' +p347078 +aS'148\t148\tCD\tB-NP\tI-protein' +p347079 +aS'.\t.\t.\tO\tO' +p347080 +asS'Because of her age and mental condition and the fact that she had cerebral atrophy , the decision was made for comfort unless she has any further problem and no further chemotherapy or treatment will be given .' +p347081 +(lp347082 +S'Because\tBecause\tIN\tB-PP\tO' +p347083 +aS'of\tof\tIN\tI-PP\tO' +p347084 +aS'her\ther\tPRP$\tB-NP\tO' +p347085 +aS'age\tage\tNN\tI-NP\tO' +p347086 +aS'and\tand\tCC\tI-NP\tO' +p347087 +aS'mental\tmental\tJJ\tI-NP\tO' +p347088 +aS'condition\tcondition\tNN\tI-NP\tO' +p347089 +aS'and\tand\tCC\tO\tO' +p347090 +aS'the\tthe\tDT\tB-NP\tO' +p347091 +aS'fact\tfact\tNN\tI-NP\tO' +p347092 +aS'that\tthat\tIN\tB-SBAR\tO' +p347093 +aS'she\tshe\tPRP\tB-NP\tO' +p347094 +aS'had\thave\tVBD\tB-VP\tO' +p347095 +aS'cerebral\tcerebral\tJJ\tB-NP\tO' +p347096 +aS'atrophy\tatrophy\tNN\tI-NP\tO' +p347097 +aS',\t,\t,\tO\tO' +p347098 +aS'the\tthe\tDT\tB-NP\tO' +p347099 +aS'decision\tdecision\tNN\tI-NP\tO' +p347100 +aS'was\tbe\tVBD\tB-VP\tO' +p347101 +aS'made\tmake\tVBN\tI-VP\tO' +p347102 +aS'for\tfor\tIN\tB-PP\tO' +p347103 +aS'comfort\tcomfort\tNN\tB-NP\tO' +p347104 +aS'unless\tunless\tIN\tB-SBAR\tO' +p347105 +aS'she\tshe\tPRP\tB-NP\tO' +p347106 +aS'has\thave\tVBZ\tB-VP\tO' +p347107 +aS'any\tany\tDT\tB-NP\tO' +p347108 +aS'further\tfurther\tJJ\tI-NP\tO' +p347109 +aS'problem\tproblem\tNN\tI-NP\tO' +p347110 +aS'and\tand\tCC\tO\tO' +p347111 +aS'no\tno\tDT\tB-NP\tO' +p347112 +aS'further\tfurther\tJJ\tI-NP\tO' +p347113 +aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' +p347114 +aS'or\tor\tCC\tI-NP\tO' +p347115 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p347116 +aS'will\twill\tMD\tB-VP\tO' +p347117 +aS'be\tbe\tVB\tI-VP\tO' +p347118 +aS'given\tgive\tVBN\tI-VP\tO' +p347119 +aS'.\t.\t.\tO\tO' +p347120 +asS'She was discharged on 11/03/2004 at 11:18 am in good condition .' +p347121 +(lp347122 +S'She\tShe\tPRP\tB-NP\tO' +p347123 +aS'was\tbe\tVBD\tB-VP\tO' +p347124 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p347125 +aS'on\ton\tIN\tB-PP\tO' +p347126 +aS'11/03/2004\t11/03/2004\tCD\tB-NP\tO' +p347127 +aS'at\tat\tIN\tB-PP\tO' +p347128 +aS'11:18\t11:18\tCD\tB-NP\tO' +p347129 +aS'am\tam\tNN\tI-NP\tO' +p347130 +aS'in\tin\tIN\tB-PP\tO' +p347131 +aS'good\tgood\tJJ\tB-NP\tO' +p347132 +aS'condition\tcondition\tNN\tI-NP\tO' +p347133 +aS'.\t.\t.\tO\tO' +p347134 +asS'The patient was thus sent to GYN for further workup and is now here for surgical management of pelvic mass .' +p347135 +(lp347136 +S'The\tThe\tDT\tB-NP\tO' +p347137 +aS'patient\tpatient\tNN\tI-NP\tO' +p347138 +aS'was\tbe\tVBD\tB-VP\tO' +p347139 +aS'thus\tthus\tRB\tI-VP\tO' +p347140 +aS'sent\tsend\tVBN\tI-VP\tO' +p347141 +aS'to\tto\tTO\tB-PP\tO' +p347142 +aS'GYN\tGYN\tNN\tB-NP\tB-protein' +p347143 +aS'for\tfor\tIN\tB-PP\tO' +p347144 +aS'further\tfurther\tJJ\tB-NP\tO' +p347145 +aS'workup\tworkup\tNN\tI-NP\tO' +p347146 +aS'and\tand\tCC\tO\tO' +p347147 +aS'is\tbe\tVBZ\tB-VP\tO' +p347148 +aS'now\tnow\tRB\tB-ADVP\tO' +p347149 +aS'here\there\tRB\tB-ADVP\tO' +p347150 +aS'for\tfor\tIN\tB-PP\tO' +p347151 +aS'surgical\tsurgical\tJJ\tB-NP\tO' +p347152 +aS'management\tmanagement\tNN\tI-NP\tO' +p347153 +aS'of\tof\tIN\tB-PP\tO' +p347154 +aS'pelvic\tpelvic\tJJ\tB-NP\tO' +p347155 +aS'mass\tmass\tNN\tI-NP\tO' +p347156 +aS'.\t.\t.\tO\tO' +p347157 +asS"He received a one-to-one sitter during his admission and will be transferred to the Psychiatry HealthSouth New England Rehab Hospital to ensure the patient 's safety and initiate further antidepressant treatment ." +p347158 +(lp347159 +S'He\tHe\tPRP\tB-NP\tO' +p347160 +aS'received\treceive\tVBD\tB-VP\tO' +p347161 +aS'a\ta\tDT\tB-NP\tO' +p347162 +aS'one-to-one\tone-to-one\tJJ\tI-NP\tO' +p347163 +aS'sitter\tsitter\tNN\tI-NP\tO' +p347164 +aS'during\tduring\tIN\tB-PP\tO' +p347165 +aS'his\this\tPRP$\tB-NP\tO' +p347166 +aS'admission\tadmission\tNN\tI-NP\tO' +p347167 +aS'and\tand\tCC\tO\tO' +p347168 +aS'will\twill\tMD\tB-VP\tO' +p347169 +aS'be\tbe\tVB\tI-VP\tO' +p347170 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p347171 +aS'to\tto\tTO\tB-PP\tO' +p347172 +aS'the\tthe\tDT\tB-NP\tO' +p347173 +aS'Psychiatry\tPsychiatry\tNNP\tI-NP\tO' +p347174 +aS'HealthSouth\tHealthSouth\tNNP\tI-NP\tO' +p347175 +aS'New\tNew\tNNP\tI-NP\tO' +p347176 +aS'England\tEngland\tNNP\tI-NP\tO' +p347177 +aS'Rehab\tRehab\tNNP\tI-NP\tO' +p347178 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p347179 +aS'to\tto\tTO\tB-VP\tO' +p347180 +aS'ensure\tensure\tVB\tI-VP\tO' +p347181 +aS'the\tthe\tDT\tB-NP\tO' +p347182 +aS'patient\tpatient\tNN\tI-NP\tO' +p347183 +aS"'s\t's\tPOS\tB-NP\tO" +p347184 +aS'safety\tsafety\tNN\tI-NP\tO' +p347185 +aS'and\tand\tCC\tO\tO' +p347186 +aS'initiate\tinitiate\tVB\tB-VP\tO' +p347187 +aS'further\tfurther\tJJ\tB-NP\tO' +p347188 +aS'antidepressant\tantidepressant\tNN\tI-NP\tO' +p347189 +aS'treatment\ttreatment\tNN\tI-NP\tO' +p347190 +aS'.\t.\t.\tO\tO' +p347191 +asS'9. Protonix 20 mg po qd' +p347192 +(lp347193 +S'9.\t9.\tCD\tB-NP\tO' +p347194 +aS'Protonix\tProtonix\tNNP\tI-NP\tO' +p347195 +aS'20\t20\tCD\tI-NP\tO' +p347196 +aS'mg\tmg\tNN\tI-NP\tO' +p347197 +aS'po\tpo\tNN\tI-NP\tO' +p347198 +aS'qd\tqd\tNN\tI-NP\tO' +p347199 +asS'4. Ursodiol 600 mg po t.i.d.' +p347200 +(lp347201 +S'4.\t4.\tLS\tB-LST\tO' +p347202 +aS'Ursodiol\tUrsodiol\tNN\tB-NP\tO' +p347203 +aS'600\t600\tCD\tI-NP\tO' +p347204 +aS'mg\tmg\tNN\tI-NP\tO' +p347205 +aS'po\tpo\tNN\tI-NP\tO' +p347206 +aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' +p347207 +asS're-exploration ( 03-18 ) for developing necrotizing fascitis .' +p347208 +(lp347209 +S're-exploration\tre-exploration\tNN\tB-NP\tO' +p347210 +aS'(\t(\t(\tO\tO' +p347211 +aS'03-18\t03-18\tCD\tB-NP\tO' +p347212 +aS')\t)\t)\tO\tO' +p347213 +aS'for\tfor\tIN\tB-PP\tO' +p347214 +aS'developing\tdevelop\tVBG\tB-VP\tO' +p347215 +aS'necrotizing\tnecrotize\tVBG\tB-NP\tO' +p347216 +aS'fascitis\tfascitis\tNN\tI-NP\tO' +p347217 +aS'.\t.\t.\tO\tO' +p347218 +asS'She was arousable only to painful stimuli .' +p347219 +(lp347220 +S'She\tShe\tPRP\tB-NP\tO' +p347221 +aS'was\tbe\tVBD\tB-VP\tO' +p347222 +aS'arousable\tarousable\tJJ\tB-ADJP\tO' +p347223 +aS'only\tonly\tRB\tB-ADVP\tO' +p347224 +aS'to\tto\tTO\tB-PP\tO' +p347225 +aS'painful\tpainful\tJJ\tB-NP\tO' +p347226 +aS'stimuli\tstimulus\tNNS\tI-NP\tO' +p347227 +aS'.\t.\t.\tO\tO' +p347228 +asS"Also , pt 's strength has been declining over the past 2 weeks ." +p347229 +(lp347230 +S'Also\tAlso\tRB\tB-ADVP\tO' +p347231 +aS',\t,\t,\tO\tO' +p347232 +aS'pt\tpt\tNN\tB-NP\tO' +p347233 +aS"'s\t's\tPOS\tB-NP\tO" +p347234 +aS'strength\tstrength\tNN\tI-NP\tO' +p347235 +aS'has\thave\tVBZ\tB-VP\tO' +p347236 +aS'been\tbe\tVBN\tI-VP\tO' +p347237 +aS'declining\tdecline\tVBG\tI-VP\tO' +p347238 +aS'over\tover\tIN\tB-PP\tO' +p347239 +aS'the\tthe\tDT\tB-NP\tO' +p347240 +aS'past\tpast\tJJ\tI-NP\tB-protein' +p347241 +aS'2\t2\tCD\tI-NP\tI-protein' +p347242 +aS'weeks\tweek\tNNS\tI-NP\tI-protein' +p347243 +aS'.\t.\t.\tO\tO' +p347244 +asS'TIA in 1998 .' +p347245 +(lp347246 +S'TIA\tTIA\tNN\tB-NP\tO' +p347247 +aS'in\tin\tIN\tB-PP\tO' +p347248 +aS'1998\t1998\tCD\tB-NP\tO' +p347249 +aS'.\t.\t.\tO\tO' +p347250 +asS'His digoxin was held and his metoprolol was titrated down from his home dose .' +p347251 +(lp347252 +S'His\tHis\tPRP$\tB-NP\tO' +p347253 +aS'digoxin\tdigoxin\tNN\tI-NP\tO' +p347254 +aS'was\tbe\tVBD\tB-VP\tO' +p347255 +aS'held\thold\tVBN\tI-VP\tO' +p347256 +aS'and\tand\tCC\tO\tO' +p347257 +aS'his\this\tPRP$\tB-NP\tO' +p347258 +aS'metoprolol\tmetoprolol\tNN\tI-NP\tO' +p347259 +aS'was\tbe\tVBD\tB-VP\tO' +p347260 +aS'titrated\ttitrate\tVBN\tI-VP\tO' +p347261 +aS'down\tdown\tRB\tB-ADVP\tO' +p347262 +aS'from\tfrom\tIN\tB-PP\tO' +p347263 +aS'his\this\tPRP$\tB-NP\tO' +p347264 +aS'home\thome\tNN\tI-NP\tO' +p347265 +aS'dose\tdose\tNN\tI-NP\tO' +p347266 +aS'.\t.\t.\tO\tO' +p347267 +asS'Dr. Linke recommended chemotherapy with PFL .' +p347268 +(lp347269 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p347270 +aS'Linke\tLinke\tNNP\tI-NP\tO' +p347271 +aS'recommended\trecommend\tVBD\tB-VP\tO' +p347272 +aS'chemotherapy\tchemotherapy\tNN\tB-NP\tO' +p347273 +aS'with\twith\tIN\tB-PP\tO' +p347274 +aS'PFL\tPFL\tNN\tB-NP\tB-protein' +p347275 +aS'.\t.\t.\tO\tO' +p347276 +asS'Ultimately , the patient was discharged on postoperative day number six tolerating a regular diet , adequate pain control on p.o. pain medications , and ambulating well with clearance of physical therapy .' +p347277 +(lp347278 +S'Ultimately\tUltimately\tRB\tB-ADVP\tO' +p347279 +aS',\t,\t,\tO\tO' +p347280 +aS'the\tthe\tDT\tB-NP\tO' +p347281 +aS'patient\tpatient\tNN\tI-NP\tO' +p347282 +aS'was\tbe\tVBD\tB-VP\tO' +p347283 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p347284 +aS'on\ton\tIN\tB-PP\tO' +p347285 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p347286 +aS'day\tday\tNN\tI-NP\tO' +p347287 +aS'number\tnumber\tNN\tI-NP\tO' +p347288 +aS'six\tsix\tCD\tI-NP\tO' +p347289 +aS'tolerating\ttolerate\tVBG\tB-VP\tO' +p347290 +aS'a\ta\tDT\tB-NP\tO' +p347291 +aS'regular\tregular\tJJ\tI-NP\tO' +p347292 +aS'diet\tdiet\tNN\tI-NP\tO' +p347293 +aS',\t,\t,\tO\tO' +p347294 +aS'adequate\tadequate\tJJ\tB-NP\tO' +p347295 +aS'pain\tpain\tNN\tI-NP\tO' +p347296 +aS'control\tcontrol\tNN\tI-NP\tO' +p347297 +aS'on\ton\tIN\tB-PP\tO' +p347298 +aS'p.o.\tp.o.\tFW\tB-NP\tO' +p347299 +aS'pain\tpain\tNN\tI-NP\tO' +p347300 +aS'medications\tmedication\tNNS\tI-NP\tO' +p347301 +aS',\t,\t,\tO\tO' +p347302 +aS'and\tand\tCC\tO\tO' +p347303 +aS'ambulating\tambulate\tVBG\tB-VP\tO' +p347304 +aS'well\twell\tRB\tB-ADVP\tO' +p347305 +aS'with\twith\tIN\tB-PP\tO' +p347306 +aS'clearance\tclearance\tNN\tB-NP\tO' +p347307 +aS'of\tof\tIN\tB-PP\tO' +p347308 +aS'physical\tphysical\tJJ\tB-NP\tO' +p347309 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p347310 +aS'.\t.\t.\tO\tO' +p347311 +asS'The patient has multiple decubiti over his body , in particular his perineum and buttocks have large decubiti .' +p347312 +(lp347313 +S'The\tThe\tDT\tB-NP\tO' +p347314 +aS'patient\tpatient\tNN\tI-NP\tO' +p347315 +aS'has\thave\tVBZ\tB-VP\tO' +p347316 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p347317 +aS'decubiti\tdecubiti\tNN\tI-NP\tO' +p347318 +aS'over\tover\tIN\tB-PP\tO' +p347319 +aS'his\this\tPRP$\tB-NP\tO' +p347320 +aS'body\tbody\tNN\tI-NP\tO' +p347321 +aS',\t,\t,\tO\tO' +p347322 +aS'in\tin\tIN\tB-PP\tO' +p347323 +aS'particular\tparticular\tJJ\tB-NP\tO' +p347324 +aS'his\this\tPRP$\tI-NP\tO' +p347325 +aS'perineum\tperineum\tNN\tI-NP\tO' +p347326 +aS'and\tand\tCC\tI-NP\tO' +p347327 +aS'buttocks\tbuttock\tNNS\tI-NP\tO' +p347328 +aS'have\thave\tVBP\tB-VP\tO' +p347329 +aS'large\tlarge\tJJ\tB-NP\tO' +p347330 +aS'decubiti\tdecubiti\tNNS\tI-NP\tO' +p347331 +aS'.\t.\t.\tO\tO' +p347332 +asS'The patient also desaturated to the low 80 s and was started on a non-rebreather mask .' +p347333 +(lp347334 +S'The\tThe\tDT\tB-NP\tO' +p347335 +aS'patient\tpatient\tNN\tI-NP\tO' +p347336 +aS'also\talso\tRB\tB-VP\tO' +p347337 +aS'desaturated\tdesaturate\tVBN\tI-VP\tO' +p347338 +aS'to\tto\tTO\tB-PP\tO' +p347339 +aS'the\tthe\tDT\tB-NP\tO' +p347340 +aS'low\tlow\tJJ\tI-NP\tO' +p347341 +aS'80\t80\tCD\tI-NP\tO' +p347342 +aS's\ts\tNN\tI-NP\tO' +p347343 +aS'and\tand\tCC\tO\tO' +p347344 +aS'was\tbe\tVBD\tB-VP\tO' +p347345 +aS'started\tstart\tVBN\tI-VP\tO' +p347346 +aS'on\ton\tIN\tB-PP\tO' +p347347 +aS'a\ta\tDT\tB-NP\tO' +p347348 +aS'non-rebreather\tnon-rebreather\tJJ\tI-NP\tB-protein' +p347349 +aS'mask\tmask\tNN\tI-NP\tI-protein' +p347350 +aS'.\t.\t.\tO\tO' +p347351 +asS'Sputum cultures were negative .' +p347352 +(lp347353 +S'Sputum\tSputum\tNN\tB-NP\tO' +p347354 +aS'cultures\tculture\tNNS\tI-NP\tO' +p347355 +aS'were\tbe\tVBD\tB-VP\tO' +p347356 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p347357 +aS'.\t.\t.\tO\tO' +p347358 +asS'We discussed the risks with his family .' +p347359 +(lp347360 +S'We\tWe\tPRP\tB-NP\tO' +p347361 +aS'discussed\tdiscuss\tVBD\tB-VP\tO' +p347362 +aS'the\tthe\tDT\tB-NP\tO' +p347363 +aS'risks\trisk\tNNS\tI-NP\tO' +p347364 +aS'with\twith\tIN\tB-PP\tO' +p347365 +aS'his\this\tPRP$\tB-NP\tO' +p347366 +aS'family\tfamily\tNN\tI-NP\tO' +p347367 +aS'.\t.\t.\tO\tO' +p347368 +asS'Condition on discharge was stable .' +p347369 +(lp347370 +S'Condition\tCondition\tNN\tB-NP\tO' +p347371 +aS'on\ton\tIN\tB-PP\tO' +p347372 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p347373 +aS'was\tbe\tVBD\tB-VP\tO' +p347374 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p347375 +aS'.\t.\t.\tO\tO' +p347376 +asS'Testosterone 4 mg q. 24 hours .' +p347377 +(lp347378 +S'Testosterone\tTestosterone\tNN\tB-NP\tB-protein' +p347379 +aS'4\t4\tCD\tI-NP\tI-protein' +p347380 +aS'mg\tmg\tNN\tI-NP\tI-protein' +p347381 +aS'q.\tq.\tNN\tI-NP\tI-protein' +p347382 +aS'24\t24\tCD\tB-NP\tI-protein' +p347383 +aS'hours\thour\tNNS\tI-NP\tI-protein' +p347384 +aS'.\t.\t.\tO\tO' +p347385 +asS'Head CT was negative for acute bleed , mass effect , or stroke .' +p347386 +(lp347387 +S'Head\tHead\tNN\tB-NP\tO' +p347388 +aS'CT\tCT\tNN\tI-NP\tO' +p347389 +aS'was\tbe\tVBD\tB-VP\tO' +p347390 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p347391 +aS'for\tfor\tIN\tB-PP\tO' +p347392 +aS'acute\tacute\tJJ\tB-NP\tO' +p347393 +aS'bleed\tbleed\tNN\tI-NP\tO' +p347394 +aS',\t,\t,\tO\tO' +p347395 +aS'mass\tmass\tNN\tB-NP\tO' +p347396 +aS'effect\teffect\tNN\tI-NP\tO' +p347397 +aS',\t,\t,\tO\tO' +p347398 +aS'or\tor\tCC\tO\tO' +p347399 +aS'stroke\tstroke\tNN\tB-NP\tO' +p347400 +aS'.\t.\t.\tO\tO' +p347401 +asS'There is a history of childhood abuse .' +p347402 +(lp347403 +S'There\tThere\tEX\tB-NP\tO' +p347404 +aS'is\tbe\tVBZ\tB-VP\tO' +p347405 +aS'a\ta\tDT\tB-NP\tO' +p347406 +aS'history\thistory\tNN\tI-NP\tO' +p347407 +aS'of\tof\tIN\tB-PP\tO' +p347408 +aS'childhood\tchildhood\tNN\tB-NP\tO' +p347409 +aS'abuse\tabuse\tNN\tI-NP\tO' +p347410 +aS'.\t.\t.\tO\tO' +p347411 +asS'This patient is an seventy eight year old female with history of peripheral vascular disease who is status post above knee to fem pop bypass graft with 6 millimeter PTFE .' +p347412 +(lp347413 +S'This\tThis\tDT\tB-NP\tO' +p347414 +aS'patient\tpatient\tNN\tI-NP\tO' +p347415 +aS'is\tbe\tVBZ\tB-VP\tO' +p347416 +aS'an\tan\tDT\tB-NP\tO' +p347417 +aS'seventy\tseventy\tJJ\tI-NP\tO' +p347418 +aS'eight\teight\tCD\tI-NP\tO' +p347419 +aS'year\tyear\tNN\tI-NP\tO' +p347420 +aS'old\told\tJJ\tI-NP\tO' +p347421 +aS'female\tfemale\tNN\tI-NP\tO' +p347422 +aS'with\twith\tIN\tB-PP\tO' +p347423 +aS'history\thistory\tNN\tB-NP\tO' +p347424 +aS'of\tof\tIN\tB-PP\tO' +p347425 +aS'peripheral\tperipheral\tJJ\tB-NP\tO' +p347426 +aS'vascular\tvascular\tJJ\tI-NP\tO' +p347427 +aS'disease\tdisease\tNN\tI-NP\tO' +p347428 +aS'who\twho\tWP\tB-NP\tO' +p347429 +aS'is\tbe\tVBZ\tB-VP\tO' +p347430 +aS'status\tstatus\tNN\tB-NP\tO' +p347431 +aS'post\tpost\tNN\tI-NP\tO' +p347432 +aS'above\tabove\tIN\tB-PP\tO' +p347433 +aS'knee\tknee\tNN\tB-NP\tO' +p347434 +aS'to\tto\tTO\tB-VP\tO' +p347435 +aS'fem\tfem\tVB\tI-VP\tO' +p347436 +aS'pop\tpop\tNN\tB-NP\tO' +p347437 +aS'bypass\tbypass\tIN\tB-PP\tO' +p347438 +aS'graft\tgraft\tNN\tB-NP\tO' +p347439 +aS'with\twith\tIN\tB-PP\tO' +p347440 +aS'6\t6\tCD\tB-NP\tO' +p347441 +aS'millimeter\tmillimeter\tNN\tI-NP\tO' +p347442 +aS'PTFE\tPTFE\tNN\tI-NP\tO' +p347443 +aS'.\t.\t.\tO\tO' +p347444 +asS'The pneumocephalus adjacent to the linear skull fracture appears to have decreased in size .' +p347445 +(lp347446 +S'The\tThe\tDT\tB-NP\tO' +p347447 +aS'pneumocephalus\tpneumocephalus\tNN\tI-NP\tO' +p347448 +aS'adjacent\tadjacent\tJJ\tB-ADJP\tO' +p347449 +aS'to\tto\tTO\tB-PP\tO' +p347450 +aS'the\tthe\tDT\tB-NP\tO' +p347451 +aS'linear\tlinear\tJJ\tI-NP\tO' +p347452 +aS'skull\tskull\tNN\tI-NP\tO' +p347453 +aS'fracture\tfracture\tNN\tI-NP\tO' +p347454 +aS'appears\tappear\tVBZ\tB-VP\tO' +p347455 +aS'to\tto\tTO\tI-VP\tO' +p347456 +aS'have\thave\tVB\tI-VP\tO' +p347457 +aS'decreased\tdecrease\tVBN\tI-VP\tO' +p347458 +aS'in\tin\tIN\tB-PP\tO' +p347459 +aS'size\tsize\tNN\tB-NP\tO' +p347460 +aS'.\t.\t.\tO\tO' +p347461 +asS"The patient was instructed to followup with Dr. Naco Mesprhalt of the Infectious Disease Service by calling her office for an appointment at 094-902-2879 to be seen in approximately four weeks following the patient 's discharge ." +p347462 +(lp347463 +S'The\tThe\tDT\tB-NP\tO' +p347464 +aS'patient\tpatient\tNN\tI-NP\tO' +p347465 +aS'was\tbe\tVBD\tB-VP\tO' +p347466 +aS'instructed\tinstruct\tVBN\tI-VP\tO' +p347467 +aS'to\tto\tTO\tI-VP\tO' +p347468 +aS'followup\tfollowup\tVB\tI-VP\tO' +p347469 +aS'with\twith\tIN\tB-PP\tO' +p347470 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p347471 +aS'Naco\tNaco\tNNP\tI-NP\tO' +p347472 +aS'Mesprhalt\tMesprhalt\tNNP\tI-NP\tO' +p347473 +aS'of\tof\tIN\tB-PP\tO' +p347474 +aS'the\tthe\tDT\tB-NP\tO' +p347475 +aS'Infectious\tInfectious\tNNP\tI-NP\tO' +p347476 +aS'Disease\tDisease\tNNP\tI-NP\tO' +p347477 +aS'Service\tService\tNNP\tI-NP\tO' +p347478 +aS'by\tby\tIN\tB-PP\tO' +p347479 +aS'calling\tcall\tVBG\tB-VP\tO' +p347480 +aS'her\ther\tPRP$\tB-NP\tO' +p347481 +aS'office\toffice\tNN\tI-NP\tO' +p347482 +aS'for\tfor\tIN\tB-PP\tO' +p347483 +aS'an\tan\tDT\tB-NP\tO' +p347484 +aS'appointment\tappointment\tNN\tI-NP\tO' +p347485 +aS'at\tat\tIN\tB-PP\tO' +p347486 +aS'094-902-2879\t094-902-2879\tCD\tB-NP\tO' +p347487 +aS'to\tto\tTO\tB-VP\tO' +p347488 +aS'be\tbe\tVB\tI-VP\tO' +p347489 +aS'seen\tsee\tVBN\tI-VP\tO' +p347490 +aS'in\tin\tIN\tB-PP\tO' +p347491 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p347492 +aS'four\tfour\tCD\tI-NP\tO' +p347493 +aS'weeks\tweek\tNNS\tI-NP\tO' +p347494 +aS'following\tfollow\tVBG\tB-PP\tO' +p347495 +aS'the\tthe\tDT\tB-NP\tO' +p347496 +aS'patient\tpatient\tNN\tI-NP\tO' +p347497 +aS"'s\t's\tPOS\tB-NP\tO" +p347498 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p347499 +aS'.\t.\t.\tO\tO' +p347500 +asS'She was maintained on heparin therapy initially but this was quickly switched over to Coumadin anticoagulation therapy which she will need to be on long-term for her aortic valve replacement .' +p347501 +(lp347502 +S'She\tShe\tPRP\tB-NP\tO' +p347503 +aS'was\tbe\tVBD\tB-VP\tO' +p347504 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p347505 +aS'on\ton\tIN\tB-PP\tO' +p347506 +aS'heparin\theparin\tNN\tB-NP\tO' +p347507 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p347508 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p347509 +aS'but\tbut\tCC\tO\tO' +p347510 +aS'this\tthis\tDT\tB-NP\tO' +p347511 +aS'was\tbe\tVBD\tB-VP\tO' +p347512 +aS'quickly\tquickly\tRB\tI-VP\tO' +p347513 +aS'switched\tswitch\tVBN\tI-VP\tO' +p347514 +aS'over\tover\tRP\tB-PRT\tO' +p347515 +aS'to\tto\tTO\tB-PP\tO' +p347516 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p347517 +aS'anticoagulation\tanticoagulation\tNN\tI-NP\tO' +p347518 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p347519 +aS'which\twhich\tWDT\tB-NP\tO' +p347520 +aS'she\tshe\tPRP\tB-NP\tO' +p347521 +aS'will\twill\tMD\tB-VP\tO' +p347522 +aS'need\tneed\tVB\tI-VP\tO' +p347523 +aS'to\tto\tTO\tI-VP\tO' +p347524 +aS'be\tbe\tVB\tI-VP\tO' +p347525 +aS'on\ton\tIN\tB-PP\tO' +p347526 +aS'long-term\tlong-term\tJJ\tB-ADJP\tO' +p347527 +aS'for\tfor\tIN\tB-PP\tO' +p347528 +aS'her\ther\tPRP$\tB-NP\tO' +p347529 +aS'aortic\taortic\tJJ\tI-NP\tO' +p347530 +aS'valve\tvalve\tNN\tI-NP\tO' +p347531 +aS'replacement\treplacement\tNN\tI-NP\tO' +p347532 +aS'.\t.\t.\tO\tO' +p347533 +asS'2. Morbid obesity .' +p347534 +(lp347535 +S'2.\t2.\tLS\tB-NP\tO' +p347536 +aS'Morbid\tMorbid\tNN\tI-NP\tO' +p347537 +aS'obesity\tobesity\tNN\tI-NP\tO' +p347538 +aS'.\t.\t.\tO\tO' +p347539 +asS'2. Acetaminophen 325 mg Tablet Sig : 1-2 Tablets PO Q4-6H ( every 4 to 6 hours ) as needed .' +p347540 +(lp347541 +S'2.\t2.\tCD\tB-NP\tO' +p347542 +aS'Acetaminophen\tAcetaminophen\tNN\tI-NP\tO' +p347543 +aS'325\t325\tCD\tB-NP\tO' +p347544 +aS'mg\tmg\tNN\tI-NP\tO' +p347545 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p347546 +aS'Sig\tSig\tNNP\tI-NP\tO' +p347547 +aS':\t:\t:\tO\tO' +p347548 +aS'1-2\t1-2\tCD\tB-NP\tO' +p347549 +aS'Tablets\tTablet\tNNS\tI-NP\tO' +p347550 +aS'PO\tPO\tNN\tI-NP\tO' +p347551 +aS'Q4-6H\tQ4-6H\tNN\tI-NP\tO' +p347552 +aS'(\t(\t(\tO\tO' +p347553 +aS'every\tevery\tDT\tB-NP\tO' +p347554 +aS'4\t4\tCD\tI-NP\tO' +p347555 +aS'to\tto\tTO\tI-NP\tO' +p347556 +aS'6\t6\tCD\tI-NP\tO' +p347557 +aS'hours\thour\tNNS\tI-NP\tO' +p347558 +aS')\t)\t)\tO\tO' +p347559 +aS'as\tas\tIN\tB-SBAR\tO' +p347560 +aS'needed\tneed\tVBN\tB-VP\tO' +p347561 +aS'.\t.\t.\tO\tO' +p347562 +asS'The patient continues to be diuresed with approximately 20 mg of Lasix a day and she has had good urine output .' +p347563 +(lp347564 +S'The\tThe\tDT\tB-NP\tO' +p347565 +aS'patient\tpatient\tNN\tI-NP\tO' +p347566 +aS'continues\tcontinue\tVBZ\tB-VP\tO' +p347567 +aS'to\tto\tTO\tI-VP\tO' +p347568 +aS'be\tbe\tVB\tI-VP\tO' +p347569 +aS'diuresed\tdiurese\tVBN\tI-VP\tO' +p347570 +aS'with\twith\tIN\tB-PP\tO' +p347571 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p347572 +aS'20\t20\tCD\tI-NP\tO' +p347573 +aS'mg\tmg\tNN\tI-NP\tO' +p347574 +aS'of\tof\tIN\tB-PP\tO' +p347575 +aS'Lasix\tLasix\tNNP\tB-NP\tO' +p347576 +aS'a\ta\tDT\tB-NP\tO' +p347577 +aS'day\tday\tNN\tI-NP\tO' +p347578 +aS'and\tand\tCC\tO\tO' +p347579 +aS'she\tshe\tPRP\tB-NP\tO' +p347580 +aS'has\thave\tVBZ\tB-VP\tO' +p347581 +aS'had\thave\tVBN\tI-VP\tO' +p347582 +aS'good\tgood\tJJ\tB-NP\tO' +p347583 +aS'urine\turine\tNN\tI-NP\tO' +p347584 +aS'output\toutput\tNN\tI-NP\tO' +p347585 +aS'.\t.\t.\tO\tO' +p347586 +asS'Discharge was delayed by one day to ensure patient could tolerate P.O. which patient did without difficulty .' +p347587 +(lp347588 +S'Discharge\tDischarge\tNN\tB-NP\tO' +p347589 +aS'was\tbe\tVBD\tB-VP\tO' +p347590 +aS'delayed\tdelay\tVBN\tI-VP\tO' +p347591 +aS'by\tby\tIN\tB-PP\tO' +p347592 +aS'one\tone\tCD\tB-NP\tO' +p347593 +aS'day\tday\tNN\tI-NP\tO' +p347594 +aS'to\tto\tTO\tB-VP\tO' +p347595 +aS'ensure\tensure\tVB\tI-VP\tO' +p347596 +aS'patient\tpatient\tNN\tB-NP\tO' +p347597 +aS'could\tcould\tMD\tB-VP\tO' +p347598 +aS'tolerate\ttolerate\tVB\tI-VP\tO' +p347599 +aS'P.O.\tP.O.\tNNP\tB-NP\tO' +p347600 +aS'which\twhich\tWDT\tB-NP\tO' +p347601 +aS'patient\tpatient\tNN\tI-NP\tO' +p347602 +aS'did\tdo\tVBD\tB-VP\tO' +p347603 +aS'without\twithout\tIN\tB-PP\tO' +p347604 +aS'difficulty\tdifficulty\tNN\tB-NP\tO' +p347605 +aS'.\t.\t.\tO\tO' +p347606 +asS'Give on an empty stomach ( give 1hr before or 2hr after food )' +p347607 +(lp347608 +S'Give\tGive\tVB\tB-VP\tO' +p347609 +aS'on\ton\tIN\tB-PP\tO' +p347610 +aS'an\tan\tDT\tB-NP\tO' +p347611 +aS'empty\tempty\tJJ\tI-NP\tO' +p347612 +aS'stomach\tstomach\tNN\tI-NP\tO' +p347613 +aS'(\t(\t(\tO\tO' +p347614 +aS'give\tgive\tVBP\tB-VP\tO' +p347615 +aS'1hr\t1hr\tNN\tB-NP\tO' +p347616 +aS'before\tbefore\tIN\tB-SBAR\tO' +p347617 +aS'or\tor\tCC\tO\tO' +p347618 +aS'2hr\t2hr\tNN\tB-NP\tO' +p347619 +aS'after\tafter\tIN\tB-PP\tO' +p347620 +aS'food\tfood\tNN\tB-NP\tO' +p347621 +aS')\t)\t)\tO\tO' +p347622 +asS'She had a normal RUQ US , as well .' +p347623 +(lp347624 +S'She\tShe\tPRP\tB-NP\tO' +p347625 +aS'had\thave\tVBD\tB-VP\tO' +p347626 +aS'a\ta\tDT\tB-NP\tO' +p347627 +aS'normal\tnormal\tJJ\tI-NP\tO' +p347628 +aS'RUQ\tRUQ\tNNP\tI-NP\tO' +p347629 +aS'US\tUS\tNNP\tI-NP\tO' +p347630 +aS',\t,\t,\tO\tO' +p347631 +aS'as\tas\tRB\tB-ADVP\tO' +p347632 +aS'well\twell\tRB\tI-ADVP\tO' +p347633 +aS'.\t.\t.\tO\tO' +p347634 +asS'On hospital day #2 , the patient was transferred to the Medicine Ludlow Team .' +p347635 +(lp347636 +S'On\tOn\tIN\tB-PP\tO' +p347637 +aS'hospital\thospital\tNN\tB-NP\tO' +p347638 +aS'day\tday\tNN\tI-NP\tO' +p347639 +aS'#2\t#2\tNN\tI-NP\tO' +p347640 +aS',\t,\t,\tO\tO' +p347641 +aS'the\tthe\tDT\tB-NP\tO' +p347642 +aS'patient\tpatient\tNN\tI-NP\tO' +p347643 +aS'was\tbe\tVBD\tB-VP\tO' +p347644 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p347645 +aS'to\tto\tTO\tB-PP\tO' +p347646 +aS'the\tthe\tDT\tB-NP\tO' +p347647 +aS'Medicine\tMedicine\tNNP\tI-NP\tO' +p347648 +aS'Ludlow\tLudlow\tNNP\tI-NP\tO' +p347649 +aS'Team\tTeam\tNNP\tI-NP\tO' +p347650 +aS'.\t.\t.\tO\tO' +p347651 +asS'He was admitted to the Surgical Intensive Care Unit where his respiratory and cardiac status was monitored carefully .' +p347652 +(lp347653 +S'He\tHe\tPRP\tB-NP\tO' +p347654 +aS'was\tbe\tVBD\tB-VP\tO' +p347655 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p347656 +aS'to\tto\tTO\tB-PP\tO' +p347657 +aS'the\tthe\tDT\tB-NP\tO' +p347658 +aS'Surgical\tSurgical\tNNP\tI-NP\tO' +p347659 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p347660 +aS'Care\tCare\tNNP\tI-NP\tO' +p347661 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p347662 +aS'where\twhere\tWRB\tB-ADVP\tO' +p347663 +aS'his\this\tPRP$\tB-NP\tO' +p347664 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p347665 +aS'and\tand\tCC\tI-NP\tO' +p347666 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p347667 +aS'status\tstatus\tNN\tI-NP\tO' +p347668 +aS'was\tbe\tVBD\tB-VP\tO' +p347669 +aS'monitored\tmonitor\tVBN\tI-VP\tO' +p347670 +aS'carefully\tcarefully\tRB\tB-ADVP\tO' +p347671 +aS'.\t.\t.\tO\tO' +p347672 +asS'5) PPD anergic .' +p347673 +(lp347674 +S'5)\t5)\tLS\tB-NP\tO' +p347675 +aS'PPD\tPPD\tNN\tI-NP\tO' +p347676 +aS'anergic\tanergic\tJJ\tB-ADJP\tO' +p347677 +aS'.\t.\t.\tO\tO' +p347678 +asS'Electrical cardioversion .' +p347679 +(lp347680 +S'Electrical\tElectrical\tJJ\tB-NP\tO' +p347681 +aS'cardioversion\tcardioversion\tNN\tI-NP\tO' +p347682 +aS'.\t.\t.\tO\tO' +p347683 +asS'The infant delivered vaginally with Apgar scores of 9 at one minute and 9 at five minutes .' +p347684 +(lp347685 +S'The\tThe\tDT\tB-NP\tO' +p347686 +aS'infant\tinfant\tNN\tI-NP\tO' +p347687 +aS'delivered\tdeliver\tVBN\tB-VP\tO' +p347688 +aS'vaginally\tvaginally\tRB\tB-ADVP\tO' +p347689 +aS'with\twith\tIN\tB-PP\tO' +p347690 +aS'Apgar\tApgar\tNN\tB-NP\tO' +p347691 +aS'scores\tscore\tNNS\tI-NP\tO' +p347692 +aS'of\tof\tIN\tB-PP\tO' +p347693 +aS'9\t9\tCD\tB-NP\tO' +p347694 +aS'at\tat\tIN\tB-PP\tO' +p347695 +aS'one\tone\tCD\tB-NP\tO' +p347696 +aS'minute\tminute\tNN\tI-NP\tO' +p347697 +aS'and\tand\tCC\tO\tO' +p347698 +aS'9\t9\tCD\tB-NP\tO' +p347699 +aS'at\tat\tIN\tB-PP\tO' +p347700 +aS'five\tfive\tCD\tB-NP\tO' +p347701 +aS'minutes\tminute\tNNS\tI-NP\tO' +p347702 +aS'.\t.\t.\tO\tO' +p347703 +asS'Due to continued worsening pulmonary status and an overall grim prognosis , the family decided , in consultation with the Medical Team , to withdraw ventilatory support .' +p347704 +(lp347705 +S'Due\tDue\tJJ\tB-PP\tO' +p347706 +aS'to\tto\tTO\tI-PP\tO' +p347707 +aS'continued\tcontinue\tVBN\tB-NP\tO' +p347708 +aS'worsening\tworsen\tVBG\tI-NP\tO' +p347709 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p347710 +aS'status\tstatus\tNN\tI-NP\tO' +p347711 +aS'and\tand\tCC\tO\tO' +p347712 +aS'an\tan\tDT\tB-NP\tO' +p347713 +aS'overall\toverall\tJJ\tI-NP\tO' +p347714 +aS'grim\tgrim\tJJ\tI-NP\tO' +p347715 +aS'prognosis\tprognosis\tNN\tI-NP\tO' +p347716 +aS',\t,\t,\tO\tO' +p347717 +aS'the\tthe\tDT\tB-NP\tO' +p347718 +aS'family\tfamily\tNN\tI-NP\tO' +p347719 +aS'decided\tdecide\tVBD\tB-VP\tO' +p347720 +aS',\t,\t,\tO\tO' +p347721 +aS'in\tin\tIN\tB-PP\tO' +p347722 +aS'consultation\tconsultation\tNN\tB-NP\tO' +p347723 +aS'with\twith\tIN\tB-PP\tO' +p347724 +aS'the\tthe\tDT\tB-NP\tO' +p347725 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p347726 +aS'Team\tTeam\tNNP\tI-NP\tO' +p347727 +aS',\t,\t,\tO\tO' +p347728 +aS'to\tto\tTO\tB-VP\tO' +p347729 +aS'withdraw\twithdraw\tVB\tI-VP\tO' +p347730 +aS'ventilatory\tventilatory\tJJ\tB-NP\tO' +p347731 +aS'support\tsupport\tNN\tI-NP\tO' +p347732 +aS'.\t.\t.\tO\tO' +p347733 +asS'ALLERGIES : The patient has no known drug allergies .' +p347734 +(lp347735 +S'ALLERGIES\tALLERGIES\tNNS\tB-NP\tO' +p347736 +aS':\t:\t:\tO\tO' +p347737 +aS'The\tThe\tDT\tB-NP\tO' +p347738 +aS'patient\tpatient\tNN\tI-NP\tO' +p347739 +aS'has\thave\tVBZ\tB-VP\tO' +p347740 +aS'no\tno\tDT\tB-NP\tO' +p347741 +aS'known\tknow\tVBN\tI-NP\tO' +p347742 +aS'drug\tdrug\tNN\tI-NP\tO' +p347743 +aS'allergies\tallergy\tNNS\tI-NP\tO' +p347744 +aS'.\t.\t.\tO\tO' +p347745 +asS'The patient denied any prior episodes of pain or any since 2005 following the initial episode of pain .' +p347746 +(lp347747 +S'The\tThe\tDT\tB-NP\tO' +p347748 +aS'patient\tpatient\tNN\tI-NP\tO' +p347749 +aS'denied\tdeny\tVBD\tB-VP\tO' +p347750 +aS'any\tany\tDT\tB-NP\tO' +p347751 +aS'prior\tprior\tJJ\tI-NP\tO' +p347752 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p347753 +aS'of\tof\tIN\tB-PP\tO' +p347754 +aS'pain\tpain\tNN\tB-NP\tO' +p347755 +aS'or\tor\tCC\tO\tO' +p347756 +aS'any\tany\tDT\tB-NP\tO' +p347757 +aS'since\tsince\tIN\tB-PP\tO' +p347758 +aS'2005\t2005\tCD\tB-NP\tO' +p347759 +aS'following\tfollow\tVBG\tB-PP\tO' +p347760 +aS'the\tthe\tDT\tB-NP\tO' +p347761 +aS'initial\tinitial\tJJ\tI-NP\tO' +p347762 +aS'episode\tepisode\tNN\tI-NP\tO' +p347763 +aS'of\tof\tIN\tB-PP\tO' +p347764 +aS'pain\tpain\tNN\tB-NP\tO' +p347765 +aS'.\t.\t.\tO\tO' +p347766 +asS'Urine tox was negative .' +p347767 +(lp347768 +S'Urine\tUrine\tNN\tB-NP\tO' +p347769 +aS'tox\ttox\tNN\tI-NP\tO' +p347770 +aS'was\tbe\tVBD\tB-VP\tO' +p347771 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p347772 +aS'.\t.\t.\tO\tO' +p347773 +asS'6. Ipratropium Bromide 0.02 % Solution Sig : One ( 1 ) neb Inhalation Q6H ( every 6 hours ) as needed .' +p347774 +(lp347775 +S'6.\t6.\tLS\tB-NP\tO' +p347776 +aS'Ipratropium\tIpratropium\tNNP\tI-NP\tO' +p347777 +aS'Bromide\tBromide\tNNP\tI-NP\tO' +p347778 +aS'0.02\t0.02\tCD\tI-NP\tO' +p347779 +aS'%\t%\tNN\tI-NP\tO' +p347780 +aS'Solution\tSolution\tNNP\tI-NP\tO' +p347781 +aS'Sig\tSig\tNNP\tI-NP\tO' +p347782 +aS':\t:\t:\tO\tO' +p347783 +aS'One\tOne\tCD\tB-NP\tO' +p347784 +aS'(\t(\t(\tO\tO' +p347785 +aS'1\t1\tCD\tB-NP\tO' +p347786 +aS')\t)\t)\tO\tO' +p347787 +aS'neb\tneb\tNN\tB-NP\tO' +p347788 +aS'Inhalation\tInhalation\tNN\tI-NP\tO' +p347789 +aS'Q6H\tQ6H\tNN\tI-NP\tO' +p347790 +aS'(\t(\t(\tO\tO' +p347791 +aS'every\tevery\tDT\tB-NP\tO' +p347792 +aS'6\t6\tCD\tI-NP\tO' +p347793 +aS'hours\thour\tNNS\tI-NP\tO' +p347794 +aS')\t)\t)\tO\tO' +p347795 +aS'as\tas\tIN\tB-SBAR\tO' +p347796 +aS'needed\tneed\tVBN\tB-VP\tO' +p347797 +aS'.\t.\t.\tO\tO' +p347798 +asS'Phototherapy was discontinued when bilirubin was a total of 4.7 .' +p347799 +(lp347800 +S'Phototherapy\tPhototherapy\tNN\tB-NP\tO' +p347801 +aS'was\tbe\tVBD\tB-VP\tO' +p347802 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p347803 +aS'when\twhen\tWRB\tB-ADVP\tO' +p347804 +aS'bilirubin\tbilirubin\tNN\tB-NP\tO' +p347805 +aS'was\tbe\tVBD\tB-VP\tO' +p347806 +aS'a\ta\tDT\tB-NP\tO' +p347807 +aS'total\ttotal\tNN\tI-NP\tO' +p347808 +aS'of\tof\tIN\tB-PP\tO' +p347809 +aS'4.7\t4.7\tCD\tB-NP\tO' +p347810 +aS'.\t.\t.\tO\tO' +p347811 +asS'HIV testing results pending .' +p347812 +(lp347813 +S'HIV\tHIV\tNN\tB-NP\tO' +p347814 +aS'testing\ttesting\tNN\tI-NP\tO' +p347815 +aS'results\tresult\tNNS\tI-NP\tO' +p347816 +aS'pending\tpende\tVBG\tB-VP\tO' +p347817 +aS'.\t.\t.\tO\tO' +p347818 +asS'8. Neutra-Phos .' +p347819 +(lp347820 +S'8.\t8.\tCD\tB-NP\tO' +p347821 +aS'Neutra-Phos\tNeutra-Phos\tNNP\tI-NP\tO' +p347822 +aS'.\t.\t.\tO\tO' +p347823 +asS'CT of the neck revealed a possible C1 fracture and the X-ray at the OSH revealed intratrochanteric fracture of the right femur .' +p347824 +(lp347825 +S'CT\tCT\tNN\tB-NP\tO' +p347826 +aS'of\tof\tIN\tB-PP\tO' +p347827 +aS'the\tthe\tDT\tB-NP\tO' +p347828 +aS'neck\tneck\tNN\tI-NP\tO' +p347829 +aS'revealed\treveal\tVBD\tB-VP\tO' +p347830 +aS'a\ta\tDT\tB-NP\tO' +p347831 +aS'possible\tpossible\tJJ\tI-NP\tO' +p347832 +aS'C1\tC1\tNN\tI-NP\tO' +p347833 +aS'fracture\tfracture\tNN\tI-NP\tO' +p347834 +aS'and\tand\tCC\tO\tO' +p347835 +aS'the\tthe\tDT\tB-NP\tO' +p347836 +aS'X-ray\tX-ray\tNN\tI-NP\tO' +p347837 +aS'at\tat\tIN\tB-PP\tO' +p347838 +aS'the\tthe\tDT\tB-NP\tO' +p347839 +aS'OSH\tOSH\tNN\tI-NP\tB-protein' +p347840 +aS'revealed\treveal\tVBD\tB-VP\tO' +p347841 +aS'intratrochanteric\tintratrochanteric\tJJ\tB-NP\tO' +p347842 +aS'fracture\tfracture\tNN\tI-NP\tO' +p347843 +aS'of\tof\tIN\tB-PP\tO' +p347844 +aS'the\tthe\tDT\tB-NP\tO' +p347845 +aS'right\tright\tJJ\tI-NP\tO' +p347846 +aS'femur\tfemur\tNN\tI-NP\tO' +p347847 +aS'.\t.\t.\tO\tO' +p347848 +asS'Mr. Mcelveen is a 51 year-old male with metastatic RCC status post left radical nephrectomy in 2018-03-21 , status post Avastin and sorafenib , most recently on Sutent monotherapy since 2018-12-21 , with mild renal insufficiency , who presented from home on 2019-06-14 with shortness of breath and fever .' +p347849 +(lp347850 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p347851 +aS'Mcelveen\tMcelveen\tNNP\tI-NP\tO' +p347852 +aS'is\tbe\tVBZ\tB-VP\tO' +p347853 +aS'a\ta\tDT\tB-NP\tO' +p347854 +aS'51\t51\tCD\tI-NP\tO' +p347855 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p347856 +aS'male\tmale\tNN\tI-NP\tO' +p347857 +aS'with\twith\tIN\tB-PP\tO' +p347858 +aS'metastatic\tmetastatic\tJJ\tB-NP\tO' +p347859 +aS'RCC\tRCC\tNN\tI-NP\tO' +p347860 +aS'status\tstatus\tNN\tI-NP\tO' +p347861 +aS'post\tpost\tNN\tI-NP\tO' +p347862 +aS'left\tleave\tVBD\tB-VP\tO' +p347863 +aS'radical\tradical\tJJ\tB-NP\tO' +p347864 +aS'nephrectomy\tnephrectomy\tNN\tI-NP\tO' +p347865 +aS'in\tin\tIN\tB-PP\tO' +p347866 +aS'2018-03-21\t2018-03-21\tCD\tB-NP\tO' +p347867 +aS',\t,\t,\tO\tO' +p347868 +aS'status\tstatus\tNN\tB-NP\tB-protein' +p347869 +aS'post\tpost\tNN\tI-NP\tI-protein' +p347870 +aS'Avastin\tAvastin\tNN\tI-NP\tI-protein' +p347871 +aS'and\tand\tCC\tI-NP\tO' +p347872 +aS'sorafenib\tsorafenib\tNN\tI-NP\tO' +p347873 +aS',\t,\t,\tO\tO' +p347874 +aS'most\tmost\tRBS\tB-ADVP\tO' +p347875 +aS'recently\trecently\tRB\tI-ADVP\tO' +p347876 +aS'on\ton\tIN\tB-PP\tO' +p347877 +aS'Sutent\tSutent\tJJ\tB-NP\tO' +p347878 +aS'monotherapy\tmonotherapy\tNN\tI-NP\tO' +p347879 +aS'since\tsince\tIN\tB-PP\tO' +p347880 +aS'2018-12-21\t2018-12-21\tCD\tB-NP\tO' +p347881 +aS',\t,\t,\tO\tO' +p347882 +aS'with\twith\tIN\tB-PP\tO' +p347883 +aS'mild\tmild\tJJ\tB-NP\tO' +p347884 +aS'renal\trenal\tJJ\tI-NP\tO' +p347885 +aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' +p347886 +aS',\t,\t,\tO\tO' +p347887 +aS'who\twho\tWP\tB-NP\tO' +p347888 +aS'presented\tpresent\tVBD\tB-VP\tO' +p347889 +aS'from\tfrom\tIN\tB-PP\tO' +p347890 +aS'home\thome\tNN\tB-NP\tO' +p347891 +aS'on\ton\tIN\tB-PP\tO' +p347892 +aS'2019-06-14\t2019-06-14\tCD\tB-NP\tO' +p347893 +aS'with\twith\tIN\tB-PP\tO' +p347894 +aS'shortness\tshortness\tNN\tB-NP\tO' +p347895 +aS'of\tof\tIN\tB-PP\tO' +p347896 +aS'breath\tbreath\tNN\tB-NP\tO' +p347897 +aS'and\tand\tCC\tI-NP\tO' +p347898 +aS'fever\tfever\tNN\tI-NP\tO' +p347899 +aS'.\t.\t.\tO\tO' +p347900 +asS'Left ventricular wall thicknesses are normal .' +p347901 +(lp347902 +S'Left\tLeave\tVBN\tB-NP\tO' +p347903 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p347904 +aS'wall\twall\tNN\tI-NP\tO' +p347905 +aS'thicknesses\tthickness\tNNS\tI-NP\tO' +p347906 +aS'are\tbe\tVBP\tB-VP\tO' +p347907 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p347908 +aS'.\t.\t.\tO\tO' +p347909 +asS'Examination showed right axillary and right posterior axillary skin tags and crusted lesions .' +p347910 +(lp347911 +S'Examination\tExamination\tNN\tB-NP\tO' +p347912 +aS'showed\tshow\tVBD\tB-VP\tO' +p347913 +aS'right\tright\tJJ\tB-NP\tO' +p347914 +aS'axillary\taxillary\tJJ\tI-NP\tO' +p347915 +aS'and\tand\tCC\tI-NP\tO' +p347916 +aS'right\tright\tJJ\tI-NP\tO' +p347917 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p347918 +aS'axillary\taxillary\tJJ\tI-NP\tO' +p347919 +aS'skin\tskin\tNN\tI-NP\tO' +p347920 +aS'tags\ttag\tNNS\tI-NP\tO' +p347921 +aS'and\tand\tCC\tO\tO' +p347922 +aS'crusted\tcrusted\tJJ\tB-NP\tO' +p347923 +aS'lesions\tlesion\tNNS\tI-NP\tO' +p347924 +aS'.\t.\t.\tO\tO' +p347925 +asS'The patient was evaluated in one of the neurology conferences for several hours , and during this time , showed significant improvement while receiving gait training as well as evaluation ; in particular , she became more stable with counter-balancing methods .' +p347926 +(lp347927 +S'The\tThe\tDT\tB-NP\tO' +p347928 +aS'patient\tpatient\tNN\tI-NP\tO' +p347929 +aS'was\tbe\tVBD\tB-VP\tO' +p347930 +aS'evaluated\tevaluate\tVBN\tI-VP\tO' +p347931 +aS'in\tin\tIN\tB-PP\tO' +p347932 +aS'one\tone\tCD\tB-NP\tO' +p347933 +aS'of\tof\tIN\tB-PP\tO' +p347934 +aS'the\tthe\tDT\tB-NP\tO' +p347935 +aS'neurology\tneurology\tNN\tI-NP\tO' +p347936 +aS'conferences\tconference\tNNS\tI-NP\tO' +p347937 +aS'for\tfor\tIN\tB-PP\tO' +p347938 +aS'several\tseveral\tJJ\tB-NP\tO' +p347939 +aS'hours\thour\tNNS\tI-NP\tO' +p347940 +aS',\t,\t,\tO\tO' +p347941 +aS'and\tand\tCC\tO\tO' +p347942 +aS'during\tduring\tIN\tB-PP\tO' +p347943 +aS'this\tthis\tDT\tB-NP\tO' +p347944 +aS'time\ttime\tNN\tI-NP\tO' +p347945 +aS',\t,\t,\tO\tO' +p347946 +aS'showed\tshow\tVBD\tB-VP\tO' +p347947 +aS'significant\tsignificant\tJJ\tB-NP\tO' +p347948 +aS'improvement\timprovement\tNN\tI-NP\tO' +p347949 +aS'while\twhile\tIN\tB-SBAR\tO' +p347950 +aS'receiving\treceive\tVBG\tB-VP\tO' +p347951 +aS'gait\tgait\tNN\tB-NP\tO' +p347952 +aS'training\ttraining\tNN\tI-NP\tO' +p347953 +aS'as\tas\tRB\tB-CONJP\tO' +p347954 +aS'well\twell\tRB\tI-CONJP\tO' +p347955 +aS'as\tas\tIN\tI-CONJP\tO' +p347956 +aS'evaluation\tevaluation\tNN\tB-NP\tO' +p347957 +aS';\t;\t:\tO\tO' +p347958 +aS'in\tin\tIN\tB-PP\tO' +p347959 +aS'particular\tparticular\tJJ\tB-ADJP\tO' +p347960 +aS',\t,\t,\tO\tO' +p347961 +aS'she\tshe\tPRP\tB-NP\tO' +p347962 +aS'became\tbecome\tVBD\tB-VP\tO' +p347963 +aS'more\tmore\tRBR\tB-ADJP\tO' +p347964 +aS'stable\tstable\tJJ\tI-ADJP\tO' +p347965 +aS'with\twith\tIN\tB-PP\tO' +p347966 +aS'counter-balancing\tcounter-balancing\tJJ\tB-NP\tO' +p347967 +aS'methods\tmethod\tNNS\tI-NP\tO' +p347968 +aS'.\t.\t.\tO\tO' +p347969 +asS'Mild cardiomegaly is stable .' +p347970 +(lp347971 +S'Mild\tMild\tNNP\tB-NP\tO' +p347972 +aS'cardiomegaly\tcardiomegaly\tRB\tB-ADVP\tO' +p347973 +aS'is\tbe\tVBZ\tB-VP\tO' +p347974 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p347975 +aS'.\t.\t.\tO\tO' +p347976 +asS'The birth weight was 1,980 grams , 80th percentile .' +p347977 +(lp347978 +S'The\tThe\tDT\tB-NP\tO' +p347979 +aS'birth\tbirth\tNN\tI-NP\tO' +p347980 +aS'weight\tweight\tNN\tI-NP\tO' +p347981 +aS'was\tbe\tVBD\tB-VP\tO' +p347982 +aS'1,980\t1,980\tCD\tB-NP\tO' +p347983 +aS'grams\tgram\tNNS\tI-NP\tO' +p347984 +aS',\t,\t,\tO\tO' +p347985 +aS'80th\t80th\tJJ\tB-NP\tO' +p347986 +aS'percentile\tpercentile\tNN\tI-NP\tO' +p347987 +aS'.\t.\t.\tO\tO' +p347988 +asS'Ileostomy remains pink and intact , draining green-brown soft stool .' +p347989 +(lp347990 +S'Ileostomy\tIleostomy\tNN\tB-NP\tO' +p347991 +aS'remains\tremain\tVBZ\tB-VP\tO' +p347992 +aS'pink\tpink\tJJ\tB-ADJP\tO' +p347993 +aS'and\tand\tCC\tI-ADJP\tO' +p347994 +aS'intact\tintact\tJJ\tI-ADJP\tO' +p347995 +aS',\t,\t,\tO\tO' +p347996 +aS'draining\tdrain\tVBG\tB-VP\tO' +p347997 +aS'green-brown\tgreen-brown\tJJ\tB-NP\tO' +p347998 +aS'soft\tsoft\tJJ\tI-NP\tO' +p347999 +aS'stool\tstool\tNN\tI-NP\tO' +p348000 +aS'.\t.\t.\tO\tO' +p348001 +asS'Her alkaline phosphatase was 134 .' +p348002 +(lp348003 +S'Her\tHer\tPRP$\tB-NP\tO' +p348004 +aS'alkaline\talkaline\tNN\tI-NP\tB-protein' +p348005 +aS'phosphatase\tphosphatase\tNN\tI-NP\tI-protein' +p348006 +aS'was\tbe\tVBD\tB-VP\tO' +p348007 +aS'134\t134\tCD\tB-NP\tO' +p348008 +aS'.\t.\t.\tO\tO' +p348009 +asS'Nasogastric tube passes below the diaphragm and out of view .' +p348010 +(lp348011 +S'Nasogastric\tNasogastric\tJJ\tB-NP\tO' +p348012 +aS'tube\ttube\tNN\tI-NP\tO' +p348013 +aS'passes\tpass\tNNS\tI-NP\tO' +p348014 +aS'below\tbelow\tIN\tB-PP\tO' +p348015 +aS'the\tthe\tDT\tB-NP\tO' +p348016 +aS'diaphragm\tdiaphragm\tNN\tI-NP\tO' +p348017 +aS'and\tand\tCC\tB-PP\tO' +p348018 +aS'out\tout\tIN\tB-PP\tO' +p348019 +aS'of\tof\tIN\tB-PP\tO' +p348020 +aS'view\tview\tNN\tB-NP\tO' +p348021 +aS'.\t.\t.\tO\tO' +p348022 +asS'Negative except as above .' +p348023 +(lp348024 +S'Negative\tNegative\tJJ\tB-ADJP\tO' +p348025 +aS'except\texcept\tIN\tB-PP\tO' +p348026 +aS'as\tas\tIN\tB-PP\tO' +p348027 +aS'above\tabove\tRB\tB-ADVP\tO' +p348028 +aS'.\t.\t.\tO\tO' +p348029 +asS'The patient was set to go for a dobutamine stress test on 11/16/04 given her history of COPD , but the stress portion was canceled when she was down there due to fever and hypotension .' +p348030 +(lp348031 +S'The\tThe\tDT\tB-NP\tO' +p348032 +aS'patient\tpatient\tNN\tI-NP\tO' +p348033 +aS'was\tbe\tVBD\tB-VP\tO' +p348034 +aS'set\tset\tVBN\tI-VP\tO' +p348035 +aS'to\tto\tTO\tI-VP\tO' +p348036 +aS'go\tgo\tVB\tI-VP\tO' +p348037 +aS'for\tfor\tIN\tB-PP\tO' +p348038 +aS'a\ta\tDT\tB-NP\tO' +p348039 +aS'dobutamine\tdobutamine\tNN\tI-NP\tO' +p348040 +aS'stress\tstress\tNN\tI-NP\tO' +p348041 +aS'test\ttest\tNN\tI-NP\tO' +p348042 +aS'on\ton\tIN\tB-PP\tO' +p348043 +aS'11/16/04\t11/16/04\tCD\tB-NP\tO' +p348044 +aS'given\tgive\tVBN\tB-PP\tO' +p348045 +aS'her\ther\tPRP$\tB-NP\tO' +p348046 +aS'history\thistory\tNN\tI-NP\tO' +p348047 +aS'of\tof\tIN\tB-PP\tO' +p348048 +aS'COPD\tCOPD\tNN\tB-NP\tO' +p348049 +aS',\t,\t,\tO\tO' +p348050 +aS'but\tbut\tCC\tO\tO' +p348051 +aS'the\tthe\tDT\tB-NP\tO' +p348052 +aS'stress\tstress\tNN\tI-NP\tO' +p348053 +aS'portion\tportion\tNN\tI-NP\tO' +p348054 +aS'was\tbe\tVBD\tB-VP\tO' +p348055 +aS'canceled\tcancel\tVBN\tI-VP\tO' +p348056 +aS'when\twhen\tWRB\tB-ADVP\tO' +p348057 +aS'she\tshe\tPRP\tB-NP\tO' +p348058 +aS'was\tbe\tVBD\tB-VP\tO' +p348059 +aS'down\tdown\tRB\tB-ADVP\tO' +p348060 +aS'there\tthere\tRB\tB-NP\tO' +p348061 +aS'due\tdue\tJJ\tB-ADJP\tO' +p348062 +aS'to\tto\tTO\tB-PP\tO' +p348063 +aS'fever\tfever\tNN\tB-NP\tO' +p348064 +aS'and\tand\tCC\tI-NP\tO' +p348065 +aS'hypotension\thypotension\tNN\tI-NP\tO' +p348066 +aS'.\t.\t.\tO\tO' +p348067 +asS'pressure .' +p348068 +(lp348069 +S'pressure\tpressure\tNN\tB-NP\tO' +p348070 +aS'.\t.\t.\tO\tO' +p348071 +asS'Followed her sats likely due to obstructive-sleep apnea and hypoventilation .' +p348072 +(lp348073 +S'Followed\tFollow\tVBD\tB-VP\tO' +p348074 +aS'her\ther\tPRP$\tB-NP\tO' +p348075 +aS'sats\tsat\tNNS\tI-NP\tO' +p348076 +aS'likely\tlikely\tRB\tB-ADJP\tO' +p348077 +aS'due\tdue\tIN\tB-PP\tO' +p348078 +aS'to\tto\tTO\tB-PP\tO' +p348079 +aS'obstructive-sleep\tobstructive-sleep\tJJ\tB-NP\tO' +p348080 +aS'apnea\tapnea\tNN\tI-NP\tO' +p348081 +aS'and\tand\tCC\tI-NP\tO' +p348082 +aS'hypoventilation\thypoventilation\tNN\tI-NP\tO' +p348083 +aS'.\t.\t.\tO\tO' +p348084 +asS'The Athol Memorial Hospital hospital course was unremarkable .' +p348085 +(lp348086 +S'The\tThe\tDT\tB-NP\tO' +p348087 +aS'Athol\tAthol\tNNP\tI-NP\tO' +p348088 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p348089 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p348090 +aS'hospital\thospital\tNN\tI-NP\tO' +p348091 +aS'course\tcourse\tNN\tI-NP\tO' +p348092 +aS'was\tbe\tVBD\tB-VP\tO' +p348093 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p348094 +aS'.\t.\t.\tO\tO' +p348095 +asS'Responsible After Study for Causing Admission ) Chest pain' +p348096 +(lp348097 +S'Responsible\tResponsible\tJJ\tB-ADJP\tO' +p348098 +aS'After\tAfter\tIN\tB-PP\tO' +p348099 +aS'Study\tStudy\tNNP\tB-NP\tO' +p348100 +aS'for\tfor\tIN\tB-PP\tO' +p348101 +aS'Causing\tCausing\tNNP\tB-NP\tO' +p348102 +aS'Admission\tAdmission\tNNP\tI-NP\tO' +p348103 +aS')\t)\t)\tO\tO' +p348104 +aS'Chest\tChest\tNNP\tB-NP\tO' +p348105 +aS'pain\tpain\tNN\tI-NP\tO' +p348106 +asS'5. URINARY TRACT INFECTION .' +p348107 +(lp348108 +S'5.\t5.\tLS\tB-NP\tO' +p348109 +aS'URINARY\tURINARY\tNN\tI-NP\tO' +p348110 +aS'TRACT\tTRACT\tNN\tI-NP\tO' +p348111 +aS'INFECTION\tINFECTION\tNN\tI-NP\tO' +p348112 +aS'.\t.\t.\tO\tO' +p348113 +asS'Attleboro has been stable throughout her newborn intensive care course without issue .' +p348114 +(lp348115 +S'Attleboro\tAttleboro\tNNP\tB-NP\tO' +p348116 +aS'has\thave\tVBZ\tB-VP\tO' +p348117 +aS'been\tbe\tVBN\tI-VP\tO' +p348118 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p348119 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p348120 +aS'her\ther\tPRP$\tB-NP\tO' +p348121 +aS'newborn\tnewborn\tJJ\tI-NP\tO' +p348122 +aS'intensive\tintensive\tJJ\tI-NP\tO' +p348123 +aS'care\tcare\tNN\tI-NP\tO' +p348124 +aS'course\tcourse\tNN\tI-NP\tO' +p348125 +aS'without\twithout\tIN\tB-PP\tO' +p348126 +aS'issue\tissue\tNN\tB-NP\tO' +p348127 +aS'.\t.\t.\tO\tO' +p348128 +asS'This echo showed LV ejection fraction of 50% with no wall motion abnormality .' +p348129 +(lp348130 +S'This\tThis\tDT\tB-NP\tO' +p348131 +aS'echo\techo\tNN\tI-NP\tO' +p348132 +aS'showed\tshow\tVBD\tB-VP\tO' +p348133 +aS'LV\tLV\tNN\tB-NP\tO' +p348134 +aS'ejection\tejection\tNN\tI-NP\tO' +p348135 +aS'fraction\tfraction\tNN\tI-NP\tO' +p348136 +aS'of\tof\tIN\tB-PP\tO' +p348137 +aS'50%\t50%\tCD\tB-NP\tO' +p348138 +aS'with\twith\tIN\tB-PP\tO' +p348139 +aS'no\tno\tDT\tB-NP\tO' +p348140 +aS'wall\twall\tNN\tI-NP\tO' +p348141 +aS'motion\tmotion\tNN\tI-NP\tO' +p348142 +aS'abnormality\tabnormality\tNN\tI-NP\tO' +p348143 +aS'.\t.\t.\tO\tO' +p348144 +asS'baseline CRI ( 1.2-1.6 ) with elevation at admission probably prerenal ; will monitor BUN / Cr after giving Lasix' +p348145 +(lp348146 +S'baseline\tbaseline\tNN\tB-NP\tO' +p348147 +aS'CRI\tCRI\tNN\tI-NP\tO' +p348148 +aS'(\t(\t(\tO\tO' +p348149 +aS'1.2-1.6\t1.2-1.6\tCD\tB-NP\tO' +p348150 +aS')\t)\t)\tO\tO' +p348151 +aS'with\twith\tIN\tB-PP\tO' +p348152 +aS'elevation\televation\tNN\tB-NP\tO' +p348153 +aS'at\tat\tIN\tB-PP\tO' +p348154 +aS'admission\tadmission\tNN\tB-NP\tO' +p348155 +aS'probably\tprobably\tRB\tB-ADJP\tO' +p348156 +aS'prerenal\tprerenal\tJJ\tI-ADJP\tO' +p348157 +aS';\t;\t:\tO\tO' +p348158 +aS'will\twill\tMD\tB-VP\tO' +p348159 +aS'monitor\tmonitor\tVB\tI-VP\tO' +p348160 +aS'BUN\tBUN\tNN\tB-NP\tB-protein' +p348161 +aS'/\t/\tSYM\tB-NP\tO' +p348162 +aS'Cr\tCr\tNN\tI-NP\tO' +p348163 +aS'after\tafter\tIN\tB-PP\tO' +p348164 +aS'giving\tgive\tVBG\tB-VP\tO' +p348165 +aS'Lasix\tLasix\tNNP\tB-NP\tO' +p348166 +asS'Imitrex ; Indocin ; Celebrex ; Verapamil for migraines .' +p348167 +(lp348168 +S'Imitrex\tImitrex\tNN\tB-NP\tO' +p348169 +aS';\t;\t:\tO\tO' +p348170 +aS'Indocin\tIndocin\tNN\tB-NP\tO' +p348171 +aS';\t;\t:\tO\tO' +p348172 +aS'Celebrex\tCelebrex\tNN\tB-NP\tO' +p348173 +aS';\t;\t:\tO\tO' +p348174 +aS'Verapamil\tVerapamil\tNN\tB-NP\tO' +p348175 +aS'for\tfor\tIN\tB-PP\tO' +p348176 +aS'migraines\tmigraine\tNNS\tB-NP\tO' +p348177 +aS'.\t.\t.\tO\tO' +p348178 +asS'Antenatal course benign .' +p348179 +(lp348180 +S'Antenatal\tAntenatal\tJJ\tB-NP\tO' +p348181 +aS'course\tcourse\tNN\tI-NP\tO' +p348182 +aS'benign\tbenign\tJJ\tB-ADJP\tO' +p348183 +aS'.\t.\t.\tO\tO' +p348184 +asS'14. Status post partial colectomy 1972' +p348185 +(lp348186 +S'14.\t14.\tLS\tB-LST\tO' +p348187 +aS'Status\tStatus\tNNP\tB-NP\tO' +p348188 +aS'post\tpost\tIN\tB-PP\tO' +p348189 +aS'partial\tpartial\tJJ\tB-NP\tO' +p348190 +aS'colectomy\tcolectomy\tNN\tI-NP\tO' +p348191 +aS'1972\t1972\tCD\tI-NP\tO' +p348192 +asS'The patient also reports blood-streaked diarrhea for two days .' +p348193 +(lp348194 +S'The\tThe\tDT\tB-NP\tO' +p348195 +aS'patient\tpatient\tNN\tI-NP\tO' +p348196 +aS'also\talso\tRB\tB-ADVP\tO' +p348197 +aS'reports\treport\tVBZ\tB-VP\tO' +p348198 +aS'blood-streaked\tblood-streaked\tJJ\tB-NP\tO' +p348199 +aS'diarrhea\tdiarrhea\tNN\tI-NP\tO' +p348200 +aS'for\tfor\tIN\tB-PP\tO' +p348201 +aS'two\ttwo\tCD\tB-NP\tO' +p348202 +aS'days\tday\tNNS\tI-NP\tO' +p348203 +aS'.\t.\t.\tO\tO' +p348204 +asS'The patient tolerated the procedure well and was stable in the PACU and admitted to the CMED CCU floor for routine care .' +p348205 +(lp348206 +S'The\tThe\tDT\tB-NP\tO' +p348207 +aS'patient\tpatient\tNN\tI-NP\tO' +p348208 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p348209 +aS'the\tthe\tDT\tB-NP\tO' +p348210 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p348211 +aS'well\twell\tRB\tB-ADVP\tO' +p348212 +aS'and\tand\tCC\tO\tO' +p348213 +aS'was\tbe\tVBD\tB-VP\tO' +p348214 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p348215 +aS'in\tin\tIN\tB-PP\tO' +p348216 +aS'the\tthe\tDT\tB-NP\tO' +p348217 +aS'PACU\tPACU\tNN\tI-NP\tB-DNA' +p348218 +aS'and\tand\tCC\tO\tO' +p348219 +aS'admitted\tadmit\tVBN\tB-VP\tO' +p348220 +aS'to\tto\tTO\tB-PP\tO' +p348221 +aS'the\tthe\tDT\tB-NP\tO' +p348222 +aS'CMED\tCMED\tVBN\tI-NP\tO' +p348223 +aS'CCU\tCCU\tNN\tI-NP\tO' +p348224 +aS'floor\tfloor\tNN\tI-NP\tO' +p348225 +aS'for\tfor\tIN\tB-PP\tO' +p348226 +aS'routine\troutine\tJJ\tB-NP\tO' +p348227 +aS'care\tcare\tNN\tI-NP\tO' +p348228 +aS'.\t.\t.\tO\tO' +p348229 +asS'Her coags , her PT was 14.5 , PTT was 143.4 , and her INR was 1.3 .' +p348230 +(lp348231 +S'Her\tHer\tPRP$\tB-NP\tO' +p348232 +aS'coags\tcoag\tNNS\tI-NP\tO' +p348233 +aS',\t,\t,\tO\tO' +p348234 +aS'her\ther\tPRP$\tB-NP\tO' +p348235 +aS'PT\tPT\tNN\tI-NP\tB-protein' +p348236 +aS'was\tbe\tVBD\tB-VP\tI-protein' +p348237 +aS'14.5\t14.5\tCD\tB-NP\tI-protein' +p348238 +aS',\t,\t,\tO\tO' +p348239 +aS'PTT\tPTT\tNN\tB-NP\tO' +p348240 +aS'was\tbe\tVBD\tB-VP\tO' +p348241 +aS'143.4\t143.4\tCD\tB-NP\tO' +p348242 +aS',\t,\t,\tO\tO' +p348243 +aS'and\tand\tCC\tO\tO' +p348244 +aS'her\ther\tPRP$\tB-NP\tO' +p348245 +aS'INR\tINR\tNN\tI-NP\tB-protein' +p348246 +aS'was\tbe\tVBD\tB-VP\tO' +p348247 +aS'1.3\t1.3\tCD\tB-NP\tO' +p348248 +aS'.\t.\t.\tO\tO' +p348249 +asS'She arrived in the Emergency Room at 8:00 p.m.' +p348250 +(lp348251 +S'She\tShe\tPRP\tB-NP\tO' +p348252 +aS'arrived\tarrive\tVBD\tB-VP\tO' +p348253 +aS'in\tin\tIN\tB-PP\tO' +p348254 +aS'the\tthe\tDT\tB-NP\tO' +p348255 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p348256 +aS'Room\tRoom\tNNP\tI-NP\tO' +p348257 +aS'at\tat\tIN\tB-PP\tO' +p348258 +aS'8:00\t8:00\tCD\tB-NP\tO' +p348259 +aS'p.m.\tp.m.\tNN\tI-NP\tO' +p348260 +asS'She underwent a mitral valve replacement , utilizing a 27 mm .' +p348261 +(lp348262 +S'She\tShe\tPRP\tB-NP\tO' +p348263 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p348264 +aS'a\ta\tDT\tB-NP\tO' +p348265 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p348266 +aS'valve\tvalve\tNN\tI-NP\tO' +p348267 +aS'replacement\treplacement\tNN\tI-NP\tO' +p348268 +aS',\t,\t,\tO\tO' +p348269 +aS'utilizing\tutilize\tVBG\tB-VP\tO' +p348270 +aS'a\ta\tDT\tB-NP\tO' +p348271 +aS'27\t27\tCD\tI-NP\tO' +p348272 +aS'mm\tmm\tNN\tI-NP\tO' +p348273 +aS'.\t.\t.\tO\tO' +p348274 +asS'The neurological examination revealed that the patient was awake , alert and oriented to person , place and time .' +p348275 +(lp348276 +S'The\tThe\tDT\tB-NP\tO' +p348277 +aS'neurological\tneurological\tJJ\tI-NP\tO' +p348278 +aS'examination\texamination\tNN\tI-NP\tO' +p348279 +aS'revealed\treveal\tVBD\tB-VP\tO' +p348280 +aS'that\tthat\tIN\tB-SBAR\tO' +p348281 +aS'the\tthe\tDT\tB-NP\tO' +p348282 +aS'patient\tpatient\tNN\tI-NP\tO' +p348283 +aS'was\tbe\tVBD\tB-VP\tO' +p348284 +aS'awake\tawake\tJJ\tB-ADJP\tO' +p348285 +aS',\t,\t,\tO\tO' +p348286 +aS'alert\talert\tJJ\tB-ADJP\tO' +p348287 +aS'and\tand\tCC\tO\tO' +p348288 +aS'oriented\torient\tVBN\tB-VP\tO' +p348289 +aS'to\tto\tTO\tB-PP\tO' +p348290 +aS'person\tperson\tNN\tB-NP\tO' +p348291 +aS',\t,\t,\tI-NP\tO' +p348292 +aS'place\tplace\tNN\tI-NP\tO' +p348293 +aS'and\tand\tCC\tI-NP\tO' +p348294 +aS'time\ttime\tNN\tI-NP\tO' +p348295 +aS'.\t.\t.\tO\tO' +p348296 +asS'Patient needs to have labs every Monday and Thursday including a CBC , chem-10 , AST , ALT , alkaline phosphatase , albumin , total bilirubin and Prograf level need to be obtained .' +p348297 +(lp348298 +S'Patient\tPatient\tNN\tB-NP\tO' +p348299 +aS'needs\tneed\tVBZ\tB-VP\tO' +p348300 +aS'to\tto\tTO\tI-VP\tO' +p348301 +aS'have\thave\tVB\tI-VP\tO' +p348302 +aS'labs\tlab\tNNS\tB-NP\tO' +p348303 +aS'every\tevery\tDT\tB-NP\tO' +p348304 +aS'Monday\tMonday\tNNP\tI-NP\tO' +p348305 +aS'and\tand\tCC\tI-NP\tO' +p348306 +aS'Thursday\tThursday\tNNP\tI-NP\tO' +p348307 +aS'including\tinclude\tVBG\tB-PP\tO' +p348308 +aS'a\ta\tDT\tB-NP\tO' +p348309 +aS'CBC\tCBC\tNN\tI-NP\tB-protein' +p348310 +aS',\t,\t,\tO\tO' +p348311 +aS'chem-10\tchem-10\tNN\tB-NP\tB-protein' +p348312 +aS',\t,\t,\tO\tO' +p348313 +aS'AST\tAST\tNN\tB-NP\tO' +p348314 +aS',\t,\t,\tO\tO' +p348315 +aS'ALT\tALT\tNN\tB-NP\tB-protein' +p348316 +aS',\t,\t,\tO\tO' +p348317 +aS'alkaline\talkaline\tNN\tB-NP\tB-protein' +p348318 +aS'phosphatase\tphosphatase\tNN\tI-NP\tI-protein' +p348319 +aS',\t,\t,\tO\tO' +p348320 +aS'albumin\talbumin\tNN\tB-NP\tB-protein' +p348321 +aS',\t,\t,\tO\tO' +p348322 +aS'total\ttotal\tJJ\tB-NP\tO' +p348323 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p348324 +aS'and\tand\tCC\tI-NP\tO' +p348325 +aS'Prograf\tPrograf\tNN\tI-NP\tO' +p348326 +aS'level\tlevel\tNN\tI-NP\tO' +p348327 +aS'need\tneed\tVBP\tB-VP\tO' +p348328 +aS'to\tto\tTO\tI-VP\tO' +p348329 +aS'be\tbe\tVB\tI-VP\tO' +p348330 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p348331 +aS'.\t.\t.\tO\tO' +p348332 +asS'pelvic ultrasound - normal ovaries , thickened endometrium hematocrit - 33' +p348333 +(lp348334 +S'pelvic\tpelvic\tJJ\tB-NP\tO' +p348335 +aS'ultrasound\tultrasound\tNN\tI-NP\tO' +p348336 +aS'-\t-\tHYPH\tB-NP\tO' +p348337 +aS'normal\tnormal\tJJ\tI-NP\tO' +p348338 +aS'ovaries\tovary\tNNS\tI-NP\tO' +p348339 +aS',\t,\t,\tO\tO' +p348340 +aS'thickened\tthicken\tVBD\tB-VP\tO' +p348341 +aS'endometrium\tendometrium\tNN\tB-NP\tO' +p348342 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p348343 +aS'-\t-\tHYPH\tO\tO' +p348344 +aS'33\t33\tCD\tB-NP\tO' +p348345 +asS'13. Insulin Regular Human 300 unit / 3 mL Insulin Pen Sig : One ( 1 ) Subcutaneous four times a day : Please take as prescribed by Albano / Transplant team .' +p348346 +(lp348347 +S'13.\t13.\tLS\tB-NP\tO' +p348348 +aS'Insulin\tInsulin\tNN\tI-NP\tB-protein' +p348349 +aS'Regular\tRegular\tJJ\tI-NP\tI-protein' +p348350 +aS'Human\tHuman\tJJ\tI-NP\tI-protein' +p348351 +aS'300\t300\tCD\tI-NP\tI-protein' +p348352 +aS'unit\tunit\tNN\tI-NP\tI-protein' +p348353 +aS'/\t/\tSYM\tB-NP\tI-protein' +p348354 +aS'3\t3\tCD\tB-NP\tI-protein' +p348355 +aS'mL\tmL\tNN\tI-NP\tI-protein' +p348356 +aS'Insulin\tInsulin\tNNP\tI-NP\tI-protein' +p348357 +aS'Pen\tPen\tNNP\tI-NP\tO' +p348358 +aS'Sig\tSig\tNNP\tI-NP\tO' +p348359 +aS':\t:\t:\tO\tO' +p348360 +aS'One\tOne\tCD\tB-NP\tO' +p348361 +aS'(\t(\t(\tO\tO' +p348362 +aS'1\t1\tCD\tB-NP\tO' +p348363 +aS')\t)\t)\tO\tO' +p348364 +aS'Subcutaneous\tSubcutaneous\tJJ\tB-VP\tO' +p348365 +aS'four\tfour\tCD\tB-NP\tO' +p348366 +aS'times\ttime\tNNS\tI-NP\tO' +p348367 +aS'a\ta\tDT\tB-NP\tO' +p348368 +aS'day\tday\tNN\tI-NP\tO' +p348369 +aS':\t:\t:\tO\tO' +p348370 +aS'Please\tPlease\tNN\tB-NP\tB-protein' +p348371 +aS'take\ttake\tVBP\tB-VP\tO' +p348372 +aS'as\tas\tRB\tI-VP\tO' +p348373 +aS'prescribed\tprescribe\tVBN\tI-VP\tO' +p348374 +aS'by\tby\tIN\tB-PP\tO' +p348375 +aS'Albano\tAlbano\tNN\tB-NP\tO' +p348376 +aS'/\t/\tSYM\tI-NP\tO' +p348377 +aS'Transplant\tTransplant\tNN\tI-NP\tO' +p348378 +aS'team\tteam\tNN\tI-NP\tO' +p348379 +aS'.\t.\t.\tO\tO' +p348380 +asS'She does have radiation of the pain to her neck and jaw bilaterally .' +p348381 +(lp348382 +S'She\tShe\tPRP\tB-NP\tO' +p348383 +aS'does\tdo\tVBZ\tB-VP\tO' +p348384 +aS'have\thave\tVB\tI-VP\tO' +p348385 +aS'radiation\tradiation\tNN\tB-NP\tO' +p348386 +aS'of\tof\tIN\tB-PP\tO' +p348387 +aS'the\tthe\tDT\tB-NP\tO' +p348388 +aS'pain\tpain\tNN\tI-NP\tO' +p348389 +aS'to\tto\tTO\tB-PP\tO' +p348390 +aS'her\ther\tPRP$\tB-NP\tO' +p348391 +aS'neck\tneck\tNN\tI-NP\tO' +p348392 +aS'and\tand\tCC\tI-NP\tO' +p348393 +aS'jaw\tjaw\tNN\tI-NP\tO' +p348394 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p348395 +aS'.\t.\t.\tO\tO' +p348396 +asS'Findings included necrotic debris in the distal trachea at the carina and right mainstem bronchus .' +p348397 +(lp348398 +S'Findings\tFinding\tNNS\tB-NP\tO' +p348399 +aS'included\tinclude\tVBD\tB-VP\tO' +p348400 +aS'necrotic\tnecrotic\tJJ\tB-NP\tO' +p348401 +aS'debris\tdebris\tNN\tI-NP\tO' +p348402 +aS'in\tin\tIN\tB-PP\tO' +p348403 +aS'the\tthe\tDT\tB-NP\tO' +p348404 +aS'distal\tdistal\tJJ\tI-NP\tO' +p348405 +aS'trachea\ttrachea\tNN\tI-NP\tO' +p348406 +aS'at\tat\tIN\tB-PP\tO' +p348407 +aS'the\tthe\tDT\tB-NP\tO' +p348408 +aS'carina\tcarina\tNN\tI-NP\tO' +p348409 +aS'and\tand\tCC\tI-NP\tO' +p348410 +aS'right\tright\tJJ\tI-NP\tO' +p348411 +aS'mainstem\tmainstem\tNN\tI-NP\tO' +p348412 +aS'bronchus\tbronchus\tNN\tI-NP\tO' +p348413 +aS'.\t.\t.\tO\tO' +p348414 +asS'L lobe of the thyroid gland also prominent .' +p348415 +(lp348416 +S'L\tL\tNN\tB-NP\tO' +p348417 +aS'lobe\tlobe\tNN\tI-NP\tO' +p348418 +aS'of\tof\tIN\tB-PP\tO' +p348419 +aS'the\tthe\tDT\tB-NP\tO' +p348420 +aS'thyroid\tthyroid\tJJ\tI-NP\tO' +p348421 +aS'gland\tgland\tNN\tI-NP\tO' +p348422 +aS'also\talso\tRB\tB-ADVP\tO' +p348423 +aS'prominent\tprominent\tJJ\tB-ADJP\tO' +p348424 +aS'.\t.\t.\tO\tO' +p348425 +asS'His central line and chest tubes were removed on post-op day #2 and was transferred to the floor in stable condition .' +p348426 +(lp348427 +S'His\tHis\tPRP$\tB-NP\tO' +p348428 +aS'central\tcentral\tJJ\tI-NP\tO' +p348429 +aS'line\tline\tNN\tI-NP\tO' +p348430 +aS'and\tand\tCC\tI-NP\tO' +p348431 +aS'chest\tchest\tNN\tI-NP\tO' +p348432 +aS'tubes\ttube\tNNS\tI-NP\tO' +p348433 +aS'were\tbe\tVBD\tB-VP\tO' +p348434 +aS'removed\tremove\tVBN\tI-VP\tO' +p348435 +aS'on\ton\tIN\tB-PP\tO' +p348436 +aS'post-op\tpost-op\tJJ\tB-NP\tO' +p348437 +aS'day\tday\tNN\tI-NP\tO' +p348438 +aS'#2\t#2\tNN\tI-NP\tO' +p348439 +aS'and\tand\tCC\tO\tO' +p348440 +aS'was\tbe\tVBD\tB-VP\tO' +p348441 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p348442 +aS'to\tto\tTO\tB-PP\tO' +p348443 +aS'the\tthe\tDT\tB-NP\tO' +p348444 +aS'floor\tfloor\tNN\tI-NP\tO' +p348445 +aS'in\tin\tIN\tB-PP\tO' +p348446 +aS'stable\tstable\tJJ\tB-NP\tO' +p348447 +aS'condition\tcondition\tNN\tI-NP\tO' +p348448 +aS'.\t.\t.\tO\tO' +p348449 +asS'At this time , she decided that she needed the prolapse fixed and actually wrote to the Norri Hospital to try and find a Gynecologist .' +p348450 +(lp348451 +S'At\tAt\tIN\tB-PP\tO' +p348452 +aS'this\tthis\tDT\tB-NP\tO' +p348453 +aS'time\ttime\tNN\tI-NP\tO' +p348454 +aS',\t,\t,\tO\tO' +p348455 +aS'she\tshe\tPRP\tB-NP\tO' +p348456 +aS'decided\tdecide\tVBD\tB-VP\tO' +p348457 +aS'that\tthat\tIN\tB-SBAR\tO' +p348458 +aS'she\tshe\tPRP\tB-NP\tO' +p348459 +aS'needed\tneed\tVBD\tB-VP\tO' +p348460 +aS'the\tthe\tDT\tB-NP\tO' +p348461 +aS'prolapse\tprolapse\tNN\tI-NP\tO' +p348462 +aS'fixed\tfix\tVBN\tB-VP\tO' +p348463 +aS'and\tand\tCC\tO\tO' +p348464 +aS'actually\tactually\tRB\tB-VP\tO' +p348465 +aS'wrote\twrite\tVBD\tI-VP\tO' +p348466 +aS'to\tto\tTO\tB-PP\tO' +p348467 +aS'the\tthe\tDT\tB-NP\tO' +p348468 +aS'Norri\tNorri\tNNP\tI-NP\tO' +p348469 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p348470 +aS'to\tto\tTO\tB-VP\tO' +p348471 +aS'try\ttry\tVB\tI-VP\tO' +p348472 +aS'and\tand\tCC\tI-VP\tO' +p348473 +aS'find\tfind\tVB\tI-VP\tO' +p348474 +aS'a\ta\tDT\tB-NP\tO' +p348475 +aS'Gynecologist\tGynecologist\tNNP\tI-NP\tO' +p348476 +aS'.\t.\t.\tO\tO' +p348477 +asS'Signed electronically by : DR. Carol Warren on : MON 2014-12-08 11:49 AM' +p348478 +(lp348479 +S'Signed\tSign\tVBN\tB-VP\tO' +p348480 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p348481 +aS'by\tby\tIN\tB-PP\tO' +p348482 +aS':\t:\t:\tO\tO' +p348483 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p348484 +aS'Carol\tCarol\tNNP\tI-NP\tO' +p348485 +aS'Warren\tWarren\tNNP\tI-NP\tO' +p348486 +aS'on\ton\tIN\tB-PP\tO' +p348487 +aS':\t:\t:\tO\tO' +p348488 +aS'MON\tMON\tNN\tB-NP\tO' +p348489 +aS'2014-12-08\t2014-12-08\tCD\tI-NP\tO' +p348490 +aS'11:49\t11:49\tCD\tI-NP\tO' +p348491 +aS'AM\tAM\tNN\tI-NP\tO' +p348492 +asS'Spine straight and no abnormalities .' +p348493 +(lp348494 +S'Spine\tSpine\tNN\tB-NP\tO' +p348495 +aS'straight\tstraight\tRB\tB-ADVP\tO' +p348496 +aS'and\tand\tCC\tO\tO' +p348497 +aS'no\tno\tDT\tB-NP\tO' +p348498 +aS'abnormalities\tabnormality\tNNS\tI-NP\tO' +p348499 +aS'.\t.\t.\tO\tO' +p348500 +asS'Complete blood count revealed white count was 5.4 , hematocrit was 31.3 , and platelets were 160 .' +p348501 +(lp348502 +S'Complete\tComplete\tJJ\tB-NP\tO' +p348503 +aS'blood\tblood\tNN\tI-NP\tO' +p348504 +aS'count\tcount\tNN\tI-NP\tO' +p348505 +aS'revealed\treveal\tVBD\tB-VP\tO' +p348506 +aS'white\twhite\tJJ\tB-NP\tO' +p348507 +aS'count\tcount\tNN\tI-NP\tO' +p348508 +aS'was\tbe\tVBD\tB-VP\tO' +p348509 +aS'5.4\t5.4\tCD\tB-NP\tO' +p348510 +aS',\t,\t,\tO\tO' +p348511 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p348512 +aS'was\tbe\tVBD\tB-VP\tI-protein' +p348513 +aS'31.3\t31.3\tCD\tB-NP\tI-protein' +p348514 +aS',\t,\t,\tO\tO' +p348515 +aS'and\tand\tCC\tO\tO' +p348516 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p348517 +aS'were\tbe\tVBD\tB-VP\tO' +p348518 +aS'160\t160\tCD\tB-NP\tO' +p348519 +aS'.\t.\t.\tO\tO' +p348520 +asS'# DM-2 -- The patient was maintained on his home insulin regimen .' +p348521 +(lp348522 +S'#\t#\t#\tB-NP\tO' +p348523 +aS'DM-2\tDM-2\tNN\tI-NP\tB-protein' +p348524 +aS'--\t--\t:\tO\tO' +p348525 +aS'The\tThe\tDT\tB-NP\tO' +p348526 +aS'patient\tpatient\tNN\tI-NP\tO' +p348527 +aS'was\tbe\tVBD\tB-VP\tO' +p348528 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p348529 +aS'on\ton\tIN\tB-PP\tO' +p348530 +aS'his\this\tPRP$\tB-NP\tO' +p348531 +aS'home\thome\tNN\tI-NP\tO' +p348532 +aS'insulin\tinsulin\tNN\tI-NP\tO' +p348533 +aS'regimen\tregimen\tNN\tI-NP\tO' +p348534 +aS'.\t.\t.\tO\tO' +p348535 +asS'Right subclavian CV line overlies proximal SVC .' +p348536 +(lp348537 +S'Right\tRight\tRB\tB-NP\tO' +p348538 +aS'subclavian\tsubclavian\tJJ\tI-NP\tO' +p348539 +aS'CV\tCV\tNN\tI-NP\tO' +p348540 +aS'line\tline\tNN\tI-NP\tO' +p348541 +aS'overlies\toverlie\tVBZ\tB-VP\tO' +p348542 +aS'proximal\tproximal\tJJ\tB-NP\tO' +p348543 +aS'SVC\tSVC\tNN\tI-NP\tO' +p348544 +aS'.\t.\t.\tO\tO' +p348545 +asS'It did not radiate .' +p348546 +(lp348547 +S'It\tIt\tPRP\tB-NP\tO' +p348548 +aS'did\tdo\tVBD\tB-VP\tO' +p348549 +aS'not\tnot\tRB\tI-VP\tO' +p348550 +aS'radiate\tradiate\tVB\tI-VP\tO' +p348551 +aS'.\t.\t.\tO\tO' +p348552 +asS'The patient is a 42 year old gravida II , para I female with a long history of menorrhagia and pelvic pain .' +p348553 +(lp348554 +S'The\tThe\tDT\tB-NP\tO' +p348555 +aS'patient\tpatient\tNN\tI-NP\tO' +p348556 +aS'is\tbe\tVBZ\tB-VP\tO' +p348557 +aS'a\ta\tDT\tB-NP\tO' +p348558 +aS'42\t42\tCD\tI-NP\tO' +p348559 +aS'year\tyear\tNN\tI-NP\tO' +p348560 +aS'old\told\tJJ\tI-NP\tO' +p348561 +aS'gravida\tgravida\tNN\tI-NP\tO' +p348562 +aS'II\tII\tCD\tI-NP\tO' +p348563 +aS',\t,\t,\tO\tO' +p348564 +aS'para\tpara\tNN\tB-NP\tO' +p348565 +aS'I\tI\tPRP\tB-NP\tO' +p348566 +aS'female\tfemale\tVBP\tB-VP\tO' +p348567 +aS'with\twith\tIN\tB-PP\tO' +p348568 +aS'a\ta\tDT\tB-NP\tO' +p348569 +aS'long\tlong\tJJ\tI-NP\tO' +p348570 +aS'history\thistory\tNN\tI-NP\tO' +p348571 +aS'of\tof\tIN\tB-PP\tO' +p348572 +aS'menorrhagia\tmenorrhagia\tNN\tB-NP\tO' +p348573 +aS'and\tand\tCC\tO\tO' +p348574 +aS'pelvic\tpelvic\tJJ\tB-NP\tO' +p348575 +aS'pain\tpain\tNN\tI-NP\tO' +p348576 +aS'.\t.\t.\tO\tO' +p348577 +asS'She has no complaints at the time of presentation .' +p348578 +(lp348579 +S'She\tShe\tPRP\tB-NP\tO' +p348580 +aS'has\thave\tVBZ\tB-VP\tO' +p348581 +aS'no\tno\tDT\tB-NP\tO' +p348582 +aS'complaints\tcomplaint\tNNS\tI-NP\tO' +p348583 +aS'at\tat\tIN\tB-PP\tO' +p348584 +aS'the\tthe\tDT\tB-NP\tO' +p348585 +aS'time\ttime\tNN\tI-NP\tO' +p348586 +aS'of\tof\tIN\tB-PP\tO' +p348587 +aS'presentation\tpresentation\tNN\tB-NP\tO' +p348588 +aS'.\t.\t.\tO\tO' +p348589 +asS'3. The patient will call for any fevers or difficulties with the wound care , and will be instructed with an interpreter present .' +p348590 +(lp348591 +S'3.\t3.\tLS\tB-LST\tO' +p348592 +aS'The\tThe\tDT\tB-NP\tO' +p348593 +aS'patient\tpatient\tNN\tI-NP\tO' +p348594 +aS'will\twill\tMD\tB-VP\tO' +p348595 +aS'call\tcall\tVB\tI-VP\tO' +p348596 +aS'for\tfor\tIN\tB-PP\tO' +p348597 +aS'any\tany\tDT\tB-NP\tO' +p348598 +aS'fevers\tfever\tNNS\tI-NP\tO' +p348599 +aS'or\tor\tCC\tI-NP\tO' +p348600 +aS'difficulties\tdifficulty\tNNS\tI-NP\tO' +p348601 +aS'with\twith\tIN\tB-PP\tO' +p348602 +aS'the\tthe\tDT\tB-NP\tO' +p348603 +aS'wound\twound\tNN\tI-NP\tO' +p348604 +aS'care\tcare\tNN\tI-NP\tO' +p348605 +aS',\t,\t,\tO\tO' +p348606 +aS'and\tand\tCC\tO\tO' +p348607 +aS'will\twill\tMD\tB-VP\tO' +p348608 +aS'be\tbe\tVB\tI-VP\tO' +p348609 +aS'instructed\tinstruct\tVBN\tI-VP\tO' +p348610 +aS'with\twith\tIN\tB-PP\tO' +p348611 +aS'an\tan\tDT\tB-NP\tO' +p348612 +aS'interpreter\tinterpreter\tNN\tI-NP\tO' +p348613 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p348614 +aS'.\t.\t.\tO\tO' +p348615 +asS'Coumadin was discontinued .' +p348616 +(lp348617 +S'Coumadin\tCoumadin\tNN\tB-NP\tO' +p348618 +aS'was\tbe\tVBD\tB-VP\tO' +p348619 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p348620 +aS'.\t.\t.\tO\tO' +p348621 +asS'Her right foot remained warm .' +p348622 +(lp348623 +S'Her\tHer\tPRP$\tB-NP\tO' +p348624 +aS'right\tright\tJJ\tI-NP\tO' +p348625 +aS'foot\tfoot\tNN\tI-NP\tO' +p348626 +aS'remained\tremain\tVBD\tB-VP\tO' +p348627 +aS'warm\twarm\tJJ\tB-ADJP\tO' +p348628 +aS'.\t.\t.\tO\tO' +p348629 +asS'he states he gives her one of his pensions and she helps him with medicines etc .' +p348630 +(lp348631 +S'he\the\tPRP\tB-NP\tO' +p348632 +aS'states\tstate\tVBZ\tB-VP\tO' +p348633 +aS'he\the\tPRP\tB-NP\tO' +p348634 +aS'gives\tgive\tVBZ\tB-VP\tO' +p348635 +aS'her\ther\tPRP\tB-NP\tO' +p348636 +aS'one\tone\tCD\tB-NP\tO' +p348637 +aS'of\tof\tIN\tB-PP\tO' +p348638 +aS'his\this\tPRP$\tB-NP\tO' +p348639 +aS'pensions\tpension\tNNS\tI-NP\tO' +p348640 +aS'and\tand\tCC\tO\tO' +p348641 +aS'she\tshe\tPRP\tB-NP\tO' +p348642 +aS'helps\thelp\tVBZ\tB-VP\tO' +p348643 +aS'him\thim\tPRP\tB-NP\tO' +p348644 +aS'with\twith\tIN\tB-PP\tO' +p348645 +aS'medicines\tmedicine\tNNS\tB-NP\tO' +p348646 +aS'etc\tetc\tFW\tB-NP\tO' +p348647 +aS'.\t.\t.\tO\tO' +p348648 +asS'He had a creatinine of 4.0 on admission and this decreased down to the mid ones with fluid , currently at 1.7 on discharge .' +p348649 +(lp348650 +S'He\tHe\tPRP\tB-NP\tO' +p348651 +aS'had\thave\tVBD\tB-VP\tO' +p348652 +aS'a\ta\tDT\tB-NP\tO' +p348653 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p348654 +aS'of\tof\tIN\tB-PP\tO' +p348655 +aS'4.0\t4.0\tCD\tB-NP\tO' +p348656 +aS'on\ton\tIN\tB-PP\tO' +p348657 +aS'admission\tadmission\tNN\tB-NP\tO' +p348658 +aS'and\tand\tCC\tO\tO' +p348659 +aS'this\tthis\tDT\tB-NP\tO' +p348660 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p348661 +aS'down\tdown\tRB\tB-ADVP\tO' +p348662 +aS'to\tto\tTO\tB-PP\tO' +p348663 +aS'the\tthe\tDT\tB-NP\tO' +p348664 +aS'mid\tmid\tJJ\tI-NP\tO' +p348665 +aS'ones\tone\tNNS\tI-NP\tO' +p348666 +aS'with\twith\tIN\tB-PP\tO' +p348667 +aS'fluid\tfluid\tNN\tB-NP\tO' +p348668 +aS',\t,\t,\tO\tO' +p348669 +aS'currently\tcurrently\tRB\tB-ADVP\tO' +p348670 +aS'at\tat\tIN\tB-PP\tO' +p348671 +aS'1.7\t1.7\tCD\tB-NP\tO' +p348672 +aS'on\ton\tIN\tB-PP\tO' +p348673 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p348674 +aS'.\t.\t.\tO\tO' +p348675 +asS'His intravenous antibiotics were discontinued .' +p348676 +(lp348677 +S'His\tHis\tPRP$\tB-NP\tO' +p348678 +aS'intravenous\tintravenous\tJJ\tI-NP\tO' +p348679 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p348680 +aS'were\tbe\tVBD\tB-VP\tO' +p348681 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p348682 +aS'.\t.\t.\tO\tO' +p348683 +asS'11. Fragmin 2500 units subcut every day .' +p348684 +(lp348685 +S'11.\t11.\tLS\tB-NP\tO' +p348686 +aS'Fragmin\tFragmin\tNNP\tI-NP\tO' +p348687 +aS'2500\t2500\tCD\tI-NP\tO' +p348688 +aS'units\tunit\tNNS\tI-NP\tO' +p348689 +aS'subcut\tsubcut\tVBD\tB-VP\tO' +p348690 +aS'every\tevery\tDT\tB-NP\tO' +p348691 +aS'day\tday\tNN\tI-NP\tO' +p348692 +aS'.\t.\t.\tO\tO' +p348693 +asS'Active , alert , responding to stimulation .' +p348694 +(lp348695 +S'Active\tActive\tJJ\tB-NP\tO' +p348696 +aS',\t,\t,\tI-NP\tO' +p348697 +aS'alert\talert\tJJ\tI-NP\tO' +p348698 +aS',\t,\t,\tO\tO' +p348699 +aS'responding\trespond\tVBG\tB-VP\tO' +p348700 +aS'to\tto\tTO\tB-PP\tO' +p348701 +aS'stimulation\tstimulation\tNN\tB-NP\tO' +p348702 +aS'.\t.\t.\tO\tO' +p348703 +asS'Red reflexes noted bilaterally .' +p348704 +(lp348705 +S'Red\tRed\tJJ\tB-NP\tO' +p348706 +aS'reflexes\treflex\tNNS\tI-NP\tO' +p348707 +aS'noted\tnote\tVBN\tB-VP\tO' +p348708 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p348709 +aS'.\t.\t.\tO\tO' +p348710 +asS'MEDICATIONS ON TRANSFER FROM THE INTENSIVE CARE 4999801 .' +p348711 +(lp348712 +S'MEDICATIONS\tMEDICATIONS\tNNS\tB-NP\tO' +p348713 +aS'ON\tON\tVBP\tB-VP\tO' +p348714 +aS'TRANSFER\tTRANSFER\tNN\tB-NP\tO' +p348715 +aS'FROM\tFROM\tNN\tI-NP\tO' +p348716 +aS'THE\tTHE\tDT\tB-NP\tO' +p348717 +aS'INTENSIVE\tINTENSIVE\tJJ\tI-NP\tO' +p348718 +aS'CARE\tCARE\tNN\tI-NP\tO' +p348719 +aS'4999801\t4999801\tCD\tI-NP\tO' +p348720 +aS'.\t.\t.\tO\tO' +p348721 +asS'Righteye surgery for glaucoma in 05/97 .' +p348722 +(lp348723 +S'Righteye\tRighteye\tNN\tB-NP\tO' +p348724 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p348725 +aS'for\tfor\tIN\tB-PP\tO' +p348726 +aS'glaucoma\tglaucoma\tNN\tB-NP\tO' +p348727 +aS'in\tin\tIN\tB-PP\tO' +p348728 +aS'05/97\t05/97\tCD\tB-NP\tO' +p348729 +aS'.\t.\t.\tO\tO' +p348730 +asS'He had a left pupil that was in unequal in size with a keyhole appearance consistent with a coloboma .' +p348731 +(lp348732 +S'He\tHe\tPRP\tB-NP\tO' +p348733 +aS'had\thave\tVBD\tB-VP\tO' +p348734 +aS'a\ta\tDT\tB-NP\tO' +p348735 +aS'left\tleft\tJJ\tI-NP\tO' +p348736 +aS'pupil\tpupil\tNN\tI-NP\tO' +p348737 +aS'that\tthat\tWDT\tB-NP\tO' +p348738 +aS'was\tbe\tVBD\tB-VP\tO' +p348739 +aS'in\tin\tIN\tB-PP\tO' +p348740 +aS'unequal\tunequal\tJJ\tB-NP\tO' +p348741 +aS'in\tin\tIN\tB-PP\tO' +p348742 +aS'size\tsize\tNN\tB-NP\tO' +p348743 +aS'with\twith\tIN\tB-PP\tO' +p348744 +aS'a\ta\tDT\tB-NP\tO' +p348745 +aS'keyhole\tkeyhole\tJJ\tI-NP\tO' +p348746 +aS'appearance\tappearance\tNN\tI-NP\tO' +p348747 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p348748 +aS'with\twith\tIN\tB-PP\tO' +p348749 +aS'a\ta\tDT\tB-NP\tO' +p348750 +aS'coloboma\tcoloboma\tNN\tI-NP\tO' +p348751 +aS'.\t.\t.\tO\tO' +p348752 +asS'Afib , occasional V-paced , rate 83 bpm .' +p348753 +(lp348754 +S'Afib\tAfib\tNN\tB-NP\tO' +p348755 +aS',\t,\t,\tO\tO' +p348756 +aS'occasional\toccasional\tJJ\tB-NP\tO' +p348757 +aS'V-paced\tV-paced\tJJ\tI-NP\tO' +p348758 +aS',\t,\t,\tI-NP\tO' +p348759 +aS'rate\trate\tNN\tI-NP\tO' +p348760 +aS'83\t83\tCD\tI-NP\tO' +p348761 +aS'bpm\tbpm\tNN\tI-NP\tO' +p348762 +aS'.\t.\t.\tO\tO' +p348763 +asS'Weight 70.4 kilograms , temperature 96.5 , respiratory rate 20 , blood pressure 105/60 , pulse 76 .' +p348764 +(lp348765 +S'Weight\tWeight\tNN\tB-NP\tO' +p348766 +aS'70.4\t70.4\tCD\tB-NP\tO' +p348767 +aS'kilograms\tkilogram\tNNS\tI-NP\tO' +p348768 +aS',\t,\t,\tO\tO' +p348769 +aS'temperature\ttemperature\tNN\tB-NP\tB-protein' +p348770 +aS'96.5\t96.5\tCD\tI-NP\tI-protein' +p348771 +aS',\t,\t,\tO\tO' +p348772 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p348773 +aS'rate\trate\tNN\tI-NP\tO' +p348774 +aS'20\t20\tCD\tI-NP\tO' +p348775 +aS',\t,\t,\tO\tO' +p348776 +aS'blood\tblood\tNN\tB-NP\tO' +p348777 +aS'pressure\tpressure\tNN\tI-NP\tO' +p348778 +aS'105/60\t105/60\tCD\tI-NP\tO' +p348779 +aS',\t,\t,\tO\tO' +p348780 +aS'pulse\tpulse\tNN\tB-NP\tO' +p348781 +aS'76\t76\tCD\tI-NP\tO' +p348782 +aS'.\t.\t.\tO\tO' +p348783 +asS'All physicians and the family were in agreement that the most appropriate approach was to institute comfort measures .' +p348784 +(lp348785 +S'All\tAll\tDT\tB-NP\tO' +p348786 +aS'physicians\tphysician\tNNS\tI-NP\tO' +p348787 +aS'and\tand\tCC\tO\tO' +p348788 +aS'the\tthe\tDT\tB-NP\tO' +p348789 +aS'family\tfamily\tNN\tI-NP\tO' +p348790 +aS'were\tbe\tVBD\tB-VP\tO' +p348791 +aS'in\tin\tIN\tB-PP\tO' +p348792 +aS'agreement\tagreement\tNN\tB-NP\tO' +p348793 +aS'that\tthat\tIN\tB-SBAR\tO' +p348794 +aS'the\tthe\tDT\tB-NP\tO' +p348795 +aS'most\tmost\tRBS\tI-NP\tO' +p348796 +aS'appropriate\tappropriate\tJJ\tI-NP\tO' +p348797 +aS'approach\tapproach\tNN\tI-NP\tO' +p348798 +aS'was\tbe\tVBD\tB-VP\tO' +p348799 +aS'to\tto\tTO\tB-VP\tO' +p348800 +aS'institute\tinstitute\tVB\tI-VP\tO' +p348801 +aS'comfort\tcomfort\tNN\tB-NP\tO' +p348802 +aS'measures\tmeasure\tNNS\tI-NP\tO' +p348803 +aS'.\t.\t.\tO\tO' +p348804 +asS'Given his tenuous respiratory status , he was transferred to the FICU with closer observation .' +p348805 +(lp348806 +S'Given\tGive\tVBN\tB-VP\tO' +p348807 +aS'his\this\tPRP$\tB-NP\tO' +p348808 +aS'tenuous\ttenuous\tJJ\tI-NP\tO' +p348809 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p348810 +aS'status\tstatus\tNN\tI-NP\tO' +p348811 +aS',\t,\t,\tO\tO' +p348812 +aS'he\the\tPRP\tB-NP\tO' +p348813 +aS'was\tbe\tVBD\tB-VP\tO' +p348814 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p348815 +aS'to\tto\tTO\tB-PP\tO' +p348816 +aS'the\tthe\tDT\tB-NP\tO' +p348817 +aS'FICU\tFICU\tNN\tI-NP\tO' +p348818 +aS'with\twith\tIN\tB-PP\tO' +p348819 +aS'closer\tclose\tJJR\tB-NP\tO' +p348820 +aS'observation\tobservation\tNN\tI-NP\tO' +p348821 +aS'.\t.\t.\tO\tO' +p348822 +asS'It was initially managed with intravenous diltiazam , and it was later managed with metoprolol and anticoagulation .' +p348823 +(lp348824 +S'It\tIt\tPRP\tB-NP\tO' +p348825 +aS'was\tbe\tVBD\tB-VP\tO' +p348826 +aS'initially\tinitially\tRB\tI-VP\tO' +p348827 +aS'managed\tmanage\tVBN\tI-VP\tO' +p348828 +aS'with\twith\tIN\tB-PP\tO' +p348829 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p348830 +aS'diltiazam\tdiltiazam\tNN\tI-NP\tO' +p348831 +aS',\t,\t,\tO\tO' +p348832 +aS'and\tand\tCC\tO\tO' +p348833 +aS'it\tit\tPRP\tB-NP\tO' +p348834 +aS'was\tbe\tVBD\tB-VP\tO' +p348835 +aS'later\tlater\tRB\tI-VP\tO' +p348836 +aS'managed\tmanage\tVBN\tI-VP\tO' +p348837 +aS'with\twith\tIN\tB-PP\tO' +p348838 +aS'metoprolol\tmetoprolol\tNN\tB-NP\tO' +p348839 +aS'and\tand\tCC\tI-NP\tO' +p348840 +aS'anticoagulation\tanticoagulation\tNN\tI-NP\tO' +p348841 +aS'.\t.\t.\tO\tO' +p348842 +asS'However , no acute changes were apparent .' +p348843 +(lp348844 +S'However\tHowever\tRB\tB-ADVP\tO' +p348845 +aS',\t,\t,\tO\tO' +p348846 +aS'no\tno\tDT\tB-NP\tO' +p348847 +aS'acute\tacute\tJJ\tI-NP\tO' +p348848 +aS'changes\tchange\tNNS\tI-NP\tO' +p348849 +aS'were\tbe\tVBD\tB-VP\tO' +p348850 +aS'apparent\tapparent\tJJ\tB-ADJP\tO' +p348851 +aS'.\t.\t.\tO\tO' +p348852 +asS'She tolerated the procedure well , see op report for details .' +p348853 +(lp348854 +S'She\tShe\tPRP\tB-NP\tO' +p348855 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p348856 +aS'the\tthe\tDT\tB-NP\tO' +p348857 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p348858 +aS'well\twell\tRB\tB-ADVP\tO' +p348859 +aS',\t,\t,\tO\tO' +p348860 +aS'see\tsee\tVB\tB-VP\tO' +p348861 +aS'op\top\tNN\tB-NP\tO' +p348862 +aS'report\treport\tNN\tI-NP\tO' +p348863 +aS'for\tfor\tIN\tB-PP\tO' +p348864 +aS'details\tdetail\tNNS\tB-NP\tO' +p348865 +aS'.\t.\t.\tO\tO' +p348866 +asS'She was given Flagyl for presumed C. Diff. Colitis , however this was stopped when C. Diff B toxin came back negative on 2019-01-10 .' +p348867 +(lp348868 +S'She\tShe\tPRP\tB-NP\tO' +p348869 +aS'was\tbe\tVBD\tB-VP\tO' +p348870 +aS'given\tgive\tVBN\tI-VP\tO' +p348871 +aS'Flagyl\tFlagyl\tNNP\tB-NP\tO' +p348872 +aS'for\tfor\tIN\tB-PP\tO' +p348873 +aS'presumed\tpresumed\tNNP\tB-NP\tO' +p348874 +aS'C.\tC.\tNNP\tI-NP\tO' +p348875 +aS'Diff.\tDiff.\tNNP\tI-NP\tO' +p348876 +aS'Colitis\tColitis\tNNP\tI-NP\tO' +p348877 +aS',\t,\t,\tO\tO' +p348878 +aS'however\thowever\tRB\tB-ADVP\tO' +p348879 +aS'this\tthis\tDT\tB-NP\tO' +p348880 +aS'was\tbe\tVBD\tB-VP\tO' +p348881 +aS'stopped\tstop\tVBN\tI-VP\tO' +p348882 +aS'when\twhen\tWRB\tB-ADVP\tO' +p348883 +aS'C.\tC.\tNNP\tB-NP\tO' +p348884 +aS'Diff\tDiff\tNNP\tI-NP\tO' +p348885 +aS'B\tB\tNNP\tI-NP\tO' +p348886 +aS'toxin\ttoxin\tNN\tI-NP\tO' +p348887 +aS'came\tcome\tVBD\tB-VP\tO' +p348888 +aS'back\tback\tRB\tB-ADJP\tO' +p348889 +aS'negative\tnegative\tJJ\tI-ADJP\tO' +p348890 +aS'on\ton\tIN\tB-PP\tO' +p348891 +aS'2019-01-10\t2019-01-10\tCD\tB-NP\tO' +p348892 +aS'.\t.\t.\tO\tO' +p348893 +asS'The patient required supplemental oxygen to keep his oxygen saturation greater than 93% .' +p348894 +(lp348895 +S'The\tThe\tDT\tB-NP\tO' +p348896 +aS'patient\tpatient\tNN\tI-NP\tO' +p348897 +aS'required\trequire\tVBD\tB-VP\tO' +p348898 +aS'supplemental\tsupplemental\tJJ\tB-NP\tO' +p348899 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p348900 +aS'to\tto\tTO\tB-VP\tO' +p348901 +aS'keep\tkeep\tVB\tI-VP\tO' +p348902 +aS'his\this\tPRP$\tB-NP\tO' +p348903 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p348904 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p348905 +aS'greater\tgreat\tJJR\tB-ADJP\tO' +p348906 +aS'than\tthan\tIN\tB-PP\tO' +p348907 +aS'93%\t93%\tCD\tB-NP\tO' +p348908 +aS'.\t.\t.\tO\tO' +p348909 +asS'Patient was referred to Cardiology and underwent a three vessel coronary artery bypass graft on 11/25/09 .' +p348910 +(lp348911 +S'Patient\tPatient\tNN\tB-NP\tO' +p348912 +aS'was\tbe\tVBD\tB-VP\tO' +p348913 +aS'referred\trefer\tVBN\tI-VP\tO' +p348914 +aS'to\tto\tTO\tB-PP\tO' +p348915 +aS'Cardiology\tCardiology\tNNP\tB-NP\tO' +p348916 +aS'and\tand\tCC\tO\tO' +p348917 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p348918 +aS'a\ta\tDT\tB-NP\tO' +p348919 +aS'three\tthree\tCD\tI-NP\tO' +p348920 +aS'vessel\tvessel\tNN\tI-NP\tO' +p348921 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p348922 +aS'artery\tartery\tNN\tI-NP\tO' +p348923 +aS'bypass\tbypass\tIN\tB-PP\tO' +p348924 +aS'graft\tgraft\tNN\tB-NP\tO' +p348925 +aS'on\ton\tIN\tB-PP\tO' +p348926 +aS'11/25/09\t11/25/09\tCD\tB-NP\tO' +p348927 +aS'.\t.\t.\tO\tO' +p348928 +asS'Captopril and nitropaste to control pressure .' +p348929 +(lp348930 +S'Captopril\tCaptopril\tNNP\tB-NP\tO' +p348931 +aS'and\tand\tCC\tO\tO' +p348932 +aS'nitropaste\tnitropaste\tNN\tB-NP\tO' +p348933 +aS'to\tto\tTO\tB-PP\tO' +p348934 +aS'control\tcontrol\tNN\tB-NP\tO' +p348935 +aS'pressure\tpressure\tNN\tI-NP\tO' +p348936 +aS'.\t.\t.\tO\tO' +p348937 +asS'Her sutures were removed on postoperative day # one , at which time she went home in satisfactory condition .' +p348938 +(lp348939 +S'Her\tHer\tPRP$\tB-NP\tO' +p348940 +aS'sutures\tsuture\tNNS\tI-NP\tO' +p348941 +aS'were\tbe\tVBD\tB-VP\tO' +p348942 +aS'removed\tremove\tVBN\tI-VP\tO' +p348943 +aS'on\ton\tIN\tB-PP\tO' +p348944 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p348945 +aS'day\tday\tNN\tI-NP\tO' +p348946 +aS'#\t#\t#\tB-NP\tO' +p348947 +aS'one\tone\tCD\tI-NP\tO' +p348948 +aS',\t,\t,\tO\tO' +p348949 +aS'at\tat\tIN\tB-PP\tO' +p348950 +aS'which\twhich\tWDT\tB-NP\tO' +p348951 +aS'time\ttime\tNN\tI-NP\tO' +p348952 +aS'she\tshe\tPRP\tB-NP\tO' +p348953 +aS'went\tgo\tVBD\tB-VP\tO' +p348954 +aS'home\thome\tNN\tB-ADVP\tO' +p348955 +aS'in\tin\tIN\tB-PP\tO' +p348956 +aS'satisfactory\tsatisfactory\tJJ\tB-NP\tO' +p348957 +aS'condition\tcondition\tNN\tI-NP\tO' +p348958 +aS'.\t.\t.\tO\tO' +p348959 +asS'Notable for a sodium of 145 , potassium 3.6 , BUN 23 , creatinine 1.3 , glucose 104 , hematocrit 42 , white count 8.7 , platelet count 235 and a PT of 12.9 seconds .' +p348960 +(lp348961 +S'Notable\tNotable\tJJ\tB-ADJP\tO' +p348962 +aS'for\tfor\tIN\tB-PP\tO' +p348963 +aS'a\ta\tDT\tB-NP\tO' +p348964 +aS'sodium\tsodium\tNN\tI-NP\tO' +p348965 +aS'of\tof\tIN\tB-PP\tO' +p348966 +aS'145\t145\tCD\tB-NP\tO' +p348967 +aS',\t,\t,\tO\tO' +p348968 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p348969 +aS'3.6\t3.6\tCD\tI-NP\tO' +p348970 +aS',\t,\t,\tO\tO' +p348971 +aS'BUN\tBUN\tNN\tB-NP\tB-DNA' +p348972 +aS'23\t23\tCD\tI-NP\tI-DNA' +p348973 +aS',\t,\t,\tO\tO' +p348974 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p348975 +aS'1.3\t1.3\tCD\tI-NP\tO' +p348976 +aS',\t,\t,\tO\tO' +p348977 +aS'glucose\tglucose\tNN\tB-NP\tO' +p348978 +aS'104\t104\tCD\tI-NP\tO' +p348979 +aS',\t,\t,\tO\tO' +p348980 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p348981 +aS'42\t42\tCD\tI-NP\tI-protein' +p348982 +aS',\t,\t,\tO\tO' +p348983 +aS'white\twhite\tJJ\tB-NP\tO' +p348984 +aS'count\tcount\tNN\tI-NP\tO' +p348985 +aS'8.7\t8.7\tCD\tI-NP\tO' +p348986 +aS',\t,\t,\tO\tO' +p348987 +aS'platelet\tplatelet\tNN\tB-NP\tB-protein' +p348988 +aS'count\tcount\tNN\tI-NP\tI-protein' +p348989 +aS'235\t235\tCD\tI-NP\tI-protein' +p348990 +aS'and\tand\tCC\tO\tO' +p348991 +aS'a\ta\tDT\tB-NP\tO' +p348992 +aS'PT\tPT\tNN\tI-NP\tO' +p348993 +aS'of\tof\tIN\tB-PP\tO' +p348994 +aS'12.9\t12.9\tCD\tB-NP\tO' +p348995 +aS'seconds\tsecond\tNNS\tI-NP\tO' +p348996 +aS'.\t.\t.\tO\tO' +p348997 +asS'On day of life 25 , calcium 10.1 , phosphorus 6.9 , alkaline phosphatase 341 .' +p348998 +(lp348999 +S'On\tOn\tIN\tB-PP\tO' +p349000 +aS'day\tday\tNN\tB-NP\tO' +p349001 +aS'of\tof\tIN\tB-PP\tO' +p349002 +aS'life\tlife\tNN\tB-NP\tO' +p349003 +aS'25\t25\tCD\tI-NP\tO' +p349004 +aS',\t,\t,\tO\tO' +p349005 +aS'calcium\tcalcium\tNN\tB-NP\tO' +p349006 +aS'10.1\t10.1\tCD\tI-NP\tO' +p349007 +aS',\t,\t,\tO\tO' +p349008 +aS'phosphorus\tphosphorus\tNN\tB-NP\tO' +p349009 +aS'6.9\t6.9\tCD\tI-NP\tO' +p349010 +aS',\t,\t,\tO\tO' +p349011 +aS'alkaline\talkaline\tNN\tB-NP\tO' +p349012 +aS'phosphatase\tphosphatase\tNN\tI-NP\tO' +p349013 +aS'341\t341\tCD\tI-NP\tO' +p349014 +aS'.\t.\t.\tO\tO' +p349015 +asS'In the past , her seizures were on the left side , which implies that she now has a new focus .' +p349016 +(lp349017 +S'In\tIn\tIN\tB-PP\tO' +p349018 +aS'the\tthe\tDT\tB-NP\tO' +p349019 +aS'past\tpast\tNN\tI-NP\tO' +p349020 +aS',\t,\t,\tO\tO' +p349021 +aS'her\ther\tPRP$\tB-NP\tO' +p349022 +aS'seizures\tseizure\tNNS\tI-NP\tO' +p349023 +aS'were\tbe\tVBD\tB-VP\tO' +p349024 +aS'on\ton\tIN\tB-PP\tO' +p349025 +aS'the\tthe\tDT\tB-NP\tO' +p349026 +aS'left\tleft\tJJ\tI-NP\tO' +p349027 +aS'side\tside\tNN\tI-NP\tO' +p349028 +aS',\t,\t,\tO\tO' +p349029 +aS'which\twhich\tWDT\tB-NP\tO' +p349030 +aS'implies\timply\tVBZ\tB-VP\tO' +p349031 +aS'that\tthat\tIN\tB-SBAR\tO' +p349032 +aS'she\tshe\tPRP\tB-NP\tO' +p349033 +aS'now\tnow\tRB\tB-ADVP\tO' +p349034 +aS'has\thave\tVBZ\tB-VP\tO' +p349035 +aS'a\ta\tDT\tB-NP\tO' +p349036 +aS'new\tnew\tJJ\tI-NP\tO' +p349037 +aS'focus\tfocus\tNN\tI-NP\tO' +p349038 +aS'.\t.\t.\tO\tO' +p349039 +asS'The patient was fully weaned from ventilatory support secondary to a persistent acidemia .' +p349040 +(lp349041 +S'The\tThe\tDT\tB-NP\tO' +p349042 +aS'patient\tpatient\tNN\tI-NP\tO' +p349043 +aS'was\tbe\tVBD\tB-VP\tO' +p349044 +aS'fully\tfully\tRB\tI-VP\tO' +p349045 +aS'weaned\twean\tVBN\tI-VP\tO' +p349046 +aS'from\tfrom\tIN\tB-PP\tO' +p349047 +aS'ventilatory\tventilatory\tJJ\tB-NP\tO' +p349048 +aS'support\tsupport\tNN\tI-NP\tO' +p349049 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p349050 +aS'to\tto\tTO\tB-PP\tO' +p349051 +aS'a\ta\tDT\tB-NP\tO' +p349052 +aS'persistent\tpersistent\tJJ\tI-NP\tO' +p349053 +aS'acidemia\tacidemia\tNN\tI-NP\tO' +p349054 +aS'.\t.\t.\tO\tO' +p349055 +asS'On admission to Fairm of Ijordcompmac Hospital , hypernatremia and hypovolemic shock .' +p349056 +(lp349057 +S'On\tOn\tIN\tB-PP\tO' +p349058 +aS'admission\tadmission\tNN\tB-NP\tO' +p349059 +aS'to\tto\tTO\tB-PP\tO' +p349060 +aS'Fairm\tFairm\tNNP\tB-NP\tO' +p349061 +aS'of\tof\tIN\tB-PP\tO' +p349062 +aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' +p349063 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p349064 +aS',\t,\t,\tO\tO' +p349065 +aS'hypernatremia\thypernatremia\tNN\tB-NP\tO' +p349066 +aS'and\tand\tCC\tO\tO' +p349067 +aS'hypovolemic\thypovolemic\tJJ\tB-NP\tO' +p349068 +aS'shock\tshock\tNN\tI-NP\tO' +p349069 +aS'.\t.\t.\tO\tO' +p349070 +asS'The abdomen is soft , nontender , nondistended , with a small umbilical hernia .' +p349071 +(lp349072 +S'The\tThe\tDT\tB-NP\tO' +p349073 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p349074 +aS'is\tbe\tVBZ\tB-VP\tO' +p349075 +aS'soft\tsoft\tJJ\tB-NP\tO' +p349076 +aS',\t,\t,\tI-NP\tO' +p349077 +aS'nontender\tnontender\tJJ\tI-NP\tO' +p349078 +aS',\t,\t,\tI-NP\tO' +p349079 +aS'nondistended\tnondistended\tJJ\tI-NP\tO' +p349080 +aS',\t,\t,\tO\tO' +p349081 +aS'with\twith\tIN\tB-PP\tO' +p349082 +aS'a\ta\tDT\tB-NP\tO' +p349083 +aS'small\tsmall\tJJ\tI-NP\tO' +p349084 +aS'umbilical\tumbilical\tJJ\tI-NP\tO' +p349085 +aS'hernia\thernia\tNN\tI-NP\tO' +p349086 +aS'.\t.\t.\tO\tO' +p349087 +asS'You should continue taking this medication and your last day will be Nolen , 06-23 .' +p349088 +(lp349089 +S'You\tYou\tPRP\tB-NP\tB-protein' +p349090 +aS'should\tshould\tMD\tB-VP\tO' +p349091 +aS'continue\tcontinue\tVB\tI-VP\tO' +p349092 +aS'taking\ttake\tVBG\tI-VP\tO' +p349093 +aS'this\tthis\tDT\tB-NP\tO' +p349094 +aS'medication\tmedication\tNN\tI-NP\tO' +p349095 +aS'and\tand\tCC\tO\tO' +p349096 +aS'your\tyour\tPRP$\tB-NP\tO' +p349097 +aS'last\tlast\tJJ\tI-NP\tO' +p349098 +aS'day\tday\tNN\tI-NP\tO' +p349099 +aS'will\twill\tMD\tB-VP\tO' +p349100 +aS'be\tbe\tVB\tI-VP\tO' +p349101 +aS'Nolen\tNolen\tVBN\tI-VP\tO' +p349102 +aS',\t,\t,\tO\tO' +p349103 +aS'06-23\t06-23\tCD\tB-NP\tO' +p349104 +aS'.\t.\t.\tO\tO' +p349105 +asS'PRINCIPAL DISCHARGE DIAGNOSIS ; Responsible After Study for Causing Admission ) chest pain' +p349106 +(lp349107 +S'PRINCIPAL\tPRINCIPAL\tJJ\tB-NP\tO' +p349108 +aS'DISCHARGE\tDISCHARGE\tNN\tI-NP\tO' +p349109 +aS'DIAGNOSIS\tDIAGNOSIS\tNN\tI-NP\tO' +p349110 +aS';\t;\t:\tO\tO' +p349111 +aS'Responsible\tResponsible\tJJ\tB-ADJP\tO' +p349112 +aS'After\tAfter\tIN\tB-PP\tO' +p349113 +aS'Study\tStudy\tNN\tB-NP\tO' +p349114 +aS'for\tfor\tIN\tB-PP\tO' +p349115 +aS'Causing\tCause\tVBG\tB-VP\tO' +p349116 +aS'Admission\tAdmission\tNN\tB-NP\tO' +p349117 +aS')\t)\t)\tO\tO' +p349118 +aS'chest\tchest\tNN\tB-NP\tO' +p349119 +aS'pain\tpain\tNN\tI-NP\tO' +p349120 +asS'5. Insulin-dependent diabetes mellitus times 32 years .' +p349121 +(lp349122 +S'5.\t5.\tLS\tB-NP\tO' +p349123 +aS'Insulin-dependent\tInsulin-dependent\tJJ\tI-NP\tB-protein' +p349124 +aS'diabetes\tdiabetes\tNN\tI-NP\tI-protein' +p349125 +aS'mellitus\tmellitus\tNN\tI-NP\tI-protein' +p349126 +aS'times\ttime\tNNS\tI-NP\tI-protein' +p349127 +aS'32\t32\tCD\tB-NP\tI-protein' +p349128 +aS'years\tyear\tNNS\tI-NP\tI-protein' +p349129 +aS'.\t.\t.\tO\tO' +p349130 +asS'Her creatine kinases climbed ; reaching a peak of 3523 , which was down to 1500 at the time of discharge .' +p349131 +(lp349132 +S'Her\tHer\tPRP$\tB-NP\tO' +p349133 +aS'creatine\tcreatine\tNN\tI-NP\tB-protein' +p349134 +aS'kinases\tkinase\tNNS\tI-NP\tI-protein' +p349135 +aS'climbed\tclimb\tVBD\tB-VP\tO' +p349136 +aS';\t;\t:\tO\tO' +p349137 +aS'reaching\treach\tVBG\tB-VP\tO' +p349138 +aS'a\ta\tDT\tB-NP\tO' +p349139 +aS'peak\tpeak\tNN\tI-NP\tO' +p349140 +aS'of\tof\tIN\tB-PP\tO' +p349141 +aS'3523\t3523\tCD\tB-NP\tO' +p349142 +aS',\t,\t,\tO\tO' +p349143 +aS'which\twhich\tWDT\tB-NP\tO' +p349144 +aS'was\tbe\tVBD\tB-VP\tO' +p349145 +aS'down\tdown\tRB\tB-ADVP\tO' +p349146 +aS'to\tto\tTO\tB-PP\tO' +p349147 +aS'1500\t1500\tCD\tB-NP\tO' +p349148 +aS'at\tat\tIN\tB-PP\tO' +p349149 +aS'the\tthe\tDT\tB-NP\tO' +p349150 +aS'time\ttime\tNN\tI-NP\tO' +p349151 +aS'of\tof\tIN\tB-PP\tO' +p349152 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p349153 +aS'.\t.\t.\tO\tO' +p349154 +asS'She was negative for PCP and subsequently _____________ was continued and Clindamycin was changed for anaerobic coverage .' +p349155 +(lp349156 +S'She\tShe\tPRP\tB-NP\tO' +p349157 +aS'was\tbe\tVBD\tB-VP\tO' +p349158 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p349159 +aS'for\tfor\tIN\tB-PP\tO' +p349160 +aS'PCP\tPCP\tNN\tB-NP\tB-protein' +p349161 +aS'and\tand\tCC\tO\tO' +p349162 +aS'subsequently\tsubsequently\tRB\tB-NP\tO' +p349163 +aS'_____________\t_____________\tDT\tI-NP\tO' +p349164 +aS'was\tbe\tVBD\tB-VP\tO' +p349165 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p349166 +aS'and\tand\tCC\tO\tO' +p349167 +aS'Clindamycin\tClindamycin\tNN\tB-NP\tO' +p349168 +aS'was\tbe\tVBD\tB-VP\tO' +p349169 +aS'changed\tchange\tVBN\tI-VP\tO' +p349170 +aS'for\tfor\tIN\tB-PP\tO' +p349171 +aS'anaerobic\tanaerobic\tJJ\tB-NP\tO' +p349172 +aS'coverage\tcoverage\tNN\tI-NP\tO' +p349173 +aS'.\t.\t.\tO\tO' +p349174 +asS'She denies any abdominal pain .' +p349175 +(lp349176 +S'She\tShe\tPRP\tB-NP\tO' +p349177 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p349178 +aS'any\tany\tDT\tB-NP\tO' +p349179 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p349180 +aS'pain\tpain\tNN\tI-NP\tO' +p349181 +aS'.\t.\t.\tO\tO' +p349182 +asS'The pleurae are normal .' +p349183 +(lp349184 +S'The\tThe\tDT\tB-NP\tO' +p349185 +aS'pleurae\tpleura\tNNS\tI-NP\tO' +p349186 +aS'are\tbe\tVBP\tB-VP\tO' +p349187 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p349188 +aS'.\t.\t.\tO\tO' +p349189 +asS'1 ETO drink daily .' +p349190 +(lp349191 +S'1\t1\tCD\tB-NP\tO' +p349192 +aS'ETO\tETO\tNN\tI-NP\tO' +p349193 +aS'drink\tdrink\tNN\tI-NP\tO' +p349194 +aS'daily\tdaily\tRB\tB-ADVP\tO' +p349195 +aS'.\t.\t.\tO\tO' +p349196 +asS'decreased reflexes Lower extremities .' +p349197 +(lp349198 +S'decreased\tdecrease\tVBN\tB-NP\tO' +p349199 +aS'reflexes\treflex\tNNS\tI-NP\tO' +p349200 +aS'Lower\tLow\tJJR\tB-NP\tO' +p349201 +aS'extremities\textremity\tNNS\tI-NP\tO' +p349202 +aS'.\t.\t.\tO\tO' +p349203 +asS'5. Arterial emboli , left femoral artery .' +p349204 +(lp349205 +S'5.\t5.\tLS\tB-LST\tO' +p349206 +aS'Arterial\tArterial\tNNP\tB-NP\tO' +p349207 +aS'emboli\temboli\tNNP\tI-NP\tO' +p349208 +aS',\t,\t,\tO\tO' +p349209 +aS'left\tleave\tVBD\tB-VP\tO' +p349210 +aS'femoral\tfemoral\tJJ\tB-NP\tO' +p349211 +aS'artery\tartery\tNN\tI-NP\tO' +p349212 +aS'.\t.\t.\tO\tO' +p349213 +asS'Include hypertension .' +p349214 +(lp349215 +S'Include\tInclude\tNN\tB-NP\tO' +p349216 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p349217 +aS'.\t.\t.\tO\tO' +p349218 +asS'Her left internal mammary artery was also unused .' +p349219 +(lp349220 +S'Her\tHer\tPRP$\tB-NP\tO' +p349221 +aS'left\tleft\tJJ\tI-NP\tO' +p349222 +aS'internal\tinternal\tJJ\tI-NP\tO' +p349223 +aS'mammary\tmammary\tJJ\tI-NP\tO' +p349224 +aS'artery\tartery\tNN\tI-NP\tO' +p349225 +aS'was\tbe\tVBD\tB-VP\tO' +p349226 +aS'also\talso\tRB\tB-ADVP\tO' +p349227 +aS'unused\tunused\tJJ\tB-ADJP\tO' +p349228 +aS'.\t.\t.\tO\tO' +p349229 +asS'HEENT revealed pupils were equally round and reactive to light .' +p349230 +(lp349231 +S'HEENT\tHEENT\tNN\tB-NP\tO' +p349232 +aS'revealed\treveal\tVBD\tB-VP\tO' +p349233 +aS'pupils\tpupil\tNNS\tB-NP\tO' +p349234 +aS'were\tbe\tVBD\tB-VP\tO' +p349235 +aS'equally\tequally\tRB\tB-ADJP\tO' +p349236 +aS'round\tround\tJJ\tI-ADJP\tO' +p349237 +aS'and\tand\tCC\tI-ADJP\tO' +p349238 +aS'reactive\treactive\tJJ\tI-ADJP\tO' +p349239 +aS'to\tto\tTO\tB-PP\tO' +p349240 +aS'light\tlight\tNN\tB-NP\tO' +p349241 +aS'.\t.\t.\tO\tO' +p349242 +asS'At the hospital , she was started on Rocephin and Levaquin for a right lower lobe pneumonia seen on chest x-ray .' +p349243 +(lp349244 +S'At\tAt\tIN\tB-PP\tO' +p349245 +aS'the\tthe\tDT\tB-NP\tO' +p349246 +aS'hospital\thospital\tNN\tI-NP\tO' +p349247 +aS',\t,\t,\tO\tO' +p349248 +aS'she\tshe\tPRP\tB-NP\tO' +p349249 +aS'was\tbe\tVBD\tB-VP\tO' +p349250 +aS'started\tstart\tVBN\tI-VP\tO' +p349251 +aS'on\ton\tIN\tB-PP\tO' +p349252 +aS'Rocephin\tRocephin\tNNP\tB-NP\tO' +p349253 +aS'and\tand\tCC\tI-NP\tO' +p349254 +aS'Levaquin\tLevaquin\tNNP\tI-NP\tO' +p349255 +aS'for\tfor\tIN\tB-PP\tO' +p349256 +aS'a\ta\tDT\tB-NP\tO' +p349257 +aS'right\tright\tJJ\tI-NP\tO' +p349258 +aS'lower\tlow\tJJR\tI-NP\tO' +p349259 +aS'lobe\tlobe\tNN\tI-NP\tO' +p349260 +aS'pneumonia\tpneumonia\tNN\tI-NP\tO' +p349261 +aS'seen\tsee\tVBN\tB-VP\tO' +p349262 +aS'on\ton\tIN\tB-PP\tO' +p349263 +aS'chest\tchest\tNN\tB-NP\tO' +p349264 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p349265 +aS'.\t.\t.\tO\tO' +p349266 +asS'World War II veteran .' +p349267 +(lp349268 +S'World\tWorld\tNNP\tB-NP\tO' +p349269 +aS'War\tWar\tNNP\tI-NP\tO' +p349270 +aS'II\tII\tNNP\tI-NP\tO' +p349271 +aS'veteran\tveteran\tNN\tI-NP\tO' +p349272 +aS'.\t.\t.\tO\tO' +p349273 +asS'February 6 , 1994 , rigid bronchoscopy with biopsy and upper gastrointestinal endoscopy .' +p349274 +(lp349275 +S'February\tFebruary\tNNP\tB-NP\tO' +p349276 +aS'6\t6\tCD\tI-NP\tO' +p349277 +aS',\t,\t,\tI-NP\tO' +p349278 +aS'1994\t1994\tCD\tI-NP\tO' +p349279 +aS',\t,\t,\tI-NP\tO' +p349280 +aS'rigid\trigid\tJJ\tI-NP\tO' +p349281 +aS'bronchoscopy\tbronchoscopy\tNN\tI-NP\tO' +p349282 +aS'with\twith\tIN\tB-PP\tO' +p349283 +aS'biopsy\tbiopsy\tNN\tB-NP\tO' +p349284 +aS'and\tand\tCC\tO\tO' +p349285 +aS'upper\tupper\tJJ\tB-NP\tO' +p349286 +aS'gastrointestinal\tgastrointestinal\tJJ\tI-NP\tO' +p349287 +aS'endoscopy\tendoscopy\tNN\tI-NP\tO' +p349288 +aS'.\t.\t.\tO\tO' +p349289 +asS'The patient feels this is secondary to her hemorrhoids , although it does not clearly localize to the rectum .' +p349290 +(lp349291 +S'The\tThe\tDT\tB-NP\tO' +p349292 +aS'patient\tpatient\tNN\tI-NP\tO' +p349293 +aS'feels\tfeel\tNNS\tI-NP\tO' +p349294 +aS'this\tthis\tDT\tB-NP\tO' +p349295 +aS'is\tbe\tVBZ\tB-VP\tO' +p349296 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p349297 +aS'to\tto\tTO\tB-PP\tO' +p349298 +aS'her\ther\tPRP$\tB-NP\tO' +p349299 +aS'hemorrhoids\themorrhoid\tNNS\tI-NP\tO' +p349300 +aS',\t,\t,\tO\tO' +p349301 +aS'although\talthough\tIN\tB-SBAR\tO' +p349302 +aS'it\tit\tPRP\tB-NP\tO' +p349303 +aS'does\tdo\tVBZ\tB-VP\tO' +p349304 +aS'not\tnot\tRB\tI-VP\tO' +p349305 +aS'clearly\tclearly\tRB\tI-VP\tO' +p349306 +aS'localize\tlocalize\tVB\tI-VP\tO' +p349307 +aS'to\tto\tTO\tB-PP\tO' +p349308 +aS'the\tthe\tDT\tB-NP\tO' +p349309 +aS'rectum\trectum\tNN\tI-NP\tO' +p349310 +aS'.\t.\t.\tO\tO' +p349311 +asS'She was intubated for this hypoxia and treated with lasix , metoprolol , and diltiazem .' +p349312 +(lp349313 +S'She\tShe\tPRP\tB-NP\tO' +p349314 +aS'was\tbe\tVBD\tB-VP\tO' +p349315 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p349316 +aS'for\tfor\tIN\tB-PP\tO' +p349317 +aS'this\tthis\tDT\tB-NP\tO' +p349318 +aS'hypoxia\thypoxia\tNN\tI-NP\tO' +p349319 +aS'and\tand\tCC\tO\tO' +p349320 +aS'treated\ttreat\tVBN\tB-VP\tO' +p349321 +aS'with\twith\tIN\tB-PP\tO' +p349322 +aS'lasix\tlasix\tNN\tB-NP\tO' +p349323 +aS',\t,\t,\tO\tO' +p349324 +aS'metoprolol\tmetoprolol\tNN\tB-NP\tO' +p349325 +aS',\t,\t,\tO\tO' +p349326 +aS'and\tand\tCC\tO\tO' +p349327 +aS'diltiazem\tdiltiazem\tNN\tB-NP\tO' +p349328 +aS'.\t.\t.\tO\tO' +p349329 +asS'OTHER DIAGNOSIS ; Conditions , Infections , Complications , affecting Treatment / Stay dm ( diabetes mellitus ) anxiety ( anxiety ) htn ( hypertension ) gerd ( esophageal reflux )' +p349330 +(lp349331 +S'OTHER\tOTHER\tNN\tB-NP\tO' +p349332 +aS'DIAGNOSIS\tDIAGNOSIS\tNN\tI-NP\tO' +p349333 +aS';\t;\t:\tO\tO' +p349334 +aS'Conditions\tCondition\tNNS\tB-NP\tO' +p349335 +aS',\t,\t,\tO\tO' +p349336 +aS'Infections\tInfection\tNNS\tB-NP\tO' +p349337 +aS',\t,\t,\tO\tO' +p349338 +aS'Complications\tComplication\tNNS\tB-NP\tO' +p349339 +aS',\t,\t,\tO\tO' +p349340 +aS'affecting\taffect\tVBG\tB-VP\tO' +p349341 +aS'Treatment\tTreatment\tNN\tB-NP\tO' +p349342 +aS'/\t/\tSYM\tO\tO' +p349343 +aS'Stay\tStay\tNN\tB-NP\tO' +p349344 +aS'dm\tdm\tNN\tI-NP\tO' +p349345 +aS'(\t(\t(\tO\tO' +p349346 +aS'diabetes\tdiabetes\tNN\tB-NP\tO' +p349347 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p349348 +aS')\t)\t)\tO\tO' +p349349 +aS'anxiety\tanxiety\tNN\tB-NP\tO' +p349350 +aS'(\t(\t(\tO\tO' +p349351 +aS'anxiety\tanxiety\tNN\tB-NP\tO' +p349352 +aS')\t)\t)\tO\tO' +p349353 +aS'htn\thtn\tNN\tB-NP\tO' +p349354 +aS'(\t(\t(\tO\tO' +p349355 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p349356 +aS')\t)\t)\tO\tO' +p349357 +aS'gerd\tgerd\tNN\tB-NP\tO' +p349358 +aS'(\t(\t(\tO\tO' +p349359 +aS'esophageal\tesophageal\tJJ\tB-NP\tO' +p349360 +aS'reflux\treflux\tNN\tI-NP\tO' +p349361 +aS')\t)\t)\tO\tO' +p349362 +asS'Family History : father with history of liver cancer at a late age' +p349363 +(lp349364 +S'Family\tFamily\tRB\tB-NP\tO' +p349365 +aS'History\tHistory\tNN\tI-NP\tO' +p349366 +aS':\t:\t:\tO\tO' +p349367 +aS'father\tfather\tNN\tB-NP\tO' +p349368 +aS'with\twith\tIN\tB-PP\tO' +p349369 +aS'history\thistory\tNN\tB-NP\tO' +p349370 +aS'of\tof\tIN\tB-PP\tO' +p349371 +aS'liver\tliver\tNN\tB-NP\tO' +p349372 +aS'cancer\tcancer\tNN\tI-NP\tO' +p349373 +aS'at\tat\tIN\tB-PP\tO' +p349374 +aS'a\ta\tDT\tB-NP\tO' +p349375 +aS'late\tlate\tJJ\tI-NP\tO' +p349376 +aS'age\tage\tNN\tI-NP\tO' +p349377 +asS'3133 W. Third Ave. Rehab & Nursing Center - Westwood Lodge Hospital' +p349378 +(lp349379 +S'3133\t3133\tCD\tB-NP\tO' +p349380 +aS'W.\tW.\tNNP\tI-NP\tO' +p349381 +aS'Third\tThird\tNNP\tI-NP\tO' +p349382 +aS'Ave.\tAve.\tNNP\tI-NP\tO' +p349383 +aS'Rehab\tRehab\tNNP\tI-NP\tO' +p349384 +aS'&\t&\tCC\tI-NP\tO' +p349385 +aS'Nursing\tNursing\tNNP\tI-NP\tO' +p349386 +aS'Center\tCenter\tNNP\tI-NP\tO' +p349387 +aS'-\t-\tHYPH\tB-NP\tO' +p349388 +aS'Westwood\tWestwood\tNNP\tI-NP\tO' +p349389 +aS'Lodge\tLodge\tNNP\tI-NP\tO' +p349390 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p349391 +asS'Also , patient was started on amiodarone and digoxin was held secondary to high levels ( please restart when level less than 2 )' +p349392 +(lp349393 +S'Also\tAlso\tRB\tB-ADVP\tO' +p349394 +aS',\t,\t,\tO\tO' +p349395 +aS'patient\tpatient\tNN\tB-NP\tO' +p349396 +aS'was\tbe\tVBD\tB-VP\tO' +p349397 +aS'started\tstart\tVBN\tI-VP\tO' +p349398 +aS'on\ton\tIN\tB-PP\tO' +p349399 +aS'amiodarone\tamiodarone\tNN\tB-NP\tO' +p349400 +aS'and\tand\tCC\tI-NP\tO' +p349401 +aS'digoxin\tdigoxin\tNN\tI-NP\tO' +p349402 +aS'was\tbe\tVBD\tB-VP\tO' +p349403 +aS'held\thold\tVBN\tI-VP\tO' +p349404 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p349405 +aS'to\tto\tTO\tB-PP\tO' +p349406 +aS'high\thigh\tJJ\tB-NP\tO' +p349407 +aS'levels\tlevel\tNNS\tI-NP\tO' +p349408 +aS'(\t(\t(\tO\tO' +p349409 +aS'please\tplease\tNN\tB-NP\tO' +p349410 +aS'restart\trestart\tNN\tI-NP\tO' +p349411 +aS'when\twhen\tWRB\tB-ADVP\tO' +p349412 +aS'level\tlevel\tNN\tB-NP\tO' +p349413 +aS'less\tless\tJJR\tB-ADJP\tO' +p349414 +aS'than\tthan\tIN\tB-PP\tO' +p349415 +aS'2\t2\tCD\tB-NP\tO' +p349416 +aS')\t)\t)\tO\tO' +p349417 +asS'MRI demonstrated a left femoral condyle osteonecrotic defect and degenerative meniscus .' +p349418 +(lp349419 +S'MRI\tMRI\tNN\tB-NP\tO' +p349420 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p349421 +aS'a\ta\tDT\tB-NP\tO' +p349422 +aS'left\tleft\tJJ\tI-NP\tO' +p349423 +aS'femoral\tfemoral\tJJ\tI-NP\tO' +p349424 +aS'condyle\tcondyle\tNN\tI-NP\tO' +p349425 +aS'osteonecrotic\tosteonecrotic\tJJ\tI-NP\tO' +p349426 +aS'defect\tdefect\tNN\tI-NP\tO' +p349427 +aS'and\tand\tCC\tO\tO' +p349428 +aS'degenerative\tdegenerative\tJJ\tB-NP\tO' +p349429 +aS'meniscus\tmeniscus\tNN\tI-NP\tO' +p349430 +aS'.\t.\t.\tO\tO' +p349431 +asS'He had an unwitnessed fall .' +p349432 +(lp349433 +S'He\tHe\tPRP\tB-NP\tO' +p349434 +aS'had\thave\tVBD\tB-VP\tO' +p349435 +aS'an\tan\tDT\tB-NP\tO' +p349436 +aS'unwitnessed\tunwitnessed\tJJ\tI-NP\tO' +p349437 +aS'fall\tfall\tNN\tI-NP\tO' +p349438 +aS'.\t.\t.\tO\tO' +p349439 +asS'Hematocrit was 42 , PT was 10 , potassium was 3.6 , BUN was 29 , creatinine was 1.4 , blood sugar was 111 .' +p349440 +(lp349441 +S'Hematocrit\tHematocrit\tNN\tB-NP\tO' +p349442 +aS'was\tbe\tVBD\tB-VP\tO' +p349443 +aS'42\t42\tCD\tB-NP\tO' +p349444 +aS',\t,\t,\tO\tO' +p349445 +aS'PT\tPT\tNN\tB-NP\tO' +p349446 +aS'was\tbe\tVBD\tB-VP\tO' +p349447 +aS'10\t10\tCD\tB-NP\tO' +p349448 +aS',\t,\t,\tO\tO' +p349449 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p349450 +aS'was\tbe\tVBD\tB-VP\tO' +p349451 +aS'3.6\t3.6\tCD\tB-NP\tO' +p349452 +aS',\t,\t,\tO\tO' +p349453 +aS'BUN\tBUN\tNN\tB-NP\tB-protein' +p349454 +aS'was\tbe\tVBD\tB-VP\tO' +p349455 +aS'29\t29\tCD\tB-NP\tO' +p349456 +aS',\t,\t,\tO\tO' +p349457 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p349458 +aS'was\tbe\tVBD\tB-VP\tO' +p349459 +aS'1.4\t1.4\tCD\tB-NP\tO' +p349460 +aS',\t,\t,\tO\tO' +p349461 +aS'blood\tblood\tNN\tB-NP\tO' +p349462 +aS'sugar\tsugar\tNN\tI-NP\tO' +p349463 +aS'was\tbe\tVBD\tB-VP\tO' +p349464 +aS'111\t111\tCD\tB-NP\tO' +p349465 +aS'.\t.\t.\tO\tO' +p349466 +asS'Plans were made for the patient to be discharged to Dwardmegriff Rehabilitation for rehabilitation of her rami fracture .' +p349467 +(lp349468 +S'Plans\tPlan\tNNS\tB-NP\tO' +p349469 +aS'were\tbe\tVBD\tB-VP\tO' +p349470 +aS'made\tmake\tVBN\tI-VP\tO' +p349471 +aS'for\tfor\tIN\tB-PP\tO' +p349472 +aS'the\tthe\tDT\tB-NP\tO' +p349473 +aS'patient\tpatient\tNN\tI-NP\tO' +p349474 +aS'to\tto\tTO\tB-VP\tO' +p349475 +aS'be\tbe\tVB\tI-VP\tO' +p349476 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p349477 +aS'to\tto\tTO\tB-PP\tO' +p349478 +aS'Dwardmegriff\tDwardmegriff\tNN\tB-NP\tO' +p349479 +aS'Rehabilitation\tRehabilitation\tNN\tI-NP\tO' +p349480 +aS'for\tfor\tIN\tB-PP\tO' +p349481 +aS'rehabilitation\trehabilitation\tNN\tB-NP\tO' +p349482 +aS'of\tof\tIN\tB-PP\tO' +p349483 +aS'her\ther\tPRP$\tB-NP\tO' +p349484 +aS'rami\trami\tNN\tI-NP\tO' +p349485 +aS'fracture\tfracture\tNN\tI-NP\tO' +p349486 +aS'.\t.\t.\tO\tO' +p349487 +asS'He was weaned and extubated from mechanical ventillation on POD#1 without difficulty .' +p349488 +(lp349489 +S'He\tHe\tPRP\tB-NP\tO' +p349490 +aS'was\tbe\tVBD\tB-VP\tO' +p349491 +aS'weaned\twean\tVBN\tI-VP\tO' +p349492 +aS'and\tand\tCC\tO\tO' +p349493 +aS'extubated\textubate\tVBN\tB-VP\tO' +p349494 +aS'from\tfrom\tIN\tB-PP\tO' +p349495 +aS'mechanical\tmechanical\tJJ\tB-NP\tO' +p349496 +aS'ventillation\tventillation\tNN\tI-NP\tO' +p349497 +aS'on\ton\tIN\tB-PP\tO' +p349498 +aS'POD#1\tPOD#1\tNN\tB-NP\tB-protein' +p349499 +aS'without\twithout\tIN\tB-PP\tO' +p349500 +aS'difficulty\tdifficulty\tNN\tB-NP\tO' +p349501 +aS'.\t.\t.\tO\tO' +p349502 +asS'CSF cytology : NEGATIVE FOR MALIGNANT CELLS .' +p349503 +(lp349504 +S'CSF\tCSF\tNN\tB-NP\tB-protein' +p349505 +aS'cytology\tcytology\tNN\tI-NP\tO' +p349506 +aS':\t:\t:\tO\tO' +p349507 +aS'NEGATIVE\tNEGATIVE\tNNP\tB-NP\tO' +p349508 +aS'FOR\tFOR\tNNP\tI-NP\tO' +p349509 +aS'MALIGNANT\tMALIGNANT\tNNP\tI-NP\tO' +p349510 +aS'CELLS\tCELLS\tNNP\tI-NP\tO' +p349511 +aS'.\t.\t.\tO\tO' +p349512 +asS'She also went home on naldolol 20 mg qd for portal htn , and her home doses of diuretics to control her ascites .' +p349513 +(lp349514 +S'She\tShe\tPRP\tB-NP\tO' +p349515 +aS'also\talso\tRB\tB-ADVP\tO' +p349516 +aS'went\tgo\tVBD\tB-VP\tO' +p349517 +aS'home\thome\tNN\tB-ADVP\tO' +p349518 +aS'on\ton\tIN\tB-PP\tO' +p349519 +aS'naldolol\tnaldolol\tNN\tB-NP\tO' +p349520 +aS'20\t20\tCD\tI-NP\tO' +p349521 +aS'mg\tmg\tNN\tI-NP\tO' +p349522 +aS'qd\tqd\tNN\tI-NP\tO' +p349523 +aS'for\tfor\tIN\tB-PP\tO' +p349524 +aS'portal\tportal\tJJ\tB-NP\tO' +p349525 +aS'htn\thtn\tNN\tI-NP\tO' +p349526 +aS',\t,\t,\tO\tO' +p349527 +aS'and\tand\tCC\tO\tO' +p349528 +aS'her\ther\tPRP$\tB-NP\tO' +p349529 +aS'home\thome\tNN\tI-NP\tO' +p349530 +aS'doses\tdose\tNNS\tI-NP\tO' +p349531 +aS'of\tof\tIN\tB-PP\tO' +p349532 +aS'diuretics\tdiuretic\tNNS\tB-NP\tO' +p349533 +aS'to\tto\tTO\tB-VP\tO' +p349534 +aS'control\tcontrol\tVB\tI-VP\tO' +p349535 +aS'her\ther\tPRP$\tB-NP\tO' +p349536 +aS'ascites\tascite\tNNS\tI-NP\tO' +p349537 +aS'.\t.\t.\tO\tO' +p349538 +asS'The patient was admitted and taken to the operating room on the following day and she underwent a right fem to below knee popliteal bypass graft using a six millimeter ring PTFE .' +p349539 +(lp349540 +S'The\tThe\tDT\tB-NP\tO' +p349541 +aS'patient\tpatient\tNN\tI-NP\tO' +p349542 +aS'was\tbe\tVBD\tB-VP\tO' +p349543 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p349544 +aS'and\tand\tCC\tO\tO' +p349545 +aS'taken\ttake\tVBN\tB-VP\tO' +p349546 +aS'to\tto\tTO\tB-PP\tO' +p349547 +aS'the\tthe\tDT\tB-NP\tO' +p349548 +aS'operating\toperating\tNN\tI-NP\tO' +p349549 +aS'room\troom\tNN\tI-NP\tO' +p349550 +aS'on\ton\tIN\tB-PP\tO' +p349551 +aS'the\tthe\tDT\tB-NP\tO' +p349552 +aS'following\tfollow\tVBG\tI-NP\tO' +p349553 +aS'day\tday\tNN\tI-NP\tO' +p349554 +aS'and\tand\tCC\tO\tO' +p349555 +aS'she\tshe\tPRP\tB-NP\tO' +p349556 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p349557 +aS'a\ta\tDT\tB-NP\tO' +p349558 +aS'right\tright\tJJ\tI-NP\tO' +p349559 +aS'fem\tfem\tNN\tI-NP\tO' +p349560 +aS'to\tto\tTO\tB-PP\tO' +p349561 +aS'below\tbelow\tIN\tB-PP\tO' +p349562 +aS'knee\tknee\tNN\tB-NP\tO' +p349563 +aS'popliteal\tpopliteal\tJJ\tI-NP\tO' +p349564 +aS'bypass\tbypass\tNN\tI-NP\tO' +p349565 +aS'graft\tgraft\tNN\tI-NP\tO' +p349566 +aS'using\tuse\tVBG\tB-VP\tO' +p349567 +aS'a\ta\tDT\tB-NP\tO' +p349568 +aS'six\tsix\tCD\tI-NP\tO' +p349569 +aS'millimeter\tmillimeter\tNN\tI-NP\tO' +p349570 +aS'ring\tring\tNN\tI-NP\tO' +p349571 +aS'PTFE\tPTFE\tNN\tI-NP\tO' +p349572 +aS'.\t.\t.\tO\tO' +p349573 +asS'He underwent cardiac catheterization which showed an 80% LAD lesion , chronically occluded RCA , anneurysmal mid LCX w/50% lesion .' +p349574 +(lp349575 +S'He\tHe\tPRP\tB-NP\tO' +p349576 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p349577 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p349578 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p349579 +aS'which\twhich\tWDT\tB-NP\tO' +p349580 +aS'showed\tshow\tVBD\tB-VP\tO' +p349581 +aS'an\tan\tDT\tB-NP\tO' +p349582 +aS'80%\t80%\tNN\tI-NP\tO' +p349583 +aS'LAD\tLAD\tNN\tI-NP\tO' +p349584 +aS'lesion\tlesion\tNN\tI-NP\tO' +p349585 +aS',\t,\t,\tO\tO' +p349586 +aS'chronically\tchronically\tRB\tB-ADVP\tO' +p349587 +aS'occluded\tocclude\tVBD\tB-VP\tO' +p349588 +aS'RCA\tRCA\tNN\tB-NP\tB-protein' +p349589 +aS',\t,\t,\tO\tO' +p349590 +aS'anneurysmal\tanneurysmal\tJJ\tB-NP\tO' +p349591 +aS'mid\tmid\tJJ\tI-NP\tO' +p349592 +aS'LCX\tLCX\tNN\tI-NP\tO' +p349593 +aS'w/50%\tw/50%\tNN\tI-NP\tO' +p349594 +aS'lesion\tlesion\tNN\tI-NP\tO' +p349595 +aS'.\t.\t.\tO\tO' +p349596 +asS'5. Potassium chloride 20 mEq q.d. times two weeks .' +p349597 +(lp349598 +S'5.\t5.\tLS\tB-NP\tO' +p349599 +aS'Potassium\tPotassium\tNN\tI-NP\tO' +p349600 +aS'chloride\tchloride\tNN\tI-NP\tO' +p349601 +aS'20\t20\tCD\tI-NP\tO' +p349602 +aS'mEq\tmEq\tNN\tI-NP\tO' +p349603 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p349604 +aS'times\ttime\tNNS\tI-NP\tO' +p349605 +aS'two\ttwo\tCD\tB-NP\tO' +p349606 +aS'weeks\tweek\tNNS\tI-NP\tO' +p349607 +aS'.\t.\t.\tO\tO' +p349608 +asS'His peak level after a bolus of 75 units / kg of factor 8 was 131 .' +p349609 +(lp349610 +S'His\tHis\tPRP$\tB-NP\tO' +p349611 +aS'peak\tpeak\tJJ\tI-NP\tO' +p349612 +aS'level\tlevel\tNN\tI-NP\tO' +p349613 +aS'after\tafter\tIN\tB-PP\tO' +p349614 +aS'a\ta\tDT\tB-NP\tO' +p349615 +aS'bolus\tbolus\tNN\tI-NP\tO' +p349616 +aS'of\tof\tIN\tB-PP\tO' +p349617 +aS'75\t75\tCD\tB-NP\tO' +p349618 +aS'units\tunit\tNNS\tI-NP\tO' +p349619 +aS'/\t/\tSYM\tB-NP\tO' +p349620 +aS'kg\tkg\tNN\tI-NP\tO' +p349621 +aS'of\tof\tIN\tB-PP\tO' +p349622 +aS'factor\tfactor\tNN\tB-NP\tO' +p349623 +aS'8\t8\tCD\tI-NP\tO' +p349624 +aS'was\tbe\tVBD\tB-VP\tO' +p349625 +aS'131\t131\tCD\tB-NP\tO' +p349626 +aS'.\t.\t.\tO\tO' +p349627 +asS'She has also had intermittent post-prandial nausea / satiety for which she had been scheduled for an outpt EGD with GI on 2/8 .' +p349628 +(lp349629 +S'She\tShe\tPRP\tB-NP\tO' +p349630 +aS'has\thave\tVBZ\tB-VP\tO' +p349631 +aS'also\talso\tRB\tI-VP\tO' +p349632 +aS'had\thave\tVBD\tI-VP\tO' +p349633 +aS'intermittent\tintermittent\tJJ\tB-NP\tO' +p349634 +aS'post-prandial\tpost-prandial\tJJ\tI-NP\tO' +p349635 +aS'nausea\tnausea\tNN\tI-NP\tO' +p349636 +aS'/\t/\tSYM\tB-NP\tO' +p349637 +aS'satiety\tsatiety\tNN\tI-NP\tO' +p349638 +aS'for\tfor\tIN\tB-PP\tO' +p349639 +aS'which\twhich\tWDT\tB-NP\tO' +p349640 +aS'she\tshe\tPRP\tB-NP\tO' +p349641 +aS'had\thave\tVBD\tB-VP\tO' +p349642 +aS'been\tbe\tVBN\tI-VP\tO' +p349643 +aS'scheduled\tschedule\tVBN\tI-VP\tO' +p349644 +aS'for\tfor\tIN\tB-PP\tO' +p349645 +aS'an\tan\tDT\tB-NP\tO' +p349646 +aS'outpt\toutpt\tJJ\tI-NP\tO' +p349647 +aS'EGD\tEGD\tNN\tI-NP\tO' +p349648 +aS'with\twith\tIN\tB-PP\tO' +p349649 +aS'GI\tGI\tNN\tB-NP\tO' +p349650 +aS'on\ton\tIN\tB-PP\tO' +p349651 +aS'2/8\t2/8\tCD\tB-NP\tO' +p349652 +aS'.\t.\t.\tO\tO' +p349653 +asS'no N / V/HA / D no sweats , no chills , of abdominal pain , no chest pain , no pleuricy , no LEE , no paresthesias , no numbness , no shoulder pain , no jaw pain .' +p349654 +(lp349655 +S'no\tno\tDT\tB-NP\tO' +p349656 +aS'N\tN\tNN\tI-NP\tO' +p349657 +aS'/\t/\tSYM\tB-NP\tO' +p349658 +aS'V/HA\tV/HA\tNN\tI-NP\tB-protein' +p349659 +aS'/\t/\tSYM\tB-NP\tO' +p349660 +aS'D\tD\tNN\tI-NP\tO' +p349661 +aS'no\tno\tDT\tB-NP\tO' +p349662 +aS'sweats\tsweat\tNNS\tI-NP\tO' +p349663 +aS',\t,\t,\tO\tO' +p349664 +aS'no\tno\tDT\tB-NP\tO' +p349665 +aS'chills\tchill\tNNS\tI-NP\tO' +p349666 +aS',\t,\t,\tO\tO' +p349667 +aS'of\tof\tIN\tB-PP\tO' +p349668 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p349669 +aS'pain\tpain\tNN\tI-NP\tO' +p349670 +aS',\t,\t,\tO\tO' +p349671 +aS'no\tno\tDT\tB-NP\tO' +p349672 +aS'chest\tchest\tNN\tI-NP\tO' +p349673 +aS'pain\tpain\tNN\tI-NP\tO' +p349674 +aS',\t,\t,\tO\tO' +p349675 +aS'no\tno\tDT\tB-NP\tO' +p349676 +aS'pleuricy\tpleuricy\tNN\tI-NP\tO' +p349677 +aS',\t,\t,\tO\tO' +p349678 +aS'no\tno\tDT\tB-NP\tO' +p349679 +aS'LEE\tLEE\tNNP\tI-NP\tO' +p349680 +aS',\t,\t,\tO\tO' +p349681 +aS'no\tno\tDT\tB-NP\tO' +p349682 +aS'paresthesias\tparesthesia\tNNS\tI-NP\tO' +p349683 +aS',\t,\t,\tO\tO' +p349684 +aS'no\tno\tDT\tB-NP\tO' +p349685 +aS'numbness\tnumbness\tNN\tI-NP\tO' +p349686 +aS',\t,\t,\tO\tO' +p349687 +aS'no\tno\tDT\tB-NP\tO' +p349688 +aS'shoulder\tshoulder\tNN\tI-NP\tO' +p349689 +aS'pain\tpain\tNN\tI-NP\tO' +p349690 +aS',\t,\t,\tO\tO' +p349691 +aS'no\tno\tDT\tB-NP\tO' +p349692 +aS'jaw\tjaw\tNN\tI-NP\tO' +p349693 +aS'pain\tpain\tNN\tI-NP\tO' +p349694 +aS'.\t.\t.\tO\tO' +p349695 +asS'Head , eyes , ears , nose and throat exam is within normal limits .' +p349696 +(lp349697 +S'Head\tHead\tRB\tB-ADVP\tO' +p349698 +aS',\t,\t,\tO\tO' +p349699 +aS'eyes\teye\tNNS\tB-NP\tO' +p349700 +aS',\t,\t,\tO\tO' +p349701 +aS'ears\tear\tNNS\tB-NP\tO' +p349702 +aS',\t,\t,\tO\tO' +p349703 +aS'nose\tnose\tNN\tB-NP\tO' +p349704 +aS'and\tand\tCC\tI-NP\tO' +p349705 +aS'throat\tthroat\tNN\tI-NP\tO' +p349706 +aS'exam\texam\tNN\tI-NP\tO' +p349707 +aS'is\tbe\tVBZ\tB-VP\tO' +p349708 +aS'within\twithin\tIN\tB-PP\tO' +p349709 +aS'normal\tnormal\tJJ\tB-NP\tO' +p349710 +aS'limits\tlimit\tNNS\tI-NP\tO' +p349711 +aS'.\t.\t.\tO\tO' +p349712 +asS'He had a head Ct which remains stable and head wound remain dry .' +p349713 +(lp349714 +S'He\tHe\tPRP\tB-NP\tO' +p349715 +aS'had\thave\tVBD\tB-VP\tO' +p349716 +aS'a\ta\tDT\tB-NP\tO' +p349717 +aS'head\thead\tNN\tI-NP\tO' +p349718 +aS'Ct\tCt\tNN\tI-NP\tO' +p349719 +aS'which\twhich\tWDT\tB-NP\tO' +p349720 +aS'remains\tremain\tVBZ\tB-VP\tO' +p349721 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p349722 +aS'and\tand\tCC\tO\tO' +p349723 +aS'head\thead\tNN\tB-NP\tO' +p349724 +aS'wound\twound\tNN\tI-NP\tO' +p349725 +aS'remain\tremain\tVBP\tB-VP\tO' +p349726 +aS'dry\tdry\tJJ\tB-ADJP\tO' +p349727 +aS'.\t.\t.\tO\tO' +p349728 +asS'The patient also had serial creatinine kinase with MB fractions studied , which revealed MB fraction too low to be tested .' +p349729 +(lp349730 +S'The\tThe\tDT\tB-NP\tO' +p349731 +aS'patient\tpatient\tNN\tI-NP\tO' +p349732 +aS'also\talso\tRB\tB-ADVP\tO' +p349733 +aS'had\thave\tVBD\tB-VP\tO' +p349734 +aS'serial\tserial\tJJ\tB-NP\tB-protein' +p349735 +aS'creatinine\tcreatinine\tNN\tI-NP\tI-protein' +p349736 +aS'kinase\tkinase\tNN\tI-NP\tI-protein' +p349737 +aS'with\twith\tIN\tB-PP\tO' +p349738 +aS'MB\tMB\tNN\tB-NP\tO' +p349739 +aS'fractions\tfraction\tNNS\tI-NP\tO' +p349740 +aS'studied\tstudy\tVBN\tB-VP\tO' +p349741 +aS',\t,\t,\tO\tO' +p349742 +aS'which\twhich\tWDT\tB-NP\tO' +p349743 +aS'revealed\treveal\tVBD\tB-VP\tO' +p349744 +aS'MB\tMB\tNN\tB-NP\tO' +p349745 +aS'fraction\tfraction\tNN\tI-NP\tO' +p349746 +aS'too\ttoo\tRB\tB-ADJP\tO' +p349747 +aS'low\tlow\tJJ\tI-ADJP\tO' +p349748 +aS'to\tto\tTO\tB-VP\tO' +p349749 +aS'be\tbe\tVB\tI-VP\tO' +p349750 +aS'tested\ttest\tVBN\tI-VP\tO' +p349751 +aS'.\t.\t.\tO\tO' +p349752 +asS'He has had night sweats for the past 2 weeks .' +p349753 +(lp349754 +S'He\tHe\tPRP\tB-NP\tO' +p349755 +aS'has\thave\tVBZ\tB-VP\tO' +p349756 +aS'had\thave\tVBN\tI-VP\tO' +p349757 +aS'night\tnight\tNN\tB-NP\tO' +p349758 +aS'sweats\tsweat\tNNS\tI-NP\tO' +p349759 +aS'for\tfor\tIN\tB-PP\tO' +p349760 +aS'the\tthe\tDT\tB-NP\tO' +p349761 +aS'past\tpast\tJJ\tI-NP\tB-protein' +p349762 +aS'2\t2\tCD\tI-NP\tI-protein' +p349763 +aS'weeks\tweek\tNNS\tI-NP\tI-protein' +p349764 +aS'.\t.\t.\tO\tO' +p349765 +asS'The patient instructed to call Dr. Coma 's office at 496-260-3297 to arrange for a follow up appointment in the Saintaelfoote Hospital at the first available time , one to two months after surgery .' +p349766 +(lp349767 +S'The\tThe\tDT\tB-NP\tO' +p349768 +aS'patient\tpatient\tNN\tI-NP\tO' +p349769 +aS'instructed\tinstruct\tVBN\tB-VP\tO' +p349770 +aS'to\tto\tTO\tB-VP\tO' +p349771 +aS'call\tcall\tVB\tI-VP\tO' +p349772 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p349773 +aS'Coma\tComa\tNNP\tI-NP\tO' +p349774 +aS''s\t'\tNNS\tI-NP\tO' +p349775 +aS'office\toffice\tNN\tI-NP\tO' +p349776 +aS'at\tat\tIN\tB-PP\tO' +p349777 +aS'496-260-3297\t496-260-3297\tCD\tB-NP\tO' +p349778 +aS'to\tto\tTO\tB-VP\tO' +p349779 +aS'arrange\tarrange\tVB\tI-VP\tO' +p349780 +aS'for\tfor\tIN\tB-PP\tO' +p349781 +aS'a\ta\tDT\tB-NP\tO' +p349782 +aS'follow\tfollow\tNN\tI-NP\tO' +p349783 +aS'up\tup\tRP\tB-PRT\tO' +p349784 +aS'appointment\tappointment\tNN\tB-NP\tO' +p349785 +aS'in\tin\tIN\tB-PP\tO' +p349786 +aS'the\tthe\tDT\tB-NP\tO' +p349787 +aS'Saintaelfoote\tSaintaelfoote\tNNP\tI-NP\tO' +p349788 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p349789 +aS'at\tat\tIN\tB-PP\tO' +p349790 +aS'the\tthe\tDT\tB-NP\tO' +p349791 +aS'first\tfirst\tJJ\tI-NP\tO' +p349792 +aS'available\tavailable\tJJ\tI-NP\tO' +p349793 +aS'time\ttime\tNN\tI-NP\tO' +p349794 +aS',\t,\t,\tO\tO' +p349795 +aS'one\tone\tCD\tB-NP\tO' +p349796 +aS'to\tto\tTO\tI-NP\tO' +p349797 +aS'two\ttwo\tCD\tI-NP\tO' +p349798 +aS'months\tmonth\tNNS\tI-NP\tO' +p349799 +aS'after\tafter\tIN\tB-PP\tO' +p349800 +aS'surgery\tsurgery\tNN\tB-NP\tO' +p349801 +aS'.\t.\t.\tO\tO' +p349802 +asS'8. Humalog 100 unit / mL Cartridge Sig : asdir Subcutaneous once a day : see attached sheet for sliding scale .' +p349803 +(lp349804 +S'8.\t8.\tCD\tB-NP\tO' +p349805 +aS'Humalog\tHumalog\tNNP\tI-NP\tO' +p349806 +aS'100\t100\tCD\tI-NP\tO' +p349807 +aS'unit\tunit\tNN\tI-NP\tO' +p349808 +aS'/\t/\tSYM\tB-NP\tO' +p349809 +aS'mL\tmL\tNN\tI-NP\tO' +p349810 +aS'Cartridge\tCartridge\tNNP\tI-NP\tO' +p349811 +aS'Sig\tSig\tNNP\tI-NP\tO' +p349812 +aS':\t:\t:\tO\tO' +p349813 +aS'asdir\tasdir\tIN\tB-PP\tO' +p349814 +aS'Subcutaneous\tSubcutaneous\tNNP\tB-NP\tO' +p349815 +aS'once\tonce\tRB\tB-ADVP\tO' +p349816 +aS'a\ta\tDT\tB-NP\tO' +p349817 +aS'day\tday\tNN\tI-NP\tO' +p349818 +aS':\t:\t:\tO\tO' +p349819 +aS'see\tsee\tVB\tB-VP\tO' +p349820 +aS'attached\tattach\tVBN\tB-NP\tO' +p349821 +aS'sheet\tsheet\tNN\tI-NP\tO' +p349822 +aS'for\tfor\tIN\tB-PP\tO' +p349823 +aS'sliding\tslide\tVBG\tB-VP\tO' +p349824 +aS'scale\tscale\tNN\tB-NP\tO' +p349825 +aS'.\t.\t.\tO\tO' +p349826 +asS'Hepatitis serologies pending .' +p349827 +(lp349828 +S'Hepatitis\tHepatitis\tNN\tB-NP\tO' +p349829 +aS'serologies\tserology\tNNS\tI-NP\tO' +p349830 +aS'pending\tpende\tVBG\tB-VP\tO' +p349831 +aS'.\t.\t.\tO\tO' +p349832 +asS'The urinalysis revealed 4+ albumin with marked occult blood .' +p349833 +(lp349834 +S'The\tThe\tDT\tB-NP\tO' +p349835 +aS'urinalysis\turinalysis\tNN\tI-NP\tB-protein' +p349836 +aS'revealed\treveal\tVBD\tB-VP\tI-protein' +p349837 +aS'4+\t4+\tJJ\tB-NP\tI-protein' +p349838 +aS'albumin\talbumin\tNN\tI-NP\tI-protein' +p349839 +aS'with\twith\tIN\tB-PP\tO' +p349840 +aS'marked\tmarked\tJJ\tB-NP\tO' +p349841 +aS'occult\toccult\tJJ\tI-NP\tO' +p349842 +aS'blood\tblood\tNN\tI-NP\tO' +p349843 +aS'.\t.\t.\tO\tO' +p349844 +asS'The patient had mild weakness on the left side with the strength of 5 minus on the upper and lower extremities , distally and proximally .' +p349845 +(lp349846 +S'The\tThe\tDT\tB-NP\tO' +p349847 +aS'patient\tpatient\tNN\tI-NP\tO' +p349848 +aS'had\thave\tVBD\tB-VP\tO' +p349849 +aS'mild\tmild\tJJ\tB-NP\tO' +p349850 +aS'weakness\tweakness\tNN\tI-NP\tO' +p349851 +aS'on\ton\tIN\tB-PP\tO' +p349852 +aS'the\tthe\tDT\tB-NP\tO' +p349853 +aS'left\tleft\tJJ\tI-NP\tO' +p349854 +aS'side\tside\tNN\tI-NP\tO' +p349855 +aS'with\twith\tIN\tB-PP\tO' +p349856 +aS'the\tthe\tDT\tB-NP\tO' +p349857 +aS'strength\tstrength\tNN\tI-NP\tO' +p349858 +aS'of\tof\tIN\tB-PP\tO' +p349859 +aS'5\t5\tCD\tB-NP\tO' +p349860 +aS'minus\tminus\tCC\tB-PP\tO' +p349861 +aS'on\ton\tIN\tB-PP\tO' +p349862 +aS'the\tthe\tDT\tB-NP\tO' +p349863 +aS'upper\tupper\tJJ\tI-NP\tO' +p349864 +aS'and\tand\tCC\tI-NP\tO' +p349865 +aS'lower\tlow\tJJR\tI-NP\tO' +p349866 +aS'extremities\textremity\tNNS\tI-NP\tO' +p349867 +aS',\t,\t,\tO\tO' +p349868 +aS'distally\tdistally\tRB\tB-ADVP\tO' +p349869 +aS'and\tand\tCC\tI-ADVP\tO' +p349870 +aS'proximally\tproximally\tRB\tI-ADVP\tO' +p349871 +aS'.\t.\t.\tO\tO' +p349872 +asS'Epistaxis on Coumadin in the past .' +p349873 +(lp349874 +S'Epistaxis\tEpistaxis\tNN\tB-NP\tO' +p349875 +aS'on\ton\tIN\tB-PP\tO' +p349876 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p349877 +aS'in\tin\tIN\tB-PP\tO' +p349878 +aS'the\tthe\tDT\tB-NP\tO' +p349879 +aS'past\tpast\tNN\tI-NP\tO' +p349880 +aS'.\t.\t.\tO\tO' +p349881 +asS'Pulmonary hypertension as seen on echocardiogram .' +p349882 +(lp349883 +S'Pulmonary\tPulmonary\tJJ\tB-NP\tO' +p349884 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p349885 +aS'as\tas\tIN\tB-SBAR\tO' +p349886 +aS'seen\tsee\tVBN\tB-VP\tO' +p349887 +aS'on\ton\tIN\tB-PP\tO' +p349888 +aS'echocardiogram\techocardiogram\tNN\tB-NP\tO' +p349889 +aS'.\t.\t.\tO\tO' +p349890 +asS'She also had mild weakness in the left extremities , both upper and lower .' +p349891 +(lp349892 +S'She\tShe\tPRP\tB-NP\tO' +p349893 +aS'also\talso\tRB\tB-ADVP\tO' +p349894 +aS'had\thave\tVBD\tB-VP\tO' +p349895 +aS'mild\tmild\tJJ\tB-NP\tO' +p349896 +aS'weakness\tweakness\tNN\tI-NP\tO' +p349897 +aS'in\tin\tIN\tB-PP\tO' +p349898 +aS'the\tthe\tDT\tB-NP\tO' +p349899 +aS'left\tleft\tJJ\tI-NP\tO' +p349900 +aS'extremities\textremity\tNNS\tI-NP\tO' +p349901 +aS',\t,\t,\tO\tO' +p349902 +aS'both\tboth\tCC\tO\tO' +p349903 +aS'upper\tupper\tJJ\tB-ADJP\tO' +p349904 +aS'and\tand\tCC\tI-ADJP\tO' +p349905 +aS'lower\tlow\tJJR\tI-ADJP\tO' +p349906 +aS'.\t.\t.\tO\tO' +p349907 +asS'The prednisone dose was gradually tapered to 20 mg q.d.' +p349908 +(lp349909 +S'The\tThe\tDT\tB-NP\tO' +p349910 +aS'prednisone\tprednisone\tNN\tI-NP\tO' +p349911 +aS'dose\tdose\tNN\tI-NP\tO' +p349912 +aS'was\tbe\tVBD\tB-VP\tO' +p349913 +aS'gradually\tgradually\tRB\tI-VP\tO' +p349914 +aS'tapered\ttaper\tVBN\tI-VP\tO' +p349915 +aS'to\tto\tTO\tB-PP\tO' +p349916 +aS'20\t20\tCD\tB-NP\tO' +p349917 +aS'mg\tmg\tNN\tI-NP\tO' +p349918 +aS'q.d.\tq.d.\t.\tO\tO' +p349919 +asS"As mentioned above the patient 's hemodynamic status was tenuous throughout her hospital course as it was difficult to wean the patient off of neo-synephrine ." +p349920 +(lp349921 +S'As\tAs\tIN\tB-SBAR\tO' +p349922 +aS'mentioned\tmention\tVBN\tB-VP\tO' +p349923 +aS'above\tabove\tIN\tB-PP\tO' +p349924 +aS'the\tthe\tDT\tB-NP\tO' +p349925 +aS'patient\tpatient\tNN\tI-NP\tO' +p349926 +aS"'s\t's\tPOS\tB-NP\tO" +p349927 +aS'hemodynamic\themodynamic\tJJ\tI-NP\tO' +p349928 +aS'status\tstatus\tNN\tI-NP\tO' +p349929 +aS'was\tbe\tVBD\tB-VP\tO' +p349930 +aS'tenuous\ttenuous\tJJ\tB-ADJP\tO' +p349931 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p349932 +aS'her\ther\tPRP$\tB-NP\tO' +p349933 +aS'hospital\thospital\tNN\tI-NP\tO' +p349934 +aS'course\tcourse\tNN\tI-NP\tO' +p349935 +aS'as\tas\tIN\tB-SBAR\tO' +p349936 +aS'it\tit\tPRP\tB-NP\tO' +p349937 +aS'was\tbe\tVBD\tB-VP\tO' +p349938 +aS'difficult\tdifficult\tJJ\tB-ADJP\tO' +p349939 +aS'to\tto\tTO\tB-VP\tO' +p349940 +aS'wean\twean\tVB\tI-VP\tO' +p349941 +aS'the\tthe\tDT\tB-NP\tO' +p349942 +aS'patient\tpatient\tNN\tI-NP\tO' +p349943 +aS'off\toff\tRP\tB-PRT\tO' +p349944 +aS'of\tof\tIN\tB-PP\tO' +p349945 +aS'neo-synephrine\tneo-synephrine\tNN\tB-NP\tO' +p349946 +aS'.\t.\t.\tO\tO' +p349947 +asS'5. Vitamin C 500 mg p.o. twice a day times one month .' +p349948 +(lp349949 +S'5.\t5.\tLS\tB-NP\tO' +p349950 +aS'Vitamin\tVitamin\tNN\tI-NP\tO' +p349951 +aS'C\tC\tNN\tI-NP\tO' +p349952 +aS'500\t500\tCD\tI-NP\tO' +p349953 +aS'mg\tmg\tNN\tI-NP\tO' +p349954 +aS'p.o.\tp.o.\tRB\tB-NP\tO' +p349955 +aS'twice\ttwice\tRB\tI-NP\tO' +p349956 +aS'a\ta\tDT\tI-NP\tO' +p349957 +aS'day\tday\tNN\tI-NP\tO' +p349958 +aS'times\ttime\tVBZ\tB-VP\tO' +p349959 +aS'one\tone\tCD\tB-NP\tO' +p349960 +aS'month\tmonth\tNN\tI-NP\tO' +p349961 +aS'.\t.\t.\tO\tO' +p349962 +asS'Anterior fontanelle open , soft and flat .' +p349963 +(lp349964 +S'Anterior\tAnterior\tJJ\tB-NP\tO' +p349965 +aS'fontanelle\tfontanelle\tNN\tI-NP\tO' +p349966 +aS'open\topen\tJJ\tB-ADJP\tO' +p349967 +aS',\t,\t,\tI-ADJP\tO' +p349968 +aS'soft\tsoft\tJJ\tI-ADJP\tO' +p349969 +aS'and\tand\tCC\tI-ADJP\tO' +p349970 +aS'flat\tflat\tJJ\tI-ADJP\tO' +p349971 +aS'.\t.\t.\tO\tO' +p349972 +asS'Ica Gachcienne - in PCP office 01/26/03 ,' +p349973 +(lp349974 +S'Ica\tIca\tNNP\tB-NP\tO' +p349975 +aS'Gachcienne\tGachcienne\tNNP\tI-NP\tO' +p349976 +aS'-\t-\t:\tO\tO' +p349977 +aS'in\tin\tIN\tB-PP\tO' +p349978 +aS'PCP\tPCP\tNN\tB-NP\tO' +p349979 +aS'office\toffice\tNN\tI-NP\tO' +p349980 +aS'01/26/03\t01/26/03\tCD\tI-NP\tO' +p349981 +aS',\t,\t,\tO\tO' +p349982 +asS'Point tenderness at the left costovertebral angle .' +p349983 +(lp349984 +S'Point\tPoint\tNN\tB-NP\tO' +p349985 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p349986 +aS'at\tat\tIN\tB-PP\tO' +p349987 +aS'the\tthe\tDT\tB-NP\tO' +p349988 +aS'left\tleft\tJJ\tI-NP\tO' +p349989 +aS'costovertebral\tcostovertebral\tJJ\tI-NP\tO' +p349990 +aS'angle\tangle\tNN\tI-NP\tO' +p349991 +aS'.\t.\t.\tO\tO' +p349992 +asS'The patient tolerated this procedure well .' +p349993 +(lp349994 +S'The\tThe\tDT\tB-NP\tO' +p349995 +aS'patient\tpatient\tNN\tI-NP\tO' +p349996 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p349997 +aS'this\tthis\tDT\tB-NP\tO' +p349998 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p349999 +aS'well\twell\tRB\tB-ADVP\tO' +p350000 +aS'.\t.\t.\tO\tO' +p350001 +asS'They were normal and did not change and the patient received pneumatic boots for DVT prophylaxis .' +p350002 +(lp350003 +S'They\tThey\tPRP\tB-NP\tO' +p350004 +aS'were\tbe\tVBD\tB-VP\tO' +p350005 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p350006 +aS'and\tand\tCC\tO\tO' +p350007 +aS'did\tdo\tVBD\tB-VP\tO' +p350008 +aS'not\tnot\tRB\tI-VP\tO' +p350009 +aS'change\tchange\tVB\tI-VP\tO' +p350010 +aS'and\tand\tCC\tO\tO' +p350011 +aS'the\tthe\tDT\tB-NP\tO' +p350012 +aS'patient\tpatient\tNN\tI-NP\tO' +p350013 +aS'received\treceive\tVBD\tB-VP\tO' +p350014 +aS'pneumatic\tpneumatic\tJJ\tB-NP\tO' +p350015 +aS'boots\tboot\tNNS\tI-NP\tO' +p350016 +aS'for\tfor\tIN\tB-PP\tO' +p350017 +aS'DVT\tDVT\tNN\tB-NP\tO' +p350018 +aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' +p350019 +aS'.\t.\t.\tO\tO' +p350020 +asS'ECG : a paced at 70 bpm / nml axis , LBBB , no ST or TW changes' +p350021 +(lp350022 +S'ECG\tECG\tNN\tB-NP\tO' +p350023 +aS':\t:\t:\tO\tO' +p350024 +aS'a\ta\tDT\tB-NP\tO' +p350025 +aS'paced\tpace\tVBN\tI-NP\tO' +p350026 +aS'at\tat\tIN\tB-PP\tO' +p350027 +aS'70\t70\tCD\tB-NP\tO' +p350028 +aS'bpm\tbpm\tNN\tI-NP\tO' +p350029 +aS'/\t/\tSYM\tB-NP\tO' +p350030 +aS'nml\tnml\tNN\tI-NP\tO' +p350031 +aS'axis\taxis\tNN\tI-NP\tO' +p350032 +aS',\t,\t,\tO\tO' +p350033 +aS'LBBB\tLBBB\tNNP\tB-NP\tB-protein' +p350034 +aS',\t,\t,\tO\tO' +p350035 +aS'no\tno\tDT\tB-NP\tO' +p350036 +aS'ST\tST\tNN\tI-NP\tO' +p350037 +aS'or\tor\tCC\tI-NP\tO' +p350038 +aS'TW\tTW\tNN\tI-NP\tO' +p350039 +aS'changes\tchange\tNNS\tI-NP\tO' +p350040 +asS'Cholecystectomy .' +p350041 +(lp350042 +S'Cholecystectomy\tCholecystectomy\tNN\tB-NP\tO' +p350043 +aS'.\t.\t.\tO\tO' +p350044 +asS'He underwent a coronary artery bypass graft of four vessels .' +p350045 +(lp350046 +S'He\tHe\tPRP\tB-NP\tO' +p350047 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p350048 +aS'a\ta\tDT\tB-NP\tO' +p350049 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p350050 +aS'artery\tartery\tNN\tI-NP\tO' +p350051 +aS'bypass\tbypass\tIN\tB-PP\tO' +p350052 +aS'graft\tgraft\tNN\tB-NP\tO' +p350053 +aS'of\tof\tIN\tB-PP\tO' +p350054 +aS'four\tfour\tCD\tB-NP\tO' +p350055 +aS'vessels\tvessel\tNNS\tI-NP\tO' +p350056 +aS'.\t.\t.\tO\tO' +p350057 +asS'He has no history of a GI bleed or varices by endoscopy .' +p350058 +(lp350059 +S'He\tHe\tPRP\tB-NP\tO' +p350060 +aS'has\thave\tVBZ\tB-VP\tO' +p350061 +aS'no\tno\tDT\tB-NP\tO' +p350062 +aS'history\thistory\tNN\tI-NP\tO' +p350063 +aS'of\tof\tIN\tB-PP\tO' +p350064 +aS'a\ta\tDT\tB-NP\tO' +p350065 +aS'GI\tGI\tNN\tI-NP\tO' +p350066 +aS'bleed\tbleed\tNN\tI-NP\tO' +p350067 +aS'or\tor\tCC\tO\tO' +p350068 +aS'varices\tvarix\tNNS\tB-NP\tO' +p350069 +aS'by\tby\tIN\tB-PP\tO' +p350070 +aS'endoscopy\tendoscopy\tNN\tB-NP\tO' +p350071 +aS'.\t.\t.\tO\tO' +p350072 +asS'The patient is asked to take a course of Dilantin for ten more days .' +p350073 +(lp350074 +S'The\tThe\tDT\tB-NP\tO' +p350075 +aS'patient\tpatient\tNN\tI-NP\tO' +p350076 +aS'is\tbe\tVBZ\tB-VP\tO' +p350077 +aS'asked\task\tVBN\tI-VP\tO' +p350078 +aS'to\tto\tTO\tB-VP\tO' +p350079 +aS'take\ttake\tVB\tI-VP\tO' +p350080 +aS'a\ta\tDT\tB-NP\tO' +p350081 +aS'course\tcourse\tNN\tI-NP\tO' +p350082 +aS'of\tof\tIN\tB-PP\tO' +p350083 +aS'Dilantin\tDilantin\tNN\tB-NP\tB-protein' +p350084 +aS'for\tfor\tIN\tB-PP\tO' +p350085 +aS'ten\tten\tCD\tB-NP\tO' +p350086 +aS'more\tmore\tJJR\tI-NP\tO' +p350087 +aS'days\tday\tNNS\tI-NP\tO' +p350088 +aS'.\t.\t.\tO\tO' +p350089 +asS'cholangiopancreatography with adverse reaction to Fentanyl and tongue injury .' +p350090 +(lp350091 +S'cholangiopancreatography\tcholangiopancreatography\tNN\tB-NP\tO' +p350092 +aS'with\twith\tIN\tB-PP\tO' +p350093 +aS'adverse\tadverse\tJJ\tB-NP\tO' +p350094 +aS'reaction\treaction\tNN\tI-NP\tO' +p350095 +aS'to\tto\tTO\tB-PP\tO' +p350096 +aS'Fentanyl\tFentanyl\tNN\tB-NP\tO' +p350097 +aS'and\tand\tCC\tI-NP\tO' +p350098 +aS'tongue\ttongue\tNN\tI-NP\tO' +p350099 +aS'injury\tinjury\tNN\tI-NP\tO' +p350100 +aS'.\t.\t.\tO\tO' +p350101 +asS'His skin was clear , without rashes .' +p350102 +(lp350103 +S'His\tHis\tPRP$\tB-NP\tO' +p350104 +aS'skin\tskin\tNN\tI-NP\tO' +p350105 +aS'was\tbe\tVBD\tB-VP\tO' +p350106 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p350107 +aS',\t,\t,\tO\tO' +p350108 +aS'without\twithout\tIN\tB-PP\tO' +p350109 +aS'rashes\trash\tNNS\tB-NP\tO' +p350110 +aS'.\t.\t.\tO\tO' +p350111 +asS'SEPSIS .' +p350112 +(lp350113 +S'SEPSIS\tSEPSIS\tNNS\tB-NP\tO' +p350114 +aS'.\t.\t.\tO\tO' +p350115 +asS'The patient was in her usual state of excellent health until July of 1991 when she first noted a left clavicular mass .' +p350116 +(lp350117 +S'The\tThe\tDT\tB-NP\tO' +p350118 +aS'patient\tpatient\tNN\tI-NP\tO' +p350119 +aS'was\tbe\tVBD\tB-VP\tO' +p350120 +aS'in\tin\tIN\tB-PP\tO' +p350121 +aS'her\ther\tPRP$\tB-NP\tO' +p350122 +aS'usual\tusual\tJJ\tI-NP\tO' +p350123 +aS'state\tstate\tNN\tI-NP\tO' +p350124 +aS'of\tof\tIN\tB-PP\tO' +p350125 +aS'excellent\texcellent\tJJ\tB-NP\tO' +p350126 +aS'health\thealth\tNN\tI-NP\tO' +p350127 +aS'until\tuntil\tIN\tB-PP\tO' +p350128 +aS'July\tJuly\tNNP\tB-NP\tO' +p350129 +aS'of\tof\tIN\tB-PP\tO' +p350130 +aS'1991\t1991\tCD\tB-NP\tO' +p350131 +aS'when\twhen\tWRB\tB-ADVP\tO' +p350132 +aS'she\tshe\tPRP\tB-NP\tO' +p350133 +aS'first\tfirst\tRB\tB-ADVP\tO' +p350134 +aS'noted\tnote\tVBD\tB-VP\tO' +p350135 +aS'a\ta\tDT\tB-NP\tO' +p350136 +aS'left\tleft\tJJ\tI-NP\tO' +p350137 +aS'clavicular\tclavicular\tJJ\tI-NP\tO' +p350138 +aS'mass\tmass\tNN\tI-NP\tO' +p350139 +aS'.\t.\t.\tO\tO' +p350140 +asS'The goal SBP of < 150 was achieved .' +p350141 +(lp350142 +S'The\tThe\tDT\tB-NP\tO' +p350143 +aS'goal\tgoal\tNN\tI-NP\tO' +p350144 +aS'SBP\tSBP\tNN\tI-NP\tO' +p350145 +aS'of\tof\tIN\tB-PP\tO' +p350146 +aS'<\t<\tSYM\tB-NP\tO' +p350147 +aS'150\t150\tCD\tI-NP\tO' +p350148 +aS'was\tbe\tVBD\tB-VP\tO' +p350149 +aS'achieved\tachieve\tVBN\tI-VP\tO' +p350150 +aS'.\t.\t.\tO\tO' +p350151 +asS'Skin was strong build and was in no apparent distress .' +p350152 +(lp350153 +S'Skin\tSkin\tNNP\tB-NP\tO' +p350154 +aS'was\tbe\tVBD\tB-VP\tO' +p350155 +aS'strong\tstrong\tJJ\tB-NP\tO' +p350156 +aS'build\tbuild\tNN\tI-NP\tO' +p350157 +aS'and\tand\tCC\tO\tO' +p350158 +aS'was\tbe\tVBD\tB-VP\tO' +p350159 +aS'in\tin\tIN\tB-PP\tO' +p350160 +aS'no\tno\tDT\tB-NP\tO' +p350161 +aS'apparent\tapparent\tJJ\tI-NP\tO' +p350162 +aS'distress\tdistress\tNN\tI-NP\tO' +p350163 +aS'.\t.\t.\tO\tO' +p350164 +asS'He currently smokes , about 1 ppd .' +p350165 +(lp350166 +S'He\tHe\tPRP\tB-NP\tO' +p350167 +aS'currently\tcurrently\tRB\tB-ADVP\tO' +p350168 +aS'smokes\tsmoke\tVBZ\tB-VP\tO' +p350169 +aS',\t,\t,\tO\tO' +p350170 +aS'about\tabout\tIN\tB-NP\tO' +p350171 +aS'1\t1\tCD\tI-NP\tO' +p350172 +aS'ppd\tppd\tNN\tI-NP\tO' +p350173 +aS'.\t.\t.\tO\tO' +p350174 +asS'Signed electronically by : DR. Derek Vildosola on : WED 2015-07-29 1:15 PM' +p350175 +(lp350176 +S'Signed\tSign\tVBN\tB-VP\tO' +p350177 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p350178 +aS'by\tby\tIN\tB-PP\tO' +p350179 +aS':\t:\t:\tO\tO' +p350180 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p350181 +aS'Derek\tDerek\tNNP\tI-NP\tO' +p350182 +aS'Vildosola\tVildosola\tNNP\tI-NP\tO' +p350183 +aS'on\ton\tIN\tB-PP\tO' +p350184 +aS':\t:\t:\tO\tO' +p350185 +aS'WED\tWED\tVBD\tB-VP\tO' +p350186 +aS'2015-07-29\t2015-07-29\tCD\tB-NP\tO' +p350187 +aS'1:15\t1:15\tCD\tI-NP\tO' +p350188 +aS'PM\tPM\tNN\tI-NP\tO' +p350189 +asS'The patient would awake prior to arrival and not need transfer .' +p350190 +(lp350191 +S'The\tThe\tDT\tB-NP\tO' +p350192 +aS'patient\tpatient\tNN\tI-NP\tO' +p350193 +aS'would\twould\tMD\tB-VP\tO' +p350194 +aS'awake\tawake\tVB\tI-VP\tO' +p350195 +aS'prior\tprior\tRB\tB-ADVP\tO' +p350196 +aS'to\tto\tTO\tB-PP\tO' +p350197 +aS'arrival\tarrival\tNN\tB-NP\tO' +p350198 +aS'and\tand\tCC\tO\tO' +p350199 +aS'not\tnot\tRB\tB-VP\tO' +p350200 +aS'need\tneed\tVB\tI-VP\tO' +p350201 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p350202 +aS'.\t.\t.\tO\tO' +p350203 +asS'On the following day the patient underwent an echocardiogram which demonstrated dilated right ventricle secondary to chronic dysfunction and a pulmonary artery pressure of greater than 100 .' +p350204 +(lp350205 +S'On\tOn\tIN\tB-PP\tO' +p350206 +aS'the\tthe\tDT\tB-NP\tO' +p350207 +aS'following\tfollow\tVBG\tI-NP\tO' +p350208 +aS'day\tday\tNN\tI-NP\tO' +p350209 +aS'the\tthe\tDT\tB-NP\tO' +p350210 +aS'patient\tpatient\tNN\tI-NP\tO' +p350211 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p350212 +aS'an\tan\tDT\tB-NP\tO' +p350213 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p350214 +aS'which\twhich\tWDT\tB-NP\tO' +p350215 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p350216 +aS'dilated\tdilate\tVBN\tB-NP\tO' +p350217 +aS'right\tright\tJJ\tI-NP\tO' +p350218 +aS'ventricle\tventricle\tNN\tI-NP\tO' +p350219 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p350220 +aS'to\tto\tTO\tB-PP\tO' +p350221 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p350222 +aS'dysfunction\tdysfunction\tNN\tI-NP\tO' +p350223 +aS'and\tand\tCC\tO\tO' +p350224 +aS'a\ta\tDT\tB-NP\tO' +p350225 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p350226 +aS'artery\tartery\tNN\tI-NP\tO' +p350227 +aS'pressure\tpressure\tNN\tI-NP\tO' +p350228 +aS'of\tof\tIN\tB-PP\tO' +p350229 +aS'greater\tgreat\tJJR\tB-NP\tO' +p350230 +aS'than\tthan\tIN\tI-NP\tO' +p350231 +aS'100\t100\tCD\tI-NP\tO' +p350232 +aS'.\t.\t.\tO\tO' +p350233 +asS'VNA will check his INR at home and page his PCP with the results .' +p350234 +(lp350235 +S'VNA\tVNA\tNN\tB-NP\tB-protein' +p350236 +aS'will\twill\tMD\tB-VP\tO' +p350237 +aS'check\tcheck\tVB\tI-VP\tO' +p350238 +aS'his\this\tPRP$\tB-NP\tO' +p350239 +aS'INR\tINR\tNN\tI-NP\tB-protein' +p350240 +aS'at\tat\tIN\tB-PP\tO' +p350241 +aS'home\thome\tNN\tB-NP\tO' +p350242 +aS'and\tand\tCC\tO\tO' +p350243 +aS'page\tpage\tVB\tB-VP\tO' +p350244 +aS'his\this\tPRP$\tB-NP\tO' +p350245 +aS'PCP\tPCP\tNN\tI-NP\tB-protein' +p350246 +aS'with\twith\tIN\tB-PP\tO' +p350247 +aS'the\tthe\tDT\tB-NP\tO' +p350248 +aS'results\tresult\tNNS\tI-NP\tO' +p350249 +aS'.\t.\t.\tO\tO' +p350250 +asS'In addition , Vancomycin , Levaquin were also discontinued .' +p350251 +(lp350252 +S'In\tIn\tIN\tB-PP\tO' +p350253 +aS'addition\taddition\tNN\tB-NP\tO' +p350254 +aS',\t,\t,\tO\tO' +p350255 +aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' +p350256 +aS',\t,\t,\tO\tO' +p350257 +aS'Levaquin\tLevaquin\tNNP\tB-NP\tO' +p350258 +aS'were\tbe\tVBD\tB-VP\tO' +p350259 +aS'also\talso\tRB\tI-VP\tO' +p350260 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p350261 +aS'.\t.\t.\tO\tO' +p350262 +asS"On her mom 's side is an extensive family cardiac history ." +p350263 +(lp350264 +S'On\tOn\tIN\tB-PP\tO' +p350265 +aS'her\ther\tPRP$\tB-NP\tO' +p350266 +aS'mom\tmom\tNN\tI-NP\tO' +p350267 +aS"'s\t's\tPOS\tB-NP\tO" +p350268 +aS'side\tside\tNN\tI-NP\tO' +p350269 +aS'is\tbe\tVBZ\tB-VP\tO' +p350270 +aS'an\tan\tDT\tB-NP\tO' +p350271 +aS'extensive\textensive\tJJ\tI-NP\tO' +p350272 +aS'family\tfamily\tNN\tI-NP\tO' +p350273 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p350274 +aS'history\thistory\tNN\tI-NP\tO' +p350275 +aS'.\t.\t.\tO\tO' +p350276 +asS'Squamous mucosa and skin with no significant pathologic change .' +p350277 +(lp350278 +S'Squamous\tSquamous\tJJ\tB-NP\tO' +p350279 +aS'mucosa\tmucosa\tNN\tI-NP\tO' +p350280 +aS'and\tand\tCC\tI-NP\tO' +p350281 +aS'skin\tskin\tNN\tI-NP\tO' +p350282 +aS'with\twith\tIN\tB-PP\tO' +p350283 +aS'no\tno\tDT\tB-NP\tO' +p350284 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p350285 +aS'pathologic\tpathologic\tJJ\tI-NP\tO' +p350286 +aS'change\tchange\tNN\tI-NP\tO' +p350287 +aS'.\t.\t.\tO\tO' +p350288 +asS'The patient was admitted to the Hospital and underwent an approximate 1.5 liter diuresis within the first 24 hours with improvement in his symptoms and improvement in his oxygen saturations .' +p350289 +(lp350290 +S'The\tThe\tDT\tB-NP\tO' +p350291 +aS'patient\tpatient\tNN\tI-NP\tO' +p350292 +aS'was\tbe\tVBD\tB-VP\tO' +p350293 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p350294 +aS'to\tto\tTO\tB-PP\tO' +p350295 +aS'the\tthe\tDT\tB-NP\tO' +p350296 +aS'Hospital\tHospital\tNN\tI-NP\tO' +p350297 +aS'and\tand\tCC\tO\tO' +p350298 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p350299 +aS'an\tan\tDT\tB-NP\tO' +p350300 +aS'approximate\tapproximate\tJJ\tI-NP\tO' +p350301 +aS'1.5\t1.5\tCD\tI-NP\tO' +p350302 +aS'liter\tliter\tNN\tI-NP\tO' +p350303 +aS'diuresis\tdiuresis\tNN\tI-NP\tO' +p350304 +aS'within\twithin\tIN\tB-PP\tO' +p350305 +aS'the\tthe\tDT\tB-NP\tO' +p350306 +aS'first\tfirst\tJJ\tI-NP\tO' +p350307 +aS'24\t24\tCD\tI-NP\tO' +p350308 +aS'hours\thour\tNNS\tI-NP\tO' +p350309 +aS'with\twith\tIN\tB-PP\tO' +p350310 +aS'improvement\timprovement\tNN\tB-NP\tO' +p350311 +aS'in\tin\tIN\tB-PP\tO' +p350312 +aS'his\this\tPRP$\tB-NP\tO' +p350313 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p350314 +aS'and\tand\tCC\tI-NP\tO' +p350315 +aS'improvement\timprovement\tNN\tI-NP\tO' +p350316 +aS'in\tin\tIN\tB-PP\tO' +p350317 +aS'his\this\tPRP$\tB-NP\tO' +p350318 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p350319 +aS'saturations\tsaturation\tNNS\tI-NP\tO' +p350320 +aS'.\t.\t.\tO\tO' +p350321 +asS'Prenatal screens were O positive , antibody negative , hepatitis surface antigen negative , rapid plasma reagent nonreactive , rubella immune , group B strep negative .' +p350322 +(lp350323 +S'Prenatal\tPrenatal\tJJ\tB-NP\tO' +p350324 +aS'screens\tscreen\tNNS\tI-NP\tO' +p350325 +aS'were\tbe\tVBD\tB-VP\tO' +p350326 +aS'O\tO\tNN\tB-NP\tO' +p350327 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p350328 +aS',\t,\t,\tO\tO' +p350329 +aS'antibody\tantibody\tNN\tB-NP\tO' +p350330 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p350331 +aS',\t,\t,\tO\tO' +p350332 +aS'hepatitis\thepatitis\tNN\tB-NP\tB-protein' +p350333 +aS'surface\tsurface\tNN\tI-NP\tI-protein' +p350334 +aS'antigen\tantigen\tNN\tI-NP\tI-protein' +p350335 +aS'negative\tnegative\tJJ\tI-NP\tO' +p350336 +aS',\t,\t,\tI-NP\tO' +p350337 +aS'rapid\trapid\tJJ\tI-NP\tO' +p350338 +aS'plasma\tplasma\tNN\tI-NP\tO' +p350339 +aS'reagent\treagent\tNN\tI-NP\tO' +p350340 +aS'nonreactive\tnonreactive\tJJ\tB-ADJP\tO' +p350341 +aS',\t,\t,\tO\tO' +p350342 +aS'rubella\trubella\tNN\tB-NP\tO' +p350343 +aS'immune\timmune\tJJ\tI-NP\tO' +p350344 +aS',\t,\t,\tI-NP\tO' +p350345 +aS'group\tgroup\tNN\tI-NP\tO' +p350346 +aS'B\tB\tNN\tI-NP\tO' +p350347 +aS'strep\tstrep\tNN\tI-NP\tO' +p350348 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p350349 +aS'.\t.\t.\tO\tO' +p350350 +asS'Anemia , discharge hematocrit 28 , not iron deficient .' +p350351 +(lp350352 +S'Anemia\tAnemia\tNNP\tB-NP\tO' +p350353 +aS',\t,\t,\tO\tO' +p350354 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p350355 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p350356 +aS'28\t28\tCD\tI-NP\tO' +p350357 +aS',\t,\t,\tI-NP\tO' +p350358 +aS'not\tnot\tRB\tI-NP\tO' +p350359 +aS'iron\tiron\tNN\tI-NP\tO' +p350360 +aS'deficient\tdeficient\tJJ\tB-ADJP\tO' +p350361 +aS'.\t.\t.\tO\tO' +p350362 +asS'OVARIAN MASS .' +p350363 +(lp350364 +S'OVARIAN\tOVARIAN\tNNP\tB-NP\tO' +p350365 +aS'MASS\tMASS\tNNP\tI-NP\tO' +p350366 +aS'.\t.\t.\tO\tO' +p350367 +asS'Apical impulse not palpable .' +p350368 +(lp350369 +S'Apical\tApical\tJJ\tB-NP\tO' +p350370 +aS'impulse\timpulse\tNN\tI-NP\tO' +p350371 +aS'not\tnot\tRB\tB-ADJP\tO' +p350372 +aS'palpable\tpalpable\tJJ\tI-ADJP\tO' +p350373 +aS'.\t.\t.\tO\tO' +p350374 +asS'She had flatus and regular bowel movements by postoperative day # 5 .' +p350375 +(lp350376 +S'She\tShe\tPRP\tB-NP\tO' +p350377 +aS'had\thave\tVBD\tB-VP\tO' +p350378 +aS'flatus\tflatus\tNN\tB-NP\tO' +p350379 +aS'and\tand\tCC\tO\tO' +p350380 +aS'regular\tregular\tJJ\tB-NP\tO' +p350381 +aS'bowel\tbowel\tNN\tI-NP\tO' +p350382 +aS'movements\tmovement\tNNS\tI-NP\tO' +p350383 +aS'by\tby\tIN\tB-PP\tO' +p350384 +aS'postoperative\tpostoperative\tJJ\tB-NP\tB-protein' +p350385 +aS'day\tday\tNN\tI-NP\tI-protein' +p350386 +aS'#\t#\t#\tB-NP\tI-protein' +p350387 +aS'5\t5\tCD\tI-NP\tI-protein' +p350388 +aS'.\t.\t.\tO\tO' +p350389 +asS'Postoperatively , the patient did extremely well and was extubated the following morning .' +p350390 +(lp350391 +S'Postoperatively\tPostoperatively\tRB\tB-ADVP\tO' +p350392 +aS',\t,\t,\tO\tO' +p350393 +aS'the\tthe\tDT\tB-NP\tO' +p350394 +aS'patient\tpatient\tNN\tI-NP\tO' +p350395 +aS'did\tdo\tVBD\tB-VP\tO' +p350396 +aS'extremely\textremely\tRB\tB-ADVP\tO' +p350397 +aS'well\twell\tRB\tI-ADVP\tO' +p350398 +aS'and\tand\tCC\tO\tO' +p350399 +aS'was\tbe\tVBD\tB-VP\tO' +p350400 +aS'extubated\textubate\tVBN\tI-VP\tO' +p350401 +aS'the\tthe\tDT\tB-NP\tO' +p350402 +aS'following\tfollowing\tJJ\tI-NP\tO' +p350403 +aS'morning\tmorning\tNN\tI-NP\tO' +p350404 +aS'.\t.\t.\tO\tO' +p350405 +asS'NH resident , guardian Robert Murrell' +p350406 +(lp350407 +S'NH\tNH\tNN\tB-NP\tO' +p350408 +aS'resident\tresident\tNN\tI-NP\tO' +p350409 +aS',\t,\t,\tO\tO' +p350410 +aS'guardian\tguardian\tJJ\tB-NP\tO' +p350411 +aS'Robert\tRobert\tNNP\tI-NP\tO' +p350412 +aS'Murrell\tMurrell\tNNP\tI-NP\tO' +p350413 +asS'He was referred to the Surgical Clinic where the wound was opened and the patient was admitted for intravenous antibiotics .' +p350414 +(lp350415 +S'He\tHe\tPRP\tB-NP\tO' +p350416 +aS'was\tbe\tVBD\tB-VP\tO' +p350417 +aS'referred\trefer\tVBN\tI-VP\tO' +p350418 +aS'to\tto\tTO\tB-PP\tO' +p350419 +aS'the\tthe\tDT\tB-NP\tO' +p350420 +aS'Surgical\tSurgical\tNNP\tI-NP\tO' +p350421 +aS'Clinic\tClinic\tNNP\tI-NP\tO' +p350422 +aS'where\twhere\tWRB\tB-ADVP\tO' +p350423 +aS'the\tthe\tDT\tB-NP\tO' +p350424 +aS'wound\twound\tNN\tI-NP\tO' +p350425 +aS'was\tbe\tVBD\tB-VP\tO' +p350426 +aS'opened\topen\tVBN\tI-VP\tO' +p350427 +aS'and\tand\tCC\tO\tO' +p350428 +aS'the\tthe\tDT\tB-NP\tO' +p350429 +aS'patient\tpatient\tNN\tI-NP\tO' +p350430 +aS'was\tbe\tVBD\tB-VP\tO' +p350431 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p350432 +aS'for\tfor\tIN\tB-PP\tO' +p350433 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p350434 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p350435 +aS'.\t.\t.\tO\tO' +p350436 +asS'A stool assay was taken for Clostridium difficile which was negative .' +p350437 +(lp350438 +S'A\tA\tDT\tB-NP\tO' +p350439 +aS'stool\tstool\tNN\tI-NP\tO' +p350440 +aS'assay\tassay\tNN\tI-NP\tO' +p350441 +aS'was\tbe\tVBD\tB-VP\tO' +p350442 +aS'taken\ttake\tVBN\tI-VP\tO' +p350443 +aS'for\tfor\tIN\tB-PP\tO' +p350444 +aS'Clostridium\tClostridium\tNN\tB-NP\tO' +p350445 +aS'difficile\tdifficile\tNN\tI-NP\tO' +p350446 +aS'which\twhich\tWDT\tB-NP\tO' +p350447 +aS'was\tbe\tVBD\tB-VP\tO' +p350448 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p350449 +aS'.\t.\t.\tO\tO' +p350450 +asS'2. Lasix 25 mg po qd' +p350451 +(lp350452 +S'2.\t2.\tLS\tB-NP\tO' +p350453 +aS'Lasix\tLasix\tNNP\tI-NP\tO' +p350454 +aS'25\t25\tCD\tI-NP\tO' +p350455 +aS'mg\tmg\tNN\tI-NP\tO' +p350456 +aS'po\tpo\tNN\tI-NP\tO' +p350457 +aS'qd\tqd\tNN\tI-NP\tO' +p350458 +asS'No evidence of major vascular occlusion seen .' +p350459 +(lp350460 +S'No\tNo\tDT\tB-NP\tO' +p350461 +aS'evidence\tevidence\tNN\tI-NP\tO' +p350462 +aS'of\tof\tIN\tB-PP\tO' +p350463 +aS'major\tmajor\tJJ\tB-NP\tO' +p350464 +aS'vascular\tvascular\tJJ\tI-NP\tO' +p350465 +aS'occlusion\tocclusion\tNN\tI-NP\tO' +p350466 +aS'seen\tsee\tVBN\tB-VP\tO' +p350467 +aS'.\t.\t.\tO\tO' +p350468 +asS'The procedure was performed under endoscopic guidance in the Intensive Care Unit without complication .' +p350469 +(lp350470 +S'The\tThe\tDT\tB-NP\tO' +p350471 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p350472 +aS'was\tbe\tVBD\tB-VP\tO' +p350473 +aS'performed\tperform\tVBN\tI-VP\tO' +p350474 +aS'under\tunder\tIN\tB-PP\tO' +p350475 +aS'endoscopic\tendoscopic\tJJ\tB-NP\tO' +p350476 +aS'guidance\tguidance\tNN\tI-NP\tO' +p350477 +aS'in\tin\tIN\tB-PP\tO' +p350478 +aS'the\tthe\tDT\tB-NP\tO' +p350479 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p350480 +aS'Care\tCare\tNNP\tI-NP\tO' +p350481 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p350482 +aS'without\twithout\tIN\tB-PP\tO' +p350483 +aS'complication\tcomplication\tNN\tB-NP\tO' +p350484 +aS'.\t.\t.\tO\tO' +p350485 +asS'Coronary artery bypass graft x 2 / Aortic valve replacement 05-08' +p350486 +(lp350487 +S'Coronary\tCoronary\tJJ\tB-NP\tO' +p350488 +aS'artery\tartery\tNN\tI-NP\tO' +p350489 +aS'bypass\tbypass\tIN\tB-PP\tO' +p350490 +aS'graft\tgraft\tNN\tB-NP\tB-protein' +p350491 +aS'x\tx\tSYM\tB-NP\tI-protein' +p350492 +aS'2\t2\tCD\tI-NP\tI-protein' +p350493 +aS'/\t/\tSYM\tI-NP\tO' +p350494 +aS'Aortic\tAortic\tJJ\tI-NP\tO' +p350495 +aS'valve\tvalve\tNN\tI-NP\tO' +p350496 +aS'replacement\treplacement\tNN\tI-NP\tO' +p350497 +aS'05-08\t05-08\tCD\tI-NP\tO' +p350498 +asS'She also had a right lower extremity noninvasive ultrasound that was negative for deep venous thrombosis .' +p350499 +(lp350500 +S'She\tShe\tPRP\tB-NP\tO' +p350501 +aS'also\talso\tRB\tB-ADVP\tO' +p350502 +aS'had\thave\tVBD\tB-VP\tO' +p350503 +aS'a\ta\tDT\tB-NP\tO' +p350504 +aS'right\tright\tRB\tI-NP\tO' +p350505 +aS'lower\tlow\tJJR\tI-NP\tO' +p350506 +aS'extremity\textremity\tNN\tI-NP\tO' +p350507 +aS'noninvasive\tnoninvasive\tJJ\tI-NP\tO' +p350508 +aS'ultrasound\tultrasound\tNN\tI-NP\tO' +p350509 +aS'that\tthat\tWDT\tB-NP\tO' +p350510 +aS'was\tbe\tVBD\tB-VP\tO' +p350511 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p350512 +aS'for\tfor\tIN\tB-PP\tO' +p350513 +aS'deep\tdeep\tJJ\tB-NP\tO' +p350514 +aS'venous\tvenous\tJJ\tI-NP\tO' +p350515 +aS'thrombosis\tthrombosis\tNN\tI-NP\tO' +p350516 +aS'.\t.\t.\tO\tO' +p350517 +asS'11. Toprol XL 25 mg once daily .' +p350518 +(lp350519 +S'11.\t11.\tLS\tB-NP\tO' +p350520 +aS'Toprol\tToprol\tNNP\tI-NP\tO' +p350521 +aS'XL\tXL\tNNP\tI-NP\tO' +p350522 +aS'25\t25\tCD\tI-NP\tO' +p350523 +aS'mg\tmg\tNN\tI-NP\tO' +p350524 +aS'once\tonce\tRB\tB-ADVP\tO' +p350525 +aS'daily\tdaily\tRB\tI-ADVP\tO' +p350526 +aS'.\t.\t.\tO\tO' +p350527 +asS'Incentive spirometry was started .' +p350528 +(lp350529 +S'Incentive\tIncentive\tJJ\tB-NP\tO' +p350530 +aS'spirometry\tspirometry\tNN\tI-NP\tO' +p350531 +aS'was\tbe\tVBD\tB-VP\tO' +p350532 +aS'started\tstart\tVBN\tI-VP\tO' +p350533 +aS'.\t.\t.\tO\tO' +p350534 +asS'HIV times 13 years .' +p350535 +(lp350536 +S'HIV\tHIV\tNN\tB-NP\tO' +p350537 +aS'times\ttime\tNNS\tI-NP\tO' +p350538 +aS'13\t13\tCD\tB-NP\tO' +p350539 +aS'years\tyear\tNNS\tI-NP\tO' +p350540 +aS'.\t.\t.\tO\tO' +p350541 +asS'without clubbing , claudication , or edema .' +p350542 +(lp350543 +S'without\twithout\tIN\tB-PP\tO' +p350544 +aS'clubbing\tclubbing\tNN\tB-NP\tO' +p350545 +aS',\t,\t,\tO\tO' +p350546 +aS'claudication\tclaudication\tNN\tB-NP\tO' +p350547 +aS',\t,\t,\tO\tO' +p350548 +aS'or\tor\tCC\tO\tO' +p350549 +aS'edema\tedema\tNN\tB-NP\tO' +p350550 +aS'.\t.\t.\tO\tO' +p350551 +asS'IVF , cbc ( hct 36 ) , normal chem 7 , negative cardiac enzymes , negative stool guaiac , normal CXR' +p350552 +(lp350553 +S'IVF\tIVF\tNN\tB-NP\tB-protein' +p350554 +aS',\t,\t,\tO\tO' +p350555 +aS'cbc\tcbc\tNN\tB-NP\tO' +p350556 +aS'(\t(\t(\tO\tO' +p350557 +aS'hct\thct\tNN\tB-NP\tO' +p350558 +aS'36\t36\tCD\tI-NP\tO' +p350559 +aS')\t)\t)\tO\tO' +p350560 +aS',\t,\t,\tO\tO' +p350561 +aS'normal\tnormal\tJJ\tB-NP\tO' +p350562 +aS'chem\tchem\tNN\tI-NP\tO' +p350563 +aS'7\t7\tCD\tI-NP\tO' +p350564 +aS',\t,\t,\tO\tO' +p350565 +aS'negative\tnegative\tJJ\tB-NP\tB-protein' +p350566 +aS'cardiac\tcardiac\tJJ\tI-NP\tI-protein' +p350567 +aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' +p350568 +aS',\t,\t,\tO\tO' +p350569 +aS'negative\tnegative\tJJ\tB-NP\tO' +p350570 +aS'stool\tstool\tNN\tI-NP\tO' +p350571 +aS'guaiac\tguaiac\tNN\tI-NP\tO' +p350572 +aS',\t,\t,\tO\tO' +p350573 +aS'normal\tnormal\tJJ\tB-NP\tO' +p350574 +aS'CXR\tCXR\tNN\tI-NP\tB-protein' +p350575 +asS'Fibrinogen 211 .' +p350576 +(lp350577 +S'Fibrinogen\tFibrinogen\tNN\tB-NP\tB-protein' +p350578 +aS'211\t211\tCD\tI-NP\tI-protein' +p350579 +aS'.\t.\t.\tO\tO' +p350580 +asS'3. Hypoglycemia .' +p350581 +(lp350582 +S'3.\t3.\tLS\tB-NP\tO' +p350583 +aS'Hypoglycemia\tHypoglycemia\tNN\tI-NP\tO' +p350584 +aS'.\t.\t.\tO\tO' +p350585 +asS'She was ambulating frequently .' +p350586 +(lp350587 +S'She\tShe\tPRP\tB-NP\tO' +p350588 +aS'was\tbe\tVBD\tB-VP\tO' +p350589 +aS'ambulating\tambulate\tVBG\tI-VP\tO' +p350590 +aS'frequently\tfrequently\tRB\tB-ADVP\tO' +p350591 +aS'.\t.\t.\tO\tO' +p350592 +asS'On the next day , it was 1.6 and she returned to a normal dosing of 4 mg followed by outpatient draws to determine the further Coumadin dosing .' +p350593 +(lp350594 +S'On\tOn\tIN\tB-PP\tO' +p350595 +aS'the\tthe\tDT\tB-NP\tO' +p350596 +aS'next\tnext\tJJ\tI-NP\tO' +p350597 +aS'day\tday\tNN\tI-NP\tO' +p350598 +aS',\t,\t,\tO\tO' +p350599 +aS'it\tit\tPRP\tB-NP\tO' +p350600 +aS'was\tbe\tVBD\tB-VP\tO' +p350601 +aS'1.6\t1.6\tCD\tB-NP\tO' +p350602 +aS'and\tand\tCC\tO\tO' +p350603 +aS'she\tshe\tPRP\tB-NP\tO' +p350604 +aS'returned\treturn\tVBD\tB-VP\tO' +p350605 +aS'to\tto\tTO\tB-PP\tO' +p350606 +aS'a\ta\tDT\tB-NP\tO' +p350607 +aS'normal\tnormal\tJJ\tI-NP\tO' +p350608 +aS'dosing\tdosing\tNN\tI-NP\tO' +p350609 +aS'of\tof\tIN\tB-PP\tO' +p350610 +aS'4\t4\tCD\tB-NP\tO' +p350611 +aS'mg\tmg\tNN\tI-NP\tO' +p350612 +aS'followed\tfollow\tVBN\tB-VP\tO' +p350613 +aS'by\tby\tIN\tB-PP\tO' +p350614 +aS'outpatient\toutpatient\tNN\tB-NP\tO' +p350615 +aS'draws\tdraw\tNNS\tI-NP\tO' +p350616 +aS'to\tto\tTO\tB-VP\tO' +p350617 +aS'determine\tdetermine\tVB\tI-VP\tO' +p350618 +aS'the\tthe\tDT\tB-NP\tO' +p350619 +aS'further\tfurther\tJJ\tI-NP\tO' +p350620 +aS'Coumadin\tCoumadin\tNN\tI-NP\tO' +p350621 +aS'dosing\tdosing\tNN\tI-NP\tO' +p350622 +aS'.\t.\t.\tO\tO' +p350623 +asS'The posterior elements are intact .' +p350624 +(lp350625 +S'The\tThe\tDT\tB-NP\tO' +p350626 +aS'posterior\tposterior\tJJ\tI-NP\tB-DNA' +p350627 +aS'elements\telement\tNNS\tI-NP\tI-DNA' +p350628 +aS'are\tbe\tVBP\tB-VP\tO' +p350629 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p350630 +aS'.\t.\t.\tO\tO' +p350631 +asS'Furthermore , she needs a follow-up appointment with Dr. Miller of Cardiology within the next two weeks .' +p350632 +(lp350633 +S'Furthermore\tFurthermore\tRB\tB-ADVP\tO' +p350634 +aS',\t,\t,\tO\tO' +p350635 +aS'she\tshe\tPRP\tB-NP\tO' +p350636 +aS'needs\tneed\tVBZ\tB-VP\tO' +p350637 +aS'a\ta\tDT\tB-NP\tO' +p350638 +aS'follow-up\tfollow-up\tJJ\tI-NP\tO' +p350639 +aS'appointment\tappointment\tNN\tI-NP\tO' +p350640 +aS'with\twith\tIN\tB-PP\tO' +p350641 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p350642 +aS'Miller\tMiller\tNNP\tI-NP\tO' +p350643 +aS'of\tof\tIN\tB-PP\tO' +p350644 +aS'Cardiology\tCardiology\tNNP\tB-NP\tO' +p350645 +aS'within\twithin\tIN\tB-PP\tO' +p350646 +aS'the\tthe\tDT\tB-NP\tO' +p350647 +aS'next\tnext\tJJ\tI-NP\tO' +p350648 +aS'two\ttwo\tCD\tI-NP\tO' +p350649 +aS'weeks\tweek\tNNS\tI-NP\tO' +p350650 +aS'.\t.\t.\tO\tO' +p350651 +asS'Abdomen is soft , with marked suprapubic tenderness and reduced bowel sounds .' +p350652 +(lp350653 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p350654 +aS'is\tbe\tVBZ\tB-VP\tO' +p350655 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p350656 +aS',\t,\t,\tO\tO' +p350657 +aS'with\twith\tIN\tB-PP\tO' +p350658 +aS'marked\tmarked\tJJ\tB-NP\tO' +p350659 +aS'suprapubic\tsuprapubic\tJJ\tI-NP\tO' +p350660 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p350661 +aS'and\tand\tCC\tO\tO' +p350662 +aS'reduced\treduce\tVBD\tB-VP\tO' +p350663 +aS'bowel\tbowel\tNN\tB-NP\tO' +p350664 +aS'sounds\tsound\tNNS\tI-NP\tO' +p350665 +aS'.\t.\t.\tO\tO' +p350666 +asS'He was placed on a diabetic diet and his sugars did show some improvement .' +p350667 +(lp350668 +S'He\tHe\tPRP\tB-NP\tO' +p350669 +aS'was\tbe\tVBD\tB-VP\tO' +p350670 +aS'placed\tplace\tVBN\tI-VP\tO' +p350671 +aS'on\ton\tIN\tB-PP\tO' +p350672 +aS'a\ta\tDT\tB-NP\tO' +p350673 +aS'diabetic\tdiabetic\tJJ\tI-NP\tO' +p350674 +aS'diet\tdiet\tNN\tI-NP\tO' +p350675 +aS'and\tand\tCC\tO\tO' +p350676 +aS'his\this\tPRP$\tB-NP\tO' +p350677 +aS'sugars\tsugar\tNNS\tI-NP\tO' +p350678 +aS'did\tdo\tVBD\tB-VP\tO' +p350679 +aS'show\tshow\tVB\tI-VP\tO' +p350680 +aS'some\tsome\tDT\tB-NP\tO' +p350681 +aS'improvement\timprovement\tNN\tI-NP\tO' +p350682 +aS'.\t.\t.\tO\tO' +p350683 +asS'Her platelet count initially rose to a maximum of 159 on July 3 , 1998 , then they steadily fell to a low of 60 on July 20 , 1999 .' +p350684 +(lp350685 +S'Her\tHer\tPRP$\tB-NP\tO' +p350686 +aS'platelet\tplatelet\tNN\tI-NP\tO' +p350687 +aS'count\tcount\tNN\tI-NP\tO' +p350688 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p350689 +aS'rose\trise\tVBD\tB-VP\tO' +p350690 +aS'to\tto\tTO\tB-PP\tO' +p350691 +aS'a\ta\tDT\tB-NP\tO' +p350692 +aS'maximum\tmaximum\tNN\tI-NP\tO' +p350693 +aS'of\tof\tIN\tB-PP\tO' +p350694 +aS'159\t159\tCD\tB-NP\tO' +p350695 +aS'on\ton\tIN\tB-PP\tO' +p350696 +aS'July\tJuly\tNNP\tB-NP\tO' +p350697 +aS'3\t3\tCD\tI-NP\tO' +p350698 +aS',\t,\t,\tI-NP\tO' +p350699 +aS'1998\t1998\tCD\tI-NP\tO' +p350700 +aS',\t,\t,\tO\tO' +p350701 +aS'then\tthen\tRB\tO\tO' +p350702 +aS'they\tthey\tPRP\tB-NP\tO' +p350703 +aS'steadily\tsteadily\tRB\tB-ADVP\tO' +p350704 +aS'fell\tfall\tVBD\tB-VP\tO' +p350705 +aS'to\tto\tTO\tB-PP\tO' +p350706 +aS'a\ta\tDT\tB-NP\tO' +p350707 +aS'low\tlow\tJJ\tI-NP\tO' +p350708 +aS'of\tof\tIN\tB-PP\tO' +p350709 +aS'60\t60\tCD\tB-NP\tO' +p350710 +aS'on\ton\tIN\tB-PP\tO' +p350711 +aS'July\tJuly\tNNP\tB-NP\tO' +p350712 +aS'20\t20\tCD\tI-NP\tO' +p350713 +aS',\t,\t,\tI-NP\tO' +p350714 +aS'1999\t1999\tCD\tI-NP\tO' +p350715 +aS'.\t.\t.\tO\tO' +p350716 +asS'Now rate controlled on metop 125 tid and dilt .' +p350717 +(lp350718 +S'Now\tNow\tRB\tB-NP\tO' +p350719 +aS'rate\trate\tNN\tI-NP\tO' +p350720 +aS'controlled\tcontrol\tVBN\tB-VP\tO' +p350721 +aS'on\ton\tIN\tB-PP\tO' +p350722 +aS'metop\tmetop\tNN\tB-NP\tO' +p350723 +aS'125\t125\tCD\tI-NP\tO' +p350724 +aS'tid\ttid\tNN\tI-NP\tO' +p350725 +aS'and\tand\tCC\tI-NP\tO' +p350726 +aS'dilt\tdilt\tNN\tI-NP\tO' +p350727 +aS'.\t.\t.\tO\tO' +p350728 +asS'5. Albuterol multiple dose inhalers , one to two puffs q. six hours as needed .' +p350729 +(lp350730 +S'5.\t5.\tLS\tB-NP\tO' +p350731 +aS'Albuterol\tAlbuterol\tNN\tI-NP\tO' +p350732 +aS'multiple\tmultiple\tJJ\tI-NP\tO' +p350733 +aS'dose\tdose\tNN\tI-NP\tO' +p350734 +aS'inhalers\tinhaler\tNNS\tI-NP\tO' +p350735 +aS',\t,\t,\tO\tO' +p350736 +aS'one\tone\tCD\tB-NP\tO' +p350737 +aS'to\tto\tTO\tI-NP\tO' +p350738 +aS'two\ttwo\tCD\tI-NP\tO' +p350739 +aS'puffs\tpuff\tNNS\tI-NP\tO' +p350740 +aS'q.\tq.\tRB\tB-NP\tO' +p350741 +aS'six\tsix\tCD\tI-NP\tO' +p350742 +aS'hours\thour\tNNS\tI-NP\tO' +p350743 +aS'as\tas\tIN\tB-SBAR\tO' +p350744 +aS'needed\tneed\tVBN\tB-VP\tO' +p350745 +aS'.\t.\t.\tO\tO' +p350746 +asS'As above , including an embolectomy in June 1992 .' +p350747 +(lp350748 +S'As\tAs\tIN\tB-PP\tO' +p350749 +aS'above\tabove\tRB\tB-ADVP\tO' +p350750 +aS',\t,\t,\tO\tO' +p350751 +aS'including\tinclude\tVBG\tB-PP\tO' +p350752 +aS'an\tan\tDT\tB-NP\tO' +p350753 +aS'embolectomy\tembolectomy\tNN\tI-NP\tO' +p350754 +aS'in\tin\tIN\tB-PP\tO' +p350755 +aS'June\tJune\tNNP\tB-NP\tO' +p350756 +aS'1992\t1992\tCD\tI-NP\tO' +p350757 +aS'.\t.\t.\tO\tO' +p350758 +asS'2. Enhancing lesions in the left centrum semiovale and also left hippocampal cortex .' +p350759 +(lp350760 +S'2.\t2.\tLS\tB-LST\tO' +p350761 +aS'Enhancing\tEnhance\tVBG\tB-VP\tO' +p350762 +aS'lesions\tlesion\tNNS\tB-NP\tO' +p350763 +aS'in\tin\tIN\tB-PP\tO' +p350764 +aS'the\tthe\tDT\tB-NP\tO' +p350765 +aS'left\tleft\tJJ\tI-NP\tO' +p350766 +aS'centrum\tcentrum\tNN\tI-NP\tO' +p350767 +aS'semiovale\tsemiovale\tNN\tI-NP\tO' +p350768 +aS'and\tand\tCC\tO\tO' +p350769 +aS'also\talso\tRB\tB-ADVP\tO' +p350770 +aS'left\tleave\tVBD\tB-VP\tO' +p350771 +aS'hippocampal\thippocampal\tJJ\tB-NP\tO' +p350772 +aS'cortex\tcortex\tNN\tI-NP\tO' +p350773 +aS'.\t.\t.\tO\tO' +p350774 +asS'the patient had 2+ femoral pulses and 1+ pedal pulses .' +p350775 +(lp350776 +S'the\tthe\tDT\tB-NP\tO' +p350777 +aS'patient\tpatient\tNN\tI-NP\tO' +p350778 +aS'had\thave\tVBD\tB-VP\tO' +p350779 +aS'2+\t2+\tJJ\tB-NP\tO' +p350780 +aS'femoral\tfemoral\tJJ\tI-NP\tO' +p350781 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p350782 +aS'and\tand\tCC\tO\tO' +p350783 +aS'1+\t1+\tJJ\tB-NP\tO' +p350784 +aS'pedal\tpedal\tJJ\tI-NP\tO' +p350785 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p350786 +aS'.\t.\t.\tO\tO' +p350787 +asS'This is a 35-year-old gentleman with HIV on HAART with last CD4 count of 268 and undetectable viral load who was referred to the emergency room via his PCP for progressive throat pain and edema .' +p350788 +(lp350789 +S'This\tThis\tDT\tB-NP\tO' +p350790 +aS'is\tbe\tVBZ\tB-VP\tO' +p350791 +aS'a\ta\tDT\tB-NP\tO' +p350792 +aS'35-year-old\t35-year-old\tJJ\tI-NP\tO' +p350793 +aS'gentleman\tgentleman\tNN\tI-NP\tO' +p350794 +aS'with\twith\tIN\tB-PP\tO' +p350795 +aS'HIV\tHIV\tNN\tB-NP\tO' +p350796 +aS'on\ton\tIN\tB-PP\tO' +p350797 +aS'HAART\tHAART\tNN\tB-NP\tB-protein' +p350798 +aS'with\twith\tIN\tB-PP\tO' +p350799 +aS'last\tlast\tJJ\tB-NP\tO' +p350800 +aS'CD4\tCD4\tNN\tI-NP\tO' +p350801 +aS'count\tcount\tNN\tI-NP\tO' +p350802 +aS'of\tof\tIN\tB-PP\tO' +p350803 +aS'268\t268\tCD\tB-NP\tO' +p350804 +aS'and\tand\tCC\tO\tO' +p350805 +aS'undetectable\tundetectable\tJJ\tB-NP\tO' +p350806 +aS'viral\tviral\tJJ\tI-NP\tO' +p350807 +aS'load\tload\tNN\tI-NP\tO' +p350808 +aS'who\twho\tWP\tB-NP\tO' +p350809 +aS'was\tbe\tVBD\tB-VP\tO' +p350810 +aS'referred\trefer\tVBN\tI-VP\tO' +p350811 +aS'to\tto\tTO\tB-PP\tO' +p350812 +aS'the\tthe\tDT\tB-NP\tO' +p350813 +aS'emergency\temergency\tNN\tI-NP\tO' +p350814 +aS'room\troom\tNN\tI-NP\tO' +p350815 +aS'via\tvia\tIN\tB-PP\tO' +p350816 +aS'his\this\tPRP$\tB-NP\tO' +p350817 +aS'PCP\tPCP\tNN\tI-NP\tB-DNA' +p350818 +aS'for\tfor\tIN\tB-PP\tO' +p350819 +aS'progressive\tprogressive\tJJ\tB-NP\tO' +p350820 +aS'throat\tthroat\tNN\tI-NP\tO' +p350821 +aS'pain\tpain\tNN\tI-NP\tO' +p350822 +aS'and\tand\tCC\tI-NP\tO' +p350823 +aS'edema\tedema\tNN\tI-NP\tO' +p350824 +aS'.\t.\t.\tO\tO' +p350825 +asS'1. Folic Acid .' +p350826 +(lp350827 +S'1.\t1.\tLS\tB-NP\tO' +p350828 +aS'Folic\tFolic\tJJ\tI-NP\tO' +p350829 +aS'Acid\tAcid\tNN\tI-NP\tO' +p350830 +aS'.\t.\t.\tO\tO' +p350831 +asS'Clear lungs , normal heart , Pagett 's type changes on the right breast and left breast without apparent masses with scarring supra-areolar and infra-areolar .' +p350832 +(lp350833 +S'Clear\tClear\tJJ\tB-NP\tO' +p350834 +aS'lungs\tlung\tNNS\tI-NP\tO' +p350835 +aS',\t,\t,\tO\tO' +p350836 +aS'normal\tnormal\tJJ\tB-NP\tO' +p350837 +aS'heart\theart\tNN\tI-NP\tO' +p350838 +aS',\t,\t,\tO\tO' +p350839 +aS'Pagett\tPagett\tNNP\tB-NP\tO' +p350840 +aS''s\t'\tVBZ\tB-VP\tO' +p350841 +aS'type\ttype\tNN\tB-NP\tO' +p350842 +aS'changes\tchange\tNNS\tI-NP\tO' +p350843 +aS'on\ton\tIN\tB-PP\tO' +p350844 +aS'the\tthe\tDT\tB-NP\tO' +p350845 +aS'right\tright\tJJ\tI-NP\tO' +p350846 +aS'breast\tbreast\tNN\tI-NP\tO' +p350847 +aS'and\tand\tCC\tI-NP\tO' +p350848 +aS'left\tleft\tJJ\tI-NP\tO' +p350849 +aS'breast\tbreast\tNN\tI-NP\tO' +p350850 +aS'without\twithout\tIN\tB-PP\tO' +p350851 +aS'apparent\tapparent\tJJ\tB-NP\tO' +p350852 +aS'masses\tmass\tNNS\tI-NP\tO' +p350853 +aS'with\twith\tIN\tB-PP\tO' +p350854 +aS'scarring\tscar\tVBG\tB-VP\tO' +p350855 +aS'supra-areolar\tsupra-areolar\tJJ\tB-ADJP\tO' +p350856 +aS'and\tand\tCC\tI-ADJP\tO' +p350857 +aS'infra-areolar\tinfra-areolar\tJJ\tI-ADJP\tO' +p350858 +aS'.\t.\t.\tO\tO' +p350859 +asS'Neck shows a well healed low collar incision without adenopathy or bruit .' +p350860 +(lp350861 +S'Neck\tNeck\tNN\tB-NP\tO' +p350862 +aS'shows\tshow\tVBZ\tB-VP\tO' +p350863 +aS'a\ta\tDT\tB-NP\tO' +p350864 +aS'well\twell\tRB\tI-NP\tO' +p350865 +aS'healed\theal\tVBN\tI-NP\tO' +p350866 +aS'low\tlow\tJJ\tI-NP\tO' +p350867 +aS'collar\tcollar\tNN\tI-NP\tO' +p350868 +aS'incision\tincision\tNN\tI-NP\tO' +p350869 +aS'without\twithout\tIN\tB-PP\tO' +p350870 +aS'adenopathy\tadenopathy\tNN\tB-NP\tO' +p350871 +aS'or\tor\tCC\tI-NP\tO' +p350872 +aS'bruit\tbruit\tNN\tI-NP\tO' +p350873 +aS'.\t.\t.\tO\tO' +p350874 +asS'Diabetic retinopathy with the patient blind in right eye .' +p350875 +(lp350876 +S'Diabetic\tDiabetic\tJJ\tB-NP\tO' +p350877 +aS'retinopathy\tretinopathy\tNN\tI-NP\tO' +p350878 +aS'with\twith\tIN\tB-PP\tO' +p350879 +aS'the\tthe\tDT\tB-NP\tO' +p350880 +aS'patient\tpatient\tNN\tI-NP\tO' +p350881 +aS'blind\tblind\tNN\tI-NP\tO' +p350882 +aS'in\tin\tIN\tB-PP\tO' +p350883 +aS'right\tright\tJJ\tB-NP\tO' +p350884 +aS'eye\teye\tNN\tI-NP\tO' +p350885 +aS'.\t.\t.\tO\tO' +p350886 +asS'She denied abd pain , fevers , chills .' +p350887 +(lp350888 +S'She\tShe\tPRP\tB-NP\tO' +p350889 +aS'denied\tdeny\tVBD\tB-VP\tO' +p350890 +aS'abd\tabd\tNN\tB-NP\tO' +p350891 +aS'pain\tpain\tNN\tI-NP\tO' +p350892 +aS',\t,\t,\tO\tO' +p350893 +aS'fevers\tfever\tNNS\tB-NP\tO' +p350894 +aS',\t,\t,\tO\tO' +p350895 +aS'chills\tchill\tNNS\tB-NP\tO' +p350896 +aS'.\t.\t.\tO\tO' +p350897 +asS'Rubella status was not documented .' +p350898 +(lp350899 +S'Rubella\tRubella\tNN\tB-NP\tO' +p350900 +aS'status\tstatus\tNN\tI-NP\tO' +p350901 +aS'was\tbe\tVBD\tB-VP\tO' +p350902 +aS'not\tnot\tRB\tI-VP\tO' +p350903 +aS'documented\tdocument\tVBN\tI-VP\tO' +p350904 +aS'.\t.\t.\tO\tO' +p350905 +asS'PLEASE TAKE MEDICATIONS AS PRESCRIBED AND READ WARNING LABELS CAREFULLY .' +p350906 +(lp350907 +S'PLEASE\tPLEASE\tNNP\tB-NP\tO' +p350908 +aS'TAKE\tTAKE\tNNP\tI-NP\tO' +p350909 +aS'MEDICATIONS\tMEDICATIONS\tNNP\tI-NP\tO' +p350910 +aS'AS\tAS\tNNP\tI-NP\tO' +p350911 +aS'PRESCRIBED\tPRESCRIBED\tVBD\tB-VP\tO' +p350912 +aS'AND\tAND\tCC\tB-NP\tO' +p350913 +aS'READ\tREAD\tNN\tI-NP\tO' +p350914 +aS'WARNING\tWARNING\tNN\tI-NP\tO' +p350915 +aS'LABELS\tLABELS\tNN\tI-NP\tO' +p350916 +aS'CAREFULLY\tCAREFULLY\tNN\tI-NP\tO' +p350917 +aS'.\t.\t.\tO\tO' +p350918 +asS'Bactrim and Vancomycin .' +p350919 +(lp350920 +S'Bactrim\tBactrim\tNN\tB-NP\tO' +p350921 +aS'and\tand\tCC\tI-NP\tO' +p350922 +aS'Vancomycin\tVancomycin\tNN\tI-NP\tO' +p350923 +aS'.\t.\t.\tO\tO' +p350924 +asS'She was NPO with a decrease in her mental status .' +p350925 +(lp350926 +S'She\tShe\tPRP\tB-NP\tO' +p350927 +aS'was\tbe\tVBD\tB-VP\tO' +p350928 +aS'NPO\tNPO\tNN\tB-NP\tB-protein' +p350929 +aS'with\twith\tIN\tB-PP\tO' +p350930 +aS'a\ta\tDT\tB-NP\tO' +p350931 +aS'decrease\tdecrease\tNN\tI-NP\tO' +p350932 +aS'in\tin\tIN\tB-PP\tO' +p350933 +aS'her\ther\tPRP$\tB-NP\tO' +p350934 +aS'mental\tmental\tJJ\tI-NP\tO' +p350935 +aS'status\tstatus\tNN\tI-NP\tO' +p350936 +aS'.\t.\t.\tO\tO' +p350937 +asS'Eyes - pupils equal , round , reactive to light , sclera non-icteric .' +p350938 +(lp350939 +S'Eyes\tEye\tNNS\tB-NP\tO' +p350940 +aS'-\t-\tHYPH\tB-NP\tO' +p350941 +aS'pupils\tpupil\tNNS\tI-NP\tO' +p350942 +aS'equal\tequal\tJJ\tB-NP\tO' +p350943 +aS',\t,\t,\tI-NP\tO' +p350944 +aS'round\tround\tJJ\tI-NP\tO' +p350945 +aS',\t,\t,\tI-NP\tO' +p350946 +aS'reactive\treactive\tJJ\tI-NP\tO' +p350947 +aS'to\tto\tTO\tB-PP\tO' +p350948 +aS'light\tlight\tNN\tB-NP\tO' +p350949 +aS',\t,\t,\tO\tO' +p350950 +aS'sclera\tsclera\tNN\tB-NP\tO' +p350951 +aS'non-icteric\tnon-icteric\tJJ\tB-ADJP\tO' +p350952 +aS'.\t.\t.\tO\tO' +p350953 +asS'VITALS : T 96.9 , BP 110/70 , HR 84 , RR 20 , Sat 97% on 4L .' +p350954 +(lp350955 +S'VITALS\tVITALS\tNNS\tB-NP\tO' +p350956 +aS':\t:\t:\tO\tO' +p350957 +aS'T\tT\tNN\tB-NP\tB-protein' +p350958 +aS'96.9\t96.9\tCD\tI-NP\tI-protein' +p350959 +aS',\t,\t,\tO\tO' +p350960 +aS'BP\tBP\tNN\tB-NP\tB-DNA' +p350961 +aS'110/70\t110/70\tCD\tI-NP\tI-DNA' +p350962 +aS',\t,\t,\tO\tO' +p350963 +aS'HR\tHR\tNN\tB-NP\tB-protein' +p350964 +aS'84\t84\tCD\tI-NP\tI-protein' +p350965 +aS',\t,\t,\tO\tO' +p350966 +aS'RR\tRR\tNN\tB-NP\tB-protein' +p350967 +aS'20\t20\tCD\tI-NP\tI-protein' +p350968 +aS',\t,\t,\tO\tO' +p350969 +aS'Sat\tSat\tNNP\tB-NP\tO' +p350970 +aS'97%\t97%\tCD\tI-NP\tO' +p350971 +aS'on\ton\tIN\tB-PP\tO' +p350972 +aS'4L\t4L\tNN\tB-NP\tB-protein' +p350973 +aS'.\t.\t.\tO\tO' +p350974 +asS'However later on during his course , his mental status deteriorated , being even less responsive .' +p350975 +(lp350976 +S'However\tHowever\tRB\tB-ADVP\tO' +p350977 +aS'later\tlater\tRB\tI-ADVP\tO' +p350978 +aS'on\ton\tIN\tB-PP\tO' +p350979 +aS'during\tduring\tIN\tB-PP\tO' +p350980 +aS'his\this\tPRP$\tB-NP\tO' +p350981 +aS'course\tcourse\tNN\tI-NP\tO' +p350982 +aS',\t,\t,\tO\tO' +p350983 +aS'his\this\tPRP$\tB-NP\tO' +p350984 +aS'mental\tmental\tJJ\tI-NP\tO' +p350985 +aS'status\tstatus\tNN\tI-NP\tO' +p350986 +aS'deteriorated\tdeteriorate\tVBD\tB-VP\tO' +p350987 +aS',\t,\t,\tO\tO' +p350988 +aS'being\tbe\tVBG\tB-VP\tO' +p350989 +aS'even\teven\tRB\tB-ADJP\tO' +p350990 +aS'less\tless\tRBR\tI-ADJP\tO' +p350991 +aS'responsive\tresponsive\tJJ\tI-ADJP\tO' +p350992 +aS'.\t.\t.\tO\tO' +p350993 +asS'His INR was also 3.4 .' +p350994 +(lp350995 +S'His\tHis\tPRP$\tB-NP\tO' +p350996 +aS'INR\tINR\tNN\tI-NP\tB-protein' +p350997 +aS'was\tbe\tVBD\tB-VP\tO' +p350998 +aS'also\talso\tRB\tB-ADVP\tO' +p350999 +aS'3.4\t3.4\tCD\tB-NP\tO' +p351000 +aS'.\t.\t.\tO\tO' +p351001 +asS'Please see the separately dictated operative report for further details of the procedure .' +p351002 +(lp351003 +S'Please\tPlease\tVB\tB-VP\tO' +p351004 +aS'see\tsee\tVB\tI-VP\tO' +p351005 +aS'the\tthe\tDT\tB-NP\tO' +p351006 +aS'separately\tseparately\tRB\tI-NP\tO' +p351007 +aS'dictated\tdictate\tVBN\tI-NP\tO' +p351008 +aS'operative\toperative\tJJ\tI-NP\tO' +p351009 +aS'report\treport\tNN\tI-NP\tO' +p351010 +aS'for\tfor\tIN\tB-PP\tO' +p351011 +aS'further\tfurther\tJJ\tB-NP\tO' +p351012 +aS'details\tdetail\tNNS\tI-NP\tO' +p351013 +aS'of\tof\tIN\tB-PP\tO' +p351014 +aS'the\tthe\tDT\tB-NP\tO' +p351015 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p351016 +aS'.\t.\t.\tO\tO' +p351017 +asS'Her family memebers stated that she was found at home with altered mental status and diaphoresis .' +p351018 +(lp351019 +S'Her\tHer\tPRP$\tB-NP\tO' +p351020 +aS'family\tfamily\tNN\tI-NP\tO' +p351021 +aS'memebers\tmemeber\tNNS\tI-NP\tO' +p351022 +aS'stated\tstate\tVBD\tB-VP\tO' +p351023 +aS'that\tthat\tIN\tB-SBAR\tO' +p351024 +aS'she\tshe\tPRP\tB-NP\tO' +p351025 +aS'was\tbe\tVBD\tB-VP\tO' +p351026 +aS'found\tfind\tVBN\tI-VP\tO' +p351027 +aS'at\tat\tIN\tB-PP\tO' +p351028 +aS'home\thome\tNN\tB-NP\tO' +p351029 +aS'with\twith\tIN\tB-PP\tO' +p351030 +aS'altered\talter\tVBN\tB-NP\tO' +p351031 +aS'mental\tmental\tJJ\tI-NP\tO' +p351032 +aS'status\tstatus\tNN\tI-NP\tO' +p351033 +aS'and\tand\tCC\tI-NP\tO' +p351034 +aS'diaphoresis\tdiaphoresis\tNN\tI-NP\tO' +p351035 +aS'.\t.\t.\tO\tO' +p351036 +asS'H ewas switched to oral CIpro for the pelvic abcess and will continue it until he has his followup with infectious disease in 2 weeks .' +p351037 +(lp351038 +S'H\tH\tNN\tB-NP\tO' +p351039 +aS'ewas\tewa\tVBD\tB-VP\tO' +p351040 +aS'switched\tswitch\tVBN\tI-VP\tO' +p351041 +aS'to\tto\tTO\tB-PP\tO' +p351042 +aS'oral\toral\tJJ\tB-NP\tO' +p351043 +aS'CIpro\tCIpro\tNN\tI-NP\tO' +p351044 +aS'for\tfor\tIN\tB-PP\tO' +p351045 +aS'the\tthe\tDT\tB-NP\tO' +p351046 +aS'pelvic\tpelvic\tJJ\tI-NP\tO' +p351047 +aS'abcess\tabcess\tNN\tI-NP\tO' +p351048 +aS'and\tand\tCC\tO\tO' +p351049 +aS'will\twill\tMD\tB-VP\tO' +p351050 +aS'continue\tcontinue\tVB\tI-VP\tO' +p351051 +aS'it\tit\tPRP\tB-NP\tO' +p351052 +aS'until\tuntil\tIN\tB-SBAR\tO' +p351053 +aS'he\the\tPRP\tB-NP\tO' +p351054 +aS'has\thave\tVBZ\tB-VP\tO' +p351055 +aS'his\this\tPRP$\tB-NP\tO' +p351056 +aS'followup\tfollowup\tNN\tI-NP\tO' +p351057 +aS'with\twith\tIN\tB-PP\tO' +p351058 +aS'infectious\tinfectious\tJJ\tB-NP\tO' +p351059 +aS'disease\tdisease\tNN\tI-NP\tO' +p351060 +aS'in\tin\tIN\tB-PP\tO' +p351061 +aS'2\t2\tCD\tB-NP\tO' +p351062 +aS'weeks\tweek\tNNS\tI-NP\tO' +p351063 +aS'.\t.\t.\tO\tO' +p351064 +asS'Decadron 4 mg PO bid , Dilantin 100 mg PO tid .' +p351065 +(lp351066 +S'Decadron\tDecadron\tNNP\tB-NP\tO' +p351067 +aS'4\t4\tCD\tI-NP\tO' +p351068 +aS'mg\tmg\tNN\tI-NP\tO' +p351069 +aS'PO\tPO\tNN\tI-NP\tO' +p351070 +aS'bid\tbid\tNN\tI-NP\tO' +p351071 +aS',\t,\t,\tO\tO' +p351072 +aS'Dilantin\tDilantin\tNN\tB-NP\tO' +p351073 +aS'100\t100\tCD\tI-NP\tO' +p351074 +aS'mg\tmg\tNN\tI-NP\tO' +p351075 +aS'PO\tPO\tNN\tI-NP\tO' +p351076 +aS'tid\ttid\tNN\tI-NP\tO' +p351077 +aS'.\t.\t.\tO\tO' +p351078 +asS'The patient was reportedly alert at scene , and then became unresponsive in route to the hospital .' +p351079 +(lp351080 +S'The\tThe\tDT\tB-NP\tO' +p351081 +aS'patient\tpatient\tNN\tI-NP\tO' +p351082 +aS'was\tbe\tVBD\tB-VP\tO' +p351083 +aS'reportedly\treportedly\tRB\tB-ADJP\tO' +p351084 +aS'alert\talert\tJJ\tI-ADJP\tO' +p351085 +aS'at\tat\tIN\tB-PP\tO' +p351086 +aS'scene\tscene\tNN\tB-NP\tO' +p351087 +aS',\t,\t,\tO\tO' +p351088 +aS'and\tand\tCC\tO\tO' +p351089 +aS'then\tthen\tRB\tB-VP\tO' +p351090 +aS'became\tbecome\tVBD\tI-VP\tO' +p351091 +aS'unresponsive\tunresponsive\tJJ\tB-ADJP\tO' +p351092 +aS'in\tin\tIN\tB-PP\tO' +p351093 +aS'route\troute\tNN\tB-NP\tO' +p351094 +aS'to\tto\tTO\tB-PP\tO' +p351095 +aS'the\tthe\tDT\tB-NP\tO' +p351096 +aS'hospital\thospital\tNN\tI-NP\tO' +p351097 +aS'.\t.\t.\tO\tO' +p351098 +asS'The patient was carefully diuresed over the next 48 hours .' +p351099 +(lp351100 +S'The\tThe\tDT\tB-NP\tO' +p351101 +aS'patient\tpatient\tNN\tI-NP\tO' +p351102 +aS'was\tbe\tVBD\tB-VP\tO' +p351103 +aS'carefully\tcarefully\tRB\tI-VP\tO' +p351104 +aS'diuresed\tdiurese\tVBN\tI-VP\tO' +p351105 +aS'over\tover\tIN\tB-PP\tO' +p351106 +aS'the\tthe\tDT\tB-NP\tO' +p351107 +aS'next\tnext\tJJ\tI-NP\tO' +p351108 +aS'48\t48\tCD\tI-NP\tO' +p351109 +aS'hours\thour\tNNS\tI-NP\tO' +p351110 +aS'.\t.\t.\tO\tO' +p351111 +asS'RPR card test was negative .' +p351112 +(lp351113 +S'RPR\tRPR\tNN\tB-NP\tO' +p351114 +aS'card\tcard\tNN\tI-NP\tO' +p351115 +aS'test\ttest\tNN\tI-NP\tO' +p351116 +aS'was\tbe\tVBD\tB-VP\tO' +p351117 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p351118 +aS'.\t.\t.\tO\tO' +p351119 +asS'His coronary arteries revealed an 80% stenosis and a large OM .' +p351120 +(lp351121 +S'His\tHis\tPRP$\tB-NP\tO' +p351122 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p351123 +aS'arteries\tartery\tNNS\tI-NP\tO' +p351124 +aS'revealed\treveal\tVBD\tB-VP\tO' +p351125 +aS'an\tan\tDT\tB-NP\tO' +p351126 +aS'80%\t80%\tNN\tI-NP\tO' +p351127 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p351128 +aS'and\tand\tCC\tO\tO' +p351129 +aS'a\ta\tDT\tB-NP\tO' +p351130 +aS'large\tlarge\tJJ\tI-NP\tO' +p351131 +aS'OM\tOM\tNN\tI-NP\tO' +p351132 +aS'.\t.\t.\tO\tO' +p351133 +asS'Because these symptoms have been increasing , particularly at cardiac rehabilitation , she was referred here .' +p351134 +(lp351135 +S'Because\tBecause\tIN\tB-SBAR\tO' +p351136 +aS'these\tthese\tDT\tB-NP\tO' +p351137 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p351138 +aS'have\thave\tVBP\tB-VP\tO' +p351139 +aS'been\tbe\tVBN\tI-VP\tO' +p351140 +aS'increasing\tincrease\tVBG\tI-VP\tO' +p351141 +aS',\t,\t,\tO\tO' +p351142 +aS'particularly\tparticularly\tRB\tB-ADVP\tO' +p351143 +aS'at\tat\tIN\tB-PP\tO' +p351144 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p351145 +aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' +p351146 +aS',\t,\t,\tO\tO' +p351147 +aS'she\tshe\tPRP\tB-NP\tO' +p351148 +aS'was\tbe\tVBD\tB-VP\tO' +p351149 +aS'referred\trefer\tVBN\tI-VP\tO' +p351150 +aS'here\there\tRB\tB-ADVP\tO' +p351151 +aS'.\t.\t.\tO\tO' +p351152 +asS'This ecchymosis is much improved from previous examinations .' +p351153 +(lp351154 +S'This\tThis\tDT\tB-NP\tO' +p351155 +aS'ecchymosis\tecchymosis\tNN\tI-NP\tO' +p351156 +aS'is\tbe\tVBZ\tB-VP\tO' +p351157 +aS'much\tmuch\tRB\tI-VP\tO' +p351158 +aS'improved\timprove\tVBN\tI-VP\tO' +p351159 +aS'from\tfrom\tIN\tB-PP\tO' +p351160 +aS'previous\tprevious\tJJ\tB-NP\tO' +p351161 +aS'examinations\texamination\tNNS\tI-NP\tO' +p351162 +aS'.\t.\t.\tO\tO' +p351163 +asS'The patient 's abdominal CT scan showed no liver disease and no obstruction .' +p351164 +(lp351165 +S'The\tThe\tDT\tB-NP\tO' +p351166 +aS'patient\tpatient\tNN\tI-NP\tO' +p351167 +aS''s\t'\tNNS\tI-NP\tO' +p351168 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p351169 +aS'CT\tCT\tNN\tI-NP\tO' +p351170 +aS'scan\tscan\tNN\tI-NP\tO' +p351171 +aS'showed\tshow\tVBD\tB-VP\tO' +p351172 +aS'no\tno\tDT\tB-NP\tO' +p351173 +aS'liver\tliver\tNN\tI-NP\tO' +p351174 +aS'disease\tdisease\tNN\tI-NP\tO' +p351175 +aS'and\tand\tCC\tO\tO' +p351176 +aS'no\tno\tDT\tB-NP\tO' +p351177 +aS'obstruction\tobstruction\tNN\tI-NP\tO' +p351178 +aS'.\t.\t.\tO\tO' +p351179 +asS'1. Metoprolol Tartrate 25 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a Ellis ).' +p351180 +(lp351181 +S'1.\t1.\tLS\tB-NP\tO' +p351182 +aS'Metoprolol\tMetoprolol\tNN\tI-NP\tO' +p351183 +aS'Tartrate\tTartrate\tNN\tI-NP\tO' +p351184 +aS'25\t25\tCD\tI-NP\tO' +p351185 +aS'mg\tmg\tNN\tI-NP\tO' +p351186 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p351187 +aS'Sig\tSig\tNNP\tI-NP\tO' +p351188 +aS':\t:\t:\tO\tO' +p351189 +aS'One\tOne\tCD\tB-NP\tO' +p351190 +aS'(\t(\t(\tO\tO' +p351191 +aS'1\t1\tCD\tB-NP\tO' +p351192 +aS')\t)\t)\tO\tO' +p351193 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p351194 +aS'PO\tPO\tNN\tI-NP\tO' +p351195 +aS'BID\tBID\tNN\tI-NP\tO' +p351196 +aS'(\t(\t(\tO\tO' +p351197 +aS'2\t2\tCD\tB-NP\tO' +p351198 +aS'times\ttime\tNNS\tI-NP\tO' +p351199 +aS'a\ta\tDT\tB-NP\tO' +p351200 +aS'Ellis\tEllis\tNNP\tI-NP\tO' +p351201 +aS').\t).\tNNP\tI-NP\tO' +p351202 +asS'The lungs were clear , heart normal .' +p351203 +(lp351204 +S'The\tThe\tDT\tB-NP\tO' +p351205 +aS'lungs\tlung\tNNS\tI-NP\tO' +p351206 +aS'were\tbe\tVBD\tB-VP\tO' +p351207 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p351208 +aS',\t,\t,\tO\tO' +p351209 +aS'heart\theart\tNN\tB-NP\tO' +p351210 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p351211 +aS'.\t.\t.\tO\tO' +p351212 +asS'Intravenous fluids was given .' +p351213 +(lp351214 +S'Intravenous\tIntravenous\tJJ\tB-NP\tO' +p351215 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p351216 +aS'was\tbe\tVBD\tB-VP\tO' +p351217 +aS'given\tgive\tVBN\tI-VP\tO' +p351218 +aS'.\t.\t.\tO\tO' +p351219 +asS'Following surgery his anesthesia was reversed , he was weaned from ventilator and successfully extubated .' +p351220 +(lp351221 +S'Following\tFollow\tVBG\tB-VP\tO' +p351222 +aS'surgery\tsurgery\tNN\tB-NP\tO' +p351223 +aS'his\this\tPRP$\tB-NP\tO' +p351224 +aS'anesthesia\tanesthesia\tNN\tI-NP\tO' +p351225 +aS'was\tbe\tVBD\tB-VP\tO' +p351226 +aS'reversed\treverse\tVBN\tI-VP\tO' +p351227 +aS',\t,\t,\tO\tO' +p351228 +aS'he\the\tPRP\tB-NP\tO' +p351229 +aS'was\tbe\tVBD\tB-VP\tO' +p351230 +aS'weaned\twean\tVBN\tI-VP\tO' +p351231 +aS'from\tfrom\tIN\tB-PP\tO' +p351232 +aS'ventilator\tventilator\tNN\tB-NP\tO' +p351233 +aS'and\tand\tCC\tO\tO' +p351234 +aS'successfully\tsuccessfully\tRB\tB-VP\tO' +p351235 +aS'extubated\textubate\tVBN\tI-VP\tO' +p351236 +aS'.\t.\t.\tO\tO' +p351237 +asS'you will have your PORT replaced after 2 weeks of antibiotics if your blood cultures remain negative .' +p351238 +(lp351239 +S'you\tyou\tPRP\tB-NP\tO' +p351240 +aS'will\twill\tMD\tB-VP\tO' +p351241 +aS'have\thave\tVB\tI-VP\tO' +p351242 +aS'your\tyour\tPRP$\tB-NP\tO' +p351243 +aS'PORT\tPORT\tNN\tI-NP\tO' +p351244 +aS'replaced\treplace\tVBN\tB-VP\tO' +p351245 +aS'after\tafter\tIN\tB-PP\tO' +p351246 +aS'2\t2\tCD\tB-NP\tO' +p351247 +aS'weeks\tweek\tNNS\tI-NP\tO' +p351248 +aS'of\tof\tIN\tB-PP\tO' +p351249 +aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' +p351250 +aS'if\tif\tIN\tB-SBAR\tO' +p351251 +aS'your\tyour\tPRP$\tB-NP\tB-cell_line' +p351252 +aS'blood\tblood\tNN\tI-NP\tI-cell_line' +p351253 +aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' +p351254 +aS'remain\tremain\tVBP\tB-VP\tO' +p351255 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p351256 +aS'.\t.\t.\tO\tO' +p351257 +asS'ID - afebrile , no wbc , started on Azithromycin for COPD flare' +p351258 +(lp351259 +S'ID\tID\tNN\tB-NP\tO' +p351260 +aS'-\t-\tHYPH\tB-PP\tO' +p351261 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p351262 +aS',\t,\t,\tO\tO' +p351263 +aS'no\tno\tDT\tB-NP\tO' +p351264 +aS'wbc\twbc\tNN\tI-NP\tO' +p351265 +aS',\t,\t,\tO\tO' +p351266 +aS'started\tstart\tVBN\tB-VP\tO' +p351267 +aS'on\ton\tIN\tB-PP\tO' +p351268 +aS'Azithromycin\tAzithromycin\tNN\tB-NP\tO' +p351269 +aS'for\tfor\tIN\tB-PP\tO' +p351270 +aS'COPD\tCOPD\tNN\tB-NP\tO' +p351271 +aS'flare\tflare\tNN\tI-NP\tO' +p351272 +asS'On 08-15 , he went for pheresis / IVIG .' +p351273 +(lp351274 +S'On\tOn\tIN\tB-PP\tO' +p351275 +aS'08-15\t08-15\tCD\tB-NP\tO' +p351276 +aS',\t,\t,\tO\tO' +p351277 +aS'he\the\tPRP\tB-NP\tO' +p351278 +aS'went\tgo\tVBD\tB-VP\tO' +p351279 +aS'for\tfor\tIN\tB-PP\tO' +p351280 +aS'pheresis\tpheresis\tNN\tB-NP\tO' +p351281 +aS'/\t/\tSYM\tB-NP\tO' +p351282 +aS'IVIG\tIVIG\tNN\tI-NP\tB-protein' +p351283 +aS'.\t.\t.\tO\tO' +p351284 +asS'The patient was transferred to the Vascular Surgery Service for bilateral iliac stenting at that time .' +p351285 +(lp351286 +S'The\tThe\tDT\tB-NP\tO' +p351287 +aS'patient\tpatient\tNN\tI-NP\tO' +p351288 +aS'was\tbe\tVBD\tB-VP\tO' +p351289 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p351290 +aS'to\tto\tTO\tB-PP\tO' +p351291 +aS'the\tthe\tDT\tB-NP\tO' +p351292 +aS'Vascular\tVascular\tNNP\tI-NP\tO' +p351293 +aS'Surgery\tSurgery\tNNP\tI-NP\tO' +p351294 +aS'Service\tService\tNNP\tI-NP\tO' +p351295 +aS'for\tfor\tIN\tB-PP\tO' +p351296 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p351297 +aS'iliac\tiliac\tJJ\tI-NP\tO' +p351298 +aS'stenting\tstenting\tNN\tI-NP\tO' +p351299 +aS'at\tat\tIN\tB-PP\tO' +p351300 +aS'that\tthat\tDT\tB-NP\tO' +p351301 +aS'time\ttime\tNN\tI-NP\tO' +p351302 +aS'.\t.\t.\tO\tO' +p351303 +asS'ext warm , + 1 edema' +p351304 +(lp351305 +S'ext\text\tJJ\tB-NP\tO' +p351306 +aS'warm\twarm\tNN\tI-NP\tO' +p351307 +aS',\t,\t,\tO\tO' +p351308 +aS'+\t+\tSYM\tB-NP\tO' +p351309 +aS'1\t1\tCD\tI-NP\tO' +p351310 +aS'edema\tedema\tNN\tI-NP\tO' +p351311 +asS'He was extubated the next morning .' +p351312 +(lp351313 +S'He\tHe\tPRP\tB-NP\tO' +p351314 +aS'was\tbe\tVBD\tB-VP\tO' +p351315 +aS'extubated\textubate\tVBN\tI-VP\tO' +p351316 +aS'the\tthe\tDT\tB-NP\tO' +p351317 +aS'next\tnext\tJJ\tI-NP\tO' +p351318 +aS'morning\tmorning\tNN\tI-NP\tO' +p351319 +aS'.\t.\t.\tO\tO' +p351320 +asS'Findings included no gross evidence seating in the abdominal wall ; one nodule on the posterior surface of the right lobe of the liver ; one nodule in the inferior edge of the falciform ligament .' +p351321 +(lp351322 +S'Findings\tFinding\tNNS\tB-NP\tO' +p351323 +aS'included\tinclude\tVBD\tB-VP\tO' +p351324 +aS'no\tno\tDT\tB-NP\tO' +p351325 +aS'gross\tgross\tJJ\tI-NP\tO' +p351326 +aS'evidence\tevidence\tNN\tI-NP\tO' +p351327 +aS'seating\tseating\tNN\tI-NP\tO' +p351328 +aS'in\tin\tIN\tB-PP\tO' +p351329 +aS'the\tthe\tDT\tB-NP\tO' +p351330 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p351331 +aS'wall\twall\tNN\tI-NP\tO' +p351332 +aS';\t;\t:\tO\tO' +p351333 +aS'one\tone\tCD\tB-NP\tO' +p351334 +aS'nodule\tnodule\tNN\tI-NP\tO' +p351335 +aS'on\ton\tIN\tB-PP\tO' +p351336 +aS'the\tthe\tDT\tB-NP\tO' +p351337 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p351338 +aS'surface\tsurface\tNN\tI-NP\tO' +p351339 +aS'of\tof\tIN\tB-PP\tO' +p351340 +aS'the\tthe\tDT\tB-NP\tO' +p351341 +aS'right\tright\tJJ\tI-NP\tO' +p351342 +aS'lobe\tlobe\tNN\tI-NP\tO' +p351343 +aS'of\tof\tIN\tB-PP\tO' +p351344 +aS'the\tthe\tDT\tB-NP\tO' +p351345 +aS'liver\tliver\tNN\tI-NP\tO' +p351346 +aS';\t;\t:\tO\tO' +p351347 +aS'one\tone\tCD\tB-NP\tO' +p351348 +aS'nodule\tnodule\tNN\tI-NP\tO' +p351349 +aS'in\tin\tIN\tB-PP\tO' +p351350 +aS'the\tthe\tDT\tB-NP\tO' +p351351 +aS'inferior\tinferior\tJJ\tI-NP\tO' +p351352 +aS'edge\tedge\tNN\tI-NP\tO' +p351353 +aS'of\tof\tIN\tB-PP\tO' +p351354 +aS'the\tthe\tDT\tB-NP\tO' +p351355 +aS'falciform\tfalciform\tJJ\tI-NP\tO' +p351356 +aS'ligament\tligament\tNN\tI-NP\tO' +p351357 +aS'.\t.\t.\tO\tO' +p351358 +asS'There is 1 cm. sulcus sign bilaterally .' +p351359 +(lp351360 +S'There\tThere\tEX\tB-NP\tO' +p351361 +aS'is\tbe\tVBZ\tB-VP\tO' +p351362 +aS'1\t1\tCD\tB-NP\tO' +p351363 +aS'cm.\tcm.\tNN\tI-NP\tO' +p351364 +aS'sulcus\tsulcus\tNN\tI-NP\tO' +p351365 +aS'sign\tsign\tNN\tI-NP\tO' +p351366 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p351367 +aS'.\t.\t.\tO\tO' +p351368 +asS'3. Metoprolol 100 mg twice a day .' +p351369 +(lp351370 +S'3.\t3.\tLS\tB-NP\tO' +p351371 +aS'Metoprolol\tMetoprolol\tNN\tI-NP\tO' +p351372 +aS'100\t100\tCD\tB-NP\tO' +p351373 +aS'mg\tmg\tNN\tI-NP\tO' +p351374 +aS'twice\ttwice\tRB\tB-NP\tO' +p351375 +aS'a\ta\tDT\tI-NP\tO' +p351376 +aS'day\tday\tNN\tI-NP\tO' +p351377 +aS'.\t.\t.\tO\tO' +p351378 +asS'Please make all appointments listed in the discharge paperwork .' +p351379 +(lp351380 +S'Please\tPlease\tVB\tB-VP\tO' +p351381 +aS'make\tmake\tVB\tI-VP\tO' +p351382 +aS'all\tall\tDT\tB-NP\tO' +p351383 +aS'appointments\tappointment\tNNS\tI-NP\tO' +p351384 +aS'listed\tlist\tVBN\tB-VP\tO' +p351385 +aS'in\tin\tIN\tB-PP\tO' +p351386 +aS'the\tthe\tDT\tB-NP\tO' +p351387 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p351388 +aS'paperwork\tpaperwork\tNN\tI-NP\tO' +p351389 +aS'.\t.\t.\tO\tO' +p351390 +asS'Head circumference was 41 cm .' +p351391 +(lp351392 +S'Head\tHead\tNN\tB-NP\tO' +p351393 +aS'circumference\tcircumference\tNN\tI-NP\tO' +p351394 +aS'was\tbe\tVBD\tB-VP\tO' +p351395 +aS'41\t41\tCD\tB-NP\tO' +p351396 +aS'cm\tcm\tNN\tI-NP\tO' +p351397 +aS'.\t.\t.\tO\tO' +p351398 +asS'Azithromycin & CTX at time of transfer to the oncology service .' +p351399 +(lp351400 +S'Azithromycin\tAzithromycin\tNN\tB-NP\tO' +p351401 +aS'&\t&\tCC\tI-NP\tO' +p351402 +aS'CTX\tCTX\tNN\tI-NP\tB-protein' +p351403 +aS'at\tat\tIN\tB-PP\tO' +p351404 +aS'time\ttime\tNN\tB-NP\tO' +p351405 +aS'of\tof\tIN\tB-PP\tO' +p351406 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p351407 +aS'to\tto\tTO\tB-PP\tO' +p351408 +aS'the\tthe\tDT\tB-NP\tO' +p351409 +aS'oncology\toncology\tNN\tI-NP\tO' +p351410 +aS'service\tservice\tNN\tI-NP\tO' +p351411 +aS'.\t.\t.\tO\tO' +p351412 +asS'Amylase was 108 and lipase was 213 .' +p351413 +(lp351414 +S'Amylase\tAmylase\tNN\tB-NP\tB-protein' +p351415 +aS'was\tbe\tVBD\tB-VP\tO' +p351416 +aS'108\t108\tCD\tB-NP\tO' +p351417 +aS'and\tand\tCC\tO\tO' +p351418 +aS'lipase\tlipase\tNN\tB-NP\tO' +p351419 +aS'was\tbe\tVBD\tB-VP\tO' +p351420 +aS'213\t213\tCD\tB-NP\tO' +p351421 +aS'.\t.\t.\tO\tO' +p351422 +asS'Neither IV nor oral contrast were used .' +p351423 +(lp351424 +S'Neither\tNeither\tCC\tO\tO' +p351425 +aS'IV\tIV\tCD\tB-NP\tO' +p351426 +aS'nor\tnor\tCC\tO\tO' +p351427 +aS'oral\toral\tJJ\tB-NP\tO' +p351428 +aS'contrast\tcontrast\tNN\tI-NP\tO' +p351429 +aS'were\tbe\tVBD\tB-VP\tO' +p351430 +aS'used\tuse\tVBN\tI-VP\tO' +p351431 +aS'.\t.\t.\tO\tO' +p351432 +asS'He was on intravenous TNG and was supratherapeutic on his anti-coagulation .' +p351433 +(lp351434 +S'He\tHe\tPRP\tB-NP\tO' +p351435 +aS'was\tbe\tVBD\tB-VP\tO' +p351436 +aS'on\ton\tIN\tB-PP\tO' +p351437 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p351438 +aS'TNG\tTNG\tNN\tI-NP\tO' +p351439 +aS'and\tand\tCC\tO\tO' +p351440 +aS'was\tbe\tVBD\tB-VP\tO' +p351441 +aS'supratherapeutic\tsupratherapeutic\tJJ\tB-ADJP\tO' +p351442 +aS'on\ton\tIN\tB-PP\tO' +p351443 +aS'his\this\tPRP$\tB-NP\tO' +p351444 +aS'anti-coagulation\tanti-coagulation\tNN\tI-NP\tO' +p351445 +aS'.\t.\t.\tO\tO' +p351446 +asS'MEDIASTINAL TUMOR MASS .' +p351447 +(lp351448 +S'MEDIASTINAL\tMEDIASTINAL\tNNP\tB-NP\tO' +p351449 +aS'TUMOR\tTUMOR\tNNP\tI-NP\tO' +p351450 +aS'MASS\tMASS\tNNP\tI-NP\tO' +p351451 +aS'.\t.\t.\tO\tO' +p351452 +asS'No deformities , stepoff , or tenderness of the cervical spine .' +p351453 +(lp351454 +S'No\tNo\tDT\tB-NP\tO' +p351455 +aS'deformities\tdeformity\tNNS\tI-NP\tO' +p351456 +aS',\t,\t,\tO\tO' +p351457 +aS'stepoff\tstepoff\tNN\tB-NP\tO' +p351458 +aS',\t,\t,\tO\tO' +p351459 +aS'or\tor\tCC\tO\tO' +p351460 +aS'tenderness\ttenderness\tNN\tB-NP\tO' +p351461 +aS'of\tof\tIN\tB-PP\tO' +p351462 +aS'the\tthe\tDT\tB-NP\tO' +p351463 +aS'cervical\tcervical\tJJ\tI-NP\tO' +p351464 +aS'spine\tspine\tNN\tI-NP\tO' +p351465 +aS'.\t.\t.\tO\tO' +p351466 +asS'The patient resides in the Pcaer,ter Medical Center , is nonambulatory , and her code status is do not resuscitate / do not intubate .' +p351467 +(lp351468 +S'The\tThe\tDT\tB-NP\tO' +p351469 +aS'patient\tpatient\tNN\tI-NP\tO' +p351470 +aS'resides\treside\tVBZ\tB-VP\tO' +p351471 +aS'in\tin\tIN\tB-PP\tO' +p351472 +aS'the\tthe\tDT\tB-NP\tO' +p351473 +aS'Pcaer,ter\tPcaer,ter\tNNP\tI-NP\tO' +p351474 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p351475 +aS'Center\tCenter\tNNP\tI-NP\tO' +p351476 +aS',\t,\t,\tO\tO' +p351477 +aS'is\tbe\tVBZ\tB-VP\tO' +p351478 +aS'nonambulatory\tnonambulatory\tJJ\tB-ADJP\tO' +p351479 +aS',\t,\t,\tO\tO' +p351480 +aS'and\tand\tCC\tO\tO' +p351481 +aS'her\ther\tPRP$\tB-NP\tO' +p351482 +aS'code\tcode\tNN\tI-NP\tO' +p351483 +aS'status\tstatus\tNN\tI-NP\tO' +p351484 +aS'is\tbe\tVBZ\tB-VP\tO' +p351485 +aS'do\tdo\tVBP\tI-VP\tO' +p351486 +aS'not\tnot\tRB\tI-VP\tO' +p351487 +aS'resuscitate\tresuscitate\tVB\tI-VP\tO' +p351488 +aS'/\t/\tSYM\tB-NP\tO' +p351489 +aS'do\tdo\tVB\tB-VP\tO' +p351490 +aS'not\tnot\tRB\tI-VP\tO' +p351491 +aS'intubate\tintubate\tVB\tI-VP\tO' +p351492 +aS'.\t.\t.\tO\tO' +p351493 +asS'No HSM .' +p351494 +(lp351495 +S'No\tNo\tDT\tB-NP\tO' +p351496 +aS'HSM\tHSM\tNN\tI-NP\tB-protein' +p351497 +aS'.\t.\t.\tO\tO' +p351498 +asS'The patient was put on heparin and was stable since .' +p351499 +(lp351500 +S'The\tThe\tDT\tB-NP\tO' +p351501 +aS'patient\tpatient\tNN\tI-NP\tO' +p351502 +aS'was\tbe\tVBD\tB-VP\tO' +p351503 +aS'put\tput\tVBN\tI-VP\tO' +p351504 +aS'on\ton\tIN\tB-PP\tO' +p351505 +aS'heparin\theparin\tNN\tB-NP\tO' +p351506 +aS'and\tand\tCC\tO\tO' +p351507 +aS'was\tbe\tVBD\tB-VP\tO' +p351508 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p351509 +aS'since\tsince\tIN\tB-ADVP\tO' +p351510 +aS'.\t.\t.\tO\tO' +p351511 +asS'Morphine -> confusion / delerium .' +p351512 +(lp351513 +S'Morphine\tMorphine\tNN\tB-NP\tO' +p351514 +aS'->\t->\tSYM\tI-NP\tO' +p351515 +aS'confusion\tconfusion\tNN\tI-NP\tO' +p351516 +aS'/\t/\tSYM\tB-NP\tO' +p351517 +aS'delerium\tdelerium\tNN\tI-NP\tO' +p351518 +aS'.\t.\t.\tO\tO' +p351519 +asS'Smoked twenty years ago .' +p351520 +(lp351521 +S'Smoked\tSmoke\tVBN\tB-VP\tO' +p351522 +aS'twenty\ttwenty\tCD\tB-NP\tO' +p351523 +aS'years\tyear\tNNS\tI-NP\tO' +p351524 +aS'ago\tago\tRB\tB-ADVP\tO' +p351525 +aS'.\t.\t.\tO\tO' +p351526 +asS'Mild posterior mitral valve prolapse with mild mitral regurgitation .' +p351527 +(lp351528 +S'Mild\tMild\tJJ\tB-NP\tO' +p351529 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p351530 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p351531 +aS'valve\tvalve\tNN\tI-NP\tO' +p351532 +aS'prolapse\tprolapse\tNN\tI-NP\tO' +p351533 +aS'with\twith\tIN\tB-PP\tO' +p351534 +aS'mild\tmild\tJJ\tB-NP\tO' +p351535 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p351536 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p351537 +aS'.\t.\t.\tO\tO' +p351538 +asS'This was poorly responsive to Eldopa .' +p351539 +(lp351540 +S'This\tThis\tDT\tB-NP\tO' +p351541 +aS'was\tbe\tVBD\tB-VP\tO' +p351542 +aS'poorly\tpoorly\tRB\tB-ADJP\tO' +p351543 +aS'responsive\tresponsive\tJJ\tI-ADJP\tO' +p351544 +aS'to\tto\tTO\tB-PP\tO' +p351545 +aS'Eldopa\tEldopa\tNN\tB-NP\tO' +p351546 +aS'.\t.\t.\tO\tO' +p351547 +asS'5. Folic Acid 1 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' +p351548 +(lp351549 +S'5.\t5.\tLS\tB-NP\tO' +p351550 +aS'Folic\tFolic\tJJ\tI-NP\tO' +p351551 +aS'Acid\tAcid\tNN\tI-NP\tO' +p351552 +aS'1\t1\tCD\tI-NP\tO' +p351553 +aS'mg\tmg\tNN\tI-NP\tO' +p351554 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p351555 +aS'Sig\tSig\tNNP\tI-NP\tO' +p351556 +aS':\t:\t:\tO\tO' +p351557 +aS'One\tOne\tCD\tB-NP\tO' +p351558 +aS'(\t(\t(\tO\tO' +p351559 +aS'1\t1\tCD\tB-NP\tO' +p351560 +aS')\t)\t)\tO\tO' +p351561 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p351562 +aS'PO\tPO\tNN\tI-NP\tO' +p351563 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p351564 +aS'(\t(\t(\tO\tO' +p351565 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p351566 +aS')\t)\t)\tO\tO' +p351567 +aS'.\t.\t.\tO\tO' +p351568 +asS'No known TB or CA history .' +p351569 +(lp351570 +S'No\tNo\tDT\tB-NP\tO' +p351571 +aS'known\tknown\tJJ\tI-NP\tO' +p351572 +aS'TB\tTB\tNN\tI-NP\tO' +p351573 +aS'or\tor\tCC\tI-NP\tO' +p351574 +aS'CA\tCA\tNN\tI-NP\tO' +p351575 +aS'history\thistory\tNN\tI-NP\tO' +p351576 +aS'.\t.\t.\tO\tO' +p351577 +asS'Strong maternal history of hemangiomas .' +p351578 +(lp351579 +S'Strong\tStrong\tJJ\tB-NP\tO' +p351580 +aS'maternal\tmaternal\tJJ\tI-NP\tO' +p351581 +aS'history\thistory\tNN\tI-NP\tO' +p351582 +aS'of\tof\tIN\tB-PP\tO' +p351583 +aS'hemangiomas\themangioma\tNNS\tB-NP\tO' +p351584 +aS'.\t.\t.\tO\tO' +p351585 +asS'Do not apply any creams , lotions , powders , or ointments .' +p351586 +(lp351587 +S'Do\tDo\tVBP\tB-VP\tO' +p351588 +aS'not\tnot\tRB\tI-VP\tO' +p351589 +aS'apply\tapply\tVB\tI-VP\tO' +p351590 +aS'any\tany\tDT\tB-NP\tO' +p351591 +aS'creams\tcream\tNNS\tI-NP\tO' +p351592 +aS',\t,\t,\tO\tO' +p351593 +aS'lotions\tlotion\tNNS\tB-NP\tO' +p351594 +aS',\t,\t,\tO\tO' +p351595 +aS'powders\tpowder\tNNS\tB-NP\tO' +p351596 +aS',\t,\t,\tO\tO' +p351597 +aS'or\tor\tCC\tO\tO' +p351598 +aS'ointments\tointment\tNNS\tB-NP\tO' +p351599 +aS'.\t.\t.\tO\tO' +p351600 +asS'Tongue protrudes 2 cm. with slight deviation to the right .' +p351601 +(lp351602 +S'Tongue\tTongue\tNNP\tB-NP\tO' +p351603 +aS'protrudes\tprotrude\tVBZ\tB-VP\tO' +p351604 +aS'2\t2\tCD\tB-NP\tO' +p351605 +aS'cm.\tcm.\tNN\tI-NP\tO' +p351606 +aS'with\twith\tIN\tB-PP\tO' +p351607 +aS'slight\tslight\tJJ\tB-NP\tO' +p351608 +aS'deviation\tdeviation\tNN\tI-NP\tO' +p351609 +aS'to\tto\tTO\tB-PP\tO' +p351610 +aS'the\tthe\tDT\tB-NP\tO' +p351611 +aS'right\tright\tNN\tI-NP\tO' +p351612 +aS'.\t.\t.\tO\tO' +p351613 +asS'No murmurs , rubs , or gallops .' +p351614 +(lp351615 +S'No\tNo\tDT\tB-NP\tO' +p351616 +aS'murmurs\tmurmur\tNNS\tI-NP\tO' +p351617 +aS',\t,\t,\tO\tO' +p351618 +aS'rubs\trub\tNNS\tB-NP\tO' +p351619 +aS',\t,\t,\tO\tO' +p351620 +aS'or\tor\tCC\tO\tO' +p351621 +aS'gallops\tgallop\tNNS\tB-NP\tO' +p351622 +aS'.\t.\t.\tO\tO' +p351623 +asS'Cardiology felt she had a rub and her pulsus was still 10 .' +p351624 +(lp351625 +S'Cardiology\tCardiology\tNNP\tB-NP\tO' +p351626 +aS'felt\tfeel\tVBD\tB-VP\tO' +p351627 +aS'she\tshe\tPRP\tB-NP\tO' +p351628 +aS'had\thave\tVBD\tB-VP\tO' +p351629 +aS'a\ta\tDT\tB-NP\tO' +p351630 +aS'rub\trub\tNN\tI-NP\tO' +p351631 +aS'and\tand\tCC\tO\tO' +p351632 +aS'her\ther\tPRP$\tB-NP\tO' +p351633 +aS'pulsus\tpulsus\tNN\tI-NP\tO' +p351634 +aS'was\tbe\tVBD\tB-VP\tO' +p351635 +aS'still\tstill\tRB\tB-ADVP\tO' +p351636 +aS'10\t10\tCD\tB-NP\tO' +p351637 +aS'.\t.\t.\tO\tO' +p351638 +asS'On postoperative day number one , the patient was successfully weaned and extubated without complication .' +p351639 +(lp351640 +S'On\tOn\tIN\tB-PP\tO' +p351641 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p351642 +aS'day\tday\tNN\tI-NP\tO' +p351643 +aS'number\tnumber\tNN\tI-NP\tO' +p351644 +aS'one\tone\tCD\tB-NP\tO' +p351645 +aS',\t,\t,\tO\tO' +p351646 +aS'the\tthe\tDT\tB-NP\tO' +p351647 +aS'patient\tpatient\tNN\tI-NP\tO' +p351648 +aS'was\tbe\tVBD\tB-VP\tO' +p351649 +aS'successfully\tsuccessfully\tRB\tI-VP\tO' +p351650 +aS'weaned\twean\tVBN\tI-VP\tO' +p351651 +aS'and\tand\tCC\tI-VP\tO' +p351652 +aS'extubated\textubate\tVBN\tI-VP\tO' +p351653 +aS'without\twithout\tIN\tB-PP\tO' +p351654 +aS'complication\tcomplication\tNN\tB-NP\tO' +p351655 +aS'.\t.\t.\tO\tO' +p351656 +asS'They attempted a fiberoptic intubation with a # 6 endotracheal tube and found a 5 mm severely compressed airway .' +p351657 +(lp351658 +S'They\tThey\tPRP\tB-NP\tO' +p351659 +aS'attempted\tattempt\tVBD\tB-VP\tO' +p351660 +aS'a\ta\tDT\tB-NP\tO' +p351661 +aS'fiberoptic\tfiberoptic\tJJ\tI-NP\tO' +p351662 +aS'intubation\tintubation\tNN\tI-NP\tO' +p351663 +aS'with\twith\tIN\tB-PP\tO' +p351664 +aS'a\ta\tDT\tB-NP\tO' +p351665 +aS'#\t#\t#\tI-NP\tB-DNA' +p351666 +aS'6\t6\tCD\tI-NP\tI-DNA' +p351667 +aS'endotracheal\tendotracheal\tJJ\tI-NP\tI-DNA' +p351668 +aS'tube\ttube\tNN\tI-NP\tI-DNA' +p351669 +aS'and\tand\tCC\tO\tO' +p351670 +aS'found\tfind\tVBD\tB-VP\tO' +p351671 +aS'a\ta\tDT\tB-NP\tO' +p351672 +aS'5\t5\tCD\tI-NP\tO' +p351673 +aS'mm\tmm\tNN\tI-NP\tO' +p351674 +aS'severely\tseverely\tRB\tB-ADVP\tO' +p351675 +aS'compressed\tcompress\tVBD\tB-VP\tO' +p351676 +aS'airway\tairway\tNN\tB-NP\tO' +p351677 +aS'.\t.\t.\tO\tO' +p351678 +asS'This mass was situated in the aortopulmonary window and was sent to pathology .' +p351679 +(lp351680 +S'This\tThis\tDT\tB-NP\tO' +p351681 +aS'mass\tmass\tNN\tI-NP\tO' +p351682 +aS'was\tbe\tVBD\tB-VP\tO' +p351683 +aS'situated\tsituate\tVBN\tI-VP\tO' +p351684 +aS'in\tin\tIN\tB-PP\tO' +p351685 +aS'the\tthe\tDT\tB-NP\tO' +p351686 +aS'aortopulmonary\taortopulmonary\tJJ\tI-NP\tO' +p351687 +aS'window\twindow\tNN\tI-NP\tO' +p351688 +aS'and\tand\tCC\tO\tO' +p351689 +aS'was\tbe\tVBD\tB-VP\tO' +p351690 +aS'sent\tsend\tVBN\tI-VP\tO' +p351691 +aS'to\tto\tTO\tB-PP\tO' +p351692 +aS'pathology\tpathology\tNN\tB-NP\tO' +p351693 +aS'.\t.\t.\tO\tO' +p351694 +asS'1. Type 2 diabetes mellitus .' +p351695 +(lp351696 +S'1.\t1.\tLS\tO\tO' +p351697 +aS'Type\tType\tNN\tB-NP\tO' +p351698 +aS'2\t2\tCD\tI-NP\tO' +p351699 +aS'diabetes\tdiabetes\tNN\tI-NP\tO' +p351700 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p351701 +aS'.\t.\t.\tO\tO' +p351702 +asS'Urinalysis demonstrated 30-50 white blood cells with red blood cells too numerous to count and 2+ bacteria .' +p351703 +(lp351704 +S'Urinalysis\tUrinalysis\tNN\tB-NP\tO' +p351705 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p351706 +aS'30-50\t30-50\tCD\tB-NP\tO' +p351707 +aS'white\twhite\tJJ\tI-NP\tB-cell_type' +p351708 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p351709 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p351710 +aS'with\twith\tIN\tB-PP\tO' +p351711 +aS'red\tred\tJJ\tB-NP\tB-cell_type' +p351712 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p351713 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p351714 +aS'too\ttoo\tRB\tB-ADJP\tO' +p351715 +aS'numerous\tnumerous\tJJ\tI-ADJP\tO' +p351716 +aS'to\tto\tTO\tB-PP\tO' +p351717 +aS'count\tcount\tNN\tB-NP\tO' +p351718 +aS'and\tand\tCC\tO\tO' +p351719 +aS'2+\t2+\tJJ\tB-NP\tO' +p351720 +aS'bacteria\tbacteria\tNNS\tI-NP\tO' +p351721 +aS'.\t.\t.\tO\tO' +p351722 +asS'His extremities were warm , pink with no edema .' +p351723 +(lp351724 +S'His\tHis\tPRP$\tB-NP\tO' +p351725 +aS'extremities\textremity\tNNS\tI-NP\tO' +p351726 +aS'were\tbe\tVBD\tB-VP\tO' +p351727 +aS'warm\twarm\tJJ\tB-ADJP\tO' +p351728 +aS',\t,\t,\tO\tO' +p351729 +aS'pink\tpink\tJJ\tB-ADJP\tO' +p351730 +aS'with\twith\tIN\tB-PP\tO' +p351731 +aS'no\tno\tDT\tB-NP\tO' +p351732 +aS'edema\tedema\tNN\tI-NP\tO' +p351733 +aS'.\t.\t.\tO\tO' +p351734 +asS'The patient was started on 2.5 of Micronase with resulting sugars as low as 63 , decreased to 1.25 mg q.day .' +p351735 +(lp351736 +S'The\tThe\tDT\tB-NP\tO' +p351737 +aS'patient\tpatient\tNN\tI-NP\tO' +p351738 +aS'was\tbe\tVBD\tB-VP\tO' +p351739 +aS'started\tstart\tVBN\tI-VP\tO' +p351740 +aS'on\ton\tIN\tB-PP\tO' +p351741 +aS'2.5\t2.5\tCD\tB-NP\tO' +p351742 +aS'of\tof\tIN\tB-PP\tO' +p351743 +aS'Micronase\tMicronase\tNN\tB-NP\tB-protein' +p351744 +aS'with\twith\tIN\tB-PP\tO' +p351745 +aS'resulting\tresult\tVBG\tB-NP\tO' +p351746 +aS'sugars\tsugar\tNNS\tI-NP\tO' +p351747 +aS'as\tas\tRB\tB-ADJP\tO' +p351748 +aS'low\tlow\tJJ\tI-ADJP\tO' +p351749 +aS'as\tas\tIN\tB-PP\tO' +p351750 +aS'63\t63\tCD\tB-NP\tO' +p351751 +aS',\t,\t,\tO\tO' +p351752 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p351753 +aS'to\tto\tTO\tB-PP\tO' +p351754 +aS'1.25\t1.25\tCD\tB-NP\tO' +p351755 +aS'mg\tmg\tNN\tI-NP\tO' +p351756 +aS'q.day\tq.day\tNN\tI-NP\tO' +p351757 +aS'.\t.\t.\tO\tO' +p351758 +asS'Lisinopril 5 mg p.o. every day .' +p351759 +(lp351760 +S'Lisinopril\tLisinopril\tNNP\tB-NP\tO' +p351761 +aS'5\t5\tCD\tI-NP\tO' +p351762 +aS'mg\tmg\tNN\tI-NP\tO' +p351763 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p351764 +aS'every\tevery\tDT\tB-NP\tO' +p351765 +aS'day\tday\tNN\tI-NP\tO' +p351766 +aS'.\t.\t.\tO\tO' +p351767 +asS'In the first week of November , her electrocardiogram showed T wave inversions in the lateral leads , correlating with an increase in the LDH , but not CK .' +p351768 +(lp351769 +S'In\tIn\tIN\tB-PP\tO' +p351770 +aS'the\tthe\tDT\tB-NP\tO' +p351771 +aS'first\tfirst\tJJ\tI-NP\tO' +p351772 +aS'week\tweek\tNN\tI-NP\tO' +p351773 +aS'of\tof\tIN\tB-PP\tO' +p351774 +aS'November\tNovember\tNNP\tB-NP\tO' +p351775 +aS',\t,\t,\tO\tO' +p351776 +aS'her\ther\tPRP$\tB-NP\tO' +p351777 +aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' +p351778 +aS'showed\tshow\tVBD\tB-VP\tO' +p351779 +aS'T\tT\tNN\tB-NP\tO' +p351780 +aS'wave\twave\tNN\tI-NP\tO' +p351781 +aS'inversions\tinversion\tNNS\tI-NP\tO' +p351782 +aS'in\tin\tIN\tB-PP\tO' +p351783 +aS'the\tthe\tDT\tB-NP\tO' +p351784 +aS'lateral\tlateral\tJJ\tI-NP\tO' +p351785 +aS'leads\tlead\tNNS\tI-NP\tO' +p351786 +aS',\t,\t,\tO\tO' +p351787 +aS'correlating\tcorrelate\tVBG\tB-VP\tO' +p351788 +aS'with\twith\tIN\tB-PP\tO' +p351789 +aS'an\tan\tDT\tB-NP\tO' +p351790 +aS'increase\tincrease\tNN\tI-NP\tO' +p351791 +aS'in\tin\tIN\tB-PP\tO' +p351792 +aS'the\tthe\tDT\tB-NP\tO' +p351793 +aS'LDH\tLDH\tNN\tI-NP\tB-DNA' +p351794 +aS',\t,\t,\tO\tO' +p351795 +aS'but\tbut\tCC\tO\tO' +p351796 +aS'not\tnot\tRB\tO\tO' +p351797 +aS'CK\tCK\tNN\tB-NP\tB-protein' +p351798 +aS'.\t.\t.\tO\tO' +p351799 +asS'Thereafter , wife noted development of left sided weakness , facial droop , slurring of speech .' +p351800 +(lp351801 +S'Thereafter\tThereafter\tRB\tB-ADVP\tO' +p351802 +aS',\t,\t,\tO\tO' +p351803 +aS'wife\twife\tNN\tB-NP\tO' +p351804 +aS'noted\tnote\tVBD\tB-VP\tO' +p351805 +aS'development\tdevelopment\tNN\tB-NP\tO' +p351806 +aS'of\tof\tIN\tB-PP\tO' +p351807 +aS'left\tleft\tJJ\tB-NP\tO' +p351808 +aS'sided\tsided\tJJ\tI-NP\tO' +p351809 +aS'weakness\tweakness\tNN\tI-NP\tO' +p351810 +aS',\t,\t,\tO\tO' +p351811 +aS'facial\tfacial\tJJ\tB-NP\tO' +p351812 +aS'droop\tdroop\tNN\tI-NP\tO' +p351813 +aS',\t,\t,\tO\tO' +p351814 +aS'slurring\tslur\tVBG\tB-VP\tO' +p351815 +aS'of\tof\tIN\tB-PP\tO' +p351816 +aS'speech\tspeech\tNN\tB-NP\tO' +p351817 +aS'.\t.\t.\tO\tO' +p351818 +asS'This is a 25 - year-old gentleman who is status post a motor vehicle accident in which he was the unrestrained driver and struck a telephone pole .' +p351819 +(lp351820 +S'This\tThis\tDT\tB-NP\tO' +p351821 +aS'is\tbe\tVBZ\tB-VP\tO' +p351822 +aS'a\ta\tDT\tB-NP\tO' +p351823 +aS'25\t25\tCD\tI-NP\tO' +p351824 +aS'-\t-\tHYPH\tI-NP\tO' +p351825 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p351826 +aS'gentleman\tgentleman\tNN\tI-NP\tO' +p351827 +aS'who\twho\tWP\tB-NP\tO' +p351828 +aS'is\tbe\tVBZ\tB-VP\tO' +p351829 +aS'status\tstatus\tNN\tB-NP\tO' +p351830 +aS'post\tpost\tIN\tB-PP\tO' +p351831 +aS'a\ta\tDT\tB-NP\tO' +p351832 +aS'motor\tmotor\tNN\tI-NP\tO' +p351833 +aS'vehicle\tvehicle\tNN\tI-NP\tO' +p351834 +aS'accident\taccident\tNN\tI-NP\tO' +p351835 +aS'in\tin\tIN\tB-PP\tO' +p351836 +aS'which\twhich\tWDT\tB-NP\tO' +p351837 +aS'he\the\tPRP\tB-NP\tO' +p351838 +aS'was\tbe\tVBD\tB-VP\tO' +p351839 +aS'the\tthe\tDT\tB-NP\tO' +p351840 +aS'unrestrained\tunrestrained\tJJ\tI-NP\tO' +p351841 +aS'driver\tdriver\tNN\tI-NP\tO' +p351842 +aS'and\tand\tCC\tO\tO' +p351843 +aS'struck\tstrike\tVBD\tB-VP\tO' +p351844 +aS'a\ta\tDT\tB-NP\tO' +p351845 +aS'telephone\ttelephone\tNN\tI-NP\tO' +p351846 +aS'pole\tpole\tNN\tI-NP\tO' +p351847 +aS'.\t.\t.\tO\tO' +p351848 +asS'She was found to have an ejection fraction of 30-35% as well as an akinetic apex and apical mid and septal akinesis .' +p351849 +(lp351850 +S'She\tShe\tPRP\tB-NP\tO' +p351851 +aS'was\tbe\tVBD\tB-VP\tO' +p351852 +aS'found\tfind\tVBN\tI-VP\tO' +p351853 +aS'to\tto\tTO\tI-VP\tO' +p351854 +aS'have\thave\tVB\tI-VP\tO' +p351855 +aS'an\tan\tDT\tB-NP\tO' +p351856 +aS'ejection\tejection\tNN\tI-NP\tO' +p351857 +aS'fraction\tfraction\tNN\tI-NP\tO' +p351858 +aS'of\tof\tIN\tB-PP\tO' +p351859 +aS'30-35%\t30-35%\tJJ\tO\tO' +p351860 +aS'as\tas\tRB\tB-CONJP\tO' +p351861 +aS'well\twell\tRB\tI-CONJP\tO' +p351862 +aS'as\tas\tIN\tI-CONJP\tO' +p351863 +aS'an\tan\tDT\tB-NP\tO' +p351864 +aS'akinetic\takinetic\tJJ\tI-NP\tO' +p351865 +aS'apex\tapex\tNN\tI-NP\tO' +p351866 +aS'and\tand\tCC\tO\tO' +p351867 +aS'apical\tapical\tJJ\tB-NP\tO' +p351868 +aS'mid\tmid\tJJ\tI-NP\tO' +p351869 +aS'and\tand\tCC\tI-NP\tO' +p351870 +aS'septal\tseptal\tJJ\tI-NP\tO' +p351871 +aS'akinesis\takinesis\tNN\tI-NP\tO' +p351872 +aS'.\t.\t.\tO\tO' +p351873 +asS'Patient is a 79 - year-old female with a history of cataracts , glaucoma , and diabetes , who fell and tripped over a wheelchair of a friend with no loss of consciousness , no dizziness , no chest pain , and no shortness of breath .' +p351874 +(lp351875 +S'Patient\tPatient\tNN\tB-NP\tO' +p351876 +aS'is\tbe\tVBZ\tB-VP\tO' +p351877 +aS'a\ta\tDT\tB-NP\tO' +p351878 +aS'79\t79\tCD\tI-NP\tO' +p351879 +aS'-\t-\tHYPH\tI-NP\tO' +p351880 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p351881 +aS'female\tfemale\tNN\tI-NP\tO' +p351882 +aS'with\twith\tIN\tB-PP\tO' +p351883 +aS'a\ta\tDT\tB-NP\tO' +p351884 +aS'history\thistory\tNN\tI-NP\tO' +p351885 +aS'of\tof\tIN\tB-PP\tO' +p351886 +aS'cataracts\tcataract\tNNS\tB-NP\tO' +p351887 +aS',\t,\t,\tO\tO' +p351888 +aS'glaucoma\tglaucoma\tNN\tB-NP\tO' +p351889 +aS',\t,\t,\tO\tO' +p351890 +aS'and\tand\tCC\tO\tO' +p351891 +aS'diabetes\tdiabete\tNNS\tB-NP\tO' +p351892 +aS',\t,\t,\tO\tO' +p351893 +aS'who\twho\tWP\tB-NP\tO' +p351894 +aS'fell\tfall\tVBD\tB-VP\tO' +p351895 +aS'and\tand\tCC\tI-VP\tO' +p351896 +aS'tripped\ttrip\tVBD\tI-VP\tO' +p351897 +aS'over\tover\tIN\tB-PP\tO' +p351898 +aS'a\ta\tDT\tB-NP\tO' +p351899 +aS'wheelchair\twheelchair\tNN\tI-NP\tO' +p351900 +aS'of\tof\tIN\tB-PP\tO' +p351901 +aS'a\ta\tDT\tB-NP\tO' +p351902 +aS'friend\tfriend\tNN\tI-NP\tO' +p351903 +aS'with\twith\tIN\tB-PP\tO' +p351904 +aS'no\tno\tDT\tB-NP\tO' +p351905 +aS'loss\tloss\tNN\tI-NP\tO' +p351906 +aS'of\tof\tIN\tB-PP\tO' +p351907 +aS'consciousness\tconsciousness\tNN\tB-NP\tO' +p351908 +aS',\t,\t,\tO\tO' +p351909 +aS'no\tno\tDT\tB-NP\tO' +p351910 +aS'dizziness\tdizziness\tNN\tI-NP\tO' +p351911 +aS',\t,\t,\tO\tO' +p351912 +aS'no\tno\tDT\tB-NP\tO' +p351913 +aS'chest\tchest\tNN\tI-NP\tO' +p351914 +aS'pain\tpain\tNN\tI-NP\tO' +p351915 +aS',\t,\t,\tO\tO' +p351916 +aS'and\tand\tCC\tO\tO' +p351917 +aS'no\tno\tDT\tB-NP\tO' +p351918 +aS'shortness\tshortness\tNN\tI-NP\tO' +p351919 +aS'of\tof\tIN\tB-PP\tO' +p351920 +aS'breath\tbreath\tNN\tB-NP\tO' +p351921 +aS'.\t.\t.\tO\tO' +p351922 +asS'3. Calcium Acetate 667 mg Capsule Sig : Two ( 2 ) Capsule PO TID W/MEALS ( 3 TIMES A DAY WITH MEALS ) .' +p351923 +(lp351924 +S'3.\t3.\tLS\tB-NP\tO' +p351925 +aS'Calcium\tCalcium\tNN\tI-NP\tO' +p351926 +aS'Acetate\tAcetate\tNN\tI-NP\tO' +p351927 +aS'667\t667\tCD\tI-NP\tO' +p351928 +aS'mg\tmg\tNN\tI-NP\tO' +p351929 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p351930 +aS'Sig\tSig\tNNP\tI-NP\tO' +p351931 +aS':\t:\t:\tO\tO' +p351932 +aS'Two\tTwo\tCD\tB-NP\tO' +p351933 +aS'(\t(\t(\tO\tO' +p351934 +aS'2\t2\tCD\tB-NP\tO' +p351935 +aS')\t)\t)\tO\tO' +p351936 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p351937 +aS'PO\tPO\tNNP\tI-NP\tO' +p351938 +aS'TID\tTID\tNNP\tI-NP\tO' +p351939 +aS'W/MEALS\tW/MEALS\tNNP\tI-NP\tO' +p351940 +aS'(\t(\t(\tO\tO' +p351941 +aS'3\t3\tCD\tB-NP\tO' +p351942 +aS'TIMES\tTIMES\tNN\tI-NP\tO' +p351943 +aS'A\tA\tNN\tI-NP\tO' +p351944 +aS'DAY\tDAY\tNN\tI-NP\tO' +p351945 +aS'WITH\tWITH\tNN\tI-NP\tO' +p351946 +aS'MEALS\tMEALS\tNN\tI-NP\tO' +p351947 +aS')\t)\t)\tO\tO' +p351948 +aS'.\t.\t.\tO\tO' +p351949 +asS'The patient is a 20 year old black female who was a pedestrian when struck by a car at apparent high speed .' +p351950 +(lp351951 +S'The\tThe\tDT\tB-NP\tO' +p351952 +aS'patient\tpatient\tNN\tI-NP\tO' +p351953 +aS'is\tbe\tVBZ\tB-VP\tO' +p351954 +aS'a\ta\tDT\tB-NP\tO' +p351955 +aS'20\t20\tCD\tI-NP\tO' +p351956 +aS'year\tyear\tNN\tI-NP\tO' +p351957 +aS'old\told\tJJ\tI-NP\tO' +p351958 +aS'black\tblack\tJJ\tI-NP\tO' +p351959 +aS'female\tfemale\tNN\tI-NP\tO' +p351960 +aS'who\twho\tWP\tB-NP\tO' +p351961 +aS'was\tbe\tVBD\tB-VP\tO' +p351962 +aS'a\ta\tDT\tB-NP\tO' +p351963 +aS'pedestrian\tpedestrian\tJJ\tI-NP\tO' +p351964 +aS'when\twhen\tWRB\tB-ADVP\tO' +p351965 +aS'struck\tstrike\tVBN\tB-VP\tO' +p351966 +aS'by\tby\tIN\tB-PP\tO' +p351967 +aS'a\ta\tDT\tB-NP\tO' +p351968 +aS'car\tcar\tNN\tI-NP\tB-protein' +p351969 +aS'at\tat\tIN\tB-PP\tO' +p351970 +aS'apparent\tapparent\tJJ\tB-NP\tO' +p351971 +aS'high\thigh\tJJ\tI-NP\tO' +p351972 +aS'speed\tspeed\tNN\tI-NP\tO' +p351973 +aS'.\t.\t.\tO\tO' +p351974 +asS'no masses or tenderness .' +p351975 +(lp351976 +S'no\tno\tDT\tB-NP\tO' +p351977 +aS'masses\tmass\tNNS\tI-NP\tO' +p351978 +aS'or\tor\tCC\tI-NP\tO' +p351979 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p351980 +aS'.\t.\t.\tO\tO' +p351981 +asS'Please note that all of the conversations regarding code status took place during we icu admit ; and that this patient passed away in early am hours of night she was called back out to the medicine floor , therefore she had not yet been re-evaluated by the floor medicine attending , but had been earlier that day by the icu attending .' +p351982 +(lp351983 +S'Please\tPlease\tNN\tB-NP\tB-protein' +p351984 +aS'note\tnote\tVBP\tB-VP\tO' +p351985 +aS'that\tthat\tIN\tB-SBAR\tO' +p351986 +aS'all\tall\tDT\tB-NP\tO' +p351987 +aS'of\tof\tIN\tB-PP\tO' +p351988 +aS'the\tthe\tDT\tB-NP\tO' +p351989 +aS'conversations\tconversation\tNNS\tI-NP\tO' +p351990 +aS'regarding\tregard\tVBG\tB-VP\tO' +p351991 +aS'code\tcode\tNN\tB-NP\tO' +p351992 +aS'status\tstatus\tNN\tI-NP\tO' +p351993 +aS'took\ttake\tVBD\tB-VP\tO' +p351994 +aS'place\tplace\tNN\tB-NP\tO' +p351995 +aS'during\tduring\tIN\tB-PP\tO' +p351996 +aS'we\twe\tPRP\tB-NP\tO' +p351997 +aS'icu\ticu\tVBP\tB-VP\tO' +p351998 +aS'admit\tadmit\tNN\tB-NP\tO' +p351999 +aS';\t;\t:\tO\tO' +p352000 +aS'and\tand\tCC\tO\tO' +p352001 +aS'that\tthat\tIN\tB-SBAR\tO' +p352002 +aS'this\tthis\tDT\tB-NP\tO' +p352003 +aS'patient\tpatient\tNN\tI-NP\tO' +p352004 +aS'passed\tpass\tVBD\tB-VP\tO' +p352005 +aS'away\taway\tRB\tB-ADVP\tO' +p352006 +aS'in\tin\tIN\tB-PP\tO' +p352007 +aS'early\tearly\tJJ\tB-NP\tO' +p352008 +aS'am\tam\tNN\tI-NP\tO' +p352009 +aS'hours\thour\tNNS\tI-NP\tO' +p352010 +aS'of\tof\tIN\tB-PP\tO' +p352011 +aS'night\tnight\tNN\tB-NP\tO' +p352012 +aS'she\tshe\tPRP\tB-NP\tO' +p352013 +aS'was\tbe\tVBD\tB-VP\tO' +p352014 +aS'called\tcall\tVBN\tI-VP\tO' +p352015 +aS'back\tback\tRB\tB-ADVP\tO' +p352016 +aS'out\tout\tIN\tB-PP\tO' +p352017 +aS'to\tto\tTO\tB-PP\tO' +p352018 +aS'the\tthe\tDT\tB-NP\tO' +p352019 +aS'medicine\tmedicine\tNN\tI-NP\tO' +p352020 +aS'floor\tfloor\tNN\tI-NP\tO' +p352021 +aS',\t,\t,\tO\tO' +p352022 +aS'therefore\ttherefore\tRB\tB-ADVP\tO' +p352023 +aS'she\tshe\tPRP\tB-NP\tO' +p352024 +aS'had\thave\tVBD\tB-VP\tO' +p352025 +aS'not\tnot\tRB\tI-VP\tO' +p352026 +aS'yet\tyet\tRB\tI-VP\tO' +p352027 +aS'been\tbe\tVBN\tI-VP\tO' +p352028 +aS're-evaluated\tre-evaluate\tVBN\tI-VP\tO' +p352029 +aS'by\tby\tIN\tB-PP\tO' +p352030 +aS'the\tthe\tDT\tB-NP\tO' +p352031 +aS'floor\tfloor\tNN\tI-NP\tO' +p352032 +aS'medicine\tmedicine\tNN\tI-NP\tO' +p352033 +aS'attending\tattend\tVBG\tB-VP\tO' +p352034 +aS',\t,\t,\tO\tO' +p352035 +aS'but\tbut\tCC\tO\tO' +p352036 +aS'had\thave\tVBD\tB-VP\tO' +p352037 +aS'been\tbe\tVBN\tI-VP\tO' +p352038 +aS'earlier\tearlier\tRBR\tB-ADVP\tO' +p352039 +aS'that\tthat\tDT\tB-NP\tO' +p352040 +aS'day\tday\tNN\tI-NP\tO' +p352041 +aS'by\tby\tIN\tB-PP\tO' +p352042 +aS'the\tthe\tDT\tB-NP\tO' +p352043 +aS'icu\ticu\tNN\tI-NP\tO' +p352044 +aS'attending\tattend\tVBG\tB-VP\tO' +p352045 +aS'.\t.\t.\tO\tO' +p352046 +asS'The patient tolerated the procedure well .' +p352047 +(lp352048 +S'The\tThe\tDT\tB-NP\tO' +p352049 +aS'patient\tpatient\tNN\tI-NP\tO' +p352050 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p352051 +aS'the\tthe\tDT\tB-NP\tO' +p352052 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p352053 +aS'well\twell\tRB\tB-ADVP\tO' +p352054 +aS'.\t.\t.\tO\tO' +p352055 +asS'14. Colon cancer status post colectomy with XRT four years ago .' +p352056 +(lp352057 +S'14.\t14.\tLS\tB-NP\tO' +p352058 +aS'Colon\tColon\tNN\tI-NP\tO' +p352059 +aS'cancer\tcancer\tNN\tI-NP\tO' +p352060 +aS'status\tstatus\tNN\tI-NP\tO' +p352061 +aS'post\tpost\tNN\tI-NP\tO' +p352062 +aS'colectomy\tcolectomy\tNN\tI-NP\tO' +p352063 +aS'with\twith\tIN\tB-PP\tO' +p352064 +aS'XRT\tXRT\tNN\tB-NP\tO' +p352065 +aS'four\tfour\tCD\tB-NP\tO' +p352066 +aS'years\tyear\tNNS\tI-NP\tO' +p352067 +aS'ago\tago\tRB\tB-ADVP\tO' +p352068 +aS'.\t.\t.\tO\tO' +p352069 +asS'- Iron Sulfate 300 mg po tid' +p352070 +(lp352071 +S'-\t-\tHYPH\tB-NP\tO' +p352072 +aS'Iron\tIron\tNNP\tI-NP\tO' +p352073 +aS'Sulfate\tSulfate\tNNP\tI-NP\tO' +p352074 +aS'300\t300\tCD\tI-NP\tO' +p352075 +aS'mg\tmg\tNN\tI-NP\tO' +p352076 +aS'po\tpo\tNN\tI-NP\tO' +p352077 +aS'tid\ttid\tNN\tI-NP\tO' +p352078 +asS'She was followed closely with serial abdominal examinations .' +p352079 +(lp352080 +S'She\tShe\tPRP\tB-NP\tO' +p352081 +aS'was\tbe\tVBD\tB-VP\tO' +p352082 +aS'followed\tfollow\tVBN\tI-VP\tO' +p352083 +aS'closely\tclosely\tRB\tB-ADVP\tO' +p352084 +aS'with\twith\tIN\tB-PP\tO' +p352085 +aS'serial\tserial\tJJ\tB-NP\tO' +p352086 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p352087 +aS'examinations\texamination\tNNS\tI-NP\tO' +p352088 +aS'.\t.\t.\tO\tO' +p352089 +asS'Provided in the house staff note from the admission date .' +p352090 +(lp352091 +S'Provided\tProvide\tVBN\tB-VP\tO' +p352092 +aS'in\tin\tIN\tB-PP\tO' +p352093 +aS'the\tthe\tDT\tB-NP\tO' +p352094 +aS'house\thouse\tNN\tI-NP\tO' +p352095 +aS'staff\tstaff\tNN\tI-NP\tO' +p352096 +aS'note\tnote\tNN\tI-NP\tO' +p352097 +aS'from\tfrom\tIN\tB-PP\tO' +p352098 +aS'the\tthe\tDT\tB-NP\tO' +p352099 +aS'admission\tadmission\tNN\tI-NP\tO' +p352100 +aS'date\tdate\tNN\tI-NP\tO' +p352101 +aS'.\t.\t.\tO\tO' +p352102 +asS'64 F with breast CA s/p mastectomy 17 y ago with local recurrence leading to paralysis of L arm ~ 5-6 y ago .' +p352103 +(lp352104 +S'64\t64\tCD\tB-NP\tO' +p352105 +aS'F\tF\tNN\tI-NP\tO' +p352106 +aS'with\twith\tIN\tB-PP\tO' +p352107 +aS'breast\tbreast\tNN\tB-NP\tO' +p352108 +aS'CA\tCA\tNN\tI-NP\tO' +p352109 +aS's/p\ts/p\tNN\tI-NP\tO' +p352110 +aS'mastectomy\tmastectomy\tNN\tI-NP\tO' +p352111 +aS'17\t17\tCD\tI-NP\tO' +p352112 +aS'y\ty\tNN\tI-NP\tO' +p352113 +aS'ago\tago\tRB\tB-ADVP\tO' +p352114 +aS'with\twith\tIN\tB-PP\tO' +p352115 +aS'local\tlocal\tJJ\tB-NP\tO' +p352116 +aS'recurrence\trecurrence\tNN\tI-NP\tO' +p352117 +aS'leading\tlead\tVBG\tB-VP\tO' +p352118 +aS'to\tto\tTO\tB-PP\tO' +p352119 +aS'paralysis\tparalysis\tNN\tB-NP\tO' +p352120 +aS'of\tof\tIN\tB-PP\tO' +p352121 +aS'L\tL\tNN\tB-NP\tO' +p352122 +aS'arm\tarm\tNN\tI-NP\tO' +p352123 +aS'~\t~\tNN\tI-NP\tO' +p352124 +aS'5-6\t5-6\tCD\tI-NP\tO' +p352125 +aS'y\ty\tNN\tI-NP\tO' +p352126 +aS'ago\tago\tRB\tB-ADVP\tO' +p352127 +aS'.\t.\t.\tO\tO' +p352128 +asS'In addition , she was empirically started on Flagyl for persistent diarrhea ( despite negative C. diff cultures ) , however she developed an additional rash on her buttocks after the first dose of flagyl , so the flagyl was discontinued .' +p352129 +(lp352130 +S'In\tIn\tIN\tB-PP\tO' +p352131 +aS'addition\taddition\tNN\tB-NP\tO' +p352132 +aS',\t,\t,\tO\tO' +p352133 +aS'she\tshe\tPRP\tB-NP\tO' +p352134 +aS'was\tbe\tVBD\tB-VP\tO' +p352135 +aS'empirically\tempirically\tRB\tI-VP\tO' +p352136 +aS'started\tstart\tVBN\tI-VP\tO' +p352137 +aS'on\ton\tIN\tB-PP\tO' +p352138 +aS'Flagyl\tFlagyl\tNN\tB-NP\tO' +p352139 +aS'for\tfor\tIN\tB-PP\tO' +p352140 +aS'persistent\tpersistent\tJJ\tB-NP\tO' +p352141 +aS'diarrhea\tdiarrhea\tNN\tI-NP\tO' +p352142 +aS'(\t(\t(\tO\tO' +p352143 +aS'despite\tdespite\tIN\tB-PP\tO' +p352144 +aS'negative\tnegative\tJJ\tB-NP\tB-cell_line' +p352145 +aS'C.\tC.\tNNP\tI-NP\tI-cell_line' +p352146 +aS'diff\tdiff\tNN\tI-NP\tI-cell_line' +p352147 +aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' +p352148 +aS')\t)\t)\tO\tO' +p352149 +aS',\t,\t,\tO\tO' +p352150 +aS'however\thowever\tRB\tB-ADVP\tO' +p352151 +aS'she\tshe\tPRP\tB-NP\tO' +p352152 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p352153 +aS'an\tan\tDT\tB-NP\tO' +p352154 +aS'additional\tadditional\tJJ\tI-NP\tO' +p352155 +aS'rash\trash\tNN\tI-NP\tO' +p352156 +aS'on\ton\tIN\tB-PP\tO' +p352157 +aS'her\ther\tPRP$\tB-NP\tO' +p352158 +aS'buttocks\tbuttock\tNNS\tI-NP\tO' +p352159 +aS'after\tafter\tIN\tB-PP\tO' +p352160 +aS'the\tthe\tDT\tB-NP\tO' +p352161 +aS'first\tfirst\tJJ\tI-NP\tO' +p352162 +aS'dose\tdose\tNN\tI-NP\tO' +p352163 +aS'of\tof\tIN\tB-PP\tO' +p352164 +aS'flagyl\tflagyl\tNN\tB-NP\tO' +p352165 +aS',\t,\t,\tO\tO' +p352166 +aS'so\tso\tIN\tO\tO' +p352167 +aS'the\tthe\tDT\tB-NP\tO' +p352168 +aS'flagyl\tflagyl\tNN\tI-NP\tO' +p352169 +aS'was\tbe\tVBD\tB-VP\tO' +p352170 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p352171 +aS'.\t.\t.\tO\tO' +p352172 +asS'Urine cultures were significant for Klebsiella UTI and sputum cultures were significant for MRSA .' +p352173 +(lp352174 +S'Urine\tUrine\tNN\tB-NP\tB-cell_line' +p352175 +aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' +p352176 +aS'were\tbe\tVBD\tB-VP\tO' +p352177 +aS'significant\tsignificant\tJJ\tB-ADJP\tO' +p352178 +aS'for\tfor\tIN\tB-PP\tO' +p352179 +aS'Klebsiella\tKlebsiella\tNN\tB-NP\tO' +p352180 +aS'UTI\tUTI\tNN\tI-NP\tO' +p352181 +aS'and\tand\tCC\tI-NP\tO' +p352182 +aS'sputum\tsputum\tNN\tI-NP\tO' +p352183 +aS'cultures\tculture\tNNS\tI-NP\tO' +p352184 +aS'were\tbe\tVBD\tB-VP\tO' +p352185 +aS'significant\tsignificant\tJJ\tB-ADJP\tO' +p352186 +aS'for\tfor\tIN\tB-PP\tO' +p352187 +aS'MRSA\tMRSA\tNN\tB-NP\tO' +p352188 +aS'.\t.\t.\tO\tO' +p352189 +asS"On postoperative day two , the patient 's hematocrit was noted to be 23.1 ; he was transfused one unit of packed red blood cells as well as given a dose of Lasix ." +p352190 +(lp352191 +S'On\tOn\tIN\tB-PP\tO' +p352192 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p352193 +aS'day\tday\tNN\tI-NP\tO' +p352194 +aS'two\ttwo\tCD\tB-NP\tO' +p352195 +aS',\t,\t,\tO\tO' +p352196 +aS'the\tthe\tDT\tB-NP\tO' +p352197 +aS'patient\tpatient\tNN\tI-NP\tO' +p352198 +aS"'s\t's\tPOS\tB-NP\tO" +p352199 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p352200 +aS'was\tbe\tVBD\tB-VP\tO' +p352201 +aS'noted\tnote\tVBN\tI-VP\tO' +p352202 +aS'to\tto\tTO\tI-VP\tO' +p352203 +aS'be\tbe\tVB\tI-VP\tO' +p352204 +aS'23.1\t23.1\tCD\tB-NP\tO' +p352205 +aS';\t;\t:\tO\tO' +p352206 +aS'he\the\tPRP\tB-NP\tO' +p352207 +aS'was\tbe\tVBD\tB-VP\tO' +p352208 +aS'transfused\ttransfuse\tVBN\tI-VP\tO' +p352209 +aS'one\tone\tCD\tB-NP\tO' +p352210 +aS'unit\tunit\tNN\tI-NP\tO' +p352211 +aS'of\tof\tIN\tB-PP\tO' +p352212 +aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' +p352213 +aS'red\tred\tJJ\tI-NP\tI-cell_type' +p352214 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p352215 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p352216 +aS'as\tas\tRB\tB-CONJP\tO' +p352217 +aS'well\twell\tRB\tI-CONJP\tO' +p352218 +aS'as\tas\tIN\tI-CONJP\tO' +p352219 +aS'given\tgive\tVBN\tB-VP\tO' +p352220 +aS'a\ta\tDT\tB-NP\tO' +p352221 +aS'dose\tdose\tNN\tI-NP\tO' +p352222 +aS'of\tof\tIN\tB-PP\tO' +p352223 +aS'Lasix\tLasix\tNNP\tB-NP\tO' +p352224 +aS'.\t.\t.\tO\tO' +p352225 +asS'Nondysmorphic intact Veliz .' +p352226 +(lp352227 +S'Nondysmorphic\tNondysmorphic\tJJ\tB-NP\tO' +p352228 +aS'intact\tintact\tJJ\tI-NP\tO' +p352229 +aS'Veliz\tVeliz\tNNP\tI-NP\tO' +p352230 +aS'.\t.\t.\tO\tO' +p352231 +asS'The patient was given a prescription for ten pills .' +p352232 +(lp352233 +S'The\tThe\tDT\tB-NP\tO' +p352234 +aS'patient\tpatient\tNN\tI-NP\tO' +p352235 +aS'was\tbe\tVBD\tB-VP\tO' +p352236 +aS'given\tgive\tVBN\tI-VP\tO' +p352237 +aS'a\ta\tDT\tB-NP\tO' +p352238 +aS'prescription\tprescription\tNN\tI-NP\tO' +p352239 +aS'for\tfor\tIN\tB-PP\tO' +p352240 +aS'ten\tten\tCD\tB-NP\tO' +p352241 +aS'pills\tpill\tNNS\tI-NP\tO' +p352242 +aS'.\t.\t.\tO\tO' +p352243 +asS'She will have an IVP repeated in one week at which time she should have cleared the residual contrast in her colon .' +p352244 +(lp352245 +S'She\tShe\tPRP\tB-NP\tO' +p352246 +aS'will\twill\tMD\tB-VP\tO' +p352247 +aS'have\thave\tVB\tI-VP\tO' +p352248 +aS'an\tan\tDT\tB-NP\tO' +p352249 +aS'IVP\tIVP\tNN\tI-NP\tB-protein' +p352250 +aS'repeated\trepeat\tVBN\tB-VP\tO' +p352251 +aS'in\tin\tIN\tB-PP\tO' +p352252 +aS'one\tone\tCD\tB-NP\tO' +p352253 +aS'week\tweek\tNN\tI-NP\tO' +p352254 +aS'at\tat\tIN\tB-PP\tO' +p352255 +aS'which\twhich\tWDT\tB-NP\tO' +p352256 +aS'time\ttime\tNN\tB-NP\tO' +p352257 +aS'she\tshe\tPRP\tB-NP\tO' +p352258 +aS'should\tshould\tMD\tB-VP\tO' +p352259 +aS'have\thave\tVB\tI-VP\tO' +p352260 +aS'cleared\tclear\tVBN\tI-VP\tO' +p352261 +aS'the\tthe\tDT\tB-NP\tO' +p352262 +aS'residual\tresidual\tJJ\tI-NP\tO' +p352263 +aS'contrast\tcontrast\tNN\tI-NP\tO' +p352264 +aS'in\tin\tIN\tB-PP\tO' +p352265 +aS'her\ther\tPRP$\tB-NP\tO' +p352266 +aS'colon\tcolon\tNN\tI-NP\tO' +p352267 +aS'.\t.\t.\tO\tO' +p352268 +asS'His PEG tube should be flushed with 30 cc of water after every use .' +p352269 +(lp352270 +S'His\tHis\tPRP$\tB-NP\tO' +p352271 +aS'PEG\tPEG\tNN\tI-NP\tO' +p352272 +aS'tube\ttube\tNN\tI-NP\tO' +p352273 +aS'should\tshould\tMD\tB-VP\tO' +p352274 +aS'be\tbe\tVB\tI-VP\tO' +p352275 +aS'flushed\tflush\tVBN\tI-VP\tO' +p352276 +aS'with\twith\tIN\tB-PP\tO' +p352277 +aS'30\t30\tCD\tB-NP\tO' +p352278 +aS'cc\tcc\tNN\tI-NP\tO' +p352279 +aS'of\tof\tIN\tB-PP\tO' +p352280 +aS'water\twater\tNN\tB-NP\tO' +p352281 +aS'after\tafter\tIN\tB-PP\tO' +p352282 +aS'every\tevery\tDT\tB-NP\tO' +p352283 +aS'use\tuse\tNN\tI-NP\tO' +p352284 +aS'.\t.\t.\tO\tO' +p352285 +asS'However , she was soon moved out of there as her examination appeared to be stable .' +p352286 +(lp352287 +S'However\tHowever\tRB\tB-ADVP\tO' +p352288 +aS',\t,\t,\tO\tO' +p352289 +aS'she\tshe\tPRP\tB-NP\tO' +p352290 +aS'was\tbe\tVBD\tB-VP\tO' +p352291 +aS'soon\tsoon\tRB\tI-VP\tO' +p352292 +aS'moved\tmove\tVBN\tI-VP\tO' +p352293 +aS'out\tout\tIN\tB-PP\tO' +p352294 +aS'of\tof\tIN\tB-PP\tO' +p352295 +aS'there\tthere\tRB\tB-NP\tO' +p352296 +aS'as\tas\tIN\tB-PP\tO' +p352297 +aS'her\ther\tPRP$\tB-NP\tO' +p352298 +aS'examination\texamination\tNN\tI-NP\tO' +p352299 +aS'appeared\tappear\tVBD\tB-VP\tO' +p352300 +aS'to\tto\tTO\tI-VP\tO' +p352301 +aS'be\tbe\tVB\tI-VP\tO' +p352302 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p352303 +aS'.\t.\t.\tO\tO' +p352304 +asS'The patient states that he has felt " cloudy " of late which seems to relate to his worsening SOB .' +p352305 +(lp352306 +S'The\tThe\tDT\tB-NP\tO' +p352307 +aS'patient\tpatient\tNN\tI-NP\tO' +p352308 +aS'states\tstate\tVBZ\tB-VP\tO' +p352309 +aS'that\tthat\tIN\tB-SBAR\tO' +p352310 +aS'he\the\tPRP\tB-NP\tO' +p352311 +aS'has\thave\tVBZ\tB-VP\tO' +p352312 +aS'felt\tfeel\tVBN\tI-VP\tO' +p352313 +aS'"\t"\t``\tO\tO' +p352314 +aS'cloudy\tcloudy\tNN\tB-NP\tO' +p352315 +aS'"\t"\t\'\'\tO\tO' +p352316 +aS'of\tof\tIN\tB-PP\tO' +p352317 +aS'late\tlate\tRB\tB-NP\tO' +p352318 +aS'which\twhich\tWDT\tI-NP\tO' +p352319 +aS'seems\tseem\tVBZ\tB-VP\tO' +p352320 +aS'to\tto\tTO\tI-VP\tO' +p352321 +aS'relate\trelate\tVB\tI-VP\tO' +p352322 +aS'to\tto\tTO\tB-PP\tO' +p352323 +aS'his\this\tPRP$\tB-NP\tB-DNA' +p352324 +aS'worsening\tworsen\tVBG\tI-NP\tO' +p352325 +aS'SOB\tSOB\tNN\tI-NP\tB-protein' +p352326 +aS'.\t.\t.\tO\tO' +p352327 +asS'RIEEA ODEE SAPMAL , M.D. CEALME LEOE MARESSYTHE Dr. Tokbelb Welle Health Sonsant .' +p352328 +(lp352329 +S'RIEEA\tRIEEA\tNNP\tB-NP\tO' +p352330 +aS'ODEE\tODEE\tNNP\tI-NP\tO' +p352331 +aS'SAPMAL\tSAPMAL\tNNP\tI-NP\tO' +p352332 +aS',\t,\t,\tO\tO' +p352333 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p352334 +aS'CEALME\tCEALME\tNNP\tI-NP\tO' +p352335 +aS'LEOE\tLEOE\tNNP\tI-NP\tO' +p352336 +aS'MARESSYTHE\tMARESSYTHE\tNNP\tI-NP\tO' +p352337 +aS'Dr.\tDr.\tNNP\tI-NP\tO' +p352338 +aS'Tokbelb\tTokbelb\tNNP\tI-NP\tO' +p352339 +aS'Welle\tWelle\tNNP\tI-NP\tO' +p352340 +aS'Health\tHealth\tNNP\tI-NP\tO' +p352341 +aS'Sonsant\tSonsant\tNNP\tI-NP\tO' +p352342 +aS'.\t.\t.\tO\tO' +p352343 +asS'OP clear w/ MMM .' +p352344 +(lp352345 +S'OP\tOP\tNN\tB-NP\tO' +p352346 +aS'clear\tclear\tJJ\tI-NP\tO' +p352347 +aS'w/\tw/\tNN\tI-NP\tO' +p352348 +aS'MMM\tMMM\tNN\tI-NP\tO' +p352349 +aS'.\t.\t.\tO\tO' +p352350 +asS'His preliminary cultures including sputum from 08-25 grew Escherichia coli .' +p352351 +(lp352352 +S'His\tHis\tPRP$\tB-NP\tB-cell_line' +p352353 +aS'preliminary\tpreliminary\tJJ\tI-NP\tI-cell_line' +p352354 +aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' +p352355 +aS'including\tinclude\tVBG\tB-PP\tO' +p352356 +aS'sputum\tsputum\tNN\tB-NP\tO' +p352357 +aS'from\tfrom\tIN\tB-PP\tO' +p352358 +aS'08-25\t08-25\tCD\tB-NP\tO' +p352359 +aS'grew\tgrow\tVBD\tB-VP\tO' +p352360 +aS'Escherichia\tEscherichia\tNNP\tB-NP\tO' +p352361 +aS'coli\tcoli\tNNP\tI-NP\tO' +p352362 +aS'.\t.\t.\tO\tO' +p352363 +asS'One of them was to do a subarachnoid neurologic block at C6-C7 interface on 1-6-94 .' +p352364 +(lp352365 +S'One\tOne\tCD\tB-NP\tO' +p352366 +aS'of\tof\tIN\tB-PP\tO' +p352367 +aS'them\tthem\tPRP\tB-NP\tO' +p352368 +aS'was\tbe\tVBD\tB-VP\tO' +p352369 +aS'to\tto\tTO\tB-VP\tO' +p352370 +aS'do\tdo\tVB\tI-VP\tO' +p352371 +aS'a\ta\tDT\tB-NP\tO' +p352372 +aS'subarachnoid\tsubarachnoid\tJJ\tI-NP\tO' +p352373 +aS'neurologic\tneurologic\tJJ\tI-NP\tO' +p352374 +aS'block\tblock\tNN\tI-NP\tO' +p352375 +aS'at\tat\tIN\tB-PP\tO' +p352376 +aS'C6-C7\tC6-C7\tNN\tB-NP\tB-DNA' +p352377 +aS'interface\tinterface\tNN\tI-NP\tO' +p352378 +aS'on\ton\tIN\tB-PP\tO' +p352379 +aS'1-6-94\t1-6-94\tNN\tB-NP\tO' +p352380 +aS'.\t.\t.\tO\tO' +p352381 +asS'He received Rx for potassium to help with cramps .' +p352382 +(lp352383 +S'He\tHe\tPRP\tB-NP\tO' +p352384 +aS'received\treceive\tVBD\tB-VP\tO' +p352385 +aS'Rx\tRx\tNN\tB-NP\tB-protein' +p352386 +aS'for\tfor\tIN\tB-PP\tO' +p352387 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p352388 +aS'to\tto\tTO\tB-VP\tO' +p352389 +aS'help\thelp\tVB\tI-VP\tO' +p352390 +aS'with\twith\tIN\tB-PP\tO' +p352391 +aS'cramps\tcramp\tNNS\tB-NP\tO' +p352392 +aS'.\t.\t.\tO\tO' +p352393 +asS'Her SBP remained in the 160s-170s on hospital day 1 and she was gently diuresed .' +p352394 +(lp352395 +S'Her\tHer\tPRP$\tB-NP\tO' +p352396 +aS'SBP\tSBP\tNN\tI-NP\tB-protein' +p352397 +aS'remained\tremain\tVBD\tB-VP\tO' +p352398 +aS'in\tin\tIN\tB-PP\tO' +p352399 +aS'the\tthe\tDT\tB-NP\tO' +p352400 +aS'160s-170s\t160s-170\tNNS\tI-NP\tO' +p352401 +aS'on\ton\tIN\tB-PP\tO' +p352402 +aS'hospital\thospital\tNN\tB-NP\tO' +p352403 +aS'day\tday\tNN\tI-NP\tO' +p352404 +aS'1\t1\tCD\tI-NP\tO' +p352405 +aS'and\tand\tCC\tO\tO' +p352406 +aS'she\tshe\tPRP\tB-NP\tO' +p352407 +aS'was\tbe\tVBD\tB-VP\tO' +p352408 +aS'gently\tgently\tRB\tI-VP\tO' +p352409 +aS'diuresed\tdiurese\tVBN\tI-VP\tO' +p352410 +aS'.\t.\t.\tO\tO' +p352411 +asS'She was given 40 mg IV lasix and 325 mg ASA .' +p352412 +(lp352413 +S'She\tShe\tPRP\tB-NP\tO' +p352414 +aS'was\tbe\tVBD\tB-VP\tO' +p352415 +aS'given\tgive\tVBN\tI-VP\tO' +p352416 +aS'40\t40\tCD\tB-NP\tO' +p352417 +aS'mg\tmg\tNN\tI-NP\tO' +p352418 +aS'IV\tIV\tCD\tB-NP\tO' +p352419 +aS'lasix\tlasix\tCD\tI-NP\tO' +p352420 +aS'and\tand\tCC\tI-NP\tO' +p352421 +aS'325\t325\tCD\tI-NP\tO' +p352422 +aS'mg\tmg\tNN\tI-NP\tO' +p352423 +aS'ASA\tASA\tNN\tI-NP\tO' +p352424 +aS'.\t.\t.\tO\tO' +p352425 +asS'The patient was discharged on the 2011-03-15 on the following medications .' +p352426 +(lp352427 +S'The\tThe\tDT\tB-NP\tO' +p352428 +aS'patient\tpatient\tNN\tI-NP\tO' +p352429 +aS'was\tbe\tVBD\tB-VP\tO' +p352430 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p352431 +aS'on\ton\tIN\tB-PP\tO' +p352432 +aS'the\tthe\tDT\tB-NP\tO' +p352433 +aS'2011-03-15\t2011-03-15\tCD\tI-NP\tO' +p352434 +aS'on\ton\tIN\tB-PP\tO' +p352435 +aS'the\tthe\tDT\tB-NP\tO' +p352436 +aS'following\tfollow\tVBG\tI-NP\tO' +p352437 +aS'medications\tmedication\tNNS\tI-NP\tO' +p352438 +aS'.\t.\t.\tO\tO' +p352439 +asS'Over the next couple of days it was very slowly decreased as his Ace inhibitors were increased orally .' +p352440 +(lp352441 +S'Over\tOver\tIN\tB-PP\tO' +p352442 +aS'the\tthe\tDT\tB-NP\tO' +p352443 +aS'next\tnext\tJJ\tI-NP\tO' +p352444 +aS'couple\tcouple\tNN\tI-NP\tO' +p352445 +aS'of\tof\tIN\tB-PP\tO' +p352446 +aS'days\tday\tNNS\tB-NP\tO' +p352447 +aS'it\tit\tPRP\tB-NP\tO' +p352448 +aS'was\tbe\tVBD\tB-VP\tO' +p352449 +aS'very\tvery\tRB\tB-VP\tO' +p352450 +aS'slowly\tslowly\tRB\tI-VP\tO' +p352451 +aS'decreased\tdecrease\tVBN\tI-VP\tO' +p352452 +aS'as\tas\tIN\tB-PP\tO' +p352453 +aS'his\this\tPRP$\tB-NP\tO' +p352454 +aS'Ace\tAce\tNNP\tI-NP\tO' +p352455 +aS'inhibitors\tinhibitor\tNNS\tI-NP\tO' +p352456 +aS'were\tbe\tVBD\tB-VP\tO' +p352457 +aS'increased\tincrease\tVBN\tI-VP\tO' +p352458 +aS'orally\torally\tRB\tB-ADVP\tO' +p352459 +aS'.\t.\t.\tO\tO' +p352460 +asS'COMPARISONS : Comparison is made to 2015-10-27 .' +p352461 +(lp352462 +S'COMPARISONS\tCOMPARISONS\tNNS\tB-NP\tO' +p352463 +aS':\t:\t:\tO\tO' +p352464 +aS'Comparison\tComparison\tNN\tB-NP\tO' +p352465 +aS'is\tbe\tVBZ\tB-VP\tO' +p352466 +aS'made\tmake\tVBN\tI-VP\tO' +p352467 +aS'to\tto\tTO\tB-PP\tO' +p352468 +aS'2015-10-27\t2015-10-27\tCD\tB-NP\tO' +p352469 +aS'.\t.\t.\tO\tO' +p352470 +asS'Antibiotic levels were monitored and doses adjusted accordingly .' +p352471 +(lp352472 +S'Antibiotic\tAntibiotic\tJJ\tB-NP\tO' +p352473 +aS'levels\tlevel\tNNS\tI-NP\tO' +p352474 +aS'were\tbe\tVBD\tB-VP\tO' +p352475 +aS'monitored\tmonitor\tVBN\tI-VP\tO' +p352476 +aS'and\tand\tCC\tO\tO' +p352477 +aS'doses\tdose\tNNS\tB-NP\tO' +p352478 +aS'adjusted\tadjust\tVBN\tB-VP\tO' +p352479 +aS'accordingly\taccordingly\tRB\tB-ADVP\tO' +p352480 +aS'.\t.\t.\tO\tO' +p352481 +asS'He states that mood is depressed .' +p352482 +(lp352483 +S'He\tHe\tPRP\tB-NP\tO' +p352484 +aS'states\tstate\tVBZ\tB-VP\tO' +p352485 +aS'that\tthat\tIN\tB-SBAR\tO' +p352486 +aS'mood\tmood\tNN\tB-NP\tO' +p352487 +aS'is\tbe\tVBZ\tB-VP\tO' +p352488 +aS'depressed\tdepress\tVBN\tI-VP\tO' +p352489 +aS'.\t.\t.\tO\tO' +p352490 +asS'INTERMITTENT PHOTIC STIMULATION : Could not be performed .' +p352491 +(lp352492 +S'INTERMITTENT\tINTERMITTENT\tJJ\tB-NP\tO' +p352493 +aS'PHOTIC\tPHOTIC\tNN\tI-NP\tO' +p352494 +aS'STIMULATION\tSTIMULATION\tNN\tI-NP\tO' +p352495 +aS':\t:\t:\tO\tO' +p352496 +aS'Could\tCould\tMD\tB-VP\tO' +p352497 +aS'not\tnot\tRB\tI-VP\tO' +p352498 +aS'be\tbe\tVB\tI-VP\tO' +p352499 +aS'performed\tperform\tVBN\tI-VP\tO' +p352500 +aS'.\t.\t.\tO\tO' +p352501 +asS'All systems were reviewed and were negative except as given above .' +p352502 +(lp352503 +S'All\tAll\tDT\tB-NP\tO' +p352504 +aS'systems\tsystem\tNNS\tI-NP\tO' +p352505 +aS'were\tbe\tVBD\tB-VP\tO' +p352506 +aS'reviewed\treview\tVBN\tI-VP\tO' +p352507 +aS'and\tand\tCC\tO\tO' +p352508 +aS'were\tbe\tVBD\tB-VP\tO' +p352509 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p352510 +aS'except\texcept\tIN\tB-PP\tO' +p352511 +aS'as\tas\tIN\tB-SBAR\tO' +p352512 +aS'given\tgive\tVBN\tB-VP\tO' +p352513 +aS'above\tabove\tRB\tB-ADVP\tO' +p352514 +aS'.\t.\t.\tO\tO' +p352515 +asS'Left circumflex had 80% stenosis in a large OM1 branch .' +p352516 +(lp352517 +S'Left\tLeave\tVBN\tB-NP\tO' +p352518 +aS'circumflex\tcircumflex\tNN\tI-NP\tO' +p352519 +aS'had\thave\tVBD\tB-VP\tO' +p352520 +aS'80%\t80%\tCD\tB-NP\tO' +p352521 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p352522 +aS'in\tin\tIN\tB-PP\tO' +p352523 +aS'a\ta\tDT\tB-NP\tO' +p352524 +aS'large\tlarge\tJJ\tI-NP\tO' +p352525 +aS'OM1\tOM1\tNN\tI-NP\tO' +p352526 +aS'branch\tbranch\tNN\tI-NP\tO' +p352527 +aS'.\t.\t.\tO\tO' +p352528 +asS'Renal u/s negative for hydronephrosis .' +p352529 +(lp352530 +S'Renal\tRenal\tJJ\tB-NP\tO' +p352531 +aS'u/s\tu/\tNNS\tI-NP\tO' +p352532 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p352533 +aS'for\tfor\tIN\tB-PP\tO' +p352534 +aS'hydronephrosis\thydronephrosis\tNN\tB-NP\tO' +p352535 +aS'.\t.\t.\tO\tO' +p352536 +asS'4. Chronic idiopathic pancreatitis , as demonstrated on CT in 09-01' +p352537 +(lp352538 +S'4.\t4.\tLS\tB-NP\tO' +p352539 +aS'Chronic\tChronic\tJJ\tI-NP\tO' +p352540 +aS'idiopathic\tidiopathic\tJJ\tI-NP\tO' +p352541 +aS'pancreatitis\tpancreatitis\tNN\tI-NP\tO' +p352542 +aS',\t,\t,\tO\tO' +p352543 +aS'as\tas\tIN\tB-SBAR\tO' +p352544 +aS'demonstrated\tdemonstrate\tVBN\tB-VP\tO' +p352545 +aS'on\ton\tIN\tB-PP\tO' +p352546 +aS'CT\tCT\tNN\tB-NP\tB-protein' +p352547 +aS'in\tin\tIN\tB-PP\tO' +p352548 +aS'09-01\t09-01\tCD\tB-NP\tO' +p352549 +asS'Physical examination of the RLE showed mild pain in right hip with some movements .' +p352550 +(lp352551 +S'Physical\tPhysical\tJJ\tB-NP\tO' +p352552 +aS'examination\texamination\tNN\tI-NP\tO' +p352553 +aS'of\tof\tIN\tB-PP\tO' +p352554 +aS'the\tthe\tDT\tB-NP\tO' +p352555 +aS'RLE\tRLE\tNN\tI-NP\tB-protein' +p352556 +aS'showed\tshow\tVBD\tB-VP\tI-protein' +p352557 +aS'mild\tmild\tJJ\tB-NP\tI-protein' +p352558 +aS'pain\tpain\tNN\tI-NP\tI-protein' +p352559 +aS'in\tin\tIN\tB-PP\tO' +p352560 +aS'right\tright\tJJ\tB-NP\tO' +p352561 +aS'hip\thip\tNN\tI-NP\tO' +p352562 +aS'with\twith\tIN\tB-PP\tO' +p352563 +aS'some\tsome\tDT\tB-NP\tO' +p352564 +aS'movements\tmovement\tNNS\tI-NP\tO' +p352565 +aS'.\t.\t.\tO\tO' +p352566 +asS'Weight is 82 kilograms .' +p352567 +(lp352568 +S'Weight\tWeight\tNNP\tB-NP\tO' +p352569 +aS'is\tbe\tVBZ\tB-VP\tO' +p352570 +aS'82\t82\tCD\tB-NP\tO' +p352571 +aS'kilograms\tkilogram\tNNS\tI-NP\tO' +p352572 +aS'.\t.\t.\tO\tO' +p352573 +asS'PMH : Carpal tunnel syndrome , Hypertension , Hyperlipidemia , Arthritis' +p352574 +(lp352575 +S'PMH\tPMH\tNN\tB-NP\tO' +p352576 +aS':\t:\t:\tO\tO' +p352577 +aS'Carpal\tCarpal\tJJ\tB-NP\tO' +p352578 +aS'tunnel\ttunnel\tNN\tI-NP\tO' +p352579 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p352580 +aS',\t,\t,\tO\tO' +p352581 +aS'Hypertension\tHypertension\tNN\tB-NP\tO' +p352582 +aS',\t,\t,\tO\tO' +p352583 +aS'Hyperlipidemia\tHyperlipidemia\tNN\tB-NP\tO' +p352584 +aS',\t,\t,\tO\tO' +p352585 +aS'Arthritis\tArthritis\tNN\tB-NP\tO' +p352586 +asS'2. Right ventricular hypokinesis .' +p352587 +(lp352588 +S'2.\t2.\tLS\tB-NP\tO' +p352589 +aS'Right\tRight\tNN\tI-NP\tO' +p352590 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p352591 +aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' +p352592 +aS'.\t.\t.\tO\tO' +p352593 +asS'The chief obstacle was bringing his blood pressure under control and this was ultimately achieved with a combination of Captopril and Nifedipine .' +p352594 +(lp352595 +S'The\tThe\tDT\tB-NP\tO' +p352596 +aS'chief\tchief\tJJ\tI-NP\tO' +p352597 +aS'obstacle\tobstacle\tNN\tI-NP\tO' +p352598 +aS'was\tbe\tVBD\tB-VP\tO' +p352599 +aS'bringing\tbring\tVBG\tI-VP\tO' +p352600 +aS'his\this\tPRP$\tB-NP\tO' +p352601 +aS'blood\tblood\tNN\tI-NP\tO' +p352602 +aS'pressure\tpressure\tNN\tI-NP\tO' +p352603 +aS'under\tunder\tIN\tB-PP\tO' +p352604 +aS'control\tcontrol\tNN\tB-NP\tO' +p352605 +aS'and\tand\tCC\tO\tO' +p352606 +aS'this\tthis\tDT\tB-NP\tO' +p352607 +aS'was\tbe\tVBD\tB-VP\tO' +p352608 +aS'ultimately\tultimately\tRB\tI-VP\tO' +p352609 +aS'achieved\tachieve\tVBN\tI-VP\tO' +p352610 +aS'with\twith\tIN\tB-PP\tO' +p352611 +aS'a\ta\tDT\tB-NP\tO' +p352612 +aS'combination\tcombination\tNN\tI-NP\tO' +p352613 +aS'of\tof\tIN\tB-PP\tO' +p352614 +aS'Captopril\tCaptopril\tNNP\tB-NP\tO' +p352615 +aS'and\tand\tCC\tI-NP\tO' +p352616 +aS'Nifedipine\tNifedipine\tNNP\tI-NP\tO' +p352617 +aS'.\t.\t.\tO\tO' +p352618 +asS'Her trauma clinic follow-up is strictly p.r.n.' +p352619 +(lp352620 +S'Her\tHer\tPRP$\tB-NP\tO' +p352621 +aS'trauma\ttrauma\tNN\tI-NP\tB-protein' +p352622 +aS'clinic\tclinic\tNN\tI-NP\tI-protein' +p352623 +aS'follow-up\tfollow-up\tNN\tI-NP\tI-protein' +p352624 +aS'is\tbe\tVBZ\tB-VP\tO' +p352625 +aS'strictly\tstrictly\tRB\tB-ADJP\tO' +p352626 +aS'p.r.n.\tp.r.n.\tJJ\tI-ADJP\tO' +p352627 +asS'Fred Grauman is the former 2.252 kg product of a 35-1/7 week gestation pregnancy born to a 37-year-old G4 P3-5 woman .' +p352628 +(lp352629 +S'Fred\tFred\tNNP\tB-NP\tO' +p352630 +aS'Grauman\tGrauman\tNNP\tI-NP\tO' +p352631 +aS'is\tbe\tVBZ\tB-VP\tO' +p352632 +aS'the\tthe\tDT\tB-NP\tO' +p352633 +aS'former\tformer\tJJ\tI-NP\tO' +p352634 +aS'2.252\t2.252\tCD\tI-NP\tO' +p352635 +aS'kg\tkg\tNN\tI-NP\tO' +p352636 +aS'product\tproduct\tNN\tI-NP\tO' +p352637 +aS'of\tof\tIN\tB-PP\tO' +p352638 +aS'a\ta\tDT\tB-NP\tO' +p352639 +aS'35-1/7\t35-1/7\tCD\tI-NP\tO' +p352640 +aS'week\tweek\tNN\tI-NP\tO' +p352641 +aS'gestation\tgestation\tNN\tI-NP\tO' +p352642 +aS'pregnancy\tpregnancy\tNN\tI-NP\tO' +p352643 +aS'born\tbear\tVBN\tB-VP\tO' +p352644 +aS'to\tto\tTO\tB-PP\tO' +p352645 +aS'a\ta\tDT\tB-NP\tO' +p352646 +aS'37-year-old\t37-year-old\tJJ\tI-NP\tO' +p352647 +aS'G4\tG4\tNN\tI-NP\tO' +p352648 +aS'P3-5\tP3-5\tNN\tI-NP\tO' +p352649 +aS'woman\twoman\tNN\tI-NP\tO' +p352650 +aS'.\t.\t.\tO\tO' +p352651 +asS'Her nasogastric tube was discontinued on postoperative day # 1 , and she tolerated a regular diet by postoperative day # 3 .' +p352652 +(lp352653 +S'Her\tHer\tPRP$\tB-NP\tO' +p352654 +aS'nasogastric\tnasogastric\tJJ\tI-NP\tO' +p352655 +aS'tube\ttube\tNN\tI-NP\tO' +p352656 +aS'was\tbe\tVBD\tB-VP\tO' +p352657 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p352658 +aS'on\ton\tIN\tB-PP\tO' +p352659 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p352660 +aS'day\tday\tNN\tI-NP\tO' +p352661 +aS'#\t#\t#\tB-NP\tO' +p352662 +aS'1\t1\tCD\tI-NP\tO' +p352663 +aS',\t,\t,\tO\tO' +p352664 +aS'and\tand\tCC\tO\tO' +p352665 +aS'she\tshe\tPRP\tB-NP\tO' +p352666 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p352667 +aS'a\ta\tDT\tB-NP\tO' +p352668 +aS'regular\tregular\tJJ\tI-NP\tO' +p352669 +aS'diet\tdiet\tNN\tI-NP\tO' +p352670 +aS'by\tby\tIN\tB-PP\tO' +p352671 +aS'postoperative\tpostoperative\tJJ\tB-NP\tB-protein' +p352672 +aS'day\tday\tNN\tI-NP\tI-protein' +p352673 +aS'#\t#\t#\tB-NP\tI-protein' +p352674 +aS'3\t3\tCD\tI-NP\tI-protein' +p352675 +aS'.\t.\t.\tO\tO' +p352676 +asS'END-STAGE RENAL DISEASE .' +p352677 +(lp352678 +S'END-STAGE\tEND-STAGE\tNNP\tB-NP\tO' +p352679 +aS'RENAL\tRENAL\tNNP\tI-NP\tO' +p352680 +aS'DISEASE\tDISEASE\tNNP\tI-NP\tO' +p352681 +aS'.\t.\t.\tO\tO' +p352682 +asS'Negative Barbara .' +p352683 +(lp352684 +S'Negative\tNegative\tJJ\tB-NP\tO' +p352685 +aS'Barbara\tBarbara\tNNP\tI-NP\tO' +p352686 +aS'.\t.\t.\tO\tO' +p352687 +asS'Well healed Pfannenstiel scars and no masses .' +p352688 +(lp352689 +S'Well\tWell\tNNP\tB-NP\tO' +p352690 +aS'healed\theal\tVBD\tB-VP\tO' +p352691 +aS'Pfannenstiel\tPfannenstiel\tNNP\tB-NP\tO' +p352692 +aS'scars\tscar\tNNS\tI-NP\tO' +p352693 +aS'and\tand\tCC\tO\tO' +p352694 +aS'no\tno\tDT\tB-NP\tO' +p352695 +aS'masses\tmass\tNNS\tI-NP\tO' +p352696 +aS'.\t.\t.\tO\tO' +p352697 +asS'However , he still appeared volume overloaded with minimal improvement in his oxygen requirement .' +p352698 +(lp352699 +S'However\tHowever\tRB\tB-ADVP\tO' +p352700 +aS',\t,\t,\tO\tO' +p352701 +aS'he\the\tPRP\tB-NP\tO' +p352702 +aS'still\tstill\tRB\tB-ADVP\tO' +p352703 +aS'appeared\tappear\tVBD\tB-VP\tO' +p352704 +aS'volume\tvolume\tNN\tB-NP\tO' +p352705 +aS'overloaded\toverload\tVBN\tB-VP\tO' +p352706 +aS'with\twith\tIN\tB-PP\tO' +p352707 +aS'minimal\tminimal\tJJ\tB-NP\tO' +p352708 +aS'improvement\timprovement\tNN\tI-NP\tO' +p352709 +aS'in\tin\tIN\tB-PP\tO' +p352710 +aS'his\this\tPRP$\tB-NP\tO' +p352711 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p352712 +aS'requirement\trequirement\tNN\tI-NP\tO' +p352713 +aS'.\t.\t.\tO\tO' +p352714 +asS'Soft , nontender , without any masses and without any hepatosplenomegaly .' +p352715 +(lp352716 +S'Soft\tSoft\tRB\tB-ADVP\tO' +p352717 +aS',\t,\t,\tO\tO' +p352718 +aS'nontender\tnontender\tJJ\tB-ADJP\tO' +p352719 +aS',\t,\t,\tO\tO' +p352720 +aS'without\twithout\tIN\tB-PP\tO' +p352721 +aS'any\tany\tDT\tB-NP\tO' +p352722 +aS'masses\tmass\tNNS\tI-NP\tO' +p352723 +aS'and\tand\tCC\tB-PP\tO' +p352724 +aS'without\twithout\tIN\tB-PP\tO' +p352725 +aS'any\tany\tDT\tB-NP\tO' +p352726 +aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tI-NP\tO' +p352727 +aS'.\t.\t.\tO\tO' +p352728 +asS"The pt had an EEG and 2 head CT 's which did not show anoxic brain injury or bleeding ." +p352729 +(lp352730 +S'The\tThe\tDT\tB-NP\tO' +p352731 +aS'pt\tpt\tNN\tI-NP\tO' +p352732 +aS'had\thave\tVBD\tB-VP\tO' +p352733 +aS'an\tan\tDT\tB-NP\tO' +p352734 +aS'EEG\tEEG\tNN\tI-NP\tO' +p352735 +aS'and\tand\tCC\tI-NP\tO' +p352736 +aS'2\t2\tCD\tI-NP\tO' +p352737 +aS'head\thead\tNN\tI-NP\tO' +p352738 +aS'CT\tCT\tNN\tI-NP\tO' +p352739 +aS"'s\t's\tPOS\tB-NP\tO" +p352740 +aS'which\twhich\tWDT\tB-NP\tO' +p352741 +aS'did\tdo\tVBD\tB-VP\tO' +p352742 +aS'not\tnot\tRB\tI-VP\tO' +p352743 +aS'show\tshow\tVB\tI-VP\tO' +p352744 +aS'anoxic\tanoxic\tJJ\tB-NP\tO' +p352745 +aS'brain\tbrain\tNN\tI-NP\tO' +p352746 +aS'injury\tinjury\tNN\tI-NP\tO' +p352747 +aS'or\tor\tCC\tI-NP\tO' +p352748 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p352749 +aS'.\t.\t.\tO\tO' +p352750 +asS'She also has a history of uterine fibroids , status post total abdominal hysterectomy .' +p352751 +(lp352752 +S'She\tShe\tPRP\tB-NP\tO' +p352753 +aS'also\talso\tRB\tB-ADVP\tO' +p352754 +aS'has\thave\tVBZ\tB-VP\tO' +p352755 +aS'a\ta\tDT\tB-NP\tO' +p352756 +aS'history\thistory\tNN\tI-NP\tO' +p352757 +aS'of\tof\tIN\tB-PP\tO' +p352758 +aS'uterine\tuterine\tJJ\tB-NP\tO' +p352759 +aS'fibroids\tfibroid\tNNS\tI-NP\tO' +p352760 +aS',\t,\t,\tO\tO' +p352761 +aS'status\tstatus\tNN\tB-NP\tO' +p352762 +aS'post\tpost\tVBD\tB-VP\tO' +p352763 +aS'total\ttotal\tJJ\tB-NP\tO' +p352764 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p352765 +aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' +p352766 +aS'.\t.\t.\tO\tO' +p352767 +asS'4. State newborn screening sent .' +p352768 +(lp352769 +S'4.\t4.\tLS\tB-NP\tO' +p352770 +aS'State\tState\tNN\tI-NP\tO' +p352771 +aS'newborn\tnewborn\tJJ\tI-NP\tO' +p352772 +aS'screening\tscreening\tNN\tI-NP\tO' +p352773 +aS'sent\tsent\tNN\tI-NP\tO' +p352774 +aS'.\t.\t.\tO\tO' +p352775 +asS'Consideration was given to performing a repeat colonoscopy .' +p352776 +(lp352777 +S'Consideration\tConsideration\tNN\tB-NP\tO' +p352778 +aS'was\tbe\tVBD\tB-VP\tO' +p352779 +aS'given\tgive\tVBN\tI-VP\tO' +p352780 +aS'to\tto\tTO\tB-PP\tO' +p352781 +aS'performing\tperform\tVBG\tB-VP\tO' +p352782 +aS'a\ta\tDT\tB-NP\tO' +p352783 +aS'repeat\trepeat\tNN\tI-NP\tO' +p352784 +aS'colonoscopy\tcolonoscopy\tNN\tI-NP\tO' +p352785 +aS'.\t.\t.\tO\tO' +p352786 +asS'4 mm left upper lobe lung nodule .' +p352787 +(lp352788 +S'4\t4\tCD\tB-NP\tO' +p352789 +aS'mm\tmm\tNN\tI-NP\tO' +p352790 +aS'left\tleave\tVBD\tB-VP\tO' +p352791 +aS'upper\tupper\tJJ\tB-NP\tO' +p352792 +aS'lobe\tlobe\tNN\tI-NP\tO' +p352793 +aS'lung\tlung\tNN\tI-NP\tO' +p352794 +aS'nodule\tnodule\tNN\tI-NP\tO' +p352795 +aS'.\t.\t.\tO\tO' +p352796 +asS'Disc margins appeared blurred on funduscopic exam .' +p352797 +(lp352798 +S'Disc\tDisc\tNN\tB-NP\tO' +p352799 +aS'margins\tmargin\tNNS\tI-NP\tO' +p352800 +aS'appeared\tappear\tVBD\tB-VP\tO' +p352801 +aS'blurred\tblur\tVBN\tI-VP\tO' +p352802 +aS'on\ton\tIN\tB-PP\tO' +p352803 +aS'funduscopic\tfunduscopic\tJJ\tB-NP\tO' +p352804 +aS'exam\texam\tNN\tI-NP\tO' +p352805 +aS'.\t.\t.\tO\tO' +p352806 +asS'Elderly man , somewhat cachectic .' +p352807 +(lp352808 +S'Elderly\tElderly\tJJ\tB-NP\tO' +p352809 +aS'man\tman\tNN\tI-NP\tO' +p352810 +aS',\t,\t,\tO\tO' +p352811 +aS'somewhat\tsomewhat\tRB\tB-ADJP\tO' +p352812 +aS'cachectic\tcachectic\tJJ\tI-ADJP\tO' +p352813 +aS'.\t.\t.\tO\tO' +p352814 +asS'At this time Leona Wheeler was felt stable to be transferred to rehabilitation facility .' +p352815 +(lp352816 +S'At\tAt\tIN\tB-PP\tO' +p352817 +aS'this\tthis\tDT\tB-NP\tO' +p352818 +aS'time\ttime\tNN\tI-NP\tO' +p352819 +aS'Leona\tLeona\tNNP\tB-NP\tO' +p352820 +aS'Wheeler\tWheeler\tNNP\tI-NP\tO' +p352821 +aS'was\tbe\tVBD\tB-VP\tO' +p352822 +aS'felt\tfeel\tVBN\tI-VP\tO' +p352823 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p352824 +aS'to\tto\tTO\tB-VP\tO' +p352825 +aS'be\tbe\tVB\tI-VP\tO' +p352826 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p352827 +aS'to\tto\tTO\tB-PP\tO' +p352828 +aS'rehabilitation\trehabilitation\tNN\tB-NP\tO' +p352829 +aS'facility\tfacility\tNN\tI-NP\tO' +p352830 +aS'.\t.\t.\tO\tO' +p352831 +asS'A subsequent sample was done ( 05-21 ) and results are pending .' +p352832 +(lp352833 +S'A\tA\tDT\tB-NP\tO' +p352834 +aS'subsequent\tsubsequent\tJJ\tI-NP\tO' +p352835 +aS'sample\tsample\tNN\tI-NP\tO' +p352836 +aS'was\tbe\tVBD\tB-VP\tO' +p352837 +aS'done\tdo\tVBN\tI-VP\tO' +p352838 +aS'(\t(\t(\tO\tO' +p352839 +aS'05-21\t05-21\tCD\tB-NP\tO' +p352840 +aS')\t)\t)\tO\tO' +p352841 +aS'and\tand\tCC\tO\tO' +p352842 +aS'results\tresult\tNNS\tB-NP\tO' +p352843 +aS'are\tbe\tVBP\tB-VP\tO' +p352844 +aS'pending\tpende\tVBG\tI-VP\tO' +p352845 +aS'.\t.\t.\tO\tO' +p352846 +asS'III / VI systolic click and irregularly irregular rhythm .' +p352847 +(lp352848 +S'III\tIII\tCD\tB-NP\tO' +p352849 +aS'/\t/\tSYM\tI-NP\tO' +p352850 +aS'VI\tVI\tCD\tI-NP\tO' +p352851 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p352852 +aS'click\tclick\tNN\tI-NP\tO' +p352853 +aS'and\tand\tCC\tO\tO' +p352854 +aS'irregularly\tirregularly\tRB\tB-NP\tO' +p352855 +aS'irregular\tirregular\tJJ\tI-NP\tO' +p352856 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p352857 +aS'.\t.\t.\tO\tO' +p352858 +asS'He was again transferred to the CMED Service for further management of his COPD exacerbation .' +p352859 +(lp352860 +S'He\tHe\tPRP\tB-NP\tO' +p352861 +aS'was\tbe\tVBD\tB-VP\tO' +p352862 +aS'again\tagain\tRB\tI-VP\tO' +p352863 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p352864 +aS'to\tto\tTO\tB-PP\tO' +p352865 +aS'the\tthe\tDT\tB-NP\tO' +p352866 +aS'CMED\tCMED\tNNP\tI-NP\tO' +p352867 +aS'Service\tService\tNNP\tI-NP\tO' +p352868 +aS'for\tfor\tIN\tB-PP\tO' +p352869 +aS'further\tfurther\tJJ\tB-NP\tO' +p352870 +aS'management\tmanagement\tNN\tI-NP\tO' +p352871 +aS'of\tof\tIN\tB-PP\tO' +p352872 +aS'his\this\tPRP$\tB-NP\tO' +p352873 +aS'COPD\tCOPD\tNN\tI-NP\tO' +p352874 +aS'exacerbation\texacerbation\tNN\tI-NP\tO' +p352875 +aS'.\t.\t.\tO\tO' +p352876 +asS'On admission , the patient was afebrile , blood pressure 146/88 , pulse 71 , respirations 18 .' +p352877 +(lp352878 +S'On\tOn\tIN\tB-PP\tO' +p352879 +aS'admission\tadmission\tNN\tB-NP\tO' +p352880 +aS',\t,\t,\tO\tO' +p352881 +aS'the\tthe\tDT\tB-NP\tO' +p352882 +aS'patient\tpatient\tNN\tI-NP\tO' +p352883 +aS'was\tbe\tVBD\tB-VP\tO' +p352884 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p352885 +aS',\t,\t,\tO\tO' +p352886 +aS'blood\tblood\tNN\tB-NP\tO' +p352887 +aS'pressure\tpressure\tNN\tI-NP\tO' +p352888 +aS'146/88\t146/88\tCD\tI-NP\tO' +p352889 +aS',\t,\t,\tO\tO' +p352890 +aS'pulse\tpulse\tNN\tB-NP\tO' +p352891 +aS'71\t71\tCD\tI-NP\tO' +p352892 +aS',\t,\t,\tO\tO' +p352893 +aS'respirations\trespiration\tNNS\tB-NP\tO' +p352894 +aS'18\t18\tCD\tB-NP\tO' +p352895 +aS'.\t.\t.\tO\tO' +p352896 +asS'1. Dr. Martha Lopez or Dr. Henson in infectious disese in 2 weeks .' +p352897 +(lp352898 +S'1.\t1.\tLS\tB-LST\tO' +p352899 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p352900 +aS'Martha\tMartha\tNNP\tI-NP\tO' +p352901 +aS'Lopez\tLopez\tNNP\tI-NP\tO' +p352902 +aS'or\tor\tCC\tO\tO' +p352903 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p352904 +aS'Henson\tHenson\tNNP\tI-NP\tO' +p352905 +aS'in\tin\tIN\tB-PP\tO' +p352906 +aS'infectious\tinfectious\tJJ\tB-NP\tO' +p352907 +aS'disese\tdisese\tNN\tI-NP\tO' +p352908 +aS'in\tin\tIN\tB-PP\tO' +p352909 +aS'2\t2\tCD\tB-NP\tO' +p352910 +aS'weeks\tweek\tNNS\tI-NP\tO' +p352911 +aS'.\t.\t.\tO\tO' +p352912 +asS'She will have a follow up appointment with Dr. Fuscmadril in four weeks .' +p352913 +(lp352914 +S'She\tShe\tPRP\tB-NP\tO' +p352915 +aS'will\twill\tMD\tB-VP\tO' +p352916 +aS'have\thave\tVB\tI-VP\tO' +p352917 +aS'a\ta\tDT\tB-NP\tO' +p352918 +aS'follow\tfollow\tNN\tI-NP\tO' +p352919 +aS'up\tup\tRP\tB-PRT\tO' +p352920 +aS'appointment\tappointment\tNN\tB-NP\tO' +p352921 +aS'with\twith\tIN\tB-PP\tO' +p352922 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p352923 +aS'Fuscmadril\tFuscmadril\tNNP\tI-NP\tO' +p352924 +aS'in\tin\tIN\tB-PP\tO' +p352925 +aS'four\tfour\tCD\tB-NP\tO' +p352926 +aS'weeks\tweek\tNNS\tI-NP\tO' +p352927 +aS'.\t.\t.\tO\tO' +p352928 +asS'In the past , patient had been noted to be non-compliant with cardiac medications and continues to smoke .' +p352929 +(lp352930 +S'In\tIn\tIN\tB-PP\tO' +p352931 +aS'the\tthe\tDT\tB-NP\tO' +p352932 +aS'past\tpast\tNN\tI-NP\tO' +p352933 +aS',\t,\t,\tO\tO' +p352934 +aS'patient\tpatient\tNN\tB-NP\tO' +p352935 +aS'had\thave\tVBD\tB-VP\tO' +p352936 +aS'been\tbe\tVBN\tI-VP\tO' +p352937 +aS'noted\tnote\tVBN\tI-VP\tO' +p352938 +aS'to\tto\tTO\tI-VP\tO' +p352939 +aS'be\tbe\tVB\tI-VP\tO' +p352940 +aS'non-compliant\tnon-compliant\tJJ\tB-ADJP\tO' +p352941 +aS'with\twith\tIN\tB-PP\tO' +p352942 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p352943 +aS'medications\tmedication\tNNS\tI-NP\tO' +p352944 +aS'and\tand\tCC\tO\tO' +p352945 +aS'continues\tcontinue\tVBZ\tB-VP\tO' +p352946 +aS'to\tto\tTO\tI-VP\tO' +p352947 +aS'smoke\tsmoke\tVB\tI-VP\tO' +p352948 +aS'.\t.\t.\tO\tO' +p352949 +asS'Denies BRBPR , n/v/d .' +p352950 +(lp352951 +S'Denies\tDeny\tNNS\tB-NP\tO' +p352952 +aS'BRBPR\tBRBPR\tNN\tI-NP\tB-protein' +p352953 +aS',\t,\t,\tO\tO' +p352954 +aS'n/v/d\tn/v/d\tNN\tB-NP\tO' +p352955 +aS'.\t.\t.\tO\tO' +p352956 +asS'She had a 3 x 4 cm firm , nontender right thyroid mass that seemed to be fixed to the trachea .' +p352957 +(lp352958 +S'She\tShe\tPRP\tB-NP\tO' +p352959 +aS'had\thave\tVBD\tB-VP\tO' +p352960 +aS'a\ta\tDT\tB-NP\tO' +p352961 +aS'3\t3\tCD\tI-NP\tO' +p352962 +aS'x\tx\tSYM\tI-NP\tO' +p352963 +aS'4\t4\tCD\tI-NP\tO' +p352964 +aS'cm\tcm\tNN\tI-NP\tO' +p352965 +aS'firm\tfirm\tNN\tI-NP\tO' +p352966 +aS',\t,\t,\tO\tO' +p352967 +aS'nontender\tnontender\tJJ\tB-NP\tO' +p352968 +aS'right\tright\tJJ\tI-NP\tO' +p352969 +aS'thyroid\tthyroid\tNN\tI-NP\tO' +p352970 +aS'mass\tmass\tNN\tI-NP\tO' +p352971 +aS'that\tthat\tWDT\tB-NP\tO' +p352972 +aS'seemed\tseem\tVBD\tB-VP\tO' +p352973 +aS'to\tto\tTO\tI-VP\tO' +p352974 +aS'be\tbe\tVB\tI-VP\tO' +p352975 +aS'fixed\tfix\tVBN\tI-VP\tO' +p352976 +aS'to\tto\tTO\tB-PP\tO' +p352977 +aS'the\tthe\tDT\tB-NP\tO' +p352978 +aS'trachea\ttrachea\tNN\tI-NP\tO' +p352979 +aS'.\t.\t.\tO\tO' +p352980 +asS'Hematocrit at that time was noted to be 31 and platelets 370,000 .' +p352981 +(lp352982 +S'Hematocrit\tHematocrit\tNN\tB-NP\tO' +p352983 +aS'at\tat\tIN\tB-PP\tO' +p352984 +aS'that\tthat\tDT\tB-NP\tO' +p352985 +aS'time\ttime\tNN\tI-NP\tO' +p352986 +aS'was\tbe\tVBD\tB-VP\tO' +p352987 +aS'noted\tnote\tVBN\tI-VP\tO' +p352988 +aS'to\tto\tTO\tI-VP\tO' +p352989 +aS'be\tbe\tVB\tI-VP\tO' +p352990 +aS'31\t31\tCD\tB-NP\tO' +p352991 +aS'and\tand\tCC\tO\tO' +p352992 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p352993 +aS'370,000\t370,000\tCD\tB-NP\tO' +p352994 +aS'.\t.\t.\tO\tO' +p352995 +asS'Metformin 500 mg two tabs bid' +p352996 +(lp352997 +S'Metformin\tMetformin\tNN\tB-NP\tO' +p352998 +aS'500\t500\tCD\tI-NP\tO' +p352999 +aS'mg\tmg\tNN\tI-NP\tO' +p353000 +aS'two\ttwo\tCD\tB-NP\tO' +p353001 +aS'tabs\ttab\tNNS\tI-NP\tO' +p353002 +aS'bid\tbid\tVBD\tB-VP\tO' +p353003 +asS'1 x 2 cm ulcer with clean sharp borders to the dermatome on the left posterior thigh .' +p353004 +(lp353005 +S'1\t1\tCD\tB-NP\tO' +p353006 +aS'x\tx\tCC\tI-NP\tO' +p353007 +aS'2\t2\tCD\tI-NP\tO' +p353008 +aS'cm\tcm\tNN\tI-NP\tO' +p353009 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p353010 +aS'with\twith\tIN\tB-PP\tO' +p353011 +aS'clean\tclean\tJJ\tB-NP\tO' +p353012 +aS'sharp\tsharp\tJJ\tI-NP\tO' +p353013 +aS'borders\tborder\tNNS\tI-NP\tO' +p353014 +aS'to\tto\tTO\tB-PP\tO' +p353015 +aS'the\tthe\tDT\tB-NP\tO' +p353016 +aS'dermatome\tdermatome\tNN\tI-NP\tO' +p353017 +aS'on\ton\tIN\tB-PP\tO' +p353018 +aS'the\tthe\tDT\tB-NP\tO' +p353019 +aS'left\tleft\tJJ\tI-NP\tO' +p353020 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p353021 +aS'thigh\tthigh\tNN\tI-NP\tO' +p353022 +aS'.\t.\t.\tO\tO' +p353023 +asS'On admission , she was diuresed with Lasix and was negative 1-2 liters per day for several days .' +p353024 +(lp353025 +S'On\tOn\tIN\tB-PP\tO' +p353026 +aS'admission\tadmission\tNN\tB-NP\tO' +p353027 +aS',\t,\t,\tO\tO' +p353028 +aS'she\tshe\tPRP\tB-NP\tO' +p353029 +aS'was\tbe\tVBD\tB-VP\tO' +p353030 +aS'diuresed\tdiurese\tVBN\tI-VP\tO' +p353031 +aS'with\twith\tIN\tB-PP\tO' +p353032 +aS'Lasix\tLasix\tNN\tB-NP\tO' +p353033 +aS'and\tand\tCC\tO\tO' +p353034 +aS'was\tbe\tVBD\tB-VP\tO' +p353035 +aS'negative\tnegative\tJJ\tB-NP\tO' +p353036 +aS'1-2\t1-2\tCD\tI-NP\tO' +p353037 +aS'liters\tliter\tNNS\tI-NP\tO' +p353038 +aS'per\tper\tIN\tB-PP\tO' +p353039 +aS'day\tday\tNN\tB-NP\tO' +p353040 +aS'for\tfor\tIN\tB-PP\tO' +p353041 +aS'several\tseveral\tJJ\tB-NP\tO' +p353042 +aS'days\tday\tNNS\tI-NP\tO' +p353043 +aS'.\t.\t.\tO\tO' +p353044 +asS'Will be reassessed after a month of intensive physical therapy and occupational therapy .' +p353045 +(lp353046 +S'Will\tWill\tMD\tB-VP\tO' +p353047 +aS'be\tbe\tVB\tI-VP\tO' +p353048 +aS'reassessed\treassess\tVBN\tI-VP\tO' +p353049 +aS'after\tafter\tIN\tB-PP\tO' +p353050 +aS'a\ta\tDT\tB-NP\tO' +p353051 +aS'month\tmonth\tNN\tI-NP\tO' +p353052 +aS'of\tof\tIN\tB-PP\tO' +p353053 +aS'intensive\tintensive\tJJ\tB-NP\tO' +p353054 +aS'physical\tphysical\tJJ\tI-NP\tO' +p353055 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p353056 +aS'and\tand\tCC\tO\tO' +p353057 +aS'occupational\toccupational\tJJ\tB-NP\tO' +p353058 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p353059 +aS'.\t.\t.\tO\tO' +p353060 +asS'Hyperthyroidism .' +p353061 +(lp353062 +S'Hyperthyroidism\tHyperthyroidism\tNN\tB-NP\tO' +p353063 +aS'.\t.\t.\tO\tO' +p353064 +asS'Dr. Foutchner will arrange for an outpatient Holter monitor .' +p353065 +(lp353066 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p353067 +aS'Foutchner\tFoutchner\tNNP\tI-NP\tO' +p353068 +aS'will\twill\tMD\tB-VP\tO' +p353069 +aS'arrange\tarrange\tVB\tI-VP\tO' +p353070 +aS'for\tfor\tIN\tB-PP\tO' +p353071 +aS'an\tan\tDT\tB-NP\tO' +p353072 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p353073 +aS'Holter\tHolter\tNNP\tI-NP\tO' +p353074 +aS'monitor\tmonitor\tNNP\tI-NP\tO' +p353075 +aS'.\t.\t.\tO\tO' +p353076 +asS'PRINCIPAL DISCHARGE DIAGNOSIS ; Responsible After Study for Causing Admission ) VT s / p cardiac cath , stent and amio loading' +p353077 +(lp353078 +S'PRINCIPAL\tPRINCIPAL\tJJ\tB-NP\tO' +p353079 +aS'DISCHARGE\tDISCHARGE\tNN\tI-NP\tO' +p353080 +aS'DIAGNOSIS\tDIAGNOSIS\tNN\tI-NP\tO' +p353081 +aS';\t;\t:\tO\tO' +p353082 +aS'Responsible\tResponsible\tJJ\tB-ADJP\tO' +p353083 +aS'After\tAfter\tIN\tB-PP\tO' +p353084 +aS'Study\tStudy\tNN\tB-NP\tO' +p353085 +aS'for\tfor\tIN\tB-PP\tO' +p353086 +aS'Causing\tCause\tVBG\tB-NP\tO' +p353087 +aS'Admission\tAdmission\tNN\tI-NP\tO' +p353088 +aS')\t)\t)\tI-NP\tO' +p353089 +aS'VT\tVT\tNN\tI-NP\tO' +p353090 +aS's\ts\tNN\tI-NP\tO' +p353091 +aS'/\t/\tSYM\tB-NP\tO' +p353092 +aS'p\tp\tNN\tI-NP\tO' +p353093 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p353094 +aS'cath\tcath\tNN\tI-NP\tO' +p353095 +aS',\t,\t,\tO\tO' +p353096 +aS'stent\tstent\tNN\tB-NP\tO' +p353097 +aS'and\tand\tCC\tO\tO' +p353098 +aS'amio\tamio\tNN\tB-NP\tO' +p353099 +aS'loading\tloading\tNN\tI-NP\tO' +p353100 +asS'The brain parenchyma was otherwise normal .' +p353101 +(lp353102 +S'The\tThe\tDT\tB-NP\tO' +p353103 +aS'brain\tbrain\tNN\tI-NP\tO' +p353104 +aS'parenchyma\tparenchyma\tNN\tI-NP\tO' +p353105 +aS'was\tbe\tVBD\tB-VP\tO' +p353106 +aS'otherwise\totherwise\tRB\tB-ADJP\tO' +p353107 +aS'normal\tnormal\tJJ\tI-ADJP\tO' +p353108 +aS'.\t.\t.\tO\tO' +p353109 +asS'7. Colace 100 mg p.o. twice per day .' +p353110 +(lp353111 +S'7.\t7.\tCD\tB-NP\tO' +p353112 +aS'Colace\tColace\tNNP\tI-NP\tO' +p353113 +aS'100\t100\tCD\tI-NP\tO' +p353114 +aS'mg\tmg\tNN\tI-NP\tO' +p353115 +aS'p.o.\tp.o.\tRB\tB-ADVP\tO' +p353116 +aS'twice\ttwice\tRB\tI-ADVP\tO' +p353117 +aS'per\tper\tIN\tB-PP\tO' +p353118 +aS'day\tday\tNN\tB-NP\tO' +p353119 +aS'.\t.\t.\tO\tO' +p353120 +asS'They showed an FVC of 91% of predicted , and a FEV1 of 104% of predicted , with a ratio of 114% .' +p353121 +(lp353122 +S'They\tThey\tPRP\tB-NP\tO' +p353123 +aS'showed\tshow\tVBD\tB-VP\tO' +p353124 +aS'an\tan\tDT\tB-NP\tO' +p353125 +aS'FVC\tFVC\tNN\tI-NP\tO' +p353126 +aS'of\tof\tIN\tB-PP\tO' +p353127 +aS'91%\t91%\tNN\tB-NP\tO' +p353128 +aS'of\tof\tIN\tB-PP\tO' +p353129 +aS'predicted\tpredict\tVBN\tO\tO' +p353130 +aS',\t,\t,\tO\tO' +p353131 +aS'and\tand\tCC\tO\tO' +p353132 +aS'a\ta\tDT\tB-NP\tO' +p353133 +aS'FEV1\tFEV1\tNN\tI-NP\tO' +p353134 +aS'of\tof\tIN\tB-PP\tO' +p353135 +aS'104%\t104%\tCD\tB-NP\tO' +p353136 +aS'of\tof\tIN\tB-PP\tO' +p353137 +aS'predicted\tpredict\tVBN\tO\tO' +p353138 +aS',\t,\t,\tO\tO' +p353139 +aS'with\twith\tIN\tB-PP\tO' +p353140 +aS'a\ta\tDT\tB-NP\tO' +p353141 +aS'ratio\tratio\tNN\tI-NP\tO' +p353142 +aS'of\tof\tIN\tB-PP\tO' +p353143 +aS'114%\t114%\tNN\tB-NP\tB-protein' +p353144 +aS'.\t.\t.\tO\tO' +p353145 +asS'The etiology for his congestive heart failure was determined likely to be diastolic dysfunction from increased heart rate as well as excess volume .' +p353146 +(lp353147 +S'The\tThe\tDT\tB-NP\tO' +p353148 +aS'etiology\tetiology\tNN\tI-NP\tO' +p353149 +aS'for\tfor\tIN\tB-PP\tO' +p353150 +aS'his\this\tPRP$\tB-NP\tO' +p353151 +aS'congestive\tcongestive\tJJ\tI-NP\tO' +p353152 +aS'heart\theart\tNN\tI-NP\tO' +p353153 +aS'failure\tfailure\tNN\tI-NP\tO' +p353154 +aS'was\tbe\tVBD\tB-VP\tO' +p353155 +aS'determined\tdetermine\tVBN\tI-VP\tO' +p353156 +aS'likely\tlikely\tJJ\tB-ADJP\tO' +p353157 +aS'to\tto\tTO\tB-VP\tO' +p353158 +aS'be\tbe\tVB\tI-VP\tO' +p353159 +aS'diastolic\tdiastolic\tJJ\tB-NP\tO' +p353160 +aS'dysfunction\tdysfunction\tNN\tI-NP\tO' +p353161 +aS'from\tfrom\tIN\tB-PP\tO' +p353162 +aS'increased\tincrease\tVBN\tB-NP\tO' +p353163 +aS'heart\theart\tNN\tI-NP\tO' +p353164 +aS'rate\trate\tNN\tI-NP\tO' +p353165 +aS'as\tas\tRB\tB-CONJP\tO' +p353166 +aS'well\twell\tRB\tI-CONJP\tO' +p353167 +aS'as\tas\tIN\tI-CONJP\tO' +p353168 +aS'excess\texcess\tJJ\tB-NP\tO' +p353169 +aS'volume\tvolume\tNN\tI-NP\tO' +p353170 +aS'.\t.\t.\tO\tO' +p353171 +asS'Her neurological status continued to improve .' +p353172 +(lp353173 +S'Her\tHer\tPRP$\tB-NP\tO' +p353174 +aS'neurological\tneurological\tJJ\tI-NP\tO' +p353175 +aS'status\tstatus\tNN\tI-NP\tO' +p353176 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p353177 +aS'to\tto\tTO\tI-VP\tO' +p353178 +aS'improve\timprove\tVB\tI-VP\tO' +p353179 +aS'.\t.\t.\tO\tO' +p353180 +asS'The patient was admitted on 07/20/99 for a history of left chest wall pain from postthoracotomy syndrome .' +p353181 +(lp353182 +S'The\tThe\tDT\tB-NP\tO' +p353183 +aS'patient\tpatient\tNN\tI-NP\tO' +p353184 +aS'was\tbe\tVBD\tB-VP\tO' +p353185 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p353186 +aS'on\ton\tIN\tB-PP\tO' +p353187 +aS'07/20/99\t07/20/99\tCD\tB-NP\tO' +p353188 +aS'for\tfor\tIN\tB-PP\tO' +p353189 +aS'a\ta\tDT\tB-NP\tO' +p353190 +aS'history\thistory\tNN\tI-NP\tO' +p353191 +aS'of\tof\tIN\tB-PP\tO' +p353192 +aS'left\tleft\tJJ\tB-NP\tB-protein' +p353193 +aS'chest\tchest\tNN\tI-NP\tI-protein' +p353194 +aS'wall\twall\tNN\tI-NP\tI-protein' +p353195 +aS'pain\tpain\tNN\tI-NP\tI-protein' +p353196 +aS'from\tfrom\tIN\tB-PP\tO' +p353197 +aS'postthoracotomy\tpostthoracotomy\tJJ\tB-NP\tO' +p353198 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p353199 +aS'.\t.\t.\tO\tO' +p353200 +asS'On the left , there was a new shawdown but the biopsy was negative .' +p353201 +(lp353202 +S'On\tOn\tIN\tB-PP\tO' +p353203 +aS'the\tthe\tDT\tB-NP\tO' +p353204 +aS'left\tleft\tNN\tI-NP\tO' +p353205 +aS',\t,\t,\tO\tO' +p353206 +aS'there\tthere\tEX\tB-NP\tO' +p353207 +aS'was\tbe\tVBD\tB-VP\tO' +p353208 +aS'a\ta\tDT\tB-NP\tO' +p353209 +aS'new\tnew\tJJ\tI-NP\tO' +p353210 +aS'shawdown\tshawdown\tNN\tI-NP\tO' +p353211 +aS'but\tbut\tCC\tO\tO' +p353212 +aS'the\tthe\tDT\tB-NP\tO' +p353213 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p353214 +aS'was\tbe\tVBD\tB-VP\tO' +p353215 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p353216 +aS'.\t.\t.\tO\tO' +p353217 +asS'CMED CSRU : Listens and responds to questions appropriately , pleasant' +p353218 +(lp353219 +S'CMED\tCMED\tNNP\tB-NP\tO' +p353220 +aS'CSRU\tCSRU\tNNP\tI-NP\tO' +p353221 +aS':\t:\t:\tO\tO' +p353222 +aS'Listens\tListens\tNNP\tB-NP\tO' +p353223 +aS'and\tand\tCC\tO\tO' +p353224 +aS'responds\trespond\tVBZ\tB-VP\tO' +p353225 +aS'to\tto\tTO\tB-PP\tO' +p353226 +aS'questions\tquestion\tNNS\tB-NP\tO' +p353227 +aS'appropriately\tappropriately\tRB\tB-ADVP\tO' +p353228 +aS',\t,\t,\tO\tO' +p353229 +aS'pleasant\tpleasant\tNN\tB-NP\tO' +p353230 +asS'( On 02/06 , his bilirubin had been 7.2 with 6 direct ) .' +p353231 +(lp353232 +S'(\t(\t(\tO\tO' +p353233 +aS'On\tOn\tIN\tB-PP\tO' +p353234 +aS'02/06\t02/06\tCD\tB-NP\tO' +p353235 +aS',\t,\t,\tO\tO' +p353236 +aS'his\this\tPRP$\tB-NP\tO' +p353237 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p353238 +aS'had\thave\tVBD\tB-VP\tO' +p353239 +aS'been\tbe\tVBN\tI-VP\tO' +p353240 +aS'7.2\t7.2\tCD\tB-NP\tO' +p353241 +aS'with\twith\tIN\tB-PP\tO' +p353242 +aS'6\t6\tCD\tB-NP\tO' +p353243 +aS'direct\tdirect\tJJ\tI-NP\tO' +p353244 +aS')\t)\t)\tO\tO' +p353245 +aS'.\t.\t.\tO\tO' +p353246 +asS'Findings consistent with failure or fluid overload .' +p353247 +(lp353248 +S'Findings\tFinding\tNNS\tB-NP\tO' +p353249 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p353250 +aS'with\twith\tIN\tB-PP\tO' +p353251 +aS'failure\tfailure\tNN\tB-NP\tO' +p353252 +aS'or\tor\tCC\tO\tO' +p353253 +aS'fluid\tfluid\tNN\tB-NP\tO' +p353254 +aS'overload\toverload\tNN\tI-NP\tO' +p353255 +aS'.\t.\t.\tO\tO' +p353256 +asS'hydrochlorothiazide 25 mg. po q.day , Captopril 75 mg. po three times a day , Nifedipine 40 mg. po three times a day .' +p353257 +(lp353258 +S'hydrochlorothiazide\thydrochlorothiazide\tNN\tB-NP\tO' +p353259 +aS'25\t25\tCD\tI-NP\tO' +p353260 +aS'mg.\tmg.\tNN\tI-NP\tO' +p353261 +aS'po\tpo\tNN\tI-NP\tO' +p353262 +aS'q.day\tq.day\tNN\tI-NP\tO' +p353263 +aS',\t,\t,\tO\tO' +p353264 +aS'Captopril\tCaptopril\tNNP\tB-NP\tO' +p353265 +aS'75\t75\tCD\tI-NP\tO' +p353266 +aS'mg.\tmg.\tNN\tI-NP\tO' +p353267 +aS'po\tpo\tNN\tI-NP\tO' +p353268 +aS'three\tthree\tCD\tB-NP\tO' +p353269 +aS'times\ttime\tNNS\tI-NP\tO' +p353270 +aS'a\ta\tDT\tB-NP\tO' +p353271 +aS'day\tday\tNN\tI-NP\tO' +p353272 +aS',\t,\t,\tO\tO' +p353273 +aS'Nifedipine\tNifedipine\tNN\tB-NP\tO' +p353274 +aS'40\t40\tCD\tI-NP\tO' +p353275 +aS'mg.\tmg.\tNN\tI-NP\tO' +p353276 +aS'po\tpo\tNN\tI-NP\tO' +p353277 +aS'three\tthree\tCD\tB-NP\tO' +p353278 +aS'times\ttime\tNNS\tI-NP\tO' +p353279 +aS'a\ta\tDT\tB-NP\tO' +p353280 +aS'day\tday\tNN\tI-NP\tO' +p353281 +aS'.\t.\t.\tO\tO' +p353282 +asS'Hematocrit on admission was 38.2 .' +p353283 +(lp353284 +S'Hematocrit\tHematocrit\tNN\tB-NP\tO' +p353285 +aS'on\ton\tIN\tB-PP\tO' +p353286 +aS'admission\tadmission\tNN\tB-NP\tO' +p353287 +aS'was\tbe\tVBD\tB-VP\tO' +p353288 +aS'38.2\t38.2\tCD\tB-NP\tO' +p353289 +aS'.\t.\t.\tO\tO' +p353290 +asS'He denied ever having any chest pain , chest pressure , shortness of breath , dyspnea on exertion and he was discharged to home .' +p353291 +(lp353292 +S'He\tHe\tPRP\tB-NP\tO' +p353293 +aS'denied\tdeny\tVBD\tB-VP\tO' +p353294 +aS'ever\tever\tRB\tI-VP\tO' +p353295 +aS'having\thave\tVBG\tI-VP\tO' +p353296 +aS'any\tany\tDT\tB-NP\tO' +p353297 +aS'chest\tchest\tNN\tI-NP\tO' +p353298 +aS'pain\tpain\tNN\tI-NP\tO' +p353299 +aS',\t,\t,\tO\tO' +p353300 +aS'chest\tchest\tNN\tB-NP\tO' +p353301 +aS'pressure\tpressure\tNN\tI-NP\tO' +p353302 +aS',\t,\t,\tO\tO' +p353303 +aS'shortness\tshortness\tNN\tB-NP\tO' +p353304 +aS'of\tof\tIN\tB-PP\tO' +p353305 +aS'breath\tbreath\tNN\tB-NP\tO' +p353306 +aS',\t,\t,\tO\tO' +p353307 +aS'dyspnea\tdyspnea\tNN\tB-NP\tO' +p353308 +aS'on\ton\tIN\tB-PP\tO' +p353309 +aS'exertion\texertion\tNN\tB-NP\tO' +p353310 +aS'and\tand\tCC\tO\tO' +p353311 +aS'he\the\tPRP\tB-NP\tO' +p353312 +aS'was\tbe\tVBD\tB-VP\tO' +p353313 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p353314 +aS'to\tto\tTO\tB-PP\tO' +p353315 +aS'home\thome\tNN\tB-NP\tO' +p353316 +aS'.\t.\t.\tO\tO' +p353317 +asS'12. Cerebral aneurysm .' +p353318 +(lp353319 +S'12.\t12.\tLS\tB-NP\tO' +p353320 +aS'Cerebral\tCerebral\tJJ\tI-NP\tO' +p353321 +aS'aneurysm\taneurysm\tNN\tI-NP\tO' +p353322 +aS'.\t.\t.\tO\tO' +p353323 +asS'Narcolepsy .' +p353324 +(lp353325 +S'Narcolepsy\tNarcolepsy\tNN\tB-NP\tO' +p353326 +aS'.\t.\t.\tO\tO' +p353327 +asS'Heart sounds were normal and regular .' +p353328 +(lp353329 +S'Heart\tHeart\tNN\tB-NP\tO' +p353330 +aS'sounds\tsound\tNNS\tI-NP\tO' +p353331 +aS'were\tbe\tVBD\tB-VP\tO' +p353332 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p353333 +aS'and\tand\tCC\tI-ADJP\tO' +p353334 +aS'regular\tregular\tJJ\tI-ADJP\tO' +p353335 +aS'.\t.\t.\tO\tO' +p353336 +asS'The back was notable for tenderness at the level of L3-L5 .' +p353337 +(lp353338 +S'The\tThe\tDT\tB-NP\tO' +p353339 +aS'back\tback\tNN\tI-NP\tO' +p353340 +aS'was\tbe\tVBD\tB-VP\tO' +p353341 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p353342 +aS'for\tfor\tIN\tB-PP\tO' +p353343 +aS'tenderness\ttenderness\tNN\tB-NP\tO' +p353344 +aS'at\tat\tIN\tB-PP\tO' +p353345 +aS'the\tthe\tDT\tB-NP\tO' +p353346 +aS'level\tlevel\tNN\tI-NP\tO' +p353347 +aS'of\tof\tIN\tB-PP\tO' +p353348 +aS'L3-L5\tL3-L5\tNN\tB-NP\tB-protein' +p353349 +aS'.\t.\t.\tO\tO' +p353350 +asS'4. No hydronephrosis .' +p353351 +(lp353352 +S'4.\t4.\tLS\tB-LST\tO' +p353353 +aS'No\tNo\tDT\tB-NP\tO' +p353354 +aS'hydronephrosis\thydronephrosis\tNN\tI-NP\tO' +p353355 +aS'.\t.\t.\tO\tO' +p353356 +asS'Neck : no LAD , ? enlarged parotid glands bilaterally' +p353357 +(lp353358 +S'Neck\tNeck\tNN\tB-NP\tO' +p353359 +aS':\t:\t:\tO\tO' +p353360 +aS'no\tno\tDT\tB-NP\tO' +p353361 +aS'LAD\tLAD\tNN\tI-NP\tB-protein' +p353362 +aS',\t,\t,\tO\tO' +p353363 +aS'?\t?\t.\tO\tO' +p353364 +aS'enlarged\tenlarge\tVBD\tB-VP\tO' +p353365 +aS'parotid\tparotid\tNN\tB-NP\tO' +p353366 +aS'glands\tgland\tNNS\tI-NP\tO' +p353367 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p353368 +asS'The infant did not receive parenteral nutrition .' +p353369 +(lp353370 +S'The\tThe\tDT\tB-NP\tO' +p353371 +aS'infant\tinfant\tNN\tI-NP\tO' +p353372 +aS'did\tdo\tVBD\tB-VP\tO' +p353373 +aS'not\tnot\tRB\tI-VP\tO' +p353374 +aS'receive\treceive\tVB\tI-VP\tO' +p353375 +aS'parenteral\tparenteral\tJJ\tB-NP\tO' +p353376 +aS'nutrition\tnutrition\tNN\tI-NP\tO' +p353377 +aS'.\t.\t.\tO\tO' +p353378 +asS'ACE inhibitors , possible allergy to barium reported by the patient during a barium swallow 25 years ago .' +p353379 +(lp353380 +S'ACE\tACE\tNN\tB-NP\tO' +p353381 +aS'inhibitors\tinhibitor\tNNS\tI-NP\tO' +p353382 +aS',\t,\t,\tO\tO' +p353383 +aS'possible\tpossible\tJJ\tB-NP\tO' +p353384 +aS'allergy\tallergy\tNN\tI-NP\tO' +p353385 +aS'to\tto\tTO\tB-PP\tO' +p353386 +aS'barium\tbarium\tNN\tB-NP\tO' +p353387 +aS'reported\treport\tVBN\tB-VP\tO' +p353388 +aS'by\tby\tIN\tB-PP\tO' +p353389 +aS'the\tthe\tDT\tB-NP\tO' +p353390 +aS'patient\tpatient\tNN\tI-NP\tO' +p353391 +aS'during\tduring\tIN\tB-PP\tO' +p353392 +aS'a\ta\tDT\tB-NP\tO' +p353393 +aS'barium\tbarium\tNN\tI-NP\tO' +p353394 +aS'swallow\tswallow\tVB\tB-VP\tO' +p353395 +aS'25\t25\tCD\tB-NP\tO' +p353396 +aS'years\tyear\tNNS\tI-NP\tO' +p353397 +aS'ago\tago\tRB\tB-ADVP\tO' +p353398 +aS'.\t.\t.\tO\tO' +p353399 +asS'He was watched after his initial diagnosis , but six months later he developed rapidly increasing leukocytosis and he became more symptomatic .' +p353400 +(lp353401 +S'He\tHe\tPRP\tB-NP\tO' +p353402 +aS'was\tbe\tVBD\tB-VP\tO' +p353403 +aS'watched\twatch\tVBN\tI-VP\tO' +p353404 +aS'after\tafter\tIN\tB-PP\tO' +p353405 +aS'his\this\tPRP$\tB-NP\tO' +p353406 +aS'initial\tinitial\tJJ\tI-NP\tO' +p353407 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p353408 +aS',\t,\t,\tO\tO' +p353409 +aS'but\tbut\tCC\tO\tO' +p353410 +aS'six\tsix\tCD\tB-NP\tO' +p353411 +aS'months\tmonth\tNNS\tI-NP\tO' +p353412 +aS'later\tlater\tRB\tB-ADVP\tO' +p353413 +aS'he\the\tPRP\tB-NP\tO' +p353414 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p353415 +aS'rapidly\trapidly\tRB\tI-VP\tO' +p353416 +aS'increasing\tincrease\tVBG\tI-VP\tO' +p353417 +aS'leukocytosis\tleukocytosis\tNN\tB-NP\tO' +p353418 +aS'and\tand\tCC\tO\tO' +p353419 +aS'he\the\tPRP\tB-NP\tO' +p353420 +aS'became\tbecome\tVBD\tB-VP\tO' +p353421 +aS'more\tmore\tRBR\tB-ADJP\tO' +p353422 +aS'symptomatic\tsymptomatic\tJJ\tI-ADJP\tO' +p353423 +aS'.\t.\t.\tO\tO' +p353424 +asS'Patient lives at home with his mother , father and brother .' +p353425 +(lp353426 +S'Patient\tPatient\tNN\tB-NP\tO' +p353427 +aS'lives\tlive\tVBZ\tB-VP\tO' +p353428 +aS'at\tat\tIN\tB-PP\tO' +p353429 +aS'home\thome\tNN\tB-NP\tO' +p353430 +aS'with\twith\tIN\tB-PP\tO' +p353431 +aS'his\this\tPRP$\tB-NP\tO' +p353432 +aS'mother\tmother\tNN\tI-NP\tO' +p353433 +aS',\t,\t,\tI-NP\tO' +p353434 +aS'father\tfather\tNN\tI-NP\tO' +p353435 +aS'and\tand\tCC\tI-NP\tO' +p353436 +aS'brother\tbrother\tNN\tI-NP\tO' +p353437 +aS'.\t.\t.\tO\tO' +p353438 +asS'Mild right facial droop .' +p353439 +(lp353440 +S'Mild\tMild\tJJ\tB-NP\tO' +p353441 +aS'right\tright\tJJ\tI-NP\tO' +p353442 +aS'facial\tfacial\tJJ\tI-NP\tO' +p353443 +aS'droop\tdroop\tNN\tI-NP\tO' +p353444 +aS'.\t.\t.\tO\tO' +p353445 +asS'The patient is a 37-year-old white male with AIDS complicated by recurrent pseudomonas infections presently on Ceftazidime and Aztrenam complicated by MAI who comes in with fever , chills and blood cultures positive for candida species .' +p353446 +(lp353447 +S'The\tThe\tDT\tB-NP\tO' +p353448 +aS'patient\tpatient\tNN\tI-NP\tO' +p353449 +aS'is\tbe\tVBZ\tB-VP\tO' +p353450 +aS'a\ta\tDT\tB-NP\tO' +p353451 +aS'37-year-old\t37-year-old\tJJ\tI-NP\tO' +p353452 +aS'white\twhite\tJJ\tI-NP\tO' +p353453 +aS'male\tmale\tNN\tI-NP\tO' +p353454 +aS'with\twith\tIN\tB-PP\tO' +p353455 +aS'AIDS\tAIDS\tNN\tB-NP\tO' +p353456 +aS'complicated\tcomplicate\tVBN\tB-VP\tO' +p353457 +aS'by\tby\tIN\tB-PP\tO' +p353458 +aS'recurrent\trecurrent\tJJ\tB-NP\tO' +p353459 +aS'pseudomonas\tpseudomonas\tNN\tI-NP\tO' +p353460 +aS'infections\tinfection\tNNS\tI-NP\tO' +p353461 +aS'presently\tpresently\tRB\tB-ADVP\tO' +p353462 +aS'on\ton\tIN\tB-PP\tO' +p353463 +aS'Ceftazidime\tCeftazidime\tNN\tB-NP\tO' +p353464 +aS'and\tand\tCC\tI-NP\tO' +p353465 +aS'Aztrenam\tAztrenam\tNN\tI-NP\tO' +p353466 +aS'complicated\tcomplicate\tVBN\tB-VP\tO' +p353467 +aS'by\tby\tIN\tB-PP\tO' +p353468 +aS'MAI\tMAI\tNN\tB-NP\tB-protein' +p353469 +aS'who\twho\tWP\tB-NP\tO' +p353470 +aS'comes\tcome\tVBZ\tB-VP\tO' +p353471 +aS'in\tin\tRP\tB-PRT\tO' +p353472 +aS'with\twith\tIN\tB-PP\tO' +p353473 +aS'fever\tfever\tNN\tB-NP\tO' +p353474 +aS',\t,\t,\tO\tO' +p353475 +aS'chills\tchill\tNNS\tB-NP\tO' +p353476 +aS'and\tand\tCC\tO\tO' +p353477 +aS'blood\tblood\tNN\tB-NP\tO' +p353478 +aS'cultures\tculture\tNNS\tI-NP\tO' +p353479 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p353480 +aS'for\tfor\tIN\tB-PP\tO' +p353481 +aS'candida\tcandida\tNN\tB-NP\tB-protein' +p353482 +aS'species\tspecie\tNNS\tI-NP\tI-protein' +p353483 +aS'.\t.\t.\tO\tO' +p353484 +asS'The following day the patient received a permanent dual chamber rate responsive pacemaker .' +p353485 +(lp353486 +S'The\tThe\tDT\tB-NP\tO' +p353487 +aS'following\tfollow\tVBG\tI-NP\tO' +p353488 +aS'day\tday\tNN\tI-NP\tO' +p353489 +aS'the\tthe\tDT\tB-NP\tO' +p353490 +aS'patient\tpatient\tNN\tI-NP\tO' +p353491 +aS'received\treceive\tVBD\tB-VP\tO' +p353492 +aS'a\ta\tDT\tB-NP\tO' +p353493 +aS'permanent\tpermanent\tJJ\tI-NP\tO' +p353494 +aS'dual\tdual\tJJ\tI-NP\tO' +p353495 +aS'chamber\tchamber\tNN\tI-NP\tO' +p353496 +aS'rate\trate\tNN\tI-NP\tO' +p353497 +aS'responsive\tresponsive\tJJ\tI-NP\tO' +p353498 +aS'pacemaker\tpacemaker\tNN\tI-NP\tO' +p353499 +aS'.\t.\t.\tO\tO' +p353500 +asS'Probable ateletasis of lingula , consistent with pneumonitis' +p353501 +(lp353502 +S'Probable\tProbable\tJJ\tB-NP\tO' +p353503 +aS'ateletasis\tateletasis\tNN\tI-NP\tO' +p353504 +aS'of\tof\tIN\tB-PP\tO' +p353505 +aS'lingula\tlingula\tNN\tB-NP\tO' +p353506 +aS',\t,\t,\tO\tO' +p353507 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p353508 +aS'with\twith\tIN\tB-PP\tO' +p353509 +aS'pneumonitis\tpneumonitis\tNN\tB-NP\tO' +p353510 +asS'Both are less than 2 cm .' +p353511 +(lp353512 +S'Both\tBoth\tDT\tB-NP\tO' +p353513 +aS'are\tbe\tVBP\tB-VP\tO' +p353514 +aS'less\tless\tJJR\tB-NP\tO' +p353515 +aS'than\tthan\tIN\tI-NP\tO' +p353516 +aS'2\t2\tCD\tI-NP\tO' +p353517 +aS'cm\tcm\tNN\tI-NP\tO' +p353518 +aS'.\t.\t.\tO\tO' +p353519 +asS'She was continued on Protonix over the course of her hospital stay and had no further gastrointestinal issues .' +p353520 +(lp353521 +S'She\tShe\tPRP\tB-NP\tO' +p353522 +aS'was\tbe\tVBD\tB-VP\tO' +p353523 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p353524 +aS'on\ton\tIN\tB-PP\tO' +p353525 +aS'Protonix\tProtonix\tNNP\tB-NP\tO' +p353526 +aS'over\tover\tIN\tB-PP\tO' +p353527 +aS'the\tthe\tDT\tB-NP\tO' +p353528 +aS'course\tcourse\tNN\tI-NP\tO' +p353529 +aS'of\tof\tIN\tB-PP\tO' +p353530 +aS'her\ther\tPRP$\tB-NP\tO' +p353531 +aS'hospital\thospital\tNN\tI-NP\tO' +p353532 +aS'stay\tstay\tNN\tI-NP\tO' +p353533 +aS'and\tand\tCC\tO\tO' +p353534 +aS'had\thave\tVBD\tB-VP\tO' +p353535 +aS'no\tno\tDT\tB-NP\tO' +p353536 +aS'further\tfurther\tJJ\tI-NP\tO' +p353537 +aS'gastrointestinal\tgastrointestinal\tJJ\tI-NP\tO' +p353538 +aS'issues\tissue\tNNS\tI-NP\tO' +p353539 +aS'.\t.\t.\tO\tO' +p353540 +asS'1. Atenolol 25 mg p.o. q. day .' +p353541 +(lp353542 +S'1.\t1.\tLS\tB-NP\tO' +p353543 +aS'Atenolol\tAtenolol\tNN\tI-NP\tO' +p353544 +aS'25\t25\tCD\tI-NP\tO' +p353545 +aS'mg\tmg\tNN\tI-NP\tO' +p353546 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p353547 +aS'q.\tq.\tNN\tI-NP\tO' +p353548 +aS'day\tday\tNN\tI-NP\tO' +p353549 +aS'.\t.\t.\tO\tO' +p353550 +asS'She presented with left upper quadrant pain as well as nausea and vomiting which is a long-standing complaint .' +p353551 +(lp353552 +S'She\tShe\tPRP\tB-NP\tO' +p353553 +aS'presented\tpresent\tVBD\tB-VP\tO' +p353554 +aS'with\twith\tIN\tB-PP\tO' +p353555 +aS'left\tleft\tJJ\tB-NP\tB-protein' +p353556 +aS'upper\tupper\tJJ\tI-NP\tI-protein' +p353557 +aS'quadrant\tquadrant\tJJ\tI-NP\tI-protein' +p353558 +aS'pain\tpain\tNN\tI-NP\tI-protein' +p353559 +aS'as\tas\tRB\tB-CONJP\tO' +p353560 +aS'well\twell\tRB\tI-CONJP\tO' +p353561 +aS'as\tas\tIN\tI-CONJP\tO' +p353562 +aS'nausea\tnausea\tNN\tB-NP\tO' +p353563 +aS'and\tand\tCC\tI-NP\tO' +p353564 +aS'vomiting\tvomiting\tNN\tI-NP\tO' +p353565 +aS'which\twhich\tWDT\tB-NP\tO' +p353566 +aS'is\tbe\tVBZ\tB-VP\tO' +p353567 +aS'a\ta\tDT\tB-NP\tO' +p353568 +aS'long-standing\tlong-standing\tJJ\tI-NP\tO' +p353569 +aS'complaint\tcomplaint\tNN\tI-NP\tO' +p353570 +aS'.\t.\t.\tO\tO' +p353571 +asS'6. Trauma was also considered .' +p353572 +(lp353573 +S'6.\t6.\tLS\tB-LST\tO' +p353574 +aS'Trauma\tTrauma\tNNP\tB-NP\tO' +p353575 +aS'was\tbe\tVBD\tB-VP\tO' +p353576 +aS'also\talso\tRB\tI-VP\tO' +p353577 +aS'considered\tconsider\tVBN\tI-VP\tO' +p353578 +aS'.\t.\t.\tO\tO' +p353579 +asS'Pt was admitted to the CMED CCU , intubated overnight for ERCP procedure and fluid resuscitation .' +p353580 +(lp353581 +S'Pt\tPt\tNN\tB-NP\tO' +p353582 +aS'was\tbe\tVBD\tB-VP\tO' +p353583 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p353584 +aS'to\tto\tTO\tB-PP\tO' +p353585 +aS'the\tthe\tDT\tB-NP\tO' +p353586 +aS'CMED\tCMED\tNNP\tI-NP\tO' +p353587 +aS'CCU\tCCU\tNNP\tI-NP\tO' +p353588 +aS',\t,\t,\tO\tO' +p353589 +aS'intubated\tintubate\tVBD\tB-VP\tO' +p353590 +aS'overnight\tovernight\tRB\tB-ADVP\tO' +p353591 +aS'for\tfor\tIN\tB-PP\tO' +p353592 +aS'ERCP\tERCP\tNN\tB-NP\tO' +p353593 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p353594 +aS'and\tand\tCC\tO\tO' +p353595 +aS'fluid\tfluid\tNN\tB-NP\tO' +p353596 +aS'resuscitation\tresuscitation\tNN\tI-NP\tO' +p353597 +aS'.\t.\t.\tO\tO' +p353598 +asS'Lasix 2.5 mg. intravenous qid .' +p353599 +(lp353600 +S'Lasix\tLasix\tNN\tB-NP\tO' +p353601 +aS'2.5\t2.5\tCD\tI-NP\tO' +p353602 +aS'mg.\tmg.\tNN\tI-NP\tO' +p353603 +aS'intravenous\tintravenous\tJJ\tI-NP\tO' +p353604 +aS'qid\tqid\tNN\tI-NP\tO' +p353605 +aS'.\t.\t.\tO\tO' +p353606 +asS'Loose bowel movements - This problem was resolved and had been a viral syndrome on presentation .' +p353607 +(lp353608 +S'Loose\tLoose\tJJ\tB-NP\tO' +p353609 +aS'bowel\tbowel\tNN\tI-NP\tO' +p353610 +aS'movements\tmovement\tNNS\tI-NP\tO' +p353611 +aS'-\t-\t:\tO\tO' +p353612 +aS'This\tThis\tDT\tB-NP\tO' +p353613 +aS'problem\tproblem\tNN\tI-NP\tO' +p353614 +aS'was\tbe\tVBD\tB-VP\tO' +p353615 +aS'resolved\tresolve\tVBN\tI-VP\tO' +p353616 +aS'and\tand\tCC\tO\tO' +p353617 +aS'had\thave\tVBD\tB-VP\tO' +p353618 +aS'been\tbe\tVBN\tI-VP\tO' +p353619 +aS'a\ta\tDT\tB-NP\tO' +p353620 +aS'viral\tviral\tJJ\tI-NP\tO' +p353621 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p353622 +aS'on\ton\tIN\tB-PP\tO' +p353623 +aS'presentation\tpresentation\tNN\tB-NP\tO' +p353624 +aS'.\t.\t.\tO\tO' +p353625 +asS'INTRAOPERATIVELY , THE PATIENT WAS FOUND TO HAVE SMALL BOWEL OBSTRUCTION WITH ISCHEMIC SMALL BOWEL .' +p353626 +(lp353627 +S'INTRAOPERATIVELY\tINTRAOPERATIVELY\tNN\tB-NP\tO' +p353628 +aS',\t,\t,\tO\tO' +p353629 +aS'THE\tTHE\tDT\tB-NP\tO' +p353630 +aS'PATIENT\tPATIENT\tNN\tI-NP\tO' +p353631 +aS'WAS\tWAS\tNN\tI-NP\tO' +p353632 +aS'FOUND\tFOUND\tNN\tI-NP\tO' +p353633 +aS'TO\tTO\tTO\tB-PP\tO' +p353634 +aS'HAVE\tHAVE\tNNP\tB-NP\tO' +p353635 +aS'SMALL\tSMALL\tNNP\tI-NP\tO' +p353636 +aS'BOWEL\tBOWEL\tNNP\tI-NP\tO' +p353637 +aS'OBSTRUCTION\tOBSTRUCTION\tNNP\tI-NP\tO' +p353638 +aS'WITH\tWITH\tNNP\tI-NP\tO' +p353639 +aS'ISCHEMIC\tISCHEMIC\tNNP\tI-NP\tO' +p353640 +aS'SMALL\tSMALL\tNNP\tI-NP\tO' +p353641 +aS'BOWEL\tBOWEL\tNNP\tI-NP\tO' +p353642 +aS'.\t.\t.\tO\tO' +p353643 +asS'He was afebrile with normal vitals .' +p353644 +(lp353645 +S'He\tHe\tPRP\tB-NP\tO' +p353646 +aS'was\tbe\tVBD\tB-VP\tO' +p353647 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p353648 +aS'with\twith\tIN\tB-PP\tO' +p353649 +aS'normal\tnormal\tJJ\tB-NP\tO' +p353650 +aS'vitals\tvital\tNNS\tI-NP\tO' +p353651 +aS'.\t.\t.\tO\tO' +p353652 +asS'2. Status post sternal debridement .' +p353653 +(lp353654 +S'2.\t2.\tLS\tB-LST\tO' +p353655 +aS'Status\tStatus\tNNP\tB-NP\tO' +p353656 +aS'post\tpost\tIN\tB-PP\tO' +p353657 +aS'sternal\tsternal\tJJ\tB-NP\tO' +p353658 +aS'debridement\tdebridement\tNN\tI-NP\tO' +p353659 +aS'.\t.\t.\tO\tO' +p353660 +asS'The urine sodium was 147 .' +p353661 +(lp353662 +S'The\tThe\tDT\tB-NP\tO' +p353663 +aS'urine\turine\tNN\tI-NP\tO' +p353664 +aS'sodium\tsodium\tNN\tI-NP\tO' +p353665 +aS'was\tbe\tVBD\tB-VP\tO' +p353666 +aS'147\t147\tCD\tB-NP\tO' +p353667 +aS'.\t.\t.\tO\tO' +p353668 +asS'The patient was discharged home in stable condition on postoperative day number five , without any complications .' +p353669 +(lp353670 +S'The\tThe\tDT\tB-NP\tO' +p353671 +aS'patient\tpatient\tNN\tI-NP\tO' +p353672 +aS'was\tbe\tVBD\tB-VP\tO' +p353673 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p353674 +aS'home\thome\tNN\tB-ADVP\tO' +p353675 +aS'in\tin\tIN\tB-PP\tO' +p353676 +aS'stable\tstable\tJJ\tB-NP\tO' +p353677 +aS'condition\tcondition\tNN\tI-NP\tO' +p353678 +aS'on\ton\tIN\tB-PP\tO' +p353679 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p353680 +aS'day\tday\tNN\tI-NP\tO' +p353681 +aS'number\tnumber\tNN\tI-NP\tO' +p353682 +aS'five\tfive\tCD\tI-NP\tO' +p353683 +aS',\t,\t,\tO\tO' +p353684 +aS'without\twithout\tIN\tB-PP\tO' +p353685 +aS'any\tany\tDT\tB-NP\tO' +p353686 +aS'complications\tcomplication\tNNS\tI-NP\tO' +p353687 +aS'.\t.\t.\tO\tO' +p353688 +asS'11. Oxygen per nasal cannula as needed .' +p353689 +(lp353690 +S'11.\t11.\tLS\tB-NP\tO' +p353691 +aS'Oxygen\tOxygen\tNN\tI-NP\tO' +p353692 +aS'per\tper\tIN\tB-PP\tO' +p353693 +aS'nasal\tnasal\tJJ\tB-NP\tO' +p353694 +aS'cannula\tcannula\tNN\tI-NP\tO' +p353695 +aS'as\tas\tIN\tB-SBAR\tO' +p353696 +aS'needed\tneed\tVBN\tB-VP\tO' +p353697 +aS'.\t.\t.\tO\tO' +p353698 +asS'Patient had a cesarean section at eight months .' +p353699 +(lp353700 +S'Patient\tPatient\tNN\tB-NP\tO' +p353701 +aS'had\thave\tVBD\tB-VP\tO' +p353702 +aS'a\ta\tDT\tB-NP\tO' +p353703 +aS'cesarean\tcesarean\tJJ\tI-NP\tO' +p353704 +aS'section\tsection\tNN\tI-NP\tO' +p353705 +aS'at\tat\tIN\tB-PP\tO' +p353706 +aS'eight\teight\tCD\tB-NP\tO' +p353707 +aS'months\tmonth\tNNS\tI-NP\tO' +p353708 +aS'.\t.\t.\tO\tO' +p353709 +asS'Quetiapine was continued however clonipin was initially held when she was intubated on fentynyl / versed .' +p353710 +(lp353711 +S'Quetiapine\tQuetiapine\tNN\tB-NP\tO' +p353712 +aS'was\tbe\tVBD\tB-VP\tO' +p353713 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p353714 +aS'however\thowever\tRB\tB-NP\tO' +p353715 +aS'clonipin\tclonipin\tNN\tI-NP\tO' +p353716 +aS'was\tbe\tVBD\tB-VP\tO' +p353717 +aS'initially\tinitially\tRB\tI-VP\tO' +p353718 +aS'held\thold\tVBN\tI-VP\tO' +p353719 +aS'when\twhen\tWRB\tB-ADVP\tO' +p353720 +aS'she\tshe\tPRP\tB-NP\tO' +p353721 +aS'was\tbe\tVBD\tB-VP\tO' +p353722 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p353723 +aS'on\ton\tIN\tB-PP\tO' +p353724 +aS'fentynyl\tfentynyl\tNN\tB-NP\tO' +p353725 +aS'/\t/\tSYM\tB-NP\tO' +p353726 +aS'versed\tverse\tVBN\tB-VP\tO' +p353727 +aS'.\t.\t.\tO\tO' +p353728 +asS'The abdomen revealed normal active bowel sounds , soft , nontender , obese , and nondistended .' +p353729 +(lp353730 +S'The\tThe\tDT\tB-NP\tO' +p353731 +aS'abdomen\tabdoman\tNNS\tI-NP\tO' +p353732 +aS'revealed\treveal\tVBD\tB-VP\tO' +p353733 +aS'normal\tnormal\tJJ\tB-NP\tO' +p353734 +aS'active\tactive\tJJ\tI-NP\tO' +p353735 +aS'bowel\tbowel\tNN\tI-NP\tO' +p353736 +aS'sounds\tsound\tNNS\tI-NP\tO' +p353737 +aS',\t,\t,\tO\tO' +p353738 +aS'soft\tsoft\tJJ\tB-NP\tO' +p353739 +aS',\t,\t,\tI-NP\tO' +p353740 +aS'nontender\tnontender\tJJ\tI-NP\tO' +p353741 +aS',\t,\t,\tI-NP\tO' +p353742 +aS'obese\tobese\tJJ\tI-NP\tO' +p353743 +aS',\t,\t,\tI-NP\tO' +p353744 +aS'and\tand\tCC\tI-NP\tO' +p353745 +aS'nondistended\tnondistended\tJJ\tI-NP\tO' +p353746 +aS'.\t.\t.\tO\tO' +p353747 +asS'- watch for BZD withdrawal , agitation' +p353748 +(lp353749 +S'-\t-\tHYPH\tB-NP\tO' +p353750 +aS'watch\twatch\tNN\tI-NP\tO' +p353751 +aS'for\tfor\tIN\tB-PP\tO' +p353752 +aS'BZD\tBZD\tNN\tB-NP\tO' +p353753 +aS'withdrawal\twithdrawal\tNN\tI-NP\tO' +p353754 +aS',\t,\t,\tO\tO' +p353755 +aS'agitation\tagitation\tNN\tB-NP\tO' +p353756 +asS'This report was created by KOTEKOLL , CH 10/17/2001 07:08 PM' +p353757 +(lp353758 +S'This\tThis\tDT\tB-NP\tO' +p353759 +aS'report\treport\tNN\tI-NP\tO' +p353760 +aS'was\tbe\tVBD\tB-VP\tO' +p353761 +aS'created\tcreate\tVBN\tI-VP\tO' +p353762 +aS'by\tby\tIN\tB-PP\tO' +p353763 +aS'KOTEKOLL\tKOTEKOLL\tNNP\tB-NP\tO' +p353764 +aS',\t,\t,\tO\tO' +p353765 +aS'CH\tCH\tNNP\tB-NP\tO' +p353766 +aS'10/17/2001\t10/17/2001\tCD\tB-NP\tO' +p353767 +aS'07:08\t07:08\tCD\tI-NP\tO' +p353768 +aS'PM\tPM\tNN\tI-NP\tO' +p353769 +asS'Cardiac examination was remarkable for frequent ectopic beats .' +p353770 +(lp353771 +S'Cardiac\tCardiac\tJJ\tB-NP\tO' +p353772 +aS'examination\texamination\tNN\tI-NP\tO' +p353773 +aS'was\tbe\tVBD\tB-VP\tO' +p353774 +aS'remarkable\tremarkable\tJJ\tB-ADJP\tO' +p353775 +aS'for\tfor\tIN\tB-PP\tO' +p353776 +aS'frequent\tfrequent\tJJ\tB-NP\tO' +p353777 +aS'ectopic\tectopic\tJJ\tI-NP\tO' +p353778 +aS'beats\tbeat\tNNS\tI-NP\tO' +p353779 +aS'.\t.\t.\tO\tO' +p353780 +asS'1. Plavix 75 mg times 6 doses .' +p353781 +(lp353782 +S'1.\t1.\tLS\tB-NP\tO' +p353783 +aS'Plavix\tPlavix\tNNP\tI-NP\tO' +p353784 +aS'75\t75\tCD\tI-NP\tO' +p353785 +aS'mg\tmg\tNN\tI-NP\tO' +p353786 +aS'times\ttime\tNNS\tI-NP\tO' +p353787 +aS'6\t6\tCD\tI-NP\tO' +p353788 +aS'doses\tdose\tNNS\tI-NP\tO' +p353789 +aS'.\t.\t.\tO\tO' +p353790 +asS'ALT 27 , AST 21 , alkaline phosphatase 72 , total bilirubin 1.2 , amylase 47 .' +p353791 +(lp353792 +S'ALT\tALT\tNN\tB-NP\tB-protein' +p353793 +aS'27\t27\tCD\tI-NP\tI-protein' +p353794 +aS',\t,\t,\tO\tO' +p353795 +aS'AST\tAST\tNN\tB-NP\tO' +p353796 +aS'21\t21\tCD\tI-NP\tO' +p353797 +aS',\t,\t,\tO\tO' +p353798 +aS'alkaline\talkaline\tNN\tB-NP\tO' +p353799 +aS'phosphatase\tphosphatase\tNN\tI-NP\tO' +p353800 +aS'72\t72\tCD\tI-NP\tO' +p353801 +aS',\t,\t,\tO\tO' +p353802 +aS'total\ttotal\tJJ\tB-NP\tO' +p353803 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p353804 +aS'1.2\t1.2\tCD\tI-NP\tO' +p353805 +aS',\t,\t,\tO\tO' +p353806 +aS'amylase\tamylase\tNN\tB-NP\tO' +p353807 +aS'47\t47\tCD\tI-NP\tO' +p353808 +aS'.\t.\t.\tO\tO' +p353809 +asS'However , he continued to have left arm focal motor seizures and problems thinking .' +p353810 +(lp353811 +S'However\tHowever\tRB\tB-ADVP\tO' +p353812 +aS',\t,\t,\tO\tO' +p353813 +aS'he\the\tPRP\tB-NP\tO' +p353814 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p353815 +aS'to\tto\tTO\tI-VP\tO' +p353816 +aS'have\thave\tVB\tI-VP\tO' +p353817 +aS'left\tleave\tVBN\tI-VP\tO' +p353818 +aS'arm\tarm\tNN\tB-NP\tO' +p353819 +aS'focal\tfocal\tJJ\tI-NP\tO' +p353820 +aS'motor\tmotor\tNN\tI-NP\tO' +p353821 +aS'seizures\tseizure\tNNS\tI-NP\tO' +p353822 +aS'and\tand\tCC\tI-NP\tO' +p353823 +aS'problems\tproblem\tNNS\tI-NP\tO' +p353824 +aS'thinking\tthink\tVBG\tB-VP\tO' +p353825 +aS'.\t.\t.\tO\tO' +p353826 +asS'Mr. Breath was a 32 year old previously healthy unbelted driver whose car was hit at high speed by a vehicle driven by an intoxicated driver .' +p353827 +(lp353828 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p353829 +aS'Breath\tBreath\tNNP\tI-NP\tO' +p353830 +aS'was\tbe\tVBD\tB-VP\tO' +p353831 +aS'a\ta\tDT\tB-NP\tO' +p353832 +aS'32\t32\tCD\tI-NP\tO' +p353833 +aS'year\tyear\tNN\tI-NP\tO' +p353834 +aS'old\told\tJJ\tI-NP\tO' +p353835 +aS'previously\tpreviously\tRB\tI-NP\tO' +p353836 +aS'healthy\thealthy\tJJ\tI-NP\tO' +p353837 +aS'unbelted\tunbelted\tJJ\tI-NP\tO' +p353838 +aS'driver\tdriver\tNN\tI-NP\tO' +p353839 +aS'whose\twhose\tWP$\tB-NP\tO' +p353840 +aS'car\tcar\tNN\tI-NP\tB-protein' +p353841 +aS'was\tbe\tVBD\tB-VP\tO' +p353842 +aS'hit\thit\tVBN\tI-VP\tO' +p353843 +aS'at\tat\tIN\tB-PP\tO' +p353844 +aS'high\thigh\tJJ\tB-NP\tO' +p353845 +aS'speed\tspeed\tNN\tI-NP\tO' +p353846 +aS'by\tby\tIN\tB-PP\tO' +p353847 +aS'a\ta\tDT\tB-NP\tO' +p353848 +aS'vehicle\tvehicle\tNN\tI-NP\tO' +p353849 +aS'driven\tdrive\tVBN\tB-VP\tO' +p353850 +aS'by\tby\tIN\tB-PP\tO' +p353851 +aS'an\tan\tDT\tB-NP\tO' +p353852 +aS'intoxicated\tintoxicated\tJJ\tI-NP\tO' +p353853 +aS'driver\tdriver\tNN\tI-NP\tO' +p353854 +aS'.\t.\t.\tO\tO' +p353855 +asS'Rheumatology was also consulted for patient and after workup , it was believed that arthritis may be a rheumatoid factor negative , rheumatoid polyarthritis .' +p353856 +(lp353857 +S'Rheumatology\tRheumatology\tNN\tB-NP\tO' +p353858 +aS'was\tbe\tVBD\tB-VP\tO' +p353859 +aS'also\talso\tRB\tI-VP\tO' +p353860 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p353861 +aS'for\tfor\tIN\tB-PP\tO' +p353862 +aS'patient\tpatient\tNN\tB-NP\tO' +p353863 +aS'and\tand\tCC\tB-PP\tO' +p353864 +aS'after\tafter\tIN\tB-PP\tO' +p353865 +aS'workup\tworkup\tNN\tB-NP\tO' +p353866 +aS',\t,\t,\tO\tO' +p353867 +aS'it\tit\tPRP\tB-NP\tO' +p353868 +aS'was\tbe\tVBD\tB-VP\tO' +p353869 +aS'believed\tbelieve\tVBN\tI-VP\tO' +p353870 +aS'that\tthat\tIN\tB-SBAR\tO' +p353871 +aS'arthritis\tarthritis\tNN\tB-NP\tO' +p353872 +aS'may\tmay\tMD\tB-VP\tO' +p353873 +aS'be\tbe\tVB\tI-VP\tO' +p353874 +aS'a\ta\tDT\tB-NP\tO' +p353875 +aS'rheumatoid\trheumatoid\tJJ\tI-NP\tO' +p353876 +aS'factor\tfactor\tNN\tI-NP\tO' +p353877 +aS'negative\tnegative\tJJ\tI-NP\tO' +p353878 +aS',\t,\t,\tI-NP\tO' +p353879 +aS'rheumatoid\trheumatoid\tJJ\tI-NP\tO' +p353880 +aS'polyarthritis\tpolyarthritis\tNN\tI-NP\tO' +p353881 +aS'.\t.\t.\tO\tO' +p353882 +asS'In general , she is well appearing in no acute distress .' +p353883 +(lp353884 +S'In\tIn\tIN\tB-PP\tO' +p353885 +aS'general\tgeneral\tJJ\tB-ADJP\tO' +p353886 +aS',\t,\t,\tO\tO' +p353887 +aS'she\tshe\tPRP\tB-NP\tO' +p353888 +aS'is\tbe\tVBZ\tB-VP\tO' +p353889 +aS'well\twell\tRB\tI-VP\tO' +p353890 +aS'appearing\tappear\tVBG\tI-VP\tO' +p353891 +aS'in\tin\tIN\tB-PP\tO' +p353892 +aS'no\tno\tDT\tB-NP\tO' +p353893 +aS'acute\tacute\tJJ\tI-NP\tO' +p353894 +aS'distress\tdistress\tNN\tI-NP\tO' +p353895 +aS'.\t.\t.\tO\tO' +p353896 +asS'RED CELL MORPHOLOGY Hypochr Anisocy Poiklo Macrocy Microcy Polychr' +p353897 +(lp353898 +S'RED\tRED\tNNP\tB-NP\tB-cell_type' +p353899 +aS'CELL\tCELL\tNNP\tI-NP\tI-cell_type' +p353900 +aS'MORPHOLOGY\tMORPHOLOGY\tNNP\tI-NP\tO' +p353901 +aS'Hypochr\tHypochr\tNNP\tI-NP\tO' +p353902 +aS'Anisocy\tAnisocy\tNNP\tI-NP\tO' +p353903 +aS'Poiklo\tPoiklo\tNNP\tI-NP\tO' +p353904 +aS'Macrocy\tMacrocy\tNNP\tI-NP\tO' +p353905 +aS'Microcy\tMicrocy\tNNP\tI-NP\tO' +p353906 +aS'Polychr\tPolychr\tNNP\tI-NP\tO' +p353907 +asS'Abdominal ultrasound was unremarkable .' +p353908 +(lp353909 +S'Abdominal\tAbdominal\tJJ\tB-NP\tO' +p353910 +aS'ultrasound\tultrasound\tNN\tI-NP\tO' +p353911 +aS'was\tbe\tVBD\tB-VP\tO' +p353912 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p353913 +aS'.\t.\t.\tO\tO' +p353914 +asS'It was recommended by Gastroenterology that the patient is to stay off aspirin for at least four to six weeks at discharge to prevent further bleeding .' +p353915 +(lp353916 +S'It\tIt\tPRP\tB-NP\tO' +p353917 +aS'was\tbe\tVBD\tB-VP\tO' +p353918 +aS'recommended\trecommend\tVBN\tI-VP\tO' +p353919 +aS'by\tby\tIN\tB-PP\tO' +p353920 +aS'Gastroenterology\tGastroenterology\tNNP\tB-NP\tO' +p353921 +aS'that\tthat\tIN\tB-SBAR\tO' +p353922 +aS'the\tthe\tDT\tB-NP\tO' +p353923 +aS'patient\tpatient\tNN\tI-NP\tO' +p353924 +aS'is\tbe\tVBZ\tB-VP\tO' +p353925 +aS'to\tto\tTO\tB-VP\tO' +p353926 +aS'stay\tstay\tVB\tI-VP\tO' +p353927 +aS'off\toff\tRP\tB-PRT\tO' +p353928 +aS'aspirin\taspirin\tNN\tB-NP\tO' +p353929 +aS'for\tfor\tIN\tB-PP\tO' +p353930 +aS'at\tat\tIN\tB-NP\tO' +p353931 +aS'least\tleast\tJJS\tI-NP\tO' +p353932 +aS'four\tfour\tCD\tI-NP\tO' +p353933 +aS'to\tto\tTO\tI-NP\tO' +p353934 +aS'six\tsix\tCD\tI-NP\tO' +p353935 +aS'weeks\tweek\tNNS\tI-NP\tO' +p353936 +aS'at\tat\tIN\tB-PP\tO' +p353937 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p353938 +aS'to\tto\tTO\tB-VP\tO' +p353939 +aS'prevent\tprevent\tVB\tI-VP\tO' +p353940 +aS'further\tfurther\tJJ\tB-NP\tO' +p353941 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p353942 +aS'.\t.\t.\tO\tO' +p353943 +asS'Group B strep status negative .' +p353944 +(lp353945 +S'Group\tGroup\tNN\tB-NP\tO' +p353946 +aS'B\tB\tNN\tI-NP\tO' +p353947 +aS'strep\tstrep\tNN\tI-NP\tO' +p353948 +aS'status\tstatus\tNN\tI-NP\tO' +p353949 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p353950 +aS'.\t.\t.\tO\tO' +p353951 +asS'He subsequently became hypotensive and bradycardiac in the Catheterization Laboratory which responded to IV fluids , dopamine , Atropine , and he was then transferred to the CCU for further monitoring .' +p353952 +(lp353953 +S'He\tHe\tPRP\tB-NP\tO' +p353954 +aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' +p353955 +aS'became\tbecome\tVBD\tB-VP\tO' +p353956 +aS'hypotensive\thypotensive\tJJ\tB-ADJP\tO' +p353957 +aS'and\tand\tCC\tI-ADJP\tO' +p353958 +aS'bradycardiac\tbradycardiac\tJJ\tI-ADJP\tO' +p353959 +aS'in\tin\tIN\tB-PP\tO' +p353960 +aS'the\tthe\tDT\tB-NP\tO' +p353961 +aS'Catheterization\tCatheterization\tNNP\tI-NP\tO' +p353962 +aS'Laboratory\tLaboratory\tNNP\tI-NP\tO' +p353963 +aS'which\twhich\tWDT\tB-NP\tO' +p353964 +aS'responded\trespond\tVBD\tB-VP\tO' +p353965 +aS'to\tto\tTO\tB-PP\tO' +p353966 +aS'IV\tIV\tCD\tB-NP\tO' +p353967 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p353968 +aS',\t,\t,\tO\tO' +p353969 +aS'dopamine\tdopamine\tNN\tB-NP\tO' +p353970 +aS',\t,\t,\tO\tO' +p353971 +aS'Atropine\tAtropine\tNN\tB-NP\tO' +p353972 +aS',\t,\t,\tO\tO' +p353973 +aS'and\tand\tCC\tO\tO' +p353974 +aS'he\the\tPRP\tB-NP\tO' +p353975 +aS'was\tbe\tVBD\tB-VP\tO' +p353976 +aS'then\tthen\tRB\tI-VP\tO' +p353977 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p353978 +aS'to\tto\tTO\tB-PP\tO' +p353979 +aS'the\tthe\tDT\tB-NP\tO' +p353980 +aS'CCU\tCCU\tNN\tI-NP\tO' +p353981 +aS'for\tfor\tIN\tB-PP\tO' +p353982 +aS'further\tfurther\tJJ\tB-NP\tO' +p353983 +aS'monitoring\tmonitoring\tNN\tI-NP\tO' +p353984 +aS'.\t.\t.\tO\tO' +p353985 +asS'He describes the room spinning with attempts to sit upright .' +p353986 +(lp353987 +S'He\tHe\tPRP\tB-NP\tO' +p353988 +aS'describes\tdescribe\tVBZ\tB-VP\tO' +p353989 +aS'the\tthe\tDT\tB-NP\tO' +p353990 +aS'room\troom\tNN\tI-NP\tO' +p353991 +aS'spinning\tspinning\tNN\tI-NP\tO' +p353992 +aS'with\twith\tIN\tB-PP\tO' +p353993 +aS'attempts\tattempt\tNNS\tB-NP\tO' +p353994 +aS'to\tto\tTO\tB-VP\tO' +p353995 +aS'sit\tsit\tVB\tI-VP\tO' +p353996 +aS'upright\tupright\tRB\tB-ADVP\tO' +p353997 +aS'.\t.\t.\tO\tO' +p353998 +asS'restraints , for the safety of both the patient and the staff of the hospital .' +p353999 +(lp354000 +S'restraints\trestraint\tNNS\tB-NP\tO' +p354001 +aS',\t,\t,\tO\tO' +p354002 +aS'for\tfor\tIN\tB-PP\tO' +p354003 +aS'the\tthe\tDT\tB-NP\tO' +p354004 +aS'safety\tsafety\tNN\tI-NP\tO' +p354005 +aS'of\tof\tIN\tB-PP\tO' +p354006 +aS'both\tboth\tCC\tO\tO' +p354007 +aS'the\tthe\tDT\tB-NP\tO' +p354008 +aS'patient\tpatient\tNN\tI-NP\tO' +p354009 +aS'and\tand\tCC\tO\tO' +p354010 +aS'the\tthe\tDT\tB-NP\tO' +p354011 +aS'staff\tstaff\tNN\tI-NP\tO' +p354012 +aS'of\tof\tIN\tB-PP\tO' +p354013 +aS'the\tthe\tDT\tB-NP\tO' +p354014 +aS'hospital\thospital\tNN\tI-NP\tO' +p354015 +aS'.\t.\t.\tO\tO' +p354016 +asS'Her erythrocyte sedimentation rate was 12 .' +p354017 +(lp354018 +S'Her\tHer\tPRP$\tB-NP\tO' +p354019 +aS'erythrocyte\terythrocyte\tNN\tI-NP\tO' +p354020 +aS'sedimentation\tsedimentation\tNN\tI-NP\tO' +p354021 +aS'rate\trate\tNN\tI-NP\tO' +p354022 +aS'was\tbe\tVBD\tB-VP\tO' +p354023 +aS'12\t12\tCD\tB-NP\tO' +p354024 +aS'.\t.\t.\tO\tO' +p354025 +asS'His intravenous fluids were discontinued at this time .' +p354026 +(lp354027 +S'His\tHis\tPRP$\tB-NP\tO' +p354028 +aS'intravenous\tintravenous\tJJ\tI-NP\tO' +p354029 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p354030 +aS'were\tbe\tVBD\tB-VP\tO' +p354031 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p354032 +aS'at\tat\tIN\tB-PP\tO' +p354033 +aS'this\tthis\tDT\tB-NP\tO' +p354034 +aS'time\ttime\tNN\tI-NP\tO' +p354035 +aS'.\t.\t.\tO\tO' +p354036 +asS'- Analgesic ( Percocet ) as needed' +p354037 +(lp354038 +S'-\t-\tHYPH\tB-NP\tO' +p354039 +aS'Analgesic\tAnalgesic\tJJ\tI-NP\tO' +p354040 +aS'(\t(\t(\tO\tO' +p354041 +aS'Percocet\tPercocet\tNN\tB-NP\tO' +p354042 +aS')\t)\t)\tO\tO' +p354043 +aS'as\tas\tIN\tB-SBAR\tO' +p354044 +aS'needed\tneed\tVBN\tB-VP\tO' +p354045 +asS'Repeat hip films demonstrated a right sided pubic rami fracture , likely new .' +p354046 +(lp354047 +S'Repeat\tRepeat\tNN\tB-NP\tO' +p354048 +aS'hip\thip\tNN\tI-NP\tO' +p354049 +aS'films\tfilm\tNNS\tI-NP\tO' +p354050 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p354051 +aS'a\ta\tDT\tB-NP\tO' +p354052 +aS'right\tright\tJJ\tI-NP\tO' +p354053 +aS'sided\tsided\tJJ\tI-NP\tO' +p354054 +aS'pubic\tpubic\tJJ\tI-NP\tO' +p354055 +aS'rami\trami\tNN\tI-NP\tO' +p354056 +aS'fracture\tfracture\tNN\tI-NP\tO' +p354057 +aS',\t,\t,\tO\tO' +p354058 +aS'likely\tlikely\tRB\tB-ADJP\tO' +p354059 +aS'new\tnew\tJJ\tI-ADJP\tO' +p354060 +aS'.\t.\t.\tO\tO' +p354061 +asS'2+ pitting edema B LE to knee , nonpitting edema in B hands and arms .' +p354062 +(lp354063 +S'2+\t2+\tJJ\tB-NP\tO' +p354064 +aS'pitting\tpit\tVBG\tI-NP\tO' +p354065 +aS'edema\tedema\tNN\tI-NP\tO' +p354066 +aS'B\tB\tNN\tI-NP\tO' +p354067 +aS'LE\tLE\tNN\tI-NP\tO' +p354068 +aS'to\tto\tTO\tB-VP\tO' +p354069 +aS'knee\tknee\tVB\tI-VP\tO' +p354070 +aS',\t,\t,\tO\tO' +p354071 +aS'nonpitting\tnonpitting\tJJ\tB-NP\tO' +p354072 +aS'edema\tedema\tNN\tI-NP\tO' +p354073 +aS'in\tin\tIN\tB-PP\tO' +p354074 +aS'B\tB\tNN\tB-NP\tO' +p354075 +aS'hands\thand\tNNS\tI-NP\tO' +p354076 +aS'and\tand\tCC\tI-NP\tO' +p354077 +aS'arms\tarm\tNNS\tI-NP\tO' +p354078 +aS'.\t.\t.\tO\tO' +p354079 +asS'There are no echocardiographic signs of tamponade .' +p354080 +(lp354081 +S'There\tThere\tEX\tB-NP\tO' +p354082 +aS'are\tbe\tVBP\tB-VP\tO' +p354083 +aS'no\tno\tDT\tB-NP\tO' +p354084 +aS'echocardiographic\techocardiographic\tJJ\tI-NP\tO' +p354085 +aS'signs\tsign\tNNS\tI-NP\tO' +p354086 +aS'of\tof\tIN\tB-PP\tO' +p354087 +aS'tamponade\ttamponade\tNN\tB-NP\tO' +p354088 +aS'.\t.\t.\tO\tO' +p354089 +asS'Blood cultures from 04/07 showed NGTD .' +p354090 +(lp354091 +S'Blood\tBlood\tNN\tB-NP\tB-cell_line' +p354092 +aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' +p354093 +aS'from\tfrom\tIN\tB-PP\tO' +p354094 +aS'04/07\t04/07\tCD\tB-NP\tO' +p354095 +aS'showed\tshow\tVBD\tB-VP\tO' +p354096 +aS'NGTD\tNGTD\tNN\tB-NP\tB-protein' +p354097 +aS'.\t.\t.\tO\tO' +p354098 +asS'His discharge range of motion is from zero to 40 degrees .' +p354099 +(lp354100 +S'His\tHis\tPRP$\tB-NP\tO' +p354101 +aS'discharge\tdischarge\tJJ\tI-NP\tO' +p354102 +aS'range\trange\tNN\tI-NP\tO' +p354103 +aS'of\tof\tIN\tB-PP\tO' +p354104 +aS'motion\tmotion\tNN\tB-NP\tO' +p354105 +aS'is\tbe\tVBZ\tB-VP\tO' +p354106 +aS'from\tfrom\tIN\tB-PP\tO' +p354107 +aS'zero\tzero\tCD\tB-NP\tO' +p354108 +aS'to\tto\tTO\tI-NP\tO' +p354109 +aS'40\t40\tCD\tI-NP\tO' +p354110 +aS'degrees\tdegree\tNNS\tI-NP\tO' +p354111 +aS'.\t.\t.\tO\tO' +p354112 +asS'Rectal was heme positive with normal prostate .' +p354113 +(lp354114 +S'Rectal\tRectal\tJJ\tB-NP\tO' +p354115 +aS'was\tbe\tVBD\tB-VP\tO' +p354116 +aS'heme\theme\tNN\tB-NP\tO' +p354117 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p354118 +aS'with\twith\tIN\tB-PP\tO' +p354119 +aS'normal\tnormal\tJJ\tB-NP\tO' +p354120 +aS'prostate\tprostate\tNN\tI-NP\tO' +p354121 +aS'.\t.\t.\tO\tO' +p354122 +asS'Father - Stephanie tumor , no DM , no CAD' +p354123 +(lp354124 +S'Father\tFather\tNNP\tB-NP\tO' +p354125 +aS'-\t-\tHYPH\tI-NP\tO' +p354126 +aS'Stephanie\tStephanie\tNNP\tI-NP\tO' +p354127 +aS'tumor\ttumor\tNN\tI-NP\tO' +p354128 +aS',\t,\t,\tO\tO' +p354129 +aS'no\tno\tDT\tB-NP\tO' +p354130 +aS'DM\tDM\tNN\tI-NP\tO' +p354131 +aS',\t,\t,\tO\tO' +p354132 +aS'no\tno\tDT\tB-NP\tO' +p354133 +aS'CAD\tCAD\tNN\tI-NP\tB-protein' +p354134 +asS'She is a seventy-one year old female with a history of hypertension who is in otherwise good health .' +p354135 +(lp354136 +S'She\tShe\tPRP\tB-NP\tO' +p354137 +aS'is\tbe\tVBZ\tB-VP\tO' +p354138 +aS'a\ta\tDT\tB-NP\tO' +p354139 +aS'seventy-one\tseventy-one\tJJ\tI-NP\tO' +p354140 +aS'year\tyear\tNN\tI-NP\tO' +p354141 +aS'old\told\tJJ\tI-NP\tO' +p354142 +aS'female\tfemale\tNN\tI-NP\tO' +p354143 +aS'with\twith\tIN\tB-PP\tO' +p354144 +aS'a\ta\tDT\tB-NP\tO' +p354145 +aS'history\thistory\tNN\tI-NP\tO' +p354146 +aS'of\tof\tIN\tB-PP\tO' +p354147 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p354148 +aS'who\twho\tWP\tB-NP\tO' +p354149 +aS'is\tbe\tVBZ\tB-VP\tO' +p354150 +aS'in\tin\tIN\tB-PP\tO' +p354151 +aS'otherwise\totherwise\tRB\tB-NP\tO' +p354152 +aS'good\tgood\tJJ\tI-NP\tO' +p354153 +aS'health\thealth\tNN\tI-NP\tO' +p354154 +aS'.\t.\t.\tO\tO' +p354155 +asS'She had three views of the cervical spine that were negative .' +p354156 +(lp354157 +S'She\tShe\tPRP\tB-NP\tO' +p354158 +aS'had\thave\tVBD\tB-VP\tO' +p354159 +aS'three\tthree\tCD\tB-NP\tO' +p354160 +aS'views\tview\tNNS\tI-NP\tO' +p354161 +aS'of\tof\tIN\tB-PP\tO' +p354162 +aS'the\tthe\tDT\tB-NP\tO' +p354163 +aS'cervical\tcervical\tJJ\tI-NP\tO' +p354164 +aS'spine\tspine\tNN\tI-NP\tO' +p354165 +aS'that\tthat\tWDT\tB-NP\tO' +p354166 +aS'were\tbe\tVBD\tB-VP\tO' +p354167 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p354168 +aS'.\t.\t.\tO\tO' +p354169 +asS'Mother had adrenal cancer .' +p354170 +(lp354171 +S'Mother\tMother\tNNP\tB-NP\tO' +p354172 +aS'had\thave\tVBD\tB-VP\tO' +p354173 +aS'adrenal\tadrenal\tJJ\tB-NP\tO' +p354174 +aS'cancer\tcancer\tNN\tI-NP\tO' +p354175 +aS'.\t.\t.\tO\tO' +p354176 +asS'Used to work as an engineer at an automobile plant .' +p354177 +(lp354178 +S'Used\tUse\tVBN\tB-VP\tO' +p354179 +aS'to\tto\tTO\tB-PP\tO' +p354180 +aS'work\twork\tVB\tB-NP\tO' +p354181 +aS'as\tas\tIN\tB-PP\tO' +p354182 +aS'an\tan\tDT\tB-NP\tO' +p354183 +aS'engineer\tengineer\tNN\tI-NP\tO' +p354184 +aS'at\tat\tIN\tB-PP\tO' +p354185 +aS'an\tan\tDT\tB-NP\tO' +p354186 +aS'automobile\tautomobile\tNN\tI-NP\tO' +p354187 +aS'plant\tplant\tNN\tI-NP\tO' +p354188 +aS'.\t.\t.\tO\tO' +p354189 +asS'It is not clearly outside normal limits .' +p354190 +(lp354191 +S'It\tIt\tPRP\tB-NP\tO' +p354192 +aS'is\tbe\tVBZ\tB-VP\tO' +p354193 +aS'not\tnot\tRB\tO\tO' +p354194 +aS'clearly\tclearly\tRB\tB-ADVP\tO' +p354195 +aS'outside\toutside\tIN\tB-PP\tO' +p354196 +aS'normal\tnormal\tJJ\tB-NP\tO' +p354197 +aS'limits\tlimit\tNNS\tI-NP\tO' +p354198 +aS'.\t.\t.\tO\tO' +p354199 +asS'Hepatitis serologies were negative .' +p354200 +(lp354201 +S'Hepatitis\tHepatitis\tNN\tB-NP\tO' +p354202 +aS'serologies\tserology\tNNS\tI-NP\tO' +p354203 +aS'were\tbe\tVBD\tB-VP\tO' +p354204 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p354205 +aS'.\t.\t.\tO\tO' +p354206 +asS'- mild transaminitis likely 03-25 etoh and cocaine abuse' +p354207 +(lp354208 +S'-\t-\tHYPH\tB-NP\tO' +p354209 +aS'mild\tmild\tJJ\tI-NP\tO' +p354210 +aS'transaminitis\ttransaminitis\tNN\tI-NP\tO' +p354211 +aS'likely\tlikely\tRB\tB-NP\tO' +p354212 +aS'03-25\t03-25\tCD\tI-NP\tO' +p354213 +aS'etoh\tetoh\tNN\tI-NP\tO' +p354214 +aS'and\tand\tCC\tI-NP\tO' +p354215 +aS'cocaine\tcocaine\tNN\tI-NP\tO' +p354216 +aS'abuse\tabuse\tNN\tI-NP\tO' +p354217 +asS'Sigmoid colectomy and Hartmans pouch 2012-05-26' +p354218 +(lp354219 +S'Sigmoid\tSigmoid\tJJ\tB-NP\tO' +p354220 +aS'colectomy\tcolectomy\tNN\tI-NP\tO' +p354221 +aS'and\tand\tCC\tO\tO' +p354222 +aS'Hartmans\tHartmans\tNNP\tB-NP\tO' +p354223 +aS'pouch\tpouch\tNN\tI-NP\tO' +p354224 +aS'2012-05-26\t2012-05-26\tCD\tI-NP\tO' +p354225 +asS'This 78 year old Mexican speaking female presented to the emergency department on 2015-04-16 .' +p354226 +(lp354227 +S'This\tThis\tDT\tB-NP\tO' +p354228 +aS'78\t78\tCD\tI-NP\tO' +p354229 +aS'year\tyear\tNN\tI-NP\tO' +p354230 +aS'old\told\tJJ\tI-NP\tO' +p354231 +aS'Mexican\tMexican\tNN\tI-NP\tO' +p354232 +aS'speaking\tspeak\tVBG\tB-VP\tO' +p354233 +aS'female\tfemale\tJJ\tB-ADJP\tO' +p354234 +aS'presented\tpresent\tVBN\tB-VP\tO' +p354235 +aS'to\tto\tTO\tB-PP\tO' +p354236 +aS'the\tthe\tDT\tB-NP\tO' +p354237 +aS'emergency\temergency\tNN\tI-NP\tO' +p354238 +aS'department\tdepartment\tNN\tI-NP\tO' +p354239 +aS'on\ton\tIN\tB-PP\tO' +p354240 +aS'2015-04-16\t2015-04-16\tCD\tB-NP\tO' +p354241 +aS'.\t.\t.\tO\tO' +p354242 +asS'Apgars were 8 and 9 .' +p354243 +(lp354244 +S'Apgars\tApgar\tNNS\tB-NP\tO' +p354245 +aS'were\tbe\tVBD\tB-VP\tO' +p354246 +aS'8\t8\tCD\tB-NP\tO' +p354247 +aS'and\tand\tCC\tI-NP\tO' +p354248 +aS'9\t9\tCD\tI-NP\tO' +p354249 +aS'.\t.\t.\tO\tO' +p354250 +asS'3. Aspirin 81 mg Tablet , Delayed Release ( E.C. ) Sig : One ( 1 ) Tablet , Delayed Release ( E.C. ) PO DAILY ( Daily ) .' +p354251 +(lp354252 +S'3.\t3.\tLS\tB-NP\tO' +p354253 +aS'Aspirin\tAspirin\tNN\tI-NP\tO' +p354254 +aS'81\t81\tCD\tB-NP\tO' +p354255 +aS'mg\tmg\tNN\tI-NP\tO' +p354256 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p354257 +aS',\t,\t,\tO\tO' +p354258 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p354259 +aS'Release\tRelease\tNNP\tI-NP\tO' +p354260 +aS'(\t(\t(\tO\tO' +p354261 +aS'E.C.\tE.C.\tNNP\tB-NP\tO' +p354262 +aS')\t)\t)\tO\tO' +p354263 +aS'Sig\tSig\tNNP\tB-NP\tO' +p354264 +aS':\t:\t:\tO\tO' +p354265 +aS'One\tOne\tCD\tB-NP\tO' +p354266 +aS'(\t(\t(\tO\tO' +p354267 +aS'1\t1\tCD\tB-NP\tO' +p354268 +aS')\t)\t)\tO\tO' +p354269 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p354270 +aS',\t,\t,\tO\tO' +p354271 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p354272 +aS'Release\tRelease\tNNP\tI-NP\tO' +p354273 +aS'(\t(\t(\tO\tO' +p354274 +aS'E.C.\tE.C.\tNNP\tO\tO' +p354275 +aS')\t)\t)\tO\tO' +p354276 +aS'PO\tPO\tNN\tB-NP\tO' +p354277 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p354278 +aS'(\t(\t(\tO\tO' +p354279 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p354280 +aS')\t)\t)\tO\tO' +p354281 +aS'.\t.\t.\tO\tO' +p354282 +asS'This consisted of continued nebulizer treatments as well as intravenous antibiotics and intravenous Solu-Medrol .' +p354283 +(lp354284 +S'This\tThis\tDT\tB-NP\tO' +p354285 +aS'consisted\tconsist\tVBD\tB-VP\tO' +p354286 +aS'of\tof\tIN\tB-PP\tO' +p354287 +aS'continued\tcontinue\tVBN\tB-NP\tO' +p354288 +aS'nebulizer\tnebulizer\tNN\tI-NP\tO' +p354289 +aS'treatments\ttreatment\tNNS\tI-NP\tO' +p354290 +aS'as\tas\tRB\tB-CONJP\tO' +p354291 +aS'well\twell\tRB\tI-CONJP\tO' +p354292 +aS'as\tas\tIN\tI-CONJP\tO' +p354293 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p354294 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p354295 +aS'and\tand\tCC\tO\tO' +p354296 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p354297 +aS'Solu-Medrol\tSolu-Medrol\tNN\tI-NP\tO' +p354298 +aS'.\t.\t.\tO\tO' +p354299 +asS'- if HR drops , restart glucagon gtt' +p354300 +(lp354301 +S'-\t-\t:\tO\tO' +p354302 +aS'if\tif\tIN\tB-SBAR\tO' +p354303 +aS'HR\tHR\tNN\tB-NP\tB-protein' +p354304 +aS'drops\tdrop\tNNS\tI-NP\tI-protein' +p354305 +aS',\t,\t,\tO\tO' +p354306 +aS'restart\trestart\tVB\tB-VP\tO' +p354307 +aS'glucagon\tglucagon\tNN\tB-NP\tO' +p354308 +aS'gtt\tgtt\tNN\tI-NP\tO' +p354309 +asS'Heme negative .' +p354310 +(lp354311 +S'Heme\tHeme\tNN\tB-NP\tB-protein' +p354312 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p354313 +aS'.\t.\t.\tO\tO' +p354314 +asS'On the first postoperative day her diet was advanced as tolerated and she was transferred to the patient care floor .' +p354315 +(lp354316 +S'On\tOn\tIN\tB-PP\tO' +p354317 +aS'the\tthe\tDT\tB-NP\tO' +p354318 +aS'first\tfirst\tJJ\tI-NP\tO' +p354319 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p354320 +aS'day\tday\tNN\tI-NP\tO' +p354321 +aS'her\ther\tPRP$\tB-NP\tO' +p354322 +aS'diet\tdiet\tNN\tI-NP\tO' +p354323 +aS'was\tbe\tVBD\tB-VP\tO' +p354324 +aS'advanced\tadvance\tVBN\tI-VP\tO' +p354325 +aS'as\tas\tIN\tB-SBAR\tO' +p354326 +aS'tolerated\ttolerate\tVBN\tB-VP\tO' +p354327 +aS'and\tand\tCC\tO\tO' +p354328 +aS'she\tshe\tPRP\tB-NP\tO' +p354329 +aS'was\tbe\tVBD\tB-VP\tO' +p354330 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p354331 +aS'to\tto\tTO\tB-PP\tO' +p354332 +aS'the\tthe\tDT\tB-NP\tO' +p354333 +aS'patient\tpatient\tNN\tI-NP\tO' +p354334 +aS'care\tcare\tNN\tI-NP\tO' +p354335 +aS'floor\tfloor\tNN\tI-NP\tO' +p354336 +aS'.\t.\t.\tO\tO' +p354337 +asS'Ext : Warm , well-perfused - edema , - varicosities' +p354338 +(lp354339 +S'Ext\tExt\tNNP\tB-NP\tO' +p354340 +aS':\t:\t:\tO\tO' +p354341 +aS'Warm\tWarm\tNNP\tB-NP\tO' +p354342 +aS',\t,\t,\tO\tO' +p354343 +aS'well-perfused\twell-perfused\tJJ\tB-NP\tO' +p354344 +aS'-\t-\tHYPH\tI-NP\tO' +p354345 +aS'edema\tedema\tNN\tI-NP\tO' +p354346 +aS',\t,\t,\tO\tO' +p354347 +aS'-\t-\tHYPH\tB-NP\tO' +p354348 +aS'varicosities\tvaricosity\tNNS\tI-NP\tO' +p354349 +asS'He is a paraplegic from T4 down .' +p354350 +(lp354351 +S'He\tHe\tPRP\tB-NP\tB-DNA' +p354352 +aS'is\tbe\tVBZ\tB-VP\tO' +p354353 +aS'a\ta\tDT\tB-NP\tO' +p354354 +aS'paraplegic\tparaplegic\tJJ\tI-NP\tO' +p354355 +aS'from\tfrom\tIN\tB-PP\tO' +p354356 +aS'T4\tT4\tNN\tB-VP\tB-DNA' +p354357 +aS'down\tdown\tRP\tB-ADVP\tO' +p354358 +aS'.\t.\t.\tO\tO' +p354359 +asS'Anemia of chronic disease .' +p354360 +(lp354361 +S'Anemia\tAnemia\tNN\tB-NP\tO' +p354362 +aS'of\tof\tIN\tB-PP\tO' +p354363 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p354364 +aS'disease\tdisease\tNN\tI-NP\tO' +p354365 +aS'.\t.\t.\tO\tO' +p354366 +asS'Multivitamin , one tab q.d. Morphine immediate release , MSIR , 15 to 30 mg p.o. q 2 to 3 hours prn pain .' +p354367 +(lp354368 +S'Multivitamin\tMultivitamin\tNN\tB-NP\tO' +p354369 +aS',\t,\t,\tO\tO' +p354370 +aS'one\tone\tCD\tB-NP\tO' +p354371 +aS'tab\ttab\tNN\tI-NP\tO' +p354372 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p354373 +aS'Morphine\tMorphine\tNN\tI-NP\tO' +p354374 +aS'immediate\timmediate\tJJ\tI-NP\tO' +p354375 +aS'release\trelease\tNN\tI-NP\tO' +p354376 +aS',\t,\t,\tO\tO' +p354377 +aS'MSIR\tMSIR\tNN\tB-NP\tB-protein' +p354378 +aS',\t,\t,\tO\tO' +p354379 +aS'15\t15\tCD\tB-NP\tO' +p354380 +aS'to\tto\tTO\tI-NP\tO' +p354381 +aS'30\t30\tCD\tI-NP\tO' +p354382 +aS'mg\tmg\tNN\tI-NP\tO' +p354383 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p354384 +aS'q\tq\tNN\tI-NP\tO' +p354385 +aS'2\t2\tCD\tI-NP\tO' +p354386 +aS'to\tto\tTO\tI-NP\tO' +p354387 +aS'3\t3\tCD\tI-NP\tO' +p354388 +aS'hours\thour\tNNS\tI-NP\tO' +p354389 +aS'prn\tprn\tJJ\tI-NP\tO' +p354390 +aS'pain\tpain\tNN\tI-NP\tO' +p354391 +aS'.\t.\t.\tO\tO' +p354392 +asS'- pt r'd / o for mi by CPK ( 54-> 38-> 33 ) and TPN ( 0.03 ) , and stable EKG .' +p354393 +(lp354394 +S'-\t-\tHYPH\tB-NP\tO' +p354395 +aS'pt\tpt\tNN\tI-NP\tO' +p354396 +aS'r'd\tr'd\tNN\tI-NP\tO' +p354397 +aS'/\t/\tSYM\tB-NP\tO' +p354398 +aS'o\to\tNN\tI-NP\tO' +p354399 +aS'for\tfor\tIN\tB-PP\tO' +p354400 +aS'mi\tmi\tNNS\tB-NP\tO' +p354401 +aS'by\tby\tIN\tB-PP\tO' +p354402 +aS'CPK\tCPK\tNN\tB-NP\tB-protein' +p354403 +aS'(\t(\t(\tO\tO' +p354404 +aS'54->\t54->\tCD\tB-NP\tO' +p354405 +aS'38->\t38->\tJJ\tI-NP\tO' +p354406 +aS'33\t33\tCD\tI-NP\tO' +p354407 +aS')\t)\t)\tO\tO' +p354408 +aS'and\tand\tCC\tO\tO' +p354409 +aS'TPN\tTPN\tNN\tB-NP\tB-protein' +p354410 +aS'(\t(\t(\tO\tO' +p354411 +aS'0.03\t0.03\tCD\tB-NP\tO' +p354412 +aS')\t)\t)\tO\tO' +p354413 +aS',\t,\t,\tO\tO' +p354414 +aS'and\tand\tCC\tO\tO' +p354415 +aS'stable\tstable\tJJ\tB-NP\tO' +p354416 +aS'EKG\tEKG\tNN\tI-NP\tO' +p354417 +aS'.\t.\t.\tO\tO' +p354418 +asS'The patient was a soft-spoken male resting in his bed in no acute distress .' +p354419 +(lp354420 +S'The\tThe\tDT\tB-NP\tO' +p354421 +aS'patient\tpatient\tNN\tI-NP\tO' +p354422 +aS'was\tbe\tVBD\tB-VP\tO' +p354423 +aS'a\ta\tDT\tB-NP\tO' +p354424 +aS'soft-spoken\tsoft-spoken\tJJ\tI-NP\tO' +p354425 +aS'male\tmale\tNN\tI-NP\tO' +p354426 +aS'resting\trest\tVBG\tB-VP\tO' +p354427 +aS'in\tin\tIN\tB-PP\tO' +p354428 +aS'his\this\tPRP$\tB-NP\tO' +p354429 +aS'bed\tbed\tNN\tI-NP\tO' +p354430 +aS'in\tin\tIN\tB-PP\tO' +p354431 +aS'no\tno\tDT\tB-NP\tO' +p354432 +aS'acute\tacute\tJJ\tI-NP\tO' +p354433 +aS'distress\tdistress\tNN\tI-NP\tO' +p354434 +aS'.\t.\t.\tO\tO' +p354435 +asS'On sensory examination , had decreased pin prick , temperature , vibration in the left side of the body .' +p354436 +(lp354437 +S'On\tOn\tIN\tB-PP\tO' +p354438 +aS'sensory\tsensory\tJJ\tB-NP\tO' +p354439 +aS'examination\texamination\tNN\tI-NP\tO' +p354440 +aS',\t,\t,\tO\tO' +p354441 +aS'had\thave\tVBD\tB-VP\tO' +p354442 +aS'decreased\tdecrease\tVBN\tI-VP\tO' +p354443 +aS'pin\tpin\tNN\tB-NP\tO' +p354444 +aS'prick\tprick\tNN\tI-NP\tO' +p354445 +aS',\t,\t,\tO\tO' +p354446 +aS'temperature\ttemperature\tNN\tB-NP\tO' +p354447 +aS',\t,\t,\tO\tO' +p354448 +aS'vibration\tvibration\tNN\tB-NP\tO' +p354449 +aS'in\tin\tIN\tB-PP\tO' +p354450 +aS'the\tthe\tDT\tB-NP\tO' +p354451 +aS'left\tleft\tJJ\tI-NP\tO' +p354452 +aS'side\tside\tNN\tI-NP\tO' +p354453 +aS'of\tof\tIN\tB-PP\tO' +p354454 +aS'the\tthe\tDT\tB-NP\tO' +p354455 +aS'body\tbody\tNN\tI-NP\tO' +p354456 +aS'.\t.\t.\tO\tO' +p354457 +asS'IMPRESSION : Moderate to large pericardial effusion ( minimal fluid anteriorly ( 1cm ), ? bloody ).' +p354458 +(lp354459 +S'IMPRESSION\tIMPRESSION\tNN\tB-NP\tO' +p354460 +aS':\t:\t:\tO\tO' +p354461 +aS'Moderate\tModerate\tJJ\tB-ADJP\tO' +p354462 +aS'to\tto\tTO\tB-PP\tO' +p354463 +aS'large\tlarge\tJJ\tB-NP\tO' +p354464 +aS'pericardial\tpericardial\tJJ\tI-NP\tO' +p354465 +aS'effusion\teffusion\tNN\tI-NP\tO' +p354466 +aS'(\t(\t(\tO\tO' +p354467 +aS'minimal\tminimal\tJJ\tB-NP\tO' +p354468 +aS'fluid\tfluid\tNN\tI-NP\tO' +p354469 +aS'anteriorly\tanteriorly\tRB\tB-ADVP\tO' +p354470 +aS'(\t(\t(\tO\tO' +p354471 +aS'1cm\t1cm\tRB\tB-ADVP\tO' +p354472 +aS'),\t),\t)\tO\tO' +p354473 +aS'?\t?\t.\tO\tO' +p354474 +aS'bloody\tbloody\tJJ\tB-NP\tO' +p354475 +aS').\t).\tNNS\tI-NP\tO' +p354476 +asS'Blood cultures on this admission and were positive for Beta streptococcus Group B .' +p354477 +(lp354478 +S'Blood\tBlood\tNN\tB-NP\tO' +p354479 +aS'cultures\tculture\tNNS\tI-NP\tO' +p354480 +aS'on\ton\tIN\tB-PP\tO' +p354481 +aS'this\tthis\tDT\tB-NP\tO' +p354482 +aS'admission\tadmission\tNN\tI-NP\tO' +p354483 +aS'and\tand\tCC\tO\tO' +p354484 +aS'were\tbe\tVBD\tB-VP\tO' +p354485 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p354486 +aS'for\tfor\tIN\tB-PP\tO' +p354487 +aS'Beta\tBeta\tNNP\tB-NP\tO' +p354488 +aS'streptococcus\tstreptococcus\tNNP\tI-NP\tO' +p354489 +aS'Group\tGroup\tNNP\tI-NP\tO' +p354490 +aS'B\tB\tNNP\tI-NP\tO' +p354491 +aS'.\t.\t.\tO\tO' +p354492 +asS'After multiple attempts of weaning the Pentobarb , the patient was continually reverting to status epilepticus which was never able to be suppressed .' +p354493 +(lp354494 +S'After\tAfter\tIN\tB-PP\tO' +p354495 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p354496 +aS'attempts\tattempt\tNNS\tI-NP\tO' +p354497 +aS'of\tof\tIN\tB-PP\tO' +p354498 +aS'weaning\twean\tVBG\tB-VP\tO' +p354499 +aS'the\tthe\tDT\tB-NP\tO' +p354500 +aS'Pentobarb\tPentobarb\tNNP\tI-NP\tO' +p354501 +aS',\t,\t,\tO\tO' +p354502 +aS'the\tthe\tDT\tB-NP\tO' +p354503 +aS'patient\tpatient\tNN\tI-NP\tO' +p354504 +aS'was\tbe\tVBD\tB-VP\tO' +p354505 +aS'continually\tcontinually\tRB\tI-VP\tO' +p354506 +aS'reverting\trevert\tVBG\tI-VP\tO' +p354507 +aS'to\tto\tTO\tB-PP\tO' +p354508 +aS'status\tstatus\tNN\tB-NP\tO' +p354509 +aS'epilepticus\tepilepticus\tNN\tI-NP\tO' +p354510 +aS'which\twhich\tWDT\tB-NP\tO' +p354511 +aS'was\tbe\tVBD\tB-VP\tO' +p354512 +aS'never\tnever\tRB\tB-ADVP\tO' +p354513 +aS'able\table\tJJ\tB-ADJP\tO' +p354514 +aS'to\tto\tTO\tB-VP\tO' +p354515 +aS'be\tbe\tVB\tI-VP\tO' +p354516 +aS'suppressed\tsuppress\tVBN\tI-VP\tO' +p354517 +aS'.\t.\t.\tO\tO' +p354518 +asS'It decreased to 30 in the setting of aggressive hydration .' +p354519 +(lp354520 +S'It\tIt\tPRP\tB-NP\tO' +p354521 +aS'decreased\tdecrease\tVBD\tB-VP\tO' +p354522 +aS'to\tto\tTO\tB-PP\tO' +p354523 +aS'30\t30\tCD\tB-NP\tO' +p354524 +aS'in\tin\tIN\tB-PP\tO' +p354525 +aS'the\tthe\tDT\tB-NP\tO' +p354526 +aS'setting\tsetting\tNN\tI-NP\tO' +p354527 +aS'of\tof\tIN\tB-PP\tO' +p354528 +aS'aggressive\taggressive\tJJ\tB-NP\tO' +p354529 +aS'hydration\thydration\tNN\tI-NP\tO' +p354530 +aS'.\t.\t.\tO\tO' +p354531 +asS'She wanted to be closer to North Dakota .' +p354532 +(lp354533 +S'She\tShe\tPRP\tB-NP\tO' +p354534 +aS'wanted\twant\tVBD\tB-VP\tO' +p354535 +aS'to\tto\tTO\tI-VP\tO' +p354536 +aS'be\tbe\tVB\tI-VP\tO' +p354537 +aS'closer\tclose\tJJR\tB-ADJP\tO' +p354538 +aS'to\tto\tTO\tB-PP\tO' +p354539 +aS'North\tNorth\tNNP\tB-NP\tO' +p354540 +aS'Dakota\tDakota\tNNP\tI-NP\tO' +p354541 +aS'.\t.\t.\tO\tO' +p354542 +asS"Patient's K was followed , and trended back down to normal on the day of discharge at 3.9 ." +p354543 +(lp354544 +S"Patient's\tPatient'\tNNS\tB-NP\tO" +p354545 +aS'K\tK\tNN\tI-NP\tO' +p354546 +aS'was\tbe\tVBD\tB-VP\tO' +p354547 +aS'followed\tfollow\tVBN\tI-VP\tO' +p354548 +aS',\t,\t,\tO\tO' +p354549 +aS'and\tand\tCC\tO\tO' +p354550 +aS'trended\ttrend\tVBD\tB-VP\tO' +p354551 +aS'back\tback\tRB\tB-ADVP\tO' +p354552 +aS'down\tdown\tRB\tB-ADVP\tO' +p354553 +aS'to\tto\tTO\tB-PP\tO' +p354554 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p354555 +aS'on\ton\tIN\tB-PP\tO' +p354556 +aS'the\tthe\tDT\tB-NP\tO' +p354557 +aS'day\tday\tNN\tI-NP\tO' +p354558 +aS'of\tof\tIN\tB-PP\tO' +p354559 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p354560 +aS'at\tat\tIN\tB-PP\tO' +p354561 +aS'3.9\t3.9\tCD\tB-NP\tO' +p354562 +aS'.\t.\t.\tO\tO' +p354563 +asS'alkaline phosphatase 101 .' +p354564 +(lp354565 +S'alkaline\talkaline\tNN\tB-NP\tO' +p354566 +aS'phosphatase\tphosphatase\tNN\tI-NP\tO' +p354567 +aS'101\t101\tCD\tI-NP\tO' +p354568 +aS'.\t.\t.\tO\tO' +p354569 +asS'Remote history of tobacco , occasional alcohol use .' +p354570 +(lp354571 +S'Remote\tRemote\tJJ\tB-NP\tO' +p354572 +aS'history\thistory\tNN\tI-NP\tO' +p354573 +aS'of\tof\tIN\tB-PP\tO' +p354574 +aS'tobacco\ttobacco\tNN\tB-NP\tO' +p354575 +aS',\t,\t,\tO\tO' +p354576 +aS'occasional\toccasional\tJJ\tB-NP\tO' +p354577 +aS'alcohol\talcohol\tNN\tI-NP\tO' +p354578 +aS'use\tuse\tNN\tI-NP\tO' +p354579 +aS'.\t.\t.\tO\tO' +p354580 +asS'Sodium 139 , potassium 4.7 , chloride 106 , bicarbonate 21.6 , BUN 22 , creatinine 1.6 , glucose 107 , amylase 120 , calcium 8.7 , phosphorus 3.3 , magnesium 1.9 , total protein 7.5 , albumin 3.9 , globulin 3.6 , uric acid 5.6 , alkaline phosphatase 43 , GOT 42 , LDH 549 with hemolyzed sample .' +p354581 +(lp354582 +S'Sodium\tSodium\tNN\tB-NP\tB-protein' +p354583 +aS'139\t139\tCD\tI-NP\tI-protein' +p354584 +aS',\t,\t,\tO\tO' +p354585 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p354586 +aS'4.7\t4.7\tCD\tI-NP\tO' +p354587 +aS',\t,\t,\tO\tO' +p354588 +aS'chloride\tchloride\tNN\tB-NP\tO' +p354589 +aS'106\t106\tCD\tI-NP\tO' +p354590 +aS',\t,\t,\tO\tO' +p354591 +aS'bicarbonate\tbicarbonate\tNN\tB-NP\tB-protein' +p354592 +aS'21.6\t21.6\tCD\tI-NP\tI-protein' +p354593 +aS',\t,\t,\tO\tO' +p354594 +aS'BUN\tBUN\tNN\tB-NP\tB-DNA' +p354595 +aS'22\t22\tCD\tI-NP\tI-DNA' +p354596 +aS',\t,\t,\tO\tO' +p354597 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p354598 +aS'1.6\t1.6\tCD\tI-NP\tO' +p354599 +aS',\t,\t,\tO\tO' +p354600 +aS'glucose\tglucose\tNN\tB-NP\tO' +p354601 +aS'107\t107\tCD\tI-NP\tO' +p354602 +aS',\t,\t,\tO\tO' +p354603 +aS'amylase\tamylase\tNN\tB-NP\tB-protein' +p354604 +aS'120\t120\tCD\tI-NP\tI-protein' +p354605 +aS',\t,\t,\tO\tO' +p354606 +aS'calcium\tcalcium\tNN\tB-NP\tO' +p354607 +aS'8.7\t8.7\tCD\tI-NP\tO' +p354608 +aS',\t,\t,\tO\tO' +p354609 +aS'phosphorus\tphosphorus\tNN\tB-NP\tO' +p354610 +aS'3.3\t3.3\tCD\tI-NP\tO' +p354611 +aS',\t,\t,\tO\tO' +p354612 +aS'magnesium\tmagnesium\tNN\tB-NP\tO' +p354613 +aS'1.9\t1.9\tCD\tI-NP\tO' +p354614 +aS',\t,\t,\tO\tO' +p354615 +aS'total\ttotal\tJJ\tB-NP\tO' +p354616 +aS'protein\tprotein\tNN\tI-NP\tO' +p354617 +aS'7.5\t7.5\tCD\tI-NP\tO' +p354618 +aS',\t,\t,\tO\tO' +p354619 +aS'albumin\talbumin\tNN\tB-NP\tB-protein' +p354620 +aS'3.9\t3.9\tCD\tI-NP\tI-protein' +p354621 +aS',\t,\t,\tO\tO' +p354622 +aS'globulin\tglobulin\tNN\tB-NP\tB-protein' +p354623 +aS'3.6\t3.6\tCD\tI-NP\tI-protein' +p354624 +aS',\t,\t,\tO\tO' +p354625 +aS'uric\turic\tJJ\tB-NP\tO' +p354626 +aS'acid\tacid\tNN\tI-NP\tO' +p354627 +aS'5.6\t5.6\tCD\tI-NP\tO' +p354628 +aS',\t,\t,\tO\tO' +p354629 +aS'alkaline\talkaline\tNN\tB-NP\tO' +p354630 +aS'phosphatase\tphosphatase\tNN\tI-NP\tO' +p354631 +aS'43\t43\tCD\tI-NP\tO' +p354632 +aS',\t,\t,\tO\tO' +p354633 +aS'GOT\tGOT\tNN\tB-NP\tB-DNA' +p354634 +aS'42\t42\tCD\tI-NP\tI-DNA' +p354635 +aS',\t,\t,\tO\tO' +p354636 +aS'LDH\tLDH\tNN\tB-NP\tB-protein' +p354637 +aS'549\t549\tCD\tI-NP\tI-protein' +p354638 +aS'with\twith\tIN\tB-PP\tO' +p354639 +aS'hemolyzed\themolyze\tVBN\tB-NP\tO' +p354640 +aS'sample\tsample\tNN\tI-NP\tO' +p354641 +aS'.\t.\t.\tO\tO' +p354642 +asS'Heart size normal .' +p354643 +(lp354644 +S'Heart\tHeart\tNN\tB-NP\tO' +p354645 +aS'size\tsize\tNN\tI-NP\tO' +p354646 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p354647 +aS'.\t.\t.\tO\tO' +p354648 +asS'The patient had conduction hearing on the left side , which had been old .' +p354649 +(lp354650 +S'The\tThe\tDT\tB-NP\tO' +p354651 +aS'patient\tpatient\tNN\tI-NP\tO' +p354652 +aS'had\thave\tVBD\tB-VP\tO' +p354653 +aS'conduction\tconduction\tNN\tB-NP\tO' +p354654 +aS'hearing\thearing\tNN\tI-NP\tO' +p354655 +aS'on\ton\tIN\tB-PP\tO' +p354656 +aS'the\tthe\tDT\tB-NP\tO' +p354657 +aS'left\tleft\tJJ\tI-NP\tO' +p354658 +aS'side\tside\tNN\tI-NP\tO' +p354659 +aS',\t,\t,\tO\tO' +p354660 +aS'which\twhich\tWDT\tB-NP\tO' +p354661 +aS'had\thave\tVBD\tB-VP\tO' +p354662 +aS'been\tbe\tVBN\tI-VP\tO' +p354663 +aS'old\told\tJJ\tB-ADJP\tO' +p354664 +aS'.\t.\t.\tO\tO' +p354665 +asS'Patient was restarted on po feeds as of day of life three after the bleeding had stabilized .' +p354666 +(lp354667 +S'Patient\tPatient\tNN\tB-NP\tO' +p354668 +aS'was\tbe\tVBD\tB-VP\tO' +p354669 +aS'restarted\trestart\tVBN\tI-VP\tO' +p354670 +aS'on\ton\tIN\tB-PP\tO' +p354671 +aS'po\tpo\tNN\tB-NP\tO' +p354672 +aS'feeds\tfeed\tNNS\tI-NP\tO' +p354673 +aS'as\tas\tIN\tB-PP\tO' +p354674 +aS'of\tof\tIN\tB-PP\tO' +p354675 +aS'day\tday\tNN\tB-NP\tO' +p354676 +aS'of\tof\tIN\tB-PP\tO' +p354677 +aS'life\tlife\tNN\tB-NP\tO' +p354678 +aS'three\tthree\tCD\tI-NP\tO' +p354679 +aS'after\tafter\tIN\tB-PP\tO' +p354680 +aS'the\tthe\tDT\tB-NP\tO' +p354681 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p354682 +aS'had\thave\tVBD\tB-VP\tO' +p354683 +aS'stabilized\tstabilize\tVBN\tI-VP\tO' +p354684 +aS'.\t.\t.\tO\tO' +p354685 +asS'Attending : Mary T Davis , M.D.' +p354686 +(lp354687 +S'Attending\tAttend\tVBG\tB-VP\tO' +p354688 +aS':\t:\t:\tO\tO' +p354689 +aS'Mary\tMary\tNNP\tB-NP\tO' +p354690 +aS'T\tT\tNNP\tI-NP\tO' +p354691 +aS'Davis\tDavis\tNNP\tI-NP\tO' +p354692 +aS',\t,\t,\tO\tO' +p354693 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p354694 +asS'She was restarted on 20 mg p.o. q day prior to discharge .' +p354695 +(lp354696 +S'She\tShe\tPRP\tB-NP\tO' +p354697 +aS'was\tbe\tVBD\tB-VP\tO' +p354698 +aS'restarted\trestart\tVBN\tI-VP\tO' +p354699 +aS'on\ton\tIN\tB-PP\tO' +p354700 +aS'20\t20\tCD\tB-NP\tO' +p354701 +aS'mg\tmg\tNN\tI-NP\tO' +p354702 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p354703 +aS'q\tq\tNN\tI-NP\tO' +p354704 +aS'day\tday\tNN\tI-NP\tO' +p354705 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p354706 +aS'to\tto\tTO\tB-VP\tO' +p354707 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p354708 +aS'.\t.\t.\tO\tO' +p354709 +asS'PCP at Cynthia ( 656 ) 302 4444 Dr. Mosier .' +p354710 +(lp354711 +S'PCP\tPCP\tNN\tB-NP\tO' +p354712 +aS'at\tat\tIN\tB-PP\tO' +p354713 +aS'Cynthia\tCynthia\tNNP\tB-NP\tO' +p354714 +aS'(\t(\t(\tO\tO' +p354715 +aS'656\t656\tCD\tB-NP\tO' +p354716 +aS')\t)\t)\tO\tO' +p354717 +aS'302\t302\tCD\tB-NP\tO' +p354718 +aS'4444\t4444\tCD\tI-NP\tO' +p354719 +aS'Dr.\tDr.\tNNP\tI-NP\tO' +p354720 +aS'Mosier\tMosier\tNNP\tI-NP\tO' +p354721 +aS'.\t.\t.\tO\tO' +p354722 +asS'He had palmar erythema .' +p354723 +(lp354724 +S'He\tHe\tPRP\tB-NP\tO' +p354725 +aS'had\thave\tVBD\tB-VP\tO' +p354726 +aS'palmar\tpalmar\tJJ\tB-NP\tO' +p354727 +aS'erythema\terythema\tNN\tI-NP\tO' +p354728 +aS'.\t.\t.\tO\tO' +p354729 +asS'1. Term ( 37 and 1/7 weeks ) appropriate for gestational age male neonate .' +p354730 +(lp354731 +S'1.\t1.\tLS\tB-NP\tO' +p354732 +aS'Term\tTerm\tNN\tI-NP\tO' +p354733 +aS'(\t(\t(\tO\tO' +p354734 +aS'37\t37\tCD\tB-NP\tO' +p354735 +aS'and\tand\tCC\tI-NP\tO' +p354736 +aS'1/7\t1/7\tCD\tI-NP\tO' +p354737 +aS'weeks\tweek\tNNS\tI-NP\tO' +p354738 +aS')\t)\t)\tO\tO' +p354739 +aS'appropriate\tappropriate\tJJ\tB-ADJP\tO' +p354740 +aS'for\tfor\tIN\tB-PP\tO' +p354741 +aS'gestational\tgestational\tJJ\tB-NP\tO' +p354742 +aS'age\tage\tNN\tI-NP\tO' +p354743 +aS'male\tmale\tJJ\tI-NP\tO' +p354744 +aS'neonate\tneonate\tNN\tI-NP\tO' +p354745 +aS'.\t.\t.\tO\tO' +p354746 +asS'The patient did have a Swan-Ganz catheter in place and had a low cardiac output .' +p354747 +(lp354748 +S'The\tThe\tDT\tB-NP\tO' +p354749 +aS'patient\tpatient\tNN\tI-NP\tO' +p354750 +aS'did\tdo\tVBD\tB-VP\tO' +p354751 +aS'have\thave\tVB\tI-VP\tO' +p354752 +aS'a\ta\tDT\tB-NP\tO' +p354753 +aS'Swan-Ganz\tSwan-Ganz\tJJ\tI-NP\tO' +p354754 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p354755 +aS'in\tin\tIN\tB-PP\tO' +p354756 +aS'place\tplace\tNN\tB-NP\tO' +p354757 +aS'and\tand\tCC\tO\tO' +p354758 +aS'had\thave\tVBD\tB-VP\tO' +p354759 +aS'a\ta\tDT\tB-NP\tO' +p354760 +aS'low\tlow\tJJ\tI-NP\tO' +p354761 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p354762 +aS'output\toutput\tNN\tI-NP\tO' +p354763 +aS'.\t.\t.\tO\tO' +p354764 +asS'Additionally , there is diminished color flow with confluence of the hepatic veins .' +p354765 +(lp354766 +S'Additionally\tAdditionally\tRB\tB-ADVP\tO' +p354767 +aS',\t,\t,\tO\tO' +p354768 +aS'there\tthere\tEX\tB-NP\tO' +p354769 +aS'is\tbe\tVBZ\tB-VP\tO' +p354770 +aS'diminished\tdiminish\tVBN\tI-VP\tO' +p354771 +aS'color\tcolor\tNN\tB-NP\tO' +p354772 +aS'flow\tflow\tNN\tI-NP\tO' +p354773 +aS'with\twith\tIN\tB-PP\tO' +p354774 +aS'confluence\tconfluence\tNN\tB-NP\tO' +p354775 +aS'of\tof\tIN\tB-PP\tO' +p354776 +aS'the\tthe\tDT\tB-NP\tO' +p354777 +aS'hepatic\thepatic\tJJ\tI-NP\tB-protein' +p354778 +aS'veins\tvein\tNNS\tI-NP\tI-protein' +p354779 +aS'.\t.\t.\tO\tO' +p354780 +asS'Raymond did not receive any transfusions of blood products during admission .' +p354781 +(lp354782 +S'Raymond\tRaymond\tNNP\tB-NP\tO' +p354783 +aS'did\tdo\tVBD\tB-VP\tO' +p354784 +aS'not\tnot\tRB\tI-VP\tO' +p354785 +aS'receive\treceive\tVB\tI-VP\tO' +p354786 +aS'any\tany\tDT\tB-NP\tO' +p354787 +aS'transfusions\ttransfusion\tNNS\tI-NP\tO' +p354788 +aS'of\tof\tIN\tB-PP\tO' +p354789 +aS'blood\tblood\tNN\tB-NP\tO' +p354790 +aS'products\tproduct\tNNS\tI-NP\tO' +p354791 +aS'during\tduring\tIN\tB-PP\tO' +p354792 +aS'admission\tadmission\tNN\tB-NP\tO' +p354793 +aS'.\t.\t.\tO\tO' +p354794 +asS'Coumadin was reportedly discontinued approximately six months ago secondary to planned surgery for diabetic retinopathy and glaucoma .' +p354795 +(lp354796 +S'Coumadin\tCoumadin\tNN\tB-NP\tO' +p354797 +aS'was\tbe\tVBD\tB-VP\tO' +p354798 +aS'reportedly\treportedly\tRB\tI-VP\tO' +p354799 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p354800 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p354801 +aS'six\tsix\tCD\tI-NP\tO' +p354802 +aS'months\tmonth\tNNS\tI-NP\tO' +p354803 +aS'ago\tago\tRB\tB-ADJP\tO' +p354804 +aS'secondary\tsecondary\tJJ\tI-ADJP\tO' +p354805 +aS'to\tto\tTO\tB-PP\tO' +p354806 +aS'planned\tplan\tVBN\tB-NP\tO' +p354807 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p354808 +aS'for\tfor\tIN\tB-PP\tO' +p354809 +aS'diabetic\tdiabetic\tJJ\tB-NP\tO' +p354810 +aS'retinopathy\tretinopathy\tNN\tI-NP\tO' +p354811 +aS'and\tand\tCC\tI-NP\tO' +p354812 +aS'glaucoma\tglaucoma\tNN\tI-NP\tO' +p354813 +aS'.\t.\t.\tO\tO' +p354814 +asS'Neurological exam was alert and oriented x three .' +p354815 +(lp354816 +S'Neurological\tNeurological\tJJ\tB-NP\tO' +p354817 +aS'exam\texam\tNN\tI-NP\tO' +p354818 +aS'was\tbe\tVBD\tB-VP\tO' +p354819 +aS'alert\talert\tJJ\tB-ADJP\tO' +p354820 +aS'and\tand\tCC\tO\tO' +p354821 +aS'oriented\torient\tVBN\tB-VP\tO' +p354822 +aS'x\tx\tNN\tB-NP\tO' +p354823 +aS'three\tthree\tCD\tI-NP\tO' +p354824 +aS'.\t.\t.\tO\tO' +p354825 +asS'On 2014-04-04 , the transplant service was consulted because the patient was possibly going to the operating room for transplant on 2014-04-04 .' +p354826 +(lp354827 +S'On\tOn\tIN\tB-PP\tO' +p354828 +aS'2014-04-04\t2014-04-04\tCD\tB-NP\tO' +p354829 +aS',\t,\t,\tO\tO' +p354830 +aS'the\tthe\tDT\tB-NP\tO' +p354831 +aS'transplant\ttransplant\tNN\tI-NP\tO' +p354832 +aS'service\tservice\tNN\tI-NP\tO' +p354833 +aS'was\tbe\tVBD\tB-VP\tO' +p354834 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p354835 +aS'because\tbecause\tIN\tB-SBAR\tO' +p354836 +aS'the\tthe\tDT\tB-NP\tO' +p354837 +aS'patient\tpatient\tNN\tI-NP\tO' +p354838 +aS'was\tbe\tVBD\tB-VP\tO' +p354839 +aS'possibly\tpossibly\tRB\tI-VP\tO' +p354840 +aS'going\tgo\tVBG\tI-VP\tO' +p354841 +aS'to\tto\tTO\tB-PP\tO' +p354842 +aS'the\tthe\tDT\tB-NP\tO' +p354843 +aS'operating\toperating\tNN\tI-NP\tO' +p354844 +aS'room\troom\tNN\tI-NP\tO' +p354845 +aS'for\tfor\tIN\tB-PP\tO' +p354846 +aS'transplant\ttransplant\tNN\tB-NP\tO' +p354847 +aS'on\ton\tIN\tB-PP\tO' +p354848 +aS'2014-04-04\t2014-04-04\tCD\tB-NP\tO' +p354849 +aS'.\t.\t.\tO\tO' +p354850 +asS'4. Fluticasone .' +p354851 +(lp354852 +S'4.\t4.\tLS\tB-NP\tO' +p354853 +aS'Fluticasone\tFluticasone\tNN\tI-NP\tO' +p354854 +aS'.\t.\t.\tO\tO' +p354855 +asS'She has had an inguinal hernia repair .' +p354856 +(lp354857 +S'She\tShe\tPRP\tB-NP\tO' +p354858 +aS'has\thave\tVBZ\tB-VP\tO' +p354859 +aS'had\thave\tVBN\tI-VP\tO' +p354860 +aS'an\tan\tDT\tB-NP\tO' +p354861 +aS'inguinal\tinguinal\tJJ\tI-NP\tO' +p354862 +aS'hernia\thernia\tNN\tI-NP\tO' +p354863 +aS'repair\trepair\tNN\tI-NP\tO' +p354864 +aS'.\t.\t.\tO\tO' +p354865 +asS'The pregnancy was benign with an EDC of 2019-01-18 .' +p354866 +(lp354867 +S'The\tThe\tDT\tB-NP\tO' +p354868 +aS'pregnancy\tpregnancy\tNN\tI-NP\tO' +p354869 +aS'was\tbe\tVBD\tB-VP\tO' +p354870 +aS'benign\tbenign\tJJ\tB-ADJP\tO' +p354871 +aS'with\twith\tIN\tB-PP\tO' +p354872 +aS'an\tan\tDT\tB-NP\tO' +p354873 +aS'EDC\tEDC\tNN\tI-NP\tO' +p354874 +aS'of\tof\tIN\tB-PP\tO' +p354875 +aS'2019-01-18\t2019-01-18\tCD\tB-NP\tO' +p354876 +aS'.\t.\t.\tO\tO' +p354877 +asS'He underwent a PTC stenting of an RCA with a Vision stent , 3 x 18 .' +p354878 +(lp354879 +S'He\tHe\tPRP\tB-NP\tO' +p354880 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p354881 +aS'a\ta\tDT\tB-NP\tO' +p354882 +aS'PTC\tPTC\tNN\tI-NP\tO' +p354883 +aS'stenting\tstenting\tNN\tI-NP\tO' +p354884 +aS'of\tof\tIN\tB-PP\tO' +p354885 +aS'an\tan\tDT\tB-NP\tO' +p354886 +aS'RCA\tRCA\tNN\tI-NP\tB-protein' +p354887 +aS'with\twith\tIN\tB-PP\tO' +p354888 +aS'a\ta\tDT\tB-NP\tO' +p354889 +aS'Vision\tVision\tNNP\tI-NP\tO' +p354890 +aS'stent\tstent\tNN\tI-NP\tO' +p354891 +aS',\t,\t,\tO\tO' +p354892 +aS'3\t3\tCD\tB-NP\tO' +p354893 +aS'x\tx\tSYM\tI-NP\tO' +p354894 +aS'18\t18\tCD\tI-NP\tO' +p354895 +aS'.\t.\t.\tO\tO' +p354896 +asS'Wife denies any recent bleeding , surgeries , or upper respiratory infection .' +p354897 +(lp354898 +S'Wife\tWife\tNNP\tB-NP\tO' +p354899 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p354900 +aS'any\tany\tDT\tB-NP\tO' +p354901 +aS'recent\trecent\tJJ\tI-NP\tO' +p354902 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p354903 +aS',\t,\t,\tO\tO' +p354904 +aS'surgeries\tsurgeries\tNN\tB-NP\tO' +p354905 +aS',\t,\t,\tO\tO' +p354906 +aS'or\tor\tCC\tO\tO' +p354907 +aS'upper\tupper\tJJ\tB-NP\tO' +p354908 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p354909 +aS'infection\tinfection\tNN\tI-NP\tO' +p354910 +aS'.\t.\t.\tO\tO' +p354911 +asS'The patient was cleared from surgery from a cardiology standpoint .' +p354912 +(lp354913 +S'The\tThe\tDT\tB-NP\tO' +p354914 +aS'patient\tpatient\tNN\tI-NP\tO' +p354915 +aS'was\tbe\tVBD\tB-VP\tO' +p354916 +aS'cleared\tclear\tVBN\tI-VP\tO' +p354917 +aS'from\tfrom\tIN\tB-PP\tO' +p354918 +aS'surgery\tsurgery\tNN\tB-NP\tO' +p354919 +aS'from\tfrom\tIN\tB-PP\tO' +p354920 +aS'a\ta\tDT\tB-NP\tO' +p354921 +aS'cardiology\tcardiology\tNN\tI-NP\tO' +p354922 +aS'standpoint\tstandpoint\tNN\tI-NP\tO' +p354923 +aS'.\t.\t.\tO\tO' +p354924 +asS'Dr Scott Raines in 2-3 weeks please call for appointment' +p354925 +(lp354926 +S'Dr\tDr\tNNP\tB-NP\tO' +p354927 +aS'Scott\tScott\tNNP\tI-NP\tO' +p354928 +aS'Raines\tRaines\tNNP\tI-NP\tO' +p354929 +aS'in\tin\tIN\tB-PP\tO' +p354930 +aS'2-3\t2-3\tCD\tB-NP\tO' +p354931 +aS'weeks\tweek\tNNS\tI-NP\tO' +p354932 +aS'please\tplease\tNN\tI-NP\tO' +p354933 +aS'call\tcall\tVBP\tB-VP\tO' +p354934 +aS'for\tfor\tIN\tB-PP\tO' +p354935 +aS'appointment\tappointment\tNN\tB-NP\tO' +p354936 +asS'Patient , during this hospital course , became hypervolemic likely due to his diuretics being held and due to his receiving blood products .' +p354937 +(lp354938 +S'Patient\tPatient\tNN\tB-NP\tO' +p354939 +aS',\t,\t,\tO\tO' +p354940 +aS'during\tduring\tIN\tB-PP\tO' +p354941 +aS'this\tthis\tDT\tB-NP\tO' +p354942 +aS'hospital\thospital\tNN\tI-NP\tO' +p354943 +aS'course\tcourse\tNN\tI-NP\tO' +p354944 +aS',\t,\t,\tO\tO' +p354945 +aS'became\tbecome\tVBD\tB-VP\tO' +p354946 +aS'hypervolemic\thypervolemic\tJJ\tB-ADJP\tO' +p354947 +aS'likely\tlikely\tRB\tI-ADJP\tO' +p354948 +aS'due\tdue\tIN\tB-PP\tO' +p354949 +aS'to\tto\tTO\tB-PP\tO' +p354950 +aS'his\this\tPRP$\tB-NP\tO' +p354951 +aS'diuretics\tdiuretic\tNNS\tI-NP\tO' +p354952 +aS'being\tbe\tVBG\tB-VP\tO' +p354953 +aS'held\thold\tVBN\tI-VP\tO' +p354954 +aS'and\tand\tCC\tO\tO' +p354955 +aS'due\tdue\tJJ\tB-ADJP\tO' +p354956 +aS'to\tto\tTO\tB-PP\tO' +p354957 +aS'his\this\tPRP$\tB-NP\tB-protein' +p354958 +aS'receiving\treceive\tVBG\tI-NP\tI-protein' +p354959 +aS'blood\tblood\tNN\tI-NP\tI-protein' +p354960 +aS'products\tproduct\tNNS\tI-NP\tI-protein' +p354961 +aS'.\t.\t.\tO\tO' +p354962 +asS'Continue to take the antibiotics as directed .' +p354963 +(lp354964 +S'Continue\tContinue\tNNP\tB-NP\tO' +p354965 +aS'to\tto\tTO\tB-VP\tO' +p354966 +aS'take\ttake\tVB\tI-VP\tO' +p354967 +aS'the\tthe\tDT\tB-NP\tO' +p354968 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p354969 +aS'as\tas\tIN\tB-SBAR\tO' +p354970 +aS'directed\tdirect\tVBN\tB-VP\tO' +p354971 +aS'.\t.\t.\tO\tO' +p354972 +asS'She then became bradycardic which responded to atropine and intravenous fluids .' +p354973 +(lp354974 +S'She\tShe\tPRP\tB-NP\tO' +p354975 +aS'then\tthen\tRB\tB-ADVP\tO' +p354976 +aS'became\tbecome\tVBD\tB-VP\tO' +p354977 +aS'bradycardic\tbradycardic\tJJ\tB-ADJP\tO' +p354978 +aS'which\twhich\tWDT\tB-NP\tO' +p354979 +aS'responded\trespond\tVBD\tB-VP\tO' +p354980 +aS'to\tto\tTO\tB-PP\tO' +p354981 +aS'atropine\tatropine\tNN\tB-NP\tO' +p354982 +aS'and\tand\tCC\tO\tO' +p354983 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p354984 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p354985 +aS'.\t.\t.\tO\tO' +p354986 +asS'The prior study of 2017-06-01 ( tape reviewed ) was of very suboptimal technical quality and not directly comparable to the current study .' +p354987 +(lp354988 +S'The\tThe\tDT\tB-NP\tO' +p354989 +aS'prior\tprior\tJJ\tI-NP\tO' +p354990 +aS'study\tstudy\tNN\tI-NP\tO' +p354991 +aS'of\tof\tIN\tB-PP\tO' +p354992 +aS'2017-06-01\t2017-06-01\tCD\tB-NP\tO' +p354993 +aS'(\t(\t(\tO\tO' +p354994 +aS'tape\ttape\tNN\tB-NP\tO' +p354995 +aS'reviewed\treview\tVBN\tB-VP\tO' +p354996 +aS')\t)\t)\tO\tO' +p354997 +aS'was\tbe\tVBD\tB-VP\tO' +p354998 +aS'of\tof\tIN\tB-PP\tO' +p354999 +aS'very\tvery\tRB\tB-NP\tO' +p355000 +aS'suboptimal\tsuboptimal\tJJ\tI-NP\tO' +p355001 +aS'technical\ttechnical\tJJ\tI-NP\tO' +p355002 +aS'quality\tquality\tNN\tI-NP\tO' +p355003 +aS'and\tand\tCC\tO\tO' +p355004 +aS'not\tnot\tRB\tB-ADJP\tO' +p355005 +aS'directly\tdirectly\tRB\tI-ADJP\tO' +p355006 +aS'comparable\tcomparable\tJJ\tI-ADJP\tO' +p355007 +aS'to\tto\tTO\tB-PP\tO' +p355008 +aS'the\tthe\tDT\tB-NP\tO' +p355009 +aS'current\tcurrent\tJJ\tI-NP\tO' +p355010 +aS'study\tstudy\tNN\tI-NP\tO' +p355011 +aS'.\t.\t.\tO\tO' +p355012 +asS'Abdomen : Soft and nontender , nondistended with positive bowel sounds .' +p355013 +(lp355014 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p355015 +aS':\t:\t:\tO\tO' +p355016 +aS'Soft\tSoft\tJJ\tB-ADJP\tO' +p355017 +aS'and\tand\tCC\tI-ADJP\tO' +p355018 +aS'nontender\tnontender\tJJ\tI-ADJP\tO' +p355019 +aS',\t,\t,\tO\tO' +p355020 +aS'nondistended\tnondistended\tJJ\tB-ADJP\tO' +p355021 +aS'with\twith\tIN\tB-PP\tO' +p355022 +aS'positive\tpositive\tJJ\tB-NP\tO' +p355023 +aS'bowel\tbowel\tNN\tI-NP\tO' +p355024 +aS'sounds\tsound\tNNS\tI-NP\tO' +p355025 +aS'.\t.\t.\tO\tO' +p355026 +asS'When she tried to awaken him at 11 a.m. , she was unable to do so and called EMS .' +p355027 +(lp355028 +S'When\tWhen\tWRB\tB-ADVP\tO' +p355029 +aS'she\tshe\tPRP\tB-NP\tO' +p355030 +aS'tried\ttry\tVBD\tB-VP\tO' +p355031 +aS'to\tto\tTO\tI-VP\tO' +p355032 +aS'awaken\tawaken\tVB\tI-VP\tO' +p355033 +aS'him\thim\tPRP\tB-NP\tO' +p355034 +aS'at\tat\tIN\tB-PP\tO' +p355035 +aS'11\t11\tCD\tB-NP\tO' +p355036 +aS'a.m.\ta.m.\tRB\tI-NP\tO' +p355037 +aS',\t,\t,\tO\tO' +p355038 +aS'she\tshe\tPRP\tB-NP\tO' +p355039 +aS'was\tbe\tVBD\tB-VP\tO' +p355040 +aS'unable\tunable\tJJ\tB-ADJP\tO' +p355041 +aS'to\tto\tTO\tB-VP\tO' +p355042 +aS'do\tdo\tVB\tI-VP\tO' +p355043 +aS'so\tso\tRB\tB-ADVP\tO' +p355044 +aS'and\tand\tCC\tO\tO' +p355045 +aS'called\tcall\tVBD\tB-VP\tO' +p355046 +aS'EMS\tEMS\tNNP\tB-NP\tO' +p355047 +aS'.\t.\t.\tO\tO' +p355048 +asS'Blood gases were done and he was found to have a pH of 7.2 with a pCO2 of 21 .' +p355049 +(lp355050 +S'Blood\tBlood\tNN\tB-NP\tO' +p355051 +aS'gases\tgas\tNNS\tI-NP\tO' +p355052 +aS'were\tbe\tVBD\tB-VP\tO' +p355053 +aS'done\tdo\tVBN\tI-VP\tO' +p355054 +aS'and\tand\tCC\tO\tO' +p355055 +aS'he\the\tPRP\tB-NP\tO' +p355056 +aS'was\tbe\tVBD\tB-VP\tO' +p355057 +aS'found\tfind\tVBN\tI-VP\tO' +p355058 +aS'to\tto\tTO\tI-VP\tO' +p355059 +aS'have\thave\tVB\tI-VP\tO' +p355060 +aS'a\ta\tDT\tB-NP\tO' +p355061 +aS'pH\tpH\tNN\tI-NP\tO' +p355062 +aS'of\tof\tIN\tB-PP\tO' +p355063 +aS'7.2\t7.2\tCD\tB-NP\tO' +p355064 +aS'with\twith\tIN\tB-PP\tO' +p355065 +aS'a\ta\tDT\tB-NP\tO' +p355066 +aS'pCO2\tpCO2\tNN\tI-NP\tO' +p355067 +aS'of\tof\tIN\tB-PP\tO' +p355068 +aS'21\t21\tCD\tB-NP\tO' +p355069 +aS'.\t.\t.\tO\tO' +p355070 +asS'Danvers State Hospital & Rehab Center - Sterling Medical Center' +p355071 +(lp355072 +S'Danvers\tDanvers\tNNP\tB-NP\tO' +p355073 +aS'State\tState\tNNP\tI-NP\tO' +p355074 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p355075 +aS'&\t&\tCC\tI-NP\tO' +p355076 +aS'Rehab\tRehab\tNNP\tI-NP\tO' +p355077 +aS'Center\tCenter\tNNP\tI-NP\tO' +p355078 +aS'-\t-\tHYPH\tB-NP\tO' +p355079 +aS'Sterling\tSterling\tNNP\tI-NP\tO' +p355080 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p355081 +aS'Center\tCenter\tNNP\tI-NP\tO' +p355082 +asS'Home Under Care Of Shingle Geabell Hospital' +p355083 +(lp355084 +S'Home\tHome\tNNP\tB-NP\tO' +p355085 +aS'Under\tUnder\tNNP\tI-NP\tO' +p355086 +aS'Care\tCare\tNNP\tI-NP\tO' +p355087 +aS'Of\tOf\tNNP\tI-NP\tO' +p355088 +aS'Shingle\tShingle\tNNP\tI-NP\tO' +p355089 +aS'Geabell\tGeabell\tNNP\tI-NP\tO' +p355090 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p355091 +asS'Soft and non-tender .' +p355092 +(lp355093 +S'Soft\tSoft\tJJ\tB-ADJP\tO' +p355094 +aS'and\tand\tCC\tI-ADJP\tO' +p355095 +aS'non-tender\tnon-tender\tJJ\tI-ADJP\tO' +p355096 +aS'.\t.\t.\tO\tO' +p355097 +asS'Subfascia drain was discontinued .' +p355098 +(lp355099 +S'Subfascia\tSubfascia\tNNP\tB-NP\tO' +p355100 +aS'drain\tdrain\tNN\tI-NP\tO' +p355101 +aS'was\tbe\tVBD\tB-VP\tO' +p355102 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p355103 +aS'.\t.\t.\tO\tO' +p355104 +asS'Large intraparenchymal hemorrhage within the right frontal lobe .' +p355105 +(lp355106 +S'Large\tLarge\tJJ\tB-NP\tO' +p355107 +aS'intraparenchymal\tintraparenchymal\tJJ\tI-NP\tO' +p355108 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p355109 +aS'within\twithin\tIN\tB-PP\tO' +p355110 +aS'the\tthe\tDT\tB-NP\tO' +p355111 +aS'right\tright\tJJ\tI-NP\tO' +p355112 +aS'frontal\tfrontal\tJJ\tI-NP\tO' +p355113 +aS'lobe\tlobe\tNN\tI-NP\tO' +p355114 +aS'.\t.\t.\tO\tO' +p355115 +asS'Previous intracranial hemorrhage .' +p355116 +(lp355117 +S'Previous\tPrevious\tJJ\tB-NP\tO' +p355118 +aS'intracranial\tintracranial\tJJ\tI-NP\tO' +p355119 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p355120 +aS'.\t.\t.\tO\tO' +p355121 +asS'She had a BNP of > 5000 on admission .' +p355122 +(lp355123 +S'She\tShe\tPRP\tB-NP\tO' +p355124 +aS'had\thave\tVBD\tB-VP\tO' +p355125 +aS'a\ta\tDT\tB-NP\tO' +p355126 +aS'BNP\tBNP\tNN\tI-NP\tO' +p355127 +aS'of\tof\tIN\tB-PP\tO' +p355128 +aS'>\t>\tSYM\tB-NP\tO' +p355129 +aS'5000\t5000\tCD\tI-NP\tO' +p355130 +aS'on\ton\tIN\tB-PP\tO' +p355131 +aS'admission\tadmission\tNN\tB-NP\tO' +p355132 +aS'.\t.\t.\tO\tO' +p355133 +asS'Jadiara Harrison is twin #1 born to a 17 year-old primiparous mother at 31 weeks gestation .' +p355134 +(lp355135 +S'Jadiara\tJadiara\tNNP\tB-NP\tO' +p355136 +aS'Harrison\tHarrison\tNNP\tI-NP\tO' +p355137 +aS'is\tbe\tVBZ\tB-VP\tO' +p355138 +aS'twin\ttwin\tJJ\tB-NP\tO' +p355139 +aS'#1\t#1\tNN\tI-NP\tO' +p355140 +aS'born\tbear\tVBN\tB-VP\tO' +p355141 +aS'to\tto\tTO\tB-PP\tO' +p355142 +aS'a\ta\tDT\tB-NP\tO' +p355143 +aS'17\t17\tCD\tI-NP\tO' +p355144 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p355145 +aS'primiparous\tprimiparous\tJJ\tI-NP\tO' +p355146 +aS'mother\tmother\tNN\tI-NP\tO' +p355147 +aS'at\tat\tIN\tB-PP\tO' +p355148 +aS'31\t31\tCD\tB-NP\tO' +p355149 +aS'weeks\tweek\tNNS\tI-NP\tO' +p355150 +aS'gestation\tgestation\tNN\tI-NP\tO' +p355151 +aS'.\t.\t.\tO\tO' +p355152 +asS'There were no complications during the procedure and the patient returned to the recovery room in stable condition .' +p355153 +(lp355154 +S'There\tThere\tEX\tB-NP\tO' +p355155 +aS'were\tbe\tVBD\tB-VP\tO' +p355156 +aS'no\tno\tDT\tB-NP\tO' +p355157 +aS'complications\tcomplication\tNNS\tI-NP\tO' +p355158 +aS'during\tduring\tIN\tB-PP\tO' +p355159 +aS'the\tthe\tDT\tB-NP\tO' +p355160 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p355161 +aS'and\tand\tCC\tO\tO' +p355162 +aS'the\tthe\tDT\tB-NP\tO' +p355163 +aS'patient\tpatient\tNN\tI-NP\tO' +p355164 +aS'returned\treturn\tVBD\tB-VP\tO' +p355165 +aS'to\tto\tTO\tB-PP\tO' +p355166 +aS'the\tthe\tDT\tB-NP\tO' +p355167 +aS'recovery\trecovery\tNN\tI-NP\tO' +p355168 +aS'room\troom\tNN\tI-NP\tO' +p355169 +aS'in\tin\tIN\tB-PP\tO' +p355170 +aS'stable\tstable\tJJ\tB-NP\tO' +p355171 +aS'condition\tcondition\tNN\tI-NP\tO' +p355172 +aS'.\t.\t.\tO\tO' +p355173 +asS'Motor : moves all extremities with some strength, improved bilaterally' +p355174 +(lp355175 +S'Motor\tMotor\tNNP\tB-NP\tO' +p355176 +aS':\t:\t:\tO\tO' +p355177 +aS'moves\tmove\tVBZ\tB-VP\tO' +p355178 +aS'all\tall\tDT\tB-NP\tO' +p355179 +aS'extremities\textremity\tNNS\tI-NP\tO' +p355180 +aS'with\twith\tIN\tB-PP\tO' +p355181 +aS'some\tsome\tDT\tB-NP\tO' +p355182 +aS'strength,\tstrength,\tNN\tI-NP\tO' +p355183 +aS'improved\timprove\tVBD\tB-VP\tO' +p355184 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p355185 +asS'Return to the Emergency Department if you develop fevers , chills , chest pain , shortness of breath , palpitations , or lightheadedness .' +p355186 +(lp355187 +S'Return\tReturn\tNN\tB-NP\tO' +p355188 +aS'to\tto\tTO\tB-PP\tO' +p355189 +aS'the\tthe\tDT\tB-NP\tO' +p355190 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p355191 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p355192 +aS'if\tif\tIN\tB-SBAR\tO' +p355193 +aS'you\tyou\tPRP\tB-NP\tO' +p355194 +aS'develop\tdevelop\tVBP\tB-VP\tO' +p355195 +aS'fevers\tfever\tNNS\tB-NP\tO' +p355196 +aS',\t,\t,\tO\tO' +p355197 +aS'chills\tchill\tNNS\tB-NP\tO' +p355198 +aS',\t,\t,\tO\tO' +p355199 +aS'chest\tchest\tNN\tB-NP\tO' +p355200 +aS'pain\tpain\tNN\tI-NP\tO' +p355201 +aS',\t,\t,\tO\tO' +p355202 +aS'shortness\tshortness\tNN\tB-NP\tO' +p355203 +aS'of\tof\tIN\tB-PP\tO' +p355204 +aS'breath\tbreath\tNN\tB-NP\tO' +p355205 +aS',\t,\t,\tO\tO' +p355206 +aS'palpitations\tpalpitation\tNNS\tB-NP\tO' +p355207 +aS',\t,\t,\tO\tO' +p355208 +aS'or\tor\tCC\tO\tO' +p355209 +aS'lightheadedness\tlightheadedness\tNN\tB-NP\tO' +p355210 +aS'.\t.\t.\tO\tO' +p355211 +asS'6. Chronic allograft nephropathy .' +p355212 +(lp355213 +S'6.\t6.\tLS\tB-NP\tO' +p355214 +aS'Chronic\tChronic\tJJ\tI-NP\tO' +p355215 +aS'allograft\tallograft\tNN\tI-NP\tO' +p355216 +aS'nephropathy\tnephropathy\tNN\tI-NP\tO' +p355217 +aS'.\t.\t.\tO\tO' +p355218 +asS'He was transferred to Fairm of Ijordcompmac Hospital , where seizures were stopped with 2 mg of Ativan .' +p355219 +(lp355220 +S'He\tHe\tPRP\tB-NP\tO' +p355221 +aS'was\tbe\tVBD\tB-VP\tO' +p355222 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p355223 +aS'to\tto\tTO\tB-PP\tO' +p355224 +aS'Fairm\tFairm\tNNP\tB-NP\tO' +p355225 +aS'of\tof\tIN\tB-PP\tO' +p355226 +aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' +p355227 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p355228 +aS',\t,\t,\tO\tO' +p355229 +aS'where\twhere\tWRB\tB-ADVP\tO' +p355230 +aS'seizures\tseizure\tNNS\tB-NP\tO' +p355231 +aS'were\tbe\tVBD\tB-VP\tO' +p355232 +aS'stopped\tstop\tVBN\tI-VP\tO' +p355233 +aS'with\twith\tIN\tB-PP\tO' +p355234 +aS'2\t2\tCD\tB-NP\tO' +p355235 +aS'mg\tmg\tNN\tI-NP\tO' +p355236 +aS'of\tof\tIN\tB-PP\tO' +p355237 +aS'Ativan\tAtivan\tNNP\tB-NP\tO' +p355238 +aS'.\t.\t.\tO\tO' +p355239 +asS'His left ventricular function was well preserved .' +p355240 +(lp355241 +S'His\tHis\tPRP$\tB-NP\tO' +p355242 +aS'left\tleft\tJJ\tI-NP\tO' +p355243 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p355244 +aS'function\tfunction\tNN\tI-NP\tO' +p355245 +aS'was\tbe\tVBD\tB-VP\tO' +p355246 +aS'well\twell\tRB\tI-VP\tO' +p355247 +aS'preserved\tpreserve\tVBN\tI-VP\tO' +p355248 +aS'.\t.\t.\tO\tO' +p355249 +asS'Dentition very poor , large bilateral neck and submandibular swelling very tender to palpation .' +p355250 +(lp355251 +S'Dentition\tDentition\tNN\tB-NP\tO' +p355252 +aS'very\tvery\tRB\tI-NP\tO' +p355253 +aS'poor\tpoor\tJJ\tI-NP\tO' +p355254 +aS',\t,\t,\tI-NP\tO' +p355255 +aS'large\tlarge\tJJ\tI-NP\tO' +p355256 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p355257 +aS'neck\tneck\tNN\tI-NP\tO' +p355258 +aS'and\tand\tCC\tO\tO' +p355259 +aS'submandibular\tsubmandibular\tJJ\tB-NP\tO' +p355260 +aS'swelling\tswelling\tNN\tI-NP\tO' +p355261 +aS'very\tvery\tRB\tB-NP\tO' +p355262 +aS'tender\ttender\tNN\tI-NP\tO' +p355263 +aS'to\tto\tTO\tB-PP\tO' +p355264 +aS'palpation\tpalpation\tNN\tB-NP\tO' +p355265 +aS'.\t.\t.\tO\tO' +p355266 +asS'Extremities were warm and well perfused with no edema .' +p355267 +(lp355268 +S'Extremities\tExtremity\tNNS\tB-NP\tO' +p355269 +aS'were\tbe\tVBD\tB-VP\tO' +p355270 +aS'warm\twarm\tJJ\tB-ADJP\tO' +p355271 +aS'and\tand\tCC\tO\tO' +p355272 +aS'well\twell\tRB\tB-ADJP\tO' +p355273 +aS'perfused\tperfuse\tVBN\tI-ADJP\tO' +p355274 +aS'with\twith\tIN\tB-PP\tO' +p355275 +aS'no\tno\tDT\tB-NP\tO' +p355276 +aS'edema\tedema\tNN\tI-NP\tO' +p355277 +aS'.\t.\t.\tO\tO' +p355278 +asS'Her urinalysis shows 2+ bacteria and 2+ squamous epithelium with greater than 10,000 mixed bacteria .' +p355279 +(lp355280 +S'Her\tHer\tPRP$\tB-NP\tO' +p355281 +aS'urinalysis\turinalysis\tNN\tI-NP\tO' +p355282 +aS'shows\tshow\tVBZ\tB-VP\tO' +p355283 +aS'2+\t2+\tJJ\tB-NP\tO' +p355284 +aS'bacteria\tbacteria\tNNS\tI-NP\tO' +p355285 +aS'and\tand\tCC\tO\tO' +p355286 +aS'2+\t2+\tJJ\tB-NP\tO' +p355287 +aS'squamous\tsquamous\tJJ\tI-NP\tO' +p355288 +aS'epithelium\tepithelium\tNN\tI-NP\tO' +p355289 +aS'with\twith\tIN\tB-PP\tO' +p355290 +aS'greater\tgreat\tJJR\tB-NP\tO' +p355291 +aS'than\tthan\tIN\tI-NP\tO' +p355292 +aS'10,000\t10,000\tCD\tI-NP\tO' +p355293 +aS'mixed\tmixed\tJJ\tI-NP\tO' +p355294 +aS'bacteria\tbacteria\tNNS\tI-NP\tO' +p355295 +aS'.\t.\t.\tO\tO' +p355296 +asS'Obesity , hypertension , lower extremity cellulitis and edema , breast cancer in 1988 treated with right lumpectomy and XRT , partial thyroidectomy in 1963 , osteoarthritis with right leg deformities , hernia repair 50 years ago , bilateral cataract surgery .' +p355297 +(lp355298 +S'Obesity\tObesity\tNN\tB-NP\tO' +p355299 +aS',\t,\t,\tO\tO' +p355300 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p355301 +aS',\t,\t,\tO\tO' +p355302 +aS'lower\tlow\tJJR\tB-NP\tO' +p355303 +aS'extremity\textremity\tNN\tI-NP\tO' +p355304 +aS'cellulitis\tcellulitis\tNN\tI-NP\tO' +p355305 +aS'and\tand\tCC\tI-NP\tO' +p355306 +aS'edema\tedema\tNN\tI-NP\tO' +p355307 +aS',\t,\t,\tO\tO' +p355308 +aS'breast\tbreast\tNN\tB-NP\tO' +p355309 +aS'cancer\tcancer\tNN\tI-NP\tO' +p355310 +aS'in\tin\tIN\tB-PP\tO' +p355311 +aS'1988\t1988\tCD\tB-NP\tO' +p355312 +aS'treated\ttreat\tVBN\tB-VP\tO' +p355313 +aS'with\twith\tIN\tB-PP\tO' +p355314 +aS'right\tright\tJJ\tB-NP\tO' +p355315 +aS'lumpectomy\tlumpectomy\tNN\tI-NP\tO' +p355316 +aS'and\tand\tCC\tI-NP\tO' +p355317 +aS'XRT\tXRT\tNN\tI-NP\tB-protein' +p355318 +aS',\t,\t,\tO\tO' +p355319 +aS'partial\tpartial\tJJ\tB-NP\tO' +p355320 +aS'thyroidectomy\tthyroidectomy\tNN\tI-NP\tO' +p355321 +aS'in\tin\tIN\tB-PP\tO' +p355322 +aS'1963\t1963\tCD\tB-NP\tO' +p355323 +aS',\t,\t,\tO\tO' +p355324 +aS'osteoarthritis\tosteoarthritis\tNN\tB-NP\tO' +p355325 +aS'with\twith\tIN\tB-PP\tO' +p355326 +aS'right\tright\tJJ\tB-NP\tO' +p355327 +aS'leg\tleg\tNN\tI-NP\tO' +p355328 +aS'deformities\tdeformity\tNNS\tI-NP\tO' +p355329 +aS',\t,\t,\tO\tO' +p355330 +aS'hernia\thernia\tNN\tB-NP\tO' +p355331 +aS'repair\trepair\tNN\tI-NP\tO' +p355332 +aS'50\t50\tCD\tB-NP\tO' +p355333 +aS'years\tyear\tNNS\tI-NP\tO' +p355334 +aS'ago\tago\tRB\tB-ADVP\tO' +p355335 +aS',\t,\t,\tO\tO' +p355336 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p355337 +aS'cataract\tcataract\tNN\tI-NP\tO' +p355338 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p355339 +aS'.\t.\t.\tO\tO' +p355340 +asS'6) If you experience any fevers , chills , chest pain , shortness of breath , dizziness or any other concerning symptoms please return to the emergency department .' +p355341 +(lp355342 +S'6)\t6)\tLS\tB-LST\tO' +p355343 +aS'If\tIf\tIN\tB-SBAR\tO' +p355344 +aS'you\tyou\tPRP\tB-NP\tO' +p355345 +aS'experience\texperience\tVBP\tB-VP\tO' +p355346 +aS'any\tany\tDT\tB-NP\tO' +p355347 +aS'fevers\tfever\tNNS\tI-NP\tO' +p355348 +aS',\t,\t,\tO\tO' +p355349 +aS'chills\tchill\tNNS\tB-NP\tO' +p355350 +aS',\t,\t,\tO\tO' +p355351 +aS'chest\tchest\tNN\tB-NP\tO' +p355352 +aS'pain\tpain\tNN\tI-NP\tO' +p355353 +aS',\t,\t,\tO\tO' +p355354 +aS'shortness\tshortness\tNN\tB-NP\tO' +p355355 +aS'of\tof\tIN\tB-PP\tO' +p355356 +aS'breath\tbreath\tNN\tB-NP\tO' +p355357 +aS',\t,\t,\tO\tO' +p355358 +aS'dizziness\tdizziness\tNN\tB-NP\tO' +p355359 +aS'or\tor\tCC\tO\tO' +p355360 +aS'any\tany\tDT\tB-NP\tO' +p355361 +aS'other\tother\tJJ\tI-NP\tO' +p355362 +aS'concerning\tconcern\tVBG\tI-NP\tO' +p355363 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p355364 +aS'please\tplease\tVB\tB-VP\tO' +p355365 +aS'return\treturn\tNN\tB-NP\tO' +p355366 +aS'to\tto\tTO\tB-PP\tO' +p355367 +aS'the\tthe\tDT\tB-NP\tO' +p355368 +aS'emergency\temergency\tNN\tI-NP\tO' +p355369 +aS'department\tdepartment\tNN\tI-NP\tO' +p355370 +aS'.\t.\t.\tO\tO' +p355371 +asS'Ms. Less is a 79 year old white female with history of non small cell lung cancer diagnosed in 02/95 .' +p355372 +(lp355373 +S'Ms.\tMs.\tNNP\tB-NP\tO' +p355374 +aS'Less\tLess\tNNP\tI-NP\tO' +p355375 +aS'is\tbe\tVBZ\tB-VP\tO' +p355376 +aS'a\ta\tDT\tB-NP\tO' +p355377 +aS'79\t79\tCD\tI-NP\tO' +p355378 +aS'year\tyear\tNN\tI-NP\tO' +p355379 +aS'old\told\tJJ\tI-NP\tO' +p355380 +aS'white\twhite\tJJ\tI-NP\tO' +p355381 +aS'female\tfemale\tNN\tI-NP\tO' +p355382 +aS'with\twith\tIN\tB-PP\tO' +p355383 +aS'history\thistory\tNN\tB-NP\tO' +p355384 +aS'of\tof\tIN\tB-PP\tO' +p355385 +aS'non\tnon\tJJ\tB-NP\tO' +p355386 +aS'small\tsmall\tJJ\tI-NP\tO' +p355387 +aS'cell\tcell\tNN\tI-NP\tO' +p355388 +aS'lung\tlung\tNN\tI-NP\tO' +p355389 +aS'cancer\tcancer\tNN\tI-NP\tO' +p355390 +aS'diagnosed\tdiagnose\tVBN\tB-VP\tO' +p355391 +aS'in\tin\tIN\tB-PP\tO' +p355392 +aS'02/95\t02/95\tCD\tB-NP\tO' +p355393 +aS'.\t.\t.\tO\tO' +p355394 +asS'STAGE 3C PAPILLARY SEROUS CARCINOMA OF THE OVARY .' +p355395 +(lp355396 +S'STAGE\tSTAGE\tNN\tB-NP\tO' +p355397 +aS'3C\t3C\tNN\tI-NP\tO' +p355398 +aS'PAPILLARY\tPAPILLARY\tNN\tI-NP\tO' +p355399 +aS'SEROUS\tSEROUS\tVBZ\tB-VP\tO' +p355400 +aS'CARCINOMA\tCARCINOMA\tNN\tB-NP\tO' +p355401 +aS'OF\tOF\tIN\tB-PP\tO' +p355402 +aS'THE\tTHE\tDT\tB-NP\tO' +p355403 +aS'OVARY\tOVARY\tNN\tI-NP\tO' +p355404 +aS'.\t.\t.\tO\tO' +p355405 +asS'The CSF culture was negative .' +p355406 +(lp355407 +S'The\tThe\tDT\tB-NP\tO' +p355408 +aS'CSF\tCSF\tNN\tI-NP\tB-cell_line' +p355409 +aS'culture\tculture\tNN\tI-NP\tI-cell_line' +p355410 +aS'was\tbe\tVBD\tB-VP\tO' +p355411 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p355412 +aS'.\t.\t.\tO\tO' +p355413 +asS'The patient was ruled out for a myocardial infarction , given his fall at the airport and bigeminy seen on electrocardiogram that he developed during conscious sedation during reduction of the fracture .' +p355414 +(lp355415 +S'The\tThe\tDT\tB-NP\tO' +p355416 +aS'patient\tpatient\tNN\tI-NP\tO' +p355417 +aS'was\tbe\tVBD\tB-VP\tO' +p355418 +aS'ruled\trule\tVBN\tI-VP\tO' +p355419 +aS'out\tout\tRP\tB-PRT\tO' +p355420 +aS'for\tfor\tIN\tB-PP\tO' +p355421 +aS'a\ta\tDT\tB-NP\tO' +p355422 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p355423 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p355424 +aS',\t,\t,\tO\tO' +p355425 +aS'given\tgive\tVBN\tB-PP\tO' +p355426 +aS'his\this\tPRP$\tB-NP\tO' +p355427 +aS'fall\tfall\tNN\tI-NP\tO' +p355428 +aS'at\tat\tIN\tB-PP\tO' +p355429 +aS'the\tthe\tDT\tB-NP\tO' +p355430 +aS'airport\tairport\tNN\tI-NP\tO' +p355431 +aS'and\tand\tCC\tI-NP\tO' +p355432 +aS'bigeminy\tbigeminy\tNN\tI-NP\tO' +p355433 +aS'seen\tsee\tVBN\tB-VP\tO' +p355434 +aS'on\ton\tIN\tB-PP\tO' +p355435 +aS'electrocardiogram\telectrocardiogram\tNN\tB-NP\tO' +p355436 +aS'that\tthat\tIN\tB-SBAR\tO' +p355437 +aS'he\the\tPRP\tB-NP\tO' +p355438 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p355439 +aS'during\tduring\tIN\tB-PP\tO' +p355440 +aS'conscious\tconscious\tJJ\tB-NP\tO' +p355441 +aS'sedation\tsedation\tNN\tI-NP\tO' +p355442 +aS'during\tduring\tIN\tB-PP\tO' +p355443 +aS'reduction\treduction\tNN\tB-NP\tO' +p355444 +aS'of\tof\tIN\tB-PP\tO' +p355445 +aS'the\tthe\tDT\tB-NP\tO' +p355446 +aS'fracture\tfracture\tNN\tI-NP\tO' +p355447 +aS'.\t.\t.\tO\tO' +p355448 +asS'Gen : somnolent , pleasant male , lying in bed' +p355449 +(lp355450 +S'Gen\tGen\tNN\tB-NP\tO' +p355451 +aS':\t:\t:\tO\tO' +p355452 +aS'somnolent\tsomnolent\tJJ\tB-NP\tO' +p355453 +aS',\t,\t,\tI-NP\tO' +p355454 +aS'pleasant\tpleasant\tJJ\tI-NP\tO' +p355455 +aS'male\tmale\tNN\tI-NP\tO' +p355456 +aS',\t,\t,\tO\tO' +p355457 +aS'lying\tlie\tVBG\tB-VP\tO' +p355458 +aS'in\tin\tIN\tB-PP\tO' +p355459 +aS'bed\tbed\tNN\tB-NP\tO' +p355460 +asS'Right groin : with sheath in place' +p355461 +(lp355462 +S'Right\tRight\tJJ\tB-NP\tO' +p355463 +aS'groin\tgroin\tNN\tI-NP\tO' +p355464 +aS':\t:\t:\tO\tO' +p355465 +aS'with\twith\tIN\tB-PP\tO' +p355466 +aS'sheath\tsheath\tNN\tB-NP\tO' +p355467 +aS'in\tin\tIN\tB-PP\tO' +p355468 +aS'place\tplace\tNN\tB-NP\tO' +p355469 +asS'2. Mavik question of dosage .' +p355470 +(lp355471 +S'2.\t2.\tLS\tB-NP\tO' +p355472 +aS'Mavik\tMavik\tNNP\tI-NP\tO' +p355473 +aS'question\tquestion\tNN\tI-NP\tO' +p355474 +aS'of\tof\tIN\tB-PP\tO' +p355475 +aS'dosage\tdosage\tNN\tB-NP\tO' +p355476 +aS'.\t.\t.\tO\tO' +p355477 +asS'Carvedilol 6.125 mg a day .' +p355478 +(lp355479 +S'Carvedilol\tCarvedilol\tNN\tB-NP\tO' +p355480 +aS'6.125\t6.125\tCD\tI-NP\tO' +p355481 +aS'mg\tmg\tNN\tI-NP\tO' +p355482 +aS'a\ta\tDT\tB-NP\tO' +p355483 +aS'day\tday\tNN\tI-NP\tO' +p355484 +aS'.\t.\t.\tO\tO' +p355485 +asS'Pt was doing well till night of admission when she developed nausea / vomitting and sizable amount of hemoptysis and clots .' +p355486 +(lp355487 +S'Pt\tPt\tNN\tB-NP\tO' +p355488 +aS'was\tbe\tVBD\tB-VP\tO' +p355489 +aS'doing\tdo\tVBG\tI-VP\tO' +p355490 +aS'well\twell\tRB\tB-ADVP\tO' +p355491 +aS'till\ttill\tJJ\tB-NP\tO' +p355492 +aS'night\tnight\tNN\tI-NP\tO' +p355493 +aS'of\tof\tIN\tB-PP\tO' +p355494 +aS'admission\tadmission\tNN\tB-NP\tO' +p355495 +aS'when\twhen\tWRB\tB-ADVP\tO' +p355496 +aS'she\tshe\tPRP\tB-NP\tO' +p355497 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p355498 +aS'nausea\tnausea\tNN\tB-NP\tO' +p355499 +aS'/\t/\tSYM\tB-NP\tO' +p355500 +aS'vomitting\tvomitting\tNN\tI-NP\tO' +p355501 +aS'and\tand\tCC\tO\tO' +p355502 +aS'sizable\tsizable\tJJ\tB-NP\tO' +p355503 +aS'amount\tamount\tNN\tI-NP\tO' +p355504 +aS'of\tof\tIN\tB-PP\tO' +p355505 +aS'hemoptysis\themoptysis\tNN\tB-NP\tO' +p355506 +aS'and\tand\tCC\tI-NP\tO' +p355507 +aS'clots\tclot\tNNS\tI-NP\tO' +p355508 +aS'.\t.\t.\tO\tO' +p355509 +asS'This is recommended prior to discharge from hospital to home .' +p355510 +(lp355511 +S'This\tThis\tDT\tB-NP\tO' +p355512 +aS'is\tbe\tVBZ\tB-VP\tO' +p355513 +aS'recommended\trecommend\tVBN\tI-VP\tO' +p355514 +aS'prior\tprior\tRB\tB-ADVP\tO' +p355515 +aS'to\tto\tTO\tB-VP\tO' +p355516 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p355517 +aS'from\tfrom\tIN\tB-PP\tO' +p355518 +aS'hospital\thospital\tNN\tB-NP\tO' +p355519 +aS'to\tto\tTO\tB-PP\tO' +p355520 +aS'home\thome\tNN\tB-NP\tO' +p355521 +aS'.\t.\t.\tO\tO' +p355522 +asS'Labetalol continuous infusion was titrated for systolic blood pressure of 130-160 .' +p355523 +(lp355524 +S'Labetalol\tLabetalol\tNN\tB-NP\tO' +p355525 +aS'continuous\tcontinuous\tJJ\tI-NP\tO' +p355526 +aS'infusion\tinfusion\tNN\tI-NP\tO' +p355527 +aS'was\tbe\tVBD\tB-VP\tO' +p355528 +aS'titrated\ttitrate\tVBN\tI-VP\tO' +p355529 +aS'for\tfor\tIN\tB-PP\tO' +p355530 +aS'systolic\tsystolic\tJJ\tB-NP\tO' +p355531 +aS'blood\tblood\tNN\tI-NP\tO' +p355532 +aS'pressure\tpressure\tNN\tI-NP\tO' +p355533 +aS'of\tof\tIN\tB-PP\tO' +p355534 +aS'130-160\t130-160\tCD\tB-NP\tO' +p355535 +aS'.\t.\t.\tO\tO' +p355536 +asS'She sleeps on elevated pillows secondary to her gastroesophageal reflux disease .' +p355537 +(lp355538 +S'She\tShe\tPRP\tB-NP\tO' +p355539 +aS'sleeps\tsleep\tVBZ\tB-VP\tO' +p355540 +aS'on\ton\tIN\tB-PP\tO' +p355541 +aS'elevated\televate\tVBN\tB-NP\tO' +p355542 +aS'pillows\tpillow\tVBZ\tB-VP\tO' +p355543 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p355544 +aS'to\tto\tTO\tB-PP\tO' +p355545 +aS'her\ther\tPRP$\tB-NP\tO' +p355546 +aS'gastroesophageal\tgastroesophageal\tJJ\tI-NP\tO' +p355547 +aS'reflux\treflux\tNN\tI-NP\tO' +p355548 +aS'disease\tdisease\tNN\tI-NP\tO' +p355549 +aS'.\t.\t.\tO\tO' +p355550 +asS'He was started on 2.5 mg PO qd .' +p355551 +(lp355552 +S'He\tHe\tPRP\tB-NP\tO' +p355553 +aS'was\tbe\tVBD\tB-VP\tO' +p355554 +aS'started\tstart\tVBN\tI-VP\tO' +p355555 +aS'on\ton\tIN\tB-PP\tO' +p355556 +aS'2.5\t2.5\tCD\tB-NP\tO' +p355557 +aS'mg\tmg\tNN\tI-NP\tO' +p355558 +aS'PO\tPO\tNN\tI-NP\tO' +p355559 +aS'qd\tqd\tNN\tI-NP\tO' +p355560 +aS'.\t.\t.\tO\tO' +p355561 +asS'White cell count 9.4 , hematocrit 42 , platelets 151,000 .' +p355562 +(lp355563 +S'White\tWhite\tJJ\tB-NP\tO' +p355564 +aS'cell\tcell\tNN\tI-NP\tO' +p355565 +aS'count\tcount\tNN\tI-NP\tO' +p355566 +aS'9.4\t9.4\tCD\tB-NP\tO' +p355567 +aS',\t,\t,\tO\tO' +p355568 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p355569 +aS'42\t42\tCD\tI-NP\tI-protein' +p355570 +aS',\t,\t,\tO\tO' +p355571 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p355572 +aS'151,000\t151,000\tCD\tB-NP\tO' +p355573 +aS'.\t.\t.\tO\tO' +p355574 +asS'Tone was appropriate for gestational age .' +p355575 +(lp355576 +S'Tone\tTone\tNN\tB-NP\tO' +p355577 +aS'was\tbe\tVBD\tB-VP\tO' +p355578 +aS'appropriate\tappropriate\tJJ\tB-ADJP\tO' +p355579 +aS'for\tfor\tIN\tB-PP\tO' +p355580 +aS'gestational\tgestational\tJJ\tB-NP\tO' +p355581 +aS'age\tage\tNN\tI-NP\tO' +p355582 +aS'.\t.\t.\tO\tO' +p355583 +asS'11. Midodrine 10 mg Tablet Sig : 1.5 Tablets PO twice a day : at 8 am and noon .' +p355584 +(lp355585 +S'11.\t11.\tCD\tB-NP\tO' +p355586 +aS'Midodrine\tMidodrine\tNN\tI-NP\tO' +p355587 +aS'10\t10\tCD\tB-NP\tO' +p355588 +aS'mg\tmg\tNN\tI-NP\tO' +p355589 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p355590 +aS'Sig\tSig\tNNP\tI-NP\tO' +p355591 +aS':\t:\t:\tO\tO' +p355592 +aS'1.5\t1.5\tCD\tB-NP\tO' +p355593 +aS'Tablets\tTablet\tNNS\tI-NP\tB-protein' +p355594 +aS'PO\tPO\tNN\tI-NP\tI-protein' +p355595 +aS'twice\ttwice\tRB\tB-NP\tO' +p355596 +aS'a\ta\tDT\tI-NP\tO' +p355597 +aS'day\tday\tNN\tI-NP\tO' +p355598 +aS':\t:\t:\tO\tO' +p355599 +aS'at\tat\tIN\tB-PP\tO' +p355600 +aS'8\t8\tCD\tB-NP\tO' +p355601 +aS'am\tam\tNN\tI-NP\tO' +p355602 +aS'and\tand\tCC\tI-NP\tO' +p355603 +aS'noon\tnoon\tNN\tI-NP\tO' +p355604 +aS'.\t.\t.\tO\tO' +p355605 +asS'He has retired .' +p355606 +(lp355607 +S'He\tHe\tPRP\tB-NP\tO' +p355608 +aS'has\thave\tVBZ\tB-VP\tO' +p355609 +aS'retired\tretire\tVBN\tI-VP\tO' +p355610 +aS'.\t.\t.\tO\tO' +p355611 +asS"The patient 's attending physician was in constant communication with the patient 's health care proxy her husband ." +p355612 +(lp355613 +S'The\tThe\tDT\tB-NP\tO' +p355614 +aS'patient\tpatient\tNN\tI-NP\tO' +p355615 +aS"'s\t's\tPOS\tB-NP\tO" +p355616 +aS'attending\tattend\tVBG\tI-NP\tO' +p355617 +aS'physician\tphysician\tNN\tI-NP\tO' +p355618 +aS'was\tbe\tVBD\tB-VP\tO' +p355619 +aS'in\tin\tIN\tB-PP\tO' +p355620 +aS'constant\tconstant\tJJ\tB-NP\tO' +p355621 +aS'communication\tcommunication\tNN\tI-NP\tO' +p355622 +aS'with\twith\tIN\tB-PP\tO' +p355623 +aS'the\tthe\tDT\tB-NP\tO' +p355624 +aS'patient\tpatient\tNN\tI-NP\tO' +p355625 +aS"'s\t's\tPOS\tB-NP\tO" +p355626 +aS'health\thealth\tNN\tI-NP\tO' +p355627 +aS'care\tcare\tNN\tI-NP\tO' +p355628 +aS'proxy\tproxy\tNN\tI-NP\tO' +p355629 +aS'her\ther\tPRP$\tB-NP\tO' +p355630 +aS'husband\thusband\tNN\tI-NP\tO' +p355631 +aS'.\t.\t.\tO\tO' +p355632 +asS'Total bilirubin was 0.8 .' +p355633 +(lp355634 +S'Total\tTotal\tJJ\tB-NP\tO' +p355635 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p355636 +aS'was\tbe\tVBD\tB-VP\tO' +p355637 +aS'0.8\t0.8\tCD\tB-NP\tO' +p355638 +aS'.\t.\t.\tO\tO' +p355639 +asS'He also had a stress test which revealed an irreversible deficit from his prior known IMI .' +p355640 +(lp355641 +S'He\tHe\tPRP\tB-NP\tO' +p355642 +aS'also\talso\tRB\tB-ADVP\tO' +p355643 +aS'had\thave\tVBD\tB-VP\tO' +p355644 +aS'a\ta\tDT\tB-NP\tO' +p355645 +aS'stress\tstress\tNN\tI-NP\tO' +p355646 +aS'test\ttest\tNN\tI-NP\tO' +p355647 +aS'which\twhich\tWDT\tB-NP\tO' +p355648 +aS'revealed\treveal\tVBD\tB-VP\tO' +p355649 +aS'an\tan\tDT\tB-NP\tO' +p355650 +aS'irreversible\tirreversible\tJJ\tI-NP\tO' +p355651 +aS'deficit\tdeficit\tNN\tI-NP\tO' +p355652 +aS'from\tfrom\tIN\tB-PP\tO' +p355653 +aS'his\this\tPRP$\tB-NP\tO' +p355654 +aS'prior\tprior\tJJ\tI-NP\tO' +p355655 +aS'known\tknow\tVBN\tI-NP\tO' +p355656 +aS'IMI\tIMI\tNNP\tI-NP\tO' +p355657 +aS'.\t.\t.\tO\tO' +p355658 +asS'Since 2012-02-26 , the patient has been stable .' +p355659 +(lp355660 +S'Since\tSince\tIN\tB-PP\tO' +p355661 +aS'2012-02-26\t2012-02-26\tCD\tB-NP\tO' +p355662 +aS',\t,\t,\tO\tO' +p355663 +aS'the\tthe\tDT\tB-NP\tO' +p355664 +aS'patient\tpatient\tNN\tI-NP\tO' +p355665 +aS'has\thave\tVBZ\tB-VP\tO' +p355666 +aS'been\tbe\tVBN\tI-VP\tO' +p355667 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p355668 +aS'.\t.\t.\tO\tO' +p355669 +asS'9. Magnesium Hydroxide 400 mg / 5 mL Suspension Sig : Thirty ( 30 ) ML PO Q6H ( every 6 hours ) as needed for consitpation .' +p355670 +(lp355671 +S'9.\t9.\tLS\tB-NP\tO' +p355672 +aS'Magnesium\tMagnesium\tNNP\tI-NP\tO' +p355673 +aS'Hydroxide\tHydroxide\tNNP\tI-NP\tO' +p355674 +aS'400\t400\tCD\tI-NP\tO' +p355675 +aS'mg\tmg\tNN\tI-NP\tO' +p355676 +aS'/\t/\tSYM\tB-NP\tO' +p355677 +aS'5\t5\tCD\tB-NP\tO' +p355678 +aS'mL\tmL\tNN\tI-NP\tO' +p355679 +aS'Suspension\tSuspension\tNNP\tI-NP\tO' +p355680 +aS'Sig\tSig\tNNP\tI-NP\tO' +p355681 +aS':\t:\t:\tO\tO' +p355682 +aS'Thirty\tThirty\tCD\tB-NP\tO' +p355683 +aS'(\t(\t(\tO\tO' +p355684 +aS'30\t30\tCD\tO\tO' +p355685 +aS')\t)\t)\tO\tO' +p355686 +aS'ML\tML\tNN\tB-NP\tO' +p355687 +aS'PO\tPO\tNN\tI-NP\tO' +p355688 +aS'Q6H\tQ6H\tNN\tI-NP\tO' +p355689 +aS'(\t(\t(\tO\tO' +p355690 +aS'every\tevery\tDT\tB-NP\tO' +p355691 +aS'6\t6\tCD\tI-NP\tO' +p355692 +aS'hours\thour\tNNS\tI-NP\tO' +p355693 +aS')\t)\t)\tO\tO' +p355694 +aS'as\tas\tIN\tB-SBAR\tO' +p355695 +aS'needed\tneed\tVBN\tB-VP\tO' +p355696 +aS'for\tfor\tIN\tB-PP\tO' +p355697 +aS'consitpation\tconsitpation\tNN\tB-NP\tO' +p355698 +aS'.\t.\t.\tO\tO' +p355699 +asS"The family was informed of the patient 's condition and repeat scan ." +p355700 +(lp355701 +S'The\tThe\tDT\tB-NP\tO' +p355702 +aS'family\tfamily\tNN\tI-NP\tO' +p355703 +aS'was\tbe\tVBD\tB-VP\tO' +p355704 +aS'informed\tinform\tVBN\tI-VP\tO' +p355705 +aS'of\tof\tIN\tB-PP\tO' +p355706 +aS'the\tthe\tDT\tB-NP\tO' +p355707 +aS'patient\tpatient\tNN\tI-NP\tO' +p355708 +aS"'s\t's\tPOS\tB-NP\tO" +p355709 +aS'condition\tcondition\tNN\tI-NP\tO' +p355710 +aS'and\tand\tCC\tI-NP\tO' +p355711 +aS'repeat\trepeat\tNN\tI-NP\tO' +p355712 +aS'scan\tscan\tNN\tI-NP\tO' +p355713 +aS'.\t.\t.\tO\tO' +p355714 +asS'No mass was noticed .' +p355715 +(lp355716 +S'No\tNo\tDT\tB-NP\tO' +p355717 +aS'mass\tmass\tNN\tI-NP\tO' +p355718 +aS'was\tbe\tVBD\tB-VP\tO' +p355719 +aS'noticed\tnotice\tVBN\tI-VP\tO' +p355720 +aS'.\t.\t.\tO\tO' +p355721 +asS'He was kept sedated and paralyzed because of his severe adult respiratory distress syndrome .' +p355722 +(lp355723 +S'He\tHe\tPRP\tB-NP\tO' +p355724 +aS'was\tbe\tVBD\tB-VP\tO' +p355725 +aS'kept\tkeep\tVBN\tI-VP\tO' +p355726 +aS'sedated\tsedate\tVBN\tI-VP\tO' +p355727 +aS'and\tand\tCC\tI-VP\tO' +p355728 +aS'paralyzed\tparalyze\tVBN\tI-VP\tO' +p355729 +aS'because\tbecause\tIN\tB-PP\tO' +p355730 +aS'of\tof\tIN\tI-PP\tO' +p355731 +aS'his\this\tPRP$\tB-NP\tO' +p355732 +aS'severe\tsevere\tJJ\tI-NP\tO' +p355733 +aS'adult\tadult\tJJ\tI-NP\tO' +p355734 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p355735 +aS'distress\tdistress\tNN\tI-NP\tO' +p355736 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p355737 +aS'.\t.\t.\tO\tO' +p355738 +asS'An ultrasound on 1/25/00 showed six gallstones without cholecystitis .' +p355739 +(lp355740 +S'An\tAn\tDT\tB-NP\tO' +p355741 +aS'ultrasound\tultrasound\tNN\tI-NP\tO' +p355742 +aS'on\ton\tIN\tB-PP\tO' +p355743 +aS'1/25/00\t1/25/00\tCD\tB-NP\tO' +p355744 +aS'showed\tshow\tVBD\tB-VP\tO' +p355745 +aS'six\tsix\tCD\tB-NP\tO' +p355746 +aS'gallstones\tgallstone\tNNS\tI-NP\tO' +p355747 +aS'without\twithout\tIN\tB-PP\tO' +p355748 +aS'cholecystitis\tcholecystitis\tNN\tB-NP\tO' +p355749 +aS'.\t.\t.\tO\tO' +p355750 +asS'Chronic abdominal pain .' +p355751 +(lp355752 +S'Chronic\tChronic\tJJ\tB-NP\tO' +p355753 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p355754 +aS'pain\tpain\tNN\tI-NP\tO' +p355755 +aS'.\t.\t.\tO\tO' +p355756 +asS'No costovertebral angle tenderness .' +p355757 +(lp355758 +S'No\tNo\tDT\tB-NP\tO' +p355759 +aS'costovertebral\tcostovertebral\tJJ\tI-NP\tO' +p355760 +aS'angle\tangle\tNN\tI-NP\tO' +p355761 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p355762 +aS'.\t.\t.\tO\tO' +p355763 +asS'Chest x-ray on August 6 , 1997 revealed multiple pulmonary nodules increasing in size since July 22 , 1995 .' +p355764 +(lp355765 +S'Chest\tCh\tJJS\tB-NP\tO' +p355766 +aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' +p355767 +aS'on\ton\tIN\tB-PP\tO' +p355768 +aS'August\tAugust\tNNP\tB-NP\tO' +p355769 +aS'6\t6\tCD\tI-NP\tO' +p355770 +aS',\t,\t,\tI-NP\tO' +p355771 +aS'1997\t1997\tCD\tI-NP\tO' +p355772 +aS'revealed\treveal\tVBD\tB-VP\tO' +p355773 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p355774 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p355775 +aS'nodules\tnodule\tNNS\tI-NP\tO' +p355776 +aS'increasing\tincrease\tVBG\tB-VP\tO' +p355777 +aS'in\tin\tIN\tB-PP\tO' +p355778 +aS'size\tsize\tNN\tB-NP\tO' +p355779 +aS'since\tsince\tIN\tB-PP\tO' +p355780 +aS'July\tJuly\tNNP\tB-NP\tO' +p355781 +aS'22\t22\tCD\tI-NP\tO' +p355782 +aS',\t,\t,\tI-NP\tO' +p355783 +aS'1995\t1995\tCD\tI-NP\tO' +p355784 +aS'.\t.\t.\tO\tO' +p355785 +asS'Signed electronically by : DR. Dorothy Donahue on : TUE 2011-04-19 3:15 PM' +p355786 +(lp355787 +S'Signed\tSign\tVBN\tB-VP\tO' +p355788 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p355789 +aS'by\tby\tIN\tB-PP\tO' +p355790 +aS':\t:\t:\tO\tO' +p355791 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p355792 +aS'Dorothy\tDorothy\tNNP\tI-NP\tO' +p355793 +aS'Donahue\tDonahue\tNNP\tI-NP\tO' +p355794 +aS'on\ton\tIN\tB-PP\tO' +p355795 +aS':\t:\t:\tO\tO' +p355796 +aS'TUE\tTUE\tNN\tB-NP\tO' +p355797 +aS'2011-04-19\t2011-04-19\tCD\tI-NP\tO' +p355798 +aS'3:15\t3:15\tCD\tI-NP\tO' +p355799 +aS'PM\tPM\tNN\tI-NP\tO' +p355800 +asS'No lifting more than 10 pounds or driving until follow up with surgeon .' +p355801 +(lp355802 +S'No\tNo\tDT\tB-NP\tO' +p355803 +aS'lifting\tlift\tVBG\tB-VP\tO' +p355804 +aS'more\tmore\tJJR\tB-NP\tO' +p355805 +aS'than\tthan\tIN\tI-NP\tO' +p355806 +aS'10\t10\tCD\tI-NP\tO' +p355807 +aS'pounds\tpound\tNNS\tI-NP\tO' +p355808 +aS'or\tor\tCC\tO\tO' +p355809 +aS'driving\tdrive\tVBG\tB-VP\tO' +p355810 +aS'until\tuntil\tIN\tB-SBAR\tO' +p355811 +aS'follow\tfollow\tVB\tB-VP\tO' +p355812 +aS'up\tup\tRP\tB-PRT\tO' +p355813 +aS'with\twith\tIN\tB-PP\tO' +p355814 +aS'surgeon\tsurgeon\tNN\tB-NP\tO' +p355815 +aS'.\t.\t.\tO\tO' +p355816 +asS'BIPAP mask in place with no apparent leak , eyes closed , mouth open , no rhinorhea or oral discharge visible' +p355817 +(lp355818 +S'BIPAP\tBIPAP\tNN\tB-NP\tB-protein' +p355819 +aS'mask\tmask\tNN\tI-NP\tO' +p355820 +aS'in\tin\tIN\tB-PP\tO' +p355821 +aS'place\tplace\tNN\tB-NP\tO' +p355822 +aS'with\twith\tIN\tB-PP\tO' +p355823 +aS'no\tno\tDT\tB-NP\tO' +p355824 +aS'apparent\tapparent\tJJ\tI-NP\tO' +p355825 +aS'leak\tleak\tNN\tI-NP\tO' +p355826 +aS',\t,\t,\tO\tO' +p355827 +aS'eyes\teye\tNNS\tB-NP\tO' +p355828 +aS'closed\tclose\tVBD\tB-VP\tO' +p355829 +aS',\t,\t,\tO\tO' +p355830 +aS'mouth\tmouth\tNN\tB-NP\tO' +p355831 +aS'open\topen\tJJ\tB-ADJP\tO' +p355832 +aS',\t,\t,\tO\tO' +p355833 +aS'no\tno\tDT\tB-NP\tO' +p355834 +aS'rhinorhea\trhinorhea\tNN\tI-NP\tO' +p355835 +aS'or\tor\tCC\tO\tO' +p355836 +aS'oral\toral\tJJ\tB-NP\tO' +p355837 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p355838 +aS'visible\tvisible\tJJ\tB-ADJP\tO' +p355839 +asS'1. Distended gallbladder with impacted 1.6 cm gallstone , focal wall thickening , and positive sonAllan Stephens sign - findings consistent with acute cholecystitis .' +p355840 +(lp355841 +S'1.\t1.\tLS\tB-LST\tO' +p355842 +aS'Distended\tDistend\tVBD\tB-VP\tO' +p355843 +aS'gallbladder\tgallbladder\tNN\tB-NP\tO' +p355844 +aS'with\twith\tIN\tB-PP\tO' +p355845 +aS'impacted\timpacted\tJJ\tB-NP\tO' +p355846 +aS'1.6\t1.6\tCD\tI-NP\tO' +p355847 +aS'cm\tcm\tNN\tI-NP\tO' +p355848 +aS'gallstone\tgallstone\tNN\tI-NP\tO' +p355849 +aS',\t,\t,\tO\tO' +p355850 +aS'focal\tfocal\tJJ\tB-NP\tO' +p355851 +aS'wall\twall\tNN\tI-NP\tO' +p355852 +aS'thickening\tthickening\tNN\tI-NP\tO' +p355853 +aS',\t,\t,\tO\tO' +p355854 +aS'and\tand\tCC\tO\tO' +p355855 +aS'positive\tpositive\tJJ\tB-NP\tO' +p355856 +aS'sonAllan\tsonAllan\tNN\tI-NP\tO' +p355857 +aS'Stephens\tStephen\tVBZ\tB-VP\tO' +p355858 +aS'sign\tsign\tNN\tB-NP\tO' +p355859 +aS'-\t-\tHYPH\tI-NP\tO' +p355860 +aS'findings\tfinding\tNNS\tI-NP\tO' +p355861 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p355862 +aS'with\twith\tIN\tB-PP\tO' +p355863 +aS'acute\tacute\tJJ\tB-NP\tO' +p355864 +aS'cholecystitis\tcholecystitis\tNN\tI-NP\tO' +p355865 +aS'.\t.\t.\tO\tO' +p355866 +asS'Abdomen is benign , no mass .' +p355867 +(lp355868 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p355869 +aS'is\tbe\tVBZ\tB-VP\tO' +p355870 +aS'benign\tbenign\tJJ\tB-ADJP\tO' +p355871 +aS',\t,\t,\tO\tO' +p355872 +aS'no\tno\tDT\tB-NP\tO' +p355873 +aS'mass\tmass\tNN\tI-NP\tO' +p355874 +aS'.\t.\t.\tO\tO' +p355875 +asS'The patient is allergic Ampicillin , Tylenol , Clinoril , Biaxin , Codeine , Sulfa and Aminophylline .' +p355876 +(lp355877 +S'The\tThe\tDT\tB-NP\tO' +p355878 +aS'patient\tpatient\tNN\tI-NP\tO' +p355879 +aS'is\tbe\tVBZ\tB-VP\tO' +p355880 +aS'allergic\tallergic\tJJ\tB-NP\tO' +p355881 +aS'Ampicillin\tAmpicillin\tNNP\tI-NP\tO' +p355882 +aS',\t,\t,\tO\tO' +p355883 +aS'Tylenol\tTylenol\tNNP\tB-NP\tO' +p355884 +aS',\t,\t,\tO\tO' +p355885 +aS'Clinoril\tClinoril\tNNP\tB-NP\tO' +p355886 +aS',\t,\t,\tO\tO' +p355887 +aS'Biaxin\tBiaxin\tNNP\tB-NP\tO' +p355888 +aS',\t,\t,\tO\tO' +p355889 +aS'Codeine\tCodeine\tNNP\tB-NP\tO' +p355890 +aS',\t,\t,\tO\tO' +p355891 +aS'Sulfa\tSulfa\tNNP\tB-NP\tO' +p355892 +aS'and\tand\tCC\tO\tO' +p355893 +aS'Aminophylline\tAminophylline\tNNP\tB-NP\tO' +p355894 +aS'.\t.\t.\tO\tO' +p355895 +asS'We put her on nifedipine IR , SL and that was not enough to control her blood pressure which was in the 200s in the systolic , so we had started her on atenolol .' +p355896 +(lp355897 +S'We\tWe\tPRP\tB-NP\tO' +p355898 +aS'put\tput\tVBD\tB-VP\tO' +p355899 +aS'her\ther\tPRP\tB-NP\tO' +p355900 +aS'on\ton\tIN\tB-PP\tO' +p355901 +aS'nifedipine\tnifedipine\tNN\tB-NP\tO' +p355902 +aS'IR\tIR\tNN\tI-NP\tO' +p355903 +aS',\t,\t,\tO\tO' +p355904 +aS'SL\tSL\tNN\tB-NP\tO' +p355905 +aS'and\tand\tCC\tO\tO' +p355906 +aS'that\tthat\tDT\tB-NP\tO' +p355907 +aS'was\tbe\tVBD\tB-VP\tO' +p355908 +aS'not\tnot\tRB\tO\tO' +p355909 +aS'enough\tenough\tJJ\tB-ADJP\tO' +p355910 +aS'to\tto\tTO\tB-VP\tO' +p355911 +aS'control\tcontrol\tVB\tI-VP\tO' +p355912 +aS'her\ther\tPRP$\tB-NP\tO' +p355913 +aS'blood\tblood\tNN\tI-NP\tO' +p355914 +aS'pressure\tpressure\tNN\tI-NP\tO' +p355915 +aS'which\twhich\tWDT\tB-NP\tO' +p355916 +aS'was\tbe\tVBD\tB-VP\tO' +p355917 +aS'in\tin\tIN\tB-PP\tO' +p355918 +aS'the\tthe\tDT\tB-NP\tO' +p355919 +aS'200s\t200s\tCD\tI-NP\tO' +p355920 +aS'in\tin\tIN\tB-PP\tO' +p355921 +aS'the\tthe\tDT\tB-NP\tO' +p355922 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p355923 +aS',\t,\t,\tO\tO' +p355924 +aS'so\tso\tIN\tO\tO' +p355925 +aS'we\twe\tPRP\tB-NP\tO' +p355926 +aS'had\thave\tVBD\tB-VP\tO' +p355927 +aS'started\tstart\tVBN\tI-VP\tO' +p355928 +aS'her\ther\tPRP\tB-NP\tO' +p355929 +aS'on\ton\tIN\tB-PP\tO' +p355930 +aS'atenolol\tatenolol\tNN\tB-NP\tO' +p355931 +aS'.\t.\t.\tO\tO' +p355932 +asS'05-14- Urine culture : no growth to date' +p355933 +(lp355934 +S'05-14-\t05-14-\tCD\tB-NP\tO' +p355935 +aS'Urine\tUrine\tNNP\tI-NP\tO' +p355936 +aS'culture\tculture\tNN\tI-NP\tO' +p355937 +aS':\t:\t:\tO\tO' +p355938 +aS'no\tno\tDT\tB-NP\tO' +p355939 +aS'growth\tgrowth\tNN\tI-NP\tO' +p355940 +aS'to\tto\tTO\tB-PP\tO' +p355941 +aS'date\tdate\tNN\tB-NP\tO' +p355942 +asS'Serum toxicology and urine toxicology were negative .' +p355943 +(lp355944 +S'Serum\tSerum\tNN\tB-NP\tO' +p355945 +aS'toxicology\ttoxicology\tNN\tI-NP\tO' +p355946 +aS'and\tand\tCC\tO\tO' +p355947 +aS'urine\turine\tNN\tB-NP\tO' +p355948 +aS'toxicology\ttoxicology\tNN\tI-NP\tO' +p355949 +aS'were\tbe\tVBD\tB-VP\tO' +p355950 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p355951 +aS'.\t.\t.\tO\tO' +p355952 +asS'Awake and alert , cooperative with exam , normal affect ; facial expression somewhat sparse .' +p355953 +(lp355954 +S'Awake\tAwake\tNN\tB-NP\tO' +p355955 +aS'and\tand\tCC\tI-NP\tO' +p355956 +aS'alert\talert\tJJ\tI-NP\tO' +p355957 +aS',\t,\t,\tO\tO' +p355958 +aS'cooperative\tcooperative\tJJ\tB-ADJP\tO' +p355959 +aS'with\twith\tIN\tB-PP\tO' +p355960 +aS'exam\texam\tNN\tB-NP\tO' +p355961 +aS',\t,\t,\tO\tO' +p355962 +aS'normal\tnormal\tJJ\tB-NP\tO' +p355963 +aS'affect\taffect\tNN\tI-NP\tO' +p355964 +aS';\t;\t:\tO\tO' +p355965 +aS'facial\tfacial\tJJ\tB-NP\tO' +p355966 +aS'expression\texpression\tNN\tI-NP\tO' +p355967 +aS'somewhat\tsomewhat\tRB\tB-ADJP\tO' +p355968 +aS'sparse\tsparse\tJJ\tI-ADJP\tO' +p355969 +aS'.\t.\t.\tO\tO' +p355970 +asS'His INR was found to be 4.4 .' +p355971 +(lp355972 +S'His\tHis\tPRP$\tB-NP\tO' +p355973 +aS'INR\tINR\tNN\tI-NP\tB-protein' +p355974 +aS'was\tbe\tVBD\tB-VP\tO' +p355975 +aS'found\tfind\tVBN\tI-VP\tO' +p355976 +aS'to\tto\tTO\tI-VP\tO' +p355977 +aS'be\tbe\tVB\tI-VP\tO' +p355978 +aS'4.4\t4.4\tCD\tB-NP\tO' +p355979 +aS'.\t.\t.\tO\tO' +p355980 +asS'Chest exam reveals coarse rhonchi with some bibasilar crackles .' +p355981 +(lp355982 +S'Chest\tCh\tJJS\tB-NP\tO' +p355983 +aS'exam\texam\tNN\tI-NP\tO' +p355984 +aS'reveals\treveal\tVBZ\tB-VP\tO' +p355985 +aS'coarse\tcoarse\tNN\tB-NP\tO' +p355986 +aS'rhonchi\trhonchi\tNN\tI-NP\tO' +p355987 +aS'with\twith\tIN\tB-PP\tO' +p355988 +aS'some\tsome\tDT\tB-NP\tO' +p355989 +aS'bibasilar\tbibasilar\tJJ\tI-NP\tO' +p355990 +aS'crackles\tcrackle\tNNS\tI-NP\tO' +p355991 +aS'.\t.\t.\tO\tO' +p355992 +asS'Normal LV wall thicknesses and cavity size .' +p355993 +(lp355994 +S'Normal\tNormal\tJJ\tB-NP\tO' +p355995 +aS'LV\tLV\tNN\tI-NP\tO' +p355996 +aS'wall\twall\tNN\tI-NP\tO' +p355997 +aS'thicknesses\tthickness\tNNS\tI-NP\tO' +p355998 +aS'and\tand\tCC\tO\tO' +p355999 +aS'cavity\tcavity\tNN\tB-NP\tO' +p356000 +aS'size\tsize\tNN\tI-NP\tO' +p356001 +aS'.\t.\t.\tO\tO' +p356002 +asS'Abdomen : Slightly distended , nontender .' +p356003 +(lp356004 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p356005 +aS':\t:\t:\tO\tO' +p356006 +aS'Slightly\tSlightly\tRB\tB-VP\tO' +p356007 +aS'distended\tdistend\tVBN\tI-VP\tO' +p356008 +aS',\t,\t,\tO\tO' +p356009 +aS'nontender\tnontender\tJJ\tB-ADJP\tO' +p356010 +aS'.\t.\t.\tO\tO' +p356011 +asS'A flexible bronchoscopy and extrapleural-pleural lobectomy on 12-4-93 .' +p356012 +(lp356013 +S'A\tA\tDT\tB-NP\tO' +p356014 +aS'flexible\tflexible\tJJ\tI-NP\tO' +p356015 +aS'bronchoscopy\tbronchoscopy\tNN\tI-NP\tO' +p356016 +aS'and\tand\tCC\tO\tO' +p356017 +aS'extrapleural-pleural\textrapleural-pleural\tJJ\tB-NP\tO' +p356018 +aS'lobectomy\tlobectomy\tNN\tI-NP\tO' +p356019 +aS'on\ton\tIN\tB-PP\tO' +p356020 +aS'12-4-93\t12-4-93\tCD\tB-NP\tO' +p356021 +aS'.\t.\t.\tO\tO' +p356022 +asS'1. Atrial fibrillation , on coumadin' +p356023 +(lp356024 +S'1.\t1.\tLS\tB-NP\tO' +p356025 +aS'Atrial\tAtrial\tJJ\tI-NP\tO' +p356026 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p356027 +aS',\t,\t,\tO\tO' +p356028 +aS'on\ton\tIN\tB-PP\tO' +p356029 +aS'coumadin\tcoumadin\tNN\tB-NP\tO' +p356030 +asS'Baby appeared well and went to the newborn nursery and was breast feeding and undergoing routine newborn care .' +p356031 +(lp356032 +S'Baby\tBaby\tNNP\tB-NP\tO' +p356033 +aS'appeared\tappear\tVBD\tB-VP\tO' +p356034 +aS'well\twell\tRB\tB-ADVP\tO' +p356035 +aS'and\tand\tCC\tO\tO' +p356036 +aS'went\tgo\tVBD\tB-VP\tO' +p356037 +aS'to\tto\tTO\tB-PP\tO' +p356038 +aS'the\tthe\tDT\tB-NP\tO' +p356039 +aS'newborn\tnewborn\tJJ\tI-NP\tO' +p356040 +aS'nursery\tnursery\tNN\tI-NP\tO' +p356041 +aS'and\tand\tCC\tO\tO' +p356042 +aS'was\tbe\tVBD\tB-VP\tO' +p356043 +aS'breast\tbreast\tNN\tB-NP\tO' +p356044 +aS'feeding\tfeeding\tNN\tI-NP\tO' +p356045 +aS'and\tand\tCC\tO\tO' +p356046 +aS'undergoing\tundergo\tVBG\tB-VP\tO' +p356047 +aS'routine\troutine\tJJ\tB-NP\tO' +p356048 +aS'newborn\tnewborn\tJJ\tI-NP\tO' +p356049 +aS'care\tcare\tNN\tI-NP\tO' +p356050 +aS'.\t.\t.\tO\tO' +p356051 +asS'The blood pressure 140/75 , pulse 90 and irregular , respirations 20 .' +p356052 +(lp356053 +S'The\tThe\tDT\tB-NP\tO' +p356054 +aS'blood\tblood\tNN\tI-NP\tO' +p356055 +aS'pressure\tpressure\tNN\tI-NP\tO' +p356056 +aS'140/75\t140/75\tCD\tI-NP\tO' +p356057 +aS',\t,\t,\tO\tO' +p356058 +aS'pulse\tpulse\tNN\tB-NP\tO' +p356059 +aS'90\t90\tCD\tI-NP\tO' +p356060 +aS'and\tand\tCC\tO\tO' +p356061 +aS'irregular\tirregular\tJJ\tB-NP\tO' +p356062 +aS',\t,\t,\tO\tO' +p356063 +aS'respirations\trespiration\tNNS\tB-NP\tO' +p356064 +aS'20\t20\tCD\tB-NP\tO' +p356065 +aS'.\t.\t.\tO\tO' +p356066 +asS'5. Ativan 0.5 mg po q4 hours prn for anxiety .' +p356067 +(lp356068 +S'5.\t5.\tLS\tB-LST\tO' +p356069 +aS'Ativan\tAtivan\tNNP\tB-NP\tO' +p356070 +aS'0.5\t0.5\tCD\tI-NP\tO' +p356071 +aS'mg\tmg\tNN\tI-NP\tO' +p356072 +aS'po\tpo\tNN\tI-NP\tO' +p356073 +aS'q4\tq4\tNN\tI-NP\tO' +p356074 +aS'hours\thour\tNNS\tI-NP\tO' +p356075 +aS'prn\tprn\tVBP\tB-VP\tO' +p356076 +aS'for\tfor\tIN\tB-PP\tO' +p356077 +aS'anxiety\tanxiety\tNN\tB-NP\tO' +p356078 +aS'.\t.\t.\tO\tO' +p356079 +asS'Signed electronically by : DR. Richard Gomez on : FRI 2016-09-16 7:05 AM' +p356080 +(lp356081 +S'Signed\tSign\tVBN\tB-VP\tO' +p356082 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p356083 +aS'by\tby\tIN\tB-PP\tO' +p356084 +aS':\t:\t:\tO\tO' +p356085 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p356086 +aS'Richard\tRichard\tNNP\tI-NP\tO' +p356087 +aS'Gomez\tGomez\tNNP\tI-NP\tO' +p356088 +aS'on\ton\tIN\tB-PP\tO' +p356089 +aS':\t:\t:\tO\tO' +p356090 +aS'FRI\tFRI\tCD\tB-NP\tO' +p356091 +aS'2016-09-16\t2016-09-16\tCD\tI-NP\tO' +p356092 +aS'7:05\t7:05\tCD\tI-NP\tO' +p356093 +aS'AM\tAM\tNN\tI-NP\tO' +p356094 +asS'However , on day of life 34 , 12-04 , she was noted to be pale and less stress tolerant , mottling easily with care .' +p356095 +(lp356096 +S'However\tHowever\tRB\tB-ADVP\tO' +p356097 +aS',\t,\t,\tO\tO' +p356098 +aS'on\ton\tIN\tB-PP\tO' +p356099 +aS'day\tday\tNN\tB-NP\tO' +p356100 +aS'of\tof\tIN\tB-PP\tO' +p356101 +aS'life\tlife\tNN\tB-NP\tO' +p356102 +aS'34\t34\tCD\tI-NP\tO' +p356103 +aS',\t,\t,\tI-NP\tO' +p356104 +aS'12-04\t12-04\tCD\tI-NP\tO' +p356105 +aS',\t,\t,\tO\tO' +p356106 +aS'she\tshe\tPRP\tB-NP\tO' +p356107 +aS'was\tbe\tVBD\tB-VP\tO' +p356108 +aS'noted\tnote\tVBN\tI-VP\tO' +p356109 +aS'to\tto\tTO\tI-VP\tO' +p356110 +aS'be\tbe\tVB\tI-VP\tO' +p356111 +aS'pale\tpale\tJJ\tB-NP\tO' +p356112 +aS'and\tand\tCC\tI-NP\tO' +p356113 +aS'less\tless\tJJR\tI-NP\tO' +p356114 +aS'stress\tstress\tNN\tI-NP\tO' +p356115 +aS'tolerant\ttolerant\tNN\tI-NP\tO' +p356116 +aS',\t,\t,\tO\tO' +p356117 +aS'mottling\tmottle\tVBG\tB-VP\tO' +p356118 +aS'easily\teasily\tRB\tB-ADVP\tO' +p356119 +aS'with\twith\tIN\tB-PP\tO' +p356120 +aS'care\tcare\tNN\tB-NP\tO' +p356121 +aS'.\t.\t.\tO\tO' +p356122 +asS'The patient was transferred from an outside hospital for a second opinion regarding workup of his pancreatic cancer .' +p356123 +(lp356124 +S'The\tThe\tDT\tB-NP\tO' +p356125 +aS'patient\tpatient\tNN\tI-NP\tO' +p356126 +aS'was\tbe\tVBD\tB-VP\tO' +p356127 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p356128 +aS'from\tfrom\tIN\tB-PP\tO' +p356129 +aS'an\tan\tDT\tB-NP\tO' +p356130 +aS'outside\toutside\tJJ\tI-NP\tO' +p356131 +aS'hospital\thospital\tNN\tI-NP\tO' +p356132 +aS'for\tfor\tIN\tB-PP\tO' +p356133 +aS'a\ta\tDT\tB-NP\tO' +p356134 +aS'second\tsecond\tJJ\tI-NP\tO' +p356135 +aS'opinion\topinion\tNN\tI-NP\tO' +p356136 +aS'regarding\tregard\tVBG\tB-VP\tO' +p356137 +aS'workup\tworkup\tNN\tB-NP\tO' +p356138 +aS'of\tof\tIN\tB-PP\tO' +p356139 +aS'his\this\tPRP$\tB-NP\tO' +p356140 +aS'pancreatic\tpancreatic\tJJ\tI-NP\tO' +p356141 +aS'cancer\tcancer\tNN\tI-NP\tO' +p356142 +aS'.\t.\t.\tO\tO' +p356143 +asS'The patient was given printed instructions for sprains , fractures and bruises ( English ) .' +p356144 +(lp356145 +S'The\tThe\tDT\tB-NP\tO' +p356146 +aS'patient\tpatient\tNN\tI-NP\tO' +p356147 +aS'was\tbe\tVBD\tB-VP\tO' +p356148 +aS'given\tgive\tVBN\tI-VP\tO' +p356149 +aS'printed\tprint\tVBN\tB-NP\tO' +p356150 +aS'instructions\tinstruction\tNNS\tI-NP\tO' +p356151 +aS'for\tfor\tIN\tB-PP\tO' +p356152 +aS'sprains\tsprain\tNNS\tB-NP\tO' +p356153 +aS',\t,\t,\tI-NP\tO' +p356154 +aS'fractures\tfracture\tNNS\tI-NP\tO' +p356155 +aS'and\tand\tCC\tI-NP\tO' +p356156 +aS'bruises\tbruise\tNNS\tI-NP\tO' +p356157 +aS'(\t(\t(\tO\tO' +p356158 +aS'English\tEnglish\tNNS\tB-NP\tO' +p356159 +aS')\t)\t)\tO\tO' +p356160 +aS'.\t.\t.\tO\tO' +p356161 +asS'The patient had been tolerating oral feeding as of day of life 2 and is currently taking Enfamil 20 p.o. ad lib .' +p356162 +(lp356163 +S'The\tThe\tDT\tB-NP\tO' +p356164 +aS'patient\tpatient\tNN\tI-NP\tO' +p356165 +aS'had\thave\tVBD\tB-VP\tO' +p356166 +aS'been\tbe\tVBN\tI-VP\tO' +p356167 +aS'tolerating\ttolerate\tVBG\tI-VP\tO' +p356168 +aS'oral\toral\tJJ\tB-NP\tO' +p356169 +aS'feeding\tfeeding\tNN\tI-NP\tO' +p356170 +aS'as\tas\tIN\tB-PP\tO' +p356171 +aS'of\tof\tIN\tB-PP\tO' +p356172 +aS'day\tday\tNN\tB-NP\tO' +p356173 +aS'of\tof\tIN\tB-PP\tO' +p356174 +aS'life\tlife\tNN\tB-NP\tB-protein' +p356175 +aS'2\t2\tCD\tI-NP\tI-protein' +p356176 +aS'and\tand\tCC\tO\tO' +p356177 +aS'is\tbe\tVBZ\tB-VP\tO' +p356178 +aS'currently\tcurrently\tRB\tI-VP\tO' +p356179 +aS'taking\ttake\tVBG\tI-VP\tO' +p356180 +aS'Enfamil\tEnfamil\tNNP\tB-NP\tO' +p356181 +aS'20\t20\tCD\tI-NP\tO' +p356182 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p356183 +aS'ad\tad\tNN\tI-NP\tO' +p356184 +aS'lib\tlib\tNN\tI-NP\tO' +p356185 +aS'.\t.\t.\tO\tO' +p356186 +asS'The patient has a history of multiple hospitalizations for lower extremity cellulitis and noted that his symptoms and the appearance of his left leg mirrored previous episodes .' +p356187 +(lp356188 +S'The\tThe\tDT\tB-NP\tO' +p356189 +aS'patient\tpatient\tNN\tI-NP\tO' +p356190 +aS'has\thave\tVBZ\tB-VP\tO' +p356191 +aS'a\ta\tDT\tB-NP\tO' +p356192 +aS'history\thistory\tNN\tI-NP\tO' +p356193 +aS'of\tof\tIN\tB-PP\tO' +p356194 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p356195 +aS'hospitalizations\thospitalization\tNNS\tI-NP\tO' +p356196 +aS'for\tfor\tIN\tB-PP\tO' +p356197 +aS'lower\tlow\tJJR\tB-NP\tO' +p356198 +aS'extremity\textremity\tNN\tI-NP\tO' +p356199 +aS'cellulitis\tcellulitis\tNN\tI-NP\tO' +p356200 +aS'and\tand\tCC\tO\tO' +p356201 +aS'noted\tnote\tVBD\tB-VP\tO' +p356202 +aS'that\tthat\tIN\tB-SBAR\tO' +p356203 +aS'his\this\tPRP$\tB-NP\tO' +p356204 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p356205 +aS'and\tand\tCC\tO\tO' +p356206 +aS'the\tthe\tDT\tB-NP\tO' +p356207 +aS'appearance\tappearance\tNN\tI-NP\tO' +p356208 +aS'of\tof\tIN\tB-PP\tO' +p356209 +aS'his\this\tPRP$\tB-NP\tO' +p356210 +aS'left\tleft\tJJ\tI-NP\tO' +p356211 +aS'leg\tleg\tNN\tI-NP\tO' +p356212 +aS'mirrored\tmirror\tVBD\tB-VP\tO' +p356213 +aS'previous\tprevious\tJJ\tB-NP\tO' +p356214 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p356215 +aS'.\t.\t.\tO\tO' +p356216 +asS'The patient was started on ceftazidime , nafcillin and Flagyl for concern of a soft tissue infection .' +p356217 +(lp356218 +S'The\tThe\tDT\tB-NP\tO' +p356219 +aS'patient\tpatient\tNN\tI-NP\tO' +p356220 +aS'was\tbe\tVBD\tB-VP\tO' +p356221 +aS'started\tstart\tVBN\tI-VP\tO' +p356222 +aS'on\ton\tIN\tB-PP\tO' +p356223 +aS'ceftazidime\tceftazidime\tNN\tB-NP\tO' +p356224 +aS',\t,\t,\tI-NP\tO' +p356225 +aS'nafcillin\tnafcillin\tNN\tI-NP\tO' +p356226 +aS'and\tand\tCC\tI-NP\tO' +p356227 +aS'Flagyl\tFlagyl\tNN\tI-NP\tO' +p356228 +aS'for\tfor\tIN\tB-PP\tO' +p356229 +aS'concern\tconcern\tNN\tB-NP\tO' +p356230 +aS'of\tof\tIN\tB-PP\tO' +p356231 +aS'a\ta\tDT\tB-NP\tO' +p356232 +aS'soft\tsoft\tJJ\tI-NP\tO' +p356233 +aS'tissue\ttissue\tNN\tI-NP\tO' +p356234 +aS'infection\tinfection\tNN\tI-NP\tO' +p356235 +aS'.\t.\t.\tO\tO' +p356236 +asS'He developed zoster for which he received a course of acyclovir .' +p356237 +(lp356238 +S'He\tHe\tPRP\tB-NP\tO' +p356239 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p356240 +aS'zoster\tzoster\tNN\tB-NP\tO' +p356241 +aS'for\tfor\tIN\tB-PP\tO' +p356242 +aS'which\twhich\tWDT\tB-NP\tO' +p356243 +aS'he\the\tPRP\tB-NP\tO' +p356244 +aS'received\treceive\tVBD\tB-VP\tO' +p356245 +aS'a\ta\tDT\tB-NP\tO' +p356246 +aS'course\tcourse\tNN\tI-NP\tO' +p356247 +aS'of\tof\tIN\tB-PP\tO' +p356248 +aS'acyclovir\tacyclovir\tNN\tB-NP\tO' +p356249 +aS'.\t.\t.\tO\tO' +p356250 +asS'His maximum caloric intake was 24 calories per ounce .' +p356251 +(lp356252 +S'His\tHis\tPRP$\tB-NP\tO' +p356253 +aS'maximum\tmaximum\tJJ\tI-NP\tO' +p356254 +aS'caloric\tcaloric\tJJ\tI-NP\tO' +p356255 +aS'intake\tintake\tNN\tI-NP\tO' +p356256 +aS'was\tbe\tVBD\tB-VP\tO' +p356257 +aS'24\t24\tCD\tB-NP\tO' +p356258 +aS'calories\tcalorie\tNNS\tI-NP\tO' +p356259 +aS'per\tper\tIN\tB-PP\tO' +p356260 +aS'ounce\tounce\tNN\tB-NP\tO' +p356261 +aS'.\t.\t.\tO\tO' +p356262 +asS'NIACIN , VIT .' +p356263 +(lp356264 +S'NIACIN\tNIACIN\tNN\tB-NP\tB-protein' +p356265 +aS',\t,\t,\tO\tO' +p356266 +aS'VIT\tVIT\tNN\tB-NP\tB-protein' +p356267 +aS'.\t.\t.\tO\tO' +p356268 +asS'COPD with 2 liters dependence of home 02 .' +p356269 +(lp356270 +S'COPD\tCOPD\tNN\tB-NP\tO' +p356271 +aS'with\twith\tIN\tB-PP\tO' +p356272 +aS'2\t2\tCD\tB-NP\tO' +p356273 +aS'liters\tliter\tNNS\tI-NP\tO' +p356274 +aS'dependence\tdependence\tNN\tI-NP\tO' +p356275 +aS'of\tof\tIN\tB-PP\tO' +p356276 +aS'home\thome\tNN\tB-NP\tB-DNA' +p356277 +aS'02\t02\tCD\tI-NP\tI-DNA' +p356278 +aS'.\t.\t.\tO\tO' +p356279 +asS'An echocardiogram was obtained on 4-26 which showed concentric left ventricular hypertrophy with normal _____ left ventricular function , severe right ventricular dilatation with septal hypokinesis and flattening with a question of right ventricular apical clot raised with mild aortic stenosis , severe tricuspid regurgitation and increased pulmonary artery pressure of approximately 70 millimeters , consistent with fairly severe pulmonary hypertension .' +p356280 +(lp356281 +S'An\tAn\tDT\tB-NP\tO' +p356282 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p356283 +aS'was\tbe\tVBD\tB-VP\tO' +p356284 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p356285 +aS'on\ton\tIN\tB-PP\tO' +p356286 +aS'4-26\t4-26\tNN\tB-NP\tO' +p356287 +aS'which\twhich\tWDT\tB-NP\tO' +p356288 +aS'showed\tshow\tVBD\tB-VP\tO' +p356289 +aS'concentric\tconcentric\tJJ\tB-NP\tO' +p356290 +aS'left\tleft\tJJ\tI-NP\tO' +p356291 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p356292 +aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' +p356293 +aS'with\twith\tIN\tB-PP\tO' +p356294 +aS'normal\tnormal\tJJ\tB-NP\tO' +p356295 +aS'_____\t_____\tNN\tI-NP\tO' +p356296 +aS'left\tleave\tVBD\tB-VP\tO' +p356297 +aS'ventricular\tventricular\tJJ\tB-NP\tO' +p356298 +aS'function\tfunction\tNN\tI-NP\tO' +p356299 +aS',\t,\t,\tO\tO' +p356300 +aS'severe\tsevere\tJJ\tB-NP\tO' +p356301 +aS'right\tright\tJJ\tI-NP\tO' +p356302 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p356303 +aS'dilatation\tdilatation\tNN\tI-NP\tO' +p356304 +aS'with\twith\tIN\tB-PP\tO' +p356305 +aS'septal\tseptal\tJJ\tB-NP\tO' +p356306 +aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' +p356307 +aS'and\tand\tCC\tO\tO' +p356308 +aS'flattening\tflatten\tVBG\tB-VP\tO' +p356309 +aS'with\twith\tIN\tB-PP\tO' +p356310 +aS'a\ta\tDT\tB-NP\tO' +p356311 +aS'question\tquestion\tNN\tI-NP\tO' +p356312 +aS'of\tof\tIN\tB-PP\tO' +p356313 +aS'right\tright\tJJ\tB-NP\tO' +p356314 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p356315 +aS'apical\tapical\tJJ\tI-NP\tO' +p356316 +aS'clot\tclot\tNN\tI-NP\tO' +p356317 +aS'raised\traise\tVBN\tB-VP\tO' +p356318 +aS'with\twith\tIN\tB-PP\tO' +p356319 +aS'mild\tmild\tJJ\tB-NP\tO' +p356320 +aS'aortic\taortic\tJJ\tI-NP\tO' +p356321 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p356322 +aS',\t,\t,\tO\tO' +p356323 +aS'severe\tsevere\tJJ\tB-NP\tO' +p356324 +aS'tricuspid\ttricuspid\tJJ\tI-NP\tO' +p356325 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p356326 +aS'and\tand\tCC\tO\tO' +p356327 +aS'increased\tincrease\tVBD\tB-VP\tO' +p356328 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p356329 +aS'artery\tartery\tNN\tI-NP\tO' +p356330 +aS'pressure\tpressure\tNN\tI-NP\tO' +p356331 +aS'of\tof\tIN\tB-PP\tO' +p356332 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p356333 +aS'70\t70\tCD\tI-NP\tO' +p356334 +aS'millimeters\tmillimeter\tNNS\tI-NP\tO' +p356335 +aS',\t,\t,\tO\tO' +p356336 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p356337 +aS'with\twith\tIN\tB-PP\tO' +p356338 +aS'fairly\tfairly\tRB\tB-NP\tO' +p356339 +aS'severe\tsevere\tJJ\tI-NP\tO' +p356340 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p356341 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p356342 +aS'.\t.\t.\tO\tO' +p356343 +asS'Discharge weight is 1700 grams up 15 grams ..' +p356344 +(lp356345 +S'Discharge\tDischarge\tNN\tB-NP\tO' +p356346 +aS'weight\tweight\tNN\tI-NP\tO' +p356347 +aS'is\tbe\tVBZ\tB-VP\tO' +p356348 +aS'1700\t1700\tCD\tB-NP\tO' +p356349 +aS'grams\tgram\tNNS\tI-NP\tO' +p356350 +aS'up\tup\tRB\tB-ADVP\tO' +p356351 +aS'15\t15\tCD\tB-NP\tO' +p356352 +aS'grams\tgram\tNNS\tI-NP\tO' +p356353 +aS'..\t..\t.\tO\tO' +p356354 +asS'8. There is a trivial / physiologic pericardial effusion .' +p356355 +(lp356356 +S'8.\t8.\tLS\tB-LST\tO' +p356357 +aS'There\tThere\tEX\tB-NP\tO' +p356358 +aS'is\tbe\tVBZ\tB-VP\tO' +p356359 +aS'a\ta\tDT\tB-NP\tO' +p356360 +aS'trivial\ttrivial\tJJ\tI-NP\tO' +p356361 +aS'/\t/\tSYM\tI-NP\tO' +p356362 +aS'physiologic\tphysiologic\tJJ\tI-NP\tO' +p356363 +aS'pericardial\tpericardial\tJJ\tI-NP\tO' +p356364 +aS'effusion\teffusion\tNN\tI-NP\tO' +p356365 +aS'.\t.\t.\tO\tO' +p356366 +asS'Our recommendations were to load her with Dilantin and then continue at 100 mg PO TID .' +p356367 +(lp356368 +S'Our\tOur\tPRP$\tB-NP\tO' +p356369 +aS'recommendations\trecommendation\tNNS\tI-NP\tO' +p356370 +aS'were\tbe\tVBD\tB-VP\tO' +p356371 +aS'to\tto\tTO\tI-VP\tO' +p356372 +aS'load\tload\tVB\tI-VP\tO' +p356373 +aS'her\ther\tPRP\tB-NP\tO' +p356374 +aS'with\twith\tIN\tB-PP\tO' +p356375 +aS'Dilantin\tDilantin\tNN\tB-NP\tB-protein' +p356376 +aS'and\tand\tCC\tO\tO' +p356377 +aS'then\tthen\tRB\tB-VP\tO' +p356378 +aS'continue\tcontinue\tVBP\tI-VP\tO' +p356379 +aS'at\tat\tIN\tB-PP\tO' +p356380 +aS'100\t100\tCD\tB-NP\tO' +p356381 +aS'mg\tmg\tNN\tI-NP\tO' +p356382 +aS'PO\tPO\tNN\tI-NP\tO' +p356383 +aS'TID\tTID\tNN\tI-NP\tO' +p356384 +aS'.\t.\t.\tO\tO' +p356385 +asS'A shallow chronic ulcer in the right shin with desquamation bilaterally around the ankle and half way up the shin .' +p356386 +(lp356387 +S'A\tA\tDT\tB-NP\tO' +p356388 +aS'shallow\tshallow\tJJ\tI-NP\tO' +p356389 +aS'chronic\tchronic\tJJ\tI-NP\tO' +p356390 +aS'ulcer\tulcer\tNN\tI-NP\tO' +p356391 +aS'in\tin\tIN\tB-PP\tO' +p356392 +aS'the\tthe\tDT\tB-NP\tO' +p356393 +aS'right\tright\tJJ\tI-NP\tO' +p356394 +aS'shin\tshin\tNN\tI-NP\tO' +p356395 +aS'with\twith\tIN\tB-PP\tO' +p356396 +aS'desquamation\tdesquamation\tNN\tB-NP\tO' +p356397 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p356398 +aS'around\taround\tIN\tB-PP\tO' +p356399 +aS'the\tthe\tDT\tB-NP\tO' +p356400 +aS'ankle\tankle\tNN\tI-NP\tO' +p356401 +aS'and\tand\tCC\tI-NP\tO' +p356402 +aS'half\thalf\tJJ\tI-NP\tO' +p356403 +aS'way\tway\tNN\tI-NP\tO' +p356404 +aS'up\tup\tIN\tB-PP\tO' +p356405 +aS'the\tthe\tDT\tB-NP\tO' +p356406 +aS'shin\tshin\tNN\tI-NP\tO' +p356407 +aS'.\t.\t.\tO\tO' +p356408 +asS'The chest X-ray reveals no evidence of acute disease .' +p356409 +(lp356410 +S'The\tThe\tDT\tB-NP\tO' +p356411 +aS'chest\tchest\tNN\tI-NP\tO' +p356412 +aS'X-ray\tX-ray\tNN\tI-NP\tO' +p356413 +aS'reveals\treveal\tVBZ\tB-VP\tO' +p356414 +aS'no\tno\tDT\tB-NP\tO' +p356415 +aS'evidence\tevidence\tNN\tI-NP\tO' +p356416 +aS'of\tof\tIN\tB-PP\tO' +p356417 +aS'acute\tacute\tJJ\tB-NP\tO' +p356418 +aS'disease\tdisease\tNN\tI-NP\tO' +p356419 +aS'.\t.\t.\tO\tO' +p356420 +asS'Hematocrit 24.8 , platelets 223 , INR 2.4 , CK 234 .' +p356421 +(lp356422 +S'Hematocrit\tHematocrit\tNN\tB-NP\tB-protein' +p356423 +aS'24.8\t24.8\tCD\tI-NP\tI-protein' +p356424 +aS',\t,\t,\tO\tO' +p356425 +aS'platelets\tplatelet\tNNS\tB-NP\tB-protein' +p356426 +aS'223\t223\tCD\tB-NP\tI-protein' +p356427 +aS',\t,\t,\tO\tO' +p356428 +aS'INR\tINR\tNN\tB-NP\tB-protein' +p356429 +aS'2.4\t2.4\tCD\tI-NP\tI-protein' +p356430 +aS',\t,\t,\tO\tO' +p356431 +aS'CK\tCK\tNN\tB-NP\tB-protein' +p356432 +aS'234\t234\tCD\tI-NP\tI-protein' +p356433 +aS'.\t.\t.\tO\tO' +p356434 +asS'Please follow up with Dr. Ner' +p356435 +(lp356436 +S'Please\tPlease\tVB\tB-VP\tO' +p356437 +aS'follow\tfollow\tVB\tI-VP\tO' +p356438 +aS'up\tup\tRP\tB-PRT\tO' +p356439 +aS'with\twith\tIN\tB-PP\tO' +p356440 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p356441 +aS'Ner\tNer\tNNP\tI-NP\tO' +p356442 +asS'No AR .' +p356443 +(lp356444 +S'No\tNo\tDT\tB-NP\tO' +p356445 +aS'AR\tAR\tNN\tI-NP\tB-protein' +p356446 +aS'.\t.\t.\tO\tO' +p356447 +asS'There was also some evidence of left ventricular dysfunction during the test .' +p356448 +(lp356449 +S'There\tThere\tEX\tB-NP\tO' +p356450 +aS'was\tbe\tVBD\tB-VP\tO' +p356451 +aS'also\talso\tRB\tB-ADVP\tO' +p356452 +aS'some\tsome\tDT\tB-NP\tO' +p356453 +aS'evidence\tevidence\tNN\tI-NP\tO' +p356454 +aS'of\tof\tIN\tB-PP\tO' +p356455 +aS'left\tleft\tJJ\tB-NP\tO' +p356456 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p356457 +aS'dysfunction\tdysfunction\tNN\tI-NP\tO' +p356458 +aS'during\tduring\tIN\tB-PP\tO' +p356459 +aS'the\tthe\tDT\tB-NP\tO' +p356460 +aS'test\ttest\tNN\tI-NP\tO' +p356461 +aS'.\t.\t.\tO\tO' +p356462 +asS'On the left side it is 4 out of 5 in the lower extremities .' +p356463 +(lp356464 +S'On\tOn\tIN\tB-PP\tO' +p356465 +aS'the\tthe\tDT\tB-NP\tO' +p356466 +aS'left\tleft\tJJ\tI-NP\tO' +p356467 +aS'side\tside\tNN\tI-NP\tO' +p356468 +aS'it\tit\tPRP\tB-NP\tO' +p356469 +aS'is\tbe\tVBZ\tB-VP\tO' +p356470 +aS'4\t4\tCD\tB-NP\tO' +p356471 +aS'out\tout\tIN\tB-PP\tO' +p356472 +aS'of\tof\tIN\tB-PP\tO' +p356473 +aS'5\t5\tCD\tB-NP\tO' +p356474 +aS'in\tin\tIN\tB-PP\tO' +p356475 +aS'the\tthe\tDT\tB-NP\tO' +p356476 +aS'lower\tlow\tJJR\tI-NP\tO' +p356477 +aS'extremities\textremity\tNNS\tI-NP\tO' +p356478 +aS'.\t.\t.\tO\tO' +p356479 +asS'Blood and urine cultures were no growth at the time of discharge as well .' +p356480 +(lp356481 +S'Blood\tBlood\tNN\tB-NP\tO' +p356482 +aS'and\tand\tCC\tI-NP\tO' +p356483 +aS'urine\turine\tNN\tI-NP\tB-cell_line' +p356484 +aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' +p356485 +aS'were\tbe\tVBD\tB-VP\tO' +p356486 +aS'no\tno\tDT\tB-NP\tO' +p356487 +aS'growth\tgrowth\tNN\tI-NP\tO' +p356488 +aS'at\tat\tIN\tB-PP\tO' +p356489 +aS'the\tthe\tDT\tB-NP\tO' +p356490 +aS'time\ttime\tNN\tI-NP\tO' +p356491 +aS'of\tof\tIN\tB-PP\tO' +p356492 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p356493 +aS'as\tas\tRB\tB-ADVP\tO' +p356494 +aS'well\twell\tRB\tI-ADVP\tO' +p356495 +aS'.\t.\t.\tO\tO' +p356496 +asS'The patient was maintained on intravenous heparin .' +p356497 +(lp356498 +S'The\tThe\tDT\tB-NP\tO' +p356499 +aS'patient\tpatient\tNN\tI-NP\tO' +p356500 +aS'was\tbe\tVBD\tB-VP\tO' +p356501 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p356502 +aS'on\ton\tIN\tB-PP\tO' +p356503 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p356504 +aS'heparin\theparin\tNN\tI-NP\tO' +p356505 +aS'.\t.\t.\tO\tO' +p356506 +asS'Neurological examination revealed a patient who was intermittently alert , opening eyes to voice , following simple commands , but without any speech .' +p356507 +(lp356508 +S'Neurological\tNeurological\tJJ\tB-NP\tO' +p356509 +aS'examination\texamination\tNN\tI-NP\tO' +p356510 +aS'revealed\treveal\tVBD\tB-VP\tO' +p356511 +aS'a\ta\tDT\tB-NP\tO' +p356512 +aS'patient\tpatient\tNN\tI-NP\tO' +p356513 +aS'who\twho\tWP\tB-NP\tO' +p356514 +aS'was\tbe\tVBD\tB-VP\tO' +p356515 +aS'intermittently\tintermittently\tRB\tB-ADJP\tO' +p356516 +aS'alert\talert\tJJ\tI-ADJP\tO' +p356517 +aS',\t,\t,\tO\tO' +p356518 +aS'opening\topen\tVBG\tB-VP\tO' +p356519 +aS'eyes\teye\tNNS\tB-NP\tO' +p356520 +aS'to\tto\tTO\tB-VP\tO' +p356521 +aS'voice\tvoice\tVB\tI-VP\tO' +p356522 +aS',\t,\t,\tO\tO' +p356523 +aS'following\tfollow\tVBG\tB-PP\tO' +p356524 +aS'simple\tsimple\tJJ\tB-NP\tO' +p356525 +aS'commands\tcommand\tNNS\tI-NP\tO' +p356526 +aS',\t,\t,\tO\tO' +p356527 +aS'but\tbut\tCC\tO\tO' +p356528 +aS'without\twithout\tIN\tB-PP\tO' +p356529 +aS'any\tany\tDT\tB-NP\tO' +p356530 +aS'speech\tspeech\tNN\tI-NP\tO' +p356531 +aS'.\t.\t.\tO\tO' +p356532 +asS'Immunizations recommended , Synagis RSV prophylaxis should be considered from October through April for infants who meet any of the following three criteria , born at less then 32 weeks , born between 32 and 35 weeks with two of three of the following , day care during RSV season , smoker on the household , neuromuscular disease , airway abnormalities or school age siblings or with chronic lung disease .' +p356533 +(lp356534 +S'Immunizations\tImmunization\tNNS\tB-NP\tO' +p356535 +aS'recommended\trecommend\tVBD\tB-VP\tO' +p356536 +aS',\t,\t,\tO\tO' +p356537 +aS'Synagis\tSynagis\tNNP\tB-NP\tO' +p356538 +aS'RSV\tRSV\tNNP\tI-NP\tO' +p356539 +aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' +p356540 +aS'should\tshould\tMD\tB-VP\tO' +p356541 +aS'be\tbe\tVB\tI-VP\tO' +p356542 +aS'considered\tconsider\tVBN\tI-VP\tO' +p356543 +aS'from\tfrom\tIN\tB-PP\tO' +p356544 +aS'October\tOctober\tNNP\tB-NP\tO' +p356545 +aS'through\tthrough\tIN\tB-PP\tO' +p356546 +aS'April\tApril\tNNP\tB-NP\tO' +p356547 +aS'for\tfor\tIN\tB-PP\tO' +p356548 +aS'infants\tinfant\tNNS\tB-NP\tO' +p356549 +aS'who\twho\tWP\tB-NP\tO' +p356550 +aS'meet\tmeet\tVBP\tB-VP\tO' +p356551 +aS'any\tany\tDT\tB-NP\tO' +p356552 +aS'of\tof\tIN\tB-PP\tO' +p356553 +aS'the\tthe\tDT\tB-NP\tO' +p356554 +aS'following\tfollow\tVBG\tI-NP\tO' +p356555 +aS'three\tthree\tCD\tI-NP\tO' +p356556 +aS'criteria\tcriterion\tNNS\tI-NP\tO' +p356557 +aS',\t,\t,\tO\tO' +p356558 +aS'born\tbear\tVBN\tB-VP\tO' +p356559 +aS'at\tat\tIN\tB-PP\tO' +p356560 +aS'less\tless\tRBR\tB-ADVP\tO' +p356561 +aS'then\tthen\tRB\tI-ADVP\tO' +p356562 +aS'32\t32\tCD\tB-NP\tO' +p356563 +aS'weeks\tweek\tNNS\tI-NP\tO' +p356564 +aS',\t,\t,\tO\tO' +p356565 +aS'born\tbear\tVBN\tB-VP\tO' +p356566 +aS'between\tbetween\tIN\tB-PP\tO' +p356567 +aS'32\t32\tCD\tB-NP\tO' +p356568 +aS'and\tand\tCC\tI-NP\tO' +p356569 +aS'35\t35\tCD\tI-NP\tO' +p356570 +aS'weeks\tweek\tNNS\tI-NP\tO' +p356571 +aS'with\twith\tIN\tB-PP\tO' +p356572 +aS'two\ttwo\tCD\tB-NP\tO' +p356573 +aS'of\tof\tIN\tB-PP\tO' +p356574 +aS'three\tthree\tCD\tB-NP\tO' +p356575 +aS'of\tof\tIN\tB-PP\tO' +p356576 +aS'the\tthe\tDT\tB-NP\tO' +p356577 +aS'following\tfollowing\tNN\tI-NP\tO' +p356578 +aS',\t,\t,\tO\tO' +p356579 +aS'day\tday\tNN\tB-NP\tO' +p356580 +aS'care\tcare\tNN\tI-NP\tO' +p356581 +aS'during\tduring\tIN\tB-PP\tO' +p356582 +aS'RSV\tRSV\tNN\tB-NP\tO' +p356583 +aS'season\tseason\tNN\tI-NP\tO' +p356584 +aS',\t,\t,\tO\tO' +p356585 +aS'smoker\tsmoker\tNN\tB-NP\tO' +p356586 +aS'on\ton\tIN\tB-PP\tO' +p356587 +aS'the\tthe\tDT\tB-NP\tO' +p356588 +aS'household\thousehold\tNN\tI-NP\tO' +p356589 +aS',\t,\t,\tO\tO' +p356590 +aS'neuromuscular\tneuromuscular\tJJ\tB-NP\tO' +p356591 +aS'disease\tdisease\tNN\tI-NP\tO' +p356592 +aS',\t,\t,\tO\tO' +p356593 +aS'airway\tairway\tNN\tB-NP\tO' +p356594 +aS'abnormalities\tabnormality\tNNS\tI-NP\tO' +p356595 +aS'or\tor\tCC\tO\tO' +p356596 +aS'school\tschool\tNN\tB-NP\tO' +p356597 +aS'age\tage\tNN\tI-NP\tO' +p356598 +aS'siblings\tsibling\tNNS\tI-NP\tO' +p356599 +aS'or\tor\tCC\tB-PP\tO' +p356600 +aS'with\twith\tIN\tB-PP\tO' +p356601 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p356602 +aS'lung\tlung\tNN\tI-NP\tO' +p356603 +aS'disease\tdisease\tNN\tI-NP\tO' +p356604 +aS'.\t.\t.\tO\tO' +p356605 +asS'Rales at the right base , bilateral decreased breath sounds at the bases .' +p356606 +(lp356607 +S'Rales\tRale\tNNS\tB-NP\tO' +p356608 +aS'at\tat\tIN\tB-PP\tO' +p356609 +aS'the\tthe\tDT\tB-NP\tO' +p356610 +aS'right\tright\tJJ\tI-NP\tO' +p356611 +aS'base\tbase\tNN\tI-NP\tO' +p356612 +aS',\t,\t,\tO\tO' +p356613 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p356614 +aS'decreased\tdecrease\tVBN\tI-NP\tO' +p356615 +aS'breath\tbreath\tNN\tI-NP\tO' +p356616 +aS'sounds\tsound\tNNS\tI-NP\tO' +p356617 +aS'at\tat\tIN\tB-PP\tO' +p356618 +aS'the\tthe\tDT\tB-NP\tO' +p356619 +aS'bases\tbase\tNNS\tI-NP\tO' +p356620 +aS'.\t.\t.\tO\tO' +p356621 +asS'The patient will be discharged with WH and continued dressing changes bid .' +p356622 +(lp356623 +S'The\tThe\tDT\tB-NP\tO' +p356624 +aS'patient\tpatient\tNN\tI-NP\tO' +p356625 +aS'will\twill\tMD\tB-VP\tO' +p356626 +aS'be\tbe\tVB\tI-VP\tO' +p356627 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p356628 +aS'with\twith\tIN\tB-PP\tO' +p356629 +aS'WH\tWH\tNN\tB-NP\tO' +p356630 +aS'and\tand\tCC\tO\tO' +p356631 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p356632 +aS'dressing\tdress\tVBG\tI-VP\tO' +p356633 +aS'changes\tchange\tNNS\tB-NP\tO' +p356634 +aS'bid\tbid\tNN\tI-NP\tO' +p356635 +aS'.\t.\t.\tO\tO' +p356636 +asS'Given the localization of the hematoma and the history of hypertension , the most likely cause for Mrs. Dua 's cerebellar hemorrhage is hypertension .' +p356637 +(lp356638 +S'Given\tGive\tVBN\tB-PP\tO' +p356639 +aS'the\tthe\tDT\tB-NP\tO' +p356640 +aS'localization\tlocalization\tNN\tI-NP\tO' +p356641 +aS'of\tof\tIN\tB-PP\tO' +p356642 +aS'the\tthe\tDT\tB-NP\tO' +p356643 +aS'hematoma\thematoma\tNN\tI-NP\tO' +p356644 +aS'and\tand\tCC\tO\tO' +p356645 +aS'the\tthe\tDT\tB-NP\tO' +p356646 +aS'history\thistory\tNN\tI-NP\tO' +p356647 +aS'of\tof\tIN\tB-PP\tO' +p356648 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p356649 +aS',\t,\t,\tO\tO' +p356650 +aS'the\tthe\tDT\tB-NP\tO' +p356651 +aS'most\tmost\tRBS\tI-NP\tO' +p356652 +aS'likely\tlikely\tJJ\tI-NP\tO' +p356653 +aS'cause\tcause\tNN\tI-NP\tO' +p356654 +aS'for\tfor\tIN\tB-PP\tO' +p356655 +aS'Mrs.\tMrs.\tNNP\tB-NP\tO' +p356656 +aS'Dua\tDua\tNNP\tI-NP\tO' +p356657 +aS''s\t'\tVBZ\tB-VP\tO' +p356658 +aS'cerebellar\tcerebellar\tJJ\tB-NP\tO' +p356659 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p356660 +aS'is\tbe\tVBZ\tB-VP\tO' +p356661 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p356662 +aS'.\t.\t.\tO\tO' +p356663 +asS'The patient was discharged home in stable condition .' +p356664 +(lp356665 +S'The\tThe\tDT\tB-NP\tO' +p356666 +aS'patient\tpatient\tNN\tI-NP\tO' +p356667 +aS'was\tbe\tVBD\tB-VP\tO' +p356668 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p356669 +aS'home\thome\tNN\tB-ADVP\tO' +p356670 +aS'in\tin\tIN\tB-PP\tO' +p356671 +aS'stable\tstable\tJJ\tB-NP\tO' +p356672 +aS'condition\tcondition\tNN\tI-NP\tO' +p356673 +aS'.\t.\t.\tO\tO' +p356674 +asS'He continued to do well over the next few days and was quite surprisingly intact on both sides of his body in terms of his ability to move .' +p356675 +(lp356676 +S'He\tHe\tPRP\tB-NP\tO' +p356677 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p356678 +aS'to\tto\tTO\tI-VP\tO' +p356679 +aS'do\tdo\tVB\tI-VP\tO' +p356680 +aS'well\twell\tRB\tB-ADVP\tO' +p356681 +aS'over\tover\tIN\tB-PP\tO' +p356682 +aS'the\tthe\tDT\tB-NP\tO' +p356683 +aS'next\tnext\tJJ\tI-NP\tO' +p356684 +aS'few\tfew\tJJ\tI-NP\tO' +p356685 +aS'days\tday\tNNS\tI-NP\tO' +p356686 +aS'and\tand\tCC\tO\tO' +p356687 +aS'was\tbe\tVBD\tB-VP\tO' +p356688 +aS'quite\tquite\tRB\tB-ADJP\tO' +p356689 +aS'surprisingly\tsurprisingly\tRB\tI-ADJP\tO' +p356690 +aS'intact\tintact\tJJ\tI-ADJP\tO' +p356691 +aS'on\ton\tIN\tB-PP\tO' +p356692 +aS'both\tboth\tDT\tB-NP\tO' +p356693 +aS'sides\tside\tNNS\tI-NP\tO' +p356694 +aS'of\tof\tIN\tB-PP\tO' +p356695 +aS'his\this\tPRP$\tB-NP\tO' +p356696 +aS'body\tbody\tNN\tI-NP\tO' +p356697 +aS'in\tin\tIN\tB-PP\tO' +p356698 +aS'terms\tterm\tNNS\tB-NP\tO' +p356699 +aS'of\tof\tIN\tB-PP\tO' +p356700 +aS'his\this\tPRP$\tB-NP\tO' +p356701 +aS'ability\tability\tNN\tI-NP\tO' +p356702 +aS'to\tto\tTO\tB-VP\tO' +p356703 +aS'move\tmove\tVB\tI-VP\tO' +p356704 +aS'.\t.\t.\tO\tO' +p356705 +asS'After this procedure , the patient again hemorrhaged in the ICU and was taken back to the OR for reexploration and ligation of a bleeding vaginal artery .' +p356706 +(lp356707 +S'After\tAfter\tIN\tB-PP\tO' +p356708 +aS'this\tthis\tDT\tB-NP\tO' +p356709 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p356710 +aS',\t,\t,\tO\tO' +p356711 +aS'the\tthe\tDT\tB-NP\tO' +p356712 +aS'patient\tpatient\tNN\tI-NP\tO' +p356713 +aS'again\tagain\tRB\tB-VP\tO' +p356714 +aS'hemorrhaged\themorrhage\tVBN\tI-VP\tO' +p356715 +aS'in\tin\tIN\tB-PP\tO' +p356716 +aS'the\tthe\tDT\tB-NP\tO' +p356717 +aS'ICU\tICU\tNN\tI-NP\tB-DNA' +p356718 +aS'and\tand\tCC\tO\tO' +p356719 +aS'was\tbe\tVBD\tB-VP\tO' +p356720 +aS'taken\ttake\tVBN\tI-VP\tO' +p356721 +aS'back\tback\tRB\tB-ADVP\tO' +p356722 +aS'to\tto\tTO\tB-PP\tO' +p356723 +aS'the\tthe\tDT\tB-NP\tO' +p356724 +aS'OR\tOR\tNN\tI-NP\tO' +p356725 +aS'for\tfor\tIN\tB-PP\tO' +p356726 +aS'reexploration\treexploration\tNN\tB-NP\tO' +p356727 +aS'and\tand\tCC\tI-NP\tO' +p356728 +aS'ligation\tligation\tNN\tI-NP\tO' +p356729 +aS'of\tof\tIN\tB-PP\tO' +p356730 +aS'a\ta\tDT\tB-NP\tO' +p356731 +aS'bleeding\tbleed\tVBG\tI-NP\tO' +p356732 +aS'vaginal\tvaginal\tJJ\tI-NP\tO' +p356733 +aS'artery\tartery\tNN\tI-NP\tO' +p356734 +aS'.\t.\t.\tO\tO' +p356735 +asS'The patient was having a hard time walking and reports that he has felt weaker .' +p356736 +(lp356737 +S'The\tThe\tDT\tB-NP\tO' +p356738 +aS'patient\tpatient\tNN\tI-NP\tO' +p356739 +aS'was\tbe\tVBD\tB-VP\tO' +p356740 +aS'having\thave\tVBG\tI-VP\tO' +p356741 +aS'a\ta\tDT\tB-NP\tO' +p356742 +aS'hard\thard\tJJ\tI-NP\tO' +p356743 +aS'time\ttime\tNN\tI-NP\tO' +p356744 +aS'walking\twalk\tVBG\tB-VP\tO' +p356745 +aS'and\tand\tCC\tO\tO' +p356746 +aS'reports\treport\tNNS\tB-NP\tO' +p356747 +aS'that\tthat\tIN\tB-SBAR\tO' +p356748 +aS'he\the\tPRP\tB-NP\tO' +p356749 +aS'has\thave\tVBZ\tB-VP\tO' +p356750 +aS'felt\tfeel\tVBN\tI-VP\tO' +p356751 +aS'weaker\tweak\tJJR\tB-ADJP\tO' +p356752 +aS'.\t.\t.\tO\tO' +p356753 +asS'Significant for a history of hypertension , basal cell carcinoma of the nose six years ago , cataracts , and a hysterectomy .' +p356754 +(lp356755 +S'Significant\tSignificant\tJJ\tB-ADJP\tO' +p356756 +aS'for\tfor\tIN\tB-PP\tO' +p356757 +aS'a\ta\tDT\tB-NP\tO' +p356758 +aS'history\thistory\tNN\tI-NP\tO' +p356759 +aS'of\tof\tIN\tB-PP\tO' +p356760 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p356761 +aS',\t,\t,\tO\tO' +p356762 +aS'basal\tbasal\tJJ\tB-NP\tO' +p356763 +aS'cell\tcell\tNN\tI-NP\tO' +p356764 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p356765 +aS'of\tof\tIN\tB-PP\tO' +p356766 +aS'the\tthe\tDT\tB-NP\tO' +p356767 +aS'nose\tnose\tNN\tI-NP\tO' +p356768 +aS'six\tsix\tCD\tB-NP\tO' +p356769 +aS'years\tyear\tNNS\tI-NP\tO' +p356770 +aS'ago\tago\tRB\tB-ADVP\tO' +p356771 +aS',\t,\t,\tO\tO' +p356772 +aS'cataracts\tcataract\tNNS\tB-NP\tO' +p356773 +aS',\t,\t,\tO\tO' +p356774 +aS'and\tand\tCC\tO\tO' +p356775 +aS'a\ta\tDT\tB-NP\tO' +p356776 +aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' +p356777 +aS'.\t.\t.\tO\tO' +p356778 +asS'1. Status post aortic valve replacement and coronary artery bypass grafting times four .' +p356779 +(lp356780 +S'1.\t1.\tLS\tB-LST\tO' +p356781 +aS'Status\tStatus\tNNP\tB-NP\tO' +p356782 +aS'post\tpost\tIN\tB-PP\tO' +p356783 +aS'aortic\taortic\tJJ\tB-NP\tO' +p356784 +aS'valve\tvalve\tNN\tI-NP\tO' +p356785 +aS'replacement\treplacement\tNN\tI-NP\tO' +p356786 +aS'and\tand\tCC\tO\tO' +p356787 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p356788 +aS'artery\tartery\tNN\tI-NP\tO' +p356789 +aS'bypass\tbypass\tIN\tB-PP\tO' +p356790 +aS'grafting\tgraft\tVBG\tB-VP\tO' +p356791 +aS'times\ttime\tNNS\tB-NP\tO' +p356792 +aS'four\tfour\tCD\tB-NP\tO' +p356793 +aS'.\t.\t.\tO\tO' +p356794 +asS'Head circumference not done .' +p356795 +(lp356796 +S'Head\tHead\tNN\tB-NP\tO' +p356797 +aS'circumference\tcircumference\tNN\tI-NP\tO' +p356798 +aS'not\tnot\tRB\tB-VP\tO' +p356799 +aS'done\tdo\tVBN\tI-VP\tO' +p356800 +aS'.\t.\t.\tO\tO' +p356801 +asS'Please taper off your prednisone within 2 weeks' +p356802 +(lp356803 +S'Please\tPlease\tVB\tB-VP\tO' +p356804 +aS'taper\ttaper\tVB\tI-VP\tO' +p356805 +aS'off\toff\tRP\tB-PRT\tB-protein' +p356806 +aS'your\tyour\tPRP$\tB-NP\tO' +p356807 +aS'prednisone\tprednisone\tNN\tI-NP\tO' +p356808 +aS'within\twithin\tIN\tB-PP\tO' +p356809 +aS'2\t2\tCD\tB-NP\tO' +p356810 +aS'weeks\tweek\tNNS\tI-NP\tO' +p356811 +asS'Full term well appearing infant with some facial jaundice , overall pink , warm and well perfused , alert and responsive .' +p356812 +(lp356813 +S'Full\tFull\tJJ\tB-NP\tO' +p356814 +aS'term\tterm\tNN\tI-NP\tO' +p356815 +aS'well\twell\tRB\tB-VP\tO' +p356816 +aS'appearing\tappear\tVBG\tI-VP\tO' +p356817 +aS'infant\tinfant\tNN\tB-NP\tO' +p356818 +aS'with\twith\tIN\tB-PP\tO' +p356819 +aS'some\tsome\tDT\tB-NP\tO' +p356820 +aS'facial\tfacial\tJJ\tI-NP\tO' +p356821 +aS'jaundice\tjaundice\tNN\tI-NP\tO' +p356822 +aS',\t,\t,\tO\tO' +p356823 +aS'overall\toverall\tJJ\tB-NP\tO' +p356824 +aS'pink\tpink\tNN\tI-NP\tO' +p356825 +aS',\t,\t,\tO\tO' +p356826 +aS'warm\twarm\tJJ\tB-ADJP\tO' +p356827 +aS'and\tand\tCC\tO\tO' +p356828 +aS'well\twell\tRB\tB-ADJP\tO' +p356829 +aS'perfused\tperfuse\tVBN\tI-ADJP\tO' +p356830 +aS',\t,\t,\tO\tO' +p356831 +aS'alert\talert\tJJ\tB-ADJP\tO' +p356832 +aS'and\tand\tCC\tI-ADJP\tO' +p356833 +aS'responsive\tresponsive\tJJ\tI-ADJP\tO' +p356834 +aS'.\t.\t.\tO\tO' +p356835 +asS'In the interim , the white blood count rose again to 4.2 with a hematocrit of 30.5 , platelet count of 196 thousand .' +p356836 +(lp356837 +S'In\tIn\tIN\tB-PP\tO' +p356838 +aS'the\tthe\tDT\tB-NP\tO' +p356839 +aS'interim\tinterim\tNN\tI-NP\tO' +p356840 +aS',\t,\t,\tO\tO' +p356841 +aS'the\tthe\tDT\tB-NP\tO' +p356842 +aS'white\twhite\tJJ\tI-NP\tO' +p356843 +aS'blood\tblood\tNN\tI-NP\tO' +p356844 +aS'count\tcount\tNN\tI-NP\tO' +p356845 +aS'rose\trise\tVBD\tB-VP\tO' +p356846 +aS'again\tagain\tRB\tB-ADVP\tO' +p356847 +aS'to\tto\tTO\tB-PP\tO' +p356848 +aS'4.2\t4.2\tCD\tB-NP\tO' +p356849 +aS'with\twith\tIN\tB-PP\tO' +p356850 +aS'a\ta\tDT\tB-NP\tO' +p356851 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p356852 +aS'of\tof\tIN\tB-PP\tO' +p356853 +aS'30.5\t30.5\tCD\tB-NP\tO' +p356854 +aS',\t,\t,\tO\tO' +p356855 +aS'platelet\tplatelet\tNN\tB-NP\tO' +p356856 +aS'count\tcount\tNN\tI-NP\tO' +p356857 +aS'of\tof\tIN\tB-PP\tO' +p356858 +aS'196\t196\tCD\tB-NP\tO' +p356859 +aS'thousand\tthousand\tCD\tI-NP\tO' +p356860 +aS'.\t.\t.\tO\tO' +p356861 +asS'He is to see Dr. les Dina in one month , Dr. Bennett in one month and Dr. Duval in one month .' +p356862 +(lp356863 +S'He\tHe\tPRP\tB-NP\tO' +p356864 +aS'is\tbe\tVBZ\tB-VP\tO' +p356865 +aS'to\tto\tTO\tB-VP\tO' +p356866 +aS'see\tsee\tVB\tI-VP\tO' +p356867 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p356868 +aS'les\tle\tVBZ\tB-VP\tO' +p356869 +aS'Dina\tDina\tNNP\tB-NP\tO' +p356870 +aS'in\tin\tIN\tB-PP\tO' +p356871 +aS'one\tone\tCD\tB-NP\tO' +p356872 +aS'month\tmonth\tNN\tI-NP\tO' +p356873 +aS',\t,\t,\tO\tO' +p356874 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p356875 +aS'Bennett\tBennett\tNNP\tI-NP\tO' +p356876 +aS'in\tin\tIN\tB-PP\tO' +p356877 +aS'one\tone\tCD\tB-NP\tO' +p356878 +aS'month\tmonth\tNN\tI-NP\tO' +p356879 +aS'and\tand\tCC\tO\tO' +p356880 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p356881 +aS'Duval\tDuval\tNNP\tI-NP\tO' +p356882 +aS'in\tin\tIN\tB-PP\tO' +p356883 +aS'one\tone\tCD\tB-NP\tO' +p356884 +aS'month\tmonth\tNN\tI-NP\tO' +p356885 +aS'.\t.\t.\tO\tO' +p356886 +asS'13. Warfarin 1 mg PO HS .' +p356887 +(lp356888 +S'13.\t13.\tLS\tB-LST\tO' +p356889 +aS'Warfarin\tWarfarin\tNNP\tB-NP\tO' +p356890 +aS'1\t1\tCD\tI-NP\tO' +p356891 +aS'mg\tmg\tNN\tI-NP\tO' +p356892 +aS'PO\tPO\tNN\tI-NP\tO' +p356893 +aS'HS\tHS\tNN\tI-NP\tO' +p356894 +aS'.\t.\t.\tO\tO' +p356895 +asS'Follow hct daily Goal > 28' +p356896 +(lp356897 +S'Follow\tFollow\tJJ\tB-NP\tO' +p356898 +aS'hct\thct\tNN\tI-NP\tO' +p356899 +aS'daily\tdaily\tJJ\tI-NP\tO' +p356900 +aS'Goal\tGoal\tNN\tI-NP\tO' +p356901 +aS'>\t>\tSYM\tB-NP\tO' +p356902 +aS'28\t28\tCD\tB-NP\tO' +p356903 +asS'When walking outside , she stops multiple times because of shortness of breath .' +p356904 +(lp356905 +S'When\tWhen\tWRB\tB-ADVP\tO' +p356906 +aS'walking\twalk\tVBG\tB-VP\tO' +p356907 +aS'outside\toutside\tIN\tB-ADVP\tO' +p356908 +aS',\t,\t,\tO\tO' +p356909 +aS'she\tshe\tPRP\tB-NP\tO' +p356910 +aS'stops\tstop\tVBZ\tB-VP\tO' +p356911 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p356912 +aS'times\ttime\tNNS\tI-NP\tO' +p356913 +aS'because\tbecause\tIN\tB-PP\tO' +p356914 +aS'of\tof\tIN\tI-PP\tO' +p356915 +aS'shortness\tshortness\tNN\tB-NP\tO' +p356916 +aS'of\tof\tIN\tB-PP\tO' +p356917 +aS'breath\tbreath\tNN\tB-NP\tO' +p356918 +aS'.\t.\t.\tO\tO' +p356919 +asS'He identified no bleeding source , but felt that the risk of nasal hemorrhage on Coumadin could be minimized interventional neuroradiology occlusion of the arteries to the nose bilaterally .' +p356920 +(lp356921 +S'He\tHe\tPRP\tB-NP\tO' +p356922 +aS'identified\tidentify\tVBD\tB-VP\tO' +p356923 +aS'no\tno\tDT\tB-NP\tO' +p356924 +aS'bleeding\tbleed\tVBG\tI-NP\tO' +p356925 +aS'source\tsource\tNN\tI-NP\tO' +p356926 +aS',\t,\t,\tO\tO' +p356927 +aS'but\tbut\tCC\tO\tO' +p356928 +aS'felt\tfeel\tVBD\tB-VP\tO' +p356929 +aS'that\tthat\tIN\tB-SBAR\tO' +p356930 +aS'the\tthe\tDT\tB-NP\tO' +p356931 +aS'risk\trisk\tNN\tI-NP\tO' +p356932 +aS'of\tof\tIN\tB-PP\tO' +p356933 +aS'nasal\tnasal\tJJ\tB-NP\tO' +p356934 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p356935 +aS'on\ton\tIN\tB-PP\tO' +p356936 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p356937 +aS'could\tcould\tMD\tB-VP\tO' +p356938 +aS'be\tbe\tVB\tI-VP\tO' +p356939 +aS'minimized\tminimize\tVBN\tI-VP\tO' +p356940 +aS'interventional\tinterventional\tJJ\tB-NP\tO' +p356941 +aS'neuroradiology\tneuroradiology\tNN\tI-NP\tO' +p356942 +aS'occlusion\tocclusion\tNN\tI-NP\tO' +p356943 +aS'of\tof\tIN\tB-PP\tO' +p356944 +aS'the\tthe\tDT\tB-NP\tO' +p356945 +aS'arteries\tartery\tNNS\tI-NP\tO' +p356946 +aS'to\tto\tTO\tB-PP\tO' +p356947 +aS'the\tthe\tDT\tB-NP\tO' +p356948 +aS'nose\tnose\tNN\tI-NP\tO' +p356949 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p356950 +aS'.\t.\t.\tO\tO' +p356951 +asS'Disp :* 20 Tablet (s)* Refills :* 0 *' +p356952 +(lp356953 +S'Disp\tDisp\tNN\tB-NP\tO' +p356954 +aS':*\t:*\tSYM\tI-NP\tO' +p356955 +aS'20\t20\tCD\tI-NP\tO' +p356956 +aS'Tablet\tTablet\tNN\tI-NP\tO' +p356957 +aS'(s)*\t(s)*\tSYM\tB-NP\tO' +p356958 +aS'Refills\tRefill\tNNPS\tI-NP\tO' +p356959 +aS':*\t:*\tSYM\tI-NP\tO' +p356960 +aS'0\t0\tCD\tI-NP\tO' +p356961 +aS'*\t*\tSYM\tB-NP\tO' +p356962 +asS'3. Respiratory distress with left pneumothorax resolved .' +p356963 +(lp356964 +S'3.\t3.\tLS\tB-NP\tO' +p356965 +aS'Respiratory\tRespiratory\tJJ\tI-NP\tO' +p356966 +aS'distress\tdistress\tNN\tI-NP\tO' +p356967 +aS'with\twith\tIN\tB-PP\tO' +p356968 +aS'left\tleft\tJJ\tB-NP\tO' +p356969 +aS'pneumothorax\tpneumothorax\tNN\tI-NP\tO' +p356970 +aS'resolved\tresolve\tVBN\tB-VP\tO' +p356971 +aS'.\t.\t.\tO\tO' +p356972 +asS'4/5 lower extremity bilaterally .' +p356973 +(lp356974 +S'4/5\t4/5\tCD\tB-NP\tO' +p356975 +aS'lower\tlow\tJJR\tI-NP\tO' +p356976 +aS'extremity\textremity\tNN\tI-NP\tO' +p356977 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p356978 +aS'.\t.\t.\tO\tO' +p356979 +asS'The left internal mammary artery was connected to the proximal left anterior descending and saphenous vein grafts were connected to the posterior descending artery , diagonal branch , obtuse marginal and distal left anterior descending .' +p356980 +(lp356981 +S'The\tThe\tDT\tB-NP\tO' +p356982 +aS'left\tleft\tJJ\tI-NP\tO' +p356983 +aS'internal\tinternal\tJJ\tI-NP\tO' +p356984 +aS'mammary\tmammary\tJJ\tI-NP\tO' +p356985 +aS'artery\tartery\tNN\tI-NP\tO' +p356986 +aS'was\tbe\tVBD\tB-VP\tO' +p356987 +aS'connected\tconnect\tVBN\tI-VP\tO' +p356988 +aS'to\tto\tTO\tB-PP\tO' +p356989 +aS'the\tthe\tDT\tB-NP\tO' +p356990 +aS'proximal\tproximal\tJJ\tI-NP\tO' +p356991 +aS'left\tleft\tJJ\tI-NP\tO' +p356992 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p356993 +aS'descending\tdescending\tNN\tI-NP\tO' +p356994 +aS'and\tand\tCC\tO\tO' +p356995 +aS'saphenous\tsaphenous\tJJ\tB-NP\tO' +p356996 +aS'vein\tvein\tNN\tI-NP\tO' +p356997 +aS'grafts\tgraft\tNNS\tI-NP\tO' +p356998 +aS'were\tbe\tVBD\tB-VP\tO' +p356999 +aS'connected\tconnect\tVBN\tI-VP\tO' +p357000 +aS'to\tto\tTO\tB-PP\tO' +p357001 +aS'the\tthe\tDT\tB-NP\tO' +p357002 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p357003 +aS'descending\tdescend\tVBG\tI-NP\tO' +p357004 +aS'artery\tartery\tNN\tI-NP\tO' +p357005 +aS',\t,\t,\tO\tO' +p357006 +aS'diagonal\tdiagonal\tJJ\tB-NP\tO' +p357007 +aS'branch\tbranch\tNN\tI-NP\tO' +p357008 +aS',\t,\t,\tO\tO' +p357009 +aS'obtuse\tobtuse\tVBP\tB-VP\tO' +p357010 +aS'marginal\tmarginal\tJJ\tB-NP\tO' +p357011 +aS'and\tand\tCC\tI-NP\tO' +p357012 +aS'distal\tdistal\tJJ\tI-NP\tO' +p357013 +aS'left\tleft\tJJ\tI-NP\tO' +p357014 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p357015 +aS'descending\tdescending\tNN\tI-NP\tO' +p357016 +aS'.\t.\t.\tO\tO' +p357017 +asS'See above .' +p357018 +(lp357019 +S'See\tSee\tVB\tB-VP\tO' +p357020 +aS'above\tabove\tRB\tB-ADVP\tO' +p357021 +aS'.\t.\t.\tO\tO' +p357022 +asS'On the day of discharge the patient was tolerating a BRAT diet without significant abdominal' +p357023 +(lp357024 +S'On\tOn\tIN\tB-PP\tO' +p357025 +aS'the\tthe\tDT\tB-NP\tO' +p357026 +aS'day\tday\tNN\tI-NP\tO' +p357027 +aS'of\tof\tIN\tB-PP\tO' +p357028 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p357029 +aS'the\tthe\tDT\tB-NP\tO' +p357030 +aS'patient\tpatient\tNN\tI-NP\tO' +p357031 +aS'was\tbe\tVBD\tB-VP\tO' +p357032 +aS'tolerating\ttolerate\tVBG\tI-VP\tO' +p357033 +aS'a\ta\tDT\tB-NP\tO' +p357034 +aS'BRAT\tBRAT\tNN\tI-NP\tO' +p357035 +aS'diet\tdiet\tNN\tI-NP\tO' +p357036 +aS'without\twithout\tIN\tB-PP\tO' +p357037 +aS'significant\tsignificant\tJJ\tB-NP\tO' +p357038 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p357039 +asS'There is no skull fracture .' +p357040 +(lp357041 +S'There\tThere\tEX\tB-NP\tO' +p357042 +aS'is\tbe\tVBZ\tB-VP\tO' +p357043 +aS'no\tno\tDT\tB-NP\tO' +p357044 +aS'skull\tskull\tJJ\tI-NP\tO' +p357045 +aS'fracture\tfracture\tNN\tI-NP\tO' +p357046 +aS'.\t.\t.\tO\tO' +p357047 +asS'Chest revealed bilateral basilar rales .' +p357048 +(lp357049 +S'Chest\tChest\tNNP\tB-NP\tO' +p357050 +aS'revealed\treveal\tVBD\tB-VP\tO' +p357051 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p357052 +aS'basilar\tbasilar\tJJ\tI-NP\tO' +p357053 +aS'rales\trale\tNNS\tI-NP\tO' +p357054 +aS'.\t.\t.\tO\tO' +p357055 +asS"4. Bilateral small pleural effusion , which certainly could be malignant given today 's findings and history of breast cancer ." +p357056 +(lp357057 +S'4.\t4.\tLS\tB-NP\tO' +p357058 +aS'Bilateral\tBilateral\tJJ\tI-NP\tO' +p357059 +aS'small\tsmall\tJJ\tI-NP\tO' +p357060 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p357061 +aS'effusion\teffusion\tNN\tI-NP\tO' +p357062 +aS',\t,\t,\tO\tO' +p357063 +aS'which\twhich\tWDT\tB-NP\tO' +p357064 +aS'certainly\tcertainly\tRB\tB-ADVP\tO' +p357065 +aS'could\tcould\tMD\tB-VP\tO' +p357066 +aS'be\tbe\tVB\tI-VP\tO' +p357067 +aS'malignant\tmalignant\tJJ\tB-ADJP\tO' +p357068 +aS'given\tgive\tVBN\tB-PP\tO' +p357069 +aS'today\ttoday\tNN\tB-NP\tO' +p357070 +aS"'s\t's\tPOS\tB-NP\tO" +p357071 +aS'findings\tfinding\tNNS\tI-NP\tO' +p357072 +aS'and\tand\tCC\tO\tO' +p357073 +aS'history\thistory\tNN\tB-NP\tO' +p357074 +aS'of\tof\tIN\tB-PP\tO' +p357075 +aS'breast\tbreast\tNN\tB-NP\tO' +p357076 +aS'cancer\tcancer\tNN\tI-NP\tO' +p357077 +aS'.\t.\t.\tO\tO' +p357078 +asS'Neuro : arousable .' +p357079 +(lp357080 +S'Neuro\tNeuro\tNN\tB-NP\tO' +p357081 +aS':\t:\t:\tO\tO' +p357082 +aS'arousable\tarousable\tJJ\tB-ADJP\tO' +p357083 +aS'.\t.\t.\tO\tO' +p357084 +asS'She was given Aspirin , Lopressor and Insulin for hyperglycemia .' +p357085 +(lp357086 +S'She\tShe\tPRP\tB-NP\tO' +p357087 +aS'was\tbe\tVBD\tB-VP\tO' +p357088 +aS'given\tgive\tVBN\tI-VP\tO' +p357089 +aS'Aspirin\tAspirin\tNN\tB-NP\tO' +p357090 +aS',\t,\t,\tI-NP\tO' +p357091 +aS'Lopressor\tLopressor\tNN\tI-NP\tO' +p357092 +aS'and\tand\tCC\tI-NP\tO' +p357093 +aS'Insulin\tInsulin\tNN\tI-NP\tB-protein' +p357094 +aS'for\tfor\tIN\tB-PP\tO' +p357095 +aS'hyperglycemia\thyperglycemia\tNN\tB-NP\tO' +p357096 +aS'.\t.\t.\tO\tO' +p357097 +asS'To Massachusetts General Hospital .' +p357098 +(lp357099 +S'To\tTo\tTO\tB-PP\tO' +p357100 +aS'Massachusetts\tMassachusetts\tNNP\tB-NP\tO' +p357101 +aS'General\tGeneral\tNNP\tI-NP\tO' +p357102 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p357103 +aS'.\t.\t.\tO\tO' +p357104 +asS'281-300 mg / dL 19 Units' +p357105 +(lp357106 +S'281-300\t281-300\tCD\tB-NP\tO' +p357107 +aS'mg\tmg\tNN\tI-NP\tO' +p357108 +aS'/\t/\tSYM\tB-NP\tO' +p357109 +aS'dL\tdL\tNN\tI-NP\tO' +p357110 +aS'19\t19\tCD\tB-NP\tO' +p357111 +aS'Units\tUnit\tNNS\tI-NP\tO' +p357112 +asS'He stabilized over the weekend .' +p357113 +(lp357114 +S'He\tHe\tPRP\tB-NP\tO' +p357115 +aS'stabilized\tstabilize\tVBD\tB-VP\tO' +p357116 +aS'over\tover\tIN\tB-PP\tO' +p357117 +aS'the\tthe\tDT\tB-NP\tO' +p357118 +aS'weekend\tweekend\tNN\tI-NP\tO' +p357119 +aS'.\t.\t.\tO\tO' +p357120 +asS'The most recent percutaneous transluminal coronary angioplasty was done in 2009-07-25 .' +p357121 +(lp357122 +S'The\tThe\tDT\tB-NP\tO' +p357123 +aS'most\tmost\tRBS\tI-NP\tO' +p357124 +aS'recent\trecent\tJJ\tI-NP\tO' +p357125 +aS'percutaneous\tpercutaneous\tJJ\tI-NP\tO' +p357126 +aS'transluminal\ttransluminal\tJJ\tI-NP\tO' +p357127 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p357128 +aS'angioplasty\tangioplasty\tNN\tI-NP\tO' +p357129 +aS'was\tbe\tVBD\tB-VP\tO' +p357130 +aS'done\tdo\tVBN\tI-VP\tO' +p357131 +aS'in\tin\tIN\tB-PP\tO' +p357132 +aS'2009-07-25\t2009-07-25\tCD\tB-NP\tO' +p357133 +aS'.\t.\t.\tO\tO' +p357134 +asS'Please eval for perf / ischemic bowel' +p357135 +(lp357136 +S'Please\tPlease\tNN\tB-NP\tO' +p357137 +aS'eval\teval\tNN\tI-NP\tO' +p357138 +aS'for\tfor\tIN\tB-PP\tO' +p357139 +aS'perf\tperf\tNN\tB-NP\tO' +p357140 +aS'/\t/\tSYM\tB-VP\tO' +p357141 +aS'ischemic\tischemic\tJJ\tB-NP\tO' +p357142 +aS'bowel\tbowel\tNN\tI-NP\tO' +p357143 +asS'This was placed on postoperative day no. 9 without any difficulty .' +p357144 +(lp357145 +S'This\tThis\tDT\tB-NP\tO' +p357146 +aS'was\tbe\tVBD\tB-VP\tO' +p357147 +aS'placed\tplace\tVBN\tI-VP\tO' +p357148 +aS'on\ton\tIN\tB-PP\tO' +p357149 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p357150 +aS'day\tday\tNN\tI-NP\tO' +p357151 +aS'no.\tno.\tNN\tI-NP\tO' +p357152 +aS'9\t9\tCD\tI-NP\tO' +p357153 +aS'without\twithout\tIN\tB-PP\tO' +p357154 +aS'any\tany\tDT\tB-NP\tO' +p357155 +aS'difficulty\tdifficulty\tNN\tI-NP\tO' +p357156 +aS'.\t.\t.\tO\tO' +p357157 +asS'The patient also had an electrocardiogram in April of 1996 which was negative following , however was at a low workload .' +p357158 +(lp357159 +S'The\tThe\tDT\tB-NP\tO' +p357160 +aS'patient\tpatient\tNN\tI-NP\tO' +p357161 +aS'also\talso\tRB\tB-ADVP\tO' +p357162 +aS'had\thave\tVBD\tB-VP\tO' +p357163 +aS'an\tan\tDT\tB-NP\tO' +p357164 +aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' +p357165 +aS'in\tin\tIN\tB-PP\tO' +p357166 +aS'April\tApril\tNNP\tB-NP\tO' +p357167 +aS'of\tof\tIN\tB-PP\tO' +p357168 +aS'1996\t1996\tCD\tB-NP\tO' +p357169 +aS'which\twhich\tWDT\tB-NP\tO' +p357170 +aS'was\tbe\tVBD\tB-VP\tO' +p357171 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p357172 +aS'following\tfollow\tVBG\tB-PP\tO' +p357173 +aS',\t,\t,\tO\tO' +p357174 +aS'however\thowever\tRB\tB-ADVP\tO' +p357175 +aS'was\tbe\tVBD\tB-VP\tO' +p357176 +aS'at\tat\tIN\tB-PP\tO' +p357177 +aS'a\ta\tDT\tB-NP\tO' +p357178 +aS'low\tlow\tJJ\tI-NP\tO' +p357179 +aS'workload\tworkload\tNN\tI-NP\tO' +p357180 +aS'.\t.\t.\tO\tO' +p357181 +asS'Gentle diuresis and beta blockade started , and he was transferred to the floor to begin increasing his activity level .' +p357182 +(lp357183 +S'Gentle\tGentle\tNN\tB-NP\tO' +p357184 +aS'diuresis\tdiuresis\tNN\tI-NP\tO' +p357185 +aS'and\tand\tCC\tO\tO' +p357186 +aS'beta\tbeta\tNN\tB-NP\tO' +p357187 +aS'blockade\tblockade\tNN\tI-NP\tO' +p357188 +aS'started\tstart\tVBD\tB-VP\tO' +p357189 +aS',\t,\t,\tO\tO' +p357190 +aS'and\tand\tCC\tO\tO' +p357191 +aS'he\the\tPRP\tB-NP\tO' +p357192 +aS'was\tbe\tVBD\tB-VP\tO' +p357193 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p357194 +aS'to\tto\tTO\tB-PP\tO' +p357195 +aS'the\tthe\tDT\tB-NP\tO' +p357196 +aS'floor\tfloor\tNN\tI-NP\tO' +p357197 +aS'to\tto\tTO\tB-VP\tO' +p357198 +aS'begin\tbegin\tVB\tI-VP\tO' +p357199 +aS'increasing\tincrease\tVBG\tI-VP\tO' +p357200 +aS'his\this\tPRP$\tB-NP\tO' +p357201 +aS'activity\tactivity\tNN\tI-NP\tO' +p357202 +aS'level\tlevel\tNN\tI-NP\tO' +p357203 +aS'.\t.\t.\tO\tO' +p357204 +asS'PT of 20.6 .' +p357205 +(lp357206 +S'PT\tPT\tNN\tB-NP\tO' +p357207 +aS'of\tof\tIN\tB-PP\tO' +p357208 +aS'20.6\t20.6\tCD\tB-NP\tO' +p357209 +aS'.\t.\t.\tO\tO' +p357210 +asS'The right coronary artery lesion was complex and there was severe stenosis in the obtuse marginal 1 .' +p357211 +(lp357212 +S'The\tThe\tDT\tB-NP\tO' +p357213 +aS'right\tright\tJJ\tI-NP\tO' +p357214 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p357215 +aS'artery\tartery\tNN\tI-NP\tO' +p357216 +aS'lesion\tlesion\tNN\tI-NP\tO' +p357217 +aS'was\tbe\tVBD\tB-VP\tO' +p357218 +aS'complex\tcomplex\tJJ\tB-ADJP\tO' +p357219 +aS'and\tand\tCC\tO\tO' +p357220 +aS'there\tthere\tEX\tB-NP\tO' +p357221 +aS'was\tbe\tVBD\tB-VP\tO' +p357222 +aS'severe\tsevere\tJJ\tB-NP\tO' +p357223 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p357224 +aS'in\tin\tIN\tB-PP\tO' +p357225 +aS'the\tthe\tDT\tB-NP\tO' +p357226 +aS'obtuse\tobtuse\tNN\tI-NP\tO' +p357227 +aS'marginal\tmarginal\tJJ\tI-NP\tO' +p357228 +aS'1\t1\tCD\tI-NP\tO' +p357229 +aS'.\t.\t.\tO\tO' +p357230 +asS'She was started on enteral feeds on day of life six with a slow advance secondary to increased abdominal girth which was felt to be due to CPAP .' +p357231 +(lp357232 +S'She\tShe\tPRP\tB-NP\tO' +p357233 +aS'was\tbe\tVBD\tB-VP\tO' +p357234 +aS'started\tstart\tVBN\tI-VP\tO' +p357235 +aS'on\ton\tIN\tB-PP\tO' +p357236 +aS'enteral\tenteral\tJJ\tB-NP\tO' +p357237 +aS'feeds\tfeed\tNNS\tI-NP\tO' +p357238 +aS'on\ton\tIN\tB-PP\tO' +p357239 +aS'day\tday\tNN\tB-NP\tO' +p357240 +aS'of\tof\tIN\tB-PP\tO' +p357241 +aS'life\tlife\tNN\tB-NP\tO' +p357242 +aS'six\tsix\tCD\tI-NP\tO' +p357243 +aS'with\twith\tIN\tB-PP\tO' +p357244 +aS'a\ta\tDT\tB-NP\tO' +p357245 +aS'slow\tslow\tJJ\tI-NP\tO' +p357246 +aS'advance\tadvance\tNN\tI-NP\tO' +p357247 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p357248 +aS'to\tto\tTO\tB-PP\tO' +p357249 +aS'increased\tincrease\tVBN\tB-NP\tO' +p357250 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p357251 +aS'girth\tgirth\tNN\tI-NP\tO' +p357252 +aS'which\twhich\tWDT\tB-NP\tO' +p357253 +aS'was\tbe\tVBD\tB-VP\tO' +p357254 +aS'felt\tfeel\tVBN\tI-VP\tO' +p357255 +aS'to\tto\tTO\tI-VP\tO' +p357256 +aS'be\tbe\tVB\tI-VP\tO' +p357257 +aS'due\tdue\tIN\tB-PP\tO' +p357258 +aS'to\tto\tTO\tB-PP\tO' +p357259 +aS'CPAP\tCPAP\tNN\tB-NP\tB-protein' +p357260 +aS'.\t.\t.\tO\tO' +p357261 +asS'Admitting creatinine was .7 , glucose 131 , white blood count was 10,000 , hematocrit was 40 , liver enzymes normal range .' +p357262 +(lp357263 +S'Admitting\tAdmit\tVBG\tB-VP\tO' +p357264 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p357265 +aS'was\tbe\tVBD\tB-VP\tO' +p357266 +aS'.7\t.7\tCD\tB-NP\tO' +p357267 +aS',\t,\t,\tO\tO' +p357268 +aS'glucose\tglucose\tNN\tB-NP\tB-protein' +p357269 +aS'131\t131\tCD\tI-NP\tI-protein' +p357270 +aS',\t,\t,\tO\tO' +p357271 +aS'white\twhite\tJJ\tB-NP\tO' +p357272 +aS'blood\tblood\tNN\tI-NP\tO' +p357273 +aS'count\tcount\tNN\tI-NP\tO' +p357274 +aS'was\tbe\tVBD\tB-VP\tO' +p357275 +aS'10,000\t10,000\tCD\tB-NP\tO' +p357276 +aS',\t,\t,\tO\tO' +p357277 +aS'hematocrit\thematocrit\tNN\tB-NP\tO' +p357278 +aS'was\tbe\tVBD\tB-VP\tO' +p357279 +aS'40\t40\tCD\tB-NP\tO' +p357280 +aS',\t,\t,\tO\tO' +p357281 +aS'liver\tliver\tNN\tB-NP\tB-protein' +p357282 +aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' +p357283 +aS'normal\tnormal\tJJ\tB-NP\tO' +p357284 +aS'range\trange\tNN\tI-NP\tO' +p357285 +aS'.\t.\t.\tO\tO' +p357286 +asS'Mother is an 18-year-old prima gravida , estimated date of delivery 2014-01-22 .' +p357287 +(lp357288 +S'Mother\tMother\tNNP\tB-NP\tO' +p357289 +aS'is\tbe\tVBZ\tB-VP\tO' +p357290 +aS'an\tan\tDT\tB-NP\tO' +p357291 +aS'18-year-old\t18-year-old\tJJ\tI-NP\tO' +p357292 +aS'prima\tprima\tNN\tI-NP\tO' +p357293 +aS'gravida\tgravida\tNN\tI-NP\tO' +p357294 +aS',\t,\t,\tO\tO' +p357295 +aS'estimated\testimate\tVBN\tB-VP\tO' +p357296 +aS'date\tdate\tNN\tB-NP\tO' +p357297 +aS'of\tof\tIN\tB-PP\tO' +p357298 +aS'delivery\tdelivery\tNN\tB-NP\tO' +p357299 +aS'2014-01-22\t2014-01-22\tCD\tI-NP\tO' +p357300 +aS'.\t.\t.\tO\tO' +p357301 +asS'No grimacing with palpation .' +p357302 +(lp357303 +S'No\tNo\tDT\tB-NP\tO' +p357304 +aS'grimacing\tgrimacing\tNN\tI-NP\tO' +p357305 +aS'with\twith\tIN\tB-PP\tO' +p357306 +aS'palpation\tpalpation\tNN\tB-NP\tO' +p357307 +aS'.\t.\t.\tO\tO' +p357308 +asS'Two significant focal stenoses of the distal right anterior tibial artery .' +p357309 +(lp357310 +S'Two\tTwo\tCD\tB-NP\tO' +p357311 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p357312 +aS'focal\tfocal\tJJ\tI-NP\tO' +p357313 +aS'stenoses\tstenosis\tNNS\tI-NP\tO' +p357314 +aS'of\tof\tIN\tB-PP\tO' +p357315 +aS'the\tthe\tDT\tB-NP\tO' +p357316 +aS'distal\tdistal\tJJ\tI-NP\tO' +p357317 +aS'right\tright\tJJ\tI-NP\tO' +p357318 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p357319 +aS'tibial\ttibial\tJJ\tI-NP\tO' +p357320 +aS'artery\tartery\tNN\tI-NP\tO' +p357321 +aS'.\t.\t.\tO\tO' +p357322 +asS'Status post living-related renal transplant with perioperative small myocardial infarction .' +p357323 +(lp357324 +S'Status\tStatus\tNNP\tB-NP\tO' +p357325 +aS'post\tpost\tVBD\tB-VP\tO' +p357326 +aS'living-related\tliving-related\tJJ\tB-NP\tO' +p357327 +aS'renal\trenal\tJJ\tI-NP\tO' +p357328 +aS'transplant\ttransplant\tNN\tI-NP\tO' +p357329 +aS'with\twith\tIN\tB-PP\tO' +p357330 +aS'perioperative\tperioperative\tJJ\tB-NP\tO' +p357331 +aS'small\tsmall\tJJ\tI-NP\tO' +p357332 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p357333 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p357334 +aS'.\t.\t.\tO\tO' +p357335 +asS'201-220 mg / dL 11 Units' +p357336 +(lp357337 +S'201-220\t201-220\tCD\tB-NP\tO' +p357338 +aS'mg\tmg\tNN\tI-NP\tO' +p357339 +aS'/\t/\tSYM\tB-NP\tO' +p357340 +aS'dL\tdL\tNN\tI-NP\tO' +p357341 +aS'11\t11\tCD\tB-NP\tO' +p357342 +aS'Units\tUnit\tNNS\tI-NP\tO' +p357343 +asS'14. Pantoprazole 40 mg Tablet , Delayed Release ( E.C. ) Sig : One ( 1 ) Tablet , Delayed Release ( E.C. ) PO DAILY ( Daily ) .' +p357344 +(lp357345 +S'14.\t14.\tLS\tB-NP\tO' +p357346 +aS'Pantoprazole\tPantoprazole\tNN\tI-NP\tO' +p357347 +aS'40\t40\tCD\tI-NP\tO' +p357348 +aS'mg\tmg\tNN\tI-NP\tO' +p357349 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p357350 +aS',\t,\t,\tO\tO' +p357351 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p357352 +aS'Release\tRelease\tNNP\tI-NP\tO' +p357353 +aS'(\t(\t(\tO\tO' +p357354 +aS'E.C.\tE.C.\tNNP\tB-NP\tO' +p357355 +aS')\t)\t)\tO\tO' +p357356 +aS'Sig\tSig\tNNP\tB-NP\tO' +p357357 +aS':\t:\t:\tO\tO' +p357358 +aS'One\tOne\tCD\tB-NP\tO' +p357359 +aS'(\t(\t(\tO\tO' +p357360 +aS'1\t1\tCD\tB-NP\tO' +p357361 +aS')\t)\t)\tO\tO' +p357362 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p357363 +aS',\t,\t,\tO\tO' +p357364 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p357365 +aS'Release\tRelease\tNNP\tI-NP\tO' +p357366 +aS'(\t(\t(\tO\tO' +p357367 +aS'E.C.\tE.C.\tNNP\tO\tO' +p357368 +aS')\t)\t)\tO\tO' +p357369 +aS'PO\tPO\tNN\tB-NP\tO' +p357370 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p357371 +aS'(\t(\t(\tO\tO' +p357372 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p357373 +aS')\t)\t)\tO\tO' +p357374 +aS'.\t.\t.\tO\tO' +p357375 +asS'He is to be discharged to rehabilitation .' +p357376 +(lp357377 +S'He\tHe\tPRP\tB-NP\tO' +p357378 +aS'is\tbe\tVBZ\tB-VP\tO' +p357379 +aS'to\tto\tTO\tI-VP\tO' +p357380 +aS'be\tbe\tVB\tI-VP\tO' +p357381 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p357382 +aS'to\tto\tTO\tB-PP\tO' +p357383 +aS'rehabilitation\trehabilitation\tNN\tB-NP\tO' +p357384 +aS'.\t.\t.\tO\tO' +p357385 +asS'The infant delivered by spontaneous vaginal delivery with Apgar scores of 8 at one minute and 8 at five minutes .' +p357386 +(lp357387 +S'The\tThe\tDT\tB-NP\tO' +p357388 +aS'infant\tinfant\tNN\tI-NP\tO' +p357389 +aS'delivered\tdeliver\tVBN\tB-VP\tO' +p357390 +aS'by\tby\tIN\tB-PP\tO' +p357391 +aS'spontaneous\tspontaneous\tJJ\tB-NP\tO' +p357392 +aS'vaginal\tvaginal\tJJ\tI-NP\tO' +p357393 +aS'delivery\tdelivery\tNN\tI-NP\tO' +p357394 +aS'with\twith\tIN\tB-PP\tO' +p357395 +aS'Apgar\tApgar\tNN\tB-NP\tO' +p357396 +aS'scores\tscore\tNNS\tI-NP\tO' +p357397 +aS'of\tof\tIN\tB-PP\tO' +p357398 +aS'8\t8\tCD\tB-NP\tO' +p357399 +aS'at\tat\tIN\tB-PP\tO' +p357400 +aS'one\tone\tCD\tB-NP\tO' +p357401 +aS'minute\tminute\tNN\tI-NP\tO' +p357402 +aS'and\tand\tCC\tO\tO' +p357403 +aS'8\t8\tCD\tB-NP\tO' +p357404 +aS'at\tat\tIN\tB-PP\tO' +p357405 +aS'five\tfive\tCD\tB-NP\tO' +p357406 +aS'minutes\tminute\tNNS\tI-NP\tO' +p357407 +aS'.\t.\t.\tO\tO' +p357408 +asS'Chest X-ray was consistent with an old chest X-ray on 08/08/92 showing a resolving left lower lobe and lingular infiltrate and resolution of the right mid lung infiltrate .' +p357409 +(lp357410 +S'Chest\tCh\tJJS\tB-NP\tO' +p357411 +aS'X-ray\tX-ray\tNN\tI-NP\tO' +p357412 +aS'was\tbe\tVBD\tB-VP\tO' +p357413 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p357414 +aS'with\twith\tIN\tB-PP\tO' +p357415 +aS'an\tan\tDT\tB-NP\tO' +p357416 +aS'old\told\tJJ\tI-NP\tO' +p357417 +aS'chest\tchest\tNN\tI-NP\tO' +p357418 +aS'X-ray\tX-ray\tNN\tI-NP\tO' +p357419 +aS'on\ton\tIN\tB-PP\tO' +p357420 +aS'08/08/92\t08/08/92\tCD\tB-NP\tO' +p357421 +aS'showing\tshow\tVBG\tB-VP\tO' +p357422 +aS'a\ta\tDT\tB-NP\tO' +p357423 +aS'resolving\tresolve\tVBG\tI-NP\tO' +p357424 +aS'left\tleave\tVBD\tB-VP\tO' +p357425 +aS'lower\tlow\tJJR\tB-NP\tO' +p357426 +aS'lobe\tlobe\tNN\tI-NP\tO' +p357427 +aS'and\tand\tCC\tI-NP\tO' +p357428 +aS'lingular\tlingular\tJJ\tI-NP\tO' +p357429 +aS'infiltrate\tinfiltrate\tNN\tI-NP\tO' +p357430 +aS'and\tand\tCC\tI-NP\tO' +p357431 +aS'resolution\tresolution\tNN\tI-NP\tO' +p357432 +aS'of\tof\tIN\tB-PP\tO' +p357433 +aS'the\tthe\tDT\tB-NP\tO' +p357434 +aS'right\tright\tJJ\tI-NP\tO' +p357435 +aS'mid\tmid\tJJ\tI-NP\tO' +p357436 +aS'lung\tlung\tNN\tI-NP\tO' +p357437 +aS'infiltrate\tinfiltrate\tNN\tI-NP\tO' +p357438 +aS'.\t.\t.\tO\tO' +p357439 +asS'He did travel to the Taheimpromong , last in 01/2004 for three weeks .' +p357440 +(lp357441 +S'He\tHe\tPRP\tB-NP\tO' +p357442 +aS'did\tdo\tVBD\tB-VP\tO' +p357443 +aS'travel\ttravel\tVB\tI-VP\tO' +p357444 +aS'to\tto\tTO\tB-PP\tO' +p357445 +aS'the\tthe\tDT\tB-NP\tO' +p357446 +aS'Taheimpromong\tTaheimpromong\tNNP\tI-NP\tO' +p357447 +aS',\t,\t,\tO\tO' +p357448 +aS'last\tlast\tRB\tB-ADVP\tO' +p357449 +aS'in\tin\tIN\tB-PP\tO' +p357450 +aS'01/2004\t01/2004\tCD\tB-NP\tO' +p357451 +aS'for\tfor\tIN\tB-PP\tO' +p357452 +aS'three\tthree\tCD\tB-NP\tO' +p357453 +aS'weeks\tweek\tNNS\tI-NP\tO' +p357454 +aS'.\t.\t.\tO\tO' +p357455 +asS'Follow-up with the Visiting Nurses Association to arrange assistance with her tube feeding and' +p357456 +(lp357457 +S'Follow-up\tFollow-up\tNN\tB-NP\tO' +p357458 +aS'with\twith\tIN\tB-PP\tO' +p357459 +aS'the\tthe\tDT\tB-NP\tO' +p357460 +aS'Visiting\tVisiting\tNNP\tI-NP\tO' +p357461 +aS'Nurses\tNurses\tNNP\tI-NP\tO' +p357462 +aS'Association\tAssociation\tNNP\tI-NP\tO' +p357463 +aS'to\tto\tTO\tB-VP\tO' +p357464 +aS'arrange\tarrange\tVB\tI-VP\tO' +p357465 +aS'assistance\tassistance\tNN\tB-NP\tO' +p357466 +aS'with\twith\tIN\tB-PP\tO' +p357467 +aS'her\ther\tPRP$\tB-NP\tO' +p357468 +aS'tube\ttube\tNN\tI-NP\tO' +p357469 +aS'feeding\tfeeding\tNN\tI-NP\tO' +p357470 +aS'and\tand\tCC\tO\tO' +p357471 +asS'2. Right renal cysts - lower pole cyst is unchanged from prior exam of 2010-10-25 and upper pole exophytic cyst was not previously seen sonStacy .' +p357472 +(lp357473 +S'2.\t2.\tLS\tB-NP\tO' +p357474 +aS'Right\tRight\tNN\tI-NP\tO' +p357475 +aS'renal\trenal\tJJ\tI-NP\tO' +p357476 +aS'cysts\tcyst\tNNS\tI-NP\tO' +p357477 +aS'-\t-\tHYPH\tO\tO' +p357478 +aS'lower\tlow\tJJR\tB-NP\tO' +p357479 +aS'pole\tpole\tNN\tI-NP\tO' +p357480 +aS'cyst\tcyst\tNN\tI-NP\tO' +p357481 +aS'is\tbe\tVBZ\tB-VP\tO' +p357482 +aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' +p357483 +aS'from\tfrom\tIN\tB-PP\tO' +p357484 +aS'prior\tprior\tJJ\tB-NP\tO' +p357485 +aS'exam\texam\tNN\tI-NP\tO' +p357486 +aS'of\tof\tIN\tB-PP\tO' +p357487 +aS'2010-10-25\t2010-10-25\tCD\tB-NP\tO' +p357488 +aS'and\tand\tCC\tO\tO' +p357489 +aS'upper\tupper\tJJ\tB-NP\tO' +p357490 +aS'pole\tpole\tNN\tI-NP\tO' +p357491 +aS'exophytic\texophytic\tJJ\tI-NP\tO' +p357492 +aS'cyst\tcyst\tNN\tI-NP\tO' +p357493 +aS'was\tbe\tVBD\tB-VP\tO' +p357494 +aS'not\tnot\tRB\tI-VP\tO' +p357495 +aS'previously\tpreviously\tRB\tI-VP\tO' +p357496 +aS'seen\tsee\tVBN\tI-VP\tO' +p357497 +aS'sonStacy\tsonStacy\tNN\tB-NP\tO' +p357498 +aS'.\t.\t.\tO\tO' +p357499 +asS'The patient was taken off of Neurontin because it started to worsen his mental status .' +p357500 +(lp357501 +S'The\tThe\tDT\tB-NP\tO' +p357502 +aS'patient\tpatient\tNN\tI-NP\tO' +p357503 +aS'was\tbe\tVBD\tB-VP\tO' +p357504 +aS'taken\ttake\tVBN\tI-VP\tO' +p357505 +aS'off\toff\tRP\tB-PRT\tO' +p357506 +aS'of\tof\tIN\tB-PP\tO' +p357507 +aS'Neurontin\tNeurontin\tNN\tB-NP\tB-protein' +p357508 +aS'because\tbecause\tIN\tB-SBAR\tO' +p357509 +aS'it\tit\tPRP\tB-NP\tO' +p357510 +aS'started\tstart\tVBD\tB-VP\tO' +p357511 +aS'to\tto\tTO\tI-VP\tO' +p357512 +aS'worsen\tworsen\tVB\tI-VP\tO' +p357513 +aS'his\this\tPRP$\tB-NP\tO' +p357514 +aS'mental\tmental\tJJ\tI-NP\tO' +p357515 +aS'status\tstatus\tNN\tI-NP\tO' +p357516 +aS'.\t.\t.\tO\tO' +p357517 +asS'The abdomen was soft , flat , nontender , with normal bowel sounds and no hepatosplenomegaly was noticed .' +p357518 +(lp357519 +S'The\tThe\tDT\tB-NP\tO' +p357520 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p357521 +aS'was\tbe\tVBD\tB-VP\tO' +p357522 +aS'soft\tsoft\tJJ\tB-NP\tO' +p357523 +aS',\t,\t,\tI-NP\tO' +p357524 +aS'flat\tflat\tJJ\tI-NP\tO' +p357525 +aS',\t,\t,\tI-NP\tO' +p357526 +aS'nontender\tnontender\tJJ\tI-NP\tO' +p357527 +aS',\t,\t,\tO\tO' +p357528 +aS'with\twith\tIN\tB-PP\tO' +p357529 +aS'normal\tnormal\tJJ\tB-NP\tO' +p357530 +aS'bowel\tbowel\tNN\tI-NP\tO' +p357531 +aS'sounds\tsound\tNNS\tI-NP\tO' +p357532 +aS'and\tand\tCC\tO\tO' +p357533 +aS'no\tno\tDT\tB-NP\tO' +p357534 +aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tI-NP\tO' +p357535 +aS'was\tbe\tVBD\tB-VP\tO' +p357536 +aS'noticed\tnotice\tVBN\tI-VP\tO' +p357537 +aS'.\t.\t.\tO\tO' +p357538 +asS'This is a discharge summary addendum for Discharge Summary number 554108 .' +p357539 +(lp357540 +S'This\tThis\tDT\tB-NP\tO' +p357541 +aS'is\tbe\tVBZ\tB-VP\tO' +p357542 +aS'a\ta\tDT\tB-NP\tO' +p357543 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p357544 +aS'summary\tsummary\tNN\tI-NP\tO' +p357545 +aS'addendum\taddendum\tNN\tI-NP\tO' +p357546 +aS'for\tfor\tIN\tB-PP\tO' +p357547 +aS'Discharge\tDischarge\tNNP\tB-NP\tO' +p357548 +aS'Summary\tSummary\tNNP\tI-NP\tO' +p357549 +aS'number\tnumber\tNN\tI-NP\tO' +p357550 +aS'554108\t554108\tCD\tI-NP\tO' +p357551 +aS'.\t.\t.\tO\tO' +p357552 +asS'2. Celexa .' +p357553 +(lp357554 +S'2.\t2.\tLS\tB-LST\tO' +p357555 +aS'Celexa\tCelexa\tNNP\tB-NP\tO' +p357556 +aS'.\t.\t.\tO\tO' +p357557 +asS'Upon discussion with him it was noted that the patient had progression of her disease after systemic therapy with topotecan and cisplatin .' +p357558 +(lp357559 +S'Upon\tUpon\tIN\tB-PP\tO' +p357560 +aS'discussion\tdiscussion\tNN\tB-NP\tO' +p357561 +aS'with\twith\tIN\tB-PP\tO' +p357562 +aS'him\thim\tPRP\tB-NP\tO' +p357563 +aS'it\tit\tPRP\tB-NP\tO' +p357564 +aS'was\tbe\tVBD\tB-VP\tO' +p357565 +aS'noted\tnote\tVBN\tI-VP\tO' +p357566 +aS'that\tthat\tIN\tB-SBAR\tO' +p357567 +aS'the\tthe\tDT\tB-NP\tO' +p357568 +aS'patient\tpatient\tNN\tI-NP\tO' +p357569 +aS'had\thave\tVBD\tB-VP\tO' +p357570 +aS'progression\tprogression\tNN\tB-NP\tO' +p357571 +aS'of\tof\tIN\tB-PP\tO' +p357572 +aS'her\ther\tPRP$\tB-NP\tO' +p357573 +aS'disease\tdisease\tNN\tI-NP\tO' +p357574 +aS'after\tafter\tIN\tB-PP\tO' +p357575 +aS'systemic\tsystemic\tJJ\tB-NP\tO' +p357576 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p357577 +aS'with\twith\tIN\tB-PP\tO' +p357578 +aS'topotecan\ttopotecan\tNN\tB-NP\tO' +p357579 +aS'and\tand\tCC\tI-NP\tO' +p357580 +aS'cisplatin\tcisplatin\tNN\tI-NP\tO' +p357581 +aS'.\t.\t.\tO\tO' +p357582 +asS'She was found to be febrile to 101.9 and received levoflox and vancomycin .' +p357583 +(lp357584 +S'She\tShe\tPRP\tB-NP\tO' +p357585 +aS'was\tbe\tVBD\tB-VP\tO' +p357586 +aS'found\tfind\tVBN\tI-VP\tO' +p357587 +aS'to\tto\tTO\tI-VP\tO' +p357588 +aS'be\tbe\tVB\tI-VP\tO' +p357589 +aS'febrile\tfebrile\tJJ\tB-ADJP\tO' +p357590 +aS'to\tto\tTO\tB-PP\tO' +p357591 +aS'101.9\t101.9\tCD\tB-NP\tO' +p357592 +aS'and\tand\tCC\tO\tO' +p357593 +aS'received\treceive\tVBD\tB-VP\tO' +p357594 +aS'levoflox\tlevoflox\tNN\tB-NP\tO' +p357595 +aS'and\tand\tCC\tI-NP\tO' +p357596 +aS'vancomycin\tvancomycin\tNN\tI-NP\tO' +p357597 +aS'.\t.\t.\tO\tO' +p357598 +asS'Extrem : Cool , No C/C/E .' +p357599 +(lp357600 +S'Extrem\tExtrem\tNNP\tB-NP\tO' +p357601 +aS':\t:\t:\tO\tO' +p357602 +aS'Cool\tCool\tNNP\tB-NP\tO' +p357603 +aS',\t,\t,\tO\tO' +p357604 +aS'No\tNo\tDT\tB-NP\tO' +p357605 +aS'C/C/E\tC/C/E\tNN\tI-NP\tB-protein' +p357606 +aS'.\t.\t.\tO\tO' +p357607 +asS'No sacral dimple .' +p357608 +(lp357609 +S'No\tNo\tDT\tB-NP\tO' +p357610 +aS'sacral\tsacral\tJJ\tI-NP\tO' +p357611 +aS'dimple\tdimple\tNN\tI-NP\tO' +p357612 +aS'.\t.\t.\tO\tO' +p357613 +asS'He used Ativan in the hospital , which helped him .' +p357614 +(lp357615 +S'He\tHe\tPRP\tB-NP\tO' +p357616 +aS'used\tuse\tVBD\tB-VP\tO' +p357617 +aS'Ativan\tAtivan\tNNP\tB-NP\tO' +p357618 +aS'in\tin\tIN\tB-PP\tO' +p357619 +aS'the\tthe\tDT\tB-NP\tO' +p357620 +aS'hospital\thospital\tNN\tI-NP\tO' +p357621 +aS',\t,\t,\tO\tO' +p357622 +aS'which\twhich\tWDT\tB-NP\tO' +p357623 +aS'helped\thelp\tVBD\tB-VP\tO' +p357624 +aS'him\thim\tPRP\tB-NP\tO' +p357625 +aS'.\t.\t.\tO\tO' +p357626 +asS'He was switched back to his home dose of atenolol 25 mg po bid' +p357627 +(lp357628 +S'He\tHe\tPRP\tB-NP\tO' +p357629 +aS'was\tbe\tVBD\tB-VP\tO' +p357630 +aS'switched\tswitch\tVBN\tI-VP\tO' +p357631 +aS'back\tback\tRB\tB-ADVP\tO' +p357632 +aS'to\tto\tTO\tB-PP\tO' +p357633 +aS'his\this\tPRP$\tB-NP\tO' +p357634 +aS'home\thome\tNN\tI-NP\tO' +p357635 +aS'dose\tdose\tNN\tI-NP\tO' +p357636 +aS'of\tof\tIN\tB-PP\tO' +p357637 +aS'atenolol\tatenolol\tNN\tB-NP\tO' +p357638 +aS'25\t25\tCD\tI-NP\tO' +p357639 +aS'mg\tmg\tNN\tI-NP\tO' +p357640 +aS'po\tpo\tNN\tI-NP\tO' +p357641 +aS'bid\tbid\tNN\tI-NP\tO' +p357642 +asS'Transfer from Newton-Wellesley Hospital hospital for epidural abscess' +p357643 +(lp357644 +S'Transfer\tTransfer\tNNP\tB-NP\tO' +p357645 +aS'from\tfrom\tIN\tB-PP\tO' +p357646 +aS'Newton-Wellesley\tNewton-Wellesley\tNNP\tB-NP\tO' +p357647 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p357648 +aS'hospital\thospital\tNN\tI-NP\tO' +p357649 +aS'for\tfor\tIN\tB-PP\tO' +p357650 +aS'epidural\tepidural\tJJ\tB-NP\tO' +p357651 +aS'abscess\tabscess\tNN\tI-NP\tO' +p357652 +asS'The left main coronary artery was clear .' +p357653 +(lp357654 +S'The\tThe\tDT\tB-NP\tO' +p357655 +aS'left\tleft\tJJ\tI-NP\tO' +p357656 +aS'main\tmain\tJJ\tI-NP\tO' +p357657 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p357658 +aS'artery\tartery\tNN\tI-NP\tO' +p357659 +aS'was\tbe\tVBD\tB-VP\tO' +p357660 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p357661 +aS'.\t.\t.\tO\tO' +p357662 +asS'She was then started on propofol while intubated .' +p357663 +(lp357664 +S'She\tShe\tPRP\tB-NP\tO' +p357665 +aS'was\tbe\tVBD\tB-VP\tO' +p357666 +aS'then\tthen\tRB\tI-VP\tO' +p357667 +aS'started\tstart\tVBN\tI-VP\tO' +p357668 +aS'on\ton\tIN\tB-PP\tO' +p357669 +aS'propofol\tpropofol\tNN\tB-NP\tO' +p357670 +aS'while\twhile\tIN\tB-SBAR\tO' +p357671 +aS'intubated\tintubate\tVBN\tB-VP\tO' +p357672 +aS'.\t.\t.\tO\tO' +p357673 +asS'Mother died at age 68 of pancreatic carcinoma .' +p357674 +(lp357675 +S'Mother\tMother\tNNP\tB-NP\tO' +p357676 +aS'died\tdie\tVBD\tB-VP\tO' +p357677 +aS'at\tat\tIN\tB-PP\tO' +p357678 +aS'age\tage\tNN\tB-NP\tO' +p357679 +aS'68\t68\tCD\tI-NP\tO' +p357680 +aS'of\tof\tIN\tB-PP\tO' +p357681 +aS'pancreatic\tpancreatic\tJJ\tB-NP\tO' +p357682 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p357683 +aS'.\t.\t.\tO\tO' +p357684 +asS'Per the patient , the mass was benign .' +p357685 +(lp357686 +S'Per\tPer\tIN\tB-PP\tO' +p357687 +aS'the\tthe\tDT\tB-NP\tO' +p357688 +aS'patient\tpatient\tNN\tI-NP\tO' +p357689 +aS',\t,\t,\tO\tO' +p357690 +aS'the\tthe\tDT\tB-NP\tO' +p357691 +aS'mass\tmass\tNN\tI-NP\tO' +p357692 +aS'was\tbe\tVBD\tB-VP\tO' +p357693 +aS'benign\tbenign\tJJ\tB-ADJP\tO' +p357694 +aS'.\t.\t.\tO\tO' +p357695 +asS'The superior clavicular area showed no signs of central line access attempts .' +p357696 +(lp357697 +S'The\tThe\tDT\tB-NP\tO' +p357698 +aS'superior\tsuperior\tJJ\tI-NP\tO' +p357699 +aS'clavicular\tclavicular\tJJ\tI-NP\tO' +p357700 +aS'area\tarea\tNN\tI-NP\tO' +p357701 +aS'showed\tshow\tVBD\tB-VP\tO' +p357702 +aS'no\tno\tDT\tB-NP\tO' +p357703 +aS'signs\tsign\tNNS\tI-NP\tO' +p357704 +aS'of\tof\tIN\tB-PP\tO' +p357705 +aS'central\tcentral\tJJ\tB-NP\tO' +p357706 +aS'line\tline\tNN\tI-NP\tO' +p357707 +aS'access\taccess\tNN\tI-NP\tO' +p357708 +aS'attempts\tattempt\tNNS\tI-NP\tO' +p357709 +aS'.\t.\t.\tO\tO' +p357710 +asS'It is unclear why the patient did not bump his hematocrit more but he did not appear to be hemolyzing from laboratory data , that is his LDH was within normal limits .' +p357711 +(lp357712 +S'It\tIt\tPRP\tB-NP\tO' +p357713 +aS'is\tbe\tVBZ\tB-VP\tO' +p357714 +aS'unclear\tunclear\tJJ\tB-ADJP\tO' +p357715 +aS'why\twhy\tWRB\tB-ADVP\tO' +p357716 +aS'the\tthe\tDT\tB-NP\tO' +p357717 +aS'patient\tpatient\tNN\tI-NP\tO' +p357718 +aS'did\tdo\tVBD\tB-VP\tO' +p357719 +aS'not\tnot\tRB\tI-VP\tO' +p357720 +aS'bump\tbump\tVB\tI-VP\tO' +p357721 +aS'his\this\tPRP$\tB-NP\tO' +p357722 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p357723 +aS'more\tmore\tRBR\tB-ADVP\tO' +p357724 +aS'but\tbut\tCC\tO\tO' +p357725 +aS'he\the\tPRP\tB-NP\tO' +p357726 +aS'did\tdo\tVBD\tB-VP\tO' +p357727 +aS'not\tnot\tRB\tI-VP\tO' +p357728 +aS'appear\tappear\tVB\tI-VP\tO' +p357729 +aS'to\tto\tTO\tI-VP\tO' +p357730 +aS'be\tbe\tVB\tI-VP\tO' +p357731 +aS'hemolyzing\themolyze\tVBG\tI-VP\tO' +p357732 +aS'from\tfrom\tIN\tB-PP\tO' +p357733 +aS'laboratory\tlaboratory\tNN\tB-NP\tO' +p357734 +aS'data\tdatum\tNNS\tI-NP\tO' +p357735 +aS',\t,\t,\tO\tO' +p357736 +aS'that\tthat\tWDT\tB-NP\tO' +p357737 +aS'is\tbe\tVBZ\tB-VP\tO' +p357738 +aS'his\this\tPRP$\tB-NP\tO' +p357739 +aS'LDH\tLDH\tNN\tI-NP\tB-protein' +p357740 +aS'was\tbe\tVBD\tB-VP\tO' +p357741 +aS'within\twithin\tIN\tB-PP\tO' +p357742 +aS'normal\tnormal\tJJ\tB-NP\tO' +p357743 +aS'limits\tlimit\tNNS\tI-NP\tO' +p357744 +aS'.\t.\t.\tO\tO' +p357745 +asS'The patient has two teeth .' +p357746 +(lp357747 +S'The\tThe\tDT\tB-NP\tO' +p357748 +aS'patient\tpatient\tNN\tI-NP\tO' +p357749 +aS'has\thave\tVBZ\tB-VP\tO' +p357750 +aS'two\ttwo\tCD\tB-NP\tO' +p357751 +aS'teeth\ttooth\tNNS\tI-NP\tO' +p357752 +aS'.\t.\t.\tO\tO' +p357753 +asS'Given these findings , she underwent a CT scan which showed a retrotracheal mass that appeared to obliterate the esophagus .' +p357754 +(lp357755 +S'Given\tGive\tVBN\tB-PP\tO' +p357756 +aS'these\tthese\tDT\tB-NP\tO' +p357757 +aS'findings\tfinding\tNNS\tI-NP\tO' +p357758 +aS',\t,\t,\tO\tO' +p357759 +aS'she\tshe\tPRP\tB-NP\tO' +p357760 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p357761 +aS'a\ta\tDT\tB-NP\tO' +p357762 +aS'CT\tCT\tNN\tI-NP\tO' +p357763 +aS'scan\tscan\tNN\tI-NP\tO' +p357764 +aS'which\twhich\tWDT\tB-NP\tO' +p357765 +aS'showed\tshow\tVBD\tB-VP\tO' +p357766 +aS'a\ta\tDT\tB-NP\tO' +p357767 +aS'retrotracheal\tretrotracheal\tJJ\tI-NP\tO' +p357768 +aS'mass\tmass\tNN\tI-NP\tO' +p357769 +aS'that\tthat\tWDT\tB-NP\tO' +p357770 +aS'appeared\tappear\tVBD\tB-VP\tO' +p357771 +aS'to\tto\tTO\tI-VP\tO' +p357772 +aS'obliterate\tobliterate\tVB\tI-VP\tO' +p357773 +aS'the\tthe\tDT\tB-NP\tO' +p357774 +aS'esophagus\tesophagus\tNN\tI-NP\tO' +p357775 +aS'.\t.\t.\tO\tO' +p357776 +asS'Stable on room air .' +p357777 +(lp357778 +S'Stable\tStable\tJJ\tB-ADJP\tO' +p357779 +aS'on\ton\tIN\tB-PP\tO' +p357780 +aS'room\troom\tNN\tB-NP\tO' +p357781 +aS'air\tair\tNN\tI-NP\tO' +p357782 +aS'.\t.\t.\tO\tO' +p357783 +asS'She denies V or D .' +p357784 +(lp357785 +S'She\tShe\tPRP\tB-NP\tO' +p357786 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p357787 +aS'V\tV\tNN\tB-NP\tO' +p357788 +aS'or\tor\tCC\tI-NP\tO' +p357789 +aS'D\tD\tNN\tI-NP\tO' +p357790 +aS'.\t.\t.\tO\tO' +p357791 +asS'With these goals of care , the patient expired on 2013-05-11 .' +p357792 +(lp357793 +S'With\tWith\tIN\tB-PP\tO' +p357794 +aS'these\tthese\tDT\tB-NP\tO' +p357795 +aS'goals\tgoal\tNNS\tI-NP\tO' +p357796 +aS'of\tof\tIN\tB-PP\tO' +p357797 +aS'care\tcare\tNN\tB-NP\tO' +p357798 +aS',\t,\t,\tO\tO' +p357799 +aS'the\tthe\tDT\tB-NP\tO' +p357800 +aS'patient\tpatient\tNN\tI-NP\tO' +p357801 +aS'expired\texpire\tVBD\tB-VP\tO' +p357802 +aS'on\ton\tIN\tB-PP\tO' +p357803 +aS'2013-05-11\t2013-05-11\tCD\tB-NP\tO' +p357804 +aS'.\t.\t.\tO\tO' +p357805 +asS'Abdomen is soft and nontender .' +p357806 +(lp357807 +S'Abdomen\tAbdoman\tNNS\tB-NP\tO' +p357808 +aS'is\tbe\tVBZ\tB-VP\tO' +p357809 +aS'soft\tsoft\tJJ\tB-ADJP\tO' +p357810 +aS'and\tand\tCC\tI-ADJP\tO' +p357811 +aS'nontender\tnontender\tJJ\tI-ADJP\tO' +p357812 +aS'.\t.\t.\tO\tO' +p357813 +asS'Dr. Rhalttland was called at Sondi Memorial to update him on the patient 's condition .' +p357814 +(lp357815 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p357816 +aS'Rhalttland\tRhalttland\tNNP\tI-NP\tO' +p357817 +aS'was\tbe\tVBD\tB-VP\tO' +p357818 +aS'called\tcall\tVBN\tI-VP\tO' +p357819 +aS'at\tat\tIN\tB-PP\tO' +p357820 +aS'Sondi\tSondi\tNNP\tB-NP\tO' +p357821 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p357822 +aS'to\tto\tTO\tB-VP\tO' +p357823 +aS'update\tupdate\tVB\tI-VP\tO' +p357824 +aS'him\thim\tPRP\tB-NP\tO' +p357825 +aS'on\ton\tIN\tB-PP\tO' +p357826 +aS'the\tthe\tDT\tB-NP\tO' +p357827 +aS'patient\tpatient\tNN\tI-NP\tO' +p357828 +aS''s\t'\tNNS\tI-NP\tO' +p357829 +aS'condition\tcondition\tNN\tI-NP\tO' +p357830 +aS'.\t.\t.\tO\tO' +p357831 +asS'Moves all extremities and follows commands .' +p357832 +(lp357833 +S'Moves\tMove\tVBZ\tB-VP\tO' +p357834 +aS'all\tall\tDT\tB-NP\tO' +p357835 +aS'extremities\textremity\tNNS\tI-NP\tO' +p357836 +aS'and\tand\tCC\tO\tO' +p357837 +aS'follows\tfollow\tVBZ\tB-VP\tO' +p357838 +aS'commands\tcommand\tNNS\tB-NP\tO' +p357839 +aS'.\t.\t.\tO\tO' +p357840 +asS'Initial white count 19.4 thousand , 64 polys , 3 bands , hematocrit 35.8 , platelets 281,000 .' +p357841 +(lp357842 +S'Initial\tInitial\tJJ\tB-NP\tO' +p357843 +aS'white\twhite\tJJ\tI-NP\tO' +p357844 +aS'count\tcount\tNN\tI-NP\tO' +p357845 +aS'19.4\t19.4\tCD\tI-NP\tO' +p357846 +aS'thousand\tthousand\tCD\tI-NP\tO' +p357847 +aS',\t,\t,\tO\tO' +p357848 +aS'64\t64\tCD\tB-NP\tO' +p357849 +aS'polys\tpoly\tNNS\tI-NP\tO' +p357850 +aS',\t,\t,\tO\tO' +p357851 +aS'3\t3\tCD\tB-NP\tO' +p357852 +aS'bands\tband\tNNS\tI-NP\tO' +p357853 +aS',\t,\t,\tO\tO' +p357854 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p357855 +aS'35.8\t35.8\tCD\tI-NP\tI-protein' +p357856 +aS',\t,\t,\tO\tO' +p357857 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p357858 +aS'281,000\t281,000\tCD\tB-NP\tO' +p357859 +aS'.\t.\t.\tO\tO' +p357860 +asS'Chest , lungs clear to auscultation with faint wheezes , no rales .' +p357861 +(lp357862 +S'Chest\tChest\tNNP\tB-NP\tO' +p357863 +aS',\t,\t,\tO\tO' +p357864 +aS'lungs\tlung\tVBZ\tB-VP\tO' +p357865 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p357866 +aS'to\tto\tTO\tB-PP\tO' +p357867 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p357868 +aS'with\twith\tIN\tB-PP\tO' +p357869 +aS'faint\tfaint\tJJ\tB-NP\tO' +p357870 +aS'wheezes\twheeze\tNNS\tI-NP\tO' +p357871 +aS',\t,\t,\tO\tO' +p357872 +aS'no\tno\tDT\tB-NP\tO' +p357873 +aS'rales\trale\tNNS\tI-NP\tO' +p357874 +aS'.\t.\t.\tO\tO' +p357875 +asS'Physical Therapy felt that the patient was cleared for transfer home with services .' +p357876 +(lp357877 +S'Physical\tPhysical\tJJ\tB-NP\tO' +p357878 +aS'Therapy\tTherapy\tNN\tI-NP\tO' +p357879 +aS'felt\tfeel\tVBD\tB-VP\tO' +p357880 +aS'that\tthat\tIN\tB-SBAR\tO' +p357881 +aS'the\tthe\tDT\tB-NP\tO' +p357882 +aS'patient\tpatient\tNN\tI-NP\tO' +p357883 +aS'was\tbe\tVBD\tB-VP\tO' +p357884 +aS'cleared\tclear\tVBN\tI-VP\tO' +p357885 +aS'for\tfor\tIN\tB-PP\tO' +p357886 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p357887 +aS'home\thome\tNN\tI-NP\tO' +p357888 +aS'with\twith\tIN\tB-PP\tO' +p357889 +aS'services\tservice\tNNS\tB-NP\tO' +p357890 +aS'.\t.\t.\tO\tO' +p357891 +asS'Intraoperatively , for immunosuppression she received thymoglobulin and Solu-Medrol .' +p357892 +(lp357893 +S'Intraoperatively\tIntraoperatively\tRB\tB-ADVP\tO' +p357894 +aS',\t,\t,\tO\tO' +p357895 +aS'for\tfor\tIN\tB-PP\tO' +p357896 +aS'immunosuppression\timmunosuppression\tNN\tB-NP\tB-protein' +p357897 +aS'she\tshe\tPRP\tB-NP\tI-protein' +p357898 +aS'received\treceive\tVBD\tB-VP\tI-protein' +p357899 +aS'thymoglobulin\tthymoglobulin\tNN\tB-NP\tI-protein' +p357900 +aS'and\tand\tCC\tI-NP\tO' +p357901 +aS'Solu-Medrol\tSolu-Medrol\tNN\tI-NP\tO' +p357902 +aS'.\t.\t.\tO\tO' +p357903 +asS'He has had recurrent CMB infection in the setting of Campath therapy , requiring IV Foscarnet therapy during stay , with inability to tolerate valganciclovir maintenance suppression subsequently due to increasing ARS .' +p357904 +(lp357905 +S'He\tHe\tPRP\tB-NP\tO' +p357906 +aS'has\thave\tVBZ\tB-VP\tO' +p357907 +aS'had\thave\tVBN\tI-VP\tO' +p357908 +aS'recurrent\trecurrent\tJJ\tB-NP\tO' +p357909 +aS'CMB\tCMB\tNN\tI-NP\tO' +p357910 +aS'infection\tinfection\tNN\tI-NP\tO' +p357911 +aS'in\tin\tIN\tB-PP\tO' +p357912 +aS'the\tthe\tDT\tB-NP\tO' +p357913 +aS'setting\tsetting\tNN\tI-NP\tO' +p357914 +aS'of\tof\tIN\tB-PP\tO' +p357915 +aS'Campath\tCampath\tNN\tB-NP\tO' +p357916 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p357917 +aS',\t,\t,\tO\tO' +p357918 +aS'requiring\trequire\tVBG\tB-VP\tO' +p357919 +aS'IV\tIV\tCD\tB-NP\tO' +p357920 +aS'Foscarnet\tFoscarnet\tNNP\tI-NP\tO' +p357921 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p357922 +aS'during\tduring\tIN\tB-PP\tO' +p357923 +aS'stay\tstay\tNN\tB-NP\tO' +p357924 +aS',\t,\t,\tO\tO' +p357925 +aS'with\twith\tIN\tB-PP\tO' +p357926 +aS'inability\tinability\tNN\tB-NP\tO' +p357927 +aS'to\tto\tTO\tB-VP\tO' +p357928 +aS'tolerate\ttolerate\tVB\tI-VP\tO' +p357929 +aS'valganciclovir\tvalganciclovir\tNN\tB-NP\tO' +p357930 +aS'maintenance\tmaintenance\tNN\tI-NP\tO' +p357931 +aS'suppression\tsuppression\tNN\tI-NP\tO' +p357932 +aS'subsequently\tsubsequently\tRB\tB-ADJP\tO' +p357933 +aS'due\tdue\tJJ\tI-ADJP\tO' +p357934 +aS'to\tto\tTO\tB-PP\tO' +p357935 +aS'increasing\tincrease\tVBG\tB-NP\tO' +p357936 +aS'ARS\tARS\tNN\tI-NP\tB-protein' +p357937 +aS'.\t.\t.\tO\tO' +p357938 +asS'Pediatrics , phone number 353-5927 , fax number' +p357939 +(lp357940 +S'Pediatrics\tPediatric\tNNS\tB-NP\tO' +p357941 +aS',\t,\t,\tO\tO' +p357942 +aS'phone\tphone\tNN\tB-NP\tO' +p357943 +aS'number\tnumber\tNN\tI-NP\tO' +p357944 +aS'353-5927\t353-5927\tCD\tI-NP\tO' +p357945 +aS',\t,\t,\tO\tO' +p357946 +aS'fax\tfax\tNN\tB-NP\tO' +p357947 +aS'number\tnumber\tNN\tI-NP\tO' +p357948 +asS'3. End stage renal disease on HD' +p357949 +(lp357950 +S'3.\t3.\tLS\tB-NP\tO' +p357951 +aS'End\tEnd\tNN\tI-NP\tO' +p357952 +aS'stage\tstage\tNN\tI-NP\tO' +p357953 +aS'renal\trenal\tJJ\tI-NP\tO' +p357954 +aS'disease\tdisease\tNN\tI-NP\tO' +p357955 +aS'on\ton\tIN\tB-PP\tO' +p357956 +aS'HD\tHD\tNN\tB-NP\tO' +p357957 +asS'However , on 12-07 , the patient once again experienced an episode of unresponsiveness .' +p357958 +(lp357959 +S'However\tHowever\tRB\tB-ADVP\tO' +p357960 +aS',\t,\t,\tO\tO' +p357961 +aS'on\ton\tIN\tB-PP\tO' +p357962 +aS'12-07\t12-07\tCD\tB-NP\tO' +p357963 +aS',\t,\t,\tO\tO' +p357964 +aS'the\tthe\tDT\tB-NP\tO' +p357965 +aS'patient\tpatient\tNN\tI-NP\tO' +p357966 +aS'once\tonce\tRB\tB-ADVP\tO' +p357967 +aS'again\tagain\tRB\tI-ADVP\tO' +p357968 +aS'experienced\texperience\tVBD\tB-VP\tO' +p357969 +aS'an\tan\tDT\tB-NP\tO' +p357970 +aS'episode\tepisode\tNN\tI-NP\tO' +p357971 +aS'of\tof\tIN\tB-PP\tO' +p357972 +aS'unresponsiveness\tunresponsiveness\tNN\tB-NP\tO' +p357973 +aS'.\t.\t.\tO\tO' +p357974 +asS'She remained full code throughout the hospitalization .' +p357975 +(lp357976 +S'She\tShe\tPRP\tB-NP\tO' +p357977 +aS'remained\tremain\tVBD\tB-VP\tO' +p357978 +aS'full\tfull\tJJ\tB-NP\tO' +p357979 +aS'code\tcode\tNN\tI-NP\tO' +p357980 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p357981 +aS'the\tthe\tDT\tB-NP\tO' +p357982 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p357983 +aS'.\t.\t.\tO\tO' +p357984 +asS'Also , due to worsening renal function , she was started on octreotide / midodrine / albumin for hepatorenal' +p357985 +(lp357986 +S'Also\tAlso\tRB\tB-ADVP\tO' +p357987 +aS',\t,\t,\tO\tO' +p357988 +aS'due\tdue\tJJ\tB-ADJP\tO' +p357989 +aS'to\tto\tTO\tB-PP\tO' +p357990 +aS'worsening\tworsen\tVBG\tB-VP\tO' +p357991 +aS'renal\trenal\tJJ\tB-NP\tO' +p357992 +aS'function\tfunction\tNN\tI-NP\tO' +p357993 +aS',\t,\t,\tO\tO' +p357994 +aS'she\tshe\tPRP\tB-NP\tO' +p357995 +aS'was\tbe\tVBD\tB-VP\tO' +p357996 +aS'started\tstart\tVBN\tI-VP\tO' +p357997 +aS'on\ton\tIN\tB-PP\tO' +p357998 +aS'octreotide\toctreotide\tNN\tB-NP\tO' +p357999 +aS'/\t/\tSYM\tB-NP\tO' +p358000 +aS'midodrine\tmidodrine\tNN\tI-NP\tO' +p358001 +aS'/\t/\tSYM\tB-NP\tO' +p358002 +aS'albumin\talbumin\tNN\tI-NP\tO' +p358003 +aS'for\tfor\tIN\tB-PP\tO' +p358004 +aS'hepatorenal\thepatorenal\tJJ\tB-NP\tO' +p358005 +asS'She also had a new lesion on her last MRI in the centrum semiovale .' +p358006 +(lp358007 +S'She\tShe\tPRP\tB-NP\tO' +p358008 +aS'also\talso\tRB\tB-ADVP\tO' +p358009 +aS'had\thave\tVBD\tB-VP\tO' +p358010 +aS'a\ta\tDT\tB-NP\tO' +p358011 +aS'new\tnew\tJJ\tI-NP\tO' +p358012 +aS'lesion\tlesion\tNN\tI-NP\tO' +p358013 +aS'on\ton\tIN\tB-PP\tO' +p358014 +aS'her\ther\tPRP$\tB-NP\tO' +p358015 +aS'last\tlast\tJJ\tI-NP\tO' +p358016 +aS'MRI\tMRI\tNN\tI-NP\tO' +p358017 +aS'in\tin\tIN\tB-PP\tO' +p358018 +aS'the\tthe\tDT\tB-NP\tO' +p358019 +aS'centrum\tcentrum\tNN\tI-NP\tO' +p358020 +aS'semiovale\tsemiovale\tNN\tI-NP\tO' +p358021 +aS'.\t.\t.\tO\tO' +p358022 +asS'The right ventricle is dilated and diffusely hypokinetic and there is no evidence of constrictive physiology which was seen on December 6 , 1995 .' +p358023 +(lp358024 +S'The\tThe\tDT\tB-NP\tO' +p358025 +aS'right\tright\tJJ\tI-NP\tO' +p358026 +aS'ventricle\tventricle\tNN\tI-NP\tO' +p358027 +aS'is\tbe\tVBZ\tB-VP\tO' +p358028 +aS'dilated\tdilate\tVBN\tI-VP\tO' +p358029 +aS'and\tand\tCC\tO\tO' +p358030 +aS'diffusely\tdiffusely\tRB\tB-ADJP\tO' +p358031 +aS'hypokinetic\thypokinetic\tJJ\tI-ADJP\tO' +p358032 +aS'and\tand\tCC\tO\tO' +p358033 +aS'there\tthere\tEX\tB-NP\tO' +p358034 +aS'is\tbe\tVBZ\tB-VP\tO' +p358035 +aS'no\tno\tDT\tB-NP\tO' +p358036 +aS'evidence\tevidence\tNN\tI-NP\tO' +p358037 +aS'of\tof\tIN\tB-PP\tO' +p358038 +aS'constrictive\tconstrictive\tJJ\tB-NP\tO' +p358039 +aS'physiology\tphysiology\tNN\tI-NP\tO' +p358040 +aS'which\twhich\tWDT\tB-NP\tO' +p358041 +aS'was\tbe\tVBD\tB-VP\tO' +p358042 +aS'seen\tsee\tVBN\tI-VP\tO' +p358043 +aS'on\ton\tIN\tB-PP\tO' +p358044 +aS'December\tDecember\tNNP\tB-NP\tO' +p358045 +aS'6\t6\tCD\tI-NP\tO' +p358046 +aS',\t,\t,\tI-NP\tO' +p358047 +aS'1995\t1995\tCD\tI-NP\tO' +p358048 +aS'.\t.\t.\tO\tO' +p358049 +asS'The patient was admitted to the hospital and begun on high dose Hydroxyurea , with a gradual improvement in his white blood count over the next few days .' +p358050 +(lp358051 +S'The\tThe\tDT\tB-NP\tO' +p358052 +aS'patient\tpatient\tNN\tI-NP\tO' +p358053 +aS'was\tbe\tVBD\tB-VP\tO' +p358054 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p358055 +aS'to\tto\tTO\tB-PP\tO' +p358056 +aS'the\tthe\tDT\tB-NP\tO' +p358057 +aS'hospital\thospital\tNN\tI-NP\tO' +p358058 +aS'and\tand\tCC\tO\tO' +p358059 +aS'begun\tbegin\tVBN\tB-VP\tO' +p358060 +aS'on\ton\tIN\tB-PP\tO' +p358061 +aS'high\thigh\tJJ\tB-NP\tO' +p358062 +aS'dose\tdose\tNN\tI-NP\tO' +p358063 +aS'Hydroxyurea\tHydroxyurea\tNN\tI-NP\tO' +p358064 +aS',\t,\t,\tO\tO' +p358065 +aS'with\twith\tIN\tB-PP\tO' +p358066 +aS'a\ta\tDT\tB-NP\tO' +p358067 +aS'gradual\tgradual\tJJ\tI-NP\tO' +p358068 +aS'improvement\timprovement\tNN\tI-NP\tO' +p358069 +aS'in\tin\tIN\tB-PP\tO' +p358070 +aS'his\this\tPRP$\tB-NP\tO' +p358071 +aS'white\twhite\tJJ\tI-NP\tO' +p358072 +aS'blood\tblood\tNN\tI-NP\tO' +p358073 +aS'count\tcount\tNN\tI-NP\tO' +p358074 +aS'over\tover\tIN\tB-PP\tO' +p358075 +aS'the\tthe\tDT\tB-NP\tO' +p358076 +aS'next\tnext\tJJ\tI-NP\tO' +p358077 +aS'few\tfew\tJJ\tI-NP\tO' +p358078 +aS'days\tday\tNNS\tI-NP\tO' +p358079 +aS'.\t.\t.\tO\tO' +p358080 +asS'There were no ST or T wave changes .' +p358081 +(lp358082 +S'There\tThere\tEX\tB-NP\tO' +p358083 +aS'were\tbe\tVBD\tB-VP\tO' +p358084 +aS'no\tno\tDT\tB-NP\tO' +p358085 +aS'ST\tST\tNN\tI-NP\tO' +p358086 +aS'or\tor\tCC\tI-NP\tO' +p358087 +aS'T\tT\tNN\tI-NP\tO' +p358088 +aS'wave\twave\tNN\tI-NP\tO' +p358089 +aS'changes\tchange\tNNS\tI-NP\tO' +p358090 +aS'.\t.\t.\tO\tO' +p358091 +asS'While in the hospital , the patient received initial work-up including echocardiogram , electrocardiogram and serology studies to be listed for liver transplant .' +p358092 +(lp358093 +S'While\tWhile\tIN\tB-SBAR\tO' +p358094 +aS'in\tin\tIN\tB-PP\tO' +p358095 +aS'the\tthe\tDT\tB-NP\tO' +p358096 +aS'hospital\thospital\tNN\tI-NP\tO' +p358097 +aS',\t,\t,\tO\tO' +p358098 +aS'the\tthe\tDT\tB-NP\tO' +p358099 +aS'patient\tpatient\tNN\tI-NP\tO' +p358100 +aS'received\treceive\tVBD\tB-VP\tO' +p358101 +aS'initial\tinitial\tJJ\tB-NP\tO' +p358102 +aS'work-up\twork-up\tNN\tI-NP\tO' +p358103 +aS'including\tinclude\tVBG\tB-PP\tO' +p358104 +aS'echocardiogram\techocardiogram\tNN\tB-NP\tO' +p358105 +aS',\t,\t,\tI-NP\tO' +p358106 +aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' +p358107 +aS'and\tand\tCC\tI-NP\tO' +p358108 +aS'serology\tserology\tNN\tI-NP\tO' +p358109 +aS'studies\tstudy\tNNS\tI-NP\tO' +p358110 +aS'to\tto\tTO\tB-VP\tO' +p358111 +aS'be\tbe\tVB\tI-VP\tO' +p358112 +aS'listed\tlist\tVBN\tI-VP\tO' +p358113 +aS'for\tfor\tIN\tB-PP\tO' +p358114 +aS'liver\tliver\tNN\tB-NP\tO' +p358115 +aS'transplant\ttransplant\tNN\tI-NP\tO' +p358116 +aS'.\t.\t.\tO\tO' +p358117 +asS'She will follow up with Dr. Top in his office .' +p358118 +(lp358119 +S'She\tShe\tPRP\tB-NP\tO' +p358120 +aS'will\twill\tMD\tB-VP\tO' +p358121 +aS'follow\tfollow\tVB\tI-VP\tO' +p358122 +aS'up\tup\tRP\tB-PRT\tO' +p358123 +aS'with\twith\tIN\tB-PP\tO' +p358124 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p358125 +aS'Top\tTop\tNNP\tI-NP\tO' +p358126 +aS'in\tin\tIN\tB-PP\tO' +p358127 +aS'his\this\tPRP$\tB-NP\tO' +p358128 +aS'office\toffice\tNN\tI-NP\tO' +p358129 +aS'.\t.\t.\tO\tO' +p358130 +asS'The patient is to report to Dr. Jones office on 2010-06-14 for an initial blood draw and subsequent Coumadin titration ; Coumadin levels are to be monitored per his PCP David .' +p358131 +(lp358132 +S'The\tThe\tDT\tB-NP\tO' +p358133 +aS'patient\tpatient\tNN\tI-NP\tO' +p358134 +aS'is\tbe\tVBZ\tB-VP\tO' +p358135 +aS'to\tto\tTO\tB-VP\tO' +p358136 +aS'report\treport\tVB\tI-VP\tO' +p358137 +aS'to\tto\tTO\tB-PP\tO' +p358138 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p358139 +aS'Jones\tJones\tNNP\tI-NP\tO' +p358140 +aS'office\toffice\tNN\tI-NP\tO' +p358141 +aS'on\ton\tIN\tB-PP\tO' +p358142 +aS'2010-06-14\t2010-06-14\tCD\tB-NP\tO' +p358143 +aS'for\tfor\tIN\tB-PP\tO' +p358144 +aS'an\tan\tDT\tB-NP\tO' +p358145 +aS'initial\tinitial\tJJ\tI-NP\tO' +p358146 +aS'blood\tblood\tNN\tI-NP\tO' +p358147 +aS'draw\tdraw\tNN\tI-NP\tO' +p358148 +aS'and\tand\tCC\tO\tO' +p358149 +aS'subsequent\tsubsequent\tJJ\tB-NP\tO' +p358150 +aS'Coumadin\tCoumadin\tNN\tI-NP\tO' +p358151 +aS'titration\ttitration\tNN\tI-NP\tO' +p358152 +aS';\t;\t:\tO\tO' +p358153 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p358154 +aS'levels\tlevel\tNNS\tI-NP\tO' +p358155 +aS'are\tbe\tVBP\tB-VP\tO' +p358156 +aS'to\tto\tTO\tI-VP\tO' +p358157 +aS'be\tbe\tVB\tI-VP\tO' +p358158 +aS'monitored\tmonitor\tVBN\tI-VP\tO' +p358159 +aS'per\tper\tIN\tB-PP\tO' +p358160 +aS'his\this\tPRP$\tB-NP\tO' +p358161 +aS'PCP\tPCP\tNN\tI-NP\tO' +p358162 +aS'David\tDavid\tNNP\tI-NP\tO' +p358163 +aS'.\t.\t.\tO\tO' +p358164 +asS'1. Undesired fertility .' +p358165 +(lp358166 +S'1.\t1.\tLS\tB-NP\tO' +p358167 +aS'Undesired\tUndesired\tJJ\tI-NP\tO' +p358168 +aS'fertility\tfertility\tNN\tI-NP\tO' +p358169 +aS'.\t.\t.\tO\tO' +p358170 +asS'1 ) THROMBOTIC THROMBOCYTOPENIC PURPURA .' +p358171 +(lp358172 +S'1\t1\tLS\tB-LST\tO' +p358173 +aS')\t)\t)\tO\tO' +p358174 +aS'THROMBOTIC\tTHROMBOTIC\tNN\tB-NP\tO' +p358175 +aS'THROMBOCYTOPENIC\tTHROMBOCYTOPENIC\tNN\tI-NP\tO' +p358176 +aS'PURPURA\tPURPURA\tNN\tI-NP\tO' +p358177 +aS'.\t.\t.\tO\tO' +p358178 +asS'The patient was on home Synthroid dose during her hospitalization , insulin sliding scale with q.6h. fingersticks while she was on TPN .' +p358179 +(lp358180 +S'The\tThe\tDT\tB-NP\tO' +p358181 +aS'patient\tpatient\tNN\tI-NP\tO' +p358182 +aS'was\tbe\tVBD\tB-VP\tO' +p358183 +aS'on\ton\tIN\tB-PP\tO' +p358184 +aS'home\thome\tNN\tB-NP\tO' +p358185 +aS'Synthroid\tSynthroid\tJJ\tI-NP\tO' +p358186 +aS'dose\tdose\tNN\tI-NP\tO' +p358187 +aS'during\tduring\tIN\tB-PP\tO' +p358188 +aS'her\ther\tPRP$\tB-NP\tO' +p358189 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p358190 +aS',\t,\t,\tO\tO' +p358191 +aS'insulin\tinsulin\tNN\tB-NP\tB-protein' +p358192 +aS'sliding\tslide\tVBG\tB-VP\tO' +p358193 +aS'scale\tscale\tNN\tB-NP\tO' +p358194 +aS'with\twith\tIN\tB-PP\tO' +p358195 +aS'q.6h.\tq.6h.\tNN\tB-NP\tO' +p358196 +aS'fingersticks\tfingerstick\tNNS\tI-NP\tO' +p358197 +aS'while\twhile\tIN\tB-SBAR\tO' +p358198 +aS'she\tshe\tPRP\tB-NP\tO' +p358199 +aS'was\tbe\tVBD\tB-VP\tO' +p358200 +aS'on\ton\tIN\tB-PP\tO' +p358201 +aS'TPN\tTPN\tNN\tB-NP\tB-protein' +p358202 +aS'.\t.\t.\tO\tO' +p358203 +asS'Despite maximal supports the patient continued to be hypotensive .' +p358204 +(lp358205 +S'Despite\tDespite\tIN\tB-PP\tO' +p358206 +aS'maximal\tmaximal\tJJ\tB-NP\tO' +p358207 +aS'supports\tsupport\tNNS\tI-NP\tO' +p358208 +aS'the\tthe\tDT\tB-NP\tO' +p358209 +aS'patient\tpatient\tNN\tI-NP\tO' +p358210 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p358211 +aS'to\tto\tTO\tI-VP\tO' +p358212 +aS'be\tbe\tVB\tI-VP\tO' +p358213 +aS'hypotensive\thypotensive\tJJ\tB-ADJP\tO' +p358214 +aS'.\t.\t.\tO\tO' +p358215 +asS'He also had a very positive tox screen for alcohol .' +p358216 +(lp358217 +S'He\tHe\tPRP\tB-NP\tO' +p358218 +aS'also\talso\tRB\tB-ADVP\tO' +p358219 +aS'had\thave\tVBD\tB-VP\tO' +p358220 +aS'a\ta\tDT\tB-NP\tO' +p358221 +aS'very\tvery\tRB\tI-NP\tO' +p358222 +aS'positive\tpositive\tJJ\tI-NP\tO' +p358223 +aS'tox\ttox\tNN\tI-NP\tO' +p358224 +aS'screen\tscreen\tNN\tI-NP\tO' +p358225 +aS'for\tfor\tIN\tB-PP\tO' +p358226 +aS'alcohol\talcohol\tNN\tB-NP\tO' +p358227 +aS'.\t.\t.\tO\tO' +p358228 +asS'10. Coumadin 7.5 mg on Sun , Tues , Wed , Fri and Sat .' +p358229 +(lp358230 +S'10.\t10.\tCD\tB-NP\tO' +p358231 +aS'Coumadin\tCoumadin\tNN\tI-NP\tO' +p358232 +aS'7.5\t7.5\tCD\tB-NP\tO' +p358233 +aS'mg\tmg\tNN\tI-NP\tO' +p358234 +aS'on\ton\tIN\tB-PP\tO' +p358235 +aS'Sun\tSun\tNNP\tB-NP\tO' +p358236 +aS',\t,\t,\tO\tO' +p358237 +aS'Tues\tTues\tNNP\tB-NP\tO' +p358238 +aS',\t,\t,\tO\tO' +p358239 +aS'Wed\tWed\tNNP\tB-NP\tO' +p358240 +aS',\t,\t,\tO\tO' +p358241 +aS'Fri\tFri\tNNP\tB-NP\tO' +p358242 +aS'and\tand\tCC\tO\tO' +p358243 +aS'Sat\tSat\tNNP\tB-NP\tO' +p358244 +aS'.\t.\t.\tO\tO' +p358245 +asS'General : Awake , alert , responding to voice .' +p358246 +(lp358247 +S'General\tGeneral\tNNP\tB-NP\tO' +p358248 +aS':\t:\t:\tO\tO' +p358249 +aS'Awake\tAwake\tNNP\tB-NP\tO' +p358250 +aS',\t,\t,\tO\tO' +p358251 +aS'alert\talert\tRB\tB-ADVP\tO' +p358252 +aS',\t,\t,\tO\tO' +p358253 +aS'responding\trespond\tVBG\tB-VP\tO' +p358254 +aS'to\tto\tTO\tI-VP\tO' +p358255 +aS'voice\tvoice\tVB\tI-VP\tO' +p358256 +aS'.\t.\t.\tO\tO' +p358257 +asS'The patient was started on Glargine for tighter glycemic control and was covered with an insulin sliding scale .' +p358258 +(lp358259 +S'The\tThe\tDT\tB-NP\tO' +p358260 +aS'patient\tpatient\tNN\tI-NP\tO' +p358261 +aS'was\tbe\tVBD\tB-VP\tO' +p358262 +aS'started\tstart\tVBN\tI-VP\tO' +p358263 +aS'on\ton\tIN\tB-PP\tO' +p358264 +aS'Glargine\tGlargine\tNN\tB-NP\tO' +p358265 +aS'for\tfor\tIN\tB-PP\tO' +p358266 +aS'tighter\ttight\tJJR\tB-NP\tO' +p358267 +aS'glycemic\tglycemic\tJJ\tI-NP\tO' +p358268 +aS'control\tcontrol\tNN\tI-NP\tO' +p358269 +aS'and\tand\tCC\tO\tO' +p358270 +aS'was\tbe\tVBD\tB-VP\tO' +p358271 +aS'covered\tcover\tVBN\tI-VP\tO' +p358272 +aS'with\twith\tIN\tB-PP\tO' +p358273 +aS'an\tan\tDT\tB-NP\tO' +p358274 +aS'insulin\tinsulin\tNN\tI-NP\tO' +p358275 +aS'sliding\tslide\tVBG\tB-VP\tO' +p358276 +aS'scale\tscale\tNN\tB-NP\tO' +p358277 +aS'.\t.\t.\tO\tO' +p358278 +asS'EXTREMITIES : Pink and well perfused .' +p358279 +(lp358280 +S'EXTREMITIES\tEXTREMITIES\tNNS\tB-NP\tO' +p358281 +aS':\t:\t:\tO\tO' +p358282 +aS'Pink\tPink\tNN\tB-NP\tO' +p358283 +aS'and\tand\tCC\tO\tO' +p358284 +aS'well\twell\tRB\tB-ADJP\tO' +p358285 +aS'perfused\tperfuse\tVBN\tI-ADJP\tO' +p358286 +aS'.\t.\t.\tO\tO' +p358287 +asS'The creatinine was 4.4 on admission and peaked at 10.5 on the 15th .' +p358288 +(lp358289 +S'The\tThe\tDT\tB-NP\tO' +p358290 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p358291 +aS'was\tbe\tVBD\tB-VP\tO' +p358292 +aS'4.4\t4.4\tCD\tB-NP\tO' +p358293 +aS'on\ton\tIN\tB-PP\tO' +p358294 +aS'admission\tadmission\tNN\tB-NP\tO' +p358295 +aS'and\tand\tCC\tO\tO' +p358296 +aS'peaked\tpeak\tVBD\tB-VP\tO' +p358297 +aS'at\tat\tIN\tB-PP\tO' +p358298 +aS'10.5\t10.5\tCD\tB-NP\tO' +p358299 +aS'on\ton\tIN\tB-PP\tO' +p358300 +aS'the\tthe\tDT\tB-NP\tO' +p358301 +aS'15th\t15th\tNN\tI-NP\tO' +p358302 +aS'.\t.\t.\tO\tO' +p358303 +asS'The walk was paretic in the left side .' +p358304 +(lp358305 +S'The\tThe\tDT\tB-NP\tO' +p358306 +aS'walk\twalk\tNN\tI-NP\tO' +p358307 +aS'was\tbe\tVBD\tB-VP\tO' +p358308 +aS'paretic\tparetic\tJJ\tB-ADJP\tO' +p358309 +aS'in\tin\tIN\tB-PP\tO' +p358310 +aS'the\tthe\tDT\tB-NP\tO' +p358311 +aS'left\tleft\tJJ\tI-NP\tO' +p358312 +aS'side\tside\tNN\tI-NP\tO' +p358313 +aS'.\t.\t.\tO\tO' +p358314 +asS'Bactrim , single strength , one p.o. b.i.d. times 10 days , initiated 9/27/92 , Synthroid 0.1 mg p.o. q.day , Ferrous Gluconate 300 mg p.o. t.i.d. and Folate 1 mg p.o. q. day .' +p358315 +(lp358316 +S'Bactrim\tBactrim\tJJ\tB-NP\tO' +p358317 +aS',\t,\t,\tI-NP\tO' +p358318 +aS'single\tsingle\tJJ\tI-NP\tO' +p358319 +aS'strength\tstrength\tNN\tI-NP\tO' +p358320 +aS',\t,\t,\tO\tO' +p358321 +aS'one\tone\tCD\tB-NP\tO' +p358322 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p358323 +aS'b.i.d.\tb.i.d.\tFW\tI-NP\tO' +p358324 +aS'times\ttime\tNNS\tI-NP\tO' +p358325 +aS'10\t10\tCD\tI-NP\tO' +p358326 +aS'days\tday\tNNS\tI-NP\tO' +p358327 +aS',\t,\t,\tO\tO' +p358328 +aS'initiated\tinitiate\tVBD\tB-VP\tO' +p358329 +aS'9/27/92\t9/27/92\tCD\tB-NP\tO' +p358330 +aS',\t,\t,\tO\tO' +p358331 +aS'Synthroid\tSynthroid\tJJ\tB-NP\tO' +p358332 +aS'0.1\t0.1\tCD\tI-NP\tO' +p358333 +aS'mg\tmg\tNN\tI-NP\tO' +p358334 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p358335 +aS'q.day\tq.day\tNN\tI-NP\tO' +p358336 +aS',\t,\t,\tO\tO' +p358337 +aS'Ferrous\tFerrous\tJJ\tB-NP\tO' +p358338 +aS'Gluconate\tGluconate\tNN\tI-NP\tO' +p358339 +aS'300\t300\tCD\tI-NP\tO' +p358340 +aS'mg\tmg\tNN\tI-NP\tO' +p358341 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p358342 +aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' +p358343 +aS'and\tand\tCC\tO\tO' +p358344 +aS'Folate\tFolate\tNN\tB-NP\tO' +p358345 +aS'1\t1\tCD\tI-NP\tO' +p358346 +aS'mg\tmg\tNN\tI-NP\tO' +p358347 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p358348 +aS'q.\tq.\tNN\tI-NP\tO' +p358349 +aS'day\tday\tNN\tI-NP\tO' +p358350 +aS'.\t.\t.\tO\tO' +p358351 +asS'Chest clear .' +p358352 +(lp358353 +S'Chest\tChest\tRBS\tB-ADJP\tO' +p358354 +aS'clear\tclear\tJJ\tI-ADJP\tO' +p358355 +aS'.\t.\t.\tO\tO' +p358356 +asS'The patient has been on cardiac medications since and has had no new episodes .' +p358357 +(lp358358 +S'The\tThe\tDT\tB-NP\tO' +p358359 +aS'patient\tpatient\tNN\tI-NP\tO' +p358360 +aS'has\thave\tVBZ\tB-VP\tO' +p358361 +aS'been\tbe\tVBN\tI-VP\tO' +p358362 +aS'on\ton\tIN\tB-PP\tO' +p358363 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p358364 +aS'medications\tmedication\tNNS\tI-NP\tO' +p358365 +aS'since\tsince\tIN\tB-PP\tO' +p358366 +aS'and\tand\tCC\tO\tO' +p358367 +aS'has\thave\tVBZ\tB-VP\tO' +p358368 +aS'had\thave\tVBN\tI-VP\tO' +p358369 +aS'no\tno\tDT\tB-NP\tO' +p358370 +aS'new\tnew\tJJ\tI-NP\tO' +p358371 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p358372 +aS'.\t.\t.\tO\tO' +p358373 +asS'The patient is allergic to sulfa .' +p358374 +(lp358375 +S'The\tThe\tDT\tB-NP\tO' +p358376 +aS'patient\tpatient\tNN\tI-NP\tO' +p358377 +aS'is\tbe\tVBZ\tB-VP\tO' +p358378 +aS'allergic\tallergic\tJJ\tB-ADJP\tO' +p358379 +aS'to\tto\tTO\tB-PP\tO' +p358380 +aS'sulfa\tsulfa\tNN\tB-NP\tO' +p358381 +aS'.\t.\t.\tO\tO' +p358382 +asS'She is guaiac negative on rectal examination .' +p358383 +(lp358384 +S'She\tShe\tPRP\tB-NP\tO' +p358385 +aS'is\tbe\tVBZ\tB-VP\tO' +p358386 +aS'guaiac\tguaiac\tJJ\tB-ADJP\tO' +p358387 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p358388 +aS'on\ton\tIN\tB-PP\tO' +p358389 +aS'rectal\trectal\tJJ\tB-NP\tO' +p358390 +aS'examination\texamination\tNN\tI-NP\tO' +p358391 +aS'.\t.\t.\tO\tO' +p358392 +asS'The patient was initially started on nasal prong CPAP at 6 and required additional oxygen to 35% .' +p358393 +(lp358394 +S'The\tThe\tDT\tB-NP\tO' +p358395 +aS'patient\tpatient\tNN\tI-NP\tO' +p358396 +aS'was\tbe\tVBD\tB-VP\tO' +p358397 +aS'initially\tinitially\tRB\tI-VP\tO' +p358398 +aS'started\tstart\tVBN\tI-VP\tO' +p358399 +aS'on\ton\tIN\tB-PP\tO' +p358400 +aS'nasal\tnasal\tJJ\tB-NP\tO' +p358401 +aS'prong\tprong\tJJ\tI-NP\tO' +p358402 +aS'CPAP\tCPAP\tNN\tI-NP\tB-protein' +p358403 +aS'at\tat\tIN\tB-PP\tO' +p358404 +aS'6\t6\tCD\tB-NP\tO' +p358405 +aS'and\tand\tCC\tO\tO' +p358406 +aS'required\trequire\tVBD\tB-VP\tO' +p358407 +aS'additional\tadditional\tJJ\tB-NP\tO' +p358408 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p358409 +aS'to\tto\tTO\tB-PP\tO' +p358410 +aS'35%\t35%\tCD\tB-NP\tO' +p358411 +aS'.\t.\t.\tO\tO' +p358412 +asS'Lives with boyfriend in apt .' +p358413 +(lp358414 +S'Lives\tLife\tNNS\tB-NP\tO' +p358415 +aS'with\twith\tIN\tB-PP\tO' +p358416 +aS'boyfriend\tboyfriend\tNN\tB-NP\tO' +p358417 +aS'in\tin\tIN\tB-PP\tO' +p358418 +aS'apt\tapt\tNN\tB-NP\tO' +p358419 +aS'.\t.\t.\tO\tO' +p358420 +asS'Over the next several days his activity was advanced on POD5 it was decided he was stable and ready to be discharged home with visiting nurses .' +p358421 +(lp358422 +S'Over\tOver\tIN\tB-PP\tO' +p358423 +aS'the\tthe\tDT\tB-NP\tO' +p358424 +aS'next\tnext\tJJ\tI-NP\tO' +p358425 +aS'several\tseveral\tJJ\tI-NP\tO' +p358426 +aS'days\tday\tNNS\tI-NP\tO' +p358427 +aS'his\this\tPRP$\tB-NP\tO' +p358428 +aS'activity\tactivity\tNN\tI-NP\tO' +p358429 +aS'was\tbe\tVBD\tB-VP\tO' +p358430 +aS'advanced\tadvance\tVBN\tI-VP\tO' +p358431 +aS'on\ton\tIN\tB-PP\tO' +p358432 +aS'POD5\tPOD5\tNN\tB-NP\tB-protein' +p358433 +aS'it\tit\tPRP\tB-NP\tO' +p358434 +aS'was\tbe\tVBD\tB-VP\tO' +p358435 +aS'decided\tdecide\tVBN\tI-VP\tO' +p358436 +aS'he\the\tPRP\tB-NP\tO' +p358437 +aS'was\tbe\tVBD\tB-VP\tO' +p358438 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p358439 +aS'and\tand\tCC\tI-ADJP\tO' +p358440 +aS'ready\tready\tJJ\tI-ADJP\tO' +p358441 +aS'to\tto\tTO\tB-VP\tO' +p358442 +aS'be\tbe\tVB\tI-VP\tO' +p358443 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p358444 +aS'home\thome\tNN\tB-ADVP\tO' +p358445 +aS'with\twith\tIN\tB-PP\tO' +p358446 +aS'visiting\tvisit\tVBG\tB-NP\tO' +p358447 +aS'nurses\tnurse\tNNS\tI-NP\tO' +p358448 +aS'.\t.\t.\tO\tO' +p358449 +asS'Extremities were 2+ pedal edema to the knees .' +p358450 +(lp358451 +S'Extremities\tExtremity\tNNS\tB-NP\tO' +p358452 +aS'were\tbe\tVBD\tB-VP\tO' +p358453 +aS'2+\t2+\tJJ\tB-NP\tO' +p358454 +aS'pedal\tpedal\tJJ\tI-NP\tO' +p358455 +aS'edema\tedema\tNN\tI-NP\tO' +p358456 +aS'to\tto\tTO\tB-PP\tO' +p358457 +aS'the\tthe\tDT\tB-NP\tO' +p358458 +aS'knees\tknee\tNNS\tI-NP\tO' +p358459 +aS'.\t.\t.\tO\tO' +p358460 +asS'The diuresis was backed off when her bicarbonate increased from 36 to 39 .' +p358461 +(lp358462 +S'The\tThe\tDT\tB-NP\tO' +p358463 +aS'diuresis\tdiuresis\tNN\tI-NP\tO' +p358464 +aS'was\tbe\tVBD\tB-VP\tO' +p358465 +aS'backed\tback\tVBN\tI-VP\tO' +p358466 +aS'off\toff\tRP\tB-PRT\tO' +p358467 +aS'when\twhen\tWRB\tB-ADVP\tO' +p358468 +aS'her\ther\tPRP$\tB-NP\tO' +p358469 +aS'bicarbonate\tbicarbonate\tNN\tI-NP\tO' +p358470 +aS'increased\tincrease\tVBD\tB-VP\tO' +p358471 +aS'from\tfrom\tIN\tB-PP\tO' +p358472 +aS'36\t36\tCD\tB-NP\tO' +p358473 +aS'to\tto\tTO\tB-PP\tO' +p358474 +aS'39\t39\tCD\tB-NP\tO' +p358475 +aS'.\t.\t.\tO\tO' +p358476 +asS'The urinalysis was negative .' +p358477 +(lp358478 +S'The\tThe\tDT\tB-NP\tO' +p358479 +aS'urinalysis\turinalysis\tNN\tI-NP\tO' +p358480 +aS'was\tbe\tVBD\tB-VP\tO' +p358481 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p358482 +aS'.\t.\t.\tO\tO' +p358483 +asS'Rate was 75 .' +p358484 +(lp358485 +S'Rate\tRate\tNN\tB-NP\tO' +p358486 +aS'was\tbe\tVBD\tB-VP\tO' +p358487 +aS'75\t75\tCD\tB-NP\tO' +p358488 +aS'.\t.\t.\tO\tO' +p358489 +asS'Subsequent exercise treadmill test demonstrated no evidence of ischemia by EKG .' +p358490 +(lp358491 +S'Subsequent\tSubsequent\tJJ\tB-NP\tO' +p358492 +aS'exercise\texercise\tNN\tI-NP\tO' +p358493 +aS'treadmill\ttreadmill\tNN\tI-NP\tO' +p358494 +aS'test\ttest\tNN\tI-NP\tO' +p358495 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p358496 +aS'no\tno\tDT\tB-NP\tO' +p358497 +aS'evidence\tevidence\tNN\tI-NP\tO' +p358498 +aS'of\tof\tIN\tB-PP\tO' +p358499 +aS'ischemia\tischemia\tNN\tB-NP\tO' +p358500 +aS'by\tby\tIN\tB-PP\tO' +p358501 +aS'EKG\tEKG\tNN\tB-NP\tB-protein' +p358502 +aS'.\t.\t.\tO\tO' +p358503 +asS'12. Asthma .' +p358504 +(lp358505 +S'12.\t12.\tLS\tB-LST\tO' +p358506 +aS'Asthma\tAsthma\tNNP\tB-NP\tO' +p358507 +aS'.\t.\t.\tO\tO' +p358508 +asS'PT was 12.3 , PTT 27.1. An EKG showed sinus bradycardia at 53 with a normal axis , first degree atrioventricular block , biphasic T-waves in V1 to V3 without any acute changes .' +p358509 +(lp358510 +S'PT\tPT\tNN\tB-NP\tO' +p358511 +aS'was\tbe\tVBD\tB-VP\tO' +p358512 +aS'12.3\t12.3\tCD\tB-NP\tO' +p358513 +aS',\t,\t,\tO\tO' +p358514 +aS'PTT\tPTT\tNN\tB-NP\tO' +p358515 +aS'27.1.\t27.1.\tCD\tI-NP\tO' +p358516 +aS'An\tAn\tDT\tB-NP\tO' +p358517 +aS'EKG\tEKG\tNN\tI-NP\tB-protein' +p358518 +aS'showed\tshow\tVBD\tB-VP\tO' +p358519 +aS'sinus\tsinus\tNN\tB-NP\tO' +p358520 +aS'bradycardia\tbradycardia\tNN\tI-NP\tO' +p358521 +aS'at\tat\tIN\tB-PP\tO' +p358522 +aS'53\t53\tCD\tB-NP\tO' +p358523 +aS'with\twith\tIN\tB-PP\tO' +p358524 +aS'a\ta\tDT\tB-NP\tO' +p358525 +aS'normal\tnormal\tJJ\tI-NP\tO' +p358526 +aS'axis\taxis\tNN\tI-NP\tO' +p358527 +aS',\t,\t,\tO\tO' +p358528 +aS'first\tfirst\tJJ\tB-NP\tO' +p358529 +aS'degree\tdegree\tNN\tI-NP\tO' +p358530 +aS'atrioventricular\tatrioventricular\tJJ\tI-NP\tO' +p358531 +aS'block\tblock\tNN\tI-NP\tO' +p358532 +aS',\t,\t,\tO\tO' +p358533 +aS'biphasic\tbiphasic\tJJ\tB-NP\tO' +p358534 +aS'T-waves\tT-wave\tNNS\tI-NP\tO' +p358535 +aS'in\tin\tIN\tB-PP\tO' +p358536 +aS'V1\tV1\tNN\tB-NP\tO' +p358537 +aS'to\tto\tTO\tB-PP\tO' +p358538 +aS'V3\tV3\tNN\tB-NP\tB-protein' +p358539 +aS'without\twithout\tIN\tB-PP\tO' +p358540 +aS'any\tany\tDT\tB-NP\tO' +p358541 +aS'acute\tacute\tJJ\tI-NP\tO' +p358542 +aS'changes\tchange\tNNS\tI-NP\tO' +p358543 +aS'.\t.\t.\tO\tO' +p358544 +asS'On the left nasolabial , there was a boil with pus and surrounding erythema and tenderness .' +p358545 +(lp358546 +S'On\tOn\tIN\tB-PP\tO' +p358547 +aS'the\tthe\tDT\tB-NP\tO' +p358548 +aS'left\tleft\tJJ\tI-NP\tO' +p358549 +aS'nasolabial\tnasolabial\tNN\tI-NP\tO' +p358550 +aS',\t,\t,\tO\tO' +p358551 +aS'there\tthere\tEX\tB-NP\tO' +p358552 +aS'was\tbe\tVBD\tB-VP\tO' +p358553 +aS'a\ta\tDT\tB-NP\tO' +p358554 +aS'boil\tboil\tNN\tI-NP\tO' +p358555 +aS'with\twith\tIN\tB-PP\tO' +p358556 +aS'pus\tpus\tNN\tB-NP\tO' +p358557 +aS'and\tand\tCC\tO\tO' +p358558 +aS'surrounding\tsurround\tVBG\tB-VP\tO' +p358559 +aS'erythema\terythema\tNN\tB-NP\tO' +p358560 +aS'and\tand\tCC\tI-NP\tO' +p358561 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p358562 +aS'.\t.\t.\tO\tO' +p358563 +asS'She was discharged home in stable condition on postoperative day six .' +p358564 +(lp358565 +S'She\tShe\tPRP\tB-NP\tO' +p358566 +aS'was\tbe\tVBD\tB-VP\tO' +p358567 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p358568 +aS'home\thome\tNN\tB-ADVP\tO' +p358569 +aS'in\tin\tIN\tB-PP\tO' +p358570 +aS'stable\tstable\tJJ\tB-NP\tO' +p358571 +aS'condition\tcondition\tNN\tI-NP\tO' +p358572 +aS'on\ton\tIN\tB-PP\tO' +p358573 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p358574 +aS'day\tday\tNN\tI-NP\tO' +p358575 +aS'six\tsix\tCD\tI-NP\tO' +p358576 +aS'.\t.\t.\tO\tO' +p358577 +asS'Diabetes mellitus for approximately 40 years .' +p358578 +(lp358579 +S'Diabetes\tDiabetes\tNN\tB-NP\tO' +p358580 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p358581 +aS'for\tfor\tIN\tB-PP\tO' +p358582 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p358583 +aS'40\t40\tCD\tI-NP\tO' +p358584 +aS'years\tyear\tNNS\tI-NP\tO' +p358585 +aS'.\t.\t.\tO\tO' +p358586 +asS'A CT scan of your abdomen showed a right pelvic mass , most likely a hematoma , which had been described previously in 2015-03-28 .' +p358587 +(lp358588 +S'A\tA\tDT\tB-NP\tO' +p358589 +aS'CT\tCT\tNN\tI-NP\tO' +p358590 +aS'scan\tscan\tNN\tI-NP\tO' +p358591 +aS'of\tof\tIN\tB-PP\tO' +p358592 +aS'your\tyour\tPRP$\tB-NP\tO' +p358593 +aS'abdomen\tabdoman\tNNS\tI-NP\tO' +p358594 +aS'showed\tshow\tVBD\tB-VP\tO' +p358595 +aS'a\ta\tDT\tB-NP\tO' +p358596 +aS'right\tright\tJJ\tI-NP\tO' +p358597 +aS'pelvic\tpelvic\tJJ\tI-NP\tO' +p358598 +aS'mass\tmass\tNN\tI-NP\tO' +p358599 +aS',\t,\t,\tO\tO' +p358600 +aS'most\tmost\tRBS\tB-ADVP\tO' +p358601 +aS'likely\tlikely\tRB\tI-ADVP\tO' +p358602 +aS'a\ta\tDT\tB-NP\tO' +p358603 +aS'hematoma\thematoma\tNN\tI-NP\tO' +p358604 +aS',\t,\t,\tO\tO' +p358605 +aS'which\twhich\tWDT\tB-NP\tO' +p358606 +aS'had\thave\tVBD\tB-VP\tO' +p358607 +aS'been\tbe\tVBN\tI-VP\tO' +p358608 +aS'described\tdescribe\tVBN\tI-VP\tO' +p358609 +aS'previously\tpreviously\tRB\tB-ADVP\tO' +p358610 +aS'in\tin\tIN\tB-PP\tO' +p358611 +aS'2015-03-28\t2015-03-28\tCD\tB-NP\tO' +p358612 +aS'.\t.\t.\tO\tO' +p358613 +asS'Her cardiac examination remained the same and there continued to be no evidence of tamponade .' +p358614 +(lp358615 +S'Her\tHer\tPRP$\tB-NP\tO' +p358616 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p358617 +aS'examination\texamination\tNN\tI-NP\tO' +p358618 +aS'remained\tremain\tVBD\tB-VP\tO' +p358619 +aS'the\tthe\tDT\tB-NP\tO' +p358620 +aS'same\tsame\tJJ\tI-NP\tO' +p358621 +aS'and\tand\tCC\tO\tO' +p358622 +aS'there\tthere\tEX\tB-NP\tO' +p358623 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p358624 +aS'to\tto\tTO\tI-VP\tO' +p358625 +aS'be\tbe\tVB\tI-VP\tO' +p358626 +aS'no\tno\tDT\tB-NP\tO' +p358627 +aS'evidence\tevidence\tNN\tI-NP\tO' +p358628 +aS'of\tof\tIN\tB-PP\tO' +p358629 +aS'tamponade\ttamponade\tNN\tB-NP\tO' +p358630 +aS'.\t.\t.\tO\tO' +p358631 +asS'1. Miconazole nitrate powder tid prn for groin rash .' +p358632 +(lp358633 +S'1.\t1.\tLS\tB-NP\tO' +p358634 +aS'Miconazole\tMiconazole\tNN\tI-NP\tO' +p358635 +aS'nitrate\tnitrate\tNN\tI-NP\tO' +p358636 +aS'powder\tpowder\tNN\tI-NP\tO' +p358637 +aS'tid\ttid\tNN\tI-NP\tO' +p358638 +aS'prn\tprn\tNN\tI-NP\tO' +p358639 +aS'for\tfor\tIN\tB-PP\tO' +p358640 +aS'groin\tgroin\tNN\tB-NP\tO' +p358641 +aS'rash\trash\tNN\tI-NP\tO' +p358642 +aS'.\t.\t.\tO\tO' +p358643 +asS's/p AVR 2000 remote tonsillectomy/adenoidectomy partial thyroidectomy rem. right wrist ganglion cyst left foot bunionectomy breast biopsies' +p358644 +(lp358645 +S's/p\ts/p\tNN\tB-NP\tO' +p358646 +aS'AVR\tAVR\tNN\tI-NP\tO' +p358647 +aS'2000\t2000\tCD\tI-NP\tO' +p358648 +aS'remote\tremote\tJJ\tI-NP\tO' +p358649 +aS'tonsillectomy/adenoidectomy\ttonsillectomy/adenoidectomy\tNN\tI-NP\tO' +p358650 +aS'partial\tpartial\tJJ\tI-NP\tO' +p358651 +aS'thyroidectomy\tthyroidectomy\tNN\tI-NP\tO' +p358652 +aS'rem.\trem.\tNN\tI-NP\tO' +p358653 +aS'right\tright\tJJ\tI-NP\tO' +p358654 +aS'wrist\twrist\tNN\tI-NP\tO' +p358655 +aS'ganglion\tganglion\tNN\tI-NP\tO' +p358656 +aS'cyst\tcyst\tNN\tI-NP\tO' +p358657 +aS'left\tleave\tVBD\tB-VP\tO' +p358658 +aS'foot\tfoot\tNN\tB-NP\tO' +p358659 +aS'bunionectomy\tbunionectomy\tNN\tI-NP\tO' +p358660 +aS'breast\tbreast\tNN\tI-NP\tO' +p358661 +aS'biopsies\tbiopsy\tNNS\tI-NP\tO' +p358662 +asS'Lipase and amylase remained normal .' +p358663 +(lp358664 +S'Lipase\tLipase\tNN\tB-NP\tB-protein' +p358665 +aS'and\tand\tCC\tI-NP\tO' +p358666 +aS'amylase\tamylase\tNN\tI-NP\tB-protein' +p358667 +aS'remained\tremain\tVBD\tB-VP\tO' +p358668 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p358669 +aS'.\t.\t.\tO\tO' +p358670 +asS'Exam sig. for erthyema as described previously and tenderness to minimal palpation .' +p358671 +(lp358672 +S'Exam\tExam\tNN\tB-NP\tO' +p358673 +aS'sig.\tsig.\tNN\tI-NP\tO' +p358674 +aS'for\tfor\tIN\tB-PP\tO' +p358675 +aS'erthyema\terthyema\tNN\tB-NP\tO' +p358676 +aS'as\tas\tIN\tB-SBAR\tO' +p358677 +aS'described\tdescribe\tVBN\tB-VP\tO' +p358678 +aS'previously\tpreviously\tRB\tB-ADVP\tO' +p358679 +aS'and\tand\tCC\tO\tO' +p358680 +aS'tenderness\ttenderness\tNN\tB-NP\tO' +p358681 +aS'to\tto\tTO\tB-PP\tO' +p358682 +aS'minimal\tminimal\tJJ\tB-NP\tO' +p358683 +aS'palpation\tpalpation\tNN\tI-NP\tO' +p358684 +aS'.\t.\t.\tO\tO' +p358685 +asS'Included aspirin 325 mg PO q.day .' +p358686 +(lp358687 +S'Included\tInclude\tVBN\tB-NP\tO' +p358688 +aS'aspirin\taspirin\tNN\tI-NP\tO' +p358689 +aS'325\t325\tCD\tI-NP\tO' +p358690 +aS'mg\tmg\tNN\tI-NP\tO' +p358691 +aS'PO\tPO\tNN\tI-NP\tO' +p358692 +aS'q.day\tq.day\tNN\tI-NP\tO' +p358693 +aS'.\t.\t.\tO\tO' +p358694 +asS'He was given fresh frozen plasma to correct his INR and a left chest tube was placed .' +p358695 +(lp358696 +S'He\tHe\tPRP\tB-NP\tO' +p358697 +aS'was\tbe\tVBD\tB-VP\tO' +p358698 +aS'given\tgive\tVBN\tI-VP\tO' +p358699 +aS'fresh\tfresh\tJJ\tB-NP\tO' +p358700 +aS'frozen\tfrozen\tJJ\tI-NP\tO' +p358701 +aS'plasma\tplasma\tNN\tI-NP\tO' +p358702 +aS'to\tto\tTO\tB-VP\tO' +p358703 +aS'correct\tcorrect\tVB\tI-VP\tO' +p358704 +aS'his\this\tPRP$\tB-NP\tO' +p358705 +aS'INR\tINR\tNN\tI-NP\tB-protein' +p358706 +aS'and\tand\tCC\tO\tO' +p358707 +aS'a\ta\tDT\tB-NP\tO' +p358708 +aS'left\tleft\tJJ\tI-NP\tO' +p358709 +aS'chest\tchest\tNN\tI-NP\tO' +p358710 +aS'tube\ttube\tNN\tI-NP\tO' +p358711 +aS'was\tbe\tVBD\tB-VP\tO' +p358712 +aS'placed\tplace\tVBN\tI-VP\tO' +p358713 +aS'.\t.\t.\tO\tO' +p358714 +asS'He should also be encouraged to eat as much as possible orally in addition to this tube feeds and aspiration precaution should be maintained .' +p358715 +(lp358716 +S'He\tHe\tPRP\tB-NP\tO' +p358717 +aS'should\tshould\tMD\tB-VP\tO' +p358718 +aS'also\talso\tRB\tI-VP\tO' +p358719 +aS'be\tbe\tVB\tI-VP\tO' +p358720 +aS'encouraged\tencourage\tVBN\tI-VP\tO' +p358721 +aS'to\tto\tTO\tI-VP\tO' +p358722 +aS'eat\teat\tVB\tI-VP\tO' +p358723 +aS'as\tas\tRB\tB-NP\tO' +p358724 +aS'much\tmuch\tRB\tI-NP\tO' +p358725 +aS'as\tas\tIN\tB-PP\tO' +p358726 +aS'possible\tpossible\tJJ\tB-ADJP\tO' +p358727 +aS'orally\torally\tRB\tB-ADVP\tO' +p358728 +aS'in\tin\tIN\tB-PP\tO' +p358729 +aS'addition\taddition\tNN\tB-NP\tO' +p358730 +aS'to\tto\tTO\tB-PP\tO' +p358731 +aS'this\tthis\tDT\tB-NP\tO' +p358732 +aS'tube\ttube\tNN\tI-NP\tO' +p358733 +aS'feeds\tfeed\tNNS\tI-NP\tO' +p358734 +aS'and\tand\tCC\tO\tO' +p358735 +aS'aspiration\taspiration\tNN\tB-NP\tO' +p358736 +aS'precaution\tprecaution\tNN\tI-NP\tO' +p358737 +aS'should\tshould\tMD\tB-VP\tO' +p358738 +aS'be\tbe\tVB\tI-VP\tO' +p358739 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p358740 +aS'.\t.\t.\tO\tO' +p358741 +asS'EKG without acute changes .' +p358742 +(lp358743 +S'EKG\tEKG\tNN\tB-NP\tB-protein' +p358744 +aS'without\twithout\tIN\tB-PP\tO' +p358745 +aS'acute\tacute\tJJ\tB-NP\tO' +p358746 +aS'changes\tchange\tNNS\tI-NP\tO' +p358747 +aS'.\t.\t.\tO\tO' +p358748 +asS'The patient was transferred to the CSRU postoperatively where he did well .' +p358749 +(lp358750 +S'The\tThe\tDT\tB-NP\tO' +p358751 +aS'patient\tpatient\tNN\tI-NP\tO' +p358752 +aS'was\tbe\tVBD\tB-VP\tO' +p358753 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p358754 +aS'to\tto\tTO\tB-PP\tO' +p358755 +aS'the\tthe\tDT\tB-NP\tO' +p358756 +aS'CSRU\tCSRU\tNNP\tI-NP\tO' +p358757 +aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' +p358758 +aS'where\twhere\tWRB\tB-ADVP\tO' +p358759 +aS'he\the\tPRP\tB-NP\tO' +p358760 +aS'did\tdo\tVBD\tB-VP\tO' +p358761 +aS'well\twell\tRB\tB-ADVP\tO' +p358762 +aS'.\t.\t.\tO\tO' +p358763 +asS'Follow up computerized tomography scans and magnetic resonance imaging studies have shown infarction in bilateral basis pontis , mid brain , the superior cerebellar areas , left thalamus , bilateral temporal lobes medially and inferiorly and left posterior communicating artery .' +p358764 +(lp358765 +S'Follow\tFollow\tVB\tB-VP\tO' +p358766 +aS'up\tup\tRP\tB-PRT\tO' +p358767 +aS'computerized\tcomputerized\tJJ\tB-NP\tO' +p358768 +aS'tomography\ttomography\tNN\tI-NP\tO' +p358769 +aS'scans\tscan\tNNS\tI-NP\tO' +p358770 +aS'and\tand\tCC\tO\tO' +p358771 +aS'magnetic\tmagnetic\tJJ\tB-NP\tO' +p358772 +aS'resonance\tresonance\tNN\tI-NP\tO' +p358773 +aS'imaging\timaging\tNN\tI-NP\tO' +p358774 +aS'studies\tstudy\tNNS\tI-NP\tO' +p358775 +aS'have\thave\tVBP\tB-VP\tO' +p358776 +aS'shown\tshow\tVBN\tI-VP\tO' +p358777 +aS'infarction\tinfarction\tNN\tB-NP\tO' +p358778 +aS'in\tin\tIN\tB-PP\tO' +p358779 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p358780 +aS'basis\tbasis\tNN\tI-NP\tO' +p358781 +aS'pontis\tpontis\tNN\tI-NP\tO' +p358782 +aS',\t,\t,\tO\tO' +p358783 +aS'mid\tmid\tJJ\tB-NP\tO' +p358784 +aS'brain\tbrain\tNN\tI-NP\tO' +p358785 +aS',\t,\t,\tO\tO' +p358786 +aS'the\tthe\tDT\tB-NP\tO' +p358787 +aS'superior\tsuperior\tJJ\tI-NP\tO' +p358788 +aS'cerebellar\tcerebellar\tJJ\tI-NP\tO' +p358789 +aS'areas\tarea\tNNS\tI-NP\tO' +p358790 +aS',\t,\t,\tO\tO' +p358791 +aS'left\tleave\tVBD\tB-VP\tO' +p358792 +aS'thalamus\tthalamus\tNN\tB-NP\tO' +p358793 +aS',\t,\t,\tO\tO' +p358794 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p358795 +aS'temporal\ttemporal\tJJ\tI-NP\tO' +p358796 +aS'lobes\tlobe\tNNS\tI-NP\tO' +p358797 +aS'medially\tmedially\tRB\tB-ADVP\tO' +p358798 +aS'and\tand\tCC\tI-ADVP\tO' +p358799 +aS'inferiorly\tinferiorly\tRB\tI-ADVP\tO' +p358800 +aS'and\tand\tCC\tO\tO' +p358801 +aS'left\tleave\tVBD\tB-VP\tO' +p358802 +aS'posterior\tposterior\tJJ\tB-NP\tO' +p358803 +aS'communicating\tcommunicate\tVBG\tI-NP\tO' +p358804 +aS'artery\tartery\tNN\tI-NP\tO' +p358805 +aS'.\t.\t.\tO\tO' +p358806 +asS'She was admitted and placed on a bowel prep two days before surgery and was taken to the Operating Room on hospital day # 3 , 10/28/97 .' +p358807 +(lp358808 +S'She\tShe\tPRP\tB-NP\tO' +p358809 +aS'was\tbe\tVBD\tB-VP\tO' +p358810 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p358811 +aS'and\tand\tCC\tO\tO' +p358812 +aS'placed\tplace\tVBN\tB-VP\tO' +p358813 +aS'on\ton\tIN\tB-PP\tO' +p358814 +aS'a\ta\tDT\tB-NP\tO' +p358815 +aS'bowel\tbowel\tNN\tI-NP\tO' +p358816 +aS'prep\tprep\tNN\tI-NP\tO' +p358817 +aS'two\ttwo\tCD\tB-NP\tO' +p358818 +aS'days\tday\tNNS\tI-NP\tO' +p358819 +aS'before\tbefore\tIN\tB-PP\tO' +p358820 +aS'surgery\tsurgery\tNN\tB-NP\tO' +p358821 +aS'and\tand\tCC\tO\tO' +p358822 +aS'was\tbe\tVBD\tB-VP\tO' +p358823 +aS'taken\ttake\tVBN\tI-VP\tO' +p358824 +aS'to\tto\tTO\tB-PP\tO' +p358825 +aS'the\tthe\tDT\tB-NP\tO' +p358826 +aS'Operating\tOperating\tNN\tI-NP\tO' +p358827 +aS'Room\tRoom\tNN\tI-NP\tO' +p358828 +aS'on\ton\tIN\tB-PP\tO' +p358829 +aS'hospital\thospital\tNN\tB-NP\tO' +p358830 +aS'day\tday\tNN\tI-NP\tO' +p358831 +aS'#\t#\t#\tB-NP\tO' +p358832 +aS'3\t3\tCD\tI-NP\tO' +p358833 +aS',\t,\t,\tI-NP\tO' +p358834 +aS'10/28/97\t10/28/97\tCD\tI-NP\tO' +p358835 +aS'.\t.\t.\tO\tO' +p358836 +asS'She had a functioning arteriovenous fistula with a thrill and a bruit in her left arm .' +p358837 +(lp358838 +S'She\tShe\tPRP\tB-NP\tO' +p358839 +aS'had\thave\tVBD\tB-VP\tO' +p358840 +aS'a\ta\tDT\tB-NP\tO' +p358841 +aS'functioning\tfunctioning\tJJ\tI-NP\tO' +p358842 +aS'arteriovenous\tarteriovenous\tJJ\tI-NP\tO' +p358843 +aS'fistula\tfistula\tNN\tI-NP\tO' +p358844 +aS'with\twith\tIN\tB-PP\tO' +p358845 +aS'a\ta\tDT\tB-NP\tO' +p358846 +aS'thrill\tthrill\tNN\tI-NP\tO' +p358847 +aS'and\tand\tCC\tO\tO' +p358848 +aS'a\ta\tDT\tB-NP\tO' +p358849 +aS'bruit\tbruit\tNN\tI-NP\tO' +p358850 +aS'in\tin\tIN\tB-PP\tO' +p358851 +aS'her\ther\tPRP$\tB-NP\tO' +p358852 +aS'left\tleft\tJJ\tI-NP\tO' +p358853 +aS'arm\tarm\tNN\tI-NP\tO' +p358854 +aS'.\t.\t.\tO\tO' +p358855 +asS'2. US finding - Pt was incidentally found to have R hydronephrosis and a R adenexal mass on her US .' +p358856 +(lp358857 +S'2.\t2.\tLS\tB-LST\tO' +p358858 +aS'US\tUS\t:\tO\tO' +p358859 +aS'finding\tfinding\tNN\tB-NP\tO' +p358860 +aS'-\t-\tHYPH\tB-NP\tO' +p358861 +aS'Pt\tPt\tNN\tI-NP\tO' +p358862 +aS'was\tbe\tVBD\tB-VP\tO' +p358863 +aS'incidentally\tincidentally\tRB\tI-VP\tO' +p358864 +aS'found\tfind\tVBN\tI-VP\tO' +p358865 +aS'to\tto\tTO\tI-VP\tO' +p358866 +aS'have\thave\tVB\tI-VP\tO' +p358867 +aS'R\tR\tNN\tB-NP\tO' +p358868 +aS'hydronephrosis\thydronephrosis\tNN\tI-NP\tO' +p358869 +aS'and\tand\tCC\tO\tO' +p358870 +aS'a\ta\tDT\tB-NP\tO' +p358871 +aS'R\tR\tNN\tI-NP\tO' +p358872 +aS'adenexal\tadenexal\tJJ\tI-NP\tO' +p358873 +aS'mass\tmass\tNN\tI-NP\tO' +p358874 +aS'on\ton\tIN\tB-PP\tO' +p358875 +aS'her\ther\tPRP$\tB-NP\tO' +p358876 +aS'US\tUS\tNNP\tI-NP\tO' +p358877 +aS'.\t.\t.\tO\tO' +p358878 +asS'He was advised the importance of each of his and compliance with each of these medications and was told he needed close followup with a cardiologist .' +p358879 +(lp358880 +S'He\tHe\tPRP\tB-NP\tO' +p358881 +aS'was\tbe\tVBD\tB-VP\tO' +p358882 +aS'advised\tadvise\tVBN\tI-VP\tO' +p358883 +aS'the\tthe\tDT\tB-NP\tO' +p358884 +aS'importance\timportance\tNN\tI-NP\tO' +p358885 +aS'of\tof\tIN\tB-PP\tO' +p358886 +aS'each\teach\tDT\tB-NP\tO' +p358887 +aS'of\tof\tIN\tB-PP\tO' +p358888 +aS'his\this\tPRP$\tB-NP\tB-DNA' +p358889 +aS'and\tand\tCC\tI-NP\tO' +p358890 +aS'compliance\tcompliance\tNN\tI-NP\tO' +p358891 +aS'with\twith\tIN\tB-PP\tO' +p358892 +aS'each\teach\tDT\tB-NP\tO' +p358893 +aS'of\tof\tIN\tB-PP\tO' +p358894 +aS'these\tthese\tDT\tB-NP\tO' +p358895 +aS'medications\tmedication\tNNS\tI-NP\tO' +p358896 +aS'and\tand\tCC\tO\tO' +p358897 +aS'was\tbe\tVBD\tB-VP\tO' +p358898 +aS'told\ttell\tVBN\tI-VP\tO' +p358899 +aS'he\the\tPRP\tB-NP\tO' +p358900 +aS'needed\tneed\tVBD\tB-VP\tO' +p358901 +aS'close\tclose\tJJ\tB-NP\tO' +p358902 +aS'followup\tfollowup\tNN\tI-NP\tO' +p358903 +aS'with\twith\tIN\tB-PP\tO' +p358904 +aS'a\ta\tDT\tB-NP\tO' +p358905 +aS'cardiologist\tcardiologist\tNN\tI-NP\tO' +p358906 +aS'.\t.\t.\tO\tO' +p358907 +asS"Overnight on pt 's first evening on the floor , she had episode of desaturation with inc O2 requirement ( 4L -> 6L -> sating 91% on NRB ) - CXR with worsening - non responsive to lasix ." +p358908 +(lp358909 +S'Overnight\tOvernight\tNN\tB-NP\tO' +p358910 +aS'on\ton\tIN\tB-PP\tO' +p358911 +aS'pt\tpt\tNN\tB-NP\tO' +p358912 +aS"'s\t's\tPOS\tB-NP\tO" +p358913 +aS'first\tfirst\tJJ\tI-NP\tO' +p358914 +aS'evening\tevening\tNN\tI-NP\tO' +p358915 +aS'on\ton\tIN\tB-PP\tO' +p358916 +aS'the\tthe\tDT\tB-NP\tO' +p358917 +aS'floor\tfloor\tNN\tI-NP\tO' +p358918 +aS',\t,\t,\tO\tO' +p358919 +aS'she\tshe\tPRP\tB-NP\tO' +p358920 +aS'had\thave\tVBD\tB-VP\tO' +p358921 +aS'episode\tepisode\tNN\tB-NP\tO' +p358922 +aS'of\tof\tIN\tB-PP\tO' +p358923 +aS'desaturation\tdesaturation\tNN\tB-NP\tO' +p358924 +aS'with\twith\tIN\tB-PP\tO' +p358925 +aS'inc\tinc\tNN\tB-NP\tO' +p358926 +aS'O2\tO2\tNN\tI-NP\tO' +p358927 +aS'requirement\trequirement\tNN\tI-NP\tO' +p358928 +aS'(\t(\t(\tO\tO' +p358929 +aS'4L\t4L\tNN\tB-NP\tO' +p358930 +aS'->\t->\tSYM\tB-NP\tO' +p358931 +aS'6L\t6L\tNN\tI-NP\tO' +p358932 +aS'->\t->\tSYM\tB-NP\tO' +p358933 +aS'sating\tsate\tVBG\tB-VP\tO' +p358934 +aS'91%\t91%\tNN\tB-NP\tO' +p358935 +aS'on\ton\tIN\tB-PP\tO' +p358936 +aS'NRB\tNRB\tNN\tB-NP\tB-protein' +p358937 +aS')\t)\t)\tO\tO' +p358938 +aS'-\t-\tHYPH\tB-NP\tO' +p358939 +aS'CXR\tCXR\tNN\tI-NP\tB-protein' +p358940 +aS'with\twith\tIN\tB-PP\tO' +p358941 +aS'worsening\tworsen\tVBG\tB-VP\tO' +p358942 +aS'-\t-\tHYPH\tB-NP\tO' +p358943 +aS'non\tnon\tNN\tI-NP\tO' +p358944 +aS'responsive\tresponsive\tJJ\tB-ADJP\tO' +p358945 +aS'to\tto\tTO\tB-PP\tO' +p358946 +aS'lasix\tlasix\tNN\tB-NP\tO' +p358947 +aS'.\t.\t.\tO\tO' +p358948 +asS'Please call gynecology clinic at 150-5825 to arrange for follow up .' +p358949 +(lp358950 +S'Please\tPlease\tVB\tB-VP\tO' +p358951 +aS'call\tcall\tVB\tI-VP\tO' +p358952 +aS'gynecology\tgynecology\tNN\tB-NP\tO' +p358953 +aS'clinic\tclinic\tNN\tI-NP\tO' +p358954 +aS'at\tat\tIN\tB-PP\tO' +p358955 +aS'150-5825\t150-5825\tCD\tB-NP\tO' +p358956 +aS'to\tto\tTO\tB-VP\tO' +p358957 +aS'arrange\tarrange\tVB\tI-VP\tO' +p358958 +aS'for\tfor\tIN\tB-PP\tO' +p358959 +aS'follow\tfollow\tVB\tB-VP\tO' +p358960 +aS'up\tup\tIN\tB-PRT\tO' +p358961 +aS'.\t.\t.\tO\tO' +p358962 +asS'The patient was vigorously fluid rehydrated ; however , by hospital day number nine , BUN was 22 , creatinine was 3.5 .' +p358963 +(lp358964 +S'The\tThe\tDT\tB-NP\tO' +p358965 +aS'patient\tpatient\tNN\tI-NP\tO' +p358966 +aS'was\tbe\tVBD\tB-VP\tO' +p358967 +aS'vigorously\tvigorously\tRB\tB-ADJP\tO' +p358968 +aS'fluid\tfluid\tJJ\tI-ADJP\tO' +p358969 +aS'rehydrated\trehydrate\tVBN\tB-VP\tO' +p358970 +aS';\t;\t:\tO\tO' +p358971 +aS'however\thowever\tRB\tO\tO' +p358972 +aS',\t,\t,\tO\tO' +p358973 +aS'by\tby\tIN\tB-PP\tO' +p358974 +aS'hospital\thospital\tNN\tB-NP\tO' +p358975 +aS'day\tday\tNN\tI-NP\tO' +p358976 +aS'number\tnumber\tNN\tI-NP\tO' +p358977 +aS'nine\tnine\tCD\tI-NP\tO' +p358978 +aS',\t,\t,\tO\tO' +p358979 +aS'BUN\tBUN\tNN\tB-NP\tB-protein' +p358980 +aS'was\tbe\tVBD\tB-VP\tO' +p358981 +aS'22\t22\tCD\tB-NP\tO' +p358982 +aS',\t,\t,\tO\tO' +p358983 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p358984 +aS'was\tbe\tVBD\tB-VP\tO' +p358985 +aS'3.5\t3.5\tCD\tB-NP\tO' +p358986 +aS'.\t.\t.\tO\tO' +p358987 +asS'Tricuspid insufficiency , atrial fibrillation , congestive heart failure , chronic obstructive pulmonary disease , pulmonary hypertension .' +p358988 +(lp358989 +S'Tricuspid\tTricuspid\tJJ\tB-NP\tO' +p358990 +aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' +p358991 +aS',\t,\t,\tO\tO' +p358992 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p358993 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p358994 +aS',\t,\t,\tO\tO' +p358995 +aS'congestive\tcongestive\tJJ\tB-NP\tO' +p358996 +aS'heart\theart\tNN\tI-NP\tO' +p358997 +aS'failure\tfailure\tNN\tI-NP\tO' +p358998 +aS',\t,\t,\tO\tO' +p358999 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p359000 +aS'obstructive\tobstructive\tJJ\tI-NP\tO' +p359001 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p359002 +aS'disease\tdisease\tNN\tI-NP\tO' +p359003 +aS',\t,\t,\tO\tO' +p359004 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p359005 +aS'hypertension\thypertension\tNN\tI-NP\tO' +p359006 +aS'.\t.\t.\tO\tO' +p359007 +asS'He has had mild dyspnea on exertion increasing over the past couple of months prior to admission .' +p359008 +(lp359009 +S'He\tHe\tPRP\tB-NP\tO' +p359010 +aS'has\thave\tVBZ\tB-VP\tO' +p359011 +aS'had\thave\tVBN\tI-VP\tO' +p359012 +aS'mild\tmild\tJJ\tB-NP\tO' +p359013 +aS'dyspnea\tdyspnea\tNN\tI-NP\tO' +p359014 +aS'on\ton\tIN\tB-PP\tO' +p359015 +aS'exertion\texertion\tNN\tB-NP\tO' +p359016 +aS'increasing\tincrease\tVBG\tB-VP\tO' +p359017 +aS'over\tover\tIN\tB-PP\tO' +p359018 +aS'the\tthe\tDT\tB-NP\tO' +p359019 +aS'past\tpast\tJJ\tI-NP\tO' +p359020 +aS'couple\tcouple\tNN\tI-NP\tO' +p359021 +aS'of\tof\tIN\tB-PP\tO' +p359022 +aS'months\tmonth\tNNS\tB-NP\tO' +p359023 +aS'prior\tprior\tRB\tB-ADVP\tO' +p359024 +aS'to\tto\tTO\tB-PP\tO' +p359025 +aS'admission\tadmission\tNN\tB-NP\tO' +p359026 +aS'.\t.\t.\tO\tO' +p359027 +asS'The operation was somewhat technically difficult secondary to a short segment of ureter which was anastomosed over a stent to the bladder .' +p359028 +(lp359029 +S'The\tThe\tDT\tB-NP\tO' +p359030 +aS'operation\toperation\tNN\tI-NP\tO' +p359031 +aS'was\tbe\tVBD\tB-VP\tO' +p359032 +aS'somewhat\tsomewhat\tRB\tB-ADJP\tO' +p359033 +aS'technically\ttechnically\tRB\tI-ADJP\tO' +p359034 +aS'difficult\tdifficult\tJJ\tI-ADJP\tO' +p359035 +aS'secondary\tsecondary\tJJ\tB-NP\tO' +p359036 +aS'to\tto\tTO\tB-PP\tO' +p359037 +aS'a\ta\tDT\tB-NP\tO' +p359038 +aS'short\tshort\tJJ\tI-NP\tO' +p359039 +aS'segment\tsegment\tNN\tI-NP\tO' +p359040 +aS'of\tof\tIN\tB-PP\tO' +p359041 +aS'ureter\tureter\tNN\tB-NP\tO' +p359042 +aS'which\twhich\tWDT\tB-NP\tO' +p359043 +aS'was\tbe\tVBD\tB-VP\tO' +p359044 +aS'anastomosed\tanastomose\tVBN\tI-VP\tO' +p359045 +aS'over\tover\tIN\tB-PP\tO' +p359046 +aS'a\ta\tDT\tB-NP\tO' +p359047 +aS'stent\tstent\tNN\tI-NP\tO' +p359048 +aS'to\tto\tTO\tB-PP\tO' +p359049 +aS'the\tthe\tDT\tB-NP\tO' +p359050 +aS'bladder\tbladder\tNN\tI-NP\tO' +p359051 +aS'.\t.\t.\tO\tO' +p359052 +asS'An examination revealed an apicovaginal lesion consistent with recurrent tumor .' +p359053 +(lp359054 +S'An\tAn\tDT\tB-NP\tO' +p359055 +aS'examination\texamination\tNN\tI-NP\tO' +p359056 +aS'revealed\treveal\tVBD\tB-VP\tO' +p359057 +aS'an\tan\tDT\tB-NP\tO' +p359058 +aS'apicovaginal\tapicovaginal\tJJ\tI-NP\tO' +p359059 +aS'lesion\tlesion\tNN\tI-NP\tO' +p359060 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p359061 +aS'with\twith\tIN\tB-PP\tO' +p359062 +aS'recurrent\trecurrent\tJJ\tB-NP\tO' +p359063 +aS'tumor\ttumor\tNN\tI-NP\tO' +p359064 +aS'.\t.\t.\tO\tO' +p359065 +asS'As of the time of this dictation , on 2010-10-17 , the patient appears to be getting better .' +p359066 +(lp359067 +S'As\tAs\tIN\tB-PP\tO' +p359068 +aS'of\tof\tIN\tB-PP\tO' +p359069 +aS'the\tthe\tDT\tB-NP\tO' +p359070 +aS'time\ttime\tNN\tI-NP\tO' +p359071 +aS'of\tof\tIN\tB-PP\tO' +p359072 +aS'this\tthis\tDT\tB-NP\tO' +p359073 +aS'dictation\tdictation\tNN\tI-NP\tO' +p359074 +aS',\t,\t,\tO\tO' +p359075 +aS'on\ton\tIN\tB-PP\tO' +p359076 +aS'2010-10-17\t2010-10-17\tCD\tB-NP\tO' +p359077 +aS',\t,\t,\tO\tO' +p359078 +aS'the\tthe\tDT\tB-NP\tO' +p359079 +aS'patient\tpatient\tNN\tI-NP\tO' +p359080 +aS'appears\tappear\tVBZ\tB-VP\tO' +p359081 +aS'to\tto\tTO\tI-VP\tO' +p359082 +aS'be\tbe\tVB\tI-VP\tO' +p359083 +aS'getting\tget\tVBG\tI-VP\tO' +p359084 +aS'better\twell\tRBR\tB-ADJP\tO' +p359085 +aS'.\t.\t.\tO\tO' +p359086 +asS'Two months ago , the patient slipped and fell with valsalva that precipitated an exacerbation of her prolapse .' +p359087 +(lp359088 +S'Two\tTwo\tCD\tB-NP\tO' +p359089 +aS'months\tmonth\tNNS\tI-NP\tO' +p359090 +aS'ago\tago\tRB\tB-ADVP\tO' +p359091 +aS',\t,\t,\tO\tO' +p359092 +aS'the\tthe\tDT\tB-NP\tO' +p359093 +aS'patient\tpatient\tNN\tI-NP\tO' +p359094 +aS'slipped\tslip\tVBD\tB-VP\tO' +p359095 +aS'and\tand\tCC\tO\tO' +p359096 +aS'fell\tfall\tVBD\tB-VP\tO' +p359097 +aS'with\twith\tIN\tB-PP\tO' +p359098 +aS'valsalva\tvalsalva\tNN\tB-NP\tO' +p359099 +aS'that\tthat\tWDT\tB-NP\tO' +p359100 +aS'precipitated\tprecipitate\tVBD\tB-VP\tO' +p359101 +aS'an\tan\tDT\tB-NP\tO' +p359102 +aS'exacerbation\texacerbation\tNN\tI-NP\tO' +p359103 +aS'of\tof\tIN\tB-PP\tO' +p359104 +aS'her\ther\tPRP$\tB-NP\tO' +p359105 +aS'prolapse\tprolapse\tNN\tI-NP\tO' +p359106 +aS'.\t.\t.\tO\tO' +p359107 +asS'In addition , the patient was also fitted with a figure-of-eight clavicular splint and instructed in its' +p359108 +(lp359109 +S'In\tIn\tIN\tB-PP\tO' +p359110 +aS'addition\taddition\tNN\tB-NP\tO' +p359111 +aS',\t,\t,\tO\tO' +p359112 +aS'the\tthe\tDT\tB-NP\tO' +p359113 +aS'patient\tpatient\tNN\tI-NP\tO' +p359114 +aS'was\tbe\tVBD\tB-VP\tO' +p359115 +aS'also\talso\tRB\tI-VP\tO' +p359116 +aS'fitted\tfit\tVBN\tI-VP\tO' +p359117 +aS'with\twith\tIN\tB-PP\tO' +p359118 +aS'a\ta\tDT\tB-NP\tO' +p359119 +aS'figure-of-eight\tfigure-of-eight\tJJ\tI-NP\tO' +p359120 +aS'clavicular\tclavicular\tJJ\tI-NP\tO' +p359121 +aS'splint\tsplint\tNN\tI-NP\tO' +p359122 +aS'and\tand\tCC\tO\tO' +p359123 +aS'instructed\tinstruct\tVBN\tB-VP\tO' +p359124 +aS'in\tin\tIN\tB-PP\tO' +p359125 +aS'its\tits\tPRP$\tB-NP\tO' +p359126 +asS'His electrocardiogram showed a normal sinus rhythm .' +p359127 +(lp359128 +S'His\tHis\tPRP$\tB-NP\tO' +p359129 +aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' +p359130 +aS'showed\tshow\tVBD\tB-VP\tO' +p359131 +aS'a\ta\tDT\tB-NP\tO' +p359132 +aS'normal\tnormal\tJJ\tI-NP\tO' +p359133 +aS'sinus\tsinus\tNN\tI-NP\tO' +p359134 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p359135 +aS'.\t.\t.\tO\tO' +p359136 +asS'Permanent .' +p359137 +(lp359138 +S'Permanent\tPermanent\tNNP\tB-NP\tO' +p359139 +aS'.\t.\t.\tO\tO' +p359140 +asS'She was also given stress dose steroids .' +p359141 +(lp359142 +S'She\tShe\tPRP\tB-NP\tO' +p359143 +aS'was\tbe\tVBD\tB-VP\tO' +p359144 +aS'also\talso\tRB\tI-VP\tO' +p359145 +aS'given\tgive\tVBN\tI-VP\tO' +p359146 +aS'stress\tstress\tNN\tB-NP\tO' +p359147 +aS'dose\tdose\tNN\tI-NP\tO' +p359148 +aS'steroids\tsteroid\tNNS\tI-NP\tO' +p359149 +aS'.\t.\t.\tO\tO' +p359150 +asS'Attempts were made to facilitate her wean by resting her overnight with a combination of propafol and Fentanyl .' +p359151 +(lp359152 +S'Attempts\tAttempt\tNNS\tB-NP\tO' +p359153 +aS'were\tbe\tVBD\tB-VP\tO' +p359154 +aS'made\tmake\tVBN\tI-VP\tO' +p359155 +aS'to\tto\tTO\tB-VP\tO' +p359156 +aS'facilitate\tfacilitate\tVB\tI-VP\tO' +p359157 +aS'her\ther\tPRP$\tB-NP\tO' +p359158 +aS'wean\twean\tNN\tI-NP\tO' +p359159 +aS'by\tby\tIN\tB-PP\tO' +p359160 +aS'resting\trest\tVBG\tB-VP\tO' +p359161 +aS'her\ther\tPRP$\tB-NP\tO' +p359162 +aS'overnight\tovernight\tNN\tI-NP\tO' +p359163 +aS'with\twith\tIN\tB-PP\tO' +p359164 +aS'a\ta\tDT\tB-NP\tO' +p359165 +aS'combination\tcombination\tNN\tI-NP\tO' +p359166 +aS'of\tof\tIN\tB-PP\tO' +p359167 +aS'propafol\tpropafol\tNN\tB-NP\tO' +p359168 +aS'and\tand\tCC\tI-NP\tO' +p359169 +aS'Fentanyl\tFentanyl\tNN\tI-NP\tO' +p359170 +aS'.\t.\t.\tO\tO' +p359171 +asS'She is a nursing home resident .' +p359172 +(lp359173 +S'She\tShe\tPRP\tB-NP\tO' +p359174 +aS'is\tbe\tVBZ\tB-VP\tO' +p359175 +aS'a\ta\tDT\tB-NP\tO' +p359176 +aS'nursing\tnursing\tNN\tI-NP\tO' +p359177 +aS'home\thome\tNN\tI-NP\tO' +p359178 +aS'resident\tresident\tNN\tI-NP\tO' +p359179 +aS'.\t.\t.\tO\tO' +p359180 +asS'Repeat taps did not revealed evidence of infection .' +p359181 +(lp359182 +S'Repeat\tRepeat\tNN\tB-NP\tO' +p359183 +aS'taps\ttap\tNNS\tI-NP\tO' +p359184 +aS'did\tdo\tVBD\tB-VP\tO' +p359185 +aS'not\tnot\tRB\tI-VP\tO' +p359186 +aS'revealed\treveal\tVBN\tI-VP\tO' +p359187 +aS'evidence\tevidence\tNN\tB-NP\tO' +p359188 +aS'of\tof\tIN\tB-PP\tO' +p359189 +aS'infection\tinfection\tNN\tB-NP\tO' +p359190 +aS'.\t.\t.\tO\tO' +p359191 +asS'13) Zyrtec 10 mg p.o. q. day .' +p359192 +(lp359193 +S'13)\t13)\tLS\tB-LST\tO' +p359194 +aS'Zyrtec\tZyrtec\tNNP\tB-NP\tO' +p359195 +aS'10\t10\tCD\tI-NP\tO' +p359196 +aS'mg\tmg\tNN\tI-NP\tO' +p359197 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p359198 +aS'q.\tq.\tNN\tI-NP\tO' +p359199 +aS'day\tday\tNN\tI-NP\tO' +p359200 +aS'.\t.\t.\tO\tO' +p359201 +asS'The patient 's abdominal pain should be followed over the next week or so in case it does not respond to Prilosec .' +p359202 +(lp359203 +S'The\tThe\tDT\tB-NP\tO' +p359204 +aS'patient\tpatient\tNN\tI-NP\tO' +p359205 +aS''s\t'\tNNS\tI-NP\tO' +p359206 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p359207 +aS'pain\tpain\tNN\tI-NP\tO' +p359208 +aS'should\tshould\tMD\tB-VP\tO' +p359209 +aS'be\tbe\tVB\tI-VP\tO' +p359210 +aS'followed\tfollow\tVBN\tI-VP\tO' +p359211 +aS'over\tover\tIN\tB-PP\tO' +p359212 +aS'the\tthe\tDT\tB-NP\tO' +p359213 +aS'next\tnext\tJJ\tI-NP\tO' +p359214 +aS'week\tweek\tNN\tI-NP\tO' +p359215 +aS'or\tor\tCC\tI-NP\tO' +p359216 +aS'so\tso\tRB\tI-NP\tO' +p359217 +aS'in\tin\tIN\tB-PP\tO' +p359218 +aS'case\tcase\tNN\tB-NP\tO' +p359219 +aS'it\tit\tPRP\tB-NP\tO' +p359220 +aS'does\tdo\tVBZ\tB-VP\tO' +p359221 +aS'not\tnot\tRB\tI-VP\tO' +p359222 +aS'respond\trespond\tVB\tI-VP\tO' +p359223 +aS'to\tto\tTO\tB-PP\tO' +p359224 +aS'Prilosec\tPrilosec\tNNP\tB-NP\tO' +p359225 +aS'.\t.\t.\tO\tO' +p359226 +asS'COMPARISON : 2019-06-29 .' +p359227 +(lp359228 +S'COMPARISON\tCOMPARISON\tNN\tB-NP\tO' +p359229 +aS':\t:\t:\tO\tO' +p359230 +aS'2019-06-29\t2019-06-29\tCD\tB-NP\tO' +p359231 +aS'.\t.\t.\tO\tO' +p359232 +asS'He was discharged to Athol Memorial Hospital for continued weaning .' +p359233 +(lp359234 +S'He\tHe\tPRP\tB-NP\tO' +p359235 +aS'was\tbe\tVBD\tB-VP\tO' +p359236 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p359237 +aS'to\tto\tTO\tB-PP\tO' +p359238 +aS'Athol\tAthol\tNNP\tB-NP\tO' +p359239 +aS'Memorial\tMemorial\tNNP\tI-NP\tO' +p359240 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p359241 +aS'for\tfor\tIN\tB-PP\tO' +p359242 +aS'continued\tcontinued\tJJ\tB-NP\tO' +p359243 +aS'weaning\tweaning\tNN\tI-NP\tO' +p359244 +aS'.\t.\t.\tO\tO' +p359245 +asS'Insulin-dependent diabetes mellitus , lymphoma as above , ulcerative colitis , melanoma status post excision in right upper extremity , hypertension , hypothyroidism , congestive heart failure , and coronary artery disease with bypass grafting .' +p359246 +(lp359247 +S'Insulin-dependent\tInsulin-dependent\tJJ\tB-NP\tO' +p359248 +aS'diabetes\tdiabetes\tNN\tI-NP\tO' +p359249 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p359250 +aS',\t,\t,\tO\tO' +p359251 +aS'lymphoma\tlymphoma\tNN\tB-NP\tO' +p359252 +aS'as\tas\tIN\tB-PP\tO' +p359253 +aS'above\tabove\tJJ\tB-NP\tO' +p359254 +aS',\t,\t,\tI-NP\tO' +p359255 +aS'ulcerative\tulcerative\tJJ\tI-NP\tO' +p359256 +aS'colitis\tcolitis\tNN\tI-NP\tO' +p359257 +aS',\t,\t,\tO\tO' +p359258 +aS'melanoma\tmelanoma\tNN\tB-NP\tO' +p359259 +aS'status\tstatus\tNN\tI-NP\tO' +p359260 +aS'post\tpost\tNN\tI-NP\tO' +p359261 +aS'excision\texcision\tNN\tI-NP\tO' +p359262 +aS'in\tin\tIN\tB-PP\tO' +p359263 +aS'right\tright\tJJ\tB-NP\tO' +p359264 +aS'upper\tupper\tJJ\tI-NP\tO' +p359265 +aS'extremity\textremity\tNN\tI-NP\tO' +p359266 +aS',\t,\t,\tO\tO' +p359267 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p359268 +aS',\t,\t,\tO\tO' +p359269 +aS'hypothyroidism\thypothyroidism\tNN\tB-NP\tO' +p359270 +aS',\t,\t,\tO\tO' +p359271 +aS'congestive\tcongestive\tJJ\tB-NP\tO' +p359272 +aS'heart\theart\tNN\tI-NP\tO' +p359273 +aS'failure\tfailure\tNN\tI-NP\tO' +p359274 +aS',\t,\t,\tO\tO' +p359275 +aS'and\tand\tCC\tO\tO' +p359276 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p359277 +aS'artery\tartery\tNN\tI-NP\tO' +p359278 +aS'disease\tdisease\tNN\tI-NP\tO' +p359279 +aS'with\twith\tIN\tB-PP\tO' +p359280 +aS'bypass\tbypass\tNN\tB-NP\tO' +p359281 +aS'grafting\tgrafting\tNN\tI-NP\tO' +p359282 +aS'.\t.\t.\tO\tO' +p359283 +asS'2. pacemaker placement for arrhythmia , Afibb ; during last hospitalization episodes of NSVT' +p359284 +(lp359285 +S'2.\t2.\tLS\tB-NP\tO' +p359286 +aS'pacemaker\tpacemaker\tNN\tI-NP\tO' +p359287 +aS'placement\tplacement\tNN\tI-NP\tO' +p359288 +aS'for\tfor\tIN\tB-PP\tO' +p359289 +aS'arrhythmia\tarrhythmia\tNN\tB-NP\tO' +p359290 +aS',\t,\t,\tO\tO' +p359291 +aS'Afibb\tAfibb\tNNP\tB-NP\tO' +p359292 +aS';\t;\t:\tO\tO' +p359293 +aS'during\tduring\tIN\tB-PP\tO' +p359294 +aS'last\tlast\tJJ\tB-NP\tO' +p359295 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p359296 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p359297 +aS'of\tof\tIN\tB-PP\tO' +p359298 +aS'NSVT\tNSVT\tNN\tB-NP\tB-protein' +p359299 +asS'Include Lisinopril 5 mg p.o. every day ; nitroglycerin sublingual p.r.n.; Toprol XL 100 mg p.o. every day ; Plavix 75 mg p.o. every day ; Avandia 4 mg p.o. every day ; Lipitor 40 mg p.o. every day ; TriCor 145 mg p.o. every day .' +p359300 +(lp359301 +S'Include\tInclude\tNNP\tB-NP\tO' +p359302 +aS'Lisinopril\tLisinopril\tNNP\tI-NP\tO' +p359303 +aS'5\t5\tCD\tI-NP\tO' +p359304 +aS'mg\tmg\tNN\tI-NP\tO' +p359305 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p359306 +aS'every\tevery\tDT\tB-NP\tO' +p359307 +aS'day\tday\tNN\tI-NP\tO' +p359308 +aS';\t;\t:\tO\tO' +p359309 +aS'nitroglycerin\tnitroglycerin\tNN\tB-NP\tO' +p359310 +aS'sublingual\tsublingual\tJJ\tI-NP\tO' +p359311 +aS'p.r.n.;\tp.r.n.;\tNN\tI-NP\tO' +p359312 +aS'Toprol\tToprol\tNN\tI-NP\tO' +p359313 +aS'XL\tXL\tNN\tI-NP\tO' +p359314 +aS'100\t100\tCD\tI-NP\tO' +p359315 +aS'mg\tmg\tNN\tI-NP\tO' +p359316 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p359317 +aS'every\tevery\tDT\tB-NP\tO' +p359318 +aS'day\tday\tNN\tI-NP\tO' +p359319 +aS';\t;\t:\tO\tO' +p359320 +aS'Plavix\tPlavix\tNN\tB-NP\tO' +p359321 +aS'75\t75\tCD\tI-NP\tO' +p359322 +aS'mg\tmg\tNN\tI-NP\tO' +p359323 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p359324 +aS'every\tevery\tDT\tB-NP\tO' +p359325 +aS'day\tday\tNN\tI-NP\tO' +p359326 +aS';\t;\t:\tO\tO' +p359327 +aS'Avandia\tAvandia\tNNP\tB-NP\tO' +p359328 +aS'4\t4\tCD\tI-NP\tO' +p359329 +aS'mg\tmg\tNN\tI-NP\tO' +p359330 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p359331 +aS'every\tevery\tDT\tB-NP\tO' +p359332 +aS'day\tday\tNN\tI-NP\tO' +p359333 +aS';\t;\t:\tO\tO' +p359334 +aS'Lipitor\tLipitor\tNN\tB-NP\tO' +p359335 +aS'40\t40\tCD\tI-NP\tO' +p359336 +aS'mg\tmg\tNN\tI-NP\tO' +p359337 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p359338 +aS'every\tevery\tDT\tB-NP\tO' +p359339 +aS'day\tday\tNN\tI-NP\tO' +p359340 +aS';\t;\t:\tO\tO' +p359341 +aS'TriCor\tTriCor\tNN\tB-NP\tO' +p359342 +aS'145\t145\tCD\tI-NP\tO' +p359343 +aS'mg\tmg\tNN\tI-NP\tO' +p359344 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p359345 +aS'every\tevery\tDT\tB-NP\tO' +p359346 +aS'day\tday\tNN\tI-NP\tO' +p359347 +aS'.\t.\t.\tO\tO' +p359348 +asS'At that time , the pain was unremitting .' +p359349 +(lp359350 +S'At\tAt\tIN\tB-PP\tO' +p359351 +aS'that\tthat\tDT\tB-NP\tO' +p359352 +aS'time\ttime\tNN\tI-NP\tO' +p359353 +aS',\t,\t,\tO\tO' +p359354 +aS'the\tthe\tDT\tB-NP\tO' +p359355 +aS'pain\tpain\tNN\tI-NP\tO' +p359356 +aS'was\tbe\tVBD\tB-VP\tO' +p359357 +aS'unremitting\tunremitte\tVBG\tI-VP\tO' +p359358 +aS'.\t.\t.\tO\tO' +p359359 +asS'Repeat neurological examination revealed no spontaneous movement and no response to voice or noxious stimulation .' +p359360 +(lp359361 +S'Repeat\tRepeat\tNN\tB-NP\tO' +p359362 +aS'neurological\tneurological\tJJ\tI-NP\tO' +p359363 +aS'examination\texamination\tNN\tI-NP\tO' +p359364 +aS'revealed\treveal\tVBD\tB-VP\tO' +p359365 +aS'no\tno\tDT\tB-NP\tO' +p359366 +aS'spontaneous\tspontaneous\tJJ\tI-NP\tO' +p359367 +aS'movement\tmovement\tNN\tI-NP\tO' +p359368 +aS'and\tand\tCC\tO\tO' +p359369 +aS'no\tno\tDT\tB-NP\tO' +p359370 +aS'response\tresponse\tNN\tI-NP\tO' +p359371 +aS'to\tto\tTO\tB-PP\tO' +p359372 +aS'voice\tvoice\tNN\tB-NP\tO' +p359373 +aS'or\tor\tCC\tO\tO' +p359374 +aS'noxious\tnoxious\tJJ\tB-NP\tO' +p359375 +aS'stimulation\tstimulation\tNN\tI-NP\tO' +p359376 +aS'.\t.\t.\tO\tO' +p359377 +asS"The patient 's electrolytes sere managed daily and repleted on an as needed basis ." +p359378 +(lp359379 +S'The\tThe\tDT\tB-NP\tO' +p359380 +aS'patient\tpatient\tNN\tI-NP\tO' +p359381 +aS"'s\t's\tPOS\tB-NP\tO" +p359382 +aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' +p359383 +aS'sere\tsere\tVBP\tB-VP\tO' +p359384 +aS'managed\tmanage\tVBD\tB-VP\tO' +p359385 +aS'daily\tdaily\tRB\tB-ADVP\tO' +p359386 +aS'and\tand\tCC\tO\tO' +p359387 +aS'repleted\treplete\tVBN\tB-VP\tO' +p359388 +aS'on\ton\tIN\tB-PP\tO' +p359389 +aS'an\tan\tDT\tB-NP\tO' +p359390 +aS'as\tas\tIN\tB-PP\tO' +p359391 +aS'needed\tneeded\tJJ\tB-NP\tO' +p359392 +aS'basis\tbasis\tNN\tI-NP\tO' +p359393 +aS'.\t.\t.\tO\tO' +p359394 +asS'2. Eosinophilia .' +p359395 +(lp359396 +S'2.\t2.\tLS\tB-LST\tO' +p359397 +aS'Eosinophilia\tEosinophilia\tNNP\tB-NP\tO' +p359398 +aS'.\t.\t.\tO\tO' +p359399 +asS'Significant for motor vehicle accident in 1966 , requiring exploratory laparotomy and splenectomy , tonsillectomy as a child , pneumonia in the past , hepatitis C and recent diagnosis of hepatocellular carcinoma .' +p359400 +(lp359401 +S'Significant\tSignificant\tJJ\tB-ADJP\tO' +p359402 +aS'for\tfor\tIN\tB-PP\tO' +p359403 +aS'motor\tmotor\tNN\tB-NP\tO' +p359404 +aS'vehicle\tvehicle\tNN\tI-NP\tO' +p359405 +aS'accident\taccident\tNN\tI-NP\tO' +p359406 +aS'in\tin\tIN\tB-PP\tO' +p359407 +aS'1966\t1966\tCD\tB-NP\tO' +p359408 +aS',\t,\t,\tO\tO' +p359409 +aS'requiring\trequire\tVBG\tB-VP\tO' +p359410 +aS'exploratory\texploratory\tJJ\tB-NP\tO' +p359411 +aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' +p359412 +aS'and\tand\tCC\tI-NP\tO' +p359413 +aS'splenectomy\tsplenectomy\tNN\tI-NP\tO' +p359414 +aS',\t,\t,\tO\tO' +p359415 +aS'tonsillectomy\ttonsillectomy\tNN\tB-NP\tO' +p359416 +aS'as\tas\tIN\tB-PP\tO' +p359417 +aS'a\ta\tDT\tB-NP\tO' +p359418 +aS'child\tchild\tNN\tI-NP\tO' +p359419 +aS',\t,\t,\tO\tO' +p359420 +aS'pneumonia\tpneumonia\tNN\tB-NP\tO' +p359421 +aS'in\tin\tIN\tB-PP\tO' +p359422 +aS'the\tthe\tDT\tB-NP\tO' +p359423 +aS'past\tpast\tNN\tI-NP\tO' +p359424 +aS',\t,\t,\tO\tO' +p359425 +aS'hepatitis\thepatitis\tNN\tB-NP\tO' +p359426 +aS'C\tC\tNN\tI-NP\tO' +p359427 +aS'and\tand\tCC\tO\tO' +p359428 +aS'recent\trecent\tJJ\tB-NP\tO' +p359429 +aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' +p359430 +aS'of\tof\tIN\tB-PP\tO' +p359431 +aS'hepatocellular\thepatocellular\tJJ\tB-NP\tO' +p359432 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p359433 +aS'.\t.\t.\tO\tO' +p359434 +asS'Presumably , should follow up with the Urology Clinic for removal of the ureteral stents at some point .' +p359435 +(lp359436 +S'Presumably\tPresumably\tRB\tB-ADVP\tO' +p359437 +aS',\t,\t,\tO\tO' +p359438 +aS'should\tshould\tMD\tB-VP\tO' +p359439 +aS'follow\tfollow\tVB\tI-VP\tO' +p359440 +aS'up\tup\tRP\tB-PRT\tO' +p359441 +aS'with\twith\tIN\tB-PP\tO' +p359442 +aS'the\tthe\tDT\tB-NP\tO' +p359443 +aS'Urology\tUrology\tNNP\tI-NP\tO' +p359444 +aS'Clinic\tClinic\tNNP\tI-NP\tO' +p359445 +aS'for\tfor\tIN\tB-PP\tO' +p359446 +aS'removal\tremoval\tNN\tB-NP\tO' +p359447 +aS'of\tof\tIN\tB-PP\tO' +p359448 +aS'the\tthe\tDT\tB-NP\tO' +p359449 +aS'ureteral\tureteral\tJJ\tI-NP\tO' +p359450 +aS'stents\tstent\tNNS\tI-NP\tO' +p359451 +aS'at\tat\tIN\tB-PP\tO' +p359452 +aS'some\tsome\tDT\tB-NP\tO' +p359453 +aS'point\tpoint\tNN\tI-NP\tO' +p359454 +aS'.\t.\t.\tO\tO' +p359455 +asS'Appropriate for gestational age .' +p359456 +(lp359457 +S'Appropriate\tAppropriate\tJJ\tB-ADJP\tO' +p359458 +aS'for\tfor\tIN\tB-PP\tO' +p359459 +aS'gestational\tgestational\tJJ\tB-NP\tO' +p359460 +aS'age\tage\tNN\tI-NP\tO' +p359461 +aS'.\t.\t.\tO\tO' +p359462 +asS'Subsequently a saline-filled right breast implant was performed .' +p359463 +(lp359464 +S'Subsequently\tSubsequently\tRB\tB-NP\tO' +p359465 +aS'a\ta\tDT\tI-NP\tO' +p359466 +aS'saline-filled\tsaline-filled\tJJ\tI-NP\tO' +p359467 +aS'right\tright\tJJ\tI-NP\tO' +p359468 +aS'breast\tbreast\tNN\tI-NP\tO' +p359469 +aS'implant\timplant\tNN\tI-NP\tO' +p359470 +aS'was\tbe\tVBD\tB-VP\tO' +p359471 +aS'performed\tperform\tVBN\tI-VP\tO' +p359472 +aS'.\t.\t.\tO\tO' +p359473 +asS'He was made NPO and was resuscitated with IV fluids .' +p359474 +(lp359475 +S'He\tHe\tPRP\tB-NP\tO' +p359476 +aS'was\tbe\tVBD\tB-VP\tO' +p359477 +aS'made\tmake\tVBN\tI-VP\tO' +p359478 +aS'NPO\tNPO\tNN\tB-NP\tB-protein' +p359479 +aS'and\tand\tCC\tO\tO' +p359480 +aS'was\tbe\tVBD\tB-VP\tO' +p359481 +aS'resuscitated\tresuscitate\tVBN\tI-VP\tO' +p359482 +aS'with\twith\tIN\tB-PP\tO' +p359483 +aS'IV\tIV\tCD\tB-NP\tO' +p359484 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p359485 +aS'.\t.\t.\tO\tO' +p359486 +asS'The patient is a 63 - year-old man with a history of hypertension and prior history of atrial fibrillation secondary to hyperthyroidism who presented to an outside hospital with a history of left-sided chest pain at rest .' +p359487 +(lp359488 +S'The\tThe\tDT\tB-NP\tO' +p359489 +aS'patient\tpatient\tNN\tI-NP\tO' +p359490 +aS'is\tbe\tVBZ\tB-VP\tO' +p359491 +aS'a\ta\tDT\tB-NP\tO' +p359492 +aS'63\t63\tCD\tI-NP\tO' +p359493 +aS'-\t-\tHYPH\tI-NP\tO' +p359494 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p359495 +aS'man\tman\tNN\tI-NP\tO' +p359496 +aS'with\twith\tIN\tB-PP\tO' +p359497 +aS'a\ta\tDT\tB-NP\tO' +p359498 +aS'history\thistory\tNN\tI-NP\tO' +p359499 +aS'of\tof\tIN\tB-PP\tO' +p359500 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p359501 +aS'and\tand\tCC\tI-NP\tO' +p359502 +aS'prior\tprior\tJJ\tI-NP\tO' +p359503 +aS'history\thistory\tNN\tI-NP\tO' +p359504 +aS'of\tof\tIN\tB-PP\tO' +p359505 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p359506 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p359507 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p359508 +aS'to\tto\tTO\tB-PP\tO' +p359509 +aS'hyperthyroidism\thyperthyroidism\tNN\tB-NP\tO' +p359510 +aS'who\twho\tWP\tB-NP\tO' +p359511 +aS'presented\tpresent\tVBD\tB-VP\tO' +p359512 +aS'to\tto\tTO\tB-PP\tO' +p359513 +aS'an\tan\tDT\tB-NP\tO' +p359514 +aS'outside\toutside\tJJ\tI-NP\tO' +p359515 +aS'hospital\thospital\tNN\tI-NP\tO' +p359516 +aS'with\twith\tIN\tB-PP\tO' +p359517 +aS'a\ta\tDT\tB-NP\tO' +p359518 +aS'history\thistory\tNN\tI-NP\tO' +p359519 +aS'of\tof\tIN\tB-PP\tO' +p359520 +aS'left-sided\tleft-sided\tJJ\tB-NP\tB-protein' +p359521 +aS'chest\tchest\tNN\tI-NP\tI-protein' +p359522 +aS'pain\tpain\tNN\tI-NP\tI-protein' +p359523 +aS'at\tat\tIN\tB-PP\tO' +p359524 +aS'rest\trest\tNN\tB-NP\tO' +p359525 +aS'.\t.\t.\tO\tO' +p359526 +asS'No history of hemodialysis .' +p359527 +(lp359528 +S'No\tNo\tDT\tB-NP\tO' +p359529 +aS'history\thistory\tNN\tI-NP\tO' +p359530 +aS'of\tof\tIN\tB-PP\tO' +p359531 +aS'hemodialysis\themodialysis\tNN\tB-NP\tO' +p359532 +aS'.\t.\t.\tO\tO' +p359533 +asS'Came for neurosurgery follow up on 05-21 , and had been having clear fluid leaking from his incision , as well as frontal headache , imbalance , bumping into things with his left leg and worsening tremors .' +p359534 +(lp359535 +S'Came\tCame\tNN\tB-NP\tO' +p359536 +aS'for\tfor\tIN\tB-PP\tO' +p359537 +aS'neurosurgery\tneurosurgery\tNN\tB-NP\tO' +p359538 +aS'follow\tfollow\tVBP\tB-VP\tO' +p359539 +aS'up\tup\tRP\tB-PRT\tO' +p359540 +aS'on\ton\tIN\tB-PP\tO' +p359541 +aS'05-21\t05-21\tCD\tB-NP\tO' +p359542 +aS',\t,\t,\tO\tO' +p359543 +aS'and\tand\tCC\tO\tO' +p359544 +aS'had\thave\tVBD\tB-VP\tO' +p359545 +aS'been\tbe\tVBN\tI-VP\tO' +p359546 +aS'having\thave\tVBG\tI-VP\tO' +p359547 +aS'clear\tclear\tJJ\tB-NP\tO' +p359548 +aS'fluid\tfluid\tNN\tI-NP\tO' +p359549 +aS'leaking\tleak\tVBG\tB-VP\tO' +p359550 +aS'from\tfrom\tIN\tB-PP\tO' +p359551 +aS'his\this\tPRP$\tB-NP\tO' +p359552 +aS'incision\tincision\tNN\tI-NP\tO' +p359553 +aS',\t,\t,\tO\tO' +p359554 +aS'as\tas\tRB\tB-CONJP\tO' +p359555 +aS'well\twell\tRB\tI-CONJP\tO' +p359556 +aS'as\tas\tIN\tI-CONJP\tO' +p359557 +aS'frontal\tfrontal\tJJ\tB-NP\tO' +p359558 +aS'headache\theadache\tNN\tI-NP\tO' +p359559 +aS',\t,\t,\tO\tO' +p359560 +aS'imbalance\timbalance\tNN\tB-NP\tO' +p359561 +aS',\t,\t,\tO\tO' +p359562 +aS'bumping\tbump\tVBG\tB-VP\tO' +p359563 +aS'into\tinto\tIN\tB-PP\tO' +p359564 +aS'things\tthing\tNNS\tB-NP\tO' +p359565 +aS'with\twith\tIN\tB-PP\tO' +p359566 +aS'his\this\tPRP$\tB-NP\tO' +p359567 +aS'left\tleft\tJJ\tI-NP\tO' +p359568 +aS'leg\tleg\tNN\tI-NP\tO' +p359569 +aS'and\tand\tCC\tO\tO' +p359570 +aS'worsening\tworsen\tVBG\tB-VP\tO' +p359571 +aS'tremors\ttremor\tNNS\tB-NP\tO' +p359572 +aS'.\t.\t.\tO\tO' +p359573 +asS'Given stress dose steroids empirically and Sanchez stim showed cortisol of 9.3 --> 10.3 therefore steroids continued .' +p359574 +(lp359575 +S'Given\tGive\tVBN\tB-NP\tO' +p359576 +aS'stress\tstress\tNN\tI-NP\tO' +p359577 +aS'dose\tdose\tNN\tI-NP\tO' +p359578 +aS'steroids\tsteroid\tNNS\tI-NP\tO' +p359579 +aS'empirically\tempirically\tRB\tB-ADVP\tO' +p359580 +aS'and\tand\tCC\tO\tO' +p359581 +aS'Sanchez\tSanchez\tNNP\tB-NP\tO' +p359582 +aS'stim\tstim\tNN\tI-NP\tO' +p359583 +aS'showed\tshow\tVBD\tB-VP\tO' +p359584 +aS'cortisol\tcortisol\tNN\tB-NP\tO' +p359585 +aS'of\tof\tIN\tB-PP\tO' +p359586 +aS'9.3\t9.3\tCD\tB-NP\tO' +p359587 +aS'-->\t-->\tSYM\tI-NP\tO' +p359588 +aS'10.3\t10.3\tCD\tI-NP\tO' +p359589 +aS'therefore\ttherefore\tRB\tI-NP\tO' +p359590 +aS'steroids\tsteroid\tNNS\tI-NP\tO' +p359591 +aS'continued\tcontinue\tVBN\tB-VP\tO' +p359592 +aS'.\t.\t.\tO\tO' +p359593 +asS'Pupils were dilated and non reactive .' +p359594 +(lp359595 +S'Pupils\tPupil\tNNS\tB-NP\tO' +p359596 +aS'were\tbe\tVBD\tB-VP\tO' +p359597 +aS'dilated\tdilate\tVBN\tI-VP\tO' +p359598 +aS'and\tand\tCC\tO\tO' +p359599 +aS'non\tnon\tAFX\tB-NP\tO' +p359600 +aS'reactive\treactive\tJJ\tB-ADJP\tO' +p359601 +aS'.\t.\t.\tO\tO' +p359602 +asS'His neck was supple without any jugular venous distention .' +p359603 +(lp359604 +S'His\tHis\tPRP$\tB-NP\tO' +p359605 +aS'neck\tneck\tNN\tI-NP\tO' +p359606 +aS'was\tbe\tVBD\tB-VP\tO' +p359607 +aS'supple\tsupple\tNN\tB-NP\tO' +p359608 +aS'without\twithout\tIN\tB-PP\tO' +p359609 +aS'any\tany\tDT\tB-NP\tO' +p359610 +aS'jugular\tjugular\tJJ\tI-NP\tO' +p359611 +aS'venous\tvenous\tJJ\tI-NP\tO' +p359612 +aS'distention\tdistention\tNN\tI-NP\tO' +p359613 +aS'.\t.\t.\tO\tO' +p359614 +asS'Her systolic BP measurements have been running around 100-110 over the past few weeks .' +p359615 +(lp359616 +S'Her\tHer\tPRP$\tB-NP\tO' +p359617 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p359618 +aS'BP\tBP\tNN\tI-NP\tO' +p359619 +aS'measurements\tmeasurement\tNNS\tI-NP\tO' +p359620 +aS'have\thave\tVBP\tB-VP\tO' +p359621 +aS'been\tbe\tVBN\tI-VP\tO' +p359622 +aS'running\trun\tVBG\tI-VP\tO' +p359623 +aS'around\taround\tIN\tB-PP\tO' +p359624 +aS'100-110\t100-110\tCD\tB-NP\tO' +p359625 +aS'over\tover\tIN\tB-PP\tO' +p359626 +aS'the\tthe\tDT\tB-NP\tO' +p359627 +aS'past\tpast\tJJ\tI-NP\tO' +p359628 +aS'few\tfew\tJJ\tI-NP\tO' +p359629 +aS'weeks\tweek\tNNS\tI-NP\tO' +p359630 +aS'.\t.\t.\tO\tO' +p359631 +asS'After a long discussion with the patient and his family it was determined that a cardiac catheterization would be prudent .' +p359632 +(lp359633 +S'After\tAfter\tIN\tB-PP\tO' +p359634 +aS'a\ta\tDT\tB-NP\tO' +p359635 +aS'long\tlong\tJJ\tI-NP\tO' +p359636 +aS'discussion\tdiscussion\tNN\tI-NP\tO' +p359637 +aS'with\twith\tIN\tB-PP\tO' +p359638 +aS'the\tthe\tDT\tB-NP\tO' +p359639 +aS'patient\tpatient\tNN\tI-NP\tO' +p359640 +aS'and\tand\tCC\tO\tO' +p359641 +aS'his\this\tPRP$\tB-NP\tO' +p359642 +aS'family\tfamily\tNN\tI-NP\tO' +p359643 +aS'it\tit\tPRP\tB-NP\tO' +p359644 +aS'was\tbe\tVBD\tB-VP\tO' +p359645 +aS'determined\tdetermine\tVBN\tI-VP\tO' +p359646 +aS'that\tthat\tIN\tB-SBAR\tO' +p359647 +aS'a\ta\tDT\tB-NP\tO' +p359648 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p359649 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p359650 +aS'would\twould\tMD\tB-VP\tO' +p359651 +aS'be\tbe\tVB\tI-VP\tO' +p359652 +aS'prudent\tprudent\tJJ\tB-ADJP\tO' +p359653 +aS'.\t.\t.\tO\tO' +p359654 +asS'Language : fluent ; repetition : intact ; Naming intact ; Comprehension intact ; no dysarthria , no paraphasic errors .' +p359655 +(lp359656 +S'Language\tLanguage\tNN\tB-NP\tO' +p359657 +aS':\t:\t:\tO\tO' +p359658 +aS'fluent\tfluent\tJJ\tB-ADJP\tO' +p359659 +aS';\t;\t:\tO\tO' +p359660 +aS'repetition\trepetition\tNN\tB-NP\tO' +p359661 +aS':\t:\t:\tO\tO' +p359662 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p359663 +aS';\t;\t:\tO\tO' +p359664 +aS'Naming\tName\tVBG\tB-VP\tO' +p359665 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p359666 +aS';\t;\t:\tO\tO' +p359667 +aS'Comprehension\tComprehension\tNN\tB-NP\tO' +p359668 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p359669 +aS';\t;\t:\tO\tO' +p359670 +aS'no\tno\tDT\tB-NP\tO' +p359671 +aS'dysarthria\tdysarthria\tNN\tI-NP\tO' +p359672 +aS',\t,\t,\tO\tO' +p359673 +aS'no\tno\tDT\tB-NP\tO' +p359674 +aS'paraphasic\tparaphasic\tJJ\tI-NP\tO' +p359675 +aS'errors\terror\tNNS\tI-NP\tO' +p359676 +aS'.\t.\t.\tO\tO' +p359677 +asS'Elderly white male who was somnolent , looking his stated age .' +p359678 +(lp359679 +S'Elderly\tElderly\tJJ\tB-NP\tO' +p359680 +aS'white\twhite\tJJ\tI-NP\tO' +p359681 +aS'male\tmale\tNN\tI-NP\tO' +p359682 +aS'who\twho\tWP\tB-NP\tO' +p359683 +aS'was\tbe\tVBD\tB-VP\tO' +p359684 +aS'somnolent\tsomnolent\tJJ\tB-ADJP\tO' +p359685 +aS',\t,\t,\tO\tO' +p359686 +aS'looking\tlook\tVBG\tB-VP\tO' +p359687 +aS'his\this\tPRP$\tB-NP\tB-DNA' +p359688 +aS'stated\tstate\tVBN\tI-NP\tO' +p359689 +aS'age\tage\tNN\tI-NP\tO' +p359690 +aS'.\t.\t.\tO\tO' +p359691 +asS'Call your primary care doctor , oncologist , or return to the Emergency Room if you have increasing nausea , vomiting , leg swelling , confusion , or pain .' +p359692 +(lp359693 +S'Call\tCall\tVB\tB-VP\tO' +p359694 +aS'your\tyour\tPRP$\tB-NP\tO' +p359695 +aS'primary\tprimary\tJJ\tI-NP\tO' +p359696 +aS'care\tcare\tNN\tI-NP\tO' +p359697 +aS'doctor\tdoctor\tNN\tI-NP\tO' +p359698 +aS',\t,\t,\tO\tO' +p359699 +aS'oncologist\toncologist\tNN\tB-NP\tO' +p359700 +aS',\t,\t,\tO\tO' +p359701 +aS'or\tor\tCC\tO\tO' +p359702 +aS'return\treturn\tNN\tB-NP\tO' +p359703 +aS'to\tto\tTO\tB-PP\tO' +p359704 +aS'the\tthe\tDT\tB-NP\tO' +p359705 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p359706 +aS'Room\tRoom\tNNP\tI-NP\tO' +p359707 +aS'if\tif\tIN\tB-SBAR\tO' +p359708 +aS'you\tyou\tPRP\tB-NP\tO' +p359709 +aS'have\thave\tVBP\tB-VP\tO' +p359710 +aS'increasing\tincrease\tVBG\tI-VP\tO' +p359711 +aS'nausea\tnausea\tNN\tB-NP\tO' +p359712 +aS',\t,\t,\tO\tO' +p359713 +aS'vomiting\tvomiting\tNN\tB-NP\tO' +p359714 +aS',\t,\t,\tO\tO' +p359715 +aS'leg\tleg\tNN\tB-NP\tO' +p359716 +aS'swelling\tswelling\tNN\tI-NP\tO' +p359717 +aS',\t,\t,\tO\tO' +p359718 +aS'confusion\tconfusion\tNN\tB-NP\tO' +p359719 +aS',\t,\t,\tO\tO' +p359720 +aS'or\tor\tCC\tO\tO' +p359721 +aS'pain\tpain\tNN\tB-NP\tO' +p359722 +aS'.\t.\t.\tO\tO' +p359723 +asS'Patient may shower , no baths .' +p359724 +(lp359725 +S'Patient\tPatient\tNN\tB-NP\tO' +p359726 +aS'may\tmay\tMD\tB-VP\tO' +p359727 +aS'shower\tshower\tVB\tI-VP\tO' +p359728 +aS',\t,\t,\tO\tO' +p359729 +aS'no\tno\tDT\tB-NP\tO' +p359730 +aS'baths\tbath\tNNS\tI-NP\tO' +p359731 +aS'.\t.\t.\tO\tO' +p359732 +asS'She was originally admitted to the Verg Medical Center in January , 1998 , because of a one year history of left sided weakness and spasticity .' +p359733 +(lp359734 +S'She\tShe\tPRP\tB-NP\tO' +p359735 +aS'was\tbe\tVBD\tB-VP\tO' +p359736 +aS'originally\toriginally\tRB\tI-VP\tO' +p359737 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p359738 +aS'to\tto\tTO\tB-PP\tO' +p359739 +aS'the\tthe\tDT\tB-NP\tO' +p359740 +aS'Verg\tVerg\tNNP\tI-NP\tO' +p359741 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p359742 +aS'Center\tCenter\tNNP\tI-NP\tO' +p359743 +aS'in\tin\tIN\tB-PP\tO' +p359744 +aS'January\tJanuary\tNNP\tB-NP\tO' +p359745 +aS',\t,\t,\tO\tO' +p359746 +aS'1998\t1998\tCD\tB-NP\tO' +p359747 +aS',\t,\t,\tO\tO' +p359748 +aS'because\tbecause\tIN\tB-PP\tO' +p359749 +aS'of\tof\tIN\tI-PP\tO' +p359750 +aS'a\ta\tDT\tB-NP\tO' +p359751 +aS'one\tone\tCD\tI-NP\tO' +p359752 +aS'year\tyear\tNN\tI-NP\tO' +p359753 +aS'history\thistory\tNN\tI-NP\tO' +p359754 +aS'of\tof\tIN\tB-PP\tO' +p359755 +aS'left\tleft\tJJ\tB-NP\tO' +p359756 +aS'sided\tsided\tJJ\tI-NP\tO' +p359757 +aS'weakness\tweakness\tNN\tI-NP\tO' +p359758 +aS'and\tand\tCC\tI-NP\tO' +p359759 +aS'spasticity\tspasticity\tNN\tI-NP\tO' +p359760 +aS'.\t.\t.\tO\tO' +p359761 +asS'The heart examination revealed that the patient had a sustained PMI which was located in the left mid clavicular line , S1 , near complete obliteration of the second heart sound by a two out of six high pitched murmur peaking at mid to late systole and heard across the precordium .' +p359762 +(lp359763 +S'The\tThe\tDT\tB-NP\tO' +p359764 +aS'heart\theart\tNN\tI-NP\tO' +p359765 +aS'examination\texamination\tNN\tI-NP\tO' +p359766 +aS'revealed\treveal\tVBD\tB-VP\tO' +p359767 +aS'that\tthat\tIN\tB-SBAR\tO' +p359768 +aS'the\tthe\tDT\tB-NP\tO' +p359769 +aS'patient\tpatient\tNN\tI-NP\tO' +p359770 +aS'had\thave\tVBD\tB-VP\tO' +p359771 +aS'a\ta\tDT\tB-NP\tO' +p359772 +aS'sustained\tsustained\tJJ\tI-NP\tO' +p359773 +aS'PMI\tPMI\tNN\tI-NP\tO' +p359774 +aS'which\twhich\tWDT\tB-NP\tO' +p359775 +aS'was\tbe\tVBD\tB-VP\tO' +p359776 +aS'located\tlocated\tJJ\tB-ADJP\tO' +p359777 +aS'in\tin\tIN\tB-PP\tO' +p359778 +aS'the\tthe\tDT\tB-NP\tO' +p359779 +aS'left\tleft\tJJ\tI-NP\tB-cell_line' +p359780 +aS'mid\tmid\tJJ\tI-NP\tI-cell_line' +p359781 +aS'clavicular\tclavicular\tJJ\tI-NP\tI-cell_line' +p359782 +aS'line\tline\tNN\tI-NP\tI-cell_line' +p359783 +aS',\t,\t,\tO\tO' +p359784 +aS'S1\tS1\tNN\tB-NP\tB-protein' +p359785 +aS',\t,\t,\tO\tO' +p359786 +aS'near\tnear\tIN\tB-PP\tO' +p359787 +aS'complete\tcomplete\tJJ\tB-NP\tO' +p359788 +aS'obliteration\tobliteration\tNN\tI-NP\tO' +p359789 +aS'of\tof\tIN\tB-PP\tO' +p359790 +aS'the\tthe\tDT\tB-NP\tO' +p359791 +aS'second\tsecond\tJJ\tI-NP\tO' +p359792 +aS'heart\theart\tNN\tI-NP\tO' +p359793 +aS'sound\tsound\tNN\tI-NP\tO' +p359794 +aS'by\tby\tIN\tB-PP\tO' +p359795 +aS'a\ta\tDT\tB-NP\tO' +p359796 +aS'two\ttwo\tCD\tI-NP\tO' +p359797 +aS'out\tout\tIN\tI-NP\tO' +p359798 +aS'of\tof\tIN\tI-NP\tO' +p359799 +aS'six\tsix\tCD\tI-NP\tO' +p359800 +aS'high\thigh\tJJ\tI-NP\tO' +p359801 +aS'pitched\tpitch\tVBN\tI-NP\tO' +p359802 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p359803 +aS'peaking\tpeak\tVBG\tB-VP\tO' +p359804 +aS'at\tat\tIN\tB-PP\tO' +p359805 +aS'mid\tmid\tJJ\tB-ADJP\tO' +p359806 +aS'to\tto\tTO\tB-PP\tO' +p359807 +aS'late\tlate\tJJ\tB-NP\tO' +p359808 +aS'systole\tsystole\tNN\tI-NP\tO' +p359809 +aS'and\tand\tCC\tO\tO' +p359810 +aS'heard\thear\tVBD\tB-VP\tO' +p359811 +aS'across\tacross\tIN\tB-PP\tO' +p359812 +aS'the\tthe\tDT\tB-NP\tO' +p359813 +aS'precordium\tprecordium\tNN\tI-NP\tO' +p359814 +aS'.\t.\t.\tO\tO' +p359815 +asS'1. Continue with medications as prescribed , including antibiotics ( levofloxacin / flagyl ) through 7/16/00 .' +p359816 +(lp359817 +S'1.\t1.\tLS\tB-NP\tO' +p359818 +aS'Continue\tContinue\tNN\tI-NP\tO' +p359819 +aS'with\twith\tIN\tB-PP\tO' +p359820 +aS'medications\tmedication\tNNS\tB-NP\tO' +p359821 +aS'as\tas\tIN\tB-SBAR\tO' +p359822 +aS'prescribed\tprescribe\tVBN\tB-VP\tO' +p359823 +aS',\t,\t,\tO\tO' +p359824 +aS'including\tinclude\tVBG\tB-PP\tO' +p359825 +aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' +p359826 +aS'(\t(\t(\tO\tO' +p359827 +aS'levofloxacin\tlevofloxacin\tNN\tB-NP\tO' +p359828 +aS'/\t/\tSYM\tB-NP\tO' +p359829 +aS'flagyl\tflagyl\tNN\tI-NP\tO' +p359830 +aS')\t)\t)\tO\tO' +p359831 +aS'through\tthrough\tIN\tB-PP\tO' +p359832 +aS'7/16/00\t7/16/00\tCD\tB-NP\tO' +p359833 +aS'.\t.\t.\tO\tO' +p359834 +asS'Another major issue with this patient was pain control .' +p359835 +(lp359836 +S'Another\tAnother\tDT\tB-NP\tO' +p359837 +aS'major\tmajor\tJJ\tI-NP\tO' +p359838 +aS'issue\tissue\tNN\tI-NP\tO' +p359839 +aS'with\twith\tIN\tB-PP\tO' +p359840 +aS'this\tthis\tDT\tB-NP\tO' +p359841 +aS'patient\tpatient\tNN\tI-NP\tO' +p359842 +aS'was\tbe\tVBD\tB-VP\tO' +p359843 +aS'pain\tpain\tNN\tB-NP\tO' +p359844 +aS'control\tcontrol\tNN\tI-NP\tO' +p359845 +aS'.\t.\t.\tO\tO' +p359846 +asS'CBC - White count 7.5 , hematocrit 28.5 , platelets 452 .' +p359847 +(lp359848 +S'CBC\tCBC\tNN\tB-NP\tB-protein' +p359849 +aS'-\t-\tHYPH\tI-NP\tO' +p359850 +aS'White\tWhite\tJJ\tI-NP\tO' +p359851 +aS'count\tcount\tNN\tI-NP\tO' +p359852 +aS'7.5\t7.5\tCD\tI-NP\tO' +p359853 +aS',\t,\t,\tO\tO' +p359854 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p359855 +aS'28.5\t28.5\tCD\tI-NP\tI-protein' +p359856 +aS',\t,\t,\tO\tO' +p359857 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p359858 +aS'452\t452\tCD\tB-NP\tO' +p359859 +aS'.\t.\t.\tO\tO' +p359860 +asS'In general , she was sedated at the time , responsive to stimuli , and was following commands .' +p359861 +(lp359862 +S'In\tIn\tIN\tB-PP\tO' +p359863 +aS'general\tgeneral\tJJ\tB-ADJP\tO' +p359864 +aS',\t,\t,\tO\tO' +p359865 +aS'she\tshe\tPRP\tB-NP\tO' +p359866 +aS'was\tbe\tVBD\tB-VP\tO' +p359867 +aS'sedated\tsedate\tVBN\tI-VP\tO' +p359868 +aS'at\tat\tIN\tB-PP\tO' +p359869 +aS'the\tthe\tDT\tB-NP\tO' +p359870 +aS'time\ttime\tNN\tI-NP\tO' +p359871 +aS',\t,\t,\tO\tO' +p359872 +aS'responsive\tresponsive\tJJ\tB-ADJP\tO' +p359873 +aS'to\tto\tTO\tB-PP\tO' +p359874 +aS'stimuli\tstimulus\tNNS\tB-NP\tO' +p359875 +aS',\t,\t,\tO\tO' +p359876 +aS'and\tand\tCC\tO\tO' +p359877 +aS'was\tbe\tVBD\tB-VP\tO' +p359878 +aS'following\tfollow\tVBG\tI-VP\tO' +p359879 +aS'commands\tcommand\tNNS\tB-NP\tO' +p359880 +aS'.\t.\t.\tO\tO' +p359881 +asS'Mag was 1.7 , repleted with magnesium oxide with 400 mg p.o. times one dose .' +p359882 +(lp359883 +S'Mag\tMag\tNNP\tB-NP\tO' +p359884 +aS'was\tbe\tVBD\tB-VP\tO' +p359885 +aS'1.7\t1.7\tCD\tB-NP\tO' +p359886 +aS',\t,\t,\tO\tO' +p359887 +aS'repleted\treplete\tVBN\tB-VP\tO' +p359888 +aS'with\twith\tIN\tB-PP\tO' +p359889 +aS'magnesium\tmagnesium\tNN\tB-NP\tO' +p359890 +aS'oxide\toxide\tNN\tI-NP\tO' +p359891 +aS'with\twith\tIN\tB-PP\tO' +p359892 +aS'400\t400\tCD\tB-NP\tO' +p359893 +aS'mg\tmg\tNN\tI-NP\tO' +p359894 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p359895 +aS'times\ttime\tNNS\tI-NP\tO' +p359896 +aS'one\tone\tCD\tB-NP\tO' +p359897 +aS'dose\tdose\tNN\tI-NP\tO' +p359898 +aS'.\t.\t.\tO\tO' +p359899 +asS'The left ventricular angiogram showed akinesis of the posterobasal walls , severe hypokinesis of the diaphragmatic wall and trace mitral regurgitation .' +p359900 +(lp359901 +S'The\tThe\tDT\tB-NP\tO' +p359902 +aS'left\tleft\tJJ\tI-NP\tO' +p359903 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p359904 +aS'angiogram\tangiogram\tNN\tI-NP\tO' +p359905 +aS'showed\tshow\tVBD\tB-VP\tO' +p359906 +aS'akinesis\takinesis\tNN\tB-NP\tO' +p359907 +aS'of\tof\tIN\tB-PP\tO' +p359908 +aS'the\tthe\tDT\tB-NP\tO' +p359909 +aS'posterobasal\tposterobasal\tJJ\tI-NP\tO' +p359910 +aS'walls\twall\tNNS\tI-NP\tO' +p359911 +aS',\t,\t,\tO\tO' +p359912 +aS'severe\tsevere\tJJ\tB-NP\tO' +p359913 +aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' +p359914 +aS'of\tof\tIN\tB-PP\tO' +p359915 +aS'the\tthe\tDT\tB-NP\tO' +p359916 +aS'diaphragmatic\tdiaphragmatic\tJJ\tI-NP\tO' +p359917 +aS'wall\twall\tNN\tI-NP\tO' +p359918 +aS'and\tand\tCC\tI-NP\tO' +p359919 +aS'trace\ttrace\tNN\tI-NP\tO' +p359920 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p359921 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p359922 +aS'.\t.\t.\tO\tO' +p359923 +asS'There is a possibility of a structural lesion on the left , but the encephalopathy dominated the overall picture .' +p359924 +(lp359925 +S'There\tThere\tEX\tB-NP\tO' +p359926 +aS'is\tbe\tVBZ\tB-VP\tO' +p359927 +aS'a\ta\tDT\tB-NP\tO' +p359928 +aS'possibility\tpossibility\tNN\tI-NP\tO' +p359929 +aS'of\tof\tIN\tB-PP\tO' +p359930 +aS'a\ta\tDT\tB-NP\tO' +p359931 +aS'structural\tstructural\tJJ\tI-NP\tO' +p359932 +aS'lesion\tlesion\tNN\tI-NP\tO' +p359933 +aS'on\ton\tIN\tB-PP\tO' +p359934 +aS'the\tthe\tDT\tB-NP\tO' +p359935 +aS'left\tleft\tNN\tI-NP\tO' +p359936 +aS',\t,\t,\tO\tO' +p359937 +aS'but\tbut\tCC\tO\tO' +p359938 +aS'the\tthe\tDT\tB-NP\tO' +p359939 +aS'encephalopathy\tencephalopathy\tNN\tI-NP\tO' +p359940 +aS'dominated\tdominate\tVBD\tB-VP\tO' +p359941 +aS'the\tthe\tDT\tB-NP\tO' +p359942 +aS'overall\toverall\tJJ\tI-NP\tO' +p359943 +aS'picture\tpicture\tNN\tI-NP\tO' +p359944 +aS'.\t.\t.\tO\tO' +p359945 +asS'Gallbladder ultra sound revealed a distended 1.6 cm non mobile stone in the neck .' +p359946 +(lp359947 +S'Gallbladder\tGallbladder\tNN\tB-NP\tO' +p359948 +aS'ultra\tultra\tJJ\tI-NP\tO' +p359949 +aS'sound\tsound\tNN\tI-NP\tO' +p359950 +aS'revealed\treveal\tVBD\tB-VP\tO' +p359951 +aS'a\ta\tDT\tB-NP\tO' +p359952 +aS'distended\tdistended\tJJ\tI-NP\tO' +p359953 +aS'1.6\t1.6\tCD\tI-NP\tO' +p359954 +aS'cm\tcm\tNN\tI-NP\tO' +p359955 +aS'non\tnon\tJJ\tI-NP\tO' +p359956 +aS'mobile\tmobile\tJJ\tI-NP\tO' +p359957 +aS'stone\tstone\tNN\tI-NP\tO' +p359958 +aS'in\tin\tIN\tB-PP\tO' +p359959 +aS'the\tthe\tDT\tB-NP\tO' +p359960 +aS'neck\tneck\tNN\tI-NP\tO' +p359961 +aS'.\t.\t.\tO\tO' +p359962 +asS'1. Depression .' +p359963 +(lp359964 +S'1.\t1.\tLS\tB-NP\tO' +p359965 +aS'Depression\tDepression\tNN\tI-NP\tO' +p359966 +aS'.\t.\t.\tO\tO' +p359967 +asS'1+ DP pulses bilaterally .' +p359968 +(lp359969 +S'1+\t1+\tJJ\tB-NP\tO' +p359970 +aS'DP\tDP\tNN\tI-NP\tO' +p359971 +aS'pulses\tpulse\tVBZ\tB-VP\tO' +p359972 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p359973 +aS'.\t.\t.\tO\tO' +p359974 +asS'Note , the patient is not a candidate for magnetic resonance imaging secondary to ferromagnetic intracardiac pacing device .' +p359975 +(lp359976 +S'Note\tNote\tNNP\tB-NP\tO' +p359977 +aS',\t,\t,\tO\tO' +p359978 +aS'the\tthe\tDT\tB-NP\tO' +p359979 +aS'patient\tpatient\tNN\tI-NP\tO' +p359980 +aS'is\tbe\tVBZ\tB-VP\tO' +p359981 +aS'not\tnot\tRB\tO\tO' +p359982 +aS'a\ta\tDT\tB-NP\tO' +p359983 +aS'candidate\tcandidate\tNN\tI-NP\tO' +p359984 +aS'for\tfor\tIN\tB-PP\tO' +p359985 +aS'magnetic\tmagnetic\tJJ\tB-NP\tO' +p359986 +aS'resonance\tresonance\tNN\tI-NP\tO' +p359987 +aS'imaging\timaging\tNN\tI-NP\tO' +p359988 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p359989 +aS'to\tto\tTO\tB-PP\tO' +p359990 +aS'ferromagnetic\tferromagnetic\tJJ\tB-NP\tO' +p359991 +aS'intracardiac\tintracardiac\tJJ\tI-NP\tO' +p359992 +aS'pacing\tpacing\tNN\tI-NP\tO' +p359993 +aS'device\tdevice\tNN\tI-NP\tO' +p359994 +aS'.\t.\t.\tO\tO' +p359995 +asS'Allowing the patient to ambulate was not recommended .' +p359996 +(lp359997 +S'Allowing\tAllow\tVBG\tB-VP\tO' +p359998 +aS'the\tthe\tDT\tB-NP\tO' +p359999 +aS'patient\tpatient\tNN\tI-NP\tO' +p360000 +aS'to\tto\tTO\tB-VP\tO' +p360001 +aS'ambulate\tambulate\tVB\tI-VP\tO' +p360002 +aS'was\tbe\tVBD\tB-VP\tO' +p360003 +aS'not\tnot\tRB\tI-VP\tO' +p360004 +aS'recommended\trecommend\tVBN\tI-VP\tO' +p360005 +aS'.\t.\t.\tO\tO' +p360006 +asS'He was also placed on Vasotec .' +p360007 +(lp360008 +S'He\tHe\tPRP\tB-NP\tO' +p360009 +aS'was\tbe\tVBD\tB-VP\tO' +p360010 +aS'also\talso\tRB\tI-VP\tO' +p360011 +aS'placed\tplace\tVBN\tI-VP\tO' +p360012 +aS'on\ton\tIN\tB-PP\tO' +p360013 +aS'Vasotec\tVasotec\tNNP\tB-NP\tO' +p360014 +aS'.\t.\t.\tO\tO' +p360015 +asS'Deep tendon reflexes could not be elicited and plantar responses were silent .' +p360016 +(lp360017 +S'Deep\tDeep\tJJ\tB-NP\tO' +p360018 +aS'tendon\ttendon\tNN\tI-NP\tO' +p360019 +aS'reflexes\treflex\tNNS\tI-NP\tO' +p360020 +aS'could\tcould\tMD\tB-VP\tO' +p360021 +aS'not\tnot\tRB\tI-VP\tO' +p360022 +aS'be\tbe\tVB\tI-VP\tO' +p360023 +aS'elicited\telicit\tVBN\tI-VP\tO' +p360024 +aS'and\tand\tCC\tO\tO' +p360025 +aS'plantar\tplantar\tNN\tB-NP\tO' +p360026 +aS'responses\tresponse\tNNS\tI-NP\tO' +p360027 +aS'were\tbe\tVBD\tB-VP\tO' +p360028 +aS'silent\tsilent\tJJ\tB-ADJP\tO' +p360029 +aS'.\t.\t.\tO\tO' +p360030 +asS'3. Neurontin 300 mg taken three times a day .' +p360031 +(lp360032 +S'3.\t3.\tLS\tB-NP\tO' +p360033 +aS'Neurontin\tNeurontin\tNN\tI-NP\tO' +p360034 +aS'300\t300\tCD\tI-NP\tO' +p360035 +aS'mg\tmg\tNN\tI-NP\tO' +p360036 +aS'taken\ttake\tVBN\tB-VP\tO' +p360037 +aS'three\tthree\tCD\tB-NP\tO' +p360038 +aS'times\ttime\tNNS\tI-NP\tO' +p360039 +aS'a\ta\tDT\tB-NP\tO' +p360040 +aS'day\tday\tNN\tI-NP\tO' +p360041 +aS'.\t.\t.\tO\tO' +p360042 +asS'Plans for placement of a pacemaker were initiated .' +p360043 +(lp360044 +S'Plans\tPlan\tNNS\tB-NP\tO' +p360045 +aS'for\tfor\tIN\tB-PP\tO' +p360046 +aS'placement\tplacement\tNN\tB-NP\tO' +p360047 +aS'of\tof\tIN\tB-PP\tO' +p360048 +aS'a\ta\tDT\tB-NP\tO' +p360049 +aS'pacemaker\tpacemaker\tNN\tI-NP\tO' +p360050 +aS'were\tbe\tVBD\tB-VP\tO' +p360051 +aS'initiated\tinitiate\tVBN\tI-VP\tO' +p360052 +aS'.\t.\t.\tO\tO' +p360053 +asS'She was recently discharged from the Per Naplesspecrycet Hospital after an admission for congestive heart failure .' +p360054 +(lp360055 +S'She\tShe\tPRP\tB-NP\tO' +p360056 +aS'was\tbe\tVBD\tB-VP\tO' +p360057 +aS'recently\trecently\tRB\tI-VP\tO' +p360058 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p360059 +aS'from\tfrom\tIN\tB-PP\tO' +p360060 +aS'the\tthe\tDT\tB-NP\tO' +p360061 +aS'Per\tPer\tNNP\tI-NP\tO' +p360062 +aS'Naplesspecrycet\tNaplesspecrycet\tNNP\tI-NP\tO' +p360063 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p360064 +aS'after\tafter\tIN\tB-PP\tO' +p360065 +aS'an\tan\tDT\tB-NP\tO' +p360066 +aS'admission\tadmission\tNN\tI-NP\tO' +p360067 +aS'for\tfor\tIN\tB-PP\tO' +p360068 +aS'congestive\tcongestive\tJJ\tB-NP\tO' +p360069 +aS'heart\theart\tNN\tI-NP\tO' +p360070 +aS'failure\tfailure\tNN\tI-NP\tO' +p360071 +aS'.\t.\t.\tO\tO' +p360072 +asS'Chest x-ray was negative .' +p360073 +(lp360074 +S'Chest\tCh\tJJS\tB-NP\tO' +p360075 +aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' +p360076 +aS'was\tbe\tVBD\tB-VP\tO' +p360077 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p360078 +aS'.\t.\t.\tO\tO' +p360079 +asS'Percocet 5/325 mg. s , one to two tablets PO q.4 to 6 hours p.r.n. pain ;' +p360080 +(lp360081 +S'Percocet\tPercocet\tIN\tB-PP\tO' +p360082 +aS'5/325\t5/325\tCD\tB-NP\tO' +p360083 +aS'mg.\tmg.\tNN\tI-NP\tO' +p360084 +aS's\ts\tNNS\tI-NP\tO' +p360085 +aS',\t,\t,\tO\tO' +p360086 +aS'one\tone\tCD\tB-NP\tO' +p360087 +aS'to\tto\tTO\tI-NP\tO' +p360088 +aS'two\ttwo\tCD\tI-NP\tO' +p360089 +aS'tablets\ttablet\tNNS\tI-NP\tO' +p360090 +aS'PO\tPO\tNN\tI-NP\tO' +p360091 +aS'q.4\tq.4\tCD\tI-NP\tO' +p360092 +aS'to\tto\tTO\tI-NP\tO' +p360093 +aS'6\t6\tCD\tI-NP\tO' +p360094 +aS'hours\thour\tNNS\tI-NP\tO' +p360095 +aS'p.r.n.\tp.r.n.\tJJ\tI-NP\tO' +p360096 +aS'pain\tpain\tNN\tI-NP\tO' +p360097 +aS';\t;\t:\tO\tO' +p360098 +asS'He was discharged on 1 mg , but a stable regimen had not been achieved .' +p360099 +(lp360100 +S'He\tHe\tPRP\tB-NP\tO' +p360101 +aS'was\tbe\tVBD\tB-VP\tO' +p360102 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p360103 +aS'on\ton\tIN\tB-PP\tO' +p360104 +aS'1\t1\tCD\tB-NP\tO' +p360105 +aS'mg\tmg\tNN\tI-NP\tO' +p360106 +aS',\t,\t,\tO\tO' +p360107 +aS'but\tbut\tCC\tO\tO' +p360108 +aS'a\ta\tDT\tB-NP\tO' +p360109 +aS'stable\tstable\tJJ\tI-NP\tO' +p360110 +aS'regimen\tregimen\tNN\tI-NP\tO' +p360111 +aS'had\thave\tVBD\tB-VP\tO' +p360112 +aS'not\tnot\tRB\tI-VP\tO' +p360113 +aS'been\tbe\tVBN\tI-VP\tO' +p360114 +aS'achieved\tachieve\tVBN\tI-VP\tO' +p360115 +aS'.\t.\t.\tO\tO' +p360116 +asS'He tolerated the procedure without difficulty .' +p360117 +(lp360118 +S'He\tHe\tPRP\tB-NP\tO' +p360119 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p360120 +aS'the\tthe\tDT\tB-NP\tO' +p360121 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p360122 +aS'without\twithout\tIN\tB-PP\tO' +p360123 +aS'difficulty\tdifficulty\tNN\tB-NP\tO' +p360124 +aS'.\t.\t.\tO\tO' +p360125 +asS'She has now had progressive heart failure .' +p360126 +(lp360127 +S'She\tShe\tPRP\tB-NP\tO' +p360128 +aS'has\thave\tVBZ\tB-VP\tO' +p360129 +aS'now\tnow\tRB\tI-VP\tO' +p360130 +aS'had\thave\tVBN\tI-VP\tO' +p360131 +aS'progressive\tprogressive\tJJ\tB-NP\tO' +p360132 +aS'heart\theart\tNN\tI-NP\tO' +p360133 +aS'failure\tfailure\tNN\tI-NP\tO' +p360134 +aS'.\t.\t.\tO\tO' +p360135 +asS'Social History : denies tobacco , ETOH , drugs' +p360136 +(lp360137 +S'Social\tSocial\tNNP\tB-NP\tO' +p360138 +aS'History\tHistory\tNNP\tI-NP\tO' +p360139 +aS':\t:\t:\tO\tO' +p360140 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p360141 +aS'tobacco\ttobacco\tNN\tB-NP\tO' +p360142 +aS',\t,\t,\tO\tO' +p360143 +aS'ETOH\tETOH\tNN\tB-NP\tB-protein' +p360144 +aS',\t,\t,\tO\tO' +p360145 +aS'drugs\tdrug\tNNS\tB-NP\tO' +p360146 +asS"On room air , the patient 's oxygen saturation was 80% ." +p360147 +(lp360148 +S'On\tOn\tIN\tB-PP\tO' +p360149 +aS'room\troom\tNN\tB-NP\tO' +p360150 +aS'air\tair\tNN\tI-NP\tO' +p360151 +aS',\t,\t,\tO\tO' +p360152 +aS'the\tthe\tDT\tB-NP\tO' +p360153 +aS'patient\tpatient\tNN\tI-NP\tO' +p360154 +aS"'s\t's\tPOS\tB-NP\tO" +p360155 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p360156 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p360157 +aS'was\tbe\tVBD\tB-VP\tO' +p360158 +aS'80%\t80%\tCD\tB-NP\tO' +p360159 +aS'.\t.\t.\tO\tO' +p360160 +asS'The patient started ambulating with the assistance of physical therapy following transfer to the surgical floor .' +p360161 +(lp360162 +S'The\tThe\tDT\tB-NP\tO' +p360163 +aS'patient\tpatient\tNN\tI-NP\tO' +p360164 +aS'started\tstart\tVBD\tB-VP\tO' +p360165 +aS'ambulating\tambulate\tVBG\tI-VP\tO' +p360166 +aS'with\twith\tIN\tB-PP\tO' +p360167 +aS'the\tthe\tDT\tB-NP\tO' +p360168 +aS'assistance\tassistance\tNN\tI-NP\tO' +p360169 +aS'of\tof\tIN\tB-PP\tO' +p360170 +aS'physical\tphysical\tJJ\tB-NP\tO' +p360171 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p360172 +aS'following\tfollow\tVBG\tB-PP\tO' +p360173 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p360174 +aS'to\tto\tTO\tB-PP\tO' +p360175 +aS'the\tthe\tDT\tB-NP\tO' +p360176 +aS'surgical\tsurgical\tJJ\tI-NP\tO' +p360177 +aS'floor\tfloor\tNN\tI-NP\tO' +p360178 +aS'.\t.\t.\tO\tO' +p360179 +asS'4. Folic Acid 1 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' +p360180 +(lp360181 +S'4.\t4.\tLS\tB-NP\tO' +p360182 +aS'Folic\tFolic\tJJ\tI-NP\tO' +p360183 +aS'Acid\tAcid\tNN\tI-NP\tO' +p360184 +aS'1\t1\tCD\tI-NP\tO' +p360185 +aS'mg\tmg\tNN\tI-NP\tO' +p360186 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p360187 +aS'Sig\tSig\tNNP\tI-NP\tO' +p360188 +aS':\t:\t:\tO\tO' +p360189 +aS'One\tOne\tCD\tB-NP\tO' +p360190 +aS'(\t(\t(\tO\tO' +p360191 +aS'1\t1\tCD\tB-NP\tO' +p360192 +aS')\t)\t)\tO\tO' +p360193 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p360194 +aS'PO\tPO\tNN\tI-NP\tO' +p360195 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p360196 +aS'(\t(\t(\tO\tO' +p360197 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p360198 +aS')\t)\t)\tO\tO' +p360199 +aS'.\t.\t.\tO\tO' +p360200 +asS'15) Peridex 30 cc p.o. b.i.d. x 14 days .' +p360201 +(lp360202 +S'15)\t15)\tLS\tB-LST\tO' +p360203 +aS'Peridex\tPeridex\tNNP\tB-NP\tO' +p360204 +aS'30\t30\tCD\tI-NP\tO' +p360205 +aS'cc\tcc\tNN\tI-NP\tO' +p360206 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p360207 +aS'b.i.d.\tb.i.d.\tFW\tI-NP\tO' +p360208 +aS'x\tx\tNN\tI-NP\tO' +p360209 +aS'14\t14\tCD\tB-NP\tO' +p360210 +aS'days\tday\tNNS\tI-NP\tO' +p360211 +aS'.\t.\t.\tO\tO' +p360212 +asS'They will be restarted on discharge .' +p360213 +(lp360214 +S'They\tThey\tPRP\tB-NP\tO' +p360215 +aS'will\twill\tMD\tB-VP\tO' +p360216 +aS'be\tbe\tVB\tI-VP\tO' +p360217 +aS'restarted\trestart\tVBN\tI-VP\tO' +p360218 +aS'on\ton\tIN\tB-PP\tO' +p360219 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p360220 +aS'.\t.\t.\tO\tO' +p360221 +asS'Prenatal screens were O+ , antibody negative , hepatitis surface antigen negative , rapid plasma reagin nonreactive , rubella immune , group B strep positive .' +p360222 +(lp360223 +S'Prenatal\tPrenatal\tJJ\tB-NP\tO' +p360224 +aS'screens\tscreen\tNNS\tI-NP\tO' +p360225 +aS'were\tbe\tVBD\tB-VP\tO' +p360226 +aS'O+\tO+\tJJ\tB-ADJP\tO' +p360227 +aS',\t,\t,\tO\tO' +p360228 +aS'antibody\tantibody\tNN\tB-NP\tO' +p360229 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p360230 +aS',\t,\t,\tO\tO' +p360231 +aS'hepatitis\thepatitis\tNN\tB-NP\tB-protein' +p360232 +aS'surface\tsurface\tNN\tI-NP\tI-protein' +p360233 +aS'antigen\tantigen\tNN\tI-NP\tI-protein' +p360234 +aS'negative\tnegative\tJJ\tI-NP\tO' +p360235 +aS',\t,\t,\tI-NP\tO' +p360236 +aS'rapid\trapid\tJJ\tI-NP\tO' +p360237 +aS'plasma\tplasma\tNN\tI-NP\tO' +p360238 +aS'reagin\treagin\tNN\tI-NP\tO' +p360239 +aS'nonreactive\tnonreactive\tJJ\tB-ADJP\tO' +p360240 +aS',\t,\t,\tO\tO' +p360241 +aS'rubella\trubella\tNN\tB-NP\tO' +p360242 +aS'immune\timmune\tJJ\tI-NP\tO' +p360243 +aS',\t,\t,\tI-NP\tO' +p360244 +aS'group\tgroup\tNN\tI-NP\tO' +p360245 +aS'B\tB\tNN\tI-NP\tO' +p360246 +aS'strep\tstrep\tNN\tI-NP\tO' +p360247 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p360248 +aS'.\t.\t.\tO\tO' +p360249 +asS'PRIMARY PEDIATRICIAN : Dr. Penny Scott , 8400 S. Maple Blvd. , Arbour-Fuller Hospital , New Hampshire 25344 , phone number 617-6198 .' +p360250 +(lp360251 +S'PRIMARY\tPRIMARY\tNN\tB-NP\tO' +p360252 +aS'PEDIATRICIAN\tPEDIATRICIAN\tNN\tI-NP\tO' +p360253 +aS':\t:\t:\tO\tO' +p360254 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p360255 +aS'Penny\tPenny\tNNP\tI-NP\tO' +p360256 +aS'Scott\tScott\tNNP\tI-NP\tO' +p360257 +aS',\t,\t,\tO\tO' +p360258 +aS'8400\t8400\tCD\tB-NP\tO' +p360259 +aS'S.\tS.\tNNP\tI-NP\tO' +p360260 +aS'Maple\tMaple\tNNP\tI-NP\tO' +p360261 +aS'Blvd.\tBlvd.\tNNP\tI-NP\tO' +p360262 +aS',\t,\t,\tO\tO' +p360263 +aS'Arbour-Fuller\tArbour-Fuller\tNNP\tB-NP\tO' +p360264 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p360265 +aS',\t,\t,\tO\tO' +p360266 +aS'New\tNew\tNNP\tB-NP\tO' +p360267 +aS'Hampshire\tHampshire\tNNP\tI-NP\tO' +p360268 +aS'25344\t25344\tCD\tI-NP\tO' +p360269 +aS',\t,\t,\tO\tO' +p360270 +aS'phone\tphone\tNN\tB-NP\tO' +p360271 +aS'number\tnumber\tNN\tI-NP\tO' +p360272 +aS'617-6198\t617-6198\tCD\tI-NP\tO' +p360273 +aS'.\t.\t.\tO\tO' +p360274 +asS'His postoperative CT scan showed no evidence of endo leak , or graft kinking .' +p360275 +(lp360276 +S'His\tHis\tPRP$\tB-NP\tO' +p360277 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p360278 +aS'CT\tCT\tNN\tI-NP\tO' +p360279 +aS'scan\tscan\tNN\tI-NP\tO' +p360280 +aS'showed\tshow\tVBD\tB-VP\tO' +p360281 +aS'no\tno\tDT\tB-NP\tO' +p360282 +aS'evidence\tevidence\tNN\tI-NP\tO' +p360283 +aS'of\tof\tIN\tB-PP\tO' +p360284 +aS'endo\tendo\tNN\tB-NP\tO' +p360285 +aS'leak\tleak\tNN\tI-NP\tO' +p360286 +aS',\t,\t,\tO\tO' +p360287 +aS'or\tor\tCC\tO\tO' +p360288 +aS'graft\tgraft\tNN\tB-NP\tO' +p360289 +aS'kinking\tkinking\tNN\tI-NP\tO' +p360290 +aS'.\t.\t.\tO\tO' +p360291 +asS'No CVA tenderness was appreciated in the heart and the heart appears to be in regular rate and rhythm .' +p360292 +(lp360293 +S'No\tNo\tDT\tB-NP\tO' +p360294 +aS'CVA\tCVA\tNN\tI-NP\tO' +p360295 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p360296 +aS'was\tbe\tVBD\tB-VP\tO' +p360297 +aS'appreciated\tappreciate\tVBN\tI-VP\tO' +p360298 +aS'in\tin\tIN\tB-PP\tO' +p360299 +aS'the\tthe\tDT\tB-NP\tO' +p360300 +aS'heart\theart\tNN\tI-NP\tO' +p360301 +aS'and\tand\tCC\tO\tO' +p360302 +aS'the\tthe\tDT\tB-NP\tO' +p360303 +aS'heart\theart\tNN\tI-NP\tO' +p360304 +aS'appears\tappear\tVBZ\tB-VP\tO' +p360305 +aS'to\tto\tTO\tI-VP\tO' +p360306 +aS'be\tbe\tVB\tI-VP\tO' +p360307 +aS'in\tin\tIN\tB-PP\tO' +p360308 +aS'regular\tregular\tJJ\tB-NP\tO' +p360309 +aS'rate\trate\tNN\tI-NP\tO' +p360310 +aS'and\tand\tCC\tI-NP\tO' +p360311 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p360312 +aS'.\t.\t.\tO\tO' +p360313 +asS'RRR , sternum stable , incision clean and dry , no erythema / drainage' +p360314 +(lp360315 +S'RRR\tRRR\tNN\tB-NP\tB-protein' +p360316 +aS',\t,\t,\tI-NP\tO' +p360317 +aS'sternum\tsternum\tNN\tI-NP\tO' +p360318 +aS'stable\tstable\tJJ\tI-NP\tO' +p360319 +aS',\t,\t,\tO\tO' +p360320 +aS'incision\tincision\tNN\tB-NP\tO' +p360321 +aS'clean\tclean\tJJ\tB-ADJP\tO' +p360322 +aS'and\tand\tCC\tI-ADJP\tO' +p360323 +aS'dry\tdry\tJJ\tI-ADJP\tO' +p360324 +aS',\t,\t,\tO\tO' +p360325 +aS'no\tno\tDT\tB-NP\tO' +p360326 +aS'erythema\terythema\tNN\tI-NP\tO' +p360327 +aS'/\t/\tSYM\tO\tO' +p360328 +aS'drainage\tdrainage\tNN\tB-NP\tO' +p360329 +asS'7. Pantoprazole 40 mg Tablet , Delayed Release ( E.C. ) Sig : One ( 1 ) Tablet , Delayed Release ( E.C. ) PO Q12H ( every 12 hours ) .' +p360330 +(lp360331 +S'7.\t7.\tCD\tB-NP\tO' +p360332 +aS'Pantoprazole\tPantoprazole\tNN\tI-NP\tO' +p360333 +aS'40\t40\tCD\tB-NP\tO' +p360334 +aS'mg\tmg\tNN\tI-NP\tO' +p360335 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p360336 +aS',\t,\t,\tO\tO' +p360337 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p360338 +aS'Release\tRelease\tNNP\tI-NP\tO' +p360339 +aS'(\t(\t(\tO\tO' +p360340 +aS'E.C.\tE.C.\tNNP\tB-NP\tO' +p360341 +aS')\t)\t)\tO\tO' +p360342 +aS'Sig\tSig\tNNP\tB-NP\tO' +p360343 +aS':\t:\t:\tO\tO' +p360344 +aS'One\tOne\tCD\tB-NP\tO' +p360345 +aS'(\t(\t(\tO\tO' +p360346 +aS'1\t1\tCD\tB-NP\tO' +p360347 +aS')\t)\t)\tO\tO' +p360348 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p360349 +aS',\t,\t,\tO\tO' +p360350 +aS'Delayed\tDelayed\tNNP\tB-NP\tO' +p360351 +aS'Release\tRelease\tNNP\tI-NP\tO' +p360352 +aS'(\t(\t(\tO\tO' +p360353 +aS'E.C.\tE.C.\tNNP\tO\tO' +p360354 +aS')\t)\t)\tO\tO' +p360355 +aS'PO\tPO\tNN\tB-NP\tO' +p360356 +aS'Q12H\tQ12H\tNN\tI-NP\tO' +p360357 +aS'(\t(\t(\tO\tO' +p360358 +aS'every\tevery\tDT\tB-NP\tO' +p360359 +aS'12\t12\tCD\tI-NP\tO' +p360360 +aS'hours\thour\tNNS\tI-NP\tO' +p360361 +aS')\t)\t)\tO\tO' +p360362 +aS'.\t.\t.\tO\tO' +p360363 +asS'His immunosuppressive therapy was continued throughout his stay ; his creatinine remained approximately 2.3 to 2.4 ; he has a baseline renal insufficiency .' +p360364 +(lp360365 +S'His\tHis\tPRP$\tB-NP\tO' +p360366 +aS'immunosuppressive\timmunosuppressive\tJJ\tI-NP\tO' +p360367 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p360368 +aS'was\tbe\tVBD\tB-VP\tO' +p360369 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p360370 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p360371 +aS'his\this\tPRP$\tB-NP\tO' +p360372 +aS'stay\tstay\tNN\tI-NP\tO' +p360373 +aS';\t;\t:\tO\tO' +p360374 +aS'his\this\tPRP$\tB-NP\tO' +p360375 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p360376 +aS'remained\tremain\tVBD\tB-VP\tO' +p360377 +aS'approximately\tapproximately\tRB\tB-ADVP\tO' +p360378 +aS'2.3\t2.3\tCD\tB-NP\tO' +p360379 +aS'to\tto\tTO\tB-PP\tO' +p360380 +aS'2.4\t2.4\tCD\tB-NP\tO' +p360381 +aS';\t;\t:\tO\tO' +p360382 +aS'he\the\tPRP\tB-NP\tO' +p360383 +aS'has\thave\tVBZ\tB-VP\tO' +p360384 +aS'a\ta\tDT\tB-NP\tO' +p360385 +aS'baseline\tbaseline\tNN\tI-NP\tO' +p360386 +aS'renal\trenal\tJJ\tI-NP\tO' +p360387 +aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' +p360388 +aS'.\t.\t.\tO\tO' +p360389 +asS'Started on clear liquids .' +p360390 +(lp360391 +S'Started\tStart\tVBN\tB-VP\tO' +p360392 +aS'on\ton\tIN\tB-PP\tO' +p360393 +aS'clear\tclear\tJJ\tB-NP\tO' +p360394 +aS'liquids\tliquid\tNNS\tI-NP\tO' +p360395 +aS'.\t.\t.\tO\tO' +p360396 +asS'11. Iron sulfate 325 mg p.o. q. day .' +p360397 +(lp360398 +S'11.\t11.\tLS\tB-NP\tO' +p360399 +aS'Iron\tIron\tNNP\tI-NP\tO' +p360400 +aS'sulfate\tsulfate\tNN\tI-NP\tO' +p360401 +aS'325\t325\tCD\tI-NP\tO' +p360402 +aS'mg\tmg\tNN\tI-NP\tO' +p360403 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p360404 +aS'q.\tq.\tNN\tI-NP\tO' +p360405 +aS'day\tday\tNN\tI-NP\tO' +p360406 +aS'.\t.\t.\tO\tO' +p360407 +asS'The patient will follow-up with Dr. Streeter in his office in four to six weeks .' +p360408 +(lp360409 +S'The\tThe\tDT\tB-NP\tO' +p360410 +aS'patient\tpatient\tNN\tI-NP\tO' +p360411 +aS'will\twill\tMD\tB-VP\tO' +p360412 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p360413 +aS'with\twith\tIN\tB-PP\tO' +p360414 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p360415 +aS'Streeter\tStreeter\tNNP\tI-NP\tO' +p360416 +aS'in\tin\tIN\tB-PP\tO' +p360417 +aS'his\this\tPRP$\tB-NP\tO' +p360418 +aS'office\toffice\tNN\tI-NP\tO' +p360419 +aS'in\tin\tIN\tB-PP\tO' +p360420 +aS'four\tfour\tCD\tB-NP\tO' +p360421 +aS'to\tto\tTO\tI-NP\tO' +p360422 +aS'six\tsix\tCD\tI-NP\tO' +p360423 +aS'weeks\tweek\tNNS\tI-NP\tO' +p360424 +aS'.\t.\t.\tO\tO' +p360425 +asS'Extremities revealed 2+ pitting edema in the knees bilaterally .' +p360426 +(lp360427 +S'Extremities\tExtremity\tNNS\tB-NP\tO' +p360428 +aS'revealed\treveal\tVBD\tB-VP\tO' +p360429 +aS'2+\t2+\tJJ\tB-NP\tO' +p360430 +aS'pitting\tpitting\tNN\tI-NP\tO' +p360431 +aS'edema\tedema\tNN\tI-NP\tO' +p360432 +aS'in\tin\tIN\tB-PP\tO' +p360433 +aS'the\tthe\tDT\tB-NP\tO' +p360434 +aS'knees\tknee\tNNS\tI-NP\tO' +p360435 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p360436 +aS'.\t.\t.\tO\tO' +p360437 +asS'On postoperative day the Milrinone was weaned down .' +p360438 +(lp360439 +S'On\tOn\tIN\tB-PP\tO' +p360440 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p360441 +aS'day\tday\tNN\tI-NP\tO' +p360442 +aS'the\tthe\tDT\tB-NP\tO' +p360443 +aS'Milrinone\tMilrinone\tNN\tI-NP\tO' +p360444 +aS'was\tbe\tVBD\tB-VP\tO' +p360445 +aS'weaned\twean\tVBN\tI-VP\tO' +p360446 +aS'down\tdown\tRB\tB-ADVP\tO' +p360447 +aS'.\t.\t.\tO\tO' +p360448 +asS'CV was regular rate and rhythm without murmurs .' +p360449 +(lp360450 +S'CV\tCV\tNN\tB-NP\tO' +p360451 +aS'was\tbe\tVBD\tB-VP\tO' +p360452 +aS'regular\tregular\tJJ\tB-NP\tO' +p360453 +aS'rate\trate\tNN\tI-NP\tO' +p360454 +aS'and\tand\tCC\tI-NP\tO' +p360455 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p360456 +aS'without\twithout\tIN\tB-PP\tO' +p360457 +aS'murmurs\tmurmur\tNNS\tB-NP\tO' +p360458 +aS'.\t.\t.\tO\tO' +p360459 +asS'K was 3.4 , repleted , potassium chloride 40 mEq times 1 dose p.o.' +p360460 +(lp360461 +S'K\tK\tNN\tB-NP\tO' +p360462 +aS'was\tbe\tVBD\tB-VP\tO' +p360463 +aS'3.4\t3.4\tCD\tB-NP\tO' +p360464 +aS',\t,\t,\tO\tO' +p360465 +aS'repleted\treplete\tVBN\tB-VP\tO' +p360466 +aS',\t,\t,\tO\tO' +p360467 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p360468 +aS'chloride\tchloride\tNN\tI-NP\tO' +p360469 +aS'40\t40\tCD\tI-NP\tO' +p360470 +aS'mEq\tmEq\tNN\tI-NP\tO' +p360471 +aS'times\ttime\tNNS\tI-NP\tO' +p360472 +aS'1\t1\tCD\tI-NP\tO' +p360473 +aS'dose\tdose\tNN\tI-NP\tO' +p360474 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p360475 +asS'For his coronary artery disease , aspirin was started at 325 .' +p360476 +(lp360477 +S'For\tFor\tIN\tB-PP\tO' +p360478 +aS'his\this\tPRP$\tB-NP\tO' +p360479 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p360480 +aS'artery\tartery\tNN\tI-NP\tO' +p360481 +aS'disease\tdisease\tNN\tI-NP\tO' +p360482 +aS',\t,\t,\tO\tO' +p360483 +aS'aspirin\taspirin\tNN\tB-NP\tO' +p360484 +aS'was\tbe\tVBD\tB-VP\tO' +p360485 +aS'started\tstart\tVBN\tI-VP\tO' +p360486 +aS'at\tat\tIN\tB-PP\tO' +p360487 +aS'325\t325\tCD\tB-NP\tO' +p360488 +aS'.\t.\t.\tO\tO' +p360489 +asS'Her sedation was weaned down and she was successfully extubated shortly thereafter .' +p360490 +(lp360491 +S'Her\tHer\tPRP$\tB-NP\tO' +p360492 +aS'sedation\tsedation\tNN\tI-NP\tO' +p360493 +aS'was\tbe\tVBD\tB-VP\tO' +p360494 +aS'weaned\twean\tVBN\tI-VP\tO' +p360495 +aS'down\tdown\tRP\tB-PRT\tO' +p360496 +aS'and\tand\tCC\tO\tO' +p360497 +aS'she\tshe\tPRP\tB-NP\tO' +p360498 +aS'was\tbe\tVBD\tB-VP\tO' +p360499 +aS'successfully\tsuccessfully\tRB\tI-VP\tO' +p360500 +aS'extubated\textubate\tVBN\tI-VP\tO' +p360501 +aS'shortly\tshortly\tRB\tB-ADVP\tO' +p360502 +aS'thereafter\tthereafter\tRB\tI-ADVP\tO' +p360503 +aS'.\t.\t.\tO\tO' +p360504 +asS'They felt that it was most likely secondary to Bactrim and these actually were getting better when the patient died .' +p360505 +(lp360506 +S'They\tThey\tPRP\tB-NP\tO' +p360507 +aS'felt\tfeel\tVBD\tB-VP\tO' +p360508 +aS'that\tthat\tIN\tB-SBAR\tO' +p360509 +aS'it\tit\tPRP\tB-NP\tO' +p360510 +aS'was\tbe\tVBD\tB-VP\tO' +p360511 +aS'most\tmost\tRBS\tB-ADVP\tO' +p360512 +aS'likely\tlikely\tRB\tI-ADVP\tO' +p360513 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p360514 +aS'to\tto\tTO\tB-PP\tO' +p360515 +aS'Bactrim\tBactrim\tNNP\tB-NP\tO' +p360516 +aS'and\tand\tCC\tO\tO' +p360517 +aS'these\tthese\tDT\tB-NP\tO' +p360518 +aS'actually\tactually\tRB\tB-ADVP\tO' +p360519 +aS'were\tbe\tVBD\tB-VP\tO' +p360520 +aS'getting\tget\tVBG\tI-VP\tO' +p360521 +aS'better\twell\tRBR\tB-ADVP\tO' +p360522 +aS'when\twhen\tWRB\tB-ADVP\tO' +p360523 +aS'the\tthe\tDT\tB-NP\tO' +p360524 +aS'patient\tpatient\tNN\tI-NP\tO' +p360525 +aS'died\tdie\tVBD\tB-VP\tO' +p360526 +aS'.\t.\t.\tO\tO' +p360527 +asS'Trace MR , AI as described .' +p360528 +(lp360529 +S'Trace\tTrace\tNNP\tB-NP\tB-protein' +p360530 +aS'MR\tMR\tNNP\tI-NP\tI-protein' +p360531 +aS',\t,\t,\tO\tO' +p360532 +aS'AI\tAI\tNNP\tB-NP\tO' +p360533 +aS'as\tas\tIN\tB-SBAR\tO' +p360534 +aS'described\tdescribe\tVBN\tB-VP\tO' +p360535 +aS'.\t.\t.\tO\tO' +p360536 +asS'9. Fluconazole 200 mg Tablet Sig : Two ( 2 ) Tablet PO Q24H ( every 24 hours ) .' +p360537 +(lp360538 +S'9.\t9.\tCD\tB-NP\tO' +p360539 +aS'Fluconazole\tFluconazole\tNN\tI-NP\tO' +p360540 +aS'200\t200\tCD\tB-NP\tO' +p360541 +aS'mg\tmg\tNN\tI-NP\tO' +p360542 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p360543 +aS'Sig\tSig\tNNP\tI-NP\tO' +p360544 +aS':\t:\t:\tO\tO' +p360545 +aS'Two\tTwo\tCD\tB-NP\tO' +p360546 +aS'(\t(\t(\tO\tO' +p360547 +aS'2\t2\tCD\tO\tO' +p360548 +aS')\t)\t)\tO\tO' +p360549 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p360550 +aS'PO\tPO\tNN\tI-NP\tO' +p360551 +aS'Q24H\tQ24H\tNN\tI-NP\tO' +p360552 +aS'(\t(\t(\tO\tO' +p360553 +aS'every\tevery\tDT\tB-NP\tO' +p360554 +aS'24\t24\tCD\tI-NP\tO' +p360555 +aS'hours\thour\tNNS\tI-NP\tO' +p360556 +aS')\t)\t)\tO\tO' +p360557 +aS'.\t.\t.\tO\tO' +p360558 +asS'Status post sigmoid colectomy , hartmans pouch and washout' +p360559 +(lp360560 +S'Status\tStatus\tNNP\tB-NP\tO' +p360561 +aS'post\tpost\tVBD\tB-VP\tO' +p360562 +aS'sigmoid\tsigmoid\tJJ\tB-NP\tO' +p360563 +aS'colectomy\tcolectomy\tNN\tI-NP\tO' +p360564 +aS',\t,\t,\tO\tO' +p360565 +aS'hartmans\thartman\tVBZ\tB-VP\tO' +p360566 +aS'pouch\tpouch\tNN\tB-NP\tO' +p360567 +aS'and\tand\tCC\tI-NP\tO' +p360568 +aS'washout\twashout\tNN\tI-NP\tO' +p360569 +asS'The patient is a 43-year-old gravida II para II white female referred by Dr. Ca Shuff for evaluation .' +p360570 +(lp360571 +S'The\tThe\tDT\tB-NP\tO' +p360572 +aS'patient\tpatient\tNN\tI-NP\tO' +p360573 +aS'is\tbe\tVBZ\tB-VP\tO' +p360574 +aS'a\ta\tDT\tB-NP\tO' +p360575 +aS'43-year-old\t43-year-old\tJJ\tI-NP\tO' +p360576 +aS'gravida\tgravida\tNN\tI-NP\tO' +p360577 +aS'II\tII\tCD\tI-NP\tO' +p360578 +aS'para\tpara\tNN\tI-NP\tO' +p360579 +aS'II\tII\tCD\tI-NP\tO' +p360580 +aS'white\twhite\tJJ\tI-NP\tO' +p360581 +aS'female\tfemale\tNN\tI-NP\tO' +p360582 +aS'referred\trefer\tVBN\tB-VP\tO' +p360583 +aS'by\tby\tIN\tB-PP\tO' +p360584 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p360585 +aS'Ca\tCa\tNNP\tI-NP\tO' +p360586 +aS'Shuff\tShuff\tNNP\tI-NP\tO' +p360587 +aS'for\tfor\tIN\tB-PP\tO' +p360588 +aS'evaluation\tevaluation\tNN\tB-NP\tO' +p360589 +aS'.\t.\t.\tO\tO' +p360590 +asS'It progressed over the course of the day requiring less movement .' +p360591 +(lp360592 +S'It\tIt\tPRP\tB-NP\tO' +p360593 +aS'progressed\tprogress\tVBD\tB-VP\tO' +p360594 +aS'over\tover\tIN\tB-PP\tO' +p360595 +aS'the\tthe\tDT\tB-NP\tO' +p360596 +aS'course\tcourse\tNN\tI-NP\tO' +p360597 +aS'of\tof\tIN\tB-PP\tO' +p360598 +aS'the\tthe\tDT\tB-NP\tO' +p360599 +aS'day\tday\tNN\tI-NP\tO' +p360600 +aS'requiring\trequire\tVBG\tB-VP\tO' +p360601 +aS'less\tless\tJJR\tB-NP\tO' +p360602 +aS'movement\tmovement\tNN\tI-NP\tO' +p360603 +aS'.\t.\t.\tO\tO' +p360604 +asS'Neurology consultation on the evening of 9/7/93 revealed supple neck , no response to external rub .' +p360605 +(lp360606 +S'Neurology\tNeurology\tNN\tB-NP\tO' +p360607 +aS'consultation\tconsultation\tNN\tI-NP\tO' +p360608 +aS'on\ton\tIN\tB-PP\tO' +p360609 +aS'the\tthe\tDT\tB-NP\tO' +p360610 +aS'evening\tevening\tNN\tI-NP\tO' +p360611 +aS'of\tof\tIN\tB-PP\tO' +p360612 +aS'9/7/93\t9/7/93\tCD\tB-NP\tO' +p360613 +aS'revealed\treveal\tVBD\tB-VP\tO' +p360614 +aS'supple\tsupple\tNN\tB-NP\tO' +p360615 +aS'neck\tneck\tNN\tI-NP\tO' +p360616 +aS',\t,\t,\tO\tO' +p360617 +aS'no\tno\tDT\tB-NP\tO' +p360618 +aS'response\tresponse\tNN\tI-NP\tO' +p360619 +aS'to\tto\tTO\tB-PP\tO' +p360620 +aS'external\texternal\tJJ\tB-NP\tO' +p360621 +aS'rub\trub\tNN\tI-NP\tO' +p360622 +aS'.\t.\t.\tO\tO' +p360623 +asS"Her foley was subsequently dc 'd ." +p360624 +(lp360625 +S'Her\tHer\tPRP$\tB-NP\tO' +p360626 +aS'foley\tfoley\tNN\tI-NP\tO' +p360627 +aS'was\tbe\tVBD\tB-VP\tO' +p360628 +aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' +p360629 +aS'dc\tdc\tNN\tB-NP\tO' +p360630 +aS"'d\t'd\tNN\tI-NP\tO" +p360631 +aS'.\t.\t.\tO\tO' +p360632 +asS'G-tube was to gravity , Foley to gravity , left radial A-line .' +p360633 +(lp360634 +S'G-tube\tG-tube\tNN\tB-NP\tO' +p360635 +aS'was\tbe\tVBD\tB-VP\tO' +p360636 +aS'to\tto\tTO\tB-PP\tO' +p360637 +aS'gravity\tgravity\tNN\tB-NP\tO' +p360638 +aS',\t,\t,\tO\tO' +p360639 +aS'Foley\tFoley\tNNP\tB-NP\tO' +p360640 +aS'to\tto\tTO\tB-PP\tO' +p360641 +aS'gravity\tgravity\tNN\tB-NP\tO' +p360642 +aS',\t,\t,\tO\tO' +p360643 +aS'left\tleave\tVBD\tB-VP\tO' +p360644 +aS'radial\tradial\tJJ\tB-NP\tO' +p360645 +aS'A-line\tA-line\tNN\tI-NP\tO' +p360646 +aS'.\t.\t.\tO\tO' +p360647 +asS'please continue to take all of your medications as prescribed .' +p360648 +(lp360649 +S'please\tplease\tVB\tB-VP\tO' +p360650 +aS'continue\tcontinue\tVBP\tB-VP\tO' +p360651 +aS'to\tto\tTO\tI-VP\tO' +p360652 +aS'take\ttake\tVB\tI-VP\tO' +p360653 +aS'all\tall\tDT\tB-NP\tO' +p360654 +aS'of\tof\tIN\tB-PP\tO' +p360655 +aS'your\tyour\tPRP$\tB-NP\tO' +p360656 +aS'medications\tmedication\tNNS\tI-NP\tO' +p360657 +aS'as\tas\tIN\tB-SBAR\tO' +p360658 +aS'prescribed\tprescribe\tVBN\tB-VP\tO' +p360659 +aS'.\t.\t.\tO\tO' +p360660 +asS'Coumadin 5 mg po q d , Tagamet 400 mg po q d , Amoxicillin which was started on Labor Day , for a sore throat and Ativan 1 mg po prn nausea / anxiety .' +p360661 +(lp360662 +S'Coumadin\tCoumadin\tNN\tB-NP\tO' +p360663 +aS'5\t5\tCD\tI-NP\tO' +p360664 +aS'mg\tmg\tNN\tI-NP\tO' +p360665 +aS'po\tpo\tNN\tI-NP\tO' +p360666 +aS'q\tq\tNN\tI-NP\tO' +p360667 +aS'd\td\tNN\tI-NP\tO' +p360668 +aS',\t,\t,\tO\tO' +p360669 +aS'Tagamet\tTagamet\tNN\tB-NP\tO' +p360670 +aS'400\t400\tCD\tI-NP\tO' +p360671 +aS'mg\tmg\tNN\tI-NP\tO' +p360672 +aS'po\tpo\tNN\tI-NP\tO' +p360673 +aS'q\tq\tNN\tI-NP\tO' +p360674 +aS'd\td\tNN\tI-NP\tO' +p360675 +aS',\t,\t,\tO\tO' +p360676 +aS'Amoxicillin\tAmoxicillin\tNN\tB-NP\tB-protein' +p360677 +aS'which\twhich\tWDT\tB-NP\tO' +p360678 +aS'was\tbe\tVBD\tB-VP\tO' +p360679 +aS'started\tstart\tVBN\tI-VP\tO' +p360680 +aS'on\ton\tIN\tB-PP\tO' +p360681 +aS'Labor\tLabor\tNNP\tB-NP\tO' +p360682 +aS'Day\tDay\tNNP\tI-NP\tO' +p360683 +aS',\t,\t,\tO\tO' +p360684 +aS'for\tfor\tIN\tB-PP\tO' +p360685 +aS'a\ta\tDT\tB-NP\tO' +p360686 +aS'sore\tsore\tJJ\tI-NP\tO' +p360687 +aS'throat\tthroat\tNN\tI-NP\tO' +p360688 +aS'and\tand\tCC\tO\tO' +p360689 +aS'Ativan\tAtivan\tIN\tB-NP\tO' +p360690 +aS'1\t1\tCD\tI-NP\tO' +p360691 +aS'mg\tmg\tNN\tI-NP\tO' +p360692 +aS'po\tpo\tNN\tI-NP\tO' +p360693 +aS'prn\tprn\tNN\tI-NP\tO' +p360694 +aS'nausea\tnausea\tNN\tI-NP\tO' +p360695 +aS'/\t/\tSYM\tB-NP\tO' +p360696 +aS'anxiety\tanxiety\tNN\tI-NP\tO' +p360697 +aS'.\t.\t.\tO\tO' +p360698 +asS'At the time of surgery , frozen section revealed benign mucinous cystadenoma .' +p360699 +(lp360700 +S'At\tAt\tIN\tB-PP\tO' +p360701 +aS'the\tthe\tDT\tB-NP\tO' +p360702 +aS'time\ttime\tNN\tI-NP\tO' +p360703 +aS'of\tof\tIN\tB-PP\tO' +p360704 +aS'surgery\tsurgery\tNN\tB-NP\tO' +p360705 +aS',\t,\t,\tO\tO' +p360706 +aS'frozen\tfrozen\tJJ\tB-NP\tO' +p360707 +aS'section\tsection\tNN\tI-NP\tO' +p360708 +aS'revealed\treveal\tVBD\tB-VP\tO' +p360709 +aS'benign\tbenign\tJJ\tB-NP\tO' +p360710 +aS'mucinous\tmucinous\tJJ\tI-NP\tO' +p360711 +aS'cystadenoma\tcystadenoma\tNN\tI-NP\tO' +p360712 +aS'.\t.\t.\tO\tO' +p360713 +asS'Left anterior temporal intraparenchymal hemorrhage .' +p360714 +(lp360715 +S'Left\tLeave\tVBN\tB-NP\tO' +p360716 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p360717 +aS'temporal\ttemporal\tJJ\tI-NP\tO' +p360718 +aS'intraparenchymal\tintraparenchymal\tJJ\tI-NP\tO' +p360719 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p360720 +aS'.\t.\t.\tO\tO' +p360721 +asS'The patient is also status post aortic valve replacement in 1996 , and presented for heparinization prior to her elective valve surgery .' +p360722 +(lp360723 +S'The\tThe\tDT\tB-NP\tO' +p360724 +aS'patient\tpatient\tNN\tI-NP\tO' +p360725 +aS'is\tbe\tVBZ\tB-VP\tO' +p360726 +aS'also\talso\tRB\tB-ADVP\tO' +p360727 +aS'status\tstatus\tNN\tB-NP\tO' +p360728 +aS'post\tpost\tNN\tI-NP\tO' +p360729 +aS'aortic\taortic\tJJ\tI-NP\tO' +p360730 +aS'valve\tvalve\tNN\tI-NP\tO' +p360731 +aS'replacement\treplacement\tNN\tI-NP\tO' +p360732 +aS'in\tin\tIN\tB-PP\tO' +p360733 +aS'1996\t1996\tCD\tB-NP\tO' +p360734 +aS',\t,\t,\tO\tO' +p360735 +aS'and\tand\tCC\tO\tO' +p360736 +aS'presented\tpresent\tVBN\tB-VP\tO' +p360737 +aS'for\tfor\tIN\tB-PP\tO' +p360738 +aS'heparinization\theparinization\tNN\tB-NP\tO' +p360739 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p360740 +aS'to\tto\tTO\tB-PP\tO' +p360741 +aS'her\ther\tPRP$\tB-NP\tO' +p360742 +aS'elective\telective\tJJ\tI-NP\tO' +p360743 +aS'valve\tvalve\tNN\tI-NP\tO' +p360744 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p360745 +aS'.\t.\t.\tO\tO' +p360746 +asS'She presented with three days of general malaise , nausea , vomiting , shortness of breath , cough productive of white sputum .' +p360747 +(lp360748 +S'She\tShe\tPRP\tB-NP\tO' +p360749 +aS'presented\tpresent\tVBD\tB-VP\tO' +p360750 +aS'with\twith\tIN\tB-PP\tO' +p360751 +aS'three\tthree\tCD\tB-NP\tO' +p360752 +aS'days\tday\tNNS\tI-NP\tO' +p360753 +aS'of\tof\tIN\tB-PP\tO' +p360754 +aS'general\tgeneral\tJJ\tB-NP\tO' +p360755 +aS'malaise\tmalaise\tNN\tI-NP\tO' +p360756 +aS',\t,\t,\tO\tO' +p360757 +aS'nausea\tnausea\tNN\tB-NP\tO' +p360758 +aS',\t,\t,\tO\tO' +p360759 +aS'vomiting\tvomiting\tNN\tB-NP\tO' +p360760 +aS',\t,\t,\tO\tO' +p360761 +aS'shortness\tshortness\tNN\tB-NP\tO' +p360762 +aS'of\tof\tIN\tB-PP\tO' +p360763 +aS'breath\tbreath\tNN\tB-NP\tO' +p360764 +aS',\t,\t,\tO\tO' +p360765 +aS'cough\tcough\tNN\tB-NP\tO' +p360766 +aS'productive\tproductive\tJJ\tB-ADJP\tO' +p360767 +aS'of\tof\tIN\tB-PP\tO' +p360768 +aS'white\twhite\tJJ\tB-NP\tO' +p360769 +aS'sputum\tsputum\tNN\tI-NP\tO' +p360770 +aS'.\t.\t.\tO\tO' +p360771 +asS'His meds should be crushed and mixed with puree thick liquid .' +p360772 +(lp360773 +S'His\tHis\tPRP$\tB-NP\tO' +p360774 +aS'meds\tmed\tNNS\tI-NP\tO' +p360775 +aS'should\tshould\tMD\tB-VP\tO' +p360776 +aS'be\tbe\tVB\tI-VP\tO' +p360777 +aS'crushed\tcrush\tVBN\tI-VP\tO' +p360778 +aS'and\tand\tCC\tO\tO' +p360779 +aS'mixed\tmix\tVBN\tB-VP\tO' +p360780 +aS'with\twith\tIN\tB-PP\tO' +p360781 +aS'puree\tpuree\tJJ\tB-NP\tO' +p360782 +aS'thick\tthick\tJJ\tI-NP\tO' +p360783 +aS'liquid\tliquid\tNN\tI-NP\tO' +p360784 +aS'.\t.\t.\tO\tO' +p360785 +asS'Slight abductive and adductive movement on the left only in the upper extremity .' +p360786 +(lp360787 +S'Slight\tSlight\tNN\tB-NP\tO' +p360788 +aS'abductive\tabductive\tJJ\tI-NP\tO' +p360789 +aS'and\tand\tCC\tI-NP\tO' +p360790 +aS'adductive\tadductive\tJJ\tI-NP\tO' +p360791 +aS'movement\tmovement\tNN\tI-NP\tO' +p360792 +aS'on\ton\tIN\tB-PP\tO' +p360793 +aS'the\tthe\tDT\tB-NP\tO' +p360794 +aS'left\tleft\tJJ\tI-NP\tO' +p360795 +aS'only\tonly\tRB\tB-PP\tO' +p360796 +aS'in\tin\tIN\tI-PP\tO' +p360797 +aS'the\tthe\tDT\tB-NP\tO' +p360798 +aS'upper\tupper\tJJ\tI-NP\tO' +p360799 +aS'extremity\textremity\tNN\tI-NP\tO' +p360800 +aS'.\t.\t.\tO\tO' +p360801 +asS'His immunosuppression was OKT3 and Solu Medrol , and he underwent hemodialysis and ultra filtration to remove fluid .' +p360802 +(lp360803 +S'His\tHis\tPRP$\tB-NP\tO' +p360804 +aS'immunosuppression\timmunosuppression\tNN\tI-NP\tO' +p360805 +aS'was\tbe\tVBD\tB-VP\tO' +p360806 +aS'OKT3\tOKT3\tNN\tB-NP\tB-protein' +p360807 +aS'and\tand\tCC\tO\tO' +p360808 +aS'Solu\tSolu\tNNP\tB-NP\tO' +p360809 +aS'Medrol\tMedrol\tNNP\tI-NP\tO' +p360810 +aS',\t,\t,\tO\tO' +p360811 +aS'and\tand\tCC\tO\tO' +p360812 +aS'he\the\tPRP\tB-NP\tO' +p360813 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p360814 +aS'hemodialysis\themodialysis\tNN\tB-NP\tO' +p360815 +aS'and\tand\tCC\tO\tO' +p360816 +aS'ultra\tultra\tJJ\tB-NP\tO' +p360817 +aS'filtration\tfiltration\tNN\tI-NP\tO' +p360818 +aS'to\tto\tTO\tB-VP\tO' +p360819 +aS'remove\tremove\tVB\tI-VP\tO' +p360820 +aS'fluid\tfluid\tNN\tB-NP\tO' +p360821 +aS'.\t.\t.\tO\tO' +p360822 +asS'The patient received chest PT and was encouraged to ambulate frequently .' +p360823 +(lp360824 +S'The\tThe\tDT\tB-NP\tO' +p360825 +aS'patient\tpatient\tNN\tI-NP\tO' +p360826 +aS'received\treceive\tVBD\tB-VP\tO' +p360827 +aS'chest\tchest\tNN\tB-NP\tO' +p360828 +aS'PT\tPT\tNN\tI-NP\tO' +p360829 +aS'and\tand\tCC\tO\tO' +p360830 +aS'was\tbe\tVBD\tB-VP\tO' +p360831 +aS'encouraged\tencourage\tVBN\tI-VP\tO' +p360832 +aS'to\tto\tTO\tI-VP\tO' +p360833 +aS'ambulate\tambulate\tVB\tI-VP\tO' +p360834 +aS'frequently\tfrequently\tRB\tB-ADVP\tO' +p360835 +aS'.\t.\t.\tO\tO' +p360836 +asS'His blood pressure was taken down from 230 systolic to approx 160 systolic / 100 diastolic on discharge .' +p360837 +(lp360838 +S'His\tHis\tPRP$\tB-NP\tO' +p360839 +aS'blood\tblood\tNN\tI-NP\tO' +p360840 +aS'pressure\tpressure\tNN\tI-NP\tO' +p360841 +aS'was\tbe\tVBD\tB-VP\tO' +p360842 +aS'taken\ttake\tVBN\tI-VP\tO' +p360843 +aS'down\tdown\tRB\tB-ADVP\tO' +p360844 +aS'from\tfrom\tIN\tB-PP\tO' +p360845 +aS'230\t230\tCD\tB-NP\tO' +p360846 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p360847 +aS'to\tto\tTO\tB-VP\tO' +p360848 +aS'approx\tapprox\tVB\tI-VP\tO' +p360849 +aS'160\t160\tCD\tB-NP\tO' +p360850 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p360851 +aS'/\t/\tSYM\tI-NP\tO' +p360852 +aS'100\t100\tCD\tI-NP\tO' +p360853 +aS'diastolic\tdiastolic\tJJ\tI-NP\tO' +p360854 +aS'on\ton\tIN\tB-PP\tO' +p360855 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p360856 +aS'.\t.\t.\tO\tO' +p360857 +asS'He has insulin dependent diabetes mellitus and a history of a dilated cardiomyopathy .' +p360858 +(lp360859 +S'He\tHe\tPRP\tB-NP\tO' +p360860 +aS'has\thave\tVBZ\tB-VP\tO' +p360861 +aS'insulin\tinsulin\tNN\tB-NP\tB-protein' +p360862 +aS'dependent\tdependent\tJJ\tI-NP\tO' +p360863 +aS'diabetes\tdiabete\tNNS\tI-NP\tO' +p360864 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p360865 +aS'and\tand\tCC\tO\tO' +p360866 +aS'a\ta\tDT\tB-NP\tO' +p360867 +aS'history\thistory\tNN\tI-NP\tO' +p360868 +aS'of\tof\tIN\tB-PP\tO' +p360869 +aS'a\ta\tDT\tB-NP\tO' +p360870 +aS'dilated\tdilated\tJJ\tI-NP\tO' +p360871 +aS'cardiomyopathy\tcardiomyopathy\tNN\tI-NP\tO' +p360872 +aS'.\t.\t.\tO\tO' +p360873 +asS'Lungs were clear to auscultation .' +p360874 +(lp360875 +S'Lungs\tLung\tNNS\tB-NP\tO' +p360876 +aS'were\tbe\tVBD\tB-VP\tO' +p360877 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p360878 +aS'to\tto\tTO\tB-PP\tO' +p360879 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p360880 +aS'.\t.\t.\tO\tO' +p360881 +asS'Baby received 48 hours of Ampicillin and Gentamycin with negative cultures and a stable clinical course .' +p360882 +(lp360883 +S'Baby\tBaby\tNNP\tB-NP\tO' +p360884 +aS'received\treceive\tVBD\tB-VP\tO' +p360885 +aS'48\t48\tCD\tB-NP\tO' +p360886 +aS'hours\thour\tNNS\tI-NP\tO' +p360887 +aS'of\tof\tIN\tB-PP\tO' +p360888 +aS'Ampicillin\tAmpicillin\tNN\tB-NP\tB-protein' +p360889 +aS'and\tand\tCC\tI-NP\tO' +p360890 +aS'Gentamycin\tGentamycin\tNN\tI-NP\tO' +p360891 +aS'with\twith\tIN\tB-PP\tO' +p360892 +aS'negative\tnegative\tJJ\tB-NP\tO' +p360893 +aS'cultures\tculture\tNNS\tI-NP\tO' +p360894 +aS'and\tand\tCC\tO\tO' +p360895 +aS'a\ta\tDT\tB-NP\tO' +p360896 +aS'stable\tstable\tJJ\tI-NP\tO' +p360897 +aS'clinical\tclinical\tJJ\tI-NP\tO' +p360898 +aS'course\tcourse\tNN\tI-NP\tO' +p360899 +aS'.\t.\t.\tO\tO' +p360900 +asS'The contact social worker is Barbara Cole and she can be reached at ( 972 ) 433-8086 .' +p360901 +(lp360902 +S'The\tThe\tDT\tB-NP\tO' +p360903 +aS'contact\tcontact\tNN\tI-NP\tO' +p360904 +aS'social\tsocial\tJJ\tI-NP\tO' +p360905 +aS'worker\tworker\tNN\tI-NP\tO' +p360906 +aS'is\tbe\tVBZ\tB-VP\tO' +p360907 +aS'Barbara\tBarbara\tNNP\tB-NP\tO' +p360908 +aS'Cole\tCole\tNNP\tI-NP\tO' +p360909 +aS'and\tand\tCC\tO\tO' +p360910 +aS'she\tshe\tPRP\tB-NP\tO' +p360911 +aS'can\tcan\tMD\tB-VP\tO' +p360912 +aS'be\tbe\tVB\tI-VP\tO' +p360913 +aS'reached\treach\tVBN\tI-VP\tO' +p360914 +aS'at\tat\tIN\tB-PP\tO' +p360915 +aS'(\t(\t(\tO\tO' +p360916 +aS'972\t972\tCD\tB-NP\tO' +p360917 +aS')\t)\t)\tO\tO' +p360918 +aS'433-8086\t433-8086\tCD\tB-NP\tO' +p360919 +aS'.\t.\t.\tO\tO' +p360920 +asS'Systolic blood pressure was reported 250 on arrival to the Mass. Eye & Ear Infirmary Emergency Department .' +p360921 +(lp360922 +S'Systolic\tSystolic\tJJ\tB-NP\tO' +p360923 +aS'blood\tblood\tNN\tI-NP\tO' +p360924 +aS'pressure\tpressure\tNN\tI-NP\tO' +p360925 +aS'was\tbe\tVBD\tB-VP\tO' +p360926 +aS'reported\treport\tVBN\tI-VP\tO' +p360927 +aS'250\t250\tCD\tB-NP\tO' +p360928 +aS'on\ton\tIN\tB-PP\tO' +p360929 +aS'arrival\tarrival\tNN\tB-NP\tO' +p360930 +aS'to\tto\tTO\tB-PP\tO' +p360931 +aS'the\tthe\tDT\tB-NP\tO' +p360932 +aS'Mass.\tMass.\tNNP\tI-NP\tO' +p360933 +aS'Eye\tEye\tNNP\tI-NP\tO' +p360934 +aS'&\t&\tCC\tI-NP\tO' +p360935 +aS'Ear\tEar\tNNP\tI-NP\tO' +p360936 +aS'Infirmary\tInfirmary\tNNP\tI-NP\tO' +p360937 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p360938 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p360939 +aS'.\t.\t.\tO\tO' +p360940 +asS'PA was 19/7 with a mean of 13 .' +p360941 +(lp360942 +S'PA\tPA\tNN\tB-NP\tO' +p360943 +aS'was\tbe\tVBD\tB-VP\tO' +p360944 +aS'19/7\t19/7\tCD\tB-NP\tO' +p360945 +aS'with\twith\tIN\tB-PP\tO' +p360946 +aS'a\ta\tDT\tB-NP\tO' +p360947 +aS'mean\tmean\tNN\tI-NP\tO' +p360948 +aS'of\tof\tIN\tB-PP\tO' +p360949 +aS'13\t13\tCD\tB-NP\tO' +p360950 +aS'.\t.\t.\tO\tO' +p360951 +asS'Prilosec , 20 mg. PO q.day ; Singulair .' +p360952 +(lp360953 +S'Prilosec\tPrilosec\tNNP\tB-NP\tO' +p360954 +aS',\t,\t,\tO\tO' +p360955 +aS'20\t20\tCD\tB-NP\tO' +p360956 +aS'mg.\tmg.\tNN\tI-NP\tO' +p360957 +aS'PO\tPO\tNN\tI-NP\tO' +p360958 +aS'q.day\tq.day\tNN\tI-NP\tO' +p360959 +aS';\t;\t:\tO\tO' +p360960 +aS'Singulair\tSingulair\tNNP\tB-NP\tO' +p360961 +aS'.\t.\t.\tO\tO' +p360962 +asS'Call to reschedule .' +p360963 +(lp360964 +S'Call\tCall\tVB\tB-VP\tO' +p360965 +aS'to\tto\tTO\tI-VP\tO' +p360966 +aS'reschedule\treschedule\tVB\tI-VP\tO' +p360967 +aS'.\t.\t.\tO\tO' +p360968 +asS'The patient had no shortness of breath or cough on discharge .' +p360969 +(lp360970 +S'The\tThe\tDT\tB-NP\tO' +p360971 +aS'patient\tpatient\tNN\tI-NP\tO' +p360972 +aS'had\thave\tVBD\tB-VP\tO' +p360973 +aS'no\tno\tDT\tB-NP\tO' +p360974 +aS'shortness\tshortness\tNN\tI-NP\tO' +p360975 +aS'of\tof\tIN\tB-PP\tO' +p360976 +aS'breath\tbreath\tNN\tB-NP\tO' +p360977 +aS'or\tor\tCC\tI-NP\tO' +p360978 +aS'cough\tcough\tNN\tI-NP\tO' +p360979 +aS'on\ton\tIN\tB-PP\tO' +p360980 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p360981 +aS'.\t.\t.\tO\tO' +p360982 +asS'Her temperature is 97.9 , blood pressure 160/80 , heart rate 92 , her HEENT examination reveals anicteric sclerae and her left eye has slightly relaxed inferoorbital wall .' +p360983 +(lp360984 +S'Her\tHer\tPRP$\tB-NP\tO' +p360985 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p360986 +aS'is\tbe\tVBZ\tB-VP\tO' +p360987 +aS'97.9\t97.9\tCD\tB-NP\tO' +p360988 +aS',\t,\t,\tO\tO' +p360989 +aS'blood\tblood\tNN\tB-NP\tO' +p360990 +aS'pressure\tpressure\tNN\tI-NP\tO' +p360991 +aS'160/80\t160/80\tCD\tI-NP\tO' +p360992 +aS',\t,\t,\tO\tO' +p360993 +aS'heart\theart\tNN\tB-NP\tO' +p360994 +aS'rate\trate\tNN\tI-NP\tO' +p360995 +aS'92\t92\tCD\tI-NP\tO' +p360996 +aS',\t,\t,\tO\tO' +p360997 +aS'her\ther\tPRP$\tB-NP\tO' +p360998 +aS'HEENT\tHEENT\tNN\tI-NP\tO' +p360999 +aS'examination\texamination\tNN\tI-NP\tO' +p361000 +aS'reveals\treveal\tVBZ\tB-VP\tO' +p361001 +aS'anicteric\tanicteric\tJJ\tB-NP\tO' +p361002 +aS'sclerae\tsclerae\tNNS\tI-NP\tO' +p361003 +aS'and\tand\tCC\tO\tO' +p361004 +aS'her\ther\tPRP$\tB-NP\tO' +p361005 +aS'left\tleft\tJJ\tI-NP\tO' +p361006 +aS'eye\teye\tNN\tI-NP\tO' +p361007 +aS'has\thave\tVBZ\tB-VP\tO' +p361008 +aS'slightly\tslightly\tRB\tI-VP\tO' +p361009 +aS'relaxed\trelax\tVBN\tI-VP\tO' +p361010 +aS'inferoorbital\tinferoorbital\tJJ\tB-NP\tO' +p361011 +aS'wall\twall\tNN\tI-NP\tO' +p361012 +aS'.\t.\t.\tO\tO' +p361013 +asS'The patient tolerated the procedure well and he was sent to the floor in stable condition .' +p361014 +(lp361015 +S'The\tThe\tDT\tB-NP\tO' +p361016 +aS'patient\tpatient\tNN\tI-NP\tO' +p361017 +aS'tolerated\ttolerate\tVBD\tB-VP\tO' +p361018 +aS'the\tthe\tDT\tB-NP\tO' +p361019 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p361020 +aS'well\twell\tRB\tB-ADVP\tO' +p361021 +aS'and\tand\tCC\tO\tO' +p361022 +aS'he\the\tPRP\tB-NP\tO' +p361023 +aS'was\tbe\tVBD\tB-VP\tO' +p361024 +aS'sent\tsend\tVBN\tI-VP\tO' +p361025 +aS'to\tto\tTO\tB-PP\tO' +p361026 +aS'the\tthe\tDT\tB-NP\tO' +p361027 +aS'floor\tfloor\tNN\tI-NP\tO' +p361028 +aS'in\tin\tIN\tB-PP\tO' +p361029 +aS'stable\tstable\tJJ\tB-NP\tO' +p361030 +aS'condition\tcondition\tNN\tI-NP\tO' +p361031 +aS'.\t.\t.\tO\tO' +p361032 +asS'- Insulin NPH 75-25 20units qAM and humalog sliding scale' +p361033 +(lp361034 +S'-\t-\tHYPH\tB-NP\tO' +p361035 +aS'Insulin\tInsulin\tNN\tI-NP\tB-protein' +p361036 +aS'NPH\tNPH\tNN\tI-NP\tO' +p361037 +aS'75-25\t75-25\tCD\tB-NP\tO' +p361038 +aS'20units\t20unit\tNNS\tI-NP\tO' +p361039 +aS'qAM\tqAM\tNN\tB-NP\tO' +p361040 +aS'and\tand\tCC\tO\tO' +p361041 +aS'humalog\thumalog\tNN\tB-NP\tO' +p361042 +aS'sliding\tslide\tVBG\tB-VP\tO' +p361043 +aS'scale\tscale\tNN\tB-NP\tO' +p361044 +asS'No masses or thrombi are seen in the left ventricle ( due to poor echo windows cannot fully exclude ).' +p361045 +(lp361046 +S'No\tNo\tDT\tB-NP\tO' +p361047 +aS'masses\tmass\tNNS\tI-NP\tO' +p361048 +aS'or\tor\tCC\tI-NP\tO' +p361049 +aS'thrombi\tthrombus\tNNS\tI-NP\tO' +p361050 +aS'are\tbe\tVBP\tB-VP\tO' +p361051 +aS'seen\tsee\tVBN\tI-VP\tO' +p361052 +aS'in\tin\tIN\tB-PP\tO' +p361053 +aS'the\tthe\tDT\tB-NP\tO' +p361054 +aS'left\tleft\tJJ\tI-NP\tO' +p361055 +aS'ventricle\tventricle\tNN\tI-NP\tO' +p361056 +aS'(\t(\t(\tO\tO' +p361057 +aS'due\tdue\tJJ\tB-PP\tO' +p361058 +aS'to\tto\tTO\tB-PP\tO' +p361059 +aS'poor\tpoor\tJJ\tB-NP\tO' +p361060 +aS'echo\techo\tJJ\tI-NP\tO' +p361061 +aS'windows\twindow\tNNS\tI-NP\tO' +p361062 +aS'cannot\tcannot\tMD\tB-VP\tO' +p361063 +aS'fully\tfully\tRB\tI-VP\tO' +p361064 +aS'exclude\texclude\tVB\tI-VP\tO' +p361065 +aS').\t).\t.\tO\tO' +p361066 +asS'Mother with asthma .' +p361067 +(lp361068 +S'Mother\tMother\tDT\tB-NP\tO' +p361069 +aS'with\twith\tIN\tB-PP\tO' +p361070 +aS'asthma\tasthma\tNN\tB-NP\tO' +p361071 +aS'.\t.\t.\tO\tO' +p361072 +asS'Attention was paid to a variety of metabolic and electrolyte abnormalities , which were corrected appropriately .' +p361073 +(lp361074 +S'Attention\tAttention\tNN\tB-NP\tO' +p361075 +aS'was\tbe\tVBD\tB-VP\tO' +p361076 +aS'paid\tpay\tVBN\tI-VP\tO' +p361077 +aS'to\tto\tTO\tB-PP\tO' +p361078 +aS'a\ta\tDT\tB-NP\tO' +p361079 +aS'variety\tvariety\tNN\tI-NP\tO' +p361080 +aS'of\tof\tIN\tB-PP\tO' +p361081 +aS'metabolic\tmetabolic\tJJ\tB-NP\tO' +p361082 +aS'and\tand\tCC\tI-NP\tO' +p361083 +aS'electrolyte\telectrolyte\tNN\tI-NP\tO' +p361084 +aS'abnormalities\tabnormality\tNNS\tI-NP\tO' +p361085 +aS',\t,\t,\tO\tO' +p361086 +aS'which\twhich\tWDT\tB-NP\tO' +p361087 +aS'were\tbe\tVBD\tB-VP\tO' +p361088 +aS'corrected\tcorrect\tVBN\tI-VP\tO' +p361089 +aS'appropriately\tappropriately\tRB\tB-ADVP\tO' +p361090 +aS'.\t.\t.\tO\tO' +p361091 +asS"The patient 's SMA 7 was notable for a BUN of 28 , creatinine 1.3 , and a glucose of 102 ." +p361092 +(lp361093 +S'The\tThe\tDT\tB-NP\tO' +p361094 +aS'patient\tpatient\tNN\tI-NP\tO' +p361095 +aS"'s\t's\tPOS\tB-NP\tO" +p361096 +aS'SMA\tSMA\tNN\tI-NP\tB-protein' +p361097 +aS'7\t7\tCD\tI-NP\tI-protein' +p361098 +aS'was\tbe\tVBD\tB-VP\tO' +p361099 +aS'notable\tnotable\tJJ\tB-ADJP\tO' +p361100 +aS'for\tfor\tIN\tB-PP\tO' +p361101 +aS'a\ta\tDT\tB-NP\tO' +p361102 +aS'BUN\tBUN\tNN\tI-NP\tB-protein' +p361103 +aS'of\tof\tIN\tB-PP\tO' +p361104 +aS'28\t28\tCD\tB-NP\tO' +p361105 +aS',\t,\t,\tO\tO' +p361106 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p361107 +aS'1.3\t1.3\tCD\tI-NP\tO' +p361108 +aS',\t,\t,\tO\tO' +p361109 +aS'and\tand\tCC\tO\tO' +p361110 +aS'a\ta\tDT\tB-NP\tO' +p361111 +aS'glucose\tglucose\tNN\tI-NP\tO' +p361112 +aS'of\tof\tIN\tB-PP\tO' +p361113 +aS'102\t102\tCD\tB-NP\tO' +p361114 +aS'.\t.\t.\tO\tO' +p361115 +asS'There was approximately 500cc of retroperitoneal clot .' +p361116 +(lp361117 +S'There\tThere\tEX\tB-NP\tO' +p361118 +aS'was\tbe\tVBD\tB-VP\tO' +p361119 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p361120 +aS'500cc\t500cc\tCD\tI-NP\tO' +p361121 +aS'of\tof\tIN\tB-PP\tO' +p361122 +aS'retroperitoneal\tretroperitoneal\tJJ\tB-NP\tO' +p361123 +aS'clot\tclot\tNN\tI-NP\tO' +p361124 +aS'.\t.\t.\tO\tO' +p361125 +asS'POD# 22/15 Ms Crossman was transferred to 3 North where she continued to progress well with PT , increasing PO intake , tolerating TF s, and weaning from nasal cannula oxygen .' +p361126 +(lp361127 +S'POD#\tPOD#\tNN\tB-NP\tO' +p361128 +aS'22/15\t22/15\tCD\tI-NP\tO' +p361129 +aS'Ms\tM\tNNS\tI-NP\tO' +p361130 +aS'Crossman\tCrossman\tNN\tI-NP\tO' +p361131 +aS'was\tbe\tVBD\tB-VP\tO' +p361132 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p361133 +aS'to\tto\tTO\tB-PP\tO' +p361134 +aS'3\t3\tCD\tB-NP\tO' +p361135 +aS'North\tNorth\tNN\tI-NP\tO' +p361136 +aS'where\twhere\tWRB\tB-ADVP\tO' +p361137 +aS'she\tshe\tPRP\tB-NP\tO' +p361138 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p361139 +aS'to\tto\tTO\tI-VP\tO' +p361140 +aS'progress\tprogress\tVB\tI-VP\tO' +p361141 +aS'well\twell\tRB\tB-ADVP\tO' +p361142 +aS'with\twith\tIN\tB-PP\tO' +p361143 +aS'PT\tPT\tNN\tB-NP\tO' +p361144 +aS',\t,\t,\tO\tO' +p361145 +aS'increasing\tincrease\tVBG\tB-VP\tO' +p361146 +aS'PO\tPO\tNN\tB-NP\tO' +p361147 +aS'intake\tintake\tNN\tI-NP\tO' +p361148 +aS',\t,\t,\tO\tO' +p361149 +aS'tolerating\ttolerate\tVBG\tB-VP\tO' +p361150 +aS'TF\tTF\tNN\tB-NP\tB-protein' +p361151 +aS's,\ts,\tNN\tI-NP\tI-protein' +p361152 +aS'and\tand\tCC\tO\tO' +p361153 +aS'weaning\tweaning\tNN\tB-NP\tO' +p361154 +aS'from\tfrom\tIN\tB-PP\tO' +p361155 +aS'nasal\tnasal\tJJ\tB-NP\tO' +p361156 +aS'cannula\tcannula\tNN\tI-NP\tO' +p361157 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p361158 +aS'.\t.\t.\tO\tO' +p361159 +asS'1. Right middle lobe lung nodule , suspicious for metastatic disease .' +p361160 +(lp361161 +S'1.\t1.\tLS\tB-NP\tO' +p361162 +aS'Right\tRight\tNN\tI-NP\tO' +p361163 +aS'middle\tmiddle\tJJ\tI-NP\tO' +p361164 +aS'lobe\tlobe\tNN\tI-NP\tO' +p361165 +aS'lung\tlung\tNN\tI-NP\tO' +p361166 +aS'nodule\tnodule\tNN\tI-NP\tO' +p361167 +aS',\t,\t,\tO\tO' +p361168 +aS'suspicious\tsuspicious\tJJ\tB-ADJP\tO' +p361169 +aS'for\tfor\tIN\tB-PP\tO' +p361170 +aS'metastatic\tmetastatic\tJJ\tB-NP\tO' +p361171 +aS'disease\tdisease\tNN\tI-NP\tO' +p361172 +aS'.\t.\t.\tO\tO' +p361173 +asS'The patient had no further episodes of chest discomfort and remained afebrile while in house .' +p361174 +(lp361175 +S'The\tThe\tDT\tB-NP\tO' +p361176 +aS'patient\tpatient\tNN\tI-NP\tO' +p361177 +aS'had\thave\tVBD\tB-VP\tO' +p361178 +aS'no\tno\tDT\tB-NP\tO' +p361179 +aS'further\tfurther\tJJ\tI-NP\tO' +p361180 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p361181 +aS'of\tof\tIN\tB-PP\tO' +p361182 +aS'chest\tchest\tNN\tB-NP\tO' +p361183 +aS'discomfort\tdiscomfort\tNN\tI-NP\tO' +p361184 +aS'and\tand\tCC\tO\tO' +p361185 +aS'remained\tremain\tVBD\tB-VP\tO' +p361186 +aS'afebrile\tafebrile\tJJ\tB-NP\tO' +p361187 +aS'while\twhile\tNN\tI-NP\tO' +p361188 +aS'in\tin\tIN\tB-PP\tO' +p361189 +aS'house\thouse\tNN\tB-NP\tO' +p361190 +aS'.\t.\t.\tO\tO' +p361191 +asS'Negative trismus or stridor .' +p361192 +(lp361193 +S'Negative\tNegative\tJJ\tB-NP\tO' +p361194 +aS'trismus\ttrismus\tNN\tI-NP\tO' +p361195 +aS'or\tor\tCC\tI-NP\tO' +p361196 +aS'stridor\tstridor\tNN\tI-NP\tO' +p361197 +aS'.\t.\t.\tO\tO' +p361198 +asS'She has had ultrasound proven gallstones for ten years , seen on an earlier obstetric ultrasound .' +p361199 +(lp361200 +S'She\tShe\tPRP\tB-NP\tO' +p361201 +aS'has\thave\tVBZ\tB-VP\tO' +p361202 +aS'had\thave\tVBN\tI-VP\tO' +p361203 +aS'ultrasound\tultrasound\tVBN\tI-VP\tO' +p361204 +aS'proven\tproven\tJJ\tB-NP\tO' +p361205 +aS'gallstones\tgallstone\tNNS\tI-NP\tO' +p361206 +aS'for\tfor\tIN\tB-PP\tO' +p361207 +aS'ten\tten\tCD\tB-NP\tO' +p361208 +aS'years\tyear\tNNS\tI-NP\tO' +p361209 +aS',\t,\t,\tO\tO' +p361210 +aS'seen\tsee\tVBN\tB-VP\tO' +p361211 +aS'on\ton\tIN\tB-PP\tO' +p361212 +aS'an\tan\tDT\tB-NP\tO' +p361213 +aS'earlier\tearly\tJJR\tI-NP\tO' +p361214 +aS'obstetric\tobstetric\tJJ\tI-NP\tO' +p361215 +aS'ultrasound\tultrasound\tNN\tI-NP\tO' +p361216 +aS'.\t.\t.\tO\tO' +p361217 +asS'At 9/6/93 , 2:30 p.m. , fluids were decreased to 75 cc's per hour , 150 cc's per kilo , 40 mEq of K phosphate added to the intravenous fluids .' +p361218 +(lp361219 +S'At\tAt\tIN\tB-PP\tO' +p361220 +aS'9/6/93\t9/6/93\tCD\tB-NP\tO' +p361221 +aS',\t,\t,\tO\tO' +p361222 +aS'2:30\t2:30\tCD\tB-NP\tO' +p361223 +aS'p.m.\tp.m.\tRB\tB-ADVP\tO' +p361224 +aS',\t,\t,\tO\tO' +p361225 +aS'fluids\tfluid\tNNS\tB-NP\tO' +p361226 +aS'were\tbe\tVBD\tB-VP\tO' +p361227 +aS'decreased\tdecrease\tVBN\tI-VP\tO' +p361228 +aS'to\tto\tTO\tB-PP\tO' +p361229 +aS'75\t75\tCD\tB-NP\tO' +p361230 +aS'cc's\tcc'\tNNS\tI-NP\tO' +p361231 +aS'per\tper\tIN\tB-PP\tO' +p361232 +aS'hour\thour\tNN\tB-NP\tO' +p361233 +aS',\t,\t,\tO\tO' +p361234 +aS'150\t150\tCD\tB-NP\tO' +p361235 +aS'cc's\tcc'\tNNS\tI-NP\tO' +p361236 +aS'per\tper\tIN\tB-PP\tO' +p361237 +aS'kilo\tkilo\tNN\tB-NP\tO' +p361238 +aS',\t,\t,\tO\tO' +p361239 +aS'40\t40\tCD\tB-NP\tO' +p361240 +aS'mEq\tmEq\tNN\tI-NP\tO' +p361241 +aS'of\tof\tIN\tB-PP\tO' +p361242 +aS'K\tK\tNN\tB-NP\tO' +p361243 +aS'phosphate\tphosphate\tNN\tI-NP\tO' +p361244 +aS'added\tadd\tVBN\tB-VP\tO' +p361245 +aS'to\tto\tTO\tB-PP\tO' +p361246 +aS'the\tthe\tDT\tB-NP\tO' +p361247 +aS'intravenous\tintravenous\tJJ\tI-NP\tO' +p361248 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p361249 +aS'.\t.\t.\tO\tO' +p361250 +asS'Status post cardiac catheterization and stents times three of the right coronary artery .' +p361251 +(lp361252 +S'Status\tStatus\tNNP\tB-NP\tO' +p361253 +aS'post\tpost\tVBD\tB-VP\tO' +p361254 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p361255 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p361256 +aS'and\tand\tCC\tO\tO' +p361257 +aS'stents\tstent\tNNS\tB-NP\tO' +p361258 +aS'times\ttime\tNNS\tI-NP\tO' +p361259 +aS'three\tthree\tCD\tB-NP\tO' +p361260 +aS'of\tof\tIN\tB-PP\tO' +p361261 +aS'the\tthe\tDT\tB-NP\tO' +p361262 +aS'right\tright\tJJ\tI-NP\tO' +p361263 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p361264 +aS'artery\tartery\tNN\tI-NP\tO' +p361265 +aS'.\t.\t.\tO\tO' +p361266 +asS'CBC and blood culture were obtained upon admission revealing a white blood cell count of 9.0 with 25 polys and 0 bands ; hematocrit was 46.9% and platelets of 222,000 .' +p361267 +(lp361268 +S'CBC\tCBC\tNN\tB-NP\tB-protein' +p361269 +aS'and\tand\tCC\tI-NP\tO' +p361270 +aS'blood\tblood\tNN\tI-NP\tO' +p361271 +aS'culture\tculture\tNN\tI-NP\tO' +p361272 +aS'were\tbe\tVBD\tB-VP\tO' +p361273 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p361274 +aS'upon\tupon\tIN\tB-PP\tO' +p361275 +aS'admission\tadmission\tNN\tB-NP\tO' +p361276 +aS'revealing\treveal\tVBG\tB-VP\tO' +p361277 +aS'a\ta\tDT\tB-NP\tO' +p361278 +aS'white\twhite\tJJ\tI-NP\tO' +p361279 +aS'blood\tblood\tNN\tI-NP\tO' +p361280 +aS'cell\tcell\tNN\tI-NP\tO' +p361281 +aS'count\tcount\tNN\tI-NP\tO' +p361282 +aS'of\tof\tIN\tB-PP\tO' +p361283 +aS'9.0\t9.0\tCD\tB-NP\tO' +p361284 +aS'with\twith\tIN\tB-PP\tO' +p361285 +aS'25\t25\tCD\tB-NP\tO' +p361286 +aS'polys\tpoly\tNNS\tI-NP\tO' +p361287 +aS'and\tand\tCC\tO\tO' +p361288 +aS'0\t0\tCD\tB-NP\tO' +p361289 +aS'bands\tband\tNNS\tI-NP\tO' +p361290 +aS';\t;\t:\tO\tO' +p361291 +aS'hematocrit\thematocrit\tNN\tB-NP\tO' +p361292 +aS'was\tbe\tVBD\tB-VP\tO' +p361293 +aS'46.9%\t46.9%\tCD\tB-NP\tO' +p361294 +aS'and\tand\tCC\tO\tO' +p361295 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p361296 +aS'of\tof\tIN\tB-PP\tO' +p361297 +aS'222,000\t222,000\tCD\tB-NP\tO' +p361298 +aS'.\t.\t.\tO\tO' +p361299 +asS'Incicsion was clean dry and intact and pt was discharged home in stable condition' +p361300 +(lp361301 +S'Incicsion\tIncicsion\tNN\tB-NP\tO' +p361302 +aS'was\tbe\tVBD\tB-VP\tO' +p361303 +aS'clean\tclean\tJJ\tB-NP\tO' +p361304 +aS'dry\tdry\tJJ\tI-NP\tO' +p361305 +aS'and\tand\tCC\tI-NP\tO' +p361306 +aS'intact\tintact\tJJ\tI-NP\tO' +p361307 +aS'and\tand\tCC\tO\tO' +p361308 +aS'pt\tpt\tNN\tB-NP\tO' +p361309 +aS'was\tbe\tVBD\tB-VP\tO' +p361310 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p361311 +aS'home\thome\tNN\tB-ADVP\tO' +p361312 +aS'in\tin\tIN\tB-PP\tO' +p361313 +aS'stable\tstable\tJJ\tB-NP\tO' +p361314 +aS'condition\tcondition\tNN\tI-NP\tO' +p361315 +asS'This was a change from her prior echocardiogram and demonstrated evidence of a small myocardial infarction .' +p361316 +(lp361317 +S'This\tThis\tDT\tB-NP\tO' +p361318 +aS'was\tbe\tVBD\tB-VP\tO' +p361319 +aS'a\ta\tDT\tB-NP\tO' +p361320 +aS'change\tchange\tNN\tI-NP\tO' +p361321 +aS'from\tfrom\tIN\tB-PP\tO' +p361322 +aS'her\ther\tPRP$\tB-NP\tO' +p361323 +aS'prior\tprior\tJJ\tI-NP\tO' +p361324 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p361325 +aS'and\tand\tCC\tO\tO' +p361326 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p361327 +aS'evidence\tevidence\tNN\tB-NP\tO' +p361328 +aS'of\tof\tIN\tB-PP\tO' +p361329 +aS'a\ta\tDT\tB-NP\tO' +p361330 +aS'small\tsmall\tJJ\tI-NP\tO' +p361331 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p361332 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p361333 +aS'.\t.\t.\tO\tO' +p361334 +asS'4) Venereal disease history .' +p361335 +(lp361336 +S'4)\t4)\tLS\tB-NP\tO' +p361337 +aS'Venereal\tVenereal\tNN\tI-NP\tO' +p361338 +aS'disease\tdisease\tNN\tI-NP\tO' +p361339 +aS'history\thistory\tNN\tI-NP\tO' +p361340 +aS'.\t.\t.\tO\tO' +p361341 +asS'Gag was intact .' +p361342 +(lp361343 +S'Gag\tGag\tNN\tB-NP\tB-protein' +p361344 +aS'was\tbe\tVBD\tB-VP\tO' +p361345 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p361346 +aS'.\t.\t.\tO\tO' +p361347 +asS'4) peripheral vascular disease with previous left femoral popliteal bypass ,' +p361348 +(lp361349 +S'4)\t4)\tLS\tB-NP\tO' +p361350 +aS'peripheral\tperipheral\tJJ\tI-NP\tO' +p361351 +aS'vascular\tvascular\tJJ\tI-NP\tO' +p361352 +aS'disease\tdisease\tNN\tI-NP\tO' +p361353 +aS'with\twith\tIN\tB-PP\tO' +p361354 +aS'previous\tprevious\tJJ\tB-NP\tO' +p361355 +aS'left\tleft\tJJ\tI-NP\tO' +p361356 +aS'femoral\tfemoral\tJJ\tI-NP\tO' +p361357 +aS'popliteal\tpopliteal\tJJ\tI-NP\tO' +p361358 +aS'bypass\tbypass\tNN\tI-NP\tO' +p361359 +aS',\t,\t,\tO\tO' +p361360 +asS'Positive blood cultures with Staph. aureus sensitiveto Methicillin .' +p361361 +(lp361362 +S'Positive\tPositive\tJJ\tB-NP\tO' +p361363 +aS'blood\tblood\tNN\tI-NP\tO' +p361364 +aS'cultures\tculture\tNNS\tI-NP\tO' +p361365 +aS'with\twith\tIN\tB-PP\tO' +p361366 +aS'Staph.\tStaph.\tNNP\tB-NP\tB-protein' +p361367 +aS'aureus\taureus\tNNP\tI-NP\tI-protein' +p361368 +aS'sensitiveto\tsensitiveto\tNN\tI-NP\tI-protein' +p361369 +aS'Methicillin\tMethicillin\tNN\tI-NP\tI-protein' +p361370 +aS'.\t.\t.\tO\tO' +p361371 +asS'Adult-onset diabetes mellitus x 40 years , history of silent myocardial infarction , coronary artery bypass graft ( three vessels in 1987 ) , history of chronic , stable angina pectoris , Fournier 's gangrene versus necrotizing fasciitis , congestive heart failure in 03/97 while in the hospital for a rib fracture , glaucoma , diabetic retinopathy with blindness in the right eye , history of gastric stapling , left rib fracture , right femur surgery .' +p361372 +(lp361373 +S'Adult-onset\tAdult-onset\tJJ\tB-NP\tO' +p361374 +aS'diabetes\tdiabetes\tNN\tI-NP\tO' +p361375 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p361376 +aS'x\tx\tSYM\tO\tO' +p361377 +aS'40\t40\tCD\tB-NP\tO' +p361378 +aS'years\tyear\tNNS\tI-NP\tO' +p361379 +aS',\t,\t,\tO\tO' +p361380 +aS'history\thistory\tNN\tB-NP\tO' +p361381 +aS'of\tof\tIN\tB-PP\tO' +p361382 +aS'silent\tsilent\tJJ\tB-NP\tO' +p361383 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p361384 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p361385 +aS',\t,\t,\tO\tO' +p361386 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p361387 +aS'artery\tartery\tNN\tI-NP\tO' +p361388 +aS'bypass\tbypass\tNN\tI-NP\tO' +p361389 +aS'graft\tgraft\tNN\tI-NP\tO' +p361390 +aS'(\t(\t(\tO\tO' +p361391 +aS'three\tthree\tCD\tB-NP\tO' +p361392 +aS'vessels\tvessel\tNNS\tI-NP\tO' +p361393 +aS'in\tin\tIN\tB-PP\tO' +p361394 +aS'1987\t1987\tCD\tB-NP\tO' +p361395 +aS')\t)\t)\tO\tO' +p361396 +aS',\t,\t,\tO\tO' +p361397 +aS'history\thistory\tNN\tB-NP\tO' +p361398 +aS'of\tof\tIN\tB-PP\tO' +p361399 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p361400 +aS',\t,\t,\tI-NP\tO' +p361401 +aS'stable\tstable\tJJ\tI-NP\tO' +p361402 +aS'angina\tangina\tNN\tI-NP\tO' +p361403 +aS'pectoris\tpectoris\tNN\tI-NP\tO' +p361404 +aS',\t,\t,\tO\tO' +p361405 +aS'Fournier\tFourni\tJJR\tB-NP\tO' +p361406 +aS''s\t'\tNNS\tI-NP\tO' +p361407 +aS'gangrene\tgangrene\tNN\tI-NP\tO' +p361408 +aS'versus\tversus\tIN\tB-PP\tO' +p361409 +aS'necrotizing\tnecrotize\tVBG\tB-VP\tO' +p361410 +aS'fasciitis\tfasciitis\tNN\tB-NP\tO' +p361411 +aS',\t,\t,\tO\tO' +p361412 +aS'congestive\tcongestive\tJJ\tB-NP\tO' +p361413 +aS'heart\theart\tNN\tI-NP\tO' +p361414 +aS'failure\tfailure\tNN\tI-NP\tO' +p361415 +aS'in\tin\tIN\tB-PP\tO' +p361416 +aS'03/97\t03/97\tCD\tB-NP\tO' +p361417 +aS'while\twhile\tIN\tB-SBAR\tO' +p361418 +aS'in\tin\tIN\tB-PP\tO' +p361419 +aS'the\tthe\tDT\tB-NP\tO' +p361420 +aS'hospital\thospital\tNN\tI-NP\tO' +p361421 +aS'for\tfor\tIN\tB-PP\tO' +p361422 +aS'a\ta\tDT\tB-NP\tO' +p361423 +aS'rib\trib\tNN\tI-NP\tO' +p361424 +aS'fracture\tfracture\tNN\tI-NP\tO' +p361425 +aS',\t,\t,\tO\tO' +p361426 +aS'glaucoma\tglaucoma\tNN\tB-NP\tO' +p361427 +aS',\t,\t,\tO\tO' +p361428 +aS'diabetic\tdiabetic\tJJ\tB-NP\tO' +p361429 +aS'retinopathy\tretinopathy\tNN\tI-NP\tO' +p361430 +aS'with\twith\tIN\tB-PP\tO' +p361431 +aS'blindness\tblindness\tNN\tB-NP\tO' +p361432 +aS'in\tin\tIN\tB-PP\tO' +p361433 +aS'the\tthe\tDT\tB-NP\tO' +p361434 +aS'right\tright\tJJ\tI-NP\tO' +p361435 +aS'eye\teye\tNN\tI-NP\tO' +p361436 +aS',\t,\t,\tO\tO' +p361437 +aS'history\thistory\tNN\tB-NP\tO' +p361438 +aS'of\tof\tIN\tB-PP\tO' +p361439 +aS'gastric\tgastric\tJJ\tB-NP\tO' +p361440 +aS'stapling\tstapling\tNN\tI-NP\tO' +p361441 +aS',\t,\t,\tO\tO' +p361442 +aS'left\tleave\tVBD\tB-VP\tO' +p361443 +aS'rib\trib\tNN\tB-NP\tO' +p361444 +aS'fracture\tfracture\tNN\tI-NP\tO' +p361445 +aS',\t,\t,\tO\tO' +p361446 +aS'right\tright\tJJ\tB-NP\tO' +p361447 +aS'femur\tfemur\tNN\tI-NP\tO' +p361448 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p361449 +aS'.\t.\t.\tO\tO' +p361450 +asS'Hydrocortisone was given 1 g in an attempt to reverse what was thought to be aggressive coronary allograft vasculopathy .' +p361451 +(lp361452 +S'Hydrocortisone\tHydrocortisone\tNN\tB-NP\tO' +p361453 +aS'was\tbe\tVBD\tB-VP\tO' +p361454 +aS'given\tgive\tVBN\tI-VP\tO' +p361455 +aS'1\t1\tCD\tB-NP\tO' +p361456 +aS'g\tg\tNN\tI-NP\tO' +p361457 +aS'in\tin\tIN\tB-PP\tO' +p361458 +aS'an\tan\tDT\tB-NP\tO' +p361459 +aS'attempt\tattempt\tNN\tI-NP\tO' +p361460 +aS'to\tto\tTO\tB-VP\tO' +p361461 +aS'reverse\treverse\tVB\tI-VP\tO' +p361462 +aS'what\twhat\tWP\tB-NP\tO' +p361463 +aS'was\tbe\tVBD\tB-VP\tO' +p361464 +aS'thought\tthink\tVBN\tI-VP\tO' +p361465 +aS'to\tto\tTO\tI-VP\tO' +p361466 +aS'be\tbe\tVB\tI-VP\tO' +p361467 +aS'aggressive\taggressive\tJJ\tB-NP\tO' +p361468 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p361469 +aS'allograft\tallograft\tNN\tI-NP\tO' +p361470 +aS'vasculopathy\tvasculopathy\tNN\tI-NP\tO' +p361471 +aS'.\t.\t.\tO\tO' +p361472 +asS'Her O2 requirement improved on the vent over the next few days and she was weaned off the vent on 2013-01-01 .' +p361473 +(lp361474 +S'Her\tHer\tPRP$\tB-NP\tO' +p361475 +aS'O2\tO2\tNN\tI-NP\tO' +p361476 +aS'requirement\trequirement\tNN\tI-NP\tO' +p361477 +aS'improved\timprove\tVBN\tB-VP\tO' +p361478 +aS'on\ton\tIN\tB-PP\tO' +p361479 +aS'the\tthe\tDT\tB-NP\tO' +p361480 +aS'vent\tvent\tNN\tI-NP\tO' +p361481 +aS'over\tover\tIN\tB-PP\tO' +p361482 +aS'the\tthe\tDT\tB-NP\tO' +p361483 +aS'next\tnext\tJJ\tI-NP\tO' +p361484 +aS'few\tfew\tJJ\tI-NP\tO' +p361485 +aS'days\tday\tNNS\tI-NP\tO' +p361486 +aS'and\tand\tCC\tO\tO' +p361487 +aS'she\tshe\tPRP\tB-NP\tO' +p361488 +aS'was\tbe\tVBD\tB-VP\tO' +p361489 +aS'weaned\twean\tVBN\tI-VP\tO' +p361490 +aS'off\toff\tIN\tB-PP\tO' +p361491 +aS'the\tthe\tDT\tB-NP\tO' +p361492 +aS'vent\tvent\tNN\tI-NP\tO' +p361493 +aS'on\ton\tIN\tB-PP\tO' +p361494 +aS'2013-01-01\t2013-01-01\tCD\tB-NP\tO' +p361495 +aS'.\t.\t.\tO\tO' +p361496 +asS'She did not tolerate this very well .' +p361497 +(lp361498 +S'She\tShe\tPRP\tB-NP\tO' +p361499 +aS'did\tdo\tVBD\tB-VP\tO' +p361500 +aS'not\tnot\tRB\tI-VP\tO' +p361501 +aS'tolerate\ttolerate\tVB\tI-VP\tO' +p361502 +aS'this\tthis\tDT\tB-NP\tO' +p361503 +aS'very\tvery\tRB\tB-ADVP\tO' +p361504 +aS'well\twell\tRB\tI-ADVP\tO' +p361505 +aS'.\t.\t.\tO\tO' +p361506 +asS'Patient was continued on intravenous fluids until taking good po .' +p361507 +(lp361508 +S'Patient\tPatient\tNN\tB-NP\tO' +p361509 +aS'was\tbe\tVBD\tB-VP\tO' +p361510 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p361511 +aS'on\ton\tIN\tB-PP\tO' +p361512 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p361513 +aS'fluids\tfluid\tNNS\tI-NP\tO' +p361514 +aS'until\tuntil\tIN\tB-PP\tO' +p361515 +aS'taking\ttake\tVBG\tB-VP\tO' +p361516 +aS'good\tgood\tJJ\tB-NP\tO' +p361517 +aS'po\tpo\tNN\tI-NP\tO' +p361518 +aS'.\t.\t.\tO\tO' +p361519 +asS'Chest x-ray on August 6 , 1997 revealed multiple pulmonary nodules increased in size as previously mentioned .' +p361520 +(lp361521 +S'Chest\tCh\tJJS\tB-NP\tO' +p361522 +aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' +p361523 +aS'on\ton\tIN\tB-PP\tO' +p361524 +aS'August\tAugust\tNNP\tB-NP\tO' +p361525 +aS'6\t6\tCD\tI-NP\tO' +p361526 +aS',\t,\t,\tI-NP\tO' +p361527 +aS'1997\t1997\tCD\tI-NP\tO' +p361528 +aS'revealed\treveal\tVBD\tB-VP\tO' +p361529 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p361530 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p361531 +aS'nodules\tnodule\tNNS\tI-NP\tO' +p361532 +aS'increased\tincrease\tVBD\tB-VP\tO' +p361533 +aS'in\tin\tIN\tB-PP\tO' +p361534 +aS'size\tsize\tNN\tB-NP\tO' +p361535 +aS'as\tas\tIN\tB-SBAR\tO' +p361536 +aS'previously\tpreviously\tRB\tB-ADVP\tO' +p361537 +aS'mentioned\tmention\tVBN\tB-VP\tO' +p361538 +aS'.\t.\t.\tO\tO' +p361539 +asS'The patient is transferred to El Hospital , still receiving IV hydration at a rate currently of 50 cc an hour of D5 one-half normal with 20 mEq of K .' +p361540 +(lp361541 +S'The\tThe\tDT\tB-NP\tO' +p361542 +aS'patient\tpatient\tNN\tI-NP\tO' +p361543 +aS'is\tbe\tVBZ\tB-VP\tO' +p361544 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p361545 +aS'to\tto\tTO\tB-PP\tO' +p361546 +aS'El\tEl\tNNP\tB-NP\tO' +p361547 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p361548 +aS',\t,\t,\tO\tO' +p361549 +aS'still\tstill\tRB\tB-ADVP\tO' +p361550 +aS'receiving\treceive\tVBG\tB-VP\tO' +p361551 +aS'IV\tIV\tCD\tB-NP\tO' +p361552 +aS'hydration\thydration\tNN\tI-NP\tO' +p361553 +aS'at\tat\tIN\tB-PP\tO' +p361554 +aS'a\ta\tDT\tB-NP\tO' +p361555 +aS'rate\trate\tNN\tI-NP\tO' +p361556 +aS'currently\tcurrently\tRB\tB-ADVP\tO' +p361557 +aS'of\tof\tIN\tB-PP\tO' +p361558 +aS'50\t50\tCD\tB-NP\tO' +p361559 +aS'cc\tcc\tNN\tI-NP\tO' +p361560 +aS'an\tan\tDT\tB-NP\tO' +p361561 +aS'hour\thour\tNN\tI-NP\tO' +p361562 +aS'of\tof\tIN\tB-PP\tO' +p361563 +aS'D5\tD5\tNN\tB-NP\tO' +p361564 +aS'one-half\tone-half\tNN\tI-NP\tO' +p361565 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p361566 +aS'with\twith\tIN\tB-PP\tO' +p361567 +aS'20\t20\tCD\tB-NP\tO' +p361568 +aS'mEq\tmEq\tNN\tI-NP\tO' +p361569 +aS'of\tof\tIN\tB-PP\tO' +p361570 +aS'K\tK\tNN\tB-NP\tO' +p361571 +aS'.\t.\t.\tO\tO' +p361572 +asS'She was monitored on telemetry for mild tachycardia and recieved IV beta blockers .' +p361573 +(lp361574 +S'She\tShe\tPRP\tB-NP\tO' +p361575 +aS'was\tbe\tVBD\tB-VP\tO' +p361576 +aS'monitored\tmonitor\tVBN\tI-VP\tO' +p361577 +aS'on\ton\tIN\tB-PP\tO' +p361578 +aS'telemetry\ttelemetry\tNN\tB-NP\tO' +p361579 +aS'for\tfor\tIN\tB-PP\tO' +p361580 +aS'mild\tmild\tJJ\tB-NP\tO' +p361581 +aS'tachycardia\ttachycardia\tNN\tI-NP\tO' +p361582 +aS'and\tand\tCC\tO\tO' +p361583 +aS'recieved\trecieve\tVBD\tB-VP\tO' +p361584 +aS'IV\tIV\tCD\tB-NP\tO' +p361585 +aS'beta\tbeta\tSYM\tI-NP\tO' +p361586 +aS'blockers\tblocker\tNNS\tI-NP\tO' +p361587 +aS'.\t.\t.\tO\tO' +p361588 +asS'HEENT -- perrla , eomi , mmm , tongue midline , op clear , no masses' +p361589 +(lp361590 +S'HEENT\tHEENT\tNN\tB-NP\tO' +p361591 +aS'--\t--\t:\tO\tO' +p361592 +aS'perrla\tperrla\tNN\tB-NP\tO' +p361593 +aS',\t,\t,\tO\tO' +p361594 +aS'eomi\teomi\tNN\tB-NP\tO' +p361595 +aS',\t,\t,\tO\tO' +p361596 +aS'mmm\tmmm\tNN\tB-NP\tO' +p361597 +aS',\t,\t,\tO\tO' +p361598 +aS'tongue\ttongue\tNN\tB-NP\tO' +p361599 +aS'midline\tmidline\tNN\tI-NP\tO' +p361600 +aS',\t,\t,\tO\tO' +p361601 +aS'op\top\tVBP\tB-VP\tO' +p361602 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p361603 +aS',\t,\t,\tO\tO' +p361604 +aS'no\tno\tDT\tB-NP\tO' +p361605 +aS'masses\tmass\tNNS\tI-NP\tO' +p361606 +asS'SHE WILL BE DISCHARGED IN GOOD CONDITION .' +p361607 +(lp361608 +S'SHE\tSHE\tNN\tB-NP\tO' +p361609 +aS'WILL\tWILL\tMD\tB-VP\tO' +p361610 +aS'BE\tBE\tVB\tI-VP\tO' +p361611 +aS'DISCHARGED\tDISCHARGED\tJJ\tB-NP\tO' +p361612 +aS'IN\tIN\tNN\tI-NP\tO' +p361613 +aS'GOOD\tGOOD\tNN\tI-NP\tO' +p361614 +aS'CONDITION\tCONDITION\tNN\tI-NP\tO' +p361615 +aS'.\t.\t.\tO\tO' +p361616 +asS'TTE revealed large pericardial effusion .' +p361617 +(lp361618 +S'TTE\tTTE\tNN\tB-NP\tO' +p361619 +aS'revealed\treveal\tVBD\tB-VP\tO' +p361620 +aS'large\tlarge\tJJ\tB-NP\tO' +p361621 +aS'pericardial\tpericardial\tJJ\tI-NP\tO' +p361622 +aS'effusion\teffusion\tNN\tI-NP\tO' +p361623 +aS'.\t.\t.\tO\tO' +p361624 +asS'Her steroids were weaned .' +p361625 +(lp361626 +S'Her\tHer\tPRP$\tB-NP\tO' +p361627 +aS'steroids\tsteroid\tNNS\tI-NP\tO' +p361628 +aS'were\tbe\tVBD\tB-VP\tO' +p361629 +aS'weaned\twean\tVBN\tI-VP\tO' +p361630 +aS'.\t.\t.\tO\tO' +p361631 +asS'His prostate enlarged and he had no peripheral edema .' +p361632 +(lp361633 +S'His\tHis\tPRP$\tB-NP\tO' +p361634 +aS'prostate\tprostate\tNN\tI-NP\tO' +p361635 +aS'enlarged\tenlarge\tVBD\tB-VP\tO' +p361636 +aS'and\tand\tCC\tO\tO' +p361637 +aS'he\the\tPRP\tB-NP\tO' +p361638 +aS'had\thave\tVBD\tB-VP\tO' +p361639 +aS'no\tno\tDT\tB-NP\tO' +p361640 +aS'peripheral\tperipheral\tJJ\tI-NP\tO' +p361641 +aS'edema\tedema\tNN\tI-NP\tO' +p361642 +aS'.\t.\t.\tO\tO' +p361643 +asS'The patient was brought to the Operating Room on 2-19-91 where she had an exploratory laparotomy , TAH / BSO , and omental biopsy .' +p361644 +(lp361645 +S'The\tThe\tDT\tB-NP\tO' +p361646 +aS'patient\tpatient\tNN\tI-NP\tO' +p361647 +aS'was\tbe\tVBD\tB-VP\tO' +p361648 +aS'brought\tbring\tVBN\tI-VP\tO' +p361649 +aS'to\tto\tTO\tB-PP\tO' +p361650 +aS'the\tthe\tDT\tB-NP\tO' +p361651 +aS'Operating\tOperating\tNNP\tI-NP\tO' +p361652 +aS'Room\tRoom\tNNP\tI-NP\tO' +p361653 +aS'on\ton\tIN\tB-PP\tO' +p361654 +aS'2-19-91\t2-19-91\tCD\tB-NP\tO' +p361655 +aS'where\twhere\tWRB\tB-ADVP\tO' +p361656 +aS'she\tshe\tPRP\tB-NP\tO' +p361657 +aS'had\thave\tVBD\tB-VP\tO' +p361658 +aS'an\tan\tDT\tB-NP\tO' +p361659 +aS'exploratory\texploratory\tJJ\tI-NP\tO' +p361660 +aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' +p361661 +aS',\t,\t,\tO\tO' +p361662 +aS'TAH\tTAH\tNN\tB-NP\tB-protein' +p361663 +aS'/\t/\tSYM\tB-NP\tO' +p361664 +aS'BSO\tBSO\tNN\tI-NP\tO' +p361665 +aS',\t,\t,\tO\tO' +p361666 +aS'and\tand\tCC\tO\tO' +p361667 +aS'omental\tomental\tJJ\tB-NP\tO' +p361668 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p361669 +aS'.\t.\t.\tO\tO' +p361670 +asS'Since oxycontin was discontinued , the foley was removed on 07-27 and was able to void without any difficulty .' +p361671 +(lp361672 +S'Since\tSince\tIN\tB-SBAR\tO' +p361673 +aS'oxycontin\toxycontin\tNN\tB-NP\tO' +p361674 +aS'was\tbe\tVBD\tB-VP\tO' +p361675 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p361676 +aS',\t,\t,\tO\tO' +p361677 +aS'the\tthe\tDT\tB-NP\tO' +p361678 +aS'foley\tfoley\tNN\tI-NP\tO' +p361679 +aS'was\tbe\tVBD\tB-VP\tO' +p361680 +aS'removed\tremove\tVBN\tI-VP\tO' +p361681 +aS'on\ton\tIN\tB-PP\tO' +p361682 +aS'07-27\t07-27\tCD\tB-NP\tO' +p361683 +aS'and\tand\tCC\tO\tO' +p361684 +aS'was\tbe\tVBD\tB-VP\tO' +p361685 +aS'able\table\tJJ\tB-ADJP\tO' +p361686 +aS'to\tto\tTO\tB-VP\tO' +p361687 +aS'void\tvoid\tVB\tI-VP\tO' +p361688 +aS'without\twithout\tIN\tB-PP\tO' +p361689 +aS'any\tany\tDT\tB-NP\tO' +p361690 +aS'difficulty\tdifficulty\tNN\tI-NP\tO' +p361691 +aS'.\t.\t.\tO\tO' +p361692 +asS'Of note , he did not become thrombocytopenic on this admission .' +p361693 +(lp361694 +S'Of\tOf\tIN\tB-PP\tO' +p361695 +aS'note\tnote\tNN\tB-NP\tO' +p361696 +aS',\t,\t,\tO\tO' +p361697 +aS'he\the\tPRP\tB-NP\tO' +p361698 +aS'did\tdo\tVBD\tB-VP\tO' +p361699 +aS'not\tnot\tRB\tI-VP\tO' +p361700 +aS'become\tbecome\tVB\tI-VP\tO' +p361701 +aS'thrombocytopenic\tthrombocytopenic\tJJ\tB-ADJP\tO' +p361702 +aS'on\ton\tIN\tB-PP\tO' +p361703 +aS'this\tthis\tDT\tB-NP\tO' +p361704 +aS'admission\tadmission\tNN\tI-NP\tO' +p361705 +aS'.\t.\t.\tO\tO' +p361706 +asS'His bypass time was 103 minutes / crossclamp 89 mins .' +p361707 +(lp361708 +S'His\tHis\tPRP$\tB-NP\tO' +p361709 +aS'bypass\tbypass\tNN\tI-NP\tO' +p361710 +aS'time\ttime\tNN\tI-NP\tO' +p361711 +aS'was\tbe\tVBD\tB-VP\tO' +p361712 +aS'103\t103\tCD\tB-NP\tO' +p361713 +aS'minutes\tminute\tNNS\tI-NP\tO' +p361714 +aS'/\t/\tSYM\tB-NP\tO' +p361715 +aS'crossclamp\tcrossclamp\tNN\tI-NP\tO' +p361716 +aS'89\t89\tCD\tB-NP\tO' +p361717 +aS'mins\tmin\tNNS\tI-NP\tO' +p361718 +aS'.\t.\t.\tO\tO' +p361719 +asS'No lotions , creams , or powders on wounds .' +p361720 +(lp361721 +S'No\tNo\tDT\tB-NP\tO' +p361722 +aS'lotions\tlotion\tNNS\tI-NP\tO' +p361723 +aS',\t,\t,\tO\tO' +p361724 +aS'creams\tcream\tNNS\tB-NP\tO' +p361725 +aS',\t,\t,\tO\tO' +p361726 +aS'or\tor\tCC\tO\tO' +p361727 +aS'powders\tpowder\tNNS\tB-NP\tO' +p361728 +aS'on\ton\tIN\tB-PP\tO' +p361729 +aS'wounds\twound\tNNS\tB-NP\tO' +p361730 +aS'.\t.\t.\tO\tO' +p361731 +asS'This dictation goes through 12/21/03 .' +p361732 +(lp361733 +S'This\tThis\tDT\tB-NP\tO' +p361734 +aS'dictation\tdictation\tNN\tI-NP\tO' +p361735 +aS'goes\tgo\tVBZ\tB-VP\tO' +p361736 +aS'through\tthrough\tIN\tB-PP\tO' +p361737 +aS'12/21/03\t12/21/03\tCD\tB-NP\tO' +p361738 +aS'.\t.\t.\tO\tO' +p361739 +asS'This is to notify you that your patient , JEMSKOP , COT arrived in the Emergency Department at Ro Woodma Healthcare on 07/06/2005 11:11 AM .' +p361740 +(lp361741 +S'This\tThis\tDT\tB-NP\tO' +p361742 +aS'is\tbe\tVBZ\tB-VP\tO' +p361743 +aS'to\tto\tTO\tB-VP\tO' +p361744 +aS'notify\tnotify\tVB\tI-VP\tO' +p361745 +aS'you\tyou\tPRP\tB-NP\tO' +p361746 +aS'that\tthat\tIN\tB-SBAR\tO' +p361747 +aS'your\tyour\tPRP$\tB-NP\tO' +p361748 +aS'patient\tpatient\tNN\tI-NP\tO' +p361749 +aS',\t,\t,\tO\tO' +p361750 +aS'JEMSKOP\tJEMSKOP\tNN\tB-NP\tB-protein' +p361751 +aS',\t,\t,\tO\tO' +p361752 +aS'COT\tCOT\tNN\tB-NP\tO' +p361753 +aS'arrived\tarrive\tVBD\tB-VP\tO' +p361754 +aS'in\tin\tIN\tB-PP\tO' +p361755 +aS'the\tthe\tDT\tB-NP\tO' +p361756 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p361757 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p361758 +aS'at\tat\tIN\tB-PP\tO' +p361759 +aS'Ro\tRo\tNNP\tB-NP\tO' +p361760 +aS'Woodma\tWoodma\tNNP\tI-NP\tO' +p361761 +aS'Healthcare\tHealthcare\tNNP\tI-NP\tO' +p361762 +aS'on\ton\tIN\tB-PP\tO' +p361763 +aS'07/06/2005\t07/06/2005\tCD\tB-NP\tO' +p361764 +aS'11:11\t11:11\tCD\tI-NP\tO' +p361765 +aS'AM\tAM\tNN\tI-NP\tO' +p361766 +aS'.\t.\t.\tO\tO' +p361767 +asS'+ Epigastric discomfort , gurgling gas-like pain , no association with food .' +p361768 +(lp361769 +S'+\t+\tSYM\tO\tO' +p361770 +aS'Epigastric\tEpigastric\tJJ\tB-NP\tO' +p361771 +aS'discomfort\tdiscomfort\tNN\tI-NP\tO' +p361772 +aS',\t,\t,\tO\tO' +p361773 +aS'gurgling\tgurgle\tVBG\tB-VP\tO' +p361774 +aS'gas-like\tgas-like\tJJ\tB-NP\tB-protein' +p361775 +aS'pain\tpain\tNN\tI-NP\tI-protein' +p361776 +aS',\t,\t,\tO\tO' +p361777 +aS'no\tno\tDT\tB-NP\tO' +p361778 +aS'association\tassociation\tNN\tI-NP\tO' +p361779 +aS'with\twith\tIN\tB-PP\tO' +p361780 +aS'food\tfood\tNN\tB-NP\tO' +p361781 +aS'.\t.\t.\tO\tO' +p361782 +asS'04-24 PICC Bld Cx : pseudomonas Diaz to zosyn , cipro , cefepime , Tardugno -- staph epi- Gray to vanc' +p361783 +(lp361784 +S'04-24\t04-24\tCD\tB-NP\tO' +p361785 +aS'PICC\tPICC\tNNP\tI-NP\tO' +p361786 +aS'Bld\tBld\tNNP\tI-NP\tO' +p361787 +aS'Cx\tCx\tNNP\tI-NP\tO' +p361788 +aS':\t:\t:\tO\tO' +p361789 +aS'pseudomonas\tpseudomona\tNNS\tB-NP\tO' +p361790 +aS'Diaz\tDiaz\tNN\tI-NP\tO' +p361791 +aS'to\tto\tTO\tB-PP\tO' +p361792 +aS'zosyn\tzosyn\tNN\tB-NP\tO' +p361793 +aS',\t,\t,\tO\tO' +p361794 +aS'cipro\tcipro\tNN\tB-NP\tO' +p361795 +aS',\t,\t,\tO\tO' +p361796 +aS'cefepime\tcefepime\tNN\tB-NP\tO' +p361797 +aS',\t,\t,\tO\tO' +p361798 +aS'Tardugno\tTardugno\tNNP\tB-NP\tO' +p361799 +aS'--\t--\t:\tO\tO' +p361800 +aS'staph\tstaph\tNN\tB-NP\tO' +p361801 +aS'epi-\tepi-\tNN\tI-NP\tO' +p361802 +aS'Gray\tGray\tNNP\tI-NP\tO' +p361803 +aS'to\tto\tTO\tB-VP\tO' +p361804 +aS'vanc\tvanc\tVB\tI-VP\tO' +p361805 +asS'This required a chest tube .' +p361806 +(lp361807 +S'This\tThis\tDT\tB-NP\tO' +p361808 +aS'required\trequire\tVBD\tB-VP\tO' +p361809 +aS'a\ta\tDT\tB-NP\tO' +p361810 +aS'chest\tchest\tNN\tI-NP\tO' +p361811 +aS'tube\ttube\tNN\tI-NP\tO' +p361812 +aS'.\t.\t.\tO\tO' +p361813 +asS'3) ? unstable serum calcium since 1999' +p361814 +(lp361815 +S'3)\t3)\tLS\tB-LST\tO' +p361816 +aS'?\t?\t.\tO\tO' +p361817 +aS'unstable\tunstable\tJJ\tB-NP\tO' +p361818 +aS'serum\tserum\tNN\tI-NP\tO' +p361819 +aS'calcium\tcalcium\tNN\tI-NP\tO' +p361820 +aS'since\tsince\tIN\tB-PP\tO' +p361821 +aS'1999\t1999\tCD\tB-NP\tO' +p361822 +asS'Retired ICU nurse .' +p361823 +(lp361824 +S'Retired\tRetire\tVBN\tB-NP\tO' +p361825 +aS'ICU\tICU\tNN\tI-NP\tO' +p361826 +aS'nurse\tnurse\tNN\tI-NP\tO' +p361827 +aS'.\t.\t.\tO\tO' +p361828 +asS'TRACHEOESOPHAGEAL FISTULA .' +p361829 +(lp361830 +S'TRACHEOESOPHAGEAL\tTRACHEOESOPHAGEAL\tNN\tB-NP\tO' +p361831 +aS'FISTULA\tFISTULA\tNN\tI-NP\tO' +p361832 +aS'.\t.\t.\tO\tO' +p361833 +asS'Saline wet to dry dressing changes three times daily to penis and pelvis decubiti , 40% humidified oxygen , Fluconazole 200 mg. po. bid .' +p361834 +(lp361835 +S'Saline\tSaline\tNN\tB-NP\tO' +p361836 +aS'wet\twet\tJJ\tB-ADJP\tO' +p361837 +aS'to\tto\tTO\tB-PP\tO' +p361838 +aS'dry\tdry\tJJ\tB-NP\tO' +p361839 +aS'dressing\tdress\tVBG\tI-NP\tO' +p361840 +aS'changes\tchange\tNNS\tI-NP\tO' +p361841 +aS'three\tthree\tCD\tB-NP\tO' +p361842 +aS'times\ttime\tNNS\tI-NP\tO' +p361843 +aS'daily\tdaily\tRB\tI-NP\tO' +p361844 +aS'to\tto\tTO\tB-PP\tO' +p361845 +aS'penis\tpenis\tNN\tB-NP\tO' +p361846 +aS'and\tand\tCC\tI-NP\tO' +p361847 +aS'pelvis\tpelvis\tNN\tI-NP\tO' +p361848 +aS'decubiti\tdecubiti\tNNS\tI-NP\tO' +p361849 +aS',\t,\t,\tO\tO' +p361850 +aS'40%\t40%\tCD\tB-NP\tO' +p361851 +aS'humidified\thumidified\tJJ\tI-NP\tO' +p361852 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p361853 +aS',\t,\t,\tO\tO' +p361854 +aS'Fluconazole\tFluconazole\tNN\tB-NP\tO' +p361855 +aS'200\t200\tCD\tI-NP\tO' +p361856 +aS'mg.\tmg.\tNN\tI-NP\tO' +p361857 +aS'po.\tpo.\tNN\tI-NP\tO' +p361858 +aS'bid\tbid\tNN\tI-NP\tO' +p361859 +aS'.\t.\t.\tO\tO' +p361860 +asS'The patient was referred back to Dr. Pop for the possibility of a revascularization procedure .' +p361861 +(lp361862 +S'The\tThe\tDT\tB-NP\tO' +p361863 +aS'patient\tpatient\tNN\tI-NP\tO' +p361864 +aS'was\tbe\tVBD\tB-VP\tO' +p361865 +aS'referred\trefer\tVBN\tI-VP\tO' +p361866 +aS'back\tback\tRB\tB-ADVP\tO' +p361867 +aS'to\tto\tTO\tB-PP\tO' +p361868 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p361869 +aS'Pop\tPop\tNNP\tI-NP\tO' +p361870 +aS'for\tfor\tIN\tB-PP\tO' +p361871 +aS'the\tthe\tDT\tB-NP\tO' +p361872 +aS'possibility\tpossibility\tNN\tI-NP\tO' +p361873 +aS'of\tof\tIN\tB-PP\tO' +p361874 +aS'a\ta\tDT\tB-NP\tO' +p361875 +aS'revascularization\trevascularization\tNN\tI-NP\tO' +p361876 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p361877 +aS'.\t.\t.\tO\tO' +p361878 +asS'# Candidemia : The patient was noted to have a positive blood culture from 03-12 .' +p361879 +(lp361880 +S'#\t#\t#\tB-NP\tO' +p361881 +aS'Candidemia\tCandidemia\tNNP\tI-NP\tO' +p361882 +aS':\t:\t:\tO\tO' +p361883 +aS'The\tThe\tDT\tB-NP\tO' +p361884 +aS'patient\tpatient\tNN\tI-NP\tO' +p361885 +aS'was\tbe\tVBD\tB-VP\tO' +p361886 +aS'noted\tnote\tVBN\tI-VP\tO' +p361887 +aS'to\tto\tTO\tI-VP\tO' +p361888 +aS'have\thave\tVB\tI-VP\tO' +p361889 +aS'a\ta\tDT\tB-NP\tO' +p361890 +aS'positive\tpositive\tJJ\tI-NP\tO' +p361891 +aS'blood\tblood\tNN\tI-NP\tO' +p361892 +aS'culture\tculture\tNN\tI-NP\tO' +p361893 +aS'from\tfrom\tIN\tB-PP\tO' +p361894 +aS'03-12\t03-12\tCD\tB-NP\tO' +p361895 +aS'.\t.\t.\tO\tO' +p361896 +asS'On admission , this was felt to be likely 03-15 worsening PNA .' +p361897 +(lp361898 +S'On\tOn\tIN\tB-PP\tO' +p361899 +aS'admission\tadmission\tNN\tB-NP\tO' +p361900 +aS',\t,\t,\tO\tO' +p361901 +aS'this\tthis\tDT\tB-NP\tO' +p361902 +aS'was\tbe\tVBD\tB-VP\tO' +p361903 +aS'felt\tfeel\tVBN\tI-VP\tO' +p361904 +aS'to\tto\tTO\tI-VP\tO' +p361905 +aS'be\tbe\tVB\tI-VP\tO' +p361906 +aS'likely\tlikely\tJJ\tB-ADJP\tO' +p361907 +aS'03-15\t03-15\tCD\tB-NP\tO' +p361908 +aS'worsening\tworsen\tVBG\tI-NP\tO' +p361909 +aS'PNA\tPNA\tNN\tI-NP\tO' +p361910 +aS'.\t.\t.\tO\tO' +p361911 +asS'Over the past 4-5 weeks her functional level has progressively deteriorated .' +p361912 +(lp361913 +S'Over\tOver\tIN\tB-PP\tO' +p361914 +aS'the\tthe\tDT\tB-NP\tO' +p361915 +aS'past\tpast\tJJ\tI-NP\tB-protein' +p361916 +aS'4-5\t4-5\tCD\tI-NP\tI-protein' +p361917 +aS'weeks\tweek\tNNS\tI-NP\tI-protein' +p361918 +aS'her\ther\tPRP$\tB-NP\tO' +p361919 +aS'functional\tfunctional\tJJ\tI-NP\tO' +p361920 +aS'level\tlevel\tNN\tI-NP\tO' +p361921 +aS'has\thave\tVBZ\tB-VP\tO' +p361922 +aS'progressively\tprogressively\tRB\tI-VP\tO' +p361923 +aS'deteriorated\tdeteriorate\tVBN\tI-VP\tO' +p361924 +aS'.\t.\t.\tO\tO' +p361925 +asS'5. Mirtazapine 30 mg Tablet Sig : 0.5 Tablet PO HS ( at bedtime ) .' +p361926 +(lp361927 +S'5.\t5.\tLS\tB-LST\tO' +p361928 +aS'Mirtazapine\tMirtazapine\tNNP\tB-NP\tO' +p361929 +aS'30\t30\tCD\tI-NP\tO' +p361930 +aS'mg\tmg\tNN\tI-NP\tO' +p361931 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p361932 +aS'Sig\tSig\tNNP\tI-NP\tO' +p361933 +aS':\t:\t:\tO\tO' +p361934 +aS'0.5\t0.5\tCD\tB-NP\tO' +p361935 +aS'Tablet\tTablet\tNN\tI-NP\tO' +p361936 +aS'PO\tPO\tNN\tI-NP\tO' +p361937 +aS'HS\tHS\tNN\tI-NP\tO' +p361938 +aS'(\t(\t(\tO\tO' +p361939 +aS'at\tat\tIN\tB-PP\tO' +p361940 +aS'bedtime\tbedtime\tNN\tB-NP\tO' +p361941 +aS')\t)\t)\tO\tO' +p361942 +aS'.\t.\t.\tO\tO' +p361943 +asS'Cardiovascular is well perfused with regular rate and rhythm and normal S1 and S2 , no murmur , normal pulses and perfusion .' +p361944 +(lp361945 +S'Cardiovascular\tCardiovascular\tNNP\tB-NP\tO' +p361946 +aS'is\tbe\tVBZ\tB-VP\tO' +p361947 +aS'well\twell\tRB\tI-VP\tO' +p361948 +aS'perfused\tperfuse\tVBN\tI-VP\tO' +p361949 +aS'with\twith\tIN\tB-PP\tO' +p361950 +aS'regular\tregular\tJJ\tB-NP\tO' +p361951 +aS'rate\trate\tNN\tI-NP\tO' +p361952 +aS'and\tand\tCC\tI-NP\tO' +p361953 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p361954 +aS'and\tand\tCC\tO\tO' +p361955 +aS'normal\tnormal\tJJ\tB-NP\tO' +p361956 +aS'S1\tS1\tNN\tI-NP\tB-protein' +p361957 +aS'and\tand\tCC\tO\tO' +p361958 +aS'S2\tS2\tNN\tB-NP\tB-protein' +p361959 +aS',\t,\t,\tO\tO' +p361960 +aS'no\tno\tDT\tB-NP\tO' +p361961 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p361962 +aS',\t,\t,\tO\tO' +p361963 +aS'normal\tnormal\tJJ\tB-NP\tO' +p361964 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p361965 +aS'and\tand\tCC\tO\tO' +p361966 +aS'perfusion\tperfusion\tNN\tB-NP\tO' +p361967 +aS'.\t.\t.\tO\tO' +p361968 +asS'Evidence of old left anterior septal infarct .' +p361969 +(lp361970 +S'Evidence\tEvidence\tNN\tB-NP\tO' +p361971 +aS'of\tof\tIN\tB-PP\tO' +p361972 +aS'old\told\tJJ\tB-NP\tO' +p361973 +aS'left\tleft\tJJ\tI-NP\tO' +p361974 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p361975 +aS'septal\tseptal\tJJ\tI-NP\tO' +p361976 +aS'infarct\tinfarct\tNN\tI-NP\tO' +p361977 +aS'.\t.\t.\tO\tO' +p361978 +asS'The next morning , he was doing well with the intact drain draining bilious material without any difficulty .' +p361979 +(lp361980 +S'The\tThe\tDT\tB-NP\tO' +p361981 +aS'next\tnext\tJJ\tI-NP\tO' +p361982 +aS'morning\tmorning\tNN\tI-NP\tO' +p361983 +aS',\t,\t,\tO\tO' +p361984 +aS'he\the\tPRP\tB-NP\tO' +p361985 +aS'was\tbe\tVBD\tB-VP\tO' +p361986 +aS'doing\tdo\tVBG\tI-VP\tO' +p361987 +aS'well\twell\tRB\tB-ADVP\tO' +p361988 +aS'with\twith\tIN\tB-PP\tO' +p361989 +aS'the\tthe\tDT\tB-NP\tO' +p361990 +aS'intact\tintact\tJJ\tI-NP\tO' +p361991 +aS'drain\tdrain\tNN\tI-NP\tO' +p361992 +aS'draining\tdrain\tVBG\tB-VP\tO' +p361993 +aS'bilious\tbilious\tJJ\tB-NP\tO' +p361994 +aS'material\tmaterial\tNN\tI-NP\tO' +p361995 +aS'without\twithout\tIN\tB-PP\tO' +p361996 +aS'any\tany\tDT\tB-NP\tO' +p361997 +aS'difficulty\tdifficulty\tNN\tI-NP\tO' +p361998 +aS'.\t.\t.\tO\tO' +p361999 +asS'At the time of transfer , a 16 Coude catheter was in place and draining well .' +p362000 +(lp362001 +S'At\tAt\tIN\tB-PP\tO' +p362002 +aS'the\tthe\tDT\tB-NP\tO' +p362003 +aS'time\ttime\tNN\tI-NP\tO' +p362004 +aS'of\tof\tIN\tB-PP\tO' +p362005 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p362006 +aS',\t,\t,\tO\tO' +p362007 +aS'a\ta\tDT\tB-NP\tO' +p362008 +aS'16\t16\tCD\tI-NP\tO' +p362009 +aS'Coude\tCoude\tNNP\tI-NP\tO' +p362010 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p362011 +aS'was\tbe\tVBD\tB-VP\tO' +p362012 +aS'in\tin\tIN\tB-PP\tO' +p362013 +aS'place\tplace\tNN\tB-NP\tO' +p362014 +aS'and\tand\tCC\tO\tO' +p362015 +aS'draining\tdrain\tVBG\tB-VP\tO' +p362016 +aS'well\twell\tRB\tB-ADVP\tO' +p362017 +aS'.\t.\t.\tO\tO' +p362018 +asS'He was also given 5mg of glucagon and started on a glucagon drip with good response .' +p362019 +(lp362020 +S'He\tHe\tPRP\tB-NP\tO' +p362021 +aS'was\tbe\tVBD\tB-VP\tO' +p362022 +aS'also\talso\tRB\tI-VP\tO' +p362023 +aS'given\tgive\tVBN\tI-VP\tO' +p362024 +aS'5mg\t5mg\tNN\tB-NP\tO' +p362025 +aS'of\tof\tIN\tB-PP\tO' +p362026 +aS'glucagon\tglucagon\tNN\tB-NP\tO' +p362027 +aS'and\tand\tCC\tO\tO' +p362028 +aS'started\tstart\tVBD\tB-VP\tO' +p362029 +aS'on\ton\tIN\tB-PP\tO' +p362030 +aS'a\ta\tDT\tB-NP\tO' +p362031 +aS'glucagon\tglucagon\tNN\tI-NP\tO' +p362032 +aS'drip\tdrip\tNN\tI-NP\tO' +p362033 +aS'with\twith\tIN\tB-PP\tO' +p362034 +aS'good\tgood\tJJ\tB-NP\tO' +p362035 +aS'response\tresponse\tNN\tI-NP\tO' +p362036 +aS'.\t.\t.\tO\tO' +p362037 +asS'These measures were all instituted .' +p362038 +(lp362039 +S'These\tThese\tDT\tB-NP\tO' +p362040 +aS'measures\tmeasure\tNNS\tI-NP\tO' +p362041 +aS'were\tbe\tVBD\tB-VP\tO' +p362042 +aS'all\tall\tDT\tO\tO' +p362043 +aS'instituted\tinstitute\tVBN\tB-VP\tO' +p362044 +aS'.\t.\t.\tO\tO' +p362045 +asS'Wasted .' +p362046 +(lp362047 +S'Wasted\tWaste\tVBN\tB-VP\tO' +p362048 +aS'.\t.\t.\tO\tO' +p362049 +asS'Dr. Mcfarlane is the doctor who performed the procedure to place a stent in your bile duct ( a tube that drains the liver ).' +p362050 +(lp362051 +S'Dr.\tDr.\tNNP\tB-NP\tO' +p362052 +aS'Mcfarlane\tMcfarlane\tNNP\tI-NP\tO' +p362053 +aS'is\tbe\tVBZ\tB-VP\tO' +p362054 +aS'the\tthe\tDT\tB-NP\tO' +p362055 +aS'doctor\tdoctor\tNN\tI-NP\tO' +p362056 +aS'who\twho\tWP\tB-NP\tO' +p362057 +aS'performed\tperform\tVBD\tB-VP\tO' +p362058 +aS'the\tthe\tDT\tB-NP\tO' +p362059 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p362060 +aS'to\tto\tTO\tB-VP\tO' +p362061 +aS'place\tplace\tVB\tI-VP\tO' +p362062 +aS'a\ta\tDT\tB-NP\tO' +p362063 +aS'stent\tstent\tNN\tI-NP\tO' +p362064 +aS'in\tin\tIN\tB-PP\tO' +p362065 +aS'your\tyour\tPRP$\tB-NP\tO' +p362066 +aS'bile\tbile\tNN\tI-NP\tO' +p362067 +aS'duct\tduct\tNN\tI-NP\tO' +p362068 +aS'(\t(\t(\tO\tO' +p362069 +aS'a\ta\tDT\tB-NP\tO' +p362070 +aS'tube\ttube\tNN\tI-NP\tO' +p362071 +aS'that\tthat\tWDT\tB-NP\tO' +p362072 +aS'drains\tdrain\tVBZ\tB-VP\tO' +p362073 +aS'the\tthe\tDT\tB-NP\tO' +p362074 +aS'liver\tliver\tNN\tI-NP\tO' +p362075 +aS').\t).\t.\tO\tO' +p362076 +asS'(4) Pulm - Albuterol inhalers prn Patient seems to be improving and afebrile and resting comfortably .' +p362077 +(lp362078 +S'(4)\t(4)\tLS\tB-NP\tO' +p362079 +aS'Pulm\tPulm\tNN\tI-NP\tB-protein' +p362080 +aS'-\t-\tHYPH\tB-NP\tO' +p362081 +aS'Albuterol\tAlbuterol\tNN\tI-NP\tO' +p362082 +aS'inhalers\tinhaler\tNNS\tI-NP\tO' +p362083 +aS'prn\tprn\tVBP\tB-VP\tO' +p362084 +aS'Patient\tPatient\tNN\tB-NP\tO' +p362085 +aS'seems\tseem\tVBZ\tB-VP\tO' +p362086 +aS'to\tto\tTO\tI-VP\tO' +p362087 +aS'be\tbe\tVB\tI-VP\tO' +p362088 +aS'improving\timprove\tVBG\tI-VP\tO' +p362089 +aS'and\tand\tCC\tO\tO' +p362090 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p362091 +aS'and\tand\tCC\tO\tO' +p362092 +aS'resting\trest\tVBG\tB-VP\tO' +p362093 +aS'comfortably\tcomfortably\tRB\tB-ADVP\tO' +p362094 +aS'.\t.\t.\tO\tO' +p362095 +asS'There was no clear blood in the toilet bowl .' +p362096 +(lp362097 +S'There\tThere\tEX\tB-NP\tO' +p362098 +aS'was\tbe\tVBD\tB-VP\tO' +p362099 +aS'no\tno\tDT\tB-NP\tO' +p362100 +aS'clear\tclear\tJJ\tI-NP\tO' +p362101 +aS'blood\tblood\tNN\tI-NP\tO' +p362102 +aS'in\tin\tIN\tB-PP\tO' +p362103 +aS'the\tthe\tDT\tB-NP\tO' +p362104 +aS'toilet\ttoilet\tNN\tI-NP\tO' +p362105 +aS'bowl\tbowl\tNN\tI-NP\tO' +p362106 +aS'.\t.\t.\tO\tO' +p362107 +asS'> 320 mg / dL Notify M.D.' +p362108 +(lp362109 +S'>\t>\tSYM\tO\tO' +p362110 +aS'320\t320\tCD\tB-NP\tO' +p362111 +aS'mg\tmg\tNN\tI-NP\tO' +p362112 +aS'/\t/\tSYM\tB-NP\tO' +p362113 +aS'dL\tdL\tNN\tI-NP\tO' +p362114 +aS'Notify\tNotify\tNNP\tI-NP\tO' +p362115 +aS'M.D.\tM.D.\tNNP\tI-NP\tO' +p362116 +asS'He was taken to the Deanna by his wife .' +p362117 +(lp362118 +S'He\tHe\tPRP\tB-NP\tO' +p362119 +aS'was\tbe\tVBD\tB-VP\tO' +p362120 +aS'taken\ttake\tVBN\tI-VP\tO' +p362121 +aS'to\tto\tTO\tB-PP\tO' +p362122 +aS'the\tthe\tDT\tB-NP\tO' +p362123 +aS'Deanna\tDeanna\tNNP\tI-NP\tO' +p362124 +aS'by\tby\tIN\tB-PP\tO' +p362125 +aS'his\this\tPRP$\tB-NP\tO' +p362126 +aS'wife\twife\tNN\tI-NP\tO' +p362127 +aS'.\t.\t.\tO\tO' +p362128 +asS'The patient was admitted to the hospital via the emergency room where a bedside echocardiogram was performed .' +p362129 +(lp362130 +S'The\tThe\tDT\tB-NP\tO' +p362131 +aS'patient\tpatient\tNN\tI-NP\tO' +p362132 +aS'was\tbe\tVBD\tB-VP\tO' +p362133 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p362134 +aS'to\tto\tTO\tB-PP\tO' +p362135 +aS'the\tthe\tDT\tB-NP\tO' +p362136 +aS'hospital\thospital\tNN\tI-NP\tO' +p362137 +aS'via\tvia\tIN\tB-PP\tO' +p362138 +aS'the\tthe\tDT\tB-NP\tO' +p362139 +aS'emergency\temergency\tNN\tI-NP\tO' +p362140 +aS'room\troom\tNN\tI-NP\tO' +p362141 +aS'where\twhere\tWRB\tB-ADVP\tO' +p362142 +aS'a\ta\tDT\tB-NP\tO' +p362143 +aS'bedside\tbedside\tNN\tI-NP\tO' +p362144 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p362145 +aS'was\tbe\tVBD\tB-VP\tO' +p362146 +aS'performed\tperform\tVBN\tI-VP\tO' +p362147 +aS'.\t.\t.\tO\tO' +p362148 +asS'No rubs or Andringa appreciated .' +p362149 +(lp362150 +S'No\tNo\tDT\tB-NP\tO' +p362151 +aS'rubs\trub\tNNS\tI-NP\tO' +p362152 +aS'or\tor\tCC\tO\tO' +p362153 +aS'Andringa\tAndringa\tNNP\tB-NP\tO' +p362154 +aS'appreciated\tappreciate\tVBN\tB-VP\tO' +p362155 +aS'.\t.\t.\tO\tO' +p362156 +asS'Methylmalonic acid levels were sent , the results are pending at the time of discharge .' +p362157 +(lp362158 +S'Methylmalonic\tMethylmalonic\tJJ\tB-NP\tO' +p362159 +aS'acid\tacid\tNN\tI-NP\tO' +p362160 +aS'levels\tlevel\tNNS\tI-NP\tO' +p362161 +aS'were\tbe\tVBD\tB-VP\tO' +p362162 +aS'sent\tsend\tVBN\tI-VP\tO' +p362163 +aS',\t,\t,\tO\tO' +p362164 +aS'the\tthe\tDT\tB-NP\tO' +p362165 +aS'results\tresult\tNNS\tI-NP\tO' +p362166 +aS'are\tbe\tVBP\tB-VP\tO' +p362167 +aS'pending\tpende\tVBG\tI-VP\tO' +p362168 +aS'at\tat\tIN\tB-PP\tO' +p362169 +aS'the\tthe\tDT\tB-NP\tO' +p362170 +aS'time\ttime\tNN\tI-NP\tO' +p362171 +aS'of\tof\tIN\tB-PP\tO' +p362172 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p362173 +aS'.\t.\t.\tO\tO' +p362174 +asS'Significant for a lower left saphenous vein thrombosis diagnosed with lower extremity non-invasives and on May 2 , 1993 with no evidence of deep venous thrombosis and clearance by Dr. Ribreefcheampner for further intervention .' +p362175 +(lp362176 +S'Significant\tSignificant\tJJ\tB-ADJP\tO' +p362177 +aS'for\tfor\tIN\tB-PP\tO' +p362178 +aS'a\ta\tDT\tB-NP\tO' +p362179 +aS'lower\tlow\tJJR\tI-NP\tO' +p362180 +aS'left\tleave\tVBD\tB-VP\tO' +p362181 +aS'saphenous\tsaphenous\tJJ\tB-NP\tO' +p362182 +aS'vein\tvein\tNN\tI-NP\tO' +p362183 +aS'thrombosis\tthrombosis\tNN\tI-NP\tO' +p362184 +aS'diagnosed\tdiagnose\tVBN\tB-VP\tO' +p362185 +aS'with\twith\tIN\tB-PP\tO' +p362186 +aS'lower\tlow\tJJR\tB-NP\tO' +p362187 +aS'extremity\textremity\tNN\tI-NP\tO' +p362188 +aS'non-invasives\tnon-invasive\tNNS\tI-NP\tO' +p362189 +aS'and\tand\tCC\tB-PP\tO' +p362190 +aS'on\ton\tIN\tB-PP\tO' +p362191 +aS'May\tMay\tNNP\tB-NP\tO' +p362192 +aS'2\t2\tCD\tI-NP\tO' +p362193 +aS',\t,\t,\tI-NP\tO' +p362194 +aS'1993\t1993\tCD\tI-NP\tO' +p362195 +aS'with\twith\tIN\tB-PP\tO' +p362196 +aS'no\tno\tDT\tB-NP\tO' +p362197 +aS'evidence\tevidence\tNN\tI-NP\tO' +p362198 +aS'of\tof\tIN\tB-PP\tO' +p362199 +aS'deep\tdeep\tJJ\tB-NP\tO' +p362200 +aS'venous\tvenous\tJJ\tI-NP\tO' +p362201 +aS'thrombosis\tthrombosis\tNN\tI-NP\tO' +p362202 +aS'and\tand\tCC\tI-NP\tO' +p362203 +aS'clearance\tclearance\tNN\tI-NP\tO' +p362204 +aS'by\tby\tIN\tB-PP\tO' +p362205 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p362206 +aS'Ribreefcheampner\tRibreefcheampner\tNNP\tI-NP\tO' +p362207 +aS'for\tfor\tIN\tB-PP\tO' +p362208 +aS'further\tfurther\tJJ\tB-NP\tO' +p362209 +aS'intervention\tintervention\tNN\tI-NP\tO' +p362210 +aS'.\t.\t.\tO\tO' +p362211 +asS'It was felt that the patient had continued massive retroperitoneal contamination and probable multiple enteric fistulae from an ischemic bowel .' +p362212 +(lp362213 +S'It\tIt\tPRP\tB-NP\tO' +p362214 +aS'was\tbe\tVBD\tB-VP\tO' +p362215 +aS'felt\tfeel\tVBN\tI-VP\tO' +p362216 +aS'that\tthat\tIN\tB-SBAR\tO' +p362217 +aS'the\tthe\tDT\tB-NP\tO' +p362218 +aS'patient\tpatient\tNN\tI-NP\tO' +p362219 +aS'had\thave\tVBD\tB-VP\tO' +p362220 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p362221 +aS'massive\tmassive\tJJ\tB-NP\tO' +p362222 +aS'retroperitoneal\tretroperitoneal\tJJ\tI-NP\tO' +p362223 +aS'contamination\tcontamination\tNN\tI-NP\tO' +p362224 +aS'and\tand\tCC\tO\tO' +p362225 +aS'probable\tprobable\tJJ\tB-NP\tO' +p362226 +aS'multiple\tmultiple\tJJ\tI-NP\tO' +p362227 +aS'enteric\tenteric\tJJ\tI-NP\tO' +p362228 +aS'fistulae\tfistula\tNNS\tI-NP\tO' +p362229 +aS'from\tfrom\tIN\tB-PP\tO' +p362230 +aS'an\tan\tDT\tB-NP\tO' +p362231 +aS'ischemic\tischemic\tJJ\tI-NP\tO' +p362232 +aS'bowel\tbowel\tNN\tI-NP\tO' +p362233 +aS'.\t.\t.\tO\tO' +p362234 +asS'Her pain was well controlled by Tylenol .' +p362235 +(lp362236 +S'Her\tHer\tPRP$\tB-NP\tO' +p362237 +aS'pain\tpain\tNN\tI-NP\tO' +p362238 +aS'was\tbe\tVBD\tB-VP\tO' +p362239 +aS'well\twell\tRB\tI-VP\tO' +p362240 +aS'controlled\tcontrol\tVBN\tI-VP\tO' +p362241 +aS'by\tby\tIN\tB-PP\tO' +p362242 +aS'Tylenol\tTylenol\tNN\tB-NP\tO' +p362243 +aS'.\t.\t.\tO\tO' +p362244 +asS'He was admitted to the Sephsandpot Center on the morning of 4/9 and was subsequently transferred to the Fairm of Ijordcompmac Hospital for further care .' +p362245 +(lp362246 +S'He\tHe\tPRP\tB-NP\tO' +p362247 +aS'was\tbe\tVBD\tB-VP\tO' +p362248 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p362249 +aS'to\tto\tTO\tB-PP\tO' +p362250 +aS'the\tthe\tDT\tB-NP\tO' +p362251 +aS'Sephsandpot\tSephsandpot\tNNP\tI-NP\tO' +p362252 +aS'Center\tCenter\tNNP\tI-NP\tO' +p362253 +aS'on\ton\tIN\tB-PP\tO' +p362254 +aS'the\tthe\tDT\tB-NP\tO' +p362255 +aS'morning\tmorning\tNN\tI-NP\tO' +p362256 +aS'of\tof\tIN\tB-PP\tO' +p362257 +aS'4/9\t4/9\tCD\tB-NP\tO' +p362258 +aS'and\tand\tCC\tO\tO' +p362259 +aS'was\tbe\tVBD\tB-VP\tO' +p362260 +aS'subsequently\tsubsequently\tRB\tI-VP\tO' +p362261 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p362262 +aS'to\tto\tTO\tB-PP\tO' +p362263 +aS'the\tthe\tDT\tB-NP\tO' +p362264 +aS'Fairm\tFairm\tNNP\tI-NP\tO' +p362265 +aS'of\tof\tIN\tB-PP\tO' +p362266 +aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' +p362267 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p362268 +aS'for\tfor\tIN\tB-PP\tO' +p362269 +aS'further\tfurther\tJJ\tB-NP\tO' +p362270 +aS'care\tcare\tNN\tI-NP\tO' +p362271 +aS'.\t.\t.\tO\tO' +p362272 +asS'The patient 's baseline O2 saturation is 92% on three liters .' +p362273 +(lp362274 +S'The\tThe\tDT\tB-NP\tO' +p362275 +aS'patient\tpatient\tNN\tI-NP\tO' +p362276 +aS''s\t'\tNNS\tI-NP\tO' +p362277 +aS'baseline\tbaseline\tNN\tI-NP\tO' +p362278 +aS'O2\tO2\tNN\tI-NP\tO' +p362279 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p362280 +aS'is\tbe\tVBZ\tB-VP\tO' +p362281 +aS'92%\t92%\tCD\tB-NP\tO' +p362282 +aS'on\ton\tIN\tB-PP\tO' +p362283 +aS'three\tthree\tCD\tB-NP\tO' +p362284 +aS'liters\tliter\tNNS\tI-NP\tO' +p362285 +aS'.\t.\t.\tO\tO' +p362286 +asS'The liver was from a 62 year-old gentleman who had died from CVA with normal liver function .' +p362287 +(lp362288 +S'The\tThe\tDT\tB-NP\tO' +p362289 +aS'liver\tliver\tNN\tI-NP\tO' +p362290 +aS'was\tbe\tVBD\tB-VP\tO' +p362291 +aS'from\tfrom\tIN\tB-PP\tO' +p362292 +aS'a\ta\tDT\tB-NP\tO' +p362293 +aS'62\t62\tCD\tI-NP\tO' +p362294 +aS'year-old\tyear-old\tJJ\tI-NP\tO' +p362295 +aS'gentleman\tgentleman\tNN\tI-NP\tO' +p362296 +aS'who\twho\tWP\tB-NP\tO' +p362297 +aS'had\thave\tVBD\tB-VP\tO' +p362298 +aS'died\tdie\tVBN\tI-VP\tO' +p362299 +aS'from\tfrom\tIN\tB-PP\tO' +p362300 +aS'CVA\tCVA\tNN\tB-NP\tB-protein' +p362301 +aS'with\twith\tIN\tB-PP\tO' +p362302 +aS'normal\tnormal\tJJ\tB-NP\tO' +p362303 +aS'liver\tliver\tNN\tI-NP\tO' +p362304 +aS'function\tfunction\tNN\tI-NP\tO' +p362305 +aS'.\t.\t.\tO\tO' +p362306 +asS'There was severe aortic stenosis of 70 millimeter peak gradient , native three vessel disease with patent left internal mammary artery graft to the left circumflex , dissection of the left main was induced by the catheter tip .' +p362307 +(lp362308 +S'There\tThere\tEX\tB-NP\tO' +p362309 +aS'was\tbe\tVBD\tB-VP\tO' +p362310 +aS'severe\tsevere\tJJ\tB-NP\tO' +p362311 +aS'aortic\taortic\tJJ\tI-NP\tO' +p362312 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p362313 +aS'of\tof\tIN\tB-PP\tO' +p362314 +aS'70\t70\tCD\tB-NP\tO' +p362315 +aS'millimeter\tmillimet\tJJR\tI-NP\tO' +p362316 +aS'peak\tpeak\tJJ\tI-NP\tO' +p362317 +aS'gradient\tgradient\tNN\tI-NP\tO' +p362318 +aS',\t,\t,\tO\tO' +p362319 +aS'native\tnative\tJJ\tB-VP\tO' +p362320 +aS'three\tthree\tCD\tB-NP\tO' +p362321 +aS'vessel\tvessel\tNN\tI-NP\tO' +p362322 +aS'disease\tdisease\tNN\tI-NP\tO' +p362323 +aS'with\twith\tIN\tB-PP\tO' +p362324 +aS'patent\tpatent\tNN\tB-NP\tO' +p362325 +aS'left\tleave\tVBD\tB-VP\tO' +p362326 +aS'internal\tinternal\tJJ\tB-NP\tO' +p362327 +aS'mammary\tmammary\tJJ\tI-NP\tO' +p362328 +aS'artery\tartery\tNN\tI-NP\tO' +p362329 +aS'graft\tgraft\tNN\tI-NP\tO' +p362330 +aS'to\tto\tTO\tB-PP\tO' +p362331 +aS'the\tthe\tDT\tB-NP\tO' +p362332 +aS'left\tleft\tJJ\tI-NP\tO' +p362333 +aS'circumflex\tcircumflex\tNN\tI-NP\tO' +p362334 +aS',\t,\t,\tO\tO' +p362335 +aS'dissection\tdissection\tNN\tB-NP\tO' +p362336 +aS'of\tof\tIN\tB-PP\tO' +p362337 +aS'the\tthe\tDT\tB-NP\tO' +p362338 +aS'left\tleft\tJJ\tI-NP\tO' +p362339 +aS'main\tmain\tNN\tI-NP\tO' +p362340 +aS'was\tbe\tVBD\tB-VP\tO' +p362341 +aS'induced\tinduce\tVBN\tI-VP\tO' +p362342 +aS'by\tby\tIN\tB-PP\tO' +p362343 +aS'the\tthe\tDT\tB-NP\tO' +p362344 +aS'catheter\tcatheter\tNN\tI-NP\tB-protein' +p362345 +aS'tip\ttip\tNN\tI-NP\tI-protein' +p362346 +aS'.\t.\t.\tO\tO' +p362347 +asS'She presents now for excision of her local cancer recurrence .' +p362348 +(lp362349 +S'She\tShe\tPRP\tB-NP\tO' +p362350 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p362351 +aS'now\tnow\tRB\tB-ADVP\tO' +p362352 +aS'for\tfor\tIN\tB-PP\tO' +p362353 +aS'excision\texcision\tNN\tB-NP\tO' +p362354 +aS'of\tof\tIN\tB-PP\tO' +p362355 +aS'her\ther\tPRP$\tB-NP\tO' +p362356 +aS'local\tlocal\tJJ\tI-NP\tO' +p362357 +aS'cancer\tcancer\tNN\tI-NP\tO' +p362358 +aS'recurrence\trecurrence\tNN\tI-NP\tO' +p362359 +aS'.\t.\t.\tO\tO' +p362360 +asS'The patient was discharged on 2012-01-26 .' +p362361 +(lp362362 +S'The\tThe\tDT\tB-NP\tO' +p362363 +aS'patient\tpatient\tNN\tI-NP\tO' +p362364 +aS'was\tbe\tVBD\tB-VP\tO' +p362365 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p362366 +aS'on\ton\tIN\tB-PP\tO' +p362367 +aS'2012-01-26\t2012-01-26\tCD\tB-NP\tO' +p362368 +aS'.\t.\t.\tO\tO' +p362369 +asS'Tongue was midline .' +p362370 +(lp362371 +S'Tongue\tTongue\tNN\tB-NP\tO' +p362372 +aS'was\tbe\tVBD\tB-VP\tO' +p362373 +aS'midline\tmidline\tNN\tB-NP\tO' +p362374 +aS'.\t.\t.\tO\tO' +p362375 +asS'She reported that she was sitting on the commode urinating and began to feel nauseous and presyncopal .' +p362376 +(lp362377 +S'She\tShe\tPRP\tB-NP\tO' +p362378 +aS'reported\treport\tVBD\tB-VP\tO' +p362379 +aS'that\tthat\tIN\tB-SBAR\tO' +p362380 +aS'she\tshe\tPRP\tB-NP\tO' +p362381 +aS'was\tbe\tVBD\tB-VP\tO' +p362382 +aS'sitting\tsit\tVBG\tI-VP\tO' +p362383 +aS'on\ton\tIN\tB-PP\tO' +p362384 +aS'the\tthe\tDT\tB-NP\tO' +p362385 +aS'commode\tcommode\tNN\tI-NP\tO' +p362386 +aS'urinating\turinate\tVBG\tB-VP\tO' +p362387 +aS'and\tand\tCC\tO\tO' +p362388 +aS'began\tbegin\tVBD\tB-VP\tO' +p362389 +aS'to\tto\tTO\tI-VP\tO' +p362390 +aS'feel\tfeel\tVB\tI-VP\tO' +p362391 +aS'nauseous\tnauseous\tJJ\tB-ADJP\tO' +p362392 +aS'and\tand\tCC\tI-ADJP\tO' +p362393 +aS'presyncopal\tpresyncopal\tJJ\tI-ADJP\tO' +p362394 +aS'.\t.\t.\tO\tO' +p362395 +asS'His spleen was not palpable .' +p362396 +(lp362397 +S'His\tHis\tPRP$\tB-NP\tO' +p362398 +aS'spleen\tspleen\tNN\tI-NP\tO' +p362399 +aS'was\tbe\tVBD\tB-VP\tO' +p362400 +aS'not\tnot\tRB\tO\tO' +p362401 +aS'palpable\tpalpable\tJJ\tB-ADJP\tO' +p362402 +aS'.\t.\t.\tO\tO' +p362403 +asS'Ext : warm , 2+ DP b/l , 2+ pitting edema to knees b/l' +p362404 +(lp362405 +S'Ext\tExt\tNN\tB-NP\tO' +p362406 +aS':\t:\t:\tO\tO' +p362407 +aS'warm\twarm\tJJ\tB-NP\tO' +p362408 +aS',\t,\t,\tI-NP\tO' +p362409 +aS'2+\t2+\tJJ\tI-NP\tO' +p362410 +aS'DP\tDP\tNN\tI-NP\tO' +p362411 +aS'b/l\tb/l\tNN\tI-NP\tO' +p362412 +aS',\t,\t,\tO\tO' +p362413 +aS'2+\t2+\tJJ\tB-NP\tO' +p362414 +aS'pitting\tpit\tVBG\tI-NP\tO' +p362415 +aS'edema\tedema\tNN\tI-NP\tO' +p362416 +aS'to\tto\tTO\tB-PP\tO' +p362417 +aS'knees\tknee\tNNS\tB-NP\tO' +p362418 +aS'b/l\tb/l\tNN\tI-NP\tO' +p362419 +asS'2) Influenza immunization should be considered annually in the Fall for preterm infants with chronic lung disease once they reach six months of age .' +p362420 +(lp362421 +S'2)\t2)\tLS\tB-NP\tO' +p362422 +aS'Influenza\tInfluenza\tNN\tI-NP\tO' +p362423 +aS'immunization\timmunization\tNN\tI-NP\tO' +p362424 +aS'should\tshould\tMD\tB-VP\tO' +p362425 +aS'be\tbe\tVB\tI-VP\tO' +p362426 +aS'considered\tconsider\tVBN\tI-VP\tO' +p362427 +aS'annually\tannually\tRB\tB-ADVP\tO' +p362428 +aS'in\tin\tIN\tB-PP\tO' +p362429 +aS'the\tthe\tDT\tB-NP\tO' +p362430 +aS'Fall\tFall\tNNP\tI-NP\tO' +p362431 +aS'for\tfor\tIN\tB-PP\tO' +p362432 +aS'preterm\tpreterm\tJJ\tB-NP\tO' +p362433 +aS'infants\tinfant\tNNS\tI-NP\tO' +p362434 +aS'with\twith\tIN\tB-PP\tO' +p362435 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p362436 +aS'lung\tlung\tNN\tI-NP\tO' +p362437 +aS'disease\tdisease\tNN\tI-NP\tO' +p362438 +aS'once\tonce\tIN\tB-SBAR\tO' +p362439 +aS'they\tthey\tPRP\tB-NP\tO' +p362440 +aS'reach\treach\tVBP\tB-VP\tO' +p362441 +aS'six\tsix\tCD\tB-NP\tO' +p362442 +aS'months\tmonth\tNNS\tI-NP\tO' +p362443 +aS'of\tof\tIN\tB-PP\tO' +p362444 +aS'age\tage\tNN\tB-NP\tO' +p362445 +aS'.\t.\t.\tO\tO' +p362446 +asS'16. Furosemide 40 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ) .' +p362447 +(lp362448 +S'16.\t16.\tCD\tB-NP\tO' +p362449 +aS'Furosemide\tFurosemide\tNNP\tI-NP\tO' +p362450 +aS'40\t40\tCD\tI-NP\tO' +p362451 +aS'mg\tmg\tNN\tI-NP\tO' +p362452 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p362453 +aS'Sig\tSig\tNNP\tI-NP\tO' +p362454 +aS':\t:\t:\tO\tO' +p362455 +aS'One\tOne\tCD\tB-NP\tO' +p362456 +aS'(\t(\t(\tO\tO' +p362457 +aS'1\t1\tCD\tB-NP\tO' +p362458 +aS')\t)\t)\tO\tO' +p362459 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p362460 +aS'PO\tPO\tNN\tI-NP\tO' +p362461 +aS'BID\tBID\tNN\tI-NP\tO' +p362462 +aS'(\t(\t(\tO\tO' +p362463 +aS'2\t2\tCD\tB-NP\tO' +p362464 +aS'times\ttime\tNNS\tI-NP\tO' +p362465 +aS'a\ta\tDT\tB-NP\tO' +p362466 +aS'day\tday\tNN\tI-NP\tO' +p362467 +aS')\t)\t)\tO\tO' +p362468 +aS'.\t.\t.\tO\tO' +p362469 +asS'The patient underwent MRI / MRA of the head , neck and upper chest which demonstrated a proximal left subclavian artery stenosis , proximal to the take off of the left vertebral artery .' +p362470 +(lp362471 +S'The\tThe\tDT\tB-NP\tO' +p362472 +aS'patient\tpatient\tNN\tI-NP\tO' +p362473 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p362474 +aS'MRI\tMRI\tNN\tB-NP\tB-protein' +p362475 +aS'/\t/\tSYM\tB-NP\tO' +p362476 +aS'MRA\tMRA\tNN\tI-NP\tB-protein' +p362477 +aS'of\tof\tIN\tB-PP\tO' +p362478 +aS'the\tthe\tDT\tB-NP\tO' +p362479 +aS'head\thead\tNN\tI-NP\tO' +p362480 +aS',\t,\t,\tO\tO' +p362481 +aS'neck\tneck\tNN\tB-NP\tO' +p362482 +aS'and\tand\tCC\tO\tO' +p362483 +aS'upper\tupper\tJJ\tB-NP\tO' +p362484 +aS'chest\tchest\tNN\tI-NP\tO' +p362485 +aS'which\twhich\tWDT\tB-NP\tO' +p362486 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p362487 +aS'a\ta\tDT\tB-NP\tO' +p362488 +aS'proximal\tproximal\tJJ\tI-NP\tO' +p362489 +aS'left\tleft\tJJ\tI-NP\tO' +p362490 +aS'subclavian\tsubclavian\tJJ\tI-NP\tO' +p362491 +aS'artery\tartery\tNN\tI-NP\tO' +p362492 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p362493 +aS',\t,\t,\tO\tO' +p362494 +aS'proximal\tproximal\tJJ\tB-ADJP\tO' +p362495 +aS'to\tto\tTO\tB-PP\tO' +p362496 +aS'the\tthe\tDT\tB-NP\tO' +p362497 +aS'take\ttake\tNN\tI-NP\tO' +p362498 +aS'off\toff\tRP\tB-PRT\tO' +p362499 +aS'of\tof\tIN\tB-PP\tO' +p362500 +aS'the\tthe\tDT\tB-NP\tO' +p362501 +aS'left\tleft\tJJ\tI-NP\tO' +p362502 +aS'vertebral\tvertebral\tJJ\tI-NP\tO' +p362503 +aS'artery\tartery\tNN\tI-NP\tO' +p362504 +aS'.\t.\t.\tO\tO' +p362505 +asS'Estradialol pending .' +p362506 +(lp362507 +S'Estradialol\tEstradialol\tNN\tB-NP\tO' +p362508 +aS'pending\tpending\tNN\tI-NP\tO' +p362509 +aS'.\t.\t.\tO\tO' +p362510 +asS'At 3:00 a.m. on the day of admission he was found by the emergency medical technicians " crawling on all fours " , confused , and combative outside his home .' +p362511 +(lp362512 +S'At\tAt\tIN\tB-PP\tO' +p362513 +aS'3:00\t3:00\tCD\tB-NP\tO' +p362514 +aS'a.m.\ta.m.\tNN\tI-NP\tO' +p362515 +aS'on\ton\tIN\tB-PP\tO' +p362516 +aS'the\tthe\tDT\tB-NP\tO' +p362517 +aS'day\tday\tNN\tI-NP\tO' +p362518 +aS'of\tof\tIN\tB-PP\tO' +p362519 +aS'admission\tadmission\tNN\tB-NP\tO' +p362520 +aS'he\the\tPRP\tB-NP\tO' +p362521 +aS'was\tbe\tVBD\tB-VP\tO' +p362522 +aS'found\tfind\tVBN\tI-VP\tO' +p362523 +aS'by\tby\tIN\tB-PP\tO' +p362524 +aS'the\tthe\tDT\tB-NP\tO' +p362525 +aS'emergency\temergency\tNN\tI-NP\tO' +p362526 +aS'medical\tmedical\tJJ\tI-NP\tO' +p362527 +aS'technicians\ttechnician\tNNS\tI-NP\tO' +p362528 +aS'"\t"\tCC\tO\tO' +p362529 +aS'crawling\tcrawl\tVBG\tB-VP\tO' +p362530 +aS'on\ton\tIN\tB-PP\tO' +p362531 +aS'all\tall\tDT\tB-NP\tO' +p362532 +aS'fours\tfour\tNNS\tI-NP\tO' +p362533 +aS'"\t"\tCC\tO\tO' +p362534 +aS',\t,\t,\tO\tO' +p362535 +aS'confused\tconfuse\tVBN\tB-VP\tO' +p362536 +aS',\t,\t,\tO\tO' +p362537 +aS'and\tand\tCC\tO\tO' +p362538 +aS'combative\tcombative\tJJ\tB-ADJP\tO' +p362539 +aS'outside\toutside\tIN\tB-PP\tO' +p362540 +aS'his\this\tPRP$\tB-NP\tO' +p362541 +aS'home\thome\tNN\tI-NP\tO' +p362542 +aS'.\t.\t.\tO\tO' +p362543 +asS'She was transfused another 2 units of packed red blood cells over the course of the day and her hematocrit improved to 29.4 and then 31.2 .' +p362544 +(lp362545 +S'She\tShe\tPRP\tB-NP\tO' +p362546 +aS'was\tbe\tVBD\tB-VP\tO' +p362547 +aS'transfused\ttransfuse\tVBN\tI-VP\tO' +p362548 +aS'another\tanother\tDT\tB-NP\tO' +p362549 +aS'2\t2\tCD\tI-NP\tO' +p362550 +aS'units\tunit\tNNS\tI-NP\tO' +p362551 +aS'of\tof\tIN\tB-PP\tO' +p362552 +aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' +p362553 +aS'red\tred\tJJ\tI-NP\tI-cell_type' +p362554 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p362555 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p362556 +aS'over\tover\tIN\tB-PP\tO' +p362557 +aS'the\tthe\tDT\tB-NP\tO' +p362558 +aS'course\tcourse\tNN\tI-NP\tO' +p362559 +aS'of\tof\tIN\tB-PP\tO' +p362560 +aS'the\tthe\tDT\tB-NP\tO' +p362561 +aS'day\tday\tNN\tI-NP\tO' +p362562 +aS'and\tand\tCC\tO\tO' +p362563 +aS'her\ther\tPRP$\tB-NP\tO' +p362564 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p362565 +aS'improved\timprove\tVBD\tB-VP\tO' +p362566 +aS'to\tto\tTO\tB-PP\tO' +p362567 +aS'29.4\t29.4\tCD\tB-NP\tO' +p362568 +aS'and\tand\tCC\tO\tO' +p362569 +aS'then\tthen\tRB\tB-NP\tO' +p362570 +aS'31.2\t31.2\tCD\tI-NP\tO' +p362571 +aS'.\t.\t.\tO\tO' +p362572 +asS'A follow up examination is recommended in six to eight months .' +p362573 +(lp362574 +S'A\tA\tDT\tB-NP\tO' +p362575 +aS'follow\tfollow\tNN\tI-NP\tO' +p362576 +aS'up\tup\tRP\tB-PRT\tO' +p362577 +aS'examination\texamination\tNN\tB-NP\tO' +p362578 +aS'is\tbe\tVBZ\tB-VP\tO' +p362579 +aS'recommended\trecommend\tVBN\tI-VP\tO' +p362580 +aS'in\tin\tIN\tB-PP\tO' +p362581 +aS'six\tsix\tCD\tB-NP\tO' +p362582 +aS'to\tto\tTO\tI-NP\tO' +p362583 +aS'eight\teight\tCD\tI-NP\tO' +p362584 +aS'months\tmonth\tNNS\tI-NP\tO' +p362585 +aS'.\t.\t.\tO\tO' +p362586 +asS'2. Phenytoin 50 mg Tablet , Chewable Sig : Four ( 4 ) Tablet , Chewable PO QAM ( once a day ( in the morning )).' +p362587 +(lp362588 +S'2.\t2.\tLS\tB-NP\tO' +p362589 +aS'Phenytoin\tPhenytoin\tNN\tI-NP\tO' +p362590 +aS'50\t50\tCD\tB-NP\tO' +p362591 +aS'mg\tmg\tNN\tI-NP\tO' +p362592 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p362593 +aS',\t,\t,\tO\tO' +p362594 +aS'Chewable\tChewable\tNNP\tB-NP\tO' +p362595 +aS'Sig\tSig\tNNP\tI-NP\tO' +p362596 +aS':\t:\t:\tO\tO' +p362597 +aS'Four\tFour\tCD\tB-NP\tO' +p362598 +aS'(\t(\t(\tO\tO' +p362599 +aS'4\t4\tCD\tB-NP\tO' +p362600 +aS')\t)\t)\tO\tO' +p362601 +aS'Tablet\tTablet\tNNP\tB-NP\tO' +p362602 +aS',\t,\t,\tO\tO' +p362603 +aS'Chewable\tChewable\tJJ\tB-NP\tO' +p362604 +aS'PO\tPO\tNN\tI-NP\tO' +p362605 +aS'QAM\tQAM\tNN\tI-NP\tO' +p362606 +aS'(\t(\t(\tO\tO' +p362607 +aS'once\tonce\tRB\tB-ADVP\tO' +p362608 +aS'a\ta\tDT\tB-NP\tO' +p362609 +aS'day\tday\tNN\tI-NP\tO' +p362610 +aS'(\t(\t(\tO\tO' +p362611 +aS'in\tin\tIN\tB-PP\tO' +p362612 +aS'the\tthe\tDT\tB-NP\tO' +p362613 +aS'morning\tmorning\tNN\tI-NP\tO' +p362614 +aS')).\t)).\t.\tO\tO' +p362615 +asS'NO Tifany , ETOH , OR REC DRUG USE .' +p362616 +(lp362617 +S'NO\tNO\tNNP\tB-NP\tO' +p362618 +aS'Tifany\tTifany\tNNP\tI-NP\tO' +p362619 +aS',\t,\t,\tO\tO' +p362620 +aS'ETOH\tETOH\tNN\tB-NP\tB-protein' +p362621 +aS',\t,\t,\tO\tO' +p362622 +aS'OR\tOR\tNNP\tB-NP\tB-cell_type' +p362623 +aS'REC\tREC\tNNP\tI-NP\tI-cell_type' +p362624 +aS'DRUG\tDRUG\tNNP\tI-NP\tO' +p362625 +aS'USE\tUSE\tNNP\tI-NP\tO' +p362626 +aS'.\t.\t.\tO\tO' +p362627 +asS'Tox screen negative .' +p362628 +(lp362629 +S'Tox\tTox\tNN\tB-NP\tO' +p362630 +aS'screen\tscreen\tNN\tI-NP\tO' +p362631 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p362632 +aS'.\t.\t.\tO\tO' +p362633 +asS'She lives alone but is completely independent .' +p362634 +(lp362635 +S'She\tShe\tPRP\tB-NP\tO' +p362636 +aS'lives\tlive\tVBZ\tB-VP\tO' +p362637 +aS'alone\talone\tRB\tB-ADVP\tO' +p362638 +aS'but\tbut\tCC\tO\tO' +p362639 +aS'is\tbe\tVBZ\tB-VP\tO' +p362640 +aS'completely\tcompletely\tRB\tB-ADJP\tO' +p362641 +aS'independent\tindependent\tJJ\tI-ADJP\tO' +p362642 +aS'.\t.\t.\tO\tO' +p362643 +asS'Her exact Coumadin dose is undetermined at this point , however it looks like it will be something around 5 mg a day .' +p362644 +(lp362645 +S'Her\tHer\tPRP$\tB-NP\tO' +p362646 +aS'exact\texact\tJJ\tI-NP\tO' +p362647 +aS'Coumadin\tCoumadin\tNN\tI-NP\tO' +p362648 +aS'dose\tdose\tNN\tI-NP\tO' +p362649 +aS'is\tbe\tVBZ\tB-VP\tO' +p362650 +aS'undetermined\tundetermine\tVBN\tI-VP\tO' +p362651 +aS'at\tat\tIN\tB-PP\tO' +p362652 +aS'this\tthis\tDT\tB-NP\tO' +p362653 +aS'point\tpoint\tNN\tI-NP\tO' +p362654 +aS',\t,\t,\tO\tO' +p362655 +aS'however\thowever\tRB\tB-ADVP\tO' +p362656 +aS'it\tit\tPRP\tB-NP\tO' +p362657 +aS'looks\tlook\tVBZ\tB-VP\tO' +p362658 +aS'like\tlike\tIN\tB-SBAR\tO' +p362659 +aS'it\tit\tPRP\tB-NP\tO' +p362660 +aS'will\twill\tMD\tB-VP\tO' +p362661 +aS'be\tbe\tVB\tI-VP\tO' +p362662 +aS'something\tsomething\tNN\tB-NP\tO' +p362663 +aS'around\taround\tIN\tB-PP\tO' +p362664 +aS'5\t5\tCD\tB-NP\tO' +p362665 +aS'mg\tmg\tNN\tI-NP\tO' +p362666 +aS'a\ta\tDT\tB-NP\tO' +p362667 +aS'day\tday\tNN\tI-NP\tO' +p362668 +aS'.\t.\t.\tO\tO' +p362669 +asS'She does not smoke tobacco .' +p362670 +(lp362671 +S'She\tShe\tPRP\tB-NP\tO' +p362672 +aS'does\tdo\tVBZ\tB-VP\tO' +p362673 +aS'not\tnot\tRB\tI-VP\tO' +p362674 +aS'smoke\tsmoke\tVB\tI-VP\tO' +p362675 +aS'tobacco\ttobacco\tNN\tB-NP\tO' +p362676 +aS'.\t.\t.\tO\tO' +p362677 +asS'The patient was weaned the next day from mechanical ventilation on his first postoperative night .' +p362678 +(lp362679 +S'The\tThe\tDT\tB-NP\tO' +p362680 +aS'patient\tpatient\tNN\tI-NP\tO' +p362681 +aS'was\tbe\tVBD\tB-VP\tO' +p362682 +aS'weaned\twean\tVBN\tI-VP\tO' +p362683 +aS'the\tthe\tDT\tB-NP\tO' +p362684 +aS'next\tnext\tJJ\tI-NP\tO' +p362685 +aS'day\tday\tNN\tI-NP\tO' +p362686 +aS'from\tfrom\tIN\tB-PP\tO' +p362687 +aS'mechanical\tmechanical\tJJ\tB-NP\tO' +p362688 +aS'ventilation\tventilation\tNN\tI-NP\tO' +p362689 +aS'on\ton\tIN\tB-PP\tO' +p362690 +aS'his\this\tPRP$\tB-NP\tO' +p362691 +aS'first\tfirst\tJJ\tI-NP\tO' +p362692 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p362693 +aS'night\tnight\tNN\tI-NP\tO' +p362694 +aS'.\t.\t.\tO\tO' +p362695 +asS'On hospital day number three , her blood cultures came back positive in the anaerobic culture for gram-positive cocci in pairs and clusters .' +p362696 +(lp362697 +S'On\tOn\tIN\tB-PP\tO' +p362698 +aS'hospital\thospital\tNN\tB-NP\tO' +p362699 +aS'day\tday\tNN\tI-NP\tO' +p362700 +aS'number\tnumber\tNN\tI-NP\tO' +p362701 +aS'three\tthree\tCD\tI-NP\tO' +p362702 +aS',\t,\t,\tO\tO' +p362703 +aS'her\ther\tPRP$\tB-NP\tO' +p362704 +aS'blood\tblood\tNN\tI-NP\tO' +p362705 +aS'cultures\tculture\tNNS\tI-NP\tO' +p362706 +aS'came\tcome\tVBD\tB-VP\tO' +p362707 +aS'back\tback\tRB\tB-ADJP\tO' +p362708 +aS'positive\tpositive\tJJ\tI-ADJP\tO' +p362709 +aS'in\tin\tIN\tB-PP\tO' +p362710 +aS'the\tthe\tDT\tB-NP\tO' +p362711 +aS'anaerobic\tanaerobic\tJJ\tI-NP\tO' +p362712 +aS'culture\tculture\tNN\tI-NP\tO' +p362713 +aS'for\tfor\tIN\tB-PP\tO' +p362714 +aS'gram-positive\tgram-positive\tJJ\tB-NP\tB-protein' +p362715 +aS'cocci\tcoccus\tNNS\tI-NP\tI-protein' +p362716 +aS'in\tin\tIN\tB-PP\tO' +p362717 +aS'pairs\tpair\tNNS\tB-NP\tO' +p362718 +aS'and\tand\tCC\tI-NP\tO' +p362719 +aS'clusters\tcluster\tNNS\tI-NP\tO' +p362720 +aS'.\t.\t.\tO\tO' +p362721 +asS'241-280 mg / dL 6 Units 7 Units 5 Units 1 Units' +p362722 +(lp362723 +S'241-280\t241-280\tCD\tB-NP\tO' +p362724 +aS'mg\tmg\tNN\tI-NP\tO' +p362725 +aS'/\t/\tSYM\tB-NP\tO' +p362726 +aS'dL\tdL\tNN\tB-NP\tB-protein' +p362727 +aS'6\t6\tCD\tI-NP\tI-protein' +p362728 +aS'Units\tUnits\tNNP\tI-NP\tI-protein' +p362729 +aS'7\t7\tCD\tI-NP\tI-protein' +p362730 +aS'Units\tUnit\tNNS\tI-NP\tI-protein' +p362731 +aS'5\t5\tCD\tB-NP\tI-protein' +p362732 +aS'Units\tUnit\tNNS\tI-NP\tI-protein' +p362733 +aS'1\t1\tCD\tB-NP\tI-protein' +p362734 +aS'Units\tUnit\tNNS\tI-NP\tI-protein' +p362735 +asS'He was given stress steroids and was subsequently transferred to Lorough Medical Center 's Intensive Care Unit for further management .' +p362736 +(lp362737 +S'He\tHe\tPRP\tB-NP\tO' +p362738 +aS'was\tbe\tVBD\tB-VP\tO' +p362739 +aS'given\tgive\tVBN\tI-VP\tO' +p362740 +aS'stress\tstress\tNN\tB-NP\tO' +p362741 +aS'steroids\tsteroid\tNNS\tI-NP\tO' +p362742 +aS'and\tand\tCC\tO\tO' +p362743 +aS'was\tbe\tVBD\tB-VP\tO' +p362744 +aS'subsequently\tsubsequently\tRB\tI-VP\tO' +p362745 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p362746 +aS'to\tto\tTO\tB-PP\tO' +p362747 +aS'Lorough\tLorough\tNNP\tB-NP\tO' +p362748 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p362749 +aS'Center\tCenter\tNNP\tI-NP\tO' +p362750 +aS''s\t'\tNNS\tI-NP\tO' +p362751 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p362752 +aS'Care\tCare\tNNP\tI-NP\tO' +p362753 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p362754 +aS'for\tfor\tIN\tB-PP\tO' +p362755 +aS'further\tfurther\tJJ\tB-NP\tO' +p362756 +aS'management\tmanagement\tNN\tI-NP\tO' +p362757 +aS'.\t.\t.\tO\tO' +p362758 +asS'3. A state newborn screen was sent on day of life three ; the results are pending .' +p362759 +(lp362760 +S'3.\t3.\tLS\tB-LST\tO' +p362761 +aS'A\tA\tDT\tB-NP\tO' +p362762 +aS'state\tstate\tNN\tI-NP\tO' +p362763 +aS'newborn\tnewborn\tJJ\tI-NP\tO' +p362764 +aS'screen\tscreen\tNN\tI-NP\tO' +p362765 +aS'was\tbe\tVBD\tB-VP\tO' +p362766 +aS'sent\tsend\tVBN\tI-VP\tO' +p362767 +aS'on\ton\tIN\tB-PP\tO' +p362768 +aS'day\tday\tNN\tB-NP\tO' +p362769 +aS'of\tof\tIN\tB-PP\tO' +p362770 +aS'life\tlife\tNN\tB-NP\tO' +p362771 +aS'three\tthree\tCD\tI-NP\tO' +p362772 +aS';\t;\t:\tO\tO' +p362773 +aS'the\tthe\tDT\tB-NP\tO' +p362774 +aS'results\tresult\tNNS\tI-NP\tO' +p362775 +aS'are\tbe\tVBP\tB-VP\tO' +p362776 +aS'pending\tpende\tVBG\tI-VP\tO' +p362777 +aS'.\t.\t.\tO\tO' +p362778 +asS'The patient was continued on Lipitor and aspirin , and Plavix was added and will be continued for 30 days post catheterization .' +p362779 +(lp362780 +S'The\tThe\tDT\tB-NP\tO' +p362781 +aS'patient\tpatient\tNN\tI-NP\tO' +p362782 +aS'was\tbe\tVBD\tB-VP\tO' +p362783 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p362784 +aS'on\ton\tIN\tB-PP\tO' +p362785 +aS'Lipitor\tLipitor\tNN\tB-NP\tO' +p362786 +aS'and\tand\tCC\tI-NP\tO' +p362787 +aS'aspirin\taspirin\tNN\tI-NP\tO' +p362788 +aS',\t,\t,\tO\tO' +p362789 +aS'and\tand\tCC\tO\tO' +p362790 +aS'Plavix\tPlavix\tNN\tB-NP\tO' +p362791 +aS'was\tbe\tVBD\tB-VP\tO' +p362792 +aS'added\tadd\tVBN\tI-VP\tO' +p362793 +aS'and\tand\tCC\tO\tO' +p362794 +aS'will\twill\tMD\tB-VP\tO' +p362795 +aS'be\tbe\tVB\tI-VP\tO' +p362796 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p362797 +aS'for\tfor\tIN\tB-PP\tO' +p362798 +aS'30\t30\tCD\tB-NP\tO' +p362799 +aS'days\tday\tNNS\tI-NP\tO' +p362800 +aS'post\tpost\tJJ\tB-NP\tO' +p362801 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p362802 +aS'.\t.\t.\tO\tO' +p362803 +asS'There is no free air or free fluid .' +p362804 +(lp362805 +S'There\tThere\tEX\tB-NP\tO' +p362806 +aS'is\tbe\tVBZ\tB-VP\tO' +p362807 +aS'no\tno\tDT\tB-NP\tO' +p362808 +aS'free\tfree\tJJ\tI-NP\tO' +p362809 +aS'air\tair\tNN\tI-NP\tO' +p362810 +aS'or\tor\tCC\tO\tO' +p362811 +aS'free\tfree\tJJ\tB-NP\tO' +p362812 +aS'fluid\tfluid\tNN\tI-NP\tO' +p362813 +aS'.\t.\t.\tO\tO' +p362814 +asS'The patient was instructed that he needed to followup with Dr. Rhalt by calling his office for appointment at 763-6361 subsequent to his discharge to his rehabilitation facility in Oaksale Lavalle .' +p362815 +(lp362816 +S'The\tThe\tDT\tB-NP\tO' +p362817 +aS'patient\tpatient\tNN\tI-NP\tO' +p362818 +aS'was\tbe\tVBD\tB-VP\tO' +p362819 +aS'instructed\tinstruct\tVBN\tI-VP\tO' +p362820 +aS'that\tthat\tIN\tB-SBAR\tO' +p362821 +aS'he\the\tPRP\tB-NP\tO' +p362822 +aS'needed\tneed\tVBD\tB-VP\tO' +p362823 +aS'to\tto\tTO\tI-VP\tO' +p362824 +aS'followup\tfollowup\tVB\tI-VP\tO' +p362825 +aS'with\twith\tIN\tB-PP\tO' +p362826 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p362827 +aS'Rhalt\tRhalt\tNNP\tI-NP\tO' +p362828 +aS'by\tby\tIN\tB-PP\tO' +p362829 +aS'calling\tcall\tVBG\tB-VP\tO' +p362830 +aS'his\this\tPRP$\tB-NP\tO' +p362831 +aS'office\toffice\tNN\tI-NP\tO' +p362832 +aS'for\tfor\tIN\tB-PP\tO' +p362833 +aS'appointment\tappointment\tNN\tB-NP\tO' +p362834 +aS'at\tat\tIN\tB-PP\tO' +p362835 +aS'763-6361\t763-6361\tCD\tB-NP\tO' +p362836 +aS'subsequent\tsubsequent\tJJ\tI-NP\tO' +p362837 +aS'to\tto\tTO\tB-PP\tO' +p362838 +aS'his\this\tPRP$\tB-NP\tO' +p362839 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p362840 +aS'to\tto\tTO\tB-PP\tO' +p362841 +aS'his\this\tPRP$\tB-NP\tO' +p362842 +aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' +p362843 +aS'facility\tfacility\tNN\tI-NP\tO' +p362844 +aS'in\tin\tIN\tB-PP\tO' +p362845 +aS'Oaksale\tOaksale\tNNP\tB-NP\tO' +p362846 +aS'Lavalle\tLavalle\tNNP\tI-NP\tO' +p362847 +aS'.\t.\t.\tO\tO' +p362848 +asS'This report was created by CHIRDKOTEKERTH , LICHEREANYVE 10/24/2001 10:09 AM' +p362849 +(lp362850 +S'This\tThis\tDT\tB-NP\tO' +p362851 +aS'report\treport\tNN\tI-NP\tO' +p362852 +aS'was\tbe\tVBD\tB-VP\tO' +p362853 +aS'created\tcreate\tVBN\tI-VP\tO' +p362854 +aS'by\tby\tIN\tB-PP\tO' +p362855 +aS'CHIRDKOTEKERTH\tCHIRDKOTEKERTH\tNNP\tB-NP\tO' +p362856 +aS',\t,\t,\tO\tO' +p362857 +aS'LICHEREANYVE\tLICHEREANYVE\tNNP\tB-NP\tO' +p362858 +aS'10/24/2001\t10/24/2001\tCD\tB-NP\tO' +p362859 +aS'10:09\t10:09\tCD\tI-NP\tO' +p362860 +aS'AM\tAM\tNN\tI-NP\tO' +p362861 +asS'The patient had mild hyponatremia during this hospitalization with a sodium as low as 131 .' +p362862 +(lp362863 +S'The\tThe\tDT\tB-NP\tO' +p362864 +aS'patient\tpatient\tNN\tI-NP\tO' +p362865 +aS'had\thave\tVBD\tB-VP\tO' +p362866 +aS'mild\tmild\tJJ\tB-NP\tO' +p362867 +aS'hyponatremia\thyponatremia\tNN\tI-NP\tO' +p362868 +aS'during\tduring\tIN\tB-PP\tO' +p362869 +aS'this\tthis\tDT\tB-NP\tO' +p362870 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p362871 +aS'with\twith\tIN\tB-PP\tO' +p362872 +aS'a\ta\tDT\tB-NP\tO' +p362873 +aS'sodium\tsodium\tNN\tI-NP\tO' +p362874 +aS'as\tas\tRB\tB-ADJP\tO' +p362875 +aS'low\tlow\tJJ\tI-ADJP\tO' +p362876 +aS'as\tas\tIN\tB-PP\tO' +p362877 +aS'131\t131\tCD\tB-NP\tO' +p362878 +aS'.\t.\t.\tO\tO' +p362879 +asS'He was subsequently tranferred to the floor , where he continued to have a stable oxygen requirement .' +p362880 +(lp362881 +S'He\tHe\tPRP\tB-NP\tO' +p362882 +aS'was\tbe\tVBD\tB-VP\tO' +p362883 +aS'subsequently\tsubsequently\tRB\tI-VP\tO' +p362884 +aS'tranferred\ttranferre\tVBN\tI-VP\tO' +p362885 +aS'to\tto\tTO\tB-PP\tO' +p362886 +aS'the\tthe\tDT\tB-NP\tO' +p362887 +aS'floor\tfloor\tNN\tI-NP\tO' +p362888 +aS',\t,\t,\tO\tO' +p362889 +aS'where\twhere\tWRB\tB-ADVP\tO' +p362890 +aS'he\the\tPRP\tB-NP\tO' +p362891 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p362892 +aS'to\tto\tTO\tI-VP\tO' +p362893 +aS'have\thave\tVB\tI-VP\tO' +p362894 +aS'a\ta\tDT\tB-NP\tO' +p362895 +aS'stable\tstable\tJJ\tI-NP\tO' +p362896 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p362897 +aS'requirement\trequirement\tNN\tI-NP\tO' +p362898 +aS'.\t.\t.\tO\tO' +p362899 +asS'upper extremity .' +p362900 +(lp362901 +S'upper\tupper\tJJ\tB-NP\tO' +p362902 +aS'extremity\textremity\tNN\tI-NP\tO' +p362903 +aS'.\t.\t.\tO\tO' +p362904 +asS'The palate was intact .' +p362905 +(lp362906 +S'The\tThe\tDT\tB-NP\tO' +p362907 +aS'palate\tpalate\tNN\tI-NP\tO' +p362908 +aS'was\tbe\tVBD\tB-VP\tO' +p362909 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p362910 +aS'.\t.\t.\tO\tO' +p362911 +asS'He was observed in the nursery for progression of symptoms .' +p362912 +(lp362913 +S'He\tHe\tPRP\tB-NP\tO' +p362914 +aS'was\tbe\tVBD\tB-VP\tO' +p362915 +aS'observed\tobserve\tVBN\tI-VP\tO' +p362916 +aS'in\tin\tIN\tB-PP\tO' +p362917 +aS'the\tthe\tDT\tB-NP\tO' +p362918 +aS'nursery\tnursery\tNN\tI-NP\tO' +p362919 +aS'for\tfor\tIN\tB-PP\tO' +p362920 +aS'progression\tprogression\tNN\tB-NP\tO' +p362921 +aS'of\tof\tIN\tB-PP\tO' +p362922 +aS'symptoms\tsymptom\tNNS\tB-NP\tO' +p362923 +aS'.\t.\t.\tO\tO' +p362924 +asS'No S3 or opening snap .' +p362925 +(lp362926 +S'No\tNo\tDT\tB-NP\tO' +p362927 +aS'S3\tS3\tNN\tI-NP\tB-protein' +p362928 +aS'or\tor\tCC\tI-NP\tO' +p362929 +aS'opening\topening\tNN\tI-NP\tO' +p362930 +aS'snap\tsnap\tNN\tI-NP\tO' +p362931 +aS'.\t.\t.\tO\tO' +p362932 +asS'Neurologic exam revealed a resting tremor in the right arm and hand .' +p362933 +(lp362934 +S'Neurologic\tNeurologic\tJJ\tB-NP\tO' +p362935 +aS'exam\texam\tNN\tI-NP\tO' +p362936 +aS'revealed\treveal\tVBD\tB-VP\tO' +p362937 +aS'a\ta\tDT\tB-NP\tO' +p362938 +aS'resting\tresting\tJJ\tI-NP\tO' +p362939 +aS'tremor\ttremor\tNN\tI-NP\tO' +p362940 +aS'in\tin\tIN\tB-PP\tO' +p362941 +aS'the\tthe\tDT\tB-NP\tO' +p362942 +aS'right\tright\tJJ\tI-NP\tO' +p362943 +aS'arm\tarm\tNN\tI-NP\tO' +p362944 +aS'and\tand\tCC\tI-NP\tO' +p362945 +aS'hand\thand\tNN\tI-NP\tO' +p362946 +aS'.\t.\t.\tO\tO' +p362947 +asS'She seems to be tolerating this well as she has an O2 sat of 100% on 40% FIO2 .' +p362948 +(lp362949 +S'She\tShe\tPRP\tB-NP\tO' +p362950 +aS'seems\tseem\tVBZ\tB-VP\tO' +p362951 +aS'to\tto\tTO\tI-VP\tO' +p362952 +aS'be\tbe\tVB\tI-VP\tO' +p362953 +aS'tolerating\ttolerate\tVBG\tI-VP\tO' +p362954 +aS'this\tthis\tDT\tB-NP\tO' +p362955 +aS'well\twell\tNN\tI-NP\tO' +p362956 +aS'as\tas\tIN\tB-SBAR\tO' +p362957 +aS'she\tshe\tPRP\tB-NP\tO' +p362958 +aS'has\thave\tVBZ\tB-VP\tO' +p362959 +aS'an\tan\tDT\tB-NP\tO' +p362960 +aS'O2\tO2\tNN\tI-NP\tO' +p362961 +aS'sat\tsat\tNN\tI-NP\tO' +p362962 +aS'of\tof\tIN\tB-PP\tO' +p362963 +aS'100%\t100%\tNN\tB-NP\tO' +p362964 +aS'on\ton\tIN\tB-PP\tO' +p362965 +aS'40%\t40%\tJJ\tB-NP\tB-protein' +p362966 +aS'FIO2\tFIO2\tNN\tI-NP\tI-protein' +p362967 +aS'.\t.\t.\tO\tO' +p362968 +asS'He was able to communicate appropriately as his level of narcotic medications waned in his blood .' +p362969 +(lp362970 +S'He\tHe\tPRP\tB-NP\tO' +p362971 +aS'was\tbe\tVBD\tB-VP\tO' +p362972 +aS'able\table\tJJ\tB-ADJP\tO' +p362973 +aS'to\tto\tTO\tB-VP\tO' +p362974 +aS'communicate\tcommunicate\tVB\tI-VP\tO' +p362975 +aS'appropriately\tappropriately\tRB\tB-ADVP\tO' +p362976 +aS'as\tas\tIN\tB-PP\tO' +p362977 +aS'his\this\tPRP$\tB-NP\tO' +p362978 +aS'level\tlevel\tNN\tI-NP\tO' +p362979 +aS'of\tof\tIN\tB-PP\tO' +p362980 +aS'narcotic\tnarcotic\tJJ\tB-NP\tO' +p362981 +aS'medications\tmedication\tNNS\tI-NP\tO' +p362982 +aS'waned\twan\tVBD\tB-VP\tO' +p362983 +aS'in\tin\tIN\tB-PP\tO' +p362984 +aS'his\this\tPRP$\tB-NP\tO' +p362985 +aS'blood\tblood\tNN\tI-NP\tO' +p362986 +aS'.\t.\t.\tO\tO' +p362987 +asS'At the time of discharge , Mrs. Dua has had a remarkable recovery .' +p362988 +(lp362989 +S'At\tAt\tIN\tB-PP\tO' +p362990 +aS'the\tthe\tDT\tB-NP\tO' +p362991 +aS'time\ttime\tNN\tI-NP\tO' +p362992 +aS'of\tof\tIN\tB-PP\tO' +p362993 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p362994 +aS',\t,\t,\tO\tO' +p362995 +aS'Mrs.\tMrs.\tNNP\tB-NP\tO' +p362996 +aS'Dua\tDua\tNNP\tI-NP\tO' +p362997 +aS'has\thave\tVBZ\tB-VP\tO' +p362998 +aS'had\thave\tVBN\tI-VP\tO' +p362999 +aS'a\ta\tDT\tB-NP\tO' +p363000 +aS'remarkable\tremarkable\tJJ\tI-NP\tO' +p363001 +aS'recovery\trecovery\tNN\tI-NP\tO' +p363002 +aS'.\t.\t.\tO\tO' +p363003 +asS'There was no evidence of LV hypertrophy .' +p363004 +(lp363005 +S'There\tThere\tEX\tB-NP\tO' +p363006 +aS'was\tbe\tVBD\tB-VP\tO' +p363007 +aS'no\tno\tDT\tB-NP\tO' +p363008 +aS'evidence\tevidence\tNN\tI-NP\tO' +p363009 +aS'of\tof\tIN\tB-PP\tO' +p363010 +aS'LV\tLV\tNN\tB-NP\tO' +p363011 +aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' +p363012 +aS'.\t.\t.\tO\tO' +p363013 +asS'He was extubated a few days later and transferred back to the floor where his pulm status improved dramatically with lasix and continued nebulizer treatments .' +p363014 +(lp363015 +S'He\tHe\tPRP\tB-NP\tO' +p363016 +aS'was\tbe\tVBD\tB-VP\tO' +p363017 +aS'extubated\textubate\tVBN\tI-VP\tO' +p363018 +aS'a\ta\tDT\tB-NP\tO' +p363019 +aS'few\tfew\tJJ\tI-NP\tO' +p363020 +aS'days\tday\tNNS\tI-NP\tO' +p363021 +aS'later\tlater\tRB\tB-ADVP\tO' +p363022 +aS'and\tand\tCC\tO\tO' +p363023 +aS'transferred\ttransfer\tVBD\tB-VP\tO' +p363024 +aS'back\tback\tRB\tB-ADVP\tO' +p363025 +aS'to\tto\tTO\tB-PP\tO' +p363026 +aS'the\tthe\tDT\tB-NP\tO' +p363027 +aS'floor\tfloor\tNN\tI-NP\tO' +p363028 +aS'where\twhere\tWRB\tB-ADVP\tO' +p363029 +aS'his\this\tPRP$\tB-NP\tO' +p363030 +aS'pulm\tpulm\tNN\tI-NP\tO' +p363031 +aS'status\tstatus\tNN\tI-NP\tO' +p363032 +aS'improved\timprove\tVBD\tB-VP\tO' +p363033 +aS'dramatically\tdramatically\tRB\tB-ADVP\tO' +p363034 +aS'with\twith\tIN\tB-PP\tO' +p363035 +aS'lasix\tlasix\tNN\tB-NP\tO' +p363036 +aS'and\tand\tCC\tO\tO' +p363037 +aS'continued\tcontinued\tJJ\tB-NP\tO' +p363038 +aS'nebulizer\tnebulizer\tNN\tI-NP\tO' +p363039 +aS'treatments\ttreatment\tNNS\tI-NP\tO' +p363040 +aS'.\t.\t.\tO\tO' +p363041 +asS'CT head remained stable for SAH .' +p363042 +(lp363043 +S'CT\tCT\tNN\tB-NP\tO' +p363044 +aS'head\thead\tNN\tI-NP\tO' +p363045 +aS'remained\tremain\tVBD\tB-VP\tO' +p363046 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p363047 +aS'for\tfor\tIN\tB-PP\tO' +p363048 +aS'SAH\tSAH\tNN\tB-NP\tB-protein' +p363049 +aS'.\t.\t.\tO\tO' +p363050 +asS'She was watched very closely while on the floor .' +p363051 +(lp363052 +S'She\tShe\tPRP\tB-NP\tO' +p363053 +aS'was\tbe\tVBD\tB-VP\tO' +p363054 +aS'watched\twatch\tVBN\tI-VP\tO' +p363055 +aS'very\tvery\tRB\tB-ADVP\tO' +p363056 +aS'closely\tclosely\tRB\tI-ADVP\tO' +p363057 +aS'while\twhile\tIN\tB-SBAR\tO' +p363058 +aS'on\ton\tIN\tB-PP\tO' +p363059 +aS'the\tthe\tDT\tB-NP\tO' +p363060 +aS'floor\tfloor\tNN\tI-NP\tO' +p363061 +aS'.\t.\t.\tO\tO' +p363062 +asS'However , other causes were looked for including adrenal insufficiency and bowel obstruction .' +p363063 +(lp363064 +S'However\tHowever\tRB\tB-ADVP\tO' +p363065 +aS',\t,\t,\tO\tO' +p363066 +aS'other\tother\tJJ\tB-NP\tO' +p363067 +aS'causes\tcause\tNNS\tI-NP\tO' +p363068 +aS'were\tbe\tVBD\tB-VP\tO' +p363069 +aS'looked\tlook\tVBN\tI-VP\tO' +p363070 +aS'for\tfor\tIN\tB-PP\tO' +p363071 +aS'including\tinclude\tVBG\tB-VP\tO' +p363072 +aS'adrenal\tadrenal\tJJ\tB-NP\tO' +p363073 +aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' +p363074 +aS'and\tand\tCC\tI-NP\tO' +p363075 +aS'bowel\tbowel\tNN\tI-NP\tO' +p363076 +aS'obstruction\tobstruction\tNN\tI-NP\tO' +p363077 +aS'.\t.\t.\tO\tO' +p363078 +asS'Patient underwent suction curettage and finally a supercervical hysterectomy .' +p363079 +(lp363080 +S'Patient\tPatient\tNN\tB-NP\tO' +p363081 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p363082 +aS'suction\tsuction\tNN\tB-NP\tO' +p363083 +aS'curettage\tcurettage\tNN\tI-NP\tO' +p363084 +aS'and\tand\tCC\tO\tO' +p363085 +aS'finally\tfinally\tRB\tB-ADVP\tO' +p363086 +aS'a\ta\tDT\tB-NP\tO' +p363087 +aS'supercervical\tsupercervical\tJJ\tI-NP\tO' +p363088 +aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' +p363089 +aS'.\t.\t.\tO\tO' +p363090 +asS'The right superior parathyroid gland was found to be markedly enlarged and consistent with an adenoma .' +p363091 +(lp363092 +S'The\tThe\tDT\tB-NP\tO' +p363093 +aS'right\tright\tJJ\tI-NP\tO' +p363094 +aS'superior\tsuperior\tJJ\tI-NP\tO' +p363095 +aS'parathyroid\tparathyroid\tJJ\tI-NP\tO' +p363096 +aS'gland\tgland\tNN\tI-NP\tO' +p363097 +aS'was\tbe\tVBD\tB-VP\tO' +p363098 +aS'found\tfind\tVBN\tI-VP\tO' +p363099 +aS'to\tto\tTO\tI-VP\tO' +p363100 +aS'be\tbe\tVB\tI-VP\tO' +p363101 +aS'markedly\tmarkedly\tRB\tB-ADJP\tO' +p363102 +aS'enlarged\tenlarged\tJJ\tI-ADJP\tO' +p363103 +aS'and\tand\tCC\tI-ADJP\tO' +p363104 +aS'consistent\tconsistent\tJJ\tI-ADJP\tO' +p363105 +aS'with\twith\tIN\tB-PP\tO' +p363106 +aS'an\tan\tDT\tB-NP\tO' +p363107 +aS'adenoma\tadenoma\tNN\tI-NP\tO' +p363108 +aS'.\t.\t.\tO\tO' +p363109 +asS'The vital signs temperature 98.0 , heart rate 78 , blood pressure 186/69 , respirations 18 .' +p363110 +(lp363111 +S'The\tThe\tDT\tB-NP\tO' +p363112 +aS'vital\tvital\tJJ\tI-NP\tO' +p363113 +aS'signs\tsign\tNNS\tI-NP\tO' +p363114 +aS'temperature\ttemperature\tNN\tI-NP\tO' +p363115 +aS'98.0\t98.0\tCD\tI-NP\tO' +p363116 +aS',\t,\t,\tO\tO' +p363117 +aS'heart\theart\tNN\tB-NP\tO' +p363118 +aS'rate\trate\tNN\tI-NP\tO' +p363119 +aS'78\t78\tCD\tI-NP\tO' +p363120 +aS',\t,\t,\tO\tO' +p363121 +aS'blood\tblood\tNN\tB-NP\tO' +p363122 +aS'pressure\tpressure\tNN\tI-NP\tO' +p363123 +aS'186/69\t186/69\tCD\tI-NP\tO' +p363124 +aS',\t,\t,\tO\tO' +p363125 +aS'respirations\trespiration\tNNS\tB-NP\tO' +p363126 +aS'18\t18\tCD\tB-NP\tO' +p363127 +aS'.\t.\t.\tO\tO' +p363128 +asS'The patient was also treated initially with amphotericin-B and then with fluconazole for a computerized tomography guided aspirate of a small fluid collection around his pancreas , which grew Candida albicans .' +p363129 +(lp363130 +S'The\tThe\tDT\tB-NP\tO' +p363131 +aS'patient\tpatient\tNN\tI-NP\tO' +p363132 +aS'was\tbe\tVBD\tB-VP\tO' +p363133 +aS'also\talso\tRB\tI-VP\tO' +p363134 +aS'treated\ttreat\tVBN\tI-VP\tO' +p363135 +aS'initially\tinitially\tRB\tB-ADVP\tO' +p363136 +aS'with\twith\tIN\tB-PP\tO' +p363137 +aS'amphotericin-B\tamphotericin-B\tNN\tB-NP\tB-protein' +p363138 +aS'and\tand\tCC\tO\tO' +p363139 +aS'then\tthen\tRB\tB-ADVP\tO' +p363140 +aS'with\twith\tIN\tB-PP\tO' +p363141 +aS'fluconazole\tfluconazole\tNN\tB-NP\tO' +p363142 +aS'for\tfor\tIN\tB-PP\tO' +p363143 +aS'a\ta\tDT\tB-NP\tO' +p363144 +aS'computerized\tcomputerize\tVBN\tI-NP\tO' +p363145 +aS'tomography\ttomography\tNN\tI-NP\tO' +p363146 +aS'guided\tguide\tVBD\tB-VP\tO' +p363147 +aS'aspirate\taspirate\tNN\tB-NP\tO' +p363148 +aS'of\tof\tIN\tB-PP\tO' +p363149 +aS'a\ta\tDT\tB-NP\tO' +p363150 +aS'small\tsmall\tJJ\tI-NP\tO' +p363151 +aS'fluid\tfluid\tNN\tI-NP\tO' +p363152 +aS'collection\tcollection\tNN\tI-NP\tO' +p363153 +aS'around\taround\tIN\tB-PP\tO' +p363154 +aS'his\this\tPRP$\tB-NP\tO' +p363155 +aS'pancreas\tpancreas\tNN\tI-NP\tO' +p363156 +aS',\t,\t,\tO\tO' +p363157 +aS'which\twhich\tWDT\tB-NP\tO' +p363158 +aS'grew\tgrow\tVBD\tB-VP\tO' +p363159 +aS'Candida\tCandida\tNNP\tB-NP\tO' +p363160 +aS'albicans\talbican\tNNS\tI-NP\tO' +p363161 +aS'.\t.\t.\tO\tO' +p363162 +asS'The cervix revealed squamous metaplasia .' +p363163 +(lp363164 +S'The\tThe\tDT\tB-NP\tO' +p363165 +aS'cervix\tcervix\tNN\tI-NP\tO' +p363166 +aS'revealed\treveal\tVBD\tB-VP\tO' +p363167 +aS'squamous\tsquamous\tJJ\tB-NP\tO' +p363168 +aS'metaplasia\tmetaplasia\tNN\tI-NP\tO' +p363169 +aS'.\t.\t.\tO\tO' +p363170 +asS'During the last four hospital days , the continued to do relatively well .' +p363171 +(lp363172 +S'During\tDuring\tIN\tB-PP\tO' +p363173 +aS'the\tthe\tDT\tB-NP\tO' +p363174 +aS'last\tlast\tJJ\tI-NP\tO' +p363175 +aS'four\tfour\tCD\tI-NP\tO' +p363176 +aS'hospital\thospital\tNN\tI-NP\tO' +p363177 +aS'days\tday\tNNS\tI-NP\tO' +p363178 +aS',\t,\t,\tO\tO' +p363179 +aS'the\tthe\tDT\tO\tO' +p363180 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p363181 +aS'to\tto\tTO\tI-VP\tO' +p363182 +aS'do\tdo\tVB\tI-VP\tO' +p363183 +aS'relatively\trelatively\tRB\tB-ADVP\tO' +p363184 +aS'well\twell\tRB\tI-ADVP\tO' +p363185 +aS'.\t.\t.\tO\tO' +p363186 +asS'BLOOD GASES Type Temp Rates Tidal V PEEP FiO2 O2 Flow pO2 pCO2 pH calHCO3 Base XS AADO2 REQ O2 Intubat Vent' +p363187 +(lp363188 +S'BLOOD\tBLOOD\tNNP\tB-NP\tO' +p363189 +aS'GASES\tGASES\tNNP\tI-NP\tO' +p363190 +aS'Type\tType\tNNP\tI-NP\tO' +p363191 +aS'Temp\tTemp\tNNP\tI-NP\tO' +p363192 +aS'Rates\tRates\tNNP\tI-NP\tO' +p363193 +aS'Tidal\tTidal\tNNP\tI-NP\tO' +p363194 +aS'V\tV\tNNP\tI-NP\tO' +p363195 +aS'PEEP\tPEEP\tNNP\tI-NP\tO' +p363196 +aS'FiO2\tFiO2\tNN\tI-NP\tO' +p363197 +aS'O2\tO2\tNN\tI-NP\tO' +p363198 +aS'Flow\tFlow\tNN\tI-NP\tO' +p363199 +aS'pO2\tpO2\tNN\tI-NP\tO' +p363200 +aS'pCO2\tpCO2\tNN\tI-NP\tO' +p363201 +aS'pH\tpH\tNN\tI-NP\tO' +p363202 +aS'calHCO3\tcalHCO3\tNN\tI-NP\tO' +p363203 +aS'Base\tBase\tNN\tI-NP\tO' +p363204 +aS'XS\tXS\tNN\tI-NP\tO' +p363205 +aS'AADO2\tAADO2\tNN\tI-NP\tO' +p363206 +aS'REQ\tREQ\tNN\tI-NP\tO' +p363207 +aS'O2\tO2\tNN\tI-NP\tO' +p363208 +aS'Intubat\tIntubat\tNNP\tI-NP\tO' +p363209 +aS'Vent\tVent\tNNP\tI-NP\tO' +p363210 +asS'His last admission was 9-14-93 , for a transfusion without complications , and prior to admission the patient reports having several days of increasing weakness , dizziness and fatigue .' +p363211 +(lp363212 +S'His\tHis\tPRP$\tB-NP\tO' +p363213 +aS'last\tlast\tJJ\tI-NP\tO' +p363214 +aS'admission\tadmission\tNN\tI-NP\tO' +p363215 +aS'was\tbe\tVBD\tB-VP\tO' +p363216 +aS'9-14-93\t9-14-93\tCD\tB-NP\tO' +p363217 +aS',\t,\t,\tO\tO' +p363218 +aS'for\tfor\tIN\tB-PP\tO' +p363219 +aS'a\ta\tDT\tB-NP\tO' +p363220 +aS'transfusion\ttransfusion\tNN\tI-NP\tO' +p363221 +aS'without\twithout\tIN\tB-PP\tO' +p363222 +aS'complications\tcomplication\tNNS\tB-NP\tO' +p363223 +aS',\t,\t,\tO\tO' +p363224 +aS'and\tand\tCC\tO\tO' +p363225 +aS'prior\tprior\tRB\tB-ADVP\tO' +p363226 +aS'to\tto\tTO\tB-VP\tO' +p363227 +aS'admission\tadmission\tVB\tI-VP\tO' +p363228 +aS'the\tthe\tDT\tB-NP\tO' +p363229 +aS'patient\tpatient\tNN\tI-NP\tO' +p363230 +aS'reports\treport\tNNS\tI-NP\tO' +p363231 +aS'having\thave\tVBG\tB-VP\tO' +p363232 +aS'several\tseveral\tJJ\tB-NP\tO' +p363233 +aS'days\tday\tNNS\tI-NP\tO' +p363234 +aS'of\tof\tIN\tB-PP\tO' +p363235 +aS'increasing\tincrease\tVBG\tB-NP\tO' +p363236 +aS'weakness\tweakness\tNN\tI-NP\tO' +p363237 +aS',\t,\t,\tI-NP\tO' +p363238 +aS'dizziness\tdizziness\tNN\tI-NP\tO' +p363239 +aS'and\tand\tCC\tI-NP\tO' +p363240 +aS'fatigue\tfatigue\tNN\tI-NP\tO' +p363241 +aS'.\t.\t.\tO\tO' +p363242 +asS'4-to 4+ strength at the left ankle , 4+ strength at the right knee and right ankle .' +p363243 +(lp363244 +S'4-to\t4-to\tJJ\tB-NP\tO' +p363245 +aS'4+\t4+\tJJ\tI-NP\tO' +p363246 +aS'strength\tstrength\tNN\tI-NP\tO' +p363247 +aS'at\tat\tIN\tB-PP\tO' +p363248 +aS'the\tthe\tDT\tB-NP\tO' +p363249 +aS'left\tleft\tJJ\tI-NP\tO' +p363250 +aS'ankle\tankle\tNN\tI-NP\tO' +p363251 +aS',\t,\t,\tO\tO' +p363252 +aS'4+\t4+\tJJ\tB-NP\tO' +p363253 +aS'strength\tstrength\tNN\tI-NP\tO' +p363254 +aS'at\tat\tIN\tB-PP\tO' +p363255 +aS'the\tthe\tDT\tB-NP\tO' +p363256 +aS'right\tright\tJJ\tI-NP\tO' +p363257 +aS'knee\tknee\tNN\tI-NP\tO' +p363258 +aS'and\tand\tCC\tI-NP\tO' +p363259 +aS'right\tright\tJJ\tI-NP\tO' +p363260 +aS'ankle\tankle\tNN\tI-NP\tO' +p363261 +aS'.\t.\t.\tO\tO' +p363262 +asS'Significant tobacco history x 40 yrs x 1ppd , quit 20 yrs ago ,' +p363263 +(lp363264 +S'Significant\tSignificant\tJJ\tB-NP\tO' +p363265 +aS'tobacco\ttobacco\tNN\tI-NP\tO' +p363266 +aS'history\thistory\tNN\tI-NP\tO' +p363267 +aS'x\tx\tSYM\tB-VP\tO' +p363268 +aS'40\t40\tCD\tB-NP\tO' +p363269 +aS'yrs\tyr\tNNS\tI-NP\tO' +p363270 +aS'x\tx\tSYM\tB-NP\tO' +p363271 +aS'1ppd\t1ppd\tNN\tI-NP\tO' +p363272 +aS',\t,\t,\tO\tO' +p363273 +aS'quit\tquit\tVBP\tB-VP\tO' +p363274 +aS'20\t20\tCD\tB-NP\tO' +p363275 +aS'yrs\tyr\tNNS\tI-NP\tO' +p363276 +aS'ago\tago\tRB\tB-ADVP\tO' +p363277 +aS',\t,\t,\tO\tO' +p363278 +asS'Visual fields are full to confrontation .' +p363279 +(lp363280 +S'Visual\tVisual\tJJ\tB-NP\tO' +p363281 +aS'fields\tfield\tNNS\tI-NP\tO' +p363282 +aS'are\tbe\tVBP\tB-VP\tO' +p363283 +aS'full\tfull\tJJ\tB-ADJP\tO' +p363284 +aS'to\tto\tTO\tB-PP\tO' +p363285 +aS'confrontation\tconfrontation\tNN\tB-NP\tO' +p363286 +aS'.\t.\t.\tO\tO' +p363287 +asS'At baseline the patient denies any previous chest pain , pressure , dyspnea on exertion , orthopnea , PND or palpitations .' +p363288 +(lp363289 +S'At\tAt\tIN\tB-PP\tO' +p363290 +aS'baseline\tbaseline\tNN\tB-NP\tO' +p363291 +aS'the\tthe\tDT\tB-NP\tO' +p363292 +aS'patient\tpatient\tNN\tI-NP\tO' +p363293 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p363294 +aS'any\tany\tDT\tB-NP\tO' +p363295 +aS'previous\tprevious\tJJ\tI-NP\tO' +p363296 +aS'chest\tchest\tNN\tI-NP\tO' +p363297 +aS'pain\tpain\tNN\tI-NP\tO' +p363298 +aS',\t,\t,\tO\tO' +p363299 +aS'pressure\tpressure\tNN\tB-NP\tO' +p363300 +aS',\t,\t,\tO\tO' +p363301 +aS'dyspnea\tdyspnea\tNN\tB-NP\tO' +p363302 +aS'on\ton\tIN\tB-PP\tO' +p363303 +aS'exertion\texertion\tNN\tB-NP\tO' +p363304 +aS',\t,\t,\tI-NP\tO' +p363305 +aS'orthopnea\torthopnea\tNN\tI-NP\tO' +p363306 +aS',\t,\t,\tI-NP\tO' +p363307 +aS'PND\tPND\tNN\tI-NP\tO' +p363308 +aS'or\tor\tCC\tI-NP\tO' +p363309 +aS'palpitations\tpalpitation\tNNS\tI-NP\tO' +p363310 +aS'.\t.\t.\tO\tO' +p363311 +asS'She was refusing to take p.o.'s .' +p363312 +(lp363313 +S'She\tShe\tPRP\tB-NP\tO' +p363314 +aS'was\tbe\tVBD\tB-VP\tO' +p363315 +aS'refusing\trefuse\tVBG\tI-VP\tO' +p363316 +aS'to\tto\tTO\tI-VP\tO' +p363317 +aS'take\ttake\tVB\tI-VP\tO' +p363318 +aS'p.o.'s\tp.o.'\tNNS\tB-NP\tO' +p363319 +aS'.\t.\t.\tO\tO' +p363320 +asS'No other cultures grew out and the patient 's clinical status deteriorated .' +p363321 +(lp363322 +S'No\tNo\tDT\tB-NP\tO' +p363323 +aS'other\tother\tJJ\tI-NP\tO' +p363324 +aS'cultures\tculture\tNNS\tI-NP\tO' +p363325 +aS'grew\tgrow\tVBD\tB-VP\tO' +p363326 +aS'out\tout\tRP\tB-PRT\tO' +p363327 +aS'and\tand\tCC\tO\tO' +p363328 +aS'the\tthe\tDT\tB-NP\tO' +p363329 +aS'patient\tpatient\tNN\tI-NP\tO' +p363330 +aS''s\t'\tNNS\tI-NP\tO' +p363331 +aS'clinical\tclinical\tJJ\tB-NP\tO' +p363332 +aS'status\tstatus\tNN\tI-NP\tO' +p363333 +aS'deteriorated\tdeteriorate\tVBN\tB-VP\tO' +p363334 +aS'.\t.\t.\tO\tO' +p363335 +asS'3. Mental status .' +p363336 +(lp363337 +S'3.\t3.\tLS\tB-NP\tO' +p363338 +aS'Mental\tMental\tJJ\tI-NP\tO' +p363339 +aS'status\tstatus\tNN\tI-NP\tO' +p363340 +aS'.\t.\t.\tO\tO' +p363341 +asS'Exam remarkable for b / l carotid bruits , soft murmur at L sternal border , clear chest , 1+ b / l edema .' +p363342 +(lp363343 +S'Exam\tExam\tNN\tB-NP\tO' +p363344 +aS'remarkable\tremarkable\tJJ\tB-ADJP\tO' +p363345 +aS'for\tfor\tIN\tB-PP\tO' +p363346 +aS'b\tb\tNN\tB-NP\tO' +p363347 +aS'/\t/\tSYM\tI-NP\tO' +p363348 +aS'l\tl\tNN\tI-NP\tO' +p363349 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p363350 +aS'bruits\tbruit\tNNS\tI-NP\tO' +p363351 +aS',\t,\t,\tO\tO' +p363352 +aS'soft\tsoft\tJJ\tB-NP\tO' +p363353 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p363354 +aS'at\tat\tIN\tB-PP\tO' +p363355 +aS'L\tL\tNN\tB-NP\tO' +p363356 +aS'sternal\tsternal\tJJ\tI-NP\tO' +p363357 +aS'border\tborder\tNN\tI-NP\tO' +p363358 +aS',\t,\t,\tO\tO' +p363359 +aS'clear\tclear\tJJ\tB-NP\tO' +p363360 +aS'chest\tchest\tNN\tI-NP\tO' +p363361 +aS',\t,\t,\tO\tO' +p363362 +aS'1+\t1+\tJJ\tB-NP\tO' +p363363 +aS'b\tb\tNN\tI-NP\tO' +p363364 +aS'/\t/\tSYM\tB-VP\tO' +p363365 +aS'l\tl\tNN\tB-NP\tO' +p363366 +aS'edema\tedema\tNN\tI-NP\tO' +p363367 +aS'.\t.\t.\tO\tO' +p363368 +asS'The nephrologist who will follow her there is Dr. Study .' +p363369 +(lp363370 +S'The\tThe\tDT\tB-NP\tO' +p363371 +aS'nephrologist\tnephrologist\tNN\tI-NP\tO' +p363372 +aS'who\twho\tWP\tB-NP\tO' +p363373 +aS'will\twill\tMD\tB-VP\tO' +p363374 +aS'follow\tfollow\tVB\tI-VP\tO' +p363375 +aS'her\ther\tPRP$\tO\tO' +p363376 +aS'there\tthere\tEX\tB-NP\tO' +p363377 +aS'is\tbe\tVBZ\tB-VP\tO' +p363378 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p363379 +aS'Study\tStudy\tNNP\tI-NP\tO' +p363380 +aS'.\t.\t.\tO\tO' +p363381 +asS'4. Successful PTCA and stenting of the proximal LAD with overlapping 2.25 x 13 mm and 2.25 x 18 mm Hepacoat stents with no residual stenosis or dissection and normal flow ( see PTCA comments ).' +p363382 +(lp363383 +S'4.\t4.\tLS\tB-NP\tO' +p363384 +aS'Successful\tSuccessful\tJJ\tI-NP\tO' +p363385 +aS'PTCA\tPTCA\tNN\tI-NP\tO' +p363386 +aS'and\tand\tCC\tI-NP\tO' +p363387 +aS'stenting\tstenting\tNN\tI-NP\tO' +p363388 +aS'of\tof\tIN\tB-PP\tO' +p363389 +aS'the\tthe\tDT\tB-NP\tO' +p363390 +aS'proximal\tproximal\tJJ\tI-NP\tO' +p363391 +aS'LAD\tLAD\tNN\tI-NP\tO' +p363392 +aS'with\twith\tIN\tB-PP\tO' +p363393 +aS'overlapping\toverlap\tVBG\tB-VP\tO' +p363394 +aS'2.25\t2.25\tCD\tB-NP\tO' +p363395 +aS'x\tx\tSYM\tO\tO' +p363396 +aS'13\t13\tCD\tB-NP\tO' +p363397 +aS'mm\tmm\tNN\tI-NP\tO' +p363398 +aS'and\tand\tCC\tO\tO' +p363399 +aS'2.25\t2.25\tCD\tB-NP\tO' +p363400 +aS'x\tx\tSYM\tI-NP\tO' +p363401 +aS'18\t18\tCD\tI-NP\tO' +p363402 +aS'mm\tmm\tNN\tI-NP\tO' +p363403 +aS'Hepacoat\tHepacoat\tNN\tI-NP\tO' +p363404 +aS'stents\tstent\tNNS\tI-NP\tO' +p363405 +aS'with\twith\tIN\tB-PP\tO' +p363406 +aS'no\tno\tDT\tB-NP\tO' +p363407 +aS'residual\tresidual\tJJ\tI-NP\tO' +p363408 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p363409 +aS'or\tor\tCC\tI-NP\tO' +p363410 +aS'dissection\tdissection\tNN\tI-NP\tO' +p363411 +aS'and\tand\tCC\tO\tO' +p363412 +aS'normal\tnormal\tJJ\tB-NP\tO' +p363413 +aS'flow\tflow\tNN\tI-NP\tO' +p363414 +aS'(\t(\t(\tO\tO' +p363415 +aS'see\tsee\tVB\tB-VP\tO' +p363416 +aS'PTCA\tPTCA\tNN\tB-NP\tO' +p363417 +aS'comments\tcomment\tNNS\tI-NP\tO' +p363418 +aS').\t).\tVBP\tB-VP\tO' +p363419 +asS'The lungs were clear to auscultation .' +p363420 +(lp363421 +S'The\tThe\tDT\tB-NP\tO' +p363422 +aS'lungs\tlung\tNNS\tI-NP\tO' +p363423 +aS'were\tbe\tVBD\tB-VP\tO' +p363424 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p363425 +aS'to\tto\tTO\tB-PP\tO' +p363426 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p363427 +aS'.\t.\t.\tO\tO' +p363428 +asS'Patient was started on morphine drip and palliative care team was consulted with recommendations to ensure comfort .' +p363429 +(lp363430 +S'Patient\tPatient\tNN\tB-NP\tO' +p363431 +aS'was\tbe\tVBD\tB-VP\tO' +p363432 +aS'started\tstart\tVBN\tI-VP\tO' +p363433 +aS'on\ton\tIN\tB-PP\tO' +p363434 +aS'morphine\tmorphine\tNN\tB-NP\tO' +p363435 +aS'drip\tdrip\tNN\tI-NP\tO' +p363436 +aS'and\tand\tCC\tO\tO' +p363437 +aS'palliative\tpalliative\tJJ\tB-NP\tO' +p363438 +aS'care\tcare\tNN\tI-NP\tO' +p363439 +aS'team\tteam\tNN\tI-NP\tO' +p363440 +aS'was\tbe\tVBD\tB-VP\tO' +p363441 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p363442 +aS'with\twith\tIN\tB-PP\tO' +p363443 +aS'recommendations\trecommendation\tNNS\tB-NP\tO' +p363444 +aS'to\tto\tTO\tB-VP\tO' +p363445 +aS'ensure\tensure\tVB\tI-VP\tO' +p363446 +aS'comfort\tcomfort\tNN\tB-NP\tO' +p363447 +aS'.\t.\t.\tO\tO' +p363448 +asS'1. Lopressor intravenous q 6 hours .' +p363449 +(lp363450 +S'1.\t1.\tLS\tB-NP\tO' +p363451 +aS'Lopressor\tLopressor\tNN\tI-NP\tO' +p363452 +aS'intravenous\tintravenous\tJJ\tI-NP\tO' +p363453 +aS'q\tq\tNN\tI-NP\tO' +p363454 +aS'6\t6\tCD\tB-NP\tO' +p363455 +aS'hours\thour\tNNS\tI-NP\tO' +p363456 +aS'.\t.\t.\tO\tO' +p363457 +asS'The site was clean and dry .' +p363458 +(lp363459 +S'The\tThe\tDT\tB-NP\tO' +p363460 +aS'site\tsite\tNN\tI-NP\tO' +p363461 +aS'was\tbe\tVBD\tB-VP\tO' +p363462 +aS'clean\tclean\tJJ\tB-ADJP\tO' +p363463 +aS'and\tand\tCC\tI-ADJP\tO' +p363464 +aS'dry\tdry\tJJ\tI-ADJP\tO' +p363465 +aS'.\t.\t.\tO\tO' +p363466 +asS'Low salt diet .' +p363467 +(lp363468 +S'Low\tLow\tJJ\tB-NP\tO' +p363469 +aS'salt\tsalt\tNN\tI-NP\tO' +p363470 +aS'diet\tdiet\tNN\tI-NP\tO' +p363471 +aS'.\t.\t.\tO\tO' +p363472 +asS'Sedimentation rate 2 , antithrombin 3 .' +p363473 +(lp363474 +S'Sedimentation\tSedimentation\tNN\tB-NP\tO' +p363475 +aS'rate\trate\tNN\tI-NP\tO' +p363476 +aS'2\t2\tCD\tI-NP\tO' +p363477 +aS',\t,\t,\tO\tO' +p363478 +aS'antithrombin\tantithrombin\tNN\tB-NP\tB-protein' +p363479 +aS'3\t3\tCD\tI-NP\tI-protein' +p363480 +aS'.\t.\t.\tO\tO' +p363481 +asS'The lungs were clear to auscultation and percussion .' +p363482 +(lp363483 +S'The\tThe\tDT\tB-NP\tO' +p363484 +aS'lungs\tlung\tNNS\tI-NP\tO' +p363485 +aS'were\tbe\tVBD\tB-VP\tO' +p363486 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p363487 +aS'to\tto\tTO\tB-PP\tO' +p363488 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p363489 +aS'and\tand\tCC\tI-NP\tO' +p363490 +aS'percussion\tpercussion\tNN\tI-NP\tO' +p363491 +aS'.\t.\t.\tO\tO' +p363492 +asS'The patient was tolerating a general diet , she was voiding on her own and the patient was discharged to home as her daughter is a nurse .' +p363493 +(lp363494 +S'The\tThe\tDT\tB-NP\tO' +p363495 +aS'patient\tpatient\tNN\tI-NP\tO' +p363496 +aS'was\tbe\tVBD\tB-VP\tO' +p363497 +aS'tolerating\ttolerate\tVBG\tI-VP\tO' +p363498 +aS'a\ta\tDT\tB-NP\tO' +p363499 +aS'general\tgeneral\tJJ\tI-NP\tO' +p363500 +aS'diet\tdiet\tNN\tI-NP\tO' +p363501 +aS',\t,\t,\tO\tO' +p363502 +aS'she\tshe\tPRP\tB-NP\tO' +p363503 +aS'was\tbe\tVBD\tB-VP\tO' +p363504 +aS'voiding\tvoid\tVBG\tI-VP\tO' +p363505 +aS'on\ton\tIN\tB-PP\tO' +p363506 +aS'her\ther\tPRP$\tB-NP\tO' +p363507 +aS'own\town\tJJ\tI-NP\tO' +p363508 +aS'and\tand\tCC\tO\tO' +p363509 +aS'the\tthe\tDT\tB-NP\tO' +p363510 +aS'patient\tpatient\tNN\tI-NP\tO' +p363511 +aS'was\tbe\tVBD\tB-VP\tO' +p363512 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p363513 +aS'to\tto\tTO\tB-PP\tO' +p363514 +aS'home\thome\tNN\tB-NP\tO' +p363515 +aS'as\tas\tIN\tB-PP\tO' +p363516 +aS'her\ther\tPRP$\tB-NP\tO' +p363517 +aS'daughter\tdaughter\tNN\tI-NP\tO' +p363518 +aS'is\tbe\tVBZ\tB-VP\tO' +p363519 +aS'a\ta\tDT\tB-NP\tO' +p363520 +aS'nurse\tnurse\tNN\tI-NP\tO' +p363521 +aS'.\t.\t.\tO\tO' +p363522 +asS'The patient was admitted to the ICU for further care .' +p363523 +(lp363524 +S'The\tThe\tDT\tB-NP\tO' +p363525 +aS'patient\tpatient\tNN\tI-NP\tO' +p363526 +aS'was\tbe\tVBD\tB-VP\tO' +p363527 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p363528 +aS'to\tto\tTO\tB-PP\tO' +p363529 +aS'the\tthe\tDT\tB-NP\tO' +p363530 +aS'ICU\tICU\tNN\tI-NP\tO' +p363531 +aS'for\tfor\tIN\tB-PP\tO' +p363532 +aS'further\tfurther\tJJ\tB-NP\tO' +p363533 +aS'care\tcare\tNN\tI-NP\tO' +p363534 +aS'.\t.\t.\tO\tO' +p363535 +asS'Pupils equal , round and reactive to light .' +p363536 +(lp363537 +S'Pupils\tPupil\tNNS\tB-NP\tO' +p363538 +aS'equal\tequal\tJJ\tI-NP\tO' +p363539 +aS',\t,\t,\tI-NP\tO' +p363540 +aS'round\tround\tJJ\tI-NP\tO' +p363541 +aS'and\tand\tCC\tI-NP\tO' +p363542 +aS'reactive\treactive\tJJ\tI-NP\tO' +p363543 +aS'to\tto\tTO\tB-PP\tO' +p363544 +aS'light\tlight\tNN\tB-NP\tO' +p363545 +aS'.\t.\t.\tO\tO' +p363546 +asS'The patient reportedly had been experiencing increasing fatigue and dyspnea with exertion for the year prior to his admission .' +p363547 +(lp363548 +S'The\tThe\tDT\tB-NP\tO' +p363549 +aS'patient\tpatient\tNN\tI-NP\tO' +p363550 +aS'reportedly\treportedly\tRB\tB-ADVP\tO' +p363551 +aS'had\thave\tVBD\tB-VP\tO' +p363552 +aS'been\tbe\tVBN\tI-VP\tO' +p363553 +aS'experiencing\texperience\tVBG\tI-VP\tO' +p363554 +aS'increasing\tincrease\tVBG\tB-NP\tO' +p363555 +aS'fatigue\tfatigue\tNN\tI-NP\tO' +p363556 +aS'and\tand\tCC\tI-NP\tO' +p363557 +aS'dyspnea\tdyspnea\tNN\tI-NP\tO' +p363558 +aS'with\twith\tIN\tB-PP\tO' +p363559 +aS'exertion\texertion\tNN\tB-NP\tO' +p363560 +aS'for\tfor\tIN\tB-PP\tO' +p363561 +aS'the\tthe\tDT\tB-NP\tO' +p363562 +aS'year\tyear\tNN\tI-NP\tO' +p363563 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p363564 +aS'to\tto\tTO\tB-PP\tO' +p363565 +aS'his\this\tPRP$\tB-NP\tO' +p363566 +aS'admission\tadmission\tNN\tI-NP\tO' +p363567 +aS'.\t.\t.\tO\tO' +p363568 +asS'She was able to subtract serial sevens , remember three out of three objects after five minutes , and there was notable aphasia or word finding difficulty .' +p363569 +(lp363570 +S'She\tShe\tPRP\tB-NP\tO' +p363571 +aS'was\tbe\tVBD\tB-VP\tO' +p363572 +aS'able\table\tJJ\tB-ADJP\tO' +p363573 +aS'to\tto\tTO\tB-VP\tO' +p363574 +aS'subtract\tsubtract\tVB\tI-VP\tO' +p363575 +aS'serial\tserial\tJJ\tB-NP\tO' +p363576 +aS'sevens\tseven\tNNS\tI-NP\tO' +p363577 +aS',\t,\t,\tO\tO' +p363578 +aS'remember\tremember\tVBP\tB-VP\tO' +p363579 +aS'three\tthree\tCD\tB-NP\tO' +p363580 +aS'out\tout\tIN\tI-NP\tO' +p363581 +aS'of\tof\tIN\tI-NP\tO' +p363582 +aS'three\tthree\tCD\tI-NP\tO' +p363583 +aS'objects\tobject\tNNS\tI-NP\tO' +p363584 +aS'after\tafter\tIN\tB-PP\tO' +p363585 +aS'five\tfive\tCD\tB-NP\tO' +p363586 +aS'minutes\tminute\tNNS\tI-NP\tO' +p363587 +aS',\t,\t,\tO\tO' +p363588 +aS'and\tand\tCC\tO\tO' +p363589 +aS'there\tthere\tEX\tB-NP\tO' +p363590 +aS'was\tbe\tVBD\tB-VP\tO' +p363591 +aS'notable\tnotable\tJJ\tB-NP\tO' +p363592 +aS'aphasia\taphasia\tNN\tI-NP\tO' +p363593 +aS'or\tor\tCC\tI-NP\tO' +p363594 +aS'word\tword\tNN\tI-NP\tO' +p363595 +aS'finding\tfinding\tNN\tI-NP\tO' +p363596 +aS'difficulty\tdifficulty\tNN\tI-NP\tO' +p363597 +aS'.\t.\t.\tO\tO' +p363598 +asS'gen : mild resp distress speaking in full sentences but using accessory muscles' +p363599 +(lp363600 +S'gen\tgen\tNN\tB-NP\tO' +p363601 +aS':\t:\t:\tO\tO' +p363602 +aS'mild\tmild\tJJ\tB-NP\tO' +p363603 +aS'resp\tresp\tNN\tI-NP\tO' +p363604 +aS'distress\tdistress\tNN\tI-NP\tO' +p363605 +aS'speaking\tspeak\tVBG\tB-VP\tO' +p363606 +aS'in\tin\tIN\tB-PP\tO' +p363607 +aS'full\tfull\tJJ\tB-NP\tO' +p363608 +aS'sentences\tsentence\tNNS\tI-NP\tO' +p363609 +aS'but\tbut\tCC\tO\tO' +p363610 +aS'using\tuse\tVBG\tB-VP\tO' +p363611 +aS'accessory\taccessory\tJJ\tB-NP\tO' +p363612 +aS'muscles\tmuscle\tNNS\tI-NP\tO' +p363613 +asS'Bronchitis , asthma , carcinoid cancer , no history of coronary artery disease or cerebrovascular accident .' +p363614 +(lp363615 +S'Bronchitis\tBronchitis\tNN\tB-NP\tO' +p363616 +aS',\t,\t,\tO\tO' +p363617 +aS'asthma\tasthma\tNN\tB-NP\tO' +p363618 +aS',\t,\t,\tO\tO' +p363619 +aS'carcinoid\tcarcinoid\tJJ\tB-NP\tO' +p363620 +aS'cancer\tcancer\tNN\tI-NP\tO' +p363621 +aS',\t,\t,\tO\tO' +p363622 +aS'no\tno\tDT\tB-NP\tO' +p363623 +aS'history\thistory\tNN\tI-NP\tO' +p363624 +aS'of\tof\tIN\tB-PP\tO' +p363625 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p363626 +aS'artery\tartery\tNN\tI-NP\tO' +p363627 +aS'disease\tdisease\tNN\tI-NP\tO' +p363628 +aS'or\tor\tCC\tO\tO' +p363629 +aS'cerebrovascular\tcerebrovascular\tJJ\tB-NP\tO' +p363630 +aS'accident\taccident\tNN\tI-NP\tO' +p363631 +aS'.\t.\t.\tO\tO' +p363632 +asS'Left salpingo oophorectomy 2002 for torsion; coloposcopy and cryotherapy 2001; appendectomy; T + A' +p363633 +(lp363634 +S'Left\tLeave\tVBN\tB-NP\tO' +p363635 +aS'salpingo\tsalpingo\tNN\tI-NP\tO' +p363636 +aS'oophorectomy\toophorectomy\tNN\tI-NP\tO' +p363637 +aS'2002\t2002\tCD\tI-NP\tO' +p363638 +aS'for\tfor\tIN\tB-PP\tO' +p363639 +aS'torsion;\ttorsion;\tNN\tB-NP\tO' +p363640 +aS'coloposcopy\tcoloposcopy\tNN\tI-NP\tO' +p363641 +aS'and\tand\tCC\tO\tO' +p363642 +aS'cryotherapy\tcryotherapy\tNN\tB-NP\tO' +p363643 +aS'2001;\t2001;\tCD\tI-NP\tO' +p363644 +aS'appendectomy;\tappendectomy;\tNN\tI-NP\tO' +p363645 +aS'T\tT\tNN\tI-NP\tO' +p363646 +aS'+\t+\tSYM\tB-NP\tO' +p363647 +aS'A\tA\tNN\tI-NP\tO' +p363648 +asS'Patient will follow up with Dr. Ausguall , in about 4-5 days , at which time the JP drain will be removed .' +p363649 +(lp363650 +S'Patient\tPatient\tNN\tB-NP\tO' +p363651 +aS'will\twill\tMD\tB-VP\tO' +p363652 +aS'follow\tfollow\tVB\tI-VP\tO' +p363653 +aS'up\tup\tRP\tB-PRT\tO' +p363654 +aS'with\twith\tIN\tB-PP\tO' +p363655 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p363656 +aS'Ausguall\tAusguall\tNNP\tI-NP\tO' +p363657 +aS',\t,\t,\tO\tO' +p363658 +aS'in\tin\tIN\tB-PP\tO' +p363659 +aS'about\tabout\tRB\tB-NP\tO' +p363660 +aS'4-5\t4-5\tCD\tI-NP\tO' +p363661 +aS'days\tday\tNNS\tI-NP\tO' +p363662 +aS',\t,\t,\tO\tO' +p363663 +aS'at\tat\tIN\tB-PP\tO' +p363664 +aS'which\twhich\tWDT\tB-NP\tO' +p363665 +aS'time\ttime\tNN\tI-NP\tO' +p363666 +aS'the\tthe\tDT\tB-NP\tO' +p363667 +aS'JP\tJP\tNN\tI-NP\tB-protein' +p363668 +aS'drain\tdrain\tNN\tI-NP\tI-protein' +p363669 +aS'will\twill\tMD\tB-VP\tO' +p363670 +aS'be\tbe\tVB\tI-VP\tO' +p363671 +aS'removed\tremove\tVBN\tI-VP\tO' +p363672 +aS'.\t.\t.\tO\tO' +p363673 +asS'EGD normal .' +p363674 +(lp363675 +S'EGD\tEGD\tNN\tB-NP\tO' +p363676 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p363677 +aS'.\t.\t.\tO\tO' +p363678 +asS'Extensive discussion was held , and second opinion was obtained regarding the need for' +p363679 +(lp363680 +S'Extensive\tExtensive\tJJ\tB-NP\tO' +p363681 +aS'discussion\tdiscussion\tNN\tI-NP\tO' +p363682 +aS'was\tbe\tVBD\tB-VP\tO' +p363683 +aS'held\thold\tVBN\tI-VP\tO' +p363684 +aS',\t,\t,\tO\tO' +p363685 +aS'and\tand\tCC\tO\tO' +p363686 +aS'second\tsecond\tJJ\tB-NP\tO' +p363687 +aS'opinion\topinion\tNN\tI-NP\tO' +p363688 +aS'was\tbe\tVBD\tB-VP\tO' +p363689 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p363690 +aS'regarding\tregard\tVBG\tB-PP\tO' +p363691 +aS'the\tthe\tDT\tB-NP\tO' +p363692 +aS'need\tneed\tNN\tI-NP\tO' +p363693 +aS'for\tfor\tIN\tB-SBAR\tO' +p363694 +asS'The colonoscopy and upper gastrointestinal series were negative .' +p363695 +(lp363696 +S'The\tThe\tDT\tB-NP\tO' +p363697 +aS'colonoscopy\tcolonoscopy\tNN\tI-NP\tO' +p363698 +aS'and\tand\tCC\tI-NP\tO' +p363699 +aS'upper\tupper\tJJ\tI-NP\tO' +p363700 +aS'gastrointestinal\tgastrointestinal\tJJ\tI-NP\tO' +p363701 +aS'series\tseries\tNN\tI-NP\tO' +p363702 +aS'were\tbe\tVBD\tB-VP\tO' +p363703 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p363704 +aS'.\t.\t.\tO\tO' +p363705 +asS'In addition , on telemetry she developed complete heart block and hypotension requiring temporary pacing wire and then a permanent pacemaker implantation on 08-03-93 .' +p363706 +(lp363707 +S'In\tIn\tIN\tB-PP\tO' +p363708 +aS'addition\taddition\tNN\tB-NP\tO' +p363709 +aS',\t,\t,\tO\tO' +p363710 +aS'on\ton\tIN\tB-PP\tO' +p363711 +aS'telemetry\ttelemetry\tNN\tB-NP\tO' +p363712 +aS'she\tshe\tPRP\tB-NP\tO' +p363713 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p363714 +aS'complete\tcomplete\tJJ\tB-NP\tO' +p363715 +aS'heart\theart\tNN\tI-NP\tO' +p363716 +aS'block\tblock\tNN\tI-NP\tO' +p363717 +aS'and\tand\tCC\tI-NP\tO' +p363718 +aS'hypotension\thypotension\tNN\tI-NP\tO' +p363719 +aS'requiring\trequire\tVBG\tB-VP\tO' +p363720 +aS'temporary\ttemporary\tJJ\tB-NP\tO' +p363721 +aS'pacing\tpacing\tNN\tI-NP\tO' +p363722 +aS'wire\twire\tNN\tI-NP\tO' +p363723 +aS'and\tand\tCC\tB-NP\tO' +p363724 +aS'then\tthen\tRB\tI-NP\tO' +p363725 +aS'a\ta\tDT\tB-NP\tO' +p363726 +aS'permanent\tpermanent\tJJ\tI-NP\tO' +p363727 +aS'pacemaker\tpacemaker\tNN\tI-NP\tO' +p363728 +aS'implantation\timplantation\tNN\tI-NP\tO' +p363729 +aS'on\ton\tIN\tB-PP\tO' +p363730 +aS'08-03-93\t08-03-93\tCD\tB-NP\tO' +p363731 +aS'.\t.\t.\tO\tO' +p363732 +asS'There was a small Penrose drain postoperatively that was placed intraoperatively and discontinued on approximately postoperative day number three .' +p363733 +(lp363734 +S'There\tThere\tEX\tB-NP\tO' +p363735 +aS'was\tbe\tVBD\tB-VP\tO' +p363736 +aS'a\ta\tDT\tB-NP\tO' +p363737 +aS'small\tsmall\tJJ\tI-NP\tO' +p363738 +aS'Penrose\tPenrose\tNNP\tI-NP\tO' +p363739 +aS'drain\tdrain\tNN\tI-NP\tO' +p363740 +aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' +p363741 +aS'that\tthat\tDT\tB-NP\tO' +p363742 +aS'was\tbe\tVBD\tB-VP\tO' +p363743 +aS'placed\tplace\tVBN\tI-VP\tO' +p363744 +aS'intraoperatively\tintraoperatively\tRB\tB-ADVP\tO' +p363745 +aS'and\tand\tCC\tO\tO' +p363746 +aS'discontinued\tdiscontinue\tVBN\tB-VP\tO' +p363747 +aS'on\ton\tIN\tB-PP\tO' +p363748 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p363749 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p363750 +aS'day\tday\tNN\tI-NP\tO' +p363751 +aS'number\tnumber\tNN\tI-NP\tO' +p363752 +aS'three\tthree\tCD\tI-NP\tO' +p363753 +aS'.\t.\t.\tO\tO' +p363754 +asS'Downgoing toes bilaterally .' +p363755 +(lp363756 +S'Downgoing\tDowngoe\tVBG\tB-VP\tO' +p363757 +aS'toes\ttoe\tNNS\tB-NP\tO' +p363758 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p363759 +aS'.\t.\t.\tO\tO' +p363760 +asS'The Clinci phone number is ( 754 ) 280-1011' +p363761 +(lp363762 +S'The\tThe\tDT\tB-NP\tO' +p363763 +aS'Clinci\tClinci\tNNP\tI-NP\tO' +p363764 +aS'phone\tphone\tNN\tI-NP\tO' +p363765 +aS'number\tnumber\tNN\tI-NP\tO' +p363766 +aS'is\tbe\tVBZ\tB-VP\tO' +p363767 +aS'(\t(\t(\tO\tO' +p363768 +aS'754\t754\tCD\tB-NP\tO' +p363769 +aS')\t)\t)\tO\tO' +p363770 +aS'280-1011\t280-1011\tCD\tB-NP\tO' +p363771 +asS'According to Dr. Nicole , she has had stable deficits for many years without any flare-like episodes .' +p363772 +(lp363773 +S'According\tAccord\tVBG\tB-PP\tO' +p363774 +aS'to\tto\tTO\tB-PP\tO' +p363775 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p363776 +aS'Nicole\tNicole\tNNP\tI-NP\tO' +p363777 +aS',\t,\t,\tO\tO' +p363778 +aS'she\tshe\tPRP\tB-NP\tO' +p363779 +aS'has\thave\tVBZ\tB-VP\tO' +p363780 +aS'had\thave\tVBN\tI-VP\tO' +p363781 +aS'stable\tstable\tJJ\tB-NP\tO' +p363782 +aS'deficits\tdeficit\tNNS\tI-NP\tO' +p363783 +aS'for\tfor\tIN\tB-PP\tO' +p363784 +aS'many\tmany\tJJ\tB-NP\tO' +p363785 +aS'years\tyear\tNNS\tI-NP\tO' +p363786 +aS'without\twithout\tIN\tB-PP\tO' +p363787 +aS'any\tany\tDT\tB-NP\tO' +p363788 +aS'flare-like\tflare-like\tJJ\tI-NP\tO' +p363789 +aS'episodes\tepisode\tNNS\tI-NP\tO' +p363790 +aS'.\t.\t.\tO\tO' +p363791 +asS'Subsequent 4 ICD discharges at rest .' +p363792 +(lp363793 +S'Subsequent\tSubsequent\tJJ\tB-NP\tO' +p363794 +aS'4\t4\tCD\tI-NP\tO' +p363795 +aS'ICD\tICD\tNN\tI-NP\tO' +p363796 +aS'discharges\tdischarge\tNNS\tI-NP\tO' +p363797 +aS'at\tat\tIN\tB-PP\tO' +p363798 +aS'rest\trest\tNN\tB-NP\tO' +p363799 +aS'.\t.\t.\tO\tO' +p363800 +asS'In John , VS - 99.6 , 135 , 122/65 , 20 .' +p363801 +(lp363802 +S'In\tIn\tIN\tB-PP\tO' +p363803 +aS'John\tJohn\tNNP\tB-NP\tO' +p363804 +aS',\t,\t,\tO\tO' +p363805 +aS'VS\tVS\tNNP\tB-NP\tB-cell_line' +p363806 +aS'-\t-\tHYPH\tB-NP\tI-cell_line' +p363807 +aS'99.6\t99.6\tCD\tI-NP\tI-cell_line' +p363808 +aS',\t,\t,\tI-NP\tO' +p363809 +aS'135\t135\tCD\tI-NP\tO' +p363810 +aS',\t,\t,\tI-NP\tO' +p363811 +aS'122/65\t122/65\tCD\tI-NP\tO' +p363812 +aS',\t,\t,\tI-NP\tO' +p363813 +aS'20\t20\tCD\tI-NP\tO' +p363814 +aS'.\t.\t.\tO\tO' +p363815 +asS'MRI by report showed bilateral rotator cuff repairs and he was admitted for repair of the left rotator cuff .' +p363816 +(lp363817 +S'MRI\tMRI\tNN\tB-NP\tO' +p363818 +aS'by\tby\tIN\tB-PP\tO' +p363819 +aS'report\treport\tNN\tB-NP\tO' +p363820 +aS'showed\tshow\tVBD\tB-VP\tO' +p363821 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p363822 +aS'rotator\trotator\tNN\tI-NP\tO' +p363823 +aS'cuff\tcuff\tNN\tI-NP\tO' +p363824 +aS'repairs\trepair\tNNS\tI-NP\tO' +p363825 +aS'and\tand\tCC\tO\tO' +p363826 +aS'he\the\tPRP\tB-NP\tO' +p363827 +aS'was\tbe\tVBD\tB-VP\tO' +p363828 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p363829 +aS'for\tfor\tIN\tB-PP\tO' +p363830 +aS'repair\trepair\tNN\tB-NP\tO' +p363831 +aS'of\tof\tIN\tB-PP\tO' +p363832 +aS'the\tthe\tDT\tB-NP\tO' +p363833 +aS'left\tleft\tJJ\tI-NP\tO' +p363834 +aS'rotator\trotator\tNN\tI-NP\tO' +p363835 +aS'cuff\tcuff\tNN\tI-NP\tO' +p363836 +aS'.\t.\t.\tO\tO' +p363837 +asS'He characterized this headache as the worst headache of his life and had associated nausea and vomiting times one .' +p363838 +(lp363839 +S'He\tHe\tPRP\tB-NP\tO' +p363840 +aS'characterized\tcharacterize\tVBD\tB-VP\tO' +p363841 +aS'this\tthis\tDT\tB-NP\tO' +p363842 +aS'headache\theadache\tNN\tI-NP\tO' +p363843 +aS'as\tas\tIN\tB-PP\tO' +p363844 +aS'the\tthe\tDT\tB-NP\tO' +p363845 +aS'worst\tworst\tJJS\tI-NP\tO' +p363846 +aS'headache\theadache\tNN\tI-NP\tO' +p363847 +aS'of\tof\tIN\tB-PP\tO' +p363848 +aS'his\this\tPRP$\tB-NP\tO' +p363849 +aS'life\tlife\tNN\tI-NP\tO' +p363850 +aS'and\tand\tCC\tO\tO' +p363851 +aS'had\thave\tVBD\tB-VP\tO' +p363852 +aS'associated\tassociate\tVBN\tI-VP\tO' +p363853 +aS'nausea\tnausea\tNN\tB-NP\tO' +p363854 +aS'and\tand\tCC\tO\tO' +p363855 +aS'vomiting\tvomit\tVBG\tB-VP\tO' +p363856 +aS'times\ttime\tNNS\tB-NP\tO' +p363857 +aS'one\tone\tCD\tB-NP\tO' +p363858 +aS'.\t.\t.\tO\tO' +p363859 +asS'His hips were stable .' +p363860 +(lp363861 +S'His\tHis\tPRP$\tB-NP\tO' +p363862 +aS'hips\thip\tNNS\tI-NP\tO' +p363863 +aS'were\tbe\tVBD\tB-VP\tO' +p363864 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p363865 +aS'.\t.\t.\tO\tO' +p363866 +asS'On 9/6/93 , 22:00 , fluids were changed to D5 normal saline plus 40 KCL and 40 K phosphate at 75 cc 's per hour .' +p363867 +(lp363868 +S'On\tOn\tIN\tB-PP\tO' +p363869 +aS'9/6/93\t9/6/93\tCD\tB-NP\tO' +p363870 +aS',\t,\t,\tI-NP\tO' +p363871 +aS'22:00\t22:00\tCD\tI-NP\tO' +p363872 +aS',\t,\t,\tO\tO' +p363873 +aS'fluids\tfluid\tNNS\tB-NP\tO' +p363874 +aS'were\tbe\tVBD\tB-VP\tO' +p363875 +aS'changed\tchange\tVBN\tI-VP\tO' +p363876 +aS'to\tto\tTO\tB-PP\tO' +p363877 +aS'D5\tD5\tNN\tB-NP\tO' +p363878 +aS'normal\tnormal\tJJ\tI-NP\tO' +p363879 +aS'saline\tsaline\tNN\tI-NP\tO' +p363880 +aS'plus\tplus\tCC\tO\tO' +p363881 +aS'40\t40\tCD\tB-NP\tO' +p363882 +aS'KCL\tKCL\tNN\tI-NP\tO' +p363883 +aS'and\tand\tCC\tI-NP\tO' +p363884 +aS'40\t40\tCD\tI-NP\tO' +p363885 +aS'K\tK\tNN\tI-NP\tO' +p363886 +aS'phosphate\tphosphate\tNN\tI-NP\tO' +p363887 +aS'at\tat\tIN\tB-PP\tO' +p363888 +aS'75\t75\tCD\tB-NP\tO' +p363889 +aS'cc\tcc\tNN\tI-NP\tO' +p363890 +aS''s\t'\tNNS\tI-NP\tO' +p363891 +aS'per\tper\tIN\tB-PP\tO' +p363892 +aS'hour\thour\tNN\tB-NP\tO' +p363893 +aS'.\t.\t.\tO\tO' +p363894 +asS'06-30 resolved as of repeat head CT one month later , no residual deficits; 03-03 : ICH in 3rd , 4th , and L-lat ventricle ; no aneurysm ; 07-01 : ICH in R-temporal lobe ; question of underlying mass at that time per contrast CT ; decided to follow up with serial scans rather than to biopsy' +p363895 +(lp363896 +S'06-30\t06-30\tCD\tB-NP\tO' +p363897 +aS'resolved\tresolve\tVBN\tB-VP\tO' +p363898 +aS'as\tas\tIN\tB-PP\tO' +p363899 +aS'of\tof\tIN\tB-PP\tO' +p363900 +aS'repeat\trepeat\tNN\tB-NP\tO' +p363901 +aS'head\thead\tNN\tI-NP\tO' +p363902 +aS'CT\tCT\tNN\tI-NP\tO' +p363903 +aS'one\tone\tCD\tB-NP\tO' +p363904 +aS'month\tmonth\tNN\tI-NP\tO' +p363905 +aS'later\tlater\tRB\tB-ADVP\tO' +p363906 +aS',\t,\t,\tO\tO' +p363907 +aS'no\tno\tDT\tB-NP\tO' +p363908 +aS'residual\tresidual\tJJ\tI-NP\tO' +p363909 +aS'deficits;\tdeficits;\tNN\tI-NP\tO' +p363910 +aS'03-03\t03-03\tCD\tI-NP\tO' +p363911 +aS':\t:\t:\tO\tO' +p363912 +aS'ICH\tICH\tNN\tB-NP\tO' +p363913 +aS'in\tin\tIN\tB-PP\tO' +p363914 +aS'3rd\t3rd\tNN\tB-NP\tO' +p363915 +aS',\t,\t,\tO\tO' +p363916 +aS'4th\t4th\tNN\tB-NP\tO' +p363917 +aS',\t,\t,\tO\tO' +p363918 +aS'and\tand\tCC\tO\tO' +p363919 +aS'L-lat\tL-lat\tNN\tB-NP\tO' +p363920 +aS'ventricle\tventricle\tNN\tI-NP\tO' +p363921 +aS';\t;\t:\tO\tO' +p363922 +aS'no\tno\tDT\tB-NP\tO' +p363923 +aS'aneurysm\taneurysm\tNN\tI-NP\tO' +p363924 +aS';\t;\t:\tO\tO' +p363925 +aS'07-01\t07-01\tCD\tB-NP\tO' +p363926 +aS':\t:\t:\tO\tO' +p363927 +aS'ICH\tICH\tNN\tB-NP\tO' +p363928 +aS'in\tin\tIN\tB-PP\tO' +p363929 +aS'R-temporal\tR-temporal\tJJ\tB-NP\tO' +p363930 +aS'lobe\tlobe\tNN\tI-NP\tO' +p363931 +aS';\t;\t:\tO\tO' +p363932 +aS'question\tquestion\tNN\tB-NP\tO' +p363933 +aS'of\tof\tIN\tB-PP\tO' +p363934 +aS'underlying\tunderlie\tVBG\tB-VP\tO' +p363935 +aS'mass\tmass\tNN\tB-NP\tO' +p363936 +aS'at\tat\tIN\tB-PP\tO' +p363937 +aS'that\tthat\tDT\tB-NP\tO' +p363938 +aS'time\ttime\tNN\tI-NP\tO' +p363939 +aS'per\tper\tIN\tB-PP\tO' +p363940 +aS'contrast\tcontrast\tNN\tB-NP\tO' +p363941 +aS'CT\tCT\tNN\tI-NP\tO' +p363942 +aS';\t;\t:\tO\tO' +p363943 +aS'decided\tdecide\tVBD\tB-VP\tO' +p363944 +aS'to\tto\tTO\tI-VP\tO' +p363945 +aS'follow\tfollow\tVB\tI-VP\tO' +p363946 +aS'up\tup\tRP\tB-PRT\tO' +p363947 +aS'with\twith\tIN\tB-PP\tO' +p363948 +aS'serial\tserial\tJJ\tB-NP\tO' +p363949 +aS'scans\tscan\tNNS\tI-NP\tO' +p363950 +aS'rather\trather\tRB\tB-CONJP\tO' +p363951 +aS'than\tthan\tIN\tI-CONJP\tO' +p363952 +aS'to\tto\tTO\tB-PP\tO' +p363953 +aS'biopsy\tbiopsy\tNN\tB-NP\tO' +p363954 +asS'The chest X-ray shows no evidence of pneumonia .' +p363955 +(lp363956 +S'The\tThe\tDT\tB-NP\tO' +p363957 +aS'chest\tchest\tNN\tI-NP\tO' +p363958 +aS'X-ray\tX-ray\tNN\tI-NP\tO' +p363959 +aS'shows\tshow\tVBZ\tB-VP\tO' +p363960 +aS'no\tno\tDT\tB-NP\tO' +p363961 +aS'evidence\tevidence\tNN\tI-NP\tO' +p363962 +aS'of\tof\tIN\tB-PP\tO' +p363963 +aS'pneumonia\tpneumonia\tNN\tB-NP\tO' +p363964 +aS'.\t.\t.\tO\tO' +p363965 +asS'The patient was told repeatedly that he needed to stop smoking and was given a nicotine patch and his primary care provider was called to discuss outpatient plans to help the patient stop smoking .' +p363966 +(lp363967 +S'The\tThe\tDT\tB-NP\tO' +p363968 +aS'patient\tpatient\tNN\tI-NP\tO' +p363969 +aS'was\tbe\tVBD\tB-VP\tO' +p363970 +aS'told\ttell\tVBN\tI-VP\tO' +p363971 +aS'repeatedly\trepeatedly\tRB\tB-ADVP\tO' +p363972 +aS'that\tthat\tIN\tB-SBAR\tO' +p363973 +aS'he\the\tPRP\tB-NP\tO' +p363974 +aS'needed\tneed\tVBD\tB-VP\tO' +p363975 +aS'to\tto\tTO\tI-VP\tO' +p363976 +aS'stop\tstop\tVB\tI-VP\tO' +p363977 +aS'smoking\tsmoking\tNN\tB-NP\tO' +p363978 +aS'and\tand\tCC\tO\tO' +p363979 +aS'was\tbe\tVBD\tB-VP\tO' +p363980 +aS'given\tgive\tVBN\tI-VP\tO' +p363981 +aS'a\ta\tDT\tB-NP\tO' +p363982 +aS'nicotine\tnicotine\tNN\tI-NP\tO' +p363983 +aS'patch\tpatch\tNN\tI-NP\tO' +p363984 +aS'and\tand\tCC\tO\tO' +p363985 +aS'his\this\tPRP$\tB-NP\tO' +p363986 +aS'primary\tprimary\tJJ\tI-NP\tO' +p363987 +aS'care\tcare\tNN\tI-NP\tO' +p363988 +aS'provider\tprovider\tNN\tI-NP\tO' +p363989 +aS'was\tbe\tVBD\tB-VP\tO' +p363990 +aS'called\tcall\tVBN\tI-VP\tO' +p363991 +aS'to\tto\tTO\tB-VP\tO' +p363992 +aS'discuss\tdiscuss\tVB\tI-VP\tO' +p363993 +aS'outpatient\toutpatient\tNN\tB-NP\tO' +p363994 +aS'plans\tplan\tNNS\tI-NP\tO' +p363995 +aS'to\tto\tTO\tB-VP\tO' +p363996 +aS'help\thelp\tVB\tI-VP\tO' +p363997 +aS'the\tthe\tDT\tB-NP\tO' +p363998 +aS'patient\tpatient\tNN\tI-NP\tO' +p363999 +aS'stop\tstop\tNN\tI-NP\tO' +p364000 +aS'smoking\tsmoking\tNN\tI-NP\tO' +p364001 +aS'.\t.\t.\tO\tO' +p364002 +asS'Intially concern for sepsis in the setting of fevers and high blood count .' +p364003 +(lp364004 +S'Intially\tIntially\tRB\tB-NP\tO' +p364005 +aS'concern\tconcern\tNN\tI-NP\tO' +p364006 +aS'for\tfor\tIN\tB-PP\tO' +p364007 +aS'sepsis\tsepsis\tNN\tB-NP\tO' +p364008 +aS'in\tin\tIN\tB-PP\tO' +p364009 +aS'the\tthe\tDT\tB-NP\tO' +p364010 +aS'setting\tsetting\tNN\tI-NP\tO' +p364011 +aS'of\tof\tIN\tB-PP\tO' +p364012 +aS'fevers\tfever\tNNS\tB-NP\tO' +p364013 +aS'and\tand\tCC\tO\tO' +p364014 +aS'high\thigh\tJJ\tB-NP\tO' +p364015 +aS'blood\tblood\tNN\tI-NP\tO' +p364016 +aS'count\tcount\tNN\tI-NP\tO' +p364017 +aS'.\t.\t.\tO\tO' +p364018 +asS'He nods appropriately and was able to confirm known history .' +p364019 +(lp364020 +S'He\tHe\tPRP\tB-NP\tO' +p364021 +aS'nods\tnod\tVBZ\tB-VP\tO' +p364022 +aS'appropriately\tappropriately\tRB\tB-ADVP\tO' +p364023 +aS'and\tand\tCC\tO\tO' +p364024 +aS'was\tbe\tVBD\tB-VP\tO' +p364025 +aS'able\table\tJJ\tB-ADJP\tO' +p364026 +aS'to\tto\tTO\tB-VP\tO' +p364027 +aS'confirm\tconfirm\tVB\tI-VP\tO' +p364028 +aS'known\tknown\tJJ\tB-NP\tO' +p364029 +aS'history\thistory\tNN\tI-NP\tO' +p364030 +aS'.\t.\t.\tO\tO' +p364031 +asS'On XRT .' +p364032 +(lp364033 +S'On\tOn\tIN\tB-PP\tO' +p364034 +aS'XRT\tXRT\tNN\tB-NP\tB-DNA' +p364035 +aS'.\t.\t.\tO\tO' +p364036 +asS'3-Disseminated intravascular coagulation .' +p364037 +(lp364038 +S'3-Disseminated\t3-Disseminated\tJJ\tB-NP\tO' +p364039 +aS'intravascular\tintravascular\tJJ\tI-NP\tO' +p364040 +aS'coagulation\tcoagulation\tNN\tI-NP\tO' +p364041 +aS'.\t.\t.\tO\tO' +p364042 +asS'He also complained of increased shortness of breath and " difficulty catching his breath ."' +p364043 +(lp364044 +S'He\tHe\tPRP\tB-NP\tO' +p364045 +aS'also\talso\tRB\tB-ADVP\tO' +p364046 +aS'complained\tcomplain\tVBD\tB-VP\tO' +p364047 +aS'of\tof\tIN\tB-PP\tO' +p364048 +aS'increased\tincrease\tVBN\tB-NP\tO' +p364049 +aS'shortness\tshortness\tNN\tI-NP\tO' +p364050 +aS'of\tof\tIN\tB-PP\tO' +p364051 +aS'breath\tbreath\tNN\tB-NP\tO' +p364052 +aS'and\tand\tCC\tO\tO' +p364053 +aS'"\t"\t``\tO\tB-cell_type' +p364054 +aS'difficulty\tdifficulty\tNN\tB-NP\tI-cell_type' +p364055 +aS'catching\tcatch\tVBG\tB-VP\tI-cell_type' +p364056 +aS'his\this\tPRP$\tB-NP\tI-cell_type' +p364057 +aS'breath\tbreath\tNN\tI-NP\tI-cell_type' +p364058 +aS'."\t."\t.\tO\tI-cell_type' +p364059 +asS'1. Premature twin #1 born at 32 and 5/7 weeks .' +p364060 +(lp364061 +S'1.\t1.\tLS\tB-NP\tO' +p364062 +aS'Premature\tPremature\tJJ\tI-NP\tO' +p364063 +aS'twin\ttwin\tNN\tI-NP\tO' +p364064 +aS'#1\t#1\tNN\tI-NP\tO' +p364065 +aS'born\tbear\tVBN\tB-VP\tO' +p364066 +aS'at\tat\tIN\tB-PP\tO' +p364067 +aS'32\t32\tCD\tB-NP\tO' +p364068 +aS'and\tand\tCC\tI-NP\tO' +p364069 +aS'5/7\t5/7\tCD\tI-NP\tO' +p364070 +aS'weeks\tweek\tNNS\tI-NP\tO' +p364071 +aS'.\t.\t.\tO\tO' +p364072 +asS'However , after Patient did well .' +p364073 +(lp364074 +S'However\tHowever\tRB\tB-ADVP\tO' +p364075 +aS',\t,\t,\tO\tO' +p364076 +aS'after\tafter\tIN\tB-SBAR\tO' +p364077 +aS'Patient\tPatient\tNN\tB-NP\tO' +p364078 +aS'did\tdo\tVBD\tB-VP\tO' +p364079 +aS'well\twell\tRB\tB-ADVP\tO' +p364080 +aS'.\t.\t.\tO\tO' +p364081 +asS'The patient recovered well from her surgery for pacemaker placement .' +p364082 +(lp364083 +S'The\tThe\tDT\tB-NP\tO' +p364084 +aS'patient\tpatient\tNN\tI-NP\tO' +p364085 +aS'recovered\trecover\tVBD\tB-VP\tO' +p364086 +aS'well\twell\tRB\tB-ADVP\tO' +p364087 +aS'from\tfrom\tIN\tB-PP\tO' +p364088 +aS'her\ther\tPRP$\tB-NP\tO' +p364089 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p364090 +aS'for\tfor\tIN\tB-PP\tO' +p364091 +aS'pacemaker\tpacemaker\tNN\tB-NP\tO' +p364092 +aS'placement\tplacement\tNN\tI-NP\tO' +p364093 +aS'.\t.\t.\tO\tO' +p364094 +asS'1. Coronary artery disease status post myocardial infarction status post percutaneous transluminal coronary angioplasty , status post coronary artery bypass graft .' +p364095 +(lp364096 +S'1.\t1.\tLS\tB-NP\tO' +p364097 +aS'Coronary\tCoronary\tJJ\tI-NP\tO' +p364098 +aS'artery\tartery\tNN\tI-NP\tO' +p364099 +aS'disease\tdisease\tNN\tI-NP\tO' +p364100 +aS'status\tstatus\tNN\tI-NP\tO' +p364101 +aS'post\tpost\tNN\tI-NP\tO' +p364102 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p364103 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p364104 +aS'status\tstatus\tNN\tI-NP\tO' +p364105 +aS'post\tpost\tIN\tB-PP\tO' +p364106 +aS'percutaneous\tpercutaneous\tJJ\tB-NP\tO' +p364107 +aS'transluminal\ttransluminal\tJJ\tI-NP\tO' +p364108 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p364109 +aS'angioplasty\tangioplasty\tNN\tI-NP\tO' +p364110 +aS',\t,\t,\tO\tO' +p364111 +aS'status\tstatus\tNN\tB-NP\tO' +p364112 +aS'post\tpost\tNN\tI-NP\tO' +p364113 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p364114 +aS'artery\tartery\tNN\tI-NP\tO' +p364115 +aS'bypass\tbypass\tIN\tB-PP\tO' +p364116 +aS'graft\tgraft\tNN\tB-NP\tO' +p364117 +aS'.\t.\t.\tO\tO' +p364118 +asS'hydrochlorothiazide 50 mg. PO qday , KayCiel .' +p364119 +(lp364120 +S'hydrochlorothiazide\thydrochlorothiazide\tNN\tB-NP\tO' +p364121 +aS'50\t50\tCD\tI-NP\tO' +p364122 +aS'mg.\tmg.\tNN\tI-NP\tO' +p364123 +aS'PO\tPO\tNN\tI-NP\tO' +p364124 +aS'qday\tqday\tNN\tI-NP\tO' +p364125 +aS',\t,\t,\tO\tO' +p364126 +aS'KayCiel\tKayCiel\tNNP\tB-NP\tO' +p364127 +aS'.\t.\t.\tO\tO' +p364128 +asS'Disp :* 1 Disk with Device (s)* Refills :* 0 *' +p364129 +(lp364130 +S'Disp\tDisp\tNN\tB-NP\tO' +p364131 +aS':*\t:*\tSYM\tO\tO' +p364132 +aS'1\t1\tCD\tB-NP\tO' +p364133 +aS'Disk\tDisk\tNN\tI-NP\tO' +p364134 +aS'with\twith\tIN\tB-PP\tO' +p364135 +aS'Device\tDevice\tNN\tB-NP\tO' +p364136 +aS'(s)*\t(s)*\tSYM\tI-NP\tO' +p364137 +aS'Refills\tRefill\tNNPS\tI-NP\tO' +p364138 +aS':*\t:*\tSYM\tB-NP\tO' +p364139 +aS'0\t0\tCD\tI-NP\tO' +p364140 +aS'*\t*\tSYM\tB-NP\tO' +p364141 +asS'This could be due to internal hernia or could be stricture related .' +p364142 +(lp364143 +S'This\tThis\tDT\tB-NP\tO' +p364144 +aS'could\tcould\tMD\tB-VP\tO' +p364145 +aS'be\tbe\tVB\tI-VP\tO' +p364146 +aS'due\tdue\tJJ\tB-ADVP\tO' +p364147 +aS'to\tto\tTO\tB-PP\tO' +p364148 +aS'internal\tinternal\tJJ\tB-NP\tO' +p364149 +aS'hernia\thernia\tNN\tI-NP\tO' +p364150 +aS'or\tor\tCC\tO\tO' +p364151 +aS'could\tcould\tMD\tB-VP\tO' +p364152 +aS'be\tbe\tVB\tI-VP\tO' +p364153 +aS'stricture\tstricture\tNN\tB-NP\tO' +p364154 +aS'related\trelate\tVBN\tB-ADJP\tO' +p364155 +aS'.\t.\t.\tO\tO' +p364156 +asS'She was also changed to intravenous Solu-Medrol 50 mg q. day which was changed back to 40 mg of Prednisone prior to discharge .' +p364157 +(lp364158 +S'She\tShe\tPRP\tB-NP\tO' +p364159 +aS'was\tbe\tVBD\tB-VP\tO' +p364160 +aS'also\talso\tRB\tI-VP\tO' +p364161 +aS'changed\tchange\tVBN\tI-VP\tO' +p364162 +aS'to\tto\tTO\tB-PP\tO' +p364163 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p364164 +aS'Solu-Medrol\tSolu-Medrol\tNN\tI-NP\tO' +p364165 +aS'50\t50\tCD\tI-NP\tO' +p364166 +aS'mg\tmg\tNN\tI-NP\tO' +p364167 +aS'q.\tq.\tNN\tI-NP\tO' +p364168 +aS'day\tday\tNN\tI-NP\tO' +p364169 +aS'which\twhich\tWDT\tB-NP\tO' +p364170 +aS'was\tbe\tVBD\tB-VP\tO' +p364171 +aS'changed\tchange\tVBN\tI-VP\tO' +p364172 +aS'back\tback\tRB\tB-ADVP\tO' +p364173 +aS'to\tto\tTO\tB-PP\tO' +p364174 +aS'40\t40\tCD\tB-NP\tO' +p364175 +aS'mg\tmg\tNN\tI-NP\tO' +p364176 +aS'of\tof\tIN\tB-PP\tO' +p364177 +aS'Prednisone\tPrednisone\tNN\tB-NP\tO' +p364178 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p364179 +aS'to\tto\tTO\tB-VP\tO' +p364180 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p364181 +aS'.\t.\t.\tO\tO' +p364182 +asS'Signed electronically by : DR. Jane Nix on : MON 2012-05-07 9:28 AM' +p364183 +(lp364184 +S'Signed\tSign\tVBN\tB-VP\tO' +p364185 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p364186 +aS'by\tby\tIN\tB-PP\tO' +p364187 +aS':\t:\t:\tO\tO' +p364188 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p364189 +aS'Jane\tJane\tNNP\tI-NP\tO' +p364190 +aS'Nix\tNix\tNNP\tI-NP\tO' +p364191 +aS'on\ton\tIN\tB-PP\tO' +p364192 +aS':\t:\t:\tO\tO' +p364193 +aS'MON\tMON\tNN\tB-NP\tO' +p364194 +aS'2012-05-07\t2012-05-07\tCD\tI-NP\tO' +p364195 +aS'9:28\t9:28\tCD\tI-NP\tO' +p364196 +aS'AM\tAM\tNN\tI-NP\tO' +p364197 +asS'On 5/6/93 the patient underwent a right thyroidectomy with sacrifice of the right recurrent laryngeal nerve as well as the right sternothyroid muscle and lower parathyroid gland .' +p364198 +(lp364199 +S'On\tOn\tIN\tB-PP\tO' +p364200 +aS'5/6/93\t5/6/93\tCD\tB-NP\tO' +p364201 +aS'the\tthe\tDT\tB-NP\tO' +p364202 +aS'patient\tpatient\tNN\tI-NP\tO' +p364203 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p364204 +aS'a\ta\tDT\tB-NP\tO' +p364205 +aS'right\tright\tJJ\tI-NP\tO' +p364206 +aS'thyroidectomy\tthyroidectomy\tNN\tI-NP\tO' +p364207 +aS'with\twith\tIN\tB-PP\tO' +p364208 +aS'sacrifice\tsacrifice\tNN\tB-NP\tO' +p364209 +aS'of\tof\tIN\tB-PP\tO' +p364210 +aS'the\tthe\tDT\tB-NP\tO' +p364211 +aS'right\tright\tJJ\tI-NP\tO' +p364212 +aS'recurrent\trecurrent\tJJ\tI-NP\tO' +p364213 +aS'laryngeal\tlaryngeal\tJJ\tI-NP\tO' +p364214 +aS'nerve\tnerve\tNN\tI-NP\tO' +p364215 +aS'as\tas\tRB\tB-CONJP\tO' +p364216 +aS'well\twell\tRB\tI-CONJP\tO' +p364217 +aS'as\tas\tIN\tI-CONJP\tO' +p364218 +aS'the\tthe\tDT\tB-NP\tO' +p364219 +aS'right\tright\tJJ\tI-NP\tO' +p364220 +aS'sternothyroid\tsternothyroid\tJJ\tI-NP\tO' +p364221 +aS'muscle\tmuscle\tNN\tI-NP\tO' +p364222 +aS'and\tand\tCC\tO\tO' +p364223 +aS'lower\tlow\tJJR\tB-NP\tO' +p364224 +aS'parathyroid\tparathyroid\tJJ\tI-NP\tO' +p364225 +aS'gland\tgland\tNN\tI-NP\tO' +p364226 +aS'.\t.\t.\tO\tO' +p364227 +asS'A repeat CT on 09-26 showed worsening of the diffuse subarachnoid hemorrhage and a new cerebellar hemorrhage .' +p364228 +(lp364229 +S'A\tA\tDT\tB-NP\tO' +p364230 +aS'repeat\trepeat\tNN\tI-NP\tO' +p364231 +aS'CT\tCT\tNN\tI-NP\tO' +p364232 +aS'on\ton\tIN\tB-PP\tO' +p364233 +aS'09-26\t09-26\tCD\tB-NP\tO' +p364234 +aS'showed\tshow\tVBD\tB-VP\tO' +p364235 +aS'worsening\tworsen\tVBG\tB-NP\tO' +p364236 +aS'of\tof\tIN\tB-PP\tO' +p364237 +aS'the\tthe\tDT\tB-NP\tO' +p364238 +aS'diffuse\tdiffuse\tJJ\tI-NP\tO' +p364239 +aS'subarachnoid\tsubarachnoid\tJJ\tI-NP\tO' +p364240 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p364241 +aS'and\tand\tCC\tO\tO' +p364242 +aS'a\ta\tDT\tB-NP\tO' +p364243 +aS'new\tnew\tJJ\tI-NP\tO' +p364244 +aS'cerebellar\tcerebellar\tJJ\tI-NP\tO' +p364245 +aS'hemorrhage\themorrhage\tNN\tI-NP\tO' +p364246 +aS'.\t.\t.\tO\tO' +p364247 +asS'Over the two weeks prior to admission he had noticed an increasing heart rate from his baseline in the 60s to a heart rate in the 120s .' +p364248 +(lp364249 +S'Over\tOver\tIN\tB-PP\tO' +p364250 +aS'the\tthe\tDT\tB-NP\tO' +p364251 +aS'two\ttwo\tCD\tI-NP\tO' +p364252 +aS'weeks\tweek\tNNS\tI-NP\tO' +p364253 +aS'prior\tprior\tRB\tB-ADVP\tO' +p364254 +aS'to\tto\tTO\tB-PP\tO' +p364255 +aS'admission\tadmission\tNN\tB-NP\tO' +p364256 +aS'he\the\tPRP\tB-NP\tO' +p364257 +aS'had\thave\tVBD\tB-VP\tO' +p364258 +aS'noticed\tnotice\tVBN\tI-VP\tO' +p364259 +aS'an\tan\tDT\tB-NP\tO' +p364260 +aS'increasing\tincrease\tVBG\tI-NP\tO' +p364261 +aS'heart\theart\tNN\tI-NP\tO' +p364262 +aS'rate\trate\tNN\tI-NP\tO' +p364263 +aS'from\tfrom\tIN\tB-PP\tO' +p364264 +aS'his\this\tPRP$\tB-NP\tO' +p364265 +aS'baseline\tbaseline\tNN\tI-NP\tO' +p364266 +aS'in\tin\tIN\tB-PP\tO' +p364267 +aS'the\tthe\tDT\tB-NP\tO' +p364268 +aS'60s\t60\tNNS\tI-NP\tO' +p364269 +aS'to\tto\tTO\tB-PP\tO' +p364270 +aS'a\ta\tDT\tB-NP\tO' +p364271 +aS'heart\theart\tNN\tI-NP\tO' +p364272 +aS'rate\trate\tNN\tI-NP\tO' +p364273 +aS'in\tin\tIN\tB-PP\tO' +p364274 +aS'the\tthe\tDT\tB-NP\tO' +p364275 +aS'120s\t120\tNNS\tI-NP\tB-DNA' +p364276 +aS'.\t.\t.\tO\tO' +p364277 +asS'4. Mild hyperbilirubinemia , resolving .' +p364278 +(lp364279 +S'4.\t4.\tLS\tB-NP\tO' +p364280 +aS'Mild\tMild\tNNP\tI-NP\tO' +p364281 +aS'hyperbilirubinemia\thyperbilirubinemia\tNN\tI-NP\tO' +p364282 +aS',\t,\t,\tO\tO' +p364283 +aS'resolving\tresolve\tVBG\tB-VP\tO' +p364284 +aS'.\t.\t.\tO\tO' +p364285 +asS'On POD#7 he was cleared for discharge to home by physical therapy and on POD#8 he was discharged .' +p364286 +(lp364287 +S'On\tOn\tIN\tB-PP\tO' +p364288 +aS'POD#7\tPOD#7\tNN\tB-NP\tB-protein' +p364289 +aS'he\the\tPRP\tB-NP\tO' +p364290 +aS'was\tbe\tVBD\tB-VP\tO' +p364291 +aS'cleared\tclear\tVBN\tI-VP\tO' +p364292 +aS'for\tfor\tIN\tB-PP\tO' +p364293 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p364294 +aS'to\tto\tTO\tB-PP\tO' +p364295 +aS'home\thome\tNN\tB-NP\tO' +p364296 +aS'by\tby\tIN\tB-PP\tO' +p364297 +aS'physical\tphysical\tJJ\tB-NP\tO' +p364298 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p364299 +aS'and\tand\tCC\tB-PP\tO' +p364300 +aS'on\ton\tIN\tB-PP\tO' +p364301 +aS'POD#8\tPOD#8\tNN\tB-NP\tB-protein' +p364302 +aS'he\the\tPRP\tB-NP\tO' +p364303 +aS'was\tbe\tVBD\tB-VP\tO' +p364304 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p364305 +aS'.\t.\t.\tO\tO' +p364306 +asS'8. Furosemide 20 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ) for 7 days .' +p364307 +(lp364308 +S'8.\t8.\tCD\tB-NP\tO' +p364309 +aS'Furosemide\tFurosemide\tNN\tI-NP\tO' +p364310 +aS'20\t20\tCD\tB-NP\tO' +p364311 +aS'mg\tmg\tNN\tI-NP\tO' +p364312 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p364313 +aS'Sig\tSig\tNNP\tI-NP\tO' +p364314 +aS':\t:\t:\tO\tO' +p364315 +aS'One\tOne\tCD\tB-NP\tO' +p364316 +aS'(\t(\t(\tO\tO' +p364317 +aS'1\t1\tCD\tB-NP\tO' +p364318 +aS')\t)\t)\tO\tO' +p364319 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p364320 +aS'PO\tPO\tNN\tI-NP\tO' +p364321 +aS'BID\tBID\tNN\tI-NP\tO' +p364322 +aS'(\t(\t(\tO\tO' +p364323 +aS'2\t2\tCD\tB-NP\tO' +p364324 +aS'times\ttime\tNNS\tI-NP\tO' +p364325 +aS'a\ta\tDT\tB-NP\tO' +p364326 +aS'day\tday\tNN\tI-NP\tO' +p364327 +aS')\t)\t)\tO\tO' +p364328 +aS'for\tfor\tIN\tB-PP\tO' +p364329 +aS'7\t7\tCD\tB-NP\tO' +p364330 +aS'days\tday\tNNS\tI-NP\tO' +p364331 +aS'.\t.\t.\tO\tO' +p364332 +asS'Tagged RBC + activity in RLQ .' +p364333 +(lp364334 +S'Tagged\tTag\tVBN\tB-NP\tO' +p364335 +aS'RBC\tRBC\tNN\tI-NP\tB-protein' +p364336 +aS'+\t+\tSYM\tB-VP\tO' +p364337 +aS'activity\tactivity\tNN\tB-NP\tO' +p364338 +aS'in\tin\tIN\tB-PP\tO' +p364339 +aS'RLQ\tRLQ\tNN\tB-NP\tB-protein' +p364340 +aS'.\t.\t.\tO\tO' +p364341 +asS'Please take Fioricet as directed for headaches .' +p364342 +(lp364343 +S'Please\tPlease\tVB\tB-VP\tO' +p364344 +aS'take\ttake\tVB\tI-VP\tO' +p364345 +aS'Fioricet\tFioricet\tNNP\tB-NP\tO' +p364346 +aS'as\tas\tIN\tB-SBAR\tO' +p364347 +aS'directed\tdirect\tVBN\tB-VP\tO' +p364348 +aS'for\tfor\tIN\tB-PP\tO' +p364349 +aS'headaches\theadache\tNNS\tB-NP\tO' +p364350 +aS'.\t.\t.\tO\tO' +p364351 +asS'No S3 or S4 .' +p364352 +(lp364353 +S'No\tNo\tDT\tB-NP\tO' +p364354 +aS'S3\tS3\tNN\tI-NP\tB-protein' +p364355 +aS'or\tor\tCC\tI-NP\tO' +p364356 +aS'S4\tS4\tNN\tI-NP\tB-protein' +p364357 +aS'.\t.\t.\tO\tO' +p364358 +asS'His Plavix was held at the time of discharge due to a question of GI bleed and in the setting of not having a stent placed at the time of catheterization .' +p364359 +(lp364360 +S'His\tHis\tPRP$\tB-NP\tO' +p364361 +aS'Plavix\tPlavix\tNN\tI-NP\tO' +p364362 +aS'was\tbe\tVBD\tB-VP\tO' +p364363 +aS'held\thold\tVBN\tI-VP\tO' +p364364 +aS'at\tat\tIN\tB-PP\tO' +p364365 +aS'the\tthe\tDT\tB-NP\tO' +p364366 +aS'time\ttime\tNN\tI-NP\tO' +p364367 +aS'of\tof\tIN\tB-PP\tO' +p364368 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p364369 +aS'due\tdue\tJJ\tB-ADVP\tO' +p364370 +aS'to\tto\tTO\tB-PP\tO' +p364371 +aS'a\ta\tDT\tB-NP\tO' +p364372 +aS'question\tquestion\tNN\tI-NP\tO' +p364373 +aS'of\tof\tIN\tB-PP\tO' +p364374 +aS'GI\tGI\tNN\tB-NP\tO' +p364375 +aS'bleed\tbleed\tNN\tI-NP\tO' +p364376 +aS'and\tand\tCC\tB-PP\tO' +p364377 +aS'in\tin\tIN\tB-PP\tO' +p364378 +aS'the\tthe\tDT\tB-NP\tO' +p364379 +aS'setting\tsetting\tNN\tI-NP\tO' +p364380 +aS'of\tof\tIN\tB-PP\tO' +p364381 +aS'not\tnot\tRB\tB-VP\tO' +p364382 +aS'having\thave\tVBG\tI-VP\tO' +p364383 +aS'a\ta\tDT\tB-NP\tO' +p364384 +aS'stent\tstent\tJJ\tI-NP\tO' +p364385 +aS'placed\tplaced\tNN\tI-NP\tO' +p364386 +aS'at\tat\tIN\tB-PP\tO' +p364387 +aS'the\tthe\tDT\tB-NP\tO' +p364388 +aS'time\ttime\tNN\tI-NP\tO' +p364389 +aS'of\tof\tIN\tB-PP\tO' +p364390 +aS'catheterization\tcatheterization\tNN\tB-NP\tO' +p364391 +aS'.\t.\t.\tO\tO' +p364392 +asS'HEART : Regular rate , s1 s2 .' +p364393 +(lp364394 +S'HEART\tHEART\tNN\tB-NP\tO' +p364395 +aS':\t:\t:\tO\tO' +p364396 +aS'Regular\tRegular\tJJ\tB-NP\tO' +p364397 +aS'rate\trate\tNN\tI-NP\tO' +p364398 +aS',\t,\t,\tO\tO' +p364399 +aS's1\ts1\tNN\tB-NP\tB-protein' +p364400 +aS's2\ts2\tNN\tI-NP\tI-protein' +p364401 +aS'.\t.\t.\tO\tO' +p364402 +asS'The memory was intact for retention and long-term memory .' +p364403 +(lp364404 +S'The\tThe\tDT\tB-NP\tO' +p364405 +aS'memory\tmemory\tNN\tI-NP\tO' +p364406 +aS'was\tbe\tVBD\tB-VP\tO' +p364407 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p364408 +aS'for\tfor\tIN\tB-PP\tO' +p364409 +aS'retention\tretention\tNN\tB-NP\tO' +p364410 +aS'and\tand\tCC\tO\tO' +p364411 +aS'long-term\tlong-term\tJJ\tB-NP\tO' +p364412 +aS'memory\tmemory\tNN\tI-NP\tO' +p364413 +aS'.\t.\t.\tO\tO' +p364414 +asS'2. Status post cholecystectomy four days prior to admission .' +p364415 +(lp364416 +S'2.\t2.\tLS\tB-NP\tO' +p364417 +aS'Status\tStatus\tNNP\tI-NP\tO' +p364418 +aS'post\tpost\tNN\tI-NP\tO' +p364419 +aS'cholecystectomy\tcholecystectomy\tNN\tI-NP\tO' +p364420 +aS'four\tfour\tCD\tB-NP\tO' +p364421 +aS'days\tday\tNNS\tI-NP\tO' +p364422 +aS'prior\tprior\tRB\tB-ADVP\tO' +p364423 +aS'to\tto\tTO\tB-PP\tO' +p364424 +aS'admission\tadmission\tNN\tB-NP\tO' +p364425 +aS'.\t.\t.\tO\tO' +p364426 +asS'He also began to develop noticeably increasing bilateral lower extremity weakness and possibly numbness in the lower extremities .' +p364427 +(lp364428 +S'He\tHe\tPRP\tB-NP\tO' +p364429 +aS'also\talso\tRB\tB-ADVP\tO' +p364430 +aS'began\tbegin\tVBD\tB-VP\tO' +p364431 +aS'to\tto\tTO\tI-VP\tO' +p364432 +aS'develop\tdevelop\tVB\tI-VP\tO' +p364433 +aS'noticeably\tnoticeably\tRB\tB-ADVP\tO' +p364434 +aS'increasing\tincrease\tVBG\tB-VP\tO' +p364435 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p364436 +aS'lower\tlow\tJJR\tI-NP\tO' +p364437 +aS'extremity\textremity\tNN\tI-NP\tO' +p364438 +aS'weakness\tweakness\tNN\tI-NP\tO' +p364439 +aS'and\tand\tCC\tO\tO' +p364440 +aS'possibly\tpossibly\tRB\tB-ADVP\tO' +p364441 +aS'numbness\tnumbness\tNN\tB-NP\tO' +p364442 +aS'in\tin\tIN\tB-PP\tO' +p364443 +aS'the\tthe\tDT\tB-NP\tO' +p364444 +aS'lower\tlow\tJJR\tI-NP\tO' +p364445 +aS'extremities\textremity\tNNS\tI-NP\tO' +p364446 +aS'.\t.\t.\tO\tO' +p364447 +asS'CMED .' +p364448 +(lp364449 +S'CMED\tCMED\tVBN\tB-VP\tO' +p364450 +aS'.\t.\t.\tO\tO' +p364451 +asS'No pneumatosis or free air was seen .' +p364452 +(lp364453 +S'No\tNo\tDT\tB-NP\tO' +p364454 +aS'pneumatosis\tpneumatosis\tNN\tI-NP\tO' +p364455 +aS'or\tor\tCC\tO\tO' +p364456 +aS'free\tfree\tJJ\tB-NP\tO' +p364457 +aS'air\tair\tNN\tI-NP\tO' +p364458 +aS'was\tbe\tVBD\tB-VP\tO' +p364459 +aS'seen\tsee\tVBN\tI-VP\tO' +p364460 +aS'.\t.\t.\tO\tO' +p364461 +asS'CT of the abdomen showed a collection in the RLQ which appears to be amenable to IR drainage .' +p364462 +(lp364463 +S'CT\tCT\tNN\tB-NP\tO' +p364464 +aS'of\tof\tIN\tB-PP\tO' +p364465 +aS'the\tthe\tDT\tB-NP\tO' +p364466 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p364467 +aS'showed\tshow\tVBD\tB-VP\tO' +p364468 +aS'a\ta\tDT\tB-NP\tO' +p364469 +aS'collection\tcollection\tNN\tI-NP\tO' +p364470 +aS'in\tin\tIN\tB-PP\tO' +p364471 +aS'the\tthe\tDT\tB-NP\tO' +p364472 +aS'RLQ\tRLQ\tNN\tI-NP\tB-protein' +p364473 +aS'which\twhich\tWDT\tB-NP\tO' +p364474 +aS'appears\tappear\tVBZ\tB-VP\tO' +p364475 +aS'to\tto\tTO\tI-VP\tO' +p364476 +aS'be\tbe\tVB\tI-VP\tO' +p364477 +aS'amenable\tamenable\tJJ\tB-ADJP\tO' +p364478 +aS'to\tto\tTO\tB-PP\tO' +p364479 +aS'IR\tIR\tNN\tB-NP\tO' +p364480 +aS'drainage\tdrainage\tNN\tI-NP\tO' +p364481 +aS'.\t.\t.\tO\tO' +p364482 +asS'Brother has coronary artery disease .' +p364483 +(lp364484 +S'Brother\tBrother\tNNP\tB-NP\tO' +p364485 +aS'has\thave\tVBZ\tB-VP\tO' +p364486 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p364487 +aS'artery\tartery\tNN\tI-NP\tO' +p364488 +aS'disease\tdisease\tNN\tI-NP\tO' +p364489 +aS'.\t.\t.\tO\tO' +p364490 +asS'Normal pulses .' +p364491 +(lp364492 +S'Normal\tNormal\tJJ\tB-NP\tO' +p364493 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p364494 +aS'.\t.\t.\tO\tO' +p364495 +asS'The heart revealed a regular rate and rhythm .' +p364496 +(lp364497 +S'The\tThe\tDT\tB-NP\tO' +p364498 +aS'heart\theart\tNN\tI-NP\tO' +p364499 +aS'revealed\treveal\tVBD\tB-VP\tO' +p364500 +aS'a\ta\tDT\tB-NP\tO' +p364501 +aS'regular\tregular\tJJ\tI-NP\tO' +p364502 +aS'rate\trate\tNN\tI-NP\tO' +p364503 +aS'and\tand\tCC\tI-NP\tO' +p364504 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p364505 +aS'.\t.\t.\tO\tO' +p364506 +asS'4. Hyperbilirubinemia .' +p364507 +(lp364508 +S'4.\t4.\tLS\tB-NP\tO' +p364509 +aS'Hyperbilirubinemia\tHyperbilirubinemia\tNN\tI-NP\tO' +p364510 +aS'.\t.\t.\tO\tO' +p364511 +asS'A FENa was sent , was 0.3% .' +p364512 +(lp364513 +S'A\tA\tDT\tB-NP\tO' +p364514 +aS'FENa\tFENa\tNN\tI-NP\tB-DNA' +p364515 +aS'was\tbe\tVBD\tB-VP\tO' +p364516 +aS'sent\tsend\tVBN\tI-VP\tO' +p364517 +aS',\t,\t,\tO\tO' +p364518 +aS'was\tbe\tVBD\tB-VP\tO' +p364519 +aS'0.3%\t0.3%\tCD\tB-NP\tO' +p364520 +aS'.\t.\t.\tO\tO' +p364521 +asS'Patient passed away accompanied by his significant other .' +p364522 +(lp364523 +S'Patient\tPatient\tNN\tB-NP\tO' +p364524 +aS'passed\tpass\tVBD\tB-VP\tO' +p364525 +aS'away\taway\tRB\tI-VP\tO' +p364526 +aS'accompanied\taccompany\tVBN\tI-VP\tO' +p364527 +aS'by\tby\tIN\tB-PP\tO' +p364528 +aS'his\this\tPRP$\tB-NP\tO' +p364529 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p364530 +aS'other\tother\tJJ\tI-NP\tO' +p364531 +aS'.\t.\t.\tO\tO' +p364532 +asS'There is a contusion over the right eye but no laceration , abrasion of her left shoulder , no flank discoloration , blanching papules over the knees bilaterally without central necrosis .' +p364533 +(lp364534 +S'There\tThere\tEX\tB-NP\tO' +p364535 +aS'is\tbe\tVBZ\tB-VP\tO' +p364536 +aS'a\ta\tDT\tB-NP\tO' +p364537 +aS'contusion\tcontusion\tNN\tI-NP\tO' +p364538 +aS'over\tover\tIN\tB-PP\tO' +p364539 +aS'the\tthe\tDT\tB-NP\tO' +p364540 +aS'right\tright\tJJ\tI-NP\tO' +p364541 +aS'eye\teye\tNN\tI-NP\tO' +p364542 +aS'but\tbut\tCC\tO\tO' +p364543 +aS'no\tno\tDT\tB-NP\tO' +p364544 +aS'laceration\tlaceration\tNN\tI-NP\tO' +p364545 +aS',\t,\t,\tO\tO' +p364546 +aS'abrasion\tabrasion\tNN\tB-NP\tO' +p364547 +aS'of\tof\tIN\tB-PP\tO' +p364548 +aS'her\ther\tPRP$\tB-NP\tO' +p364549 +aS'left\tleft\tJJ\tI-NP\tO' +p364550 +aS'shoulder\tshoulder\tNN\tI-NP\tO' +p364551 +aS',\t,\t,\tO\tO' +p364552 +aS'no\tno\tDT\tB-NP\tO' +p364553 +aS'flank\tflank\tNN\tI-NP\tO' +p364554 +aS'discoloration\tdiscoloration\tNN\tI-NP\tO' +p364555 +aS',\t,\t,\tO\tO' +p364556 +aS'blanching\tblanch\tVBG\tB-VP\tO' +p364557 +aS'papules\tpapule\tNNS\tB-NP\tO' +p364558 +aS'over\tover\tIN\tB-PP\tO' +p364559 +aS'the\tthe\tDT\tB-NP\tO' +p364560 +aS'knees\tknee\tNNS\tI-NP\tO' +p364561 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p364562 +aS'without\twithout\tIN\tB-PP\tO' +p364563 +aS'central\tcentral\tJJ\tB-NP\tO' +p364564 +aS'necrosis\tnecrosis\tNN\tI-NP\tO' +p364565 +aS'.\t.\t.\tO\tO' +p364566 +asS'Hypotension secondary to volume depletion .' +p364567 +(lp364568 +S'Hypotension\tHypotension\tNN\tB-NP\tO' +p364569 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p364570 +aS'to\tto\tTO\tB-PP\tO' +p364571 +aS'volume\tvolume\tNN\tB-NP\tO' +p364572 +aS'depletion\tdepletion\tNN\tI-NP\tO' +p364573 +aS'.\t.\t.\tO\tO' +p364574 +asS'On 2016-04-11 the patient was in good condition and he is being discharged on a regular heart-healthy diet .' +p364575 +(lp364576 +S'On\tOn\tIN\tB-PP\tO' +p364577 +aS'2016-04-11\t2016-04-11\tCD\tB-NP\tO' +p364578 +aS'the\tthe\tDT\tB-NP\tO' +p364579 +aS'patient\tpatient\tNN\tI-NP\tO' +p364580 +aS'was\tbe\tVBD\tB-VP\tO' +p364581 +aS'in\tin\tIN\tB-PP\tO' +p364582 +aS'good\tgood\tJJ\tB-NP\tO' +p364583 +aS'condition\tcondition\tNN\tI-NP\tO' +p364584 +aS'and\tand\tCC\tO\tO' +p364585 +aS'he\the\tPRP\tB-NP\tO' +p364586 +aS'is\tbe\tVBZ\tB-VP\tO' +p364587 +aS'being\tbe\tVBG\tI-VP\tO' +p364588 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p364589 +aS'on\ton\tIN\tB-PP\tO' +p364590 +aS'a\ta\tDT\tB-NP\tO' +p364591 +aS'regular\tregular\tJJ\tI-NP\tO' +p364592 +aS'heart-healthy\theart-healthy\tJJ\tI-NP\tO' +p364593 +aS'diet\tdiet\tNN\tI-NP\tO' +p364594 +aS'.\t.\t.\tO\tO' +p364595 +asS'He remained in sinus bradycardia ( rate 50-60 ) and tolerated low dose beta blockade .' +p364596 +(lp364597 +S'He\tHe\tPRP\tB-NP\tO' +p364598 +aS'remained\tremain\tVBD\tB-VP\tO' +p364599 +aS'in\tin\tIN\tB-PP\tO' +p364600 +aS'sinus\tsinus\tNN\tB-NP\tO' +p364601 +aS'bradycardia\tbradycardia\tNN\tI-NP\tO' +p364602 +aS'(\t(\t(\tO\tO' +p364603 +aS'rate\trate\tNN\tB-NP\tO' +p364604 +aS'50-60\t50-60\tCD\tI-NP\tO' +p364605 +aS')\t)\t)\tO\tO' +p364606 +aS'and\tand\tCC\tO\tO' +p364607 +aS'tolerated\ttolerate\tVBN\tB-NP\tO' +p364608 +aS'low\tlow\tJJ\tI-NP\tO' +p364609 +aS'dose\tdose\tNN\tI-NP\tO' +p364610 +aS'beta\tbeta\tNN\tI-NP\tO' +p364611 +aS'blockade\tblockade\tNN\tI-NP\tO' +p364612 +aS'.\t.\t.\tO\tO' +p364613 +asS'2. Levofloxacin 500 mg p.o. q.d. for another 11 days for a total of a 14 day course .' +p364614 +(lp364615 +S'2.\t2.\tLS\tB-LST\tO' +p364616 +aS'Levofloxacin\tLevofloxacin\tNNP\tB-NP\tO' +p364617 +aS'500\t500\tCD\tI-NP\tO' +p364618 +aS'mg\tmg\tNN\tI-NP\tO' +p364619 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p364620 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p364621 +aS'for\tfor\tIN\tB-PP\tO' +p364622 +aS'another\tanother\tDT\tB-NP\tO' +p364623 +aS'11\t11\tCD\tI-NP\tO' +p364624 +aS'days\tday\tNNS\tI-NP\tO' +p364625 +aS'for\tfor\tIN\tB-PP\tO' +p364626 +aS'a\ta\tDT\tB-NP\tO' +p364627 +aS'total\ttotal\tNN\tI-NP\tO' +p364628 +aS'of\tof\tIN\tB-PP\tO' +p364629 +aS'a\ta\tDT\tB-NP\tO' +p364630 +aS'14\t14\tCD\tI-NP\tO' +p364631 +aS'day\tday\tNN\tI-NP\tO' +p364632 +aS'course\tcourse\tNN\tI-NP\tO' +p364633 +aS'.\t.\t.\tO\tO' +p364634 +asS'With intravenous hydration the BUN and creatinine fell to 12/1.9 which is within normal limits for this patient .' +p364635 +(lp364636 +S'With\tWith\tIN\tB-PP\tO' +p364637 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p364638 +aS'hydration\thydration\tNN\tI-NP\tO' +p364639 +aS'the\tthe\tDT\tB-NP\tO' +p364640 +aS'BUN\tBUN\tNN\tI-NP\tO' +p364641 +aS'and\tand\tCC\tI-NP\tO' +p364642 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p364643 +aS'fell\tfall\tVBD\tB-VP\tO' +p364644 +aS'to\tto\tTO\tB-PP\tO' +p364645 +aS'12/1.9\t12/1.9\tCD\tB-NP\tO' +p364646 +aS'which\twhich\tWDT\tB-NP\tO' +p364647 +aS'is\tbe\tVBZ\tB-VP\tO' +p364648 +aS'within\twithin\tIN\tB-PP\tO' +p364649 +aS'normal\tnormal\tJJ\tB-NP\tO' +p364650 +aS'limits\tlimit\tNNS\tI-NP\tO' +p364651 +aS'for\tfor\tIN\tB-PP\tO' +p364652 +aS'this\tthis\tDT\tB-NP\tO' +p364653 +aS'patient\tpatient\tNN\tI-NP\tO' +p364654 +aS'.\t.\t.\tO\tO' +p364655 +asS'At the time of transfer , he was AV paced at a rate of 88 beats per minute .' +p364656 +(lp364657 +S'At\tAt\tIN\tB-PP\tO' +p364658 +aS'the\tthe\tDT\tB-NP\tO' +p364659 +aS'time\ttime\tNN\tI-NP\tO' +p364660 +aS'of\tof\tIN\tB-PP\tO' +p364661 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p364662 +aS',\t,\t,\tO\tO' +p364663 +aS'he\the\tPRP\tB-NP\tO' +p364664 +aS'was\tbe\tVBD\tB-VP\tO' +p364665 +aS'AV\tAV\tNN\tB-NP\tO' +p364666 +aS'paced\tpace\tVBN\tB-VP\tO' +p364667 +aS'at\tat\tIN\tB-PP\tO' +p364668 +aS'a\ta\tDT\tB-NP\tO' +p364669 +aS'rate\trate\tNN\tI-NP\tO' +p364670 +aS'of\tof\tIN\tB-PP\tO' +p364671 +aS'88\t88\tCD\tB-NP\tO' +p364672 +aS'beats\tbeat\tNNS\tI-NP\tO' +p364673 +aS'per\tper\tIN\tB-PP\tO' +p364674 +aS'minute\tminute\tNN\tB-NP\tO' +p364675 +aS'.\t.\t.\tO\tO' +p364676 +asS'He notes no tenderness , erythema , warmth or exudate from the passport site .' +p364677 +(lp364678 +S'He\tHe\tPRP\tB-NP\tO' +p364679 +aS'notes\tnote\tVBZ\tB-VP\tO' +p364680 +aS'no\tno\tDT\tB-NP\tO' +p364681 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p364682 +aS',\t,\t,\tO\tO' +p364683 +aS'erythema\terythema\tNN\tB-NP\tO' +p364684 +aS',\t,\t,\tO\tO' +p364685 +aS'warmth\twarmth\tNN\tB-NP\tO' +p364686 +aS'or\tor\tCC\tO\tO' +p364687 +aS'exudate\texudate\tVB\tB-VP\tO' +p364688 +aS'from\tfrom\tIN\tB-PP\tO' +p364689 +aS'the\tthe\tDT\tB-NP\tO' +p364690 +aS'passport\tpassport\tNN\tI-NP\tB-DNA' +p364691 +aS'site\tsite\tNN\tI-NP\tI-DNA' +p364692 +aS'.\t.\t.\tO\tO' +p364693 +asS'The patient was therefore intubated for ventilation , and continued to be diuresed .' +p364694 +(lp364695 +S'The\tThe\tDT\tB-NP\tO' +p364696 +aS'patient\tpatient\tNN\tI-NP\tO' +p364697 +aS'was\tbe\tVBD\tB-VP\tO' +p364698 +aS'therefore\ttherefore\tRB\tI-VP\tO' +p364699 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p364700 +aS'for\tfor\tIN\tB-PP\tO' +p364701 +aS'ventilation\tventilation\tNN\tB-NP\tO' +p364702 +aS',\t,\t,\tO\tO' +p364703 +aS'and\tand\tCC\tO\tO' +p364704 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p364705 +aS'to\tto\tTO\tI-VP\tO' +p364706 +aS'be\tbe\tVB\tI-VP\tO' +p364707 +aS'diuresed\tdiurese\tVBN\tI-VP\tO' +p364708 +aS'.\t.\t.\tO\tO' +p364709 +asS'RIGHT THYROID PAPILLARY CARCINOMA .' +p364710 +(lp364711 +S'RIGHT\tRIGHT\tNN\tB-NP\tO' +p364712 +aS'THYROID\tTHYROID\tNN\tI-NP\tO' +p364713 +aS'PAPILLARY\tPAPILLARY\tNN\tI-NP\tO' +p364714 +aS'CARCINOMA\tCARCINOMA\tNN\tI-NP\tO' +p364715 +aS'.\t.\t.\tO\tO' +p364716 +asS'There was also no obstruction .' +p364717 +(lp364718 +S'There\tThere\tEX\tB-NP\tO' +p364719 +aS'was\tbe\tVBD\tB-VP\tO' +p364720 +aS'also\talso\tRB\tB-ADVP\tO' +p364721 +aS'no\tno\tDT\tB-NP\tO' +p364722 +aS'obstruction\tobstruction\tNN\tI-NP\tO' +p364723 +aS'.\t.\t.\tO\tO' +p364724 +asS'No apnea .' +p364725 +(lp364726 +S'No\tNo\tDT\tB-NP\tO' +p364727 +aS'apnea\tapnea\tNN\tI-NP\tO' +p364728 +aS'.\t.\t.\tO\tO' +p364729 +asS'3. Ambien 10 mg orally before bed .' +p364730 +(lp364731 +S'3.\t3.\tLS\tB-LST\tO' +p364732 +aS'Ambien\tAmbien\tNNP\tB-NP\tO' +p364733 +aS'10\t10\tCD\tI-NP\tO' +p364734 +aS'mg\tmg\tNN\tI-NP\tO' +p364735 +aS'orally\torally\tRB\tB-ADVP\tO' +p364736 +aS'before\tbefore\tIN\tB-PP\tO' +p364737 +aS'bed\tbed\tNN\tB-NP\tO' +p364738 +aS'.\t.\t.\tO\tO' +p364739 +asS'All cultures have been unremarkable .' +p364740 +(lp364741 +S'All\tAll\tDT\tB-NP\tO' +p364742 +aS'cultures\tculture\tNNS\tI-NP\tO' +p364743 +aS'have\thave\tVBP\tB-VP\tO' +p364744 +aS'been\tbe\tVBN\tI-VP\tO' +p364745 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p364746 +aS'.\t.\t.\tO\tO' +p364747 +asS'Regional left ventricular wall motion is normal .' +p364748 +(lp364749 +S'Regional\tRegional\tJJ\tB-NP\tO' +p364750 +aS'left\tleft\tJJ\tI-NP\tO' +p364751 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p364752 +aS'wall\twall\tNN\tI-NP\tO' +p364753 +aS'motion\tmotion\tNN\tI-NP\tO' +p364754 +aS'is\tbe\tVBZ\tB-VP\tO' +p364755 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p364756 +aS'.\t.\t.\tO\tO' +p364757 +asS'Multiple conversations were had with the patient as well as an interpreter stating the importance of not smoking and keeping flames away from his oxygen tank .' +p364758 +(lp364759 +S'Multiple\tMultiple\tJJ\tB-NP\tO' +p364760 +aS'conversations\tconversation\tNNS\tI-NP\tO' +p364761 +aS'were\tbe\tVBD\tB-VP\tO' +p364762 +aS'had\thave\tVBN\tI-VP\tO' +p364763 +aS'with\twith\tIN\tB-PP\tO' +p364764 +aS'the\tthe\tDT\tB-NP\tO' +p364765 +aS'patient\tpatient\tNN\tI-NP\tO' +p364766 +aS'as\tas\tRB\tB-CONJP\tO' +p364767 +aS'well\twell\tRB\tI-CONJP\tO' +p364768 +aS'as\tas\tIN\tI-CONJP\tO' +p364769 +aS'an\tan\tDT\tB-NP\tO' +p364770 +aS'interpreter\tinterpreter\tNN\tI-NP\tO' +p364771 +aS'stating\tstate\tVBG\tB-VP\tO' +p364772 +aS'the\tthe\tDT\tB-NP\tO' +p364773 +aS'importance\timportance\tNN\tI-NP\tO' +p364774 +aS'of\tof\tIN\tB-PP\tO' +p364775 +aS'not\tnot\tRB\tO\tO' +p364776 +aS'smoking\tsmoke\tVBG\tB-VP\tO' +p364777 +aS'and\tand\tCC\tI-VP\tO' +p364778 +aS'keeping\tkeep\tVBG\tI-VP\tO' +p364779 +aS'flames\tflame\tNNS\tB-NP\tO' +p364780 +aS'away\taway\tRB\tB-ADVP\tO' +p364781 +aS'from\tfrom\tIN\tB-PP\tO' +p364782 +aS'his\this\tPRP$\tB-NP\tO' +p364783 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p364784 +aS'tank\ttank\tNN\tI-NP\tO' +p364785 +aS'.\t.\t.\tO\tO' +p364786 +asS'After extensive discussion with her family , her care was focused on comfort .' +p364787 +(lp364788 +S'After\tAfter\tIN\tB-PP\tO' +p364789 +aS'extensive\textensive\tJJ\tB-NP\tO' +p364790 +aS'discussion\tdiscussion\tNN\tI-NP\tO' +p364791 +aS'with\twith\tIN\tB-PP\tO' +p364792 +aS'her\ther\tPRP$\tB-NP\tO' +p364793 +aS'family\tfamily\tNN\tI-NP\tO' +p364794 +aS',\t,\t,\tO\tO' +p364795 +aS'her\ther\tPRP$\tB-NP\tO' +p364796 +aS'care\tcare\tNN\tI-NP\tO' +p364797 +aS'was\tbe\tVBD\tB-VP\tO' +p364798 +aS'focused\tfocus\tVBN\tI-VP\tO' +p364799 +aS'on\ton\tIN\tB-PP\tO' +p364800 +aS'comfort\tcomfort\tNN\tB-NP\tO' +p364801 +aS'.\t.\t.\tO\tO' +p364802 +asS'She had cultures drawn , was given tylenol ( tylenol screen prior to this dose was negative , as was a urine tox ) , was started on levofloxacin , metronidazole , and vancomycin to cover emperically for hospital aquired pneumonia , GI sources , and a potential hip infection .' +p364803 +(lp364804 +S'She\tShe\tPRP\tB-NP\tO' +p364805 +aS'had\thave\tVBD\tB-VP\tO' +p364806 +aS'cultures\tculture\tNNS\tB-NP\tO' +p364807 +aS'drawn\tdraw\tVBN\tB-VP\tO' +p364808 +aS',\t,\t,\tO\tO' +p364809 +aS'was\tbe\tVBD\tB-VP\tO' +p364810 +aS'given\tgive\tVBN\tI-VP\tO' +p364811 +aS'tylenol\ttylenol\tNN\tB-NP\tO' +p364812 +aS'(\t(\t(\tO\tO' +p364813 +aS'tylenol\ttylenol\tNN\tB-NP\tO' +p364814 +aS'screen\tscreen\tNN\tI-NP\tO' +p364815 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p364816 +aS'to\tto\tTO\tB-PP\tO' +p364817 +aS'this\tthis\tDT\tB-NP\tO' +p364818 +aS'dose\tdose\tNN\tI-NP\tO' +p364819 +aS'was\tbe\tVBD\tB-VP\tO' +p364820 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p364821 +aS',\t,\t,\tO\tO' +p364822 +aS'as\tas\tIN\tB-SBAR\tO' +p364823 +aS'was\tbe\tVBD\tB-VP\tO' +p364824 +aS'a\ta\tDT\tB-NP\tO' +p364825 +aS'urine\turine\tNN\tI-NP\tO' +p364826 +aS'tox\ttox\tNN\tI-NP\tO' +p364827 +aS')\t)\t)\tO\tO' +p364828 +aS',\t,\t,\tO\tO' +p364829 +aS'was\tbe\tVBD\tB-VP\tO' +p364830 +aS'started\tstart\tVBN\tI-VP\tO' +p364831 +aS'on\ton\tIN\tB-PP\tO' +p364832 +aS'levofloxacin\tlevofloxacin\tNN\tB-NP\tO' +p364833 +aS',\t,\t,\tO\tO' +p364834 +aS'metronidazole\tmetronidazole\tNN\tB-NP\tO' +p364835 +aS',\t,\t,\tO\tO' +p364836 +aS'and\tand\tCC\tO\tO' +p364837 +aS'vancomycin\tvancomycin\tNN\tB-NP\tO' +p364838 +aS'to\tto\tTO\tB-VP\tO' +p364839 +aS'cover\tcover\tVB\tI-VP\tO' +p364840 +aS'emperically\temperically\tRB\tB-ADVP\tO' +p364841 +aS'for\tfor\tIN\tB-PP\tO' +p364842 +aS'hospital\thospital\tNN\tB-NP\tO' +p364843 +aS'aquired\taquire\tVBD\tB-VP\tO' +p364844 +aS'pneumonia\tpneumonia\tNN\tB-NP\tO' +p364845 +aS',\t,\t,\tO\tO' +p364846 +aS'GI\tGI\tNN\tB-NP\tO' +p364847 +aS'sources\tsource\tNNS\tI-NP\tO' +p364848 +aS',\t,\t,\tO\tO' +p364849 +aS'and\tand\tCC\tO\tO' +p364850 +aS'a\ta\tDT\tB-NP\tO' +p364851 +aS'potential\tpotential\tJJ\tI-NP\tO' +p364852 +aS'hip\thip\tNN\tI-NP\tO' +p364853 +aS'infection\tinfection\tNN\tI-NP\tO' +p364854 +aS'.\t.\t.\tO\tO' +p364855 +asS'Her most recent set of electrolytes were on 2015-11-13 with a sodium of 143 , a potassium of 6.3 hemolyzed , a chloride of 113 and a total CO2 of 17 .' +p364856 +(lp364857 +S'Her\tHer\tPRP$\tB-NP\tB-protein' +p364858 +aS'most\tmost\tRBS\tI-NP\tO' +p364859 +aS'recent\trecent\tJJ\tI-NP\tO' +p364860 +aS'set\tset\tNN\tI-NP\tO' +p364861 +aS'of\tof\tIN\tB-PP\tO' +p364862 +aS'electrolytes\telectrolyte\tNNS\tB-NP\tO' +p364863 +aS'were\tbe\tVBD\tB-VP\tO' +p364864 +aS'on\ton\tIN\tB-PP\tO' +p364865 +aS'2015-11-13\t2015-11-13\tCD\tB-NP\tO' +p364866 +aS'with\twith\tIN\tB-PP\tO' +p364867 +aS'a\ta\tDT\tB-NP\tO' +p364868 +aS'sodium\tsodium\tNN\tI-NP\tO' +p364869 +aS'of\tof\tIN\tB-PP\tO' +p364870 +aS'143\t143\tCD\tB-NP\tO' +p364871 +aS',\t,\t,\tO\tO' +p364872 +aS'a\ta\tDT\tB-NP\tO' +p364873 +aS'potassium\tpotassium\tNN\tI-NP\tO' +p364874 +aS'of\tof\tIN\tB-PP\tO' +p364875 +aS'6.3\t6.3\tCD\tB-NP\tO' +p364876 +aS'hemolyzed\themolyze\tVBN\tB-VP\tO' +p364877 +aS',\t,\t,\tO\tO' +p364878 +aS'a\ta\tDT\tB-NP\tO' +p364879 +aS'chloride\tchloride\tNN\tI-NP\tO' +p364880 +aS'of\tof\tIN\tB-PP\tO' +p364881 +aS'113\t113\tCD\tB-NP\tO' +p364882 +aS'and\tand\tCC\tO\tO' +p364883 +aS'a\ta\tDT\tB-NP\tO' +p364884 +aS'total\ttotal\tJJ\tI-NP\tO' +p364885 +aS'CO2\tCO2\tNN\tI-NP\tO' +p364886 +aS'of\tof\tIN\tB-PP\tO' +p364887 +aS'17\t17\tCD\tB-NP\tO' +p364888 +aS'.\t.\t.\tO\tO' +p364889 +asS'During the test the patient experienced no chest pressure or pain or dyspnea and nuclear medical imaging was without evidence of ischemia .' +p364890 +(lp364891 +S'During\tDuring\tIN\tB-PP\tO' +p364892 +aS'the\tthe\tDT\tB-NP\tO' +p364893 +aS'test\ttest\tNN\tI-NP\tO' +p364894 +aS'the\tthe\tDT\tB-NP\tO' +p364895 +aS'patient\tpatient\tNN\tI-NP\tO' +p364896 +aS'experienced\texperience\tVBD\tB-VP\tO' +p364897 +aS'no\tno\tDT\tB-NP\tO' +p364898 +aS'chest\tchest\tNN\tI-NP\tO' +p364899 +aS'pressure\tpressure\tNN\tI-NP\tO' +p364900 +aS'or\tor\tCC\tI-NP\tO' +p364901 +aS'pain\tpain\tNN\tI-NP\tO' +p364902 +aS'or\tor\tCC\tI-NP\tO' +p364903 +aS'dyspnea\tdyspnea\tNN\tI-NP\tO' +p364904 +aS'and\tand\tCC\tO\tO' +p364905 +aS'nuclear\tnuclear\tJJ\tB-NP\tO' +p364906 +aS'medical\tmedical\tJJ\tI-NP\tO' +p364907 +aS'imaging\timaging\tNN\tI-NP\tO' +p364908 +aS'was\tbe\tVBD\tB-VP\tO' +p364909 +aS'without\twithout\tIN\tB-PP\tO' +p364910 +aS'evidence\tevidence\tNN\tB-NP\tO' +p364911 +aS'of\tof\tIN\tB-PP\tO' +p364912 +aS'ischemia\tischemia\tNN\tB-NP\tO' +p364913 +aS'.\t.\t.\tO\tO' +p364914 +asS'Metastatic papillary thyroid carcinoma .' +p364915 +(lp364916 +S'Metastatic\tMetastatic\tJJ\tB-NP\tO' +p364917 +aS'papillary\tpapillary\tJJ\tI-NP\tO' +p364918 +aS'thyroid\tthyroid\tNN\tI-NP\tO' +p364919 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p364920 +aS'.\t.\t.\tO\tO' +p364921 +asS'9. Hydrochlorothiazide 25 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' +p364922 +(lp364923 +S'9.\t9.\tCD\tB-NP\tO' +p364924 +aS'Hydrochlorothiazide\tHydrochlorothiazide\tNN\tI-NP\tO' +p364925 +aS'25\t25\tCD\tB-NP\tO' +p364926 +aS'mg\tmg\tNN\tI-NP\tO' +p364927 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p364928 +aS'Sig\tSig\tNNP\tI-NP\tO' +p364929 +aS':\t:\t:\tO\tO' +p364930 +aS'One\tOne\tCD\tB-NP\tO' +p364931 +aS'(\t(\t(\tO\tO' +p364932 +aS'1\t1\tCD\tB-NP\tO' +p364933 +aS')\t)\t)\tO\tO' +p364934 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p364935 +aS'PO\tPO\tNN\tI-NP\tO' +p364936 +aS'DAILY\tDAILY\tNN\tI-NP\tO' +p364937 +aS'(\t(\t(\tO\tO' +p364938 +aS'Daily\tDaily\tRB\tB-ADVP\tO' +p364939 +aS')\t)\t)\tO\tO' +p364940 +aS'.\t.\t.\tO\tO' +p364941 +asS'Cardiac rehabilitation was initiated at that time .' +p364942 +(lp364943 +S'Cardiac\tCardiac\tJJ\tB-NP\tO' +p364944 +aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' +p364945 +aS'was\tbe\tVBD\tB-VP\tO' +p364946 +aS'initiated\tinitiate\tVBN\tI-VP\tO' +p364947 +aS'at\tat\tIN\tB-PP\tO' +p364948 +aS'that\tthat\tDT\tB-NP\tO' +p364949 +aS'time\ttime\tNN\tI-NP\tO' +p364950 +aS'.\t.\t.\tO\tO' +p364951 +asS'Right apical pleural tube in place .' +p364952 +(lp364953 +S'Right\tRight\tRB\tB-NP\tO' +p364954 +aS'apical\tapical\tJJ\tI-NP\tO' +p364955 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p364956 +aS'tube\ttube\tNN\tI-NP\tO' +p364957 +aS'in\tin\tIN\tB-PP\tO' +p364958 +aS'place\tplace\tNN\tB-NP\tO' +p364959 +aS'.\t.\t.\tO\tO' +p364960 +asS'WBC rose to 1.7 on 10/19 .' +p364961 +(lp364962 +S'WBC\tWBC\tNNP\tB-NP\tO' +p364963 +aS'rose\trise\tVBD\tB-VP\tO' +p364964 +aS'to\tto\tTO\tB-PP\tO' +p364965 +aS'1.7\t1.7\tCD\tB-NP\tO' +p364966 +aS'on\ton\tIN\tB-PP\tO' +p364967 +aS'10/19\t10/19\tCD\tB-NP\tO' +p364968 +aS'.\t.\t.\tO\tO' +p364969 +asS'Other findings are unchanged .' +p364970 +(lp364971 +S'Other\tOther\tJJ\tB-NP\tO' +p364972 +aS'findings\tfinding\tNNS\tI-NP\tO' +p364973 +aS'are\tbe\tVBP\tB-VP\tO' +p364974 +aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' +p364975 +aS'.\t.\t.\tO\tO' +p364976 +asS'Discharge Instructions : may shower , no bathing or swimming for 1 month no creams , lotions or powders to any incisions no driving for 1 month no lifting > 10 # for 10 weeks' +p364977 +(lp364978 +S'Discharge\tDischarge\tNNP\tB-NP\tO' +p364979 +aS'Instructions\tInstruction\tNNPS\tI-NP\tO' +p364980 +aS':\t:\t:\tO\tO' +p364981 +aS'may\tmay\tMD\tB-VP\tO' +p364982 +aS'shower\tshower\tVB\tI-VP\tO' +p364983 +aS',\t,\t,\tO\tO' +p364984 +aS'no\tno\tDT\tB-NP\tO' +p364985 +aS'bathing\tbathing\tNN\tI-NP\tO' +p364986 +aS'or\tor\tCC\tI-NP\tO' +p364987 +aS'swimming\tswimming\tNN\tI-NP\tO' +p364988 +aS'for\tfor\tIN\tB-PP\tO' +p364989 +aS'1\t1\tCD\tB-NP\tO' +p364990 +aS'month\tmonth\tNN\tI-NP\tO' +p364991 +aS'no\tno\tDT\tB-NP\tO' +p364992 +aS'creams\tcream\tNNS\tI-NP\tO' +p364993 +aS',\t,\t,\tI-NP\tO' +p364994 +aS'lotions\tlotion\tNNS\tI-NP\tO' +p364995 +aS'or\tor\tCC\tI-NP\tO' +p364996 +aS'powders\tpowder\tNNS\tI-NP\tO' +p364997 +aS'to\tto\tTO\tB-PP\tO' +p364998 +aS'any\tany\tDT\tB-NP\tO' +p364999 +aS'incisions\tincision\tNNS\tI-NP\tO' +p365000 +aS'no\tno\tDT\tB-NP\tO' +p365001 +aS'driving\tdriving\tNN\tI-NP\tO' +p365002 +aS'for\tfor\tIN\tB-PP\tO' +p365003 +aS'1\t1\tCD\tB-NP\tO' +p365004 +aS'month\tmonth\tNN\tI-NP\tO' +p365005 +aS'no\tno\tDT\tB-NP\tO' +p365006 +aS'lifting\tlifting\tNN\tI-NP\tO' +p365007 +aS'>\t>\tJJR\tB-NP\tO' +p365008 +aS'10\t10\tCD\tI-NP\tO' +p365009 +aS'#\t#\t#\tB-ADJP\tO' +p365010 +aS'for\tfor\tIN\tB-PP\tO' +p365011 +aS'10\t10\tCD\tB-NP\tO' +p365012 +aS'weeks\tweek\tNNS\tI-NP\tO' +p365013 +asS'Some interstitial edema still persists , but there is no central pulmonary vascular congestion .' +p365014 +(lp365015 +S'Some\tSome\tDT\tB-NP\tO' +p365016 +aS'interstitial\tinterstitial\tJJ\tI-NP\tO' +p365017 +aS'edema\tedema\tNN\tI-NP\tO' +p365018 +aS'still\tstill\tRB\tB-ADVP\tO' +p365019 +aS'persists\tpersist\tVBZ\tB-VP\tO' +p365020 +aS',\t,\t,\tO\tO' +p365021 +aS'but\tbut\tCC\tO\tO' +p365022 +aS'there\tthere\tEX\tB-NP\tO' +p365023 +aS'is\tbe\tVBZ\tB-VP\tO' +p365024 +aS'no\tno\tDT\tB-NP\tO' +p365025 +aS'central\tcentral\tJJ\tI-NP\tO' +p365026 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p365027 +aS'vascular\tvascular\tJJ\tI-NP\tO' +p365028 +aS'congestion\tcongestion\tNN\tI-NP\tO' +p365029 +aS'.\t.\t.\tO\tO' +p365030 +asS'He denies any other drug or toxin ingestion .' +p365031 +(lp365032 +S'He\tHe\tPRP\tB-NP\tO' +p365033 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p365034 +aS'any\tany\tDT\tB-NP\tO' +p365035 +aS'other\tother\tJJ\tI-NP\tO' +p365036 +aS'drug\tdrug\tNN\tI-NP\tO' +p365037 +aS'or\tor\tCC\tI-NP\tO' +p365038 +aS'toxin\ttoxin\tNN\tI-NP\tO' +p365039 +aS'ingestion\tingestion\tNN\tI-NP\tO' +p365040 +aS'.\t.\t.\tO\tO' +p365041 +asS'2. Metoprolol Tartrate 25 mg Tablet Sig : 0.5 Tablet PO BID ( 2 times a day ) .' +p365042 +(lp365043 +S'2.\t2.\tLS\tB-NP\tO' +p365044 +aS'Metoprolol\tMetoprolol\tNN\tI-NP\tO' +p365045 +aS'Tartrate\tTartrate\tNN\tI-NP\tO' +p365046 +aS'25\t25\tCD\tI-NP\tO' +p365047 +aS'mg\tmg\tNN\tI-NP\tO' +p365048 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p365049 +aS'Sig\tSig\tNNP\tI-NP\tO' +p365050 +aS':\t:\t:\tO\tO' +p365051 +aS'0.5\t0.5\tCD\tB-NP\tO' +p365052 +aS'Tablet\tTablet\tNN\tI-NP\tO' +p365053 +aS'PO\tPO\tNN\tI-NP\tO' +p365054 +aS'BID\tBID\tNN\tI-NP\tO' +p365055 +aS'(\t(\t(\tO\tO' +p365056 +aS'2\t2\tCD\tB-NP\tO' +p365057 +aS'times\ttime\tNNS\tI-NP\tO' +p365058 +aS'a\ta\tDT\tB-NP\tO' +p365059 +aS'day\tday\tNN\tI-NP\tO' +p365060 +aS')\t)\t)\tO\tO' +p365061 +aS'.\t.\t.\tO\tO' +p365062 +asS'Follow up with your PCP within 2 wks ,' +p365063 +(lp365064 +S'Follow\tFollow\tVB\tB-VP\tO' +p365065 +aS'up\tup\tRP\tB-PRT\tO' +p365066 +aS'with\twith\tIN\tB-PP\tO' +p365067 +aS'your\tyour\tPRP$\tB-NP\tO' +p365068 +aS'PCP\tPCP\tNN\tI-NP\tB-protein' +p365069 +aS'within\twithin\tIN\tB-PP\tO' +p365070 +aS'2\t2\tCD\tB-NP\tO' +p365071 +aS'wks\twk\tNNS\tI-NP\tO' +p365072 +aS',\t,\t,\tO\tO' +p365073 +asS'No prior history of intracranial disease .' +p365074 +(lp365075 +S'No\tNo\tDT\tB-NP\tO' +p365076 +aS'prior\tprior\tJJ\tI-NP\tO' +p365077 +aS'history\thistory\tNN\tI-NP\tO' +p365078 +aS'of\tof\tIN\tB-PP\tO' +p365079 +aS'intracranial\tintracranial\tJJ\tB-NP\tO' +p365080 +aS'disease\tdisease\tNN\tI-NP\tO' +p365081 +aS'.\t.\t.\tO\tO' +p365082 +asS'In late 7/22 , sulfasalazine was started at one tab three times a day .' +p365083 +(lp365084 +S'In\tIn\tIN\tB-PP\tO' +p365085 +aS'late\tlate\tJJ\tB-NP\tO' +p365086 +aS'7/22\t7/22\tCD\tI-NP\tO' +p365087 +aS',\t,\t,\tO\tO' +p365088 +aS'sulfasalazine\tsulfasalazine\tNN\tB-NP\tO' +p365089 +aS'was\tbe\tVBD\tB-VP\tO' +p365090 +aS'started\tstart\tVBN\tI-VP\tO' +p365091 +aS'at\tat\tIN\tB-PP\tO' +p365092 +aS'one\tone\tCD\tB-NP\tO' +p365093 +aS'tab\ttab\tNN\tI-NP\tO' +p365094 +aS'three\tthree\tCD\tB-NP\tO' +p365095 +aS'times\ttime\tNNS\tI-NP\tO' +p365096 +aS'a\ta\tDT\tB-NP\tO' +p365097 +aS'day\tday\tNN\tI-NP\tO' +p365098 +aS'.\t.\t.\tO\tO' +p365099 +asS'Schedule outpatient psychiatry appointment Necrestneysagiles Medical Center .' +p365100 +(lp365101 +S'Schedule\tSchedule\tNNP\tB-NP\tO' +p365102 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p365103 +aS'psychiatry\tpsychiatry\tNN\tI-NP\tO' +p365104 +aS'appointment\tappointment\tNN\tI-NP\tO' +p365105 +aS'Necrestneysagiles\tNecrestneysagiles\tNNP\tI-NP\tO' +p365106 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p365107 +aS'Center\tCenter\tNNP\tI-NP\tO' +p365108 +aS'.\t.\t.\tO\tO' +p365109 +asS'The patient will benefit from splinting of his finger while the swelling subsided and subsequent early mobilization to prevent any rigidity in that joint .' +p365110 +(lp365111 +S'The\tThe\tDT\tB-NP\tO' +p365112 +aS'patient\tpatient\tNN\tI-NP\tO' +p365113 +aS'will\twill\tMD\tB-VP\tO' +p365114 +aS'benefit\tbenefit\tVB\tI-VP\tO' +p365115 +aS'from\tfrom\tIN\tB-PP\tO' +p365116 +aS'splinting\tsplinting\tNN\tB-NP\tO' +p365117 +aS'of\tof\tIN\tB-PP\tO' +p365118 +aS'his\this\tPRP$\tB-NP\tO' +p365119 +aS'finger\tfinger\tNN\tI-NP\tO' +p365120 +aS'while\twhile\tIN\tB-SBAR\tO' +p365121 +aS'the\tthe\tDT\tB-NP\tO' +p365122 +aS'swelling\tswell\tVBG\tI-NP\tO' +p365123 +aS'subsided\tsubsided\tJJ\tI-NP\tO' +p365124 +aS'and\tand\tCC\tI-NP\tO' +p365125 +aS'subsequent\tsubsequent\tJJ\tI-NP\tO' +p365126 +aS'early\tearly\tJJ\tI-NP\tO' +p365127 +aS'mobilization\tmobilization\tNN\tI-NP\tO' +p365128 +aS'to\tto\tTO\tB-VP\tO' +p365129 +aS'prevent\tprevent\tVB\tI-VP\tO' +p365130 +aS'any\tany\tDT\tB-NP\tO' +p365131 +aS'rigidity\trigidity\tNN\tI-NP\tO' +p365132 +aS'in\tin\tIN\tB-PP\tO' +p365133 +aS'that\tthat\tDT\tB-NP\tO' +p365134 +aS'joint\tjoint\tNN\tI-NP\tO' +p365135 +aS'.\t.\t.\tO\tO' +p365136 +asS'Insulin-dependent diabetes mellitus , hypertension , depression , back pain , COPD , allergic rhinitis , GERD , obesity , hyperlipidemia .' +p365137 +(lp365138 +S'Insulin-dependent\tInsulin-dependent\tJJ\tB-NP\tO' +p365139 +aS'diabetes\tdiabetes\tNN\tI-NP\tO' +p365140 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p365141 +aS',\t,\t,\tO\tO' +p365142 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p365143 +aS',\t,\t,\tO\tO' +p365144 +aS'depression\tdepression\tNN\tB-NP\tO' +p365145 +aS',\t,\t,\tO\tO' +p365146 +aS'back\tback\tRB\tB-ADVP\tO' +p365147 +aS'pain\tpain\tNN\tB-NP\tO' +p365148 +aS',\t,\t,\tO\tO' +p365149 +aS'COPD\tCOPD\tNN\tB-NP\tO' +p365150 +aS',\t,\t,\tO\tO' +p365151 +aS'allergic\tallergic\tJJ\tB-NP\tO' +p365152 +aS'rhinitis\trhinitis\tNN\tI-NP\tO' +p365153 +aS',\t,\t,\tO\tO' +p365154 +aS'GERD\tGERD\tNN\tB-NP\tO' +p365155 +aS',\t,\t,\tO\tO' +p365156 +aS'obesity\tobesity\tNN\tB-NP\tO' +p365157 +aS',\t,\t,\tO\tO' +p365158 +aS'hyperlipidemia\thyperlipidemia\tNN\tB-NP\tO' +p365159 +aS'.\t.\t.\tO\tO' +p365160 +asS'ALT 14 , AST 31 , alkaline phosphatase 283 , total bilirubin 1.0 , amylase 71 , glucose tolerance test 317 .' +p365161 +(lp365162 +S'ALT\tALT\tNN\tB-NP\tB-protein' +p365163 +aS'14\t14\tCD\tI-NP\tI-protein' +p365164 +aS',\t,\t,\tO\tO' +p365165 +aS'AST\tAST\tNN\tB-NP\tO' +p365166 +aS'31\t31\tCD\tI-NP\tO' +p365167 +aS',\t,\t,\tO\tO' +p365168 +aS'alkaline\talkaline\tNN\tB-NP\tO' +p365169 +aS'phosphatase\tphosphatase\tNN\tI-NP\tO' +p365170 +aS'283\t283\tCD\tI-NP\tO' +p365171 +aS',\t,\t,\tO\tO' +p365172 +aS'total\ttotal\tJJ\tB-NP\tO' +p365173 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p365174 +aS'1.0\t1.0\tCD\tI-NP\tO' +p365175 +aS',\t,\t,\tO\tO' +p365176 +aS'amylase\tamylase\tNN\tB-NP\tB-protein' +p365177 +aS'71\t71\tCD\tI-NP\tI-protein' +p365178 +aS',\t,\t,\tO\tO' +p365179 +aS'glucose\tglucose\tNN\tB-NP\tB-protein' +p365180 +aS'tolerance\ttolerance\tNN\tI-NP\tI-protein' +p365181 +aS'test\ttest\tNN\tI-NP\tI-protein' +p365182 +aS'317\t317\tCD\tI-NP\tI-protein' +p365183 +aS'.\t.\t.\tO\tO' +p365184 +asS'No other medical problems other than stated above .' +p365185 +(lp365186 +S'No\tNo\tDT\tB-NP\tO' +p365187 +aS'other\tother\tJJ\tI-NP\tO' +p365188 +aS'medical\tmedical\tJJ\tI-NP\tO' +p365189 +aS'problems\tproblem\tNNS\tI-NP\tO' +p365190 +aS'other\tother\tJJ\tB-ADJP\tO' +p365191 +aS'than\tthan\tIN\tB-SBAR\tO' +p365192 +aS'stated\tstate\tVBN\tB-VP\tO' +p365193 +aS'above\tabove\tRB\tB-ADVP\tO' +p365194 +aS'.\t.\t.\tO\tO' +p365195 +asS'Trazodone .' +p365196 +(lp365197 +S'Trazodone\tTrazodone\tNN\tB-NP\tO' +p365198 +aS'.\t.\t.\tO\tO' +p365199 +asS'The echocardiogram revealed no pericardial effusion , an ejection fraction of 30% and worsening systolic dysfunction .' +p365200 +(lp365201 +S'The\tThe\tDT\tB-NP\tO' +p365202 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p365203 +aS'revealed\treveal\tVBD\tB-VP\tO' +p365204 +aS'no\tno\tDT\tB-NP\tO' +p365205 +aS'pericardial\tpericardial\tJJ\tI-NP\tO' +p365206 +aS'effusion\teffusion\tNN\tI-NP\tO' +p365207 +aS',\t,\t,\tO\tO' +p365208 +aS'an\tan\tDT\tB-NP\tO' +p365209 +aS'ejection\tejection\tNN\tI-NP\tO' +p365210 +aS'fraction\tfraction\tNN\tI-NP\tO' +p365211 +aS'of\tof\tIN\tB-PP\tO' +p365212 +aS'30%\t30%\tCD\tB-NP\tO' +p365213 +aS'and\tand\tCC\tO\tO' +p365214 +aS'worsening\tworsen\tVBG\tB-VP\tO' +p365215 +aS'systolic\tsystolic\tJJ\tB-NP\tO' +p365216 +aS'dysfunction\tdysfunction\tNN\tI-NP\tO' +p365217 +aS'.\t.\t.\tO\tO' +p365218 +asS'In terms of his mental status , he continued to improve steadily over the last few weeks of his hospital stay .' +p365219 +(lp365220 +S'In\tIn\tIN\tB-PP\tO' +p365221 +aS'terms\tterm\tNNS\tB-NP\tO' +p365222 +aS'of\tof\tIN\tB-PP\tO' +p365223 +aS'his\this\tPRP$\tB-NP\tO' +p365224 +aS'mental\tmental\tJJ\tI-NP\tO' +p365225 +aS'status\tstatus\tNN\tI-NP\tO' +p365226 +aS',\t,\t,\tO\tO' +p365227 +aS'he\the\tPRP\tB-NP\tO' +p365228 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p365229 +aS'to\tto\tTO\tI-VP\tO' +p365230 +aS'improve\timprove\tVB\tI-VP\tO' +p365231 +aS'steadily\tsteadily\tRB\tB-ADVP\tO' +p365232 +aS'over\tover\tIN\tB-PP\tO' +p365233 +aS'the\tthe\tDT\tB-NP\tO' +p365234 +aS'last\tlast\tJJ\tI-NP\tO' +p365235 +aS'few\tfew\tJJ\tI-NP\tO' +p365236 +aS'weeks\tweek\tNNS\tI-NP\tO' +p365237 +aS'of\tof\tIN\tB-PP\tO' +p365238 +aS'his\this\tPRP$\tB-NP\tO' +p365239 +aS'hospital\thospital\tNN\tI-NP\tO' +p365240 +aS'stay\tstay\tNN\tI-NP\tO' +p365241 +aS'.\t.\t.\tO\tO' +p365242 +asS'PRINCIPAL DISCHARGE DIAGNOSIS ; Responsible After Study for Causing Admission ) TCA overdose' +p365243 +(lp365244 +S'PRINCIPAL\tPRINCIPAL\tJJ\tB-NP\tO' +p365245 +aS'DISCHARGE\tDISCHARGE\tNN\tI-NP\tO' +p365246 +aS'DIAGNOSIS\tDIAGNOSIS\tNN\tI-NP\tO' +p365247 +aS';\t;\t:\tO\tO' +p365248 +aS'Responsible\tResponsible\tJJ\tB-ADJP\tO' +p365249 +aS'After\tAfter\tIN\tB-PP\tO' +p365250 +aS'Study\tStudy\tNN\tB-NP\tO' +p365251 +aS'for\tfor\tIN\tB-PP\tO' +p365252 +aS'Causing\tCause\tVBG\tB-VP\tO' +p365253 +aS'Admission\tAdmission\tNN\tB-NP\tO' +p365254 +aS')\t)\t)\tO\tO' +p365255 +aS'TCA\tTCA\tNN\tB-NP\tO' +p365256 +aS'overdose\toverdose\tNN\tI-NP\tO' +p365257 +asS'She made disturbing comments to the hospital personnel .' +p365258 +(lp365259 +S'She\tShe\tPRP\tB-NP\tO' +p365260 +aS'made\tmake\tVBD\tB-VP\tO' +p365261 +aS'disturbing\tdisturb\tVBG\tB-VP\tO' +p365262 +aS'comments\tcomment\tNNS\tB-NP\tO' +p365263 +aS'to\tto\tTO\tB-PP\tO' +p365264 +aS'the\tthe\tDT\tB-NP\tO' +p365265 +aS'hospital\thospital\tNN\tI-NP\tO' +p365266 +aS'personnel\tpersonnel\tNNS\tI-NP\tO' +p365267 +aS'.\t.\t.\tO\tO' +p365268 +asS'Neurologically , the patient was oriented to person , place , and time ; however , she was somewhat drowsy and at times was difficult to keep awake during conversations .' +p365269 +(lp365270 +S'Neurologically\tNeurologically\tRB\tB-ADVP\tO' +p365271 +aS',\t,\t,\tO\tO' +p365272 +aS'the\tthe\tDT\tB-NP\tO' +p365273 +aS'patient\tpatient\tNN\tI-NP\tO' +p365274 +aS'was\tbe\tVBD\tB-VP\tO' +p365275 +aS'oriented\torient\tVBN\tI-VP\tO' +p365276 +aS'to\tto\tTO\tB-PP\tO' +p365277 +aS'person\tperson\tNN\tB-NP\tO' +p365278 +aS',\t,\t,\tO\tO' +p365279 +aS'place\tplace\tNN\tB-NP\tO' +p365280 +aS',\t,\t,\tO\tO' +p365281 +aS'and\tand\tCC\tO\tO' +p365282 +aS'time\ttime\tNN\tB-NP\tO' +p365283 +aS';\t;\t:\tO\tO' +p365284 +aS'however\thowever\tRB\tB-ADVP\tO' +p365285 +aS',\t,\t,\tO\tO' +p365286 +aS'she\tshe\tPRP\tB-NP\tO' +p365287 +aS'was\tbe\tVBD\tB-VP\tO' +p365288 +aS'somewhat\tsomewhat\tRB\tB-ADJP\tO' +p365289 +aS'drowsy\tdrowsy\tJJ\tI-ADJP\tO' +p365290 +aS'and\tand\tCC\tO\tO' +p365291 +aS'at\tat\tIN\tB-PP\tO' +p365292 +aS'times\ttime\tNNS\tB-NP\tO' +p365293 +aS'was\tbe\tVBD\tB-VP\tO' +p365294 +aS'difficult\tdifficult\tJJ\tB-ADJP\tO' +p365295 +aS'to\tto\tTO\tB-VP\tO' +p365296 +aS'keep\tkeep\tVB\tI-VP\tO' +p365297 +aS'awake\tawake\tNN\tB-NP\tO' +p365298 +aS'during\tduring\tIN\tB-PP\tO' +p365299 +aS'conversations\tconversation\tNNS\tB-NP\tO' +p365300 +aS'.\t.\t.\tO\tO' +p365301 +asS'6) paroxysmal atrial fibrillation .' +p365302 +(lp365303 +S'6)\t6)\tLS\tB-NP\tO' +p365304 +aS'paroxysmal\tparoxysmal\tJJ\tI-NP\tO' +p365305 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p365306 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p365307 +aS'.\t.\t.\tO\tO' +p365308 +asS'He was initially treated with antibiotic therapy .' +p365309 +(lp365310 +S'He\tHe\tPRP\tB-NP\tO' +p365311 +aS'was\tbe\tVBD\tB-VP\tO' +p365312 +aS'initially\tinitially\tRB\tI-VP\tO' +p365313 +aS'treated\ttreat\tVBN\tI-VP\tO' +p365314 +aS'with\twith\tIN\tB-PP\tO' +p365315 +aS'antibiotic\tantibiotic\tJJ\tB-NP\tO' +p365316 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p365317 +aS'.\t.\t.\tO\tO' +p365318 +asS'The pulmonary artery systolic pressure could not be determined .' +p365319 +(lp365320 +S'The\tThe\tDT\tB-NP\tO' +p365321 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p365322 +aS'artery\tartery\tNN\tI-NP\tO' +p365323 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p365324 +aS'pressure\tpressure\tNN\tI-NP\tO' +p365325 +aS'could\tcould\tMD\tB-VP\tO' +p365326 +aS'not\tnot\tRB\tI-VP\tO' +p365327 +aS'be\tbe\tVB\tI-VP\tO' +p365328 +aS'determined\tdetermine\tVBN\tI-VP\tO' +p365329 +aS'.\t.\t.\tO\tO' +p365330 +asS'Tone is increased on the right .' +p365331 +(lp365332 +S'Tone\tTone\tNN\tB-NP\tO' +p365333 +aS'is\tbe\tVBZ\tB-VP\tO' +p365334 +aS'increased\tincrease\tVBN\tI-VP\tO' +p365335 +aS'on\ton\tIN\tB-PP\tO' +p365336 +aS'the\tthe\tDT\tB-NP\tO' +p365337 +aS'right\tright\tNN\tI-NP\tO' +p365338 +aS'.\t.\t.\tO\tO' +p365339 +asS'Right lower extremity examination demonstrated mild swelling and ecchymosis of the right posterior thigh and approximately a 3 cm laceration in the lower leg , expressive of moderate amounts of standard sterile' +p365340 +(lp365341 +S'Right\tRight\tRB\tB-NP\tO' +p365342 +aS'lower\tlow\tJJR\tI-NP\tO' +p365343 +aS'extremity\textremity\tNN\tI-NP\tO' +p365344 +aS'examination\texamination\tNN\tI-NP\tO' +p365345 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p365346 +aS'mild\tmild\tJJ\tB-NP\tO' +p365347 +aS'swelling\tswelling\tNN\tI-NP\tO' +p365348 +aS'and\tand\tCC\tI-NP\tO' +p365349 +aS'ecchymosis\tecchymosis\tNN\tI-NP\tO' +p365350 +aS'of\tof\tIN\tB-PP\tO' +p365351 +aS'the\tthe\tDT\tB-NP\tO' +p365352 +aS'right\tright\tJJ\tI-NP\tO' +p365353 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p365354 +aS'thigh\tthigh\tNN\tI-NP\tO' +p365355 +aS'and\tand\tCC\tO\tO' +p365356 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p365357 +aS'a\ta\tDT\tI-NP\tO' +p365358 +aS'3\t3\tCD\tI-NP\tO' +p365359 +aS'cm\tcm\tNN\tI-NP\tO' +p365360 +aS'laceration\tlaceration\tNN\tI-NP\tO' +p365361 +aS'in\tin\tIN\tB-PP\tO' +p365362 +aS'the\tthe\tDT\tB-NP\tO' +p365363 +aS'lower\tlow\tJJR\tI-NP\tO' +p365364 +aS'leg\tleg\tNN\tI-NP\tO' +p365365 +aS',\t,\t,\tO\tO' +p365366 +aS'expressive\texpressive\tJJ\tB-ADJP\tO' +p365367 +aS'of\tof\tIN\tB-PP\tO' +p365368 +aS'moderate\tmoderate\tJJ\tB-NP\tO' +p365369 +aS'amounts\tamount\tNNS\tI-NP\tO' +p365370 +aS'of\tof\tIN\tB-PP\tO' +p365371 +aS'standard\tstandard\tJJ\tB-NP\tO' +p365372 +aS'sterile\tsterile\tJJ\tI-NP\tO' +p365373 +asS'FS 420 .' +p365374 +(lp365375 +S'FS\tFS\tNN\tB-NP\tB-protein' +p365376 +aS'420\t420\tCD\tI-NP\tI-protein' +p365377 +aS'.\t.\t.\tO\tO' +p365378 +asS'2. Hydromorphone 2 mg Tablet Sig : One ( 1 ) Tablet PO Q2H ( every 2 hours ) as needed for Pain for 4 days .' +p365379 +(lp365380 +S'2.\t2.\tLS\tO\tO' +p365381 +aS'Hydromorphone\tHydromorphone\tNN\tB-NP\tO' +p365382 +aS'2\t2\tCD\tI-NP\tO' +p365383 +aS'mg\tmg\tNN\tI-NP\tO' +p365384 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p365385 +aS'Sig\tSig\tNNP\tI-NP\tO' +p365386 +aS':\t:\t:\tO\tO' +p365387 +aS'One\tOne\tCD\tB-NP\tO' +p365388 +aS'(\t(\t(\tO\tO' +p365389 +aS'1\t1\tCD\tB-NP\tO' +p365390 +aS')\t)\t)\tO\tO' +p365391 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p365392 +aS'PO\tPO\tNN\tI-NP\tO' +p365393 +aS'Q2H\tQ2H\tNN\tI-NP\tO' +p365394 +aS'(\t(\t(\tO\tO' +p365395 +aS'every\tevery\tDT\tB-NP\tO' +p365396 +aS'2\t2\tCD\tI-NP\tO' +p365397 +aS'hours\thour\tNNS\tI-NP\tO' +p365398 +aS')\t)\t)\tO\tO' +p365399 +aS'as\tas\tIN\tB-SBAR\tO' +p365400 +aS'needed\tneed\tVBN\tB-VP\tO' +p365401 +aS'for\tfor\tIN\tB-PP\tO' +p365402 +aS'Pain\tPain\tNNP\tB-NP\tO' +p365403 +aS'for\tfor\tIN\tB-PP\tO' +p365404 +aS'4\t4\tCD\tB-NP\tO' +p365405 +aS'days\tday\tNNS\tI-NP\tO' +p365406 +aS'.\t.\t.\tO\tO' +p365407 +asS'This was determined to be within the normal expected changes post surgery .' +p365408 +(lp365409 +S'This\tThis\tDT\tB-NP\tO' +p365410 +aS'was\tbe\tVBD\tB-VP\tO' +p365411 +aS'determined\tdetermine\tVBN\tI-VP\tO' +p365412 +aS'to\tto\tTO\tI-VP\tO' +p365413 +aS'be\tbe\tVB\tI-VP\tO' +p365414 +aS'within\twithin\tIN\tB-PP\tO' +p365415 +aS'the\tthe\tDT\tB-NP\tO' +p365416 +aS'normal\tnormal\tJJ\tI-NP\tO' +p365417 +aS'expected\texpected\tJJ\tI-NP\tO' +p365418 +aS'changes\tchange\tNNS\tI-NP\tO' +p365419 +aS'post\tpost\tIN\tB-PP\tO' +p365420 +aS'surgery\tsurgery\tNN\tB-NP\tO' +p365421 +aS'.\t.\t.\tO\tO' +p365422 +asS'5. Gout .' +p365423 +(lp365424 +S'5.\t5.\tLS\tB-LST\tO' +p365425 +aS'Gout\tGout\tNNP\tB-NP\tO' +p365426 +aS'.\t.\t.\tO\tO' +p365427 +asS'Attending : Kelly L. Bradley , M.D.' +p365428 +(lp365429 +S'Attending\tAttend\tVBG\tB-VP\tO' +p365430 +aS':\t:\t:\tO\tO' +p365431 +aS'Kelly\tKelly\tNNP\tB-NP\tO' +p365432 +aS'L.\tL.\tNNP\tI-NP\tO' +p365433 +aS'Bradley\tBradley\tNNP\tI-NP\tO' +p365434 +aS',\t,\t,\tO\tO' +p365435 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p365436 +asS'No gag was present .' +p365437 +(lp365438 +S'No\tNo\tDT\tB-NP\tO' +p365439 +aS'gag\tgag\tNN\tI-NP\tO' +p365440 +aS'was\tbe\tVBD\tB-VP\tO' +p365441 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p365442 +aS'.\t.\t.\tO\tO' +p365443 +asS'Denies .' +p365444 +(lp365445 +S'Denies\tDeny\tNNS\tB-NP\tO' +p365446 +aS'.\t.\t.\tO\tO' +p365447 +asS'After her 2nd surgery she returned to the ICU and improved steadily .' +p365448 +(lp365449 +S'After\tAfter\tIN\tB-PP\tO' +p365450 +aS'her\ther\tPRP$\tB-NP\tO' +p365451 +aS'2nd\t2nd\tNN\tI-NP\tO' +p365452 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p365453 +aS'she\tshe\tPRP\tB-NP\tO' +p365454 +aS'returned\treturn\tVBD\tB-VP\tO' +p365455 +aS'to\tto\tTO\tB-PP\tO' +p365456 +aS'the\tthe\tDT\tB-NP\tO' +p365457 +aS'ICU\tICU\tNN\tI-NP\tB-DNA' +p365458 +aS'and\tand\tCC\tO\tO' +p365459 +aS'improved\timprove\tVBN\tB-VP\tO' +p365460 +aS'steadily\tsteadily\tRB\tB-ADVP\tO' +p365461 +aS'.\t.\t.\tO\tO' +p365462 +asS'The non-dominant circumflex system had no hemodynamically significant stenoses .' +p365463 +(lp365464 +S'The\tThe\tDT\tB-NP\tO' +p365465 +aS'non-dominant\tnon-dominant\tJJ\tI-NP\tO' +p365466 +aS'circumflex\tcircumflex\tNN\tI-NP\tO' +p365467 +aS'system\tsystem\tNN\tI-NP\tO' +p365468 +aS'had\thave\tVBD\tB-VP\tO' +p365469 +aS'no\tno\tDT\tB-NP\tO' +p365470 +aS'hemodynamically\themodynamically\tRB\tI-NP\tO' +p365471 +aS'significant\tsignificant\tJJ\tI-NP\tO' +p365472 +aS'stenoses\tstenosis\tNNS\tI-NP\tO' +p365473 +aS'.\t.\t.\tO\tO' +p365474 +asS'The patient had a stress echocardiogram with a normal ejection fraction in 2007 .' +p365475 +(lp365476 +S'The\tThe\tDT\tB-NP\tO' +p365477 +aS'patient\tpatient\tNN\tI-NP\tO' +p365478 +aS'had\thave\tVBD\tB-VP\tO' +p365479 +aS'a\ta\tDT\tB-NP\tO' +p365480 +aS'stress\tstress\tNN\tI-NP\tO' +p365481 +aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' +p365482 +aS'with\twith\tIN\tB-PP\tO' +p365483 +aS'a\ta\tDT\tB-NP\tO' +p365484 +aS'normal\tnormal\tJJ\tI-NP\tO' +p365485 +aS'ejection\tejection\tNN\tI-NP\tO' +p365486 +aS'fraction\tfraction\tNN\tI-NP\tO' +p365487 +aS'in\tin\tIN\tB-PP\tO' +p365488 +aS'2007\t2007\tCD\tB-NP\tO' +p365489 +aS'.\t.\t.\tO\tO' +p365490 +asS'In addition , an FSH and LH were obtained on 12-10 and results are pending at time of transfer .' +p365491 +(lp365492 +S'In\tIn\tIN\tB-PP\tO' +p365493 +aS'addition\taddition\tNN\tB-NP\tO' +p365494 +aS',\t,\t,\tO\tO' +p365495 +aS'an\tan\tDT\tB-NP\tO' +p365496 +aS'FSH\tFSH\tNN\tI-NP\tO' +p365497 +aS'and\tand\tCC\tI-NP\tO' +p365498 +aS'LH\tLH\tNN\tI-NP\tO' +p365499 +aS'were\tbe\tVBD\tB-VP\tO' +p365500 +aS'obtained\tobtain\tVBN\tI-VP\tO' +p365501 +aS'on\ton\tIN\tB-PP\tO' +p365502 +aS'12-10\t12-10\tCD\tB-NP\tO' +p365503 +aS'and\tand\tCC\tO\tO' +p365504 +aS'results\tresult\tNNS\tB-NP\tO' +p365505 +aS'are\tbe\tVBP\tB-VP\tO' +p365506 +aS'pending\tpende\tVBG\tI-VP\tO' +p365507 +aS'at\tat\tIN\tB-PP\tO' +p365508 +aS'time\ttime\tNN\tB-NP\tO' +p365509 +aS'of\tof\tIN\tB-PP\tO' +p365510 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p365511 +aS'.\t.\t.\tO\tO' +p365512 +asS'14. Bisacodyl 10 mg per rectum h.s. as needed p.r.n.' +p365513 +(lp365514 +S'14.\t14.\tCD\tB-NP\tO' +p365515 +aS'Bisacodyl\tBisacodyl\tNN\tI-NP\tO' +p365516 +aS'10\t10\tCD\tB-NP\tO' +p365517 +aS'mg\tmg\tNN\tI-NP\tO' +p365518 +aS'per\tper\tIN\tB-PP\tO' +p365519 +aS'rectum\trectum\tNN\tB-NP\tO' +p365520 +aS'h.s.\th.s.\tNN\tI-NP\tO' +p365521 +aS'as\tas\tIN\tB-PP\tO' +p365522 +aS'needed\tneed\tVBN\tB-NP\tO' +p365523 +aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' +p365524 +asS'Electrocardiogram shows no P-waves .' +p365525 +(lp365526 +S'Electrocardiogram\tElectrocardiogram\tNN\tB-NP\tO' +p365527 +aS'shows\tshow\tVBZ\tB-VP\tO' +p365528 +aS'no\tno\tDT\tB-NP\tO' +p365529 +aS'P-waves\tP-wave\tNNS\tI-NP\tO' +p365530 +aS'.\t.\t.\tO\tO' +p365531 +asS'It was normal and did not increase .' +p365532 +(lp365533 +S'It\tIt\tPRP\tB-NP\tO' +p365534 +aS'was\tbe\tVBD\tB-VP\tO' +p365535 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p365536 +aS'and\tand\tCC\tO\tO' +p365537 +aS'did\tdo\tVBD\tB-VP\tO' +p365538 +aS'not\tnot\tRB\tI-VP\tO' +p365539 +aS'increase\tincrease\tVB\tI-VP\tO' +p365540 +aS'.\t.\t.\tO\tO' +p365541 +asS'Briley von der Ross, M.D. 67-576' +p365542 +(lp365543 +S'Briley\tBriley\tNNP\tB-NP\tO' +p365544 +aS'von\tvon\tNNP\tI-NP\tO' +p365545 +aS'der\tder\tNNP\tI-NP\tO' +p365546 +aS'Ross,\tRoss,\tNNP\tI-NP\tO' +p365547 +aS'M.D.\tM.D.\tNNP\tI-NP\tO' +p365548 +aS'67-576\t67-576\tCD\tB-NP\tO' +p365549 +asS'- metformin 500 mg po bid' +p365550 +(lp365551 +S'-\t-\tHYPH\tB-NP\tO' +p365552 +aS'metformin\tmetformin\tNN\tI-NP\tO' +p365553 +aS'500\t500\tCD\tI-NP\tO' +p365554 +aS'mg\tmg\tNN\tI-NP\tO' +p365555 +aS'po\tpo\tNN\tI-NP\tO' +p365556 +aS'bid\tbid\tNN\tI-NP\tO' +p365557 +asS'If pt received post partum spinal morphine , DO NOT administer Oxycodone for 18 hours after morphine administration .' +p365558 +(lp365559 +S'If\tIf\tIN\tB-SBAR\tO' +p365560 +aS'pt\tpt\tNN\tB-NP\tO' +p365561 +aS'received\treceive\tVBD\tB-VP\tO' +p365562 +aS'post\tpost\tNN\tB-NP\tO' +p365563 +aS'partum\tpartum\tNN\tI-NP\tO' +p365564 +aS'spinal\tspinal\tJJ\tI-NP\tO' +p365565 +aS'morphine\tmorphine\tNN\tI-NP\tO' +p365566 +aS',\t,\t,\tO\tO' +p365567 +aS'DO\tDO\tNN\tB-NP\tO' +p365568 +aS'NOT\tNOT\tNN\tI-NP\tO' +p365569 +aS'administer\tadminister\tNN\tI-NP\tO' +p365570 +aS'Oxycodone\tOxycodone\tNN\tI-NP\tO' +p365571 +aS'for\tfor\tIN\tB-PP\tO' +p365572 +aS'18\t18\tCD\tB-NP\tO' +p365573 +aS'hours\thour\tNNS\tI-NP\tO' +p365574 +aS'after\tafter\tIN\tB-PP\tO' +p365575 +aS'morphine\tmorphine\tNN\tB-NP\tO' +p365576 +aS'administration\tadministration\tNN\tI-NP\tO' +p365577 +aS'.\t.\t.\tO\tO' +p365578 +asS'The patient states that he was willing to speak with someone from addiction services .' +p365579 +(lp365580 +S'The\tThe\tDT\tB-NP\tO' +p365581 +aS'patient\tpatient\tNN\tI-NP\tO' +p365582 +aS'states\tstate\tVBZ\tB-VP\tO' +p365583 +aS'that\tthat\tIN\tB-SBAR\tO' +p365584 +aS'he\the\tPRP\tB-NP\tO' +p365585 +aS'was\tbe\tVBD\tB-VP\tO' +p365586 +aS'willing\twilling\tJJ\tB-ADJP\tO' +p365587 +aS'to\tto\tTO\tB-VP\tO' +p365588 +aS'speak\tspeak\tVB\tI-VP\tO' +p365589 +aS'with\twith\tIN\tB-PP\tO' +p365590 +aS'someone\tsomeone\tNN\tB-NP\tO' +p365591 +aS'from\tfrom\tIN\tB-PP\tO' +p365592 +aS'addiction\taddiction\tNN\tB-NP\tO' +p365593 +aS'services\tservice\tNNS\tI-NP\tO' +p365594 +aS'.\t.\t.\tO\tO' +p365595 +asS'If you need additional information please call 937-599-6520 .' +p365596 +(lp365597 +S'If\tIf\tIN\tB-SBAR\tO' +p365598 +aS'you\tyou\tPRP\tB-NP\tO' +p365599 +aS'need\tneed\tVBP\tB-VP\tO' +p365600 +aS'additional\tadditional\tJJ\tB-NP\tO' +p365601 +aS'information\tinformation\tNN\tI-NP\tO' +p365602 +aS'please\tplease\tNN\tI-NP\tO' +p365603 +aS'call\tcall\tNN\tI-NP\tO' +p365604 +aS'937-599-6520\t937-599-6520\tCD\tI-NP\tO' +p365605 +aS'.\t.\t.\tO\tO' +p365606 +asS'Elavil 50 mg p.o. q.h.s. , coated aspirin 325 mg p.o. p.day , Tegretol 100 mg p.o. b.i.d. , Ancef 1 gm IV q.12h. times seven days , Vasotec 5 mg p.o. q.day , Synthroid 0.025 mg p.o. q.day , Asacol 400 mg q.a.m. and 800 mg q.p.m. , Lopressor 25 mg p.o. b.i.d. , Prilosec 20 mg p.o. q.day , and insulin 70/30 26 units in the morning and 12 units at night .' +p365607 +(lp365608 +S'Elavil\tElavil\tNN\tB-NP\tO' +p365609 +aS'50\t50\tCD\tI-NP\tO' +p365610 +aS'mg\tmg\tNN\tI-NP\tO' +p365611 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p365612 +aS'q.h.s.\tq.h.s.\tNN\tI-NP\tO' +p365613 +aS',\t,\t,\tO\tO' +p365614 +aS'coated\tcoat\tVBD\tB-VP\tO' +p365615 +aS'aspirin\taspirin\tNN\tB-NP\tO' +p365616 +aS'325\t325\tCD\tI-NP\tO' +p365617 +aS'mg\tmg\tNN\tI-NP\tO' +p365618 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p365619 +aS'p.day\tp.day\tNN\tI-NP\tO' +p365620 +aS',\t,\t,\tO\tO' +p365621 +aS'Tegretol\tTegretol\tNN\tB-NP\tO' +p365622 +aS'100\t100\tCD\tI-NP\tO' +p365623 +aS'mg\tmg\tNN\tI-NP\tO' +p365624 +aS'p.o.\tp.o.\tFW\tB-ADVP\tO' +p365625 +aS'b.i.d.\tb.i.d.\tFW\tI-ADVP\tO' +p365626 +aS',\t,\t,\tO\tO' +p365627 +aS'Ancef\tAncef\tNN\tB-NP\tO' +p365628 +aS'1\t1\tCD\tI-NP\tO' +p365629 +aS'gm\tgm\tNN\tI-NP\tO' +p365630 +aS'IV\tIV\tCD\tB-NP\tO' +p365631 +aS'q.12h.\tq.12h.\tNN\tI-NP\tO' +p365632 +aS'times\ttime\tNNS\tI-NP\tO' +p365633 +aS'seven\tseven\tCD\tB-NP\tO' +p365634 +aS'days\tday\tNNS\tI-NP\tO' +p365635 +aS',\t,\t,\tO\tO' +p365636 +aS'Vasotec\tVasotec\tNNP\tB-NP\tO' +p365637 +aS'5\t5\tCD\tI-NP\tO' +p365638 +aS'mg\tmg\tNN\tI-NP\tO' +p365639 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p365640 +aS'q.day\tq.day\tNN\tI-NP\tO' +p365641 +aS',\t,\t,\tO\tO' +p365642 +aS'Synthroid\tSynthroid\tJJ\tB-NP\tO' +p365643 +aS'0.025\t0.025\tCD\tI-NP\tO' +p365644 +aS'mg\tmg\tNN\tI-NP\tO' +p365645 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p365646 +aS'q.day\tq.day\tNN\tI-NP\tO' +p365647 +aS',\t,\t,\tO\tO' +p365648 +aS'Asacol\tAsacol\tNN\tB-NP\tO' +p365649 +aS'400\t400\tCD\tI-NP\tO' +p365650 +aS'mg\tmg\tNN\tI-NP\tO' +p365651 +aS'q.a.m.\tq.a.m.\tNN\tI-NP\tO' +p365652 +aS'and\tand\tCC\tO\tO' +p365653 +aS'800\t800\tCD\tB-NP\tO' +p365654 +aS'mg\tmg\tNN\tI-NP\tO' +p365655 +aS'q.p.m.\tq.p.m.\tNN\tI-NP\tO' +p365656 +aS',\t,\t,\tO\tO' +p365657 +aS'Lopressor\tLopressor\tNN\tB-NP\tO' +p365658 +aS'25\t25\tCD\tI-NP\tO' +p365659 +aS'mg\tmg\tNN\tI-NP\tO' +p365660 +aS'p.o.\tp.o.\tFW\tB-ADVP\tO' +p365661 +aS'b.i.d.\tb.i.d.\tFW\tI-ADVP\tO' +p365662 +aS',\t,\t,\tO\tO' +p365663 +aS'Prilosec\tPrilosec\tNNP\tB-NP\tO' +p365664 +aS'20\t20\tCD\tI-NP\tO' +p365665 +aS'mg\tmg\tNN\tI-NP\tO' +p365666 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p365667 +aS'q.day\tq.day\tNN\tI-NP\tO' +p365668 +aS',\t,\t,\tO\tO' +p365669 +aS'and\tand\tCC\tO\tO' +p365670 +aS'insulin\tinsulin\tNN\tB-NP\tB-protein' +p365671 +aS'70/30\t70/30\tCD\tI-NP\tI-protein' +p365672 +aS'26\t26\tCD\tI-NP\tI-protein' +p365673 +aS'units\tunit\tNNS\tI-NP\tI-protein' +p365674 +aS'in\tin\tIN\tB-PP\tO' +p365675 +aS'the\tthe\tDT\tB-NP\tO' +p365676 +aS'morning\tmorning\tNN\tI-NP\tO' +p365677 +aS'and\tand\tCC\tI-NP\tO' +p365678 +aS'12\t12\tCD\tI-NP\tO' +p365679 +aS'units\tunit\tNNS\tI-NP\tO' +p365680 +aS'at\tat\tIN\tB-PP\tO' +p365681 +aS'night\tnight\tNN\tB-NP\tO' +p365682 +aS'.\t.\t.\tO\tO' +p365683 +asS'If his wound is dry , he may shower .' +p365684 +(lp365685 +S'If\tIf\tIN\tB-SBAR\tO' +p365686 +aS'his\this\tPRP$\tB-NP\tO' +p365687 +aS'wound\twound\tNN\tI-NP\tO' +p365688 +aS'is\tbe\tVBZ\tB-VP\tO' +p365689 +aS'dry\tdry\tJJ\tB-ADJP\tO' +p365690 +aS',\t,\t,\tO\tO' +p365691 +aS'he\the\tPRP\tB-NP\tO' +p365692 +aS'may\tmay\tMD\tB-VP\tO' +p365693 +aS'shower\tshower\tVB\tI-VP\tO' +p365694 +aS'.\t.\t.\tO\tO' +p365695 +asS'Her LFTs trended down during this admission .' +p365696 +(lp365697 +S'Her\tHer\tPRP$\tB-NP\tO' +p365698 +aS'LFTs\tLFT\tNNS\tI-NP\tB-protein' +p365699 +aS'trended\ttrend\tVBD\tB-VP\tO' +p365700 +aS'down\tdown\tRP\tB-PRT\tO' +p365701 +aS'during\tduring\tIN\tB-PP\tO' +p365702 +aS'this\tthis\tDT\tB-NP\tO' +p365703 +aS'admission\tadmission\tNN\tI-NP\tO' +p365704 +aS'.\t.\t.\tO\tO' +p365705 +asS'The cardiac monitor showed occasional irregularities in a PACED rhythm .' +p365706 +(lp365707 +S'The\tThe\tDT\tB-NP\tO' +p365708 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p365709 +aS'monitor\tmonitor\tNN\tI-NP\tO' +p365710 +aS'showed\tshow\tVBD\tB-VP\tO' +p365711 +aS'occasional\toccasional\tJJ\tB-NP\tO' +p365712 +aS'irregularities\tirregularity\tNNS\tI-NP\tO' +p365713 +aS'in\tin\tIN\tB-PP\tO' +p365714 +aS'a\ta\tDT\tB-NP\tO' +p365715 +aS'PACED\tPACED\tJJ\tI-NP\tO' +p365716 +aS'rhythm\trhythm\tNN\tI-NP\tO' +p365717 +aS'.\t.\t.\tO\tO' +p365718 +asS'Chest clear to auscultation bilateral , S1 S2 normal and with no murmors .' +p365719 +(lp365720 +S'Chest\tChest\tRBS\tB-ADJP\tO' +p365721 +aS'clear\tclear\tJJ\tI-ADJP\tO' +p365722 +aS'to\tto\tTO\tB-PP\tO' +p365723 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p365724 +aS'bilateral\tbilateral\tJJ\tI-NP\tO' +p365725 +aS',\t,\t,\tO\tO' +p365726 +aS'S1\tS1\tNN\tB-NP\tO' +p365727 +aS'S2\tS2\tNN\tI-NP\tO' +p365728 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p365729 +aS'and\tand\tCC\tO\tO' +p365730 +aS'with\twith\tIN\tB-PP\tO' +p365731 +aS'no\tno\tDT\tB-NP\tO' +p365732 +aS'murmors\tmurmor\tNNS\tI-NP\tO' +p365733 +aS'.\t.\t.\tO\tO' +p365734 +asS'Abdominal examination revealed that the abdomen was soft , non-tender , non-distended , no organomegaly , no masses , normal active bowel sounds .' +p365735 +(lp365736 +S'Abdominal\tAbdominal\tJJ\tB-NP\tO' +p365737 +aS'examination\texamination\tNN\tI-NP\tO' +p365738 +aS'revealed\treveal\tVBD\tB-VP\tO' +p365739 +aS'that\tthat\tIN\tB-SBAR\tO' +p365740 +aS'the\tthe\tDT\tB-NP\tO' +p365741 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p365742 +aS'was\tbe\tVBD\tB-VP\tO' +p365743 +aS'soft\tsoft\tJJ\tB-NP\tO' +p365744 +aS',\t,\t,\tI-NP\tO' +p365745 +aS'non-tender\tnon-tender\tJJ\tI-NP\tO' +p365746 +aS',\t,\t,\tI-NP\tO' +p365747 +aS'non-distended\tnon-distended\tJJ\tI-NP\tO' +p365748 +aS',\t,\t,\tO\tO' +p365749 +aS'no\tno\tDT\tB-NP\tO' +p365750 +aS'organomegaly\torganomegaly\tNN\tI-NP\tO' +p365751 +aS',\t,\t,\tO\tO' +p365752 +aS'no\tno\tDT\tB-NP\tO' +p365753 +aS'masses\tmass\tNNS\tI-NP\tO' +p365754 +aS',\t,\t,\tO\tO' +p365755 +aS'normal\tnormal\tJJ\tB-NP\tO' +p365756 +aS'active\tactive\tJJ\tI-NP\tO' +p365757 +aS'bowel\tbowel\tNN\tI-NP\tO' +p365758 +aS'sounds\tsound\tNNS\tI-NP\tO' +p365759 +aS'.\t.\t.\tO\tO' +p365760 +asS'At his baseline , he was able to perform limited tasks with his left upper extremity , and was clearly able to move his hand and able to ambulate .' +p365761 +(lp365762 +S'At\tAt\tIN\tB-PP\tO' +p365763 +aS'his\this\tPRP$\tB-NP\tO' +p365764 +aS'baseline\tbaseline\tNN\tI-NP\tO' +p365765 +aS',\t,\t,\tO\tO' +p365766 +aS'he\the\tPRP\tB-NP\tO' +p365767 +aS'was\tbe\tVBD\tB-VP\tO' +p365768 +aS'able\table\tJJ\tB-ADJP\tO' +p365769 +aS'to\tto\tTO\tB-VP\tO' +p365770 +aS'perform\tperform\tVB\tI-VP\tO' +p365771 +aS'limited\tlimited\tJJ\tB-NP\tO' +p365772 +aS'tasks\ttask\tNNS\tI-NP\tO' +p365773 +aS'with\twith\tIN\tB-PP\tO' +p365774 +aS'his\this\tPRP$\tB-NP\tO' +p365775 +aS'left\tleft\tJJ\tI-NP\tO' +p365776 +aS'upper\tupper\tJJ\tI-NP\tO' +p365777 +aS'extremity\textremity\tNN\tI-NP\tO' +p365778 +aS',\t,\t,\tO\tO' +p365779 +aS'and\tand\tCC\tO\tO' +p365780 +aS'was\tbe\tVBD\tB-VP\tO' +p365781 +aS'clearly\tclearly\tRB\tB-ADJP\tO' +p365782 +aS'able\table\tJJ\tI-ADJP\tO' +p365783 +aS'to\tto\tTO\tB-VP\tO' +p365784 +aS'move\tmove\tVB\tI-VP\tO' +p365785 +aS'his\this\tPRP$\tB-NP\tO' +p365786 +aS'hand\thand\tNN\tI-NP\tO' +p365787 +aS'and\tand\tCC\tO\tO' +p365788 +aS'able\table\tJJ\tB-ADJP\tO' +p365789 +aS'to\tto\tTO\tB-VP\tO' +p365790 +aS'ambulate\tambulate\tVB\tI-VP\tO' +p365791 +aS'.\t.\t.\tO\tO' +p365792 +asS'Cardiac arrest - His arrest was of unknown etiology at the time of admission .' +p365793 +(lp365794 +S'Cardiac\tCardiac\tJJ\tB-NP\tO' +p365795 +aS'arrest\tarrest\tNN\tI-NP\tO' +p365796 +aS'-\t-\tHYPH\tO\tO' +p365797 +aS'His\tHis\tPRP$\tB-NP\tO' +p365798 +aS'arrest\tarrest\tNN\tI-NP\tO' +p365799 +aS'was\tbe\tVBD\tB-VP\tO' +p365800 +aS'of\tof\tIN\tB-PP\tO' +p365801 +aS'unknown\tunknown\tJJ\tB-NP\tO' +p365802 +aS'etiology\tetiology\tNN\tI-NP\tO' +p365803 +aS'at\tat\tIN\tB-PP\tO' +p365804 +aS'the\tthe\tDT\tB-NP\tO' +p365805 +aS'time\ttime\tNN\tI-NP\tO' +p365806 +aS'of\tof\tIN\tB-PP\tO' +p365807 +aS'admission\tadmission\tNN\tB-NP\tO' +p365808 +aS'.\t.\t.\tO\tO' +p365809 +asS'She therefore remained on the ventilator throughout the day of postoperative day one .' +p365810 +(lp365811 +S'She\tShe\tPRP\tB-NP\tO' +p365812 +aS'therefore\ttherefore\tRB\tB-ADVP\tO' +p365813 +aS'remained\tremain\tVBD\tB-VP\tO' +p365814 +aS'on\ton\tIN\tB-PP\tO' +p365815 +aS'the\tthe\tDT\tB-NP\tO' +p365816 +aS'ventilator\tventilator\tNN\tI-NP\tO' +p365817 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p365818 +aS'the\tthe\tDT\tB-NP\tO' +p365819 +aS'day\tday\tNN\tI-NP\tO' +p365820 +aS'of\tof\tIN\tB-PP\tO' +p365821 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p365822 +aS'day\tday\tNN\tI-NP\tO' +p365823 +aS'one\tone\tCD\tI-NP\tO' +p365824 +aS'.\t.\t.\tO\tO' +p365825 +asS'Rigors progressed so she was brought to Robert .' +p365826 +(lp365827 +S'Rigors\tRigor\tNNS\tB-NP\tO' +p365828 +aS'progressed\tprogress\tVBD\tB-VP\tO' +p365829 +aS'so\tso\tIN\tB-SBAR\tO' +p365830 +aS'she\tshe\tPRP\tB-NP\tO' +p365831 +aS'was\tbe\tVBD\tB-VP\tO' +p365832 +aS'brought\tbring\tVBN\tI-VP\tO' +p365833 +aS'to\tto\tTO\tB-PP\tO' +p365834 +aS'Robert\tRobert\tNNP\tB-NP\tO' +p365835 +aS'.\t.\t.\tO\tO' +p365836 +asS'He had a CPK of over 5000 with MB fraction of 26.7 .' +p365837 +(lp365838 +S'He\tHe\tPRP\tB-NP\tO' +p365839 +aS'had\thave\tVBD\tB-VP\tO' +p365840 +aS'a\ta\tDT\tB-NP\tO' +p365841 +aS'CPK\tCPK\tNN\tI-NP\tB-protein' +p365842 +aS'of\tof\tIN\tB-PP\tO' +p365843 +aS'over\tover\tIN\tB-NP\tO' +p365844 +aS'5000\t5000\tCD\tI-NP\tO' +p365845 +aS'with\twith\tIN\tB-PP\tO' +p365846 +aS'MB\tMB\tNN\tB-NP\tO' +p365847 +aS'fraction\tfraction\tNN\tI-NP\tO' +p365848 +aS'of\tof\tIN\tB-PP\tO' +p365849 +aS'26.7\t26.7\tCD\tB-NP\tO' +p365850 +aS'.\t.\t.\tO\tO' +p365851 +asS'His serum toxicology screen was negative .' +p365852 +(lp365853 +S'His\tHis\tPRP$\tB-NP\tO' +p365854 +aS'serum\tserum\tNN\tI-NP\tO' +p365855 +aS'toxicology\ttoxicology\tNN\tI-NP\tO' +p365856 +aS'screen\tscreen\tNN\tI-NP\tO' +p365857 +aS'was\tbe\tVBD\tB-VP\tO' +p365858 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p365859 +aS'.\t.\t.\tO\tO' +p365860 +asS'Neuro : MAE , Follows commands , slightly confused' +p365861 +(lp365862 +S'Neuro\tNeuro\tNNP\tB-NP\tO' +p365863 +aS':\t:\t:\tO\tO' +p365864 +aS'MAE\tMAE\tNN\tB-NP\tB-protein' +p365865 +aS',\t,\t,\tO\tO' +p365866 +aS'Follows\tFollow\tVBZ\tB-VP\tO' +p365867 +aS'commands\tcommand\tNNS\tB-NP\tO' +p365868 +aS',\t,\t,\tO\tO' +p365869 +aS'slightly\tslightly\tRB\tB-ADJP\tO' +p365870 +aS'confused\tconfused\tJJ\tI-ADJP\tO' +p365871 +asS'5. Lopressor .' +p365872 +(lp365873 +S'5.\t5.\tLS\tB-NP\tO' +p365874 +aS'Lopressor\tLopressor\tNN\tI-NP\tO' +p365875 +aS'.\t.\t.\tO\tO' +p365876 +asS'NO associated sxs / radiation .' +p365877 +(lp365878 +S'NO\tNO\tNN\tB-NP\tO' +p365879 +aS'associated\tassociate\tVBN\tI-NP\tO' +p365880 +aS'sxs\tsx\tNNS\tI-NP\tO' +p365881 +aS'/\t/\tSYM\tB-NP\tO' +p365882 +aS'radiation\tradiation\tNN\tI-NP\tO' +p365883 +aS'.\t.\t.\tO\tO' +p365884 +asS'5. Aspirin 81 mg po qd' +p365885 +(lp365886 +S'5.\t5.\tLS\tB-LST\tO' +p365887 +aS'Aspirin\tAspirin\tNN\tB-NP\tO' +p365888 +aS'81\t81\tCD\tI-NP\tO' +p365889 +aS'mg\tmg\tNN\tI-NP\tO' +p365890 +aS'po\tpo\tNN\tI-NP\tO' +p365891 +aS'qd\tqd\tNN\tI-NP\tO' +p365892 +asS'Additionally , a side plate is seen medially fixating the fracture .' +p365893 +(lp365894 +S'Additionally\tAdditionally\tRB\tB-ADVP\tO' +p365895 +aS',\t,\t,\tO\tO' +p365896 +aS'a\ta\tDT\tB-NP\tO' +p365897 +aS'side\tside\tNN\tI-NP\tO' +p365898 +aS'plate\tplate\tNN\tI-NP\tO' +p365899 +aS'is\tbe\tVBZ\tB-VP\tO' +p365900 +aS'seen\tsee\tVBN\tI-VP\tO' +p365901 +aS'medially\tmedially\tRB\tI-VP\tO' +p365902 +aS'fixating\tfixate\tVBG\tI-VP\tO' +p365903 +aS'the\tthe\tDT\tB-NP\tO' +p365904 +aS'fracture\tfracture\tNN\tI-NP\tO' +p365905 +aS'.\t.\t.\tO\tO' +p365906 +asS'She has remained unresponsive throughout the hospitalization and currently only withdraws to pain .' +p365907 +(lp365908 +S'She\tShe\tPRP\tB-NP\tO' +p365909 +aS'has\thave\tVBZ\tB-VP\tO' +p365910 +aS'remained\tremain\tVBN\tI-VP\tO' +p365911 +aS'unresponsive\tunresponsive\tJJ\tB-ADJP\tO' +p365912 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p365913 +aS'the\tthe\tDT\tB-NP\tO' +p365914 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p365915 +aS'and\tand\tCC\tO\tO' +p365916 +aS'currently\tcurrently\tRB\tB-VP\tO' +p365917 +aS'only\tonly\tRB\tI-VP\tO' +p365918 +aS'withdraws\twithdraw\tVBZ\tI-VP\tO' +p365919 +aS'to\tto\tTO\tI-VP\tO' +p365920 +aS'pain\tpain\tVB\tI-VP\tO' +p365921 +aS'.\t.\t.\tO\tO' +p365922 +asS'The patient appears to be status post prostatectomy .' +p365923 +(lp365924 +S'The\tThe\tDT\tB-NP\tO' +p365925 +aS'patient\tpatient\tNN\tI-NP\tO' +p365926 +aS'appears\tappear\tVBZ\tB-VP\tO' +p365927 +aS'to\tto\tTO\tI-VP\tO' +p365928 +aS'be\tbe\tVB\tI-VP\tO' +p365929 +aS'status\tstatus\tNN\tB-NP\tO' +p365930 +aS'post\tpost\tNN\tI-NP\tO' +p365931 +aS'prostatectomy\tprostatectomy\tNN\tI-NP\tO' +p365932 +aS'.\t.\t.\tO\tO' +p365933 +asS'If you need additional information please call 187-715-4303.' +p365934 +(lp365935 +S'If\tIf\tIN\tB-SBAR\tO' +p365936 +aS'you\tyou\tPRP\tB-NP\tO' +p365937 +aS'need\tneed\tVBP\tB-VP\tO' +p365938 +aS'additional\tadditional\tJJ\tB-NP\tO' +p365939 +aS'information\tinformation\tNN\tI-NP\tO' +p365940 +aS'please\tplease\tNN\tI-NP\tO' +p365941 +aS'call\tcall\tNN\tI-NP\tO' +p365942 +aS'187-715-4303.\t187-715-4303.\tCD\tI-NP\tO' +p365943 +asS'This is an 83-year-old female with a history of hypertrophic obstructive cardiomyopathy , status post mitral valve replacement in 1988 , chronic atrial fibrillation , hypertension , who presents for parathyroidectomy .' +p365944 +(lp365945 +S'This\tThis\tDT\tB-NP\tO' +p365946 +aS'is\tbe\tVBZ\tB-VP\tO' +p365947 +aS'an\tan\tDT\tB-NP\tO' +p365948 +aS'83-year-old\t83-year-old\tJJ\tI-NP\tO' +p365949 +aS'female\tfemale\tNN\tI-NP\tO' +p365950 +aS'with\twith\tIN\tB-PP\tO' +p365951 +aS'a\ta\tDT\tB-NP\tO' +p365952 +aS'history\thistory\tNN\tI-NP\tO' +p365953 +aS'of\tof\tIN\tB-PP\tO' +p365954 +aS'hypertrophic\thypertrophic\tJJ\tB-NP\tO' +p365955 +aS'obstructive\tobstructive\tJJ\tI-NP\tO' +p365956 +aS'cardiomyopathy\tcardiomyopathy\tNN\tI-NP\tO' +p365957 +aS',\t,\t,\tO\tO' +p365958 +aS'status\tstatus\tNN\tB-NP\tO' +p365959 +aS'post\tpost\tNN\tI-NP\tO' +p365960 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p365961 +aS'valve\tvalve\tNN\tI-NP\tO' +p365962 +aS'replacement\treplacement\tNN\tI-NP\tO' +p365963 +aS'in\tin\tIN\tB-PP\tO' +p365964 +aS'1988\t1988\tCD\tB-NP\tO' +p365965 +aS',\t,\t,\tO\tO' +p365966 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p365967 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p365968 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p365969 +aS',\t,\t,\tO\tO' +p365970 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p365971 +aS',\t,\t,\tO\tO' +p365972 +aS'who\twho\tWP\tB-NP\tO' +p365973 +aS'presents\tpresent\tVBZ\tB-VP\tO' +p365974 +aS'for\tfor\tIN\tB-PP\tO' +p365975 +aS'parathyroidectomy\tparathyroidectomy\tNN\tB-NP\tO' +p365976 +aS'.\t.\t.\tO\tO' +p365977 +asS'The patient on January 13 became hyponatremic .' +p365978 +(lp365979 +S'The\tThe\tDT\tB-NP\tO' +p365980 +aS'patient\tpatient\tNN\tI-NP\tO' +p365981 +aS'on\ton\tIN\tB-PP\tO' +p365982 +aS'January\tJanuary\tNNP\tB-NP\tO' +p365983 +aS'13\t13\tCD\tI-NP\tO' +p365984 +aS'became\tbecome\tVBD\tB-VP\tO' +p365985 +aS'hyponatremic\thyponatremic\tJJ\tB-ADJP\tO' +p365986 +aS'.\t.\t.\tO\tO' +p365987 +asS'The patient had an attempted ERCP on 01-18 , which was unsuccessful due to a long nipple like papilla .' +p365988 +(lp365989 +S'The\tThe\tDT\tB-NP\tO' +p365990 +aS'patient\tpatient\tNN\tI-NP\tO' +p365991 +aS'had\thave\tVBD\tB-VP\tO' +p365992 +aS'an\tan\tDT\tB-NP\tO' +p365993 +aS'attempted\tattempt\tVBN\tI-NP\tO' +p365994 +aS'ERCP\tERCP\tNN\tI-NP\tB-protein' +p365995 +aS'on\ton\tIN\tB-PP\tO' +p365996 +aS'01-18\t01-18\tCD\tB-NP\tO' +p365997 +aS',\t,\t,\tO\tO' +p365998 +aS'which\twhich\tWDT\tB-NP\tO' +p365999 +aS'was\tbe\tVBD\tB-VP\tO' +p366000 +aS'unsuccessful\tunsuccessful\tJJ\tB-ADJP\tO' +p366001 +aS'due\tdue\tJJ\tB-PP\tO' +p366002 +aS'to\tto\tTO\tB-PP\tO' +p366003 +aS'a\ta\tDT\tB-NP\tO' +p366004 +aS'long\tlong\tJJ\tI-NP\tO' +p366005 +aS'nipple\tnipple\tNN\tI-NP\tO' +p366006 +aS'like\tlike\tIN\tB-PP\tO' +p366007 +aS'papilla\tpapilla\tNN\tB-NP\tO' +p366008 +aS'.\t.\t.\tO\tO' +p366009 +asS'In the Rita , the patient was intubated and given activated charcoal .' +p366010 +(lp366011 +S'In\tIn\tIN\tB-PP\tO' +p366012 +aS'the\tthe\tDT\tB-NP\tO' +p366013 +aS'Rita\tRita\tNNP\tI-NP\tO' +p366014 +aS',\t,\t,\tO\tO' +p366015 +aS'the\tthe\tDT\tB-NP\tO' +p366016 +aS'patient\tpatient\tNN\tI-NP\tO' +p366017 +aS'was\tbe\tVBD\tB-VP\tO' +p366018 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p366019 +aS'and\tand\tCC\tO\tO' +p366020 +aS'given\tgive\tVBN\tB-VP\tO' +p366021 +aS'activated\tactivate\tVBN\tB-NP\tO' +p366022 +aS'charcoal\tcharcoal\tNN\tI-NP\tO' +p366023 +aS'.\t.\t.\tO\tO' +p366024 +asS'10. Rosiglitazone 4 mg once daily .' +p366025 +(lp366026 +S'10.\t10.\tLS\tB-NP\tO' +p366027 +aS'Rosiglitazone\tRosiglitazone\tNN\tI-NP\tO' +p366028 +aS'4\t4\tCD\tI-NP\tO' +p366029 +aS'mg\tmg\tNN\tI-NP\tO' +p366030 +aS'once\tonce\tRB\tB-ADVP\tO' +p366031 +aS'daily\tdaily\tRB\tI-ADVP\tO' +p366032 +aS'.\t.\t.\tO\tO' +p366033 +asS'Therefore she had a Stage III-A adenocarcinoma of the breast .' +p366034 +(lp366035 +S'Therefore\tTherefore\tRB\tB-ADVP\tO' +p366036 +aS'she\tshe\tPRP\tB-NP\tO' +p366037 +aS'had\thave\tVBD\tB-VP\tO' +p366038 +aS'a\ta\tDT\tB-NP\tO' +p366039 +aS'Stage\tStage\tNN\tI-NP\tO' +p366040 +aS'III-A\tIII-A\tNN\tI-NP\tO' +p366041 +aS'adenocarcinoma\tadenocarcinoma\tNN\tI-NP\tO' +p366042 +aS'of\tof\tIN\tB-PP\tO' +p366043 +aS'the\tthe\tDT\tB-NP\tO' +p366044 +aS'breast\tbreast\tNN\tI-NP\tO' +p366045 +aS'.\t.\t.\tO\tO' +p366046 +asS'Two branches of an left anterior descending to PA fistula which was successfully coiled .' +p366047 +(lp366048 +S'Two\tTwo\tCD\tB-NP\tO' +p366049 +aS'branches\tbranch\tNNS\tI-NP\tO' +p366050 +aS'of\tof\tIN\tB-PP\tO' +p366051 +aS'an\tan\tDT\tB-NP\tO' +p366052 +aS'left\tleft\tJJ\tI-NP\tO' +p366053 +aS'anterior\tanterior\tNN\tI-NP\tO' +p366054 +aS'descending\tdescend\tVBG\tB-VP\tO' +p366055 +aS'to\tto\tTO\tB-PP\tO' +p366056 +aS'PA\tPA\tNN\tB-NP\tO' +p366057 +aS'fistula\tfistula\tNN\tI-NP\tO' +p366058 +aS'which\twhich\tWDT\tB-NP\tO' +p366059 +aS'was\tbe\tVBD\tB-VP\tO' +p366060 +aS'successfully\tsuccessfully\tRB\tI-VP\tO' +p366061 +aS'coiled\tcoil\tVBN\tI-VP\tO' +p366062 +aS'.\t.\t.\tO\tO' +p366063 +asS'Ground-glass opacity is somewhat more prominent in right upper lobe , and superimposed infection cannot be totally excluded .' +p366064 +(lp366065 +S'Ground-glass\tGround-glass\tJJ\tB-NP\tO' +p366066 +aS'opacity\topacity\tNN\tI-NP\tO' +p366067 +aS'is\tbe\tVBZ\tB-VP\tO' +p366068 +aS'somewhat\tsomewhat\tRB\tB-ADJP\tO' +p366069 +aS'more\tmore\tRBR\tI-ADJP\tO' +p366070 +aS'prominent\tprominent\tJJ\tI-ADJP\tO' +p366071 +aS'in\tin\tIN\tB-PP\tO' +p366072 +aS'right\tright\tJJ\tB-NP\tO' +p366073 +aS'upper\tupper\tJJ\tI-NP\tO' +p366074 +aS'lobe\tlobe\tNN\tI-NP\tO' +p366075 +aS',\t,\t,\tO\tO' +p366076 +aS'and\tand\tCC\tO\tO' +p366077 +aS'superimposed\tsuperimpose\tVBN\tB-NP\tO' +p366078 +aS'infection\tinfection\tNN\tI-NP\tO' +p366079 +aS'cannot\tcannot\tMD\tB-VP\tO' +p366080 +aS'be\tbe\tVB\tI-VP\tO' +p366081 +aS'totally\ttotally\tRB\tI-VP\tO' +p366082 +aS'excluded\texclude\tVBN\tI-VP\tO' +p366083 +aS'.\t.\t.\tO\tO' +p366084 +asS'Chest x-ray revealed clear lung fields .' +p366085 +(lp366086 +S'Chest\tCh\tJJS\tB-NP\tO' +p366087 +aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' +p366088 +aS'revealed\treveal\tVBD\tB-VP\tO' +p366089 +aS'clear\tclear\tJJ\tB-NP\tO' +p366090 +aS'lung\tlung\tNN\tI-NP\tO' +p366091 +aS'fields\tfield\tNNS\tI-NP\tO' +p366092 +aS'.\t.\t.\tO\tO' +p366093 +asS'His lungs were clear to auscultation bilaterally without any evidence for crackles .' +p366094 +(lp366095 +S'His\tHis\tPRP$\tB-NP\tO' +p366096 +aS'lungs\tlung\tNNS\tI-NP\tO' +p366097 +aS'were\tbe\tVBD\tB-VP\tO' +p366098 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p366099 +aS'to\tto\tTO\tB-PP\tO' +p366100 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p366101 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p366102 +aS'without\twithout\tIN\tB-PP\tO' +p366103 +aS'any\tany\tDT\tB-NP\tO' +p366104 +aS'evidence\tevidence\tNN\tI-NP\tO' +p366105 +aS'for\tfor\tIN\tB-PP\tO' +p366106 +aS'crackles\tcrackle\tNNS\tB-NP\tO' +p366107 +aS'.\t.\t.\tO\tO' +p366108 +asS'After reviewing cardiac catheterization data , a consultation was made with Cardiothoracic Surgery who deemed that he was a good candidate for coronary artery bypass grafting .' +p366109 +(lp366110 +S'After\tAfter\tIN\tB-PP\tO' +p366111 +aS'reviewing\treview\tVBG\tB-VP\tO' +p366112 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p366113 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p366114 +aS'data\tdatum\tNNS\tI-NP\tO' +p366115 +aS',\t,\t,\tO\tO' +p366116 +aS'a\ta\tDT\tB-NP\tO' +p366117 +aS'consultation\tconsultation\tNN\tI-NP\tO' +p366118 +aS'was\tbe\tVBD\tB-VP\tO' +p366119 +aS'made\tmake\tVBN\tI-VP\tO' +p366120 +aS'with\twith\tIN\tB-PP\tO' +p366121 +aS'Cardiothoracic\tCardiothoracic\tNNP\tB-NP\tO' +p366122 +aS'Surgery\tSurgery\tNNP\tI-NP\tO' +p366123 +aS'who\twho\tWP\tB-NP\tO' +p366124 +aS'deemed\tdeem\tVBD\tB-VP\tO' +p366125 +aS'that\tthat\tIN\tB-SBAR\tO' +p366126 +aS'he\the\tPRP\tB-NP\tO' +p366127 +aS'was\tbe\tVBD\tB-VP\tO' +p366128 +aS'a\ta\tDT\tB-NP\tO' +p366129 +aS'good\tgood\tJJ\tI-NP\tO' +p366130 +aS'candidate\tcandidate\tNN\tI-NP\tO' +p366131 +aS'for\tfor\tIN\tB-PP\tO' +p366132 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p366133 +aS'artery\tartery\tNN\tI-NP\tO' +p366134 +aS'bypass\tbypass\tIN\tB-PP\tO' +p366135 +aS'grafting\tgrafting\tNN\tB-NP\tO' +p366136 +aS'.\t.\t.\tO\tO' +p366137 +asS'Sister with diabetes .' +p366138 +(lp366139 +S'Sister\tSister\tNN\tB-NP\tO' +p366140 +aS'with\twith\tIN\tB-PP\tO' +p366141 +aS'diabetes\tdiabetes\tNN\tB-NP\tO' +p366142 +aS'.\t.\t.\tO\tO' +p366143 +asS'On 02-02 ERCP demonstrated a large filling defect in the distal duct representing a stone with CBD dilatation .' +p366144 +(lp366145 +S'On\tOn\tIN\tB-PP\tO' +p366146 +aS'02-02\t02-02\tCD\tB-NP\tO' +p366147 +aS'ERCP\tERCP\tNN\tI-NP\tO' +p366148 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p366149 +aS'a\ta\tDT\tB-NP\tO' +p366150 +aS'large\tlarge\tJJ\tI-NP\tO' +p366151 +aS'filling\tfilling\tNN\tI-NP\tO' +p366152 +aS'defect\tdefect\tNN\tI-NP\tO' +p366153 +aS'in\tin\tIN\tB-PP\tO' +p366154 +aS'the\tthe\tDT\tB-NP\tO' +p366155 +aS'distal\tdistal\tJJ\tI-NP\tO' +p366156 +aS'duct\tduct\tNN\tI-NP\tO' +p366157 +aS'representing\trepresent\tVBG\tB-VP\tO' +p366158 +aS'a\ta\tDT\tB-NP\tO' +p366159 +aS'stone\tstone\tNN\tI-NP\tO' +p366160 +aS'with\twith\tIN\tB-PP\tO' +p366161 +aS'CBD\tCBD\tNN\tB-NP\tO' +p366162 +aS'dilatation\tdilatation\tNN\tI-NP\tO' +p366163 +aS'.\t.\t.\tO\tO' +p366164 +asS'This could represent either an atypically located blood clot or an intraventricular mass , and further evaluation with contrast - enhanced MRI of the brain , when clinically feasible , is recommended .' +p366165 +(lp366166 +S'This\tThis\tDT\tB-NP\tO' +p366167 +aS'could\tcould\tMD\tB-VP\tO' +p366168 +aS'represent\trepresent\tVB\tI-VP\tO' +p366169 +aS'either\teither\tCC\tO\tO' +p366170 +aS'an\tan\tDT\tB-NP\tO' +p366171 +aS'atypically\tatypically\tRB\tI-NP\tO' +p366172 +aS'located\tlocated\tJJ\tI-NP\tO' +p366173 +aS'blood\tblood\tNN\tI-NP\tO' +p366174 +aS'clot\tclot\tNN\tI-NP\tO' +p366175 +aS'or\tor\tCC\tO\tO' +p366176 +aS'an\tan\tDT\tB-NP\tO' +p366177 +aS'intraventricular\tintraventricular\tJJ\tI-NP\tO' +p366178 +aS'mass\tmass\tNN\tI-NP\tO' +p366179 +aS',\t,\t,\tO\tO' +p366180 +aS'and\tand\tCC\tO\tO' +p366181 +aS'further\tfurther\tJJ\tB-NP\tO' +p366182 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p366183 +aS'with\twith\tIN\tB-PP\tO' +p366184 +aS'contrast\tcontrast\tNN\tB-NP\tO' +p366185 +aS'-\t-\tHYPH\tB-NP\tO' +p366186 +aS'enhanced\tenhance\tVBN\tI-NP\tO' +p366187 +aS'MRI\tMRI\tNN\tI-NP\tB-protein' +p366188 +aS'of\tof\tIN\tB-PP\tO' +p366189 +aS'the\tthe\tDT\tB-NP\tO' +p366190 +aS'brain\tbrain\tNN\tI-NP\tO' +p366191 +aS',\t,\t,\tO\tO' +p366192 +aS'when\twhen\tWRB\tB-ADVP\tO' +p366193 +aS'clinically\tclinically\tRB\tB-ADJP\tO' +p366194 +aS'feasible\tfeasible\tJJ\tI-ADJP\tO' +p366195 +aS',\t,\t,\tO\tO' +p366196 +aS'is\tbe\tVBZ\tB-VP\tO' +p366197 +aS'recommended\trecommend\tVBN\tI-VP\tO' +p366198 +aS'.\t.\t.\tO\tO' +p366199 +asS'The P wave amplitude was .6 and this could not be totally sensed .' +p366200 +(lp366201 +S'The\tThe\tDT\tB-NP\tO' +p366202 +aS'P\tP\tNN\tI-NP\tO' +p366203 +aS'wave\twave\tNN\tI-NP\tO' +p366204 +aS'amplitude\tamplitude\tNN\tI-NP\tO' +p366205 +aS'was\tbe\tVBD\tB-VP\tO' +p366206 +aS'.6\t.6\tCD\tB-NP\tO' +p366207 +aS'and\tand\tCC\tO\tO' +p366208 +aS'this\tthis\tDT\tB-NP\tO' +p366209 +aS'could\tcould\tMD\tB-VP\tO' +p366210 +aS'not\tnot\tRB\tI-VP\tO' +p366211 +aS'be\tbe\tVB\tI-VP\tO' +p366212 +aS'totally\ttotally\tRB\tI-VP\tO' +p366213 +aS'sensed\tsense\tVBN\tI-VP\tO' +p366214 +aS'.\t.\t.\tO\tO' +p366215 +asS'Given this , it was advised that the patient have a colonoscopy to rule out further bleeding .' +p366216 +(lp366217 +S'Given\tGive\tVBN\tB-PP\tO' +p366218 +aS'this\tthis\tDT\tB-NP\tO' +p366219 +aS',\t,\t,\tO\tO' +p366220 +aS'it\tit\tPRP\tB-NP\tO' +p366221 +aS'was\tbe\tVBD\tB-VP\tO' +p366222 +aS'advised\tadvise\tVBN\tI-VP\tO' +p366223 +aS'that\tthat\tIN\tB-SBAR\tO' +p366224 +aS'the\tthe\tDT\tB-NP\tO' +p366225 +aS'patient\tpatient\tNN\tI-NP\tO' +p366226 +aS'have\thave\tVBP\tB-VP\tO' +p366227 +aS'a\ta\tDT\tB-NP\tO' +p366228 +aS'colonoscopy\tcolonoscopy\tNN\tI-NP\tO' +p366229 +aS'to\tto\tTO\tB-VP\tO' +p366230 +aS'rule\trule\tVB\tI-VP\tO' +p366231 +aS'out\tout\tRP\tB-PRT\tO' +p366232 +aS'further\tfurther\tJJ\tB-NP\tO' +p366233 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p366234 +aS'.\t.\t.\tO\tO' +p366235 +asS'On that day she was feeling well enough , eating well , and voiding without difficulty .' +p366236 +(lp366237 +S'On\tOn\tIN\tB-PP\tO' +p366238 +aS'that\tthat\tDT\tB-NP\tO' +p366239 +aS'day\tday\tNN\tI-NP\tO' +p366240 +aS'she\tshe\tPRP\tB-NP\tO' +p366241 +aS'was\tbe\tVBD\tB-VP\tO' +p366242 +aS'feeling\tfeel\tVBG\tI-VP\tO' +p366243 +aS'well\twell\tRB\tB-ADVP\tO' +p366244 +aS'enough\tenough\tRB\tI-ADVP\tO' +p366245 +aS',\t,\t,\tO\tO' +p366246 +aS'eating\teat\tVBG\tB-VP\tO' +p366247 +aS'well\twell\tRB\tB-ADVP\tO' +p366248 +aS',\t,\t,\tO\tO' +p366249 +aS'and\tand\tCC\tO\tO' +p366250 +aS'voiding\tvoid\tVBG\tB-VP\tO' +p366251 +aS'without\twithout\tIN\tB-PP\tO' +p366252 +aS'difficulty\tdifficulty\tNN\tB-NP\tO' +p366253 +aS'.\t.\t.\tO\tO' +p366254 +asS'1. Respiratory - The infant has remained in room air throughout this hospitalization with respiratory rates 40 s to 50 s, oxygen saturation greater than 94% .' +p366255 +(lp366256 +S'1.\t1.\tLS\tB-NP\tO' +p366257 +aS'Respiratory\tRespiratory\tNN\tI-NP\tO' +p366258 +aS'-\t-\tHYPH\tO\tO' +p366259 +aS'The\tThe\tDT\tB-NP\tO' +p366260 +aS'infant\tinfant\tNN\tI-NP\tO' +p366261 +aS'has\thave\tVBZ\tB-VP\tO' +p366262 +aS'remained\tremain\tVBN\tI-VP\tO' +p366263 +aS'in\tin\tIN\tB-PP\tO' +p366264 +aS'room\troom\tNN\tB-NP\tO' +p366265 +aS'air\tair\tNN\tI-NP\tO' +p366266 +aS'throughout\tthroughout\tIN\tB-PP\tO' +p366267 +aS'this\tthis\tDT\tB-NP\tO' +p366268 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p366269 +aS'with\twith\tIN\tB-PP\tO' +p366270 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p366271 +aS'rates\trate\tNNS\tI-NP\tO' +p366272 +aS'40\t40\tCD\tI-NP\tO' +p366273 +aS's\ts\tNN\tI-NP\tO' +p366274 +aS'to\tto\tTO\tB-PP\tO' +p366275 +aS'50\t50\tCD\tB-NP\tO' +p366276 +aS's,\ts,\tNN\tI-NP\tO' +p366277 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p366278 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p366279 +aS'greater\tgreat\tJJR\tB-ADJP\tO' +p366280 +aS'than\tthan\tIN\tB-PP\tO' +p366281 +aS'94%\t94%\tCD\tB-NP\tO' +p366282 +aS'.\t.\t.\tO\tO' +p366283 +asS'On the evening of postoperative day number four , the patient had a transient episode of disorientation and confusion which subsequently resolved spontaneously .' +p366284 +(lp366285 +S'On\tOn\tIN\tB-PP\tO' +p366286 +aS'the\tthe\tDT\tB-NP\tO' +p366287 +aS'evening\tevening\tNN\tI-NP\tO' +p366288 +aS'of\tof\tIN\tB-PP\tO' +p366289 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p366290 +aS'day\tday\tNN\tI-NP\tO' +p366291 +aS'number\tnumber\tNN\tI-NP\tO' +p366292 +aS'four\tfour\tCD\tB-NP\tO' +p366293 +aS',\t,\t,\tO\tO' +p366294 +aS'the\tthe\tDT\tB-NP\tO' +p366295 +aS'patient\tpatient\tNN\tI-NP\tO' +p366296 +aS'had\thave\tVBD\tB-VP\tO' +p366297 +aS'a\ta\tDT\tB-NP\tO' +p366298 +aS'transient\ttransient\tJJ\tI-NP\tO' +p366299 +aS'episode\tepisode\tNN\tI-NP\tO' +p366300 +aS'of\tof\tIN\tB-PP\tO' +p366301 +aS'disorientation\tdisorientation\tNN\tB-NP\tO' +p366302 +aS'and\tand\tCC\tI-NP\tO' +p366303 +aS'confusion\tconfusion\tNN\tI-NP\tO' +p366304 +aS'which\twhich\tWDT\tB-NP\tO' +p366305 +aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' +p366306 +aS'resolved\tresolve\tVBD\tB-VP\tO' +p366307 +aS'spontaneously\tspontaneously\tRB\tB-ADVP\tO' +p366308 +aS'.\t.\t.\tO\tO' +p366309 +asS'He has mild renal insufficiency in the setting of Sutent .' +p366310 +(lp366311 +S'He\tHe\tPRP\tB-NP\tO' +p366312 +aS'has\thave\tVBZ\tB-VP\tO' +p366313 +aS'mild\tmild\tJJ\tB-NP\tO' +p366314 +aS'renal\trenal\tJJ\tI-NP\tO' +p366315 +aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' +p366316 +aS'in\tin\tIN\tB-PP\tO' +p366317 +aS'the\tthe\tDT\tB-NP\tO' +p366318 +aS'setting\tsetting\tNN\tI-NP\tO' +p366319 +aS'of\tof\tIN\tB-PP\tO' +p366320 +aS'Sutent\tSutent\tNNP\tB-NP\tO' +p366321 +aS'.\t.\t.\tO\tO' +p366322 +asS'Disp :* 30 Tablet (s)* Refills :* 2 *' +p366323 +(lp366324 +S'Disp\tDisp\tNN\tB-NP\tO' +p366325 +aS':*\t:*\tSYM\tI-NP\tO' +p366326 +aS'30\t30\tCD\tI-NP\tO' +p366327 +aS'Tablet\tTablet\tNN\tI-NP\tO' +p366328 +aS'(s)*\t(s)*\tSYM\tB-NP\tO' +p366329 +aS'Refills\tRefill\tNNPS\tI-NP\tO' +p366330 +aS':*\t:*\tSYM\tI-NP\tO' +p366331 +aS'2\t2\tCD\tI-NP\tO' +p366332 +aS'*\t*\tSYM\tB-NP\tO' +p366333 +asS'The patient was then extubated on postoperative day #2 , but remained pressor-dependent .' +p366334 +(lp366335 +S'The\tThe\tDT\tB-NP\tO' +p366336 +aS'patient\tpatient\tNN\tI-NP\tO' +p366337 +aS'was\tbe\tVBD\tB-VP\tO' +p366338 +aS'then\tthen\tRB\tI-VP\tO' +p366339 +aS'extubated\textubate\tVBN\tI-VP\tO' +p366340 +aS'on\ton\tIN\tB-PP\tO' +p366341 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p366342 +aS'day\tday\tNN\tI-NP\tO' +p366343 +aS'#2\t#2\tNN\tI-NP\tO' +p366344 +aS',\t,\t,\tO\tO' +p366345 +aS'but\tbut\tCC\tO\tO' +p366346 +aS'remained\tremain\tVBD\tB-VP\tO' +p366347 +aS'pressor-dependent\tpressor-dependent\tJJ\tB-ADJP\tO' +p366348 +aS'.\t.\t.\tO\tO' +p366349 +asS'There was no evidence of any special neglect .' +p366350 +(lp366351 +S'There\tThere\tEX\tB-NP\tO' +p366352 +aS'was\tbe\tVBD\tB-VP\tO' +p366353 +aS'no\tno\tDT\tB-NP\tO' +p366354 +aS'evidence\tevidence\tNN\tI-NP\tO' +p366355 +aS'of\tof\tIN\tB-PP\tO' +p366356 +aS'any\tany\tDT\tB-NP\tO' +p366357 +aS'special\tspecial\tJJ\tI-NP\tO' +p366358 +aS'neglect\tneglect\tNN\tI-NP\tO' +p366359 +aS'.\t.\t.\tO\tO' +p366360 +asS'He remained pain free on medical therapy .' +p366361 +(lp366362 +S'He\tHe\tPRP\tB-NP\tO' +p366363 +aS'remained\tremain\tVBD\tB-VP\tO' +p366364 +aS'pain\tpain\tNN\tB-NP\tO' +p366365 +aS'free\tfree\tJJ\tB-ADJP\tO' +p366366 +aS'on\ton\tIN\tB-PP\tO' +p366367 +aS'medical\tmedical\tJJ\tB-NP\tO' +p366368 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p366369 +aS'.\t.\t.\tO\tO' +p366370 +asS'Right lung is clear .' +p366371 +(lp366372 +S'Right\tRight\tNN\tB-NP\tO' +p366373 +aS'lung\tlung\tNN\tI-NP\tO' +p366374 +aS'is\tbe\tVBZ\tB-VP\tO' +p366375 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p366376 +aS'.\t.\t.\tO\tO' +p366377 +asS'Well-healed scars over dorsal / lateral distal LUE' +p366378 +(lp366379 +S'Well-healed\tWell-healed\tJJ\tB-NP\tO' +p366380 +aS'scars\tscar\tNNS\tI-NP\tO' +p366381 +aS'over\tover\tIN\tB-PP\tO' +p366382 +aS'dorsal\tdorsal\tJJ\tB-NP\tO' +p366383 +aS'/\t/\tSYM\tI-NP\tO' +p366384 +aS'lateral\tlateral\tJJ\tI-NP\tO' +p366385 +aS'distal\tdistal\tJJ\tI-NP\tO' +p366386 +aS'LUE\tLUE\tNN\tI-NP\tO' +p366387 +asS'Before this age , the family and other caregivers should be considered for immunization against influenza to protect the infant .' +p366388 +(lp366389 +S'Before\tBefore\tIN\tB-SBAR\tO' +p366390 +aS'this\tthis\tDT\tB-NP\tO' +p366391 +aS'age\tage\tNN\tI-NP\tO' +p366392 +aS',\t,\t,\tO\tO' +p366393 +aS'the\tthe\tDT\tB-NP\tO' +p366394 +aS'family\tfamily\tNN\tI-NP\tO' +p366395 +aS'and\tand\tCC\tO\tO' +p366396 +aS'other\tother\tJJ\tB-NP\tO' +p366397 +aS'caregivers\tcaregiver\tNNS\tI-NP\tO' +p366398 +aS'should\tshould\tMD\tB-VP\tO' +p366399 +aS'be\tbe\tVB\tI-VP\tO' +p366400 +aS'considered\tconsider\tVBN\tI-VP\tO' +p366401 +aS'for\tfor\tIN\tB-PP\tO' +p366402 +aS'immunization\timmunization\tNN\tB-NP\tO' +p366403 +aS'against\tagainst\tIN\tB-PP\tO' +p366404 +aS'influenza\tinfluenza\tNN\tB-NP\tO' +p366405 +aS'to\tto\tTO\tB-VP\tO' +p366406 +aS'protect\tprotect\tVB\tI-VP\tO' +p366407 +aS'the\tthe\tDT\tB-NP\tO' +p366408 +aS'infant\tinfant\tNN\tI-NP\tO' +p366409 +aS'.\t.\t.\tO\tO' +p366410 +asS'DIFFERENTIAL Neuts Bands Lymphs Monos Eos Baso Atyps Metas' +p366411 +(lp366412 +S'DIFFERENTIAL\tDIFFERENTIAL\tNNP\tB-NP\tO' +p366413 +aS'Neuts\tNeuts\tNNP\tI-NP\tO' +p366414 +aS'Bands\tBands\tNNP\tI-NP\tO' +p366415 +aS'Lymphs\tLymphs\tNNP\tI-NP\tO' +p366416 +aS'Monos\tMonos\tNNP\tI-NP\tO' +p366417 +aS'Eos\tEos\tNNP\tI-NP\tO' +p366418 +aS'Baso\tBaso\tNNP\tI-NP\tO' +p366419 +aS'Atyps\tAtyps\tNNP\tI-NP\tO' +p366420 +aS'Metas\tMetas\tNNP\tI-NP\tO' +p366421 +asS'At the outside hospital the patient had already seemed some workup for a couple weeks duration of bilateral upper quadrant pain which occasionally radiated to her back .' +p366422 +(lp366423 +S'At\tAt\tIN\tB-PP\tO' +p366424 +aS'the\tthe\tDT\tB-NP\tO' +p366425 +aS'outside\toutside\tJJ\tI-NP\tO' +p366426 +aS'hospital\thospital\tNN\tI-NP\tO' +p366427 +aS'the\tthe\tDT\tB-NP\tO' +p366428 +aS'patient\tpatient\tNN\tI-NP\tO' +p366429 +aS'had\thave\tVBD\tB-VP\tO' +p366430 +aS'already\talready\tRB\tI-VP\tO' +p366431 +aS'seemed\tseem\tVBN\tI-VP\tO' +p366432 +aS'some\tsome\tDT\tB-NP\tO' +p366433 +aS'workup\tworkup\tNN\tI-NP\tO' +p366434 +aS'for\tfor\tIN\tB-PP\tO' +p366435 +aS'a\ta\tDT\tB-NP\tO' +p366436 +aS'couple\tcouple\tNN\tI-NP\tO' +p366437 +aS'weeks\tweek\tVBZ\tB-VP\tO' +p366438 +aS'duration\tduration\tNN\tB-NP\tO' +p366439 +aS'of\tof\tIN\tB-PP\tO' +p366440 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p366441 +aS'upper\tupper\tJJ\tI-NP\tO' +p366442 +aS'quadrant\tquadrant\tJJ\tI-NP\tO' +p366443 +aS'pain\tpain\tNN\tI-NP\tO' +p366444 +aS'which\twhich\tWDT\tB-NP\tO' +p366445 +aS'occasionally\toccasionally\tRB\tB-ADVP\tO' +p366446 +aS'radiated\tradiate\tVBD\tB-VP\tO' +p366447 +aS'to\tto\tTO\tB-PP\tO' +p366448 +aS'her\ther\tPRP$\tB-NP\tO' +p366449 +aS'back\tback\tNN\tI-NP\tO' +p366450 +aS'.\t.\t.\tO\tO' +p366451 +asS'The patient was taken to the operating room by Dr. Suot N. Dragtente on 02-21-91 , where a left radical nephrectomy was performed .' +p366452 +(lp366453 +S'The\tThe\tDT\tB-NP\tO' +p366454 +aS'patient\tpatient\tNN\tI-NP\tO' +p366455 +aS'was\tbe\tVBD\tB-VP\tO' +p366456 +aS'taken\ttake\tVBN\tI-VP\tO' +p366457 +aS'to\tto\tTO\tB-PP\tO' +p366458 +aS'the\tthe\tDT\tB-NP\tO' +p366459 +aS'operating\toperating\tNN\tI-NP\tO' +p366460 +aS'room\troom\tNN\tI-NP\tO' +p366461 +aS'by\tby\tIN\tB-PP\tO' +p366462 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p366463 +aS'Suot\tSuot\tNNP\tI-NP\tO' +p366464 +aS'N.\tN.\tNNP\tI-NP\tO' +p366465 +aS'Dragtente\tDragtente\tNNP\tI-NP\tO' +p366466 +aS'on\ton\tIN\tB-PP\tO' +p366467 +aS'02-21-91\t02-21-91\tCD\tB-NP\tO' +p366468 +aS',\t,\t,\tO\tO' +p366469 +aS'where\twhere\tWRB\tB-ADVP\tO' +p366470 +aS'a\ta\tDT\tB-NP\tO' +p366471 +aS'left\tleft\tJJ\tI-NP\tO' +p366472 +aS'radical\tradical\tNN\tI-NP\tO' +p366473 +aS'nephrectomy\tnephrectomy\tNN\tI-NP\tO' +p366474 +aS'was\tbe\tVBD\tB-VP\tO' +p366475 +aS'performed\tperform\tVBN\tI-VP\tO' +p366476 +aS'.\t.\t.\tO\tO' +p366477 +asS'However by 24 hours he transitioned to low-flow nasal cannula and on day of life five transitioned to room air where he currently remains .' +p366478 +(lp366479 +S'However\tHowever\tRB\tB-ADVP\tO' +p366480 +aS'by\tby\tIN\tB-PP\tO' +p366481 +aS'24\t24\tCD\tB-NP\tO' +p366482 +aS'hours\thour\tNNS\tI-NP\tO' +p366483 +aS'he\the\tPRP\tB-NP\tO' +p366484 +aS'transitioned\ttransitione\tVBD\tB-VP\tO' +p366485 +aS'to\tto\tTO\tB-PP\tO' +p366486 +aS'low-flow\tlow-flow\tJJ\tB-NP\tO' +p366487 +aS'nasal\tnasal\tJJ\tI-NP\tO' +p366488 +aS'cannula\tcannula\tNN\tI-NP\tO' +p366489 +aS'and\tand\tCC\tB-PP\tO' +p366490 +aS'on\ton\tIN\tB-PP\tO' +p366491 +aS'day\tday\tNN\tB-NP\tO' +p366492 +aS'of\tof\tIN\tB-PP\tO' +p366493 +aS'life\tlife\tNN\tB-NP\tO' +p366494 +aS'five\tfive\tCD\tI-NP\tO' +p366495 +aS'transitioned\ttransitione\tVBN\tB-VP\tO' +p366496 +aS'to\tto\tTO\tB-PP\tO' +p366497 +aS'room\troom\tNN\tB-NP\tO' +p366498 +aS'air\tair\tNN\tI-NP\tO' +p366499 +aS'where\twhere\tWRB\tB-ADVP\tO' +p366500 +aS'he\the\tPRP\tB-NP\tO' +p366501 +aS'currently\tcurrently\tRB\tB-ADVP\tO' +p366502 +aS'remains\tremain\tVBZ\tB-VP\tO' +p366503 +aS'.\t.\t.\tO\tO' +p366504 +asS'She underwent her CT scan .' +p366505 +(lp366506 +S'She\tShe\tPRP\tB-NP\tO' +p366507 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p366508 +aS'her\ther\tPRP$\tB-NP\tO' +p366509 +aS'CT\tCT\tNN\tI-NP\tO' +p366510 +aS'scan\tscan\tNN\tI-NP\tO' +p366511 +aS'.\t.\t.\tO\tO' +p366512 +asS'He was reported to have a seizure , although the nature of this was unclear , and received Valium for this .' +p366513 +(lp366514 +S'He\tHe\tPRP\tB-NP\tO' +p366515 +aS'was\tbe\tVBD\tB-VP\tO' +p366516 +aS'reported\treport\tVBN\tI-VP\tO' +p366517 +aS'to\tto\tTO\tI-VP\tO' +p366518 +aS'have\thave\tVB\tI-VP\tO' +p366519 +aS'a\ta\tDT\tB-NP\tO' +p366520 +aS'seizure\tseizure\tNN\tI-NP\tO' +p366521 +aS',\t,\t,\tO\tO' +p366522 +aS'although\talthough\tIN\tB-SBAR\tO' +p366523 +aS'the\tthe\tDT\tB-NP\tO' +p366524 +aS'nature\tnature\tNN\tI-NP\tO' +p366525 +aS'of\tof\tIN\tB-PP\tO' +p366526 +aS'this\tthis\tDT\tB-NP\tO' +p366527 +aS'was\tbe\tVBD\tB-VP\tO' +p366528 +aS'unclear\tunclear\tJJ\tB-ADJP\tO' +p366529 +aS',\t,\t,\tO\tO' +p366530 +aS'and\tand\tCC\tO\tO' +p366531 +aS'received\treceive\tVBD\tB-VP\tO' +p366532 +aS'Valium\tValium\tNNP\tB-NP\tO' +p366533 +aS'for\tfor\tIN\tB-PP\tO' +p366534 +aS'this\tthis\tDT\tB-NP\tO' +p366535 +aS'.\t.\t.\tO\tO' +p366536 +asS'He was also short of breath with ambulation , but he does have baseline shortness of breath with exertion .' +p366537 +(lp366538 +S'He\tHe\tPRP\tB-NP\tO' +p366539 +aS'was\tbe\tVBD\tB-VP\tO' +p366540 +aS'also\talso\tRB\tB-ADVP\tO' +p366541 +aS'short\tshort\tJJ\tB-ADJP\tO' +p366542 +aS'of\tof\tIN\tB-PP\tO' +p366543 +aS'breath\tbreath\tNN\tB-NP\tO' +p366544 +aS'with\twith\tIN\tB-PP\tO' +p366545 +aS'ambulation\tambulation\tNN\tB-NP\tO' +p366546 +aS',\t,\t,\tO\tO' +p366547 +aS'but\tbut\tCC\tO\tO' +p366548 +aS'he\the\tPRP\tB-NP\tO' +p366549 +aS'does\tdo\tVBZ\tB-VP\tO' +p366550 +aS'have\thave\tVB\tI-VP\tO' +p366551 +aS'baseline\tbaseline\tNN\tB-NP\tO' +p366552 +aS'shortness\tshortness\tNN\tI-NP\tO' +p366553 +aS'of\tof\tIN\tB-PP\tO' +p366554 +aS'breath\tbreath\tNN\tB-NP\tO' +p366555 +aS'with\twith\tIN\tB-PP\tO' +p366556 +aS'exertion\texertion\tNN\tB-NP\tO' +p366557 +aS'.\t.\t.\tO\tO' +p366558 +asS'7. Hypertension .' +p366559 +(lp366560 +S'7.\t7.\tCD\tB-NP\tO' +p366561 +aS'Hypertension\tHypertension\tNN\tI-NP\tO' +p366562 +aS'.\t.\t.\tO\tO' +p366563 +asS'Blood pressure in the left arm demonstrated 125/89 , blood pressure in the right arm was 177/119 .' +p366564 +(lp366565 +S'Blood\tBlood\tNN\tB-NP\tO' +p366566 +aS'pressure\tpressure\tNN\tI-NP\tO' +p366567 +aS'in\tin\tIN\tB-PP\tO' +p366568 +aS'the\tthe\tDT\tB-NP\tO' +p366569 +aS'left\tleft\tJJ\tI-NP\tB-DNA' +p366570 +aS'arm\tarm\tNN\tI-NP\tI-DNA' +p366571 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tI-DNA' +p366572 +aS'125/89\t125/89\tCD\tB-NP\tI-DNA' +p366573 +aS',\t,\t,\tO\tO' +p366574 +aS'blood\tblood\tNN\tB-NP\tO' +p366575 +aS'pressure\tpressure\tNN\tI-NP\tO' +p366576 +aS'in\tin\tIN\tB-PP\tO' +p366577 +aS'the\tthe\tDT\tB-NP\tO' +p366578 +aS'right\tright\tJJ\tI-NP\tB-DNA' +p366579 +aS'arm\tarm\tNN\tI-NP\tI-DNA' +p366580 +aS'was\tbe\tVBD\tB-VP\tI-DNA' +p366581 +aS'177/119\t177/119\tCD\tB-NP\tI-DNA' +p366582 +aS'.\t.\t.\tO\tO' +p366583 +asS'No active bleeding was observed .' +p366584 +(lp366585 +S'No\tNo\tDT\tB-NP\tO' +p366586 +aS'active\tactive\tJJ\tI-NP\tO' +p366587 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p366588 +aS'was\tbe\tVBD\tB-VP\tO' +p366589 +aS'observed\tobserve\tVBN\tI-VP\tO' +p366590 +aS'.\t.\t.\tO\tO' +p366591 +asS'Nonetheless , Mr. Less continued to remain critically ill with only very transient mild improvement with drainage of additional retroperitoneal fluid .' +p366592 +(lp366593 +S'Nonetheless\tNonetheless\tRB\tB-ADVP\tO' +p366594 +aS',\t,\t,\tO\tO' +p366595 +aS'Mr.\tMr.\tNNP\tB-NP\tO' +p366596 +aS'Less\tLess\tNNP\tI-NP\tO' +p366597 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p366598 +aS'to\tto\tTO\tI-VP\tO' +p366599 +aS'remain\tremain\tVB\tI-VP\tO' +p366600 +aS'critically\tcritically\tRB\tB-ADVP\tO' +p366601 +aS'ill\till\tRB\tI-ADVP\tO' +p366602 +aS'with\twith\tIN\tB-PP\tO' +p366603 +aS'only\tonly\tRB\tB-NP\tO' +p366604 +aS'very\tvery\tRB\tI-NP\tO' +p366605 +aS'transient\ttransient\tJJ\tI-NP\tO' +p366606 +aS'mild\tmild\tJJ\tI-NP\tO' +p366607 +aS'improvement\timprovement\tNN\tI-NP\tO' +p366608 +aS'with\twith\tIN\tB-PP\tO' +p366609 +aS'drainage\tdrainage\tNN\tB-NP\tO' +p366610 +aS'of\tof\tIN\tB-PP\tO' +p366611 +aS'additional\tadditional\tJJ\tB-NP\tO' +p366612 +aS'retroperitoneal\tretroperitoneal\tJJ\tI-NP\tO' +p366613 +aS'fluid\tfluid\tNN\tI-NP\tO' +p366614 +aS'.\t.\t.\tO\tO' +p366615 +asS'She was raised in multiple foster care homes because her mother could not care for her .' +p366616 +(lp366617 +S'She\tShe\tPRP\tB-NP\tO' +p366618 +aS'was\tbe\tVBD\tB-VP\tO' +p366619 +aS'raised\traise\tVBN\tI-VP\tO' +p366620 +aS'in\tin\tIN\tB-PP\tO' +p366621 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p366622 +aS'foster\tfoster\tJJ\tI-NP\tO' +p366623 +aS'care\tcare\tNN\tI-NP\tO' +p366624 +aS'homes\thome\tNNS\tI-NP\tO' +p366625 +aS'because\tbecause\tIN\tB-SBAR\tO' +p366626 +aS'her\ther\tPRP$\tB-NP\tO' +p366627 +aS'mother\tmother\tNN\tI-NP\tO' +p366628 +aS'could\tcould\tMD\tB-VP\tO' +p366629 +aS'not\tnot\tRB\tI-VP\tO' +p366630 +aS'care\tcare\tVB\tI-VP\tO' +p366631 +aS'for\tfor\tIN\tB-PP\tO' +p366632 +aS'her\ther\tPRP\tB-NP\tO' +p366633 +aS'.\t.\t.\tO\tO' +p366634 +asS'They requested that he follow up in three to five weeks for endurance training , however then physical therapy followed him a number of times afterward and decided that he was in good condition and did not need further physical therapy .' +p366635 +(lp366636 +S'They\tThey\tPRP\tB-NP\tO' +p366637 +aS'requested\trequest\tVBD\tB-VP\tO' +p366638 +aS'that\tthat\tIN\tB-SBAR\tO' +p366639 +aS'he\the\tPRP\tB-NP\tO' +p366640 +aS'follow\tfollow\tVB\tB-VP\tO' +p366641 +aS'up\tup\tRP\tB-PRT\tO' +p366642 +aS'in\tin\tIN\tB-PP\tO' +p366643 +aS'three\tthree\tCD\tB-NP\tO' +p366644 +aS'to\tto\tTO\tI-NP\tO' +p366645 +aS'five\tfive\tCD\tI-NP\tO' +p366646 +aS'weeks\tweek\tNNS\tI-NP\tO' +p366647 +aS'for\tfor\tIN\tB-PP\tO' +p366648 +aS'endurance\tendurance\tNN\tB-NP\tO' +p366649 +aS'training\ttraining\tNN\tI-NP\tO' +p366650 +aS',\t,\t,\tO\tO' +p366651 +aS'however\thowever\tRB\tB-ADVP\tO' +p366652 +aS'then\tthen\tRB\tB-ADVP\tO' +p366653 +aS'physical\tphysical\tJJ\tB-NP\tO' +p366654 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p366655 +aS'followed\tfollow\tVBD\tB-VP\tO' +p366656 +aS'him\thim\tPRP\tB-NP\tO' +p366657 +aS'a\ta\tDT\tB-NP\tO' +p366658 +aS'number\tnumber\tNN\tI-NP\tO' +p366659 +aS'of\tof\tIN\tB-PP\tO' +p366660 +aS'times\ttime\tNNS\tB-NP\tO' +p366661 +aS'afterward\tafterward\tRB\tB-ADVP\tO' +p366662 +aS'and\tand\tCC\tO\tO' +p366663 +aS'decided\tdecide\tVBD\tB-VP\tO' +p366664 +aS'that\tthat\tIN\tB-SBAR\tO' +p366665 +aS'he\the\tPRP\tB-NP\tO' +p366666 +aS'was\tbe\tVBD\tB-VP\tO' +p366667 +aS'in\tin\tIN\tB-PP\tO' +p366668 +aS'good\tgood\tJJ\tB-NP\tO' +p366669 +aS'condition\tcondition\tNN\tI-NP\tO' +p366670 +aS'and\tand\tCC\tO\tO' +p366671 +aS'did\tdo\tVBD\tB-VP\tO' +p366672 +aS'not\tnot\tRB\tI-VP\tO' +p366673 +aS'need\tneed\tVB\tI-VP\tO' +p366674 +aS'further\tfurther\tJJ\tB-NP\tO' +p366675 +aS'physical\tphysical\tJJ\tI-NP\tO' +p366676 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p366677 +aS'.\t.\t.\tO\tO' +p366678 +asS'Your losartan has increased to 50 mg a day .' +p366679 +(lp366680 +S'Your\tYour\tPRP$\tB-NP\tO' +p366681 +aS'losartan\tlosartan\tNN\tI-NP\tO' +p366682 +aS'has\thave\tVBZ\tB-VP\tO' +p366683 +aS'increased\tincrease\tVBN\tI-VP\tO' +p366684 +aS'to\tto\tTO\tB-PP\tO' +p366685 +aS'50\t50\tCD\tB-NP\tO' +p366686 +aS'mg\tmg\tNN\tI-NP\tO' +p366687 +aS'a\ta\tDT\tB-NP\tO' +p366688 +aS'day\tday\tNN\tI-NP\tO' +p366689 +aS'.\t.\t.\tO\tO' +p366690 +asS'The patient was admitted for intravenous antibiotics and a question of evaluation of circulation to the left great toe and also possible debridement and possibly a toe amputation .' +p366691 +(lp366692 +S'The\tThe\tDT\tB-NP\tO' +p366693 +aS'patient\tpatient\tNN\tI-NP\tO' +p366694 +aS'was\tbe\tVBD\tB-VP\tO' +p366695 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p366696 +aS'for\tfor\tIN\tB-PP\tO' +p366697 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p366698 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p366699 +aS'and\tand\tCC\tO\tO' +p366700 +aS'a\ta\tDT\tB-NP\tO' +p366701 +aS'question\tquestion\tNN\tI-NP\tO' +p366702 +aS'of\tof\tIN\tB-PP\tO' +p366703 +aS'evaluation\tevaluation\tNN\tB-NP\tO' +p366704 +aS'of\tof\tIN\tB-PP\tO' +p366705 +aS'circulation\tcirculation\tNN\tB-NP\tO' +p366706 +aS'to\tto\tTO\tB-PP\tO' +p366707 +aS'the\tthe\tDT\tB-NP\tO' +p366708 +aS'left\tleft\tJJ\tI-NP\tO' +p366709 +aS'great\tgreat\tJJ\tI-NP\tO' +p366710 +aS'toe\ttoe\tNN\tI-NP\tO' +p366711 +aS'and\tand\tCC\tO\tO' +p366712 +aS'also\talso\tRB\tB-ADVP\tO' +p366713 +aS'possible\tpossible\tJJ\tB-NP\tO' +p366714 +aS'debridement\tdebridement\tNN\tI-NP\tO' +p366715 +aS'and\tand\tCC\tO\tO' +p366716 +aS'possibly\tpossibly\tRB\tB-ADVP\tO' +p366717 +aS'a\ta\tDT\tB-NP\tO' +p366718 +aS'toe\ttoe\tNN\tI-NP\tO' +p366719 +aS'amputation\tamputation\tNN\tI-NP\tO' +p366720 +aS'.\t.\t.\tO\tO' +p366721 +asS'Compressions were continued and adequate pulse was felt and arterial blood gases demonstrated adequate oxygenation and perfusion .' +p366722 +(lp366723 +S'Compressions\tCompression\tNNS\tB-NP\tO' +p366724 +aS'were\tbe\tVBD\tB-VP\tO' +p366725 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p366726 +aS'and\tand\tCC\tO\tO' +p366727 +aS'adequate\tadequate\tJJ\tB-NP\tO' +p366728 +aS'pulse\tpulse\tNN\tI-NP\tO' +p366729 +aS'was\tbe\tVBD\tB-VP\tO' +p366730 +aS'felt\tfeel\tVBN\tI-VP\tO' +p366731 +aS'and\tand\tCC\tO\tO' +p366732 +aS'arterial\tarterial\tJJ\tB-NP\tB-protein' +p366733 +aS'blood\tblood\tNN\tI-NP\tI-protein' +p366734 +aS'gases\tgas\tNNS\tI-NP\tI-protein' +p366735 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p366736 +aS'adequate\tadequate\tJJ\tB-NP\tO' +p366737 +aS'oxygenation\toxygenation\tNN\tI-NP\tO' +p366738 +aS'and\tand\tCC\tI-NP\tO' +p366739 +aS'perfusion\tperfusion\tNN\tI-NP\tO' +p366740 +aS'.\t.\t.\tO\tO' +p366741 +asS'Because of her ABG , and declining clinical status , the CCU was notified for possible transfer .' +p366742 +(lp366743 +S'Because\tBecause\tIN\tB-PP\tO' +p366744 +aS'of\tof\tIN\tI-PP\tO' +p366745 +aS'her\ther\tPRP$\tB-NP\tO' +p366746 +aS'ABG\tABG\tNN\tI-NP\tO' +p366747 +aS',\t,\t,\tO\tO' +p366748 +aS'and\tand\tCC\tO\tO' +p366749 +aS'declining\tdecline\tVBG\tB-VP\tO' +p366750 +aS'clinical\tclinical\tJJ\tB-NP\tO' +p366751 +aS'status\tstatus\tNN\tI-NP\tO' +p366752 +aS',\t,\t,\tO\tO' +p366753 +aS'the\tthe\tDT\tB-NP\tO' +p366754 +aS'CCU\tCCU\tNN\tI-NP\tB-DNA' +p366755 +aS'was\tbe\tVBD\tB-VP\tO' +p366756 +aS'notified\tnotify\tVBN\tI-VP\tO' +p366757 +aS'for\tfor\tIN\tB-PP\tO' +p366758 +aS'possible\tpossible\tJJ\tB-NP\tO' +p366759 +aS'transfer\ttransfer\tNN\tI-NP\tO' +p366760 +aS'.\t.\t.\tO\tO' +p366761 +asS'Currently pt denies sensory deficits or weakness .' +p366762 +(lp366763 +S'Currently\tCurrently\tRB\tB-NP\tO' +p366764 +aS'pt\tpt\tNN\tI-NP\tO' +p366765 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p366766 +aS'sensory\tsensory\tJJ\tB-NP\tO' +p366767 +aS'deficits\tdeficit\tNNS\tI-NP\tO' +p366768 +aS'or\tor\tCC\tI-NP\tO' +p366769 +aS'weakness\tweakness\tNN\tI-NP\tO' +p366770 +aS'.\t.\t.\tO\tO' +p366771 +asS'Pt denies abuse or loc associated w / fall , but has noticed several recent falls .' +p366772 +(lp366773 +S'Pt\tPt\tNN\tB-NP\tO' +p366774 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p366775 +aS'abuse\tabuse\tNN\tB-NP\tO' +p366776 +aS'or\tor\tCC\tI-NP\tO' +p366777 +aS'loc\tloc\tNN\tI-NP\tO' +p366778 +aS'associated\tassociate\tVBN\tI-NP\tO' +p366779 +aS'w\tw\tNN\tI-NP\tO' +p366780 +aS'/\t/\tSYM\tI-NP\tO' +p366781 +aS'fall\tfall\tNN\tI-NP\tO' +p366782 +aS',\t,\t,\tO\tO' +p366783 +aS'but\tbut\tCC\tO\tO' +p366784 +aS'has\thave\tVBZ\tB-VP\tO' +p366785 +aS'noticed\tnotice\tVBN\tI-VP\tO' +p366786 +aS'several\tseveral\tJJ\tB-NP\tO' +p366787 +aS'recent\trecent\tJJ\tI-NP\tO' +p366788 +aS'falls\tfall\tNNS\tI-NP\tO' +p366789 +aS'.\t.\t.\tO\tO' +p366790 +asS'Gen : WD/WN male , comfortable appearing , intubated , not sedated .' +p366791 +(lp366792 +S'Gen\tGen\tNNP\tB-NP\tO' +p366793 +aS':\t:\t:\tO\tO' +p366794 +aS'WD/WN\tWD/WN\tNN\tB-NP\tO' +p366795 +aS'male\tmale\tJJ\tI-NP\tO' +p366796 +aS',\t,\t,\tI-NP\tO' +p366797 +aS'comfortable\tcomfortable\tJJ\tI-NP\tO' +p366798 +aS'appearing\tappear\tVBG\tI-NP\tO' +p366799 +aS',\t,\t,\tO\tO' +p366800 +aS'intubated\tintubate\tVBN\tB-NP\tO' +p366801 +aS',\t,\t,\tI-NP\tO' +p366802 +aS'not\tnot\tRB\tI-NP\tO' +p366803 +aS'sedated\tsedate\tVBN\tI-NP\tO' +p366804 +aS'.\t.\t.\tO\tO' +p366805 +asS'The patient was admitted on December 5 , 1997 and underwent left lung wedge thoracoscopic resection and bronchoscopy .' +p366806 +(lp366807 +S'The\tThe\tDT\tB-NP\tO' +p366808 +aS'patient\tpatient\tNN\tI-NP\tO' +p366809 +aS'was\tbe\tVBD\tB-VP\tO' +p366810 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p366811 +aS'on\ton\tIN\tB-PP\tO' +p366812 +aS'December\tDecember\tNNP\tB-NP\tO' +p366813 +aS'5\t5\tCD\tI-NP\tO' +p366814 +aS',\t,\t,\tI-NP\tO' +p366815 +aS'1997\t1997\tCD\tI-NP\tO' +p366816 +aS'and\tand\tCC\tO\tO' +p366817 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p366818 +aS'left\tleft\tJJ\tB-NP\tO' +p366819 +aS'lung\tlung\tNN\tI-NP\tO' +p366820 +aS'wedge\twedge\tNN\tI-NP\tO' +p366821 +aS'thoracoscopic\tthoracoscopic\tJJ\tI-NP\tO' +p366822 +aS'resection\tresection\tNN\tI-NP\tO' +p366823 +aS'and\tand\tCC\tI-NP\tO' +p366824 +aS'bronchoscopy\tbronchoscopy\tNN\tI-NP\tO' +p366825 +aS'.\t.\t.\tO\tO' +p366826 +asS'1. Coumadin 5 mg PO q.day , then she will follow up with her primary care physician and decide the dosage thereafter ,' +p366827 +(lp366828 +S'1.\t1.\tLS\tB-LST\tO' +p366829 +aS'Coumadin\tCoumadin\tNN\tB-NP\tO' +p366830 +aS'5\t5\tCD\tI-NP\tO' +p366831 +aS'mg\tmg\tNN\tI-NP\tO' +p366832 +aS'PO\tPO\tNN\tI-NP\tO' +p366833 +aS'q.day\tq.day\tNN\tI-NP\tO' +p366834 +aS',\t,\t,\tO\tO' +p366835 +aS'then\tthen\tRB\tB-ADVP\tO' +p366836 +aS'she\tshe\tPRP\tB-NP\tO' +p366837 +aS'will\twill\tMD\tB-VP\tO' +p366838 +aS'follow\tfollow\tVB\tI-VP\tO' +p366839 +aS'up\tup\tRP\tB-PRT\tO' +p366840 +aS'with\twith\tIN\tB-PP\tO' +p366841 +aS'her\ther\tPRP$\tB-NP\tO' +p366842 +aS'primary\tprimary\tJJ\tI-NP\tO' +p366843 +aS'care\tcare\tNN\tI-NP\tO' +p366844 +aS'physician\tphysician\tNN\tI-NP\tO' +p366845 +aS'and\tand\tCC\tO\tO' +p366846 +aS'decide\tdecide\tVB\tB-VP\tO' +p366847 +aS'the\tthe\tDT\tB-NP\tO' +p366848 +aS'dosage\tdosage\tNN\tI-NP\tO' +p366849 +aS'thereafter\tthereafter\tRB\tB-ADVP\tO' +p366850 +aS',\t,\t,\tO\tO' +p366851 +asS'Three discrete lesions are seen within the left frontal , right occipital , and left parietal lobes with significant surrounding vasogenic edema .' +p366852 +(lp366853 +S'Three\tThree\tCD\tB-NP\tO' +p366854 +aS'discrete\tdiscrete\tJJ\tI-NP\tO' +p366855 +aS'lesions\tlesion\tNNS\tI-NP\tO' +p366856 +aS'are\tbe\tVBP\tB-VP\tO' +p366857 +aS'seen\tsee\tVBN\tI-VP\tO' +p366858 +aS'within\twithin\tIN\tB-PP\tO' +p366859 +aS'the\tthe\tDT\tB-NP\tO' +p366860 +aS'left\tleft\tJJ\tI-NP\tO' +p366861 +aS'frontal\tfrontal\tJJ\tI-NP\tO' +p366862 +aS',\t,\t,\tI-NP\tO' +p366863 +aS'right\tright\tJJ\tI-NP\tO' +p366864 +aS'occipital\toccipital\tNN\tI-NP\tO' +p366865 +aS',\t,\t,\tO\tO' +p366866 +aS'and\tand\tCC\tO\tO' +p366867 +aS'left\tleave\tVBD\tB-VP\tO' +p366868 +aS'parietal\tparietal\tJJ\tB-NP\tO' +p366869 +aS'lobes\tlobe\tNNS\tI-NP\tO' +p366870 +aS'with\twith\tIN\tB-PP\tO' +p366871 +aS'significant\tsignificant\tJJ\tB-NP\tO' +p366872 +aS'surrounding\tsurround\tVBG\tI-NP\tO' +p366873 +aS'vasogenic\tvasogenic\tJJ\tI-NP\tO' +p366874 +aS'edema\tedema\tNN\tI-NP\tO' +p366875 +aS'.\t.\t.\tO\tO' +p366876 +asS'14. Levofloxacin 500 mg p.o. q.d. for 10 more days .' +p366877 +(lp366878 +S'14.\t14.\tCD\tB-NP\tO' +p366879 +aS'Levofloxacin\tLevofloxacin\tNN\tI-NP\tO' +p366880 +aS'500\t500\tCD\tB-NP\tO' +p366881 +aS'mg\tmg\tNN\tI-NP\tO' +p366882 +aS'p.o.\tp.o.\tNN\tI-NP\tO' +p366883 +aS'q.d.\tq.d.\tNN\tI-NP\tO' +p366884 +aS'for\tfor\tIN\tB-PP\tO' +p366885 +aS'10\t10\tCD\tB-NP\tO' +p366886 +aS'more\tmore\tJJR\tI-NP\tO' +p366887 +aS'days\tday\tNNS\tI-NP\tO' +p366888 +aS'.\t.\t.\tO\tO' +p366889 +asS'We recommend that you do NOT resume your lovenox until talking to your PCP , Dr. Jessie .' +p366890 +(lp366891 +S'We\tWe\tPRP\tB-NP\tO' +p366892 +aS'recommend\trecommend\tVBP\tB-VP\tO' +p366893 +aS'that\tthat\tIN\tB-SBAR\tO' +p366894 +aS'you\tyou\tPRP\tB-NP\tO' +p366895 +aS'do\tdo\tVBP\tB-VP\tO' +p366896 +aS'NOT\tNOT\tRB\tI-VP\tO' +p366897 +aS'resume\tresume\tVB\tI-VP\tO' +p366898 +aS'your\tyour\tPRP$\tB-NP\tO' +p366899 +aS'lovenox\tlovenox\tNN\tI-NP\tO' +p366900 +aS'until\tuntil\tIN\tB-SBAR\tO' +p366901 +aS'talking\ttalk\tVBG\tB-VP\tO' +p366902 +aS'to\tto\tTO\tB-PP\tO' +p366903 +aS'your\tyour\tPRP$\tB-NP\tO' +p366904 +aS'PCP\tPCP\tNN\tI-NP\tB-DNA' +p366905 +aS',\t,\t,\tO\tO' +p366906 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p366907 +aS'Jessie\tJessie\tNNP\tI-NP\tO' +p366908 +aS'.\t.\t.\tO\tO' +p366909 +asS'Coumadin 4 mgs po qhs , Vasotec 5 mgs po qd , Lasix prn , Digoxin 0.25 mgs poqd , Proscar and Sinemet .' +p366910 +(lp366911 +S'Coumadin\tCoumadin\tNN\tB-NP\tO' +p366912 +aS'4\t4\tCD\tI-NP\tO' +p366913 +aS'mgs\tmg\tNNS\tI-NP\tO' +p366914 +aS'po\tpo\tNN\tI-NP\tO' +p366915 +aS'qhs\tqh\tNNS\tI-NP\tO' +p366916 +aS',\t,\t,\tO\tO' +p366917 +aS'Vasotec\tVasotec\tNNP\tB-NP\tO' +p366918 +aS'5\t5\tCD\tI-NP\tO' +p366919 +aS'mgs\tmg\tNNS\tI-NP\tO' +p366920 +aS'po\tpo\tNN\tI-NP\tO' +p366921 +aS'qd\tqd\tNN\tI-NP\tO' +p366922 +aS',\t,\t,\tO\tO' +p366923 +aS'Lasix\tLasix\tNNP\tB-NP\tO' +p366924 +aS'prn\tprn\tNN\tI-NP\tO' +p366925 +aS',\t,\t,\tO\tO' +p366926 +aS'Digoxin\tDigoxin\tNN\tB-NP\tO' +p366927 +aS'0.25\t0.25\tCD\tI-NP\tO' +p366928 +aS'mgs\tmg\tNNS\tI-NP\tO' +p366929 +aS'poqd\tpoqd\tNN\tI-NP\tO' +p366930 +aS',\t,\t,\tO\tO' +p366931 +aS'Proscar\tProscar\tNNP\tB-NP\tO' +p366932 +aS'and\tand\tCC\tI-NP\tO' +p366933 +aS'Sinemet\tSinemet\tNNP\tI-NP\tO' +p366934 +aS'.\t.\t.\tO\tO' +p366935 +asS'4. The aortic valve leaflets ( 3 ) are mildly thickened .' +p366936 +(lp366937 +S'4.\t4.\tLS\tB-LST\tO' +p366938 +aS'The\tThe\tDT\tB-NP\tO' +p366939 +aS'aortic\taortic\tJJ\tI-NP\tO' +p366940 +aS'valve\tvalve\tNN\tI-NP\tO' +p366941 +aS'leaflets\tleaflet\tNNS\tI-NP\tO' +p366942 +aS'(\t(\t(\tO\tO' +p366943 +aS'3\t3\tCD\tB-NP\tO' +p366944 +aS')\t)\t)\tO\tO' +p366945 +aS'are\tbe\tVBP\tB-VP\tO' +p366946 +aS'mildly\tmildly\tRB\tI-VP\tO' +p366947 +aS'thickened\tthicken\tVBN\tI-VP\tO' +p366948 +aS'.\t.\t.\tO\tO' +p366949 +asS'She underwent cardiac catheterization on 8-15-93 and was found to have a left ventricular end diastolic pressure of 28 millimeters of mercury .' +p366950 +(lp366951 +S'She\tShe\tPRP\tB-NP\tO' +p366952 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p366953 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p366954 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p366955 +aS'on\ton\tIN\tB-PP\tO' +p366956 +aS'8-15-93\t8-15-93\tCD\tB-NP\tO' +p366957 +aS'and\tand\tCC\tO\tO' +p366958 +aS'was\tbe\tVBD\tB-VP\tO' +p366959 +aS'found\tfind\tVBN\tI-VP\tO' +p366960 +aS'to\tto\tTO\tI-VP\tO' +p366961 +aS'have\thave\tVB\tI-VP\tO' +p366962 +aS'a\ta\tDT\tB-NP\tO' +p366963 +aS'left\tleft\tJJ\tI-NP\tO' +p366964 +aS'ventricular\tventricular\tJJ\tI-NP\tO' +p366965 +aS'end\tend\tNN\tI-NP\tO' +p366966 +aS'diastolic\tdiastolic\tJJ\tI-NP\tO' +p366967 +aS'pressure\tpressure\tNN\tI-NP\tO' +p366968 +aS'of\tof\tIN\tB-PP\tO' +p366969 +aS'28\t28\tCD\tB-NP\tO' +p366970 +aS'millimeters\tmillimeter\tNNS\tI-NP\tO' +p366971 +aS'of\tof\tIN\tB-PP\tO' +p366972 +aS'mercury\tmercury\tNN\tB-NP\tO' +p366973 +aS'.\t.\t.\tO\tO' +p366974 +asS'Mr. Kammerer was a same day admit and on 10-25 was brought to the operating room where he underwent a coronary artery bypass graft x 3 .' +p366975 +(lp366976 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p366977 +aS'Kammerer\tKammerer\tNNP\tI-NP\tO' +p366978 +aS'was\tbe\tVBD\tB-VP\tO' +p366979 +aS'a\ta\tDT\tB-NP\tO' +p366980 +aS'same\tsame\tJJ\tI-NP\tO' +p366981 +aS'day\tday\tNN\tI-NP\tO' +p366982 +aS'admit\tadmit\tNN\tI-NP\tO' +p366983 +aS'and\tand\tCC\tB-PP\tO' +p366984 +aS'on\ton\tIN\tB-PP\tO' +p366985 +aS'10-25\t10-25\tCD\tB-NP\tO' +p366986 +aS'was\tbe\tVBD\tB-VP\tO' +p366987 +aS'brought\tbring\tVBN\tI-VP\tO' +p366988 +aS'to\tto\tTO\tB-PP\tO' +p366989 +aS'the\tthe\tDT\tB-NP\tO' +p366990 +aS'operating\toperating\tNN\tI-NP\tO' +p366991 +aS'room\troom\tNN\tI-NP\tO' +p366992 +aS'where\twhere\tWRB\tB-ADVP\tO' +p366993 +aS'he\the\tPRP\tB-NP\tO' +p366994 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p366995 +aS'a\ta\tDT\tB-NP\tO' +p366996 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p366997 +aS'artery\tartery\tNN\tI-NP\tO' +p366998 +aS'bypass\tbypass\tIN\tB-PP\tO' +p366999 +aS'graft\tgraft\tNN\tB-NP\tB-protein' +p367000 +aS'x\tx\tSYM\tB-NP\tI-protein' +p367001 +aS'3\t3\tCD\tI-NP\tI-protein' +p367002 +aS'.\t.\t.\tO\tO' +p367003 +asS'Ejection fraction was 60% .' +p367004 +(lp367005 +S'Ejection\tEjection\tNN\tB-NP\tO' +p367006 +aS'fraction\tfraction\tNN\tI-NP\tO' +p367007 +aS'was\tbe\tVBD\tB-VP\tO' +p367008 +aS'60%\t60%\tCD\tB-NP\tO' +p367009 +aS'.\t.\t.\tO\tO' +p367010 +asS'HEENT : NC/AT , PERRL , EOMI .' +p367011 +(lp367012 +S'HEENT\tHEENT\tNN\tB-NP\tO' +p367013 +aS':\t:\t:\tO\tO' +p367014 +aS'NC/AT\tNC/AT\tNN\tB-NP\tB-protein' +p367015 +aS',\t,\t,\tO\tO' +p367016 +aS'PERRL\tPERRL\tNN\tB-NP\tB-protein' +p367017 +aS',\t,\t,\tO\tO' +p367018 +aS'EOMI\tEOMI\tNN\tB-NP\tB-protein' +p367019 +aS'.\t.\t.\tO\tO' +p367020 +asS'4. Diskectomy .' +p367021 +(lp367022 +S'4.\t4.\tLS\tB-NP\tO' +p367023 +aS'Diskectomy\tDiskectomy\tNN\tI-NP\tO' +p367024 +aS'.\t.\t.\tO\tO' +p367025 +asS'Chest actually had a 5 x 7 cm necrotic area on the left chest wall with some pus .' +p367026 +(lp367027 +S'Chest\tChest\tNNP\tB-NP\tO' +p367028 +aS'actually\tactually\tRB\tB-ADVP\tO' +p367029 +aS'had\thave\tVBD\tB-VP\tO' +p367030 +aS'a\ta\tDT\tB-NP\tO' +p367031 +aS'5\t5\tCD\tI-NP\tO' +p367032 +aS'x\tx\tSYM\tI-NP\tO' +p367033 +aS'7\t7\tCD\tI-NP\tO' +p367034 +aS'cm\tcm\tNN\tI-NP\tO' +p367035 +aS'necrotic\tnecrotic\tJJ\tI-NP\tO' +p367036 +aS'area\tarea\tNN\tI-NP\tO' +p367037 +aS'on\ton\tIN\tB-PP\tO' +p367038 +aS'the\tthe\tDT\tB-NP\tO' +p367039 +aS'left\tleft\tJJ\tI-NP\tO' +p367040 +aS'chest\tchest\tNN\tI-NP\tO' +p367041 +aS'wall\twall\tNN\tI-NP\tO' +p367042 +aS'with\twith\tIN\tB-PP\tO' +p367043 +aS'some\tsome\tDT\tB-NP\tO' +p367044 +aS'pus\tpus\tNN\tI-NP\tO' +p367045 +aS'.\t.\t.\tO\tO' +p367046 +asS'2. No acute intra-abdominal abnormalities identified .' +p367047 +(lp367048 +S'2.\t2.\tLS\tB-LST\tO' +p367049 +aS'No\tNo\tDT\tB-NP\tO' +p367050 +aS'acute\tacute\tJJ\tI-NP\tO' +p367051 +aS'intra-abdominal\tintra-abdominal\tJJ\tI-NP\tO' +p367052 +aS'abnormalities\tabnormality\tNNS\tI-NP\tO' +p367053 +aS'identified\tidentify\tVBN\tB-VP\tO' +p367054 +aS'.\t.\t.\tO\tO' +p367055 +asS'She is to undergo no strenuous activity until follow-up in 2 weeks .' +p367056 +(lp367057 +S'She\tShe\tPRP\tB-NP\tO' +p367058 +aS'is\tbe\tVBZ\tB-VP\tO' +p367059 +aS'to\tto\tTO\tB-VP\tO' +p367060 +aS'undergo\tundergo\tVB\tI-VP\tO' +p367061 +aS'no\tno\tDT\tB-NP\tO' +p367062 +aS'strenuous\tstrenuous\tJJ\tI-NP\tO' +p367063 +aS'activity\tactivity\tNN\tI-NP\tO' +p367064 +aS'until\tuntil\tIN\tB-PP\tO' +p367065 +aS'follow-up\tfollow-up\tNN\tB-NP\tO' +p367066 +aS'in\tin\tIN\tB-PP\tO' +p367067 +aS'2\t2\tCD\tB-NP\tO' +p367068 +aS'weeks\tweek\tNNS\tI-NP\tO' +p367069 +aS'.\t.\t.\tO\tO' +p367070 +asS'He had bilateral intertrigo in his femoral region as well as his axillae .' +p367071 +(lp367072 +S'He\tHe\tPRP\tB-NP\tO' +p367073 +aS'had\thave\tVBD\tB-VP\tO' +p367074 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p367075 +aS'intertrigo\tintertrigo\tNN\tI-NP\tO' +p367076 +aS'in\tin\tIN\tB-PP\tO' +p367077 +aS'his\this\tPRP$\tB-NP\tB-DNA' +p367078 +aS'femoral\tfemoral\tJJ\tI-NP\tI-DNA' +p367079 +aS'region\tregion\tNN\tI-NP\tI-DNA' +p367080 +aS'as\tas\tRB\tB-CONJP\tO' +p367081 +aS'well\twell\tRB\tI-CONJP\tO' +p367082 +aS'as\tas\tIN\tI-CONJP\tO' +p367083 +aS'his\this\tPRP$\tB-NP\tO' +p367084 +aS'axillae\taxilla\tNNS\tI-NP\tO' +p367085 +aS'.\t.\t.\tO\tO' +p367086 +asS'His initial CBC showed no left shift .' +p367087 +(lp367088 +S'His\tHis\tPRP$\tB-NP\tO' +p367089 +aS'initial\tinitial\tJJ\tI-NP\tO' +p367090 +aS'CBC\tCBC\tNN\tI-NP\tO' +p367091 +aS'showed\tshow\tVBD\tB-VP\tO' +p367092 +aS'no\tno\tDT\tB-NP\tO' +p367093 +aS'left\tleft\tJJ\tI-NP\tO' +p367094 +aS'shift\tshift\tNN\tI-NP\tO' +p367095 +aS'.\t.\t.\tO\tO' +p367096 +asS'Include Cardizem CD 180 mg daily ; Monopril 10 mg daily ; Digoxin .25 mg daily ; and Lasix 40 mg every other day .' +p367097 +(lp367098 +S'Include\tInclude\tNNP\tB-NP\tO' +p367099 +aS'Cardizem\tCardizem\tNNP\tI-NP\tO' +p367100 +aS'CD\tCD\tNNP\tI-NP\tO' +p367101 +aS'180\t180\tCD\tI-NP\tO' +p367102 +aS'mg\tmg\tNN\tI-NP\tO' +p367103 +aS'daily\tdaily\tJJ\tI-NP\tO' +p367104 +aS';\t;\t:\tO\tO' +p367105 +aS'Monopril\tMonopril\tNNP\tB-NP\tO' +p367106 +aS'10\t10\tCD\tI-NP\tO' +p367107 +aS'mg\tmg\tNN\tI-NP\tO' +p367108 +aS'daily\tdaily\tJJ\tI-NP\tO' +p367109 +aS';\t;\t:\tO\tO' +p367110 +aS'Digoxin\tDigoxin\tNN\tB-NP\tO' +p367111 +aS'.25\t.25\tCD\tI-NP\tO' +p367112 +aS'mg\tmg\tNN\tI-NP\tO' +p367113 +aS'daily\tdaily\tJJ\tI-NP\tO' +p367114 +aS';\t;\t:\tO\tO' +p367115 +aS'and\tand\tCC\tO\tO' +p367116 +aS'Lasix\tLasix\tNNP\tB-NP\tO' +p367117 +aS'40\t40\tCD\tI-NP\tO' +p367118 +aS'mg\tmg\tNN\tI-NP\tO' +p367119 +aS'every\tevery\tDT\tB-NP\tO' +p367120 +aS'other\tother\tJJ\tI-NP\tO' +p367121 +aS'day\tday\tNN\tI-NP\tO' +p367122 +aS'.\t.\t.\tO\tO' +p367123 +asS'This 82 year old retired engineer has had multiple admissions to the Ph University Of Medical Center for multiple strokes and a spontaneous subdural hematoma and prostatic hypertrophy .' +p367124 +(lp367125 +S'This\tThis\tDT\tB-NP\tO' +p367126 +aS'82\t82\tCD\tI-NP\tO' +p367127 +aS'year\tyear\tNN\tI-NP\tO' +p367128 +aS'old\told\tJJ\tI-NP\tO' +p367129 +aS'retired\tretired\tJJ\tI-NP\tO' +p367130 +aS'engineer\tengineer\tNN\tI-NP\tO' +p367131 +aS'has\thave\tVBZ\tB-VP\tO' +p367132 +aS'had\thave\tVBN\tI-VP\tO' +p367133 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p367134 +aS'admissions\tadmission\tNNS\tI-NP\tO' +p367135 +aS'to\tto\tTO\tB-PP\tO' +p367136 +aS'the\tthe\tDT\tB-NP\tO' +p367137 +aS'Ph\tPh\tNNP\tI-NP\tO' +p367138 +aS'University\tUniversity\tNNP\tI-NP\tO' +p367139 +aS'Of\tOf\tNNP\tI-NP\tO' +p367140 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p367141 +aS'Center\tCenter\tNNP\tI-NP\tO' +p367142 +aS'for\tfor\tIN\tB-PP\tO' +p367143 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p367144 +aS'strokes\tstroke\tNNS\tI-NP\tO' +p367145 +aS'and\tand\tCC\tO\tO' +p367146 +aS'a\ta\tDT\tB-NP\tO' +p367147 +aS'spontaneous\tspontaneous\tJJ\tI-NP\tO' +p367148 +aS'subdural\tsubdural\tJJ\tI-NP\tO' +p367149 +aS'hematoma\thematoma\tNN\tI-NP\tO' +p367150 +aS'and\tand\tCC\tO\tO' +p367151 +aS'prostatic\tprostatic\tJJ\tB-NP\tO' +p367152 +aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' +p367153 +aS'.\t.\t.\tO\tO' +p367154 +asS'Married with two children .' +p367155 +(lp367156 +S'Married\tMarry\tVBN\tB-VP\tO' +p367157 +aS'with\twith\tIN\tB-PP\tO' +p367158 +aS'two\ttwo\tCD\tB-NP\tO' +p367159 +aS'children\tchild\tNNS\tI-NP\tO' +p367160 +aS'.\t.\t.\tO\tO' +p367161 +asS'15. Insulin NPH Human Recomb 100 unit / mL Suspension Sig : 2 UNITS Subcutaneous twice a day .' +p367162 +(lp367163 +S'15.\t15.\tLS\tB-NP\tO' +p367164 +aS'Insulin\tInsulin\tNN\tI-NP\tB-protein' +p367165 +aS'NPH\tNPH\tNN\tI-NP\tI-protein' +p367166 +aS'Human\tHuman\tJJ\tI-NP\tI-protein' +p367167 +aS'Recomb\tRecomb\tNN\tI-NP\tI-protein' +p367168 +aS'100\t100\tCD\tI-NP\tI-protein' +p367169 +aS'unit\tunit\tNN\tI-NP\tI-protein' +p367170 +aS'/\t/\tSYM\tB-NP\tO' +p367171 +aS'mL\tmL\tNN\tI-NP\tO' +p367172 +aS'Suspension\tSuspension\tNNP\tI-NP\tO' +p367173 +aS'Sig\tSig\tNNP\tI-NP\tO' +p367174 +aS':\t:\t:\tO\tO' +p367175 +aS'2\t2\tCD\tB-NP\tO' +p367176 +aS'UNITS\tUNITS\tNNP\tI-NP\tO' +p367177 +aS'Subcutaneous\tSubcutaneous\tNNP\tI-NP\tO' +p367178 +aS'twice\ttwice\tRB\tB-NP\tO' +p367179 +aS'a\ta\tDT\tI-NP\tO' +p367180 +aS'day\tday\tNN\tI-NP\tO' +p367181 +aS'.\t.\t.\tO\tO' +p367182 +asS"She was ultimately discharged with a heart rate in the 90 's , and with resolving edema and a clear chest ." +p367183 +(lp367184 +S'She\tShe\tPRP\tB-NP\tO' +p367185 +aS'was\tbe\tVBD\tB-VP\tO' +p367186 +aS'ultimately\tultimately\tRB\tI-VP\tO' +p367187 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p367188 +aS'with\twith\tIN\tB-PP\tO' +p367189 +aS'a\ta\tDT\tB-NP\tO' +p367190 +aS'heart\theart\tNN\tI-NP\tO' +p367191 +aS'rate\trate\tNN\tI-NP\tO' +p367192 +aS'in\tin\tIN\tB-PP\tO' +p367193 +aS'the\tthe\tDT\tB-NP\tO' +p367194 +aS'90\t90\tCD\tI-NP\tO' +p367195 +aS"'s\t's\tPOS\tB-NP\tO" +p367196 +aS',\t,\t,\tO\tO' +p367197 +aS'and\tand\tCC\tO\tO' +p367198 +aS'with\twith\tIN\tB-PP\tO' +p367199 +aS'resolving\tresolve\tVBG\tB-VP\tO' +p367200 +aS'edema\tedema\tNN\tB-NP\tO' +p367201 +aS'and\tand\tCC\tO\tO' +p367202 +aS'a\ta\tDT\tB-NP\tO' +p367203 +aS'clear\tclear\tJJ\tI-NP\tO' +p367204 +aS'chest\tchest\tNN\tI-NP\tO' +p367205 +aS'.\t.\t.\tO\tO' +p367206 +asS'He eloped prior to formal discharge when his FS was found to be critically high - recommended to patient that he stay for repeat , but left AMA without signing any forms .' +p367207 +(lp367208 +S'He\tHe\tPRP\tB-NP\tO' +p367209 +aS'eloped\telope\tVBD\tB-VP\tO' +p367210 +aS'prior\tprior\tJJ\tB-ADVP\tO' +p367211 +aS'to\tto\tTO\tB-PP\tO' +p367212 +aS'formal\tformal\tJJ\tB-NP\tO' +p367213 +aS'discharge\tdischarge\tNN\tI-NP\tO' +p367214 +aS'when\twhen\tWRB\tB-ADVP\tO' +p367215 +aS'his\this\tPRP$\tB-NP\tO' +p367216 +aS'FS\tFS\tNN\tI-NP\tB-protein' +p367217 +aS'was\tbe\tVBD\tB-VP\tO' +p367218 +aS'found\tfind\tVBN\tI-VP\tO' +p367219 +aS'to\tto\tTO\tI-VP\tO' +p367220 +aS'be\tbe\tVB\tI-VP\tO' +p367221 +aS'critically\tcritically\tRB\tB-ADJP\tO' +p367222 +aS'high\thigh\tJJ\tI-ADJP\tO' +p367223 +aS'-\t-\tHYPH\tO\tO' +p367224 +aS'recommended\trecommend\tVBN\tB-VP\tO' +p367225 +aS'to\tto\tTO\tB-PP\tO' +p367226 +aS'patient\tpatient\tNN\tB-NP\tO' +p367227 +aS'that\tthat\tIN\tB-SBAR\tO' +p367228 +aS'he\the\tPRP\tB-NP\tO' +p367229 +aS'stay\tstay\tVB\tB-VP\tO' +p367230 +aS'for\tfor\tIN\tB-PP\tO' +p367231 +aS'repeat\trepeat\tNN\tB-NP\tO' +p367232 +aS',\t,\t,\tO\tO' +p367233 +aS'but\tbut\tCC\tO\tO' +p367234 +aS'left\tleave\tVBD\tB-VP\tO' +p367235 +aS'AMA\tAMA\tNN\tB-NP\tO' +p367236 +aS'without\twithout\tIN\tB-PP\tO' +p367237 +aS'signing\tsign\tVBG\tB-VP\tO' +p367238 +aS'any\tany\tDT\tB-NP\tO' +p367239 +aS'forms\tform\tNNS\tI-NP\tO' +p367240 +aS'.\t.\t.\tO\tO' +p367241 +asS'12. Nystatin 100,000 unit / mL Suspension Sig : Five ( 5 ) ML PO QID ( 4 times a day ) .' +p367242 +(lp367243 +S'12.\t12.\tCD\tB-NP\tO' +p367244 +aS'Nystatin\tNystatin\tNN\tI-NP\tO' +p367245 +aS'100,000\t100,000\tCD\tB-NP\tO' +p367246 +aS'unit\tunit\tNN\tI-NP\tO' +p367247 +aS'/\t/\tSYM\tB-NP\tO' +p367248 +aS'mL\tmL\tNN\tI-NP\tO' +p367249 +aS'Suspension\tSuspension\tNNP\tI-NP\tO' +p367250 +aS'Sig\tSig\tNNP\tI-NP\tO' +p367251 +aS':\t:\t:\tO\tO' +p367252 +aS'Five\tFive\tCD\tB-NP\tO' +p367253 +aS'(\t(\t(\tO\tO' +p367254 +aS'5\t5\tCD\tB-NP\tO' +p367255 +aS')\t)\t)\tO\tO' +p367256 +aS'ML\tML\tNN\tB-NP\tO' +p367257 +aS'PO\tPO\tNN\tI-NP\tO' +p367258 +aS'QID\tQID\tNN\tI-NP\tO' +p367259 +aS'(\t(\t(\tO\tO' +p367260 +aS'4\t4\tCD\tB-NP\tO' +p367261 +aS'times\ttime\tNNS\tI-NP\tO' +p367262 +aS'a\ta\tDT\tB-NP\tO' +p367263 +aS'day\tday\tNN\tI-NP\tO' +p367264 +aS')\t)\t)\tO\tO' +p367265 +aS'.\t.\t.\tO\tO' +p367266 +asS'Breast milk Enfamil 20 po adlib as tolerated .' +p367267 +(lp367268 +S'Breast\tBreast\tNN\tB-NP\tO' +p367269 +aS'milk\tmilk\tNN\tI-NP\tO' +p367270 +aS'Enfamil\tEnfamil\tNNP\tB-NP\tO' +p367271 +aS'20\t20\tCD\tI-NP\tO' +p367272 +aS'po\tpo\tNN\tI-NP\tO' +p367273 +aS'adlib\tadlib\tNN\tI-NP\tO' +p367274 +aS'as\tas\tIN\tB-SBAR\tO' +p367275 +aS'tolerated\ttolerate\tVBN\tB-VP\tO' +p367276 +aS'.\t.\t.\tO\tO' +p367277 +asS'She will have a home health aide to visit and help her with meals .' +p367278 +(lp367279 +S'She\tShe\tPRP\tB-NP\tO' +p367280 +aS'will\twill\tMD\tB-VP\tO' +p367281 +aS'have\thave\tVB\tI-VP\tO' +p367282 +aS'a\ta\tDT\tB-NP\tO' +p367283 +aS'home\thome\tNN\tI-NP\tO' +p367284 +aS'health\thealth\tNN\tI-NP\tO' +p367285 +aS'aide\taide\tNN\tI-NP\tO' +p367286 +aS'to\tto\tTO\tB-VP\tO' +p367287 +aS'visit\tvisit\tVB\tI-VP\tO' +p367288 +aS'and\tand\tCC\tO\tO' +p367289 +aS'help\thelp\tVB\tB-VP\tO' +p367290 +aS'her\ther\tPRP\tB-NP\tO' +p367291 +aS'with\twith\tIN\tB-PP\tO' +p367292 +aS'meals\tmeal\tNNS\tB-NP\tO' +p367293 +aS'.\t.\t.\tO\tO' +p367294 +asS'The patient was transferred to the floor on 5/7 .' +p367295 +(lp367296 +S'The\tThe\tDT\tB-NP\tO' +p367297 +aS'patient\tpatient\tNN\tI-NP\tO' +p367298 +aS'was\tbe\tVBD\tB-VP\tO' +p367299 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p367300 +aS'to\tto\tTO\tB-PP\tO' +p367301 +aS'the\tthe\tDT\tB-NP\tO' +p367302 +aS'floor\tfloor\tNN\tI-NP\tO' +p367303 +aS'on\ton\tIN\tB-PP\tO' +p367304 +aS'5/7\t5/7\tCD\tB-NP\tO' +p367305 +aS'.\t.\t.\tO\tO' +p367306 +asS'1. Respiratory .' +p367307 +(lp367308 +S'1.\t1.\tLS\tB-LST\tO' +p367309 +aS'Respiratory\tRespiratory\tNNP\tB-NP\tO' +p367310 +aS'.\t.\t.\tO\tO' +p367311 +asS'The patient was able to exercise for approximately nine minutes on a modified Bruce protocol , however , he did not reach his predicted maximal heart rate while he was on the beta blockade .' +p367312 +(lp367313 +S'The\tThe\tDT\tB-NP\tO' +p367314 +aS'patient\tpatient\tNN\tI-NP\tO' +p367315 +aS'was\tbe\tVBD\tB-VP\tO' +p367316 +aS'able\table\tJJ\tB-ADJP\tO' +p367317 +aS'to\tto\tTO\tB-VP\tO' +p367318 +aS'exercise\texercise\tVB\tI-VP\tO' +p367319 +aS'for\tfor\tIN\tB-PP\tO' +p367320 +aS'approximately\tapproximately\tRB\tB-NP\tO' +p367321 +aS'nine\tnine\tCD\tI-NP\tO' +p367322 +aS'minutes\tminute\tNNS\tI-NP\tO' +p367323 +aS'on\ton\tIN\tB-PP\tO' +p367324 +aS'a\ta\tDT\tB-NP\tO' +p367325 +aS'modified\tmodify\tVBN\tI-NP\tO' +p367326 +aS'Bruce\tBruce\tNNP\tI-NP\tO' +p367327 +aS'protocol\tprotocol\tNN\tI-NP\tO' +p367328 +aS',\t,\t,\tO\tO' +p367329 +aS'however\thowever\tRB\tB-ADVP\tO' +p367330 +aS',\t,\t,\tO\tO' +p367331 +aS'he\the\tPRP\tB-NP\tO' +p367332 +aS'did\tdo\tVBD\tB-VP\tO' +p367333 +aS'not\tnot\tRB\tI-VP\tO' +p367334 +aS'reach\treach\tVB\tI-VP\tO' +p367335 +aS'his\this\tPRP$\tB-NP\tB-DNA' +p367336 +aS'predicted\tpredict\tVBN\tI-NP\tO' +p367337 +aS'maximal\tmaximal\tJJ\tI-NP\tO' +p367338 +aS'heart\theart\tNN\tI-NP\tO' +p367339 +aS'rate\trate\tNN\tI-NP\tO' +p367340 +aS'while\twhile\tIN\tB-SBAR\tO' +p367341 +aS'he\the\tPRP\tB-NP\tO' +p367342 +aS'was\tbe\tVBD\tB-VP\tO' +p367343 +aS'on\ton\tIN\tB-PP\tO' +p367344 +aS'the\tthe\tDT\tB-NP\tO' +p367345 +aS'beta\tbeta\tNN\tI-NP\tO' +p367346 +aS'blockade\tblockade\tNN\tI-NP\tO' +p367347 +aS'.\t.\t.\tO\tO' +p367348 +asS'57 yo right handed male with seizure history since 1988 , s/p craniotomies x 3 ( most recently 05-05 ) for oligodendroglioma .' +p367349 +(lp367350 +S'57\t57\tCD\tB-NP\tO' +p367351 +aS'yo\tyo\tNN\tI-NP\tO' +p367352 +aS'right\tright\tJJ\tI-NP\tO' +p367353 +aS'handed\thand\tVBN\tB-VP\tO' +p367354 +aS'male\tmale\tJJ\tB-ADJP\tO' +p367355 +aS'with\twith\tIN\tB-PP\tO' +p367356 +aS'seizure\tseizure\tNN\tB-NP\tO' +p367357 +aS'history\thistory\tNN\tI-NP\tO' +p367358 +aS'since\tsince\tIN\tB-PP\tO' +p367359 +aS'1988\t1988\tCD\tB-NP\tO' +p367360 +aS',\t,\t,\tO\tO' +p367361 +aS's/p\ts/p\tNN\tB-NP\tB-protein' +p367362 +aS'craniotomies\tcraniotomy\tNNS\tI-NP\tI-protein' +p367363 +aS'x\tx\tSYM\tB-NP\tI-protein' +p367364 +aS'3\t3\tCD\tI-NP\tI-protein' +p367365 +aS'(\t(\t(\tO\tO' +p367366 +aS'most\tmost\tRBS\tB-ADVP\tO' +p367367 +aS'recently\trecently\tRB\tI-ADVP\tO' +p367368 +aS'05-05\t05-05\tCD\tB-NP\tO' +p367369 +aS')\t)\t)\tO\tO' +p367370 +aS'for\tfor\tIN\tB-PP\tO' +p367371 +aS'oligodendroglioma\toligodendroglioma\tNN\tB-NP\tO' +p367372 +aS'.\t.\t.\tO\tO' +p367373 +asS'The procedure was an aortic valve replacement with a tissue valve , a coronary artery bypass graft procedure where five grafts were performed .' +p367374 +(lp367375 +S'The\tThe\tDT\tB-NP\tO' +p367376 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p367377 +aS'was\tbe\tVBD\tB-VP\tO' +p367378 +aS'an\tan\tDT\tB-NP\tO' +p367379 +aS'aortic\taortic\tJJ\tI-NP\tO' +p367380 +aS'valve\tvalve\tNN\tI-NP\tO' +p367381 +aS'replacement\treplacement\tNN\tI-NP\tO' +p367382 +aS'with\twith\tIN\tB-PP\tO' +p367383 +aS'a\ta\tDT\tB-NP\tO' +p367384 +aS'tissue\ttissue\tNN\tI-NP\tO' +p367385 +aS'valve\tvalve\tNN\tI-NP\tO' +p367386 +aS',\t,\t,\tO\tO' +p367387 +aS'a\ta\tDT\tB-NP\tO' +p367388 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p367389 +aS'artery\tartery\tNN\tI-NP\tO' +p367390 +aS'bypass\tbypass\tIN\tB-PP\tO' +p367391 +aS'graft\tgraft\tNN\tB-NP\tO' +p367392 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p367393 +aS'where\twhere\tWRB\tB-ADVP\tO' +p367394 +aS'five\tfive\tCD\tB-NP\tO' +p367395 +aS'grafts\tgraft\tNNS\tI-NP\tO' +p367396 +aS'were\tbe\tVBD\tB-VP\tO' +p367397 +aS'performed\tperform\tVBN\tI-VP\tO' +p367398 +aS'.\t.\t.\tO\tO' +p367399 +asS'He developed renal failure felt to be ATN secondary to ischemia of his kidneys .' +p367400 +(lp367401 +S'He\tHe\tPRP\tB-NP\tO' +p367402 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p367403 +aS'renal\trenal\tJJ\tB-NP\tO' +p367404 +aS'failure\tfailure\tNN\tI-NP\tO' +p367405 +aS'felt\tfeel\tVBD\tB-VP\tO' +p367406 +aS'to\tto\tTO\tI-VP\tO' +p367407 +aS'be\tbe\tVB\tI-VP\tO' +p367408 +aS'ATN\tATN\tNN\tB-NP\tO' +p367409 +aS'secondary\tsecondary\tJJ\tB-ADJP\tO' +p367410 +aS'to\tto\tTO\tB-PP\tO' +p367411 +aS'ischemia\tischemia\tNN\tB-NP\tO' +p367412 +aS'of\tof\tIN\tB-PP\tO' +p367413 +aS'his\this\tPRP$\tB-NP\tO' +p367414 +aS'kidneys\tkidney\tNNS\tI-NP\tO' +p367415 +aS'.\t.\t.\tO\tO' +p367416 +asS'For this documented septicemia , this patient went for a endocarditis work-up .' +p367417 +(lp367418 +S'For\tFor\tIN\tB-PP\tO' +p367419 +aS'this\tthis\tDT\tB-NP\tO' +p367420 +aS'documented\tdocument\tVBN\tI-NP\tO' +p367421 +aS'septicemia\tsepticemia\tNN\tI-NP\tO' +p367422 +aS',\t,\t,\tO\tO' +p367423 +aS'this\tthis\tDT\tB-NP\tO' +p367424 +aS'patient\tpatient\tNN\tI-NP\tO' +p367425 +aS'went\tgo\tVBD\tB-VP\tO' +p367426 +aS'for\tfor\tIN\tB-PP\tO' +p367427 +aS'a\ta\tDT\tB-NP\tO' +p367428 +aS'endocarditis\tendocarditis\tNN\tI-NP\tB-protein' +p367429 +aS'work-up\twork-up\tNN\tI-NP\tI-protein' +p367430 +aS'.\t.\t.\tO\tO' +p367431 +asS'Finger tapping and rapid alternating movements were slow on the left and she had trouble isolating individual finger movements .' +p367432 +(lp367433 +S'Finger\tFinger\tNNP\tB-NP\tO' +p367434 +aS'tapping\ttap\tVBG\tB-VP\tO' +p367435 +aS'and\tand\tCC\tO\tO' +p367436 +aS'rapid\trapid\tJJ\tB-NP\tO' +p367437 +aS'alternating\talternate\tVBG\tI-NP\tO' +p367438 +aS'movements\tmovement\tNNS\tI-NP\tO' +p367439 +aS'were\tbe\tVBD\tB-VP\tO' +p367440 +aS'slow\tslow\tJJ\tB-ADJP\tO' +p367441 +aS'on\ton\tIN\tB-PP\tO' +p367442 +aS'the\tthe\tDT\tB-NP\tO' +p367443 +aS'left\tleft\tNN\tI-NP\tO' +p367444 +aS'and\tand\tCC\tO\tO' +p367445 +aS'she\tshe\tPRP\tB-NP\tO' +p367446 +aS'had\thave\tVBD\tB-VP\tO' +p367447 +aS'trouble\ttrouble\tNN\tB-NP\tO' +p367448 +aS'isolating\tisolate\tVBG\tB-VP\tO' +p367449 +aS'individual\tindividual\tJJ\tB-NP\tO' +p367450 +aS'finger\tfinger\tNN\tI-NP\tO' +p367451 +aS'movements\tmovement\tNNS\tI-NP\tO' +p367452 +aS'.\t.\t.\tO\tO' +p367453 +asS'She has no rebound or guarding .' +p367454 +(lp367455 +S'She\tShe\tPRP\tB-NP\tO' +p367456 +aS'has\thave\tVBZ\tB-VP\tO' +p367457 +aS'no\tno\tDT\tB-NP\tO' +p367458 +aS'rebound\trebound\tNN\tI-NP\tO' +p367459 +aS'or\tor\tCC\tI-NP\tO' +p367460 +aS'guarding\tguarding\tNN\tI-NP\tO' +p367461 +aS'.\t.\t.\tO\tO' +p367462 +asS'The situation was reviewed with Dr. No of the Pacemaker Service .' +p367463 +(lp367464 +S'The\tThe\tDT\tB-NP\tO' +p367465 +aS'situation\tsituation\tNN\tI-NP\tO' +p367466 +aS'was\tbe\tVBD\tB-VP\tO' +p367467 +aS'reviewed\treview\tVBN\tI-VP\tO' +p367468 +aS'with\twith\tIN\tB-PP\tO' +p367469 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p367470 +aS'No\tNo\tNNP\tI-NP\tO' +p367471 +aS'of\tof\tIN\tB-PP\tO' +p367472 +aS'the\tthe\tDT\tB-NP\tO' +p367473 +aS'Pacemaker\tPacemaker\tNNP\tI-NP\tO' +p367474 +aS'Service\tService\tNNP\tI-NP\tO' +p367475 +aS'.\t.\t.\tO\tO' +p367476 +asS'Previously reported interstitial edema has resolved .' +p367477 +(lp367478 +S'Previously\tPreviously\tRB\tB-NP\tO' +p367479 +aS'reported\treport\tVBN\tI-NP\tO' +p367480 +aS'interstitial\tinterstitial\tJJ\tI-NP\tO' +p367481 +aS'edema\tedema\tNN\tI-NP\tO' +p367482 +aS'has\thave\tVBZ\tB-VP\tO' +p367483 +aS'resolved\tresolve\tVBN\tI-VP\tO' +p367484 +aS'.\t.\t.\tO\tO' +p367485 +asS'Of note the patient was seen by cardiology for preoperative assessment .' +p367486 +(lp367487 +S'Of\tOf\tIN\tB-PP\tO' +p367488 +aS'note\tnote\tNN\tB-NP\tO' +p367489 +aS'the\tthe\tDT\tB-NP\tO' +p367490 +aS'patient\tpatient\tNN\tI-NP\tO' +p367491 +aS'was\tbe\tVBD\tB-VP\tO' +p367492 +aS'seen\tsee\tVBN\tI-VP\tO' +p367493 +aS'by\tby\tIN\tB-PP\tO' +p367494 +aS'cardiology\tcardiology\tNN\tB-NP\tO' +p367495 +aS'for\tfor\tIN\tB-PP\tO' +p367496 +aS'preoperative\tpreoperative\tJJ\tB-NP\tO' +p367497 +aS'assessment\tassessment\tNN\tI-NP\tO' +p367498 +aS'.\t.\t.\tO\tO' +p367499 +asS'There is slight worsening of the still mild pulmonary edema .' +p367500 +(lp367501 +S'There\tThere\tEX\tB-NP\tO' +p367502 +aS'is\tbe\tVBZ\tB-VP\tO' +p367503 +aS'slight\tslight\tJJ\tB-NP\tO' +p367504 +aS'worsening\tworsening\tNN\tI-NP\tO' +p367505 +aS'of\tof\tIN\tB-PP\tO' +p367506 +aS'the\tthe\tDT\tB-NP\tO' +p367507 +aS'still\tstill\tRB\tI-NP\tO' +p367508 +aS'mild\tmild\tJJ\tI-NP\tO' +p367509 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p367510 +aS'edema\tedema\tNN\tI-NP\tO' +p367511 +aS'.\t.\t.\tO\tO' +p367512 +asS'He was initially admitted to the Neurological Intensive Care Unit where he was closely monitored during the first two days of his hospitalization .' +p367513 +(lp367514 +S'He\tHe\tPRP\tB-NP\tO' +p367515 +aS'was\tbe\tVBD\tB-VP\tO' +p367516 +aS'initially\tinitially\tRB\tI-VP\tO' +p367517 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p367518 +aS'to\tto\tTO\tB-PP\tO' +p367519 +aS'the\tthe\tDT\tB-NP\tO' +p367520 +aS'Neurological\tNeurological\tNNP\tI-NP\tO' +p367521 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p367522 +aS'Care\tCare\tNNP\tI-NP\tO' +p367523 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p367524 +aS'where\twhere\tWRB\tB-ADVP\tO' +p367525 +aS'he\the\tPRP\tB-NP\tO' +p367526 +aS'was\tbe\tVBD\tB-VP\tO' +p367527 +aS'closely\tclosely\tRB\tI-VP\tO' +p367528 +aS'monitored\tmonitor\tVBN\tI-VP\tO' +p367529 +aS'during\tduring\tIN\tB-PP\tO' +p367530 +aS'the\tthe\tDT\tB-NP\tO' +p367531 +aS'first\tfirst\tJJ\tI-NP\tO' +p367532 +aS'two\ttwo\tCD\tI-NP\tO' +p367533 +aS'days\tday\tNNS\tI-NP\tO' +p367534 +aS'of\tof\tIN\tB-PP\tO' +p367535 +aS'his\this\tPRP$\tB-NP\tO' +p367536 +aS'hospitalization\thospitalization\tNN\tI-NP\tO' +p367537 +aS'.\t.\t.\tO\tO' +p367538 +asS'There has been interval improvement in left basilar atelectasis .' +p367539 +(lp367540 +S'There\tThere\tEX\tB-NP\tO' +p367541 +aS'has\thave\tVBZ\tB-VP\tO' +p367542 +aS'been\tbe\tVBN\tI-VP\tO' +p367543 +aS'interval\tinterval\tJJ\tB-NP\tO' +p367544 +aS'improvement\timprovement\tNN\tI-NP\tO' +p367545 +aS'in\tin\tIN\tB-PP\tO' +p367546 +aS'left\tleft\tJJ\tB-NP\tO' +p367547 +aS'basilar\tbasilar\tJJ\tI-NP\tO' +p367548 +aS'atelectasis\tatelectasis\tNN\tI-NP\tO' +p367549 +aS'.\t.\t.\tO\tO' +p367550 +asS'Postoperatively , the patient did well .' +p367551 +(lp367552 +S'Postoperatively\tPostoperatively\tRB\tB-ADVP\tO' +p367553 +aS',\t,\t,\tO\tO' +p367554 +aS'the\tthe\tDT\tB-NP\tO' +p367555 +aS'patient\tpatient\tNN\tI-NP\tO' +p367556 +aS'did\tdo\tVBD\tB-VP\tO' +p367557 +aS'well\twell\tRB\tB-ADVP\tO' +p367558 +aS'.\t.\t.\tO\tO' +p367559 +asS'Patient did have Woodrow Betty , SPEP , and anticardiolipin antibody sent for further workup of the etiology of her cardiomyopathy .' +p367560 +(lp367561 +S'Patient\tPatient\tNN\tB-NP\tO' +p367562 +aS'did\tdo\tVBD\tB-VP\tO' +p367563 +aS'have\thave\tVB\tI-VP\tO' +p367564 +aS'Woodrow\tWoodrow\tNNP\tB-NP\tO' +p367565 +aS'Betty\tBetty\tNNP\tI-NP\tO' +p367566 +aS',\t,\t,\tO\tO' +p367567 +aS'SPEP\tSPEP\tNNP\tB-NP\tO' +p367568 +aS',\t,\t,\tO\tO' +p367569 +aS'and\tand\tCC\tO\tO' +p367570 +aS'anticardiolipin\tanticardiolipin\tNN\tB-NP\tB-protein' +p367571 +aS'antibody\tantibody\tNN\tI-NP\tI-protein' +p367572 +aS'sent\tsend\tVBN\tB-VP\tO' +p367573 +aS'for\tfor\tIN\tB-PP\tO' +p367574 +aS'further\tfurther\tJJ\tB-NP\tO' +p367575 +aS'workup\tworkup\tNN\tI-NP\tO' +p367576 +aS'of\tof\tIN\tB-PP\tO' +p367577 +aS'the\tthe\tDT\tB-NP\tO' +p367578 +aS'etiology\tetiology\tNN\tI-NP\tO' +p367579 +aS'of\tof\tIN\tB-PP\tO' +p367580 +aS'her\ther\tPRP$\tB-NP\tO' +p367581 +aS'cardiomyopathy\tcardiomyopathy\tNN\tI-NP\tO' +p367582 +aS'.\t.\t.\tO\tO' +p367583 +asS'He had no icterus .' +p367584 +(lp367585 +S'He\tHe\tPRP\tB-NP\tO' +p367586 +aS'had\thave\tVBD\tB-VP\tO' +p367587 +aS'no\tno\tDT\tB-NP\tO' +p367588 +aS'icterus\ticterus\tNN\tI-NP\tO' +p367589 +aS'.\t.\t.\tO\tO' +p367590 +asS'THIS IS VERY IMPORTANT .' +p367591 +(lp367592 +S'THIS\tTHIS\tVBZ\tB-VP\tO' +p367593 +aS'IS\tIS\tNNP\tB-NP\tO' +p367594 +aS'VERY\tVERY\tNNP\tI-NP\tO' +p367595 +aS'IMPORTANT\tIMPORTANT\tNNP\tI-NP\tO' +p367596 +aS'.\t.\t.\tO\tO' +p367597 +asS'You have been started on an oral blood thinner called Coumadin ( Warfarin ).' +p367598 +(lp367599 +S'You\tYou\tPRP\tB-NP\tB-protein' +p367600 +aS'have\thave\tVBP\tB-VP\tO' +p367601 +aS'been\tbe\tVBN\tI-VP\tO' +p367602 +aS'started\tstart\tVBN\tI-VP\tO' +p367603 +aS'on\ton\tIN\tB-PP\tO' +p367604 +aS'an\tan\tDT\tB-NP\tO' +p367605 +aS'oral\toral\tJJ\tI-NP\tO' +p367606 +aS'blood\tblood\tNN\tI-NP\tO' +p367607 +aS'thinner\tthinner\tNN\tI-NP\tO' +p367608 +aS'called\tcall\tVBN\tB-VP\tO' +p367609 +aS'Coumadin\tCoumadin\tNNP\tB-NP\tO' +p367610 +aS'(\t(\t(\tO\tO' +p367611 +aS'Warfarin\tWarfarin\tNNP\tB-NP\tO' +p367612 +aS').\t).\t)\tO\tO' +p367613 +asS'without clubbing , cyanosis or edema or stigmata of subacute bacterial endocarditis .' +p367614 +(lp367615 +S'without\twithout\tIN\tB-PP\tO' +p367616 +aS'clubbing\tclubbing\tNN\tB-NP\tO' +p367617 +aS',\t,\t,\tI-NP\tO' +p367618 +aS'cyanosis\tcyanosis\tNN\tI-NP\tO' +p367619 +aS'or\tor\tCC\tI-NP\tO' +p367620 +aS'edema\tedema\tNN\tI-NP\tO' +p367621 +aS'or\tor\tCC\tI-NP\tO' +p367622 +aS'stigmata\tstigmata\tNN\tI-NP\tO' +p367623 +aS'of\tof\tIN\tB-PP\tO' +p367624 +aS'subacute\tsubacute\tJJ\tB-NP\tO' +p367625 +aS'bacterial\tbacterial\tJJ\tI-NP\tO' +p367626 +aS'endocarditis\tendocarditis\tNN\tI-NP\tO' +p367627 +aS'.\t.\t.\tO\tO' +p367628 +asS'MRI lumbar spine ( Youville Hospital 2020-03-10 ): L3-4 osteomyelitis , discitis , and epidural abscess .' +p367629 +(lp367630 +S'MRI\tMRI\tNN\tB-NP\tO' +p367631 +aS'lumbar\tlumbar\tNN\tI-NP\tO' +p367632 +aS'spine\tspine\tNN\tI-NP\tO' +p367633 +aS'(\t(\t(\tO\tO' +p367634 +aS'Youville\tYouville\tNNP\tB-NP\tO' +p367635 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p367636 +aS'2020-03-10\t2020-03-10\tCD\tI-NP\tO' +p367637 +aS'):\t):\t:\tO\tO' +p367638 +aS'L3-4\tL3-4\tNN\tB-NP\tO' +p367639 +aS'osteomyelitis\tosteomyelitis\tNN\tI-NP\tO' +p367640 +aS',\t,\t,\tO\tO' +p367641 +aS'discitis\tdiscitis\tNN\tB-NP\tO' +p367642 +aS',\t,\t,\tO\tO' +p367643 +aS'and\tand\tCC\tO\tO' +p367644 +aS'epidural\tepidural\tJJ\tB-NP\tO' +p367645 +aS'abscess\tabscess\tNN\tI-NP\tO' +p367646 +aS'.\t.\t.\tO\tO' +p367647 +asS'12. Metoprolol Tartrate 25 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ) .' +p367648 +(lp367649 +S'12.\t12.\tLS\tB-NP\tO' +p367650 +aS'Metoprolol\tMetoprolol\tNN\tI-NP\tO' +p367651 +aS'Tartrate\tTartrate\tNN\tI-NP\tO' +p367652 +aS'25\t25\tCD\tI-NP\tO' +p367653 +aS'mg\tmg\tNN\tI-NP\tO' +p367654 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p367655 +aS'Sig\tSig\tNNP\tI-NP\tO' +p367656 +aS':\t:\t:\tO\tO' +p367657 +aS'One\tOne\tCD\tB-NP\tO' +p367658 +aS'(\t(\t(\tO\tO' +p367659 +aS'1\t1\tCD\tB-NP\tO' +p367660 +aS')\t)\t)\tO\tO' +p367661 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p367662 +aS'PO\tPO\tNN\tI-NP\tO' +p367663 +aS'BID\tBID\tNN\tI-NP\tO' +p367664 +aS'(\t(\t(\tO\tO' +p367665 +aS'2\t2\tCD\tB-NP\tO' +p367666 +aS'times\ttime\tNNS\tI-NP\tO' +p367667 +aS'a\ta\tDT\tB-NP\tO' +p367668 +aS'day\tday\tNN\tI-NP\tO' +p367669 +aS')\t)\t)\tO\tO' +p367670 +aS'.\t.\t.\tO\tO' +p367671 +asS'She was advanced to clear liquids again without nausea or vomiting .' +p367672 +(lp367673 +S'She\tShe\tPRP\tB-NP\tO' +p367674 +aS'was\tbe\tVBD\tB-VP\tO' +p367675 +aS'advanced\tadvance\tVBN\tI-VP\tO' +p367676 +aS'to\tto\tTO\tB-PP\tO' +p367677 +aS'clear\tclear\tJJ\tB-NP\tO' +p367678 +aS'liquids\tliquid\tNNS\tI-NP\tO' +p367679 +aS'again\tagain\tRB\tB-ADVP\tO' +p367680 +aS'without\twithout\tIN\tB-PP\tO' +p367681 +aS'nausea\tnausea\tNN\tB-NP\tO' +p367682 +aS'or\tor\tCC\tI-NP\tO' +p367683 +aS'vomiting\tvomiting\tNN\tI-NP\tO' +p367684 +aS'.\t.\t.\tO\tO' +p367685 +asS'She will follow up with Dr. Crutch in two weeks .' +p367686 +(lp367687 +S'She\tShe\tPRP\tB-NP\tO' +p367688 +aS'will\twill\tMD\tB-VP\tO' +p367689 +aS'follow\tfollow\tVB\tI-VP\tO' +p367690 +aS'up\tup\tRP\tB-PRT\tO' +p367691 +aS'with\twith\tIN\tB-PP\tO' +p367692 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p367693 +aS'Crutch\tCrutch\tNNP\tI-NP\tO' +p367694 +aS'in\tin\tIN\tB-PP\tO' +p367695 +aS'two\ttwo\tCD\tB-NP\tO' +p367696 +aS'weeks\tweek\tNNS\tI-NP\tO' +p367697 +aS'.\t.\t.\tO\tO' +p367698 +asS'Signed electronically by : DR. Jeffrey Collins on : WED 2018-11-21 9:28 AM' +p367699 +(lp367700 +S'Signed\tSign\tVBN\tB-VP\tO' +p367701 +aS'electronically\telectronically\tRB\tB-ADVP\tO' +p367702 +aS'by\tby\tIN\tB-PP\tO' +p367703 +aS':\t:\t:\tO\tO' +p367704 +aS'DR.\tDR.\tNNP\tB-NP\tO' +p367705 +aS'Jeffrey\tJeffrey\tNNP\tI-NP\tO' +p367706 +aS'Collins\tCollins\tNNP\tI-NP\tO' +p367707 +aS'on\ton\tIN\tB-PP\tO' +p367708 +aS':\t:\t:\tO\tO' +p367709 +aS'WED\tWED\tVBD\tB-VP\tO' +p367710 +aS'2018-11-21\t2018-11-21\tCD\tB-NP\tO' +p367711 +aS'9:28\t9:28\tCD\tI-NP\tO' +p367712 +aS'AM\tAM\tNN\tI-NP\tO' +p367713 +asS'There is ecchymosis in mid abdomen , left of midline , likely secondary to Lovenox injections .' +p367714 +(lp367715 +S'There\tThere\tEX\tB-NP\tO' +p367716 +aS'is\tbe\tVBZ\tB-VP\tO' +p367717 +aS'ecchymosis\tecchymosis\tNN\tB-NP\tO' +p367718 +aS'in\tin\tIN\tB-PP\tO' +p367719 +aS'mid\tmid\tJJ\tB-NP\tO' +p367720 +aS'abdomen\tabdoman\tNNS\tI-NP\tO' +p367721 +aS',\t,\t,\tO\tO' +p367722 +aS'left\tleave\tVBN\tB-VP\tO' +p367723 +aS'of\tof\tIN\tB-PP\tO' +p367724 +aS'midline\tmidline\tNN\tB-NP\tO' +p367725 +aS',\t,\t,\tO\tO' +p367726 +aS'likely\tlikely\tRB\tB-ADJP\tO' +p367727 +aS'secondary\tsecondary\tJJ\tI-ADJP\tO' +p367728 +aS'to\tto\tTO\tB-PP\tO' +p367729 +aS'Lovenox\tLovenox\tNN\tB-NP\tO' +p367730 +aS'injections\tinjection\tNNS\tI-NP\tO' +p367731 +aS'.\t.\t.\tO\tO' +p367732 +asS'Potassium 6.6 , creatinine 1.4 , alkaline phosphatase 302 , T bilirubin 0.6 , AST 25 , ALT 84 , CK of 15 , troponin 0.01 .' +p367733 +(lp367734 +S'Potassium\tPotassium\tNN\tB-NP\tO' +p367735 +aS'6.6\t6.6\tCD\tI-NP\tO' +p367736 +aS',\t,\t,\tO\tO' +p367737 +aS'creatinine\tcreatinine\tNN\tB-NP\tB-protein' +p367738 +aS'1.4\t1.4\tCD\tI-NP\tI-protein' +p367739 +aS',\t,\t,\tO\tO' +p367740 +aS'alkaline\talkaline\tNN\tB-NP\tO' +p367741 +aS'phosphatase\tphosphatase\tNN\tI-NP\tO' +p367742 +aS'302\t302\tCD\tI-NP\tO' +p367743 +aS',\t,\t,\tI-NP\tO' +p367744 +aS'T\tT\tNN\tI-NP\tB-protein' +p367745 +aS'bilirubin\tbilirubin\tNN\tI-NP\tI-protein' +p367746 +aS'0.6\t0.6\tCD\tI-NP\tI-protein' +p367747 +aS',\t,\t,\tO\tO' +p367748 +aS'AST\tAST\tNN\tB-NP\tO' +p367749 +aS'25\t25\tCD\tI-NP\tO' +p367750 +aS',\t,\t,\tO\tO' +p367751 +aS'ALT\tALT\tNN\tB-NP\tB-DNA' +p367752 +aS'84\t84\tCD\tI-NP\tI-DNA' +p367753 +aS',\t,\t,\tO\tO' +p367754 +aS'CK\tCK\tNN\tB-NP\tO' +p367755 +aS'of\tof\tIN\tB-PP\tO' +p367756 +aS'15\t15\tCD\tB-NP\tO' +p367757 +aS',\t,\t,\tO\tO' +p367758 +aS'troponin\ttroponin\tNN\tB-NP\tO' +p367759 +aS'0.01\t0.01\tCD\tI-NP\tO' +p367760 +aS'.\t.\t.\tO\tO' +p367761 +asS'4. Received hepatitis B vaccine on 2012-09-30 .' +p367762 +(lp367763 +S'4.\t4.\tLS\tB-LST\tO' +p367764 +aS'Received\tReceive\tVBD\tB-VP\tO' +p367765 +aS'hepatitis\thepatitis\tNN\tB-NP\tO' +p367766 +aS'B\tB\tNN\tI-NP\tO' +p367767 +aS'vaccine\tvaccine\tNN\tI-NP\tO' +p367768 +aS'on\ton\tIN\tB-PP\tO' +p367769 +aS'2012-09-30\t2012-09-30\tCD\tB-NP\tO' +p367770 +aS'.\t.\t.\tO\tO' +p367771 +asS'She was started on a heparin drip at 800 per hour .' +p367772 +(lp367773 +S'She\tShe\tPRP\tB-NP\tO' +p367774 +aS'was\tbe\tVBD\tB-VP\tO' +p367775 +aS'started\tstart\tVBN\tI-VP\tO' +p367776 +aS'on\ton\tIN\tB-PP\tO' +p367777 +aS'a\ta\tDT\tB-NP\tO' +p367778 +aS'heparin\theparin\tNN\tI-NP\tO' +p367779 +aS'drip\tdrip\tNN\tI-NP\tO' +p367780 +aS'at\tat\tIN\tB-PP\tO' +p367781 +aS'800\t800\tCD\tB-NP\tO' +p367782 +aS'per\tper\tIN\tB-PP\tO' +p367783 +aS'hour\thour\tNN\tB-NP\tO' +p367784 +aS'.\t.\t.\tO\tO' +p367785 +asS'Kimberly was born in Great Britain .' +p367786 +(lp367787 +S'Kimberly\tKimberly\tNNP\tB-NP\tO' +p367788 +aS'was\tbe\tVBD\tB-VP\tO' +p367789 +aS'born\tbear\tVBN\tI-VP\tO' +p367790 +aS'in\tin\tIN\tB-PP\tO' +p367791 +aS'Great\tGreat\tNNP\tB-NP\tO' +p367792 +aS'Britain\tBritain\tNNP\tI-NP\tO' +p367793 +aS'.\t.\t.\tO\tO' +p367794 +asS'Follow-up with Dr. Robert in 1-2 weeks .' +p367795 +(lp367796 +S'Follow-up\tFollow-up\tNN\tB-NP\tO' +p367797 +aS'with\twith\tIN\tB-PP\tO' +p367798 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p367799 +aS'Robert\tRobert\tNNP\tI-NP\tO' +p367800 +aS'in\tin\tIN\tB-PP\tO' +p367801 +aS'1-2\t1-2\tCD\tB-NP\tO' +p367802 +aS'weeks\tweek\tNNS\tI-NP\tO' +p367803 +aS'.\t.\t.\tO\tO' +p367804 +asS'She was afebrile without orthostatic vital signs nor hypotension .' +p367805 +(lp367806 +S'She\tShe\tPRP\tB-NP\tO' +p367807 +aS'was\tbe\tVBD\tB-VP\tO' +p367808 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p367809 +aS'without\twithout\tIN\tB-PP\tO' +p367810 +aS'orthostatic\torthostatic\tJJ\tB-NP\tO' +p367811 +aS'vital\tvital\tJJ\tI-NP\tO' +p367812 +aS'signs\tsign\tNNS\tI-NP\tO' +p367813 +aS'nor\tnor\tCC\tO\tO' +p367814 +aS'hypotension\thypotension\tNN\tB-NP\tO' +p367815 +aS'.\t.\t.\tO\tO' +p367816 +asS'Sclera anicteric .' +p367817 +(lp367818 +S'Sclera\tSclera\tNNP\tB-NP\tO' +p367819 +aS'anicteric\tanicteric\tJJ\tI-NP\tO' +p367820 +aS'.\t.\t.\tO\tO' +p367821 +asS'Some shortness of breath with allergies , particularly cats .' +p367822 +(lp367823 +S'Some\tSome\tDT\tB-NP\tO' +p367824 +aS'shortness\tshortness\tNN\tI-NP\tO' +p367825 +aS'of\tof\tIN\tB-PP\tO' +p367826 +aS'breath\tbreath\tNN\tB-NP\tO' +p367827 +aS'with\twith\tIN\tB-PP\tO' +p367828 +aS'allergies\tallergy\tNNS\tB-NP\tO' +p367829 +aS',\t,\t,\tO\tO' +p367830 +aS'particularly\tparticularly\tRB\tB-ADVP\tO' +p367831 +aS'cats\tcat\tNNS\tB-NP\tO' +p367832 +aS'.\t.\t.\tO\tO' +p367833 +asS'We have been transfusing him with platelets to keep his counts above 20,000 to reduce his bleeding risk .' +p367834 +(lp367835 +S'We\tWe\tPRP\tB-NP\tO' +p367836 +aS'have\thave\tVBP\tB-VP\tO' +p367837 +aS'been\tbe\tVBN\tI-VP\tO' +p367838 +aS'transfusing\ttransfuse\tVBG\tI-VP\tO' +p367839 +aS'him\thim\tPRP\tB-NP\tO' +p367840 +aS'with\twith\tIN\tB-PP\tO' +p367841 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p367842 +aS'to\tto\tTO\tB-VP\tO' +p367843 +aS'keep\tkeep\tVB\tI-VP\tO' +p367844 +aS'his\this\tPRP$\tB-NP\tO' +p367845 +aS'counts\tcount\tNNS\tI-NP\tO' +p367846 +aS'above\tabove\tIN\tB-PP\tO' +p367847 +aS'20,000\t20,000\tCD\tB-NP\tO' +p367848 +aS'to\tto\tTO\tB-VP\tO' +p367849 +aS'reduce\treduce\tVB\tI-VP\tO' +p367850 +aS'his\this\tPRP$\tB-NP\tO' +p367851 +aS'bleeding\tbleed\tVBG\tI-NP\tO' +p367852 +aS'risk\trisk\tNN\tI-NP\tO' +p367853 +aS'.\t.\t.\tO\tO' +p367854 +asS'Her 05-27 CXR post procedure w/o PNX , effusion much improved , yet her 05-28 CXR worse than 05-27 with some reaccumulation of right pleural effusion .' +p367855 +(lp367856 +S'Her\tHer\tPRP$\tB-NP\tO' +p367857 +aS'05-27\t05-27\tCD\tI-NP\tO' +p367858 +aS'CXR\tCXR\tNN\tI-NP\tO' +p367859 +aS'post\tpost\tNN\tI-NP\tO' +p367860 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p367861 +aS'w/o\tw/o\tNN\tI-NP\tO' +p367862 +aS'PNX\tPNX\tNN\tI-NP\tO' +p367863 +aS',\t,\t,\tO\tO' +p367864 +aS'effusion\teffusion\tNN\tB-NP\tO' +p367865 +aS'much\tmuch\tRB\tB-VP\tO' +p367866 +aS'improved\timprove\tVBD\tI-VP\tO' +p367867 +aS',\t,\t,\tO\tO' +p367868 +aS'yet\tyet\tRB\tO\tO' +p367869 +aS'her\ther\tPRP$\tB-NP\tO' +p367870 +aS'05-28\t05-28\tCD\tI-NP\tO' +p367871 +aS'CXR\tCXR\tNN\tI-NP\tB-protein' +p367872 +aS'worse\tworse\tJJR\tB-ADJP\tO' +p367873 +aS'than\tthan\tIN\tB-PP\tO' +p367874 +aS'05-27\t05-27\tCD\tB-NP\tO' +p367875 +aS'with\twith\tIN\tB-PP\tO' +p367876 +aS'some\tsome\tDT\tB-NP\tO' +p367877 +aS'reaccumulation\treaccumulation\tNN\tI-NP\tO' +p367878 +aS'of\tof\tIN\tB-PP\tO' +p367879 +aS'right\tright\tJJ\tB-NP\tO' +p367880 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p367881 +aS'effusion\teffusion\tNN\tI-NP\tO' +p367882 +aS'.\t.\t.\tO\tO' +p367883 +asS'The ultrasound showed ascites and question of pelvic mass .' +p367884 +(lp367885 +S'The\tThe\tDT\tB-NP\tO' +p367886 +aS'ultrasound\tultrasound\tNN\tI-NP\tO' +p367887 +aS'showed\tshow\tVBD\tB-VP\tO' +p367888 +aS'ascites\tascite\tNNS\tB-NP\tO' +p367889 +aS'and\tand\tCC\tI-NP\tO' +p367890 +aS'question\tquestion\tNN\tI-NP\tO' +p367891 +aS'of\tof\tIN\tB-PP\tO' +p367892 +aS'pelvic\tpelvic\tJJ\tB-NP\tO' +p367893 +aS'mass\tmass\tNN\tI-NP\tO' +p367894 +aS'.\t.\t.\tO\tO' +p367895 +asS'86 yo male with one day of hematemesis ( history unclear ) .' +p367896 +(lp367897 +S'86\t86\tCD\tB-NP\tO' +p367898 +aS'yo\tyo\tNN\tI-NP\tO' +p367899 +aS'male\tmale\tJJ\tB-ADJP\tO' +p367900 +aS'with\twith\tIN\tB-PP\tO' +p367901 +aS'one\tone\tCD\tB-NP\tO' +p367902 +aS'day\tday\tNN\tI-NP\tO' +p367903 +aS'of\tof\tIN\tB-PP\tO' +p367904 +aS'hematemesis\thematemesis\tNN\tB-NP\tO' +p367905 +aS'(\t(\t(\tO\tO' +p367906 +aS'history\thistory\tNN\tB-NP\tO' +p367907 +aS'unclear\tunclear\tJJ\tB-ADJP\tO' +p367908 +aS')\t)\t)\tO\tO' +p367909 +aS'.\t.\t.\tO\tO' +p367910 +asS'He was then transferred to The Hospital for Orthopedics .' +p367911 +(lp367912 +S'He\tHe\tPRP\tB-NP\tO' +p367913 +aS'was\tbe\tVBD\tB-VP\tO' +p367914 +aS'then\tthen\tRB\tI-VP\tO' +p367915 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p367916 +aS'to\tto\tTO\tB-PP\tO' +p367917 +aS'The\tThe\tDT\tB-NP\tO' +p367918 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p367919 +aS'for\tfor\tIN\tB-PP\tO' +p367920 +aS'Orthopedics\tOrthopedics\tNNP\tB-NP\tO' +p367921 +aS'.\t.\t.\tO\tO' +p367922 +asS'Reflexes : 3+ throughout , both toes upgoing' +p367923 +(lp367924 +S'Reflexes\tReflex\tNNS\tB-NP\tO' +p367925 +aS':\t:\t:\tO\tO' +p367926 +aS'3+\t3+\tJJ\tB-NP\tO' +p367927 +aS'throughout\tthroughout\tNN\tI-NP\tO' +p367928 +aS',\t,\t,\tO\tO' +p367929 +aS'both\tboth\tDT\tB-NP\tO' +p367930 +aS'toes\ttoe\tNNS\tI-NP\tO' +p367931 +aS'upgoing\tupgoe\tVBG\tB-VP\tO' +p367932 +asS'There was no evidence of acute rib factors on her chest x-ray .' +p367933 +(lp367934 +S'There\tThere\tEX\tB-NP\tO' +p367935 +aS'was\tbe\tVBD\tB-VP\tO' +p367936 +aS'no\tno\tDT\tB-NP\tO' +p367937 +aS'evidence\tevidence\tNN\tI-NP\tO' +p367938 +aS'of\tof\tIN\tB-PP\tO' +p367939 +aS'acute\tacute\tJJ\tB-NP\tB-protein' +p367940 +aS'rib\trib\tNN\tI-NP\tI-protein' +p367941 +aS'factors\tfactor\tNNS\tI-NP\tI-protein' +p367942 +aS'on\ton\tIN\tB-PP\tO' +p367943 +aS'her\ther\tPRP$\tB-NP\tO' +p367944 +aS'chest\tchest\tNN\tI-NP\tO' +p367945 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p367946 +aS'.\t.\t.\tO\tO' +p367947 +asS'MCV was 85 .' +p367948 +(lp367949 +S'MCV\tMCV\tNN\tB-NP\tO' +p367950 +aS'was\tbe\tVBD\tB-VP\tO' +p367951 +aS'85\t85\tCD\tB-NP\tO' +p367952 +aS'.\t.\t.\tO\tO' +p367953 +asS'Dialyzed 12-28 with plan to dialyze again 12-31 .' +p367954 +(lp367955 +S'Dialyzed\tDialyze\tVBD\tB-VP\tO' +p367956 +aS'12-28\t12-28\tCD\tB-NP\tO' +p367957 +aS'with\twith\tIN\tB-PP\tO' +p367958 +aS'plan\tplan\tNN\tB-NP\tO' +p367959 +aS'to\tto\tTO\tB-VP\tO' +p367960 +aS'dialyze\tdialyze\tVB\tI-VP\tO' +p367961 +aS'again\tagain\tRB\tB-ADVP\tO' +p367962 +aS'12-31\t12-31\tCD\tB-NP\tO' +p367963 +aS'.\t.\t.\tO\tO' +p367964 +asS'This is to notify you that your patient , CRITCHE , NIFREDEDRHET arrived in the Emergency Department at Ro Woodma Healthcare on 11/04/2006 12:17 PM .' +p367965 +(lp367966 +S'This\tThis\tDT\tB-NP\tO' +p367967 +aS'is\tbe\tVBZ\tB-VP\tO' +p367968 +aS'to\tto\tTO\tB-VP\tO' +p367969 +aS'notify\tnotify\tVB\tI-VP\tO' +p367970 +aS'you\tyou\tPRP\tB-NP\tO' +p367971 +aS'that\tthat\tIN\tB-SBAR\tO' +p367972 +aS'your\tyour\tPRP$\tB-NP\tO' +p367973 +aS'patient\tpatient\tNN\tI-NP\tO' +p367974 +aS',\t,\t,\tO\tO' +p367975 +aS'CRITCHE\tCRITCHE\tNN\tB-NP\tO' +p367976 +aS',\t,\t,\tO\tO' +p367977 +aS'NIFREDEDRHET\tNIFREDEDRHET\tNN\tB-NP\tO' +p367978 +aS'arrived\tarrive\tVBD\tB-VP\tO' +p367979 +aS'in\tin\tIN\tB-PP\tO' +p367980 +aS'the\tthe\tDT\tB-NP\tO' +p367981 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p367982 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p367983 +aS'at\tat\tIN\tB-PP\tO' +p367984 +aS'Ro\tRo\tNNP\tB-NP\tO' +p367985 +aS'Woodma\tWoodma\tNNP\tI-NP\tO' +p367986 +aS'Healthcare\tHealthcare\tNNP\tI-NP\tO' +p367987 +aS'on\ton\tIN\tB-PP\tO' +p367988 +aS'11/04/2006\t11/04/2006\tCD\tB-NP\tO' +p367989 +aS'12:17\t12:17\tCD\tI-NP\tO' +p367990 +aS'PM\tPM\tNN\tI-NP\tO' +p367991 +aS'.\t.\t.\tO\tO' +p367992 +asS'Ronchorous breath sounds left chest .' +p367993 +(lp367994 +S'Ronchorous\tRonchorous\tJJ\tB-NP\tO' +p367995 +aS'breath\tbreath\tNN\tI-NP\tO' +p367996 +aS'sounds\tsound\tVBZ\tB-VP\tO' +p367997 +aS'left\tleft\tJJ\tB-NP\tO' +p367998 +aS'chest\tchest\tNN\tI-NP\tO' +p367999 +aS'.\t.\t.\tO\tO' +p368000 +asS'On POD1 His PA line and chest tubes were removed , he was also started on Beta blockers and diuretics .' +p368001 +(lp368002 +S'On\tOn\tIN\tB-PP\tO' +p368003 +aS'POD1\tPOD1\tNN\tB-NP\tB-protein' +p368004 +aS'His\tHis\tPRP$\tB-NP\tO' +p368005 +aS'PA\tPA\tNN\tI-NP\tB-cell_line' +p368006 +aS'line\tline\tNN\tI-NP\tI-cell_line' +p368007 +aS'and\tand\tCC\tI-NP\tO' +p368008 +aS'chest\tchest\tNN\tI-NP\tO' +p368009 +aS'tubes\ttube\tNNS\tI-NP\tO' +p368010 +aS'were\tbe\tVBD\tB-VP\tO' +p368011 +aS'removed\tremove\tVBN\tI-VP\tO' +p368012 +aS',\t,\t,\tO\tO' +p368013 +aS'he\the\tPRP\tB-NP\tO' +p368014 +aS'was\tbe\tVBD\tB-VP\tO' +p368015 +aS'also\talso\tRB\tI-VP\tO' +p368016 +aS'started\tstart\tVBN\tI-VP\tO' +p368017 +aS'on\ton\tIN\tB-PP\tO' +p368018 +aS'Beta\tBeta\tNNP\tB-NP\tO' +p368019 +aS'blockers\tblocker\tNNS\tI-NP\tO' +p368020 +aS'and\tand\tCC\tI-NP\tO' +p368021 +aS'diuretics\tdiuretic\tNNS\tI-NP\tO' +p368022 +aS'.\t.\t.\tO\tO' +p368023 +asS'When compared with ECG of 11-06-90 , there was borderline criteria for anterior MI although the patient denied any chest pain at any point .' +p368024 +(lp368025 +S'When\tWhen\tWRB\tB-ADVP\tO' +p368026 +aS'compared\tcompare\tVBN\tB-PP\tO' +p368027 +aS'with\twith\tIN\tB-PP\tO' +p368028 +aS'ECG\tECG\tNN\tB-NP\tB-protein' +p368029 +aS'of\tof\tIN\tB-PP\tO' +p368030 +aS'11-06-90\t11-06-90\tCD\tB-NP\tO' +p368031 +aS',\t,\t,\tO\tO' +p368032 +aS'there\tthere\tEX\tB-NP\tO' +p368033 +aS'was\tbe\tVBD\tB-VP\tO' +p368034 +aS'borderline\tborderline\tJJ\tB-NP\tO' +p368035 +aS'criteria\tcriterion\tNNS\tI-NP\tO' +p368036 +aS'for\tfor\tIN\tB-PP\tO' +p368037 +aS'anterior\tanterior\tJJ\tB-NP\tO' +p368038 +aS'MI\tMI\tNN\tI-NP\tO' +p368039 +aS'although\talthough\tIN\tB-SBAR\tO' +p368040 +aS'the\tthe\tDT\tB-NP\tO' +p368041 +aS'patient\tpatient\tNN\tI-NP\tO' +p368042 +aS'denied\tdeny\tVBD\tB-VP\tO' +p368043 +aS'any\tany\tDT\tB-NP\tO' +p368044 +aS'chest\tch\tJJS\tI-NP\tO' +p368045 +aS'pain\tpain\tNN\tI-NP\tO' +p368046 +aS'at\tat\tIN\tB-PP\tO' +p368047 +aS'any\tany\tDT\tB-NP\tO' +p368048 +aS'point\tpoint\tNN\tI-NP\tO' +p368049 +aS'.\t.\t.\tO\tO' +p368050 +asS'Neck - no JVD , no cervical lymphadenopathy' +p368051 +(lp368052 +S'Neck\tNeck\tNN\tB-NP\tO' +p368053 +aS'-\t-\tHYPH\tB-VP\tO' +p368054 +aS'no\tno\tDT\tB-NP\tO' +p368055 +aS'JVD\tJVD\tNN\tI-NP\tB-protein' +p368056 +aS',\t,\t,\tO\tO' +p368057 +aS'no\tno\tDT\tB-NP\tO' +p368058 +aS'cervical\tcervical\tJJ\tI-NP\tO' +p368059 +aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' +p368060 +asS'Mr. Eugene is a 67 year old male with a remote history of chronic pancreatitis due to alcohol abuse 30 years ago , who is transferred now from Rehab Hospital of the Cape & Islands Hospital for an ERCP and work-up for a cystic lesion at the head of his pancreas on CT scan shown at the outside hospital .' +p368061 +(lp368062 +S'Mr.\tMr.\tNNP\tB-NP\tB-DNA' +p368063 +aS'Eugene\tEugene\tNNP\tI-NP\tI-DNA' +p368064 +aS'is\tbe\tVBZ\tB-VP\tO' +p368065 +aS'a\ta\tDT\tB-NP\tO' +p368066 +aS'67\t67\tCD\tI-NP\tO' +p368067 +aS'year\tyear\tNN\tI-NP\tO' +p368068 +aS'old\told\tJJ\tI-NP\tO' +p368069 +aS'male\tmale\tNN\tI-NP\tO' +p368070 +aS'with\twith\tIN\tB-PP\tO' +p368071 +aS'a\ta\tDT\tB-NP\tO' +p368072 +aS'remote\tremote\tJJ\tI-NP\tO' +p368073 +aS'history\thistory\tNN\tI-NP\tO' +p368074 +aS'of\tof\tIN\tB-PP\tO' +p368075 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p368076 +aS'pancreatitis\tpancreatitis\tNN\tI-NP\tO' +p368077 +aS'due\tdue\tJJ\tB-ADJP\tO' +p368078 +aS'to\tto\tTO\tB-PP\tO' +p368079 +aS'alcohol\talcohol\tNN\tB-NP\tO' +p368080 +aS'abuse\tabuse\tNN\tI-NP\tO' +p368081 +aS'30\t30\tCD\tB-NP\tO' +p368082 +aS'years\tyear\tNNS\tI-NP\tO' +p368083 +aS'ago\tago\tRB\tB-ADVP\tO' +p368084 +aS',\t,\t,\tO\tO' +p368085 +aS'who\twho\tWP\tB-NP\tO' +p368086 +aS'is\tbe\tVBZ\tB-VP\tO' +p368087 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p368088 +aS'now\tnow\tRB\tB-ADVP\tO' +p368089 +aS'from\tfrom\tIN\tB-PP\tO' +p368090 +aS'Rehab\tRehab\tNNP\tB-NP\tO' +p368091 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p368092 +aS'of\tof\tIN\tB-PP\tO' +p368093 +aS'the\tthe\tDT\tB-NP\tO' +p368094 +aS'Cape\tCape\tNNP\tI-NP\tO' +p368095 +aS'&\t&\tCC\tI-NP\tO' +p368096 +aS'Islands\tIslands\tNNP\tI-NP\tO' +p368097 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p368098 +aS'for\tfor\tIN\tB-PP\tO' +p368099 +aS'an\tan\tDT\tB-NP\tO' +p368100 +aS'ERCP\tERCP\tNN\tI-NP\tB-DNA' +p368101 +aS'and\tand\tCC\tI-NP\tO' +p368102 +aS'work-up\twork-up\tNN\tI-NP\tO' +p368103 +aS'for\tfor\tIN\tB-PP\tO' +p368104 +aS'a\ta\tDT\tB-NP\tO' +p368105 +aS'cystic\tcystic\tJJ\tI-NP\tO' +p368106 +aS'lesion\tlesion\tNN\tI-NP\tO' +p368107 +aS'at\tat\tIN\tB-PP\tO' +p368108 +aS'the\tthe\tDT\tB-NP\tO' +p368109 +aS'head\thead\tNN\tI-NP\tO' +p368110 +aS'of\tof\tIN\tB-PP\tO' +p368111 +aS'his\this\tPRP$\tB-NP\tO' +p368112 +aS'pancreas\tpancreas\tNN\tI-NP\tO' +p368113 +aS'on\ton\tIN\tB-PP\tO' +p368114 +aS'CT\tCT\tNN\tB-NP\tO' +p368115 +aS'scan\tscan\tNN\tI-NP\tO' +p368116 +aS'shown\tshow\tVBN\tB-VP\tO' +p368117 +aS'at\tat\tIN\tB-PP\tO' +p368118 +aS'the\tthe\tDT\tB-NP\tO' +p368119 +aS'outside\toutside\tJJ\tI-NP\tO' +p368120 +aS'hospital\thospital\tNN\tI-NP\tO' +p368121 +aS'.\t.\t.\tO\tO' +p368122 +asS'The patient had an elevated white count upon admission , however , white count came down to 7.1 and prior to discharge , patient was afebrile and no clear etiology for elevated white blood cell on admission , questionably secondary to short gastrointestinal infection , however , patient is completely symptom free upon discharge .' +p368123 +(lp368124 +S'The\tThe\tDT\tB-NP\tO' +p368125 +aS'patient\tpatient\tNN\tI-NP\tO' +p368126 +aS'had\thave\tVBD\tB-VP\tO' +p368127 +aS'an\tan\tDT\tB-NP\tO' +p368128 +aS'elevated\televated\tJJ\tI-NP\tO' +p368129 +aS'white\twhite\tJJ\tI-NP\tO' +p368130 +aS'count\tcount\tNN\tI-NP\tO' +p368131 +aS'upon\tupon\tIN\tB-PP\tO' +p368132 +aS'admission\tadmission\tNN\tB-NP\tO' +p368133 +aS',\t,\t,\tO\tO' +p368134 +aS'however\thowever\tRB\tB-ADVP\tO' +p368135 +aS',\t,\t,\tO\tO' +p368136 +aS'white\twhite\tJJ\tB-NP\tO' +p368137 +aS'count\tcount\tNN\tI-NP\tO' +p368138 +aS'came\tcome\tVBD\tB-VP\tO' +p368139 +aS'down\tdown\tRB\tB-ADVP\tO' +p368140 +aS'to\tto\tTO\tB-PP\tO' +p368141 +aS'7.1\t7.1\tCD\tB-NP\tO' +p368142 +aS'and\tand\tCC\tO\tO' +p368143 +aS'prior\tprior\tJJ\tB-ADJP\tO' +p368144 +aS'to\tto\tTO\tB-VP\tO' +p368145 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p368146 +aS',\t,\t,\tO\tO' +p368147 +aS'patient\tpatient\tNN\tB-NP\tO' +p368148 +aS'was\tbe\tVBD\tB-VP\tO' +p368149 +aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' +p368150 +aS'and\tand\tCC\tO\tO' +p368151 +aS'no\tno\tDT\tB-NP\tO' +p368152 +aS'clear\tclear\tJJ\tI-NP\tO' +p368153 +aS'etiology\tetiology\tNN\tI-NP\tO' +p368154 +aS'for\tfor\tIN\tB-PP\tO' +p368155 +aS'elevated\televated\tJJ\tB-NP\tO' +p368156 +aS'white\twhite\tJJ\tI-NP\tO' +p368157 +aS'blood\tblood\tNN\tI-NP\tO' +p368158 +aS'cell\tcell\tNN\tI-NP\tO' +p368159 +aS'on\ton\tIN\tB-PP\tO' +p368160 +aS'admission\tadmission\tNN\tB-NP\tO' +p368161 +aS',\t,\t,\tO\tO' +p368162 +aS'questionably\tquestionably\tRB\tB-ADJP\tO' +p368163 +aS'secondary\tsecondary\tJJ\tI-ADJP\tO' +p368164 +aS'to\tto\tTO\tB-PP\tO' +p368165 +aS'short\tshort\tJJ\tB-NP\tO' +p368166 +aS'gastrointestinal\tgastrointestinal\tJJ\tI-NP\tO' +p368167 +aS'infection\tinfection\tNN\tI-NP\tO' +p368168 +aS',\t,\t,\tO\tO' +p368169 +aS'however\thowever\tRB\tB-ADVP\tO' +p368170 +aS',\t,\t,\tO\tO' +p368171 +aS'patient\tpatient\tNN\tB-NP\tO' +p368172 +aS'is\tbe\tVBZ\tB-VP\tO' +p368173 +aS'completely\tcompletely\tRB\tB-ADJP\tO' +p368174 +aS'symptom\tsymptom\tNN\tI-ADJP\tO' +p368175 +aS'free\tfree\tJJ\tI-ADJP\tO' +p368176 +aS'upon\tupon\tIN\tB-PP\tO' +p368177 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p368178 +aS'.\t.\t.\tO\tO' +p368179 +asS'The patient was admitted to the floor for observation .' +p368180 +(lp368181 +S'The\tThe\tDT\tB-NP\tO' +p368182 +aS'patient\tpatient\tNN\tI-NP\tO' +p368183 +aS'was\tbe\tVBD\tB-VP\tO' +p368184 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p368185 +aS'to\tto\tTO\tB-PP\tO' +p368186 +aS'the\tthe\tDT\tB-NP\tO' +p368187 +aS'floor\tfloor\tNN\tI-NP\tO' +p368188 +aS'for\tfor\tIN\tB-PP\tO' +p368189 +aS'observation\tobservation\tNN\tB-NP\tO' +p368190 +aS'.\t.\t.\tO\tO' +p368191 +asS'After BiPAP was initiated , the patient became hypotensive down to 75/28 and bradycardiac , responding to 3 fluid boluses over the course of the night .' +p368192 +(lp368193 +S'After\tAfter\tIN\tB-PP\tO' +p368194 +aS'BiPAP\tBiPAP\tNN\tB-NP\tB-protein' +p368195 +aS'was\tbe\tVBD\tB-VP\tO' +p368196 +aS'initiated\tinitiate\tVBN\tI-VP\tO' +p368197 +aS',\t,\t,\tO\tO' +p368198 +aS'the\tthe\tDT\tB-NP\tO' +p368199 +aS'patient\tpatient\tNN\tI-NP\tO' +p368200 +aS'became\tbecome\tVBD\tB-VP\tO' +p368201 +aS'hypotensive\thypotensive\tJJ\tB-ADJP\tO' +p368202 +aS'down\tdown\tRB\tI-ADJP\tO' +p368203 +aS'to\tto\tTO\tB-PP\tO' +p368204 +aS'75/28\t75/28\tCD\tB-NP\tO' +p368205 +aS'and\tand\tCC\tO\tO' +p368206 +aS'bradycardiac\tbradycardiac\tJJ\tB-NP\tO' +p368207 +aS',\t,\t,\tO\tO' +p368208 +aS'responding\trespond\tVBG\tB-VP\tO' +p368209 +aS'to\tto\tTO\tB-PP\tO' +p368210 +aS'3\t3\tCD\tB-NP\tO' +p368211 +aS'fluid\tfluid\tNN\tI-NP\tO' +p368212 +aS'boluses\tbolus\tNNS\tI-NP\tO' +p368213 +aS'over\tover\tIN\tB-PP\tO' +p368214 +aS'the\tthe\tDT\tB-NP\tO' +p368215 +aS'course\tcourse\tNN\tI-NP\tO' +p368216 +aS'of\tof\tIN\tB-PP\tO' +p368217 +aS'the\tthe\tDT\tB-NP\tO' +p368218 +aS'night\tnight\tNN\tI-NP\tO' +p368219 +aS'.\t.\t.\tO\tO' +p368220 +asS'KCl 10 mEq q day .' +p368221 +(lp368222 +S'KCl\tKCl\tNN\tB-NP\tO' +p368223 +aS'10\t10\tCD\tI-NP\tO' +p368224 +aS'mEq\tmEq\tNN\tI-NP\tO' +p368225 +aS'q\tq\tNN\tI-NP\tO' +p368226 +aS'day\tday\tNN\tI-NP\tO' +p368227 +aS'.\t.\t.\tO\tO' +p368228 +asS'His chest x-ray blossomed to demonstrate pulmonary infiltrate and the patient began to produce sputum .' +p368229 +(lp368230 +S'His\tHis\tPRP$\tB-NP\tO' +p368231 +aS'chest\tchest\tNN\tI-NP\tO' +p368232 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p368233 +aS'blossomed\tblossom\tVBD\tB-VP\tO' +p368234 +aS'to\tto\tTO\tI-VP\tO' +p368235 +aS'demonstrate\tdemonstrate\tVB\tI-VP\tO' +p368236 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p368237 +aS'infiltrate\tinfiltrate\tNN\tI-NP\tO' +p368238 +aS'and\tand\tCC\tO\tO' +p368239 +aS'the\tthe\tDT\tB-NP\tO' +p368240 +aS'patient\tpatient\tNN\tI-NP\tO' +p368241 +aS'began\tbegin\tVBD\tB-VP\tO' +p368242 +aS'to\tto\tTO\tI-VP\tO' +p368243 +aS'produce\tproduce\tVB\tI-VP\tO' +p368244 +aS'sputum\tsputum\tNN\tB-NP\tO' +p368245 +aS'.\t.\t.\tO\tO' +p368246 +asS'The patient is to be discharged to home with services and in stable condition .' +p368247 +(lp368248 +S'The\tThe\tDT\tB-NP\tO' +p368249 +aS'patient\tpatient\tNN\tI-NP\tO' +p368250 +aS'is\tbe\tVBZ\tB-VP\tO' +p368251 +aS'to\tto\tTO\tI-VP\tO' +p368252 +aS'be\tbe\tVB\tI-VP\tO' +p368253 +aS'discharged\tdischarge\tVBN\tI-VP\tO' +p368254 +aS'to\tto\tTO\tB-PP\tO' +p368255 +aS'home\thome\tNN\tB-NP\tO' +p368256 +aS'with\twith\tIN\tB-PP\tO' +p368257 +aS'services\tservice\tNNS\tB-NP\tO' +p368258 +aS'and\tand\tCC\tB-PP\tO' +p368259 +aS'in\tin\tIN\tB-PP\tO' +p368260 +aS'stable\tstable\tJJ\tB-NP\tO' +p368261 +aS'condition\tcondition\tNN\tI-NP\tO' +p368262 +aS'.\t.\t.\tO\tO' +p368263 +asS'Faint scattered wheezes bilaterally .' +p368264 +(lp368265 +S'Faint\tFaint\tNNP\tB-NP\tO' +p368266 +aS'scattered\tscatter\tVBD\tB-VP\tO' +p368267 +aS'wheezes\twheeze\tVBZ\tB-VP\tO' +p368268 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p368269 +aS'.\t.\t.\tO\tO' +p368270 +asS'3. Hypotension .' +p368271 +(lp368272 +S'3.\t3.\tLS\tB-NP\tO' +p368273 +aS'Hypotension\tHypotension\tNN\tI-NP\tO' +p368274 +aS'.\t.\t.\tO\tO' +p368275 +asS'coronary artery bypass grafting x 3 .' +p368276 +(lp368277 +S'coronary\tcoronary\tJJ\tB-NP\tO' +p368278 +aS'artery\tartery\tNN\tI-NP\tO' +p368279 +aS'bypass\tbypass\tIN\tB-PP\tO' +p368280 +aS'grafting\tgraft\tVBG\tB-VP\tO' +p368281 +aS'x\tx\tNN\tB-NP\tB-DNA' +p368282 +aS'3\t3\tCD\tI-NP\tI-DNA' +p368283 +aS'.\t.\t.\tO\tO' +p368284 +asS"On room air , the patient 's oxygen saturation was 95% and dropped to 88% following a 6 - minute walk ." +p368285 +(lp368286 +S'On\tOn\tIN\tB-PP\tO' +p368287 +aS'room\troom\tNN\tB-NP\tO' +p368288 +aS'air\tair\tNN\tI-NP\tO' +p368289 +aS',\t,\t,\tO\tO' +p368290 +aS'the\tthe\tDT\tB-NP\tO' +p368291 +aS'patient\tpatient\tNN\tI-NP\tO' +p368292 +aS"'s\t's\tPOS\tB-NP\tO" +p368293 +aS'oxygen\toxygen\tNN\tI-NP\tO' +p368294 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p368295 +aS'was\tbe\tVBD\tB-VP\tO' +p368296 +aS'95%\t95%\tCD\tB-NP\tO' +p368297 +aS'and\tand\tCC\tO\tO' +p368298 +aS'dropped\tdrop\tVBD\tB-VP\tO' +p368299 +aS'to\tto\tTO\tI-VP\tO' +p368300 +aS'88%\t88%\tVB\tI-VP\tO' +p368301 +aS'following\tfollow\tVBG\tB-PP\tO' +p368302 +aS'a\ta\tDT\tB-NP\tO' +p368303 +aS'6\t6\tCD\tI-NP\tO' +p368304 +aS'-\t-\tHYPH\tI-NP\tO' +p368305 +aS'minute\tminute\tNN\tI-NP\tO' +p368306 +aS'walk\twalk\tNN\tI-NP\tO' +p368307 +aS'.\t.\t.\tO\tO' +p368308 +asS'TECHNIQUE : A multidetector scanner was used to obtain contiguous axial images from the lung bases to the pubic symphysis .' +p368309 +(lp368310 +S'TECHNIQUE\tTECHNIQUE\tNN\tB-NP\tO' +p368311 +aS':\t:\t:\tO\tO' +p368312 +aS'A\tA\tDT\tB-NP\tO' +p368313 +aS'multidetector\tmultidetector\tJJ\tI-NP\tO' +p368314 +aS'scanner\tscanner\tNN\tI-NP\tO' +p368315 +aS'was\tbe\tVBD\tB-VP\tO' +p368316 +aS'used\tuse\tVBN\tI-VP\tO' +p368317 +aS'to\tto\tTO\tB-VP\tO' +p368318 +aS'obtain\tobtain\tVB\tI-VP\tO' +p368319 +aS'contiguous\tcontiguous\tJJ\tB-NP\tO' +p368320 +aS'axial\taxial\tJJ\tI-NP\tO' +p368321 +aS'images\timage\tNNS\tI-NP\tO' +p368322 +aS'from\tfrom\tIN\tB-PP\tO' +p368323 +aS'the\tthe\tDT\tB-NP\tO' +p368324 +aS'lung\tlung\tNN\tI-NP\tB-protein' +p368325 +aS'bases\tbase\tNNS\tI-NP\tI-protein' +p368326 +aS'to\tto\tTO\tB-PP\tO' +p368327 +aS'the\tthe\tDT\tB-NP\tO' +p368328 +aS'pubic\tpubic\tJJ\tI-NP\tO' +p368329 +aS'symphysis\tsymphysis\tNN\tI-NP\tO' +p368330 +aS'.\t.\t.\tO\tO' +p368331 +asS'3. A 27 week intrauterine pregnancy .' +p368332 +(lp368333 +S'3.\t3.\tLS\tB-LST\tO' +p368334 +aS'A\tA\tDT\tB-NP\tO' +p368335 +aS'27\t27\tCD\tI-NP\tO' +p368336 +aS'week\tweek\tNN\tI-NP\tO' +p368337 +aS'intrauterine\tintrauterine\tJJ\tI-NP\tO' +p368338 +aS'pregnancy\tpregnancy\tNN\tI-NP\tO' +p368339 +aS'.\t.\t.\tO\tO' +p368340 +asS'He was , however , extubted without difficulty and after that did quite well .' +p368341 +(lp368342 +S'He\tHe\tPRP\tB-NP\tO' +p368343 +aS'was\tbe\tVBD\tB-VP\tO' +p368344 +aS',\t,\t,\tO\tO' +p368345 +aS'however\thowever\tRB\tB-ADVP\tO' +p368346 +aS',\t,\t,\tO\tO' +p368347 +aS'extubted\textubte\tVBN\tB-VP\tO' +p368348 +aS'without\twithout\tIN\tB-PP\tO' +p368349 +aS'difficulty\tdifficulty\tNN\tB-NP\tO' +p368350 +aS'and\tand\tCC\tB-PP\tO' +p368351 +aS'after\tafter\tIN\tB-PP\tO' +p368352 +aS'that\tthat\tDT\tB-NP\tO' +p368353 +aS'did\tdo\tVBD\tB-VP\tO' +p368354 +aS'quite\tquite\tRB\tB-ADVP\tO' +p368355 +aS'well\twell\tRB\tI-ADVP\tO' +p368356 +aS'.\t.\t.\tO\tO' +p368357 +asS'Attending : Robert E Goldschmidt , M.D.' +p368358 +(lp368359 +S'Attending\tAttend\tVBG\tB-VP\tO' +p368360 +aS':\t:\t:\tO\tO' +p368361 +aS'Robert\tRobert\tNNP\tB-NP\tO' +p368362 +aS'E\tE\tNNP\tI-NP\tO' +p368363 +aS'Goldschmidt\tGoldschmidt\tNNP\tI-NP\tO' +p368364 +aS',\t,\t,\tO\tO' +p368365 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p368366 +asS'2. Please keep all follow up appointments .' +p368367 +(lp368368 +S'2.\t2.\tLS\tB-NP\tO' +p368369 +aS'Please\tPlease\tNN\tI-NP\tB-protein' +p368370 +aS'keep\tkeep\tVB\tB-VP\tO' +p368371 +aS'all\tall\tDT\tO\tO' +p368372 +aS'follow\tfollow\tVB\tB-VP\tO' +p368373 +aS'up\tup\tRP\tB-PRT\tO' +p368374 +aS'appointments\tappointment\tNNS\tB-NP\tO' +p368375 +aS'.\t.\t.\tO\tO' +p368376 +asS'He has no known clotting disorder but did have trauma to leg prompting immobility and stasis .' +p368377 +(lp368378 +S'He\tHe\tPRP\tB-NP\tO' +p368379 +aS'has\thave\tVBZ\tB-VP\tO' +p368380 +aS'no\tno\tDT\tB-NP\tO' +p368381 +aS'known\tknow\tVBN\tI-NP\tO' +p368382 +aS'clotting\tclotting\tNN\tI-NP\tO' +p368383 +aS'disorder\tdisorder\tNN\tI-NP\tO' +p368384 +aS'but\tbut\tCC\tO\tO' +p368385 +aS'did\tdo\tVBD\tB-VP\tO' +p368386 +aS'have\thave\tVB\tI-VP\tO' +p368387 +aS'trauma\ttrauma\tNN\tB-NP\tO' +p368388 +aS'to\tto\tTO\tB-PP\tO' +p368389 +aS'leg\tleg\tNN\tB-NP\tO' +p368390 +aS'prompting\tprompt\tVBG\tB-VP\tO' +p368391 +aS'immobility\timmobility\tNN\tB-NP\tO' +p368392 +aS'and\tand\tCC\tI-NP\tO' +p368393 +aS'stasis\tstasis\tNN\tI-NP\tO' +p368394 +aS'.\t.\t.\tO\tO' +p368395 +asS'White count 5.3 , hematocrit 43 , platelets 200 .' +p368396 +(lp368397 +S'White\tWhite\tJJ\tB-NP\tO' +p368398 +aS'count\tcount\tNN\tI-NP\tO' +p368399 +aS'5.3\t5.3\tNN\tI-NP\tO' +p368400 +aS',\t,\t,\tO\tO' +p368401 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p368402 +aS'43\t43\tCD\tI-NP\tI-protein' +p368403 +aS',\t,\t,\tO\tO' +p368404 +aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' +p368405 +aS'200\t200\tCD\tB-NP\tO' +p368406 +aS'.\t.\t.\tO\tO' +p368407 +asS"78 M w/ longstanding CAD s / p CABG '97 , had PPM and AICD placed in '02 after admitted for presyncope and found to have inducible VT ." +p368408 +(lp368409 +S'78\t78\tCD\tB-NP\tO' +p368410 +aS'M\tM\tNN\tI-NP\tO' +p368411 +aS'w/\tw/\tNN\tI-NP\tO' +p368412 +aS'longstanding\tlongstanding\tJJ\tI-NP\tO' +p368413 +aS'CAD\tCAD\tNN\tI-NP\tO' +p368414 +aS's\ts\tNN\tI-NP\tO' +p368415 +aS'/\t/\tSYM\tB-NP\tO' +p368416 +aS'p\tp\tNN\tI-NP\tO' +p368417 +aS'CABG\tCABG\tNN\tI-NP\tO' +p368418 +aS"'97\t'97\tCD\tI-NP\tO" +p368419 +aS',\t,\t,\tO\tO' +p368420 +aS'had\thave\tVBD\tB-VP\tO' +p368421 +aS'PPM\tPPM\tNN\tB-NP\tB-protein' +p368422 +aS'and\tand\tCC\tI-NP\tO' +p368423 +aS'AICD\tAICD\tNN\tI-NP\tO' +p368424 +aS'placed\tplace\tVBN\tB-VP\tO' +p368425 +aS'in\tin\tIN\tB-PP\tO' +p368426 +aS"'02\t'02\tCD\tB-NP\tO" +p368427 +aS'after\tafter\tIN\tB-SBAR\tO' +p368428 +aS'admitted\tadmit\tVBN\tB-VP\tO' +p368429 +aS'for\tfor\tIN\tB-PP\tO' +p368430 +aS'presyncope\tpresyncope\tNN\tB-NP\tO' +p368431 +aS'and\tand\tCC\tO\tO' +p368432 +aS'found\tfind\tVBN\tB-VP\tO' +p368433 +aS'to\tto\tTO\tI-VP\tO' +p368434 +aS'have\thave\tVB\tI-VP\tO' +p368435 +aS'inducible\tinducible\tJJ\tB-NP\tO' +p368436 +aS'VT\tVT\tNN\tI-NP\tO' +p368437 +aS'.\t.\t.\tO\tO' +p368438 +asS'1. Aspirin 325 mg po q day .' +p368439 +(lp368440 +S'1.\t1.\tLS\tB-LST\tO' +p368441 +aS'Aspirin\tAspirin\tNN\tB-NP\tO' +p368442 +aS'325\t325\tCD\tI-NP\tO' +p368443 +aS'mg\tmg\tNN\tI-NP\tO' +p368444 +aS'po\tpo\tNN\tI-NP\tO' +p368445 +aS'q\tq\tNN\tI-NP\tO' +p368446 +aS'day\tday\tNN\tI-NP\tO' +p368447 +aS'.\t.\t.\tO\tO' +p368448 +asS'HEENT : Anterior fontanel open and flat .' +p368449 +(lp368450 +S'HEENT\tHEENT\tNN\tB-NP\tO' +p368451 +aS':\t:\t:\tO\tO' +p368452 +aS'Anterior\tAnterior\tJJ\tB-NP\tO' +p368453 +aS'fontanel\tfontanel\tNN\tI-NP\tO' +p368454 +aS'open\topen\tJJ\tB-ADJP\tO' +p368455 +aS'and\tand\tCC\tI-ADJP\tO' +p368456 +aS'flat\tflat\tJJ\tI-ADJP\tO' +p368457 +aS'.\t.\t.\tO\tO' +p368458 +asS'The cesarean section was performed on the West Campus in the Cardiothoracic Surgical Suite .' +p368459 +(lp368460 +S'The\tThe\tDT\tB-NP\tO' +p368461 +aS'cesarean\tcesarean\tJJ\tI-NP\tO' +p368462 +aS'section\tsection\tNN\tI-NP\tO' +p368463 +aS'was\tbe\tVBD\tB-VP\tO' +p368464 +aS'performed\tperform\tVBN\tI-VP\tO' +p368465 +aS'on\ton\tIN\tB-PP\tO' +p368466 +aS'the\tthe\tDT\tB-NP\tO' +p368467 +aS'West\tWest\tNNP\tI-NP\tO' +p368468 +aS'Campus\tCampus\tNNP\tI-NP\tO' +p368469 +aS'in\tin\tIN\tB-PP\tO' +p368470 +aS'the\tthe\tDT\tB-NP\tO' +p368471 +aS'Cardiothoracic\tCardiothoracic\tNNP\tI-NP\tO' +p368472 +aS'Surgical\tSurgical\tNNP\tI-NP\tO' +p368473 +aS'Suite\tSuite\tNNP\tI-NP\tO' +p368474 +aS'.\t.\t.\tO\tO' +p368475 +asS'There is a very small circumferential pericardial effusion .' +p368476 +(lp368477 +S'There\tThere\tEX\tB-NP\tO' +p368478 +aS'is\tbe\tVBZ\tB-VP\tO' +p368479 +aS'a\ta\tDT\tB-NP\tO' +p368480 +aS'very\tvery\tRB\tI-NP\tO' +p368481 +aS'small\tsmall\tJJ\tI-NP\tO' +p368482 +aS'circumferential\tcircumferential\tJJ\tI-NP\tO' +p368483 +aS'pericardial\tpericardial\tJJ\tI-NP\tO' +p368484 +aS'effusion\teffusion\tNN\tI-NP\tO' +p368485 +aS'.\t.\t.\tO\tO' +p368486 +asS'Hips were stable without clunk .' +p368487 +(lp368488 +S'Hips\tHip\tNNS\tB-NP\tO' +p368489 +aS'were\tbe\tVBD\tB-VP\tO' +p368490 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p368491 +aS'without\twithout\tIN\tB-PP\tO' +p368492 +aS'clunk\tclunk\tNN\tB-NP\tO' +p368493 +aS'.\t.\t.\tO\tO' +p368494 +asS'3. Status post rule out sepsis , ruled out .' +p368495 +(lp368496 +S'3.\t3.\tLS\tB-NP\tO' +p368497 +aS'Status\tStatus\tNN\tI-NP\tO' +p368498 +aS'post\tpost\tNN\tI-NP\tO' +p368499 +aS'rule\trule\tNN\tI-NP\tO' +p368500 +aS'out\tout\tIN\tB-PP\tO' +p368501 +aS'sepsis\tsepsis\tNN\tB-NP\tO' +p368502 +aS',\t,\t,\tO\tO' +p368503 +aS'ruled\trule\tVBD\tB-VP\tO' +p368504 +aS'out\tout\tRP\tB-PRT\tO' +p368505 +aS'.\t.\t.\tO\tO' +p368506 +asS'8. Atenolol 25 mg p.o. once per day .' +p368507 +(lp368508 +S'8.\t8.\tCD\tB-NP\tO' +p368509 +aS'Atenolol\tAtenolol\tNN\tI-NP\tO' +p368510 +aS'25\t25\tCD\tB-NP\tO' +p368511 +aS'mg\tmg\tNN\tI-NP\tO' +p368512 +aS'p.o.\tp.o.\tRB\tB-ADVP\tO' +p368513 +aS'once\tonce\tRB\tI-ADVP\tO' +p368514 +aS'per\tper\tIN\tB-PP\tO' +p368515 +aS'day\tday\tNN\tB-NP\tO' +p368516 +aS'.\t.\t.\tO\tO' +p368517 +asS'Completed by : Simon Claudine Audrey MD 82-812 2014-04-28 @ 1227' +p368518 +(lp368519 +S'Completed\tComplete\tVBN\tB-VP\tO' +p368520 +aS'by\tby\tIN\tB-PP\tO' +p368521 +aS':\t:\t:\tO\tO' +p368522 +aS'Simon\tSimon\tNNP\tB-NP\tO' +p368523 +aS'Claudine\tClaudine\tNNP\tI-NP\tO' +p368524 +aS'Audrey\tAudrey\tNNP\tI-NP\tO' +p368525 +aS'MD\tMD\tNNP\tI-NP\tO' +p368526 +aS'82-812\t82-812\tCD\tI-NP\tO' +p368527 +aS'2014-04-28\t2014-04-28\tCD\tI-NP\tO' +p368528 +aS'@\t@\tNN\tI-NP\tO' +p368529 +aS'1227\t1227\tCD\tB-NP\tO' +p368530 +asS'By postoperative day #2 she was eating , ambulating and voiding on her own .' +p368531 +(lp368532 +S'By\tBy\tIN\tB-PP\tO' +p368533 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p368534 +aS'day\tday\tNN\tI-NP\tO' +p368535 +aS'#2\t#2\tCD\tI-NP\tO' +p368536 +aS'she\tshe\tPRP\tB-NP\tO' +p368537 +aS'was\tbe\tVBD\tB-VP\tO' +p368538 +aS'eating\teat\tVBG\tI-VP\tO' +p368539 +aS',\t,\t,\tO\tO' +p368540 +aS'ambulating\tambulate\tVBG\tB-VP\tO' +p368541 +aS'and\tand\tCC\tI-VP\tO' +p368542 +aS'voiding\tvoid\tVBG\tI-VP\tO' +p368543 +aS'on\ton\tIN\tB-PP\tO' +p368544 +aS'her\ther\tPRP$\tB-NP\tO' +p368545 +aS'own\town\tJJ\tI-NP\tO' +p368546 +aS'.\t.\t.\tO\tO' +p368547 +asS'She will be seen by Visiting Nurses Association to help with general aspects of daily living as well as adequate diet planning following her gastric resection .' +p368548 +(lp368549 +S'She\tShe\tPRP\tB-NP\tO' +p368550 +aS'will\twill\tMD\tB-VP\tO' +p368551 +aS'be\tbe\tVB\tI-VP\tO' +p368552 +aS'seen\tsee\tVBN\tI-VP\tO' +p368553 +aS'by\tby\tIN\tB-PP\tO' +p368554 +aS'Visiting\tVisit\tVBG\tB-VP\tO' +p368555 +aS'Nurses\tNurses\tNNP\tB-NP\tO' +p368556 +aS'Association\tAssociation\tNNP\tI-NP\tO' +p368557 +aS'to\tto\tTO\tB-VP\tO' +p368558 +aS'help\thelp\tVB\tI-VP\tO' +p368559 +aS'with\twith\tIN\tB-PP\tO' +p368560 +aS'general\tgeneral\tJJ\tB-NP\tO' +p368561 +aS'aspects\taspect\tNNS\tI-NP\tO' +p368562 +aS'of\tof\tIN\tB-PP\tO' +p368563 +aS'daily\tdaily\tJJ\tB-NP\tO' +p368564 +aS'living\tliving\tNN\tI-NP\tO' +p368565 +aS'as\tas\tRB\tB-CONJP\tO' +p368566 +aS'well\twell\tRB\tI-CONJP\tO' +p368567 +aS'as\tas\tIN\tI-CONJP\tO' +p368568 +aS'adequate\tadequate\tJJ\tB-NP\tO' +p368569 +aS'diet\tdiet\tNN\tI-NP\tO' +p368570 +aS'planning\tplanning\tNN\tI-NP\tO' +p368571 +aS'following\tfollow\tVBG\tB-PP\tO' +p368572 +aS'her\ther\tPRP$\tB-NP\tO' +p368573 +aS'gastric\tgastric\tJJ\tI-NP\tO' +p368574 +aS'resection\tresection\tNN\tI-NP\tO' +p368575 +aS'.\t.\t.\tO\tO' +p368576 +asS'His pelvis fracture are closed treated and he can be weight bearing as tolerated on his right leg and and nonweight bearing on his left leg .' +p368577 +(lp368578 +S'His\tHis\tPRP$\tB-NP\tO' +p368579 +aS'pelvis\tpelvis\tJJ\tI-NP\tO' +p368580 +aS'fracture\tfracture\tNN\tI-NP\tO' +p368581 +aS'are\tbe\tVBP\tB-VP\tO' +p368582 +aS'closed\tclose\tVBN\tI-VP\tO' +p368583 +aS'treated\ttreat\tVBN\tI-VP\tO' +p368584 +aS'and\tand\tCC\tO\tO' +p368585 +aS'he\the\tPRP\tB-NP\tO' +p368586 +aS'can\tcan\tMD\tB-VP\tO' +p368587 +aS'be\tbe\tVB\tI-VP\tO' +p368588 +aS'weight\tweight\tJJ\tB-NP\tO' +p368589 +aS'bearing\tbearing\tNN\tI-NP\tO' +p368590 +aS'as\tas\tIN\tB-SBAR\tO' +p368591 +aS'tolerated\ttolerate\tVBN\tB-VP\tO' +p368592 +aS'on\ton\tIN\tB-PP\tO' +p368593 +aS'his\this\tPRP$\tB-NP\tO' +p368594 +aS'right\tright\tJJ\tI-NP\tO' +p368595 +aS'leg\tleg\tNN\tI-NP\tO' +p368596 +aS'and\tand\tCC\tO\tO' +p368597 +aS'and\tand\tCC\tO\tO' +p368598 +aS'nonweight\tnonweight\tJJ\tB-NP\tO' +p368599 +aS'bearing\tbearing\tNN\tI-NP\tO' +p368600 +aS'on\ton\tIN\tB-PP\tO' +p368601 +aS'his\this\tPRP$\tB-NP\tO' +p368602 +aS'left\tleft\tJJ\tI-NP\tO' +p368603 +aS'leg\tleg\tNN\tI-NP\tO' +p368604 +aS'.\t.\t.\tO\tO' +p368605 +asS'3. Residual of previous right middle cerebral artery stroke .' +p368606 +(lp368607 +S'3.\t3.\tLS\tB-NP\tO' +p368608 +aS'Residual\tResidual\tNN\tI-NP\tO' +p368609 +aS'of\tof\tIN\tB-PP\tO' +p368610 +aS'previous\tprevious\tJJ\tB-NP\tO' +p368611 +aS'right\tright\tJJ\tI-NP\tO' +p368612 +aS'middle\tmiddle\tJJ\tI-NP\tO' +p368613 +aS'cerebral\tcerebral\tJJ\tI-NP\tO' +p368614 +aS'artery\tartery\tNN\tI-NP\tO' +p368615 +aS'stroke\tstroke\tNN\tI-NP\tO' +p368616 +aS'.\t.\t.\tO\tO' +p368617 +asS'Disp :* 90 Tablet (s)* Refills :* 2 *' +p368618 +(lp368619 +S'Disp\tDisp\tNN\tB-NP\tO' +p368620 +aS':*\t:*\tSYM\tI-NP\tO' +p368621 +aS'90\t90\tCD\tI-NP\tO' +p368622 +aS'Tablet\tTablet\tNN\tI-NP\tO' +p368623 +aS'(s)*\t(s)*\tSYM\tB-NP\tO' +p368624 +aS'Refills\tRefill\tNNPS\tI-NP\tO' +p368625 +aS':*\t:*\tSYM\tI-NP\tO' +p368626 +aS'2\t2\tCD\tI-NP\tO' +p368627 +aS'*\t*\tSYM\tB-NP\tO' +p368628 +asS'The patient was transferred to NVH after receiving intravenous fluid with potassium , Demerol for pain control and clindamycin , Valium and droperidol .' +p368629 +(lp368630 +S'The\tThe\tDT\tB-NP\tO' +p368631 +aS'patient\tpatient\tNN\tI-NP\tO' +p368632 +aS'was\tbe\tVBD\tB-VP\tO' +p368633 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p368634 +aS'to\tto\tTO\tB-PP\tO' +p368635 +aS'NVH\tNVH\tNN\tB-NP\tB-protein' +p368636 +aS'after\tafter\tIN\tB-PP\tO' +p368637 +aS'receiving\treceive\tVBG\tB-VP\tO' +p368638 +aS'intravenous\tintravenous\tJJ\tB-NP\tO' +p368639 +aS'fluid\tfluid\tNN\tI-NP\tO' +p368640 +aS'with\twith\tIN\tB-PP\tO' +p368641 +aS'potassium\tpotassium\tNN\tB-NP\tO' +p368642 +aS',\t,\t,\tO\tO' +p368643 +aS'Demerol\tDemerol\tNN\tB-NP\tO' +p368644 +aS'for\tfor\tIN\tB-PP\tO' +p368645 +aS'pain\tpain\tNN\tB-NP\tO' +p368646 +aS'control\tcontrol\tNN\tI-NP\tO' +p368647 +aS'and\tand\tCC\tI-NP\tO' +p368648 +aS'clindamycin\tclindamycin\tNN\tI-NP\tO' +p368649 +aS',\t,\t,\tI-NP\tO' +p368650 +aS'Valium\tValium\tNN\tI-NP\tO' +p368651 +aS'and\tand\tCC\tI-NP\tO' +p368652 +aS'droperidol\tdroperidol\tNN\tI-NP\tO' +p368653 +aS'.\t.\t.\tO\tO' +p368654 +asS'cv - rrr , s1s2 , no m/r/g' +p368655 +(lp368656 +S'cv\tcv\tAFX\tB-NP\tO' +p368657 +aS'-\t-\tHYPH\tI-NP\tO' +p368658 +aS'rrr\trrr\tNN\tB-NP\tB-protein' +p368659 +aS',\t,\t,\tO\tO' +p368660 +aS's1s2\ts1s2\tNN\tB-NP\tB-protein' +p368661 +aS',\t,\t,\tO\tO' +p368662 +aS'no\tno\tDT\tB-NP\tO' +p368663 +aS'm/r/g\tm/r/g\tNN\tI-NP\tO' +p368664 +asS'She has a history of hiatal hernia and umbilical hernia repair .' +p368665 +(lp368666 +S'She\tShe\tPRP\tB-NP\tO' +p368667 +aS'has\thave\tVBZ\tB-VP\tO' +p368668 +aS'a\ta\tDT\tB-NP\tO' +p368669 +aS'history\thistory\tNN\tI-NP\tO' +p368670 +aS'of\tof\tIN\tB-PP\tO' +p368671 +aS'hiatal\thiatal\tJJ\tB-NP\tO' +p368672 +aS'hernia\thernia\tNN\tI-NP\tO' +p368673 +aS'and\tand\tCC\tO\tO' +p368674 +aS'umbilical\tumbilical\tJJ\tB-NP\tO' +p368675 +aS'hernia\thernia\tNN\tI-NP\tO' +p368676 +aS'repair\trepair\tNN\tI-NP\tO' +p368677 +aS'.\t.\t.\tO\tO' +p368678 +asS'On admission included Percocet , Prinovil , Dapsone , Mycelex troches .' +p368679 +(lp368680 +S'On\tOn\tIN\tB-PP\tO' +p368681 +aS'admission\tadmission\tNN\tB-NP\tO' +p368682 +aS'included\tinclude\tVBN\tB-VP\tO' +p368683 +aS'Percocet\tPercocet\tNNP\tB-NP\tO' +p368684 +aS',\t,\t,\tO\tO' +p368685 +aS'Prinovil\tPrinovil\tNNP\tB-NP\tO' +p368686 +aS',\t,\t,\tO\tO' +p368687 +aS'Dapsone\tDapsone\tNNP\tB-NP\tO' +p368688 +aS',\t,\t,\tO\tO' +p368689 +aS'Mycelex\tMycelex\tNNP\tB-NP\tO' +p368690 +aS'troches\ttroche\tNNS\tI-NP\tO' +p368691 +aS'.\t.\t.\tO\tO' +p368692 +asS'Yes - Direct contact with PCP' +p368693 +(lp368694 +S'Yes\tYe\tNNS\tB-NP\tB-protein' +p368695 +aS'-\t-\tHYPH\tB-NP\tO' +p368696 +aS'Direct\tDirect\tJJ\tI-NP\tO' +p368697 +aS'contact\tcontact\tNN\tI-NP\tO' +p368698 +aS'with\twith\tIN\tB-PP\tO' +p368699 +aS'PCP\tPCP\tNN\tB-NP\tO' +p368700 +asS'Subsequently his creatinine rose for three days and then stabilized at 10 .' +p368701 +(lp368702 +S'Subsequently\tSubsequently\tRB\tB-ADVP\tO' +p368703 +aS'his\this\tPRP$\tB-NP\tO' +p368704 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p368705 +aS'rose\trise\tVBD\tB-VP\tO' +p368706 +aS'for\tfor\tIN\tB-PP\tO' +p368707 +aS'three\tthree\tCD\tB-NP\tO' +p368708 +aS'days\tday\tNNS\tI-NP\tO' +p368709 +aS'and\tand\tCC\tO\tO' +p368710 +aS'then\tthen\tRB\tB-ADVP\tO' +p368711 +aS'stabilized\tstabilize\tVBD\tB-VP\tO' +p368712 +aS'at\tat\tIN\tB-PP\tO' +p368713 +aS'10\t10\tCD\tB-NP\tO' +p368714 +aS'.\t.\t.\tO\tO' +p368715 +asS'The patient was given printed instructions for motor vehicle accident - trauma ( English ) .' +p368716 +(lp368717 +S'The\tThe\tDT\tB-NP\tO' +p368718 +aS'patient\tpatient\tNN\tI-NP\tO' +p368719 +aS'was\tbe\tVBD\tB-VP\tO' +p368720 +aS'given\tgive\tVBN\tI-VP\tO' +p368721 +aS'printed\tprint\tVBN\tB-NP\tO' +p368722 +aS'instructions\tinstruction\tNNS\tI-NP\tO' +p368723 +aS'for\tfor\tIN\tB-PP\tO' +p368724 +aS'motor\tmotor\tNN\tB-NP\tO' +p368725 +aS'vehicle\tvehicle\tNN\tI-NP\tO' +p368726 +aS'accident\taccident\tNN\tI-NP\tO' +p368727 +aS'-\t-\tHYPH\tO\tO' +p368728 +aS'trauma\ttrauma\tNN\tB-NP\tO' +p368729 +aS'(\t(\t(\tO\tO' +p368730 +aS'English\tEnglish\tNN\tB-NP\tO' +p368731 +aS')\t)\t)\tO\tO' +p368732 +aS'.\t.\t.\tO\tO' +p368733 +asS'Urinalysis was normal .' +p368734 +(lp368735 +S'Urinalysis\tUrinalysis\tNN\tB-NP\tO' +p368736 +aS'was\tbe\tVBD\tB-VP\tO' +p368737 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p368738 +aS'.\t.\t.\tO\tO' +p368739 +asS'The patient had an elevated bilirubin on admission with decreased output of biliary drain .' +p368740 +(lp368741 +S'The\tThe\tDT\tB-NP\tO' +p368742 +aS'patient\tpatient\tNN\tI-NP\tO' +p368743 +aS'had\thave\tVBD\tB-VP\tO' +p368744 +aS'an\tan\tDT\tB-NP\tO' +p368745 +aS'elevated\televated\tJJ\tI-NP\tO' +p368746 +aS'bilirubin\tbilirubin\tNN\tI-NP\tO' +p368747 +aS'on\ton\tIN\tB-PP\tO' +p368748 +aS'admission\tadmission\tNN\tB-NP\tO' +p368749 +aS'with\twith\tIN\tB-PP\tO' +p368750 +aS'decreased\tdecrease\tVBN\tB-NP\tO' +p368751 +aS'output\toutput\tNN\tI-NP\tO' +p368752 +aS'of\tof\tIN\tB-PP\tO' +p368753 +aS'biliary\tbiliary\tJJ\tB-NP\tO' +p368754 +aS'drain\tdrain\tNN\tI-NP\tO' +p368755 +aS'.\t.\t.\tO\tO' +p368756 +asS'The patient was admitted on the day of her surgery which was 09/20/00 .' +p368757 +(lp368758 +S'The\tThe\tDT\tB-NP\tO' +p368759 +aS'patient\tpatient\tNN\tI-NP\tO' +p368760 +aS'was\tbe\tVBD\tB-VP\tO' +p368761 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p368762 +aS'on\ton\tIN\tB-PP\tO' +p368763 +aS'the\tthe\tDT\tB-NP\tO' +p368764 +aS'day\tday\tNN\tI-NP\tO' +p368765 +aS'of\tof\tIN\tB-PP\tO' +p368766 +aS'her\ther\tPRP$\tB-NP\tO' +p368767 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p368768 +aS'which\twhich\tWDT\tB-NP\tO' +p368769 +aS'was\tbe\tVBD\tB-VP\tO' +p368770 +aS'09/20/00\t09/20/00\tCD\tB-NP\tO' +p368771 +aS'.\t.\t.\tO\tO' +p368772 +asS'The pulses were 1+ bilaterally .' +p368773 +(lp368774 +S'The\tThe\tDT\tB-NP\tO' +p368775 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p368776 +aS'were\tbe\tVBD\tB-VP\tO' +p368777 +aS'1+\t1+\tJJ\tB-ADJP\tO' +p368778 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p368779 +aS'.\t.\t.\tO\tO' +p368780 +asS'10. Ultram 50 mg Tablet Sig : One ( 1 ) Tablet PO Q6 hrs / PRN .' +p368781 +(lp368782 +S'10.\t10.\tCD\tB-NP\tO' +p368783 +aS'Ultram\tUltram\tNNP\tI-NP\tO' +p368784 +aS'50\t50\tCD\tI-NP\tO' +p368785 +aS'mg\tmg\tNN\tI-NP\tO' +p368786 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p368787 +aS'Sig\tSig\tNNP\tI-NP\tO' +p368788 +aS':\t:\t:\tO\tO' +p368789 +aS'One\tOne\tCD\tB-NP\tO' +p368790 +aS'(\t(\t(\tO\tO' +p368791 +aS'1\t1\tCD\tB-NP\tO' +p368792 +aS')\t)\t)\tO\tO' +p368793 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p368794 +aS'PO\tPO\tNN\tI-NP\tO' +p368795 +aS'Q6\tQ6\tNN\tI-NP\tO' +p368796 +aS'hrs\thr\tNNS\tI-NP\tO' +p368797 +aS'/\t/\tSYM\tB-NP\tB-protein' +p368798 +aS'PRN\tPRN\tNN\tI-NP\tI-protein' +p368799 +aS'.\t.\t.\tO\tO' +p368800 +asS'3. Pyelonephritis .' +p368801 +(lp368802 +S'3.\t3.\tLS\tB-NP\tO' +p368803 +aS'Pyelonephritis\tPyelonephritis\tNN\tI-NP\tO' +p368804 +aS'.\t.\t.\tO\tO' +p368805 +asS'Over the last few days , she has been noted to be more short of breath and having sats to 60% on RA .' +p368806 +(lp368807 +S'Over\tOver\tIN\tB-PP\tO' +p368808 +aS'the\tthe\tDT\tB-NP\tO' +p368809 +aS'last\tlast\tJJ\tI-NP\tO' +p368810 +aS'few\tfew\tJJ\tI-NP\tO' +p368811 +aS'days\tday\tNNS\tI-NP\tO' +p368812 +aS',\t,\t,\tO\tO' +p368813 +aS'she\tshe\tPRP\tB-NP\tO' +p368814 +aS'has\thave\tVBZ\tB-VP\tO' +p368815 +aS'been\tbe\tVBN\tI-VP\tO' +p368816 +aS'noted\tnote\tVBN\tI-VP\tO' +p368817 +aS'to\tto\tTO\tI-VP\tO' +p368818 +aS'be\tbe\tVB\tI-VP\tO' +p368819 +aS'more\tmore\tRBR\tB-ADJP\tO' +p368820 +aS'short\tshort\tJJ\tI-ADJP\tO' +p368821 +aS'of\tof\tIN\tB-PP\tO' +p368822 +aS'breath\tbreath\tNN\tB-NP\tO' +p368823 +aS'and\tand\tCC\tO\tO' +p368824 +aS'having\thave\tVBG\tB-VP\tO' +p368825 +aS'sats\tsat\tNNS\tB-NP\tO' +p368826 +aS'to\tto\tTO\tB-VP\tO' +p368827 +aS'60%\t60%\tVB\tI-VP\tO' +p368828 +aS'on\ton\tIN\tB-PP\tO' +p368829 +aS'RA\tRA\tNN\tB-NP\tB-protein' +p368830 +aS'.\t.\t.\tO\tO' +p368831 +asS'Pt admitted 05-24 from ER after positive RUE DVT finding in vascular lab .' +p368832 +(lp368833 +S'Pt\tPt\tNN\tB-NP\tO' +p368834 +aS'admitted\tadmit\tVBD\tB-VP\tO' +p368835 +aS'05-24\t05-24\tCD\tB-NP\tO' +p368836 +aS'from\tfrom\tIN\tB-PP\tO' +p368837 +aS'ER\tER\tNN\tB-NP\tB-protein' +p368838 +aS'after\tafter\tIN\tB-PP\tO' +p368839 +aS'positive\tpositive\tJJ\tB-NP\tO' +p368840 +aS'RUE\tRUE\tNN\tI-NP\tO' +p368841 +aS'DVT\tDVT\tNN\tI-NP\tO' +p368842 +aS'finding\tfinding\tNN\tI-NP\tO' +p368843 +aS'in\tin\tIN\tB-PP\tO' +p368844 +aS'vascular\tvascular\tJJ\tB-NP\tB-protein' +p368845 +aS'lab\tlab\tNN\tI-NP\tI-protein' +p368846 +aS'.\t.\t.\tO\tO' +p368847 +asS'Patient sent to CMED for observation after Hct continued to drop .' +p368848 +(lp368849 +S'Patient\tPatient\tNN\tB-NP\tO' +p368850 +aS'sent\tsend\tVBN\tB-VP\tO' +p368851 +aS'to\tto\tTO\tB-VP\tO' +p368852 +aS'CMED\tCMED\tVBN\tI-VP\tO' +p368853 +aS'for\tfor\tIN\tB-PP\tO' +p368854 +aS'observation\tobservation\tNN\tB-NP\tO' +p368855 +aS'after\tafter\tIN\tB-SBAR\tO' +p368856 +aS'Hct\tHct\tNN\tB-NP\tB-protein' +p368857 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p368858 +aS'to\tto\tTO\tI-VP\tO' +p368859 +aS'drop\tdrop\tVB\tI-VP\tO' +p368860 +aS'.\t.\t.\tO\tO' +p368861 +asS'CBC ( to be checked by Dr Pannell 444-1034 on 2018-08-10 )' +p368862 +(lp368863 +S'CBC\tCBC\tNN\tB-NP\tB-protein' +p368864 +aS'(\t(\t(\tO\tO' +p368865 +aS'to\tto\tTO\tB-VP\tO' +p368866 +aS'be\tbe\tVB\tI-VP\tO' +p368867 +aS'checked\tcheck\tVBN\tI-VP\tO' +p368868 +aS'by\tby\tIN\tB-PP\tO' +p368869 +aS'Dr\tDr\tNNP\tB-NP\tO' +p368870 +aS'Pannell\tPannell\tNNP\tI-NP\tO' +p368871 +aS'444-1034\t444-1034\tCD\tI-NP\tO' +p368872 +aS'on\ton\tIN\tB-PP\tO' +p368873 +aS'2018-08-10\t2018-08-10\tCD\tB-NP\tO' +p368874 +aS')\t)\t)\tO\tO' +p368875 +asS'The patient also reported an 18 lb weight loss over the last 4-5 months .' +p368876 +(lp368877 +S'The\tThe\tDT\tB-NP\tO' +p368878 +aS'patient\tpatient\tNN\tI-NP\tO' +p368879 +aS'also\talso\tRB\tB-ADVP\tO' +p368880 +aS'reported\treport\tVBD\tB-VP\tO' +p368881 +aS'an\tan\tDT\tB-NP\tO' +p368882 +aS'18\t18\tCD\tI-NP\tO' +p368883 +aS'lb\tlb\tNN\tI-NP\tO' +p368884 +aS'weight\tweight\tNN\tI-NP\tO' +p368885 +aS'loss\tloss\tNN\tI-NP\tO' +p368886 +aS'over\tover\tIN\tB-PP\tO' +p368887 +aS'the\tthe\tDT\tB-NP\tO' +p368888 +aS'last\tlast\tJJ\tI-NP\tO' +p368889 +aS'4-5\t4-5\tCD\tI-NP\tO' +p368890 +aS'months\tmonth\tNNS\tI-NP\tO' +p368891 +aS'.\t.\t.\tO\tO' +p368892 +asS'The hospitalisation was also significant for mild DIC for which she received cryoglobulins and UTI (+ Enterococcus and + Klebsiella ).' +p368893 +(lp368894 +S'The\tThe\tDT\tB-NP\tO' +p368895 +aS'hospitalisation\thospitalisation\tNN\tI-NP\tO' +p368896 +aS'was\tbe\tVBD\tB-VP\tO' +p368897 +aS'also\talso\tRB\tB-ADVP\tO' +p368898 +aS'significant\tsignificant\tJJ\tB-ADJP\tO' +p368899 +aS'for\tfor\tIN\tB-PP\tO' +p368900 +aS'mild\tmild\tJJ\tB-NP\tO' +p368901 +aS'DIC\tDIC\tNN\tI-NP\tO' +p368902 +aS'for\tfor\tIN\tB-PP\tO' +p368903 +aS'which\twhich\tWDT\tB-NP\tO' +p368904 +aS'she\tshe\tPRP\tB-NP\tB-protein' +p368905 +aS'received\treceive\tVBD\tB-VP\tI-protein' +p368906 +aS'cryoglobulins\tcryoglobulin\tNNS\tB-NP\tI-protein' +p368907 +aS'and\tand\tCC\tO\tO' +p368908 +aS'UTI\tUTI\tNNP\tB-NP\tO' +p368909 +aS'(+\t(+\tNNP\tI-NP\tO' +p368910 +aS'Enterococcus\tEnterococcus\tNNP\tI-NP\tO' +p368911 +aS'and\tand\tCC\tO\tO' +p368912 +aS'+\t+\tSYM\tB-NP\tO' +p368913 +aS'Klebsiella\tKlebsiella\tNNP\tI-NP\tO' +p368914 +aS').\t).\t)\tO\tO' +p368915 +asS'Patient recorded as having No Known Allergies to Drugs' +p368916 +(lp368917 +S'Patient\tPatient\tNN\tB-NP\tO' +p368918 +aS'recorded\trecord\tVBD\tB-VP\tO' +p368919 +aS'as\tas\tIN\tB-PP\tO' +p368920 +aS'having\thave\tVBG\tB-VP\tO' +p368921 +aS'No\tNo\tDT\tB-NP\tO' +p368922 +aS'Known\tKnown\tNNP\tI-NP\tO' +p368923 +aS'Allergies\tAllergy\tNNPS\tI-NP\tO' +p368924 +aS'to\tto\tTO\tB-PP\tO' +p368925 +aS'Drugs\tDrug\tNNS\tB-NP\tO' +p368926 +asS'Pulses are 2 plus femoral bilaterally , 2 plus dorsalis pedis as well as posterior tibial bilaterally .' +p368927 +(lp368928 +S'Pulses\tPulse\tNNS\tB-NP\tO' +p368929 +aS'are\tbe\tVBP\tB-VP\tO' +p368930 +aS'2\t2\tCD\tB-NP\tO' +p368931 +aS'plus\tplus\tCC\tO\tO' +p368932 +aS'femoral\tfemoral\tJJ\tB-NP\tO' +p368933 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p368934 +aS',\t,\t,\tO\tO' +p368935 +aS'2\t2\tCD\tB-NP\tO' +p368936 +aS'plus\tplus\tCC\tO\tO' +p368937 +aS'dorsalis\tdorsalis\tNN\tB-NP\tO' +p368938 +aS'pedis\tpedis\tNN\tI-NP\tO' +p368939 +aS'as\tas\tRB\tB-CONJP\tO' +p368940 +aS'well\twell\tRB\tI-CONJP\tO' +p368941 +aS'as\tas\tIN\tI-CONJP\tO' +p368942 +aS'posterior\tposterior\tJJ\tB-NP\tO' +p368943 +aS'tibial\ttibial\tNN\tI-NP\tO' +p368944 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p368945 +aS'.\t.\t.\tO\tO' +p368946 +asS'05-11- Stool : negative for Cdiff toxin' +p368947 +(lp368948 +S'05-11-\t05-11-\tCD\tB-NP\tO' +p368949 +aS'Stool\tStool\tNNP\tI-NP\tO' +p368950 +aS':\t:\t:\tO\tO' +p368951 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p368952 +aS'for\tfor\tIN\tB-PP\tO' +p368953 +aS'Cdiff\tCdiff\tNN\tB-NP\tB-protein' +p368954 +aS'toxin\ttoxin\tNN\tI-NP\tI-protein' +p368955 +asS'Please call if you notice redness , swelling , or tenderness of your chest wound , or if it begins to drain pus .' +p368956 +(lp368957 +S'Please\tPlease\tVB\tB-VP\tO' +p368958 +aS'call\tcall\tVB\tI-VP\tO' +p368959 +aS'if\tif\tIN\tB-SBAR\tO' +p368960 +aS'you\tyou\tPRP\tB-NP\tO' +p368961 +aS'notice\tnotice\tVBP\tB-VP\tO' +p368962 +aS'redness\tredness\tNN\tB-NP\tO' +p368963 +aS',\t,\t,\tO\tO' +p368964 +aS'swelling\tswelling\tNN\tB-NP\tO' +p368965 +aS',\t,\t,\tO\tO' +p368966 +aS'or\tor\tCC\tO\tO' +p368967 +aS'tenderness\ttenderness\tNN\tB-NP\tO' +p368968 +aS'of\tof\tIN\tB-PP\tO' +p368969 +aS'your\tyour\tPRP$\tB-NP\tO' +p368970 +aS'chest\tchest\tNN\tI-NP\tO' +p368971 +aS'wound\twound\tNN\tI-NP\tO' +p368972 +aS',\t,\t,\tO\tO' +p368973 +aS'or\tor\tCC\tO\tO' +p368974 +aS'if\tif\tIN\tB-SBAR\tO' +p368975 +aS'it\tit\tPRP\tB-NP\tO' +p368976 +aS'begins\tbegin\tVBZ\tB-VP\tO' +p368977 +aS'to\tto\tTO\tI-VP\tO' +p368978 +aS'drain\tdrain\tVB\tI-VP\tO' +p368979 +aS'pus\tpus\tNN\tB-NP\tO' +p368980 +aS'.\t.\t.\tO\tO' +p368981 +asS'Acute Interstitial Nephritis ( Oxacillin )' +p368982 +(lp368983 +S'Acute\tAcute\tJJ\tB-NP\tO' +p368984 +aS'Interstitial\tInterstitial\tJJ\tI-NP\tO' +p368985 +aS'Nephritis\tNephritis\tNN\tI-NP\tO' +p368986 +aS'(\t(\t(\tO\tO' +p368987 +aS'Oxacillin\tOxacillin\tNN\tB-NP\tO' +p368988 +aS')\t)\t)\tO\tO' +p368989 +asS'She was taken to ERCP where sphincterotomy was performed and biliary stent was placed .' +p368990 +(lp368991 +S'She\tShe\tPRP\tB-NP\tO' +p368992 +aS'was\tbe\tVBD\tB-VP\tO' +p368993 +aS'taken\ttake\tVBN\tI-VP\tO' +p368994 +aS'to\tto\tTO\tB-PP\tO' +p368995 +aS'ERCP\tERCP\tNN\tB-NP\tB-protein' +p368996 +aS'where\twhere\tWRB\tB-ADVP\tO' +p368997 +aS'sphincterotomy\tsphincterotomy\tNN\tB-NP\tO' +p368998 +aS'was\tbe\tVBD\tB-VP\tO' +p368999 +aS'performed\tperform\tVBN\tI-VP\tO' +p369000 +aS'and\tand\tCC\tO\tO' +p369001 +aS'biliary\tbiliary\tJJ\tB-NP\tO' +p369002 +aS'stent\tstent\tNN\tI-NP\tO' +p369003 +aS'was\tbe\tVBD\tB-VP\tO' +p369004 +aS'placed\tplace\tVBN\tI-VP\tO' +p369005 +aS'.\t.\t.\tO\tO' +p369006 +asS'However , with increasing diuresis and improving septic pictures his O2 saturations have improved and he is now on nasal cannula and will be maintained on nasal cannula to keep his sat above 93% .' +p369007 +(lp369008 +S'However\tHowever\tRB\tB-ADVP\tO' +p369009 +aS',\t,\t,\tO\tO' +p369010 +aS'with\twith\tIN\tB-PP\tO' +p369011 +aS'increasing\tincrease\tVBG\tB-NP\tO' +p369012 +aS'diuresis\tdiuresis\tNN\tI-NP\tO' +p369013 +aS'and\tand\tCC\tO\tO' +p369014 +aS'improving\timprove\tVBG\tB-VP\tO' +p369015 +aS'septic\tseptic\tJJ\tB-NP\tO' +p369016 +aS'pictures\tpicture\tNNS\tI-NP\tO' +p369017 +aS'his\this\tPRP$\tB-NP\tO' +p369018 +aS'O2\tO2\tNN\tI-NP\tO' +p369019 +aS'saturations\tsaturation\tNNS\tI-NP\tO' +p369020 +aS'have\thave\tVBP\tB-VP\tO' +p369021 +aS'improved\timprove\tVBN\tI-VP\tO' +p369022 +aS'and\tand\tCC\tO\tO' +p369023 +aS'he\the\tPRP\tB-NP\tO' +p369024 +aS'is\tbe\tVBZ\tB-VP\tO' +p369025 +aS'now\tnow\tRB\tB-ADVP\tO' +p369026 +aS'on\ton\tIN\tB-PP\tO' +p369027 +aS'nasal\tnasal\tJJ\tB-NP\tO' +p369028 +aS'cannula\tcannula\tNN\tI-NP\tO' +p369029 +aS'and\tand\tCC\tO\tO' +p369030 +aS'will\twill\tMD\tB-VP\tO' +p369031 +aS'be\tbe\tVB\tI-VP\tO' +p369032 +aS'maintained\tmaintain\tVBN\tI-VP\tO' +p369033 +aS'on\ton\tIN\tB-PP\tO' +p369034 +aS'nasal\tnasal\tJJ\tB-NP\tO' +p369035 +aS'cannula\tcannula\tNN\tI-NP\tO' +p369036 +aS'to\tto\tTO\tB-VP\tO' +p369037 +aS'keep\tkeep\tVB\tI-VP\tO' +p369038 +aS'his\this\tPRP$\tB-NP\tO' +p369039 +aS'sat\tsat\tNN\tI-NP\tB-protein' +p369040 +aS'above\tabove\tIN\tB-PP\tI-protein' +p369041 +aS'93%\t93%\tCD\tB-NP\tI-protein' +p369042 +aS'.\t.\t.\tO\tO' +p369043 +asS'Cardiology Report ECG Study Date of 2018-08-02 5:40:48 PM' +p369044 +(lp369045 +S'Cardiology\tCardiology\tNNP\tB-NP\tO' +p369046 +aS'Report\tReport\tNNP\tI-NP\tO' +p369047 +aS'ECG\tECG\tNNP\tI-NP\tO' +p369048 +aS'Study\tStudy\tNNP\tI-NP\tO' +p369049 +aS'Date\tDate\tNNP\tI-NP\tO' +p369050 +aS'of\tof\tIN\tB-PP\tO' +p369051 +aS'2018-08-02\t2018-08-02\tCD\tB-NP\tO' +p369052 +aS'5:40:48\t5:40:48\tCD\tI-NP\tO' +p369053 +aS'PM\tPM\tNN\tI-NP\tO' +p369054 +asS'The patient was initially trialed on BiPAP , but the patient was increasingly dyspneic , increased respiratory stress and ultimately needed to be intubated on 06-22 .' +p369055 +(lp369056 +S'The\tThe\tDT\tB-NP\tO' +p369057 +aS'patient\tpatient\tNN\tI-NP\tO' +p369058 +aS'was\tbe\tVBD\tB-VP\tO' +p369059 +aS'initially\tinitially\tRB\tI-VP\tO' +p369060 +aS'trialed\ttriale\tVBN\tI-VP\tO' +p369061 +aS'on\ton\tIN\tB-PP\tO' +p369062 +aS'BiPAP\tBiPAP\tNN\tB-NP\tB-protein' +p369063 +aS',\t,\t,\tO\tO' +p369064 +aS'but\tbut\tCC\tO\tO' +p369065 +aS'the\tthe\tDT\tB-NP\tO' +p369066 +aS'patient\tpatient\tNN\tI-NP\tO' +p369067 +aS'was\tbe\tVBD\tB-VP\tO' +p369068 +aS'increasingly\tincreasingly\tRB\tB-ADJP\tO' +p369069 +aS'dyspneic\tdyspneic\tJJ\tI-ADJP\tO' +p369070 +aS',\t,\t,\tO\tO' +p369071 +aS'increased\tincrease\tVBN\tB-NP\tO' +p369072 +aS'respiratory\trespiratory\tJJ\tI-NP\tO' +p369073 +aS'stress\tstress\tNN\tI-NP\tO' +p369074 +aS'and\tand\tCC\tO\tO' +p369075 +aS'ultimately\tultimately\tRB\tB-VP\tO' +p369076 +aS'needed\tneed\tVBN\tI-VP\tO' +p369077 +aS'to\tto\tTO\tI-VP\tO' +p369078 +aS'be\tbe\tVB\tI-VP\tO' +p369079 +aS'intubated\tintubate\tVBN\tI-VP\tO' +p369080 +aS'on\ton\tIN\tB-PP\tO' +p369081 +aS'06-22\t06-22\tCD\tB-NP\tO' +p369082 +aS'.\t.\t.\tO\tO' +p369083 +asS'Sternal incision staples are intact and open to air .' +p369084 +(lp369085 +S'Sternal\tSternal\tJJ\tB-NP\tO' +p369086 +aS'incision\tincision\tNN\tI-NP\tO' +p369087 +aS'staples\tstaple\tNNS\tI-NP\tO' +p369088 +aS'are\tbe\tVBP\tB-VP\tO' +p369089 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p369090 +aS'and\tand\tCC\tO\tO' +p369091 +aS'open\topen\tJJ\tB-ADJP\tO' +p369092 +aS'to\tto\tTO\tB-PP\tO' +p369093 +aS'air\tair\tNN\tB-NP\tO' +p369094 +aS'.\t.\t.\tO\tO' +p369095 +asS'- Albuterol / Atrovent nebs q4' +p369096 +(lp369097 +S'-\t-\tHYPH\tB-NP\tO' +p369098 +aS'Albuterol\tAlbuterol\tNN\tI-NP\tO' +p369099 +aS'/\t/\tSYM\tB-NP\tO' +p369100 +aS'Atrovent\tAtrovent\tNN\tB-NP\tO' +p369101 +aS'nebs\tneb\tNNS\tI-NP\tO' +p369102 +aS'q4\tq4\tNN\tI-NP\tO' +p369103 +asS'The Levophed had been discontinued as the Neo-Synephrine and the patient was beginning to progress hemodynamically .' +p369104 +(lp369105 +S'The\tThe\tDT\tB-NP\tO' +p369106 +aS'Levophed\tLevophed\tNNP\tI-NP\tO' +p369107 +aS'had\thave\tVBD\tB-VP\tO' +p369108 +aS'been\tbe\tVBN\tI-VP\tO' +p369109 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p369110 +aS'as\tas\tIN\tB-PP\tO' +p369111 +aS'the\tthe\tDT\tB-NP\tO' +p369112 +aS'Neo-Synephrine\tNeo-Synephrine\tNN\tI-NP\tO' +p369113 +aS'and\tand\tCC\tO\tO' +p369114 +aS'the\tthe\tDT\tB-NP\tO' +p369115 +aS'patient\tpatient\tNN\tI-NP\tO' +p369116 +aS'was\tbe\tVBD\tB-VP\tO' +p369117 +aS'beginning\tbegin\tVBG\tI-VP\tO' +p369118 +aS'to\tto\tTO\tI-VP\tO' +p369119 +aS'progress\tprogress\tVB\tI-VP\tO' +p369120 +aS'hemodynamically\themodynamically\tRB\tB-ADVP\tO' +p369121 +aS'.\t.\t.\tO\tO' +p369122 +asS'She was born and raised in Atonlaremont Rockpo .' +p369123 +(lp369124 +S'She\tShe\tPRP\tB-NP\tO' +p369125 +aS'was\tbe\tVBD\tB-VP\tO' +p369126 +aS'born\tbear\tVBN\tI-VP\tO' +p369127 +aS'and\tand\tCC\tI-VP\tO' +p369128 +aS'raised\traise\tVBN\tI-VP\tO' +p369129 +aS'in\tin\tIN\tB-PP\tO' +p369130 +aS'Atonlaremont\tAtonlaremont\tNNP\tB-NP\tO' +p369131 +aS'Rockpo\tRockpo\tNNP\tI-NP\tO' +p369132 +aS'.\t.\t.\tO\tO' +p369133 +asS'This showed continued evolution of the right posterior cerebral artery infarction now extending into the right cerebellar hemisphere .' +p369134 +(lp369135 +S'This\tThis\tDT\tB-NP\tO' +p369136 +aS'showed\tshow\tVBD\tB-VP\tO' +p369137 +aS'continued\tcontinue\tVBN\tB-NP\tO' +p369138 +aS'evolution\tevolution\tNN\tI-NP\tO' +p369139 +aS'of\tof\tIN\tB-PP\tO' +p369140 +aS'the\tthe\tDT\tB-NP\tO' +p369141 +aS'right\tright\tJJ\tI-NP\tO' +p369142 +aS'posterior\tposterior\tJJ\tI-NP\tO' +p369143 +aS'cerebral\tcerebral\tJJ\tI-NP\tO' +p369144 +aS'artery\tartery\tNN\tI-NP\tO' +p369145 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p369146 +aS'now\tnow\tRB\tB-ADVP\tO' +p369147 +aS'extending\textend\tVBG\tB-VP\tO' +p369148 +aS'into\tinto\tIN\tB-PP\tO' +p369149 +aS'the\tthe\tDT\tB-NP\tO' +p369150 +aS'right\tright\tJJ\tI-NP\tO' +p369151 +aS'cerebellar\tcerebellar\tJJ\tI-NP\tO' +p369152 +aS'hemisphere\themisphere\tNN\tI-NP\tO' +p369153 +aS'.\t.\t.\tO\tO' +p369154 +asS'Third degree burn on dorsum of forearm and on dorsum of hand with extensive second degree burn around the remainder of his hand circumferentially and on his forearm .' +p369155 +(lp369156 +S'Third\tThird\tJJ\tB-NP\tO' +p369157 +aS'degree\tdegree\tNN\tI-NP\tO' +p369158 +aS'burn\tburn\tVBP\tB-VP\tO' +p369159 +aS'on\ton\tIN\tB-PP\tO' +p369160 +aS'dorsum\tdorsum\tNN\tB-NP\tO' +p369161 +aS'of\tof\tIN\tB-PP\tO' +p369162 +aS'forearm\tforearm\tNN\tB-NP\tO' +p369163 +aS'and\tand\tCC\tB-PP\tO' +p369164 +aS'on\ton\tIN\tB-PP\tO' +p369165 +aS'dorsum\tdorsum\tNN\tB-NP\tO' +p369166 +aS'of\tof\tIN\tB-PP\tO' +p369167 +aS'hand\thand\tNN\tB-NP\tO' +p369168 +aS'with\twith\tIN\tB-PP\tO' +p369169 +aS'extensive\textensive\tJJ\tB-NP\tO' +p369170 +aS'second\tsecond\tJJ\tI-NP\tO' +p369171 +aS'degree\tdegree\tNN\tI-NP\tO' +p369172 +aS'burn\tburn\tVBP\tB-VP\tO' +p369173 +aS'around\taround\tIN\tB-PP\tO' +p369174 +aS'the\tthe\tDT\tB-NP\tO' +p369175 +aS'remainder\tremainder\tNN\tI-NP\tO' +p369176 +aS'of\tof\tIN\tB-PP\tO' +p369177 +aS'his\this\tPRP$\tB-NP\tO' +p369178 +aS'hand\thand\tNN\tI-NP\tO' +p369179 +aS'circumferentially\tcircumferentially\tRB\tB-ADVP\tO' +p369180 +aS'and\tand\tCC\tO\tO' +p369181 +aS'on\ton\tIN\tB-PP\tO' +p369182 +aS'his\this\tPRP$\tB-NP\tO' +p369183 +aS'forearm\tforearm\tNN\tI-NP\tO' +p369184 +aS'.\t.\t.\tO\tO' +p369185 +asS'B12 , folate , RPR were all sent that were unremarkable as causes for delta MS .' +p369186 +(lp369187 +S'B12\tB12\tNN\tB-NP\tB-protein' +p369188 +aS',\t,\t,\tO\tO' +p369189 +aS'folate\tfolate\tNN\tB-NP\tO' +p369190 +aS',\t,\t,\tO\tO' +p369191 +aS'RPR\tRPR\tNN\tB-NP\tB-protein' +p369192 +aS'were\tbe\tVBD\tB-VP\tO' +p369193 +aS'all\tall\tDT\tB-NP\tO' +p369194 +aS'sent\tsent\tNN\tI-NP\tO' +p369195 +aS'that\tthat\tWDT\tB-NP\tO' +p369196 +aS'were\tbe\tVBD\tB-VP\tO' +p369197 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p369198 +aS'as\tas\tIN\tB-PP\tO' +p369199 +aS'causes\tcause\tNNS\tB-NP\tO' +p369200 +aS'for\tfor\tIN\tB-PP\tO' +p369201 +aS'delta\tdelta\tNN\tB-NP\tO' +p369202 +aS'MS\tMS\tNN\tI-NP\tO' +p369203 +aS'.\t.\t.\tO\tO' +p369204 +asS'The patient was able to be weaned to six liters nasal cannula after extubation , however , it was noted on chest x-ray that he had a small apical pneumothorax .' +p369205 +(lp369206 +S'The\tThe\tDT\tB-NP\tO' +p369207 +aS'patient\tpatient\tNN\tI-NP\tO' +p369208 +aS'was\tbe\tVBD\tB-VP\tO' +p369209 +aS'able\table\tJJ\tB-ADJP\tO' +p369210 +aS'to\tto\tTO\tB-VP\tO' +p369211 +aS'be\tbe\tVB\tI-VP\tO' +p369212 +aS'weaned\twean\tVBN\tI-VP\tO' +p369213 +aS'to\tto\tTO\tB-PP\tO' +p369214 +aS'six\tsix\tCD\tB-NP\tO' +p369215 +aS'liters\tliter\tNNS\tI-NP\tO' +p369216 +aS'nasal\tnasal\tJJ\tI-NP\tO' +p369217 +aS'cannula\tcannula\tNN\tI-NP\tO' +p369218 +aS'after\tafter\tIN\tB-PP\tO' +p369219 +aS'extubation\textubation\tNN\tB-NP\tO' +p369220 +aS',\t,\t,\tO\tO' +p369221 +aS'however\thowever\tRB\tB-ADVP\tO' +p369222 +aS',\t,\t,\tO\tO' +p369223 +aS'it\tit\tPRP\tB-NP\tO' +p369224 +aS'was\tbe\tVBD\tB-VP\tO' +p369225 +aS'noted\tnote\tVBN\tI-VP\tO' +p369226 +aS'on\ton\tIN\tB-PP\tO' +p369227 +aS'chest\tchest\tNN\tB-NP\tO' +p369228 +aS'x-ray\tx-ray\tNN\tI-NP\tO' +p369229 +aS'that\tthat\tIN\tB-NP\tO' +p369230 +aS'he\the\tPRP\tB-NP\tO' +p369231 +aS'had\thave\tVBD\tB-VP\tO' +p369232 +aS'a\ta\tDT\tB-NP\tO' +p369233 +aS'small\tsmall\tJJ\tI-NP\tO' +p369234 +aS'apical\tapical\tJJ\tI-NP\tO' +p369235 +aS'pneumothorax\tpneumothorax\tNN\tI-NP\tO' +p369236 +aS'.\t.\t.\tO\tO' +p369237 +asS'She has recently been on Depo-Provera and has had episodes of break-through bleeding for six weeks at a time .' +p369238 +(lp369239 +S'She\tShe\tPRP\tB-NP\tO' +p369240 +aS'has\thave\tVBZ\tB-VP\tO' +p369241 +aS'recently\trecently\tRB\tI-VP\tO' +p369242 +aS'been\tbe\tVBN\tI-VP\tO' +p369243 +aS'on\ton\tIN\tB-PP\tO' +p369244 +aS'Depo-Provera\tDepo-Provera\tNN\tB-NP\tO' +p369245 +aS'and\tand\tCC\tO\tO' +p369246 +aS'has\thave\tVBZ\tB-VP\tO' +p369247 +aS'had\thave\tVBN\tI-VP\tO' +p369248 +aS'episodes\tepisode\tNNS\tB-NP\tO' +p369249 +aS'of\tof\tIN\tB-PP\tO' +p369250 +aS'break-through\tbreak-through\tNN\tB-NP\tO' +p369251 +aS'bleeding\tbleed\tVBG\tB-VP\tO' +p369252 +aS'for\tfor\tIN\tB-PP\tO' +p369253 +aS'six\tsix\tCD\tB-NP\tO' +p369254 +aS'weeks\tweek\tNNS\tI-NP\tO' +p369255 +aS'at\tat\tIN\tB-PP\tO' +p369256 +aS'a\ta\tDT\tB-NP\tO' +p369257 +aS'time\ttime\tNN\tI-NP\tO' +p369258 +aS'.\t.\t.\tO\tO' +p369259 +asS'The patient did report taking a po antibiotic ( Ciprofloxacin ) for right great toe infection ( question of cellulitis vs. paronychia ) .' +p369260 +(lp369261 +S'The\tThe\tDT\tB-NP\tO' +p369262 +aS'patient\tpatient\tNN\tI-NP\tO' +p369263 +aS'did\tdo\tVBD\tB-VP\tO' +p369264 +aS'report\treport\tNN\tB-NP\tO' +p369265 +aS'taking\ttake\tVBG\tB-VP\tO' +p369266 +aS'a\ta\tDT\tB-NP\tO' +p369267 +aS'po\tpo\tNN\tI-NP\tO' +p369268 +aS'antibiotic\tantibiotic\tNN\tI-NP\tO' +p369269 +aS'(\t(\t(\tO\tO' +p369270 +aS'Ciprofloxacin\tCiprofloxacin\tNN\tB-NP\tO' +p369271 +aS')\t)\t)\tO\tO' +p369272 +aS'for\tfor\tIN\tB-PP\tO' +p369273 +aS'right\tright\tJJ\tB-NP\tO' +p369274 +aS'great\tgreat\tJJ\tI-NP\tO' +p369275 +aS'toe\ttoe\tNN\tI-NP\tO' +p369276 +aS'infection\tinfection\tNN\tI-NP\tO' +p369277 +aS'(\t(\t(\tO\tO' +p369278 +aS'question\tquestion\tNN\tB-NP\tO' +p369279 +aS'of\tof\tIN\tB-PP\tO' +p369280 +aS'cellulitis\tcellulitis\tNN\tB-NP\tO' +p369281 +aS'vs.\tvs.\tCC\tI-NP\tO' +p369282 +aS'paronychia\tparonychia\tNN\tB-NP\tO' +p369283 +aS')\t)\t)\tO\tO' +p369284 +aS'.\t.\t.\tO\tO' +p369285 +asS'2. She will see Dr. Days in his office in two weeks .' +p369286 +(lp369287 +S'2.\t2.\tLS\tB-LST\tO' +p369288 +aS'She\tShe\tPRP\tB-NP\tO' +p369289 +aS'will\twill\tMD\tB-VP\tO' +p369290 +aS'see\tsee\tVB\tI-VP\tO' +p369291 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p369292 +aS'Days\tDay\tNNPS\tI-NP\tO' +p369293 +aS'in\tin\tIN\tB-PP\tO' +p369294 +aS'his\this\tPRP$\tB-NP\tO' +p369295 +aS'office\toffice\tNN\tI-NP\tO' +p369296 +aS'in\tin\tIN\tB-PP\tO' +p369297 +aS'two\ttwo\tCD\tB-NP\tO' +p369298 +aS'weeks\tweek\tNNS\tI-NP\tO' +p369299 +aS'.\t.\t.\tO\tO' +p369300 +asS'This decision was made after an extensive discussion with her husband and family as the likelihood of significant meaningful recovery is extremely low .' +p369301 +(lp369302 +S'This\tThis\tDT\tB-NP\tO' +p369303 +aS'decision\tdecision\tNN\tI-NP\tO' +p369304 +aS'was\tbe\tVBD\tB-VP\tO' +p369305 +aS'made\tmake\tVBN\tI-VP\tO' +p369306 +aS'after\tafter\tIN\tB-PP\tO' +p369307 +aS'an\tan\tDT\tB-NP\tO' +p369308 +aS'extensive\textensive\tJJ\tI-NP\tO' +p369309 +aS'discussion\tdiscussion\tNN\tI-NP\tO' +p369310 +aS'with\twith\tIN\tB-PP\tO' +p369311 +aS'her\ther\tPRP$\tB-NP\tO' +p369312 +aS'husband\thusband\tNN\tI-NP\tO' +p369313 +aS'and\tand\tCC\tI-NP\tO' +p369314 +aS'family\tfamily\tNN\tI-NP\tO' +p369315 +aS'as\tas\tIN\tB-PP\tO' +p369316 +aS'the\tthe\tDT\tB-NP\tO' +p369317 +aS'likelihood\tlikelihood\tNN\tI-NP\tO' +p369318 +aS'of\tof\tIN\tB-PP\tO' +p369319 +aS'significant\tsignificant\tJJ\tB-NP\tO' +p369320 +aS'meaningful\tmeaningful\tJJ\tI-NP\tO' +p369321 +aS'recovery\trecovery\tNN\tI-NP\tO' +p369322 +aS'is\tbe\tVBZ\tB-VP\tO' +p369323 +aS'extremely\textremely\tRB\tB-ADJP\tO' +p369324 +aS'low\tlow\tJJ\tI-ADJP\tO' +p369325 +aS'.\t.\t.\tO\tO' +p369326 +asS'Pred-Forte 1% one drop OS bid .' +p369327 +(lp369328 +S'Pred-Forte\tPred-Forte\tJJ\tB-NP\tO' +p369329 +aS'1%\t1%\tCD\tI-NP\tO' +p369330 +aS'one\tone\tCD\tI-NP\tO' +p369331 +aS'drop\tdrop\tNN\tI-NP\tO' +p369332 +aS'OS\tOS\tNN\tI-NP\tO' +p369333 +aS'bid\tbid\tNN\tI-NP\tO' +p369334 +aS'.\t.\t.\tO\tO' +p369335 +asS'On 02/22 , she underwent angiography , which revealed minimal right internal carotid artery disease , and proximal left internal carotid artery stenosis , 2 cm in length for the 1 mm residual lumen .' +p369336 +(lp369337 +S'On\tOn\tIN\tB-PP\tO' +p369338 +aS'02/22\t02/22\tCD\tB-NP\tO' +p369339 +aS',\t,\t,\tO\tO' +p369340 +aS'she\tshe\tPRP\tB-NP\tO' +p369341 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p369342 +aS'angiography\tangiography\tNN\tB-NP\tO' +p369343 +aS',\t,\t,\tO\tO' +p369344 +aS'which\twhich\tWDT\tB-NP\tO' +p369345 +aS'revealed\treveal\tVBD\tB-VP\tO' +p369346 +aS'minimal\tminimal\tJJ\tB-NP\tO' +p369347 +aS'right\tright\tJJ\tI-NP\tO' +p369348 +aS'internal\tinternal\tJJ\tI-NP\tO' +p369349 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p369350 +aS'artery\tartery\tNN\tI-NP\tO' +p369351 +aS'disease\tdisease\tNN\tI-NP\tO' +p369352 +aS',\t,\t,\tO\tO' +p369353 +aS'and\tand\tCC\tO\tO' +p369354 +aS'proximal\tproximal\tJJ\tB-NP\tO' +p369355 +aS'left\tleft\tJJ\tI-NP\tO' +p369356 +aS'internal\tinternal\tJJ\tI-NP\tO' +p369357 +aS'carotid\tcarotid\tNN\tI-NP\tO' +p369358 +aS'artery\tartery\tNN\tI-NP\tO' +p369359 +aS'stenosis\tstenosis\tNN\tI-NP\tO' +p369360 +aS',\t,\t,\tO\tO' +p369361 +aS'2\t2\tCD\tB-NP\tO' +p369362 +aS'cm\tcm\tNN\tI-NP\tO' +p369363 +aS'in\tin\tIN\tB-PP\tO' +p369364 +aS'length\tlength\tNN\tB-NP\tO' +p369365 +aS'for\tfor\tIN\tB-PP\tO' +p369366 +aS'the\tthe\tDT\tB-NP\tO' +p369367 +aS'1\t1\tCD\tI-NP\tO' +p369368 +aS'mm\tmm\tNN\tI-NP\tO' +p369369 +aS'residual\tresidual\tJJ\tI-NP\tO' +p369370 +aS'lumen\tluman\tNNS\tI-NP\tO' +p369371 +aS'.\t.\t.\tO\tO' +p369372 +asS'The patient on the date of September 5 , 1994 had cardiac catheterization which showed normal resting hemodynamics .' +p369373 +(lp369374 +S'The\tThe\tDT\tB-NP\tO' +p369375 +aS'patient\tpatient\tNN\tI-NP\tO' +p369376 +aS'on\ton\tIN\tB-PP\tO' +p369377 +aS'the\tthe\tDT\tB-NP\tO' +p369378 +aS'date\tdate\tNN\tI-NP\tO' +p369379 +aS'of\tof\tIN\tB-PP\tO' +p369380 +aS'September\tSeptember\tNNP\tB-NP\tO' +p369381 +aS'5\t5\tCD\tI-NP\tO' +p369382 +aS',\t,\t,\tI-NP\tO' +p369383 +aS'1994\t1994\tCD\tI-NP\tO' +p369384 +aS'had\thave\tVBD\tB-VP\tO' +p369385 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p369386 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p369387 +aS'which\twhich\tWDT\tB-NP\tO' +p369388 +aS'showed\tshow\tVBD\tB-VP\tO' +p369389 +aS'normal\tnormal\tJJ\tB-NP\tO' +p369390 +aS'resting\trest\tVBG\tI-NP\tO' +p369391 +aS'hemodynamics\themodynamic\tNNS\tI-NP\tO' +p369392 +aS'.\t.\t.\tO\tO' +p369393 +asS'He also withdrew his left upper extremity to peripheral stimulation but not his right upper extremity .' +p369394 +(lp369395 +S'He\tHe\tPRP\tB-NP\tO' +p369396 +aS'also\talso\tRB\tB-ADVP\tO' +p369397 +aS'withdrew\twithdraw\tVBD\tB-VP\tO' +p369398 +aS'his\this\tPRP$\tB-NP\tO' +p369399 +aS'left\tleft\tJJ\tI-NP\tO' +p369400 +aS'upper\tupper\tJJ\tI-NP\tO' +p369401 +aS'extremity\textremity\tNN\tI-NP\tO' +p369402 +aS'to\tto\tTO\tB-PP\tO' +p369403 +aS'peripheral\tperipheral\tJJ\tB-NP\tO' +p369404 +aS'stimulation\tstimulation\tNN\tI-NP\tO' +p369405 +aS'but\tbut\tCC\tB-CONJP\tO' +p369406 +aS'not\tnot\tRB\tI-CONJP\tO' +p369407 +aS'his\this\tPRP$\tB-NP\tO' +p369408 +aS'right\tright\tJJ\tI-NP\tO' +p369409 +aS'upper\tupper\tJJ\tI-NP\tO' +p369410 +aS'extremity\textremity\tNN\tI-NP\tO' +p369411 +aS'.\t.\t.\tO\tO' +p369412 +asS'On 04-18 , Dr. Oneill performed off pump coronary artery bypass grafting .' +p369413 +(lp369414 +S'On\tOn\tIN\tB-PP\tO' +p369415 +aS'04-18\t04-18\tCD\tB-NP\tO' +p369416 +aS',\t,\t,\tO\tO' +p369417 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p369418 +aS'Oneill\tOneill\tNNP\tI-NP\tO' +p369419 +aS'performed\tperform\tVBD\tB-VP\tO' +p369420 +aS'off\toff\tRP\tB-PRT\tO' +p369421 +aS'pump\tpump\tNN\tB-NP\tO' +p369422 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p369423 +aS'artery\tartery\tNN\tI-NP\tO' +p369424 +aS'bypass\tbypass\tIN\tB-PP\tO' +p369425 +aS'grafting\tgrafting\tNN\tB-NP\tO' +p369426 +aS'.\t.\t.\tO\tO' +p369427 +asS'3. At 29-30 week gestation concern for fetal decelerations of twin A , admitted to Cambridge Health Alliance , completed a course of Betamethasone , discharged to home .' +p369428 +(lp369429 +S'3.\t3.\tLS\tB-LST\tO' +p369430 +aS'At\tAt\tIN\tB-PP\tO' +p369431 +aS'29-30\t29-30\tCD\tB-NP\tO' +p369432 +aS'week\tweek\tNN\tI-NP\tO' +p369433 +aS'gestation\tgestation\tNN\tI-NP\tO' +p369434 +aS'concern\tconcern\tNN\tI-NP\tO' +p369435 +aS'for\tfor\tIN\tB-PP\tO' +p369436 +aS'fetal\tfetal\tJJ\tB-NP\tO' +p369437 +aS'decelerations\tdeceleration\tNNS\tI-NP\tO' +p369438 +aS'of\tof\tIN\tB-PP\tO' +p369439 +aS'twin\ttwin\tNN\tB-NP\tO' +p369440 +aS'A\tA\tNNP\tI-NP\tO' +p369441 +aS',\t,\t,\tO\tO' +p369442 +aS'admitted\tadmit\tVBN\tB-VP\tO' +p369443 +aS'to\tto\tTO\tB-PP\tO' +p369444 +aS'Cambridge\tCambridge\tNNP\tB-NP\tO' +p369445 +aS'Health\tHealth\tNNP\tI-NP\tO' +p369446 +aS'Alliance\tAlliance\tNNP\tI-NP\tO' +p369447 +aS',\t,\t,\tO\tO' +p369448 +aS'completed\tcomplete\tVBD\tB-VP\tO' +p369449 +aS'a\ta\tDT\tB-NP\tO' +p369450 +aS'course\tcourse\tNN\tI-NP\tO' +p369451 +aS'of\tof\tIN\tB-PP\tO' +p369452 +aS'Betamethasone\tBetamethasone\tNN\tB-NP\tO' +p369453 +aS',\t,\t,\tO\tO' +p369454 +aS'discharged\tdischarge\tVBN\tB-VP\tO' +p369455 +aS'to\tto\tTO\tB-PP\tO' +p369456 +aS'home\thome\tNN\tB-NP\tO' +p369457 +aS'.\t.\t.\tO\tO' +p369458 +asS'The patient however complained of a persistent wheeze with beta blocker , therefore it was agreed that we would stop the beta blocker until the patient was followed up as an outpatient .' +p369459 +(lp369460 +S'The\tThe\tDT\tB-NP\tO' +p369461 +aS'patient\tpatient\tNN\tI-NP\tO' +p369462 +aS'however\thowever\tRB\tB-ADVP\tO' +p369463 +aS'complained\tcomplain\tVBD\tB-VP\tO' +p369464 +aS'of\tof\tIN\tB-PP\tO' +p369465 +aS'a\ta\tDT\tB-NP\tO' +p369466 +aS'persistent\tpersistent\tJJ\tI-NP\tO' +p369467 +aS'wheeze\twheeze\tNN\tI-NP\tO' +p369468 +aS'with\twith\tIN\tB-PP\tO' +p369469 +aS'beta\tbeta\tSYM\tB-NP\tO' +p369470 +aS'blocker\tblocker\tNN\tI-NP\tO' +p369471 +aS',\t,\t,\tO\tO' +p369472 +aS'therefore\ttherefore\tRB\tB-ADVP\tO' +p369473 +aS'it\tit\tPRP\tB-NP\tO' +p369474 +aS'was\tbe\tVBD\tB-VP\tO' +p369475 +aS'agreed\tagree\tVBN\tI-VP\tO' +p369476 +aS'that\tthat\tIN\tB-SBAR\tO' +p369477 +aS'we\twe\tPRP\tB-NP\tO' +p369478 +aS'would\twould\tMD\tB-VP\tO' +p369479 +aS'stop\tstop\tVB\tI-VP\tO' +p369480 +aS'the\tthe\tDT\tB-NP\tO' +p369481 +aS'beta\tbeta\tSYM\tI-NP\tO' +p369482 +aS'blocker\tblocker\tNN\tI-NP\tO' +p369483 +aS'until\tuntil\tIN\tB-PP\tO' +p369484 +aS'the\tthe\tDT\tB-NP\tO' +p369485 +aS'patient\tpatient\tNN\tI-NP\tO' +p369486 +aS'was\tbe\tVBD\tB-VP\tO' +p369487 +aS'followed\tfollow\tVBN\tI-VP\tO' +p369488 +aS'up\tup\tRP\tB-PRT\tO' +p369489 +aS'as\tas\tIN\tB-PP\tO' +p369490 +aS'an\tan\tDT\tB-NP\tO' +p369491 +aS'outpatient\toutpatient\tNN\tI-NP\tO' +p369492 +aS'.\t.\t.\tO\tO' +p369493 +asS'The antibiotics were discontinued after 48 hours when the infant was clinically well and the blood cultures remained negative .' +p369494 +(lp369495 +S'The\tThe\tDT\tB-NP\tO' +p369496 +aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' +p369497 +aS'were\tbe\tVBD\tB-VP\tO' +p369498 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p369499 +aS'after\tafter\tIN\tB-PP\tO' +p369500 +aS'48\t48\tCD\tB-NP\tO' +p369501 +aS'hours\thour\tNNS\tI-NP\tO' +p369502 +aS'when\twhen\tWRB\tB-ADVP\tO' +p369503 +aS'the\tthe\tDT\tB-NP\tO' +p369504 +aS'infant\tinfant\tNN\tI-NP\tO' +p369505 +aS'was\tbe\tVBD\tB-VP\tO' +p369506 +aS'clinically\tclinically\tRB\tB-ADVP\tO' +p369507 +aS'well\twell\tRB\tB-ADVP\tO' +p369508 +aS'and\tand\tCC\tO\tO' +p369509 +aS'the\tthe\tDT\tB-NP\tO' +p369510 +aS'blood\tblood\tNN\tI-NP\tO' +p369511 +aS'cultures\tculture\tNNS\tI-NP\tO' +p369512 +aS'remained\tremain\tVBD\tB-VP\tO' +p369513 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p369514 +aS'.\t.\t.\tO\tO' +p369515 +asS'She was continued on her regular Synthroid dose .' +p369516 +(lp369517 +S'She\tShe\tPRP\tB-NP\tO' +p369518 +aS'was\tbe\tVBD\tB-VP\tO' +p369519 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p369520 +aS'on\ton\tIN\tB-PP\tO' +p369521 +aS'her\ther\tPRP\tB-NP\tO' +p369522 +aS'regular\tregular\tJJ\tI-NP\tO' +p369523 +aS'Synthroid\tSynthroid\tJJ\tI-NP\tO' +p369524 +aS'dose\tdose\tNN\tI-NP\tO' +p369525 +aS'.\t.\t.\tO\tO' +p369526 +asS'No C/C/E bilaterally , 2+ radial , DP and PT pulses b/l .' +p369527 +(lp369528 +S'No\tNo\tDT\tB-NP\tO' +p369529 +aS'C/C/E\tC/C/E\tNN\tI-NP\tB-protein' +p369530 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p369531 +aS',\t,\t,\tO\tO' +p369532 +aS'2+\t2+\tJJ\tB-NP\tO' +p369533 +aS'radial\tradial\tNN\tI-NP\tO' +p369534 +aS',\t,\t,\tO\tO' +p369535 +aS'DP\tDP\tNN\tB-NP\tO' +p369536 +aS'and\tand\tCC\tI-NP\tO' +p369537 +aS'PT\tPT\tNN\tI-NP\tO' +p369538 +aS'pulses\tpulse\tNNS\tI-NP\tO' +p369539 +aS'b/l\tb/l\tNN\tI-NP\tO' +p369540 +aS'.\t.\t.\tO\tO' +p369541 +asS'6. Integrelin drip on transfer .' +p369542 +(lp369543 +S'6.\t6.\tLS\tB-NP\tO' +p369544 +aS'Integrelin\tIntegrelin\tNN\tI-NP\tB-protein' +p369545 +aS'drip\tdrip\tNN\tI-NP\tI-protein' +p369546 +aS'on\ton\tIN\tB-PP\tO' +p369547 +aS'transfer\ttransfer\tNN\tB-NP\tO' +p369548 +aS'.\t.\t.\tO\tO' +p369549 +asS'Do not drive if taking flexeril and codeine .' +p369550 +(lp369551 +S'Do\tDo\tVBP\tB-VP\tO' +p369552 +aS'not\tnot\tRB\tI-VP\tO' +p369553 +aS'drive\tdrive\tVB\tI-VP\tO' +p369554 +aS'if\tif\tIN\tB-SBAR\tO' +p369555 +aS'taking\ttake\tVBG\tB-VP\tO' +p369556 +aS'flexeril\tflexeril\tNN\tB-NP\tO' +p369557 +aS'and\tand\tCC\tI-NP\tO' +p369558 +aS'codeine\tcodeine\tNN\tI-NP\tO' +p369559 +aS'.\t.\t.\tO\tO' +p369560 +asS'He was then transfered to the floor in the care of the orthopaedic surgery service .' +p369561 +(lp369562 +S'He\tHe\tPRP\tB-NP\tO' +p369563 +aS'was\tbe\tVBD\tB-VP\tO' +p369564 +aS'then\tthen\tRB\tI-VP\tO' +p369565 +aS'transfered\ttransfer\tVBN\tI-VP\tO' +p369566 +aS'to\tto\tTO\tB-PP\tO' +p369567 +aS'the\tthe\tDT\tB-NP\tO' +p369568 +aS'floor\tfloor\tNN\tI-NP\tO' +p369569 +aS'in\tin\tIN\tB-PP\tO' +p369570 +aS'the\tthe\tDT\tB-NP\tO' +p369571 +aS'care\tcare\tNN\tI-NP\tO' +p369572 +aS'of\tof\tIN\tB-PP\tO' +p369573 +aS'the\tthe\tDT\tB-NP\tO' +p369574 +aS'orthopaedic\torthopaedic\tJJ\tI-NP\tO' +p369575 +aS'surgery\tsurgery\tNN\tI-NP\tO' +p369576 +aS'service\tservice\tNN\tI-NP\tO' +p369577 +aS'.\t.\t.\tO\tO' +p369578 +asS'Patient went to the floor and patient was on the floor on 2014-04-07 .' +p369579 +(lp369580 +S'Patient\tPatient\tNN\tB-NP\tO' +p369581 +aS'went\tgo\tVBD\tB-VP\tO' +p369582 +aS'to\tto\tTO\tB-PP\tO' +p369583 +aS'the\tthe\tDT\tB-NP\tO' +p369584 +aS'floor\tfloor\tNN\tI-NP\tO' +p369585 +aS'and\tand\tCC\tI-NP\tO' +p369586 +aS'patient\tpatient\tNN\tI-NP\tO' +p369587 +aS'was\tbe\tVBD\tB-VP\tO' +p369588 +aS'on\ton\tIN\tB-PP\tO' +p369589 +aS'the\tthe\tDT\tB-NP\tO' +p369590 +aS'floor\tfloor\tNN\tI-NP\tO' +p369591 +aS'on\ton\tIN\tB-PP\tO' +p369592 +aS'2014-04-07\t2014-04-07\tCD\tB-NP\tO' +p369593 +aS'.\t.\t.\tO\tO' +p369594 +asS'LEFT KNEE OSTEOARTHRITIS .' +p369595 +(lp369596 +S'LEFT\tLEFT\tNNP\tB-NP\tO' +p369597 +aS'KNEE\tKNEE\tNNP\tI-NP\tO' +p369598 +aS'OSTEOARTHRITIS\tOSTEOARTHRITIS\tNNP\tI-NP\tO' +p369599 +aS'.\t.\t.\tO\tO' +p369600 +asS'The patient was admitted for complaints of dyspnea on exertion and chest pressure which could be consistent with angina .' +p369601 +(lp369602 +S'The\tThe\tDT\tB-NP\tO' +p369603 +aS'patient\tpatient\tNN\tI-NP\tO' +p369604 +aS'was\tbe\tVBD\tB-VP\tO' +p369605 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p369606 +aS'for\tfor\tIN\tB-PP\tO' +p369607 +aS'complaints\tcomplaint\tNNS\tB-NP\tO' +p369608 +aS'of\tof\tIN\tB-PP\tO' +p369609 +aS'dyspnea\tdyspnea\tNN\tB-NP\tO' +p369610 +aS'on\ton\tIN\tB-PP\tO' +p369611 +aS'exertion\texertion\tNN\tB-NP\tO' +p369612 +aS'and\tand\tCC\tI-NP\tO' +p369613 +aS'chest\tchest\tNN\tI-NP\tO' +p369614 +aS'pressure\tpressure\tNN\tI-NP\tO' +p369615 +aS'which\twhich\tWDT\tB-NP\tO' +p369616 +aS'could\tcould\tMD\tB-VP\tO' +p369617 +aS'be\tbe\tVB\tI-VP\tO' +p369618 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p369619 +aS'with\twith\tIN\tB-PP\tO' +p369620 +aS'angina\tangina\tNN\tB-NP\tO' +p369621 +aS'.\t.\t.\tO\tO' +p369622 +asS'In the past , he had biliary stents placed which clotted off .' +p369623 +(lp369624 +S'In\tIn\tIN\tB-PP\tO' +p369625 +aS'the\tthe\tDT\tB-NP\tO' +p369626 +aS'past\tpast\tNN\tI-NP\tO' +p369627 +aS',\t,\t,\tO\tO' +p369628 +aS'he\the\tPRP\tB-NP\tO' +p369629 +aS'had\thave\tVBD\tB-VP\tO' +p369630 +aS'biliary\tbiliary\tJJ\tB-NP\tO' +p369631 +aS'stents\tstent\tNNS\tI-NP\tO' +p369632 +aS'placed\tplace\tVBN\tB-VP\tO' +p369633 +aS'which\twhich\tWDT\tB-NP\tO' +p369634 +aS'clotted\tclot\tVBD\tB-VP\tO' +p369635 +aS'off\toff\tRP\tB-PRT\tO' +p369636 +aS'.\t.\t.\tO\tO' +p369637 +asS'He had a colostomy and partial colectomy .' +p369638 +(lp369639 +S'He\tHe\tPRP\tB-NP\tO' +p369640 +aS'had\thave\tVBD\tB-VP\tO' +p369641 +aS'a\ta\tDT\tB-NP\tO' +p369642 +aS'colostomy\tcolostomy\tNN\tI-NP\tO' +p369643 +aS'and\tand\tCC\tI-NP\tO' +p369644 +aS'partial\tpartial\tJJ\tI-NP\tO' +p369645 +aS'colectomy\tcolectomy\tNN\tI-NP\tO' +p369646 +aS'.\t.\t.\tO\tO' +p369647 +asS'Lungs were clear to auscultation and equal .' +p369648 +(lp369649 +S'Lungs\tLung\tNNS\tB-NP\tO' +p369650 +aS'were\tbe\tVBD\tB-VP\tO' +p369651 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p369652 +aS'to\tto\tTO\tB-PP\tO' +p369653 +aS'auscultation\tauscultation\tNN\tB-NP\tO' +p369654 +aS'and\tand\tCC\tO\tO' +p369655 +aS'equal\tequal\tJJ\tB-ADJP\tO' +p369656 +aS'.\t.\t.\tO\tO' +p369657 +asS'Motor and sensory intact .' +p369658 +(lp369659 +S'Motor\tMotor\tNN\tB-NP\tO' +p369660 +aS'and\tand\tCC\tI-NP\tO' +p369661 +aS'sensory\tsensory\tNN\tI-NP\tO' +p369662 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p369663 +aS'.\t.\t.\tO\tO' +p369664 +asS'8. Right leg bypass graft in 1999 .' +p369665 +(lp369666 +S'8.\t8.\tCD\tB-NP\tO' +p369667 +aS'Right\tRight\tNNP\tI-NP\tO' +p369668 +aS'leg\tleg\tNN\tI-NP\tO' +p369669 +aS'bypass\tbypass\tIN\tB-PP\tO' +p369670 +aS'graft\tgraft\tNN\tB-NP\tO' +p369671 +aS'in\tin\tIN\tB-PP\tO' +p369672 +aS'1999\t1999\tCD\tB-NP\tO' +p369673 +aS'.\t.\t.\tO\tO' +p369674 +asS'3. a.fib - The patient has a history of atrial fibrillation controlled with beta blockers at home .' +p369675 +(lp369676 +S'3.\t3.\tLS\tB-NP\tO' +p369677 +aS'a.fib\ta.fib\tNN\tI-NP\tO' +p369678 +aS'-\t-\tHYPH\tO\tO' +p369679 +aS'The\tThe\tDT\tB-NP\tO' +p369680 +aS'patient\tpatient\tNN\tI-NP\tO' +p369681 +aS'has\thave\tVBZ\tB-VP\tO' +p369682 +aS'a\ta\tDT\tB-NP\tO' +p369683 +aS'history\thistory\tNN\tI-NP\tO' +p369684 +aS'of\tof\tIN\tB-PP\tO' +p369685 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p369686 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p369687 +aS'controlled\tcontrol\tVBN\tB-VP\tO' +p369688 +aS'with\twith\tIN\tB-PP\tO' +p369689 +aS'beta\tbeta\tNN\tB-NP\tO' +p369690 +aS'blockers\tblocker\tNNS\tI-NP\tO' +p369691 +aS'at\tat\tIN\tB-PP\tO' +p369692 +aS'home\thome\tNN\tB-NP\tO' +p369693 +aS'.\t.\t.\tO\tO' +p369694 +asS'Respiratory failure .' +p369695 +(lp369696 +S'Respiratory\tRespiratory\tJJ\tB-NP\tO' +p369697 +aS'failure\tfailure\tNN\tI-NP\tO' +p369698 +aS'.\t.\t.\tO\tO' +p369699 +asS'Neurologic : Appropriate tone and reflexes .' +p369700 +(lp369701 +S'Neurologic\tNeurologic\tJJ\tB-ADJP\tO' +p369702 +aS':\t:\t:\tO\tO' +p369703 +aS'Appropriate\tAppropriate\tJJ\tB-NP\tO' +p369704 +aS'tone\ttone\tNN\tI-NP\tO' +p369705 +aS'and\tand\tCC\tI-NP\tO' +p369706 +aS'reflexes\treflex\tNNS\tI-NP\tO' +p369707 +aS'.\t.\t.\tO\tO' +p369708 +asS'At one month of age , on 12-03 , she was noted to have an absent septum pellucidum .' +p369709 +(lp369710 +S'At\tAt\tIN\tB-PP\tO' +p369711 +aS'one\tone\tCD\tB-NP\tO' +p369712 +aS'month\tmonth\tNN\tI-NP\tO' +p369713 +aS'of\tof\tIN\tB-PP\tO' +p369714 +aS'age\tage\tNN\tB-NP\tO' +p369715 +aS',\t,\t,\tO\tO' +p369716 +aS'on\ton\tIN\tB-PP\tO' +p369717 +aS'12-03\t12-03\tCD\tB-NP\tO' +p369718 +aS',\t,\t,\tO\tO' +p369719 +aS'she\tshe\tPRP\tB-NP\tO' +p369720 +aS'was\tbe\tVBD\tB-VP\tO' +p369721 +aS'noted\tnote\tVBN\tI-VP\tO' +p369722 +aS'to\tto\tTO\tI-VP\tO' +p369723 +aS'have\thave\tVB\tI-VP\tO' +p369724 +aS'an\tan\tDT\tB-NP\tO' +p369725 +aS'absent\tabsent\tJJ\tI-NP\tO' +p369726 +aS'septum\tseptum\tNN\tI-NP\tO' +p369727 +aS'pellucidum\tpellucidum\tNN\tI-NP\tO' +p369728 +aS'.\t.\t.\tO\tO' +p369729 +asS'# BRBPR -- The patient was in the intensive care unit given his lower GI bleed .' +p369730 +(lp369731 +S'#\t#\t#\tB-NP\tO' +p369732 +aS'BRBPR\tBRBPR\tNN\tI-NP\tB-protein' +p369733 +aS'--\t--\t:\tO\tO' +p369734 +aS'The\tThe\tDT\tB-NP\tO' +p369735 +aS'patient\tpatient\tNN\tI-NP\tO' +p369736 +aS'was\tbe\tVBD\tB-VP\tO' +p369737 +aS'in\tin\tIN\tB-PP\tO' +p369738 +aS'the\tthe\tDT\tB-NP\tO' +p369739 +aS'intensive\tintensive\tJJ\tI-NP\tO' +p369740 +aS'care\tcare\tNN\tI-NP\tO' +p369741 +aS'unit\tunit\tNN\tI-NP\tO' +p369742 +aS'given\tgive\tVBN\tB-VP\tO' +p369743 +aS'his\this\tPRP$\tB-NP\tO' +p369744 +aS'lower\tlow\tJJR\tI-NP\tO' +p369745 +aS'GI\tGI\tNN\tI-NP\tO' +p369746 +aS'bleed\tbleed\tNN\tI-NP\tO' +p369747 +aS'.\t.\t.\tO\tO' +p369748 +asS'The patient had an EP evaluation and will be followed-up by Dr. Welch .' +p369749 +(lp369750 +S'The\tThe\tDT\tB-NP\tO' +p369751 +aS'patient\tpatient\tNN\tI-NP\tO' +p369752 +aS'had\thave\tVBD\tB-VP\tO' +p369753 +aS'an\tan\tDT\tB-NP\tO' +p369754 +aS'EP\tEP\tNN\tI-NP\tO' +p369755 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p369756 +aS'and\tand\tCC\tO\tO' +p369757 +aS'will\twill\tMD\tB-VP\tO' +p369758 +aS'be\tbe\tVB\tI-VP\tO' +p369759 +aS'followed-up\tfollowed-up\tJJ\tB-ADJP\tO' +p369760 +aS'by\tby\tIN\tB-PP\tO' +p369761 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p369762 +aS'Welch\tWelch\tNNP\tI-NP\tO' +p369763 +aS'.\t.\t.\tO\tO' +p369764 +asS'The patient 's strength is 5/5 throughout and the sensorium is intact .' +p369765 +(lp369766 +S'The\tThe\tDT\tB-NP\tO' +p369767 +aS'patient\tpatient\tNN\tI-NP\tO' +p369768 +aS''s\t'\tNNS\tI-NP\tO' +p369769 +aS'strength\tstrength\tNN\tI-NP\tO' +p369770 +aS'is\tbe\tVBZ\tB-VP\tO' +p369771 +aS'5/5\t5/5\tCD\tB-NP\tO' +p369772 +aS'throughout\tthroughout\tIN\tB-ADVP\tO' +p369773 +aS'and\tand\tCC\tO\tO' +p369774 +aS'the\tthe\tDT\tB-NP\tO' +p369775 +aS'sensorium\tsensorium\tNN\tI-NP\tO' +p369776 +aS'is\tbe\tVBZ\tB-VP\tO' +p369777 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p369778 +aS'.\t.\t.\tO\tO' +p369779 +asS'As I mentioned above , her evaluation was limited by her cardiologic status at the time .' +p369780 +(lp369781 +S'As\tAs\tIN\tB-SBAR\tO' +p369782 +aS'I\tI\tPRP\tB-NP\tO' +p369783 +aS'mentioned\tmention\tVBD\tB-VP\tO' +p369784 +aS'above\tabove\tIN\tB-ADVP\tO' +p369785 +aS',\t,\t,\tO\tO' +p369786 +aS'her\ther\tPRP$\tB-NP\tO' +p369787 +aS'evaluation\tevaluation\tNN\tI-NP\tO' +p369788 +aS'was\tbe\tVBD\tB-VP\tO' +p369789 +aS'limited\tlimit\tVBN\tI-VP\tO' +p369790 +aS'by\tby\tIN\tB-PP\tO' +p369791 +aS'her\ther\tPRP$\tB-NP\tO' +p369792 +aS'cardiologic\tcardiologic\tJJ\tI-NP\tO' +p369793 +aS'status\tstatus\tNN\tI-NP\tO' +p369794 +aS'at\tat\tIN\tB-PP\tO' +p369795 +aS'the\tthe\tDT\tB-NP\tO' +p369796 +aS'time\ttime\tNN\tI-NP\tO' +p369797 +aS'.\t.\t.\tO\tO' +p369798 +asS'Apnea and bradycardia of prematurity .' +p369799 +(lp369800 +S'Apnea\tApnea\tNN\tB-NP\tO' +p369801 +aS'and\tand\tCC\tI-NP\tO' +p369802 +aS'bradycardia\tbradycardia\tNN\tI-NP\tO' +p369803 +aS'of\tof\tIN\tB-PP\tO' +p369804 +aS'prematurity\tprematurity\tNN\tB-NP\tO' +p369805 +aS'.\t.\t.\tO\tO' +p369806 +asS'Protonix 40 mg q. 24 .' +p369807 +(lp369808 +S'Protonix\tProtonix\tNNP\tB-NP\tO' +p369809 +aS'40\t40\tCD\tI-NP\tO' +p369810 +aS'mg\tmg\tNN\tI-NP\tO' +p369811 +aS'q.\tq.\tNN\tI-NP\tO' +p369812 +aS'24\t24\tCD\tI-NP\tO' +p369813 +aS'.\t.\t.\tO\tO' +p369814 +asS'Ext - diffuse anasarca x 4 ext' +p369815 +(lp369816 +S'Ext\tExt\tNN\tB-NP\tO' +p369817 +aS'-\t-\tHYPH\tI-NP\tO' +p369818 +aS'diffuse\tdiffuse\tJJ\tI-NP\tO' +p369819 +aS'anasarca\tanasarca\tNN\tI-NP\tO' +p369820 +aS'x\tx\tSYM\tO\tO' +p369821 +aS'4\t4\tCD\tB-NP\tO' +p369822 +aS'ext\text\tNN\tI-NP\tO' +p369823 +asS'On 2016-06-26 , he had a positive exercise tolerance test .' +p369824 +(lp369825 +S'On\tOn\tIN\tB-PP\tO' +p369826 +aS'2016-06-26\t2016-06-26\tCD\tB-NP\tO' +p369827 +aS',\t,\t,\tO\tO' +p369828 +aS'he\the\tPRP\tB-NP\tO' +p369829 +aS'had\thave\tVBD\tB-VP\tO' +p369830 +aS'a\ta\tDT\tB-NP\tO' +p369831 +aS'positive\tpositive\tJJ\tI-NP\tO' +p369832 +aS'exercise\texercise\tNN\tI-NP\tO' +p369833 +aS'tolerance\ttolerance\tNN\tI-NP\tO' +p369834 +aS'test\ttest\tNN\tI-NP\tO' +p369835 +aS'.\t.\t.\tO\tO' +p369836 +asS'No active bleeding noted .' +p369837 +(lp369838 +S'No\tNo\tDT\tB-NP\tO' +p369839 +aS'active\tactive\tJJ\tI-NP\tO' +p369840 +aS'bleeding\tbleeding\tNN\tI-NP\tO' +p369841 +aS'noted\tnote\tVBD\tB-VP\tO' +p369842 +aS'.\t.\t.\tO\tO' +p369843 +asS'Please monitor this ( may need dermatology consult ).' +p369844 +(lp369845 +S'Please\tPlease\tVB\tB-VP\tO' +p369846 +aS'monitor\tmonitor\tVB\tI-VP\tO' +p369847 +aS'this\tthis\tDT\tB-NP\tO' +p369848 +aS'(\t(\t(\tO\tO' +p369849 +aS'may\tmay\tMD\tB-VP\tO' +p369850 +aS'need\tneed\tVB\tI-VP\tO' +p369851 +aS'dermatology\tdermatology\tNN\tB-NP\tO' +p369852 +aS'consult\tconsult\tNN\tI-NP\tO' +p369853 +aS').\t).\t.\tO\tO' +p369854 +asS'Lactulose 30 cc qid titrated to 3-4 BM / day' +p369855 +(lp369856 +S'Lactulose\tLactulose\tRB\tB-NP\tO' +p369857 +aS'30\t30\tCD\tI-NP\tO' +p369858 +aS'cc\tcc\tNN\tI-NP\tO' +p369859 +aS'qid\tqid\tNN\tI-NP\tO' +p369860 +aS'titrated\ttitrate\tVBN\tB-VP\tO' +p369861 +aS'to\tto\tTO\tB-PP\tO' +p369862 +aS'3-4\t3-4\tCD\tB-NP\tO' +p369863 +aS'BM\tBM\tNN\tI-NP\tO' +p369864 +aS'/\t/\tSYM\tB-NP\tO' +p369865 +aS'day\tday\tNN\tI-NP\tO' +p369866 +asS'The patient was previously a heavy alcohol user , but had been sober since 1996 .' +p369867 +(lp369868 +S'The\tThe\tDT\tB-NP\tO' +p369869 +aS'patient\tpatient\tNN\tI-NP\tO' +p369870 +aS'was\tbe\tVBD\tB-VP\tO' +p369871 +aS'previously\tpreviously\tRB\tB-ADVP\tO' +p369872 +aS'a\ta\tDT\tB-NP\tO' +p369873 +aS'heavy\theavy\tJJ\tI-NP\tO' +p369874 +aS'alcohol\talcohol\tNN\tI-NP\tO' +p369875 +aS'user\tuser\tNN\tI-NP\tO' +p369876 +aS',\t,\t,\tO\tO' +p369877 +aS'but\tbut\tCC\tO\tO' +p369878 +aS'had\thave\tVBD\tB-VP\tO' +p369879 +aS'been\tbe\tVBN\tI-VP\tO' +p369880 +aS'sober\tsober\tRB\tB-ADVP\tO' +p369881 +aS'since\tsince\tIN\tB-PP\tO' +p369882 +aS'1996\t1996\tCD\tB-NP\tO' +p369883 +aS'.\t.\t.\tO\tO' +p369884 +asS'5. Multivitamin x1 .' +p369885 +(lp369886 +S'5.\t5.\tLS\tB-NP\tO' +p369887 +aS'Multivitamin\tMultivitamin\tNN\tI-NP\tB-protein' +p369888 +aS'x1\tx1\tNN\tI-NP\tI-protein' +p369889 +aS'.\t.\t.\tO\tO' +p369890 +asS'Cleared for discharge to home with services .' +p369891 +(lp369892 +S'Cleared\tClear\tVBN\tB-VP\tO' +p369893 +aS'for\tfor\tIN\tB-PP\tO' +p369894 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p369895 +aS'to\tto\tTO\tB-PP\tO' +p369896 +aS'home\thome\tNN\tB-NP\tO' +p369897 +aS'with\twith\tIN\tB-PP\tO' +p369898 +aS'services\tservice\tNNS\tB-NP\tO' +p369899 +aS'.\t.\t.\tO\tO' +p369900 +asS'INDICATION : Struck by car .' +p369901 +(lp369902 +S'INDICATION\tINDICATION\tNN\tB-NP\tO' +p369903 +aS':\t:\t:\tO\tO' +p369904 +aS'Struck\tStruck\tNN\tB-NP\tO' +p369905 +aS'by\tby\tIN\tB-PP\tO' +p369906 +aS'car\tcar\tNN\tB-NP\tB-protein' +p369907 +aS'.\t.\t.\tO\tO' +p369908 +asS'Aorta is unchanged .' +p369909 +(lp369910 +S'Aorta\tAorta\tNNP\tB-NP\tO' +p369911 +aS'is\tbe\tVBZ\tB-VP\tO' +p369912 +aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' +p369913 +aS'.\t.\t.\tO\tO' +p369914 +asS'She was since then lost to follow-up with a recently re-establish primary care practitioner contact .' +p369915 +(lp369916 +S'She\tShe\tPRP\tB-NP\tO' +p369917 +aS'was\tbe\tVBD\tB-VP\tO' +p369918 +aS'since\tsince\tIN\tB-PP\tO' +p369919 +aS'then\tthen\tRB\tB-NP\tO' +p369920 +aS'lost\tlose\tVBN\tB-VP\tO' +p369921 +aS'to\tto\tTO\tB-VP\tO' +p369922 +aS'follow-up\tfollow-up\tVB\tI-VP\tO' +p369923 +aS'with\twith\tIN\tB-PP\tO' +p369924 +aS'a\ta\tDT\tB-NP\tO' +p369925 +aS'recently\trecently\tRB\tI-NP\tO' +p369926 +aS're-establish\tre-establish\tJJ\tI-NP\tO' +p369927 +aS'primary\tprimary\tJJ\tI-NP\tO' +p369928 +aS'care\tcare\tNN\tI-NP\tO' +p369929 +aS'practitioner\tpractitioner\tNN\tI-NP\tO' +p369930 +aS'contact\tcontact\tNN\tI-NP\tO' +p369931 +aS'.\t.\t.\tO\tO' +p369932 +asS'She had bilateral upgoing toes .' +p369933 +(lp369934 +S'She\tShe\tPRP\tB-NP\tO' +p369935 +aS'had\thave\tVBD\tB-VP\tO' +p369936 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p369937 +aS'upgoing\tupgoe\tVBG\tI-NP\tO' +p369938 +aS'toes\ttoe\tNNS\tI-NP\tO' +p369939 +aS'.\t.\t.\tO\tO' +p369940 +asS'The nasolabial fold , the wrinkling of forehead and the eye closure were all symmetric and normal .' +p369941 +(lp369942 +S'The\tThe\tDT\tB-NP\tO' +p369943 +aS'nasolabial\tnasolabial\tJJ\tI-NP\tO' +p369944 +aS'fold\tfold\tNN\tI-NP\tO' +p369945 +aS',\t,\t,\tO\tO' +p369946 +aS'the\tthe\tDT\tB-NP\tO' +p369947 +aS'wrinkling\twrinkling\tNN\tI-NP\tO' +p369948 +aS'of\tof\tIN\tB-PP\tO' +p369949 +aS'forehead\tforehead\tNN\tB-NP\tO' +p369950 +aS'and\tand\tCC\tO\tO' +p369951 +aS'the\tthe\tDT\tB-NP\tO' +p369952 +aS'eye\teye\tNN\tI-NP\tO' +p369953 +aS'closure\tclosure\tNN\tI-NP\tO' +p369954 +aS'were\tbe\tVBD\tB-VP\tO' +p369955 +aS'all\tall\tDT\tB-ADJP\tO' +p369956 +aS'symmetric\tsymmetric\tJJ\tI-ADJP\tO' +p369957 +aS'and\tand\tCC\tI-ADJP\tO' +p369958 +aS'normal\tnormal\tJJ\tI-ADJP\tO' +p369959 +aS'.\t.\t.\tO\tO' +p369960 +asS'Went to OSH c further ICD shocks , VT on monitor but stable VS .' +p369961 +(lp369962 +S'Went\tWent\tJJ\tB-ADJP\tO' +p369963 +aS'to\tto\tTO\tB-PP\tO' +p369964 +aS'OSH\tOSH\tNN\tB-NP\tB-protein' +p369965 +aS'c\tc\tNN\tI-NP\tI-protein' +p369966 +aS'further\tfurther\tJJ\tI-NP\tO' +p369967 +aS'ICD\tICD\tNN\tI-NP\tO' +p369968 +aS'shocks\tshock\tNNS\tI-NP\tO' +p369969 +aS',\t,\t,\tO\tO' +p369970 +aS'VT\tVT\tNN\tB-NP\tO' +p369971 +aS'on\ton\tIN\tB-PP\tO' +p369972 +aS'monitor\tmonitor\tNN\tB-NP\tO' +p369973 +aS'but\tbut\tCC\tO\tO' +p369974 +aS'stable\tstable\tJJ\tB-NP\tO' +p369975 +aS'VS\tVS\tNN\tI-NP\tO' +p369976 +aS'.\t.\t.\tO\tO' +p369977 +asS'Please evaluate resolution of cardiac troponin leak and stable EKG .' +p369978 +(lp369979 +S'Please\tPlease\tVB\tB-VP\tO' +p369980 +aS'evaluate\tevaluate\tVB\tI-VP\tO' +p369981 +aS'resolution\tresolution\tNN\tB-NP\tO' +p369982 +aS'of\tof\tIN\tB-PP\tO' +p369983 +aS'cardiac\tcardiac\tJJ\tB-NP\tO' +p369984 +aS'troponin\ttroponin\tNN\tI-NP\tO' +p369985 +aS'leak\tleak\tNN\tI-NP\tO' +p369986 +aS'and\tand\tCC\tO\tO' +p369987 +aS'stable\tstable\tJJ\tB-NP\tO' +p369988 +aS'EKG\tEKG\tNN\tI-NP\tO' +p369989 +aS'.\t.\t.\tO\tO' +p369990 +asS'Immunizations : recommended Synagis RSV prophylaxis should be considered from November through March for infants who meet any of the following 3 criteria , born at less than 32 weeks , born between 32 and 35 weeks with 2 of the following , daycare during RSV season , a smoker in the household , neuromuscular disease and weight abnormalities or school age siblings with chronic lung disease .' +p369991 +(lp369992 +S'Immunizations\tImmunization\tNNS\tB-NP\tO' +p369993 +aS':\t:\t:\tO\tO' +p369994 +aS'recommended\trecommend\tVBD\tB-VP\tO' +p369995 +aS'Synagis\tSynagis\tNNP\tB-NP\tO' +p369996 +aS'RSV\tRSV\tNN\tI-NP\tO' +p369997 +aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' +p369998 +aS'should\tshould\tMD\tB-VP\tO' +p369999 +aS'be\tbe\tVB\tI-VP\tO' +p370000 +aS'considered\tconsider\tVBN\tI-VP\tO' +p370001 +aS'from\tfrom\tIN\tB-PP\tO' +p370002 +aS'November\tNovember\tNNP\tB-NP\tO' +p370003 +aS'through\tthrough\tIN\tB-PP\tO' +p370004 +aS'March\tMarch\tNNP\tB-NP\tO' +p370005 +aS'for\tfor\tIN\tB-PP\tO' +p370006 +aS'infants\tinfant\tNNS\tB-NP\tO' +p370007 +aS'who\twho\tWP\tB-NP\tO' +p370008 +aS'meet\tmeet\tVBP\tB-VP\tO' +p370009 +aS'any\tany\tDT\tB-NP\tO' +p370010 +aS'of\tof\tIN\tB-PP\tO' +p370011 +aS'the\tthe\tDT\tB-NP\tO' +p370012 +aS'following\tfollow\tVBG\tI-NP\tO' +p370013 +aS'3\t3\tCD\tI-NP\tO' +p370014 +aS'criteria\tcriterion\tNNS\tI-NP\tO' +p370015 +aS',\t,\t,\tO\tO' +p370016 +aS'born\tbear\tVBN\tB-VP\tO' +p370017 +aS'at\tat\tIN\tB-PP\tO' +p370018 +aS'less\tless\tJJR\tB-NP\tO' +p370019 +aS'than\tthan\tIN\tI-NP\tO' +p370020 +aS'32\t32\tCD\tI-NP\tO' +p370021 +aS'weeks\tweek\tNNS\tI-NP\tO' +p370022 +aS',\t,\t,\tO\tO' +p370023 +aS'born\tbear\tVBN\tB-VP\tO' +p370024 +aS'between\tbetween\tIN\tB-PP\tO' +p370025 +aS'32\t32\tCD\tB-NP\tO' +p370026 +aS'and\tand\tCC\tI-NP\tO' +p370027 +aS'35\t35\tCD\tI-NP\tO' +p370028 +aS'weeks\tweek\tNNS\tI-NP\tO' +p370029 +aS'with\twith\tIN\tB-PP\tO' +p370030 +aS'2\t2\tCD\tB-NP\tO' +p370031 +aS'of\tof\tIN\tB-PP\tO' +p370032 +aS'the\tthe\tDT\tB-NP\tO' +p370033 +aS'following\tfollowing\tNN\tI-NP\tO' +p370034 +aS',\t,\t,\tO\tO' +p370035 +aS'daycare\tdaycare\tNN\tB-NP\tO' +p370036 +aS'during\tduring\tIN\tB-PP\tO' +p370037 +aS'RSV\tRSV\tNN\tB-NP\tO' +p370038 +aS'season\tseason\tNN\tI-NP\tO' +p370039 +aS',\t,\t,\tO\tO' +p370040 +aS'a\ta\tDT\tB-NP\tO' +p370041 +aS'smoker\tsmoker\tNN\tI-NP\tO' +p370042 +aS'in\tin\tIN\tB-PP\tO' +p370043 +aS'the\tthe\tDT\tB-NP\tO' +p370044 +aS'household\thousehold\tNN\tI-NP\tO' +p370045 +aS',\t,\t,\tO\tO' +p370046 +aS'neuromuscular\tneuromuscular\tJJ\tB-NP\tO' +p370047 +aS'disease\tdisease\tNN\tI-NP\tO' +p370048 +aS'and\tand\tCC\tO\tO' +p370049 +aS'weight\tweight\tNN\tB-NP\tO' +p370050 +aS'abnormalities\tabnormality\tNNS\tI-NP\tO' +p370051 +aS'or\tor\tCC\tO\tO' +p370052 +aS'school\tschool\tNN\tB-NP\tO' +p370053 +aS'age\tage\tNN\tI-NP\tO' +p370054 +aS'siblings\tsibling\tNNS\tI-NP\tO' +p370055 +aS'with\twith\tIN\tB-PP\tO' +p370056 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p370057 +aS'lung\tlung\tNN\tI-NP\tO' +p370058 +aS'disease\tdisease\tNN\tI-NP\tO' +p370059 +aS'.\t.\t.\tO\tO' +p370060 +asS'Patient experienced acute renal failure on chronic renal insufficiency , with previous baseline creatinine 1.6 , felt to be due to medication toxicity , requiring Kayexalate and Phoslo to manage electrolytes , but never any need for hemodialysis , with mild improvement of creatinine by discharge , with peak creatinine 3.4 , discharge creatinine 2.6 .' +p370061 +(lp370062 +S'Patient\tPatient\tNN\tB-NP\tO' +p370063 +aS'experienced\texperience\tVBD\tB-VP\tO' +p370064 +aS'acute\tacute\tJJ\tB-NP\tO' +p370065 +aS'renal\trenal\tJJ\tI-NP\tO' +p370066 +aS'failure\tfailure\tNN\tI-NP\tO' +p370067 +aS'on\ton\tIN\tB-PP\tO' +p370068 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p370069 +aS'renal\trenal\tJJ\tI-NP\tO' +p370070 +aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' +p370071 +aS',\t,\t,\tO\tO' +p370072 +aS'with\twith\tIN\tB-PP\tO' +p370073 +aS'previous\tprevious\tJJ\tB-NP\tO' +p370074 +aS'baseline\tbaseline\tNN\tI-NP\tO' +p370075 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p370076 +aS'1.6\t1.6\tCD\tI-NP\tO' +p370077 +aS',\t,\t,\tO\tO' +p370078 +aS'felt\tfeel\tVBD\tB-VP\tO' +p370079 +aS'to\tto\tTO\tI-VP\tO' +p370080 +aS'be\tbe\tVB\tI-VP\tO' +p370081 +aS'due\tdue\tIN\tB-PP\tO' +p370082 +aS'to\tto\tTO\tB-PP\tO' +p370083 +aS'medication\tmedication\tNN\tB-NP\tO' +p370084 +aS'toxicity\ttoxicity\tNN\tI-NP\tO' +p370085 +aS',\t,\t,\tO\tO' +p370086 +aS'requiring\trequire\tVBG\tB-VP\tO' +p370087 +aS'Kayexalate\tKayexalate\tNNP\tB-NP\tO' +p370088 +aS'and\tand\tCC\tI-NP\tO' +p370089 +aS'Phoslo\tPhoslo\tNNP\tI-NP\tO' +p370090 +aS'to\tto\tTO\tB-VP\tO' +p370091 +aS'manage\tmanage\tVB\tI-VP\tO' +p370092 +aS'electrolytes\telectrolyte\tNNS\tB-NP\tO' +p370093 +aS',\t,\t,\tO\tO' +p370094 +aS'but\tbut\tCC\tO\tO' +p370095 +aS'never\tnever\tRB\tB-ADVP\tO' +p370096 +aS'any\tany\tDT\tB-NP\tO' +p370097 +aS'need\tneed\tNN\tI-NP\tO' +p370098 +aS'for\tfor\tIN\tB-PP\tO' +p370099 +aS'hemodialysis\themodialysis\tNN\tB-NP\tO' +p370100 +aS',\t,\t,\tO\tO' +p370101 +aS'with\twith\tIN\tB-PP\tO' +p370102 +aS'mild\tmild\tJJ\tB-NP\tO' +p370103 +aS'improvement\timprovement\tNN\tI-NP\tO' +p370104 +aS'of\tof\tIN\tB-PP\tO' +p370105 +aS'creatinine\tcreatinine\tNN\tB-NP\tO' +p370106 +aS'by\tby\tIN\tB-PP\tO' +p370107 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p370108 +aS',\t,\t,\tO\tO' +p370109 +aS'with\twith\tIN\tB-PP\tO' +p370110 +aS'peak\tpeak\tNN\tB-NP\tO' +p370111 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p370112 +aS'3.4\t3.4\tCD\tI-NP\tO' +p370113 +aS',\t,\t,\tO\tO' +p370114 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p370115 +aS'creatinine\tcreatinine\tNN\tI-NP\tO' +p370116 +aS'2.6\t2.6\tCD\tI-NP\tO' +p370117 +aS'.\t.\t.\tO\tO' +p370118 +asS'The exploratory laparotomy was negative .' +p370119 +(lp370120 +S'The\tThe\tDT\tB-NP\tO' +p370121 +aS'exploratory\texploratory\tJJ\tI-NP\tO' +p370122 +aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' +p370123 +aS'was\tbe\tVBD\tB-VP\tO' +p370124 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p370125 +aS'.\t.\t.\tO\tO' +p370126 +asS'They recommended continuing beta-blocker and titarting ace as tolerated .' +p370127 +(lp370128 +S'They\tThey\tPRP\tB-NP\tO' +p370129 +aS'recommended\trecommend\tVBD\tB-VP\tO' +p370130 +aS'continuing\tcontinue\tVBG\tB-NP\tO' +p370131 +aS'beta-blocker\tbeta-blocker\tNN\tI-NP\tO' +p370132 +aS'and\tand\tCC\tO\tO' +p370133 +aS'titarting\ttitarte\tVBG\tB-VP\tO' +p370134 +aS'ace\tace\tNN\tB-NP\tO' +p370135 +aS'as\tas\tIN\tB-SBAR\tO' +p370136 +aS'tolerated\ttolerate\tVBN\tB-VP\tO' +p370137 +aS'.\t.\t.\tO\tO' +p370138 +asS'3) Loculated pleural effusions .' +p370139 +(lp370140 +S'3)\t3)\tLS\tB-LST\tO' +p370141 +aS'Loculated\tLoculate\tVBD\tB-VP\tO' +p370142 +aS'pleural\tpleural\tJJ\tB-NP\tO' +p370143 +aS'effusions\teffusion\tNNS\tI-NP\tO' +p370144 +aS'.\t.\t.\tO\tO' +p370145 +asS'The patient was sent home on proton pump inhibitors .' +p370146 +(lp370147 +S'The\tThe\tDT\tB-NP\tO' +p370148 +aS'patient\tpatient\tNN\tI-NP\tO' +p370149 +aS'was\tbe\tVBD\tB-VP\tO' +p370150 +aS'sent\tsend\tVBN\tI-VP\tO' +p370151 +aS'home\thome\tNN\tB-ADVP\tO' +p370152 +aS'on\ton\tIN\tB-PP\tO' +p370153 +aS'proton\tproton\tNN\tB-NP\tO' +p370154 +aS'pump\tpump\tNN\tI-NP\tO' +p370155 +aS'inhibitors\tinhibitor\tNNS\tI-NP\tO' +p370156 +aS'.\t.\t.\tO\tO' +p370157 +asS'The patient remained afebrile and other vital signs were within normal limits .' +p370158 +(lp370159 +S'The\tThe\tDT\tB-NP\tO' +p370160 +aS'patient\tpatient\tNN\tI-NP\tO' +p370161 +aS'remained\tremain\tVBD\tB-VP\tO' +p370162 +aS'afebrile\tafebrile\tJJ\tB-NP\tO' +p370163 +aS'and\tand\tCC\tI-NP\tO' +p370164 +aS'other\tother\tJJ\tI-NP\tO' +p370165 +aS'vital\tvital\tJJ\tI-NP\tO' +p370166 +aS'signs\tsign\tNNS\tI-NP\tO' +p370167 +aS'were\tbe\tVBD\tB-VP\tO' +p370168 +aS'within\twithin\tIN\tB-PP\tO' +p370169 +aS'normal\tnormal\tJJ\tB-NP\tO' +p370170 +aS'limits\tlimit\tNNS\tI-NP\tO' +p370171 +aS'.\t.\t.\tO\tO' +p370172 +asS'Right hip osteoarthritis .' +p370173 +(lp370174 +S'Right\tRight\tNN\tB-NP\tO' +p370175 +aS'hip\thip\tNN\tI-NP\tO' +p370176 +aS'osteoarthritis\tosteoarthritis\tNN\tI-NP\tO' +p370177 +aS'.\t.\t.\tO\tO' +p370178 +asS'4. Timoptic 0.25 one drop O.U. b.i.d.' +p370179 +(lp370180 +S'4.\t4.\tLS\tB-LST\tO' +p370181 +aS'Timoptic\tTimoptic\tNNP\tB-NP\tO' +p370182 +aS'0.25\t0.25\tCD\tI-NP\tO' +p370183 +aS'one\tone\tCD\tI-NP\tO' +p370184 +aS'drop\tdrop\tNN\tI-NP\tO' +p370185 +aS'O.U.\tO.U.\tNNP\tI-NP\tO' +p370186 +aS'b.i.d.\tb.i.d.\tNNP\tI-NP\tO' +p370187 +asS'New inferior and inferolateral wall motion abnormalities with more severe mitral regurgitation present .' +p370188 +(lp370189 +S'New\tNew\tJJ\tB-NP\tO' +p370190 +aS'inferior\tinferior\tJJ\tI-NP\tO' +p370191 +aS'and\tand\tCC\tI-NP\tO' +p370192 +aS'inferolateral\tinferolateral\tJJ\tI-NP\tO' +p370193 +aS'wall\twall\tNN\tI-NP\tO' +p370194 +aS'motion\tmotion\tNN\tI-NP\tO' +p370195 +aS'abnormalities\tabnormality\tNNS\tI-NP\tO' +p370196 +aS'with\twith\tIN\tB-PP\tO' +p370197 +aS'more\tmore\tRBR\tB-NP\tO' +p370198 +aS'severe\tsevere\tJJ\tI-NP\tO' +p370199 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p370200 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p370201 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p370202 +aS'.\t.\t.\tO\tO' +p370203 +asS'This was especially bad when trying to arise .' +p370204 +(lp370205 +S'This\tThis\tDT\tB-NP\tO' +p370206 +aS'was\tbe\tVBD\tB-VP\tO' +p370207 +aS'especially\tespecially\tRB\tB-ADJP\tO' +p370208 +aS'bad\tbad\tJJ\tI-ADJP\tO' +p370209 +aS'when\twhen\tWRB\tB-ADVP\tO' +p370210 +aS'trying\ttry\tVBG\tB-VP\tO' +p370211 +aS'to\tto\tTO\tI-VP\tO' +p370212 +aS'arise\tarise\tVB\tI-VP\tO' +p370213 +aS'.\t.\t.\tO\tO' +p370214 +asS'bld cx 12-26 , 12-27 , 12-28 , 12-31 - NG .' +p370215 +(lp370216 +S'bld\tbld\tJJ\tB-NP\tO' +p370217 +aS'cx\tcx\tNN\tI-NP\tO' +p370218 +aS'12-26\t12-26\tCD\tI-NP\tO' +p370219 +aS',\t,\t,\tI-NP\tO' +p370220 +aS'12-27\t12-27\tCD\tI-NP\tO' +p370221 +aS',\t,\t,\tI-NP\tO' +p370222 +aS'12-28\t12-28\tCD\tI-NP\tO' +p370223 +aS',\t,\t,\tI-NP\tO' +p370224 +aS'12-31\t12-31\tCD\tI-NP\tO' +p370225 +aS'-\t-\tHYPH\tI-NP\tO' +p370226 +aS'NG\tNG\tNN\tI-NP\tO' +p370227 +aS'.\t.\t.\tO\tO' +p370228 +asS'Odell stated she had been thinking about this all night of 2018-05-30 , and agreed that this is not what the pt would have wanted .' +p370229 +(lp370230 +S'Odell\tOdell\tNNP\tB-NP\tO' +p370231 +aS'stated\tstate\tVBD\tB-VP\tO' +p370232 +aS'she\tshe\tPRP\tB-NP\tO' +p370233 +aS'had\thave\tVBD\tB-VP\tO' +p370234 +aS'been\tbe\tVBN\tI-VP\tO' +p370235 +aS'thinking\tthink\tVBG\tI-VP\tO' +p370236 +aS'about\tabout\tIN\tB-PP\tO' +p370237 +aS'this\tthis\tDT\tB-NP\tO' +p370238 +aS'all\tall\tDT\tB-NP\tO' +p370239 +aS'night\tnight\tNN\tI-NP\tO' +p370240 +aS'of\tof\tIN\tB-PP\tO' +p370241 +aS'2018-05-30\t2018-05-30\tCD\tB-NP\tO' +p370242 +aS',\t,\t,\tO\tO' +p370243 +aS'and\tand\tCC\tO\tO' +p370244 +aS'agreed\tagree\tVBD\tB-VP\tO' +p370245 +aS'that\tthat\tIN\tB-SBAR\tO' +p370246 +aS'this\tthis\tDT\tB-NP\tO' +p370247 +aS'is\tbe\tVBZ\tB-VP\tO' +p370248 +aS'not\tnot\tRB\tO\tO' +p370249 +aS'what\twhat\tWP\tB-NP\tO' +p370250 +aS'the\tthe\tDT\tB-NP\tO' +p370251 +aS'pt\tpt\tNN\tI-NP\tO' +p370252 +aS'would\twould\tMD\tB-VP\tO' +p370253 +aS'have\thave\tVB\tI-VP\tO' +p370254 +aS'wanted\twant\tVBN\tI-VP\tO' +p370255 +aS'.\t.\t.\tO\tO' +p370256 +asS'Extremities - Her left arm was very swollen .' +p370257 +(lp370258 +S'Extremities\tExtremity\tNNS\tB-NP\tO' +p370259 +aS'-\t-\t:\tO\tO' +p370260 +aS'Her\tHer\tPRP$\tB-NP\tO' +p370261 +aS'left\tleft\tJJ\tI-NP\tO' +p370262 +aS'arm\tarm\tNN\tI-NP\tO' +p370263 +aS'was\tbe\tVBD\tB-VP\tO' +p370264 +aS'very\tvery\tRB\tI-VP\tO' +p370265 +aS'swollen\tswell\tVBN\tI-VP\tO' +p370266 +aS'.\t.\t.\tO\tO' +p370267 +asS'On 06-03 he was taken back to the OR for debridement of his head wound with removal of the remaining gliadel waffers .' +p370268 +(lp370269 +S'On\tOn\tIN\tB-PP\tO' +p370270 +aS'06-03\t06-03\tCD\tB-NP\tO' +p370271 +aS'he\the\tPRP\tB-NP\tO' +p370272 +aS'was\tbe\tVBD\tB-VP\tO' +p370273 +aS'taken\ttake\tVBN\tI-VP\tO' +p370274 +aS'back\tback\tRB\tB-ADVP\tO' +p370275 +aS'to\tto\tTO\tB-PP\tO' +p370276 +aS'the\tthe\tDT\tB-NP\tO' +p370277 +aS'OR\tOR\tNN\tI-NP\tO' +p370278 +aS'for\tfor\tIN\tB-PP\tO' +p370279 +aS'debridement\tdebridement\tNN\tB-NP\tO' +p370280 +aS'of\tof\tIN\tB-PP\tO' +p370281 +aS'his\this\tPRP$\tB-NP\tO' +p370282 +aS'head\thead\tNN\tI-NP\tO' +p370283 +aS'wound\twound\tNN\tI-NP\tO' +p370284 +aS'with\twith\tIN\tB-PP\tO' +p370285 +aS'removal\tremoval\tNN\tB-NP\tO' +p370286 +aS'of\tof\tIN\tB-PP\tO' +p370287 +aS'the\tthe\tDT\tB-NP\tO' +p370288 +aS'remaining\tremain\tVBG\tI-NP\tO' +p370289 +aS'gliadel\tgliadel\tNN\tI-NP\tO' +p370290 +aS'waffers\twaffer\tNNS\tI-NP\tO' +p370291 +aS'.\t.\t.\tO\tO' +p370292 +asS'Hematologic .' +p370293 +(lp370294 +S'Hematologic\tHematologic\tJJ\tB-ADJP\tO' +p370295 +aS'.\t.\t.\tO\tO' +p370296 +asS'Echocardiogram in 2016-09-16 , with preserved ejection fraction of 60 percent with trivial mitral regurgitation and mild left atrial enlargement .' +p370297 +(lp370298 +S'Echocardiogram\tEchocardiogram\tNN\tB-NP\tO' +p370299 +aS'in\tin\tIN\tB-PP\tO' +p370300 +aS'2016-09-16\t2016-09-16\tCD\tB-NP\tO' +p370301 +aS',\t,\t,\tO\tO' +p370302 +aS'with\twith\tIN\tB-PP\tO' +p370303 +aS'preserved\tpreserve\tVBN\tB-NP\tO' +p370304 +aS'ejection\tejection\tNN\tI-NP\tO' +p370305 +aS'fraction\tfraction\tNN\tI-NP\tO' +p370306 +aS'of\tof\tIN\tB-PP\tO' +p370307 +aS'60\t60\tCD\tB-NP\tO' +p370308 +aS'percent\tpercent\tNN\tI-NP\tO' +p370309 +aS'with\twith\tIN\tB-PP\tO' +p370310 +aS'trivial\ttrivial\tJJ\tB-NP\tO' +p370311 +aS'mitral\tmitral\tJJ\tI-NP\tO' +p370312 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p370313 +aS'and\tand\tCC\tO\tO' +p370314 +aS'mild\tmild\tJJ\tB-NP\tO' +p370315 +aS'left\tleft\tJJ\tI-NP\tO' +p370316 +aS'atrial\tatrial\tJJ\tI-NP\tO' +p370317 +aS'enlargement\tenlargement\tNN\tI-NP\tO' +p370318 +aS'.\t.\t.\tO\tO' +p370319 +asS'Patient initially p/w c/o sudden onset N/abd pain/chills w/ T 103 at NH .' +p370320 +(lp370321 +S'Patient\tPatient\tNN\tB-NP\tO' +p370322 +aS'initially\tinitially\tRB\tI-NP\tO' +p370323 +aS'p/w\tp/w\tNN\tI-NP\tO' +p370324 +aS'c/o\tc/o\tNN\tI-NP\tO' +p370325 +aS'sudden\tsudden\tJJ\tI-NP\tO' +p370326 +aS'onset\tonset\tNN\tI-NP\tO' +p370327 +aS'N/abd\tN/abd\tNN\tI-NP\tO' +p370328 +aS'pain/chills\tpain/chill\tNNS\tI-NP\tO' +p370329 +aS'w/\tw/\tSYM\tB-VP\tO' +p370330 +aS'T\tT\tNN\tB-NP\tO' +p370331 +aS'103\t103\tCD\tI-NP\tO' +p370332 +aS'at\tat\tIN\tB-PP\tO' +p370333 +aS'NH\tNH\tNN\tB-NP\tO' +p370334 +aS'.\t.\t.\tO\tO' +p370335 +asS'The patient was admitted for rule out myocardial infarction .' +p370336 +(lp370337 +S'The\tThe\tDT\tB-NP\tO' +p370338 +aS'patient\tpatient\tNN\tI-NP\tO' +p370339 +aS'was\tbe\tVBD\tB-VP\tO' +p370340 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p370341 +aS'for\tfor\tIN\tB-PP\tO' +p370342 +aS'rule\trule\tNN\tB-NP\tO' +p370343 +aS'out\tout\tIN\tB-PP\tO' +p370344 +aS'myocardial\tmyocardial\tJJ\tB-NP\tO' +p370345 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p370346 +aS'.\t.\t.\tO\tO' +p370347 +asS'The patient was seen by Physical Therapy .' +p370348 +(lp370349 +S'The\tThe\tDT\tB-NP\tO' +p370350 +aS'patient\tpatient\tNN\tI-NP\tO' +p370351 +aS'was\tbe\tVBD\tB-VP\tO' +p370352 +aS'seen\tsee\tVBN\tI-VP\tO' +p370353 +aS'by\tby\tIN\tB-PP\tO' +p370354 +aS'Physical\tPhysical\tJJ\tB-NP\tO' +p370355 +aS'Therapy\tTherapy\tNN\tI-NP\tO' +p370356 +aS'.\t.\t.\tO\tO' +p370357 +asS'On presentation to Providence Behavioral Health Hospital Amanda , her vitals were HR 68 , BP 142/68 , RR 28 , O2 sat 100% RA .' +p370358 +(lp370359 +S'On\tOn\tIN\tB-PP\tO' +p370360 +aS'presentation\tpresentation\tNN\tB-NP\tO' +p370361 +aS'to\tto\tTO\tB-PP\tO' +p370362 +aS'Providence\tProvidence\tNNP\tB-NP\tO' +p370363 +aS'Behavioral\tBehavioral\tNNP\tI-NP\tO' +p370364 +aS'Health\tHealth\tNNP\tI-NP\tO' +p370365 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p370366 +aS'Amanda\tAmanda\tNNP\tI-NP\tO' +p370367 +aS',\t,\t,\tO\tO' +p370368 +aS'her\ther\tPRP$\tB-NP\tO' +p370369 +aS'vitals\tvital\tNNS\tI-NP\tO' +p370370 +aS'were\tbe\tVBD\tB-VP\tO' +p370371 +aS'HR\tHR\tNN\tB-NP\tB-DNA' +p370372 +aS'68\t68\tCD\tI-NP\tI-DNA' +p370373 +aS',\t,\t,\tO\tO' +p370374 +aS'BP\tBP\tNN\tB-NP\tB-DNA' +p370375 +aS'142/68\t142/68\tCD\tI-NP\tI-DNA' +p370376 +aS',\t,\t,\tO\tO' +p370377 +aS'RR\tRR\tNN\tB-NP\tB-protein' +p370378 +aS'28\t28\tCD\tI-NP\tI-protein' +p370379 +aS',\t,\t,\tO\tO' +p370380 +aS'O2\tO2\tNN\tB-NP\tO' +p370381 +aS'sat\tsit\tVBD\tB-VP\tO' +p370382 +aS'100%\t100%\tCD\tB-NP\tO' +p370383 +aS'RA\tRA\tNN\tI-NP\tO' +p370384 +aS'.\t.\t.\tO\tO' +p370385 +asS'Since that time , she has had very rare spells , with none for over one week by the time of discharge .' +p370386 +(lp370387 +S'Since\tSince\tIN\tB-PP\tO' +p370388 +aS'that\tthat\tDT\tB-NP\tO' +p370389 +aS'time\ttime\tNN\tI-NP\tO' +p370390 +aS',\t,\t,\tO\tO' +p370391 +aS'she\tshe\tPRP\tB-NP\tO' +p370392 +aS'has\thave\tVBZ\tB-VP\tO' +p370393 +aS'had\thave\tVBN\tI-VP\tO' +p370394 +aS'very\tvery\tRB\tB-NP\tO' +p370395 +aS'rare\trare\tJJ\tI-NP\tO' +p370396 +aS'spells\tspell\tNNS\tI-NP\tO' +p370397 +aS',\t,\t,\tO\tO' +p370398 +aS'with\twith\tIN\tB-PP\tO' +p370399 +aS'none\tnone\tNN\tB-NP\tO' +p370400 +aS'for\tfor\tIN\tB-PP\tO' +p370401 +aS'over\tover\tIN\tB-NP\tO' +p370402 +aS'one\tone\tCD\tI-NP\tO' +p370403 +aS'week\tweek\tNN\tI-NP\tO' +p370404 +aS'by\tby\tIN\tB-PP\tO' +p370405 +aS'the\tthe\tDT\tB-NP\tO' +p370406 +aS'time\ttime\tNN\tI-NP\tO' +p370407 +aS'of\tof\tIN\tB-PP\tO' +p370408 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p370409 +aS'.\t.\t.\tO\tO' +p370410 +asS'She may be started on ASA , BB , statin by PCP as Stephen .' +p370411 +(lp370412 +S'She\tShe\tPRP\tB-NP\tO' +p370413 +aS'may\tmay\tMD\tB-VP\tO' +p370414 +aS'be\tbe\tVB\tI-VP\tO' +p370415 +aS'started\tstart\tVBN\tI-VP\tO' +p370416 +aS'on\ton\tIN\tB-PP\tO' +p370417 +aS'ASA\tASA\tNN\tB-NP\tO' +p370418 +aS',\t,\t,\tO\tO' +p370419 +aS'BB\tBB\tNN\tB-NP\tB-protein' +p370420 +aS',\t,\t,\tO\tO' +p370421 +aS'statin\tstatin\tNN\tB-NP\tO' +p370422 +aS'by\tby\tIN\tB-PP\tO' +p370423 +aS'PCP\tPCP\tNN\tB-NP\tB-protein' +p370424 +aS'as\tas\tIN\tB-PP\tO' +p370425 +aS'Stephen\tStephen\tNNP\tB-NP\tO' +p370426 +aS'.\t.\t.\tO\tO' +p370427 +asS'3) Chronic pleural effusions .' +p370428 +(lp370429 +S'3)\t3)\tLS\tB-NP\tO' +p370430 +aS'Chronic\tChronic\tJJ\tI-NP\tO' +p370431 +aS'pleural\tpleural\tJJ\tI-NP\tO' +p370432 +aS'effusions\teffusion\tNNS\tI-NP\tO' +p370433 +aS'.\t.\t.\tO\tO' +p370434 +asS"Before this age and for the first 24 months of the child 's life , immunization against influenza is recommended for household contacts and out of home caregivers ." +p370435 +(lp370436 +S'Before\tBefore\tIN\tB-SBAR\tO' +p370437 +aS'this\tthis\tDT\tB-NP\tO' +p370438 +aS'age\tage\tNN\tI-NP\tO' +p370439 +aS'and\tand\tCC\tB-PP\tO' +p370440 +aS'for\tfor\tIN\tB-PP\tO' +p370441 +aS'the\tthe\tDT\tB-NP\tO' +p370442 +aS'first\tfirst\tJJ\tI-NP\tO' +p370443 +aS'24\t24\tCD\tI-NP\tO' +p370444 +aS'months\tmonth\tNNS\tI-NP\tO' +p370445 +aS'of\tof\tIN\tB-PP\tO' +p370446 +aS'the\tthe\tDT\tB-NP\tO' +p370447 +aS'child\tchild\tNN\tI-NP\tO' +p370448 +aS"'s\t's\tPOS\tB-NP\tO" +p370449 +aS'life\tlife\tNN\tI-NP\tO' +p370450 +aS',\t,\t,\tO\tO' +p370451 +aS'immunization\timmunization\tNN\tB-NP\tO' +p370452 +aS'against\tagainst\tIN\tB-PP\tO' +p370453 +aS'influenza\tinfluenza\tNN\tB-NP\tO' +p370454 +aS'is\tbe\tVBZ\tB-VP\tO' +p370455 +aS'recommended\trecommend\tVBN\tI-VP\tO' +p370456 +aS'for\tfor\tIN\tB-PP\tO' +p370457 +aS'household\thousehold\tNN\tB-NP\tO' +p370458 +aS'contacts\tcontact\tNNS\tI-NP\tO' +p370459 +aS'and\tand\tCC\tB-PP\tO' +p370460 +aS'out\tout\tIN\tB-PP\tO' +p370461 +aS'of\tof\tIN\tB-PP\tO' +p370462 +aS'home\thome\tNN\tB-NP\tO' +p370463 +aS'caregivers\tcaregiver\tNNS\tI-NP\tO' +p370464 +aS'.\t.\t.\tO\tO' +p370465 +asS'8. Sensory - Hearing screening is recommended prior to discharge .' +p370466 +(lp370467 +S'8.\t8.\tCD\tB-NP\tO' +p370468 +aS'Sensory\tSensory\tJJ\tI-NP\tO' +p370469 +aS'-\t-\tHYPH\tI-NP\tO' +p370470 +aS'Hearing\tHearing\tNN\tI-NP\tO' +p370471 +aS'screening\tscreening\tNN\tI-NP\tO' +p370472 +aS'is\tbe\tVBZ\tB-VP\tO' +p370473 +aS'recommended\trecommend\tVBN\tI-VP\tO' +p370474 +aS'prior\tprior\tRB\tB-ADVP\tO' +p370475 +aS'to\tto\tTO\tB-VP\tO' +p370476 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p370477 +aS'.\t.\t.\tO\tO' +p370478 +asS'The patient continued to suffer from edema of the left upper extremity and a Vascular Radiology consult revealed a thrombosis of the left subclavian vein extending into the axillary vein .' +p370479 +(lp370480 +S'The\tThe\tDT\tB-NP\tO' +p370481 +aS'patient\tpatient\tNN\tI-NP\tO' +p370482 +aS'continued\tcontinue\tVBD\tB-VP\tO' +p370483 +aS'to\tto\tTO\tI-VP\tO' +p370484 +aS'suffer\tsuffer\tVB\tI-VP\tO' +p370485 +aS'from\tfrom\tIN\tB-PP\tO' +p370486 +aS'edema\tedema\tNN\tB-NP\tO' +p370487 +aS'of\tof\tIN\tB-PP\tO' +p370488 +aS'the\tthe\tDT\tB-NP\tO' +p370489 +aS'left\tleft\tJJ\tI-NP\tO' +p370490 +aS'upper\tupper\tJJ\tI-NP\tO' +p370491 +aS'extremity\textremity\tNN\tI-NP\tO' +p370492 +aS'and\tand\tCC\tO\tO' +p370493 +aS'a\ta\tDT\tB-NP\tO' +p370494 +aS'Vascular\tVascular\tJJ\tI-NP\tO' +p370495 +aS'Radiology\tRadiology\tNN\tI-NP\tO' +p370496 +aS'consult\tconsult\tNN\tI-NP\tO' +p370497 +aS'revealed\treveal\tVBD\tB-VP\tO' +p370498 +aS'a\ta\tDT\tB-NP\tO' +p370499 +aS'thrombosis\tthrombosis\tNN\tI-NP\tO' +p370500 +aS'of\tof\tIN\tB-PP\tO' +p370501 +aS'the\tthe\tDT\tB-NP\tO' +p370502 +aS'left\tleft\tJJ\tI-NP\tO' +p370503 +aS'subclavian\tsubclavian\tJJ\tI-NP\tO' +p370504 +aS'vein\tvein\tNN\tI-NP\tO' +p370505 +aS'extending\textend\tVBG\tB-VP\tO' +p370506 +aS'into\tinto\tIN\tB-PP\tO' +p370507 +aS'the\tthe\tDT\tB-NP\tO' +p370508 +aS'axillary\taxillary\tJJ\tI-NP\tO' +p370509 +aS'vein\tvein\tNN\tI-NP\tO' +p370510 +aS'.\t.\t.\tO\tO' +p370511 +asS'Alkaline phosphatase 169 .' +p370512 +(lp370513 +S'Alkaline\tAlkaline\tNN\tB-NP\tO' +p370514 +aS'phosphatase\tphosphatase\tNN\tI-NP\tO' +p370515 +aS'169\t169\tCD\tI-NP\tO' +p370516 +aS'.\t.\t.\tO\tO' +p370517 +asS'Electrolytes were 143 , 3.4 , 105 , 28 , 24 , 3 , and 131 .' +p370518 +(lp370519 +S'Electrolytes\tElectrolyte\tNNS\tB-NP\tO' +p370520 +aS'were\tbe\tVBD\tB-VP\tO' +p370521 +aS'143\t143\tCD\tB-NP\tO' +p370522 +aS',\t,\t,\tI-NP\tO' +p370523 +aS'3.4\t3.4\tCD\tI-NP\tO' +p370524 +aS',\t,\t,\tI-NP\tO' +p370525 +aS'105\t105\tCD\tI-NP\tO' +p370526 +aS',\t,\t,\tI-NP\tO' +p370527 +aS'28\t28\tCD\tI-NP\tO' +p370528 +aS',\t,\t,\tI-NP\tO' +p370529 +aS'24\t24\tCD\tI-NP\tO' +p370530 +aS',\t,\t,\tI-NP\tO' +p370531 +aS'3\t3\tCD\tI-NP\tO' +p370532 +aS',\t,\t,\tO\tO' +p370533 +aS'and\tand\tCC\tO\tO' +p370534 +aS'131\t131\tCD\tB-NP\tO' +p370535 +aS'.\t.\t.\tO\tO' +p370536 +asS'Preoperative laboratory values showed white blood cell count 6.8 , hematocrit 33.3 , platelet count' +p370537 +(lp370538 +S'Preoperative\tPreoperative\tJJ\tB-NP\tO' +p370539 +aS'laboratory\tlaboratory\tNN\tI-NP\tO' +p370540 +aS'values\tvalue\tNNS\tI-NP\tO' +p370541 +aS'showed\tshow\tVBD\tB-VP\tO' +p370542 +aS'white\twhite\tJJ\tB-NP\tO' +p370543 +aS'blood\tblood\tNN\tI-NP\tO' +p370544 +aS'cell\tcell\tNN\tI-NP\tO' +p370545 +aS'count\tcount\tNN\tI-NP\tO' +p370546 +aS'6.8\t6.8\tCD\tB-NP\tO' +p370547 +aS',\t,\t,\tO\tO' +p370548 +aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' +p370549 +aS'33.3\t33.3\tCD\tI-NP\tI-protein' +p370550 +aS',\t,\t,\tO\tO' +p370551 +aS'platelet\tplatelet\tNN\tB-NP\tO' +p370552 +aS'count\tcount\tNN\tI-NP\tO' +p370553 +asS'1) GI - In the Monica pt had Hct of 20 and bloody NG lavage which did not clear .' +p370554 +(lp370555 +S'1)\t1)\tLS\tB-NP\tO' +p370556 +aS'GI\tGI\tNN\tI-NP\tB-protein' +p370557 +aS'-\t-\tHYPH\tB-ADJP\tO' +p370558 +aS'In\tIn\tIN\tB-PP\tO' +p370559 +aS'the\tthe\tDT\tB-NP\tO' +p370560 +aS'Monica\tMonica\tNNP\tI-NP\tO' +p370561 +aS'pt\tpt\tNN\tI-NP\tO' +p370562 +aS'had\thave\tVBD\tB-VP\tO' +p370563 +aS'Hct\tHct\tNN\tB-NP\tO' +p370564 +aS'of\tof\tIN\tB-PP\tO' +p370565 +aS'20\t20\tCD\tB-NP\tO' +p370566 +aS'and\tand\tCC\tO\tO' +p370567 +aS'bloody\tbloody\tJJ\tB-NP\tO' +p370568 +aS'NG\tNG\tNN\tI-NP\tO' +p370569 +aS'lavage\tlavage\tNN\tI-NP\tO' +p370570 +aS'which\twhich\tWDT\tB-NP\tO' +p370571 +aS'did\tdo\tVBD\tB-VP\tO' +p370572 +aS'not\tnot\tRB\tO\tO' +p370573 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p370574 +aS'.\t.\t.\tO\tO' +p370575 +asS'The patient developed the syndrome after her thoracic aortic aneurysm repair .' +p370576 +(lp370577 +S'The\tThe\tDT\tB-NP\tO' +p370578 +aS'patient\tpatient\tNN\tI-NP\tO' +p370579 +aS'developed\tdevelop\tVBD\tB-VP\tO' +p370580 +aS'the\tthe\tDT\tB-NP\tO' +p370581 +aS'syndrome\tsyndrome\tNN\tI-NP\tO' +p370582 +aS'after\tafter\tIN\tB-PP\tO' +p370583 +aS'her\ther\tPRP$\tB-NP\tO' +p370584 +aS'thoracic\tthoracic\tJJ\tI-NP\tO' +p370585 +aS'aortic\taortic\tJJ\tI-NP\tO' +p370586 +aS'aneurysm\taneurysm\tNN\tI-NP\tO' +p370587 +aS'repair\trepair\tNN\tI-NP\tO' +p370588 +aS'.\t.\t.\tO\tO' +p370589 +asS'She was admitted on 1-5-94 for fever , chest wall ulceration , cellulitis and pain control .' +p370590 +(lp370591 +S'She\tShe\tPRP\tB-NP\tO' +p370592 +aS'was\tbe\tVBD\tB-VP\tO' +p370593 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p370594 +aS'on\ton\tIN\tB-PP\tO' +p370595 +aS'1-5-94\t1-5-94\tNN\tB-NP\tO' +p370596 +aS'for\tfor\tIN\tB-PP\tO' +p370597 +aS'fever\tfever\tNN\tB-NP\tO' +p370598 +aS',\t,\t,\tO\tO' +p370599 +aS'chest\tchest\tNN\tB-NP\tO' +p370600 +aS'wall\twall\tNN\tI-NP\tO' +p370601 +aS'ulceration\tulceration\tNN\tI-NP\tO' +p370602 +aS',\t,\t,\tO\tO' +p370603 +aS'cellulitis\tcellulitis\tNN\tB-NP\tO' +p370604 +aS'and\tand\tCC\tO\tO' +p370605 +aS'pain\tpain\tNN\tB-NP\tO' +p370606 +aS'control\tcontrol\tNN\tI-NP\tO' +p370607 +aS'.\t.\t.\tO\tO' +p370608 +asS"The patient 's INR on admission was 2.4 , with his PT level being 18.9 ." +p370609 +(lp370610 +S'The\tThe\tDT\tB-NP\tO' +p370611 +aS'patient\tpatient\tNN\tI-NP\tO' +p370612 +aS"'s\t's\tPOS\tB-NP\tO" +p370613 +aS'INR\tINR\tNN\tI-NP\tB-protein' +p370614 +aS'on\ton\tIN\tB-PP\tO' +p370615 +aS'admission\tadmission\tNN\tB-NP\tO' +p370616 +aS'was\tbe\tVBD\tB-VP\tO' +p370617 +aS'2.4\t2.4\tCD\tB-NP\tO' +p370618 +aS',\t,\t,\tO\tO' +p370619 +aS'with\twith\tIN\tB-PP\tO' +p370620 +aS'his\this\tPRP$\tB-NP\tO' +p370621 +aS'PT\tPT\tNN\tI-NP\tO' +p370622 +aS'level\tlevel\tNN\tI-NP\tO' +p370623 +aS'being\tbe\tVBG\tB-VP\tO' +p370624 +aS'18.9\t18.9\tCD\tB-NP\tO' +p370625 +aS'.\t.\t.\tO\tO' +p370626 +asS'The patient was started on levofloxacin at Newton-Wellesley Hospital for a question of UTI based on U/A positive for WBC .' +p370627 +(lp370628 +S'The\tThe\tDT\tB-NP\tO' +p370629 +aS'patient\tpatient\tNN\tI-NP\tO' +p370630 +aS'was\tbe\tVBD\tB-VP\tO' +p370631 +aS'started\tstart\tVBN\tI-VP\tO' +p370632 +aS'on\ton\tIN\tB-PP\tO' +p370633 +aS'levofloxacin\tlevofloxacin\tNN\tB-NP\tO' +p370634 +aS'at\tat\tIN\tB-PP\tO' +p370635 +aS'Newton-Wellesley\tNewton-Wellesley\tNNP\tB-NP\tO' +p370636 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p370637 +aS'for\tfor\tIN\tB-PP\tO' +p370638 +aS'a\ta\tDT\tB-NP\tO' +p370639 +aS'question\tquestion\tNN\tI-NP\tO' +p370640 +aS'of\tof\tIN\tB-PP\tO' +p370641 +aS'UTI\tUTI\tNN\tB-NP\tB-protein' +p370642 +aS'based\tbase\tVBN\tB-VP\tO' +p370643 +aS'on\ton\tIN\tB-PP\tO' +p370644 +aS'U/A\tU/A\tNN\tB-NP\tO' +p370645 +aS'positive\tpositive\tJJ\tB-ADJP\tO' +p370646 +aS'for\tfor\tIN\tB-PP\tO' +p370647 +aS'WBC\tWBC\tNNP\tB-NP\tB-cell_type' +p370648 +aS'.\t.\t.\tO\tO' +p370649 +asS'Pain was managed with a Fentanyl patch and by mouth Dilaudid with adequate pain control on discharge .' +p370650 +(lp370651 +S'Pain\tPain\tNN\tB-NP\tB-protein' +p370652 +aS'was\tbe\tVBD\tB-VP\tO' +p370653 +aS'managed\tmanage\tVBN\tI-VP\tO' +p370654 +aS'with\twith\tIN\tB-PP\tO' +p370655 +aS'a\ta\tDT\tB-NP\tO' +p370656 +aS'Fentanyl\tFentanyl\tNN\tI-NP\tO' +p370657 +aS'patch\tpatch\tNN\tI-NP\tO' +p370658 +aS'and\tand\tCC\tB-PP\tO' +p370659 +aS'by\tby\tIN\tB-PP\tO' +p370660 +aS'mouth\tmouth\tNN\tB-NP\tO' +p370661 +aS'Dilaudid\tDilaudid\tVBD\tB-VP\tO' +p370662 +aS'with\twith\tIN\tB-PP\tO' +p370663 +aS'adequate\tadequate\tJJ\tB-NP\tO' +p370664 +aS'pain\tpain\tNN\tI-NP\tO' +p370665 +aS'control\tcontrol\tNN\tI-NP\tO' +p370666 +aS'on\ton\tIN\tB-PP\tO' +p370667 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p370668 +aS'.\t.\t.\tO\tO' +p370669 +asS'3 ) The patient will continue to have her CBC , LDH , bilirubin , chem-7 and magnesium and calcium checked with each dialysis and the results will be faxed to Dr. Ian Zineisfreierm , the hematology attending at fax number 751-329-8840 .' +p370670 +(lp370671 +S'3\t3\tLS\tB-LST\tO' +p370672 +aS')\t)\t)\tO\tO' +p370673 +aS'The\tThe\tDT\tB-NP\tO' +p370674 +aS'patient\tpatient\tNN\tI-NP\tO' +p370675 +aS'will\twill\tMD\tB-VP\tO' +p370676 +aS'continue\tcontinue\tVB\tI-VP\tO' +p370677 +aS'to\tto\tTO\tI-VP\tO' +p370678 +aS'have\thave\tVB\tI-VP\tO' +p370679 +aS'her\ther\tPRP$\tB-NP\tO' +p370680 +aS'CBC\tCBC\tNN\tI-NP\tB-protein' +p370681 +aS',\t,\t,\tO\tO' +p370682 +aS'LDH\tLDH\tNN\tB-NP\tB-protein' +p370683 +aS',\t,\t,\tO\tO' +p370684 +aS'bilirubin\tbilirubin\tNN\tB-NP\tO' +p370685 +aS',\t,\t,\tO\tO' +p370686 +aS'chem-7\tchem-7\tNN\tB-NP\tO' +p370687 +aS'and\tand\tCC\tO\tO' +p370688 +aS'magnesium\tmagnesium\tNN\tB-NP\tO' +p370689 +aS'and\tand\tCC\tI-NP\tO' +p370690 +aS'calcium\tcalcium\tNN\tI-NP\tO' +p370691 +aS'checked\tcheck\tVBD\tB-VP\tO' +p370692 +aS'with\twith\tIN\tB-PP\tO' +p370693 +aS'each\teach\tDT\tB-NP\tO' +p370694 +aS'dialysis\tdialysis\tNN\tI-NP\tO' +p370695 +aS'and\tand\tCC\tO\tO' +p370696 +aS'the\tthe\tDT\tB-NP\tO' +p370697 +aS'results\tresult\tNNS\tI-NP\tO' +p370698 +aS'will\twill\tMD\tB-VP\tO' +p370699 +aS'be\tbe\tVB\tI-VP\tO' +p370700 +aS'faxed\tfax\tVBN\tI-VP\tO' +p370701 +aS'to\tto\tTO\tB-PP\tO' +p370702 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p370703 +aS'Ian\tIan\tNNP\tI-NP\tO' +p370704 +aS'Zineisfreierm\tZineisfreierm\tNNP\tI-NP\tO' +p370705 +aS',\t,\t,\tO\tO' +p370706 +aS'the\tthe\tDT\tB-NP\tO' +p370707 +aS'hematology\thematology\tNN\tI-NP\tO' +p370708 +aS'attending\tattend\tVBG\tB-VP\tO' +p370709 +aS'at\tat\tIN\tB-PP\tO' +p370710 +aS'fax\tfax\tNN\tB-NP\tO' +p370711 +aS'number\tnumber\tNN\tI-NP\tO' +p370712 +aS'751-329-8840\t751-329-8840\tCD\tI-NP\tO' +p370713 +aS'.\t.\t.\tO\tO' +p370714 +asS'No pneumothorax .' +p370715 +(lp370716 +S'No\tNo\tDT\tB-NP\tO' +p370717 +aS'pneumothorax\tpneumothorax\tNN\tI-NP\tO' +p370718 +aS'.\t.\t.\tO\tO' +p370719 +asS'The patient is currently on Disability and lives at home with his wife .' +p370720 +(lp370721 +S'The\tThe\tDT\tB-NP\tO' +p370722 +aS'patient\tpatient\tNN\tI-NP\tO' +p370723 +aS'is\tbe\tVBZ\tB-VP\tO' +p370724 +aS'currently\tcurrently\tRB\tB-ADVP\tO' +p370725 +aS'on\ton\tIN\tB-PP\tO' +p370726 +aS'Disability\tDisability\tNN\tB-NP\tO' +p370727 +aS'and\tand\tCC\tO\tO' +p370728 +aS'lives\tlive\tVBZ\tB-VP\tO' +p370729 +aS'at\tat\tIN\tB-PP\tO' +p370730 +aS'home\thome\tNN\tB-NP\tO' +p370731 +aS'with\twith\tIN\tB-PP\tO' +p370732 +aS'his\this\tPRP$\tB-NP\tO' +p370733 +aS'wife\twife\tNN\tI-NP\tO' +p370734 +aS'.\t.\t.\tO\tO' +p370735 +asS'There is no family history of thyroid cancer .' +p370736 +(lp370737 +S'There\tThere\tEX\tB-NP\tO' +p370738 +aS'is\tbe\tVBZ\tB-VP\tO' +p370739 +aS'no\tno\tDT\tB-NP\tO' +p370740 +aS'family\tfamily\tNN\tI-NP\tO' +p370741 +aS'history\thistory\tNN\tI-NP\tO' +p370742 +aS'of\tof\tIN\tB-PP\tO' +p370743 +aS'thyroid\tthyroid\tJJ\tB-NP\tO' +p370744 +aS'cancer\tcancer\tNN\tI-NP\tO' +p370745 +aS'.\t.\t.\tO\tO' +p370746 +asS'We also have been diuresing her with Bumex .' +p370747 +(lp370748 +S'We\tWe\tPRP\tB-NP\tO' +p370749 +aS'also\talso\tRB\tB-ADVP\tO' +p370750 +aS'have\thave\tVBP\tB-VP\tO' +p370751 +aS'been\tbe\tVBN\tI-VP\tO' +p370752 +aS'diuresing\tdiurese\tVBG\tI-VP\tO' +p370753 +aS'her\ther\tPRP\tB-NP\tO' +p370754 +aS'with\twith\tIN\tB-PP\tO' +p370755 +aS'Bumex\tBumex\tNNP\tB-NP\tO' +p370756 +aS'.\t.\t.\tO\tO' +p370757 +asS'Mr. Roach had a spike in white blood cell count and developed fevers .' +p370758 +(lp370759 +S'Mr.\tMr.\tNNP\tB-NP\tO' +p370760 +aS'Roach\tRoach\tNNP\tI-NP\tO' +p370761 +aS'had\thave\tVBD\tB-VP\tO' +p370762 +aS'a\ta\tDT\tB-NP\tO' +p370763 +aS'spike\tspike\tNN\tI-NP\tO' +p370764 +aS'in\tin\tIN\tB-PP\tO' +p370765 +aS'white\twhite\tJJ\tB-NP\tB-cell_type' +p370766 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p370767 +aS'cell\tcell\tNN\tI-NP\tI-cell_type' +p370768 +aS'count\tcount\tNN\tI-NP\tO' +p370769 +aS'and\tand\tCC\tO\tO' +p370770 +aS'developed\tdevelop\tVBN\tB-NP\tO' +p370771 +aS'fevers\tfever\tNNS\tI-NP\tO' +p370772 +aS'.\t.\t.\tO\tO' +p370773 +asS'This is to notify you that your patient , CHAFFBITZ , TESSMONDMARV arrived in the Emergency Department at Ro Woodma Healthcare on 11/26/2000 06:47 PM .' +p370774 +(lp370775 +S'This\tThis\tDT\tB-NP\tO' +p370776 +aS'is\tbe\tVBZ\tB-VP\tO' +p370777 +aS'to\tto\tTO\tB-VP\tO' +p370778 +aS'notify\tnotify\tVB\tI-VP\tO' +p370779 +aS'you\tyou\tPRP\tB-NP\tO' +p370780 +aS'that\tthat\tIN\tB-SBAR\tO' +p370781 +aS'your\tyour\tPRP$\tB-NP\tO' +p370782 +aS'patient\tpatient\tNN\tI-NP\tO' +p370783 +aS',\t,\t,\tO\tO' +p370784 +aS'CHAFFBITZ\tCHAFFBITZ\tNN\tB-NP\tB-protein' +p370785 +aS',\t,\t,\tO\tO' +p370786 +aS'TESSMONDMARV\tTESSMONDMARV\tNN\tB-NP\tO' +p370787 +aS'arrived\tarrive\tVBD\tB-VP\tO' +p370788 +aS'in\tin\tIN\tB-PP\tO' +p370789 +aS'the\tthe\tDT\tB-NP\tO' +p370790 +aS'Emergency\tEmergency\tNNP\tI-NP\tO' +p370791 +aS'Department\tDepartment\tNNP\tI-NP\tO' +p370792 +aS'at\tat\tIN\tB-PP\tO' +p370793 +aS'Ro\tRo\tNNP\tB-NP\tO' +p370794 +aS'Woodma\tWoodma\tNNP\tI-NP\tO' +p370795 +aS'Healthcare\tHealthcare\tNNP\tI-NP\tO' +p370796 +aS'on\ton\tIN\tB-PP\tO' +p370797 +aS'11/26/2000\t11/26/2000\tCD\tB-NP\tO' +p370798 +aS'06:47\t06:47\tCD\tI-NP\tO' +p370799 +aS'PM\tPM\tNN\tI-NP\tO' +p370800 +aS'.\t.\t.\tO\tO' +p370801 +asS'Estimated date of delivery was 2012-05-14 for estimated gestational age of 39-1/7 weeks .' +p370802 +(lp370803 +S'Estimated\tEstimate\tVBN\tB-NP\tO' +p370804 +aS'date\tdate\tNN\tI-NP\tO' +p370805 +aS'of\tof\tIN\tB-PP\tO' +p370806 +aS'delivery\tdelivery\tNN\tB-NP\tO' +p370807 +aS'was\tbe\tVBD\tB-VP\tO' +p370808 +aS'2012-05-14\t2012-05-14\tCD\tB-NP\tO' +p370809 +aS'for\tfor\tIN\tB-PP\tO' +p370810 +aS'estimated\testimate\tVBN\tB-NP\tO' +p370811 +aS'gestational\tgestational\tJJ\tI-NP\tO' +p370812 +aS'age\tage\tNN\tI-NP\tO' +p370813 +aS'of\tof\tIN\tB-PP\tO' +p370814 +aS'39-1/7\t39-1/7\tCD\tB-NP\tO' +p370815 +aS'weeks\tweek\tNNS\tI-NP\tO' +p370816 +aS'.\t.\t.\tO\tO' +p370817 +asS'With the initiation of caffeine therapy the patient has had no more apnea or bradycardic events .' +p370818 +(lp370819 +S'With\tWith\tIN\tB-PP\tO' +p370820 +aS'the\tthe\tDT\tB-NP\tO' +p370821 +aS'initiation\tinitiation\tNN\tI-NP\tO' +p370822 +aS'of\tof\tIN\tB-PP\tO' +p370823 +aS'caffeine\tcaffeine\tNN\tB-NP\tO' +p370824 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p370825 +aS'the\tthe\tDT\tB-NP\tO' +p370826 +aS'patient\tpatient\tNN\tI-NP\tO' +p370827 +aS'has\thave\tVBZ\tB-VP\tO' +p370828 +aS'had\thave\tVBN\tI-VP\tO' +p370829 +aS'no\tno\tDT\tB-NP\tO' +p370830 +aS'more\tmore\tJJR\tI-NP\tO' +p370831 +aS'apnea\tapnea\tNN\tI-NP\tO' +p370832 +aS'or\tor\tCC\tI-NP\tO' +p370833 +aS'bradycardic\tbradycardic\tJJ\tI-NP\tO' +p370834 +aS'events\tevent\tNNS\tI-NP\tO' +p370835 +aS'.\t.\t.\tO\tO' +p370836 +asS'He felt the patient was not a coronary artery bypass graft candidate because of the lack of conduit and because of the presence of a large anterior myocardial infarction .' +p370837 +(lp370838 +S'He\tHe\tPRP\tB-NP\tO' +p370839 +aS'felt\tfeel\tVBD\tB-VP\tO' +p370840 +aS'the\tthe\tDT\tB-NP\tO' +p370841 +aS'patient\tpatient\tNN\tI-NP\tO' +p370842 +aS'was\tbe\tVBD\tB-VP\tO' +p370843 +aS'not\tnot\tRB\tO\tO' +p370844 +aS'a\ta\tDT\tB-NP\tO' +p370845 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p370846 +aS'artery\tartery\tNN\tI-NP\tO' +p370847 +aS'bypass\tbypass\tIN\tB-PP\tO' +p370848 +aS'graft\tgraft\tNN\tB-NP\tO' +p370849 +aS'candidate\tcandidate\tNN\tI-NP\tO' +p370850 +aS'because\tbecause\tIN\tB-PP\tO' +p370851 +aS'of\tof\tIN\tI-PP\tO' +p370852 +aS'the\tthe\tDT\tB-NP\tO' +p370853 +aS'lack\tlack\tNN\tI-NP\tO' +p370854 +aS'of\tof\tIN\tB-PP\tO' +p370855 +aS'conduit\tconduit\tNN\tB-NP\tO' +p370856 +aS'and\tand\tCC\tO\tO' +p370857 +aS'because\tbecause\tIN\tB-PP\tO' +p370858 +aS'of\tof\tIN\tI-PP\tO' +p370859 +aS'the\tthe\tDT\tB-NP\tO' +p370860 +aS'presence\tpresence\tNN\tI-NP\tO' +p370861 +aS'of\tof\tIN\tB-PP\tO' +p370862 +aS'a\ta\tDT\tB-NP\tO' +p370863 +aS'large\tlarge\tJJ\tI-NP\tO' +p370864 +aS'anterior\tanterior\tJJ\tI-NP\tO' +p370865 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p370866 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p370867 +aS'.\t.\t.\tO\tO' +p370868 +asS'Over the first 12 hours the chest tube drained 2,500 cc .' +p370869 +(lp370870 +S'Over\tOver\tIN\tB-PP\tO' +p370871 +aS'the\tthe\tDT\tB-NP\tO' +p370872 +aS'first\tfirst\tJJ\tI-NP\tO' +p370873 +aS'12\t12\tCD\tI-NP\tO' +p370874 +aS'hours\thour\tNNS\tI-NP\tO' +p370875 +aS'the\tthe\tDT\tB-NP\tO' +p370876 +aS'chest\tchest\tNN\tI-NP\tO' +p370877 +aS'tube\ttube\tNN\tI-NP\tO' +p370878 +aS'drained\tdrain\tVBD\tB-VP\tO' +p370879 +aS'2,500\t2,500\tCD\tB-NP\tO' +p370880 +aS'cc\tcc\tNN\tI-NP\tO' +p370881 +aS'.\t.\t.\tO\tO' +p370882 +asS'Telephone number is ( 739 ) 520-0347 .' +p370883 +(lp370884 +S'Telephone\tTelephone\tNN\tB-NP\tO' +p370885 +aS'number\tnumber\tNN\tI-NP\tO' +p370886 +aS'is\tbe\tVBZ\tB-VP\tO' +p370887 +aS'(\t(\t(\tO\tO' +p370888 +aS'739\t739\tCD\tB-NP\tO' +p370889 +aS')\t)\t)\tO\tO' +p370890 +aS'520-0347\t520-0347\tCD\tB-NP\tO' +p370891 +aS'.\t.\t.\tO\tO' +p370892 +asS'08/31/98 ascending aortic root replacement with homograft with omentopexy .' +p370893 +(lp370894 +S'08/31/98\t08/31/98\tCD\tB-NP\tO' +p370895 +aS'ascending\tascend\tVBG\tB-VP\tO' +p370896 +aS'aortic\taortic\tJJ\tB-NP\tO' +p370897 +aS'root\troot\tNN\tI-NP\tO' +p370898 +aS'replacement\treplacement\tNN\tI-NP\tO' +p370899 +aS'with\twith\tIN\tB-PP\tO' +p370900 +aS'homograft\thomograft\tNN\tB-NP\tO' +p370901 +aS'with\twith\tIN\tB-PP\tO' +p370902 +aS'omentopexy\tomentopexy\tNN\tB-NP\tO' +p370903 +aS'.\t.\t.\tO\tO' +p370904 +asS'6. Status post abdominal repair of wound dehiscence of jejunostomy site .' +p370905 +(lp370906 +S'6.\t6.\tLS\tB-LST\tO' +p370907 +aS'Status\tStatus\tNNP\tB-NP\tO' +p370908 +aS'post\tpost\tIN\tB-PP\tO' +p370909 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p370910 +aS'repair\trepair\tNN\tI-NP\tO' +p370911 +aS'of\tof\tIN\tB-PP\tO' +p370912 +aS'wound\twound\tNN\tB-NP\tO' +p370913 +aS'dehiscence\tdehiscence\tNN\tI-NP\tO' +p370914 +aS'of\tof\tIN\tB-PP\tO' +p370915 +aS'jejunostomy\tjejunostomy\tNN\tB-NP\tB-DNA' +p370916 +aS'site\tsite\tNN\tI-NP\tI-DNA' +p370917 +aS'.\t.\t.\tO\tO' +p370918 +asS'Findings consistent with small vessel ischemic changes .' +p370919 +(lp370920 +S'Findings\tFinding\tNNS\tB-NP\tO' +p370921 +aS'consistent\tconsistent\tJJ\tB-ADJP\tO' +p370922 +aS'with\twith\tIN\tB-PP\tO' +p370923 +aS'small\tsmall\tJJ\tB-NP\tO' +p370924 +aS'vessel\tvessel\tNN\tI-NP\tO' +p370925 +aS'ischemic\tischemic\tJJ\tI-NP\tO' +p370926 +aS'changes\tchange\tNNS\tI-NP\tO' +p370927 +aS'.\t.\t.\tO\tO' +p370928 +asS'On day of life 15 for a hematocrit of 29 , she received 20 cc of packed red blood cells .' +p370929 +(lp370930 +S'On\tOn\tIN\tB-PP\tO' +p370931 +aS'day\tday\tNN\tB-NP\tO' +p370932 +aS'of\tof\tIN\tB-PP\tO' +p370933 +aS'life\tlife\tNN\tB-NP\tO' +p370934 +aS'15\t15\tCD\tI-NP\tO' +p370935 +aS'for\tfor\tIN\tB-PP\tO' +p370936 +aS'a\ta\tDT\tB-NP\tO' +p370937 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p370938 +aS'of\tof\tIN\tB-PP\tO' +p370939 +aS'29\t29\tCD\tB-NP\tO' +p370940 +aS',\t,\t,\tO\tO' +p370941 +aS'she\tshe\tPRP\tB-NP\tO' +p370942 +aS'received\treceive\tVBD\tB-VP\tO' +p370943 +aS'20\t20\tCD\tB-NP\tO' +p370944 +aS'cc\tcc\tNN\tI-NP\tO' +p370945 +aS'of\tof\tIN\tB-PP\tO' +p370946 +aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' +p370947 +aS'red\tred\tJJ\tI-NP\tI-cell_type' +p370948 +aS'blood\tblood\tNN\tI-NP\tI-cell_type' +p370949 +aS'cells\tcell\tNNS\tI-NP\tI-cell_type' +p370950 +aS'.\t.\t.\tO\tO' +p370951 +asS'A Persantine Thallium study demonstrated a large infarct , involving the posteroseptal , anteroseptal areas .' +p370952 +(lp370953 +S'A\tA\tDT\tB-NP\tO' +p370954 +aS'Persantine\tPersantine\tJJ\tI-NP\tO' +p370955 +aS'Thallium\tThallium\tNN\tI-NP\tO' +p370956 +aS'study\tstudy\tNN\tI-NP\tO' +p370957 +aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' +p370958 +aS'a\ta\tDT\tB-NP\tO' +p370959 +aS'large\tlarge\tJJ\tI-NP\tO' +p370960 +aS'infarct\tinfarct\tNN\tI-NP\tO' +p370961 +aS',\t,\t,\tO\tO' +p370962 +aS'involving\tinvolve\tVBG\tB-VP\tO' +p370963 +aS'the\tthe\tDT\tB-NP\tO' +p370964 +aS'posteroseptal\tposteroseptal\tJJ\tI-NP\tO' +p370965 +aS',\t,\t,\tI-NP\tO' +p370966 +aS'anteroseptal\tanteroseptal\tJJ\tI-NP\tO' +p370967 +aS'areas\tarea\tNNS\tI-NP\tO' +p370968 +aS'.\t.\t.\tO\tO' +p370969 +asS'He was admitted to Vassdiysey Medical Center with severe recurrent pancreatitis , nausea , vomiting , and abdominal pain .' +p370970 +(lp370971 +S'He\tHe\tPRP\tB-NP\tO' +p370972 +aS'was\tbe\tVBD\tB-VP\tO' +p370973 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p370974 +aS'to\tto\tTO\tB-PP\tO' +p370975 +aS'Vassdiysey\tVassdiysey\tNNP\tB-NP\tO' +p370976 +aS'Medical\tMedical\tNNP\tI-NP\tO' +p370977 +aS'Center\tCenter\tNNP\tI-NP\tO' +p370978 +aS'with\twith\tIN\tB-PP\tO' +p370979 +aS'severe\tsevere\tJJ\tB-NP\tO' +p370980 +aS'recurrent\trecurrent\tJJ\tI-NP\tO' +p370981 +aS'pancreatitis\tpancreatitis\tNN\tI-NP\tO' +p370982 +aS',\t,\t,\tO\tO' +p370983 +aS'nausea\tnausea\tNN\tB-NP\tO' +p370984 +aS',\t,\t,\tO\tO' +p370985 +aS'vomiting\tvomiting\tNN\tB-NP\tO' +p370986 +aS',\t,\t,\tO\tO' +p370987 +aS'and\tand\tCC\tO\tO' +p370988 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p370989 +aS'pain\tpain\tNN\tI-NP\tO' +p370990 +aS'.\t.\t.\tO\tO' +p370991 +asS'This was postoperative day # 6 , at which time she is ready for discharge .' +p370992 +(lp370993 +S'This\tThis\tDT\tB-NP\tO' +p370994 +aS'was\tbe\tVBD\tB-VP\tO' +p370995 +aS'postoperative\tpostoperative\tJJ\tB-NP\tO' +p370996 +aS'day\tday\tNN\tI-NP\tO' +p370997 +aS'#\t#\t#\tB-NP\tO' +p370998 +aS'6\t6\tCD\tI-NP\tO' +p370999 +aS',\t,\t,\tO\tO' +p371000 +aS'at\tat\tIN\tB-PP\tO' +p371001 +aS'which\twhich\tWDT\tB-NP\tO' +p371002 +aS'time\ttime\tNN\tI-NP\tO' +p371003 +aS'she\tshe\tPRP\tB-NP\tO' +p371004 +aS'is\tbe\tVBZ\tB-VP\tO' +p371005 +aS'ready\tready\tJJ\tB-ADJP\tO' +p371006 +aS'for\tfor\tIN\tB-PP\tO' +p371007 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p371008 +aS'.\t.\t.\tO\tO' +p371009 +asS'8. Warfarin Sodium 3 mg Tablet Sig : One ( 1 ) Tablet PO at bedtime .' +p371010 +(lp371011 +S'8.\t8.\tCD\tB-NP\tO' +p371012 +aS'Warfarin\tWarfarin\tNNP\tI-NP\tO' +p371013 +aS'Sodium\tSodium\tNNP\tI-NP\tO' +p371014 +aS'3\t3\tCD\tI-NP\tO' +p371015 +aS'mg\tmg\tNN\tI-NP\tO' +p371016 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p371017 +aS'Sig\tSig\tNNP\tI-NP\tO' +p371018 +aS':\t:\t:\tO\tO' +p371019 +aS'One\tOne\tCD\tB-NP\tO' +p371020 +aS'(\t(\t(\tO\tO' +p371021 +aS'1\t1\tCD\tB-NP\tO' +p371022 +aS')\t)\t)\tO\tO' +p371023 +aS'Tablet\tTablet\tNN\tB-NP\tB-protein' +p371024 +aS'PO\tPO\tNN\tI-NP\tI-protein' +p371025 +aS'at\tat\tIN\tB-PP\tO' +p371026 +aS'bedtime\tbedtime\tNN\tB-NP\tO' +p371027 +aS'.\t.\t.\tO\tO' +p371028 +asS'history , physical , neuro exam normal' +p371029 +(lp371030 +S'history\thistory\tNN\tB-NP\tO' +p371031 +aS',\t,\t,\tI-NP\tO' +p371032 +aS'physical\tphysical\tJJ\tI-NP\tO' +p371033 +aS',\t,\t,\tI-NP\tO' +p371034 +aS'neuro\tneuro\tJJ\tI-NP\tO' +p371035 +aS'exam\texam\tNN\tI-NP\tO' +p371036 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p371037 +asS'Regular menses , on Ortho-Tri-Cyclen .' +p371038 +(lp371039 +S'Regular\tRegular\tJJ\tB-NP\tO' +p371040 +aS'menses\tmens\tNNS\tI-NP\tO' +p371041 +aS',\t,\t,\tO\tO' +p371042 +aS'on\ton\tIN\tB-PP\tO' +p371043 +aS'Ortho-Tri-Cyclen\tOrtho-Tri-Cyclen\tNNP\tB-NP\tO' +p371044 +aS'.\t.\t.\tO\tO' +p371045 +asS'8. Ramipril 1.25 mg Capsule Sig : Two ( 2 ) Capsule PO DAILY ( Daily ) .' +p371046 +(lp371047 +S'8.\t8.\tCD\tB-NP\tO' +p371048 +aS'Ramipril\tRamipril\tNNP\tI-NP\tO' +p371049 +aS'1.25\t1.25\tCD\tI-NP\tO' +p371050 +aS'mg\tmg\tNN\tI-NP\tO' +p371051 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p371052 +aS'Sig\tSig\tNNP\tI-NP\tO' +p371053 +aS':\t:\t:\tO\tO' +p371054 +aS'Two\tTwo\tCD\tB-NP\tO' +p371055 +aS'(\t(\t(\tO\tO' +p371056 +aS'2\t2\tCD\tB-NP\tO' +p371057 +aS')\t)\t)\tO\tO' +p371058 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p371059 +aS'PO\tPO\tNNP\tI-NP\tO' +p371060 +aS'DAILY\tDAILY\tNNP\tI-NP\tO' +p371061 +aS'(\t(\t(\tO\tO' +p371062 +aS'Daily\tDaily\tNNP\tB-NP\tO' +p371063 +aS')\t)\t)\tO\tO' +p371064 +aS'.\t.\t.\tO\tO' +p371065 +asS'The patient was too large to have a CTA .' +p371066 +(lp371067 +S'The\tThe\tDT\tB-NP\tO' +p371068 +aS'patient\tpatient\tNN\tI-NP\tO' +p371069 +aS'was\tbe\tVBD\tB-VP\tO' +p371070 +aS'too\ttoo\tRB\tB-ADJP\tO' +p371071 +aS'large\tlarge\tJJ\tI-ADJP\tO' +p371072 +aS'to\tto\tTO\tB-VP\tO' +p371073 +aS'have\thave\tVB\tI-VP\tO' +p371074 +aS'a\ta\tDT\tB-NP\tO' +p371075 +aS'CTA\tCTA\tNN\tI-NP\tB-protein' +p371076 +aS'.\t.\t.\tO\tO' +p371077 +asS'fashion .' +p371078 +(lp371079 +S'fashion\tfashion\tNN\tB-NP\tO' +p371080 +aS'.\t.\t.\tO\tO' +p371081 +asS'The abdomen was benign , unremarkable .' +p371082 +(lp371083 +S'The\tThe\tDT\tB-NP\tO' +p371084 +aS'abdomen\tabdomen\tNN\tI-NP\tO' +p371085 +aS'was\tbe\tVBD\tB-VP\tO' +p371086 +aS'benign\tbenign\tJJ\tB-ADJP\tO' +p371087 +aS',\t,\t,\tO\tO' +p371088 +aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' +p371089 +aS'.\t.\t.\tO\tO' +p371090 +asS'2. Norvasc 2.5 mg p.o. q day .' +p371091 +(lp371092 +S'2.\t2.\tCD\tB-NP\tO' +p371093 +aS'Norvasc\tNorvasc\tCC\tI-NP\tO' +p371094 +aS'2.5\t2.5\tCD\tI-NP\tO' +p371095 +aS'mg\tmg\tNN\tI-NP\tO' +p371096 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p371097 +aS'q\tq\tNN\tI-NP\tO' +p371098 +aS'day\tday\tNN\tI-NP\tO' +p371099 +aS'.\t.\t.\tO\tO' +p371100 +asS'He was transfered to the floor on 08-09 .' +p371101 +(lp371102 +S'He\tHe\tPRP\tB-NP\tO' +p371103 +aS'was\tbe\tVBD\tB-VP\tO' +p371104 +aS'transfered\ttransfer\tVBN\tI-VP\tO' +p371105 +aS'to\tto\tTO\tB-PP\tO' +p371106 +aS'the\tthe\tDT\tB-NP\tO' +p371107 +aS'floor\tfloor\tNN\tI-NP\tO' +p371108 +aS'on\ton\tIN\tB-PP\tO' +p371109 +aS'08-09\t08-09\tCD\tB-NP\tO' +p371110 +aS'.\t.\t.\tO\tO' +p371111 +asS'if you have recurrent fevers , chills , naseau , vomitting , chest pain , shortness of breath , or other worrisome symptoms , please contact your primary care physician or the emergency department .' +p371112 +(lp371113 +S'if\tif\tIN\tB-SBAR\tO' +p371114 +aS'you\tyou\tPRP\tB-NP\tO' +p371115 +aS'have\thave\tVBP\tB-VP\tO' +p371116 +aS'recurrent\trecurrent\tJJ\tB-NP\tO' +p371117 +aS'fevers\tfever\tNNS\tI-NP\tO' +p371118 +aS',\t,\t,\tO\tO' +p371119 +aS'chills\tchill\tNNS\tB-NP\tO' +p371120 +aS',\t,\t,\tO\tO' +p371121 +aS'naseau\tnaseau\tNN\tB-NP\tO' +p371122 +aS',\t,\t,\tO\tO' +p371123 +aS'vomitting\tvomitting\tNN\tB-NP\tO' +p371124 +aS',\t,\t,\tO\tO' +p371125 +aS'chest\tchest\tNN\tB-NP\tO' +p371126 +aS'pain\tpain\tNN\tI-NP\tO' +p371127 +aS',\t,\t,\tO\tO' +p371128 +aS'shortness\tshortness\tNN\tB-NP\tO' +p371129 +aS'of\tof\tIN\tB-PP\tO' +p371130 +aS'breath\tbreath\tNN\tB-NP\tO' +p371131 +aS',\t,\t,\tO\tO' +p371132 +aS'or\tor\tCC\tO\tO' +p371133 +aS'other\tother\tJJ\tB-NP\tO' +p371134 +aS'worrisome\tworrisome\tJJ\tI-NP\tO' +p371135 +aS'symptoms\tsymptom\tNNS\tI-NP\tO' +p371136 +aS',\t,\t,\tO\tO' +p371137 +aS'please\tplease\tVB\tB-INTJ\tO' +p371138 +aS'contact\tcontact\tVB\tB-VP\tO' +p371139 +aS'your\tyour\tPRP$\tB-NP\tO' +p371140 +aS'primary\tprimary\tJJ\tI-NP\tO' +p371141 +aS'care\tcare\tNN\tI-NP\tO' +p371142 +aS'physician\tphysician\tNN\tI-NP\tO' +p371143 +aS'or\tor\tCC\tO\tO' +p371144 +aS'the\tthe\tDT\tB-NP\tO' +p371145 +aS'emergency\temergency\tNN\tI-NP\tO' +p371146 +aS'department\tdepartment\tNN\tI-NP\tO' +p371147 +aS'.\t.\t.\tO\tO' +p371148 +asS'3. Carotid disease .' +p371149 +(lp371150 +S'3.\t3.\tLS\tB-NP\tO' +p371151 +aS'Carotid\tCarotid\tNN\tI-NP\tO' +p371152 +aS'disease\tdisease\tNN\tI-NP\tO' +p371153 +aS'.\t.\t.\tO\tO' +p371154 +asS"Given the patient 's recent RP bleed , there was concern for a recurrent bleed ." +p371155 +(lp371156 +S'Given\tGive\tVBN\tB-PP\tO' +p371157 +aS'the\tthe\tDT\tB-NP\tO' +p371158 +aS'patient\tpatient\tNN\tI-NP\tO' +p371159 +aS"'s\t's\tPOS\tB-NP\tO" +p371160 +aS'recent\trecent\tJJ\tI-NP\tO' +p371161 +aS'RP\tRP\tNN\tI-NP\tO' +p371162 +aS'bleed\tbleed\tNN\tI-NP\tO' +p371163 +aS',\t,\t,\tO\tO' +p371164 +aS'there\tthere\tEX\tB-NP\tO' +p371165 +aS'was\tbe\tVBD\tB-VP\tO' +p371166 +aS'concern\tconcern\tNN\tB-NP\tO' +p371167 +aS'for\tfor\tIN\tB-PP\tO' +p371168 +aS'a\ta\tDT\tB-NP\tO' +p371169 +aS'recurrent\trecurrent\tJJ\tI-NP\tO' +p371170 +aS'bleed\tbleed\tNN\tI-NP\tO' +p371171 +aS'.\t.\t.\tO\tO' +p371172 +asS'Congestive heart failure , coronary artery disease , mediastinal mass , inferior myocardial infarction , bronchiectasis .' +p371173 +(lp371174 +S'Congestive\tCongestive\tJJ\tB-NP\tO' +p371175 +aS'heart\theart\tNN\tI-NP\tO' +p371176 +aS'failure\tfailure\tNN\tI-NP\tO' +p371177 +aS',\t,\t,\tO\tO' +p371178 +aS'coronary\tcoronary\tJJ\tB-NP\tO' +p371179 +aS'artery\tartery\tNN\tI-NP\tO' +p371180 +aS'disease\tdisease\tNN\tI-NP\tO' +p371181 +aS',\t,\t,\tO\tO' +p371182 +aS'mediastinal\tmediastinal\tJJ\tB-NP\tO' +p371183 +aS'mass\tmass\tNN\tI-NP\tO' +p371184 +aS',\t,\t,\tO\tO' +p371185 +aS'inferior\tinferior\tJJ\tB-NP\tO' +p371186 +aS'myocardial\tmyocardial\tJJ\tI-NP\tO' +p371187 +aS'infarction\tinfarction\tNN\tI-NP\tO' +p371188 +aS',\t,\t,\tO\tO' +p371189 +aS'bronchiectasis\tbronchiectasis\tNN\tB-NP\tO' +p371190 +aS'.\t.\t.\tO\tO' +p371191 +asS'An abdominal ultrasound was performed .' +p371192 +(lp371193 +S'An\tAn\tDT\tB-NP\tO' +p371194 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p371195 +aS'ultrasound\tultrasound\tNN\tI-NP\tO' +p371196 +aS'was\tbe\tVBD\tB-VP\tO' +p371197 +aS'performed\tperform\tVBN\tI-VP\tO' +p371198 +aS'.\t.\t.\tO\tO' +p371199 +asS'Chest was clear .' +p371200 +(lp371201 +S'Chest\tChest\tNNP\tB-NP\tO' +p371202 +aS'was\tbe\tVBD\tB-VP\tO' +p371203 +aS'clear\tclear\tJJ\tB-ADJP\tO' +p371204 +aS'.\t.\t.\tO\tO' +p371205 +asS'There was no jugular venous distension .' +p371206 +(lp371207 +S'There\tThere\tEX\tB-NP\tO' +p371208 +aS'was\tbe\tVBD\tB-VP\tO' +p371209 +aS'no\tno\tDT\tB-NP\tO' +p371210 +aS'jugular\tjugular\tJJ\tI-NP\tO' +p371211 +aS'venous\tvenous\tJJ\tI-NP\tO' +p371212 +aS'distension\tdistension\tNN\tI-NP\tO' +p371213 +aS'.\t.\t.\tO\tO' +p371214 +asS'He also complained of some fecal incontinence the day prior to admission without urinary incontinence .' +p371215 +(lp371216 +S'He\tHe\tPRP\tB-NP\tO' +p371217 +aS'also\talso\tRB\tB-ADVP\tO' +p371218 +aS'complained\tcomplain\tVBD\tB-VP\tO' +p371219 +aS'of\tof\tIN\tB-PP\tO' +p371220 +aS'some\tsome\tDT\tB-NP\tO' +p371221 +aS'fecal\tfecal\tJJ\tI-NP\tO' +p371222 +aS'incontinence\tincontinence\tNN\tI-NP\tO' +p371223 +aS'the\tthe\tDT\tB-NP\tO' +p371224 +aS'day\tday\tNN\tI-NP\tO' +p371225 +aS'prior\tprior\tRB\tB-ADVP\tO' +p371226 +aS'to\tto\tTO\tB-PP\tO' +p371227 +aS'admission\tadmission\tNN\tB-NP\tO' +p371228 +aS'without\twithout\tIN\tB-PP\tO' +p371229 +aS'urinary\turinary\tJJ\tB-NP\tO' +p371230 +aS'incontinence\tincontinence\tNN\tI-NP\tO' +p371231 +aS'.\t.\t.\tO\tO' +p371232 +asS'On stress dose steroids originally given MUST protocol and sepsis , as patient clinically stabilized , she was changed back to home dose of Prednisone 40mg pO qd .' +p371233 +(lp371234 +S'On\tOn\tIN\tB-PP\tO' +p371235 +aS'stress\tstress\tNN\tB-NP\tO' +p371236 +aS'dose\tdose\tNN\tI-NP\tO' +p371237 +aS'steroids\tsteroid\tNNS\tI-NP\tO' +p371238 +aS'originally\toriginally\tRB\tB-VP\tO' +p371239 +aS'given\tgive\tVBN\tI-VP\tO' +p371240 +aS'MUST\tMUST\tNN\tB-NP\tO' +p371241 +aS'protocol\tprotocol\tNN\tI-NP\tO' +p371242 +aS'and\tand\tCC\tI-NP\tO' +p371243 +aS'sepsis\tsepsis\tNN\tI-NP\tO' +p371244 +aS',\t,\t,\tO\tO' +p371245 +aS'as\tas\tIN\tB-SBAR\tO' +p371246 +aS'patient\tpatient\tNN\tB-NP\tO' +p371247 +aS'clinically\tclinically\tRB\tB-ADVP\tO' +p371248 +aS'stabilized\tstabilize\tVBD\tB-VP\tO' +p371249 +aS',\t,\t,\tO\tO' +p371250 +aS'she\tshe\tPRP\tB-NP\tO' +p371251 +aS'was\tbe\tVBD\tB-VP\tO' +p371252 +aS'changed\tchange\tVBN\tI-VP\tO' +p371253 +aS'back\tback\tRB\tB-ADVP\tO' +p371254 +aS'to\tto\tTO\tB-PP\tO' +p371255 +aS'home\thome\tNN\tB-NP\tO' +p371256 +aS'dose\tdose\tNN\tI-NP\tO' +p371257 +aS'of\tof\tIN\tB-PP\tO' +p371258 +aS'Prednisone\tPrednisone\tNN\tB-NP\tO' +p371259 +aS'40mg\t40mg\tCD\tI-NP\tO' +p371260 +aS'pO\tpO\tNN\tI-NP\tO' +p371261 +aS'qd\tqd\tNN\tI-NP\tO' +p371262 +aS'.\t.\t.\tO\tO' +p371263 +asS'3. Propranolol 10 mg three times a day .' +p371264 +(lp371265 +S'3.\t3.\tLS\tB-NP\tO' +p371266 +aS'Propranolol\tPropranolol\tNN\tI-NP\tO' +p371267 +aS'10\t10\tCD\tI-NP\tO' +p371268 +aS'mg\tmg\tNN\tI-NP\tO' +p371269 +aS'three\tthree\tCD\tB-NP\tO' +p371270 +aS'times\ttime\tNNS\tI-NP\tO' +p371271 +aS'a\ta\tDT\tB-NP\tO' +p371272 +aS'day\tday\tNN\tI-NP\tO' +p371273 +aS'.\t.\t.\tO\tO' +p371274 +asS'1. Ad lib PO feedings of Similac 20 cal / oz with iron .' +p371275 +(lp371276 +S'1.\t1.\tLS\tB-NP\tO' +p371277 +aS'Ad\tAd\tNN\tI-NP\tO' +p371278 +aS'lib\tlib\tNN\tI-NP\tO' +p371279 +aS'PO\tPO\tNN\tI-NP\tO' +p371280 +aS'feedings\tfeeding\tNNS\tI-NP\tO' +p371281 +aS'of\tof\tIN\tB-PP\tO' +p371282 +aS'Similac\tSimilac\tNN\tB-NP\tO' +p371283 +aS'20\t20\tCD\tI-NP\tO' +p371284 +aS'cal\tcal\tNN\tI-NP\tO' +p371285 +aS'/\t/\tSYM\tO\tO' +p371286 +aS'oz\toz\tNN\tB-NP\tO' +p371287 +aS'with\twith\tIN\tB-PP\tO' +p371288 +aS'iron\tiron\tNN\tB-NP\tO' +p371289 +aS'.\t.\t.\tO\tO' +p371290 +asS'On admission , temperature was 98.1 , blood pressure was 140/70 , pulse was 95 , respiratory rate was 18 , oxygen saturation was 98% on room air .' +p371291 +(lp371292 +S'On\tOn\tIN\tB-PP\tO' +p371293 +aS'admission\tadmission\tNN\tB-NP\tO' +p371294 +aS',\t,\t,\tO\tO' +p371295 +aS'temperature\ttemperature\tNN\tB-NP\tO' +p371296 +aS'was\tbe\tVBD\tB-VP\tO' +p371297 +aS'98.1\t98.1\tCD\tB-NP\tO' +p371298 +aS',\t,\t,\tO\tO' +p371299 +aS'blood\tblood\tNN\tB-NP\tO' +p371300 +aS'pressure\tpressure\tNN\tI-NP\tO' +p371301 +aS'was\tbe\tVBD\tB-VP\tO' +p371302 +aS'140/70\t140/70\tCD\tB-NP\tO' +p371303 +aS',\t,\t,\tO\tO' +p371304 +aS'pulse\tpulse\tNN\tB-NP\tO' +p371305 +aS'was\tbe\tVBD\tB-VP\tO' +p371306 +aS'95\t95\tCD\tB-NP\tO' +p371307 +aS',\t,\t,\tO\tO' +p371308 +aS'respiratory\trespiratory\tJJ\tB-NP\tO' +p371309 +aS'rate\trate\tNN\tI-NP\tO' +p371310 +aS'was\tbe\tVBD\tB-VP\tO' +p371311 +aS'18\t18\tCD\tB-NP\tO' +p371312 +aS',\t,\t,\tO\tO' +p371313 +aS'oxygen\toxygen\tNN\tB-NP\tO' +p371314 +aS'saturation\tsaturation\tNN\tI-NP\tO' +p371315 +aS'was\tbe\tVBD\tB-VP\tO' +p371316 +aS'98%\t98%\tCD\tB-NP\tO' +p371317 +aS'on\ton\tIN\tB-PP\tO' +p371318 +aS'room\troom\tNN\tB-NP\tO' +p371319 +aS'air\tair\tNN\tI-NP\tO' +p371320 +aS'.\t.\t.\tO\tO' +p371321 +asS'The patient had reflexes of two-plus bilaterally in the radials , the biceps , the triceps and the knee jerk .' +p371322 +(lp371323 +S'The\tThe\tDT\tB-NP\tO' +p371324 +aS'patient\tpatient\tNN\tI-NP\tO' +p371325 +aS'had\thave\tVBD\tB-VP\tO' +p371326 +aS'reflexes\treflex\tNNS\tB-NP\tO' +p371327 +aS'of\tof\tIN\tB-PP\tO' +p371328 +aS'two-plus\ttwo-plus\tJJ\tB-NP\tO' +p371329 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p371330 +aS'in\tin\tIN\tB-PP\tO' +p371331 +aS'the\tthe\tDT\tB-NP\tO' +p371332 +aS'radials\tradial\tNNS\tI-NP\tO' +p371333 +aS',\t,\t,\tO\tO' +p371334 +aS'the\tthe\tDT\tB-NP\tO' +p371335 +aS'biceps\tbicep\tNNS\tI-NP\tO' +p371336 +aS',\t,\t,\tO\tO' +p371337 +aS'the\tthe\tDT\tB-NP\tO' +p371338 +aS'triceps\ttricep\tNNS\tI-NP\tO' +p371339 +aS'and\tand\tCC\tO\tO' +p371340 +aS'the\tthe\tDT\tB-NP\tO' +p371341 +aS'knee\tknee\tNN\tI-NP\tO' +p371342 +aS'jerk\tjerk\tNN\tI-NP\tO' +p371343 +aS'.\t.\t.\tO\tO' +p371344 +asS'He has had no fevers or chills .' +p371345 +(lp371346 +S'He\tHe\tPRP\tB-NP\tO' +p371347 +aS'has\thave\tVBZ\tB-VP\tO' +p371348 +aS'had\thave\tVBN\tI-VP\tO' +p371349 +aS'no\tno\tDT\tB-NP\tO' +p371350 +aS'fevers\tfever\tNNS\tI-NP\tO' +p371351 +aS'or\tor\tCC\tI-NP\tO' +p371352 +aS'chills\tchill\tNNS\tI-NP\tO' +p371353 +aS'.\t.\t.\tO\tO' +p371354 +asS'1. Atonic bladder with a suprapubic tube .' +p371355 +(lp371356 +S'1.\t1.\tLS\tB-NP\tO' +p371357 +aS'Atonic\tAtonic\tJJ\tI-NP\tO' +p371358 +aS'bladder\tbladder\tNN\tI-NP\tO' +p371359 +aS'with\twith\tIN\tB-PP\tO' +p371360 +aS'a\ta\tDT\tB-NP\tO' +p371361 +aS'suprapubic\tsuprapubic\tJJ\tI-NP\tO' +p371362 +aS'tube\ttube\tNN\tI-NP\tO' +p371363 +aS'.\t.\t.\tO\tO' +p371364 +asS'Heparin , consisting of thrombocytopenia ; Pronestyl , consisting of nausea .' +p371365 +(lp371366 +S'Heparin\tHeparin\tNN\tB-NP\tO' +p371367 +aS',\t,\t,\tO\tO' +p371368 +aS'consisting\tconsist\tVBG\tB-VP\tO' +p371369 +aS'of\tof\tIN\tB-PP\tO' +p371370 +aS'thrombocytopenia\tthrombocytopenia\tNN\tB-NP\tO' +p371371 +aS';\t;\t:\tO\tO' +p371372 +aS'Pronestyl\tPronestyl\tNN\tB-NP\tO' +p371373 +aS',\t,\t,\tO\tO' +p371374 +aS'consisting\tconsist\tVBG\tB-VP\tO' +p371375 +aS'of\tof\tIN\tB-PP\tO' +p371376 +aS'nausea\tnausea\tNN\tB-NP\tO' +p371377 +aS'.\t.\t.\tO\tO' +p371378 +asS'Didronel 1 q day which has been on hold .' +p371379 +(lp371380 +S'Didronel\tDidronel\tNN\tB-NP\tO' +p371381 +aS'1\t1\tCD\tI-NP\tO' +p371382 +aS'q\tq\tNN\tI-NP\tO' +p371383 +aS'day\tday\tNN\tI-NP\tO' +p371384 +aS'which\twhich\tWDT\tB-NP\tO' +p371385 +aS'has\thave\tVBZ\tB-VP\tO' +p371386 +aS'been\tbe\tVBN\tI-VP\tO' +p371387 +aS'on\ton\tIN\tB-PP\tO' +p371388 +aS'hold\thold\tNN\tB-NP\tO' +p371389 +aS'.\t.\t.\tO\tO' +p371390 +asS'Possible abnormality on the aortic valve as described above without aortic regurgitation .' +p371391 +(lp371392 +S'Possible\tPossible\tJJ\tB-NP\tO' +p371393 +aS'abnormality\tabnormality\tNN\tI-NP\tO' +p371394 +aS'on\ton\tIN\tB-PP\tO' +p371395 +aS'the\tthe\tDT\tB-NP\tO' +p371396 +aS'aortic\taortic\tJJ\tI-NP\tO' +p371397 +aS'valve\tvalve\tNN\tI-NP\tO' +p371398 +aS'as\tas\tIN\tB-SBAR\tO' +p371399 +aS'described\tdescribe\tVBN\tB-VP\tO' +p371400 +aS'above\tabove\tRB\tB-ADVP\tO' +p371401 +aS'without\twithout\tIN\tB-PP\tO' +p371402 +aS'aortic\taortic\tJJ\tB-NP\tO' +p371403 +aS'regurgitation\tregurgitation\tNN\tI-NP\tO' +p371404 +aS'.\t.\t.\tO\tO' +p371405 +asS'His past medical history included hypertension and non-insulin diabetes mellitus which is diet controlled .' +p371406 +(lp371407 +S'His\tHis\tPRP$\tB-NP\tO' +p371408 +aS'past\tpast\tJJ\tI-NP\tO' +p371409 +aS'medical\tmedical\tJJ\tI-NP\tO' +p371410 +aS'history\thistory\tNN\tI-NP\tO' +p371411 +aS'included\tinclude\tVBD\tB-VP\tO' +p371412 +aS'hypertension\thypertension\tNN\tB-NP\tO' +p371413 +aS'and\tand\tCC\tO\tO' +p371414 +aS'non-insulin\tnon-insulin\tJJ\tB-NP\tO' +p371415 +aS'diabetes\tdiabetes\tNN\tI-NP\tO' +p371416 +aS'mellitus\tmellitus\tNN\tI-NP\tO' +p371417 +aS'which\twhich\tWDT\tB-NP\tO' +p371418 +aS'is\tbe\tVBZ\tB-VP\tO' +p371419 +aS'diet\tdiet\tNN\tB-NP\tO' +p371420 +aS'controlled\tcontrol\tVBN\tB-VP\tO' +p371421 +aS'.\t.\t.\tO\tO' +p371422 +asS'THere was a question of ionfiltrative cardiomyopathy , and the patient underwent abdominal fat pad biopsy to assess for amyloidosis .' +p371423 +(lp371424 +S'THere\tTHere\tNN\tB-NP\tO' +p371425 +aS'was\tbe\tVBD\tB-VP\tO' +p371426 +aS'a\ta\tDT\tB-NP\tO' +p371427 +aS'question\tquestion\tNN\tI-NP\tO' +p371428 +aS'of\tof\tIN\tB-PP\tO' +p371429 +aS'ionfiltrative\tionfiltrative\tJJ\tB-NP\tO' +p371430 +aS'cardiomyopathy\tcardiomyopathy\tNN\tI-NP\tO' +p371431 +aS',\t,\t,\tO\tO' +p371432 +aS'and\tand\tCC\tO\tO' +p371433 +aS'the\tthe\tDT\tB-NP\tO' +p371434 +aS'patient\tpatient\tNN\tI-NP\tO' +p371435 +aS'underwent\tundergo\tVBD\tB-VP\tO' +p371436 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p371437 +aS'fat\tfat\tJJ\tI-NP\tO' +p371438 +aS'pad\tpad\tNN\tI-NP\tO' +p371439 +aS'biopsy\tbiopsy\tNN\tI-NP\tO' +p371440 +aS'to\tto\tTO\tB-VP\tO' +p371441 +aS'assess\tassess\tVB\tI-VP\tO' +p371442 +aS'for\tfor\tIN\tB-PP\tO' +p371443 +aS'amyloidosis\tamyloidosis\tNN\tB-NP\tO' +p371444 +aS'.\t.\t.\tO\tO' +p371445 +asS'3) infants with chronic lung disease .' +p371446 +(lp371447 +S'3)\t3)\tLS\tB-LST\tO' +p371448 +aS'infants\tinfant\tNNS\tB-NP\tO' +p371449 +aS'with\twith\tIN\tB-PP\tO' +p371450 +aS'chronic\tchronic\tJJ\tB-NP\tO' +p371451 +aS'lung\tlung\tNN\tI-NP\tO' +p371452 +aS'disease\tdisease\tNN\tI-NP\tO' +p371453 +aS'.\t.\t.\tO\tO' +p371454 +asS'It was not relieved by 2 sublingual nitroglycerins .' +p371455 +(lp371456 +S'It\tIt\tPRP\tB-NP\tO' +p371457 +aS'was\tbe\tVBD\tB-VP\tO' +p371458 +aS'not\tnot\tRB\tI-VP\tO' +p371459 +aS'relieved\trelieve\tVBN\tI-VP\tO' +p371460 +aS'by\tby\tIN\tB-PP\tO' +p371461 +aS'2\t2\tCD\tB-NP\tO' +p371462 +aS'sublingual\tsublingual\tJJ\tI-NP\tO' +p371463 +aS'nitroglycerins\tnitroglycerin\tNNS\tI-NP\tO' +p371464 +aS'.\t.\t.\tO\tO' +p371465 +asS'The cardiac catheterization revealed a total occlusion of the proximal right coronary artery and diffuse right coronary artery disease .' +p371466 +(lp371467 +S'The\tThe\tDT\tB-NP\tO' +p371468 +aS'cardiac\tcardiac\tJJ\tI-NP\tO' +p371469 +aS'catheterization\tcatheterization\tNN\tI-NP\tO' +p371470 +aS'revealed\treveal\tVBD\tB-VP\tO' +p371471 +aS'a\ta\tDT\tB-NP\tO' +p371472 +aS'total\ttotal\tJJ\tI-NP\tO' +p371473 +aS'occlusion\tocclusion\tNN\tI-NP\tO' +p371474 +aS'of\tof\tIN\tB-PP\tO' +p371475 +aS'the\tthe\tDT\tB-NP\tO' +p371476 +aS'proximal\tproximal\tJJ\tI-NP\tO' +p371477 +aS'right\tright\tJJ\tI-NP\tO' +p371478 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p371479 +aS'artery\tartery\tNN\tI-NP\tO' +p371480 +aS'and\tand\tCC\tO\tO' +p371481 +aS'diffuse\tdiffuse\tJJ\tB-NP\tO' +p371482 +aS'right\tright\tJJ\tI-NP\tO' +p371483 +aS'coronary\tcoronary\tJJ\tI-NP\tO' +p371484 +aS'artery\tartery\tNN\tI-NP\tO' +p371485 +aS'disease\tdisease\tNN\tI-NP\tO' +p371486 +aS'.\t.\t.\tO\tO' +p371487 +asS'4) Bacteroides fragilis and Clostridium perfringens .' +p371488 +(lp371489 +S'4)\t4)\tLS\tB-NP\tO' +p371490 +aS'Bacteroides\tBacteroide\tNNS\tI-NP\tO' +p371491 +aS'fragilis\tfragilis\tNN\tI-NP\tO' +p371492 +aS'and\tand\tCC\tI-NP\tO' +p371493 +aS'Clostridium\tClostridium\tNN\tI-NP\tO' +p371494 +aS'perfringens\tperfringen\tNNS\tI-NP\tO' +p371495 +aS'.\t.\t.\tO\tO' +p371496 +asS'The rectal examination is guaiac negative with a minimal amount of stool .' +p371497 +(lp371498 +S'The\tThe\tDT\tB-NP\tO' +p371499 +aS'rectal\trectal\tJJ\tI-NP\tO' +p371500 +aS'examination\texamination\tNN\tI-NP\tO' +p371501 +aS'is\tbe\tVBZ\tB-VP\tO' +p371502 +aS'guaiac\tguaiac\tJJ\tB-ADJP\tO' +p371503 +aS'negative\tnegative\tJJ\tB-ADJP\tO' +p371504 +aS'with\twith\tIN\tB-PP\tO' +p371505 +aS'a\ta\tDT\tB-NP\tO' +p371506 +aS'minimal\tminimal\tJJ\tI-NP\tO' +p371507 +aS'amount\tamount\tNN\tI-NP\tO' +p371508 +aS'of\tof\tIN\tB-PP\tO' +p371509 +aS'stool\tstool\tNN\tB-NP\tO' +p371510 +aS'.\t.\t.\tO\tO' +p371511 +asS'He is also to have AH for his home stent care .' +p371512 +(lp371513 +S'He\tHe\tPRP\tB-NP\tO' +p371514 +aS'is\tbe\tVBZ\tB-VP\tO' +p371515 +aS'also\talso\tRB\tB-ADVP\tO' +p371516 +aS'to\tto\tTO\tB-VP\tO' +p371517 +aS'have\thave\tVB\tI-VP\tO' +p371518 +aS'AH\tAH\tNN\tB-NP\tO' +p371519 +aS'for\tfor\tIN\tB-PP\tO' +p371520 +aS'his\this\tPRP$\tB-NP\tO' +p371521 +aS'home\thome\tNN\tI-NP\tO' +p371522 +aS'stent\tstent\tJJ\tI-NP\tO' +p371523 +aS'care\tcare\tNN\tI-NP\tO' +p371524 +aS'.\t.\t.\tO\tO' +p371525 +asS'The patient is obese with unremarkable physical examination except for a systolic murmur , I / VI and erythema over the sternal wound and upper third .' +p371526 +(lp371527 +S'The\tThe\tDT\tB-NP\tO' +p371528 +aS'patient\tpatient\tNN\tI-NP\tO' +p371529 +aS'is\tbe\tVBZ\tB-VP\tO' +p371530 +aS'obese\tobese\tJJ\tB-ADJP\tO' +p371531 +aS'with\twith\tIN\tB-PP\tO' +p371532 +aS'unremarkable\tunremarkable\tJJ\tB-NP\tO' +p371533 +aS'physical\tphysical\tJJ\tI-NP\tO' +p371534 +aS'examination\texamination\tNN\tI-NP\tO' +p371535 +aS'except\texcept\tIN\tB-PP\tO' +p371536 +aS'for\tfor\tIN\tB-PP\tO' +p371537 +aS'a\ta\tDT\tB-NP\tO' +p371538 +aS'systolic\tsystolic\tJJ\tI-NP\tO' +p371539 +aS'murmur\tmurmur\tNN\tI-NP\tO' +p371540 +aS',\t,\t,\tO\tO' +p371541 +aS'I\tI\tNN\tB-NP\tO' +p371542 +aS'/\t/\tSYM\tB-NP\tO' +p371543 +aS'VI\tVI\tNN\tI-NP\tO' +p371544 +aS'and\tand\tCC\tI-NP\tO' +p371545 +aS'erythema\terythema\tNN\tI-NP\tO' +p371546 +aS'over\tover\tIN\tB-PP\tO' +p371547 +aS'the\tthe\tDT\tB-NP\tO' +p371548 +aS'sternal\tsternal\tJJ\tI-NP\tO' +p371549 +aS'wound\twound\tNN\tI-NP\tO' +p371550 +aS'and\tand\tCC\tO\tO' +p371551 +aS'upper\tupper\tJJ\tB-NP\tO' +p371552 +aS'third\tthird\tNN\tI-NP\tO' +p371553 +aS'.\t.\t.\tO\tO' +p371554 +asS'There was mild enhancement of the pontine hemorrhagic mass but none elsewhere .' +p371555 +(lp371556 +S'There\tThere\tEX\tB-NP\tO' +p371557 +aS'was\tbe\tVBD\tB-VP\tO' +p371558 +aS'mild\tmild\tJJ\tB-NP\tO' +p371559 +aS'enhancement\tenhancement\tNN\tI-NP\tO' +p371560 +aS'of\tof\tIN\tB-PP\tO' +p371561 +aS'the\tthe\tDT\tB-NP\tO' +p371562 +aS'pontine\tpontine\tJJ\tI-NP\tO' +p371563 +aS'hemorrhagic\themorrhagic\tJJ\tI-NP\tO' +p371564 +aS'mass\tmass\tNN\tI-NP\tO' +p371565 +aS'but\tbut\tCC\tO\tO' +p371566 +aS'none\tnone\tNN\tB-NP\tO' +p371567 +aS'elsewhere\telsewhere\tRB\tB-ADVP\tO' +p371568 +aS'.\t.\t.\tO\tO' +p371569 +asS"At the time of discharge , the patient 's vital signs were stable and he was without complaints ." +p371570 +(lp371571 +S'At\tAt\tIN\tB-PP\tO' +p371572 +aS'the\tthe\tDT\tB-NP\tO' +p371573 +aS'time\ttime\tNN\tI-NP\tO' +p371574 +aS'of\tof\tIN\tB-PP\tO' +p371575 +aS'discharge\tdischarge\tNN\tB-NP\tO' +p371576 +aS',\t,\t,\tO\tO' +p371577 +aS'the\tthe\tDT\tB-NP\tO' +p371578 +aS'patient\tpatient\tNN\tI-NP\tO' +p371579 +aS"'s\t's\tPOS\tB-NP\tO" +p371580 +aS'vital\tvital\tJJ\tI-NP\tO' +p371581 +aS'signs\tsign\tNNS\tI-NP\tO' +p371582 +aS'were\tbe\tVBD\tB-VP\tO' +p371583 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p371584 +aS'and\tand\tCC\tO\tO' +p371585 +aS'he\the\tPRP\tB-NP\tO' +p371586 +aS'was\tbe\tVBD\tB-VP\tO' +p371587 +aS'without\twithout\tIN\tB-PP\tO' +p371588 +aS'complaints\tcomplaint\tNNS\tB-NP\tO' +p371589 +aS'.\t.\t.\tO\tO' +p371590 +asS'Over the next several days , her activity level was increased with the assistance of Physical Therapy and the nursing staff .' +p371591 +(lp371592 +S'Over\tOver\tIN\tB-PP\tO' +p371593 +aS'the\tthe\tDT\tB-NP\tO' +p371594 +aS'next\tnext\tJJ\tI-NP\tO' +p371595 +aS'several\tseveral\tJJ\tI-NP\tO' +p371596 +aS'days\tday\tNNS\tI-NP\tO' +p371597 +aS',\t,\t,\tO\tO' +p371598 +aS'her\ther\tPRP$\tB-NP\tO' +p371599 +aS'activity\tactivity\tNN\tI-NP\tO' +p371600 +aS'level\tlevel\tNN\tI-NP\tO' +p371601 +aS'was\tbe\tVBD\tB-VP\tO' +p371602 +aS'increased\tincrease\tVBN\tI-VP\tO' +p371603 +aS'with\twith\tIN\tB-PP\tO' +p371604 +aS'the\tthe\tDT\tB-NP\tO' +p371605 +aS'assistance\tassistance\tNN\tI-NP\tO' +p371606 +aS'of\tof\tIN\tB-PP\tO' +p371607 +aS'Physical\tPhysical\tJJ\tB-NP\tO' +p371608 +aS'Therapy\tTherapy\tNN\tI-NP\tO' +p371609 +aS'and\tand\tCC\tO\tO' +p371610 +aS'the\tthe\tDT\tB-NP\tO' +p371611 +aS'nursing\tnursing\tNN\tI-NP\tO' +p371612 +aS'staff\tstaff\tNN\tI-NP\tO' +p371613 +aS'.\t.\t.\tO\tO' +p371614 +asS'Total abdominal hysterectomy , bilateral salpingo-oophorectomy , lysis of adhesions , open laparoscopy , Birch procedure , suprapubic bladder catheter placement .' +p371615 +(lp371616 +S'Total\tTotal\tJJ\tB-NP\tO' +p371617 +aS'abdominal\tabdominal\tJJ\tI-NP\tO' +p371618 +aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' +p371619 +aS',\t,\t,\tO\tO' +p371620 +aS'bilateral\tbilateral\tJJ\tB-NP\tO' +p371621 +aS'salpingo-oophorectomy\tsalpingo-oophorectomy\tNN\tI-NP\tO' +p371622 +aS',\t,\t,\tO\tO' +p371623 +aS'lysis\tlysis\tNN\tB-NP\tO' +p371624 +aS'of\tof\tIN\tB-PP\tO' +p371625 +aS'adhesions\tadhesion\tNNS\tB-NP\tO' +p371626 +aS',\t,\t,\tO\tO' +p371627 +aS'open\topen\tJJ\tB-NP\tO' +p371628 +aS'laparoscopy\tlaparoscopy\tNN\tI-NP\tO' +p371629 +aS',\t,\t,\tO\tO' +p371630 +aS'Birch\tBirch\tNNP\tB-NP\tO' +p371631 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p371632 +aS',\t,\t,\tO\tO' +p371633 +aS'suprapubic\tsuprapubic\tJJ\tB-NP\tO' +p371634 +aS'bladder\tbladder\tNN\tI-NP\tO' +p371635 +aS'catheter\tcatheter\tNN\tI-NP\tO' +p371636 +aS'placement\tplacement\tNN\tI-NP\tO' +p371637 +aS'.\t.\t.\tO\tO' +p371638 +asS'3. 7-10-93 , abdominal irrigation and debridement and packing of pancreas ,' +p371639 +(lp371640 +S'3.\t3.\tLS\tB-NP\tO' +p371641 +aS'7-10-93\t7-10-93\tCD\tI-NP\tO' +p371642 +aS',\t,\t,\tO\tO' +p371643 +aS'abdominal\tabdominal\tJJ\tB-NP\tO' +p371644 +aS'irrigation\tirrigation\tNN\tI-NP\tO' +p371645 +aS'and\tand\tCC\tO\tO' +p371646 +aS'debridement\tdebridement\tNN\tB-NP\tO' +p371647 +aS'and\tand\tCC\tI-NP\tO' +p371648 +aS'packing\tpacking\tNN\tI-NP\tO' +p371649 +aS'of\tof\tIN\tB-PP\tO' +p371650 +aS'pancreas\tpancreas\tNN\tB-NP\tO' +p371651 +aS',\t,\t,\tO\tO' +p371652 +asS'4. History of pulmonary embolism likely secondary to frequent flying .' +p371653 +(lp371654 +S'4.\t4.\tLS\tB-NP\tO' +p371655 +aS'History\tHistory\tNN\tI-NP\tO' +p371656 +aS'of\tof\tIN\tB-PP\tO' +p371657 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p371658 +aS'embolism\tembolism\tNN\tI-NP\tO' +p371659 +aS'likely\tlikely\tRB\tB-ADJP\tO' +p371660 +aS'secondary\tsecondary\tJJ\tI-ADJP\tO' +p371661 +aS'to\tto\tTO\tB-PP\tO' +p371662 +aS'frequent\tfrequent\tJJ\tB-NP\tO' +p371663 +aS'flying\tflying\tNN\tI-NP\tO' +p371664 +aS'.\t.\t.\tO\tO' +p371665 +asS'His CA99 was normal .' +p371666 +(lp371667 +S'His\tHis\tPRP$\tB-NP\tO' +p371668 +aS'CA99\tCA99\tNN\tI-NP\tB-protein' +p371669 +aS'was\tbe\tVBD\tB-VP\tO' +p371670 +aS'normal\tnormal\tJJ\tB-ADJP\tO' +p371671 +aS'.\t.\t.\tO\tO' +p371672 +asS'She was sent for a CT scan of her abdomen , which revealed fluid and question of gas in the endometrial cavity , and she was sent to Pinewood , Norfolk for treatment and admission .' +p371673 +(lp371674 +S'She\tShe\tPRP\tB-NP\tO' +p371675 +aS'was\tbe\tVBD\tB-VP\tO' +p371676 +aS'sent\tsend\tVBN\tI-VP\tO' +p371677 +aS'for\tfor\tIN\tB-PP\tO' +p371678 +aS'a\ta\tDT\tB-NP\tO' +p371679 +aS'CT\tCT\tNN\tI-NP\tO' +p371680 +aS'scan\tscan\tNN\tI-NP\tO' +p371681 +aS'of\tof\tIN\tB-PP\tO' +p371682 +aS'her\ther\tPRP$\tB-NP\tO' +p371683 +aS'abdomen\tabdoman\tNNS\tI-NP\tO' +p371684 +aS',\t,\t,\tO\tO' +p371685 +aS'which\twhich\tWDT\tB-NP\tO' +p371686 +aS'revealed\treveal\tVBD\tB-VP\tO' +p371687 +aS'fluid\tfluid\tNN\tB-NP\tO' +p371688 +aS'and\tand\tCC\tI-NP\tO' +p371689 +aS'question\tquestion\tNN\tI-NP\tO' +p371690 +aS'of\tof\tIN\tB-PP\tO' +p371691 +aS'gas\tgas\tNN\tB-NP\tB-DNA' +p371692 +aS'in\tin\tIN\tB-PP\tO' +p371693 +aS'the\tthe\tDT\tB-NP\tO' +p371694 +aS'endometrial\tendometrial\tJJ\tI-NP\tO' +p371695 +aS'cavity\tcavity\tNN\tI-NP\tO' +p371696 +aS',\t,\t,\tO\tO' +p371697 +aS'and\tand\tCC\tO\tO' +p371698 +aS'she\tshe\tPRP\tB-NP\tO' +p371699 +aS'was\tbe\tVBD\tB-VP\tO' +p371700 +aS'sent\tsend\tVBN\tI-VP\tO' +p371701 +aS'to\tto\tTO\tB-PP\tO' +p371702 +aS'Pinewood\tPinewood\tNNP\tB-NP\tO' +p371703 +aS',\t,\t,\tO\tO' +p371704 +aS'Norfolk\tNorfolk\tNNP\tB-NP\tO' +p371705 +aS'for\tfor\tIN\tB-PP\tO' +p371706 +aS'treatment\ttreatment\tNN\tB-NP\tO' +p371707 +aS'and\tand\tCC\tI-NP\tO' +p371708 +aS'admission\tadmission\tNN\tI-NP\tO' +p371709 +aS'.\t.\t.\tO\tO' +p371710 +asS'For further details of this procedure see operative note .' +p371711 +(lp371712 +S'For\tFor\tIN\tB-PP\tO' +p371713 +aS'further\tfurther\tJJ\tB-NP\tO' +p371714 +aS'details\tdetail\tNNS\tI-NP\tO' +p371715 +aS'of\tof\tIN\tB-PP\tO' +p371716 +aS'this\tthis\tDT\tB-NP\tO' +p371717 +aS'procedure\tprocedure\tNN\tI-NP\tO' +p371718 +aS'see\tsee\tVB\tB-VP\tO' +p371719 +aS'operative\toperative\tJJ\tB-NP\tO' +p371720 +aS'note\tnote\tNN\tI-NP\tO' +p371721 +aS'.\t.\t.\tO\tO' +p371722 +asS'Scoliosis .' +p371723 +(lp371724 +S'Scoliosis\tScoliosis\tNN\tB-NP\tO' +p371725 +aS'.\t.\t.\tO\tO' +p371726 +asS'O2Sat. : 100% , ventilated .' +p371727 +(lp371728 +S'O2Sat.\tO2Sat.\tLS\tB-LST\tO' +p371729 +aS':\t:\t:\tO\tO' +p371730 +aS'100%\t100%\tCD\tB-NP\tO' +p371731 +aS',\t,\t,\tO\tO' +p371732 +aS'ventilated\tventilate\tVBN\tB-VP\tO' +p371733 +aS'.\t.\t.\tO\tO' +p371734 +asS'In addition , a CT angiogram of the chest with pulmonary embolism protocol showed no intravascular filling defect but did show a right upper lobe ground-glass and scattered adenopathy .' +p371735 +(lp371736 +S'In\tIn\tIN\tB-PP\tO' +p371737 +aS'addition\taddition\tNN\tB-NP\tO' +p371738 +aS',\t,\t,\tO\tO' +p371739 +aS'a\ta\tDT\tB-NP\tO' +p371740 +aS'CT\tCT\tNN\tI-NP\tO' +p371741 +aS'angiogram\tangiogram\tNN\tI-NP\tO' +p371742 +aS'of\tof\tIN\tB-PP\tO' +p371743 +aS'the\tthe\tDT\tB-NP\tO' +p371744 +aS'chest\tchest\tNN\tI-NP\tO' +p371745 +aS'with\twith\tIN\tB-PP\tO' +p371746 +aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' +p371747 +aS'embolism\tembolism\tNN\tI-NP\tO' +p371748 +aS'protocol\tprotocol\tNN\tI-NP\tO' +p371749 +aS'showed\tshow\tVBD\tB-VP\tO' +p371750 +aS'no\tno\tDT\tB-NP\tO' +p371751 +aS'intravascular\tintravascular\tJJ\tI-NP\tO' +p371752 +aS'filling\tfilling\tNN\tI-NP\tO' +p371753 +aS'defect\tdefect\tNN\tI-NP\tO' +p371754 +aS'but\tbut\tCC\tO\tO' +p371755 +aS'did\tdo\tVBD\tB-VP\tO' +p371756 +aS'show\tshow\tVB\tI-VP\tO' +p371757 +aS'a\ta\tDT\tB-NP\tO' +p371758 +aS'right\tright\tJJ\tI-NP\tO' +p371759 +aS'upper\tupper\tJJ\tI-NP\tO' +p371760 +aS'lobe\tlobe\tNN\tI-NP\tO' +p371761 +aS'ground-glass\tground-glass\tNN\tI-NP\tO' +p371762 +aS'and\tand\tCC\tO\tO' +p371763 +aS'scattered\tscattered\tJJ\tB-NP\tO' +p371764 +aS'adenopathy\tadenopathy\tNN\tI-NP\tO' +p371765 +aS'.\t.\t.\tO\tO' +p371766 +asS'Dictated By : Tammy T.K. Farless , M.D.' +p371767 +(lp371768 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p371769 +aS'By\tBy\tIN\tB-PP\tO' +p371770 +aS':\t:\t:\tO\tO' +p371771 +aS'Tammy\tTammy\tNNP\tB-NP\tO' +p371772 +aS'T.K.\tT.K.\tNNP\tI-NP\tO' +p371773 +aS'Farless\tFarless\tNNP\tI-NP\tO' +p371774 +aS',\t,\t,\tO\tO' +p371775 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p371776 +asS'The patient required multiple blood transfusions for a low hematocrit .' +p371777 +(lp371778 +S'The\tThe\tDT\tB-NP\tO' +p371779 +aS'patient\tpatient\tNN\tI-NP\tO' +p371780 +aS'required\trequire\tVBD\tB-VP\tO' +p371781 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p371782 +aS'blood\tblood\tNN\tI-NP\tO' +p371783 +aS'transfusions\ttransfusion\tNNS\tI-NP\tO' +p371784 +aS'for\tfor\tIN\tB-PP\tO' +p371785 +aS'a\ta\tDT\tB-NP\tO' +p371786 +aS'low\tlow\tJJ\tI-NP\tO' +p371787 +aS'hematocrit\thematocrit\tNN\tI-NP\tO' +p371788 +aS'.\t.\t.\tO\tO' +p371789 +asS'The patient remained to be stable on the floor with subsequent monitoring of hematocrit within a normal stable range .' +p371790 +(lp371791 +S'The\tThe\tDT\tB-NP\tO' +p371792 +aS'patient\tpatient\tNN\tI-NP\tO' +p371793 +aS'remained\tremain\tVBD\tB-VP\tO' +p371794 +aS'to\tto\tTO\tI-VP\tO' +p371795 +aS'be\tbe\tVB\tI-VP\tO' +p371796 +aS'stable\tstable\tJJ\tB-ADJP\tO' +p371797 +aS'on\ton\tIN\tB-PP\tO' +p371798 +aS'the\tthe\tDT\tB-NP\tO' +p371799 +aS'floor\tfloor\tNN\tI-NP\tO' +p371800 +aS'with\twith\tIN\tB-PP\tO' +p371801 +aS'subsequent\tsubsequent\tJJ\tB-NP\tO' +p371802 +aS'monitoring\tmonitoring\tNN\tI-NP\tO' +p371803 +aS'of\tof\tIN\tB-PP\tO' +p371804 +aS'hematocrit\thematocrit\tNN\tB-NP\tO' +p371805 +aS'within\twithin\tIN\tB-PP\tO' +p371806 +aS'a\ta\tDT\tB-NP\tO' +p371807 +aS'normal\tnormal\tJJ\tI-NP\tO' +p371808 +aS'stable\tstable\tJJ\tI-NP\tO' +p371809 +aS'range\trange\tNN\tI-NP\tO' +p371810 +aS'.\t.\t.\tO\tO' +p371811 +asS'This is an 86 year old woman who has a history of atrial fibrillation , peripheral vascular disease , and a history of atrial emboli who was admitted on 2013-09-06 , to the Neurologic Intensive Care Unit service after collapsing at home at 8:30 p.m .' +p371812 +(lp371813 +S'This\tThis\tDT\tB-NP\tO' +p371814 +aS'is\tbe\tVBZ\tB-VP\tO' +p371815 +aS'an\tan\tDT\tB-NP\tO' +p371816 +aS'86\t86\tCD\tI-NP\tO' +p371817 +aS'year\tyear\tNN\tI-NP\tO' +p371818 +aS'old\told\tJJ\tI-NP\tO' +p371819 +aS'woman\twoman\tNN\tI-NP\tO' +p371820 +aS'who\twho\tWP\tB-NP\tO' +p371821 +aS'has\thave\tVBZ\tB-VP\tO' +p371822 +aS'a\ta\tDT\tB-NP\tO' +p371823 +aS'history\thistory\tNN\tI-NP\tO' +p371824 +aS'of\tof\tIN\tB-PP\tO' +p371825 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p371826 +aS'fibrillation\tfibrillation\tNN\tI-NP\tO' +p371827 +aS',\t,\t,\tO\tO' +p371828 +aS'peripheral\tperipheral\tJJ\tB-NP\tO' +p371829 +aS'vascular\tvascular\tJJ\tI-NP\tO' +p371830 +aS'disease\tdisease\tNN\tI-NP\tO' +p371831 +aS',\t,\t,\tO\tO' +p371832 +aS'and\tand\tCC\tO\tO' +p371833 +aS'a\ta\tDT\tB-NP\tO' +p371834 +aS'history\thistory\tNN\tI-NP\tO' +p371835 +aS'of\tof\tIN\tB-PP\tO' +p371836 +aS'atrial\tatrial\tJJ\tB-NP\tO' +p371837 +aS'emboli\tembolus\tNNS\tI-NP\tO' +p371838 +aS'who\twho\tWP\tB-NP\tO' +p371839 +aS'was\tbe\tVBD\tB-VP\tO' +p371840 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p371841 +aS'on\ton\tIN\tB-PP\tO' +p371842 +aS'2013-09-06\t2013-09-06\tCD\tB-NP\tO' +p371843 +aS',\t,\t,\tO\tO' +p371844 +aS'to\tto\tTO\tB-PP\tO' +p371845 +aS'the\tthe\tDT\tB-NP\tO' +p371846 +aS'Neurologic\tNeurologic\tNNP\tI-NP\tO' +p371847 +aS'Intensive\tIntensive\tNNP\tI-NP\tO' +p371848 +aS'Care\tCare\tNNP\tI-NP\tO' +p371849 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p371850 +aS'service\tservice\tNN\tI-NP\tO' +p371851 +aS'after\tafter\tIN\tB-PP\tO' +p371852 +aS'collapsing\tcollapse\tVBG\tB-VP\tO' +p371853 +aS'at\tat\tIN\tB-PP\tO' +p371854 +aS'home\thome\tNN\tB-NP\tO' +p371855 +aS'at\tat\tIN\tB-PP\tO' +p371856 +aS'8:30\t8:30\tCD\tB-NP\tO' +p371857 +aS'p.m\tp.m\tRB\tI-NP\tO' +p371858 +aS'.\t.\t.\tO\tO' +p371859 +asS'He should follow up with Dr. Dushaj in four weeks .' +p371860 +(lp371861 +S'He\tHe\tPRP\tB-NP\tO' +p371862 +aS'should\tshould\tMD\tB-VP\tO' +p371863 +aS'follow\tfollow\tVB\tI-VP\tO' +p371864 +aS'up\tup\tRP\tB-PRT\tO' +p371865 +aS'with\twith\tIN\tB-PP\tO' +p371866 +aS'Dr.\tDr.\tNNP\tB-NP\tO' +p371867 +aS'Dushaj\tDushaj\tNNP\tI-NP\tO' +p371868 +aS'in\tin\tIN\tB-PP\tO' +p371869 +aS'four\tfour\tCD\tB-NP\tO' +p371870 +aS'weeks\tweek\tNNS\tI-NP\tO' +p371871 +aS'.\t.\t.\tO\tO' +p371872 +asS'While in the Intensive Care Unit , his strength deteriorated from being able to hold his left leg off the bed up to several inches to loosing virtually all distal extremity strength , and having a 2-3/5 power in his proximal left leg groups .' +p371873 +(lp371874 +S'While\tWhile\tIN\tB-SBAR\tO' +p371875 +aS'in\tin\tIN\tB-PP\tO' +p371876 +aS'the\tthe\tDT\tB-NP\tO' +p371877 +aS'Intensive\tIntensive\tJJ\tI-NP\tO' +p371878 +aS'Care\tCare\tNNP\tI-NP\tO' +p371879 +aS'Unit\tUnit\tNNP\tI-NP\tO' +p371880 +aS',\t,\t,\tO\tO' +p371881 +aS'his\this\tPRP$\tB-NP\tO' +p371882 +aS'strength\tstrength\tNN\tI-NP\tO' +p371883 +aS'deteriorated\tdeteriorate\tVBN\tB-VP\tO' +p371884 +aS'from\tfrom\tIN\tB-PP\tO' +p371885 +aS'being\tbe\tVBG\tB-VP\tO' +p371886 +aS'able\table\tJJ\tB-ADJP\tO' +p371887 +aS'to\tto\tTO\tB-VP\tO' +p371888 +aS'hold\thold\tVB\tI-VP\tO' +p371889 +aS'his\this\tPRP$\tB-NP\tO' +p371890 +aS'left\tleft\tJJ\tI-NP\tO' +p371891 +aS'leg\tleg\tNN\tI-NP\tO' +p371892 +aS'off\toff\tIN\tB-PP\tO' +p371893 +aS'the\tthe\tDT\tB-NP\tO' +p371894 +aS'bed\tbed\tNN\tI-NP\tO' +p371895 +aS'up\tup\tIN\tB-PP\tO' +p371896 +aS'to\tto\tTO\tB-PP\tO' +p371897 +aS'several\tseveral\tJJ\tB-NP\tO' +p371898 +aS'inches\tinch\tNNS\tI-NP\tO' +p371899 +aS'to\tto\tTO\tB-PP\tO' +p371900 +aS'loosing\tloose\tVBG\tB-VP\tO' +p371901 +aS'virtually\tvirtually\tRB\tB-NP\tO' +p371902 +aS'all\tall\tDT\tI-NP\tO' +p371903 +aS'distal\tdistal\tJJ\tI-NP\tO' +p371904 +aS'extremity\textremity\tNN\tI-NP\tO' +p371905 +aS'strength\tstrength\tNN\tI-NP\tO' +p371906 +aS',\t,\t,\tO\tO' +p371907 +aS'and\tand\tCC\tO\tO' +p371908 +aS'having\thave\tVBG\tB-VP\tO' +p371909 +aS'a\ta\tDT\tB-NP\tO' +p371910 +aS'2-3/5\t2-3/5\tCD\tI-NP\tO' +p371911 +aS'power\tpower\tNN\tI-NP\tO' +p371912 +aS'in\tin\tIN\tB-PP\tO' +p371913 +aS'his\this\tPRP$\tB-NP\tO' +p371914 +aS'proximal\tproximal\tJJ\tI-NP\tO' +p371915 +aS'left\tleft\tJJ\tI-NP\tO' +p371916 +aS'leg\tleg\tNN\tI-NP\tO' +p371917 +aS'groups\tgroup\tNNS\tI-NP\tO' +p371918 +aS'.\t.\t.\tO\tO' +p371919 +asS'Extremities - No calf tenderness , no edema .' +p371920 +(lp371921 +S'Extremities\tExtremity\tNNS\tB-NP\tO' +p371922 +aS'-\t-\tHYPH\tB-NP\tO' +p371923 +aS'No\tNo\tNN\tI-NP\tO' +p371924 +aS'calf\tcalf\tNN\tI-NP\tO' +p371925 +aS'tenderness\ttenderness\tNN\tI-NP\tO' +p371926 +aS',\t,\t,\tO\tO' +p371927 +aS'no\tno\tDT\tB-NP\tO' +p371928 +aS'edema\tedema\tNN\tI-NP\tO' +p371929 +aS'.\t.\t.\tO\tO' +p371930 +asS'The patient is a 63 year old woman with a history of mixed adenocarcinoma and large cell carcinoma of the left upper lobe of the lung who is being admitted for Neoadjuvant chemotherapy with Cisplatinum , 5-FU and Velban .' +p371931 +(lp371932 +S'The\tThe\tDT\tB-NP\tO' +p371933 +aS'patient\tpatient\tNN\tI-NP\tO' +p371934 +aS'is\tbe\tVBZ\tB-VP\tO' +p371935 +aS'a\ta\tDT\tB-NP\tO' +p371936 +aS'63\t63\tCD\tI-NP\tO' +p371937 +aS'year\tyear\tNN\tI-NP\tO' +p371938 +aS'old\told\tJJ\tI-NP\tO' +p371939 +aS'woman\twoman\tNN\tI-NP\tO' +p371940 +aS'with\twith\tIN\tB-PP\tO' +p371941 +aS'a\ta\tDT\tB-NP\tO' +p371942 +aS'history\thistory\tNN\tI-NP\tO' +p371943 +aS'of\tof\tIN\tB-PP\tO' +p371944 +aS'mixed\tmixed\tJJ\tB-NP\tO' +p371945 +aS'adenocarcinoma\tadenocarcinoma\tNN\tI-NP\tO' +p371946 +aS'and\tand\tCC\tO\tO' +p371947 +aS'large\tlarge\tJJ\tB-NP\tO' +p371948 +aS'cell\tcell\tNN\tI-NP\tO' +p371949 +aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' +p371950 +aS'of\tof\tIN\tB-PP\tO' +p371951 +aS'the\tthe\tDT\tB-NP\tO' +p371952 +aS'left\tleft\tJJ\tI-NP\tO' +p371953 +aS'upper\tupper\tJJ\tI-NP\tO' +p371954 +aS'lobe\tlobe\tNN\tI-NP\tO' +p371955 +aS'of\tof\tIN\tB-PP\tO' +p371956 +aS'the\tthe\tDT\tB-NP\tO' +p371957 +aS'lung\tlung\tNN\tI-NP\tO' +p371958 +aS'who\twho\tWP\tB-NP\tO' +p371959 +aS'is\tbe\tVBZ\tB-VP\tO' +p371960 +aS'being\tbe\tVBG\tI-VP\tO' +p371961 +aS'admitted\tadmit\tVBN\tI-VP\tO' +p371962 +aS'for\tfor\tIN\tB-PP\tO' +p371963 +aS'Neoadjuvant\tNeoadjuvant\tJJ\tB-NP\tO' +p371964 +aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' +p371965 +aS'with\twith\tIN\tB-PP\tO' +p371966 +aS'Cisplatinum\tCisplatinum\tNN\tB-NP\tO' +p371967 +aS',\t,\t,\tI-NP\tO' +p371968 +aS'5-FU\t5-FU\tNN\tI-NP\tO' +p371969 +aS'and\tand\tCC\tI-NP\tO' +p371970 +aS'Velban\tVelban\tNN\tI-NP\tO' +p371971 +aS'.\t.\t.\tO\tO' +p371972 +asS'While using mannitol , his serum osmolalities were followed closely .' +p371973 +(lp371974 +S'While\tWhile\tIN\tB-SBAR\tO' +p371975 +aS'using\tuse\tVBG\tB-VP\tO' +p371976 +aS'mannitol\tmannitol\tNN\tB-NP\tO' +p371977 +aS',\t,\t,\tO\tO' +p371978 +aS'his\this\tPRP$\tB-NP\tO' +p371979 +aS'serum\tserum\tNN\tI-NP\tO' +p371980 +aS'osmolalities\tosmolality\tNNS\tI-NP\tO' +p371981 +aS'were\tbe\tVBD\tB-VP\tO' +p371982 +aS'followed\tfollow\tVBN\tI-VP\tO' +p371983 +aS'closely\tclosely\tRB\tB-ADVP\tO' +p371984 +aS'.\t.\t.\tO\tO' +p371985 +asS'Pulses 2+ bilaterally throughout .' +p371986 +(lp371987 +S'Pulses\tPulse\tNNS\tB-NP\tO' +p371988 +aS'2+\t2+\tJJ\tB-ADJP\tO' +p371989 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p371990 +aS'throughout\tthroughout\tRB\tI-ADVP\tO' +p371991 +aS'.\t.\t.\tO\tO' +p371992 +asS'4. Neurontin 300 mg three times a day .' +p371993 +(lp371994 +S'4.\t4.\tLS\tB-NP\tO' +p371995 +aS'Neurontin\tNeurontin\tNN\tI-NP\tO' +p371996 +aS'300\t300\tCD\tB-NP\tO' +p371997 +aS'mg\tmg\tNN\tI-NP\tO' +p371998 +aS'three\tthree\tCD\tB-NP\tO' +p371999 +aS'times\ttime\tNNS\tI-NP\tO' +p372000 +aS'a\ta\tDT\tB-NP\tO' +p372001 +aS'day\tday\tNN\tI-NP\tO' +p372002 +aS'.\t.\t.\tO\tO' +p372003 +asS'8. Metoprolol Tartrate 25 mg Tablet Sig : 0.5 Tablet PO TID ( 3 times a day ) : Hold for SBP < 100 , HR < 60 .' +p372004 +(lp372005 +S'8.\t8.\tCD\tB-NP\tO' +p372006 +aS'Metoprolol\tMetoprolol\tNNP\tI-NP\tO' +p372007 +aS'Tartrate\tTartrate\tNNP\tI-NP\tO' +p372008 +aS'25\t25\tCD\tI-NP\tO' +p372009 +aS'mg\tmg\tNN\tI-NP\tO' +p372010 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p372011 +aS'Sig\tSig\tNNP\tI-NP\tO' +p372012 +aS':\t:\t:\tO\tO' +p372013 +aS'0.5\t0.5\tCD\tB-NP\tO' +p372014 +aS'Tablet\tTablet\tNN\tI-NP\tO' +p372015 +aS'PO\tPO\tNN\tI-NP\tO' +p372016 +aS'TID\tTID\tNN\tI-NP\tO' +p372017 +aS'(\t(\t(\tO\tO' +p372018 +aS'3\t3\tCD\tB-NP\tO' +p372019 +aS'times\ttime\tNNS\tI-NP\tO' +p372020 +aS'a\ta\tDT\tB-NP\tO' +p372021 +aS'day\tday\tNN\tI-NP\tO' +p372022 +aS')\t)\t)\tO\tO' +p372023 +aS':\t:\t:\tO\tO' +p372024 +aS'Hold\tHold\tNN\tB-NP\tO' +p372025 +aS'for\tfor\tIN\tB-PP\tO' +p372026 +aS'SBP\tSBP\tNN\tB-NP\tB-protein' +p372027 +aS'<\t<\tSYM\tO\tO' +p372028 +aS'100\t100\tCD\tB-NP\tO' +p372029 +aS',\t,\t,\tO\tO' +p372030 +aS'HR\tHR\tNN\tB-NP\tB-protein' +p372031 +aS'<\t<\tSYM\tB-NP\tI-protein' +p372032 +aS'60\t60\tCD\tI-NP\tI-protein' +p372033 +aS'.\t.\t.\tO\tO' +p372034 +asS'Chest x-ray was remarkable for a questionable left lower lobe infiltrate .' +p372035 +(lp372036 +S'Chest\tCh\tJJS\tB-NP\tO' +p372037 +aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' +p372038 +aS'was\tbe\tVBD\tB-VP\tO' +p372039 +aS'remarkable\tremarkable\tJJ\tB-ADJP\tO' +p372040 +aS'for\tfor\tIN\tB-PP\tO' +p372041 +aS'a\ta\tDT\tB-NP\tO' +p372042 +aS'questionable\tquestionable\tJJ\tI-NP\tO' +p372043 +aS'left\tleave\tVBD\tB-VP\tO' +p372044 +aS'lower\tlow\tJJR\tB-NP\tO' +p372045 +aS'lobe\tlobe\tNN\tI-NP\tO' +p372046 +aS'infiltrate\tinfiltrate\tNN\tI-NP\tO' +p372047 +aS'.\t.\t.\tO\tO' +p372048 +asS'The physical therapy service was consulted for assistance with his postoperative strength and mobility .' +p372049 +(lp372050 +S'The\tThe\tDT\tB-NP\tO' +p372051 +aS'physical\tphysical\tJJ\tI-NP\tO' +p372052 +aS'therapy\ttherapy\tNN\tI-NP\tO' +p372053 +aS'service\tservice\tNN\tI-NP\tO' +p372054 +aS'was\tbe\tVBD\tB-VP\tO' +p372055 +aS'consulted\tconsult\tVBN\tI-VP\tO' +p372056 +aS'for\tfor\tIN\tB-PP\tO' +p372057 +aS'assistance\tassistance\tNN\tB-NP\tO' +p372058 +aS'with\twith\tIN\tB-PP\tO' +p372059 +aS'his\this\tPRP$\tB-NP\tO' +p372060 +aS'postoperative\tpostoperative\tJJ\tI-NP\tO' +p372061 +aS'strength\tstrength\tNN\tI-NP\tO' +p372062 +aS'and\tand\tCC\tI-NP\tO' +p372063 +aS'mobility\tmobility\tNN\tI-NP\tO' +p372064 +aS'.\t.\t.\tO\tO' +p372065 +asS'In consultation with Infectious Disease , it was agreed to discharge the patient on Augmentin for coverage .' +p372066 +(lp372067 +S'In\tIn\tIN\tB-PP\tO' +p372068 +aS'consultation\tconsultation\tNN\tB-NP\tO' +p372069 +aS'with\twith\tIN\tB-PP\tO' +p372070 +aS'Infectious\tInfectious\tJJ\tB-NP\tO' +p372071 +aS'Disease\tDisease\tNN\tI-NP\tO' +p372072 +aS',\t,\t,\tO\tO' +p372073 +aS'it\tit\tPRP\tB-NP\tO' +p372074 +aS'was\tbe\tVBD\tB-VP\tO' +p372075 +aS'agreed\tagree\tVBN\tI-VP\tO' +p372076 +aS'to\tto\tTO\tI-VP\tO' +p372077 +aS'discharge\tdischarge\tVB\tI-VP\tO' +p372078 +aS'the\tthe\tDT\tB-NP\tO' +p372079 +aS'patient\tpatient\tNN\tI-NP\tO' +p372080 +aS'on\ton\tIN\tB-PP\tO' +p372081 +aS'Augmentin\tAugmentin\tNN\tB-NP\tO' +p372082 +aS'for\tfor\tIN\tB-PP\tO' +p372083 +aS'coverage\tcoverage\tNN\tB-NP\tO' +p372084 +aS'.\t.\t.\tO\tO' +p372085 +asS'Femoral 2 + bilaterally , dorsalis pedis 1 + bilaterally , posterior tibial 1 + bilaterally , and radial 2 + bilaterally .' +p372086 +(lp372087 +S'Femoral\tFemoral\tJJ\tB-NP\tO' +p372088 +aS'2\t2\tCD\tI-NP\tO' +p372089 +aS'+\t+\tSYM\tB-VP\tO' +p372090 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p372091 +aS',\t,\t,\tO\tO' +p372092 +aS'dorsalis\tdorsalis\tNN\tB-NP\tB-protein' +p372093 +aS'pedis\tpedis\tNN\tI-NP\tI-protein' +p372094 +aS'1\t1\tCD\tI-NP\tI-protein' +p372095 +aS'+\t+\tSYM\tB-VP\tO' +p372096 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p372097 +aS',\t,\t,\tO\tO' +p372098 +aS'posterior\tposterior\tJJ\tB-NP\tO' +p372099 +aS'tibial\ttibial\tNN\tI-NP\tO' +p372100 +aS'1\t1\tCD\tI-NP\tO' +p372101 +aS'+\t+\tSYM\tB-VP\tO' +p372102 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p372103 +aS',\t,\t,\tO\tO' +p372104 +aS'and\tand\tCC\tO\tO' +p372105 +aS'radial\tradial\tNN\tB-NP\tB-protein' +p372106 +aS'2\t2\tCD\tI-NP\tI-protein' +p372107 +aS'+\t+\tSYM\tB-VP\tO' +p372108 +aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' +p372109 +aS'.\t.\t.\tO\tO' +p372110 +asS'Levoxyl 150 mcg 1 1 time per day' +p372111 +(lp372112 +S'Levoxyl\tLevoxyl\tNN\tB-NP\tO' +p372113 +aS'150\t150\tCD\tI-NP\tO' +p372114 +aS'mcg\tmcg\tNN\tI-NP\tO' +p372115 +aS'1\t1\tCD\tB-NP\tO' +p372116 +aS'1\t1\tCD\tI-NP\tO' +p372117 +aS'time\ttime\tNN\tI-NP\tO' +p372118 +aS'per\tper\tIN\tB-PP\tO' +p372119 +aS'day\tday\tNN\tB-NP\tO' +p372120 +asS'Ceftriaxone and azithro were discontinued , and Vacomycin was continued .' +p372121 +(lp372122 +S'Ceftriaxone\tCeftriaxone\tNN\tB-NP\tO' +p372123 +aS'and\tand\tCC\tI-NP\tO' +p372124 +aS'azithro\tazithro\tNN\tI-NP\tO' +p372125 +aS'were\tbe\tVBD\tB-VP\tO' +p372126 +aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' +p372127 +aS',\t,\t,\tO\tO' +p372128 +aS'and\tand\tCC\tO\tO' +p372129 +aS'Vacomycin\tVacomycin\tNN\tB-NP\tO' +p372130 +aS'was\tbe\tVBD\tB-VP\tO' +p372131 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p372132 +aS'.\t.\t.\tO\tO' +p372133 +asS'Please see written medical record for complete report .' +p372134 +(lp372135 +S'Please\tPlease\tVB\tB-VP\tO' +p372136 +aS'see\tsee\tVB\tI-VP\tO' +p372137 +aS'written\twrite\tVBN\tI-VP\tO' +p372138 +aS'medical\tmedical\tJJ\tB-NP\tO' +p372139 +aS'record\trecord\tNN\tI-NP\tO' +p372140 +aS'for\tfor\tIN\tB-PP\tO' +p372141 +aS'complete\tcomplete\tJJ\tB-NP\tO' +p372142 +aS'report\treport\tNN\tI-NP\tO' +p372143 +aS'.\t.\t.\tO\tO' +p372144 +asS'Patient has injuries to her shoulder and hip .' +p372145 +(lp372146 +S'Patient\tPatient\tNN\tB-NP\tO' +p372147 +aS'has\thave\tVBZ\tB-VP\tO' +p372148 +aS'injuries\tinjury\tNNS\tB-NP\tO' +p372149 +aS'to\tto\tTO\tB-PP\tO' +p372150 +aS'her\ther\tPRP$\tB-NP\tO' +p372151 +aS'shoulder\tshoulder\tNN\tI-NP\tO' +p372152 +aS'and\tand\tCC\tI-NP\tO' +p372153 +aS'hip\thip\tNN\tI-NP\tO' +p372154 +aS'.\t.\t.\tO\tO' +p372155 +asS'In the setting of her ongoing pericardial effusion , she was transferred for closer observation to the CCU .' +p372156 +(lp372157 +S'In\tIn\tIN\tB-PP\tO' +p372158 +aS'the\tthe\tDT\tB-NP\tO' +p372159 +aS'setting\tsetting\tNN\tI-NP\tO' +p372160 +aS'of\tof\tIN\tB-PP\tO' +p372161 +aS'her\ther\tPRP$\tB-NP\tO' +p372162 +aS'ongoing\tongoing\tJJ\tI-NP\tO' +p372163 +aS'pericardial\tpericardial\tJJ\tI-NP\tO' +p372164 +aS'effusion\teffusion\tNN\tI-NP\tO' +p372165 +aS',\t,\t,\tO\tO' +p372166 +aS'she\tshe\tPRP\tB-NP\tO' +p372167 +aS'was\tbe\tVBD\tB-VP\tO' +p372168 +aS'transferred\ttransfer\tVBN\tI-VP\tO' +p372169 +aS'for\tfor\tIN\tB-PP\tO' +p372170 +aS'closer\tclose\tJJR\tB-NP\tO' +p372171 +aS'observation\tobservation\tNN\tI-NP\tO' +p372172 +aS'to\tto\tTO\tB-PP\tO' +p372173 +aS'the\tthe\tDT\tB-NP\tO' +p372174 +aS'CCU\tCCU\tNN\tI-NP\tB-DNA' +p372175 +aS'.\t.\t.\tO\tO' +p372176 +asS'11 ) Epogen q. two weeks .' +p372177 +(lp372178 +S'11\t11\tCD\tB-NP\tO' +p372179 +aS')\t)\t)\tO\tO' +p372180 +aS'Epogen\tEpogen\tNN\tB-NP\tO' +p372181 +aS'q.\tq.\tNN\tI-NP\tO' +p372182 +aS'two\ttwo\tCD\tB-NP\tO' +p372183 +aS'weeks\tweek\tNNS\tI-NP\tO' +p372184 +aS'.\t.\t.\tO\tO' +p372185 +asS'The patient is retired , lives with his wife and one son , who is 47 years old and had multiple myeloma and renal failure .' +p372186 +(lp372187 +S'The\tThe\tDT\tB-NP\tO' +p372188 +aS'patient\tpatient\tNN\tI-NP\tO' +p372189 +aS'is\tbe\tVBZ\tB-VP\tO' +p372190 +aS'retired\tretire\tVBN\tI-VP\tO' +p372191 +aS',\t,\t,\tO\tO' +p372192 +aS'lives\tlive\tVBZ\tB-VP\tO' +p372193 +aS'with\twith\tIN\tB-PP\tO' +p372194 +aS'his\this\tPRP$\tB-NP\tO' +p372195 +aS'wife\twife\tNN\tI-NP\tO' +p372196 +aS'and\tand\tCC\tO\tO' +p372197 +aS'one\tone\tCD\tB-NP\tO' +p372198 +aS'son\tson\tNN\tI-NP\tO' +p372199 +aS',\t,\t,\tO\tO' +p372200 +aS'who\twho\tWP\tB-NP\tO' +p372201 +aS'is\tbe\tVBZ\tB-VP\tO' +p372202 +aS'47\t47\tCD\tB-NP\tO' +p372203 +aS'years\tyear\tNNS\tI-NP\tO' +p372204 +aS'old\told\tJJ\tB-ADJP\tO' +p372205 +aS'and\tand\tCC\tO\tO' +p372206 +aS'had\thave\tVBD\tB-VP\tO' +p372207 +aS'multiple\tmultiple\tJJ\tB-NP\tO' +p372208 +aS'myeloma\tmyeloma\tNN\tI-NP\tO' +p372209 +aS'and\tand\tCC\tO\tO' +p372210 +aS'renal\trenal\tJJ\tB-NP\tO' +p372211 +aS'failure\tfailure\tNN\tI-NP\tO' +p372212 +aS'.\t.\t.\tO\tO' +p372213 +asS'Neuro A&Ox3 MAE , non focal exam' +p372214 +(lp372215 +S'Neuro\tNeuro\tNN\tB-NP\tO' +p372216 +aS'A&Ox3\tA&Ox3\tNN\tI-NP\tO' +p372217 +aS'MAE\tMAE\tNN\tI-NP\tO' +p372218 +aS',\t,\t,\tO\tO' +p372219 +aS'non\tnon\tJJ\tB-NP\tO' +p372220 +aS'focal\tfocal\tJJ\tI-NP\tO' +p372221 +aS'exam\texam\tNN\tI-NP\tO' +p372222 +asS'Primary doctor - Dr Shirley , James M. 444-1034 - please see your doctor Mary Powell 2018-08-10 for a blood test ( cbc ) .' +p372223 +(lp372224 +S'Primary\tPrimary\tJJ\tB-NP\tO' +p372225 +aS'doctor\tdoctor\tNN\tI-NP\tO' +p372226 +aS'-\t-\tHYPH\tO\tO' +p372227 +aS'Dr\tDr\tNNP\tB-NP\tO' +p372228 +aS'Shirley\tShirley\tNNP\tI-NP\tO' +p372229 +aS',\t,\t,\tO\tO' +p372230 +aS'James\tJames\tNNP\tB-NP\tO' +p372231 +aS'M.\tM.\tNNP\tI-NP\tO' +p372232 +aS'444-1034\t444-1034\tCD\tI-NP\tO' +p372233 +aS'-\t-\tHYPH\tI-NP\tO' +p372234 +aS'please\tplease\tNN\tI-NP\tO' +p372235 +aS'see\tsee\tVB\tB-VP\tO' +p372236 +aS'your\tyour\tPRP$\tB-NP\tO' +p372237 +aS'doctor\tdoctor\tNN\tI-NP\tO' +p372238 +aS'Mary\tMary\tNNP\tI-NP\tO' +p372239 +aS'Powell\tPowell\tNNP\tI-NP\tO' +p372240 +aS'2018-08-10\t2018-08-10\tCD\tI-NP\tO' +p372241 +aS'for\tfor\tIN\tB-PP\tO' +p372242 +aS'a\ta\tDT\tB-NP\tO' +p372243 +aS'blood\tblood\tNN\tI-NP\tO' +p372244 +aS'test\ttest\tNN\tI-NP\tO' +p372245 +aS'(\t(\t(\tO\tO' +p372246 +aS'cbc\tcbc\tNN\tB-NP\tO' +p372247 +aS')\t)\t)\tO\tO' +p372248 +aS'.\t.\t.\tO\tO' +p372249 +asS'Nonspecific ST segment and T wave abnormalities are present as well .' +p372250 +(lp372251 +S'Nonspecific\tNonspecific\tJJ\tB-NP\tO' +p372252 +aS'ST\tST\tNN\tI-NP\tO' +p372253 +aS'segment\tsegment\tNN\tI-NP\tO' +p372254 +aS'and\tand\tCC\tI-NP\tO' +p372255 +aS'T\tT\tNN\tI-NP\tO' +p372256 +aS'wave\twave\tNN\tI-NP\tO' +p372257 +aS'abnormalities\tabnormality\tNNS\tI-NP\tO' +p372258 +aS'are\tbe\tVBP\tB-VP\tO' +p372259 +aS'present\tpresent\tJJ\tB-ADJP\tO' +p372260 +aS'as\tas\tRB\tB-ADVP\tO' +p372261 +aS'well\twell\tRB\tI-ADVP\tO' +p372262 +aS'.\t.\t.\tO\tO' +p372263 +asS'The patient was continued on aspirin , Plavix , and statin .' +p372264 +(lp372265 +S'The\tThe\tDT\tB-NP\tO' +p372266 +aS'patient\tpatient\tNN\tI-NP\tO' +p372267 +aS'was\tbe\tVBD\tB-VP\tO' +p372268 +aS'continued\tcontinue\tVBN\tI-VP\tO' +p372269 +aS'on\ton\tIN\tB-PP\tO' +p372270 +aS'aspirin\taspirin\tNN\tB-NP\tO' +p372271 +aS',\t,\t,\tO\tO' +p372272 +aS'Plavix\tPlavix\tNN\tB-NP\tO' +p372273 +aS',\t,\t,\tO\tO' +p372274 +aS'and\tand\tCC\tO\tO' +p372275 +aS'statin\tstatin\tNN\tB-NP\tO' +p372276 +aS'.\t.\t.\tO\tO' +p372277 +asS'She denies any fevers or chills .' +p372278 +(lp372279 +S'She\tShe\tPRP\tB-NP\tO' +p372280 +aS'denies\tdeny\tVBZ\tB-VP\tO' +p372281 +aS'any\tany\tDT\tB-NP\tO' +p372282 +aS'fevers\tfever\tNNS\tI-NP\tO' +p372283 +aS'or\tor\tCC\tI-NP\tO' +p372284 +aS'chills\tchill\tNNS\tI-NP\tO' +p372285 +aS'.\t.\t.\tO\tO' +p372286 +asS'In addition , he had chest PT performed at very regular intervals by the ICU staff .' +p372287 +(lp372288 +S'In\tIn\tIN\tB-PP\tO' +p372289 +aS'addition\taddition\tNN\tB-NP\tO' +p372290 +aS',\t,\t,\tO\tO' +p372291 +aS'he\the\tPRP\tB-NP\tO' +p372292 +aS'had\thave\tVBD\tB-VP\tO' +p372293 +aS'chest\tchest\tNN\tB-NP\tO' +p372294 +aS'PT\tPT\tNN\tI-NP\tO' +p372295 +aS'performed\tperform\tVBN\tB-VP\tO' +p372296 +aS'at\tat\tIN\tB-PP\tO' +p372297 +aS'very\tvery\tRB\tB-NP\tO' +p372298 +aS'regular\tregular\tJJ\tI-NP\tO' +p372299 +aS'intervals\tinterval\tNNS\tI-NP\tO' +p372300 +aS'by\tby\tIN\tB-PP\tO' +p372301 +aS'the\tthe\tDT\tB-NP\tO' +p372302 +aS'ICU\tICU\tNN\tI-NP\tB-protein' +p372303 +aS'staff\tstaff\tNN\tI-NP\tI-protein' +p372304 +aS'.\t.\t.\tO\tO' +p372305 +asS'respiratory distress , hemoptysis transferred from OSH' +p372306 +(lp372307 +S'respiratory\trespiratory\tJJ\tB-NP\tO' +p372308 +aS'distress\tdistress\tNN\tI-NP\tO' +p372309 +aS',\t,\t,\tO\tO' +p372310 +aS'hemoptysis\themoptysis\tNN\tB-NP\tO' +p372311 +aS'transferred\ttransfer\tVBN\tB-VP\tO' +p372312 +aS'from\tfrom\tIN\tB-PP\tO' +p372313 +aS'OSH\tOSH\tNN\tB-NP\tO' +p372314 +asS'Chest CT was a poor study but did not show a pulmonary embolus .' +p372315 +(lp372316 +S'Chest\tCh\tJJS\tB-NP\tO' +p372317 +aS'CT\tCT\tNN\tI-NP\tB-protein' +p372318 +aS'was\tbe\tVBD\tB-VP\tO' +p372319 +aS'a\ta\tDT\tB-NP\tO' +p372320 +aS'poor\tpoor\tJJ\tI-NP\tO' +p372321 +aS'study\tstudy\tNN\tI-NP\tO' +p372322 +aS'but\tbut\tCC\tO\tO' +p372323 +aS'did\tdo\tVBD\tB-VP\tO' +p372324 +aS'not\tnot\tRB\tI-VP\tO' +p372325 +aS'show\tshow\tVB\tI-VP\tO' +p372326 +aS'a\ta\tDT\tB-NP\tO' +p372327 +aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' +p372328 +aS'embolus\tembolus\tNN\tI-NP\tO' +p372329 +aS'.\t.\t.\tO\tO' +p372330 +asS'12. Potassium Chloride 10 mEq Capsule , Sustained Release Sig : One ( 1 ) Capsule , Sustained Release PO DAILY ( Daily ) for 2 weeks .' +p372331 +(lp372332 +S'12.\t12.\tLS\tB-NP\tO' +p372333 +aS'Potassium\tPotassium\tNNP\tI-NP\tO' +p372334 +aS'Chloride\tChloride\tNNP\tI-NP\tO' +p372335 +aS'10\t10\tCD\tI-NP\tO' +p372336 +aS'mEq\tmEq\tNN\tI-NP\tO' +p372337 +aS'Capsule\tCapsule\tNNP\tI-NP\tO' +p372338 +aS',\t,\t,\tO\tO' +p372339 +aS'Sustained\tSustained\tNNP\tB-NP\tO' +p372340 +aS'Release\tRelease\tNNP\tI-NP\tO' +p372341 +aS'Sig\tSig\tNNP\tI-NP\tB-protein' +p372342 +aS':\t:\t:\tO\tO' +p372343 +aS'One\tOne\tCD\tB-NP\tO' +p372344 +aS'(\t(\t(\tO\tO' +p372345 +aS'1\t1\tCD\tB-NP\tO' +p372346 +aS')\t)\t)\tO\tO' +p372347 +aS'Capsule\tCapsule\tNNP\tB-NP\tO' +p372348 +aS',\t,\t,\tO\tO' +p372349 +aS'Sustained\tSustained\tNNP\tB-NP\tO' +p372350 +aS'Release\tRelease\tNNP\tI-NP\tO' +p372351 +aS'PO\tPO\tNNP\tI-NP\tO' +p372352 +aS'DAILY\tDAILY\tNNP\tI-NP\tO' +p372353 +aS'(\t(\t(\tO\tO' +p372354 +aS'Daily\tDaily\tNNP\tB-NP\tO' +p372355 +aS')\t)\t)\tO\tO' +p372356 +aS'for\tfor\tIN\tB-PP\tO' +p372357 +aS'2\t2\tCD\tB-NP\tO' +p372358 +aS'weeks\tweek\tNNS\tI-NP\tO' +p372359 +aS'.\t.\t.\tO\tO' +p372360 +asS'4. Atenolol 25 mg p.o. q. day .' +p372361 +(lp372362 +S'4.\t4.\tLS\tB-NP\tO' +p372363 +aS'Atenolol\tAtenolol\tNN\tI-NP\tO' +p372364 +aS'25\t25\tCD\tI-NP\tO' +p372365 +aS'mg\tmg\tNN\tI-NP\tO' +p372366 +aS'p.o.\tp.o.\tFW\tI-NP\tO' +p372367 +aS'q.\tq.\tNN\tI-NP\tO' +p372368 +aS'day\tday\tNN\tI-NP\tO' +p372369 +aS'.\t.\t.\tO\tO' +p372370 +asS'Dictated By : William MP Lajoie , M.D.' +p372371 +(lp372372 +S'Dictated\tDictate\tVBN\tB-VP\tO' +p372373 +aS'By\tBy\tIN\tB-PP\tO' +p372374 +aS':\t:\t:\tO\tO' +p372375 +aS'William\tWilliam\tNNP\tB-NP\tO' +p372376 +aS'MP\tMP\tNN\tI-NP\tO' +p372377 +aS'Lajoie\tLajoie\tNNP\tI-NP\tO' +p372378 +aS',\t,\t,\tO\tO' +p372379 +aS'M.D.\tM.D.\tNNP\tB-NP\tO' +p372380 +asS'Endocrine .' +p372381 +(lp372382 +S'Endocrine\tEndocrine\tJJ\tB-ADJP\tO' +p372383 +aS'.\t.\t.\tO\tO' +p372384 +asS'There is akinesis / dyskinesis and thinning of the mid to distal inferior septum and the apex .' +p372385 +(lp372386 +S'There\tThere\tEX\tB-NP\tO' +p372387 +aS'is\tbe\tVBZ\tB-VP\tO' +p372388 +aS'akinesis\takinesis\tNN\tB-NP\tO' +p372389 +aS'/\t/\tSYM\tI-NP\tO' +p372390 +aS'dyskinesis\tdyskinesis\tNN\tI-NP\tO' +p372391 +aS'and\tand\tCC\tI-NP\tO' +p372392 +aS'thinning\tthinning\tNN\tI-NP\tO' +p372393 +aS'of\tof\tIN\tB-PP\tO' +p372394 +aS'the\tthe\tDT\tB-NP\tO' +p372395 +aS'mid\tmid\tNN\tI-NP\tO' +p372396 +aS'to\tto\tTO\tB-PP\tO' +p372397 +aS'distal\tdistal\tJJ\tB-NP\tO' +p372398 +aS'inferior\tinferior\tJJ\tI-NP\tO' +p372399 +aS'septum\tseptum\tNN\tI-NP\tO' +p372400 +aS'and\tand\tCC\tO\tO' +p372401 +aS'the\tthe\tDT\tB-NP\tO' +p372402 +aS'apex\tapex\tNN\tI-NP\tO' +p372403 +aS'.\t.\t.\tO\tO' +p372404 +asS'HEENT - normocephalic / atraumatic , extraocular movements are intact , pupils equal , round and reactive to light and accommodation .' +p372405 +(lp372406 +S'HEENT\tHEENT\tNN\tB-NP\tB-protein' +p372407 +aS'-\t-\tHYPH\tB-NP\tO' +p372408 +aS'normocephalic\tnormocephalic\tJJ\tI-NP\tO' +p372409 +aS'/\t/\tSYM\tI-NP\tO' +p372410 +aS'atraumatic\tatraumatic\tJJ\tI-NP\tO' +p372411 +aS',\t,\t,\tI-NP\tO' +p372412 +aS'extraocular\textraocular\tJJ\tI-NP\tO' +p372413 +aS'movements\tmovement\tNNS\tI-NP\tO' +p372414 +aS'are\tbe\tVBP\tB-VP\tO' +p372415 +aS'intact\tintact\tJJ\tB-ADJP\tO' +p372416 +aS',\t,\t,\tO\tO' +p372417 +aS'pupils\tpupil\tNNS\tB-NP\tO' +p372418 +aS'equal\tequal\tJJ\tB-NP\tO' +p372419 +aS',\t,\t,\tI-NP\tO' +p372420 +aS'round\tround\tJJ\tI-NP\tO' +p372421 +aS'and\tand\tCC\tI-NP\tO' +p372422 +aS'reactive\treactive\tJJ\tI-NP\tO' +p372423 +aS'to\tto\tTO\tB-PP\tO' +p372424 +aS'light\tlight\tNN\tB-NP\tO' +p372425 +aS'and\tand\tCC\tI-NP\tO' +p372426 +aS'accommodation\taccommodation\tNN\tI-NP\tO' +p372427 +aS'.\t.\t.\tO\tO' +p372428 +asS'currently lives at Bridgewater State Hospital Rehab; no tobacco or EtOH use; used to be housewife' +p372429 +(lp372430 +S'currently\tcurrently\tRB\tB-ADVP\tO' +p372431 +aS'lives\tlive\tVBZ\tB-VP\tO' +p372432 +aS'at\tat\tIN\tB-PP\tO' +p372433 +aS'Bridgewater\tBridgewater\tNNP\tB-NP\tO' +p372434 +aS'State\tState\tNNP\tI-NP\tO' +p372435 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p372436 +aS'Rehab;\tRehab;\tNNP\tI-NP\tO' +p372437 +aS'no\tno\tDT\tB-NP\tO' +p372438 +aS'tobacco\ttobacco\tNN\tI-NP\tO' +p372439 +aS'or\tor\tCC\tI-NP\tO' +p372440 +aS'EtOH\tEtOH\tNN\tI-NP\tO' +p372441 +aS'use;\tuse;\tNN\tI-NP\tO' +p372442 +aS'used\tuse\tVBN\tB-VP\tO' +p372443 +aS'to\tto\tTO\tI-VP\tO' +p372444 +aS'be\tbe\tVB\tI-VP\tO' +p372445 +aS'housewife\thousewife\tNN\tB-NP\tO' +p372446 +asS'LV cavity moderately dilated .' +p372447 +(lp372448 +S'LV\tLV\tNN\tB-NP\tO' +p372449 +aS'cavity\tcavity\tNN\tI-NP\tO' +p372450 +aS'moderately\tmoderately\tRB\tB-VP\tO' +p372451 +aS'dilated\tdilate\tVBN\tI-VP\tO' +p372452 +aS'.\t.\t.\tO\tO' +p372453 +asS'1. Ibuprofen 600 mg Tablet Sig : One ( 1 ) Tablet PO Q6H ( every 6 hours ) as needed .' +p372454 +(lp372455 +S'1.\t1.\tLS\tB-NP\tO' +p372456 +aS'Ibuprofen\tIbuprofen\tNN\tI-NP\tO' +p372457 +aS'600\t600\tCD\tI-NP\tO' +p372458 +aS'mg\tmg\tNN\tI-NP\tO' +p372459 +aS'Tablet\tTablet\tNNP\tI-NP\tO' +p372460 +aS'Sig\tSig\tNNP\tI-NP\tO' +p372461 +aS':\t:\t:\tO\tO' +p372462 +aS'One\tOne\tCD\tB-NP\tO' +p372463 +aS'(\t(\t(\tO\tO' +p372464 +aS'1\t1\tCD\tB-NP\tO' +p372465 +aS')\t)\t)\tO\tO' +p372466 +aS'Tablet\tTablet\tNN\tB-NP\tO' +p372467 +aS'PO\tPO\tNN\tI-NP\tO' +p372468 +aS'Q6H\tQ6H\tNN\tI-NP\tO' +p372469 +aS'(\t(\t(\tO\tO' +p372470 +aS'every\tevery\tDT\tB-NP\tO' +p372471 +aS'6\t6\tCD\tI-NP\tO' +p372472 +aS'hours\thour\tNNS\tI-NP\tO' +p372473 +aS')\t)\t)\tO\tO' +p372474 +aS'as\tas\tIN\tB-SBAR\tO' +p372475 +aS'needed\tneed\tVBN\tB-VP\tO' +p372476 +aS'.\t.\t.\tO\tO' +p372477 +asS'Endo - DM on insulin with steroids' +p372478 +(lp372479 +S'Endo\tEndo\tAFX\tB-NP\tB-protein' +p372480 +aS'-\t-\tHYPH\tI-NP\tO' +p372481 +aS'DM\tDM\tNN\tB-NP\tO' +p372482 +aS'on\ton\tIN\tB-PP\tO' +p372483 +aS'insulin\tinsulin\tNN\tB-NP\tB-protein' +p372484 +aS'with\twith\tIN\tB-PP\tO' +p372485 +aS'steroids\tsteroid\tNNS\tB-NP\tO' +p372486 +asS'Arrived at Hahnemann General Hospital at 12:30 .' +p372487 +(lp372488 +S'Arrived\tArrive\tVBN\tB-VP\tO' +p372489 +aS'at\tat\tIN\tB-PP\tO' +p372490 +aS'Hahnemann\tHahnemann\tNNP\tB-NP\tO' +p372491 +aS'General\tGeneral\tNNP\tI-NP\tO' +p372492 +aS'Hospital\tHospital\tNNP\tI-NP\tO' +p372493 +aS'at\tat\tIN\tB-PP\tO' +p372494 +aS'12:30\t12:30\tCD\tB-NP\tO' +p372495 +aS'.\t.\t.\tO\tO' +p372496 +as. \ No newline at end of file diff --git a/clicon/features_dir/genia/genia_cache.py b/clicon/features_dir/genia_dir/genia_cache.py similarity index 100% rename from clicon/features_dir/genia/genia_cache.py rename to clicon/features_dir/genia_dir/genia_cache.py diff --git a/clicon/features_dir/genia/genia_features.py b/clicon/features_dir/genia_dir/genia_features.py similarity index 100% rename from clicon/features_dir/genia/genia_features.py rename to clicon/features_dir/genia_dir/genia_features.py diff --git a/clicon/features_dir/genia/interface_genia.py b/clicon/features_dir/genia_dir/interface_genia.py similarity index 100% rename from clicon/features_dir/genia/interface_genia.py rename to clicon/features_dir/genia_dir/interface_genia.py diff --git a/clicon/features_dir/sentence_features.py b/clicon/features_dir/sentence_features.py index 0ef555c..78cc4bd 100644 --- a/clicon/features_dir/sentence_features.py +++ b/clicon/features_dir/sentence_features.py @@ -27,10 +27,10 @@ # Import feature modules enabled = enabled_modules() if enabled['GENIA']: - from genia.genia_features import GeniaFeatures + from genia_dir.genia_features import GeniaFeatures if enabled['UMLS']: - from umls.umls_features import UMLSFeatures + from umls_dir.umls_features import UMLSFeatures from word_features import WordFeatures diff --git a/clicon/features_dir/umls/SQLookup.py b/clicon/features_dir/umls_dir/SQLookup.py similarity index 100% rename from clicon/features_dir/umls/SQLookup.py rename to clicon/features_dir/umls_dir/SQLookup.py diff --git a/clicon/features_dir/umls/__init__.py b/clicon/features_dir/umls_dir/__init__.py similarity index 100% rename from clicon/features_dir/umls/__init__.py rename to clicon/features_dir/umls_dir/__init__.py diff --git a/clicon/features_dir/umls/create_sqliteDB.py b/clicon/features_dir/umls_dir/create_sqliteDB.py similarity index 100% rename from clicon/features_dir/umls/create_sqliteDB.py rename to clicon/features_dir/umls_dir/create_sqliteDB.py diff --git a/clicon/features_dir/umls/create_trie.py b/clicon/features_dir/umls_dir/create_trie.py similarity index 100% rename from clicon/features_dir/umls/create_trie.py rename to clicon/features_dir/umls_dir/create_trie.py diff --git a/clicon/features_dir/umls/umls.py b/clicon/features_dir/umls_dir/umls.py similarity index 100% rename from clicon/features_dir/umls/umls.py rename to clicon/features_dir/umls_dir/umls.py diff --git a/clicon/features_dir/umls/umls_cache.py b/clicon/features_dir/umls_dir/umls_cache.py similarity index 100% rename from clicon/features_dir/umls/umls_cache.py rename to clicon/features_dir/umls_dir/umls_cache.py diff --git a/clicon/features_dir/umls/umls_features.py b/clicon/features_dir/umls_dir/umls_features.py similarity index 100% rename from clicon/features_dir/umls/umls_features.py rename to clicon/features_dir/umls_dir/umls_features.py From 3a40a049f322d6b868b84352c17c4220839d82fd Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 11 Nov 2014 14:11:10 -0500 Subject: [PATCH 377/393] rearranging features_dir organization for consistency --- clicon/features_dir/{genia => genia_dir}/.gitignore | 0 clicon/features_dir/{genia => genia_dir}/__init__.py | 0 clicon/features_dir/{genia => genia_dir}/genia_cache.py | 0 clicon/features_dir/{genia => genia_dir}/genia_features.py | 0 clicon/features_dir/{genia => genia_dir}/interface_genia.py | 0 clicon/features_dir/sentence_features.py | 4 ++-- clicon/features_dir/{umls => umls_dir}/SQLookup.py | 0 clicon/features_dir/{umls => umls_dir}/__init__.py | 0 clicon/features_dir/{umls => umls_dir}/create_sqliteDB.py | 0 clicon/features_dir/{umls => umls_dir}/create_trie.py | 0 clicon/features_dir/{umls => umls_dir}/umls.py | 0 clicon/features_dir/{umls => umls_dir}/umls_cache.py | 0 clicon/features_dir/{umls => umls_dir}/umls_features.py | 0 13 files changed, 2 insertions(+), 2 deletions(-) rename clicon/features_dir/{genia => genia_dir}/.gitignore (100%) rename clicon/features_dir/{genia => genia_dir}/__init__.py (100%) rename clicon/features_dir/{genia => genia_dir}/genia_cache.py (100%) rename clicon/features_dir/{genia => genia_dir}/genia_features.py (100%) rename clicon/features_dir/{genia => genia_dir}/interface_genia.py (100%) rename clicon/features_dir/{umls => umls_dir}/SQLookup.py (100%) rename clicon/features_dir/{umls => umls_dir}/__init__.py (100%) rename clicon/features_dir/{umls => umls_dir}/create_sqliteDB.py (100%) rename clicon/features_dir/{umls => umls_dir}/create_trie.py (100%) rename clicon/features_dir/{umls => umls_dir}/umls.py (100%) rename clicon/features_dir/{umls => umls_dir}/umls_cache.py (100%) rename clicon/features_dir/{umls => umls_dir}/umls_features.py (100%) diff --git a/clicon/features_dir/genia/.gitignore b/clicon/features_dir/genia_dir/.gitignore similarity index 100% rename from clicon/features_dir/genia/.gitignore rename to clicon/features_dir/genia_dir/.gitignore diff --git a/clicon/features_dir/genia/__init__.py b/clicon/features_dir/genia_dir/__init__.py similarity index 100% rename from clicon/features_dir/genia/__init__.py rename to clicon/features_dir/genia_dir/__init__.py diff --git a/clicon/features_dir/genia/genia_cache.py b/clicon/features_dir/genia_dir/genia_cache.py similarity index 100% rename from clicon/features_dir/genia/genia_cache.py rename to clicon/features_dir/genia_dir/genia_cache.py diff --git a/clicon/features_dir/genia/genia_features.py b/clicon/features_dir/genia_dir/genia_features.py similarity index 100% rename from clicon/features_dir/genia/genia_features.py rename to clicon/features_dir/genia_dir/genia_features.py diff --git a/clicon/features_dir/genia/interface_genia.py b/clicon/features_dir/genia_dir/interface_genia.py similarity index 100% rename from clicon/features_dir/genia/interface_genia.py rename to clicon/features_dir/genia_dir/interface_genia.py diff --git a/clicon/features_dir/sentence_features.py b/clicon/features_dir/sentence_features.py index 0ef555c..78cc4bd 100644 --- a/clicon/features_dir/sentence_features.py +++ b/clicon/features_dir/sentence_features.py @@ -27,10 +27,10 @@ # Import feature modules enabled = enabled_modules() if enabled['GENIA']: - from genia.genia_features import GeniaFeatures + from genia_dir.genia_features import GeniaFeatures if enabled['UMLS']: - from umls.umls_features import UMLSFeatures + from umls_dir.umls_features import UMLSFeatures from word_features import WordFeatures diff --git a/clicon/features_dir/umls/SQLookup.py b/clicon/features_dir/umls_dir/SQLookup.py similarity index 100% rename from clicon/features_dir/umls/SQLookup.py rename to clicon/features_dir/umls_dir/SQLookup.py diff --git a/clicon/features_dir/umls/__init__.py b/clicon/features_dir/umls_dir/__init__.py similarity index 100% rename from clicon/features_dir/umls/__init__.py rename to clicon/features_dir/umls_dir/__init__.py diff --git a/clicon/features_dir/umls/create_sqliteDB.py b/clicon/features_dir/umls_dir/create_sqliteDB.py similarity index 100% rename from clicon/features_dir/umls/create_sqliteDB.py rename to clicon/features_dir/umls_dir/create_sqliteDB.py diff --git a/clicon/features_dir/umls/create_trie.py b/clicon/features_dir/umls_dir/create_trie.py similarity index 100% rename from clicon/features_dir/umls/create_trie.py rename to clicon/features_dir/umls_dir/create_trie.py diff --git a/clicon/features_dir/umls/umls.py b/clicon/features_dir/umls_dir/umls.py similarity index 100% rename from clicon/features_dir/umls/umls.py rename to clicon/features_dir/umls_dir/umls.py diff --git a/clicon/features_dir/umls/umls_cache.py b/clicon/features_dir/umls_dir/umls_cache.py similarity index 100% rename from clicon/features_dir/umls/umls_cache.py rename to clicon/features_dir/umls_dir/umls_cache.py diff --git a/clicon/features_dir/umls/umls_features.py b/clicon/features_dir/umls_dir/umls_features.py similarity index 100% rename from clicon/features_dir/umls/umls_features.py rename to clicon/features_dir/umls_dir/umls_features.py From dd578285d638666209ec98d5c1f099b46d2c52de Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 11 Nov 2014 14:11:34 -0500 Subject: [PATCH 378/393] fixed index error in note_i2b2 --- clicon/notes/abstract_note.py | 7 +++++++ clicon/notes/note.py | 22 +++++++++++++++++----- clicon/notes/note_i2b2.py | 17 +++++++++++++++-- clicon/notes/utilities_for_notes.py | 7 ++++--- clicon/predict.py | 14 +++++++++----- clicon/train.py | 11 +++++++++-- 6 files changed, 61 insertions(+), 17 deletions(-) diff --git a/clicon/notes/abstract_note.py b/clicon/notes/abstract_note.py index 39b7664..ae94018 100644 --- a/clicon/notes/abstract_note.py +++ b/clicon/notes/abstract_note.py @@ -70,6 +70,13 @@ def getClassificationTuples(self): raise Exception('Must define selector for derived class') + def getLineIndices(self): + """ + Purpose: Return a list of (start,end) char index pairs (one per line) + """ + raise Exception('Must define selector for derived class') + + def read_standard(self, txt, con=None): """ Purpose: Every note must be able to read from standardized forat diff --git a/clicon/notes/note.py b/clicon/notes/note.py index 9a55470..5bdd37f 100644 --- a/clicon/notes/note.py +++ b/clicon/notes/note.py @@ -21,6 +21,8 @@ import os.path +from utilities_for_notes import lineno_and_tokspan + # Master Class class Note: @@ -166,14 +168,24 @@ def getIOBLabels(self): self.getTokenizedSentences() iobs = [ ['O' for tok in sent] for sent in self.data ] + print self.derived_note.getClassificationTuples() + line_inds = self.derived_note.getLineIndices() + data = self.derived_note.data + text = self.derived_note.text + # Add 'B's and 'I's from concept spans for classification in self.derived_note.getClassificationTuples(): - _,lineno,start,end = classification + concept,char_spans = classification + + # Each span (could be noncontiguous span) + for span in char_spans: + lineno,tokspan = lineno_and_tokspan(line_inds, data, text, span) + start,end = tokspan - # Update concept tokens to 'B's and 'I's - iobs[lineno-1][start] = 'B' - for i in range(start+1,end+1): - iobs[lineno-1][i] = 'I' + # Update concept tokens to 'B's and 'I's + iobs[lineno][start] = 'B' + for i in range(start+1,end+1): + iobs[lineno][i] = 'I' # Memoize for next call self.iob_labels = iobs diff --git a/clicon/notes/note_i2b2.py b/clicon/notes/note_i2b2.py index 2ba3ca5..1e48d16 100644 --- a/clicon/notes/note_i2b2.py +++ b/clicon/notes/note_i2b2.py @@ -74,6 +74,9 @@ def getClassificationTuples(self): return retVal + def getLineIndices(self): + return self.line_inds + def read_standard(self, txt, con=None): @@ -221,9 +224,9 @@ def read(self, txt, con=None): # Original text file self.text = f.read() + i = 0 for line in self.text.split('\n'): - for word in line.split(): - end += len(word) + 1 + end += len(line) + 1 self.line_inds.append( (start,end-1) ) start = end @@ -233,6 +236,16 @@ def read(self, txt, con=None): # Add sentence to the data list self.data.append(line.split()) + # TEST - is line_inds correct? + #print self.line_inds + #i = 0 + #for line,span in zip(self.data,self.line_inds): + # start,end = span + # print '' + self.text[start:end] + '' + # print '' + ' '.join(line) + '' + # print + # i += 1 + # if i == 10: exit() # If an accompanying concept file was specified, read it if con: diff --git a/clicon/notes/utilities_for_notes.py b/clicon/notes/utilities_for_notes.py index 34e3553..a7fdba7 100644 --- a/clicon/notes/utilities_for_notes.py +++ b/clicon/notes/utilities_for_notes.py @@ -52,7 +52,8 @@ def lineno_and_tokspan(line_inds, data, text, char_span): for i,span in enumerate(line_inds): if char_span[1] <= span[1]: - #print "span: ", span + print + print "span: ", span # start and end of span relative to sentence start = char_span[0] - span[0] @@ -61,8 +62,8 @@ def lineno_and_tokspan(line_inds, data, text, char_span): #print "START: ", start #print "END: ", end - #print "USING span on text: ", text[span[0]:span[1]] - #print "USING start and end: ", text[span[0]:span[1]][start:end] + print "USING span on text: ~" + text[span[0]:span[1]] + '~' + print "USING start and end: ~" + text[span[0]:span[1]][start:end]+'~' #print "data", data[i] tok_span = [0,len(data[i])-1] diff --git a/clicon/predict.py b/clicon/predict.py index 8884053..9e64fca 100644 --- a/clicon/predict.py +++ b/clicon/predict.py @@ -65,6 +65,13 @@ def main(): format = args.format + # Predict + predict(files, args.model, args.output, format=format) + + + +def predict(files, model_path, output_dir, format): + # Must specify output format if format not in Note.supportedFormats(): print >>sys.stderr, '\n\tError: Must specify output format' @@ -73,12 +80,9 @@ def main(): exit(1) - # Output directory - helper.mkpath(os.path.join(args.output)) - # Load model - model = Model.load(args.model) + model = Model.load(model_path) # Tell user if not predicting @@ -112,7 +116,7 @@ def main(): # Output file fname = os.path.splitext(os.path.basename(txt))[0] + '.' + extension - out_path = os.path.join(args.output, fname) + out_path = os.path.join(output_dir, fname) # Output the concept predictions print '\n\nwriting to: ', out_path diff --git a/clicon/train.py b/clicon/train.py index 076db17..7e9d30c 100644 --- a/clicon/train.py +++ b/clicon/train.py @@ -99,6 +99,13 @@ def main(): print '\n', training_list, '\n' + # Train the model + train(training_list, args.model, format, is_crf=is_crf, grid=args.grid) + + + +def train(training_list, model_path, format, is_crf=True, grid=False): + # Read the data into a Note object notes = [] for txt, con in training_list: @@ -118,12 +125,12 @@ def main(): # Train the model using the Note's data - model.train(notes, args.grid) + model.train(notes, grid) # Pickle dump print 'pickle dump' - with open(args.model, "wb") as m_file: + with open(model_path, "wb") as m_file: pickle.dump(model, m_file) From 80c446730e790fd76b06bb145fd2add74cad10da Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 11 Nov 2014 14:11:34 -0500 Subject: [PATCH 379/393] fixed index error in note_i2b2 --- clicon/notes/abstract_note.py | 7 +++++++ clicon/notes/note.py | 22 +++++++++++++++++----- clicon/notes/note_i2b2.py | 17 +++++++++++++++-- clicon/notes/utilities_for_notes.py | 7 ++++--- clicon/predict.py | 14 +++++++++----- clicon/train.py | 11 +++++++++-- 6 files changed, 61 insertions(+), 17 deletions(-) diff --git a/clicon/notes/abstract_note.py b/clicon/notes/abstract_note.py index 39b7664..ae94018 100644 --- a/clicon/notes/abstract_note.py +++ b/clicon/notes/abstract_note.py @@ -70,6 +70,13 @@ def getClassificationTuples(self): raise Exception('Must define selector for derived class') + def getLineIndices(self): + """ + Purpose: Return a list of (start,end) char index pairs (one per line) + """ + raise Exception('Must define selector for derived class') + + def read_standard(self, txt, con=None): """ Purpose: Every note must be able to read from standardized forat diff --git a/clicon/notes/note.py b/clicon/notes/note.py index 9a55470..5bdd37f 100644 --- a/clicon/notes/note.py +++ b/clicon/notes/note.py @@ -21,6 +21,8 @@ import os.path +from utilities_for_notes import lineno_and_tokspan + # Master Class class Note: @@ -166,14 +168,24 @@ def getIOBLabels(self): self.getTokenizedSentences() iobs = [ ['O' for tok in sent] for sent in self.data ] + print self.derived_note.getClassificationTuples() + line_inds = self.derived_note.getLineIndices() + data = self.derived_note.data + text = self.derived_note.text + # Add 'B's and 'I's from concept spans for classification in self.derived_note.getClassificationTuples(): - _,lineno,start,end = classification + concept,char_spans = classification + + # Each span (could be noncontiguous span) + for span in char_spans: + lineno,tokspan = lineno_and_tokspan(line_inds, data, text, span) + start,end = tokspan - # Update concept tokens to 'B's and 'I's - iobs[lineno-1][start] = 'B' - for i in range(start+1,end+1): - iobs[lineno-1][i] = 'I' + # Update concept tokens to 'B's and 'I's + iobs[lineno][start] = 'B' + for i in range(start+1,end+1): + iobs[lineno][i] = 'I' # Memoize for next call self.iob_labels = iobs diff --git a/clicon/notes/note_i2b2.py b/clicon/notes/note_i2b2.py index 2ba3ca5..1e48d16 100644 --- a/clicon/notes/note_i2b2.py +++ b/clicon/notes/note_i2b2.py @@ -74,6 +74,9 @@ def getClassificationTuples(self): return retVal + def getLineIndices(self): + return self.line_inds + def read_standard(self, txt, con=None): @@ -221,9 +224,9 @@ def read(self, txt, con=None): # Original text file self.text = f.read() + i = 0 for line in self.text.split('\n'): - for word in line.split(): - end += len(word) + 1 + end += len(line) + 1 self.line_inds.append( (start,end-1) ) start = end @@ -233,6 +236,16 @@ def read(self, txt, con=None): # Add sentence to the data list self.data.append(line.split()) + # TEST - is line_inds correct? + #print self.line_inds + #i = 0 + #for line,span in zip(self.data,self.line_inds): + # start,end = span + # print '' + self.text[start:end] + '' + # print '' + ' '.join(line) + '' + # print + # i += 1 + # if i == 10: exit() # If an accompanying concept file was specified, read it if con: diff --git a/clicon/notes/utilities_for_notes.py b/clicon/notes/utilities_for_notes.py index 34e3553..a7fdba7 100644 --- a/clicon/notes/utilities_for_notes.py +++ b/clicon/notes/utilities_for_notes.py @@ -52,7 +52,8 @@ def lineno_and_tokspan(line_inds, data, text, char_span): for i,span in enumerate(line_inds): if char_span[1] <= span[1]: - #print "span: ", span + print + print "span: ", span # start and end of span relative to sentence start = char_span[0] - span[0] @@ -61,8 +62,8 @@ def lineno_and_tokspan(line_inds, data, text, char_span): #print "START: ", start #print "END: ", end - #print "USING span on text: ", text[span[0]:span[1]] - #print "USING start and end: ", text[span[0]:span[1]][start:end] + print "USING span on text: ~" + text[span[0]:span[1]] + '~' + print "USING start and end: ~" + text[span[0]:span[1]][start:end]+'~' #print "data", data[i] tok_span = [0,len(data[i])-1] diff --git a/clicon/predict.py b/clicon/predict.py index 8884053..9e64fca 100644 --- a/clicon/predict.py +++ b/clicon/predict.py @@ -65,6 +65,13 @@ def main(): format = args.format + # Predict + predict(files, args.model, args.output, format=format) + + + +def predict(files, model_path, output_dir, format): + # Must specify output format if format not in Note.supportedFormats(): print >>sys.stderr, '\n\tError: Must specify output format' @@ -73,12 +80,9 @@ def main(): exit(1) - # Output directory - helper.mkpath(os.path.join(args.output)) - # Load model - model = Model.load(args.model) + model = Model.load(model_path) # Tell user if not predicting @@ -112,7 +116,7 @@ def main(): # Output file fname = os.path.splitext(os.path.basename(txt))[0] + '.' + extension - out_path = os.path.join(args.output, fname) + out_path = os.path.join(output_dir, fname) # Output the concept predictions print '\n\nwriting to: ', out_path diff --git a/clicon/train.py b/clicon/train.py index 076db17..7e9d30c 100644 --- a/clicon/train.py +++ b/clicon/train.py @@ -99,6 +99,13 @@ def main(): print '\n', training_list, '\n' + # Train the model + train(training_list, args.model, format, is_crf=is_crf, grid=args.grid) + + + +def train(training_list, model_path, format, is_crf=True, grid=False): + # Read the data into a Note object notes = [] for txt, con in training_list: @@ -118,12 +125,12 @@ def main(): # Train the model using the Note's data - model.train(notes, args.grid) + model.train(notes, grid) # Pickle dump print 'pickle dump' - with open(args.model, "wb") as m_file: + with open(model_path, "wb") as m_file: pickle.dump(model, m_file) From 7bb573dc890ea483d68ad6c53c42316de37a8854 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 11 Nov 2014 14:36:13 -0500 Subject: [PATCH 380/393] renamed SQLookup to interface_umls --- clicon/features_dir/umls_dir/{SQLookup.py => interface_umls.py} | 0 1 file changed, 0 insertions(+), 0 deletions(-) rename clicon/features_dir/umls_dir/{SQLookup.py => interface_umls.py} (100%) diff --git a/clicon/features_dir/umls_dir/SQLookup.py b/clicon/features_dir/umls_dir/interface_umls.py similarity index 100% rename from clicon/features_dir/umls_dir/SQLookup.py rename to clicon/features_dir/umls_dir/interface_umls.py From 48e6cc98e077a80ecf99e7e237c9917fe9986599 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 11 Nov 2014 14:36:13 -0500 Subject: [PATCH 381/393] renamed SQLookup to interface_umls --- clicon/features_dir/umls_dir/{SQLookup.py => interface_umls.py} | 0 1 file changed, 0 insertions(+), 0 deletions(-) rename clicon/features_dir/umls_dir/{SQLookup.py => interface_umls.py} (100%) diff --git a/clicon/features_dir/umls_dir/SQLookup.py b/clicon/features_dir/umls_dir/interface_umls.py similarity index 100% rename from clicon/features_dir/umls_dir/SQLookup.py rename to clicon/features_dir/umls_dir/interface_umls.py From ca082ab7385fe1357c8227773e3d2d7a7a731008 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 11 Nov 2014 14:56:24 -0500 Subject: [PATCH 382/393] renamed umls to interpret_umls --- .../features_dir/umls_dir/interface_umls.py | 81 ++++----- .../features_dir/umls_dir/interpret_umls.py | 163 ++++++++++++++++++ 2 files changed, 204 insertions(+), 40 deletions(-) create mode 100644 clicon/features_dir/umls_dir/interpret_umls.py diff --git a/clicon/features_dir/umls_dir/interface_umls.py b/clicon/features_dir/umls_dir/interface_umls.py index f3e60fc..30e000f 100644 --- a/clicon/features_dir/umls_dir/interface_umls.py +++ b/clicon/features_dir/umls_dir/interface_umls.py @@ -1,18 +1,33 @@ +# +# Interface to UMLS Databases and concept trie +# +# +# + + import copy import sqlite3 import create_sqliteDB import os -WINDOW_SIZE = 7 +import create_trie + + + + +############################################ +### Setups / Handshakes ### +############################################ + #connect to UMLS database def SQLConnect(): - - #try to connect to the sqlite database. Make one otherwise + #try to connect to the sqlite database. db_path = os.path.join( os.environ['CLICON_DIR'], "umls_tables/umls.db") if( os.path.isfile( db_path ) ): print "\ndb exists" else: + # Database does not exit. Make one. print "\ndb doesn't exist" create_sqliteDB.create_db() @@ -20,60 +35,46 @@ def SQLConnect(): return db.cursor() -#used in SQlookup, I made this global so SQLConnect is only called once. + + +############################################ +### Global reource connections ### +############################################ + + +# Global database connection c = SQLConnect() -#searchs umls database for the semantic type of a string -def SQlookup( c , string ): +# Global trie +trie = create_trie.create_trie() + + - #queries database and finds first semantic type match, returns a 1 when a match is found. - c.execute( "SELECT sty FROM MRCON a, MRSTY b WHERE a.cui = b.cui AND str = ?; " , (string,) ) - #returns a tuple with the match or None if there was no match. - #return c.fetchone() - return c.fetchall() +############################################ +### Query Operations ### +############################################ + -#returns the semantic type of a word def string_lookup( string ): - + """ Get sty for a given string """ try: - return SQlookup( c , string ) - + c.execute( "SELECT sty FROM MRCON a, MRSTY b WHERE a.cui = b.cui AND str = ?; " , (string,) ) + return c.fetchall() except sqlite3.ProgrammingError, e: - return [] - -# get concept for a given string. def cui_lookup( string ): - + """ get cui for a given string """ try: # Get cuis c.execute( "SELECT cui FROM MRCON WHERE str = ?;" , (string,) ) return c.fetchall() - except sqlite3.ProgrammingError, e: return [] -def hypernyms_lookup( string ): - - #print 'hypernym lookup is unacceptably slow' - return [] - - c.execute( "SELECT CUI FROM MRCON WHERE STR = ? LIMIT 1 ;" , (string,) ) - - cui = c.fetchone() - - if cui == None: - return None - else: - c.execute( "SELECT CUI2 FROM MRREL WHERE CUI1 = ? AND REL = 'PAR' LIMIT 5 ;" , (cui[0],) ) - result = c.fetchone() - if not result: - return None - else: - return result - - +def concept_exists(string): + """ Fast query for set membership in trie """ + return string in trie diff --git a/clicon/features_dir/umls_dir/interpret_umls.py b/clicon/features_dir/umls_dir/interpret_umls.py new file mode 100644 index 0000000..e120849 --- /dev/null +++ b/clicon/features_dir/umls_dir/interpret_umls.py @@ -0,0 +1,163 @@ +import cPickle as pickle +import interface_umls + + +def umls_semantic_type_word( umls_string_cache , sentence ): + # Already cached? + if False and umls_string_cache.has_key( sentence ): + mapping = umls_string_cache.get_map( sentence ) + else: + concepts = interface_umls.string_lookup( sentence ) + concepts = [ singleton[0] for singleton in set(concepts) ] + umls_string_cache.add_map(sentence , concepts) + mapping = umls_string_cache.get_map(sentence) + + return mapping + + +def umls_semantic_context_of_words( umls_string_cache, sentence ): + + #Defines the largest string span for the sentence. + WINDOW_SIZE = 7 + + # span of the umls concept of the largest substring + umls_context_list = [] + + # keys: tuple of (start,end) index of a substring + concept_span_dict = {} + + # Each sublist functions as the mappings for each word. + for i in sentence: + umls_context_list.append( [] ) + + # finds the span for each substring of length 1 to currentWindowSize. + for currentWindowSize in range( 1 , WINDOW_SIZE ): + for ti in range( 0 , ( len(sentence) - currentWindowSize ) + 1 ): + rawstring = "" + for tj in range( ti , ti + currentWindowSize): + rawstring += ( sentence[tj] + " " ) + + #Each string is of length 1 to currentWindowSize. + rawstring = rawstring.strip() + + # Not in cache yet? + if not( umls_string_cache.has_key( rawstring ) ): + # returns a tuple if there is a result or None is there is not. + concept = interface_umls.string_lookup( rawstring ) + + if not concept: + umls_string_cache.add_map( rawstring, None ) + else: + umls_string_cache.add_map( rawstring, concept ) ; + + #Store the concept into concept_span_dict with its span as a key. + concept_span_dict[(ti,ti+currentWindowSize-1)] = umls_string_cache.get_map( rawstring ) + + # For each substring if there is a span, then + # assign the concept to every word that is within in the substring + if umls_string_cache.get_map(rawstring): + for i in range( ti , ti + currentWindowSize ): + if len( umls_context_list[i] ) == 0: + umls_context_list[i].append([ti,ti+currentWindowSize-1]) + + else: + updated = 0 + for j in umls_context_list[i]: + if j[0] >= ti and j[1] <= (ti+currentWindowSize-1): + j[0] = ti + j[1] = ( ti + currentWindowSize - 1 ) + updated += 1 + if not(updated): + val = [ti,ti+currentWindowSize-1] + if umls_context_list[i].count(val)== 0: + umls_context_list[i].append(val) + + + + #create a list of sublists + # each sublist represents the contexts for which the word appears + mappings = [] + for i in umls_context_list: + spans = i + if len(spans) == 0: + mappings.append( None ) + else: + sub_mappings = [] + for j in spans: + sub_mappings.append( concept_span_dict[tuple(j)]) + + # FIXME - Decided to concat rather than append (not sure why) + mappings += sub_mappings + + return mappings + + +def umls_semantic_type_sentence( cache , sentence ): + + #Defines the largest string span for the sentence. + WINDOW_SIZE = 7 + + longestSpanLength = 0 + longestSpans = [] # List of (start,end) tokens + + for i in range(len(sentence)): + maxVal = min(i+WINDOW_SIZE, len(sentence)) + for j in range(i,maxVal): + # Lookup key + span = sentence[i:j+1] + rawstring = unicode(' '.join(span)) + + # string does have an associated UMLS concept? + if interface_umls.concept_exists(rawstring): + if len(span) == longestSpanLength: + longestSpans.append( (i,j) ) + # new longest span size + elif len(span) > longestSpanLength: + longestSpans = [ (i,j) ] + longestSpanLength = len(span) + + # lookup UMLS concept for a given (start,end) span + def span2concept(span): + rawstring = ' '.join(sentence[span[0]:span[1]+1]) + + # Already cached? + if cache.has_key( rawstring ): + return cache.get_map( rawstring ) + + else: + concept = interface_umls.string_lookup( rawstring ) + + if concept: + cache.add_map( rawstring , concept ) + else: + cache.add_map( rawstring , [] ) + + return cache.get_map( rawstring ) + + mappings = [ span2concept(span) for span in longestSpans ] + return mappings + + + +# Get the semantic types for a given word +def get_cui( cache , word ): + + # If already in cache + if cache.has_key( word + '--cuis' ): + + cuis = cache.get_map( word + '--cuis' ) + + else: + + # Get cui + cuis = interface_umls.cui_lookup(word) + + # Eliminate duplicates + cuis = list(set(cuis)) + cuis = [c[0] for c in cuis] + + # Store result in cache + cache.add_map( word + '--cuis', cuis ) + + return cuis + From 103f09dc222fc20d0bc555af7f794f87b23e1f5c Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 11 Nov 2014 14:56:24 -0500 Subject: [PATCH 383/393] renamed umls to interpret_umls --- .../features_dir/umls_dir/interface_umls.py | 81 ++++----- .../features_dir/umls_dir/interpret_umls.py | 163 ++++++++++++++++++ 2 files changed, 204 insertions(+), 40 deletions(-) create mode 100644 clicon/features_dir/umls_dir/interpret_umls.py diff --git a/clicon/features_dir/umls_dir/interface_umls.py b/clicon/features_dir/umls_dir/interface_umls.py index f3e60fc..30e000f 100644 --- a/clicon/features_dir/umls_dir/interface_umls.py +++ b/clicon/features_dir/umls_dir/interface_umls.py @@ -1,18 +1,33 @@ +# +# Interface to UMLS Databases and concept trie +# +# +# + + import copy import sqlite3 import create_sqliteDB import os -WINDOW_SIZE = 7 +import create_trie + + + + +############################################ +### Setups / Handshakes ### +############################################ + #connect to UMLS database def SQLConnect(): - - #try to connect to the sqlite database. Make one otherwise + #try to connect to the sqlite database. db_path = os.path.join( os.environ['CLICON_DIR'], "umls_tables/umls.db") if( os.path.isfile( db_path ) ): print "\ndb exists" else: + # Database does not exit. Make one. print "\ndb doesn't exist" create_sqliteDB.create_db() @@ -20,60 +35,46 @@ def SQLConnect(): return db.cursor() -#used in SQlookup, I made this global so SQLConnect is only called once. + + +############################################ +### Global reource connections ### +############################################ + + +# Global database connection c = SQLConnect() -#searchs umls database for the semantic type of a string -def SQlookup( c , string ): +# Global trie +trie = create_trie.create_trie() + + - #queries database and finds first semantic type match, returns a 1 when a match is found. - c.execute( "SELECT sty FROM MRCON a, MRSTY b WHERE a.cui = b.cui AND str = ?; " , (string,) ) - #returns a tuple with the match or None if there was no match. - #return c.fetchone() - return c.fetchall() +############################################ +### Query Operations ### +############################################ + -#returns the semantic type of a word def string_lookup( string ): - + """ Get sty for a given string """ try: - return SQlookup( c , string ) - + c.execute( "SELECT sty FROM MRCON a, MRSTY b WHERE a.cui = b.cui AND str = ?; " , (string,) ) + return c.fetchall() except sqlite3.ProgrammingError, e: - return [] - -# get concept for a given string. def cui_lookup( string ): - + """ get cui for a given string """ try: # Get cuis c.execute( "SELECT cui FROM MRCON WHERE str = ?;" , (string,) ) return c.fetchall() - except sqlite3.ProgrammingError, e: return [] -def hypernyms_lookup( string ): - - #print 'hypernym lookup is unacceptably slow' - return [] - - c.execute( "SELECT CUI FROM MRCON WHERE STR = ? LIMIT 1 ;" , (string,) ) - - cui = c.fetchone() - - if cui == None: - return None - else: - c.execute( "SELECT CUI2 FROM MRREL WHERE CUI1 = ? AND REL = 'PAR' LIMIT 5 ;" , (cui[0],) ) - result = c.fetchone() - if not result: - return None - else: - return result - - +def concept_exists(string): + """ Fast query for set membership in trie """ + return string in trie diff --git a/clicon/features_dir/umls_dir/interpret_umls.py b/clicon/features_dir/umls_dir/interpret_umls.py new file mode 100644 index 0000000..e120849 --- /dev/null +++ b/clicon/features_dir/umls_dir/interpret_umls.py @@ -0,0 +1,163 @@ +import cPickle as pickle +import interface_umls + + +def umls_semantic_type_word( umls_string_cache , sentence ): + # Already cached? + if False and umls_string_cache.has_key( sentence ): + mapping = umls_string_cache.get_map( sentence ) + else: + concepts = interface_umls.string_lookup( sentence ) + concepts = [ singleton[0] for singleton in set(concepts) ] + umls_string_cache.add_map(sentence , concepts) + mapping = umls_string_cache.get_map(sentence) + + return mapping + + +def umls_semantic_context_of_words( umls_string_cache, sentence ): + + #Defines the largest string span for the sentence. + WINDOW_SIZE = 7 + + # span of the umls concept of the largest substring + umls_context_list = [] + + # keys: tuple of (start,end) index of a substring + concept_span_dict = {} + + # Each sublist functions as the mappings for each word. + for i in sentence: + umls_context_list.append( [] ) + + # finds the span for each substring of length 1 to currentWindowSize. + for currentWindowSize in range( 1 , WINDOW_SIZE ): + for ti in range( 0 , ( len(sentence) - currentWindowSize ) + 1 ): + rawstring = "" + for tj in range( ti , ti + currentWindowSize): + rawstring += ( sentence[tj] + " " ) + + #Each string is of length 1 to currentWindowSize. + rawstring = rawstring.strip() + + # Not in cache yet? + if not( umls_string_cache.has_key( rawstring ) ): + # returns a tuple if there is a result or None is there is not. + concept = interface_umls.string_lookup( rawstring ) + + if not concept: + umls_string_cache.add_map( rawstring, None ) + else: + umls_string_cache.add_map( rawstring, concept ) ; + + #Store the concept into concept_span_dict with its span as a key. + concept_span_dict[(ti,ti+currentWindowSize-1)] = umls_string_cache.get_map( rawstring ) + + # For each substring if there is a span, then + # assign the concept to every word that is within in the substring + if umls_string_cache.get_map(rawstring): + for i in range( ti , ti + currentWindowSize ): + if len( umls_context_list[i] ) == 0: + umls_context_list[i].append([ti,ti+currentWindowSize-1]) + + else: + updated = 0 + for j in umls_context_list[i]: + if j[0] >= ti and j[1] <= (ti+currentWindowSize-1): + j[0] = ti + j[1] = ( ti + currentWindowSize - 1 ) + updated += 1 + if not(updated): + val = [ti,ti+currentWindowSize-1] + if umls_context_list[i].count(val)== 0: + umls_context_list[i].append(val) + + + + #create a list of sublists + # each sublist represents the contexts for which the word appears + mappings = [] + for i in umls_context_list: + spans = i + if len(spans) == 0: + mappings.append( None ) + else: + sub_mappings = [] + for j in spans: + sub_mappings.append( concept_span_dict[tuple(j)]) + + # FIXME - Decided to concat rather than append (not sure why) + mappings += sub_mappings + + return mappings + + +def umls_semantic_type_sentence( cache , sentence ): + + #Defines the largest string span for the sentence. + WINDOW_SIZE = 7 + + longestSpanLength = 0 + longestSpans = [] # List of (start,end) tokens + + for i in range(len(sentence)): + maxVal = min(i+WINDOW_SIZE, len(sentence)) + for j in range(i,maxVal): + # Lookup key + span = sentence[i:j+1] + rawstring = unicode(' '.join(span)) + + # string does have an associated UMLS concept? + if interface_umls.concept_exists(rawstring): + if len(span) == longestSpanLength: + longestSpans.append( (i,j) ) + # new longest span size + elif len(span) > longestSpanLength: + longestSpans = [ (i,j) ] + longestSpanLength = len(span) + + # lookup UMLS concept for a given (start,end) span + def span2concept(span): + rawstring = ' '.join(sentence[span[0]:span[1]+1]) + + # Already cached? + if cache.has_key( rawstring ): + return cache.get_map( rawstring ) + + else: + concept = interface_umls.string_lookup( rawstring ) + + if concept: + cache.add_map( rawstring , concept ) + else: + cache.add_map( rawstring , [] ) + + return cache.get_map( rawstring ) + + mappings = [ span2concept(span) for span in longestSpans ] + return mappings + + + +# Get the semantic types for a given word +def get_cui( cache , word ): + + # If already in cache + if cache.has_key( word + '--cuis' ): + + cuis = cache.get_map( word + '--cuis' ) + + else: + + # Get cui + cuis = interface_umls.cui_lookup(word) + + # Eliminate duplicates + cuis = list(set(cuis)) + cuis = [c[0] for c in cuis] + + # Store result in cache + cache.add_map( word + '--cuis', cuis ) + + return cuis + From b1e68b41d3b98c3cce79d71b23c828a5eb076d5b Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 11 Nov 2014 16:54:42 -0500 Subject: [PATCH 384/393] Fixed should-never-get-here bug to work even if reached --- clicon/features_dir/umls_dir/umls.py | 231 ------------------ clicon/features_dir/umls_dir/umls_features.py | 10 +- clicon/notes/note.py | 5 +- clicon/notes/utilities_for_notes.py | 8 +- 4 files changed, 13 insertions(+), 241 deletions(-) delete mode 100644 clicon/features_dir/umls_dir/umls.py diff --git a/clicon/features_dir/umls_dir/umls.py b/clicon/features_dir/umls_dir/umls.py deleted file mode 100644 index 260a191..0000000 --- a/clicon/features_dir/umls_dir/umls.py +++ /dev/null @@ -1,231 +0,0 @@ -import cPickle as pickle -import SQLookup -import create_trie - -# Global trie -trie = create_trie.create_trie() - - -def umls_semantic_type_word( umls_string_cache , sentence ): - - #If the umls semantic type is in the cache use that semantic type otherwise lookup the semantic type and add to the cache. - if False and umls_string_cache.has_key( sentence ): - mapping = umls_string_cache.get_map( sentence ) - else: - #concept = SQLookup.string_lookup( sentence ) - #umls_string_cache.add_map( sentence , concept ) - #''' - #if concept != None: - # #umls_string_cache.add_map( sentence , concept[0] ) - # umls_string_cache.add_map( sentence , concept ) - #else: - # umls_string_cache.add_map( sentence , None ) - #''' - #mapping = umls_string_cache.get_map(sentence) - concepts = SQLookup.string_lookup( sentence ) - concepts = [ singleton[0] for singleton in set(concepts) ] - umls_string_cache.add_map(sentence , concepts) - mapping = umls_string_cache.get_map(sentence) - - - #print 'umls_semantic_type_word - returning:' - #print mapping - #print '' - - # FIXME - For some reason, this is thought t return multiple strings via list - return mapping - - -def umls_semantic_context_of_words( umls_string_cache, sentence ): - - #Defines the largest string span for the sentence. - WINDOW_SIZE = 7 - - #Holds the span of the umls concept of the largest substring that each word in sentence is found in. - umls_context_list = [] - - #Holds the span of the concept for each substring. - #A tuple containing tne beginning and end index of a substring functions as the key and the key is assigned to a umls definition. - concept_span_dict = {} - - #Initialize the umls_context_list with empty lists. Each sublist functions as the mappings for each word. - for i in sentence: - umls_context_list.append( [] ) - - #Creates and finds the span of a umls concept for each possible substring of length 1 to currentWindowSize. - for currentWindowSize in range( 1 , WINDOW_SIZE ): - for ti in range( 0 , ( len(sentence) - currentWindowSize ) + 1 ): - rawstring = "" - for tj in range( ti , ti + currentWindowSize): - rawstring += ( sentence[tj] + " " ) - - #Each string is of length 1 to currentWindowSize. - rawstring = rawstring.strip() - - #print rawstring - - #If the string is not in cache, look the umls concept up and add to the cache. - if not( umls_string_cache.has_key( rawstring ) ): - #SQLookup returns a tuple if there is a result or None is there is not. - concept = SQLookup.string_lookup( rawstring ) - -# print concept - - if not concept: - umls_string_cache.add_map( rawstring, None ) - else: - umls_string_cache.add_map( rawstring, concept ) ; - -# if concept != None: - # umls_string_cache.add_map( rawstring , concept[0] ) - # else: - # umls_string_cache.add_map( rawstring , None ) - - #Store the concept into concept_span_dict with its span as a key. - concept_span_dict[(ti,ti+currentWindowSize-1)] = umls_string_cache.get_map( rawstring ) - - #For each substring of the sentence if there is a definition obtained from - #SQLookup assign the concept to every word that is within in the substring. - #If the currrent span is a substring update otherwise if it is not a substring add the new found context. - if umls_string_cache.get_map(rawstring): - - for i in range( ti , ti + currentWindowSize ): - - if len( umls_context_list[i] ) == 0: - umls_context_list[i].append( [ ti , ti + currentWindowSize - 1 ] ) - - else: - updated = 0 - for j in umls_context_list[i]: - if j[0] >= ti and j[1] <= ( ti + currentWindowSize - 1 ): - j[0] = ti - j[1] = ( ti + currentWindowSize - 1 ) - updated += 1 - if not(updated): - if umls_context_list[i].count( [ti,ti+currentWindowSize -1] ) == 0 : - umls_context_list[i].append( [ ti , ti +currentWindowSize - 1 ] ) - - - #print '\t\t', umls_context_list - - #create a list of sublists - # each sublist represents the contexts for which the word appears in the sentence - - # print umls_context_list - - mappings = [] - for i in umls_context_list: - spans = i - if len(spans) == 0: - mappings.append( None ) - else: - sub_mappings = [] - for j in spans: - sub_mappings.append( concept_span_dict[tuple(j)]) - - # FIXME - Decided to concat rather than append (not sure why) - mappings += sub_mappings - - return mappings - - -def umls_semantic_type_sentence( cache , sentence ): - - #print sentence - - #Defines the largest string span for the sentence. - WINDOW_SIZE = 7 - - #print sentence - - longestSpanLength = 0 - longestSpans = [] # List of (start,end) tokens - - for i in range(len(sentence)): - #print i, ': ', sentence[i] - maxVal = min(i+WINDOW_SIZE, len(sentence)) - for j in range(i,maxVal): - #print '\t', j, ':\t', sentence[i:j+1] - span = sentence[i:j+1] - rawstring = unicode(' '.join(span)) - #print 'rawstring: ', rawstring - - if rawstring in trie: - if len(span) == longestSpanLength: - #print '\tcontinuing: ', span - longestSpans.append( (i,j) ) - elif len(span) > longestSpanLength: - #print '\tnew: ', span - longestSpans = [ (i,j) ] - longestSpanLength = len(span) - - - def span2concept(span): - rawstring = ' '.join(sentence[span[0]:span[1]+1]) - - #If the umls semantic type is already in the cache then us the one stored otherwise lookup and add to cache - if cache.has_key( rawstring ): - return cache.get_map( rawstring ) - - else: - concept = SQLookup.string_lookup( rawstring ) - - if concept: - cache.add_map( rawstring , concept ) - else: - cache.add_map( rawstring , [] ) - - return cache.get_map( rawstring ) - - - mappings = [ span2concept(span) for span in longestSpans ] - - #print mappings - #print longestSpans - - return mappings - - - -# Get the semantic types for a given word -def get_cui( cache , word ): - - # If hypernyms already in cache - if cache.has_key( word + '--cuis' ): - - cuis = cache.get_map( word + '--cuis' ) - - else: - - # Get cui - cuis = SQLookup.cui_lookup(word) - - # Eliminate duplicates - cuis = list(set(cuis)) - cuis = [c[0] for c in cuis] - - # Store result in cache - cache.add_map( word + '--cuis', cuis ) - - return cuis - - - -# Get the hypernyms of a string -def umls_hypernyms( cache, string ): - - # If hypernyms already in cache - if cache.has_key( string + '--hypernyms' ): - - hyps = cache.get_map( string + '--hypernyms' ) - - else: - - # Get hypernyms - hyps = SQLookup.hypernyms_lookup(string) - - # Store result in cache - cache.add_map( string + '--hypernyms' , hyps ) - - return hyps - diff --git a/clicon/features_dir/umls_dir/umls_features.py b/clicon/features_dir/umls_dir/umls_features.py index f51490d..8166338 100644 --- a/clicon/features_dir/umls_dir/umls_features.py +++ b/clicon/features_dir/umls_dir/umls_features.py @@ -9,7 +9,7 @@ from umls_cache import UmlsCache -import umls +import interpret_umls @@ -100,7 +100,7 @@ def features_for_word(self, word): #print word # Feature: UMLS Semantic Types - cuis = umls.get_cui(self.umls_lookup_cache , word) + cuis = interpret_umls.get_cui(self.umls_lookup_cache , word) # Add each CUI if cuis: @@ -111,7 +111,7 @@ def features_for_word(self, word): # Feature: UMLS Semantic Type (for each word) - mapping = umls.umls_semantic_type_word(self.umls_lookup_cache , word ) + mapping = interpret_umls.umls_semantic_type_word(self.umls_lookup_cache , word ) # Add each semantic type if mapping: @@ -149,7 +149,7 @@ def concept_features_for_chunk(self, sentence, ind): # Feature: UMLS semantic type for the sentence # a list of the uml semantic of the largest substring(s). - sentence_mapping = umls.umls_semantic_type_sentence( self.umls_lookup_cache, sentence ) + sentence_mapping = interpret_umls.umls_semantic_type_sentence( self.umls_lookup_cache, sentence ) # if there are no mappings if not sentence_mapping: @@ -164,7 +164,7 @@ def concept_features_for_chunk(self, sentence, ind): # Feature: UMLS semantic context # the umls definition of the largest string the word is in - umls_semantic_context_mappings = umls.umls_semantic_context_of_words( self.umls_lookup_cache , sentence ) + umls_semantic_context_mappings = interpret_umls.umls_semantic_context_of_words( self.umls_lookup_cache , sentence ) # there could be multiple contexts, iterate through the sublist for mapping in umls_semantic_context_mappings: diff --git a/clicon/notes/note.py b/clicon/notes/note.py index 5bdd37f..d7162ac 100644 --- a/clicon/notes/note.py +++ b/clicon/notes/note.py @@ -118,7 +118,9 @@ def read(self, txt_file, con_file=None): """ Purpose: Call derived object's reader """ - return self.derived_note.read(txt_file, con_file) + retVal = self.derived_note.read(txt_file, con_file) + self.getIOBLabels() + return retVal def write(self, con_file=None): """ @@ -139,6 +141,7 @@ def read_standard(self, txt, con=None): Purpose: Every note must be able to read from standard forat """ self.derived_note.read_standard(txt,con) + self.getIOBLabels() diff --git a/clicon/notes/utilities_for_notes.py b/clicon/notes/utilities_for_notes.py index a7fdba7..4d6a070 100644 --- a/clicon/notes/utilities_for_notes.py +++ b/clicon/notes/utilities_for_notes.py @@ -52,8 +52,8 @@ def lineno_and_tokspan(line_inds, data, text, char_span): for i,span in enumerate(line_inds): if char_span[1] <= span[1]: - print - print "span: ", span + #print + #print "span: ", span # start and end of span relative to sentence start = char_span[0] - span[0] @@ -62,8 +62,8 @@ def lineno_and_tokspan(line_inds, data, text, char_span): #print "START: ", start #print "END: ", end - print "USING span on text: ~" + text[span[0]:span[1]] + '~' - print "USING start and end: ~" + text[span[0]:span[1]][start:end]+'~' + #print "USING span on text: ~" + text[span[0]:span[1]] + '~' + #print "USING start and end: ~" + text[span[0]:span[1]][start:end]+'~' #print "data", data[i] tok_span = [0,len(data[i])-1] From 3e4ba2edd19c394438f561622a3af2f575b55fed Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 11 Nov 2014 16:54:42 -0500 Subject: [PATCH 385/393] Fixed should-never-get-here bug to work even if reached --- clicon/features_dir/umls_dir/umls.py | 231 ------------------ clicon/features_dir/umls_dir/umls_features.py | 10 +- clicon/notes/note.py | 5 +- clicon/notes/utilities_for_notes.py | 8 +- 4 files changed, 13 insertions(+), 241 deletions(-) delete mode 100644 clicon/features_dir/umls_dir/umls.py diff --git a/clicon/features_dir/umls_dir/umls.py b/clicon/features_dir/umls_dir/umls.py deleted file mode 100644 index 260a191..0000000 --- a/clicon/features_dir/umls_dir/umls.py +++ /dev/null @@ -1,231 +0,0 @@ -import cPickle as pickle -import SQLookup -import create_trie - -# Global trie -trie = create_trie.create_trie() - - -def umls_semantic_type_word( umls_string_cache , sentence ): - - #If the umls semantic type is in the cache use that semantic type otherwise lookup the semantic type and add to the cache. - if False and umls_string_cache.has_key( sentence ): - mapping = umls_string_cache.get_map( sentence ) - else: - #concept = SQLookup.string_lookup( sentence ) - #umls_string_cache.add_map( sentence , concept ) - #''' - #if concept != None: - # #umls_string_cache.add_map( sentence , concept[0] ) - # umls_string_cache.add_map( sentence , concept ) - #else: - # umls_string_cache.add_map( sentence , None ) - #''' - #mapping = umls_string_cache.get_map(sentence) - concepts = SQLookup.string_lookup( sentence ) - concepts = [ singleton[0] for singleton in set(concepts) ] - umls_string_cache.add_map(sentence , concepts) - mapping = umls_string_cache.get_map(sentence) - - - #print 'umls_semantic_type_word - returning:' - #print mapping - #print '' - - # FIXME - For some reason, this is thought t return multiple strings via list - return mapping - - -def umls_semantic_context_of_words( umls_string_cache, sentence ): - - #Defines the largest string span for the sentence. - WINDOW_SIZE = 7 - - #Holds the span of the umls concept of the largest substring that each word in sentence is found in. - umls_context_list = [] - - #Holds the span of the concept for each substring. - #A tuple containing tne beginning and end index of a substring functions as the key and the key is assigned to a umls definition. - concept_span_dict = {} - - #Initialize the umls_context_list with empty lists. Each sublist functions as the mappings for each word. - for i in sentence: - umls_context_list.append( [] ) - - #Creates and finds the span of a umls concept for each possible substring of length 1 to currentWindowSize. - for currentWindowSize in range( 1 , WINDOW_SIZE ): - for ti in range( 0 , ( len(sentence) - currentWindowSize ) + 1 ): - rawstring = "" - for tj in range( ti , ti + currentWindowSize): - rawstring += ( sentence[tj] + " " ) - - #Each string is of length 1 to currentWindowSize. - rawstring = rawstring.strip() - - #print rawstring - - #If the string is not in cache, look the umls concept up and add to the cache. - if not( umls_string_cache.has_key( rawstring ) ): - #SQLookup returns a tuple if there is a result or None is there is not. - concept = SQLookup.string_lookup( rawstring ) - -# print concept - - if not concept: - umls_string_cache.add_map( rawstring, None ) - else: - umls_string_cache.add_map( rawstring, concept ) ; - -# if concept != None: - # umls_string_cache.add_map( rawstring , concept[0] ) - # else: - # umls_string_cache.add_map( rawstring , None ) - - #Store the concept into concept_span_dict with its span as a key. - concept_span_dict[(ti,ti+currentWindowSize-1)] = umls_string_cache.get_map( rawstring ) - - #For each substring of the sentence if there is a definition obtained from - #SQLookup assign the concept to every word that is within in the substring. - #If the currrent span is a substring update otherwise if it is not a substring add the new found context. - if umls_string_cache.get_map(rawstring): - - for i in range( ti , ti + currentWindowSize ): - - if len( umls_context_list[i] ) == 0: - umls_context_list[i].append( [ ti , ti + currentWindowSize - 1 ] ) - - else: - updated = 0 - for j in umls_context_list[i]: - if j[0] >= ti and j[1] <= ( ti + currentWindowSize - 1 ): - j[0] = ti - j[1] = ( ti + currentWindowSize - 1 ) - updated += 1 - if not(updated): - if umls_context_list[i].count( [ti,ti+currentWindowSize -1] ) == 0 : - umls_context_list[i].append( [ ti , ti +currentWindowSize - 1 ] ) - - - #print '\t\t', umls_context_list - - #create a list of sublists - # each sublist represents the contexts for which the word appears in the sentence - - # print umls_context_list - - mappings = [] - for i in umls_context_list: - spans = i - if len(spans) == 0: - mappings.append( None ) - else: - sub_mappings = [] - for j in spans: - sub_mappings.append( concept_span_dict[tuple(j)]) - - # FIXME - Decided to concat rather than append (not sure why) - mappings += sub_mappings - - return mappings - - -def umls_semantic_type_sentence( cache , sentence ): - - #print sentence - - #Defines the largest string span for the sentence. - WINDOW_SIZE = 7 - - #print sentence - - longestSpanLength = 0 - longestSpans = [] # List of (start,end) tokens - - for i in range(len(sentence)): - #print i, ': ', sentence[i] - maxVal = min(i+WINDOW_SIZE, len(sentence)) - for j in range(i,maxVal): - #print '\t', j, ':\t', sentence[i:j+1] - span = sentence[i:j+1] - rawstring = unicode(' '.join(span)) - #print 'rawstring: ', rawstring - - if rawstring in trie: - if len(span) == longestSpanLength: - #print '\tcontinuing: ', span - longestSpans.append( (i,j) ) - elif len(span) > longestSpanLength: - #print '\tnew: ', span - longestSpans = [ (i,j) ] - longestSpanLength = len(span) - - - def span2concept(span): - rawstring = ' '.join(sentence[span[0]:span[1]+1]) - - #If the umls semantic type is already in the cache then us the one stored otherwise lookup and add to cache - if cache.has_key( rawstring ): - return cache.get_map( rawstring ) - - else: - concept = SQLookup.string_lookup( rawstring ) - - if concept: - cache.add_map( rawstring , concept ) - else: - cache.add_map( rawstring , [] ) - - return cache.get_map( rawstring ) - - - mappings = [ span2concept(span) for span in longestSpans ] - - #print mappings - #print longestSpans - - return mappings - - - -# Get the semantic types for a given word -def get_cui( cache , word ): - - # If hypernyms already in cache - if cache.has_key( word + '--cuis' ): - - cuis = cache.get_map( word + '--cuis' ) - - else: - - # Get cui - cuis = SQLookup.cui_lookup(word) - - # Eliminate duplicates - cuis = list(set(cuis)) - cuis = [c[0] for c in cuis] - - # Store result in cache - cache.add_map( word + '--cuis', cuis ) - - return cuis - - - -# Get the hypernyms of a string -def umls_hypernyms( cache, string ): - - # If hypernyms already in cache - if cache.has_key( string + '--hypernyms' ): - - hyps = cache.get_map( string + '--hypernyms' ) - - else: - - # Get hypernyms - hyps = SQLookup.hypernyms_lookup(string) - - # Store result in cache - cache.add_map( string + '--hypernyms' , hyps ) - - return hyps - diff --git a/clicon/features_dir/umls_dir/umls_features.py b/clicon/features_dir/umls_dir/umls_features.py index f51490d..8166338 100644 --- a/clicon/features_dir/umls_dir/umls_features.py +++ b/clicon/features_dir/umls_dir/umls_features.py @@ -9,7 +9,7 @@ from umls_cache import UmlsCache -import umls +import interpret_umls @@ -100,7 +100,7 @@ def features_for_word(self, word): #print word # Feature: UMLS Semantic Types - cuis = umls.get_cui(self.umls_lookup_cache , word) + cuis = interpret_umls.get_cui(self.umls_lookup_cache , word) # Add each CUI if cuis: @@ -111,7 +111,7 @@ def features_for_word(self, word): # Feature: UMLS Semantic Type (for each word) - mapping = umls.umls_semantic_type_word(self.umls_lookup_cache , word ) + mapping = interpret_umls.umls_semantic_type_word(self.umls_lookup_cache , word ) # Add each semantic type if mapping: @@ -149,7 +149,7 @@ def concept_features_for_chunk(self, sentence, ind): # Feature: UMLS semantic type for the sentence # a list of the uml semantic of the largest substring(s). - sentence_mapping = umls.umls_semantic_type_sentence( self.umls_lookup_cache, sentence ) + sentence_mapping = interpret_umls.umls_semantic_type_sentence( self.umls_lookup_cache, sentence ) # if there are no mappings if not sentence_mapping: @@ -164,7 +164,7 @@ def concept_features_for_chunk(self, sentence, ind): # Feature: UMLS semantic context # the umls definition of the largest string the word is in - umls_semantic_context_mappings = umls.umls_semantic_context_of_words( self.umls_lookup_cache , sentence ) + umls_semantic_context_mappings = interpret_umls.umls_semantic_context_of_words( self.umls_lookup_cache , sentence ) # there could be multiple contexts, iterate through the sublist for mapping in umls_semantic_context_mappings: diff --git a/clicon/notes/note.py b/clicon/notes/note.py index 5bdd37f..d7162ac 100644 --- a/clicon/notes/note.py +++ b/clicon/notes/note.py @@ -118,7 +118,9 @@ def read(self, txt_file, con_file=None): """ Purpose: Call derived object's reader """ - return self.derived_note.read(txt_file, con_file) + retVal = self.derived_note.read(txt_file, con_file) + self.getIOBLabels() + return retVal def write(self, con_file=None): """ @@ -139,6 +141,7 @@ def read_standard(self, txt, con=None): Purpose: Every note must be able to read from standard forat """ self.derived_note.read_standard(txt,con) + self.getIOBLabels() diff --git a/clicon/notes/utilities_for_notes.py b/clicon/notes/utilities_for_notes.py index a7fdba7..4d6a070 100644 --- a/clicon/notes/utilities_for_notes.py +++ b/clicon/notes/utilities_for_notes.py @@ -52,8 +52,8 @@ def lineno_and_tokspan(line_inds, data, text, char_span): for i,span in enumerate(line_inds): if char_span[1] <= span[1]: - print - print "span: ", span + #print + #print "span: ", span # start and end of span relative to sentence start = char_span[0] - span[0] @@ -62,8 +62,8 @@ def lineno_and_tokspan(line_inds, data, text, char_span): #print "START: ", start #print "END: ", end - print "USING span on text: ~" + text[span[0]:span[1]] + '~' - print "USING start and end: ~" + text[span[0]:span[1]][start:end]+'~' + #print "USING span on text: ~" + text[span[0]:span[1]] + '~' + #print "USING start and end: ~" + text[span[0]:span[1]][start:end]+'~' #print "data", data[i] tok_span = [0,len(data[i])-1] From 212e4a564d495466d937c752f343968a1a83e480 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 11 Nov 2014 17:38:13 -0500 Subject: [PATCH 386/393] Added getText selector to notes --- clicon/notes/abstract_note.py | 7 +++++++ clicon/notes/note.py | 15 +++++++++------ clicon/notes/note_i2b2.py | 8 ++++++-- clicon/notes/note_semeval.py | 2 +- clicon/notes/note_xml.py | 4 ++++ 5 files changed, 27 insertions(+), 9 deletions(-) diff --git a/clicon/notes/abstract_note.py b/clicon/notes/abstract_note.py index ae94018..c32c2a7 100644 --- a/clicon/notes/abstract_note.py +++ b/clicon/notes/abstract_note.py @@ -56,6 +56,13 @@ def write(self, labels=None): raise Exception('Must define write() for derived class') + def getText(self): + """ + Purpose: Return the verabitm string of text from text file + """ + raise Exception('Must define selector for derived class') + + def getTokenizedSentences(self): """ Purpose: Return a list of list of tokens (list of list of strings) diff --git a/clicon/notes/note.py b/clicon/notes/note.py index d7162ac..a74ec34 100644 --- a/clicon/notes/note.py +++ b/clicon/notes/note.py @@ -336,14 +336,17 @@ def conlist(self): self.concepts.append(tmp) # Use the classifications to correct all mislabled 'none's - for classification in self.classifications: - #print "classification: ", classification + for classification in self.derived_note.getClassificationTuples(): + concept = classification[0] + char_spans = classification[1] # Assumption - assumes no clustering third pass - concept = classification[0] - lineno = classification[1] - 1 - start = classification[2] - end = classification[3] + line_inds = self.derived_note.getLineIndices() + data = self.derived_note.getTokenizedSentences() + text = self.derived_note.getText() + for span in char_spans: + lineno,tokspan = lineno_and_tokspan(line_inds, data, text, span) + start,end = tokspan self.concepts[lineno][start] = concept for i in range(start, end): diff --git a/clicon/notes/note_i2b2.py b/clicon/notes/note_i2b2.py index 1e48d16..a26804b 100644 --- a/clicon/notes/note_i2b2.py +++ b/clicon/notes/note_i2b2.py @@ -38,6 +38,10 @@ def getExtension(self): return 'con' + def getText(self): + return self.text + + def getTokenizedSentences(self): return self.data @@ -234,7 +238,7 @@ def read(self, txt, con=None): line = filter(lambda x: x in string.printable, line) # Add sentence to the data list - self.data.append(line.split()) + self.data.append(line.split(' ')) # TEST - is line_inds correct? #print self.line_inds @@ -245,7 +249,7 @@ def read(self, txt, con=None): # print '' + ' '.join(line) + '' # print # i += 1 - # if i == 10: exit() + # if i == 13: exit() # If an accompanying concept file was specified, read it if con: diff --git a/clicon/notes/note_semeval.py b/clicon/notes/note_semeval.py index 8739bdf..28cae25 100644 --- a/clicon/notes/note_semeval.py +++ b/clicon/notes/note_semeval.py @@ -34,7 +34,7 @@ def __init__(self): self.word_tokenizer = WordTokenizer() # Internal representation natural for i2b2 format - self.text = [] + self.text = '' self.data = [] # list of list of tokens self.line_inds = [] self.classifications = [] diff --git a/clicon/notes/note_xml.py b/clicon/notes/note_xml.py index ee10985..13dd08b 100644 --- a/clicon/notes/note_xml.py +++ b/clicon/notes/note_xml.py @@ -39,6 +39,10 @@ def getExtension(self): return 'xml' + def getText(self): + return self.text + + def getTokenizedSentences(self): return self.data From 80380f197e4347cbfaec10d77141e29c60fc775d Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Tue, 11 Nov 2014 17:38:13 -0500 Subject: [PATCH 387/393] Added getText selector to notes --- clicon/notes/abstract_note.py | 7 +++++++ clicon/notes/note.py | 15 +++++++++------ clicon/notes/note_i2b2.py | 8 ++++++-- clicon/notes/note_semeval.py | 2 +- clicon/notes/note_xml.py | 4 ++++ 5 files changed, 27 insertions(+), 9 deletions(-) diff --git a/clicon/notes/abstract_note.py b/clicon/notes/abstract_note.py index ae94018..c32c2a7 100644 --- a/clicon/notes/abstract_note.py +++ b/clicon/notes/abstract_note.py @@ -56,6 +56,13 @@ def write(self, labels=None): raise Exception('Must define write() for derived class') + def getText(self): + """ + Purpose: Return the verabitm string of text from text file + """ + raise Exception('Must define selector for derived class') + + def getTokenizedSentences(self): """ Purpose: Return a list of list of tokens (list of list of strings) diff --git a/clicon/notes/note.py b/clicon/notes/note.py index d7162ac..a74ec34 100644 --- a/clicon/notes/note.py +++ b/clicon/notes/note.py @@ -336,14 +336,17 @@ def conlist(self): self.concepts.append(tmp) # Use the classifications to correct all mislabled 'none's - for classification in self.classifications: - #print "classification: ", classification + for classification in self.derived_note.getClassificationTuples(): + concept = classification[0] + char_spans = classification[1] # Assumption - assumes no clustering third pass - concept = classification[0] - lineno = classification[1] - 1 - start = classification[2] - end = classification[3] + line_inds = self.derived_note.getLineIndices() + data = self.derived_note.getTokenizedSentences() + text = self.derived_note.getText() + for span in char_spans: + lineno,tokspan = lineno_and_tokspan(line_inds, data, text, span) + start,end = tokspan self.concepts[lineno][start] = concept for i in range(start, end): diff --git a/clicon/notes/note_i2b2.py b/clicon/notes/note_i2b2.py index 1e48d16..a26804b 100644 --- a/clicon/notes/note_i2b2.py +++ b/clicon/notes/note_i2b2.py @@ -38,6 +38,10 @@ def getExtension(self): return 'con' + def getText(self): + return self.text + + def getTokenizedSentences(self): return self.data @@ -234,7 +238,7 @@ def read(self, txt, con=None): line = filter(lambda x: x in string.printable, line) # Add sentence to the data list - self.data.append(line.split()) + self.data.append(line.split(' ')) # TEST - is line_inds correct? #print self.line_inds @@ -245,7 +249,7 @@ def read(self, txt, con=None): # print '' + ' '.join(line) + '' # print # i += 1 - # if i == 10: exit() + # if i == 13: exit() # If an accompanying concept file was specified, read it if con: diff --git a/clicon/notes/note_semeval.py b/clicon/notes/note_semeval.py index 8739bdf..28cae25 100644 --- a/clicon/notes/note_semeval.py +++ b/clicon/notes/note_semeval.py @@ -34,7 +34,7 @@ def __init__(self): self.word_tokenizer = WordTokenizer() # Internal representation natural for i2b2 format - self.text = [] + self.text = '' self.data = [] # list of list of tokens self.line_inds = [] self.classifications = [] diff --git a/clicon/notes/note_xml.py b/clicon/notes/note_xml.py index ee10985..13dd08b 100644 --- a/clicon/notes/note_xml.py +++ b/clicon/notes/note_xml.py @@ -39,6 +39,10 @@ def getExtension(self): return 'xml' + def getText(self): + return self.text + + def getTokenizedSentences(self): return self.data From 287c304fa5891409e4c061d9e8c80814bdb3e27c Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 12 Nov 2014 22:35:56 -0500 Subject: [PATCH 388/393] Repair write methods for notes --- clicon/evaluate.py | 18 ++++---- clicon/notes/abstract_note.py | 1 + clicon/notes/note.py | 1 - clicon/notes/note_i2b2.py | 66 ++--------------------------- clicon/notes/note_semeval.py | 26 +++++++++++- clicon/notes/utilities_for_notes.py | 62 +++++++++++++++++++++++++++ 6 files changed, 100 insertions(+), 74 deletions(-) diff --git a/clicon/evaluate.py b/clicon/evaluate.py index 0111f3b..8bf7e91 100644 --- a/clicon/evaluate.py +++ b/clicon/evaluate.py @@ -19,8 +19,8 @@ import helper from copy import deepcopy -from note import Note -from note import concept_labels as labels +from notes.note import Note +from notes.note import concept_labels as labels def containsSpan(s1, s2): return (s1[0] <= s2[0]) and (s2[1] <= s1[1]) @@ -342,7 +342,7 @@ def main(): # List of medical text txt_files = glob.glob(args.txt) txt_files_map = helper.map_files(txt_files) - wildcard = '*.' + Note.getExtension(format) + wildcard = '*.' + Note.dictOfFormatToExtensions()[format] # List of gold data @@ -385,13 +385,13 @@ def main(): for txt, annotations, gold in files: # Read predictions and gols standard data - cnote = Note() - rnote = Note() - cnote.reader(format, txt, annotations) - rnote.reader(format, txt, gold) + cnote = Note(format) + rnote = Note(format) + cnote.read(txt, annotations) + rnote.read(txt, gold) - referenceSpans = getConceptSpans(rnote.boundaries, rnote.conlist()) - predictedSpans = getConceptSpans(cnote.boundaries, cnote.conlist()) + referenceSpans = getConceptSpans(rnote.getIOBLabels(), rnote.conlist()) + predictedSpans = getConceptSpans(cnote.getIOBLabels(), cnote.conlist()) #TO DO: i need to generate a cumulative total accross all of the files #modify my functions slightly and have it return the number of true positive and etc... diff --git a/clicon/notes/abstract_note.py b/clicon/notes/abstract_note.py index c32c2a7..95ccb2b 100644 --- a/clicon/notes/abstract_note.py +++ b/clicon/notes/abstract_note.py @@ -52,6 +52,7 @@ def read(self, txt_file, con_file=None): def write(self, labels=None): """ Purpose: Abstract method for writing data to file + @param labels. A list of (concept,lineo,start_tok,end_tok) tuples """ raise Exception('Must define write() for derived class') diff --git a/clicon/notes/note.py b/clicon/notes/note.py index a74ec34..38d3077 100644 --- a/clicon/notes/note.py +++ b/clicon/notes/note.py @@ -171,7 +171,6 @@ def getIOBLabels(self): self.getTokenizedSentences() iobs = [ ['O' for tok in sent] for sent in self.data ] - print self.derived_note.getClassificationTuples() line_inds = self.derived_note.getLineIndices() data = self.derived_note.data text = self.derived_note.text diff --git a/clicon/notes/note_i2b2.py b/clicon/notes/note_i2b2.py index a26804b..0148ec8 100644 --- a/clicon/notes/note_i2b2.py +++ b/clicon/notes/note_i2b2.py @@ -22,7 +22,7 @@ import os.path from abstract_note import AbstractNote -from utilities_for_notes import classification_cmp +from utilities_for_notes import classification_cmp, lineno_and_tokspan class Note_i2b2(AbstractNote): @@ -43,7 +43,7 @@ def getText(self): def getTokenizedSentences(self): - return self.data + return map(lambda s: (' '.join(s)).split(), self.data) def getClassificationTuples(self): @@ -84,71 +84,13 @@ def getLineIndices(self): def read_standard(self, txt, con=None): - # Helper function - def lineno_and_tokspan(char_span): - """ File character offsets => line number and index into line """ - for i,span in enumerate(self.line_inds): - if char_span[1] <= span[1]: - - #print "span: ", span - - # start and end of span relative to sentence - start = char_span[0] - span[0] - end = char_span[1] - span[0] - - #print "START: ", start - #print "END: ", end - - #print "USING span on self.text: ", self.text[span[0]:span[1]] - #print "USING start and end: ", self.text[span[0]:span[1]][start:end] - - #print "self.data", self.data[i] - tok_span = [0,len(self.data[i])-1] - char_count = 0 - - dataWithEmptyChars = re.split(" |\n|\t", self.text[span[0]:span[1] + 1]) - - index = 0 - for j,tok in enumerate(dataWithEmptyChars): - if char_count > end: - tok_span[1] = index -1 - break - elif char_count == start: - tok_span[0] = index - char_count += len(tok) + 1 - if len(tok) > 0: - index += 1 - #print '\t',j, '\t', tok, '(', char_count, ')' - - #print start, end - #print tok_span - #print text[span[0]:span[1]] - #print self.data[i][tok_span[0]:tok_span[1]] - #print - - # return line number AND token span - #print "LINE: ", i - #print "TOK SPAN: ", tok_span - #print self.data[i] - #print tok_span - - #print "USING char_span on self.text: ", self.text[char_span[0]:char_span[1]] - #print "USING tok_span on self.data[i]", self.data[i][tok_span[0]], self.data[i][tok_span[1]] - #print "USING char_span on self.text: ", self.text[char_span[0]], self.text[char_span[1]] - - - return (i, tuple(tok_span)) - - return None - - start = 0 end = 0 with open(txt) as f: # Get entire file - text = f.read() + text = f.read().strip('\n') self.text = text # Split into lines @@ -226,7 +168,7 @@ def read(self, txt, con=None): with open(txt) as f: # Original text file - self.text = f.read() + self.text = f.read().strip('\n') i = 0 for line in self.text.split('\n'): diff --git a/clicon/notes/note_semeval.py b/clicon/notes/note_semeval.py index 28cae25..0c42ce5 100644 --- a/clicon/notes/note_semeval.py +++ b/clicon/notes/note_semeval.py @@ -21,7 +21,7 @@ import os.path -from utilities_for_notes import concept_cmp, SentenceTokenizer, WordTokenizer +from utilities_for_notes import concept_cmp, SentenceTokenizer, WordTokenizer, lno_and_tokspan__to__char_span from abstract_note import AbstractNote @@ -57,6 +57,9 @@ def getClassificationTuples(self): return self.classifications + def getLineIndices(self): + return self.line_inds + def read_standard(self, txt, con=None): start = 0 @@ -245,12 +248,31 @@ def write(self, labels): # If given labels to write, use them. Default to self.classifications if labels != None: - classifications = labels + # Translate token-level annotations to character offsets + classifications = [] + for classification in labels: + inds = self.line_inds + data = self.data + text = self.text + + # FIXME - Assumes that token-level does not have noncontig + concept = classification[0] + lno = classification[1] - 1 + start = classification[2] + end = classification[3] + tokspan = start,end + + # Get character offset span + span = lno_and_tokspan__to__char_span(inds,data,text,lno,tokspan) + classifications.append( (concept,span) ) + elif self.classifications != None: classifications = self.classifications else: raise Exception('Cannot write concept file: must specify labels') + exit() + # return value retStr = '' diff --git a/clicon/notes/utilities_for_notes.py b/clicon/notes/utilities_for_notes.py index 4d6a070..986246d 100644 --- a/clicon/notes/utilities_for_notes.py +++ b/clicon/notes/utilities_for_notes.py @@ -106,6 +106,68 @@ def lineno_and_tokspan(line_inds, data, text, char_span): +# Helper function +def lno_and_tokspan__to__char_span(line_inds, data, text, lineno, tokspan): + """ File character offsets => line number and index into line """ + + start,end = line_inds[lineno] + + dataWithEmpty= text[start:end].replace('\n',' ').replace('\t',' ').split(' ') + + print 'start: ', start + print 'end: ', end + print 'dataWith: ', dataWithEmpty + print + print 'data: ', data[lineno] + print '\n\n\n' + + tokPosRelToSent = [] + count = 0 + for string in dataWithEmptyChars: + if string != '': + tokPosRelToSent.append((count, count + len(string)-1)) + count += len(string) + 1 + else: # empty string + count += 1 + + #print tokPosRelToSent + #print tokPosRelToSent[startTok:endTok+1] + + startOfTokRelToText = tokPosRelToSent[startTok][0] + start + endOfTokRelToText = tokPosRelToSent[ endTok][1] + start + + #print '---' + self.text[endOfTokRelToText-3:endOfTokRelToText+4] + '---' + + #print startOfTokRelToText, ' ', endOfTokRelToText + + # Heuristc / Hack for determining when to include extra space + if ( self.text[endOfTokRelToText ].isalpha()) and \ + (not self.text[endOfTokRelToText+1].isalpha()) : + endOfTokRelToText += 1 + + #print startOfTokRelToText, ' ', endOfTokRelToText + #print '\n' + + if line not in spans: + spans[line] = (self.fileName + ".text||Disease_Disorder||CUI-less||" + str(startOfTokRelToText) + "||" + str(endOfTokRelToText)) + else: + spans[line] += ("\n" + self.fileName + ".text||Disease_Disorder||CUI-less||" + str(startOfTokRelToText) + "||" + str(endOfTokRelToText)) + + + print lineno + print tokspan + + line = data[lineno] + + print line + + print + + return 0,0 + + + + # Break file into sentences. class SentenceTokenizer: From aa53fdda69ce8c278bc45e2330252c26607c01c9 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Wed, 12 Nov 2014 22:35:56 -0500 Subject: [PATCH 389/393] Repair write methods for notes --- clicon/evaluate.py | 18 ++++---- clicon/notes/abstract_note.py | 1 + clicon/notes/note.py | 1 - clicon/notes/note_i2b2.py | 66 ++--------------------------- clicon/notes/note_semeval.py | 26 +++++++++++- clicon/notes/utilities_for_notes.py | 62 +++++++++++++++++++++++++++ 6 files changed, 100 insertions(+), 74 deletions(-) diff --git a/clicon/evaluate.py b/clicon/evaluate.py index 0111f3b..8bf7e91 100644 --- a/clicon/evaluate.py +++ b/clicon/evaluate.py @@ -19,8 +19,8 @@ import helper from copy import deepcopy -from note import Note -from note import concept_labels as labels +from notes.note import Note +from notes.note import concept_labels as labels def containsSpan(s1, s2): return (s1[0] <= s2[0]) and (s2[1] <= s1[1]) @@ -342,7 +342,7 @@ def main(): # List of medical text txt_files = glob.glob(args.txt) txt_files_map = helper.map_files(txt_files) - wildcard = '*.' + Note.getExtension(format) + wildcard = '*.' + Note.dictOfFormatToExtensions()[format] # List of gold data @@ -385,13 +385,13 @@ def main(): for txt, annotations, gold in files: # Read predictions and gols standard data - cnote = Note() - rnote = Note() - cnote.reader(format, txt, annotations) - rnote.reader(format, txt, gold) + cnote = Note(format) + rnote = Note(format) + cnote.read(txt, annotations) + rnote.read(txt, gold) - referenceSpans = getConceptSpans(rnote.boundaries, rnote.conlist()) - predictedSpans = getConceptSpans(cnote.boundaries, cnote.conlist()) + referenceSpans = getConceptSpans(rnote.getIOBLabels(), rnote.conlist()) + predictedSpans = getConceptSpans(cnote.getIOBLabels(), cnote.conlist()) #TO DO: i need to generate a cumulative total accross all of the files #modify my functions slightly and have it return the number of true positive and etc... diff --git a/clicon/notes/abstract_note.py b/clicon/notes/abstract_note.py index c32c2a7..95ccb2b 100644 --- a/clicon/notes/abstract_note.py +++ b/clicon/notes/abstract_note.py @@ -52,6 +52,7 @@ def read(self, txt_file, con_file=None): def write(self, labels=None): """ Purpose: Abstract method for writing data to file + @param labels. A list of (concept,lineo,start_tok,end_tok) tuples """ raise Exception('Must define write() for derived class') diff --git a/clicon/notes/note.py b/clicon/notes/note.py index a74ec34..38d3077 100644 --- a/clicon/notes/note.py +++ b/clicon/notes/note.py @@ -171,7 +171,6 @@ def getIOBLabels(self): self.getTokenizedSentences() iobs = [ ['O' for tok in sent] for sent in self.data ] - print self.derived_note.getClassificationTuples() line_inds = self.derived_note.getLineIndices() data = self.derived_note.data text = self.derived_note.text diff --git a/clicon/notes/note_i2b2.py b/clicon/notes/note_i2b2.py index a26804b..0148ec8 100644 --- a/clicon/notes/note_i2b2.py +++ b/clicon/notes/note_i2b2.py @@ -22,7 +22,7 @@ import os.path from abstract_note import AbstractNote -from utilities_for_notes import classification_cmp +from utilities_for_notes import classification_cmp, lineno_and_tokspan class Note_i2b2(AbstractNote): @@ -43,7 +43,7 @@ def getText(self): def getTokenizedSentences(self): - return self.data + return map(lambda s: (' '.join(s)).split(), self.data) def getClassificationTuples(self): @@ -84,71 +84,13 @@ def getLineIndices(self): def read_standard(self, txt, con=None): - # Helper function - def lineno_and_tokspan(char_span): - """ File character offsets => line number and index into line """ - for i,span in enumerate(self.line_inds): - if char_span[1] <= span[1]: - - #print "span: ", span - - # start and end of span relative to sentence - start = char_span[0] - span[0] - end = char_span[1] - span[0] - - #print "START: ", start - #print "END: ", end - - #print "USING span on self.text: ", self.text[span[0]:span[1]] - #print "USING start and end: ", self.text[span[0]:span[1]][start:end] - - #print "self.data", self.data[i] - tok_span = [0,len(self.data[i])-1] - char_count = 0 - - dataWithEmptyChars = re.split(" |\n|\t", self.text[span[0]:span[1] + 1]) - - index = 0 - for j,tok in enumerate(dataWithEmptyChars): - if char_count > end: - tok_span[1] = index -1 - break - elif char_count == start: - tok_span[0] = index - char_count += len(tok) + 1 - if len(tok) > 0: - index += 1 - #print '\t',j, '\t', tok, '(', char_count, ')' - - #print start, end - #print tok_span - #print text[span[0]:span[1]] - #print self.data[i][tok_span[0]:tok_span[1]] - #print - - # return line number AND token span - #print "LINE: ", i - #print "TOK SPAN: ", tok_span - #print self.data[i] - #print tok_span - - #print "USING char_span on self.text: ", self.text[char_span[0]:char_span[1]] - #print "USING tok_span on self.data[i]", self.data[i][tok_span[0]], self.data[i][tok_span[1]] - #print "USING char_span on self.text: ", self.text[char_span[0]], self.text[char_span[1]] - - - return (i, tuple(tok_span)) - - return None - - start = 0 end = 0 with open(txt) as f: # Get entire file - text = f.read() + text = f.read().strip('\n') self.text = text # Split into lines @@ -226,7 +168,7 @@ def read(self, txt, con=None): with open(txt) as f: # Original text file - self.text = f.read() + self.text = f.read().strip('\n') i = 0 for line in self.text.split('\n'): diff --git a/clicon/notes/note_semeval.py b/clicon/notes/note_semeval.py index 28cae25..0c42ce5 100644 --- a/clicon/notes/note_semeval.py +++ b/clicon/notes/note_semeval.py @@ -21,7 +21,7 @@ import os.path -from utilities_for_notes import concept_cmp, SentenceTokenizer, WordTokenizer +from utilities_for_notes import concept_cmp, SentenceTokenizer, WordTokenizer, lno_and_tokspan__to__char_span from abstract_note import AbstractNote @@ -57,6 +57,9 @@ def getClassificationTuples(self): return self.classifications + def getLineIndices(self): + return self.line_inds + def read_standard(self, txt, con=None): start = 0 @@ -245,12 +248,31 @@ def write(self, labels): # If given labels to write, use them. Default to self.classifications if labels != None: - classifications = labels + # Translate token-level annotations to character offsets + classifications = [] + for classification in labels: + inds = self.line_inds + data = self.data + text = self.text + + # FIXME - Assumes that token-level does not have noncontig + concept = classification[0] + lno = classification[1] - 1 + start = classification[2] + end = classification[3] + tokspan = start,end + + # Get character offset span + span = lno_and_tokspan__to__char_span(inds,data,text,lno,tokspan) + classifications.append( (concept,span) ) + elif self.classifications != None: classifications = self.classifications else: raise Exception('Cannot write concept file: must specify labels') + exit() + # return value retStr = '' diff --git a/clicon/notes/utilities_for_notes.py b/clicon/notes/utilities_for_notes.py index 4d6a070..986246d 100644 --- a/clicon/notes/utilities_for_notes.py +++ b/clicon/notes/utilities_for_notes.py @@ -106,6 +106,68 @@ def lineno_and_tokspan(line_inds, data, text, char_span): +# Helper function +def lno_and_tokspan__to__char_span(line_inds, data, text, lineno, tokspan): + """ File character offsets => line number and index into line """ + + start,end = line_inds[lineno] + + dataWithEmpty= text[start:end].replace('\n',' ').replace('\t',' ').split(' ') + + print 'start: ', start + print 'end: ', end + print 'dataWith: ', dataWithEmpty + print + print 'data: ', data[lineno] + print '\n\n\n' + + tokPosRelToSent = [] + count = 0 + for string in dataWithEmptyChars: + if string != '': + tokPosRelToSent.append((count, count + len(string)-1)) + count += len(string) + 1 + else: # empty string + count += 1 + + #print tokPosRelToSent + #print tokPosRelToSent[startTok:endTok+1] + + startOfTokRelToText = tokPosRelToSent[startTok][0] + start + endOfTokRelToText = tokPosRelToSent[ endTok][1] + start + + #print '---' + self.text[endOfTokRelToText-3:endOfTokRelToText+4] + '---' + + #print startOfTokRelToText, ' ', endOfTokRelToText + + # Heuristc / Hack for determining when to include extra space + if ( self.text[endOfTokRelToText ].isalpha()) and \ + (not self.text[endOfTokRelToText+1].isalpha()) : + endOfTokRelToText += 1 + + #print startOfTokRelToText, ' ', endOfTokRelToText + #print '\n' + + if line not in spans: + spans[line] = (self.fileName + ".text||Disease_Disorder||CUI-less||" + str(startOfTokRelToText) + "||" + str(endOfTokRelToText)) + else: + spans[line] += ("\n" + self.fileName + ".text||Disease_Disorder||CUI-less||" + str(startOfTokRelToText) + "||" + str(endOfTokRelToText)) + + + print lineno + print tokspan + + line = data[lineno] + + print line + + print + + return 0,0 + + + + # Break file into sentences. class SentenceTokenizer: From aec3850ef34b49185bc1a754bd724ea65bd200c6 Mon Sep 17 00:00:00 2001 From: Willie Boag Date: Thu, 13 Nov 2014 18:19:20 -0500 Subject: [PATCH 390/393] took out some files --- clicon/features_dir/genia_dir/genia_cache | 722784 ------------------- 1 file changed, 722784 deletions(-) delete mode 100644 clicon/features_dir/genia_dir/genia_cache diff --git a/clicon/features_dir/genia_dir/genia_cache b/clicon/features_dir/genia_dir/genia_cache deleted file mode 100644 index 3f7273c..0000000 --- a/clicon/features_dir/genia_dir/genia_cache +++ /dev/null @@ -1,722784 +0,0 @@ -(dp1 -S'Sodium and potassium at this time were 128/1.5 .' -p2 -(lp3 -S'Sodium\tSodium\tNN\tB-NP\tO' -p4 -aS'and\tand\tCC\tI-NP\tO' -p5 -aS'potassium\tpotassium\tNN\tI-NP\tO' -p6 -aS'at\tat\tIN\tB-PP\tO' -p7 -aS'this\tthis\tDT\tB-NP\tO' -p8 -aS'time\ttime\tNN\tI-NP\tO' -p9 -aS'were\tbe\tVBD\tB-VP\tO' -p10 -aS'128/1.5\t128/1.5\tCD\tB-NP\tO' -p11 -aS'.\t.\t.\tO\tO' -p12 -asS'The patient had no mediastinal widening on chest x-ray , but was transferred to Verg Medical Center for further evaluation .' -p13 -(lp14 -S'The\tThe\tDT\tB-NP\tO' -p15 -aS'patient\tpatient\tNN\tI-NP\tO' -p16 -aS'had\thave\tVBD\tB-VP\tO' -p17 -aS'no\tno\tDT\tB-NP\tO' -p18 -aS'mediastinal\tmediastinal\tJJ\tI-NP\tO' -p19 -aS'widening\twidening\tNN\tI-NP\tO' -p20 -aS'on\ton\tIN\tB-PP\tO' -p21 -aS'chest\tchest\tNN\tB-NP\tO' -p22 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p23 -aS',\t,\t,\tO\tO' -p24 -aS'but\tbut\tCC\tO\tO' -p25 -aS'was\tbe\tVBD\tB-VP\tO' -p26 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p27 -aS'to\tto\tTO\tB-PP\tO' -p28 -aS'Verg\tVerg\tNNP\tB-NP\tO' -p29 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p30 -aS'Center\tCenter\tNNP\tI-NP\tO' -p31 -aS'for\tfor\tIN\tB-PP\tO' -p32 -aS'further\tfurther\tJJ\tB-NP\tO' -p33 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p34 -aS'.\t.\t.\tO\tO' -p35 -asS'She retropulsed and would have pitched backwards without the assistance of the examiner .' -p36 -(lp37 -S'She\tShe\tPRP\tB-NP\tO' -p38 -aS'retropulsed\tretropulse\tVBD\tB-VP\tO' -p39 -aS'and\tand\tCC\tO\tO' -p40 -aS'would\twould\tMD\tB-VP\tO' -p41 -aS'have\thave\tVB\tI-VP\tO' -p42 -aS'pitched\tpitch\tVBN\tI-VP\tO' -p43 -aS'backwards\tbackward\tNNS\tB-NP\tO' -p44 -aS'without\twithout\tIN\tB-PP\tO' -p45 -aS'the\tthe\tDT\tB-NP\tO' -p46 -aS'assistance\tassistance\tNN\tI-NP\tO' -p47 -aS'of\tof\tIN\tB-PP\tO' -p48 -aS'the\tthe\tDT\tB-NP\tO' -p49 -aS'examiner\texaminer\tNN\tI-NP\tO' -p50 -aS'.\t.\t.\tO\tO' -p51 -asS'Alert and oriented x3 .' -p52 -(lp53 -S'Alert\tAlert\tNNP\tB-NP\tO' -p54 -aS'and\tand\tCC\tO\tO' -p55 -aS'oriented\torient\tVBN\tB-NP\tO' -p56 -aS'x3\tx3\tNN\tI-NP\tO' -p57 -aS'.\t.\t.\tO\tO' -p58 -asS'Neurology was also consulted and a head CT showed old lacunar infarcts but no acute causes for a change in mental status .' -p59 -(lp60 -S'Neurology\tNeurology\tNN\tB-NP\tO' -p61 -aS'was\tbe\tVBD\tB-VP\tO' -p62 -aS'also\talso\tRB\tI-VP\tO' -p63 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p64 -aS'and\tand\tCC\tO\tO' -p65 -aS'a\ta\tDT\tB-NP\tO' -p66 -aS'head\thead\tNN\tI-NP\tO' -p67 -aS'CT\tCT\tNN\tI-NP\tO' -p68 -aS'showed\tshow\tVBD\tB-VP\tO' -p69 -aS'old\told\tJJ\tB-NP\tO' -p70 -aS'lacunar\tlacunar\tJJ\tI-NP\tO' -p71 -aS'infarcts\tinfarct\tNNS\tI-NP\tO' -p72 -aS'but\tbut\tCC\tO\tO' -p73 -aS'no\tno\tDT\tB-NP\tO' -p74 -aS'acute\tacute\tJJ\tI-NP\tO' -p75 -aS'causes\tcause\tNNS\tI-NP\tO' -p76 -aS'for\tfor\tIN\tB-PP\tO' -p77 -aS'a\ta\tDT\tB-NP\tO' -p78 -aS'change\tchange\tNN\tI-NP\tO' -p79 -aS'in\tin\tIN\tB-PP\tO' -p80 -aS'mental\tmental\tJJ\tB-NP\tO' -p81 -aS'status\tstatus\tNN\tI-NP\tO' -p82 -aS'.\t.\t.\tO\tO' -p83 -asS'The patient was pronounced dead .' -p84 -(lp85 -S'The\tThe\tDT\tB-NP\tO' -p86 -aS'patient\tpatient\tNN\tI-NP\tO' -p87 -aS'was\tbe\tVBD\tB-VP\tO' -p88 -aS'pronounced\tpronounce\tVBN\tI-VP\tO' -p89 -aS'dead\tdead\tJJ\tB-ADJP\tO' -p90 -aS'.\t.\t.\tO\tO' -p91 -asS'3) Aspirin 81 mg p.o. q. day .' -p92 -(lp93 -S'3)\t3)\tLS\tB-LST\tO' -p94 -aS'Aspirin\tAspirin\tNN\tB-NP\tO' -p95 -aS'81\t81\tCD\tI-NP\tO' -p96 -aS'mg\tmg\tNN\tI-NP\tO' -p97 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p98 -aS'q.\tq.\tNN\tI-NP\tO' -p99 -aS'day\tday\tNN\tI-NP\tO' -p100 -aS'.\t.\t.\tO\tO' -p101 -asS'Gadolinium-enhanced MRI would also help for further assessment .' -p102 -(lp103 -S'Gadolinium-enhanced\tGadolinium-enhanced\tJJ\tB-NP\tO' -p104 -aS'MRI\tMRI\tNN\tI-NP\tO' -p105 -aS'would\twould\tMD\tB-VP\tO' -p106 -aS'also\talso\tRB\tI-VP\tO' -p107 -aS'help\thelp\tVB\tI-VP\tO' -p108 -aS'for\tfor\tIN\tB-PP\tO' -p109 -aS'further\tfurther\tJJ\tB-NP\tO' -p110 -aS'assessment\tassessment\tNN\tI-NP\tO' -p111 -aS'.\t.\t.\tO\tO' -p112 -asS'The patient 's pain from his catheters was controlled with Oxycodone and Motrin .' -p113 -(lp114 -S'The\tThe\tDT\tB-NP\tO' -p115 -aS'patient\tpatient\tNN\tI-NP\tO' -p116 -aS''s\t'\tNNS\tI-NP\tO' -p117 -aS'pain\tpain\tNN\tI-NP\tO' -p118 -aS'from\tfrom\tIN\tB-PP\tO' -p119 -aS'his\this\tPRP$\tB-NP\tO' -p120 -aS'catheters\tcatheter\tNNS\tI-NP\tO' -p121 -aS'was\tbe\tVBD\tB-VP\tO' -p122 -aS'controlled\tcontrol\tVBN\tI-VP\tO' -p123 -aS'with\twith\tIN\tB-PP\tO' -p124 -aS'Oxycodone\tOxycodone\tNN\tB-NP\tO' -p125 -aS'and\tand\tCC\tI-NP\tO' -p126 -aS'Motrin\tMotrin\tNN\tI-NP\tO' -p127 -aS'.\t.\t.\tO\tO' -p128 -asS'On discharge , the patient was restarted on her Coumadin , which was held for her right heart catheterization , and her biopsy , and her ICD placement .' -p129 -(lp130 -S'On\tOn\tIN\tB-PP\tO' -p131 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p132 -aS',\t,\t,\tO\tO' -p133 -aS'the\tthe\tDT\tB-NP\tO' -p134 -aS'patient\tpatient\tNN\tI-NP\tO' -p135 -aS'was\tbe\tVBD\tB-VP\tO' -p136 -aS'restarted\trestart\tVBN\tI-VP\tO' -p137 -aS'on\ton\tIN\tB-PP\tO' -p138 -aS'her\ther\tPRP$\tB-NP\tO' -p139 -aS'Coumadin\tCoumadin\tNN\tI-NP\tO' -p140 -aS',\t,\t,\tO\tO' -p141 -aS'which\twhich\tWDT\tB-NP\tO' -p142 -aS'was\tbe\tVBD\tB-VP\tO' -p143 -aS'held\thold\tVBN\tI-VP\tO' -p144 -aS'for\tfor\tIN\tB-PP\tO' -p145 -aS'her\ther\tPRP$\tB-NP\tO' -p146 -aS'right\tright\tJJ\tI-NP\tO' -p147 -aS'heart\theart\tNN\tI-NP\tO' -p148 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p149 -aS',\t,\t,\tO\tO' -p150 -aS'and\tand\tCC\tO\tO' -p151 -aS'her\ther\tPRP$\tB-NP\tO' -p152 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p153 -aS',\t,\t,\tO\tO' -p154 -aS'and\tand\tCC\tO\tO' -p155 -aS'her\ther\tPRP$\tB-NP\tO' -p156 -aS'ICD\tICD\tNN\tI-NP\tO' -p157 -aS'placement\tplacement\tNN\tI-NP\tO' -p158 -aS'.\t.\t.\tO\tO' -p159 -asS'7. Lansoprazole 30 mg Capsule , Delayed Release ( E.C. ) Sig : One ( 1 ) Capsule , Delayed Release ( E.C. ) PO BID ( 2 times a day ) .' -p160 -(lp161 -S'7.\t7.\tCD\tB-NP\tO' -p162 -aS'Lansoprazole\tLansoprazole\tNN\tI-NP\tO' -p163 -aS'30\t30\tCD\tB-NP\tO' -p164 -aS'mg\tmg\tNN\tI-NP\tO' -p165 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p166 -aS',\t,\t,\tO\tO' -p167 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p168 -aS'Release\tRelease\tNNP\tI-NP\tO' -p169 -aS'(\t(\t(\tO\tO' -p170 -aS'E.C.\tE.C.\tNNP\tB-NP\tO' -p171 -aS')\t)\t)\tO\tO' -p172 -aS'Sig\tSig\tNNP\tB-NP\tO' -p173 -aS':\t:\t:\tO\tO' -p174 -aS'One\tOne\tCD\tB-NP\tO' -p175 -aS'(\t(\t(\tO\tO' -p176 -aS'1\t1\tCD\tB-NP\tO' -p177 -aS')\t)\t)\tO\tO' -p178 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p179 -aS',\t,\t,\tO\tO' -p180 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p181 -aS'Release\tRelease\tNNP\tI-NP\tO' -p182 -aS'(\t(\t(\tO\tO' -p183 -aS'E.C.\tE.C.\tNNP\tO\tO' -p184 -aS')\t)\t)\tO\tO' -p185 -aS'PO\tPO\tNN\tB-NP\tO' -p186 -aS'BID\tBID\tNN\tI-NP\tO' -p187 -aS'(\t(\t(\tO\tO' -p188 -aS'2\t2\tCD\tB-NP\tO' -p189 -aS'times\ttime\tNNS\tI-NP\tO' -p190 -aS'a\ta\tDT\tB-NP\tO' -p191 -aS'day\tday\tNN\tI-NP\tO' -p192 -aS')\t)\t)\tO\tO' -p193 -aS'.\t.\t.\tO\tO' -p194 -asS'He was restarted on his home regimen of antihypertensives without difficulty ( metoprolol 75 tid , clonidine patch and oral , nifedipine 30 SR q daily ).' -p195 -(lp196 -S'He\tHe\tPRP\tB-NP\tO' -p197 -aS'was\tbe\tVBD\tB-VP\tO' -p198 -aS'restarted\trestart\tVBN\tI-VP\tO' -p199 -aS'on\ton\tIN\tB-PP\tO' -p200 -aS'his\this\tPRP$\tB-NP\tO' -p201 -aS'home\thome\tNN\tI-NP\tO' -p202 -aS'regimen\tregimen\tNN\tI-NP\tO' -p203 -aS'of\tof\tIN\tB-PP\tO' -p204 -aS'antihypertensives\tantihypertensive\tNNS\tB-NP\tO' -p205 -aS'without\twithout\tIN\tB-PP\tO' -p206 -aS'difficulty\tdifficulty\tNN\tB-NP\tO' -p207 -aS'(\t(\t(\tO\tO' -p208 -aS'metoprolol\tmetoprolol\tNN\tB-NP\tO' -p209 -aS'75\t75\tCD\tI-NP\tO' -p210 -aS'tid\ttid\tNN\tI-NP\tO' -p211 -aS',\t,\t,\tO\tO' -p212 -aS'clonidine\tclonidine\tNN\tB-NP\tO' -p213 -aS'patch\tpatch\tNN\tI-NP\tO' -p214 -aS'and\tand\tCC\tO\tO' -p215 -aS'oral\toral\tJJ\tB-ADJP\tO' -p216 -aS',\t,\t,\tO\tO' -p217 -aS'nifedipine\tnifedipine\tNN\tB-NP\tO' -p218 -aS'30\t30\tCD\tI-NP\tO' -p219 -aS'SR\tSR\tNN\tI-NP\tO' -p220 -aS'q\tq\tNN\tI-NP\tO' -p221 -aS'daily\tdaily\tJJ\tI-NP\tO' -p222 -aS').\t).\tNNS\tI-NP\tO' -p223 -asS'1. Protonix 40 mg q day .' -p224 -(lp225 -S'1.\t1.\tLS\tB-NP\tO' -p226 -aS'Protonix\tProtonix\tNNP\tI-NP\tO' -p227 -aS'40\t40\tCD\tI-NP\tO' -p228 -aS'mg\tmg\tNN\tI-NP\tO' -p229 -aS'q\tq\tNN\tI-NP\tO' -p230 -aS'day\tday\tNN\tI-NP\tO' -p231 -aS'.\t.\t.\tO\tO' -p232 -asS'Rest of vitals BP 112/70 , HR 60 .' -p233 -(lp234 -S'Rest\tR\tJJS\tB-NP\tO' -p235 -aS'of\tof\tIN\tB-PP\tO' -p236 -aS'vitals\tvital\tNNS\tB-NP\tO' -p237 -aS'BP\tBP\tNN\tB-NP\tO' -p238 -aS'112/70\t112/70\tCD\tI-NP\tO' -p239 -aS',\t,\t,\tO\tO' -p240 -aS'HR\tHR\tNN\tB-NP\tB-protein' -p241 -aS'60\t60\tCD\tI-NP\tI-protein' -p242 -aS'.\t.\t.\tO\tO' -p243 -asS'The etiology of the patient 's nausea remained unclear as she demonstrated ability to keep down many of her meals which did not suggest an anatomical lesion of her gastrointestinal tract .' -p244 -(lp245 -S'The\tThe\tDT\tB-NP\tO' -p246 -aS'etiology\tetiology\tNN\tI-NP\tO' -p247 -aS'of\tof\tIN\tB-PP\tO' -p248 -aS'the\tthe\tDT\tB-NP\tO' -p249 -aS'patient\tpatient\tNN\tI-NP\tO' -p250 -aS''s\t'\tNNS\tI-NP\tO' -p251 -aS'nausea\tnausea\tNN\tI-NP\tO' -p252 -aS'remained\tremain\tVBD\tB-VP\tO' -p253 -aS'unclear\tunclear\tJJ\tB-ADJP\tO' -p254 -aS'as\tas\tIN\tB-SBAR\tO' -p255 -aS'she\tshe\tPRP\tB-NP\tO' -p256 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p257 -aS'ability\tability\tNN\tB-NP\tO' -p258 -aS'to\tto\tTO\tB-VP\tO' -p259 -aS'keep\tkeep\tVB\tI-VP\tO' -p260 -aS'down\tdown\tRB\tB-ADVP\tO' -p261 -aS'many\tmany\tJJ\tB-NP\tO' -p262 -aS'of\tof\tIN\tB-PP\tO' -p263 -aS'her\ther\tPRP$\tB-NP\tO' -p264 -aS'meals\tmeal\tNNS\tI-NP\tO' -p265 -aS'which\twhich\tWDT\tB-NP\tO' -p266 -aS'did\tdo\tVBD\tB-VP\tO' -p267 -aS'not\tnot\tRB\tI-VP\tO' -p268 -aS'suggest\tsuggest\tVB\tI-VP\tO' -p269 -aS'an\tan\tDT\tB-NP\tO' -p270 -aS'anatomical\tanatomical\tJJ\tI-NP\tO' -p271 -aS'lesion\tlesion\tNN\tI-NP\tO' -p272 -aS'of\tof\tIN\tB-PP\tO' -p273 -aS'her\ther\tPRP$\tB-NP\tO' -p274 -aS'gastrointestinal\tgastrointestinal\tJJ\tI-NP\tO' -p275 -aS'tract\ttract\tNN\tI-NP\tO' -p276 -aS'.\t.\t.\tO\tO' -p277 -asS'Repeat white cell count 6.4 , hematocrit 34 , platelets 103 .' -p278 -(lp279 -S'Repeat\tRepeat\tNN\tB-NP\tO' -p280 -aS'white\twhite\tJJ\tI-NP\tO' -p281 -aS'cell\tcell\tNN\tI-NP\tO' -p282 -aS'count\tcount\tNN\tI-NP\tO' -p283 -aS'6.4\t6.4\tCD\tB-NP\tO' -p284 -aS',\t,\t,\tO\tO' -p285 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p286 -aS'34\t34\tCD\tI-NP\tI-protein' -p287 -aS',\t,\t,\tO\tO' -p288 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p289 -aS'103\t103\tCD\tB-NP\tO' -p290 -aS'.\t.\t.\tO\tO' -p291 -asS'sister with unknown ca .' -p292 -(lp293 -S'sister\tsister\tNN\tB-NP\tO' -p294 -aS'with\twith\tIN\tB-PP\tO' -p295 -aS'unknown\tunknown\tJJ\tB-NP\tO' -p296 -aS'ca\tca\tNN\tI-NP\tO' -p297 -aS'.\t.\t.\tO\tO' -p298 -asS'Denies tobacco history .' -p299 -(lp300 -S'Denies\tDeny\tNNS\tB-NP\tO' -p301 -aS'tobacco\ttobacco\tNN\tI-NP\tO' -p302 -aS'history\thistory\tNN\tI-NP\tO' -p303 -aS'.\t.\t.\tO\tO' -p304 -asS'There was no history of strokes or bleeding disorders in the family .' -p305 -(lp306 -S'There\tThere\tEX\tB-NP\tO' -p307 -aS'was\tbe\tVBD\tB-VP\tO' -p308 -aS'no\tno\tDT\tB-NP\tO' -p309 -aS'history\thistory\tNN\tI-NP\tO' -p310 -aS'of\tof\tIN\tB-PP\tO' -p311 -aS'strokes\tstroke\tNNS\tB-NP\tO' -p312 -aS'or\tor\tCC\tO\tO' -p313 -aS'bleeding\tbleed\tVBG\tB-VP\tO' -p314 -aS'disorders\tdisorder\tNNS\tB-NP\tO' -p315 -aS'in\tin\tIN\tB-PP\tO' -p316 -aS'the\tthe\tDT\tB-NP\tO' -p317 -aS'family\tfamily\tNN\tI-NP\tO' -p318 -aS'.\t.\t.\tO\tO' -p319 -asS'The patient has a history of laryngeal cancer in 2000 and 2001 , CVA in 2001 to 2002 and hypertension , who has a six month history of progressive difficulty in ambulation .' -p320 -(lp321 -S'The\tThe\tDT\tB-NP\tO' -p322 -aS'patient\tpatient\tNN\tI-NP\tO' -p323 -aS'has\thave\tVBZ\tB-VP\tO' -p324 -aS'a\ta\tDT\tB-NP\tO' -p325 -aS'history\thistory\tNN\tI-NP\tO' -p326 -aS'of\tof\tIN\tB-PP\tO' -p327 -aS'laryngeal\tlaryngeal\tJJ\tB-NP\tO' -p328 -aS'cancer\tcancer\tNN\tI-NP\tO' -p329 -aS'in\tin\tIN\tB-PP\tO' -p330 -aS'2000\t2000\tCD\tB-NP\tO' -p331 -aS'and\tand\tCC\tI-NP\tO' -p332 -aS'2001\t2001\tCD\tI-NP\tO' -p333 -aS',\t,\t,\tO\tO' -p334 -aS'CVA\tCVA\tNN\tB-NP\tB-protein' -p335 -aS'in\tin\tIN\tB-PP\tO' -p336 -aS'2001\t2001\tCD\tB-NP\tO' -p337 -aS'to\tto\tTO\tB-PP\tO' -p338 -aS'2002\t2002\tCD\tB-NP\tO' -p339 -aS'and\tand\tCC\tO\tO' -p340 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p341 -aS',\t,\t,\tO\tO' -p342 -aS'who\twho\tWP\tB-NP\tO' -p343 -aS'has\thave\tVBZ\tB-VP\tO' -p344 -aS'a\ta\tDT\tB-NP\tO' -p345 -aS'six\tsix\tCD\tI-NP\tO' -p346 -aS'month\tmonth\tNN\tI-NP\tO' -p347 -aS'history\thistory\tNN\tI-NP\tO' -p348 -aS'of\tof\tIN\tB-PP\tO' -p349 -aS'progressive\tprogressive\tJJ\tB-NP\tO' -p350 -aS'difficulty\tdifficulty\tNN\tI-NP\tO' -p351 -aS'in\tin\tIN\tB-PP\tO' -p352 -aS'ambulation\tambulation\tNN\tB-NP\tO' -p353 -aS'.\t.\t.\tO\tO' -p354 -asS'ENTEROCOCCUS FAECIUM .' -p355 -(lp356 -S'ENTEROCOCCUS\tENTEROCOCCUS\tNNP\tB-NP\tO' -p357 -aS'FAECIUM\tFAECIUM\tNNP\tI-NP\tO' -p358 -aS'.\t.\t.\tO\tO' -p359 -asS'It was felt that , because of the evidence of congestive heart failure and the critical left main lesion , he should be admitted for further evaluation .' -p360 -(lp361 -S'It\tIt\tPRP\tB-NP\tO' -p362 -aS'was\tbe\tVBD\tB-VP\tO' -p363 -aS'felt\tfeel\tVBN\tI-VP\tO' -p364 -aS'that\tthat\tIN\tB-SBAR\tO' -p365 -aS',\t,\t,\tO\tO' -p366 -aS'because\tbecause\tIN\tB-PP\tO' -p367 -aS'of\tof\tIN\tI-PP\tO' -p368 -aS'the\tthe\tDT\tB-NP\tO' -p369 -aS'evidence\tevidence\tNN\tI-NP\tO' -p370 -aS'of\tof\tIN\tB-PP\tO' -p371 -aS'congestive\tcongestive\tJJ\tB-NP\tO' -p372 -aS'heart\theart\tNN\tI-NP\tO' -p373 -aS'failure\tfailure\tNN\tI-NP\tO' -p374 -aS'and\tand\tCC\tO\tO' -p375 -aS'the\tthe\tDT\tB-NP\tO' -p376 -aS'critical\tcritical\tJJ\tI-NP\tO' -p377 -aS'left\tleft\tJJ\tI-NP\tO' -p378 -aS'main\tmain\tJJ\tI-NP\tO' -p379 -aS'lesion\tlesion\tNN\tI-NP\tO' -p380 -aS',\t,\t,\tO\tO' -p381 -aS'he\the\tPRP\tB-NP\tO' -p382 -aS'should\tshould\tMD\tB-VP\tO' -p383 -aS'be\tbe\tVB\tI-VP\tO' -p384 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p385 -aS'for\tfor\tIN\tB-PP\tO' -p386 -aS'further\tfurther\tJJ\tB-NP\tO' -p387 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p388 -aS'.\t.\t.\tO\tO' -p389 -asS'Lung volumes are low .' -p390 -(lp391 -S'Lung\tLung\tNN\tB-NP\tB-protein' -p392 -aS'volumes\tvolume\tNNS\tI-NP\tI-protein' -p393 -aS'are\tbe\tVBP\tB-VP\tO' -p394 -aS'low\tlow\tJJ\tB-ADJP\tO' -p395 -aS'.\t.\t.\tO\tO' -p396 -asS'Depression and anxiety .' -p397 -(lp398 -S'Depression\tDepression\tNN\tB-NP\tO' -p399 -aS'and\tand\tCC\tI-NP\tO' -p400 -aS'anxiety\tanxiety\tNN\tI-NP\tO' -p401 -aS'.\t.\t.\tO\tO' -p402 -asS'Vitamin B12 of 855 , folic acid of 15.4 .' -p403 -(lp404 -S'Vitamin\tVitamin\tNN\tB-NP\tO' -p405 -aS'B12\tB12\tNN\tI-NP\tO' -p406 -aS'of\tof\tIN\tB-PP\tO' -p407 -aS'855\t855\tCD\tB-NP\tO' -p408 -aS',\t,\t,\tO\tO' -p409 -aS'folic\tfolic\tJJ\tB-NP\tO' -p410 -aS'acid\tacid\tNN\tI-NP\tO' -p411 -aS'of\tof\tIN\tB-PP\tO' -p412 -aS'15.4\t15.4\tCD\tB-NP\tO' -p413 -aS'.\t.\t.\tO\tO' -p414 -asS'She is able at baseline to walk one flight of stairs , 2 floor apartment .' -p415 -(lp416 -S'She\tShe\tPRP\tB-NP\tO' -p417 -aS'is\tbe\tVBZ\tB-VP\tO' -p418 -aS'able\table\tJJ\tB-ADJP\tO' -p419 -aS'at\tat\tIN\tB-PP\tO' -p420 -aS'baseline\tbaseline\tNN\tB-NP\tO' -p421 -aS'to\tto\tTO\tB-VP\tO' -p422 -aS'walk\twalk\tVB\tI-VP\tO' -p423 -aS'one\tone\tCD\tB-NP\tO' -p424 -aS'flight\tflight\tNN\tI-NP\tO' -p425 -aS'of\tof\tIN\tB-PP\tO' -p426 -aS'stairs\tstair\tNNS\tB-NP\tO' -p427 -aS',\t,\t,\tO\tO' -p428 -aS'2\t2\tCD\tB-NP\tO' -p429 -aS'floor\tfloor\tNN\tI-NP\tO' -p430 -aS'apartment\tapartment\tNN\tI-NP\tO' -p431 -aS'.\t.\t.\tO\tO' -p432 -asS'Pheresis Friday 08-17 then Monday 08-20' -p433 -(lp434 -S'Pheresis\tPheresis\tNN\tB-NP\tO' -p435 -aS'Friday\tFriday\tNNP\tB-NP\tO' -p436 -aS'08-17\t08-17\tCD\tI-NP\tO' -p437 -aS'then\tthen\tRB\tO\tO' -p438 -aS'Monday\tMonday\tNNP\tB-NP\tO' -p439 -aS'08-20\t08-20\tCD\tI-NP\tO' -p440 -asS'7. Paraphimosis .' -p441 -(lp442 -S'7.\t7.\tCD\tB-NP\tO' -p443 -aS'Paraphimosis\tParaphimosis\tNNP\tI-NP\tO' -p444 -aS'.\t.\t.\tO\tO' -p445 -asS'Phenobarbital and Dilantin given for seizure control .' -p446 -(lp447 -S'Phenobarbital\tPhenobarbital\tNN\tB-NP\tO' -p448 -aS'and\tand\tCC\tI-NP\tO' -p449 -aS'Dilantin\tDilantin\tNN\tI-NP\tO' -p450 -aS'given\tgive\tVBN\tB-VP\tO' -p451 -aS'for\tfor\tIN\tB-PP\tO' -p452 -aS'seizure\tseizure\tNN\tB-NP\tO' -p453 -aS'control\tcontrol\tNN\tI-NP\tO' -p454 -aS'.\t.\t.\tO\tO' -p455 -asS'You should have follow-up blood tests by your primary care physician B 3 months .' -p456 -(lp457 -S'You\tYou\tPRP\tB-NP\tB-protein' -p458 -aS'should\tshould\tMD\tB-VP\tO' -p459 -aS'have\thave\tVB\tI-VP\tO' -p460 -aS'follow-up\tfollow-up\tJJ\tB-NP\tO' -p461 -aS'blood\tblood\tNN\tI-NP\tO' -p462 -aS'tests\ttest\tNNS\tI-NP\tO' -p463 -aS'by\tby\tIN\tB-PP\tO' -p464 -aS'your\tyour\tPRP$\tB-NP\tO' -p465 -aS'primary\tprimary\tJJ\tI-NP\tO' -p466 -aS'care\tcare\tNN\tI-NP\tO' -p467 -aS'physician\tphysician\tNN\tI-NP\tO' -p468 -aS'B\tB\tNN\tI-NP\tO' -p469 -aS'3\t3\tCD\tB-NP\tO' -p470 -aS'months\tmonth\tNNS\tI-NP\tO' -p471 -aS'.\t.\t.\tO\tO' -p472 -asS'At the time of discharge he was tolerating a full diet , out of bed with pain , tolerated on po. medications .' -p473 -(lp474 -S'At\tAt\tIN\tB-PP\tO' -p475 -aS'the\tthe\tDT\tB-NP\tO' -p476 -aS'time\ttime\tNN\tI-NP\tO' -p477 -aS'of\tof\tIN\tB-PP\tO' -p478 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p479 -aS'he\the\tPRP\tB-NP\tO' -p480 -aS'was\tbe\tVBD\tB-VP\tO' -p481 -aS'tolerating\ttolerate\tVBG\tI-VP\tO' -p482 -aS'a\ta\tDT\tB-NP\tO' -p483 -aS'full\tfull\tJJ\tI-NP\tO' -p484 -aS'diet\tdiet\tNN\tI-NP\tO' -p485 -aS',\t,\t,\tO\tO' -p486 -aS'out\tout\tIN\tB-PP\tO' -p487 -aS'of\tof\tIN\tB-PP\tO' -p488 -aS'bed\tbed\tNN\tB-NP\tO' -p489 -aS'with\twith\tIN\tB-PP\tO' -p490 -aS'pain\tpain\tNN\tB-NP\tO' -p491 -aS',\t,\t,\tO\tO' -p492 -aS'tolerated\ttolerate\tVBN\tB-VP\tO' -p493 -aS'on\ton\tIN\tB-PP\tO' -p494 -aS'po.\tpo.\tNN\tB-NP\tO' -p495 -aS'medications\tmedication\tNNS\tI-NP\tO' -p496 -aS'.\t.\t.\tO\tO' -p497 -asS'Right neck and right groin catheterization sites were benign .' -p498 -(lp499 -S'Right\tRight\tNN\tB-NP\tO' -p500 -aS'neck\tneck\tNN\tI-NP\tO' -p501 -aS'and\tand\tCC\tO\tO' -p502 -aS'right\tright\tJJ\tB-NP\tO' -p503 -aS'groin\tgroin\tNN\tI-NP\tO' -p504 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p505 -aS'sites\tsite\tNNS\tI-NP\tO' -p506 -aS'were\tbe\tVBD\tB-VP\tO' -p507 -aS'benign\tbenign\tJJ\tB-ADJP\tO' -p508 -aS'.\t.\t.\tO\tO' -p509 -asS'Include Neupogen , 480 mcg. subq. q.d. and usual medications .' -p510 -(lp511 -S'Include\tInclude\tNNP\tB-NP\tO' -p512 -aS'Neupogen\tNeupogen\tNN\tI-NP\tO' -p513 -aS',\t,\t,\tO\tO' -p514 -aS'480\t480\tCD\tB-NP\tO' -p515 -aS'mcg.\tmcg.\tNN\tI-NP\tO' -p516 -aS'subq.\tsubq.\tNN\tI-NP\tO' -p517 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p518 -aS'and\tand\tCC\tO\tO' -p519 -aS'usual\tusual\tJJ\tB-NP\tO' -p520 -aS'medications\tmedication\tNNS\tI-NP\tO' -p521 -aS'.\t.\t.\tO\tO' -p522 -asS'bilirubin to be .6 .' -p523 -(lp524 -S'bilirubin\tbilirubin\tNN\tB-NP\tO' -p525 -aS'to\tto\tTO\tB-VP\tO' -p526 -aS'be\tbe\tVB\tI-VP\tO' -p527 -aS'.6\t.6\tCD\tB-NP\tO' -p528 -aS'.\t.\t.\tO\tO' -p529 -asS'She presents for cadaveric pancreas transplantation .' -p530 -(lp531 -S'She\tShe\tPRP\tB-NP\tO' -p532 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p533 -aS'for\tfor\tIN\tB-PP\tO' -p534 -aS'cadaveric\tcadaveric\tJJ\tB-NP\tO' -p535 -aS'pancreas\tpancreas\tNN\tI-NP\tO' -p536 -aS'transplantation\ttransplantation\tNN\tI-NP\tO' -p537 -aS'.\t.\t.\tO\tO' -p538 -asS'SHE HAS BEEN AFEBRILE POST-OPERATIVELY , MAKING GOOD URINE , AMBULATING , EATING A REGULAR DIET WITHOUT ANY COMPLICATIONS .' -p539 -(lp540 -S'SHE\tSHE\tNNP\tB-NP\tO' -p541 -aS'HAS\tHAS\tNNP\tI-NP\tO' -p542 -aS'BEEN\tBEEN\tNNP\tI-NP\tO' -p543 -aS'AFEBRILE\tAFEBRILE\tNNP\tI-NP\tO' -p544 -aS'POST-OPERATIVELY\tPOST-OPERATIVELY\tNNP\tI-NP\tO' -p545 -aS',\t,\t,\tO\tO' -p546 -aS'MAKING\tMAKING\tNNP\tB-NP\tO' -p547 -aS'GOOD\tGOOD\tNNP\tI-NP\tO' -p548 -aS'URINE\tURINE\tNNP\tI-NP\tO' -p549 -aS',\t,\t,\tO\tO' -p550 -aS'AMBULATING\tAMBULATING\tNNP\tB-NP\tO' -p551 -aS',\t,\t,\tO\tO' -p552 -aS'EATING\tEATING\tNN\tB-NP\tO' -p553 -aS'A\tA\tNN\tI-NP\tO' -p554 -aS'REGULAR\tREGULAR\tNN\tI-NP\tO' -p555 -aS'DIET\tDIET\tNN\tI-NP\tO' -p556 -aS'WITHOUT\tWITHOUT\tNN\tI-NP\tO' -p557 -aS'ANY\tANY\tNN\tI-NP\tO' -p558 -aS'COMPLICATIONS\tCOMPLICATIONS\tNNS\tI-NP\tO' -p559 -aS'.\t.\t.\tO\tO' -p560 -asS'Abdomen without mass .' -p561 -(lp562 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p563 -aS'without\twithout\tIN\tB-PP\tO' -p564 -aS'mass\tmass\tNN\tB-NP\tO' -p565 -aS'.\t.\t.\tO\tO' -p566 -asS'Because his need for multiple transfusionsm he was transfused with radiated Leuco four units .' -p567 -(lp568 -S'Because\tBecause\tIN\tB-SBAR\tO' -p569 -aS'his\this\tPRP$\tB-NP\tO' -p570 -aS'need\tneed\tNN\tI-NP\tO' -p571 -aS'for\tfor\tIN\tB-PP\tO' -p572 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p573 -aS'transfusionsm\ttransfusionsm\tNN\tI-NP\tO' -p574 -aS'he\the\tPRP\tB-NP\tO' -p575 -aS'was\tbe\tVBD\tB-VP\tO' -p576 -aS'transfused\ttransfuse\tVBN\tI-VP\tO' -p577 -aS'with\twith\tIN\tB-PP\tO' -p578 -aS'radiated\tradiate\tVBN\tB-NP\tO' -p579 -aS'Leuco\tLeuco\tNNP\tI-NP\tO' -p580 -aS'four\tfour\tCD\tI-NP\tO' -p581 -aS'units\tunit\tNNS\tI-NP\tO' -p582 -aS'.\t.\t.\tO\tO' -p583 -asS'The differential diagnosis includes , but is not limited to , sarcoma , spindle cell carcinomas ( sarcomatoid carcinoma of the upper aerodigestive tract and anaplastic thyroid carcinoma ) , and malignant salivary gland neoplasms .' -p584 -(lp585 -S'The\tThe\tDT\tB-NP\tO' -p586 -aS'differential\tdifferential\tJJ\tI-NP\tO' -p587 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p588 -aS'includes\tinclude\tVBZ\tB-VP\tO' -p589 -aS',\t,\t,\tO\tO' -p590 -aS'but\tbut\tCC\tO\tO' -p591 -aS'is\tbe\tVBZ\tB-VP\tO' -p592 -aS'not\tnot\tRB\tI-VP\tO' -p593 -aS'limited\tlimit\tVBN\tI-VP\tO' -p594 -aS'to\tto\tTO\tB-PP\tO' -p595 -aS',\t,\t,\tO\tO' -p596 -aS'sarcoma\tsarcoma\tNN\tB-NP\tO' -p597 -aS',\t,\t,\tO\tO' -p598 -aS'spindle\tspindle\tNN\tB-NP\tO' -p599 -aS'cell\tcell\tNN\tI-NP\tO' -p600 -aS'carcinomas\tcarcinoma\tNNS\tI-NP\tO' -p601 -aS'(\t(\t(\tO\tO' -p602 -aS'sarcomatoid\tsarcomatoid\tJJ\tB-NP\tO' -p603 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p604 -aS'of\tof\tIN\tB-PP\tO' -p605 -aS'the\tthe\tDT\tB-NP\tO' -p606 -aS'upper\tupper\tJJ\tI-NP\tO' -p607 -aS'aerodigestive\taerodigestive\tJJ\tI-NP\tO' -p608 -aS'tract\ttract\tNN\tI-NP\tO' -p609 -aS'and\tand\tCC\tO\tO' -p610 -aS'anaplastic\tanaplastic\tJJ\tB-NP\tO' -p611 -aS'thyroid\tthyroid\tNN\tI-NP\tO' -p612 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p613 -aS')\t)\t)\tO\tO' -p614 -aS',\t,\t,\tO\tO' -p615 -aS'and\tand\tCC\tO\tO' -p616 -aS'malignant\tmalignant\tJJ\tB-NP\tB-cell_type' -p617 -aS'salivary\tsalivary\tJJ\tI-NP\tI-cell_type' -p618 -aS'gland\tgland\tNN\tI-NP\tI-cell_type' -p619 -aS'neoplasms\tneoplasm\tNNS\tI-NP\tI-cell_type' -p620 -aS'.\t.\t.\tO\tO' -p621 -asS'The patient had to be taken back to the Operating Room where a repair of the left pulmonary artery was performed .' -p622 -(lp623 -S'The\tThe\tDT\tB-NP\tO' -p624 -aS'patient\tpatient\tNN\tI-NP\tO' -p625 -aS'had\thave\tVBD\tB-VP\tO' -p626 -aS'to\tto\tTO\tI-VP\tO' -p627 -aS'be\tbe\tVB\tI-VP\tO' -p628 -aS'taken\ttake\tVBN\tI-VP\tO' -p629 -aS'back\tback\tRB\tB-ADVP\tO' -p630 -aS'to\tto\tTO\tB-PP\tO' -p631 -aS'the\tthe\tDT\tB-NP\tO' -p632 -aS'Operating\tOperating\tNNP\tI-NP\tO' -p633 -aS'Room\tRoom\tNNP\tI-NP\tO' -p634 -aS'where\twhere\tWRB\tB-ADVP\tO' -p635 -aS'a\ta\tDT\tB-NP\tO' -p636 -aS'repair\trepair\tNN\tI-NP\tO' -p637 -aS'of\tof\tIN\tB-PP\tO' -p638 -aS'the\tthe\tDT\tB-NP\tO' -p639 -aS'left\tleft\tJJ\tI-NP\tO' -p640 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p641 -aS'artery\tartery\tNN\tI-NP\tO' -p642 -aS'was\tbe\tVBD\tB-VP\tO' -p643 -aS'performed\tperform\tVBN\tI-VP\tO' -p644 -aS'.\t.\t.\tO\tO' -p645 -asS'Amniocentesis was not performed .' -p646 -(lp647 -S'Amniocentesis\tAmniocentesis\tNN\tB-NP\tO' -p648 -aS'was\tbe\tVBD\tB-VP\tO' -p649 -aS'not\tnot\tRB\tI-VP\tO' -p650 -aS'performed\tperform\tVBN\tI-VP\tO' -p651 -aS'.\t.\t.\tO\tO' -p652 -asS'The patient 's preliminary admitting physician is KOTEDAIZREKE , LILA and the preliminary admitting diagnosis is CP .' -p653 -(lp654 -S'The\tThe\tDT\tB-NP\tO' -p655 -aS'patient\tpatient\tNN\tI-NP\tO' -p656 -aS''s\t'\tNNS\tI-NP\tO' -p657 -aS'preliminary\tpreliminary\tJJ\tB-NP\tO' -p658 -aS'admitting\tadmit\tVBG\tI-NP\tO' -p659 -aS'physician\tphysician\tNN\tI-NP\tO' -p660 -aS'is\tbe\tVBZ\tB-VP\tO' -p661 -aS'KOTEDAIZREKE\tKOTEDAIZREKE\tNN\tB-NP\tO' -p662 -aS',\t,\t,\tO\tO' -p663 -aS'LILA\tLILA\tNN\tB-NP\tB-protein' -p664 -aS'and\tand\tCC\tO\tO' -p665 -aS'the\tthe\tDT\tB-NP\tO' -p666 -aS'preliminary\tpreliminary\tJJ\tI-NP\tO' -p667 -aS'admitting\tadmit\tVBG\tI-NP\tO' -p668 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p669 -aS'is\tbe\tVBZ\tB-VP\tO' -p670 -aS'CP\tCP\tNN\tB-NP\tB-DNA' -p671 -aS'.\t.\t.\tO\tO' -p672 -asS'Restlessness with body tremors were also noted .' -p673 -(lp674 -S'Restlessness\tRestlessness\tNN\tB-NP\tO' -p675 -aS'with\twith\tIN\tB-PP\tO' -p676 -aS'body\tbody\tNN\tB-NP\tO' -p677 -aS'tremors\ttremor\tNNS\tI-NP\tO' -p678 -aS'were\tbe\tVBD\tB-VP\tO' -p679 -aS'also\talso\tRB\tI-VP\tO' -p680 -aS'noted\tnote\tVBN\tI-VP\tO' -p681 -aS'.\t.\t.\tO\tO' -p682 -asS'We will put him back on his Nexium .' -p683 -(lp684 -S'We\tWe\tPRP\tB-NP\tO' -p685 -aS'will\twill\tMD\tB-VP\tO' -p686 -aS'put\tput\tVB\tI-VP\tO' -p687 -aS'him\thim\tPRP\tB-NP\tO' -p688 -aS'back\tback\tRB\tB-ADVP\tO' -p689 -aS'on\ton\tIN\tB-PP\tO' -p690 -aS'his\this\tPRP$\tB-NP\tO' -p691 -aS'Nexium\tNexium\tNN\tI-NP\tO' -p692 -aS'.\t.\t.\tO\tO' -p693 -asS'Both of these responded to three day course of vitamin K 10 mg each day .' -p694 -(lp695 -S'Both\tBoth\tDT\tB-NP\tO' -p696 -aS'of\tof\tIN\tB-PP\tO' -p697 -aS'these\tthese\tDT\tB-NP\tO' -p698 -aS'responded\trespond\tVBD\tB-VP\tO' -p699 -aS'to\tto\tTO\tB-PP\tO' -p700 -aS'three\tthree\tCD\tB-NP\tO' -p701 -aS'day\tday\tNN\tI-NP\tO' -p702 -aS'course\tcourse\tNN\tI-NP\tO' -p703 -aS'of\tof\tIN\tB-PP\tO' -p704 -aS'vitamin\tvitamin\tNN\tB-NP\tO' -p705 -aS'K\tK\tNN\tI-NP\tO' -p706 -aS'10\t10\tCD\tI-NP\tO' -p707 -aS'mg\tmg\tNN\tI-NP\tO' -p708 -aS'each\teach\tDT\tB-NP\tO' -p709 -aS'day\tday\tNN\tI-NP\tO' -p710 -aS'.\t.\t.\tO\tO' -p711 -asS'The patient was admitted on 05/16/2004 for bowel preparation before the surgery .' -p712 -(lp713 -S'The\tThe\tDT\tB-NP\tO' -p714 -aS'patient\tpatient\tNN\tI-NP\tO' -p715 -aS'was\tbe\tVBD\tB-VP\tO' -p716 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p717 -aS'on\ton\tIN\tB-PP\tO' -p718 -aS'05/16/2004\t05/16/2004\tCD\tB-NP\tO' -p719 -aS'for\tfor\tIN\tB-PP\tO' -p720 -aS'bowel\tbowel\tNN\tB-NP\tO' -p721 -aS'preparation\tpreparation\tNN\tI-NP\tO' -p722 -aS'before\tbefore\tIN\tB-PP\tO' -p723 -aS'the\tthe\tDT\tB-NP\tO' -p724 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p725 -aS'.\t.\t.\tO\tO' -p726 -asS'His abdomen is benign .' -p727 -(lp728 -S'His\tHis\tPRP$\tB-NP\tO' -p729 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p730 -aS'is\tbe\tVBZ\tB-VP\tO' -p731 -aS'benign\tbenign\tJJ\tB-ADJP\tO' -p732 -aS'.\t.\t.\tO\tO' -p733 -asS'Signed electronically by : DR. Richard Blakey on : FRI 2011-12-23 9:54 AM' -p734 -(lp735 -S'Signed\tSign\tVBN\tB-VP\tO' -p736 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p737 -aS'by\tby\tIN\tB-PP\tO' -p738 -aS':\t:\t:\tO\tO' -p739 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p740 -aS'Richard\tRichard\tNNP\tI-NP\tO' -p741 -aS'Blakey\tBlakey\tNNP\tI-NP\tO' -p742 -aS'on\ton\tIN\tB-PP\tO' -p743 -aS':\t:\t:\tO\tO' -p744 -aS'FRI\tFRI\tCD\tB-NP\tO' -p745 -aS'2011-12-23\t2011-12-23\tCD\tI-NP\tO' -p746 -aS'9:54\t9:54\tCD\tI-NP\tO' -p747 -aS'AM\tAM\tNN\tI-NP\tO' -p748 -asS'PRINCIPAL DISCHARGE DIAGNOSIS ; Responsible After Study for Causing Admission ) gastritis' -p749 -(lp750 -S'PRINCIPAL\tPRINCIPAL\tJJ\tB-NP\tO' -p751 -aS'DISCHARGE\tDISCHARGE\tNN\tI-NP\tO' -p752 -aS'DIAGNOSIS\tDIAGNOSIS\tNN\tI-NP\tO' -p753 -aS';\t;\t:\tO\tO' -p754 -aS'Responsible\tResponsible\tJJ\tB-ADJP\tO' -p755 -aS'After\tAfter\tIN\tB-PP\tO' -p756 -aS'Study\tStudy\tNN\tB-NP\tO' -p757 -aS'for\tfor\tIN\tB-PP\tO' -p758 -aS'Causing\tCause\tVBG\tB-VP\tO' -p759 -aS'Admission\tAdmission\tNN\tB-NP\tO' -p760 -aS')\t)\t)\tO\tO' -p761 -aS'gastritis\tgastritis\tNN\tB-NP\tO' -p762 -asS'4. Mitral valve prolapse .' -p763 -(lp764 -S'4.\t4.\tLS\tB-NP\tO' -p765 -aS'Mitral\tMitral\tJJ\tI-NP\tO' -p766 -aS'valve\tvalve\tNN\tI-NP\tO' -p767 -aS'prolapse\tprolapse\tNN\tI-NP\tO' -p768 -aS'.\t.\t.\tO\tO' -p769 -asS'Metoprolol 50 mg PO b.i.d. , Isordil 20 mg PO t.i.d. , Ecotrin aspirin q.day .' -p770 -(lp771 -S'Metoprolol\tMetoprolol\tNN\tB-NP\tO' -p772 -aS'50\t50\tCD\tI-NP\tO' -p773 -aS'mg\tmg\tNN\tI-NP\tO' -p774 -aS'PO\tPO\tNN\tI-NP\tO' -p775 -aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' -p776 -aS',\t,\t,\tO\tO' -p777 -aS'Isordil\tIsordil\tNN\tB-NP\tO' -p778 -aS'20\t20\tCD\tI-NP\tO' -p779 -aS'mg\tmg\tNN\tI-NP\tO' -p780 -aS'PO\tPO\tNN\tI-NP\tO' -p781 -aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' -p782 -aS',\t,\t,\tO\tO' -p783 -aS'Ecotrin\tEcotrin\tNN\tB-NP\tO' -p784 -aS'aspirin\taspirin\tNN\tI-NP\tO' -p785 -aS'q.day\tq.day\tNN\tI-NP\tO' -p786 -aS'.\t.\t.\tO\tO' -p787 -asS'Father died at 36 aplastic anemia only child' -p788 -(lp789 -S'Father\tFather\tNNP\tB-NP\tO' -p790 -aS'died\tdie\tVBD\tB-VP\tO' -p791 -aS'at\tat\tIN\tB-PP\tO' -p792 -aS'36\t36\tCD\tB-NP\tO' -p793 -aS'aplastic\taplastic\tJJ\tI-NP\tO' -p794 -aS'anemia\tanemia\tNN\tI-NP\tO' -p795 -aS'only\tonly\tRB\tB-NP\tO' -p796 -aS'child\tchild\tNN\tI-NP\tO' -p797 -asS'It also showed intraseptal and inferior akinesis .' -p798 -(lp799 -S'It\tIt\tPRP\tB-NP\tO' -p800 -aS'also\talso\tRB\tB-ADVP\tO' -p801 -aS'showed\tshow\tVBD\tB-VP\tO' -p802 -aS'intraseptal\tintraseptal\tJJ\tB-NP\tO' -p803 -aS'and\tand\tCC\tI-NP\tO' -p804 -aS'inferior\tinferior\tJJ\tI-NP\tO' -p805 -aS'akinesis\takinesis\tNN\tI-NP\tO' -p806 -aS'.\t.\t.\tO\tO' -p807 -asS'He started to develop more pain around the right stump since 07-17 .' -p808 -(lp809 -S'He\tHe\tPRP\tB-NP\tO' -p810 -aS'started\tstart\tVBD\tB-VP\tO' -p811 -aS'to\tto\tTO\tI-VP\tO' -p812 -aS'develop\tdevelop\tVB\tI-VP\tO' -p813 -aS'more\tmore\tJJR\tB-NP\tO' -p814 -aS'pain\tpain\tNN\tI-NP\tO' -p815 -aS'around\taround\tIN\tB-PP\tO' -p816 -aS'the\tthe\tDT\tB-NP\tO' -p817 -aS'right\tright\tJJ\tI-NP\tO' -p818 -aS'stump\tstump\tNN\tI-NP\tO' -p819 -aS'since\tsince\tIN\tB-PP\tO' -p820 -aS'07-17\t07-17\tCD\tB-NP\tO' -p821 -aS'.\t.\t.\tO\tO' -p822 -asS'He tolerated this well , although he required PS overnight .' -p823 -(lp824 -S'He\tHe\tPRP\tB-NP\tO' -p825 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p826 -aS'this\tthis\tDT\tB-NP\tO' -p827 -aS'well\twell\tRB\tB-ADVP\tO' -p828 -aS',\t,\t,\tO\tO' -p829 -aS'although\talthough\tIN\tB-SBAR\tO' -p830 -aS'he\the\tPRP\tB-NP\tO' -p831 -aS'required\trequire\tVBD\tB-VP\tO' -p832 -aS'PS\tPS\tNNP\tB-NP\tO' -p833 -aS'overnight\tovernight\tRB\tB-ADVP\tO' -p834 -aS'.\t.\t.\tO\tO' -p835 -asS'No perineal sepsis risk factors .' -p836 -(lp837 -S'No\tNo\tDT\tB-NP\tO' -p838 -aS'perineal\tperineal\tJJ\tI-NP\tB-protein' -p839 -aS'sepsis\tsepsis\tNN\tI-NP\tI-protein' -p840 -aS'risk\trisk\tNN\tI-NP\tI-protein' -p841 -aS'factors\tfactor\tNNS\tI-NP\tI-protein' -p842 -aS'.\t.\t.\tO\tO' -p843 -asS'pupils are 4-6 mm bilaterally , extraocular movements were full without nystagmus .' -p844 -(lp845 -S'pupils\tpupil\tNNS\tB-NP\tO' -p846 -aS'are\tbe\tVBP\tB-VP\tO' -p847 -aS'4-6\t4-6\tCD\tB-NP\tO' -p848 -aS'mm\tmm\tNN\tI-NP\tO' -p849 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p850 -aS',\t,\t,\tO\tO' -p851 -aS'extraocular\textraocular\tJJ\tB-NP\tO' -p852 -aS'movements\tmovement\tNNS\tI-NP\tO' -p853 -aS'were\tbe\tVBD\tB-VP\tO' -p854 -aS'full\tfull\tJJ\tB-ADJP\tO' -p855 -aS'without\twithout\tIN\tB-PP\tO' -p856 -aS'nystagmus\tnystagmus\tNN\tB-NP\tO' -p857 -aS'.\t.\t.\tO\tO' -p858 -asS'In the postoperative course Mr. Fyfe did surprisingly well given his underlying medical condition . ,' -p859 -(lp860 -S'In\tIn\tIN\tB-PP\tO' -p861 -aS'the\tthe\tDT\tB-NP\tO' -p862 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p863 -aS'course\tcourse\tNN\tI-NP\tO' -p864 -aS'Mr.\tMr.\tNNP\tB-NP\tO' -p865 -aS'Fyfe\tFyfe\tNNP\tI-NP\tO' -p866 -aS'did\tdo\tVBD\tB-VP\tO' -p867 -aS'surprisingly\tsurprisingly\tRB\tI-VP\tO' -p868 -aS'well\twell\tRB\tI-VP\tO' -p869 -aS'given\tgive\tVBN\tI-VP\tO' -p870 -aS'his\this\tPRP$\tB-NP\tO' -p871 -aS'underlying\tunderlie\tVBG\tI-NP\tO' -p872 -aS'medical\tmedical\tJJ\tI-NP\tO' -p873 -aS'condition\tcondition\tNN\tI-NP\tO' -p874 -aS'.\t.\tNN\tI-NP\tO' -p875 -aS',\t,\t,\tO\tO' -p876 -asS'Of note , he was hospitalized at Dana-Farber Cancer Institute from 9/25-10/6 with chest pain , at which time he reportedly had cardiac enzymes , an echocardiogram and a pharmacological stress test performed .' -p877 -(lp878 -S'Of\tOf\tIN\tB-PP\tO' -p879 -aS'note\tnote\tNN\tB-NP\tO' -p880 -aS',\t,\t,\tO\tO' -p881 -aS'he\the\tPRP\tB-NP\tO' -p882 -aS'was\tbe\tVBD\tB-VP\tO' -p883 -aS'hospitalized\thospitalize\tVBN\tI-VP\tO' -p884 -aS'at\tat\tIN\tB-PP\tO' -p885 -aS'Dana-Farber\tDana-Farber\tNNP\tB-NP\tO' -p886 -aS'Cancer\tCancer\tNNP\tI-NP\tO' -p887 -aS'Institute\tInstitute\tNNP\tI-NP\tO' -p888 -aS'from\tfrom\tIN\tB-PP\tO' -p889 -aS'9/25-10/6\t9/25-10/6\tCD\tB-NP\tO' -p890 -aS'with\twith\tIN\tB-PP\tO' -p891 -aS'chest\tchest\tNN\tB-NP\tO' -p892 -aS'pain\tpain\tNN\tI-NP\tO' -p893 -aS',\t,\t,\tO\tO' -p894 -aS'at\tat\tIN\tB-PP\tO' -p895 -aS'which\twhich\tWDT\tB-NP\tO' -p896 -aS'time\ttime\tNN\tI-NP\tO' -p897 -aS'he\the\tPRP\tB-NP\tO' -p898 -aS'reportedly\treportedly\tRB\tB-ADVP\tO' -p899 -aS'had\thave\tVBD\tB-VP\tO' -p900 -aS'cardiac\tcardiac\tJJ\tB-NP\tB-protein' -p901 -aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' -p902 -aS',\t,\t,\tO\tO' -p903 -aS'an\tan\tDT\tB-NP\tO' -p904 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p905 -aS'and\tand\tCC\tO\tO' -p906 -aS'a\ta\tDT\tB-NP\tO' -p907 -aS'pharmacological\tpharmacological\tJJ\tI-NP\tO' -p908 -aS'stress\tstress\tNN\tI-NP\tO' -p909 -aS'test\ttest\tNN\tI-NP\tO' -p910 -aS'performed\tperform\tVBN\tB-VP\tO' -p911 -aS'.\t.\t.\tO\tO' -p912 -asS'Extremities were warm and well perfused .' -p913 -(lp914 -S'Extremities\tExtremity\tNNS\tB-NP\tO' -p915 -aS'were\tbe\tVBD\tB-VP\tO' -p916 -aS'warm\twarm\tJJ\tB-ADJP\tO' -p917 -aS'and\tand\tCC\tO\tO' -p918 -aS'well\twell\tRB\tB-ADJP\tO' -p919 -aS'perfused\tperfuse\tVBN\tI-ADJP\tO' -p920 -aS'.\t.\t.\tO\tO' -p921 -asS'The main left coronary artery had a 20% stenosis .' -p922 -(lp923 -S'The\tThe\tDT\tB-NP\tO' -p924 -aS'main\tmain\tJJ\tI-NP\tO' -p925 -aS'left\tleft\tJJ\tI-NP\tO' -p926 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p927 -aS'artery\tartery\tNN\tI-NP\tO' -p928 -aS'had\thave\tVBD\tB-VP\tO' -p929 -aS'a\ta\tDT\tB-NP\tO' -p930 -aS'20%\t20%\tJJ\tI-NP\tO' -p931 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p932 -aS'.\t.\t.\tO\tO' -p933 -asS'The CT was negative for CVA but positive for Pulmonary embolism .' -p934 -(lp935 -S'The\tThe\tDT\tB-NP\tO' -p936 -aS'CT\tCT\tNN\tI-NP\tB-protein' -p937 -aS'was\tbe\tVBD\tB-VP\tO' -p938 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p939 -aS'for\tfor\tIN\tB-PP\tO' -p940 -aS'CVA\tCVA\tNN\tB-NP\tB-protein' -p941 -aS'but\tbut\tCC\tO\tO' -p942 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p943 -aS'for\tfor\tIN\tB-PP\tO' -p944 -aS'Pulmonary\tPulmonary\tJJ\tB-NP\tO' -p945 -aS'embolism\tembolism\tNN\tI-NP\tO' -p946 -aS'.\t.\t.\tO\tO' -p947 -asS'13. Heparin Flush PICC ( 100 units / ml ) 2 ml IV DAILY : PRN 10 ml NS followed by 2 ml of 100 Units / ml heparin ( 200 units heparin ) each lumen Daily and PRN .' -p948 -(lp949 -S'13.\t13.\tLS\tB-NP\tO' -p950 -aS'Heparin\tHeparin\tNN\tI-NP\tO' -p951 -aS'Flush\tFlush\tNN\tI-NP\tO' -p952 -aS'PICC\tPICC\tNN\tI-NP\tO' -p953 -aS'(\t(\t(\tO\tO' -p954 -aS'100\t100\tCD\tB-NP\tB-DNA' -p955 -aS'units\tunit\tNNS\tI-NP\tI-DNA' -p956 -aS'/\t/\tSYM\tB-NP\tO' -p957 -aS'ml\tml\tNN\tI-NP\tO' -p958 -aS')\t)\t)\tO\tO' -p959 -aS'2\t2\tCD\tB-NP\tO' -p960 -aS'ml\tml\tNN\tI-NP\tO' -p961 -aS'IV\tIV\tCD\tB-NP\tO' -p962 -aS'DAILY\tDAILY\tNNP\tI-NP\tO' -p963 -aS':\t:\t:\tO\tO' -p964 -aS'PRN\tPRN\tNN\tB-NP\tO' -p965 -aS'10\t10\tCD\tI-NP\tO' -p966 -aS'ml\tml\tNN\tI-NP\tO' -p967 -aS'NS\tNS\tNN\tI-NP\tO' -p968 -aS'followed\tfollow\tVBN\tB-VP\tO' -p969 -aS'by\tby\tIN\tB-PP\tO' -p970 -aS'2\t2\tCD\tB-NP\tO' -p971 -aS'ml\tml\tNN\tI-NP\tO' -p972 -aS'of\tof\tIN\tB-PP\tO' -p973 -aS'100\t100\tCD\tB-NP\tO' -p974 -aS'Units\tUnit\tNNS\tI-NP\tO' -p975 -aS'/\t/\tSYM\tO\tO' -p976 -aS'ml\tml\tNN\tB-NP\tO' -p977 -aS'heparin\theparin\tNN\tI-NP\tO' -p978 -aS'(\t(\t(\tO\tO' -p979 -aS'200\t200\tCD\tB-NP\tO' -p980 -aS'units\tunit\tNNS\tI-NP\tO' -p981 -aS'heparin\theparin\tNN\tI-NP\tO' -p982 -aS')\t)\t)\tO\tO' -p983 -aS'each\teach\tDT\tB-NP\tO' -p984 -aS'lumen\tlumen\tNN\tI-NP\tO' -p985 -aS'Daily\tDaily\tNNP\tB-NP\tO' -p986 -aS'and\tand\tCC\tO\tO' -p987 -aS'PRN\tPRN\tNN\tB-NP\tB-protein' -p988 -aS'.\t.\t.\tO\tO' -p989 -asS'She received induction therapy with thymoglobulin intraoperative and postoperatively for five days .' -p990 -(lp991 -S'She\tShe\tPRP\tB-NP\tO' -p992 -aS'received\treceive\tVBD\tB-VP\tO' -p993 -aS'induction\tinduction\tNN\tB-NP\tO' -p994 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p995 -aS'with\twith\tIN\tB-PP\tO' -p996 -aS'thymoglobulin\tthymoglobulin\tNN\tB-NP\tO' -p997 -aS'intraoperative\tintraoperative\tJJ\tB-ADJP\tO' -p998 -aS'and\tand\tCC\tO\tO' -p999 -aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' -p1000 -aS'for\tfor\tIN\tB-PP\tO' -p1001 -aS'five\tfive\tCD\tB-NP\tO' -p1002 -aS'days\tday\tNNS\tI-NP\tO' -p1003 -aS'.\t.\t.\tO\tO' -p1004 -asS'When she arrived the plan was to go ahead and treat here rythematous induration and possible cellulitis with IV antibiotics .' -p1005 -(lp1006 -S'When\tWhen\tWRB\tB-ADVP\tO' -p1007 -aS'she\tshe\tPRP\tB-NP\tO' -p1008 -aS'arrived\tarrive\tVBD\tB-VP\tO' -p1009 -aS'the\tthe\tDT\tB-NP\tO' -p1010 -aS'plan\tplan\tNN\tI-NP\tO' -p1011 -aS'was\tbe\tVBD\tB-VP\tO' -p1012 -aS'to\tto\tTO\tB-VP\tO' -p1013 -aS'go\tgo\tVB\tI-VP\tO' -p1014 -aS'ahead\tahead\tRB\tB-ADVP\tO' -p1015 -aS'and\tand\tCC\tO\tO' -p1016 -aS'treat\ttreat\tVB\tB-VP\tO' -p1017 -aS'here\there\tRB\tB-NP\tO' -p1018 -aS'rythematous\trythematous\tJJ\tI-NP\tO' -p1019 -aS'induration\tinduration\tNN\tI-NP\tO' -p1020 -aS'and\tand\tCC\tO\tO' -p1021 -aS'possible\tpossible\tJJ\tB-NP\tO' -p1022 -aS'cellulitis\tcellulitis\tNN\tI-NP\tO' -p1023 -aS'with\twith\tIN\tB-PP\tO' -p1024 -aS'IV\tIV\tCD\tB-NP\tO' -p1025 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p1026 -aS'.\t.\t.\tO\tO' -p1027 -asS'Given the patient 's low potassium level of 2.4 on the day of admission , he suggested supplementation with potassium .' -p1028 -(lp1029 -S'Given\tGive\tVBN\tB-PP\tO' -p1030 -aS'the\tthe\tDT\tB-NP\tO' -p1031 -aS'patient\tpatient\tNN\tI-NP\tO' -p1032 -aS''s\t'\tNNS\tI-NP\tO' -p1033 -aS'low\tlow\tJJ\tI-NP\tO' -p1034 -aS'potassium\tpotassium\tNN\tI-NP\tO' -p1035 -aS'level\tlevel\tNN\tI-NP\tO' -p1036 -aS'of\tof\tIN\tB-PP\tO' -p1037 -aS'2.4\t2.4\tCD\tB-NP\tO' -p1038 -aS'on\ton\tIN\tB-PP\tO' -p1039 -aS'the\tthe\tDT\tB-NP\tO' -p1040 -aS'day\tday\tNN\tI-NP\tO' -p1041 -aS'of\tof\tIN\tB-PP\tO' -p1042 -aS'admission\tadmission\tNN\tB-NP\tO' -p1043 -aS',\t,\t,\tO\tO' -p1044 -aS'he\the\tPRP\tB-NP\tO' -p1045 -aS'suggested\tsuggest\tVBD\tB-VP\tO' -p1046 -aS'supplementation\tsupplementation\tNN\tB-NP\tO' -p1047 -aS'with\twith\tIN\tB-PP\tO' -p1048 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p1049 -aS'.\t.\t.\tO\tO' -p1050 -asS'The Isordil was also discontinued .' -p1051 -(lp1052 -S'The\tThe\tDT\tB-NP\tO' -p1053 -aS'Isordil\tIsordil\tNN\tI-NP\tO' -p1054 -aS'was\tbe\tVBD\tB-VP\tO' -p1055 -aS'also\talso\tRB\tI-VP\tO' -p1056 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p1057 -aS'.\t.\t.\tO\tO' -p1058 -asS'The patient gets very somnolent with Ativan .' -p1059 -(lp1060 -S'The\tThe\tDT\tB-NP\tO' -p1061 -aS'patient\tpatient\tNN\tI-NP\tO' -p1062 -aS'gets\tget\tVBZ\tB-VP\tO' -p1063 -aS'very\tvery\tRB\tB-ADJP\tO' -p1064 -aS'somnolent\tsomnolent\tJJ\tI-ADJP\tO' -p1065 -aS'with\twith\tIN\tB-PP\tO' -p1066 -aS'Ativan\tAtivan\tNNP\tB-NP\tO' -p1067 -aS'.\t.\t.\tO\tO' -p1068 -asS'His systolic blood pressure goal was initially 170-190 , which he was able to achieve spontaneously for the most part .' -p1069 -(lp1070 -S'His\tHis\tPRP$\tB-NP\tO' -p1071 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p1072 -aS'blood\tblood\tNN\tI-NP\tO' -p1073 -aS'pressure\tpressure\tNN\tI-NP\tO' -p1074 -aS'goal\tgoal\tNN\tI-NP\tO' -p1075 -aS'was\tbe\tVBD\tB-VP\tO' -p1076 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p1077 -aS'170-190\t170-190\tCD\tB-NP\tO' -p1078 -aS',\t,\t,\tO\tO' -p1079 -aS'which\twhich\tWDT\tB-NP\tO' -p1080 -aS'he\the\tPRP\tB-NP\tO' -p1081 -aS'was\tbe\tVBD\tB-VP\tO' -p1082 -aS'able\table\tJJ\tB-ADJP\tO' -p1083 -aS'to\tto\tTO\tB-VP\tO' -p1084 -aS'achieve\tachieve\tVB\tI-VP\tO' -p1085 -aS'spontaneously\tspontaneously\tRB\tB-ADVP\tO' -p1086 -aS'for\tfor\tIN\tB-PP\tO' -p1087 -aS'the\tthe\tDT\tB-NP\tO' -p1088 -aS'most\tmost\tJJS\tI-NP\tO' -p1089 -aS'part\tpart\tNN\tI-NP\tO' -p1090 -aS'.\t.\t.\tO\tO' -p1091 -asS'It was held the day prior to admission .' -p1092 -(lp1093 -S'It\tIt\tPRP\tB-NP\tO' -p1094 -aS'was\tbe\tVBD\tB-VP\tO' -p1095 -aS'held\thold\tVBN\tI-VP\tO' -p1096 -aS'the\tthe\tDT\tB-NP\tO' -p1097 -aS'day\tday\tNN\tI-NP\tO' -p1098 -aS'prior\tprior\tRB\tB-ADVP\tO' -p1099 -aS'to\tto\tTO\tB-PP\tO' -p1100 -aS'admission\tadmission\tNN\tB-NP\tO' -p1101 -aS'.\t.\t.\tO\tO' -p1102 -asS'The patient had a normal B12 , negative syphilis serologies and normal thyroid function during this hospitalization .' -p1103 -(lp1104 -S'The\tThe\tDT\tB-NP\tO' -p1105 -aS'patient\tpatient\tNN\tI-NP\tO' -p1106 -aS'had\thave\tVBD\tB-VP\tO' -p1107 -aS'a\ta\tDT\tB-NP\tO' -p1108 -aS'normal\tnormal\tJJ\tI-NP\tO' -p1109 -aS'B12\tB12\tNN\tI-NP\tB-protein' -p1110 -aS',\t,\t,\tO\tO' -p1111 -aS'negative\tnegative\tJJ\tB-NP\tO' -p1112 -aS'syphilis\tsyphilis\tNN\tI-NP\tO' -p1113 -aS'serologies\tserology\tNNS\tI-NP\tO' -p1114 -aS'and\tand\tCC\tO\tO' -p1115 -aS'normal\tnormal\tJJ\tB-NP\tO' -p1116 -aS'thyroid\tthyroid\tNN\tI-NP\tO' -p1117 -aS'function\tfunction\tNN\tI-NP\tO' -p1118 -aS'during\tduring\tIN\tB-PP\tO' -p1119 -aS'this\tthis\tDT\tB-NP\tO' -p1120 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p1121 -aS'.\t.\t.\tO\tO' -p1122 -asS'On the day of discharge , sodium 145 , potassium 4.1 , chloride 109 , bicarb 31 , creatinine 0.7 , BUN 43 , glucose 116 .' -p1123 -(lp1124 -S'On\tOn\tIN\tB-PP\tO' -p1125 -aS'the\tthe\tDT\tB-NP\tO' -p1126 -aS'day\tday\tNN\tI-NP\tO' -p1127 -aS'of\tof\tIN\tB-PP\tO' -p1128 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p1129 -aS',\t,\t,\tO\tO' -p1130 -aS'sodium\tsodium\tNN\tB-NP\tO' -p1131 -aS'145\t145\tCD\tI-NP\tO' -p1132 -aS',\t,\t,\tO\tO' -p1133 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p1134 -aS'4.1\t4.1\tCD\tI-NP\tO' -p1135 -aS',\t,\t,\tO\tO' -p1136 -aS'chloride\tchloride\tNN\tB-NP\tO' -p1137 -aS'109\t109\tCD\tI-NP\tO' -p1138 -aS',\t,\t,\tO\tO' -p1139 -aS'bicarb\tbicarb\tNN\tB-NP\tO' -p1140 -aS'31\t31\tCD\tI-NP\tO' -p1141 -aS',\t,\t,\tO\tO' -p1142 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p1143 -aS'0.7\t0.7\tCD\tI-NP\tO' -p1144 -aS',\t,\t,\tO\tO' -p1145 -aS'BUN\tBUN\tNN\tB-NP\tB-DNA' -p1146 -aS'43\t43\tCD\tI-NP\tI-DNA' -p1147 -aS',\t,\t,\tO\tO' -p1148 -aS'glucose\tglucose\tNN\tB-NP\tO' -p1149 -aS'116\t116\tCD\tI-NP\tO' -p1150 -aS'.\t.\t.\tO\tO' -p1151 -asS'On 2017-01-16 , the night float intern was called to see the patient as she was unresponsive .' -p1152 -(lp1153 -S'On\tOn\tIN\tB-PP\tO' -p1154 -aS'2017-01-16\t2017-01-16\tCD\tB-NP\tO' -p1155 -aS',\t,\t,\tO\tO' -p1156 -aS'the\tthe\tDT\tB-NP\tO' -p1157 -aS'night\tnight\tNN\tI-NP\tO' -p1158 -aS'float\tfloat\tNN\tI-NP\tO' -p1159 -aS'intern\tintern\tNN\tI-NP\tO' -p1160 -aS'was\tbe\tVBD\tB-VP\tO' -p1161 -aS'called\tcall\tVBN\tI-VP\tO' -p1162 -aS'to\tto\tTO\tB-VP\tO' -p1163 -aS'see\tsee\tVB\tI-VP\tO' -p1164 -aS'the\tthe\tDT\tB-NP\tO' -p1165 -aS'patient\tpatient\tNN\tI-NP\tO' -p1166 -aS'as\tas\tIN\tB-SBAR\tO' -p1167 -aS'she\tshe\tPRP\tB-NP\tO' -p1168 -aS'was\tbe\tVBD\tB-VP\tO' -p1169 -aS'unresponsive\tunresponsive\tJJ\tB-ADJP\tO' -p1170 -aS'.\t.\t.\tO\tO' -p1171 -asS'7. Methylprednisolone 4 mg tablets per taper regimen .' -p1172 -(lp1173 -S'7.\t7.\tCD\tB-NP\tO' -p1174 -aS'Methylprednisolone\tMethylprednisolone\tNN\tI-NP\tO' -p1175 -aS'4\t4\tCD\tB-NP\tO' -p1176 -aS'mg\tmg\tNN\tI-NP\tO' -p1177 -aS'tablets\ttablet\tNNS\tI-NP\tO' -p1178 -aS'per\tper\tIN\tB-PP\tO' -p1179 -aS'taper\ttaper\tNN\tB-NP\tO' -p1180 -aS'regimen\tregimen\tNN\tI-NP\tO' -p1181 -aS'.\t.\t.\tO\tO' -p1182 -asS'He continued to have intermittent symptoms and was noted to have some fullness in the suprapatellar pouch .' -p1183 -(lp1184 -S'He\tHe\tPRP\tB-NP\tO' -p1185 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p1186 -aS'to\tto\tTO\tI-VP\tO' -p1187 -aS'have\thave\tVB\tI-VP\tO' -p1188 -aS'intermittent\tintermittent\tJJ\tB-NP\tO' -p1189 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p1190 -aS'and\tand\tCC\tO\tO' -p1191 -aS'was\tbe\tVBD\tB-VP\tO' -p1192 -aS'noted\tnote\tVBN\tI-VP\tO' -p1193 -aS'to\tto\tTO\tI-VP\tO' -p1194 -aS'have\thave\tVB\tI-VP\tO' -p1195 -aS'some\tsome\tDT\tB-NP\tO' -p1196 -aS'fullness\tfullness\tNN\tI-NP\tO' -p1197 -aS'in\tin\tIN\tB-PP\tO' -p1198 -aS'the\tthe\tDT\tB-NP\tO' -p1199 -aS'suprapatellar\tsuprapatellar\tJJ\tI-NP\tO' -p1200 -aS'pouch\tpouch\tNN\tI-NP\tO' -p1201 -aS'.\t.\t.\tO\tO' -p1202 -asS'He had no carotid bruits .' -p1203 -(lp1204 -S'He\tHe\tPRP\tB-NP\tO' -p1205 -aS'had\thave\tVBD\tB-VP\tO' -p1206 -aS'no\tno\tDT\tB-NP\tO' -p1207 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p1208 -aS'bruits\tbruit\tNNS\tI-NP\tO' -p1209 -aS'.\t.\t.\tO\tO' -p1210 -asS'Her liver function tests and amylase and lipase were followed closely .' -p1211 -(lp1212 -S'Her\tHer\tPRP$\tB-NP\tO' -p1213 -aS'liver\tliver\tNN\tI-NP\tO' -p1214 -aS'function\tfunction\tNN\tI-NP\tO' -p1215 -aS'tests\ttest\tNNS\tI-NP\tO' -p1216 -aS'and\tand\tCC\tO\tO' -p1217 -aS'amylase\tamylase\tNN\tB-NP\tB-protein' -p1218 -aS'and\tand\tCC\tI-NP\tO' -p1219 -aS'lipase\tlipase\tNN\tI-NP\tO' -p1220 -aS'were\tbe\tVBD\tB-VP\tO' -p1221 -aS'followed\tfollow\tVBN\tI-VP\tO' -p1222 -aS'closely\tclosely\tRB\tB-ADVP\tO' -p1223 -aS'.\t.\t.\tO\tO' -p1224 -asS'An ECHO did not reveal any wall motion abnormalities related to ischemia .' -p1225 -(lp1226 -S'An\tAn\tDT\tB-NP\tO' -p1227 -aS'ECHO\tECHO\tNN\tI-NP\tB-protein' -p1228 -aS'did\tdo\tVBD\tB-VP\tO' -p1229 -aS'not\tnot\tRB\tI-VP\tO' -p1230 -aS'reveal\treveal\tVB\tI-VP\tO' -p1231 -aS'any\tany\tDT\tB-NP\tO' -p1232 -aS'wall\twall\tNN\tI-NP\tO' -p1233 -aS'motion\tmotion\tNN\tI-NP\tO' -p1234 -aS'abnormalities\tabnormality\tNNS\tI-NP\tO' -p1235 -aS'related\trelate\tVBN\tB-VP\tO' -p1236 -aS'to\tto\tTO\tB-PP\tO' -p1237 -aS'ischemia\tischemia\tNN\tB-NP\tO' -p1238 -aS'.\t.\t.\tO\tO' -p1239 -asS'On 05/17/2004 the patient underwent atotal abdominal hysterectomy , bilateral salpingooophorectomy , bilateral node dissection , omentectomy , lysis of adhesions , removal of mass from surface of transverse colon .' -p1240 -(lp1241 -S'On\tOn\tIN\tB-PP\tO' -p1242 -aS'05/17/2004\t05/17/2004\tCD\tB-NP\tO' -p1243 -aS'the\tthe\tDT\tB-NP\tO' -p1244 -aS'patient\tpatient\tNN\tI-NP\tO' -p1245 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p1246 -aS'atotal\tatotal\tJJ\tB-NP\tO' -p1247 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p1248 -aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' -p1249 -aS',\t,\t,\tO\tO' -p1250 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p1251 -aS'salpingooophorectomy\tsalpingooophorectomy\tNN\tI-NP\tO' -p1252 -aS',\t,\t,\tO\tO' -p1253 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p1254 -aS'node\tnode\tNN\tI-NP\tO' -p1255 -aS'dissection\tdissection\tNN\tI-NP\tO' -p1256 -aS',\t,\t,\tO\tO' -p1257 -aS'omentectomy\tomentectomy\tNN\tB-NP\tO' -p1258 -aS',\t,\t,\tO\tO' -p1259 -aS'lysis\tlysis\tNN\tB-NP\tO' -p1260 -aS'of\tof\tIN\tB-PP\tO' -p1261 -aS'adhesions\tadhesion\tNNS\tB-NP\tO' -p1262 -aS',\t,\t,\tO\tO' -p1263 -aS'removal\tremoval\tNN\tB-NP\tO' -p1264 -aS'of\tof\tIN\tB-PP\tO' -p1265 -aS'mass\tmass\tNN\tB-NP\tO' -p1266 -aS'from\tfrom\tIN\tB-PP\tO' -p1267 -aS'surface\tsurface\tNN\tB-NP\tO' -p1268 -aS'of\tof\tIN\tB-PP\tO' -p1269 -aS'transverse\ttransverse\tJJ\tB-NP\tO' -p1270 -aS'colon\tcolon\tNN\tI-NP\tO' -p1271 -aS'.\t.\t.\tO\tO' -p1272 -asS'She is now able to walk fitfully and use her left hand with no problem .' -p1273 -(lp1274 -S'She\tShe\tPRP\tB-NP\tO' -p1275 -aS'is\tbe\tVBZ\tB-VP\tO' -p1276 -aS'now\tnow\tRB\tB-ADVP\tO' -p1277 -aS'able\table\tJJ\tB-ADJP\tO' -p1278 -aS'to\tto\tTO\tB-VP\tO' -p1279 -aS'walk\twalk\tVB\tI-VP\tO' -p1280 -aS'fitfully\tfitfully\tRB\tB-ADVP\tO' -p1281 -aS'and\tand\tCC\tO\tO' -p1282 -aS'use\tuse\tVB\tB-VP\tO' -p1283 -aS'her\ther\tPRP$\tB-NP\tO' -p1284 -aS'left\tleft\tJJ\tI-NP\tO' -p1285 -aS'hand\thand\tNN\tI-NP\tO' -p1286 -aS'with\twith\tIN\tB-PP\tO' -p1287 -aS'no\tno\tDT\tB-NP\tO' -p1288 -aS'problem\tproblem\tNN\tI-NP\tO' -p1289 -aS'.\t.\t.\tO\tO' -p1290 -asS'Hematocrit was 30.6 .' -p1291 -(lp1292 -S'Hematocrit\tHematocrit\tNN\tB-NP\tB-protein' -p1293 -aS'was\tbe\tVBD\tB-VP\tI-protein' -p1294 -aS'30.6\t30.6\tCD\tB-NP\tI-protein' -p1295 -aS'.\t.\t.\tO\tO' -p1296 -asS'pupils reactive to light , extra ocular movements show good upgaze up to 3 mm. , good down gaze .' -p1297 -(lp1298 -S'pupils\tpupil\tNNS\tB-NP\tO' -p1299 -aS'reactive\treactive\tJJ\tB-ADJP\tO' -p1300 -aS'to\tto\tTO\tB-PP\tO' -p1301 -aS'light\tlight\tJJ\tB-NP\tO' -p1302 -aS',\t,\t,\tI-NP\tO' -p1303 -aS'extra\textra\tJJ\tI-NP\tO' -p1304 -aS'ocular\tocular\tJJ\tI-NP\tO' -p1305 -aS'movements\tmovement\tNNS\tI-NP\tO' -p1306 -aS'show\tshow\tVBP\tB-VP\tO' -p1307 -aS'good\tgood\tJJ\tB-NP\tO' -p1308 -aS'upgaze\tupgaze\tNN\tI-NP\tO' -p1309 -aS'up\tup\tIN\tB-NP\tO' -p1310 -aS'to\tto\tTO\tI-NP\tO' -p1311 -aS'3\t3\tCD\tI-NP\tO' -p1312 -aS'mm.\tmm.\tNN\tI-NP\tO' -p1313 -aS',\t,\t,\tO\tO' -p1314 -aS'good\tgood\tJJ\tB-ADJP\tO' -p1315 -aS'down\tdown\tIN\tB-PP\tO' -p1316 -aS'gaze\tgaze\tNN\tB-NP\tO' -p1317 -aS'.\t.\t.\tO\tO' -p1318 -asS'The pelvis was stable .' -p1319 -(lp1320 -S'The\tThe\tDT\tB-NP\tO' -p1321 -aS'pelvis\tpelvis\tNN\tI-NP\tO' -p1322 -aS'was\tbe\tVBD\tB-VP\tO' -p1323 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p1324 -aS'.\t.\t.\tO\tO' -p1325 -asS'He was not resuscitated as per previous conversations with his wife .' -p1326 -(lp1327 -S'He\tHe\tPRP\tB-NP\tO' -p1328 -aS'was\tbe\tVBD\tB-VP\tO' -p1329 -aS'not\tnot\tRB\tI-VP\tO' -p1330 -aS'resuscitated\tresuscitate\tVBN\tI-VP\tO' -p1331 -aS'as\tas\tIN\tB-SBAR\tO' -p1332 -aS'per\tper\tIN\tB-PP\tO' -p1333 -aS'previous\tprevious\tJJ\tB-NP\tO' -p1334 -aS'conversations\tconversation\tNNS\tI-NP\tO' -p1335 -aS'with\twith\tIN\tB-PP\tO' -p1336 -aS'his\this\tPRP$\tB-NP\tO' -p1337 -aS'wife\twife\tNN\tI-NP\tO' -p1338 -aS'.\t.\t.\tO\tO' -p1339 -asS'She tolerated the operation well , and was transferred from the operating room to the Cardiothoracic Intensive Care Unit .' -p1340 -(lp1341 -S'She\tShe\tPRP\tB-NP\tO' -p1342 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p1343 -aS'the\tthe\tDT\tB-NP\tO' -p1344 -aS'operation\toperation\tNN\tI-NP\tO' -p1345 -aS'well\twell\tRB\tB-ADVP\tO' -p1346 -aS',\t,\t,\tO\tO' -p1347 -aS'and\tand\tCC\tO\tO' -p1348 -aS'was\tbe\tVBD\tB-VP\tO' -p1349 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p1350 -aS'from\tfrom\tIN\tB-PP\tO' -p1351 -aS'the\tthe\tDT\tB-NP\tO' -p1352 -aS'operating\toperating\tNN\tI-NP\tO' -p1353 -aS'room\troom\tNN\tI-NP\tO' -p1354 -aS'to\tto\tTO\tB-PP\tO' -p1355 -aS'the\tthe\tDT\tB-NP\tO' -p1356 -aS'Cardiothoracic\tCardiothoracic\tNNP\tI-NP\tO' -p1357 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p1358 -aS'Care\tCare\tNNP\tI-NP\tO' -p1359 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p1360 -aS'.\t.\t.\tO\tO' -p1361 -asS'Has a remote tobacco history .' -p1362 -(lp1363 -S'Has\tHas\tIN\tB-PP\tO' -p1364 -aS'a\ta\tDT\tB-NP\tO' -p1365 -aS'remote\tremote\tJJ\tI-NP\tO' -p1366 -aS'tobacco\ttobacco\tNN\tI-NP\tO' -p1367 -aS'history\thistory\tNN\tI-NP\tO' -p1368 -aS'.\t.\t.\tO\tO' -p1369 -asS'High calorie , high protein .' -p1370 -(lp1371 -S'High\tHigh\tJJ\tB-NP\tO' -p1372 -aS'calorie\tcalorie\tNN\tI-NP\tO' -p1373 -aS',\t,\t,\tO\tO' -p1374 -aS'high\thigh\tJJ\tB-NP\tO' -p1375 -aS'protein\tprotein\tNN\tI-NP\tO' -p1376 -aS'.\t.\t.\tO\tO' -p1377 -asS'The heart rate 64 .' -p1378 -(lp1379 -S'The\tThe\tDT\tB-NP\tO' -p1380 -aS'heart\theart\tNN\tI-NP\tO' -p1381 -aS'rate\trate\tNN\tI-NP\tO' -p1382 -aS'64\t64\tCD\tI-NP\tO' -p1383 -aS'.\t.\t.\tO\tO' -p1384 -asS'In the acute setting , he had been started on levofloxacin , Flagyl , and Vancomycin .' -p1385 -(lp1386 -S'In\tIn\tIN\tB-PP\tO' -p1387 -aS'the\tthe\tDT\tB-NP\tO' -p1388 -aS'acute\tacute\tJJ\tI-NP\tO' -p1389 -aS'setting\tsetting\tNN\tI-NP\tO' -p1390 -aS',\t,\t,\tO\tO' -p1391 -aS'he\the\tPRP\tB-NP\tO' -p1392 -aS'had\thave\tVBD\tB-VP\tO' -p1393 -aS'been\tbe\tVBN\tI-VP\tO' -p1394 -aS'started\tstart\tVBN\tI-VP\tO' -p1395 -aS'on\ton\tIN\tB-PP\tO' -p1396 -aS'levofloxacin\tlevofloxacin\tNN\tB-NP\tO' -p1397 -aS',\t,\t,\tO\tO' -p1398 -aS'Flagyl\tFlagyl\tNN\tB-NP\tO' -p1399 -aS',\t,\t,\tO\tO' -p1400 -aS'and\tand\tCC\tO\tO' -p1401 -aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' -p1402 -aS'.\t.\t.\tO\tO' -p1403 -asS'Colace 100 mg p.o. twice a day .' -p1404 -(lp1405 -S'Colace\tColace\tNNP\tB-NP\tO' -p1406 -aS'100\t100\tCD\tI-NP\tO' -p1407 -aS'mg\tmg\tNN\tI-NP\tO' -p1408 -aS'p.o.\tp.o.\tRB\tB-NP\tO' -p1409 -aS'twice\ttwice\tRB\tI-NP\tO' -p1410 -aS'a\ta\tDT\tI-NP\tO' -p1411 -aS'day\tday\tNN\tI-NP\tO' -p1412 -aS'.\t.\t.\tO\tO' -p1413 -asS'He should follow-up with his cardiologist in one to two weeks for optimization of his medications .' -p1414 -(lp1415 -S'He\tHe\tPRP\tB-NP\tO' -p1416 -aS'should\tshould\tMD\tB-VP\tO' -p1417 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p1418 -aS'with\twith\tIN\tB-PP\tO' -p1419 -aS'his\this\tPRP$\tB-NP\tO' -p1420 -aS'cardiologist\tcardiologist\tNN\tI-NP\tO' -p1421 -aS'in\tin\tIN\tB-PP\tO' -p1422 -aS'one\tone\tCD\tB-NP\tO' -p1423 -aS'to\tto\tTO\tI-NP\tO' -p1424 -aS'two\ttwo\tCD\tI-NP\tO' -p1425 -aS'weeks\tweek\tNNS\tI-NP\tO' -p1426 -aS'for\tfor\tIN\tB-PP\tO' -p1427 -aS'optimization\toptimization\tNN\tB-NP\tO' -p1428 -aS'of\tof\tIN\tB-PP\tO' -p1429 -aS'his\this\tPRP$\tB-NP\tO' -p1430 -aS'medications\tmedication\tNNS\tI-NP\tO' -p1431 -aS'.\t.\t.\tO\tO' -p1432 -asS'Echocardiogram no longer shows wall motion abnormalities .' -p1433 -(lp1434 -S'Echocardiogram\tEchocardiogram\tNNP\tB-NP\tO' -p1435 -aS'no\tno\tDT\tB-NP\tO' -p1436 -aS'longer\tlonger\tNN\tI-NP\tO' -p1437 -aS'shows\tshow\tVBZ\tB-VP\tO' -p1438 -aS'wall\twall\tNN\tB-NP\tO' -p1439 -aS'motion\tmotion\tNN\tI-NP\tO' -p1440 -aS'abnormalities\tabnormality\tNNS\tI-NP\tO' -p1441 -aS'.\t.\t.\tO\tO' -p1442 -asS'On 6-12-91 the patient was admitted to Ingtermst.gay Health Center with fever , hypertension , and diarrhea .' -p1443 -(lp1444 -S'On\tOn\tIN\tB-PP\tO' -p1445 -aS'6-12-91\t6-12-91\tCD\tB-NP\tO' -p1446 -aS'the\tthe\tDT\tB-NP\tO' -p1447 -aS'patient\tpatient\tNN\tI-NP\tO' -p1448 -aS'was\tbe\tVBD\tB-VP\tO' -p1449 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p1450 -aS'to\tto\tTO\tB-PP\tO' -p1451 -aS'Ingtermst.gay\tIngtermst.gay\tNNP\tB-NP\tO' -p1452 -aS'Health\tHealth\tNNP\tI-NP\tO' -p1453 -aS'Center\tCenter\tNNP\tI-NP\tO' -p1454 -aS'with\twith\tIN\tB-PP\tO' -p1455 -aS'fever\tfever\tNN\tB-NP\tO' -p1456 -aS',\t,\t,\tO\tO' -p1457 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p1458 -aS',\t,\t,\tO\tO' -p1459 -aS'and\tand\tCC\tO\tO' -p1460 -aS'diarrhea\tdiarrhea\tNN\tB-NP\tO' -p1461 -aS'.\t.\t.\tO\tO' -p1462 -asS'At the time , blood , urine and bile was sent for culture , which were all negative .' -p1463 -(lp1464 -S'At\tAt\tIN\tB-PP\tO' -p1465 -aS'the\tthe\tDT\tB-NP\tO' -p1466 -aS'time\ttime\tNN\tI-NP\tO' -p1467 -aS',\t,\t,\tO\tO' -p1468 -aS'blood\tblood\tNN\tB-NP\tO' -p1469 -aS',\t,\t,\tO\tO' -p1470 -aS'urine\turine\tNN\tB-NP\tO' -p1471 -aS'and\tand\tCC\tI-NP\tO' -p1472 -aS'bile\tbile\tNN\tI-NP\tO' -p1473 -aS'was\tbe\tVBD\tB-VP\tO' -p1474 -aS'sent\tsend\tVBN\tI-VP\tO' -p1475 -aS'for\tfor\tIN\tB-PP\tO' -p1476 -aS'culture\tculture\tNN\tB-NP\tO' -p1477 -aS',\t,\t,\tO\tO' -p1478 -aS'which\twhich\tWDT\tB-NP\tO' -p1479 -aS'were\tbe\tVBD\tB-VP\tO' -p1480 -aS'all\tall\tDT\tO\tO' -p1481 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p1482 -aS'.\t.\t.\tO\tO' -p1483 -asS'It also showed a thickened gallbladder wall as well as a dilated common bile duct .' -p1484 -(lp1485 -S'It\tIt\tPRP\tB-NP\tO' -p1486 -aS'also\talso\tRB\tB-ADVP\tO' -p1487 -aS'showed\tshow\tVBD\tB-VP\tO' -p1488 -aS'a\ta\tDT\tB-NP\tO' -p1489 -aS'thickened\tthicken\tVBN\tI-NP\tO' -p1490 -aS'gallbladder\tgallbladder\tNN\tI-NP\tO' -p1491 -aS'wall\twall\tNN\tI-NP\tO' -p1492 -aS'as\tas\tRB\tB-CONJP\tO' -p1493 -aS'well\twell\tRB\tI-CONJP\tO' -p1494 -aS'as\tas\tIN\tI-CONJP\tO' -p1495 -aS'a\ta\tDT\tB-NP\tO' -p1496 -aS'dilated\tdilated\tJJ\tI-NP\tO' -p1497 -aS'common\tcommon\tJJ\tI-NP\tO' -p1498 -aS'bile\tbile\tNN\tI-NP\tO' -p1499 -aS'duct\tduct\tNN\tI-NP\tO' -p1500 -aS'.\t.\t.\tO\tO' -p1501 -asS'7) Potassium 20 mEq p.o. q. day .' -p1502 -(lp1503 -S'7)\t7)\tCD\tB-NP\tO' -p1504 -aS'Potassium\tPotassium\tNN\tI-NP\tO' -p1505 -aS'20\t20\tCD\tB-NP\tO' -p1506 -aS'mEq\tmEq\tNN\tI-NP\tO' -p1507 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p1508 -aS'q.\tq.\tNN\tI-NP\tO' -p1509 -aS'day\tday\tNN\tI-NP\tO' -p1510 -aS'.\t.\t.\tO\tO' -p1511 -asS'A computerized axial tomography scan of his head at that time did not reveal any extra or intracranial hemorrhage .' -p1512 -(lp1513 -S'A\tA\tDT\tB-NP\tO' -p1514 -aS'computerized\tcomputerized\tJJ\tI-NP\tO' -p1515 -aS'axial\taxial\tJJ\tI-NP\tO' -p1516 -aS'tomography\ttomography\tNN\tI-NP\tO' -p1517 -aS'scan\tscan\tNN\tI-NP\tO' -p1518 -aS'of\tof\tIN\tB-PP\tO' -p1519 -aS'his\this\tPRP$\tB-NP\tO' -p1520 -aS'head\thead\tNN\tI-NP\tO' -p1521 -aS'at\tat\tIN\tB-PP\tO' -p1522 -aS'that\tthat\tDT\tB-NP\tO' -p1523 -aS'time\ttime\tNN\tI-NP\tO' -p1524 -aS'did\tdo\tVBD\tB-VP\tO' -p1525 -aS'not\tnot\tRB\tI-VP\tO' -p1526 -aS'reveal\treveal\tVB\tI-VP\tO' -p1527 -aS'any\tany\tDT\tB-NP\tO' -p1528 -aS'extra\textra\tJJ\tI-NP\tO' -p1529 -aS'or\tor\tCC\tI-NP\tO' -p1530 -aS'intracranial\tintracranial\tJJ\tI-NP\tO' -p1531 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p1532 -aS'.\t.\t.\tO\tO' -p1533 -asS'Boston Regional Medical Centerr Visiting Nurse Association has been asked to visit this family at home to follow up on feeding and' -p1534 -(lp1535 -S'Boston\tBoston\tNNP\tB-NP\tO' -p1536 -aS'Regional\tRegional\tNNP\tI-NP\tO' -p1537 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p1538 -aS'Centerr\tCenterr\tNNP\tI-NP\tO' -p1539 -aS'Visiting\tVisiting\tNNP\tI-NP\tO' -p1540 -aS'Nurse\tNurse\tNNP\tI-NP\tO' -p1541 -aS'Association\tAssociation\tNNP\tI-NP\tO' -p1542 -aS'has\thave\tVBZ\tB-VP\tO' -p1543 -aS'been\tbe\tVBN\tI-VP\tO' -p1544 -aS'asked\task\tVBN\tI-VP\tO' -p1545 -aS'to\tto\tTO\tB-VP\tO' -p1546 -aS'visit\tvisit\tVB\tI-VP\tO' -p1547 -aS'this\tthis\tDT\tB-NP\tO' -p1548 -aS'family\tfamily\tNN\tI-NP\tO' -p1549 -aS'at\tat\tIN\tB-PP\tO' -p1550 -aS'home\thome\tNN\tB-NP\tO' -p1551 -aS'to\tto\tTO\tB-VP\tO' -p1552 -aS'follow\tfollow\tVB\tI-VP\tO' -p1553 -aS'up\tup\tRP\tB-PRT\tO' -p1554 -aS'on\ton\tIN\tB-PP\tO' -p1555 -aS'feeding\tfeeding\tNN\tB-NP\tO' -p1556 -aS'and\tand\tCC\tO\tO' -p1557 -asS'2. Visiting Nurses Association of the L.F. Quigley Memorial Hospital will visit on Sunday , 2013-05-12 .' -p1558 -(lp1559 -S'2.\t2.\tLS\tB-NP\tO' -p1560 -aS'Visiting\tVisiting\tNNP\tI-NP\tO' -p1561 -aS'Nurses\tNurses\tNNP\tI-NP\tO' -p1562 -aS'Association\tAssociation\tNNP\tI-NP\tO' -p1563 -aS'of\tof\tIN\tB-PP\tO' -p1564 -aS'the\tthe\tDT\tB-NP\tO' -p1565 -aS'L.F.\tL.F.\tNNP\tI-NP\tO' -p1566 -aS'Quigley\tQuigley\tNNP\tI-NP\tO' -p1567 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p1568 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p1569 -aS'will\twill\tMD\tB-VP\tO' -p1570 -aS'visit\tvisit\tVB\tI-VP\tO' -p1571 -aS'on\ton\tIN\tB-PP\tO' -p1572 -aS'Sunday\tSunday\tNNP\tB-NP\tO' -p1573 -aS',\t,\t,\tO\tO' -p1574 -aS'2013-05-12\t2013-05-12\tCD\tB-NP\tO' -p1575 -aS'.\t.\t.\tO\tO' -p1576 -asS'The patient 's chest x-ray at the outside hospital was unremarkable .' -p1577 -(lp1578 -S'The\tThe\tDT\tB-NP\tO' -p1579 -aS'patient\tpatient\tNN\tI-NP\tO' -p1580 -aS''s\t'\tNNS\tI-NP\tO' -p1581 -aS'chest\tchest\tVBP\tB-VP\tO' -p1582 -aS'x-ray\tx-ray\tNN\tB-NP\tO' -p1583 -aS'at\tat\tIN\tB-PP\tO' -p1584 -aS'the\tthe\tDT\tB-NP\tO' -p1585 -aS'outside\toutside\tJJ\tI-NP\tO' -p1586 -aS'hospital\thospital\tNN\tI-NP\tO' -p1587 -aS'was\tbe\tVBD\tB-VP\tO' -p1588 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p1589 -aS'.\t.\t.\tO\tO' -p1590 -asS'Wound care was consulted on 2017-09-05 and they made several recommendations .' -p1591 -(lp1592 -S'Wound\tWound\tJJ\tB-NP\tO' -p1593 -aS'care\tcare\tNN\tI-NP\tO' -p1594 -aS'was\tbe\tVBD\tB-VP\tO' -p1595 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p1596 -aS'on\ton\tIN\tB-PP\tO' -p1597 -aS'2017-09-05\t2017-09-05\tCD\tB-NP\tO' -p1598 -aS'and\tand\tCC\tO\tO' -p1599 -aS'they\tthey\tPRP\tB-NP\tO' -p1600 -aS'made\tmake\tVBD\tB-VP\tO' -p1601 -aS'several\tseveral\tJJ\tB-NP\tO' -p1602 -aS'recommendations\trecommendation\tNNS\tI-NP\tO' -p1603 -aS'.\t.\t.\tO\tO' -p1604 -asS'Low cholesterol .' -p1605 -(lp1606 -S'Low\tLow\tJJ\tB-NP\tO' -p1607 -aS'cholesterol\tcholesterol\tNN\tI-NP\tO' -p1608 -aS'.\t.\t.\tO\tO' -p1609 -asS'He fell backwards , landing on his buttocks and bumped his head .' -p1610 -(lp1611 -S'He\tHe\tPRP\tB-NP\tO' -p1612 -aS'fell\tfall\tVBD\tB-VP\tO' -p1613 -aS'backwards\tbackward\tNNS\tB-NP\tO' -p1614 -aS',\t,\t,\tO\tO' -p1615 -aS'landing\tland\tVBG\tB-VP\tO' -p1616 -aS'on\ton\tIN\tB-PP\tO' -p1617 -aS'his\this\tPRP$\tB-NP\tO' -p1618 -aS'buttocks\tbuttock\tNNS\tI-NP\tO' -p1619 -aS'and\tand\tCC\tO\tO' -p1620 -aS'bumped\tbump\tVBD\tB-VP\tO' -p1621 -aS'his\this\tPRP$\tB-NP\tO' -p1622 -aS'head\thead\tNN\tI-NP\tO' -p1623 -aS'.\t.\t.\tO\tO' -p1624 -asS'White blood cell count 10.4 , hemoglobin 11.9 , platelets 124 , PT and PTT were within normal limits .' -p1625 -(lp1626 -S'White\tWhite\tJJ\tB-NP\tO' -p1627 -aS'blood\tblood\tNN\tI-NP\tO' -p1628 -aS'cell\tcell\tNN\tI-NP\tO' -p1629 -aS'count\tcount\tNN\tI-NP\tO' -p1630 -aS'10.4\t10.4\tCD\tB-NP\tO' -p1631 -aS',\t,\t,\tO\tO' -p1632 -aS'hemoglobin\themoglobin\tNN\tB-NP\tB-protein' -p1633 -aS'11.9\t11.9\tCD\tI-NP\tI-protein' -p1634 -aS',\t,\t,\tO\tO' -p1635 -aS'platelets\tplatelet\tNNS\tB-NP\tB-protein' -p1636 -aS'124\t124\tCD\tI-NP\tI-protein' -p1637 -aS',\t,\t,\tI-NP\tO' -p1638 -aS'PT\tPT\tNN\tI-NP\tO' -p1639 -aS'and\tand\tCC\tI-NP\tO' -p1640 -aS'PTT\tPTT\tNN\tI-NP\tO' -p1641 -aS'were\tbe\tVBD\tB-VP\tO' -p1642 -aS'within\twithin\tIN\tB-PP\tO' -p1643 -aS'normal\tnormal\tJJ\tB-NP\tO' -p1644 -aS'limits\tlimit\tNNS\tI-NP\tO' -p1645 -aS'.\t.\t.\tO\tO' -p1646 -asS'Included his pre-admission medications .' -p1647 -(lp1648 -S'Included\tInclude\tVBD\tB-VP\tO' -p1649 -aS'his\this\tPRP$\tB-NP\tO' -p1650 -aS'pre-admission\tpre-admission\tJJ\tI-NP\tO' -p1651 -aS'medications\tmedication\tNNS\tI-NP\tO' -p1652 -aS'.\t.\t.\tO\tO' -p1653 -asS'Oxacillin RESISTANT Staphylococci MUST be reported as also RESISTANT to other penicillins , cephalosporins , carbacephems , carbapenems , and beta-lactamase inhibitor combinations .' -p1654 -(lp1655 -S'Oxacillin\tOxacillin\tNNP\tB-NP\tO' -p1656 -aS'RESISTANT\tRESISTANT\tNNP\tI-NP\tO' -p1657 -aS'Staphylococci\tStaphylococci\tNNP\tI-NP\tO' -p1658 -aS'MUST\tMUST\tNNP\tI-NP\tO' -p1659 -aS'be\tbe\tVB\tB-VP\tO' -p1660 -aS'reported\treport\tVBN\tI-VP\tO' -p1661 -aS'as\tas\tIN\tB-PP\tO' -p1662 -aS'also\talso\tRB\tB-ADVP\tO' -p1663 -aS'RESISTANT\tRESISTANT\tNN\tB-NP\tO' -p1664 -aS'to\tto\tTO\tB-PP\tO' -p1665 -aS'other\tother\tJJ\tB-NP\tO' -p1666 -aS'penicillins\tpenicillin\tNNS\tI-NP\tB-protein' -p1667 -aS',\t,\t,\tO\tO' -p1668 -aS'cephalosporins\tcephalosporin\tNNS\tB-NP\tO' -p1669 -aS',\t,\t,\tO\tO' -p1670 -aS'carbacephems\tcarbacephem\tNNS\tB-NP\tO' -p1671 -aS',\t,\t,\tO\tO' -p1672 -aS'carbapenems\tcarbapenem\tNNS\tB-NP\tO' -p1673 -aS',\t,\t,\tO\tO' -p1674 -aS'and\tand\tCC\tO\tO' -p1675 -aS'beta-lactamase\tbeta-lactamase\tNN\tB-NP\tO' -p1676 -aS'inhibitor\tinhibitor\tNN\tI-NP\tO' -p1677 -aS'combinations\tcombination\tNNS\tI-NP\tO' -p1678 -aS'.\t.\t.\tO\tO' -p1679 -asS'She was given Bactrim and she had improvement in the shortness of breath after her Bactrim was started and improved room air sats and was sent home on Bactrim .' -p1680 -(lp1681 -S'She\tShe\tPRP\tB-NP\tO' -p1682 -aS'was\tbe\tVBD\tB-VP\tO' -p1683 -aS'given\tgive\tVBN\tI-VP\tO' -p1684 -aS'Bactrim\tBactrim\tNNP\tB-NP\tO' -p1685 -aS'and\tand\tCC\tO\tO' -p1686 -aS'she\tshe\tPRP\tB-NP\tO' -p1687 -aS'had\thave\tVBD\tB-VP\tO' -p1688 -aS'improvement\timprovement\tNN\tB-NP\tO' -p1689 -aS'in\tin\tIN\tB-PP\tO' -p1690 -aS'the\tthe\tDT\tB-NP\tO' -p1691 -aS'shortness\tshortness\tNN\tI-NP\tO' -p1692 -aS'of\tof\tIN\tB-PP\tO' -p1693 -aS'breath\tbreath\tNN\tB-NP\tO' -p1694 -aS'after\tafter\tIN\tB-PP\tO' -p1695 -aS'her\ther\tPRP$\tB-NP\tO' -p1696 -aS'Bactrim\tBactrim\tNN\tI-NP\tO' -p1697 -aS'was\tbe\tVBD\tB-VP\tO' -p1698 -aS'started\tstart\tVBN\tI-VP\tO' -p1699 -aS'and\tand\tCC\tI-VP\tO' -p1700 -aS'improved\timprove\tVBN\tI-VP\tO' -p1701 -aS'room\troom\tNN\tB-NP\tO' -p1702 -aS'air\tair\tNN\tI-NP\tO' -p1703 -aS'sats\tsat\tNNS\tI-NP\tO' -p1704 -aS'and\tand\tCC\tO\tO' -p1705 -aS'was\tbe\tVBD\tB-VP\tO' -p1706 -aS'sent\tsend\tVBN\tI-VP\tO' -p1707 -aS'home\thome\tNN\tB-ADVP\tO' -p1708 -aS'on\ton\tIN\tB-PP\tO' -p1709 -aS'Bactrim\tBactrim\tNNP\tB-NP\tO' -p1710 -aS'.\t.\t.\tO\tO' -p1711 -asS'He refused an NG lavage .' -p1712 -(lp1713 -S'He\tHe\tPRP\tB-NP\tO' -p1714 -aS'refused\trefuse\tVBD\tB-VP\tO' -p1715 -aS'an\tan\tDT\tB-NP\tO' -p1716 -aS'NG\tNG\tNN\tI-NP\tO' -p1717 -aS'lavage\tlavage\tNN\tI-NP\tO' -p1718 -aS'.\t.\t.\tO\tO' -p1719 -asS'Generally a well developed elderly man in no apparent distress sitting in bed .' -p1720 -(lp1721 -S'Generally\tGenerally\tRB\tB-ADVP\tO' -p1722 -aS'a\ta\tDT\tB-NP\tO' -p1723 -aS'well\twell\tRB\tI-NP\tO' -p1724 -aS'developed\tdevelop\tVBN\tI-NP\tO' -p1725 -aS'elderly\telderly\tJJ\tI-NP\tO' -p1726 -aS'man\tman\tNN\tI-NP\tO' -p1727 -aS'in\tin\tIN\tB-PP\tO' -p1728 -aS'no\tno\tDT\tB-NP\tO' -p1729 -aS'apparent\tapparent\tJJ\tI-NP\tO' -p1730 -aS'distress\tdistress\tNN\tI-NP\tO' -p1731 -aS'sitting\tsit\tVBG\tB-VP\tO' -p1732 -aS'in\tin\tIN\tB-PP\tO' -p1733 -aS'bed\tbed\tNN\tB-NP\tO' -p1734 -aS'.\t.\t.\tO\tO' -p1735 -asS'Breath sounds equal with fair aeration .' -p1736 -(lp1737 -S'Breath\tBreath\tNNP\tB-NP\tO' -p1738 -aS'sounds\tsound\tVBZ\tB-VP\tO' -p1739 -aS'equal\tequal\tJJ\tB-ADJP\tO' -p1740 -aS'with\twith\tIN\tB-PP\tO' -p1741 -aS'fair\tfair\tJJ\tB-NP\tO' -p1742 -aS'aeration\taeration\tNN\tI-NP\tO' -p1743 -aS'.\t.\t.\tO\tO' -p1744 -asS'Cardiovascular examination demonstrated a regular rate and rhythm with 2/6 cresendo / descrecendo murmur heard best at the apex with preservation of the second heart sound , no S3 or S4 .' -p1745 -(lp1746 -S'Cardiovascular\tCardiovascular\tJJ\tB-NP\tO' -p1747 -aS'examination\texamination\tNN\tI-NP\tO' -p1748 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p1749 -aS'a\ta\tDT\tB-NP\tO' -p1750 -aS'regular\tregular\tJJ\tI-NP\tO' -p1751 -aS'rate\trate\tNN\tI-NP\tO' -p1752 -aS'and\tand\tCC\tI-NP\tO' -p1753 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p1754 -aS'with\twith\tIN\tB-PP\tO' -p1755 -aS'2/6\t2/6\tCD\tB-NP\tO' -p1756 -aS'cresendo\tcresendo\tNN\tI-NP\tO' -p1757 -aS'/\t/\tSYM\tB-NP\tO' -p1758 -aS'descrecendo\tdescrecendo\tNN\tI-NP\tO' -p1759 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p1760 -aS'heard\thear\tVBD\tB-VP\tO' -p1761 -aS'best\twell\tRBS\tB-ADVP\tO' -p1762 -aS'at\tat\tIN\tB-PP\tO' -p1763 -aS'the\tthe\tDT\tB-NP\tO' -p1764 -aS'apex\tapex\tNN\tI-NP\tO' -p1765 -aS'with\twith\tIN\tB-PP\tO' -p1766 -aS'preservation\tpreservation\tNN\tB-NP\tO' -p1767 -aS'of\tof\tIN\tB-PP\tO' -p1768 -aS'the\tthe\tDT\tB-NP\tO' -p1769 -aS'second\tsecond\tJJ\tI-NP\tO' -p1770 -aS'heart\theart\tNN\tI-NP\tO' -p1771 -aS'sound\tsound\tNN\tI-NP\tO' -p1772 -aS',\t,\t,\tO\tO' -p1773 -aS'no\tno\tDT\tB-NP\tO' -p1774 -aS'S3\tS3\tNN\tI-NP\tB-protein' -p1775 -aS'or\tor\tCC\tI-NP\tO' -p1776 -aS'S4\tS4\tNN\tI-NP\tB-protein' -p1777 -aS'.\t.\t.\tO\tO' -p1778 -asS'Her Lopressor dose was progressively increased to 100 mg tid .' -p1779 -(lp1780 -S'Her\tHer\tPRP$\tB-NP\tO' -p1781 -aS'Lopressor\tLopressor\tNN\tI-NP\tO' -p1782 -aS'dose\tdose\tNN\tI-NP\tO' -p1783 -aS'was\tbe\tVBD\tB-VP\tO' -p1784 -aS'progressively\tprogressively\tRB\tI-VP\tO' -p1785 -aS'increased\tincrease\tVBN\tI-VP\tO' -p1786 -aS'to\tto\tTO\tB-PP\tO' -p1787 -aS'100\t100\tCD\tB-NP\tO' -p1788 -aS'mg\tmg\tNN\tI-NP\tO' -p1789 -aS'tid\ttid\tNN\tI-NP\tO' -p1790 -aS'.\t.\t.\tO\tO' -p1791 -asS'This is a 44 - year-old male with a history of coronary artery disease , status post myocardial infarction in 9/02 , status post stent proximal and mid-RCA lesion and OM lesion .' -p1792 -(lp1793 -S'This\tThis\tDT\tB-NP\tO' -p1794 -aS'is\tbe\tVBZ\tB-VP\tO' -p1795 -aS'a\ta\tDT\tB-NP\tO' -p1796 -aS'44\t44\tCD\tI-NP\tO' -p1797 -aS'-\t-\tHYPH\tI-NP\tO' -p1798 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p1799 -aS'male\tmale\tNN\tI-NP\tO' -p1800 -aS'with\twith\tIN\tB-PP\tO' -p1801 -aS'a\ta\tDT\tB-NP\tO' -p1802 -aS'history\thistory\tNN\tI-NP\tO' -p1803 -aS'of\tof\tIN\tB-PP\tO' -p1804 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p1805 -aS'artery\tartery\tNN\tI-NP\tO' -p1806 -aS'disease\tdisease\tNN\tI-NP\tO' -p1807 -aS',\t,\t,\tO\tO' -p1808 -aS'status\tstatus\tNN\tB-NP\tO' -p1809 -aS'post\tpost\tNN\tI-NP\tO' -p1810 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p1811 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p1812 -aS'in\tin\tIN\tB-PP\tO' -p1813 -aS'9/02\t9/02\tCD\tB-NP\tO' -p1814 -aS',\t,\t,\tO\tO' -p1815 -aS'status\tstatus\tNN\tB-NP\tO' -p1816 -aS'post\tpost\tVBD\tB-VP\tO' -p1817 -aS'stent\tstent\tJJ\tB-NP\tO' -p1818 -aS'proximal\tproximal\tJJ\tI-NP\tO' -p1819 -aS'and\tand\tCC\tI-NP\tO' -p1820 -aS'mid-RCA\tmid-RCA\tJJ\tI-NP\tO' -p1821 -aS'lesion\tlesion\tNN\tI-NP\tO' -p1822 -aS'and\tand\tCC\tI-NP\tO' -p1823 -aS'OM\tOM\tNN\tI-NP\tO' -p1824 -aS'lesion\tlesion\tNN\tI-NP\tO' -p1825 -aS'.\t.\t.\tO\tO' -p1826 -asS'Discharge Diagnosis : patient passed away' -p1827 -(lp1828 -S'Discharge\tDischarge\tNNP\tB-NP\tO' -p1829 -aS'Diagnosis\tDiagnosis\tNNP\tI-NP\tO' -p1830 -aS':\t:\t:\tO\tO' -p1831 -aS'patient\tpatient\tNN\tB-NP\tO' -p1832 -aS'passed\tpass\tVBD\tB-VP\tO' -p1833 -aS'away\taway\tRB\tB-ADVP\tO' -p1834 -asS'AST 82 .' -p1835 -(lp1836 -S'AST\tAST\tRB\tB-NP\tO' -p1837 -aS'82\t82\tCD\tI-NP\tO' -p1838 -aS'.\t.\t.\tO\tO' -p1839 -asS'So , she was admitted to Shaugnessy-Kaplan Rehab Hospital on 2015-07-10 .' -p1840 -(lp1841 -S'So\tSo\tRB\tB-ADVP\tO' -p1842 -aS',\t,\t,\tO\tO' -p1843 -aS'she\tshe\tPRP\tB-NP\tO' -p1844 -aS'was\tbe\tVBD\tB-VP\tO' -p1845 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p1846 -aS'to\tto\tTO\tB-PP\tO' -p1847 -aS'Shaugnessy-Kaplan\tShaugnessy-Kaplan\tNNP\tB-NP\tO' -p1848 -aS'Rehab\tRehab\tNNP\tI-NP\tO' -p1849 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p1850 -aS'on\ton\tIN\tB-PP\tO' -p1851 -aS'2015-07-10\t2015-07-10\tCD\tB-NP\tO' -p1852 -aS'.\t.\t.\tO\tO' -p1853 -asS'A chest x-ray on admission showed effusions consistent with CHF along with overlying pnumonia .' -p1854 -(lp1855 -S'A\tA\tDT\tB-NP\tO' -p1856 -aS'chest\tch\tJJS\tI-NP\tO' -p1857 -aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' -p1858 -aS'on\ton\tIN\tB-PP\tO' -p1859 -aS'admission\tadmission\tNN\tB-NP\tO' -p1860 -aS'showed\tshow\tVBD\tB-VP\tO' -p1861 -aS'effusions\teffusion\tNNS\tB-NP\tO' -p1862 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p1863 -aS'with\twith\tIN\tB-PP\tO' -p1864 -aS'CHF\tCHF\tNN\tB-NP\tB-protein' -p1865 -aS'along\talong\tIN\tB-PP\tO' -p1866 -aS'with\twith\tIN\tB-PP\tO' -p1867 -aS'overlying\toverlie\tVBG\tB-VP\tO' -p1868 -aS'pnumonia\tpnumonia\tNN\tB-NP\tO' -p1869 -aS'.\t.\t.\tO\tO' -p1870 -asS'Oxazepam 15mg qhs tizamidine 8mg qhs actonel 35 qwed' -p1871 -(lp1872 -S'Oxazepam\tOxazepam\tNN\tB-NP\tO' -p1873 -aS'15mg\t15mg\tNN\tI-NP\tO' -p1874 -aS'qhs\tqh\tVBZ\tB-VP\tO' -p1875 -aS'tizamidine\ttizamidine\tNN\tB-NP\tO' -p1876 -aS'8mg\t8mg\tNN\tI-NP\tO' -p1877 -aS'qhs\tqh\tNNS\tI-NP\tO' -p1878 -aS'actonel\tactonel\tNN\tB-NP\tO' -p1879 -aS'35\t35\tCD\tI-NP\tO' -p1880 -aS'qwed\tqwe\tVBD\tB-VP\tO' -p1881 -asS'smoking cessation group will contact you at home' -p1882 -(lp1883 -S'smoking\tsmoking\tNN\tB-NP\tO' -p1884 -aS'cessation\tcessation\tNN\tI-NP\tO' -p1885 -aS'group\tgroup\tNN\tI-NP\tO' -p1886 -aS'will\twill\tMD\tB-VP\tO' -p1887 -aS'contact\tcontact\tVB\tI-VP\tO' -p1888 -aS'you\tyou\tPRP\tB-NP\tO' -p1889 -aS'at\tat\tIN\tB-PP\tO' -p1890 -aS'home\thome\tNN\tB-NP\tO' -p1891 -asS'Despite Augmentin , the patient 's delirium worsened in the 24 hours prior to admission , and her temperature was up to 102 .' -p1892 -(lp1893 -S'Despite\tDespite\tIN\tB-PP\tO' -p1894 -aS'Augmentin\tAugmentin\tNNP\tB-NP\tO' -p1895 -aS',\t,\t,\tO\tO' -p1896 -aS'the\tthe\tDT\tB-NP\tO' -p1897 -aS'patient\tpatient\tNN\tI-NP\tO' -p1898 -aS''s\t'\tNNS\tI-NP\tO' -p1899 -aS'delirium\tdelirium\tNN\tI-NP\tO' -p1900 -aS'worsened\tworsen\tVBD\tB-VP\tO' -p1901 -aS'in\tin\tIN\tB-PP\tO' -p1902 -aS'the\tthe\tDT\tB-NP\tO' -p1903 -aS'24\t24\tCD\tI-NP\tO' -p1904 -aS'hours\thour\tNNS\tI-NP\tO' -p1905 -aS'prior\tprior\tRB\tB-ADVP\tO' -p1906 -aS'to\tto\tTO\tB-PP\tO' -p1907 -aS'admission\tadmission\tNN\tB-NP\tO' -p1908 -aS',\t,\t,\tO\tO' -p1909 -aS'and\tand\tCC\tO\tO' -p1910 -aS'her\ther\tPRP$\tB-NP\tO' -p1911 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p1912 -aS'was\tbe\tVBD\tB-VP\tO' -p1913 -aS'up\tup\tRB\tB-ADVP\tO' -p1914 -aS'to\tto\tTO\tB-PP\tO' -p1915 -aS'102\t102\tCD\tB-NP\tO' -p1916 -aS'.\t.\t.\tO\tO' -p1917 -asS'The rash was always localized to her left side , sometimes extending down to her leg , but never on the right side .' -p1918 -(lp1919 -S'The\tThe\tDT\tB-NP\tO' -p1920 -aS'rash\trash\tNN\tI-NP\tO' -p1921 -aS'was\tbe\tVBD\tB-VP\tO' -p1922 -aS'always\talways\tRB\tB-ADVP\tO' -p1923 -aS'localized\tlocalized\tJJ\tB-ADJP\tO' -p1924 -aS'to\tto\tTO\tB-PP\tO' -p1925 -aS'her\ther\tPRP$\tB-NP\tO' -p1926 -aS'left\tleft\tJJ\tI-NP\tO' -p1927 -aS'side\tside\tNN\tI-NP\tO' -p1928 -aS',\t,\t,\tO\tO' -p1929 -aS'sometimes\tsometimes\tRB\tB-ADVP\tO' -p1930 -aS'extending\textend\tVBG\tB-VP\tO' -p1931 -aS'down\tdown\tRP\tB-PRT\tO' -p1932 -aS'to\tto\tTO\tB-PP\tO' -p1933 -aS'her\ther\tPRP$\tB-NP\tO' -p1934 -aS'leg\tleg\tNN\tI-NP\tO' -p1935 -aS',\t,\t,\tO\tO' -p1936 -aS'but\tbut\tCC\tO\tO' -p1937 -aS'never\tnever\tRB\tB-ADVP\tO' -p1938 -aS'on\ton\tIN\tB-PP\tO' -p1939 -aS'the\tthe\tDT\tB-NP\tO' -p1940 -aS'right\tright\tJJ\tI-NP\tO' -p1941 -aS'side\tside\tNN\tI-NP\tO' -p1942 -aS'.\t.\t.\tO\tO' -p1943 -asS'Denies any pain or discomfort .' -p1944 -(lp1945 -S'Denies\tDeny\tNNS\tB-NP\tO' -p1946 -aS'any\tany\tDT\tB-NP\tO' -p1947 -aS'pain\tpain\tNN\tI-NP\tO' -p1948 -aS'or\tor\tCC\tI-NP\tO' -p1949 -aS'discomfort\tdiscomfort\tNN\tI-NP\tO' -p1950 -aS'.\t.\t.\tO\tO' -p1951 -asS'Weight 3.325 kg , length was 20 inches i.e. 51 cm , head circumference 34.5 cm .' -p1952 -(lp1953 -S'Weight\tWeight\tRB\tB-NP\tO' -p1954 -aS'3.325\t3.325\tCD\tI-NP\tO' -p1955 -aS'kg\tkg\tNN\tI-NP\tO' -p1956 -aS',\t,\t,\tO\tO' -p1957 -aS'length\tlength\tNN\tB-NP\tO' -p1958 -aS'was\tbe\tVBD\tB-VP\tO' -p1959 -aS'20\t20\tCD\tB-NP\tO' -p1960 -aS'inches\tinch\tNNS\tI-NP\tO' -p1961 -aS'i.e.\ti.e.\tFW\tB-NP\tO' -p1962 -aS'51\t51\tCD\tI-NP\tO' -p1963 -aS'cm\tcm\tNN\tI-NP\tO' -p1964 -aS',\t,\t,\tO\tO' -p1965 -aS'head\thead\tNN\tB-NP\tO' -p1966 -aS'circumference\tcircumference\tNN\tI-NP\tO' -p1967 -aS'34.5\t34.5\tCD\tI-NP\tO' -p1968 -aS'cm\tcm\tNN\tI-NP\tO' -p1969 -aS'.\t.\t.\tO\tO' -p1970 -asS'4. Gastrointestinal .' -p1971 -(lp1972 -S'4.\t4.\tLS\tB-LST\tO' -p1973 -aS'Gastrointestinal\tGastrointestinal\tNNP\tB-NP\tO' -p1974 -aS'.\t.\t.\tO\tO' -p1975 -asS'Surgical pathology report was completed prior to discharge which revealed poorly differentiated adenocarcinoma ulcerating and extending through the wall into the serosa of the stomach .' -p1976 -(lp1977 -S'Surgical\tSurgical\tJJ\tB-NP\tO' -p1978 -aS'pathology\tpathology\tNN\tI-NP\tO' -p1979 -aS'report\treport\tNN\tI-NP\tO' -p1980 -aS'was\tbe\tVBD\tB-VP\tO' -p1981 -aS'completed\tcomplete\tVBN\tI-VP\tO' -p1982 -aS'prior\tprior\tRB\tB-ADVP\tO' -p1983 -aS'to\tto\tTO\tB-VP\tO' -p1984 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p1985 -aS'which\twhich\tWDT\tB-NP\tO' -p1986 -aS'revealed\treveal\tVBD\tB-VP\tO' -p1987 -aS'poorly\tpoorly\tRB\tB-NP\tO' -p1988 -aS'differentiated\tdifferentiate\tVBN\tI-NP\tO' -p1989 -aS'adenocarcinoma\tadenocarcinoma\tNN\tI-NP\tO' -p1990 -aS'ulcerating\tulcerate\tVBG\tB-VP\tO' -p1991 -aS'and\tand\tCC\tI-VP\tO' -p1992 -aS'extending\textend\tVBG\tI-VP\tO' -p1993 -aS'through\tthrough\tIN\tB-PP\tO' -p1994 -aS'the\tthe\tDT\tB-NP\tO' -p1995 -aS'wall\twall\tNN\tI-NP\tO' -p1996 -aS'into\tinto\tIN\tB-PP\tO' -p1997 -aS'the\tthe\tDT\tB-NP\tO' -p1998 -aS'serosa\tserosa\tNN\tI-NP\tO' -p1999 -aS'of\tof\tIN\tB-PP\tO' -p2000 -aS'the\tthe\tDT\tB-NP\tO' -p2001 -aS'stomach\tstomach\tNN\tI-NP\tO' -p2002 -aS'.\t.\t.\tO\tO' -p2003 -asS'11. Plavix 75 mg p.o. once per day .' -p2004 -(lp2005 -S'11.\t11.\tLS\tB-NP\tO' -p2006 -aS'Plavix\tPlavix\tNNP\tI-NP\tO' -p2007 -aS'75\t75\tCD\tI-NP\tO' -p2008 -aS'mg\tmg\tNN\tI-NP\tO' -p2009 -aS'p.o.\tp.o.\tRB\tB-ADVP\tO' -p2010 -aS'once\tonce\tRB\tI-ADVP\tO' -p2011 -aS'per\tper\tIN\tB-PP\tO' -p2012 -aS'day\tday\tNN\tB-NP\tO' -p2013 -aS'.\t.\t.\tO\tO' -p2014 -asS'A trivial / physiologic pericardial effusion one day post pericardiocentesis with no change from the study immediately post pericardiocentesis .' -p2015 -(lp2016 -S'A\tA\tDT\tB-NP\tO' -p2017 -aS'trivial\ttrivial\tJJ\tI-NP\tO' -p2018 -aS'/\t/\tSYM\tI-NP\tO' -p2019 -aS'physiologic\tphysiologic\tJJ\tI-NP\tO' -p2020 -aS'pericardial\tpericardial\tJJ\tI-NP\tO' -p2021 -aS'effusion\teffusion\tNN\tI-NP\tO' -p2022 -aS'one\tone\tCD\tB-NP\tO' -p2023 -aS'day\tday\tNN\tI-NP\tO' -p2024 -aS'post\tpost\tNN\tI-NP\tO' -p2025 -aS'pericardiocentesis\tpericardiocentesis\tNN\tI-NP\tO' -p2026 -aS'with\twith\tIN\tB-PP\tO' -p2027 -aS'no\tno\tDT\tB-NP\tO' -p2028 -aS'change\tchange\tNN\tI-NP\tO' -p2029 -aS'from\tfrom\tIN\tB-PP\tO' -p2030 -aS'the\tthe\tDT\tB-NP\tO' -p2031 -aS'study\tstudy\tNN\tI-NP\tO' -p2032 -aS'immediately\timmediately\tRB\tB-ADVP\tO' -p2033 -aS'post\tpost\tVBD\tB-VP\tO' -p2034 -aS'pericardiocentesis\tpericardiocentesis\tNN\tB-NP\tO' -p2035 -aS'.\t.\t.\tO\tO' -p2036 -asS'16. Clindamycin Phosphate in D5W 600 mg / 50 mL Piggyback Sig : 600 mg Intravenous Q8H ( every 8 hours ) for 3 days .' -p2037 -(lp2038 -S'16.\t16.\tLS\tB-NP\tO' -p2039 -aS'Clindamycin\tClindamycin\tNN\tI-NP\tO' -p2040 -aS'Phosphate\tPhosphate\tNN\tI-NP\tO' -p2041 -aS'in\tin\tIN\tB-PP\tO' -p2042 -aS'D5W\tD5W\tNN\tB-NP\tO' -p2043 -aS'600\t600\tCD\tI-NP\tO' -p2044 -aS'mg\tmg\tNN\tI-NP\tO' -p2045 -aS'/\t/\tSYM\tB-NP\tO' -p2046 -aS'50\t50\tCD\tB-NP\tO' -p2047 -aS'mL\tmL\tNN\tI-NP\tO' -p2048 -aS'Piggyback\tPiggyback\tNNP\tI-NP\tO' -p2049 -aS'Sig\tSig\tNNP\tI-NP\tO' -p2050 -aS':\t:\t:\tO\tO' -p2051 -aS'600\t600\tCD\tB-NP\tO' -p2052 -aS'mg\tmg\tNN\tI-NP\tO' -p2053 -aS'Intravenous\tIntravenous\tJJ\tI-NP\tO' -p2054 -aS'Q8H\tQ8H\tNN\tI-NP\tO' -p2055 -aS'(\t(\t(\tO\tO' -p2056 -aS'every\tevery\tDT\tB-NP\tO' -p2057 -aS'8\t8\tCD\tI-NP\tO' -p2058 -aS'hours\thour\tNNS\tI-NP\tO' -p2059 -aS')\t)\t)\tO\tO' -p2060 -aS'for\tfor\tIN\tB-PP\tO' -p2061 -aS'3\t3\tCD\tB-NP\tO' -p2062 -aS'days\tday\tNNS\tI-NP\tO' -p2063 -aS'.\t.\t.\tO\tO' -p2064 -asS'The patient was seen by Psychiatry due to some delirium and question of suicidal ideation .' -p2065 -(lp2066 -S'The\tThe\tDT\tB-NP\tO' -p2067 -aS'patient\tpatient\tNN\tI-NP\tO' -p2068 -aS'was\tbe\tVBD\tB-VP\tO' -p2069 -aS'seen\tsee\tVBN\tI-VP\tO' -p2070 -aS'by\tby\tIN\tB-PP\tO' -p2071 -aS'Psychiatry\tPsychiatry\tNN\tB-NP\tO' -p2072 -aS'due\tdue\tJJ\tB-ADJP\tO' -p2073 -aS'to\tto\tTO\tB-PP\tO' -p2074 -aS'some\tsome\tDT\tB-NP\tO' -p2075 -aS'delirium\tdelirium\tNN\tI-NP\tO' -p2076 -aS'and\tand\tCC\tI-NP\tO' -p2077 -aS'question\tquestion\tNN\tI-NP\tO' -p2078 -aS'of\tof\tIN\tB-PP\tO' -p2079 -aS'suicidal\tsuicidal\tJJ\tB-NP\tO' -p2080 -aS'ideation\tideation\tNN\tI-NP\tO' -p2081 -aS'.\t.\t.\tO\tO' -p2082 -asS'The patient was asked to call Dr. Miezetri Gach 's office for a follow-up appointment and wound check .' -p2083 -(lp2084 -S'The\tThe\tDT\tB-NP\tO' -p2085 -aS'patient\tpatient\tNN\tI-NP\tO' -p2086 -aS'was\tbe\tVBD\tB-VP\tO' -p2087 -aS'asked\task\tVBN\tI-VP\tO' -p2088 -aS'to\tto\tTO\tI-VP\tO' -p2089 -aS'call\tcall\tVB\tI-VP\tO' -p2090 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p2091 -aS'Miezetri\tMiezetri\tNNP\tI-NP\tO' -p2092 -aS'Gach\tGach\tNNP\tI-NP\tO' -p2093 -aS''s\t'\tNNS\tI-NP\tO' -p2094 -aS'office\toffice\tNN\tI-NP\tO' -p2095 -aS'for\tfor\tIN\tB-PP\tO' -p2096 -aS'a\ta\tDT\tB-NP\tO' -p2097 -aS'follow-up\tfollow-up\tJJ\tI-NP\tO' -p2098 -aS'appointment\tappointment\tNN\tI-NP\tO' -p2099 -aS'and\tand\tCC\tI-NP\tO' -p2100 -aS'wound\twound\tNN\tI-NP\tO' -p2101 -aS'check\tcheck\tNN\tI-NP\tO' -p2102 -aS'.\t.\t.\tO\tO' -p2103 -asS'The liver was approximately 8.0 cm .' -p2104 -(lp2105 -S'The\tThe\tDT\tB-NP\tO' -p2106 -aS'liver\tliver\tNN\tI-NP\tO' -p2107 -aS'was\tbe\tVBD\tB-VP\tO' -p2108 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p2109 -aS'8.0\t8.0\tCD\tI-NP\tO' -p2110 -aS'cm\tcm\tNN\tI-NP\tO' -p2111 -aS'.\t.\t.\tO\tO' -p2112 -asS'Cardiac enzymes normal .' -p2113 -(lp2114 -S'Cardiac\tCardiac\tJJ\tB-NP\tB-protein' -p2115 -aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' -p2116 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p2117 -aS'.\t.\t.\tO\tO' -p2118 -asS'The patient admits that he has had many stressors in his life lately .' -p2119 -(lp2120 -S'The\tThe\tDT\tB-NP\tO' -p2121 -aS'patient\tpatient\tNN\tI-NP\tO' -p2122 -aS'admits\tadmit\tVBZ\tB-VP\tO' -p2123 -aS'that\tthat\tIN\tB-SBAR\tO' -p2124 -aS'he\the\tPRP\tB-NP\tO' -p2125 -aS'has\thave\tVBZ\tB-VP\tO' -p2126 -aS'had\thave\tVBD\tI-VP\tO' -p2127 -aS'many\tmany\tJJ\tB-NP\tO' -p2128 -aS'stressors\tstressor\tNNS\tI-NP\tO' -p2129 -aS'in\tin\tIN\tB-PP\tO' -p2130 -aS'his\this\tPRP$\tB-NP\tO' -p2131 -aS'life\tlife\tNN\tI-NP\tO' -p2132 -aS'lately\tlately\tRB\tB-ADVP\tO' -p2133 -aS'.\t.\t.\tO\tO' -p2134 -asS'7) GI : Ms. Pimental is an unfortunate 95 year old woman , status post a recent fall necessitating right ORIF of the hip and right wrist fracture ORIF , who was in the hospital for this event , when it was noted that she had abdominal pain , distention and coffee ground emesis with worsening mental status and renal failure .' -p2135 -(lp2136 -S'7)\t7)\tCD\tB-NP\tO' -p2137 -aS'GI\tGI\tNNP\tI-NP\tO' -p2138 -aS':\t:\t:\tO\tO' -p2139 -aS'Ms.\tMs.\tNNP\tB-NP\tO' -p2140 -aS'Pimental\tPimental\tNNP\tI-NP\tO' -p2141 -aS'is\tbe\tVBZ\tB-VP\tO' -p2142 -aS'an\tan\tDT\tB-NP\tO' -p2143 -aS'unfortunate\tunfortunate\tJJ\tI-NP\tO' -p2144 -aS'95\t95\tCD\tI-NP\tO' -p2145 -aS'year\tyear\tNN\tI-NP\tO' -p2146 -aS'old\told\tJJ\tI-NP\tO' -p2147 -aS'woman\twoman\tNN\tI-NP\tO' -p2148 -aS',\t,\t,\tO\tO' -p2149 -aS'status\tstatus\tNN\tB-NP\tO' -p2150 -aS'post\tpost\tVBD\tB-VP\tO' -p2151 -aS'a\ta\tDT\tB-NP\tO' -p2152 -aS'recent\trecent\tJJ\tI-NP\tO' -p2153 -aS'fall\tfall\tNN\tI-NP\tO' -p2154 -aS'necessitating\tnecessitate\tVBG\tB-VP\tO' -p2155 -aS'right\tright\tJJ\tB-NP\tO' -p2156 -aS'ORIF\tORIF\tNN\tI-NP\tO' -p2157 -aS'of\tof\tIN\tB-PP\tO' -p2158 -aS'the\tthe\tDT\tB-NP\tO' -p2159 -aS'hip\thip\tNN\tI-NP\tO' -p2160 -aS'and\tand\tCC\tI-NP\tO' -p2161 -aS'right\tright\tJJ\tI-NP\tB-protein' -p2162 -aS'wrist\twrist\tNN\tI-NP\tI-protein' -p2163 -aS'fracture\tfracture\tNN\tI-NP\tI-protein' -p2164 -aS'ORIF\tORIF\tNN\tI-NP\tI-protein' -p2165 -aS',\t,\t,\tO\tO' -p2166 -aS'who\twho\tWP\tB-NP\tO' -p2167 -aS'was\tbe\tVBD\tB-VP\tO' -p2168 -aS'in\tin\tIN\tB-PP\tO' -p2169 -aS'the\tthe\tDT\tB-NP\tO' -p2170 -aS'hospital\thospital\tNN\tI-NP\tO' -p2171 -aS'for\tfor\tIN\tB-PP\tO' -p2172 -aS'this\tthis\tDT\tB-NP\tO' -p2173 -aS'event\tevent\tNN\tI-NP\tO' -p2174 -aS',\t,\t,\tO\tO' -p2175 -aS'when\twhen\tWRB\tB-ADVP\tO' -p2176 -aS'it\tit\tPRP\tB-NP\tO' -p2177 -aS'was\tbe\tVBD\tB-VP\tO' -p2178 -aS'noted\tnote\tVBN\tI-VP\tO' -p2179 -aS'that\tthat\tIN\tB-SBAR\tO' -p2180 -aS'she\tshe\tPRP\tB-NP\tO' -p2181 -aS'had\thave\tVBD\tB-VP\tO' -p2182 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p2183 -aS'pain\tpain\tNN\tI-NP\tO' -p2184 -aS',\t,\t,\tO\tO' -p2185 -aS'distention\tdistention\tNN\tB-NP\tO' -p2186 -aS'and\tand\tCC\tO\tO' -p2187 -aS'coffee\tcoffee\tNN\tB-NP\tO' -p2188 -aS'ground\tground\tNN\tI-NP\tO' -p2189 -aS'emesis\temesis\tNN\tI-NP\tO' -p2190 -aS'with\twith\tIN\tB-PP\tO' -p2191 -aS'worsening\tworsen\tVBG\tB-VP\tO' -p2192 -aS'mental\tmental\tJJ\tB-NP\tO' -p2193 -aS'status\tstatus\tNN\tI-NP\tO' -p2194 -aS'and\tand\tCC\tO\tO' -p2195 -aS'renal\trenal\tJJ\tB-NP\tO' -p2196 -aS'failure\tfailure\tNN\tI-NP\tO' -p2197 -aS'.\t.\t.\tO\tO' -p2198 -asS'Patient also was found to have elevated LDH , alkaline phosphatase , and amylase prior to admission .' -p2199 -(lp2200 -S'Patient\tPatient\tNN\tB-NP\tO' -p2201 -aS'also\talso\tRB\tB-ADVP\tO' -p2202 -aS'was\tbe\tVBD\tB-VP\tO' -p2203 -aS'found\tfind\tVBN\tI-VP\tO' -p2204 -aS'to\tto\tTO\tI-VP\tO' -p2205 -aS'have\thave\tVB\tI-VP\tO' -p2206 -aS'elevated\televate\tVBN\tI-VP\tO' -p2207 -aS'LDH\tLDH\tNN\tB-NP\tB-protein' -p2208 -aS',\t,\t,\tO\tO' -p2209 -aS'alkaline\talkaline\tNN\tB-NP\tB-protein' -p2210 -aS'phosphatase\tphosphatase\tNN\tI-NP\tI-protein' -p2211 -aS',\t,\t,\tO\tO' -p2212 -aS'and\tand\tCC\tO\tO' -p2213 -aS'amylase\tamylase\tNN\tB-NP\tB-protein' -p2214 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p2215 -aS'to\tto\tTO\tB-PP\tO' -p2216 -aS'admission\tadmission\tNN\tB-NP\tO' -p2217 -aS'.\t.\t.\tO\tO' -p2218 -asS'A repeat KUB was performed which showed no evidence of volvulus .' -p2219 -(lp2220 -S'A\tA\tDT\tB-NP\tO' -p2221 -aS'repeat\trepeat\tNN\tI-NP\tO' -p2222 -aS'KUB\tKUB\tNN\tI-NP\tO' -p2223 -aS'was\tbe\tVBD\tB-VP\tO' -p2224 -aS'performed\tperform\tVBN\tI-VP\tO' -p2225 -aS'which\twhich\tWDT\tB-NP\tO' -p2226 -aS'showed\tshow\tVBD\tB-VP\tO' -p2227 -aS'no\tno\tDT\tB-NP\tO' -p2228 -aS'evidence\tevidence\tNN\tI-NP\tO' -p2229 -aS'of\tof\tIN\tB-PP\tO' -p2230 -aS'volvulus\tvolvulus\tNN\tB-NP\tO' -p2231 -aS'.\t.\t.\tO\tO' -p2232 -asS'Post-operatively mental status improved .' -p2233 -(lp2234 -S'Post-operatively\tPost-operatively\tRB\tB-NP\tO' -p2235 -aS'mental\tmental\tJJ\tI-NP\tO' -p2236 -aS'status\tstatus\tNN\tI-NP\tO' -p2237 -aS'improved\timprove\tVBD\tB-VP\tO' -p2238 -aS'.\t.\t.\tO\tO' -p2239 -asS'At 8 p.m. the patient seen at the Purckecation Balpoingdelt Pabarnes- Campa Memorial Hospital and was examined and assessed .' -p2240 -(lp2241 -S'At\tAt\tIN\tB-PP\tO' -p2242 -aS'8\t8\tCD\tB-NP\tO' -p2243 -aS'p.m.\tp.m.\tNN\tI-NP\tO' -p2244 -aS'the\tthe\tDT\tB-NP\tO' -p2245 -aS'patient\tpatient\tNN\tI-NP\tO' -p2246 -aS'seen\tsee\tVBN\tB-VP\tO' -p2247 -aS'at\tat\tIN\tB-PP\tO' -p2248 -aS'the\tthe\tDT\tB-NP\tO' -p2249 -aS'Purckecation\tPurckecation\tNNP\tI-NP\tO' -p2250 -aS'Balpoingdelt\tBalpoingdelt\tNNP\tI-NP\tO' -p2251 -aS'Pabarnes-\tPabarnes-\tNNP\tI-NP\tO' -p2252 -aS'Campa\tCampa\tNNP\tI-NP\tO' -p2253 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p2254 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p2255 -aS'and\tand\tCC\tO\tO' -p2256 -aS'was\tbe\tVBD\tB-VP\tO' -p2257 -aS'examined\texamine\tVBN\tI-VP\tO' -p2258 -aS'and\tand\tCC\tI-VP\tO' -p2259 -aS'assessed\tassess\tVBN\tI-VP\tO' -p2260 -aS'.\t.\t.\tO\tO' -p2261 -asS'13. Potassium Chloride 10 mEq Capsule , Sustained Release Sig : One ( 1 ) Capsule , Sustained Release PO q M-W-F .' -p2262 -(lp2263 -S'13.\t13.\tLS\tB-NP\tO' -p2264 -aS'Potassium\tPotassium\tNNP\tI-NP\tO' -p2265 -aS'Chloride\tChloride\tNNP\tI-NP\tO' -p2266 -aS'10\t10\tCD\tI-NP\tO' -p2267 -aS'mEq\tmEq\tNN\tI-NP\tO' -p2268 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p2269 -aS',\t,\t,\tO\tO' -p2270 -aS'Sustained\tSustained\tNNP\tB-NP\tO' -p2271 -aS'Release\tRelease\tNNP\tI-NP\tO' -p2272 -aS'Sig\tSig\tNNP\tI-NP\tB-protein' -p2273 -aS':\t:\t:\tO\tO' -p2274 -aS'One\tOne\tCD\tB-NP\tO' -p2275 -aS'(\t(\t(\tO\tO' -p2276 -aS'1\t1\tCD\tB-NP\tO' -p2277 -aS')\t)\t)\tO\tO' -p2278 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p2279 -aS',\t,\t,\tO\tO' -p2280 -aS'Sustained\tSustained\tNNP\tB-NP\tO' -p2281 -aS'Release\tRelease\tNNP\tI-NP\tO' -p2282 -aS'PO\tPO\tNNP\tI-NP\tO' -p2283 -aS'q\tq\tNN\tI-NP\tO' -p2284 -aS'M-W-F\tM-W-F\tNN\tI-NP\tO' -p2285 -aS'.\t.\t.\tO\tO' -p2286 -asS'He was also seen by spine who repeated the MRI and this showed L3-4 osteomyelitis and discitis and an epidural abscess , 5cm .' -p2287 -(lp2288 -S'He\tHe\tPRP\tB-NP\tO' -p2289 -aS'was\tbe\tVBD\tB-VP\tO' -p2290 -aS'also\talso\tRB\tI-VP\tO' -p2291 -aS'seen\tsee\tVBN\tI-VP\tO' -p2292 -aS'by\tby\tIN\tB-PP\tO' -p2293 -aS'spine\tspine\tNN\tB-NP\tO' -p2294 -aS'who\twho\tWP\tB-NP\tO' -p2295 -aS'repeated\trepeat\tVBD\tB-VP\tO' -p2296 -aS'the\tthe\tDT\tB-NP\tO' -p2297 -aS'MRI\tMRI\tNN\tI-NP\tO' -p2298 -aS'and\tand\tCC\tO\tO' -p2299 -aS'this\tthis\tDT\tB-NP\tO' -p2300 -aS'showed\tshow\tVBD\tB-VP\tO' -p2301 -aS'L3-4\tL3-4\tNN\tB-NP\tO' -p2302 -aS'osteomyelitis\tosteomyelitis\tNN\tI-NP\tO' -p2303 -aS'and\tand\tCC\tI-NP\tO' -p2304 -aS'discitis\tdiscitis\tNN\tI-NP\tO' -p2305 -aS'and\tand\tCC\tO\tO' -p2306 -aS'an\tan\tDT\tB-NP\tO' -p2307 -aS'epidural\tepidural\tJJ\tI-NP\tO' -p2308 -aS'abscess\tabscess\tNN\tI-NP\tO' -p2309 -aS',\t,\t,\tO\tO' -p2310 -aS'5cm\t5cm\tNN\tB-NP\tO' -p2311 -aS'.\t.\t.\tO\tO' -p2312 -asS'The infant has remained hemodynamically stable with heart rates in the 120 s to 140 s and mean blood pressures of 57 to 60 .' -p2313 -(lp2314 -S'The\tThe\tDT\tB-NP\tO' -p2315 -aS'infant\tinfant\tNN\tI-NP\tO' -p2316 -aS'has\thave\tVBZ\tB-VP\tO' -p2317 -aS'remained\tremain\tVBN\tI-VP\tO' -p2318 -aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' -p2319 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p2320 -aS'with\twith\tIN\tB-PP\tO' -p2321 -aS'heart\theart\tNN\tB-NP\tO' -p2322 -aS'rates\trate\tNNS\tI-NP\tO' -p2323 -aS'in\tin\tIN\tB-PP\tO' -p2324 -aS'the\tthe\tDT\tB-NP\tO' -p2325 -aS'120\t120\tCD\tI-NP\tO' -p2326 -aS's\ts\tNN\tI-NP\tO' -p2327 -aS'to\tto\tTO\tB-PP\tO' -p2328 -aS'140\t140\tCD\tB-NP\tO' -p2329 -aS's\ts\tNN\tI-NP\tO' -p2330 -aS'and\tand\tCC\tO\tO' -p2331 -aS'mean\tmean\tJJ\tB-NP\tO' -p2332 -aS'blood\tblood\tNN\tI-NP\tO' -p2333 -aS'pressures\tpressure\tNNS\tI-NP\tO' -p2334 -aS'of\tof\tIN\tB-PP\tO' -p2335 -aS'57\t57\tCD\tB-NP\tO' -p2336 -aS'to\tto\tTO\tI-NP\tO' -p2337 -aS'60\t60\tCD\tI-NP\tO' -p2338 -aS'.\t.\t.\tO\tO' -p2339 -asS'However , by day three he required no additional insulin coverage .' -p2340 -(lp2341 -S'However\tHowever\tRB\tB-ADVP\tO' -p2342 -aS',\t,\t,\tO\tO' -p2343 -aS'by\tby\tIN\tB-PP\tO' -p2344 -aS'day\tday\tNN\tB-NP\tO' -p2345 -aS'three\tthree\tCD\tI-NP\tO' -p2346 -aS'he\the\tPRP\tB-NP\tO' -p2347 -aS'required\trequire\tVBD\tB-VP\tO' -p2348 -aS'no\tno\tDT\tB-NP\tO' -p2349 -aS'additional\tadditional\tJJ\tI-NP\tO' -p2350 -aS'insulin\tinsulin\tNN\tI-NP\tO' -p2351 -aS'coverage\tcoverage\tNN\tI-NP\tO' -p2352 -aS'.\t.\t.\tO\tO' -p2353 -asS'Nuclear myocardial perfusion study was notable for a moderate fixed defect within the inferior wall and cardiac apex .' -p2354 -(lp2355 -S'Nuclear\tNuclear\tJJ\tB-NP\tO' -p2356 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p2357 -aS'perfusion\tperfusion\tNN\tI-NP\tO' -p2358 -aS'study\tstudy\tNN\tI-NP\tO' -p2359 -aS'was\tbe\tVBD\tB-VP\tO' -p2360 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p2361 -aS'for\tfor\tIN\tB-PP\tO' -p2362 -aS'a\ta\tDT\tB-NP\tO' -p2363 -aS'moderate\tmoderate\tJJ\tI-NP\tO' -p2364 -aS'fixed\tfix\tVBN\tI-NP\tO' -p2365 -aS'defect\tdefect\tNN\tI-NP\tO' -p2366 -aS'within\twithin\tIN\tB-PP\tO' -p2367 -aS'the\tthe\tDT\tB-NP\tO' -p2368 -aS'inferior\tinferior\tJJ\tI-NP\tO' -p2369 -aS'wall\twall\tNN\tI-NP\tO' -p2370 -aS'and\tand\tCC\tO\tO' -p2371 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p2372 -aS'apex\tapex\tNN\tI-NP\tO' -p2373 -aS'.\t.\t.\tO\tO' -p2374 -asS'pt was started on bowel regimen with Senna , magcitrate and Lactulose .' -p2375 -(lp2376 -S'pt\tpt\tNN\tB-NP\tO' -p2377 -aS'was\tbe\tVBD\tB-VP\tO' -p2378 -aS'started\tstart\tVBN\tI-VP\tO' -p2379 -aS'on\ton\tIN\tB-PP\tO' -p2380 -aS'bowel\tbowel\tNN\tB-NP\tO' -p2381 -aS'regimen\tregimen\tNN\tI-NP\tO' -p2382 -aS'with\twith\tIN\tB-PP\tO' -p2383 -aS'Senna\tSenna\tNNP\tB-NP\tO' -p2384 -aS',\t,\t,\tO\tO' -p2385 -aS'magcitrate\tmagcitrate\tNN\tB-NP\tO' -p2386 -aS'and\tand\tCC\tI-NP\tO' -p2387 -aS'Lactulose\tLactulose\tNN\tI-NP\tO' -p2388 -aS'.\t.\t.\tO\tO' -p2389 -asS'On August 20 , under local anesthesia the right pectoral region was explored and the leads disconnected and the pulse generator changed to a CPI unit in which the sensitivity could be adjusted to .15 mm. , which permitted appropriate atrial sensing .' -p2390 -(lp2391 -S'On\tOn\tIN\tB-PP\tO' -p2392 -aS'August\tAugust\tNNP\tB-NP\tO' -p2393 -aS'20\t20\tCD\tI-NP\tO' -p2394 -aS',\t,\t,\tO\tO' -p2395 -aS'under\tunder\tIN\tB-PP\tO' -p2396 -aS'local\tlocal\tJJ\tB-NP\tO' -p2397 -aS'anesthesia\tanesthesia\tNN\tI-NP\tO' -p2398 -aS'the\tthe\tDT\tB-NP\tO' -p2399 -aS'right\tright\tJJ\tI-NP\tB-DNA' -p2400 -aS'pectoral\tpectoral\tJJ\tI-NP\tI-DNA' -p2401 -aS'region\tregion\tNN\tI-NP\tI-DNA' -p2402 -aS'was\tbe\tVBD\tB-VP\tO' -p2403 -aS'explored\texplore\tVBN\tI-VP\tO' -p2404 -aS'and\tand\tCC\tO\tO' -p2405 -aS'the\tthe\tDT\tB-NP\tO' -p2406 -aS'leads\tlead\tNNS\tI-NP\tO' -p2407 -aS'disconnected\tdisconnect\tVBN\tB-VP\tO' -p2408 -aS'and\tand\tCC\tO\tO' -p2409 -aS'the\tthe\tDT\tB-NP\tO' -p2410 -aS'pulse\tpulse\tNN\tI-NP\tO' -p2411 -aS'generator\tgenerator\tNN\tI-NP\tO' -p2412 -aS'changed\tchange\tVBD\tB-VP\tO' -p2413 -aS'to\tto\tTO\tB-PP\tO' -p2414 -aS'a\ta\tDT\tB-NP\tO' -p2415 -aS'CPI\tCPI\tNN\tI-NP\tB-DNA' -p2416 -aS'unit\tunit\tNN\tI-NP\tI-DNA' -p2417 -aS'in\tin\tIN\tB-PP\tO' -p2418 -aS'which\twhich\tWDT\tB-NP\tO' -p2419 -aS'the\tthe\tDT\tB-NP\tO' -p2420 -aS'sensitivity\tsensitivity\tNN\tI-NP\tO' -p2421 -aS'could\tcould\tMD\tB-VP\tO' -p2422 -aS'be\tbe\tVB\tI-VP\tO' -p2423 -aS'adjusted\tadjust\tVBN\tI-VP\tO' -p2424 -aS'to\tto\tTO\tB-PP\tO' -p2425 -aS'.15\t.15\tCD\tB-NP\tO' -p2426 -aS'mm.\tmm.\tNN\tI-NP\tO' -p2427 -aS',\t,\t,\tO\tO' -p2428 -aS'which\twhich\tWDT\tB-NP\tO' -p2429 -aS'permitted\tpermit\tVBD\tB-VP\tO' -p2430 -aS'appropriate\tappropriate\tJJ\tB-NP\tO' -p2431 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p2432 -aS'sensing\tsensing\tNN\tI-NP\tO' -p2433 -aS'.\t.\t.\tO\tO' -p2434 -asS'The patient is to undergo dry dressing changes and splint to his right arm q.d.' -p2435 -(lp2436 -S'The\tThe\tDT\tB-NP\tO' -p2437 -aS'patient\tpatient\tNN\tI-NP\tO' -p2438 -aS'is\tbe\tVBZ\tB-VP\tO' -p2439 -aS'to\tto\tTO\tB-VP\tO' -p2440 -aS'undergo\tundergo\tVB\tI-VP\tO' -p2441 -aS'dry\tdry\tJJ\tB-NP\tO' -p2442 -aS'dressing\tdressing\tNN\tI-NP\tO' -p2443 -aS'changes\tchange\tNNS\tI-NP\tO' -p2444 -aS'and\tand\tCC\tO\tO' -p2445 -aS'splint\tsplint\tNN\tB-NP\tO' -p2446 -aS'to\tto\tTO\tB-PP\tO' -p2447 -aS'his\this\tPRP$\tB-NP\tO' -p2448 -aS'right\tright\tJJ\tI-NP\tO' -p2449 -aS'arm\tarm\tNN\tI-NP\tO' -p2450 -aS'q.d.\tq.d.\t.\tO\tO' -p2451 -asS'She has had one normal spontaneous vaginal delivery and two cesarean sections .' -p2452 -(lp2453 -S'She\tShe\tPRP\tB-NP\tO' -p2454 -aS'has\thave\tVBZ\tB-VP\tO' -p2455 -aS'had\thave\tVBD\tI-VP\tO' -p2456 -aS'one\tone\tCD\tB-NP\tO' -p2457 -aS'normal\tnormal\tJJ\tI-NP\tO' -p2458 -aS'spontaneous\tspontaneous\tJJ\tI-NP\tO' -p2459 -aS'vaginal\tvaginal\tJJ\tI-NP\tO' -p2460 -aS'delivery\tdelivery\tNN\tI-NP\tO' -p2461 -aS'and\tand\tCC\tO\tO' -p2462 -aS'two\ttwo\tCD\tB-NP\tO' -p2463 -aS'cesarean\tcesarean\tJJ\tI-NP\tO' -p2464 -aS'sections\tsection\tNNS\tI-NP\tO' -p2465 -aS'.\t.\t.\tO\tO' -p2466 -asS'Chest x-ray showed enlarged heart with mild pulmonary vascular redistribution , no gross congestive heart failure was noted .' -p2467 -(lp2468 -S'Chest\tCh\tJJS\tB-NP\tO' -p2469 -aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' -p2470 -aS'showed\tshow\tVBD\tB-VP\tO' -p2471 -aS'enlarged\tenlarged\tJJ\tB-NP\tO' -p2472 -aS'heart\theart\tNN\tI-NP\tO' -p2473 -aS'with\twith\tIN\tB-PP\tO' -p2474 -aS'mild\tmild\tJJ\tB-NP\tO' -p2475 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p2476 -aS'vascular\tvascular\tJJ\tI-NP\tO' -p2477 -aS'redistribution\tredistribution\tNN\tI-NP\tO' -p2478 -aS',\t,\t,\tO\tO' -p2479 -aS'no\tno\tDT\tB-NP\tO' -p2480 -aS'gross\tgross\tJJ\tI-NP\tO' -p2481 -aS'congestive\tcongestive\tJJ\tI-NP\tO' -p2482 -aS'heart\theart\tNN\tI-NP\tO' -p2483 -aS'failure\tfailure\tNN\tI-NP\tO' -p2484 -aS'was\tbe\tVBD\tB-VP\tO' -p2485 -aS'noted\tnote\tVBN\tI-VP\tO' -p2486 -aS'.\t.\t.\tO\tO' -p2487 -asS'Spontaneous vaginal delivery x 2 .' -p2488 -(lp2489 -S'Spontaneous\tSpontaneous\tJJ\tB-NP\tO' -p2490 -aS'vaginal\tvaginal\tJJ\tI-NP\tO' -p2491 -aS'delivery\tdelivery\tNN\tI-NP\tO' -p2492 -aS'x\tx\tNN\tI-NP\tO' -p2493 -aS'2\t2\tCD\tI-NP\tO' -p2494 -aS'.\t.\t.\tO\tO' -p2495 -asS'4. Status post carpal tunnel release .' -p2496 -(lp2497 -S'4.\t4.\tLS\tB-LST\tO' -p2498 -aS'Status\tStatus\tNNP\tB-NP\tO' -p2499 -aS'post\tpost\tIN\tB-PP\tO' -p2500 -aS'carpal\tcarpal\tJJ\tB-NP\tO' -p2501 -aS'tunnel\ttunnel\tNN\tI-NP\tO' -p2502 -aS'release\trelease\tNN\tI-NP\tO' -p2503 -aS'.\t.\t.\tO\tO' -p2504 -asS'# Renal insufficiency - baseline Cr unknown , may have CRI from DM .' -p2505 -(lp2506 -S'#\t#\t#\tB-NP\tO' -p2507 -aS'Renal\tRenal\tJJ\tI-NP\tO' -p2508 -aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' -p2509 -aS'-\t-\tHYPH\tO\tO' -p2510 -aS'baseline\tbaseline\tNN\tB-NP\tO' -p2511 -aS'Cr\tCr\tNN\tI-NP\tO' -p2512 -aS'unknown\tunknown\tJJ\tB-ADJP\tO' -p2513 -aS',\t,\t,\tO\tO' -p2514 -aS'may\tmay\tMD\tB-VP\tO' -p2515 -aS'have\thave\tVB\tI-VP\tO' -p2516 -aS'CRI\tCRI\tNN\tB-NP\tB-protein' -p2517 -aS'from\tfrom\tIN\tB-PP\tO' -p2518 -aS'DM\tDM\tNN\tB-NP\tO' -p2519 -aS'.\t.\t.\tO\tO' -p2520 -asS'He walks with a limp related to his right hip .' -p2521 -(lp2522 -S'He\tHe\tPRP\tB-NP\tO' -p2523 -aS'walks\twalk\tVBZ\tB-VP\tO' -p2524 -aS'with\twith\tIN\tB-PP\tO' -p2525 -aS'a\ta\tDT\tB-NP\tO' -p2526 -aS'limp\tlimp\tNN\tI-NP\tO' -p2527 -aS'related\trelate\tVBN\tB-VP\tO' -p2528 -aS'to\tto\tTO\tB-PP\tO' -p2529 -aS'his\this\tPRP$\tB-NP\tO' -p2530 -aS'right\tright\tJJ\tI-NP\tO' -p2531 -aS'hip\thip\tNN\tI-NP\tO' -p2532 -aS'.\t.\t.\tO\tO' -p2533 -asS'On POD #6 his creatinine became slightly elevated at 1.4 , his lasix was discontinued and the following day his creatinine was stable at 1.4 .' -p2534 -(lp2535 -S'On\tOn\tIN\tB-PP\tO' -p2536 -aS'POD\tPOD\tNN\tB-NP\tB-protein' -p2537 -aS'#6\t#6\tCD\tI-NP\tI-protein' -p2538 -aS'his\this\tPRP$\tB-NP\tO' -p2539 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p2540 -aS'became\tbecome\tVBD\tB-VP\tO' -p2541 -aS'slightly\tslightly\tRB\tB-ADJP\tO' -p2542 -aS'elevated\televated\tJJ\tI-ADJP\tO' -p2543 -aS'at\tat\tIN\tB-PP\tO' -p2544 -aS'1.4\t1.4\tCD\tB-NP\tO' -p2545 -aS',\t,\t,\tO\tO' -p2546 -aS'his\this\tPRP$\tB-NP\tO' -p2547 -aS'lasix\tlasix\tNN\tI-NP\tO' -p2548 -aS'was\tbe\tVBD\tB-VP\tO' -p2549 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p2550 -aS'and\tand\tCC\tO\tO' -p2551 -aS'the\tthe\tDT\tB-NP\tO' -p2552 -aS'following\tfollow\tVBG\tI-NP\tO' -p2553 -aS'day\tday\tNN\tI-NP\tO' -p2554 -aS'his\this\tPRP$\tB-NP\tO' -p2555 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p2556 -aS'was\tbe\tVBD\tB-VP\tO' -p2557 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p2558 -aS'at\tat\tIN\tB-PP\tO' -p2559 -aS'1.4\t1.4\tCD\tB-NP\tO' -p2560 -aS'.\t.\t.\tO\tO' -p2561 -asS'The patient continued to do well on the medical regimen and was without chest pain , shortness of breath , or any other symptoms .' -p2562 -(lp2563 -S'The\tThe\tDT\tB-NP\tO' -p2564 -aS'patient\tpatient\tNN\tI-NP\tO' -p2565 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p2566 -aS'to\tto\tTO\tI-VP\tO' -p2567 -aS'do\tdo\tVB\tI-VP\tO' -p2568 -aS'well\twell\tRB\tB-ADVP\tO' -p2569 -aS'on\ton\tIN\tB-PP\tO' -p2570 -aS'the\tthe\tDT\tB-NP\tO' -p2571 -aS'medical\tmedical\tJJ\tI-NP\tO' -p2572 -aS'regimen\tregimen\tNN\tI-NP\tO' -p2573 -aS'and\tand\tCC\tO\tO' -p2574 -aS'was\tbe\tVBD\tB-VP\tO' -p2575 -aS'without\twithout\tIN\tB-PP\tO' -p2576 -aS'chest\tchest\tNN\tB-NP\tO' -p2577 -aS'pain\tpain\tNN\tI-NP\tO' -p2578 -aS',\t,\t,\tO\tO' -p2579 -aS'shortness\tshortness\tNN\tB-NP\tO' -p2580 -aS'of\tof\tIN\tB-PP\tO' -p2581 -aS'breath\tbreath\tNN\tB-NP\tO' -p2582 -aS',\t,\t,\tO\tO' -p2583 -aS'or\tor\tCC\tO\tO' -p2584 -aS'any\tany\tDT\tB-NP\tO' -p2585 -aS'other\tother\tJJ\tI-NP\tO' -p2586 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p2587 -aS'.\t.\t.\tO\tO' -p2588 -asS'For this , a left #34 Caucasian chest tube was placed .' -p2589 -(lp2590 -S'For\tFor\tIN\tB-PP\tO' -p2591 -aS'this\tthis\tDT\tB-NP\tO' -p2592 -aS',\t,\t,\tO\tO' -p2593 -aS'a\ta\tDT\tB-NP\tO' -p2594 -aS'left\tleft\tJJ\tI-NP\tO' -p2595 -aS'#34\t#34\tCD\tI-NP\tO' -p2596 -aS'Caucasian\tCaucasian\tJJ\tI-NP\tO' -p2597 -aS'chest\tchest\tNN\tI-NP\tO' -p2598 -aS'tube\ttube\tNN\tI-NP\tO' -p2599 -aS'was\tbe\tVBD\tB-VP\tO' -p2600 -aS'placed\tplace\tVBN\tI-VP\tO' -p2601 -aS'.\t.\t.\tO\tO' -p2602 -asS'He had been started on heparin in the Intensive Care Unit and that was continued .' -p2603 -(lp2604 -S'He\tHe\tPRP\tB-NP\tO' -p2605 -aS'had\thave\tVBD\tB-VP\tO' -p2606 -aS'been\tbe\tVBN\tI-VP\tO' -p2607 -aS'started\tstart\tVBN\tI-VP\tO' -p2608 -aS'on\ton\tIN\tB-PP\tO' -p2609 -aS'heparin\theparin\tNN\tB-NP\tO' -p2610 -aS'in\tin\tIN\tB-PP\tO' -p2611 -aS'the\tthe\tDT\tB-NP\tO' -p2612 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p2613 -aS'Care\tCare\tNNP\tI-NP\tO' -p2614 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p2615 -aS'and\tand\tCC\tO\tO' -p2616 -aS'that\tthat\tDT\tB-NP\tO' -p2617 -aS'was\tbe\tVBD\tB-VP\tO' -p2618 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p2619 -aS'.\t.\t.\tO\tO' -p2620 -asS'7. Bupropion 100 mg p.o. twice per day ( for smoking cessation ).' -p2621 -(lp2622 -S'7.\t7.\tCD\tB-NP\tO' -p2623 -aS'Bupropion\tBupropion\tNN\tI-NP\tO' -p2624 -aS'100\t100\tCD\tB-NP\tO' -p2625 -aS'mg\tmg\tNN\tI-NP\tO' -p2626 -aS'p.o.\tp.o.\tRB\tB-ADVP\tO' -p2627 -aS'twice\ttwice\tRB\tI-ADVP\tO' -p2628 -aS'per\tper\tIN\tB-PP\tO' -p2629 -aS'day\tday\tNN\tB-NP\tO' -p2630 -aS'(\t(\t(\tO\tO' -p2631 -aS'for\tfor\tIN\tB-PP\tO' -p2632 -aS'smoking\tsmoking\tNN\tB-NP\tO' -p2633 -aS'cessation\tcessation\tNN\tI-NP\tO' -p2634 -aS').\t).\t.\tO\tO' -p2635 -asS'A repeat CT was done showing nodular thickening along the right major and minor fissure , concerning for intrapleural tumor implants .' -p2636 -(lp2637 -S'A\tA\tDT\tB-NP\tO' -p2638 -aS'repeat\trepeat\tNN\tI-NP\tO' -p2639 -aS'CT\tCT\tNN\tI-NP\tO' -p2640 -aS'was\tbe\tVBD\tB-VP\tO' -p2641 -aS'done\tdo\tVBN\tI-VP\tO' -p2642 -aS'showing\tshow\tVBG\tB-VP\tO' -p2643 -aS'nodular\tnodular\tJJ\tB-NP\tO' -p2644 -aS'thickening\tthickening\tNN\tI-NP\tO' -p2645 -aS'along\talong\tIN\tB-PP\tO' -p2646 -aS'the\tthe\tDT\tB-NP\tO' -p2647 -aS'right\tright\tJJ\tI-NP\tO' -p2648 -aS'major\tmajor\tJJ\tI-NP\tO' -p2649 -aS'and\tand\tCC\tI-NP\tO' -p2650 -aS'minor\tminor\tJJ\tI-NP\tO' -p2651 -aS'fissure\tfissure\tNN\tI-NP\tO' -p2652 -aS',\t,\t,\tO\tO' -p2653 -aS'concerning\tconcern\tVBG\tB-VP\tO' -p2654 -aS'for\tfor\tIN\tB-PP\tO' -p2655 -aS'intrapleural\tintrapleural\tJJ\tB-NP\tO' -p2656 -aS'tumor\ttumor\tNN\tI-NP\tO' -p2657 -aS'implants\timplant\tNNS\tI-NP\tO' -p2658 -aS'.\t.\t.\tO\tO' -p2659 -asS'Neck - supple , no LAD , no JVD' -p2660 -(lp2661 -S'Neck\tNeck\tNN\tB-NP\tO' -p2662 -aS'-\t-\tHYPH\tI-NP\tO' -p2663 -aS'supple\tsupple\tNN\tI-NP\tO' -p2664 -aS',\t,\t,\tO\tO' -p2665 -aS'no\tno\tDT\tB-NP\tO' -p2666 -aS'LAD\tLAD\tNN\tI-NP\tB-protein' -p2667 -aS',\t,\t,\tO\tO' -p2668 -aS'no\tno\tDT\tB-NP\tO' -p2669 -aS'JVD\tJVD\tNN\tI-NP\tB-protein' -p2670 -asS'A VQ scan was high probability , but no pulmonary angiogram was done and an echocardiogram revealed a normal left ventricle with no wall motion abnormality and an ejection fraction of 75% .' -p2671 -(lp2672 -S'A\tA\tDT\tB-NP\tO' -p2673 -aS'VQ\tVQ\tNN\tI-NP\tO' -p2674 -aS'scan\tscan\tNN\tI-NP\tO' -p2675 -aS'was\tbe\tVBD\tB-VP\tO' -p2676 -aS'high\thigh\tJJ\tB-NP\tO' -p2677 -aS'probability\tprobability\tNN\tI-NP\tO' -p2678 -aS',\t,\t,\tO\tO' -p2679 -aS'but\tbut\tCC\tO\tO' -p2680 -aS'no\tno\tDT\tB-NP\tO' -p2681 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p2682 -aS'angiogram\tangiogram\tNN\tI-NP\tO' -p2683 -aS'was\tbe\tVBD\tB-VP\tO' -p2684 -aS'done\tdo\tVBN\tI-VP\tO' -p2685 -aS'and\tand\tCC\tO\tO' -p2686 -aS'an\tan\tDT\tB-NP\tO' -p2687 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p2688 -aS'revealed\treveal\tVBD\tB-VP\tO' -p2689 -aS'a\ta\tDT\tB-NP\tO' -p2690 -aS'normal\tnormal\tJJ\tI-NP\tO' -p2691 -aS'left\tleft\tJJ\tI-NP\tO' -p2692 -aS'ventricle\tventricle\tNN\tI-NP\tO' -p2693 -aS'with\twith\tIN\tB-PP\tO' -p2694 -aS'no\tno\tDT\tB-NP\tO' -p2695 -aS'wall\twall\tNN\tI-NP\tO' -p2696 -aS'motion\tmotion\tNN\tI-NP\tO' -p2697 -aS'abnormality\tabnormality\tNN\tI-NP\tO' -p2698 -aS'and\tand\tCC\tO\tO' -p2699 -aS'an\tan\tDT\tB-NP\tO' -p2700 -aS'ejection\tejection\tNN\tI-NP\tO' -p2701 -aS'fraction\tfraction\tNN\tI-NP\tO' -p2702 -aS'of\tof\tIN\tB-PP\tO' -p2703 -aS'75%\t75%\tNN\tB-NP\tO' -p2704 -aS'.\t.\t.\tO\tO' -p2705 -asS'There was relatively central in location , with only a slight right-sided predominance .' -p2706 -(lp2707 -S'There\tThere\tEX\tB-NP\tO' -p2708 -aS'was\tbe\tVBD\tB-VP\tO' -p2709 -aS'relatively\trelatively\tRB\tB-ADJP\tO' -p2710 -aS'central\tcentral\tJJ\tI-ADJP\tO' -p2711 -aS'in\tin\tIN\tB-PP\tO' -p2712 -aS'location\tlocation\tNN\tB-NP\tO' -p2713 -aS',\t,\t,\tO\tO' -p2714 -aS'with\twith\tIN\tB-PP\tO' -p2715 -aS'only\tonly\tRB\tB-NP\tO' -p2716 -aS'a\ta\tDT\tI-NP\tO' -p2717 -aS'slight\tslight\tJJ\tI-NP\tO' -p2718 -aS'right-sided\tright-sided\tJJ\tI-NP\tO' -p2719 -aS'predominance\tpredominance\tNN\tI-NP\tO' -p2720 -aS'.\t.\t.\tO\tO' -p2721 -asS'States he is at home , name is " Henry " and year is 1992 .' -p2722 -(lp2723 -S'States\tState\tNNS\tB-NP\tO' -p2724 -aS'he\the\tPRP\tB-NP\tO' -p2725 -aS'is\tbe\tVBZ\tB-VP\tO' -p2726 -aS'at\tat\tIN\tB-PP\tO' -p2727 -aS'home\thome\tNN\tB-NP\tO' -p2728 -aS',\t,\t,\tO\tO' -p2729 -aS'name\tname\tNN\tB-NP\tO' -p2730 -aS'is\tbe\tVBZ\tB-VP\tO' -p2731 -aS'"\t"\t``\tO\tO' -p2732 -aS'Henry\tHenry\tNNP\tB-NP\tO' -p2733 -aS'"\t"\t\'\'\tO\tO' -p2734 -aS'and\tand\tCC\tO\tO' -p2735 -aS'year\tyear\tNN\tB-NP\tO' -p2736 -aS'is\tbe\tVBZ\tB-VP\tO' -p2737 -aS'1992\t1992\tCD\tB-NP\tO' -p2738 -aS'.\t.\t.\tO\tO' -p2739 -asS'There was no liver edge palpable , no spleen tip palpable .' -p2740 -(lp2741 -S'There\tThere\tEX\tB-NP\tO' -p2742 -aS'was\tbe\tVBD\tB-VP\tO' -p2743 -aS'no\tno\tDT\tB-NP\tO' -p2744 -aS'liver\tliver\tNN\tI-NP\tO' -p2745 -aS'edge\tedge\tNN\tI-NP\tO' -p2746 -aS'palpable\tpalpable\tJJ\tB-ADJP\tO' -p2747 -aS',\t,\t,\tO\tO' -p2748 -aS'no\tno\tDT\tB-NP\tO' -p2749 -aS'spleen\tspleen\tNN\tI-NP\tO' -p2750 -aS'tip\ttip\tNN\tI-NP\tO' -p2751 -aS'palpable\tpalpable\tJJ\tB-ADJP\tO' -p2752 -aS'.\t.\t.\tO\tO' -p2753 -asS'The hippocampus would be a most unusual site for involvement by multiple sclerosis .' -p2754 -(lp2755 -S'The\tThe\tDT\tB-NP\tO' -p2756 -aS'hippocampus\thippocampus\tNN\tI-NP\tO' -p2757 -aS'would\twould\tMD\tB-VP\tO' -p2758 -aS'be\tbe\tVB\tI-VP\tO' -p2759 -aS'a\ta\tDT\tB-NP\tO' -p2760 -aS'most\tmost\tRBS\tI-NP\tO' -p2761 -aS'unusual\tunusual\tJJ\tI-NP\tO' -p2762 -aS'site\tsite\tNN\tI-NP\tO' -p2763 -aS'for\tfor\tIN\tB-PP\tO' -p2764 -aS'involvement\tinvolvement\tNN\tB-NP\tO' -p2765 -aS'by\tby\tIN\tB-PP\tO' -p2766 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p2767 -aS'sclerosis\tsclerosis\tNN\tI-NP\tO' -p2768 -aS'.\t.\t.\tO\tO' -p2769 -asS'He was ruled out for tuberculosis with an induced sputum x 3 , which showed no AFB .' -p2770 -(lp2771 -S'He\tHe\tPRP\tB-NP\tO' -p2772 -aS'was\tbe\tVBD\tB-VP\tO' -p2773 -aS'ruled\trule\tVBN\tI-VP\tO' -p2774 -aS'out\tout\tRP\tB-PRT\tO' -p2775 -aS'for\tfor\tIN\tB-PP\tO' -p2776 -aS'tuberculosis\ttuberculosis\tNN\tB-NP\tO' -p2777 -aS'with\twith\tIN\tB-PP\tO' -p2778 -aS'an\tan\tDT\tB-NP\tO' -p2779 -aS'induced\tinduce\tVBN\tI-NP\tO' -p2780 -aS'sputum\tsputum\tNN\tI-NP\tB-protein' -p2781 -aS'x\tx\tSYM\tB-NP\tI-protein' -p2782 -aS'3\t3\tCD\tI-NP\tI-protein' -p2783 -aS',\t,\t,\tO\tO' -p2784 -aS'which\twhich\tWDT\tB-NP\tO' -p2785 -aS'showed\tshow\tVBD\tB-VP\tO' -p2786 -aS'no\tno\tDT\tB-NP\tO' -p2787 -aS'AFB\tAFB\tNN\tI-NP\tB-protein' -p2788 -aS'.\t.\t.\tO\tO' -p2789 -asS"## h/o nephrolithiasis s/p lithotripsy and h/o left ureteropelvic junction stone '03 spontaneously passing by U/S , no evidence of right stone on most recent u/s 5 months ago" -p2790 -(lp2791 -S'##\t##\t#\tB-NP\tO' -p2792 -aS'h/o\th/o\tNN\tI-NP\tO' -p2793 -aS'nephrolithiasis\tnephrolithiasis\tNN\tI-NP\tO' -p2794 -aS's/p\ts/p\tNN\tI-NP\tO' -p2795 -aS'lithotripsy\tlithotripsy\tNN\tI-NP\tO' -p2796 -aS'and\tand\tCC\tI-NP\tO' -p2797 -aS'h/o\th/o\tNN\tI-NP\tO' -p2798 -aS'left\tleave\tVBD\tB-VP\tO' -p2799 -aS'ureteropelvic\tureteropelvic\tJJ\tB-NP\tO' -p2800 -aS'junction\tjunction\tNN\tI-NP\tO' -p2801 -aS'stone\tstone\tNN\tI-NP\tO' -p2802 -aS"'03\t'03\tCD\tI-NP\tO" -p2803 -aS'spontaneously\tspontaneously\tRB\tB-VP\tO' -p2804 -aS'passing\tpass\tVBG\tI-VP\tO' -p2805 -aS'by\tby\tIN\tB-PP\tO' -p2806 -aS'U/S\tU/S\tNN\tB-NP\tO' -p2807 -aS',\t,\t,\tO\tO' -p2808 -aS'no\tno\tDT\tB-NP\tO' -p2809 -aS'evidence\tevidence\tNN\tI-NP\tO' -p2810 -aS'of\tof\tIN\tB-PP\tO' -p2811 -aS'right\tright\tJJ\tB-NP\tO' -p2812 -aS'stone\tstone\tNN\tI-NP\tO' -p2813 -aS'on\ton\tIN\tB-PP\tO' -p2814 -aS'most\tmost\tJJS\tB-NP\tO' -p2815 -aS'recent\trecent\tJJ\tI-NP\tO' -p2816 -aS'u/s\tu/\tNNS\tI-NP\tO' -p2817 -aS'5\t5\tCD\tB-NP\tO' -p2818 -aS'months\tmonth\tNNS\tI-NP\tO' -p2819 -aS'ago\tago\tRB\tB-ADVP\tO' -p2820 -asS'Patient also reports a 6-pound weight gain over the last four days with associated lower extremity edema .' -p2821 -(lp2822 -S'Patient\tPatient\tNN\tB-NP\tO' -p2823 -aS'also\talso\tRB\tB-ADVP\tO' -p2824 -aS'reports\treport\tVBZ\tB-VP\tO' -p2825 -aS'a\ta\tDT\tB-NP\tO' -p2826 -aS'6-pound\t6-pound\tJJ\tI-NP\tO' -p2827 -aS'weight\tweight\tNN\tI-NP\tO' -p2828 -aS'gain\tgain\tNN\tI-NP\tO' -p2829 -aS'over\tover\tIN\tB-PP\tO' -p2830 -aS'the\tthe\tDT\tB-NP\tO' -p2831 -aS'last\tlast\tJJ\tI-NP\tO' -p2832 -aS'four\tfour\tCD\tI-NP\tO' -p2833 -aS'days\tday\tNNS\tI-NP\tO' -p2834 -aS'with\twith\tIN\tB-PP\tO' -p2835 -aS'associated\tassociate\tVBN\tB-NP\tO' -p2836 -aS'lower\tlow\tJJR\tI-NP\tO' -p2837 -aS'extremity\textremity\tNN\tI-NP\tO' -p2838 -aS'edema\tedema\tNN\tI-NP\tO' -p2839 -aS'.\t.\t.\tO\tO' -p2840 -asS'Normal active bowel sounds .' -p2841 -(lp2842 -S'Normal\tNormal\tJJ\tB-NP\tO' -p2843 -aS'active\tactive\tJJ\tI-NP\tO' -p2844 -aS'bowel\tbowel\tNN\tI-NP\tO' -p2845 -aS'sounds\tsound\tNNS\tI-NP\tO' -p2846 -aS'.\t.\t.\tO\tO' -p2847 -asS'He responded to a Neo-Synephrine bolus , and had no further complications from this standpoint .' -p2848 -(lp2849 -S'He\tHe\tPRP\tB-NP\tO' -p2850 -aS'responded\trespond\tVBD\tB-VP\tO' -p2851 -aS'to\tto\tTO\tB-PP\tO' -p2852 -aS'a\ta\tDT\tB-NP\tO' -p2853 -aS'Neo-Synephrine\tNeo-Synephrine\tJJ\tI-NP\tO' -p2854 -aS'bolus\tbolus\tNN\tI-NP\tO' -p2855 -aS',\t,\t,\tO\tO' -p2856 -aS'and\tand\tCC\tO\tO' -p2857 -aS'had\thave\tVBD\tB-VP\tO' -p2858 -aS'no\tno\tDT\tB-NP\tO' -p2859 -aS'further\tfurther\tJJ\tI-NP\tO' -p2860 -aS'complications\tcomplication\tNNS\tI-NP\tO' -p2861 -aS'from\tfrom\tIN\tB-PP\tO' -p2862 -aS'this\tthis\tDT\tB-NP\tO' -p2863 -aS'standpoint\tstandpoint\tNN\tI-NP\tO' -p2864 -aS'.\t.\t.\tO\tO' -p2865 -asS'Repeat head CT showed stable bleed .' -p2866 -(lp2867 -S'Repeat\tRepeat\tNN\tB-NP\tO' -p2868 -aS'head\thead\tNN\tI-NP\tO' -p2869 -aS'CT\tCT\tNN\tI-NP\tO' -p2870 -aS'showed\tshow\tVBD\tB-VP\tO' -p2871 -aS'stable\tstable\tJJ\tB-NP\tO' -p2872 -aS'bleed\tbleed\tNN\tI-NP\tO' -p2873 -aS'.\t.\t.\tO\tO' -p2874 -asS'He was actually intubated and underwent bronchoscopy where the diagnosis was made with a positive toluidine blue study .' -p2875 -(lp2876 -S'He\tHe\tPRP\tB-NP\tO' -p2877 -aS'was\tbe\tVBD\tB-VP\tO' -p2878 -aS'actually\tactually\tRB\tI-VP\tO' -p2879 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p2880 -aS'and\tand\tCC\tO\tO' -p2881 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p2882 -aS'bronchoscopy\tbronchoscopy\tNN\tB-NP\tO' -p2883 -aS'where\twhere\tWRB\tB-ADVP\tO' -p2884 -aS'the\tthe\tDT\tB-NP\tO' -p2885 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p2886 -aS'was\tbe\tVBD\tB-VP\tO' -p2887 -aS'made\tmake\tVBN\tI-VP\tO' -p2888 -aS'with\twith\tIN\tB-PP\tO' -p2889 -aS'a\ta\tDT\tB-NP\tO' -p2890 -aS'positive\tpositive\tJJ\tI-NP\tO' -p2891 -aS'toluidine\ttoluidine\tNN\tI-NP\tO' -p2892 -aS'blue\tblue\tJJ\tI-NP\tO' -p2893 -aS'study\tstudy\tNN\tI-NP\tO' -p2894 -aS'.\t.\t.\tO\tO' -p2895 -asS'Because of his blood pressure , dependence of his left sided extremities , the lower leg specifically , he was transferred to the Intensive Care Unit where he underwent hypertensive therapy for several days .' -p2896 -(lp2897 -S'Because\tBecause\tIN\tB-PP\tO' -p2898 -aS'of\tof\tIN\tI-PP\tO' -p2899 -aS'his\this\tPRP$\tB-NP\tO' -p2900 -aS'blood\tblood\tNN\tI-NP\tO' -p2901 -aS'pressure\tpressure\tNN\tI-NP\tO' -p2902 -aS',\t,\t,\tO\tO' -p2903 -aS'dependence\tdependence\tNN\tB-NP\tO' -p2904 -aS'of\tof\tIN\tB-PP\tO' -p2905 -aS'his\this\tPRP$\tB-NP\tO' -p2906 -aS'left\tleft\tJJ\tI-NP\tO' -p2907 -aS'sided\tsided\tJJ\tI-NP\tO' -p2908 -aS'extremities\textremity\tNNS\tI-NP\tO' -p2909 -aS',\t,\t,\tO\tO' -p2910 -aS'the\tthe\tDT\tB-NP\tO' -p2911 -aS'lower\tlow\tJJR\tI-NP\tO' -p2912 -aS'leg\tleg\tNN\tI-NP\tO' -p2913 -aS'specifically\tspecifically\tRB\tB-ADVP\tO' -p2914 -aS',\t,\t,\tO\tO' -p2915 -aS'he\the\tPRP\tB-NP\tO' -p2916 -aS'was\tbe\tVBD\tB-VP\tO' -p2917 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p2918 -aS'to\tto\tTO\tB-PP\tO' -p2919 -aS'the\tthe\tDT\tB-NP\tO' -p2920 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p2921 -aS'Care\tCare\tNNP\tI-NP\tO' -p2922 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p2923 -aS'where\twhere\tWRB\tB-ADVP\tO' -p2924 -aS'he\the\tPRP\tB-NP\tO' -p2925 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p2926 -aS'hypertensive\thypertensive\tJJ\tB-NP\tO' -p2927 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p2928 -aS'for\tfor\tIN\tB-PP\tO' -p2929 -aS'several\tseveral\tJJ\tB-NP\tO' -p2930 -aS'days\tday\tNNS\tI-NP\tO' -p2931 -aS'.\t.\t.\tO\tO' -p2932 -asS'In addition , an extra stitch was placed in an effort to stop the bleeding .' -p2933 -(lp2934 -S'In\tIn\tIN\tB-PP\tO' -p2935 -aS'addition\taddition\tNN\tB-NP\tO' -p2936 -aS',\t,\t,\tO\tO' -p2937 -aS'an\tan\tDT\tB-NP\tO' -p2938 -aS'extra\textra\tJJ\tI-NP\tO' -p2939 -aS'stitch\tstitch\tNN\tI-NP\tO' -p2940 -aS'was\tbe\tVBD\tB-VP\tO' -p2941 -aS'placed\tplace\tVBN\tI-VP\tO' -p2942 -aS'in\tin\tIN\tB-PP\tO' -p2943 -aS'an\tan\tDT\tB-NP\tO' -p2944 -aS'effort\teffort\tNN\tI-NP\tO' -p2945 -aS'to\tto\tTO\tB-VP\tO' -p2946 -aS'stop\tstop\tVB\tI-VP\tO' -p2947 -aS'the\tthe\tDT\tB-NP\tO' -p2948 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p2949 -aS'.\t.\t.\tO\tO' -p2950 -asS'She only tolerated some clear liquids .' -p2951 -(lp2952 -S'She\tShe\tPRP\tB-NP\tO' -p2953 -aS'only\tonly\tRB\tB-ADVP\tO' -p2954 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p2955 -aS'some\tsome\tDT\tB-NP\tO' -p2956 -aS'clear\tclear\tJJ\tI-NP\tO' -p2957 -aS'liquids\tliquid\tNNS\tI-NP\tO' -p2958 -aS'.\t.\t.\tO\tO' -p2959 -asS'albuterol-ipratroprium INH 2 sprays tid prn' -p2960 -(lp2961 -S'albuterol-ipratroprium\talbuterol-ipratroprium\tNN\tB-NP\tO' -p2962 -aS'INH\tINH\tNN\tI-NP\tO' -p2963 -aS'2\t2\tCD\tB-NP\tO' -p2964 -aS'sprays\tspray\tNNS\tI-NP\tO' -p2965 -aS'tid\ttid\tNN\tI-NP\tO' -p2966 -aS'prn\tprn\tNN\tI-NP\tO' -p2967 -asS'On admission , revealed a vigorous non-dysmorphic premature infant , with moderate subcostal retractions and some occasional grunting , normal S1 , S2 heart sounds , no murmur .' -p2968 -(lp2969 -S'On\tOn\tIN\tB-PP\tO' -p2970 -aS'admission\tadmission\tNN\tB-NP\tO' -p2971 -aS',\t,\t,\tO\tO' -p2972 -aS'revealed\treveal\tVBD\tB-VP\tO' -p2973 -aS'a\ta\tDT\tB-NP\tO' -p2974 -aS'vigorous\tvigorous\tJJ\tI-NP\tO' -p2975 -aS'non-dysmorphic\tnon-dysmorphic\tJJ\tI-NP\tO' -p2976 -aS'premature\tpremature\tJJ\tI-NP\tO' -p2977 -aS'infant\tinfant\tNN\tI-NP\tO' -p2978 -aS',\t,\t,\tO\tO' -p2979 -aS'with\twith\tIN\tB-PP\tO' -p2980 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p2981 -aS'subcostal\tsubcostal\tJJ\tI-NP\tO' -p2982 -aS'retractions\tretraction\tNNS\tI-NP\tO' -p2983 -aS'and\tand\tCC\tO\tO' -p2984 -aS'some\tsome\tDT\tB-NP\tO' -p2985 -aS'occasional\toccasional\tJJ\tI-NP\tO' -p2986 -aS'grunting\tgrunting\tNN\tI-NP\tO' -p2987 -aS',\t,\t,\tO\tO' -p2988 -aS'normal\tnormal\tJJ\tB-NP\tO' -p2989 -aS'S1\tS1\tNN\tI-NP\tO' -p2990 -aS',\t,\t,\tO\tO' -p2991 -aS'S2\tS2\tNN\tB-NP\tO' -p2992 -aS'heart\theart\tNN\tI-NP\tO' -p2993 -aS'sounds\tsound\tVBZ\tB-VP\tO' -p2994 -aS',\t,\t,\tO\tO' -p2995 -aS'no\tno\tDT\tB-NP\tO' -p2996 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p2997 -aS'.\t.\t.\tO\tO' -p2998 -asS'1. Significant for coronary artery disease status post CABG/MVR .' -p2999 -(lp3000 -S'1.\t1.\tLS\tB-LST\tO' -p3001 -aS'Significant\tSignificant\tJJ\tB-ADJP\tO' -p3002 -aS'for\tfor\tIN\tB-PP\tO' -p3003 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p3004 -aS'artery\tartery\tNN\tI-NP\tO' -p3005 -aS'disease\tdisease\tNN\tI-NP\tO' -p3006 -aS'status\tstatus\tNN\tI-NP\tO' -p3007 -aS'post\tpost\tNN\tI-NP\tO' -p3008 -aS'CABG/MVR\tCABG/MVR\tNN\tI-NP\tO' -p3009 -aS'.\t.\t.\tO\tO' -p3010 -asS'She delivered a 3235 gram male infant on 11/01/2004 at 09:31 am with apgar scores of 9 and 9 at one and five minutes respectively at 39.0 weeks gestation via spontaneous vertex vaginal delivery .' -p3011 -(lp3012 -S'She\tShe\tPRP\tB-NP\tO' -p3013 -aS'delivered\tdeliver\tVBD\tB-VP\tO' -p3014 -aS'a\ta\tDT\tB-NP\tO' -p3015 -aS'3235\t3235\tCD\tI-NP\tO' -p3016 -aS'gram\tgram\tNN\tI-NP\tO' -p3017 -aS'male\tmale\tJJ\tI-NP\tO' -p3018 -aS'infant\tinfant\tNN\tI-NP\tO' -p3019 -aS'on\ton\tIN\tB-PP\tO' -p3020 -aS'11/01/2004\t11/01/2004\tCD\tB-NP\tO' -p3021 -aS'at\tat\tIN\tB-PP\tO' -p3022 -aS'09:31\t09:31\tCD\tB-NP\tO' -p3023 -aS'am\tam\tNN\tI-NP\tO' -p3024 -aS'with\twith\tIN\tB-PP\tO' -p3025 -aS'apgar\tapgar\tNN\tB-NP\tO' -p3026 -aS'scores\tscore\tNNS\tI-NP\tO' -p3027 -aS'of\tof\tIN\tB-PP\tO' -p3028 -aS'9\t9\tCD\tB-NP\tO' -p3029 -aS'and\tand\tCC\tI-NP\tO' -p3030 -aS'9\t9\tCD\tI-NP\tO' -p3031 -aS'at\tat\tIN\tB-PP\tO' -p3032 -aS'one\tone\tCD\tB-NP\tO' -p3033 -aS'and\tand\tCC\tI-NP\tO' -p3034 -aS'five\tfive\tCD\tI-NP\tO' -p3035 -aS'minutes\tminute\tNNS\tI-NP\tO' -p3036 -aS'respectively\trespectively\tRB\tB-ADVP\tO' -p3037 -aS'at\tat\tIN\tB-PP\tO' -p3038 -aS'39.0\t39.0\tCD\tB-NP\tO' -p3039 -aS'weeks\tweek\tNNS\tI-NP\tO' -p3040 -aS'gestation\tgestation\tNN\tI-NP\tO' -p3041 -aS'via\tvia\tIN\tB-PP\tO' -p3042 -aS'spontaneous\tspontaneous\tJJ\tB-NP\tO' -p3043 -aS'vertex\tvertex\tNN\tI-NP\tO' -p3044 -aS'vaginal\tvaginal\tJJ\tI-NP\tO' -p3045 -aS'delivery\tdelivery\tNN\tI-NP\tO' -p3046 -aS'.\t.\t.\tO\tO' -p3047 -asS'Mother presented in spontaneous labor .' -p3048 -(lp3049 -S'Mother\tMother\tDT\tB-NP\tO' -p3050 -aS'presented\tpresent\tVBN\tB-VP\tO' -p3051 -aS'in\tin\tIN\tB-PP\tO' -p3052 -aS'spontaneous\tspontaneous\tJJ\tB-NP\tO' -p3053 -aS'labor\tlabor\tNN\tI-NP\tO' -p3054 -aS'.\t.\t.\tO\tO' -p3055 -asS'Lovenox 0.6 mg / kg SC BID' -p3056 -(lp3057 -S'Lovenox\tLovenox\tNN\tB-NP\tO' -p3058 -aS'0.6\t0.6\tCD\tI-NP\tO' -p3059 -aS'mg\tmg\tNN\tI-NP\tO' -p3060 -aS'/\t/\tSYM\tB-NP\tO' -p3061 -aS'kg\tkg\tNN\tI-NP\tO' -p3062 -aS'SC\tSC\tNN\tI-NP\tO' -p3063 -aS'BID\tBID\tNN\tI-NP\tO' -p3064 -asS'There was no sign of attention pneumothorax with decompression , and a right chest tube was placed .' -p3065 -(lp3066 -S'There\tThere\tEX\tB-NP\tO' -p3067 -aS'was\tbe\tVBD\tB-VP\tO' -p3068 -aS'no\tno\tDT\tB-NP\tO' -p3069 -aS'sign\tsign\tNN\tI-NP\tO' -p3070 -aS'of\tof\tIN\tB-PP\tO' -p3071 -aS'attention\tattention\tNN\tB-NP\tO' -p3072 -aS'pneumothorax\tpneumothorax\tNN\tI-NP\tO' -p3073 -aS'with\twith\tIN\tB-PP\tO' -p3074 -aS'decompression\tdecompression\tNN\tB-NP\tO' -p3075 -aS',\t,\t,\tO\tO' -p3076 -aS'and\tand\tCC\tO\tO' -p3077 -aS'a\ta\tDT\tB-NP\tO' -p3078 -aS'right\tright\tJJ\tI-NP\tO' -p3079 -aS'chest\tchest\tNN\tI-NP\tO' -p3080 -aS'tube\ttube\tNN\tI-NP\tO' -p3081 -aS'was\tbe\tVBD\tB-VP\tO' -p3082 -aS'placed\tplace\tVBN\tI-VP\tO' -p3083 -aS'.\t.\t.\tO\tO' -p3084 -asS'Chemistry-7 was unremarkable .' -p3085 -(lp3086 -S'Chemistry-7\tChemistry-7\tNN\tB-NP\tB-protein' -p3087 -aS'was\tbe\tVBD\tB-VP\tO' -p3088 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p3089 -aS'.\t.\t.\tO\tO' -p3090 -asS'Major Surgical or Invasive Procedure : s/p intracranial pressure bolt placement' -p3091 -(lp3092 -S'Major\tMajor\tJJ\tB-NP\tO' -p3093 -aS'Surgical\tSurgical\tJJ\tI-NP\tO' -p3094 -aS'or\tor\tCC\tI-NP\tO' -p3095 -aS'Invasive\tInvasive\tJJ\tI-NP\tO' -p3096 -aS'Procedure\tProcedure\tNN\tI-NP\tO' -p3097 -aS':\t:\t:\tO\tO' -p3098 -aS's/p\ts/p\tNN\tB-NP\tO' -p3099 -aS'intracranial\tintracranial\tJJ\tI-NP\tO' -p3100 -aS'pressure\tpressure\tNN\tI-NP\tO' -p3101 -aS'bolt\tbolt\tNN\tI-NP\tO' -p3102 -aS'placement\tplacement\tNN\tI-NP\tO' -p3103 -asS'Chest tubes and wires removed without incident .' -p3104 -(lp3105 -S'Chest\tCh\tJJS\tB-NP\tO' -p3106 -aS'tubes\ttube\tNNS\tI-NP\tO' -p3107 -aS'and\tand\tCC\tI-NP\tO' -p3108 -aS'wires\twire\tNNS\tI-NP\tO' -p3109 -aS'removed\tremove\tVBN\tB-VP\tO' -p3110 -aS'without\twithout\tIN\tB-PP\tO' -p3111 -aS'incident\tincident\tNN\tB-NP\tO' -p3112 -aS'.\t.\t.\tO\tO' -p3113 -asS'Chest x-ray showed no infiltrates and no pulmonary edema .' -p3114 -(lp3115 -S'Chest\tCh\tJJS\tB-NP\tO' -p3116 -aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' -p3117 -aS'showed\tshow\tVBD\tB-VP\tO' -p3118 -aS'no\tno\tDT\tB-NP\tO' -p3119 -aS'infiltrates\tinfiltrate\tNNS\tI-NP\tO' -p3120 -aS'and\tand\tCC\tO\tO' -p3121 -aS'no\tno\tDT\tB-NP\tO' -p3122 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p3123 -aS'edema\tedema\tNN\tI-NP\tO' -p3124 -aS'.\t.\t.\tO\tO' -p3125 -asS'6. Prednisone 40 q day .' -p3126 -(lp3127 -S'6.\t6.\tCD\tB-NP\tO' -p3128 -aS'Prednisone\tPrednisone\tNN\tI-NP\tO' -p3129 -aS'40\t40\tCD\tB-NP\tO' -p3130 -aS'q\tq\tNN\tI-NP\tO' -p3131 -aS'day\tday\tNN\tI-NP\tO' -p3132 -aS'.\t.\t.\tO\tO' -p3133 -asS'The patient remained guaiac negative throughout the entire hospitalization .' -p3134 -(lp3135 -S'The\tThe\tDT\tB-NP\tO' -p3136 -aS'patient\tpatient\tNN\tI-NP\tO' -p3137 -aS'remained\tremain\tVBD\tB-VP\tO' -p3138 -aS'guaiac\tguaiac\tNN\tB-NP\tO' -p3139 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p3140 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p3141 -aS'the\tthe\tDT\tB-NP\tO' -p3142 -aS'entire\tentire\tJJ\tI-NP\tO' -p3143 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p3144 -aS'.\t.\t.\tO\tO' -p3145 -asS'4. Trimethoprim - Sulfamethoxazole 80-400 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' -p3146 -(lp3147 -S'4.\t4.\tLS\tB-NP\tO' -p3148 -aS'Trimethoprim\tTrimethoprim\tNN\tI-NP\tO' -p3149 -aS'-\t-\tHYPH\tO\tO' -p3150 -aS'Sulfamethoxazole\tSulfamethoxazole\tNN\tB-NP\tO' -p3151 -aS'80-400\t80-400\tCD\tI-NP\tO' -p3152 -aS'mg\tmg\tNN\tI-NP\tO' -p3153 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p3154 -aS'Sig\tSig\tNNP\tI-NP\tO' -p3155 -aS':\t:\t:\tO\tO' -p3156 -aS'One\tOne\tCD\tB-NP\tO' -p3157 -aS'(\t(\t(\tO\tO' -p3158 -aS'1\t1\tCD\tB-NP\tO' -p3159 -aS')\t)\t)\tO\tO' -p3160 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p3161 -aS'PO\tPO\tNN\tI-NP\tO' -p3162 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p3163 -aS'(\t(\t(\tO\tO' -p3164 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p3165 -aS')\t)\t)\tO\tO' -p3166 -aS'.\t.\t.\tO\tO' -p3167 -asS'From May 27 , 1998 through June 19 , 1998 , the patient had a decline in her platelets from 394 to 28 with a stable hematocrit of 32 to 33 and a rise in creatinine from 1.0 to 3.8 .' -p3168 -(lp3169 -S'From\tFrom\tIN\tB-PP\tO' -p3170 -aS'May\tMay\tNNP\tB-NP\tO' -p3171 -aS'27\t27\tCD\tI-NP\tO' -p3172 -aS',\t,\t,\tO\tO' -p3173 -aS'1998\t1998\tCD\tB-NP\tO' -p3174 -aS'through\tthrough\tIN\tB-PP\tO' -p3175 -aS'June\tJune\tNNP\tB-NP\tO' -p3176 -aS'19\t19\tCD\tI-NP\tO' -p3177 -aS',\t,\t,\tO\tO' -p3178 -aS'1998\t1998\tCD\tB-NP\tO' -p3179 -aS',\t,\t,\tO\tO' -p3180 -aS'the\tthe\tDT\tB-NP\tO' -p3181 -aS'patient\tpatient\tNN\tI-NP\tO' -p3182 -aS'had\thave\tVBD\tB-VP\tO' -p3183 -aS'a\ta\tDT\tB-NP\tO' -p3184 -aS'decline\tdecline\tNN\tI-NP\tO' -p3185 -aS'in\tin\tIN\tB-PP\tO' -p3186 -aS'her\ther\tPRP$\tB-NP\tB-cell_type' -p3187 -aS'platelets\tplatelet\tNNS\tI-NP\tI-cell_type' -p3188 -aS'from\tfrom\tIN\tB-PP\tO' -p3189 -aS'394\t394\tCD\tB-NP\tB-DNA' -p3190 -aS'to\tto\tTO\tB-PP\tI-DNA' -p3191 -aS'28\t28\tCD\tB-NP\tI-DNA' -p3192 -aS'with\twith\tIN\tB-PP\tO' -p3193 -aS'a\ta\tDT\tB-NP\tO' -p3194 -aS'stable\tstable\tJJ\tI-NP\tO' -p3195 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p3196 -aS'of\tof\tIN\tB-PP\tO' -p3197 -aS'32\t32\tCD\tB-NP\tO' -p3198 -aS'to\tto\tTO\tB-PP\tO' -p3199 -aS'33\t33\tCD\tB-NP\tO' -p3200 -aS'and\tand\tCC\tO\tO' -p3201 -aS'a\ta\tDT\tB-NP\tO' -p3202 -aS'rise\trise\tNN\tI-NP\tO' -p3203 -aS'in\tin\tIN\tB-PP\tO' -p3204 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p3205 -aS'from\tfrom\tIN\tB-PP\tO' -p3206 -aS'1.0\t1.0\tCD\tB-NP\tO' -p3207 -aS'to\tto\tTO\tB-PP\tO' -p3208 -aS'3.8\t3.8\tCD\tB-NP\tO' -p3209 -aS'.\t.\t.\tO\tO' -p3210 -asS'By postoperative day #3 , the patient was tolerating p.o.' s , tolerating oral pain medications , ambulating , passing flatus , and having a bowel movement .' -p3211 -(lp3212 -S'By\tBy\tIN\tB-PP\tO' -p3213 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p3214 -aS'day\tday\tNN\tI-NP\tO' -p3215 -aS'#3\t#3\tNN\tI-NP\tO' -p3216 -aS',\t,\t,\tO\tO' -p3217 -aS'the\tthe\tDT\tB-NP\tO' -p3218 -aS'patient\tpatient\tNN\tI-NP\tO' -p3219 -aS'was\tbe\tVBD\tB-VP\tO' -p3220 -aS'tolerating\ttolerate\tVBG\tI-VP\tO' -p3221 -aS'p.o.'\tp.o.'\tNN\tB-NP\tO' -p3222 -aS's\ts\tNNS\tI-NP\tO' -p3223 -aS',\t,\t,\tO\tO' -p3224 -aS'tolerating\ttolerate\tVBG\tB-VP\tO' -p3225 -aS'oral\toral\tJJ\tB-NP\tO' -p3226 -aS'pain\tpain\tNN\tI-NP\tO' -p3227 -aS'medications\tmedication\tNNS\tI-NP\tO' -p3228 -aS',\t,\t,\tO\tO' -p3229 -aS'ambulating\tambulate\tVBG\tB-VP\tO' -p3230 -aS',\t,\t,\tO\tO' -p3231 -aS'passing\tpass\tVBG\tB-VP\tO' -p3232 -aS'flatus\tflatus\tNN\tB-NP\tO' -p3233 -aS',\t,\t,\tO\tO' -p3234 -aS'and\tand\tCC\tO\tO' -p3235 -aS'having\thave\tVBG\tB-VP\tO' -p3236 -aS'a\ta\tDT\tB-NP\tO' -p3237 -aS'bowel\tbowel\tNN\tI-NP\tO' -p3238 -aS'movement\tmovement\tNN\tI-NP\tO' -p3239 -aS'.\t.\t.\tO\tO' -p3240 -asS'The ablation was done on 2013-12-04 .' -p3241 -(lp3242 -S'The\tThe\tDT\tB-NP\tO' -p3243 -aS'ablation\tablation\tNN\tI-NP\tO' -p3244 -aS'was\tbe\tVBD\tB-VP\tO' -p3245 -aS'done\tdo\tVBN\tI-VP\tO' -p3246 -aS'on\ton\tIN\tB-PP\tO' -p3247 -aS'2013-12-04\t2013-12-04\tCD\tB-NP\tO' -p3248 -aS'.\t.\t.\tO\tO' -p3249 -asS'1. Status post coronary artery bypass graft times three on 2013-01-04 .' -p3250 -(lp3251 -S'1.\t1.\tLS\tB-LST\tO' -p3252 -aS'Status\tStatus\tNNP\tB-NP\tO' -p3253 -aS'post\tpost\tIN\tB-PP\tO' -p3254 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p3255 -aS'artery\tartery\tNN\tI-NP\tO' -p3256 -aS'bypass\tbypass\tIN\tB-PP\tO' -p3257 -aS'graft\tgraft\tNN\tB-NP\tO' -p3258 -aS'times\ttime\tNNS\tI-NP\tO' -p3259 -aS'three\tthree\tCD\tB-NP\tO' -p3260 -aS'on\ton\tIN\tB-PP\tO' -p3261 -aS'2013-01-04\t2013-01-04\tCD\tB-NP\tO' -p3262 -aS'.\t.\t.\tO\tO' -p3263 -asS'There is no clubbing , cyanosis or edema and her peripheral pulses were trace palpable .' -p3264 -(lp3265 -S'There\tThere\tEX\tB-NP\tO' -p3266 -aS'is\tbe\tVBZ\tB-VP\tO' -p3267 -aS'no\tno\tDT\tB-NP\tO' -p3268 -aS'clubbing\tclubbing\tNN\tI-NP\tO' -p3269 -aS',\t,\t,\tI-NP\tO' -p3270 -aS'cyanosis\tcyanosis\tNN\tI-NP\tO' -p3271 -aS'or\tor\tCC\tI-NP\tO' -p3272 -aS'edema\tedema\tNN\tI-NP\tO' -p3273 -aS'and\tand\tCC\tO\tO' -p3274 -aS'her\ther\tPRP$\tB-NP\tO' -p3275 -aS'peripheral\tperipheral\tJJ\tI-NP\tO' -p3276 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p3277 -aS'were\tbe\tVBD\tB-VP\tO' -p3278 -aS'trace\ttrace\tNN\tB-ADJP\tO' -p3279 -aS'palpable\tpalpable\tJJ\tI-ADJP\tO' -p3280 -aS'.\t.\t.\tO\tO' -p3281 -asS'13) K-Dur 10 mEq x three , p.o. b.i.d.' -p3282 -(lp3283 -S'13)\t13)\tLS\tB-LST\tO' -p3284 -aS'K-Dur\tK-Dur\tNNP\tB-NP\tO' -p3285 -aS'10\t10\tCD\tI-NP\tO' -p3286 -aS'mEq\tmEq\tNN\tI-NP\tO' -p3287 -aS'x\tx\tSYM\tB-NP\tO' -p3288 -aS'three\tthree\tCD\tB-NP\tO' -p3289 -aS',\t,\t,\tO\tO' -p3290 -aS'p.o.\tp.o.\tFW\tB-ADVP\tO' -p3291 -aS'b.i.d.\tb.i.d.\tFW\tI-ADVP\tO' -p3292 -asS'Self inflicted gunshot wound to the head .' -p3293 -(lp3294 -S'Self\tSelf\tNN\tB-NP\tO' -p3295 -aS'inflicted\tinflict\tVBD\tB-VP\tO' -p3296 -aS'gunshot\tgunshot\tNN\tB-NP\tO' -p3297 -aS'wound\twound\tNN\tI-NP\tO' -p3298 -aS'to\tto\tTO\tB-PP\tO' -p3299 -aS'the\tthe\tDT\tB-NP\tO' -p3300 -aS'head\thead\tNN\tI-NP\tO' -p3301 -aS'.\t.\t.\tO\tO' -p3302 -asS'Follow up with Dr. Eckman in 2-3 weeks , (506) 946-4576' -p3303 -(lp3304 -S'Follow\tFollow\tVB\tB-VP\tO' -p3305 -aS'up\tup\tRP\tB-PRT\tO' -p3306 -aS'with\twith\tIN\tB-PP\tO' -p3307 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p3308 -aS'Eckman\tEckman\tNNP\tI-NP\tO' -p3309 -aS'in\tin\tIN\tB-PP\tO' -p3310 -aS'2-3\t2-3\tCD\tB-NP\tO' -p3311 -aS'weeks\tweek\tNNS\tI-NP\tO' -p3312 -aS',\t,\t,\tO\tO' -p3313 -aS'(506)\t(506)\tLS\tB-LST\tO' -p3314 -aS'946-4576\t946-4576\tCD\tB-NP\tO' -p3315 -asS'Imaging indicated that the pleural effusions had resolved .' -p3316 -(lp3317 -S'Imaging\tImaging\tNN\tB-NP\tO' -p3318 -aS'indicated\tindicate\tVBD\tB-VP\tO' -p3319 -aS'that\tthat\tIN\tB-SBAR\tO' -p3320 -aS'the\tthe\tDT\tB-NP\tO' -p3321 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p3322 -aS'effusions\teffusion\tNNS\tI-NP\tO' -p3323 -aS'had\thave\tVBD\tB-VP\tO' -p3324 -aS'resolved\tresolve\tVBN\tI-VP\tO' -p3325 -aS'.\t.\t.\tO\tO' -p3326 -asS'In total , the patient was defibrillated 10 times , given 5 courses of intravenous epinephrine , one course of intravenous Atropine and intravenous calcium x 1 in addition to an amp of bicarbonate .' -p3327 -(lp3328 -S'In\tIn\tIN\tB-PP\tO' -p3329 -aS'total\ttotal\tNN\tB-NP\tO' -p3330 -aS',\t,\t,\tO\tO' -p3331 -aS'the\tthe\tDT\tB-NP\tO' -p3332 -aS'patient\tpatient\tNN\tI-NP\tO' -p3333 -aS'was\tbe\tVBD\tB-VP\tO' -p3334 -aS'defibrillated\tdefibrillate\tVBN\tI-VP\tO' -p3335 -aS'10\t10\tCD\tB-NP\tO' -p3336 -aS'times\ttime\tNNS\tI-NP\tO' -p3337 -aS',\t,\t,\tO\tO' -p3338 -aS'given\tgive\tVBN\tB-PP\tO' -p3339 -aS'5\t5\tCD\tB-NP\tO' -p3340 -aS'courses\tcourse\tNNS\tI-NP\tO' -p3341 -aS'of\tof\tIN\tB-PP\tO' -p3342 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p3343 -aS'epinephrine\tepinephrine\tNN\tI-NP\tO' -p3344 -aS',\t,\t,\tO\tO' -p3345 -aS'one\tone\tCD\tB-NP\tO' -p3346 -aS'course\tcourse\tNN\tI-NP\tO' -p3347 -aS'of\tof\tIN\tB-PP\tO' -p3348 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p3349 -aS'Atropine\tAtropine\tNN\tI-NP\tO' -p3350 -aS'and\tand\tCC\tO\tO' -p3351 -aS'intravenous\tintravenous\tJJ\tB-NP\tB-protein' -p3352 -aS'calcium\tcalcium\tNN\tI-NP\tI-protein' -p3353 -aS'x\tx\tSYM\tB-NP\tI-protein' -p3354 -aS'1\t1\tCD\tI-NP\tI-protein' -p3355 -aS'in\tin\tIN\tB-PP\tO' -p3356 -aS'addition\taddition\tNN\tB-NP\tO' -p3357 -aS'to\tto\tTO\tB-PP\tO' -p3358 -aS'an\tan\tDT\tB-NP\tO' -p3359 -aS'amp\tamp\tNN\tI-NP\tO' -p3360 -aS'of\tof\tIN\tB-PP\tO' -p3361 -aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' -p3362 -aS'.\t.\t.\tO\tO' -p3363 -asS'4. New jejunal wall thickening with persistent distal ileal wall thickening and diffuse mesenteric stranding , most likely reflecting an infectious etiology .' -p3364 -(lp3365 -S'4.\t4.\tLS\tB-NP\tO' -p3366 -aS'New\tNew\tNNP\tI-NP\tO' -p3367 -aS'jejunal\tjejunal\tJJ\tI-NP\tO' -p3368 -aS'wall\twall\tNN\tI-NP\tO' -p3369 -aS'thickening\tthicken\tVBG\tB-VP\tO' -p3370 -aS'with\twith\tIN\tB-PP\tO' -p3371 -aS'persistent\tpersistent\tJJ\tB-NP\tO' -p3372 -aS'distal\tdistal\tJJ\tI-NP\tO' -p3373 -aS'ileal\tileal\tJJ\tI-NP\tO' -p3374 -aS'wall\twall\tNN\tI-NP\tO' -p3375 -aS'thickening\tthicken\tVBG\tB-VP\tO' -p3376 -aS'and\tand\tCC\tO\tO' -p3377 -aS'diffuse\tdiffuse\tJJ\tB-NP\tO' -p3378 -aS'mesenteric\tmesenteric\tJJ\tI-NP\tO' -p3379 -aS'stranding\tstranding\tNN\tI-NP\tO' -p3380 -aS',\t,\t,\tO\tO' -p3381 -aS'most\tmost\tRBS\tB-ADVP\tO' -p3382 -aS'likely\tlikely\tRB\tI-ADVP\tO' -p3383 -aS'reflecting\treflect\tVBG\tB-VP\tO' -p3384 -aS'an\tan\tDT\tB-NP\tO' -p3385 -aS'infectious\tinfectious\tJJ\tI-NP\tO' -p3386 -aS'etiology\tetiology\tNN\tI-NP\tO' -p3387 -aS'.\t.\t.\tO\tO' -p3388 -asS'There was swelling of the body and tail of the pancreas .' -p3389 -(lp3390 -S'There\tThere\tEX\tB-NP\tO' -p3391 -aS'was\tbe\tVBD\tB-VP\tO' -p3392 -aS'swelling\tswell\tVBG\tI-VP\tO' -p3393 -aS'of\tof\tIN\tB-PP\tO' -p3394 -aS'the\tthe\tDT\tB-NP\tO' -p3395 -aS'body\tbody\tNN\tI-NP\tO' -p3396 -aS'and\tand\tCC\tI-NP\tO' -p3397 -aS'tail\ttail\tNN\tI-NP\tO' -p3398 -aS'of\tof\tIN\tB-PP\tO' -p3399 -aS'the\tthe\tDT\tB-NP\tO' -p3400 -aS'pancreas\tpancreas\tNN\tI-NP\tO' -p3401 -aS'.\t.\t.\tO\tO' -p3402 -asS'The patient received pneumoboots and lovenox for DVT prophylaxis . .' -p3403 -(lp3404 -S'The\tThe\tDT\tB-NP\tO' -p3405 -aS'patient\tpatient\tNN\tI-NP\tO' -p3406 -aS'received\treceive\tVBD\tB-VP\tO' -p3407 -aS'pneumoboots\tpneumoboot\tNNS\tB-NP\tO' -p3408 -aS'and\tand\tCC\tO\tO' -p3409 -aS'lovenox\tlovenox\tNN\tB-NP\tO' -p3410 -aS'for\tfor\tIN\tB-PP\tO' -p3411 -aS'DVT\tDVT\tNN\tB-NP\tO' -p3412 -aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' -p3413 -aS'.\t.\t.\tO\tO' -p3414 -aS'.\t.\t.\tO\tO' -p3415 -asS'3) History of atrial fibrillation .' -p3416 -(lp3417 -S'3)\t3)\tLS\tB-NP\tO' -p3418 -aS'History\tHistory\tNN\tI-NP\tO' -p3419 -aS'of\tof\tIN\tB-PP\tO' -p3420 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p3421 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p3422 -aS'.\t.\t.\tO\tO' -p3423 -asS'9. C3 radiculopathy .' -p3424 -(lp3425 -S'9.\t9.\tLS\tB-NP\tO' -p3426 -aS'C3\tC3\tNN\tI-NP\tO' -p3427 -aS'radiculopathy\tradiculopathy\tNN\tI-NP\tO' -p3428 -aS'.\t.\t.\tO\tO' -p3429 -asS'7 ) The patient has a follow-up appointment in the Pulmonary Clinic with Dr. Cedwi Stone at 336-2931 on August 30 , 1999 at 1:40 PM .' -p3430 -(lp3431 -S'7\t7\tLS\tB-LST\tO' -p3432 -aS')\t)\t)\tO\tO' -p3433 -aS'The\tThe\tDT\tB-NP\tO' -p3434 -aS'patient\tpatient\tNN\tI-NP\tO' -p3435 -aS'has\thave\tVBZ\tB-VP\tO' -p3436 -aS'a\ta\tDT\tB-NP\tO' -p3437 -aS'follow-up\tfollow-up\tJJ\tI-NP\tO' -p3438 -aS'appointment\tappointment\tNN\tI-NP\tO' -p3439 -aS'in\tin\tIN\tB-PP\tO' -p3440 -aS'the\tthe\tDT\tB-NP\tO' -p3441 -aS'Pulmonary\tPulmonary\tNNP\tI-NP\tO' -p3442 -aS'Clinic\tClinic\tNNP\tI-NP\tO' -p3443 -aS'with\twith\tIN\tB-PP\tO' -p3444 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p3445 -aS'Cedwi\tCedwi\tNNP\tI-NP\tO' -p3446 -aS'Stone\tStone\tNNP\tI-NP\tO' -p3447 -aS'at\tat\tIN\tB-PP\tO' -p3448 -aS'336-2931\t336-2931\tCD\tB-NP\tO' -p3449 -aS'on\ton\tIN\tB-PP\tO' -p3450 -aS'August\tAugust\tNNP\tB-NP\tO' -p3451 -aS'30\t30\tCD\tI-NP\tO' -p3452 -aS',\t,\t,\tI-NP\tO' -p3453 -aS'1999\t1999\tCD\tI-NP\tO' -p3454 -aS'at\tat\tIN\tB-PP\tO' -p3455 -aS'1:40\t1:40\tCD\tB-NP\tO' -p3456 -aS'PM\tPM\tNN\tI-NP\tO' -p3457 -aS'.\t.\t.\tO\tO' -p3458 -asS'Cardiovascular examination revealed jugular venous distention at 12 cm , no carotid bruits , heart rate was tachycardic and regular , normal S1 and S2 , palpable S4 , no murmur was auscultated .' -p3459 -(lp3460 -S'Cardiovascular\tCardiovascular\tJJ\tB-NP\tO' -p3461 -aS'examination\texamination\tNN\tI-NP\tO' -p3462 -aS'revealed\treveal\tVBD\tB-VP\tO' -p3463 -aS'jugular\tjugular\tJJ\tB-NP\tO' -p3464 -aS'venous\tvenous\tJJ\tI-NP\tO' -p3465 -aS'distention\tdistention\tNN\tI-NP\tO' -p3466 -aS'at\tat\tIN\tB-PP\tO' -p3467 -aS'12\t12\tCD\tB-NP\tO' -p3468 -aS'cm\tcm\tNN\tI-NP\tO' -p3469 -aS',\t,\t,\tO\tO' -p3470 -aS'no\tno\tDT\tB-NP\tO' -p3471 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p3472 -aS'bruits\tbruit\tNNS\tI-NP\tO' -p3473 -aS',\t,\t,\tO\tO' -p3474 -aS'heart\theart\tNN\tB-NP\tO' -p3475 -aS'rate\trate\tNN\tI-NP\tO' -p3476 -aS'was\tbe\tVBD\tB-VP\tO' -p3477 -aS'tachycardic\ttachycardic\tJJ\tB-ADJP\tO' -p3478 -aS'and\tand\tCC\tI-ADJP\tO' -p3479 -aS'regular\tregular\tJJ\tB-NP\tO' -p3480 -aS',\t,\t,\tI-NP\tO' -p3481 -aS'normal\tnormal\tJJ\tI-NP\tO' -p3482 -aS'S1\tS1\tNN\tI-NP\tB-protein' -p3483 -aS'and\tand\tCC\tO\tO' -p3484 -aS'S2\tS2\tNN\tB-NP\tB-protein' -p3485 -aS',\t,\t,\tO\tO' -p3486 -aS'palpable\tpalpable\tJJ\tB-NP\tO' -p3487 -aS'S4\tS4\tNN\tI-NP\tO' -p3488 -aS',\t,\t,\tO\tO' -p3489 -aS'no\tno\tDT\tB-NP\tO' -p3490 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p3491 -aS'was\tbe\tVBD\tB-VP\tO' -p3492 -aS'auscultated\tauscultate\tVBN\tI-VP\tO' -p3493 -aS'.\t.\t.\tO\tO' -p3494 -asS'He was initially admitted to CMED for resection and repair of this left facial lesion .' -p3495 -(lp3496 -S'He\tHe\tPRP\tB-NP\tO' -p3497 -aS'was\tbe\tVBD\tB-VP\tO' -p3498 -aS'initially\tinitially\tRB\tI-VP\tO' -p3499 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p3500 -aS'to\tto\tTO\tB-PP\tO' -p3501 -aS'CMED\tCMED\tVBN\tB-VP\tO' -p3502 -aS'for\tfor\tIN\tB-PP\tO' -p3503 -aS'resection\tresection\tNN\tB-NP\tO' -p3504 -aS'and\tand\tCC\tI-NP\tO' -p3505 -aS'repair\trepair\tNN\tI-NP\tO' -p3506 -aS'of\tof\tIN\tB-PP\tO' -p3507 -aS'this\tthis\tDT\tB-NP\tO' -p3508 -aS'left\tleft\tJJ\tI-NP\tO' -p3509 -aS'facial\tfacial\tJJ\tI-NP\tO' -p3510 -aS'lesion\tlesion\tNN\tI-NP\tO' -p3511 -aS'.\t.\t.\tO\tO' -p3512 -asS'The cell count showed a white blood cell count of 160 with 16% polys .' -p3513 -(lp3514 -S'The\tThe\tDT\tB-NP\tO' -p3515 -aS'cell\tcell\tNN\tI-NP\tO' -p3516 -aS'count\tcount\tNN\tI-NP\tO' -p3517 -aS'showed\tshow\tVBD\tB-VP\tO' -p3518 -aS'a\ta\tDT\tB-NP\tO' -p3519 -aS'white\twhite\tJJ\tI-NP\tO' -p3520 -aS'blood\tblood\tNN\tI-NP\tO' -p3521 -aS'cell\tcell\tNN\tI-NP\tO' -p3522 -aS'count\tcount\tNN\tI-NP\tO' -p3523 -aS'of\tof\tIN\tB-PP\tO' -p3524 -aS'160\t160\tCD\tB-NP\tO' -p3525 -aS'with\twith\tIN\tB-PP\tO' -p3526 -aS'16%\t16%\tCD\tB-NP\tO' -p3527 -aS'polys\tpoly\tNNS\tI-NP\tO' -p3528 -aS'.\t.\t.\tO\tO' -p3529 -asS'Is unremarkable .' -p3530 -(lp3531 -S'Is\tBe\tVBZ\tO\tO' -p3532 -aS'unremarkable\tunremarkable\tJJ\tB-NP\tO' -p3533 -aS'.\t.\t.\tO\tO' -p3534 -asS'She could identify her siblings .' -p3535 -(lp3536 -S'She\tShe\tPRP\tB-NP\tO' -p3537 -aS'could\tcould\tMD\tB-VP\tO' -p3538 -aS'identify\tidentify\tVB\tI-VP\tO' -p3539 -aS'her\ther\tPRP$\tB-NP\tO' -p3540 -aS'siblings\tsibling\tNNS\tI-NP\tO' -p3541 -aS'.\t.\t.\tO\tO' -p3542 -asS'Bowel sounds were present .' -p3543 -(lp3544 -S'Bowel\tBowel\tNN\tB-NP\tO' -p3545 -aS'sounds\tsound\tNNS\tI-NP\tO' -p3546 -aS'were\tbe\tVBD\tB-VP\tO' -p3547 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p3548 -aS'.\t.\t.\tO\tO' -p3549 -asS'The patient was started on Lopressor , Lipitor and Lisinopril .' -p3550 -(lp3551 -S'The\tThe\tDT\tB-NP\tO' -p3552 -aS'patient\tpatient\tNN\tI-NP\tO' -p3553 -aS'was\tbe\tVBD\tB-VP\tO' -p3554 -aS'started\tstart\tVBN\tI-VP\tO' -p3555 -aS'on\ton\tIN\tB-PP\tO' -p3556 -aS'Lopressor\tLopressor\tNNP\tB-NP\tO' -p3557 -aS',\t,\t,\tO\tO' -p3558 -aS'Lipitor\tLipitor\tNNP\tB-NP\tO' -p3559 -aS'and\tand\tCC\tO\tO' -p3560 -aS'Lisinopril\tLisinopril\tNNP\tB-NP\tO' -p3561 -aS'.\t.\t.\tO\tO' -p3562 -asS'The patient was in general good health until seven days ago ( 2/11/00 ) , when he had a sudden onset of sharp left flank pain with radiation to the lower abdomen and then to the epigastrium .' -p3563 -(lp3564 -S'The\tThe\tDT\tB-NP\tO' -p3565 -aS'patient\tpatient\tNN\tI-NP\tO' -p3566 -aS'was\tbe\tVBD\tB-VP\tO' -p3567 -aS'in\tin\tIN\tB-PP\tO' -p3568 -aS'general\tgeneral\tJJ\tB-NP\tO' -p3569 -aS'good\tgood\tJJ\tI-NP\tO' -p3570 -aS'health\thealth\tNN\tI-NP\tO' -p3571 -aS'until\tuntil\tIN\tB-PP\tO' -p3572 -aS'seven\tseven\tCD\tB-NP\tO' -p3573 -aS'days\tday\tNNS\tI-NP\tO' -p3574 -aS'ago\tago\tRB\tB-ADVP\tO' -p3575 -aS'(\t(\t(\tO\tO' -p3576 -aS'2/11/00\t2/11/00\tCD\tB-NP\tO' -p3577 -aS')\t)\t)\tO\tO' -p3578 -aS',\t,\t,\tO\tO' -p3579 -aS'when\twhen\tWRB\tB-ADVP\tO' -p3580 -aS'he\the\tPRP\tB-NP\tO' -p3581 -aS'had\thave\tVBD\tB-VP\tO' -p3582 -aS'a\ta\tDT\tB-NP\tO' -p3583 -aS'sudden\tsudden\tJJ\tI-NP\tO' -p3584 -aS'onset\tonset\tNN\tI-NP\tO' -p3585 -aS'of\tof\tIN\tB-PP\tO' -p3586 -aS'sharp\tsharp\tJJ\tB-NP\tO' -p3587 -aS'left\tleft\tJJ\tI-NP\tO' -p3588 -aS'flank\tflank\tNN\tI-NP\tO' -p3589 -aS'pain\tpain\tNN\tI-NP\tO' -p3590 -aS'with\twith\tIN\tB-PP\tO' -p3591 -aS'radiation\tradiation\tNN\tB-NP\tO' -p3592 -aS'to\tto\tTO\tB-PP\tO' -p3593 -aS'the\tthe\tDT\tB-NP\tO' -p3594 -aS'lower\tlow\tJJR\tI-NP\tO' -p3595 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p3596 -aS'and\tand\tCC\tO\tO' -p3597 -aS'then\tthen\tRB\tB-ADVP\tO' -p3598 -aS'to\tto\tTO\tB-PP\tO' -p3599 -aS'the\tthe\tDT\tB-NP\tO' -p3600 -aS'epigastrium\tepigastrium\tNN\tI-NP\tO' -p3601 -aS'.\t.\t.\tO\tO' -p3602 -asS'4. Right medial malleolus repair in 2004-08-05 .' -p3603 -(lp3604 -S'4.\t4.\tLS\tB-NP\tO' -p3605 -aS'Right\tRight\tNN\tI-NP\tO' -p3606 -aS'medial\tmedial\tJJ\tI-NP\tO' -p3607 -aS'malleolus\tmalleolus\tNN\tI-NP\tO' -p3608 -aS'repair\trepair\tNN\tI-NP\tO' -p3609 -aS'in\tin\tIN\tB-PP\tO' -p3610 -aS'2004-08-05\t2004-08-05\tCD\tB-NP\tO' -p3611 -aS'.\t.\t.\tO\tO' -p3612 -asS'Brother with " heart trouble " .' -p3613 -(lp3614 -S'Brother\tBrother\tDT\tB-NP\tO' -p3615 -aS'with\twith\tIN\tB-PP\tO' -p3616 -aS'"\t"\t``\tO\tB-cell_type' -p3617 -aS'heart\theart\tNN\tB-NP\tI-cell_type' -p3618 -aS'trouble\ttrouble\tNN\tI-NP\tI-cell_type' -p3619 -aS'"\t"\t\'\'\tO\tI-cell_type' -p3620 -aS'.\t.\t.\tO\tO' -p3621 -asS'Back normal .' -p3622 -(lp3623 -S'Back\tBack\tRB\tB-ADJP\tO' -p3624 -aS'normal\tnormal\tJJ\tI-ADJP\tO' -p3625 -aS'.\t.\t.\tO\tO' -p3626 -asS'He will continue Cipro p.o. for prophylaxis .' -p3627 -(lp3628 -S'He\tHe\tPRP\tB-NP\tO' -p3629 -aS'will\twill\tMD\tB-VP\tO' -p3630 -aS'continue\tcontinue\tVB\tI-VP\tO' -p3631 -aS'Cipro\tCipro\tNNP\tB-NP\tO' -p3632 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p3633 -aS'for\tfor\tIN\tB-PP\tO' -p3634 -aS'prophylaxis\tprophylaxis\tNN\tB-NP\tO' -p3635 -aS'.\t.\t.\tO\tO' -p3636 -asS'# Liver cirrhosis : MELD score of 34 on admission .' -p3637 -(lp3638 -S'#\t#\t#\tB-NP\tO' -p3639 -aS'Liver\tLiver\tNN\tI-NP\tO' -p3640 -aS'cirrhosis\tcirrhosis\tNN\tI-NP\tO' -p3641 -aS':\t:\t:\tO\tO' -p3642 -aS'MELD\tMELD\tNN\tB-NP\tO' -p3643 -aS'score\tscore\tNN\tI-NP\tO' -p3644 -aS'of\tof\tIN\tB-PP\tO' -p3645 -aS'34\t34\tCD\tB-NP\tO' -p3646 -aS'on\ton\tIN\tB-PP\tO' -p3647 -aS'admission\tadmission\tNN\tB-NP\tO' -p3648 -aS'.\t.\t.\tO\tO' -p3649 -asS'She denies tobacco or alcohol use .' -p3650 -(lp3651 -S'She\tShe\tPRP\tB-NP\tO' -p3652 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p3653 -aS'tobacco\ttobacco\tNN\tB-NP\tO' -p3654 -aS'or\tor\tCC\tI-NP\tO' -p3655 -aS'alcohol\talcohol\tNN\tI-NP\tO' -p3656 -aS'use\tuse\tNN\tI-NP\tO' -p3657 -aS'.\t.\t.\tO\tO' -p3658 -asS'Erythrocyte sedimentation rate was 41 .' -p3659 -(lp3660 -S'Erythrocyte\tErythrocyte\tNN\tB-NP\tO' -p3661 -aS'sedimentation\tsedimentation\tNN\tI-NP\tO' -p3662 -aS'rate\trate\tNN\tI-NP\tO' -p3663 -aS'was\tbe\tVBD\tB-VP\tO' -p3664 -aS'41\t41\tCD\tB-NP\tO' -p3665 -aS'.\t.\t.\tO\tO' -p3666 -asS'He was initially placed on nasal cannula with subsequent resolution of respiratory distress .' -p3667 -(lp3668 -S'He\tHe\tPRP\tB-NP\tO' -p3669 -aS'was\tbe\tVBD\tB-VP\tO' -p3670 -aS'initially\tinitially\tRB\tI-VP\tO' -p3671 -aS'placed\tplace\tVBN\tI-VP\tO' -p3672 -aS'on\ton\tIN\tB-PP\tO' -p3673 -aS'nasal\tnasal\tJJ\tB-NP\tO' -p3674 -aS'cannula\tcannula\tNN\tI-NP\tO' -p3675 -aS'with\twith\tIN\tB-PP\tO' -p3676 -aS'subsequent\tsubsequent\tJJ\tB-NP\tO' -p3677 -aS'resolution\tresolution\tNN\tI-NP\tO' -p3678 -aS'of\tof\tIN\tB-PP\tO' -p3679 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p3680 -aS'distress\tdistress\tNN\tI-NP\tO' -p3681 -aS'.\t.\t.\tO\tO' -p3682 -asS'The work-up for the extent of the patient 's disease included MRI scan of the cervical and thoracic spine which revealed multiple metastatic lesions in the vertebral bodies ; a T3 lesion extending from the body to the right neural for amina with foraminal obstruction .' -p3683 -(lp3684 -S'The\tThe\tDT\tB-NP\tO' -p3685 -aS'work-up\twork-up\tNN\tI-NP\tO' -p3686 -aS'for\tfor\tIN\tB-PP\tO' -p3687 -aS'the\tthe\tDT\tB-NP\tO' -p3688 -aS'extent\textent\tNN\tI-NP\tO' -p3689 -aS'of\tof\tIN\tB-PP\tO' -p3690 -aS'the\tthe\tDT\tB-NP\tO' -p3691 -aS'patient\tpatient\tNN\tI-NP\tO' -p3692 -aS''s\t'\tNNS\tI-NP\tO' -p3693 -aS'disease\tdisease\tNN\tI-NP\tO' -p3694 -aS'included\tinclude\tVBD\tB-VP\tO' -p3695 -aS'MRI\tMRI\tNN\tB-NP\tO' -p3696 -aS'scan\tscan\tNN\tI-NP\tO' -p3697 -aS'of\tof\tIN\tB-PP\tO' -p3698 -aS'the\tthe\tDT\tB-NP\tO' -p3699 -aS'cervical\tcervical\tJJ\tI-NP\tO' -p3700 -aS'and\tand\tCC\tI-NP\tO' -p3701 -aS'thoracic\tthoracic\tJJ\tI-NP\tO' -p3702 -aS'spine\tspine\tNN\tI-NP\tO' -p3703 -aS'which\twhich\tWDT\tB-NP\tO' -p3704 -aS'revealed\treveal\tVBD\tB-VP\tO' -p3705 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p3706 -aS'metastatic\tmetastatic\tJJ\tI-NP\tO' -p3707 -aS'lesions\tlesion\tNNS\tI-NP\tO' -p3708 -aS'in\tin\tIN\tB-PP\tO' -p3709 -aS'the\tthe\tDT\tB-NP\tO' -p3710 -aS'vertebral\tvertebral\tJJ\tI-NP\tO' -p3711 -aS'bodies\tbody\tNNS\tI-NP\tO' -p3712 -aS';\t;\t:\tO\tO' -p3713 -aS'a\ta\tDT\tB-NP\tO' -p3714 -aS'T3\tT3\tNN\tI-NP\tO' -p3715 -aS'lesion\tlesion\tNN\tI-NP\tO' -p3716 -aS'extending\textend\tVBG\tB-VP\tO' -p3717 -aS'from\tfrom\tIN\tB-PP\tO' -p3718 -aS'the\tthe\tDT\tB-NP\tO' -p3719 -aS'body\tbody\tNN\tI-NP\tO' -p3720 -aS'to\tto\tTO\tB-PP\tO' -p3721 -aS'the\tthe\tDT\tB-NP\tO' -p3722 -aS'right\tright\tJJ\tI-NP\tO' -p3723 -aS'neural\tneural\tNN\tI-NP\tO' -p3724 -aS'for\tfor\tIN\tB-PP\tO' -p3725 -aS'amina\tamina\tNN\tB-NP\tO' -p3726 -aS'with\twith\tIN\tB-PP\tO' -p3727 -aS'foraminal\tforaminal\tJJ\tB-NP\tO' -p3728 -aS'obstruction\tobstruction\tNN\tI-NP\tO' -p3729 -aS'.\t.\t.\tO\tO' -p3730 -asS"The patient 's condition on discharge was stable and improved ." -p3731 -(lp3732 -S'The\tThe\tDT\tB-NP\tO' -p3733 -aS'patient\tpatient\tNN\tI-NP\tO' -p3734 -aS"'s\t's\tPOS\tB-NP\tO" -p3735 -aS'condition\tcondition\tNN\tI-NP\tO' -p3736 -aS'on\ton\tIN\tB-PP\tO' -p3737 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p3738 -aS'was\tbe\tVBD\tB-VP\tO' -p3739 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p3740 -aS'and\tand\tCC\tO\tO' -p3741 -aS'improved\timprove\tVBN\tB-VP\tO' -p3742 -aS'.\t.\t.\tO\tO' -p3743 -asS'Room air saturation 96% .' -p3744 -(lp3745 -S'Room\tRoom\tNN\tB-NP\tO' -p3746 -aS'air\tair\tNN\tI-NP\tO' -p3747 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p3748 -aS'96%\t96%\tCD\tI-NP\tO' -p3749 -aS'.\t.\t.\tO\tO' -p3750 -asS'1. Dressing to remain in place for 10 days unless signs of bleeding , infection or is soiled .' -p3751 -(lp3752 -S'1.\t1.\tLS\tB-LST\tO' -p3753 -aS'Dressing\tDressing\tNNP\tB-NP\tO' -p3754 -aS'to\tto\tTO\tB-VP\tO' -p3755 -aS'remain\tremain\tVB\tI-VP\tO' -p3756 -aS'in\tin\tIN\tB-PP\tO' -p3757 -aS'place\tplace\tNN\tB-NP\tO' -p3758 -aS'for\tfor\tIN\tB-PP\tO' -p3759 -aS'10\t10\tCD\tB-NP\tO' -p3760 -aS'days\tday\tNNS\tI-NP\tO' -p3761 -aS'unless\tunless\tIN\tB-SBAR\tO' -p3762 -aS'signs\tsign\tNNS\tB-NP\tO' -p3763 -aS'of\tof\tIN\tB-PP\tO' -p3764 -aS'bleeding\tbleeding\tNN\tB-NP\tO' -p3765 -aS',\t,\t,\tO\tO' -p3766 -aS'infection\tinfection\tNN\tB-NP\tO' -p3767 -aS'or\tor\tCC\tO\tO' -p3768 -aS'is\tbe\tVBZ\tB-VP\tO' -p3769 -aS'soiled\tsoil\tVBN\tI-VP\tO' -p3770 -aS'.\t.\t.\tO\tO' -p3771 -asS'Total abdominal hysterectomy , right lymph node dissection , appendectomy , omental biopsy , and pelvic washings .' -p3772 -(lp3773 -S'Total\tTotal\tJJ\tB-NP\tO' -p3774 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p3775 -aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' -p3776 -aS',\t,\t,\tO\tO' -p3777 -aS'right\tright\tJJ\tB-NP\tO' -p3778 -aS'lymph\tlymph\tNN\tI-NP\tO' -p3779 -aS'node\tnode\tNN\tI-NP\tO' -p3780 -aS'dissection\tdissection\tNN\tI-NP\tO' -p3781 -aS',\t,\t,\tO\tO' -p3782 -aS'appendectomy\tappendectomy\tNN\tB-NP\tO' -p3783 -aS',\t,\t,\tO\tO' -p3784 -aS'omental\tomental\tJJ\tB-NP\tO' -p3785 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p3786 -aS',\t,\t,\tO\tO' -p3787 -aS'and\tand\tCC\tO\tO' -p3788 -aS'pelvic\tpelvic\tJJ\tB-NP\tO' -p3789 -aS'washings\twashing\tNNS\tI-NP\tO' -p3790 -aS'.\t.\t.\tO\tO' -p3791 -asS'In the fall of 1991 , nipple changes and discomfort was again noted .' -p3792 -(lp3793 -S'In\tIn\tIN\tB-PP\tO' -p3794 -aS'the\tthe\tDT\tB-NP\tO' -p3795 -aS'fall\tfall\tNN\tI-NP\tO' -p3796 -aS'of\tof\tIN\tB-PP\tO' -p3797 -aS'1991\t1991\tCD\tB-NP\tO' -p3798 -aS',\t,\t,\tO\tO' -p3799 -aS'nipple\tnipple\tNN\tB-NP\tO' -p3800 -aS'changes\tchange\tNNS\tI-NP\tO' -p3801 -aS'and\tand\tCC\tO\tO' -p3802 -aS'discomfort\tdiscomfort\tNN\tB-NP\tO' -p3803 -aS'was\tbe\tVBD\tB-VP\tO' -p3804 -aS'again\tagain\tRB\tI-VP\tO' -p3805 -aS'noted\tnote\tVBN\tI-VP\tO' -p3806 -aS'.\t.\t.\tO\tO' -p3807 -asS"The patient 's enzymes were cycled and were negative ." -p3808 -(lp3809 -S'The\tThe\tDT\tB-NP\tO' -p3810 -aS'patient\tpatient\tNN\tI-NP\tO' -p3811 -aS"'s\t's\tPOS\tB-NP\tO" -p3812 -aS'enzymes\tenzyme\tNNS\tI-NP\tO' -p3813 -aS'were\tbe\tVBD\tB-VP\tO' -p3814 -aS'cycled\tcycle\tVBN\tI-VP\tO' -p3815 -aS'and\tand\tCC\tO\tO' -p3816 -aS'were\tbe\tVBD\tB-VP\tO' -p3817 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p3818 -aS'.\t.\t.\tO\tO' -p3819 -asS'Dephenhydramine 50mg prn loperamide prn famotidine 20mg' -p3820 -(lp3821 -S'Dephenhydramine\tDephenhydramine\tNN\tB-NP\tO' -p3822 -aS'50mg\t50mg\tCD\tI-NP\tO' -p3823 -aS'prn\tprn\tNN\tI-NP\tO' -p3824 -aS'loperamide\tloperamide\tNN\tI-NP\tO' -p3825 -aS'prn\tprn\tNN\tI-NP\tO' -p3826 -aS'famotidine\tfamotidine\tNN\tI-NP\tO' -p3827 -aS'20mg\t20mg\t.\tO\tO' -p3828 -asS'The patient was initially admitted to the Cardiac Surgical Service under Dr. Rhalt .' -p3829 -(lp3830 -S'The\tThe\tDT\tB-NP\tO' -p3831 -aS'patient\tpatient\tNN\tI-NP\tO' -p3832 -aS'was\tbe\tVBD\tB-VP\tO' -p3833 -aS'initially\tinitially\tRB\tI-VP\tO' -p3834 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p3835 -aS'to\tto\tTO\tB-PP\tO' -p3836 -aS'the\tthe\tDT\tB-NP\tO' -p3837 -aS'Cardiac\tCardiac\tNNP\tI-NP\tO' -p3838 -aS'Surgical\tSurgical\tNNP\tI-NP\tO' -p3839 -aS'Service\tService\tNNP\tI-NP\tO' -p3840 -aS'under\tunder\tIN\tB-PP\tO' -p3841 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p3842 -aS'Rhalt\tRhalt\tNNP\tI-NP\tO' -p3843 -aS'.\t.\t.\tO\tO' -p3844 -asS'Includes a history of hypertension ; multinodular goiter ; subtotal thyroidectomy .' -p3845 -(lp3846 -S'Includes\tInclude\tVBZ\tB-VP\tO' -p3847 -aS'a\ta\tDT\tB-NP\tO' -p3848 -aS'history\thistory\tNN\tI-NP\tO' -p3849 -aS'of\tof\tIN\tB-PP\tO' -p3850 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p3851 -aS';\t;\t:\tO\tO' -p3852 -aS'multinodular\tmultinodular\tJJ\tB-NP\tO' -p3853 -aS'goiter\tgoiter\tNN\tI-NP\tO' -p3854 -aS';\t;\t:\tO\tO' -p3855 -aS'subtotal\tsubtotal\tJJ\tB-NP\tO' -p3856 -aS'thyroidectomy\tthyroidectomy\tNN\tI-NP\tO' -p3857 -aS'.\t.\t.\tO\tO' -p3858 -asS'LVEF 30-35% .' -p3859 -(lp3860 -S'LVEF\tLVEF\tNN\tB-NP\tO' -p3861 -aS'30-35%\t30-35%\tCD\tI-NP\tO' -p3862 -aS'.\t.\t.\tO\tO' -p3863 -asS'The patient was given stress dose steroids on the day prior to his surgery .' -p3864 -(lp3865 -S'The\tThe\tDT\tB-NP\tO' -p3866 -aS'patient\tpatient\tNN\tI-NP\tO' -p3867 -aS'was\tbe\tVBD\tB-VP\tO' -p3868 -aS'given\tgive\tVBN\tI-VP\tO' -p3869 -aS'stress\tstress\tNN\tB-NP\tO' -p3870 -aS'dose\tdose\tNN\tI-NP\tO' -p3871 -aS'steroids\tsteroid\tNNS\tI-NP\tO' -p3872 -aS'on\ton\tIN\tB-PP\tO' -p3873 -aS'the\tthe\tDT\tB-NP\tO' -p3874 -aS'day\tday\tNN\tI-NP\tO' -p3875 -aS'prior\tprior\tRB\tB-ADVP\tO' -p3876 -aS'to\tto\tTO\tB-PP\tO' -p3877 -aS'his\this\tPRP$\tB-NP\tO' -p3878 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p3879 -aS'.\t.\t.\tO\tO' -p3880 -asS'.' -(lp3881 -S'.\t.\t.\tO\tO' -p3882 -asS'Rectal : no hemrroiids , guiac positive brown stool .' -p3883 -(lp3884 -S'Rectal\tRectal\tJJ\tB-ADJP\tO' -p3885 -aS':\t:\t:\tO\tO' -p3886 -aS'no\tno\tDT\tB-NP\tO' -p3887 -aS'hemrroiids\themrroiid\tNNS\tI-NP\tO' -p3888 -aS',\t,\t,\tO\tO' -p3889 -aS'guiac\tguiac\tJJ\tB-NP\tO' -p3890 -aS'positive\tpositive\tJJ\tI-NP\tO' -p3891 -aS'brown\tbrown\tJJ\tI-NP\tO' -p3892 -aS'stool\tstool\tNN\tI-NP\tO' -p3893 -aS'.\t.\t.\tO\tO' -p3894 -asS'He tolerated this well .' -p3895 -(lp3896 -S'He\tHe\tPRP\tB-NP\tO' -p3897 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p3898 -aS'this\tthis\tDT\tB-NP\tO' -p3899 -aS'well\twell\tRB\tB-ADVP\tO' -p3900 -aS'.\t.\t.\tO\tO' -p3901 -asS'An echocardiogram status post percutaneous coronary intervention revealed an akinetic inferior wall and right ventricle , mild mitral regurgitation , and ascending aorta measuring 5 cm .' -p3902 -(lp3903 -S'An\tAn\tDT\tB-NP\tO' -p3904 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p3905 -aS'status\tstatus\tNN\tI-NP\tO' -p3906 -aS'post\tpost\tIN\tB-PP\tO' -p3907 -aS'percutaneous\tpercutaneous\tJJ\tB-NP\tO' -p3908 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p3909 -aS'intervention\tintervention\tNN\tI-NP\tO' -p3910 -aS'revealed\treveal\tVBD\tB-VP\tO' -p3911 -aS'an\tan\tDT\tB-NP\tO' -p3912 -aS'akinetic\takinetic\tJJ\tI-NP\tO' -p3913 -aS'inferior\tinferior\tJJ\tI-NP\tO' -p3914 -aS'wall\twall\tNN\tI-NP\tO' -p3915 -aS'and\tand\tCC\tO\tO' -p3916 -aS'right\tright\tJJ\tB-NP\tO' -p3917 -aS'ventricle\tventricle\tNN\tI-NP\tO' -p3918 -aS',\t,\t,\tO\tO' -p3919 -aS'mild\tmild\tJJ\tB-NP\tO' -p3920 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p3921 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p3922 -aS',\t,\t,\tO\tO' -p3923 -aS'and\tand\tCC\tO\tO' -p3924 -aS'ascending\tascend\tVBG\tB-VP\tO' -p3925 -aS'aorta\taorta\tNN\tB-NP\tO' -p3926 -aS'measuring\tmeasure\tVBG\tB-VP\tO' -p3927 -aS'5\t5\tCD\tB-NP\tO' -p3928 -aS'cm\tcm\tNN\tI-NP\tO' -p3929 -aS'.\t.\t.\tO\tO' -p3930 -asS'Awake , alert , spontaneous and appropriate , and somewhat uncomfortable due to pain but looked well .' -p3931 -(lp3932 -S'Awake\tAwake\tNN\tB-NP\tO' -p3933 -aS',\t,\t,\tO\tO' -p3934 -aS'alert\talert\tJJ\tB-ADJP\tO' -p3935 -aS',\t,\t,\tI-ADJP\tO' -p3936 -aS'spontaneous\tspontaneous\tJJ\tI-ADJP\tO' -p3937 -aS'and\tand\tCC\tI-ADJP\tO' -p3938 -aS'appropriate\tappropriate\tJJ\tI-ADJP\tO' -p3939 -aS',\t,\t,\tO\tO' -p3940 -aS'and\tand\tCC\tO\tO' -p3941 -aS'somewhat\tsomewhat\tRB\tB-ADJP\tO' -p3942 -aS'uncomfortable\tuncomfortable\tJJ\tI-ADJP\tO' -p3943 -aS'due\tdue\tIN\tB-PP\tO' -p3944 -aS'to\tto\tTO\tB-PP\tO' -p3945 -aS'pain\tpain\tNN\tB-NP\tO' -p3946 -aS'but\tbut\tCC\tO\tO' -p3947 -aS'looked\tlook\tVBD\tB-VP\tO' -p3948 -aS'well\twell\tRB\tB-ADVP\tO' -p3949 -aS'.\t.\t.\tO\tO' -p3950 -asS'The patient is a 91 yo woman with h/o HTN who came from Bridgewater State Hospital Rehab with substernal chest pain after exercise .' -p3951 -(lp3952 -S'The\tThe\tDT\tB-NP\tO' -p3953 -aS'patient\tpatient\tNN\tI-NP\tO' -p3954 -aS'is\tbe\tVBZ\tB-VP\tO' -p3955 -aS'a\ta\tDT\tB-NP\tO' -p3956 -aS'91\t91\tCD\tI-NP\tO' -p3957 -aS'yo\tyo\tNN\tI-NP\tO' -p3958 -aS'woman\twoman\tNN\tI-NP\tO' -p3959 -aS'with\twith\tIN\tB-PP\tO' -p3960 -aS'h/o\th/o\tNN\tB-NP\tB-protein' -p3961 -aS'HTN\tHTN\tNN\tI-NP\tI-protein' -p3962 -aS'who\twho\tWP\tB-NP\tO' -p3963 -aS'came\tcome\tVBD\tB-VP\tO' -p3964 -aS'from\tfrom\tIN\tB-PP\tO' -p3965 -aS'Bridgewater\tBridgewater\tNNP\tB-NP\tO' -p3966 -aS'State\tState\tNNP\tI-NP\tO' -p3967 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p3968 -aS'Rehab\tRehab\tNNP\tI-NP\tO' -p3969 -aS'with\twith\tIN\tB-PP\tO' -p3970 -aS'substernal\tsubsternal\tJJ\tB-NP\tO' -p3971 -aS'chest\tchest\tNN\tI-NP\tO' -p3972 -aS'pain\tpain\tNN\tI-NP\tO' -p3973 -aS'after\tafter\tIN\tB-PP\tO' -p3974 -aS'exercise\texercise\tNN\tB-NP\tO' -p3975 -aS'.\t.\t.\tO\tO' -p3976 -asS'He was also started on antibiotics for possible bronchitis or community-acquired pneumonia .' -p3977 -(lp3978 -S'He\tHe\tPRP\tB-NP\tO' -p3979 -aS'was\tbe\tVBD\tB-VP\tO' -p3980 -aS'also\talso\tRB\tI-VP\tO' -p3981 -aS'started\tstart\tVBN\tI-VP\tO' -p3982 -aS'on\ton\tIN\tB-PP\tO' -p3983 -aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' -p3984 -aS'for\tfor\tIN\tB-PP\tO' -p3985 -aS'possible\tpossible\tJJ\tB-NP\tO' -p3986 -aS'bronchitis\tbronchitis\tNN\tI-NP\tO' -p3987 -aS'or\tor\tCC\tO\tO' -p3988 -aS'community-acquired\tcommunity-acquired\tJJ\tB-NP\tO' -p3989 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p3990 -aS'.\t.\t.\tO\tO' -p3991 -asS'Chest CT was nondiagnostic but did not show pulmonary embolus .' -p3992 -(lp3993 -S'Chest\tCh\tJJS\tB-NP\tO' -p3994 -aS'CT\tCT\tNN\tI-NP\tB-protein' -p3995 -aS'was\tbe\tVBD\tB-VP\tO' -p3996 -aS'nondiagnostic\tnondiagnostic\tJJ\tB-ADJP\tO' -p3997 -aS'but\tbut\tCC\tO\tO' -p3998 -aS'did\tdo\tVBD\tB-VP\tO' -p3999 -aS'not\tnot\tRB\tI-VP\tO' -p4000 -aS'show\tshow\tVB\tI-VP\tO' -p4001 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p4002 -aS'embolus\tembolus\tNN\tI-NP\tO' -p4003 -aS'.\t.\t.\tO\tO' -p4004 -asS'Lungs clear to auscultation bilaterally .' -p4005 -(lp4006 -S'Lungs\tLung\tNNS\tB-NP\tO' -p4007 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p4008 -aS'to\tto\tTO\tB-PP\tO' -p4009 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p4010 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p4011 -aS'.\t.\t.\tO\tO' -p4012 -asS'On 11-08 , he had an episode of acute shortness of breath with chest pressure which he describes as different from his typical angina with minimal exertion .' -p4013 -(lp4014 -S'On\tOn\tIN\tB-PP\tO' -p4015 -aS'11-08\t11-08\tCD\tB-NP\tO' -p4016 -aS',\t,\t,\tO\tO' -p4017 -aS'he\the\tPRP\tB-NP\tO' -p4018 -aS'had\thave\tVBD\tB-VP\tO' -p4019 -aS'an\tan\tDT\tB-NP\tO' -p4020 -aS'episode\tepisode\tNN\tI-NP\tO' -p4021 -aS'of\tof\tIN\tB-PP\tO' -p4022 -aS'acute\tacute\tJJ\tB-NP\tO' -p4023 -aS'shortness\tshortness\tNN\tI-NP\tO' -p4024 -aS'of\tof\tIN\tB-PP\tO' -p4025 -aS'breath\tbreath\tNN\tB-NP\tO' -p4026 -aS'with\twith\tIN\tB-PP\tO' -p4027 -aS'chest\tchest\tNN\tB-NP\tO' -p4028 -aS'pressure\tpressure\tNN\tI-NP\tO' -p4029 -aS'which\twhich\tWDT\tB-NP\tO' -p4030 -aS'he\the\tPRP\tB-NP\tO' -p4031 -aS'describes\tdescribe\tVBZ\tB-VP\tO' -p4032 -aS'as\tas\tRB\tB-ADJP\tO' -p4033 -aS'different\tdifferent\tJJ\tI-ADJP\tO' -p4034 -aS'from\tfrom\tIN\tB-PP\tO' -p4035 -aS'his\this\tPRP$\tB-NP\tO' -p4036 -aS'typical\ttypical\tJJ\tI-NP\tO' -p4037 -aS'angina\tangina\tNN\tI-NP\tO' -p4038 -aS'with\twith\tIN\tB-PP\tO' -p4039 -aS'minimal\tminimal\tJJ\tB-NP\tO' -p4040 -aS'exertion\texertion\tNN\tI-NP\tO' -p4041 -aS'.\t.\t.\tO\tO' -p4042 -asS'Respirations were 15 , and she was saturating at 96 percent on room air .' -p4043 -(lp4044 -S'Respirations\tRespiration\tNNS\tB-NP\tO' -p4045 -aS'were\tbe\tVBD\tB-VP\tO' -p4046 -aS'15\t15\tCD\tB-NP\tO' -p4047 -aS',\t,\t,\tO\tO' -p4048 -aS'and\tand\tCC\tO\tO' -p4049 -aS'she\tshe\tPRP\tB-NP\tO' -p4050 -aS'was\tbe\tVBD\tB-VP\tO' -p4051 -aS'saturating\tsaturate\tVBG\tI-VP\tO' -p4052 -aS'at\tat\tIN\tB-PP\tO' -p4053 -aS'96\t96\tCD\tB-NP\tO' -p4054 -aS'percent\tpercent\tNN\tI-NP\tO' -p4055 -aS'on\ton\tIN\tB-PP\tO' -p4056 -aS'room\troom\tNN\tB-NP\tO' -p4057 -aS'air\tair\tNN\tI-NP\tO' -p4058 -aS'.\t.\t.\tO\tO' -p4059 -asS'Patient left on 2014-04-09 with VNA to home .' -p4060 -(lp4061 -S'Patient\tPatient\tNN\tB-NP\tO' -p4062 -aS'left\tleave\tVBD\tB-VP\tO' -p4063 -aS'on\ton\tIN\tB-PP\tO' -p4064 -aS'2014-04-09\t2014-04-09\tCD\tB-NP\tO' -p4065 -aS'with\twith\tIN\tB-PP\tO' -p4066 -aS'VNA\tVNA\tNN\tB-NP\tB-protein' -p4067 -aS'to\tto\tTO\tB-PP\tO' -p4068 -aS'home\thome\tNN\tB-NP\tO' -p4069 -aS'.\t.\t.\tO\tO' -p4070 -asS'Attending : Cindy U. Kelly , M.D.' -p4071 -(lp4072 -S'Attending\tAttend\tVBG\tB-VP\tO' -p4073 -aS':\t:\t:\tO\tO' -p4074 -aS'Cindy\tCindy\tNNP\tB-NP\tO' -p4075 -aS'U.\tU.\tNNP\tI-NP\tO' -p4076 -aS'Kelly\tKelly\tNNP\tI-NP\tO' -p4077 -aS',\t,\t,\tO\tO' -p4078 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p4079 -asS'Betoptic 0.5% one drop OU bid , Propene 0.1% one drop OU bid , Pred-Forte 1% one drop OS bid , Percocet two tabs. po. q4hours prn .' -p4080 -(lp4081 -S'Betoptic\tBetoptic\tJJ\tB-NP\tO' -p4082 -aS'0.5%\t0.5%\tCD\tI-NP\tO' -p4083 -aS'one\tone\tCD\tI-NP\tO' -p4084 -aS'drop\tdrop\tNN\tI-NP\tO' -p4085 -aS'OU\tOU\tNN\tI-NP\tO' -p4086 -aS'bid\tbid\tNN\tI-NP\tO' -p4087 -aS',\t,\t,\tO\tO' -p4088 -aS'Propene\tPropene\tNN\tB-NP\tO' -p4089 -aS'0.1%\t0.1%\tCD\tI-NP\tO' -p4090 -aS'one\tone\tCD\tI-NP\tO' -p4091 -aS'drop\tdrop\tNN\tI-NP\tO' -p4092 -aS'OU\tOU\tNN\tI-NP\tO' -p4093 -aS'bid\tbid\tNN\tI-NP\tO' -p4094 -aS',\t,\t,\tO\tO' -p4095 -aS'Pred-Forte\tPred-Forte\tJJ\tB-NP\tO' -p4096 -aS'1%\t1%\tCD\tI-NP\tO' -p4097 -aS'one\tone\tCD\tI-NP\tO' -p4098 -aS'drop\tdrop\tNN\tI-NP\tO' -p4099 -aS'OS\tOS\tNN\tI-NP\tO' -p4100 -aS'bid\tbid\tNN\tI-NP\tO' -p4101 -aS',\t,\t,\tO\tO' -p4102 -aS'Percocet\tPercocet\tNNP\tB-NP\tO' -p4103 -aS'two\ttwo\tCD\tI-NP\tO' -p4104 -aS'tabs.\ttabs.\tNN\tI-NP\tO' -p4105 -aS'po.\tpo.\tNN\tI-NP\tO' -p4106 -aS'q4hours\tq4hour\tNNS\tI-NP\tO' -p4107 -aS'prn\tprn\tNN\tI-NP\tO' -p4108 -aS'.\t.\t.\tO\tO' -p4109 -asS'CT of the head on 02-06 was negative for hemorrhage .' -p4110 -(lp4111 -S'CT\tCT\tNN\tB-NP\tO' -p4112 -aS'of\tof\tIN\tB-PP\tO' -p4113 -aS'the\tthe\tDT\tB-NP\tO' -p4114 -aS'head\thead\tNN\tI-NP\tO' -p4115 -aS'on\ton\tIN\tB-PP\tO' -p4116 -aS'02-06\t02-06\tNN\tB-NP\tO' -p4117 -aS'was\tbe\tVBD\tB-VP\tO' -p4118 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p4119 -aS'for\tfor\tIN\tB-PP\tO' -p4120 -aS'hemorrhage\themorrhage\tNN\tB-NP\tO' -p4121 -aS'.\t.\t.\tO\tO' -p4122 -asS'His chest tube was in place for a high chest tube output .' -p4123 -(lp4124 -S'His\tHis\tPRP$\tB-NP\tO' -p4125 -aS'chest\tchest\tNN\tI-NP\tO' -p4126 -aS'tube\ttube\tNN\tI-NP\tO' -p4127 -aS'was\tbe\tVBD\tB-VP\tO' -p4128 -aS'in\tin\tIN\tB-PP\tO' -p4129 -aS'place\tplace\tNN\tB-NP\tO' -p4130 -aS'for\tfor\tIN\tB-PP\tO' -p4131 -aS'a\ta\tDT\tB-NP\tO' -p4132 -aS'high\thigh\tJJ\tI-NP\tO' -p4133 -aS'chest\tchest\tNN\tI-NP\tO' -p4134 -aS'tube\ttube\tNN\tI-NP\tO' -p4135 -aS'output\toutput\tNN\tI-NP\tO' -p4136 -aS'.\t.\t.\tO\tO' -p4137 -asS'The patient was explored by General surgery , who saw the 3C ovarian carcinoma .' -p4138 -(lp4139 -S'The\tThe\tDT\tB-NP\tO' -p4140 -aS'patient\tpatient\tNN\tI-NP\tO' -p4141 -aS'was\tbe\tVBD\tB-VP\tO' -p4142 -aS'explored\texplore\tVBN\tI-VP\tO' -p4143 -aS'by\tby\tIN\tB-PP\tO' -p4144 -aS'General\tGeneral\tNNP\tB-NP\tO' -p4145 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p4146 -aS',\t,\t,\tO\tO' -p4147 -aS'who\twho\tWP\tB-NP\tO' -p4148 -aS'saw\tsee\tVBD\tB-VP\tO' -p4149 -aS'the\tthe\tDT\tB-NP\tO' -p4150 -aS'3C\t3C\tNN\tI-NP\tO' -p4151 -aS'ovarian\tovarian\tJJ\tI-NP\tO' -p4152 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p4153 -aS'.\t.\t.\tO\tO' -p4154 -asS'Hearing was intact bilaterally .' -p4155 -(lp4156 -S'Hearing\tHearing\tNNP\tB-NP\tO' -p4157 -aS'was\tbe\tVBD\tB-VP\tO' -p4158 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p4159 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p4160 -aS'.\t.\t.\tO\tO' -p4161 -asS'HEENT : Clear OP , MM very dry .' -p4162 -(lp4163 -S'HEENT\tHEENT\tNN\tB-NP\tO' -p4164 -aS':\t:\t:\tO\tO' -p4165 -aS'Clear\tClear\tNNP\tB-NP\tO' -p4166 -aS'OP\tOP\tNNP\tI-NP\tO' -p4167 -aS',\t,\t,\tO\tO' -p4168 -aS'MM\tMM\tNNP\tB-NP\tO' -p4169 -aS'very\tvery\tRB\tB-ADJP\tO' -p4170 -aS'dry\tdry\tJJ\tI-ADJP\tO' -p4171 -aS'.\t.\t.\tO\tO' -p4172 -asS'# Foot ulcer : diabetic ulcer s/p surgery but never healed .' -p4173 -(lp4174 -S'#\t#\t#\tB-NP\tO' -p4175 -aS'Foot\tFoot\tNNP\tI-NP\tO' -p4176 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p4177 -aS':\t:\t:\tO\tO' -p4178 -aS'diabetic\tdiabetic\tJJ\tB-NP\tO' -p4179 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p4180 -aS's/p\ts/p\tNN\tI-NP\tO' -p4181 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p4182 -aS'but\tbut\tCC\tO\tO' -p4183 -aS'never\tnever\tRB\tB-VP\tO' -p4184 -aS'healed\theal\tVBD\tI-VP\tO' -p4185 -aS'.\t.\t.\tO\tO' -p4186 -asS'POD#1 she was transferred to CC6 for further recovery .' -p4187 -(lp4188 -S'POD#1\tPOD#1\tNN\tB-NP\tB-protein' -p4189 -aS'she\tshe\tPRP\tB-NP\tO' -p4190 -aS'was\tbe\tVBD\tB-VP\tO' -p4191 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p4192 -aS'to\tto\tTO\tB-PP\tO' -p4193 -aS'CC6\tCC6\tNN\tB-NP\tB-protein' -p4194 -aS'for\tfor\tIN\tB-PP\tO' -p4195 -aS'further\tfurther\tJJ\tB-NP\tO' -p4196 -aS'recovery\trecovery\tNN\tI-NP\tO' -p4197 -aS'.\t.\t.\tO\tO' -p4198 -asS'They appeared to reach an 8 Hz frequency on the right at times , though the background was disorganized and slow on both sides for' -p4199 -(lp4200 -S'They\tThey\tPRP\tB-NP\tO' -p4201 -aS'appeared\tappear\tVBD\tB-VP\tO' -p4202 -aS'to\tto\tTO\tI-VP\tO' -p4203 -aS'reach\treach\tVB\tI-VP\tO' -p4204 -aS'an\tan\tDT\tB-NP\tO' -p4205 -aS'8\t8\tCD\tI-NP\tO' -p4206 -aS'Hz\tHz\tNN\tI-NP\tO' -p4207 -aS'frequency\tfrequency\tNN\tI-NP\tO' -p4208 -aS'on\ton\tIN\tB-PP\tO' -p4209 -aS'the\tthe\tDT\tB-NP\tO' -p4210 -aS'right\tright\tNN\tI-NP\tO' -p4211 -aS'at\tat\tIN\tB-PP\tO' -p4212 -aS'times\ttime\tNNS\tB-NP\tO' -p4213 -aS',\t,\t,\tO\tO' -p4214 -aS'though\tthough\tIN\tB-SBAR\tO' -p4215 -aS'the\tthe\tDT\tB-NP\tO' -p4216 -aS'background\tbackground\tNN\tI-NP\tO' -p4217 -aS'was\tbe\tVBD\tB-VP\tO' -p4218 -aS'disorganized\tdisorganize\tVBN\tI-VP\tO' -p4219 -aS'and\tand\tCC\tO\tO' -p4220 -aS'slow\tslow\tJJ\tB-ADJP\tO' -p4221 -aS'on\ton\tIN\tB-PP\tO' -p4222 -aS'both\tboth\tDT\tB-NP\tO' -p4223 -aS'sides\tside\tNNS\tI-NP\tO' -p4224 -aS'for\tfor\tIN\tB-SBAR\tO' -p4225 -asS'A low dose Morphine drip was initiated after further serious discussion with her husband and nieces and nephews .' -p4226 -(lp4227 -S'A\tA\tDT\tB-NP\tO' -p4228 -aS'low\tlow\tJJ\tI-NP\tO' -p4229 -aS'dose\tdose\tNN\tI-NP\tO' -p4230 -aS'Morphine\tMorphine\tNN\tI-NP\tO' -p4231 -aS'drip\tdrip\tNN\tI-NP\tO' -p4232 -aS'was\tbe\tVBD\tB-VP\tO' -p4233 -aS'initiated\tinitiate\tVBN\tI-VP\tO' -p4234 -aS'after\tafter\tIN\tB-PP\tO' -p4235 -aS'further\tfurther\tJJ\tB-NP\tO' -p4236 -aS'serious\tserious\tJJ\tI-NP\tO' -p4237 -aS'discussion\tdiscussion\tNN\tI-NP\tO' -p4238 -aS'with\twith\tIN\tB-PP\tO' -p4239 -aS'her\ther\tPRP$\tB-NP\tO' -p4240 -aS'husband\thusband\tNN\tI-NP\tO' -p4241 -aS'and\tand\tCC\tI-NP\tO' -p4242 -aS'nieces\tniece\tNNS\tI-NP\tO' -p4243 -aS'and\tand\tCC\tI-NP\tO' -p4244 -aS'nephews\tnephew\tNNS\tI-NP\tO' -p4245 -aS'.\t.\t.\tO\tO' -p4246 -asS'He had occasional leg swelling .' -p4247 -(lp4248 -S'He\tHe\tPRP\tB-NP\tO' -p4249 -aS'had\thave\tVBD\tB-VP\tO' -p4250 -aS'occasional\toccasional\tJJ\tB-NP\tO' -p4251 -aS'leg\tleg\tNN\tI-NP\tO' -p4252 -aS'swelling\tswelling\tNN\tI-NP\tO' -p4253 -aS'.\t.\t.\tO\tO' -p4254 -asS'This was significant for demonstrating no flow-limited disease in the coronaries but several fistulae' -p4255 -(lp4256 -S'This\tThis\tDT\tB-NP\tO' -p4257 -aS'was\tbe\tVBD\tB-VP\tO' -p4258 -aS'significant\tsignificant\tJJ\tB-ADJP\tO' -p4259 -aS'for\tfor\tIN\tB-PP\tO' -p4260 -aS'demonstrating\tdemonstrate\tVBG\tB-VP\tO' -p4261 -aS'no\tno\tDT\tB-NP\tO' -p4262 -aS'flow-limited\tflow-limited\tJJ\tI-NP\tO' -p4263 -aS'disease\tdisease\tNN\tI-NP\tO' -p4264 -aS'in\tin\tIN\tB-PP\tO' -p4265 -aS'the\tthe\tDT\tB-NP\tO' -p4266 -aS'coronaries\tcoronary\tNNS\tI-NP\tO' -p4267 -aS'but\tbut\tCC\tO\tO' -p4268 -aS'several\tseveral\tJJ\tB-NP\tO' -p4269 -aS'fistulae\tfistula\tNNS\tI-NP\tO' -p4270 -asS'INDICATION : 94-year-old woman with mental status changes , now with abdominal pain and hypertension .' -p4271 -(lp4272 -S'INDICATION\tINDICATION\tNN\tB-NP\tO' -p4273 -aS':\t:\t:\tO\tO' -p4274 -aS'94-year-old\t94-year-old\tJJ\tB-NP\tO' -p4275 -aS'woman\twoman\tNN\tI-NP\tO' -p4276 -aS'with\twith\tIN\tB-PP\tO' -p4277 -aS'mental\tmental\tJJ\tB-NP\tO' -p4278 -aS'status\tstatus\tNN\tI-NP\tO' -p4279 -aS'changes\tchange\tNNS\tI-NP\tO' -p4280 -aS',\t,\t,\tO\tO' -p4281 -aS'now\tnow\tRB\tB-ADVP\tO' -p4282 -aS'with\twith\tIN\tB-PP\tO' -p4283 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p4284 -aS'pain\tpain\tNN\tI-NP\tO' -p4285 -aS'and\tand\tCC\tI-NP\tO' -p4286 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p4287 -aS'.\t.\t.\tO\tO' -p4288 -asS'Only hypertension .' -p4289 -(lp4290 -S'Only\tOnly\tRB\tB-NP\tO' -p4291 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p4292 -aS'.\t.\t.\tO\tO' -p4293 -asS'The patient was maintained Sinemet .' -p4294 -(lp4295 -S'The\tThe\tDT\tB-NP\tO' -p4296 -aS'patient\tpatient\tNN\tI-NP\tO' -p4297 -aS'was\tbe\tVBD\tB-VP\tO' -p4298 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p4299 -aS'Sinemet\tSinemet\tNNP\tB-NP\tO' -p4300 -aS'.\t.\t.\tO\tO' -p4301 -asS"There was little evidence to suggest any cardiac disease , and given the patient 's Grave's disease an autoimmune process was felt to be possible ." -p4302 -(lp4303 -S'There\tThere\tEX\tB-NP\tO' -p4304 -aS'was\tbe\tVBD\tB-VP\tO' -p4305 -aS'little\tlittle\tJJ\tB-NP\tO' -p4306 -aS'evidence\tevidence\tNN\tI-NP\tO' -p4307 -aS'to\tto\tTO\tB-VP\tO' -p4308 -aS'suggest\tsuggest\tVB\tI-VP\tO' -p4309 -aS'any\tany\tDT\tB-NP\tO' -p4310 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p4311 -aS'disease\tdisease\tNN\tI-NP\tO' -p4312 -aS',\t,\t,\tO\tO' -p4313 -aS'and\tand\tCC\tO\tO' -p4314 -aS'given\tgive\tVBN\tB-VP\tO' -p4315 -aS'the\tthe\tDT\tB-NP\tO' -p4316 -aS'patient\tpatient\tNN\tI-NP\tO' -p4317 -aS"'s\t's\tPOS\tB-NP\tO" -p4318 -aS"Grave's\tGrave's\tNNP\tI-NP\tO" -p4319 -aS'disease\tdisease\tNN\tI-NP\tO' -p4320 -aS'an\tan\tDT\tB-NP\tO' -p4321 -aS'autoimmune\tautoimmune\tJJ\tI-NP\tO' -p4322 -aS'process\tprocess\tNN\tI-NP\tO' -p4323 -aS'was\tbe\tVBD\tB-VP\tO' -p4324 -aS'felt\tfeel\tVBN\tI-VP\tO' -p4325 -aS'to\tto\tTO\tI-VP\tO' -p4326 -aS'be\tbe\tVB\tI-VP\tO' -p4327 -aS'possible\tpossible\tJJ\tB-ADJP\tO' -p4328 -aS'.\t.\t.\tO\tO' -p4329 -asS'80 yo woman recently diagnosed with metastatic squamous cell lung CA .' -p4330 -(lp4331 -S'80\t80\tCD\tB-NP\tO' -p4332 -aS'yo\tyo\tNN\tI-NP\tO' -p4333 -aS'woman\twoman\tNN\tI-NP\tO' -p4334 -aS'recently\trecently\tRB\tB-VP\tO' -p4335 -aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' -p4336 -aS'with\twith\tIN\tB-PP\tO' -p4337 -aS'metastatic\tmetastatic\tJJ\tB-NP\tO' -p4338 -aS'squamous\tsquamous\tJJ\tI-NP\tO' -p4339 -aS'cell\tcell\tNN\tI-NP\tO' -p4340 -aS'lung\tlung\tNN\tI-NP\tO' -p4341 -aS'CA\tCA\tNN\tI-NP\tO' -p4342 -aS'.\t.\t.\tO\tO' -p4343 -asS'Left lower lobe pneumonia , resolving now on oral antibiotics .' -p4344 -(lp4345 -S'Left\tLeave\tVBN\tB-VP\tO' -p4346 -aS'lower\tlow\tJJR\tB-NP\tO' -p4347 -aS'lobe\tlobe\tNN\tI-NP\tO' -p4348 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p4349 -aS',\t,\t,\tO\tO' -p4350 -aS'resolving\tresolve\tVBG\tB-VP\tO' -p4351 -aS'now\tnow\tRB\tB-ADVP\tO' -p4352 -aS'on\ton\tIN\tB-PP\tO' -p4353 -aS'oral\toral\tJJ\tB-NP\tO' -p4354 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p4355 -aS'.\t.\t.\tO\tO' -p4356 -asS'He was followed by speech and swallowing service , who assisted in the management of po intake which gradually improved , although he clearly had problems with manipulation of food in the left side of his mouth and would tend to accumulate a pouch of food in his left cheek .' -p4357 -(lp4358 -S'He\tHe\tPRP\tB-NP\tO' -p4359 -aS'was\tbe\tVBD\tB-VP\tO' -p4360 -aS'followed\tfollow\tVBN\tI-VP\tO' -p4361 -aS'by\tby\tIN\tB-PP\tO' -p4362 -aS'speech\tspeech\tNN\tB-NP\tO' -p4363 -aS'and\tand\tCC\tO\tO' -p4364 -aS'swallowing\tswallow\tVBG\tB-NP\tO' -p4365 -aS'service\tservice\tNN\tI-NP\tO' -p4366 -aS',\t,\t,\tO\tO' -p4367 -aS'who\twho\tWP\tB-NP\tO' -p4368 -aS'assisted\tassist\tVBD\tB-VP\tO' -p4369 -aS'in\tin\tIN\tB-PP\tO' -p4370 -aS'the\tthe\tDT\tB-NP\tO' -p4371 -aS'management\tmanagement\tNN\tI-NP\tO' -p4372 -aS'of\tof\tIN\tB-PP\tO' -p4373 -aS'po\tpo\tNN\tB-NP\tO' -p4374 -aS'intake\tintake\tNN\tI-NP\tO' -p4375 -aS'which\twhich\tWDT\tB-NP\tO' -p4376 -aS'gradually\tgradually\tRB\tB-ADVP\tO' -p4377 -aS'improved\timprove\tVBD\tB-VP\tO' -p4378 -aS',\t,\t,\tO\tO' -p4379 -aS'although\talthough\tIN\tB-SBAR\tO' -p4380 -aS'he\the\tPRP\tB-NP\tO' -p4381 -aS'clearly\tclearly\tRB\tB-ADVP\tO' -p4382 -aS'had\thave\tVBD\tB-VP\tO' -p4383 -aS'problems\tproblem\tNNS\tB-NP\tO' -p4384 -aS'with\twith\tIN\tB-PP\tO' -p4385 -aS'manipulation\tmanipulation\tNN\tB-NP\tO' -p4386 -aS'of\tof\tIN\tB-PP\tO' -p4387 -aS'food\tfood\tNN\tB-NP\tO' -p4388 -aS'in\tin\tIN\tB-PP\tO' -p4389 -aS'the\tthe\tDT\tB-NP\tO' -p4390 -aS'left\tleft\tJJ\tI-NP\tO' -p4391 -aS'side\tside\tNN\tI-NP\tO' -p4392 -aS'of\tof\tIN\tB-PP\tO' -p4393 -aS'his\this\tPRP$\tB-NP\tO' -p4394 -aS'mouth\tmouth\tNN\tI-NP\tO' -p4395 -aS'and\tand\tCC\tO\tO' -p4396 -aS'would\twould\tMD\tB-VP\tO' -p4397 -aS'tend\ttend\tVB\tI-VP\tO' -p4398 -aS'to\tto\tTO\tI-VP\tO' -p4399 -aS'accumulate\taccumulate\tVB\tI-VP\tO' -p4400 -aS'a\ta\tDT\tB-NP\tO' -p4401 -aS'pouch\tpouch\tNN\tI-NP\tO' -p4402 -aS'of\tof\tIN\tB-PP\tO' -p4403 -aS'food\tfood\tNN\tB-NP\tO' -p4404 -aS'in\tin\tIN\tB-PP\tO' -p4405 -aS'his\this\tPRP$\tB-NP\tO' -p4406 -aS'left\tleft\tJJ\tI-NP\tO' -p4407 -aS'cheek\tcheek\tNN\tI-NP\tO' -p4408 -aS'.\t.\t.\tO\tO' -p4409 -asS'Immediately there after he was very short of breath , felt lightheaded again and called 911 .' -p4410 -(lp4411 -S'Immediately\tImmediately\tRB\tB-ADVP\tO' -p4412 -aS'there\tthere\tRB\tI-ADVP\tO' -p4413 -aS'after\tafter\tIN\tB-SBAR\tO' -p4414 -aS'he\the\tPRP\tB-NP\tO' -p4415 -aS'was\tbe\tVBD\tB-VP\tO' -p4416 -aS'very\tvery\tRB\tB-ADJP\tO' -p4417 -aS'short\tshort\tJJ\tI-ADJP\tO' -p4418 -aS'of\tof\tIN\tB-PP\tO' -p4419 -aS'breath\tbreath\tNN\tB-NP\tO' -p4420 -aS',\t,\t,\tO\tO' -p4421 -aS'felt\tfeel\tVBD\tB-VP\tO' -p4422 -aS'lightheaded\tlightheade\tVBN\tI-VP\tO' -p4423 -aS'again\tagain\tRB\tB-ADVP\tO' -p4424 -aS'and\tand\tCC\tO\tO' -p4425 -aS'called\tcall\tVBD\tB-VP\tO' -p4426 -aS'911\t911\tCD\tB-NP\tO' -p4427 -aS'.\t.\t.\tO\tO' -p4428 -asS'73 yo M transferred from Newton-Wellesley Hospital hospital for epidural abscess .' -p4429 -(lp4430 -S'73\t73\tCD\tB-NP\tO' -p4431 -aS'yo\tyo\tNN\tI-NP\tO' -p4432 -aS'M\tM\tNN\tI-NP\tO' -p4433 -aS'transferred\ttransfer\tVBN\tB-VP\tO' -p4434 -aS'from\tfrom\tIN\tB-PP\tO' -p4435 -aS'Newton-Wellesley\tNewton-Wellesley\tNNP\tB-NP\tO' -p4436 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p4437 -aS'hospital\thospital\tNN\tI-NP\tO' -p4438 -aS'for\tfor\tIN\tB-PP\tO' -p4439 -aS'epidural\tepidural\tJJ\tB-NP\tO' -p4440 -aS'abscess\tabscess\tNN\tI-NP\tO' -p4441 -aS'.\t.\t.\tO\tO' -p4442 -asS'His Decadron dose was titrated down to 5 mg IV q6h on 12/3/94 .' -p4443 -(lp4444 -S'His\tHis\tPRP$\tB-NP\tB-protein' -p4445 -aS'Decadron\tDecadron\tNNP\tI-NP\tO' -p4446 -aS'dose\tdose\tNN\tI-NP\tO' -p4447 -aS'was\tbe\tVBD\tB-VP\tO' -p4448 -aS'titrated\ttitrate\tVBN\tI-VP\tO' -p4449 -aS'down\tdown\tRB\tB-ADVP\tO' -p4450 -aS'to\tto\tTO\tB-PP\tO' -p4451 -aS'5\t5\tCD\tB-NP\tO' -p4452 -aS'mg\tmg\tNN\tI-NP\tO' -p4453 -aS'IV\tIV\tCD\tB-NP\tO' -p4454 -aS'q6h\tq6h\tNN\tI-NP\tO' -p4455 -aS'on\ton\tIN\tB-PP\tO' -p4456 -aS'12/3/94\t12/3/94\tCD\tB-NP\tO' -p4457 -aS'.\t.\t.\tO\tO' -p4458 -asS'He was transferred to Erich Lindemann Mental Health Center from the rehabilitation center where he had been discharged to on 2010-08-25 following his CABG/MVR .' -p4459 -(lp4460 -S'He\tHe\tPRP\tB-NP\tO' -p4461 -aS'was\tbe\tVBD\tB-VP\tO' -p4462 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p4463 -aS'to\tto\tTO\tB-PP\tO' -p4464 -aS'Erich\tErich\tNNP\tB-NP\tO' -p4465 -aS'Lindemann\tLindemann\tNNP\tI-NP\tO' -p4466 -aS'Mental\tMental\tNNP\tI-NP\tO' -p4467 -aS'Health\tHealth\tNNP\tI-NP\tO' -p4468 -aS'Center\tCenter\tNNP\tI-NP\tO' -p4469 -aS'from\tfrom\tIN\tB-PP\tO' -p4470 -aS'the\tthe\tDT\tB-NP\tO' -p4471 -aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' -p4472 -aS'center\tcenter\tNN\tI-NP\tO' -p4473 -aS'where\twhere\tWRB\tB-ADVP\tO' -p4474 -aS'he\the\tPRP\tB-NP\tO' -p4475 -aS'had\thave\tVBD\tB-VP\tO' -p4476 -aS'been\tbe\tVBN\tI-VP\tO' -p4477 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p4478 -aS'to\tto\tTO\tB-PP\tO' -p4479 -aS'on\ton\tIN\tB-PP\tO' -p4480 -aS'2010-08-25\t2010-08-25\tCD\tB-NP\tO' -p4481 -aS'following\tfollow\tVBG\tB-PP\tO' -p4482 -aS'his\this\tPRP$\tB-NP\tO' -p4483 -aS'CABG/MVR\tCABG/MVR\tNN\tI-NP\tB-protein' -p4484 -aS'.\t.\t.\tO\tO' -p4485 -asS'Hypothyroidism , arthritis , hypertension , hypercholesterolemia , anemia and asthma .' -p4486 -(lp4487 -S'Hypothyroidism\tHypothyroidism\tNN\tB-NP\tO' -p4488 -aS',\t,\t,\tI-NP\tO' -p4489 -aS'arthritis\tarthritis\tNN\tI-NP\tO' -p4490 -aS',\t,\t,\tI-NP\tO' -p4491 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p4492 -aS',\t,\t,\tI-NP\tO' -p4493 -aS'hypercholesterolemia\thypercholesterolemia\tNN\tI-NP\tO' -p4494 -aS',\t,\t,\tI-NP\tO' -p4495 -aS'anemia\tanemia\tNN\tI-NP\tO' -p4496 -aS'and\tand\tCC\tI-NP\tO' -p4497 -aS'asthma\tasthma\tNN\tI-NP\tO' -p4498 -aS'.\t.\t.\tO\tO' -p4499 -asS'She has a history of esophageal varices and a history of an Upper GI bleed .' -p4500 -(lp4501 -S'She\tShe\tPRP\tB-NP\tO' -p4502 -aS'has\thave\tVBZ\tB-VP\tO' -p4503 -aS'a\ta\tDT\tB-NP\tO' -p4504 -aS'history\thistory\tNN\tI-NP\tO' -p4505 -aS'of\tof\tIN\tB-PP\tO' -p4506 -aS'esophageal\tesophageal\tJJ\tB-NP\tO' -p4507 -aS'varices\tvarix\tNNS\tI-NP\tO' -p4508 -aS'and\tand\tCC\tO\tO' -p4509 -aS'a\ta\tDT\tB-NP\tO' -p4510 -aS'history\thistory\tNN\tI-NP\tO' -p4511 -aS'of\tof\tIN\tB-PP\tO' -p4512 -aS'an\tan\tDT\tB-NP\tO' -p4513 -aS'Upper\tUpper\tNNP\tI-NP\tO' -p4514 -aS'GI\tGI\tNNP\tI-NP\tO' -p4515 -aS'bleed\tbleed\tNN\tI-NP\tO' -p4516 -aS'.\t.\t.\tO\tO' -p4517 -asS'Patient was found at group home in am laying on floor by bed unresponsive , last seen awake 8 hours prior at dinner .' -p4518 -(lp4519 -S'Patient\tPatient\tNN\tB-NP\tO' -p4520 -aS'was\tbe\tVBD\tB-VP\tO' -p4521 -aS'found\tfind\tVBN\tI-VP\tO' -p4522 -aS'at\tat\tIN\tB-PP\tO' -p4523 -aS'group\tgroup\tNN\tB-NP\tO' -p4524 -aS'home\thome\tNN\tI-NP\tO' -p4525 -aS'in\tin\tIN\tB-PP\tO' -p4526 -aS'am\tam\tNN\tB-NP\tO' -p4527 -aS'laying\tlay\tVBG\tB-VP\tO' -p4528 -aS'on\ton\tIN\tB-PP\tO' -p4529 -aS'floor\tfloor\tNN\tB-NP\tO' -p4530 -aS'by\tby\tIN\tB-PP\tO' -p4531 -aS'bed\tbed\tNN\tB-NP\tO' -p4532 -aS'unresponsive\tunresponsive\tJJ\tB-ADJP\tO' -p4533 -aS',\t,\t,\tO\tO' -p4534 -aS'last\tlast\tJJ\tB-NP\tO' -p4535 -aS'seen\tsee\tVBN\tI-NP\tO' -p4536 -aS'awake\tawake\tNN\tI-NP\tO' -p4537 -aS'8\t8\tCD\tB-NP\tO' -p4538 -aS'hours\thour\tNNS\tI-NP\tO' -p4539 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p4540 -aS'at\tat\tIN\tB-PP\tO' -p4541 -aS'dinner\tdinner\tNN\tB-NP\tO' -p4542 -aS'.\t.\t.\tO\tO' -p4543 -asS'Labetalol was stopped and he received a 500 cc fluid bolus and his blood pressure rose to SBP 90 s.' -p4544 -(lp4545 -S'Labetalol\tLabetalol\tNN\tB-NP\tO' -p4546 -aS'was\tbe\tVBD\tB-VP\tO' -p4547 -aS'stopped\tstop\tVBN\tI-VP\tO' -p4548 -aS'and\tand\tCC\tO\tO' -p4549 -aS'he\the\tPRP\tB-NP\tO' -p4550 -aS'received\treceive\tVBD\tB-VP\tO' -p4551 -aS'a\ta\tDT\tB-NP\tO' -p4552 -aS'500\t500\tCD\tI-NP\tO' -p4553 -aS'cc\tcc\tNN\tI-NP\tO' -p4554 -aS'fluid\tfluid\tNN\tI-NP\tO' -p4555 -aS'bolus\tbolus\tNN\tI-NP\tO' -p4556 -aS'and\tand\tCC\tO\tO' -p4557 -aS'his\this\tPRP$\tB-NP\tO' -p4558 -aS'blood\tblood\tNN\tI-NP\tO' -p4559 -aS'pressure\tpressure\tNN\tI-NP\tO' -p4560 -aS'rose\trise\tVBD\tB-VP\tO' -p4561 -aS'to\tto\tTO\tB-PP\tO' -p4562 -aS'SBP\tSBP\tNN\tB-NP\tO' -p4563 -aS'90\t90\tCD\tI-NP\tO' -p4564 -aS's.\ts.\tNNS\tI-NP\tO' -p4565 -asS'Portable supine chest radiograph shows improvement in edema compared to studies from four and five days earlier with no significant radiographic change in right upper lobe consolidation consistent with pneumonia .' -p4566 -(lp4567 -S'Portable\tPortable\tJJ\tB-NP\tO' -p4568 -aS'supine\tsupine\tNN\tI-NP\tO' -p4569 -aS'chest\tchest\tNN\tI-NP\tO' -p4570 -aS'radiograph\tradiograph\tNN\tI-NP\tO' -p4571 -aS'shows\tshow\tVBZ\tB-VP\tO' -p4572 -aS'improvement\timprovement\tNN\tB-NP\tO' -p4573 -aS'in\tin\tIN\tB-PP\tO' -p4574 -aS'edema\tedema\tNN\tB-NP\tO' -p4575 -aS'compared\tcompare\tVBN\tB-VP\tO' -p4576 -aS'to\tto\tTO\tB-PP\tO' -p4577 -aS'studies\tstudy\tNNS\tB-NP\tO' -p4578 -aS'from\tfrom\tIN\tB-PP\tO' -p4579 -aS'four\tfour\tCD\tB-NP\tO' -p4580 -aS'and\tand\tCC\tI-NP\tO' -p4581 -aS'five\tfive\tCD\tI-NP\tO' -p4582 -aS'days\tday\tNNS\tI-NP\tO' -p4583 -aS'earlier\tearlier\tRBR\tB-ADVP\tO' -p4584 -aS'with\twith\tIN\tB-PP\tO' -p4585 -aS'no\tno\tDT\tB-NP\tO' -p4586 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p4587 -aS'radiographic\tradiographic\tJJ\tI-NP\tO' -p4588 -aS'change\tchange\tNN\tI-NP\tO' -p4589 -aS'in\tin\tIN\tB-PP\tO' -p4590 -aS'right\tright\tJJ\tB-NP\tO' -p4591 -aS'upper\tupper\tJJ\tI-NP\tO' -p4592 -aS'lobe\tlobe\tNN\tI-NP\tO' -p4593 -aS'consolidation\tconsolidation\tNN\tI-NP\tO' -p4594 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p4595 -aS'with\twith\tIN\tB-PP\tO' -p4596 -aS'pneumonia\tpneumonia\tNN\tB-NP\tO' -p4597 -aS'.\t.\t.\tO\tO' -p4598 -asS'Caffeine citrate was started on day of life six and was discontinued on 05-23 ( day of life 18 ).' -p4599 -(lp4600 -S'Caffeine\tCaffeine\tNN\tB-NP\tO' -p4601 -aS'citrate\tcitrate\tNN\tI-NP\tO' -p4602 -aS'was\tbe\tVBD\tB-VP\tO' -p4603 -aS'started\tstart\tVBN\tI-VP\tO' -p4604 -aS'on\ton\tIN\tB-PP\tO' -p4605 -aS'day\tday\tNN\tB-NP\tO' -p4606 -aS'of\tof\tIN\tB-PP\tO' -p4607 -aS'life\tlife\tNN\tB-NP\tO' -p4608 -aS'six\tsix\tCD\tI-NP\tO' -p4609 -aS'and\tand\tCC\tO\tO' -p4610 -aS'was\tbe\tVBD\tB-VP\tO' -p4611 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p4612 -aS'on\ton\tIN\tB-PP\tO' -p4613 -aS'05-23\t05-23\tCD\tB-NP\tO' -p4614 -aS'(\t(\t(\tO\tO' -p4615 -aS'day\tday\tNN\tB-NP\tO' -p4616 -aS'of\tof\tIN\tB-PP\tO' -p4617 -aS'life\tlife\tNN\tB-NP\tO' -p4618 -aS'18\t18\tCD\tI-NP\tO' -p4619 -aS').\t).\t.\tO\tO' -p4620 -asS'Her speech became slurred , this was followed a few seconds after by weakness and numbness of her arm and leg .' -p4621 -(lp4622 -S'Her\tHer\tPRP$\tB-NP\tO' -p4623 -aS'speech\tspeech\tNN\tI-NP\tO' -p4624 -aS'became\tbecome\tVBD\tB-VP\tO' -p4625 -aS'slurred\tslur\tVBN\tB-ADJP\tO' -p4626 -aS',\t,\t,\tO\tO' -p4627 -aS'this\tthis\tDT\tB-NP\tO' -p4628 -aS'was\tbe\tVBD\tB-VP\tO' -p4629 -aS'followed\tfollow\tVBN\tI-VP\tO' -p4630 -aS'a\ta\tDT\tB-NP\tO' -p4631 -aS'few\tfew\tJJ\tI-NP\tO' -p4632 -aS'seconds\tsecond\tNNS\tI-NP\tO' -p4633 -aS'after\tafter\tIN\tB-PP\tO' -p4634 -aS'by\tby\tIN\tB-PP\tO' -p4635 -aS'weakness\tweakness\tNN\tB-NP\tO' -p4636 -aS'and\tand\tCC\tI-NP\tO' -p4637 -aS'numbness\tnumbness\tNN\tI-NP\tO' -p4638 -aS'of\tof\tIN\tB-PP\tO' -p4639 -aS'her\ther\tPRP$\tB-NP\tO' -p4640 -aS'arm\tarm\tNN\tI-NP\tO' -p4641 -aS'and\tand\tCC\tI-NP\tO' -p4642 -aS'leg\tleg\tNN\tI-NP\tO' -p4643 -aS'.\t.\t.\tO\tO' -p4644 -asS'Her chest x-ray shows a left lower lobe hematoma that had greatly improved in the last few days .' -p4645 -(lp4646 -S'Her\tHer\tPRP$\tB-NP\tO' -p4647 -aS'chest\tchest\tNN\tI-NP\tO' -p4648 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p4649 -aS'shows\tshow\tVBZ\tB-VP\tO' -p4650 -aS'a\ta\tDT\tB-NP\tO' -p4651 -aS'left\tleft\tJJ\tI-NP\tO' -p4652 -aS'lower\tlow\tJJR\tI-NP\tO' -p4653 -aS'lobe\tlobe\tNN\tI-NP\tO' -p4654 -aS'hematoma\thematoma\tNN\tI-NP\tO' -p4655 -aS'that\tthat\tWDT\tB-NP\tO' -p4656 -aS'had\thave\tVBD\tB-VP\tO' -p4657 -aS'greatly\tgreatly\tRB\tI-VP\tO' -p4658 -aS'improved\timprove\tVBN\tI-VP\tO' -p4659 -aS'in\tin\tIN\tB-PP\tO' -p4660 -aS'the\tthe\tDT\tB-NP\tO' -p4661 -aS'last\tlast\tJJ\tI-NP\tO' -p4662 -aS'few\tfew\tJJ\tI-NP\tO' -p4663 -aS'days\tday\tNNS\tI-NP\tO' -p4664 -aS'.\t.\t.\tO\tO' -p4665 -asS'Pupils equally round and reactive to light .' -p4666 -(lp4667 -S'Pupils\tPupil\tNNS\tB-NP\tO' -p4668 -aS'equally\tequally\tRB\tB-ADJP\tO' -p4669 -aS'round\tround\tJJ\tI-ADJP\tO' -p4670 -aS'and\tand\tCC\tI-ADJP\tO' -p4671 -aS'reactive\treactive\tJJ\tI-ADJP\tO' -p4672 -aS'to\tto\tTO\tB-PP\tO' -p4673 -aS'light\tlight\tNN\tB-NP\tO' -p4674 -aS'.\t.\t.\tO\tO' -p4675 -asS'Chest x-ray - Showed a left paratracheal adenopathy and small left pleural effusion with no evidence of pneumonia .' -p4676 -(lp4677 -S'Chest\tCh\tJJS\tB-NP\tO' -p4678 -aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' -p4679 -aS'-\t-\tHYPH\tB-ADVP\tO' -p4680 -aS'Showed\tShow\tVBD\tB-VP\tO' -p4681 -aS'a\ta\tDT\tB-NP\tO' -p4682 -aS'left\tleft\tJJ\tI-NP\tO' -p4683 -aS'paratracheal\tparatracheal\tJJ\tI-NP\tO' -p4684 -aS'adenopathy\tadenopathy\tNN\tI-NP\tO' -p4685 -aS'and\tand\tCC\tO\tO' -p4686 -aS'small\tsmall\tJJ\tB-NP\tO' -p4687 -aS'left\tleft\tJJ\tI-NP\tO' -p4688 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p4689 -aS'effusion\teffusion\tNN\tI-NP\tO' -p4690 -aS'with\twith\tIN\tB-PP\tO' -p4691 -aS'no\tno\tDT\tB-NP\tO' -p4692 -aS'evidence\tevidence\tNN\tI-NP\tO' -p4693 -aS'of\tof\tIN\tB-PP\tO' -p4694 -aS'pneumonia\tpneumonia\tNN\tB-NP\tO' -p4695 -aS'.\t.\t.\tO\tO' -p4696 -asS'White count was 8 .' -p4697 -(lp4698 -S'White\tWhite\tJJ\tB-NP\tO' -p4699 -aS'count\tcount\tNN\tI-NP\tO' -p4700 -aS'was\tbe\tVBD\tB-VP\tO' -p4701 -aS'8\t8\tCD\tB-NP\tO' -p4702 -aS'.\t.\t.\tO\tO' -p4703 -asS'Car seat safety screening passed prior to discharge .' -p4704 -(lp4705 -S'Car\tCar\tNN\tB-NP\tB-protein' -p4706 -aS'seat\tseat\tNN\tI-NP\tO' -p4707 -aS'safety\tsafety\tNN\tI-NP\tO' -p4708 -aS'screening\tscreening\tNN\tI-NP\tO' -p4709 -aS'passed\tpass\tVBD\tB-VP\tO' -p4710 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p4711 -aS'to\tto\tTO\tB-VP\tO' -p4712 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p4713 -aS'.\t.\t.\tO\tO' -p4714 -asS'Electrocardiogram post catheterization showed continued ST elevations and J point elevations in V2 through V3 .' -p4715 -(lp4716 -S'Electrocardiogram\tElectrocardiogram\tNN\tB-NP\tO' -p4717 -aS'post\tpost\tNN\tI-NP\tO' -p4718 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p4719 -aS'showed\tshow\tVBD\tB-VP\tO' -p4720 -aS'continued\tcontinue\tVBN\tB-NP\tO' -p4721 -aS'ST\tST\tJJ\tI-NP\tO' -p4722 -aS'elevations\televation\tNNS\tI-NP\tO' -p4723 -aS'and\tand\tCC\tO\tO' -p4724 -aS'J\tJ\tNN\tB-NP\tO' -p4725 -aS'point\tpoint\tNN\tI-NP\tO' -p4726 -aS'elevations\televation\tNNS\tI-NP\tO' -p4727 -aS'in\tin\tIN\tB-PP\tO' -p4728 -aS'V2\tV2\tNN\tB-NP\tO' -p4729 -aS'through\tthrough\tIN\tB-PP\tO' -p4730 -aS'V3\tV3\tNN\tB-NP\tB-protein' -p4731 -aS'.\t.\t.\tO\tO' -p4732 -asS'For the past couple of months the patient has had a non-healing right dorsal foot ulcer which has been increasing in size and started as a pin hole and she does not recollect any trauma , as similar small ulcers developed on the left foot as well around the same time , but that has subsequently healed .' -p4733 -(lp4734 -S'For\tFor\tIN\tB-PP\tO' -p4735 -aS'the\tthe\tDT\tB-NP\tO' -p4736 -aS'past\tpast\tJJ\tI-NP\tO' -p4737 -aS'couple\tcouple\tNN\tI-NP\tO' -p4738 -aS'of\tof\tIN\tB-PP\tO' -p4739 -aS'months\tmonth\tNNS\tB-NP\tO' -p4740 -aS'the\tthe\tDT\tB-NP\tO' -p4741 -aS'patient\tpatient\tNN\tI-NP\tO' -p4742 -aS'has\thave\tVBZ\tB-VP\tO' -p4743 -aS'had\thave\tVBN\tI-VP\tO' -p4744 -aS'a\ta\tDT\tB-NP\tO' -p4745 -aS'non-healing\tnon-healing\tJJ\tI-NP\tO' -p4746 -aS'right\tright\tJJ\tI-NP\tO' -p4747 -aS'dorsal\tdorsal\tJJ\tI-NP\tO' -p4748 -aS'foot\tfoot\tNN\tI-NP\tO' -p4749 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p4750 -aS'which\twhich\tWDT\tB-NP\tO' -p4751 -aS'has\thave\tVBZ\tB-VP\tO' -p4752 -aS'been\tbe\tVBN\tI-VP\tO' -p4753 -aS'increasing\tincrease\tVBG\tI-VP\tO' -p4754 -aS'in\tin\tIN\tB-PP\tO' -p4755 -aS'size\tsize\tNN\tB-NP\tO' -p4756 -aS'and\tand\tCC\tO\tO' -p4757 -aS'started\tstart\tVBD\tB-VP\tO' -p4758 -aS'as\tas\tIN\tB-PP\tO' -p4759 -aS'a\ta\tDT\tB-NP\tO' -p4760 -aS'pin\tpin\tNN\tI-NP\tO' -p4761 -aS'hole\thole\tNN\tI-NP\tO' -p4762 -aS'and\tand\tCC\tO\tO' -p4763 -aS'she\tshe\tPRP\tB-NP\tO' -p4764 -aS'does\tdo\tVBZ\tB-VP\tO' -p4765 -aS'not\tnot\tRB\tI-VP\tO' -p4766 -aS'recollect\trecollect\tVB\tI-VP\tO' -p4767 -aS'any\tany\tDT\tB-NP\tO' -p4768 -aS'trauma\ttrauma\tNN\tI-NP\tO' -p4769 -aS',\t,\t,\tO\tO' -p4770 -aS'as\tas\tIN\tB-SBAR\tO' -p4771 -aS'similar\tsimilar\tJJ\tB-NP\tO' -p4772 -aS'small\tsmall\tJJ\tI-NP\tO' -p4773 -aS'ulcers\tulcer\tNNS\tI-NP\tO' -p4774 -aS'developed\tdevelop\tVBN\tB-VP\tO' -p4775 -aS'on\ton\tIN\tB-PP\tO' -p4776 -aS'the\tthe\tDT\tB-NP\tO' -p4777 -aS'left\tleft\tJJ\tI-NP\tO' -p4778 -aS'foot\tfoot\tNN\tI-NP\tO' -p4779 -aS'as\tas\tRB\tB-ADVP\tO' -p4780 -aS'well\twell\tRB\tI-ADVP\tO' -p4781 -aS'around\taround\tIN\tB-PP\tO' -p4782 -aS'the\tthe\tDT\tB-NP\tO' -p4783 -aS'same\tsame\tJJ\tI-NP\tO' -p4784 -aS'time\ttime\tNN\tI-NP\tO' -p4785 -aS',\t,\t,\tO\tO' -p4786 -aS'but\tbut\tCC\tO\tO' -p4787 -aS'that\tthat\tDT\tB-NP\tO' -p4788 -aS'has\thave\tVBZ\tB-VP\tO' -p4789 -aS'subsequently\tsubsequently\tRB\tI-VP\tO' -p4790 -aS'healed\theal\tVBN\tI-VP\tO' -p4791 -aS'.\t.\t.\tO\tO' -p4792 -asS'Fistulogram on 3/11/02 .' -p4793 -(lp4794 -S'Fistulogram\tFistulogram\tNN\tB-NP\tO' -p4795 -aS'on\ton\tIN\tB-PP\tO' -p4796 -aS'3/11/02\t3/11/02\tCD\tB-NP\tO' -p4797 -aS'.\t.\t.\tO\tO' -p4798 -asS'Based on this , she is transferred to the Neurology service for focus on comfort care .' -p4799 -(lp4800 -S'Based\tBase\tVBN\tB-PP\tO' -p4801 -aS'on\ton\tIN\tB-PP\tO' -p4802 -aS'this\tthis\tDT\tB-NP\tO' -p4803 -aS',\t,\t,\tO\tO' -p4804 -aS'she\tshe\tPRP\tB-NP\tO' -p4805 -aS'is\tbe\tVBZ\tB-VP\tO' -p4806 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p4807 -aS'to\tto\tTO\tB-PP\tO' -p4808 -aS'the\tthe\tDT\tB-NP\tO' -p4809 -aS'Neurology\tNeurology\tNNP\tI-NP\tO' -p4810 -aS'service\tservice\tNN\tI-NP\tO' -p4811 -aS'for\tfor\tIN\tB-PP\tO' -p4812 -aS'focus\tfocus\tNN\tB-NP\tO' -p4813 -aS'on\ton\tIN\tB-PP\tO' -p4814 -aS'comfort\tcomfort\tNN\tB-NP\tO' -p4815 -aS'care\tcare\tNN\tI-NP\tO' -p4816 -aS'.\t.\t.\tO\tO' -p4817 -asS'Coagulation profile notable for a PT 18 , PTT 36.7 and an INR of 2.4 .' -p4818 -(lp4819 -S'Coagulation\tCoagulation\tNN\tB-NP\tO' -p4820 -aS'profile\tprofile\tNN\tI-NP\tO' -p4821 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p4822 -aS'for\tfor\tIN\tB-PP\tO' -p4823 -aS'a\ta\tDT\tB-NP\tO' -p4824 -aS'PT\tPT\tNN\tI-NP\tB-DNA' -p4825 -aS'18\t18\tCD\tI-NP\tI-DNA' -p4826 -aS',\t,\t,\tO\tO' -p4827 -aS'PTT\tPTT\tNN\tB-NP\tB-DNA' -p4828 -aS'36.7\t36.7\tCD\tI-NP\tI-DNA' -p4829 -aS'and\tand\tCC\tO\tO' -p4830 -aS'an\tan\tDT\tB-NP\tO' -p4831 -aS'INR\tINR\tNN\tI-NP\tB-protein' -p4832 -aS'of\tof\tIN\tB-PP\tO' -p4833 -aS'2.4\t2.4\tCD\tB-NP\tO' -p4834 -aS'.\t.\t.\tO\tO' -p4835 -asS'9. Toprol XL 100 mg po q day .' -p4836 -(lp4837 -S'9.\t9.\tLS\tB-NP\tO' -p4838 -aS'Toprol\tToprol\tNNP\tI-NP\tO' -p4839 -aS'XL\tXL\tNNP\tI-NP\tO' -p4840 -aS'100\t100\tCD\tI-NP\tO' -p4841 -aS'mg\tmg\tNN\tI-NP\tO' -p4842 -aS'po\tpo\tNN\tI-NP\tO' -p4843 -aS'q\tq\tNN\tI-NP\tO' -p4844 -aS'day\tday\tNN\tI-NP\tO' -p4845 -aS'.\t.\t.\tO\tO' -p4846 -asS'Digoxin level was 0.8 .' -p4847 -(lp4848 -S'Digoxin\tDigoxin\tNN\tB-NP\tO' -p4849 -aS'level\tlevel\tNN\tI-NP\tO' -p4850 -aS'was\tbe\tVBD\tB-VP\tO' -p4851 -aS'0.8\t0.8\tCD\tB-NP\tO' -p4852 -aS'.\t.\t.\tO\tO' -p4853 -asS'The patient was restarted on Advair and by 12/15/03 , was weaned to room air likely an effective Advair and control of anxiety and psychiatric issues .' -p4854 -(lp4855 -S'The\tThe\tDT\tB-NP\tO' -p4856 -aS'patient\tpatient\tNN\tI-NP\tO' -p4857 -aS'was\tbe\tVBD\tB-VP\tO' -p4858 -aS'restarted\trestart\tVBN\tI-VP\tO' -p4859 -aS'on\ton\tIN\tB-PP\tO' -p4860 -aS'Advair\tAdvair\tNN\tB-NP\tO' -p4861 -aS'and\tand\tCC\tB-PP\tO' -p4862 -aS'by\tby\tIN\tB-PP\tO' -p4863 -aS'12/15/03\t12/15/03\tCD\tB-NP\tO' -p4864 -aS',\t,\t,\tO\tO' -p4865 -aS'was\tbe\tVBD\tB-VP\tO' -p4866 -aS'weaned\twean\tVBN\tI-VP\tO' -p4867 -aS'to\tto\tTO\tB-PP\tO' -p4868 -aS'room\troom\tNN\tB-NP\tO' -p4869 -aS'air\tair\tNN\tI-NP\tO' -p4870 -aS'likely\tlikely\tRB\tB-ADVP\tO' -p4871 -aS'an\tan\tDT\tB-NP\tO' -p4872 -aS'effective\teffective\tJJ\tI-NP\tO' -p4873 -aS'Advair\tAdvair\tNN\tI-NP\tO' -p4874 -aS'and\tand\tCC\tO\tO' -p4875 -aS'control\tcontrol\tNN\tB-NP\tO' -p4876 -aS'of\tof\tIN\tB-PP\tO' -p4877 -aS'anxiety\tanxiety\tNN\tB-NP\tO' -p4878 -aS'and\tand\tCC\tO\tO' -p4879 -aS'psychiatric\tpsychiatric\tJJ\tB-NP\tO' -p4880 -aS'issues\tissue\tNNS\tI-NP\tO' -p4881 -aS'.\t.\t.\tO\tO' -p4882 -asS'He states that he also felt SOB and diaphoretic but denies n/v/palpitations .' -p4883 -(lp4884 -S'He\tHe\tPRP\tB-NP\tO' -p4885 -aS'states\tstate\tVBZ\tB-VP\tO' -p4886 -aS'that\tthat\tIN\tB-SBAR\tO' -p4887 -aS'he\the\tPRP\tB-NP\tO' -p4888 -aS'also\talso\tRB\tB-ADVP\tO' -p4889 -aS'felt\tfeel\tVBD\tB-VP\tO' -p4890 -aS'SOB\tSOB\tNN\tB-NP\tB-protein' -p4891 -aS'and\tand\tCC\tO\tO' -p4892 -aS'diaphoretic\tdiaphoretic\tJJ\tB-ADJP\tO' -p4893 -aS'but\tbut\tCC\tO\tO' -p4894 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p4895 -aS'n/v/palpitations\tn/v/palpitation\tNNS\tB-NP\tO' -p4896 -aS'.\t.\t.\tO\tO' -p4897 -asS'dr. mandessquarc , No Known Allergies' -p4898 -(lp4899 -S'dr.\tdr.\tLS\tB-NP\tO' -p4900 -aS'mandessquarc\tmandessquarc\tNN\tI-NP\tO' -p4901 -aS',\t,\t,\tO\tO' -p4902 -aS'No\tNo\tNNP\tB-NP\tO' -p4903 -aS'Known\tKnown\tNNP\tI-NP\tO' -p4904 -aS'Allergies\tAllergies\tNNP\tI-NP\tO' -p4905 -asS'Head and neck - normocephalic , supple , no lymphadenopathy .' -p4906 -(lp4907 -S'Head\tHead\tNN\tB-NP\tO' -p4908 -aS'and\tand\tCC\tI-NP\tO' -p4909 -aS'neck\tneck\tNN\tI-NP\tO' -p4910 -aS'-\t-\tHYPH\tB-NP\tO' -p4911 -aS'normocephalic\tnormocephalic\tJJ\tI-NP\tO' -p4912 -aS',\t,\t,\tI-NP\tO' -p4913 -aS'supple\tsupple\tNN\tI-NP\tO' -p4914 -aS',\t,\t,\tO\tO' -p4915 -aS'no\tno\tDT\tB-NP\tO' -p4916 -aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' -p4917 -aS'.\t.\t.\tO\tO' -p4918 -asS'He will need to follow up with hematology for an outpatient thrombophilia work-up ( not done as inpatient as results would not change acute management of PE ).' -p4919 -(lp4920 -S'He\tHe\tPRP\tB-NP\tO' -p4921 -aS'will\twill\tMD\tB-VP\tO' -p4922 -aS'need\tneed\tVB\tI-VP\tO' -p4923 -aS'to\tto\tTO\tI-VP\tO' -p4924 -aS'follow\tfollow\tVB\tI-VP\tO' -p4925 -aS'up\tup\tRP\tB-PRT\tO' -p4926 -aS'with\twith\tIN\tB-PP\tO' -p4927 -aS'hematology\thematology\tNN\tB-NP\tO' -p4928 -aS'for\tfor\tIN\tB-PP\tO' -p4929 -aS'an\tan\tDT\tB-NP\tO' -p4930 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p4931 -aS'thrombophilia\tthrombophilia\tNN\tI-NP\tO' -p4932 -aS'work-up\twork-up\tNN\tI-NP\tO' -p4933 -aS'(\t(\t(\tO\tO' -p4934 -aS'not\tnot\tRB\tB-VP\tO' -p4935 -aS'done\tdo\tVBN\tI-VP\tO' -p4936 -aS'as\tas\tIN\tB-PP\tO' -p4937 -aS'inpatient\tinpatient\tNN\tB-NP\tO' -p4938 -aS'as\tas\tIN\tB-SBAR\tO' -p4939 -aS'results\tresult\tNNS\tB-NP\tO' -p4940 -aS'would\twould\tMD\tB-VP\tO' -p4941 -aS'not\tnot\tRB\tI-VP\tO' -p4942 -aS'change\tchange\tVB\tI-VP\tO' -p4943 -aS'acute\tacute\tJJ\tB-NP\tO' -p4944 -aS'management\tmanagement\tNN\tI-NP\tO' -p4945 -aS'of\tof\tIN\tB-PP\tO' -p4946 -aS'PE\tPE\tNN\tB-NP\tO' -p4947 -aS').\t).\t.\tO\tO' -p4948 -asS'A R hip film was negative for pathology or failure of her hip replacement .' -p4949 -(lp4950 -S'A\tA\tDT\tB-NP\tO' -p4951 -aS'R\tR\tNN\tI-NP\tO' -p4952 -aS'hip\thip\tNN\tI-NP\tO' -p4953 -aS'film\tfilm\tNN\tI-NP\tO' -p4954 -aS'was\tbe\tVBD\tB-VP\tO' -p4955 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p4956 -aS'for\tfor\tIN\tB-PP\tO' -p4957 -aS'pathology\tpathology\tNN\tB-NP\tO' -p4958 -aS'or\tor\tCC\tI-NP\tO' -p4959 -aS'failure\tfailure\tNN\tI-NP\tO' -p4960 -aS'of\tof\tIN\tB-PP\tO' -p4961 -aS'her\ther\tPRP$\tB-NP\tO' -p4962 -aS'hip\thip\tNN\tI-NP\tO' -p4963 -aS'replacement\treplacement\tNN\tI-NP\tO' -p4964 -aS'.\t.\t.\tO\tO' -p4965 -asS'She was transferred to the Providence Behavioral Health Hospital CMED .' -p4966 -(lp4967 -S'She\tShe\tPRP\tB-NP\tO' -p4968 -aS'was\tbe\tVBD\tB-VP\tO' -p4969 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p4970 -aS'to\tto\tTO\tB-PP\tO' -p4971 -aS'the\tthe\tDT\tB-NP\tO' -p4972 -aS'Providence\tProvidence\tNNP\tI-NP\tO' -p4973 -aS'Behavioral\tBehavioral\tNNP\tI-NP\tO' -p4974 -aS'Health\tHealth\tNNP\tI-NP\tO' -p4975 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p4976 -aS'CMED\tCMED\tNNP\tI-NP\tO' -p4977 -aS'.\t.\t.\tO\tO' -p4978 -asS'Discharge Condition : deconditioned but stable' -p4979 -(lp4980 -S'Discharge\tDischarge\tNNP\tB-NP\tO' -p4981 -aS'Condition\tCondition\tNNP\tI-NP\tO' -p4982 -aS':\t:\t:\tO\tO' -p4983 -aS'deconditioned\tdeconditione\tVBN\tB-VP\tO' -p4984 -aS'but\tbut\tCC\tO\tO' -p4985 -aS'stable\tstable\tJJ\tB-NP\tO' -p4986 -asS'A II / VI systolic ejection murmur is at the base , minimal radiation to the carotids .' -p4987 -(lp4988 -S'A\tA\tDT\tB-NP\tO' -p4989 -aS'II\tII\tCD\tI-NP\tO' -p4990 -aS'/\t/\tSYM\tI-NP\tO' -p4991 -aS'VI\tVI\tCD\tI-NP\tO' -p4992 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p4993 -aS'ejection\tejection\tNN\tI-NP\tO' -p4994 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p4995 -aS'is\tbe\tVBZ\tB-VP\tO' -p4996 -aS'at\tat\tIN\tB-PP\tO' -p4997 -aS'the\tthe\tDT\tB-NP\tO' -p4998 -aS'base\tbase\tNN\tI-NP\tO' -p4999 -aS',\t,\t,\tO\tO' -p5000 -aS'minimal\tminimal\tJJ\tB-NP\tO' -p5001 -aS'radiation\tradiation\tNN\tI-NP\tO' -p5002 -aS'to\tto\tTO\tB-PP\tO' -p5003 -aS'the\tthe\tDT\tB-NP\tO' -p5004 -aS'carotids\tcarotid\tNNS\tI-NP\tO' -p5005 -aS'.\t.\t.\tO\tO' -p5006 -asS'He withdrew both legs to painful stimuli .' -p5007 -(lp5008 -S'He\tHe\tPRP\tB-NP\tO' -p5009 -aS'withdrew\twithdraw\tVBD\tB-VP\tO' -p5010 -aS'both\tboth\tDT\tB-NP\tO' -p5011 -aS'legs\tleg\tNNS\tI-NP\tO' -p5012 -aS'to\tto\tTO\tB-PP\tO' -p5013 -aS'painful\tpainful\tJJ\tB-NP\tO' -p5014 -aS'stimuli\tstimulus\tNNS\tI-NP\tO' -p5015 -aS'.\t.\t.\tO\tO' -p5016 -asS'8. Hydrochlorothiazide .' -p5017 -(lp5018 -S'8.\t8.\tCD\tB-NP\tO' -p5019 -aS'Hydrochlorothiazide\tHydrochlorothiazide\tNNP\tI-NP\tO' -p5020 -aS'.\t.\t.\tO\tO' -p5021 -asS'Sodium 131 , potassium 4.5 , BUN 45 , creatinine 2.0 , glucose 134 , bilirubin 0.4. Blood gas on 5 liters nasal o2 - PO2 106 , PCO227 , pH 7.41 .' -p5022 -(lp5023 -S'Sodium\tSodium\tNN\tB-NP\tB-protein' -p5024 -aS'131\t131\tNN\tI-NP\tI-protein' -p5025 -aS',\t,\t,\tO\tO' -p5026 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p5027 -aS'4.5\t4.5\tCD\tI-NP\tO' -p5028 -aS',\t,\t,\tO\tO' -p5029 -aS'BUN\tBUN\tNN\tB-NP\tB-DNA' -p5030 -aS'45\t45\tCD\tI-NP\tI-DNA' -p5031 -aS',\t,\t,\tO\tO' -p5032 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p5033 -aS'2.0\t2.0\tCD\tI-NP\tO' -p5034 -aS',\t,\t,\tO\tO' -p5035 -aS'glucose\tglucose\tNN\tB-NP\tO' -p5036 -aS'134\t134\tCD\tI-NP\tO' -p5037 -aS',\t,\t,\tO\tO' -p5038 -aS'bilirubin\tbilirubin\tNN\tB-NP\tO' -p5039 -aS'0.4.\t0.4.\tCD\tI-NP\tO' -p5040 -aS'Blood\tBlood\tNN\tI-NP\tO' -p5041 -aS'gas\tgas\tNN\tI-NP\tO' -p5042 -aS'on\ton\tIN\tB-PP\tO' -p5043 -aS'5\t5\tCD\tB-NP\tO' -p5044 -aS'liters\tliter\tNNS\tI-NP\tO' -p5045 -aS'nasal\tnasal\tJJ\tB-NP\tO' -p5046 -aS'o2\to2\tNN\tI-NP\tO' -p5047 -aS'-\t-\tHYPH\tO\tO' -p5048 -aS'PO2\tPO2\tNN\tB-NP\tO' -p5049 -aS'106\t106\tCD\tI-NP\tO' -p5050 -aS',\t,\t,\tO\tO' -p5051 -aS'PCO227\tPCO227\tNN\tB-NP\tB-protein' -p5052 -aS',\t,\t,\tO\tO' -p5053 -aS'pH\tpH\tNN\tB-NP\tO' -p5054 -aS'7.41\t7.41\tCD\tI-NP\tO' -p5055 -aS'.\t.\t.\tO\tO' -p5056 -asS'Please refer to the previously dictated operative note of 2016-12-30 by Dr. Lawrence .' -p5057 -(lp5058 -S'Please\tPlease\tNN\tB-NP\tB-protein' -p5059 -aS'refer\trefer\tVBP\tB-VP\tO' -p5060 -aS'to\tto\tTO\tB-PP\tO' -p5061 -aS'the\tthe\tDT\tB-NP\tO' -p5062 -aS'previously\tpreviously\tRB\tI-NP\tO' -p5063 -aS'dictated\tdictate\tVBN\tI-NP\tO' -p5064 -aS'operative\toperative\tJJ\tI-NP\tO' -p5065 -aS'note\tnote\tNN\tI-NP\tO' -p5066 -aS'of\tof\tIN\tB-PP\tO' -p5067 -aS'2016-12-30\t2016-12-30\tCD\tB-NP\tO' -p5068 -aS'by\tby\tIN\tB-PP\tO' -p5069 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p5070 -aS'Lawrence\tLawrence\tNNP\tI-NP\tO' -p5071 -aS'.\t.\t.\tO\tO' -p5072 -asS"After this episode , the patient 's mental status remained clear for the rest of the duration of his stay ." -p5073 -(lp5074 -S'After\tAfter\tIN\tB-PP\tO' -p5075 -aS'this\tthis\tDT\tB-NP\tO' -p5076 -aS'episode\tepisode\tNN\tI-NP\tO' -p5077 -aS',\t,\t,\tO\tO' -p5078 -aS'the\tthe\tDT\tB-NP\tO' -p5079 -aS'patient\tpatient\tNN\tI-NP\tO' -p5080 -aS"'s\t's\tPOS\tB-NP\tO" -p5081 -aS'mental\tmental\tJJ\tI-NP\tO' -p5082 -aS'status\tstatus\tNN\tI-NP\tO' -p5083 -aS'remained\tremain\tVBD\tB-VP\tO' -p5084 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p5085 -aS'for\tfor\tIN\tB-PP\tO' -p5086 -aS'the\tthe\tDT\tB-NP\tO' -p5087 -aS'rest\trest\tNN\tI-NP\tO' -p5088 -aS'of\tof\tIN\tB-PP\tO' -p5089 -aS'the\tthe\tDT\tB-NP\tO' -p5090 -aS'duration\tduration\tNN\tI-NP\tO' -p5091 -aS'of\tof\tIN\tB-PP\tO' -p5092 -aS'his\this\tPRP$\tB-NP\tO' -p5093 -aS'stay\tstay\tNN\tI-NP\tO' -p5094 -aS'.\t.\t.\tO\tO' -p5095 -asS'Neurologically he is awake and alert and oriented x 3 he is 07-05 in all muscle group bilat .' -p5096 -(lp5097 -S'Neurologically\tNeurologically\tRB\tB-ADVP\tO' -p5098 -aS'he\the\tPRP\tB-NP\tO' -p5099 -aS'is\tbe\tVBZ\tB-VP\tO' -p5100 -aS'awake\tawake\tJJ\tB-ADJP\tO' -p5101 -aS'and\tand\tCC\tI-ADJP\tO' -p5102 -aS'alert\talert\tJJ\tI-ADJP\tO' -p5103 -aS'and\tand\tCC\tO\tO' -p5104 -aS'oriented\torient\tVBN\tB-VP\tO' -p5105 -aS'x\tx\tNN\tB-NP\tO' -p5106 -aS'3\t3\tCD\tI-NP\tO' -p5107 -aS'he\the\tPRP\tB-NP\tO' -p5108 -aS'is\tbe\tVBZ\tB-VP\tO' -p5109 -aS'07-05\t07-05\tCD\tB-NP\tO' -p5110 -aS'in\tin\tIN\tB-PP\tO' -p5111 -aS'all\tall\tDT\tB-NP\tO' -p5112 -aS'muscle\tmuscle\tNN\tI-NP\tO' -p5113 -aS'group\tgroup\tNN\tI-NP\tO' -p5114 -aS'bilat\tbilat\tNN\tI-NP\tO' -p5115 -aS'.\t.\t.\tO\tO' -p5116 -asS'2. NPH 12 units q.a.m. , 7 units q.p.m. with normal home dose being 30 units q.a.m. and 15 units q.p.m.' -p5117 -(lp5118 -S'2.\t2.\tLS\tB-NP\tO' -p5119 -aS'NPH\tNPH\tNN\tI-NP\tB-protein' -p5120 -aS'12\t12\tCD\tB-NP\tI-protein' -p5121 -aS'units\tunit\tNNS\tI-NP\tI-protein' -p5122 -aS'q.a.m.\tq.a.m.\tRB\tB-ADVP\tO' -p5123 -aS',\t,\t,\tO\tO' -p5124 -aS'7\t7\tCD\tB-NP\tO' -p5125 -aS'units\tunit\tNNS\tI-NP\tO' -p5126 -aS'q.p.m.\tq.p.m.\tNN\tB-NP\tO' -p5127 -aS'with\twith\tIN\tB-PP\tO' -p5128 -aS'normal\tnormal\tJJ\tB-NP\tO' -p5129 -aS'home\thome\tNN\tI-NP\tO' -p5130 -aS'dose\tdose\tNN\tI-NP\tO' -p5131 -aS'being\tbe\tVBG\tB-VP\tO' -p5132 -aS'30\t30\tCD\tB-NP\tO' -p5133 -aS'units\tunit\tNNS\tI-NP\tO' -p5134 -aS'q.a.m.\tq.a.m.\tNN\tI-NP\tO' -p5135 -aS'and\tand\tCC\tO\tO' -p5136 -aS'15\t15\tCD\tB-NP\tO' -p5137 -aS'units\tunit\tNNS\tI-NP\tO' -p5138 -aS'q.p.m.\tq.p.m.\tNN\tI-NP\tO' -p5139 -asS'Dictated By : Julie DD George , M.D.' -p5140 -(lp5141 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p5142 -aS'By\tBy\tIN\tB-PP\tO' -p5143 -aS':\t:\t:\tO\tO' -p5144 -aS'Julie\tJulie\tNNP\tB-NP\tO' -p5145 -aS'DD\tDD\tNNP\tI-NP\tO' -p5146 -aS'George\tGeorge\tNNP\tI-NP\tO' -p5147 -aS',\t,\t,\tO\tO' -p5148 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p5149 -asS'5) Anemia - previous w/u c/w ACD ( elev ferritin , low transferrin saturation ) .' -p5150 -(lp5151 -S'5)\t5)\tLS\tB-NP\tO' -p5152 -aS'Anemia\tAnemia\tNN\tI-NP\tO' -p5153 -aS'-\t-\tHYPH\tB-NP\tO' -p5154 -aS'previous\tprevious\tJJ\tI-NP\tO' -p5155 -aS'w/u\tw/u\tNN\tI-NP\tO' -p5156 -aS'c/w\tc/w\tNN\tI-NP\tO' -p5157 -aS'ACD\tACD\tNN\tI-NP\tO' -p5158 -aS'(\t(\t(\tO\tO' -p5159 -aS'elev\telev\tNN\tB-NP\tO' -p5160 -aS'ferritin\tferritin\tNN\tI-NP\tO' -p5161 -aS',\t,\t,\tO\tO' -p5162 -aS'low\tlow\tJJ\tB-NP\tO' -p5163 -aS'transferrin\ttransferrin\tNN\tI-NP\tO' -p5164 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p5165 -aS')\t)\t)\tO\tO' -p5166 -aS'.\t.\t.\tO\tO' -p5167 -asS'His INR normalized , however , unfortunately , he developed bilateral deep venous thromboses during his hospital course and will be maintained on Lovenox .' -p5168 -(lp5169 -S'His\tHis\tPRP$\tB-NP\tO' -p5170 -aS'INR\tINR\tNN\tI-NP\tB-protein' -p5171 -aS'normalized\tnormalize\tVBD\tB-VP\tO' -p5172 -aS',\t,\t,\tO\tO' -p5173 -aS'however\thowever\tRB\tB-ADVP\tO' -p5174 -aS',\t,\t,\tO\tO' -p5175 -aS'unfortunately\tunfortunately\tRB\tB-ADVP\tO' -p5176 -aS',\t,\t,\tO\tO' -p5177 -aS'he\the\tPRP\tB-NP\tO' -p5178 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p5179 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p5180 -aS'deep\tdeep\tJJ\tI-NP\tO' -p5181 -aS'venous\tvenous\tJJ\tI-NP\tO' -p5182 -aS'thromboses\tthrombos\tNNS\tI-NP\tO' -p5183 -aS'during\tduring\tIN\tB-PP\tO' -p5184 -aS'his\this\tPRP$\tB-NP\tO' -p5185 -aS'hospital\thospital\tNN\tI-NP\tO' -p5186 -aS'course\tcourse\tNN\tI-NP\tO' -p5187 -aS'and\tand\tCC\tO\tO' -p5188 -aS'will\twill\tMD\tB-VP\tO' -p5189 -aS'be\tbe\tVB\tI-VP\tO' -p5190 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p5191 -aS'on\ton\tIN\tB-PP\tO' -p5192 -aS'Lovenox\tLovenox\tNNP\tB-NP\tO' -p5193 -aS'.\t.\t.\tO\tO' -p5194 -asS'Attending : Mary N Major , M.D.' -p5195 -(lp5196 -S'Attending\tAttend\tVBG\tB-VP\tO' -p5197 -aS':\t:\t:\tO\tO' -p5198 -aS'Mary\tMary\tNNP\tB-NP\tO' -p5199 -aS'N\tN\tNNP\tI-NP\tO' -p5200 -aS'Major\tMajor\tNNP\tI-NP\tO' -p5201 -aS',\t,\t,\tO\tO' -p5202 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p5203 -asS'She was seen by the trauma attending with Dr. Walters and she was cleared for discharge to home .' -p5204 -(lp5205 -S'She\tShe\tPRP\tB-NP\tO' -p5206 -aS'was\tbe\tVBD\tB-VP\tO' -p5207 -aS'seen\tsee\tVBN\tI-VP\tO' -p5208 -aS'by\tby\tIN\tB-PP\tO' -p5209 -aS'the\tthe\tDT\tB-NP\tO' -p5210 -aS'trauma\ttrauma\tNN\tI-NP\tO' -p5211 -aS'attending\tattend\tVBG\tB-VP\tO' -p5212 -aS'with\twith\tIN\tB-PP\tO' -p5213 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p5214 -aS'Walters\tWalters\tNNP\tI-NP\tO' -p5215 -aS'and\tand\tCC\tO\tO' -p5216 -aS'she\tshe\tPRP\tB-NP\tO' -p5217 -aS'was\tbe\tVBD\tB-VP\tO' -p5218 -aS'cleared\tclear\tVBN\tI-VP\tO' -p5219 -aS'for\tfor\tIN\tB-PP\tO' -p5220 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p5221 -aS'to\tto\tTO\tB-PP\tO' -p5222 -aS'home\thome\tNN\tB-NP\tO' -p5223 -aS'.\t.\t.\tO\tO' -p5224 -asS'8. Ibuprofen 800 mg q.8 h .' -p5225 -(lp5226 -S'8.\t8.\tCD\tB-NP\tO' -p5227 -aS'Ibuprofen\tIbuprofen\tNN\tI-NP\tO' -p5228 -aS'800\t800\tCD\tB-NP\tO' -p5229 -aS'mg\tmg\tNN\tI-NP\tO' -p5230 -aS'q.8\tq.8\tNN\tI-NP\tO' -p5231 -aS'h\th\tNN\tI-NP\tO' -p5232 -aS'.\t.\t.\tO\tO' -p5233 -asS'The patient was also found to have pulmonary hypertension .' -p5234 -(lp5235 -S'The\tThe\tDT\tB-NP\tO' -p5236 -aS'patient\tpatient\tNN\tI-NP\tO' -p5237 -aS'was\tbe\tVBD\tB-VP\tO' -p5238 -aS'also\talso\tRB\tI-VP\tO' -p5239 -aS'found\tfind\tVBN\tI-VP\tO' -p5240 -aS'to\tto\tTO\tI-VP\tO' -p5241 -aS'have\thave\tVB\tI-VP\tO' -p5242 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p5243 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p5244 -aS'.\t.\t.\tO\tO' -p5245 -asS'ANCA serum results were negative .' -p5246 -(lp5247 -S'ANCA\tANCA\tNN\tB-NP\tO' -p5248 -aS'serum\tserum\tNN\tI-NP\tO' -p5249 -aS'results\tresult\tNNS\tI-NP\tO' -p5250 -aS'were\tbe\tVBD\tB-VP\tO' -p5251 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p5252 -aS'.\t.\t.\tO\tO' -p5253 -asS'S1 and S2 normal intensity .' -p5254 -(lp5255 -S'S1\tS1\tNN\tB-NP\tB-protein' -p5256 -aS'and\tand\tCC\tI-NP\tO' -p5257 -aS'S2\tS2\tNN\tI-NP\tB-protein' -p5258 -aS'normal\tnormal\tJJ\tI-NP\tO' -p5259 -aS'intensity\tintensity\tNN\tI-NP\tO' -p5260 -aS'.\t.\t.\tO\tO' -p5261 -asS'The patient states in the past that he has participated in several alcohol treatment programs , most recently Star which is similar Alcoholics Anonymous .' -p5262 -(lp5263 -S'The\tThe\tDT\tB-NP\tO' -p5264 -aS'patient\tpatient\tNN\tI-NP\tO' -p5265 -aS'states\tstate\tNNS\tI-NP\tO' -p5266 -aS'in\tin\tIN\tB-PP\tO' -p5267 -aS'the\tthe\tDT\tB-NP\tO' -p5268 -aS'past\tpast\tNN\tI-NP\tO' -p5269 -aS'that\tthat\tIN\tB-SBAR\tO' -p5270 -aS'he\the\tPRP\tB-NP\tO' -p5271 -aS'has\thave\tVBZ\tB-VP\tO' -p5272 -aS'participated\tparticipate\tVBN\tI-VP\tO' -p5273 -aS'in\tin\tIN\tB-PP\tO' -p5274 -aS'several\tseveral\tJJ\tB-NP\tO' -p5275 -aS'alcohol\talcohol\tNN\tI-NP\tO' -p5276 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p5277 -aS'programs\tprogram\tNNS\tI-NP\tO' -p5278 -aS',\t,\t,\tO\tO' -p5279 -aS'most\tmost\tRBS\tB-ADVP\tO' -p5280 -aS'recently\trecently\tRB\tI-ADVP\tO' -p5281 -aS'Star\tStar\tNNP\tB-NP\tO' -p5282 -aS'which\twhich\tWDT\tB-NP\tO' -p5283 -aS'is\tbe\tVBZ\tB-VP\tO' -p5284 -aS'similar\tsimilar\tJJ\tB-NP\tO' -p5285 -aS'Alcoholics\tAlcoholics\tNNP\tI-NP\tO' -p5286 -aS'Anonymous\tAnonymous\tNNP\tI-NP\tO' -p5287 -aS'.\t.\t.\tO\tO' -p5288 -asS'Blood loss anemia from GI bleeding - the bleeding was likely from an AVM .' -p5289 -(lp5290 -S'Blood\tBlood\tNN\tB-NP\tO' -p5291 -aS'loss\tloss\tNN\tI-NP\tO' -p5292 -aS'anemia\tanemia\tNN\tI-NP\tO' -p5293 -aS'from\tfrom\tIN\tB-PP\tO' -p5294 -aS'GI\tGI\tNN\tB-NP\tO' -p5295 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p5296 -aS'-\t-\tHYPH\tO\tO' -p5297 -aS'the\tthe\tDT\tB-NP\tO' -p5298 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p5299 -aS'was\tbe\tVBD\tB-VP\tO' -p5300 -aS'likely\tlikely\tJJ\tB-ADJP\tO' -p5301 -aS'from\tfrom\tIN\tB-PP\tO' -p5302 -aS'an\tan\tDT\tB-NP\tO' -p5303 -aS'AVM\tAVM\tNN\tI-NP\tO' -p5304 -aS'.\t.\t.\tO\tO' -p5305 -asS'5. Status post cesarean section .' -p5306 -(lp5307 -S'5.\t5.\tLS\tB-LST\tO' -p5308 -aS'Status\tStatus\tNNP\tB-NP\tO' -p5309 -aS'post\tpost\tIN\tB-PP\tO' -p5310 -aS'cesarean\tcesarean\tJJ\tB-NP\tO' -p5311 -aS'section\tsection\tNN\tI-NP\tO' -p5312 -aS'.\t.\t.\tO\tO' -p5313 -asS'When her cancer was diagnosed , she underwent total abdominal hysterectomy and bilateral salpingo-oophorectomy and pelvic lymphadenectomy .' -p5314 -(lp5315 -S'When\tWhen\tWRB\tB-ADVP\tO' -p5316 -aS'her\ther\tPRP$\tB-NP\tO' -p5317 -aS'cancer\tcancer\tNN\tI-NP\tO' -p5318 -aS'was\tbe\tVBD\tB-VP\tO' -p5319 -aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' -p5320 -aS',\t,\t,\tO\tO' -p5321 -aS'she\tshe\tPRP\tB-NP\tO' -p5322 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p5323 -aS'total\ttotal\tJJ\tB-NP\tO' -p5324 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p5325 -aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' -p5326 -aS'and\tand\tCC\tO\tO' -p5327 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p5328 -aS'salpingo-oophorectomy\tsalpingo-oophorectomy\tNN\tI-NP\tO' -p5329 -aS'and\tand\tCC\tO\tO' -p5330 -aS'pelvic\tpelvic\tJJ\tB-NP\tO' -p5331 -aS'lymphadenectomy\tlymphadenectomy\tNN\tI-NP\tO' -p5332 -aS'.\t.\t.\tO\tO' -p5333 -asS'Signed electronically by : DR. Richard Stripling on : Maxine 2012-10-25 8:30 PM' -p5334 -(lp5335 -S'Signed\tSign\tVBN\tB-VP\tO' -p5336 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p5337 -aS'by\tby\tIN\tB-PP\tO' -p5338 -aS':\t:\t:\tO\tO' -p5339 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p5340 -aS'Richard\tRichard\tNNP\tI-NP\tO' -p5341 -aS'Stripling\tStripling\tNNP\tI-NP\tO' -p5342 -aS'on\ton\tIN\tB-PP\tO' -p5343 -aS':\t:\t:\tO\tO' -p5344 -aS'Maxine\tMaxine\tNN\tB-NP\tO' -p5345 -aS'2012-10-25\t2012-10-25\tCD\tI-NP\tO' -p5346 -aS'8:30\t8:30\tCD\tI-NP\tO' -p5347 -aS'PM\tPM\tNN\tI-NP\tO' -p5348 -asS"The etiology of the patient 's shortness of breath was considered a likely chronic obstructive pulmonary disease exacerbation and the patient was started on Albuterol and Atrovent nebulizers ." -p5349 -(lp5350 -S'The\tThe\tDT\tB-NP\tO' -p5351 -aS'etiology\tetiology\tNN\tI-NP\tO' -p5352 -aS'of\tof\tIN\tB-PP\tO' -p5353 -aS'the\tthe\tDT\tB-NP\tO' -p5354 -aS'patient\tpatient\tNN\tI-NP\tO' -p5355 -aS"'s\t's\tPOS\tB-NP\tO" -p5356 -aS'shortness\tshortness\tNN\tI-NP\tO' -p5357 -aS'of\tof\tIN\tB-PP\tO' -p5358 -aS'breath\tbreath\tNN\tB-NP\tO' -p5359 -aS'was\tbe\tVBD\tB-VP\tO' -p5360 -aS'considered\tconsider\tVBN\tI-VP\tO' -p5361 -aS'a\ta\tDT\tB-NP\tO' -p5362 -aS'likely\tlikely\tJJ\tI-NP\tO' -p5363 -aS'chronic\tchronic\tJJ\tI-NP\tO' -p5364 -aS'obstructive\tobstructive\tJJ\tI-NP\tO' -p5365 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p5366 -aS'disease\tdisease\tNN\tI-NP\tO' -p5367 -aS'exacerbation\texacerbation\tNN\tI-NP\tO' -p5368 -aS'and\tand\tCC\tO\tO' -p5369 -aS'the\tthe\tDT\tB-NP\tO' -p5370 -aS'patient\tpatient\tNN\tI-NP\tO' -p5371 -aS'was\tbe\tVBD\tB-VP\tO' -p5372 -aS'started\tstart\tVBN\tI-VP\tO' -p5373 -aS'on\ton\tIN\tB-PP\tO' -p5374 -aS'Albuterol\tAlbuterol\tNN\tB-NP\tO' -p5375 -aS'and\tand\tCC\tI-NP\tO' -p5376 -aS'Atrovent\tAtrovent\tNN\tI-NP\tO' -p5377 -aS'nebulizers\tnebulizer\tNNS\tI-NP\tO' -p5378 -aS'.\t.\t.\tO\tO' -p5379 -asS'On February 23 , Mr. Patient presented to Dr. Patient 's office with two major symptoms .' -p5380 -(lp5381 -S'On\tOn\tIN\tB-PP\tO' -p5382 -aS'February\tFebruary\tNNP\tB-NP\tO' -p5383 -aS'23\t23\tCD\tI-NP\tO' -p5384 -aS',\t,\t,\tO\tO' -p5385 -aS'Mr.\tMr.\tNNP\tB-NP\tO' -p5386 -aS'Patient\tPatient\tNNP\tI-NP\tO' -p5387 -aS'presented\tpresent\tVBD\tB-VP\tO' -p5388 -aS'to\tto\tTO\tB-PP\tO' -p5389 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p5390 -aS'Patient\tPatient\tNNP\tI-NP\tO' -p5391 -aS''s\t'\tNNS\tI-NP\tO' -p5392 -aS'office\toffice\tNN\tI-NP\tO' -p5393 -aS'with\twith\tIN\tB-PP\tO' -p5394 -aS'two\ttwo\tCD\tB-NP\tO' -p5395 -aS'major\tmajor\tJJ\tI-NP\tO' -p5396 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p5397 -aS'.\t.\t.\tO\tO' -p5398 -asS'Chief Complaint : change in mental status' -p5399 -(lp5400 -S'Chief\tChief\tNNP\tB-NP\tO' -p5401 -aS'Complaint\tComplaint\tNNP\tI-NP\tO' -p5402 -aS':\t:\t:\tO\tO' -p5403 -aS'change\tchange\tNN\tB-NP\tO' -p5404 -aS'in\tin\tIN\tB-PP\tO' -p5405 -aS'mental\tmental\tJJ\tB-NP\tO' -p5406 -aS'status\tstatus\tNN\tI-NP\tO' -p5407 -asS'She also complained of a dull , right sided headache over the right eyebrow .' -p5408 -(lp5409 -S'She\tShe\tPRP\tB-NP\tO' -p5410 -aS'also\talso\tRB\tB-ADVP\tO' -p5411 -aS'complained\tcomplain\tVBD\tB-VP\tO' -p5412 -aS'of\tof\tIN\tB-PP\tO' -p5413 -aS'a\ta\tDT\tB-NP\tO' -p5414 -aS'dull\tdull\tNN\tI-NP\tO' -p5415 -aS',\t,\t,\tO\tO' -p5416 -aS'right\tright\tJJ\tB-NP\tO' -p5417 -aS'sided\tsided\tJJ\tI-NP\tO' -p5418 -aS'headache\theadache\tNN\tI-NP\tO' -p5419 -aS'over\tover\tIN\tB-PP\tO' -p5420 -aS'the\tthe\tDT\tB-NP\tO' -p5421 -aS'right\tright\tJJ\tI-NP\tO' -p5422 -aS'eyebrow\teyebrow\tNN\tI-NP\tO' -p5423 -aS'.\t.\t.\tO\tO' -p5424 -asS'Contact BRIDC BRESCA DENONE HEALTH CARE ( 558-927-7217 ) for appointment w/ therapist .' -p5425 -(lp5426 -S'Contact\tContact\tNN\tB-NP\tO' -p5427 -aS'BRIDC\tBRIDC\tNN\tI-NP\tO' -p5428 -aS'BRESCA\tBRESCA\tNN\tI-NP\tO' -p5429 -aS'DENONE\tDENONE\tNN\tI-NP\tO' -p5430 -aS'HEALTH\tHEALTH\tNN\tI-NP\tO' -p5431 -aS'CARE\tCARE\tNN\tI-NP\tO' -p5432 -aS'(\t(\t(\tO\tO' -p5433 -aS'558-927-7217\t558-927-7217\tCD\tB-NP\tO' -p5434 -aS')\t)\t)\tO\tO' -p5435 -aS'for\tfor\tIN\tB-PP\tO' -p5436 -aS'appointment\tappointment\tNN\tB-NP\tO' -p5437 -aS'w/\tw/\tNN\tI-NP\tO' -p5438 -aS'therapist\ttherapist\tNN\tI-NP\tO' -p5439 -aS'.\t.\t.\tO\tO' -p5440 -asS'Abnormal Fetal Heart Rate / Rhythm - Delivered' -p5441 -(lp5442 -S'Abnormal\tAbnormal\tJJ\tB-NP\tO' -p5443 -aS'Fetal\tFetal\tJJ\tI-NP\tO' -p5444 -aS'Heart\tHeart\tNN\tI-NP\tO' -p5445 -aS'Rate\tRate\tNN\tI-NP\tO' -p5446 -aS'/\t/\tSYM\tB-NP\tO' -p5447 -aS'Rhythm\tRhythm\tNN\tI-NP\tO' -p5448 -aS'-\t-\tHYPH\tB-NP\tO' -p5449 -aS'Delivered\tDeliver\tVBN\tB-VP\tO' -p5450 -asS'The patient is a 49 year old woman with a metastatic adenocarcinoma of the breast who is status post high dose chemotherapy with PBSE and CCSS support ending June 1994 .' -p5451 -(lp5452 -S'The\tThe\tDT\tB-NP\tO' -p5453 -aS'patient\tpatient\tNN\tI-NP\tO' -p5454 -aS'is\tbe\tVBZ\tB-VP\tO' -p5455 -aS'a\ta\tDT\tB-NP\tO' -p5456 -aS'49\t49\tCD\tI-NP\tO' -p5457 -aS'year\tyear\tNN\tI-NP\tO' -p5458 -aS'old\told\tJJ\tI-NP\tO' -p5459 -aS'woman\twoman\tNN\tI-NP\tO' -p5460 -aS'with\twith\tIN\tB-PP\tO' -p5461 -aS'a\ta\tDT\tB-NP\tO' -p5462 -aS'metastatic\tmetastatic\tJJ\tI-NP\tO' -p5463 -aS'adenocarcinoma\tadenocarcinoma\tNN\tI-NP\tO' -p5464 -aS'of\tof\tIN\tB-PP\tO' -p5465 -aS'the\tthe\tDT\tB-NP\tO' -p5466 -aS'breast\tbreast\tNN\tI-NP\tO' -p5467 -aS'who\twho\tWP\tB-NP\tO' -p5468 -aS'is\tbe\tVBZ\tB-VP\tO' -p5469 -aS'status\tstatus\tNN\tB-NP\tO' -p5470 -aS'post\tpost\tNN\tI-NP\tO' -p5471 -aS'high\thigh\tJJ\tI-NP\tO' -p5472 -aS'dose\tdose\tNN\tI-NP\tO' -p5473 -aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' -p5474 -aS'with\twith\tIN\tB-PP\tO' -p5475 -aS'PBSE\tPBSE\tNN\tB-NP\tB-protein' -p5476 -aS'and\tand\tCC\tI-NP\tO' -p5477 -aS'CCSS\tCCSS\tNN\tI-NP\tO' -p5478 -aS'support\tsupport\tNN\tI-NP\tO' -p5479 -aS'ending\tend\tVBG\tB-VP\tO' -p5480 -aS'June\tJune\tNNP\tB-NP\tO' -p5481 -aS'1994\t1994\tCD\tI-NP\tO' -p5482 -aS'.\t.\t.\tO\tO' -p5483 -asS'3. Fluid , electrolytes and nutrition - The infant was started on enteral feedings on day of life one and advanced to full volume feedings by day of life four .' -p5484 -(lp5485 -S'3.\t3.\tLS\tB-NP\tO' -p5486 -aS'Fluid\tFluid\tNN\tI-NP\tO' -p5487 -aS',\t,\t,\tI-NP\tO' -p5488 -aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' -p5489 -aS'and\tand\tCC\tI-NP\tO' -p5490 -aS'nutrition\tnutrition\tNN\tI-NP\tO' -p5491 -aS'-\t-\tHYPH\tO\tO' -p5492 -aS'The\tThe\tDT\tB-NP\tO' -p5493 -aS'infant\tinfant\tNN\tI-NP\tO' -p5494 -aS'was\tbe\tVBD\tB-VP\tO' -p5495 -aS'started\tstart\tVBN\tI-VP\tO' -p5496 -aS'on\ton\tIN\tB-PP\tO' -p5497 -aS'enteral\tenteral\tJJ\tB-NP\tO' -p5498 -aS'feedings\tfeeding\tNNS\tI-NP\tO' -p5499 -aS'on\ton\tIN\tB-PP\tO' -p5500 -aS'day\tday\tNN\tB-NP\tO' -p5501 -aS'of\tof\tIN\tB-PP\tO' -p5502 -aS'life\tlife\tNN\tB-NP\tO' -p5503 -aS'one\tone\tCD\tI-NP\tO' -p5504 -aS'and\tand\tCC\tO\tO' -p5505 -aS'advanced\tadvance\tVBD\tB-VP\tO' -p5506 -aS'to\tto\tTO\tB-PP\tO' -p5507 -aS'full\tfull\tJJ\tB-NP\tO' -p5508 -aS'volume\tvolume\tNN\tI-NP\tO' -p5509 -aS'feedings\tfeeding\tNNS\tI-NP\tO' -p5510 -aS'by\tby\tIN\tB-PP\tO' -p5511 -aS'day\tday\tNN\tB-NP\tO' -p5512 -aS'of\tof\tIN\tB-PP\tO' -p5513 -aS'life\tlife\tNN\tB-NP\tO' -p5514 -aS'four\tfour\tCD\tI-NP\tO' -p5515 -aS'.\t.\t.\tO\tO' -p5516 -asS'He was well until the evening prior to presentation to the emergency room when he complained of headache across the forehead .' -p5517 -(lp5518 -S'He\tHe\tPRP\tB-NP\tO' -p5519 -aS'was\tbe\tVBD\tB-VP\tO' -p5520 -aS'well\twell\tRB\tB-ADVP\tO' -p5521 -aS'until\tuntil\tIN\tB-SBAR\tO' -p5522 -aS'the\tthe\tDT\tB-NP\tO' -p5523 -aS'evening\tevening\tNN\tI-NP\tO' -p5524 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p5525 -aS'to\tto\tTO\tB-PP\tO' -p5526 -aS'presentation\tpresentation\tNN\tB-NP\tO' -p5527 -aS'to\tto\tTO\tB-PP\tO' -p5528 -aS'the\tthe\tDT\tB-NP\tO' -p5529 -aS'emergency\temergency\tNN\tI-NP\tO' -p5530 -aS'room\troom\tNN\tI-NP\tO' -p5531 -aS'when\twhen\tWRB\tB-ADVP\tO' -p5532 -aS'he\the\tPRP\tB-NP\tO' -p5533 -aS'complained\tcomplain\tVBD\tB-VP\tO' -p5534 -aS'of\tof\tIN\tB-PP\tO' -p5535 -aS'headache\theadache\tNN\tB-NP\tO' -p5536 -aS'across\tacross\tIN\tB-PP\tO' -p5537 -aS'the\tthe\tDT\tB-NP\tO' -p5538 -aS'forehead\tforehead\tNN\tI-NP\tO' -p5539 -aS'.\t.\t.\tO\tO' -p5540 -asS'The patient tolerated the procedure extremely well and did well during her postoperative course .' -p5541 -(lp5542 -S'The\tThe\tDT\tB-NP\tO' -p5543 -aS'patient\tpatient\tNN\tI-NP\tO' -p5544 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p5545 -aS'the\tthe\tDT\tB-NP\tO' -p5546 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p5547 -aS'extremely\textremely\tRB\tB-ADVP\tO' -p5548 -aS'well\twell\tRB\tI-ADVP\tO' -p5549 -aS'and\tand\tCC\tO\tO' -p5550 -aS'did\tdo\tVBD\tB-VP\tO' -p5551 -aS'well\twell\tRB\tB-ADVP\tO' -p5552 -aS'during\tduring\tIN\tB-PP\tO' -p5553 -aS'her\ther\tPRP$\tB-NP\tO' -p5554 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p5555 -aS'course\tcourse\tNN\tI-NP\tO' -p5556 -aS'.\t.\t.\tO\tO' -p5557 -asS'Neuro : A&Ox3 , MAE , Follows Commands' -p5558 -(lp5559 -S'Neuro\tNeuro\tNNP\tB-NP\tO' -p5560 -aS':\t:\t:\tO\tO' -p5561 -aS'A&Ox3\tA&Ox3\tNN\tB-NP\tB-protein' -p5562 -aS',\t,\t,\tO\tO' -p5563 -aS'MAE\tMAE\tNN\tB-NP\tB-protein' -p5564 -aS',\t,\t,\tO\tO' -p5565 -aS'Follows\tFollow\tVBZ\tB-VP\tO' -p5566 -aS'Commands\tCommand\tNNPS\tB-NP\tO' -p5567 -asS'The patient was referred to the Neurology Service for further workup of the mass .' -p5568 -(lp5569 -S'The\tThe\tDT\tB-NP\tO' -p5570 -aS'patient\tpatient\tNN\tI-NP\tO' -p5571 -aS'was\tbe\tVBD\tB-VP\tO' -p5572 -aS'referred\trefer\tVBN\tI-VP\tO' -p5573 -aS'to\tto\tTO\tB-PP\tO' -p5574 -aS'the\tthe\tDT\tB-NP\tO' -p5575 -aS'Neurology\tNeurology\tNNP\tI-NP\tO' -p5576 -aS'Service\tService\tNNP\tI-NP\tO' -p5577 -aS'for\tfor\tIN\tB-PP\tO' -p5578 -aS'further\tfurther\tJJ\tB-NP\tO' -p5579 -aS'workup\tworkup\tNN\tI-NP\tO' -p5580 -aS'of\tof\tIN\tB-PP\tO' -p5581 -aS'the\tthe\tDT\tB-NP\tO' -p5582 -aS'mass\tmass\tNN\tI-NP\tO' -p5583 -aS'.\t.\t.\tO\tO' -p5584 -asS'She could slowly advance back to a normal diet over the next week .' -p5585 -(lp5586 -S'She\tShe\tPRP\tB-NP\tO' -p5587 -aS'could\tcould\tMD\tB-VP\tO' -p5588 -aS'slowly\tslowly\tRB\tI-VP\tO' -p5589 -aS'advance\tadvance\tVB\tI-VP\tO' -p5590 -aS'back\tback\tRB\tB-ADVP\tO' -p5591 -aS'to\tto\tTO\tB-PP\tO' -p5592 -aS'a\ta\tDT\tB-NP\tO' -p5593 -aS'normal\tnormal\tJJ\tI-NP\tO' -p5594 -aS'diet\tdiet\tNN\tI-NP\tO' -p5595 -aS'over\tover\tIN\tB-PP\tO' -p5596 -aS'the\tthe\tDT\tB-NP\tO' -p5597 -aS'next\tnext\tJJ\tI-NP\tO' -p5598 -aS'week\tweek\tNN\tI-NP\tO' -p5599 -aS'.\t.\t.\tO\tO' -p5600 -asS'2017-06-14 .' -p5601 -(lp5602 -S'2017-06-14\t2017-06-14\tCD\tB-NP\tO' -p5603 -aS'.\t.\t.\tO\tO' -p5604 -asS'The assessment at that time was she was neurologically stable .' -p5605 -(lp5606 -S'The\tThe\tDT\tB-NP\tO' -p5607 -aS'assessment\tassessment\tNN\tI-NP\tO' -p5608 -aS'at\tat\tIN\tB-PP\tO' -p5609 -aS'that\tthat\tDT\tB-NP\tO' -p5610 -aS'time\ttime\tNN\tI-NP\tO' -p5611 -aS'was\tbe\tVBD\tB-VP\tO' -p5612 -aS'she\tshe\tPRP\tB-NP\tO' -p5613 -aS'was\tbe\tVBD\tB-VP\tO' -p5614 -aS'neurologically\tneurologically\tRB\tB-ADJP\tO' -p5615 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p5616 -aS'.\t.\t.\tO\tO' -p5617 -asS'Rosalie Gloria , North Dakota 67177' -p5618 -(lp5619 -S'Rosalie\tRosalie\tNNP\tB-NP\tO' -p5620 -aS'Gloria\tGloria\tNNP\tI-NP\tO' -p5621 -aS',\t,\t,\tO\tO' -p5622 -aS'North\tNorth\tNNP\tB-NP\tO' -p5623 -aS'Dakota\tDakota\tNNP\tI-NP\tO' -p5624 -aS'67177\t67177\tCD\tI-NP\tO' -p5625 -asS'1. Feeding : Breast feeding or Enfamil 24 calories / ounce .' -p5626 -(lp5627 -S'1.\t1.\tCD\tB-NP\tO' -p5628 -aS'Feeding\tFeeding\tNNP\tI-NP\tO' -p5629 -aS':\t:\t:\tO\tO' -p5630 -aS'Breast\tBreast\tNN\tB-NP\tO' -p5631 -aS'feeding\tfeeding\tNN\tI-NP\tO' -p5632 -aS'or\tor\tCC\tO\tO' -p5633 -aS'Enfamil\tEnfamil\tNN\tB-NP\tO' -p5634 -aS'24\t24\tCD\tB-NP\tO' -p5635 -aS'calories\tcalorie\tNNS\tI-NP\tO' -p5636 -aS'/\t/\tSYM\tB-NP\tO' -p5637 -aS'ounce\tounce\tNN\tI-NP\tO' -p5638 -aS'.\t.\t.\tO\tO' -p5639 -asS'This was attributed to postoperative swelling and changes from his diskectomy performed 2010-08-27 .' -p5640 -(lp5641 -S'This\tThis\tDT\tB-NP\tO' -p5642 -aS'was\tbe\tVBD\tB-VP\tO' -p5643 -aS'attributed\tattribute\tVBN\tI-VP\tO' -p5644 -aS'to\tto\tTO\tB-PP\tO' -p5645 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p5646 -aS'swelling\tswelling\tNN\tI-NP\tO' -p5647 -aS'and\tand\tCC\tI-NP\tO' -p5648 -aS'changes\tchange\tNNS\tI-NP\tO' -p5649 -aS'from\tfrom\tIN\tB-PP\tO' -p5650 -aS'his\this\tPRP$\tB-NP\tO' -p5651 -aS'diskectomy\tdiskectomy\tNN\tI-NP\tO' -p5652 -aS'performed\tperform\tVBD\tB-VP\tO' -p5653 -aS'2010-08-27\t2010-08-27\tCD\tB-NP\tO' -p5654 -aS'.\t.\t.\tO\tO' -p5655 -asS'She was on telemetry without any episodes of any rhythm abnormalities .' -p5656 -(lp5657 -S'She\tShe\tPRP\tB-NP\tO' -p5658 -aS'was\tbe\tVBD\tB-VP\tO' -p5659 -aS'on\ton\tIN\tB-PP\tO' -p5660 -aS'telemetry\ttelemetry\tNN\tB-NP\tO' -p5661 -aS'without\twithout\tIN\tB-PP\tO' -p5662 -aS'any\tany\tDT\tB-NP\tO' -p5663 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p5664 -aS'of\tof\tIN\tB-PP\tO' -p5665 -aS'any\tany\tDT\tB-NP\tO' -p5666 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p5667 -aS'abnormalities\tabnormality\tNNS\tI-NP\tO' -p5668 -aS'.\t.\t.\tO\tO' -p5669 -asS'Given amio bolu , started on gtt and transferred to NVH for further evaluation .' -p5670 -(lp5671 -S'Given\tGive\tVBN\tB-NP\tO' -p5672 -aS'amio\tamio\tNN\tI-NP\tO' -p5673 -aS'bolu\tbolu\tNN\tI-NP\tO' -p5674 -aS',\t,\t,\tO\tO' -p5675 -aS'started\tstart\tVBN\tB-VP\tO' -p5676 -aS'on\ton\tIN\tB-PP\tO' -p5677 -aS'gtt\tgtt\tNN\tB-NP\tO' -p5678 -aS'and\tand\tCC\tO\tO' -p5679 -aS'transferred\ttransfer\tVBN\tB-VP\tO' -p5680 -aS'to\tto\tTO\tB-PP\tO' -p5681 -aS'NVH\tNVH\tNN\tB-NP\tB-protein' -p5682 -aS'for\tfor\tIN\tB-PP\tO' -p5683 -aS'further\tfurther\tJJ\tB-NP\tO' -p5684 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p5685 -aS'.\t.\t.\tO\tO' -p5686 -asS'On admission , older , black gentleman in no acute distress with left upper extremity flex across his chest .' -p5687 -(lp5688 -S'On\tOn\tIN\tB-PP\tO' -p5689 -aS'admission\tadmission\tNN\tB-NP\tO' -p5690 -aS',\t,\t,\tO\tO' -p5691 -aS'older\told\tJJR\tB-NP\tO' -p5692 -aS',\t,\t,\tI-NP\tO' -p5693 -aS'black\tblack\tJJ\tI-NP\tO' -p5694 -aS'gentleman\tgentleman\tNN\tI-NP\tO' -p5695 -aS'in\tin\tIN\tB-PP\tO' -p5696 -aS'no\tno\tDT\tB-NP\tO' -p5697 -aS'acute\tacute\tJJ\tI-NP\tO' -p5698 -aS'distress\tdistress\tNN\tI-NP\tO' -p5699 -aS'with\twith\tIN\tB-PP\tO' -p5700 -aS'left\tleft\tJJ\tB-NP\tO' -p5701 -aS'upper\tupper\tJJ\tI-NP\tO' -p5702 -aS'extremity\textremity\tNN\tI-NP\tO' -p5703 -aS'flex\tflex\tNN\tI-NP\tO' -p5704 -aS'across\tacross\tIN\tB-PP\tO' -p5705 -aS'his\this\tPRP$\tB-NP\tO' -p5706 -aS'chest\tchest\tNN\tI-NP\tO' -p5707 -aS'.\t.\t.\tO\tO' -p5708 -asS'She was discharged to home on postoperative day #4 .' -p5709 -(lp5710 -S'She\tShe\tPRP\tB-NP\tO' -p5711 -aS'was\tbe\tVBD\tB-VP\tO' -p5712 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p5713 -aS'to\tto\tTO\tI-VP\tO' -p5714 -aS'home\thome\tVB\tI-VP\tO' -p5715 -aS'on\ton\tIN\tB-PP\tO' -p5716 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p5717 -aS'day\tday\tNN\tI-NP\tO' -p5718 -aS'#4\t#4\tCD\tI-NP\tO' -p5719 -aS'.\t.\t.\tO\tO' -p5720 -asS'She was called at 430 am today from the NH with the news that the pt was not doing well , and she came to the Deanna to meet up with her father .' -p5721 -(lp5722 -S'She\tShe\tPRP\tB-NP\tO' -p5723 -aS'was\tbe\tVBD\tB-VP\tO' -p5724 -aS'called\tcall\tVBN\tI-VP\tO' -p5725 -aS'at\tat\tIN\tB-PP\tO' -p5726 -aS'430\t430\tCD\tB-NP\tO' -p5727 -aS'am\tam\tNN\tI-NP\tO' -p5728 -aS'today\ttoday\tNN\tB-NP\tO' -p5729 -aS'from\tfrom\tIN\tB-PP\tO' -p5730 -aS'the\tthe\tDT\tB-NP\tO' -p5731 -aS'NH\tNH\tNN\tI-NP\tO' -p5732 -aS'with\twith\tIN\tB-PP\tO' -p5733 -aS'the\tthe\tDT\tB-NP\tO' -p5734 -aS'news\tnews\tNN\tI-NP\tO' -p5735 -aS'that\tthat\tIN\tB-SBAR\tO' -p5736 -aS'the\tthe\tDT\tB-NP\tO' -p5737 -aS'pt\tpt\tNN\tI-NP\tO' -p5738 -aS'was\tbe\tVBD\tB-VP\tO' -p5739 -aS'not\tnot\tRB\tI-VP\tO' -p5740 -aS'doing\tdo\tVBG\tI-VP\tO' -p5741 -aS'well\twell\tRB\tB-ADVP\tO' -p5742 -aS',\t,\t,\tO\tO' -p5743 -aS'and\tand\tCC\tO\tO' -p5744 -aS'she\tshe\tPRP\tB-NP\tO' -p5745 -aS'came\tcome\tVBD\tB-VP\tO' -p5746 -aS'to\tto\tTO\tB-PP\tO' -p5747 -aS'the\tthe\tDT\tB-NP\tO' -p5748 -aS'Deanna\tDeanna\tNNP\tI-NP\tO' -p5749 -aS'to\tto\tTO\tB-VP\tO' -p5750 -aS'meet\tmeet\tVB\tI-VP\tO' -p5751 -aS'up\tup\tRP\tB-PRT\tO' -p5752 -aS'with\twith\tIN\tB-PP\tO' -p5753 -aS'her\ther\tPRP$\tB-NP\tO' -p5754 -aS'father\tfather\tNN\tI-NP\tO' -p5755 -aS'.\t.\t.\tO\tO' -p5756 -asS'He was transferred to the CC for monitoring and he denied having further pain , shortness of breath , nausea or vomiting .' -p5757 -(lp5758 -S'He\tHe\tPRP\tB-NP\tO' -p5759 -aS'was\tbe\tVBD\tB-VP\tO' -p5760 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p5761 -aS'to\tto\tTO\tB-PP\tO' -p5762 -aS'the\tthe\tDT\tB-NP\tO' -p5763 -aS'CC\tCC\tNN\tI-NP\tO' -p5764 -aS'for\tfor\tIN\tB-PP\tO' -p5765 -aS'monitoring\tmonitoring\tNN\tB-NP\tO' -p5766 -aS'and\tand\tCC\tO\tO' -p5767 -aS'he\the\tPRP\tB-NP\tB-protein' -p5768 -aS'denied\tdeny\tVBD\tB-VP\tI-protein' -p5769 -aS'having\thave\tVBG\tI-VP\tI-protein' -p5770 -aS'further\tfurther\tJJ\tB-NP\tI-protein' -p5771 -aS'pain\tpain\tNN\tI-NP\tI-protein' -p5772 -aS',\t,\t,\tO\tO' -p5773 -aS'shortness\tshortness\tNN\tB-NP\tO' -p5774 -aS'of\tof\tIN\tB-PP\tO' -p5775 -aS'breath\tbreath\tNN\tB-NP\tO' -p5776 -aS',\t,\t,\tI-NP\tO' -p5777 -aS'nausea\tnausea\tNN\tI-NP\tO' -p5778 -aS'or\tor\tCC\tI-NP\tO' -p5779 -aS'vomiting\tvomiting\tNN\tI-NP\tO' -p5780 -aS'.\t.\t.\tO\tO' -p5781 -asS'He was discharged home .' -p5782 -(lp5783 -S'He\tHe\tPRP\tB-NP\tO' -p5784 -aS'was\tbe\tVBD\tB-VP\tO' -p5785 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p5786 -aS'home\thome\tNN\tB-ADVP\tO' -p5787 -aS'.\t.\t.\tO\tO' -p5788 -asS'The patient should follow up with Dr. von Diamond in approximately three weeks .' -p5789 -(lp5790 -S'The\tThe\tDT\tB-NP\tO' -p5791 -aS'patient\tpatient\tNN\tI-NP\tO' -p5792 -aS'should\tshould\tMD\tB-VP\tO' -p5793 -aS'follow\tfollow\tVB\tI-VP\tO' -p5794 -aS'up\tup\tRP\tB-PRT\tO' -p5795 -aS'with\twith\tIN\tB-PP\tO' -p5796 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p5797 -aS'von\tvon\tNNP\tI-NP\tO' -p5798 -aS'Diamond\tDiamond\tNNP\tI-NP\tO' -p5799 -aS'in\tin\tIN\tB-PP\tO' -p5800 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p5801 -aS'three\tthree\tCD\tI-NP\tO' -p5802 -aS'weeks\tweek\tNNS\tI-NP\tO' -p5803 -aS'.\t.\t.\tO\tO' -p5804 -asS'On POD2 his chest tubes and epicardial pacing wires were removed and his Coumadin was restarted .' -p5805 -(lp5806 -S'On\tOn\tIN\tB-PP\tO' -p5807 -aS'POD2\tPOD2\tNN\tB-NP\tB-protein' -p5808 -aS'his\this\tPRP$\tB-NP\tO' -p5809 -aS'chest\tchest\tNN\tI-NP\tO' -p5810 -aS'tubes\ttube\tNNS\tI-NP\tO' -p5811 -aS'and\tand\tCC\tO\tO' -p5812 -aS'epicardial\tepicardial\tJJ\tB-NP\tO' -p5813 -aS'pacing\tpacing\tNN\tI-NP\tO' -p5814 -aS'wires\twire\tNNS\tI-NP\tO' -p5815 -aS'were\tbe\tVBD\tB-VP\tO' -p5816 -aS'removed\tremove\tVBN\tI-VP\tO' -p5817 -aS'and\tand\tCC\tO\tO' -p5818 -aS'his\this\tPRP$\tB-NP\tO' -p5819 -aS'Coumadin\tCoumadin\tNN\tI-NP\tO' -p5820 -aS'was\tbe\tVBD\tB-VP\tO' -p5821 -aS'restarted\trestart\tVBN\tI-VP\tO' -p5822 -aS'.\t.\t.\tO\tO' -p5823 -asS'Phone number is 209-604-1402 .' -p5824 -(lp5825 -S'Phone\tPhone\tNN\tB-NP\tO' -p5826 -aS'number\tnumber\tNN\tI-NP\tO' -p5827 -aS'is\tbe\tVBZ\tB-VP\tO' -p5828 -aS'209-604-1402\t209-604-1402\tCD\tB-NP\tO' -p5829 -aS'.\t.\t.\tO\tO' -p5830 -asS'Markedly abnormal portable EEG due to the voltage suppression over the left hemisphere and due to the bursts of generalized slowing and right hemisphere slowing .' -p5831 -(lp5832 -S'Markedly\tMarkedly\tRB\tB-NP\tO' -p5833 -aS'abnormal\tabnormal\tJJ\tI-NP\tO' -p5834 -aS'portable\tportable\tJJ\tI-NP\tO' -p5835 -aS'EEG\tEEG\tNN\tI-NP\tO' -p5836 -aS'due\tdue\tJJ\tB-PP\tO' -p5837 -aS'to\tto\tTO\tB-PP\tO' -p5838 -aS'the\tthe\tDT\tB-NP\tO' -p5839 -aS'voltage\tvoltage\tNN\tI-NP\tO' -p5840 -aS'suppression\tsuppression\tNN\tI-NP\tO' -p5841 -aS'over\tover\tIN\tB-PP\tO' -p5842 -aS'the\tthe\tDT\tB-NP\tO' -p5843 -aS'left\tleft\tJJ\tI-NP\tO' -p5844 -aS'hemisphere\themisphere\tNN\tI-NP\tO' -p5845 -aS'and\tand\tCC\tO\tO' -p5846 -aS'due\tdue\tJJ\tB-ADJP\tO' -p5847 -aS'to\tto\tTO\tB-PP\tO' -p5848 -aS'the\tthe\tDT\tB-NP\tO' -p5849 -aS'bursts\tburst\tNNS\tI-NP\tO' -p5850 -aS'of\tof\tIN\tB-PP\tO' -p5851 -aS'generalized\tgeneralize\tVBN\tB-NP\tO' -p5852 -aS'slowing\tslow\tVBG\tI-NP\tO' -p5853 -aS'and\tand\tCC\tO\tO' -p5854 -aS'right\tright\tJJ\tB-NP\tO' -p5855 -aS'hemisphere\themisphere\tNN\tI-NP\tO' -p5856 -aS'slowing\tslowing\tNN\tI-NP\tO' -p5857 -aS'.\t.\t.\tO\tO' -p5858 -asS'Chest incision was with Steri-Strips , open to air , clean and dry .' -p5859 -(lp5860 -S'Chest\tCh\tJJS\tB-NP\tO' -p5861 -aS'incision\tincision\tNN\tI-NP\tO' -p5862 -aS'was\tbe\tVBD\tB-VP\tO' -p5863 -aS'with\twith\tIN\tB-PP\tO' -p5864 -aS'Steri-Strips\tSteri-Strips\tNNP\tB-NP\tO' -p5865 -aS',\t,\t,\tO\tO' -p5866 -aS'open\topen\tJJ\tB-ADJP\tO' -p5867 -aS'to\tto\tTO\tB-PP\tO' -p5868 -aS'air\tair\tNN\tB-NP\tO' -p5869 -aS',\t,\t,\tO\tO' -p5870 -aS'clean\tclean\tJJ\tB-ADJP\tO' -p5871 -aS'and\tand\tCC\tI-ADJP\tO' -p5872 -aS'dry\tdry\tJJ\tI-ADJP\tO' -p5873 -aS'.\t.\t.\tO\tO' -p5874 -asS'ANC at that time was 336 .' -p5875 -(lp5876 -S'ANC\tANC\tNN\tB-NP\tO' -p5877 -aS'at\tat\tIN\tB-PP\tO' -p5878 -aS'that\tthat\tDT\tB-NP\tO' -p5879 -aS'time\ttime\tNN\tI-NP\tO' -p5880 -aS'was\tbe\tVBD\tB-VP\tO' -p5881 -aS'336\t336\tCD\tB-NP\tO' -p5882 -aS'.\t.\t.\tO\tO' -p5883 -asS'Her extremities were without clubbing , cyanosis , edema , or rash ; there were some older hematomas in the bilaterally shins .' -p5884 -(lp5885 -S'Her\tHer\tPRP$\tB-NP\tO' -p5886 -aS'extremities\textremity\tNNS\tI-NP\tO' -p5887 -aS'were\tbe\tVBD\tB-VP\tO' -p5888 -aS'without\twithout\tIN\tB-PP\tO' -p5889 -aS'clubbing\tclubbing\tNN\tB-NP\tO' -p5890 -aS',\t,\t,\tO\tO' -p5891 -aS'cyanosis\tcyanosis\tNN\tB-NP\tO' -p5892 -aS',\t,\t,\tO\tO' -p5893 -aS'edema\tedema\tNN\tB-NP\tO' -p5894 -aS',\t,\t,\tO\tO' -p5895 -aS'or\tor\tCC\tO\tO' -p5896 -aS'rash\trash\tNN\tB-NP\tO' -p5897 -aS';\t;\t:\tO\tO' -p5898 -aS'there\tthere\tEX\tB-NP\tO' -p5899 -aS'were\tbe\tVBD\tB-VP\tO' -p5900 -aS'some\tsome\tDT\tB-NP\tO' -p5901 -aS'older\told\tJJR\tI-NP\tO' -p5902 -aS'hematomas\thematoma\tNNS\tI-NP\tO' -p5903 -aS'in\tin\tIN\tB-PP\tO' -p5904 -aS'the\tthe\tDT\tB-NP\tO' -p5905 -aS'bilaterally\tbilaterally\tRB\tI-NP\tO' -p5906 -aS'shins\tshin\tNNS\tI-NP\tO' -p5907 -aS'.\t.\t.\tO\tO' -p5908 -asS'Gen : frail , elderly caucasian man lying in stretcher , HOB at 45 degrees , breathing in moderate distress with accessory muscle use' -p5909 -(lp5910 -S'Gen\tGen\tNN\tB-NP\tO' -p5911 -aS':\t:\t:\tO\tO' -p5912 -aS'frail\tfrail\tNN\tB-NP\tO' -p5913 -aS',\t,\t,\tO\tO' -p5914 -aS'elderly\telderly\tJJ\tB-NP\tO' -p5915 -aS'caucasian\tcaucasian\tJJ\tI-NP\tO' -p5916 -aS'man\tman\tNN\tI-NP\tO' -p5917 -aS'lying\tlie\tVBG\tB-VP\tO' -p5918 -aS'in\tin\tIN\tB-PP\tO' -p5919 -aS'stretcher\tstretcher\tNN\tB-NP\tO' -p5920 -aS',\t,\t,\tO\tO' -p5921 -aS'HOB\tHOB\tNN\tB-NP\tB-protein' -p5922 -aS'at\tat\tIN\tB-PP\tO' -p5923 -aS'45\t45\tCD\tB-NP\tO' -p5924 -aS'degrees\tdegree\tNNS\tI-NP\tO' -p5925 -aS',\t,\t,\tO\tO' -p5926 -aS'breathing\tbreathing\tNN\tB-NP\tO' -p5927 -aS'in\tin\tIN\tB-PP\tO' -p5928 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p5929 -aS'distress\tdistress\tNN\tI-NP\tO' -p5930 -aS'with\twith\tIN\tB-PP\tO' -p5931 -aS'accessory\taccessory\tJJ\tB-NP\tO' -p5932 -aS'muscle\tmuscle\tNN\tI-NP\tO' -p5933 -aS'use\tuse\tNN\tI-NP\tO' -p5934 -asS'He underwent an autologous bone marrow transplant in 10/92 at Petersly Hospital And Medical Center .' -p5935 -(lp5936 -S'He\tHe\tPRP\tB-NP\tO' -p5937 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p5938 -aS'an\tan\tDT\tB-NP\tO' -p5939 -aS'autologous\tautologous\tJJ\tI-NP\tO' -p5940 -aS'bone\tbone\tNN\tI-NP\tO' -p5941 -aS'marrow\tmarrow\tNN\tI-NP\tO' -p5942 -aS'transplant\ttransplant\tNN\tI-NP\tO' -p5943 -aS'in\tin\tIN\tB-PP\tO' -p5944 -aS'10/92\t10/92\tCD\tB-NP\tO' -p5945 -aS'at\tat\tIN\tB-PP\tO' -p5946 -aS'Petersly\tPetersly\tNNP\tB-NP\tO' -p5947 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p5948 -aS'And\tAnd\tNNP\tI-NP\tO' -p5949 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p5950 -aS'Center\tCenter\tNNP\tI-NP\tO' -p5951 -aS'.\t.\t.\tO\tO' -p5952 -asS'The patient was evaluated by Doing and was subsequently accepted into that program .' -p5953 -(lp5954 -S'The\tThe\tDT\tB-NP\tO' -p5955 -aS'patient\tpatient\tNN\tI-NP\tO' -p5956 -aS'was\tbe\tVBD\tB-VP\tO' -p5957 -aS'evaluated\tevaluate\tVBN\tI-VP\tO' -p5958 -aS'by\tby\tIN\tB-PP\tO' -p5959 -aS'Doing\tDo\tVBG\tB-VP\tO' -p5960 -aS'and\tand\tCC\tO\tO' -p5961 -aS'was\tbe\tVBD\tB-VP\tO' -p5962 -aS'subsequently\tsubsequently\tRB\tI-VP\tO' -p5963 -aS'accepted\taccept\tVBN\tI-VP\tO' -p5964 -aS'into\tinto\tIN\tB-PP\tO' -p5965 -aS'that\tthat\tDT\tB-NP\tO' -p5966 -aS'program\tprogram\tNN\tI-NP\tO' -p5967 -aS'.\t.\t.\tO\tO' -p5968 -asS'Home .' -p5969 -(lp5970 -S'Home\tHome\tNN\tB-NP\tO' -p5971 -aS'.\t.\t.\tO\tO' -p5972 -asS'He removed the cast that had been placed and then a long-leg cast was then placed so it would be difficult for him to remove or to ambulate on his leg , which might jeopardize his closure .' -p5973 -(lp5974 -S'He\tHe\tPRP\tB-NP\tO' -p5975 -aS'removed\tremove\tVBD\tB-VP\tO' -p5976 -aS'the\tthe\tDT\tB-NP\tO' -p5977 -aS'cast\tcast\tNN\tI-NP\tO' -p5978 -aS'that\tthat\tWDT\tB-NP\tO' -p5979 -aS'had\thave\tVBD\tB-VP\tO' -p5980 -aS'been\tbe\tVBN\tI-VP\tO' -p5981 -aS'placed\tplace\tVBN\tI-VP\tO' -p5982 -aS'and\tand\tCC\tO\tO' -p5983 -aS'then\tthen\tRB\tO\tO' -p5984 -aS'a\ta\tDT\tB-NP\tO' -p5985 -aS'long-leg\tlong-leg\tJJ\tI-NP\tO' -p5986 -aS'cast\tcast\tNN\tI-NP\tO' -p5987 -aS'was\tbe\tVBD\tB-VP\tO' -p5988 -aS'then\tthen\tRB\tI-VP\tO' -p5989 -aS'placed\tplace\tVBN\tI-VP\tO' -p5990 -aS'so\tso\tIN\tB-SBAR\tO' -p5991 -aS'it\tit\tPRP\tB-NP\tO' -p5992 -aS'would\twould\tMD\tB-VP\tO' -p5993 -aS'be\tbe\tVB\tI-VP\tO' -p5994 -aS'difficult\tdifficult\tJJ\tB-ADJP\tO' -p5995 -aS'for\tfor\tIN\tB-SBAR\tO' -p5996 -aS'him\thim\tPRP\tB-NP\tO' -p5997 -aS'to\tto\tTO\tB-VP\tO' -p5998 -aS'remove\tremove\tVB\tI-VP\tO' -p5999 -aS'or\tor\tCC\tO\tO' -p6000 -aS'to\tto\tTO\tB-VP\tO' -p6001 -aS'ambulate\tambulate\tVB\tI-VP\tO' -p6002 -aS'on\ton\tIN\tB-PP\tO' -p6003 -aS'his\this\tPRP$\tB-NP\tO' -p6004 -aS'leg\tleg\tNN\tI-NP\tO' -p6005 -aS',\t,\t,\tO\tO' -p6006 -aS'which\twhich\tWDT\tB-NP\tO' -p6007 -aS'might\tmight\tMD\tB-VP\tO' -p6008 -aS'jeopardize\tjeopardize\tVB\tI-VP\tO' -p6009 -aS'his\this\tPRP$\tB-NP\tO' -p6010 -aS'closure\tclosure\tNN\tI-NP\tO' -p6011 -aS'.\t.\t.\tO\tO' -p6012 -asS'This was obtained on 08/30/98 by Dr. Niste Rhalt of the Cardiac Surgical Service .' -p6013 -(lp6014 -S'This\tThis\tDT\tB-NP\tO' -p6015 -aS'was\tbe\tVBD\tB-VP\tO' -p6016 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p6017 -aS'on\ton\tIN\tB-PP\tO' -p6018 -aS'08/30/98\t08/30/98\tCD\tB-NP\tO' -p6019 -aS'by\tby\tIN\tB-PP\tO' -p6020 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p6021 -aS'Niste\tNiste\tNNP\tI-NP\tO' -p6022 -aS'Rhalt\tRhalt\tNNP\tI-NP\tO' -p6023 -aS'of\tof\tIN\tB-PP\tO' -p6024 -aS'the\tthe\tDT\tB-NP\tO' -p6025 -aS'Cardiac\tCardiac\tNNP\tI-NP\tO' -p6026 -aS'Surgical\tSurgical\tNNP\tI-NP\tO' -p6027 -aS'Service\tService\tNNP\tI-NP\tO' -p6028 -aS'.\t.\t.\tO\tO' -p6029 -asS'Patient had a blood pressure of 128/72 , a pulse of 84 that was regular , and she was afebrile at 98.4 .' -p6030 -(lp6031 -S'Patient\tPatient\tNN\tB-NP\tO' -p6032 -aS'had\thave\tVBD\tB-VP\tO' -p6033 -aS'a\ta\tDT\tB-NP\tO' -p6034 -aS'blood\tblood\tNN\tI-NP\tO' -p6035 -aS'pressure\tpressure\tNN\tI-NP\tO' -p6036 -aS'of\tof\tIN\tB-PP\tO' -p6037 -aS'128/72\t128/72\tCD\tB-NP\tO' -p6038 -aS',\t,\t,\tO\tO' -p6039 -aS'a\ta\tDT\tB-NP\tO' -p6040 -aS'pulse\tpulse\tNN\tI-NP\tO' -p6041 -aS'of\tof\tIN\tB-PP\tO' -p6042 -aS'84\t84\tCD\tB-NP\tO' -p6043 -aS'that\tthat\tWDT\tB-NP\tO' -p6044 -aS'was\tbe\tVBD\tB-VP\tO' -p6045 -aS'regular\tregular\tJJ\tB-ADJP\tO' -p6046 -aS',\t,\t,\tO\tO' -p6047 -aS'and\tand\tCC\tO\tO' -p6048 -aS'she\tshe\tPRP\tB-NP\tO' -p6049 -aS'was\tbe\tVBD\tB-VP\tO' -p6050 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p6051 -aS'at\tat\tIN\tB-PP\tO' -p6052 -aS'98.4\t98.4\tCD\tB-NP\tO' -p6053 -aS'.\t.\t.\tO\tO' -p6054 -asS'She is diabetic .' -p6055 -(lp6056 -S'She\tShe\tPRP\tB-NP\tO' -p6057 -aS'is\tbe\tVBZ\tB-VP\tO' -p6058 -aS'diabetic\tdiabetic\tJJ\tB-ADJP\tO' -p6059 -aS'.\t.\t.\tO\tO' -p6060 -asS'3. Xalatan 0.005% one gtt left eye qhs .' -p6061 -(lp6062 -S'3.\t3.\tLS\tB-LST\tO' -p6063 -aS'Xalatan\tXalatan\tNNP\tB-NP\tO' -p6064 -aS'0.005%\t0.005%\tCD\tI-NP\tO' -p6065 -aS'one\tone\tCD\tI-NP\tO' -p6066 -aS'gtt\tgtt\tNN\tI-NP\tO' -p6067 -aS'left\tleave\tVBD\tB-VP\tO' -p6068 -aS'eye\teye\tNN\tB-NP\tO' -p6069 -aS'qhs\tqh\tNNS\tI-NP\tO' -p6070 -aS'.\t.\t.\tO\tO' -p6071 -asS'She received Tamoxifen briefly .' -p6072 -(lp6073 -S'She\tShe\tPRP\tB-NP\tO' -p6074 -aS'received\treceive\tVBD\tB-VP\tO' -p6075 -aS'Tamoxifen\tTamoxifen\tNN\tB-NP\tO' -p6076 -aS'briefly\tbriefly\tRB\tB-ADVP\tO' -p6077 -aS'.\t.\t.\tO\tO' -p6078 -asS'He completed 7 days of levofloxacin and had a PICC line placed to facilitate a 2 week course of IV Penicillin .' -p6079 -(lp6080 -S'He\tHe\tPRP\tB-NP\tO' -p6081 -aS'completed\tcomplete\tVBD\tB-VP\tO' -p6082 -aS'7\t7\tCD\tB-NP\tO' -p6083 -aS'days\tday\tNNS\tI-NP\tO' -p6084 -aS'of\tof\tIN\tB-PP\tO' -p6085 -aS'levofloxacin\tlevofloxacin\tNN\tB-NP\tO' -p6086 -aS'and\tand\tCC\tO\tO' -p6087 -aS'had\thave\tVBD\tB-VP\tO' -p6088 -aS'a\ta\tDT\tB-NP\tO' -p6089 -aS'PICC\tPICC\tNN\tI-NP\tB-cell_line' -p6090 -aS'line\tline\tNN\tI-NP\tI-cell_line' -p6091 -aS'placed\tplace\tVBN\tB-VP\tO' -p6092 -aS'to\tto\tTO\tB-VP\tO' -p6093 -aS'facilitate\tfacilitate\tVB\tI-VP\tO' -p6094 -aS'a\ta\tDT\tB-NP\tO' -p6095 -aS'2\t2\tCD\tI-NP\tO' -p6096 -aS'week\tweek\tNN\tI-NP\tO' -p6097 -aS'course\tcourse\tNN\tI-NP\tO' -p6098 -aS'of\tof\tIN\tB-PP\tO' -p6099 -aS'IV\tIV\tCD\tB-NP\tO' -p6100 -aS'Penicillin\tPenicillin\tNNP\tI-NP\tO' -p6101 -aS'.\t.\t.\tO\tO' -p6102 -asS'She may be reached at ( 756 ) 599-4849 .' -p6103 -(lp6104 -S'She\tShe\tPRP\tB-NP\tO' -p6105 -aS'may\tmay\tMD\tB-VP\tO' -p6106 -aS'be\tbe\tVB\tI-VP\tO' -p6107 -aS'reached\treach\tVBN\tI-VP\tO' -p6108 -aS'at\tat\tIN\tB-PP\tO' -p6109 -aS'(\t(\t(\tO\tO' -p6110 -aS'756\t756\tCD\tB-NP\tO' -p6111 -aS')\t)\t)\tO\tO' -p6112 -aS'599-4849\t599-4849\tCD\tB-NP\tO' -p6113 -aS'.\t.\t.\tO\tO' -p6114 -asS'He was given Lasix 40 mg IV x 1 and also had Nitro paste around the time of his surgery and beta blocker .' -p6115 -(lp6116 -S'He\tHe\tPRP\tB-NP\tO' -p6117 -aS'was\tbe\tVBD\tB-VP\tO' -p6118 -aS'given\tgive\tVBN\tI-VP\tO' -p6119 -aS'Lasix\tLasix\tNNP\tB-NP\tO' -p6120 -aS'40\t40\tCD\tI-NP\tO' -p6121 -aS'mg\tmg\tNN\tI-NP\tO' -p6122 -aS'IV\tIV\tCD\tB-NP\tO' -p6123 -aS'x\tx\tNN\tI-NP\tO' -p6124 -aS'1\t1\tCD\tB-NP\tO' -p6125 -aS'and\tand\tCC\tI-NP\tO' -p6126 -aS'also\talso\tRB\tI-NP\tO' -p6127 -aS'had\thave\tVBD\tB-VP\tO' -p6128 -aS'Nitro\tNitro\tNNP\tB-NP\tO' -p6129 -aS'paste\tpaste\tNN\tI-NP\tO' -p6130 -aS'around\taround\tIN\tB-PP\tO' -p6131 -aS'the\tthe\tDT\tB-NP\tO' -p6132 -aS'time\ttime\tNN\tI-NP\tO' -p6133 -aS'of\tof\tIN\tB-PP\tO' -p6134 -aS'his\this\tPRP$\tB-NP\tO' -p6135 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p6136 -aS'and\tand\tCC\tI-NP\tO' -p6137 -aS'beta\tbeta\tNN\tI-NP\tO' -p6138 -aS'blocker\tblocker\tNN\tI-NP\tO' -p6139 -aS'.\t.\t.\tO\tO' -p6140 -asS'obese with multiple well healed surgical incisions , positive bowel sounds .' -p6141 -(lp6142 -S'obese\tobese\tJJ\tB-ADJP\tO' -p6143 -aS'with\twith\tIN\tB-PP\tO' -p6144 -aS'multiple\tmultiple\tJJ\tB-ADJP\tO' -p6145 -aS'well\twell\tRB\tB-ADVP\tO' -p6146 -aS'healed\theal\tVBD\tB-VP\tO' -p6147 -aS'surgical\tsurgical\tJJ\tB-NP\tO' -p6148 -aS'incisions\tincision\tNNS\tI-NP\tO' -p6149 -aS',\t,\t,\tO\tO' -p6150 -aS'positive\tpositive\tJJ\tB-NP\tO' -p6151 -aS'bowel\tbowel\tNN\tI-NP\tO' -p6152 -aS'sounds\tsound\tNNS\tI-NP\tO' -p6153 -aS'.\t.\t.\tO\tO' -p6154 -asS'The left lower quadrant pain in the groin radiated to the left knee .' -p6155 -(lp6156 -S'The\tThe\tDT\tB-NP\tO' -p6157 -aS'left\tleave\tVBD\tB-VP\tO' -p6158 -aS'lower\tlow\tJJR\tB-NP\tO' -p6159 -aS'quadrant\tquadrant\tJJ\tI-NP\tO' -p6160 -aS'pain\tpain\tNN\tI-NP\tO' -p6161 -aS'in\tin\tIN\tB-PP\tO' -p6162 -aS'the\tthe\tDT\tB-NP\tO' -p6163 -aS'groin\tgroin\tNN\tI-NP\tO' -p6164 -aS'radiated\tradiate\tVBN\tB-VP\tO' -p6165 -aS'to\tto\tTO\tB-PP\tO' -p6166 -aS'the\tthe\tDT\tB-NP\tO' -p6167 -aS'left\tleft\tJJ\tI-NP\tO' -p6168 -aS'knee\tknee\tNN\tI-NP\tO' -p6169 -aS'.\t.\t.\tO\tO' -p6170 -asS'4. Metastatic Squamous cell carcinoma of unknown primary .' -p6171 -(lp6172 -S'4.\t4.\tLS\tB-NP\tO' -p6173 -aS'Metastatic\tMetastatic\tJJ\tI-NP\tO' -p6174 -aS'Squamous\tSquamous\tJJ\tI-NP\tO' -p6175 -aS'cell\tcell\tNN\tI-NP\tO' -p6176 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p6177 -aS'of\tof\tIN\tB-PP\tO' -p6178 -aS'unknown\tunknown\tJJ\tB-NP\tO' -p6179 -aS'primary\tprimary\tNN\tI-NP\tO' -p6180 -aS'.\t.\t.\tO\tO' -p6181 -asS'If you do not have a primary care physician , it is recommended that you select one .' -p6182 -(lp6183 -S'If\tIf\tIN\tB-SBAR\tO' -p6184 -aS'you\tyou\tPRP\tB-NP\tO' -p6185 -aS'do\tdo\tVBP\tB-VP\tO' -p6186 -aS'not\tnot\tRB\tI-VP\tO' -p6187 -aS'have\thave\tVB\tI-VP\tO' -p6188 -aS'a\ta\tDT\tB-NP\tO' -p6189 -aS'primary\tprimary\tJJ\tI-NP\tO' -p6190 -aS'care\tcare\tNN\tI-NP\tO' -p6191 -aS'physician\tphysician\tNN\tI-NP\tO' -p6192 -aS',\t,\t,\tO\tO' -p6193 -aS'it\tit\tPRP\tB-NP\tO' -p6194 -aS'is\tbe\tVBZ\tB-VP\tO' -p6195 -aS'recommended\trecommend\tVBN\tI-VP\tO' -p6196 -aS'that\tthat\tIN\tB-SBAR\tO' -p6197 -aS'you\tyou\tPRP\tB-NP\tO' -p6198 -aS'select\tselect\tVBP\tB-VP\tO' -p6199 -aS'one\tone\tCD\tB-NP\tO' -p6200 -aS'.\t.\t.\tO\tO' -p6201 -asS'The official result was not yet in .' -p6202 -(lp6203 -S'The\tThe\tDT\tB-NP\tO' -p6204 -aS'official\tofficial\tJJ\tI-NP\tO' -p6205 -aS'result\tresult\tNN\tI-NP\tO' -p6206 -aS'was\tbe\tVBD\tB-VP\tO' -p6207 -aS'not\tnot\tRB\tO\tO' -p6208 -aS'yet\tyet\tRB\tB-ADVP\tO' -p6209 -aS'in\tin\tIN\tB-PP\tO' -p6210 -aS'.\t.\t.\tO\tO' -p6211 -asS'- consider anti coag for cva prevention , but wait until ambulating better' -p6212 -(lp6213 -S'-\t-\tHYPH\tB-NP\tO' -p6214 -aS'consider\tconsider\tNN\tI-NP\tO' -p6215 -aS'anti\tanti\tJJ\tI-NP\tO' -p6216 -aS'coag\tcoag\tNN\tI-NP\tO' -p6217 -aS'for\tfor\tIN\tB-PP\tO' -p6218 -aS'cva\tcva\tNN\tB-NP\tO' -p6219 -aS'prevention\tprevention\tNN\tI-NP\tO' -p6220 -aS',\t,\t,\tO\tO' -p6221 -aS'but\tbut\tCC\tO\tO' -p6222 -aS'wait\twait\tVB\tB-VP\tO' -p6223 -aS'until\tuntil\tIN\tB-PP\tO' -p6224 -aS'ambulating\tambulate\tVBG\tB-VP\tO' -p6225 -aS'better\tgood\tJJR\tB-ADJP\tO' -p6226 -asS'Cardiovascular examination - normal jugular venous pressure , normal carotid upstrokes with bruits , there are distant heart sounds , S1 and S2 are normal , there are no murmurs detected .' -p6227 -(lp6228 -S'Cardiovascular\tCardiovascular\tJJ\tB-NP\tO' -p6229 -aS'examination\texamination\tNN\tI-NP\tO' -p6230 -aS'-\t-\tHYPH\tB-NP\tO' -p6231 -aS'normal\tnormal\tJJ\tI-NP\tO' -p6232 -aS'jugular\tjugular\tJJ\tI-NP\tO' -p6233 -aS'venous\tvenous\tJJ\tI-NP\tO' -p6234 -aS'pressure\tpressure\tNN\tI-NP\tO' -p6235 -aS',\t,\t,\tO\tO' -p6236 -aS'normal\tnormal\tJJ\tB-NP\tO' -p6237 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p6238 -aS'upstrokes\tupstroke\tVBZ\tB-VP\tO' -p6239 -aS'with\twith\tIN\tB-PP\tO' -p6240 -aS'bruits\tbruit\tNNS\tB-NP\tO' -p6241 -aS',\t,\t,\tO\tO' -p6242 -aS'there\tthere\tEX\tB-NP\tO' -p6243 -aS'are\tbe\tVBP\tB-VP\tO' -p6244 -aS'distant\tdistant\tJJ\tB-NP\tO' -p6245 -aS'heart\theart\tNN\tI-NP\tO' -p6246 -aS'sounds\tsound\tNNS\tI-NP\tO' -p6247 -aS',\t,\t,\tO\tO' -p6248 -aS'S1\tS1\tNN\tB-NP\tB-protein' -p6249 -aS'and\tand\tCC\tO\tO' -p6250 -aS'S2\tS2\tNN\tB-NP\tB-protein' -p6251 -aS'are\tbe\tVBP\tB-VP\tO' -p6252 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p6253 -aS',\t,\t,\tO\tO' -p6254 -aS'there\tthere\tEX\tB-NP\tO' -p6255 -aS'are\tbe\tVBP\tB-VP\tO' -p6256 -aS'no\tno\tDT\tB-NP\tO' -p6257 -aS'murmurs\tmurmur\tNNS\tI-NP\tO' -p6258 -aS'detected\tdetect\tVBN\tB-VP\tO' -p6259 -aS'.\t.\t.\tO\tO' -p6260 -asS'- Low Na diet with 1 liter fluid restriction' -p6261 -(lp6262 -S'-\t-\tHYPH\tB-NP\tO' -p6263 -aS'Low\tLow\tJJ\tI-NP\tO' -p6264 -aS'Na\tNa\tNN\tI-NP\tO' -p6265 -aS'diet\tdiet\tNN\tI-NP\tO' -p6266 -aS'with\twith\tIN\tB-PP\tO' -p6267 -aS'1\t1\tCD\tB-NP\tO' -p6268 -aS'liter\tliter\tNN\tI-NP\tO' -p6269 -aS'fluid\tfluid\tNN\tI-NP\tO' -p6270 -aS'restriction\trestriction\tNN\tI-NP\tO' -p6271 -asS"12. Communication - With pt 's son ." -p6272 -(lp6273 -S'12.\t12.\tLS\tB-NP\tO' -p6274 -aS'Communication\tCommunication\tNN\tI-NP\tO' -p6275 -aS'-\t-\tHYPH\tB-ADJP\tO' -p6276 -aS'With\tWith\tIN\tB-PP\tO' -p6277 -aS'pt\tpt\tNN\tB-NP\tO' -p6278 -aS"'s\t's\tPOS\tB-NP\tO" -p6279 -aS'son\tson\tNN\tI-NP\tO' -p6280 -aS'.\t.\t.\tO\tO' -p6281 -asS'1. Prematurity triplet number two .' -p6282 -(lp6283 -S'1.\t1.\tLS\tB-NP\tO' -p6284 -aS'Prematurity\tPrematurity\tNN\tI-NP\tO' -p6285 -aS'triplet\ttriplet\tNN\tI-NP\tO' -p6286 -aS'number\tnumber\tNN\tI-NP\tO' -p6287 -aS'two\ttwo\tCD\tI-NP\tO' -p6288 -aS'.\t.\t.\tO\tO' -p6289 -asS'CNS active , responsive to stimulation .' -p6290 -(lp6291 -S'CNS\tCNS\tNN\tB-NP\tB-protein' -p6292 -aS'active\tactive\tJJ\tB-ADJP\tO' -p6293 -aS',\t,\t,\tO\tO' -p6294 -aS'responsive\tresponsive\tJJ\tB-ADJP\tO' -p6295 -aS'to\tto\tTO\tB-PP\tO' -p6296 -aS'stimulation\tstimulation\tNN\tB-NP\tO' -p6297 -aS'.\t.\t.\tO\tO' -p6298 -asS'16. Miconazole Nitrate 2 % Cream Sig : One ( 1 ) Appl Topical BID ( 2 times a day ).' -p6299 -(lp6300 -S'16.\t16.\tLS\tB-NP\tO' -p6301 -aS'Miconazole\tMiconazole\tNN\tI-NP\tO' -p6302 -aS'Nitrate\tNitrate\tNN\tI-NP\tO' -p6303 -aS'2\t2\tCD\tB-NP\tO' -p6304 -aS'%\t%\tNN\tI-NP\tO' -p6305 -aS'Cream\tCream\tNNP\tI-NP\tO' -p6306 -aS'Sig\tSig\tNNP\tI-NP\tO' -p6307 -aS':\t:\t:\tO\tO' -p6308 -aS'One\tOne\tCD\tB-NP\tO' -p6309 -aS'(\t(\t(\tO\tO' -p6310 -aS'1\t1\tCD\tB-NP\tO' -p6311 -aS')\t)\t)\tO\tO' -p6312 -aS'Appl\tAppl\tNNP\tB-NP\tO' -p6313 -aS'Topical\tTopical\tJJ\tI-NP\tO' -p6314 -aS'BID\tBID\tNN\tI-NP\tO' -p6315 -aS'(\t(\t(\tO\tO' -p6316 -aS'2\t2\tCD\tB-NP\tO' -p6317 -aS'times\ttime\tNNS\tI-NP\tO' -p6318 -aS'a\ta\tDT\tB-NP\tO' -p6319 -aS'day\tday\tNN\tI-NP\tO' -p6320 -aS').\t).\t.\tO\tO' -p6321 -asS'His ICPs were in the range of 11-22 , and he was weaned off the Nipride drip .' -p6322 -(lp6323 -S'His\tHis\tPRP$\tB-NP\tO' -p6324 -aS'ICPs\tICP\tNNS\tI-NP\tB-protein' -p6325 -aS'were\tbe\tVBD\tB-VP\tO' -p6326 -aS'in\tin\tIN\tB-PP\tO' -p6327 -aS'the\tthe\tDT\tB-NP\tO' -p6328 -aS'range\trange\tNN\tI-NP\tO' -p6329 -aS'of\tof\tIN\tB-PP\tO' -p6330 -aS'11-22\t11-22\tCD\tB-NP\tO' -p6331 -aS',\t,\t,\tO\tO' -p6332 -aS'and\tand\tCC\tO\tO' -p6333 -aS'he\the\tPRP\tB-NP\tO' -p6334 -aS'was\tbe\tVBD\tB-VP\tO' -p6335 -aS'weaned\twean\tVBN\tI-VP\tO' -p6336 -aS'off\toff\tIN\tB-PP\tO' -p6337 -aS'the\tthe\tDT\tB-NP\tO' -p6338 -aS'Nipride\tNipride\tNN\tI-NP\tB-protein' -p6339 -aS'drip\tdrip\tNN\tI-NP\tI-protein' -p6340 -aS'.\t.\t.\tO\tO' -p6341 -asS'She had a Hoffman 's sign greater on the right than the left and she had 10 beats of clonus in the right foot and 3-5 beats in the left foot .' -p6342 -(lp6343 -S'She\tShe\tPRP\tB-NP\tO' -p6344 -aS'had\thave\tVBD\tB-VP\tO' -p6345 -aS'a\ta\tDT\tB-NP\tO' -p6346 -aS'Hoffman\tHoffman\tNNP\tI-NP\tO' -p6347 -aS''s\t'\tNNS\tI-NP\tO' -p6348 -aS'sign\tsign\tVBP\tB-VP\tO' -p6349 -aS'greater\tgreat\tJJR\tB-ADJP\tO' -p6350 -aS'on\ton\tIN\tB-PP\tO' -p6351 -aS'the\tthe\tDT\tB-NP\tO' -p6352 -aS'right\tright\tNN\tI-NP\tO' -p6353 -aS'than\tthan\tIN\tB-PP\tO' -p6354 -aS'the\tthe\tDT\tB-NP\tO' -p6355 -aS'left\tleft\tNN\tI-NP\tO' -p6356 -aS'and\tand\tCC\tO\tO' -p6357 -aS'she\tshe\tPRP\tB-NP\tO' -p6358 -aS'had\thave\tVBD\tB-VP\tO' -p6359 -aS'10\t10\tCD\tB-NP\tO' -p6360 -aS'beats\tbeat\tNNS\tI-NP\tO' -p6361 -aS'of\tof\tIN\tB-PP\tO' -p6362 -aS'clonus\tclonus\tNN\tB-NP\tO' -p6363 -aS'in\tin\tIN\tB-PP\tO' -p6364 -aS'the\tthe\tDT\tB-NP\tO' -p6365 -aS'right\tright\tJJ\tI-NP\tO' -p6366 -aS'foot\tfoot\tNN\tI-NP\tO' -p6367 -aS'and\tand\tCC\tO\tO' -p6368 -aS'3-5\t3-5\tCD\tB-NP\tO' -p6369 -aS'beats\tbeat\tNNS\tI-NP\tO' -p6370 -aS'in\tin\tIN\tB-PP\tO' -p6371 -aS'the\tthe\tDT\tB-NP\tO' -p6372 -aS'left\tleft\tJJ\tI-NP\tO' -p6373 -aS'foot\tfoot\tNN\tI-NP\tO' -p6374 -aS'.\t.\t.\tO\tO' -p6375 -asS'BEST team eval found bed at psych rehab facility .' -p6376 -(lp6377 -S'BEST\tBEST\tNN\tB-NP\tO' -p6378 -aS'team\tteam\tNN\tI-NP\tO' -p6379 -aS'eval\teval\tNN\tI-NP\tO' -p6380 -aS'found\tfind\tVBD\tB-VP\tO' -p6381 -aS'bed\tbed\tNN\tB-NP\tO' -p6382 -aS'at\tat\tIN\tB-PP\tO' -p6383 -aS'psych\tpsych\tNN\tB-NP\tO' -p6384 -aS'rehab\trehab\tNN\tI-NP\tO' -p6385 -aS'facility\tfacility\tNN\tI-NP\tO' -p6386 -aS'.\t.\t.\tO\tO' -p6387 -asS'She tolerated a full diet well , but continued to have abdominal cramping and a mild ileus for the following three days .' -p6388 -(lp6389 -S'She\tShe\tPRP\tB-NP\tO' -p6390 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p6391 -aS'a\ta\tDT\tB-NP\tO' -p6392 -aS'full\tfull\tJJ\tI-NP\tO' -p6393 -aS'diet\tdiet\tNN\tI-NP\tO' -p6394 -aS'well\twell\tRB\tB-ADVP\tO' -p6395 -aS',\t,\t,\tO\tO' -p6396 -aS'but\tbut\tCC\tO\tO' -p6397 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p6398 -aS'to\tto\tTO\tI-VP\tO' -p6399 -aS'have\thave\tVB\tI-VP\tO' -p6400 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p6401 -aS'cramping\tcramping\tNN\tI-NP\tO' -p6402 -aS'and\tand\tCC\tO\tO' -p6403 -aS'a\ta\tDT\tB-NP\tO' -p6404 -aS'mild\tmild\tJJ\tI-NP\tO' -p6405 -aS'ileus\tileus\tNN\tI-NP\tO' -p6406 -aS'for\tfor\tIN\tB-PP\tO' -p6407 -aS'the\tthe\tDT\tB-NP\tO' -p6408 -aS'following\tfollow\tVBG\tI-NP\tO' -p6409 -aS'three\tthree\tCD\tI-NP\tO' -p6410 -aS'days\tday\tNNS\tI-NP\tO' -p6411 -aS'.\t.\t.\tO\tO' -p6412 -asS'5. Iron sulfate 81 mg p.o. q.d.' -p6413 -(lp6414 -S'5.\t5.\tLS\tB-NP\tO' -p6415 -aS'Iron\tIron\tNNP\tI-NP\tO' -p6416 -aS'sulfate\tsulfate\tNN\tI-NP\tO' -p6417 -aS'81\t81\tCD\tI-NP\tO' -p6418 -aS'mg\tmg\tNN\tI-NP\tO' -p6419 -aS'p.o.\tp.o.\tFW\tB-ADVP\tO' -p6420 -aS'q.d.\tq.d.\tFW\tI-ADVP\tO' -p6421 -asS'Methicillin resistant staph aureus infection of central nervous system' -p6422 -(lp6423 -S'Methicillin\tMethicillin\tNN\tB-NP\tO' -p6424 -aS'resistant\tresistant\tJJ\tI-NP\tO' -p6425 -aS'staph\tstaph\tNN\tI-NP\tO' -p6426 -aS'aureus\taureus\tNN\tI-NP\tO' -p6427 -aS'infection\tinfection\tNN\tI-NP\tO' -p6428 -aS'of\tof\tIN\tB-PP\tO' -p6429 -aS'central\tcentral\tJJ\tB-NP\tO' -p6430 -aS'nervous\tnervous\tJJ\tI-NP\tO' -p6431 -aS'system\tsystem\tNN\tI-NP\tO' -p6432 -asS'His INR goal is 02-24 .' -p6433 -(lp6434 -S'His\tHis\tPRP$\tB-NP\tO' -p6435 -aS'INR\tINR\tNN\tI-NP\tO' -p6436 -aS'goal\tgoal\tNN\tI-NP\tO' -p6437 -aS'is\tbe\tVBZ\tB-VP\tO' -p6438 -aS'02-24\t02-24\tCD\tB-NP\tO' -p6439 -aS'.\t.\t.\tO\tO' -p6440 -asS'Urine Cx in house grew Citrobacter Freundi and his sputum grew Acinetobacter Baummani .' -p6441 -(lp6442 -S'Urine\tUrine\tNN\tB-NP\tO' -p6443 -aS'Cx\tCx\tNN\tI-NP\tO' -p6444 -aS'in\tin\tIN\tB-PP\tO' -p6445 -aS'house\thouse\tNN\tB-NP\tO' -p6446 -aS'grew\tgrow\tVBD\tB-VP\tO' -p6447 -aS'Citrobacter\tCitrobacter\tNNP\tB-NP\tO' -p6448 -aS'Freundi\tFreundi\tNNP\tI-NP\tO' -p6449 -aS'and\tand\tCC\tO\tO' -p6450 -aS'his\this\tPRP$\tB-NP\tO' -p6451 -aS'sputum\tsputum\tNN\tI-NP\tO' -p6452 -aS'grew\tgrow\tVBD\tB-VP\tO' -p6453 -aS'Acinetobacter\tAcinetobacter\tNNP\tB-NP\tO' -p6454 -aS'Baummani\tBaummani\tNNP\tI-NP\tO' -p6455 -aS'.\t.\t.\tO\tO' -p6456 -asS'We were concerned regarding possibly binge drinking or ETOH abuse .' -p6457 -(lp6458 -S'We\tWe\tPRP\tB-NP\tO' -p6459 -aS'were\tbe\tVBD\tB-VP\tO' -p6460 -aS'concerned\tconcern\tVBN\tB-ADJP\tO' -p6461 -aS'regarding\tregard\tVBG\tB-VP\tO' -p6462 -aS'possibly\tpossibly\tRB\tI-VP\tO' -p6463 -aS'binge\tbinge\tVB\tI-VP\tO' -p6464 -aS'drinking\tdrinking\tNN\tB-NP\tO' -p6465 -aS'or\tor\tCC\tI-NP\tO' -p6466 -aS'ETOH\tETOH\tNN\tI-NP\tO' -p6467 -aS'abuse\tabuse\tNN\tI-NP\tO' -p6468 -aS'.\t.\t.\tO\tO' -p6469 -asS'This is to notify you that your patient , DOUETTWIDOUET , TAROBY arrived in the Emergency Department at Fairm of Ijordcompmac Hospital on 09/21/2003 06:51 PM .' -p6470 -(lp6471 -S'This\tThis\tDT\tB-NP\tO' -p6472 -aS'is\tbe\tVBZ\tB-VP\tO' -p6473 -aS'to\tto\tTO\tB-VP\tO' -p6474 -aS'notify\tnotify\tVB\tI-VP\tO' -p6475 -aS'you\tyou\tPRP\tB-NP\tO' -p6476 -aS'that\tthat\tIN\tB-SBAR\tO' -p6477 -aS'your\tyour\tPRP$\tB-NP\tO' -p6478 -aS'patient\tpatient\tNN\tI-NP\tO' -p6479 -aS',\t,\t,\tO\tO' -p6480 -aS'DOUETTWIDOUET\tDOUETTWIDOUET\tNN\tB-NP\tO' -p6481 -aS',\t,\t,\tO\tO' -p6482 -aS'TAROBY\tTAROBY\tNN\tB-NP\tO' -p6483 -aS'arrived\tarrive\tVBD\tB-VP\tO' -p6484 -aS'in\tin\tIN\tB-PP\tO' -p6485 -aS'the\tthe\tDT\tB-NP\tO' -p6486 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p6487 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p6488 -aS'at\tat\tIN\tB-PP\tO' -p6489 -aS'Fairm\tFairm\tNNP\tB-NP\tO' -p6490 -aS'of\tof\tIN\tB-PP\tO' -p6491 -aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' -p6492 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p6493 -aS'on\ton\tIN\tB-PP\tO' -p6494 -aS'09/21/2003\t09/21/2003\tCD\tB-NP\tO' -p6495 -aS'06:51\t06:51\tCD\tI-NP\tO' -p6496 -aS'PM\tPM\tNN\tI-NP\tO' -p6497 -aS'.\t.\t.\tO\tO' -p6498 -asS'She did continue to have a persistent fairly severe cough ; however , her cough was weak due to abdominal muscle pain from repeated coughing .' -p6499 -(lp6500 -S'She\tShe\tPRP\tB-NP\tO' -p6501 -aS'did\tdo\tVBD\tB-VP\tO' -p6502 -aS'continue\tcontinue\tVB\tI-VP\tO' -p6503 -aS'to\tto\tTO\tI-VP\tO' -p6504 -aS'have\thave\tVB\tI-VP\tO' -p6505 -aS'a\ta\tDT\tB-NP\tO' -p6506 -aS'persistent\tpersistent\tJJ\tI-NP\tO' -p6507 -aS'fairly\tfairly\tRB\tI-NP\tO' -p6508 -aS'severe\tsevere\tJJ\tI-NP\tO' -p6509 -aS'cough\tcough\tNN\tI-NP\tO' -p6510 -aS';\t;\t:\tO\tO' -p6511 -aS'however\thowever\tRB\tB-ADVP\tO' -p6512 -aS',\t,\t,\tO\tO' -p6513 -aS'her\ther\tPRP$\tB-NP\tO' -p6514 -aS'cough\tcough\tNN\tI-NP\tO' -p6515 -aS'was\tbe\tVBD\tB-VP\tO' -p6516 -aS'weak\tweak\tJJ\tB-ADJP\tO' -p6517 -aS'due\tdue\tJJ\tB-PP\tO' -p6518 -aS'to\tto\tTO\tB-PP\tO' -p6519 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p6520 -aS'muscle\tmuscle\tNN\tI-NP\tO' -p6521 -aS'pain\tpain\tNN\tI-NP\tO' -p6522 -aS'from\tfrom\tIN\tB-PP\tO' -p6523 -aS'repeated\trepeat\tVBN\tB-NP\tO' -p6524 -aS'coughing\tcoughing\tNN\tI-NP\tO' -p6525 -aS'.\t.\t.\tO\tO' -p6526 -asS'Head circumference was 30 cm , 50th percentile .' -p6527 -(lp6528 -S'Head\tHead\tNN\tB-NP\tO' -p6529 -aS'circumference\tcircumference\tNN\tI-NP\tO' -p6530 -aS'was\tbe\tVBD\tB-VP\tO' -p6531 -aS'30\t30\tCD\tB-NP\tO' -p6532 -aS'cm\tcm\tNN\tI-NP\tO' -p6533 -aS',\t,\t,\tO\tO' -p6534 -aS'50th\t50th\tJJ\tB-NP\tO' -p6535 -aS'percentile\tpercentile\tNN\tI-NP\tO' -p6536 -aS'.\t.\t.\tO\tO' -p6537 -asS'He has had 2 6 week courses of antibiotics with recurrent bacteremia .' -p6538 -(lp6539 -S'He\tHe\tPRP\tB-NP\tO' -p6540 -aS'has\thave\tVBZ\tB-VP\tO' -p6541 -aS'had\thave\tVBN\tI-VP\tO' -p6542 -aS'2\t2\tCD\tB-NP\tO' -p6543 -aS'6\t6\tCD\tI-NP\tO' -p6544 -aS'week\tweek\tNN\tI-NP\tO' -p6545 -aS'courses\tcourse\tNNS\tI-NP\tO' -p6546 -aS'of\tof\tIN\tB-PP\tO' -p6547 -aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' -p6548 -aS'with\twith\tIN\tB-PP\tO' -p6549 -aS'recurrent\trecurrent\tJJ\tB-NP\tO' -p6550 -aS'bacteremia\tbacteremia\tNN\tI-NP\tO' -p6551 -aS'.\t.\t.\tO\tO' -p6552 -asS'Oropharynx moist , without lesions .' -p6553 -(lp6554 -S'Oropharynx\tOropharynx\tNNP\tB-NP\tO' -p6555 -aS'moist\tmoist\tNN\tI-NP\tO' -p6556 -aS',\t,\t,\tO\tO' -p6557 -aS'without\twithout\tIN\tB-PP\tO' -p6558 -aS'lesions\tlesion\tNNS\tB-NP\tO' -p6559 -aS'.\t.\t.\tO\tO' -p6560 -asS'The patient was transferred to medicine service on hospital day #2 after remaining hemodynamically stable in the CMED CCU overnight .' -p6561 -(lp6562 -S'The\tThe\tDT\tB-NP\tO' -p6563 -aS'patient\tpatient\tNN\tI-NP\tO' -p6564 -aS'was\tbe\tVBD\tB-VP\tO' -p6565 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p6566 -aS'to\tto\tTO\tB-PP\tO' -p6567 -aS'medicine\tmedicine\tNN\tB-NP\tO' -p6568 -aS'service\tservice\tNN\tI-NP\tO' -p6569 -aS'on\ton\tIN\tB-PP\tO' -p6570 -aS'hospital\thospital\tNN\tB-NP\tO' -p6571 -aS'day\tday\tNN\tI-NP\tO' -p6572 -aS'#2\t#2\tCD\tI-NP\tO' -p6573 -aS'after\tafter\tIN\tB-PP\tO' -p6574 -aS'remaining\tremain\tVBG\tB-VP\tO' -p6575 -aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' -p6576 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p6577 -aS'in\tin\tIN\tB-PP\tO' -p6578 -aS'the\tthe\tDT\tB-NP\tO' -p6579 -aS'CMED\tCMED\tVBN\tI-NP\tO' -p6580 -aS'CCU\tCCU\tNN\tI-NP\tO' -p6581 -aS'overnight\tovernight\tRB\tB-ADVP\tO' -p6582 -aS'.\t.\t.\tO\tO' -p6583 -asS'Sed rate 6 .' -p6584 -(lp6585 -S'Sed\tSe\tVBN\tB-NP\tO' -p6586 -aS'rate\trate\tNN\tI-NP\tO' -p6587 -aS'6\t6\tCD\tI-NP\tO' -p6588 -aS'.\t.\t.\tO\tO' -p6589 -asS'Cardiology recommended that in addition to the medications already stated above , his hematocrit be kept greater than 30 .' -p6590 -(lp6591 -S'Cardiology\tCardiology\tNNP\tB-NP\tO' -p6592 -aS'recommended\trecommend\tVBD\tB-VP\tO' -p6593 -aS'that\tthat\tIN\tB-SBAR\tO' -p6594 -aS'in\tin\tIN\tB-PP\tO' -p6595 -aS'addition\taddition\tNN\tB-NP\tO' -p6596 -aS'to\tto\tTO\tB-PP\tO' -p6597 -aS'the\tthe\tDT\tB-NP\tO' -p6598 -aS'medications\tmedication\tNNS\tI-NP\tO' -p6599 -aS'already\talready\tRB\tB-VP\tO' -p6600 -aS'stated\tstate\tVBN\tI-VP\tO' -p6601 -aS'above\tabove\tIN\tB-PP\tO' -p6602 -aS',\t,\t,\tO\tO' -p6603 -aS'his\this\tPRP$\tB-NP\tO' -p6604 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p6605 -aS'be\tbe\tVB\tB-VP\tO' -p6606 -aS'kept\tkeep\tVBN\tI-VP\tO' -p6607 -aS'greater\tgreat\tJJR\tB-ADJP\tO' -p6608 -aS'than\tthan\tIN\tB-PP\tO' -p6609 -aS'30\t30\tCD\tB-NP\tO' -p6610 -aS'.\t.\t.\tO\tO' -p6611 -asS'She was found to be responsive only to painful stimuli at this time .' -p6612 -(lp6613 -S'She\tShe\tPRP\tB-NP\tO' -p6614 -aS'was\tbe\tVBD\tB-VP\tO' -p6615 -aS'found\tfind\tVBN\tI-VP\tO' -p6616 -aS'to\tto\tTO\tI-VP\tO' -p6617 -aS'be\tbe\tVB\tI-VP\tO' -p6618 -aS'responsive\tresponsive\tJJ\tB-ADJP\tO' -p6619 -aS'only\tonly\tRB\tB-ADVP\tO' -p6620 -aS'to\tto\tTO\tB-PP\tO' -p6621 -aS'painful\tpainful\tJJ\tB-NP\tO' -p6622 -aS'stimuli\tstimulus\tNNS\tI-NP\tO' -p6623 -aS'at\tat\tIN\tB-PP\tO' -p6624 -aS'this\tthis\tDT\tB-NP\tO' -p6625 -aS'time\ttime\tNN\tI-NP\tO' -p6626 -aS'.\t.\t.\tO\tO' -p6627 -asS'Cardiac enzymes were cycled and were normal .' -p6628 -(lp6629 -S'Cardiac\tCardiac\tJJ\tB-NP\tB-protein' -p6630 -aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' -p6631 -aS'were\tbe\tVBD\tB-VP\tO' -p6632 -aS'cycled\tcycle\tVBN\tI-VP\tO' -p6633 -aS'and\tand\tCC\tO\tO' -p6634 -aS'were\tbe\tVBD\tB-VP\tO' -p6635 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p6636 -aS'.\t.\t.\tO\tO' -p6637 -asS'The pulmonary team saw the patient and only recommended the above testing .' -p6638 -(lp6639 -S'The\tThe\tDT\tB-NP\tO' -p6640 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p6641 -aS'team\tteam\tNN\tI-NP\tO' -p6642 -aS'saw\tsee\tVBD\tB-VP\tO' -p6643 -aS'the\tthe\tDT\tB-NP\tO' -p6644 -aS'patient\tpatient\tNN\tI-NP\tO' -p6645 -aS'and\tand\tCC\tO\tO' -p6646 -aS'only\tonly\tRB\tB-VP\tO' -p6647 -aS'recommended\trecommend\tVBD\tI-VP\tO' -p6648 -aS'the\tthe\tDT\tB-NP\tO' -p6649 -aS'above\tabove\tJJ\tI-NP\tO' -p6650 -aS'testing\ttesting\tNN\tI-NP\tO' -p6651 -aS'.\t.\t.\tO\tO' -p6652 -asS'There is trace pulmonary insufficiency .' -p6653 -(lp6654 -S'There\tThere\tEX\tB-NP\tO' -p6655 -aS'is\tbe\tVBZ\tB-VP\tO' -p6656 -aS'trace\ttrace\tNN\tB-NP\tO' -p6657 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p6658 -aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' -p6659 -aS'.\t.\t.\tO\tO' -p6660 -asS'Sulfa ( Sulfonamides ) / Penicillins / Macrodantin / Ivp Dye , Iodine Containing' -p6661 -(lp6662 -S'Sulfa\tSulfa\tNN\tB-NP\tO' -p6663 -aS'(\t(\t(\tO\tO' -p6664 -aS'Sulfonamides\tSulfonamide\tNNS\tB-NP\tO' -p6665 -aS')\t)\t)\tO\tO' -p6666 -aS'/\t/\tSYM\tB-NP\tO' -p6667 -aS'Penicillins\tPenicillin\tNNPS\tI-NP\tB-protein' -p6668 -aS'/\t/\tSYM\tI-NP\tB-protein' -p6669 -aS'Macrodantin\tMacrodantin\tNN\tI-NP\tI-protein' -p6670 -aS'/\t/\tSYM\tB-NP\tO' -p6671 -aS'Ivp\tIvp\tNN\tI-NP\tB-protein' -p6672 -aS'Dye\tDye\tNNP\tB-NP\tO' -p6673 -aS',\t,\t,\tO\tO' -p6674 -aS'Iodine\tIodine\tNNP\tB-NP\tO' -p6675 -aS'Containing\tContaining\tNNP\tI-NP\tO' -p6676 -asS'Colace 100 mg twice a day p.r.n.' -p6677 -(lp6678 -S'Colace\tColace\tNNP\tB-NP\tO' -p6679 -aS'100\t100\tCD\tI-NP\tO' -p6680 -aS'mg\tmg\tNN\tI-NP\tO' -p6681 -aS'twice\ttwice\tRB\tB-NP\tO' -p6682 -aS'a\ta\tDT\tI-NP\tO' -p6683 -aS'day\tday\tNN\tI-NP\tO' -p6684 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p6685 -asS'Primary care physician was to check INR and titrate Zestril up and atenolol as tolerated .' -p6686 -(lp6687 -S'Primary\tPrimary\tJJ\tB-NP\tO' -p6688 -aS'care\tcare\tNN\tI-NP\tO' -p6689 -aS'physician\tphysician\tNN\tI-NP\tO' -p6690 -aS'was\tbe\tVBD\tB-VP\tO' -p6691 -aS'to\tto\tTO\tB-VP\tO' -p6692 -aS'check\tcheck\tVB\tI-VP\tO' -p6693 -aS'INR\tINR\tNN\tB-NP\tB-protein' -p6694 -aS'and\tand\tCC\tO\tO' -p6695 -aS'titrate\ttitrate\tVB\tB-VP\tO' -p6696 -aS'Zestril\tZestril\tNNP\tB-NP\tO' -p6697 -aS'up\tup\tIN\tB-PRT\tO' -p6698 -aS'and\tand\tCC\tO\tO' -p6699 -aS'atenolol\tatenolol\tNN\tB-NP\tO' -p6700 -aS'as\tas\tIN\tB-SBAR\tO' -p6701 -aS'tolerated\ttolerate\tVBN\tB-VP\tO' -p6702 -aS'.\t.\t.\tO\tO' -p6703 -asS'She was also complaining of fatigue for two weeks but a good appetite and the patient denied weight loss , melena , or bright red blood per rectum .' -p6704 -(lp6705 -S'She\tShe\tPRP\tB-NP\tO' -p6706 -aS'was\tbe\tVBD\tB-VP\tO' -p6707 -aS'also\talso\tRB\tI-VP\tO' -p6708 -aS'complaining\tcomplain\tVBG\tI-VP\tO' -p6709 -aS'of\tof\tIN\tB-PP\tO' -p6710 -aS'fatigue\tfatigue\tNN\tB-NP\tO' -p6711 -aS'for\tfor\tIN\tB-PP\tO' -p6712 -aS'two\ttwo\tCD\tB-NP\tO' -p6713 -aS'weeks\tweek\tNNS\tI-NP\tO' -p6714 -aS'but\tbut\tCC\tO\tO' -p6715 -aS'a\ta\tDT\tB-NP\tO' -p6716 -aS'good\tgood\tJJ\tI-NP\tO' -p6717 -aS'appetite\tappetite\tNN\tI-NP\tO' -p6718 -aS'and\tand\tCC\tO\tO' -p6719 -aS'the\tthe\tDT\tB-NP\tO' -p6720 -aS'patient\tpatient\tNN\tI-NP\tO' -p6721 -aS'denied\tdeny\tVBD\tB-VP\tO' -p6722 -aS'weight\tweight\tNN\tB-NP\tO' -p6723 -aS'loss\tloss\tNN\tI-NP\tO' -p6724 -aS',\t,\t,\tO\tO' -p6725 -aS'melena\tmelena\tNN\tB-NP\tO' -p6726 -aS',\t,\t,\tO\tO' -p6727 -aS'or\tor\tCC\tO\tO' -p6728 -aS'bright\tbright\tJJ\tB-NP\tO' -p6729 -aS'red\tred\tJJ\tI-NP\tO' -p6730 -aS'blood\tblood\tNN\tI-NP\tO' -p6731 -aS'per\tper\tIN\tB-PP\tO' -p6732 -aS'rectum\trectum\tNN\tB-NP\tO' -p6733 -aS'.\t.\t.\tO\tO' -p6734 -asS'States he first developed back pain 5 weeks ago but was still able to ambulate with his cane .' -p6735 -(lp6736 -S'States\tState\tNNS\tB-NP\tB-protein' -p6737 -aS'he\the\tPRP\tB-NP\tI-protein' -p6738 -aS'first\tfirst\tRB\tB-ADVP\tI-protein' -p6739 -aS'developed\tdevelop\tVBD\tB-VP\tI-protein' -p6740 -aS'back\tback\tRB\tB-ADVP\tI-protein' -p6741 -aS'pain\tpain\tNN\tB-NP\tI-protein' -p6742 -aS'5\t5\tCD\tB-NP\tI-protein' -p6743 -aS'weeks\tweek\tNNS\tI-NP\tI-protein' -p6744 -aS'ago\tago\tRB\tB-ADVP\tO' -p6745 -aS'but\tbut\tCC\tO\tO' -p6746 -aS'was\tbe\tVBD\tB-VP\tO' -p6747 -aS'still\tstill\tRB\tB-ADVP\tO' -p6748 -aS'able\table\tJJ\tB-ADJP\tO' -p6749 -aS'to\tto\tTO\tB-VP\tO' -p6750 -aS'ambulate\tambulate\tVB\tI-VP\tO' -p6751 -aS'with\twith\tIN\tB-PP\tO' -p6752 -aS'his\this\tPRP$\tB-NP\tO' -p6753 -aS'cane\tcane\tNN\tI-NP\tO' -p6754 -aS'.\t.\t.\tO\tO' -p6755 -asS'Tubal ligation , 1986 .' -p6756 -(lp6757 -S'Tubal\tTubal\tJJ\tB-NP\tO' -p6758 -aS'ligation\tligation\tNN\tI-NP\tO' -p6759 -aS',\t,\t,\tO\tO' -p6760 -aS'1986\t1986\tCD\tB-NP\tO' -p6761 -aS'.\t.\t.\tO\tO' -p6762 -asS'An nasogastric tube was placed and had an H2 blocker started , and was admitted for bowel rest and decompression .' -p6763 -(lp6764 -S'An\tAn\tDT\tB-NP\tO' -p6765 -aS'nasogastric\tnasogastric\tJJ\tI-NP\tO' -p6766 -aS'tube\ttube\tNN\tI-NP\tO' -p6767 -aS'was\tbe\tVBD\tB-VP\tO' -p6768 -aS'placed\tplace\tVBN\tI-VP\tO' -p6769 -aS'and\tand\tCC\tO\tO' -p6770 -aS'had\thave\tVBD\tB-VP\tO' -p6771 -aS'an\tan\tDT\tB-NP\tO' -p6772 -aS'H2\tH2\tNN\tI-NP\tO' -p6773 -aS'blocker\tblocker\tNN\tI-NP\tO' -p6774 -aS'started\tstart\tVBD\tB-VP\tO' -p6775 -aS',\t,\t,\tO\tO' -p6776 -aS'and\tand\tCC\tO\tO' -p6777 -aS'was\tbe\tVBD\tB-VP\tO' -p6778 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p6779 -aS'for\tfor\tIN\tB-PP\tO' -p6780 -aS'bowel\tbowel\tNN\tB-NP\tO' -p6781 -aS'rest\trest\tNN\tI-NP\tO' -p6782 -aS'and\tand\tCC\tI-NP\tO' -p6783 -aS'decompression\tdecompression\tNN\tI-NP\tO' -p6784 -aS'.\t.\t.\tO\tO' -p6785 -asS'The infant received 48 hours of ampicillin and gentamicin for rule out sepsis .' -p6786 -(lp6787 -S'The\tThe\tDT\tB-NP\tO' -p6788 -aS'infant\tinfant\tNN\tI-NP\tO' -p6789 -aS'received\treceive\tVBD\tB-VP\tO' -p6790 -aS'48\t48\tCD\tB-NP\tO' -p6791 -aS'hours\thour\tNNS\tI-NP\tO' -p6792 -aS'of\tof\tIN\tB-PP\tO' -p6793 -aS'ampicillin\tampicillin\tNN\tB-NP\tO' -p6794 -aS'and\tand\tCC\tI-NP\tO' -p6795 -aS'gentamicin\tgentamicin\tNN\tI-NP\tO' -p6796 -aS'for\tfor\tIN\tB-PP\tO' -p6797 -aS'rule\trule\tNN\tB-NP\tO' -p6798 -aS'out\tout\tIN\tB-PP\tO' -p6799 -aS'sepsis\tsepsis\tNN\tB-NP\tO' -p6800 -aS'.\t.\t.\tO\tO' -p6801 -asS'7. Sorbitol 30 cc every other day .' -p6802 -(lp6803 -S'7.\t7.\tCD\tB-NP\tO' -p6804 -aS'Sorbitol\tSorbitol\tNNP\tI-NP\tO' -p6805 -aS'30\t30\tCD\tI-NP\tO' -p6806 -aS'cc\tcc\tNN\tI-NP\tO' -p6807 -aS'every\tevery\tDT\tB-NP\tO' -p6808 -aS'other\tother\tJJ\tI-NP\tO' -p6809 -aS'day\tday\tNN\tI-NP\tO' -p6810 -aS'.\t.\t.\tO\tO' -p6811 -asS'The patient was discharged home on Coumadin 2.5 mg. po q d , and Ativan and Lomotil prn .' -p6812 -(lp6813 -S'The\tThe\tDT\tB-NP\tO' -p6814 -aS'patient\tpatient\tNN\tI-NP\tO' -p6815 -aS'was\tbe\tVBD\tB-VP\tO' -p6816 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p6817 -aS'home\thome\tNN\tB-ADVP\tO' -p6818 -aS'on\ton\tIN\tB-PP\tO' -p6819 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p6820 -aS'2.5\t2.5\tCD\tI-NP\tO' -p6821 -aS'mg.\tmg.\tNN\tI-NP\tO' -p6822 -aS'po\tpo\tNN\tI-NP\tO' -p6823 -aS'q\tq\tNN\tI-NP\tO' -p6824 -aS'd\td\tNN\tI-NP\tO' -p6825 -aS',\t,\t,\tO\tO' -p6826 -aS'and\tand\tCC\tO\tO' -p6827 -aS'Ativan\tAtivan\tNNP\tB-NP\tO' -p6828 -aS'and\tand\tCC\tI-NP\tO' -p6829 -aS'Lomotil\tLomotil\tNNP\tI-NP\tO' -p6830 -aS'prn\tprn\tNN\tI-NP\tO' -p6831 -aS'.\t.\t.\tO\tO' -p6832 -asS'Baby Alfonso Carroll is a full term infant born at 3.325 kg to a 35-year-old G2 , P1 , now 2 mother .' -p6833 -(lp6834 -S'Baby\tBaby\tNNP\tB-NP\tO' -p6835 -aS'Alfonso\tAlfonso\tNNP\tI-NP\tO' -p6836 -aS'Carroll\tCarroll\tNNP\tI-NP\tO' -p6837 -aS'is\tbe\tVBZ\tB-VP\tO' -p6838 -aS'a\ta\tDT\tB-NP\tO' -p6839 -aS'full\tfull\tJJ\tI-NP\tO' -p6840 -aS'term\tterm\tNN\tI-NP\tO' -p6841 -aS'infant\tinfant\tNN\tI-NP\tO' -p6842 -aS'born\tbear\tVBN\tB-VP\tO' -p6843 -aS'at\tat\tIN\tB-PP\tO' -p6844 -aS'3.325\t3.325\tCD\tB-NP\tO' -p6845 -aS'kg\tkg\tNN\tI-NP\tO' -p6846 -aS'to\tto\tTO\tB-PP\tO' -p6847 -aS'a\ta\tDT\tB-NP\tO' -p6848 -aS'35-year-old\t35-year-old\tJJ\tI-NP\tO' -p6849 -aS'G2\tG2\tNN\tI-NP\tO' -p6850 -aS',\t,\t,\tO\tO' -p6851 -aS'P1\tP1\tNN\tB-NP\tB-DNA' -p6852 -aS',\t,\t,\tO\tO' -p6853 -aS'now\tnow\tRB\tB-ADVP\tO' -p6854 -aS'2\t2\tCD\tB-NP\tO' -p6855 -aS'mother\tmother\tNN\tI-NP\tO' -p6856 -aS'.\t.\t.\tO\tO' -p6857 -asS'The patient had no further complaints and on 2012-03-10 , his white blood cell count was 2.3 , neutrophils 50% , bands 2% , lymphocytes 5% , monocytes 40% , and blasts 1% .' -p6858 -(lp6859 -S'The\tThe\tDT\tB-NP\tO' -p6860 -aS'patient\tpatient\tNN\tI-NP\tO' -p6861 -aS'had\thave\tVBD\tB-VP\tO' -p6862 -aS'no\tno\tDT\tB-NP\tO' -p6863 -aS'further\tfurther\tJJ\tI-NP\tO' -p6864 -aS'complaints\tcomplaint\tNNS\tI-NP\tO' -p6865 -aS'and\tand\tCC\tB-PP\tO' -p6866 -aS'on\ton\tIN\tB-PP\tO' -p6867 -aS'2012-03-10\t2012-03-10\tCD\tB-NP\tO' -p6868 -aS',\t,\t,\tO\tO' -p6869 -aS'his\this\tPRP$\tB-NP\tO' -p6870 -aS'white\twhite\tJJ\tI-NP\tO' -p6871 -aS'blood\tblood\tNN\tI-NP\tO' -p6872 -aS'cell\tcell\tNN\tI-NP\tO' -p6873 -aS'count\tcount\tNN\tI-NP\tO' -p6874 -aS'was\tbe\tVBD\tB-VP\tO' -p6875 -aS'2.3\t2.3\tCD\tB-NP\tO' -p6876 -aS',\t,\t,\tO\tO' -p6877 -aS'neutrophils\tneutrophil\tNNS\tB-NP\tB-cell_type' -p6878 -aS'50%\t50%\tCD\tB-NP\tO' -p6879 -aS',\t,\t,\tO\tO' -p6880 -aS'bands\tband\tNNS\tB-NP\tO' -p6881 -aS'2%\t2%\tNN\tI-NP\tO' -p6882 -aS',\t,\t,\tO\tO' -p6883 -aS'lymphocytes\tlymphocyte\tNNS\tB-NP\tB-cell_type' -p6884 -aS'5%\t5%\tCD\tB-NP\tO' -p6885 -aS',\t,\t,\tO\tO' -p6886 -aS'monocytes\tmonocyte\tNNS\tB-NP\tB-cell_type' -p6887 -aS'40%\t40%\tCD\tB-NP\tO' -p6888 -aS',\t,\t,\tO\tO' -p6889 -aS'and\tand\tCC\tO\tO' -p6890 -aS'blasts\tblast\tNNS\tB-NP\tO' -p6891 -aS'1%\t1%\tNN\tI-NP\tO' -p6892 -aS'.\t.\t.\tO\tO' -p6893 -asS'Soft , nontender , nondistended , normal active bowel sounds , no hepatosplenomegaly .' -p6894 -(lp6895 -S'Soft\tSoft\tRB\tB-ADVP\tO' -p6896 -aS',\t,\t,\tO\tO' -p6897 -aS'nontender\tnontender\tJJ\tB-NP\tO' -p6898 -aS',\t,\t,\tI-NP\tO' -p6899 -aS'nondistended\tnondistended\tJJ\tI-NP\tO' -p6900 -aS',\t,\t,\tI-NP\tO' -p6901 -aS'normal\tnormal\tJJ\tI-NP\tO' -p6902 -aS'active\tactive\tJJ\tI-NP\tO' -p6903 -aS'bowel\tbowel\tNN\tI-NP\tO' -p6904 -aS'sounds\tsound\tNNS\tI-NP\tO' -p6905 -aS',\t,\t,\tO\tO' -p6906 -aS'no\tno\tDT\tB-NP\tO' -p6907 -aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tI-NP\tO' -p6908 -aS'.\t.\t.\tO\tO' -p6909 -asS'1. Amylase-Lipase-Protease 33,200 - 10,000 - 37,500 unit Capsule , Delayed Release ( E.C. ) Sig : Four ( 4 ) Cap PO W/ MEALS AND SNACKS ( ) .' -p6910 -(lp6911 -S'1.\t1.\tLS\tB-LST\tO' -p6912 -aS'Amylase-Lipase-Protease\tAmylase-Lipase-Protease\tNN\tB-NP\tB-protein' -p6913 -aS'33,200\t33,200\tCD\tI-NP\tI-protein' -p6914 -aS'-\t-\tHYPH\tB-NP\tO' -p6915 -aS'10,000\t10,000\tCD\tI-NP\tO' -p6916 -aS'-\t-\tHYPH\tI-NP\tO' -p6917 -aS'37,500\t37,500\tCD\tI-NP\tO' -p6918 -aS'unit\tunit\tNN\tI-NP\tO' -p6919 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p6920 -aS',\t,\t,\tO\tO' -p6921 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p6922 -aS'Release\tRelease\tNNP\tI-NP\tO' -p6923 -aS'(\t(\t(\tO\tO' -p6924 -aS'E.C.\tE.C.\tNNP\tB-NP\tO' -p6925 -aS')\t)\t)\tO\tO' -p6926 -aS'Sig\tSig\tNNP\tB-NP\tO' -p6927 -aS':\t:\t:\tO\tO' -p6928 -aS'Four\tFour\tCD\tB-NP\tO' -p6929 -aS'(\t(\t(\tO\tO' -p6930 -aS'4\t4\tCD\tB-NP\tO' -p6931 -aS')\t)\t)\tO\tO' -p6932 -aS'Cap\tCap\tNNP\tB-NP\tO' -p6933 -aS'PO\tPO\tNNP\tI-NP\tO' -p6934 -aS'W/\tW/\tNNP\tI-NP\tO' -p6935 -aS'MEALS\tMEALS\tNNPS\tI-NP\tB-cell_type' -p6936 -aS'AND\tAND\tCC\tI-NP\tO' -p6937 -aS'SNACKS\tSNACKS\tNNPS\tI-NP\tB-protein' -p6938 -aS'(\t(\t(\tO\tO' -p6939 -aS')\t)\t)\tO\tO' -p6940 -aS'.\t.\t.\tO\tO' -p6941 -asS"The patient 's reticulocyte count showed inadequate production ." -p6942 -(lp6943 -S'The\tThe\tDT\tB-NP\tO' -p6944 -aS'patient\tpatient\tNN\tI-NP\tO' -p6945 -aS"'s\t's\tPOS\tB-NP\tO" -p6946 -aS'reticulocyte\treticulocyte\tNN\tI-NP\tO' -p6947 -aS'count\tcount\tNN\tI-NP\tO' -p6948 -aS'showed\tshow\tVBD\tB-VP\tO' -p6949 -aS'inadequate\tinadequate\tJJ\tB-NP\tO' -p6950 -aS'production\tproduction\tNN\tI-NP\tO' -p6951 -aS'.\t.\t.\tO\tO' -p6952 -asS'Rate 76 .' -p6953 -(lp6954 -S'Rate\tRate\tNN\tB-NP\tO' -p6955 -aS'76\t76\tCD\tI-NP\tO' -p6956 -aS'.\t.\t.\tO\tO' -p6957 -asS'2 hours 25 minutes .' -p6958 -(lp6959 -S'2\t2\tCD\tB-NP\tO' -p6960 -aS'hours\thour\tNNS\tI-NP\tO' -p6961 -aS'25\t25\tCD\tB-NP\tO' -p6962 -aS'minutes\tminute\tNNS\tI-NP\tO' -p6963 -aS'.\t.\t.\tO\tO' -p6964 -asS'In 2003 , there was 19% change of the FEV1 and an 11% change in the FVC with bronchodilators .' -p6965 -(lp6966 -S'In\tIn\tIN\tB-PP\tO' -p6967 -aS'2003\t2003\tCD\tB-NP\tO' -p6968 -aS',\t,\t,\tO\tO' -p6969 -aS'there\tthere\tEX\tB-NP\tO' -p6970 -aS'was\tbe\tVBD\tB-VP\tO' -p6971 -aS'19%\t19%\tCD\tB-NP\tO' -p6972 -aS'change\tchange\tNN\tI-NP\tO' -p6973 -aS'of\tof\tIN\tB-PP\tO' -p6974 -aS'the\tthe\tDT\tB-NP\tO' -p6975 -aS'FEV1\tFEV1\tNN\tI-NP\tO' -p6976 -aS'and\tand\tCC\tO\tO' -p6977 -aS'an\tan\tDT\tB-NP\tO' -p6978 -aS'11%\t11%\tNN\tI-NP\tO' -p6979 -aS'change\tchange\tNN\tI-NP\tO' -p6980 -aS'in\tin\tIN\tB-PP\tO' -p6981 -aS'the\tthe\tDT\tB-NP\tO' -p6982 -aS'FVC\tFVC\tNN\tI-NP\tO' -p6983 -aS'with\twith\tIN\tB-PP\tO' -p6984 -aS'bronchodilators\tbronchodilator\tNNS\tB-NP\tO' -p6985 -aS'.\t.\t.\tO\tO' -p6986 -asS'The patient was discharged home with Terchestlumnesamp Medical Center referral for weekly blood tests , potassium and PT .' -p6987 -(lp6988 -S'The\tThe\tDT\tB-NP\tO' -p6989 -aS'patient\tpatient\tNN\tI-NP\tO' -p6990 -aS'was\tbe\tVBD\tB-VP\tO' -p6991 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p6992 -aS'home\thome\tNN\tB-ADVP\tO' -p6993 -aS'with\twith\tIN\tB-PP\tO' -p6994 -aS'Terchestlumnesamp\tTerchestlumnesamp\tNNP\tB-NP\tO' -p6995 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p6996 -aS'Center\tCenter\tNNP\tI-NP\tO' -p6997 -aS'referral\treferral\tNN\tI-NP\tO' -p6998 -aS'for\tfor\tIN\tB-PP\tO' -p6999 -aS'weekly\tweekly\tJJ\tB-NP\tO' -p7000 -aS'blood\tblood\tNN\tI-NP\tO' -p7001 -aS'tests\ttest\tNNS\tI-NP\tO' -p7002 -aS',\t,\t,\tO\tO' -p7003 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p7004 -aS'and\tand\tCC\tI-NP\tO' -p7005 -aS'PT\tPT\tNN\tI-NP\tO' -p7006 -aS'.\t.\t.\tO\tO' -p7007 -asS'IP was consulted and did a thoracentesis .' -p7008 -(lp7009 -S'IP\tIP\tNN\tB-NP\tB-protein' -p7010 -aS'was\tbe\tVBD\tB-VP\tO' -p7011 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p7012 -aS'and\tand\tCC\tO\tO' -p7013 -aS'did\tdo\tVBD\tB-VP\tO' -p7014 -aS'a\ta\tDT\tB-NP\tO' -p7015 -aS'thoracentesis\tthoracentesis\tNN\tI-NP\tO' -p7016 -aS'.\t.\t.\tO\tO' -p7017 -asS'In ER c/o dyspnea and was noted to have mental status changes .' -p7018 -(lp7019 -S'In\tIn\tIN\tB-PP\tO' -p7020 -aS'ER\tER\tNN\tB-NP\tB-protein' -p7021 -aS'c/o\tc/o\tNN\tI-NP\tO' -p7022 -aS'dyspnea\tdyspnea\tNN\tI-NP\tO' -p7023 -aS'and\tand\tCC\tO\tO' -p7024 -aS'was\tbe\tVBD\tB-VP\tO' -p7025 -aS'noted\tnote\tVBN\tI-VP\tO' -p7026 -aS'to\tto\tTO\tI-VP\tO' -p7027 -aS'have\thave\tVB\tI-VP\tO' -p7028 -aS'mental\tmental\tJJ\tB-NP\tO' -p7029 -aS'status\tstatus\tNN\tI-NP\tO' -p7030 -aS'changes\tchange\tNNS\tI-NP\tO' -p7031 -aS'.\t.\t.\tO\tO' -p7032 -asS'On hospital day 7 , the patient remained afebrile with stable vital signs .' -p7033 -(lp7034 -S'On\tOn\tIN\tB-PP\tO' -p7035 -aS'hospital\thospital\tNN\tB-NP\tO' -p7036 -aS'day\tday\tNN\tI-NP\tO' -p7037 -aS'7\t7\tCD\tI-NP\tO' -p7038 -aS',\t,\t,\tO\tO' -p7039 -aS'the\tthe\tDT\tB-NP\tO' -p7040 -aS'patient\tpatient\tNN\tI-NP\tO' -p7041 -aS'remained\tremain\tVBD\tB-VP\tO' -p7042 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p7043 -aS'with\twith\tIN\tB-PP\tO' -p7044 -aS'stable\tstable\tJJ\tB-NP\tO' -p7045 -aS'vital\tvital\tJJ\tI-NP\tO' -p7046 -aS'signs\tsign\tNNS\tI-NP\tO' -p7047 -aS'.\t.\t.\tO\tO' -p7048 -asS'She has no dyspnea or dysphagia .' -p7049 -(lp7050 -S'She\tShe\tPRP\tB-NP\tO' -p7051 -aS'has\thave\tVBZ\tB-VP\tO' -p7052 -aS'no\tno\tDT\tB-NP\tO' -p7053 -aS'dyspnea\tdyspnea\tNN\tI-NP\tO' -p7054 -aS'or\tor\tCC\tI-NP\tO' -p7055 -aS'dysphagia\tdysphagia\tNN\tI-NP\tO' -p7056 -aS'.\t.\t.\tO\tO' -p7057 -asS'It was unclear whether this was old or new .' -p7058 -(lp7059 -S'It\tIt\tPRP\tB-NP\tO' -p7060 -aS'was\tbe\tVBD\tB-VP\tO' -p7061 -aS'unclear\tunclear\tJJ\tB-ADJP\tO' -p7062 -aS'whether\twhether\tIN\tB-SBAR\tO' -p7063 -aS'this\tthis\tDT\tB-NP\tO' -p7064 -aS'was\tbe\tVBD\tB-VP\tO' -p7065 -aS'old\told\tJJ\tB-ADJP\tO' -p7066 -aS'or\tor\tCC\tI-ADJP\tO' -p7067 -aS'new\tnew\tJJ\tI-ADJP\tO' -p7068 -aS'.\t.\t.\tO\tO' -p7069 -asS'His heart was regular with no murmurs , rubs or gallops and his radial and DP pulses were both 2+ bilaterally and equal .' -p7070 -(lp7071 -S'His\tHis\tPRP$\tB-NP\tO' -p7072 -aS'heart\theart\tNN\tI-NP\tO' -p7073 -aS'was\tbe\tVBD\tB-VP\tO' -p7074 -aS'regular\tregular\tJJ\tB-ADJP\tO' -p7075 -aS'with\twith\tIN\tB-PP\tO' -p7076 -aS'no\tno\tDT\tB-NP\tO' -p7077 -aS'murmurs\tmurmur\tNNS\tI-NP\tO' -p7078 -aS',\t,\t,\tI-NP\tO' -p7079 -aS'rubs\trub\tNNS\tI-NP\tO' -p7080 -aS'or\tor\tCC\tI-NP\tO' -p7081 -aS'gallops\tgallop\tNNS\tI-NP\tO' -p7082 -aS'and\tand\tCC\tO\tO' -p7083 -aS'his\this\tPRP$\tB-NP\tO' -p7084 -aS'radial\tradial\tNN\tI-NP\tO' -p7085 -aS'and\tand\tCC\tI-NP\tO' -p7086 -aS'DP\tDP\tNN\tI-NP\tO' -p7087 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p7088 -aS'were\tbe\tVBD\tB-VP\tO' -p7089 -aS'both\tboth\tDT\tO\tO' -p7090 -aS'2+\t2+\tJJ\tO\tO' -p7091 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p7092 -aS'and\tand\tCC\tO\tO' -p7093 -aS'equal\tequal\tJJ\tB-ADJP\tO' -p7094 -aS'.\t.\t.\tO\tO' -p7095 -asS'Patient was splinted and UE were kept elevated .' -p7096 -(lp7097 -S'Patient\tPatient\tNN\tB-NP\tO' -p7098 -aS'was\tbe\tVBD\tB-VP\tO' -p7099 -aS'splinted\tsplint\tVBN\tI-VP\tO' -p7100 -aS'and\tand\tCC\tO\tO' -p7101 -aS'UE\tUE\tNN\tB-NP\tO' -p7102 -aS'were\tbe\tVBD\tB-VP\tO' -p7103 -aS'kept\tkeep\tVBN\tI-VP\tO' -p7104 -aS'elevated\televate\tVBN\tI-VP\tO' -p7105 -aS'.\t.\t.\tO\tO' -p7106 -asS'SHE TOLERATED THE PROCEDURE AND WAS ADMITTED TO THE INTENSIVE CARE UNIT .' -p7107 -(lp7108 -S'SHE\tSHE\tNN\tB-NP\tO' -p7109 -aS'TOLERATED\tTOLERATED\tVBD\tB-VP\tO' -p7110 -aS'THE\tTHE\tDT\tB-NP\tO' -p7111 -aS'PROCEDURE\tPROCEDURE\tNNP\tI-NP\tO' -p7112 -aS'AND\tAND\tCC\tI-NP\tO' -p7113 -aS'WAS\tWAS\tNNP\tI-NP\tO' -p7114 -aS'ADMITTED\tADMITTED\tVBD\tB-VP\tO' -p7115 -aS'TO\tTO\tTO\tB-PP\tO' -p7116 -aS'THE\tTHE\tDT\tB-NP\tO' -p7117 -aS'INTENSIVE\tINTENSIVE\tNNP\tI-NP\tO' -p7118 -aS'CARE\tCARE\tNNP\tI-NP\tO' -p7119 -aS'UNIT\tUNIT\tNNP\tI-NP\tO' -p7120 -aS'.\t.\t.\tO\tO' -p7121 -asS'Dictated By : James F. Buchanan , M.D.' -p7122 -(lp7123 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p7124 -aS'By\tBy\tIN\tB-PP\tO' -p7125 -aS':\t:\t:\tO\tO' -p7126 -aS'James\tJames\tNNP\tB-NP\tO' -p7127 -aS'F.\tF.\tNNP\tI-NP\tO' -p7128 -aS'Buchanan\tBuchanan\tNNP\tI-NP\tO' -p7129 -aS',\t,\t,\tO\tO' -p7130 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p7131 -asS'50 yo male , h/o CAD s/p stent to LAD in 2011 , Hypercholesterolemia , DM , cocaine abuse , presenting with chest pain .' -p7132 -(lp7133 -S'50\t50\tCD\tB-NP\tO' -p7134 -aS'yo\tyo\tNN\tI-NP\tO' -p7135 -aS'male\tmale\tNN\tI-NP\tO' -p7136 -aS',\t,\t,\tO\tO' -p7137 -aS'h/o\th/o\tNN\tB-NP\tO' -p7138 -aS'CAD\tCAD\tNN\tI-NP\tO' -p7139 -aS's/p\ts/p\tNN\tI-NP\tO' -p7140 -aS'stent\tstent\tNN\tI-NP\tO' -p7141 -aS'to\tto\tTO\tB-PP\tO' -p7142 -aS'LAD\tLAD\tNN\tB-NP\tB-protein' -p7143 -aS'in\tin\tIN\tB-PP\tO' -p7144 -aS'2011\t2011\tCD\tB-NP\tO' -p7145 -aS',\t,\t,\tO\tO' -p7146 -aS'Hypercholesterolemia\tHypercholesterolemia\tNN\tB-NP\tO' -p7147 -aS',\t,\t,\tO\tO' -p7148 -aS'DM\tDM\tNN\tB-NP\tO' -p7149 -aS',\t,\t,\tO\tO' -p7150 -aS'cocaine\tcocaine\tNN\tB-NP\tO' -p7151 -aS'abuse\tabuse\tNN\tI-NP\tO' -p7152 -aS',\t,\t,\tO\tO' -p7153 -aS'presenting\tpresent\tVBG\tB-VP\tO' -p7154 -aS'with\twith\tIN\tB-PP\tO' -p7155 -aS'chest\tchest\tNN\tB-NP\tO' -p7156 -aS'pain\tpain\tNN\tI-NP\tO' -p7157 -aS'.\t.\t.\tO\tO' -p7158 -asS'She had no muscular weakness noted .' -p7159 -(lp7160 -S'She\tShe\tPRP\tB-NP\tO' -p7161 -aS'had\thave\tVBD\tB-VP\tO' -p7162 -aS'no\tno\tDT\tB-NP\tO' -p7163 -aS'muscular\tmuscular\tJJ\tI-NP\tO' -p7164 -aS'weakness\tweakness\tNN\tI-NP\tO' -p7165 -aS'noted\tnote\tVBD\tB-VP\tO' -p7166 -aS'.\t.\t.\tO\tO' -p7167 -asS'After discussion with primary oncologist goals of care where change to comfort .' -p7168 -(lp7169 -S'After\tAfter\tIN\tB-PP\tO' -p7170 -aS'discussion\tdiscussion\tNN\tB-NP\tO' -p7171 -aS'with\twith\tIN\tB-PP\tO' -p7172 -aS'primary\tprimary\tJJ\tB-NP\tO' -p7173 -aS'oncologist\toncologist\tNN\tI-NP\tO' -p7174 -aS'goals\tgoal\tNNS\tI-NP\tO' -p7175 -aS'of\tof\tIN\tB-PP\tO' -p7176 -aS'care\tcare\tNN\tB-NP\tO' -p7177 -aS'where\twhere\tWRB\tB-ADVP\tO' -p7178 -aS'change\tchange\tNN\tB-NP\tO' -p7179 -aS'to\tto\tTO\tB-PP\tO' -p7180 -aS'comfort\tcomfort\tNN\tB-NP\tO' -p7181 -aS'.\t.\t.\tO\tO' -p7182 -asS'Active radiotracer activity in the right lower quadrant in a serpingneous f fashion suggestive of distal small bowel .' -p7183 -(lp7184 -S'Active\tActive\tJJ\tB-NP\tO' -p7185 -aS'radiotracer\tradiotracer\tNN\tI-NP\tO' -p7186 -aS'activity\tactivity\tNN\tI-NP\tO' -p7187 -aS'in\tin\tIN\tB-PP\tO' -p7188 -aS'the\tthe\tDT\tB-NP\tO' -p7189 -aS'right\tright\tJJ\tI-NP\tO' -p7190 -aS'lower\tlow\tJJR\tI-NP\tO' -p7191 -aS'quadrant\tquadrant\tNN\tI-NP\tO' -p7192 -aS'in\tin\tIN\tB-PP\tO' -p7193 -aS'a\ta\tDT\tB-NP\tO' -p7194 -aS'serpingneous\tserpingneous\tJJ\tI-NP\tO' -p7195 -aS'f\tf\tNN\tI-NP\tO' -p7196 -aS'fashion\tfashion\tNN\tI-NP\tO' -p7197 -aS'suggestive\tsuggestive\tJJ\tB-ADJP\tO' -p7198 -aS'of\tof\tIN\tB-PP\tO' -p7199 -aS'distal\tdistal\tJJ\tB-NP\tO' -p7200 -aS'small\tsmall\tJJ\tI-NP\tO' -p7201 -aS'bowel\tbowel\tNN\tI-NP\tO' -p7202 -aS'.\t.\t.\tO\tO' -p7203 -asS'Mother died at 51 metastatic BCA' -p7204 -(lp7205 -S'Mother\tMother\tNNP\tB-NP\tO' -p7206 -aS'died\tdie\tVBD\tB-VP\tO' -p7207 -aS'at\tat\tIN\tB-PP\tO' -p7208 -aS'51\t51\tCD\tB-NP\tO' -p7209 -aS'metastatic\tmetastatic\tJJ\tI-NP\tO' -p7210 -aS'BCA\tBCA\tNN\tI-NP\tO' -p7211 -asS'No acute intracranial hemorrhages or midline shifts were noted , although a soft tissue mass was noted at the level of C2 .' -p7212 -(lp7213 -S'No\tNo\tDT\tB-NP\tO' -p7214 -aS'acute\tacute\tJJ\tI-NP\tO' -p7215 -aS'intracranial\tintracranial\tJJ\tI-NP\tO' -p7216 -aS'hemorrhages\themorrhage\tNNS\tI-NP\tO' -p7217 -aS'or\tor\tCC\tO\tO' -p7218 -aS'midline\tmidline\tNN\tB-NP\tO' -p7219 -aS'shifts\tshift\tNNS\tI-NP\tO' -p7220 -aS'were\tbe\tVBD\tB-VP\tO' -p7221 -aS'noted\tnote\tVBN\tI-VP\tO' -p7222 -aS',\t,\t,\tO\tO' -p7223 -aS'although\talthough\tIN\tB-SBAR\tO' -p7224 -aS'a\ta\tDT\tB-NP\tO' -p7225 -aS'soft\tsoft\tJJ\tI-NP\tO' -p7226 -aS'tissue\ttissue\tNN\tI-NP\tO' -p7227 -aS'mass\tmass\tNN\tI-NP\tO' -p7228 -aS'was\tbe\tVBD\tB-VP\tO' -p7229 -aS'noted\tnote\tVBN\tI-VP\tO' -p7230 -aS'at\tat\tIN\tB-PP\tO' -p7231 -aS'the\tthe\tDT\tB-NP\tO' -p7232 -aS'level\tlevel\tNN\tI-NP\tO' -p7233 -aS'of\tof\tIN\tB-PP\tO' -p7234 -aS'C2\tC2\tNN\tB-NP\tB-protein' -p7235 -aS'.\t.\t.\tO\tO' -p7236 -asS'4 - Visit PCP on Monday at 2:30 No dictated summary' -p7237 -(lp7238 -S'4\t4\tCD\tB-NP\tO' -p7239 -aS'-\t-\tHYPH\tI-NP\tO' -p7240 -aS'Visit\tVisit\tNN\tI-NP\tO' -p7241 -aS'PCP\tPCP\tNN\tI-NP\tO' -p7242 -aS'on\ton\tIN\tB-PP\tO' -p7243 -aS'Monday\tMonday\tNNP\tB-NP\tO' -p7244 -aS'at\tat\tIN\tB-PP\tO' -p7245 -aS'2:30\t2:30\tCD\tB-NP\tO' -p7246 -aS'No\tNo\tDT\tB-NP\tO' -p7247 -aS'dictated\tdictate\tVBN\tI-NP\tO' -p7248 -aS'summary\tsummary\tNN\tI-NP\tO' -p7249 -asS'71 y/o male with dm2 , cad , chf , uc presents with one week of lower abdominal pain and 2 episodes of brpbr on the day of admission .' -p7250 -(lp7251 -S'71\t71\tCD\tB-NP\tO' -p7252 -aS'y/o\ty/o\tNN\tI-NP\tO' -p7253 -aS'male\tmale\tJJ\tB-ADJP\tO' -p7254 -aS'with\twith\tIN\tB-PP\tO' -p7255 -aS'dm2\tdm2\tNN\tB-NP\tO' -p7256 -aS',\t,\t,\tO\tO' -p7257 -aS'cad\tcad\tNN\tB-NP\tO' -p7258 -aS',\t,\t,\tO\tO' -p7259 -aS'chf\tchf\tNN\tB-NP\tO' -p7260 -aS',\t,\t,\tO\tO' -p7261 -aS'uc\tuc\tNN\tB-NP\tO' -p7262 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p7263 -aS'with\twith\tIN\tB-PP\tO' -p7264 -aS'one\tone\tCD\tB-NP\tO' -p7265 -aS'week\tweek\tNN\tI-NP\tO' -p7266 -aS'of\tof\tIN\tB-PP\tO' -p7267 -aS'lower\tlow\tJJR\tB-NP\tO' -p7268 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p7269 -aS'pain\tpain\tNN\tI-NP\tO' -p7270 -aS'and\tand\tCC\tO\tO' -p7271 -aS'2\t2\tCD\tB-NP\tO' -p7272 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p7273 -aS'of\tof\tIN\tB-PP\tO' -p7274 -aS'brpbr\tbrpbr\tNN\tB-NP\tO' -p7275 -aS'on\ton\tIN\tB-PP\tO' -p7276 -aS'the\tthe\tDT\tB-NP\tO' -p7277 -aS'day\tday\tNN\tI-NP\tO' -p7278 -aS'of\tof\tIN\tB-PP\tO' -p7279 -aS'admission\tadmission\tNN\tB-NP\tO' -p7280 -aS'.\t.\t.\tO\tO' -p7281 -asS'Percocet one to two tablets p.o. q.4-6h. p.r.n. , Iron Sulfate 325 mg p.o. b.i.d. , Colace 100 mg b.i.d. , and one Aspirin q.d.' -p7282 -(lp7283 -S'Percocet\tPercocet\tIN\tB-PP\tO' -p7284 -aS'one\tone\tCD\tB-NP\tO' -p7285 -aS'to\tto\tTO\tI-NP\tO' -p7286 -aS'two\ttwo\tCD\tI-NP\tO' -p7287 -aS'tablets\ttablet\tNNS\tI-NP\tO' -p7288 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p7289 -aS'q.4-6h.\tq.4-6h.\tNN\tI-NP\tO' -p7290 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p7291 -aS',\t,\t,\tO\tO' -p7292 -aS'Iron\tIron\tNNP\tB-NP\tO' -p7293 -aS'Sulfate\tSulfate\tNNP\tI-NP\tO' -p7294 -aS'325\t325\tCD\tI-NP\tO' -p7295 -aS'mg\tmg\tNN\tI-NP\tO' -p7296 -aS'p.o.\tp.o.\tFW\tB-ADVP\tO' -p7297 -aS'b.i.d.\tb.i.d.\tFW\tI-ADVP\tO' -p7298 -aS',\t,\t,\tO\tO' -p7299 -aS'Colace\tColace\tNNP\tB-NP\tO' -p7300 -aS'100\t100\tCD\tI-NP\tO' -p7301 -aS'mg\tmg\tNN\tI-NP\tO' -p7302 -aS'b.i.d.\tb.i.d.\tRB\tB-ADVP\tO' -p7303 -aS',\t,\t,\tO\tO' -p7304 -aS'and\tand\tCC\tO\tO' -p7305 -aS'one\tone\tCD\tB-NP\tO' -p7306 -aS'Aspirin\tAspirin\tNN\tI-NP\tO' -p7307 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p7308 -asS'Echocardiogram was obtained which showed moderately depressed left ventricular systolic function as well as hypokinesis of the lower half of septum and apex .' -p7309 -(lp7310 -S'Echocardiogram\tEchocardiogram\tNN\tB-NP\tO' -p7311 -aS'was\tbe\tVBD\tB-VP\tO' -p7312 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p7313 -aS'which\twhich\tWDT\tB-NP\tO' -p7314 -aS'showed\tshow\tVBD\tB-VP\tO' -p7315 -aS'moderately\tmoderately\tRB\tB-NP\tO' -p7316 -aS'depressed\tdepressed\tJJ\tI-NP\tO' -p7317 -aS'left\tleft\tJJ\tI-NP\tO' -p7318 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p7319 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p7320 -aS'function\tfunction\tNN\tI-NP\tO' -p7321 -aS'as\tas\tRB\tB-CONJP\tO' -p7322 -aS'well\twell\tRB\tI-CONJP\tO' -p7323 -aS'as\tas\tIN\tI-CONJP\tO' -p7324 -aS'hypokinesis\thypokinesis\tNN\tB-NP\tO' -p7325 -aS'of\tof\tIN\tB-PP\tO' -p7326 -aS'the\tthe\tDT\tB-NP\tO' -p7327 -aS'lower\tlow\tJJR\tI-NP\tO' -p7328 -aS'half\thalf\tNN\tI-NP\tO' -p7329 -aS'of\tof\tIN\tB-PP\tO' -p7330 -aS'septum\tseptum\tNN\tB-NP\tO' -p7331 -aS'and\tand\tCC\tI-NP\tO' -p7332 -aS'apex\tapex\tNN\tI-NP\tO' -p7333 -aS'.\t.\t.\tO\tO' -p7334 -asS'Due to unknown duration of the chest pain the patient wastransferred urgently to the TGCHO for cardiac catheterization .' -p7335 -(lp7336 -S'Due\tDue\tJJ\tB-PP\tO' -p7337 -aS'to\tto\tTO\tB-PP\tO' -p7338 -aS'unknown\tunknown\tJJ\tB-NP\tO' -p7339 -aS'duration\tduration\tNN\tI-NP\tO' -p7340 -aS'of\tof\tIN\tB-PP\tO' -p7341 -aS'the\tthe\tDT\tB-NP\tO' -p7342 -aS'chest\tchest\tNN\tI-NP\tO' -p7343 -aS'pain\tpain\tVBP\tB-VP\tO' -p7344 -aS'the\tthe\tDT\tB-NP\tO' -p7345 -aS'patient\tpatient\tNN\tI-NP\tO' -p7346 -aS'wastransferred\twastransferre\tVBD\tB-VP\tO' -p7347 -aS'urgently\turgently\tRB\tB-ADVP\tO' -p7348 -aS'to\tto\tTO\tB-PP\tO' -p7349 -aS'the\tthe\tDT\tB-NP\tO' -p7350 -aS'TGCHO\tTGCHO\tNN\tI-NP\tB-protein' -p7351 -aS'for\tfor\tIN\tB-PP\tO' -p7352 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p7353 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p7354 -aS'.\t.\t.\tO\tO' -p7355 -asS'13. Potassium Chloride 20 mEq Tab Sust . Rel . Particle / Crystal Sig : One ( 1 ) Tab Sust . Rel . Particle / Crystal PO once a day .' -p7356 -(lp7357 -S'13.\t13.\tLS\tB-NP\tO' -p7358 -aS'Potassium\tPotassium\tNNP\tI-NP\tO' -p7359 -aS'Chloride\tChloride\tNNP\tI-NP\tO' -p7360 -aS'20\t20\tCD\tI-NP\tO' -p7361 -aS'mEq\tmEq\tNNP\tI-NP\tO' -p7362 -aS'Tab\tTab\tNNP\tI-NP\tB-protein' -p7363 -aS'Sust\tSust\tNNP\tI-NP\tO' -p7364 -aS'.\t.\t.\tI-NP\tO' -p7365 -aS'Rel\tRel\tNNP\tI-NP\tB-protein' -p7366 -aS'.\t.\t.\tI-NP\tO' -p7367 -aS'Particle\tParticle\tNNP\tI-NP\tO' -p7368 -aS'/\t/\tSYM\tB-NP\tO' -p7369 -aS'Crystal\tCrystal\tNNP\tI-NP\tO' -p7370 -aS'Sig\tSig\tNNP\tI-NP\tO' -p7371 -aS':\t:\t:\tO\tO' -p7372 -aS'One\tOne\tCD\tB-NP\tO' -p7373 -aS'(\t(\t(\tO\tO' -p7374 -aS'1\t1\tCD\tB-NP\tO' -p7375 -aS')\t)\t)\tO\tO' -p7376 -aS'Tab\tTab\tNNP\tB-NP\tO' -p7377 -aS'Sust\tSust\tNNP\tI-NP\tO' -p7378 -aS'.\t.\t.\tI-NP\tO' -p7379 -aS'Rel\tRel\tNNP\tI-NP\tB-protein' -p7380 -aS'.\t.\t.\tI-NP\tO' -p7381 -aS'Particle\tParticle\tNNP\tI-NP\tO' -p7382 -aS'/\t/\tSYM\tB-NP\tB-protein' -p7383 -aS'Crystal\tCrystal\tJJ\tI-NP\tI-protein' -p7384 -aS'PO\tPO\tNN\tI-NP\tI-protein' -p7385 -aS'once\tonce\tRB\tB-ADVP\tO' -p7386 -aS'a\ta\tDT\tB-NP\tO' -p7387 -aS'day\tday\tNN\tI-NP\tO' -p7388 -aS'.\t.\t.\tO\tO' -p7389 -asS'REVIEW OF SYSTEMS was negative in detail .' -p7390 -(lp7391 -S'REVIEW\tREVIEW\tNN\tB-NP\tO' -p7392 -aS'OF\tOF\tIN\tB-PP\tO' -p7393 -aS'SYSTEMS\tSYSTEMS\tNN\tB-NP\tO' -p7394 -aS'was\tbe\tVBD\tB-VP\tO' -p7395 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p7396 -aS'in\tin\tIN\tB-PP\tO' -p7397 -aS'detail\tdetail\tNN\tB-NP\tO' -p7398 -aS'.\t.\t.\tO\tO' -p7399 -asS'Episode of AFib that evening treated with amiodarone and converted to SR .' -p7400 -(lp7401 -S'Episode\tEpisode\tNN\tB-NP\tO' -p7402 -aS'of\tof\tIN\tB-PP\tO' -p7403 -aS'AFib\tAFib\tNN\tB-NP\tO' -p7404 -aS'that\tthat\tIN\tB-NP\tO' -p7405 -aS'evening\tevening\tNN\tB-NP\tO' -p7406 -aS'treated\ttreat\tVBN\tB-VP\tO' -p7407 -aS'with\twith\tIN\tB-PP\tO' -p7408 -aS'amiodarone\tamiodarone\tNN\tB-NP\tO' -p7409 -aS'and\tand\tCC\tO\tO' -p7410 -aS'converted\tconvert\tVBN\tB-VP\tO' -p7411 -aS'to\tto\tTO\tB-PP\tO' -p7412 -aS'SR\tSR\tNN\tB-NP\tB-protein' -p7413 -aS'.\t.\t.\tO\tO' -p7414 -asS'However , the patient 's respiratory status continued to decline and we were unable to maintain oxygen saturations above 80% even using reverse I to E ventilation , paralysis , sedation , and other modes of ventilation .' -p7415 -(lp7416 -S'However\tHowever\tRB\tB-ADVP\tO' -p7417 -aS',\t,\t,\tO\tO' -p7418 -aS'the\tthe\tDT\tB-NP\tO' -p7419 -aS'patient\tpatient\tNN\tI-NP\tO' -p7420 -aS''s\t'\tNNS\tI-NP\tO' -p7421 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p7422 -aS'status\tstatus\tNN\tI-NP\tO' -p7423 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p7424 -aS'to\tto\tTO\tI-VP\tO' -p7425 -aS'decline\tdecline\tVB\tI-VP\tO' -p7426 -aS'and\tand\tCC\tO\tO' -p7427 -aS'we\twe\tPRP\tB-NP\tO' -p7428 -aS'were\tbe\tVBD\tB-VP\tO' -p7429 -aS'unable\tunable\tJJ\tB-ADJP\tO' -p7430 -aS'to\tto\tTO\tB-VP\tO' -p7431 -aS'maintain\tmaintain\tVB\tI-VP\tO' -p7432 -aS'oxygen\toxygen\tNN\tB-NP\tO' -p7433 -aS'saturations\tsaturation\tNNS\tI-NP\tO' -p7434 -aS'above\tabove\tIN\tB-PP\tO' -p7435 -aS'80%\t80%\tCD\tB-NP\tO' -p7436 -aS'even\teven\tRB\tI-NP\tO' -p7437 -aS'using\tuse\tVBG\tB-VP\tO' -p7438 -aS'reverse\treverse\tJJ\tB-NP\tO' -p7439 -aS'I\tI\tNN\tI-NP\tO' -p7440 -aS'to\tto\tTO\tB-PP\tO' -p7441 -aS'E\tE\tNN\tB-NP\tO' -p7442 -aS'ventilation\tventilation\tNN\tI-NP\tO' -p7443 -aS',\t,\t,\tO\tO' -p7444 -aS'paralysis\tparalysis\tNN\tB-NP\tO' -p7445 -aS',\t,\t,\tO\tO' -p7446 -aS'sedation\tsedation\tNN\tB-NP\tO' -p7447 -aS',\t,\t,\tO\tO' -p7448 -aS'and\tand\tCC\tO\tO' -p7449 -aS'other\tother\tJJ\tB-NP\tO' -p7450 -aS'modes\tmode\tNNS\tI-NP\tO' -p7451 -aS'of\tof\tIN\tB-PP\tO' -p7452 -aS'ventilation\tventilation\tNN\tB-NP\tO' -p7453 -aS'.\t.\t.\tO\tO' -p7454 -asS'The patient was urinating without difficulty .' -p7455 -(lp7456 -S'The\tThe\tDT\tB-NP\tO' -p7457 -aS'patient\tpatient\tNN\tI-NP\tO' -p7458 -aS'was\tbe\tVBD\tB-VP\tO' -p7459 -aS'urinating\turinate\tVBG\tI-VP\tO' -p7460 -aS'without\twithout\tIN\tB-PP\tO' -p7461 -aS'difficulty\tdifficulty\tNN\tB-NP\tO' -p7462 -aS'.\t.\t.\tO\tO' -p7463 -asS'The patient was started on empiricvancomycin , levofloxacin and Flagyl after the second exploratory laparotomy .' -p7464 -(lp7465 -S'The\tThe\tDT\tB-NP\tO' -p7466 -aS'patient\tpatient\tNN\tI-NP\tO' -p7467 -aS'was\tbe\tVBD\tB-VP\tO' -p7468 -aS'started\tstart\tVBN\tI-VP\tO' -p7469 -aS'on\ton\tIN\tB-PP\tO' -p7470 -aS'empiricvancomycin\tempiricvancomycin\tNN\tB-NP\tO' -p7471 -aS',\t,\t,\tI-NP\tO' -p7472 -aS'levofloxacin\tlevofloxacin\tNN\tI-NP\tO' -p7473 -aS'and\tand\tCC\tI-NP\tO' -p7474 -aS'Flagyl\tFlagyl\tNN\tI-NP\tO' -p7475 -aS'after\tafter\tIN\tB-PP\tO' -p7476 -aS'the\tthe\tDT\tB-NP\tO' -p7477 -aS'second\tsecond\tJJ\tI-NP\tO' -p7478 -aS'exploratory\texploratory\tJJ\tI-NP\tO' -p7479 -aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' -p7480 -aS'.\t.\t.\tO\tO' -p7481 -asS'Meclizine 25 mg po bid .' -p7482 -(lp7483 -S'Meclizine\tMeclizine\tNN\tB-NP\tO' -p7484 -aS'25\t25\tCD\tI-NP\tO' -p7485 -aS'mg\tmg\tNN\tI-NP\tO' -p7486 -aS'po\tpo\tNN\tI-NP\tO' -p7487 -aS'bid\tbid\tNN\tI-NP\tO' -p7488 -aS'.\t.\t.\tO\tO' -p7489 -asS'18. Heparin Lock Flush ( Porcine ) 100 unit / mL Syringe Sig : Two ( 2 ) ML Intravenous DAILY ( Daily ) as needed : 10 ml NS followed by 2 ml of 100 Units / ml heparin ( 200 units heparin ) each lumen Daily and PRN .' -p7490 -(lp7491 -S'18.\t18.\tCD\tB-NP\tO' -p7492 -aS'Heparin\tHeparin\tNNP\tI-NP\tO' -p7493 -aS'Lock\tLock\tNNP\tI-NP\tO' -p7494 -aS'Flush\tFlush\tNNP\tI-NP\tO' -p7495 -aS'(\t(\t(\tO\tO' -p7496 -aS'Porcine\tPorcine\tNN\tB-NP\tO' -p7497 -aS')\t)\t)\tO\tO' -p7498 -aS'100\t100\tCD\tB-NP\tO' -p7499 -aS'unit\tunit\tNN\tI-NP\tO' -p7500 -aS'/\t/\tSYM\tB-NP\tO' -p7501 -aS'mL\tmL\tNN\tI-NP\tO' -p7502 -aS'Syringe\tSyringe\tNNP\tI-NP\tO' -p7503 -aS'Sig\tSig\tNNP\tI-NP\tO' -p7504 -aS':\t:\t:\tO\tO' -p7505 -aS'Two\tTwo\tCD\tB-NP\tO' -p7506 -aS'(\t(\t(\tO\tO' -p7507 -aS'2\t2\tCD\tO\tO' -p7508 -aS')\t)\t)\tO\tO' -p7509 -aS'ML\tML\tNN\tB-NP\tO' -p7510 -aS'Intravenous\tIntravenous\tJJ\tI-NP\tO' -p7511 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p7512 -aS'(\t(\t(\tO\tO' -p7513 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p7514 -aS')\t)\t)\tO\tO' -p7515 -aS'as\tas\tIN\tB-SBAR\tO' -p7516 -aS'needed\tneed\tVBN\tB-VP\tO' -p7517 -aS':\t:\t:\tO\tO' -p7518 -aS'10\t10\tCD\tB-NP\tO' -p7519 -aS'ml\tml\tNN\tI-NP\tO' -p7520 -aS'NS\tNS\tNN\tI-NP\tO' -p7521 -aS'followed\tfollow\tVBN\tB-VP\tO' -p7522 -aS'by\tby\tIN\tB-PP\tO' -p7523 -aS'2\t2\tCD\tB-NP\tO' -p7524 -aS'ml\tml\tNN\tI-NP\tO' -p7525 -aS'of\tof\tIN\tB-PP\tO' -p7526 -aS'100\t100\tCD\tB-NP\tO' -p7527 -aS'Units\tUnit\tNNS\tI-NP\tO' -p7528 -aS'/\t/\tSYM\tO\tO' -p7529 -aS'ml\tml\tNN\tB-NP\tO' -p7530 -aS'heparin\theparin\tNN\tI-NP\tO' -p7531 -aS'(\t(\t(\tO\tO' -p7532 -aS'200\t200\tCD\tB-NP\tO' -p7533 -aS'units\tunit\tNNS\tI-NP\tO' -p7534 -aS'heparin\theparin\tNN\tI-NP\tO' -p7535 -aS')\t)\t)\tO\tO' -p7536 -aS'each\teach\tDT\tB-NP\tO' -p7537 -aS'lumen\tlumen\tNN\tI-NP\tO' -p7538 -aS'Daily\tDaily\tNNP\tB-NP\tO' -p7539 -aS'and\tand\tCC\tO\tO' -p7540 -aS'PRN\tPRN\tNN\tB-NP\tB-protein' -p7541 -aS'.\t.\t.\tO\tO' -p7542 -asS'4. Amiodarone 400 mg q. day .' -p7543 -(lp7544 -S'4.\t4.\tLS\tB-LST\tO' -p7545 -aS'Amiodarone\tAmiodarone\tNN\tB-NP\tO' -p7546 -aS'400\t400\tCD\tI-NP\tO' -p7547 -aS'mg\tmg\tNN\tI-NP\tO' -p7548 -aS'q.\tq.\tNN\tI-NP\tO' -p7549 -aS'day\tday\tNN\tI-NP\tO' -p7550 -aS'.\t.\t.\tO\tO' -p7551 -asS'Pulses were 2+ bilaterally throughout .' -p7552 -(lp7553 -S'Pulses\tPulse\tNNS\tB-NP\tO' -p7554 -aS'were\tbe\tVBD\tB-VP\tO' -p7555 -aS'2+\t2+\tJJ\tB-ADJP\tO' -p7556 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p7557 -aS'throughout\tthroughout\tRB\tI-ADVP\tO' -p7558 -aS'.\t.\t.\tO\tO' -p7559 -asS'She has developed bad thrush in this setting , she is not yet able to swallow and so she is on Nystatin swish and spit five times a day .' -p7560 -(lp7561 -S'She\tShe\tPRP\tB-NP\tO' -p7562 -aS'has\thave\tVBZ\tB-VP\tO' -p7563 -aS'developed\tdevelop\tVBN\tI-VP\tO' -p7564 -aS'bad\tbad\tJJ\tB-NP\tO' -p7565 -aS'thrush\tthrush\tNN\tI-NP\tO' -p7566 -aS'in\tin\tIN\tB-PP\tO' -p7567 -aS'this\tthis\tDT\tB-NP\tO' -p7568 -aS'setting\tsetting\tNN\tI-NP\tO' -p7569 -aS',\t,\t,\tO\tO' -p7570 -aS'she\tshe\tPRP\tB-NP\tO' -p7571 -aS'is\tbe\tVBZ\tB-VP\tO' -p7572 -aS'not\tnot\tRB\tO\tO' -p7573 -aS'yet\tyet\tRB\tB-ADJP\tO' -p7574 -aS'able\table\tJJ\tI-ADJP\tO' -p7575 -aS'to\tto\tTO\tB-VP\tO' -p7576 -aS'swallow\tswallow\tVB\tI-VP\tO' -p7577 -aS'and\tand\tCC\tO\tO' -p7578 -aS'so\tso\tIN\tB-SBAR\tO' -p7579 -aS'she\tshe\tPRP\tB-NP\tO' -p7580 -aS'is\tbe\tVBZ\tB-VP\tO' -p7581 -aS'on\ton\tIN\tB-PP\tO' -p7582 -aS'Nystatin\tNystatin\tNN\tB-NP\tO' -p7583 -aS'swish\tswish\tNN\tI-NP\tO' -p7584 -aS'and\tand\tCC\tO\tO' -p7585 -aS'spit\tspit\tVB\tB-VP\tO' -p7586 -aS'five\tfive\tCD\tB-NP\tO' -p7587 -aS'times\ttime\tNNS\tI-NP\tO' -p7588 -aS'a\ta\tDT\tB-NP\tO' -p7589 -aS'day\tday\tNN\tI-NP\tO' -p7590 -aS'.\t.\t.\tO\tO' -p7591 -asS'The family is invested and involved .' -p7592 -(lp7593 -S'The\tThe\tDT\tB-NP\tO' -p7594 -aS'family\tfamily\tNN\tI-NP\tO' -p7595 -aS'is\tbe\tVBZ\tB-VP\tO' -p7596 -aS'invested\tinvest\tVBN\tI-VP\tO' -p7597 -aS'and\tand\tCC\tI-VP\tO' -p7598 -aS'involved\tinvolve\tVBN\tI-VP\tO' -p7599 -aS'.\t.\t.\tO\tO' -p7600 -asS'She was treated with captopril for hypertension , and this was switched to Norvasc 7.5 mg p.o. q.d. on discharge .' -p7601 -(lp7602 -S'She\tShe\tPRP\tB-NP\tO' -p7603 -aS'was\tbe\tVBD\tB-VP\tO' -p7604 -aS'treated\ttreat\tVBN\tI-VP\tO' -p7605 -aS'with\twith\tIN\tB-PP\tO' -p7606 -aS'captopril\tcaptopril\tNN\tB-NP\tO' -p7607 -aS'for\tfor\tIN\tB-PP\tO' -p7608 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p7609 -aS',\t,\t,\tO\tO' -p7610 -aS'and\tand\tCC\tO\tO' -p7611 -aS'this\tthis\tDT\tB-NP\tO' -p7612 -aS'was\tbe\tVBD\tB-VP\tO' -p7613 -aS'switched\tswitch\tVBN\tI-VP\tO' -p7614 -aS'to\tto\tTO\tI-VP\tO' -p7615 -aS'Norvasc\tNorvasc\tVB\tI-VP\tO' -p7616 -aS'7.5\t7.5\tCD\tB-NP\tO' -p7617 -aS'mg\tmg\tNN\tI-NP\tO' -p7618 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p7619 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p7620 -aS'on\ton\tIN\tB-PP\tO' -p7621 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p7622 -aS'.\t.\t.\tO\tO' -p7623 -asS'He performed serial 7 's accurately .' -p7624 -(lp7625 -S'He\tHe\tPRP\tB-NP\tO' -p7626 -aS'performed\tperform\tVBD\tB-VP\tO' -p7627 -aS'serial\tserial\tJJ\tB-NP\tB-protein' -p7628 -aS'7\t7\tCD\tI-NP\tI-protein' -p7629 -aS''s\t'\tNNS\tI-NP\tI-protein' -p7630 -aS'accurately\taccurately\tRB\tB-ADVP\tO' -p7631 -aS'.\t.\t.\tO\tO' -p7632 -asS'Revealed icteric sclerae , the oropharynx with extensive thrush , and an ulcer under his tongue .' -p7633 -(lp7634 -S'Revealed\tReveal\tVBN\tB-NP\tO' -p7635 -aS'icteric\ticteric\tJJ\tI-NP\tO' -p7636 -aS'sclerae\tsclerae\tNNS\tI-NP\tO' -p7637 -aS',\t,\t,\tO\tO' -p7638 -aS'the\tthe\tDT\tB-NP\tO' -p7639 -aS'oropharynx\toropharynx\tNN\tI-NP\tO' -p7640 -aS'with\twith\tIN\tB-PP\tO' -p7641 -aS'extensive\textensive\tJJ\tB-NP\tO' -p7642 -aS'thrush\tthrush\tNN\tI-NP\tO' -p7643 -aS',\t,\t,\tO\tO' -p7644 -aS'and\tand\tCC\tO\tO' -p7645 -aS'an\tan\tDT\tB-NP\tO' -p7646 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p7647 -aS'under\tunder\tIN\tB-PP\tO' -p7648 -aS'his\this\tPRP$\tB-NP\tO' -p7649 -aS'tongue\ttongue\tNN\tI-NP\tO' -p7650 -aS'.\t.\t.\tO\tO' -p7651 -asS'As the CXR was without any evidence of PNA , or PTX , the pt subsequently received a CTA to evaluate for PE which revealed multifocal bilateral PNA but no PE .' -p7652 -(lp7653 -S'As\tAs\tIN\tB-SBAR\tO' -p7654 -aS'the\tthe\tDT\tB-NP\tO' -p7655 -aS'CXR\tCXR\tNN\tI-NP\tB-protein' -p7656 -aS'was\tbe\tVBD\tB-VP\tO' -p7657 -aS'without\twithout\tIN\tB-PP\tO' -p7658 -aS'any\tany\tDT\tB-NP\tO' -p7659 -aS'evidence\tevidence\tNN\tI-NP\tO' -p7660 -aS'of\tof\tIN\tB-PP\tO' -p7661 -aS'PNA\tPNA\tNN\tB-NP\tO' -p7662 -aS',\t,\t,\tO\tO' -p7663 -aS'or\tor\tCC\tO\tO' -p7664 -aS'PTX\tPTX\tNN\tB-NP\tB-protein' -p7665 -aS',\t,\t,\tO\tO' -p7666 -aS'the\tthe\tDT\tB-NP\tO' -p7667 -aS'pt\tpt\tNN\tI-NP\tO' -p7668 -aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' -p7669 -aS'received\treceive\tVBD\tB-VP\tO' -p7670 -aS'a\ta\tDT\tB-NP\tO' -p7671 -aS'CTA\tCTA\tNN\tI-NP\tB-protein' -p7672 -aS'to\tto\tTO\tB-VP\tO' -p7673 -aS'evaluate\tevaluate\tVB\tI-VP\tO' -p7674 -aS'for\tfor\tIN\tB-PP\tO' -p7675 -aS'PE\tPE\tNN\tB-NP\tO' -p7676 -aS'which\twhich\tWDT\tB-NP\tO' -p7677 -aS'revealed\treveal\tVBD\tB-VP\tO' -p7678 -aS'multifocal\tmultifocal\tJJ\tB-NP\tO' -p7679 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p7680 -aS'PNA\tPNA\tNN\tI-NP\tO' -p7681 -aS'but\tbut\tCC\tO\tO' -p7682 -aS'no\tno\tDT\tB-NP\tO' -p7683 -aS'PE\tPE\tNN\tI-NP\tO' -p7684 -aS'.\t.\t.\tO\tO' -p7685 -asS'Mr. Marian blood sugar was maintained under tight control from 100 to 130 using a regular insulin sliding-scale .' -p7686 -(lp7687 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p7688 -aS'Marian\tMarian\tNNP\tI-NP\tO' -p7689 -aS'blood\tblood\tNN\tI-NP\tO' -p7690 -aS'sugar\tsugar\tNN\tI-NP\tO' -p7691 -aS'was\tbe\tVBD\tB-VP\tO' -p7692 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p7693 -aS'under\tunder\tIN\tB-PP\tO' -p7694 -aS'tight\ttight\tJJ\tB-NP\tO' -p7695 -aS'control\tcontrol\tNN\tI-NP\tO' -p7696 -aS'from\tfrom\tIN\tB-PP\tO' -p7697 -aS'100\t100\tCD\tB-NP\tB-DNA' -p7698 -aS'to\tto\tTO\tB-PP\tI-DNA' -p7699 -aS'130\t130\tCD\tB-NP\tI-DNA' -p7700 -aS'using\tuse\tVBG\tB-VP\tO' -p7701 -aS'a\ta\tDT\tB-NP\tO' -p7702 -aS'regular\tregular\tJJ\tI-NP\tO' -p7703 -aS'insulin\tinsulin\tNN\tI-NP\tO' -p7704 -aS'sliding-scale\tsliding-scale\tJJ\tB-ADJP\tO' -p7705 -aS'.\t.\t.\tO\tO' -p7706 -asS'His examination was largely benign after he was made pain free .' -p7707 -(lp7708 -S'His\tHis\tPRP$\tB-NP\tO' -p7709 -aS'examination\texamination\tNN\tI-NP\tO' -p7710 -aS'was\tbe\tVBD\tB-VP\tO' -p7711 -aS'largely\tlargely\tRB\tB-ADJP\tO' -p7712 -aS'benign\tbenign\tJJ\tI-ADJP\tO' -p7713 -aS'after\tafter\tIN\tB-SBAR\tO' -p7714 -aS'he\the\tPRP\tB-NP\tO' -p7715 -aS'was\tbe\tVBD\tB-VP\tO' -p7716 -aS'made\tmake\tVBN\tI-VP\tO' -p7717 -aS'pain\tpain\tNN\tB-NP\tO' -p7718 -aS'free\tfree\tJJ\tB-ADJP\tO' -p7719 -aS'.\t.\t.\tO\tO' -p7720 -asS'Differential with 72 polys , 16 lymphocytes , 4.6 monocytes , 6.3 eosinophils .' -p7721 -(lp7722 -S'Differential\tDifferential\tJJ\tB-ADJP\tO' -p7723 -aS'with\twith\tIN\tB-PP\tO' -p7724 -aS'72\t72\tCD\tB-NP\tO' -p7725 -aS'polys\tpoly\tNNS\tI-NP\tO' -p7726 -aS',\t,\t,\tO\tO' -p7727 -aS'16\t16\tCD\tB-NP\tO' -p7728 -aS'lymphocytes\tlymphocyte\tNNS\tI-NP\tB-cell_type' -p7729 -aS',\t,\t,\tO\tO' -p7730 -aS'4.6\t4.6\tCD\tB-NP\tO' -p7731 -aS'monocytes\tmonocyte\tNNS\tI-NP\tB-cell_type' -p7732 -aS',\t,\t,\tO\tO' -p7733 -aS'6.3\t6.3\tCD\tB-NP\tO' -p7734 -aS'eosinophils\teosinophil\tNNS\tI-NP\tB-cell_type' -p7735 -aS'.\t.\t.\tO\tO' -p7736 -asS'He was given Levo 750 mg PO X1 , and Flagyl 500 mg PO X1 .' -p7737 -(lp7738 -S'He\tHe\tPRP\tB-NP\tO' -p7739 -aS'was\tbe\tVBD\tB-VP\tO' -p7740 -aS'given\tgive\tVBN\tI-VP\tO' -p7741 -aS'Levo\tLevo\tNNP\tB-NP\tO' -p7742 -aS'750\t750\tCD\tI-NP\tO' -p7743 -aS'mg\tmg\tNN\tI-NP\tO' -p7744 -aS'PO\tPO\tNN\tI-NP\tO' -p7745 -aS'X1\tX1\tNN\tI-NP\tO' -p7746 -aS',\t,\t,\tO\tO' -p7747 -aS'and\tand\tCC\tO\tO' -p7748 -aS'Flagyl\tFlagyl\tNN\tB-NP\tB-protein' -p7749 -aS'500\t500\tCD\tI-NP\tI-protein' -p7750 -aS'mg\tmg\tNN\tI-NP\tI-protein' -p7751 -aS'PO\tPO\tNN\tI-NP\tI-protein' -p7752 -aS'X1\tX1\tNN\tI-NP\tI-protein' -p7753 -aS'.\t.\t.\tO\tO' -p7754 -asS'Left lower extremity and left upper extremity weaker at 3/5 compared to right upper extremity and right lower extremity , chronic according to the patient .' -p7755 -(lp7756 -S'Left\tLeave\tVBN\tB-VP\tO' -p7757 -aS'lower\tlow\tJJR\tB-NP\tO' -p7758 -aS'extremity\textremity\tNN\tI-NP\tO' -p7759 -aS'and\tand\tCC\tO\tO' -p7760 -aS'left\tleave\tVBD\tB-VP\tO' -p7761 -aS'upper\tupper\tJJ\tB-NP\tO' -p7762 -aS'extremity\textremity\tNN\tI-NP\tO' -p7763 -aS'weaker\tweak\tJJR\tB-ADJP\tO' -p7764 -aS'at\tat\tIN\tB-PP\tO' -p7765 -aS'3/5\t3/5\tCD\tB-NP\tO' -p7766 -aS'compared\tcompare\tVBN\tB-VP\tO' -p7767 -aS'to\tto\tTO\tB-PP\tO' -p7768 -aS'right\tright\tJJ\tB-NP\tO' -p7769 -aS'upper\tupper\tJJ\tI-NP\tO' -p7770 -aS'extremity\textremity\tNN\tI-NP\tO' -p7771 -aS'and\tand\tCC\tO\tO' -p7772 -aS'right\tright\tRB\tB-NP\tO' -p7773 -aS'lower\tlow\tJJR\tI-NP\tO' -p7774 -aS'extremity\textremity\tNN\tI-NP\tO' -p7775 -aS',\t,\t,\tO\tO' -p7776 -aS'chronic\tchronic\tJJ\tB-ADJP\tO' -p7777 -aS'according\taccord\tVBG\tB-PP\tO' -p7778 -aS'to\tto\tTO\tB-PP\tO' -p7779 -aS'the\tthe\tDT\tB-NP\tO' -p7780 -aS'patient\tpatient\tNN\tI-NP\tO' -p7781 -aS'.\t.\t.\tO\tO' -p7782 -asS'Small right pleural effusion is stable .' -p7783 -(lp7784 -S'Small\tSmall\tJJ\tB-NP\tO' -p7785 -aS'right\tright\tJJ\tI-NP\tO' -p7786 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p7787 -aS'effusion\teffusion\tNN\tI-NP\tO' -p7788 -aS'is\tbe\tVBZ\tB-VP\tO' -p7789 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p7790 -aS'.\t.\t.\tO\tO' -p7791 -asS'2. Laparoscopic cholecystectomy in May , 2002 .' -p7792 -(lp7793 -S'2.\t2.\tLS\tB-NP\tO' -p7794 -aS'Laparoscopic\tLaparoscopic\tJJ\tI-NP\tO' -p7795 -aS'cholecystectomy\tcholecystectomy\tNN\tI-NP\tO' -p7796 -aS'in\tin\tIN\tB-PP\tO' -p7797 -aS'May\tMay\tNNP\tB-NP\tO' -p7798 -aS',\t,\t,\tO\tO' -p7799 -aS'2002\t2002\tCD\tB-NP\tO' -p7800 -aS'.\t.\t.\tO\tO' -p7801 -asS'Status post total abdominal hysterectomy , bilateral salpingo- oophorectomy .' -p7802 -(lp7803 -S'Status\tStatus\tNNP\tB-NP\tO' -p7804 -aS'post\tpost\tVBD\tB-VP\tO' -p7805 -aS'total\ttotal\tJJ\tB-NP\tO' -p7806 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p7807 -aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' -p7808 -aS',\t,\t,\tO\tO' -p7809 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p7810 -aS'salpingo-\tsalpingo-\tNN\tI-NP\tO' -p7811 -aS'oophorectomy\toophorectomy\tNN\tI-NP\tO' -p7812 -aS'.\t.\t.\tO\tO' -p7813 -asS'I - heparin for PTT 50-70 durin enzyme leak . metoprolol 12 QID .' -p7814 -(lp7815 -S'I\tI\tCD\tB-NP\tO' -p7816 -aS'-\t-\tHYPH\tI-NP\tO' -p7817 -aS'heparin\theparin\tNN\tI-NP\tO' -p7818 -aS'for\tfor\tIN\tB-PP\tO' -p7819 -aS'PTT\tPTT\tNN\tB-NP\tO' -p7820 -aS'50-70\t50-70\tCD\tI-NP\tO' -p7821 -aS'durin\tdurin\tNN\tI-NP\tO' -p7822 -aS'enzyme\tenzyme\tNN\tI-NP\tO' -p7823 -aS'leak\tleak\tNN\tI-NP\tO' -p7824 -aS'.\t.\t.\tO\tO' -p7825 -aS'metoprolol\tmetoprolol\tNN\tB-NP\tO' -p7826 -aS'12\t12\tCD\tI-NP\tO' -p7827 -aS'QID\tQID\tNN\tI-NP\tO' -p7828 -aS'.\t.\t.\tO\tO' -p7829 -asS'2 plus femoral pulses were noted .' -p7830 -(lp7831 -S'2\t2\tCD\tB-NP\tO' -p7832 -aS'plus\tplus\tCC\tO\tO' -p7833 -aS'femoral\tfemoral\tJJ\tB-NP\tO' -p7834 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p7835 -aS'were\tbe\tVBD\tB-VP\tO' -p7836 -aS'noted\tnote\tVBN\tI-VP\tO' -p7837 -aS'.\t.\t.\tO\tO' -p7838 -asS'The past medical history is as above .' -p7839 -(lp7840 -S'The\tThe\tDT\tB-NP\tO' -p7841 -aS'past\tpast\tJJ\tI-NP\tO' -p7842 -aS'medical\tmedical\tJJ\tI-NP\tO' -p7843 -aS'history\thistory\tNN\tI-NP\tO' -p7844 -aS'is\tbe\tVBZ\tB-VP\tO' -p7845 -aS'as\tas\tRB\tB-ADJP\tO' -p7846 -aS'above\tabove\tJJ\tI-ADJP\tO' -p7847 -aS'.\t.\t.\tO\tO' -p7848 -asS'The patient was admitted with a right occipital cerebral infarction .' -p7849 -(lp7850 -S'The\tThe\tDT\tB-NP\tO' -p7851 -aS'patient\tpatient\tNN\tI-NP\tO' -p7852 -aS'was\tbe\tVBD\tB-VP\tO' -p7853 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p7854 -aS'with\twith\tIN\tB-PP\tO' -p7855 -aS'a\ta\tDT\tB-NP\tO' -p7856 -aS'right\tright\tJJ\tI-NP\tO' -p7857 -aS'occipital\toccipital\tNN\tI-NP\tO' -p7858 -aS'cerebral\tcerebral\tJJ\tI-NP\tO' -p7859 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p7860 -aS'.\t.\t.\tO\tO' -p7861 -asS'Father and brother died of PE .' -p7862 -(lp7863 -S'Father\tFather\tNN\tB-NP\tO' -p7864 -aS'and\tand\tCC\tI-NP\tO' -p7865 -aS'brother\tbrother\tNN\tI-NP\tO' -p7866 -aS'died\tdie\tVBD\tB-VP\tO' -p7867 -aS'of\tof\tIN\tB-PP\tO' -p7868 -aS'PE\tPE\tNN\tB-NP\tO' -p7869 -aS'.\t.\t.\tO\tO' -p7870 -asS'His PPD has been negative one year prior to admission , PPD was rechecked during this admission and was negative .' -p7871 -(lp7872 -S'His\tHis\tPRP$\tB-NP\tO' -p7873 -aS'PPD\tPPD\tNN\tI-NP\tB-protein' -p7874 -aS'has\thave\tVBZ\tB-VP\tO' -p7875 -aS'been\tbe\tVBN\tI-VP\tO' -p7876 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p7877 -aS'one\tone\tCD\tB-NP\tO' -p7878 -aS'year\tyear\tNN\tI-NP\tO' -p7879 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p7880 -aS'to\tto\tTO\tB-PP\tO' -p7881 -aS'admission\tadmission\tNN\tB-NP\tO' -p7882 -aS',\t,\t,\tO\tO' -p7883 -aS'PPD\tPPD\tNN\tB-NP\tB-protein' -p7884 -aS'was\tbe\tVBD\tB-VP\tO' -p7885 -aS'rechecked\trechecke\tVBN\tI-VP\tO' -p7886 -aS'during\tduring\tIN\tB-PP\tO' -p7887 -aS'this\tthis\tDT\tB-NP\tO' -p7888 -aS'admission\tadmission\tNN\tI-NP\tO' -p7889 -aS'and\tand\tCC\tO\tO' -p7890 -aS'was\tbe\tVBD\tB-VP\tO' -p7891 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p7892 -aS'.\t.\t.\tO\tO' -p7893 -asS'Subarachnoid hemorrhage is another possible explanation .' -p7894 -(lp7895 -S'Subarachnoid\tSubarachnoid\tJJ\tB-NP\tO' -p7896 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p7897 -aS'is\tbe\tVBZ\tB-VP\tO' -p7898 -aS'another\tanother\tDT\tB-NP\tO' -p7899 -aS'possible\tpossible\tJJ\tI-NP\tO' -p7900 -aS'explanation\texplanation\tNN\tI-NP\tO' -p7901 -aS'.\t.\t.\tO\tO' -p7902 -asS"The patient 's pain postoperatively was controlled with an epidural catheter ." -p7903 -(lp7904 -S'The\tThe\tDT\tB-NP\tO' -p7905 -aS'patient\tpatient\tNN\tI-NP\tO' -p7906 -aS"'s\t's\tPOS\tB-NP\tO" -p7907 -aS'pain\tpain\tNN\tI-NP\tO' -p7908 -aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' -p7909 -aS'was\tbe\tVBD\tB-VP\tO' -p7910 -aS'controlled\tcontrol\tVBN\tI-VP\tO' -p7911 -aS'with\twith\tIN\tB-PP\tO' -p7912 -aS'an\tan\tDT\tB-NP\tO' -p7913 -aS'epidural\tepidural\tJJ\tI-NP\tO' -p7914 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p7915 -aS'.\t.\t.\tO\tO' -p7916 -asS'The situation was reviewed with his wife , Sligh .' -p7917 -(lp7918 -S'The\tThe\tDT\tB-NP\tO' -p7919 -aS'situation\tsituation\tNN\tI-NP\tO' -p7920 -aS'was\tbe\tVBD\tB-VP\tO' -p7921 -aS'reviewed\treview\tVBN\tI-VP\tO' -p7922 -aS'with\twith\tIN\tB-PP\tO' -p7923 -aS'his\this\tPRP$\tB-NP\tO' -p7924 -aS'wife\twife\tNN\tI-NP\tO' -p7925 -aS',\t,\t,\tO\tO' -p7926 -aS'Sligh\tSligh\tNNP\tB-NP\tO' -p7927 -aS'.\t.\t.\tO\tO' -p7928 -asS'Her daughters came by and visited her , and reported that she was at her baseline mental status on the day prior to discharge .' -p7929 -(lp7930 -S'Her\tHer\tPRP$\tB-NP\tO' -p7931 -aS'daughters\tdaughter\tNNS\tI-NP\tO' -p7932 -aS'came\tcome\tVBD\tB-VP\tO' -p7933 -aS'by\tby\tIN\tB-PP\tO' -p7934 -aS'and\tand\tCC\tO\tO' -p7935 -aS'visited\tvisit\tVBD\tB-VP\tO' -p7936 -aS'her\ther\tPRP\tB-NP\tO' -p7937 -aS',\t,\t,\tO\tO' -p7938 -aS'and\tand\tCC\tO\tO' -p7939 -aS'reported\treport\tVBD\tB-VP\tO' -p7940 -aS'that\tthat\tIN\tB-SBAR\tO' -p7941 -aS'she\tshe\tPRP\tB-NP\tO' -p7942 -aS'was\tbe\tVBD\tB-VP\tO' -p7943 -aS'at\tat\tIN\tB-PP\tO' -p7944 -aS'her\ther\tPRP$\tB-NP\tO' -p7945 -aS'baseline\tbaseline\tNN\tI-NP\tO' -p7946 -aS'mental\tmental\tJJ\tI-NP\tO' -p7947 -aS'status\tstatus\tNN\tI-NP\tO' -p7948 -aS'on\ton\tIN\tB-PP\tO' -p7949 -aS'the\tthe\tDT\tB-NP\tO' -p7950 -aS'day\tday\tNN\tI-NP\tO' -p7951 -aS'prior\tprior\tRB\tB-ADVP\tO' -p7952 -aS'to\tto\tTO\tB-VP\tO' -p7953 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p7954 -aS'.\t.\t.\tO\tO' -p7955 -asS'Blood cultures remained negative at this time .' -p7956 -(lp7957 -S'Blood\tBlood\tNN\tB-NP\tB-cell_line' -p7958 -aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' -p7959 -aS'remained\tremain\tVBD\tB-VP\tO' -p7960 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p7961 -aS'at\tat\tIN\tB-PP\tO' -p7962 -aS'this\tthis\tDT\tB-NP\tO' -p7963 -aS'time\ttime\tNN\tI-NP\tO' -p7964 -aS'.\t.\t.\tO\tO' -p7965 -asS"After the termination of resuscitation , both the anesthesia Intensive Care Unit attending and the surgical attending were present to discuss the proceedings events with the patient 's family members including his next of kin , his mother ." -p7966 -(lp7967 -S'After\tAfter\tIN\tB-PP\tO' -p7968 -aS'the\tthe\tDT\tB-NP\tO' -p7969 -aS'termination\ttermination\tNN\tI-NP\tO' -p7970 -aS'of\tof\tIN\tB-PP\tO' -p7971 -aS'resuscitation\tresuscitation\tNN\tB-NP\tO' -p7972 -aS',\t,\t,\tO\tO' -p7973 -aS'both\tboth\tCC\tO\tO' -p7974 -aS'the\tthe\tDT\tB-NP\tO' -p7975 -aS'anesthesia\tanesthesia\tNN\tI-NP\tO' -p7976 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p7977 -aS'Care\tCare\tNNP\tI-NP\tO' -p7978 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p7979 -aS'attending\tattend\tVBG\tB-VP\tO' -p7980 -aS'and\tand\tCC\tO\tO' -p7981 -aS'the\tthe\tDT\tB-NP\tO' -p7982 -aS'surgical\tsurgical\tJJ\tI-NP\tO' -p7983 -aS'attending\tattending\tNN\tI-NP\tO' -p7984 -aS'were\tbe\tVBD\tB-VP\tO' -p7985 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p7986 -aS'to\tto\tTO\tB-VP\tO' -p7987 -aS'discuss\tdiscuss\tVB\tI-VP\tO' -p7988 -aS'the\tthe\tDT\tB-NP\tO' -p7989 -aS'proceedings\tproceeding\tNNS\tI-NP\tO' -p7990 -aS'events\tevent\tNNS\tI-NP\tO' -p7991 -aS'with\twith\tIN\tB-PP\tO' -p7992 -aS'the\tthe\tDT\tB-NP\tO' -p7993 -aS'patient\tpatient\tNN\tI-NP\tO' -p7994 -aS"'s\t's\tPOS\tB-NP\tO" -p7995 -aS'family\tfamily\tNN\tI-NP\tO' -p7996 -aS'members\tmember\tNNS\tI-NP\tO' -p7997 -aS'including\tinclude\tVBG\tB-PP\tO' -p7998 -aS'his\this\tPRP$\tB-NP\tO' -p7999 -aS'next\tnext\tNN\tI-NP\tO' -p8000 -aS'of\tof\tIN\tB-PP\tO' -p8001 -aS'kin\tkin\tNN\tB-NP\tO' -p8002 -aS',\t,\t,\tO\tO' -p8003 -aS'his\this\tPRP$\tB-NP\tO' -p8004 -aS'mother\tmother\tNN\tI-NP\tO' -p8005 -aS'.\t.\t.\tO\tO' -p8006 -asS'Respiratory rate 20 .' -p8007 -(lp8008 -S'Respiratory\tRespiratory\tJJ\tB-NP\tO' -p8009 -aS'rate\trate\tNN\tI-NP\tO' -p8010 -aS'20\t20\tCD\tI-NP\tO' -p8011 -aS'.\t.\t.\tO\tO' -p8012 -asS'Blood cultures were pertinent for one bottle of gram - positive coagulase - negative Staphylococcus which grew from 08-25 .' -p8013 -(lp8014 -S'Blood\tBlood\tNN\tB-NP\tB-cell_line' -p8015 -aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' -p8016 -aS'were\tbe\tVBD\tB-VP\tO' -p8017 -aS'pertinent\tpertinent\tJJ\tB-ADJP\tO' -p8018 -aS'for\tfor\tIN\tB-PP\tO' -p8019 -aS'one\tone\tCD\tB-NP\tO' -p8020 -aS'bottle\tbottle\tNN\tI-NP\tO' -p8021 -aS'of\tof\tIN\tB-PP\tO' -p8022 -aS'gram\tgram\tNN\tB-NP\tB-protein' -p8023 -aS'-\t-\tHYPH\tB-NP\tI-protein' -p8024 -aS'positive\tpositive\tJJ\tI-NP\tI-protein' -p8025 -aS'coagulase\tcoagulase\tNN\tI-NP\tI-protein' -p8026 -aS'-\t-\tHYPH\tB-NP\tO' -p8027 -aS'negative\tnegative\tJJ\tI-NP\tO' -p8028 -aS'Staphylococcus\tStaphylococcus\tNN\tI-NP\tO' -p8029 -aS'which\twhich\tWDT\tB-NP\tO' -p8030 -aS'grew\tgrow\tVBD\tB-VP\tO' -p8031 -aS'from\tfrom\tIN\tB-PP\tO' -p8032 -aS'08-25\t08-25\tCD\tB-NP\tO' -p8033 -aS'.\t.\t.\tO\tO' -p8034 -asS'The patient denies any recent upper respiratory infections , no fevers , no chills , no change in cough , sputum .' -p8035 -(lp8036 -S'The\tThe\tDT\tB-NP\tO' -p8037 -aS'patient\tpatient\tNN\tI-NP\tO' -p8038 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p8039 -aS'any\tany\tDT\tB-NP\tO' -p8040 -aS'recent\trecent\tJJ\tI-NP\tO' -p8041 -aS'upper\tupper\tJJ\tI-NP\tO' -p8042 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p8043 -aS'infections\tinfection\tNNS\tI-NP\tO' -p8044 -aS',\t,\t,\tO\tO' -p8045 -aS'no\tno\tDT\tB-NP\tO' -p8046 -aS'fevers\tfever\tNNS\tI-NP\tO' -p8047 -aS',\t,\t,\tO\tO' -p8048 -aS'no\tno\tDT\tB-NP\tO' -p8049 -aS'chills\tchill\tNNS\tI-NP\tO' -p8050 -aS',\t,\t,\tO\tO' -p8051 -aS'no\tno\tDT\tB-NP\tO' -p8052 -aS'change\tchange\tNN\tI-NP\tO' -p8053 -aS'in\tin\tIN\tB-PP\tO' -p8054 -aS'cough\tcough\tNN\tB-NP\tO' -p8055 -aS',\t,\t,\tO\tO' -p8056 -aS'sputum\tsputum\tNN\tB-NP\tO' -p8057 -aS'.\t.\t.\tO\tO' -p8058 -asS'He had a TEE on 2019-01-22 which revealed thickened mitral leaflets with small vegetations on both anterior and posterior leaflets with moderate to severe mitral regurgitation .' -p8059 -(lp8060 -S'He\tHe\tPRP\tB-NP\tO' -p8061 -aS'had\thave\tVBD\tB-VP\tO' -p8062 -aS'a\ta\tDT\tB-NP\tO' -p8063 -aS'TEE\tTEE\tNN\tI-NP\tO' -p8064 -aS'on\ton\tIN\tB-PP\tO' -p8065 -aS'2019-01-22\t2019-01-22\tCD\tB-NP\tO' -p8066 -aS'which\twhich\tWDT\tB-NP\tO' -p8067 -aS'revealed\treveal\tVBD\tB-VP\tO' -p8068 -aS'thickened\tthicken\tVBN\tI-VP\tO' -p8069 -aS'mitral\tmitral\tJJ\tB-NP\tO' -p8070 -aS'leaflets\tleaflet\tNNS\tI-NP\tO' -p8071 -aS'with\twith\tIN\tB-PP\tO' -p8072 -aS'small\tsmall\tJJ\tB-NP\tO' -p8073 -aS'vegetations\tvegetation\tNNS\tI-NP\tO' -p8074 -aS'on\ton\tIN\tB-PP\tO' -p8075 -aS'both\tboth\tCC\tB-NP\tO' -p8076 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p8077 -aS'and\tand\tCC\tI-NP\tO' -p8078 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p8079 -aS'leaflets\tleaflet\tNNS\tI-NP\tO' -p8080 -aS'with\twith\tIN\tB-PP\tO' -p8081 -aS'moderate\tmoderate\tJJ\tB-ADJP\tO' -p8082 -aS'to\tto\tTO\tB-PP\tO' -p8083 -aS'severe\tsevere\tJJ\tB-NP\tO' -p8084 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p8085 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p8086 -aS'.\t.\t.\tO\tO' -p8087 -asS'Maximum mechanical ventilation PIP 26 , PEEP 6 , rate of 25 , maximum FIO2 35 percent .' -p8088 -(lp8089 -S'Maximum\tMaximum\tJJ\tB-NP\tO' -p8090 -aS'mechanical\tmechanical\tJJ\tI-NP\tO' -p8091 -aS'ventilation\tventilation\tNN\tI-NP\tO' -p8092 -aS'PIP\tPIP\tNN\tI-NP\tO' -p8093 -aS'26\t26\tCD\tI-NP\tO' -p8094 -aS',\t,\t,\tO\tO' -p8095 -aS'PEEP\tPEEP\tNN\tB-NP\tB-protein' -p8096 -aS'6\t6\tCD\tI-NP\tI-protein' -p8097 -aS',\t,\t,\tO\tO' -p8098 -aS'rate\trate\tNN\tB-NP\tO' -p8099 -aS'of\tof\tIN\tB-PP\tO' -p8100 -aS'25\t25\tCD\tB-NP\tO' -p8101 -aS',\t,\t,\tO\tO' -p8102 -aS'maximum\tmaximum\tJJ\tB-NP\tO' -p8103 -aS'FIO2\tFIO2\tCD\tI-NP\tO' -p8104 -aS'35\t35\tCD\tI-NP\tO' -p8105 -aS'percent\tpercent\tNN\tI-NP\tO' -p8106 -aS'.\t.\t.\tO\tO' -p8107 -asS'Pelvic mass , benign mucinous cystadenoma .' -p8108 -(lp8109 -S'Pelvic\tPelvic\tJJ\tB-NP\tO' -p8110 -aS'mass\tmass\tNN\tI-NP\tO' -p8111 -aS',\t,\t,\tO\tO' -p8112 -aS'benign\tbenign\tJJ\tB-NP\tO' -p8113 -aS'mucinous\tmucinous\tJJ\tI-NP\tO' -p8114 -aS'cystadenoma\tcystadenoma\tNN\tI-NP\tO' -p8115 -aS'.\t.\t.\tO\tO' -p8116 -asS'The opinion of the Renal consult was that this was permanent and non-reversible renal failure since it did not improve with dialysis and the patient will continue on dialysis three times per week .' -p8117 -(lp8118 -S'The\tThe\tDT\tB-NP\tO' -p8119 -aS'opinion\topinion\tNN\tI-NP\tO' -p8120 -aS'of\tof\tIN\tB-PP\tO' -p8121 -aS'the\tthe\tDT\tB-NP\tO' -p8122 -aS'Renal\tRenal\tJJ\tI-NP\tO' -p8123 -aS'consult\tconsult\tNN\tI-NP\tO' -p8124 -aS'was\tbe\tVBD\tB-VP\tO' -p8125 -aS'that\tthat\tIN\tB-SBAR\tO' -p8126 -aS'this\tthis\tDT\tB-NP\tO' -p8127 -aS'was\tbe\tVBD\tB-VP\tO' -p8128 -aS'permanent\tpermanent\tJJ\tB-NP\tO' -p8129 -aS'and\tand\tCC\tI-NP\tO' -p8130 -aS'non-reversible\tnon-reversible\tJJ\tI-NP\tO' -p8131 -aS'renal\trenal\tJJ\tI-NP\tO' -p8132 -aS'failure\tfailure\tNN\tI-NP\tO' -p8133 -aS'since\tsince\tIN\tB-SBAR\tO' -p8134 -aS'it\tit\tPRP\tB-NP\tO' -p8135 -aS'did\tdo\tVBD\tB-VP\tO' -p8136 -aS'not\tnot\tRB\tI-VP\tO' -p8137 -aS'improve\timprove\tVB\tI-VP\tO' -p8138 -aS'with\twith\tIN\tB-PP\tO' -p8139 -aS'dialysis\tdialysis\tNN\tB-NP\tO' -p8140 -aS'and\tand\tCC\tO\tO' -p8141 -aS'the\tthe\tDT\tB-NP\tO' -p8142 -aS'patient\tpatient\tNN\tI-NP\tO' -p8143 -aS'will\twill\tMD\tB-VP\tO' -p8144 -aS'continue\tcontinue\tVB\tI-VP\tO' -p8145 -aS'on\ton\tIN\tB-PP\tO' -p8146 -aS'dialysis\tdialysis\tNN\tB-NP\tO' -p8147 -aS'three\tthree\tCD\tB-NP\tO' -p8148 -aS'times\ttime\tNNS\tI-NP\tO' -p8149 -aS'per\tper\tIN\tB-PP\tO' -p8150 -aS'week\tweek\tNN\tB-NP\tO' -p8151 -aS'.\t.\t.\tO\tO' -p8152 -asS'On this echocardiogram , he was found to have mildly dilated left atrium , mild symmetric left ventricular hypertrophy , and a normal ejection fraction of greater than 55% .' -p8153 -(lp8154 -S'On\tOn\tIN\tB-PP\tO' -p8155 -aS'this\tthis\tDT\tB-NP\tO' -p8156 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p8157 -aS',\t,\t,\tO\tO' -p8158 -aS'he\the\tPRP\tB-NP\tO' -p8159 -aS'was\tbe\tVBD\tB-VP\tO' -p8160 -aS'found\tfind\tVBN\tI-VP\tO' -p8161 -aS'to\tto\tTO\tI-VP\tO' -p8162 -aS'have\thave\tVB\tI-VP\tO' -p8163 -aS'mildly\tmildly\tRB\tI-VP\tO' -p8164 -aS'dilated\tdilate\tVBN\tI-VP\tO' -p8165 -aS'left\tleft\tJJ\tB-NP\tO' -p8166 -aS'atrium\tatrium\tNN\tI-NP\tO' -p8167 -aS',\t,\t,\tO\tO' -p8168 -aS'mild\tmild\tJJ\tB-NP\tO' -p8169 -aS'symmetric\tsymmetric\tJJ\tI-NP\tO' -p8170 -aS'left\tleft\tJJ\tI-NP\tO' -p8171 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p8172 -aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' -p8173 -aS',\t,\t,\tO\tO' -p8174 -aS'and\tand\tCC\tO\tO' -p8175 -aS'a\ta\tDT\tB-NP\tO' -p8176 -aS'normal\tnormal\tJJ\tI-NP\tO' -p8177 -aS'ejection\tejection\tNN\tI-NP\tO' -p8178 -aS'fraction\tfraction\tNN\tI-NP\tO' -p8179 -aS'of\tof\tIN\tB-PP\tO' -p8180 -aS'greater\tgreat\tJJR\tB-NP\tO' -p8181 -aS'than\tthan\tIN\tI-NP\tO' -p8182 -aS'55%\t55%\tCD\tI-NP\tO' -p8183 -aS'.\t.\t.\tO\tO' -p8184 -asS'Dictated By : Emily M. Cassidy , M.D.' -p8185 -(lp8186 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p8187 -aS'By\tBy\tIN\tB-PP\tO' -p8188 -aS':\t:\t:\tO\tO' -p8189 -aS'Emily\tEmily\tNNP\tB-NP\tO' -p8190 -aS'M.\tM.\tNNP\tI-NP\tO' -p8191 -aS'Cassidy\tCassidy\tNNP\tI-NP\tO' -p8192 -aS',\t,\t,\tO\tO' -p8193 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p8194 -asS'Respiratory breath sounds are clear bilaterally , decreased at the bases .' -p8195 -(lp8196 -S'Respiratory\tRespiratory\tJJ\tB-NP\tO' -p8197 -aS'breath\tbreath\tNN\tI-NP\tO' -p8198 -aS'sounds\tsound\tNNS\tI-NP\tO' -p8199 -aS'are\tbe\tVBP\tB-VP\tO' -p8200 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p8201 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p8202 -aS',\t,\t,\tO\tO' -p8203 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p8204 -aS'at\tat\tIN\tB-PP\tO' -p8205 -aS'the\tthe\tDT\tB-NP\tO' -p8206 -aS'bases\tbase\tNNS\tI-NP\tO' -p8207 -aS'.\t.\t.\tO\tO' -p8208 -asS'On 02/08/91 , the patient called Dr. Seen because of increased shortness of breath and malaise .' -p8209 -(lp8210 -S'On\tOn\tIN\tB-PP\tO' -p8211 -aS'02/08/91\t02/08/91\tCD\tB-NP\tO' -p8212 -aS',\t,\t,\tO\tO' -p8213 -aS'the\tthe\tDT\tB-NP\tO' -p8214 -aS'patient\tpatient\tNN\tI-NP\tO' -p8215 -aS'called\tcall\tVBN\tB-VP\tO' -p8216 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p8217 -aS'Seen\tSeen\tNNP\tI-NP\tO' -p8218 -aS'because\tbecause\tIN\tB-PP\tO' -p8219 -aS'of\tof\tIN\tI-PP\tO' -p8220 -aS'increased\tincrease\tVBN\tB-NP\tO' -p8221 -aS'shortness\tshortness\tNN\tI-NP\tO' -p8222 -aS'of\tof\tIN\tB-PP\tO' -p8223 -aS'breath\tbreath\tNN\tB-NP\tO' -p8224 -aS'and\tand\tCC\tI-NP\tO' -p8225 -aS'malaise\tmalaise\tNN\tI-NP\tO' -p8226 -aS'.\t.\t.\tO\tO' -p8227 -asS'He developed physiologic hyperbilirubinemia ( peak bili 8.6/0.3 on 06-08 , DOL3 ) for which he was treated with a single phototherapy .' -p8228 -(lp8229 -S'He\tHe\tPRP\tB-NP\tO' -p8230 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p8231 -aS'physiologic\tphysiologic\tJJ\tB-NP\tO' -p8232 -aS'hyperbilirubinemia\thyperbilirubinemia\tNN\tI-NP\tO' -p8233 -aS'(\t(\t(\tO\tO' -p8234 -aS'peak\tpeak\tJJ\tB-NP\tO' -p8235 -aS'bili\tbili\tNN\tI-NP\tO' -p8236 -aS'8.6/0.3\t8.6/0.3\tCD\tI-NP\tO' -p8237 -aS'on\ton\tIN\tB-PP\tO' -p8238 -aS'06-08\t06-08\tCD\tB-NP\tO' -p8239 -aS',\t,\t,\tO\tO' -p8240 -aS'DOL3\tDOL3\tNN\tB-NP\tB-protein' -p8241 -aS')\t)\t)\tO\tO' -p8242 -aS'for\tfor\tIN\tB-PP\tO' -p8243 -aS'which\twhich\tWDT\tB-NP\tO' -p8244 -aS'he\the\tPRP\tB-NP\tO' -p8245 -aS'was\tbe\tVBD\tB-VP\tO' -p8246 -aS'treated\ttreat\tVBN\tI-VP\tO' -p8247 -aS'with\twith\tIN\tB-PP\tO' -p8248 -aS'a\ta\tDT\tB-NP\tO' -p8249 -aS'single\tsingle\tJJ\tI-NP\tO' -p8250 -aS'phototherapy\tphototherapy\tNN\tI-NP\tO' -p8251 -aS'.\t.\t.\tO\tO' -p8252 -asS'Dictated By : Anthony O Carreno , M.D.' -p8253 -(lp8254 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p8255 -aS'By\tBy\tIN\tB-PP\tO' -p8256 -aS':\t:\t:\tO\tO' -p8257 -aS'Anthony\tAnthony\tNNP\tB-NP\tO' -p8258 -aS'O\tO\tNNP\tI-NP\tO' -p8259 -aS'Carreno\tCarreno\tNNP\tI-NP\tO' -p8260 -aS',\t,\t,\tO\tO' -p8261 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p8262 -asS'Dexedrine 5 mg per day and Motrin 600 mg tid .' -p8263 -(lp8264 -S'Dexedrine\tDexedrine\tNN\tB-NP\tO' -p8265 -aS'5\t5\tCD\tI-NP\tO' -p8266 -aS'mg\tmg\tNN\tI-NP\tO' -p8267 -aS'per\tper\tIN\tB-PP\tO' -p8268 -aS'day\tday\tNN\tB-NP\tO' -p8269 -aS'and\tand\tCC\tO\tO' -p8270 -aS'Motrin\tMotrin\tNN\tB-NP\tO' -p8271 -aS'600\t600\tCD\tI-NP\tO' -p8272 -aS'mg\tmg\tNN\tI-NP\tO' -p8273 -aS'tid\ttid\tNN\tI-NP\tO' -p8274 -aS'.\t.\t.\tO\tO' -p8275 -asS'During conscious sedation , the patient developed bigeminy ( the patient was sedated , did not feel chest pain or shortness of breath ) .' -p8276 -(lp8277 -S'During\tDuring\tIN\tB-PP\tO' -p8278 -aS'conscious\tconscious\tJJ\tB-NP\tO' -p8279 -aS'sedation\tsedation\tNN\tI-NP\tO' -p8280 -aS',\t,\t,\tO\tO' -p8281 -aS'the\tthe\tDT\tB-NP\tO' -p8282 -aS'patient\tpatient\tNN\tI-NP\tO' -p8283 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p8284 -aS'bigeminy\tbigeminy\tJJ\tB-ADJP\tO' -p8285 -aS'(\t(\t(\tO\tO' -p8286 -aS'the\tthe\tDT\tB-NP\tO' -p8287 -aS'patient\tpatient\tNN\tI-NP\tO' -p8288 -aS'was\tbe\tVBD\tB-VP\tO' -p8289 -aS'sedated\tsedate\tVBN\tI-VP\tO' -p8290 -aS',\t,\t,\tO\tO' -p8291 -aS'did\tdo\tVBD\tB-VP\tO' -p8292 -aS'not\tnot\tRB\tI-VP\tO' -p8293 -aS'feel\tfeel\tVB\tI-VP\tO' -p8294 -aS'chest\tchest\tNN\tB-NP\tO' -p8295 -aS'pain\tpain\tNN\tI-NP\tO' -p8296 -aS'or\tor\tCC\tI-NP\tO' -p8297 -aS'shortness\tshortness\tNN\tI-NP\tO' -p8298 -aS'of\tof\tIN\tB-PP\tO' -p8299 -aS'breath\tbreath\tNN\tB-NP\tO' -p8300 -aS')\t)\t)\tO\tO' -p8301 -aS'.\t.\t.\tO\tO' -p8302 -asS'Patient was instructed to decrease her evening dose if she does not continue to take good po .' -p8303 -(lp8304 -S'Patient\tPatient\tNN\tB-NP\tO' -p8305 -aS'was\tbe\tVBD\tB-VP\tO' -p8306 -aS'instructed\tinstruct\tVBN\tI-VP\tO' -p8307 -aS'to\tto\tTO\tI-VP\tO' -p8308 -aS'decrease\tdecrease\tVB\tI-VP\tO' -p8309 -aS'her\ther\tPRP$\tB-NP\tO' -p8310 -aS'evening\tevening\tNN\tI-NP\tO' -p8311 -aS'dose\tdose\tNN\tI-NP\tO' -p8312 -aS'if\tif\tIN\tB-SBAR\tO' -p8313 -aS'she\tshe\tPRP\tB-NP\tO' -p8314 -aS'does\tdo\tVBZ\tB-VP\tO' -p8315 -aS'not\tnot\tRB\tI-VP\tO' -p8316 -aS'continue\tcontinue\tVB\tI-VP\tO' -p8317 -aS'to\tto\tTO\tI-VP\tO' -p8318 -aS'take\ttake\tVB\tI-VP\tO' -p8319 -aS'good\tgood\tJJ\tB-NP\tO' -p8320 -aS'po\tpo\tNN\tI-NP\tO' -p8321 -aS'.\t.\t.\tO\tO' -p8322 -asS'1. CAD : presented with anginal symptoms and EKG changes ( STEMI ) , with cardiac catheterization revealing lesions in LAD , LcX , and PLB .' -p8323 -(lp8324 -S'1.\t1.\tCD\tB-NP\tO' -p8325 -aS'CAD\tCAD\tNN\tI-NP\tO' -p8326 -aS':\t:\t:\tO\tO' -p8327 -aS'presented\tpresent\tVBN\tB-VP\tO' -p8328 -aS'with\twith\tIN\tB-PP\tO' -p8329 -aS'anginal\tanginal\tJJ\tB-NP\tO' -p8330 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p8331 -aS'and\tand\tCC\tO\tO' -p8332 -aS'EKG\tEKG\tNN\tB-NP\tO' -p8333 -aS'changes\tchange\tNNS\tI-NP\tO' -p8334 -aS'(\t(\t(\tO\tO' -p8335 -aS'STEMI\tSTEMI\tNN\tB-NP\tB-protein' -p8336 -aS')\t)\t)\tO\tO' -p8337 -aS',\t,\t,\tO\tO' -p8338 -aS'with\twith\tIN\tB-PP\tO' -p8339 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p8340 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p8341 -aS'revealing\treveal\tVBG\tB-VP\tO' -p8342 -aS'lesions\tlesion\tNNS\tB-NP\tO' -p8343 -aS'in\tin\tIN\tB-PP\tO' -p8344 -aS'LAD\tLAD\tNN\tB-NP\tO' -p8345 -aS',\t,\t,\tO\tO' -p8346 -aS'LcX\tLcX\tNN\tB-NP\tB-protein' -p8347 -aS',\t,\t,\tO\tO' -p8348 -aS'and\tand\tCC\tO\tO' -p8349 -aS'PLB\tPLB\tNN\tB-NP\tB-protein' -p8350 -aS'.\t.\t.\tO\tO' -p8351 -asS'She had moist mucous membranes .' -p8352 -(lp8353 -S'She\tShe\tPRP\tB-NP\tO' -p8354 -aS'had\thave\tVBD\tB-VP\tO' -p8355 -aS'moist\tmoist\tJJ\tB-NP\tO' -p8356 -aS'mucous\tmucous\tJJ\tI-NP\tO' -p8357 -aS'membranes\tmembrane\tNNS\tI-NP\tO' -p8358 -aS'.\t.\t.\tO\tO' -p8359 -asS'An MRI of her C-spine was done to evaluate for ligamentous injury , but this was extremely limited examination due to patient motion and the signal in the spinal cord could not be adequately assessed for edema .' -p8360 -(lp8361 -S'An\tAn\tDT\tB-NP\tO' -p8362 -aS'MRI\tMRI\tNN\tI-NP\tO' -p8363 -aS'of\tof\tIN\tB-PP\tO' -p8364 -aS'her\ther\tPRP$\tB-NP\tO' -p8365 -aS'C-spine\tC-spine\tNN\tI-NP\tO' -p8366 -aS'was\tbe\tVBD\tB-VP\tO' -p8367 -aS'done\tdo\tVBN\tI-VP\tO' -p8368 -aS'to\tto\tTO\tI-VP\tO' -p8369 -aS'evaluate\tevaluate\tVB\tI-VP\tO' -p8370 -aS'for\tfor\tIN\tB-PP\tO' -p8371 -aS'ligamentous\tligamentous\tJJ\tB-NP\tO' -p8372 -aS'injury\tinjury\tNN\tI-NP\tO' -p8373 -aS',\t,\t,\tO\tO' -p8374 -aS'but\tbut\tCC\tO\tO' -p8375 -aS'this\tthis\tDT\tB-NP\tO' -p8376 -aS'was\tbe\tVBD\tB-VP\tO' -p8377 -aS'extremely\textremely\tRB\tB-NP\tO' -p8378 -aS'limited\tlimit\tVBN\tI-NP\tO' -p8379 -aS'examination\texamination\tNN\tI-NP\tO' -p8380 -aS'due\tdue\tIN\tB-PP\tO' -p8381 -aS'to\tto\tTO\tI-PP\tO' -p8382 -aS'patient\tpatient\tNN\tB-NP\tO' -p8383 -aS'motion\tmotion\tNN\tI-NP\tO' -p8384 -aS'and\tand\tCC\tO\tO' -p8385 -aS'the\tthe\tDT\tB-NP\tO' -p8386 -aS'signal\tsignal\tNN\tI-NP\tO' -p8387 -aS'in\tin\tIN\tB-PP\tO' -p8388 -aS'the\tthe\tDT\tB-NP\tO' -p8389 -aS'spinal\tspinal\tJJ\tI-NP\tO' -p8390 -aS'cord\tcord\tNN\tI-NP\tO' -p8391 -aS'could\tcould\tMD\tB-VP\tO' -p8392 -aS'not\tnot\tRB\tI-VP\tO' -p8393 -aS'be\tbe\tVB\tI-VP\tO' -p8394 -aS'adequately\tadequately\tRB\tI-VP\tO' -p8395 -aS'assessed\tassess\tVBN\tI-VP\tO' -p8396 -aS'for\tfor\tIN\tB-PP\tO' -p8397 -aS'edema\tedema\tNN\tB-NP\tO' -p8398 -aS'.\t.\t.\tO\tO' -p8399 -asS'Over the next the rash progressed , and the patient subsequently began spiking fevers to approx 103 F , c/b hypotension requiring aggressive fluid repletion and pressors , and tachycardia to the' -p8400 -(lp8401 -S'Over\tOver\tIN\tB-PP\tO' -p8402 -aS'the\tthe\tDT\tB-NP\tO' -p8403 -aS'next\tnext\tJJ\tI-NP\tO' -p8404 -aS'the\tthe\tDT\tI-NP\tO' -p8405 -aS'rash\trash\tNN\tI-NP\tO' -p8406 -aS'progressed\tprogress\tVBD\tB-VP\tO' -p8407 -aS',\t,\t,\tO\tO' -p8408 -aS'and\tand\tCC\tO\tO' -p8409 -aS'the\tthe\tDT\tB-NP\tO' -p8410 -aS'patient\tpatient\tNN\tI-NP\tO' -p8411 -aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' -p8412 -aS'began\tbegin\tVBD\tB-VP\tO' -p8413 -aS'spiking\tspike\tVBG\tI-VP\tO' -p8414 -aS'fevers\tfever\tNNS\tB-NP\tO' -p8415 -aS'to\tto\tTO\tB-VP\tO' -p8416 -aS'approx\tapprox\tVB\tI-VP\tO' -p8417 -aS'103\t103\tCD\tB-NP\tO' -p8418 -aS'F\tF\tNN\tI-NP\tO' -p8419 -aS',\t,\t,\tO\tO' -p8420 -aS'c/b\tc/b\tNN\tB-NP\tO' -p8421 -aS'hypotension\thypotension\tNN\tI-NP\tO' -p8422 -aS'requiring\trequire\tVBG\tB-VP\tO' -p8423 -aS'aggressive\taggressive\tJJ\tB-NP\tO' -p8424 -aS'fluid\tfluid\tNN\tI-NP\tO' -p8425 -aS'repletion\trepletion\tNN\tI-NP\tO' -p8426 -aS'and\tand\tCC\tI-NP\tO' -p8427 -aS'pressors\tpressor\tNNS\tI-NP\tO' -p8428 -aS',\t,\t,\tO\tO' -p8429 -aS'and\tand\tCC\tO\tO' -p8430 -aS'tachycardia\ttachycardia\tNN\tB-NP\tO' -p8431 -aS'to\tto\tTO\tB-PP\tO' -p8432 -aS'the\tthe\tDT\tB-NP\tO' -p8433 -asS'The electrocardiogram was normal sinus rhythm at 81 , with normal intervals and normal axis , had poor R-wave progression consistent with an old anterior myocardial infarction , had flipped T-waves in V1 through V5 , which were of no significant change since his last EKG on 5-25-93 .' -p8434 -(lp8435 -S'The\tThe\tDT\tB-NP\tO' -p8436 -aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' -p8437 -aS'was\tbe\tVBD\tB-VP\tO' -p8438 -aS'normal\tnormal\tJJ\tB-NP\tO' -p8439 -aS'sinus\tsinus\tNN\tI-NP\tO' -p8440 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p8441 -aS'at\tat\tIN\tB-PP\tO' -p8442 -aS'81\t81\tCD\tB-NP\tO' -p8443 -aS',\t,\t,\tO\tO' -p8444 -aS'with\twith\tIN\tB-PP\tO' -p8445 -aS'normal\tnormal\tJJ\tB-NP\tO' -p8446 -aS'intervals\tinterval\tNNS\tI-NP\tO' -p8447 -aS'and\tand\tCC\tO\tO' -p8448 -aS'normal\tnormal\tJJ\tB-NP\tO' -p8449 -aS'axis\taxis\tNN\tI-NP\tO' -p8450 -aS',\t,\t,\tO\tO' -p8451 -aS'had\thave\tVBD\tB-VP\tO' -p8452 -aS'poor\tpoor\tJJ\tB-NP\tO' -p8453 -aS'R-wave\tR-wave\tNN\tI-NP\tO' -p8454 -aS'progression\tprogression\tNN\tI-NP\tO' -p8455 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p8456 -aS'with\twith\tIN\tB-PP\tO' -p8457 -aS'an\tan\tDT\tB-NP\tO' -p8458 -aS'old\told\tJJ\tI-NP\tO' -p8459 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p8460 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p8461 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p8462 -aS',\t,\t,\tO\tO' -p8463 -aS'had\thave\tVBD\tB-VP\tO' -p8464 -aS'flipped\tflip\tVBN\tI-VP\tO' -p8465 -aS'T-waves\tT-wave\tNNS\tB-NP\tO' -p8466 -aS'in\tin\tIN\tB-PP\tO' -p8467 -aS'V1\tV1\tNN\tB-NP\tO' -p8468 -aS'through\tthrough\tIN\tB-PP\tO' -p8469 -aS'V5\tV5\tNN\tB-NP\tB-protein' -p8470 -aS',\t,\t,\tO\tO' -p8471 -aS'which\twhich\tWDT\tB-NP\tO' -p8472 -aS'were\tbe\tVBD\tB-VP\tO' -p8473 -aS'of\tof\tIN\tB-PP\tO' -p8474 -aS'no\tno\tDT\tB-NP\tO' -p8475 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p8476 -aS'change\tchange\tNN\tI-NP\tO' -p8477 -aS'since\tsince\tIN\tB-PP\tO' -p8478 -aS'his\this\tPRP$\tB-NP\tO' -p8479 -aS'last\tlast\tJJ\tI-NP\tO' -p8480 -aS'EKG\tEKG\tNN\tI-NP\tO' -p8481 -aS'on\ton\tIN\tB-PP\tO' -p8482 -aS'5-25-93\t5-25-93\tNN\tB-NP\tO' -p8483 -aS'.\t.\t.\tO\tO' -p8484 -asS'She arrived intubated and sedated from Esteban Hospital .' -p8485 -(lp8486 -S'She\tShe\tPRP\tB-NP\tO' -p8487 -aS'arrived\tarrive\tVBD\tB-VP\tO' -p8488 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p8489 -aS'and\tand\tCC\tI-VP\tO' -p8490 -aS'sedated\tsedate\tVBN\tI-VP\tO' -p8491 -aS'from\tfrom\tIN\tB-PP\tO' -p8492 -aS'Esteban\tEsteban\tNNP\tB-NP\tO' -p8493 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p8494 -aS'.\t.\t.\tO\tO' -p8495 -asS'The ionized calcium was elevated as was the parathormone level .' -p8496 -(lp8497 -S'The\tThe\tDT\tB-NP\tO' -p8498 -aS'ionized\tionize\tVBN\tI-NP\tO' -p8499 -aS'calcium\tcalcium\tNN\tI-NP\tO' -p8500 -aS'was\tbe\tVBD\tB-VP\tO' -p8501 -aS'elevated\televate\tVBN\tI-VP\tO' -p8502 -aS'as\tas\tIN\tB-SBAR\tO' -p8503 -aS'was\tbe\tVBD\tB-VP\tO' -p8504 -aS'the\tthe\tDT\tB-NP\tO' -p8505 -aS'parathormone\tparathormone\tNN\tI-NP\tO' -p8506 -aS'level\tlevel\tNN\tI-NP\tO' -p8507 -aS'.\t.\t.\tO\tO' -p8508 -asS'The patient is instructed to followup with her doctor in 1 to 2 weeks of discharge .' -p8509 -(lp8510 -S'The\tThe\tDT\tB-NP\tO' -p8511 -aS'patient\tpatient\tNN\tI-NP\tO' -p8512 -aS'is\tbe\tVBZ\tB-VP\tO' -p8513 -aS'instructed\tinstruct\tVBN\tI-VP\tO' -p8514 -aS'to\tto\tTO\tI-VP\tO' -p8515 -aS'followup\tfollowup\tVB\tI-VP\tO' -p8516 -aS'with\twith\tIN\tB-PP\tO' -p8517 -aS'her\ther\tPRP$\tB-NP\tO' -p8518 -aS'doctor\tdoctor\tNN\tI-NP\tO' -p8519 -aS'in\tin\tIN\tB-PP\tO' -p8520 -aS'1\t1\tCD\tB-NP\tO' -p8521 -aS'to\tto\tTO\tI-NP\tO' -p8522 -aS'2\t2\tCD\tI-NP\tO' -p8523 -aS'weeks\tweek\tNNS\tI-NP\tO' -p8524 -aS'of\tof\tIN\tB-PP\tO' -p8525 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p8526 -aS'.\t.\t.\tO\tO' -p8527 -asS'1. The patient was to arrange his follow-up with his primary care physician , Bryan Smith .' -p8528 -(lp8529 -S'1.\t1.\tLS\tB-LST\tO' -p8530 -aS'The\tThe\tDT\tB-NP\tO' -p8531 -aS'patient\tpatient\tNN\tI-NP\tO' -p8532 -aS'was\tbe\tVBD\tB-VP\tO' -p8533 -aS'to\tto\tTO\tB-VP\tO' -p8534 -aS'arrange\tarrange\tVB\tI-VP\tO' -p8535 -aS'his\this\tPRP$\tB-NP\tO' -p8536 -aS'follow-up\tfollow-up\tNN\tI-NP\tO' -p8537 -aS'with\twith\tIN\tB-PP\tO' -p8538 -aS'his\this\tPRP$\tB-NP\tO' -p8539 -aS'primary\tprimary\tJJ\tI-NP\tO' -p8540 -aS'care\tcare\tNN\tI-NP\tO' -p8541 -aS'physician\tphysician\tNN\tI-NP\tO' -p8542 -aS',\t,\t,\tO\tO' -p8543 -aS'Bryan\tBryan\tNNP\tB-NP\tO' -p8544 -aS'Smith\tSmith\tNNP\tI-NP\tO' -p8545 -aS'.\t.\t.\tO\tO' -p8546 -asS'esophagoscopy , bronchoscopy , pericardectomy , excision of gastric ulcer , repair of gastric ulcer and pectoralis major myocutaneous flap performed on December 4 , 1995 by Dr. Reg Cranka and Dr. Win Shufffyfe .' -p8547 -(lp8548 -S'esophagoscopy\tesophagoscopy\tNN\tB-NP\tO' -p8549 -aS',\t,\t,\tO\tO' -p8550 -aS'bronchoscopy\tbronchoscopy\tNN\tB-NP\tO' -p8551 -aS',\t,\t,\tO\tO' -p8552 -aS'pericardectomy\tpericardectomy\tNN\tB-NP\tO' -p8553 -aS',\t,\t,\tO\tO' -p8554 -aS'excision\texcision\tNN\tB-NP\tO' -p8555 -aS'of\tof\tIN\tB-PP\tO' -p8556 -aS'gastric\tgastric\tJJ\tB-NP\tO' -p8557 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p8558 -aS',\t,\t,\tO\tO' -p8559 -aS'repair\trepair\tNN\tB-NP\tO' -p8560 -aS'of\tof\tIN\tB-PP\tO' -p8561 -aS'gastric\tgastric\tJJ\tB-NP\tO' -p8562 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p8563 -aS'and\tand\tCC\tI-NP\tO' -p8564 -aS'pectoralis\tpectoralis\tNN\tI-NP\tB-protein' -p8565 -aS'major\tmajor\tJJ\tI-NP\tI-protein' -p8566 -aS'myocutaneous\tmyocutaneous\tJJ\tI-NP\tI-protein' -p8567 -aS'flap\tflap\tNN\tI-NP\tI-protein' -p8568 -aS'performed\tperform\tVBN\tB-VP\tO' -p8569 -aS'on\ton\tIN\tB-PP\tO' -p8570 -aS'December\tDecember\tNNP\tB-NP\tO' -p8571 -aS'4\t4\tCD\tI-NP\tO' -p8572 -aS',\t,\t,\tI-NP\tO' -p8573 -aS'1995\t1995\tCD\tI-NP\tO' -p8574 -aS'by\tby\tIN\tB-PP\tO' -p8575 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p8576 -aS'Reg\tReg\tNNP\tI-NP\tO' -p8577 -aS'Cranka\tCranka\tNNP\tI-NP\tO' -p8578 -aS'and\tand\tCC\tO\tO' -p8579 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p8580 -aS'Win\tWin\tNNP\tI-NP\tO' -p8581 -aS'Shufffyfe\tShufffyfe\tNNP\tI-NP\tO' -p8582 -aS'.\t.\t.\tO\tO' -p8583 -asS'7. Avandia 4 mg once daily .' -p8584 -(lp8585 -S'7.\t7.\tCD\tB-NP\tO' -p8586 -aS'Avandia\tAvandia\tNNP\tI-NP\tO' -p8587 -aS'4\t4\tCD\tI-NP\tO' -p8588 -aS'mg\tmg\tNN\tI-NP\tO' -p8589 -aS'once\tonce\tRB\tB-ADVP\tO' -p8590 -aS'daily\tdaily\tRB\tI-ADVP\tO' -p8591 -aS'.\t.\t.\tO\tO' -p8592 -asS'Dictated By : Jon O Shappy , M.D.' -p8593 -(lp8594 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p8595 -aS'By\tBy\tIN\tB-PP\tO' -p8596 -aS':\t:\t:\tO\tO' -p8597 -aS'Jon\tJon\tNNP\tB-NP\tO' -p8598 -aS'O\tO\tNNP\tI-NP\tO' -p8599 -aS'Shappy\tShappy\tNNP\tI-NP\tO' -p8600 -aS',\t,\t,\tO\tO' -p8601 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p8602 -asS'4. Humulin Walters insulin 24 units subcutaneous q A.M. and 8 to 16 in the evening depending upon where his blood sugar has been .' -p8603 -(lp8604 -S'4.\t4.\tLS\tB-NP\tO' -p8605 -aS'Humulin\tHumulin\tNN\tI-NP\tB-protein' -p8606 -aS'Walters\tWalter\tVBZ\tB-VP\tO' -p8607 -aS'insulin\tinsulin\tNN\tB-NP\tB-protein' -p8608 -aS'24\t24\tCD\tB-NP\tI-protein' -p8609 -aS'units\tunit\tNNS\tI-NP\tI-protein' -p8610 -aS'subcutaneous\tsubcutaneous\tJJ\tB-NP\tO' -p8611 -aS'q\tq\tNN\tI-NP\tO' -p8612 -aS'A.M.\tA.M.\tNNP\tI-NP\tO' -p8613 -aS'and\tand\tCC\tO\tO' -p8614 -aS'8\t8\tCD\tB-NP\tO' -p8615 -aS'to\tto\tTO\tB-PP\tO' -p8616 -aS'16\t16\tCD\tB-NP\tO' -p8617 -aS'in\tin\tIN\tB-PP\tO' -p8618 -aS'the\tthe\tDT\tB-NP\tO' -p8619 -aS'evening\tevening\tNN\tI-NP\tO' -p8620 -aS'depending\tdepend\tVBG\tB-VP\tO' -p8621 -aS'upon\tupon\tIN\tB-PP\tO' -p8622 -aS'where\twhere\tWRB\tB-ADVP\tO' -p8623 -aS'his\this\tPRP$\tB-NP\tO' -p8624 -aS'blood\tblood\tNN\tI-NP\tO' -p8625 -aS'sugar\tsugar\tNN\tI-NP\tO' -p8626 -aS'has\thave\tVBZ\tB-VP\tO' -p8627 -aS'been\tbe\tVBN\tI-VP\tO' -p8628 -aS'.\t.\t.\tO\tO' -p8629 -asS'STAPHYLOCOCCUS , COAGULASE NEGATIVE .' -p8630 -(lp8631 -S'STAPHYLOCOCCUS\tSTAPHYLOCOCCUS\tNNS\tB-NP\tO' -p8632 -aS',\t,\t,\tO\tO' -p8633 -aS'COAGULASE\tCOAGULASE\tNNP\tB-NP\tB-protein' -p8634 -aS'NEGATIVE\tNEGATIVE\tNNP\tI-NP\tO' -p8635 -aS'.\t.\t.\tO\tO' -p8636 -asS'Consume a diet as tolerated avoiding carbonated beverages .' -p8637 -(lp8638 -S'Consume\tConsume\tVB\tB-VP\tO' -p8639 -aS'a\ta\tDT\tB-NP\tO' -p8640 -aS'diet\tdiet\tNN\tI-NP\tO' -p8641 -aS'as\tas\tIN\tB-SBAR\tO' -p8642 -aS'tolerated\ttolerate\tVBN\tO\tO' -p8643 -aS'avoiding\tavoid\tVBG\tB-VP\tO' -p8644 -aS'carbonated\tcarbonate\tVBN\tB-NP\tO' -p8645 -aS'beverages\tbeverage\tNNS\tI-NP\tO' -p8646 -aS'.\t.\t.\tO\tO' -p8647 -asS'Infected aortic graft .' -p8648 -(lp8649 -S'Infected\tInfected\tJJ\tB-NP\tO' -p8650 -aS'aortic\taortic\tJJ\tI-NP\tO' -p8651 -aS'graft\tgraft\tNN\tI-NP\tO' -p8652 -aS'.\t.\t.\tO\tO' -p8653 -asS'Recurrent urinary tract infections , most recently on 2/23/97 ; recurrent aspiration pneumonias , most recently on 2/21/97 ; multi-infarct dementia with associated dysphasia ; mitral regurgitation ; history of congestive heart failure ; pernicious anemia ; chronic venous stasis ; status post left femoral neck fracture .' -p8654 -(lp8655 -S'Recurrent\tRecurrent\tJJ\tB-NP\tO' -p8656 -aS'urinary\turinary\tJJ\tI-NP\tO' -p8657 -aS'tract\ttract\tNN\tI-NP\tO' -p8658 -aS'infections\tinfection\tNNS\tI-NP\tO' -p8659 -aS',\t,\t,\tO\tO' -p8660 -aS'most\tmost\tRBS\tB-ADVP\tO' -p8661 -aS'recently\trecently\tRB\tI-ADVP\tO' -p8662 -aS'on\ton\tIN\tB-PP\tO' -p8663 -aS'2/23/97\t2/23/97\tCD\tB-NP\tO' -p8664 -aS';\t;\t:\tO\tO' -p8665 -aS'recurrent\trecurrent\tJJ\tB-NP\tO' -p8666 -aS'aspiration\taspiration\tNN\tI-NP\tO' -p8667 -aS'pneumonias\tpneumonia\tNNS\tI-NP\tO' -p8668 -aS',\t,\t,\tO\tO' -p8669 -aS'most\tmost\tRBS\tB-ADVP\tO' -p8670 -aS'recently\trecently\tRB\tI-ADVP\tO' -p8671 -aS'on\ton\tIN\tB-PP\tO' -p8672 -aS'2/21/97\t2/21/97\tCD\tB-NP\tO' -p8673 -aS';\t;\t:\tO\tO' -p8674 -aS'multi-infarct\tmulti-infarct\tJJ\tB-NP\tO' -p8675 -aS'dementia\tdementia\tNN\tI-NP\tO' -p8676 -aS'with\twith\tIN\tB-PP\tO' -p8677 -aS'associated\tassociate\tVBN\tB-NP\tO' -p8678 -aS'dysphasia\tdysphasia\tNN\tI-NP\tO' -p8679 -aS';\t;\t:\tO\tO' -p8680 -aS'mitral\tmitral\tJJ\tB-NP\tO' -p8681 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p8682 -aS';\t;\t:\tO\tO' -p8683 -aS'history\thistory\tNN\tB-NP\tO' -p8684 -aS'of\tof\tIN\tB-PP\tO' -p8685 -aS'congestive\tcongestive\tJJ\tB-NP\tO' -p8686 -aS'heart\theart\tNN\tI-NP\tO' -p8687 -aS'failure\tfailure\tNN\tI-NP\tO' -p8688 -aS';\t;\t:\tO\tO' -p8689 -aS'pernicious\tpernicious\tJJ\tB-NP\tO' -p8690 -aS'anemia\tanemia\tNN\tI-NP\tO' -p8691 -aS';\t;\t:\tO\tO' -p8692 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p8693 -aS'venous\tvenous\tJJ\tI-NP\tO' -p8694 -aS'stasis\tstasis\tNN\tI-NP\tO' -p8695 -aS';\t;\t:\tO\tO' -p8696 -aS'status\tstatus\tNN\tB-NP\tO' -p8697 -aS'post\tpost\tNN\tI-NP\tO' -p8698 -aS'left\tleave\tVBD\tB-VP\tO' -p8699 -aS'femoral\tfemoral\tJJ\tB-NP\tO' -p8700 -aS'neck\tneck\tNN\tI-NP\tO' -p8701 -aS'fracture\tfracture\tNN\tI-NP\tO' -p8702 -aS'.\t.\t.\tO\tO' -p8703 -asS'Total bilirubin 3.0 , direct bilirubin of 2.0 .' -p8704 -(lp8705 -S'Total\tTotal\tJJ\tB-NP\tO' -p8706 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p8707 -aS'3.0\t3.0\tCD\tI-NP\tO' -p8708 -aS',\t,\t,\tO\tO' -p8709 -aS'direct\tdirect\tJJ\tB-NP\tO' -p8710 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p8711 -aS'of\tof\tIN\tB-PP\tO' -p8712 -aS'2.0\t2.0\tCD\tB-NP\tO' -p8713 -aS'.\t.\t.\tO\tO' -p8714 -asS'- renal cell ca , s/p left nephrectomy 1992' -p8715 -(lp8716 -S'-\t-\tHYPH\tB-NP\tO' -p8717 -aS'renal\trenal\tJJ\tI-NP\tO' -p8718 -aS'cell\tcell\tNN\tI-NP\tO' -p8719 -aS'ca\tca\tNN\tI-NP\tO' -p8720 -aS',\t,\t,\tO\tO' -p8721 -aS's/p\ts/p\tNN\tB-NP\tO' -p8722 -aS'left\tleave\tVBD\tB-VP\tO' -p8723 -aS'nephrectomy\tnephrectomy\tNN\tB-NP\tO' -p8724 -aS'1992\t1992\tCD\tI-NP\tO' -p8725 -asS'No scleral icterus .' -p8726 -(lp8727 -S'No\tNo\tDT\tB-NP\tO' -p8728 -aS'scleral\tscleral\tJJ\tI-NP\tO' -p8729 -aS'icterus\ticterus\tNN\tI-NP\tO' -p8730 -aS'.\t.\t.\tO\tO' -p8731 -asS'3. Apnea and bradycardia of prematurity .' -p8732 -(lp8733 -S'3.\t3.\tLS\tB-NP\tO' -p8734 -aS'Apnea\tApnea\tNN\tI-NP\tO' -p8735 -aS'and\tand\tCC\tI-NP\tO' -p8736 -aS'bradycardia\tbradycardia\tNN\tI-NP\tO' -p8737 -aS'of\tof\tIN\tB-PP\tO' -p8738 -aS'prematurity\tprematurity\tNN\tB-NP\tO' -p8739 -aS'.\t.\t.\tO\tO' -p8740 -asS'The patient had complaint of headaches in the past .' -p8741 -(lp8742 -S'The\tThe\tDT\tB-NP\tO' -p8743 -aS'patient\tpatient\tNN\tI-NP\tO' -p8744 -aS'had\thave\tVBD\tB-VP\tO' -p8745 -aS'complaint\tcomplaint\tNN\tB-NP\tO' -p8746 -aS'of\tof\tIN\tB-PP\tO' -p8747 -aS'headaches\theadache\tNNS\tB-NP\tO' -p8748 -aS'in\tin\tIN\tB-PP\tO' -p8749 -aS'the\tthe\tDT\tB-NP\tO' -p8750 -aS'past\tpast\tNN\tI-NP\tO' -p8751 -aS'.\t.\t.\tO\tO' -p8752 -asS'REPORTED BY PHONE TO Robert BURGER 2014-11-30 10:35A .' -p8753 -(lp8754 -S'REPORTED\tREPORTED\tNNP\tB-NP\tO' -p8755 -aS'BY\tBY\tNNP\tI-NP\tO' -p8756 -aS'PHONE\tPHONE\tNNP\tI-NP\tO' -p8757 -aS'TO\tTO\tNNP\tI-NP\tO' -p8758 -aS'Robert\tRobert\tNNP\tI-NP\tO' -p8759 -aS'BURGER\tBURGER\tNNP\tI-NP\tO' -p8760 -aS'2014-11-30\t2014-11-30\tCD\tI-NP\tO' -p8761 -aS'10:35A\t10:35A\tNN\tI-NP\tO' -p8762 -aS'.\t.\t.\tO\tO' -p8763 -asS'The patient became hypotensive into the 70 s without any symptoms .' -p8764 -(lp8765 -S'The\tThe\tDT\tB-NP\tO' -p8766 -aS'patient\tpatient\tNN\tI-NP\tO' -p8767 -aS'became\tbecome\tVBD\tB-VP\tO' -p8768 -aS'hypotensive\thypotensive\tJJ\tB-ADJP\tO' -p8769 -aS'into\tinto\tIN\tB-PP\tO' -p8770 -aS'the\tthe\tDT\tB-NP\tO' -p8771 -aS'70\t70\tCD\tI-NP\tO' -p8772 -aS's\ts\tNN\tI-NP\tO' -p8773 -aS'without\twithout\tIN\tB-PP\tO' -p8774 -aS'any\tany\tDT\tB-NP\tO' -p8775 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p8776 -aS'.\t.\t.\tO\tO' -p8777 -asS'The patient fell well on the day of discharge .' -p8778 -(lp8779 -S'The\tThe\tDT\tB-NP\tO' -p8780 -aS'patient\tpatient\tNN\tI-NP\tO' -p8781 -aS'fell\tfall\tVBD\tB-VP\tO' -p8782 -aS'well\twell\tRB\tB-ADVP\tO' -p8783 -aS'on\ton\tIN\tB-PP\tO' -p8784 -aS'the\tthe\tDT\tB-NP\tO' -p8785 -aS'day\tday\tNN\tI-NP\tO' -p8786 -aS'of\tof\tIN\tB-PP\tO' -p8787 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p8788 -aS'.\t.\t.\tO\tO' -p8789 -asS'Cardiac echocardiogram .' -p8790 -(lp8791 -S'Cardiac\tCardiac\tJJ\tB-NP\tO' -p8792 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p8793 -aS'.\t.\t.\tO\tO' -p8794 -asS'The patient is a 63 year-old woman transferred from Pre Health on June 19 , 1998 to the Verg Medical Center Intensive Care Unit for evaluation of thrombotic thrombocytopenic purpura and bronchiolitis obliterans organizing pneumonia .' -p8795 -(lp8796 -S'The\tThe\tDT\tB-NP\tO' -p8797 -aS'patient\tpatient\tNN\tI-NP\tO' -p8798 -aS'is\tbe\tVBZ\tB-VP\tO' -p8799 -aS'a\ta\tDT\tB-NP\tO' -p8800 -aS'63\t63\tCD\tI-NP\tO' -p8801 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p8802 -aS'woman\twoman\tNN\tI-NP\tO' -p8803 -aS'transferred\ttransfer\tVBN\tB-VP\tO' -p8804 -aS'from\tfrom\tIN\tB-PP\tO' -p8805 -aS'Pre\tPre\tNNP\tB-NP\tO' -p8806 -aS'Health\tHealth\tNNP\tI-NP\tO' -p8807 -aS'on\ton\tIN\tB-PP\tO' -p8808 -aS'June\tJune\tNNP\tB-NP\tO' -p8809 -aS'19\t19\tCD\tI-NP\tO' -p8810 -aS',\t,\t,\tO\tO' -p8811 -aS'1998\t1998\tCD\tB-NP\tO' -p8812 -aS'to\tto\tTO\tB-PP\tO' -p8813 -aS'the\tthe\tDT\tB-NP\tO' -p8814 -aS'Verg\tVerg\tNNP\tI-NP\tO' -p8815 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p8816 -aS'Center\tCenter\tNNP\tI-NP\tO' -p8817 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p8818 -aS'Care\tCare\tNNP\tI-NP\tO' -p8819 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p8820 -aS'for\tfor\tIN\tB-PP\tO' -p8821 -aS'evaluation\tevaluation\tNN\tB-NP\tO' -p8822 -aS'of\tof\tIN\tB-PP\tO' -p8823 -aS'thrombotic\tthrombotic\tJJ\tB-NP\tO' -p8824 -aS'thrombocytopenic\tthrombocytopenic\tJJ\tI-NP\tO' -p8825 -aS'purpura\tpurpura\tNN\tI-NP\tO' -p8826 -aS'and\tand\tCC\tI-NP\tO' -p8827 -aS'bronchiolitis\tbronchiolitis\tNN\tI-NP\tO' -p8828 -aS'obliterans\tobliteran\tNNS\tI-NP\tO' -p8829 -aS'organizing\torganize\tVBG\tB-VP\tO' -p8830 -aS'pneumonia\tpneumonia\tNN\tB-NP\tO' -p8831 -aS'.\t.\t.\tO\tO' -p8832 -asS'The patient in September of 1993 had 3-4 millimeter ST segment elevation in V1 through V4 and depression in II , III , and AVF .' -p8833 -(lp8834 -S'The\tThe\tDT\tB-NP\tO' -p8835 -aS'patient\tpatient\tNN\tI-NP\tO' -p8836 -aS'in\tin\tIN\tB-PP\tO' -p8837 -aS'September\tSeptember\tNNP\tB-NP\tO' -p8838 -aS'of\tof\tIN\tB-PP\tO' -p8839 -aS'1993\t1993\tCD\tB-NP\tO' -p8840 -aS'had\thave\tVBD\tB-VP\tO' -p8841 -aS'3-4\t3-4\tCD\tB-NP\tO' -p8842 -aS'millimeter\tmillimeter\tNN\tI-NP\tO' -p8843 -aS'ST\tST\tNN\tI-NP\tO' -p8844 -aS'segment\tsegment\tNN\tI-NP\tO' -p8845 -aS'elevation\televation\tNN\tI-NP\tO' -p8846 -aS'in\tin\tIN\tB-PP\tO' -p8847 -aS'V1\tV1\tNN\tB-NP\tO' -p8848 -aS'through\tthrough\tIN\tB-PP\tO' -p8849 -aS'V4\tV4\tNN\tB-NP\tB-protein' -p8850 -aS'and\tand\tCC\tI-NP\tO' -p8851 -aS'depression\tdepression\tNN\tI-NP\tO' -p8852 -aS'in\tin\tIN\tB-PP\tO' -p8853 -aS'II\tII\tCD\tB-NP\tO' -p8854 -aS',\t,\t,\tI-NP\tO' -p8855 -aS'III\tIII\tCD\tI-NP\tO' -p8856 -aS',\t,\t,\tO\tO' -p8857 -aS'and\tand\tCC\tO\tO' -p8858 -aS'AVF\tAVF\tNN\tB-NP\tB-protein' -p8859 -aS'.\t.\t.\tO\tO' -p8860 -asS'Moderate ( 2 +) mitral regurgitation is seen .' -p8861 -(lp8862 -S'Moderate\tModerate\tJJ\tO\tO' -p8863 -aS'(\t(\t(\tO\tO' -p8864 -aS'2\t2\tCD\tB-NP\tO' -p8865 -aS'+)\t+)\tCC\tO\tO' -p8866 -aS'mitral\tmitral\tJJ\tB-NP\tO' -p8867 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p8868 -aS'is\tbe\tVBZ\tB-VP\tO' -p8869 -aS'seen\tsee\tVBN\tI-VP\tO' -p8870 -aS'.\t.\t.\tO\tO' -p8871 -asS'The patient was admitted to the Hospital and was taken to the operating room for an open Bankart procedure with biceps tenodesis ( Please see the operative note for full details ) .' -p8872 -(lp8873 -S'The\tThe\tDT\tB-NP\tO' -p8874 -aS'patient\tpatient\tNN\tI-NP\tO' -p8875 -aS'was\tbe\tVBD\tB-VP\tO' -p8876 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p8877 -aS'to\tto\tTO\tB-PP\tO' -p8878 -aS'the\tthe\tDT\tB-NP\tO' -p8879 -aS'Hospital\tHospital\tNN\tI-NP\tO' -p8880 -aS'and\tand\tCC\tO\tO' -p8881 -aS'was\tbe\tVBD\tB-VP\tO' -p8882 -aS'taken\ttake\tVBN\tI-VP\tO' -p8883 -aS'to\tto\tTO\tB-PP\tO' -p8884 -aS'the\tthe\tDT\tB-NP\tO' -p8885 -aS'operating\toperating\tNN\tI-NP\tO' -p8886 -aS'room\troom\tNN\tI-NP\tO' -p8887 -aS'for\tfor\tIN\tB-PP\tO' -p8888 -aS'an\tan\tDT\tB-NP\tO' -p8889 -aS'open\topen\tJJ\tI-NP\tO' -p8890 -aS'Bankart\tBankart\tNNP\tI-NP\tO' -p8891 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p8892 -aS'with\twith\tIN\tB-PP\tO' -p8893 -aS'biceps\tbicep\tNNS\tB-NP\tO' -p8894 -aS'tenodesis\ttenodesis\tNN\tI-NP\tO' -p8895 -aS'(\t(\t(\tO\tO' -p8896 -aS'Please\tPlease\tNN\tB-NP\tO' -p8897 -aS'see\tsee\tVBP\tB-VP\tO' -p8898 -aS'the\tthe\tDT\tB-NP\tO' -p8899 -aS'operative\toperative\tJJ\tI-NP\tO' -p8900 -aS'note\tnote\tNN\tI-NP\tO' -p8901 -aS'for\tfor\tIN\tB-PP\tO' -p8902 -aS'full\tfull\tJJ\tB-NP\tO' -p8903 -aS'details\tdetail\tNNS\tI-NP\tO' -p8904 -aS')\t)\t)\tO\tO' -p8905 -aS'.\t.\t.\tO\tO' -p8906 -asS'The pt continued to have low urine output .' -p8907 -(lp8908 -S'The\tThe\tDT\tB-NP\tO' -p8909 -aS'pt\tpt\tNN\tI-NP\tO' -p8910 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p8911 -aS'to\tto\tTO\tI-VP\tO' -p8912 -aS'have\thave\tVB\tI-VP\tO' -p8913 -aS'low\tlow\tJJ\tB-NP\tO' -p8914 -aS'urine\turine\tNN\tI-NP\tO' -p8915 -aS'output\toutput\tNN\tI-NP\tO' -p8916 -aS'.\t.\t.\tO\tO' -p8917 -asS'Copious urine output , BUN 1.0 , creatinine .8 .' -p8918 -(lp8919 -S'Copious\tCopious\tJJ\tB-NP\tO' -p8920 -aS'urine\turine\tNN\tI-NP\tO' -p8921 -aS'output\toutput\tNN\tI-NP\tO' -p8922 -aS',\t,\t,\tO\tO' -p8923 -aS'BUN\tBUN\tNN\tB-NP\tB-cell_line' -p8924 -aS'1.0\t1.0\tCD\tI-NP\tI-cell_line' -p8925 -aS',\t,\t,\tO\tO' -p8926 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p8927 -aS'.8\t.8\tCD\tI-NP\tO' -p8928 -aS'.\t.\t.\tO\tO' -p8929 -asS'On 11-18 a DNR order was put into place .' -p8930 -(lp8931 -S'On\tOn\tIN\tB-PP\tO' -p8932 -aS'11-18\t11-18\tCD\tB-NP\tO' -p8933 -aS'a\ta\tDT\tB-NP\tO' -p8934 -aS'DNR\tDNR\tNN\tI-NP\tO' -p8935 -aS'order\torder\tNN\tI-NP\tO' -p8936 -aS'was\tbe\tVBD\tB-VP\tO' -p8937 -aS'put\tput\tVBN\tI-VP\tO' -p8938 -aS'into\tinto\tIN\tB-PP\tO' -p8939 -aS'place\tplace\tNN\tB-NP\tO' -p8940 -aS'.\t.\t.\tO\tO' -p8941 -asS'clear to auscultation .' -p8942 -(lp8943 -S'clear\tclear\tJJ\tB-ADJP\tO' -p8944 -aS'to\tto\tTO\tB-PP\tO' -p8945 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p8946 -aS'.\t.\t.\tO\tO' -p8947 -asS'No slurred speech .' -p8948 -(lp8949 -S'No\tNo\tDT\tB-NP\tO' -p8950 -aS'slurred\tslur\tVBD\tB-VP\tO' -p8951 -aS'speech\tspeech\tNN\tB-NP\tO' -p8952 -aS'.\t.\t.\tO\tO' -p8953 -asS'She was generally doing well with resolution of her temperature until 4/1/97 at 9:20 P.M. , when she was noted to be unresponsive with fixed dilated pupils .' -p8954 -(lp8955 -S'She\tShe\tPRP\tB-NP\tO' -p8956 -aS'was\tbe\tVBD\tB-VP\tO' -p8957 -aS'generally\tgenerally\tRB\tI-VP\tO' -p8958 -aS'doing\tdo\tVBG\tI-VP\tO' -p8959 -aS'well\twell\tRB\tB-ADVP\tO' -p8960 -aS'with\twith\tIN\tB-PP\tO' -p8961 -aS'resolution\tresolution\tNN\tB-NP\tO' -p8962 -aS'of\tof\tIN\tB-PP\tO' -p8963 -aS'her\ther\tPRP$\tB-NP\tO' -p8964 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p8965 -aS'until\tuntil\tIN\tB-PP\tO' -p8966 -aS'4/1/97\t4/1/97\tCD\tB-NP\tO' -p8967 -aS'at\tat\tIN\tB-PP\tO' -p8968 -aS'9:20\t9:20\tCD\tB-NP\tO' -p8969 -aS'P.M.\tP.M.\tNNP\tI-NP\tO' -p8970 -aS',\t,\t,\tO\tO' -p8971 -aS'when\twhen\tWRB\tB-ADVP\tO' -p8972 -aS'she\tshe\tPRP\tB-NP\tO' -p8973 -aS'was\tbe\tVBD\tB-VP\tO' -p8974 -aS'noted\tnote\tVBN\tI-VP\tO' -p8975 -aS'to\tto\tTO\tI-VP\tO' -p8976 -aS'be\tbe\tVB\tI-VP\tO' -p8977 -aS'unresponsive\tunresponsive\tJJ\tB-ADJP\tO' -p8978 -aS'with\twith\tIN\tB-PP\tO' -p8979 -aS'fixed\tfix\tVBN\tB-NP\tO' -p8980 -aS'dilated\tdilated\tJJ\tI-NP\tO' -p8981 -aS'pupils\tpupil\tNNS\tI-NP\tO' -p8982 -aS'.\t.\t.\tO\tO' -p8983 -asS'Redo AVR with aortic root enlargement ( 21 mm CE Magna pericardial valve )' -p8984 -(lp8985 -S'Redo\tRedo\tNN\tB-NP\tB-protein' -p8986 -aS'AVR\tAVR\tNN\tI-NP\tI-protein' -p8987 -aS'with\twith\tIN\tB-PP\tO' -p8988 -aS'aortic\taortic\tJJ\tB-NP\tO' -p8989 -aS'root\troot\tNN\tI-NP\tO' -p8990 -aS'enlargement\tenlargement\tNN\tI-NP\tO' -p8991 -aS'(\t(\t(\tO\tO' -p8992 -aS'21\t21\tCD\tB-NP\tO' -p8993 -aS'mm\tmm\tNN\tI-NP\tO' -p8994 -aS'CE\tCE\tNNP\tI-NP\tO' -p8995 -aS'Magna\tMagna\tNNP\tI-NP\tO' -p8996 -aS'pericardial\tpericardial\tJJ\tI-NP\tO' -p8997 -aS'valve\tvalve\tNN\tI-NP\tO' -p8998 -aS')\t)\t)\tO\tO' -p8999 -asS'The electrocardiogram showed Q waves in V1 through V6 , T wave pseudonormalization in V1 through V6 .' -p9000 -(lp9001 -S'The\tThe\tDT\tB-NP\tO' -p9002 -aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' -p9003 -aS'showed\tshow\tVBD\tB-VP\tO' -p9004 -aS'Q\tQ\tNN\tB-NP\tO' -p9005 -aS'waves\twave\tNNS\tI-NP\tO' -p9006 -aS'in\tin\tIN\tB-PP\tO' -p9007 -aS'V1\tV1\tNN\tB-NP\tO' -p9008 -aS'through\tthrough\tIN\tB-PP\tO' -p9009 -aS'V6\tV6\tNN\tB-NP\tB-protein' -p9010 -aS',\t,\t,\tO\tO' -p9011 -aS'T\tT\tNN\tB-NP\tO' -p9012 -aS'wave\twave\tNN\tI-NP\tO' -p9013 -aS'pseudonormalization\tpseudonormalization\tNN\tI-NP\tO' -p9014 -aS'in\tin\tIN\tB-PP\tO' -p9015 -aS'V1\tV1\tNN\tB-NP\tO' -p9016 -aS'through\tthrough\tIN\tB-PP\tO' -p9017 -aS'V6\tV6\tNN\tB-NP\tB-protein' -p9018 -aS'.\t.\t.\tO\tO' -p9019 -asS'IMPRESSION : Minimally displaced , comminuted fractures of the left C7 and T1 transverse processes .' -p9020 -(lp9021 -S'IMPRESSION\tIMPRESSION\tNN\tB-NP\tO' -p9022 -aS':\t:\t:\tO\tO' -p9023 -aS'Minimally\tMinimally\tNNP\tB-NP\tO' -p9024 -aS'displaced\tdisplace\tVBD\tB-VP\tO' -p9025 -aS',\t,\t,\tO\tO' -p9026 -aS'comminuted\tcomminute\tVBD\tB-VP\tO' -p9027 -aS'fractures\tfracture\tNNS\tB-NP\tO' -p9028 -aS'of\tof\tIN\tB-PP\tO' -p9029 -aS'the\tthe\tDT\tB-NP\tO' -p9030 -aS'left\tleft\tJJ\tI-NP\tO' -p9031 -aS'C7\tC7\tNN\tI-NP\tO' -p9032 -aS'and\tand\tCC\tI-NP\tO' -p9033 -aS'T1\tT1\tNN\tI-NP\tO' -p9034 -aS'transverse\ttransverse\tJJ\tI-NP\tO' -p9035 -aS'processes\tprocess\tNNS\tI-NP\tO' -p9036 -aS'.\t.\t.\tO\tO' -p9037 -asS'A bronchoscopy was done and there was blood found in the upper airways but no evidence of blood in alveoli so it was not felt to be DAH .' -p9038 -(lp9039 -S'A\tA\tDT\tB-NP\tO' -p9040 -aS'bronchoscopy\tbronchoscopy\tNN\tI-NP\tO' -p9041 -aS'was\tbe\tVBD\tB-VP\tO' -p9042 -aS'done\tdo\tVBN\tI-VP\tO' -p9043 -aS'and\tand\tCC\tO\tO' -p9044 -aS'there\tthere\tEX\tB-NP\tO' -p9045 -aS'was\tbe\tVBD\tB-VP\tO' -p9046 -aS'blood\tblood\tNN\tB-NP\tO' -p9047 -aS'found\tfind\tVBN\tB-VP\tO' -p9048 -aS'in\tin\tIN\tB-PP\tO' -p9049 -aS'the\tthe\tDT\tB-NP\tO' -p9050 -aS'upper\tupper\tJJ\tI-NP\tO' -p9051 -aS'airways\tairway\tNNS\tI-NP\tO' -p9052 -aS'but\tbut\tCC\tO\tO' -p9053 -aS'no\tno\tDT\tB-NP\tO' -p9054 -aS'evidence\tevidence\tNN\tI-NP\tO' -p9055 -aS'of\tof\tIN\tB-PP\tO' -p9056 -aS'blood\tblood\tNN\tB-NP\tO' -p9057 -aS'in\tin\tIN\tB-PP\tO' -p9058 -aS'alveoli\talveolus\tNNS\tB-NP\tO' -p9059 -aS'so\tso\tIN\tB-SBAR\tO' -p9060 -aS'it\tit\tPRP\tB-NP\tO' -p9061 -aS'was\tbe\tVBD\tB-VP\tO' -p9062 -aS'not\tnot\tRB\tI-VP\tO' -p9063 -aS'felt\tfeel\tVBN\tI-VP\tO' -p9064 -aS'to\tto\tTO\tI-VP\tO' -p9065 -aS'be\tbe\tVB\tI-VP\tO' -p9066 -aS'DAH\tDAH\tNN\tB-NP\tO' -p9067 -aS'.\t.\t.\tO\tO' -p9068 -asS'His epidural was successfully discontinued and he is discharged to home on 08-15 with instructions to follow-up with Dr. Cordova in the office within the next one to two weeks .' -p9069 -(lp9070 -S'His\tHis\tPRP$\tB-NP\tO' -p9071 -aS'epidural\tepidural\tNN\tI-NP\tO' -p9072 -aS'was\tbe\tVBD\tB-VP\tO' -p9073 -aS'successfully\tsuccessfully\tRB\tI-VP\tO' -p9074 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p9075 -aS'and\tand\tCC\tO\tO' -p9076 -aS'he\the\tPRP\tB-NP\tO' -p9077 -aS'is\tbe\tVBZ\tB-VP\tO' -p9078 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p9079 -aS'to\tto\tTO\tB-PP\tO' -p9080 -aS'home\thome\tNN\tB-NP\tO' -p9081 -aS'on\ton\tIN\tB-PP\tO' -p9082 -aS'08-15\t08-15\tCD\tB-NP\tO' -p9083 -aS'with\twith\tIN\tB-PP\tO' -p9084 -aS'instructions\tinstruction\tNNS\tB-NP\tO' -p9085 -aS'to\tto\tTO\tB-VP\tO' -p9086 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p9087 -aS'with\twith\tIN\tB-PP\tO' -p9088 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p9089 -aS'Cordova\tCordova\tNNP\tI-NP\tO' -p9090 -aS'in\tin\tIN\tB-PP\tO' -p9091 -aS'the\tthe\tDT\tB-NP\tO' -p9092 -aS'office\toffice\tNN\tI-NP\tO' -p9093 -aS'within\twithin\tIN\tB-PP\tO' -p9094 -aS'the\tthe\tDT\tB-NP\tO' -p9095 -aS'next\tnext\tJJ\tI-NP\tO' -p9096 -aS'one\tone\tCD\tI-NP\tO' -p9097 -aS'to\tto\tTO\tI-NP\tO' -p9098 -aS'two\ttwo\tCD\tI-NP\tO' -p9099 -aS'weeks\tweek\tNNS\tI-NP\tO' -p9100 -aS'.\t.\t.\tO\tO' -p9101 -asS'The measures included attempts at pacing .' -p9102 -(lp9103 -S'The\tThe\tDT\tB-NP\tO' -p9104 -aS'measures\tmeasure\tNNS\tI-NP\tO' -p9105 -aS'included\tinclude\tVBD\tB-VP\tO' -p9106 -aS'attempts\tattempt\tNNS\tB-NP\tO' -p9107 -aS'at\tat\tIN\tB-PP\tO' -p9108 -aS'pacing\tpacing\tNN\tB-NP\tO' -p9109 -aS'.\t.\t.\tO\tO' -p9110 -asS'The infant passed both ears on 2018-12-30 .' -p9111 -(lp9112 -S'The\tThe\tDT\tB-NP\tO' -p9113 -aS'infant\tinfant\tNN\tI-NP\tO' -p9114 -aS'passed\tpass\tVBD\tB-VP\tO' -p9115 -aS'both\tboth\tDT\tB-NP\tO' -p9116 -aS'ears\tear\tNNS\tI-NP\tO' -p9117 -aS'on\ton\tIN\tB-PP\tO' -p9118 -aS'2018-12-30\t2018-12-30\tCD\tB-NP\tO' -p9119 -aS'.\t.\t.\tO\tO' -p9120 -asS'11. Dispo : back to prison; ? extradition to Hawaii' -p9121 -(lp9122 -S'11.\t11.\tCD\tB-NP\tO' -p9123 -aS'Dispo\tDispo\tNNP\tI-NP\tO' -p9124 -aS':\t:\t:\tO\tO' -p9125 -aS'back\tback\tRB\tB-ADVP\tO' -p9126 -aS'to\tto\tTO\tB-VP\tO' -p9127 -aS'prison;\tprison;\tVB\tI-VP\tO' -p9128 -aS'?\t?\t.\tO\tO' -p9129 -aS'extradition\textradition\tNN\tB-NP\tO' -p9130 -aS'to\tto\tTO\tB-PP\tO' -p9131 -aS'Hawaii\tHawaii\tNNP\tB-NP\tO' -p9132 -asS'This report was created by WEERTLUC , BIRI 10/18/2001 10:23 AM' -p9133 -(lp9134 -S'This\tThis\tDT\tB-NP\tO' -p9135 -aS'report\treport\tNN\tI-NP\tO' -p9136 -aS'was\tbe\tVBD\tB-VP\tO' -p9137 -aS'created\tcreate\tVBN\tI-VP\tO' -p9138 -aS'by\tby\tIN\tB-PP\tO' -p9139 -aS'WEERTLUC\tWEERTLUC\tNNP\tB-NP\tO' -p9140 -aS',\t,\t,\tO\tO' -p9141 -aS'BIRI\tBIRI\tNNP\tB-NP\tO' -p9142 -aS'10/18/2001\t10/18/2001\tCD\tB-NP\tO' -p9143 -aS'10:23\t10:23\tCD\tI-NP\tO' -p9144 -aS'AM\tAM\tNN\tI-NP\tO' -p9145 -asS'She did not fill script for 2 days and even then was not compliant with her meds .' -p9146 -(lp9147 -S'She\tShe\tPRP\tB-NP\tO' -p9148 -aS'did\tdo\tVBD\tB-VP\tO' -p9149 -aS'not\tnot\tRB\tI-VP\tO' -p9150 -aS'fill\tfill\tVB\tI-VP\tO' -p9151 -aS'script\tscript\tNN\tB-NP\tO' -p9152 -aS'for\tfor\tIN\tB-PP\tO' -p9153 -aS'2\t2\tCD\tB-NP\tO' -p9154 -aS'days\tday\tNNS\tI-NP\tO' -p9155 -aS'and\tand\tCC\tO\tO' -p9156 -aS'even\teven\tRB\tB-ADVP\tO' -p9157 -aS'then\tthen\tRB\tI-ADVP\tO' -p9158 -aS'was\tbe\tVBD\tB-VP\tO' -p9159 -aS'not\tnot\tRB\tO\tO' -p9160 -aS'compliant\tcompliant\tJJ\tB-ADJP\tO' -p9161 -aS'with\twith\tIN\tB-PP\tO' -p9162 -aS'her\ther\tPRP$\tB-NP\tO' -p9163 -aS'meds\tmed\tNNS\tI-NP\tO' -p9164 -aS'.\t.\t.\tO\tO' -p9165 -asS'Electrocardiogram status post percutaneous coronary intervention revealed a normal sinus rhythm at 84 , with a' -p9166 -(lp9167 -S'Electrocardiogram\tElectrocardiogram\tNN\tB-NP\tO' -p9168 -aS'status\tstatus\tNN\tI-NP\tO' -p9169 -aS'post\tpost\tIN\tB-PP\tO' -p9170 -aS'percutaneous\tpercutaneous\tJJ\tB-NP\tO' -p9171 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p9172 -aS'intervention\tintervention\tNN\tI-NP\tO' -p9173 -aS'revealed\treveal\tVBD\tB-VP\tO' -p9174 -aS'a\ta\tDT\tB-NP\tO' -p9175 -aS'normal\tnormal\tJJ\tI-NP\tO' -p9176 -aS'sinus\tsinus\tNN\tI-NP\tO' -p9177 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p9178 -aS'at\tat\tIN\tB-PP\tO' -p9179 -aS'84\t84\tCD\tB-NP\tO' -p9180 -aS',\t,\t,\tO\tO' -p9181 -aS'with\twith\tIN\tB-PP\tO' -p9182 -aS'a\ta\tDT\tB-NP\tO' -p9183 -asS'Apparently , he had had a low hematocrit as an outpatient and was checked two weeks prior to admission but was not given transfusion because the patient did not want to come in at that time .' -p9184 -(lp9185 -S'Apparently\tApparently\tRB\tB-ADVP\tO' -p9186 -aS',\t,\t,\tO\tO' -p9187 -aS'he\the\tPRP\tB-NP\tO' -p9188 -aS'had\thave\tVBD\tB-VP\tO' -p9189 -aS'had\thave\tVBN\tI-VP\tO' -p9190 -aS'a\ta\tDT\tB-NP\tO' -p9191 -aS'low\tlow\tJJ\tI-NP\tO' -p9192 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p9193 -aS'as\tas\tIN\tB-PP\tO' -p9194 -aS'an\tan\tDT\tB-NP\tO' -p9195 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p9196 -aS'and\tand\tCC\tO\tO' -p9197 -aS'was\tbe\tVBD\tB-VP\tO' -p9198 -aS'checked\tcheck\tVBN\tI-VP\tO' -p9199 -aS'two\ttwo\tCD\tB-NP\tO' -p9200 -aS'weeks\tweek\tNNS\tI-NP\tO' -p9201 -aS'prior\tprior\tRB\tB-ADVP\tO' -p9202 -aS'to\tto\tTO\tB-PP\tO' -p9203 -aS'admission\tadmission\tNN\tB-NP\tO' -p9204 -aS'but\tbut\tCC\tO\tO' -p9205 -aS'was\tbe\tVBD\tB-VP\tO' -p9206 -aS'not\tnot\tRB\tI-VP\tO' -p9207 -aS'given\tgive\tVBN\tI-VP\tO' -p9208 -aS'transfusion\ttransfusion\tNN\tB-NP\tO' -p9209 -aS'because\tbecause\tIN\tB-SBAR\tO' -p9210 -aS'the\tthe\tDT\tB-NP\tO' -p9211 -aS'patient\tpatient\tNN\tI-NP\tO' -p9212 -aS'did\tdo\tVBD\tB-VP\tO' -p9213 -aS'not\tnot\tRB\tI-VP\tO' -p9214 -aS'want\twant\tVB\tI-VP\tO' -p9215 -aS'to\tto\tTO\tI-VP\tO' -p9216 -aS'come\tcome\tVB\tI-VP\tO' -p9217 -aS'in\tin\tRP\tB-PRT\tO' -p9218 -aS'at\tat\tIN\tB-PP\tO' -p9219 -aS'that\tthat\tDT\tB-NP\tO' -p9220 -aS'time\ttime\tNN\tI-NP\tO' -p9221 -aS'.\t.\t.\tO\tO' -p9222 -asS'It was felt to be pain secondary to her self-extubation and noncardiac chest pain .' -p9223 -(lp9224 -S'It\tIt\tPRP\tB-NP\tO' -p9225 -aS'was\tbe\tVBD\tB-VP\tO' -p9226 -aS'felt\tfeel\tVBN\tI-VP\tO' -p9227 -aS'to\tto\tTO\tI-VP\tO' -p9228 -aS'be\tbe\tVB\tI-VP\tO' -p9229 -aS'pain\tpain\tNN\tB-NP\tO' -p9230 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p9231 -aS'to\tto\tTO\tB-PP\tO' -p9232 -aS'her\ther\tPRP$\tB-NP\tO' -p9233 -aS'self-extubation\tself-extubation\tNN\tI-NP\tO' -p9234 -aS'and\tand\tCC\tI-NP\tO' -p9235 -aS'noncardiac\tnoncardiac\tJJ\tI-NP\tO' -p9236 -aS'chest\tchest\tNN\tI-NP\tO' -p9237 -aS'pain\tpain\tNN\tI-NP\tO' -p9238 -aS'.\t.\t.\tO\tO' -p9239 -asS'Her anterior neck and chest had a 1 cm to 2 cm area of ecchymosis .' -p9240 -(lp9241 -S'Her\tHer\tPRP$\tB-NP\tO' -p9242 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p9243 -aS'neck\tneck\tNN\tI-NP\tO' -p9244 -aS'and\tand\tCC\tI-NP\tO' -p9245 -aS'chest\tchest\tNN\tI-NP\tO' -p9246 -aS'had\thave\tVBD\tB-VP\tO' -p9247 -aS'a\ta\tDT\tB-NP\tO' -p9248 -aS'1\t1\tCD\tI-NP\tO' -p9249 -aS'cm\tcm\tNN\tI-NP\tO' -p9250 -aS'to\tto\tTO\tB-PP\tO' -p9251 -aS'2\t2\tCD\tB-NP\tO' -p9252 -aS'cm\tcm\tNN\tI-NP\tO' -p9253 -aS'area\tarea\tNN\tI-NP\tO' -p9254 -aS'of\tof\tIN\tB-PP\tO' -p9255 -aS'ecchymosis\tecchymosis\tNN\tB-NP\tO' -p9256 -aS'.\t.\t.\tO\tO' -p9257 -asS'His discharge chest x-ray showed persistent bibasilar atelectasis with only tiny pleural effusions .' -p9258 -(lp9259 -S'His\tHis\tPRP$\tB-NP\tO' -p9260 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p9261 -aS'chest\tchest\tNN\tI-NP\tO' -p9262 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p9263 -aS'showed\tshow\tVBD\tB-VP\tO' -p9264 -aS'persistent\tpersistent\tJJ\tB-NP\tO' -p9265 -aS'bibasilar\tbibasilar\tJJ\tI-NP\tO' -p9266 -aS'atelectasis\tatelectasis\tNN\tI-NP\tO' -p9267 -aS'with\twith\tIN\tB-PP\tO' -p9268 -aS'only\tonly\tJJ\tB-NP\tO' -p9269 -aS'tiny\ttiny\tJJ\tI-NP\tO' -p9270 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p9271 -aS'effusions\teffusion\tNNS\tI-NP\tO' -p9272 -aS'.\t.\t.\tO\tO' -p9273 -asS'She was given a Z-Pak for treatment along with albuterol .' -p9274 -(lp9275 -S'She\tShe\tPRP\tB-NP\tO' -p9276 -aS'was\tbe\tVBD\tB-VP\tO' -p9277 -aS'given\tgive\tVBN\tI-VP\tO' -p9278 -aS'a\ta\tDT\tB-NP\tO' -p9279 -aS'Z-Pak\tZ-Pak\tNN\tI-NP\tB-protein' -p9280 -aS'for\tfor\tIN\tB-PP\tO' -p9281 -aS'treatment\ttreatment\tNN\tB-NP\tO' -p9282 -aS'along\talong\tIN\tB-PP\tO' -p9283 -aS'with\twith\tIN\tB-PP\tO' -p9284 -aS'albuterol\talbuterol\tNN\tB-NP\tO' -p9285 -aS'.\t.\t.\tO\tO' -p9286 -asS'Decision was made to withdraw aggressive measures of care , with priority on patient 's comfort .' -p9287 -(lp9288 -S'Decision\tDecision\tNN\tB-NP\tO' -p9289 -aS'was\tbe\tVBD\tB-VP\tO' -p9290 -aS'made\tmake\tVBN\tI-VP\tO' -p9291 -aS'to\tto\tTO\tB-VP\tO' -p9292 -aS'withdraw\twithdraw\tVB\tI-VP\tO' -p9293 -aS'aggressive\taggressive\tJJ\tB-NP\tO' -p9294 -aS'measures\tmeasure\tNNS\tI-NP\tO' -p9295 -aS'of\tof\tIN\tB-PP\tO' -p9296 -aS'care\tcare\tNN\tB-NP\tO' -p9297 -aS',\t,\t,\tO\tO' -p9298 -aS'with\twith\tIN\tB-PP\tO' -p9299 -aS'priority\tpriority\tNN\tB-NP\tO' -p9300 -aS'on\ton\tIN\tB-PP\tO' -p9301 -aS'patient\tpatient\tNN\tB-NP\tO' -p9302 -aS''s\t'\tNNS\tI-NP\tO' -p9303 -aS'comfort\tcomfort\tNN\tI-NP\tO' -p9304 -aS'.\t.\t.\tO\tO' -p9305 -asS'Her hematocrit remained stable at 24-26 following the acute drop.' -p9306 -(lp9307 -S'Her\tHer\tPRP$\tB-NP\tO' -p9308 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p9309 -aS'remained\tremain\tVBD\tB-VP\tO' -p9310 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p9311 -aS'at\tat\tIN\tB-PP\tO' -p9312 -aS'24-26\t24-26\tCD\tB-NP\tO' -p9313 -aS'following\tfollow\tVBG\tB-PP\tO' -p9314 -aS'the\tthe\tDT\tB-NP\tO' -p9315 -aS'acute\tacute\tJJ\tI-NP\tO' -p9316 -aS'drop.\tdrop.\tNN\tI-NP\tO' -p9317 -asS'An echocardiogram was obtained and showed that the ejection fraction was 60% and there was no thrombus .' -p9318 -(lp9319 -S'An\tAn\tDT\tB-NP\tO' -p9320 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p9321 -aS'was\tbe\tVBD\tB-VP\tO' -p9322 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p9323 -aS'and\tand\tCC\tO\tO' -p9324 -aS'showed\tshow\tVBD\tB-VP\tO' -p9325 -aS'that\tthat\tIN\tB-SBAR\tO' -p9326 -aS'the\tthe\tDT\tB-NP\tO' -p9327 -aS'ejection\tejection\tNN\tI-NP\tO' -p9328 -aS'fraction\tfraction\tNN\tI-NP\tO' -p9329 -aS'was\tbe\tVBD\tB-VP\tO' -p9330 -aS'60%\t60%\tJJ\tB-ADJP\tO' -p9331 -aS'and\tand\tCC\tO\tO' -p9332 -aS'there\tthere\tEX\tB-NP\tO' -p9333 -aS'was\tbe\tVBD\tB-VP\tO' -p9334 -aS'no\tno\tDT\tB-NP\tO' -p9335 -aS'thrombus\tthrombus\tNN\tI-NP\tO' -p9336 -aS'.\t.\t.\tO\tO' -p9337 -asS'INDICATION : Intraparenchymal hemorrhage after fall .' -p9338 -(lp9339 -S'INDICATION\tINDICATION\tNN\tB-NP\tO' -p9340 -aS':\t:\t:\tO\tO' -p9341 -aS'Intraparenchymal\tIntraparenchymal\tJJ\tB-NP\tO' -p9342 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p9343 -aS'after\tafter\tIN\tB-PP\tO' -p9344 -aS'fall\tfall\tNN\tB-NP\tO' -p9345 -aS'.\t.\t.\tO\tO' -p9346 -asS'The patient will follow-up with her primary care provider , Dr. Na Fongbain at the Cord Memorial Hospital .' -p9347 -(lp9348 -S'The\tThe\tDT\tB-NP\tO' -p9349 -aS'patient\tpatient\tNN\tI-NP\tO' -p9350 -aS'will\twill\tMD\tB-VP\tO' -p9351 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p9352 -aS'with\twith\tIN\tB-PP\tO' -p9353 -aS'her\ther\tPRP$\tB-NP\tO' -p9354 -aS'primary\tprimary\tJJ\tI-NP\tO' -p9355 -aS'care\tcare\tNN\tI-NP\tO' -p9356 -aS'provider\tprovider\tNN\tI-NP\tO' -p9357 -aS',\t,\t,\tO\tO' -p9358 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p9359 -aS'Na\tNa\tNNP\tI-NP\tO' -p9360 -aS'Fongbain\tFongbain\tNNP\tI-NP\tO' -p9361 -aS'at\tat\tIN\tB-PP\tO' -p9362 -aS'the\tthe\tDT\tB-NP\tO' -p9363 -aS'Cord\tCord\tNNP\tI-NP\tO' -p9364 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p9365 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p9366 -aS'.\t.\t.\tO\tO' -p9367 -asS'Denies etoh , illicits .' -p9368 -(lp9369 -S'Denies\tDeny\tNNS\tB-NP\tO' -p9370 -aS'etoh\tetoh\tNN\tI-NP\tO' -p9371 -aS',\t,\t,\tO\tO' -p9372 -aS'illicits\tillicit\tNNS\tB-NP\tO' -p9373 -aS'.\t.\t.\tO\tO' -p9374 -asS'The patient stated her symptoms began in 2011 and have increased in intensity and frequency every since then .' -p9375 -(lp9376 -S'The\tThe\tDT\tB-NP\tO' -p9377 -aS'patient\tpatient\tNN\tI-NP\tO' -p9378 -aS'stated\tstate\tVBD\tB-VP\tO' -p9379 -aS'her\ther\tPRP$\tB-NP\tO' -p9380 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p9381 -aS'began\tbegin\tVBD\tB-VP\tO' -p9382 -aS'in\tin\tIN\tB-PP\tO' -p9383 -aS'2011\t2011\tCD\tB-NP\tO' -p9384 -aS'and\tand\tCC\tO\tO' -p9385 -aS'have\thave\tVBP\tB-VP\tO' -p9386 -aS'increased\tincrease\tVBN\tI-VP\tO' -p9387 -aS'in\tin\tIN\tB-PP\tO' -p9388 -aS'intensity\tintensity\tNN\tB-NP\tO' -p9389 -aS'and\tand\tCC\tI-NP\tO' -p9390 -aS'frequency\tfrequency\tNN\tI-NP\tO' -p9391 -aS'every\tevery\tDT\tB-NP\tO' -p9392 -aS'since\tsince\tIN\tB-PP\tO' -p9393 -aS'then\tthen\tRB\tB-NP\tO' -p9394 -aS'.\t.\t.\tO\tO' -p9395 -asS'HEIGHT 63 HEENT NORMAL MOUTH NORMAL NECK NORMAL BREASTS NORMAL No masses NIPPLES NORMAL CHEST NORMAL CTA bilat , neg wheezing COR NORMAL NSR , no murmur ABDOMEN Gravid , vtx .' -p9396 -(lp9397 -S'HEIGHT\tHEIGHT\tNN\tB-NP\tB-protein' -p9398 -aS'63\t63\tCD\tI-NP\tI-protein' -p9399 -aS'HEENT\tHEENT\tNNP\tI-NP\tI-protein' -p9400 -aS'NORMAL\tNORMAL\tNNP\tI-NP\tI-protein' -p9401 -aS'MOUTH\tMOUTH\tNNP\tI-NP\tI-protein' -p9402 -aS'NORMAL\tNORMAL\tNNP\tI-NP\tI-protein' -p9403 -aS'NECK\tNECK\tNNP\tI-NP\tI-protein' -p9404 -aS'NORMAL\tNORMAL\tNNP\tI-NP\tO' -p9405 -aS'BREASTS\tBREASTS\tNNP\tI-NP\tO' -p9406 -aS'NORMAL\tNORMAL\tNNP\tI-NP\tO' -p9407 -aS'No\tNo\tNNP\tI-NP\tO' -p9408 -aS'masses\tmass\tVBZ\tB-VP\tO' -p9409 -aS'NIPPLES\tNIPPLES\tNNP\tB-NP\tO' -p9410 -aS'NORMAL\tNORMAL\tNNP\tI-NP\tO' -p9411 -aS'CHEST\tCHEST\tNN\tI-NP\tO' -p9412 -aS'NORMAL\tNORMAL\tNN\tI-NP\tO' -p9413 -aS'CTA\tCTA\tNN\tI-NP\tO' -p9414 -aS'bilat\tbilat\tNN\tI-NP\tO' -p9415 -aS',\t,\t,\tO\tO' -p9416 -aS'neg\tneg\tNN\tB-NP\tO' -p9417 -aS'wheezing\twheeze\tVBG\tB-VP\tO' -p9418 -aS'COR\tCOR\tNNP\tB-NP\tO' -p9419 -aS'NORMAL\tNORMAL\tNNP\tI-NP\tO' -p9420 -aS'NSR\tNSR\tNNP\tI-NP\tO' -p9421 -aS',\t,\t,\tO\tO' -p9422 -aS'no\tno\tDT\tB-NP\tO' -p9423 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p9424 -aS'ABDOMEN\tABDOMEN\tNN\tI-NP\tO' -p9425 -aS'Gravid\tGravid\tNN\tI-NP\tO' -p9426 -aS',\t,\t,\tO\tO' -p9427 -aS'vtx\tvtx\tNN\tB-NP\tO' -p9428 -aS'.\t.\t.\tO\tO' -p9429 -asS'12. Levofloxacin 500 mg Tablet Sig : One ( 1 ) Tablet PO Q24H ( every 24 hours ) for 3 days .' -p9430 -(lp9431 -S'12.\t12.\tCD\tB-NP\tO' -p9432 -aS'Levofloxacin\tLevofloxacin\tNN\tI-NP\tO' -p9433 -aS'500\t500\tCD\tB-NP\tO' -p9434 -aS'mg\tmg\tNN\tI-NP\tO' -p9435 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p9436 -aS'Sig\tSig\tNNP\tI-NP\tO' -p9437 -aS':\t:\t:\tO\tO' -p9438 -aS'One\tOne\tCD\tB-NP\tO' -p9439 -aS'(\t(\t(\tO\tO' -p9440 -aS'1\t1\tCD\tB-NP\tO' -p9441 -aS')\t)\t)\tO\tO' -p9442 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p9443 -aS'PO\tPO\tNN\tI-NP\tO' -p9444 -aS'Q24H\tQ24H\tNN\tI-NP\tO' -p9445 -aS'(\t(\t(\tO\tO' -p9446 -aS'every\tevery\tDT\tB-NP\tO' -p9447 -aS'24\t24\tCD\tI-NP\tO' -p9448 -aS'hours\thour\tNNS\tI-NP\tO' -p9449 -aS')\t)\t)\tO\tO' -p9450 -aS'for\tfor\tIN\tB-PP\tO' -p9451 -aS'3\t3\tCD\tB-NP\tO' -p9452 -aS'days\tday\tNNS\tI-NP\tO' -p9453 -aS'.\t.\t.\tO\tO' -p9454 -asS'Mr. Steadman is a 25 year old man who was locked out of his apartment and tried to enter by climbing up two stories to get in by a window .' -p9455 -(lp9456 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p9457 -aS'Steadman\tSteadman\tNNP\tI-NP\tO' -p9458 -aS'is\tbe\tVBZ\tB-VP\tO' -p9459 -aS'a\ta\tDT\tB-NP\tO' -p9460 -aS'25\t25\tCD\tI-NP\tO' -p9461 -aS'year\tyear\tNN\tI-NP\tO' -p9462 -aS'old\told\tJJ\tI-NP\tO' -p9463 -aS'man\tman\tNN\tI-NP\tO' -p9464 -aS'who\twho\tWP\tB-NP\tO' -p9465 -aS'was\tbe\tVBD\tB-VP\tO' -p9466 -aS'locked\tlock\tVBN\tI-VP\tO' -p9467 -aS'out\tout\tIN\tB-PP\tO' -p9468 -aS'of\tof\tIN\tB-PP\tO' -p9469 -aS'his\this\tPRP$\tB-NP\tO' -p9470 -aS'apartment\tapartment\tNN\tI-NP\tO' -p9471 -aS'and\tand\tCC\tO\tO' -p9472 -aS'tried\ttry\tVBD\tB-VP\tO' -p9473 -aS'to\tto\tTO\tI-VP\tO' -p9474 -aS'enter\tenter\tVB\tI-VP\tO' -p9475 -aS'by\tby\tIN\tB-PP\tO' -p9476 -aS'climbing\tclimb\tVBG\tB-VP\tO' -p9477 -aS'up\tup\tRP\tB-PRT\tO' -p9478 -aS'two\ttwo\tCD\tB-NP\tO' -p9479 -aS'stories\tstory\tNNS\tI-NP\tO' -p9480 -aS'to\tto\tTO\tB-VP\tO' -p9481 -aS'get\tget\tVB\tI-VP\tO' -p9482 -aS'in\tin\tRP\tB-PRT\tO' -p9483 -aS'by\tby\tIN\tB-PP\tO' -p9484 -aS'a\ta\tDT\tB-NP\tO' -p9485 -aS'window\twindow\tNN\tI-NP\tO' -p9486 -aS'.\t.\t.\tO\tO' -p9487 -asS'The patient ruled out for MI by cardiac markers .' -p9488 -(lp9489 -S'The\tThe\tDT\tB-NP\tO' -p9490 -aS'patient\tpatient\tNN\tI-NP\tO' -p9491 -aS'ruled\trule\tVBD\tB-VP\tO' -p9492 -aS'out\tout\tRP\tB-PRT\tO' -p9493 -aS'for\tfor\tIN\tB-PP\tO' -p9494 -aS'MI\tMI\tNN\tB-NP\tO' -p9495 -aS'by\tby\tIN\tB-PP\tO' -p9496 -aS'cardiac\tcardiac\tJJ\tB-NP\tB-protein' -p9497 -aS'markers\tmarker\tNNS\tI-NP\tI-protein' -p9498 -aS'.\t.\t.\tO\tO' -p9499 -asS'Overall LVEF is difficult to assess due to poor echo windows although the basal LV appeas hyperdynamic without regional contraction abnormality ( suspect significant improvement compared to prior study dated 2017-07-18 ).' -p9500 -(lp9501 -S'Overall\tOverall\tJJ\tB-NP\tO' -p9502 -aS'LVEF\tLVEF\tNN\tI-NP\tB-protein' -p9503 -aS'is\tbe\tVBZ\tB-VP\tO' -p9504 -aS'difficult\tdifficult\tJJ\tB-ADJP\tO' -p9505 -aS'to\tto\tTO\tB-VP\tO' -p9506 -aS'assess\tassess\tVB\tI-VP\tO' -p9507 -aS'due\tdue\tIN\tB-PP\tO' -p9508 -aS'to\tto\tTO\tB-PP\tO' -p9509 -aS'poor\tpoor\tJJ\tB-NP\tO' -p9510 -aS'echo\techo\tJJ\tI-NP\tO' -p9511 -aS'windows\twindow\tNNS\tI-NP\tO' -p9512 -aS'although\talthough\tIN\tB-SBAR\tO' -p9513 -aS'the\tthe\tDT\tB-NP\tO' -p9514 -aS'basal\tbasal\tJJ\tI-NP\tO' -p9515 -aS'LV\tLV\tNN\tI-NP\tO' -p9516 -aS'appeas\tappea\tNNS\tI-NP\tO' -p9517 -aS'hyperdynamic\thyperdynamic\tJJ\tB-ADJP\tO' -p9518 -aS'without\twithout\tIN\tB-PP\tO' -p9519 -aS'regional\tregional\tJJ\tB-NP\tO' -p9520 -aS'contraction\tcontraction\tNN\tI-NP\tO' -p9521 -aS'abnormality\tabnormality\tNN\tI-NP\tO' -p9522 -aS'(\t(\t(\tO\tO' -p9523 -aS'suspect\tsuspect\tNN\tB-NP\tO' -p9524 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p9525 -aS'improvement\timprovement\tNN\tI-NP\tO' -p9526 -aS'compared\tcompare\tVBN\tB-VP\tO' -p9527 -aS'to\tto\tTO\tB-PP\tO' -p9528 -aS'prior\tprior\tJJ\tB-NP\tO' -p9529 -aS'study\tstudy\tNN\tI-NP\tO' -p9530 -aS'dated\tdate\tVBD\tB-VP\tO' -p9531 -aS'2017-07-18\t2017-07-18\tCD\tB-NP\tO' -p9532 -aS').\t).\t.\tO\tO' -p9533 -asS'Patient is strongly encouraged to followup with her outside primary care provider to followup for the vaginal bleeding given her history of fibroids and question metaplasia of the endometrium .' -p9534 -(lp9535 -S'Patient\tPatient\tNN\tB-NP\tO' -p9536 -aS'is\tbe\tVBZ\tB-VP\tO' -p9537 -aS'strongly\tstrongly\tRB\tI-VP\tO' -p9538 -aS'encouraged\tencourage\tVBN\tI-VP\tO' -p9539 -aS'to\tto\tTO\tI-VP\tO' -p9540 -aS'followup\tfollowup\tVB\tI-VP\tO' -p9541 -aS'with\twith\tIN\tB-PP\tO' -p9542 -aS'her\ther\tPRP\tB-NP\tO' -p9543 -aS'outside\toutside\tJJ\tI-NP\tO' -p9544 -aS'primary\tprimary\tJJ\tI-NP\tO' -p9545 -aS'care\tcare\tNN\tI-NP\tO' -p9546 -aS'provider\tprovider\tNN\tI-NP\tO' -p9547 -aS'to\tto\tTO\tB-VP\tO' -p9548 -aS'followup\tfollowup\tVB\tI-VP\tO' -p9549 -aS'for\tfor\tIN\tB-PP\tO' -p9550 -aS'the\tthe\tDT\tB-NP\tO' -p9551 -aS'vaginal\tvaginal\tJJ\tI-NP\tO' -p9552 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p9553 -aS'given\tgive\tVBN\tB-VP\tO' -p9554 -aS'her\ther\tPRP$\tB-NP\tO' -p9555 -aS'history\thistory\tNN\tI-NP\tO' -p9556 -aS'of\tof\tIN\tB-PP\tO' -p9557 -aS'fibroids\tfibroid\tNNS\tB-NP\tO' -p9558 -aS'and\tand\tCC\tO\tO' -p9559 -aS'question\tquestion\tNN\tB-NP\tO' -p9560 -aS'metaplasia\tmetaplasia\tNN\tI-NP\tO' -p9561 -aS'of\tof\tIN\tB-PP\tO' -p9562 -aS'the\tthe\tDT\tB-NP\tO' -p9563 -aS'endometrium\tendometrium\tNN\tI-NP\tO' -p9564 -aS'.\t.\t.\tO\tO' -p9565 -asS'The patient was discharged to home with appropriate Flolan teaching and supplies .' -p9566 -(lp9567 -S'The\tThe\tDT\tB-NP\tO' -p9568 -aS'patient\tpatient\tNN\tI-NP\tO' -p9569 -aS'was\tbe\tVBD\tB-VP\tO' -p9570 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p9571 -aS'to\tto\tTO\tB-PP\tO' -p9572 -aS'home\thome\tNN\tB-NP\tO' -p9573 -aS'with\twith\tIN\tB-PP\tO' -p9574 -aS'appropriate\tappropriate\tJJ\tB-NP\tO' -p9575 -aS'Flolan\tFlolan\tNN\tI-NP\tO' -p9576 -aS'teaching\tteaching\tNN\tI-NP\tO' -p9577 -aS'and\tand\tCC\tI-NP\tO' -p9578 -aS'supplies\tsupply\tNNS\tI-NP\tO' -p9579 -aS'.\t.\t.\tO\tO' -p9580 -asS'Second , he had a witnessed episode in which his eyes rolled to the back of his head and there was a question of some seizure activity .' -p9581 -(lp9582 -S'Second\tSecond\tRB\tB-ADVP\tO' -p9583 -aS',\t,\t,\tO\tO' -p9584 -aS'he\the\tPRP\tB-NP\tO' -p9585 -aS'had\thave\tVBD\tB-VP\tO' -p9586 -aS'a\ta\tDT\tB-NP\tO' -p9587 -aS'witnessed\twitness\tVBN\tI-NP\tO' -p9588 -aS'episode\tepisode\tNN\tI-NP\tO' -p9589 -aS'in\tin\tIN\tB-PP\tO' -p9590 -aS'which\twhich\tWDT\tB-NP\tO' -p9591 -aS'his\this\tPRP$\tB-NP\tO' -p9592 -aS'eyes\teye\tNNS\tI-NP\tO' -p9593 -aS'rolled\troll\tVBD\tB-VP\tO' -p9594 -aS'to\tto\tTO\tB-PP\tO' -p9595 -aS'the\tthe\tDT\tB-NP\tO' -p9596 -aS'back\tback\tNN\tI-NP\tO' -p9597 -aS'of\tof\tIN\tB-PP\tO' -p9598 -aS'his\this\tPRP$\tB-NP\tO' -p9599 -aS'head\thead\tNN\tI-NP\tO' -p9600 -aS'and\tand\tCC\tO\tO' -p9601 -aS'there\tthere\tEX\tB-NP\tO' -p9602 -aS'was\tbe\tVBD\tB-VP\tO' -p9603 -aS'a\ta\tDT\tB-NP\tO' -p9604 -aS'question\tquestion\tNN\tI-NP\tO' -p9605 -aS'of\tof\tIN\tB-PP\tO' -p9606 -aS'some\tsome\tDT\tB-NP\tO' -p9607 -aS'seizure\tseizure\tNN\tI-NP\tO' -p9608 -aS'activity\tactivity\tNN\tI-NP\tO' -p9609 -aS'.\t.\t.\tO\tO' -p9610 -asS'Follow-up with Dr. Tina Phillips in Stroke Clinic in about 2 months .' -p9611 -(lp9612 -S'Follow-up\tFollow-up\tNN\tB-NP\tO' -p9613 -aS'with\twith\tIN\tB-PP\tO' -p9614 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p9615 -aS'Tina\tTina\tNNP\tI-NP\tO' -p9616 -aS'Phillips\tPhillips\tNNP\tI-NP\tO' -p9617 -aS'in\tin\tIN\tB-PP\tO' -p9618 -aS'Stroke\tStroke\tNNP\tB-NP\tO' -p9619 -aS'Clinic\tClinic\tNNP\tI-NP\tO' -p9620 -aS'in\tin\tIN\tB-PP\tO' -p9621 -aS'about\tabout\tRB\tB-NP\tO' -p9622 -aS'2\t2\tCD\tI-NP\tO' -p9623 -aS'months\tmonth\tNNS\tI-NP\tO' -p9624 -aS'.\t.\t.\tO\tO' -p9625 -asS'Call ( 909 ) 566-1185 to schedule appointment in Trauma Clinic in 3-4 weeks .' -p9626 -(lp9627 -S'Call\tCall\tNN\tB-NP\tO' -p9628 -aS'(\t(\t(\tO\tO' -p9629 -aS'909\t909\tCD\tB-NP\tO' -p9630 -aS')\t)\t)\tO\tO' -p9631 -aS'566-1185\t566-1185\tCD\tB-NP\tO' -p9632 -aS'to\tto\tTO\tB-VP\tO' -p9633 -aS'schedule\tschedule\tVB\tI-VP\tO' -p9634 -aS'appointment\tappointment\tNN\tB-NP\tO' -p9635 -aS'in\tin\tIN\tB-PP\tO' -p9636 -aS'Trauma\tTrauma\tNNP\tB-NP\tO' -p9637 -aS'Clinic\tClinic\tNNP\tI-NP\tO' -p9638 -aS'in\tin\tIN\tB-PP\tO' -p9639 -aS'3-4\t3-4\tCD\tB-NP\tO' -p9640 -aS'weeks\tweek\tNNS\tI-NP\tO' -p9641 -aS'.\t.\t.\tO\tO' -p9642 -asS'A magnetic resonance imaging study will be scheduled as an outpatient in three months to rule out a small vascular malformation if responsible for the hemorrhage .' -p9643 -(lp9644 -S'A\tA\tDT\tB-NP\tO' -p9645 -aS'magnetic\tmagnetic\tJJ\tI-NP\tO' -p9646 -aS'resonance\tresonance\tNN\tI-NP\tO' -p9647 -aS'imaging\timaging\tNN\tI-NP\tO' -p9648 -aS'study\tstudy\tNN\tI-NP\tO' -p9649 -aS'will\twill\tMD\tB-VP\tO' -p9650 -aS'be\tbe\tVB\tI-VP\tO' -p9651 -aS'scheduled\tschedule\tVBN\tI-VP\tO' -p9652 -aS'as\tas\tIN\tB-PP\tO' -p9653 -aS'an\tan\tDT\tB-NP\tO' -p9654 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p9655 -aS'in\tin\tIN\tB-PP\tO' -p9656 -aS'three\tthree\tCD\tB-NP\tO' -p9657 -aS'months\tmonth\tNNS\tI-NP\tO' -p9658 -aS'to\tto\tTO\tB-VP\tO' -p9659 -aS'rule\trule\tVB\tI-VP\tO' -p9660 -aS'out\tout\tRP\tB-PRT\tO' -p9661 -aS'a\ta\tDT\tB-NP\tO' -p9662 -aS'small\tsmall\tJJ\tI-NP\tO' -p9663 -aS'vascular\tvascular\tJJ\tI-NP\tO' -p9664 -aS'malformation\tmalformation\tNN\tI-NP\tO' -p9665 -aS'if\tif\tIN\tB-SBAR\tO' -p9666 -aS'responsible\tresponsible\tJJ\tB-ADJP\tO' -p9667 -aS'for\tfor\tIN\tB-PP\tO' -p9668 -aS'the\tthe\tDT\tB-NP\tO' -p9669 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p9670 -aS'.\t.\t.\tO\tO' -p9671 -asS'He had previous substernal gastric bypass because of an interruption of his esophagus at the time of his gunshot wound .' -p9672 -(lp9673 -S'He\tHe\tPRP\tB-NP\tO' -p9674 -aS'had\thave\tVBD\tB-VP\tO' -p9675 -aS'previous\tprevious\tJJ\tB-NP\tO' -p9676 -aS'substernal\tsubsternal\tJJ\tI-NP\tO' -p9677 -aS'gastric\tgastric\tJJ\tI-NP\tO' -p9678 -aS'bypass\tbypass\tNN\tI-NP\tO' -p9679 -aS'because\tbecause\tIN\tB-PP\tO' -p9680 -aS'of\tof\tIN\tI-PP\tO' -p9681 -aS'an\tan\tDT\tB-NP\tO' -p9682 -aS'interruption\tinterruption\tNN\tI-NP\tO' -p9683 -aS'of\tof\tIN\tB-PP\tO' -p9684 -aS'his\this\tPRP$\tB-NP\tO' -p9685 -aS'esophagus\tesophagus\tNN\tI-NP\tO' -p9686 -aS'at\tat\tIN\tB-PP\tO' -p9687 -aS'the\tthe\tDT\tB-NP\tO' -p9688 -aS'time\ttime\tNN\tI-NP\tO' -p9689 -aS'of\tof\tIN\tB-PP\tO' -p9690 -aS'his\this\tPRP$\tB-NP\tO' -p9691 -aS'gunshot\tgunshot\tNN\tI-NP\tO' -p9692 -aS'wound\twound\tNN\tI-NP\tO' -p9693 -aS'.\t.\t.\tO\tO' -p9694 -asS'The left forearm and right lower leg wound should be kept clean and dry with regular dressing changes with dry gauze once per day .' -p9695 -(lp9696 -S'The\tThe\tDT\tB-NP\tO' -p9697 -aS'left\tleft\tJJ\tI-NP\tO' -p9698 -aS'forearm\tforearm\tNN\tI-NP\tO' -p9699 -aS'and\tand\tCC\tO\tO' -p9700 -aS'right\tright\tRB\tB-NP\tO' -p9701 -aS'lower\tlow\tJJR\tI-NP\tO' -p9702 -aS'leg\tleg\tNN\tI-NP\tO' -p9703 -aS'wound\twound\tNN\tI-NP\tO' -p9704 -aS'should\tshould\tMD\tB-VP\tO' -p9705 -aS'be\tbe\tVB\tI-VP\tO' -p9706 -aS'kept\tkeep\tVBN\tI-VP\tO' -p9707 -aS'clean\tclean\tJJ\tB-ADJP\tO' -p9708 -aS'and\tand\tCC\tI-ADJP\tO' -p9709 -aS'dry\tdry\tJJ\tI-ADJP\tO' -p9710 -aS'with\twith\tIN\tB-PP\tO' -p9711 -aS'regular\tregular\tJJ\tB-NP\tO' -p9712 -aS'dressing\tdress\tVBG\tI-NP\tO' -p9713 -aS'changes\tchange\tNNS\tI-NP\tO' -p9714 -aS'with\twith\tIN\tB-PP\tO' -p9715 -aS'dry\tdry\tJJ\tB-NP\tO' -p9716 -aS'gauze\tgauze\tNN\tI-NP\tO' -p9717 -aS'once\tonce\tRB\tB-ADVP\tO' -p9718 -aS'per\tper\tIN\tB-PP\tO' -p9719 -aS'day\tday\tNN\tB-NP\tO' -p9720 -aS'.\t.\t.\tO\tO' -p9721 -asS'The patient was admitted to the hospital overnight for pai n management in the setting of a large incision with large amounts of dissection during the procedure .' -p9722 -(lp9723 -S'The\tThe\tDT\tB-NP\tO' -p9724 -aS'patient\tpatient\tNN\tI-NP\tO' -p9725 -aS'was\tbe\tVBD\tB-VP\tO' -p9726 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p9727 -aS'to\tto\tTO\tB-PP\tO' -p9728 -aS'the\tthe\tDT\tB-NP\tO' -p9729 -aS'hospital\thospital\tNN\tI-NP\tO' -p9730 -aS'overnight\tovernight\tRB\tB-ADVP\tO' -p9731 -aS'for\tfor\tIN\tB-PP\tO' -p9732 -aS'pai\tpai\tNN\tB-NP\tO' -p9733 -aS'n\tn\tNN\tI-NP\tO' -p9734 -aS'management\tmanagement\tNN\tI-NP\tO' -p9735 -aS'in\tin\tIN\tB-PP\tO' -p9736 -aS'the\tthe\tDT\tB-NP\tO' -p9737 -aS'setting\tsetting\tNN\tI-NP\tO' -p9738 -aS'of\tof\tIN\tB-PP\tO' -p9739 -aS'a\ta\tDT\tB-NP\tO' -p9740 -aS'large\tlarge\tJJ\tI-NP\tO' -p9741 -aS'incision\tincision\tNN\tI-NP\tO' -p9742 -aS'with\twith\tIN\tB-PP\tO' -p9743 -aS'large\tlarge\tJJ\tB-NP\tO' -p9744 -aS'amounts\tamount\tNNS\tI-NP\tO' -p9745 -aS'of\tof\tIN\tB-PP\tO' -p9746 -aS'dissection\tdissection\tNN\tB-NP\tO' -p9747 -aS'during\tduring\tIN\tB-PP\tO' -p9748 -aS'the\tthe\tDT\tB-NP\tO' -p9749 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p9750 -aS'.\t.\t.\tO\tO' -p9751 -asS'She was kept on bedrest for two days and then was ambulating and voiding well without trouble on postoperative day number three when the Foley catheter was discontinued .' -p9752 -(lp9753 -S'She\tShe\tPRP\tB-NP\tO' -p9754 -aS'was\tbe\tVBD\tB-VP\tO' -p9755 -aS'kept\tkeep\tVBN\tI-VP\tO' -p9756 -aS'on\ton\tIN\tB-PP\tO' -p9757 -aS'bedrest\tbedrest\tNN\tB-NP\tO' -p9758 -aS'for\tfor\tIN\tB-PP\tO' -p9759 -aS'two\ttwo\tCD\tB-NP\tO' -p9760 -aS'days\tday\tNNS\tI-NP\tO' -p9761 -aS'and\tand\tCC\tO\tO' -p9762 -aS'then\tthen\tRB\tB-ADVP\tO' -p9763 -aS'was\tbe\tVBD\tB-VP\tO' -p9764 -aS'ambulating\tambulate\tVBG\tI-VP\tO' -p9765 -aS'and\tand\tCC\tI-VP\tO' -p9766 -aS'voiding\tvoid\tVBG\tI-VP\tO' -p9767 -aS'well\twell\tRB\tB-ADVP\tO' -p9768 -aS'without\twithout\tIN\tB-PP\tO' -p9769 -aS'trouble\ttrouble\tNN\tB-NP\tO' -p9770 -aS'on\ton\tIN\tB-PP\tO' -p9771 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p9772 -aS'day\tday\tNN\tI-NP\tO' -p9773 -aS'number\tnumber\tNN\tI-NP\tO' -p9774 -aS'three\tthree\tCD\tI-NP\tO' -p9775 -aS'when\twhen\tWRB\tB-ADVP\tO' -p9776 -aS'the\tthe\tDT\tB-NP\tO' -p9777 -aS'Foley\tFoley\tNNP\tI-NP\tO' -p9778 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p9779 -aS'was\tbe\tVBD\tB-VP\tO' -p9780 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p9781 -aS'.\t.\t.\tO\tO' -p9782 -asS'The liver was 11 cm by percussion .' -p9783 -(lp9784 -S'The\tThe\tDT\tB-NP\tO' -p9785 -aS'liver\tliver\tNN\tI-NP\tO' -p9786 -aS'was\tbe\tVBD\tB-VP\tO' -p9787 -aS'11\t11\tCD\tB-NP\tO' -p9788 -aS'cm\tcm\tNN\tI-NP\tO' -p9789 -aS'by\tby\tIN\tB-PP\tO' -p9790 -aS'percussion\tpercussion\tNN\tB-NP\tO' -p9791 -aS'.\t.\t.\tO\tO' -p9792 -asS'" 1. Mild but multifocal atherosclerotic disease involving the infrarenal aorta and iliac arteries , with no significant pressure gradient associated .' -p9793 -(lp9794 -S'"\t"\t``\tO\tO' -p9795 -aS'1.\t1.\tCD\tB-NP\tO' -p9796 -aS'Mild\tMild\tNNP\tI-NP\tO' -p9797 -aS'but\tbut\tCC\tO\tO' -p9798 -aS'multifocal\tmultifocal\tJJ\tB-NP\tO' -p9799 -aS'atherosclerotic\tatherosclerotic\tJJ\tI-NP\tO' -p9800 -aS'disease\tdisease\tNN\tI-NP\tO' -p9801 -aS'involving\tinvolve\tVBG\tB-VP\tO' -p9802 -aS'the\tthe\tDT\tB-NP\tO' -p9803 -aS'infrarenal\tinfrarenal\tJJ\tI-NP\tO' -p9804 -aS'aorta\taorta\tNN\tI-NP\tO' -p9805 -aS'and\tand\tCC\tO\tO' -p9806 -aS'iliac\tiliac\tJJ\tB-NP\tO' -p9807 -aS'arteries\tartery\tNNS\tI-NP\tO' -p9808 -aS',\t,\t,\tO\tO' -p9809 -aS'with\twith\tIN\tB-PP\tO' -p9810 -aS'no\tno\tDT\tB-NP\tO' -p9811 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p9812 -aS'pressure\tpressure\tNN\tI-NP\tO' -p9813 -aS'gradient\tgradient\tNN\tI-NP\tO' -p9814 -aS'associated\tassociate\tVBN\tB-VP\tO' -p9815 -aS'.\t.\t.\tO\tO' -p9816 -asS'At the time he took good po .' -p9817 -(lp9818 -S'At\tAt\tIN\tB-PP\tO' -p9819 -aS'the\tthe\tDT\tB-NP\tO' -p9820 -aS'time\ttime\tNN\tI-NP\tO' -p9821 -aS'he\the\tPRP\tB-NP\tO' -p9822 -aS'took\ttake\tVBD\tB-VP\tO' -p9823 -aS'good\tgood\tJJ\tB-NP\tO' -p9824 -aS'po\tpo\tNN\tI-NP\tO' -p9825 -aS'.\t.\t.\tO\tO' -p9826 -asS'She is a pleasant well appearing elderly woman in no acute distress .' -p9827 -(lp9828 -S'She\tShe\tPRP\tB-NP\tO' -p9829 -aS'is\tbe\tVBZ\tB-VP\tO' -p9830 -aS'a\ta\tDT\tB-NP\tO' -p9831 -aS'pleasant\tpleasant\tNN\tI-NP\tO' -p9832 -aS'well\twell\tRB\tB-VP\tO' -p9833 -aS'appearing\tappear\tVBG\tI-VP\tO' -p9834 -aS'elderly\telderly\tJJ\tB-NP\tO' -p9835 -aS'woman\twoman\tNN\tI-NP\tO' -p9836 -aS'in\tin\tIN\tB-PP\tO' -p9837 -aS'no\tno\tDT\tB-NP\tO' -p9838 -aS'acute\tacute\tJJ\tI-NP\tO' -p9839 -aS'distress\tdistress\tNN\tI-NP\tO' -p9840 -aS'.\t.\t.\tO\tO' -p9841 -asS'He had a barium swallow and endoscopy and was said not to have gastric or pericardial ulcer .' -p9842 -(lp9843 -S'He\tHe\tPRP\tB-NP\tO' -p9844 -aS'had\thave\tVBD\tB-VP\tO' -p9845 -aS'a\ta\tDT\tB-NP\tO' -p9846 -aS'barium\tbarium\tNN\tI-NP\tO' -p9847 -aS'swallow\tswallow\tNN\tI-NP\tO' -p9848 -aS'and\tand\tCC\tI-NP\tO' -p9849 -aS'endoscopy\tendoscopy\tNN\tI-NP\tO' -p9850 -aS'and\tand\tCC\tO\tO' -p9851 -aS'was\tbe\tVBD\tB-VP\tO' -p9852 -aS'said\tsay\tVBD\tI-VP\tO' -p9853 -aS'not\tnot\tRB\tO\tO' -p9854 -aS'to\tto\tTO\tB-VP\tO' -p9855 -aS'have\thave\tVB\tI-VP\tO' -p9856 -aS'gastric\tgastric\tJJ\tB-NP\tO' -p9857 -aS'or\tor\tCC\tI-NP\tO' -p9858 -aS'pericardial\tpericardial\tJJ\tI-NP\tO' -p9859 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p9860 -aS'.\t.\t.\tO\tO' -p9861 -asS'Dr. Falccouette would like to perform an excision and closure flap of her left ischial decubitusin the near future .' -p9862 -(lp9863 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p9864 -aS'Falccouette\tFalccouette\tNNP\tI-NP\tO' -p9865 -aS'would\twould\tMD\tB-VP\tO' -p9866 -aS'like\tlike\tVB\tI-VP\tO' -p9867 -aS'to\tto\tTO\tI-VP\tO' -p9868 -aS'perform\tperform\tVB\tI-VP\tO' -p9869 -aS'an\tan\tDT\tB-NP\tO' -p9870 -aS'excision\texcision\tNN\tI-NP\tO' -p9871 -aS'and\tand\tCC\tI-NP\tO' -p9872 -aS'closure\tclosure\tNN\tI-NP\tO' -p9873 -aS'flap\tflap\tNN\tI-NP\tO' -p9874 -aS'of\tof\tIN\tB-PP\tO' -p9875 -aS'her\ther\tPRP$\tB-NP\tO' -p9876 -aS'left\tleft\tJJ\tI-NP\tO' -p9877 -aS'ischial\tischial\tJJ\tI-NP\tO' -p9878 -aS'decubitusin\tdecubitusin\tNN\tI-NP\tO' -p9879 -aS'the\tthe\tDT\tB-NP\tO' -p9880 -aS'near\tnear\tJJ\tI-NP\tO' -p9881 -aS'future\tfuture\tNN\tI-NP\tO' -p9882 -aS'.\t.\t.\tO\tO' -p9883 -asS'Extraocular muscles were intact .' -p9884 -(lp9885 -S'Extraocular\tExtraocular\tJJ\tB-NP\tO' -p9886 -aS'muscles\tmuscle\tNNS\tI-NP\tO' -p9887 -aS'were\tbe\tVBD\tB-VP\tO' -p9888 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p9889 -aS'.\t.\t.\tO\tO' -p9890 -asS'1. Niacin 500 mg Capsule , Sustained Release Sig : One ( 1 ) Capsule , Sustained Release PO DAILY ( Daily ) .' -p9891 -(lp9892 -S'1.\t1.\tLS\tB-NP\tO' -p9893 -aS'Niacin\tNiacin\tNN\tI-NP\tO' -p9894 -aS'500\t500\tCD\tB-NP\tO' -p9895 -aS'mg\tmg\tNN\tI-NP\tO' -p9896 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p9897 -aS',\t,\t,\tO\tO' -p9898 -aS'Sustained\tSustained\tNNP\tB-NP\tO' -p9899 -aS'Release\tRelease\tNNP\tI-NP\tO' -p9900 -aS'Sig\tSig\tNNP\tI-NP\tB-protein' -p9901 -aS':\t:\t:\tO\tO' -p9902 -aS'One\tOne\tCD\tB-NP\tO' -p9903 -aS'(\t(\t(\tO\tO' -p9904 -aS'1\t1\tCD\tB-NP\tO' -p9905 -aS')\t)\t)\tO\tO' -p9906 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p9907 -aS',\t,\t,\tO\tO' -p9908 -aS'Sustained\tSustained\tNNP\tB-NP\tO' -p9909 -aS'Release\tRelease\tNNP\tI-NP\tO' -p9910 -aS'PO\tPO\tNNP\tI-NP\tO' -p9911 -aS'DAILY\tDAILY\tNNP\tI-NP\tO' -p9912 -aS'(\t(\t(\tO\tO' -p9913 -aS'Daily\tDaily\tNNP\tB-NP\tO' -p9914 -aS')\t)\t)\tO\tO' -p9915 -aS'.\t.\t.\tO\tO' -p9916 -asS'These tests were sent on the 18th and are pending at the time of discharge .' -p9917 -(lp9918 -S'These\tThese\tDT\tB-NP\tO' -p9919 -aS'tests\ttest\tNNS\tI-NP\tO' -p9920 -aS'were\tbe\tVBD\tB-VP\tO' -p9921 -aS'sent\tsend\tVBN\tI-VP\tO' -p9922 -aS'on\ton\tIN\tB-PP\tO' -p9923 -aS'the\tthe\tDT\tB-NP\tO' -p9924 -aS'18th\t18th\tNN\tI-NP\tO' -p9925 -aS'and\tand\tCC\tO\tO' -p9926 -aS'are\tbe\tVBP\tB-VP\tO' -p9927 -aS'pending\tpende\tVBG\tI-VP\tO' -p9928 -aS'at\tat\tIN\tB-PP\tO' -p9929 -aS'the\tthe\tDT\tB-NP\tO' -p9930 -aS'time\ttime\tNN\tI-NP\tO' -p9931 -aS'of\tof\tIN\tB-PP\tO' -p9932 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p9933 -aS'.\t.\t.\tO\tO' -p9934 -asS'Urology also followed him and kept him on antibiotics until postoperative day #7 at which point antibiotics were discontinued .' -p9935 -(lp9936 -S'Urology\tUrology\tNNP\tB-NP\tO' -p9937 -aS'also\talso\tRB\tB-ADVP\tO' -p9938 -aS'followed\tfollow\tVBD\tB-VP\tO' -p9939 -aS'him\thim\tPRP\tB-NP\tO' -p9940 -aS'and\tand\tCC\tO\tO' -p9941 -aS'kept\tkeep\tVBD\tB-VP\tO' -p9942 -aS'him\thim\tPRP\tB-NP\tO' -p9943 -aS'on\ton\tIN\tB-PP\tO' -p9944 -aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' -p9945 -aS'until\tuntil\tIN\tB-PP\tO' -p9946 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p9947 -aS'day\tday\tNN\tI-NP\tO' -p9948 -aS'#7\t#7\tCD\tI-NP\tO' -p9949 -aS'at\tat\tIN\tB-PP\tO' -p9950 -aS'which\twhich\tWDT\tB-NP\tO' -p9951 -aS'point\tpoint\tNN\tB-NP\tO' -p9952 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p9953 -aS'were\tbe\tVBD\tB-VP\tO' -p9954 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p9955 -aS'.\t.\t.\tO\tO' -p9956 -asS'Following intervention right heart catheterization was performed to rule out RV infarct .' -p9957 -(lp9958 -S'Following\tFollow\tVBG\tB-PP\tO' -p9959 -aS'intervention\tintervention\tNN\tB-NP\tO' -p9960 -aS'right\tright\tJJ\tI-NP\tO' -p9961 -aS'heart\theart\tNN\tI-NP\tO' -p9962 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p9963 -aS'was\tbe\tVBD\tB-VP\tO' -p9964 -aS'performed\tperform\tVBN\tI-VP\tO' -p9965 -aS'to\tto\tTO\tI-VP\tO' -p9966 -aS'rule\trule\tVB\tI-VP\tO' -p9967 -aS'out\tout\tRP\tB-PRT\tO' -p9968 -aS'RV\tRV\tNN\tB-NP\tO' -p9969 -aS'infarct\tinfarct\tNN\tI-NP\tO' -p9970 -aS'.\t.\t.\tO\tO' -p9971 -asS'Juanita does not feel any palpitations .' -p9972 -(lp9973 -S'Juanita\tJuanita\tNNP\tB-NP\tO' -p9974 -aS'does\tdo\tVBZ\tB-VP\tO' -p9975 -aS'not\tnot\tRB\tI-VP\tO' -p9976 -aS'feel\tfeel\tVB\tI-VP\tO' -p9977 -aS'any\tany\tDT\tB-NP\tO' -p9978 -aS'palpitations\tpalpitation\tNNS\tI-NP\tO' -p9979 -aS'.\t.\t.\tO\tO' -p9980 -asS'The patient seemed notably anxious and depressed .' -p9981 -(lp9982 -S'The\tThe\tDT\tB-NP\tO' -p9983 -aS'patient\tpatient\tNN\tI-NP\tO' -p9984 -aS'seemed\tseem\tVBD\tB-VP\tO' -p9985 -aS'notably\tnotably\tRB\tB-ADJP\tO' -p9986 -aS'anxious\tanxious\tJJ\tI-ADJP\tO' -p9987 -aS'and\tand\tCC\tI-ADJP\tO' -p9988 -aS'depressed\tdepressed\tJJ\tI-ADJP\tO' -p9989 -aS'.\t.\t.\tO\tO' -p9990 -asS'Hematocrit on admission 47% .' -p9991 -(lp9992 -S'Hematocrit\tHematocrit\tNN\tB-NP\tO' -p9993 -aS'on\ton\tIN\tB-PP\tO' -p9994 -aS'admission\tadmission\tNN\tB-NP\tO' -p9995 -aS'47%\t47%\tNN\tI-NP\tO' -p9996 -aS'.\t.\t.\tO\tO' -p9997 -asS'She is to be maintained on metoprolol for blood pressure control and the restarting of her ACE inhibitor is to be decided by her primary care physician .' -p9998 -(lp9999 -S'She\tShe\tPRP\tB-NP\tO' -p10000 -aS'is\tbe\tVBZ\tB-VP\tO' -p10001 -aS'to\tto\tTO\tI-VP\tO' -p10002 -aS'be\tbe\tVB\tI-VP\tO' -p10003 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p10004 -aS'on\ton\tIN\tB-PP\tO' -p10005 -aS'metoprolol\tmetoprolol\tNN\tB-NP\tO' -p10006 -aS'for\tfor\tIN\tB-PP\tO' -p10007 -aS'blood\tblood\tNN\tB-NP\tO' -p10008 -aS'pressure\tpressure\tNN\tI-NP\tO' -p10009 -aS'control\tcontrol\tNN\tI-NP\tO' -p10010 -aS'and\tand\tCC\tO\tO' -p10011 -aS'the\tthe\tDT\tB-NP\tO' -p10012 -aS'restarting\trestarting\tNN\tI-NP\tO' -p10013 -aS'of\tof\tIN\tB-PP\tO' -p10014 -aS'her\ther\tPRP$\tB-NP\tO' -p10015 -aS'ACE\tACE\tNN\tI-NP\tO' -p10016 -aS'inhibitor\tinhibitor\tNN\tI-NP\tO' -p10017 -aS'is\tbe\tVBZ\tB-VP\tO' -p10018 -aS'to\tto\tTO\tB-VP\tO' -p10019 -aS'be\tbe\tVB\tI-VP\tO' -p10020 -aS'decided\tdecide\tVBN\tI-VP\tO' -p10021 -aS'by\tby\tIN\tB-PP\tO' -p10022 -aS'her\ther\tPRP$\tB-NP\tO' -p10023 -aS'primary\tprimary\tJJ\tI-NP\tO' -p10024 -aS'care\tcare\tNN\tI-NP\tO' -p10025 -aS'physician\tphysician\tNN\tI-NP\tO' -p10026 -aS'.\t.\t.\tO\tO' -p10027 -asS'Please continue to take all your medicaitons and follow up with your appointments as below .' -p10028 -(lp10029 -S'Please\tPlease\tNN\tB-NP\tB-protein' -p10030 -aS'continue\tcontinue\tVBP\tB-VP\tO' -p10031 -aS'to\tto\tTO\tI-VP\tO' -p10032 -aS'take\ttake\tVB\tI-VP\tO' -p10033 -aS'all\tall\tDT\tB-NP\tO' -p10034 -aS'your\tyour\tPRP$\tI-NP\tO' -p10035 -aS'medicaitons\tmedicaiton\tNNS\tI-NP\tO' -p10036 -aS'and\tand\tCC\tO\tO' -p10037 -aS'follow\tfollow\tVB\tB-VP\tO' -p10038 -aS'up\tup\tRP\tB-PRT\tO' -p10039 -aS'with\twith\tIN\tB-PP\tO' -p10040 -aS'your\tyour\tPRP$\tB-NP\tO' -p10041 -aS'appointments\tappointment\tNNS\tI-NP\tO' -p10042 -aS'as\tas\tIN\tB-PP\tO' -p10043 -aS'below\tbelow\tRB\tI-PP\tO' -p10044 -aS'.\t.\t.\tO\tO' -p10045 -asS'The patient had a chest CT scan demonstrating no dissection or evidence of congestive heart failure .' -p10046 -(lp10047 -S'The\tThe\tDT\tB-NP\tO' -p10048 -aS'patient\tpatient\tNN\tI-NP\tO' -p10049 -aS'had\thave\tVBD\tB-VP\tO' -p10050 -aS'a\ta\tDT\tB-NP\tO' -p10051 -aS'chest\tchest\tNN\tI-NP\tO' -p10052 -aS'CT\tCT\tNN\tI-NP\tO' -p10053 -aS'scan\tscan\tNN\tI-NP\tO' -p10054 -aS'demonstrating\tdemonstrate\tVBG\tB-VP\tO' -p10055 -aS'no\tno\tDT\tB-NP\tO' -p10056 -aS'dissection\tdissection\tNN\tI-NP\tO' -p10057 -aS'or\tor\tCC\tI-NP\tO' -p10058 -aS'evidence\tevidence\tNN\tI-NP\tO' -p10059 -aS'of\tof\tIN\tB-PP\tO' -p10060 -aS'congestive\tcongestive\tJJ\tB-NP\tO' -p10061 -aS'heart\theart\tNN\tI-NP\tO' -p10062 -aS'failure\tfailure\tNN\tI-NP\tO' -p10063 -aS'.\t.\t.\tO\tO' -p10064 -asS'He had no chest pain , palpitations , diaphoresis , or nausea .' -p10065 -(lp10066 -S'He\tHe\tPRP\tB-NP\tO' -p10067 -aS'had\thave\tVBD\tB-VP\tO' -p10068 -aS'no\tno\tDT\tB-NP\tO' -p10069 -aS'chest\tchest\tNN\tI-NP\tO' -p10070 -aS'pain\tpain\tNN\tI-NP\tO' -p10071 -aS',\t,\t,\tO\tO' -p10072 -aS'palpitations\tpalpitation\tNNS\tB-NP\tO' -p10073 -aS',\t,\t,\tO\tO' -p10074 -aS'diaphoresis\tdiaphoresis\tNN\tB-NP\tO' -p10075 -aS',\t,\t,\tO\tO' -p10076 -aS'or\tor\tCC\tO\tO' -p10077 -aS'nausea\tnausea\tNN\tB-NP\tO' -p10078 -aS'.\t.\t.\tO\tO' -p10079 -asS'The patient is an 80 year old female with breast cancer , status post lumpectomy / radiation therapy / Tamoxifen ( 2000 ) , hypertension , hyperlipidemia , multiple urinary tract infections who presents with a four day prodrome of dry cough , rhinorrhea , coryza , malaise , chills , headache , decreased p.o. intake , loose bowel movements with diarrhea and no blood , decreased urine output , no sick contacts , had flu shot this year .' -p10080 -(lp10081 -S'The\tThe\tDT\tB-NP\tO' -p10082 -aS'patient\tpatient\tNN\tI-NP\tO' -p10083 -aS'is\tbe\tVBZ\tB-VP\tO' -p10084 -aS'an\tan\tDT\tB-NP\tO' -p10085 -aS'80\t80\tCD\tI-NP\tO' -p10086 -aS'year\tyear\tNN\tI-NP\tO' -p10087 -aS'old\told\tJJ\tI-NP\tO' -p10088 -aS'female\tfemale\tNN\tI-NP\tO' -p10089 -aS'with\twith\tIN\tB-PP\tO' -p10090 -aS'breast\tbreast\tNN\tB-NP\tO' -p10091 -aS'cancer\tcancer\tNN\tI-NP\tO' -p10092 -aS',\t,\t,\tO\tO' -p10093 -aS'status\tstatus\tNN\tB-NP\tO' -p10094 -aS'post\tpost\tNN\tI-NP\tO' -p10095 -aS'lumpectomy\tlumpectomy\tNN\tI-NP\tO' -p10096 -aS'/\t/\tSYM\tB-NP\tO' -p10097 -aS'radiation\tradiation\tNN\tI-NP\tO' -p10098 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p10099 -aS'/\t/\tSYM\tO\tO' -p10100 -aS'Tamoxifen\tTamoxifen\tNN\tB-NP\tO' -p10101 -aS'(\t(\t(\tO\tO' -p10102 -aS'2000\t2000\tCD\tB-NP\tO' -p10103 -aS')\t)\t)\tO\tO' -p10104 -aS',\t,\t,\tO\tO' -p10105 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p10106 -aS',\t,\t,\tO\tO' -p10107 -aS'hyperlipidemia\thyperlipidemia\tNN\tB-NP\tO' -p10108 -aS',\t,\t,\tO\tO' -p10109 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p10110 -aS'urinary\turinary\tJJ\tI-NP\tO' -p10111 -aS'tract\ttract\tNN\tI-NP\tO' -p10112 -aS'infections\tinfection\tNNS\tI-NP\tO' -p10113 -aS'who\twho\tWP\tB-NP\tO' -p10114 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p10115 -aS'with\twith\tIN\tB-PP\tO' -p10116 -aS'a\ta\tDT\tB-NP\tO' -p10117 -aS'four\tfour\tCD\tI-NP\tO' -p10118 -aS'day\tday\tNN\tI-NP\tO' -p10119 -aS'prodrome\tprodrome\tNN\tI-NP\tO' -p10120 -aS'of\tof\tIN\tB-PP\tO' -p10121 -aS'dry\tdry\tJJ\tB-NP\tO' -p10122 -aS'cough\tcough\tNN\tI-NP\tO' -p10123 -aS',\t,\t,\tO\tO' -p10124 -aS'rhinorrhea\trhinorrhea\tNN\tB-NP\tO' -p10125 -aS',\t,\t,\tO\tO' -p10126 -aS'coryza\tcoryza\tNN\tB-NP\tO' -p10127 -aS',\t,\t,\tO\tO' -p10128 -aS'malaise\tmalaise\tNN\tB-NP\tO' -p10129 -aS',\t,\t,\tO\tO' -p10130 -aS'chills\tchill\tNNS\tB-NP\tO' -p10131 -aS',\t,\t,\tO\tO' -p10132 -aS'headache\theadache\tNN\tB-NP\tO' -p10133 -aS',\t,\t,\tO\tO' -p10134 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p10135 -aS'p.o.\tp.o.\tNN\tB-NP\tO' -p10136 -aS'intake\tintake\tNN\tI-NP\tO' -p10137 -aS',\t,\t,\tO\tO' -p10138 -aS'loose\tloose\tJJ\tB-NP\tO' -p10139 -aS'bowel\tbowel\tNN\tI-NP\tO' -p10140 -aS'movements\tmovement\tNNS\tI-NP\tO' -p10141 -aS'with\twith\tIN\tB-PP\tO' -p10142 -aS'diarrhea\tdiarrhea\tNN\tB-NP\tO' -p10143 -aS'and\tand\tCC\tO\tO' -p10144 -aS'no\tno\tDT\tB-NP\tO' -p10145 -aS'blood\tblood\tNN\tI-NP\tO' -p10146 -aS',\t,\t,\tO\tO' -p10147 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p10148 -aS'urine\turine\tNN\tB-NP\tO' -p10149 -aS'output\toutput\tNN\tI-NP\tO' -p10150 -aS',\t,\t,\tO\tO' -p10151 -aS'no\tno\tDT\tB-NP\tO' -p10152 -aS'sick\tsick\tJJ\tI-NP\tO' -p10153 -aS'contacts\tcontact\tNNS\tI-NP\tO' -p10154 -aS',\t,\t,\tO\tO' -p10155 -aS'had\thave\tVBD\tB-VP\tO' -p10156 -aS'flu\tflu\tNN\tB-NP\tO' -p10157 -aS'shot\tshot\tNN\tI-NP\tO' -p10158 -aS'this\tthis\tDT\tB-NP\tO' -p10159 -aS'year\tyear\tNN\tI-NP\tO' -p10160 -aS'.\t.\t.\tO\tO' -p10161 -asS'4 ) RHEUMATOID ARTHRITIS / CUTANEOUS LUPUS ( MIXED CONNECTIVE TISSUE DISEASE ) .' -p10162 -(lp10163 -S'4\t4\tLS\tB-LST\tO' -p10164 -aS')\t)\t)\tO\tO' -p10165 -aS'RHEUMATOID\tRHEUMATOID\tNN\tB-NP\tO' -p10166 -aS'ARTHRITIS\tARTHRITIS\tNN\tI-NP\tO' -p10167 -aS'/\t/\tSYM\tB-VP\tO' -p10168 -aS'CUTANEOUS\tCUTANEOUS\tNN\tB-NP\tO' -p10169 -aS'LUPUS\tLUPUS\tNN\tI-NP\tO' -p10170 -aS'(\t(\t(\tO\tO' -p10171 -aS'MIXED\tMIXED\tVBN\tB-NP\tO' -p10172 -aS'CONNECTIVE\tCONNECTIVE\tNN\tI-NP\tO' -p10173 -aS'TISSUE\tTISSUE\tNN\tI-NP\tO' -p10174 -aS'DISEASE\tDISEASE\tNN\tI-NP\tO' -p10175 -aS')\t)\t)\tO\tO' -p10176 -aS'.\t.\t.\tO\tO' -p10177 -asS'Despite absence of seizure activity on EEG , patient was continued on Dilantin .' -p10178 -(lp10179 -S'Despite\tDespite\tIN\tB-PP\tO' -p10180 -aS'absence\tabsence\tNN\tB-NP\tO' -p10181 -aS'of\tof\tIN\tB-PP\tO' -p10182 -aS'seizure\tseizure\tNN\tB-NP\tO' -p10183 -aS'activity\tactivity\tNN\tI-NP\tO' -p10184 -aS'on\ton\tIN\tB-PP\tO' -p10185 -aS'EEG\tEEG\tNN\tB-NP\tB-protein' -p10186 -aS',\t,\t,\tO\tO' -p10187 -aS'patient\tpatient\tNN\tB-NP\tO' -p10188 -aS'was\tbe\tVBD\tB-VP\tO' -p10189 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p10190 -aS'on\ton\tIN\tB-PP\tO' -p10191 -aS'Dilantin\tDilantin\tNN\tB-NP\tB-protein' -p10192 -aS'.\t.\t.\tO\tO' -p10193 -asS'We have given her Lovenox in the past , and she continues to bleed .' -p10194 -(lp10195 -S'We\tWe\tPRP\tB-NP\tO' -p10196 -aS'have\thave\tVBP\tB-VP\tO' -p10197 -aS'given\tgive\tVBN\tI-VP\tO' -p10198 -aS'her\ther\tPRP$\tB-NP\tO' -p10199 -aS'Lovenox\tLovenox\tNN\tI-NP\tO' -p10200 -aS'in\tin\tIN\tB-PP\tO' -p10201 -aS'the\tthe\tDT\tB-NP\tO' -p10202 -aS'past\tpast\tNN\tI-NP\tO' -p10203 -aS',\t,\t,\tO\tO' -p10204 -aS'and\tand\tCC\tO\tO' -p10205 -aS'she\tshe\tPRP\tB-NP\tO' -p10206 -aS'continues\tcontinue\tVBZ\tB-VP\tO' -p10207 -aS'to\tto\tTO\tI-VP\tO' -p10208 -aS'bleed\tbleed\tVB\tI-VP\tO' -p10209 -aS'.\t.\t.\tO\tO' -p10210 -asS'The pain was substernal 07-08 , did not radiate .' -p10211 -(lp10212 -S'The\tThe\tDT\tB-NP\tO' -p10213 -aS'pain\tpain\tNN\tI-NP\tO' -p10214 -aS'was\tbe\tVBD\tB-VP\tO' -p10215 -aS'substernal\tsubsternal\tJJ\tB-ADJP\tO' -p10216 -aS'07-08\t07-08\tCD\tB-NP\tO' -p10217 -aS',\t,\t,\tO\tO' -p10218 -aS'did\tdo\tVBD\tB-VP\tO' -p10219 -aS'not\tnot\tRB\tI-VP\tO' -p10220 -aS'radiate\tradiate\tVB\tI-VP\tO' -p10221 -aS'.\t.\t.\tO\tO' -p10222 -asS'No abnormal movements , tremors .' -p10223 -(lp10224 -S'No\tNo\tDT\tB-NP\tO' -p10225 -aS'abnormal\tabnormal\tJJ\tI-NP\tO' -p10226 -aS'movements\tmovement\tNNS\tI-NP\tO' -p10227 -aS',\t,\t,\tO\tO' -p10228 -aS'tremors\ttremor\tNNS\tB-NP\tO' -p10229 -aS'.\t.\t.\tO\tO' -p10230 -asS'Sodium of 130 , potassium 3.5 , chloride 93 , bicarbonate 28 , BUN 15 , creatinine 1.1, prothrombin time 14.1 , partial thrombin time 29.7 .' -p10231 -(lp10232 -S'Sodium\tSodium\tNN\tB-NP\tO' -p10233 -aS'of\tof\tIN\tB-PP\tO' -p10234 -aS'130\t130\tCD\tB-NP\tO' -p10235 -aS',\t,\t,\tO\tO' -p10236 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p10237 -aS'3.5\t3.5\tCD\tI-NP\tO' -p10238 -aS',\t,\t,\tO\tO' -p10239 -aS'chloride\tchloride\tNN\tB-NP\tO' -p10240 -aS'93\t93\tCD\tI-NP\tO' -p10241 -aS',\t,\t,\tO\tO' -p10242 -aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' -p10243 -aS'28\t28\tCD\tI-NP\tO' -p10244 -aS',\t,\t,\tO\tO' -p10245 -aS'BUN\tBUN\tNNP\tB-NP\tO' -p10246 -aS'15\t15\tCD\tI-NP\tO' -p10247 -aS',\t,\t,\tO\tO' -p10248 -aS'creatinine\tcreatinine\tNN\tB-NP\tB-protein' -p10249 -aS'1.1,\t1.1,\tCD\tI-NP\tI-protein' -p10250 -aS'prothrombin\tprothrombin\tNN\tI-NP\tI-protein' -p10251 -aS'time\ttime\tNN\tI-NP\tI-protein' -p10252 -aS'14.1\t14.1\tCD\tB-NP\tI-protein' -p10253 -aS',\t,\t,\tO\tO' -p10254 -aS'partial\tpartial\tJJ\tB-NP\tO' -p10255 -aS'thrombin\tthrombin\tNN\tI-NP\tB-protein' -p10256 -aS'time\ttime\tNN\tI-NP\tO' -p10257 -aS'29.7\t29.7\tCD\tB-NP\tO' -p10258 -aS'.\t.\t.\tO\tO' -p10259 -asS'For the past several years , the patient has continued to have significant exercise intolerance which has limited his ability to work .' -p10260 -(lp10261 -S'For\tFor\tIN\tB-PP\tO' -p10262 -aS'the\tthe\tDT\tB-NP\tO' -p10263 -aS'past\tpast\tJJ\tI-NP\tO' -p10264 -aS'several\tseveral\tJJ\tI-NP\tO' -p10265 -aS'years\tyear\tNNS\tI-NP\tO' -p10266 -aS',\t,\t,\tO\tO' -p10267 -aS'the\tthe\tDT\tB-NP\tO' -p10268 -aS'patient\tpatient\tNN\tI-NP\tO' -p10269 -aS'has\thave\tVBZ\tB-VP\tO' -p10270 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p10271 -aS'to\tto\tTO\tI-VP\tO' -p10272 -aS'have\thave\tVB\tI-VP\tO' -p10273 -aS'significant\tsignificant\tJJ\tB-NP\tO' -p10274 -aS'exercise\texercise\tNN\tI-NP\tO' -p10275 -aS'intolerance\tintolerance\tNN\tI-NP\tO' -p10276 -aS'which\twhich\tWDT\tB-NP\tO' -p10277 -aS'has\thave\tVBZ\tB-VP\tO' -p10278 -aS'limited\tlimit\tVBN\tI-VP\tO' -p10279 -aS'his\this\tPRP$\tB-NP\tO' -p10280 -aS'ability\tability\tNN\tI-NP\tO' -p10281 -aS'to\tto\tTO\tB-VP\tO' -p10282 -aS'work\twork\tVB\tI-VP\tO' -p10283 -aS'.\t.\t.\tO\tO' -p10284 -asS'He was in moderate respiratory distress .' -p10285 -(lp10286 -S'He\tHe\tPRP\tB-NP\tO' -p10287 -aS'was\tbe\tVBD\tB-VP\tO' -p10288 -aS'in\tin\tIN\tB-PP\tO' -p10289 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p10290 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p10291 -aS'distress\tdistress\tNN\tI-NP\tO' -p10292 -aS'.\t.\t.\tO\tO' -p10293 -asS'Humulin 70 units bid .' -p10294 -(lp10295 -S'Humulin\tHumulin\tNN\tB-NP\tO' -p10296 -aS'70\t70\tCD\tI-NP\tO' -p10297 -aS'units\tunit\tNNS\tI-NP\tO' -p10298 -aS'bid\tbid\tNN\tI-NP\tO' -p10299 -aS'.\t.\t.\tO\tO' -p10300 -asS'CBC and blood culture were obtained on admission .' -p10301 -(lp10302 -S'CBC\tCBC\tNN\tB-NP\tB-protein' -p10303 -aS'and\tand\tCC\tI-NP\tO' -p10304 -aS'blood\tblood\tNN\tI-NP\tO' -p10305 -aS'culture\tculture\tNN\tI-NP\tO' -p10306 -aS'were\tbe\tVBD\tB-VP\tO' -p10307 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p10308 -aS'on\ton\tIN\tB-PP\tO' -p10309 -aS'admission\tadmission\tNN\tB-NP\tO' -p10310 -aS'.\t.\t.\tO\tO' -p10311 -asS'3. Colistin 30 mg nebulizer twice a day , give 30 minutes post albuterol and Atrovent .' -p10312 -(lp10313 -S'3.\t3.\tLS\tB-LST\tO' -p10314 -aS'Colistin\tColistin\tNN\tB-NP\tO' -p10315 -aS'30\t30\tCD\tI-NP\tO' -p10316 -aS'mg\tmg\tNN\tI-NP\tO' -p10317 -aS'nebulizer\tnebulizer\tNN\tI-NP\tO' -p10318 -aS'twice\ttwice\tRB\tB-NP\tO' -p10319 -aS'a\ta\tDT\tI-NP\tO' -p10320 -aS'day\tday\tNN\tI-NP\tO' -p10321 -aS',\t,\t,\tO\tO' -p10322 -aS'give\tgive\tVB\tB-VP\tO' -p10323 -aS'30\t30\tCD\tB-NP\tO' -p10324 -aS'minutes\tminute\tNNS\tI-NP\tO' -p10325 -aS'post\tpost\tIN\tB-PP\tO' -p10326 -aS'albuterol\talbuterol\tNN\tB-NP\tO' -p10327 -aS'and\tand\tCC\tI-NP\tO' -p10328 -aS'Atrovent\tAtrovent\tNN\tI-NP\tO' -p10329 -aS'.\t.\t.\tO\tO' -p10330 -asS'She will be monitored with a King of Hearts monitor .' -p10331 -(lp10332 -S'She\tShe\tPRP\tB-NP\tO' -p10333 -aS'will\twill\tMD\tB-VP\tO' -p10334 -aS'be\tbe\tVB\tI-VP\tO' -p10335 -aS'monitored\tmonitor\tVBN\tI-VP\tO' -p10336 -aS'with\twith\tIN\tB-PP\tO' -p10337 -aS'a\ta\tDT\tB-NP\tO' -p10338 -aS'King\tKing\tNNP\tI-NP\tO' -p10339 -aS'of\tof\tIN\tB-PP\tO' -p10340 -aS'Hearts\tHearts\tNNP\tB-NP\tO' -p10341 -aS'monitor\tmonitor\tNN\tI-NP\tO' -p10342 -aS'.\t.\t.\tO\tO' -p10343 -asS'Head CT demonstrated no evidence of intracranial bleeding .' -p10344 -(lp10345 -S'Head\tHead\tNN\tB-NP\tO' -p10346 -aS'CT\tCT\tNN\tI-NP\tO' -p10347 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p10348 -aS'no\tno\tDT\tB-NP\tO' -p10349 -aS'evidence\tevidence\tNN\tI-NP\tO' -p10350 -aS'of\tof\tIN\tB-PP\tO' -p10351 -aS'intracranial\tintracranial\tJJ\tB-NP\tO' -p10352 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p10353 -aS'.\t.\t.\tO\tO' -p10354 -asS'She has had subsequent CEA's and scans which were negative .' -p10355 -(lp10356 -S'She\tShe\tPRP\tB-NP\tO' -p10357 -aS'has\thave\tVBZ\tB-VP\tO' -p10358 -aS'had\thave\tVBN\tI-VP\tO' -p10359 -aS'subsequent\tsubsequent\tJJ\tB-NP\tO' -p10360 -aS'CEA's\tCEA'\tNNS\tI-NP\tO' -p10361 -aS'and\tand\tCC\tI-NP\tO' -p10362 -aS'scans\tscan\tNNS\tI-NP\tO' -p10363 -aS'which\twhich\tWDT\tB-NP\tO' -p10364 -aS'were\tbe\tVBD\tB-VP\tO' -p10365 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p10366 -aS'.\t.\t.\tO\tO' -p10367 -asS'He was continued on Physical Therapy and with his mother present , he began to follow commands much more appropriately and was able to be rehabilitated .' -p10368 -(lp10369 -S'He\tHe\tPRP\tB-NP\tO' -p10370 -aS'was\tbe\tVBD\tB-VP\tO' -p10371 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p10372 -aS'on\ton\tIN\tB-PP\tO' -p10373 -aS'Physical\tPhysical\tJJ\tB-NP\tO' -p10374 -aS'Therapy\tTherapy\tNN\tI-NP\tO' -p10375 -aS'and\tand\tCC\tB-PP\tO' -p10376 -aS'with\twith\tIN\tB-PP\tO' -p10377 -aS'his\this\tPRP$\tB-NP\tO' -p10378 -aS'mother\tmother\tNN\tI-NP\tO' -p10379 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p10380 -aS',\t,\t,\tO\tO' -p10381 -aS'he\the\tPRP\tB-NP\tO' -p10382 -aS'began\tbegin\tVBD\tB-VP\tO' -p10383 -aS'to\tto\tTO\tI-VP\tO' -p10384 -aS'follow\tfollow\tVB\tI-VP\tO' -p10385 -aS'commands\tcommand\tNNS\tB-NP\tO' -p10386 -aS'much\tmuch\tRB\tB-ADVP\tO' -p10387 -aS'more\tmore\tRBR\tI-ADVP\tO' -p10388 -aS'appropriately\tappropriately\tRB\tI-ADVP\tO' -p10389 -aS'and\tand\tCC\tO\tO' -p10390 -aS'was\tbe\tVBD\tB-VP\tO' -p10391 -aS'able\table\tJJ\tB-ADJP\tO' -p10392 -aS'to\tto\tTO\tB-VP\tO' -p10393 -aS'be\tbe\tVB\tI-VP\tO' -p10394 -aS'rehabilitated\trehabilitate\tVBN\tI-VP\tO' -p10395 -aS'.\t.\t.\tO\tO' -p10396 -asS'PAST SURGICAL HISTORY included appendectomy and bunionectomy .' -p10397 -(lp10398 -S'PAST\tPAST\tNN\tB-NP\tO' -p10399 -aS'SURGICAL\tSURGICAL\tNN\tI-NP\tO' -p10400 -aS'HISTORY\tHISTORY\tNN\tI-NP\tO' -p10401 -aS'included\tinclude\tVBD\tB-VP\tO' -p10402 -aS'appendectomy\tappendectomy\tNN\tB-NP\tO' -p10403 -aS'and\tand\tCC\tI-NP\tO' -p10404 -aS'bunionectomy\tbunionectomy\tNN\tI-NP\tO' -p10405 -aS'.\t.\t.\tO\tO' -p10406 -asS'Also the adenexal mass may represent a second primary maligancy .' -p10407 -(lp10408 -S'Also\tAlso\tRB\tB-ADVP\tO' -p10409 -aS'the\tthe\tDT\tB-NP\tO' -p10410 -aS'adenexal\tadenexal\tJJ\tI-NP\tO' -p10411 -aS'mass\tmass\tNN\tI-NP\tO' -p10412 -aS'may\tmay\tMD\tB-VP\tO' -p10413 -aS'represent\trepresent\tVB\tI-VP\tO' -p10414 -aS'a\ta\tDT\tB-NP\tO' -p10415 -aS'second\tsecond\tJJ\tI-NP\tO' -p10416 -aS'primary\tprimary\tJJ\tI-NP\tO' -p10417 -aS'maligancy\tmaligancy\tNN\tI-NP\tO' -p10418 -aS'.\t.\t.\tO\tO' -p10419 -asS'Responsible After Study for Causing Admission ) s / p total thyoidectomy' -p10420 -(lp10421 -S'Responsible\tResponsible\tJJ\tB-ADJP\tO' -p10422 -aS'After\tAfter\tIN\tB-PP\tO' -p10423 -aS'Study\tStudy\tNN\tB-NP\tO' -p10424 -aS'for\tfor\tIN\tB-PP\tO' -p10425 -aS'Causing\tCause\tVBG\tB-NP\tO' -p10426 -aS'Admission\tAdmission\tNN\tI-NP\tO' -p10427 -aS')\t)\t)\tI-NP\tO' -p10428 -aS's\ts\tNN\tI-NP\tO' -p10429 -aS'/\t/\tSYM\tB-NP\tO' -p10430 -aS'p\tp\tNN\tI-NP\tO' -p10431 -aS'total\ttotal\tJJ\tI-NP\tO' -p10432 -aS'thyoidectomy\tthyoidectomy\tNN\tI-NP\tO' -p10433 -asS'She denies EtOH , tobacco , and drugs .' -p10434 -(lp10435 -S'She\tShe\tPRP\tB-NP\tO' -p10436 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p10437 -aS'EtOH\tEtOH\tNN\tB-NP\tB-protein' -p10438 -aS',\t,\t,\tO\tO' -p10439 -aS'tobacco\ttobacco\tNN\tB-NP\tO' -p10440 -aS',\t,\t,\tO\tO' -p10441 -aS'and\tand\tCC\tO\tO' -p10442 -aS'drugs\tdrug\tNNS\tB-NP\tO' -p10443 -aS'.\t.\t.\tO\tO' -p10444 -asS'The patient was discharged in stable condition .' -p10445 -(lp10446 -S'The\tThe\tDT\tB-NP\tO' -p10447 -aS'patient\tpatient\tNN\tI-NP\tO' -p10448 -aS'was\tbe\tVBD\tB-VP\tO' -p10449 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p10450 -aS'in\tin\tIN\tB-PP\tO' -p10451 -aS'stable\tstable\tJJ\tB-NP\tO' -p10452 -aS'condition\tcondition\tNN\tI-NP\tO' -p10453 -aS'.\t.\t.\tO\tO' -p10454 -asS'Renal ultrasound was negative for abscess orhydronephrosis .' -p10455 -(lp10456 -S'Renal\tRenal\tJJ\tB-NP\tO' -p10457 -aS'ultrasound\tultrasound\tNN\tI-NP\tO' -p10458 -aS'was\tbe\tVBD\tB-VP\tO' -p10459 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p10460 -aS'for\tfor\tIN\tB-PP\tO' -p10461 -aS'abscess\tabscess\tNN\tB-NP\tO' -p10462 -aS'orhydronephrosis\torhydronephrosis\tNN\tI-NP\tO' -p10463 -aS'.\t.\t.\tO\tO' -p10464 -asS'It was unchanged in comparison to 2017-08-14 with similar ventricular function and inferior and inferolateral hypokinesis .' -p10465 -(lp10466 -S'It\tIt\tPRP\tB-NP\tO' -p10467 -aS'was\tbe\tVBD\tB-VP\tO' -p10468 -aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' -p10469 -aS'in\tin\tIN\tB-PP\tO' -p10470 -aS'comparison\tcomparison\tNN\tB-NP\tO' -p10471 -aS'to\tto\tTO\tB-PP\tO' -p10472 -aS'2017-08-14\t2017-08-14\tCD\tB-NP\tO' -p10473 -aS'with\twith\tIN\tB-PP\tO' -p10474 -aS'similar\tsimilar\tJJ\tB-NP\tO' -p10475 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p10476 -aS'function\tfunction\tNN\tI-NP\tO' -p10477 -aS'and\tand\tCC\tO\tO' -p10478 -aS'inferior\tinferior\tJJ\tB-NP\tO' -p10479 -aS'and\tand\tCC\tI-NP\tO' -p10480 -aS'inferolateral\tinferolateral\tJJ\tI-NP\tO' -p10481 -aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' -p10482 -aS'.\t.\t.\tO\tO' -p10483 -asS'01-01 , 01-02 X 3 , 01-03 , 01-04 , 11/27X 2 NGTD .' -p10484 -(lp10485 -S'01-01\t01-01\tCD\tB-NP\tO' -p10486 -aS',\t,\t,\tI-NP\tO' -p10487 -aS'01-02\t01-02\tCD\tI-NP\tO' -p10488 -aS'X\tX\tSYM\tI-NP\tO' -p10489 -aS'3\t3\tCD\tI-NP\tO' -p10490 -aS',\t,\t,\tI-NP\tO' -p10491 -aS'01-03\t01-03\tCD\tI-NP\tO' -p10492 -aS',\t,\t,\tI-NP\tO' -p10493 -aS'01-04\t01-04\tCD\tI-NP\tO' -p10494 -aS',\t,\t,\tO\tO' -p10495 -aS'11/27X\t11/27X\tNN\tB-NP\tO' -p10496 -aS'2\t2\tCD\tI-NP\tO' -p10497 -aS'NGTD\tNGTD\tNN\tI-NP\tO' -p10498 -aS'.\t.\t.\tO\tO' -p10499 -asS'3. Anzemet 100 mg p.o. once daily p.r.n. nausea .' -p10500 -(lp10501 -S'3.\t3.\tLS\tB-NP\tO' -p10502 -aS'Anzemet\tAnzemet\tNNP\tI-NP\tO' -p10503 -aS'100\t100\tCD\tI-NP\tO' -p10504 -aS'mg\tmg\tNN\tI-NP\tO' -p10505 -aS'p.o.\tp.o.\tRB\tB-NP\tO' -p10506 -aS'once\tonce\tRB\tI-NP\tO' -p10507 -aS'daily\tdaily\tJJ\tI-NP\tO' -p10508 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p10509 -aS'nausea\tnausea\tNN\tI-NP\tO' -p10510 -aS'.\t.\t.\tO\tO' -p10511 -asS'+ non-bloody diarrhea x 1 on DOA .' -p10512 -(lp10513 -S'+\t+\tSYM\tO\tO' -p10514 -aS'non-bloody\tnon-bloody\tJJ\tB-NP\tO' -p10515 -aS'diarrhea\tdiarrhea\tNN\tI-NP\tO' -p10516 -aS'x\tx\tSYM\tB-NP\tO' -p10517 -aS'1\t1\tCD\tI-NP\tO' -p10518 -aS'on\ton\tIN\tB-PP\tO' -p10519 -aS'DOA\tDOA\tNN\tB-NP\tB-protein' -p10520 -aS'.\t.\t.\tO\tO' -p10521 -asS'Electrocardiogram showed normal sinus rhythm at 73 beats per minute .' -p10522 -(lp10523 -S'Electrocardiogram\tElectrocardiogram\tNN\tB-NP\tO' -p10524 -aS'showed\tshow\tVBD\tB-VP\tO' -p10525 -aS'normal\tnormal\tJJ\tB-NP\tO' -p10526 -aS'sinus\tsinus\tNN\tI-NP\tO' -p10527 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p10528 -aS'at\tat\tIN\tB-PP\tO' -p10529 -aS'73\t73\tCD\tB-NP\tO' -p10530 -aS'beats\tbeat\tNNS\tI-NP\tO' -p10531 -aS'per\tper\tIN\tB-PP\tO' -p10532 -aS'minute\tminute\tNN\tB-NP\tO' -p10533 -aS'.\t.\t.\tO\tO' -p10534 -asS'FHTs 140s w/ reactivity .' -p10535 -(lp10536 -S'FHTs\tFHT\tNNS\tB-NP\tO' -p10537 -aS'140s\t140\tNNS\tI-NP\tO' -p10538 -aS'w/\tw/\tNN\tI-NP\tO' -p10539 -aS'reactivity\treactivity\tNN\tI-NP\tO' -p10540 -aS'.\t.\t.\tO\tO' -p10541 -asS'h / o GERD- nexium .' -p10542 -(lp10543 -S'h\th\tNN\tB-NP\tO' -p10544 -aS'/\t/\tSYM\tI-NP\tO' -p10545 -aS'o\to\tNN\tI-NP\tO' -p10546 -aS'GERD-\tGERD-\tNN\tI-NP\tO' -p10547 -aS'nexium\tnexium\tNN\tI-NP\tO' -p10548 -aS'.\t.\t.\tO\tO' -p10549 -asS'Multivitamin Capsule Sig : One ( 1 ) Cap PO DAILY ( Daily ) .' -p10550 -(lp10551 -S'Multivitamin\tMultivitamin\tNNP\tB-NP\tO' -p10552 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p10553 -aS'Sig\tSig\tNNP\tI-NP\tO' -p10554 -aS':\t:\t:\tO\tO' -p10555 -aS'One\tOne\tCD\tB-NP\tO' -p10556 -aS'(\t(\t(\tO\tO' -p10557 -aS'1\t1\tCD\tB-NP\tO' -p10558 -aS')\t)\t)\tO\tO' -p10559 -aS'Cap\tCap\tNN\tB-NP\tO' -p10560 -aS'PO\tPO\tNN\tI-NP\tO' -p10561 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p10562 -aS'(\t(\t(\tO\tO' -p10563 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p10564 -aS')\t)\t)\tO\tO' -p10565 -aS'.\t.\t.\tO\tO' -p10566 -asS'DEEP VENOUS THROMBOSIS OF RIGHT LOWER EXTREMITY .' -p10567 -(lp10568 -S'DEEP\tDEEP\tNN\tB-NP\tO' -p10569 -aS'VENOUS\tVENOUS\tVBZ\tB-VP\tO' -p10570 -aS'THROMBOSIS\tTHROMBOSIS\tNN\tB-NP\tB-protein' -p10571 -aS'OF\tOF\tIN\tB-PP\tI-protein' -p10572 -aS'RIGHT\tRIGHT\tNN\tB-NP\tO' -p10573 -aS'LOWER\tLOWER\tNN\tI-NP\tO' -p10574 -aS'EXTREMITY\tEXTREMITY\tNN\tI-NP\tO' -p10575 -aS'.\t.\t.\tO\tO' -p10576 -asS'32 and 4/7 weeks , now day of life six , stable in room air .' -p10577 -(lp10578 -S'32\t32\tCD\tB-NP\tO' -p10579 -aS'and\tand\tCC\tI-NP\tO' -p10580 -aS'4/7\t4/7\tCD\tI-NP\tO' -p10581 -aS'weeks\tweek\tNNS\tI-NP\tO' -p10582 -aS',\t,\t,\tO\tO' -p10583 -aS'now\tnow\tRB\tB-NP\tO' -p10584 -aS'day\tday\tNN\tI-NP\tO' -p10585 -aS'of\tof\tIN\tB-PP\tO' -p10586 -aS'life\tlife\tNN\tB-NP\tO' -p10587 -aS'six\tsix\tCD\tI-NP\tO' -p10588 -aS',\t,\t,\tI-NP\tO' -p10589 -aS'stable\tstable\tJJ\tI-NP\tO' -p10590 -aS'in\tin\tIN\tB-PP\tO' -p10591 -aS'room\troom\tNN\tB-NP\tO' -p10592 -aS'air\tair\tNN\tI-NP\tO' -p10593 -aS'.\t.\t.\tO\tO' -p10594 -asS"The patient 's metformin was held and she has been maintained on SSI qid while in the CMED ." -p10595 -(lp10596 -S'The\tThe\tDT\tB-NP\tO' -p10597 -aS'patient\tpatient\tNN\tI-NP\tO' -p10598 -aS"'s\t's\tPOS\tB-NP\tO" -p10599 -aS'metformin\tmetformin\tNN\tI-NP\tO' -p10600 -aS'was\tbe\tVBD\tB-VP\tO' -p10601 -aS'held\thold\tVBN\tI-VP\tO' -p10602 -aS'and\tand\tCC\tO\tO' -p10603 -aS'she\tshe\tPRP\tB-NP\tO' -p10604 -aS'has\thave\tVBZ\tB-VP\tO' -p10605 -aS'been\tbe\tVBN\tI-VP\tO' -p10606 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p10607 -aS'on\ton\tIN\tB-PP\tO' -p10608 -aS'SSI\tSSI\tNN\tB-NP\tO' -p10609 -aS'qid\tqid\tNN\tI-NP\tO' -p10610 -aS'while\twhile\tIN\tB-SBAR\tO' -p10611 -aS'in\tin\tIN\tB-PP\tO' -p10612 -aS'the\tthe\tDT\tB-NP\tO' -p10613 -aS'CMED\tCMED\tNN\tI-NP\tO' -p10614 -aS'.\t.\t.\tO\tO' -p10615 -asS'The mid-distal LAD was underfilled initially but was without obstructive disease .' -p10616 -(lp10617 -S'The\tThe\tDT\tB-NP\tO' -p10618 -aS'mid-distal\tmid-distal\tJJ\tI-NP\tO' -p10619 -aS'LAD\tLAD\tNN\tI-NP\tO' -p10620 -aS'was\tbe\tVBD\tB-VP\tO' -p10621 -aS'underfilled\tunderfille\tVBN\tI-VP\tO' -p10622 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p10623 -aS'but\tbut\tCC\tO\tO' -p10624 -aS'was\tbe\tVBD\tB-VP\tO' -p10625 -aS'without\twithout\tIN\tB-PP\tO' -p10626 -aS'obstructive\tobstructive\tJJ\tB-NP\tO' -p10627 -aS'disease\tdisease\tNN\tI-NP\tO' -p10628 -aS'.\t.\t.\tO\tO' -p10629 -asS'No costovertebral angle tenderness bilaterally .' -p10630 -(lp10631 -S'No\tNo\tDT\tB-NP\tO' -p10632 -aS'costovertebral\tcostovertebral\tJJ\tI-NP\tO' -p10633 -aS'angle\tangle\tNN\tI-NP\tO' -p10634 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p10635 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p10636 -aS'.\t.\t.\tO\tO' -p10637 -asS'The patient has no cyanosis , clubbing or edema in extremities .' -p10638 -(lp10639 -S'The\tThe\tDT\tB-NP\tO' -p10640 -aS'patient\tpatient\tNN\tI-NP\tO' -p10641 -aS'has\thave\tVBZ\tB-VP\tO' -p10642 -aS'no\tno\tDT\tB-NP\tO' -p10643 -aS'cyanosis\tcyanosis\tNN\tI-NP\tO' -p10644 -aS',\t,\t,\tI-NP\tO' -p10645 -aS'clubbing\tclubbing\tNN\tI-NP\tO' -p10646 -aS'or\tor\tCC\tI-NP\tO' -p10647 -aS'edema\tedema\tNN\tI-NP\tO' -p10648 -aS'in\tin\tIN\tB-PP\tO' -p10649 -aS'extremities\textremity\tNNS\tB-NP\tO' -p10650 -aS'.\t.\t.\tO\tO' -p10651 -asS'3. Status post tubal ligation .' -p10652 -(lp10653 -S'3.\t3.\tLS\tB-LST\tO' -p10654 -aS'Status\tStatus\tNNP\tB-NP\tO' -p10655 -aS'post\tpost\tIN\tB-PP\tO' -p10656 -aS'tubal\ttubal\tJJ\tB-NP\tO' -p10657 -aS'ligation\tligation\tNN\tI-NP\tO' -p10658 -aS'.\t.\t.\tO\tO' -p10659 -asS'Extraocular movements - conjugated eye movement intact .' -p10660 -(lp10661 -S'Extraocular\tExtraocular\tJJ\tB-NP\tO' -p10662 -aS'movements\tmovement\tNNS\tI-NP\tO' -p10663 -aS'-\t-\tHYPH\tO\tO' -p10664 -aS'conjugated\tconjugate\tVBN\tB-NP\tO' -p10665 -aS'eye\teye\tNN\tI-NP\tO' -p10666 -aS'movement\tmovement\tNN\tI-NP\tO' -p10667 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p10668 -aS'.\t.\t.\tO\tO' -p10669 -asS'4. Resection of floor of mouth tumor .' -p10670 -(lp10671 -S'4.\t4.\tLS\tB-NP\tO' -p10672 -aS'Resection\tResection\tNN\tI-NP\tO' -p10673 -aS'of\tof\tIN\tB-PP\tO' -p10674 -aS'floor\tfloor\tNN\tB-NP\tO' -p10675 -aS'of\tof\tIN\tB-PP\tO' -p10676 -aS'mouth\tmouth\tJJ\tB-NP\tO' -p10677 -aS'tumor\ttumor\tNN\tI-NP\tO' -p10678 -aS'.\t.\t.\tO\tO' -p10679 -asS'His head ultrasound on 05-14 reveals no interventricular hemorrhage .' -p10680 -(lp10681 -S'His\tHis\tPRP$\tB-NP\tO' -p10682 -aS'head\thead\tNN\tI-NP\tO' -p10683 -aS'ultrasound\tultrasound\tNN\tI-NP\tO' -p10684 -aS'on\ton\tIN\tB-PP\tO' -p10685 -aS'05-14\t05-14\tNN\tB-NP\tO' -p10686 -aS'reveals\treveal\tVBZ\tB-VP\tO' -p10687 -aS'no\tno\tDT\tB-NP\tO' -p10688 -aS'interventricular\tinterventricular\tJJ\tI-NP\tO' -p10689 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p10690 -aS'.\t.\t.\tO\tO' -p10691 -asS'4. Niferex 150 mg p.o. q. day times one month .' -p10692 -(lp10693 -S'4.\t4.\tLS\tB-LST\tO' -p10694 -aS'Niferex\tNiferex\tNNP\tB-NP\tO' -p10695 -aS'150\t150\tCD\tI-NP\tO' -p10696 -aS'mg\tmg\tNN\tI-NP\tO' -p10697 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p10698 -aS'q.\tq.\tNN\tI-NP\tO' -p10699 -aS'day\tday\tNN\tI-NP\tO' -p10700 -aS'times\ttime\tVBZ\tB-VP\tO' -p10701 -aS'one\tone\tCD\tB-NP\tO' -p10702 -aS'month\tmonth\tNN\tI-NP\tO' -p10703 -aS'.\t.\t.\tO\tO' -p10704 -asS'Cscope unable to complete due to blood but tics seen .' -p10705 -(lp10706 -S'Cscope\tCscope\tNN\tB-NP\tO' -p10707 -aS'unable\tunable\tJJ\tB-ADJP\tO' -p10708 -aS'to\tto\tTO\tB-VP\tO' -p10709 -aS'complete\tcomplete\tVB\tI-VP\tO' -p10710 -aS'due\tdue\tIN\tB-PP\tO' -p10711 -aS'to\tto\tTO\tB-PP\tO' -p10712 -aS'blood\tblood\tNN\tB-NP\tO' -p10713 -aS'but\tbut\tCC\tI-NP\tO' -p10714 -aS'tics\ttic\tNNS\tI-NP\tO' -p10715 -aS'seen\tsee\tVBN\tB-VP\tO' -p10716 -aS'.\t.\t.\tO\tO' -p10717 -asS'Surgery was consulted for concern of cholangitis with probable sepsis .' -p10718 -(lp10719 -S'Surgery\tSurgery\tNN\tB-NP\tO' -p10720 -aS'was\tbe\tVBD\tB-VP\tO' -p10721 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p10722 -aS'for\tfor\tIN\tB-PP\tO' -p10723 -aS'concern\tconcern\tNN\tB-NP\tO' -p10724 -aS'of\tof\tIN\tB-PP\tO' -p10725 -aS'cholangitis\tcholangitis\tNN\tB-NP\tO' -p10726 -aS'with\twith\tIN\tB-PP\tO' -p10727 -aS'probable\tprobable\tJJ\tB-NP\tO' -p10728 -aS'sepsis\tsepsis\tNN\tI-NP\tO' -p10729 -aS'.\t.\t.\tO\tO' -p10730 -asS'Tylenol # 3 , Xanax , Ciprofloxacin , Flagyl .' -p10731 -(lp10732 -S'Tylenol\tTylenol\tNN\tB-NP\tB-protein' -p10733 -aS'#\t#\t#\tI-NP\tI-protein' -p10734 -aS'3\t3\tCD\tI-NP\tI-protein' -p10735 -aS',\t,\t,\tO\tO' -p10736 -aS'Xanax\tXanax\tNN\tB-NP\tO' -p10737 -aS',\t,\t,\tO\tO' -p10738 -aS'Ciprofloxacin\tCiprofloxacin\tNN\tB-NP\tO' -p10739 -aS',\t,\t,\tO\tO' -p10740 -aS'Flagyl\tFlagyl\tNN\tB-NP\tO' -p10741 -aS'.\t.\t.\tO\tO' -p10742 -asS'After his initial intubation he remained quite stable .' -p10743 -(lp10744 -S'After\tAfter\tIN\tB-PP\tO' -p10745 -aS'his\this\tPRP$\tB-NP\tO' -p10746 -aS'initial\tinitial\tJJ\tI-NP\tO' -p10747 -aS'intubation\tintubation\tNN\tI-NP\tO' -p10748 -aS'he\the\tPRP\tB-NP\tO' -p10749 -aS'remained\tremain\tVBD\tB-VP\tO' -p10750 -aS'quite\tquite\tRB\tB-ADJP\tO' -p10751 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p10752 -aS'.\t.\t.\tO\tO' -p10753 -asS'Cerebrovascular accident .' -p10754 -(lp10755 -S'Cerebrovascular\tCerebrovascular\tJJ\tB-NP\tO' -p10756 -aS'accident\taccident\tNN\tI-NP\tO' -p10757 -aS'.\t.\t.\tO\tO' -p10758 -asS'He was discharged home in stable conditions .' -p10759 -(lp10760 -S'He\tHe\tPRP\tB-NP\tO' -p10761 -aS'was\tbe\tVBD\tB-VP\tO' -p10762 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p10763 -aS'home\thome\tNN\tB-ADVP\tO' -p10764 -aS'in\tin\tIN\tB-PP\tO' -p10765 -aS'stable\tstable\tJJ\tB-NP\tO' -p10766 -aS'conditions\tcondition\tNNS\tI-NP\tO' -p10767 -aS'.\t.\t.\tO\tO' -p10768 -asS'There was also moderate to severe focal stenosis of the left renal artery approximately 1.3 cm from its origin .' -p10769 -(lp10770 -S'There\tThere\tEX\tB-NP\tO' -p10771 -aS'was\tbe\tVBD\tB-VP\tO' -p10772 -aS'also\talso\tRB\tB-ADVP\tO' -p10773 -aS'moderate\tmoderate\tJJ\tB-ADJP\tO' -p10774 -aS'to\tto\tTO\tB-PP\tO' -p10775 -aS'severe\tsevere\tJJ\tB-NP\tO' -p10776 -aS'focal\tfocal\tJJ\tI-NP\tO' -p10777 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p10778 -aS'of\tof\tIN\tB-PP\tO' -p10779 -aS'the\tthe\tDT\tB-NP\tO' -p10780 -aS'left\tleft\tJJ\tI-NP\tO' -p10781 -aS'renal\trenal\tJJ\tI-NP\tO' -p10782 -aS'artery\tartery\tNN\tI-NP\tO' -p10783 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p10784 -aS'1.3\t1.3\tCD\tI-NP\tO' -p10785 -aS'cm\tcm\tNN\tI-NP\tO' -p10786 -aS'from\tfrom\tIN\tB-PP\tO' -p10787 -aS'its\tits\tPRP$\tB-NP\tO' -p10788 -aS'origin\torigin\tNN\tI-NP\tO' -p10789 -aS'.\t.\t.\tO\tO' -p10790 -asS'Gastroc. 3 on the left and 4+ on the right .' -p10791 -(lp10792 -S'Gastroc.\tGastroc.\tNNP\tB-NP\tB-protein' -p10793 -aS'3\t3\tCD\tI-NP\tI-protein' -p10794 -aS'on\ton\tIN\tB-PP\tO' -p10795 -aS'the\tthe\tDT\tB-NP\tO' -p10796 -aS'left\tleft\tJJ\tI-NP\tO' -p10797 -aS'and\tand\tCC\tI-NP\tO' -p10798 -aS'4+\t4+\tJJ\tI-NP\tO' -p10799 -aS'on\ton\tIN\tB-PP\tO' -p10800 -aS'the\tthe\tDT\tB-NP\tO' -p10801 -aS'right\tright\tNN\tI-NP\tO' -p10802 -aS'.\t.\t.\tO\tO' -p10803 -asS'The blood pressure is 120/82 , heart rate 88 , weight 125 pounds .' -p10804 -(lp10805 -S'The\tThe\tDT\tB-NP\tO' -p10806 -aS'blood\tblood\tNN\tI-NP\tO' -p10807 -aS'pressure\tpressure\tNN\tI-NP\tO' -p10808 -aS'is\tbe\tVBZ\tB-VP\tO' -p10809 -aS'120/82\t120/82\tCD\tB-NP\tO' -p10810 -aS',\t,\t,\tO\tO' -p10811 -aS'heart\theart\tNN\tB-NP\tO' -p10812 -aS'rate\trate\tNN\tI-NP\tO' -p10813 -aS'88\t88\tCD\tI-NP\tO' -p10814 -aS',\t,\t,\tO\tO' -p10815 -aS'weight\tweight\tNN\tB-NP\tO' -p10816 -aS'125\t125\tCD\tB-NP\tO' -p10817 -aS'pounds\tpound\tNNS\tI-NP\tO' -p10818 -aS'.\t.\t.\tO\tO' -p10819 -asS'Patent nares .' -p10820 -(lp10821 -S'Patent\tPatent\tNN\tB-NP\tO' -p10822 -aS'nares\tnare\tNNS\tI-NP\tO' -p10823 -aS'.\t.\t.\tO\tO' -p10824 -asS'The patient is being maintained on Digoxin for his paroxysmal atrial fibrillation .' -p10825 -(lp10826 -S'The\tThe\tDT\tB-NP\tO' -p10827 -aS'patient\tpatient\tNN\tI-NP\tO' -p10828 -aS'is\tbe\tVBZ\tB-VP\tO' -p10829 -aS'being\tbe\tVBG\tI-VP\tO' -p10830 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p10831 -aS'on\ton\tIN\tB-PP\tO' -p10832 -aS'Digoxin\tDigoxin\tNN\tB-NP\tO' -p10833 -aS'for\tfor\tIN\tB-PP\tO' -p10834 -aS'his\this\tPRP$\tB-NP\tO' -p10835 -aS'paroxysmal\tparoxysmal\tJJ\tI-NP\tO' -p10836 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p10837 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p10838 -aS'.\t.\t.\tO\tO' -p10839 -asS'This morning , 2017-07-12 , Ms. Gallegos King feeling weaker than usual .' -p10840 -(lp10841 -S'This\tThis\tDT\tB-NP\tO' -p10842 -aS'morning\tmorning\tNN\tI-NP\tO' -p10843 -aS',\t,\t,\tO\tO' -p10844 -aS'2017-07-12\t2017-07-12\tCD\tB-NP\tO' -p10845 -aS',\t,\t,\tO\tO' -p10846 -aS'Ms.\tMs.\tNNP\tB-NP\tO' -p10847 -aS'Gallegos\tGallegos\tNNP\tI-NP\tO' -p10848 -aS'King\tKing\tNNP\tI-NP\tO' -p10849 -aS'feeling\tfeel\tVBG\tB-VP\tO' -p10850 -aS'weaker\tweak\tJJR\tB-ADJP\tO' -p10851 -aS'than\tthan\tIN\tB-PP\tO' -p10852 -aS'usual\tusual\tJJ\tB-ADJP\tO' -p10853 -aS'.\t.\t.\tO\tO' -p10854 -asS'4. Acetaminophen 325 mg Tablet Sig : 1-2 Tablets PO Q4-6H ( every 4 to 6 hours ) as needed .' -p10855 -(lp10856 -S'4.\t4.\tLS\tB-NP\tO' -p10857 -aS'Acetaminophen\tAcetaminophen\tNN\tI-NP\tO' -p10858 -aS'325\t325\tCD\tI-NP\tO' -p10859 -aS'mg\tmg\tNN\tI-NP\tO' -p10860 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p10861 -aS'Sig\tSig\tNNP\tI-NP\tO' -p10862 -aS':\t:\t:\tO\tO' -p10863 -aS'1-2\t1-2\tCD\tB-NP\tO' -p10864 -aS'Tablets\tTablet\tNNS\tI-NP\tO' -p10865 -aS'PO\tPO\tNN\tI-NP\tO' -p10866 -aS'Q4-6H\tQ4-6H\tNN\tI-NP\tO' -p10867 -aS'(\t(\t(\tO\tO' -p10868 -aS'every\tevery\tDT\tB-NP\tO' -p10869 -aS'4\t4\tCD\tI-NP\tO' -p10870 -aS'to\tto\tTO\tI-NP\tO' -p10871 -aS'6\t6\tCD\tI-NP\tO' -p10872 -aS'hours\thour\tNNS\tI-NP\tO' -p10873 -aS')\t)\t)\tO\tO' -p10874 -aS'as\tas\tIN\tB-SBAR\tO' -p10875 -aS'needed\tneed\tVBN\tB-VP\tO' -p10876 -aS'.\t.\t.\tO\tO' -p10877 -asS'Anti-coagulation was started with Warfarin 5 mg with a goal of 2-3 and a plan for cardioversion in 6 weeks .' -p10878 -(lp10879 -S'Anti-coagulation\tAnti-coagulation\tNN\tB-NP\tO' -p10880 -aS'was\tbe\tVBD\tB-VP\tO' -p10881 -aS'started\tstart\tVBN\tI-VP\tO' -p10882 -aS'with\twith\tIN\tB-PP\tO' -p10883 -aS'Warfarin\tWarfarin\tNN\tB-NP\tO' -p10884 -aS'5\t5\tCD\tI-NP\tO' -p10885 -aS'mg\tmg\tNN\tI-NP\tO' -p10886 -aS'with\twith\tIN\tB-PP\tO' -p10887 -aS'a\ta\tDT\tB-NP\tO' -p10888 -aS'goal\tgoal\tNN\tI-NP\tO' -p10889 -aS'of\tof\tIN\tB-PP\tO' -p10890 -aS'2-3\t2-3\tNN\tB-NP\tO' -p10891 -aS'and\tand\tCC\tO\tO' -p10892 -aS'a\ta\tDT\tB-NP\tO' -p10893 -aS'plan\tplan\tNN\tI-NP\tO' -p10894 -aS'for\tfor\tIN\tB-PP\tO' -p10895 -aS'cardioversion\tcardioversion\tNN\tB-NP\tO' -p10896 -aS'in\tin\tIN\tB-PP\tO' -p10897 -aS'6\t6\tCD\tB-NP\tO' -p10898 -aS'weeks\tweek\tNNS\tI-NP\tO' -p10899 -aS'.\t.\t.\tO\tO' -p10900 -asS'No tobacco .' -p10901 -(lp10902 -S'No\tNo\tDT\tB-NP\tO' -p10903 -aS'tobacco\ttobacco\tNN\tI-NP\tO' -p10904 -aS'.\t.\t.\tO\tO' -p10905 -asS'Again seen are subtle hypodensities within the periventricular white matter which is an indication of chronic microvascular ischemic changes , stable .' -p10906 -(lp10907 -S'Again\tAgain\tRB\tB-VP\tO' -p10908 -aS'seen\tsee\tVBN\tI-VP\tO' -p10909 -aS'are\tbe\tVBP\tB-VP\tO' -p10910 -aS'subtle\tsubtle\tJJ\tB-NP\tO' -p10911 -aS'hypodensities\thypodensity\tNNS\tI-NP\tO' -p10912 -aS'within\twithin\tIN\tB-PP\tO' -p10913 -aS'the\tthe\tDT\tB-NP\tO' -p10914 -aS'periventricular\tperiventricular\tJJ\tI-NP\tO' -p10915 -aS'white\twhite\tJJ\tI-NP\tO' -p10916 -aS'matter\tmatter\tNN\tI-NP\tO' -p10917 -aS'which\twhich\tWDT\tB-NP\tO' -p10918 -aS'is\tbe\tVBZ\tB-VP\tO' -p10919 -aS'an\tan\tDT\tB-NP\tO' -p10920 -aS'indication\tindication\tNN\tI-NP\tO' -p10921 -aS'of\tof\tIN\tB-PP\tO' -p10922 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p10923 -aS'microvascular\tmicrovascular\tJJ\tI-NP\tO' -p10924 -aS'ischemic\tischemic\tJJ\tI-NP\tO' -p10925 -aS'changes\tchange\tNNS\tI-NP\tO' -p10926 -aS',\t,\t,\tO\tO' -p10927 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p10928 -aS'.\t.\t.\tO\tO' -p10929 -asS'Renal failure .' -p10930 -(lp10931 -S'Renal\tRenal\tJJ\tB-NP\tO' -p10932 -aS'failure\tfailure\tNN\tI-NP\tO' -p10933 -aS'.\t.\t.\tO\tO' -p10934 -asS'The patient is a 52 year old Czech speaking gentleman with a history of severe mitral regurgitation .' -p10935 -(lp10936 -S'The\tThe\tDT\tB-NP\tO' -p10937 -aS'patient\tpatient\tNN\tI-NP\tO' -p10938 -aS'is\tbe\tVBZ\tB-VP\tO' -p10939 -aS'a\ta\tDT\tB-NP\tO' -p10940 -aS'52\t52\tCD\tI-NP\tO' -p10941 -aS'year\tyear\tNN\tI-NP\tO' -p10942 -aS'old\told\tJJ\tI-NP\tO' -p10943 -aS'Czech\tCzech\tNN\tI-NP\tO' -p10944 -aS'speaking\tspeak\tVBG\tB-VP\tO' -p10945 -aS'gentleman\tgentleman\tNN\tB-NP\tO' -p10946 -aS'with\twith\tIN\tB-PP\tO' -p10947 -aS'a\ta\tDT\tB-NP\tO' -p10948 -aS'history\thistory\tNN\tI-NP\tO' -p10949 -aS'of\tof\tIN\tB-PP\tO' -p10950 -aS'severe\tsevere\tJJ\tB-NP\tO' -p10951 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p10952 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p10953 -aS'.\t.\t.\tO\tO' -p10954 -asS'Overnight , fresh frozen plasma was given for goal INR of < 1.4 .' -p10955 -(lp10956 -S'Overnight\tOvernight\tRB\tB-ADVP\tO' -p10957 -aS',\t,\t,\tO\tO' -p10958 -aS'fresh\tfresh\tJJ\tB-NP\tO' -p10959 -aS'frozen\tfreeze\tVBN\tI-NP\tO' -p10960 -aS'plasma\tplasma\tNN\tI-NP\tO' -p10961 -aS'was\tbe\tVBD\tB-VP\tO' -p10962 -aS'given\tgive\tVBN\tI-VP\tO' -p10963 -aS'for\tfor\tIN\tB-PP\tO' -p10964 -aS'goal\tgoal\tNN\tB-NP\tO' -p10965 -aS'INR\tINR\tNN\tI-NP\tO' -p10966 -aS'of\tof\tIN\tB-PP\tO' -p10967 -aS'<\t<\tSYM\tB-NP\tO' -p10968 -aS'1.4\t1.4\tCD\tI-NP\tO' -p10969 -aS'.\t.\t.\tO\tO' -p10970 -asS'There was no evidence of pericardial effusion .' -p10971 -(lp10972 -S'There\tThere\tEX\tB-NP\tO' -p10973 -aS'was\tbe\tVBD\tB-VP\tO' -p10974 -aS'no\tno\tDT\tB-NP\tO' -p10975 -aS'evidence\tevidence\tNN\tI-NP\tO' -p10976 -aS'of\tof\tIN\tB-PP\tO' -p10977 -aS'pericardial\tpericardial\tJJ\tB-NP\tO' -p10978 -aS'effusion\teffusion\tNN\tI-NP\tO' -p10979 -aS'.\t.\t.\tO\tO' -p10980 -asS'Due to family request to move patient to a hospital closer to home , she will remain intubated until transfer , with plan to extubate upon arrival to Women and Infants hospital with initiation of full palliative care and compliance of DNI status .' -p10981 -(lp10982 -S'Due\tDue\tJJ\tB-ADJP\tO' -p10983 -aS'to\tto\tTO\tB-PP\tO' -p10984 -aS'family\tfamily\tNN\tB-NP\tO' -p10985 -aS'request\trequest\tNN\tI-NP\tO' -p10986 -aS'to\tto\tTO\tB-VP\tO' -p10987 -aS'move\tmove\tVB\tI-VP\tO' -p10988 -aS'patient\tpatient\tNN\tB-NP\tO' -p10989 -aS'to\tto\tTO\tB-PP\tO' -p10990 -aS'a\ta\tDT\tB-NP\tO' -p10991 -aS'hospital\thospital\tNN\tI-NP\tO' -p10992 -aS'closer\tcloser\tRBR\tB-ADVP\tO' -p10993 -aS'to\tto\tTO\tB-PP\tO' -p10994 -aS'home\thome\tNN\tB-NP\tO' -p10995 -aS',\t,\t,\tO\tO' -p10996 -aS'she\tshe\tPRP\tB-NP\tO' -p10997 -aS'will\twill\tMD\tB-VP\tO' -p10998 -aS'remain\tremain\tVB\tI-VP\tO' -p10999 -aS'intubated\tintubated\tJJ\tB-ADJP\tO' -p11000 -aS'until\tuntil\tIN\tB-PP\tO' -p11001 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p11002 -aS',\t,\t,\tO\tO' -p11003 -aS'with\twith\tIN\tB-PP\tO' -p11004 -aS'plan\tplan\tNN\tB-NP\tO' -p11005 -aS'to\tto\tTO\tB-VP\tO' -p11006 -aS'extubate\textubate\tVB\tI-VP\tO' -p11007 -aS'upon\tupon\tIN\tB-PP\tO' -p11008 -aS'arrival\tarrival\tNN\tB-NP\tO' -p11009 -aS'to\tto\tTO\tB-PP\tO' -p11010 -aS'Women\tWoman\tNNS\tB-NP\tO' -p11011 -aS'and\tand\tCC\tI-NP\tO' -p11012 -aS'Infants\tInfant\tNNS\tI-NP\tO' -p11013 -aS'hospital\thospital\tNN\tI-NP\tO' -p11014 -aS'with\twith\tIN\tB-PP\tO' -p11015 -aS'initiation\tinitiation\tNN\tB-NP\tO' -p11016 -aS'of\tof\tIN\tB-PP\tO' -p11017 -aS'full\tfull\tJJ\tB-NP\tO' -p11018 -aS'palliative\tpalliative\tJJ\tI-NP\tO' -p11019 -aS'care\tcare\tNN\tI-NP\tO' -p11020 -aS'and\tand\tCC\tI-NP\tO' -p11021 -aS'compliance\tcompliance\tNN\tI-NP\tO' -p11022 -aS'of\tof\tIN\tB-PP\tO' -p11023 -aS'DNI\tDNI\tNN\tB-NP\tO' -p11024 -aS'status\tstatus\tNN\tI-NP\tO' -p11025 -aS'.\t.\t.\tO\tO' -p11026 -asS'Nothing in the vagina for 6 weeks - no tampons , no douching , no intercourse .' -p11027 -(lp11028 -S'Nothing\tNothing\tNN\tB-NP\tO' -p11029 -aS'in\tin\tIN\tB-PP\tO' -p11030 -aS'the\tthe\tDT\tB-NP\tO' -p11031 -aS'vagina\tvagina\tNN\tI-NP\tO' -p11032 -aS'for\tfor\tIN\tB-PP\tO' -p11033 -aS'6\t6\tCD\tB-NP\tO' -p11034 -aS'weeks\tweek\tNNS\tI-NP\tO' -p11035 -aS'-\t-\t:\tO\tO' -p11036 -aS'no\tno\tDT\tB-NP\tO' -p11037 -aS'tampons\ttampon\tNNS\tI-NP\tO' -p11038 -aS',\t,\t,\tO\tO' -p11039 -aS'no\tno\tDT\tB-NP\tO' -p11040 -aS'douching\tdouching\tNN\tI-NP\tO' -p11041 -aS',\t,\t,\tO\tO' -p11042 -aS'no\tno\tDT\tB-NP\tO' -p11043 -aS'intercourse\tintercourse\tNN\tI-NP\tO' -p11044 -aS'.\t.\t.\tO\tO' -p11045 -asS'She Will need to complete a 14 day course of vancomycin for her MRSA pneumonia on 2019-07-30 .' -p11046 -(lp11047 -S'She\tShe\tPRP\tB-NP\tO' -p11048 -aS'Will\tWill\tMD\tB-VP\tO' -p11049 -aS'need\tneed\tVB\tI-VP\tO' -p11050 -aS'to\tto\tTO\tI-VP\tO' -p11051 -aS'complete\tcomplete\tVB\tI-VP\tO' -p11052 -aS'a\ta\tDT\tB-NP\tO' -p11053 -aS'14\t14\tCD\tI-NP\tO' -p11054 -aS'day\tday\tNN\tI-NP\tO' -p11055 -aS'course\tcourse\tNN\tI-NP\tO' -p11056 -aS'of\tof\tIN\tB-PP\tO' -p11057 -aS'vancomycin\tvancomycin\tNN\tB-NP\tO' -p11058 -aS'for\tfor\tIN\tB-PP\tO' -p11059 -aS'her\ther\tPRP$\tB-NP\tO' -p11060 -aS'MRSA\tMRSA\tNN\tI-NP\tO' -p11061 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p11062 -aS'on\ton\tIN\tB-PP\tO' -p11063 -aS'2019-07-30\t2019-07-30\tCD\tB-NP\tO' -p11064 -aS'.\t.\t.\tO\tO' -p11065 -asS'EKG - old TWI III .' -p11066 -(lp11067 -S'EKG\tEKG\tNN\tB-NP\tB-protein' -p11068 -aS'-\t-\tHYPH\tI-NP\tO' -p11069 -aS'old\told\tJJ\tI-NP\tO' -p11070 -aS'TWI\tTWI\tNN\tI-NP\tO' -p11071 -aS'III\tIII\tCD\tI-NP\tO' -p11072 -aS'.\t.\t.\tO\tO' -p11073 -asS'Incidentally , it also showed diverticulosis .' -p11074 -(lp11075 -S'Incidentally\tIncidentally\tRB\tB-ADVP\tO' -p11076 -aS',\t,\t,\tO\tO' -p11077 -aS'it\tit\tPRP\tB-NP\tO' -p11078 -aS'also\talso\tRB\tB-ADVP\tO' -p11079 -aS'showed\tshow\tVBD\tB-VP\tO' -p11080 -aS'diverticulosis\tdiverticulosis\tNN\tB-NP\tO' -p11081 -aS'.\t.\t.\tO\tO' -p11082 -asS'The margins were free of tumor , but 10 out of 21 lymph nodes were positive for metastatic carcinoma .' -p11083 -(lp11084 -S'The\tThe\tDT\tB-NP\tO' -p11085 -aS'margins\tmargin\tNNS\tI-NP\tO' -p11086 -aS'were\tbe\tVBD\tB-VP\tO' -p11087 -aS'free\tfree\tJJ\tB-ADJP\tO' -p11088 -aS'of\tof\tIN\tB-PP\tO' -p11089 -aS'tumor\ttumor\tNN\tB-NP\tO' -p11090 -aS',\t,\t,\tO\tO' -p11091 -aS'but\tbut\tCC\tO\tO' -p11092 -aS'10\t10\tCD\tB-NP\tO' -p11093 -aS'out\tout\tIN\tI-NP\tO' -p11094 -aS'of\tof\tIN\tI-NP\tO' -p11095 -aS'21\t21\tCD\tI-NP\tO' -p11096 -aS'lymph\tlymph\tNN\tI-NP\tO' -p11097 -aS'nodes\tnode\tNNS\tI-NP\tO' -p11098 -aS'were\tbe\tVBD\tB-VP\tO' -p11099 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p11100 -aS'for\tfor\tIN\tB-PP\tO' -p11101 -aS'metastatic\tmetastatic\tJJ\tB-NP\tO' -p11102 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p11103 -aS'.\t.\t.\tO\tO' -p11104 -asS'Nortriptyline 25 mg. po. qhs .' -p11105 -(lp11106 -S'Nortriptyline\tNortriptyline\tNN\tB-NP\tO' -p11107 -aS'25\t25\tCD\tI-NP\tO' -p11108 -aS'mg.\tmg.\tNN\tI-NP\tO' -p11109 -aS'po.\tpo.\tNN\tI-NP\tO' -p11110 -aS'qhs\tqh\tNNS\tI-NP\tO' -p11111 -aS'.\t.\t.\tO\tO' -p11112 -asS'Calculated LVEF 42% .' -p11113 -(lp11114 -S'Calculated\tCalculate\tVBN\tB-NP\tO' -p11115 -aS'LVEF\tLVEF\tNN\tI-NP\tB-protein' -p11116 -aS'42%\t42%\tNN\tI-NP\tI-protein' -p11117 -aS'.\t.\t.\tO\tO' -p11118 -asS'HEENT : Pupils equal , round and reactive to light .' -p11119 -(lp11120 -S'HEENT\tHEENT\tNN\tB-NP\tO' -p11121 -aS':\t:\t:\tO\tO' -p11122 -aS'Pupils\tPupil\tNNS\tB-NP\tO' -p11123 -aS'equal\tequal\tJJ\tB-NP\tO' -p11124 -aS',\t,\t,\tI-NP\tO' -p11125 -aS'round\tround\tJJ\tI-NP\tO' -p11126 -aS'and\tand\tCC\tI-NP\tO' -p11127 -aS'reactive\treactive\tJJ\tI-NP\tO' -p11128 -aS'to\tto\tTO\tB-PP\tO' -p11129 -aS'light\tlight\tNN\tB-NP\tO' -p11130 -aS'.\t.\t.\tO\tO' -p11131 -asS'On the a.m. of 10-24-93 , the patient developed crushing substernal chest pain and shortness of breath .' -p11132 -(lp11133 -S'On\tOn\tIN\tB-PP\tO' -p11134 -aS'the\tthe\tDT\tB-NP\tO' -p11135 -aS'a.m.\ta.m.\tNN\tI-NP\tO' -p11136 -aS'of\tof\tIN\tB-PP\tO' -p11137 -aS'10-24-93\t10-24-93\tCD\tB-NP\tO' -p11138 -aS',\t,\t,\tO\tO' -p11139 -aS'the\tthe\tDT\tB-NP\tO' -p11140 -aS'patient\tpatient\tNN\tI-NP\tO' -p11141 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p11142 -aS'crushing\tcrush\tVBG\tI-VP\tO' -p11143 -aS'substernal\tsubsternal\tJJ\tB-NP\tO' -p11144 -aS'chest\tchest\tNN\tI-NP\tO' -p11145 -aS'pain\tpain\tNN\tI-NP\tO' -p11146 -aS'and\tand\tCC\tI-NP\tO' -p11147 -aS'shortness\tshortness\tNN\tI-NP\tO' -p11148 -aS'of\tof\tIN\tB-PP\tO' -p11149 -aS'breath\tbreath\tNN\tB-NP\tO' -p11150 -aS'.\t.\t.\tO\tO' -p11151 -asS"The patient was also seen subsequently in consultation by the Plastic Surgical Service who discontinued a number of the patient 's indwelling drains but they felt that others needed to stay while the patient was sent to rehabilitation ." -p11152 -(lp11153 -S'The\tThe\tDT\tB-NP\tO' -p11154 -aS'patient\tpatient\tNN\tI-NP\tO' -p11155 -aS'was\tbe\tVBD\tB-VP\tO' -p11156 -aS'also\talso\tRB\tI-VP\tO' -p11157 -aS'seen\tsee\tVBN\tI-VP\tO' -p11158 -aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' -p11159 -aS'in\tin\tIN\tB-PP\tO' -p11160 -aS'consultation\tconsultation\tNN\tB-NP\tO' -p11161 -aS'by\tby\tIN\tB-PP\tO' -p11162 -aS'the\tthe\tDT\tB-NP\tO' -p11163 -aS'Plastic\tPlastic\tNNP\tI-NP\tO' -p11164 -aS'Surgical\tSurgical\tNNP\tI-NP\tO' -p11165 -aS'Service\tService\tNNP\tI-NP\tO' -p11166 -aS'who\twho\tWP\tB-NP\tO' -p11167 -aS'discontinued\tdiscontinue\tVBD\tB-VP\tO' -p11168 -aS'a\ta\tDT\tB-NP\tO' -p11169 -aS'number\tnumber\tNN\tI-NP\tO' -p11170 -aS'of\tof\tIN\tB-PP\tO' -p11171 -aS'the\tthe\tDT\tB-NP\tO' -p11172 -aS'patient\tpatient\tNN\tI-NP\tO' -p11173 -aS"'s\t's\tPOS\tB-NP\tO" -p11174 -aS'indwelling\tindwell\tVBG\tI-NP\tO' -p11175 -aS'drains\tdrain\tNNS\tI-NP\tO' -p11176 -aS'but\tbut\tCC\tO\tO' -p11177 -aS'they\tthey\tPRP\tB-NP\tO' -p11178 -aS'felt\tfeel\tVBD\tB-VP\tO' -p11179 -aS'that\tthat\tIN\tB-SBAR\tO' -p11180 -aS'others\tother\tNNS\tB-NP\tO' -p11181 -aS'needed\tneed\tVBN\tB-VP\tO' -p11182 -aS'to\tto\tTO\tB-VP\tO' -p11183 -aS'stay\tstay\tVB\tI-VP\tO' -p11184 -aS'while\twhile\tIN\tB-SBAR\tO' -p11185 -aS'the\tthe\tDT\tB-NP\tO' -p11186 -aS'patient\tpatient\tNN\tI-NP\tO' -p11187 -aS'was\tbe\tVBD\tB-VP\tO' -p11188 -aS'sent\tsend\tVBN\tI-VP\tO' -p11189 -aS'to\tto\tTO\tB-PP\tO' -p11190 -aS'rehabilitation\trehabilitation\tNN\tB-NP\tO' -p11191 -aS'.\t.\t.\tO\tO' -p11192 -asS'No osseous lesions are seen .' -p11193 -(lp11194 -S'No\tNo\tDT\tB-NP\tO' -p11195 -aS'osseous\tosseous\tJJ\tI-NP\tO' -p11196 -aS'lesions\tlesion\tNNS\tI-NP\tO' -p11197 -aS'are\tbe\tVBP\tB-VP\tO' -p11198 -aS'seen\tsee\tVBN\tI-VP\tO' -p11199 -aS'.\t.\t.\tO\tO' -p11200 -asS'Attending : Everett J. Decardo , M.D.' -p11201 -(lp11202 -S'Attending\tAttend\tVBG\tB-VP\tO' -p11203 -aS':\t:\t:\tO\tO' -p11204 -aS'Everett\tEverett\tNNP\tB-NP\tO' -p11205 -aS'J.\tJ.\tNNP\tI-NP\tO' -p11206 -aS'Decardo\tDecardo\tNNP\tI-NP\tO' -p11207 -aS',\t,\t,\tO\tO' -p11208 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p11209 -asS'She is following up with Dr. Mcmaster on 2017-09-29 at 11:30 a.m.' -p11210 -(lp11211 -S'She\tShe\tPRP\tB-NP\tO' -p11212 -aS'is\tbe\tVBZ\tB-VP\tO' -p11213 -aS'following\tfollow\tVBG\tI-VP\tO' -p11214 -aS'up\tup\tRP\tB-PRT\tO' -p11215 -aS'with\twith\tIN\tB-PP\tO' -p11216 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p11217 -aS'Mcmaster\tMcmaster\tNNP\tI-NP\tO' -p11218 -aS'on\ton\tIN\tB-PP\tO' -p11219 -aS'2017-09-29\t2017-09-29\tCD\tB-NP\tO' -p11220 -aS'at\tat\tIN\tB-PP\tO' -p11221 -aS'11:30\t11:30\tCD\tB-NP\tO' -p11222 -aS'a.m.\ta.m.\tNN\tI-NP\tO' -p11223 -asS'The patient did develop some hypertension during infusion of her VP 16 to the 170/100 range , which apparently happened during her prior chemotherapy .' -p11224 -(lp11225 -S'The\tThe\tDT\tB-NP\tO' -p11226 -aS'patient\tpatient\tNN\tI-NP\tO' -p11227 -aS'did\tdo\tVBD\tB-VP\tO' -p11228 -aS'develop\tdevelop\tVB\tI-VP\tO' -p11229 -aS'some\tsome\tDT\tB-NP\tO' -p11230 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p11231 -aS'during\tduring\tIN\tB-PP\tO' -p11232 -aS'infusion\tinfusion\tNN\tB-NP\tO' -p11233 -aS'of\tof\tIN\tB-PP\tO' -p11234 -aS'her\ther\tPRP$\tB-NP\tO' -p11235 -aS'VP\tVP\tNN\tI-NP\tB-protein' -p11236 -aS'16\t16\tCD\tI-NP\tI-protein' -p11237 -aS'to\tto\tTO\tB-PP\tO' -p11238 -aS'the\tthe\tDT\tB-NP\tO' -p11239 -aS'170/100\t170/100\tCD\tI-NP\tO' -p11240 -aS'range\trange\tNN\tI-NP\tO' -p11241 -aS',\t,\t,\tO\tO' -p11242 -aS'which\twhich\tWDT\tB-NP\tO' -p11243 -aS'apparently\tapparently\tRB\tB-ADVP\tO' -p11244 -aS'happened\thappen\tVBD\tB-VP\tO' -p11245 -aS'during\tduring\tIN\tB-PP\tO' -p11246 -aS'her\ther\tPRP$\tB-NP\tO' -p11247 -aS'prior\tprior\tJJ\tI-NP\tO' -p11248 -aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' -p11249 -aS'.\t.\t.\tO\tO' -p11250 -asS'Amiodarone boluses were given and the patient was started on 400 three times a day of p.o. amiodarone , aggressive pulmonary toilet and continued diuresis was done , however , the patient continued to have respiratory difficulties when in rapid atrial fibrillation .' -p11251 -(lp11252 -S'Amiodarone\tAmiodarone\tNN\tB-NP\tO' -p11253 -aS'boluses\tbolus\tNNS\tI-NP\tO' -p11254 -aS'were\tbe\tVBD\tB-VP\tO' -p11255 -aS'given\tgive\tVBN\tI-VP\tO' -p11256 -aS'and\tand\tCC\tO\tO' -p11257 -aS'the\tthe\tDT\tB-NP\tO' -p11258 -aS'patient\tpatient\tNN\tI-NP\tO' -p11259 -aS'was\tbe\tVBD\tB-VP\tO' -p11260 -aS'started\tstart\tVBN\tI-VP\tO' -p11261 -aS'on\ton\tIN\tB-PP\tO' -p11262 -aS'400\t400\tCD\tB-NP\tO' -p11263 -aS'three\tthree\tCD\tI-NP\tO' -p11264 -aS'times\ttime\tNNS\tI-NP\tO' -p11265 -aS'a\ta\tDT\tB-NP\tO' -p11266 -aS'day\tday\tNN\tI-NP\tO' -p11267 -aS'of\tof\tIN\tB-PP\tO' -p11268 -aS'p.o.\tp.o.\tFW\tB-NP\tO' -p11269 -aS'amiodarone\tamiodarone\tNN\tI-NP\tO' -p11270 -aS',\t,\t,\tO\tO' -p11271 -aS'aggressive\taggressive\tJJ\tB-NP\tO' -p11272 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p11273 -aS'toilet\ttoilet\tNN\tI-NP\tO' -p11274 -aS'and\tand\tCC\tO\tO' -p11275 -aS'continued\tcontinued\tJJ\tB-NP\tO' -p11276 -aS'diuresis\tdiuresis\tNN\tI-NP\tO' -p11277 -aS'was\tbe\tVBD\tB-VP\tO' -p11278 -aS'done\tdo\tVBN\tI-VP\tO' -p11279 -aS',\t,\t,\tO\tO' -p11280 -aS'however\thowever\tRB\tB-ADVP\tO' -p11281 -aS',\t,\t,\tO\tO' -p11282 -aS'the\tthe\tDT\tB-NP\tO' -p11283 -aS'patient\tpatient\tNN\tI-NP\tO' -p11284 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p11285 -aS'to\tto\tTO\tI-VP\tO' -p11286 -aS'have\thave\tVB\tI-VP\tO' -p11287 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p11288 -aS'difficulties\tdifficulty\tNNS\tI-NP\tO' -p11289 -aS'when\twhen\tWRB\tB-ADVP\tO' -p11290 -aS'in\tin\tIN\tB-PP\tO' -p11291 -aS'rapid\trapid\tJJ\tB-NP\tO' -p11292 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p11293 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p11294 -aS'.\t.\t.\tO\tO' -p11295 -asS'Regular , rate , and rhythm , no murmur .' -p11296 -(lp11297 -S'Regular\tRegular\tJJ\tB-NP\tO' -p11298 -aS',\t,\t,\tI-NP\tO' -p11299 -aS'rate\trate\tNN\tI-NP\tO' -p11300 -aS',\t,\t,\tO\tO' -p11301 -aS'and\tand\tCC\tO\tO' -p11302 -aS'rhythm\trhythm\tNN\tB-NP\tO' -p11303 -aS',\t,\t,\tO\tO' -p11304 -aS'no\tno\tDT\tB-NP\tO' -p11305 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p11306 -aS'.\t.\t.\tO\tO' -p11307 -asS'7. ID .' -p11308 -(lp11309 -S'7.\t7.\tCD\tB-NP\tO' -p11310 -aS'ID\tID\tNN\tI-NP\tO' -p11311 -aS'.\t.\t.\tO\tO' -p11312 -asS'A small right occipital lobe chronic infarction is also evident .' -p11313 -(lp11314 -S'A\tA\tDT\tB-NP\tO' -p11315 -aS'small\tsmall\tJJ\tI-NP\tO' -p11316 -aS'right\tright\tJJ\tI-NP\tO' -p11317 -aS'occipital\toccipital\tNN\tI-NP\tO' -p11318 -aS'lobe\tlobe\tNN\tI-NP\tO' -p11319 -aS'chronic\tchronic\tJJ\tI-NP\tO' -p11320 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p11321 -aS'is\tbe\tVBZ\tB-VP\tO' -p11322 -aS'also\talso\tRB\tB-ADVP\tO' -p11323 -aS'evident\tevident\tJJ\tB-ADJP\tO' -p11324 -aS'.\t.\t.\tO\tO' -p11325 -asS'7. Anemia of prematurity .' -p11326 -(lp11327 -S'7.\t7.\tLS\tB-NP\tO' -p11328 -aS'Anemia\tAnemia\tNN\tI-NP\tO' -p11329 -aS'of\tof\tIN\tB-PP\tO' -p11330 -aS'prematurity\tprematurity\tNN\tB-NP\tO' -p11331 -aS'.\t.\t.\tO\tO' -p11332 -asS'He is being discharged to rehabilitation to follow up for XRT given the fact that his pathology revealed squamous cell cancer extending deep to the margin as well as positive level II nodes .' -p11333 -(lp11334 -S'He\tHe\tPRP\tB-NP\tO' -p11335 -aS'is\tbe\tVBZ\tB-VP\tO' -p11336 -aS'being\tbe\tVBG\tI-VP\tO' -p11337 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p11338 -aS'to\tto\tTO\tB-PP\tO' -p11339 -aS'rehabilitation\trehabilitation\tNN\tB-NP\tO' -p11340 -aS'to\tto\tTO\tB-VP\tO' -p11341 -aS'follow\tfollow\tVB\tI-VP\tO' -p11342 -aS'up\tup\tRP\tB-PRT\tO' -p11343 -aS'for\tfor\tIN\tB-PP\tO' -p11344 -aS'XRT\tXRT\tNN\tB-NP\tB-protein' -p11345 -aS'given\tgive\tVBN\tB-VP\tO' -p11346 -aS'the\tthe\tDT\tB-NP\tO' -p11347 -aS'fact\tfact\tNN\tI-NP\tO' -p11348 -aS'that\tthat\tIN\tB-SBAR\tO' -p11349 -aS'his\this\tPRP$\tB-NP\tO' -p11350 -aS'pathology\tpathology\tNN\tI-NP\tO' -p11351 -aS'revealed\treveal\tVBD\tB-VP\tO' -p11352 -aS'squamous\tsquamous\tJJ\tB-NP\tO' -p11353 -aS'cell\tcell\tNN\tI-NP\tO' -p11354 -aS'cancer\tcancer\tNN\tI-NP\tO' -p11355 -aS'extending\textend\tVBG\tB-VP\tO' -p11356 -aS'deep\tdeep\tJJ\tB-ADJP\tO' -p11357 -aS'to\tto\tTO\tB-PP\tO' -p11358 -aS'the\tthe\tDT\tB-NP\tO' -p11359 -aS'margin\tmargin\tNN\tI-NP\tO' -p11360 -aS'as\tas\tRB\tB-CONJP\tO' -p11361 -aS'well\twell\tRB\tI-CONJP\tO' -p11362 -aS'as\tas\tIN\tI-CONJP\tO' -p11363 -aS'positive\tpositive\tJJ\tB-NP\tO' -p11364 -aS'level\tlevel\tNN\tI-NP\tO' -p11365 -aS'II\tII\tCD\tB-NP\tO' -p11366 -aS'nodes\tnode\tNNS\tI-NP\tO' -p11367 -aS'.\t.\t.\tO\tO' -p11368 -asS'5. Colace .' -p11369 -(lp11370 -S'5.\t5.\tLS\tB-LST\tO' -p11371 -aS'Colace\tColace\tNNP\tB-NP\tO' -p11372 -aS'.\t.\t.\tO\tO' -p11373 -asS'Found to be in DIC and supported with daily blood products .' -p11374 -(lp11375 -S'Found\tFound\tNN\tB-NP\tO' -p11376 -aS'to\tto\tTO\tB-VP\tO' -p11377 -aS'be\tbe\tVB\tI-VP\tO' -p11378 -aS'in\tin\tIN\tB-PP\tO' -p11379 -aS'DIC\tDIC\tNN\tB-NP\tO' -p11380 -aS'and\tand\tCC\tO\tO' -p11381 -aS'supported\tsupport\tVBN\tB-VP\tO' -p11382 -aS'with\twith\tIN\tB-PP\tO' -p11383 -aS'daily\tdaily\tJJ\tB-NP\tO' -p11384 -aS'blood\tblood\tNN\tI-NP\tO' -p11385 -aS'products\tproduct\tNNS\tI-NP\tO' -p11386 -aS'.\t.\t.\tO\tO' -p11387 -asS'Trimethoprim/Sulfa sensitivity testing available on request .' -p11388 -(lp11389 -S'Trimethoprim/Sulfa\tTrimethoprim/Sulfa\tNN\tB-NP\tO' -p11390 -aS'sensitivity\tsensitivity\tNN\tI-NP\tO' -p11391 -aS'testing\ttesting\tNN\tI-NP\tO' -p11392 -aS'available\tavailable\tJJ\tB-ADJP\tO' -p11393 -aS'on\ton\tIN\tB-PP\tO' -p11394 -aS'request\trequest\tNN\tB-NP\tO' -p11395 -aS'.\t.\t.\tO\tO' -p11396 -asS'On initial exam , her left shoulder was tender to palpation over the proximal humerus with decreased range of motion .' -p11397 -(lp11398 -S'On\tOn\tIN\tB-PP\tO' -p11399 -aS'initial\tinitial\tJJ\tB-NP\tO' -p11400 -aS'exam\texam\tNN\tI-NP\tO' -p11401 -aS',\t,\t,\tO\tO' -p11402 -aS'her\ther\tPRP$\tB-NP\tO' -p11403 -aS'left\tleft\tJJ\tI-NP\tO' -p11404 -aS'shoulder\tshoulder\tNN\tI-NP\tO' -p11405 -aS'was\tbe\tVBD\tB-VP\tO' -p11406 -aS'tender\ttender\tNN\tB-NP\tO' -p11407 -aS'to\tto\tTO\tB-PP\tO' -p11408 -aS'palpation\tpalpation\tNN\tB-NP\tO' -p11409 -aS'over\tover\tIN\tB-PP\tO' -p11410 -aS'the\tthe\tDT\tB-NP\tO' -p11411 -aS'proximal\tproximal\tJJ\tI-NP\tO' -p11412 -aS'humerus\thumerus\tNN\tI-NP\tO' -p11413 -aS'with\twith\tIN\tB-PP\tO' -p11414 -aS'decreased\tdecrease\tVBN\tB-NP\tO' -p11415 -aS'range\trange\tNN\tI-NP\tO' -p11416 -aS'of\tof\tIN\tB-PP\tO' -p11417 -aS'motion\tmotion\tNN\tB-NP\tO' -p11418 -aS'.\t.\t.\tO\tO' -p11419 -asS'He describes a negative PPD one year prior to admission when he was in prison for one week .' -p11420 -(lp11421 -S'He\tHe\tPRP\tB-NP\tO' -p11422 -aS'describes\tdescribe\tVBZ\tB-VP\tO' -p11423 -aS'a\ta\tDT\tB-NP\tO' -p11424 -aS'negative\tnegative\tJJ\tI-NP\tO' -p11425 -aS'PPD\tPPD\tNN\tI-NP\tO' -p11426 -aS'one\tone\tCD\tB-NP\tO' -p11427 -aS'year\tyear\tNN\tI-NP\tO' -p11428 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p11429 -aS'to\tto\tTO\tB-PP\tO' -p11430 -aS'admission\tadmission\tNN\tB-NP\tO' -p11431 -aS'when\twhen\tWRB\tB-ADVP\tO' -p11432 -aS'he\the\tPRP\tB-NP\tO' -p11433 -aS'was\tbe\tVBD\tB-VP\tO' -p11434 -aS'in\tin\tIN\tB-PP\tO' -p11435 -aS'prison\tprison\tNN\tB-NP\tO' -p11436 -aS'for\tfor\tIN\tB-PP\tO' -p11437 -aS'one\tone\tCD\tB-NP\tO' -p11438 -aS'week\tweek\tNN\tI-NP\tO' -p11439 -aS'.\t.\t.\tO\tO' -p11440 -asS'Her Jackson-Pratt drain was removed on June 30 , 1994 , postoperative day four .' -p11441 -(lp11442 -S'Her\tHer\tPRP$\tB-NP\tO' -p11443 -aS'Jackson-Pratt\tJackson-Pratt\tJJ\tI-NP\tO' -p11444 -aS'drain\tdrain\tNN\tI-NP\tO' -p11445 -aS'was\tbe\tVBD\tB-VP\tO' -p11446 -aS'removed\tremove\tVBN\tI-VP\tO' -p11447 -aS'on\ton\tIN\tB-PP\tO' -p11448 -aS'June\tJune\tNNP\tB-NP\tO' -p11449 -aS'30\t30\tCD\tI-NP\tO' -p11450 -aS',\t,\t,\tI-NP\tO' -p11451 -aS'1994\t1994\tCD\tI-NP\tO' -p11452 -aS',\t,\t,\tO\tO' -p11453 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p11454 -aS'day\tday\tNN\tI-NP\tO' -p11455 -aS'four\tfour\tCD\tB-NP\tO' -p11456 -aS'.\t.\t.\tO\tO' -p11457 -asS'She also c/o LLQ and groin pain which responded to tylenol .' -p11458 -(lp11459 -S'She\tShe\tPRP\tB-NP\tO' -p11460 -aS'also\talso\tRB\tB-ADVP\tO' -p11461 -aS'c/o\tc/o\tVBP\tB-VP\tO' -p11462 -aS'LLQ\tLLQ\tNN\tB-NP\tB-protein' -p11463 -aS'and\tand\tCC\tI-NP\tO' -p11464 -aS'groin\tgroin\tNN\tI-NP\tO' -p11465 -aS'pain\tpain\tNN\tI-NP\tO' -p11466 -aS'which\twhich\tWDT\tB-NP\tO' -p11467 -aS'responded\trespond\tVBD\tB-VP\tO' -p11468 -aS'to\tto\tTO\tB-PP\tO' -p11469 -aS'tylenol\ttylenol\tNN\tB-NP\tO' -p11470 -aS'.\t.\t.\tO\tO' -p11471 -asS'On 2010-06-07 , the patient underwent a mechanical aortic valve replacement with a 23 mm Carbomedics mechanical valve and a Supra coronary aortic graft with gelweave 28 mm .' -p11472 -(lp11473 -S'On\tOn\tIN\tB-PP\tO' -p11474 -aS'2010-06-07\t2010-06-07\tCD\tB-NP\tO' -p11475 -aS',\t,\t,\tO\tO' -p11476 -aS'the\tthe\tDT\tB-NP\tO' -p11477 -aS'patient\tpatient\tNN\tI-NP\tO' -p11478 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p11479 -aS'a\ta\tDT\tB-NP\tO' -p11480 -aS'mechanical\tmechanical\tJJ\tI-NP\tO' -p11481 -aS'aortic\taortic\tJJ\tI-NP\tO' -p11482 -aS'valve\tvalve\tNN\tI-NP\tO' -p11483 -aS'replacement\treplacement\tNN\tI-NP\tO' -p11484 -aS'with\twith\tIN\tB-PP\tO' -p11485 -aS'a\ta\tDT\tB-NP\tO' -p11486 -aS'23\t23\tCD\tI-NP\tO' -p11487 -aS'mm\tmm\tNN\tI-NP\tO' -p11488 -aS'Carbomedics\tCarbomedics\tNNP\tI-NP\tO' -p11489 -aS'mechanical\tmechanical\tJJ\tI-NP\tO' -p11490 -aS'valve\tvalve\tNN\tI-NP\tO' -p11491 -aS'and\tand\tCC\tO\tO' -p11492 -aS'a\ta\tDT\tB-NP\tO' -p11493 -aS'Supra\tSupra\tNNP\tI-NP\tO' -p11494 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p11495 -aS'aortic\taortic\tJJ\tI-NP\tO' -p11496 -aS'graft\tgraft\tNN\tI-NP\tO' -p11497 -aS'with\twith\tIN\tB-PP\tO' -p11498 -aS'gelweave\tgelweave\tNN\tB-NP\tO' -p11499 -aS'28\t28\tCD\tI-NP\tO' -p11500 -aS'mm\tmm\tNN\tI-NP\tO' -p11501 -aS'.\t.\t.\tO\tO' -p11502 -asS'The pt was made comfortable and she expired several hours later .' -p11503 -(lp11504 -S'The\tThe\tDT\tB-NP\tO' -p11505 -aS'pt\tpt\tNN\tI-NP\tO' -p11506 -aS'was\tbe\tVBD\tB-VP\tO' -p11507 -aS'made\tmake\tVBN\tI-VP\tO' -p11508 -aS'comfortable\tcomfortable\tJJ\tB-ADJP\tO' -p11509 -aS'and\tand\tCC\tO\tO' -p11510 -aS'she\tshe\tPRP\tB-NP\tO' -p11511 -aS'expired\texpire\tVBD\tB-VP\tO' -p11512 -aS'several\tseveral\tJJ\tB-NP\tO' -p11513 -aS'hours\thour\tNNS\tI-NP\tO' -p11514 -aS'later\tlater\tRB\tB-ADVP\tO' -p11515 -aS'.\t.\t.\tO\tO' -p11516 -asS'In June 1993 , the patient had a parathyroidectomy and also of note , in September 1992 , the patient had an exploratory laparotomy for pain and chronic pancreatitis .' -p11517 -(lp11518 -S'In\tIn\tIN\tB-PP\tO' -p11519 -aS'June\tJune\tNNP\tB-NP\tO' -p11520 -aS'1993\t1993\tCD\tI-NP\tO' -p11521 -aS',\t,\t,\tO\tO' -p11522 -aS'the\tthe\tDT\tB-NP\tO' -p11523 -aS'patient\tpatient\tNN\tI-NP\tO' -p11524 -aS'had\thave\tVBD\tB-VP\tO' -p11525 -aS'a\ta\tDT\tB-NP\tO' -p11526 -aS'parathyroidectomy\tparathyroidectomy\tNN\tI-NP\tO' -p11527 -aS'and\tand\tCC\tO\tO' -p11528 -aS'also\talso\tRB\tB-ADVP\tO' -p11529 -aS'of\tof\tIN\tB-PP\tO' -p11530 -aS'note\tnote\tNN\tB-NP\tO' -p11531 -aS',\t,\t,\tO\tO' -p11532 -aS'in\tin\tIN\tB-PP\tO' -p11533 -aS'September\tSeptember\tNNP\tB-NP\tO' -p11534 -aS'1992\t1992\tCD\tI-NP\tO' -p11535 -aS',\t,\t,\tO\tO' -p11536 -aS'the\tthe\tDT\tB-NP\tO' -p11537 -aS'patient\tpatient\tNN\tI-NP\tO' -p11538 -aS'had\thave\tVBD\tB-VP\tO' -p11539 -aS'an\tan\tDT\tB-NP\tO' -p11540 -aS'exploratory\texploratory\tJJ\tI-NP\tO' -p11541 -aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' -p11542 -aS'for\tfor\tIN\tB-PP\tO' -p11543 -aS'pain\tpain\tNN\tB-NP\tO' -p11544 -aS'and\tand\tCC\tO\tO' -p11545 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p11546 -aS'pancreatitis\tpancreatitis\tNN\tI-NP\tO' -p11547 -aS'.\t.\t.\tO\tO' -p11548 -asS'Dictated By : Michael X. Fisher , M.D.' -p11549 -(lp11550 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p11551 -aS'By\tBy\tIN\tB-PP\tO' -p11552 -aS':\t:\t:\tO\tO' -p11553 -aS'Michael\tMichael\tNNP\tB-NP\tO' -p11554 -aS'X.\tX.\tNNP\tI-NP\tO' -p11555 -aS'Fisher\tFisher\tNNP\tI-NP\tO' -p11556 -aS',\t,\t,\tO\tO' -p11557 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p11558 -asS'These have all been negative .' -p11559 -(lp11560 -S'These\tThese\tDT\tB-NP\tO' -p11561 -aS'have\thave\tVBP\tB-VP\tO' -p11562 -aS'all\tall\tDT\tO\tO' -p11563 -aS'been\tbe\tVBN\tB-VP\tO' -p11564 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p11565 -aS'.\t.\t.\tO\tO' -p11566 -asS'Triamcinolone , one tablet PO b.i.d. , dosage unknown , Xanax one tablet PO t.i.d. , prn anxiety , dosage unknown , MS Contin prn .' -p11567 -(lp11568 -S'Triamcinolone\tTriamcinolone\tNN\tB-NP\tO' -p11569 -aS',\t,\t,\tO\tO' -p11570 -aS'one\tone\tCD\tB-NP\tO' -p11571 -aS'tablet\ttablet\tNN\tI-NP\tO' -p11572 -aS'PO\tPO\tNN\tI-NP\tO' -p11573 -aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' -p11574 -aS',\t,\t,\tO\tO' -p11575 -aS'dosage\tdosage\tNN\tB-NP\tO' -p11576 -aS'unknown\tunknown\tJJ\tB-ADJP\tO' -p11577 -aS',\t,\t,\tO\tO' -p11578 -aS'Xanax\tXanax\tNN\tB-NP\tB-protein' -p11579 -aS'one\tone\tCD\tI-NP\tI-protein' -p11580 -aS'tablet\ttablet\tNN\tI-NP\tI-protein' -p11581 -aS'PO\tPO\tNN\tI-NP\tI-protein' -p11582 -aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' -p11583 -aS',\t,\t,\tO\tO' -p11584 -aS'prn\tprn\tNN\tB-NP\tO' -p11585 -aS'anxiety\tanxiety\tNN\tI-NP\tO' -p11586 -aS',\t,\t,\tO\tO' -p11587 -aS'dosage\tdosage\tNN\tB-NP\tO' -p11588 -aS'unknown\tunknown\tJJ\tI-NP\tO' -p11589 -aS',\t,\t,\tO\tO' -p11590 -aS'MS\tMS\tNNP\tB-NP\tO' -p11591 -aS'Contin\tContin\tNNP\tI-NP\tO' -p11592 -aS'prn\tprn\tNN\tI-NP\tO' -p11593 -aS'.\t.\t.\tO\tO' -p11594 -asS'At Springfield , CT chest was positive for saddle PE .' -p11595 -(lp11596 -S'At\tAt\tIN\tB-PP\tO' -p11597 -aS'Springfield\tSpringfield\tNNP\tB-NP\tO' -p11598 -aS',\t,\t,\tO\tO' -p11599 -aS'CT\tCT\tNN\tB-NP\tO' -p11600 -aS'chest\tchest\tNN\tI-NP\tO' -p11601 -aS'was\tbe\tVBD\tB-VP\tO' -p11602 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p11603 -aS'for\tfor\tIN\tB-PP\tO' -p11604 -aS'saddle\tsaddle\tJJ\tB-NP\tO' -p11605 -aS'PE\tPE\tNN\tI-NP\tO' -p11606 -aS'.\t.\t.\tO\tO' -p11607 -asS'Sinus bradycardia with markedly prolonged P-R interval and Wenckebach type' -p11608 -(lp11609 -S'Sinus\tSinus\tNN\tB-NP\tO' -p11610 -aS'bradycardia\tbradycardia\tNN\tI-NP\tO' -p11611 -aS'with\twith\tIN\tB-PP\tO' -p11612 -aS'markedly\tmarkedly\tRB\tB-NP\tO' -p11613 -aS'prolonged\tprolong\tVBN\tI-NP\tO' -p11614 -aS'P-R\tP-R\tNN\tI-NP\tB-protein' -p11615 -aS'interval\tinterval\tNN\tI-NP\tO' -p11616 -aS'and\tand\tCC\tO\tO' -p11617 -aS'Wenckebach\tWenckebach\tNN\tB-NP\tO' -p11618 -aS'type\ttype\tNN\tI-NP\tO' -p11619 -asS'TIA lung nodule ( followed by Dr. Belt ) s/p fissurectomy/skull Fx' -p11620 -(lp11621 -S'TIA\tTIA\tNN\tB-NP\tO' -p11622 -aS'lung\tlung\tNN\tI-NP\tO' -p11623 -aS'nodule\tnodule\tNN\tI-NP\tO' -p11624 -aS'(\t(\t(\tO\tO' -p11625 -aS'followed\tfollow\tVBN\tB-VP\tO' -p11626 -aS'by\tby\tIN\tB-PP\tO' -p11627 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p11628 -aS'Belt\tBelt\tNNP\tI-NP\tO' -p11629 -aS')\t)\t)\tO\tO' -p11630 -aS's/p\ts/p\tNN\tB-NP\tO' -p11631 -aS'fissurectomy/skull\tfissurectomy/skull\tNN\tI-NP\tO' -p11632 -aS'Fx\tFx\tNNP\tB-NP\tO' -p11633 -asS'5) PLASMACYTOMA .' -p11634 -(lp11635 -S'5)\t5)\tLS\tB-NP\tO' -p11636 -aS'PLASMACYTOMA\tPLASMACYTOMA\tNN\tI-NP\tB-cell_line' -p11637 -aS'.\t.\t.\tO\tO' -p11638 -asS'On admision , T 97.5 , HR 86 , BP 111/47 , R 20 .' -p11639 -(lp11640 -S'On\tOn\tIN\tB-PP\tO' -p11641 -aS'admision\tadmision\tNN\tB-NP\tO' -p11642 -aS',\t,\t,\tO\tO' -p11643 -aS'T\tT\tNN\tB-NP\tB-cell_line' -p11644 -aS'97.5\t97.5\tCD\tI-NP\tI-cell_line' -p11645 -aS',\t,\t,\tO\tO' -p11646 -aS'HR\tHR\tNN\tB-NP\tB-protein' -p11647 -aS'86\t86\tCD\tI-NP\tI-protein' -p11648 -aS',\t,\t,\tO\tO' -p11649 -aS'BP\tBP\tNN\tB-NP\tB-DNA' -p11650 -aS'111/47\t111/47\tCD\tI-NP\tI-DNA' -p11651 -aS',\t,\t,\tO\tO' -p11652 -aS'R\tR\tNN\tB-NP\tB-protein' -p11653 -aS'20\t20\tCD\tI-NP\tI-protein' -p11654 -aS'.\t.\t.\tO\tO' -p11655 -asS'She is without bruits or JVD .' -p11656 -(lp11657 -S'She\tShe\tPRP\tB-NP\tO' -p11658 -aS'is\tbe\tVBZ\tB-VP\tO' -p11659 -aS'without\twithout\tIN\tB-PP\tO' -p11660 -aS'bruits\tbruit\tNNS\tB-NP\tO' -p11661 -aS'or\tor\tCC\tI-NP\tO' -p11662 -aS'JVD\tJVD\tNN\tI-NP\tB-protein' -p11663 -aS'.\t.\t.\tO\tO' -p11664 -asS'Please see cathed report for full details .' -p11665 -(lp11666 -S'Please\tPlease\tVB\tB-VP\tO' -p11667 -aS'see\tsee\tVB\tI-VP\tO' -p11668 -aS'cathed\tcathe\tVBN\tB-NP\tO' -p11669 -aS'report\treport\tNN\tI-NP\tO' -p11670 -aS'for\tfor\tIN\tB-PP\tO' -p11671 -aS'full\tfull\tJJ\tB-NP\tO' -p11672 -aS'details\tdetail\tNNS\tI-NP\tO' -p11673 -aS'.\t.\t.\tO\tO' -p11674 -asS'Her bicarbonate peaked at 39 and generally is in the 36-38 range .' -p11675 -(lp11676 -S'Her\tHer\tPRP$\tB-NP\tO' -p11677 -aS'bicarbonate\tbicarbonate\tNN\tI-NP\tO' -p11678 -aS'peaked\tpeak\tVBD\tB-VP\tO' -p11679 -aS'at\tat\tIN\tB-PP\tO' -p11680 -aS'39\t39\tCD\tB-NP\tO' -p11681 -aS'and\tand\tCC\tO\tO' -p11682 -aS'generally\tgenerally\tRB\tB-VP\tO' -p11683 -aS'is\tbe\tVBZ\tI-VP\tO' -p11684 -aS'in\tin\tIN\tB-PP\tO' -p11685 -aS'the\tthe\tDT\tB-NP\tO' -p11686 -aS'36-38\t36-38\tCD\tI-NP\tO' -p11687 -aS'range\trange\tNN\tI-NP\tO' -p11688 -aS'.\t.\t.\tO\tO' -p11689 -asS'Weight was 122.5 .' -p11690 -(lp11691 -S'Weight\tWeight\tNNP\tB-NP\tO' -p11692 -aS'was\tbe\tVBD\tB-VP\tO' -p11693 -aS'122.5\t122.5\tCD\tB-NP\tO' -p11694 -aS'.\t.\t.\tO\tO' -p11695 -asS'61 yo African-American-Hispanic male had abnormal EKG found as part of pre-op eval. for ventral hernia repair .' -p11696 -(lp11697 -S'61\t61\tCD\tB-NP\tO' -p11698 -aS'yo\tyo\tNN\tI-NP\tO' -p11699 -aS'African-American-Hispanic\tAfrican-American-Hispanic\tJJ\tI-NP\tO' -p11700 -aS'male\tmale\tNN\tI-NP\tO' -p11701 -aS'had\thave\tVBD\tB-VP\tO' -p11702 -aS'abnormal\tabnormal\tJJ\tB-NP\tO' -p11703 -aS'EKG\tEKG\tNN\tI-NP\tO' -p11704 -aS'found\tfind\tVBN\tB-VP\tO' -p11705 -aS'as\tas\tIN\tB-PP\tO' -p11706 -aS'part\tpart\tNN\tB-NP\tO' -p11707 -aS'of\tof\tIN\tB-PP\tO' -p11708 -aS'pre-op\tpre-op\tJJ\tB-NP\tO' -p11709 -aS'eval.\teval.\tNN\tI-NP\tO' -p11710 -aS'for\tfor\tIN\tB-PP\tO' -p11711 -aS'ventral\tventral\tJJ\tB-NP\tO' -p11712 -aS'hernia\thernia\tNN\tI-NP\tO' -p11713 -aS'repair\trepair\tNN\tI-NP\tO' -p11714 -aS'.\t.\t.\tO\tO' -p11715 -asS'Pericardial fluid analysis was consistent with an exudative etiology .' -p11716 -(lp11717 -S'Pericardial\tPericardial\tJJ\tB-NP\tO' -p11718 -aS'fluid\tfluid\tNN\tI-NP\tO' -p11719 -aS'analysis\tanalysis\tNN\tI-NP\tO' -p11720 -aS'was\tbe\tVBD\tB-VP\tO' -p11721 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p11722 -aS'with\twith\tIN\tB-PP\tO' -p11723 -aS'an\tan\tDT\tB-NP\tO' -p11724 -aS'exudative\texudative\tJJ\tI-NP\tO' -p11725 -aS'etiology\tetiology\tNN\tI-NP\tO' -p11726 -aS'.\t.\t.\tO\tO' -p11727 -asS'She has had chronic atrial fibrillation .' -p11728 -(lp11729 -S'She\tShe\tPRP\tB-NP\tO' -p11730 -aS'has\thave\tVBZ\tB-VP\tO' -p11731 -aS'had\thave\tVBN\tI-VP\tO' -p11732 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p11733 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p11734 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p11735 -aS'.\t.\t.\tO\tO' -p11736 -asS'5. Toprol XL .' -p11737 -(lp11738 -S'5.\t5.\tLS\tB-NP\tO' -p11739 -aS'Toprol\tToprol\tNN\tI-NP\tB-protein' -p11740 -aS'XL\tXL\tNN\tI-NP\tI-protein' -p11741 -aS'.\t.\t.\tO\tO' -p11742 -asS'Genitourinary normal female genitalia .' -p11743 -(lp11744 -S'Genitourinary\tGenitourinary\tJJ\tB-NP\tO' -p11745 -aS'normal\tnormal\tJJ\tI-NP\tO' -p11746 -aS'female\tfemale\tJJ\tI-NP\tO' -p11747 -aS'genitalia\tgenitalia\tNNS\tI-NP\tO' -p11748 -aS'.\t.\t.\tO\tO' -p11749 -asS'The patient subsequently underwent a cardiac catheterization on 2010-06-01 , which demonstrated no hemodynamically significant coronary artery disease , but critical aortic stenosis consistent with his echocardiogram study results .' -p11750 -(lp11751 -S'The\tThe\tDT\tB-NP\tO' -p11752 -aS'patient\tpatient\tNN\tI-NP\tO' -p11753 -aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' -p11754 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p11755 -aS'a\ta\tDT\tB-NP\tO' -p11756 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p11757 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p11758 -aS'on\ton\tIN\tB-PP\tO' -p11759 -aS'2010-06-01\t2010-06-01\tCD\tB-NP\tO' -p11760 -aS',\t,\t,\tO\tO' -p11761 -aS'which\twhich\tWDT\tB-NP\tO' -p11762 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p11763 -aS'no\tno\tDT\tB-NP\tO' -p11764 -aS'hemodynamically\themodynamically\tRB\tI-NP\tO' -p11765 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p11766 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p11767 -aS'artery\tartery\tNN\tI-NP\tO' -p11768 -aS'disease\tdisease\tNN\tI-NP\tO' -p11769 -aS',\t,\t,\tO\tO' -p11770 -aS'but\tbut\tCC\tO\tO' -p11771 -aS'critical\tcritical\tJJ\tB-NP\tO' -p11772 -aS'aortic\taortic\tJJ\tI-NP\tO' -p11773 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p11774 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p11775 -aS'with\twith\tIN\tB-PP\tO' -p11776 -aS'his\this\tPRP$\tB-NP\tO' -p11777 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p11778 -aS'study\tstudy\tNN\tI-NP\tO' -p11779 -aS'results\tresult\tNNS\tI-NP\tO' -p11780 -aS'.\t.\t.\tO\tO' -p11781 -asS'Abdominal series showed non-specific dilatation of the large bowel with no evidence of ileus .' -p11782 -(lp11783 -S'Abdominal\tAbdominal\tJJ\tB-NP\tO' -p11784 -aS'series\tseries\tNN\tI-NP\tO' -p11785 -aS'showed\tshow\tVBD\tB-VP\tO' -p11786 -aS'non-specific\tnon-specific\tJJ\tB-NP\tO' -p11787 -aS'dilatation\tdilatation\tNN\tI-NP\tO' -p11788 -aS'of\tof\tIN\tB-PP\tO' -p11789 -aS'the\tthe\tDT\tB-NP\tO' -p11790 -aS'large\tlarge\tJJ\tI-NP\tO' -p11791 -aS'bowel\tbowel\tNN\tI-NP\tO' -p11792 -aS'with\twith\tIN\tB-PP\tO' -p11793 -aS'no\tno\tDT\tB-NP\tO' -p11794 -aS'evidence\tevidence\tNN\tI-NP\tO' -p11795 -aS'of\tof\tIN\tB-PP\tO' -p11796 -aS'ileus\tileus\tNN\tB-NP\tO' -p11797 -aS'.\t.\t.\tO\tO' -p11798 -asS'There was no evidence of effusion .' -p11799 -(lp11800 -S'There\tThere\tEX\tB-NP\tO' -p11801 -aS'was\tbe\tVBD\tB-VP\tO' -p11802 -aS'no\tno\tDT\tB-NP\tO' -p11803 -aS'evidence\tevidence\tNN\tI-NP\tO' -p11804 -aS'of\tof\tIN\tB-PP\tO' -p11805 -aS'effusion\teffusion\tNN\tB-NP\tO' -p11806 -aS'.\t.\t.\tO\tO' -p11807 -asS'The rectum is unremarkable .' -p11808 -(lp11809 -S'The\tThe\tDT\tB-NP\tO' -p11810 -aS'rectum\trectum\tNN\tI-NP\tO' -p11811 -aS'is\tbe\tVBZ\tB-VP\tO' -p11812 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p11813 -aS'.\t.\t.\tO\tO' -p11814 -asS'Skin : well-healed surgical scars on lower back' -p11815 -(lp11816 -S'Skin\tSkin\tNN\tB-NP\tO' -p11817 -aS':\t:\t:\tO\tO' -p11818 -aS'well-healed\twell-healed\tJJ\tB-NP\tO' -p11819 -aS'surgical\tsurgical\tJJ\tI-NP\tO' -p11820 -aS'scars\tscar\tNNS\tI-NP\tO' -p11821 -aS'on\ton\tIN\tB-PP\tO' -p11822 -aS'lower\tlow\tJJR\tB-NP\tO' -p11823 -aS'back\tback\tRB\tB-ADVP\tO' -p11824 -asS'Patient should follow up with at plastic surgery clinic in 2 weeks .' -p11825 -(lp11826 -S'Patient\tPatient\tNN\tB-NP\tO' -p11827 -aS'should\tshould\tMD\tB-VP\tO' -p11828 -aS'follow\tfollow\tVB\tI-VP\tO' -p11829 -aS'up\tup\tRP\tB-PRT\tO' -p11830 -aS'with\twith\tIN\tB-PP\tO' -p11831 -aS'at\tat\tIN\tB-PP\tO' -p11832 -aS'plastic\tplastic\tNN\tB-NP\tO' -p11833 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p11834 -aS'clinic\tclinic\tNN\tI-NP\tO' -p11835 -aS'in\tin\tIN\tB-PP\tO' -p11836 -aS'2\t2\tCD\tB-NP\tO' -p11837 -aS'weeks\tweek\tNNS\tI-NP\tO' -p11838 -aS'.\t.\t.\tO\tO' -p11839 -asS'4. Prednisone 5 mg Tablet Sig : Three ( 3 ) Tablet PO DAILY ( Daily ) .' -p11840 -(lp11841 -S'4.\t4.\tLS\tB-NP\tO' -p11842 -aS'Prednisone\tPrednisone\tNN\tI-NP\tO' -p11843 -aS'5\t5\tCD\tI-NP\tO' -p11844 -aS'mg\tmg\tNN\tI-NP\tO' -p11845 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p11846 -aS'Sig\tSig\tNNP\tI-NP\tO' -p11847 -aS':\t:\t:\tO\tO' -p11848 -aS'Three\tThree\tCD\tB-NP\tO' -p11849 -aS'(\t(\t(\tO\tO' -p11850 -aS'3\t3\tCD\tB-NP\tO' -p11851 -aS')\t)\t)\tO\tO' -p11852 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p11853 -aS'PO\tPO\tNN\tI-NP\tO' -p11854 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p11855 -aS'(\t(\t(\tO\tO' -p11856 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p11857 -aS')\t)\t)\tO\tO' -p11858 -aS'.\t.\t.\tO\tO' -p11859 -asS'Wound check appointment 4 East as instructed by nurse ( 280-5326 )' -p11860 -(lp11861 -S'Wound\tWound\tJJ\tB-NP\tO' -p11862 -aS'check\tcheck\tNN\tI-NP\tO' -p11863 -aS'appointment\tappointment\tNN\tI-NP\tO' -p11864 -aS'4\t4\tCD\tI-NP\tO' -p11865 -aS'East\tEast\tNN\tI-NP\tO' -p11866 -aS'as\tas\tIN\tB-SBAR\tO' -p11867 -aS'instructed\tinstruct\tVBN\tB-VP\tO' -p11868 -aS'by\tby\tIN\tB-PP\tO' -p11869 -aS'nurse\tnurse\tNN\tB-NP\tO' -p11870 -aS'(\t(\t(\tO\tO' -p11871 -aS'280-5326\t280-5326\tCD\tB-NP\tO' -p11872 -aS')\t)\t)\tO\tO' -p11873 -asS'He was continued on observation and sitters and finally became more docile and cooperative .' -p11874 -(lp11875 -S'He\tHe\tPRP\tB-NP\tO' -p11876 -aS'was\tbe\tVBD\tB-VP\tO' -p11877 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p11878 -aS'on\ton\tIN\tB-PP\tO' -p11879 -aS'observation\tobservation\tNN\tB-NP\tO' -p11880 -aS'and\tand\tCC\tI-NP\tO' -p11881 -aS'sitters\tsitter\tNNS\tI-NP\tO' -p11882 -aS'and\tand\tCC\tO\tO' -p11883 -aS'finally\tfinally\tRB\tB-VP\tO' -p11884 -aS'became\tbecome\tVBD\tI-VP\tO' -p11885 -aS'more\tmore\tJJR\tB-NP\tO' -p11886 -aS'docile\tdocile\tNN\tI-NP\tO' -p11887 -aS'and\tand\tCC\tI-NP\tO' -p11888 -aS'cooperative\tcooperative\tNN\tI-NP\tO' -p11889 -aS'.\t.\t.\tO\tO' -p11890 -asS'She came from Czech Republic 14 years ago .' -p11891 -(lp11892 -S'She\tShe\tPRP\tB-NP\tO' -p11893 -aS'came\tcome\tVBD\tB-VP\tO' -p11894 -aS'from\tfrom\tIN\tB-PP\tO' -p11895 -aS'Czech\tCzech\tNNP\tB-NP\tO' -p11896 -aS'Republic\tRepublic\tNNP\tI-NP\tO' -p11897 -aS'14\t14\tCD\tB-NP\tO' -p11898 -aS'years\tyear\tNNS\tI-NP\tO' -p11899 -aS'ago\tago\tRB\tB-ADVP\tO' -p11900 -aS'.\t.\t.\tO\tO' -p11901 -asS'Abdomen was soft , nontender , nondistended with positive bowel sounds .' -p11902 -(lp11903 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p11904 -aS'was\tbe\tVBD\tB-VP\tO' -p11905 -aS'soft\tsoft\tJJ\tB-NP\tO' -p11906 -aS',\t,\t,\tI-NP\tO' -p11907 -aS'nontender\tnontender\tJJ\tI-NP\tO' -p11908 -aS',\t,\t,\tI-NP\tO' -p11909 -aS'nondistended\tnondistended\tJJ\tI-NP\tO' -p11910 -aS'with\twith\tIN\tB-PP\tO' -p11911 -aS'positive\tpositive\tJJ\tB-NP\tO' -p11912 -aS'bowel\tbowel\tNN\tI-NP\tO' -p11913 -aS'sounds\tsound\tNNS\tI-NP\tO' -p11914 -aS'.\t.\t.\tO\tO' -p11915 -asS'He does become slightly short of breath when lifting furniture .' -p11916 -(lp11917 -S'He\tHe\tPRP\tB-NP\tO' -p11918 -aS'does\tdo\tVBZ\tB-VP\tO' -p11919 -aS'become\tbecome\tVB\tI-VP\tO' -p11920 -aS'slightly\tslightly\tRB\tB-ADJP\tO' -p11921 -aS'short\tshort\tJJ\tI-ADJP\tO' -p11922 -aS'of\tof\tIN\tB-PP\tO' -p11923 -aS'breath\tbreath\tNN\tB-NP\tO' -p11924 -aS'when\twhen\tWRB\tB-ADVP\tO' -p11925 -aS'lifting\tlift\tVBG\tB-VP\tO' -p11926 -aS'furniture\tfurniture\tNN\tB-NP\tO' -p11927 -aS'.\t.\t.\tO\tO' -p11928 -asS'Diagonal 1 also had a 99% stenosis .' -p11929 -(lp11930 -S'Diagonal\tDiagonal\tJJ\tB-NP\tO' -p11931 -aS'1\t1\tCD\tI-NP\tO' -p11932 -aS'also\talso\tRB\tB-ADVP\tO' -p11933 -aS'had\thave\tVBD\tB-VP\tO' -p11934 -aS'a\ta\tDT\tB-NP\tO' -p11935 -aS'99%\t99%\tCD\tI-NP\tO' -p11936 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p11937 -aS'.\t.\t.\tO\tO' -p11938 -asS'A chest x-ray disclosed a left pleural effusion .' -p11939 -(lp11940 -S'A\tA\tDT\tB-NP\tO' -p11941 -aS'chest\tchest\tNN\tI-NP\tO' -p11942 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p11943 -aS'disclosed\tdisclose\tVBD\tB-VP\tO' -p11944 -aS'a\ta\tDT\tB-NP\tO' -p11945 -aS'left\tleft\tJJ\tI-NP\tO' -p11946 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p11947 -aS'effusion\teffusion\tNN\tI-NP\tO' -p11948 -aS'.\t.\t.\tO\tO' -p11949 -asS'Soft , nd , hypoactive bowel sounds' -p11950 -(lp11951 -S'Soft\tSoft\tRB\tB-ADVP\tO' -p11952 -aS',\t,\t,\tO\tO' -p11953 -aS'nd\tnd\tNN\tB-NP\tO' -p11954 -aS',\t,\t,\tO\tO' -p11955 -aS'hypoactive\thypoactive\tJJ\tB-NP\tO' -p11956 -aS'bowel\tbowel\tNN\tI-NP\tO' -p11957 -aS'sounds\tsound\tNNS\tI-NP\tO' -p11958 -asS'Very early in the morning on postoperative day # 3 , the patient became acutely hypoxic after several hours of marginal oxygenation with respiratory rates in the thirties and the patient was urgently intubated , without complication .' -p11959 -(lp11960 -S'Very\tVery\tRB\tB-ADVP\tO' -p11961 -aS'early\tearly\tRB\tI-ADVP\tO' -p11962 -aS'in\tin\tIN\tB-PP\tO' -p11963 -aS'the\tthe\tDT\tB-NP\tO' -p11964 -aS'morning\tmorning\tNN\tI-NP\tO' -p11965 -aS'on\ton\tIN\tB-PP\tO' -p11966 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p11967 -aS'day\tday\tNN\tI-NP\tO' -p11968 -aS'#\t#\t#\tB-NP\tO' -p11969 -aS'3\t3\tCD\tI-NP\tO' -p11970 -aS',\t,\t,\tO\tO' -p11971 -aS'the\tthe\tDT\tB-NP\tO' -p11972 -aS'patient\tpatient\tNN\tI-NP\tO' -p11973 -aS'became\tbecome\tVBD\tB-VP\tO' -p11974 -aS'acutely\tacutely\tRB\tB-ADJP\tO' -p11975 -aS'hypoxic\thypoxic\tJJ\tI-ADJP\tO' -p11976 -aS'after\tafter\tIN\tB-PP\tO' -p11977 -aS'several\tseveral\tJJ\tB-NP\tO' -p11978 -aS'hours\thour\tNNS\tI-NP\tO' -p11979 -aS'of\tof\tIN\tB-PP\tO' -p11980 -aS'marginal\tmarginal\tJJ\tB-NP\tO' -p11981 -aS'oxygenation\toxygenation\tNN\tI-NP\tO' -p11982 -aS'with\twith\tIN\tB-PP\tO' -p11983 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p11984 -aS'rates\trate\tNNS\tI-NP\tO' -p11985 -aS'in\tin\tIN\tB-PP\tO' -p11986 -aS'the\tthe\tDT\tB-NP\tO' -p11987 -aS'thirties\tthirty\tNNS\tI-NP\tO' -p11988 -aS'and\tand\tCC\tO\tO' -p11989 -aS'the\tthe\tDT\tB-NP\tO' -p11990 -aS'patient\tpatient\tNN\tI-NP\tO' -p11991 -aS'was\tbe\tVBD\tB-VP\tO' -p11992 -aS'urgently\turgently\tRB\tI-VP\tO' -p11993 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p11994 -aS',\t,\t,\tO\tO' -p11995 -aS'without\twithout\tIN\tB-PP\tO' -p11996 -aS'complication\tcomplication\tNN\tB-NP\tO' -p11997 -aS'.\t.\t.\tO\tO' -p11998 -asS'There was cardiomegaly with prominent vascularity , but no effusions .' -p11999 -(lp12000 -S'There\tThere\tEX\tB-NP\tO' -p12001 -aS'was\tbe\tVBD\tB-VP\tO' -p12002 -aS'cardiomegaly\tcardiomegaly\tRB\tB-ADVP\tO' -p12003 -aS'with\twith\tIN\tB-PP\tO' -p12004 -aS'prominent\tprominent\tJJ\tB-NP\tO' -p12005 -aS'vascularity\tvascularity\tNN\tI-NP\tO' -p12006 -aS',\t,\t,\tO\tO' -p12007 -aS'but\tbut\tCC\tO\tO' -p12008 -aS'no\tno\tDT\tB-NP\tO' -p12009 -aS'effusions\teffusion\tNNS\tI-NP\tO' -p12010 -aS'.\t.\t.\tO\tO' -p12011 -asS'The patient is an 83-year-old male with a history of diabetes mellitus , steroid-treated polymyalgia rheumatica , hypertension , benign prostatic hypertrophy , and high cholesterol who presented for a lower extremity peripheral angiography for bilateral foot ulcers , and he was found to an evaluated blood urea nitrogen , and creatinine , and potassium .' -p12012 -(lp12013 -S'The\tThe\tDT\tB-NP\tO' -p12014 -aS'patient\tpatient\tNN\tI-NP\tO' -p12015 -aS'is\tbe\tVBZ\tB-VP\tO' -p12016 -aS'an\tan\tDT\tB-NP\tO' -p12017 -aS'83-year-old\t83-year-old\tJJ\tI-NP\tO' -p12018 -aS'male\tmale\tNN\tI-NP\tO' -p12019 -aS'with\twith\tIN\tB-PP\tO' -p12020 -aS'a\ta\tDT\tB-NP\tO' -p12021 -aS'history\thistory\tNN\tI-NP\tO' -p12022 -aS'of\tof\tIN\tB-PP\tO' -p12023 -aS'diabetes\tdiabetes\tNN\tB-NP\tO' -p12024 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p12025 -aS',\t,\t,\tO\tO' -p12026 -aS'steroid-treated\tsteroid-treated\tJJ\tB-NP\tO' -p12027 -aS'polymyalgia\tpolymyalgia\tNN\tI-NP\tO' -p12028 -aS'rheumatica\trheumatica\tNN\tI-NP\tO' -p12029 -aS',\t,\t,\tO\tO' -p12030 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p12031 -aS',\t,\t,\tO\tO' -p12032 -aS'benign\tbenign\tJJ\tB-NP\tO' -p12033 -aS'prostatic\tprostatic\tJJ\tI-NP\tO' -p12034 -aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' -p12035 -aS',\t,\t,\tO\tO' -p12036 -aS'and\tand\tCC\tO\tO' -p12037 -aS'high\thigh\tJJ\tB-NP\tO' -p12038 -aS'cholesterol\tcholesterol\tNN\tI-NP\tO' -p12039 -aS'who\twho\tWP\tB-NP\tO' -p12040 -aS'presented\tpresent\tVBD\tB-VP\tO' -p12041 -aS'for\tfor\tIN\tB-PP\tO' -p12042 -aS'a\ta\tDT\tB-NP\tO' -p12043 -aS'lower\tlow\tJJR\tI-NP\tO' -p12044 -aS'extremity\textremity\tNN\tI-NP\tO' -p12045 -aS'peripheral\tperipheral\tJJ\tI-NP\tO' -p12046 -aS'angiography\tangiography\tNN\tI-NP\tO' -p12047 -aS'for\tfor\tIN\tB-PP\tO' -p12048 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p12049 -aS'foot\tfoot\tNN\tI-NP\tO' -p12050 -aS'ulcers\tulcer\tNNS\tI-NP\tO' -p12051 -aS',\t,\t,\tO\tO' -p12052 -aS'and\tand\tCC\tO\tO' -p12053 -aS'he\the\tPRP\tB-NP\tO' -p12054 -aS'was\tbe\tVBD\tB-VP\tO' -p12055 -aS'found\tfind\tVBN\tI-VP\tO' -p12056 -aS'to\tto\tTO\tB-PP\tO' -p12057 -aS'an\tan\tDT\tB-NP\tO' -p12058 -aS'evaluated\tevaluate\tVBN\tI-NP\tO' -p12059 -aS'blood\tblood\tNN\tI-NP\tO' -p12060 -aS'urea\turea\tNN\tI-NP\tO' -p12061 -aS'nitrogen\tnitrogen\tNN\tI-NP\tO' -p12062 -aS',\t,\t,\tO\tO' -p12063 -aS'and\tand\tCC\tO\tO' -p12064 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p12065 -aS',\t,\t,\tO\tO' -p12066 -aS'and\tand\tCC\tO\tO' -p12067 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p12068 -aS'.\t.\t.\tO\tO' -p12069 -asS'A transvenous pacing wire was attempted and a pacing rhythm was obtained but with no palpable blood pressure .' -p12070 -(lp12071 -S'A\tA\tDT\tB-NP\tO' -p12072 -aS'transvenous\ttransvenous\tJJ\tI-NP\tO' -p12073 -aS'pacing\tpacing\tNN\tI-NP\tO' -p12074 -aS'wire\twire\tNN\tI-NP\tO' -p12075 -aS'was\tbe\tVBD\tB-VP\tO' -p12076 -aS'attempted\tattempt\tVBN\tI-VP\tO' -p12077 -aS'and\tand\tCC\tO\tO' -p12078 -aS'a\ta\tDT\tB-NP\tO' -p12079 -aS'pacing\tpacing\tNN\tI-NP\tO' -p12080 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p12081 -aS'was\tbe\tVBD\tB-VP\tO' -p12082 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p12083 -aS'but\tbut\tCC\tO\tO' -p12084 -aS'with\twith\tIN\tB-PP\tO' -p12085 -aS'no\tno\tDT\tB-NP\tO' -p12086 -aS'palpable\tpalpable\tJJ\tI-NP\tO' -p12087 -aS'blood\tblood\tNN\tI-NP\tO' -p12088 -aS'pressure\tpressure\tNN\tI-NP\tO' -p12089 -aS'.\t.\t.\tO\tO' -p12090 -asS'At that time , it seems that he had been on T peace since 4 am today .' -p12091 -(lp12092 -S'At\tAt\tIN\tB-PP\tO' -p12093 -aS'that\tthat\tDT\tB-NP\tO' -p12094 -aS'time\ttime\tNN\tI-NP\tO' -p12095 -aS',\t,\t,\tO\tO' -p12096 -aS'it\tit\tPRP\tB-NP\tO' -p12097 -aS'seems\tseem\tVBZ\tB-VP\tO' -p12098 -aS'that\tthat\tIN\tB-SBAR\tO' -p12099 -aS'he\the\tPRP\tB-NP\tO' -p12100 -aS'had\thave\tVBD\tB-VP\tO' -p12101 -aS'been\tbe\tVBN\tI-VP\tO' -p12102 -aS'on\ton\tIN\tB-PP\tO' -p12103 -aS'T\tT\tNN\tB-NP\tO' -p12104 -aS'peace\tpeace\tNN\tI-NP\tO' -p12105 -aS'since\tsince\tIN\tB-PP\tO' -p12106 -aS'4\t4\tCD\tB-NP\tO' -p12107 -aS'am\tam\tNN\tI-NP\tO' -p12108 -aS'today\ttoday\tNN\tB-NP\tO' -p12109 -aS'.\t.\t.\tO\tO' -p12110 -asS'Therefore , home 02 was recommended on discharge .' -p12111 -(lp12112 -S'Therefore\tTherefore\tRB\tB-ADVP\tO' -p12113 -aS',\t,\t,\tO\tO' -p12114 -aS'home\thome\tNN\tB-NP\tO' -p12115 -aS'02\t02\tCD\tI-NP\tO' -p12116 -aS'was\tbe\tVBD\tB-VP\tO' -p12117 -aS'recommended\trecommend\tVBN\tI-VP\tO' -p12118 -aS'on\ton\tIN\tB-PP\tO' -p12119 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p12120 -aS'.\t.\t.\tO\tO' -p12121 -asS'He was evaluated by the speech and swallow pathology group at the Ph University Of Medical Center and it was decided that he was able to swallow on his own with a soft solid diet with supervision .' -p12122 -(lp12123 -S'He\tHe\tPRP\tB-NP\tO' -p12124 -aS'was\tbe\tVBD\tB-VP\tO' -p12125 -aS'evaluated\tevaluate\tVBN\tI-VP\tO' -p12126 -aS'by\tby\tIN\tB-PP\tO' -p12127 -aS'the\tthe\tDT\tB-NP\tO' -p12128 -aS'speech\tspeech\tNN\tI-NP\tO' -p12129 -aS'and\tand\tCC\tO\tO' -p12130 -aS'swallow\tswallow\tVB\tB-VP\tO' -p12131 -aS'pathology\tpathology\tNN\tB-NP\tO' -p12132 -aS'group\tgroup\tNN\tI-NP\tO' -p12133 -aS'at\tat\tIN\tB-PP\tO' -p12134 -aS'the\tthe\tDT\tB-NP\tO' -p12135 -aS'Ph\tPh\tNNP\tI-NP\tO' -p12136 -aS'University\tUniversity\tNNP\tI-NP\tO' -p12137 -aS'Of\tOf\tNNP\tI-NP\tO' -p12138 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p12139 -aS'Center\tCenter\tNNP\tI-NP\tO' -p12140 -aS'and\tand\tCC\tO\tO' -p12141 -aS'it\tit\tPRP\tB-NP\tO' -p12142 -aS'was\tbe\tVBD\tB-VP\tO' -p12143 -aS'decided\tdecide\tVBN\tI-VP\tO' -p12144 -aS'that\tthat\tIN\tB-SBAR\tO' -p12145 -aS'he\the\tPRP\tB-NP\tO' -p12146 -aS'was\tbe\tVBD\tB-VP\tO' -p12147 -aS'able\table\tJJ\tB-ADJP\tO' -p12148 -aS'to\tto\tTO\tB-VP\tO' -p12149 -aS'swallow\tswallow\tVB\tI-VP\tO' -p12150 -aS'on\ton\tIN\tB-PP\tO' -p12151 -aS'his\this\tPRP$\tB-NP\tO' -p12152 -aS'own\town\tJJ\tI-NP\tO' -p12153 -aS'with\twith\tIN\tB-PP\tO' -p12154 -aS'a\ta\tDT\tB-NP\tO' -p12155 -aS'soft\tsoft\tJJ\tI-NP\tO' -p12156 -aS'solid\tsolid\tJJ\tI-NP\tO' -p12157 -aS'diet\tdiet\tNN\tI-NP\tO' -p12158 -aS'with\twith\tIN\tB-PP\tO' -p12159 -aS'supervision\tsupervision\tNN\tB-NP\tO' -p12160 -aS'.\t.\t.\tO\tO' -p12161 -asS'4) ECHO ( 06-18 ): Mild symmetric left ventricular hypertrophy with preserved biventricular systolic function .' -p12162 -(lp12163 -S'4)\t4)\tLS\tB-NP\tO' -p12164 -aS'ECHO\tECHO\tNN\tI-NP\tB-protein' -p12165 -aS'(\t(\t(\tO\tO' -p12166 -aS'06-18\t06-18\tCD\tB-NP\tO' -p12167 -aS'):\t):\t)\tO\tO' -p12168 -aS'Mild\tMild\tNNP\tB-NP\tO' -p12169 -aS'symmetric\tsymmetric\tJJ\tI-NP\tO' -p12170 -aS'left\tleft\tJJ\tI-NP\tO' -p12171 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p12172 -aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' -p12173 -aS'with\twith\tIN\tB-PP\tO' -p12174 -aS'preserved\tpreserve\tVBN\tB-NP\tO' -p12175 -aS'biventricular\tbiventricular\tJJ\tI-NP\tO' -p12176 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p12177 -aS'function\tfunction\tNN\tI-NP\tO' -p12178 -aS'.\t.\t.\tO\tO' -p12179 -asS'Slow-Mag 2 tablets PO bid , Ativan 1 mg sublingually q4h prn nausea .' -p12180 -(lp12181 -S'Slow-Mag\tSlow-Mag\tJJ\tB-NP\tO' -p12182 -aS'2\t2\tCD\tI-NP\tO' -p12183 -aS'tablets\ttablet\tNNS\tI-NP\tO' -p12184 -aS'PO\tPO\tNN\tI-NP\tO' -p12185 -aS'bid\tbid\tNN\tI-NP\tO' -p12186 -aS',\t,\t,\tO\tO' -p12187 -aS'Ativan\tAtivan\tNNP\tB-NP\tO' -p12188 -aS'1\t1\tCD\tI-NP\tO' -p12189 -aS'mg\tmg\tNN\tI-NP\tO' -p12190 -aS'sublingually\tsublingually\tRB\tB-NP\tO' -p12191 -aS'q4h\tq4h\tNN\tI-NP\tO' -p12192 -aS'prn\tprn\tNN\tI-NP\tO' -p12193 -aS'nausea\tnausea\tNN\tI-NP\tO' -p12194 -aS'.\t.\t.\tO\tO' -p12195 -asS'- Seek medical attention for fevers ( temp > 101.5 ) , worsening pain , drainage or excessive bleeding from incision , chest pain , shortness of breath , or any other symptoms of concern .' -p12196 -(lp12197 -S'-\t-\tHYPH\tB-NP\tO' -p12198 -aS'Seek\tSeek\tNN\tI-NP\tO' -p12199 -aS'medical\tmedical\tJJ\tI-NP\tO' -p12200 -aS'attention\tattention\tNN\tI-NP\tO' -p12201 -aS'for\tfor\tIN\tB-PP\tO' -p12202 -aS'fevers\tfever\tNNS\tB-NP\tO' -p12203 -aS'(\t(\t(\tO\tO' -p12204 -aS'temp\ttemp\tNN\tB-NP\tO' -p12205 -aS'>\t>\tCC\tO\tO' -p12206 -aS'101.5\t101.5\tCD\tB-NP\tO' -p12207 -aS')\t)\t)\tO\tO' -p12208 -aS',\t,\t,\tO\tO' -p12209 -aS'worsening\tworsen\tVBG\tB-VP\tO' -p12210 -aS'pain\tpain\tNN\tB-NP\tO' -p12211 -aS',\t,\t,\tO\tO' -p12212 -aS'drainage\tdrainage\tNN\tB-NP\tO' -p12213 -aS'or\tor\tCC\tO\tO' -p12214 -aS'excessive\texcessive\tJJ\tB-NP\tO' -p12215 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p12216 -aS'from\tfrom\tIN\tB-PP\tO' -p12217 -aS'incision\tincision\tNN\tB-NP\tO' -p12218 -aS',\t,\t,\tO\tO' -p12219 -aS'chest\tchest\tNN\tB-NP\tO' -p12220 -aS'pain\tpain\tNN\tI-NP\tO' -p12221 -aS',\t,\t,\tO\tO' -p12222 -aS'shortness\tshortness\tNN\tB-NP\tO' -p12223 -aS'of\tof\tIN\tB-PP\tO' -p12224 -aS'breath\tbreath\tNN\tB-NP\tO' -p12225 -aS',\t,\t,\tO\tO' -p12226 -aS'or\tor\tCC\tO\tO' -p12227 -aS'any\tany\tDT\tB-NP\tO' -p12228 -aS'other\tother\tJJ\tI-NP\tO' -p12229 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p12230 -aS'of\tof\tIN\tB-PP\tO' -p12231 -aS'concern\tconcern\tNN\tB-NP\tO' -p12232 -aS'.\t.\t.\tO\tO' -p12233 -asS'During this admission you have been treated for a CHF exacerbation .' -p12234 -(lp12235 -S'During\tDuring\tIN\tB-PP\tO' -p12236 -aS'this\tthis\tDT\tB-NP\tO' -p12237 -aS'admission\tadmission\tNN\tI-NP\tO' -p12238 -aS'you\tyou\tPRP\tB-NP\tO' -p12239 -aS'have\thave\tVBP\tB-VP\tO' -p12240 -aS'been\tbe\tVBN\tI-VP\tO' -p12241 -aS'treated\ttreat\tVBN\tI-VP\tO' -p12242 -aS'for\tfor\tIN\tB-PP\tO' -p12243 -aS'a\ta\tDT\tB-NP\tO' -p12244 -aS'CHF\tCHF\tNN\tI-NP\tO' -p12245 -aS'exacerbation\texacerbation\tNN\tI-NP\tO' -p12246 -aS'.\t.\t.\tO\tO' -p12247 -asS'RRR , nl s1 , s2 , no m/r/g' -p12248 -(lp12249 -S'RRR\tRRR\tNN\tB-NP\tB-protein' -p12250 -aS',\t,\t,\tO\tO' -p12251 -aS'nl\tnl\tNN\tB-NP\tB-protein' -p12252 -aS's1\ts1\tNN\tI-NP\tI-protein' -p12253 -aS',\t,\t,\tO\tO' -p12254 -aS's2\ts2\tNN\tB-NP\tB-protein' -p12255 -aS',\t,\t,\tO\tO' -p12256 -aS'no\tno\tDT\tB-NP\tO' -p12257 -aS'm/r/g\tm/r/g\tNN\tI-NP\tO' -p12258 -asS'3. mild hypomagnesemia .' -p12259 -(lp12260 -S'3.\t3.\tLS\tB-NP\tO' -p12261 -aS'mild\tmild\tJJ\tI-NP\tO' -p12262 -aS'hypomagnesemia\thypomagnesemia\tNN\tI-NP\tO' -p12263 -aS'.\t.\t.\tO\tO' -p12264 -asS'Lisinopril 2.5 qday , Buspiron 20 mg po qday , Digoxin , Doxasozin 8 mg qhs , Glyburide 2.5 mg qday , metoprolol bid , atorvastatin 20 mg qday , warfarin 5 mg qday' -p12265 -(lp12266 -S'Lisinopril\tLisinopril\tNNP\tB-NP\tO' -p12267 -aS'2.5\t2.5\tCD\tI-NP\tO' -p12268 -aS'qday\tqday\tNNP\tI-NP\tO' -p12269 -aS',\t,\t,\tI-NP\tO' -p12270 -aS'Buspiron\tBuspiron\tNNP\tI-NP\tO' -p12271 -aS'20\t20\tCD\tI-NP\tO' -p12272 -aS'mg\tmg\tNN\tI-NP\tO' -p12273 -aS'po\tpo\tNN\tI-NP\tO' -p12274 -aS'qday\tqday\tNN\tI-NP\tO' -p12275 -aS',\t,\t,\tO\tO' -p12276 -aS'Digoxin\tDigoxin\tNN\tB-NP\tO' -p12277 -aS',\t,\t,\tO\tO' -p12278 -aS'Doxasozin\tDoxasozin\tNN\tB-NP\tO' -p12279 -aS'8\t8\tCD\tI-NP\tO' -p12280 -aS'mg\tmg\tNN\tI-NP\tO' -p12281 -aS'qhs\tqh\tNNS\tI-NP\tO' -p12282 -aS',\t,\t,\tO\tO' -p12283 -aS'Glyburide\tGlyburide\tNN\tB-NP\tO' -p12284 -aS'2.5\t2.5\tCD\tI-NP\tO' -p12285 -aS'mg\tmg\tNN\tI-NP\tO' -p12286 -aS'qday\tqday\tNN\tI-NP\tO' -p12287 -aS',\t,\t,\tO\tO' -p12288 -aS'metoprolol\tmetoprolol\tNN\tB-NP\tO' -p12289 -aS'bid\tbid\tNN\tI-NP\tO' -p12290 -aS',\t,\t,\tO\tO' -p12291 -aS'atorvastatin\tatorvastatin\tNN\tB-NP\tO' -p12292 -aS'20\t20\tCD\tI-NP\tO' -p12293 -aS'mg\tmg\tNN\tI-NP\tO' -p12294 -aS'qday\tqday\tNN\tI-NP\tO' -p12295 -aS',\t,\t,\tO\tO' -p12296 -aS'warfarin\twarfarin\tNN\tB-NP\tO' -p12297 -aS'5\t5\tCD\tI-NP\tO' -p12298 -aS'mg\tmg\tNN\tI-NP\tO' -p12299 -aS'qday\tqday\tNN\tI-NP\tO' -p12300 -asS'Responsible After Study for Causing Admission ) IUP at 36 weeks , delivered' -p12301 -(lp12302 -S'Responsible\tResponsible\tJJ\tB-ADJP\tO' -p12303 -aS'After\tAfter\tIN\tB-PP\tO' -p12304 -aS'Study\tStudy\tNN\tB-NP\tO' -p12305 -aS'for\tfor\tIN\tB-PP\tO' -p12306 -aS'Causing\tCause\tVBG\tB-VP\tO' -p12307 -aS'Admission\tAdmission\tNN\tB-NP\tO' -p12308 -aS')\t)\t)\tO\tO' -p12309 -aS'IUP\tIUP\tNN\tB-NP\tO' -p12310 -aS'at\tat\tIN\tB-PP\tO' -p12311 -aS'36\t36\tCD\tB-NP\tO' -p12312 -aS'weeks\tweek\tNNS\tI-NP\tO' -p12313 -aS',\t,\t,\tO\tO' -p12314 -aS'delivered\tdeliver\tVBN\tB-VP\tO' -p12315 -asS'This is a 73-year-old man with squamous cell carcinoma of the lung , status post lobectomy and resection of left cervical recurrence , admitted here with fever and neutropenia .' -p12316 -(lp12317 -S'This\tThis\tDT\tB-NP\tO' -p12318 -aS'is\tbe\tVBZ\tB-VP\tO' -p12319 -aS'a\ta\tDT\tB-NP\tO' -p12320 -aS'73-year-old\t73-year-old\tJJ\tI-NP\tO' -p12321 -aS'man\tman\tNN\tI-NP\tO' -p12322 -aS'with\twith\tIN\tB-PP\tO' -p12323 -aS'squamous\tsquamous\tJJ\tB-NP\tO' -p12324 -aS'cell\tcell\tNN\tI-NP\tO' -p12325 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p12326 -aS'of\tof\tIN\tB-PP\tO' -p12327 -aS'the\tthe\tDT\tB-NP\tO' -p12328 -aS'lung\tlung\tNN\tI-NP\tO' -p12329 -aS',\t,\t,\tO\tO' -p12330 -aS'status\tstatus\tNN\tB-NP\tO' -p12331 -aS'post\tpost\tNN\tI-NP\tO' -p12332 -aS'lobectomy\tlobectomy\tNN\tI-NP\tO' -p12333 -aS'and\tand\tCC\tO\tO' -p12334 -aS'resection\tresection\tNN\tB-NP\tO' -p12335 -aS'of\tof\tIN\tB-PP\tO' -p12336 -aS'left\tleft\tJJ\tB-NP\tO' -p12337 -aS'cervical\tcervical\tJJ\tI-NP\tO' -p12338 -aS'recurrence\trecurrence\tNN\tI-NP\tO' -p12339 -aS',\t,\t,\tO\tO' -p12340 -aS'admitted\tadmit\tVBN\tB-VP\tO' -p12341 -aS'here\there\tRB\tB-ADVP\tO' -p12342 -aS'with\twith\tIN\tB-PP\tO' -p12343 -aS'fever\tfever\tNN\tB-NP\tO' -p12344 -aS'and\tand\tCC\tI-NP\tO' -p12345 -aS'neutropenia\tneutropenia\tNN\tI-NP\tO' -p12346 -aS'.\t.\t.\tO\tO' -p12347 -asS'After multiple discussion with family and the doctor accepting the patient at Women and Infants Hospital( Dr . Pauling ) at RI .' -p12348 -(lp12349 -S'After\tAfter\tIN\tB-PP\tO' -p12350 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p12351 -aS'discussion\tdiscussion\tNN\tI-NP\tO' -p12352 -aS'with\twith\tIN\tB-PP\tO' -p12353 -aS'family\tfamily\tNN\tB-NP\tO' -p12354 -aS'and\tand\tCC\tO\tO' -p12355 -aS'the\tthe\tDT\tB-NP\tO' -p12356 -aS'doctor\tdoctor\tNN\tI-NP\tO' -p12357 -aS'accepting\taccept\tVBG\tB-VP\tO' -p12358 -aS'the\tthe\tDT\tB-NP\tO' -p12359 -aS'patient\tpatient\tNN\tI-NP\tO' -p12360 -aS'at\tat\tIN\tB-PP\tO' -p12361 -aS'Women\tWoman\tNNS\tB-NP\tO' -p12362 -aS'and\tand\tCC\tO\tO' -p12363 -aS'Infants\tInfants\tNNP\tB-NP\tO' -p12364 -aS'Hospital(\tHospital(\tNNP\tI-NP\tO' -p12365 -aS'Dr\tDr\tNNP\tI-NP\tO' -p12366 -aS'.\t.\t.\tI-NP\tO' -p12367 -aS'Pauling\tPauling\tNNP\tI-NP\tO' -p12368 -aS')\t)\t)\tO\tO' -p12369 -aS'at\tat\tIN\tB-PP\tO' -p12370 -aS'RI\tRI\tNN\tB-NP\tB-protein' -p12371 -aS'.\t.\t.\tO\tO' -p12372 -asS'No thrush .' -p12373 -(lp12374 -S'No\tNo\tDT\tB-NP\tO' -p12375 -aS'thrush\tthrush\tNN\tI-NP\tO' -p12376 -aS'.\t.\t.\tO\tO' -p12377 -asS'There were no known drug allergies .' -p12378 -(lp12379 -S'There\tThere\tEX\tB-NP\tO' -p12380 -aS'were\tbe\tVBD\tB-VP\tO' -p12381 -aS'no\tno\tDT\tB-NP\tO' -p12382 -aS'known\tknow\tVBN\tI-NP\tO' -p12383 -aS'drug\tdrug\tNN\tI-NP\tO' -p12384 -aS'allergies\tallergy\tNNS\tI-NP\tO' -p12385 -aS'.\t.\t.\tO\tO' -p12386 -asS'Transdermal nitroglycerin caused headache .' -p12387 -(lp12388 -S'Transdermal\tTransdermal\tJJ\tB-NP\tO' -p12389 -aS'nitroglycerin\tnitroglycerin\tNN\tI-NP\tO' -p12390 -aS'caused\tcause\tVBD\tB-VP\tO' -p12391 -aS'headache\theadache\tNN\tB-NP\tO' -p12392 -aS'.\t.\t.\tO\tO' -p12393 -asS'Curtis van den Moreno MD 07-506' -p12394 -(lp12395 -S'Curtis\tCurtis\tNNP\tB-NP\tO' -p12396 -aS'van\tvan\tNNP\tI-NP\tO' -p12397 -aS'den\tden\tNNP\tI-NP\tO' -p12398 -aS'Moreno\tMoreno\tNNP\tI-NP\tO' -p12399 -aS'MD\tMD\tNNP\tI-NP\tO' -p12400 -aS'07-506\t07-506\tCD\tI-NP\tO' -p12401 -asS'As she starting taking some foods , her glargine was decrease .' -p12402 -(lp12403 -S'As\tAs\tIN\tB-SBAR\tO' -p12404 -aS'she\tshe\tPRP\tB-NP\tO' -p12405 -aS'starting\tstart\tVBG\tB-VP\tO' -p12406 -aS'taking\ttake\tVBG\tI-VP\tO' -p12407 -aS'some\tsome\tDT\tB-NP\tO' -p12408 -aS'foods\tfood\tNNS\tI-NP\tO' -p12409 -aS',\t,\t,\tO\tO' -p12410 -aS'her\ther\tPRP$\tB-NP\tO' -p12411 -aS'glargine\tglargine\tNN\tI-NP\tO' -p12412 -aS'was\tbe\tVBD\tB-VP\tO' -p12413 -aS'decrease\tdecrease\tNN\tB-NP\tO' -p12414 -aS'.\t.\t.\tO\tO' -p12415 -asS'The cough was mostly nonproductive .' -p12416 -(lp12417 -S'The\tThe\tDT\tB-NP\tO' -p12418 -aS'cough\tcough\tNN\tI-NP\tO' -p12419 -aS'was\tbe\tVBD\tB-VP\tO' -p12420 -aS'mostly\tmostly\tRB\tB-ADJP\tO' -p12421 -aS'nonproductive\tnonproductive\tJJ\tI-ADJP\tO' -p12422 -aS'.\t.\t.\tO\tO' -p12423 -asS'(3) In 1967 he had an orchiopexy for undescended testicle .' -p12424 -(lp12425 -S'(3)\t(3)\tLS\tB-LST\tO' -p12426 -aS'In\tIn\tIN\tB-PP\tO' -p12427 -aS'1967\t1967\tCD\tB-NP\tO' -p12428 -aS'he\the\tPRP\tB-NP\tO' -p12429 -aS'had\thave\tVBD\tB-VP\tO' -p12430 -aS'an\tan\tDT\tB-NP\tO' -p12431 -aS'orchiopexy\torchiopexy\tNN\tI-NP\tO' -p12432 -aS'for\tfor\tIN\tB-PP\tO' -p12433 -aS'undescended\tundescended\tJJ\tB-NP\tO' -p12434 -aS'testicle\ttesticle\tNN\tI-NP\tO' -p12435 -aS'.\t.\t.\tO\tO' -p12436 -asS'2. Dilated cardiomyopathy .' -p12437 -(lp12438 -S'2.\t2.\tLS\tB-LST\tO' -p12439 -aS'Dilated\tDilate\tVBD\tB-VP\tO' -p12440 -aS'cardiomyopathy\tcardiomyopathy\tNN\tB-NP\tO' -p12441 -aS'.\t.\t.\tO\tO' -p12442 -asS'Her hematocrit was 26.8 and she was transfused 1 unit of packed red blood cells .' -p12443 -(lp12444 -S'Her\tHer\tPRP$\tB-NP\tO' -p12445 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p12446 -aS'was\tbe\tVBD\tB-VP\tO' -p12447 -aS'26.8\t26.8\tCD\tB-NP\tO' -p12448 -aS'and\tand\tCC\tO\tO' -p12449 -aS'she\tshe\tPRP\tB-NP\tO' -p12450 -aS'was\tbe\tVBD\tB-VP\tO' -p12451 -aS'transfused\ttransfuse\tVBN\tI-VP\tO' -p12452 -aS'1\t1\tCD\tB-NP\tO' -p12453 -aS'unit\tunit\tNN\tI-NP\tO' -p12454 -aS'of\tof\tIN\tB-PP\tO' -p12455 -aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' -p12456 -aS'red\tred\tJJ\tI-NP\tI-cell_type' -p12457 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p12458 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p12459 -aS'.\t.\t.\tO\tO' -p12460 -asS'There was mild finger-to-nose dysmetria on the left .' -p12461 -(lp12462 -S'There\tThere\tEX\tB-NP\tO' -p12463 -aS'was\tbe\tVBD\tB-VP\tO' -p12464 -aS'mild\tmild\tJJ\tB-NP\tO' -p12465 -aS'finger-to-nose\tfinger-to-nose\tJJ\tI-NP\tO' -p12466 -aS'dysmetria\tdysmetria\tNN\tI-NP\tO' -p12467 -aS'on\ton\tIN\tB-PP\tO' -p12468 -aS'the\tthe\tDT\tB-NP\tO' -p12469 -aS'left\tleft\tNN\tI-NP\tO' -p12470 -aS'.\t.\t.\tO\tO' -p12471 -asS'You should take this medication every other day .' -p12472 -(lp12473 -S'You\tYou\tPRP\tB-NP\tB-protein' -p12474 -aS'should\tshould\tMD\tB-VP\tO' -p12475 -aS'take\ttake\tVB\tI-VP\tO' -p12476 -aS'this\tthis\tDT\tB-NP\tO' -p12477 -aS'medication\tmedication\tNN\tI-NP\tO' -p12478 -aS'every\tevery\tDT\tB-NP\tO' -p12479 -aS'other\tother\tJJ\tI-NP\tO' -p12480 -aS'day\tday\tNN\tI-NP\tO' -p12481 -aS'.\t.\t.\tO\tO' -p12482 -asS'On postoperative day four , the patient Cordis was removed .' -p12483 -(lp12484 -S'On\tOn\tIN\tB-PP\tO' -p12485 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p12486 -aS'day\tday\tNN\tI-NP\tO' -p12487 -aS'four\tfour\tCD\tB-NP\tO' -p12488 -aS',\t,\t,\tO\tO' -p12489 -aS'the\tthe\tDT\tB-NP\tO' -p12490 -aS'patient\tpatient\tNN\tI-NP\tO' -p12491 -aS'Cordis\tCordis\tNNP\tB-NP\tO' -p12492 -aS'was\tbe\tVBD\tB-VP\tO' -p12493 -aS'removed\tremove\tVBN\tI-VP\tO' -p12494 -aS'.\t.\t.\tO\tO' -p12495 -asS'He was found to have a DVT by ultrasound .' -p12496 -(lp12497 -S'He\tHe\tPRP\tB-NP\tO' -p12498 -aS'was\tbe\tVBD\tB-VP\tO' -p12499 -aS'found\tfind\tVBN\tI-VP\tO' -p12500 -aS'to\tto\tTO\tI-VP\tO' -p12501 -aS'have\thave\tVB\tI-VP\tO' -p12502 -aS'a\ta\tDT\tB-NP\tO' -p12503 -aS'DVT\tDVT\tNN\tI-NP\tB-protein' -p12504 -aS'by\tby\tIN\tB-PP\tO' -p12505 -aS'ultrasound\tultrasound\tNN\tB-NP\tO' -p12506 -aS'.\t.\t.\tO\tO' -p12507 -asS'On 5-9-92 the right-sided symptoms worsened and she also had some elements of aphasia .' -p12508 -(lp12509 -S'On\tOn\tIN\tB-PP\tO' -p12510 -aS'5-9-92\t5-9-92\tCD\tB-NP\tO' -p12511 -aS'the\tthe\tDT\tB-NP\tO' -p12512 -aS'right-sided\tright-sided\tJJ\tI-NP\tO' -p12513 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p12514 -aS'worsened\tworsen\tVBD\tB-VP\tO' -p12515 -aS'and\tand\tCC\tO\tO' -p12516 -aS'she\tshe\tPRP\tB-NP\tO' -p12517 -aS'also\talso\tRB\tB-ADVP\tO' -p12518 -aS'had\thave\tVBD\tB-VP\tO' -p12519 -aS'some\tsome\tDT\tB-NP\tO' -p12520 -aS'elements\telement\tNNS\tI-NP\tO' -p12521 -aS'of\tof\tIN\tB-PP\tO' -p12522 -aS'aphasia\taphasia\tNN\tB-NP\tO' -p12523 -aS'.\t.\t.\tO\tO' -p12524 -asS'MRSA urinary tract infection .' -p12525 -(lp12526 -S'MRSA\tMRSA\tNN\tB-NP\tO' -p12527 -aS'urinary\turinary\tJJ\tI-NP\tO' -p12528 -aS'tract\ttract\tNN\tI-NP\tO' -p12529 -aS'infection\tinfection\tNN\tI-NP\tO' -p12530 -aS'.\t.\t.\tO\tO' -p12531 -asS'fever , left lower extremity redness , dysuria , inability to urinate' -p12532 -(lp12533 -S'fever\tfever\tRB\tB-ADVP\tO' -p12534 -aS',\t,\t,\tO\tO' -p12535 -aS'left\tleave\tVBD\tB-VP\tO' -p12536 -aS'lower\tlow\tJJR\tB-NP\tO' -p12537 -aS'extremity\textremity\tNN\tI-NP\tO' -p12538 -aS'redness\tredness\tNN\tI-NP\tO' -p12539 -aS',\t,\t,\tO\tO' -p12540 -aS'dysuria\tdysuria\tNN\tB-NP\tO' -p12541 -aS',\t,\t,\tO\tO' -p12542 -aS'inability\tinability\tNN\tB-NP\tO' -p12543 -aS'to\tto\tTO\tB-VP\tO' -p12544 -aS'urinate\turinate\tVB\tI-VP\tO' -p12545 -asS'Medications per gastrostomy tube on postoperative day one .' -p12546 -(lp12547 -S'Medications\tMedication\tNNS\tB-NP\tO' -p12548 -aS'per\tper\tIN\tB-PP\tO' -p12549 -aS'gastrostomy\tgastrostomy\tNN\tB-NP\tO' -p12550 -aS'tube\ttube\tNN\tI-NP\tO' -p12551 -aS'on\ton\tIN\tB-PP\tO' -p12552 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p12553 -aS'day\tday\tNN\tI-NP\tO' -p12554 -aS'one\tone\tCD\tI-NP\tO' -p12555 -aS'.\t.\t.\tO\tO' -p12556 -asS'The patient was arranged for follow-up appointment with Dr. Scarvzine of rheumatology on 10/11/01 .' -p12557 -(lp12558 -S'The\tThe\tDT\tB-NP\tO' -p12559 -aS'patient\tpatient\tNN\tI-NP\tO' -p12560 -aS'was\tbe\tVBD\tB-VP\tO' -p12561 -aS'arranged\tarrange\tVBN\tI-VP\tO' -p12562 -aS'for\tfor\tIN\tB-PP\tO' -p12563 -aS'follow-up\tfollow-up\tJJ\tB-NP\tO' -p12564 -aS'appointment\tappointment\tNN\tI-NP\tO' -p12565 -aS'with\twith\tIN\tB-PP\tO' -p12566 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p12567 -aS'Scarvzine\tScarvzine\tNNP\tI-NP\tO' -p12568 -aS'of\tof\tIN\tB-PP\tO' -p12569 -aS'rheumatology\trheumatology\tNN\tB-NP\tO' -p12570 -aS'on\ton\tIN\tB-PP\tO' -p12571 -aS'10/11/01\t10/11/01\tCD\tB-NP\tO' -p12572 -aS'.\t.\t.\tO\tO' -p12573 -asS'Findings were discussed with Dr. Leanne Vazquez at the time this study was performed , but the study was not dictated until the morning of 2014-10-22 , due to PACS malfunction .' -p12574 -(lp12575 -S'Findings\tFinding\tNNS\tB-NP\tO' -p12576 -aS'were\tbe\tVBD\tB-VP\tO' -p12577 -aS'discussed\tdiscuss\tVBN\tI-VP\tO' -p12578 -aS'with\twith\tIN\tB-PP\tO' -p12579 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p12580 -aS'Leanne\tLeanne\tNNP\tI-NP\tO' -p12581 -aS'Vazquez\tVazquez\tNNP\tI-NP\tO' -p12582 -aS'at\tat\tIN\tB-PP\tO' -p12583 -aS'the\tthe\tDT\tB-NP\tO' -p12584 -aS'time\ttime\tNN\tI-NP\tO' -p12585 -aS'this\tthis\tDT\tB-NP\tO' -p12586 -aS'study\tstudy\tNN\tI-NP\tO' -p12587 -aS'was\tbe\tVBD\tB-VP\tO' -p12588 -aS'performed\tperform\tVBN\tI-VP\tO' -p12589 -aS',\t,\t,\tO\tO' -p12590 -aS'but\tbut\tCC\tO\tO' -p12591 -aS'the\tthe\tDT\tB-NP\tO' -p12592 -aS'study\tstudy\tNN\tI-NP\tO' -p12593 -aS'was\tbe\tVBD\tB-VP\tO' -p12594 -aS'not\tnot\tRB\tI-VP\tO' -p12595 -aS'dictated\tdictate\tVBN\tI-VP\tO' -p12596 -aS'until\tuntil\tIN\tB-SBAR\tO' -p12597 -aS'the\tthe\tDT\tB-NP\tO' -p12598 -aS'morning\tmorning\tNN\tI-NP\tO' -p12599 -aS'of\tof\tIN\tB-PP\tO' -p12600 -aS'2014-10-22\t2014-10-22\tCD\tB-NP\tO' -p12601 -aS',\t,\t,\tO\tO' -p12602 -aS'due\tdue\tJJ\tB-ADJP\tO' -p12603 -aS'to\tto\tTO\tB-PP\tO' -p12604 -aS'PACS\tPACS\tNN\tB-NP\tO' -p12605 -aS'malfunction\tmalfunction\tNN\tI-NP\tO' -p12606 -aS'.\t.\t.\tO\tO' -p12607 -asS'Surgery Recovery Unit without complication .' -p12608 -(lp12609 -S'Surgery\tSurgery\tNNP\tB-NP\tO' -p12610 -aS'Recovery\tRecovery\tNNP\tI-NP\tO' -p12611 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p12612 -aS'without\twithout\tIN\tB-PP\tO' -p12613 -aS'complication\tcomplication\tNN\tB-NP\tO' -p12614 -aS'.\t.\t.\tO\tO' -p12615 -asS'The patient remained unstable .' -p12616 -(lp12617 -S'The\tThe\tDT\tB-NP\tO' -p12618 -aS'patient\tpatient\tNN\tI-NP\tO' -p12619 -aS'remained\tremain\tVBD\tB-VP\tO' -p12620 -aS'unstable\tunstable\tJJ\tB-ADJP\tO' -p12621 -aS'.\t.\t.\tO\tO' -p12622 -asS'No left ventricular aneurysm is seen .' -p12623 -(lp12624 -S'No\tNo\tDT\tB-NP\tO' -p12625 -aS'left\tleft\tJJ\tI-NP\tO' -p12626 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p12627 -aS'aneurysm\taneurysm\tNN\tI-NP\tO' -p12628 -aS'is\tbe\tVBZ\tB-VP\tO' -p12629 -aS'seen\tsee\tVBN\tI-VP\tO' -p12630 -aS'.\t.\t.\tO\tO' -p12631 -asS'On July 26 , abdominal irrigation and debridement was performed in the RICU ; this was repeated daily for the next three days .' -p12632 -(lp12633 -S'On\tOn\tIN\tB-PP\tO' -p12634 -aS'July\tJuly\tNNP\tB-NP\tO' -p12635 -aS'26\t26\tCD\tI-NP\tO' -p12636 -aS',\t,\t,\tO\tO' -p12637 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p12638 -aS'irrigation\tirrigation\tNN\tI-NP\tO' -p12639 -aS'and\tand\tCC\tI-NP\tO' -p12640 -aS'debridement\tdebridement\tNN\tI-NP\tO' -p12641 -aS'was\tbe\tVBD\tB-VP\tO' -p12642 -aS'performed\tperform\tVBN\tI-VP\tO' -p12643 -aS'in\tin\tIN\tB-PP\tO' -p12644 -aS'the\tthe\tDT\tB-NP\tO' -p12645 -aS'RICU\tRICU\tNNP\tI-NP\tO' -p12646 -aS';\t;\t:\tO\tO' -p12647 -aS'this\tthis\tDT\tB-NP\tO' -p12648 -aS'was\tbe\tVBD\tB-VP\tO' -p12649 -aS'repeated\trepeat\tVBN\tI-VP\tO' -p12650 -aS'daily\tdaily\tRB\tB-ADVP\tO' -p12651 -aS'for\tfor\tIN\tB-PP\tO' -p12652 -aS'the\tthe\tDT\tB-NP\tO' -p12653 -aS'next\tnext\tJJ\tI-NP\tO' -p12654 -aS'three\tthree\tCD\tI-NP\tO' -p12655 -aS'days\tday\tNNS\tI-NP\tO' -p12656 -aS'.\t.\t.\tO\tO' -p12657 -asS'A head CT was done which ruled out any acute processes .' -p12658 -(lp12659 -S'A\tA\tDT\tB-NP\tO' -p12660 -aS'head\thead\tNN\tI-NP\tO' -p12661 -aS'CT\tCT\tNN\tI-NP\tO' -p12662 -aS'was\tbe\tVBD\tB-VP\tO' -p12663 -aS'done\tdo\tVBN\tI-VP\tO' -p12664 -aS'which\twhich\tWDT\tB-NP\tO' -p12665 -aS'ruled\trule\tVBD\tB-VP\tO' -p12666 -aS'out\tout\tRP\tB-PRT\tO' -p12667 -aS'any\tany\tDT\tB-NP\tO' -p12668 -aS'acute\tacute\tJJ\tI-NP\tO' -p12669 -aS'processes\tprocess\tNNS\tI-NP\tO' -p12670 -aS'.\t.\t.\tO\tO' -p12671 -asS'4. Carbidopa-Levodopa 25-250 mg PO 5 TIMES PER DAY .' -p12672 -(lp12673 -S'4.\t4.\tLS\tB-LST\tO' -p12674 -aS'Carbidopa-Levodopa\tCarbidopa-Levodopa\tNNP\tB-NP\tO' -p12675 -aS'25-250\t25-250\tCD\tI-NP\tO' -p12676 -aS'mg\tmg\tNN\tI-NP\tO' -p12677 -aS'PO\tPO\tNN\tI-NP\tO' -p12678 -aS'5\t5\tCD\tI-NP\tO' -p12679 -aS'TIMES\tTIMES\tVBZ\tB-VP\tO' -p12680 -aS'PER\tPER\tNNP\tB-NP\tO' -p12681 -aS'DAY\tDAY\tNNP\tI-NP\tO' -p12682 -aS'.\t.\t.\tO\tO' -p12683 -asS'Apgars eight at one minute and eight at five minutes .' -p12684 -(lp12685 -S'Apgars\tApgar\tNNS\tB-NP\tO' -p12686 -aS'eight\teight\tCD\tB-NP\tO' -p12687 -aS'at\tat\tIN\tB-PP\tO' -p12688 -aS'one\tone\tCD\tB-NP\tO' -p12689 -aS'minute\tminute\tNN\tI-NP\tO' -p12690 -aS'and\tand\tCC\tO\tO' -p12691 -aS'eight\teight\tCD\tB-NP\tO' -p12692 -aS'at\tat\tIN\tB-PP\tO' -p12693 -aS'five\tfive\tCD\tB-NP\tO' -p12694 -aS'minutes\tminute\tNNS\tI-NP\tO' -p12695 -aS'.\t.\t.\tO\tO' -p12696 -asS'Triamcinolone cream .' -p12697 -(lp12698 -S'Triamcinolone\tTriamcinolone\tNN\tB-NP\tO' -p12699 -aS'cream\tcream\tNN\tI-NP\tO' -p12700 -aS'.\t.\t.\tO\tO' -p12701 -asS'5. State newborn screens were sent on 2018-05-09 ; and results are pending .' -p12702 -(lp12703 -S'5.\t5.\tLS\tB-NP\tO' -p12704 -aS'State\tState\tNN\tI-NP\tO' -p12705 -aS'newborn\tnewborn\tJJ\tI-NP\tO' -p12706 -aS'screens\tscreen\tNNS\tI-NP\tO' -p12707 -aS'were\tbe\tVBD\tB-VP\tO' -p12708 -aS'sent\tsend\tVBN\tI-VP\tO' -p12709 -aS'on\ton\tIN\tB-PP\tO' -p12710 -aS'2018-05-09\t2018-05-09\tCD\tB-NP\tO' -p12711 -aS';\t;\t:\tO\tO' -p12712 -aS'and\tand\tCC\tO\tO' -p12713 -aS'results\tresult\tNNS\tB-NP\tO' -p12714 -aS'are\tbe\tVBP\tB-VP\tO' -p12715 -aS'pending\tpende\tVBG\tI-VP\tO' -p12716 -aS'.\t.\t.\tO\tO' -p12717 -asS'Also in the course of the month that he was in the ICU he had a left chest tube placed for fluid and then a right chest tube placed ultimately for fluid .' -p12718 -(lp12719 -S'Also\tAlso\tRB\tB-ADVP\tO' -p12720 -aS'in\tin\tIN\tB-PP\tO' -p12721 -aS'the\tthe\tDT\tB-NP\tO' -p12722 -aS'course\tcourse\tNN\tI-NP\tO' -p12723 -aS'of\tof\tIN\tB-PP\tO' -p12724 -aS'the\tthe\tDT\tB-NP\tO' -p12725 -aS'month\tmonth\tNN\tI-NP\tO' -p12726 -aS'that\tthat\tIN\tB-SBAR\tO' -p12727 -aS'he\the\tPRP\tB-NP\tO' -p12728 -aS'was\tbe\tVBD\tB-VP\tO' -p12729 -aS'in\tin\tIN\tB-PP\tO' -p12730 -aS'the\tthe\tDT\tB-NP\tO' -p12731 -aS'ICU\tICU\tNN\tI-NP\tB-DNA' -p12732 -aS'he\the\tPRP\tB-NP\tO' -p12733 -aS'had\thave\tVBD\tB-VP\tO' -p12734 -aS'a\ta\tDT\tB-NP\tO' -p12735 -aS'left\tleft\tJJ\tI-NP\tO' -p12736 -aS'chest\tchest\tNN\tI-NP\tO' -p12737 -aS'tube\ttube\tNN\tI-NP\tO' -p12738 -aS'placed\tplace\tVBN\tB-VP\tO' -p12739 -aS'for\tfor\tIN\tB-PP\tO' -p12740 -aS'fluid\tfluid\tNN\tB-NP\tO' -p12741 -aS'and\tand\tCC\tB-NP\tO' -p12742 -aS'then\tthen\tRB\tI-NP\tO' -p12743 -aS'a\ta\tDT\tB-NP\tO' -p12744 -aS'right\tright\tJJ\tI-NP\tO' -p12745 -aS'chest\tchest\tNN\tI-NP\tO' -p12746 -aS'tube\ttube\tNN\tI-NP\tO' -p12747 -aS'placed\tplace\tVBN\tB-VP\tO' -p12748 -aS'ultimately\tultimately\tRB\tB-ADVP\tO' -p12749 -aS'for\tfor\tIN\tB-PP\tO' -p12750 -aS'fluid\tfluid\tNN\tB-NP\tO' -p12751 -aS'.\t.\t.\tO\tO' -p12752 -asS'The night prior to admission , he was found by his wife on the bathroom floor in a pool of urine , unresponsive without any body movements , post-ictal state .' -p12753 -(lp12754 -S'The\tThe\tDT\tB-NP\tO' -p12755 -aS'night\tnight\tNN\tI-NP\tO' -p12756 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p12757 -aS'to\tto\tTO\tB-PP\tO' -p12758 -aS'admission\tadmission\tNN\tB-NP\tO' -p12759 -aS',\t,\t,\tO\tO' -p12760 -aS'he\the\tPRP\tB-NP\tO' -p12761 -aS'was\tbe\tVBD\tB-VP\tO' -p12762 -aS'found\tfind\tVBN\tI-VP\tO' -p12763 -aS'by\tby\tIN\tB-PP\tO' -p12764 -aS'his\this\tPRP$\tB-NP\tO' -p12765 -aS'wife\twife\tNN\tI-NP\tO' -p12766 -aS'on\ton\tIN\tB-PP\tO' -p12767 -aS'the\tthe\tDT\tB-NP\tO' -p12768 -aS'bathroom\tbathroom\tNN\tI-NP\tO' -p12769 -aS'floor\tfloor\tNN\tI-NP\tO' -p12770 -aS'in\tin\tIN\tB-PP\tO' -p12771 -aS'a\ta\tDT\tB-NP\tO' -p12772 -aS'pool\tpool\tNN\tI-NP\tO' -p12773 -aS'of\tof\tIN\tB-PP\tO' -p12774 -aS'urine\turine\tNN\tB-NP\tO' -p12775 -aS',\t,\t,\tO\tO' -p12776 -aS'unresponsive\tunresponsive\tJJ\tB-ADJP\tO' -p12777 -aS'without\twithout\tIN\tB-PP\tO' -p12778 -aS'any\tany\tDT\tB-NP\tO' -p12779 -aS'body\tbody\tNN\tI-NP\tO' -p12780 -aS'movements\tmovement\tNNS\tI-NP\tO' -p12781 -aS',\t,\t,\tO\tO' -p12782 -aS'post-ictal\tpost-ictal\tJJ\tB-NP\tO' -p12783 -aS'state\tstate\tNN\tI-NP\tO' -p12784 -aS'.\t.\t.\tO\tO' -p12785 -asS'The first sound was normal .' -p12786 -(lp12787 -S'The\tThe\tDT\tB-NP\tO' -p12788 -aS'first\tfirst\tJJ\tI-NP\tO' -p12789 -aS'sound\tsound\tNN\tI-NP\tO' -p12790 -aS'was\tbe\tVBD\tB-VP\tO' -p12791 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p12792 -aS'.\t.\t.\tO\tO' -p12793 -asS'Further ROS reveals mild SOB in the days preceding admission , but he tells me that he was surprised to find out about his low oxygen saturation because he did not feel that bad .' -p12794 -(lp12795 -S'Further\tFurther\tJJ\tB-NP\tO' -p12796 -aS'ROS\tROS\tNN\tI-NP\tO' -p12797 -aS'reveals\treveal\tVBZ\tB-VP\tO' -p12798 -aS'mild\tmild\tJJ\tB-NP\tB-protein' -p12799 -aS'SOB\tSOB\tNN\tI-NP\tI-protein' -p12800 -aS'in\tin\tIN\tB-PP\tO' -p12801 -aS'the\tthe\tDT\tB-NP\tO' -p12802 -aS'days\tday\tNNS\tI-NP\tO' -p12803 -aS'preceding\tprecede\tVBG\tB-VP\tO' -p12804 -aS'admission\tadmission\tNN\tB-NP\tO' -p12805 -aS',\t,\t,\tO\tO' -p12806 -aS'but\tbut\tCC\tO\tO' -p12807 -aS'he\the\tPRP\tB-NP\tO' -p12808 -aS'tells\ttell\tVBZ\tB-VP\tO' -p12809 -aS'me\tme\tPRP\tB-NP\tO' -p12810 -aS'that\tthat\tIN\tB-SBAR\tO' -p12811 -aS'he\the\tPRP\tB-NP\tO' -p12812 -aS'was\tbe\tVBD\tB-VP\tO' -p12813 -aS'surprised\tsurprise\tVBN\tI-VP\tO' -p12814 -aS'to\tto\tTO\tI-VP\tO' -p12815 -aS'find\tfind\tVB\tI-VP\tO' -p12816 -aS'out\tout\tRP\tB-PRT\tO' -p12817 -aS'about\tabout\tIN\tB-PP\tO' -p12818 -aS'his\this\tPRP$\tB-NP\tO' -p12819 -aS'low\tlow\tJJ\tI-NP\tO' -p12820 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p12821 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p12822 -aS'because\tbecause\tIN\tB-SBAR\tO' -p12823 -aS'he\the\tPRP\tB-NP\tO' -p12824 -aS'did\tdo\tVBD\tB-VP\tO' -p12825 -aS'not\tnot\tRB\tI-VP\tO' -p12826 -aS'feel\tfeel\tVB\tI-VP\tO' -p12827 -aS'that\tthat\tIN\tB-NP\tO' -p12828 -aS'bad\tbad\tJJ\tB-ADJP\tO' -p12829 -aS'.\t.\t.\tO\tO' -p12830 -asS'2. Type 2 diabetes .' -p12831 -(lp12832 -S'2.\t2.\tLS\tB-NP\tO' -p12833 -aS'Type\tType\tNN\tI-NP\tO' -p12834 -aS'2\t2\tCD\tB-NP\tO' -p12835 -aS'diabetes\tdiabete\tNNS\tI-NP\tO' -p12836 -aS'.\t.\t.\tO\tO' -p12837 -asS'He had oxygen saturations of 99% with an Fi02 of 40% and had no complaints .' -p12838 -(lp12839 -S'He\tHe\tPRP\tB-NP\tO' -p12840 -aS'had\thave\tVBD\tB-VP\tO' -p12841 -aS'oxygen\toxygen\tNN\tB-NP\tO' -p12842 -aS'saturations\tsaturation\tNNS\tI-NP\tO' -p12843 -aS'of\tof\tIN\tB-PP\tO' -p12844 -aS'99%\t99%\tCD\tB-NP\tO' -p12845 -aS'with\twith\tIN\tB-PP\tO' -p12846 -aS'an\tan\tDT\tB-NP\tO' -p12847 -aS'Fi02\tFi02\tNN\tI-NP\tO' -p12848 -aS'of\tof\tIN\tB-PP\tO' -p12849 -aS'40%\t40%\tNN\tB-NP\tO' -p12850 -aS'and\tand\tCC\tO\tO' -p12851 -aS'had\thave\tVBD\tB-VP\tO' -p12852 -aS'no\tno\tDT\tB-NP\tO' -p12853 -aS'complaints\tcomplaint\tNNS\tI-NP\tO' -p12854 -aS'.\t.\t.\tO\tO' -p12855 -asS'The remainder of his preoperative course was benign .' -p12856 -(lp12857 -S'The\tThe\tDT\tB-NP\tO' -p12858 -aS'remainder\tremainder\tNN\tI-NP\tO' -p12859 -aS'of\tof\tIN\tB-PP\tO' -p12860 -aS'his\this\tPRP$\tB-NP\tO' -p12861 -aS'preoperative\tpreoperative\tJJ\tI-NP\tO' -p12862 -aS'course\tcourse\tNN\tI-NP\tO' -p12863 -aS'was\tbe\tVBD\tB-VP\tO' -p12864 -aS'benign\tbenign\tJJ\tB-ADJP\tO' -p12865 -aS'.\t.\t.\tO\tO' -p12866 -asS'She was weaned down until she was maintaining her oxygen saturation above 90% on 6L by nasal cannuala .' -p12867 -(lp12868 -S'She\tShe\tPRP\tB-NP\tO' -p12869 -aS'was\tbe\tVBD\tB-VP\tO' -p12870 -aS'weaned\twean\tVBN\tI-VP\tO' -p12871 -aS'down\tdown\tRP\tB-PRT\tO' -p12872 -aS'until\tuntil\tIN\tB-SBAR\tO' -p12873 -aS'she\tshe\tPRP\tB-NP\tO' -p12874 -aS'was\tbe\tVBD\tB-VP\tO' -p12875 -aS'maintaining\tmaintain\tVBG\tI-VP\tO' -p12876 -aS'her\ther\tPRP$\tB-NP\tO' -p12877 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p12878 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p12879 -aS'above\tabove\tIN\tB-PP\tO' -p12880 -aS'90%\t90%\tNN\tB-NP\tO' -p12881 -aS'on\ton\tIN\tB-PP\tO' -p12882 -aS'6L\t6L\tNN\tB-NP\tO' -p12883 -aS'by\tby\tIN\tB-PP\tO' -p12884 -aS'nasal\tnasal\tJJ\tB-NP\tO' -p12885 -aS'cannuala\tcannuala\tNN\tI-NP\tO' -p12886 -aS'.\t.\t.\tO\tO' -p12887 -asS'The patient presented to the outside hospital Emergency Room where she was started on Aspirin , Lovenox and beta blocker .' -p12888 -(lp12889 -S'The\tThe\tDT\tB-NP\tO' -p12890 -aS'patient\tpatient\tNN\tI-NP\tO' -p12891 -aS'presented\tpresent\tVBN\tB-VP\tO' -p12892 -aS'to\tto\tTO\tB-PP\tO' -p12893 -aS'the\tthe\tDT\tB-NP\tO' -p12894 -aS'outside\toutside\tJJ\tI-NP\tO' -p12895 -aS'hospital\thospital\tNN\tI-NP\tO' -p12896 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p12897 -aS'Room\tRoom\tNNP\tI-NP\tO' -p12898 -aS'where\twhere\tWRB\tB-ADVP\tO' -p12899 -aS'she\tshe\tPRP\tB-NP\tO' -p12900 -aS'was\tbe\tVBD\tB-VP\tO' -p12901 -aS'started\tstart\tVBN\tI-VP\tO' -p12902 -aS'on\ton\tIN\tB-PP\tO' -p12903 -aS'Aspirin\tAspirin\tNN\tB-NP\tO' -p12904 -aS',\t,\t,\tO\tO' -p12905 -aS'Lovenox\tLovenox\tNN\tB-NP\tO' -p12906 -aS'and\tand\tCC\tO\tO' -p12907 -aS'beta\tbeta\tNN\tB-NP\tO' -p12908 -aS'blocker\tblocker\tNN\tI-NP\tO' -p12909 -aS'.\t.\t.\tO\tO' -p12910 -asS'This 85 year old man was admitted because of the new onset of focal left-sided seizure and unresponsiveness .' -p12911 -(lp12912 -S'This\tThis\tDT\tB-NP\tO' -p12913 -aS'85\t85\tCD\tI-NP\tO' -p12914 -aS'year\tyear\tNN\tI-NP\tO' -p12915 -aS'old\told\tJJ\tI-NP\tO' -p12916 -aS'man\tman\tNN\tI-NP\tO' -p12917 -aS'was\tbe\tVBD\tB-VP\tO' -p12918 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p12919 -aS'because\tbecause\tRB\tB-PP\tO' -p12920 -aS'of\tof\tIN\tI-PP\tO' -p12921 -aS'the\tthe\tDT\tB-NP\tO' -p12922 -aS'new\tnew\tJJ\tI-NP\tO' -p12923 -aS'onset\tonset\tNN\tI-NP\tO' -p12924 -aS'of\tof\tIN\tB-PP\tO' -p12925 -aS'focal\tfocal\tJJ\tB-NP\tO' -p12926 -aS'left-sided\tleft-sided\tJJ\tI-NP\tO' -p12927 -aS'seizure\tseizure\tNN\tI-NP\tO' -p12928 -aS'and\tand\tCC\tI-NP\tO' -p12929 -aS'unresponsiveness\tunresponsiveness\tNN\tI-NP\tO' -p12930 -aS'.\t.\t.\tO\tO' -p12931 -asS'She continued to improve steadily over the next several days without any other post-op' -p12932 -(lp12933 -S'She\tShe\tPRP\tB-NP\tO' -p12934 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p12935 -aS'to\tto\tTO\tI-VP\tO' -p12936 -aS'improve\timprove\tVB\tI-VP\tO' -p12937 -aS'steadily\tsteadily\tRB\tB-ADVP\tO' -p12938 -aS'over\tover\tIN\tB-PP\tO' -p12939 -aS'the\tthe\tDT\tB-NP\tO' -p12940 -aS'next\tnext\tJJ\tI-NP\tO' -p12941 -aS'several\tseveral\tJJ\tI-NP\tO' -p12942 -aS'days\tday\tNNS\tI-NP\tO' -p12943 -aS'without\twithout\tIN\tB-PP\tO' -p12944 -aS'any\tany\tDT\tB-NP\tO' -p12945 -aS'other\tother\tJJ\tI-NP\tO' -p12946 -aS'post-op\tpost-op\tJJ\tI-NP\tO' -p12947 -asS'pain .' -p12948 -(lp12949 -S'pain\tpain\tNN\tB-NP\tO' -p12950 -aS'.\t.\t.\tO\tO' -p12951 -asS"On 2017-03-03 , a family meeting resulted in the patient 's code being changed to comfort measures only ." -p12952 -(lp12953 -S'On\tOn\tIN\tB-PP\tO' -p12954 -aS'2017-03-03\t2017-03-03\tCD\tB-NP\tO' -p12955 -aS',\t,\t,\tO\tO' -p12956 -aS'a\ta\tDT\tB-NP\tO' -p12957 -aS'family\tfamily\tNN\tI-NP\tO' -p12958 -aS'meeting\tmeeting\tNN\tI-NP\tO' -p12959 -aS'resulted\tresult\tVBD\tB-VP\tO' -p12960 -aS'in\tin\tIN\tB-PP\tO' -p12961 -aS'the\tthe\tDT\tB-NP\tO' -p12962 -aS'patient\tpatient\tNN\tI-NP\tO' -p12963 -aS"'s\t's\tPOS\tB-NP\tO" -p12964 -aS'code\tcode\tNN\tI-NP\tO' -p12965 -aS'being\tbe\tVBG\tB-VP\tO' -p12966 -aS'changed\tchange\tVBN\tI-VP\tO' -p12967 -aS'to\tto\tTO\tB-VP\tO' -p12968 -aS'comfort\tcomfort\tVB\tI-VP\tO' -p12969 -aS'measures\tmeasure\tNNS\tB-NP\tO' -p12970 -aS'only\tonly\tRB\tB-ADVP\tO' -p12971 -aS'.\t.\t.\tO\tO' -p12972 -asS'Pain was controlled with tylenol and the pt was reassured .' -p12973 -(lp12974 -S'Pain\tPain\tNN\tB-NP\tB-protein' -p12975 -aS'was\tbe\tVBD\tB-VP\tO' -p12976 -aS'controlled\tcontrol\tVBN\tI-VP\tO' -p12977 -aS'with\twith\tIN\tB-PP\tO' -p12978 -aS'tylenol\ttylenol\tNN\tB-NP\tO' -p12979 -aS'and\tand\tCC\tO\tO' -p12980 -aS'the\tthe\tDT\tB-NP\tO' -p12981 -aS'pt\tpt\tNN\tI-NP\tO' -p12982 -aS'was\tbe\tVBD\tB-VP\tO' -p12983 -aS'reassured\treassure\tVBN\tI-VP\tO' -p12984 -aS'.\t.\t.\tO\tO' -p12985 -asS'2. F/U with primary pediatricians in 3-4 days or earlier as needed .' -p12986 -(lp12987 -S'2.\t2.\tLS\tB-NP\tO' -p12988 -aS'F/U\tF/U\tNN\tI-NP\tO' -p12989 -aS'with\twith\tIN\tB-PP\tO' -p12990 -aS'primary\tprimary\tJJ\tB-NP\tO' -p12991 -aS'pediatricians\tpediatrician\tNNS\tI-NP\tO' -p12992 -aS'in\tin\tIN\tB-PP\tO' -p12993 -aS'3-4\t3-4\tCD\tB-NP\tO' -p12994 -aS'days\tday\tNNS\tI-NP\tO' -p12995 -aS'or\tor\tCC\tO\tO' -p12996 -aS'earlier\tearlier\tRBR\tB-ADVP\tO' -p12997 -aS'as\tas\tIN\tB-SBAR\tO' -p12998 -aS'needed\tneed\tVBN\tB-VP\tO' -p12999 -aS'.\t.\t.\tO\tO' -p13000 -asS'The neck was supple without JVD .' -p13001 -(lp13002 -S'The\tThe\tDT\tB-NP\tO' -p13003 -aS'neck\tneck\tNN\tI-NP\tO' -p13004 -aS'was\tbe\tVBD\tB-VP\tO' -p13005 -aS'supple\tsupple\tNN\tB-NP\tO' -p13006 -aS'without\twithout\tIN\tB-PP\tO' -p13007 -aS'JVD\tJVD\tNN\tB-NP\tB-protein' -p13008 -aS'.\t.\t.\tO\tO' -p13009 -asS'Renal ultrasound was scheduled during the Intensive Care Unit stay .' -p13010 -(lp13011 -S'Renal\tRenal\tJJ\tB-NP\tO' -p13012 -aS'ultrasound\tultrasound\tNN\tI-NP\tO' -p13013 -aS'was\tbe\tVBD\tB-VP\tO' -p13014 -aS'scheduled\tschedule\tVBN\tI-VP\tO' -p13015 -aS'during\tduring\tIN\tB-PP\tO' -p13016 -aS'the\tthe\tDT\tB-NP\tO' -p13017 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p13018 -aS'Care\tCare\tNNP\tI-NP\tO' -p13019 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p13020 -aS'stay\tstay\tNN\tI-NP\tO' -p13021 -aS'.\t.\t.\tO\tO' -p13022 -asS'The patient also suffered a hypotensive episode while in the endoscopy suite for her EGD on 11/17/04 .' -p13023 -(lp13024 -S'The\tThe\tDT\tB-NP\tO' -p13025 -aS'patient\tpatient\tNN\tI-NP\tO' -p13026 -aS'also\talso\tRB\tB-ADVP\tO' -p13027 -aS'suffered\tsuffer\tVBD\tB-VP\tO' -p13028 -aS'a\ta\tDT\tB-NP\tO' -p13029 -aS'hypotensive\thypotensive\tJJ\tI-NP\tO' -p13030 -aS'episode\tepisode\tNN\tI-NP\tO' -p13031 -aS'while\twhile\tIN\tB-SBAR\tO' -p13032 -aS'in\tin\tIN\tB-PP\tO' -p13033 -aS'the\tthe\tDT\tB-NP\tO' -p13034 -aS'endoscopy\tendoscopy\tNN\tI-NP\tO' -p13035 -aS'suite\tsuite\tNN\tI-NP\tO' -p13036 -aS'for\tfor\tIN\tB-PP\tO' -p13037 -aS'her\ther\tPRP$\tB-NP\tO' -p13038 -aS'EGD\tEGD\tNN\tI-NP\tB-protein' -p13039 -aS'on\ton\tIN\tB-PP\tO' -p13040 -aS'11/17/04\t11/17/04\tCD\tB-NP\tO' -p13041 -aS'.\t.\t.\tO\tO' -p13042 -asS'He also became increasingly confused .' -p13043 -(lp13044 -S'He\tHe\tPRP\tB-NP\tO' -p13045 -aS'also\talso\tRB\tB-ADVP\tO' -p13046 -aS'became\tbecome\tVBD\tB-VP\tO' -p13047 -aS'increasingly\tincreasingly\tRB\tB-ADJP\tO' -p13048 -aS'confused\tconfuse\tVBN\tI-ADJP\tO' -p13049 -aS'.\t.\t.\tO\tO' -p13050 -asS'He denied any history of similar symptoms in the past and has had no prior history of angina or myocardial infarction .' -p13051 -(lp13052 -S'He\tHe\tPRP\tB-NP\tO' -p13053 -aS'denied\tdeny\tVBD\tB-VP\tO' -p13054 -aS'any\tany\tDT\tB-NP\tO' -p13055 -aS'history\thistory\tNN\tI-NP\tO' -p13056 -aS'of\tof\tIN\tB-PP\tO' -p13057 -aS'similar\tsimilar\tJJ\tB-NP\tO' -p13058 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p13059 -aS'in\tin\tIN\tB-PP\tO' -p13060 -aS'the\tthe\tDT\tB-NP\tO' -p13061 -aS'past\tpast\tNN\tI-NP\tO' -p13062 -aS'and\tand\tCC\tO\tO' -p13063 -aS'has\thave\tVBZ\tB-VP\tO' -p13064 -aS'had\thave\tVBN\tI-VP\tO' -p13065 -aS'no\tno\tDT\tB-NP\tO' -p13066 -aS'prior\tprior\tJJ\tI-NP\tO' -p13067 -aS'history\thistory\tNN\tI-NP\tO' -p13068 -aS'of\tof\tIN\tB-PP\tO' -p13069 -aS'angina\tangina\tNN\tB-NP\tO' -p13070 -aS'or\tor\tCC\tO\tO' -p13071 -aS'myocardial\tmyocardial\tJJ\tB-NP\tO' -p13072 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p13073 -aS'.\t.\t.\tO\tO' -p13074 -asS'2. Gallbladder polyp and possible tiny stones .' -p13075 -(lp13076 -S'2.\t2.\tLS\tB-NP\tO' -p13077 -aS'Gallbladder\tGallbladder\tNN\tI-NP\tO' -p13078 -aS'polyp\tpolyp\tNN\tI-NP\tO' -p13079 -aS'and\tand\tCC\tO\tO' -p13080 -aS'possible\tpossible\tJJ\tB-NP\tO' -p13081 -aS'tiny\ttiny\tJJ\tI-NP\tO' -p13082 -aS'stones\tstone\tNNS\tI-NP\tO' -p13083 -aS'.\t.\t.\tO\tO' -p13084 -asS'Eventually , as the patient remained hemodynamically stable , his airway remained stable , and he was tolerating PO s, he was transitioned to the floor where he remained otherwise stable and asymptomatic .' -p13085 -(lp13086 -S'Eventually\tEventually\tRB\tB-ADVP\tO' -p13087 -aS',\t,\t,\tO\tO' -p13088 -aS'as\tas\tIN\tB-SBAR\tO' -p13089 -aS'the\tthe\tDT\tB-NP\tO' -p13090 -aS'patient\tpatient\tNN\tI-NP\tO' -p13091 -aS'remained\tremain\tVBD\tB-VP\tO' -p13092 -aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' -p13093 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p13094 -aS',\t,\t,\tO\tO' -p13095 -aS'his\this\tPRP$\tB-NP\tO' -p13096 -aS'airway\tairway\tNN\tI-NP\tO' -p13097 -aS'remained\tremain\tVBD\tB-VP\tO' -p13098 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p13099 -aS',\t,\t,\tO\tO' -p13100 -aS'and\tand\tCC\tO\tO' -p13101 -aS'he\the\tPRP\tB-NP\tO' -p13102 -aS'was\tbe\tVBD\tB-VP\tO' -p13103 -aS'tolerating\ttolerate\tVBG\tI-VP\tO' -p13104 -aS'PO\tPO\tNN\tB-NP\tB-protein' -p13105 -aS's,\ts,\tNN\tI-NP\tI-protein' -p13106 -aS'he\the\tPRP\tB-NP\tO' -p13107 -aS'was\tbe\tVBD\tB-VP\tO' -p13108 -aS'transitioned\ttransitione\tVBN\tI-VP\tO' -p13109 -aS'to\tto\tTO\tB-PP\tO' -p13110 -aS'the\tthe\tDT\tB-NP\tO' -p13111 -aS'floor\tfloor\tNN\tI-NP\tO' -p13112 -aS'where\twhere\tWRB\tB-ADVP\tO' -p13113 -aS'he\the\tPRP\tB-NP\tO' -p13114 -aS'remained\tremain\tVBD\tB-VP\tO' -p13115 -aS'otherwise\totherwise\tRB\tB-ADJP\tO' -p13116 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p13117 -aS'and\tand\tCC\tI-ADJP\tO' -p13118 -aS'asymptomatic\tasymptomatic\tJJ\tI-ADJP\tO' -p13119 -aS'.\t.\t.\tO\tO' -p13120 -asS'Patient had a history of fibroids during this hospitalization .' -p13121 -(lp13122 -S'Patient\tPatient\tNN\tB-NP\tO' -p13123 -aS'had\thave\tVBD\tB-VP\tO' -p13124 -aS'a\ta\tDT\tB-NP\tO' -p13125 -aS'history\thistory\tNN\tI-NP\tO' -p13126 -aS'of\tof\tIN\tB-PP\tO' -p13127 -aS'fibroids\tfibroid\tNNS\tB-NP\tO' -p13128 -aS'during\tduring\tIN\tB-PP\tO' -p13129 -aS'this\tthis\tDT\tB-NP\tO' -p13130 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p13131 -aS'.\t.\t.\tO\tO' -p13132 -asS'A guaiac positive stool was also noted in the month of July .' -p13133 -(lp13134 -S'A\tA\tDT\tB-NP\tO' -p13135 -aS'guaiac\tguaiac\tJJ\tI-NP\tO' -p13136 -aS'positive\tpositive\tJJ\tI-NP\tO' -p13137 -aS'stool\tstool\tNN\tI-NP\tO' -p13138 -aS'was\tbe\tVBD\tB-VP\tO' -p13139 -aS'also\talso\tRB\tI-VP\tO' -p13140 -aS'noted\tnote\tVBN\tI-VP\tO' -p13141 -aS'in\tin\tIN\tB-PP\tO' -p13142 -aS'the\tthe\tDT\tB-NP\tO' -p13143 -aS'month\tmonth\tNN\tI-NP\tO' -p13144 -aS'of\tof\tIN\tB-PP\tO' -p13145 -aS'July\tJuly\tNNP\tB-NP\tO' -p13146 -aS'.\t.\t.\tO\tO' -p13147 -asS'13) h/o amputation of right 2nd toe secondary to osteomyelitis in 2005' -p13148 -(lp13149 -S'13)\t13)\tLS\tB-NP\tO' -p13150 -aS'h/o\th/o\tNN\tI-NP\tO' -p13151 -aS'amputation\tamputation\tNN\tI-NP\tO' -p13152 -aS'of\tof\tIN\tB-PP\tO' -p13153 -aS'right\tright\tJJ\tB-NP\tO' -p13154 -aS'2nd\t2nd\tJJ\tI-NP\tO' -p13155 -aS'toe\ttoe\tNN\tI-NP\tO' -p13156 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p13157 -aS'to\tto\tTO\tB-PP\tO' -p13158 -aS'osteomyelitis\tosteomyelitis\tNN\tB-NP\tO' -p13159 -aS'in\tin\tIN\tB-PP\tO' -p13160 -aS'2005\t2005\tCD\tB-NP\tO' -p13161 -asS'She was asymptomatic , and her EKG was within normal limits .' -p13162 -(lp13163 -S'She\tShe\tPRP\tB-NP\tO' -p13164 -aS'was\tbe\tVBD\tB-VP\tO' -p13165 -aS'asymptomatic\tasymptomatic\tJJ\tB-ADJP\tO' -p13166 -aS',\t,\t,\tO\tO' -p13167 -aS'and\tand\tCC\tO\tO' -p13168 -aS'her\ther\tPRP$\tB-NP\tO' -p13169 -aS'EKG\tEKG\tNN\tI-NP\tB-protein' -p13170 -aS'was\tbe\tVBD\tB-VP\tO' -p13171 -aS'within\twithin\tIN\tB-PP\tO' -p13172 -aS'normal\tnormal\tJJ\tB-NP\tO' -p13173 -aS'limits\tlimit\tNNS\tI-NP\tO' -p13174 -aS'.\t.\t.\tO\tO' -p13175 -asS'Portable chest on 2/23/00 - Lungs were clear .' -p13176 -(lp13177 -S'Portable\tPortable\tJJ\tB-NP\tO' -p13178 -aS'chest\tchest\tNN\tI-NP\tO' -p13179 -aS'on\ton\tIN\tB-PP\tO' -p13180 -aS'2/23/00\t2/23/00\tCD\tB-NP\tO' -p13181 -aS'-\t-\tHYPH\tI-NP\tO' -p13182 -aS'Lungs\tLung\tNNS\tI-NP\tO' -p13183 -aS'were\tbe\tVBD\tB-VP\tO' -p13184 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p13185 -aS'.\t.\t.\tO\tO' -p13186 -asS'This episode happened three times that night and finally on the fourth re-awakening , the patient presented to the Emergency Department at Springfield and was transferred to the Faulkner Hospital for coronary revascularization .' -p13187 -(lp13188 -S'This\tThis\tDT\tB-NP\tO' -p13189 -aS'episode\tepisode\tNN\tI-NP\tO' -p13190 -aS'happened\thappen\tVBD\tB-VP\tO' -p13191 -aS'three\tthree\tCD\tB-NP\tO' -p13192 -aS'times\ttime\tNNS\tI-NP\tO' -p13193 -aS'that\tthat\tIN\tB-NP\tO' -p13194 -aS'night\tnight\tNN\tB-NP\tO' -p13195 -aS'and\tand\tCC\tB-PP\tO' -p13196 -aS'finally\tfinally\tRB\tB-ADVP\tO' -p13197 -aS'on\ton\tIN\tB-PP\tO' -p13198 -aS'the\tthe\tDT\tB-NP\tO' -p13199 -aS'fourth\tfourth\tJJ\tI-NP\tO' -p13200 -aS're-awakening\tre-awakening\tNN\tI-NP\tO' -p13201 -aS',\t,\t,\tO\tO' -p13202 -aS'the\tthe\tDT\tB-NP\tO' -p13203 -aS'patient\tpatient\tNN\tI-NP\tO' -p13204 -aS'presented\tpresent\tVBN\tB-VP\tO' -p13205 -aS'to\tto\tTO\tB-PP\tO' -p13206 -aS'the\tthe\tDT\tB-NP\tO' -p13207 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p13208 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p13209 -aS'at\tat\tIN\tB-PP\tO' -p13210 -aS'Springfield\tSpringfield\tNNP\tB-NP\tO' -p13211 -aS'and\tand\tCC\tO\tO' -p13212 -aS'was\tbe\tVBD\tB-VP\tO' -p13213 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p13214 -aS'to\tto\tTO\tB-PP\tO' -p13215 -aS'the\tthe\tDT\tB-NP\tO' -p13216 -aS'Faulkner\tFaulkner\tNNP\tI-NP\tO' -p13217 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p13218 -aS'for\tfor\tIN\tB-PP\tO' -p13219 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p13220 -aS'revascularization\trevascularization\tNN\tI-NP\tO' -p13221 -aS'.\t.\t.\tO\tO' -p13222 -asS'The patient had back pain on admission without any focal neurological signs .' -p13223 -(lp13224 -S'The\tThe\tDT\tB-NP\tO' -p13225 -aS'patient\tpatient\tNN\tI-NP\tO' -p13226 -aS'had\thave\tVBD\tB-VP\tO' -p13227 -aS'back\tback\tJJ\tB-NP\tO' -p13228 -aS'pain\tpain\tNN\tI-NP\tO' -p13229 -aS'on\ton\tIN\tB-PP\tO' -p13230 -aS'admission\tadmission\tNN\tB-NP\tO' -p13231 -aS'without\twithout\tIN\tB-PP\tO' -p13232 -aS'any\tany\tDT\tB-NP\tO' -p13233 -aS'focal\tfocal\tJJ\tI-NP\tO' -p13234 -aS'neurological\tneurological\tJJ\tI-NP\tO' -p13235 -aS'signs\tsign\tNNS\tI-NP\tO' -p13236 -aS'.\t.\t.\tO\tO' -p13237 -asS'The patient has had gastric ulcer repair and also has a colostomy .' -p13238 -(lp13239 -S'The\tThe\tDT\tB-NP\tO' -p13240 -aS'patient\tpatient\tNN\tI-NP\tO' -p13241 -aS'has\thave\tVBZ\tB-VP\tO' -p13242 -aS'had\thave\tVBN\tI-VP\tO' -p13243 -aS'gastric\tgastric\tJJ\tB-NP\tO' -p13244 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p13245 -aS'repair\trepair\tNN\tI-NP\tO' -p13246 -aS'and\tand\tCC\tO\tO' -p13247 -aS'also\talso\tRB\tB-VP\tO' -p13248 -aS'has\thave\tVBZ\tI-VP\tO' -p13249 -aS'a\ta\tDT\tB-NP\tO' -p13250 -aS'colostomy\tcolostomy\tNN\tI-NP\tO' -p13251 -aS'.\t.\t.\tO\tO' -p13252 -asS'She was sent to New England Sinai Hospital & Rehab Center for an endoscopic retrograde cholangiopancreatography and possible stent placement .' -p13253 -(lp13254 -S'She\tShe\tPRP\tB-NP\tO' -p13255 -aS'was\tbe\tVBD\tB-VP\tO' -p13256 -aS'sent\tsend\tVBN\tI-VP\tO' -p13257 -aS'to\tto\tTO\tB-PP\tO' -p13258 -aS'New\tNew\tNNP\tB-NP\tO' -p13259 -aS'England\tEngland\tNNP\tI-NP\tO' -p13260 -aS'Sinai\tSinai\tNNP\tI-NP\tO' -p13261 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p13262 -aS'&\t&\tCC\tI-NP\tO' -p13263 -aS'Rehab\tRehab\tNNP\tI-NP\tO' -p13264 -aS'Center\tCenter\tNNP\tI-NP\tO' -p13265 -aS'for\tfor\tIN\tB-PP\tO' -p13266 -aS'an\tan\tDT\tB-NP\tO' -p13267 -aS'endoscopic\tendoscopic\tJJ\tI-NP\tO' -p13268 -aS'retrograde\tretrograde\tJJ\tI-NP\tO' -p13269 -aS'cholangiopancreatography\tcholangiopancreatography\tNN\tI-NP\tO' -p13270 -aS'and\tand\tCC\tO\tO' -p13271 -aS'possible\tpossible\tJJ\tB-NP\tO' -p13272 -aS'stent\tstent\tJJ\tI-NP\tO' -p13273 -aS'placement\tplacement\tNN\tI-NP\tO' -p13274 -aS'.\t.\t.\tO\tO' -p13275 -asS'The patient is a 45 - year-old female here for a diagnostic cerebral angiogram with coiling .' -p13276 -(lp13277 -S'The\tThe\tDT\tB-NP\tO' -p13278 -aS'patient\tpatient\tNN\tI-NP\tO' -p13279 -aS'is\tbe\tVBZ\tB-VP\tO' -p13280 -aS'a\ta\tDT\tB-NP\tO' -p13281 -aS'45\t45\tCD\tI-NP\tO' -p13282 -aS'-\t-\tHYPH\tI-NP\tO' -p13283 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p13284 -aS'female\tfemale\tNN\tI-NP\tO' -p13285 -aS'here\there\tRB\tB-ADVP\tO' -p13286 -aS'for\tfor\tIN\tB-PP\tO' -p13287 -aS'a\ta\tDT\tB-NP\tO' -p13288 -aS'diagnostic\tdiagnostic\tJJ\tI-NP\tO' -p13289 -aS'cerebral\tcerebral\tJJ\tI-NP\tO' -p13290 -aS'angiogram\tangiogram\tNN\tI-NP\tO' -p13291 -aS'with\twith\tIN\tB-PP\tO' -p13292 -aS'coiling\tcoil\tVBG\tB-NP\tO' -p13293 -aS'.\t.\t.\tO\tO' -p13294 -asS'Normal axis .' -p13295 -(lp13296 -S'Normal\tNormal\tJJ\tB-NP\tO' -p13297 -aS'axis\taxis\tNN\tI-NP\tO' -p13298 -aS'.\t.\t.\tO\tO' -p13299 -asS'Please take an over the counter stool softener such as Colace or a gentle laxative such as Milk of Magnesia if you experience constipation .' -p13300 -(lp13301 -S'Please\tPlease\tVB\tB-VP\tO' -p13302 -aS'take\ttake\tVB\tI-VP\tO' -p13303 -aS'an\tan\tDT\tB-NP\tO' -p13304 -aS'over\tover\tIN\tB-PP\tO' -p13305 -aS'the\tthe\tDT\tB-NP\tO' -p13306 -aS'counter\tcounter\tNN\tI-NP\tO' -p13307 -aS'stool\tstool\tNN\tI-NP\tO' -p13308 -aS'softener\tsoftener\tNN\tI-NP\tO' -p13309 -aS'such\tsuch\tJJ\tB-PP\tO' -p13310 -aS'as\tas\tIN\tI-PP\tO' -p13311 -aS'Colace\tColace\tNNP\tB-NP\tO' -p13312 -aS'or\tor\tCC\tO\tO' -p13313 -aS'a\ta\tDT\tB-NP\tO' -p13314 -aS'gentle\tgentle\tJJ\tI-NP\tO' -p13315 -aS'laxative\tlaxative\tNN\tI-NP\tO' -p13316 -aS'such\tsuch\tJJ\tB-PP\tO' -p13317 -aS'as\tas\tIN\tI-PP\tO' -p13318 -aS'Milk\tMilk\tNNP\tB-NP\tO' -p13319 -aS'of\tof\tIN\tB-PP\tO' -p13320 -aS'Magnesia\tMagnesia\tNNP\tB-NP\tO' -p13321 -aS'if\tif\tIN\tB-SBAR\tO' -p13322 -aS'you\tyou\tPRP\tB-NP\tO' -p13323 -aS'experience\texperience\tVBP\tB-VP\tO' -p13324 -aS'constipation\tconstipation\tNN\tB-NP\tO' -p13325 -aS'.\t.\t.\tO\tO' -p13326 -asS'Octreotide was initiated in an attempt to decrease the gastric secretions .' -p13327 -(lp13328 -S'Octreotide\tOctreotide\tNN\tB-NP\tO' -p13329 -aS'was\tbe\tVBD\tB-VP\tO' -p13330 -aS'initiated\tinitiate\tVBN\tI-VP\tO' -p13331 -aS'in\tin\tIN\tB-PP\tO' -p13332 -aS'an\tan\tDT\tB-NP\tO' -p13333 -aS'attempt\tattempt\tNN\tI-NP\tO' -p13334 -aS'to\tto\tTO\tB-VP\tO' -p13335 -aS'decrease\tdecrease\tVB\tI-VP\tO' -p13336 -aS'the\tthe\tDT\tB-NP\tO' -p13337 -aS'gastric\tgastric\tJJ\tI-NP\tO' -p13338 -aS'secretions\tsecretion\tNNS\tI-NP\tO' -p13339 -aS'.\t.\t.\tO\tO' -p13340 -asS'Afebrile , vital signs stable but notable for a blood pressure of 164/80 .' -p13341 -(lp13342 -S'Afebrile\tAfebrile\tRB\tB-ADVP\tO' -p13343 -aS',\t,\t,\tO\tO' -p13344 -aS'vital\tvital\tJJ\tB-NP\tO' -p13345 -aS'signs\tsign\tNNS\tI-NP\tO' -p13346 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p13347 -aS'but\tbut\tCC\tI-ADJP\tO' -p13348 -aS'notable\tnotable\tJJ\tI-ADJP\tO' -p13349 -aS'for\tfor\tIN\tB-PP\tO' -p13350 -aS'a\ta\tDT\tB-NP\tO' -p13351 -aS'blood\tblood\tNN\tI-NP\tO' -p13352 -aS'pressure\tpressure\tNN\tI-NP\tO' -p13353 -aS'of\tof\tIN\tB-PP\tO' -p13354 -aS'164/80\t164/80\tCD\tB-NP\tO' -p13355 -aS'.\t.\t.\tO\tO' -p13356 -asS'The patient was admitted to the Arkzie- Memorial for lumbar puncture .' -p13357 -(lp13358 -S'The\tThe\tDT\tB-NP\tO' -p13359 -aS'patient\tpatient\tNN\tI-NP\tO' -p13360 -aS'was\tbe\tVBD\tB-VP\tO' -p13361 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p13362 -aS'to\tto\tTO\tB-PP\tO' -p13363 -aS'the\tthe\tDT\tB-NP\tO' -p13364 -aS'Arkzie-\tArkzie-\tNNP\tI-NP\tO' -p13365 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p13366 -aS'for\tfor\tIN\tB-PP\tO' -p13367 -aS'lumbar\tlumbar\tJJ\tB-NP\tO' -p13368 -aS'puncture\tpuncture\tNN\tI-NP\tO' -p13369 -aS'.\t.\t.\tO\tO' -p13370 -asS'Carotid non-invasive testing was unremarkable .' -p13371 -(lp13372 -S'Carotid\tCarotid\tJJ\tB-NP\tO' -p13373 -aS'non-invasive\tnon-invasive\tJJ\tI-NP\tO' -p13374 -aS'testing\ttesting\tNN\tI-NP\tO' -p13375 -aS'was\tbe\tVBD\tB-VP\tO' -p13376 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p13377 -aS'.\t.\t.\tO\tO' -p13378 -asS'Showed a 71 year old white female in no acute distress .' -p13379 -(lp13380 -S'Showed\tShow\tVBD\tB-VP\tO' -p13381 -aS'a\ta\tDT\tB-NP\tO' -p13382 -aS'71\t71\tCD\tI-NP\tO' -p13383 -aS'year\tyear\tNN\tI-NP\tO' -p13384 -aS'old\told\tJJ\tI-NP\tO' -p13385 -aS'white\twhite\tJJ\tI-NP\tO' -p13386 -aS'female\tfemale\tNN\tI-NP\tO' -p13387 -aS'in\tin\tIN\tB-PP\tO' -p13388 -aS'no\tno\tDT\tB-NP\tO' -p13389 -aS'acute\tacute\tJJ\tI-NP\tO' -p13390 -aS'distress\tdistress\tNN\tI-NP\tO' -p13391 -aS'.\t.\t.\tO\tO' -p13392 -asS'# CHF - patient does not seem volume overloaded at this time .' -p13393 -(lp13394 -S'#\t#\t#\tB-NP\tO' -p13395 -aS'CHF\tCHF\tNN\tI-NP\tB-protein' -p13396 -aS'-\t-\tHYPH\tO\tO' -p13397 -aS'patient\tpatient\tNN\tB-NP\tO' -p13398 -aS'does\tdo\tVBZ\tB-VP\tO' -p13399 -aS'not\tnot\tRB\tI-VP\tO' -p13400 -aS'seem\tseem\tVB\tI-VP\tO' -p13401 -aS'volume\tvolume\tNN\tB-NP\tO' -p13402 -aS'overloaded\toverload\tVBN\tB-VP\tO' -p13403 -aS'at\tat\tIN\tB-PP\tO' -p13404 -aS'this\tthis\tDT\tB-NP\tO' -p13405 -aS'time\ttime\tNN\tI-NP\tO' -p13406 -aS'.\t.\t.\tO\tO' -p13407 -asS'One drain was removed on postoperative day number two , and the second drain she will be discharged to home with .' -p13408 -(lp13409 -S'One\tOne\tCD\tB-NP\tO' -p13410 -aS'drain\tdrain\tNN\tI-NP\tO' -p13411 -aS'was\tbe\tVBD\tB-VP\tO' -p13412 -aS'removed\tremove\tVBN\tI-VP\tO' -p13413 -aS'on\ton\tIN\tB-PP\tO' -p13414 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p13415 -aS'day\tday\tNN\tI-NP\tO' -p13416 -aS'number\tnumber\tNN\tI-NP\tO' -p13417 -aS'two\ttwo\tCD\tB-NP\tO' -p13418 -aS',\t,\t,\tO\tO' -p13419 -aS'and\tand\tCC\tO\tO' -p13420 -aS'the\tthe\tDT\tB-NP\tO' -p13421 -aS'second\tsecond\tJJ\tI-NP\tO' -p13422 -aS'drain\tdrain\tNN\tI-NP\tO' -p13423 -aS'she\tshe\tPRP\tB-NP\tO' -p13424 -aS'will\twill\tMD\tB-VP\tO' -p13425 -aS'be\tbe\tVB\tI-VP\tO' -p13426 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p13427 -aS'to\tto\tTO\tB-VP\tO' -p13428 -aS'home\thome\tVB\tI-VP\tO' -p13429 -aS'with\twith\tIN\tB-PP\tO' -p13430 -aS'.\t.\t.\tO\tO' -p13431 -asS'Caffeine citrate was initiated on 11-14 for apnea and bradycardia of prematurity .' -p13432 -(lp13433 -S'Caffeine\tCaffeine\tNN\tB-NP\tO' -p13434 -aS'citrate\tcitrate\tNN\tI-NP\tO' -p13435 -aS'was\tbe\tVBD\tB-VP\tO' -p13436 -aS'initiated\tinitiate\tVBN\tI-VP\tO' -p13437 -aS'on\ton\tIN\tB-PP\tO' -p13438 -aS'11-14\t11-14\tNN\tB-NP\tO' -p13439 -aS'for\tfor\tIN\tB-PP\tO' -p13440 -aS'apnea\tapnea\tNN\tB-NP\tO' -p13441 -aS'and\tand\tCC\tI-NP\tO' -p13442 -aS'bradycardia\tbradycardia\tNN\tI-NP\tO' -p13443 -aS'of\tof\tIN\tB-PP\tO' -p13444 -aS'prematurity\tprematurity\tNN\tB-NP\tO' -p13445 -aS'.\t.\t.\tO\tO' -p13446 -asS'Need to follow INR after Keflex is discontinued as expect it will change .' -p13447 -(lp13448 -S'Need\tNeed\tNN\tB-NP\tO' -p13449 -aS'to\tto\tTO\tB-VP\tO' -p13450 -aS'follow\tfollow\tVB\tI-VP\tO' -p13451 -aS'INR\tINR\tNNP\tB-NP\tO' -p13452 -aS'after\tafter\tIN\tB-SBAR\tO' -p13453 -aS'Keflex\tKeflex\tNNP\tB-NP\tO' -p13454 -aS'is\tbe\tVBZ\tB-VP\tO' -p13455 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p13456 -aS'as\tas\tIN\tB-SBAR\tO' -p13457 -aS'expect\texpect\tVBP\tB-VP\tO' -p13458 -aS'it\tit\tPRP\tB-NP\tO' -p13459 -aS'will\twill\tMD\tB-VP\tO' -p13460 -aS'change\tchange\tVB\tI-VP\tO' -p13461 -aS'.\t.\t.\tO\tO' -p13462 -asS'His Hct was stable on 08-09 at 24.4 ; he had plasmapheresis on 08-09 ( followed by 10 mg IVIG ).' -p13463 -(lp13464 -S'His\tHis\tPRP$\tB-NP\tO' -p13465 -aS'Hct\tHct\tNN\tI-NP\tB-protein' -p13466 -aS'was\tbe\tVBD\tB-VP\tO' -p13467 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p13468 -aS'on\ton\tIN\tB-PP\tO' -p13469 -aS'08-09\t08-09\tCD\tB-NP\tO' -p13470 -aS'at\tat\tIN\tB-PP\tO' -p13471 -aS'24.4\t24.4\tCD\tB-NP\tO' -p13472 -aS';\t;\t:\tO\tO' -p13473 -aS'he\the\tPRP\tB-NP\tO' -p13474 -aS'had\thave\tVBD\tB-VP\tO' -p13475 -aS'plasmapheresis\tplasmapheresis\tNN\tB-NP\tO' -p13476 -aS'on\ton\tIN\tB-PP\tO' -p13477 -aS'08-09\t08-09\tCD\tB-NP\tO' -p13478 -aS'(\t(\t(\tO\tO' -p13479 -aS'followed\tfollow\tVBN\tB-VP\tO' -p13480 -aS'by\tby\tIN\tB-PP\tO' -p13481 -aS'10\t10\tCD\tB-NP\tO' -p13482 -aS'mg\tmg\tNN\tI-NP\tO' -p13483 -aS'IVIG\tIVIG\tNNP\tI-NP\tO' -p13484 -aS').\t).\tNNP\tI-NP\tO' -p13485 -asS'The patient is a 37 year old lady with type 1 diabetes mellitus , who is four months postcadaveric kidney transplantation and now has good graft function .' -p13486 -(lp13487 -S'The\tThe\tDT\tB-NP\tO' -p13488 -aS'patient\tpatient\tNN\tI-NP\tO' -p13489 -aS'is\tbe\tVBZ\tB-VP\tO' -p13490 -aS'a\ta\tDT\tB-NP\tO' -p13491 -aS'37\t37\tCD\tI-NP\tO' -p13492 -aS'year\tyear\tNN\tI-NP\tO' -p13493 -aS'old\told\tJJ\tI-NP\tO' -p13494 -aS'lady\tlady\tNN\tI-NP\tO' -p13495 -aS'with\twith\tIN\tB-PP\tO' -p13496 -aS'type\ttype\tNN\tB-NP\tO' -p13497 -aS'1\t1\tCD\tI-NP\tO' -p13498 -aS'diabetes\tdiabetes\tNN\tI-NP\tO' -p13499 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p13500 -aS',\t,\t,\tO\tO' -p13501 -aS'who\twho\tWP\tB-NP\tO' -p13502 -aS'is\tbe\tVBZ\tB-VP\tO' -p13503 -aS'four\tfour\tCD\tB-NP\tO' -p13504 -aS'months\tmonth\tNNS\tI-NP\tO' -p13505 -aS'postcadaveric\tpostcadaveric\tJJ\tB-NP\tO' -p13506 -aS'kidney\tkidney\tNN\tI-NP\tO' -p13507 -aS'transplantation\ttransplantation\tNN\tI-NP\tO' -p13508 -aS'and\tand\tCC\tO\tO' -p13509 -aS'now\tnow\tRB\tB-VP\tO' -p13510 -aS'has\thave\tVBZ\tI-VP\tO' -p13511 -aS'good\tgood\tJJ\tB-NP\tO' -p13512 -aS'graft\tgraft\tNN\tI-NP\tO' -p13513 -aS'function\tfunction\tNN\tI-NP\tO' -p13514 -aS'.\t.\t.\tO\tO' -p13515 -asS'The patient was taken back to surgery by the interventional radiology team and had a second drain placed without any difficulty and was transferred back to the Short Stay Unit .' -p13516 -(lp13517 -S'The\tThe\tDT\tB-NP\tO' -p13518 -aS'patient\tpatient\tNN\tI-NP\tO' -p13519 -aS'was\tbe\tVBD\tB-VP\tO' -p13520 -aS'taken\ttake\tVBN\tI-VP\tO' -p13521 -aS'back\tback\tRB\tB-ADVP\tO' -p13522 -aS'to\tto\tTO\tB-PP\tO' -p13523 -aS'surgery\tsurgery\tNN\tB-NP\tO' -p13524 -aS'by\tby\tIN\tB-PP\tO' -p13525 -aS'the\tthe\tDT\tB-NP\tO' -p13526 -aS'interventional\tinterventional\tJJ\tI-NP\tO' -p13527 -aS'radiology\tradiology\tNN\tI-NP\tO' -p13528 -aS'team\tteam\tNN\tI-NP\tO' -p13529 -aS'and\tand\tCC\tO\tO' -p13530 -aS'had\thave\tVBD\tB-VP\tO' -p13531 -aS'a\ta\tDT\tB-NP\tO' -p13532 -aS'second\tsecond\tJJ\tI-NP\tO' -p13533 -aS'drain\tdrain\tNN\tI-NP\tO' -p13534 -aS'placed\tplace\tVBN\tB-VP\tO' -p13535 -aS'without\twithout\tIN\tB-PP\tO' -p13536 -aS'any\tany\tDT\tB-NP\tO' -p13537 -aS'difficulty\tdifficulty\tNN\tI-NP\tO' -p13538 -aS'and\tand\tCC\tO\tO' -p13539 -aS'was\tbe\tVBD\tB-VP\tO' -p13540 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p13541 -aS'back\tback\tRB\tB-ADVP\tO' -p13542 -aS'to\tto\tTO\tB-PP\tO' -p13543 -aS'the\tthe\tDT\tB-NP\tO' -p13544 -aS'Short\tShort\tNNP\tI-NP\tO' -p13545 -aS'Stay\tStay\tNNP\tI-NP\tO' -p13546 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p13547 -aS'.\t.\t.\tO\tO' -p13548 -asS'Activity : No heavy lifting of items 11-02 pounds until the follow up appointment with your doctor .' -p13549 -(lp13550 -S'Activity\tActivity\tNN\tB-NP\tO' -p13551 -aS':\t:\t:\tO\tO' -p13552 -aS'No\tNo\tDT\tB-NP\tO' -p13553 -aS'heavy\theavy\tJJ\tI-NP\tO' -p13554 -aS'lifting\tlifting\tNN\tI-NP\tO' -p13555 -aS'of\tof\tIN\tB-PP\tO' -p13556 -aS'items\titem\tNNS\tB-NP\tO' -p13557 -aS'11-02\t11-02\tCD\tB-NP\tO' -p13558 -aS'pounds\tpound\tNNS\tI-NP\tO' -p13559 -aS'until\tuntil\tIN\tB-PP\tO' -p13560 -aS'the\tthe\tDT\tB-NP\tO' -p13561 -aS'follow\tfollow\tNN\tI-NP\tO' -p13562 -aS'up\tup\tRP\tB-PRT\tO' -p13563 -aS'appointment\tappointment\tNN\tB-NP\tO' -p13564 -aS'with\twith\tIN\tB-PP\tO' -p13565 -aS'your\tyour\tPRP$\tB-NP\tO' -p13566 -aS'doctor\tdoctor\tNN\tI-NP\tO' -p13567 -aS'.\t.\t.\tO\tO' -p13568 -asS'A left lower extremity ultrasound was negative for deep venous thrombosis .' -p13569 -(lp13570 -S'A\tA\tDT\tB-NP\tO' -p13571 -aS'left\tleave\tVBD\tB-VP\tO' -p13572 -aS'lower\tlow\tJJR\tB-NP\tO' -p13573 -aS'extremity\textremity\tNN\tI-NP\tO' -p13574 -aS'ultrasound\tultrasound\tNN\tI-NP\tO' -p13575 -aS'was\tbe\tVBD\tB-VP\tO' -p13576 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p13577 -aS'for\tfor\tIN\tB-PP\tO' -p13578 -aS'deep\tdeep\tJJ\tB-NP\tO' -p13579 -aS'venous\tvenous\tJJ\tI-NP\tO' -p13580 -aS'thrombosis\tthrombosis\tNN\tI-NP\tO' -p13581 -aS'.\t.\t.\tO\tO' -p13582 -asS'Please followup with Dr. Lesha Lefebvre on 08-15 at 10:30 am .' -p13583 -(lp13584 -S'Please\tPlease\tNN\tB-NP\tO' -p13585 -aS'followup\tfollowup\tNN\tI-NP\tO' -p13586 -aS'with\twith\tIN\tB-PP\tO' -p13587 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p13588 -aS'Lesha\tLesha\tNNP\tI-NP\tO' -p13589 -aS'Lefebvre\tLefebvre\tNNP\tI-NP\tO' -p13590 -aS'on\ton\tIN\tB-PP\tO' -p13591 -aS'08-15\t08-15\tCD\tB-NP\tO' -p13592 -aS'at\tat\tIN\tB-PP\tO' -p13593 -aS'10:30\t10:30\tCD\tB-NP\tO' -p13594 -aS'am\tam\tNN\tI-NP\tO' -p13595 -aS'.\t.\t.\tO\tO' -p13596 -asS'The patient presents with increased abdominal pain and poor oral intake as well as generalized weakness .' -p13597 -(lp13598 -S'The\tThe\tDT\tB-NP\tO' -p13599 -aS'patient\tpatient\tNN\tI-NP\tO' -p13600 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p13601 -aS'with\twith\tIN\tB-PP\tO' -p13602 -aS'increased\tincrease\tVBN\tB-NP\tO' -p13603 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p13604 -aS'pain\tpain\tNN\tI-NP\tO' -p13605 -aS'and\tand\tCC\tO\tO' -p13606 -aS'poor\tpoor\tJJ\tB-NP\tO' -p13607 -aS'oral\toral\tJJ\tI-NP\tO' -p13608 -aS'intake\tintake\tNN\tI-NP\tO' -p13609 -aS'as\tas\tRB\tB-CONJP\tO' -p13610 -aS'well\twell\tRB\tI-CONJP\tO' -p13611 -aS'as\tas\tIN\tI-CONJP\tO' -p13612 -aS'generalized\tgeneralize\tVBN\tB-NP\tO' -p13613 -aS'weakness\tweakness\tNN\tI-NP\tO' -p13614 -aS'.\t.\t.\tO\tO' -p13615 -asS'He had difficulty weaning from the vent due to difficulties with neurological status ( he remained drowsy and unresponsive for many days ) but eventually awoke enough and was extubated without difficulty and remained stable on 3L NC .' -p13616 -(lp13617 -S'He\tHe\tPRP\tB-NP\tO' -p13618 -aS'had\thave\tVBD\tB-VP\tO' -p13619 -aS'difficulty\tdifficulty\tNN\tB-NP\tO' -p13620 -aS'weaning\twean\tVBG\tB-VP\tO' -p13621 -aS'from\tfrom\tIN\tB-PP\tO' -p13622 -aS'the\tthe\tDT\tB-NP\tO' -p13623 -aS'vent\tvent\tNN\tI-NP\tO' -p13624 -aS'due\tdue\tJJ\tB-ADJP\tO' -p13625 -aS'to\tto\tTO\tB-PP\tO' -p13626 -aS'difficulties\tdifficulty\tNNS\tB-NP\tO' -p13627 -aS'with\twith\tIN\tB-PP\tO' -p13628 -aS'neurological\tneurological\tJJ\tB-NP\tO' -p13629 -aS'status\tstatus\tNN\tI-NP\tO' -p13630 -aS'(\t(\t(\tO\tO' -p13631 -aS'he\the\tPRP\tB-NP\tO' -p13632 -aS'remained\tremain\tVBD\tB-VP\tO' -p13633 -aS'drowsy\tdrowsy\tJJ\tB-ADJP\tO' -p13634 -aS'and\tand\tCC\tI-ADJP\tO' -p13635 -aS'unresponsive\tunresponsive\tJJ\tI-ADJP\tO' -p13636 -aS'for\tfor\tIN\tB-PP\tO' -p13637 -aS'many\tmany\tJJ\tB-NP\tO' -p13638 -aS'days\tday\tNNS\tI-NP\tO' -p13639 -aS')\t)\t)\tO\tO' -p13640 -aS'but\tbut\tCC\tO\tO' -p13641 -aS'eventually\teventually\tRB\tB-ADVP\tO' -p13642 -aS'awoke\tawoke\tRB\tB-ADVP\tO' -p13643 -aS'enough\tenough\tRB\tI-ADVP\tO' -p13644 -aS'and\tand\tCC\tO\tO' -p13645 -aS'was\tbe\tVBD\tB-VP\tO' -p13646 -aS'extubated\textubate\tVBN\tI-VP\tO' -p13647 -aS'without\twithout\tIN\tB-PP\tO' -p13648 -aS'difficulty\tdifficulty\tNN\tB-NP\tO' -p13649 -aS'and\tand\tCC\tO\tO' -p13650 -aS'remained\tremain\tVBD\tB-VP\tO' -p13651 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p13652 -aS'on\ton\tIN\tB-PP\tO' -p13653 -aS'3L\t3L\tNN\tB-NP\tO' -p13654 -aS'NC\tNC\tNN\tI-NP\tO' -p13655 -aS'.\t.\t.\tO\tO' -p13656 -asS'Blood cultures remained negative to date .' -p13657 -(lp13658 -S'Blood\tBlood\tNN\tB-NP\tB-cell_line' -p13659 -aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' -p13660 -aS'remained\tremain\tVBD\tB-VP\tO' -p13661 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p13662 -aS'to\tto\tTO\tB-PP\tO' -p13663 -aS'date\tdate\tNN\tB-NP\tO' -p13664 -aS'.\t.\t.\tO\tO' -p13665 -asS'on 10-27-93 , the patient went to the cath lab which revealed a small nondominant right coronary artery without any lesions , a restenosis of the proximal left anterior descending lesion that had been PTCA 'd , a lesion in the first OM , and a moderately severe left circumflex lesion after the OM3 .' -p13666 -(lp13667 -S'on\ton\tIN\tB-PP\tO' -p13668 -aS'10-27-93\t10-27-93\tCD\tB-NP\tO' -p13669 -aS',\t,\t,\tO\tO' -p13670 -aS'the\tthe\tDT\tB-NP\tO' -p13671 -aS'patient\tpatient\tNN\tI-NP\tO' -p13672 -aS'went\tgo\tVBD\tB-VP\tO' -p13673 -aS'to\tto\tTO\tB-PP\tO' -p13674 -aS'the\tthe\tDT\tB-NP\tO' -p13675 -aS'cath\tcath\tNN\tI-NP\tO' -p13676 -aS'lab\tlab\tNN\tI-NP\tO' -p13677 -aS'which\twhich\tWDT\tB-NP\tO' -p13678 -aS'revealed\treveal\tVBD\tB-VP\tO' -p13679 -aS'a\ta\tDT\tB-NP\tO' -p13680 -aS'small\tsmall\tJJ\tI-NP\tO' -p13681 -aS'nondominant\tnondominant\tJJ\tI-NP\tO' -p13682 -aS'right\tright\tJJ\tI-NP\tO' -p13683 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p13684 -aS'artery\tartery\tNN\tI-NP\tO' -p13685 -aS'without\twithout\tIN\tB-PP\tO' -p13686 -aS'any\tany\tDT\tB-NP\tO' -p13687 -aS'lesions\tlesion\tNNS\tI-NP\tO' -p13688 -aS',\t,\t,\tO\tO' -p13689 -aS'a\ta\tDT\tB-NP\tO' -p13690 -aS'restenosis\trestenosis\tNN\tI-NP\tO' -p13691 -aS'of\tof\tIN\tB-PP\tO' -p13692 -aS'the\tthe\tDT\tB-NP\tO' -p13693 -aS'proximal\tproximal\tJJ\tI-NP\tO' -p13694 -aS'left\tleft\tJJ\tI-NP\tO' -p13695 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p13696 -aS'descending\tdescend\tVBG\tI-NP\tO' -p13697 -aS'lesion\tlesion\tNN\tI-NP\tO' -p13698 -aS'that\tthat\tWDT\tB-NP\tO' -p13699 -aS'had\thave\tVBD\tB-VP\tO' -p13700 -aS'been\tbe\tVBN\tI-VP\tO' -p13701 -aS'PTCA\tPTCA\tNNP\tB-NP\tO' -p13702 -aS''d\t'd\tNNP\tI-NP\tO' -p13703 -aS',\t,\t,\tO\tO' -p13704 -aS'a\ta\tDT\tB-NP\tO' -p13705 -aS'lesion\tlesion\tNN\tI-NP\tO' -p13706 -aS'in\tin\tIN\tB-PP\tO' -p13707 -aS'the\tthe\tDT\tB-NP\tO' -p13708 -aS'first\tfirst\tJJ\tI-NP\tO' -p13709 -aS'OM\tOM\tNN\tI-NP\tO' -p13710 -aS',\t,\t,\tO\tO' -p13711 -aS'and\tand\tCC\tO\tO' -p13712 -aS'a\ta\tDT\tB-NP\tO' -p13713 -aS'moderately\tmoderately\tRB\tI-NP\tO' -p13714 -aS'severe\tsevere\tJJ\tI-NP\tO' -p13715 -aS'left\tleft\tJJ\tI-NP\tO' -p13716 -aS'circumflex\tcircumflex\tNN\tI-NP\tO' -p13717 -aS'lesion\tlesion\tNN\tI-NP\tO' -p13718 -aS'after\tafter\tIN\tB-PP\tO' -p13719 -aS'the\tthe\tDT\tB-NP\tO' -p13720 -aS'OM3\tOM3\tNN\tI-NP\tB-protein' -p13721 -aS'.\t.\t.\tO\tO' -p13722 -asS'Fever / + BC w/ h/o MV endocarditis' -p13723 -(lp13724 -S'Fever\tFever\tRB\tB-ADVP\tO' -p13725 -aS'/\t/\tSYM\tO\tB-cell_type' -p13726 -aS'+\t+\tSYM\tO\tI-cell_type' -p13727 -aS'BC\tBC\tNN\tB-NP\tI-cell_type' -p13728 -aS'w/\tw/\tSYM\tI-NP\tO' -p13729 -aS'h/o\th/o\tNN\tI-NP\tO' -p13730 -aS'MV\tMV\tNN\tI-NP\tO' -p13731 -aS'endocarditis\tendocarditis\tNN\tI-NP\tO' -p13732 -asS'Anterior wall prolapses 3 cm past the hymen with loss of urine on valsalva; cervix 1cm above the hymen; posterior prolapse only to the hymen but 3.4 cm of perineal descent .' -p13733 -(lp13734 -S'Anterior\tAnterior\tJJ\tB-NP\tO' -p13735 -aS'wall\twall\tNN\tI-NP\tO' -p13736 -aS'prolapses\tprolapse\tVBZ\tB-VP\tO' -p13737 -aS'3\t3\tCD\tB-NP\tO' -p13738 -aS'cm\tcm\tNN\tI-NP\tO' -p13739 -aS'past\tpast\tIN\tB-PP\tO' -p13740 -aS'the\tthe\tDT\tB-NP\tO' -p13741 -aS'hymen\thyman\tNNS\tI-NP\tO' -p13742 -aS'with\twith\tIN\tB-PP\tO' -p13743 -aS'loss\tloss\tNN\tB-NP\tO' -p13744 -aS'of\tof\tIN\tB-PP\tO' -p13745 -aS'urine\turine\tNN\tB-NP\tO' -p13746 -aS'on\ton\tIN\tB-PP\tO' -p13747 -aS'valsalva;\tvalsalva;\tNN\tB-NP\tO' -p13748 -aS'cervix\tcervix\tNN\tI-NP\tO' -p13749 -aS'1cm\t1cm\tNN\tI-NP\tO' -p13750 -aS'above\tabove\tIN\tB-PP\tO' -p13751 -aS'the\tthe\tDT\tB-NP\tO' -p13752 -aS'hymen;\thymen;\tNN\tI-NP\tO' -p13753 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p13754 -aS'prolapse\tprolapse\tNN\tI-NP\tO' -p13755 -aS'only\tonly\tRB\tB-ADVP\tO' -p13756 -aS'to\tto\tTO\tB-PP\tO' -p13757 -aS'the\tthe\tDT\tB-NP\tO' -p13758 -aS'hymen\thyman\tNNS\tI-NP\tO' -p13759 -aS'but\tbut\tCC\tO\tO' -p13760 -aS'3.4\t3.4\tCD\tB-NP\tO' -p13761 -aS'cm\tcm\tNN\tI-NP\tO' -p13762 -aS'of\tof\tIN\tB-PP\tO' -p13763 -aS'perineal\tperineal\tJJ\tB-NP\tO' -p13764 -aS'descent\tdescent\tNN\tI-NP\tO' -p13765 -aS'.\t.\t.\tO\tO' -p13766 -asS'3. Acute thrombosis .' -p13767 -(lp13768 -S'3.\t3.\tLS\tB-NP\tO' -p13769 -aS'Acute\tAcute\tJJ\tI-NP\tO' -p13770 -aS'thrombosis\tthrombosis\tNN\tI-NP\tO' -p13771 -aS'.\t.\t.\tO\tO' -p13772 -asS'An angiogram was done which disclosed possible subsegmental pulmonary emboli of the upper lobes as well as infiltrates consistent with aspiration pneumonia .' -p13773 -(lp13774 -S'An\tAn\tDT\tB-NP\tO' -p13775 -aS'angiogram\tangiogram\tNN\tI-NP\tO' -p13776 -aS'was\tbe\tVBD\tB-VP\tO' -p13777 -aS'done\tdo\tVBN\tI-VP\tO' -p13778 -aS'which\twhich\tWDT\tB-NP\tO' -p13779 -aS'disclosed\tdisclose\tVBD\tB-VP\tO' -p13780 -aS'possible\tpossible\tJJ\tB-NP\tO' -p13781 -aS'subsegmental\tsubsegmental\tJJ\tI-NP\tO' -p13782 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p13783 -aS'emboli\tembolus\tNNS\tI-NP\tO' -p13784 -aS'of\tof\tIN\tB-PP\tO' -p13785 -aS'the\tthe\tDT\tB-NP\tO' -p13786 -aS'upper\tupper\tJJ\tI-NP\tO' -p13787 -aS'lobes\tlobe\tNNS\tI-NP\tO' -p13788 -aS'as\tas\tRB\tB-CONJP\tO' -p13789 -aS'well\twell\tRB\tI-CONJP\tO' -p13790 -aS'as\tas\tIN\tI-CONJP\tO' -p13791 -aS'infiltrates\tinfiltrate\tNNS\tB-NP\tO' -p13792 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p13793 -aS'with\twith\tIN\tB-PP\tO' -p13794 -aS'aspiration\taspiration\tNN\tB-NP\tO' -p13795 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p13796 -aS'.\t.\t.\tO\tO' -p13797 -asS'Dentistry and OMFS were consulted , and he had four front teeth removed on 10-04 .' -p13798 -(lp13799 -S'Dentistry\tDentistry\tNN\tB-NP\tO' -p13800 -aS'and\tand\tCC\tI-NP\tO' -p13801 -aS'OMFS\tOMFS\tNN\tI-NP\tB-protein' -p13802 -aS'were\tbe\tVBD\tB-VP\tO' -p13803 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p13804 -aS',\t,\t,\tO\tO' -p13805 -aS'and\tand\tCC\tO\tO' -p13806 -aS'he\the\tPRP\tB-NP\tO' -p13807 -aS'had\thave\tVBD\tB-VP\tO' -p13808 -aS'four\tfour\tCD\tB-NP\tO' -p13809 -aS'front\tfront\tJJ\tI-NP\tO' -p13810 -aS'teeth\ttooth\tNNS\tI-NP\tO' -p13811 -aS'removed\tremove\tVBN\tB-VP\tO' -p13812 -aS'on\ton\tIN\tB-PP\tO' -p13813 -aS'10-04\t10-04\tCD\tB-NP\tO' -p13814 -aS'.\t.\t.\tO\tO' -p13815 -asS'Briley von der Ross MD 67-576' -p13816 -(lp13817 -S'Briley\tBriley\tNNP\tB-NP\tO' -p13818 -aS'von\tvon\tNNP\tI-NP\tO' -p13819 -aS'der\tder\tNNP\tI-NP\tO' -p13820 -aS'Ross\tRoss\tNNP\tI-NP\tO' -p13821 -aS'MD\tMD\tNNP\tI-NP\tO' -p13822 -aS'67-576\t67-576\tCD\tI-NP\tO' -p13823 -asS'LFTs wre elevated at presentation .' -p13824 -(lp13825 -S'LFTs\tLFT\tNNS\tB-NP\tB-protein' -p13826 -aS'wre\twre\tVBP\tB-VP\tO' -p13827 -aS'elevated\televated\tJJ\tB-ADJP\tO' -p13828 -aS'at\tat\tIN\tB-PP\tO' -p13829 -aS'presentation\tpresentation\tNN\tB-NP\tO' -p13830 -aS'.\t.\t.\tO\tO' -p13831 -asS'Heart normal in size , mediastinal and hilar contours are normal .' -p13832 -(lp13833 -S'Heart\tHeart\tNN\tB-NP\tO' -p13834 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p13835 -aS'in\tin\tIN\tB-PP\tO' -p13836 -aS'size\tsize\tNN\tB-NP\tO' -p13837 -aS',\t,\t,\tO\tO' -p13838 -aS'mediastinal\tmediastinal\tJJ\tB-NP\tO' -p13839 -aS'and\tand\tCC\tI-NP\tO' -p13840 -aS'hilar\thilar\tJJ\tI-NP\tO' -p13841 -aS'contours\tcontour\tNNS\tI-NP\tO' -p13842 -aS'are\tbe\tVBP\tB-VP\tO' -p13843 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p13844 -aS'.\t.\t.\tO\tO' -p13845 -asS'HEENT , ears poor hearing .' -p13846 -(lp13847 -S'HEENT\tHEENT\tNN\tB-NP\tO' -p13848 -aS',\t,\t,\tO\tO' -p13849 -aS'ears\tear\tVBZ\tB-VP\tO' -p13850 -aS'poor\tpoor\tJJ\tB-NP\tO' -p13851 -aS'hearing\thearing\tNN\tI-NP\tO' -p13852 -aS'.\t.\t.\tO\tO' -p13853 -asS'MAVIC WORD , M.D. and TOMEDANKELL EAR M.D. , DEPT OF NEUROLOGY .' -p13854 -(lp13855 -S'MAVIC\tMAVIC\tNNP\tB-NP\tO' -p13856 -aS'WORD\tWORD\tNNP\tI-NP\tO' -p13857 -aS',\t,\t,\tO\tO' -p13858 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p13859 -aS'and\tand\tCC\tO\tO' -p13860 -aS'TOMEDANKELL\tTOMEDANKELL\tNNP\tB-NP\tO' -p13861 -aS'EAR\tEAR\tNNP\tI-NP\tO' -p13862 -aS'M.D.\tM.D.\tNNP\tI-NP\tO' -p13863 -aS',\t,\t,\tO\tO' -p13864 -aS'DEPT\tDEPT\tNNP\tB-NP\tO' -p13865 -aS'OF\tOF\tIN\tB-PP\tO' -p13866 -aS'NEUROLOGY\tNEUROLOGY\tNNP\tB-NP\tO' -p13867 -aS'.\t.\t.\tO\tO' -p13868 -asS'He has remained without any chest pain following this procedure and his sternal wound is clean , dry and intact at the end of the procedure .' -p13869 -(lp13870 -S'He\tHe\tPRP\tB-NP\tO' -p13871 -aS'has\thave\tVBZ\tB-VP\tO' -p13872 -aS'remained\tremain\tVBN\tI-VP\tO' -p13873 -aS'without\twithout\tIN\tB-PP\tO' -p13874 -aS'any\tany\tDT\tB-NP\tO' -p13875 -aS'chest\tch\tJJS\tI-NP\tO' -p13876 -aS'pain\tpain\tNN\tI-NP\tO' -p13877 -aS'following\tfollow\tVBG\tB-PP\tO' -p13878 -aS'this\tthis\tDT\tB-NP\tO' -p13879 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p13880 -aS'and\tand\tCC\tO\tO' -p13881 -aS'his\this\tPRP$\tB-NP\tO' -p13882 -aS'sternal\tsternal\tJJ\tI-NP\tO' -p13883 -aS'wound\twound\tNN\tI-NP\tO' -p13884 -aS'is\tbe\tVBZ\tB-VP\tO' -p13885 -aS'clean\tclean\tJJ\tB-NP\tO' -p13886 -aS',\t,\t,\tI-NP\tO' -p13887 -aS'dry\tdry\tJJ\tI-NP\tO' -p13888 -aS'and\tand\tCC\tI-NP\tO' -p13889 -aS'intact\tintact\tJJ\tI-NP\tO' -p13890 -aS'at\tat\tIN\tB-PP\tO' -p13891 -aS'the\tthe\tDT\tB-NP\tO' -p13892 -aS'end\tend\tNN\tI-NP\tO' -p13893 -aS'of\tof\tIN\tB-PP\tO' -p13894 -aS'the\tthe\tDT\tB-NP\tO' -p13895 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p13896 -aS'.\t.\t.\tO\tO' -p13897 -asS'Cultures drawn off the HD cath are negative to date .' -p13898 -(lp13899 -S'Cultures\tCulture\tNNS\tB-NP\tO' -p13900 -aS'drawn\tdraw\tVBN\tB-VP\tO' -p13901 -aS'off\toff\tIN\tB-PP\tO' -p13902 -aS'the\tthe\tDT\tB-NP\tO' -p13903 -aS'HD\tHD\tNN\tI-NP\tO' -p13904 -aS'cath\tcath\tNN\tI-NP\tO' -p13905 -aS'are\tbe\tVBP\tB-VP\tO' -p13906 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p13907 -aS'to\tto\tTO\tB-PP\tO' -p13908 -aS'date\tdate\tNN\tB-NP\tO' -p13909 -aS'.\t.\t.\tO\tO' -p13910 -asS'His only family member is a niece in Missouri .' -p13911 -(lp13912 -S'His\tHis\tPRP$\tB-NP\tB-protein' -p13913 -aS'only\tonly\tJJ\tI-NP\tI-protein' -p13914 -aS'family\tfamily\tNN\tI-NP\tI-protein' -p13915 -aS'member\tmember\tNN\tI-NP\tI-protein' -p13916 -aS'is\tbe\tVBZ\tB-VP\tO' -p13917 -aS'a\ta\tDT\tB-NP\tO' -p13918 -aS'niece\tniece\tNN\tI-NP\tO' -p13919 -aS'in\tin\tIN\tB-PP\tO' -p13920 -aS'Missouri\tMissouri\tNNP\tB-NP\tO' -p13921 -aS'.\t.\t.\tO\tO' -p13922 -asS'Near discharge his BP was controlled with Metoprolol only .' -p13923 -(lp13924 -S'Near\tNear\tRB\tB-ADVP\tO' -p13925 -aS'discharge\tdischarge\tVB\tB-VP\tO' -p13926 -aS'his\this\tPRP$\tB-NP\tO' -p13927 -aS'BP\tBP\tNN\tI-NP\tO' -p13928 -aS'was\tbe\tVBD\tB-VP\tO' -p13929 -aS'controlled\tcontrol\tVBN\tI-VP\tO' -p13930 -aS'with\twith\tIN\tB-PP\tO' -p13931 -aS'Metoprolol\tMetoprolol\tNN\tB-NP\tO' -p13932 -aS'only\tonly\tRB\tB-ADVP\tO' -p13933 -aS'.\t.\t.\tO\tO' -p13934 -asS'2. Polymyalgia rheumatica diagnosed four years ago ; on steroids .' -p13935 -(lp13936 -S'2.\t2.\tLS\tB-NP\tO' -p13937 -aS'Polymyalgia\tPolymyalgia\tNNP\tI-NP\tO' -p13938 -aS'rheumatica\trheumatica\tNN\tI-NP\tO' -p13939 -aS'diagnosed\tdiagnose\tVBD\tB-VP\tO' -p13940 -aS'four\tfour\tCD\tB-NP\tO' -p13941 -aS'years\tyear\tNNS\tI-NP\tO' -p13942 -aS'ago\tago\tRB\tB-ADVP\tO' -p13943 -aS';\t;\t:\tO\tO' -p13944 -aS'on\ton\tIN\tB-PP\tO' -p13945 -aS'steroids\tsteroid\tNNS\tB-NP\tO' -p13946 -aS'.\t.\t.\tO\tO' -p13947 -asS'Responsible After Study for Causing Admission ) Right LE pain' -p13948 -(lp13949 -S'Responsible\tResponsible\tJJ\tB-ADJP\tO' -p13950 -aS'After\tAfter\tIN\tB-PP\tO' -p13951 -aS'Study\tStudy\tNN\tB-NP\tO' -p13952 -aS'for\tfor\tIN\tB-PP\tO' -p13953 -aS'Causing\tCause\tVBG\tB-VP\tO' -p13954 -aS'Admission\tAdmission\tNN\tB-NP\tO' -p13955 -aS')\t)\t)\tO\tO' -p13956 -aS'Right\tRight\tNN\tB-NP\tO' -p13957 -aS'LE\tLE\tNN\tI-NP\tO' -p13958 -aS'pain\tpain\tNN\tI-NP\tO' -p13959 -asS'Follow up with Dr. Garza , Orthopaedics in 10-14 days , call 953 6923 for an appointment .' -p13960 -(lp13961 -S'Follow\tFollow\tVB\tB-VP\tO' -p13962 -aS'up\tup\tRP\tB-PRT\tO' -p13963 -aS'with\twith\tIN\tB-PP\tO' -p13964 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p13965 -aS'Garza\tGarza\tNNP\tI-NP\tO' -p13966 -aS',\t,\t,\tO\tO' -p13967 -aS'Orthopaedics\tOrthopaedics\tNNP\tB-NP\tO' -p13968 -aS'in\tin\tIN\tB-PP\tO' -p13969 -aS'10-14\t10-14\tCD\tB-NP\tO' -p13970 -aS'days\tday\tNNS\tI-NP\tO' -p13971 -aS',\t,\t,\tO\tO' -p13972 -aS'call\tcall\tVBP\tB-VP\tO' -p13973 -aS'953\t953\tCD\tB-NP\tO' -p13974 -aS'6923\t6923\tCD\tI-NP\tO' -p13975 -aS'for\tfor\tIN\tB-PP\tO' -p13976 -aS'an\tan\tDT\tB-NP\tO' -p13977 -aS'appointment\tappointment\tNN\tI-NP\tO' -p13978 -aS'.\t.\t.\tO\tO' -p13979 -asS'Dr. Ear brought the patient to the operating room on 10/5/00 .' -p13980 -(lp13981 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p13982 -aS'Ear\tEar\tNNP\tI-NP\tO' -p13983 -aS'brought\tbring\tVBD\tB-VP\tO' -p13984 -aS'the\tthe\tDT\tB-NP\tO' -p13985 -aS'patient\tpatient\tNN\tI-NP\tO' -p13986 -aS'to\tto\tTO\tB-PP\tO' -p13987 -aS'the\tthe\tDT\tB-NP\tO' -p13988 -aS'operating\toperating\tNN\tI-NP\tO' -p13989 -aS'room\troom\tNN\tI-NP\tO' -p13990 -aS'on\ton\tIN\tB-PP\tO' -p13991 -aS'10/5/00\t10/5/00\tCD\tB-NP\tO' -p13992 -aS'.\t.\t.\tO\tO' -p13993 -asS'After removal of tunneled line pt was given tube feeds while she was intubated .' -p13994 -(lp13995 -S'After\tAfter\tIN\tB-PP\tO' -p13996 -aS'removal\tremoval\tNN\tB-NP\tO' -p13997 -aS'of\tof\tIN\tB-PP\tO' -p13998 -aS'tunneled\ttunnel\tVBN\tB-NP\tO' -p13999 -aS'line\tline\tNN\tI-NP\tO' -p14000 -aS'pt\tpt\tNN\tI-NP\tO' -p14001 -aS'was\tbe\tVBD\tB-VP\tO' -p14002 -aS'given\tgive\tVBN\tI-VP\tO' -p14003 -aS'tube\ttube\tNN\tB-NP\tO' -p14004 -aS'feeds\tfeed\tNNS\tI-NP\tO' -p14005 -aS'while\twhile\tIN\tB-SBAR\tO' -p14006 -aS'she\tshe\tPRP\tB-NP\tO' -p14007 -aS'was\tbe\tVBD\tB-VP\tO' -p14008 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p14009 -aS'.\t.\t.\tO\tO' -p14010 -asS'8. Ascorbic Acid 500 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ).' -p14011 -(lp14012 -S'8.\t8.\tCD\tB-NP\tO' -p14013 -aS'Ascorbic\tAscorbic\tNNP\tI-NP\tO' -p14014 -aS'Acid\tAcid\tNNP\tI-NP\tO' -p14015 -aS'500\t500\tCD\tI-NP\tO' -p14016 -aS'mg\tmg\tNN\tI-NP\tO' -p14017 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p14018 -aS'Sig\tSig\tNNP\tI-NP\tO' -p14019 -aS':\t:\t:\tO\tO' -p14020 -aS'One\tOne\tCD\tB-NP\tO' -p14021 -aS'(\t(\t(\tO\tO' -p14022 -aS'1\t1\tCD\tB-NP\tO' -p14023 -aS')\t)\t)\tO\tO' -p14024 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p14025 -aS'PO\tPO\tNN\tI-NP\tO' -p14026 -aS'BID\tBID\tNN\tI-NP\tO' -p14027 -aS'(\t(\t(\tO\tO' -p14028 -aS'2\t2\tCD\tB-NP\tO' -p14029 -aS'times\ttime\tNNS\tI-NP\tO' -p14030 -aS'a\ta\tDT\tB-NP\tO' -p14031 -aS'day\tday\tNN\tI-NP\tO' -p14032 -aS').\t).\t.\tO\tO' -p14033 -asS'The second sound was normally split .' -p14034 -(lp14035 -S'The\tThe\tDT\tB-NP\tO' -p14036 -aS'second\tsecond\tJJ\tI-NP\tO' -p14037 -aS'sound\tsound\tNN\tI-NP\tO' -p14038 -aS'was\tbe\tVBD\tB-VP\tO' -p14039 -aS'normally\tnormally\tRB\tI-VP\tO' -p14040 -aS'split\tsplit\tVBN\tI-VP\tO' -p14041 -aS'.\t.\t.\tO\tO' -p14042 -asS"The patient 's subsequent postoperative course was characterized by persistent hypertension which required a significant amount of antihypertensives including Lopressor 100 mg po three times a day , Captopril 100 mg po three times a day , as well as Procardia ." -p14043 -(lp14044 -S'The\tThe\tDT\tB-NP\tO' -p14045 -aS'patient\tpatient\tNN\tI-NP\tO' -p14046 -aS"'s\t's\tPOS\tB-NP\tO" -p14047 -aS'subsequent\tsubsequent\tJJ\tI-NP\tO' -p14048 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p14049 -aS'course\tcourse\tNN\tI-NP\tO' -p14050 -aS'was\tbe\tVBD\tB-VP\tO' -p14051 -aS'characterized\tcharacterize\tVBN\tI-VP\tO' -p14052 -aS'by\tby\tIN\tB-PP\tO' -p14053 -aS'persistent\tpersistent\tJJ\tB-NP\tO' -p14054 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p14055 -aS'which\twhich\tWDT\tB-NP\tO' -p14056 -aS'required\trequire\tVBD\tB-VP\tO' -p14057 -aS'a\ta\tDT\tB-NP\tO' -p14058 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p14059 -aS'amount\tamount\tNN\tI-NP\tO' -p14060 -aS'of\tof\tIN\tB-PP\tO' -p14061 -aS'antihypertensives\tantihypertensive\tNNS\tB-NP\tO' -p14062 -aS'including\tinclude\tVBG\tB-PP\tO' -p14063 -aS'Lopressor\tLopressor\tNN\tB-NP\tO' -p14064 -aS'100\t100\tCD\tI-NP\tO' -p14065 -aS'mg\tmg\tNN\tI-NP\tO' -p14066 -aS'po\tpo\tIN\tB-PP\tO' -p14067 -aS'three\tthree\tCD\tB-NP\tO' -p14068 -aS'times\ttime\tNNS\tI-NP\tO' -p14069 -aS'a\ta\tDT\tB-NP\tO' -p14070 -aS'day\tday\tNN\tI-NP\tO' -p14071 -aS',\t,\t,\tO\tO' -p14072 -aS'Captopril\tCaptopril\tNNP\tB-NP\tO' -p14073 -aS'100\t100\tCD\tI-NP\tO' -p14074 -aS'mg\tmg\tNN\tI-NP\tO' -p14075 -aS'po\tpo\tIN\tB-PP\tO' -p14076 -aS'three\tthree\tCD\tB-NP\tO' -p14077 -aS'times\ttime\tNNS\tI-NP\tO' -p14078 -aS'a\ta\tDT\tB-NP\tO' -p14079 -aS'day\tday\tNN\tI-NP\tO' -p14080 -aS',\t,\t,\tO\tO' -p14081 -aS'as\tas\tRB\tB-CONJP\tO' -p14082 -aS'well\twell\tRB\tI-CONJP\tO' -p14083 -aS'as\tas\tIN\tI-CONJP\tO' -p14084 -aS'Procardia\tProcardia\tNNP\tB-NP\tO' -p14085 -aS'.\t.\t.\tO\tO' -p14086 -asS'Abdomen soft , nontender , nondistended .' -p14087 -(lp14088 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p14089 -aS'soft\tsoft\tJJ\tI-NP\tO' -p14090 -aS',\t,\t,\tI-NP\tO' -p14091 -aS'nontender\tnontender\tJJ\tI-NP\tO' -p14092 -aS',\t,\t,\tI-NP\tO' -p14093 -aS'nondistended\tnondistended\tJJ\tI-NP\tO' -p14094 -aS'.\t.\t.\tO\tO' -p14095 -asS'Her CKs did trend down over the course of her hospital stay , and in the setting of her known clean coronaries on cardiac catheterization in 2011-11-19 , it was believed that a myocarditis might be the cause of her elevated cardiac enzymes and also could have exacerbated her congestive heart failure .' -p14096 -(lp14097 -S'Her\tHer\tPRP$\tB-NP\tO' -p14098 -aS'CKs\tCK\tNNS\tI-NP\tB-protein' -p14099 -aS'did\tdo\tVBD\tB-VP\tO' -p14100 -aS'trend\ttrend\tVB\tI-VP\tO' -p14101 -aS'down\tdown\tRP\tB-PRT\tO' -p14102 -aS'over\tover\tIN\tB-PP\tO' -p14103 -aS'the\tthe\tDT\tB-NP\tO' -p14104 -aS'course\tcourse\tNN\tI-NP\tO' -p14105 -aS'of\tof\tIN\tB-PP\tO' -p14106 -aS'her\ther\tPRP$\tB-NP\tO' -p14107 -aS'hospital\thospital\tNN\tI-NP\tO' -p14108 -aS'stay\tstay\tNN\tI-NP\tO' -p14109 -aS',\t,\t,\tO\tO' -p14110 -aS'and\tand\tCC\tO\tO' -p14111 -aS'in\tin\tIN\tB-PP\tO' -p14112 -aS'the\tthe\tDT\tB-NP\tO' -p14113 -aS'setting\tsetting\tNN\tI-NP\tO' -p14114 -aS'of\tof\tIN\tB-PP\tO' -p14115 -aS'her\ther\tPRP$\tB-NP\tO' -p14116 -aS'known\tknown\tJJ\tI-NP\tO' -p14117 -aS'clean\tclean\tJJ\tI-NP\tO' -p14118 -aS'coronaries\tcoronary\tNNS\tI-NP\tO' -p14119 -aS'on\ton\tIN\tB-PP\tO' -p14120 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p14121 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p14122 -aS'in\tin\tIN\tB-PP\tO' -p14123 -aS'2011-11-19\t2011-11-19\tCD\tB-NP\tO' -p14124 -aS',\t,\t,\tO\tO' -p14125 -aS'it\tit\tPRP\tB-NP\tO' -p14126 -aS'was\tbe\tVBD\tB-VP\tO' -p14127 -aS'believed\tbelieve\tVBN\tI-VP\tO' -p14128 -aS'that\tthat\tIN\tB-SBAR\tO' -p14129 -aS'a\ta\tDT\tB-NP\tO' -p14130 -aS'myocarditis\tmyocarditis\tNN\tI-NP\tO' -p14131 -aS'might\tmight\tMD\tB-VP\tO' -p14132 -aS'be\tbe\tVB\tI-VP\tO' -p14133 -aS'the\tthe\tDT\tB-NP\tO' -p14134 -aS'cause\tcause\tNN\tI-NP\tO' -p14135 -aS'of\tof\tIN\tB-PP\tO' -p14136 -aS'her\ther\tPRP$\tB-NP\tB-protein' -p14137 -aS'elevated\televated\tJJ\tI-NP\tI-protein' -p14138 -aS'cardiac\tcardiac\tJJ\tI-NP\tI-protein' -p14139 -aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' -p14140 -aS'and\tand\tCC\tO\tO' -p14141 -aS'also\talso\tRB\tB-ADVP\tO' -p14142 -aS'could\tcould\tMD\tB-VP\tO' -p14143 -aS'have\thave\tVB\tI-VP\tO' -p14144 -aS'exacerbated\texacerbate\tVBN\tI-VP\tO' -p14145 -aS'her\ther\tPRP$\tB-NP\tO' -p14146 -aS'congestive\tcongestive\tJJ\tI-NP\tO' -p14147 -aS'heart\theart\tNN\tI-NP\tO' -p14148 -aS'failure\tfailure\tNN\tI-NP\tO' -p14149 -aS'.\t.\t.\tO\tO' -p14150 -asS'Patient with a history of known malignancy and also a history of pulmonary embolisms from 2012-04-23 .' -p14151 -(lp14152 -S'Patient\tPatient\tNN\tB-NP\tO' -p14153 -aS'with\twith\tIN\tB-PP\tO' -p14154 -aS'a\ta\tDT\tB-NP\tO' -p14155 -aS'history\thistory\tNN\tI-NP\tO' -p14156 -aS'of\tof\tIN\tB-PP\tO' -p14157 -aS'known\tknown\tJJ\tB-NP\tO' -p14158 -aS'malignancy\tmalignancy\tNN\tI-NP\tO' -p14159 -aS'and\tand\tCC\tO\tO' -p14160 -aS'also\talso\tRB\tB-ADVP\tO' -p14161 -aS'a\ta\tDT\tB-NP\tO' -p14162 -aS'history\thistory\tNN\tI-NP\tO' -p14163 -aS'of\tof\tIN\tB-PP\tO' -p14164 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p14165 -aS'embolisms\tembolism\tNNS\tI-NP\tO' -p14166 -aS'from\tfrom\tIN\tB-PP\tO' -p14167 -aS'2012-04-23\t2012-04-23\tCD\tB-NP\tO' -p14168 -aS'.\t.\t.\tO\tO' -p14169 -asS'11. Oxycodone 5 mg Tablet Sig : One ( 1 ) Tablet PO Q4-6H ( every 4 to 6 hours ) as needed for pain .' -p14170 -(lp14171 -S'11.\t11.\tCD\tB-NP\tO' -p14172 -aS'Oxycodone\tOxycodone\tNN\tI-NP\tO' -p14173 -aS'5\t5\tCD\tB-NP\tO' -p14174 -aS'mg\tmg\tNN\tI-NP\tO' -p14175 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p14176 -aS'Sig\tSig\tNNP\tI-NP\tO' -p14177 -aS':\t:\t:\tO\tO' -p14178 -aS'One\tOne\tCD\tB-NP\tO' -p14179 -aS'(\t(\t(\tO\tO' -p14180 -aS'1\t1\tCD\tB-NP\tO' -p14181 -aS')\t)\t)\tO\tO' -p14182 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p14183 -aS'PO\tPO\tNN\tI-NP\tO' -p14184 -aS'Q4-6H\tQ4-6H\tNN\tI-NP\tO' -p14185 -aS'(\t(\t(\tO\tO' -p14186 -aS'every\tevery\tDT\tB-NP\tO' -p14187 -aS'4\t4\tCD\tI-NP\tO' -p14188 -aS'to\tto\tTO\tI-NP\tO' -p14189 -aS'6\t6\tCD\tI-NP\tO' -p14190 -aS'hours\thour\tNNS\tI-NP\tO' -p14191 -aS')\t)\t)\tO\tO' -p14192 -aS'as\tas\tIN\tB-SBAR\tO' -p14193 -aS'needed\tneed\tVBN\tB-VP\tO' -p14194 -aS'for\tfor\tIN\tB-PP\tO' -p14195 -aS'pain\tpain\tNN\tB-NP\tO' -p14196 -aS'.\t.\t.\tO\tO' -p14197 -asS'Dictated By : Hayden Y. Ferguson , M.D.' -p14198 -(lp14199 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p14200 -aS'By\tBy\tIN\tB-PP\tO' -p14201 -aS':\t:\t:\tO\tO' -p14202 -aS'Hayden\tHayden\tNNP\tB-NP\tO' -p14203 -aS'Y.\tY.\tNNP\tI-NP\tO' -p14204 -aS'Ferguson\tFerguson\tNNP\tI-NP\tO' -p14205 -aS',\t,\t,\tO\tO' -p14206 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p14207 -asS'pelvic organ prolapse stress urinary incontinence retroperitoneal bleed hemoperitoneum' -p14208 -(lp14209 -S'pelvic\tpelvic\tJJ\tB-NP\tO' -p14210 -aS'organ\torgan\tNN\tI-NP\tO' -p14211 -aS'prolapse\tprolapse\tNN\tI-NP\tO' -p14212 -aS'stress\tstress\tNN\tI-NP\tO' -p14213 -aS'urinary\turinary\tJJ\tI-NP\tO' -p14214 -aS'incontinence\tincontinence\tNN\tI-NP\tO' -p14215 -aS'retroperitoneal\tretroperitoneal\tJJ\tI-NP\tO' -p14216 -aS'bleed\tbleed\tNN\tI-NP\tO' -p14217 -aS'hemoperitoneum\themoperitoneum\tNN\tI-NP\tO' -p14218 -asS'This is a 47 - year-old male with a past medical history of type 2 diabetes , high cholesterol , hypertension , and coronary artery disease , status post percutaneous transluminal coronary angioplasty times two , who presented with acute coronary syndrome refractory to medical treatment and TNK , now status post Angio-Jet percutaneous transluminal coronary angioplasty and stent of proximal left anterior descending artery and percutaneous transluminal coronary angioplasty of first diagonal with intra-aortic balloon pump placement .' -p14219 -(lp14220 -S'This\tThis\tDT\tB-NP\tO' -p14221 -aS'is\tbe\tVBZ\tB-VP\tO' -p14222 -aS'a\ta\tDT\tB-NP\tO' -p14223 -aS'47\t47\tCD\tI-NP\tO' -p14224 -aS'-\t-\tHYPH\tI-NP\tO' -p14225 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p14226 -aS'male\tmale\tNN\tI-NP\tO' -p14227 -aS'with\twith\tIN\tB-PP\tO' -p14228 -aS'a\ta\tDT\tB-NP\tO' -p14229 -aS'past\tpast\tJJ\tI-NP\tO' -p14230 -aS'medical\tmedical\tJJ\tI-NP\tO' -p14231 -aS'history\thistory\tNN\tI-NP\tO' -p14232 -aS'of\tof\tIN\tB-PP\tO' -p14233 -aS'type\ttype\tNN\tB-NP\tO' -p14234 -aS'2\t2\tCD\tI-NP\tO' -p14235 -aS'diabetes\tdiabete\tNNS\tI-NP\tO' -p14236 -aS',\t,\t,\tO\tO' -p14237 -aS'high\thigh\tJJ\tB-NP\tO' -p14238 -aS'cholesterol\tcholesterol\tNN\tI-NP\tO' -p14239 -aS',\t,\t,\tO\tO' -p14240 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p14241 -aS',\t,\t,\tO\tO' -p14242 -aS'and\tand\tCC\tO\tO' -p14243 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p14244 -aS'artery\tartery\tNN\tI-NP\tO' -p14245 -aS'disease\tdisease\tNN\tI-NP\tO' -p14246 -aS',\t,\t,\tO\tO' -p14247 -aS'status\tstatus\tNN\tB-NP\tO' -p14248 -aS'post\tpost\tVBD\tB-VP\tO' -p14249 -aS'percutaneous\tpercutaneous\tJJ\tB-NP\tO' -p14250 -aS'transluminal\ttransluminal\tJJ\tI-NP\tO' -p14251 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p14252 -aS'angioplasty\tangioplasty\tJJ\tI-NP\tO' -p14253 -aS'times\ttime\tNNS\tI-NP\tO' -p14254 -aS'two\ttwo\tCD\tB-NP\tO' -p14255 -aS',\t,\t,\tO\tO' -p14256 -aS'who\twho\tWP\tB-NP\tO' -p14257 -aS'presented\tpresent\tVBD\tB-VP\tO' -p14258 -aS'with\twith\tIN\tB-PP\tO' -p14259 -aS'acute\tacute\tJJ\tB-NP\tO' -p14260 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p14261 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p14262 -aS'refractory\trefractory\tJJ\tB-ADJP\tO' -p14263 -aS'to\tto\tTO\tB-PP\tO' -p14264 -aS'medical\tmedical\tJJ\tB-NP\tO' -p14265 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p14266 -aS'and\tand\tCC\tI-NP\tO' -p14267 -aS'TNK\tTNK\tNN\tI-NP\tB-protein' -p14268 -aS',\t,\t,\tO\tO' -p14269 -aS'now\tnow\tRB\tB-ADVP\tO' -p14270 -aS'status\tstatus\tNN\tB-NP\tO' -p14271 -aS'post\tpost\tNN\tI-NP\tO' -p14272 -aS'Angio-Jet\tAngio-Jet\tJJ\tI-NP\tO' -p14273 -aS'percutaneous\tpercutaneous\tJJ\tI-NP\tO' -p14274 -aS'transluminal\ttransluminal\tJJ\tI-NP\tO' -p14275 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p14276 -aS'angioplasty\tangioplasty\tNN\tI-NP\tO' -p14277 -aS'and\tand\tCC\tI-NP\tO' -p14278 -aS'stent\tstent\tNN\tI-NP\tO' -p14279 -aS'of\tof\tIN\tB-PP\tO' -p14280 -aS'proximal\tproximal\tJJ\tB-NP\tO' -p14281 -aS'left\tleft\tJJ\tI-NP\tO' -p14282 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p14283 -aS'descending\tdescend\tVBG\tI-NP\tO' -p14284 -aS'artery\tartery\tNN\tI-NP\tO' -p14285 -aS'and\tand\tCC\tO\tO' -p14286 -aS'percutaneous\tpercutaneous\tJJ\tB-NP\tO' -p14287 -aS'transluminal\ttransluminal\tJJ\tI-NP\tO' -p14288 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p14289 -aS'angioplasty\tangioplasty\tNN\tI-NP\tO' -p14290 -aS'of\tof\tIN\tB-PP\tO' -p14291 -aS'first\tfirst\tJJ\tB-NP\tO' -p14292 -aS'diagonal\tdiagonal\tJJ\tI-NP\tO' -p14293 -aS'with\twith\tIN\tB-PP\tO' -p14294 -aS'intra-aortic\tintra-aortic\tJJ\tB-NP\tO' -p14295 -aS'balloon\tballoon\tNN\tI-NP\tO' -p14296 -aS'pump\tpump\tNN\tI-NP\tO' -p14297 -aS'placement\tplacement\tNN\tI-NP\tO' -p14298 -aS'.\t.\t.\tO\tO' -p14299 -asS'72 year old man with intraparenchymal bleed s/p fall' -p14300 -(lp14301 -S'72\t72\tCD\tB-NP\tO' -p14302 -aS'year\tyear\tNN\tI-NP\tO' -p14303 -aS'old\told\tJJ\tI-NP\tO' -p14304 -aS'man\tman\tNN\tI-NP\tO' -p14305 -aS'with\twith\tIN\tB-PP\tO' -p14306 -aS'intraparenchymal\tintraparenchymal\tJJ\tB-NP\tO' -p14307 -aS'bleed\tbleed\tNN\tI-NP\tO' -p14308 -aS's/p\ts/p\tNN\tI-NP\tO' -p14309 -aS'fall\tfall\tNN\tI-NP\tO' -p14310 -asS'Mr. Knueppel had had a long protracted period of intubation prior to the operation .' -p14311 -(lp14312 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p14313 -aS'Knueppel\tKnueppel\tNNP\tI-NP\tO' -p14314 -aS'had\thave\tVBD\tB-VP\tO' -p14315 -aS'had\thave\tVBN\tI-VP\tO' -p14316 -aS'a\ta\tDT\tB-NP\tO' -p14317 -aS'long\tlong\tJJ\tI-NP\tO' -p14318 -aS'protracted\tprotracted\tJJ\tI-NP\tO' -p14319 -aS'period\tperiod\tNN\tI-NP\tO' -p14320 -aS'of\tof\tIN\tB-PP\tO' -p14321 -aS'intubation\tintubation\tNN\tB-NP\tO' -p14322 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p14323 -aS'to\tto\tTO\tB-PP\tO' -p14324 -aS'the\tthe\tDT\tB-NP\tO' -p14325 -aS'operation\toperation\tNN\tI-NP\tO' -p14326 -aS'.\t.\t.\tO\tO' -p14327 -asS'He denies any ETOH or tobacco use .' -p14328 -(lp14329 -S'He\tHe\tPRP\tB-NP\tO' -p14330 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p14331 -aS'any\tany\tDT\tB-NP\tO' -p14332 -aS'ETOH\tETOH\tNN\tI-NP\tB-protein' -p14333 -aS'or\tor\tCC\tI-NP\tO' -p14334 -aS'tobacco\ttobacco\tNN\tI-NP\tO' -p14335 -aS'use\tuse\tNN\tI-NP\tO' -p14336 -aS'.\t.\t.\tO\tO' -p14337 -asS'Dr. Vito Dotzler , phone ( 259 ) 579-8396 , fax 898-3942 .' -p14338 -(lp14339 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p14340 -aS'Vito\tVito\tNNP\tI-NP\tO' -p14341 -aS'Dotzler\tDotzler\tNNP\tI-NP\tO' -p14342 -aS',\t,\t,\tO\tO' -p14343 -aS'phone\tphone\tNN\tB-NP\tO' -p14344 -aS'(\t(\t(\tO\tO' -p14345 -aS'259\t259\tCD\tB-NP\tO' -p14346 -aS')\t)\t)\tO\tO' -p14347 -aS'579-8396\t579-8396\tCD\tB-NP\tO' -p14348 -aS',\t,\t,\tO\tO' -p14349 -aS'fax\tfax\tNN\tB-NP\tO' -p14350 -aS'898-3942\t898-3942\tCD\tI-NP\tO' -p14351 -aS'.\t.\t.\tO\tO' -p14352 -asS'A biopsy showed moderately to poorly differentiated Grade III-IV adenocarcinoma on the left .' -p14353 -(lp14354 -S'A\tA\tDT\tB-NP\tO' -p14355 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p14356 -aS'showed\tshow\tVBD\tB-VP\tO' -p14357 -aS'moderately\tmoderately\tRB\tB-ADVP\tO' -p14358 -aS'to\tto\tTO\tB-PP\tO' -p14359 -aS'poorly\tpoorly\tRB\tB-NP\tO' -p14360 -aS'differentiated\tdifferentiate\tVBN\tI-NP\tO' -p14361 -aS'Grade\tGrade\tNNP\tI-NP\tO' -p14362 -aS'III-IV\tIII-IV\tNNP\tI-NP\tO' -p14363 -aS'adenocarcinoma\tadenocarcinoma\tNN\tI-NP\tO' -p14364 -aS'on\ton\tIN\tB-PP\tO' -p14365 -aS'the\tthe\tDT\tB-NP\tO' -p14366 -aS'left\tleft\tNN\tI-NP\tO' -p14367 -aS'.\t.\t.\tO\tO' -p14368 -asS'Coags and UA were checked and were normal .' -p14369 -(lp14370 -S'Coags\tCoag\tNNS\tB-NP\tO' -p14371 -aS'and\tand\tCC\tI-NP\tO' -p14372 -aS'UA\tUA\tNN\tI-NP\tO' -p14373 -aS'were\tbe\tVBD\tB-VP\tO' -p14374 -aS'checked\tcheck\tVBN\tI-VP\tO' -p14375 -aS'and\tand\tCC\tO\tO' -p14376 -aS'were\tbe\tVBD\tB-VP\tO' -p14377 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p14378 -aS'.\t.\t.\tO\tO' -p14379 -asS'The patient was admitted for treatment of a presumed aspiration pneumonia and for rehydration .' -p14380 -(lp14381 -S'The\tThe\tDT\tB-NP\tO' -p14382 -aS'patient\tpatient\tNN\tI-NP\tO' -p14383 -aS'was\tbe\tVBD\tB-VP\tO' -p14384 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p14385 -aS'for\tfor\tIN\tB-PP\tO' -p14386 -aS'treatment\ttreatment\tNN\tB-NP\tO' -p14387 -aS'of\tof\tIN\tB-PP\tO' -p14388 -aS'a\ta\tDT\tB-NP\tO' -p14389 -aS'presumed\tpresume\tVBN\tI-NP\tO' -p14390 -aS'aspiration\taspiration\tNN\tI-NP\tO' -p14391 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p14392 -aS'and\tand\tCC\tB-PP\tO' -p14393 -aS'for\tfor\tIN\tB-PP\tO' -p14394 -aS'rehydration\trehydration\tNN\tB-NP\tO' -p14395 -aS'.\t.\t.\tO\tO' -p14396 -asS'Pt was due for HD but missed it secondary to her illness .' -p14397 -(lp14398 -S'Pt\tPt\tNN\tB-NP\tO' -p14399 -aS'was\tbe\tVBD\tB-VP\tO' -p14400 -aS'due\tdue\tJJ\tB-ADJP\tO' -p14401 -aS'for\tfor\tIN\tB-PP\tO' -p14402 -aS'HD\tHD\tNN\tB-NP\tO' -p14403 -aS'but\tbut\tCC\tO\tO' -p14404 -aS'missed\tmiss\tVBD\tB-VP\tO' -p14405 -aS'it\tit\tPRP\tB-NP\tO' -p14406 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p14407 -aS'to\tto\tTO\tB-PP\tO' -p14408 -aS'her\ther\tPRP$\tB-NP\tO' -p14409 -aS'illness\tillness\tNN\tI-NP\tO' -p14410 -aS'.\t.\t.\tO\tO' -p14411 -asS'Denies recent fevers , chills .' -p14412 -(lp14413 -S'Denies\tDeny\tNNS\tB-NP\tO' -p14414 -aS'recent\trecent\tJJ\tI-NP\tO' -p14415 -aS'fevers\tfever\tNNS\tI-NP\tO' -p14416 -aS',\t,\t,\tO\tO' -p14417 -aS'chills\tchill\tNNS\tB-NP\tO' -p14418 -aS'.\t.\t.\tO\tO' -p14419 -asS'EOMI .' -p14420 -(lp14421 -S'EOMI\tEOMI\tLS\tB-LST\tB-DNA' -p14422 -aS'.\t.\t.\tO\tO' -p14423 -asS'DISCHARGE FOLLOW UP : The patient is to follow up with Dr. Debra Oneal , his PCP and his cardiologist in 3 weeks .' -p14424 -(lp14425 -S'DISCHARGE\tDISCHARGE\tNN\tB-NP\tO' -p14426 -aS'FOLLOW\tFOLLOW\tNN\tI-NP\tO' -p14427 -aS'UP\tUP\tNN\tI-NP\tO' -p14428 -aS':\t:\t:\tO\tO' -p14429 -aS'The\tThe\tDT\tB-NP\tO' -p14430 -aS'patient\tpatient\tNN\tI-NP\tO' -p14431 -aS'is\tbe\tVBZ\tB-VP\tO' -p14432 -aS'to\tto\tTO\tB-VP\tO' -p14433 -aS'follow\tfollow\tVB\tI-VP\tO' -p14434 -aS'up\tup\tRP\tB-PRT\tO' -p14435 -aS'with\twith\tIN\tB-PP\tO' -p14436 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p14437 -aS'Debra\tDebra\tNNP\tI-NP\tO' -p14438 -aS'Oneal\tOneal\tNNP\tI-NP\tO' -p14439 -aS',\t,\t,\tO\tO' -p14440 -aS'his\this\tPRP$\tB-NP\tO' -p14441 -aS'PCP\tPCP\tNN\tI-NP\tO' -p14442 -aS'and\tand\tCC\tO\tO' -p14443 -aS'his\this\tPRP$\tB-NP\tO' -p14444 -aS'cardiologist\tcardiologist\tNN\tI-NP\tO' -p14445 -aS'in\tin\tIN\tB-PP\tO' -p14446 -aS'3\t3\tCD\tB-NP\tO' -p14447 -aS'weeks\tweek\tNNS\tI-NP\tO' -p14448 -aS'.\t.\t.\tO\tO' -p14449 -asS'Soon after surgery , the patient noted her left lower face and hand were weak .' -p14450 -(lp14451 -S'Soon\tSoon\tRB\tB-ADVP\tO' -p14452 -aS'after\tafter\tIN\tB-PP\tO' -p14453 -aS'surgery\tsurgery\tNN\tB-NP\tO' -p14454 -aS',\t,\t,\tO\tO' -p14455 -aS'the\tthe\tDT\tB-NP\tO' -p14456 -aS'patient\tpatient\tNN\tI-NP\tO' -p14457 -aS'noted\tnote\tVBD\tB-VP\tO' -p14458 -aS'her\ther\tPRP\tB-NP\tO' -p14459 -aS'left\tleave\tVBD\tB-VP\tO' -p14460 -aS'lower\tlow\tJJR\tB-NP\tO' -p14461 -aS'face\tface\tNN\tI-NP\tO' -p14462 -aS'and\tand\tCC\tI-NP\tO' -p14463 -aS'hand\thand\tNN\tI-NP\tO' -p14464 -aS'were\tbe\tVBD\tB-VP\tO' -p14465 -aS'weak\tweak\tJJ\tB-ADJP\tO' -p14466 -aS'.\t.\t.\tO\tO' -p14467 -asS'Has a history of hypothyroidism .' -p14468 -(lp14469 -S'Has\tHas\tIN\tB-PP\tO' -p14470 -aS'a\ta\tDT\tB-NP\tO' -p14471 -aS'history\thistory\tNN\tI-NP\tO' -p14472 -aS'of\tof\tIN\tB-PP\tO' -p14473 -aS'hypothyroidism\thypothyroidism\tNN\tB-NP\tO' -p14474 -aS'.\t.\t.\tO\tO' -p14475 -asS'The patient will also be followed by his regular Urologist at Ochtuheihugh Put University Medical Center within one week after discharge for his continuing hematuria .' -p14476 -(lp14477 -S'The\tThe\tDT\tB-NP\tO' -p14478 -aS'patient\tpatient\tNN\tI-NP\tO' -p14479 -aS'will\twill\tMD\tB-VP\tO' -p14480 -aS'also\talso\tRB\tI-VP\tO' -p14481 -aS'be\tbe\tVB\tI-VP\tO' -p14482 -aS'followed\tfollow\tVBN\tI-VP\tO' -p14483 -aS'by\tby\tIN\tB-PP\tO' -p14484 -aS'his\this\tPRP$\tB-NP\tO' -p14485 -aS'regular\tregular\tJJ\tI-NP\tO' -p14486 -aS'Urologist\tUrologist\tNN\tI-NP\tO' -p14487 -aS'at\tat\tIN\tB-PP\tO' -p14488 -aS'Ochtuheihugh\tOchtuheihugh\tNNP\tB-NP\tO' -p14489 -aS'Put\tPut\tNNP\tI-NP\tO' -p14490 -aS'University\tUniversity\tNNP\tI-NP\tO' -p14491 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p14492 -aS'Center\tCenter\tNNP\tI-NP\tO' -p14493 -aS'within\twithin\tIN\tB-PP\tO' -p14494 -aS'one\tone\tCD\tB-NP\tO' -p14495 -aS'week\tweek\tNN\tI-NP\tO' -p14496 -aS'after\tafter\tIN\tB-PP\tO' -p14497 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p14498 -aS'for\tfor\tIN\tB-PP\tO' -p14499 -aS'his\this\tPRP$\tB-NP\tB-DNA' -p14500 -aS'continuing\tcontinue\tVBG\tI-NP\tO' -p14501 -aS'hematuria\thematuria\tNN\tI-NP\tO' -p14502 -aS'.\t.\t.\tO\tO' -p14503 -asS'Significant for Insulin dependent diabetes mellitus , atrial fibrillation , hypothyroidism , hypertension , depression , frequent urinary tract infections , neuropathic pain syndrome and osteoporosis .' -p14504 -(lp14505 -S'Significant\tSignificant\tJJ\tB-ADJP\tO' -p14506 -aS'for\tfor\tIN\tB-PP\tO' -p14507 -aS'Insulin\tInsulin\tNN\tB-NP\tB-protein' -p14508 -aS'dependent\tdependent\tJJ\tI-NP\tO' -p14509 -aS'diabetes\tdiabete\tNNS\tI-NP\tO' -p14510 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p14511 -aS',\t,\t,\tO\tO' -p14512 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p14513 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p14514 -aS',\t,\t,\tO\tO' -p14515 -aS'hypothyroidism\thypothyroidism\tNN\tB-NP\tO' -p14516 -aS',\t,\t,\tO\tO' -p14517 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p14518 -aS',\t,\t,\tO\tO' -p14519 -aS'depression\tdepression\tNN\tB-NP\tO' -p14520 -aS',\t,\t,\tO\tO' -p14521 -aS'frequent\tfrequent\tJJ\tB-NP\tO' -p14522 -aS'urinary\turinary\tJJ\tI-NP\tO' -p14523 -aS'tract\ttract\tNN\tI-NP\tO' -p14524 -aS'infections\tinfection\tNNS\tI-NP\tO' -p14525 -aS',\t,\t,\tO\tO' -p14526 -aS'neuropathic\tneuropathic\tJJ\tB-NP\tO' -p14527 -aS'pain\tpain\tNN\tI-NP\tO' -p14528 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p14529 -aS'and\tand\tCC\tI-NP\tO' -p14530 -aS'osteoporosis\tosteoporosis\tNN\tI-NP\tO' -p14531 -aS'.\t.\t.\tO\tO' -p14532 -asS'Attending : Michael D. Christensen , M.D.' -p14533 -(lp14534 -S'Attending\tAttend\tVBG\tB-VP\tO' -p14535 -aS':\t:\t:\tO\tO' -p14536 -aS'Michael\tMichael\tNNP\tB-NP\tO' -p14537 -aS'D.\tD.\tNNP\tI-NP\tO' -p14538 -aS'Christensen\tChristensen\tNNP\tI-NP\tO' -p14539 -aS',\t,\t,\tO\tO' -p14540 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p14541 -asS'En route , she was given additional lasix of 60 mg IV and nitro spray x 2 .' -p14542 -(lp14543 -S'En\tEn\tNNP\tB-NP\tO' -p14544 -aS'route\troute\tNN\tI-NP\tO' -p14545 -aS',\t,\t,\tO\tO' -p14546 -aS'she\tshe\tPRP\tB-NP\tO' -p14547 -aS'was\tbe\tVBD\tB-VP\tO' -p14548 -aS'given\tgive\tVBN\tI-VP\tO' -p14549 -aS'additional\tadditional\tJJ\tB-NP\tO' -p14550 -aS'lasix\tlasix\tNN\tI-NP\tO' -p14551 -aS'of\tof\tIN\tB-PP\tO' -p14552 -aS'60\t60\tCD\tB-NP\tO' -p14553 -aS'mg\tmg\tNN\tI-NP\tO' -p14554 -aS'IV\tIV\tCD\tB-NP\tO' -p14555 -aS'and\tand\tCC\tI-NP\tO' -p14556 -aS'nitro\tnitro\tNN\tI-NP\tB-protein' -p14557 -aS'spray\tspray\tNN\tI-NP\tI-protein' -p14558 -aS'x\tx\tNN\tI-NP\tI-protein' -p14559 -aS'2\t2\tCD\tI-NP\tI-protein' -p14560 -aS'.\t.\t.\tO\tO' -p14561 -asS'Includes ischemic cardiomyopathy with an echocardiogram done on 11/13/97 showing an ejection fraction of 28% and LV that is diffusely hypokinetic .' -p14562 -(lp14563 -S'Includes\tInclude\tVBZ\tB-VP\tO' -p14564 -aS'ischemic\tischemic\tJJ\tB-NP\tO' -p14565 -aS'cardiomyopathy\tcardiomyopathy\tNN\tI-NP\tO' -p14566 -aS'with\twith\tIN\tB-PP\tO' -p14567 -aS'an\tan\tDT\tB-NP\tO' -p14568 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p14569 -aS'done\tdo\tVBN\tB-VP\tO' -p14570 -aS'on\ton\tIN\tB-PP\tO' -p14571 -aS'11/13/97\t11/13/97\tCD\tB-NP\tO' -p14572 -aS'showing\tshow\tVBG\tB-VP\tO' -p14573 -aS'an\tan\tDT\tB-NP\tO' -p14574 -aS'ejection\tejection\tNN\tI-NP\tO' -p14575 -aS'fraction\tfraction\tNN\tI-NP\tO' -p14576 -aS'of\tof\tIN\tB-PP\tO' -p14577 -aS'28%\t28%\tNN\tB-NP\tO' -p14578 -aS'and\tand\tCC\tI-NP\tO' -p14579 -aS'LV\tLV\tNN\tI-NP\tO' -p14580 -aS'that\tthat\tWDT\tB-NP\tO' -p14581 -aS'is\tbe\tVBZ\tB-VP\tO' -p14582 -aS'diffusely\tdiffusely\tRB\tB-ADJP\tO' -p14583 -aS'hypokinetic\thypokinetic\tJJ\tI-ADJP\tO' -p14584 -aS'.\t.\t.\tO\tO' -p14585 -asS'There is no family history of heart disease .' -p14586 -(lp14587 -S'There\tThere\tEX\tB-NP\tO' -p14588 -aS'is\tbe\tVBZ\tB-VP\tO' -p14589 -aS'no\tno\tDT\tB-NP\tO' -p14590 -aS'family\tfamily\tNN\tI-NP\tO' -p14591 -aS'history\thistory\tNN\tI-NP\tO' -p14592 -aS'of\tof\tIN\tB-PP\tO' -p14593 -aS'heart\theart\tNN\tB-NP\tO' -p14594 -aS'disease\tdisease\tNN\tI-NP\tO' -p14595 -aS'.\t.\t.\tO\tO' -p14596 -asS'5. Fall from standing on 2014-01-29 with resultant displaced radial fracture which was reduced , closed , and casted .' -p14597 -(lp14598 -S'5.\t5.\tLS\tB-NP\tO' -p14599 -aS'Fall\tFall\tNN\tI-NP\tO' -p14600 -aS'from\tfrom\tIN\tB-PP\tO' -p14601 -aS'standing\tstand\tVBG\tB-VP\tO' -p14602 -aS'on\ton\tIN\tB-PP\tO' -p14603 -aS'2014-01-29\t2014-01-29\tCD\tB-NP\tO' -p14604 -aS'with\twith\tIN\tB-PP\tO' -p14605 -aS'resultant\tresultant\tJJ\tB-NP\tO' -p14606 -aS'displaced\tdisplaced\tJJ\tI-NP\tO' -p14607 -aS'radial\tradial\tJJ\tI-NP\tO' -p14608 -aS'fracture\tfracture\tNN\tI-NP\tO' -p14609 -aS'which\twhich\tWDT\tB-NP\tO' -p14610 -aS'was\tbe\tVBD\tB-VP\tO' -p14611 -aS'reduced\treduce\tVBN\tI-VP\tO' -p14612 -aS',\t,\t,\tO\tO' -p14613 -aS'closed\tclose\tVBN\tB-VP\tO' -p14614 -aS',\t,\t,\tO\tO' -p14615 -aS'and\tand\tCC\tO\tO' -p14616 -aS'casted\tcast\tVBN\tB-VP\tO' -p14617 -aS'.\t.\t.\tO\tO' -p14618 -asS'82 y/o f w h/o afib , SSS s/p pacer 05-08 c/b PTX requiring CT , CAD , who was readmitted 05-24 with ARF and lethargy , found to have a large pericardial effusion and bilateral pleural effusions , with echo showing no evidence of tamponade , who is transferred for possible pericardial effusion drainage and treatment of CHF , as well as drainage of bilateral pleural effusions .' -p14619 -(lp14620 -S'82\t82\tCD\tB-NP\tO' -p14621 -aS'y/o\ty/o\tNN\tI-NP\tO' -p14622 -aS'f\tf\tNN\tI-NP\tO' -p14623 -aS'w\tw\tNN\tI-NP\tO' -p14624 -aS'h/o\th/o\tNN\tI-NP\tO' -p14625 -aS'afib\tafib\tNN\tI-NP\tO' -p14626 -aS',\t,\t,\tO\tO' -p14627 -aS'SSS\tSSS\tNN\tB-NP\tO' -p14628 -aS's/p\ts/p\tNN\tI-NP\tO' -p14629 -aS'pacer\tpacer\tNN\tI-NP\tO' -p14630 -aS'05-08\t05-08\tCD\tI-NP\tO' -p14631 -aS'c/b\tc/b\tNN\tI-NP\tO' -p14632 -aS'PTX\tPTX\tNN\tI-NP\tO' -p14633 -aS'requiring\trequire\tVBG\tB-VP\tO' -p14634 -aS'CT\tCT\tNN\tB-NP\tO' -p14635 -aS',\t,\t,\tO\tO' -p14636 -aS'CAD\tCAD\tNN\tB-NP\tB-protein' -p14637 -aS',\t,\t,\tO\tO' -p14638 -aS'who\twho\tWP\tB-NP\tO' -p14639 -aS'was\tbe\tVBD\tB-VP\tO' -p14640 -aS'readmitted\treadmitte\tVBN\tI-VP\tO' -p14641 -aS'05-24\t05-24\tCD\tB-NP\tO' -p14642 -aS'with\twith\tIN\tB-PP\tO' -p14643 -aS'ARF\tARF\tNN\tB-NP\tB-protein' -p14644 -aS'and\tand\tCC\tI-NP\tO' -p14645 -aS'lethargy\tlethargy\tNN\tI-NP\tO' -p14646 -aS',\t,\t,\tO\tO' -p14647 -aS'found\tfind\tVBN\tB-VP\tO' -p14648 -aS'to\tto\tTO\tI-VP\tO' -p14649 -aS'have\thave\tVB\tI-VP\tO' -p14650 -aS'a\ta\tDT\tB-NP\tO' -p14651 -aS'large\tlarge\tJJ\tI-NP\tO' -p14652 -aS'pericardial\tpericardial\tJJ\tI-NP\tO' -p14653 -aS'effusion\teffusion\tNN\tI-NP\tO' -p14654 -aS'and\tand\tCC\tO\tO' -p14655 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p14656 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p14657 -aS'effusions\teffusion\tNNS\tI-NP\tO' -p14658 -aS',\t,\t,\tO\tO' -p14659 -aS'with\twith\tIN\tB-PP\tO' -p14660 -aS'echo\techo\tNN\tB-NP\tO' -p14661 -aS'showing\tshow\tVBG\tB-VP\tO' -p14662 -aS'no\tno\tDT\tB-NP\tO' -p14663 -aS'evidence\tevidence\tNN\tI-NP\tO' -p14664 -aS'of\tof\tIN\tB-PP\tO' -p14665 -aS'tamponade\ttamponade\tNN\tB-NP\tO' -p14666 -aS',\t,\t,\tO\tO' -p14667 -aS'who\twho\tWP\tB-NP\tO' -p14668 -aS'is\tbe\tVBZ\tB-VP\tO' -p14669 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p14670 -aS'for\tfor\tIN\tB-PP\tO' -p14671 -aS'possible\tpossible\tJJ\tB-NP\tO' -p14672 -aS'pericardial\tpericardial\tJJ\tI-NP\tO' -p14673 -aS'effusion\teffusion\tNN\tI-NP\tO' -p14674 -aS'drainage\tdrainage\tNN\tI-NP\tO' -p14675 -aS'and\tand\tCC\tI-NP\tO' -p14676 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p14677 -aS'of\tof\tIN\tB-PP\tO' -p14678 -aS'CHF\tCHF\tNN\tB-NP\tB-protein' -p14679 -aS',\t,\t,\tO\tO' -p14680 -aS'as\tas\tRB\tB-CONJP\tO' -p14681 -aS'well\twell\tRB\tI-CONJP\tO' -p14682 -aS'as\tas\tIN\tI-CONJP\tO' -p14683 -aS'drainage\tdrainage\tNN\tB-NP\tO' -p14684 -aS'of\tof\tIN\tB-PP\tO' -p14685 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p14686 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p14687 -aS'effusions\teffusion\tNNS\tI-NP\tO' -p14688 -aS'.\t.\t.\tO\tO' -p14689 -asS'On postoperative day four , the patient continued to have nasogastric tube in place .' -p14690 -(lp14691 -S'On\tOn\tIN\tB-PP\tO' -p14692 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p14693 -aS'day\tday\tNN\tI-NP\tO' -p14694 -aS'four\tfour\tCD\tB-NP\tO' -p14695 -aS',\t,\t,\tO\tO' -p14696 -aS'the\tthe\tDT\tB-NP\tO' -p14697 -aS'patient\tpatient\tNN\tI-NP\tO' -p14698 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p14699 -aS'to\tto\tTO\tI-VP\tO' -p14700 -aS'have\thave\tVB\tI-VP\tO' -p14701 -aS'nasogastric\tnasogastric\tJJ\tB-NP\tO' -p14702 -aS'tube\ttube\tNN\tI-NP\tO' -p14703 -aS'in\tin\tIN\tB-PP\tO' -p14704 -aS'place\tplace\tNN\tB-NP\tO' -p14705 -aS'.\t.\t.\tO\tO' -p14706 -asS'The study was repeated and yet again Mr. Knueppel was unable to swallow without evidence of aspiration .' -p14707 -(lp14708 -S'The\tThe\tDT\tB-NP\tO' -p14709 -aS'study\tstudy\tNN\tI-NP\tO' -p14710 -aS'was\tbe\tVBD\tB-VP\tO' -p14711 -aS'repeated\trepeat\tVBN\tI-VP\tO' -p14712 -aS'and\tand\tCC\tO\tO' -p14713 -aS'yet\tyet\tRB\tO\tO' -p14714 -aS'again\tagain\tRB\tB-ADVP\tO' -p14715 -aS'Mr.\tMr.\tNNP\tB-NP\tO' -p14716 -aS'Knueppel\tKnueppel\tNNP\tI-NP\tO' -p14717 -aS'was\tbe\tVBD\tB-VP\tO' -p14718 -aS'unable\tunable\tJJ\tB-ADJP\tO' -p14719 -aS'to\tto\tTO\tB-VP\tO' -p14720 -aS'swallow\tswallow\tVB\tI-VP\tO' -p14721 -aS'without\twithout\tIN\tB-PP\tO' -p14722 -aS'evidence\tevidence\tNN\tB-NP\tO' -p14723 -aS'of\tof\tIN\tB-PP\tO' -p14724 -aS'aspiration\taspiration\tNN\tB-NP\tO' -p14725 -aS'.\t.\t.\tO\tO' -p14726 -asS'In 1993 she had a DDD pacemaker for complete heart block .' -p14727 -(lp14728 -S'In\tIn\tIN\tB-PP\tO' -p14729 -aS'1993\t1993\tCD\tB-NP\tO' -p14730 -aS'she\tshe\tPRP\tB-NP\tO' -p14731 -aS'had\thave\tVBD\tB-VP\tO' -p14732 -aS'a\ta\tDT\tB-NP\tO' -p14733 -aS'DDD\tDDD\tNN\tI-NP\tO' -p14734 -aS'pacemaker\tpacemaker\tNN\tI-NP\tO' -p14735 -aS'for\tfor\tIN\tB-PP\tO' -p14736 -aS'complete\tcomplete\tJJ\tB-NP\tO' -p14737 -aS'heart\theart\tNN\tI-NP\tO' -p14738 -aS'block\tblock\tNN\tI-NP\tO' -p14739 -aS'.\t.\t.\tO\tO' -p14740 -asS'Recently he had been receiving a combination of outpatient chemotherapy with the CAMP Program .' -p14741 -(lp14742 -S'Recently\tRecently\tRB\tB-ADVP\tO' -p14743 -aS'he\the\tPRP\tB-NP\tO' -p14744 -aS'had\thave\tVBD\tB-VP\tO' -p14745 -aS'been\tbe\tVBN\tI-VP\tO' -p14746 -aS'receiving\treceive\tVBG\tI-VP\tO' -p14747 -aS'a\ta\tDT\tB-NP\tO' -p14748 -aS'combination\tcombination\tNN\tI-NP\tO' -p14749 -aS'of\tof\tIN\tB-PP\tO' -p14750 -aS'outpatient\toutpatient\tNN\tB-NP\tO' -p14751 -aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' -p14752 -aS'with\twith\tIN\tB-PP\tO' -p14753 -aS'the\tthe\tDT\tB-NP\tO' -p14754 -aS'CAMP\tCAMP\tNN\tI-NP\tO' -p14755 -aS'Program\tProgram\tNN\tI-NP\tO' -p14756 -aS'.\t.\t.\tO\tO' -p14757 -asS'5. Cyclosporin microemulsion .' -p14758 -(lp14759 -S'5.\t5.\tLS\tB-NP\tO' -p14760 -aS'Cyclosporin\tCyclosporin\tNN\tI-NP\tO' -p14761 -aS'microemulsion\tmicroemulsion\tNN\tI-NP\tO' -p14762 -aS'.\t.\t.\tO\tO' -p14763 -asS'5. Warfarin Sodium 5 mg Tablet Sig : One ( 1 ) Tablet PO HS ( at bedtime ).' -p14764 -(lp14765 -S'5.\t5.\tLS\tB-NP\tO' -p14766 -aS'Warfarin\tWarfarin\tNNP\tI-NP\tO' -p14767 -aS'Sodium\tSodium\tNNP\tI-NP\tO' -p14768 -aS'5\t5\tCD\tI-NP\tO' -p14769 -aS'mg\tmg\tNN\tI-NP\tO' -p14770 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p14771 -aS'Sig\tSig\tNNP\tI-NP\tO' -p14772 -aS':\t:\t:\tO\tO' -p14773 -aS'One\tOne\tCD\tB-NP\tO' -p14774 -aS'(\t(\t(\tO\tO' -p14775 -aS'1\t1\tCD\tB-NP\tO' -p14776 -aS')\t)\t)\tO\tO' -p14777 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p14778 -aS'PO\tPO\tNN\tI-NP\tO' -p14779 -aS'HS\tHS\tNN\tI-NP\tO' -p14780 -aS'(\t(\t(\tO\tO' -p14781 -aS'at\tat\tIN\tB-PP\tO' -p14782 -aS'bedtime\tbedtime\tNN\tB-NP\tO' -p14783 -aS').\t).\t.\tO\tO' -p14784 -asS'No further episodes of hypotension were noted .' -p14785 -(lp14786 -S'No\tNo\tDT\tB-NP\tO' -p14787 -aS'further\tfurther\tJJ\tI-NP\tO' -p14788 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p14789 -aS'of\tof\tIN\tB-PP\tO' -p14790 -aS'hypotension\thypotension\tNN\tB-NP\tO' -p14791 -aS'were\tbe\tVBD\tB-VP\tO' -p14792 -aS'noted\tnote\tVBN\tI-VP\tO' -p14793 -aS'.\t.\t.\tO\tO' -p14794 -asS'Remainder of his cardiac workup was negative .' -p14795 -(lp14796 -S'Remainder\tRemainder\tNN\tB-NP\tO' -p14797 -aS'of\tof\tIN\tB-PP\tO' -p14798 -aS'his\this\tPRP$\tB-NP\tO' -p14799 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p14800 -aS'workup\tworkup\tNN\tI-NP\tO' -p14801 -aS'was\tbe\tVBD\tB-VP\tO' -p14802 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p14803 -aS'.\t.\t.\tO\tO' -p14804 -asS'The lung sounds were rhonchorous , otherwise clear to auscultation and percussion .' -p14805 -(lp14806 -S'The\tThe\tDT\tB-NP\tO' -p14807 -aS'lung\tlung\tNN\tI-NP\tO' -p14808 -aS'sounds\tsound\tNNS\tI-NP\tO' -p14809 -aS'were\tbe\tVBD\tB-VP\tO' -p14810 -aS'rhonchorous\trhonchorous\tJJ\tB-ADJP\tO' -p14811 -aS',\t,\t,\tO\tO' -p14812 -aS'otherwise\totherwise\tRB\tB-ADJP\tO' -p14813 -aS'clear\tclear\tJJ\tI-ADJP\tO' -p14814 -aS'to\tto\tTO\tB-PP\tO' -p14815 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p14816 -aS'and\tand\tCC\tI-NP\tO' -p14817 -aS'percussion\tpercussion\tNN\tI-NP\tO' -p14818 -aS'.\t.\t.\tO\tO' -p14819 -asS'7. Coronary artery disease , status post myocardial infarction in 2012-05-06 .' -p14820 -(lp14821 -S'7.\t7.\tLS\tB-NP\tO' -p14822 -aS'Coronary\tCoronary\tJJ\tI-NP\tO' -p14823 -aS'artery\tartery\tNN\tI-NP\tO' -p14824 -aS'disease\tdisease\tNN\tI-NP\tO' -p14825 -aS',\t,\t,\tO\tO' -p14826 -aS'status\tstatus\tNN\tB-NP\tO' -p14827 -aS'post\tpost\tNN\tI-NP\tO' -p14828 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p14829 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p14830 -aS'in\tin\tIN\tB-PP\tO' -p14831 -aS'2012-05-06\t2012-05-06\tCD\tB-NP\tO' -p14832 -aS'.\t.\t.\tO\tO' -p14833 -asS'These were both determined to be present and intact .' -p14834 -(lp14835 -S'These\tThese\tDT\tB-NP\tO' -p14836 -aS'were\tbe\tVBD\tB-VP\tO' -p14837 -aS'both\tboth\tDT\tO\tO' -p14838 -aS'determined\tdetermine\tVBN\tB-VP\tO' -p14839 -aS'to\tto\tTO\tB-VP\tO' -p14840 -aS'be\tbe\tVB\tI-VP\tO' -p14841 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p14842 -aS'and\tand\tCC\tI-ADJP\tO' -p14843 -aS'intact\tintact\tJJ\tI-ADJP\tO' -p14844 -aS'.\t.\t.\tO\tO' -p14845 -asS'Due to this GI was consulted and felt that he would be a candidate for esophagogastroduodenoscopy .' -p14846 -(lp14847 -S'Due\tDue\tJJ\tB-ADJP\tO' -p14848 -aS'to\tto\tTO\tB-PP\tO' -p14849 -aS'this\tthis\tDT\tB-NP\tO' -p14850 -aS'GI\tGI\tNN\tI-NP\tO' -p14851 -aS'was\tbe\tVBD\tB-VP\tO' -p14852 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p14853 -aS'and\tand\tCC\tO\tO' -p14854 -aS'felt\tfeel\tVBD\tB-VP\tO' -p14855 -aS'that\tthat\tIN\tB-SBAR\tO' -p14856 -aS'he\the\tPRP\tB-NP\tO' -p14857 -aS'would\twould\tMD\tB-VP\tO' -p14858 -aS'be\tbe\tVB\tI-VP\tO' -p14859 -aS'a\ta\tDT\tB-NP\tO' -p14860 -aS'candidate\tcandidate\tNN\tI-NP\tO' -p14861 -aS'for\tfor\tIN\tB-PP\tO' -p14862 -aS'esophagogastroduodenoscopy\tesophagogastroduodenoscopy\tNN\tB-NP\tO' -p14863 -aS'.\t.\t.\tO\tO' -p14864 -asS'Nystatin Mouthwash Swish and Swallow .' -p14865 -(lp14866 -S'Nystatin\tNystatin\tNN\tB-NP\tO' -p14867 -aS'Mouthwash\tMouthwash\tNNP\tI-NP\tO' -p14868 -aS'Swish\tSwish\tNNP\tI-NP\tO' -p14869 -aS'and\tand\tCC\tO\tO' -p14870 -aS'Swallow\tSwallow\tNNP\tB-NP\tO' -p14871 -aS'.\t.\t.\tO\tO' -p14872 -asS'The medical examiner has also been notified of the passing of the patient .' -p14873 -(lp14874 -S'The\tThe\tDT\tB-NP\tO' -p14875 -aS'medical\tmedical\tJJ\tI-NP\tO' -p14876 -aS'examiner\texaminer\tNN\tI-NP\tO' -p14877 -aS'has\thave\tVBZ\tB-VP\tO' -p14878 -aS'also\talso\tRB\tI-VP\tO' -p14879 -aS'been\tbe\tVBN\tI-VP\tO' -p14880 -aS'notified\tnotify\tVBN\tI-VP\tO' -p14881 -aS'of\tof\tIN\tB-PP\tO' -p14882 -aS'the\tthe\tDT\tB-NP\tO' -p14883 -aS'passing\tpassing\tNN\tI-NP\tO' -p14884 -aS'of\tof\tIN\tB-PP\tO' -p14885 -aS'the\tthe\tDT\tB-NP\tO' -p14886 -aS'patient\tpatient\tNN\tI-NP\tO' -p14887 -aS'.\t.\t.\tO\tO' -p14888 -asS'Patient is known to have a baseline of 1.0 , most likely hypovolemia and prerenal .' -p14889 -(lp14890 -S'Patient\tPatient\tNN\tB-NP\tO' -p14891 -aS'is\tbe\tVBZ\tB-VP\tO' -p14892 -aS'known\tknow\tVBN\tI-VP\tO' -p14893 -aS'to\tto\tTO\tI-VP\tO' -p14894 -aS'have\thave\tVB\tI-VP\tO' -p14895 -aS'a\ta\tDT\tB-NP\tO' -p14896 -aS'baseline\tbaseline\tNN\tI-NP\tO' -p14897 -aS'of\tof\tIN\tB-PP\tO' -p14898 -aS'1.0\t1.0\tCD\tB-NP\tO' -p14899 -aS',\t,\t,\tO\tO' -p14900 -aS'most\tmost\tRBS\tB-NP\tO' -p14901 -aS'likely\tlikely\tJJ\tI-NP\tO' -p14902 -aS'hypovolemia\thypovolemia\tNN\tI-NP\tO' -p14903 -aS'and\tand\tCC\tO\tO' -p14904 -aS'prerenal\tprerenal\tJJ\tB-ADJP\tO' -p14905 -aS'.\t.\t.\tO\tO' -p14906 -asS'The estimated right atrial pressure is 16-20 mmHg .' -p14907 -(lp14908 -S'The\tThe\tDT\tB-NP\tO' -p14909 -aS'estimated\testimate\tVBN\tI-NP\tO' -p14910 -aS'right\tright\tJJ\tI-NP\tO' -p14911 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p14912 -aS'pressure\tpressure\tNN\tI-NP\tO' -p14913 -aS'is\tbe\tVBZ\tB-VP\tO' -p14914 -aS'16-20\t16-20\tCD\tB-NP\tO' -p14915 -aS'mmHg\tmmHg\tNN\tI-NP\tO' -p14916 -aS'.\t.\t.\tO\tO' -p14917 -asS'Gastroenterology - 9092 N. Eighth Cir. , Wisecup Rose - 1st floor .' -p14918 -(lp14919 -S'Gastroenterology\tGastroenterology\tNN\tB-NP\tO' -p14920 -aS'-\t-\tHYPH\tI-NP\tO' -p14921 -aS'9092\t9092\tCD\tI-NP\tO' -p14922 -aS'N.\tN.\tNNP\tI-NP\tO' -p14923 -aS'Eighth\tEighth\tNNP\tI-NP\tO' -p14924 -aS'Cir.\tCir.\tNNP\tI-NP\tO' -p14925 -aS',\t,\t,\tO\tO' -p14926 -aS'Wisecup\tWisecup\tNNP\tB-NP\tO' -p14927 -aS'Rose\tRose\tNNP\tI-NP\tO' -p14928 -aS'-\t-\tHYPH\tB-NP\tO' -p14929 -aS'1st\t1st\tJJ\tI-NP\tO' -p14930 -aS'floor\tfloor\tNN\tI-NP\tO' -p14931 -aS'.\t.\t.\tO\tO' -p14932 -asS'8. Vioxx times three weeks .' -p14933 -(lp14934 -S'8.\t8.\tCD\tB-NP\tO' -p14935 -aS'Vioxx\tVioxx\tNNP\tI-NP\tO' -p14936 -aS'times\ttimes\tCC\tO\tO' -p14937 -aS'three\tthree\tCD\tB-NP\tO' -p14938 -aS'weeks\tweek\tNNS\tI-NP\tO' -p14939 -aS'.\t.\t.\tO\tO' -p14940 -asS'There is severe global left ventricular hypokinesis to akinesis with some sparing of basal wall motion .' -p14941 -(lp14942 -S'There\tThere\tEX\tB-NP\tO' -p14943 -aS'is\tbe\tVBZ\tB-VP\tO' -p14944 -aS'severe\tsevere\tJJ\tB-NP\tO' -p14945 -aS'global\tglobal\tJJ\tI-NP\tO' -p14946 -aS'left\tleft\tJJ\tI-NP\tO' -p14947 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p14948 -aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' -p14949 -aS'to\tto\tTO\tB-PP\tO' -p14950 -aS'akinesis\takinesis\tNN\tB-NP\tO' -p14951 -aS'with\twith\tIN\tB-PP\tO' -p14952 -aS'some\tsome\tDT\tB-NP\tO' -p14953 -aS'sparing\tsparing\tNN\tI-NP\tO' -p14954 -aS'of\tof\tIN\tB-PP\tO' -p14955 -aS'basal\tbasal\tJJ\tB-NP\tO' -p14956 -aS'wall\twall\tNN\tI-NP\tO' -p14957 -aS'motion\tmotion\tNN\tI-NP\tO' -p14958 -aS'.\t.\t.\tO\tO' -p14959 -asS'The patient at that time noted slight shortness of breath but was sent home anyway .' -p14960 -(lp14961 -S'The\tThe\tDT\tB-NP\tO' -p14962 -aS'patient\tpatient\tNN\tI-NP\tO' -p14963 -aS'at\tat\tIN\tB-PP\tO' -p14964 -aS'that\tthat\tDT\tB-NP\tO' -p14965 -aS'time\ttime\tNN\tI-NP\tO' -p14966 -aS'noted\tnote\tVBD\tB-VP\tO' -p14967 -aS'slight\tslight\tJJ\tB-NP\tO' -p14968 -aS'shortness\tshortness\tNN\tI-NP\tO' -p14969 -aS'of\tof\tIN\tB-PP\tO' -p14970 -aS'breath\tbreath\tNN\tB-NP\tO' -p14971 -aS'but\tbut\tCC\tO\tO' -p14972 -aS'was\tbe\tVBD\tB-VP\tO' -p14973 -aS'sent\tsend\tVBN\tI-VP\tO' -p14974 -aS'home\thome\tNN\tB-ADVP\tO' -p14975 -aS'anyway\tanyway\tRB\tB-ADVP\tO' -p14976 -aS'.\t.\t.\tO\tO' -p14977 -asS'Mother with h/o emphysema , CAD' -p14978 -(lp14979 -S'Mother\tMother\tDT\tB-NP\tO' -p14980 -aS'with\twith\tIN\tB-PP\tO' -p14981 -aS'h/o\th/o\tNN\tB-NP\tO' -p14982 -aS'emphysema\temphysema\tNN\tI-NP\tO' -p14983 -aS',\t,\t,\tO\tO' -p14984 -aS'CAD\tCAD\tNN\tB-NP\tO' -p14985 -asS'Pt was transferred to The Hospital for Orthopedics for further management with wishes from the pt and family to reverse DNR/DNI status if surgery was indicated .' -p14986 -(lp14987 -S'Pt\tPt\tNN\tB-NP\tO' -p14988 -aS'was\tbe\tVBD\tB-VP\tO' -p14989 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p14990 -aS'to\tto\tTO\tB-PP\tO' -p14991 -aS'The\tThe\tDT\tB-NP\tO' -p14992 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p14993 -aS'for\tfor\tIN\tB-PP\tO' -p14994 -aS'Orthopedics\tOrthopedics\tNNP\tB-NP\tO' -p14995 -aS'for\tfor\tIN\tB-PP\tO' -p14996 -aS'further\tfurther\tJJ\tB-NP\tO' -p14997 -aS'management\tmanagement\tNN\tI-NP\tO' -p14998 -aS'with\twith\tIN\tB-PP\tO' -p14999 -aS'wishes\twish\tNNS\tB-NP\tO' -p15000 -aS'from\tfrom\tIN\tB-PP\tO' -p15001 -aS'the\tthe\tDT\tB-NP\tO' -p15002 -aS'pt\tpt\tNN\tI-NP\tO' -p15003 -aS'and\tand\tCC\tI-NP\tO' -p15004 -aS'family\tfamily\tNN\tI-NP\tO' -p15005 -aS'to\tto\tTO\tB-VP\tO' -p15006 -aS'reverse\treverse\tVB\tI-VP\tO' -p15007 -aS'DNR/DNI\tDNR/DNI\tNN\tB-NP\tO' -p15008 -aS'status\tstatus\tNN\tI-NP\tO' -p15009 -aS'if\tif\tIN\tB-SBAR\tO' -p15010 -aS'surgery\tsurgery\tNN\tB-NP\tO' -p15011 -aS'was\tbe\tVBD\tB-VP\tO' -p15012 -aS'indicated\tindicate\tVBN\tI-VP\tO' -p15013 -aS'.\t.\t.\tO\tO' -p15014 -asS'Friday 08-17 and Monday 08-20 cbc , chem10 , pt/ptt/inr and trough prograf level .' -p15015 -(lp15016 -S'Friday\tFriday\tNNP\tB-NP\tO' -p15017 -aS'08-17\t08-17\tCD\tI-NP\tO' -p15018 -aS'and\tand\tCC\tO\tO' -p15019 -aS'Monday\tMonday\tNNP\tB-NP\tO' -p15020 -aS'08-20\t08-20\tCD\tI-NP\tO' -p15021 -aS'cbc\tcbc\tNN\tI-NP\tO' -p15022 -aS',\t,\t,\tO\tO' -p15023 -aS'chem10\tchem10\tNN\tB-NP\tB-protein' -p15024 -aS',\t,\t,\tO\tO' -p15025 -aS'pt/ptt/inr\tpt/ptt/inr\tNN\tB-NP\tO' -p15026 -aS'and\tand\tCC\tI-NP\tO' -p15027 -aS'trough\ttrough\tNN\tI-NP\tO' -p15028 -aS'prograf\tprograf\tNN\tI-NP\tO' -p15029 -aS'level\tlevel\tNN\tI-NP\tO' -p15030 -aS'.\t.\t.\tO\tO' -p15031 -asS'For this pneumonia , he was placed empirically on imipenem , vancomycin , and Flagyl .' -p15032 -(lp15033 -S'For\tFor\tIN\tB-PP\tO' -p15034 -aS'this\tthis\tDT\tB-NP\tO' -p15035 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p15036 -aS',\t,\t,\tO\tO' -p15037 -aS'he\the\tPRP\tB-NP\tO' -p15038 -aS'was\tbe\tVBD\tB-VP\tO' -p15039 -aS'placed\tplace\tVBN\tI-VP\tO' -p15040 -aS'empirically\tempirically\tRB\tB-ADVP\tO' -p15041 -aS'on\ton\tIN\tB-PP\tO' -p15042 -aS'imipenem\timipenem\tNN\tB-NP\tO' -p15043 -aS',\t,\t,\tO\tO' -p15044 -aS'vancomycin\tvancomycin\tNN\tB-NP\tO' -p15045 -aS',\t,\t,\tO\tO' -p15046 -aS'and\tand\tCC\tO\tO' -p15047 -aS'Flagyl\tFlagyl\tNN\tB-NP\tO' -p15048 -aS'.\t.\t.\tO\tO' -p15049 -asS'There was an occlusion of posterior tibial artery at the ankle .' -p15050 -(lp15051 -S'There\tThere\tEX\tB-NP\tO' -p15052 -aS'was\tbe\tVBD\tB-VP\tO' -p15053 -aS'an\tan\tDT\tB-NP\tO' -p15054 -aS'occlusion\tocclusion\tNN\tI-NP\tO' -p15055 -aS'of\tof\tIN\tB-PP\tO' -p15056 -aS'posterior\tposterior\tJJ\tB-NP\tO' -p15057 -aS'tibial\ttibial\tJJ\tI-NP\tO' -p15058 -aS'artery\tartery\tNN\tI-NP\tO' -p15059 -aS'at\tat\tIN\tB-PP\tO' -p15060 -aS'the\tthe\tDT\tB-NP\tO' -p15061 -aS'ankle\tankle\tNN\tI-NP\tO' -p15062 -aS'.\t.\t.\tO\tO' -p15063 -asS'For details of this operation , please see the previously dictated operative note .' -p15064 -(lp15065 -S'For\tFor\tIN\tB-PP\tO' -p15066 -aS'details\tdetail\tNNS\tB-NP\tO' -p15067 -aS'of\tof\tIN\tB-PP\tO' -p15068 -aS'this\tthis\tDT\tB-NP\tO' -p15069 -aS'operation\toperation\tNN\tI-NP\tO' -p15070 -aS',\t,\t,\tO\tO' -p15071 -aS'please\tplease\tNN\tB-NP\tO' -p15072 -aS'see\tsee\tVBP\tB-VP\tO' -p15073 -aS'the\tthe\tDT\tB-NP\tO' -p15074 -aS'previously\tpreviously\tRB\tI-NP\tO' -p15075 -aS'dictated\tdictate\tVBN\tI-NP\tO' -p15076 -aS'operative\toperative\tJJ\tI-NP\tO' -p15077 -aS'note\tnote\tNN\tI-NP\tO' -p15078 -aS'.\t.\t.\tO\tO' -p15079 -asS'A tumor was noted on her vulva which was biopsied and revealed squamous cell carcinoma in situ .' -p15080 -(lp15081 -S'A\tA\tDT\tB-NP\tO' -p15082 -aS'tumor\ttumor\tNN\tI-NP\tO' -p15083 -aS'was\tbe\tVBD\tB-VP\tO' -p15084 -aS'noted\tnote\tVBN\tI-VP\tO' -p15085 -aS'on\ton\tIN\tB-PP\tO' -p15086 -aS'her\ther\tPRP$\tB-NP\tO' -p15087 -aS'vulva\tvulva\tNN\tI-NP\tO' -p15088 -aS'which\twhich\tWDT\tB-NP\tO' -p15089 -aS'was\tbe\tVBD\tB-VP\tO' -p15090 -aS'biopsied\tbiopsie\tVBN\tI-VP\tO' -p15091 -aS'and\tand\tCC\tO\tO' -p15092 -aS'revealed\treveal\tVBD\tB-VP\tO' -p15093 -aS'squamous\tsquamous\tJJ\tB-NP\tO' -p15094 -aS'cell\tcell\tNN\tI-NP\tO' -p15095 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p15096 -aS'in\tin\tFW\tB-ADVP\tO' -p15097 -aS'situ\tsitu\tFW\tI-ADVP\tO' -p15098 -aS'.\t.\t.\tO\tO' -p15099 -asS'Dialysis as scheduled .' -p15100 -(lp15101 -S'Dialysis\tDialysis\tNN\tB-NP\tO' -p15102 -aS'as\tas\tIN\tB-PP\tO' -p15103 -aS'scheduled\tschedule\tVBN\tB-VP\tO' -p15104 -aS'.\t.\t.\tO\tO' -p15105 -asS'Digoxin level was 1.4 .' -p15106 -(lp15107 -S'Digoxin\tDigoxin\tNN\tB-NP\tO' -p15108 -aS'level\tlevel\tNN\tI-NP\tO' -p15109 -aS'was\tbe\tVBD\tB-VP\tO' -p15110 -aS'1.4\t1.4\tCD\tB-NP\tO' -p15111 -aS'.\t.\t.\tO\tO' -p15112 -asS'The left ventriculogram revealed an akinetic anterolateral and apical ventricle .' -p15113 -(lp15114 -S'The\tThe\tDT\tB-NP\tO' -p15115 -aS'left\tleft\tJJ\tI-NP\tO' -p15116 -aS'ventriculogram\tventriculogram\tNN\tI-NP\tO' -p15117 -aS'revealed\treveal\tVBD\tB-VP\tO' -p15118 -aS'an\tan\tDT\tB-NP\tO' -p15119 -aS'akinetic\takinetic\tJJ\tI-NP\tO' -p15120 -aS'anterolateral\tanterolateral\tJJ\tI-NP\tO' -p15121 -aS'and\tand\tCC\tI-NP\tO' -p15122 -aS'apical\tapical\tJJ\tI-NP\tO' -p15123 -aS'ventricle\tventricle\tNN\tI-NP\tO' -p15124 -aS'.\t.\t.\tO\tO' -p15125 -asS'No tobacco , drug use .' -p15126 -(lp15127 -S'No\tNo\tDT\tB-NP\tO' -p15128 -aS'tobacco\ttobacco\tNN\tI-NP\tO' -p15129 -aS',\t,\t,\tI-NP\tO' -p15130 -aS'drug\tdrug\tNN\tI-NP\tO' -p15131 -aS'use\tuse\tNN\tI-NP\tO' -p15132 -aS'.\t.\t.\tO\tO' -p15133 -asS'He did not require intubation and improved with q. two hour nebulizers and chest PT .' -p15134 -(lp15135 -S'He\tHe\tPRP\tB-NP\tO' -p15136 -aS'did\tdo\tVBD\tB-VP\tO' -p15137 -aS'not\tnot\tRB\tI-VP\tO' -p15138 -aS'require\trequire\tVB\tI-VP\tO' -p15139 -aS'intubation\tintubation\tNN\tB-NP\tO' -p15140 -aS'and\tand\tCC\tO\tO' -p15141 -aS'improved\timprove\tVBN\tB-VP\tO' -p15142 -aS'with\twith\tIN\tB-PP\tO' -p15143 -aS'q.\tq.\tNN\tB-NP\tO' -p15144 -aS'two\ttwo\tCD\tI-NP\tO' -p15145 -aS'hour\thour\tNN\tI-NP\tO' -p15146 -aS'nebulizers\tnebulizer\tNNS\tI-NP\tO' -p15147 -aS'and\tand\tCC\tO\tO' -p15148 -aS'chest\tchest\tNN\tB-NP\tO' -p15149 -aS'PT\tPT\tNN\tI-NP\tO' -p15150 -aS'.\t.\t.\tO\tO' -p15151 -asS'Therefore the patient was intubated at 3:45 a.m. on 9/7/93 .' -p15152 -(lp15153 -S'Therefore\tTherefore\tRB\tB-ADVP\tO' -p15154 -aS'the\tthe\tDT\tB-NP\tO' -p15155 -aS'patient\tpatient\tNN\tI-NP\tO' -p15156 -aS'was\tbe\tVBD\tB-VP\tO' -p15157 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p15158 -aS'at\tat\tIN\tB-PP\tO' -p15159 -aS'3:45\t3:45\tCD\tB-NP\tO' -p15160 -aS'a.m.\ta.m.\tNN\tI-NP\tO' -p15161 -aS'on\ton\tIN\tB-PP\tO' -p15162 -aS'9/7/93\t9/7/93\tCD\tB-NP\tO' -p15163 -aS'.\t.\t.\tO\tO' -p15164 -asS'He was also started on p.o. Vancomycin for question C. difficile colitis .' -p15165 -(lp15166 -S'He\tHe\tPRP\tB-NP\tO' -p15167 -aS'was\tbe\tVBD\tB-VP\tO' -p15168 -aS'also\talso\tRB\tI-VP\tO' -p15169 -aS'started\tstart\tVBN\tI-VP\tO' -p15170 -aS'on\ton\tIN\tB-PP\tO' -p15171 -aS'p.o.\tp.o.\tFW\tB-NP\tO' -p15172 -aS'Vancomycin\tVancomycin\tNN\tI-NP\tO' -p15173 -aS'for\tfor\tIN\tB-PP\tO' -p15174 -aS'question\tquestion\tNN\tB-NP\tO' -p15175 -aS'C.\tC.\tFW\tI-NP\tO' -p15176 -aS'difficile\tdifficile\tJJ\tI-NP\tO' -p15177 -aS'colitis\tcolitis\tNN\tI-NP\tO' -p15178 -aS'.\t.\t.\tO\tO' -p15179 -asS'4. Guaifenesin syrup p.r.n. cough .' -p15180 -(lp15181 -S'4.\t4.\tLS\tB-NP\tO' -p15182 -aS'Guaifenesin\tGuaifenesin\tNN\tI-NP\tO' -p15183 -aS'syrup\tsyrup\tNN\tI-NP\tO' -p15184 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p15185 -aS'cough\tcough\tNN\tI-NP\tO' -p15186 -aS'.\t.\t.\tO\tO' -p15187 -asS'It was not necessary to start him on oral hypoglycemics or insulin .' -p15188 -(lp15189 -S'It\tIt\tPRP\tB-NP\tO' -p15190 -aS'was\tbe\tVBD\tB-VP\tO' -p15191 -aS'not\tnot\tRB\tO\tO' -p15192 -aS'necessary\tnecessary\tJJ\tB-ADJP\tO' -p15193 -aS'to\tto\tTO\tB-VP\tO' -p15194 -aS'start\tstart\tVB\tI-VP\tO' -p15195 -aS'him\thim\tPRP\tB-NP\tO' -p15196 -aS'on\ton\tIN\tB-PP\tO' -p15197 -aS'oral\toral\tJJ\tB-NP\tO' -p15198 -aS'hypoglycemics\thypoglycemic\tNNS\tI-NP\tO' -p15199 -aS'or\tor\tCC\tI-NP\tO' -p15200 -aS'insulin\tinsulin\tNN\tI-NP\tB-protein' -p15201 -aS'.\t.\t.\tO\tO' -p15202 -asS'At the time of discharge , the patient still had a mildly elevated white blood cell count but was asymptomatic with a normal temperature .' -p15203 -(lp15204 -S'At\tAt\tIN\tB-PP\tO' -p15205 -aS'the\tthe\tDT\tB-NP\tO' -p15206 -aS'time\ttime\tNN\tI-NP\tO' -p15207 -aS'of\tof\tIN\tB-PP\tO' -p15208 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p15209 -aS',\t,\t,\tO\tO' -p15210 -aS'the\tthe\tDT\tB-NP\tO' -p15211 -aS'patient\tpatient\tNN\tI-NP\tO' -p15212 -aS'still\tstill\tRB\tB-ADVP\tO' -p15213 -aS'had\thave\tVBD\tB-VP\tO' -p15214 -aS'a\ta\tDT\tB-NP\tO' -p15215 -aS'mildly\tmildly\tRB\tI-NP\tO' -p15216 -aS'elevated\televated\tJJ\tI-NP\tO' -p15217 -aS'white\twhite\tJJ\tI-NP\tO' -p15218 -aS'blood\tblood\tNN\tI-NP\tO' -p15219 -aS'cell\tcell\tNN\tI-NP\tO' -p15220 -aS'count\tcount\tNN\tI-NP\tO' -p15221 -aS'but\tbut\tCC\tO\tO' -p15222 -aS'was\tbe\tVBD\tB-VP\tO' -p15223 -aS'asymptomatic\tasymptomatic\tJJ\tB-ADJP\tO' -p15224 -aS'with\twith\tIN\tB-PP\tO' -p15225 -aS'a\ta\tDT\tB-NP\tO' -p15226 -aS'normal\tnormal\tJJ\tI-NP\tO' -p15227 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p15228 -aS'.\t.\t.\tO\tO' -p15229 -asS'Tonsillectomy .' -p15230 -(lp15231 -S'Tonsillectomy\tTonsillectomy\tNN\tB-NP\tO' -p15232 -aS'.\t.\t.\tO\tO' -p15233 -asS'No jugular venous distention .' -p15234 -(lp15235 -S'No\tNo\tDT\tB-NP\tO' -p15236 -aS'jugular\tjugular\tJJ\tI-NP\tO' -p15237 -aS'venous\tvenous\tJJ\tI-NP\tO' -p15238 -aS'distention\tdistention\tNN\tI-NP\tO' -p15239 -aS'.\t.\t.\tO\tO' -p15240 -asS'On 03-02 at 10 am , the patient had an acutechange in mental status with bradycardia , hypertension , pinpoint pupils , decerebrate posturing and increased tone in bilateral upper extremities and unresponsiveness .' -p15241 -(lp15242 -S'On\tOn\tIN\tB-PP\tO' -p15243 -aS'03-02\t03-02\tCD\tB-NP\tO' -p15244 -aS'at\tat\tIN\tB-PP\tO' -p15245 -aS'10\t10\tCD\tB-NP\tO' -p15246 -aS'am\tam\tNN\tI-NP\tO' -p15247 -aS',\t,\t,\tO\tO' -p15248 -aS'the\tthe\tDT\tB-NP\tO' -p15249 -aS'patient\tpatient\tNN\tI-NP\tO' -p15250 -aS'had\thave\tVBD\tB-VP\tO' -p15251 -aS'an\tan\tDT\tB-NP\tO' -p15252 -aS'acutechange\tacutechange\tNN\tI-NP\tO' -p15253 -aS'in\tin\tIN\tB-PP\tO' -p15254 -aS'mental\tmental\tJJ\tB-NP\tO' -p15255 -aS'status\tstatus\tNN\tI-NP\tO' -p15256 -aS'with\twith\tIN\tB-PP\tO' -p15257 -aS'bradycardia\tbradycardia\tNN\tB-NP\tO' -p15258 -aS',\t,\t,\tO\tO' -p15259 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p15260 -aS',\t,\t,\tO\tO' -p15261 -aS'pinpoint\tpinpoint\tNN\tB-NP\tO' -p15262 -aS'pupils\tpupil\tNNS\tI-NP\tO' -p15263 -aS',\t,\t,\tO\tO' -p15264 -aS'decerebrate\tdecerebrate\tVBP\tB-VP\tO' -p15265 -aS'posturing\tposture\tVBG\tI-VP\tO' -p15266 -aS'and\tand\tCC\tO\tO' -p15267 -aS'increased\tincrease\tVBN\tB-NP\tO' -p15268 -aS'tone\ttone\tNN\tI-NP\tO' -p15269 -aS'in\tin\tIN\tB-PP\tO' -p15270 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p15271 -aS'upper\tupper\tJJ\tI-NP\tO' -p15272 -aS'extremities\textremity\tNNS\tI-NP\tO' -p15273 -aS'and\tand\tCC\tI-NP\tO' -p15274 -aS'unresponsiveness\tunresponsiveness\tNN\tI-NP\tO' -p15275 -aS'.\t.\t.\tO\tO' -p15276 -asS'It was felt that the patient 's extensive pulmonary metastases and bilateral pleural effusions resulted in increased work of respiration and a sensation of shortness of breath .' -p15277 -(lp15278 -S'It\tIt\tPRP\tB-NP\tO' -p15279 -aS'was\tbe\tVBD\tB-VP\tO' -p15280 -aS'felt\tfeel\tVBN\tI-VP\tO' -p15281 -aS'that\tthat\tIN\tB-SBAR\tO' -p15282 -aS'the\tthe\tDT\tB-NP\tO' -p15283 -aS'patient\tpatient\tNN\tI-NP\tO' -p15284 -aS''s\t'\tVBZ\tB-VP\tO' -p15285 -aS'extensive\textensive\tJJ\tB-NP\tO' -p15286 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p15287 -aS'metastases\tmetastasis\tNNS\tI-NP\tO' -p15288 -aS'and\tand\tCC\tO\tO' -p15289 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p15290 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p15291 -aS'effusions\teffusion\tNNS\tI-NP\tO' -p15292 -aS'resulted\tresult\tVBD\tB-VP\tO' -p15293 -aS'in\tin\tIN\tB-PP\tO' -p15294 -aS'increased\tincrease\tVBN\tB-NP\tO' -p15295 -aS'work\twork\tNN\tI-NP\tO' -p15296 -aS'of\tof\tIN\tB-PP\tO' -p15297 -aS'respiration\trespiration\tNN\tB-NP\tO' -p15298 -aS'and\tand\tCC\tO\tO' -p15299 -aS'a\ta\tDT\tB-NP\tO' -p15300 -aS'sensation\tsensation\tNN\tI-NP\tO' -p15301 -aS'of\tof\tIN\tB-PP\tO' -p15302 -aS'shortness\tshortness\tNN\tB-NP\tO' -p15303 -aS'of\tof\tIN\tB-PP\tO' -p15304 -aS'breath\tbreath\tNN\tB-NP\tO' -p15305 -aS'.\t.\t.\tO\tO' -p15306 -asS'Right basilar atelectasis has slightly worsened .' -p15307 -(lp15308 -S'Right\tRight\tRB\tB-NP\tO' -p15309 -aS'basilar\tbasilar\tJJ\tI-NP\tO' -p15310 -aS'atelectasis\tatelectasis\tNN\tI-NP\tO' -p15311 -aS'has\thave\tVBZ\tB-VP\tO' -p15312 -aS'slightly\tslightly\tRB\tI-VP\tO' -p15313 -aS'worsened\tworsen\tVBN\tI-VP\tO' -p15314 -aS'.\t.\t.\tO\tO' -p15315 -asS'It is very important that you followup with your cardiology .' -p15316 -(lp15317 -S'It\tIt\tPRP\tB-NP\tO' -p15318 -aS'is\tbe\tVBZ\tB-VP\tO' -p15319 -aS'very\tvery\tRB\tB-ADJP\tO' -p15320 -aS'important\timportant\tJJ\tI-ADJP\tO' -p15321 -aS'that\tthat\tIN\tB-SBAR\tO' -p15322 -aS'you\tyou\tPRP\tB-NP\tO' -p15323 -aS'followup\tfollowup\tVBP\tB-VP\tO' -p15324 -aS'with\twith\tIN\tB-PP\tO' -p15325 -aS'your\tyour\tPRP$\tB-NP\tO' -p15326 -aS'cardiology\tcardiology\tNN\tI-NP\tO' -p15327 -aS'.\t.\t.\tO\tO' -p15328 -asS'Denied nausea , vomiting , diaphoresis , bowel movement changes .' -p15329 -(lp15330 -S'Denied\tDeny\tVBN\tB-NP\tO' -p15331 -aS'nausea\tnausea\tNN\tI-NP\tO' -p15332 -aS',\t,\t,\tO\tO' -p15333 -aS'vomiting\tvomiting\tNN\tB-NP\tO' -p15334 -aS',\t,\t,\tO\tO' -p15335 -aS'diaphoresis\tdiaphoresis\tNN\tB-NP\tO' -p15336 -aS',\t,\t,\tO\tO' -p15337 -aS'bowel\tbowel\tNN\tB-NP\tO' -p15338 -aS'movement\tmovement\tNN\tI-NP\tO' -p15339 -aS'changes\tchange\tNNS\tI-NP\tO' -p15340 -aS'.\t.\t.\tO\tO' -p15341 -asS'Therefore , in the end left atrial hypertension was essentially ruled out as a primary cause .' -p15342 -(lp15343 -S'Therefore\tTherefore\tRB\tB-ADVP\tO' -p15344 -aS',\t,\t,\tO\tO' -p15345 -aS'in\tin\tIN\tB-PP\tO' -p15346 -aS'the\tthe\tDT\tB-NP\tO' -p15347 -aS'end\tend\tNN\tI-NP\tO' -p15348 -aS'left\tleave\tVBD\tB-VP\tO' -p15349 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p15350 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p15351 -aS'was\tbe\tVBD\tB-VP\tO' -p15352 -aS'essentially\tessentially\tRB\tI-VP\tO' -p15353 -aS'ruled\trule\tVBN\tI-VP\tO' -p15354 -aS'out\tout\tRP\tB-PRT\tO' -p15355 -aS'as\tas\tIN\tB-PP\tO' -p15356 -aS'a\ta\tDT\tB-NP\tO' -p15357 -aS'primary\tprimary\tJJ\tI-NP\tO' -p15358 -aS'cause\tcause\tNN\tI-NP\tO' -p15359 -aS'.\t.\t.\tO\tO' -p15360 -asS'Please notify nurses , doctors Marilyn Kristen Layne workers of chest pain , shortness of breath , palpitations or lightheadedness .' -p15361 -(lp15362 -S'Please\tPlease\tVB\tB-VP\tO' -p15363 -aS'notify\tnotify\tJJ\tB-NP\tO' -p15364 -aS'nurses\tnurse\tNNS\tI-NP\tO' -p15365 -aS',\t,\t,\tO\tO' -p15366 -aS'doctors\tdoctor\tNNS\tB-NP\tO' -p15367 -aS'Marilyn\tMarilyn\tNNP\tI-NP\tO' -p15368 -aS'Kristen\tKristen\tNNP\tI-NP\tO' -p15369 -aS'Layne\tLayne\tNNP\tI-NP\tO' -p15370 -aS'workers\tworker\tNNS\tI-NP\tO' -p15371 -aS'of\tof\tIN\tB-PP\tO' -p15372 -aS'chest\tchest\tNN\tB-NP\tO' -p15373 -aS'pain\tpain\tNN\tI-NP\tO' -p15374 -aS',\t,\t,\tO\tO' -p15375 -aS'shortness\tshortness\tNN\tB-NP\tO' -p15376 -aS'of\tof\tIN\tB-PP\tO' -p15377 -aS'breath\tbreath\tNN\tB-NP\tO' -p15378 -aS',\t,\t,\tO\tO' -p15379 -aS'palpitations\tpalpitation\tNNS\tB-NP\tO' -p15380 -aS'or\tor\tCC\tO\tO' -p15381 -aS'lightheadedness\tlightheadedness\tNN\tB-NP\tO' -p15382 -aS'.\t.\t.\tO\tO' -p15383 -asS'AMPULLARY ADENOCARCINOMA .' -p15384 -(lp15385 -S'AMPULLARY\tAMPULLARY\tNN\tB-NP\tO' -p15386 -aS'ADENOCARCINOMA\tADENOCARCINOMA\tNN\tI-NP\tO' -p15387 -aS'.\t.\t.\tO\tO' -p15388 -asS'He reports that the pain was similar to his prior MI .' -p15389 -(lp15390 -S'He\tHe\tPRP\tB-NP\tO' -p15391 -aS'reports\treport\tVBZ\tB-VP\tO' -p15392 -aS'that\tthat\tIN\tB-SBAR\tO' -p15393 -aS'the\tthe\tDT\tB-NP\tO' -p15394 -aS'pain\tpain\tNN\tI-NP\tO' -p15395 -aS'was\tbe\tVBD\tB-VP\tO' -p15396 -aS'similar\tsimilar\tJJ\tB-ADJP\tO' -p15397 -aS'to\tto\tTO\tB-PP\tO' -p15398 -aS'his\this\tPRP$\tB-NP\tO' -p15399 -aS'prior\tprior\tJJ\tI-NP\tO' -p15400 -aS'MI\tMI\tNN\tI-NP\tO' -p15401 -aS'.\t.\t.\tO\tO' -p15402 -asS'For the question of seizure activity associated with a cortical bleed , he was started prophylactically on Keppra ( given questionable allergy to dilantin ) , at 500 mg bid ; no seizure activity was seen .' -p15403 -(lp15404 -S'For\tFor\tIN\tB-PP\tO' -p15405 -aS'the\tthe\tDT\tB-NP\tO' -p15406 -aS'question\tquestion\tNN\tI-NP\tO' -p15407 -aS'of\tof\tIN\tB-PP\tO' -p15408 -aS'seizure\tseizure\tNN\tB-NP\tO' -p15409 -aS'activity\tactivity\tNN\tI-NP\tO' -p15410 -aS'associated\tassociate\tVBN\tB-VP\tO' -p15411 -aS'with\twith\tIN\tB-PP\tO' -p15412 -aS'a\ta\tDT\tB-NP\tO' -p15413 -aS'cortical\tcortical\tJJ\tI-NP\tO' -p15414 -aS'bleed\tbleed\tNN\tI-NP\tO' -p15415 -aS',\t,\t,\tO\tO' -p15416 -aS'he\the\tPRP\tB-NP\tO' -p15417 -aS'was\tbe\tVBD\tB-VP\tO' -p15418 -aS'started\tstart\tVBN\tI-VP\tO' -p15419 -aS'prophylactically\tprophylactically\tRB\tB-ADVP\tO' -p15420 -aS'on\ton\tIN\tB-PP\tO' -p15421 -aS'Keppra\tKeppra\tNNP\tB-NP\tO' -p15422 -aS'(\t(\t(\tO\tO' -p15423 -aS'given\tgive\tVBN\tB-VP\tO' -p15424 -aS'questionable\tquestionable\tJJ\tB-NP\tO' -p15425 -aS'allergy\tallergy\tNN\tI-NP\tO' -p15426 -aS'to\tto\tTO\tB-PP\tO' -p15427 -aS'dilantin\tdilantin\tNN\tB-NP\tO' -p15428 -aS')\t)\t)\tO\tO' -p15429 -aS',\t,\t,\tO\tO' -p15430 -aS'at\tat\tIN\tB-PP\tO' -p15431 -aS'500\t500\tCD\tB-NP\tO' -p15432 -aS'mg\tmg\tNN\tI-NP\tO' -p15433 -aS'bid\tbid\tRB\tB-ADVP\tO' -p15434 -aS';\t;\t:\tO\tO' -p15435 -aS'no\tno\tDT\tB-NP\tO' -p15436 -aS'seizure\tseizure\tNN\tI-NP\tO' -p15437 -aS'activity\tactivity\tNN\tI-NP\tO' -p15438 -aS'was\tbe\tVBD\tB-VP\tO' -p15439 -aS'seen\tsee\tVBN\tI-VP\tO' -p15440 -aS'.\t.\t.\tO\tO' -p15441 -asS'Nexium 40 mg a day .' -p15442 -(lp15443 -S'Nexium\tNexium\tNN\tB-NP\tO' -p15444 -aS'40\t40\tCD\tI-NP\tO' -p15445 -aS'mg\tmg\tNN\tI-NP\tO' -p15446 -aS'a\ta\tDT\tB-NP\tO' -p15447 -aS'day\tday\tNN\tI-NP\tO' -p15448 -aS'.\t.\t.\tO\tO' -p15449 -asS'The patient was noted to be confused and to be disoriented toward the end of the day after complaining of shortness of breath for most of the day .' -p15450 -(lp15451 -S'The\tThe\tDT\tB-NP\tO' -p15452 -aS'patient\tpatient\tNN\tI-NP\tO' -p15453 -aS'was\tbe\tVBD\tB-VP\tO' -p15454 -aS'noted\tnote\tVBN\tI-VP\tO' -p15455 -aS'to\tto\tTO\tI-VP\tO' -p15456 -aS'be\tbe\tVB\tI-VP\tO' -p15457 -aS'confused\tconfuse\tVBN\tI-VP\tO' -p15458 -aS'and\tand\tCC\tO\tO' -p15459 -aS'to\tto\tTO\tB-VP\tO' -p15460 -aS'be\tbe\tVB\tI-VP\tO' -p15461 -aS'disoriented\tdisorient\tVBN\tI-VP\tO' -p15462 -aS'toward\ttoward\tIN\tB-PP\tO' -p15463 -aS'the\tthe\tDT\tB-NP\tO' -p15464 -aS'end\tend\tNN\tI-NP\tO' -p15465 -aS'of\tof\tIN\tB-PP\tO' -p15466 -aS'the\tthe\tDT\tB-NP\tO' -p15467 -aS'day\tday\tNN\tI-NP\tO' -p15468 -aS'after\tafter\tIN\tB-PP\tO' -p15469 -aS'complaining\tcomplain\tVBG\tB-NP\tO' -p15470 -aS'of\tof\tIN\tB-PP\tO' -p15471 -aS'shortness\tshortness\tNN\tB-NP\tO' -p15472 -aS'of\tof\tIN\tB-PP\tO' -p15473 -aS'breath\tbreath\tNN\tB-NP\tO' -p15474 -aS'for\tfor\tIN\tB-PP\tO' -p15475 -aS'most\tmost\tJJS\tB-NP\tO' -p15476 -aS'of\tof\tIN\tB-PP\tO' -p15477 -aS'the\tthe\tDT\tB-NP\tO' -p15478 -aS'day\tday\tNN\tI-NP\tO' -p15479 -aS'.\t.\t.\tO\tO' -p15480 -asS'On day of life #1 , caffeine was started .' -p15481 -(lp15482 -S'On\tOn\tIN\tB-PP\tO' -p15483 -aS'day\tday\tNN\tB-NP\tO' -p15484 -aS'of\tof\tIN\tB-PP\tO' -p15485 -aS'life\tlife\tNN\tB-NP\tO' -p15486 -aS'#1\t#1\tNN\tI-NP\tO' -p15487 -aS',\t,\t,\tO\tO' -p15488 -aS'caffeine\tcaffeine\tNN\tB-NP\tO' -p15489 -aS'was\tbe\tVBD\tB-VP\tO' -p15490 -aS'started\tstart\tVBN\tI-VP\tO' -p15491 -aS'.\t.\t.\tO\tO' -p15492 -asS'Electrolytes were within normal limits , glucose 192 , BUN and creatinine 9/0.7 , hematocrit 49.5 , white blood count 7.9 , platelet count 166,000 , 65% polys , 3 bands , 24% lymphs .' -p15493 -(lp15494 -S'Electrolytes\tElectrolyte\tNNS\tB-NP\tO' -p15495 -aS'were\tbe\tVBD\tB-VP\tO' -p15496 -aS'within\twithin\tIN\tB-PP\tO' -p15497 -aS'normal\tnormal\tJJ\tB-NP\tO' -p15498 -aS'limits\tlimit\tNNS\tI-NP\tO' -p15499 -aS',\t,\t,\tO\tO' -p15500 -aS'glucose\tglucose\tNN\tB-NP\tO' -p15501 -aS'192\t192\tCD\tI-NP\tO' -p15502 -aS',\t,\t,\tO\tO' -p15503 -aS'BUN\tBUN\tNN\tB-NP\tB-protein' -p15504 -aS'and\tand\tCC\tO\tO' -p15505 -aS'creatinine\tcreatinine\tNN\tB-NP\tB-protein' -p15506 -aS'9/0.7\t9/0.7\tCD\tI-NP\tI-protein' -p15507 -aS',\t,\t,\tO\tO' -p15508 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p15509 -aS'49.5\t49.5\tCD\tI-NP\tI-protein' -p15510 -aS',\t,\t,\tO\tO' -p15511 -aS'white\twhite\tJJ\tB-NP\tO' -p15512 -aS'blood\tblood\tNN\tI-NP\tO' -p15513 -aS'count\tcount\tNN\tI-NP\tO' -p15514 -aS'7.9\t7.9\tCD\tI-NP\tO' -p15515 -aS',\t,\t,\tO\tO' -p15516 -aS'platelet\tplatelet\tNN\tB-NP\tB-protein' -p15517 -aS'count\tcount\tNN\tI-NP\tI-protein' -p15518 -aS'166,000\t166,000\tCD\tI-NP\tI-protein' -p15519 -aS',\t,\t,\tO\tO' -p15520 -aS'65%\t65%\tCD\tB-NP\tO' -p15521 -aS'polys\tpoly\tNNS\tI-NP\tO' -p15522 -aS',\t,\t,\tO\tO' -p15523 -aS'3\t3\tCD\tB-NP\tO' -p15524 -aS'bands\tband\tNNS\tI-NP\tO' -p15525 -aS',\t,\t,\tO\tO' -p15526 -aS'24%\t24%\tCD\tB-NP\tO' -p15527 -aS'lymphs\tlymph\tNNS\tI-NP\tO' -p15528 -aS'.\t.\t.\tO\tO' -p15529 -asS'Right lateral gaze , the right eye had 2 mm. of sclera showing , the left eye was normal , and there are a few beats of right beading nystagmus .' -p15530 -(lp15531 -S'Right\tRight\tRB\tB-NP\tO' -p15532 -aS'lateral\tlateral\tJJ\tI-NP\tO' -p15533 -aS'gaze\tgaze\tNN\tI-NP\tO' -p15534 -aS',\t,\t,\tO\tO' -p15535 -aS'the\tthe\tDT\tB-NP\tO' -p15536 -aS'right\tright\tJJ\tI-NP\tO' -p15537 -aS'eye\teye\tNN\tI-NP\tO' -p15538 -aS'had\thave\tVBD\tB-VP\tO' -p15539 -aS'2\t2\tCD\tB-NP\tO' -p15540 -aS'mm.\tmm.\tNN\tI-NP\tO' -p15541 -aS'of\tof\tIN\tB-PP\tO' -p15542 -aS'sclera\tsclera\tNN\tB-NP\tO' -p15543 -aS'showing\tshowing\tNN\tI-NP\tO' -p15544 -aS',\t,\t,\tO\tO' -p15545 -aS'the\tthe\tDT\tB-NP\tO' -p15546 -aS'left\tleft\tJJ\tI-NP\tO' -p15547 -aS'eye\teye\tNN\tI-NP\tO' -p15548 -aS'was\tbe\tVBD\tB-VP\tO' -p15549 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p15550 -aS',\t,\t,\tO\tO' -p15551 -aS'and\tand\tCC\tO\tO' -p15552 -aS'there\tthere\tEX\tB-NP\tO' -p15553 -aS'are\tbe\tVBP\tB-VP\tO' -p15554 -aS'a\ta\tDT\tB-NP\tO' -p15555 -aS'few\tfew\tJJ\tI-NP\tO' -p15556 -aS'beats\tbeat\tNNS\tI-NP\tO' -p15557 -aS'of\tof\tIN\tB-PP\tO' -p15558 -aS'right\tright\tJJ\tB-NP\tO' -p15559 -aS'beading\tbead\tVBG\tI-NP\tO' -p15560 -aS'nystagmus\tnystagmus\tNN\tI-NP\tO' -p15561 -aS'.\t.\t.\tO\tO' -p15562 -asS'Received 10 mg SC Vitamin K and 2 units FFP while in Gary .' -p15563 -(lp15564 -S'Received\tReceive\tVBN\tB-NP\tO' -p15565 -aS'10\t10\tCD\tI-NP\tO' -p15566 -aS'mg\tmg\tNN\tI-NP\tO' -p15567 -aS'SC\tSC\tNN\tI-NP\tO' -p15568 -aS'Vitamin\tVitamin\tNN\tI-NP\tO' -p15569 -aS'K\tK\tNN\tI-NP\tO' -p15570 -aS'and\tand\tCC\tO\tO' -p15571 -aS'2\t2\tCD\tB-NP\tO' -p15572 -aS'units\tunit\tNNS\tI-NP\tO' -p15573 -aS'FFP\tFFP\tNN\tI-NP\tO' -p15574 -aS'while\twhile\tIN\tB-SBAR\tO' -p15575 -aS'in\tin\tIN\tB-PP\tO' -p15576 -aS'Gary\tGary\tNNP\tB-NP\tO' -p15577 -aS'.\t.\t.\tO\tO' -p15578 -asS'He had a 95% proximal left anterior descending lesion which was PTCA 'd to a residual of 30% and an intra-aortic balloon pump was placed .' -p15579 -(lp15580 -S'He\tHe\tPRP\tB-NP\tO' -p15581 -aS'had\thave\tVBD\tB-VP\tO' -p15582 -aS'a\ta\tDT\tB-NP\tO' -p15583 -aS'95%\t95%\tCD\tI-NP\tO' -p15584 -aS'proximal\tproximal\tJJ\tI-NP\tO' -p15585 -aS'left\tleft\tJJ\tI-NP\tO' -p15586 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p15587 -aS'descending\tdescend\tVBG\tI-NP\tO' -p15588 -aS'lesion\tlesion\tNN\tI-NP\tO' -p15589 -aS'which\twhich\tWDT\tB-NP\tO' -p15590 -aS'was\tbe\tVBD\tB-VP\tO' -p15591 -aS'PTCA\tPTCA\tNN\tB-NP\tO' -p15592 -aS''d\t'd\tNN\tI-NP\tO' -p15593 -aS'to\tto\tTO\tB-PP\tO' -p15594 -aS'a\ta\tDT\tB-NP\tO' -p15595 -aS'residual\tresidual\tNN\tI-NP\tO' -p15596 -aS'of\tof\tIN\tB-PP\tO' -p15597 -aS'30%\t30%\tCD\tB-NP\tO' -p15598 -aS'and\tand\tCC\tO\tO' -p15599 -aS'an\tan\tDT\tB-NP\tO' -p15600 -aS'intra-aortic\tintra-aortic\tJJ\tI-NP\tO' -p15601 -aS'balloon\tballoon\tNN\tI-NP\tO' -p15602 -aS'pump\tpump\tNN\tI-NP\tO' -p15603 -aS'was\tbe\tVBD\tB-VP\tO' -p15604 -aS'placed\tplace\tVBN\tI-VP\tO' -p15605 -aS'.\t.\t.\tO\tO' -p15606 -asS'Chronic thrombocytopenia was noted , however the patient did not require platelet transfusions .' -p15607 -(lp15608 -S'Chronic\tChronic\tJJ\tB-NP\tO' -p15609 -aS'thrombocytopenia\tthrombocytopenia\tNN\tI-NP\tO' -p15610 -aS'was\tbe\tVBD\tB-VP\tO' -p15611 -aS'noted\tnote\tVBN\tI-VP\tO' -p15612 -aS',\t,\t,\tO\tO' -p15613 -aS'however\thowever\tRB\tB-ADVP\tO' -p15614 -aS'the\tthe\tDT\tB-NP\tO' -p15615 -aS'patient\tpatient\tNN\tI-NP\tO' -p15616 -aS'did\tdo\tVBD\tB-VP\tO' -p15617 -aS'not\tnot\tRB\tI-VP\tO' -p15618 -aS'require\trequire\tVB\tI-VP\tO' -p15619 -aS'platelet\tplatelet\tNN\tB-NP\tO' -p15620 -aS'transfusions\ttransfusion\tNNS\tI-NP\tO' -p15621 -aS'.\t.\t.\tO\tO' -p15622 -asS'Postoperatively , there was much edema associated in the postoperative course from coronary artery bypass grafting .' -p15623 -(lp15624 -S'Postoperatively\tPostoperatively\tRB\tB-ADVP\tO' -p15625 -aS',\t,\t,\tO\tO' -p15626 -aS'there\tthere\tEX\tB-NP\tO' -p15627 -aS'was\tbe\tVBD\tB-VP\tO' -p15628 -aS'much\tmuch\tJJ\tB-NP\tO' -p15629 -aS'edema\tedema\tNN\tI-NP\tO' -p15630 -aS'associated\tassociate\tVBN\tB-VP\tO' -p15631 -aS'in\tin\tIN\tB-PP\tO' -p15632 -aS'the\tthe\tDT\tB-NP\tO' -p15633 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p15634 -aS'course\tcourse\tNN\tI-NP\tO' -p15635 -aS'from\tfrom\tIN\tB-PP\tO' -p15636 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p15637 -aS'artery\tartery\tNN\tI-NP\tO' -p15638 -aS'bypass\tbypass\tIN\tB-PP\tO' -p15639 -aS'grafting\tgrafting\tNN\tB-NP\tO' -p15640 -aS'.\t.\t.\tO\tO' -p15641 -asS'( typical dose is 1 mcg per lb. )' -p15642 -(lp15643 -S'(\t(\t(\tO\tO' -p15644 -aS'typical\ttypical\tJJ\tB-NP\tO' -p15645 -aS'dose\tdose\tNN\tI-NP\tO' -p15646 -aS'is\tbe\tVBZ\tB-VP\tO' -p15647 -aS'1\t1\tCD\tB-NP\tO' -p15648 -aS'mcg\tmcg\tNN\tI-NP\tO' -p15649 -aS'per\tper\tIN\tB-PP\tO' -p15650 -aS'lb.\tlb.\tNN\tB-NP\tO' -p15651 -aS')\t)\t)\tO\tO' -p15652 -asS'He was taken to Huyychestleme Health Of in Scoo , Utah where he had a temperature of 99.9 , blood pressure 90/50 , heart rate 128 , and O2 sat of 91% on room air .' -p15653 -(lp15654 -S'He\tHe\tPRP\tB-NP\tO' -p15655 -aS'was\tbe\tVBD\tB-VP\tO' -p15656 -aS'taken\ttake\tVBN\tI-VP\tO' -p15657 -aS'to\tto\tTO\tB-PP\tO' -p15658 -aS'Huyychestleme\tHuyychestleme\tNNP\tB-NP\tO' -p15659 -aS'Health\tHealth\tNNP\tI-NP\tO' -p15660 -aS'Of\tOf\tNNP\tI-NP\tO' -p15661 -aS'in\tin\tIN\tB-PP\tO' -p15662 -aS'Scoo\tScoo\tNNP\tB-NP\tO' -p15663 -aS',\t,\t,\tO\tO' -p15664 -aS'Utah\tUtah\tNNP\tB-NP\tO' -p15665 -aS'where\twhere\tWRB\tB-ADVP\tO' -p15666 -aS'he\the\tPRP\tB-NP\tO' -p15667 -aS'had\thave\tVBD\tB-VP\tO' -p15668 -aS'a\ta\tDT\tB-NP\tO' -p15669 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p15670 -aS'of\tof\tIN\tB-PP\tO' -p15671 -aS'99.9\t99.9\tCD\tB-NP\tO' -p15672 -aS',\t,\t,\tO\tO' -p15673 -aS'blood\tblood\tNN\tB-NP\tO' -p15674 -aS'pressure\tpressure\tNN\tI-NP\tO' -p15675 -aS'90/50\t90/50\tCD\tI-NP\tO' -p15676 -aS',\t,\t,\tO\tO' -p15677 -aS'heart\theart\tNN\tB-NP\tO' -p15678 -aS'rate\trate\tNN\tI-NP\tO' -p15679 -aS'128\t128\tCD\tI-NP\tO' -p15680 -aS',\t,\t,\tO\tO' -p15681 -aS'and\tand\tCC\tO\tO' -p15682 -aS'O2\tO2\tNN\tB-NP\tO' -p15683 -aS'sat\tsat\tNN\tI-NP\tO' -p15684 -aS'of\tof\tIN\tB-PP\tO' -p15685 -aS'91%\t91%\tNN\tB-NP\tO' -p15686 -aS'on\ton\tIN\tB-PP\tO' -p15687 -aS'room\troom\tNN\tB-NP\tO' -p15688 -aS'air\tair\tNN\tI-NP\tO' -p15689 -aS'.\t.\t.\tO\tO' -p15690 -asS'Cardiogenic shock .' -p15691 -(lp15692 -S'Cardiogenic\tCardiogenic\tJJ\tB-NP\tO' -p15693 -aS'shock\tshock\tNN\tI-NP\tO' -p15694 -aS'.\t.\t.\tO\tO' -p15695 -asS'No active issues .' -p15696 -(lp15697 -S'No\tNo\tDT\tB-NP\tO' -p15698 -aS'active\tactive\tJJ\tI-NP\tO' -p15699 -aS'issues\tissue\tNNS\tI-NP\tO' -p15700 -aS'.\t.\t.\tO\tO' -p15701 -asS'EKG demonstrated normal sinus rhythm , rate of 73 , borderline left atrial enlargement , axis of-28 , T-wave inversions in V4 through V6 , I and aVL , borderline left ventricular hypertrophy with strain compared to earlier this AM .' -p15702 -(lp15703 -S'EKG\tEKG\tNN\tB-NP\tB-protein' -p15704 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p15705 -aS'normal\tnormal\tJJ\tB-NP\tO' -p15706 -aS'sinus\tsinus\tNN\tI-NP\tO' -p15707 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p15708 -aS',\t,\t,\tO\tO' -p15709 -aS'rate\trate\tNN\tB-NP\tO' -p15710 -aS'of\tof\tIN\tB-PP\tO' -p15711 -aS'73\t73\tCD\tB-NP\tO' -p15712 -aS',\t,\t,\tO\tO' -p15713 -aS'borderline\tborderline\tJJ\tB-NP\tO' -p15714 -aS'left\tleft\tJJ\tI-NP\tO' -p15715 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p15716 -aS'enlargement\tenlargement\tNN\tI-NP\tO' -p15717 -aS',\t,\t,\tO\tO' -p15718 -aS'axis\taxis\tNN\tB-NP\tB-protein' -p15719 -aS'of-28\tof-28\tCD\tI-NP\tI-protein' -p15720 -aS',\t,\t,\tO\tO' -p15721 -aS'T-wave\tT-wave\tJJ\tB-NP\tO' -p15722 -aS'inversions\tinversion\tNNS\tI-NP\tO' -p15723 -aS'in\tin\tIN\tB-PP\tO' -p15724 -aS'V4\tV4\tNN\tB-NP\tO' -p15725 -aS'through\tthrough\tIN\tB-PP\tO' -p15726 -aS'V6\tV6\tNN\tB-NP\tB-protein' -p15727 -aS',\t,\t,\tI-NP\tO' -p15728 -aS'I\tI\tNN\tI-NP\tO' -p15729 -aS'and\tand\tCC\tI-NP\tO' -p15730 -aS'aVL\taVL\tNN\tI-NP\tO' -p15731 -aS',\t,\t,\tO\tO' -p15732 -aS'borderline\tborderline\tJJ\tB-NP\tO' -p15733 -aS'left\tleft\tJJ\tI-NP\tO' -p15734 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p15735 -aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' -p15736 -aS'with\twith\tIN\tB-PP\tO' -p15737 -aS'strain\tstrain\tNN\tB-NP\tO' -p15738 -aS'compared\tcompare\tVBN\tB-VP\tO' -p15739 -aS'to\tto\tTO\tB-PP\tO' -p15740 -aS'earlier\tearlier\tRBR\tB-NP\tO' -p15741 -aS'this\tthis\tDT\tI-NP\tO' -p15742 -aS'AM\tAM\tNN\tI-NP\tO' -p15743 -aS'.\t.\t.\tO\tO' -p15744 -asS'Cardiovascular examination revealed a regular rate and rhythm .' -p15745 -(lp15746 -S'Cardiovascular\tCardiovascular\tJJ\tB-NP\tO' -p15747 -aS'examination\texamination\tNN\tI-NP\tO' -p15748 -aS'revealed\treveal\tVBD\tB-VP\tO' -p15749 -aS'a\ta\tDT\tB-NP\tO' -p15750 -aS'regular\tregular\tJJ\tI-NP\tO' -p15751 -aS'rate\trate\tNN\tI-NP\tO' -p15752 -aS'and\tand\tCC\tI-NP\tO' -p15753 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p15754 -aS'.\t.\t.\tO\tO' -p15755 -asS'May eat regular food .' -p15756 -(lp15757 -S'May\tMay\tMD\tB-VP\tO' -p15758 -aS'eat\teat\tVB\tI-VP\tO' -p15759 -aS'regular\tregular\tJJ\tB-NP\tO' -p15760 -aS'food\tfood\tNN\tI-NP\tO' -p15761 -aS'.\t.\t.\tO\tO' -p15762 -asS'He responded well to this regimen and made adequate urine output .' -p15763 -(lp15764 -S'He\tHe\tPRP\tB-NP\tO' -p15765 -aS'responded\trespond\tVBD\tB-VP\tO' -p15766 -aS'well\twell\tRB\tB-ADVP\tO' -p15767 -aS'to\tto\tTO\tB-PP\tO' -p15768 -aS'this\tthis\tDT\tB-NP\tO' -p15769 -aS'regimen\tregimen\tNN\tI-NP\tO' -p15770 -aS'and\tand\tCC\tO\tO' -p15771 -aS'made\tmake\tVBD\tB-VP\tO' -p15772 -aS'adequate\tadequate\tJJ\tB-NP\tO' -p15773 -aS'urine\turine\tNN\tI-NP\tO' -p15774 -aS'output\toutput\tNN\tI-NP\tO' -p15775 -aS'.\t.\t.\tO\tO' -p15776 -asS'A CT scan was performed on 07-17 to evaluate the soft tissue swelling seen on CT at the outside hospital .' -p15777 -(lp15778 -S'A\tA\tDT\tB-NP\tO' -p15779 -aS'CT\tCT\tNN\tI-NP\tO' -p15780 -aS'scan\tscan\tNN\tI-NP\tO' -p15781 -aS'was\tbe\tVBD\tB-VP\tO' -p15782 -aS'performed\tperform\tVBN\tI-VP\tO' -p15783 -aS'on\ton\tIN\tB-PP\tO' -p15784 -aS'07-17\t07-17\tCD\tB-NP\tO' -p15785 -aS'to\tto\tTO\tB-VP\tO' -p15786 -aS'evaluate\tevaluate\tVB\tI-VP\tO' -p15787 -aS'the\tthe\tDT\tB-NP\tO' -p15788 -aS'soft\tsoft\tJJ\tI-NP\tO' -p15789 -aS'tissue\ttissue\tNN\tI-NP\tO' -p15790 -aS'swelling\tswelling\tNN\tI-NP\tO' -p15791 -aS'seen\tsee\tVBN\tB-VP\tO' -p15792 -aS'on\ton\tIN\tB-PP\tO' -p15793 -aS'CT\tCT\tNN\tB-NP\tO' -p15794 -aS'at\tat\tIN\tB-PP\tO' -p15795 -aS'the\tthe\tDT\tB-NP\tO' -p15796 -aS'outside\toutside\tJJ\tI-NP\tO' -p15797 -aS'hospital\thospital\tNN\tI-NP\tO' -p15798 -aS'.\t.\t.\tO\tO' -p15799 -asS'We went ahead and got a head CT scanand it showed no enhancing lesions .' -p15800 -(lp15801 -S'We\tWe\tPRP\tB-NP\tO' -p15802 -aS'went\tgo\tVBD\tB-VP\tO' -p15803 -aS'ahead\tahead\tRB\tB-ADVP\tO' -p15804 -aS'and\tand\tCC\tO\tO' -p15805 -aS'got\tget\tVBD\tB-VP\tO' -p15806 -aS'a\ta\tDT\tB-NP\tO' -p15807 -aS'head\thead\tNN\tI-NP\tO' -p15808 -aS'CT\tCT\tNN\tI-NP\tO' -p15809 -aS'scanand\tscanand\tNN\tI-NP\tO' -p15810 -aS'it\tit\tPRP\tB-NP\tO' -p15811 -aS'showed\tshow\tVBD\tB-VP\tO' -p15812 -aS'no\tno\tDT\tB-NP\tO' -p15813 -aS'enhancing\tenhance\tVBG\tI-NP\tO' -p15814 -aS'lesions\tlesion\tNNS\tI-NP\tO' -p15815 -aS'.\t.\t.\tO\tO' -p15816 -asS'Signed electronically by : DR. Kevin Sineath on : Andrea 2016-06-30 1:09 PM' -p15817 -(lp15818 -S'Signed\tSign\tVBN\tB-VP\tO' -p15819 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p15820 -aS'by\tby\tIN\tB-PP\tO' -p15821 -aS':\t:\t:\tO\tO' -p15822 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p15823 -aS'Kevin\tKevin\tNNP\tI-NP\tO' -p15824 -aS'Sineath\tSineath\tNNP\tI-NP\tO' -p15825 -aS'on\ton\tIN\tB-PP\tO' -p15826 -aS':\t:\t:\tO\tO' -p15827 -aS'Andrea\tAndrea\tNNP\tB-NP\tO' -p15828 -aS'2016-06-30\t2016-06-30\tCD\tB-NP\tO' -p15829 -aS'1:09\t1:09\tCD\tI-NP\tO' -p15830 -aS'PM\tPM\tNN\tI-NP\tO' -p15831 -asS'98.6 54 119/59 18 100% RA .' -p15832 -(lp15833 -S'98.6\t98.6\tCD\tB-NP\tO' -p15834 -aS'54\t54\tCD\tI-NP\tO' -p15835 -aS'119/59\t119/59\tCD\tI-NP\tO' -p15836 -aS'18\t18\tCD\tI-NP\tO' -p15837 -aS'100%\t100%\tCD\tI-NP\tO' -p15838 -aS'RA\tRA\tNN\tI-NP\tO' -p15839 -aS'.\t.\t.\tO\tO' -p15840 -asS'1. Tuberculosis , mother was treated in 2001 according to chart with subsequent negative chest x-ray , and' -p15841 -(lp15842 -S'1.\t1.\tLS\tB-LST\tO' -p15843 -aS'Tuberculosis\tTuberculosis\tNN\tB-NP\tO' -p15844 -aS',\t,\t,\tO\tO' -p15845 -aS'mother\tmother\tNN\tB-NP\tO' -p15846 -aS'was\tbe\tVBD\tB-VP\tO' -p15847 -aS'treated\ttreat\tVBN\tI-VP\tO' -p15848 -aS'in\tin\tIN\tB-PP\tO' -p15849 -aS'2001\t2001\tCD\tB-NP\tO' -p15850 -aS'according\taccord\tVBG\tB-PP\tO' -p15851 -aS'to\tto\tTO\tB-VP\tO' -p15852 -aS'chart\tchart\tVB\tI-VP\tO' -p15853 -aS'with\twith\tIN\tB-PP\tO' -p15854 -aS'subsequent\tsubsequent\tJJ\tB-NP\tO' -p15855 -aS'negative\tnegative\tJJ\tI-NP\tO' -p15856 -aS'chest\tchest\tNN\tI-NP\tO' -p15857 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p15858 -aS',\t,\t,\tO\tO' -p15859 -aS'and\tand\tCC\tO\tO' -p15860 -asS'The first abnormality raises the possibility of material ( such as subdural fluid ) interposed between the brain and recording electrodes or widespread cortical dysfunction on that side .' -p15861 -(lp15862 -S'The\tThe\tDT\tB-NP\tO' -p15863 -aS'first\tfirst\tJJ\tI-NP\tO' -p15864 -aS'abnormality\tabnormality\tNN\tI-NP\tO' -p15865 -aS'raises\traise\tVBZ\tB-VP\tO' -p15866 -aS'the\tthe\tDT\tB-NP\tO' -p15867 -aS'possibility\tpossibility\tNN\tI-NP\tO' -p15868 -aS'of\tof\tIN\tB-PP\tO' -p15869 -aS'material\tmaterial\tNN\tB-NP\tO' -p15870 -aS'(\t(\t(\tO\tO' -p15871 -aS'such\tsuch\tJJ\tB-PP\tO' -p15872 -aS'as\tas\tIN\tI-PP\tO' -p15873 -aS'subdural\tsubdural\tJJ\tB-NP\tO' -p15874 -aS'fluid\tfluid\tNN\tI-NP\tO' -p15875 -aS')\t)\t)\tO\tO' -p15876 -aS'interposed\tinterpose\tVBN\tB-VP\tO' -p15877 -aS'between\tbetween\tIN\tB-PP\tO' -p15878 -aS'the\tthe\tDT\tB-NP\tO' -p15879 -aS'brain\tbrain\tNN\tI-NP\tO' -p15880 -aS'and\tand\tCC\tI-NP\tO' -p15881 -aS'recording\trecording\tNN\tI-NP\tO' -p15882 -aS'electrodes\telectrode\tNNS\tI-NP\tO' -p15883 -aS'or\tor\tCC\tO\tO' -p15884 -aS'widespread\twidespread\tJJ\tB-NP\tO' -p15885 -aS'cortical\tcortical\tJJ\tI-NP\tO' -p15886 -aS'dysfunction\tdysfunction\tNN\tI-NP\tO' -p15887 -aS'on\ton\tIN\tB-PP\tO' -p15888 -aS'that\tthat\tDT\tB-NP\tO' -p15889 -aS'side\tside\tNN\tI-NP\tO' -p15890 -aS'.\t.\t.\tO\tO' -p15891 -asS'The ascending aorta is mildly dilated .' -p15892 -(lp15893 -S'The\tThe\tDT\tB-NP\tO' -p15894 -aS'ascending\tascend\tVBG\tI-NP\tO' -p15895 -aS'aorta\taorta\tNN\tI-NP\tO' -p15896 -aS'is\tbe\tVBZ\tB-VP\tO' -p15897 -aS'mildly\tmildly\tRB\tI-VP\tO' -p15898 -aS'dilated\tdilate\tVBN\tI-VP\tO' -p15899 -aS'.\t.\t.\tO\tO' -p15900 -asS'Abdomen , soft , non-tender , non-distended , normal active bowel sounds .' -p15901 -(lp15902 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p15903 -aS',\t,\t,\tO\tO' -p15904 -aS'soft\tsoft\tJJ\tB-NP\tO' -p15905 -aS',\t,\t,\tI-NP\tO' -p15906 -aS'non-tender\tnon-tender\tJJ\tI-NP\tO' -p15907 -aS',\t,\t,\tI-NP\tO' -p15908 -aS'non-distended\tnon-distended\tJJ\tI-NP\tO' -p15909 -aS',\t,\t,\tI-NP\tO' -p15910 -aS'normal\tnormal\tJJ\tI-NP\tO' -p15911 -aS'active\tactive\tJJ\tI-NP\tO' -p15912 -aS'bowel\tbowel\tNN\tI-NP\tO' -p15913 -aS'sounds\tsound\tNNS\tI-NP\tO' -p15914 -aS'.\t.\t.\tO\tO' -p15915 -asS'Neck was supple with no lymphadenopathy .' -p15916 -(lp15917 -S'Neck\tNeck\tNN\tB-NP\tO' -p15918 -aS'was\tbe\tVBD\tB-VP\tO' -p15919 -aS'supple\tsupple\tNN\tB-NP\tO' -p15920 -aS'with\twith\tIN\tB-PP\tO' -p15921 -aS'no\tno\tDT\tB-NP\tO' -p15922 -aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' -p15923 -aS'.\t.\t.\tO\tO' -p15924 -asS'On admission was only significant for her orthopaedic exam .' -p15925 -(lp15926 -S'On\tOn\tIN\tB-PP\tO' -p15927 -aS'admission\tadmission\tNN\tB-NP\tO' -p15928 -aS'was\tbe\tVBD\tB-VP\tO' -p15929 -aS'only\tonly\tRB\tB-ADVP\tO' -p15930 -aS'significant\tsignificant\tJJ\tB-ADJP\tO' -p15931 -aS'for\tfor\tIN\tB-PP\tO' -p15932 -aS'her\ther\tPRP$\tB-NP\tO' -p15933 -aS'orthopaedic\torthopaedic\tJJ\tI-NP\tO' -p15934 -aS'exam\texam\tNN\tI-NP\tO' -p15935 -aS'.\t.\t.\tO\tO' -p15936 -asS'Extr : DP/PT 2+ bilaterally , no c/c/e' -p15937 -(lp15938 -S'Extr\tExtr\tNN\tB-NP\tO' -p15939 -aS':\t:\t:\tO\tO' -p15940 -aS'DP/PT\tDP/PT\tNN\tB-NP\tO' -p15941 -aS'2+\t2+\tNN\tI-NP\tO' -p15942 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p15943 -aS',\t,\t,\tO\tO' -p15944 -aS'no\tno\tDT\tB-NP\tO' -p15945 -aS'c/c/e\tc/c/e\tNN\tI-NP\tO' -p15946 -asS'This is an 83 year old woman with a history of hypertension who presents with slurred speech when dehydrated .' -p15947 -(lp15948 -S'This\tThis\tDT\tB-NP\tO' -p15949 -aS'is\tbe\tVBZ\tB-VP\tO' -p15950 -aS'an\tan\tDT\tB-NP\tO' -p15951 -aS'83\t83\tCD\tI-NP\tO' -p15952 -aS'year\tyear\tNN\tI-NP\tO' -p15953 -aS'old\told\tJJ\tI-NP\tO' -p15954 -aS'woman\twoman\tNN\tI-NP\tO' -p15955 -aS'with\twith\tIN\tB-PP\tO' -p15956 -aS'a\ta\tDT\tB-NP\tO' -p15957 -aS'history\thistory\tNN\tI-NP\tO' -p15958 -aS'of\tof\tIN\tB-PP\tO' -p15959 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p15960 -aS'who\twho\tWP\tB-NP\tO' -p15961 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p15962 -aS'with\twith\tIN\tB-PP\tO' -p15963 -aS'slurred\tslur\tVBN\tB-NP\tO' -p15964 -aS'speech\tspeech\tNN\tI-NP\tO' -p15965 -aS'when\twhen\tWRB\tB-ADVP\tO' -p15966 -aS'dehydrated\tdehydrate\tVBN\tB-VP\tO' -p15967 -aS'.\t.\t.\tO\tO' -p15968 -asS'The patient was noted to have mild transaminitis on admission .' -p15969 -(lp15970 -S'The\tThe\tDT\tB-NP\tO' -p15971 -aS'patient\tpatient\tNN\tI-NP\tO' -p15972 -aS'was\tbe\tVBD\tB-VP\tO' -p15973 -aS'noted\tnote\tVBN\tI-VP\tO' -p15974 -aS'to\tto\tTO\tI-VP\tO' -p15975 -aS'have\thave\tVB\tI-VP\tO' -p15976 -aS'mild\tmild\tJJ\tB-NP\tO' -p15977 -aS'transaminitis\ttransaminitis\tNN\tI-NP\tO' -p15978 -aS'on\ton\tIN\tB-PP\tO' -p15979 -aS'admission\tadmission\tNN\tB-NP\tO' -p15980 -aS'.\t.\t.\tO\tO' -p15981 -asS'For this he was admitted .' -p15982 -(lp15983 -S'For\tFor\tIN\tB-PP\tO' -p15984 -aS'this\tthis\tDT\tB-NP\tO' -p15985 -aS'he\the\tPRP\tB-NP\tO' -p15986 -aS'was\tbe\tVBD\tB-VP\tO' -p15987 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p15988 -aS'.\t.\t.\tO\tO' -p15989 -asS'This is to notify you that your patient , GLYN , AEA arrived in the Emergency Department at Daughtersvillshamen's Hospital on 02/25/2001 12:20 PM .' -p15990 -(lp15991 -S'This\tThis\tDT\tB-NP\tO' -p15992 -aS'is\tbe\tVBZ\tB-VP\tO' -p15993 -aS'to\tto\tTO\tB-VP\tO' -p15994 -aS'notify\tnotify\tVB\tI-VP\tO' -p15995 -aS'you\tyou\tPRP\tB-NP\tO' -p15996 -aS'that\tthat\tIN\tB-SBAR\tO' -p15997 -aS'your\tyour\tPRP$\tB-NP\tO' -p15998 -aS'patient\tpatient\tNN\tI-NP\tO' -p15999 -aS',\t,\t,\tO\tO' -p16000 -aS'GLYN\tGLYN\tNN\tB-NP\tB-protein' -p16001 -aS',\t,\t,\tO\tO' -p16002 -aS'AEA\tAEA\tNN\tB-NP\tB-protein' -p16003 -aS'arrived\tarrive\tVBD\tB-VP\tO' -p16004 -aS'in\tin\tIN\tB-PP\tO' -p16005 -aS'the\tthe\tDT\tB-NP\tO' -p16006 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p16007 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p16008 -aS'at\tat\tIN\tB-PP\tO' -p16009 -aS'Daughtersvillshamen's\tDaughtersvillshamen's\tNNP\tB-NP\tO' -p16010 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p16011 -aS'on\ton\tIN\tB-PP\tO' -p16012 -aS'02/25/2001\t02/25/2001\tCD\tB-NP\tO' -p16013 -aS'12:20\t12:20\tCD\tI-NP\tO' -p16014 -aS'PM\tPM\tNN\tI-NP\tO' -p16015 -aS'.\t.\t.\tO\tO' -p16016 -asS'An endoscopic retrograde cholangiopancreatography also demonstrated similar findings' -p16017 -(lp16018 -S'An\tAn\tDT\tB-NP\tO' -p16019 -aS'endoscopic\tendoscopic\tJJ\tI-NP\tO' -p16020 -aS'retrograde\tretrograde\tJJ\tI-NP\tO' -p16021 -aS'cholangiopancreatography\tcholangiopancreatography\tNN\tI-NP\tO' -p16022 -aS'also\talso\tRB\tB-ADVP\tO' -p16023 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p16024 -aS'similar\tsimilar\tJJ\tB-NP\tO' -p16025 -aS'findings\tfinding\tNNS\tI-NP\tO' -p16026 -asS'CBC with a white count of 6.2 , hemoglobin 13.3 , hematocrit 39.4 , platelet 307,000 .' -p16027 -(lp16028 -S'CBC\tCBC\tNN\tB-NP\tB-protein' -p16029 -aS'with\twith\tIN\tB-PP\tO' -p16030 -aS'a\ta\tDT\tB-NP\tO' -p16031 -aS'white\twhite\tJJ\tI-NP\tO' -p16032 -aS'count\tcount\tNN\tI-NP\tO' -p16033 -aS'of\tof\tIN\tB-PP\tO' -p16034 -aS'6.2\t6.2\tCD\tB-NP\tO' -p16035 -aS',\t,\t,\tO\tO' -p16036 -aS'hemoglobin\themoglobin\tNN\tB-NP\tB-protein' -p16037 -aS'13.3\t13.3\tCD\tI-NP\tI-protein' -p16038 -aS',\t,\t,\tO\tO' -p16039 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p16040 -aS'39.4\t39.4\tCD\tI-NP\tI-protein' -p16041 -aS',\t,\t,\tO\tO' -p16042 -aS'platelet\tplatelet\tNN\tB-NP\tB-protein' -p16043 -aS'307,000\t307,000\tCD\tI-NP\tI-protein' -p16044 -aS'.\t.\t.\tO\tO' -p16045 -asS'He had mild elevation of the WBC intermittently grossly bloody urine .' -p16046 -(lp16047 -S'He\tHe\tPRP\tB-NP\tO' -p16048 -aS'had\thave\tVBD\tB-VP\tO' -p16049 -aS'mild\tmild\tJJ\tB-NP\tO' -p16050 -aS'elevation\televation\tNN\tI-NP\tO' -p16051 -aS'of\tof\tIN\tB-PP\tO' -p16052 -aS'the\tthe\tDT\tB-NP\tO' -p16053 -aS'WBC\tWBC\tNNP\tI-NP\tO' -p16054 -aS'intermittently\tintermittently\tRB\tB-NP\tO' -p16055 -aS'grossly\tgrossly\tRB\tI-NP\tO' -p16056 -aS'bloody\tbloody\tJJ\tI-NP\tO' -p16057 -aS'urine\turine\tNN\tI-NP\tO' -p16058 -aS'.\t.\t.\tO\tO' -p16059 -asS'The patient denies having any drug allergies .' -p16060 -(lp16061 -S'The\tThe\tDT\tB-NP\tO' -p16062 -aS'patient\tpatient\tNN\tI-NP\tO' -p16063 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p16064 -aS'having\thave\tVBG\tI-VP\tO' -p16065 -aS'any\tany\tDT\tB-NP\tO' -p16066 -aS'drug\tdrug\tNN\tI-NP\tO' -p16067 -aS'allergies\tallergy\tNNS\tI-NP\tO' -p16068 -aS'.\t.\t.\tO\tO' -p16069 -asS'CONDITION ON DISCHARGE : Good .' -p16070 -(lp16071 -S'CONDITION\tCONDITION\tNN\tB-NP\tO' -p16072 -aS'ON\tON\tNN\tI-NP\tO' -p16073 -aS'DISCHARGE\tDISCHARGE\tNN\tI-NP\tO' -p16074 -aS':\t:\t:\tO\tO' -p16075 -aS'Good\tGood\tNNP\tB-NP\tO' -p16076 -aS'.\t.\t.\tO\tO' -p16077 -asS'from the left anterior descending to the PA .' -p16078 -(lp16079 -S'from\tfrom\tIN\tB-PP\tO' -p16080 -aS'the\tthe\tDT\tB-NP\tO' -p16081 -aS'left\tleft\tJJ\tI-NP\tO' -p16082 -aS'anterior\tanterior\tNN\tI-NP\tO' -p16083 -aS'descending\tdescend\tVBG\tB-VP\tO' -p16084 -aS'to\tto\tTO\tB-PP\tO' -p16085 -aS'the\tthe\tDT\tB-NP\tO' -p16086 -aS'PA\tPA\tNN\tI-NP\tO' -p16087 -aS'.\t.\t.\tO\tO' -p16088 -asS'The cause of death was a combination of GI bleeding felt to be ultimately related to his known metastatic pancreatic cancer .' -p16089 -(lp16090 -S'The\tThe\tDT\tB-NP\tO' -p16091 -aS'cause\tcause\tNN\tI-NP\tO' -p16092 -aS'of\tof\tIN\tB-PP\tO' -p16093 -aS'death\tdeath\tNN\tB-NP\tO' -p16094 -aS'was\tbe\tVBD\tB-VP\tO' -p16095 -aS'a\ta\tDT\tB-NP\tO' -p16096 -aS'combination\tcombination\tNN\tI-NP\tO' -p16097 -aS'of\tof\tIN\tB-PP\tO' -p16098 -aS'GI\tGI\tNN\tB-NP\tO' -p16099 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p16100 -aS'felt\tfeel\tVBD\tB-VP\tO' -p16101 -aS'to\tto\tTO\tI-VP\tO' -p16102 -aS'be\tbe\tVB\tI-VP\tO' -p16103 -aS'ultimately\tultimately\tRB\tI-VP\tO' -p16104 -aS'related\trelate\tVBN\tI-VP\tO' -p16105 -aS'to\tto\tTO\tB-PP\tO' -p16106 -aS'his\this\tPRP$\tB-NP\tB-DNA' -p16107 -aS'known\tknow\tVBN\tI-NP\tO' -p16108 -aS'metastatic\tmetastatic\tJJ\tI-NP\tO' -p16109 -aS'pancreatic\tpancreatic\tJJ\tI-NP\tO' -p16110 -aS'cancer\tcancer\tNN\tI-NP\tO' -p16111 -aS'.\t.\t.\tO\tO' -p16112 -asS'Skin : warm and dry , no rash or breakdown noted though could not examine sacrum' -p16113 -(lp16114 -S'Skin\tSkin\tNN\tB-NP\tO' -p16115 -aS':\t:\t:\tO\tO' -p16116 -aS'warm\twarm\tJJ\tB-ADJP\tO' -p16117 -aS'and\tand\tCC\tI-ADJP\tO' -p16118 -aS'dry\tdry\tJJ\tI-ADJP\tO' -p16119 -aS',\t,\t,\tO\tO' -p16120 -aS'no\tno\tDT\tB-NP\tO' -p16121 -aS'rash\trash\tNN\tI-NP\tO' -p16122 -aS'or\tor\tCC\tI-NP\tO' -p16123 -aS'breakdown\tbreakdown\tNN\tI-NP\tO' -p16124 -aS'noted\tnote\tVBN\tB-VP\tO' -p16125 -aS'though\tthough\tIN\tB-SBAR\tO' -p16126 -aS'could\tcould\tMD\tB-VP\tO' -p16127 -aS'not\tnot\tRB\tI-VP\tO' -p16128 -aS'examine\texamine\tVB\tI-VP\tO' -p16129 -aS'sacrum\tsacrum\tNN\tB-NP\tO' -p16130 -asS'Cardiac catheterization demonstrates severe triple vessel coronary artery disease , RCA 100% occluded , saphenous vein graft to OM1 graft was 100% occluded and a patent LIMA , but severely diseased LAD .' -p16131 -(lp16132 -S'Cardiac\tCardiac\tJJ\tB-NP\tO' -p16133 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p16134 -aS'demonstrates\tdemonstrate\tVBZ\tB-VP\tO' -p16135 -aS'severe\tsevere\tJJ\tB-NP\tO' -p16136 -aS'triple\ttriple\tJJ\tI-NP\tO' -p16137 -aS'vessel\tvessel\tNN\tI-NP\tO' -p16138 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p16139 -aS'artery\tartery\tNN\tI-NP\tO' -p16140 -aS'disease\tdisease\tNN\tI-NP\tO' -p16141 -aS',\t,\t,\tO\tO' -p16142 -aS'RCA\tRCA\tNN\tB-NP\tB-protein' -p16143 -aS'100%\t100%\tCD\tI-NP\tI-protein' -p16144 -aS'occluded\tocclude\tVBD\tB-VP\tO' -p16145 -aS',\t,\t,\tO\tO' -p16146 -aS'saphenous\tsaphenous\tJJ\tB-NP\tO' -p16147 -aS'vein\tvein\tNN\tI-NP\tO' -p16148 -aS'graft\tgraft\tNN\tI-NP\tO' -p16149 -aS'to\tto\tTO\tB-PP\tO' -p16150 -aS'OM1\tOM1\tNN\tB-NP\tO' -p16151 -aS'graft\tgraft\tNN\tI-NP\tO' -p16152 -aS'was\tbe\tVBD\tB-VP\tO' -p16153 -aS'100%\t100%\tCD\tB-NP\tO' -p16154 -aS'occluded\tocclude\tVBN\tB-VP\tO' -p16155 -aS'and\tand\tCC\tO\tO' -p16156 -aS'a\ta\tDT\tB-NP\tO' -p16157 -aS'patent\tpatent\tNN\tI-NP\tO' -p16158 -aS'LIMA\tLIMA\tNN\tI-NP\tO' -p16159 -aS',\t,\t,\tO\tO' -p16160 -aS'but\tbut\tCC\tO\tO' -p16161 -aS'severely\tseverely\tRB\tB-VP\tO' -p16162 -aS'diseased\tdisease\tVBD\tI-VP\tO' -p16163 -aS'LAD\tLAD\tNN\tB-NP\tO' -p16164 -aS'.\t.\t.\tO\tO' -p16165 -asS'His TTE showed EF 45-50% , moderate cLVH , abnormal diastolic function , moderate MR , moderate TR and severe LAE .' -p16166 -(lp16167 -S'His\tHis\tPRP$\tB-NP\tO' -p16168 -aS'TTE\tTTE\tNN\tI-NP\tB-protein' -p16169 -aS'showed\tshow\tVBD\tB-VP\tI-protein' -p16170 -aS'EF\tEF\tNN\tB-NP\tI-protein' -p16171 -aS'45-50%\t45-50%\tJJ\tI-NP\tO' -p16172 -aS',\t,\t,\tI-NP\tO' -p16173 -aS'moderate\tmoderate\tJJ\tI-NP\tO' -p16174 -aS'cLVH\tcLVH\tNN\tI-NP\tO' -p16175 -aS',\t,\t,\tO\tO' -p16176 -aS'abnormal\tabnormal\tJJ\tB-NP\tO' -p16177 -aS'diastolic\tdiastolic\tJJ\tI-NP\tO' -p16178 -aS'function\tfunction\tNN\tI-NP\tO' -p16179 -aS',\t,\t,\tO\tO' -p16180 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p16181 -aS'MR\tMR\tNN\tI-NP\tB-protein' -p16182 -aS',\t,\t,\tO\tO' -p16183 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p16184 -aS'TR\tTR\tNN\tI-NP\tO' -p16185 -aS'and\tand\tCC\tO\tO' -p16186 -aS'severe\tsevere\tJJ\tB-NP\tO' -p16187 -aS'LAE\tLAE\tNN\tI-NP\tO' -p16188 -aS'.\t.\t.\tO\tO' -p16189 -asS"The patient 's nutrition was suboptimal , and the patient was started on tube feeding ." -p16190 -(lp16191 -S'The\tThe\tDT\tB-NP\tO' -p16192 -aS'patient\tpatient\tNN\tI-NP\tO' -p16193 -aS"'s\t's\tPOS\tB-NP\tO" -p16194 -aS'nutrition\tnutrition\tNN\tI-NP\tO' -p16195 -aS'was\tbe\tVBD\tB-VP\tO' -p16196 -aS'suboptimal\tsuboptimal\tJJ\tB-ADJP\tO' -p16197 -aS',\t,\t,\tO\tO' -p16198 -aS'and\tand\tCC\tO\tO' -p16199 -aS'the\tthe\tDT\tB-NP\tO' -p16200 -aS'patient\tpatient\tNN\tI-NP\tO' -p16201 -aS'was\tbe\tVBD\tB-VP\tO' -p16202 -aS'started\tstart\tVBN\tI-VP\tO' -p16203 -aS'on\ton\tIN\tB-PP\tO' -p16204 -aS'tube\ttube\tNN\tB-NP\tO' -p16205 -aS'feeding\tfeeding\tNN\tI-NP\tO' -p16206 -aS'.\t.\t.\tO\tO' -p16207 -asS'Fluid and electrolyte .' -p16208 -(lp16209 -S'Fluid\tFluid\tNN\tB-NP\tO' -p16210 -aS'and\tand\tCC\tI-NP\tO' -p16211 -aS'electrolyte\telectrolyte\tNN\tI-NP\tO' -p16212 -aS'.\t.\t.\tO\tO' -p16213 -asS'Dilantin level was 22.6 , 20.2 , 20 .' -p16214 -(lp16215 -S'Dilantin\tDilantin\tNN\tB-NP\tO' -p16216 -aS'level\tlevel\tNN\tI-NP\tO' -p16217 -aS'was\tbe\tVBD\tB-VP\tO' -p16218 -aS'22.6\t22.6\tCD\tB-NP\tO' -p16219 -aS',\t,\t,\tI-NP\tO' -p16220 -aS'20.2\t20.2\tCD\tI-NP\tO' -p16221 -aS',\t,\t,\tI-NP\tO' -p16222 -aS'20\t20\tCD\tI-NP\tO' -p16223 -aS'.\t.\t.\tO\tO' -p16224 -asS'This is a 33 - year-old Asian-Caucasian male with a history of Type 1 diabetes , asthma , alcohol abuse , and personality disorder / depression admitted on 2010-08-28 for persistent hypoglycemia .' -p16225 -(lp16226 -S'This\tThis\tDT\tB-NP\tO' -p16227 -aS'is\tbe\tVBZ\tB-VP\tO' -p16228 -aS'a\ta\tDT\tB-NP\tO' -p16229 -aS'33\t33\tCD\tI-NP\tO' -p16230 -aS'-\t-\tHYPH\tI-NP\tO' -p16231 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p16232 -aS'Asian-Caucasian\tAsian-Caucasian\tJJ\tI-NP\tO' -p16233 -aS'male\tmale\tNN\tI-NP\tO' -p16234 -aS'with\twith\tIN\tB-PP\tO' -p16235 -aS'a\ta\tDT\tB-NP\tO' -p16236 -aS'history\thistory\tNN\tI-NP\tO' -p16237 -aS'of\tof\tIN\tB-PP\tO' -p16238 -aS'Type\tType\tNN\tB-NP\tO' -p16239 -aS'1\t1\tCD\tI-NP\tO' -p16240 -aS'diabetes\tdiabetes\tNN\tI-NP\tO' -p16241 -aS',\t,\t,\tO\tO' -p16242 -aS'asthma\tasthma\tNN\tB-NP\tO' -p16243 -aS',\t,\t,\tO\tO' -p16244 -aS'alcohol\talcohol\tNN\tB-NP\tO' -p16245 -aS'abuse\tabuse\tNN\tI-NP\tO' -p16246 -aS',\t,\t,\tO\tO' -p16247 -aS'and\tand\tCC\tO\tO' -p16248 -aS'personality\tpersonality\tNN\tB-NP\tO' -p16249 -aS'disorder\tdisorder\tNN\tI-NP\tO' -p16250 -aS'/\t/\tSYM\tB-NP\tO' -p16251 -aS'depression\tdepression\tNN\tI-NP\tO' -p16252 -aS'admitted\tadmit\tVBN\tB-VP\tO' -p16253 -aS'on\ton\tIN\tB-PP\tO' -p16254 -aS'2010-08-28\t2010-08-28\tCD\tB-NP\tO' -p16255 -aS'for\tfor\tIN\tB-PP\tO' -p16256 -aS'persistent\tpersistent\tJJ\tB-NP\tO' -p16257 -aS'hypoglycemia\thypoglycemia\tNN\tI-NP\tO' -p16258 -aS'.\t.\t.\tO\tO' -p16259 -asS'She should have her chem 7 checked next week given the start of her new meds .' -p16260 -(lp16261 -S'She\tShe\tPRP\tB-NP\tO' -p16262 -aS'should\tshould\tMD\tB-VP\tO' -p16263 -aS'have\thave\tVB\tI-VP\tO' -p16264 -aS'her\ther\tPRP$\tB-NP\tO' -p16265 -aS'chem\tchem\tNN\tI-NP\tO' -p16266 -aS'7\t7\tCD\tI-NP\tO' -p16267 -aS'checked\tcheck\tVBD\tB-VP\tO' -p16268 -aS'next\tnext\tJJ\tB-NP\tO' -p16269 -aS'week\tweek\tNN\tI-NP\tO' -p16270 -aS'given\tgive\tVBN\tB-PP\tO' -p16271 -aS'the\tthe\tDT\tB-NP\tO' -p16272 -aS'start\tstart\tNN\tI-NP\tO' -p16273 -aS'of\tof\tIN\tB-PP\tO' -p16274 -aS'her\ther\tPRP$\tB-NP\tO' -p16275 -aS'new\tnew\tJJ\tI-NP\tO' -p16276 -aS'meds\tmed\tNNS\tI-NP\tO' -p16277 -aS'.\t.\t.\tO\tO' -p16278 -asS'The patient voided spontaneously .' -p16279 -(lp16280 -S'The\tThe\tDT\tB-NP\tO' -p16281 -aS'patient\tpatient\tNN\tI-NP\tO' -p16282 -aS'voided\tvoid\tVBD\tB-VP\tO' -p16283 -aS'spontaneously\tspontaneously\tRB\tB-ADVP\tO' -p16284 -aS'.\t.\t.\tO\tO' -p16285 -asS'On 09-06 , he was brought to the Operating Room , please see the Operating Room report for full details .' -p16286 -(lp16287 -S'On\tOn\tIN\tB-PP\tO' -p16288 -aS'09-06\t09-06\tCD\tB-NP\tO' -p16289 -aS',\t,\t,\tO\tO' -p16290 -aS'he\the\tPRP\tB-NP\tO' -p16291 -aS'was\tbe\tVBD\tB-VP\tO' -p16292 -aS'brought\tbring\tVBN\tI-VP\tO' -p16293 -aS'to\tto\tTO\tB-PP\tO' -p16294 -aS'the\tthe\tDT\tB-NP\tO' -p16295 -aS'Operating\tOperating\tNNP\tI-NP\tO' -p16296 -aS'Room\tRoom\tNNP\tI-NP\tO' -p16297 -aS',\t,\t,\tO\tO' -p16298 -aS'please\tplease\tNN\tB-NP\tO' -p16299 -aS'see\tsee\tVBP\tB-VP\tO' -p16300 -aS'the\tthe\tDT\tB-NP\tO' -p16301 -aS'Operating\tOperating\tNNP\tI-NP\tO' -p16302 -aS'Room\tRoom\tNNP\tI-NP\tO' -p16303 -aS'report\treport\tNN\tI-NP\tO' -p16304 -aS'for\tfor\tIN\tB-PP\tO' -p16305 -aS'full\tfull\tJJ\tB-NP\tO' -p16306 -aS'details\tdetail\tNNS\tI-NP\tO' -p16307 -aS'.\t.\t.\tO\tO' -p16308 -asS"Collagen vascular disease could not be definitively ruled out ; however , given the patient 's lack of connective tissue disorder stigmata it was thought to be less likely , and the patient 's human immunodeficiency virus test was negative ." -p16309 -(lp16310 -S'Collagen\tCollagen\tNN\tB-NP\tB-protein' -p16311 -aS'vascular\tvascular\tJJ\tI-NP\tO' -p16312 -aS'disease\tdisease\tNN\tI-NP\tO' -p16313 -aS'could\tcould\tMD\tB-VP\tO' -p16314 -aS'not\tnot\tRB\tI-VP\tO' -p16315 -aS'be\tbe\tVB\tI-VP\tO' -p16316 -aS'definitively\tdefinitively\tRB\tI-VP\tO' -p16317 -aS'ruled\trule\tVBN\tI-VP\tO' -p16318 -aS'out\tout\tRP\tB-PRT\tO' -p16319 -aS';\t;\t:\tO\tO' -p16320 -aS'however\thowever\tRB\tO\tO' -p16321 -aS',\t,\t,\tO\tO' -p16322 -aS'given\tgive\tVBN\tB-PP\tO' -p16323 -aS'the\tthe\tDT\tB-NP\tO' -p16324 -aS'patient\tpatient\tNN\tI-NP\tO' -p16325 -aS"'s\t's\tPOS\tB-NP\tO" -p16326 -aS'lack\tlack\tNN\tI-NP\tO' -p16327 -aS'of\tof\tIN\tB-PP\tO' -p16328 -aS'connective\tconnective\tJJ\tB-NP\tO' -p16329 -aS'tissue\ttissue\tNN\tI-NP\tO' -p16330 -aS'disorder\tdisorder\tNN\tI-NP\tO' -p16331 -aS'stigmata\tstigma\tNNS\tI-NP\tO' -p16332 -aS'it\tit\tPRP\tB-NP\tO' -p16333 -aS'was\tbe\tVBD\tB-VP\tO' -p16334 -aS'thought\tthink\tVBN\tI-VP\tO' -p16335 -aS'to\tto\tTO\tI-VP\tO' -p16336 -aS'be\tbe\tVB\tI-VP\tO' -p16337 -aS'less\tless\tRBR\tB-ADJP\tO' -p16338 -aS'likely\tlikely\tJJ\tI-ADJP\tO' -p16339 -aS',\t,\t,\tO\tO' -p16340 -aS'and\tand\tCC\tO\tO' -p16341 -aS'the\tthe\tDT\tB-NP\tO' -p16342 -aS'patient\tpatient\tNN\tI-NP\tO' -p16343 -aS"'s\t's\tPOS\tB-NP\tO" -p16344 -aS'human\thuman\tJJ\tI-NP\tO' -p16345 -aS'immunodeficiency\timmunodeficiency\tNN\tI-NP\tO' -p16346 -aS'virus\tvirus\tNN\tI-NP\tO' -p16347 -aS'test\ttest\tNN\tI-NP\tO' -p16348 -aS'was\tbe\tVBD\tB-VP\tO' -p16349 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p16350 -aS'.\t.\t.\tO\tO' -p16351 -asS'On physical exam the patient is a well appearing , elderly white female , in no acute distress .' -p16352 -(lp16353 -S'On\tOn\tIN\tB-PP\tO' -p16354 -aS'physical\tphysical\tJJ\tB-NP\tO' -p16355 -aS'exam\texam\tNN\tI-NP\tO' -p16356 -aS'the\tthe\tDT\tB-NP\tO' -p16357 -aS'patient\tpatient\tNN\tI-NP\tO' -p16358 -aS'is\tbe\tVBZ\tB-VP\tO' -p16359 -aS'a\ta\tDT\tB-NP\tO' -p16360 -aS'well\twell\tRB\tI-NP\tO' -p16361 -aS'appearing\tappearing\tJJ\tI-NP\tO' -p16362 -aS',\t,\t,\tI-NP\tO' -p16363 -aS'elderly\telderly\tJJ\tI-NP\tO' -p16364 -aS'white\twhite\tJJ\tI-NP\tO' -p16365 -aS'female\tfemale\tNN\tI-NP\tO' -p16366 -aS',\t,\t,\tO\tO' -p16367 -aS'in\tin\tIN\tB-PP\tO' -p16368 -aS'no\tno\tDT\tB-NP\tO' -p16369 -aS'acute\tacute\tJJ\tI-NP\tO' -p16370 -aS'distress\tdistress\tNN\tI-NP\tO' -p16371 -aS'.\t.\t.\tO\tO' -p16372 -asS'Clear amniotic fluid .' -p16373 -(lp16374 -S'Clear\tClear\tJJ\tB-NP\tO' -p16375 -aS'amniotic\tamniotic\tJJ\tI-NP\tO' -p16376 -aS'fluid\tfluid\tNN\tI-NP\tO' -p16377 -aS'.\t.\t.\tO\tO' -p16378 -asS'Anterior fontanel soft and flat .' -p16379 -(lp16380 -S'Anterior\tAnterior\tJJ\tB-NP\tO' -p16381 -aS'fontanel\tfontanel\tNN\tI-NP\tO' -p16382 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p16383 -aS'and\tand\tCC\tI-ADJP\tO' -p16384 -aS'flat\tflat\tJJ\tI-ADJP\tO' -p16385 -aS'.\t.\t.\tO\tO' -p16386 -asS'The patient will also see his pulmonologist , Dr. Daniel Bell , appointment was made on discharge .' -p16387 -(lp16388 -S'The\tThe\tDT\tB-NP\tO' -p16389 -aS'patient\tpatient\tNN\tI-NP\tO' -p16390 -aS'will\twill\tMD\tB-VP\tO' -p16391 -aS'also\talso\tRB\tI-VP\tO' -p16392 -aS'see\tsee\tVB\tI-VP\tO' -p16393 -aS'his\this\tPRP$\tB-NP\tO' -p16394 -aS'pulmonologist\tpulmonologist\tNN\tI-NP\tO' -p16395 -aS',\t,\t,\tO\tO' -p16396 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p16397 -aS'Daniel\tDaniel\tNNP\tI-NP\tO' -p16398 -aS'Bell\tBell\tNNP\tI-NP\tO' -p16399 -aS',\t,\t,\tO\tO' -p16400 -aS'appointment\tappointment\tNN\tB-NP\tO' -p16401 -aS'was\tbe\tVBD\tB-VP\tO' -p16402 -aS'made\tmake\tVBN\tI-VP\tO' -p16403 -aS'on\ton\tIN\tB-PP\tO' -p16404 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p16405 -aS'.\t.\t.\tO\tO' -p16406 -asS'He denied any seizure activity , loss of consciousness , incontinence , shortness of breath , fevers , or chills , chest pain , change in urinary or bowel habits , or suicidal ideation .' -p16407 -(lp16408 -S'He\tHe\tPRP\tB-NP\tO' -p16409 -aS'denied\tdeny\tVBD\tB-VP\tO' -p16410 -aS'any\tany\tDT\tB-NP\tO' -p16411 -aS'seizure\tseizure\tNN\tI-NP\tO' -p16412 -aS'activity\tactivity\tNN\tI-NP\tO' -p16413 -aS',\t,\t,\tO\tO' -p16414 -aS'loss\tloss\tNN\tB-NP\tO' -p16415 -aS'of\tof\tIN\tB-PP\tO' -p16416 -aS'consciousness\tconsciousness\tNN\tB-NP\tO' -p16417 -aS',\t,\t,\tO\tO' -p16418 -aS'incontinence\tincontinence\tNN\tB-NP\tO' -p16419 -aS',\t,\t,\tO\tO' -p16420 -aS'shortness\tshortness\tNN\tB-NP\tO' -p16421 -aS'of\tof\tIN\tB-PP\tO' -p16422 -aS'breath\tbreath\tNN\tB-NP\tO' -p16423 -aS',\t,\t,\tO\tO' -p16424 -aS'fevers\tfever\tNNS\tB-NP\tO' -p16425 -aS',\t,\t,\tO\tO' -p16426 -aS'or\tor\tCC\tO\tO' -p16427 -aS'chills\tchill\tNNS\tB-NP\tO' -p16428 -aS',\t,\t,\tO\tO' -p16429 -aS'chest\tchest\tNN\tB-NP\tO' -p16430 -aS'pain\tpain\tNN\tI-NP\tO' -p16431 -aS',\t,\t,\tO\tO' -p16432 -aS'change\tchange\tNN\tB-NP\tO' -p16433 -aS'in\tin\tIN\tB-PP\tO' -p16434 -aS'urinary\turinary\tJJ\tB-NP\tO' -p16435 -aS'or\tor\tCC\tI-NP\tO' -p16436 -aS'bowel\tbowel\tNN\tI-NP\tO' -p16437 -aS'habits\thabit\tNNS\tI-NP\tO' -p16438 -aS',\t,\t,\tO\tO' -p16439 -aS'or\tor\tCC\tO\tO' -p16440 -aS'suicidal\tsuicidal\tJJ\tB-NP\tO' -p16441 -aS'ideation\tideation\tNN\tI-NP\tO' -p16442 -aS'.\t.\t.\tO\tO' -p16443 -asS'10. Hydrochlorothiazide 25 mg once daily .' -p16444 -(lp16445 -S'10.\t10.\tCD\tB-NP\tO' -p16446 -aS'Hydrochlorothiazide\tHydrochlorothiazide\tNN\tI-NP\tO' -p16447 -aS'25\t25\tCD\tB-NP\tO' -p16448 -aS'mg\tmg\tNN\tI-NP\tO' -p16449 -aS'once\tonce\tRB\tB-ADVP\tO' -p16450 -aS'daily\tdaily\tRB\tI-ADVP\tO' -p16451 -aS'.\t.\t.\tO\tO' -p16452 -asS'Lines included a right antecubital peripheral intravenous .' -p16453 -(lp16454 -S'Lines\tLine\tNNS\tB-NP\tO' -p16455 -aS'included\tinclude\tVBD\tB-VP\tO' -p16456 -aS'a\ta\tDT\tB-NP\tO' -p16457 -aS'right\tright\tJJ\tI-NP\tO' -p16458 -aS'antecubital\tantecubital\tJJ\tI-NP\tO' -p16459 -aS'peripheral\tperipheral\tJJ\tI-NP\tO' -p16460 -aS'intravenous\tintravenous\tJJ\tI-NP\tO' -p16461 -aS'.\t.\t.\tO\tO' -p16462 -asS'Chest x-ray showed patient was in congestive heart failure .' -p16463 -(lp16464 -S'Chest\tCh\tJJS\tB-NP\tO' -p16465 -aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' -p16466 -aS'showed\tshow\tVBD\tB-VP\tO' -p16467 -aS'patient\tpatient\tNN\tB-NP\tO' -p16468 -aS'was\tbe\tVBD\tB-VP\tO' -p16469 -aS'in\tin\tIN\tB-PP\tO' -p16470 -aS'congestive\tcongestive\tJJ\tB-NP\tO' -p16471 -aS'heart\theart\tNN\tI-NP\tO' -p16472 -aS'failure\tfailure\tNN\tI-NP\tO' -p16473 -aS'.\t.\t.\tO\tO' -p16474 -asS'The patient presented to the emergency room on 3/7/02 , complaining of fevers since Monday 3/2/02 .' -p16475 -(lp16476 -S'The\tThe\tDT\tB-NP\tO' -p16477 -aS'patient\tpatient\tNN\tI-NP\tO' -p16478 -aS'presented\tpresent\tVBN\tB-VP\tO' -p16479 -aS'to\tto\tTO\tB-PP\tO' -p16480 -aS'the\tthe\tDT\tB-NP\tO' -p16481 -aS'emergency\temergency\tNN\tI-NP\tO' -p16482 -aS'room\troom\tNN\tI-NP\tO' -p16483 -aS'on\ton\tIN\tB-PP\tO' -p16484 -aS'3/7/02\t3/7/02\tCD\tB-NP\tO' -p16485 -aS',\t,\t,\tO\tO' -p16486 -aS'complaining\tcomplain\tVBG\tB-VP\tO' -p16487 -aS'of\tof\tIN\tB-PP\tO' -p16488 -aS'fevers\tfever\tNNS\tB-NP\tO' -p16489 -aS'since\tsince\tIN\tB-PP\tO' -p16490 -aS'Monday\tMonday\tNNP\tB-NP\tO' -p16491 -aS'3/2/02\t3/2/02\tCD\tI-NP\tO' -p16492 -aS'.\t.\t.\tO\tO' -p16493 -asS'Patient noted the foot dragging to have worsened over the past few weeks but improved since on Decadron the past week before admission .' -p16494 -(lp16495 -S'Patient\tPatient\tNN\tB-NP\tO' -p16496 -aS'noted\tnote\tVBD\tB-VP\tO' -p16497 -aS'the\tthe\tDT\tB-NP\tO' -p16498 -aS'foot\tfoot\tNN\tI-NP\tO' -p16499 -aS'dragging\tdrag\tVBG\tB-VP\tO' -p16500 -aS'to\tto\tTO\tI-VP\tO' -p16501 -aS'have\thave\tVB\tI-VP\tO' -p16502 -aS'worsened\tworsen\tVBN\tI-VP\tO' -p16503 -aS'over\tover\tIN\tB-PP\tO' -p16504 -aS'the\tthe\tDT\tB-NP\tO' -p16505 -aS'past\tpast\tJJ\tI-NP\tO' -p16506 -aS'few\tfew\tJJ\tI-NP\tO' -p16507 -aS'weeks\tweek\tNNS\tI-NP\tO' -p16508 -aS'but\tbut\tCC\tO\tO' -p16509 -aS'improved\timprove\tVBD\tB-VP\tO' -p16510 -aS'since\tsince\tIN\tB-PP\tO' -p16511 -aS'on\ton\tIN\tB-PP\tO' -p16512 -aS'Decadron\tDecadron\tNNP\tB-NP\tO' -p16513 -aS'the\tthe\tDT\tB-NP\tO' -p16514 -aS'past\tpast\tJJ\tI-NP\tO' -p16515 -aS'week\tweek\tNN\tI-NP\tO' -p16516 -aS'before\tbefore\tIN\tB-PP\tO' -p16517 -aS'admission\tadmission\tNN\tB-NP\tO' -p16518 -aS'.\t.\t.\tO\tO' -p16519 -asS"Given that she does have new lesions on MRI , if OCB s were sent this would have weighed in in her dx of MS , and it's possible she could benefit from MS therapy ." -p16520 -(lp16521 -S'Given\tGive\tVBN\tB-VP\tO' -p16522 -aS'that\tthat\tIN\tB-SBAR\tO' -p16523 -aS'she\tshe\tPRP\tB-NP\tO' -p16524 -aS'does\tdo\tVBZ\tB-VP\tO' -p16525 -aS'have\thave\tVB\tI-VP\tO' -p16526 -aS'new\tnew\tJJ\tB-NP\tO' -p16527 -aS'lesions\tlesion\tNNS\tI-NP\tO' -p16528 -aS'on\ton\tIN\tB-PP\tO' -p16529 -aS'MRI\tMRI\tNN\tB-NP\tB-protein' -p16530 -aS',\t,\t,\tO\tO' -p16531 -aS'if\tif\tIN\tB-SBAR\tO' -p16532 -aS'OCB\tOCB\tNN\tB-NP\tB-protein' -p16533 -aS's\ts\tNNS\tI-NP\tI-protein' -p16534 -aS'were\tbe\tVBD\tB-VP\tO' -p16535 -aS'sent\tsend\tVBN\tI-VP\tO' -p16536 -aS'this\tthis\tDT\tB-NP\tO' -p16537 -aS'would\twould\tMD\tB-VP\tO' -p16538 -aS'have\thave\tVB\tI-VP\tO' -p16539 -aS'weighed\tweigh\tVBN\tI-VP\tO' -p16540 -aS'in\tin\tIN\tB-PP\tO' -p16541 -aS'in\tin\tIN\tB-PP\tO' -p16542 -aS'her\ther\tPRP$\tB-NP\tO' -p16543 -aS'dx\tdx\tNN\tI-NP\tO' -p16544 -aS'of\tof\tIN\tB-PP\tO' -p16545 -aS'MS\tMS\tNN\tB-NP\tO' -p16546 -aS',\t,\t,\tO\tO' -p16547 -aS'and\tand\tCC\tO\tO' -p16548 -aS"it's\tit'\tNNS\tB-NP\tO" -p16549 -aS'possible\tpossible\tJJ\tB-ADJP\tO' -p16550 -aS'she\tshe\tPRP\tB-NP\tO' -p16551 -aS'could\tcould\tMD\tB-VP\tO' -p16552 -aS'benefit\tbenefit\tVB\tI-VP\tO' -p16553 -aS'from\tfrom\tIN\tB-PP\tO' -p16554 -aS'MS\tMS\tNN\tB-NP\tO' -p16555 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p16556 -aS'.\t.\t.\tO\tO' -p16557 -asS'Chest x-ray showed low lung volumes but no evidence of congestive heart failure .' -p16558 -(lp16559 -S'Chest\tCh\tJJS\tB-NP\tO' -p16560 -aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' -p16561 -aS'showed\tshow\tVBD\tB-VP\tO' -p16562 -aS'low\tlow\tJJ\tB-NP\tO' -p16563 -aS'lung\tlung\tNN\tI-NP\tO' -p16564 -aS'volumes\tvolume\tNNS\tI-NP\tO' -p16565 -aS'but\tbut\tCC\tO\tO' -p16566 -aS'no\tno\tDT\tB-NP\tO' -p16567 -aS'evidence\tevidence\tNN\tI-NP\tO' -p16568 -aS'of\tof\tIN\tB-PP\tO' -p16569 -aS'congestive\tcongestive\tJJ\tB-NP\tO' -p16570 -aS'heart\theart\tNN\tI-NP\tO' -p16571 -aS'failure\tfailure\tNN\tI-NP\tO' -p16572 -aS'.\t.\t.\tO\tO' -p16573 -asS'Accordingly , an Oncology consult was called on 4/29/93 and a bone marrow aspirate biopsy was performed .' -p16574 -(lp16575 -S'Accordingly\tAccordingly\tRB\tB-ADVP\tO' -p16576 -aS',\t,\t,\tO\tO' -p16577 -aS'an\tan\tDT\tB-NP\tO' -p16578 -aS'Oncology\tOncology\tNNP\tI-NP\tO' -p16579 -aS'consult\tconsult\tNN\tI-NP\tO' -p16580 -aS'was\tbe\tVBD\tB-VP\tO' -p16581 -aS'called\tcall\tVBN\tI-VP\tO' -p16582 -aS'on\ton\tIN\tB-PP\tO' -p16583 -aS'4/29/93\t4/29/93\tCD\tB-NP\tO' -p16584 -aS'and\tand\tCC\tO\tO' -p16585 -aS'a\ta\tDT\tB-NP\tO' -p16586 -aS'bone\tbone\tNN\tI-NP\tO' -p16587 -aS'marrow\tmarrow\tNN\tI-NP\tO' -p16588 -aS'aspirate\taspirate\tNN\tI-NP\tO' -p16589 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p16590 -aS'was\tbe\tVBD\tB-VP\tO' -p16591 -aS'performed\tperform\tVBN\tI-VP\tO' -p16592 -aS'.\t.\t.\tO\tO' -p16593 -asS'No guarding or rebound .' -p16594 -(lp16595 -S'No\tNo\tDT\tB-NP\tO' -p16596 -aS'guarding\tguarding\tNN\tI-NP\tO' -p16597 -aS'or\tor\tCC\tI-NP\tO' -p16598 -aS'rebound\trebound\tNN\tI-NP\tO' -p16599 -aS'.\t.\t.\tO\tO' -p16600 -asS'pt will be discharged home with plan to continue current dialysis schedule ( Tue / Th / Sat ).' -p16601 -(lp16602 -S'pt\tpt\tNN\tB-NP\tO' -p16603 -aS'will\twill\tMD\tB-VP\tO' -p16604 -aS'be\tbe\tVB\tI-VP\tO' -p16605 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p16606 -aS'home\thome\tNN\tB-ADVP\tO' -p16607 -aS'with\twith\tIN\tB-PP\tO' -p16608 -aS'plan\tplan\tNN\tB-NP\tO' -p16609 -aS'to\tto\tTO\tB-VP\tO' -p16610 -aS'continue\tcontinue\tVB\tI-VP\tO' -p16611 -aS'current\tcurrent\tJJ\tB-NP\tO' -p16612 -aS'dialysis\tdialysis\tNN\tI-NP\tO' -p16613 -aS'schedule\tschedule\tNN\tI-NP\tO' -p16614 -aS'(\t(\t(\tO\tO' -p16615 -aS'Tue\tTue\tNN\tB-NP\tO' -p16616 -aS'/\t/\tSYM\tB-NP\tO' -p16617 -aS'Th\tTh\tNN\tI-NP\tO' -p16618 -aS'/\t/\tSYM\tI-NP\tO' -p16619 -aS'Sat\tSat\tNN\tI-NP\tB-protein' -p16620 -aS').\t).\t)\tO\tO' -p16621 -asS'The mitral valve leaflets are mildly thickened .' -p16622 -(lp16623 -S'The\tThe\tDT\tB-NP\tO' -p16624 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p16625 -aS'valve\tvalve\tNN\tI-NP\tO' -p16626 -aS'leaflets\tleaflet\tNNS\tI-NP\tO' -p16627 -aS'are\tbe\tVBP\tB-VP\tO' -p16628 -aS'mildly\tmildly\tRB\tI-VP\tO' -p16629 -aS'thickened\tthicken\tVBN\tI-VP\tO' -p16630 -aS'.\t.\t.\tO\tO' -p16631 -asS'Hemodialysis MWF , Dr. Gaetz 220-871-6906 1-2 weeks , Dr. Clow 836-771-4924 1 week , Cardiology Clinic 452-860-1428 , please call to make an appointment in 1-2 weeks with a cardiology fellow ,' -p16632 -(lp16633 -S'Hemodialysis\tHemodialysis\tNN\tB-NP\tB-protein' -p16634 -aS'MWF\tMWF\tNN\tI-NP\tI-protein' -p16635 -aS',\t,\t,\tO\tO' -p16636 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p16637 -aS'Gaetz\tGaetz\tNNP\tI-NP\tO' -p16638 -aS'220-871-6906\t220-871-6906\tCD\tI-NP\tO' -p16639 -aS'1-2\t1-2\tCD\tI-NP\tO' -p16640 -aS'weeks\tweek\tNNS\tI-NP\tO' -p16641 -aS',\t,\t,\tO\tO' -p16642 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p16643 -aS'Clow\tClow\tNNP\tI-NP\tO' -p16644 -aS'836-771-4924\t836-771-4924\tCD\tI-NP\tO' -p16645 -aS'1\t1\tCD\tI-NP\tO' -p16646 -aS'week\tweek\tNN\tI-NP\tO' -p16647 -aS',\t,\t,\tO\tO' -p16648 -aS'Cardiology\tCardiology\tNNP\tB-NP\tO' -p16649 -aS'Clinic\tClinic\tNNP\tI-NP\tO' -p16650 -aS'452-860-1428\t452-860-1428\tCD\tI-NP\tO' -p16651 -aS',\t,\t,\tO\tO' -p16652 -aS'please\tplease\tVB\tB-VP\tO' -p16653 -aS'call\tcall\tNN\tB-NP\tO' -p16654 -aS'to\tto\tTO\tB-VP\tO' -p16655 -aS'make\tmake\tVB\tI-VP\tO' -p16656 -aS'an\tan\tDT\tB-NP\tO' -p16657 -aS'appointment\tappointment\tNN\tI-NP\tO' -p16658 -aS'in\tin\tIN\tB-PP\tO' -p16659 -aS'1-2\t1-2\tCD\tB-NP\tO' -p16660 -aS'weeks\tweek\tNNS\tI-NP\tO' -p16661 -aS'with\twith\tIN\tB-PP\tO' -p16662 -aS'a\ta\tDT\tB-NP\tO' -p16663 -aS'cardiology\tcardiology\tNN\tI-NP\tO' -p16664 -aS'fellow\tfellow\tNN\tI-NP\tO' -p16665 -aS',\t,\t,\tO\tO' -p16666 -asS'The patient was admitted with a question of lupus given her ANA of 1:640 although her rheumatoid factor and ANCA were negative .' -p16667 -(lp16668 -S'The\tThe\tDT\tB-NP\tO' -p16669 -aS'patient\tpatient\tNN\tI-NP\tO' -p16670 -aS'was\tbe\tVBD\tB-VP\tO' -p16671 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p16672 -aS'with\twith\tIN\tB-PP\tO' -p16673 -aS'a\ta\tDT\tB-NP\tO' -p16674 -aS'question\tquestion\tNN\tI-NP\tO' -p16675 -aS'of\tof\tIN\tB-PP\tO' -p16676 -aS'lupus\tlupus\tNN\tB-NP\tO' -p16677 -aS'given\tgive\tVBN\tB-VP\tO' -p16678 -aS'her\ther\tPRP$\tB-NP\tO' -p16679 -aS'ANA\tANA\tNN\tI-NP\tO' -p16680 -aS'of\tof\tIN\tB-PP\tO' -p16681 -aS'1:640\t1:640\tCD\tB-NP\tO' -p16682 -aS'although\talthough\tIN\tB-SBAR\tO' -p16683 -aS'her\ther\tPRP$\tB-NP\tB-protein' -p16684 -aS'rheumatoid\trheumatoid\tJJ\tI-NP\tI-protein' -p16685 -aS'factor\tfactor\tNN\tI-NP\tI-protein' -p16686 -aS'and\tand\tCC\tI-NP\tO' -p16687 -aS'ANCA\tANCA\tNN\tI-NP\tB-protein' -p16688 -aS'were\tbe\tVBD\tB-VP\tO' -p16689 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p16690 -aS'.\t.\t.\tO\tO' -p16691 -asS'8. History of upper gastrointestinal bleed .' -p16692 -(lp16693 -S'8.\t8.\tLS\tB-NP\tO' -p16694 -aS'History\tHistory\tNN\tI-NP\tO' -p16695 -aS'of\tof\tIN\tB-PP\tO' -p16696 -aS'upper\tupper\tJJ\tB-NP\tO' -p16697 -aS'gastrointestinal\tgastrointestinal\tJJ\tI-NP\tO' -p16698 -aS'bleed\tbleed\tNN\tI-NP\tO' -p16699 -aS'.\t.\t.\tO\tO' -p16700 -asS'9. Hearing impaired .' -p16701 -(lp16702 -S'9.\t9.\tLS\tB-LST\tO' -p16703 -aS'Hearing\tHearing\tNNP\tB-NP\tO' -p16704 -aS'impaired\timpair\tVBD\tB-VP\tO' -p16705 -aS'.\t.\t.\tO\tO' -p16706 -asS'The patient had sudden onset of blurred vision , where the right side of his wife 's face looked blurred .' -p16707 -(lp16708 -S'The\tThe\tDT\tB-NP\tO' -p16709 -aS'patient\tpatient\tNN\tI-NP\tO' -p16710 -aS'had\thave\tVBD\tB-VP\tO' -p16711 -aS'sudden\tsudden\tJJ\tB-NP\tO' -p16712 -aS'onset\tonset\tNN\tI-NP\tO' -p16713 -aS'of\tof\tIN\tB-PP\tO' -p16714 -aS'blurred\tblurred\tJJ\tB-NP\tO' -p16715 -aS'vision\tvision\tNN\tI-NP\tO' -p16716 -aS',\t,\t,\tO\tO' -p16717 -aS'where\twhere\tWRB\tB-ADVP\tO' -p16718 -aS'the\tthe\tDT\tB-NP\tO' -p16719 -aS'right\tright\tJJ\tI-NP\tO' -p16720 -aS'side\tside\tNN\tI-NP\tO' -p16721 -aS'of\tof\tIN\tB-PP\tO' -p16722 -aS'his\this\tPRP$\tB-NP\tO' -p16723 -aS'wife\twife\tNN\tI-NP\tO' -p16724 -aS''s\t'\tNNS\tI-NP\tO' -p16725 -aS'face\tface\tVBP\tB-VP\tO' -p16726 -aS'looked\tlook\tVBN\tI-VP\tO' -p16727 -aS'blurred\tblur\tVBN\tI-VP\tO' -p16728 -aS'.\t.\t.\tO\tO' -p16729 -asS'7. Dilaudid prn .' -p16730 -(lp16731 -S'7.\t7.\tLS\tB-LST\tO' -p16732 -aS'Dilaudid\tDilaudid\tVBD\tB-VP\tO' -p16733 -aS'prn\tprn\tNN\tB-NP\tO' -p16734 -aS'.\t.\t.\tO\tO' -p16735 -asS'Endoscopy never revealed specific sources of bleeding , although he appeared to have a diffuse duodenitis .' -p16736 -(lp16737 -S'Endoscopy\tEndoscopy\tNNP\tB-NP\tO' -p16738 -aS'never\tnever\tRB\tB-VP\tO' -p16739 -aS'revealed\treveal\tVBN\tI-VP\tO' -p16740 -aS'specific\tspecific\tJJ\tB-NP\tO' -p16741 -aS'sources\tsource\tNNS\tI-NP\tO' -p16742 -aS'of\tof\tIN\tB-PP\tO' -p16743 -aS'bleeding\tbleeding\tNN\tB-NP\tO' -p16744 -aS',\t,\t,\tO\tO' -p16745 -aS'although\talthough\tIN\tB-SBAR\tO' -p16746 -aS'he\the\tPRP\tB-NP\tO' -p16747 -aS'appeared\tappear\tVBD\tB-VP\tO' -p16748 -aS'to\tto\tTO\tI-VP\tO' -p16749 -aS'have\thave\tVB\tI-VP\tO' -p16750 -aS'a\ta\tDT\tB-NP\tO' -p16751 -aS'diffuse\tdiffuse\tJJ\tI-NP\tO' -p16752 -aS'duodenitis\tduodenitis\tNN\tI-NP\tO' -p16753 -aS'.\t.\t.\tO\tO' -p16754 -asS'He by emergency room report , was found in his apartment lobby agitated .' -p16755 -(lp16756 -S'He\tHe\tPRP\tB-NP\tO' -p16757 -aS'by\tby\tIN\tB-PP\tO' -p16758 -aS'emergency\temergency\tNN\tB-NP\tO' -p16759 -aS'room\troom\tNN\tI-NP\tO' -p16760 -aS'report\treport\tNN\tI-NP\tO' -p16761 -aS',\t,\t,\tO\tO' -p16762 -aS'was\tbe\tVBD\tB-VP\tO' -p16763 -aS'found\tfind\tVBN\tI-VP\tO' -p16764 -aS'in\tin\tIN\tB-PP\tO' -p16765 -aS'his\this\tPRP$\tB-NP\tO' -p16766 -aS'apartment\tapartment\tNN\tI-NP\tO' -p16767 -aS'lobby\tlobby\tNN\tI-NP\tO' -p16768 -aS'agitated\tagitate\tVBN\tB-VP\tO' -p16769 -aS'.\t.\t.\tO\tO' -p16770 -asS'The patient is a 49 year-old man with hepatitis C cirrhosis complicated by encephalopathy , positive esophageal varices , now with worsening confusion and lethargy .' -p16771 -(lp16772 -S'The\tThe\tDT\tB-NP\tO' -p16773 -aS'patient\tpatient\tNN\tI-NP\tO' -p16774 -aS'is\tbe\tVBZ\tB-VP\tO' -p16775 -aS'a\ta\tDT\tB-NP\tO' -p16776 -aS'49\t49\tCD\tI-NP\tO' -p16777 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p16778 -aS'man\tman\tNN\tI-NP\tO' -p16779 -aS'with\twith\tIN\tB-PP\tO' -p16780 -aS'hepatitis\thepatitis\tNN\tB-NP\tO' -p16781 -aS'C\tC\tNN\tI-NP\tO' -p16782 -aS'cirrhosis\tcirrhosis\tNN\tI-NP\tO' -p16783 -aS'complicated\tcomplicate\tVBN\tB-VP\tO' -p16784 -aS'by\tby\tIN\tB-PP\tO' -p16785 -aS'encephalopathy\tencephalopathy\tNN\tB-NP\tO' -p16786 -aS',\t,\t,\tO\tO' -p16787 -aS'positive\tpositive\tJJ\tB-NP\tO' -p16788 -aS'esophageal\tesophageal\tJJ\tI-NP\tO' -p16789 -aS'varices\tvarix\tNNS\tI-NP\tO' -p16790 -aS',\t,\t,\tO\tO' -p16791 -aS'now\tnow\tRB\tB-ADVP\tO' -p16792 -aS'with\twith\tIN\tB-PP\tO' -p16793 -aS'worsening\tworsen\tVBG\tB-VP\tO' -p16794 -aS'confusion\tconfusion\tNN\tB-NP\tO' -p16795 -aS'and\tand\tCC\tI-NP\tO' -p16796 -aS'lethargy\tlethargy\tNN\tI-NP\tO' -p16797 -aS'.\t.\t.\tO\tO' -p16798 -asS'The patient has been instructed to follow-up with Dr. Red in one week and in the Urology Clinic in three weeks .' -p16799 -(lp16800 -S'The\tThe\tDT\tB-NP\tO' -p16801 -aS'patient\tpatient\tNN\tI-NP\tO' -p16802 -aS'has\thave\tVBZ\tB-VP\tO' -p16803 -aS'been\tbe\tVBN\tI-VP\tO' -p16804 -aS'instructed\tinstruct\tVBN\tI-VP\tO' -p16805 -aS'to\tto\tTO\tI-VP\tO' -p16806 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p16807 -aS'with\twith\tIN\tB-PP\tO' -p16808 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p16809 -aS'Red\tRed\tNNP\tI-NP\tO' -p16810 -aS'in\tin\tIN\tB-PP\tO' -p16811 -aS'one\tone\tCD\tB-NP\tO' -p16812 -aS'week\tweek\tNN\tI-NP\tO' -p16813 -aS'and\tand\tCC\tO\tO' -p16814 -aS'in\tin\tIN\tB-PP\tO' -p16815 -aS'the\tthe\tDT\tB-NP\tO' -p16816 -aS'Urology\tUrology\tNNP\tI-NP\tO' -p16817 -aS'Clinic\tClinic\tNNP\tI-NP\tO' -p16818 -aS'in\tin\tIN\tB-PP\tO' -p16819 -aS'three\tthree\tCD\tB-NP\tO' -p16820 -aS'weeks\tweek\tNNS\tI-NP\tO' -p16821 -aS'.\t.\t.\tO\tO' -p16822 -asS'On discharge , the patient was maintained on standing diuretics as well as PRN nebs and INH COPD meds .' -p16823 -(lp16824 -S'On\tOn\tIN\tB-PP\tO' -p16825 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p16826 -aS',\t,\t,\tO\tO' -p16827 -aS'the\tthe\tDT\tB-NP\tO' -p16828 -aS'patient\tpatient\tNN\tI-NP\tO' -p16829 -aS'was\tbe\tVBD\tB-VP\tO' -p16830 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p16831 -aS'on\ton\tIN\tB-PP\tO' -p16832 -aS'standing\tstand\tVBG\tB-VP\tO' -p16833 -aS'diuretics\tdiuretic\tNNS\tB-NP\tO' -p16834 -aS'as\tas\tRB\tB-CONJP\tO' -p16835 -aS'well\twell\tRB\tI-CONJP\tO' -p16836 -aS'as\tas\tIN\tI-CONJP\tO' -p16837 -aS'PRN\tPRN\tNN\tB-NP\tB-protein' -p16838 -aS'nebs\tneb\tNNS\tI-NP\tI-protein' -p16839 -aS'and\tand\tCC\tO\tO' -p16840 -aS'INH\tINH\tNN\tB-NP\tO' -p16841 -aS'COPD\tCOPD\tNN\tI-NP\tO' -p16842 -aS'meds\tmed\tNNS\tI-NP\tO' -p16843 -aS'.\t.\t.\tO\tO' -p16844 -asS'She will follow up with her primary oncologists , Dr A and Dr Dark , at IVMC , after her discharge .' -p16845 -(lp16846 -S'She\tShe\tPRP\tB-NP\tO' -p16847 -aS'will\twill\tMD\tB-VP\tO' -p16848 -aS'follow\tfollow\tVB\tI-VP\tO' -p16849 -aS'up\tup\tRP\tB-PRT\tO' -p16850 -aS'with\twith\tIN\tB-PP\tO' -p16851 -aS'her\ther\tPRP$\tB-NP\tO' -p16852 -aS'primary\tprimary\tJJ\tI-NP\tO' -p16853 -aS'oncologists\toncologist\tNNS\tI-NP\tO' -p16854 -aS',\t,\t,\tO\tO' -p16855 -aS'Dr\tDr\tNNP\tB-NP\tO' -p16856 -aS'A\tA\tNNP\tI-NP\tO' -p16857 -aS'and\tand\tCC\tO\tO' -p16858 -aS'Dr\tDr\tNNP\tB-NP\tO' -p16859 -aS'Dark\tDark\tNNP\tI-NP\tO' -p16860 -aS',\t,\t,\tO\tO' -p16861 -aS'at\tat\tIN\tB-PP\tO' -p16862 -aS'IVMC\tIVMC\tNN\tB-NP\tB-protein' -p16863 -aS',\t,\t,\tO\tO' -p16864 -aS'after\tafter\tIN\tB-PP\tO' -p16865 -aS'her\ther\tPRP$\tB-NP\tO' -p16866 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p16867 -aS'.\t.\t.\tO\tO' -p16868 -asS'Review of systems was significant for menopausal symptoms ( for which she has attempted hormone replacement therapy , discontinued in 2014 ).' -p16869 -(lp16870 -S'Review\tReview\tNN\tB-NP\tO' -p16871 -aS'of\tof\tIN\tB-PP\tO' -p16872 -aS'systems\tsystem\tNNS\tB-NP\tO' -p16873 -aS'was\tbe\tVBD\tB-VP\tO' -p16874 -aS'significant\tsignificant\tJJ\tB-ADJP\tO' -p16875 -aS'for\tfor\tIN\tB-PP\tO' -p16876 -aS'menopausal\tmenopausal\tJJ\tB-NP\tO' -p16877 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p16878 -aS'(\t(\t(\tO\tO' -p16879 -aS'for\tfor\tIN\tB-PP\tO' -p16880 -aS'which\twhich\tWDT\tB-NP\tO' -p16881 -aS'she\tshe\tPRP\tB-NP\tO' -p16882 -aS'has\thave\tVBZ\tB-VP\tO' -p16883 -aS'attempted\tattempt\tVBN\tI-VP\tO' -p16884 -aS'hormone\thormone\tNN\tB-NP\tO' -p16885 -aS'replacement\treplacement\tNN\tI-NP\tO' -p16886 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p16887 -aS',\t,\t,\tO\tO' -p16888 -aS'discontinued\tdiscontinue\tVBN\tB-VP\tO' -p16889 -aS'in\tin\tIN\tB-PP\tO' -p16890 -aS'2014\t2014\tCD\tB-NP\tO' -p16891 -aS').\t).\t.\tO\tO' -p16892 -asS'The patient was transferred to Medical Intensive Care Unit for further management for acute GI bleed .' -p16893 -(lp16894 -S'The\tThe\tDT\tB-NP\tO' -p16895 -aS'patient\tpatient\tNN\tI-NP\tO' -p16896 -aS'was\tbe\tVBD\tB-VP\tO' -p16897 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p16898 -aS'to\tto\tTO\tB-PP\tO' -p16899 -aS'Medical\tMedical\tNNP\tB-NP\tO' -p16900 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p16901 -aS'Care\tCare\tNNP\tI-NP\tO' -p16902 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p16903 -aS'for\tfor\tIN\tB-PP\tO' -p16904 -aS'further\tfurther\tJJ\tB-NP\tO' -p16905 -aS'management\tmanagement\tNN\tI-NP\tO' -p16906 -aS'for\tfor\tIN\tB-PP\tO' -p16907 -aS'acute\tacute\tJJ\tB-NP\tO' -p16908 -aS'GI\tGI\tNN\tI-NP\tO' -p16909 -aS'bleed\tbleed\tNN\tI-NP\tO' -p16910 -aS'.\t.\t.\tO\tO' -p16911 -asS'The patient actually was improved .' -p16912 -(lp16913 -S'The\tThe\tDT\tB-NP\tO' -p16914 -aS'patient\tpatient\tNN\tI-NP\tO' -p16915 -aS'actually\tactually\tRB\tB-ADVP\tO' -p16916 -aS'was\tbe\tVBD\tB-VP\tO' -p16917 -aS'improved\timprove\tVBN\tI-VP\tO' -p16918 -aS'.\t.\t.\tO\tO' -p16919 -asS'He had decompensation of his cirrhosis in 2011 with ascites and SBP .' -p16920 -(lp16921 -S'He\tHe\tPRP\tB-NP\tO' -p16922 -aS'had\thave\tVBD\tB-VP\tO' -p16923 -aS'decompensation\tdecompensation\tNN\tB-NP\tO' -p16924 -aS'of\tof\tIN\tB-PP\tO' -p16925 -aS'his\this\tPRP$\tB-NP\tO' -p16926 -aS'cirrhosis\tcirrhosis\tNN\tI-NP\tO' -p16927 -aS'in\tin\tIN\tB-PP\tO' -p16928 -aS'2011\t2011\tCD\tB-NP\tO' -p16929 -aS'with\twith\tIN\tB-PP\tO' -p16930 -aS'ascites\tascite\tNNS\tB-NP\tO' -p16931 -aS'and\tand\tCC\tI-NP\tO' -p16932 -aS'SBP\tSBP\tNN\tI-NP\tB-protein' -p16933 -aS'.\t.\t.\tO\tO' -p16934 -asS'Palate was midline .' -p16935 -(lp16936 -S'Palate\tPalate\tNN\tB-NP\tO' -p16937 -aS'was\tbe\tVBD\tB-VP\tO' -p16938 -aS'midline\tmidline\tNN\tB-NP\tO' -p16939 -aS'.\t.\t.\tO\tO' -p16940 -asS'Native hepatectomy .' -p16941 -(lp16942 -S'Native\tNative\tJJ\tB-NP\tO' -p16943 -aS'hepatectomy\thepatectomy\tNN\tI-NP\tO' -p16944 -aS'.\t.\t.\tO\tO' -p16945 -asS'The patient was placed on a Morphine drip and extubated and passed away at 10:55 a.m. on 2011-09-27 .' -p16946 -(lp16947 -S'The\tThe\tDT\tB-NP\tO' -p16948 -aS'patient\tpatient\tNN\tI-NP\tO' -p16949 -aS'was\tbe\tVBD\tB-VP\tO' -p16950 -aS'placed\tplace\tVBN\tI-VP\tO' -p16951 -aS'on\ton\tIN\tB-PP\tO' -p16952 -aS'a\ta\tDT\tB-NP\tO' -p16953 -aS'Morphine\tMorphine\tNN\tI-NP\tO' -p16954 -aS'drip\tdrip\tNN\tI-NP\tO' -p16955 -aS'and\tand\tCC\tO\tO' -p16956 -aS'extubated\textubate\tVBN\tB-VP\tO' -p16957 -aS'and\tand\tCC\tI-VP\tO' -p16958 -aS'passed\tpass\tVBN\tI-VP\tO' -p16959 -aS'away\taway\tRB\tB-ADVP\tO' -p16960 -aS'at\tat\tIN\tB-PP\tO' -p16961 -aS'10:55\t10:55\tCD\tB-NP\tO' -p16962 -aS'a.m.\ta.m.\tNN\tI-NP\tO' -p16963 -aS'on\ton\tIN\tB-PP\tO' -p16964 -aS'2011-09-27\t2011-09-27\tCD\tB-NP\tO' -p16965 -aS'.\t.\t.\tO\tO' -p16966 -asS'The patient was to follow-up with the Petersly Hospital And Medical Center as an outpatient for further treatment .' -p16967 -(lp16968 -S'The\tThe\tDT\tB-NP\tO' -p16969 -aS'patient\tpatient\tNN\tI-NP\tO' -p16970 -aS'was\tbe\tVBD\tB-VP\tO' -p16971 -aS'to\tto\tTO\tB-VP\tO' -p16972 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p16973 -aS'with\twith\tIN\tB-PP\tO' -p16974 -aS'the\tthe\tDT\tB-NP\tO' -p16975 -aS'Petersly\tPetersly\tNNP\tI-NP\tO' -p16976 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p16977 -aS'And\tAnd\tNNP\tI-NP\tO' -p16978 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p16979 -aS'Center\tCenter\tNNP\tI-NP\tO' -p16980 -aS'as\tas\tIN\tB-PP\tO' -p16981 -aS'an\tan\tDT\tB-NP\tO' -p16982 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p16983 -aS'for\tfor\tIN\tB-PP\tO' -p16984 -aS'further\tfurther\tJJ\tB-NP\tO' -p16985 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p16986 -aS'.\t.\t.\tO\tO' -p16987 -asS'6. Clopidogrel 75 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' -p16988 -(lp16989 -S'6.\t6.\tCD\tB-NP\tO' -p16990 -aS'Clopidogrel\tClopidogrel\tNN\tI-NP\tO' -p16991 -aS'75\t75\tCD\tB-NP\tO' -p16992 -aS'mg\tmg\tNN\tI-NP\tO' -p16993 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p16994 -aS'Sig\tSig\tNNP\tI-NP\tO' -p16995 -aS':\t:\t:\tO\tO' -p16996 -aS'One\tOne\tCD\tB-NP\tO' -p16997 -aS'(\t(\t(\tO\tO' -p16998 -aS'1\t1\tCD\tB-NP\tO' -p16999 -aS')\t)\t)\tO\tO' -p17000 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p17001 -aS'PO\tPO\tNN\tI-NP\tO' -p17002 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p17003 -aS'(\t(\t(\tO\tO' -p17004 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p17005 -aS')\t)\t)\tO\tO' -p17006 -aS'.\t.\t.\tO\tO' -p17007 -asS'Dictated By : Doris Q. Marszalek , M.D.' -p17008 -(lp17009 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p17010 -aS'By\tBy\tIN\tB-PP\tO' -p17011 -aS':\t:\t:\tO\tO' -p17012 -aS'Doris\tDoris\tNNP\tB-NP\tO' -p17013 -aS'Q.\tQ.\tNNP\tI-NP\tO' -p17014 -aS'Marszalek\tMarszalek\tNNP\tI-NP\tO' -p17015 -aS',\t,\t,\tO\tO' -p17016 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p17017 -asS'You will have your blood drawn tomorrow ( 2019-02-10 ) by VNA .' -p17018 -(lp17019 -S'You\tYou\tPRP\tB-NP\tB-protein' -p17020 -aS'will\twill\tMD\tB-VP\tO' -p17021 -aS'have\thave\tVB\tI-VP\tO' -p17022 -aS'your\tyour\tPRP$\tB-NP\tO' -p17023 -aS'blood\tblood\tNN\tI-NP\tO' -p17024 -aS'drawn\tdrawn\tNN\tI-NP\tO' -p17025 -aS'tomorrow\ttomorrow\tNN\tB-NP\tO' -p17026 -aS'(\t(\t(\tO\tO' -p17027 -aS'2019-02-10\t2019-02-10\tCD\tB-NP\tO' -p17028 -aS')\t)\t)\tO\tO' -p17029 -aS'by\tby\tIN\tB-PP\tO' -p17030 -aS'VNA\tVNA\tNN\tB-NP\tB-protein' -p17031 -aS'.\t.\t.\tO\tO' -p17032 -asS'Felt likely 03-07 the sulfa moiety of the furosemide .' -p17033 -(lp17034 -S'Felt\tFelt\tNNP\tB-NP\tO' -p17035 -aS'likely\tlikely\tRB\tB-NP\tO' -p17036 -aS'03-07\t03-07\tCD\tI-NP\tO' -p17037 -aS'the\tthe\tDT\tB-NP\tO' -p17038 -aS'sulfa\tsulfa\tNN\tI-NP\tO' -p17039 -aS'moiety\tmoiety\tNN\tI-NP\tO' -p17040 -aS'of\tof\tIN\tB-PP\tO' -p17041 -aS'the\tthe\tDT\tB-NP\tO' -p17042 -aS'furosemide\tfurosemide\tNN\tI-NP\tO' -p17043 -aS'.\t.\t.\tO\tO' -p17044 -asS'5. Valganciclovir 450 mg Tablet Sig : Two ( 2 ) Tablet PO DAILY ( Daily ) .' -p17045 -(lp17046 -S'5.\t5.\tLS\tB-LST\tO' -p17047 -aS'Valganciclovir\tValganciclovir\tNNP\tB-NP\tO' -p17048 -aS'450\t450\tCD\tI-NP\tO' -p17049 -aS'mg\tmg\tNN\tI-NP\tO' -p17050 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p17051 -aS'Sig\tSig\tNNP\tI-NP\tO' -p17052 -aS':\t:\t:\tO\tO' -p17053 -aS'Two\tTwo\tCD\tB-NP\tO' -p17054 -aS'(\t(\t(\tO\tO' -p17055 -aS'2\t2\tCD\tO\tO' -p17056 -aS')\t)\t)\tO\tO' -p17057 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p17058 -aS'PO\tPO\tNN\tI-NP\tO' -p17059 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p17060 -aS'(\t(\t(\tO\tO' -p17061 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p17062 -aS')\t)\t)\tO\tO' -p17063 -aS'.\t.\t.\tO\tO' -p17064 -asS'History of DVT .' -p17065 -(lp17066 -S'History\tHistory\tNN\tB-NP\tO' -p17067 -aS'of\tof\tIN\tB-PP\tO' -p17068 -aS'DVT\tDVT\tNN\tB-NP\tB-protein' -p17069 -aS'.\t.\t.\tO\tO' -p17070 -asS'As mentioned above , the patient did develop MRSA pneumonia that was started to be treated with vancomycin and she did also develop an oxygen requirement the day prior to discharge .' -p17071 -(lp17072 -S'As\tAs\tIN\tB-SBAR\tO' -p17073 -aS'mentioned\tmention\tVBN\tB-VP\tO' -p17074 -aS'above\tabove\tRB\tB-ADVP\tO' -p17075 -aS',\t,\t,\tO\tO' -p17076 -aS'the\tthe\tDT\tB-NP\tO' -p17077 -aS'patient\tpatient\tNN\tI-NP\tO' -p17078 -aS'did\tdo\tVBD\tB-VP\tO' -p17079 -aS'develop\tdevelop\tVB\tI-VP\tO' -p17080 -aS'MRSA\tMRSA\tNN\tB-NP\tO' -p17081 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p17082 -aS'that\tthat\tWDT\tB-NP\tO' -p17083 -aS'was\tbe\tVBD\tB-VP\tO' -p17084 -aS'started\tstart\tVBN\tI-VP\tO' -p17085 -aS'to\tto\tTO\tI-VP\tO' -p17086 -aS'be\tbe\tVB\tI-VP\tO' -p17087 -aS'treated\ttreat\tVBN\tI-VP\tO' -p17088 -aS'with\twith\tIN\tB-PP\tO' -p17089 -aS'vancomycin\tvancomycin\tNN\tB-NP\tO' -p17090 -aS'and\tand\tCC\tO\tO' -p17091 -aS'she\tshe\tPRP\tB-NP\tO' -p17092 -aS'did\tdo\tVBD\tB-VP\tO' -p17093 -aS'also\talso\tRB\tI-VP\tO' -p17094 -aS'develop\tdevelop\tVB\tI-VP\tO' -p17095 -aS'an\tan\tDT\tB-NP\tO' -p17096 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p17097 -aS'requirement\trequirement\tNN\tI-NP\tO' -p17098 -aS'the\tthe\tDT\tB-NP\tO' -p17099 -aS'day\tday\tNN\tI-NP\tO' -p17100 -aS'prior\tprior\tRB\tB-ADVP\tO' -p17101 -aS'to\tto\tTO\tB-VP\tO' -p17102 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p17103 -aS'.\t.\t.\tO\tO' -p17104 -asS'His INR decreased to 1.3 at the time of discharge .' -p17105 -(lp17106 -S'His\tHis\tPRP$\tB-NP\tO' -p17107 -aS'INR\tINR\tNN\tI-NP\tB-protein' -p17108 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p17109 -aS'to\tto\tTO\tB-PP\tO' -p17110 -aS'1.3\t1.3\tCD\tB-NP\tO' -p17111 -aS'at\tat\tIN\tB-PP\tO' -p17112 -aS'the\tthe\tDT\tB-NP\tO' -p17113 -aS'time\ttime\tNN\tI-NP\tO' -p17114 -aS'of\tof\tIN\tB-PP\tO' -p17115 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p17116 -aS'.\t.\t.\tO\tO' -p17117 -asS'The patient was extubated by postoperative day # 1 but was noted to be relatively hypoxemic with high oxygen requirement .' -p17118 -(lp17119 -S'The\tThe\tDT\tB-NP\tO' -p17120 -aS'patient\tpatient\tNN\tI-NP\tO' -p17121 -aS'was\tbe\tVBD\tB-VP\tO' -p17122 -aS'extubated\textubate\tVBN\tI-VP\tO' -p17123 -aS'by\tby\tIN\tB-PP\tO' -p17124 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p17125 -aS'day\tday\tNN\tI-NP\tO' -p17126 -aS'#\t#\t#\tB-NP\tO' -p17127 -aS'1\t1\tCD\tI-NP\tO' -p17128 -aS'but\tbut\tCC\tO\tO' -p17129 -aS'was\tbe\tVBD\tB-VP\tO' -p17130 -aS'noted\tnote\tVBN\tI-VP\tO' -p17131 -aS'to\tto\tTO\tI-VP\tO' -p17132 -aS'be\tbe\tVB\tI-VP\tO' -p17133 -aS'relatively\trelatively\tRB\tB-ADJP\tO' -p17134 -aS'hypoxemic\thypoxemic\tJJ\tI-ADJP\tO' -p17135 -aS'with\twith\tIN\tB-PP\tO' -p17136 -aS'high\thigh\tJJ\tB-NP\tO' -p17137 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p17138 -aS'requirement\trequirement\tNN\tI-NP\tO' -p17139 -aS'.\t.\t.\tO\tO' -p17140 -asS'3) ENDOMETRIOSIS .' -p17141 -(lp17142 -S'3)\t3)\tLS\tB-NP\tO' -p17143 -aS'ENDOMETRIOSIS\tENDOMETRIOSIS\tNN\tI-NP\tO' -p17144 -aS'.\t.\t.\tO\tO' -p17145 -asS'5. Combivent 3 puffs four times per day .' -p17146 -(lp17147 -S'5.\t5.\tLS\tB-LST\tO' -p17148 -aS'Combivent\tCombivent\tNNP\tB-NP\tO' -p17149 -aS'3\t3\tCD\tI-NP\tO' -p17150 -aS'puffs\tpuff\tVBZ\tB-VP\tO' -p17151 -aS'four\tfour\tCD\tB-NP\tO' -p17152 -aS'times\ttime\tNNS\tI-NP\tO' -p17153 -aS'per\tper\tIN\tB-PP\tO' -p17154 -aS'day\tday\tNN\tB-NP\tO' -p17155 -aS'.\t.\t.\tO\tO' -p17156 -asS'The patient had a good bump in his hematocrit , more than expected from 22 to high 20 's range next day after 3 1/2 units , but later that evening had a drop in his hematocrit so was given 4 more 1/2 units at this point for a total of 4 units packed red blood cells .' -p17157 -(lp17158 -S'The\tThe\tDT\tB-NP\tO' -p17159 -aS'patient\tpatient\tNN\tI-NP\tO' -p17160 -aS'had\thave\tVBD\tB-VP\tO' -p17161 -aS'a\ta\tDT\tB-NP\tO' -p17162 -aS'good\tgood\tJJ\tI-NP\tO' -p17163 -aS'bump\tbump\tNN\tI-NP\tO' -p17164 -aS'in\tin\tIN\tB-PP\tO' -p17165 -aS'his\this\tPRP$\tB-NP\tO' -p17166 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p17167 -aS',\t,\t,\tO\tO' -p17168 -aS'more\tmore\tRBR\tB-VP\tO' -p17169 -aS'than\tthan\tIN\tI-VP\tO' -p17170 -aS'expected\texpect\tVBN\tI-VP\tO' -p17171 -aS'from\tfrom\tIN\tB-PP\tO' -p17172 -aS'22\t22\tCD\tB-NP\tO' -p17173 -aS'to\tto\tTO\tB-PP\tO' -p17174 -aS'high\thigh\tJJ\tB-NP\tO' -p17175 -aS'20\t20\tCD\tI-NP\tO' -p17176 -aS''s\t'\tNNS\tI-NP\tO' -p17177 -aS'range\trange\tVBP\tB-VP\tO' -p17178 -aS'next\tnext\tJJ\tB-NP\tO' -p17179 -aS'day\tday\tNN\tI-NP\tO' -p17180 -aS'after\tafter\tIN\tB-PP\tO' -p17181 -aS'3\t3\tCD\tB-NP\tO' -p17182 -aS'1/2\t1/2\tCD\tI-NP\tO' -p17183 -aS'units\tunit\tNNS\tI-NP\tO' -p17184 -aS',\t,\t,\tO\tO' -p17185 -aS'but\tbut\tCC\tO\tO' -p17186 -aS'later\tlater\tRB\tB-ADVP\tO' -p17187 -aS'that\tthat\tDT\tB-NP\tO' -p17188 -aS'evening\tevening\tNN\tI-NP\tO' -p17189 -aS'had\thave\tVBD\tB-VP\tO' -p17190 -aS'a\ta\tDT\tB-NP\tO' -p17191 -aS'drop\tdrop\tNN\tI-NP\tO' -p17192 -aS'in\tin\tIN\tB-PP\tO' -p17193 -aS'his\this\tPRP$\tB-NP\tO' -p17194 -aS'hematocrit\thematocrit\tNN\tI-NP\tB-protein' -p17195 -aS'so\tso\tRB\tB-ADVP\tI-protein' -p17196 -aS'was\tbe\tVBD\tB-VP\tI-protein' -p17197 -aS'given\tgive\tVBN\tI-VP\tI-protein' -p17198 -aS'4\t4\tCD\tB-NP\tI-protein' -p17199 -aS'more\tmore\tJJR\tI-NP\tO' -p17200 -aS'1/2\t1/2\tCD\tI-NP\tO' -p17201 -aS'units\tunit\tNNS\tI-NP\tO' -p17202 -aS'at\tat\tIN\tB-PP\tO' -p17203 -aS'this\tthis\tDT\tB-NP\tO' -p17204 -aS'point\tpoint\tNN\tI-NP\tO' -p17205 -aS'for\tfor\tIN\tB-PP\tO' -p17206 -aS'a\ta\tDT\tB-NP\tO' -p17207 -aS'total\ttotal\tNN\tI-NP\tO' -p17208 -aS'of\tof\tIN\tB-PP\tO' -p17209 -aS'4\t4\tCD\tB-NP\tO' -p17210 -aS'units\tunit\tNNS\tI-NP\tO' -p17211 -aS'packed\tpack\tVBD\tB-VP\tO' -p17212 -aS'red\tred\tJJ\tB-NP\tB-cell_type' -p17213 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p17214 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p17215 -aS'.\t.\t.\tO\tO' -p17216 -asS'7. Papain - Urea 830,000-10 unit -% Spray , Non-Aerosol Sig : One ( 1 ) Appl Topical DAILY ( Daily ) .' -p17217 -(lp17218 -S'7.\t7.\tCD\tB-NP\tO' -p17219 -aS'Papain\tPapain\tNNP\tI-NP\tO' -p17220 -aS'-\t-\tHYPH\tI-NP\tO' -p17221 -aS'Urea\tUrea\tNNP\tI-NP\tO' -p17222 -aS'830,000-10\t830,000-10\tCD\tI-NP\tO' -p17223 -aS'unit\tunit\tNN\tI-NP\tO' -p17224 -aS'-%\t-%\tJJ\tI-NP\tO' -p17225 -aS'Spray\tSpray\tNNP\tI-NP\tO' -p17226 -aS',\t,\t,\tO\tO' -p17227 -aS'Non-Aerosol\tNon-Aerosol\tNNP\tB-NP\tO' -p17228 -aS'Sig\tSig\tNNP\tI-NP\tO' -p17229 -aS':\t:\t:\tO\tO' -p17230 -aS'One\tOne\tCD\tB-NP\tO' -p17231 -aS'(\t(\t(\tO\tO' -p17232 -aS'1\t1\tCD\tB-NP\tO' -p17233 -aS')\t)\t)\tO\tO' -p17234 -aS'Appl\tAppl\tNNP\tB-NP\tO' -p17235 -aS'Topical\tTopical\tJJ\tI-NP\tO' -p17236 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p17237 -aS'(\t(\t(\tO\tO' -p17238 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p17239 -aS')\t)\t)\tO\tO' -p17240 -aS'.\t.\t.\tO\tO' -p17241 -asS'This should be repeated in several days as her mental status continues to clear .' -p17242 -(lp17243 -S'This\tThis\tDT\tB-NP\tO' -p17244 -aS'should\tshould\tMD\tB-VP\tO' -p17245 -aS'be\tbe\tVB\tI-VP\tO' -p17246 -aS'repeated\trepeat\tVBN\tI-VP\tO' -p17247 -aS'in\tin\tIN\tB-PP\tO' -p17248 -aS'several\tseveral\tJJ\tB-NP\tO' -p17249 -aS'days\tday\tNNS\tI-NP\tO' -p17250 -aS'as\tas\tIN\tB-PP\tO' -p17251 -aS'her\ther\tPRP$\tB-NP\tO' -p17252 -aS'mental\tmental\tJJ\tI-NP\tO' -p17253 -aS'status\tstatus\tNN\tI-NP\tO' -p17254 -aS'continues\tcontinue\tVBZ\tB-VP\tO' -p17255 -aS'to\tto\tTO\tI-VP\tO' -p17256 -aS'clear\tclear\tVB\tI-VP\tO' -p17257 -aS'.\t.\t.\tO\tO' -p17258 -asS'Her right superior parathyroid gland was removed and the rest of her parathyroid glands were left in place .' -p17259 -(lp17260 -S'Her\tHer\tPRP$\tB-NP\tO' -p17261 -aS'right\tright\tJJ\tI-NP\tO' -p17262 -aS'superior\tsuperior\tJJ\tI-NP\tO' -p17263 -aS'parathyroid\tparathyroid\tJJ\tI-NP\tO' -p17264 -aS'gland\tgland\tNN\tI-NP\tO' -p17265 -aS'was\tbe\tVBD\tB-VP\tO' -p17266 -aS'removed\tremove\tVBN\tI-VP\tO' -p17267 -aS'and\tand\tCC\tO\tO' -p17268 -aS'the\tthe\tDT\tB-NP\tO' -p17269 -aS'rest\trest\tNN\tI-NP\tO' -p17270 -aS'of\tof\tIN\tB-PP\tO' -p17271 -aS'her\ther\tPRP$\tB-NP\tO' -p17272 -aS'parathyroid\tparathyroid\tJJ\tI-NP\tO' -p17273 -aS'glands\tgland\tNNS\tI-NP\tO' -p17274 -aS'were\tbe\tVBD\tB-VP\tO' -p17275 -aS'left\tleave\tVBN\tI-VP\tO' -p17276 -aS'in\tin\tIN\tB-PP\tO' -p17277 -aS'place\tplace\tNN\tB-NP\tO' -p17278 -aS'.\t.\t.\tO\tO' -p17279 -asS'The patient failed the conservative therapy and is admitted for a spinal cord stimulator trial .' -p17280 -(lp17281 -S'The\tThe\tDT\tB-NP\tO' -p17282 -aS'patient\tpatient\tNN\tI-NP\tO' -p17283 -aS'failed\tfail\tVBD\tB-VP\tO' -p17284 -aS'the\tthe\tDT\tB-NP\tO' -p17285 -aS'conservative\tconservative\tJJ\tI-NP\tO' -p17286 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p17287 -aS'and\tand\tCC\tO\tO' -p17288 -aS'is\tbe\tVBZ\tB-VP\tO' -p17289 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p17290 -aS'for\tfor\tIN\tB-PP\tO' -p17291 -aS'a\ta\tDT\tB-NP\tO' -p17292 -aS'spinal\tspinal\tJJ\tI-NP\tO' -p17293 -aS'cord\tcord\tNN\tI-NP\tO' -p17294 -aS'stimulator\tstimulator\tNN\tI-NP\tO' -p17295 -aS'trial\ttrial\tNN\tI-NP\tO' -p17296 -aS'.\t.\t.\tO\tO' -p17297 -asS'His ECG showed no ischemic changes .' -p17298 -(lp17299 -S'His\tHis\tPRP$\tB-NP\tO' -p17300 -aS'ECG\tECG\tNN\tI-NP\tB-protein' -p17301 -aS'showed\tshow\tVBD\tB-VP\tO' -p17302 -aS'no\tno\tDT\tB-NP\tO' -p17303 -aS'ischemic\tischemic\tJJ\tI-NP\tO' -p17304 -aS'changes\tchange\tNNS\tI-NP\tO' -p17305 -aS'.\t.\t.\tO\tO' -p17306 -asS'She has been afebrile for greater than 10 days , including several days on oral antibiotics .' -p17307 -(lp17308 -S'She\tShe\tPRP\tB-NP\tO' -p17309 -aS'has\thave\tVBZ\tB-VP\tO' -p17310 -aS'been\tbe\tVBN\tI-VP\tO' -p17311 -aS'afebrile\tafebrile\tRB\tB-ADVP\tO' -p17312 -aS'for\tfor\tIN\tB-PP\tO' -p17313 -aS'greater\tgreat\tJJR\tB-NP\tO' -p17314 -aS'than\tthan\tIN\tI-NP\tO' -p17315 -aS'10\t10\tCD\tI-NP\tO' -p17316 -aS'days\tday\tNNS\tI-NP\tO' -p17317 -aS',\t,\t,\tO\tO' -p17318 -aS'including\tinclude\tVBG\tB-PP\tO' -p17319 -aS'several\tseveral\tJJ\tB-NP\tO' -p17320 -aS'days\tday\tNNS\tI-NP\tO' -p17321 -aS'on\ton\tIN\tB-PP\tO' -p17322 -aS'oral\toral\tJJ\tB-NP\tO' -p17323 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p17324 -aS'.\t.\t.\tO\tO' -p17325 -asS'2. Aortic stenosis .' -p17326 -(lp17327 -S'2.\t2.\tLS\tB-NP\tO' -p17328 -aS'Aortic\tAortic\tJJ\tI-NP\tO' -p17329 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p17330 -aS'.\t.\t.\tO\tO' -p17331 -asS'2. Protonix 40 mg po bid .' -p17332 -(lp17333 -S'2.\t2.\tLS\tB-NP\tO' -p17334 -aS'Protonix\tProtonix\tNNP\tI-NP\tO' -p17335 -aS'40\t40\tCD\tI-NP\tO' -p17336 -aS'mg\tmg\tNN\tI-NP\tO' -p17337 -aS'po\tpo\tNN\tI-NP\tO' -p17338 -aS'bid\tbid\tNN\tI-NP\tO' -p17339 -aS'.\t.\t.\tO\tO' -p17340 -asS'Following this episode the patient felt like she was " too stressed " for pacemaker placement .' -p17341 -(lp17342 -S'Following\tFollow\tVBG\tB-PP\tO' -p17343 -aS'this\tthis\tDT\tB-NP\tO' -p17344 -aS'episode\tepisode\tNN\tI-NP\tO' -p17345 -aS'the\tthe\tDT\tB-NP\tO' -p17346 -aS'patient\tpatient\tNN\tI-NP\tO' -p17347 -aS'felt\tfeel\tVBD\tB-VP\tO' -p17348 -aS'like\tlike\tIN\tB-SBAR\tO' -p17349 -aS'she\tshe\tPRP\tB-NP\tO' -p17350 -aS'was\tbe\tVBD\tB-VP\tO' -p17351 -aS'"\t"\t\'\'\tO\tO' -p17352 -aS'too\ttoo\tRB\tB-ADJP\tO' -p17353 -aS'stressed\tstressed\tJJ\tI-ADJP\tO' -p17354 -aS'"\t"\t\'\'\tO\tO' -p17355 -aS'for\tfor\tIN\tB-PP\tO' -p17356 -aS'pacemaker\tpacemaker\tNN\tB-NP\tO' -p17357 -aS'placement\tplacement\tNN\tI-NP\tO' -p17358 -aS'.\t.\t.\tO\tO' -p17359 -asS'Her bicarb began to drop and she developed an anion gap acidosis .' -p17360 -(lp17361 -S'Her\tHer\tPRP$\tB-NP\tO' -p17362 -aS'bicarb\tbicarb\tNN\tI-NP\tO' -p17363 -aS'began\tbegin\tVBD\tB-VP\tO' -p17364 -aS'to\tto\tTO\tI-VP\tO' -p17365 -aS'drop\tdrop\tVB\tI-VP\tO' -p17366 -aS'and\tand\tCC\tO\tO' -p17367 -aS'she\tshe\tPRP\tB-NP\tO' -p17368 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p17369 -aS'an\tan\tDT\tB-NP\tO' -p17370 -aS'anion\tanion\tNN\tI-NP\tO' -p17371 -aS'gap\tgap\tNN\tI-NP\tO' -p17372 -aS'acidosis\tacidosis\tNN\tI-NP\tO' -p17373 -aS'.\t.\t.\tO\tO' -p17374 -asS'5. Lopressor 100 mg po three times a day .' -p17375 -(lp17376 -S'5.\t5.\tLS\tB-NP\tO' -p17377 -aS'Lopressor\tLopressor\tNN\tI-NP\tO' -p17378 -aS'100\t100\tCD\tI-NP\tO' -p17379 -aS'mg\tmg\tNN\tI-NP\tO' -p17380 -aS'po\tpo\tIN\tB-PP\tO' -p17381 -aS'three\tthree\tCD\tB-NP\tO' -p17382 -aS'times\ttime\tNNS\tI-NP\tO' -p17383 -aS'a\ta\tDT\tB-NP\tO' -p17384 -aS'day\tday\tNN\tI-NP\tO' -p17385 -aS'.\t.\t.\tO\tO' -p17386 -asS'Sulfa ( Sulfonamides ) / Penicillins' -p17387 -(lp17388 -S'Sulfa\tSulfa\tNN\tB-NP\tO' -p17389 -aS'(\t(\t(\tO\tO' -p17390 -aS'Sulfonamides\tSulfonamide\tNNS\tB-NP\tO' -p17391 -aS')\t)\t)\tO\tO' -p17392 -aS'/\t/\tSYM\tB-NP\tO' -p17393 -aS'Penicillins\tPenicillin\tNNS\tI-NP\tB-protein' -p17394 -asS'By the next morning , the degree of drainage had decreased considerably with only 60 cc drained over six hours .' -p17395 -(lp17396 -S'By\tBy\tIN\tB-PP\tO' -p17397 -aS'the\tthe\tDT\tB-NP\tO' -p17398 -aS'next\tnext\tJJ\tI-NP\tO' -p17399 -aS'morning\tmorning\tNN\tI-NP\tO' -p17400 -aS',\t,\t,\tO\tO' -p17401 -aS'the\tthe\tDT\tB-NP\tO' -p17402 -aS'degree\tdegree\tNN\tI-NP\tO' -p17403 -aS'of\tof\tIN\tB-PP\tO' -p17404 -aS'drainage\tdrainage\tNN\tB-NP\tO' -p17405 -aS'had\thave\tVBD\tB-VP\tO' -p17406 -aS'decreased\tdecrease\tVBN\tI-VP\tO' -p17407 -aS'considerably\tconsiderably\tRB\tB-ADVP\tO' -p17408 -aS'with\twith\tIN\tB-PP\tO' -p17409 -aS'only\tonly\tRB\tB-NP\tO' -p17410 -aS'60\t60\tCD\tI-NP\tO' -p17411 -aS'cc\tcc\tNN\tI-NP\tO' -p17412 -aS'drained\tdrain\tVBD\tB-VP\tO' -p17413 -aS'over\tover\tIN\tB-NP\tO' -p17414 -aS'six\tsix\tCD\tI-NP\tO' -p17415 -aS'hours\thour\tNNS\tI-NP\tO' -p17416 -aS'.\t.\t.\tO\tO' -p17417 -asS'Daughter died of MI at age 49 .' -p17418 -(lp17419 -S'Daughter\tDaughter\tNNP\tB-NP\tO' -p17420 -aS'died\tdie\tVBD\tB-VP\tO' -p17421 -aS'of\tof\tIN\tB-PP\tO' -p17422 -aS'MI\tMI\tNN\tB-NP\tO' -p17423 -aS'at\tat\tIN\tB-PP\tO' -p17424 -aS'age\tage\tNN\tB-NP\tO' -p17425 -aS'49\t49\tCD\tI-NP\tO' -p17426 -aS'.\t.\t.\tO\tO' -p17427 -asS'A chest x-ray postoperatively showed clear lung fields .' -p17428 -(lp17429 -S'A\tA\tDT\tB-NP\tO' -p17430 -aS'chest\tch\tJJS\tI-NP\tO' -p17431 -aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' -p17432 -aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' -p17433 -aS'showed\tshow\tVBD\tB-VP\tO' -p17434 -aS'clear\tclear\tJJ\tB-NP\tO' -p17435 -aS'lung\tlung\tNN\tI-NP\tO' -p17436 -aS'fields\tfield\tNNS\tI-NP\tO' -p17437 -aS'.\t.\t.\tO\tO' -p17438 -asS'Follow-up in 1 month with neurosurgery for a repeat head CT was arranged .' -p17439 -(lp17440 -S'Follow-up\tFollow-up\tNN\tB-NP\tO' -p17441 -aS'in\tin\tIN\tB-PP\tO' -p17442 -aS'1\t1\tCD\tB-NP\tO' -p17443 -aS'month\tmonth\tNN\tI-NP\tO' -p17444 -aS'with\twith\tIN\tB-PP\tO' -p17445 -aS'neurosurgery\tneurosurgery\tNN\tB-NP\tO' -p17446 -aS'for\tfor\tIN\tB-PP\tO' -p17447 -aS'a\ta\tDT\tB-NP\tO' -p17448 -aS'repeat\trepeat\tNN\tI-NP\tO' -p17449 -aS'head\thead\tNN\tI-NP\tO' -p17450 -aS'CT\tCT\tNN\tI-NP\tO' -p17451 -aS'was\tbe\tVBD\tB-VP\tO' -p17452 -aS'arranged\tarrange\tVBN\tI-VP\tO' -p17453 -aS'.\t.\t.\tO\tO' -p17454 -asS'Electrocardiogram revealed left atrial hypertrophy , right ventricular hypertrophy , and poor R wave progression which were new .' -p17455 -(lp17456 -S'Electrocardiogram\tElectrocardiogram\tNNP\tB-NP\tO' -p17457 -aS'revealed\treveal\tVBD\tB-VP\tO' -p17458 -aS'left\tleft\tJJ\tB-NP\tO' -p17459 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p17460 -aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' -p17461 -aS',\t,\t,\tO\tO' -p17462 -aS'right\tright\tJJ\tB-NP\tO' -p17463 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p17464 -aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' -p17465 -aS',\t,\t,\tO\tO' -p17466 -aS'and\tand\tCC\tO\tO' -p17467 -aS'poor\tpoor\tJJ\tB-NP\tO' -p17468 -aS'R\tR\tNN\tI-NP\tO' -p17469 -aS'wave\twave\tNN\tI-NP\tO' -p17470 -aS'progression\tprogression\tNN\tI-NP\tO' -p17471 -aS'which\twhich\tWDT\tB-NP\tO' -p17472 -aS'were\tbe\tVBD\tB-VP\tO' -p17473 -aS'new\tnew\tJJ\tB-ADJP\tO' -p17474 -aS'.\t.\t.\tO\tO' -p17475 -asS'There was evidence of possible aspiration pneumonia on CXR , though he was extubated without incident on the AM of transfer to the medicine floor .' -p17476 -(lp17477 -S'There\tThere\tEX\tB-NP\tO' -p17478 -aS'was\tbe\tVBD\tB-VP\tO' -p17479 -aS'evidence\tevidence\tNN\tB-NP\tO' -p17480 -aS'of\tof\tIN\tB-PP\tO' -p17481 -aS'possible\tpossible\tJJ\tB-NP\tO' -p17482 -aS'aspiration\taspiration\tNN\tI-NP\tO' -p17483 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p17484 -aS'on\ton\tIN\tB-PP\tO' -p17485 -aS'CXR\tCXR\tNN\tB-NP\tB-protein' -p17486 -aS',\t,\t,\tO\tO' -p17487 -aS'though\tthough\tIN\tB-SBAR\tO' -p17488 -aS'he\the\tPRP\tB-NP\tO' -p17489 -aS'was\tbe\tVBD\tB-VP\tO' -p17490 -aS'extubated\textubate\tVBN\tI-VP\tO' -p17491 -aS'without\twithout\tIN\tB-PP\tO' -p17492 -aS'incident\tincident\tNN\tB-NP\tO' -p17493 -aS'on\ton\tIN\tB-PP\tO' -p17494 -aS'the\tthe\tDT\tB-NP\tO' -p17495 -aS'AM\tAM\tNN\tI-NP\tO' -p17496 -aS'of\tof\tIN\tB-PP\tO' -p17497 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p17498 -aS'to\tto\tTO\tB-PP\tO' -p17499 -aS'the\tthe\tDT\tB-NP\tO' -p17500 -aS'medicine\tmedicine\tNN\tI-NP\tO' -p17501 -aS'floor\tfloor\tNN\tI-NP\tO' -p17502 -aS'.\t.\t.\tO\tO' -p17503 -asS'Echo was obtained which showed WMA and EF of 35-40% .' -p17504 -(lp17505 -S'Echo\tEcho\tNN\tB-NP\tO' -p17506 -aS'was\tbe\tVBD\tB-VP\tO' -p17507 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p17508 -aS'which\twhich\tWDT\tB-NP\tO' -p17509 -aS'showed\tshow\tVBD\tB-VP\tO' -p17510 -aS'WMA\tWMA\tNN\tB-NP\tO' -p17511 -aS'and\tand\tCC\tI-NP\tO' -p17512 -aS'EF\tEF\tNN\tI-NP\tO' -p17513 -aS'of\tof\tIN\tB-PP\tO' -p17514 -aS'35-40%\t35-40%\tNN\tB-NP\tB-protein' -p17515 -aS'.\t.\t.\tO\tO' -p17516 -asS'Well healed midline scar from chest down to pubis .' -p17517 -(lp17518 -S'Well\tWell\tRB\tB-NP\tO' -p17519 -aS'healed\theal\tVBN\tI-NP\tO' -p17520 -aS'midline\tmidline\tNN\tI-NP\tO' -p17521 -aS'scar\tscar\tNN\tI-NP\tO' -p17522 -aS'from\tfrom\tIN\tB-PP\tO' -p17523 -aS'chest\tchest\tNN\tB-NP\tO' -p17524 -aS'down\tdown\tRB\tB-ADVP\tO' -p17525 -aS'to\tto\tTO\tB-PP\tO' -p17526 -aS'pubis\tpubis\tNN\tB-NP\tO' -p17527 -aS'.\t.\t.\tO\tO' -p17528 -asS'1. ST elevation myocardial infarction .' -p17529 -(lp17530 -S'1.\t1.\tLS\tB-NP\tO' -p17531 -aS'ST\tST\tNN\tI-NP\tO' -p17532 -aS'elevation\televation\tNN\tI-NP\tO' -p17533 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p17534 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p17535 -aS'.\t.\t.\tO\tO' -p17536 -asS'His father had prostate cancer .' -p17537 -(lp17538 -S'His\tHis\tPRP$\tB-NP\tO' -p17539 -aS'father\tfather\tNN\tI-NP\tO' -p17540 -aS'had\thave\tVBD\tB-VP\tO' -p17541 -aS'prostate\tprostate\tNN\tB-NP\tO' -p17542 -aS'cancer\tcancer\tNN\tI-NP\tO' -p17543 -aS'.\t.\t.\tO\tO' -p17544 -asS'Total cholesterol 142 .' -p17545 -(lp17546 -S'Total\tTotal\tJJ\tB-NP\tO' -p17547 -aS'cholesterol\tcholesterol\tNN\tI-NP\tO' -p17548 -aS'142\t142\tCD\tI-NP\tO' -p17549 -aS'.\t.\t.\tO\tO' -p17550 -asS'Brittle bones were noted during the operation .' -p17551 -(lp17552 -S'Brittle\tBrittle\tJJ\tB-NP\tO' -p17553 -aS'bones\tbone\tNNS\tI-NP\tO' -p17554 -aS'were\tbe\tVBD\tB-VP\tO' -p17555 -aS'noted\tnote\tVBN\tI-VP\tO' -p17556 -aS'during\tduring\tIN\tB-PP\tO' -p17557 -aS'the\tthe\tDT\tB-NP\tO' -p17558 -aS'operation\toperation\tNN\tI-NP\tO' -p17559 -aS'.\t.\t.\tO\tO' -p17560 -asS'The location of the second catheter was confirmed that evening by a follow-up scan which revealed good placement .' -p17561 -(lp17562 -S'The\tThe\tDT\tB-NP\tO' -p17563 -aS'location\tlocation\tNN\tI-NP\tO' -p17564 -aS'of\tof\tIN\tB-PP\tO' -p17565 -aS'the\tthe\tDT\tB-NP\tO' -p17566 -aS'second\tsecond\tJJ\tI-NP\tO' -p17567 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p17568 -aS'was\tbe\tVBD\tB-VP\tO' -p17569 -aS'confirmed\tconfirm\tVBN\tI-VP\tO' -p17570 -aS'that\tthat\tIN\tB-SBAR\tO' -p17571 -aS'evening\tevening\tNN\tB-NP\tO' -p17572 -aS'by\tby\tIN\tB-PP\tO' -p17573 -aS'a\ta\tDT\tB-NP\tO' -p17574 -aS'follow-up\tfollow-up\tJJ\tI-NP\tO' -p17575 -aS'scan\tscan\tNN\tI-NP\tO' -p17576 -aS'which\twhich\tWDT\tB-NP\tO' -p17577 -aS'revealed\treveal\tVBD\tB-VP\tO' -p17578 -aS'good\tgood\tJJ\tB-NP\tO' -p17579 -aS'placement\tplacement\tNN\tI-NP\tO' -p17580 -aS'.\t.\t.\tO\tO' -p17581 -asS'Infant was started on enteral feedings on day of life four and advanced to full volume feedings of 150 cc per kilogram per day by day of life seven .' -p17582 -(lp17583 -S'Infant\tInfant\tNN\tB-NP\tO' -p17584 -aS'was\tbe\tVBD\tB-VP\tO' -p17585 -aS'started\tstart\tVBN\tI-VP\tO' -p17586 -aS'on\ton\tIN\tB-PP\tO' -p17587 -aS'enteral\tenteral\tJJ\tB-NP\tO' -p17588 -aS'feedings\tfeeding\tNNS\tI-NP\tO' -p17589 -aS'on\ton\tIN\tB-PP\tO' -p17590 -aS'day\tday\tNN\tB-NP\tO' -p17591 -aS'of\tof\tIN\tB-PP\tO' -p17592 -aS'life\tlife\tNN\tB-NP\tO' -p17593 -aS'four\tfour\tCD\tI-NP\tO' -p17594 -aS'and\tand\tCC\tO\tO' -p17595 -aS'advanced\tadvance\tVBD\tB-VP\tO' -p17596 -aS'to\tto\tTO\tB-PP\tO' -p17597 -aS'full\tfull\tJJ\tB-NP\tO' -p17598 -aS'volume\tvolume\tNN\tI-NP\tO' -p17599 -aS'feedings\tfeeding\tNNS\tI-NP\tO' -p17600 -aS'of\tof\tIN\tB-PP\tO' -p17601 -aS'150\t150\tCD\tB-NP\tO' -p17602 -aS'cc\tcc\tNN\tI-NP\tO' -p17603 -aS'per\tper\tIN\tB-PP\tO' -p17604 -aS'kilogram\tkilogram\tNN\tB-NP\tO' -p17605 -aS'per\tper\tIN\tB-PP\tO' -p17606 -aS'day\tday\tNN\tB-NP\tO' -p17607 -aS'by\tby\tIN\tB-PP\tO' -p17608 -aS'day\tday\tNN\tB-NP\tO' -p17609 -aS'of\tof\tIN\tB-PP\tO' -p17610 -aS'life\tlife\tNN\tB-NP\tO' -p17611 -aS'seven\tseven\tCD\tI-NP\tO' -p17612 -aS'.\t.\t.\tO\tO' -p17613 -asS'The patient became agitated with both tent and Bi-PAP machine , although continued to saturate well .' -p17614 -(lp17615 -S'The\tThe\tDT\tB-NP\tO' -p17616 -aS'patient\tpatient\tNN\tI-NP\tO' -p17617 -aS'became\tbecome\tVBD\tB-VP\tO' -p17618 -aS'agitated\tagitate\tVBN\tI-VP\tO' -p17619 -aS'with\twith\tIN\tB-PP\tO' -p17620 -aS'both\tboth\tCC\tO\tO' -p17621 -aS'tent\ttent\tNN\tB-NP\tO' -p17622 -aS'and\tand\tCC\tO\tO' -p17623 -aS'Bi-PAP\tBi-PAP\tNN\tB-NP\tO' -p17624 -aS'machine\tmachine\tNN\tI-NP\tO' -p17625 -aS',\t,\t,\tO\tO' -p17626 -aS'although\talthough\tIN\tB-SBAR\tO' -p17627 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p17628 -aS'to\tto\tTO\tI-VP\tO' -p17629 -aS'saturate\tsaturate\tVB\tI-VP\tO' -p17630 -aS'well\twell\tRB\tB-ADVP\tO' -p17631 -aS'.\t.\t.\tO\tO' -p17632 -asS'The renal function deteriorated somewhat , hampering our ability to give him his Gentamicin .' -p17633 -(lp17634 -S'The\tThe\tDT\tB-NP\tO' -p17635 -aS'renal\trenal\tJJ\tI-NP\tO' -p17636 -aS'function\tfunction\tNN\tI-NP\tO' -p17637 -aS'deteriorated\tdeteriorate\tVBN\tB-VP\tO' -p17638 -aS'somewhat\tsomewhat\tRB\tB-ADVP\tO' -p17639 -aS',\t,\t,\tO\tO' -p17640 -aS'hampering\thamper\tVBG\tB-VP\tO' -p17641 -aS'our\tour\tPRP$\tB-NP\tO' -p17642 -aS'ability\tability\tNN\tI-NP\tO' -p17643 -aS'to\tto\tTO\tB-VP\tO' -p17644 -aS'give\tgive\tVB\tI-VP\tO' -p17645 -aS'him\thim\tPRP\tB-NP\tO' -p17646 -aS'his\this\tPRP$\tB-NP\tO' -p17647 -aS'Gentamicin\tGentamicin\tNN\tI-NP\tO' -p17648 -aS'.\t.\t.\tO\tO' -p17649 -asS'Signed electronically by : DR. Pamula Pugh on : Russell 2019-01-31 12:12 PM' -p17650 -(lp17651 -S'Signed\tSign\tVBN\tB-VP\tO' -p17652 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p17653 -aS'by\tby\tIN\tB-PP\tO' -p17654 -aS':\t:\t:\tO\tO' -p17655 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p17656 -aS'Pamula\tPamula\tNNP\tI-NP\tO' -p17657 -aS'Pugh\tPugh\tNNP\tI-NP\tO' -p17658 -aS'on\ton\tIN\tB-PP\tO' -p17659 -aS':\t:\t:\tO\tO' -p17660 -aS'Russell\tRussell\tNNP\tB-NP\tO' -p17661 -aS'2019-01-31\t2019-01-31\tCD\tB-NP\tO' -p17662 -aS'12:12\t12:12\tCD\tI-NP\tO' -p17663 -aS'PM\tPM\tNN\tI-NP\tO' -p17664 -asS'As of 3/21 , he was alert , appropriate and answers questions and follows command on exam .' -p17665 -(lp17666 -S'As\tAs\tIN\tB-PP\tO' -p17667 -aS'of\tof\tIN\tB-PP\tO' -p17668 -aS'3/21\t3/21\tCD\tB-NP\tO' -p17669 -aS',\t,\t,\tO\tO' -p17670 -aS'he\the\tPRP\tB-NP\tO' -p17671 -aS'was\tbe\tVBD\tB-VP\tO' -p17672 -aS'alert\talert\tJJ\tB-NP\tO' -p17673 -aS',\t,\t,\tI-NP\tO' -p17674 -aS'appropriate\tappropriate\tJJ\tI-NP\tO' -p17675 -aS'and\tand\tCC\tI-NP\tO' -p17676 -aS'answers\tanswer\tNNS\tI-NP\tO' -p17677 -aS'questions\tquestion\tNNS\tI-NP\tO' -p17678 -aS'and\tand\tCC\tO\tO' -p17679 -aS'follows\tfollow\tVBZ\tB-VP\tO' -p17680 -aS'command\tcommand\tNN\tB-NP\tO' -p17681 -aS'on\ton\tIN\tB-PP\tO' -p17682 -aS'exam\texam\tNN\tB-NP\tO' -p17683 -aS'.\t.\t.\tO\tO' -p17684 -asS'The patient 's paraplegia resolved by the morning of her second hospital day , and she maintained 5/5 motor strength in all groups .' -p17685 -(lp17686 -S'The\tThe\tDT\tB-NP\tO' -p17687 -aS'patient\tpatient\tNN\tI-NP\tO' -p17688 -aS''s\t'\tNNS\tI-NP\tO' -p17689 -aS'paraplegia\tparaplegia\tNN\tI-NP\tO' -p17690 -aS'resolved\tresolve\tVBN\tB-VP\tO' -p17691 -aS'by\tby\tIN\tB-PP\tO' -p17692 -aS'the\tthe\tDT\tB-NP\tO' -p17693 -aS'morning\tmorning\tNN\tI-NP\tO' -p17694 -aS'of\tof\tIN\tB-PP\tO' -p17695 -aS'her\ther\tPRP$\tB-NP\tO' -p17696 -aS'second\tsecond\tJJ\tI-NP\tO' -p17697 -aS'hospital\thospital\tNN\tI-NP\tO' -p17698 -aS'day\tday\tNN\tI-NP\tO' -p17699 -aS',\t,\t,\tO\tO' -p17700 -aS'and\tand\tCC\tO\tO' -p17701 -aS'she\tshe\tPRP\tB-NP\tO' -p17702 -aS'maintained\tmaintain\tVBD\tB-VP\tO' -p17703 -aS'5/5\t5/5\tCD\tB-NP\tO' -p17704 -aS'motor\tmotor\tNN\tI-NP\tO' -p17705 -aS'strength\tstrength\tNN\tI-NP\tO' -p17706 -aS'in\tin\tIN\tB-PP\tO' -p17707 -aS'all\tall\tDT\tB-NP\tO' -p17708 -aS'groups\tgroup\tNNS\tI-NP\tO' -p17709 -aS'.\t.\t.\tO\tO' -p17710 -asS'Cardiovascular : Regular , rate , and rhythm , no murmur .' -p17711 -(lp17712 -S'Cardiovascular\tCardiovascular\tJJ\tB-ADJP\tO' -p17713 -aS':\t:\t:\tO\tO' -p17714 -aS'Regular\tRegular\tJJ\tB-NP\tO' -p17715 -aS',\t,\t,\tI-NP\tO' -p17716 -aS'rate\trate\tNN\tI-NP\tO' -p17717 -aS',\t,\t,\tO\tO' -p17718 -aS'and\tand\tCC\tO\tO' -p17719 -aS'rhythm\trhythm\tNN\tB-NP\tO' -p17720 -aS',\t,\t,\tO\tO' -p17721 -aS'no\tno\tDT\tB-NP\tO' -p17722 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p17723 -aS'.\t.\t.\tO\tO' -p17724 -asS'3. Sepsis , ruled out .' -p17725 -(lp17726 -S'3.\t3.\tLS\tB-NP\tO' -p17727 -aS'Sepsis\tSepsis\tNN\tI-NP\tO' -p17728 -aS',\t,\t,\tO\tO' -p17729 -aS'ruled\trule\tVBD\tB-VP\tO' -p17730 -aS'out\tout\tRP\tB-PRT\tO' -p17731 -aS'.\t.\t.\tO\tO' -p17732 -asS'She continued to have nausea and vomiting .' -p17733 -(lp17734 -S'She\tShe\tPRP\tB-NP\tO' -p17735 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p17736 -aS'to\tto\tTO\tI-VP\tO' -p17737 -aS'have\thave\tVB\tI-VP\tO' -p17738 -aS'nausea\tnausea\tNN\tB-NP\tO' -p17739 -aS'and\tand\tCC\tI-NP\tO' -p17740 -aS'vomiting\tvomiting\tNN\tI-NP\tO' -p17741 -aS'.\t.\t.\tO\tO' -p17742 -asS'A neurological examination was performed which revealed no abnormality and imaging included a head scan which revealed no bleed and a cervical spine series which revealed degenerative joint disease but no obvious fracture .' -p17743 -(lp17744 -S'A\tA\tDT\tB-NP\tO' -p17745 -aS'neurological\tneurological\tJJ\tI-NP\tO' -p17746 -aS'examination\texamination\tNN\tI-NP\tO' -p17747 -aS'was\tbe\tVBD\tB-VP\tO' -p17748 -aS'performed\tperform\tVBN\tI-VP\tO' -p17749 -aS'which\twhich\tWDT\tB-NP\tO' -p17750 -aS'revealed\treveal\tVBD\tB-VP\tO' -p17751 -aS'no\tno\tDT\tB-NP\tO' -p17752 -aS'abnormality\tabnormality\tNN\tI-NP\tO' -p17753 -aS'and\tand\tCC\tI-NP\tO' -p17754 -aS'imaging\timaging\tNN\tI-NP\tO' -p17755 -aS'included\tinclude\tVBD\tB-VP\tO' -p17756 -aS'a\ta\tDT\tB-NP\tO' -p17757 -aS'head\thead\tNN\tI-NP\tO' -p17758 -aS'scan\tscan\tNN\tI-NP\tO' -p17759 -aS'which\twhich\tWDT\tB-NP\tO' -p17760 -aS'revealed\treveal\tVBD\tB-VP\tO' -p17761 -aS'no\tno\tDT\tB-NP\tO' -p17762 -aS'bleed\tbleed\tNN\tI-NP\tO' -p17763 -aS'and\tand\tCC\tO\tO' -p17764 -aS'a\ta\tDT\tB-NP\tO' -p17765 -aS'cervical\tcervical\tJJ\tI-NP\tO' -p17766 -aS'spine\tspine\tNN\tI-NP\tO' -p17767 -aS'series\tseries\tNN\tI-NP\tO' -p17768 -aS'which\twhich\tWDT\tB-NP\tO' -p17769 -aS'revealed\treveal\tVBD\tB-VP\tO' -p17770 -aS'degenerative\tdegenerative\tJJ\tB-NP\tO' -p17771 -aS'joint\tjoint\tJJ\tI-NP\tO' -p17772 -aS'disease\tdisease\tNN\tI-NP\tO' -p17773 -aS'but\tbut\tCC\tO\tO' -p17774 -aS'no\tno\tDT\tB-NP\tO' -p17775 -aS'obvious\tobvious\tJJ\tI-NP\tO' -p17776 -aS'fracture\tfracture\tNN\tI-NP\tO' -p17777 -aS'.\t.\t.\tO\tO' -p17778 -asS"Pt was taken to Bridgewater Chelsea Soldier 's Home Hospital and started on unasyn IV ." -p17779 -(lp17780 -S'Pt\tPt\tNN\tB-NP\tO' -p17781 -aS'was\tbe\tVBD\tB-VP\tO' -p17782 -aS'taken\ttake\tVBN\tI-VP\tO' -p17783 -aS'to\tto\tTO\tB-PP\tO' -p17784 -aS'Bridgewater\tBridgewater\tNNP\tB-NP\tO' -p17785 -aS'Chelsea\tChelsea\tNNP\tI-NP\tO' -p17786 -aS'Soldier\tSoldier\tNNP\tI-NP\tO' -p17787 -aS"'s\t's\tPOS\tB-NP\tO" -p17788 -aS'Home\tHome\tNNP\tI-NP\tO' -p17789 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p17790 -aS'and\tand\tCC\tO\tO' -p17791 -aS'started\tstart\tVBN\tB-VP\tO' -p17792 -aS'on\ton\tIN\tB-PP\tO' -p17793 -aS'unasyn\tunasyn\tNN\tB-NP\tO' -p17794 -aS'IV\tIV\tCD\tI-NP\tO' -p17795 -aS'.\t.\t.\tO\tO' -p17796 -asS'A Neurology consult was obtained and it was felt that the most valuable intervention that could be done for the patient 's intervascular disease would be adequate control of her blood pressure .' -p17797 -(lp17798 -S'A\tA\tDT\tB-NP\tO' -p17799 -aS'Neurology\tNeurology\tNNP\tI-NP\tO' -p17800 -aS'consult\tconsult\tNN\tI-NP\tO' -p17801 -aS'was\tbe\tVBD\tB-VP\tO' -p17802 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p17803 -aS'and\tand\tCC\tO\tO' -p17804 -aS'it\tit\tPRP\tB-NP\tO' -p17805 -aS'was\tbe\tVBD\tB-VP\tO' -p17806 -aS'felt\tfeel\tVBN\tI-VP\tO' -p17807 -aS'that\tthat\tIN\tB-SBAR\tO' -p17808 -aS'the\tthe\tDT\tB-NP\tO' -p17809 -aS'most\tmost\tRBS\tI-NP\tO' -p17810 -aS'valuable\tvaluable\tJJ\tI-NP\tO' -p17811 -aS'intervention\tintervention\tNN\tI-NP\tO' -p17812 -aS'that\tthat\tWDT\tB-NP\tO' -p17813 -aS'could\tcould\tMD\tB-VP\tO' -p17814 -aS'be\tbe\tVB\tI-VP\tO' -p17815 -aS'done\tdo\tVBN\tI-VP\tO' -p17816 -aS'for\tfor\tIN\tB-PP\tO' -p17817 -aS'the\tthe\tDT\tB-NP\tO' -p17818 -aS'patient\tpatient\tNN\tI-NP\tO' -p17819 -aS''s\t'\tNNS\tI-NP\tO' -p17820 -aS'intervascular\tintervascular\tJJ\tB-NP\tO' -p17821 -aS'disease\tdisease\tNN\tI-NP\tO' -p17822 -aS'would\twould\tMD\tB-VP\tO' -p17823 -aS'be\tbe\tVB\tI-VP\tO' -p17824 -aS'adequate\tadequate\tJJ\tB-NP\tO' -p17825 -aS'control\tcontrol\tNN\tI-NP\tO' -p17826 -aS'of\tof\tIN\tB-PP\tO' -p17827 -aS'her\ther\tPRP$\tB-NP\tO' -p17828 -aS'blood\tblood\tNN\tI-NP\tO' -p17829 -aS'pressure\tpressure\tNN\tI-NP\tO' -p17830 -aS'.\t.\t.\tO\tO' -p17831 -asS'Discharged to a rehabilitation facility .' -p17832 -(lp17833 -S'Discharged\tDischarge\tVBN\tB-VP\tO' -p17834 -aS'to\tto\tTO\tB-PP\tO' -p17835 -aS'a\ta\tDT\tB-NP\tO' -p17836 -aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' -p17837 -aS'facility\tfacility\tNN\tI-NP\tO' -p17838 -aS'.\t.\t.\tO\tO' -p17839 -asS'There are no masses and the bowel sounds are present .' -p17840 -(lp17841 -S'There\tThere\tEX\tB-NP\tO' -p17842 -aS'are\tbe\tVBP\tB-VP\tO' -p17843 -aS'no\tno\tDT\tB-NP\tO' -p17844 -aS'masses\tmass\tNNS\tI-NP\tO' -p17845 -aS'and\tand\tCC\tO\tO' -p17846 -aS'the\tthe\tDT\tB-NP\tO' -p17847 -aS'bowel\tbowel\tNN\tI-NP\tO' -p17848 -aS'sounds\tsound\tNNS\tI-NP\tO' -p17849 -aS'are\tbe\tVBP\tB-VP\tO' -p17850 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p17851 -aS'.\t.\t.\tO\tO' -p17852 -asS'Spine straight with normal sacrum .' -p17853 -(lp17854 -S'Spine\tSpine\tNN\tB-NP\tO' -p17855 -aS'straight\tstraight\tRB\tB-ADVP\tO' -p17856 -aS'with\twith\tIN\tB-PP\tO' -p17857 -aS'normal\tnormal\tJJ\tB-NP\tO' -p17858 -aS'sacrum\tsacrum\tNN\tI-NP\tO' -p17859 -aS'.\t.\t.\tO\tO' -p17860 -asS'The oncology service was also consulted for patient and performed a bone marrow biopsy .' -p17861 -(lp17862 -S'The\tThe\tDT\tB-NP\tO' -p17863 -aS'oncology\toncology\tNN\tI-NP\tO' -p17864 -aS'service\tservice\tNN\tI-NP\tO' -p17865 -aS'was\tbe\tVBD\tB-VP\tO' -p17866 -aS'also\talso\tRB\tI-VP\tO' -p17867 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p17868 -aS'for\tfor\tIN\tB-PP\tO' -p17869 -aS'patient\tpatient\tNN\tB-NP\tO' -p17870 -aS'and\tand\tCC\tO\tO' -p17871 -aS'performed\tperform\tVBD\tB-VP\tO' -p17872 -aS'a\ta\tDT\tB-NP\tO' -p17873 -aS'bone\tbone\tNN\tI-NP\tO' -p17874 -aS'marrow\tmarrow\tNN\tI-NP\tO' -p17875 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p17876 -aS'.\t.\t.\tO\tO' -p17877 -asS'He had a good cardiac index off all inotropic medications and his Swan-Ganz catheter was discontinued .' -p17878 -(lp17879 -S'He\tHe\tPRP\tB-NP\tO' -p17880 -aS'had\thave\tVBD\tB-VP\tO' -p17881 -aS'a\ta\tDT\tB-NP\tO' -p17882 -aS'good\tgood\tJJ\tI-NP\tO' -p17883 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p17884 -aS'index\tindex\tNN\tI-NP\tO' -p17885 -aS'off\toff\tIN\tB-PP\tO' -p17886 -aS'all\tall\tDT\tB-NP\tO' -p17887 -aS'inotropic\tinotropic\tJJ\tI-NP\tO' -p17888 -aS'medications\tmedication\tNNS\tI-NP\tO' -p17889 -aS'and\tand\tCC\tO\tO' -p17890 -aS'his\this\tPRP$\tB-NP\tO' -p17891 -aS'Swan-Ganz\tSwan-Ganz\tNNP\tI-NP\tO' -p17892 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p17893 -aS'was\tbe\tVBD\tB-VP\tO' -p17894 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p17895 -aS'.\t.\t.\tO\tO' -p17896 -asS'in USOH until this am when felt LH and then ICD discharge .' -p17897 -(lp17898 -S'in\tin\tIN\tB-PP\tO' -p17899 -aS'USOH\tUSOH\tNN\tB-NP\tO' -p17900 -aS'until\tuntil\tIN\tB-PP\tO' -p17901 -aS'this\tthis\tDT\tB-NP\tO' -p17902 -aS'am\tam\tNN\tI-NP\tO' -p17903 -aS'when\twhen\tWRB\tB-ADVP\tO' -p17904 -aS'felt\tfeel\tVBD\tB-VP\tO' -p17905 -aS'LH\tLH\tNN\tB-NP\tO' -p17906 -aS'and\tand\tCC\tB-NP\tO' -p17907 -aS'then\tthen\tRB\tI-NP\tO' -p17908 -aS'ICD\tICD\tNN\tB-NP\tO' -p17909 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p17910 -aS'.\t.\t.\tO\tO' -p17911 -asS'regular rate and rhythm with a 2/6 diastolic ___ and a 1/6 systolic ejection murmur .' -p17912 -(lp17913 -S'regular\tregular\tJJ\tB-NP\tO' -p17914 -aS'rate\trate\tNN\tI-NP\tO' -p17915 -aS'and\tand\tCC\tI-NP\tO' -p17916 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p17917 -aS'with\twith\tIN\tB-PP\tO' -p17918 -aS'a\ta\tDT\tB-NP\tO' -p17919 -aS'2/6\t2/6\tCD\tI-NP\tO' -p17920 -aS'diastolic\tdiastolic\tJJ\tI-NP\tO' -p17921 -aS'___\t___\tNN\tI-NP\tO' -p17922 -aS'and\tand\tCC\tO\tO' -p17923 -aS'a\ta\tDT\tB-NP\tO' -p17924 -aS'1/6\t1/6\tCD\tI-NP\tO' -p17925 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p17926 -aS'ejection\tejection\tNN\tI-NP\tO' -p17927 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p17928 -aS'.\t.\t.\tO\tO' -p17929 -asS'2. Mitral commissurectomy .' -p17930 -(lp17931 -S'2.\t2.\tLS\tB-NP\tO' -p17932 -aS'Mitral\tMitral\tJJ\tI-NP\tO' -p17933 -aS'commissurectomy\tcommissurectomy\tNN\tI-NP\tO' -p17934 -aS'.\t.\t.\tO\tO' -p17935 -asS'Optimization of his fluid balance was managed by the medical service in consultation with hepatology and renal .' -p17936 -(lp17937 -S'Optimization\tOptimization\tNN\tB-NP\tO' -p17938 -aS'of\tof\tIN\tB-PP\tO' -p17939 -aS'his\this\tPRP$\tB-NP\tO' -p17940 -aS'fluid\tfluid\tNN\tI-NP\tO' -p17941 -aS'balance\tbalance\tNN\tI-NP\tO' -p17942 -aS'was\tbe\tVBD\tB-VP\tO' -p17943 -aS'managed\tmanage\tVBN\tI-VP\tO' -p17944 -aS'by\tby\tIN\tB-PP\tO' -p17945 -aS'the\tthe\tDT\tB-NP\tO' -p17946 -aS'medical\tmedical\tJJ\tI-NP\tO' -p17947 -aS'service\tservice\tNN\tI-NP\tO' -p17948 -aS'in\tin\tIN\tB-PP\tO' -p17949 -aS'consultation\tconsultation\tNN\tB-NP\tO' -p17950 -aS'with\twith\tIN\tB-PP\tO' -p17951 -aS'hepatology\thepatology\tNN\tB-NP\tO' -p17952 -aS'and\tand\tCC\tO\tO' -p17953 -aS'renal\trenal\tJJ\tB-ADJP\tO' -p17954 -aS'.\t.\t.\tO\tO' -p17955 -asS'Neurologic examination - he was unarousible and without sedation .' -p17956 -(lp17957 -S'Neurologic\tNeurologic\tJJ\tB-NP\tO' -p17958 -aS'examination\texamination\tNN\tI-NP\tO' -p17959 -aS'-\t-\tHYPH\tO\tO' -p17960 -aS'he\the\tPRP\tB-NP\tO' -p17961 -aS'was\tbe\tVBD\tB-VP\tO' -p17962 -aS'unarousible\tunarousible\tJJ\tB-ADJP\tO' -p17963 -aS'and\tand\tCC\tO\tO' -p17964 -aS'without\twithout\tIN\tB-PP\tO' -p17965 -aS'sedation\tsedation\tNN\tB-NP\tO' -p17966 -aS'.\t.\t.\tO\tO' -p17967 -asS'That area was resected with no evidence of metastatic disease .' -p17968 -(lp17969 -S'That\tThat\tDT\tB-NP\tO' -p17970 -aS'area\tarea\tNN\tI-NP\tO' -p17971 -aS'was\tbe\tVBD\tB-VP\tO' -p17972 -aS'resected\tresecte\tVBN\tI-VP\tO' -p17973 -aS'with\twith\tIN\tB-PP\tO' -p17974 -aS'no\tno\tDT\tB-NP\tO' -p17975 -aS'evidence\tevidence\tNN\tI-NP\tO' -p17976 -aS'of\tof\tIN\tB-PP\tO' -p17977 -aS'metastatic\tmetastatic\tJJ\tB-NP\tO' -p17978 -aS'disease\tdisease\tNN\tI-NP\tO' -p17979 -aS'.\t.\t.\tO\tO' -p17980 -asS'5. Hydromorphone 2 mg Tablet Sig : 1-2 Tablets PO Q4H ( every 4 hours ) as needed for pain .' -p17981 -(lp17982 -S'5.\t5.\tLS\tO\tO' -p17983 -aS'Hydromorphone\tHydromorphone\tNN\tB-NP\tO' -p17984 -aS'2\t2\tCD\tI-NP\tO' -p17985 -aS'mg\tmg\tNN\tI-NP\tO' -p17986 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p17987 -aS'Sig\tSig\tNNP\tI-NP\tO' -p17988 -aS':\t:\t:\tO\tO' -p17989 -aS'1-2\t1-2\tCD\tB-NP\tO' -p17990 -aS'Tablets\tTablet\tNNS\tI-NP\tO' -p17991 -aS'PO\tPO\tNN\tI-NP\tO' -p17992 -aS'Q4H\tQ4H\tNN\tI-NP\tO' -p17993 -aS'(\t(\t(\tO\tO' -p17994 -aS'every\tevery\tDT\tB-NP\tO' -p17995 -aS'4\t4\tCD\tI-NP\tO' -p17996 -aS'hours\thour\tNNS\tI-NP\tO' -p17997 -aS')\t)\t)\tO\tO' -p17998 -aS'as\tas\tIN\tB-SBAR\tO' -p17999 -aS'needed\tneed\tVBN\tB-VP\tO' -p18000 -aS'for\tfor\tIN\tB-PP\tO' -p18001 -aS'pain\tpain\tNN\tB-NP\tO' -p18002 -aS'.\t.\t.\tO\tO' -p18003 -asS'Cardiology consultation was obtained .' -p18004 -(lp18005 -S'Cardiology\tCardiology\tNN\tB-NP\tO' -p18006 -aS'consultation\tconsultation\tNN\tI-NP\tO' -p18007 -aS'was\tbe\tVBD\tB-VP\tO' -p18008 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p18009 -aS'.\t.\t.\tO\tO' -p18010 -asS'He is in sinus rhythm .' -p18011 -(lp18012 -S'He\tHe\tPRP\tB-NP\tO' -p18013 -aS'is\tbe\tVBZ\tB-VP\tO' -p18014 -aS'in\tin\tIN\tB-PP\tO' -p18015 -aS'sinus\tsinus\tNN\tB-NP\tO' -p18016 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p18017 -aS'.\t.\t.\tO\tO' -p18018 -asS'The skin is jaundiced .' -p18019 -(lp18020 -S'The\tThe\tDT\tB-NP\tO' -p18021 -aS'skin\tskin\tNN\tI-NP\tO' -p18022 -aS'is\tbe\tVBZ\tB-VP\tO' -p18023 -aS'jaundiced\tjaundice\tVBN\tI-VP\tO' -p18024 -aS'.\t.\t.\tO\tO' -p18025 -asS'Given his history and physical exam , Mr. Anders presented with an injury most consistent with meniscal tear .' -p18026 -(lp18027 -S'Given\tGive\tVBN\tB-PP\tO' -p18028 -aS'his\this\tPRP$\tB-NP\tO' -p18029 -aS'history\thistory\tNN\tI-NP\tO' -p18030 -aS'and\tand\tCC\tI-NP\tO' -p18031 -aS'physical\tphysical\tJJ\tI-NP\tO' -p18032 -aS'exam\texam\tNN\tI-NP\tO' -p18033 -aS',\t,\t,\tO\tO' -p18034 -aS'Mr.\tMr.\tNNP\tB-NP\tO' -p18035 -aS'Anders\tAnders\tNNP\tI-NP\tO' -p18036 -aS'presented\tpresent\tVBD\tB-VP\tO' -p18037 -aS'with\twith\tIN\tB-PP\tO' -p18038 -aS'an\tan\tDT\tB-NP\tO' -p18039 -aS'injury\tinjury\tNN\tI-NP\tO' -p18040 -aS'most\tmost\tRBS\tB-ADJP\tO' -p18041 -aS'consistent\tconsistent\tJJ\tI-ADJP\tO' -p18042 -aS'with\twith\tIN\tB-PP\tO' -p18043 -aS'meniscal\tmeniscal\tJJ\tB-NP\tO' -p18044 -aS'tear\ttear\tNN\tI-NP\tO' -p18045 -aS'.\t.\t.\tO\tO' -p18046 -asS"In brief , the patient is a 64 - year-old male with a significant history for coronary artery disease , status post three myocardial infarctions and also status post five vessel coronary artery bypass graft in ' 89 and status post multiple percutaneous transluminal coronary angioplasties who recently had a catheterization done in Mississippi and stent placed in 2013-03-24 ." -p18047 -(lp18048 -S'In\tIn\tIN\tB-PP\tO' -p18049 -aS'brief\tbrief\tNN\tB-NP\tO' -p18050 -aS',\t,\t,\tO\tO' -p18051 -aS'the\tthe\tDT\tB-NP\tO' -p18052 -aS'patient\tpatient\tNN\tI-NP\tO' -p18053 -aS'is\tbe\tVBZ\tB-VP\tO' -p18054 -aS'a\ta\tDT\tB-NP\tO' -p18055 -aS'64\t64\tCD\tI-NP\tO' -p18056 -aS'-\t-\tHYPH\tI-NP\tO' -p18057 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p18058 -aS'male\tmale\tNN\tI-NP\tO' -p18059 -aS'with\twith\tIN\tB-PP\tO' -p18060 -aS'a\ta\tDT\tB-NP\tO' -p18061 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p18062 -aS'history\thistory\tNN\tI-NP\tO' -p18063 -aS'for\tfor\tIN\tB-PP\tO' -p18064 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p18065 -aS'artery\tartery\tNN\tI-NP\tO' -p18066 -aS'disease\tdisease\tNN\tI-NP\tO' -p18067 -aS',\t,\t,\tO\tO' -p18068 -aS'status\tstatus\tNN\tB-NP\tO' -p18069 -aS'post\tpost\tVBD\tB-VP\tO' -p18070 -aS'three\tthree\tCD\tB-NP\tO' -p18071 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p18072 -aS'infarctions\tinfarction\tNNS\tI-NP\tO' -p18073 -aS'and\tand\tCC\tO\tO' -p18074 -aS'also\talso\tRB\tB-ADVP\tO' -p18075 -aS'status\tstatus\tNN\tB-NP\tO' -p18076 -aS'post\tpost\tIN\tB-PP\tO' -p18077 -aS'five\tfive\tCD\tB-NP\tO' -p18078 -aS'vessel\tvessel\tNN\tI-NP\tO' -p18079 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p18080 -aS'artery\tartery\tNN\tI-NP\tO' -p18081 -aS'bypass\tbypass\tIN\tB-PP\tO' -p18082 -aS'graft\tgraft\tNN\tB-NP\tO' -p18083 -aS'in\tin\tIN\tB-PP\tO' -p18084 -aS"'\t'\t``\tO\tO" -p18085 -aS'89\t89\tCD\tB-NP\tO' -p18086 -aS'and\tand\tCC\tO\tO' -p18087 -aS'status\tstatus\tNN\tB-NP\tO' -p18088 -aS'post\tpost\tVBP\tB-VP\tO' -p18089 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p18090 -aS'percutaneous\tpercutaneous\tJJ\tI-NP\tO' -p18091 -aS'transluminal\ttransluminal\tJJ\tI-NP\tO' -p18092 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p18093 -aS'angioplasties\tangioplasty\tNNS\tI-NP\tO' -p18094 -aS'who\twho\tWP\tB-NP\tO' -p18095 -aS'recently\trecently\tRB\tB-ADVP\tO' -p18096 -aS'had\thave\tVBD\tB-VP\tO' -p18097 -aS'a\ta\tDT\tB-NP\tO' -p18098 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p18099 -aS'done\tdo\tVBN\tB-VP\tO' -p18100 -aS'in\tin\tIN\tB-PP\tO' -p18101 -aS'Mississippi\tMississippi\tNNP\tB-NP\tO' -p18102 -aS'and\tand\tCC\tO\tO' -p18103 -aS'stent\tstent\tJJ\tB-NP\tO' -p18104 -aS'placed\tplace\tVBN\tB-VP\tO' -p18105 -aS'in\tin\tIN\tB-PP\tO' -p18106 -aS'2013-03-24\t2013-03-24\tCD\tB-NP\tO' -p18107 -aS'.\t.\t.\tO\tO' -p18108 -asS'postoperative day #5 .' -p18109 -(lp18110 -S'postoperative\tpostoperative\tJJ\tB-NP\tO' -p18111 -aS'day\tday\tNN\tI-NP\tO' -p18112 -aS'#5\t#5\tCD\tI-NP\tO' -p18113 -aS'.\t.\t.\tO\tO' -p18114 -asS'He was admitted to the neurology ICU for closer monitoring and was stable overnight - BP was initially elevated and required a labetalol drip for < 24 hours , then stabilized .' -p18115 -(lp18116 -S'He\tHe\tPRP\tB-NP\tO' -p18117 -aS'was\tbe\tVBD\tB-VP\tO' -p18118 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p18119 -aS'to\tto\tTO\tB-PP\tO' -p18120 -aS'the\tthe\tDT\tB-NP\tO' -p18121 -aS'neurology\tneurology\tNN\tI-NP\tO' -p18122 -aS'ICU\tICU\tNN\tI-NP\tO' -p18123 -aS'for\tfor\tIN\tB-PP\tO' -p18124 -aS'closer\tclose\tJJR\tB-NP\tO' -p18125 -aS'monitoring\tmonitoring\tNN\tI-NP\tO' -p18126 -aS'and\tand\tCC\tO\tO' -p18127 -aS'was\tbe\tVBD\tB-VP\tO' -p18128 -aS'stable\tstable\tJJ\tB-NP\tO' -p18129 -aS'overnight\tovernight\tJJ\tI-NP\tO' -p18130 -aS'-\t-\tHYPH\tI-NP\tO' -p18131 -aS'BP\tBP\tNN\tI-NP\tO' -p18132 -aS'was\tbe\tVBD\tB-VP\tO' -p18133 -aS'initially\tinitially\tRB\tI-VP\tO' -p18134 -aS'elevated\televate\tVBN\tI-VP\tO' -p18135 -aS'and\tand\tCC\tO\tO' -p18136 -aS'required\trequire\tVBD\tB-VP\tO' -p18137 -aS'a\ta\tDT\tB-NP\tO' -p18138 -aS'labetalol\tlabetalol\tNN\tI-NP\tO' -p18139 -aS'drip\tdrip\tNN\tI-NP\tO' -p18140 -aS'for\tfor\tIN\tB-PP\tO' -p18141 -aS'<\t<\tSYM\tB-NP\tO' -p18142 -aS'24\t24\tCD\tI-NP\tO' -p18143 -aS'hours\thour\tNNS\tI-NP\tO' -p18144 -aS',\t,\t,\tO\tO' -p18145 -aS'then\tthen\tRB\tB-ADVP\tO' -p18146 -aS'stabilized\tstabilize\tVBD\tB-VP\tO' -p18147 -aS'.\t.\t.\tO\tO' -p18148 -asS'Needs anticoagulation for 6 months for right common femoral artery deep venous thrombosis .' -p18149 -(lp18150 -S'Needs\tNeed\tNNS\tB-NP\tO' -p18151 -aS'anticoagulation\tanticoagulation\tNN\tI-NP\tO' -p18152 -aS'for\tfor\tIN\tB-PP\tO' -p18153 -aS'6\t6\tCD\tB-NP\tO' -p18154 -aS'months\tmonth\tNNS\tI-NP\tO' -p18155 -aS'for\tfor\tIN\tB-PP\tO' -p18156 -aS'right\tright\tJJ\tB-NP\tO' -p18157 -aS'common\tcommon\tJJ\tI-NP\tO' -p18158 -aS'femoral\tfemoral\tJJ\tI-NP\tO' -p18159 -aS'artery\tartery\tNN\tI-NP\tO' -p18160 -aS'deep\tdeep\tJJ\tI-NP\tO' -p18161 -aS'venous\tvenous\tJJ\tI-NP\tO' -p18162 -aS'thrombosis\tthrombosis\tNN\tI-NP\tO' -p18163 -aS'.\t.\t.\tO\tO' -p18164 -asS'No EKG changes , marijuana in urine , HCO3 22 .' -p18165 -(lp18166 -S'No\tNo\tDT\tB-NP\tO' -p18167 -aS'EKG\tEKG\tNN\tI-NP\tO' -p18168 -aS'changes\tchange\tNNS\tI-NP\tO' -p18169 -aS',\t,\t,\tO\tO' -p18170 -aS'marijuana\tmarijuana\tNN\tB-NP\tO' -p18171 -aS'in\tin\tIN\tB-PP\tO' -p18172 -aS'urine\turine\tNN\tB-NP\tO' -p18173 -aS',\t,\t,\tO\tO' -p18174 -aS'HCO3\tHCO3\tNN\tB-NP\tO' -p18175 -aS'22\t22\tCD\tI-NP\tO' -p18176 -aS'.\t.\t.\tO\tO' -p18177 -asS'It was nontender .' -p18178 -(lp18179 -S'It\tIt\tPRP\tB-NP\tO' -p18180 -aS'was\tbe\tVBD\tB-VP\tO' -p18181 -aS'nontender\tnontender\tJJ\tB-ADJP\tO' -p18182 -aS'.\t.\t.\tO\tO' -p18183 -asS'HYPERCALCEMIA .' -p18184 -(lp18185 -S'HYPERCALCEMIA\tHYPERCALCEMIA\tNN\tB-NP\tO' -p18186 -aS'.\t.\t.\tO\tO' -p18187 -asS"The need for further anti-coagulation was discussed with the patient 's attending , Dr. Coleman , and it was decided not to continue anti-coagulation due to increased risk of gastrointestinal bleeding ." -p18188 -(lp18189 -S'The\tThe\tDT\tB-NP\tO' -p18190 -aS'need\tneed\tNN\tI-NP\tO' -p18191 -aS'for\tfor\tIN\tB-PP\tO' -p18192 -aS'further\tfurther\tJJ\tB-NP\tO' -p18193 -aS'anti-coagulation\tanti-coagulation\tNN\tI-NP\tO' -p18194 -aS'was\tbe\tVBD\tB-VP\tO' -p18195 -aS'discussed\tdiscuss\tVBN\tI-VP\tO' -p18196 -aS'with\twith\tIN\tB-PP\tO' -p18197 -aS'the\tthe\tDT\tB-NP\tO' -p18198 -aS'patient\tpatient\tNN\tI-NP\tO' -p18199 -aS"'s\t's\tPOS\tB-NP\tO" -p18200 -aS'attending\tattend\tVBG\tI-NP\tO' -p18201 -aS',\t,\t,\tO\tO' -p18202 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p18203 -aS'Coleman\tColeman\tNNP\tI-NP\tO' -p18204 -aS',\t,\t,\tO\tO' -p18205 -aS'and\tand\tCC\tO\tO' -p18206 -aS'it\tit\tPRP\tB-NP\tO' -p18207 -aS'was\tbe\tVBD\tB-VP\tO' -p18208 -aS'decided\tdecide\tVBN\tI-VP\tO' -p18209 -aS'not\tnot\tRB\tO\tO' -p18210 -aS'to\tto\tTO\tB-VP\tO' -p18211 -aS'continue\tcontinue\tVB\tI-VP\tO' -p18212 -aS'anti-coagulation\tanti-coagulation\tNN\tB-NP\tO' -p18213 -aS'due\tdue\tJJ\tB-PP\tO' -p18214 -aS'to\tto\tTO\tB-PP\tO' -p18215 -aS'increased\tincrease\tVBN\tB-NP\tO' -p18216 -aS'risk\trisk\tNN\tI-NP\tO' -p18217 -aS'of\tof\tIN\tB-PP\tO' -p18218 -aS'gastrointestinal\tgastrointestinal\tJJ\tB-NP\tO' -p18219 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p18220 -aS'.\t.\t.\tO\tO' -p18221 -asS'The patient lives alone in Woburn .' -p18222 -(lp18223 -S'The\tThe\tDT\tB-NP\tO' -p18224 -aS'patient\tpatient\tNN\tI-NP\tO' -p18225 -aS'lives\tlive\tVBZ\tB-VP\tO' -p18226 -aS'alone\talone\tRB\tB-ADVP\tO' -p18227 -aS'in\tin\tIN\tB-PP\tO' -p18228 -aS'Woburn\tWoburn\tNNP\tB-NP\tO' -p18229 -aS'.\t.\t.\tO\tO' -p18230 -asS'He is being transferred to the floor for ongoing care .' -p18231 -(lp18232 -S'He\tHe\tPRP\tB-NP\tO' -p18233 -aS'is\tbe\tVBZ\tB-VP\tO' -p18234 -aS'being\tbe\tVBG\tI-VP\tO' -p18235 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p18236 -aS'to\tto\tTO\tB-PP\tO' -p18237 -aS'the\tthe\tDT\tB-NP\tO' -p18238 -aS'floor\tfloor\tNN\tI-NP\tO' -p18239 -aS'for\tfor\tIN\tB-PP\tO' -p18240 -aS'ongoing\tongoing\tJJ\tB-NP\tO' -p18241 -aS'care\tcare\tNN\tI-NP\tO' -p18242 -aS'.\t.\t.\tO\tO' -p18243 -asS'Rate of 91 , first degree AV block , intervals .22 , .92 , .36 , with left ventricular hypertrophy .' -p18244 -(lp18245 -S'Rate\tRate\tNN\tB-NP\tO' -p18246 -aS'of\tof\tIN\tB-PP\tO' -p18247 -aS'91\t91\tCD\tB-NP\tO' -p18248 -aS',\t,\t,\tO\tO' -p18249 -aS'first\tfirst\tJJ\tB-NP\tO' -p18250 -aS'degree\tdegree\tNN\tI-NP\tO' -p18251 -aS'AV\tAV\tNN\tI-NP\tO' -p18252 -aS'block\tblock\tNN\tI-NP\tO' -p18253 -aS',\t,\t,\tO\tO' -p18254 -aS'intervals\tinterval\tNNS\tB-NP\tO' -p18255 -aS'.22\t.22\tCD\tI-NP\tO' -p18256 -aS',\t,\t,\tI-NP\tO' -p18257 -aS'.92\t.92\tCD\tI-NP\tO' -p18258 -aS',\t,\t,\tI-NP\tO' -p18259 -aS'.36\t.36\tCD\tI-NP\tO' -p18260 -aS',\t,\t,\tO\tO' -p18261 -aS'with\twith\tIN\tB-PP\tO' -p18262 -aS'left\tleft\tJJ\tB-NP\tO' -p18263 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p18264 -aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' -p18265 -aS'.\t.\t.\tO\tO' -p18266 -asS'An additional CT scan was obtained on hospital day three .' -p18267 -(lp18268 -S'An\tAn\tDT\tB-NP\tO' -p18269 -aS'additional\tadditional\tJJ\tI-NP\tO' -p18270 -aS'CT\tCT\tNN\tI-NP\tO' -p18271 -aS'scan\tscan\tNN\tI-NP\tO' -p18272 -aS'was\tbe\tVBD\tB-VP\tO' -p18273 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p18274 -aS'on\ton\tIN\tB-PP\tO' -p18275 -aS'hospital\thospital\tNN\tB-NP\tO' -p18276 -aS'day\tday\tNN\tI-NP\tO' -p18277 -aS'three\tthree\tCD\tI-NP\tO' -p18278 -aS'.\t.\t.\tO\tO' -p18279 -asS'LEFT ANTERIOR TEMPORAL INTRAPARENCHYMAL HEMORRHAGE .' -p18280 -(lp18281 -S'LEFT\tLEFT\tNN\tB-NP\tO' -p18282 -aS'ANTERIOR\tANTERIOR\tNN\tI-NP\tO' -p18283 -aS'TEMPORAL\tTEMPORAL\tNN\tI-NP\tO' -p18284 -aS'INTRAPARENCHYMAL\tINTRAPARENCHYMAL\tNN\tI-NP\tO' -p18285 -aS'HEMORRHAGE\tHEMORRHAGE\tNN\tI-NP\tO' -p18286 -aS'.\t.\t.\tO\tO' -p18287 -asS'Serial KUBs revealed nonspecific changes with dilated loops .' -p18288 -(lp18289 -S'Serial\tSerial\tJJ\tB-NP\tO' -p18290 -aS'KUBs\tKUB\tNNS\tI-NP\tO' -p18291 -aS'revealed\treveal\tVBD\tB-VP\tO' -p18292 -aS'nonspecific\tnonspecific\tJJ\tB-NP\tO' -p18293 -aS'changes\tchange\tNNS\tI-NP\tO' -p18294 -aS'with\twith\tIN\tB-PP\tO' -p18295 -aS'dilated\tdilated\tJJ\tB-NP\tO' -p18296 -aS'loops\tloop\tNNS\tI-NP\tO' -p18297 -aS'.\t.\t.\tO\tO' -p18298 -asS"Before this age and for the first 24 months of the infant 's life , immunization against influenza is recommended for household contacts and out of home caregivers ." -p18299 -(lp18300 -S'Before\tBefore\tIN\tB-SBAR\tO' -p18301 -aS'this\tthis\tDT\tB-NP\tO' -p18302 -aS'age\tage\tNN\tI-NP\tO' -p18303 -aS'and\tand\tCC\tB-PP\tO' -p18304 -aS'for\tfor\tIN\tB-PP\tO' -p18305 -aS'the\tthe\tDT\tB-NP\tO' -p18306 -aS'first\tfirst\tJJ\tI-NP\tO' -p18307 -aS'24\t24\tCD\tI-NP\tO' -p18308 -aS'months\tmonth\tNNS\tI-NP\tO' -p18309 -aS'of\tof\tIN\tB-PP\tO' -p18310 -aS'the\tthe\tDT\tB-NP\tO' -p18311 -aS'infant\tinfant\tNN\tI-NP\tO' -p18312 -aS"'s\t's\tPOS\tB-NP\tO" -p18313 -aS'life\tlife\tNN\tI-NP\tO' -p18314 -aS',\t,\t,\tO\tO' -p18315 -aS'immunization\timmunization\tNN\tB-NP\tO' -p18316 -aS'against\tagainst\tIN\tB-PP\tO' -p18317 -aS'influenza\tinfluenza\tNN\tB-NP\tO' -p18318 -aS'is\tbe\tVBZ\tB-VP\tO' -p18319 -aS'recommended\trecommend\tVBN\tI-VP\tO' -p18320 -aS'for\tfor\tIN\tB-PP\tO' -p18321 -aS'household\thousehold\tNN\tB-NP\tO' -p18322 -aS'contacts\tcontact\tNNS\tI-NP\tO' -p18323 -aS'and\tand\tCC\tB-PP\tO' -p18324 -aS'out\tout\tIN\tB-PP\tO' -p18325 -aS'of\tof\tIN\tB-PP\tO' -p18326 -aS'home\thome\tNN\tB-NP\tO' -p18327 -aS'caregivers\tcaregiver\tNNS\tI-NP\tO' -p18328 -aS'.\t.\t.\tO\tO' -p18329 -asS'She also had some black , tarry stool in her colostomy bag .' -p18330 -(lp18331 -S'She\tShe\tPRP\tB-NP\tO' -p18332 -aS'also\talso\tRB\tB-ADVP\tO' -p18333 -aS'had\thave\tVBD\tB-VP\tO' -p18334 -aS'some\tsome\tDT\tB-NP\tO' -p18335 -aS'black\tblack\tJJ\tI-NP\tO' -p18336 -aS',\t,\t,\tI-NP\tO' -p18337 -aS'tarry\ttarry\tJJ\tI-NP\tO' -p18338 -aS'stool\tstool\tNN\tI-NP\tO' -p18339 -aS'in\tin\tIN\tB-PP\tO' -p18340 -aS'her\ther\tPRP$\tB-NP\tO' -p18341 -aS'colostomy\tcolostomy\tNN\tI-NP\tO' -p18342 -aS'bag\tbag\tNN\tI-NP\tO' -p18343 -aS'.\t.\t.\tO\tO' -p18344 -asS'3. Unconjugated hyperbilirubinemia .' -p18345 -(lp18346 -S'3.\t3.\tLS\tB-NP\tO' -p18347 -aS'Unconjugated\tUnconjugated\tJJ\tI-NP\tO' -p18348 -aS'hyperbilirubinemia\thyperbilirubinemia\tNN\tI-NP\tO' -p18349 -aS'.\t.\t.\tO\tO' -p18350 -asS'Sclera were anicteric .' -p18351 -(lp18352 -S'Sclera\tSclera\tNNP\tB-NP\tO' -p18353 -aS'were\tbe\tVBD\tB-VP\tO' -p18354 -aS'anicteric\tanicteric\tJJ\tB-ADJP\tO' -p18355 -aS'.\t.\t.\tO\tO' -p18356 -asS'Head CT was done with final results pending on discharge .' -p18357 -(lp18358 -S'Head\tHead\tNN\tB-NP\tO' -p18359 -aS'CT\tCT\tNN\tI-NP\tO' -p18360 -aS'was\tbe\tVBD\tB-VP\tO' -p18361 -aS'done\tdo\tVBN\tI-VP\tO' -p18362 -aS'with\twith\tIN\tB-PP\tO' -p18363 -aS'final\tfinal\tJJ\tB-NP\tO' -p18364 -aS'results\tresult\tNNS\tI-NP\tO' -p18365 -aS'pending\tpende\tVBG\tB-VP\tO' -p18366 -aS'on\ton\tIN\tB-PP\tO' -p18367 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p18368 -aS'.\t.\t.\tO\tO' -p18369 -asS'No driving while taking pain medications .' -p18370 -(lp18371 -S'No\tNo\tDT\tB-NP\tO' -p18372 -aS'driving\tdriving\tNN\tI-NP\tO' -p18373 -aS'while\twhile\tIN\tB-SBAR\tO' -p18374 -aS'taking\ttake\tVBG\tB-VP\tO' -p18375 -aS'pain\tpain\tNN\tB-NP\tO' -p18376 -aS'medications\tmedication\tNNS\tI-NP\tO' -p18377 -aS'.\t.\t.\tO\tO' -p18378 -asS'The patient is a 73 year old male with a recent history of paroxysmal atrial fibrillation and hypercholesterolemia who presented to the Emergency Department with the chief complaint of syncope .' -p18379 -(lp18380 -S'The\tThe\tDT\tB-NP\tO' -p18381 -aS'patient\tpatient\tNN\tI-NP\tO' -p18382 -aS'is\tbe\tVBZ\tB-VP\tO' -p18383 -aS'a\ta\tDT\tB-NP\tO' -p18384 -aS'73\t73\tCD\tI-NP\tO' -p18385 -aS'year\tyear\tNN\tI-NP\tO' -p18386 -aS'old\told\tJJ\tI-NP\tO' -p18387 -aS'male\tmale\tNN\tI-NP\tO' -p18388 -aS'with\twith\tIN\tB-PP\tO' -p18389 -aS'a\ta\tDT\tB-NP\tO' -p18390 -aS'recent\trecent\tJJ\tI-NP\tO' -p18391 -aS'history\thistory\tNN\tI-NP\tO' -p18392 -aS'of\tof\tIN\tB-PP\tO' -p18393 -aS'paroxysmal\tparoxysmal\tJJ\tB-NP\tO' -p18394 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p18395 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p18396 -aS'and\tand\tCC\tI-NP\tO' -p18397 -aS'hypercholesterolemia\thypercholesterolemia\tNN\tI-NP\tO' -p18398 -aS'who\twho\tWP\tB-NP\tO' -p18399 -aS'presented\tpresent\tVBD\tB-VP\tO' -p18400 -aS'to\tto\tTO\tB-PP\tO' -p18401 -aS'the\tthe\tDT\tB-NP\tO' -p18402 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p18403 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p18404 -aS'with\twith\tIN\tB-PP\tO' -p18405 -aS'the\tthe\tDT\tB-NP\tO' -p18406 -aS'chief\tchief\tJJ\tI-NP\tO' -p18407 -aS'complaint\tcomplaint\tNN\tI-NP\tO' -p18408 -aS'of\tof\tIN\tB-PP\tO' -p18409 -aS'syncope\tsyncope\tNN\tB-NP\tO' -p18410 -aS'.\t.\t.\tO\tO' -p18411 -asS'There was no HSM .' -p18412 -(lp18413 -S'There\tThere\tEX\tB-NP\tO' -p18414 -aS'was\tbe\tVBD\tB-VP\tO' -p18415 -aS'no\tno\tDT\tB-NP\tO' -p18416 -aS'HSM\tHSM\tNN\tI-NP\tB-protein' -p18417 -aS'.\t.\t.\tO\tO' -p18418 -asS'She was hemodynamically stable and remained on the ventilator .' -p18419 -(lp18420 -S'She\tShe\tPRP\tB-NP\tO' -p18421 -aS'was\tbe\tVBD\tB-VP\tO' -p18422 -aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' -p18423 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p18424 -aS'and\tand\tCC\tO\tO' -p18425 -aS'remained\tremain\tVBD\tB-VP\tO' -p18426 -aS'on\ton\tIN\tB-PP\tO' -p18427 -aS'the\tthe\tDT\tB-NP\tO' -p18428 -aS'ventilator\tventilator\tNN\tI-NP\tO' -p18429 -aS'.\t.\t.\tO\tO' -p18430 -asS'However , with persistent abdomen distention , there is likely restrictive deficit and , in addition , after each tap , he at times became hypotensive and with some mild fluid resuscitation decompensated with pulmonary edema , requiring both albumin and Lasix to try to mobilize third space fluids .' -p18431 -(lp18432 -S'However\tHowever\tRB\tB-ADVP\tO' -p18433 -aS',\t,\t,\tO\tO' -p18434 -aS'with\twith\tIN\tB-PP\tO' -p18435 -aS'persistent\tpersistent\tJJ\tB-NP\tO' -p18436 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p18437 -aS'distention\tdistention\tNN\tI-NP\tO' -p18438 -aS',\t,\t,\tO\tO' -p18439 -aS'there\tthere\tEX\tB-NP\tO' -p18440 -aS'is\tbe\tVBZ\tB-VP\tO' -p18441 -aS'likely\tlikely\tJJ\tB-NP\tO' -p18442 -aS'restrictive\trestrictive\tJJ\tI-NP\tO' -p18443 -aS'deficit\tdeficit\tNN\tI-NP\tO' -p18444 -aS'and\tand\tCC\tO\tO' -p18445 -aS',\t,\t,\tO\tO' -p18446 -aS'in\tin\tIN\tB-PP\tO' -p18447 -aS'addition\taddition\tNN\tB-NP\tO' -p18448 -aS',\t,\t,\tO\tO' -p18449 -aS'after\tafter\tIN\tB-SBAR\tO' -p18450 -aS'each\teach\tDT\tB-NP\tO' -p18451 -aS'tap\ttap\tNN\tI-NP\tB-protein' -p18452 -aS',\t,\t,\tO\tO' -p18453 -aS'he\the\tPRP\tB-NP\tO' -p18454 -aS'at\tat\tIN\tB-PP\tO' -p18455 -aS'times\ttime\tNNS\tB-NP\tO' -p18456 -aS'became\tbecome\tVBD\tB-VP\tO' -p18457 -aS'hypotensive\thypotensive\tJJ\tB-ADJP\tO' -p18458 -aS'and\tand\tCC\tO\tO' -p18459 -aS'with\twith\tIN\tB-PP\tO' -p18460 -aS'some\tsome\tDT\tB-NP\tO' -p18461 -aS'mild\tmild\tJJ\tI-NP\tO' -p18462 -aS'fluid\tfluid\tNN\tI-NP\tO' -p18463 -aS'resuscitation\tresuscitation\tNN\tI-NP\tO' -p18464 -aS'decompensated\tdecompensate\tVBN\tB-VP\tO' -p18465 -aS'with\twith\tIN\tB-PP\tO' -p18466 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p18467 -aS'edema\tedema\tNN\tI-NP\tO' -p18468 -aS',\t,\t,\tO\tO' -p18469 -aS'requiring\trequire\tVBG\tB-VP\tO' -p18470 -aS'both\tboth\tCC\tO\tO' -p18471 -aS'albumin\talbumin\tNN\tB-NP\tO' -p18472 -aS'and\tand\tCC\tI-NP\tO' -p18473 -aS'Lasix\tLasix\tNN\tI-NP\tO' -p18474 -aS'to\tto\tTO\tB-VP\tO' -p18475 -aS'try\ttry\tVB\tI-VP\tO' -p18476 -aS'to\tto\tTO\tI-VP\tO' -p18477 -aS'mobilize\tmobilize\tVB\tI-VP\tO' -p18478 -aS'third\tthird\tJJ\tB-NP\tO' -p18479 -aS'space\tspace\tNN\tI-NP\tO' -p18480 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p18481 -aS'.\t.\t.\tO\tO' -p18482 -asS'Furthermore there was a mass on the right pectoralis muscle which is supposed to be metastatic cancer .' -p18483 -(lp18484 -S'Furthermore\tFurthermore\tRB\tB-ADVP\tO' -p18485 -aS'there\tthere\tEX\tB-NP\tO' -p18486 -aS'was\tbe\tVBD\tB-VP\tO' -p18487 -aS'a\ta\tDT\tB-NP\tO' -p18488 -aS'mass\tmass\tNN\tI-NP\tO' -p18489 -aS'on\ton\tIN\tB-PP\tO' -p18490 -aS'the\tthe\tDT\tB-NP\tO' -p18491 -aS'right\tright\tJJ\tI-NP\tO' -p18492 -aS'pectoralis\tpectoralis\tNN\tI-NP\tO' -p18493 -aS'muscle\tmuscle\tNN\tI-NP\tO' -p18494 -aS'which\twhich\tWDT\tB-NP\tO' -p18495 -aS'is\tbe\tVBZ\tB-VP\tO' -p18496 -aS'supposed\tsuppose\tVBN\tI-VP\tO' -p18497 -aS'to\tto\tTO\tI-VP\tO' -p18498 -aS'be\tbe\tVB\tI-VP\tO' -p18499 -aS'metastatic\tmetastatic\tJJ\tB-NP\tO' -p18500 -aS'cancer\tcancer\tNN\tI-NP\tO' -p18501 -aS'.\t.\t.\tO\tO' -p18502 -asS'L.F. Quigley Memorial Hospital & Rehab Center - Berkshire Medical Center' -p18503 -(lp18504 -S'L.F.\tL.F.\tNNP\tB-NP\tO' -p18505 -aS'Quigley\tQuigley\tNNP\tI-NP\tO' -p18506 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p18507 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p18508 -aS'&\t&\tCC\tI-NP\tO' -p18509 -aS'Rehab\tRehab\tNNP\tI-NP\tO' -p18510 -aS'Center\tCenter\tNNP\tI-NP\tO' -p18511 -aS'-\t-\tHYPH\tB-NP\tO' -p18512 -aS'Berkshire\tBerkshire\tNNP\tI-NP\tO' -p18513 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p18514 -aS'Center\tCenter\tNNP\tI-NP\tO' -p18515 -asS'The physical examination reveals him to be an elderly gentleman who is alert and oriented and in no acute distress .' -p18516 -(lp18517 -S'The\tThe\tDT\tB-NP\tO' -p18518 -aS'physical\tphysical\tJJ\tI-NP\tO' -p18519 -aS'examination\texamination\tNN\tI-NP\tO' -p18520 -aS'reveals\treveal\tVBZ\tB-VP\tO' -p18521 -aS'him\thim\tPRP\tB-NP\tO' -p18522 -aS'to\tto\tTO\tB-VP\tO' -p18523 -aS'be\tbe\tVB\tI-VP\tO' -p18524 -aS'an\tan\tDT\tB-NP\tO' -p18525 -aS'elderly\telderly\tJJ\tI-NP\tO' -p18526 -aS'gentleman\tgentleman\tNN\tI-NP\tO' -p18527 -aS'who\twho\tWP\tB-NP\tO' -p18528 -aS'is\tbe\tVBZ\tB-VP\tO' -p18529 -aS'alert\talert\tJJ\tB-ADJP\tO' -p18530 -aS'and\tand\tCC\tO\tO' -p18531 -aS'oriented\torient\tVBN\tB-VP\tO' -p18532 -aS'and\tand\tCC\tO\tO' -p18533 -aS'in\tin\tIN\tB-PP\tO' -p18534 -aS'no\tno\tDT\tB-NP\tO' -p18535 -aS'acute\tacute\tJJ\tI-NP\tO' -p18536 -aS'distress\tdistress\tNN\tI-NP\tO' -p18537 -aS'.\t.\t.\tO\tO' -p18538 -asS'Abdominally , he does have his midabdominal incision with good approximated margins and stay sutures in place .' -p18539 -(lp18540 -S'Abdominally\tAbdominally\tRB\tB-ADVP\tO' -p18541 -aS',\t,\t,\tO\tO' -p18542 -aS'he\the\tPRP\tB-NP\tO' -p18543 -aS'does\tdo\tVBZ\tB-VP\tO' -p18544 -aS'have\thave\tVB\tI-VP\tO' -p18545 -aS'his\this\tPRP$\tB-NP\tO' -p18546 -aS'midabdominal\tmidabdominal\tJJ\tI-NP\tO' -p18547 -aS'incision\tincision\tNN\tI-NP\tO' -p18548 -aS'with\twith\tIN\tB-PP\tO' -p18549 -aS'good\tgood\tJJ\tB-NP\tB-protein' -p18550 -aS'approximated\tapproximate\tVBN\tI-NP\tI-protein' -p18551 -aS'margins\tmargin\tNNS\tI-NP\tI-protein' -p18552 -aS'and\tand\tCC\tO\tO' -p18553 -aS'stay\tstay\tVB\tB-VP\tO' -p18554 -aS'sutures\tsuture\tNNS\tB-NP\tO' -p18555 -aS'in\tin\tIN\tB-PP\tO' -p18556 -aS'place\tplace\tNN\tB-NP\tO' -p18557 -aS'.\t.\t.\tO\tO' -p18558 -asS'The abdomen was soft , nontender , no masses and nondistended .' -p18559 -(lp18560 -S'The\tThe\tDT\tB-NP\tO' -p18561 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p18562 -aS'was\tbe\tVBD\tB-VP\tO' -p18563 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p18564 -aS',\t,\t,\tO\tO' -p18565 -aS'nontender\tnontender\tJJ\tB-ADJP\tO' -p18566 -aS',\t,\t,\tO\tO' -p18567 -aS'no\tno\tDT\tB-NP\tO' -p18568 -aS'masses\tmass\tNNS\tI-NP\tO' -p18569 -aS'and\tand\tCC\tO\tO' -p18570 -aS'nondistended\tnondistended\tJJ\tB-ADJP\tO' -p18571 -aS'.\t.\t.\tO\tO' -p18572 -asS'3. Acne .' -p18573 -(lp18574 -S'3.\t3.\tLS\tB-LST\tO' -p18575 -aS'Acne\tAcne\tNNP\tB-NP\tO' -p18576 -aS'.\t.\t.\tO\tO' -p18577 -asS'Temperature 96.8 , heart rate 81 , blood pressure 92/47 , and saturating 100% on 40% FIO2 .' -p18578 -(lp18579 -S'Temperature\tTemperature\tNN\tB-NP\tB-protein' -p18580 -aS'96.8\t96.8\tCD\tI-NP\tI-protein' -p18581 -aS',\t,\t,\tO\tO' -p18582 -aS'heart\theart\tNN\tB-NP\tO' -p18583 -aS'rate\trate\tNN\tI-NP\tO' -p18584 -aS'81\t81\tCD\tI-NP\tO' -p18585 -aS',\t,\t,\tO\tO' -p18586 -aS'blood\tblood\tNN\tB-NP\tO' -p18587 -aS'pressure\tpressure\tNN\tI-NP\tO' -p18588 -aS'92/47\t92/47\tCD\tI-NP\tO' -p18589 -aS',\t,\t,\tO\tO' -p18590 -aS'and\tand\tCC\tO\tO' -p18591 -aS'saturating\tsaturate\tVBG\tB-VP\tO' -p18592 -aS'100%\t100%\tCD\tB-NP\tO' -p18593 -aS'on\ton\tIN\tB-PP\tO' -p18594 -aS'40%\t40%\tJJ\tB-NP\tB-protein' -p18595 -aS'FIO2\tFIO2\tNN\tI-NP\tI-protein' -p18596 -aS'.\t.\t.\tO\tO' -p18597 -asS'10. Calcium carbonate 125.0 mg t.i.d.' -p18598 -(lp18599 -S'10.\t10.\tLS\tB-NP\tO' -p18600 -aS'Calcium\tCalcium\tNN\tI-NP\tO' -p18601 -aS'carbonate\tcarbonate\tNN\tI-NP\tO' -p18602 -aS'125.0\t125.0\tCD\tI-NP\tO' -p18603 -aS'mg\tmg\tNN\tI-NP\tO' -p18604 -aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' -p18605 -asS'- plan to restart Paxil when taking PO' -p18606 -(lp18607 -S'-\t-\tHYPH\tB-NP\tO' -p18608 -aS'plan\tplan\tNN\tI-NP\tO' -p18609 -aS'to\tto\tTO\tB-VP\tO' -p18610 -aS'restart\trestart\tVB\tI-VP\tO' -p18611 -aS'Paxil\tPaxil\tNNP\tB-NP\tB-protein' -p18612 -aS'when\twhen\tWRB\tB-ADVP\tI-protein' -p18613 -aS'taking\ttake\tVBG\tB-VP\tI-protein' -p18614 -aS'PO\tPO\tNN\tB-NP\tI-protein' -p18615 -asS'The cardiology service saw the patient and recommended medical management only without catheterization .' -p18616 -(lp18617 -S'The\tThe\tDT\tB-NP\tO' -p18618 -aS'cardiology\tcardiology\tNN\tI-NP\tO' -p18619 -aS'service\tservice\tNN\tI-NP\tO' -p18620 -aS'saw\tsee\tVBD\tB-VP\tO' -p18621 -aS'the\tthe\tDT\tB-NP\tO' -p18622 -aS'patient\tpatient\tNN\tI-NP\tO' -p18623 -aS'and\tand\tCC\tO\tO' -p18624 -aS'recommended\trecommend\tVBD\tB-VP\tO' -p18625 -aS'medical\tmedical\tJJ\tB-NP\tO' -p18626 -aS'management\tmanagement\tNN\tI-NP\tO' -p18627 -aS'only\tonly\tRB\tB-ADVP\tO' -p18628 -aS'without\twithout\tIN\tB-PP\tO' -p18629 -aS'catheterization\tcatheterization\tNN\tB-NP\tO' -p18630 -aS'.\t.\t.\tO\tO' -p18631 -asS'1. Docusate Sodium 100 mg Capsule Sig : One ( 1 ) Capsule PO BID ( 2 times a day ) as needed for constipation .' -p18632 -(lp18633 -S'1.\t1.\tLS\tB-NP\tO' -p18634 -aS'Docusate\tDocusate\tNN\tI-NP\tO' -p18635 -aS'Sodium\tSodium\tNN\tI-NP\tO' -p18636 -aS'100\t100\tCD\tI-NP\tO' -p18637 -aS'mg\tmg\tNN\tI-NP\tO' -p18638 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p18639 -aS'Sig\tSig\tNNP\tI-NP\tO' -p18640 -aS':\t:\t:\tO\tO' -p18641 -aS'One\tOne\tCD\tB-NP\tO' -p18642 -aS'(\t(\t(\tO\tO' -p18643 -aS'1\t1\tCD\tB-NP\tO' -p18644 -aS')\t)\t)\tO\tO' -p18645 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p18646 -aS'PO\tPO\tNNP\tI-NP\tO' -p18647 -aS'BID\tBID\tNNP\tI-NP\tO' -p18648 -aS'(\t(\t(\tO\tO' -p18649 -aS'2\t2\tCD\tB-NP\tO' -p18650 -aS'times\ttime\tNNS\tI-NP\tO' -p18651 -aS'a\ta\tDT\tB-NP\tO' -p18652 -aS'day\tday\tNN\tI-NP\tO' -p18653 -aS')\t)\t)\tO\tO' -p18654 -aS'as\tas\tIN\tB-SBAR\tO' -p18655 -aS'needed\tneed\tVBN\tB-VP\tO' -p18656 -aS'for\tfor\tIN\tB-PP\tO' -p18657 -aS'constipation\tconstipation\tNN\tB-NP\tO' -p18658 -aS'.\t.\t.\tO\tO' -p18659 -asS'He also has history of hypertension , high cholesterol and noninsulin dependent diabetes mellitus .' -p18660 -(lp18661 -S'He\tHe\tPRP\tB-NP\tO' -p18662 -aS'also\talso\tRB\tB-ADVP\tO' -p18663 -aS'has\thave\tVBZ\tB-VP\tO' -p18664 -aS'history\thistory\tNN\tB-NP\tO' -p18665 -aS'of\tof\tIN\tB-PP\tO' -p18666 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p18667 -aS',\t,\t,\tO\tO' -p18668 -aS'high\thigh\tJJ\tB-NP\tO' -p18669 -aS'cholesterol\tcholesterol\tNN\tI-NP\tO' -p18670 -aS'and\tand\tCC\tO\tO' -p18671 -aS'noninsulin\tnoninsulin\tNN\tB-NP\tO' -p18672 -aS'dependent\tdependent\tJJ\tI-NP\tO' -p18673 -aS'diabetes\tdiabete\tNNS\tI-NP\tO' -p18674 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p18675 -aS'.\t.\t.\tO\tO' -p18676 -asS'The patient was continued on steroids throughout the course of her stay .' -p18677 -(lp18678 -S'The\tThe\tDT\tB-NP\tO' -p18679 -aS'patient\tpatient\tNN\tI-NP\tO' -p18680 -aS'was\tbe\tVBD\tB-VP\tO' -p18681 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p18682 -aS'on\ton\tIN\tB-PP\tO' -p18683 -aS'steroids\tsteroid\tNNS\tB-NP\tO' -p18684 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p18685 -aS'the\tthe\tDT\tB-NP\tO' -p18686 -aS'course\tcourse\tNN\tI-NP\tO' -p18687 -aS'of\tof\tIN\tB-PP\tO' -p18688 -aS'her\ther\tPRP$\tB-NP\tO' -p18689 -aS'stay\tstay\tNN\tI-NP\tO' -p18690 -aS'.\t.\t.\tO\tO' -p18691 -asS'6. Heparin Lock Flush 10 unit / mL Daily as needed .' -p18692 -(lp18693 -S'6.\t6.\tLS\tB-LST\tO' -p18694 -aS'Heparin\tHeparin\tNNP\tB-NP\tO' -p18695 -aS'Lock\tLock\tNNP\tI-NP\tO' -p18696 -aS'Flush\tFlush\tNNP\tI-NP\tO' -p18697 -aS'10\t10\tCD\tI-NP\tO' -p18698 -aS'unit\tunit\tNN\tI-NP\tO' -p18699 -aS'/\t/\tSYM\tB-NP\tO' -p18700 -aS'mL\tmL\tNN\tI-NP\tO' -p18701 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p18702 -aS'as\tas\tIN\tB-SBAR\tO' -p18703 -aS'needed\tneed\tVBN\tB-VP\tO' -p18704 -aS'.\t.\t.\tO\tO' -p18705 -asS'History of hepatic encephalopathy .' -p18706 -(lp18707 -S'History\tHistory\tNN\tB-NP\tO' -p18708 -aS'of\tof\tIN\tB-PP\tO' -p18709 -aS'hepatic\thepatic\tJJ\tB-NP\tO' -p18710 -aS'encephalopathy\tencephalopathy\tNN\tI-NP\tO' -p18711 -aS'.\t.\t.\tO\tO' -p18712 -asS'Tissue returned well differentiated adenocarcinoma .' -p18713 -(lp18714 -S'Tissue\tTissue\tNN\tB-NP\tO' -p18715 -aS'returned\treturn\tVBD\tB-VP\tO' -p18716 -aS'well\twell\tRB\tB-NP\tO' -p18717 -aS'differentiated\tdifferentiate\tVBN\tI-NP\tO' -p18718 -aS'adenocarcinoma\tadenocarcinoma\tNN\tI-NP\tO' -p18719 -aS'.\t.\t.\tO\tO' -p18720 -asS'Please follow up at all scheduled appointments including Wednesday in IR clinic .' -p18721 -(lp18722 -S'Please\tPlease\tVB\tB-VP\tO' -p18723 -aS'follow\tfollow\tVB\tI-VP\tO' -p18724 -aS'up\tup\tRP\tB-PRT\tO' -p18725 -aS'at\tat\tIN\tB-PP\tO' -p18726 -aS'all\tall\tDT\tB-NP\tO' -p18727 -aS'scheduled\tschedule\tVBN\tI-NP\tO' -p18728 -aS'appointments\tappointment\tNNS\tI-NP\tO' -p18729 -aS'including\tinclude\tVBG\tB-PP\tO' -p18730 -aS'Wednesday\tWednesday\tNNP\tB-NP\tO' -p18731 -aS'in\tin\tIN\tB-PP\tO' -p18732 -aS'IR\tIR\tNN\tB-NP\tO' -p18733 -aS'clinic\tclinic\tNN\tI-NP\tO' -p18734 -aS'.\t.\t.\tO\tO' -p18735 -asS'Seen by GI and plan is to continue holding anticoagulation and repeat scope on Monday .' -p18736 -(lp18737 -S'Seen\tSeen\tNN\tB-NP\tO' -p18738 -aS'by\tby\tIN\tB-PP\tO' -p18739 -aS'GI\tGI\tNN\tB-NP\tO' -p18740 -aS'and\tand\tCC\tI-NP\tO' -p18741 -aS'plan\tplan\tNN\tI-NP\tO' -p18742 -aS'is\tbe\tVBZ\tB-VP\tO' -p18743 -aS'to\tto\tTO\tB-VP\tO' -p18744 -aS'continue\tcontinue\tVB\tI-VP\tO' -p18745 -aS'holding\thold\tVBG\tI-VP\tO' -p18746 -aS'anticoagulation\tanticoagulation\tNN\tB-NP\tO' -p18747 -aS'and\tand\tCC\tI-NP\tO' -p18748 -aS'repeat\trepeat\tNN\tI-NP\tO' -p18749 -aS'scope\tscope\tNN\tI-NP\tO' -p18750 -aS'on\ton\tIN\tB-PP\tO' -p18751 -aS'Monday\tMonday\tNNP\tB-NP\tO' -p18752 -aS'.\t.\t.\tO\tO' -p18753 -asS'The patient then had recurrent bleeding two weeks later which was once again repaired .' -p18754 -(lp18755 -S'The\tThe\tDT\tB-NP\tO' -p18756 -aS'patient\tpatient\tNN\tI-NP\tO' -p18757 -aS'then\tthen\tRB\tB-ADVP\tO' -p18758 -aS'had\thave\tVBD\tB-VP\tO' -p18759 -aS'recurrent\trecurrent\tJJ\tB-ADJP\tO' -p18760 -aS'bleeding\tbleed\tVBG\tB-VP\tO' -p18761 -aS'two\ttwo\tCD\tB-NP\tO' -p18762 -aS'weeks\tweek\tNNS\tI-NP\tO' -p18763 -aS'later\tlater\tRB\tB-ADVP\tO' -p18764 -aS'which\twhich\tWDT\tB-NP\tO' -p18765 -aS'was\tbe\tVBD\tB-VP\tO' -p18766 -aS'once\tonce\tRB\tB-VP\tO' -p18767 -aS'again\tagain\tRB\tI-VP\tO' -p18768 -aS'repaired\trepair\tVBN\tI-VP\tO' -p18769 -aS'.\t.\t.\tO\tO' -p18770 -asS'With regards to the cancer , there was a large mass along the greater curvature in the body of the stomach , and several perigastric lymph nodes which were taken with the specimen .' -p18771 -(lp18772 -S'With\tWith\tIN\tB-SBAR\tO' -p18773 -aS'regards\tregard\tNNS\tB-NP\tO' -p18774 -aS'to\tto\tTO\tB-PP\tO' -p18775 -aS'the\tthe\tDT\tB-NP\tO' -p18776 -aS'cancer\tcancer\tNN\tI-NP\tO' -p18777 -aS',\t,\t,\tO\tO' -p18778 -aS'there\tthere\tEX\tB-NP\tO' -p18779 -aS'was\tbe\tVBD\tB-VP\tO' -p18780 -aS'a\ta\tDT\tB-NP\tO' -p18781 -aS'large\tlarge\tJJ\tI-NP\tO' -p18782 -aS'mass\tmass\tNN\tI-NP\tO' -p18783 -aS'along\talong\tIN\tB-PP\tO' -p18784 -aS'the\tthe\tDT\tB-NP\tO' -p18785 -aS'greater\tgreat\tJJR\tI-NP\tO' -p18786 -aS'curvature\tcurvature\tNN\tI-NP\tO' -p18787 -aS'in\tin\tIN\tB-PP\tO' -p18788 -aS'the\tthe\tDT\tB-NP\tO' -p18789 -aS'body\tbody\tNN\tI-NP\tO' -p18790 -aS'of\tof\tIN\tB-PP\tO' -p18791 -aS'the\tthe\tDT\tB-NP\tO' -p18792 -aS'stomach\tstomach\tNN\tI-NP\tO' -p18793 -aS',\t,\t,\tO\tO' -p18794 -aS'and\tand\tCC\tO\tO' -p18795 -aS'several\tseveral\tJJ\tB-NP\tO' -p18796 -aS'perigastric\tperigastric\tJJ\tI-NP\tO' -p18797 -aS'lymph\tlymph\tNN\tI-NP\tO' -p18798 -aS'nodes\tnode\tNNS\tI-NP\tO' -p18799 -aS'which\twhich\tWDT\tB-NP\tO' -p18800 -aS'were\tbe\tVBD\tB-VP\tO' -p18801 -aS'taken\ttake\tVBN\tI-VP\tO' -p18802 -aS'with\twith\tIN\tB-PP\tO' -p18803 -aS'the\tthe\tDT\tB-NP\tO' -p18804 -aS'specimen\tspecimen\tNN\tI-NP\tO' -p18805 -aS'.\t.\t.\tO\tO' -p18806 -asS'16. Hydralazine HCl 20 mg / mL Solution Sig : 0.5 syringe Injection Q4HR ( ) as needed for sbp > 150 .' -p18807 -(lp18808 -S'16.\t16.\tLS\tB-NP\tO' -p18809 -aS'Hydralazine\tHydralazine\tNN\tI-NP\tO' -p18810 -aS'HCl\tHCl\tNN\tI-NP\tO' -p18811 -aS'20\t20\tCD\tI-NP\tO' -p18812 -aS'mg\tmg\tNN\tI-NP\tO' -p18813 -aS'/\t/\tSYM\tB-NP\tO' -p18814 -aS'mL\tmL\tNN\tI-NP\tO' -p18815 -aS'Solution\tSolution\tNNP\tI-NP\tO' -p18816 -aS'Sig\tSig\tNNP\tI-NP\tO' -p18817 -aS':\t:\t:\tO\tO' -p18818 -aS'0.5\t0.5\tCD\tB-NP\tO' -p18819 -aS'syringe\tsyringe\tNN\tI-NP\tO' -p18820 -aS'Injection\tInjection\tNN\tI-NP\tO' -p18821 -aS'Q4HR\tQ4HR\tNN\tI-NP\tO' -p18822 -aS'(\t(\t(\tO\tO' -p18823 -aS')\t)\t)\tO\tO' -p18824 -aS'as\tas\tIN\tB-SBAR\tO' -p18825 -aS'needed\tneed\tVBN\tB-VP\tO' -p18826 -aS'for\tfor\tIN\tB-PP\tO' -p18827 -aS'sbp\tsbp\tNN\tB-NP\tO' -p18828 -aS'>\t>\tSYM\tB-NP\tO' -p18829 -aS'150\t150\tCD\tI-NP\tO' -p18830 -aS'.\t.\t.\tO\tO' -p18831 -asS'Pelvic exam showed a small mobile uterus .' -p18832 -(lp18833 -S'Pelvic\tPelvic\tJJ\tB-NP\tO' -p18834 -aS'exam\texam\tNN\tI-NP\tO' -p18835 -aS'showed\tshow\tVBD\tB-VP\tO' -p18836 -aS'a\ta\tDT\tB-NP\tO' -p18837 -aS'small\tsmall\tJJ\tI-NP\tO' -p18838 -aS'mobile\tmobile\tJJ\tI-NP\tO' -p18839 -aS'uterus\tuterus\tNN\tI-NP\tO' -p18840 -aS'.\t.\t.\tO\tO' -p18841 -asS'No drug use .' -p18842 -(lp18843 -S'No\tNo\tDT\tB-NP\tO' -p18844 -aS'drug\tdrug\tNN\tI-NP\tO' -p18845 -aS'use\tuse\tNN\tI-NP\tO' -p18846 -aS'.\t.\t.\tO\tO' -p18847 -asS'The gastric biopsy and the serology were both negative for H. pylori .' -p18848 -(lp18849 -S'The\tThe\tDT\tB-NP\tO' -p18850 -aS'gastric\tgastric\tJJ\tI-NP\tO' -p18851 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p18852 -aS'and\tand\tCC\tO\tO' -p18853 -aS'the\tthe\tDT\tB-NP\tO' -p18854 -aS'serology\tserology\tNN\tI-NP\tO' -p18855 -aS'were\tbe\tVBD\tB-VP\tO' -p18856 -aS'both\tboth\tCC\tO\tO' -p18857 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p18858 -aS'for\tfor\tIN\tB-PP\tO' -p18859 -aS'H.\tH.\tNN\tB-NP\tO' -p18860 -aS'pylori\tpylori\tNN\tI-NP\tO' -p18861 -aS'.\t.\t.\tO\tO' -p18862 -asS'On 2/24/00 , the patient had an episode of exacerbation of epigastric pain with radiation to the left upper quadrant .' -p18863 -(lp18864 -S'On\tOn\tIN\tB-PP\tO' -p18865 -aS'2/24/00\t2/24/00\tCD\tB-NP\tO' -p18866 -aS',\t,\t,\tO\tO' -p18867 -aS'the\tthe\tDT\tB-NP\tO' -p18868 -aS'patient\tpatient\tNN\tI-NP\tO' -p18869 -aS'had\thave\tVBD\tB-VP\tO' -p18870 -aS'an\tan\tDT\tB-NP\tO' -p18871 -aS'episode\tepisode\tNN\tI-NP\tO' -p18872 -aS'of\tof\tIN\tB-PP\tO' -p18873 -aS'exacerbation\texacerbation\tNN\tB-NP\tO' -p18874 -aS'of\tof\tIN\tB-PP\tO' -p18875 -aS'epigastric\tepigastric\tJJ\tB-NP\tB-protein' -p18876 -aS'pain\tpain\tNN\tI-NP\tI-protein' -p18877 -aS'with\twith\tIN\tB-PP\tO' -p18878 -aS'radiation\tradiation\tNN\tB-NP\tO' -p18879 -aS'to\tto\tTO\tB-PP\tO' -p18880 -aS'the\tthe\tDT\tB-NP\tO' -p18881 -aS'left\tleft\tJJ\tI-NP\tO' -p18882 -aS'upper\tupper\tJJ\tI-NP\tO' -p18883 -aS'quadrant\tquadrant\tNN\tI-NP\tO' -p18884 -aS'.\t.\t.\tO\tO' -p18885 -asS'Fontanelle soft and flat .' -p18886 -(lp18887 -S'Fontanelle\tFontanelle\tNN\tB-NP\tO' -p18888 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p18889 -aS'and\tand\tCC\tI-ADJP\tO' -p18890 -aS'flat\tflat\tJJ\tI-ADJP\tO' -p18891 -aS'.\t.\t.\tO\tO' -p18892 -asS'Apgars were 8 at one minute and 9 at five minutes .' -p18893 -(lp18894 -S'Apgars\tApgar\tNNS\tB-NP\tO' -p18895 -aS'were\tbe\tVBD\tB-VP\tO' -p18896 -aS'8\t8\tCD\tB-NP\tO' -p18897 -aS'at\tat\tIN\tB-PP\tO' -p18898 -aS'one\tone\tCD\tB-NP\tO' -p18899 -aS'minute\tminute\tNN\tI-NP\tO' -p18900 -aS'and\tand\tCC\tO\tO' -p18901 -aS'9\t9\tCD\tB-NP\tO' -p18902 -aS'at\tat\tIN\tB-PP\tO' -p18903 -aS'five\tfive\tCD\tB-NP\tO' -p18904 -aS'minutes\tminute\tNNS\tI-NP\tO' -p18905 -aS'.\t.\t.\tO\tO' -p18906 -asS'1. Coronary artery disease s/p MI 20 years ago' -p18907 -(lp18908 -S'1.\t1.\tLS\tB-NP\tO' -p18909 -aS'Coronary\tCoronary\tJJ\tI-NP\tO' -p18910 -aS'artery\tartery\tNN\tI-NP\tO' -p18911 -aS'disease\tdisease\tNN\tI-NP\tO' -p18912 -aS's/p\ts/p\tNN\tI-NP\tO' -p18913 -aS'MI\tMI\tNN\tI-NP\tO' -p18914 -aS'20\t20\tCD\tB-NP\tO' -p18915 -aS'years\tyear\tNNS\tI-NP\tO' -p18916 -aS'ago\tago\tIN\tB-ADVP\tO' -p18917 -asS'The pain improved quickly and the patient was started on a clear liquid diet which was advanced as tolerated .' -p18918 -(lp18919 -S'The\tThe\tDT\tB-NP\tO' -p18920 -aS'pain\tpain\tNN\tI-NP\tO' -p18921 -aS'improved\timprove\tVBD\tB-VP\tO' -p18922 -aS'quickly\tquickly\tRB\tB-ADVP\tO' -p18923 -aS'and\tand\tCC\tO\tO' -p18924 -aS'the\tthe\tDT\tB-NP\tO' -p18925 -aS'patient\tpatient\tNN\tI-NP\tO' -p18926 -aS'was\tbe\tVBD\tB-VP\tO' -p18927 -aS'started\tstart\tVBN\tI-VP\tO' -p18928 -aS'on\ton\tIN\tB-PP\tO' -p18929 -aS'a\ta\tDT\tB-NP\tO' -p18930 -aS'clear\tclear\tJJ\tI-NP\tO' -p18931 -aS'liquid\tliquid\tNN\tI-NP\tO' -p18932 -aS'diet\tdiet\tNN\tI-NP\tO' -p18933 -aS'which\twhich\tWDT\tB-NP\tO' -p18934 -aS'was\tbe\tVBD\tB-VP\tO' -p18935 -aS'advanced\tadvance\tVBN\tI-VP\tO' -p18936 -aS'as\tas\tIN\tB-SBAR\tO' -p18937 -aS'tolerated\ttolerate\tVBN\tB-VP\tO' -p18938 -aS'.\t.\t.\tO\tO' -p18939 -asS'Her EKG was normal .' -p18940 -(lp18941 -S'Her\tHer\tPRP$\tB-NP\tO' -p18942 -aS'EKG\tEKG\tNN\tI-NP\tB-protein' -p18943 -aS'was\tbe\tVBD\tB-VP\tO' -p18944 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p18945 -aS'.\t.\t.\tO\tO' -p18946 -asS'Call with any spiking fevers , leakage from your head wound , increase in headaches , confusion , blurry vision severe neck stiffness , redness , swelling , or discharge around your wound site' -p18947 -(lp18948 -S'Call\tCall\tVB\tB-NP\tO' -p18949 -aS'with\twith\tIN\tB-PP\tO' -p18950 -aS'any\tany\tDT\tB-NP\tO' -p18951 -aS'spiking\tspiking\tNN\tI-NP\tO' -p18952 -aS'fevers\tfever\tNNS\tI-NP\tO' -p18953 -aS',\t,\t,\tO\tO' -p18954 -aS'leakage\tleakage\tNN\tB-NP\tO' -p18955 -aS'from\tfrom\tIN\tB-PP\tO' -p18956 -aS'your\tyour\tPRP$\tB-NP\tO' -p18957 -aS'head\thead\tNN\tI-NP\tO' -p18958 -aS'wound\twound\tNN\tI-NP\tO' -p18959 -aS',\t,\t,\tO\tO' -p18960 -aS'increase\tincrease\tNN\tB-NP\tO' -p18961 -aS'in\tin\tIN\tB-PP\tO' -p18962 -aS'headaches\theadache\tNNS\tB-NP\tO' -p18963 -aS',\t,\t,\tO\tO' -p18964 -aS'confusion\tconfusion\tNN\tB-NP\tO' -p18965 -aS',\t,\t,\tO\tO' -p18966 -aS'blurry\tblurry\tJJ\tB-NP\tO' -p18967 -aS'vision\tvision\tNN\tI-NP\tO' -p18968 -aS'severe\tsevere\tJJ\tI-NP\tO' -p18969 -aS'neck\tneck\tNN\tI-NP\tO' -p18970 -aS'stiffness\tstiffness\tNN\tI-NP\tO' -p18971 -aS',\t,\t,\tO\tO' -p18972 -aS'redness\tredness\tNN\tB-NP\tO' -p18973 -aS',\t,\t,\tO\tO' -p18974 -aS'swelling\tswelling\tNN\tB-NP\tO' -p18975 -aS',\t,\t,\tO\tO' -p18976 -aS'or\tor\tCC\tO\tO' -p18977 -aS'discharge\tdischarge\tVB\tB-VP\tO' -p18978 -aS'around\taround\tIN\tB-PP\tO' -p18979 -aS'your\tyour\tPRP$\tB-NP\tB-DNA' -p18980 -aS'wound\twound\tNN\tI-NP\tI-DNA' -p18981 -aS'site\tsite\tNN\tI-NP\tI-DNA' -p18982 -asS'In consultation with the EP Service , Diltiazem was stopped .' -p18983 -(lp18984 -S'In\tIn\tIN\tB-PP\tO' -p18985 -aS'consultation\tconsultation\tNN\tB-NP\tO' -p18986 -aS'with\twith\tIN\tB-PP\tO' -p18987 -aS'the\tthe\tDT\tB-NP\tO' -p18988 -aS'EP\tEP\tNNP\tI-NP\tO' -p18989 -aS'Service\tService\tNNP\tI-NP\tO' -p18990 -aS',\t,\t,\tO\tO' -p18991 -aS'Diltiazem\tDiltiazem\tNNP\tB-NP\tO' -p18992 -aS'was\tbe\tVBD\tB-VP\tO' -p18993 -aS'stopped\tstop\tVBN\tI-VP\tO' -p18994 -aS'.\t.\t.\tO\tO' -p18995 -asS'- Mylanta 30 cc po q6 prn' -p18996 -(lp18997 -S'-\t-\tHYPH\tB-NP\tO' -p18998 -aS'Mylanta\tMylanta\tNN\tI-NP\tO' -p18999 -aS'30\t30\tCD\tI-NP\tO' -p19000 -aS'cc\tcc\tNN\tI-NP\tO' -p19001 -aS'po\tpo\tNN\tI-NP\tO' -p19002 -aS'q6\tq6\tNN\tI-NP\tO' -p19003 -aS'prn\tprn\tNN\tI-NP\tO' -p19004 -asS'Once her mental status improved she was discharged .' -p19005 -(lp19006 -S'Once\tOnce\tRB\tO\tO' -p19007 -aS'her\ther\tPRP$\tB-NP\tO' -p19008 -aS'mental\tmental\tJJ\tI-NP\tO' -p19009 -aS'status\tstatus\tNN\tI-NP\tO' -p19010 -aS'improved\timprove\tVBD\tB-VP\tO' -p19011 -aS'she\tshe\tPRP\tB-NP\tO' -p19012 -aS'was\tbe\tVBD\tB-VP\tO' -p19013 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p19014 -aS'.\t.\t.\tO\tO' -p19015 -asS'Her visual fields were intact .' -p19016 -(lp19017 -S'Her\tHer\tPRP$\tB-NP\tO' -p19018 -aS'visual\tvisual\tJJ\tI-NP\tO' -p19019 -aS'fields\tfield\tNNS\tI-NP\tO' -p19020 -aS'were\tbe\tVBD\tB-VP\tO' -p19021 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p19022 -aS'.\t.\t.\tO\tO' -p19023 -asS'She was put on Vicodin ES and Ultram with minimal relief .' -p19024 -(lp19025 -S'She\tShe\tPRP\tB-NP\tO' -p19026 -aS'was\tbe\tVBD\tB-VP\tO' -p19027 -aS'put\tput\tVBN\tI-VP\tO' -p19028 -aS'on\ton\tIN\tB-PP\tO' -p19029 -aS'Vicodin\tVicodin\tNNP\tB-NP\tO' -p19030 -aS'ES\tES\tNNP\tI-NP\tO' -p19031 -aS'and\tand\tCC\tI-NP\tO' -p19032 -aS'Ultram\tUltram\tNNP\tI-NP\tO' -p19033 -aS'with\twith\tIN\tB-PP\tO' -p19034 -aS'minimal\tminimal\tJJ\tB-NP\tO' -p19035 -aS'relief\trelief\tNN\tI-NP\tO' -p19036 -aS'.\t.\t.\tO\tO' -p19037 -asS'Her course later became complicated by visual and auditory hallucinations .' -p19038 -(lp19039 -S'Her\tHer\tPRP$\tB-NP\tO' -p19040 -aS'course\tcourse\tNN\tI-NP\tO' -p19041 -aS'later\tlater\tRB\tB-ADVP\tO' -p19042 -aS'became\tbecome\tVBD\tB-VP\tO' -p19043 -aS'complicated\tcomplicate\tVBN\tI-VP\tO' -p19044 -aS'by\tby\tIN\tB-PP\tO' -p19045 -aS'visual\tvisual\tJJ\tB-NP\tO' -p19046 -aS'and\tand\tCC\tI-NP\tO' -p19047 -aS'auditory\tauditory\tJJ\tI-NP\tO' -p19048 -aS'hallucinations\thallucination\tNNS\tI-NP\tO' -p19049 -aS'.\t.\t.\tO\tO' -p19050 -asS'She has not had an LP as far as Dr. Ginger knows .' -p19051 -(lp19052 -S'She\tShe\tPRP\tB-NP\tO' -p19053 -aS'has\thave\tVBZ\tB-VP\tO' -p19054 -aS'not\tnot\tRB\tI-VP\tO' -p19055 -aS'had\thave\tVBN\tI-VP\tO' -p19056 -aS'an\tan\tDT\tB-NP\tO' -p19057 -aS'LP\tLP\tNN\tI-NP\tO' -p19058 -aS'as\tas\tRB\tB-ADVP\tO' -p19059 -aS'far\tfar\tRB\tI-ADVP\tO' -p19060 -aS'as\tas\tIN\tB-SBAR\tO' -p19061 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p19062 -aS'Ginger\tGinger\tNNP\tI-NP\tO' -p19063 -aS'knows\tknow\tVBZ\tB-VP\tO' -p19064 -aS'.\t.\t.\tO\tO' -p19065 -asS'Aspirin 81 mg p.o. q. day .' -p19066 -(lp19067 -S'Aspirin\tAspirin\tNN\tB-NP\tO' -p19068 -aS'81\t81\tCD\tI-NP\tO' -p19069 -aS'mg\tmg\tNN\tI-NP\tO' -p19070 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p19071 -aS'q.\tq.\tNN\tI-NP\tO' -p19072 -aS'day\tday\tNN\tI-NP\tO' -p19073 -aS'.\t.\t.\tO\tO' -p19074 -asS'It was felt that the decreased urine output was secondary to her preload dependence , and that her urine output increased significantly when she was adequately hydrated in the Medical Intensive Care Unit .' -p19075 -(lp19076 -S'It\tIt\tPRP\tB-NP\tO' -p19077 -aS'was\tbe\tVBD\tB-VP\tO' -p19078 -aS'felt\tfeel\tVBN\tI-VP\tO' -p19079 -aS'that\tthat\tIN\tB-SBAR\tO' -p19080 -aS'the\tthe\tDT\tB-NP\tO' -p19081 -aS'decreased\tdecrease\tVBN\tI-NP\tO' -p19082 -aS'urine\turine\tNN\tI-NP\tO' -p19083 -aS'output\toutput\tNN\tI-NP\tO' -p19084 -aS'was\tbe\tVBD\tB-VP\tO' -p19085 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p19086 -aS'to\tto\tTO\tB-PP\tO' -p19087 -aS'her\ther\tPRP$\tB-NP\tO' -p19088 -aS'preload\tpreload\tJJ\tI-NP\tO' -p19089 -aS'dependence\tdependence\tNN\tI-NP\tO' -p19090 -aS',\t,\t,\tO\tO' -p19091 -aS'and\tand\tCC\tO\tO' -p19092 -aS'that\tthat\tIN\tB-SBAR\tO' -p19093 -aS'her\ther\tPRP$\tB-NP\tO' -p19094 -aS'urine\turine\tNN\tI-NP\tO' -p19095 -aS'output\toutput\tNN\tI-NP\tO' -p19096 -aS'increased\tincrease\tVBD\tB-VP\tO' -p19097 -aS'significantly\tsignificantly\tRB\tB-ADVP\tO' -p19098 -aS'when\twhen\tWRB\tB-ADVP\tO' -p19099 -aS'she\tshe\tPRP\tB-NP\tO' -p19100 -aS'was\tbe\tVBD\tB-VP\tO' -p19101 -aS'adequately\tadequately\tRB\tI-VP\tO' -p19102 -aS'hydrated\thydrate\tVBN\tI-VP\tO' -p19103 -aS'in\tin\tIN\tB-PP\tO' -p19104 -aS'the\tthe\tDT\tB-NP\tO' -p19105 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p19106 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p19107 -aS'Care\tCare\tNNP\tI-NP\tO' -p19108 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p19109 -aS'.\t.\t.\tO\tO' -p19110 -asS'1 ) Calcitriol 0.25 mcg p.o. q. day .' -p19111 -(lp19112 -S'1\t1\tLS\tB-LST\tO' -p19113 -aS')\t)\t)\tO\tO' -p19114 -aS'Calcitriol\tCalcitriol\tNN\tB-NP\tO' -p19115 -aS'0.25\t0.25\tCD\tI-NP\tO' -p19116 -aS'mcg\tmcg\tNN\tI-NP\tO' -p19117 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p19118 -aS'q.\tq.\tNN\tI-NP\tO' -p19119 -aS'day\tday\tNN\tI-NP\tO' -p19120 -aS'.\t.\t.\tO\tO' -p19121 -asS'Stool c. diff neg x1 .' -p19122 -(lp19123 -S'Stool\tStool\tNN\tB-NP\tB-protein' -p19124 -aS'c.\tc.\tNN\tI-NP\tI-protein' -p19125 -aS'diff\tdiff\tNN\tI-NP\tI-protein' -p19126 -aS'neg\tneg\tNN\tI-NP\tI-protein' -p19127 -aS'x1\tx1\tNN\tI-NP\tI-protein' -p19128 -aS'.\t.\t.\tO\tO' -p19129 -asS'Over the next several hospital days the patient underwent aortogram as well as chest computer tomogram as outlined earlier .' -p19130 -(lp19131 -S'Over\tOver\tIN\tB-PP\tO' -p19132 -aS'the\tthe\tDT\tB-NP\tO' -p19133 -aS'next\tnext\tJJ\tI-NP\tO' -p19134 -aS'several\tseveral\tJJ\tI-NP\tO' -p19135 -aS'hospital\thospital\tNN\tI-NP\tO' -p19136 -aS'days\tday\tVBZ\tB-VP\tO' -p19137 -aS'the\tthe\tDT\tB-NP\tO' -p19138 -aS'patient\tpatient\tNN\tI-NP\tO' -p19139 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p19140 -aS'aortogram\taortogram\tNN\tB-NP\tO' -p19141 -aS'as\tas\tRB\tB-CONJP\tO' -p19142 -aS'well\twell\tRB\tI-CONJP\tO' -p19143 -aS'as\tas\tIN\tI-CONJP\tO' -p19144 -aS'chest\tch\tJJS\tB-NP\tO' -p19145 -aS'computer\tcomputer\tNN\tI-NP\tO' -p19146 -aS'tomogram\ttomogram\tNN\tI-NP\tO' -p19147 -aS'as\tas\tIN\tB-SBAR\tO' -p19148 -aS'outlined\toutline\tVBN\tB-VP\tO' -p19149 -aS'earlier\tearlier\tRBR\tB-ADVP\tO' -p19150 -aS'.\t.\t.\tO\tO' -p19151 -asS'It did , however , show diffuse slowing .' -p19152 -(lp19153 -S'It\tIt\tPRP\tB-NP\tO' -p19154 -aS'did\tdo\tVBD\tB-VP\tO' -p19155 -aS',\t,\t,\tO\tO' -p19156 -aS'however\thowever\tRB\tB-ADVP\tO' -p19157 -aS',\t,\t,\tO\tO' -p19158 -aS'show\tshow\tVBP\tB-VP\tO' -p19159 -aS'diffuse\tdiffuse\tJJ\tB-NP\tO' -p19160 -aS'slowing\tslowing\tNN\tI-NP\tO' -p19161 -aS'.\t.\t.\tO\tO' -p19162 -asS'Rotator cuff measures 4-5 on the right and 5 out of 5 on the left .' -p19163 -(lp19164 -S'Rotator\tRotator\tNN\tB-NP\tO' -p19165 -aS'cuff\tcuff\tNN\tI-NP\tO' -p19166 -aS'measures\tmeasure\tNNS\tI-NP\tO' -p19167 -aS'4-5\t4-5\tCD\tB-NP\tO' -p19168 -aS'on\ton\tIN\tB-PP\tO' -p19169 -aS'the\tthe\tDT\tB-NP\tO' -p19170 -aS'right\tright\tJJ\tI-NP\tO' -p19171 -aS'and\tand\tCC\tO\tO' -p19172 -aS'5\t5\tCD\tB-NP\tO' -p19173 -aS'out\tout\tIN\tB-PP\tO' -p19174 -aS'of\tof\tIN\tB-PP\tO' -p19175 -aS'5\t5\tCD\tB-NP\tO' -p19176 -aS'on\ton\tIN\tB-PP\tO' -p19177 -aS'the\tthe\tDT\tB-NP\tO' -p19178 -aS'left\tleft\tNN\tI-NP\tO' -p19179 -aS'.\t.\t.\tO\tO' -p19180 -asS'The LAD diffusely diseased proximal section up to 50% with focal 70% mid segment lesion .' -p19181 -(lp19182 -S'The\tThe\tDT\tB-NP\tO' -p19183 -aS'LAD\tLAD\tNN\tI-NP\tO' -p19184 -aS'diffusely\tdiffusely\tRB\tB-ADVP\tO' -p19185 -aS'diseased\tdisease\tVBD\tB-VP\tO' -p19186 -aS'proximal\tproximal\tJJ\tB-NP\tO' -p19187 -aS'section\tsection\tNN\tI-NP\tO' -p19188 -aS'up\tup\tIN\tB-PP\tO' -p19189 -aS'to\tto\tTO\tB-PP\tO' -p19190 -aS'50%\t50%\tCD\tB-NP\tO' -p19191 -aS'with\twith\tIN\tB-PP\tO' -p19192 -aS'focal\tfocal\tJJ\tB-NP\tO' -p19193 -aS'70%\t70%\tJJ\tI-NP\tO' -p19194 -aS'mid\tmid\tJJ\tI-NP\tO' -p19195 -aS'segment\tsegment\tNN\tI-NP\tO' -p19196 -aS'lesion\tlesion\tNN\tI-NP\tO' -p19197 -aS'.\t.\t.\tO\tO' -p19198 -asS'Although the patient 's room air saturation was 96% during this admission , she subjectively complained of increased shortness of breath .' -p19199 -(lp19200 -S'Although\tAlthough\tIN\tB-SBAR\tO' -p19201 -aS'the\tthe\tDT\tB-NP\tO' -p19202 -aS'patient\tpatient\tNN\tI-NP\tO' -p19203 -aS''s\t'\tNNS\tI-NP\tO' -p19204 -aS'room\troom\tNN\tI-NP\tO' -p19205 -aS'air\tair\tNN\tI-NP\tO' -p19206 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p19207 -aS'was\tbe\tVBD\tB-VP\tO' -p19208 -aS'96%\t96%\tCD\tB-NP\tO' -p19209 -aS'during\tduring\tIN\tB-PP\tO' -p19210 -aS'this\tthis\tDT\tB-NP\tO' -p19211 -aS'admission\tadmission\tNN\tI-NP\tO' -p19212 -aS',\t,\t,\tO\tO' -p19213 -aS'she\tshe\tPRP\tB-NP\tO' -p19214 -aS'subjectively\tsubjectively\tRB\tB-ADVP\tO' -p19215 -aS'complained\tcomplain\tVBD\tB-VP\tO' -p19216 -aS'of\tof\tIN\tB-PP\tO' -p19217 -aS'increased\tincrease\tVBN\tB-NP\tO' -p19218 -aS'shortness\tshortness\tNN\tI-NP\tO' -p19219 -aS'of\tof\tIN\tB-PP\tO' -p19220 -aS'breath\tbreath\tNN\tB-NP\tO' -p19221 -aS'.\t.\t.\tO\tO' -p19222 -asS'Her stomach and duodenum were normal and it was suggested that she change her Nexium doses to daily and that she also drink plenty of fluids and water with meals , sit upright when she would eat her meals to decrease the chance of pills eroding her esophagus .' -p19223 -(lp19224 -S'Her\tHer\tPRP$\tB-NP\tO' -p19225 -aS'stomach\tstomach\tNN\tI-NP\tO' -p19226 -aS'and\tand\tCC\tI-NP\tO' -p19227 -aS'duodenum\tduodenum\tNN\tI-NP\tO' -p19228 -aS'were\tbe\tVBD\tB-VP\tO' -p19229 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p19230 -aS'and\tand\tCC\tO\tO' -p19231 -aS'it\tit\tPRP\tB-NP\tO' -p19232 -aS'was\tbe\tVBD\tB-VP\tO' -p19233 -aS'suggested\tsuggest\tVBN\tI-VP\tO' -p19234 -aS'that\tthat\tIN\tB-SBAR\tO' -p19235 -aS'she\tshe\tPRP\tB-NP\tO' -p19236 -aS'change\tchange\tVB\tB-VP\tO' -p19237 -aS'her\ther\tPRP$\tB-NP\tO' -p19238 -aS'Nexium\tNexium\tNN\tI-NP\tO' -p19239 -aS'doses\tdose\tNNS\tI-NP\tO' -p19240 -aS'to\tto\tTO\tB-PP\tO' -p19241 -aS'daily\tdaily\tRB\tB-ADVP\tO' -p19242 -aS'and\tand\tCC\tO\tO' -p19243 -aS'that\tthat\tIN\tB-SBAR\tO' -p19244 -aS'she\tshe\tPRP\tB-NP\tO' -p19245 -aS'also\talso\tRB\tB-ADVP\tO' -p19246 -aS'drink\tdrink\tVBP\tB-VP\tO' -p19247 -aS'plenty\tplenty\tNN\tB-NP\tO' -p19248 -aS'of\tof\tIN\tB-PP\tO' -p19249 -aS'fluids\tfluid\tNNS\tB-NP\tO' -p19250 -aS'and\tand\tCC\tO\tO' -p19251 -aS'water\twater\tNN\tB-NP\tO' -p19252 -aS'with\twith\tIN\tB-PP\tO' -p19253 -aS'meals\tmeal\tNNS\tB-NP\tO' -p19254 -aS',\t,\t,\tO\tO' -p19255 -aS'sit\tsit\tVBP\tB-VP\tO' -p19256 -aS'upright\tupright\tRB\tB-ADVP\tO' -p19257 -aS'when\twhen\tWRB\tB-ADVP\tO' -p19258 -aS'she\tshe\tPRP\tB-NP\tO' -p19259 -aS'would\twould\tMD\tB-VP\tO' -p19260 -aS'eat\teat\tVB\tI-VP\tO' -p19261 -aS'her\ther\tPRP$\tB-NP\tO' -p19262 -aS'meals\tmeal\tNNS\tI-NP\tO' -p19263 -aS'to\tto\tTO\tB-VP\tO' -p19264 -aS'decrease\tdecrease\tVB\tI-VP\tO' -p19265 -aS'the\tthe\tDT\tB-NP\tO' -p19266 -aS'chance\tchance\tNN\tI-NP\tO' -p19267 -aS'of\tof\tIN\tB-PP\tO' -p19268 -aS'pills\tpill\tNNS\tB-NP\tO' -p19269 -aS'eroding\terode\tVBG\tB-VP\tO' -p19270 -aS'her\ther\tPRP$\tB-NP\tO' -p19271 -aS'esophagus\tesophagus\tNN\tI-NP\tO' -p19272 -aS'.\t.\t.\tO\tO' -p19273 -asS'Positive bowel sounds .' -p19274 -(lp19275 -S'Positive\tPositive\tJJ\tB-NP\tO' -p19276 -aS'bowel\tbowel\tNN\tI-NP\tO' -p19277 -aS'sounds\tsound\tNNS\tI-NP\tO' -p19278 -aS'.\t.\t.\tO\tO' -p19279 -asS'An electrocardiogram was consistent with atrial fibrillation .' -p19280 -(lp19281 -S'An\tAn\tDT\tB-NP\tO' -p19282 -aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' -p19283 -aS'was\tbe\tVBD\tB-VP\tO' -p19284 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p19285 -aS'with\twith\tIN\tB-PP\tO' -p19286 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p19287 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p19288 -aS'.\t.\t.\tO\tO' -p19289 -asS'Repeat blood gas was done which was almost identical to the first .' -p19290 -(lp19291 -S'Repeat\tRepeat\tNN\tB-NP\tO' -p19292 -aS'blood\tblood\tNN\tI-NP\tO' -p19293 -aS'gas\tgas\tNN\tI-NP\tO' -p19294 -aS'was\tbe\tVBD\tB-VP\tO' -p19295 -aS'done\tdo\tVBN\tI-VP\tO' -p19296 -aS'which\twhich\tWDT\tB-NP\tO' -p19297 -aS'was\tbe\tVBD\tB-VP\tO' -p19298 -aS'almost\talmost\tRB\tB-ADJP\tO' -p19299 -aS'identical\tidentical\tJJ\tI-ADJP\tO' -p19300 -aS'to\tto\tTO\tB-PP\tO' -p19301 -aS'the\tthe\tDT\tB-NP\tO' -p19302 -aS'first\tfirst\tJJ\tI-NP\tO' -p19303 -aS'.\t.\t.\tO\tO' -p19304 -asS'Head CT showed large right intracerebral hemorrhage .' -p19305 -(lp19306 -S'Head\tHead\tNN\tB-NP\tO' -p19307 -aS'CT\tCT\tNN\tI-NP\tO' -p19308 -aS'showed\tshow\tVBD\tB-VP\tO' -p19309 -aS'large\tlarge\tJJ\tB-NP\tO' -p19310 -aS'right\tright\tJJ\tI-NP\tO' -p19311 -aS'intracerebral\tintracerebral\tJJ\tI-NP\tO' -p19312 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p19313 -aS'.\t.\t.\tO\tO' -p19314 -asS'CK 15,000 .' -p19315 -(lp19316 -S'CK\tCK\tNN\tB-NP\tO' -p19317 -aS'15,000\t15,000\tCD\tI-NP\tO' -p19318 -aS'.\t.\t.\tO\tO' -p19319 -asS"At that time the patient 's hospital course was complicated by a sternal wound infection requiring a sternal debridement and subsequent abdominal flap ." -p19320 -(lp19321 -S'At\tAt\tIN\tB-PP\tO' -p19322 -aS'that\tthat\tDT\tB-NP\tO' -p19323 -aS'time\ttime\tNN\tI-NP\tO' -p19324 -aS'the\tthe\tDT\tB-NP\tO' -p19325 -aS'patient\tpatient\tNN\tI-NP\tO' -p19326 -aS"'s\t's\tPOS\tB-NP\tO" -p19327 -aS'hospital\thospital\tNN\tI-NP\tO' -p19328 -aS'course\tcourse\tNN\tI-NP\tO' -p19329 -aS'was\tbe\tVBD\tB-VP\tO' -p19330 -aS'complicated\tcomplicate\tVBN\tI-VP\tO' -p19331 -aS'by\tby\tIN\tB-PP\tO' -p19332 -aS'a\ta\tDT\tB-NP\tO' -p19333 -aS'sternal\tsternal\tJJ\tI-NP\tO' -p19334 -aS'wound\twound\tNN\tI-NP\tO' -p19335 -aS'infection\tinfection\tNN\tI-NP\tO' -p19336 -aS'requiring\trequire\tVBG\tB-VP\tO' -p19337 -aS'a\ta\tDT\tB-NP\tO' -p19338 -aS'sternal\tsternal\tJJ\tI-NP\tO' -p19339 -aS'debridement\tdebridement\tNN\tI-NP\tO' -p19340 -aS'and\tand\tCC\tO\tO' -p19341 -aS'subsequent\tsubsequent\tJJ\tB-NP\tO' -p19342 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p19343 -aS'flap\tflap\tNN\tI-NP\tO' -p19344 -aS'.\t.\t.\tO\tO' -p19345 -asS'Hypertension - The patient had moderate control of her blood pressure throughout her admission .' -p19346 -(lp19347 -S'Hypertension\tHypertension\tNN\tB-NP\tO' -p19348 -aS'-\t-\tHYPH\tO\tO' -p19349 -aS'The\tThe\tDT\tB-NP\tO' -p19350 -aS'patient\tpatient\tNN\tI-NP\tO' -p19351 -aS'had\thave\tVBD\tB-VP\tO' -p19352 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p19353 -aS'control\tcontrol\tNN\tI-NP\tO' -p19354 -aS'of\tof\tIN\tB-PP\tO' -p19355 -aS'her\ther\tPRP$\tB-NP\tO' -p19356 -aS'blood\tblood\tNN\tI-NP\tO' -p19357 -aS'pressure\tpressure\tNN\tI-NP\tO' -p19358 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p19359 -aS'her\ther\tPRP$\tB-NP\tO' -p19360 -aS'admission\tadmission\tNN\tI-NP\tO' -p19361 -aS'.\t.\t.\tO\tO' -p19362 -asS'Before you have the procedure with Dr. Morris you will need to talk to Dr. Moya to see if you need to stop your coumadin / warfarin for a few days .' -p19363 -(lp19364 -S'Before\tBefore\tIN\tB-SBAR\tO' -p19365 -aS'you\tyou\tPRP\tB-NP\tO' -p19366 -aS'have\thave\tVBP\tB-VP\tO' -p19367 -aS'the\tthe\tDT\tB-NP\tO' -p19368 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p19369 -aS'with\twith\tIN\tB-PP\tO' -p19370 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p19371 -aS'Morris\tMorris\tNNP\tI-NP\tO' -p19372 -aS'you\tyou\tPRP\tB-NP\tO' -p19373 -aS'will\twill\tMD\tB-VP\tO' -p19374 -aS'need\tneed\tVB\tI-VP\tO' -p19375 -aS'to\tto\tTO\tI-VP\tO' -p19376 -aS'talk\ttalk\tVB\tI-VP\tO' -p19377 -aS'to\tto\tTO\tB-PP\tO' -p19378 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p19379 -aS'Moya\tMoya\tNNP\tI-NP\tO' -p19380 -aS'to\tto\tTO\tB-VP\tO' -p19381 -aS'see\tsee\tVB\tI-VP\tO' -p19382 -aS'if\tif\tIN\tB-SBAR\tO' -p19383 -aS'you\tyou\tPRP\tB-NP\tO' -p19384 -aS'need\tneed\tVBP\tB-VP\tO' -p19385 -aS'to\tto\tTO\tI-VP\tO' -p19386 -aS'stop\tstop\tVB\tI-VP\tO' -p19387 -aS'your\tyour\tPRP$\tB-NP\tO' -p19388 -aS'coumadin\tcoumadin\tNN\tI-NP\tO' -p19389 -aS'/\t/\tSYM\tB-NP\tO' -p19390 -aS'warfarin\twarfarin\tNN\tI-NP\tO' -p19391 -aS'for\tfor\tIN\tB-PP\tO' -p19392 -aS'a\ta\tDT\tB-NP\tO' -p19393 -aS'few\tfew\tJJ\tI-NP\tO' -p19394 -aS'days\tday\tNNS\tI-NP\tO' -p19395 -aS'.\t.\t.\tO\tO' -p19396 -asS'His discharge weight is 3585 grams ( 7 pounds 13 ounces ) .' -p19397 -(lp19398 -S'His\tHis\tPRP$\tB-NP\tO' -p19399 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p19400 -aS'weight\tweight\tNN\tI-NP\tO' -p19401 -aS'is\tbe\tVBZ\tB-VP\tO' -p19402 -aS'3585\t3585\tCD\tB-NP\tO' -p19403 -aS'grams\tgram\tNNS\tI-NP\tO' -p19404 -aS'(\t(\t(\tO\tO' -p19405 -aS'7\t7\tCD\tB-NP\tO' -p19406 -aS'pounds\tpound\tNNS\tI-NP\tO' -p19407 -aS'13\t13\tCD\tB-NP\tO' -p19408 -aS'ounces\tounce\tNNS\tI-NP\tO' -p19409 -aS')\t)\t)\tO\tO' -p19410 -aS'.\t.\t.\tO\tO' -p19411 -asS'The patient 's gait was halting , stooped and slow .' -p19412 -(lp19413 -S'The\tThe\tDT\tB-NP\tO' -p19414 -aS'patient\tpatient\tNN\tI-NP\tO' -p19415 -aS''s\t'\tNNS\tI-NP\tO' -p19416 -aS'gait\tgait\tNN\tI-NP\tO' -p19417 -aS'was\tbe\tVBD\tB-VP\tO' -p19418 -aS'halting\thalt\tVBG\tI-VP\tO' -p19419 -aS',\t,\t,\tO\tO' -p19420 -aS'stooped\tstoop\tVBD\tB-VP\tO' -p19421 -aS'and\tand\tCC\tO\tO' -p19422 -aS'slow\tslow\tJJ\tB-ADJP\tO' -p19423 -aS'.\t.\t.\tO\tO' -p19424 -asS'In emergency room , he was noted to be afebrile with stable vital signs , was treated with IV fluids , azithromycin , and cefuroxime .' -p19425 -(lp19426 -S'In\tIn\tIN\tB-PP\tO' -p19427 -aS'emergency\temergency\tNN\tB-NP\tO' -p19428 -aS'room\troom\tNN\tI-NP\tO' -p19429 -aS',\t,\t,\tO\tO' -p19430 -aS'he\the\tPRP\tB-NP\tO' -p19431 -aS'was\tbe\tVBD\tB-VP\tO' -p19432 -aS'noted\tnote\tVBN\tI-VP\tO' -p19433 -aS'to\tto\tTO\tI-VP\tO' -p19434 -aS'be\tbe\tVB\tI-VP\tO' -p19435 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p19436 -aS'with\twith\tIN\tB-PP\tO' -p19437 -aS'stable\tstable\tJJ\tB-NP\tO' -p19438 -aS'vital\tvital\tJJ\tI-NP\tO' -p19439 -aS'signs\tsign\tNNS\tI-NP\tO' -p19440 -aS',\t,\t,\tO\tO' -p19441 -aS'was\tbe\tVBD\tB-VP\tO' -p19442 -aS'treated\ttreat\tVBN\tI-VP\tO' -p19443 -aS'with\twith\tIN\tB-PP\tO' -p19444 -aS'IV\tIV\tCD\tB-NP\tO' -p19445 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p19446 -aS',\t,\t,\tO\tO' -p19447 -aS'azithromycin\tazithromycin\tNN\tB-NP\tO' -p19448 -aS',\t,\t,\tO\tO' -p19449 -aS'and\tand\tCC\tO\tO' -p19450 -aS'cefuroxime\tcefuroxime\tNN\tB-NP\tO' -p19451 -aS'.\t.\t.\tO\tO' -p19452 -asS'Left ventriculography .' -p19453 -(lp19454 -S'Left\tLeft\tJJ\tB-NP\tO' -p19455 -aS'ventriculography\tventriculography\tNN\tI-NP\tO' -p19456 -aS'.\t.\t.\tO\tO' -p19457 -asS'The RA was 5 .' -p19458 -(lp19459 -S'The\tThe\tDT\tB-NP\tO' -p19460 -aS'RA\tRA\tNN\tI-NP\tB-protein' -p19461 -aS'was\tbe\tVBD\tB-VP\tI-protein' -p19462 -aS'5\t5\tCD\tB-NP\tI-protein' -p19463 -aS'.\t.\t.\tO\tO' -p19464 -asS'Premarin 0.625 q.d. , Proventil Inhaler two puffs q.i.d. , Beclovent four puffs b.i.d. , Colace 100 mg p.o. t.i.d. , MS Contin 30 mg p.o. t.i.d. , Elavil 25 mg p.o. q.h.s. , Trilisate 750 mg p.o. b.i.d. , MS Elixir 100 mg p.o. q.2h. p.r.n. , Robitussin with Codeine 5 cc p.o. q.2h. , and home O2 two liters via nasal prong with increase to four liters as needed for symptoms p.r.n.' -p19465 -(lp19466 -S'Premarin\tPremarin\tNN\tB-NP\tO' -p19467 -aS'0.625\t0.625\tCD\tI-NP\tO' -p19468 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p19469 -aS',\t,\t,\tO\tO' -p19470 -aS'Proventil\tProventil\tNNP\tB-NP\tO' -p19471 -aS'Inhaler\tInhaler\tNNP\tI-NP\tO' -p19472 -aS'two\ttwo\tCD\tB-NP\tO' -p19473 -aS'puffs\tpuff\tNNS\tI-NP\tO' -p19474 -aS'q.i.d.\tq.i.d.\tRB\tB-ADVP\tO' -p19475 -aS',\t,\t,\tO\tO' -p19476 -aS'Beclovent\tBeclovent\tNNP\tB-NP\tO' -p19477 -aS'four\tfour\tCD\tI-NP\tO' -p19478 -aS'puffs\tpuff\tNNS\tI-NP\tO' -p19479 -aS'b.i.d.\tb.i.d.\tRB\tB-ADVP\tO' -p19480 -aS',\t,\t,\tO\tO' -p19481 -aS'Colace\tColace\tNNP\tB-NP\tO' -p19482 -aS'100\t100\tCD\tI-NP\tO' -p19483 -aS'mg\tmg\tNN\tI-NP\tO' -p19484 -aS'p.o.\tp.o.\tFW\tB-ADVP\tO' -p19485 -aS't.i.d.\tt.i.d.\tFW\tI-ADVP\tO' -p19486 -aS',\t,\t,\tO\tO' -p19487 -aS'MS\tMS\tNNP\tB-NP\tO' -p19488 -aS'Contin\tContin\tNNP\tI-NP\tO' -p19489 -aS'30\t30\tCD\tI-NP\tO' -p19490 -aS'mg\tmg\tNN\tI-NP\tO' -p19491 -aS'p.o.\tp.o.\tFW\tB-ADVP\tO' -p19492 -aS't.i.d.\tt.i.d.\tFW\tI-ADVP\tO' -p19493 -aS',\t,\t,\tO\tO' -p19494 -aS'Elavil\tElavil\tNNP\tB-NP\tO' -p19495 -aS'25\t25\tCD\tI-NP\tO' -p19496 -aS'mg\tmg\tNN\tI-NP\tO' -p19497 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p19498 -aS'q.h.s.\tq.h.s.\tNN\tI-NP\tO' -p19499 -aS',\t,\t,\tO\tO' -p19500 -aS'Trilisate\tTrilisate\tNN\tB-NP\tO' -p19501 -aS'750\t750\tCD\tI-NP\tO' -p19502 -aS'mg\tmg\tNN\tI-NP\tO' -p19503 -aS'p.o.\tp.o.\tFW\tB-ADVP\tO' -p19504 -aS'b.i.d.\tb.i.d.\tFW\tI-ADVP\tO' -p19505 -aS',\t,\t,\tO\tO' -p19506 -aS'MS\tMS\tNNP\tB-NP\tO' -p19507 -aS'Elixir\tElixir\tNNP\tI-NP\tO' -p19508 -aS'100\t100\tCD\tI-NP\tO' -p19509 -aS'mg\tmg\tNN\tI-NP\tO' -p19510 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p19511 -aS'q.2h.\tq.2h.\tNN\tI-NP\tO' -p19512 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p19513 -aS',\t,\t,\tO\tO' -p19514 -aS'Robitussin\tRobitussin\tNN\tB-NP\tO' -p19515 -aS'with\twith\tIN\tB-PP\tO' -p19516 -aS'Codeine\tCodeine\tNN\tB-NP\tO' -p19517 -aS'5\t5\tCD\tI-NP\tO' -p19518 -aS'cc\tcc\tNN\tI-NP\tO' -p19519 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p19520 -aS'q.2h.\tq.2h.\tNN\tI-NP\tO' -p19521 -aS',\t,\t,\tO\tO' -p19522 -aS'and\tand\tCC\tO\tO' -p19523 -aS'home\thome\tNN\tB-NP\tO' -p19524 -aS'O2\tO2\tNN\tI-NP\tO' -p19525 -aS'two\ttwo\tCD\tB-NP\tO' -p19526 -aS'liters\tliter\tNNS\tI-NP\tO' -p19527 -aS'via\tvia\tIN\tB-PP\tO' -p19528 -aS'nasal\tnasal\tJJ\tB-NP\tO' -p19529 -aS'prong\tprong\tJJ\tI-NP\tO' -p19530 -aS'with\twith\tIN\tB-PP\tO' -p19531 -aS'increase\tincrease\tNN\tB-NP\tO' -p19532 -aS'to\tto\tTO\tB-PP\tO' -p19533 -aS'four\tfour\tCD\tB-NP\tO' -p19534 -aS'liters\tliter\tNNS\tI-NP\tO' -p19535 -aS'as\tas\tIN\tB-SBAR\tO' -p19536 -aS'needed\tneed\tVBN\tB-VP\tO' -p19537 -aS'for\tfor\tIN\tB-PP\tO' -p19538 -aS'symptoms\tsymptom\tNNS\tB-NP\tO' -p19539 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p19540 -asS'On 60% FIO2 his pO2 was 63 .' -p19541 -(lp19542 -S'On\tOn\tIN\tB-PP\tO' -p19543 -aS'60%\t60%\tCD\tB-NP\tO' -p19544 -aS'FIO2\tFIO2\tCD\tI-NP\tO' -p19545 -aS'his\this\tPRP$\tB-NP\tO' -p19546 -aS'pO2\tpO2\tNN\tI-NP\tO' -p19547 -aS'was\tbe\tVBD\tB-VP\tO' -p19548 -aS'63\t63\tCD\tB-NP\tO' -p19549 -aS'.\t.\t.\tO\tO' -p19550 -asS'Blood and urine cultures were sent .' -p19551 -(lp19552 -S'Blood\tBlood\tNN\tB-NP\tO' -p19553 -aS'and\tand\tCC\tI-NP\tO' -p19554 -aS'urine\turine\tNN\tI-NP\tB-cell_line' -p19555 -aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' -p19556 -aS'were\tbe\tVBD\tB-VP\tO' -p19557 -aS'sent\tsend\tVBN\tI-VP\tO' -p19558 -aS'.\t.\t.\tO\tO' -p19559 -asS'6. High cholesterol .' -p19560 -(lp19561 -S'6.\t6.\tLS\tB-NP\tO' -p19562 -aS'High\tHigh\tJJ\tI-NP\tO' -p19563 -aS'cholesterol\tcholesterol\tNN\tI-NP\tO' -p19564 -aS'.\t.\t.\tO\tO' -p19565 -asS'There was no thyromegaly .' -p19566 -(lp19567 -S'There\tThere\tEX\tB-NP\tO' -p19568 -aS'was\tbe\tVBD\tB-VP\tO' -p19569 -aS'no\tno\tDT\tB-NP\tO' -p19570 -aS'thyromegaly\tthyromegaly\tRB\tI-NP\tO' -p19571 -aS'.\t.\t.\tO\tO' -p19572 -asS'She takes one sip of wine on Fridays .' -p19573 -(lp19574 -S'She\tShe\tPRP\tB-NP\tO' -p19575 -aS'takes\ttake\tVBZ\tB-VP\tO' -p19576 -aS'one\tone\tCD\tB-NP\tO' -p19577 -aS'sip\tsip\tNN\tI-NP\tO' -p19578 -aS'of\tof\tIN\tB-PP\tO' -p19579 -aS'wine\twine\tNN\tB-NP\tO' -p19580 -aS'on\ton\tIN\tB-PP\tO' -p19581 -aS'Fridays\tFriday\tNNS\tB-NP\tO' -p19582 -aS'.\t.\t.\tO\tO' -p19583 -asS'He received a course of cefepime also .' -p19584 -(lp19585 -S'He\tHe\tPRP\tB-NP\tO' -p19586 -aS'received\treceive\tVBD\tB-VP\tO' -p19587 -aS'a\ta\tDT\tB-NP\tO' -p19588 -aS'course\tcourse\tNN\tI-NP\tO' -p19589 -aS'of\tof\tIN\tB-PP\tO' -p19590 -aS'cefepime\tcefepime\tNN\tB-NP\tO' -p19591 -aS'also\talso\tRB\tB-ADVP\tO' -p19592 -aS'.\t.\t.\tO\tO' -p19593 -asS'Pulse 82 .' -p19594 -(lp19595 -S'Pulse\tPulse\tNN\tB-NP\tO' -p19596 -aS'82\t82\tCD\tI-NP\tO' -p19597 -aS'.\t.\t.\tO\tO' -p19598 -asS'1. OxyContin 40 mg p.o. q 12hours .' -p19599 -(lp19600 -S'1.\t1.\tLS\tB-NP\tO' -p19601 -aS'OxyContin\tOxyContin\tNN\tI-NP\tO' -p19602 -aS'40\t40\tCD\tI-NP\tO' -p19603 -aS'mg\tmg\tNN\tI-NP\tO' -p19604 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p19605 -aS'q\tq\tNN\tI-NP\tO' -p19606 -aS'12hours\t12hour\tNNS\tI-NP\tO' -p19607 -aS'.\t.\t.\tO\tO' -p19608 -asS'5. Chronic renal insufficiency with a baseline creatinine of 1.1 to 1.4 .' -p19609 -(lp19610 -S'5.\t5.\tLS\tB-NP\tO' -p19611 -aS'Chronic\tChronic\tJJ\tI-NP\tO' -p19612 -aS'renal\trenal\tJJ\tI-NP\tO' -p19613 -aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' -p19614 -aS'with\twith\tIN\tB-PP\tO' -p19615 -aS'a\ta\tDT\tB-NP\tO' -p19616 -aS'baseline\tbaseline\tNN\tI-NP\tO' -p19617 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p19618 -aS'of\tof\tIN\tB-PP\tO' -p19619 -aS'1.1\t1.1\tCD\tB-NP\tO' -p19620 -aS'to\tto\tTO\tB-PP\tO' -p19621 -aS'1.4\t1.4\tCD\tB-NP\tO' -p19622 -aS'.\t.\t.\tO\tO' -p19623 -asS'Aputum cultures pending .' -p19624 -(lp19625 -S'Aputum\tAputum\tNN\tB-NP\tO' -p19626 -aS'cultures\tculture\tNNS\tI-NP\tO' -p19627 -aS'pending\tpende\tVBG\tB-VP\tO' -p19628 -aS'.\t.\t.\tO\tO' -p19629 -asS'Mr. Robert Mackey is a 49 year old gentleman with a 22 year history of diabetes mellitus .' -p19630 -(lp19631 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p19632 -aS'Robert\tRobert\tNNP\tI-NP\tO' -p19633 -aS'Mackey\tMackey\tNNP\tI-NP\tO' -p19634 -aS'is\tbe\tVBZ\tB-VP\tO' -p19635 -aS'a\ta\tDT\tB-NP\tO' -p19636 -aS'49\t49\tCD\tI-NP\tO' -p19637 -aS'year\tyear\tNN\tI-NP\tO' -p19638 -aS'old\told\tJJ\tI-NP\tO' -p19639 -aS'gentleman\tgentleman\tNN\tI-NP\tO' -p19640 -aS'with\twith\tIN\tB-PP\tO' -p19641 -aS'a\ta\tDT\tB-NP\tO' -p19642 -aS'22\t22\tCD\tI-NP\tO' -p19643 -aS'year\tyear\tNN\tI-NP\tO' -p19644 -aS'history\thistory\tNN\tI-NP\tO' -p19645 -aS'of\tof\tIN\tB-PP\tO' -p19646 -aS'diabetes\tdiabetes\tNN\tB-NP\tO' -p19647 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p19648 -aS'.\t.\t.\tO\tO' -p19649 -asS'Tongue protrudes in midline , no fasciculations .' -p19650 -(lp19651 -S'Tongue\tTongue\tJJ\tB-NP\tO' -p19652 -aS'protrudes\tprotrude\tNNS\tI-NP\tO' -p19653 -aS'in\tin\tIN\tB-PP\tO' -p19654 -aS'midline\tmidline\tNN\tB-NP\tO' -p19655 -aS',\t,\t,\tO\tO' -p19656 -aS'no\tno\tDT\tB-NP\tO' -p19657 -aS'fasciculations\tfasciculation\tNNS\tI-NP\tO' -p19658 -aS'.\t.\t.\tO\tO' -p19659 -asS'Temperature was 101.8 .' -p19660 -(lp19661 -S'Temperature\tTemperature\tNN\tB-NP\tO' -p19662 -aS'was\tbe\tVBD\tB-VP\tO' -p19663 -aS'101.8\t101.8\tCD\tB-NP\tO' -p19664 -aS'.\t.\t.\tO\tO' -p19665 -asS'The patient 's lower extremities began to swell and the patient was begun on Hirudin for deep venous thrombosis .' -p19666 -(lp19667 -S'The\tThe\tDT\tB-NP\tO' -p19668 -aS'patient\tpatient\tNN\tI-NP\tO' -p19669 -aS''s\t'\tVBZ\tB-VP\tO' -p19670 -aS'lower\tlow\tJJR\tB-NP\tO' -p19671 -aS'extremities\textremity\tNNS\tI-NP\tO' -p19672 -aS'began\tbegin\tVBD\tB-VP\tO' -p19673 -aS'to\tto\tTO\tI-VP\tO' -p19674 -aS'swell\tswell\tVB\tI-VP\tO' -p19675 -aS'and\tand\tCC\tO\tO' -p19676 -aS'the\tthe\tDT\tB-NP\tO' -p19677 -aS'patient\tpatient\tNN\tI-NP\tO' -p19678 -aS'was\tbe\tVBD\tB-VP\tO' -p19679 -aS'begun\tbegin\tVBN\tI-VP\tO' -p19680 -aS'on\ton\tIN\tB-PP\tO' -p19681 -aS'Hirudin\tHirudin\tNNP\tB-NP\tO' -p19682 -aS'for\tfor\tIN\tB-PP\tO' -p19683 -aS'deep\tdeep\tJJ\tB-NP\tO' -p19684 -aS'venous\tvenous\tJJ\tI-NP\tO' -p19685 -aS'thrombosis\tthrombosis\tNN\tI-NP\tO' -p19686 -aS'.\t.\t.\tO\tO' -p19687 -asS'Ecotrin 1 tablet PO qd , Captopril 6.25 mg PO tid , K-Dur 20 mEq. PO qd , Lasix 20 mg PO qd , Isordil 10 mg PO tid , Sinemet 1/2 tablet PO bid , Symmetrel 100 mg PO bid , Parloder 2.5mg PO qd .' -p19688 -(lp19689 -S'Ecotrin\tEcotrin\tNN\tB-NP\tO' -p19690 -aS'1\t1\tCD\tI-NP\tO' -p19691 -aS'tablet\ttablet\tNN\tI-NP\tO' -p19692 -aS'PO\tPO\tNN\tI-NP\tO' -p19693 -aS'qd\tqd\tNN\tI-NP\tO' -p19694 -aS',\t,\t,\tO\tO' -p19695 -aS'Captopril\tCaptopril\tNNP\tB-NP\tO' -p19696 -aS'6.25\t6.25\tCD\tI-NP\tO' -p19697 -aS'mg\tmg\tNN\tI-NP\tO' -p19698 -aS'PO\tPO\tNN\tI-NP\tO' -p19699 -aS'tid\ttid\tNN\tI-NP\tO' -p19700 -aS',\t,\t,\tO\tO' -p19701 -aS'K-Dur\tK-Dur\tNN\tB-NP\tO' -p19702 -aS'20\t20\tCD\tI-NP\tO' -p19703 -aS'mEq.\tmEq.\tNN\tI-NP\tO' -p19704 -aS'PO\tPO\tNN\tI-NP\tO' -p19705 -aS'qd\tqd\tNN\tI-NP\tO' -p19706 -aS',\t,\t,\tO\tO' -p19707 -aS'Lasix\tLasix\tNN\tB-NP\tO' -p19708 -aS'20\t20\tCD\tI-NP\tO' -p19709 -aS'mg\tmg\tNN\tI-NP\tO' -p19710 -aS'PO\tPO\tNN\tI-NP\tO' -p19711 -aS'qd\tqd\tNN\tI-NP\tO' -p19712 -aS',\t,\t,\tO\tO' -p19713 -aS'Isordil\tIsordil\tNN\tB-NP\tO' -p19714 -aS'10\t10\tCD\tI-NP\tO' -p19715 -aS'mg\tmg\tNN\tI-NP\tO' -p19716 -aS'PO\tPO\tNN\tI-NP\tO' -p19717 -aS'tid\ttid\tNN\tI-NP\tO' -p19718 -aS',\t,\t,\tO\tO' -p19719 -aS'Sinemet\tSinemet\tNNP\tB-NP\tO' -p19720 -aS'1/2\t1/2\tCD\tI-NP\tO' -p19721 -aS'tablet\ttablet\tNN\tI-NP\tO' -p19722 -aS'PO\tPO\tNN\tI-NP\tO' -p19723 -aS'bid\tbid\tNN\tI-NP\tO' -p19724 -aS',\t,\t,\tO\tO' -p19725 -aS'Symmetrel\tSymmetrel\tNN\tB-NP\tO' -p19726 -aS'100\t100\tCD\tI-NP\tO' -p19727 -aS'mg\tmg\tNN\tI-NP\tO' -p19728 -aS'PO\tPO\tNN\tI-NP\tO' -p19729 -aS'bid\tbid\tNN\tI-NP\tO' -p19730 -aS',\t,\t,\tO\tO' -p19731 -aS'Parloder\tParloder\tNNP\tB-NP\tO' -p19732 -aS'2.5mg\t2.5mg\tNNP\tI-NP\tO' -p19733 -aS'PO\tPO\tNNP\tI-NP\tO' -p19734 -aS'qd\tqd\tNN\tI-NP\tO' -p19735 -aS'.\t.\t.\tO\tO' -p19736 -asS'Off for days now .' -p19737 -(lp19738 -S'Off\tOff\tIN\tB-PP\tO' -p19739 -aS'for\tfor\tIN\tB-PP\tO' -p19740 -aS'days\tday\tNNS\tB-NP\tO' -p19741 -aS'now\tnow\tRB\tB-ADVP\tO' -p19742 -aS'.\t.\t.\tO\tO' -p19743 -asS'There were no electrocardiogram changes noted and there were no arrhythmias noted as well .' -p19744 -(lp19745 -S'There\tThere\tEX\tB-NP\tO' -p19746 -aS'were\tbe\tVBD\tB-VP\tO' -p19747 -aS'no\tno\tDT\tB-NP\tO' -p19748 -aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' -p19749 -aS'changes\tchange\tNNS\tI-NP\tO' -p19750 -aS'noted\tnote\tVBD\tB-VP\tO' -p19751 -aS'and\tand\tCC\tO\tO' -p19752 -aS'there\tthere\tEX\tB-NP\tO' -p19753 -aS'were\tbe\tVBD\tB-VP\tO' -p19754 -aS'no\tno\tDT\tB-NP\tO' -p19755 -aS'arrhythmias\tarrhythmia\tNNS\tI-NP\tO' -p19756 -aS'noted\tnote\tVBD\tB-VP\tO' -p19757 -aS'as\tas\tRB\tB-ADVP\tO' -p19758 -aS'well\twell\tRB\tI-ADVP\tO' -p19759 -aS'.\t.\t.\tO\tO' -p19760 -asS'4) Please follow up with Dr. Clow to follow up results of abdominal fat pad biopsy and blood tests to assess for amyloid .' -p19761 -(lp19762 -S'4)\t4)\tLS\tB-NP\tO' -p19763 -aS'Please\tPlease\tNN\tI-NP\tB-protein' -p19764 -aS'follow\tfollow\tVB\tB-VP\tO' -p19765 -aS'up\tup\tRP\tB-PRT\tO' -p19766 -aS'with\twith\tIN\tB-PP\tO' -p19767 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p19768 -aS'Clow\tClow\tNNP\tI-NP\tO' -p19769 -aS'to\tto\tTO\tB-VP\tO' -p19770 -aS'follow\tfollow\tVB\tI-VP\tO' -p19771 -aS'up\tup\tRP\tB-PRT\tO' -p19772 -aS'results\tresult\tNNS\tB-NP\tO' -p19773 -aS'of\tof\tIN\tB-PP\tO' -p19774 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p19775 -aS'fat\tfat\tJJ\tI-NP\tO' -p19776 -aS'pad\tpad\tNN\tI-NP\tO' -p19777 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p19778 -aS'and\tand\tCC\tI-NP\tO' -p19779 -aS'blood\tblood\tNN\tI-NP\tO' -p19780 -aS'tests\ttest\tNNS\tI-NP\tO' -p19781 -aS'to\tto\tTO\tB-VP\tO' -p19782 -aS'assess\tassess\tVB\tI-VP\tO' -p19783 -aS'for\tfor\tIN\tB-PP\tO' -p19784 -aS'amyloid\tamyloid\tNN\tB-NP\tO' -p19785 -aS'.\t.\t.\tO\tO' -p19786 -asS'He was able to be rapidly weaned and extubated .' -p19787 -(lp19788 -S'He\tHe\tPRP\tB-NP\tO' -p19789 -aS'was\tbe\tVBD\tB-VP\tO' -p19790 -aS'able\table\tJJ\tB-ADJP\tO' -p19791 -aS'to\tto\tTO\tB-VP\tO' -p19792 -aS'be\tbe\tVB\tI-VP\tO' -p19793 -aS'rapidly\trapidly\tRB\tI-VP\tO' -p19794 -aS'weaned\twean\tVBN\tI-VP\tO' -p19795 -aS'and\tand\tCC\tI-VP\tO' -p19796 -aS'extubated\textubate\tVBN\tI-VP\tO' -p19797 -aS'.\t.\t.\tO\tO' -p19798 -asS'The remainder of the Hubbard Regional Hospital hospital course , discharge diagnoses , medications and follow-up will be dictated at the time of discharge .' -p19799 -(lp19800 -S'The\tThe\tDT\tB-NP\tO' -p19801 -aS'remainder\tremainder\tNN\tI-NP\tO' -p19802 -aS'of\tof\tIN\tB-PP\tO' -p19803 -aS'the\tthe\tDT\tB-NP\tO' -p19804 -aS'Hubbard\tHubbard\tNNP\tI-NP\tO' -p19805 -aS'Regional\tRegional\tNNP\tI-NP\tO' -p19806 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p19807 -aS'hospital\thospital\tNN\tI-NP\tO' -p19808 -aS'course\tcourse\tNN\tI-NP\tO' -p19809 -aS',\t,\t,\tO\tO' -p19810 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p19811 -aS'diagnoses\tdiagnosis\tNNS\tI-NP\tO' -p19812 -aS',\t,\t,\tO\tO' -p19813 -aS'medications\tmedication\tNNS\tB-NP\tO' -p19814 -aS'and\tand\tCC\tO\tO' -p19815 -aS'follow-up\tfollow-up\tNN\tB-NP\tO' -p19816 -aS'will\twill\tMD\tB-VP\tO' -p19817 -aS'be\tbe\tVB\tI-VP\tO' -p19818 -aS'dictated\tdictate\tVBN\tI-VP\tO' -p19819 -aS'at\tat\tIN\tB-PP\tO' -p19820 -aS'the\tthe\tDT\tB-NP\tO' -p19821 -aS'time\ttime\tNN\tI-NP\tO' -p19822 -aS'of\tof\tIN\tB-PP\tO' -p19823 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p19824 -aS'.\t.\t.\tO\tO' -p19825 -asS'For the left gluteal pressure ulcer , they recommended gentle cleansing with normal saline or commercial wound cleaner , thin layer of Duoderm gel , air dry , allevyn foam adhesive over the site , and change every 2 days or prn .' -p19826 -(lp19827 -S'For\tFor\tIN\tB-PP\tO' -p19828 -aS'the\tthe\tDT\tB-NP\tO' -p19829 -aS'left\tleft\tJJ\tI-NP\tO' -p19830 -aS'gluteal\tgluteal\tJJ\tI-NP\tO' -p19831 -aS'pressure\tpressure\tNN\tI-NP\tO' -p19832 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p19833 -aS',\t,\t,\tO\tO' -p19834 -aS'they\tthey\tPRP\tB-NP\tO' -p19835 -aS'recommended\trecommend\tVBD\tB-VP\tO' -p19836 -aS'gentle\tgentle\tJJ\tB-NP\tO' -p19837 -aS'cleansing\tcleansing\tNN\tI-NP\tO' -p19838 -aS'with\twith\tIN\tB-PP\tO' -p19839 -aS'normal\tnormal\tJJ\tB-NP\tO' -p19840 -aS'saline\tsaline\tNN\tI-NP\tO' -p19841 -aS'or\tor\tCC\tO\tO' -p19842 -aS'commercial\tcommercial\tJJ\tB-NP\tO' -p19843 -aS'wound\twound\tNN\tI-NP\tO' -p19844 -aS'cleaner\tcleaner\tNN\tI-NP\tO' -p19845 -aS',\t,\t,\tO\tO' -p19846 -aS'thin\tthin\tJJ\tB-NP\tO' -p19847 -aS'layer\tlayer\tNN\tI-NP\tO' -p19848 -aS'of\tof\tIN\tB-PP\tO' -p19849 -aS'Duoderm\tDuoderm\tNN\tB-NP\tO' -p19850 -aS'gel\tgel\tNN\tI-NP\tO' -p19851 -aS',\t,\t,\tO\tO' -p19852 -aS'air\tair\tNN\tB-NP\tO' -p19853 -aS'dry\tdry\tJJ\tI-NP\tO' -p19854 -aS',\t,\t,\tI-NP\tO' -p19855 -aS'allevyn\tallevyn\tJJ\tI-NP\tO' -p19856 -aS'foam\tfoam\tNN\tI-NP\tO' -p19857 -aS'adhesive\tadhesive\tJJ\tB-ADJP\tO' -p19858 -aS'over\tover\tIN\tB-PP\tO' -p19859 -aS'the\tthe\tDT\tB-NP\tO' -p19860 -aS'site\tsite\tNN\tI-NP\tO' -p19861 -aS',\t,\t,\tO\tO' -p19862 -aS'and\tand\tCC\tO\tO' -p19863 -aS'change\tchange\tVB\tB-VP\tO' -p19864 -aS'every\tevery\tDT\tB-NP\tO' -p19865 -aS'2\t2\tCD\tI-NP\tO' -p19866 -aS'days\tday\tNNS\tI-NP\tO' -p19867 -aS'or\tor\tCC\tI-NP\tO' -p19868 -aS'prn\tprn\tNN\tI-NP\tO' -p19869 -aS'.\t.\t.\tO\tO' -p19870 -asS'His apical pneumothorax from the outside hospital had resolved .' -p19871 -(lp19872 -S'His\tHis\tPRP$\tB-NP\tO' -p19873 -aS'apical\tapical\tJJ\tI-NP\tO' -p19874 -aS'pneumothorax\tpneumothorax\tNN\tI-NP\tO' -p19875 -aS'from\tfrom\tIN\tB-PP\tO' -p19876 -aS'the\tthe\tDT\tB-NP\tO' -p19877 -aS'outside\toutside\tJJ\tI-NP\tO' -p19878 -aS'hospital\thospital\tNN\tI-NP\tO' -p19879 -aS'had\thave\tVBD\tB-VP\tO' -p19880 -aS'resolved\tresolve\tVBN\tI-VP\tO' -p19881 -aS'.\t.\t.\tO\tO' -p19882 -asS'3. Dexamethasone 4 mg Tablet Sig : Two ( 2 ) Tablet PO Q8H ( every 8 hours ) : please give 8 mg suppository .' -p19883 -(lp19884 -S'3.\t3.\tLS\tB-LST\tO' -p19885 -aS'Dexamethasone\tDexamethasone\tNN\tB-NP\tO' -p19886 -aS'4\t4\tCD\tI-NP\tO' -p19887 -aS'mg\tmg\tNN\tI-NP\tO' -p19888 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p19889 -aS'Sig\tSig\tNNP\tI-NP\tO' -p19890 -aS':\t:\t:\tO\tO' -p19891 -aS'Two\tTwo\tCD\tB-NP\tO' -p19892 -aS'(\t(\t(\tO\tO' -p19893 -aS'2\t2\tCD\tO\tO' -p19894 -aS')\t)\t)\tO\tO' -p19895 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p19896 -aS'PO\tPO\tNN\tI-NP\tO' -p19897 -aS'Q8H\tQ8H\tNN\tI-NP\tO' -p19898 -aS'(\t(\t(\tO\tO' -p19899 -aS'every\tevery\tDT\tB-NP\tO' -p19900 -aS'8\t8\tCD\tI-NP\tO' -p19901 -aS'hours\thour\tNNS\tI-NP\tO' -p19902 -aS')\t)\t)\tO\tO' -p19903 -aS':\t:\t:\tO\tO' -p19904 -aS'please\tplease\tVB\tB-INTJ\tO' -p19905 -aS'give\tgive\tVB\tO\tO' -p19906 -aS'8\t8\tCD\tB-NP\tO' -p19907 -aS'mg\tmg\tNN\tI-NP\tO' -p19908 -aS'suppository\tsuppository\tNN\tI-NP\tO' -p19909 -aS'.\t.\t.\tO\tO' -p19910 -asS'Dictated By : Louise B. Robertson , M.D.' -p19911 -(lp19912 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p19913 -aS'By\tBy\tIN\tB-PP\tO' -p19914 -aS':\t:\t:\tO\tO' -p19915 -aS'Louise\tLouise\tNNP\tB-NP\tO' -p19916 -aS'B.\tB.\tNNP\tI-NP\tO' -p19917 -aS'Robertson\tRobertson\tNNP\tI-NP\tO' -p19918 -aS',\t,\t,\tO\tO' -p19919 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p19920 -asS'Responsible After Study for Causing Admission ) s / p NSVD' -p19921 -(lp19922 -S'Responsible\tResponsible\tJJ\tB-ADJP\tO' -p19923 -aS'After\tAfter\tIN\tB-PP\tO' -p19924 -aS'Study\tStudy\tNN\tB-NP\tO' -p19925 -aS'for\tfor\tIN\tB-PP\tO' -p19926 -aS'Causing\tCause\tVBG\tB-NP\tO' -p19927 -aS'Admission\tAdmission\tNN\tI-NP\tO' -p19928 -aS')\t)\t)\tI-NP\tO' -p19929 -aS's\ts\tNN\tI-NP\tO' -p19930 -aS'/\t/\tSYM\tO\tO' -p19931 -aS'p\tp\tNN\tB-NP\tO' -p19932 -aS'NSVD\tNSVD\tNN\tI-NP\tO' -p19933 -asS'Nevertheless , he developed refractory hypoxemia , hypotension , and ultimately the patient died despite total life support .' -p19934 -(lp19935 -S'Nevertheless\tNevertheless\tRB\tB-ADVP\tO' -p19936 -aS',\t,\t,\tO\tO' -p19937 -aS'he\the\tPRP\tB-NP\tO' -p19938 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p19939 -aS'refractory\trefractory\tJJ\tB-NP\tO' -p19940 -aS'hypoxemia\thypoxemia\tNN\tI-NP\tO' -p19941 -aS',\t,\t,\tO\tO' -p19942 -aS'hypotension\thypotension\tNN\tB-NP\tO' -p19943 -aS',\t,\t,\tO\tO' -p19944 -aS'and\tand\tCC\tO\tO' -p19945 -aS'ultimately\tultimately\tRB\tB-ADVP\tO' -p19946 -aS'the\tthe\tDT\tB-NP\tO' -p19947 -aS'patient\tpatient\tNN\tI-NP\tO' -p19948 -aS'died\tdie\tVBD\tB-VP\tO' -p19949 -aS'despite\tdespite\tIN\tB-PP\tO' -p19950 -aS'total\ttotal\tJJ\tB-NP\tO' -p19951 -aS'life\tlife\tNN\tI-NP\tO' -p19952 -aS'support\tsupport\tNN\tI-NP\tO' -p19953 -aS'.\t.\t.\tO\tO' -p19954 -asS'Occasional alcohol .' -p19955 -(lp19956 -S'Occasional\tOccasional\tJJ\tB-NP\tO' -p19957 -aS'alcohol\talcohol\tNN\tI-NP\tO' -p19958 -aS'.\t.\t.\tO\tO' -p19959 -asS'No bruits appreciated .' -p19960 -(lp19961 -S'No\tNo\tDT\tB-NP\tO' -p19962 -aS'bruits\tbruit\tNNS\tI-NP\tO' -p19963 -aS'appreciated\tappreciate\tVBN\tB-VP\tO' -p19964 -aS'.\t.\t.\tO\tO' -p19965 -asS'Pathology of the biopsy demonstrated glioblastoma multiforme , grade IIi/III .' -p19966 -(lp19967 -S'Pathology\tPathology\tNNS\tB-NP\tO' -p19968 -aS'of\tof\tIN\tB-PP\tO' -p19969 -aS'the\tthe\tDT\tB-NP\tO' -p19970 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p19971 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p19972 -aS'glioblastoma\tglioblastoma\tNN\tB-NP\tO' -p19973 -aS'multiforme\tmultiforme\tJJ\tB-ADJP\tO' -p19974 -aS',\t,\t,\tO\tO' -p19975 -aS'grade\tgrade\tNN\tB-NP\tO' -p19976 -aS'IIi/III\tIIi/III\tNNP\tI-NP\tO' -p19977 -aS'.\t.\t.\tO\tO' -p19978 -asS'Hemodynamically stable , pt doing much better with physical therapy , passed video swallow evaluation tolerating po .' -p19979 -(lp19980 -S'Hemodynamically\tHemodynamically\tRB\tB-ADJP\tO' -p19981 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p19982 -aS',\t,\t,\tO\tO' -p19983 -aS'pt\tpt\tNN\tB-NP\tO' -p19984 -aS'doing\tdo\tVBG\tB-VP\tO' -p19985 -aS'much\tmuch\tRB\tB-ADJP\tO' -p19986 -aS'better\tgood\tJJR\tI-ADJP\tO' -p19987 -aS'with\twith\tIN\tB-PP\tO' -p19988 -aS'physical\tphysical\tJJ\tB-NP\tO' -p19989 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p19990 -aS',\t,\t,\tO\tO' -p19991 -aS'passed\tpass\tVBD\tB-VP\tO' -p19992 -aS'video\tvideo\tNN\tB-NP\tO' -p19993 -aS'swallow\tswallow\tNN\tI-NP\tO' -p19994 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p19995 -aS'tolerating\ttolerate\tVBG\tB-VP\tO' -p19996 -aS'po\tpo\tNN\tB-NP\tO' -p19997 -aS'.\t.\t.\tO\tO' -p19998 -asS"The patient 's course up to the date of transfer to Neurology has been outlined above ." -p19999 -(lp20000 -S'The\tThe\tDT\tB-NP\tO' -p20001 -aS'patient\tpatient\tNN\tI-NP\tO' -p20002 -aS"'s\t's\tPOS\tB-NP\tO" -p20003 -aS'course\tcourse\tNN\tI-NP\tO' -p20004 -aS'up\tup\tIN\tB-PP\tO' -p20005 -aS'to\tto\tTO\tB-PP\tO' -p20006 -aS'the\tthe\tDT\tB-NP\tO' -p20007 -aS'date\tdate\tNN\tI-NP\tO' -p20008 -aS'of\tof\tIN\tB-PP\tO' -p20009 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p20010 -aS'to\tto\tTO\tB-PP\tO' -p20011 -aS'Neurology\tNeurology\tNNP\tB-NP\tO' -p20012 -aS'has\thave\tVBZ\tB-VP\tO' -p20013 -aS'been\tbe\tVBN\tI-VP\tO' -p20014 -aS'outlined\toutline\tVBN\tI-VP\tO' -p20015 -aS'above\tabove\tIN\tB-PP\tO' -p20016 -aS'.\t.\t.\tO\tO' -p20017 -asS"Over the course of the hospital stay the patient 's Flolan dose was titrated to receive maximum benefit without precipitating symptoms of Flolan overdose ." -p20018 -(lp20019 -S'Over\tOver\tIN\tB-PP\tO' -p20020 -aS'the\tthe\tDT\tB-NP\tO' -p20021 -aS'course\tcourse\tNN\tI-NP\tO' -p20022 -aS'of\tof\tIN\tB-PP\tO' -p20023 -aS'the\tthe\tDT\tB-NP\tO' -p20024 -aS'hospital\thospital\tNN\tI-NP\tO' -p20025 -aS'stay\tstay\tVB\tB-VP\tO' -p20026 -aS'the\tthe\tDT\tB-NP\tO' -p20027 -aS'patient\tpatient\tNN\tI-NP\tO' -p20028 -aS"'s\t's\tPOS\tB-NP\tO" -p20029 -aS'Flolan\tFlolan\tNNP\tI-NP\tO' -p20030 -aS'dose\tdose\tNN\tI-NP\tO' -p20031 -aS'was\tbe\tVBD\tB-VP\tO' -p20032 -aS'titrated\ttitrate\tVBN\tI-VP\tO' -p20033 -aS'to\tto\tTO\tI-VP\tO' -p20034 -aS'receive\treceive\tVB\tI-VP\tO' -p20035 -aS'maximum\tmaximum\tJJ\tB-NP\tO' -p20036 -aS'benefit\tbenefit\tNN\tI-NP\tO' -p20037 -aS'without\twithout\tIN\tB-PP\tO' -p20038 -aS'precipitating\tprecipitate\tVBG\tB-VP\tO' -p20039 -aS'symptoms\tsymptom\tNNS\tB-NP\tO' -p20040 -aS'of\tof\tIN\tB-PP\tO' -p20041 -aS'Flolan\tFlolan\tNNP\tB-NP\tO' -p20042 -aS'overdose\toverdose\tNN\tI-NP\tO' -p20043 -aS'.\t.\t.\tO\tO' -p20044 -asS'He remaineda febrile with daily improvement in the appearance of his wound .' -p20045 -(lp20046 -S'He\tHe\tPRP\tB-NP\tO' -p20047 -aS'remaineda\tremaineda\tVBP\tB-VP\tO' -p20048 -aS'febrile\tfebrile\tNN\tB-NP\tO' -p20049 -aS'with\twith\tIN\tB-PP\tO' -p20050 -aS'daily\tdaily\tJJ\tB-NP\tO' -p20051 -aS'improvement\timprovement\tNN\tI-NP\tO' -p20052 -aS'in\tin\tIN\tB-PP\tO' -p20053 -aS'the\tthe\tDT\tB-NP\tO' -p20054 -aS'appearance\tappearance\tNN\tI-NP\tO' -p20055 -aS'of\tof\tIN\tB-PP\tO' -p20056 -aS'his\this\tPRP$\tB-NP\tO' -p20057 -aS'wound\twound\tNN\tI-NP\tO' -p20058 -aS'.\t.\t.\tO\tO' -p20059 -asS'Coumadin was then begun with a goal INR of 2.0 to 3.0 .' -p20060 -(lp20061 -S'Coumadin\tCoumadin\tNN\tB-NP\tO' -p20062 -aS'was\tbe\tVBD\tB-VP\tO' -p20063 -aS'then\tthen\tRB\tI-VP\tO' -p20064 -aS'begun\tbegin\tVBN\tI-VP\tO' -p20065 -aS'with\twith\tIN\tB-PP\tO' -p20066 -aS'a\ta\tDT\tB-NP\tO' -p20067 -aS'goal\tgoal\tNN\tI-NP\tO' -p20068 -aS'INR\tINR\tNN\tI-NP\tO' -p20069 -aS'of\tof\tIN\tB-PP\tO' -p20070 -aS'2.0\t2.0\tCD\tB-NP\tO' -p20071 -aS'to\tto\tTO\tB-PP\tO' -p20072 -aS'3.0\t3.0\tCD\tB-NP\tO' -p20073 -aS'.\t.\t.\tO\tO' -p20074 -asS'Earlier that day pt had a chest x ray which showed diffuse infiltrative process concerning for ARDS .' -p20075 -(lp20076 -S'Earlier\tEarlier\tRBR\tB-ADVP\tO' -p20077 -aS'that\tthat\tDT\tB-NP\tO' -p20078 -aS'day\tday\tNN\tI-NP\tO' -p20079 -aS'pt\tpt\tNN\tI-NP\tO' -p20080 -aS'had\thave\tVBD\tB-VP\tO' -p20081 -aS'a\ta\tDT\tB-NP\tO' -p20082 -aS'chest\tchest\tNN\tI-NP\tO' -p20083 -aS'x\tx\tSYM\tB-NP\tO' -p20084 -aS'ray\tray\tNN\tI-NP\tO' -p20085 -aS'which\twhich\tWDT\tB-NP\tO' -p20086 -aS'showed\tshow\tVBD\tB-VP\tO' -p20087 -aS'diffuse\tdiffuse\tJJ\tB-NP\tO' -p20088 -aS'infiltrative\tinfiltrative\tJJ\tI-NP\tO' -p20089 -aS'process\tprocess\tNN\tI-NP\tO' -p20090 -aS'concerning\tconcern\tVBG\tB-VP\tO' -p20091 -aS'for\tfor\tIN\tB-PP\tO' -p20092 -aS'ARDS\tARDS\tNN\tB-NP\tO' -p20093 -aS'.\t.\t.\tO\tO' -p20094 -asS'Mr. Steadman is a 25 year old man who presented to the The Hospital for Orthopedics on' -p20095 -(lp20096 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p20097 -aS'Steadman\tSteadman\tNNP\tI-NP\tO' -p20098 -aS'is\tbe\tVBZ\tB-VP\tO' -p20099 -aS'a\ta\tDT\tB-NP\tO' -p20100 -aS'25\t25\tCD\tI-NP\tO' -p20101 -aS'year\tyear\tNN\tI-NP\tO' -p20102 -aS'old\told\tJJ\tI-NP\tO' -p20103 -aS'man\tman\tNN\tI-NP\tO' -p20104 -aS'who\twho\tWP\tB-NP\tO' -p20105 -aS'presented\tpresent\tVBD\tB-VP\tO' -p20106 -aS'to\tto\tTO\tB-PP\tO' -p20107 -aS'the\tthe\tDT\tB-NP\tO' -p20108 -aS'The\tThe\tNNP\tI-NP\tO' -p20109 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p20110 -aS'for\tfor\tIN\tB-PP\tO' -p20111 -aS'Orthopedics\tOrthopedics\tNNP\tB-NP\tO' -p20112 -aS'on\ton\tIN\tB-PP\tO' -p20113 -asS'2. Cardiovascular .' -p20114 -(lp20115 -S'2.\t2.\tLS\tB-LST\tO' -p20116 -aS'Cardiovascular\tCardiovascular\tNNP\tB-NP\tO' -p20117 -aS'.\t.\t.\tO\tO' -p20118 -asS'3. Percocet one to two p.o. q. four hours p.r.n.' -p20119 -(lp20120 -S'3.\t3.\tLS\tB-LST\tO' -p20121 -aS'Percocet\tPercocet\tNNP\tB-NP\tO' -p20122 -aS'one\tone\tCD\tI-NP\tO' -p20123 -aS'to\tto\tTO\tB-PP\tO' -p20124 -aS'two\ttwo\tCD\tB-NP\tO' -p20125 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p20126 -aS'q.\tq.\tFW\tI-NP\tO' -p20127 -aS'four\tfour\tCD\tB-NP\tO' -p20128 -aS'hours\thour\tNNS\tI-NP\tO' -p20129 -aS'p.r.n.\tp.r.n.\tRB\tB-ADVP\tO' -p20130 -asS'5. Zestoretic with an unknown dose .' -p20131 -(lp20132 -S'5.\t5.\tLS\tB-LST\tO' -p20133 -aS'Zestoretic\tZestoretic\tJJ\tB-ADJP\tO' -p20134 -aS'with\twith\tIN\tB-PP\tO' -p20135 -aS'an\tan\tDT\tB-NP\tO' -p20136 -aS'unknown\tunknown\tJJ\tI-NP\tO' -p20137 -aS'dose\tdose\tNN\tI-NP\tO' -p20138 -aS'.\t.\t.\tO\tO' -p20139 -asS'She has never received any blood products during this CMED CSRU stay .' -p20140 -(lp20141 -S'She\tShe\tPRP\tB-NP\tO' -p20142 -aS'has\thave\tVBZ\tB-VP\tO' -p20143 -aS'never\tnever\tRB\tI-VP\tO' -p20144 -aS'received\treceive\tVBN\tI-VP\tO' -p20145 -aS'any\tany\tDT\tB-NP\tO' -p20146 -aS'blood\tblood\tNN\tI-NP\tO' -p20147 -aS'products\tproduct\tNNS\tI-NP\tO' -p20148 -aS'during\tduring\tIN\tB-PP\tO' -p20149 -aS'this\tthis\tDT\tB-NP\tO' -p20150 -aS'CMED\tCMED\tVBN\tI-NP\tO' -p20151 -aS'CSRU\tCSRU\tNN\tI-NP\tO' -p20152 -aS'stay\tstay\tNN\tI-NP\tO' -p20153 -aS'.\t.\t.\tO\tO' -p20154 -asS'Please follow up with Dr. Frye in cardiololgy ( ( 216 ) 660-0019 ) on 10-09 at 2:15 PM .' -p20155 -(lp20156 -S'Please\tPlease\tVB\tB-VP\tO' -p20157 -aS'follow\tfollow\tVB\tI-VP\tO' -p20158 -aS'up\tup\tRP\tB-PRT\tO' -p20159 -aS'with\twith\tIN\tB-PP\tO' -p20160 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p20161 -aS'Frye\tFrye\tNNP\tI-NP\tO' -p20162 -aS'in\tin\tIN\tB-PP\tO' -p20163 -aS'cardiololgy\tcardiololgy\tNN\tB-NP\tO' -p20164 -aS'(\t(\t(\tO\tO' -p20165 -aS'(\t(\t(\tO\tO' -p20166 -aS'216\t216\tCD\tB-NP\tO' -p20167 -aS')\t)\t)\tO\tO' -p20168 -aS'660-0019\t660-0019\tCD\tB-NP\tO' -p20169 -aS')\t)\t)\tO\tO' -p20170 -aS'on\ton\tIN\tB-PP\tO' -p20171 -aS'10-09\t10-09\tCD\tB-NP\tO' -p20172 -aS'at\tat\tIN\tB-PP\tO' -p20173 -aS'2:15\t2:15\tCD\tB-NP\tO' -p20174 -aS'PM\tPM\tNN\tI-NP\tO' -p20175 -aS'.\t.\t.\tO\tO' -p20176 -asS'Blood urea nitrogen 11 , creatinine .6 , uric acid 3.0 , alkaline phosphatase 78 , creatinine phosphokinase isoenzymes too low , hematocrit 41 , white blood cell count 11.6 .' -p20177 -(lp20178 -S'Blood\tBlood\tNN\tB-NP\tO' -p20179 -aS'urea\turea\tNN\tI-NP\tO' -p20180 -aS'nitrogen\tnitrogen\tNN\tI-NP\tO' -p20181 -aS'11\t11\tCD\tI-NP\tO' -p20182 -aS',\t,\t,\tO\tO' -p20183 -aS'creatinine\tcreatinine\tNN\tB-NP\tB-protein' -p20184 -aS'.6\t.6\tCD\tI-NP\tI-protein' -p20185 -aS',\t,\t,\tO\tO' -p20186 -aS'uric\turic\tJJ\tB-NP\tO' -p20187 -aS'acid\tacid\tNN\tI-NP\tO' -p20188 -aS'3.0\t3.0\tCD\tI-NP\tO' -p20189 -aS',\t,\t,\tO\tO' -p20190 -aS'alkaline\talkaline\tNN\tB-NP\tO' -p20191 -aS'phosphatase\tphosphatase\tNN\tI-NP\tO' -p20192 -aS'78\t78\tCD\tI-NP\tO' -p20193 -aS',\t,\t,\tO\tO' -p20194 -aS'creatinine\tcreatinine\tNN\tB-NP\tB-protein' -p20195 -aS'phosphokinase\tphosphokinase\tNN\tI-NP\tI-protein' -p20196 -aS'isoenzymes\tisoenzyme\tNNS\tI-NP\tI-protein' -p20197 -aS'too\ttoo\tRB\tB-ADJP\tO' -p20198 -aS'low\tlow\tJJ\tI-ADJP\tO' -p20199 -aS',\t,\t,\tO\tO' -p20200 -aS'hematocrit\thematocrit\tNN\tB-NP\tO' -p20201 -aS'41\t41\tCD\tI-NP\tO' -p20202 -aS',\t,\t,\tO\tO' -p20203 -aS'white\twhite\tJJ\tB-NP\tO' -p20204 -aS'blood\tblood\tNN\tI-NP\tO' -p20205 -aS'cell\tcell\tNN\tI-NP\tO' -p20206 -aS'count\tcount\tNN\tI-NP\tO' -p20207 -aS'11.6\t11.6\tCD\tI-NP\tO' -p20208 -aS'.\t.\t.\tO\tO' -p20209 -asS'On June 26 , 1994 tumor debulking , pelvic lymph node dissection , lysis of adhesions , abdominal wall hernia repair .' -p20210 -(lp20211 -S'On\tOn\tIN\tB-PP\tO' -p20212 -aS'June\tJune\tNNP\tB-NP\tO' -p20213 -aS'26\t26\tCD\tI-NP\tO' -p20214 -aS',\t,\t,\tI-NP\tO' -p20215 -aS'1994\t1994\tCD\tI-NP\tO' -p20216 -aS'tumor\ttumor\tNN\tI-NP\tO' -p20217 -aS'debulking\tdebulking\tNN\tI-NP\tO' -p20218 -aS',\t,\t,\tO\tO' -p20219 -aS'pelvic\tpelvic\tJJ\tB-NP\tO' -p20220 -aS'lymph\tlymph\tNN\tI-NP\tO' -p20221 -aS'node\tnode\tNN\tI-NP\tO' -p20222 -aS'dissection\tdissection\tNN\tI-NP\tO' -p20223 -aS',\t,\t,\tO\tO' -p20224 -aS'lysis\tlysis\tNN\tB-NP\tO' -p20225 -aS'of\tof\tIN\tB-PP\tO' -p20226 -aS'adhesions\tadhesion\tNNS\tB-NP\tO' -p20227 -aS',\t,\t,\tO\tO' -p20228 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p20229 -aS'wall\twall\tNN\tI-NP\tO' -p20230 -aS'hernia\thernia\tNN\tI-NP\tO' -p20231 -aS'repair\trepair\tNN\tI-NP\tO' -p20232 -aS'.\t.\t.\tO\tO' -p20233 -asS'3. Status post left femur fracture' -p20234 -(lp20235 -S'3.\t3.\tLS\tB-NP\tO' -p20236 -aS'Status\tStatus\tNNP\tI-NP\tO' -p20237 -aS'post\tpost\tNN\tI-NP\tO' -p20238 -aS'left\tleave\tVBD\tB-VP\tO' -p20239 -aS'femur\tfemur\tNN\tB-NP\tO' -p20240 -aS'fracture\tfracture\tNN\tI-NP\tO' -p20241 -asS'STAGE 2 OF THE SURGERY WILL BE DONE IN 3 WEEKS .' -p20242 -(lp20243 -S'STAGE\tSTAGE\tNN\tB-NP\tO' -p20244 -aS'2\t2\tCD\tI-NP\tO' -p20245 -aS'OF\tOF\tIN\tB-PP\tO' -p20246 -aS'THE\tTHE\tDT\tB-NP\tO' -p20247 -aS'SURGERY\tSURGERY\tNN\tI-NP\tO' -p20248 -aS'WILL\tWILL\tMD\tB-VP\tO' -p20249 -aS'BE\tBE\tVB\tI-VP\tO' -p20250 -aS'DONE\tDONE\tNN\tB-NP\tO' -p20251 -aS'IN\tIN\tIN\tB-PP\tO' -p20252 -aS'3\t3\tCD\tB-NP\tO' -p20253 -aS'WEEKS\tWEEKS\tNN\tI-NP\tO' -p20254 -aS'.\t.\t.\tO\tO' -p20255 -asS'There is increased tone in his right upper extremity with a slight left pronator drift .' -p20256 -(lp20257 -S'There\tThere\tEX\tB-NP\tO' -p20258 -aS'is\tbe\tVBZ\tB-VP\tO' -p20259 -aS'increased\tincrease\tVBN\tB-NP\tO' -p20260 -aS'tone\ttone\tNN\tI-NP\tO' -p20261 -aS'in\tin\tIN\tB-PP\tO' -p20262 -aS'his\this\tPRP$\tB-NP\tO' -p20263 -aS'right\tright\tJJ\tI-NP\tO' -p20264 -aS'upper\tupper\tJJ\tI-NP\tO' -p20265 -aS'extremity\textremity\tNN\tI-NP\tO' -p20266 -aS'with\twith\tIN\tB-PP\tO' -p20267 -aS'a\ta\tDT\tB-NP\tO' -p20268 -aS'slight\tslight\tJJ\tI-NP\tO' -p20269 -aS'left\tleft\tJJ\tI-NP\tO' -p20270 -aS'pronator\tpronator\tNN\tI-NP\tO' -p20271 -aS'drift\tdrift\tNN\tI-NP\tO' -p20272 -aS'.\t.\t.\tO\tO' -p20273 -asS'Her pulses were intact throughout .' -p20274 -(lp20275 -S'Her\tHer\tPRP$\tB-NP\tO' -p20276 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p20277 -aS'were\tbe\tVBD\tB-VP\tO' -p20278 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p20279 -aS'throughout\tthroughout\tIN\tB-ADVP\tO' -p20280 -aS'.\t.\t.\tO\tO' -p20281 -asS'Obese , soft , non-tender , bowel sounds were present .' -p20282 -(lp20283 -S'Obese\tObese\tJJ\tB-NP\tO' -p20284 -aS',\t,\t,\tI-NP\tO' -p20285 -aS'soft\tsoft\tJJ\tI-NP\tO' -p20286 -aS',\t,\t,\tI-NP\tO' -p20287 -aS'non-tender\tnon-tender\tJJ\tI-NP\tO' -p20288 -aS',\t,\t,\tI-NP\tO' -p20289 -aS'bowel\tbowel\tNN\tI-NP\tO' -p20290 -aS'sounds\tsound\tNNS\tI-NP\tO' -p20291 -aS'were\tbe\tVBD\tB-VP\tO' -p20292 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p20293 -aS'.\t.\t.\tO\tO' -p20294 -asS'Abdomen : soft , nondistended .' -p20295 -(lp20296 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p20297 -aS':\t:\t:\tO\tO' -p20298 -aS'soft\tsoft\tJJ\tB-NP\tO' -p20299 -aS',\t,\t,\tI-NP\tO' -p20300 -aS'nondistended\tnondistended\tJJ\tI-NP\tO' -p20301 -aS'.\t.\t.\tO\tO' -p20302 -asS'Neurological .' -p20303 -(lp20304 -S'Neurological\tNeurological\tJJ\tB-ADJP\tO' -p20305 -aS'.\t.\t.\tO\tO' -p20306 -asS'She did have lower extremity doppler ultrasounds , which were negative .' -p20307 -(lp20308 -S'She\tShe\tPRP\tB-NP\tO' -p20309 -aS'did\tdo\tVBD\tB-VP\tO' -p20310 -aS'have\thave\tVB\tI-VP\tO' -p20311 -aS'lower\tlow\tJJR\tB-NP\tO' -p20312 -aS'extremity\textremity\tNN\tI-NP\tO' -p20313 -aS'doppler\tdoppler\tNN\tI-NP\tO' -p20314 -aS'ultrasounds\tultrasound\tNNS\tI-NP\tO' -p20315 -aS',\t,\t,\tO\tO' -p20316 -aS'which\twhich\tWDT\tB-NP\tO' -p20317 -aS'were\tbe\tVBD\tB-VP\tO' -p20318 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p20319 -aS'.\t.\t.\tO\tO' -p20320 -asS'No further intervention was done .' -p20321 -(lp20322 -S'No\tNo\tDT\tB-NP\tO' -p20323 -aS'further\tfurther\tJJ\tI-NP\tO' -p20324 -aS'intervention\tintervention\tNN\tI-NP\tO' -p20325 -aS'was\tbe\tVBD\tB-VP\tO' -p20326 -aS'done\tdo\tVBN\tI-VP\tO' -p20327 -aS'.\t.\t.\tO\tO' -p20328 -asS'He will have follow up arranged with Dr. Guabenfranda Patient .' -p20329 -(lp20330 -S'He\tHe\tPRP\tB-NP\tO' -p20331 -aS'will\twill\tMD\tB-VP\tO' -p20332 -aS'have\thave\tVB\tI-VP\tO' -p20333 -aS'follow\tfollow\tVB\tI-VP\tO' -p20334 -aS'up\tup\tRP\tB-PRT\tO' -p20335 -aS'arranged\tarrange\tVBN\tB-VP\tO' -p20336 -aS'with\twith\tIN\tB-PP\tO' -p20337 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p20338 -aS'Guabenfranda\tGuabenfranda\tNNP\tI-NP\tO' -p20339 -aS'Patient\tPatient\tNNP\tI-NP\tO' -p20340 -aS'.\t.\t.\tO\tO' -p20341 -asS'This bone marrow transplant did not produce remission and then he was treated with three cycles of VAD subsequently .' -p20342 -(lp20343 -S'This\tThis\tDT\tB-NP\tO' -p20344 -aS'bone\tbone\tNN\tI-NP\tO' -p20345 -aS'marrow\tmarrow\tNN\tI-NP\tO' -p20346 -aS'transplant\ttransplant\tNN\tI-NP\tO' -p20347 -aS'did\tdo\tVBD\tB-VP\tO' -p20348 -aS'not\tnot\tRB\tI-VP\tO' -p20349 -aS'produce\tproduce\tVB\tI-VP\tO' -p20350 -aS'remission\tremission\tNN\tB-NP\tO' -p20351 -aS'and\tand\tCC\tO\tO' -p20352 -aS'then\tthen\tRB\tB-ADVP\tO' -p20353 -aS'he\the\tPRP\tB-NP\tO' -p20354 -aS'was\tbe\tVBD\tB-VP\tO' -p20355 -aS'treated\ttreat\tVBN\tI-VP\tO' -p20356 -aS'with\twith\tIN\tB-PP\tO' -p20357 -aS'three\tthree\tCD\tB-NP\tO' -p20358 -aS'cycles\tcycle\tNNS\tI-NP\tO' -p20359 -aS'of\tof\tIN\tB-PP\tO' -p20360 -aS'VAD\tVAD\tNN\tB-NP\tB-protein' -p20361 -aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' -p20362 -aS'.\t.\t.\tO\tO' -p20363 -asS'The patient presents now for right modified radical mastectomy with impant .' -p20364 -(lp20365 -S'The\tThe\tDT\tB-NP\tO' -p20366 -aS'patient\tpatient\tNN\tI-NP\tO' -p20367 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p20368 -aS'now\tnow\tRB\tB-ADVP\tO' -p20369 -aS'for\tfor\tIN\tB-PP\tO' -p20370 -aS'right\tright\tJJ\tB-NP\tO' -p20371 -aS'modified\tmodify\tVBN\tI-NP\tO' -p20372 -aS'radical\tradical\tJJ\tI-NP\tO' -p20373 -aS'mastectomy\tmastectomy\tNN\tI-NP\tO' -p20374 -aS'with\twith\tIN\tB-PP\tO' -p20375 -aS'impant\timpant\tNN\tB-NP\tO' -p20376 -aS'.\t.\t.\tO\tO' -p20377 -asS'At the time of discharge , her weight is 2,200 grams ; her length is 49.5 centimeters ( 19.5 inches ) and her head circumference is 30.5 centimeters .' -p20378 -(lp20379 -S'At\tAt\tIN\tB-PP\tO' -p20380 -aS'the\tthe\tDT\tB-NP\tO' -p20381 -aS'time\ttime\tNN\tI-NP\tO' -p20382 -aS'of\tof\tIN\tB-PP\tO' -p20383 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p20384 -aS',\t,\t,\tO\tO' -p20385 -aS'her\ther\tPRP$\tB-NP\tO' -p20386 -aS'weight\tweight\tNN\tI-NP\tO' -p20387 -aS'is\tbe\tVBZ\tB-VP\tO' -p20388 -aS'2,200\t2,200\tCD\tB-NP\tO' -p20389 -aS'grams\tgram\tNNS\tI-NP\tO' -p20390 -aS';\t;\t:\tO\tO' -p20391 -aS'her\ther\tPRP$\tB-NP\tO' -p20392 -aS'length\tlength\tNN\tI-NP\tO' -p20393 -aS'is\tbe\tVBZ\tB-VP\tO' -p20394 -aS'49.5\t49.5\tCD\tB-NP\tO' -p20395 -aS'centimeters\tcentimeter\tNNS\tI-NP\tO' -p20396 -aS'(\t(\t(\tO\tO' -p20397 -aS'19.5\t19.5\tCD\tB-NP\tO' -p20398 -aS'inches\tinch\tNNS\tI-NP\tO' -p20399 -aS')\t)\t)\tO\tO' -p20400 -aS'and\tand\tCC\tO\tO' -p20401 -aS'her\ther\tPRP$\tB-NP\tO' -p20402 -aS'head\thead\tNN\tI-NP\tO' -p20403 -aS'circumference\tcircumference\tNN\tI-NP\tO' -p20404 -aS'is\tbe\tVBZ\tB-VP\tO' -p20405 -aS'30.5\t30.5\tCD\tB-NP\tO' -p20406 -aS'centimeters\tcentimeter\tNNS\tI-NP\tO' -p20407 -aS'.\t.\t.\tO\tO' -p20408 -asS'13. MS Contin .' -p20409 -(lp20410 -S'13.\t13.\tLS\tB-NP\tO' -p20411 -aS'MS\tMS\tNN\tI-NP\tB-protein' -p20412 -aS'Contin\tContin\tNN\tI-NP\tI-protein' -p20413 -aS'.\t.\t.\tO\tO' -p20414 -asS'Lungs-clear with good air movement bilaterally .' -p20415 -(lp20416 -S'Lungs-clear\tLungs-clear\tJJ\tB-ADJP\tO' -p20417 -aS'with\twith\tIN\tB-PP\tO' -p20418 -aS'good\tgood\tJJ\tB-NP\tO' -p20419 -aS'air\tair\tNN\tI-NP\tO' -p20420 -aS'movement\tmovement\tNN\tI-NP\tO' -p20421 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p20422 -aS'.\t.\t.\tO\tO' -p20423 -asS'Variably assoc with SOB , nausea , palpitations , tremulousness , diaphoresis .' -p20424 -(lp20425 -S'Variably\tVariably\tRB\tB-NP\tO' -p20426 -aS'assoc\tassoc\tNN\tI-NP\tO' -p20427 -aS'with\twith\tIN\tB-PP\tO' -p20428 -aS'SOB\tSOB\tNN\tB-NP\tB-protein' -p20429 -aS',\t,\t,\tO\tO' -p20430 -aS'nausea\tnausea\tNN\tB-NP\tO' -p20431 -aS',\t,\t,\tO\tO' -p20432 -aS'palpitations\tpalpitation\tNNS\tB-NP\tO' -p20433 -aS',\t,\t,\tO\tO' -p20434 -aS'tremulousness\ttremulousness\tNN\tB-NP\tO' -p20435 -aS',\t,\t,\tO\tO' -p20436 -aS'diaphoresis\tdiaphoresis\tNN\tB-NP\tO' -p20437 -aS'.\t.\t.\tO\tO' -p20438 -asS'1. Only significant for a right inguinal hernia repair .' -p20439 -(lp20440 -S'1.\t1.\tLS\tB-LST\tO' -p20441 -aS'Only\tOnly\tRB\tB-ADJP\tO' -p20442 -aS'significant\tsignificant\tJJ\tI-ADJP\tO' -p20443 -aS'for\tfor\tIN\tB-PP\tO' -p20444 -aS'a\ta\tDT\tB-NP\tO' -p20445 -aS'right\tright\tJJ\tI-NP\tB-protein' -p20446 -aS'inguinal\tinguinal\tJJ\tI-NP\tI-protein' -p20447 -aS'hernia\thernia\tNN\tI-NP\tI-protein' -p20448 -aS'repair\trepair\tNN\tI-NP\tI-protein' -p20449 -aS'.\t.\t.\tO\tO' -p20450 -asS'The patient is a 72 year old white male with a history of coronary artery disease , status post a four vessel coronary artery bypass graft in 1983 , pulmonary hypertension , hepatitis C positive cirrhosis history with history of portal hypertension and status post an upper gastrointestinal bleed on 4-10-98 , who presents from Sondi Memorial for work up of pulmonary infiltrates , acute renal failure and pulmonary hypertension .' -p20451 -(lp20452 -S'The\tThe\tDT\tB-NP\tO' -p20453 -aS'patient\tpatient\tNN\tI-NP\tO' -p20454 -aS'is\tbe\tVBZ\tB-VP\tO' -p20455 -aS'a\ta\tDT\tB-NP\tO' -p20456 -aS'72\t72\tCD\tI-NP\tO' -p20457 -aS'year\tyear\tNN\tI-NP\tO' -p20458 -aS'old\told\tJJ\tI-NP\tO' -p20459 -aS'white\twhite\tJJ\tI-NP\tO' -p20460 -aS'male\tmale\tNN\tI-NP\tO' -p20461 -aS'with\twith\tIN\tB-PP\tO' -p20462 -aS'a\ta\tDT\tB-NP\tO' -p20463 -aS'history\thistory\tNN\tI-NP\tO' -p20464 -aS'of\tof\tIN\tB-PP\tO' -p20465 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p20466 -aS'artery\tartery\tNN\tI-NP\tO' -p20467 -aS'disease\tdisease\tNN\tI-NP\tO' -p20468 -aS',\t,\t,\tO\tO' -p20469 -aS'status\tstatus\tNN\tB-NP\tO' -p20470 -aS'post\tpost\tVBD\tB-VP\tO' -p20471 -aS'a\ta\tDT\tB-NP\tO' -p20472 -aS'four\tfour\tCD\tI-NP\tO' -p20473 -aS'vessel\tvessel\tNN\tI-NP\tO' -p20474 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p20475 -aS'artery\tartery\tNN\tI-NP\tO' -p20476 -aS'bypass\tbypass\tIN\tB-PP\tO' -p20477 -aS'graft\tgraft\tNN\tB-NP\tO' -p20478 -aS'in\tin\tIN\tB-PP\tO' -p20479 -aS'1983\t1983\tCD\tB-NP\tO' -p20480 -aS',\t,\t,\tO\tO' -p20481 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p20482 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p20483 -aS',\t,\t,\tO\tO' -p20484 -aS'hepatitis\thepatitis\tNN\tB-NP\tO' -p20485 -aS'C\tC\tNN\tI-NP\tO' -p20486 -aS'positive\tpositive\tJJ\tI-NP\tO' -p20487 -aS'cirrhosis\tcirrhosis\tNN\tI-NP\tO' -p20488 -aS'history\thistory\tNN\tI-NP\tO' -p20489 -aS'with\twith\tIN\tB-PP\tO' -p20490 -aS'history\thistory\tNN\tB-NP\tO' -p20491 -aS'of\tof\tIN\tB-PP\tO' -p20492 -aS'portal\tportal\tJJ\tB-NP\tO' -p20493 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p20494 -aS'and\tand\tCC\tI-NP\tO' -p20495 -aS'status\tstatus\tNN\tI-NP\tO' -p20496 -aS'post\tpost\tVBP\tB-VP\tO' -p20497 -aS'an\tan\tDT\tB-NP\tO' -p20498 -aS'upper\tupper\tJJ\tI-NP\tO' -p20499 -aS'gastrointestinal\tgastrointestinal\tJJ\tI-NP\tO' -p20500 -aS'bleed\tbleed\tNN\tI-NP\tO' -p20501 -aS'on\ton\tIN\tB-PP\tO' -p20502 -aS'4-10-98\t4-10-98\tNN\tB-NP\tO' -p20503 -aS',\t,\t,\tO\tO' -p20504 -aS'who\twho\tWP\tB-NP\tO' -p20505 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p20506 -aS'from\tfrom\tIN\tB-PP\tO' -p20507 -aS'Sondi\tSondi\tNNP\tB-NP\tO' -p20508 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p20509 -aS'for\tfor\tIN\tB-PP\tO' -p20510 -aS'work\twork\tNN\tB-NP\tO' -p20511 -aS'up\tup\tRB\tB-ADVP\tO' -p20512 -aS'of\tof\tIN\tB-PP\tO' -p20513 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tB-cell_type' -p20514 -aS'infiltrates\tinfiltrate\tNNS\tI-NP\tI-cell_type' -p20515 -aS',\t,\t,\tO\tO' -p20516 -aS'acute\tacute\tJJ\tB-NP\tO' -p20517 -aS'renal\trenal\tJJ\tI-NP\tO' -p20518 -aS'failure\tfailure\tNN\tI-NP\tO' -p20519 -aS'and\tand\tCC\tO\tO' -p20520 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p20521 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p20522 -aS'.\t.\t.\tO\tO' -p20523 -asS'The patient was now very stable , and he was taken to the Respiratory Intensive Care Unit .' -p20524 -(lp20525 -S'The\tThe\tDT\tB-NP\tO' -p20526 -aS'patient\tpatient\tNN\tI-NP\tO' -p20527 -aS'was\tbe\tVBD\tB-VP\tO' -p20528 -aS'now\tnow\tRB\tB-ADVP\tO' -p20529 -aS'very\tvery\tRB\tB-ADJP\tO' -p20530 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p20531 -aS',\t,\t,\tO\tO' -p20532 -aS'and\tand\tCC\tO\tO' -p20533 -aS'he\the\tPRP\tB-NP\tO' -p20534 -aS'was\tbe\tVBD\tB-VP\tO' -p20535 -aS'taken\ttake\tVBN\tI-VP\tO' -p20536 -aS'to\tto\tTO\tB-PP\tO' -p20537 -aS'the\tthe\tDT\tB-NP\tO' -p20538 -aS'Respiratory\tRespiratory\tNNP\tI-NP\tO' -p20539 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p20540 -aS'Care\tCare\tNNP\tI-NP\tO' -p20541 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p20542 -aS'.\t.\t.\tO\tO' -p20543 -asS'POD# 1 pt was tolerating regular diet , ambulating , afebrile , and calcium was stable .' -p20544 -(lp20545 -S'POD#\tPOD#\tNN\tB-NP\tB-protein' -p20546 -aS'1\t1\tCD\tI-NP\tI-protein' -p20547 -aS'pt\tpt\tNN\tI-NP\tO' -p20548 -aS'was\tbe\tVBD\tB-VP\tO' -p20549 -aS'tolerating\ttolerate\tVBG\tI-VP\tO' -p20550 -aS'regular\tregular\tJJ\tB-NP\tO' -p20551 -aS'diet\tdiet\tNN\tI-NP\tO' -p20552 -aS',\t,\t,\tO\tO' -p20553 -aS'ambulating\tambulating\tNN\tB-NP\tO' -p20554 -aS',\t,\t,\tO\tO' -p20555 -aS'afebrile\tafebrile\tNN\tB-NP\tO' -p20556 -aS',\t,\t,\tO\tO' -p20557 -aS'and\tand\tCC\tO\tO' -p20558 -aS'calcium\tcalcium\tNN\tB-NP\tO' -p20559 -aS'was\tbe\tVBD\tB-VP\tO' -p20560 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p20561 -aS'.\t.\t.\tO\tO' -p20562 -asS'She is to follow-up with Dr. Geraldo Davis .' -p20563 -(lp20564 -S'She\tShe\tPRP\tB-NP\tO' -p20565 -aS'is\tbe\tVBZ\tB-VP\tO' -p20566 -aS'to\tto\tTO\tB-VP\tO' -p20567 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p20568 -aS'with\twith\tIN\tB-PP\tO' -p20569 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p20570 -aS'Geraldo\tGeraldo\tNNP\tI-NP\tO' -p20571 -aS'Davis\tDavis\tNNP\tI-NP\tO' -p20572 -aS'.\t.\t.\tO\tO' -p20573 -asS'RESP : Decreased air entry and crackles at both lung bases .' -p20574 -(lp20575 -S'RESP\tRESP\tNN\tB-NP\tO' -p20576 -aS':\t:\t:\tO\tO' -p20577 -aS'Decreased\tDecrease\tVBN\tB-NP\tO' -p20578 -aS'air\tair\tNN\tI-NP\tO' -p20579 -aS'entry\tentry\tNN\tI-NP\tO' -p20580 -aS'and\tand\tCC\tO\tO' -p20581 -aS'crackles\tcrackle\tNNS\tB-NP\tO' -p20582 -aS'at\tat\tIN\tB-PP\tO' -p20583 -aS'both\tboth\tDT\tB-NP\tO' -p20584 -aS'lung\tlung\tNN\tI-NP\tB-protein' -p20585 -aS'bases\tbase\tNNS\tI-NP\tI-protein' -p20586 -aS'.\t.\t.\tO\tO' -p20587 -asS'Abdomen soft with no masses .' -p20588 -(lp20589 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p20590 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p20591 -aS'with\twith\tIN\tB-PP\tO' -p20592 -aS'no\tno\tDT\tB-NP\tO' -p20593 -aS'masses\tmass\tNNS\tI-NP\tO' -p20594 -aS'.\t.\t.\tO\tO' -p20595 -asS'HCTZ 25 mg daily lisinopril 40 mg daily' -p20596 -(lp20597 -S'HCTZ\tHCTZ\tNN\tB-NP\tO' -p20598 -aS'25\t25\tCD\tI-NP\tO' -p20599 -aS'mg\tmg\tNN\tI-NP\tO' -p20600 -aS'daily\tdaily\tJJ\tI-NP\tO' -p20601 -aS'lisinopril\tlisinopril\tNN\tI-NP\tO' -p20602 -aS'40\t40\tCD\tI-NP\tO' -p20603 -aS'mg\tmg\tNN\tI-NP\tO' -p20604 -aS'daily\tdaily\tJJ\tI-NP\tO' -p20605 -asS'Studies of skin galvanic conduction were normal and her RR interval evaluation was not abnormal .' -p20606 -(lp20607 -S'Studies\tStudy\tNNS\tB-NP\tO' -p20608 -aS'of\tof\tIN\tB-PP\tO' -p20609 -aS'skin\tskin\tNN\tB-NP\tO' -p20610 -aS'galvanic\tgalvanic\tJJ\tI-NP\tO' -p20611 -aS'conduction\tconduction\tNN\tI-NP\tO' -p20612 -aS'were\tbe\tVBD\tB-VP\tO' -p20613 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p20614 -aS'and\tand\tCC\tO\tO' -p20615 -aS'her\ther\tPRP$\tB-NP\tO' -p20616 -aS'RR\tRR\tNN\tI-NP\tO' -p20617 -aS'interval\tinterval\tNN\tI-NP\tO' -p20618 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p20619 -aS'was\tbe\tVBD\tB-VP\tO' -p20620 -aS'not\tnot\tRB\tO\tO' -p20621 -aS'abnormal\tabnormal\tJJ\tB-ADJP\tO' -p20622 -aS'.\t.\t.\tO\tO' -p20623 -asS'Chest had diffuse crackles bilaterally halfway up .' -p20624 -(lp20625 -S'Chest\tChest\tNNP\tB-NP\tO' -p20626 -aS'had\thave\tVBD\tB-VP\tO' -p20627 -aS'diffuse\tdiffuse\tJJ\tB-NP\tO' -p20628 -aS'crackles\tcrackle\tNNS\tI-NP\tO' -p20629 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p20630 -aS'halfway\thalfway\tVBP\tB-VP\tO' -p20631 -aS'up\tup\tRP\tB-PRT\tO' -p20632 -aS'.\t.\t.\tO\tO' -p20633 -asS'Still getting chest pain intermittently , but relieved by morphine sulfate .' -p20634 -(lp20635 -S'Still\tStill\tRB\tB-ADVP\tO' -p20636 -aS'getting\tget\tVBG\tB-VP\tO' -p20637 -aS'chest\tch\tJJS\tB-NP\tO' -p20638 -aS'pain\tpain\tNN\tI-NP\tO' -p20639 -aS'intermittently\tintermittently\tRB\tB-ADVP\tO' -p20640 -aS',\t,\t,\tO\tO' -p20641 -aS'but\tbut\tCC\tO\tO' -p20642 -aS'relieved\trelieve\tVBN\tB-VP\tO' -p20643 -aS'by\tby\tIN\tB-PP\tO' -p20644 -aS'morphine\tmorphine\tNN\tB-NP\tO' -p20645 -aS'sulfate\tsulfate\tNN\tI-NP\tO' -p20646 -aS'.\t.\t.\tO\tO' -p20647 -asS'Thus , a heparin sliding scale was begun .' -p20648 -(lp20649 -S'Thus\tThus\tRB\tB-ADVP\tO' -p20650 -aS',\t,\t,\tO\tO' -p20651 -aS'a\ta\tDT\tB-NP\tO' -p20652 -aS'heparin\theparin\tNN\tI-NP\tO' -p20653 -aS'sliding\tslide\tVBG\tB-VP\tO' -p20654 -aS'scale\tscale\tNN\tB-NP\tO' -p20655 -aS'was\tbe\tVBD\tB-VP\tO' -p20656 -aS'begun\tbegin\tVBN\tI-VP\tO' -p20657 -aS'.\t.\t.\tO\tO' -p20658 -asS'At this time , there was diverticulosis with no acute diverticulitis .' -p20659 -(lp20660 -S'At\tAt\tIN\tB-PP\tO' -p20661 -aS'this\tthis\tDT\tB-NP\tO' -p20662 -aS'time\ttime\tNN\tI-NP\tO' -p20663 -aS',\t,\t,\tO\tO' -p20664 -aS'there\tthere\tEX\tB-NP\tO' -p20665 -aS'was\tbe\tVBD\tB-VP\tO' -p20666 -aS'diverticulosis\tdiverticulosis\tNN\tB-NP\tO' -p20667 -aS'with\twith\tIN\tB-PP\tO' -p20668 -aS'no\tno\tDT\tB-NP\tO' -p20669 -aS'acute\tacute\tJJ\tI-NP\tO' -p20670 -aS'diverticulitis\tdiverticulitis\tNN\tI-NP\tO' -p20671 -aS'.\t.\t.\tO\tO' -p20672 -asS'Alert and oriented times three .' -p20673 -(lp20674 -S'Alert\tAlert\tNNP\tB-NP\tO' -p20675 -aS'and\tand\tCC\tO\tO' -p20676 -aS'oriented\torient\tVBN\tB-VP\tO' -p20677 -aS'times\ttime\tNNS\tB-NP\tO' -p20678 -aS'three\tthree\tCD\tB-NP\tO' -p20679 -aS'.\t.\t.\tO\tO' -p20680 -asS'Still drinks occasionally .' -p20681 -(lp20682 -S'Still\tStill\tRB\tB-ADVP\tO' -p20683 -aS'drinks\tdrink\tVBZ\tB-VP\tO' -p20684 -aS'occasionally\toccasionally\tRB\tB-ADVP\tO' -p20685 -aS'.\t.\t.\tO\tO' -p20686 -asS'TOMATO ( causing anaphylaxis ) and TETANUS SHOT .' -p20687 -(lp20688 -S'TOMATO\tTOMATO\tNN\tB-NP\tO' -p20689 -aS'(\t(\t(\tO\tO' -p20690 -aS'causing\tcause\tVBG\tB-VP\tO' -p20691 -aS'anaphylaxis\tanaphylaxis\tNN\tB-NP\tO' -p20692 -aS')\t)\t)\tO\tO' -p20693 -aS'and\tand\tCC\tO\tO' -p20694 -aS'TETANUS\tTETANUS\tNNP\tB-NP\tO' -p20695 -aS'SHOT\tSHOT\tNNP\tI-NP\tO' -p20696 -aS'.\t.\t.\tO\tO' -p20697 -asS'Room air arterial blood gas showed a pO2 of 56 , a pCO2 of 35 , and a pH of 7.52 .' -p20698 -(lp20699 -S'Room\tRoom\tNN\tB-NP\tO' -p20700 -aS'air\tair\tNN\tI-NP\tO' -p20701 -aS'arterial\tarterial\tJJ\tI-NP\tO' -p20702 -aS'blood\tblood\tNN\tI-NP\tO' -p20703 -aS'gas\tgas\tNN\tI-NP\tO' -p20704 -aS'showed\tshow\tVBD\tB-VP\tO' -p20705 -aS'a\ta\tDT\tB-NP\tO' -p20706 -aS'pO2\tpO2\tNN\tI-NP\tO' -p20707 -aS'of\tof\tIN\tB-PP\tO' -p20708 -aS'56\t56\tCD\tB-NP\tO' -p20709 -aS',\t,\t,\tO\tO' -p20710 -aS'a\ta\tDT\tB-NP\tO' -p20711 -aS'pCO2\tpCO2\tNN\tI-NP\tO' -p20712 -aS'of\tof\tIN\tB-PP\tO' -p20713 -aS'35\t35\tCD\tB-NP\tO' -p20714 -aS',\t,\t,\tO\tO' -p20715 -aS'and\tand\tCC\tO\tO' -p20716 -aS'a\ta\tDT\tB-NP\tO' -p20717 -aS'pH\tpH\tNN\tI-NP\tO' -p20718 -aS'of\tof\tIN\tB-PP\tO' -p20719 -aS'7.52\t7.52\tCD\tB-NP\tO' -p20720 -aS'.\t.\t.\tO\tO' -p20721 -asS'6. Acetaminophen 325 mg Tablet Sig : Two ( 2 ) Tablet PO Q6H ( every 6 hours ) as needed for fever or pain .' -p20722 -(lp20723 -S'6.\t6.\tCD\tB-NP\tO' -p20724 -aS'Acetaminophen\tAcetaminophen\tNN\tI-NP\tO' -p20725 -aS'325\t325\tCD\tB-NP\tO' -p20726 -aS'mg\tmg\tNN\tI-NP\tO' -p20727 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p20728 -aS'Sig\tSig\tNNP\tI-NP\tO' -p20729 -aS':\t:\t:\tO\tO' -p20730 -aS'Two\tTwo\tCD\tB-NP\tO' -p20731 -aS'(\t(\t(\tO\tO' -p20732 -aS'2\t2\tCD\tO\tO' -p20733 -aS')\t)\t)\tO\tO' -p20734 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p20735 -aS'PO\tPO\tNN\tI-NP\tO' -p20736 -aS'Q6H\tQ6H\tNN\tI-NP\tO' -p20737 -aS'(\t(\t(\tO\tO' -p20738 -aS'every\tevery\tDT\tB-NP\tO' -p20739 -aS'6\t6\tCD\tI-NP\tO' -p20740 -aS'hours\thour\tNNS\tI-NP\tO' -p20741 -aS')\t)\t)\tO\tO' -p20742 -aS'as\tas\tIN\tB-SBAR\tO' -p20743 -aS'needed\tneed\tVBN\tB-VP\tO' -p20744 -aS'for\tfor\tIN\tB-PP\tO' -p20745 -aS'fever\tfever\tNN\tB-NP\tO' -p20746 -aS'or\tor\tCC\tI-NP\tO' -p20747 -aS'pain\tpain\tNN\tI-NP\tO' -p20748 -aS'.\t.\t.\tO\tO' -p20749 -asS'2015-12-03 10:27 PM estGFR - Using this' -p20750 -(lp20751 -S'2015-12-03\t2015-12-03\tCD\tB-NP\tO' -p20752 -aS'10:27\t10:27\tCD\tI-NP\tO' -p20753 -aS'PM\tPM\tNN\tI-NP\tB-protein' -p20754 -aS'estGFR\testGFR\tNN\tI-NP\tI-protein' -p20755 -aS'-\t-\tHYPH\tO\tO' -p20756 -aS'Using\tUse\tVBG\tB-VP\tO' -p20757 -aS'this\tthis\tDT\tB-NP\tO' -p20758 -asS'She did not work after the age of approximately 65 .' -p20759 -(lp20760 -S'She\tShe\tPRP\tB-NP\tO' -p20761 -aS'did\tdo\tVBD\tB-VP\tO' -p20762 -aS'not\tnot\tRB\tI-VP\tO' -p20763 -aS'work\twork\tVB\tI-VP\tO' -p20764 -aS'after\tafter\tIN\tB-PP\tO' -p20765 -aS'the\tthe\tDT\tB-NP\tO' -p20766 -aS'age\tage\tNN\tI-NP\tO' -p20767 -aS'of\tof\tIN\tB-PP\tO' -p20768 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p20769 -aS'65\t65\tCD\tI-NP\tO' -p20770 -aS'.\t.\t.\tO\tO' -p20771 -asS'She had also been noted to be confused and combative during that 24 hour period .' -p20772 -(lp20773 -S'She\tShe\tPRP\tB-NP\tO' -p20774 -aS'had\thave\tVBD\tB-VP\tO' -p20775 -aS'also\talso\tRB\tI-VP\tO' -p20776 -aS'been\tbe\tVBN\tI-VP\tO' -p20777 -aS'noted\tnote\tVBN\tI-VP\tO' -p20778 -aS'to\tto\tTO\tI-VP\tO' -p20779 -aS'be\tbe\tVB\tI-VP\tO' -p20780 -aS'confused\tconfuse\tVBN\tI-VP\tO' -p20781 -aS'and\tand\tCC\tO\tO' -p20782 -aS'combative\tcombative\tJJ\tB-ADJP\tO' -p20783 -aS'during\tduring\tIN\tB-PP\tO' -p20784 -aS'that\tthat\tDT\tB-NP\tO' -p20785 -aS'24\t24\tCD\tI-NP\tO' -p20786 -aS'hour\thour\tNN\tI-NP\tO' -p20787 -aS'period\tperiod\tNN\tI-NP\tO' -p20788 -aS'.\t.\t.\tO\tO' -p20789 -asS'Prior h/o heavy tobacco use .' -p20790 -(lp20791 -S'Prior\tPrior\tJJ\tB-NP\tO' -p20792 -aS'h/o\th/o\tNN\tI-NP\tO' -p20793 -aS'heavy\theavy\tJJ\tI-NP\tO' -p20794 -aS'tobacco\ttobacco\tNN\tI-NP\tO' -p20795 -aS'use\tuse\tNN\tI-NP\tO' -p20796 -aS'.\t.\t.\tO\tO' -p20797 -asS'Slo-Mag one tab p.o. b.i.d. Stelazine 2 mg. p.o. q.d. Ativan 1 mg p.o. or s.l. q. 4-6 hr. p.r.n. nausea .' -p20798 -(lp20799 -S'Slo-Mag\tSlo-Mag\tJJ\tB-NP\tO' -p20800 -aS'one\tone\tCD\tI-NP\tO' -p20801 -aS'tab\ttab\tNN\tI-NP\tB-protein' -p20802 -aS'p.o.\tp.o.\tFW\tB-NP\tO' -p20803 -aS'b.i.d.\tb.i.d.\tFW\tI-NP\tO' -p20804 -aS'Stelazine\tStelazine\tNN\tI-NP\tO' -p20805 -aS'2\t2\tCD\tI-NP\tO' -p20806 -aS'mg.\tmg.\tNN\tI-NP\tO' -p20807 -aS'p.o.\tp.o.\tFW\tB-ADVP\tO' -p20808 -aS'q.d.\tq.d.\tFW\tI-ADVP\tO' -p20809 -aS'Ativan\tAtivan\tNNP\tB-NP\tO' -p20810 -aS'1\t1\tCD\tI-NP\tO' -p20811 -aS'mg\tmg\tNN\tI-NP\tO' -p20812 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p20813 -aS'or\tor\tCC\tO\tO' -p20814 -aS's.l.\ts.l.\tNN\tB-NP\tO' -p20815 -aS'q.\tq.\tNN\tI-NP\tO' -p20816 -aS'4-6\t4-6\tCD\tI-NP\tO' -p20817 -aS'hr.\thr.\tNN\tI-NP\tO' -p20818 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p20819 -aS'nausea\tnausea\tNN\tI-NP\tO' -p20820 -aS'.\t.\t.\tO\tO' -p20821 -asS'7. Prednisone taper with 40 mg p.o. q.d. for two days , 30 mg p.o. q.d. for two days , 20 mg p.o. q.d. for two days , 10 mg p.o. q.d. for two days .' -p20822 -(lp20823 -S'7.\t7.\tLS\tB-NP\tO' -p20824 -aS'Prednisone\tPrednisone\tNN\tI-NP\tO' -p20825 -aS'taper\ttaper\tNN\tI-NP\tO' -p20826 -aS'with\twith\tIN\tB-PP\tO' -p20827 -aS'40\t40\tCD\tB-NP\tO' -p20828 -aS'mg\tmg\tNN\tI-NP\tO' -p20829 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p20830 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p20831 -aS'for\tfor\tIN\tB-PP\tO' -p20832 -aS'two\ttwo\tCD\tB-NP\tO' -p20833 -aS'days\tday\tNNS\tI-NP\tO' -p20834 -aS',\t,\t,\tO\tO' -p20835 -aS'30\t30\tCD\tB-NP\tO' -p20836 -aS'mg\tmg\tNN\tI-NP\tO' -p20837 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p20838 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p20839 -aS'for\tfor\tIN\tB-PP\tO' -p20840 -aS'two\ttwo\tCD\tB-NP\tO' -p20841 -aS'days\tday\tNNS\tI-NP\tO' -p20842 -aS',\t,\t,\tO\tO' -p20843 -aS'20\t20\tCD\tB-NP\tO' -p20844 -aS'mg\tmg\tNN\tI-NP\tO' -p20845 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p20846 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p20847 -aS'for\tfor\tIN\tB-PP\tO' -p20848 -aS'two\ttwo\tCD\tB-NP\tO' -p20849 -aS'days\tday\tNNS\tI-NP\tO' -p20850 -aS',\t,\t,\tO\tO' -p20851 -aS'10\t10\tCD\tB-NP\tO' -p20852 -aS'mg\tmg\tNN\tI-NP\tO' -p20853 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p20854 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p20855 -aS'for\tfor\tIN\tB-PP\tO' -p20856 -aS'two\ttwo\tCD\tB-NP\tO' -p20857 -aS'days\tday\tNNS\tI-NP\tO' -p20858 -aS'.\t.\t.\tO\tO' -p20859 -asS'He was started on Oct. 25 for this bug .' -p20860 -(lp20861 -S'He\tHe\tPRP\tB-NP\tO' -p20862 -aS'was\tbe\tVBD\tB-VP\tO' -p20863 -aS'started\tstart\tVBN\tI-VP\tO' -p20864 -aS'on\ton\tIN\tB-PP\tO' -p20865 -aS'Oct.\tOct.\tNNP\tB-NP\tO' -p20866 -aS'25\t25\tCD\tI-NP\tO' -p20867 -aS'for\tfor\tIN\tB-PP\tO' -p20868 -aS'this\tthis\tDT\tB-NP\tO' -p20869 -aS'bug\tbug\tNN\tI-NP\tO' -p20870 -aS'.\t.\t.\tO\tO' -p20871 -asS'Normal S1 and S2 .' -p20872 -(lp20873 -S'Normal\tNormal\tJJ\tB-NP\tO' -p20874 -aS'S1\tS1\tNN\tI-NP\tB-protein' -p20875 -aS'and\tand\tCC\tI-NP\tO' -p20876 -aS'S2\tS2\tNN\tI-NP\tB-protein' -p20877 -aS'.\t.\t.\tO\tO' -p20878 -asS'Subsequent hand x-rays obtained showed no evidence of fracture but the patient was seen in consultation by the Plastic Surgery Hand Service .' -p20879 -(lp20880 -S'Subsequent\tSubsequent\tJJ\tB-NP\tO' -p20881 -aS'hand\thand\tNN\tI-NP\tO' -p20882 -aS'x-rays\tx-ray\tNNS\tI-NP\tO' -p20883 -aS'obtained\tobtain\tVBN\tB-VP\tO' -p20884 -aS'showed\tshow\tVBD\tB-VP\tO' -p20885 -aS'no\tno\tDT\tB-NP\tO' -p20886 -aS'evidence\tevidence\tNN\tI-NP\tO' -p20887 -aS'of\tof\tIN\tB-PP\tO' -p20888 -aS'fracture\tfracture\tNN\tB-NP\tO' -p20889 -aS'but\tbut\tCC\tO\tO' -p20890 -aS'the\tthe\tDT\tB-NP\tO' -p20891 -aS'patient\tpatient\tNN\tI-NP\tO' -p20892 -aS'was\tbe\tVBD\tB-VP\tO' -p20893 -aS'seen\tsee\tVBN\tI-VP\tO' -p20894 -aS'in\tin\tIN\tB-PP\tO' -p20895 -aS'consultation\tconsultation\tNN\tB-NP\tO' -p20896 -aS'by\tby\tIN\tB-PP\tO' -p20897 -aS'the\tthe\tDT\tB-NP\tO' -p20898 -aS'Plastic\tPlastic\tNNP\tI-NP\tO' -p20899 -aS'Surgery\tSurgery\tNNP\tI-NP\tO' -p20900 -aS'Hand\tHand\tNNP\tI-NP\tO' -p20901 -aS'Service\tService\tNNP\tI-NP\tO' -p20902 -aS'.\t.\t.\tO\tO' -p20903 -asS'The abdomen revealed normoactive bowel sounds , soft , nontender , nondistended .' -p20904 -(lp20905 -S'The\tThe\tDT\tB-NP\tO' -p20906 -aS'abdomen\tabdoman\tNNS\tI-NP\tO' -p20907 -aS'revealed\treveal\tVBD\tB-VP\tO' -p20908 -aS'normoactive\tnormoactive\tJJ\tB-NP\tO' -p20909 -aS'bowel\tbowel\tNN\tI-NP\tO' -p20910 -aS'sounds\tsound\tNNS\tI-NP\tO' -p20911 -aS',\t,\t,\tO\tO' -p20912 -aS'soft\tsoft\tJJ\tB-NP\tO' -p20913 -aS',\t,\t,\tI-NP\tO' -p20914 -aS'nontender\tnontender\tJJ\tI-NP\tO' -p20915 -aS',\t,\t,\tI-NP\tO' -p20916 -aS'nondistended\tnondistended\tJJ\tI-NP\tO' -p20917 -aS'.\t.\t.\tO\tO' -p20918 -asS'Acute blood loss anemia from rectal bleeding' -p20919 -(lp20920 -S'Acute\tAcute\tJJ\tB-NP\tO' -p20921 -aS'blood\tblood\tNN\tI-NP\tO' -p20922 -aS'loss\tloss\tNN\tI-NP\tO' -p20923 -aS'anemia\tanemia\tNN\tI-NP\tO' -p20924 -aS'from\tfrom\tIN\tB-PP\tO' -p20925 -aS'rectal\trectal\tJJ\tB-NP\tO' -p20926 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p20927 -asS'Denies cigarette , or alcohol use , she is married and has one child .' -p20928 -(lp20929 -S'Denies\tDeny\tNNS\tB-NP\tO' -p20930 -aS'cigarette\tcigarette\tNN\tI-NP\tO' -p20931 -aS',\t,\t,\tO\tO' -p20932 -aS'or\tor\tCC\tO\tO' -p20933 -aS'alcohol\talcohol\tNN\tB-NP\tO' -p20934 -aS'use\tuse\tNN\tI-NP\tO' -p20935 -aS',\t,\t,\tO\tO' -p20936 -aS'she\tshe\tPRP\tB-NP\tO' -p20937 -aS'is\tbe\tVBZ\tB-VP\tO' -p20938 -aS'married\tmarried\tJJ\tB-ADJP\tO' -p20939 -aS'and\tand\tCC\tO\tO' -p20940 -aS'has\thave\tVBZ\tB-VP\tO' -p20941 -aS'one\tone\tCD\tB-NP\tO' -p20942 -aS'child\tchild\tNN\tI-NP\tO' -p20943 -aS'.\t.\t.\tO\tO' -p20944 -asS'8. Aspirin 325 milligrams po q day .' -p20945 -(lp20946 -S'8.\t8.\tCD\tB-NP\tO' -p20947 -aS'Aspirin\tAspirin\tNN\tI-NP\tO' -p20948 -aS'325\t325\tCD\tB-NP\tO' -p20949 -aS'milligrams\tmilligram\tNNS\tI-NP\tO' -p20950 -aS'po\tpo\tVBP\tB-VP\tO' -p20951 -aS'q\tq\tNN\tB-NP\tO' -p20952 -aS'day\tday\tNN\tI-NP\tO' -p20953 -aS'.\t.\t.\tO\tO' -p20954 -asS'HEENT : Positive hoarse whisper .' -p20955 -(lp20956 -S'HEENT\tHEENT\tNN\tB-NP\tO' -p20957 -aS':\t:\t:\tO\tO' -p20958 -aS'Positive\tPositive\tJJ\tB-NP\tO' -p20959 -aS'hoarse\thoarse\tNN\tI-NP\tO' -p20960 -aS'whisper\twhisper\tNN\tI-NP\tO' -p20961 -aS'.\t.\t.\tO\tO' -p20962 -asS'No QRS widening and no peak T waves .' -p20963 -(lp20964 -S'No\tNo\tDT\tB-NP\tO' -p20965 -aS'QRS\tQRS\tNN\tI-NP\tB-protein' -p20966 -aS'widening\twidening\tNN\tI-NP\tO' -p20967 -aS'and\tand\tCC\tO\tO' -p20968 -aS'no\tno\tDT\tB-NP\tO' -p20969 -aS'peak\tpeak\tJJ\tI-NP\tO' -p20970 -aS'T\tT\tNN\tI-NP\tO' -p20971 -aS'waves\twave\tNNS\tI-NP\tO' -p20972 -aS'.\t.\t.\tO\tO' -p20973 -asS'The patient was an unrestrained driver in a car versus tree .' -p20974 -(lp20975 -S'The\tThe\tDT\tB-NP\tO' -p20976 -aS'patient\tpatient\tNN\tI-NP\tO' -p20977 -aS'was\tbe\tVBD\tB-VP\tO' -p20978 -aS'an\tan\tDT\tB-NP\tO' -p20979 -aS'unrestrained\tunrestrained\tJJ\tI-NP\tO' -p20980 -aS'driver\tdriver\tNN\tI-NP\tO' -p20981 -aS'in\tin\tIN\tB-PP\tO' -p20982 -aS'a\ta\tDT\tB-NP\tO' -p20983 -aS'car\tcar\tNN\tI-NP\tO' -p20984 -aS'versus\tversus\tIN\tB-PP\tO' -p20985 -aS'tree\ttree\tNN\tB-NP\tO' -p20986 -aS'.\t.\t.\tO\tO' -p20987 -asS'Mrs. Wisniewski is a 45 - year-old woman with a strong family history of cavernous angiomas .' -p20988 -(lp20989 -S'Mrs.\tMrs.\tNNP\tB-NP\tO' -p20990 -aS'Wisniewski\tWisniewski\tNNP\tI-NP\tO' -p20991 -aS'is\tbe\tVBZ\tB-VP\tO' -p20992 -aS'a\ta\tDT\tB-NP\tO' -p20993 -aS'45\t45\tCD\tI-NP\tO' -p20994 -aS'-\t-\tHYPH\tI-NP\tO' -p20995 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p20996 -aS'woman\twoman\tNN\tI-NP\tO' -p20997 -aS'with\twith\tIN\tB-PP\tO' -p20998 -aS'a\ta\tDT\tB-NP\tO' -p20999 -aS'strong\tstrong\tJJ\tI-NP\tO' -p21000 -aS'family\tfamily\tNN\tI-NP\tO' -p21001 -aS'history\thistory\tNN\tI-NP\tO' -p21002 -aS'of\tof\tIN\tB-PP\tO' -p21003 -aS'cavernous\tcavernous\tJJ\tB-NP\tO' -p21004 -aS'angiomas\tangioma\tNNS\tI-NP\tO' -p21005 -aS'.\t.\t.\tO\tO' -p21006 -asS'Disp : *28 Capsule , Sustained Release( s )*' -p21007 -(lp21008 -S'Disp\tDisp\tNN\tB-NP\tO' -p21009 -aS':\t:\t:\tO\tO' -p21010 -aS'*28\t*28\tCD\tB-NP\tO' -p21011 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p21012 -aS',\t,\t,\tO\tO' -p21013 -aS'Sustained\tSustained\tNNP\tB-NP\tO' -p21014 -aS'Release(\tRelease(\tNNP\tI-NP\tO' -p21015 -aS's\ts\tVBZ\tB-VP\tO' -p21016 -aS')*\t)*\tSYM\tB-NP\tO' -p21017 -asS'Total intravenous fluids of 7300 cc .' -p21018 -(lp21019 -S'Total\tTotal\tJJ\tB-NP\tO' -p21020 -aS'intravenous\tintravenous\tJJ\tI-NP\tO' -p21021 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p21022 -aS'of\tof\tIN\tB-PP\tO' -p21023 -aS'7300\t7300\tCD\tB-NP\tO' -p21024 -aS'cc\tcc\tNN\tI-NP\tO' -p21025 -aS'.\t.\t.\tO\tO' -p21026 -asS'His transfusions have been complicated by fluid overload and congestive heart failure , secondary to ischemia cardiomyopathy .' -p21027 -(lp21028 -S'His\tHis\tPRP$\tB-NP\tO' -p21029 -aS'transfusions\ttransfusion\tNNS\tI-NP\tO' -p21030 -aS'have\thave\tVBP\tB-VP\tO' -p21031 -aS'been\tbe\tVBN\tI-VP\tO' -p21032 -aS'complicated\tcomplicate\tVBN\tI-VP\tO' -p21033 -aS'by\tby\tIN\tB-PP\tO' -p21034 -aS'fluid\tfluid\tNN\tB-NP\tO' -p21035 -aS'overload\toverload\tNN\tI-NP\tO' -p21036 -aS'and\tand\tCC\tO\tO' -p21037 -aS'congestive\tcongestive\tJJ\tB-NP\tO' -p21038 -aS'heart\theart\tNN\tI-NP\tO' -p21039 -aS'failure\tfailure\tNN\tI-NP\tO' -p21040 -aS',\t,\t,\tO\tO' -p21041 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p21042 -aS'to\tto\tTO\tB-PP\tO' -p21043 -aS'ischemia\tischemia\tNN\tB-NP\tO' -p21044 -aS'cardiomyopathy\tcardiomyopathy\tNN\tI-NP\tO' -p21045 -aS'.\t.\t.\tO\tO' -p21046 -asS'There was no evidence of necrosis , erythema or exudate at the site .' -p21047 -(lp21048 -S'There\tThere\tEX\tB-NP\tO' -p21049 -aS'was\tbe\tVBD\tB-VP\tO' -p21050 -aS'no\tno\tDT\tB-NP\tO' -p21051 -aS'evidence\tevidence\tNN\tI-NP\tO' -p21052 -aS'of\tof\tIN\tB-PP\tO' -p21053 -aS'necrosis\tnecrosis\tNN\tB-NP\tO' -p21054 -aS',\t,\t,\tI-NP\tO' -p21055 -aS'erythema\terythema\tNN\tI-NP\tO' -p21056 -aS'or\tor\tCC\tI-NP\tO' -p21057 -aS'exudate\texudate\tNN\tI-NP\tO' -p21058 -aS'at\tat\tIN\tB-PP\tO' -p21059 -aS'the\tthe\tDT\tB-NP\tO' -p21060 -aS'site\tsite\tNN\tI-NP\tO' -p21061 -aS'.\t.\t.\tO\tO' -p21062 -asS'This was followed by later development of lymphedema and left arm ( distal > proximal ) weakness due to metastatic disease in left axilla ensheathing nerve plexus .' -p21063 -(lp21064 -S'This\tThis\tDT\tB-NP\tO' -p21065 -aS'was\tbe\tVBD\tB-VP\tO' -p21066 -aS'followed\tfollow\tVBN\tI-VP\tO' -p21067 -aS'by\tby\tIN\tB-PP\tO' -p21068 -aS'later\tlater\tJJ\tB-NP\tO' -p21069 -aS'development\tdevelopment\tNN\tI-NP\tO' -p21070 -aS'of\tof\tIN\tB-PP\tO' -p21071 -aS'lymphedema\tlymphedema\tNN\tB-NP\tO' -p21072 -aS'and\tand\tCC\tO\tO' -p21073 -aS'left\tleft\tJJ\tB-NP\tO' -p21074 -aS'arm\tarm\tNN\tI-NP\tO' -p21075 -aS'(\t(\t(\tO\tO' -p21076 -aS'distal\tdistal\tJJ\tO\tO' -p21077 -aS'>\t>\tSYM\tO\tO' -p21078 -aS'proximal\tproximal\tJJ\tO\tO' -p21079 -aS')\t)\t)\tO\tO' -p21080 -aS'weakness\tweakness\tNN\tB-NP\tO' -p21081 -aS'due\tdue\tJJ\tB-ADJP\tO' -p21082 -aS'to\tto\tTO\tB-PP\tO' -p21083 -aS'metastatic\tmetastatic\tJJ\tB-NP\tO' -p21084 -aS'disease\tdisease\tNN\tI-NP\tO' -p21085 -aS'in\tin\tIN\tB-PP\tO' -p21086 -aS'left\tleft\tJJ\tB-NP\tO' -p21087 -aS'axilla\taxilla\tNN\tI-NP\tO' -p21088 -aS'ensheathing\tensheathing\tNN\tI-NP\tO' -p21089 -aS'nerve\tnerve\tNN\tI-NP\tO' -p21090 -aS'plexus\tplexus\tNN\tI-NP\tO' -p21091 -aS'.\t.\t.\tO\tO' -p21092 -asS'The liver function tests were within normal limits .' -p21093 -(lp21094 -S'The\tThe\tDT\tB-NP\tO' -p21095 -aS'liver\tliver\tNN\tI-NP\tO' -p21096 -aS'function\tfunction\tNN\tI-NP\tO' -p21097 -aS'tests\ttest\tNNS\tI-NP\tO' -p21098 -aS'were\tbe\tVBD\tB-VP\tO' -p21099 -aS'within\twithin\tIN\tB-PP\tO' -p21100 -aS'normal\tnormal\tJJ\tB-NP\tO' -p21101 -aS'limits\tlimit\tNNS\tI-NP\tO' -p21102 -aS'.\t.\t.\tO\tO' -p21103 -asS'The patient is in no acute distress .' -p21104 -(lp21105 -S'The\tThe\tDT\tB-NP\tO' -p21106 -aS'patient\tpatient\tNN\tI-NP\tO' -p21107 -aS'is\tbe\tVBZ\tB-VP\tO' -p21108 -aS'in\tin\tIN\tB-PP\tO' -p21109 -aS'no\tno\tDT\tB-NP\tO' -p21110 -aS'acute\tacute\tJJ\tI-NP\tO' -p21111 -aS'distress\tdistress\tNN\tI-NP\tO' -p21112 -aS'.\t.\t.\tO\tO' -p21113 -asS'to fluid resuscitation at 4 liters and was admitted to the CMED CCU for hemodynamic monitoring .' -p21114 -(lp21115 -S'to\tto\tTO\tB-VP\tO' -p21116 -aS'fluid\tfluid\tVB\tI-VP\tO' -p21117 -aS'resuscitation\tresuscitation\tNN\tB-NP\tO' -p21118 -aS'at\tat\tIN\tB-PP\tO' -p21119 -aS'4\t4\tCD\tB-NP\tO' -p21120 -aS'liters\tliter\tNNS\tI-NP\tO' -p21121 -aS'and\tand\tCC\tO\tO' -p21122 -aS'was\tbe\tVBD\tB-VP\tO' -p21123 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p21124 -aS'to\tto\tTO\tB-PP\tO' -p21125 -aS'the\tthe\tDT\tB-NP\tO' -p21126 -aS'CMED\tCMED\tVBN\tI-NP\tO' -p21127 -aS'CCU\tCCU\tNN\tI-NP\tO' -p21128 -aS'for\tfor\tIN\tB-PP\tO' -p21129 -aS'hemodynamic\themodynamic\tJJ\tB-NP\tO' -p21130 -aS'monitoring\tmonitoring\tNN\tI-NP\tO' -p21131 -aS'.\t.\t.\tO\tO' -p21132 -asS'Almost complete resolution of pulmonary edema .' -p21133 -(lp21134 -S'Almost\tAlmost\tRB\tB-NP\tO' -p21135 -aS'complete\tcomplete\tJJ\tI-NP\tO' -p21136 -aS'resolution\tresolution\tNN\tI-NP\tO' -p21137 -aS'of\tof\tIN\tB-PP\tO' -p21138 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p21139 -aS'edema\tedema\tNN\tI-NP\tO' -p21140 -aS'.\t.\t.\tO\tO' -p21141 -asS'At that time , she underwent sigmoid colectomy and ventral hernia repair . ( A full account of this operation can be found in the Operative Note ) .' -p21142 -(lp21143 -S'At\tAt\tIN\tB-PP\tO' -p21144 -aS'that\tthat\tDT\tB-NP\tO' -p21145 -aS'time\ttime\tNN\tI-NP\tO' -p21146 -aS',\t,\t,\tO\tO' -p21147 -aS'she\tshe\tPRP\tB-NP\tO' -p21148 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p21149 -aS'sigmoid\tsigmoid\tJJ\tB-NP\tO' -p21150 -aS'colectomy\tcolectomy\tNN\tI-NP\tO' -p21151 -aS'and\tand\tCC\tO\tO' -p21152 -aS'ventral\tventral\tJJ\tB-NP\tO' -p21153 -aS'hernia\thernia\tNN\tI-NP\tO' -p21154 -aS'repair\trepair\tNN\tI-NP\tO' -p21155 -aS'.\t.\t.\tO\tO' -p21156 -aS'(\t(\t(\tO\tO' -p21157 -aS'A\tA\tDT\tB-NP\tO' -p21158 -aS'full\tfull\tJJ\tI-NP\tO' -p21159 -aS'account\taccount\tNN\tI-NP\tO' -p21160 -aS'of\tof\tIN\tB-PP\tO' -p21161 -aS'this\tthis\tDT\tB-NP\tO' -p21162 -aS'operation\toperation\tNN\tI-NP\tO' -p21163 -aS'can\tcan\tMD\tB-VP\tO' -p21164 -aS'be\tbe\tVB\tI-VP\tO' -p21165 -aS'found\tfind\tVBN\tI-VP\tO' -p21166 -aS'in\tin\tIN\tB-PP\tO' -p21167 -aS'the\tthe\tDT\tB-NP\tO' -p21168 -aS'Operative\tOperative\tJJ\tI-NP\tO' -p21169 -aS'Note\tNote\tNN\tI-NP\tO' -p21170 -aS')\t)\t)\tO\tO' -p21171 -aS'.\t.\t.\tO\tO' -p21172 -asS'5. Immunizations received: The infant has not received any immunizations at this time .' -p21173 -(lp21174 -S'5.\t5.\tLS\tB-NP\tO' -p21175 -aS'Immunizations\tImmunization\tNNS\tI-NP\tO' -p21176 -aS'received:\treceived:\tVB\tB-VP\tO' -p21177 -aS'The\tThe\tDT\tB-NP\tO' -p21178 -aS'infant\tinfant\tNN\tI-NP\tO' -p21179 -aS'has\thave\tVBZ\tB-VP\tO' -p21180 -aS'not\tnot\tRB\tI-VP\tO' -p21181 -aS'received\treceive\tVBN\tI-VP\tO' -p21182 -aS'any\tany\tDT\tB-NP\tO' -p21183 -aS'immunizations\timmunization\tNNS\tI-NP\tO' -p21184 -aS'at\tat\tIN\tB-PP\tO' -p21185 -aS'this\tthis\tDT\tB-NP\tO' -p21186 -aS'time\ttime\tNN\tI-NP\tO' -p21187 -aS'.\t.\t.\tO\tO' -p21188 -asS'2. Born at 32-35 weeks with plans for day care during RSV season with a smoker in the household , or with preschool age siblings .' -p21189 -(lp21190 -S'2.\t2.\tLS\tB-NP\tO' -p21191 -aS'Born\tBorn\tNN\tI-NP\tO' -p21192 -aS'at\tat\tIN\tB-PP\tO' -p21193 -aS'32-35\t32-35\tCD\tB-NP\tO' -p21194 -aS'weeks\tweek\tNNS\tI-NP\tO' -p21195 -aS'with\twith\tIN\tB-PP\tO' -p21196 -aS'plans\tplan\tNNS\tB-NP\tO' -p21197 -aS'for\tfor\tIN\tB-PP\tO' -p21198 -aS'day\tday\tNN\tB-NP\tO' -p21199 -aS'care\tcare\tNN\tI-NP\tO' -p21200 -aS'during\tduring\tIN\tB-PP\tO' -p21201 -aS'RSV\tRSV\tNN\tB-NP\tO' -p21202 -aS'season\tseason\tNN\tI-NP\tO' -p21203 -aS'with\twith\tIN\tB-PP\tO' -p21204 -aS'a\ta\tDT\tB-NP\tO' -p21205 -aS'smoker\tsmoker\tNN\tI-NP\tO' -p21206 -aS'in\tin\tIN\tB-PP\tO' -p21207 -aS'the\tthe\tDT\tB-NP\tO' -p21208 -aS'household\thousehold\tNN\tI-NP\tO' -p21209 -aS',\t,\t,\tO\tO' -p21210 -aS'or\tor\tCC\tO\tO' -p21211 -aS'with\twith\tIN\tB-PP\tO' -p21212 -aS'preschool\tpreschool\tNN\tB-NP\tO' -p21213 -aS'age\tage\tNN\tI-NP\tO' -p21214 -aS'siblings\tsibling\tNNS\tI-NP\tO' -p21215 -aS'.\t.\t.\tO\tO' -p21216 -asS'Dr. ______________ consulted on the case .' -p21217 -(lp21218 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p21219 -aS'______________\t______________\tNNP\tI-NP\tO' -p21220 -aS'consulted\tconsult\tVBD\tB-VP\tO' -p21221 -aS'on\ton\tIN\tB-PP\tO' -p21222 -aS'the\tthe\tDT\tB-NP\tO' -p21223 -aS'case\tcase\tNN\tI-NP\tO' -p21224 -aS'.\t.\t.\tO\tO' -p21225 -asS'An exercise tolerance test with imaging .' -p21226 -(lp21227 -S'An\tAn\tDT\tB-NP\tO' -p21228 -aS'exercise\texercise\tNN\tI-NP\tO' -p21229 -aS'tolerance\ttolerance\tNN\tI-NP\tO' -p21230 -aS'test\ttest\tNN\tI-NP\tO' -p21231 -aS'with\twith\tIN\tB-PP\tO' -p21232 -aS'imaging\timaging\tNN\tB-NP\tO' -p21233 -aS'.\t.\t.\tO\tO' -p21234 -asS'Physical therapy was re consulted .' -p21235 -(lp21236 -S'Physical\tPhysical\tJJ\tB-NP\tO' -p21237 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p21238 -aS'was\tbe\tVBD\tB-VP\tO' -p21239 -aS're\tre\tNN\tB-NP\tO' -p21240 -aS'consulted\tconsult\tVBN\tB-VP\tO' -p21241 -aS'.\t.\t.\tO\tO' -p21242 -asS'The patient underwent an adenosine stress test , where he exercised for 4 minutes , reaching 65% of predicted heart rate .' -p21243 -(lp21244 -S'The\tThe\tDT\tB-NP\tO' -p21245 -aS'patient\tpatient\tNN\tI-NP\tO' -p21246 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p21247 -aS'an\tan\tDT\tB-NP\tO' -p21248 -aS'adenosine\tadenosine\tNN\tI-NP\tO' -p21249 -aS'stress\tstress\tNN\tI-NP\tO' -p21250 -aS'test\ttest\tNN\tI-NP\tO' -p21251 -aS',\t,\t,\tO\tO' -p21252 -aS'where\twhere\tWRB\tB-ADVP\tO' -p21253 -aS'he\the\tPRP\tB-NP\tO' -p21254 -aS'exercised\texercise\tVBD\tB-VP\tO' -p21255 -aS'for\tfor\tIN\tB-PP\tO' -p21256 -aS'4\t4\tCD\tB-NP\tO' -p21257 -aS'minutes\tminute\tNNS\tI-NP\tO' -p21258 -aS',\t,\t,\tO\tO' -p21259 -aS'reaching\treach\tVBG\tB-VP\tO' -p21260 -aS'65%\t65%\tCD\tB-NP\tO' -p21261 -aS'of\tof\tIN\tB-PP\tO' -p21262 -aS'predicted\tpredict\tVBN\tB-NP\tO' -p21263 -aS'heart\theart\tNN\tI-NP\tO' -p21264 -aS'rate\trate\tNN\tI-NP\tO' -p21265 -aS'.\t.\t.\tO\tO' -p21266 -asS'He was continued to be followed by Psychiatry and then was casted by Orthopedics .' -p21267 -(lp21268 -S'He\tHe\tPRP\tB-NP\tO' -p21269 -aS'was\tbe\tVBD\tB-VP\tO' -p21270 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p21271 -aS'to\tto\tTO\tI-VP\tO' -p21272 -aS'be\tbe\tVB\tI-VP\tO' -p21273 -aS'followed\tfollow\tVBN\tI-VP\tO' -p21274 -aS'by\tby\tIN\tB-PP\tO' -p21275 -aS'Psychiatry\tPsychiatry\tNN\tB-NP\tO' -p21276 -aS'and\tand\tCC\tO\tO' -p21277 -aS'then\tthen\tRB\tB-ADVP\tO' -p21278 -aS'was\tbe\tVBD\tB-VP\tO' -p21279 -aS'casted\tcast\tVBN\tI-VP\tO' -p21280 -aS'by\tby\tIN\tB-PP\tO' -p21281 -aS'Orthopedics\tOrthopedics\tNNP\tB-NP\tO' -p21282 -aS'.\t.\t.\tO\tO' -p21283 -asS"Not following commands but moves UE 's to try to pull out NG tube ." -p21284 -(lp21285 -S'Not\tNot\tRB\tO\tO' -p21286 -aS'following\tfollow\tVBG\tB-PP\tO' -p21287 -aS'commands\tcommand\tNNS\tB-NP\tO' -p21288 -aS'but\tbut\tCC\tO\tO' -p21289 -aS'moves\tmove\tVBZ\tB-VP\tO' -p21290 -aS'UE\tUE\tNNP\tB-NP\tO' -p21291 -aS"'s\t's\tPOS\tB-NP\tO" -p21292 -aS'to\tto\tTO\tB-VP\tO' -p21293 -aS'try\ttry\tVB\tI-VP\tO' -p21294 -aS'to\tto\tTO\tI-VP\tO' -p21295 -aS'pull\tpull\tVB\tI-VP\tO' -p21296 -aS'out\tout\tRP\tB-PRT\tO' -p21297 -aS'NG\tNG\tNN\tB-NP\tO' -p21298 -aS'tube\ttube\tNN\tI-NP\tO' -p21299 -aS'.\t.\t.\tO\tO' -p21300 -asS'Goal INR 01-31 .' -p21301 -(lp21302 -S'Goal\tGoal\tJJ\tB-NP\tO' -p21303 -aS'INR\tINR\tNN\tI-NP\tO' -p21304 -aS'01-31\t01-31\tCD\tI-NP\tO' -p21305 -aS'.\t.\t.\tO\tO' -p21306 -asS'Pregnancy was complicated by oligohydramnios with an AFI of 3.5 and by multiple evaluations for decreased fetal movement .' -p21307 -(lp21308 -S'Pregnancy\tPregnancy\tNN\tB-NP\tO' -p21309 -aS'was\tbe\tVBD\tB-VP\tO' -p21310 -aS'complicated\tcomplicate\tVBN\tI-VP\tO' -p21311 -aS'by\tby\tIN\tB-PP\tO' -p21312 -aS'oligohydramnios\toligohydramnio\tNNS\tB-NP\tO' -p21313 -aS'with\twith\tIN\tB-PP\tO' -p21314 -aS'an\tan\tDT\tB-NP\tO' -p21315 -aS'AFI\tAFI\tNN\tI-NP\tO' -p21316 -aS'of\tof\tIN\tB-PP\tO' -p21317 -aS'3.5\t3.5\tCD\tB-NP\tO' -p21318 -aS'and\tand\tCC\tO\tO' -p21319 -aS'by\tby\tIN\tB-PP\tO' -p21320 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p21321 -aS'evaluations\tevaluation\tNNS\tI-NP\tO' -p21322 -aS'for\tfor\tIN\tB-PP\tO' -p21323 -aS'decreased\tdecrease\tVBN\tB-NP\tO' -p21324 -aS'fetal\tfetal\tJJ\tI-NP\tO' -p21325 -aS'movement\tmovement\tNN\tI-NP\tO' -p21326 -aS'.\t.\t.\tO\tO' -p21327 -asS'3. State newborn screen was sent on 2015-04-24 and results are pending .' -p21328 -(lp21329 -S'3.\t3.\tLS\tB-NP\tO' -p21330 -aS'State\tState\tNN\tI-NP\tO' -p21331 -aS'newborn\tnewborn\tJJ\tI-NP\tO' -p21332 -aS'screen\tscreen\tNN\tI-NP\tO' -p21333 -aS'was\tbe\tVBD\tB-VP\tO' -p21334 -aS'sent\tsend\tVBN\tI-VP\tO' -p21335 -aS'on\ton\tIN\tB-PP\tO' -p21336 -aS'2015-04-24\t2015-04-24\tCD\tB-NP\tO' -p21337 -aS'and\tand\tCC\tO\tO' -p21338 -aS'results\tresult\tNNS\tB-NP\tO' -p21339 -aS'are\tbe\tVBP\tB-VP\tO' -p21340 -aS'pending\tpende\tVBG\tI-VP\tO' -p21341 -aS'.\t.\t.\tO\tO' -p21342 -asS'Gallbladder was visualized with stones .' -p21343 -(lp21344 -S'Gallbladder\tGallbladder\tNN\tB-NP\tO' -p21345 -aS'was\tbe\tVBD\tB-VP\tO' -p21346 -aS'visualized\tvisualize\tVBN\tI-VP\tO' -p21347 -aS'with\twith\tIN\tB-PP\tO' -p21348 -aS'stones\tstone\tNNS\tB-NP\tO' -p21349 -aS'.\t.\t.\tO\tO' -p21350 -asS'On admission , the patient has no complaints except anxiety .' -p21351 -(lp21352 -S'On\tOn\tIN\tB-PP\tO' -p21353 -aS'admission\tadmission\tNN\tB-NP\tO' -p21354 -aS',\t,\t,\tO\tO' -p21355 -aS'the\tthe\tDT\tB-NP\tO' -p21356 -aS'patient\tpatient\tNN\tI-NP\tO' -p21357 -aS'has\thave\tVBZ\tB-VP\tO' -p21358 -aS'no\tno\tDT\tB-NP\tO' -p21359 -aS'complaints\tcomplaint\tNNS\tI-NP\tO' -p21360 -aS'except\texcept\tIN\tB-PP\tO' -p21361 -aS'anxiety\tanxiety\tNN\tB-NP\tO' -p21362 -aS'.\t.\t.\tO\tO' -p21363 -asS'4 days of worsening SOB with sore throat and cough productive of yellow / green sputum .' -p21364 -(lp21365 -S'4\t4\tCD\tB-NP\tO' -p21366 -aS'days\tday\tNNS\tI-NP\tO' -p21367 -aS'of\tof\tIN\tB-PP\tO' -p21368 -aS'worsening\tworsen\tVBG\tB-VP\tO' -p21369 -aS'SOB\tSOB\tNN\tB-NP\tB-protein' -p21370 -aS'with\twith\tIN\tB-PP\tO' -p21371 -aS'sore\tsore\tJJ\tB-NP\tO' -p21372 -aS'throat\tthroat\tNN\tI-NP\tO' -p21373 -aS'and\tand\tCC\tI-NP\tO' -p21374 -aS'cough\tcough\tNN\tI-NP\tO' -p21375 -aS'productive\tproductive\tJJ\tB-ADJP\tO' -p21376 -aS'of\tof\tIN\tB-PP\tO' -p21377 -aS'yellow\tyellow\tJJ\tB-NP\tO' -p21378 -aS'/\t/\tSYM\tI-NP\tO' -p21379 -aS'green\tgreen\tJJ\tI-NP\tO' -p21380 -aS'sputum\tsputum\tNN\tI-NP\tO' -p21381 -aS'.\t.\t.\tO\tO' -p21382 -asS'The patient tolerated the advancement of his diet without problems .' -p21383 -(lp21384 -S'The\tThe\tDT\tB-NP\tO' -p21385 -aS'patient\tpatient\tNN\tI-NP\tO' -p21386 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p21387 -aS'the\tthe\tDT\tB-NP\tO' -p21388 -aS'advancement\tadvancement\tNN\tI-NP\tO' -p21389 -aS'of\tof\tIN\tB-PP\tO' -p21390 -aS'his\this\tPRP$\tB-NP\tO' -p21391 -aS'diet\tdiet\tNN\tI-NP\tO' -p21392 -aS'without\twithout\tIN\tB-PP\tO' -p21393 -aS'problems\tproblem\tNNS\tB-NP\tO' -p21394 -aS'.\t.\t.\tO\tO' -p21395 -asS'3. Hypokalemia .' -p21396 -(lp21397 -S'3.\t3.\tLS\tB-NP\tO' -p21398 -aS'Hypokalemia\tHypokalemia\tNN\tI-NP\tO' -p21399 -aS'.\t.\t.\tO\tO' -p21400 -asS'She remained on telemetry for greater than 48 hours which demonstrated no dysrhythmia during this time .' -p21401 -(lp21402 -S'She\tShe\tPRP\tB-NP\tO' -p21403 -aS'remained\tremain\tVBD\tB-VP\tO' -p21404 -aS'on\ton\tIN\tB-PP\tO' -p21405 -aS'telemetry\ttelemetry\tNN\tB-NP\tO' -p21406 -aS'for\tfor\tIN\tB-PP\tO' -p21407 -aS'greater\tgreat\tJJR\tB-NP\tO' -p21408 -aS'than\tthan\tIN\tI-NP\tO' -p21409 -aS'48\t48\tCD\tI-NP\tO' -p21410 -aS'hours\thour\tNNS\tI-NP\tO' -p21411 -aS'which\twhich\tWDT\tB-NP\tO' -p21412 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p21413 -aS'no\tno\tDT\tB-NP\tO' -p21414 -aS'dysrhythmia\tdysrhythmia\tNN\tI-NP\tO' -p21415 -aS'during\tduring\tIN\tB-PP\tO' -p21416 -aS'this\tthis\tDT\tB-NP\tO' -p21417 -aS'time\ttime\tNN\tI-NP\tO' -p21418 -aS'.\t.\t.\tO\tO' -p21419 -asS'HCG was negative .' -p21420 -(lp21421 -S'HCG\tHCG\tNN\tB-NP\tB-protein' -p21422 -aS'was\tbe\tVBD\tB-VP\tO' -p21423 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p21424 -aS'.\t.\t.\tO\tO' -p21425 -asS'6. Aerobid three puffs twice a day .' -p21426 -(lp21427 -S'6.\t6.\tCD\tB-NP\tO' -p21428 -aS'Aerobid\tAerobid\tNNP\tI-NP\tO' -p21429 -aS'three\tthree\tCD\tI-NP\tO' -p21430 -aS'puffs\tpuff\tNNS\tI-NP\tO' -p21431 -aS'twice\ttwice\tRB\tB-NP\tO' -p21432 -aS'a\ta\tDT\tI-NP\tO' -p21433 -aS'day\tday\tNN\tI-NP\tO' -p21434 -aS'.\t.\t.\tO\tO' -p21435 -asS'For the past five weeks , the patient has experienced dragging of the right leg with weakness throughout that side .' -p21436 -(lp21437 -S'For\tFor\tIN\tB-PP\tO' -p21438 -aS'the\tthe\tDT\tB-NP\tO' -p21439 -aS'past\tpast\tJJ\tI-NP\tO' -p21440 -aS'five\tfive\tCD\tI-NP\tO' -p21441 -aS'weeks\tweek\tNNS\tI-NP\tO' -p21442 -aS',\t,\t,\tO\tO' -p21443 -aS'the\tthe\tDT\tB-NP\tO' -p21444 -aS'patient\tpatient\tNN\tI-NP\tO' -p21445 -aS'has\thave\tVBZ\tB-VP\tO' -p21446 -aS'experienced\texperience\tVBN\tI-VP\tO' -p21447 -aS'dragging\tdragging\tNN\tB-NP\tO' -p21448 -aS'of\tof\tIN\tB-PP\tO' -p21449 -aS'the\tthe\tDT\tB-NP\tO' -p21450 -aS'right\tright\tJJ\tI-NP\tO' -p21451 -aS'leg\tleg\tNN\tI-NP\tO' -p21452 -aS'with\twith\tIN\tB-PP\tO' -p21453 -aS'weakness\tweakness\tNN\tB-NP\tO' -p21454 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p21455 -aS'that\tthat\tDT\tB-NP\tO' -p21456 -aS'side\tside\tNN\tI-NP\tO' -p21457 -aS'.\t.\t.\tO\tO' -p21458 -asS'HEENT revealed extraocular movements were intact .' -p21459 -(lp21460 -S'HEENT\tHEENT\tNN\tB-NP\tO' -p21461 -aS'revealed\treveal\tVBD\tB-VP\tO' -p21462 -aS'extraocular\textraocular\tJJ\tB-NP\tO' -p21463 -aS'movements\tmovement\tNNS\tI-NP\tO' -p21464 -aS'were\tbe\tVBD\tB-VP\tO' -p21465 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p21466 -aS'.\t.\t.\tO\tO' -p21467 -asS'Further , at Ceanotsit Ortgold Center his serum toxicology screens were positive .' -p21468 -(lp21469 -S'Further\tFurther\tRB\tB-ADVP\tO' -p21470 -aS',\t,\t,\tO\tO' -p21471 -aS'at\tat\tIN\tB-PP\tO' -p21472 -aS'Ceanotsit\tCeanotsit\tNNP\tB-NP\tO' -p21473 -aS'Ortgold\tOrtgold\tNNP\tI-NP\tO' -p21474 -aS'Center\tCenter\tNNP\tI-NP\tO' -p21475 -aS'his\this\tPRP$\tB-NP\tO' -p21476 -aS'serum\tserum\tNN\tI-NP\tO' -p21477 -aS'toxicology\ttoxicology\tNN\tI-NP\tO' -p21478 -aS'screens\tscreen\tNNS\tI-NP\tO' -p21479 -aS'were\tbe\tVBD\tB-VP\tO' -p21480 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p21481 -aS'.\t.\t.\tO\tO' -p21482 -asS'ALT 176 .' -p21483 -(lp21484 -S'ALT\tALT\tNN\tB-NP\tB-protein' -p21485 -aS'176\t176\tCD\tI-NP\tI-protein' -p21486 -aS'.\t.\t.\tO\tO' -p21487 -asS'The patient was hyperventilated to goal PCO2 30-35 with ICP improvement .' -p21488 -(lp21489 -S'The\tThe\tDT\tB-NP\tO' -p21490 -aS'patient\tpatient\tNN\tI-NP\tO' -p21491 -aS'was\tbe\tVBD\tB-VP\tO' -p21492 -aS'hyperventilated\thyperventilate\tVBN\tI-VP\tO' -p21493 -aS'to\tto\tTO\tB-PP\tO' -p21494 -aS'goal\tgoal\tNN\tB-NP\tO' -p21495 -aS'PCO2\tPCO2\tNN\tI-NP\tO' -p21496 -aS'30-35\t30-35\tCD\tI-NP\tO' -p21497 -aS'with\twith\tIN\tB-PP\tO' -p21498 -aS'ICP\tICP\tNN\tB-NP\tO' -p21499 -aS'improvement\timprovement\tNN\tI-NP\tO' -p21500 -aS'.\t.\t.\tO\tO' -p21501 -asS'Pupils were 3.5 OD , and 3.0 OS , irregular and non reactive .' -p21502 -(lp21503 -S'Pupils\tPupil\tNNS\tB-NP\tO' -p21504 -aS'were\tbe\tVBD\tB-VP\tO' -p21505 -aS'3.5\t3.5\tCD\tB-NP\tO' -p21506 -aS'OD\tOD\tNN\tI-NP\tO' -p21507 -aS',\t,\t,\tO\tO' -p21508 -aS'and\tand\tCC\tO\tO' -p21509 -aS'3.0\t3.0\tCD\tB-NP\tO' -p21510 -aS'OS\tOS\tNN\tI-NP\tO' -p21511 -aS',\t,\t,\tO\tO' -p21512 -aS'irregular\tirregular\tJJ\tB-ADJP\tO' -p21513 -aS'and\tand\tCC\tO\tO' -p21514 -aS'non\tnon\tAFX\tB-ADJP\tO' -p21515 -aS'reactive\treactive\tJJ\tI-ADJP\tO' -p21516 -aS'.\t.\t.\tO\tO' -p21517 -asS'Patient is being sent home on Ecotrin one q.d. , Digoxin 0.l25 mg every three days , Quinidine 648 mg q.a.m. and 324 mg q.p.m. and q.h.s. , Mevacor 20 mg p.o. q.d. , Carafate one gram p.o. q.i.d. , Colace l00 mg p.o. t.i.d. , Lasix 80 mg p.o. q.d. , Potassium 20 mEq p.o. q.d. , and iron supplements .' -p21518 -(lp21519 -S'Patient\tPatient\tNN\tB-NP\tO' -p21520 -aS'is\tbe\tVBZ\tB-VP\tO' -p21521 -aS'being\tbe\tVBG\tI-VP\tO' -p21522 -aS'sent\tsend\tVBN\tI-VP\tO' -p21523 -aS'home\thome\tNN\tB-ADVP\tO' -p21524 -aS'on\ton\tIN\tB-PP\tO' -p21525 -aS'Ecotrin\tEcotrin\tNN\tB-NP\tO' -p21526 -aS'one\tone\tCD\tI-NP\tO' -p21527 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p21528 -aS',\t,\t,\tO\tO' -p21529 -aS'Digoxin\tDigoxin\tNN\tB-NP\tO' -p21530 -aS'0.l25\t0.l25\tCD\tI-NP\tO' -p21531 -aS'mg\tmg\tNN\tI-NP\tO' -p21532 -aS'every\tevery\tDT\tB-NP\tO' -p21533 -aS'three\tthree\tCD\tI-NP\tO' -p21534 -aS'days\tday\tNNS\tI-NP\tO' -p21535 -aS',\t,\t,\tO\tO' -p21536 -aS'Quinidine\tQuinidine\tNN\tB-NP\tO' -p21537 -aS'648\t648\tCD\tI-NP\tO' -p21538 -aS'mg\tmg\tNN\tI-NP\tO' -p21539 -aS'q.a.m.\tq.a.m.\tNN\tI-NP\tO' -p21540 -aS'and\tand\tCC\tO\tO' -p21541 -aS'324\t324\tCD\tB-NP\tO' -p21542 -aS'mg\tmg\tNN\tI-NP\tO' -p21543 -aS'q.p.m.\tq.p.m.\tNN\tI-NP\tO' -p21544 -aS'and\tand\tCC\tI-NP\tO' -p21545 -aS'q.h.s.\tq.h.s.\tNN\tI-NP\tO' -p21546 -aS',\t,\t,\tO\tO' -p21547 -aS'Mevacor\tMevacor\tNNP\tB-NP\tO' -p21548 -aS'20\t20\tCD\tI-NP\tO' -p21549 -aS'mg\tmg\tNN\tI-NP\tO' -p21550 -aS'p.o.\tp.o.\tFW\tB-ADVP\tO' -p21551 -aS'q.d.\tq.d.\tFW\tI-ADVP\tO' -p21552 -aS',\t,\t,\tO\tO' -p21553 -aS'Carafate\tCarafate\tNNP\tB-NP\tO' -p21554 -aS'one\tone\tCD\tI-NP\tO' -p21555 -aS'gram\tgram\tNN\tI-NP\tO' -p21556 -aS'p.o.\tp.o.\tFW\tB-ADVP\tO' -p21557 -aS'q.i.d.\tq.i.d.\tFW\tI-ADVP\tO' -p21558 -aS',\t,\t,\tO\tO' -p21559 -aS'Colace\tColace\tNNP\tB-NP\tO' -p21560 -aS'l00\tl00\tCD\tI-NP\tO' -p21561 -aS'mg\tmg\tNN\tI-NP\tO' -p21562 -aS'p.o.\tp.o.\tFW\tB-ADVP\tO' -p21563 -aS't.i.d.\tt.i.d.\tFW\tI-ADVP\tO' -p21564 -aS',\t,\t,\tO\tO' -p21565 -aS'Lasix\tLasix\tNNP\tB-NP\tO' -p21566 -aS'80\t80\tCD\tI-NP\tO' -p21567 -aS'mg\tmg\tNN\tI-NP\tO' -p21568 -aS'p.o.\tp.o.\tFW\tB-ADVP\tO' -p21569 -aS'q.d.\tq.d.\tFW\tI-ADVP\tO' -p21570 -aS',\t,\t,\tO\tO' -p21571 -aS'Potassium\tPotassium\tNN\tB-NP\tO' -p21572 -aS'20\t20\tCD\tI-NP\tO' -p21573 -aS'mEq\tmEq\tNN\tI-NP\tO' -p21574 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p21575 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p21576 -aS',\t,\t,\tO\tO' -p21577 -aS'and\tand\tCC\tO\tO' -p21578 -aS'iron\tiron\tNN\tB-NP\tO' -p21579 -aS'supplements\tsupplement\tNNS\tI-NP\tO' -p21580 -aS'.\t.\t.\tO\tO' -p21581 -asS'The patient denies melena , hematochezia , nausea , and abdominal pain .' -p21582 -(lp21583 -S'The\tThe\tDT\tB-NP\tO' -p21584 -aS'patient\tpatient\tNN\tI-NP\tO' -p21585 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p21586 -aS'melena\tmelena\tNN\tB-NP\tO' -p21587 -aS',\t,\t,\tO\tO' -p21588 -aS'hematochezia\thematochezia\tNN\tB-NP\tO' -p21589 -aS',\t,\t,\tO\tO' -p21590 -aS'nausea\tnausea\tNN\tB-NP\tO' -p21591 -aS',\t,\t,\tO\tO' -p21592 -aS'and\tand\tCC\tO\tO' -p21593 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p21594 -aS'pain\tpain\tNN\tI-NP\tO' -p21595 -aS'.\t.\t.\tO\tO' -p21596 -asS'The third issue was that her anticoagulation was grossly out of control on admission with PT of 25.6 and PTT of 42.2 .' -p21597 -(lp21598 -S'The\tThe\tDT\tB-NP\tO' -p21599 -aS'third\tthird\tJJ\tI-NP\tO' -p21600 -aS'issue\tissue\tNN\tI-NP\tO' -p21601 -aS'was\tbe\tVBD\tB-VP\tO' -p21602 -aS'that\tthat\tDT\tO\tO' -p21603 -aS'her\ther\tPRP$\tB-NP\tO' -p21604 -aS'anticoagulation\tanticoagulation\tNN\tI-NP\tO' -p21605 -aS'was\tbe\tVBD\tB-VP\tO' -p21606 -aS'grossly\tgrossly\tRB\tB-ADVP\tO' -p21607 -aS'out\tout\tIN\tB-PP\tO' -p21608 -aS'of\tof\tIN\tB-PP\tO' -p21609 -aS'control\tcontrol\tNN\tB-NP\tO' -p21610 -aS'on\ton\tIN\tB-PP\tO' -p21611 -aS'admission\tadmission\tNN\tB-NP\tO' -p21612 -aS'with\twith\tIN\tB-PP\tO' -p21613 -aS'PT\tPT\tNN\tB-NP\tO' -p21614 -aS'of\tof\tIN\tB-PP\tO' -p21615 -aS'25.6\t25.6\tCD\tB-NP\tO' -p21616 -aS'and\tand\tCC\tO\tO' -p21617 -aS'PTT\tPTT\tNN\tB-NP\tO' -p21618 -aS'of\tof\tIN\tB-PP\tO' -p21619 -aS'42.2\t42.2\tCD\tB-NP\tO' -p21620 -aS'.\t.\t.\tO\tO' -p21621 -asS'He had undergone full Psychiatric evaluation , and was prepared for transfer to a Psychiatric Hospital .' -p21622 -(lp21623 -S'He\tHe\tPRP\tB-NP\tO' -p21624 -aS'had\thave\tVBD\tB-VP\tO' -p21625 -aS'undergone\tundergo\tVBN\tI-VP\tO' -p21626 -aS'full\tfull\tJJ\tB-NP\tO' -p21627 -aS'Psychiatric\tPsychiatric\tJJ\tI-NP\tO' -p21628 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p21629 -aS',\t,\t,\tO\tO' -p21630 -aS'and\tand\tCC\tO\tO' -p21631 -aS'was\tbe\tVBD\tB-VP\tO' -p21632 -aS'prepared\tprepare\tVBN\tI-VP\tO' -p21633 -aS'for\tfor\tIN\tB-PP\tO' -p21634 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p21635 -aS'to\tto\tTO\tB-PP\tO' -p21636 -aS'a\ta\tDT\tB-NP\tO' -p21637 -aS'Psychiatric\tPsychiatric\tNNP\tI-NP\tO' -p21638 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p21639 -aS'.\t.\t.\tO\tO' -p21640 -asS'She lives with her daughter , and denies any tobacco or alcohol use .' -p21641 -(lp21642 -S'She\tShe\tPRP\tB-NP\tO' -p21643 -aS'lives\tlive\tVBZ\tB-VP\tO' -p21644 -aS'with\twith\tIN\tB-PP\tO' -p21645 -aS'her\ther\tPRP$\tB-NP\tO' -p21646 -aS'daughter\tdaughter\tNN\tI-NP\tO' -p21647 -aS',\t,\t,\tO\tO' -p21648 -aS'and\tand\tCC\tO\tO' -p21649 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p21650 -aS'any\tany\tDT\tB-NP\tO' -p21651 -aS'tobacco\ttobacco\tNN\tI-NP\tO' -p21652 -aS'or\tor\tCC\tI-NP\tO' -p21653 -aS'alcohol\talcohol\tNN\tI-NP\tO' -p21654 -aS'use\tuse\tNN\tI-NP\tO' -p21655 -aS'.\t.\t.\tO\tO' -p21656 -asS'She continued to have a few schistocytes on her smear , but it was much decreased .' -p21657 -(lp21658 -S'She\tShe\tPRP\tB-NP\tO' -p21659 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p21660 -aS'to\tto\tTO\tI-VP\tO' -p21661 -aS'have\thave\tVB\tI-VP\tO' -p21662 -aS'a\ta\tDT\tB-NP\tO' -p21663 -aS'few\tfew\tJJ\tI-NP\tO' -p21664 -aS'schistocytes\tschistocyte\tNNS\tI-NP\tO' -p21665 -aS'on\ton\tIN\tB-PP\tO' -p21666 -aS'her\ther\tPRP$\tB-NP\tO' -p21667 -aS'smear\tsmear\tNN\tI-NP\tO' -p21668 -aS',\t,\t,\tO\tO' -p21669 -aS'but\tbut\tCC\tO\tO' -p21670 -aS'it\tit\tPRP\tB-NP\tO' -p21671 -aS'was\tbe\tVBD\tB-VP\tO' -p21672 -aS'much\tmuch\tRB\tI-VP\tO' -p21673 -aS'decreased\tdecrease\tVBN\tI-VP\tO' -p21674 -aS'.\t.\t.\tO\tO' -p21675 -asS'Meds at home : Coumadin , Levoxyl , Folate , Colace , Byetta , Verapamil , Lisinopril , Pravachol , Nexium , Lasix , Celexa' -p21676 -(lp21677 -S'Meds\tMed\tNNS\tB-NP\tO' -p21678 -aS'at\tat\tIN\tB-PP\tO' -p21679 -aS'home\thome\tNN\tB-NP\tO' -p21680 -aS':\t:\t:\tO\tO' -p21681 -aS'Coumadin\tCoumadin\tNNP\tB-NP\tO' -p21682 -aS',\t,\t,\tO\tO' -p21683 -aS'Levoxyl\tLevoxyl\tNNP\tB-NP\tO' -p21684 -aS',\t,\t,\tO\tO' -p21685 -aS'Folate\tFolate\tNNP\tB-NP\tO' -p21686 -aS',\t,\t,\tO\tO' -p21687 -aS'Colace\tColace\tNNP\tB-NP\tO' -p21688 -aS',\t,\t,\tO\tO' -p21689 -aS'Byetta\tByetta\tNNP\tB-NP\tO' -p21690 -aS',\t,\t,\tO\tO' -p21691 -aS'Verapamil\tVerapamil\tNNP\tB-NP\tO' -p21692 -aS',\t,\t,\tO\tO' -p21693 -aS'Lisinopril\tLisinopril\tNNP\tB-NP\tO' -p21694 -aS',\t,\t,\tO\tO' -p21695 -aS'Pravachol\tPravachol\tNNP\tB-NP\tO' -p21696 -aS',\t,\t,\tO\tO' -p21697 -aS'Nexium\tNexium\tNNP\tB-NP\tO' -p21698 -aS',\t,\t,\tO\tO' -p21699 -aS'Lasix\tLasix\tNNP\tB-NP\tO' -p21700 -aS',\t,\t,\tO\tO' -p21701 -aS'Celexa\tCelexa\tNNP\tB-NP\tO' -p21702 -asS'Toes are downgoing .' -p21703 -(lp21704 -S'Toes\tToe\tNNS\tB-NP\tO' -p21705 -aS'are\tbe\tVBP\tB-VP\tO' -p21706 -aS'downgoing\tdowngoe\tVBG\tI-VP\tO' -p21707 -aS'.\t.\t.\tO\tO' -p21708 -asS'2. Rule out sepsis without antibiotics .' -p21709 -(lp21710 -S'2.\t2.\tLS\tB-LST\tO' -p21711 -aS'Rule\tRule\tNNP\tB-NP\tO' -p21712 -aS'out\tout\tIN\tB-PP\tO' -p21713 -aS'sepsis\tsepsis\tNN\tB-NP\tO' -p21714 -aS'without\twithout\tIN\tB-PP\tO' -p21715 -aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' -p21716 -aS'.\t.\t.\tO\tO' -p21717 -asS'CVA 2012 w/ right sided weakness' -p21718 -(lp21719 -S'CVA\tCVA\tNN\tB-NP\tO' -p21720 -aS'2012\t2012\tCD\tI-NP\tO' -p21721 -aS'w/\tw/\tNN\tI-NP\tO' -p21722 -aS'right\tright\tJJ\tI-NP\tO' -p21723 -aS'sided\tsided\tJJ\tI-NP\tO' -p21724 -aS'weakness\tweakness\tNN\tI-NP\tO' -p21725 -asS'The patient was stable for transfer to the floor , was treated with over 72 hours of IV Unasyn , and then transitioned to oral regimen of Augmentin to be continued as an outpatient .' -p21726 -(lp21727 -S'The\tThe\tDT\tB-NP\tO' -p21728 -aS'patient\tpatient\tNN\tI-NP\tO' -p21729 -aS'was\tbe\tVBD\tB-VP\tO' -p21730 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p21731 -aS'for\tfor\tIN\tB-PP\tO' -p21732 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p21733 -aS'to\tto\tTO\tB-PP\tO' -p21734 -aS'the\tthe\tDT\tB-NP\tO' -p21735 -aS'floor\tfloor\tNN\tI-NP\tO' -p21736 -aS',\t,\t,\tO\tO' -p21737 -aS'was\tbe\tVBD\tB-VP\tO' -p21738 -aS'treated\ttreat\tVBN\tI-VP\tO' -p21739 -aS'with\twith\tIN\tB-PP\tO' -p21740 -aS'over\tover\tIN\tB-NP\tO' -p21741 -aS'72\t72\tCD\tI-NP\tO' -p21742 -aS'hours\thour\tNNS\tI-NP\tO' -p21743 -aS'of\tof\tIN\tB-PP\tO' -p21744 -aS'IV\tIV\tCD\tB-NP\tO' -p21745 -aS'Unasyn\tUnasyn\tNN\tI-NP\tO' -p21746 -aS',\t,\t,\tO\tO' -p21747 -aS'and\tand\tCC\tO\tO' -p21748 -aS'then\tthen\tRB\tB-VP\tO' -p21749 -aS'transitioned\ttransitione\tVBN\tI-VP\tO' -p21750 -aS'to\tto\tTO\tB-PP\tO' -p21751 -aS'oral\toral\tJJ\tB-NP\tO' -p21752 -aS'regimen\tregimen\tNN\tI-NP\tO' -p21753 -aS'of\tof\tIN\tB-PP\tO' -p21754 -aS'Augmentin\tAugmentin\tNN\tB-NP\tB-protein' -p21755 -aS'to\tto\tTO\tB-VP\tO' -p21756 -aS'be\tbe\tVB\tI-VP\tO' -p21757 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p21758 -aS'as\tas\tIN\tB-PP\tO' -p21759 -aS'an\tan\tDT\tB-NP\tO' -p21760 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p21761 -aS'.\t.\t.\tO\tO' -p21762 -asS'His meds on transfer to FIH were Levophed , Dopamine , and Ceftriaxone .' -p21763 -(lp21764 -S'His\tHis\tPRP$\tB-NP\tO' -p21765 -aS'meds\tmed\tNNS\tI-NP\tO' -p21766 -aS'on\ton\tIN\tB-PP\tO' -p21767 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p21768 -aS'to\tto\tTO\tB-PP\tO' -p21769 -aS'FIH\tFIH\tNN\tB-NP\tO' -p21770 -aS'were\tbe\tVBD\tB-VP\tO' -p21771 -aS'Levophed\tLevophe\tVBN\tI-VP\tO' -p21772 -aS',\t,\t,\tO\tO' -p21773 -aS'Dopamine\tDopamine\tNN\tB-NP\tO' -p21774 -aS',\t,\t,\tO\tO' -p21775 -aS'and\tand\tCC\tO\tO' -p21776 -aS'Ceftriaxone\tCeftriaxone\tNN\tB-NP\tO' -p21777 -aS'.\t.\t.\tO\tO' -p21778 -asS'The patient will follow-up with Dr. vel Diaz in 3-4 weeks .' -p21779 -(lp21780 -S'The\tThe\tDT\tB-NP\tO' -p21781 -aS'patient\tpatient\tNN\tI-NP\tO' -p21782 -aS'will\twill\tMD\tB-VP\tO' -p21783 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p21784 -aS'with\twith\tIN\tB-PP\tO' -p21785 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p21786 -aS'vel\tvel\tNN\tI-NP\tO' -p21787 -aS'Diaz\tDiaz\tNNP\tI-NP\tO' -p21788 -aS'in\tin\tIN\tB-PP\tO' -p21789 -aS'3-4\t3-4\tCD\tB-NP\tO' -p21790 -aS'weeks\tweek\tNNS\tI-NP\tO' -p21791 -aS'.\t.\t.\tO\tO' -p21792 -asS'HEENT : PERRLA , no carotid bruits' -p21793 -(lp21794 -S'HEENT\tHEENT\tNN\tB-NP\tO' -p21795 -aS':\t:\t:\tO\tO' -p21796 -aS'PERRLA\tPERRLA\tNN\tB-NP\tO' -p21797 -aS',\t,\t,\tO\tO' -p21798 -aS'no\tno\tDT\tB-NP\tO' -p21799 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p21800 -aS'bruits\tbruit\tNNS\tI-NP\tO' -p21801 -asS'Discharge Condition : see dc summary' -p21802 -(lp21803 -S'Discharge\tDischarge\tNNP\tB-NP\tO' -p21804 -aS'Condition\tCondition\tNNP\tI-NP\tO' -p21805 -aS':\t:\t:\tO\tO' -p21806 -aS'see\tsee\tVB\tB-VP\tO' -p21807 -aS'dc\tdc\tNN\tB-NP\tO' -p21808 -aS'summary\tsummary\tNN\tI-NP\tO' -p21809 -asS'Otherwise negative .' -p21810 -(lp21811 -S'Otherwise\tOtherwise\tRB\tB-ADJP\tO' -p21812 -aS'negative\tnegative\tJJ\tI-ADJP\tO' -p21813 -aS'.\t.\t.\tO\tO' -p21814 -asS'Enteral feedings were initiated on day of life #1 .' -p21815 -(lp21816 -S'Enteral\tEnteral\tJJ\tB-NP\tO' -p21817 -aS'feedings\tfeeding\tNNS\tI-NP\tO' -p21818 -aS'were\tbe\tVBD\tB-VP\tO' -p21819 -aS'initiated\tinitiate\tVBN\tI-VP\tO' -p21820 -aS'on\ton\tIN\tB-PP\tO' -p21821 -aS'day\tday\tNN\tB-NP\tO' -p21822 -aS'of\tof\tIN\tB-PP\tO' -p21823 -aS'life\tlife\tNN\tB-NP\tO' -p21824 -aS'#1\t#1\tNN\tI-NP\tO' -p21825 -aS'.\t.\t.\tO\tO' -p21826 -asS'The patient is a 66 year old white female with metastatic colon carcinoma with a mass in the left superhilar region , who presents for bronchoscopy , mediastinal exploration and resection .' -p21827 -(lp21828 -S'The\tThe\tDT\tB-NP\tO' -p21829 -aS'patient\tpatient\tNN\tI-NP\tO' -p21830 -aS'is\tbe\tVBZ\tB-VP\tO' -p21831 -aS'a\ta\tDT\tB-NP\tO' -p21832 -aS'66\t66\tCD\tI-NP\tO' -p21833 -aS'year\tyear\tNN\tI-NP\tO' -p21834 -aS'old\told\tJJ\tI-NP\tO' -p21835 -aS'white\twhite\tJJ\tI-NP\tO' -p21836 -aS'female\tfemale\tNN\tI-NP\tO' -p21837 -aS'with\twith\tIN\tB-PP\tO' -p21838 -aS'metastatic\tmetastatic\tJJ\tB-NP\tO' -p21839 -aS'colon\tcolon\tNN\tI-NP\tO' -p21840 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p21841 -aS'with\twith\tIN\tB-PP\tO' -p21842 -aS'a\ta\tDT\tB-NP\tO' -p21843 -aS'mass\tmass\tNN\tI-NP\tO' -p21844 -aS'in\tin\tIN\tB-PP\tO' -p21845 -aS'the\tthe\tDT\tB-NP\tO' -p21846 -aS'left\tleft\tJJ\tI-NP\tB-DNA' -p21847 -aS'superhilar\tsuperhilar\tJJ\tI-NP\tI-DNA' -p21848 -aS'region\tregion\tNN\tI-NP\tI-DNA' -p21849 -aS',\t,\t,\tO\tO' -p21850 -aS'who\twho\tWP\tB-NP\tO' -p21851 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p21852 -aS'for\tfor\tIN\tB-PP\tO' -p21853 -aS'bronchoscopy\tbronchoscopy\tNN\tB-NP\tO' -p21854 -aS',\t,\t,\tO\tO' -p21855 -aS'mediastinal\tmediastinal\tJJ\tB-NP\tO' -p21856 -aS'exploration\texploration\tNN\tI-NP\tO' -p21857 -aS'and\tand\tCC\tI-NP\tO' -p21858 -aS'resection\tresection\tNN\tI-NP\tO' -p21859 -aS'.\t.\t.\tO\tO' -p21860 -asS'5. Mass effect was considered , although no focal deficits were ever noted on examination and due to the fluctuating sensorium , it was determined that there was no severe underlying structural abnormality .' -p21861 -(lp21862 -S'5.\t5.\tLS\tB-NP\tO' -p21863 -aS'Mass\tMass\tNNP\tI-NP\tO' -p21864 -aS'effect\teffect\tNN\tI-NP\tO' -p21865 -aS'was\tbe\tVBD\tB-VP\tO' -p21866 -aS'considered\tconsider\tVBN\tI-VP\tO' -p21867 -aS',\t,\t,\tO\tO' -p21868 -aS'although\talthough\tIN\tB-SBAR\tO' -p21869 -aS'no\tno\tDT\tB-NP\tO' -p21870 -aS'focal\tfocal\tJJ\tI-NP\tO' -p21871 -aS'deficits\tdeficit\tNNS\tI-NP\tO' -p21872 -aS'were\tbe\tVBD\tB-VP\tO' -p21873 -aS'ever\tever\tRB\tI-VP\tO' -p21874 -aS'noted\tnote\tVBN\tI-VP\tO' -p21875 -aS'on\ton\tIN\tB-PP\tO' -p21876 -aS'examination\texamination\tNN\tB-NP\tO' -p21877 -aS'and\tand\tCC\tO\tO' -p21878 -aS'due\tdue\tJJ\tB-ADJP\tO' -p21879 -aS'to\tto\tTO\tB-PP\tO' -p21880 -aS'the\tthe\tDT\tB-NP\tO' -p21881 -aS'fluctuating\tfluctuate\tVBG\tI-NP\tO' -p21882 -aS'sensorium\tsensorium\tNN\tI-NP\tO' -p21883 -aS',\t,\t,\tO\tO' -p21884 -aS'it\tit\tPRP\tB-NP\tO' -p21885 -aS'was\tbe\tVBD\tB-VP\tO' -p21886 -aS'determined\tdetermine\tVBN\tI-VP\tO' -p21887 -aS'that\tthat\tIN\tB-SBAR\tO' -p21888 -aS'there\tthere\tEX\tB-NP\tO' -p21889 -aS'was\tbe\tVBD\tB-VP\tO' -p21890 -aS'no\tno\tDT\tB-NP\tO' -p21891 -aS'severe\tsevere\tJJ\tI-NP\tO' -p21892 -aS'underlying\tunderlie\tVBG\tI-NP\tO' -p21893 -aS'structural\tstructural\tJJ\tI-NP\tO' -p21894 -aS'abnormality\tabnormality\tNN\tI-NP\tO' -p21895 -aS'.\t.\t.\tO\tO' -p21896 -asS'1. The left ventricular cavity is moderately dilated .' -p21897 -(lp21898 -S'1.\t1.\tLS\tB-LST\tO' -p21899 -aS'The\tThe\tDT\tB-NP\tO' -p21900 -aS'left\tleft\tJJ\tI-NP\tO' -p21901 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p21902 -aS'cavity\tcavity\tNN\tI-NP\tO' -p21903 -aS'is\tbe\tVBZ\tB-VP\tO' -p21904 -aS'moderately\tmoderately\tRB\tI-VP\tO' -p21905 -aS'dilated\tdilate\tVBN\tI-VP\tO' -p21906 -aS'.\t.\t.\tO\tO' -p21907 -asS'On this examination , the patient was found to have mild biliary stricture most likely secondary to chronic pancreatitis .' -p21908 -(lp21909 -S'On\tOn\tIN\tB-PP\tO' -p21910 -aS'this\tthis\tDT\tB-NP\tO' -p21911 -aS'examination\texamination\tNN\tI-NP\tO' -p21912 -aS',\t,\t,\tO\tO' -p21913 -aS'the\tthe\tDT\tB-NP\tO' -p21914 -aS'patient\tpatient\tNN\tI-NP\tO' -p21915 -aS'was\tbe\tVBD\tB-VP\tO' -p21916 -aS'found\tfind\tVBN\tI-VP\tO' -p21917 -aS'to\tto\tTO\tI-VP\tO' -p21918 -aS'have\thave\tVB\tI-VP\tO' -p21919 -aS'mild\tmild\tJJ\tB-NP\tO' -p21920 -aS'biliary\tbiliary\tJJ\tI-NP\tO' -p21921 -aS'stricture\tstricture\tNN\tI-NP\tO' -p21922 -aS'most\tmost\tRBS\tB-ADVP\tO' -p21923 -aS'likely\tlikely\tRB\tI-ADVP\tO' -p21924 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p21925 -aS'to\tto\tTO\tB-PP\tO' -p21926 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p21927 -aS'pancreatitis\tpancreatitis\tNN\tI-NP\tO' -p21928 -aS'.\t.\t.\tO\tO' -p21929 -asS'Sternal wound infection .' -p21930 -(lp21931 -S'Sternal\tSternal\tJJ\tB-NP\tO' -p21932 -aS'wound\twound\tNN\tI-NP\tO' -p21933 -aS'infection\tinfection\tNN\tI-NP\tO' -p21934 -aS'.\t.\t.\tO\tO' -p21935 -asS'Resting WMA include mid to distal septal akinesis , apical akinesis , inferior akinesis/hypokinesis , and mid to distal anterolateral hypokinesis / akinesis .' -p21936 -(lp21937 -S'Resting\tRest\tVBG\tB-VP\tO' -p21938 -aS'WMA\tWMA\tNN\tB-NP\tO' -p21939 -aS'include\tinclude\tVBP\tB-VP\tO' -p21940 -aS'mid\tmid\tJJ\tB-ADJP\tO' -p21941 -aS'to\tto\tTO\tB-PP\tO' -p21942 -aS'distal\tdistal\tJJ\tB-NP\tO' -p21943 -aS'septal\tseptal\tJJ\tI-NP\tO' -p21944 -aS'akinesis\takinesis\tNN\tI-NP\tO' -p21945 -aS',\t,\t,\tO\tO' -p21946 -aS'apical\tapical\tJJ\tB-NP\tO' -p21947 -aS'akinesis\takinesis\tNN\tI-NP\tO' -p21948 -aS',\t,\t,\tO\tO' -p21949 -aS'inferior\tinferior\tJJ\tB-NP\tO' -p21950 -aS'akinesis/hypokinesis\takinesis/hypokinesis\tNN\tI-NP\tO' -p21951 -aS',\t,\t,\tO\tO' -p21952 -aS'and\tand\tCC\tO\tO' -p21953 -aS'mid\tmid\tNN\tB-NP\tO' -p21954 -aS'to\tto\tTO\tB-PP\tO' -p21955 -aS'distal\tdistal\tJJ\tB-NP\tO' -p21956 -aS'anterolateral\tanterolateral\tJJ\tI-NP\tO' -p21957 -aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' -p21958 -aS'/\t/\tSYM\tB-NP\tO' -p21959 -aS'akinesis\takinesis\tNN\tI-NP\tO' -p21960 -aS'.\t.\t.\tO\tO' -p21961 -asS'Left ventricular hypertrophy .' -p21962 -(lp21963 -S'Left\tLeave\tVBN\tB-NP\tO' -p21964 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p21965 -aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' -p21966 -aS'.\t.\t.\tO\tO' -p21967 -asS'Lives with his partner .' -p21968 -(lp21969 -S'Lives\tLife\tNNS\tB-NP\tO' -p21970 -aS'with\twith\tIN\tB-PP\tO' -p21971 -aS'his\this\tPRP$\tB-NP\tO' -p21972 -aS'partner\tpartner\tNN\tI-NP\tO' -p21973 -aS'.\t.\t.\tO\tO' -p21974 -asS'Of note there was a clear A wave in the RV tracing , suggestive of RV infarct .' -p21975 -(lp21976 -S'Of\tOf\tIN\tB-PP\tO' -p21977 -aS'note\tnote\tNN\tB-NP\tO' -p21978 -aS'there\tthere\tEX\tB-NP\tO' -p21979 -aS'was\tbe\tVBD\tB-VP\tO' -p21980 -aS'a\ta\tDT\tB-NP\tO' -p21981 -aS'clear\tclear\tJJ\tI-NP\tO' -p21982 -aS'A\tA\tNN\tI-NP\tO' -p21983 -aS'wave\twave\tNN\tI-NP\tO' -p21984 -aS'in\tin\tIN\tB-PP\tO' -p21985 -aS'the\tthe\tDT\tB-NP\tO' -p21986 -aS'RV\tRV\tNN\tI-NP\tO' -p21987 -aS'tracing\ttracing\tNN\tI-NP\tO' -p21988 -aS',\t,\t,\tO\tO' -p21989 -aS'suggestive\tsuggestive\tJJ\tB-ADJP\tO' -p21990 -aS'of\tof\tIN\tB-PP\tO' -p21991 -aS'RV\tRV\tNN\tB-NP\tO' -p21992 -aS'infarct\tinfarct\tNN\tI-NP\tO' -p21993 -aS'.\t.\t.\tO\tO' -p21994 -asS'5. Albuterol nebulizers q. four hours and q. two hours p.r.n.' -p21995 -(lp21996 -S'5.\t5.\tLS\tB-NP\tO' -p21997 -aS'Albuterol\tAlbuterol\tNN\tI-NP\tO' -p21998 -aS'nebulizers\tnebulizer\tNNS\tI-NP\tO' -p21999 -aS'q.\tq.\tVBP\tB-VP\tO' -p22000 -aS'four\tfour\tCD\tB-NP\tO' -p22001 -aS'hours\thour\tNNS\tI-NP\tO' -p22002 -aS'and\tand\tCC\tI-NP\tO' -p22003 -aS'q.\tq.\tNN\tI-NP\tO' -p22004 -aS'two\ttwo\tCD\tB-NP\tO' -p22005 -aS'hours\thour\tNNS\tI-NP\tO' -p22006 -aS'p.r.n.\tp.r.n.\tRB\tB-ADVP\tO' -p22007 -asS'She lives in an assisted living , and was noted yesterday to have generalized tonic-clonic activity beginning on the right side and lasting 90 minutes .' -p22008 -(lp22009 -S'She\tShe\tPRP\tB-NP\tO' -p22010 -aS'lives\tlive\tVBZ\tB-VP\tO' -p22011 -aS'in\tin\tIN\tB-PP\tO' -p22012 -aS'an\tan\tDT\tB-NP\tO' -p22013 -aS'assisted\tassisted\tJJ\tI-NP\tO' -p22014 -aS'living\tliving\tNN\tI-NP\tO' -p22015 -aS',\t,\t,\tO\tO' -p22016 -aS'and\tand\tCC\tO\tO' -p22017 -aS'was\tbe\tVBD\tB-VP\tO' -p22018 -aS'noted\tnote\tVBN\tI-VP\tO' -p22019 -aS'yesterday\tyesterday\tNN\tB-NP\tO' -p22020 -aS'to\tto\tTO\tB-VP\tO' -p22021 -aS'have\thave\tVB\tI-VP\tO' -p22022 -aS'generalized\tgeneralize\tVBN\tI-VP\tO' -p22023 -aS'tonic-clonic\ttonic-clonic\tJJ\tB-NP\tO' -p22024 -aS'activity\tactivity\tNN\tI-NP\tO' -p22025 -aS'beginning\tbegin\tVBG\tB-VP\tO' -p22026 -aS'on\ton\tIN\tB-PP\tO' -p22027 -aS'the\tthe\tDT\tB-NP\tO' -p22028 -aS'right\tright\tJJ\tI-NP\tO' -p22029 -aS'side\tside\tNN\tI-NP\tO' -p22030 -aS'and\tand\tCC\tO\tO' -p22031 -aS'lasting\tlast\tVBG\tB-VP\tO' -p22032 -aS'90\t90\tCD\tB-NP\tO' -p22033 -aS'minutes\tminute\tNNS\tI-NP\tO' -p22034 -aS'.\t.\t.\tO\tO' -p22035 -asS'he was taken to Williams ICU until 08-09 when he was discharged to Waltham/Weston Hospital Rehab .' -p22036 -(lp22037 -S'he\the\tPRP\tB-NP\tO' -p22038 -aS'was\tbe\tVBD\tB-VP\tO' -p22039 -aS'taken\ttake\tVBN\tI-VP\tO' -p22040 -aS'to\tto\tTO\tB-PP\tO' -p22041 -aS'Williams\tWilliams\tNNP\tB-NP\tO' -p22042 -aS'ICU\tICU\tNNP\tI-NP\tO' -p22043 -aS'until\tuntil\tIN\tB-PP\tO' -p22044 -aS'08-09\t08-09\tCD\tB-NP\tO' -p22045 -aS'when\twhen\tWRB\tB-ADVP\tO' -p22046 -aS'he\the\tPRP\tB-NP\tO' -p22047 -aS'was\tbe\tVBD\tB-VP\tO' -p22048 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p22049 -aS'to\tto\tTO\tB-PP\tO' -p22050 -aS'Waltham/Weston\tWaltham/Weston\tNNP\tB-NP\tO' -p22051 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p22052 -aS'Rehab\tRehab\tNNP\tI-NP\tO' -p22053 -aS'.\t.\t.\tO\tO' -p22054 -asS'5. Mild dementia .' -p22055 -(lp22056 -S'5.\t5.\tLS\tB-NP\tO' -p22057 -aS'Mild\tMild\tNNP\tI-NP\tO' -p22058 -aS'dementia\tdementia\tNN\tI-NP\tO' -p22059 -aS'.\t.\t.\tO\tO' -p22060 -asS'# Osteoporosis - We continued actonel/vit D , Tums' -p22061 -(lp22062 -S'#\t#\t#\tB-NP\tO' -p22063 -aS'Osteoporosis\tOsteoporosis\tNN\tI-NP\tO' -p22064 -aS'-\t-\tHYPH\tO\tO' -p22065 -aS'We\tWe\tPRP\tB-NP\tO' -p22066 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p22067 -aS'actonel/vit\tactonel/vit\tNN\tB-NP\tO' -p22068 -aS'D\tD\tNNP\tI-NP\tO' -p22069 -aS',\t,\t,\tO\tO' -p22070 -aS'Tums\tTums\tNNP\tB-NP\tO' -p22071 -asS'Discharged with Margaret Hallock , cardiology follow up as well as scheduled appointment with a new PCP @ Newton Health Center .' -p22072 -(lp22073 -S'Discharged\tDischarge\tVBN\tB-VP\tO' -p22074 -aS'with\twith\tIN\tB-PP\tO' -p22075 -aS'Margaret\tMargaret\tNNP\tB-NP\tO' -p22076 -aS'Hallock\tHallock\tNNP\tI-NP\tO' -p22077 -aS',\t,\t,\tO\tO' -p22078 -aS'cardiology\tcardiology\tNN\tB-NP\tO' -p22079 -aS'follow\tfollow\tVBP\tB-VP\tO' -p22080 -aS'up\tup\tRP\tB-PRT\tO' -p22081 -aS'as\tas\tRB\tB-CONJP\tO' -p22082 -aS'well\twell\tRB\tI-CONJP\tO' -p22083 -aS'as\tas\tIN\tI-CONJP\tO' -p22084 -aS'scheduled\tscheduled\tJJ\tB-NP\tO' -p22085 -aS'appointment\tappointment\tNN\tI-NP\tO' -p22086 -aS'with\twith\tIN\tB-PP\tO' -p22087 -aS'a\ta\tDT\tB-NP\tO' -p22088 -aS'new\tnew\tJJ\tI-NP\tO' -p22089 -aS'PCP\tPCP\tNN\tI-NP\tB-protein' -p22090 -aS'@\t@\tNN\tI-NP\tI-protein' -p22091 -aS'Newton\tNewton\tNNP\tI-NP\tO' -p22092 -aS'Health\tHealth\tNNP\tI-NP\tO' -p22093 -aS'Center\tCenter\tNNP\tI-NP\tO' -p22094 -aS'.\t.\t.\tO\tO' -p22095 -asS'She was continued on suicide precautions with a one-to-one sitter , and plan was for psychiatric admission when medical issues had resolved .' -p22096 -(lp22097 -S'She\tShe\tPRP\tB-NP\tO' -p22098 -aS'was\tbe\tVBD\tB-VP\tO' -p22099 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p22100 -aS'on\ton\tIN\tB-PP\tO' -p22101 -aS'suicide\tsuicide\tNN\tB-NP\tO' -p22102 -aS'precautions\tprecaution\tNNS\tI-NP\tO' -p22103 -aS'with\twith\tIN\tB-PP\tO' -p22104 -aS'a\ta\tDT\tB-NP\tO' -p22105 -aS'one-to-one\tone-to-one\tJJ\tI-NP\tO' -p22106 -aS'sitter\tsitter\tNN\tI-NP\tO' -p22107 -aS',\t,\t,\tO\tO' -p22108 -aS'and\tand\tCC\tO\tO' -p22109 -aS'plan\tplan\tNN\tB-NP\tO' -p22110 -aS'was\tbe\tVBD\tB-VP\tO' -p22111 -aS'for\tfor\tIN\tB-PP\tO' -p22112 -aS'psychiatric\tpsychiatric\tJJ\tB-NP\tO' -p22113 -aS'admission\tadmission\tNN\tI-NP\tO' -p22114 -aS'when\twhen\tWRB\tB-ADVP\tO' -p22115 -aS'medical\tmedical\tJJ\tB-NP\tO' -p22116 -aS'issues\tissue\tNNS\tI-NP\tO' -p22117 -aS'had\thave\tVBD\tB-VP\tO' -p22118 -aS'resolved\tresolve\tVBN\tI-VP\tO' -p22119 -aS'.\t.\t.\tO\tO' -p22120 -asS'Percocet and erythromycin , she gets gastrointestinal upset and Keflex she gets hives .' -p22121 -(lp22122 -S'Percocet\tPercocet\tNN\tB-NP\tO' -p22123 -aS'and\tand\tCC\tI-NP\tO' -p22124 -aS'erythromycin\terythromycin\tNN\tI-NP\tO' -p22125 -aS',\t,\t,\tO\tO' -p22126 -aS'she\tshe\tPRP\tB-NP\tO' -p22127 -aS'gets\tget\tVBZ\tB-VP\tO' -p22128 -aS'gastrointestinal\tgastrointestinal\tJJ\tB-NP\tO' -p22129 -aS'upset\tupset\tNN\tI-NP\tO' -p22130 -aS'and\tand\tCC\tO\tO' -p22131 -aS'Keflex\tKeflex\tNNP\tB-NP\tO' -p22132 -aS'she\tshe\tPRP\tB-NP\tO' -p22133 -aS'gets\tget\tVBZ\tB-VP\tO' -p22134 -aS'hives\thive\tNNS\tB-NP\tO' -p22135 -aS'.\t.\t.\tO\tO' -p22136 -asS'The mediastinum appears unchanged .' -p22137 -(lp22138 -S'The\tThe\tDT\tB-NP\tO' -p22139 -aS'mediastinum\tmediastinum\tNN\tI-NP\tO' -p22140 -aS'appears\tappear\tVBZ\tB-VP\tO' -p22141 -aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' -p22142 -aS'.\t.\t.\tO\tO' -p22143 -asS'2. Medications : The infant is receiving Fer-in-Phillip supplementation of 0.15 ml p.o. once daily .' -p22144 -(lp22145 -S'2.\t2.\tCD\tB-NP\tO' -p22146 -aS'Medications\tMedication\tNNS\tI-NP\tO' -p22147 -aS':\t:\t:\tO\tO' -p22148 -aS'The\tThe\tDT\tB-NP\tO' -p22149 -aS'infant\tinfant\tNN\tI-NP\tO' -p22150 -aS'is\tbe\tVBZ\tB-VP\tO' -p22151 -aS'receiving\treceive\tVBG\tI-VP\tO' -p22152 -aS'Fer-in-Phillip\tFer-in-Phillip\tJJ\tB-NP\tO' -p22153 -aS'supplementation\tsupplementation\tNN\tI-NP\tO' -p22154 -aS'of\tof\tIN\tB-PP\tO' -p22155 -aS'0.15\t0.15\tCD\tB-NP\tO' -p22156 -aS'ml\tml\tNN\tI-NP\tO' -p22157 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p22158 -aS'once\tonce\tRB\tB-ADVP\tO' -p22159 -aS'daily\tdaily\tRB\tI-ADVP\tO' -p22160 -aS'.\t.\t.\tO\tO' -p22161 -asS'Positive tenderness to sternum .' -p22162 -(lp22163 -S'Positive\tPositive\tJJ\tB-NP\tO' -p22164 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p22165 -aS'to\tto\tTO\tB-PP\tO' -p22166 -aS'sternum\tsternum\tNN\tB-NP\tO' -p22167 -aS'.\t.\t.\tO\tO' -p22168 -asS'Beta hCG was negative .' -p22169 -(lp22170 -S'Beta\tBeta\tSYM\tO\tO' -p22171 -aS'hCG\thCG\tNN\tB-NP\tO' -p22172 -aS'was\tbe\tVBD\tB-VP\tO' -p22173 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p22174 -aS'.\t.\t.\tO\tO' -p22175 -asS'The patient was transferred to the Cardiac Surgical Intensive Care Unit in stable condition .' -p22176 -(lp22177 -S'The\tThe\tDT\tB-NP\tO' -p22178 -aS'patient\tpatient\tNN\tI-NP\tO' -p22179 -aS'was\tbe\tVBD\tB-VP\tO' -p22180 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p22181 -aS'to\tto\tTO\tB-PP\tO' -p22182 -aS'the\tthe\tDT\tB-NP\tO' -p22183 -aS'Cardiac\tCardiac\tNNP\tI-NP\tO' -p22184 -aS'Surgical\tSurgical\tNNP\tI-NP\tO' -p22185 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p22186 -aS'Care\tCare\tNNP\tI-NP\tO' -p22187 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p22188 -aS'in\tin\tIN\tB-PP\tO' -p22189 -aS'stable\tstable\tJJ\tB-NP\tO' -p22190 -aS'condition\tcondition\tNN\tI-NP\tO' -p22191 -aS'.\t.\t.\tO\tO' -p22192 -asS'He was discharged in stable condition with instructions to follow up with his PCP as well as to follow up with the Anticoagulation Clinic and Dr. Gilbert .' -p22193 -(lp22194 -S'He\tHe\tPRP\tB-NP\tO' -p22195 -aS'was\tbe\tVBD\tB-VP\tO' -p22196 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p22197 -aS'in\tin\tIN\tB-PP\tO' -p22198 -aS'stable\tstable\tJJ\tB-NP\tO' -p22199 -aS'condition\tcondition\tNN\tI-NP\tO' -p22200 -aS'with\twith\tIN\tB-PP\tO' -p22201 -aS'instructions\tinstruction\tNNS\tB-NP\tO' -p22202 -aS'to\tto\tTO\tB-VP\tO' -p22203 -aS'follow\tfollow\tVB\tI-VP\tO' -p22204 -aS'up\tup\tRP\tB-PRT\tO' -p22205 -aS'with\twith\tIN\tB-PP\tO' -p22206 -aS'his\this\tPRP$\tB-NP\tO' -p22207 -aS'PCP\tPCP\tNN\tI-NP\tB-protein' -p22208 -aS'as\tas\tRB\tB-CONJP\tO' -p22209 -aS'well\twell\tRB\tI-CONJP\tO' -p22210 -aS'as\tas\tIN\tI-CONJP\tO' -p22211 -aS'to\tto\tTO\tB-VP\tO' -p22212 -aS'follow\tfollow\tVB\tI-VP\tO' -p22213 -aS'up\tup\tRP\tB-PRT\tO' -p22214 -aS'with\twith\tIN\tB-PP\tO' -p22215 -aS'the\tthe\tDT\tB-NP\tO' -p22216 -aS'Anticoagulation\tAnticoagulation\tNNP\tI-NP\tO' -p22217 -aS'Clinic\tClinic\tNNP\tI-NP\tO' -p22218 -aS'and\tand\tCC\tO\tO' -p22219 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p22220 -aS'Gilbert\tGilbert\tNNP\tI-NP\tO' -p22221 -aS'.\t.\t.\tO\tO' -p22222 -asS'CT angiogram had been negative for pulmonary embolism .' -p22223 -(lp22224 -S'CT\tCT\tNN\tB-NP\tO' -p22225 -aS'angiogram\tangiogram\tNN\tI-NP\tO' -p22226 -aS'had\thave\tVBD\tB-VP\tO' -p22227 -aS'been\tbe\tVBN\tI-VP\tO' -p22228 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p22229 -aS'for\tfor\tIN\tB-PP\tO' -p22230 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p22231 -aS'embolism\tembolism\tNN\tI-NP\tO' -p22232 -aS'.\t.\t.\tO\tO' -p22233 -asS'The blurred vision was homonymous , which he had blurred in each eye in the left visual field .' -p22234 -(lp22235 -S'The\tThe\tDT\tB-NP\tO' -p22236 -aS'blurred\tblurred\tJJ\tI-NP\tO' -p22237 -aS'vision\tvision\tNN\tI-NP\tO' -p22238 -aS'was\tbe\tVBD\tB-VP\tO' -p22239 -aS'homonymous\thomonymous\tJJ\tB-ADJP\tO' -p22240 -aS',\t,\t,\tO\tO' -p22241 -aS'which\twhich\tWDT\tB-NP\tO' -p22242 -aS'he\the\tPRP\tB-NP\tO' -p22243 -aS'had\thave\tVBD\tB-VP\tO' -p22244 -aS'blurred\tblur\tVBN\tI-VP\tO' -p22245 -aS'in\tin\tIN\tB-PP\tO' -p22246 -aS'each\teach\tDT\tB-NP\tO' -p22247 -aS'eye\teye\tNN\tI-NP\tO' -p22248 -aS'in\tin\tIN\tB-PP\tO' -p22249 -aS'the\tthe\tDT\tB-NP\tO' -p22250 -aS'left\tleft\tJJ\tI-NP\tO' -p22251 -aS'visual\tvisual\tJJ\tI-NP\tO' -p22252 -aS'field\tfield\tNN\tI-NP\tO' -p22253 -aS'.\t.\t.\tO\tO' -p22254 -asS'The fascia appeared intact by probing .' -p22255 -(lp22256 -S'The\tThe\tDT\tB-NP\tO' -p22257 -aS'fascia\tfascia\tNN\tI-NP\tO' -p22258 -aS'appeared\tappear\tVBD\tB-VP\tO' -p22259 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p22260 -aS'by\tby\tIN\tB-PP\tO' -p22261 -aS'probing\tprobe\tVBG\tB-VP\tO' -p22262 -aS'.\t.\t.\tO\tO' -p22263 -asS'He is being transferred to Massachusetts General Hospital Newborn Intensive Care Unit for continuing care .' -p22264 -(lp22265 -S'He\tHe\tPRP\tB-NP\tO' -p22266 -aS'is\tbe\tVBZ\tB-VP\tO' -p22267 -aS'being\tbe\tVBG\tI-VP\tO' -p22268 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p22269 -aS'to\tto\tTO\tB-PP\tO' -p22270 -aS'Massachusetts\tMassachusetts\tNNP\tB-NP\tO' -p22271 -aS'General\tGeneral\tNNP\tI-NP\tO' -p22272 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p22273 -aS'Newborn\tNewborn\tNNP\tI-NP\tO' -p22274 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p22275 -aS'Care\tCare\tNNP\tI-NP\tO' -p22276 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p22277 -aS'for\tfor\tIN\tB-PP\tO' -p22278 -aS'continuing\tcontinue\tVBG\tB-NP\tO' -p22279 -aS'care\tcare\tNN\tI-NP\tO' -p22280 -aS'.\t.\t.\tO\tO' -p22281 -asS'The patient is a retired psychiatrist who lives in Ph .' -p22282 -(lp22283 -S'The\tThe\tDT\tB-NP\tO' -p22284 -aS'patient\tpatient\tNN\tI-NP\tO' -p22285 -aS'is\tbe\tVBZ\tB-VP\tO' -p22286 -aS'a\ta\tDT\tB-NP\tO' -p22287 -aS'retired\tretired\tJJ\tI-NP\tO' -p22288 -aS'psychiatrist\tpsychiatrist\tNN\tI-NP\tO' -p22289 -aS'who\twho\tWP\tB-NP\tO' -p22290 -aS'lives\tlive\tVBZ\tB-VP\tO' -p22291 -aS'in\tin\tIN\tB-PP\tO' -p22292 -aS'Ph\tPh\tNNP\tB-NP\tO' -p22293 -aS'.\t.\t.\tO\tO' -p22294 -asS"Coronary Artery Disease , Hypertension , Hyperlipidemia , Diabetes Mellitus , Hypothyroid , h/o Bilateral DVT 's ( on chronic coumadin therapy ), Pleural disorder ? Sarcoidosis , Gastritis , B12 deficiency , Chronic renal insufficiency , s/p Appendectomy , s/p Lap cholectomy , s/p Total abdominal hysterectomy" -p22295 -(lp22296 -S'Coronary\tCoronary\tNNP\tB-NP\tO' -p22297 -aS'Artery\tArtery\tNNP\tI-NP\tO' -p22298 -aS'Disease\tDisease\tNNP\tI-NP\tO' -p22299 -aS',\t,\t,\tO\tO' -p22300 -aS'Hypertension\tHypertension\tNNP\tB-NP\tO' -p22301 -aS',\t,\t,\tO\tO' -p22302 -aS'Hyperlipidemia\tHyperlipidemia\tNNP\tB-NP\tO' -p22303 -aS',\t,\t,\tO\tO' -p22304 -aS'Diabetes\tDiabetes\tNNP\tB-NP\tO' -p22305 -aS'Mellitus\tMellitus\tNNP\tI-NP\tO' -p22306 -aS',\t,\t,\tO\tO' -p22307 -aS'Hypothyroid\tHypothyroid\tNNP\tB-NP\tO' -p22308 -aS',\t,\t,\tO\tO' -p22309 -aS'h/o\th/o\tDT\tB-NP\tO' -p22310 -aS'Bilateral\tBilateral\tNNP\tI-NP\tO' -p22311 -aS'DVT\tDVT\tNNP\tI-NP\tO' -p22312 -aS"'s\t's\tPOS\tB-NP\tO" -p22313 -aS'(\t(\t(\tO\tO' -p22314 -aS'on\ton\tIN\tB-PP\tO' -p22315 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p22316 -aS'coumadin\tcoumadin\tNN\tI-NP\tO' -p22317 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p22318 -aS'),\t),\tVBD\tB-VP\tO' -p22319 -aS'Pleural\tPleural\tJJ\tB-NP\tO' -p22320 -aS'disorder\tdisorder\tNN\tI-NP\tO' -p22321 -aS'?\t?\t.\tO\tO' -p22322 -aS'Sarcoidosis\tSarcoidosis\tNN\tB-NP\tO' -p22323 -aS',\t,\t,\tO\tO' -p22324 -aS'Gastritis\tGastritis\tNN\tB-NP\tO' -p22325 -aS',\t,\t,\tO\tO' -p22326 -aS'B12\tB12\tNN\tB-NP\tB-protein' -p22327 -aS'deficiency\tdeficiency\tNN\tI-NP\tO' -p22328 -aS',\t,\t,\tO\tO' -p22329 -aS'Chronic\tChronic\tNNP\tB-NP\tO' -p22330 -aS'renal\trenal\tJJ\tI-NP\tO' -p22331 -aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' -p22332 -aS',\t,\t,\tO\tO' -p22333 -aS's/p\ts/p\tNN\tB-NP\tO' -p22334 -aS'Appendectomy\tAppendectomy\tNNP\tI-NP\tO' -p22335 -aS',\t,\t,\tO\tO' -p22336 -aS's/p\ts/p\tNN\tB-NP\tO' -p22337 -aS'Lap\tLap\tNN\tI-NP\tO' -p22338 -aS'cholectomy\tcholectomy\tNN\tI-NP\tO' -p22339 -aS',\t,\t,\tO\tO' -p22340 -aS's/p\ts/p\tNN\tB-NP\tO' -p22341 -aS'Total\tTotal\tJJ\tI-NP\tO' -p22342 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p22343 -aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' -p22344 -asS'The patient states that he recalls going out alone to a cafe the evening prior to admission .' -p22345 -(lp22346 -S'The\tThe\tDT\tB-NP\tO' -p22347 -aS'patient\tpatient\tNN\tI-NP\tO' -p22348 -aS'states\tstate\tVBZ\tB-VP\tO' -p22349 -aS'that\tthat\tIN\tB-SBAR\tO' -p22350 -aS'he\the\tPRP\tB-NP\tO' -p22351 -aS'recalls\trecall\tVBZ\tB-VP\tO' -p22352 -aS'going\tgo\tVBG\tI-VP\tO' -p22353 -aS'out\tout\tRP\tB-PRT\tO' -p22354 -aS'alone\talone\tRB\tB-ADVP\tO' -p22355 -aS'to\tto\tTO\tB-PP\tO' -p22356 -aS'a\ta\tDT\tB-NP\tO' -p22357 -aS'cafe\tcafe\tNN\tI-NP\tO' -p22358 -aS'the\tthe\tDT\tB-NP\tO' -p22359 -aS'evening\tevening\tNN\tI-NP\tO' -p22360 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p22361 -aS'to\tto\tTO\tB-PP\tO' -p22362 -aS'admission\tadmission\tNN\tB-NP\tO' -p22363 -aS'.\t.\t.\tO\tO' -p22364 -asS'The pt is a 55yo F s / p Roux en Y GBP in 12/20 presenting to the ED this AM c / o mod severe midepigastric pain .' -p22365 -(lp22366 -S'The\tThe\tDT\tB-NP\tO' -p22367 -aS'pt\tpt\tNN\tI-NP\tO' -p22368 -aS'is\tbe\tVBZ\tB-VP\tO' -p22369 -aS'a\ta\tDT\tB-NP\tO' -p22370 -aS'55yo\t55yo\tNN\tI-NP\tO' -p22371 -aS'F\tF\tNN\tI-NP\tO' -p22372 -aS's\ts\tNN\tI-NP\tO' -p22373 -aS'/\t/\tSYM\tB-NP\tO' -p22374 -aS'p\tp\tNN\tI-NP\tO' -p22375 -aS'Roux\tRoux\tNN\tI-NP\tO' -p22376 -aS'en\ten\tIN\tB-PP\tO' -p22377 -aS'Y\tY\tNN\tB-NP\tB-protein' -p22378 -aS'GBP\tGBP\tNN\tI-NP\tI-protein' -p22379 -aS'in\tin\tIN\tB-PP\tO' -p22380 -aS'12/20\t12/20\tCD\tB-NP\tO' -p22381 -aS'presenting\tpresent\tVBG\tB-VP\tO' -p22382 -aS'to\tto\tTO\tB-PP\tO' -p22383 -aS'the\tthe\tDT\tB-NP\tO' -p22384 -aS'ED\tED\tNN\tI-NP\tO' -p22385 -aS'this\tthis\tDT\tB-NP\tO' -p22386 -aS'AM\tAM\tNN\tI-NP\tB-protein' -p22387 -aS'c\tc\tNN\tI-NP\tI-protein' -p22388 -aS'/\t/\tSYM\tB-VP\tO' -p22389 -aS'o\to\tNN\tB-NP\tO' -p22390 -aS'mod\tmod\tNN\tI-NP\tO' -p22391 -aS'severe\tsevere\tJJ\tI-NP\tO' -p22392 -aS'midepigastric\tmidepigastric\tJJ\tI-NP\tO' -p22393 -aS'pain\tpain\tNN\tI-NP\tO' -p22394 -aS'.\t.\t.\tO\tO' -p22395 -asS'A family discussion resulted in the decision to make the patient comfort measures only .' -p22396 -(lp22397 -S'A\tA\tDT\tB-NP\tO' -p22398 -aS'family\tfamily\tNN\tI-NP\tO' -p22399 -aS'discussion\tdiscussion\tNN\tI-NP\tO' -p22400 -aS'resulted\tresult\tVBD\tB-VP\tO' -p22401 -aS'in\tin\tIN\tB-PP\tO' -p22402 -aS'the\tthe\tDT\tB-NP\tO' -p22403 -aS'decision\tdecision\tNN\tI-NP\tO' -p22404 -aS'to\tto\tTO\tB-VP\tO' -p22405 -aS'make\tmake\tVB\tI-VP\tO' -p22406 -aS'the\tthe\tDT\tB-NP\tO' -p22407 -aS'patient\tpatient\tNN\tI-NP\tO' -p22408 -aS'comfort\tcomfort\tNN\tI-NP\tO' -p22409 -aS'measures\tmeasure\tVBZ\tB-VP\tO' -p22410 -aS'only\tonly\tRB\tB-ADVP\tO' -p22411 -aS'.\t.\t.\tO\tO' -p22412 -asS"On admission to the ICU the pt ' steroid dose was increased to 8 mg bid 03-07 to a dead space measurement of 50% ." -p22413 -(lp22414 -S'On\tOn\tIN\tB-PP\tO' -p22415 -aS'admission\tadmission\tNN\tB-NP\tO' -p22416 -aS'to\tto\tTO\tB-PP\tO' -p22417 -aS'the\tthe\tDT\tB-NP\tO' -p22418 -aS'ICU\tICU\tNN\tI-NP\tO' -p22419 -aS'the\tthe\tDT\tB-NP\tO' -p22420 -aS'pt\tpt\tNN\tI-NP\tO' -p22421 -aS"'\t'\tPOS\tB-NP\tO" -p22422 -aS'steroid\tsteroid\tNN\tI-NP\tO' -p22423 -aS'dose\tdose\tNN\tI-NP\tO' -p22424 -aS'was\tbe\tVBD\tB-VP\tO' -p22425 -aS'increased\tincrease\tVBN\tI-VP\tO' -p22426 -aS'to\tto\tTO\tB-PP\tO' -p22427 -aS'8\t8\tCD\tB-NP\tO' -p22428 -aS'mg\tmg\tNN\tI-NP\tO' -p22429 -aS'bid\tbid\tRB\tB-NP\tO' -p22430 -aS'03-07\t03-07\tCD\tI-NP\tO' -p22431 -aS'to\tto\tTO\tB-PP\tO' -p22432 -aS'a\ta\tDT\tB-NP\tO' -p22433 -aS'dead\tdead\tJJ\tI-NP\tO' -p22434 -aS'space\tspace\tNN\tI-NP\tO' -p22435 -aS'measurement\tmeasurement\tNN\tI-NP\tO' -p22436 -aS'of\tof\tIN\tB-PP\tO' -p22437 -aS'50%\t50%\tCD\tB-NP\tO' -p22438 -aS'.\t.\t.\tO\tO' -p22439 -asS'4. Zantac 150 mg po bid .' -p22440 -(lp22441 -S'4.\t4.\tLS\tB-LST\tO' -p22442 -aS'Zantac\tZantac\tNN\tB-NP\tO' -p22443 -aS'150\t150\tCD\tI-NP\tO' -p22444 -aS'mg\tmg\tNN\tI-NP\tO' -p22445 -aS'po\tpo\tNN\tI-NP\tO' -p22446 -aS'bid\tbid\tNN\tI-NP\tO' -p22447 -aS'.\t.\t.\tO\tO' -p22448 -asS'At their request , a CT scan of the chest with contrast was performed on the day of discharge .' -p22449 -(lp22450 -S'At\tAt\tIN\tB-PP\tO' -p22451 -aS'their\ttheir\tPRP$\tB-NP\tO' -p22452 -aS'request\trequest\tNN\tI-NP\tO' -p22453 -aS',\t,\t,\tO\tO' -p22454 -aS'a\ta\tDT\tB-NP\tO' -p22455 -aS'CT\tCT\tNN\tI-NP\tO' -p22456 -aS'scan\tscan\tNN\tI-NP\tO' -p22457 -aS'of\tof\tIN\tB-PP\tO' -p22458 -aS'the\tthe\tDT\tB-NP\tO' -p22459 -aS'chest\tchest\tNN\tI-NP\tO' -p22460 -aS'with\twith\tIN\tB-PP\tO' -p22461 -aS'contrast\tcontrast\tNN\tB-NP\tO' -p22462 -aS'was\tbe\tVBD\tB-VP\tO' -p22463 -aS'performed\tperform\tVBN\tI-VP\tO' -p22464 -aS'on\ton\tIN\tB-PP\tO' -p22465 -aS'the\tthe\tDT\tB-NP\tO' -p22466 -aS'day\tday\tNN\tI-NP\tO' -p22467 -aS'of\tof\tIN\tB-PP\tO' -p22468 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p22469 -aS'.\t.\t.\tO\tO' -p22470 -asS'Humulin 70/30 with 30 units subq.q.a.m. and 20 units subq.q.p.m. Vasotec 20 mg. q. a.m. Prozac 40 mg. q.d. Lasix 40 mg. q.d. K-Dur approximately 28 ? mEq q.d. Atropine 1% 1 GTT OD b.i.d. Ocufen 0.03% 1 GTT OD t.i.d. Ventolin metered-dose inhaler .' -p22471 -(lp22472 -S'Humulin\tHumulin\tNNP\tB-NP\tO' -p22473 -aS'70/30\t70/30\tCD\tI-NP\tO' -p22474 -aS'with\twith\tIN\tB-PP\tO' -p22475 -aS'30\t30\tCD\tB-NP\tO' -p22476 -aS'units\tunit\tNNS\tI-NP\tO' -p22477 -aS'subq.q.a.m.\tsubq.q.a.m.\tNN\tB-NP\tO' -p22478 -aS'and\tand\tCC\tI-NP\tO' -p22479 -aS'20\t20\tCD\tI-NP\tO' -p22480 -aS'units\tunit\tNNS\tI-NP\tO' -p22481 -aS'subq.q.p.m.\tsubq.q.p.m.\tNN\tI-NP\tO' -p22482 -aS'Vasotec\tVasotec\tNNP\tB-NP\tO' -p22483 -aS'20\t20\tCD\tI-NP\tO' -p22484 -aS'mg.\tmg.\tNN\tI-NP\tO' -p22485 -aS'q.\tq.\tNN\tI-NP\tO' -p22486 -aS'a.m.\ta.m.\tRB\tB-ADVP\tO' -p22487 -aS'Prozac\tProzac\tNNP\tB-NP\tO' -p22488 -aS'40\t40\tCD\tI-NP\tO' -p22489 -aS'mg.\tmg.\tNN\tI-NP\tO' -p22490 -aS'q.d.\tq.d.\tVBN\tB-VP\tO' -p22491 -aS'Lasix\tLasix\tNNP\tB-NP\tO' -p22492 -aS'40\t40\tCD\tI-NP\tO' -p22493 -aS'mg.\tmg.\tNN\tI-NP\tO' -p22494 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p22495 -aS'K-Dur\tK-Dur\tNN\tI-NP\tO' -p22496 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p22497 -aS'28\t28\tCD\tI-NP\tO' -p22498 -aS'?\t?\t.\tO\tO' -p22499 -aS'mEq\tmEq\tNN\tB-NP\tO' -p22500 -aS'q.d.\tq.d.\tVBD\tB-VP\tO' -p22501 -aS'Atropine\tAtropine\tNNP\tB-NP\tO' -p22502 -aS'1%\t1%\tCD\tI-NP\tO' -p22503 -aS'1\t1\tCD\tI-NP\tO' -p22504 -aS'GTT\tGTT\tNN\tI-NP\tO' -p22505 -aS'OD\tOD\tNN\tI-NP\tO' -p22506 -aS'b.i.d.\tb.i.d.\tVBN\tB-VP\tO' -p22507 -aS'Ocufen\tOcufen\tNNP\tB-NP\tO' -p22508 -aS'0.03%\t0.03%\tCD\tI-NP\tO' -p22509 -aS'1\t1\tCD\tI-NP\tO' -p22510 -aS'GTT\tGTT\tNN\tI-NP\tO' -p22511 -aS'OD\tOD\tNN\tI-NP\tO' -p22512 -aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' -p22513 -aS'Ventolin\tVentolin\tNNP\tI-NP\tO' -p22514 -aS'metered-dose\tmetered-dose\tJJ\tI-NP\tO' -p22515 -aS'inhaler\tinhaler\tNN\tI-NP\tO' -p22516 -aS'.\t.\t.\tO\tO' -p22517 -asS'Prochlorperazine 10 mg q 6 h' -p22518 -(lp22519 -S'Prochlorperazine\tProchlorperazine\tNN\tB-NP\tO' -p22520 -aS'10\t10\tCD\tI-NP\tO' -p22521 -aS'mg\tmg\tNN\tI-NP\tO' -p22522 -aS'q\tq\tNN\tI-NP\tO' -p22523 -aS'6\t6\tCD\tB-NP\tO' -p22524 -aS'h\th\tNN\tI-NP\tO' -p22525 -asS'Albuterol inhaler .' -p22526 -(lp22527 -S'Albuterol\tAlbuterol\tNN\tB-NP\tO' -p22528 -aS'inhaler\tinhaler\tNN\tI-NP\tO' -p22529 -aS'.\t.\t.\tO\tO' -p22530 -asS'On the day of admission she returned to the outside hospital Emergency Room where an abdominal CT was performed , which showed " thickened stomach and free air ."' -p22531 -(lp22532 -S'On\tOn\tIN\tB-PP\tO' -p22533 -aS'the\tthe\tDT\tB-NP\tO' -p22534 -aS'day\tday\tNN\tI-NP\tO' -p22535 -aS'of\tof\tIN\tB-PP\tO' -p22536 -aS'admission\tadmission\tNN\tB-NP\tO' -p22537 -aS'she\tshe\tPRP\tB-NP\tO' -p22538 -aS'returned\treturn\tVBD\tB-VP\tO' -p22539 -aS'to\tto\tTO\tB-PP\tO' -p22540 -aS'the\tthe\tDT\tB-NP\tO' -p22541 -aS'outside\toutside\tJJ\tI-NP\tO' -p22542 -aS'hospital\thospital\tNN\tI-NP\tO' -p22543 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p22544 -aS'Room\tRoom\tNNP\tI-NP\tO' -p22545 -aS'where\twhere\tWRB\tB-ADVP\tO' -p22546 -aS'an\tan\tDT\tB-NP\tO' -p22547 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p22548 -aS'CT\tCT\tNN\tI-NP\tO' -p22549 -aS'was\tbe\tVBD\tB-VP\tO' -p22550 -aS'performed\tperform\tVBN\tI-VP\tO' -p22551 -aS',\t,\t,\tO\tO' -p22552 -aS'which\twhich\tWDT\tB-NP\tO' -p22553 -aS'showed\tshow\tVBD\tB-VP\tO' -p22554 -aS'"\t"\t``\tO\tO' -p22555 -aS'thickened\tthickened\tJJ\tB-NP\tO' -p22556 -aS'stomach\tstomach\tNN\tI-NP\tO' -p22557 -aS'and\tand\tCC\tO\tO' -p22558 -aS'free\tfree\tJJ\tB-NP\tO' -p22559 -aS'air\tair\tNN\tI-NP\tO' -p22560 -aS'."\t."\t.\tO\tO' -p22561 -asS'Sternum is stable , incision with staples , opened to air , clean and dry .' -p22562 -(lp22563 -S'Sternum\tSternum\tNNP\tB-NP\tO' -p22564 -aS'is\tbe\tVBZ\tB-VP\tO' -p22565 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p22566 -aS',\t,\t,\tO\tO' -p22567 -aS'incision\tincision\tNN\tB-NP\tO' -p22568 -aS'with\twith\tIN\tB-PP\tO' -p22569 -aS'staples\tstaple\tNNS\tB-NP\tO' -p22570 -aS',\t,\t,\tO\tO' -p22571 -aS'opened\topen\tVBD\tB-VP\tO' -p22572 -aS'to\tto\tTO\tB-PP\tO' -p22573 -aS'air\tair\tNN\tB-NP\tO' -p22574 -aS',\t,\t,\tO\tO' -p22575 -aS'clean\tclean\tJJ\tB-ADJP\tO' -p22576 -aS'and\tand\tCC\tI-ADJP\tO' -p22577 -aS'dry\tdry\tJJ\tI-ADJP\tO' -p22578 -aS'.\t.\t.\tO\tO' -p22579 -asS'History of gastrointestinal intolerance to Tetracycline , Erythromycin , declomycin associated with edema and rash , Talwin associated with disorientation and gastrointestinal symptoms , Dilantin has caused rash and edema , morphine associated with itching and gastrointestinal symptoms , Demerol unclear .' -p22580 -(lp22581 -S'History\tHistory\tNN\tB-NP\tO' -p22582 -aS'of\tof\tIN\tB-PP\tO' -p22583 -aS'gastrointestinal\tgastrointestinal\tJJ\tB-NP\tO' -p22584 -aS'intolerance\tintolerance\tNN\tI-NP\tO' -p22585 -aS'to\tto\tTO\tB-PP\tO' -p22586 -aS'Tetracycline\tTetracycline\tNN\tB-NP\tO' -p22587 -aS',\t,\t,\tO\tO' -p22588 -aS'Erythromycin\tErythromycin\tNN\tB-NP\tO' -p22589 -aS',\t,\t,\tO\tO' -p22590 -aS'declomycin\tdeclomycin\tNN\tB-NP\tO' -p22591 -aS'associated\tassociate\tVBN\tB-VP\tO' -p22592 -aS'with\twith\tIN\tB-PP\tO' -p22593 -aS'edema\tedema\tNN\tB-NP\tO' -p22594 -aS'and\tand\tCC\tI-NP\tO' -p22595 -aS'rash\trash\tNN\tI-NP\tO' -p22596 -aS',\t,\t,\tO\tO' -p22597 -aS'Talwin\tTalwin\tNN\tB-NP\tB-protein' -p22598 -aS'associated\tassociate\tVBN\tB-VP\tO' -p22599 -aS'with\twith\tIN\tB-PP\tO' -p22600 -aS'disorientation\tdisorientation\tNN\tB-NP\tO' -p22601 -aS'and\tand\tCC\tO\tO' -p22602 -aS'gastrointestinal\tgastrointestinal\tJJ\tB-NP\tO' -p22603 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p22604 -aS',\t,\t,\tO\tO' -p22605 -aS'Dilantin\tDilantin\tNNP\tB-NP\tO' -p22606 -aS'has\thave\tVBZ\tB-VP\tO' -p22607 -aS'caused\tcause\tVBN\tI-VP\tO' -p22608 -aS'rash\trash\tNN\tB-NP\tO' -p22609 -aS'and\tand\tCC\tI-NP\tO' -p22610 -aS'edema\tedema\tNN\tI-NP\tO' -p22611 -aS',\t,\t,\tO\tO' -p22612 -aS'morphine\tmorphine\tNN\tB-NP\tO' -p22613 -aS'associated\tassociate\tVBN\tB-VP\tO' -p22614 -aS'with\twith\tIN\tB-PP\tO' -p22615 -aS'itching\titch\tVBG\tB-NP\tO' -p22616 -aS'and\tand\tCC\tO\tO' -p22617 -aS'gastrointestinal\tgastrointestinal\tJJ\tB-NP\tO' -p22618 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p22619 -aS',\t,\t,\tO\tO' -p22620 -aS'Demerol\tDemerol\tNN\tB-NP\tO' -p22621 -aS'unclear\tunclear\tJJ\tB-ADJP\tO' -p22622 -aS'.\t.\t.\tO\tO' -p22623 -asS'EKG was negative for ischemia .' -p22624 -(lp22625 -S'EKG\tEKG\tNN\tB-NP\tB-protein' -p22626 -aS'was\tbe\tVBD\tB-VP\tO' -p22627 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p22628 -aS'for\tfor\tIN\tB-PP\tO' -p22629 -aS'ischemia\tischemia\tNN\tB-NP\tO' -p22630 -aS'.\t.\t.\tO\tO' -p22631 -asS'An IVC filter is seen .' -p22632 -(lp22633 -S'An\tAn\tDT\tB-NP\tO' -p22634 -aS'IVC\tIVC\tNN\tI-NP\tO' -p22635 -aS'filter\tfilter\tNN\tI-NP\tO' -p22636 -aS'is\tbe\tVBZ\tB-VP\tO' -p22637 -aS'seen\tsee\tVBN\tI-VP\tO' -p22638 -aS'.\t.\t.\tO\tO' -p22639 -asS'Please follow-up with your primary doctor within 2 weeks of leaving the hospital .' -p22640 -(lp22641 -S'Please\tPlease\tNN\tB-NP\tO' -p22642 -aS'follow-up\tfollow-up\tNN\tI-NP\tO' -p22643 -aS'with\twith\tIN\tB-PP\tO' -p22644 -aS'your\tyour\tPRP$\tB-NP\tO' -p22645 -aS'primary\tprimary\tJJ\tI-NP\tO' -p22646 -aS'doctor\tdoctor\tNN\tI-NP\tO' -p22647 -aS'within\twithin\tIN\tB-PP\tO' -p22648 -aS'2\t2\tCD\tB-NP\tO' -p22649 -aS'weeks\tweek\tNNS\tI-NP\tO' -p22650 -aS'of\tof\tIN\tB-PP\tO' -p22651 -aS'leaving\tleave\tVBG\tB-VP\tO' -p22652 -aS'the\tthe\tDT\tB-NP\tO' -p22653 -aS'hospital\thospital\tNN\tI-NP\tO' -p22654 -aS'.\t.\t.\tO\tO' -p22655 -asS'Brother with MI at age 35' -p22656 -(lp22657 -S'Brother\tBrother\tDT\tB-NP\tO' -p22658 -aS'with\twith\tIN\tB-PP\tO' -p22659 -aS'MI\tMI\tNN\tB-NP\tO' -p22660 -aS'at\tat\tIN\tB-PP\tO' -p22661 -aS'age\tage\tNN\tB-NP\tO' -p22662 -aS'35\t35\tCD\tI-NP\tO' -p22663 -asS'OTHER DIAGNOSIS ; Conditions , Infections , Complications , affecting Treatment / Stay pp' -p22664 -(lp22665 -S'OTHER\tOTHER\tNN\tB-NP\tO' -p22666 -aS'DIAGNOSIS\tDIAGNOSIS\tNN\tI-NP\tO' -p22667 -aS';\t;\t:\tO\tO' -p22668 -aS'Conditions\tCondition\tNNS\tB-NP\tO' -p22669 -aS',\t,\t,\tO\tO' -p22670 -aS'Infections\tInfection\tNNS\tB-NP\tO' -p22671 -aS',\t,\t,\tO\tO' -p22672 -aS'Complications\tComplication\tNNS\tB-NP\tO' -p22673 -aS',\t,\t,\tO\tO' -p22674 -aS'affecting\taffect\tVBG\tB-VP\tO' -p22675 -aS'Treatment\tTreatment\tNN\tB-NP\tO' -p22676 -aS'/\t/\tSYM\tO\tO' -p22677 -aS'Stay\tStay\tNN\tB-NP\tO' -p22678 -aS'pp\tpp\tNN\tI-NP\tO' -p22679 -asS'She becomes short of breath just by getting up from her chair and can only walk 2-3 steps on a flat surface .' -p22680 -(lp22681 -S'She\tShe\tPRP\tB-NP\tO' -p22682 -aS'becomes\tbecome\tVBZ\tB-VP\tO' -p22683 -aS'short\tshort\tJJ\tB-ADJP\tO' -p22684 -aS'of\tof\tIN\tB-PP\tO' -p22685 -aS'breath\tbreath\tNN\tB-NP\tO' -p22686 -aS'just\tjust\tRB\tB-ADVP\tO' -p22687 -aS'by\tby\tIN\tB-PP\tO' -p22688 -aS'getting\tget\tVBG\tB-VP\tO' -p22689 -aS'up\tup\tRP\tB-PRT\tO' -p22690 -aS'from\tfrom\tIN\tB-PP\tO' -p22691 -aS'her\ther\tPRP$\tB-NP\tO' -p22692 -aS'chair\tchair\tNN\tI-NP\tO' -p22693 -aS'and\tand\tCC\tO\tO' -p22694 -aS'can\tcan\tMD\tB-VP\tO' -p22695 -aS'only\tonly\tRB\tI-VP\tO' -p22696 -aS'walk\twalk\tVB\tI-VP\tO' -p22697 -aS'2-3\t2-3\tCD\tB-NP\tO' -p22698 -aS'steps\tstep\tNNS\tI-NP\tO' -p22699 -aS'on\ton\tIN\tB-PP\tO' -p22700 -aS'a\ta\tDT\tB-NP\tO' -p22701 -aS'flat\tflat\tJJ\tI-NP\tO' -p22702 -aS'surface\tsurface\tNN\tI-NP\tO' -p22703 -aS'.\t.\t.\tO\tO' -p22704 -asS'Respiratory examination was clear to auscultation bilaterally .' -p22705 -(lp22706 -S'Respiratory\tRespiratory\tJJ\tB-NP\tO' -p22707 -aS'examination\texamination\tNN\tI-NP\tO' -p22708 -aS'was\tbe\tVBD\tB-VP\tO' -p22709 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p22710 -aS'to\tto\tTO\tB-PP\tO' -p22711 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p22712 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p22713 -aS'.\t.\t.\tO\tO' -p22714 -asS'14. Dexamethasone 2 mg Tablet Sig : One ( 1 ) Tablet PO Q12H ( every 12 hours ) .' -p22715 -(lp22716 -S'14.\t14.\tLS\tO\tO' -p22717 -aS'Dexamethasone\tDexamethasone\tNN\tB-NP\tO' -p22718 -aS'2\t2\tCD\tI-NP\tO' -p22719 -aS'mg\tmg\tNN\tI-NP\tO' -p22720 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p22721 -aS'Sig\tSig\tNNP\tI-NP\tO' -p22722 -aS':\t:\t:\tO\tO' -p22723 -aS'One\tOne\tCD\tB-NP\tO' -p22724 -aS'(\t(\t(\tO\tO' -p22725 -aS'1\t1\tCD\tB-NP\tO' -p22726 -aS')\t)\t)\tO\tO' -p22727 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p22728 -aS'PO\tPO\tNN\tI-NP\tO' -p22729 -aS'Q12H\tQ12H\tNN\tI-NP\tO' -p22730 -aS'(\t(\t(\tO\tO' -p22731 -aS'every\tevery\tDT\tB-NP\tO' -p22732 -aS'12\t12\tCD\tI-NP\tO' -p22733 -aS'hours\thour\tNNS\tI-NP\tO' -p22734 -aS')\t)\t)\tO\tO' -p22735 -aS'.\t.\t.\tO\tO' -p22736 -asS'Post intubation , hypotensive and started on dopamine and transitioned to levophed .' -p22737 -(lp22738 -S'Post\tPost\tNNP\tB-NP\tO' -p22739 -aS'intubation\tintubation\tNN\tI-NP\tO' -p22740 -aS',\t,\t,\tO\tO' -p22741 -aS'hypotensive\thypotensive\tJJ\tB-ADJP\tO' -p22742 -aS'and\tand\tCC\tO\tO' -p22743 -aS'started\tstart\tVBN\tB-VP\tO' -p22744 -aS'on\ton\tIN\tB-PP\tO' -p22745 -aS'dopamine\tdopamine\tNN\tB-NP\tO' -p22746 -aS'and\tand\tCC\tO\tO' -p22747 -aS'transitioned\ttransitione\tVBN\tB-VP\tO' -p22748 -aS'to\tto\tTO\tB-VP\tO' -p22749 -aS'levophed\tlevophe\tVBN\tI-VP\tO' -p22750 -aS'.\t.\t.\tO\tO' -p22751 -asS'Dr. Harris ( 859-847-5149 ) on 2015-10-05 at 915 am .' -p22752 -(lp22753 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p22754 -aS'Harris\tHarris\tNNP\tI-NP\tO' -p22755 -aS'(\t(\t(\tO\tO' -p22756 -aS'859-847-5149\t859-847-5149\tCD\tB-NP\tO' -p22757 -aS')\t)\t)\tO\tO' -p22758 -aS'on\ton\tIN\tB-PP\tO' -p22759 -aS'2015-10-05\t2015-10-05\tCD\tB-NP\tO' -p22760 -aS'at\tat\tIN\tB-PP\tO' -p22761 -aS'915\t915\tCD\tB-NP\tO' -p22762 -aS'am\tam\tNN\tI-NP\tO' -p22763 -aS'.\t.\t.\tO\tO' -p22764 -asS'Sodium 129 , creatinine 3.0 , BUN 70 , potassium 5.0 , bicarbonate 23 , chloride 99 , ALT 36 , AST 30 , alkaline phosphatase 215 , total bilirubin 1.1 , albumin 2.6 , white blood cell count 2.0 , hematocrit 30.5 , platelets 60 .' -p22765 -(lp22766 -S'Sodium\tSodium\tNN\tB-NP\tB-protein' -p22767 -aS'129\t129\tCD\tI-NP\tI-protein' -p22768 -aS',\t,\t,\tO\tO' -p22769 -aS'creatinine\tcreatinine\tNN\tB-NP\tB-protein' -p22770 -aS'3.0\t3.0\tCD\tI-NP\tI-protein' -p22771 -aS',\t,\t,\tO\tO' -p22772 -aS'BUN\tBUN\tNN\tB-NP\tB-DNA' -p22773 -aS'70\t70\tCD\tI-NP\tI-DNA' -p22774 -aS',\t,\t,\tO\tO' -p22775 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p22776 -aS'5.0\t5.0\tCD\tI-NP\tO' -p22777 -aS',\t,\t,\tO\tO' -p22778 -aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' -p22779 -aS'23\t23\tCD\tI-NP\tO' -p22780 -aS',\t,\t,\tO\tO' -p22781 -aS'chloride\tchloride\tNN\tB-NP\tO' -p22782 -aS'99\t99\tCD\tI-NP\tO' -p22783 -aS',\t,\t,\tO\tO' -p22784 -aS'ALT\tALT\tNN\tB-NP\tB-DNA' -p22785 -aS'36\t36\tCD\tI-NP\tI-DNA' -p22786 -aS',\t,\t,\tO\tO' -p22787 -aS'AST\tAST\tNN\tB-NP\tO' -p22788 -aS'30\t30\tCD\tI-NP\tO' -p22789 -aS',\t,\t,\tO\tO' -p22790 -aS'alkaline\talkaline\tNN\tB-NP\tO' -p22791 -aS'phosphatase\tphosphatase\tNN\tI-NP\tO' -p22792 -aS'215\t215\tCD\tI-NP\tO' -p22793 -aS',\t,\t,\tO\tO' -p22794 -aS'total\ttotal\tJJ\tB-NP\tO' -p22795 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p22796 -aS'1.1\t1.1\tCD\tI-NP\tO' -p22797 -aS',\t,\t,\tO\tO' -p22798 -aS'albumin\talbumin\tNN\tB-NP\tB-protein' -p22799 -aS'2.6\t2.6\tCD\tI-NP\tI-protein' -p22800 -aS',\t,\t,\tO\tO' -p22801 -aS'white\twhite\tJJ\tB-NP\tO' -p22802 -aS'blood\tblood\tNN\tI-NP\tO' -p22803 -aS'cell\tcell\tNN\tI-NP\tO' -p22804 -aS'count\tcount\tNN\tI-NP\tO' -p22805 -aS'2.0\t2.0\tCD\tB-NP\tO' -p22806 -aS',\t,\t,\tO\tO' -p22807 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p22808 -aS'30.5\t30.5\tCD\tI-NP\tI-protein' -p22809 -aS',\t,\t,\tO\tO' -p22810 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p22811 -aS'60\t60\tCD\tB-NP\tO' -p22812 -aS'.\t.\t.\tO\tO' -p22813 -asS'62 year-old status-post gastric bypass and laprascopic cholecystectomy 7 weeks prior to admission who presented with fever , chills , and left lower extemity redness .' -p22814 -(lp22815 -S'62\t62\tCD\tB-NP\tO' -p22816 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p22817 -aS'status-post\tstatus-post\tJJ\tI-NP\tO' -p22818 -aS'gastric\tgastric\tJJ\tI-NP\tO' -p22819 -aS'bypass\tbypass\tNN\tI-NP\tO' -p22820 -aS'and\tand\tCC\tO\tO' -p22821 -aS'laprascopic\tlaprascopic\tJJ\tB-NP\tB-protein' -p22822 -aS'cholecystectomy\tcholecystectomy\tNN\tI-NP\tI-protein' -p22823 -aS'7\t7\tCD\tB-NP\tI-protein' -p22824 -aS'weeks\tweek\tNNS\tI-NP\tI-protein' -p22825 -aS'prior\tprior\tRB\tB-ADVP\tO' -p22826 -aS'to\tto\tTO\tB-PP\tO' -p22827 -aS'admission\tadmission\tNN\tB-NP\tO' -p22828 -aS'who\twho\tWP\tB-NP\tO' -p22829 -aS'presented\tpresent\tVBD\tB-VP\tO' -p22830 -aS'with\twith\tIN\tB-PP\tO' -p22831 -aS'fever\tfever\tNN\tB-NP\tO' -p22832 -aS',\t,\t,\tO\tO' -p22833 -aS'chills\tchill\tNNS\tB-NP\tO' -p22834 -aS',\t,\t,\tO\tO' -p22835 -aS'and\tand\tCC\tO\tO' -p22836 -aS'left\tleave\tVBD\tB-VP\tO' -p22837 -aS'lower\tlow\tJJR\tB-NP\tO' -p22838 -aS'extemity\textemity\tNN\tI-NP\tO' -p22839 -aS'redness\tredness\tNN\tI-NP\tO' -p22840 -aS'.\t.\t.\tO\tO' -p22841 -asS"He remained afebrile during the course of his stay after transfer to the floor and per CMED CSRU was to be discharged on a 2-week course of Augmentin with follow-up with Dr. Thibodeau in 2 weeks ' time in addition to a Medrol Dosepak ." -p22842 -(lp22843 -S'He\tHe\tPRP\tB-NP\tO' -p22844 -aS'remained\tremain\tVBD\tB-VP\tO' -p22845 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p22846 -aS'during\tduring\tIN\tB-PP\tO' -p22847 -aS'the\tthe\tDT\tB-NP\tO' -p22848 -aS'course\tcourse\tNN\tI-NP\tO' -p22849 -aS'of\tof\tIN\tB-PP\tO' -p22850 -aS'his\this\tPRP$\tB-NP\tO' -p22851 -aS'stay\tstay\tNN\tI-NP\tO' -p22852 -aS'after\tafter\tIN\tB-PP\tO' -p22853 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p22854 -aS'to\tto\tTO\tB-PP\tO' -p22855 -aS'the\tthe\tDT\tB-NP\tO' -p22856 -aS'floor\tfloor\tNN\tI-NP\tO' -p22857 -aS'and\tand\tCC\tO\tO' -p22858 -aS'per\tper\tIN\tB-PP\tO' -p22859 -aS'CMED\tCMED\tVBN\tB-NP\tO' -p22860 -aS'CSRU\tCSRU\tNN\tI-NP\tO' -p22861 -aS'was\tbe\tVBD\tB-VP\tO' -p22862 -aS'to\tto\tTO\tI-VP\tO' -p22863 -aS'be\tbe\tVB\tI-VP\tO' -p22864 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p22865 -aS'on\ton\tIN\tB-PP\tO' -p22866 -aS'a\ta\tDT\tB-NP\tO' -p22867 -aS'2-week\t2-week\tJJ\tI-NP\tO' -p22868 -aS'course\tcourse\tNN\tI-NP\tO' -p22869 -aS'of\tof\tIN\tB-PP\tO' -p22870 -aS'Augmentin\tAugmentin\tNN\tB-NP\tB-protein' -p22871 -aS'with\twith\tIN\tB-PP\tO' -p22872 -aS'follow-up\tfollow-up\tNN\tB-NP\tO' -p22873 -aS'with\twith\tIN\tB-PP\tO' -p22874 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p22875 -aS'Thibodeau\tThibodeau\tNNP\tI-NP\tO' -p22876 -aS'in\tin\tIN\tB-PP\tO' -p22877 -aS'2\t2\tCD\tB-NP\tO' -p22878 -aS'weeks\tweek\tNNS\tI-NP\tO' -p22879 -aS"'\t'\tPOS\tB-NP\tO" -p22880 -aS'time\ttime\tNN\tI-NP\tO' -p22881 -aS'in\tin\tIN\tB-PP\tO' -p22882 -aS'addition\taddition\tNN\tB-NP\tO' -p22883 -aS'to\tto\tTO\tB-PP\tO' -p22884 -aS'a\ta\tDT\tB-NP\tO' -p22885 -aS'Medrol\tMedrol\tNNP\tI-NP\tO' -p22886 -aS'Dosepak\tDosepak\tNNP\tI-NP\tO' -p22887 -aS'.\t.\t.\tO\tO' -p22888 -asS'10. Outpatient Lab Work please have your INR checked at the rehab center with a goal of 03-22 .' -p22889 -(lp22890 -S'10.\t10.\tLS\tB-LST\tO' -p22891 -aS'Outpatient\tOutpatient\tNNP\tB-NP\tO' -p22892 -aS'Lab\tLab\tNNP\tI-NP\tO' -p22893 -aS'Work\tWork\tNNP\tI-NP\tO' -p22894 -aS'please\tplease\tNN\tI-NP\tO' -p22895 -aS'have\thave\tVBP\tB-VP\tO' -p22896 -aS'your\tyour\tPRP$\tB-NP\tO' -p22897 -aS'INR\tINR\tNN\tI-NP\tB-protein' -p22898 -aS'checked\tcheck\tVBD\tB-VP\tO' -p22899 -aS'at\tat\tIN\tB-PP\tO' -p22900 -aS'the\tthe\tDT\tB-NP\tO' -p22901 -aS'rehab\trehab\tNN\tI-NP\tO' -p22902 -aS'center\tcenter\tNN\tI-NP\tO' -p22903 -aS'with\twith\tIN\tB-PP\tO' -p22904 -aS'a\ta\tDT\tB-NP\tO' -p22905 -aS'goal\tgoal\tNN\tI-NP\tO' -p22906 -aS'of\tof\tIN\tB-PP\tO' -p22907 -aS'03-22\t03-22\tCD\tB-NP\tO' -p22908 -aS'.\t.\t.\tO\tO' -p22909 -asS'Now declining gradually since January ( 30 lbs weight loss , becoming more confused , decreased appetite ).' -p22910 -(lp22911 -S'Now\tNow\tRB\tB-ADVP\tO' -p22912 -aS'declining\tdecline\tVBG\tB-VP\tO' -p22913 -aS'gradually\tgradually\tRB\tB-ADVP\tO' -p22914 -aS'since\tsince\tIN\tB-PP\tO' -p22915 -aS'January\tJanuary\tNNP\tB-NP\tO' -p22916 -aS'(\t(\t(\tO\tO' -p22917 -aS'30\t30\tCD\tB-NP\tO' -p22918 -aS'lbs\tlb\tNNS\tI-NP\tO' -p22919 -aS'weight\tweight\tNN\tI-NP\tO' -p22920 -aS'loss\tloss\tNN\tI-NP\tO' -p22921 -aS',\t,\t,\tO\tO' -p22922 -aS'becoming\tbecome\tVBG\tB-VP\tO' -p22923 -aS'more\tmore\tRBR\tB-ADJP\tO' -p22924 -aS'confused\tconfuse\tVBN\tI-ADJP\tO' -p22925 -aS',\t,\t,\tO\tO' -p22926 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p22927 -aS'appetite\tappetite\tNN\tB-NP\tO' -p22928 -aS').\t).\t.\tO\tO' -p22929 -asS'6) ARF - Cr mildly elevated on tx to ICU , u lytes c/w prerenal azotemia , which resolved w/ IVF .' -p22930 -(lp22931 -S'6)\t6)\tLS\tB-NP\tO' -p22932 -aS'ARF\tARF\tNN\tI-NP\tB-protein' -p22933 -aS'-\t-\tHYPH\tB-NP\tO' -p22934 -aS'Cr\tCr\tNN\tI-NP\tB-protein' -p22935 -aS'mildly\tmildly\tRB\tB-ADJP\tO' -p22936 -aS'elevated\televated\tJJ\tI-ADJP\tO' -p22937 -aS'on\ton\tIN\tB-PP\tO' -p22938 -aS'tx\ttx\tNN\tB-NP\tO' -p22939 -aS'to\tto\tTO\tB-PP\tO' -p22940 -aS'ICU\tICU\tNN\tB-NP\tB-protein' -p22941 -aS',\t,\t,\tO\tO' -p22942 -aS'u\tu\tNN\tB-NP\tO' -p22943 -aS'lytes\tlyte\tNNS\tI-NP\tO' -p22944 -aS'c/w\tc/w\tVBP\tB-VP\tO' -p22945 -aS'prerenal\tprerenal\tJJ\tB-NP\tO' -p22946 -aS'azotemia\tazotemia\tNN\tI-NP\tO' -p22947 -aS',\t,\t,\tO\tO' -p22948 -aS'which\twhich\tWDT\tB-NP\tO' -p22949 -aS'resolved\tresolve\tVBD\tB-VP\tO' -p22950 -aS'w/\tw/\tNN\tB-NP\tO' -p22951 -aS'IVF\tIVF\tNN\tI-NP\tO' -p22952 -aS'.\t.\t.\tO\tO' -p22953 -asS'Extensive first degree and second degree burns around the face , superficial in nature , with no blistering .' -p22954 -(lp22955 -S'Extensive\tExtensive\tJJ\tB-NP\tO' -p22956 -aS'first\tfirst\tJJ\tI-NP\tO' -p22957 -aS'degree\tdegree\tNN\tI-NP\tO' -p22958 -aS'and\tand\tCC\tO\tO' -p22959 -aS'second\tsecond\tJJ\tB-NP\tO' -p22960 -aS'degree\tdegree\tNN\tI-NP\tO' -p22961 -aS'burns\tburn\tNNS\tI-NP\tO' -p22962 -aS'around\taround\tIN\tB-PP\tO' -p22963 -aS'the\tthe\tDT\tB-NP\tO' -p22964 -aS'face\tface\tNN\tI-NP\tO' -p22965 -aS',\t,\t,\tO\tO' -p22966 -aS'superficial\tsuperficial\tJJ\tB-ADJP\tO' -p22967 -aS'in\tin\tIN\tB-PP\tO' -p22968 -aS'nature\tnature\tNN\tB-NP\tO' -p22969 -aS',\t,\t,\tO\tO' -p22970 -aS'with\twith\tIN\tB-PP\tO' -p22971 -aS'no\tno\tDT\tB-NP\tO' -p22972 -aS'blistering\tblistering\tNN\tI-NP\tO' -p22973 -aS'.\t.\t.\tO\tO' -p22974 -asS'Spine intact .' -p22975 -(lp22976 -S'Spine\tSpine\tNN\tB-NP\tO' -p22977 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p22978 -aS'.\t.\t.\tO\tO' -p22979 -asS'Otherwise , the axis is normal and the intervals are normal .' -p22980 -(lp22981 -S'Otherwise\tOtherwise\tRB\tB-ADVP\tO' -p22982 -aS',\t,\t,\tO\tO' -p22983 -aS'the\tthe\tDT\tB-NP\tO' -p22984 -aS'axis\taxis\tNN\tI-NP\tO' -p22985 -aS'is\tbe\tVBZ\tB-VP\tO' -p22986 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p22987 -aS'and\tand\tCC\tO\tO' -p22988 -aS'the\tthe\tDT\tB-NP\tO' -p22989 -aS'intervals\tinterval\tNNS\tI-NP\tO' -p22990 -aS'are\tbe\tVBP\tB-VP\tO' -p22991 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p22992 -aS'.\t.\t.\tO\tO' -p22993 -asS'Pt initially with mild ARI , this was thought to be due to dehydration , after initial volume repletion her renal function improved to her baseline .' -p22994 -(lp22995 -S'Pt\tPt\tNN\tB-NP\tO' -p22996 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p22997 -aS'with\twith\tIN\tB-PP\tO' -p22998 -aS'mild\tmild\tJJ\tB-NP\tO' -p22999 -aS'ARI\tARI\tNN\tI-NP\tO' -p23000 -aS',\t,\t,\tO\tO' -p23001 -aS'this\tthis\tDT\tB-NP\tO' -p23002 -aS'was\tbe\tVBD\tB-VP\tO' -p23003 -aS'thought\tthink\tVBN\tI-VP\tO' -p23004 -aS'to\tto\tTO\tI-VP\tO' -p23005 -aS'be\tbe\tVB\tI-VP\tO' -p23006 -aS'due\tdue\tIN\tB-PP\tO' -p23007 -aS'to\tto\tTO\tB-PP\tO' -p23008 -aS'dehydration\tdehydration\tNN\tB-NP\tO' -p23009 -aS',\t,\t,\tO\tO' -p23010 -aS'after\tafter\tIN\tB-PP\tO' -p23011 -aS'initial\tinitial\tJJ\tB-NP\tO' -p23012 -aS'volume\tvolume\tNN\tI-NP\tO' -p23013 -aS'repletion\trepletion\tNN\tI-NP\tO' -p23014 -aS'her\ther\tPRP$\tB-NP\tO' -p23015 -aS'renal\trenal\tJJ\tI-NP\tO' -p23016 -aS'function\tfunction\tNN\tI-NP\tO' -p23017 -aS'improved\timprove\tVBN\tB-VP\tO' -p23018 -aS'to\tto\tTO\tB-PP\tO' -p23019 -aS'her\ther\tPRP$\tB-NP\tO' -p23020 -aS'baseline\tbaseline\tNN\tI-NP\tO' -p23021 -aS'.\t.\t.\tO\tO' -p23022 -asS'2. poor dentition .' -p23023 -(lp23024 -S'2.\t2.\tLS\tB-NP\tO' -p23025 -aS'poor\tpoor\tJJ\tI-NP\tO' -p23026 -aS'dentition\tdentition\tNN\tI-NP\tO' -p23027 -aS'.\t.\t.\tO\tO' -p23028 -asS'Intracranial pressures were normal .' -p23029 -(lp23030 -S'Intracranial\tIntracranial\tJJ\tB-NP\tO' -p23031 -aS'pressures\tpressure\tNNS\tI-NP\tO' -p23032 -aS'were\tbe\tVBD\tB-VP\tO' -p23033 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p23034 -aS'.\t.\t.\tO\tO' -p23035 -asS'Given that he will need continued taps,' -p23036 -(lp23037 -S'Given\tGive\tVBN\tB-VP\tO' -p23038 -aS'that\tthat\tIN\tB-SBAR\tO' -p23039 -aS'he\the\tPRP\tB-NP\tO' -p23040 -aS'will\twill\tMD\tB-VP\tO' -p23041 -aS'need\tneed\tVB\tI-VP\tO' -p23042 -aS'continued\tcontinued\tJJ\tB-NP\tO' -p23043 -aS'taps,\ttaps,\tNN\tI-NP\tO' -p23044 -asS'Blood cultures negative .' -p23045 -(lp23046 -S'Blood\tBlood\tNN\tB-NP\tO' -p23047 -aS'cultures\tculture\tNNS\tI-NP\tO' -p23048 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p23049 -aS'.\t.\t.\tO\tO' -p23050 -asS'He has been depressed recently regarding stress with his home life and on the night of his extra insulin doses , his wife had just kicked him out of the house .' -p23051 -(lp23052 -S'He\tHe\tPRP\tB-NP\tO' -p23053 -aS'has\thave\tVBZ\tB-VP\tO' -p23054 -aS'been\tbe\tVBN\tI-VP\tO' -p23055 -aS'depressed\tdepress\tVBN\tI-VP\tO' -p23056 -aS'recently\trecently\tRB\tB-ADVP\tO' -p23057 -aS'regarding\tregard\tVBG\tB-VP\tO' -p23058 -aS'stress\tstress\tNN\tB-NP\tO' -p23059 -aS'with\twith\tIN\tB-PP\tO' -p23060 -aS'his\this\tPRP$\tB-NP\tO' -p23061 -aS'home\thome\tNN\tI-NP\tO' -p23062 -aS'life\tlife\tNN\tI-NP\tO' -p23063 -aS'and\tand\tCC\tB-PP\tO' -p23064 -aS'on\ton\tIN\tB-PP\tO' -p23065 -aS'the\tthe\tDT\tB-NP\tO' -p23066 -aS'night\tnight\tNN\tI-NP\tO' -p23067 -aS'of\tof\tIN\tB-PP\tO' -p23068 -aS'his\this\tPRP$\tB-NP\tO' -p23069 -aS'extra\textra\tJJ\tI-NP\tO' -p23070 -aS'insulin\tinsulin\tNN\tI-NP\tO' -p23071 -aS'doses\tdose\tNNS\tI-NP\tO' -p23072 -aS',\t,\t,\tO\tO' -p23073 -aS'his\this\tPRP$\tB-NP\tO' -p23074 -aS'wife\twife\tNN\tI-NP\tO' -p23075 -aS'had\thave\tVBD\tB-VP\tO' -p23076 -aS'just\tjust\tRB\tI-VP\tO' -p23077 -aS'kicked\tkick\tVBN\tI-VP\tO' -p23078 -aS'him\thim\tPRP\tB-NP\tO' -p23079 -aS'out\tout\tIN\tB-ADVP\tO' -p23080 -aS'of\tof\tIN\tB-PP\tO' -p23081 -aS'the\tthe\tDT\tB-NP\tO' -p23082 -aS'house\thouse\tNN\tI-NP\tO' -p23083 -aS'.\t.\t.\tO\tO' -p23084 -asS'He has remained on room air since that time and has had no issues with apnea or desaturation since being on room air .' -p23085 -(lp23086 -S'He\tHe\tPRP\tB-NP\tO' -p23087 -aS'has\thave\tVBZ\tB-VP\tO' -p23088 -aS'remained\tremain\tVBN\tI-VP\tO' -p23089 -aS'on\ton\tIN\tB-PP\tO' -p23090 -aS'room\troom\tNN\tB-NP\tO' -p23091 -aS'air\tair\tNN\tI-NP\tO' -p23092 -aS'since\tsince\tIN\tB-PP\tO' -p23093 -aS'that\tthat\tDT\tB-NP\tO' -p23094 -aS'time\ttime\tNN\tB-NP\tO' -p23095 -aS'and\tand\tCC\tO\tO' -p23096 -aS'has\thave\tVBZ\tB-VP\tO' -p23097 -aS'had\thave\tVBN\tI-VP\tO' -p23098 -aS'no\tno\tDT\tB-NP\tO' -p23099 -aS'issues\tissue\tNNS\tI-NP\tO' -p23100 -aS'with\twith\tIN\tB-PP\tO' -p23101 -aS'apnea\tapnea\tNN\tB-NP\tO' -p23102 -aS'or\tor\tCC\tI-NP\tO' -p23103 -aS'desaturation\tdesaturation\tNN\tI-NP\tO' -p23104 -aS'since\tsince\tIN\tB-PP\tO' -p23105 -aS'being\tbe\tVBG\tB-VP\tO' -p23106 -aS'on\ton\tIN\tB-PP\tO' -p23107 -aS'room\troom\tNN\tB-NP\tO' -p23108 -aS'air\tair\tNN\tI-NP\tO' -p23109 -aS'.\t.\t.\tO\tO' -p23110 -asS'Intraoperatively , the patient recieved 5u PRBC .' -p23111 -(lp23112 -S'Intraoperatively\tIntraoperatively\tRB\tB-ADVP\tO' -p23113 -aS',\t,\t,\tO\tO' -p23114 -aS'the\tthe\tDT\tB-NP\tO' -p23115 -aS'patient\tpatient\tNN\tI-NP\tO' -p23116 -aS'recieved\trecieve\tVBD\tB-VP\tO' -p23117 -aS'5u\t5u\tCD\tB-NP\tO' -p23118 -aS'PRBC\tPRBC\tNNP\tI-NP\tO' -p23119 -aS'.\t.\t.\tO\tO' -p23120 -asS'The oropharynx was intubated .' -p23121 -(lp23122 -S'The\tThe\tDT\tB-NP\tO' -p23123 -aS'oropharynx\toropharynx\tNN\tI-NP\tO' -p23124 -aS'was\tbe\tVBD\tB-VP\tO' -p23125 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p23126 -aS'.\t.\t.\tO\tO' -p23127 -asS'- CK negative .' -p23128 -(lp23129 -S'-\t-\tHYPH\tB-NP\tO' -p23130 -aS'CK\tCK\tNN\tI-NP\tO' -p23131 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p23132 -aS'.\t.\t.\tO\tO' -p23133 -asS'The skin and extremities were normal with no cyanosis , clubbing , edema , lesions , or rashes .' -p23134 -(lp23135 -S'The\tThe\tDT\tB-NP\tO' -p23136 -aS'skin\tskin\tNN\tI-NP\tO' -p23137 -aS'and\tand\tCC\tI-NP\tO' -p23138 -aS'extremities\textremity\tNNS\tI-NP\tO' -p23139 -aS'were\tbe\tVBD\tB-VP\tO' -p23140 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p23141 -aS'with\twith\tIN\tB-PP\tO' -p23142 -aS'no\tno\tDT\tB-NP\tO' -p23143 -aS'cyanosis\tcyanosis\tNN\tI-NP\tO' -p23144 -aS',\t,\t,\tO\tO' -p23145 -aS'clubbing\tclubbing\tNN\tB-NP\tO' -p23146 -aS',\t,\t,\tO\tO' -p23147 -aS'edema\tedema\tNN\tB-NP\tO' -p23148 -aS',\t,\t,\tO\tO' -p23149 -aS'lesions\tlesion\tNNS\tB-NP\tO' -p23150 -aS',\t,\t,\tO\tO' -p23151 -aS'or\tor\tCC\tO\tO' -p23152 -aS'rashes\trash\tNNS\tB-NP\tO' -p23153 -aS'.\t.\t.\tO\tO' -p23154 -asS'On discharge , strength was nearly intact in the limbs , though he still had a right-sided facial droop .' -p23155 -(lp23156 -S'On\tOn\tIN\tB-PP\tO' -p23157 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p23158 -aS',\t,\t,\tO\tO' -p23159 -aS'strength\tstrength\tNN\tB-NP\tO' -p23160 -aS'was\tbe\tVBD\tB-VP\tO' -p23161 -aS'nearly\tnearly\tRB\tB-ADJP\tO' -p23162 -aS'intact\tintact\tJJ\tI-ADJP\tO' -p23163 -aS'in\tin\tIN\tB-PP\tO' -p23164 -aS'the\tthe\tDT\tB-NP\tO' -p23165 -aS'limbs\tlimb\tNNS\tI-NP\tO' -p23166 -aS',\t,\t,\tO\tO' -p23167 -aS'though\tthough\tIN\tB-SBAR\tO' -p23168 -aS'he\the\tPRP\tB-NP\tO' -p23169 -aS'still\tstill\tRB\tB-ADVP\tO' -p23170 -aS'had\thave\tVBD\tB-VP\tO' -p23171 -aS'a\ta\tDT\tB-NP\tO' -p23172 -aS'right-sided\tright-sided\tJJ\tI-NP\tB-protein' -p23173 -aS'facial\tfacial\tJJ\tI-NP\tI-protein' -p23174 -aS'droop\tdroop\tNN\tI-NP\tI-protein' -p23175 -aS'.\t.\t.\tO\tO' -p23176 -asS'He was not in any apparent distress .' -p23177 -(lp23178 -S'He\tHe\tPRP\tB-NP\tO' -p23179 -aS'was\tbe\tVBD\tB-VP\tO' -p23180 -aS'not\tnot\tRB\tO\tO' -p23181 -aS'in\tin\tIN\tB-PP\tO' -p23182 -aS'any\tany\tDT\tB-NP\tO' -p23183 -aS'apparent\tapparent\tJJ\tI-NP\tO' -p23184 -aS'distress\tdistress\tNN\tI-NP\tO' -p23185 -aS'.\t.\t.\tO\tO' -p23186 -asS'Given her fever , sx of chest pain and SOB as well as an elevated WBC count , she was initially thought to have a PNA .' -p23187 -(lp23188 -S'Given\tGive\tVBN\tB-PP\tO' -p23189 -aS'her\ther\tPRP$\tB-NP\tO' -p23190 -aS'fever\tfever\tNN\tI-NP\tO' -p23191 -aS',\t,\t,\tO\tO' -p23192 -aS'sx\tsx\tNN\tB-NP\tO' -p23193 -aS'of\tof\tIN\tB-PP\tO' -p23194 -aS'chest\tchest\tNN\tB-NP\tO' -p23195 -aS'pain\tpain\tNN\tI-NP\tO' -p23196 -aS'and\tand\tCC\tI-NP\tO' -p23197 -aS'SOB\tSOB\tNN\tI-NP\tB-protein' -p23198 -aS'as\tas\tRB\tB-CONJP\tO' -p23199 -aS'well\twell\tRB\tI-CONJP\tO' -p23200 -aS'as\tas\tIN\tI-CONJP\tO' -p23201 -aS'an\tan\tDT\tB-NP\tO' -p23202 -aS'elevated\televated\tJJ\tI-NP\tO' -p23203 -aS'WBC\tWBC\tNNP\tI-NP\tO' -p23204 -aS'count\tcount\tNN\tI-NP\tO' -p23205 -aS',\t,\t,\tO\tO' -p23206 -aS'she\tshe\tPRP\tB-NP\tO' -p23207 -aS'was\tbe\tVBD\tB-VP\tO' -p23208 -aS'initially\tinitially\tRB\tI-VP\tO' -p23209 -aS'thought\tthink\tVBN\tI-VP\tO' -p23210 -aS'to\tto\tTO\tI-VP\tO' -p23211 -aS'have\thave\tVB\tI-VP\tO' -p23212 -aS'a\ta\tDT\tB-NP\tO' -p23213 -aS'PNA\tPNA\tNN\tI-NP\tB-protein' -p23214 -aS'.\t.\t.\tO\tO' -p23215 -asS'He also received several blood transfusions while here to maintain his Hct around 30 .' -p23216 -(lp23217 -S'He\tHe\tPRP\tB-NP\tO' -p23218 -aS'also\talso\tRB\tB-ADVP\tO' -p23219 -aS'received\treceive\tVBD\tB-VP\tO' -p23220 -aS'several\tseveral\tJJ\tB-NP\tO' -p23221 -aS'blood\tblood\tNN\tI-NP\tO' -p23222 -aS'transfusions\ttransfusion\tNNS\tI-NP\tO' -p23223 -aS'while\twhile\tIN\tB-SBAR\tO' -p23224 -aS'here\there\tRB\tB-ADVP\tO' -p23225 -aS'to\tto\tTO\tB-VP\tO' -p23226 -aS'maintain\tmaintain\tVB\tI-VP\tO' -p23227 -aS'his\this\tPRP$\tB-NP\tO' -p23228 -aS'Hct\tHct\tNN\tI-NP\tB-protein' -p23229 -aS'around\taround\tIN\tB-PP\tO' -p23230 -aS'30\t30\tCD\tB-NP\tO' -p23231 -aS'.\t.\t.\tO\tO' -p23232 -asS'The family will return the body to Sa for burial .' -p23233 -(lp23234 -S'The\tThe\tDT\tB-NP\tO' -p23235 -aS'family\tfamily\tNN\tI-NP\tO' -p23236 -aS'will\twill\tMD\tB-VP\tO' -p23237 -aS'return\treturn\tVB\tI-VP\tO' -p23238 -aS'the\tthe\tDT\tB-NP\tO' -p23239 -aS'body\tbody\tNN\tI-NP\tO' -p23240 -aS'to\tto\tTO\tB-PP\tO' -p23241 -aS'Sa\tSa\tNNP\tB-NP\tO' -p23242 -aS'for\tfor\tIN\tB-PP\tO' -p23243 -aS'burial\tburial\tNN\tB-NP\tO' -p23244 -aS'.\t.\t.\tO\tO' -p23245 -asS'Over night , his blood pressure trended up to 130 s systolic .' -p23246 -(lp23247 -S'Over\tOver\tIN\tB-PP\tO' -p23248 -aS'night\tnight\tNN\tB-NP\tO' -p23249 -aS',\t,\t,\tO\tO' -p23250 -aS'his\this\tPRP$\tB-NP\tO' -p23251 -aS'blood\tblood\tNN\tI-NP\tO' -p23252 -aS'pressure\tpressure\tNN\tI-NP\tO' -p23253 -aS'trended\ttrend\tVBD\tB-VP\tO' -p23254 -aS'up\tup\tRB\tB-NP\tO' -p23255 -aS'to\tto\tTO\tI-NP\tO' -p23256 -aS'130\t130\tCD\tI-NP\tO' -p23257 -aS's\ts\tNN\tI-NP\tO' -p23258 -aS'systolic\tsystolic\tJJ\tB-ADJP\tO' -p23259 -aS'.\t.\t.\tO\tO' -p23260 -asS'Extr - No edema .' -p23261 -(lp23262 -S'Extr\tExtr\tNN\tB-NP\tO' -p23263 -aS'-\t-\tHYPH\tO\tO' -p23264 -aS'No\tNo\tDT\tB-NP\tO' -p23265 -aS'edema\tedema\tNN\tI-NP\tO' -p23266 -aS'.\t.\t.\tO\tO' -p23267 -asS'( Home regimen , Gabapentin 800 mg PO QAM , 1600 mg PO Q3PM , 1600 mg PO QHS .' -p23268 -(lp23269 -S'(\t(\t(\tO\tO' -p23270 -aS'Home\tHome\tNN\tB-NP\tO' -p23271 -aS'regimen\tregimen\tNN\tI-NP\tO' -p23272 -aS',\t,\t,\tO\tO' -p23273 -aS'Gabapentin\tGabapentin\tNN\tB-NP\tB-protein' -p23274 -aS'800\t800\tCD\tI-NP\tI-protein' -p23275 -aS'mg\tmg\tNN\tI-NP\tI-protein' -p23276 -aS'PO\tPO\tNN\tI-NP\tI-protein' -p23277 -aS'QAM\tQAM\tNN\tI-NP\tI-protein' -p23278 -aS',\t,\t,\tO\tO' -p23279 -aS'1600\t1600\tCD\tB-NP\tO' -p23280 -aS'mg\tmg\tNN\tI-NP\tO' -p23281 -aS'PO\tPO\tNN\tI-NP\tO' -p23282 -aS'Q3PM\tQ3PM\tNN\tI-NP\tO' -p23283 -aS',\t,\t,\tO\tO' -p23284 -aS'1600\t1600\tCD\tB-NP\tO' -p23285 -aS'mg\tmg\tNN\tI-NP\tO' -p23286 -aS'PO\tPO\tNN\tI-NP\tO' -p23287 -aS'QHS\tQHS\tNN\tI-NP\tO' -p23288 -aS'.\t.\t.\tO\tO' -p23289 -asS'No incisional scars .' -p23290 -(lp23291 -S'No\tNo\tDT\tB-NP\tO' -p23292 -aS'incisional\tincisional\tJJ\tI-NP\tO' -p23293 -aS'scars\tscar\tNNS\tI-NP\tO' -p23294 -aS'.\t.\t.\tO\tO' -p23295 -asS'Please continue to take this medication as prescribed .' -p23296 -(lp23297 -S'Please\tPlease\tNN\tB-NP\tB-protein' -p23298 -aS'continue\tcontinue\tVBP\tB-VP\tO' -p23299 -aS'to\tto\tTO\tI-VP\tO' -p23300 -aS'take\ttake\tVB\tI-VP\tO' -p23301 -aS'this\tthis\tDT\tB-NP\tO' -p23302 -aS'medication\tmedication\tNN\tI-NP\tO' -p23303 -aS'as\tas\tIN\tB-SBAR\tO' -p23304 -aS'prescribed\tprescribe\tVBN\tB-VP\tO' -p23305 -aS'.\t.\t.\tO\tO' -p23306 -asS'However , the right ventricular was diffusely hypokinetic .' -p23307 -(lp23308 -S'However\tHowever\tRB\tB-ADVP\tO' -p23309 -aS',\t,\t,\tO\tO' -p23310 -aS'the\tthe\tDT\tB-NP\tO' -p23311 -aS'right\tright\tJJ\tI-NP\tO' -p23312 -aS'ventricular\tventricular\tNN\tI-NP\tO' -p23313 -aS'was\tbe\tVBD\tB-VP\tO' -p23314 -aS'diffusely\tdiffusely\tRB\tB-ADJP\tO' -p23315 -aS'hypokinetic\thypokinetic\tJJ\tI-ADJP\tO' -p23316 -aS'.\t.\t.\tO\tO' -p23317 -asS'On postoperative day 4 , additional attempts were made to wean the patient off of his Neo-Synephrine , however , he continued to drop his blood pressure whenever an attempt was made .' -p23318 -(lp23319 -S'On\tOn\tIN\tB-PP\tO' -p23320 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p23321 -aS'day\tday\tNN\tI-NP\tO' -p23322 -aS'4\t4\tCD\tI-NP\tO' -p23323 -aS',\t,\t,\tO\tO' -p23324 -aS'additional\tadditional\tJJ\tB-NP\tO' -p23325 -aS'attempts\tattempt\tNNS\tI-NP\tO' -p23326 -aS'were\tbe\tVBD\tB-VP\tO' -p23327 -aS'made\tmake\tVBN\tI-VP\tO' -p23328 -aS'to\tto\tTO\tB-VP\tO' -p23329 -aS'wean\twean\tVB\tI-VP\tO' -p23330 -aS'the\tthe\tDT\tB-NP\tO' -p23331 -aS'patient\tpatient\tNN\tI-NP\tO' -p23332 -aS'off\toff\tIN\tB-PP\tO' -p23333 -aS'of\tof\tIN\tB-PP\tO' -p23334 -aS'his\this\tPRP$\tB-NP\tO' -p23335 -aS'Neo-Synephrine\tNeo-Synephrine\tNN\tI-NP\tO' -p23336 -aS',\t,\t,\tO\tO' -p23337 -aS'however\thowever\tRB\tB-ADVP\tO' -p23338 -aS',\t,\t,\tO\tO' -p23339 -aS'he\the\tPRP\tB-NP\tO' -p23340 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p23341 -aS'to\tto\tTO\tI-VP\tO' -p23342 -aS'drop\tdrop\tVB\tI-VP\tO' -p23343 -aS'his\this\tPRP$\tB-NP\tO' -p23344 -aS'blood\tblood\tNN\tI-NP\tO' -p23345 -aS'pressure\tpressure\tNN\tI-NP\tO' -p23346 -aS'whenever\twhenever\tWRB\tB-ADVP\tO' -p23347 -aS'an\tan\tDT\tB-NP\tO' -p23348 -aS'attempt\tattempt\tNN\tI-NP\tO' -p23349 -aS'was\tbe\tVBD\tB-VP\tO' -p23350 -aS'made\tmake\tVBN\tI-VP\tO' -p23351 -aS'.\t.\t.\tO\tO' -p23352 -asS'Can increase her Ace inhibitor as tolerated .' -p23353 -(lp23354 -S'Can\tCan\tMD\tB-VP\tO' -p23355 -aS'increase\tincrease\tVB\tI-VP\tO' -p23356 -aS'her\ther\tPRP$\tB-NP\tO' -p23357 -aS'Ace\tAce\tNNP\tI-NP\tO' -p23358 -aS'inhibitor\tinhibitor\tNN\tI-NP\tO' -p23359 -aS'as\tas\tIN\tB-SBAR\tO' -p23360 -aS'tolerated\ttolerate\tVBN\tB-VP\tO' -p23361 -aS'.\t.\t.\tO\tO' -p23362 -asS'UTERINE PROLAPSE .' -p23363 -(lp23364 -S'UTERINE\tUTERINE\tNN\tB-NP\tO' -p23365 -aS'PROLAPSE\tPROLAPSE\tNN\tI-NP\tO' -p23366 -aS'.\t.\t.\tO\tO' -p23367 -asS"Subsequent to starting this antibiotic regimen the patient 's wound drainage appeared to subside ." -p23368 -(lp23369 -S'Subsequent\tSubsequent\tJJ\tB-ADJP\tO' -p23370 -aS'to\tto\tTO\tB-PP\tO' -p23371 -aS'starting\tstart\tVBG\tB-VP\tO' -p23372 -aS'this\tthis\tDT\tB-NP\tO' -p23373 -aS'antibiotic\tantibiotic\tJJ\tI-NP\tO' -p23374 -aS'regimen\tregimen\tNN\tI-NP\tO' -p23375 -aS'the\tthe\tDT\tB-NP\tO' -p23376 -aS'patient\tpatient\tNN\tI-NP\tO' -p23377 -aS"'s\t's\tPOS\tB-NP\tO" -p23378 -aS'wound\twound\tNN\tI-NP\tO' -p23379 -aS'drainage\tdrainage\tNN\tI-NP\tO' -p23380 -aS'appeared\tappear\tVBD\tB-VP\tO' -p23381 -aS'to\tto\tTO\tB-PP\tO' -p23382 -aS'subside\tsubside\tNN\tB-NP\tO' -p23383 -aS'.\t.\t.\tO\tO' -p23384 -asS'She continued to put out low amounts of urine throughout the admission , despite aggressive diuresis with IV lasix gtt and boluses .' -p23385 -(lp23386 -S'She\tShe\tPRP\tB-NP\tO' -p23387 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p23388 -aS'to\tto\tTO\tI-VP\tO' -p23389 -aS'put\tput\tVB\tI-VP\tO' -p23390 -aS'out\tout\tRP\tB-PRT\tO' -p23391 -aS'low\tlow\tJJ\tB-NP\tO' -p23392 -aS'amounts\tamount\tNNS\tI-NP\tO' -p23393 -aS'of\tof\tIN\tB-PP\tO' -p23394 -aS'urine\turine\tNN\tB-NP\tO' -p23395 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p23396 -aS'the\tthe\tDT\tB-NP\tO' -p23397 -aS'admission\tadmission\tNN\tI-NP\tO' -p23398 -aS',\t,\t,\tO\tO' -p23399 -aS'despite\tdespite\tIN\tB-PP\tO' -p23400 -aS'aggressive\taggressive\tJJ\tB-NP\tO' -p23401 -aS'diuresis\tdiuresis\tNN\tI-NP\tO' -p23402 -aS'with\twith\tIN\tB-PP\tO' -p23403 -aS'IV\tIV\tCD\tB-NP\tO' -p23404 -aS'lasix\tlasix\tCD\tI-NP\tO' -p23405 -aS'gtt\tgtt\tNN\tI-NP\tO' -p23406 -aS'and\tand\tCC\tI-NP\tO' -p23407 -aS'boluses\tbolus\tNNS\tI-NP\tO' -p23408 -aS'.\t.\t.\tO\tO' -p23409 -asS'Dictated By : George D Gregory , M.D.' -p23410 -(lp23411 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p23412 -aS'By\tBy\tIN\tB-PP\tO' -p23413 -aS':\t:\t:\tO\tO' -p23414 -aS'George\tGeorge\tNNP\tB-NP\tO' -p23415 -aS'D\tD\tNNP\tI-NP\tO' -p23416 -aS'Gregory\tGregory\tNNP\tI-NP\tO' -p23417 -aS',\t,\t,\tO\tO' -p23418 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p23419 -asS'His lungs were found to have decreased breath sounds with a question of fluid overload .' -p23420 -(lp23421 -S'His\tHis\tPRP$\tB-NP\tO' -p23422 -aS'lungs\tlung\tNNS\tI-NP\tO' -p23423 -aS'were\tbe\tVBD\tB-VP\tO' -p23424 -aS'found\tfind\tVBN\tI-VP\tO' -p23425 -aS'to\tto\tTO\tI-VP\tO' -p23426 -aS'have\thave\tVB\tI-VP\tO' -p23427 -aS'decreased\tdecrease\tVBN\tB-NP\tO' -p23428 -aS'breath\tbreath\tNN\tI-NP\tO' -p23429 -aS'sounds\tsound\tVBZ\tB-VP\tO' -p23430 -aS'with\twith\tIN\tB-PP\tO' -p23431 -aS'a\ta\tDT\tB-NP\tO' -p23432 -aS'question\tquestion\tNN\tI-NP\tO' -p23433 -aS'of\tof\tIN\tB-PP\tO' -p23434 -aS'fluid\tfluid\tNN\tB-NP\tO' -p23435 -aS'overload\toverload\tNN\tI-NP\tO' -p23436 -aS'.\t.\t.\tO\tO' -p23437 -asS'PTT was 29.8 .' -p23438 -(lp23439 -S'PTT\tPTT\tNN\tB-NP\tO' -p23440 -aS'was\tbe\tVBD\tB-VP\tO' -p23441 -aS'29.8\t29.8\tCD\tB-NP\tO' -p23442 -aS'.\t.\t.\tO\tO' -p23443 -asS'The fluconazole was discontinued .' -p23444 -(lp23445 -S'The\tThe\tDT\tB-NP\tO' -p23446 -aS'fluconazole\tfluconazole\tNN\tI-NP\tO' -p23447 -aS'was\tbe\tVBD\tB-VP\tO' -p23448 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p23449 -aS'.\t.\t.\tO\tO' -p23450 -asS'He can be given intravenous Lasix as needed for any evidence of respiratory compromise or increasing pulmonary edema .' -p23451 -(lp23452 -S'He\tHe\tPRP\tB-NP\tO' -p23453 -aS'can\tcan\tMD\tB-VP\tO' -p23454 -aS'be\tbe\tVB\tI-VP\tO' -p23455 -aS'given\tgive\tVBN\tI-VP\tO' -p23456 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p23457 -aS'Lasix\tLasix\tNNP\tI-NP\tO' -p23458 -aS'as\tas\tIN\tB-SBAR\tO' -p23459 -aS'needed\tneed\tVBN\tB-VP\tO' -p23460 -aS'for\tfor\tIN\tB-PP\tO' -p23461 -aS'any\tany\tDT\tB-NP\tO' -p23462 -aS'evidence\tevidence\tNN\tI-NP\tO' -p23463 -aS'of\tof\tIN\tB-PP\tO' -p23464 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p23465 -aS'compromise\tcompromise\tNN\tI-NP\tO' -p23466 -aS'or\tor\tCC\tO\tO' -p23467 -aS'increasing\tincrease\tVBG\tB-VP\tO' -p23468 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p23469 -aS'edema\tedema\tNN\tI-NP\tO' -p23470 -aS'.\t.\t.\tO\tO' -p23471 -asS'The Athol Memorial Hospital hospital course was initially consistent with transient tachypnea of the newborn .' -p23472 -(lp23473 -S'The\tThe\tDT\tB-NP\tO' -p23474 -aS'Athol\tAthol\tNNP\tI-NP\tO' -p23475 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p23476 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p23477 -aS'hospital\thospital\tNN\tI-NP\tO' -p23478 -aS'course\tcourse\tNN\tI-NP\tO' -p23479 -aS'was\tbe\tVBD\tB-VP\tO' -p23480 -aS'initially\tinitially\tRB\tB-ADJP\tO' -p23481 -aS'consistent\tconsistent\tJJ\tI-ADJP\tO' -p23482 -aS'with\twith\tIN\tB-PP\tO' -p23483 -aS'transient\ttransient\tJJ\tB-NP\tO' -p23484 -aS'tachypnea\ttachypnea\tNN\tI-NP\tO' -p23485 -aS'of\tof\tIN\tB-PP\tO' -p23486 -aS'the\tthe\tDT\tB-NP\tO' -p23487 -aS'newborn\tnewborn\tNN\tI-NP\tO' -p23488 -aS'.\t.\t.\tO\tO' -p23489 -asS'No definite axillary , mediastinal , or hilar lymphadenopathy is seen .' -p23490 -(lp23491 -S'No\tNo\tDT\tB-NP\tO' -p23492 -aS'definite\tdefinite\tJJ\tI-NP\tO' -p23493 -aS'axillary\taxillary\tNN\tI-NP\tO' -p23494 -aS',\t,\t,\tO\tO' -p23495 -aS'mediastinal\tmediastinal\tJJ\tB-ADJP\tO' -p23496 -aS',\t,\t,\tO\tO' -p23497 -aS'or\tor\tCC\tO\tO' -p23498 -aS'hilar\thilar\tJJ\tB-NP\tO' -p23499 -aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' -p23500 -aS'is\tbe\tVBZ\tB-VP\tO' -p23501 -aS'seen\tsee\tVBN\tI-VP\tO' -p23502 -aS'.\t.\t.\tO\tO' -p23503 -asS'3. Humalog 75/25 , subcutaneously .' -p23504 -(lp23505 -S'3.\t3.\tLS\tB-LST\tO' -p23506 -aS'Humalog\tHumalog\tNNP\tB-NP\tO' -p23507 -aS'75/25\t75/25\tCD\tI-NP\tO' -p23508 -aS',\t,\t,\tO\tO' -p23509 -aS'subcutaneously\tsubcutaneously\tRB\tB-ADVP\tO' -p23510 -aS'.\t.\t.\tO\tO' -p23511 -asS'She denied fevers , chills or sweats .' -p23512 -(lp23513 -S'She\tShe\tPRP\tB-NP\tO' -p23514 -aS'denied\tdeny\tVBD\tB-VP\tO' -p23515 -aS'fevers\tfever\tNNS\tB-NP\tO' -p23516 -aS',\t,\t,\tI-NP\tO' -p23517 -aS'chills\tchill\tNNS\tI-NP\tO' -p23518 -aS'or\tor\tCC\tI-NP\tO' -p23519 -aS'sweats\tsweat\tNNS\tI-NP\tO' -p23520 -aS'.\t.\t.\tO\tO' -p23521 -asS'The dorsalis pedis pulses were 2+ bilaterally .' -p23522 -(lp23523 -S'The\tThe\tDT\tB-NP\tO' -p23524 -aS'dorsalis\tdorsalis\tNN\tI-NP\tO' -p23525 -aS'pedis\tpedis\tNN\tI-NP\tO' -p23526 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p23527 -aS'were\tbe\tVBD\tB-VP\tO' -p23528 -aS'2+\t2+\tJJ\tB-ADJP\tO' -p23529 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p23530 -aS'.\t.\t.\tO\tO' -p23531 -asS'An angiography showed bleeding in two vessels off of the Minnie supplying the sigmoid that were succesfully embolized .' -p23532 -(lp23533 -S'An\tAn\tDT\tB-NP\tO' -p23534 -aS'angiography\tangiography\tNN\tI-NP\tO' -p23535 -aS'showed\tshow\tVBD\tB-VP\tO' -p23536 -aS'bleeding\tbleed\tVBG\tI-VP\tO' -p23537 -aS'in\tin\tIN\tB-PP\tO' -p23538 -aS'two\ttwo\tCD\tB-NP\tO' -p23539 -aS'vessels\tvessel\tNNS\tI-NP\tO' -p23540 -aS'off\toff\tIN\tB-PP\tO' -p23541 -aS'of\tof\tIN\tB-PP\tO' -p23542 -aS'the\tthe\tDT\tB-NP\tO' -p23543 -aS'Minnie\tMinnie\tNNP\tI-NP\tO' -p23544 -aS'supplying\tsupply\tVBG\tB-VP\tO' -p23545 -aS'the\tthe\tDT\tB-NP\tO' -p23546 -aS'sigmoid\tsigmoid\tNN\tI-NP\tO' -p23547 -aS'that\tthat\tWDT\tB-NP\tO' -p23548 -aS'were\tbe\tVBD\tB-VP\tO' -p23549 -aS'succesfully\tsuccesfully\tRB\tI-VP\tO' -p23550 -aS'embolized\tembolize\tVBN\tI-VP\tO' -p23551 -aS'.\t.\t.\tO\tO' -p23552 -asS'Mr. Knueppel had a long postoperative course .' -p23553 -(lp23554 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p23555 -aS'Knueppel\tKnueppel\tNNP\tI-NP\tO' -p23556 -aS'had\thave\tVBD\tB-VP\tO' -p23557 -aS'a\ta\tDT\tB-NP\tO' -p23558 -aS'long\tlong\tJJ\tI-NP\tO' -p23559 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p23560 -aS'course\tcourse\tNN\tI-NP\tO' -p23561 -aS'.\t.\t.\tO\tO' -p23562 -asS'Over the ensuing twenty-four hours , bilateral infiltrates on chest X-ray with poor oxygenation and labile blood pressure requiring PA line guided fluid and pressors developed .' -p23563 -(lp23564 -S'Over\tOver\tIN\tB-PP\tO' -p23565 -aS'the\tthe\tDT\tB-NP\tO' -p23566 -aS'ensuing\tensue\tVBG\tI-NP\tO' -p23567 -aS'twenty-four\ttwenty-four\tCD\tI-NP\tO' -p23568 -aS'hours\thour\tNNS\tI-NP\tO' -p23569 -aS',\t,\t,\tO\tO' -p23570 -aS'bilateral\tbilateral\tJJ\tB-NP\tB-cell_type' -p23571 -aS'infiltrates\tinfiltrate\tNNS\tI-NP\tI-cell_type' -p23572 -aS'on\ton\tIN\tB-PP\tO' -p23573 -aS'chest\tchest\tNN\tB-NP\tO' -p23574 -aS'X-ray\tX-ray\tNN\tI-NP\tO' -p23575 -aS'with\twith\tIN\tB-PP\tO' -p23576 -aS'poor\tpoor\tJJ\tB-NP\tO' -p23577 -aS'oxygenation\toxygenation\tNN\tI-NP\tO' -p23578 -aS'and\tand\tCC\tO\tO' -p23579 -aS'labile\tlabile\tJJ\tB-NP\tO' -p23580 -aS'blood\tblood\tNN\tI-NP\tO' -p23581 -aS'pressure\tpressure\tNN\tI-NP\tO' -p23582 -aS'requiring\trequire\tVBG\tB-VP\tO' -p23583 -aS'PA\tPA\tNN\tB-NP\tB-cell_line' -p23584 -aS'line\tline\tNN\tI-NP\tI-cell_line' -p23585 -aS'guided\tguide\tVBD\tB-VP\tO' -p23586 -aS'fluid\tfluid\tNN\tB-NP\tO' -p23587 -aS'and\tand\tCC\tI-NP\tO' -p23588 -aS'pressors\tpressor\tNNS\tI-NP\tO' -p23589 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p23590 -aS'.\t.\t.\tO\tO' -p23591 -asS'The patient was seen in consultation by Dr. Wire who felt that manipulation of the tracheal tube was the best approach to the air leak since it was a new trach and he was requiring such high ventilator support that it was risky to change it .' -p23592 -(lp23593 -S'The\tThe\tDT\tB-NP\tO' -p23594 -aS'patient\tpatient\tNN\tI-NP\tO' -p23595 -aS'was\tbe\tVBD\tB-VP\tO' -p23596 -aS'seen\tsee\tVBN\tI-VP\tO' -p23597 -aS'in\tin\tIN\tB-PP\tO' -p23598 -aS'consultation\tconsultation\tNN\tB-NP\tO' -p23599 -aS'by\tby\tIN\tB-PP\tO' -p23600 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p23601 -aS'Wire\tWire\tNNP\tI-NP\tO' -p23602 -aS'who\twho\tWP\tB-NP\tO' -p23603 -aS'felt\tfeel\tVBD\tB-VP\tO' -p23604 -aS'that\tthat\tIN\tB-SBAR\tO' -p23605 -aS'manipulation\tmanipulation\tNN\tB-NP\tO' -p23606 -aS'of\tof\tIN\tB-PP\tO' -p23607 -aS'the\tthe\tDT\tB-NP\tO' -p23608 -aS'tracheal\ttracheal\tJJ\tI-NP\tO' -p23609 -aS'tube\ttube\tNN\tI-NP\tO' -p23610 -aS'was\tbe\tVBD\tB-VP\tO' -p23611 -aS'the\tthe\tDT\tB-NP\tO' -p23612 -aS'best\tgood\tJJS\tI-NP\tO' -p23613 -aS'approach\tapproach\tNN\tI-NP\tO' -p23614 -aS'to\tto\tTO\tB-PP\tO' -p23615 -aS'the\tthe\tDT\tB-NP\tO' -p23616 -aS'air\tair\tNN\tI-NP\tO' -p23617 -aS'leak\tleak\tNN\tI-NP\tO' -p23618 -aS'since\tsince\tIN\tB-SBAR\tO' -p23619 -aS'it\tit\tPRP\tB-NP\tO' -p23620 -aS'was\tbe\tVBD\tB-VP\tO' -p23621 -aS'a\ta\tDT\tB-NP\tO' -p23622 -aS'new\tnew\tJJ\tI-NP\tO' -p23623 -aS'trach\ttrach\tNN\tI-NP\tO' -p23624 -aS'and\tand\tCC\tO\tO' -p23625 -aS'he\the\tPRP\tB-NP\tO' -p23626 -aS'was\tbe\tVBD\tB-VP\tO' -p23627 -aS'requiring\trequire\tVBG\tI-VP\tO' -p23628 -aS'such\tsuch\tJJ\tB-NP\tO' -p23629 -aS'high\thigh\tJJ\tI-NP\tO' -p23630 -aS'ventilator\tventilator\tNN\tI-NP\tO' -p23631 -aS'support\tsupport\tNN\tI-NP\tO' -p23632 -aS'that\tthat\tIN\tB-SBAR\tO' -p23633 -aS'it\tit\tPRP\tB-NP\tO' -p23634 -aS'was\tbe\tVBD\tB-VP\tO' -p23635 -aS'risky\trisky\tJJ\tB-ADJP\tO' -p23636 -aS'to\tto\tTO\tB-VP\tO' -p23637 -aS'change\tchange\tVB\tI-VP\tO' -p23638 -aS'it\tit\tPRP\tB-NP\tO' -p23639 -aS'.\t.\t.\tO\tO' -p23640 -asS'He was continued on heparin for treatment of the pulmonary emboli .' -p23641 -(lp23642 -S'He\tHe\tPRP\tB-NP\tO' -p23643 -aS'was\tbe\tVBD\tB-VP\tO' -p23644 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p23645 -aS'on\ton\tIN\tB-PP\tO' -p23646 -aS'heparin\theparin\tNN\tB-NP\tO' -p23647 -aS'for\tfor\tIN\tB-PP\tO' -p23648 -aS'treatment\ttreatment\tNN\tB-NP\tO' -p23649 -aS'of\tof\tIN\tB-PP\tO' -p23650 -aS'the\tthe\tDT\tB-NP\tO' -p23651 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p23652 -aS'emboli\tembolus\tNNS\tI-NP\tO' -p23653 -aS'.\t.\t.\tO\tO' -p23654 -asS'Wound vac in place on R foot .' -p23655 -(lp23656 -S'Wound\tWound\tJJ\tB-NP\tO' -p23657 -aS'vac\tvac\tNN\tI-NP\tO' -p23658 -aS'in\tin\tIN\tB-PP\tO' -p23659 -aS'place\tplace\tNN\tB-NP\tO' -p23660 -aS'on\ton\tIN\tB-PP\tO' -p23661 -aS'R\tR\tNN\tB-NP\tO' -p23662 -aS'foot\tfoot\tNN\tI-NP\tO' -p23663 -aS'.\t.\t.\tO\tO' -p23664 -asS'3) Renal insufficiency : Creatinine improved from 2.1 to 1.3 at time of discharge .' -p23665 -(lp23666 -S'3)\t3)\tLS\tB-NP\tO' -p23667 -aS'Renal\tRenal\tJJ\tI-NP\tO' -p23668 -aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' -p23669 -aS':\t:\t:\tO\tO' -p23670 -aS'Creatinine\tCreatinine\tNN\tB-NP\tO' -p23671 -aS'improved\timprove\tVBD\tB-VP\tO' -p23672 -aS'from\tfrom\tIN\tB-PP\tO' -p23673 -aS'2.1\t2.1\tCD\tB-NP\tO' -p23674 -aS'to\tto\tTO\tB-PP\tO' -p23675 -aS'1.3\t1.3\tCD\tB-NP\tO' -p23676 -aS'at\tat\tIN\tB-PP\tO' -p23677 -aS'time\ttime\tNN\tB-NP\tO' -p23678 -aS'of\tof\tIN\tB-PP\tO' -p23679 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p23680 -aS'.\t.\t.\tO\tO' -p23681 -asS'Depression .' -p23682 -(lp23683 -S'Depression\tDepression\tNN\tB-NP\tO' -p23684 -aS'.\t.\t.\tO\tO' -p23685 -asS'The patient was admitted on 10/22/00 and received cytoxan and total body irradiation per protocol .' -p23686 -(lp23687 -S'The\tThe\tDT\tB-NP\tO' -p23688 -aS'patient\tpatient\tNN\tI-NP\tO' -p23689 -aS'was\tbe\tVBD\tB-VP\tO' -p23690 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p23691 -aS'on\ton\tIN\tB-PP\tO' -p23692 -aS'10/22/00\t10/22/00\tCD\tB-NP\tO' -p23693 -aS'and\tand\tCC\tO\tO' -p23694 -aS'received\treceive\tVBD\tB-VP\tO' -p23695 -aS'cytoxan\tcytoxan\tNN\tB-NP\tO' -p23696 -aS'and\tand\tCC\tO\tO' -p23697 -aS'total\ttotal\tJJ\tB-NP\tO' -p23698 -aS'body\tbody\tNN\tI-NP\tO' -p23699 -aS'irradiation\tirradiation\tNN\tI-NP\tO' -p23700 -aS'per\tper\tIN\tB-PP\tO' -p23701 -aS'protocol\tprotocol\tNN\tB-NP\tO' -p23702 -aS'.\t.\t.\tO\tO' -p23703 -asS'The oxygen saturation was normal at 98% on room air .' -p23704 -(lp23705 -S'The\tThe\tDT\tB-NP\tO' -p23706 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p23707 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p23708 -aS'was\tbe\tVBD\tB-VP\tO' -p23709 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p23710 -aS'at\tat\tIN\tB-PP\tO' -p23711 -aS'98%\t98%\tNN\tB-NP\tO' -p23712 -aS'on\ton\tIN\tB-PP\tO' -p23713 -aS'room\troom\tNN\tB-NP\tO' -p23714 -aS'air\tair\tNN\tI-NP\tO' -p23715 -aS'.\t.\t.\tO\tO' -p23716 -asS'ETT in correct position .' -p23717 -(lp23718 -S'ETT\tETT\tNN\tB-NP\tO' -p23719 -aS'in\tin\tIN\tB-PP\tO' -p23720 -aS'correct\tcorrect\tJJ\tB-NP\tO' -p23721 -aS'position\tposition\tNN\tI-NP\tO' -p23722 -aS'.\t.\t.\tO\tO' -p23723 -asS'He was admitted to the Neonatal Intensive Care Unit for treatment of prematurity .' -p23724 -(lp23725 -S'He\tHe\tPRP\tB-NP\tO' -p23726 -aS'was\tbe\tVBD\tB-VP\tO' -p23727 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p23728 -aS'to\tto\tTO\tB-PP\tO' -p23729 -aS'the\tthe\tDT\tB-NP\tO' -p23730 -aS'Neonatal\tNeonatal\tNNP\tI-NP\tO' -p23731 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p23732 -aS'Care\tCare\tNNP\tI-NP\tO' -p23733 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p23734 -aS'for\tfor\tIN\tB-PP\tO' -p23735 -aS'treatment\ttreatment\tNN\tB-NP\tO' -p23736 -aS'of\tof\tIN\tB-PP\tO' -p23737 -aS'prematurity\tprematurity\tNN\tB-NP\tO' -p23738 -aS'.\t.\t.\tO\tO' -p23739 -asS'MR studies revealed a large left middle cerebral artery infarction with multiple smaller posterior circulation infarctions .' -p23740 -(lp23741 -S'MR\tMR\tNN\tB-NP\tO' -p23742 -aS'studies\tstudy\tNNS\tI-NP\tO' -p23743 -aS'revealed\treveal\tVBD\tB-VP\tO' -p23744 -aS'a\ta\tDT\tB-NP\tO' -p23745 -aS'large\tlarge\tJJ\tI-NP\tO' -p23746 -aS'left\tleft\tJJ\tI-NP\tO' -p23747 -aS'middle\tmiddle\tJJ\tI-NP\tO' -p23748 -aS'cerebral\tcerebral\tJJ\tI-NP\tO' -p23749 -aS'artery\tartery\tNN\tI-NP\tO' -p23750 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p23751 -aS'with\twith\tIN\tB-PP\tO' -p23752 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p23753 -aS'smaller\tsmall\tJJR\tI-NP\tO' -p23754 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p23755 -aS'circulation\tcirculation\tNN\tI-NP\tO' -p23756 -aS'infarctions\tinfarction\tNNS\tI-NP\tO' -p23757 -aS'.\t.\t.\tO\tO' -p23758 -asS'He states he had onset of this pain today ; described as anterior chest pain with radiation to right shoulder , 09-26 , was increasing over the course of 45 minutes to 1 hour ( occurred after arrested ).' -p23759 -(lp23760 -S'He\tHe\tPRP\tB-NP\tO' -p23761 -aS'states\tstate\tVBZ\tB-VP\tO' -p23762 -aS'he\the\tPRP\tB-NP\tO' -p23763 -aS'had\thave\tVBD\tB-VP\tO' -p23764 -aS'onset\tonset\tNN\tB-NP\tO' -p23765 -aS'of\tof\tIN\tB-PP\tO' -p23766 -aS'this\tthis\tDT\tB-NP\tO' -p23767 -aS'pain\tpain\tNN\tI-NP\tO' -p23768 -aS'today\ttoday\tNN\tB-NP\tO' -p23769 -aS';\t;\t:\tO\tO' -p23770 -aS'described\tdescribe\tVBN\tB-VP\tO' -p23771 -aS'as\tas\tIN\tB-PP\tO' -p23772 -aS'anterior\tanterior\tJJ\tB-NP\tO' -p23773 -aS'chest\tchest\tNN\tI-NP\tO' -p23774 -aS'pain\tpain\tNN\tI-NP\tO' -p23775 -aS'with\twith\tIN\tB-PP\tO' -p23776 -aS'radiation\tradiation\tNN\tB-NP\tO' -p23777 -aS'to\tto\tTO\tB-PP\tO' -p23778 -aS'right\tright\tJJ\tB-NP\tO' -p23779 -aS'shoulder\tshoulder\tNN\tI-NP\tO' -p23780 -aS',\t,\t,\tO\tO' -p23781 -aS'09-26\t09-26\tCD\tB-NP\tO' -p23782 -aS',\t,\t,\tO\tO' -p23783 -aS'was\tbe\tVBD\tB-VP\tO' -p23784 -aS'increasing\tincrease\tVBG\tI-VP\tO' -p23785 -aS'over\tover\tIN\tB-PP\tO' -p23786 -aS'the\tthe\tDT\tB-NP\tO' -p23787 -aS'course\tcourse\tNN\tI-NP\tO' -p23788 -aS'of\tof\tIN\tB-PP\tO' -p23789 -aS'45\t45\tCD\tB-NP\tO' -p23790 -aS'minutes\tminute\tNNS\tI-NP\tO' -p23791 -aS'to\tto\tTO\tB-PP\tO' -p23792 -aS'1\t1\tCD\tB-NP\tO' -p23793 -aS'hour\thour\tNN\tI-NP\tO' -p23794 -aS'(\t(\t(\tO\tO' -p23795 -aS'occurred\toccur\tVBD\tB-VP\tO' -p23796 -aS'after\tafter\tIN\tB-SBAR\tO' -p23797 -aS'arrested\tarrest\tVBN\tB-VP\tO' -p23798 -aS').\t).\t)\tO\tO' -p23799 -asS'Electrocardiogram notable for sinus tachycardia with a rate of 104 beats per minute , normal axis , normal intervals , new T wave inversion in III and old T wave inversions in aVL and V1 .' -p23800 -(lp23801 -S'Electrocardiogram\tElectrocardiogram\tNN\tB-NP\tO' -p23802 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p23803 -aS'for\tfor\tIN\tB-PP\tO' -p23804 -aS'sinus\tsinus\tNN\tB-NP\tO' -p23805 -aS'tachycardia\ttachycardia\tNN\tI-NP\tO' -p23806 -aS'with\twith\tIN\tB-PP\tO' -p23807 -aS'a\ta\tDT\tB-NP\tO' -p23808 -aS'rate\trate\tNN\tI-NP\tO' -p23809 -aS'of\tof\tIN\tB-PP\tO' -p23810 -aS'104\t104\tCD\tB-NP\tO' -p23811 -aS'beats\tbeat\tNNS\tI-NP\tO' -p23812 -aS'per\tper\tIN\tB-PP\tO' -p23813 -aS'minute\tminute\tNN\tB-NP\tO' -p23814 -aS',\t,\t,\tO\tO' -p23815 -aS'normal\tnormal\tJJ\tB-NP\tO' -p23816 -aS'axis\taxis\tNN\tI-NP\tO' -p23817 -aS',\t,\t,\tO\tO' -p23818 -aS'normal\tnormal\tJJ\tB-NP\tO' -p23819 -aS'intervals\tinterval\tNNS\tI-NP\tO' -p23820 -aS',\t,\t,\tO\tO' -p23821 -aS'new\tnew\tJJ\tB-NP\tO' -p23822 -aS'T\tT\tNN\tI-NP\tO' -p23823 -aS'wave\twave\tNN\tI-NP\tO' -p23824 -aS'inversion\tinversion\tNN\tI-NP\tO' -p23825 -aS'in\tin\tIN\tB-PP\tO' -p23826 -aS'III\tIII\tCD\tB-NP\tO' -p23827 -aS'and\tand\tCC\tO\tO' -p23828 -aS'old\told\tJJ\tB-NP\tO' -p23829 -aS'T\tT\tNN\tI-NP\tO' -p23830 -aS'wave\twave\tNN\tI-NP\tO' -p23831 -aS'inversions\tinversion\tNNS\tI-NP\tO' -p23832 -aS'in\tin\tIN\tB-PP\tO' -p23833 -aS'aVL\taVL\tNN\tB-NP\tO' -p23834 -aS'and\tand\tCC\tI-NP\tO' -p23835 -aS'V1\tV1\tNN\tI-NP\tB-protein' -p23836 -aS'.\t.\t.\tO\tO' -p23837 -asS'She will followup in the Wardca Presiew Hospital in one week .' -p23838 -(lp23839 -S'She\tShe\tPRP\tB-NP\tO' -p23840 -aS'will\twill\tMD\tB-VP\tO' -p23841 -aS'followup\tfollowup\tVB\tI-VP\tO' -p23842 -aS'in\tin\tIN\tB-PP\tO' -p23843 -aS'the\tthe\tDT\tB-NP\tO' -p23844 -aS'Wardca\tWardca\tNNP\tI-NP\tO' -p23845 -aS'Presiew\tPresiew\tNNP\tI-NP\tO' -p23846 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p23847 -aS'in\tin\tIN\tB-PP\tO' -p23848 -aS'one\tone\tCD\tB-NP\tO' -p23849 -aS'week\tweek\tNN\tI-NP\tO' -p23850 -aS'.\t.\t.\tO\tO' -p23851 -asS'No murmur on exam .' -p23852 -(lp23853 -S'No\tNo\tDT\tB-NP\tO' -p23854 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p23855 -aS'on\ton\tIN\tB-PP\tO' -p23856 -aS'exam\texam\tNN\tB-NP\tO' -p23857 -aS'.\t.\t.\tO\tO' -p23858 -asS'OSH - sinus tach at 108 , nl axis , nl intevals .' -p23859 -(lp23860 -S'OSH\tOSH\tNN\tB-NP\tB-protein' -p23861 -aS'-\t-\tHYPH\tI-NP\tO' -p23862 -aS'sinus\tsinus\tNN\tI-NP\tO' -p23863 -aS'tach\ttach\tNN\tI-NP\tO' -p23864 -aS'at\tat\tIN\tB-PP\tO' -p23865 -aS'108\t108\tCD\tB-NP\tO' -p23866 -aS',\t,\t,\tO\tO' -p23867 -aS'nl\tnl\tNN\tB-NP\tO' -p23868 -aS'axis\taxis\tNN\tI-NP\tO' -p23869 -aS',\t,\t,\tO\tO' -p23870 -aS'nl\tnl\tNN\tB-NP\tO' -p23871 -aS'intevals\tinteval\tNNS\tI-NP\tO' -p23872 -aS'.\t.\t.\tO\tO' -p23873 -asS'She had normal comprehension .' -p23874 -(lp23875 -S'She\tShe\tPRP\tB-NP\tO' -p23876 -aS'had\thave\tVBD\tB-VP\tO' -p23877 -aS'normal\tnormal\tJJ\tB-NP\tO' -p23878 -aS'comprehension\tcomprehension\tNN\tI-NP\tO' -p23879 -aS'.\t.\t.\tO\tO' -p23880 -asS'The right upper extremity was positive for abrasions .' -p23881 -(lp23882 -S'The\tThe\tDT\tB-NP\tO' -p23883 -aS'right\tright\tJJ\tI-NP\tO' -p23884 -aS'upper\tupper\tJJ\tI-NP\tO' -p23885 -aS'extremity\textremity\tNN\tI-NP\tO' -p23886 -aS'was\tbe\tVBD\tB-VP\tO' -p23887 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p23888 -aS'for\tfor\tIN\tB-PP\tO' -p23889 -aS'abrasions\tabrasion\tNNS\tB-NP\tO' -p23890 -aS'.\t.\t.\tO\tO' -p23891 -asS'There was a question of whether to start him on Quinidine versus beta blockers .' -p23892 -(lp23893 -S'There\tThere\tEX\tB-NP\tO' -p23894 -aS'was\tbe\tVBD\tB-VP\tO' -p23895 -aS'a\ta\tDT\tB-NP\tO' -p23896 -aS'question\tquestion\tNN\tI-NP\tO' -p23897 -aS'of\tof\tIN\tB-PP\tO' -p23898 -aS'whether\twhether\tIN\tB-SBAR\tO' -p23899 -aS'to\tto\tTO\tB-VP\tO' -p23900 -aS'start\tstart\tVB\tI-VP\tO' -p23901 -aS'him\thim\tPRP\tB-NP\tO' -p23902 -aS'on\ton\tIN\tB-PP\tO' -p23903 -aS'Quinidine\tQuinidine\tNN\tB-NP\tB-DNA' -p23904 -aS'versus\tversus\tIN\tB-PP\tI-DNA' -p23905 -aS'beta\tbeta\tNN\tB-NP\tI-DNA' -p23906 -aS'blockers\tblocker\tNNS\tI-NP\tI-DNA' -p23907 -aS'.\t.\t.\tO\tO' -p23908 -asS'No f/c/ sweats .' -p23909 -(lp23910 -S'No\tNo\tDT\tB-NP\tO' -p23911 -aS'f/c/\tf/c/\tNN\tI-NP\tO' -p23912 -aS'sweats\tsweat\tNNS\tI-NP\tO' -p23913 -aS'.\t.\t.\tO\tO' -p23914 -asS'She is divorced and retired .' -p23915 -(lp23916 -S'She\tShe\tPRP\tB-NP\tO' -p23917 -aS'is\tbe\tVBZ\tB-VP\tO' -p23918 -aS'divorced\tdivorce\tVBN\tI-VP\tO' -p23919 -aS'and\tand\tCC\tI-VP\tO' -p23920 -aS'retired\tretire\tVBN\tI-VP\tO' -p23921 -aS'.\t.\t.\tO\tO' -p23922 -asS'A subsequent workup including upper gastrointestinal series and abdominal computerized tomography scan suggested the presence of a gastric mass .' -p23923 -(lp23924 -S'A\tA\tDT\tB-NP\tO' -p23925 -aS'subsequent\tsubsequent\tJJ\tI-NP\tO' -p23926 -aS'workup\tworkup\tNN\tI-NP\tO' -p23927 -aS'including\tinclude\tVBG\tB-PP\tO' -p23928 -aS'upper\tupper\tJJ\tB-NP\tO' -p23929 -aS'gastrointestinal\tgastrointestinal\tJJ\tI-NP\tO' -p23930 -aS'series\tseries\tNN\tI-NP\tO' -p23931 -aS'and\tand\tCC\tO\tO' -p23932 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p23933 -aS'computerized\tcomputerized\tJJ\tI-NP\tO' -p23934 -aS'tomography\ttomography\tNN\tI-NP\tO' -p23935 -aS'scan\tscan\tNN\tI-NP\tO' -p23936 -aS'suggested\tsuggest\tVBD\tB-VP\tO' -p23937 -aS'the\tthe\tDT\tB-NP\tO' -p23938 -aS'presence\tpresence\tNN\tI-NP\tO' -p23939 -aS'of\tof\tIN\tB-PP\tO' -p23940 -aS'a\ta\tDT\tB-NP\tO' -p23941 -aS'gastric\tgastric\tJJ\tI-NP\tO' -p23942 -aS'mass\tmass\tNN\tI-NP\tO' -p23943 -aS'.\t.\t.\tO\tO' -p23944 -asS'She also felt dizzy and the room was spinning .' -p23945 -(lp23946 -S'She\tShe\tPRP\tB-NP\tO' -p23947 -aS'also\talso\tRB\tB-ADVP\tO' -p23948 -aS'felt\tfeel\tVBD\tB-VP\tO' -p23949 -aS'dizzy\tdizzy\tJJ\tB-ADJP\tO' -p23950 -aS'and\tand\tCC\tO\tO' -p23951 -aS'the\tthe\tDT\tB-NP\tO' -p23952 -aS'room\troom\tNN\tI-NP\tO' -p23953 -aS'was\tbe\tVBD\tB-VP\tO' -p23954 -aS'spinning\tspin\tVBG\tI-VP\tO' -p23955 -aS'.\t.\t.\tO\tO' -p23956 -asS'He also has a diagnosis of interstitial cystitis and more significantly has a history of coronary artery disease with a recent catheterization , supraventricular tachycardia , and a progressive mitochondrial myopathy .' -p23957 -(lp23958 -S'He\tHe\tPRP\tB-NP\tO' -p23959 -aS'also\talso\tRB\tB-ADVP\tO' -p23960 -aS'has\thave\tVBZ\tB-VP\tO' -p23961 -aS'a\ta\tDT\tB-NP\tO' -p23962 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p23963 -aS'of\tof\tIN\tB-PP\tO' -p23964 -aS'interstitial\tinterstitial\tJJ\tB-NP\tO' -p23965 -aS'cystitis\tcystitis\tNN\tI-NP\tO' -p23966 -aS'and\tand\tCC\tO\tO' -p23967 -aS'more\tmore\tRBR\tB-ADVP\tO' -p23968 -aS'significantly\tsignificantly\tRB\tI-ADVP\tO' -p23969 -aS'has\thave\tVBZ\tB-VP\tO' -p23970 -aS'a\ta\tDT\tB-NP\tO' -p23971 -aS'history\thistory\tNN\tI-NP\tO' -p23972 -aS'of\tof\tIN\tB-PP\tO' -p23973 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p23974 -aS'artery\tartery\tNN\tI-NP\tO' -p23975 -aS'disease\tdisease\tNN\tI-NP\tO' -p23976 -aS'with\twith\tIN\tB-PP\tO' -p23977 -aS'a\ta\tDT\tB-NP\tO' -p23978 -aS'recent\trecent\tJJ\tI-NP\tO' -p23979 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p23980 -aS',\t,\t,\tO\tO' -p23981 -aS'supraventricular\tsupraventricular\tJJ\tB-NP\tO' -p23982 -aS'tachycardia\ttachycardia\tNN\tI-NP\tO' -p23983 -aS',\t,\t,\tO\tO' -p23984 -aS'and\tand\tCC\tO\tO' -p23985 -aS'a\ta\tDT\tB-NP\tO' -p23986 -aS'progressive\tprogressive\tJJ\tI-NP\tO' -p23987 -aS'mitochondrial\tmitochondrial\tJJ\tI-NP\tO' -p23988 -aS'myopathy\tmyopathy\tNN\tI-NP\tO' -p23989 -aS'.\t.\t.\tO\tO' -p23990 -asS'Her mental status also had decreased from admission and her urine output was minimal , 225cc over the past 12 hours .' -p23991 -(lp23992 -S'Her\tHer\tPRP$\tB-NP\tO' -p23993 -aS'mental\tmental\tJJ\tI-NP\tO' -p23994 -aS'status\tstatus\tNN\tI-NP\tO' -p23995 -aS'also\talso\tRB\tB-ADVP\tO' -p23996 -aS'had\thave\tVBD\tB-VP\tO' -p23997 -aS'decreased\tdecrease\tVBN\tI-VP\tO' -p23998 -aS'from\tfrom\tIN\tB-PP\tO' -p23999 -aS'admission\tadmission\tNN\tB-NP\tO' -p24000 -aS'and\tand\tCC\tO\tO' -p24001 -aS'her\ther\tPRP$\tB-NP\tO' -p24002 -aS'urine\turine\tNN\tI-NP\tO' -p24003 -aS'output\toutput\tNN\tI-NP\tO' -p24004 -aS'was\tbe\tVBD\tB-VP\tO' -p24005 -aS'minimal\tminimal\tJJ\tB-ADJP\tO' -p24006 -aS',\t,\t,\tO\tO' -p24007 -aS'225cc\t225cc\tNN\tB-NP\tO' -p24008 -aS'over\tover\tIN\tB-PP\tO' -p24009 -aS'the\tthe\tDT\tB-NP\tO' -p24010 -aS'past\tpast\tJJ\tI-NP\tO' -p24011 -aS'12\t12\tCD\tI-NP\tO' -p24012 -aS'hours\thour\tNNS\tI-NP\tO' -p24013 -aS'.\t.\t.\tO\tO' -p24014 -asS'Recently , the patient has been treated with several steroid tapers .' -p24015 -(lp24016 -S'Recently\tRecently\tRB\tB-ADVP\tO' -p24017 -aS',\t,\t,\tO\tO' -p24018 -aS'the\tthe\tDT\tB-NP\tO' -p24019 -aS'patient\tpatient\tNN\tI-NP\tO' -p24020 -aS'has\thave\tVBZ\tB-VP\tO' -p24021 -aS'been\tbe\tVBN\tI-VP\tO' -p24022 -aS'treated\ttreat\tVBN\tI-VP\tO' -p24023 -aS'with\twith\tIN\tB-PP\tO' -p24024 -aS'several\tseveral\tJJ\tB-NP\tO' -p24025 -aS'steroid\tsteroid\tNN\tI-NP\tO' -p24026 -aS'tapers\ttaper\tNNS\tI-NP\tO' -p24027 -aS'.\t.\t.\tO\tO' -p24028 -asS'This clot was small and it was questionable as to whether it was old or new .' -p24029 -(lp24030 -S'This\tThis\tDT\tB-NP\tO' -p24031 -aS'clot\tclot\tNN\tI-NP\tO' -p24032 -aS'was\tbe\tVBD\tB-VP\tO' -p24033 -aS'small\tsmall\tJJ\tB-ADJP\tO' -p24034 -aS'and\tand\tCC\tO\tO' -p24035 -aS'it\tit\tPRP\tB-NP\tO' -p24036 -aS'was\tbe\tVBD\tB-VP\tO' -p24037 -aS'questionable\tquestionable\tJJ\tB-ADJP\tO' -p24038 -aS'as\tas\tIN\tB-PP\tO' -p24039 -aS'to\tto\tTO\tB-PP\tO' -p24040 -aS'whether\twhether\tIN\tB-SBAR\tO' -p24041 -aS'it\tit\tPRP\tB-NP\tO' -p24042 -aS'was\tbe\tVBD\tB-VP\tO' -p24043 -aS'old\told\tJJ\tB-ADJP\tO' -p24044 -aS'or\tor\tCC\tI-ADJP\tO' -p24045 -aS'new\tnew\tJJ\tI-ADJP\tO' -p24046 -aS'.\t.\t.\tO\tO' -p24047 -asS'Cardiovascular had a regular rate and rhythm .' -p24048 -(lp24049 -S'Cardiovascular\tCardiovascular\tNNP\tB-NP\tO' -p24050 -aS'had\thave\tVBD\tB-VP\tO' -p24051 -aS'a\ta\tDT\tB-NP\tO' -p24052 -aS'regular\tregular\tJJ\tI-NP\tO' -p24053 -aS'rate\trate\tNN\tI-NP\tO' -p24054 -aS'and\tand\tCC\tI-NP\tO' -p24055 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p24056 -aS'.\t.\t.\tO\tO' -p24057 -asS'A report of an elevated 17-OH was called to the CMED CCU .' -p24058 -(lp24059 -S'A\tA\tDT\tB-NP\tO' -p24060 -aS'report\treport\tNN\tI-NP\tO' -p24061 -aS'of\tof\tIN\tB-PP\tO' -p24062 -aS'an\tan\tDT\tB-NP\tO' -p24063 -aS'elevated\televate\tVBN\tI-NP\tO' -p24064 -aS'17-OH\t17-OH\tNN\tI-NP\tO' -p24065 -aS'was\tbe\tVBD\tB-VP\tO' -p24066 -aS'called\tcall\tVBN\tI-VP\tO' -p24067 -aS'to\tto\tTO\tB-PP\tO' -p24068 -aS'the\tthe\tDT\tB-NP\tO' -p24069 -aS'CMED\tCMED\tVBN\tI-NP\tO' -p24070 -aS'CCU\tCCU\tNN\tI-NP\tO' -p24071 -aS'.\t.\t.\tO\tO' -p24072 -asS'The patient has a tracheostomy , NG tube , and a Foley catheter .' -p24073 -(lp24074 -S'The\tThe\tDT\tB-NP\tO' -p24075 -aS'patient\tpatient\tNN\tI-NP\tO' -p24076 -aS'has\thave\tVBZ\tB-VP\tO' -p24077 -aS'a\ta\tDT\tB-NP\tO' -p24078 -aS'tracheostomy\ttracheostomy\tNN\tI-NP\tO' -p24079 -aS',\t,\t,\tO\tO' -p24080 -aS'NG\tNG\tNN\tB-NP\tO' -p24081 -aS'tube\ttube\tNN\tI-NP\tO' -p24082 -aS',\t,\t,\tO\tO' -p24083 -aS'and\tand\tCC\tO\tO' -p24084 -aS'a\ta\tDT\tB-NP\tO' -p24085 -aS'Foley\tFoley\tNNP\tI-NP\tO' -p24086 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p24087 -aS'.\t.\t.\tO\tO' -p24088 -asS'She cut down dramatically on smoking two years ago , but has continued to smoke , although , very recently , she admits to only " two puffs " per day .' -p24089 -(lp24090 -S'She\tShe\tPRP\tB-NP\tO' -p24091 -aS'cut\tcut\tVBD\tB-VP\tO' -p24092 -aS'down\tdown\tRB\tB-ADVP\tO' -p24093 -aS'dramatically\tdramatically\tRB\tB-ADVP\tO' -p24094 -aS'on\ton\tIN\tB-PP\tO' -p24095 -aS'smoking\tsmoke\tVBG\tB-VP\tO' -p24096 -aS'two\ttwo\tCD\tB-NP\tO' -p24097 -aS'years\tyear\tNNS\tI-NP\tO' -p24098 -aS'ago\tago\tRB\tB-ADVP\tO' -p24099 -aS',\t,\t,\tO\tO' -p24100 -aS'but\tbut\tCC\tO\tO' -p24101 -aS'has\thave\tVBZ\tB-VP\tO' -p24102 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p24103 -aS'to\tto\tTO\tI-VP\tO' -p24104 -aS'smoke\tsmoke\tVB\tI-VP\tO' -p24105 -aS',\t,\t,\tO\tO' -p24106 -aS'although\talthough\tIN\tB-SBAR\tO' -p24107 -aS',\t,\t,\tO\tO' -p24108 -aS'very\tvery\tRB\tB-ADVP\tO' -p24109 -aS'recently\trecently\tRB\tI-ADVP\tO' -p24110 -aS',\t,\t,\tO\tO' -p24111 -aS'she\tshe\tPRP\tB-NP\tO' -p24112 -aS'admits\tadmit\tVBZ\tB-VP\tO' -p24113 -aS'to\tto\tTO\tI-VP\tO' -p24114 -aS'only\tonly\tRB\tI-VP\tO' -p24115 -aS'"\t"\tVB\tI-VP\tO' -p24116 -aS'two\ttwo\tCD\tB-NP\tO' -p24117 -aS'puffs\tpuff\tNNS\tI-NP\tO' -p24118 -aS'"\t"\tCC\tB-PP\tO' -p24119 -aS'per\tper\tIN\tB-PP\tO' -p24120 -aS'day\tday\tNN\tB-NP\tO' -p24121 -aS'.\t.\t.\tO\tO' -p24122 -asS'diabetes mellitus with diabetic renopathy , renovascular occlusive disease , with thrombosis of the right renal artery , hypertension , probably renal vascular , hypertensive cardiac disease with history of congestive heart failure , chronic renal insufficiency , coronary artery disease .' -p24123 -(lp24124 -S'diabetes\tdiabetes\tNN\tB-NP\tO' -p24125 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p24126 -aS'with\twith\tIN\tB-PP\tO' -p24127 -aS'diabetic\tdiabetic\tJJ\tB-NP\tO' -p24128 -aS'renopathy\trenopathy\tNN\tI-NP\tO' -p24129 -aS',\t,\t,\tO\tO' -p24130 -aS'renovascular\trenovascular\tJJ\tB-NP\tO' -p24131 -aS'occlusive\tocclusive\tJJ\tI-NP\tO' -p24132 -aS'disease\tdisease\tNN\tI-NP\tO' -p24133 -aS',\t,\t,\tO\tO' -p24134 -aS'with\twith\tIN\tB-PP\tO' -p24135 -aS'thrombosis\tthrombosis\tNN\tB-NP\tO' -p24136 -aS'of\tof\tIN\tB-PP\tO' -p24137 -aS'the\tthe\tDT\tB-NP\tO' -p24138 -aS'right\tright\tJJ\tI-NP\tO' -p24139 -aS'renal\trenal\tJJ\tI-NP\tO' -p24140 -aS'artery\tartery\tNN\tI-NP\tO' -p24141 -aS',\t,\t,\tO\tO' -p24142 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p24143 -aS',\t,\t,\tO\tO' -p24144 -aS'probably\tprobably\tRB\tB-NP\tO' -p24145 -aS'renal\trenal\tJJ\tI-NP\tO' -p24146 -aS'vascular\tvascular\tJJ\tI-NP\tO' -p24147 -aS',\t,\t,\tI-NP\tO' -p24148 -aS'hypertensive\thypertensive\tJJ\tI-NP\tO' -p24149 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p24150 -aS'disease\tdisease\tNN\tI-NP\tO' -p24151 -aS'with\twith\tIN\tB-PP\tO' -p24152 -aS'history\thistory\tNN\tB-NP\tO' -p24153 -aS'of\tof\tIN\tB-PP\tO' -p24154 -aS'congestive\tcongestive\tJJ\tB-NP\tO' -p24155 -aS'heart\theart\tNN\tI-NP\tO' -p24156 -aS'failure\tfailure\tNN\tI-NP\tO' -p24157 -aS',\t,\t,\tO\tO' -p24158 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p24159 -aS'renal\trenal\tJJ\tI-NP\tO' -p24160 -aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' -p24161 -aS',\t,\t,\tO\tO' -p24162 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p24163 -aS'artery\tartery\tNN\tI-NP\tO' -p24164 -aS'disease\tdisease\tNN\tI-NP\tO' -p24165 -aS'.\t.\t.\tO\tO' -p24166 -asS'Stable Hct of 31 .' -p24167 -(lp24168 -S'Stable\tStable\tJJ\tB-NP\tO' -p24169 -aS'Hct\tHct\tNN\tI-NP\tO' -p24170 -aS'of\tof\tIN\tB-PP\tO' -p24171 -aS'31\t31\tCD\tB-NP\tO' -p24172 -aS'.\t.\t.\tO\tO' -p24173 -asS'The neck was supple , and without adenopathy .' -p24174 -(lp24175 -S'The\tThe\tDT\tB-NP\tO' -p24176 -aS'neck\tneck\tNN\tI-NP\tO' -p24177 -aS'was\tbe\tVBD\tB-VP\tO' -p24178 -aS'supple\tsupple\tNN\tB-NP\tO' -p24179 -aS',\t,\t,\tO\tO' -p24180 -aS'and\tand\tCC\tO\tO' -p24181 -aS'without\twithout\tIN\tB-PP\tO' -p24182 -aS'adenopathy\tadenopathy\tNN\tB-NP\tO' -p24183 -aS'.\t.\t.\tO\tO' -p24184 -asS'No murmurs were appreciated .' -p24185 -(lp24186 -S'No\tNo\tDT\tB-NP\tO' -p24187 -aS'murmurs\tmurmur\tNNS\tI-NP\tO' -p24188 -aS'were\tbe\tVBD\tB-VP\tO' -p24189 -aS'appreciated\tappreciate\tVBN\tI-VP\tO' -p24190 -aS'.\t.\t.\tO\tO' -p24191 -asS'She then received continuous nebulizer treatments for approximately eight hours with minimal improvement .' -p24192 -(lp24193 -S'She\tShe\tPRP\tB-NP\tO' -p24194 -aS'then\tthen\tRB\tB-ADVP\tO' -p24195 -aS'received\treceive\tVBD\tB-VP\tO' -p24196 -aS'continuous\tcontinuous\tJJ\tB-NP\tO' -p24197 -aS'nebulizer\tnebulizer\tNN\tI-NP\tO' -p24198 -aS'treatments\ttreatment\tNNS\tI-NP\tO' -p24199 -aS'for\tfor\tIN\tB-PP\tO' -p24200 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p24201 -aS'eight\teight\tCD\tI-NP\tO' -p24202 -aS'hours\thour\tNNS\tI-NP\tO' -p24203 -aS'with\twith\tIN\tB-PP\tO' -p24204 -aS'minimal\tminimal\tJJ\tB-NP\tO' -p24205 -aS'improvement\timprovement\tNN\tI-NP\tO' -p24206 -aS'.\t.\t.\tO\tO' -p24207 -asS'The patient was noted to have a slight hematocrit drop and was transfused one unit of packed red blood cells for a goal hematocrit of greater than 30 .' -p24208 -(lp24209 -S'The\tThe\tDT\tB-NP\tO' -p24210 -aS'patient\tpatient\tNN\tI-NP\tO' -p24211 -aS'was\tbe\tVBD\tB-VP\tO' -p24212 -aS'noted\tnote\tVBN\tI-VP\tO' -p24213 -aS'to\tto\tTO\tI-VP\tO' -p24214 -aS'have\thave\tVB\tI-VP\tO' -p24215 -aS'a\ta\tDT\tB-NP\tO' -p24216 -aS'slight\tslight\tJJ\tI-NP\tO' -p24217 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p24218 -aS'drop\tdrop\tNN\tI-NP\tO' -p24219 -aS'and\tand\tCC\tO\tO' -p24220 -aS'was\tbe\tVBD\tB-VP\tO' -p24221 -aS'transfused\ttransfuse\tVBN\tI-VP\tO' -p24222 -aS'one\tone\tCD\tB-NP\tO' -p24223 -aS'unit\tunit\tNN\tI-NP\tO' -p24224 -aS'of\tof\tIN\tB-PP\tO' -p24225 -aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' -p24226 -aS'red\tred\tJJ\tI-NP\tI-cell_type' -p24227 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p24228 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p24229 -aS'for\tfor\tIN\tB-PP\tO' -p24230 -aS'a\ta\tDT\tB-NP\tO' -p24231 -aS'goal\tgoal\tNN\tI-NP\tO' -p24232 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p24233 -aS'of\tof\tIN\tB-PP\tO' -p24234 -aS'greater\tgreat\tJJR\tB-NP\tO' -p24235 -aS'than\tthan\tIN\tI-NP\tO' -p24236 -aS'30\t30\tCD\tI-NP\tO' -p24237 -aS'.\t.\t.\tO\tO' -p24238 -asS'Neck : never had c spine cleared by neurosurg .' -p24239 -(lp24240 -S'Neck\tNeck\tNN\tB-NP\tO' -p24241 -aS':\t:\t:\tO\tO' -p24242 -aS'never\tnever\tRB\tB-ADVP\tO' -p24243 -aS'had\thave\tVBD\tB-VP\tO' -p24244 -aS'c\tc\tNN\tB-NP\tO' -p24245 -aS'spine\tspine\tNN\tI-NP\tO' -p24246 -aS'cleared\tclear\tVBN\tB-VP\tO' -p24247 -aS'by\tby\tIN\tB-PP\tO' -p24248 -aS'neurosurg\tneurosurg\tNN\tB-NP\tO' -p24249 -aS'.\t.\t.\tO\tO' -p24250 -asS'8 .' -p24251 -(lp24252 -S'8\t8\tCD\tB-NP\tO' -p24253 -aS'.\t.\t.\tO\tO' -p24254 -asS'She is also started on marinol 2.5 mg p.o. b.i.d. and encouraged p.o. intake .' -p24255 -(lp24256 -S'She\tShe\tPRP\tB-NP\tO' -p24257 -aS'is\tbe\tVBZ\tB-VP\tO' -p24258 -aS'also\talso\tRB\tI-VP\tO' -p24259 -aS'started\tstart\tVBN\tI-VP\tO' -p24260 -aS'on\ton\tIN\tB-PP\tO' -p24261 -aS'marinol\tmarinol\tNN\tB-NP\tO' -p24262 -aS'2.5\t2.5\tCD\tI-NP\tO' -p24263 -aS'mg\tmg\tNN\tI-NP\tO' -p24264 -aS'p.o.\tp.o.\tFW\tB-ADVP\tO' -p24265 -aS'b.i.d.\tb.i.d.\tFW\tI-ADVP\tO' -p24266 -aS'and\tand\tCC\tO\tO' -p24267 -aS'encouraged\tencouraged\tFW\tB-NP\tO' -p24268 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p24269 -aS'intake\tintake\tNN\tI-NP\tO' -p24270 -aS'.\t.\t.\tO\tO' -p24271 -asS'She works at TackyMart , is single .' -p24272 -(lp24273 -S'She\tShe\tPRP\tB-NP\tO' -p24274 -aS'works\twork\tVBZ\tB-VP\tO' -p24275 -aS'at\tat\tIN\tB-PP\tO' -p24276 -aS'TackyMart\tTackyMart\tNNP\tB-NP\tO' -p24277 -aS',\t,\t,\tO\tO' -p24278 -aS'is\tbe\tVBZ\tB-VP\tO' -p24279 -aS'single\tsingle\tJJ\tB-ADJP\tO' -p24280 -aS'.\t.\t.\tO\tO' -p24281 -asS'After arriving on the Floor , the patient had an episode of rapid atrial fibrillation which was treated with amiodarone and Lopressor .' -p24282 -(lp24283 -S'After\tAfter\tIN\tB-PP\tO' -p24284 -aS'arriving\tarrive\tVBG\tB-VP\tO' -p24285 -aS'on\ton\tIN\tB-PP\tO' -p24286 -aS'the\tthe\tDT\tB-NP\tO' -p24287 -aS'Floor\tFloor\tNNP\tI-NP\tO' -p24288 -aS',\t,\t,\tO\tO' -p24289 -aS'the\tthe\tDT\tB-NP\tO' -p24290 -aS'patient\tpatient\tNN\tI-NP\tO' -p24291 -aS'had\thave\tVBD\tB-VP\tO' -p24292 -aS'an\tan\tDT\tB-NP\tO' -p24293 -aS'episode\tepisode\tNN\tI-NP\tO' -p24294 -aS'of\tof\tIN\tB-PP\tO' -p24295 -aS'rapid\trapid\tJJ\tB-NP\tO' -p24296 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p24297 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p24298 -aS'which\twhich\tWDT\tB-NP\tO' -p24299 -aS'was\tbe\tVBD\tB-VP\tO' -p24300 -aS'treated\ttreat\tVBN\tI-VP\tO' -p24301 -aS'with\twith\tIN\tB-PP\tO' -p24302 -aS'amiodarone\tamiodarone\tNN\tB-NP\tO' -p24303 -aS'and\tand\tCC\tI-NP\tO' -p24304 -aS'Lopressor\tLopressor\tNN\tI-NP\tO' -p24305 -aS'.\t.\t.\tO\tO' -p24306 -asS'CK 's were mildly elevated but the MB fractions were not remarkable .' -p24307 -(lp24308 -S'CK\tCK\tNN\tB-NP\tB-protein' -p24309 -aS''s\t'\tNNS\tI-NP\tI-protein' -p24310 -aS'were\tbe\tVBD\tB-VP\tO' -p24311 -aS'mildly\tmildly\tRB\tI-VP\tO' -p24312 -aS'elevated\televate\tVBN\tI-VP\tO' -p24313 -aS'but\tbut\tCC\tO\tO' -p24314 -aS'the\tthe\tDT\tB-NP\tO' -p24315 -aS'MB\tMB\tNN\tI-NP\tO' -p24316 -aS'fractions\tfraction\tNNS\tI-NP\tO' -p24317 -aS'were\tbe\tVBD\tB-VP\tO' -p24318 -aS'not\tnot\tRB\tO\tO' -p24319 -aS'remarkable\tremarkable\tJJ\tB-ADJP\tO' -p24320 -aS'.\t.\t.\tO\tO' -p24321 -asS'8. Left foot ulcer status post debridement .' -p24322 -(lp24323 -S'8.\t8.\tLS\tB-NP\tO' -p24324 -aS'Left\tLeft\tNN\tI-NP\tO' -p24325 -aS'foot\tfoot\tNN\tI-NP\tO' -p24326 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p24327 -aS'status\tstatus\tNN\tI-NP\tO' -p24328 -aS'post\tpost\tNN\tI-NP\tO' -p24329 -aS'debridement\tdebridement\tNN\tI-NP\tO' -p24330 -aS'.\t.\t.\tO\tO' -p24331 -asS'2. Lasix .' -p24332 -(lp24333 -S'2.\t2.\tLS\tB-LST\tO' -p24334 -aS'Lasix\tLasix\tNNP\tB-NP\tO' -p24335 -aS'.\t.\t.\tO\tO' -p24336 -asS'She has a son who is actively involved in her care .' -p24337 -(lp24338 -S'She\tShe\tPRP\tB-NP\tO' -p24339 -aS'has\thave\tVBZ\tB-VP\tO' -p24340 -aS'a\ta\tDT\tB-NP\tO' -p24341 -aS'son\tson\tNN\tI-NP\tO' -p24342 -aS'who\twho\tWP\tB-NP\tO' -p24343 -aS'is\tbe\tVBZ\tB-VP\tO' -p24344 -aS'actively\tactively\tRB\tI-VP\tO' -p24345 -aS'involved\tinvolve\tVBN\tI-VP\tO' -p24346 -aS'in\tin\tIN\tB-PP\tO' -p24347 -aS'her\ther\tPRP$\tB-NP\tO' -p24348 -aS'care\tcare\tNN\tI-NP\tO' -p24349 -aS'.\t.\t.\tO\tO' -p24350 -asS'She denies any hypertension , coronary artery disease , chest pain , myocardial infarction or diabetes mellitus .' -p24351 -(lp24352 -S'She\tShe\tPRP\tB-NP\tO' -p24353 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p24354 -aS'any\tany\tDT\tB-NP\tO' -p24355 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p24356 -aS',\t,\t,\tO\tO' -p24357 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p24358 -aS'artery\tartery\tNN\tI-NP\tO' -p24359 -aS'disease\tdisease\tNN\tI-NP\tO' -p24360 -aS',\t,\t,\tO\tO' -p24361 -aS'chest\tchest\tNN\tB-NP\tO' -p24362 -aS'pain\tpain\tNN\tI-NP\tO' -p24363 -aS',\t,\t,\tO\tO' -p24364 -aS'myocardial\tmyocardial\tJJ\tB-NP\tO' -p24365 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p24366 -aS'or\tor\tCC\tI-NP\tO' -p24367 -aS'diabetes\tdiabetes\tNN\tI-NP\tO' -p24368 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p24369 -aS'.\t.\t.\tO\tO' -p24370 -asS'On 11/16/03 , the patient 's pain increased and she presented to an outside hospital with nausea and vomiting and an inability to tolerate p.o. intake .' -p24371 -(lp24372 -S'On\tOn\tIN\tB-PP\tO' -p24373 -aS'11/16/03\t11/16/03\tCD\tB-NP\tO' -p24374 -aS',\t,\t,\tO\tO' -p24375 -aS'the\tthe\tDT\tB-NP\tO' -p24376 -aS'patient\tpatient\tNN\tI-NP\tO' -p24377 -aS''s\t'\tNNS\tI-NP\tO' -p24378 -aS'pain\tpain\tNN\tI-NP\tO' -p24379 -aS'increased\tincrease\tVBD\tB-VP\tO' -p24380 -aS'and\tand\tCC\tO\tO' -p24381 -aS'she\tshe\tPRP\tB-NP\tO' -p24382 -aS'presented\tpresent\tVBD\tB-VP\tO' -p24383 -aS'to\tto\tTO\tB-PP\tO' -p24384 -aS'an\tan\tDT\tB-NP\tO' -p24385 -aS'outside\toutside\tJJ\tI-NP\tO' -p24386 -aS'hospital\thospital\tNN\tI-NP\tO' -p24387 -aS'with\twith\tIN\tB-PP\tO' -p24388 -aS'nausea\tnausea\tNN\tB-NP\tO' -p24389 -aS'and\tand\tCC\tI-NP\tO' -p24390 -aS'vomiting\tvomiting\tNN\tI-NP\tO' -p24391 -aS'and\tand\tCC\tO\tO' -p24392 -aS'an\tan\tDT\tB-NP\tO' -p24393 -aS'inability\tinability\tNN\tI-NP\tO' -p24394 -aS'to\tto\tTO\tB-VP\tO' -p24395 -aS'tolerate\ttolerate\tVB\tI-VP\tO' -p24396 -aS'p.o.\tp.o.\tNN\tB-NP\tO' -p24397 -aS'intake\tintake\tNN\tI-NP\tO' -p24398 -aS'.\t.\t.\tO\tO' -p24399 -asS'Immunizations , the infant received hepatitis B vaccine on 2016-06-02 .' -p24400 -(lp24401 -S'Immunizations\tImmunization\tNNS\tB-NP\tO' -p24402 -aS',\t,\t,\tO\tO' -p24403 -aS'the\tthe\tDT\tB-NP\tO' -p24404 -aS'infant\tinfant\tNN\tI-NP\tO' -p24405 -aS'received\treceive\tVBD\tB-VP\tO' -p24406 -aS'hepatitis\thepatitis\tNN\tB-NP\tO' -p24407 -aS'B\tB\tNN\tI-NP\tO' -p24408 -aS'vaccine\tvaccine\tNN\tI-NP\tO' -p24409 -aS'on\ton\tIN\tB-PP\tO' -p24410 -aS'2016-06-02\t2016-06-02\tCD\tB-NP\tO' -p24411 -aS'.\t.\t.\tO\tO' -p24412 -asS'PERC. NEPH. .' -p24413 -(lp24414 -S'PERC.\tPERC.\tNNP\tB-NP\tO' -p24415 -aS'NEPH.\tNEPH.\tNNP\tI-NP\tO' -p24416 -aS'.\t.\t.\tO\tO' -p24417 -asS'- Pepcid 20 mg po daily' -p24418 -(lp24419 -S'-\t-\tHYPH\tB-NP\tO' -p24420 -aS'Pepcid\tPepcid\tNN\tI-NP\tB-protein' -p24421 -aS'20\t20\tCD\tI-NP\tI-protein' -p24422 -aS'mg\tmg\tNN\tI-NP\tI-protein' -p24423 -aS'po\tpo\tNN\tI-NP\tI-protein' -p24424 -aS'daily\tdaily\tRB\tB-ADVP\tO' -p24425 -asS'The patient has diminished vibration and propioception in the left upper and lower extremity and decreased temperature , light touch and pinprick sensation in the right upper and lower extremity consistent with a high cervical spinal sensory level .' -p24426 -(lp24427 -S'The\tThe\tDT\tB-NP\tO' -p24428 -aS'patient\tpatient\tNN\tI-NP\tO' -p24429 -aS'has\thave\tVBZ\tB-VP\tO' -p24430 -aS'diminished\tdiminish\tVBN\tI-VP\tO' -p24431 -aS'vibration\tvibration\tNN\tB-NP\tO' -p24432 -aS'and\tand\tCC\tI-NP\tO' -p24433 -aS'propioception\tpropioception\tNN\tI-NP\tO' -p24434 -aS'in\tin\tIN\tB-PP\tO' -p24435 -aS'the\tthe\tDT\tB-NP\tO' -p24436 -aS'left\tleft\tJJ\tI-NP\tO' -p24437 -aS'upper\tupper\tJJ\tI-NP\tO' -p24438 -aS'and\tand\tCC\tI-NP\tO' -p24439 -aS'lower\tlow\tJJR\tI-NP\tO' -p24440 -aS'extremity\textremity\tNN\tI-NP\tO' -p24441 -aS'and\tand\tCC\tO\tO' -p24442 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p24443 -aS'temperature\ttemperature\tNN\tB-NP\tO' -p24444 -aS',\t,\t,\tO\tO' -p24445 -aS'light\tlight\tNN\tB-NP\tO' -p24446 -aS'touch\ttouch\tNN\tI-NP\tO' -p24447 -aS'and\tand\tCC\tO\tO' -p24448 -aS'pinprick\tpinprick\tNN\tB-NP\tO' -p24449 -aS'sensation\tsensation\tNN\tI-NP\tO' -p24450 -aS'in\tin\tIN\tB-PP\tO' -p24451 -aS'the\tthe\tDT\tB-NP\tO' -p24452 -aS'right\tright\tJJ\tI-NP\tO' -p24453 -aS'upper\tupper\tJJ\tI-NP\tO' -p24454 -aS'and\tand\tCC\tI-NP\tO' -p24455 -aS'lower\tlow\tJJR\tI-NP\tO' -p24456 -aS'extremity\textremity\tNN\tI-NP\tO' -p24457 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p24458 -aS'with\twith\tIN\tB-PP\tO' -p24459 -aS'a\ta\tDT\tB-NP\tO' -p24460 -aS'high\thigh\tJJ\tI-NP\tO' -p24461 -aS'cervical\tcervical\tJJ\tI-NP\tO' -p24462 -aS'spinal\tspinal\tJJ\tI-NP\tO' -p24463 -aS'sensory\tsensory\tJJ\tI-NP\tO' -p24464 -aS'level\tlevel\tNN\tI-NP\tO' -p24465 -aS'.\t.\t.\tO\tO' -p24466 -asS'Mid-way through his hospital course he developed trilobar pneumonia and this was probably complicated further by adult respiratory distress syndrome and the multi-organ system failure syndrome .' -p24467 -(lp24468 -S'Mid-way\tMid-way\tNN\tB-NP\tO' -p24469 -aS'through\tthrough\tIN\tB-PP\tO' -p24470 -aS'his\this\tPRP$\tB-NP\tO' -p24471 -aS'hospital\thospital\tNN\tI-NP\tO' -p24472 -aS'course\tcourse\tNN\tI-NP\tO' -p24473 -aS'he\the\tPRP\tB-NP\tO' -p24474 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p24475 -aS'trilobar\ttrilobar\tNN\tB-NP\tO' -p24476 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p24477 -aS'and\tand\tCC\tO\tO' -p24478 -aS'this\tthis\tDT\tB-NP\tO' -p24479 -aS'was\tbe\tVBD\tB-VP\tO' -p24480 -aS'probably\tprobably\tRB\tI-VP\tO' -p24481 -aS'complicated\tcomplicate\tVBN\tI-VP\tO' -p24482 -aS'further\tfurther\tRBR\tB-ADVP\tO' -p24483 -aS'by\tby\tIN\tB-PP\tO' -p24484 -aS'adult\tadult\tJJ\tB-NP\tO' -p24485 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p24486 -aS'distress\tdistress\tNN\tI-NP\tO' -p24487 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p24488 -aS'and\tand\tCC\tO\tO' -p24489 -aS'the\tthe\tDT\tB-NP\tO' -p24490 -aS'multi-organ\tmulti-organ\tJJ\tI-NP\tO' -p24491 -aS'system\tsystem\tNN\tI-NP\tO' -p24492 -aS'failure\tfailure\tNN\tI-NP\tO' -p24493 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p24494 -aS'.\t.\t.\tO\tO' -p24495 -asS'His mother and father both died secondary to myocardial infarction .' -p24496 -(lp24497 -S'His\tHis\tPRP$\tB-NP\tO' -p24498 -aS'mother\tmother\tNN\tI-NP\tO' -p24499 -aS'and\tand\tCC\tI-NP\tO' -p24500 -aS'father\tfather\tNN\tI-NP\tO' -p24501 -aS'both\tboth\tDT\tB-NP\tO' -p24502 -aS'died\tdie\tVBD\tB-VP\tO' -p24503 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p24504 -aS'to\tto\tTO\tB-PP\tO' -p24505 -aS'myocardial\tmyocardial\tJJ\tB-NP\tO' -p24506 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p24507 -aS'.\t.\t.\tO\tO' -p24508 -asS'Testes scrotum .' -p24509 -(lp24510 -S'Testes\tTestes\tJJ\tB-NP\tO' -p24511 -aS'scrotum\tscrotum\tNN\tI-NP\tO' -p24512 -aS'.\t.\t.\tO\tO' -p24513 -asS'Patient was admitted to the GYN Oncology SErvice in 1980 by Dr. Slaineaee Ganz .' -p24514 -(lp24515 -S'Patient\tPatient\tNN\tB-NP\tO' -p24516 -aS'was\tbe\tVBD\tB-VP\tO' -p24517 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p24518 -aS'to\tto\tTO\tB-PP\tO' -p24519 -aS'the\tthe\tDT\tB-NP\tO' -p24520 -aS'GYN\tGYN\tNNP\tI-NP\tO' -p24521 -aS'Oncology\tOncology\tNNP\tI-NP\tO' -p24522 -aS'SErvice\tSErvice\tNNP\tI-NP\tO' -p24523 -aS'in\tin\tIN\tB-PP\tO' -p24524 -aS'1980\t1980\tCD\tB-NP\tO' -p24525 -aS'by\tby\tIN\tB-PP\tO' -p24526 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p24527 -aS'Slaineaee\tSlaineaee\tNNP\tI-NP\tO' -p24528 -aS'Ganz\tGanz\tNNP\tI-NP\tO' -p24529 -aS'.\t.\t.\tO\tO' -p24530 -asS'This has still be known to occur during the placement of pacemaker .' -p24531 -(lp24532 -S'This\tThis\tDT\tB-NP\tO' -p24533 -aS'has\thave\tVBZ\tB-VP\tO' -p24534 -aS'still\tstill\tRB\tI-VP\tO' -p24535 -aS'be\tbe\tVB\tI-VP\tO' -p24536 -aS'known\tknow\tVBN\tI-VP\tO' -p24537 -aS'to\tto\tTO\tB-VP\tO' -p24538 -aS'occur\toccur\tVB\tI-VP\tO' -p24539 -aS'during\tduring\tIN\tB-PP\tO' -p24540 -aS'the\tthe\tDT\tB-NP\tO' -p24541 -aS'placement\tplacement\tNN\tI-NP\tO' -p24542 -aS'of\tof\tIN\tB-PP\tO' -p24543 -aS'pacemaker\tpacemaker\tNN\tB-NP\tO' -p24544 -aS'.\t.\t.\tO\tO' -p24545 -asS'He denied any fevers , chills , or night sweats .' -p24546 -(lp24547 -S'He\tHe\tPRP\tB-NP\tO' -p24548 -aS'denied\tdeny\tVBD\tB-VP\tO' -p24549 -aS'any\tany\tDT\tB-NP\tO' -p24550 -aS'fevers\tfever\tNNS\tI-NP\tO' -p24551 -aS',\t,\t,\tO\tO' -p24552 -aS'chills\tchill\tNNS\tB-NP\tO' -p24553 -aS',\t,\t,\tO\tO' -p24554 -aS'or\tor\tCC\tO\tO' -p24555 -aS'night\tnight\tNN\tB-NP\tO' -p24556 -aS'sweats\tsweat\tNNS\tI-NP\tO' -p24557 -aS'.\t.\t.\tO\tO' -p24558 -asS'Two possible markers are anti-Hu syndrome and anti-Yo antibody .' -p24559 -(lp24560 -S'Two\tTwo\tCD\tB-NP\tO' -p24561 -aS'possible\tpossible\tJJ\tI-NP\tO' -p24562 -aS'markers\tmarker\tNNS\tI-NP\tO' -p24563 -aS'are\tbe\tVBP\tB-VP\tO' -p24564 -aS'anti-Hu\tanti-Hu\tJJ\tB-NP\tO' -p24565 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p24566 -aS'and\tand\tCC\tO\tO' -p24567 -aS'anti-Yo\tanti-Yo\tJJ\tB-NP\tB-protein' -p24568 -aS'antibody\tantibody\tNN\tI-NP\tI-protein' -p24569 -aS'.\t.\t.\tO\tO' -p24570 -asS'She also reports difficulty sleeping , daytime sleepiness .' -p24571 -(lp24572 -S'She\tShe\tPRP\tB-NP\tO' -p24573 -aS'also\talso\tRB\tB-ADVP\tO' -p24574 -aS'reports\treport\tVBZ\tB-VP\tO' -p24575 -aS'difficulty\tdifficulty\tNN\tB-NP\tO' -p24576 -aS'sleeping\tsleep\tVBG\tB-VP\tO' -p24577 -aS',\t,\t,\tO\tO' -p24578 -aS'daytime\tdaytime\tNN\tB-NP\tO' -p24579 -aS'sleepiness\tsleepiness\tNN\tI-NP\tO' -p24580 -aS'.\t.\t.\tO\tO' -p24581 -asS'Patient had CTA which showed bilateral pulmonary embolisms .' -p24582 -(lp24583 -S'Patient\tPatient\tNN\tB-NP\tO' -p24584 -aS'had\thave\tVBD\tB-VP\tO' -p24585 -aS'CTA\tCTA\tNN\tB-NP\tB-protein' -p24586 -aS'which\twhich\tWDT\tB-NP\tO' -p24587 -aS'showed\tshow\tVBD\tB-VP\tO' -p24588 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p24589 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p24590 -aS'embolisms\tembolism\tNNS\tI-NP\tO' -p24591 -aS'.\t.\t.\tO\tO' -p24592 -asS'Attending : Donald R Virgil , M.D.' -p24593 -(lp24594 -S'Attending\tAttend\tVBG\tB-VP\tO' -p24595 -aS':\t:\t:\tO\tO' -p24596 -aS'Donald\tDonald\tNNP\tB-NP\tO' -p24597 -aS'R\tR\tNNP\tI-NP\tO' -p24598 -aS'Virgil\tVirgil\tNNP\tI-NP\tO' -p24599 -aS',\t,\t,\tO\tO' -p24600 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p24601 -asS'On the day of admission , she was generally stable and she had no evidence of disease in the pelvis , no bleeding and no other abnormality .' -p24602 -(lp24603 -S'On\tOn\tIN\tB-PP\tO' -p24604 -aS'the\tthe\tDT\tB-NP\tO' -p24605 -aS'day\tday\tNN\tI-NP\tO' -p24606 -aS'of\tof\tIN\tB-PP\tO' -p24607 -aS'admission\tadmission\tNN\tB-NP\tO' -p24608 -aS',\t,\t,\tO\tO' -p24609 -aS'she\tshe\tPRP\tB-NP\tO' -p24610 -aS'was\tbe\tVBD\tB-VP\tO' -p24611 -aS'generally\tgenerally\tRB\tB-ADVP\tO' -p24612 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p24613 -aS'and\tand\tCC\tO\tO' -p24614 -aS'she\tshe\tPRP\tB-NP\tO' -p24615 -aS'had\thave\tVBD\tB-VP\tO' -p24616 -aS'no\tno\tDT\tB-NP\tO' -p24617 -aS'evidence\tevidence\tNN\tI-NP\tO' -p24618 -aS'of\tof\tIN\tB-PP\tO' -p24619 -aS'disease\tdisease\tNN\tB-NP\tO' -p24620 -aS'in\tin\tIN\tB-PP\tO' -p24621 -aS'the\tthe\tDT\tB-NP\tO' -p24622 -aS'pelvis\tpelvis\tNN\tI-NP\tO' -p24623 -aS',\t,\t,\tO\tO' -p24624 -aS'no\tno\tDT\tB-NP\tO' -p24625 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p24626 -aS'and\tand\tCC\tO\tO' -p24627 -aS'no\tno\tDT\tB-NP\tO' -p24628 -aS'other\tother\tJJ\tI-NP\tO' -p24629 -aS'abnormality\tabnormality\tNN\tI-NP\tO' -p24630 -aS'.\t.\t.\tO\tO' -p24631 -asS'His hematocrit was 34.8 .' -p24632 -(lp24633 -S'His\tHis\tPRP$\tB-NP\tO' -p24634 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p24635 -aS'was\tbe\tVBD\tB-VP\tO' -p24636 -aS'34.8\t34.8\tCD\tB-NP\tO' -p24637 -aS'.\t.\t.\tO\tO' -p24638 -asS'- Metoprolol Tartrate 12.5 mg BID' -p24639 -(lp24640 -S'-\t-\tHYPH\tB-NP\tO' -p24641 -aS'Metoprolol\tMetoprolol\tNN\tI-NP\tO' -p24642 -aS'Tartrate\tTartrate\tNN\tI-NP\tO' -p24643 -aS'12.5\t12.5\tCD\tI-NP\tO' -p24644 -aS'mg\tmg\tNN\tI-NP\tO' -p24645 -aS'BID\tBID\tNN\tI-NP\tO' -p24646 -asS'Disp : *180 Tablet( s )*' -p24647 -(lp24648 -S'Disp\tDisp\tNN\tB-NP\tO' -p24649 -aS':\t:\t:\tO\tO' -p24650 -aS'*180\t*180\tCD\tB-NP\tO' -p24651 -aS'Tablet(\tTablet(\t(\tI-NP\tO' -p24652 -aS's\ts\tNN\tI-NP\tO' -p24653 -aS')*\t)*\tSYM\tB-NP\tO' -p24654 -asS'1. Docusate Sodium 100 mg Capsule Sig : One ( 1 ) Capsule PO BID ( 2 times a day ).' -p24655 -(lp24656 -S'1.\t1.\tLS\tB-NP\tO' -p24657 -aS'Docusate\tDocusate\tNN\tI-NP\tO' -p24658 -aS'Sodium\tSodium\tNN\tI-NP\tO' -p24659 -aS'100\t100\tCD\tI-NP\tO' -p24660 -aS'mg\tmg\tNN\tI-NP\tO' -p24661 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p24662 -aS'Sig\tSig\tNNP\tI-NP\tO' -p24663 -aS':\t:\t:\tO\tO' -p24664 -aS'One\tOne\tCD\tB-NP\tO' -p24665 -aS'(\t(\t(\tO\tO' -p24666 -aS'1\t1\tCD\tB-NP\tO' -p24667 -aS')\t)\t)\tO\tO' -p24668 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p24669 -aS'PO\tPO\tNNP\tI-NP\tO' -p24670 -aS'BID\tBID\tNNP\tI-NP\tO' -p24671 -aS'(\t(\t(\tO\tO' -p24672 -aS'2\t2\tCD\tB-NP\tO' -p24673 -aS'times\ttime\tNNS\tI-NP\tO' -p24674 -aS'a\ta\tDT\tB-NP\tO' -p24675 -aS'day\tday\tNN\tI-NP\tO' -p24676 -aS').\t).\t.\tO\tO' -p24677 -asS'Mr. Douglass is being discharged on 2017-01-13 to a rehabilitation facility in good condition .' -p24678 -(lp24679 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p24680 -aS'Douglass\tDouglass\tNNP\tI-NP\tO' -p24681 -aS'is\tbe\tVBZ\tB-VP\tO' -p24682 -aS'being\tbe\tVBG\tI-VP\tO' -p24683 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p24684 -aS'on\ton\tIN\tB-PP\tO' -p24685 -aS'2017-01-13\t2017-01-13\tCD\tB-NP\tO' -p24686 -aS'to\tto\tTO\tB-PP\tO' -p24687 -aS'a\ta\tDT\tB-NP\tO' -p24688 -aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' -p24689 -aS'facility\tfacility\tNN\tI-NP\tO' -p24690 -aS'in\tin\tIN\tB-PP\tO' -p24691 -aS'good\tgood\tJJ\tB-NP\tO' -p24692 -aS'condition\tcondition\tNN\tI-NP\tO' -p24693 -aS'.\t.\t.\tO\tO' -p24694 -asS'The patient tolerated a C5-6 ACDF by Dr. Miezetri Gach quite well .' -p24695 -(lp24696 -S'The\tThe\tDT\tB-NP\tO' -p24697 -aS'patient\tpatient\tNN\tI-NP\tO' -p24698 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p24699 -aS'a\ta\tDT\tB-NP\tO' -p24700 -aS'C5-6\tC5-6\tNN\tI-NP\tB-protein' -p24701 -aS'ACDF\tACDF\tNN\tI-NP\tI-protein' -p24702 -aS'by\tby\tIN\tB-PP\tO' -p24703 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p24704 -aS'Miezetri\tMiezetri\tNNP\tI-NP\tO' -p24705 -aS'Gach\tGach\tNNP\tI-NP\tO' -p24706 -aS'quite\tquite\tRB\tB-ADVP\tO' -p24707 -aS'well\twell\tRB\tI-ADVP\tO' -p24708 -aS'.\t.\t.\tO\tO' -p24709 -asS'This 62 year-old obese male was admitted with cellulitis and presumed bacteremia .' -p24710 -(lp24711 -S'This\tThis\tDT\tB-NP\tO' -p24712 -aS'62\t62\tCD\tI-NP\tO' -p24713 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p24714 -aS'obese\tobese\tJJ\tI-NP\tO' -p24715 -aS'male\tmale\tNN\tI-NP\tO' -p24716 -aS'was\tbe\tVBD\tB-VP\tO' -p24717 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p24718 -aS'with\twith\tIN\tB-PP\tO' -p24719 -aS'cellulitis\tcellulitis\tNN\tB-NP\tO' -p24720 -aS'and\tand\tCC\tO\tO' -p24721 -aS'presumed\tpresume\tVBN\tB-NP\tO' -p24722 -aS'bacteremia\tbacteremia\tNN\tI-NP\tO' -p24723 -aS'.\t.\t.\tO\tO' -p24724 -asS'In terms of his liver abnormalities , it was felt that viral hepatitis was in the differential as well as several opportunistic infections of the liver but also was felt that Bactrim could be a cause of these abnormalities .' -p24725 -(lp24726 -S'In\tIn\tIN\tB-PP\tO' -p24727 -aS'terms\tterm\tNNS\tB-NP\tO' -p24728 -aS'of\tof\tIN\tB-PP\tO' -p24729 -aS'his\this\tPRP$\tB-NP\tO' -p24730 -aS'liver\tliver\tNN\tI-NP\tO' -p24731 -aS'abnormalities\tabnormality\tNNS\tI-NP\tO' -p24732 -aS',\t,\t,\tO\tO' -p24733 -aS'it\tit\tPRP\tB-NP\tO' -p24734 -aS'was\tbe\tVBD\tB-VP\tO' -p24735 -aS'felt\tfeel\tVBN\tI-VP\tO' -p24736 -aS'that\tthat\tIN\tB-SBAR\tO' -p24737 -aS'viral\tviral\tJJ\tB-NP\tO' -p24738 -aS'hepatitis\thepatitis\tNN\tI-NP\tO' -p24739 -aS'was\tbe\tVBD\tB-VP\tO' -p24740 -aS'in\tin\tIN\tB-PP\tO' -p24741 -aS'the\tthe\tDT\tB-NP\tO' -p24742 -aS'differential\tdifferential\tJJ\tI-NP\tO' -p24743 -aS'as\tas\tRB\tB-CONJP\tO' -p24744 -aS'well\twell\tRB\tI-CONJP\tO' -p24745 -aS'as\tas\tIN\tI-CONJP\tO' -p24746 -aS'several\tseveral\tJJ\tB-NP\tO' -p24747 -aS'opportunistic\topportunistic\tJJ\tI-NP\tO' -p24748 -aS'infections\tinfection\tNNS\tI-NP\tO' -p24749 -aS'of\tof\tIN\tB-PP\tO' -p24750 -aS'the\tthe\tDT\tB-NP\tO' -p24751 -aS'liver\tliver\tNN\tI-NP\tO' -p24752 -aS'but\tbut\tCC\tB-CONJP\tO' -p24753 -aS'also\talso\tRB\tI-CONJP\tO' -p24754 -aS'was\tbe\tVBD\tB-VP\tO' -p24755 -aS'felt\tfeel\tVBN\tI-VP\tO' -p24756 -aS'that\tthat\tIN\tB-SBAR\tO' -p24757 -aS'Bactrim\tBactrim\tNNP\tB-NP\tO' -p24758 -aS'could\tcould\tMD\tB-VP\tO' -p24759 -aS'be\tbe\tVB\tI-VP\tO' -p24760 -aS'a\ta\tDT\tB-NP\tO' -p24761 -aS'cause\tcause\tNN\tI-NP\tO' -p24762 -aS'of\tof\tIN\tB-PP\tO' -p24763 -aS'these\tthese\tDT\tB-NP\tO' -p24764 -aS'abnormalities\tabnormality\tNNS\tI-NP\tO' -p24765 -aS'.\t.\t.\tO\tO' -p24766 -asS'The examination the abdomen was benign .' -p24767 -(lp24768 -S'The\tThe\tDT\tB-NP\tO' -p24769 -aS'examination\texamination\tNN\tI-NP\tO' -p24770 -aS'the\tthe\tDT\tB-NP\tO' -p24771 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p24772 -aS'was\tbe\tVBD\tB-VP\tO' -p24773 -aS'benign\tbenign\tJJ\tB-ADJP\tO' -p24774 -aS'.\t.\t.\tO\tO' -p24775 -asS'Signed electronically by : DR. Stephen Williams on : SAT 2011-10-08 9:45 AM' -p24776 -(lp24777 -S'Signed\tSign\tVBN\tB-VP\tO' -p24778 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p24779 -aS'by\tby\tIN\tB-PP\tO' -p24780 -aS':\t:\t:\tO\tO' -p24781 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p24782 -aS'Stephen\tStephen\tNNP\tI-NP\tO' -p24783 -aS'Williams\tWilliams\tNNP\tI-NP\tO' -p24784 -aS'on\ton\tIN\tB-PP\tO' -p24785 -aS':\t:\t:\tO\tO' -p24786 -aS'SAT\tSAT\tNN\tB-NP\tO' -p24787 -aS'2011-10-08\t2011-10-08\tCD\tI-NP\tO' -p24788 -aS'9:45\t9:45\tCD\tI-NP\tO' -p24789 -aS'AM\tAM\tNN\tI-NP\tO' -p24790 -asS'Provider : Laurie , Paul G. ( 858 ) 481-2816 Call to schedule appointment .' -p24791 -(lp24792 -S'Provider\tProvider\tNN\tB-NP\tO' -p24793 -aS':\t:\t:\tO\tO' -p24794 -aS'Laurie\tLaurie\tNNP\tB-NP\tO' -p24795 -aS',\t,\t,\tO\tO' -p24796 -aS'Paul\tPaul\tNNP\tB-NP\tO' -p24797 -aS'G.\tG.\tNNP\tI-NP\tO' -p24798 -aS'(\t(\t(\tO\tO' -p24799 -aS'858\t858\tCD\tB-NP\tO' -p24800 -aS')\t)\t)\tO\tO' -p24801 -aS'481-2816\t481-2816\tCD\tB-NP\tO' -p24802 -aS'Call\tCall\tNN\tI-NP\tO' -p24803 -aS'to\tto\tTO\tB-PP\tO' -p24804 -aS'schedule\tschedule\tNN\tB-NP\tO' -p24805 -aS'appointment\tappointment\tNN\tI-NP\tO' -p24806 -aS'.\t.\t.\tO\tO' -p24807 -asS'Additionaly surveillance cultures were drawn daily and the patient was transferred back to the floor with no subsequent pressor requirement .' -p24808 -(lp24809 -S'Additionaly\tAdditionaly\tRB\tB-ADVP\tO' -p24810 -aS'surveillance\tsurveillance\tNN\tB-NP\tO' -p24811 -aS'cultures\tculture\tNNS\tI-NP\tO' -p24812 -aS'were\tbe\tVBD\tB-VP\tO' -p24813 -aS'drawn\tdraw\tVBN\tI-VP\tO' -p24814 -aS'daily\tdaily\tRB\tB-ADVP\tO' -p24815 -aS'and\tand\tCC\tO\tO' -p24816 -aS'the\tthe\tDT\tB-NP\tO' -p24817 -aS'patient\tpatient\tNN\tI-NP\tO' -p24818 -aS'was\tbe\tVBD\tB-VP\tO' -p24819 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p24820 -aS'back\tback\tRB\tB-ADVP\tO' -p24821 -aS'to\tto\tTO\tB-PP\tO' -p24822 -aS'the\tthe\tDT\tB-NP\tO' -p24823 -aS'floor\tfloor\tNN\tI-NP\tO' -p24824 -aS'with\twith\tIN\tB-PP\tO' -p24825 -aS'no\tno\tDT\tB-NP\tO' -p24826 -aS'subsequent\tsubsequent\tJJ\tI-NP\tO' -p24827 -aS'pressor\tpressor\tNN\tI-NP\tO' -p24828 -aS'requirement\trequirement\tNN\tI-NP\tO' -p24829 -aS'.\t.\t.\tO\tO' -p24830 -asS'This is a 44 year-old right handed woman with Down 's syndrome who presents with falling and a decrease in her activities of daily living .' -p24831 -(lp24832 -S'This\tThis\tDT\tB-NP\tO' -p24833 -aS'is\tbe\tVBZ\tB-VP\tO' -p24834 -aS'a\ta\tDT\tB-NP\tO' -p24835 -aS'44\t44\tCD\tI-NP\tO' -p24836 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p24837 -aS'right\tright\tJJ\tI-NP\tO' -p24838 -aS'handed\thanded\tJJ\tI-NP\tO' -p24839 -aS'woman\twoman\tNN\tI-NP\tO' -p24840 -aS'with\twith\tIN\tB-PP\tO' -p24841 -aS'Down\tDown\tNN\tB-NP\tO' -p24842 -aS''s\t'\tNNS\tI-NP\tO' -p24843 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p24844 -aS'who\twho\tWP\tB-NP\tO' -p24845 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p24846 -aS'with\twith\tIN\tB-PP\tO' -p24847 -aS'falling\tfall\tVBG\tB-VP\tO' -p24848 -aS'and\tand\tCC\tO\tO' -p24849 -aS'a\ta\tDT\tB-NP\tO' -p24850 -aS'decrease\tdecrease\tNN\tI-NP\tO' -p24851 -aS'in\tin\tIN\tB-PP\tO' -p24852 -aS'her\ther\tPRP$\tB-NP\tO' -p24853 -aS'activities\tactivity\tNNS\tI-NP\tO' -p24854 -aS'of\tof\tIN\tB-PP\tO' -p24855 -aS'daily\tdaily\tJJ\tB-NP\tO' -p24856 -aS'living\tliving\tNN\tI-NP\tO' -p24857 -aS'.\t.\t.\tO\tO' -p24858 -asS'CORONARY ARTERY DISEASE .' -p24859 -(lp24860 -S'CORONARY\tCORONARY\tNN\tB-NP\tO' -p24861 -aS'ARTERY\tARTERY\tNN\tI-NP\tO' -p24862 -aS'DISEASE\tDISEASE\tNN\tI-NP\tO' -p24863 -aS'.\t.\t.\tO\tO' -p24864 -asS'7. Intra-abdominal infection .' -p24865 -(lp24866 -S'7.\t7.\tLS\tB-NP\tO' -p24867 -aS'Intra-abdominal\tIntra-abdominal\tJJ\tI-NP\tO' -p24868 -aS'infection\tinfection\tNN\tI-NP\tO' -p24869 -aS'.\t.\t.\tO\tO' -p24870 -asS'3. Biventricular systolic function is unchanged .' -p24871 -(lp24872 -S'3.\t3.\tLS\tB-NP\tO' -p24873 -aS'Biventricular\tBiventricular\tJJ\tI-NP\tO' -p24874 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p24875 -aS'function\tfunction\tNN\tI-NP\tO' -p24876 -aS'is\tbe\tVBZ\tB-VP\tO' -p24877 -aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' -p24878 -aS'.\t.\t.\tO\tO' -p24879 -asS'7. Dilantin 100 mg IV tid which can be changed to a po regimen in seven days .' -p24880 -(lp24881 -S'7.\t7.\tCD\tB-NP\tO' -p24882 -aS'Dilantin\tDilantin\tNN\tI-NP\tO' -p24883 -aS'100\t100\tCD\tB-NP\tO' -p24884 -aS'mg\tmg\tNN\tI-NP\tO' -p24885 -aS'IV\tIV\tCD\tB-NP\tO' -p24886 -aS'tid\ttid\tNN\tI-NP\tO' -p24887 -aS'which\twhich\tWDT\tB-NP\tO' -p24888 -aS'can\tcan\tMD\tB-VP\tO' -p24889 -aS'be\tbe\tVB\tI-VP\tO' -p24890 -aS'changed\tchange\tVBN\tI-VP\tO' -p24891 -aS'to\tto\tTO\tB-PP\tO' -p24892 -aS'a\ta\tDT\tB-NP\tO' -p24893 -aS'po\tpo\tNN\tI-NP\tO' -p24894 -aS'regimen\tregimen\tNN\tI-NP\tO' -p24895 -aS'in\tin\tIN\tB-PP\tO' -p24896 -aS'seven\tseven\tCD\tB-NP\tO' -p24897 -aS'days\tday\tNNS\tI-NP\tO' -p24898 -aS'.\t.\t.\tO\tO' -p24899 -asS'The patient was rate controlled and transferred to the Stillman Infirmary for emergent cardiac catheterization .' -p24900 -(lp24901 -S'The\tThe\tDT\tB-NP\tO' -p24902 -aS'patient\tpatient\tNN\tI-NP\tO' -p24903 -aS'was\tbe\tVBD\tB-VP\tO' -p24904 -aS'rate\trate\tNN\tI-VP\tO' -p24905 -aS'controlled\tcontrol\tVBN\tI-VP\tO' -p24906 -aS'and\tand\tCC\tO\tO' -p24907 -aS'transferred\ttransfer\tVBN\tB-VP\tO' -p24908 -aS'to\tto\tTO\tB-PP\tO' -p24909 -aS'the\tthe\tDT\tB-NP\tO' -p24910 -aS'Stillman\tStillman\tNNP\tI-NP\tO' -p24911 -aS'Infirmary\tInfirmary\tNNP\tI-NP\tO' -p24912 -aS'for\tfor\tIN\tB-PP\tO' -p24913 -aS'emergent\temergent\tJJ\tB-NP\tO' -p24914 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p24915 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p24916 -aS'.\t.\t.\tO\tO' -p24917 -asS'Heparin was discontinued because of the risk of intercerebral hemorrhage .' -p24918 -(lp24919 -S'Heparin\tHeparin\tNN\tB-NP\tO' -p24920 -aS'was\tbe\tVBD\tB-VP\tO' -p24921 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p24922 -aS'because\tbecause\tRB\tB-PP\tO' -p24923 -aS'of\tof\tIN\tI-PP\tO' -p24924 -aS'the\tthe\tDT\tB-NP\tO' -p24925 -aS'risk\trisk\tNN\tI-NP\tO' -p24926 -aS'of\tof\tIN\tB-PP\tO' -p24927 -aS'intercerebral\tintercerebral\tJJ\tB-NP\tO' -p24928 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p24929 -aS'.\t.\t.\tO\tO' -p24930 -asS'S1 , S2 .' -p24931 -(lp24932 -S'S1\tS1\tNN\tB-NP\tB-protein' -p24933 -aS',\t,\t,\tO\tO' -p24934 -aS'S2\tS2\tNN\tB-NP\tB-protein' -p24935 -aS'.\t.\t.\tO\tO' -p24936 -asS'Indeed , he was treated with diuretics and nitrates along with cessation of his aspirin , and he was put on IV Heparin .' -p24937 -(lp24938 -S'Indeed\tIndeed\tRB\tB-ADVP\tO' -p24939 -aS',\t,\t,\tO\tO' -p24940 -aS'he\the\tPRP\tB-NP\tO' -p24941 -aS'was\tbe\tVBD\tB-VP\tO' -p24942 -aS'treated\ttreat\tVBN\tI-VP\tO' -p24943 -aS'with\twith\tIN\tB-PP\tO' -p24944 -aS'diuretics\tdiuretic\tNNS\tB-NP\tO' -p24945 -aS'and\tand\tCC\tI-NP\tO' -p24946 -aS'nitrates\tnitrate\tNNS\tI-NP\tO' -p24947 -aS'along\talong\tIN\tB-PP\tO' -p24948 -aS'with\twith\tIN\tB-PP\tO' -p24949 -aS'cessation\tcessation\tNN\tB-NP\tO' -p24950 -aS'of\tof\tIN\tB-PP\tO' -p24951 -aS'his\this\tPRP$\tB-NP\tO' -p24952 -aS'aspirin\taspirin\tNN\tI-NP\tO' -p24953 -aS',\t,\t,\tO\tO' -p24954 -aS'and\tand\tCC\tO\tO' -p24955 -aS'he\the\tPRP\tB-NP\tO' -p24956 -aS'was\tbe\tVBD\tB-VP\tO' -p24957 -aS'put\tput\tVBN\tI-VP\tO' -p24958 -aS'on\ton\tIN\tB-PP\tO' -p24959 -aS'IV\tIV\tCD\tB-NP\tO' -p24960 -aS'Heparin\tHeparin\tNN\tI-NP\tO' -p24961 -aS'.\t.\t.\tO\tO' -p24962 -asS'she was transfused with 5 units of PRBC in the ICU andsent to the Lahey Clinic - North Shore .' -p24963 -(lp24964 -S'she\tshe\tPRP\tB-NP\tO' -p24965 -aS'was\tbe\tVBD\tB-VP\tO' -p24966 -aS'transfused\ttransfuse\tVBN\tI-VP\tO' -p24967 -aS'with\twith\tIN\tB-PP\tO' -p24968 -aS'5\t5\tCD\tB-NP\tO' -p24969 -aS'units\tunit\tNNS\tI-NP\tO' -p24970 -aS'of\tof\tIN\tB-PP\tO' -p24971 -aS'PRBC\tPRBC\tNN\tB-NP\tB-protein' -p24972 -aS'in\tin\tIN\tB-PP\tO' -p24973 -aS'the\tthe\tDT\tB-NP\tO' -p24974 -aS'ICU\tICU\tNN\tI-NP\tO' -p24975 -aS'andsent\tandsent\tNN\tI-NP\tO' -p24976 -aS'to\tto\tTO\tB-PP\tO' -p24977 -aS'the\tthe\tDT\tB-NP\tO' -p24978 -aS'Lahey\tLahey\tNNP\tI-NP\tO' -p24979 -aS'Clinic\tClinic\tNNP\tI-NP\tO' -p24980 -aS'-\t-\tHYPH\tI-NP\tO' -p24981 -aS'North\tNorth\tNNP\tB-NP\tO' -p24982 -aS'Shore\tShore\tNNP\tI-NP\tO' -p24983 -aS'.\t.\t.\tO\tO' -p24984 -asS'Chest x-ray that was questionable left lower lobe infiltrate .' -p24985 -(lp24986 -S'Chest\tCh\tJJS\tB-NP\tO' -p24987 -aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' -p24988 -aS'that\tthat\tWDT\tB-NP\tO' -p24989 -aS'was\tbe\tVBD\tB-VP\tO' -p24990 -aS'questionable\tquestionable\tJJ\tB-ADJP\tO' -p24991 -aS'left\tleave\tVBD\tB-VP\tO' -p24992 -aS'lower\tlow\tJJR\tB-NP\tO' -p24993 -aS'lobe\tlobe\tNN\tI-NP\tO' -p24994 -aS'infiltrate\tinfiltrate\tNN\tI-NP\tO' -p24995 -aS'.\t.\t.\tO\tO' -p24996 -asS'He was found to be healthy .' -p24997 -(lp24998 -S'He\tHe\tPRP\tB-NP\tO' -p24999 -aS'was\tbe\tVBD\tB-VP\tO' -p25000 -aS'found\tfind\tVBN\tI-VP\tO' -p25001 -aS'to\tto\tTO\tI-VP\tO' -p25002 -aS'be\tbe\tVB\tI-VP\tO' -p25003 -aS'healthy\thealthy\tJJ\tB-ADJP\tO' -p25004 -aS'.\t.\t.\tO\tO' -p25005 -asS'She became more alert during the remainder of the exam .' -p25006 -(lp25007 -S'She\tShe\tPRP\tB-NP\tO' -p25008 -aS'became\tbecome\tVBD\tB-VP\tO' -p25009 -aS'more\tmore\tRBR\tB-ADJP\tO' -p25010 -aS'alert\talert\tJJ\tI-ADJP\tO' -p25011 -aS'during\tduring\tIN\tB-PP\tO' -p25012 -aS'the\tthe\tDT\tB-NP\tO' -p25013 -aS'remainder\tremainder\tNN\tI-NP\tO' -p25014 -aS'of\tof\tIN\tB-PP\tO' -p25015 -aS'the\tthe\tDT\tB-NP\tO' -p25016 -aS'exam\texam\tNN\tI-NP\tO' -p25017 -aS'.\t.\t.\tO\tO' -p25018 -asS'Mychelia required two transfusions during her hospital stay .' -p25019 -(lp25020 -S'Mychelia\tMychelia\tNNP\tB-NP\tO' -p25021 -aS'required\trequire\tVBD\tB-VP\tO' -p25022 -aS'two\ttwo\tCD\tB-NP\tO' -p25023 -aS'transfusions\ttransfusion\tNNS\tI-NP\tO' -p25024 -aS'during\tduring\tIN\tB-PP\tO' -p25025 -aS'her\ther\tPRP$\tB-NP\tO' -p25026 -aS'hospital\thospital\tNN\tI-NP\tO' -p25027 -aS'stay\tstay\tNN\tI-NP\tO' -p25028 -aS'.\t.\t.\tO\tO' -p25029 -asS'The patient 's major improvement came after the first two days with brisk diuresis with Lasix .' -p25030 -(lp25031 -S'The\tThe\tDT\tB-NP\tO' -p25032 -aS'patient\tpatient\tNN\tI-NP\tO' -p25033 -aS''s\t'\tNNS\tI-NP\tO' -p25034 -aS'major\tmajor\tJJ\tB-NP\tO' -p25035 -aS'improvement\timprovement\tNN\tI-NP\tO' -p25036 -aS'came\tcome\tVBD\tB-VP\tO' -p25037 -aS'after\tafter\tIN\tB-PP\tO' -p25038 -aS'the\tthe\tDT\tB-NP\tO' -p25039 -aS'first\tfirst\tJJ\tI-NP\tO' -p25040 -aS'two\ttwo\tCD\tI-NP\tO' -p25041 -aS'days\tday\tNNS\tI-NP\tO' -p25042 -aS'with\twith\tIN\tB-PP\tO' -p25043 -aS'brisk\tbrisk\tJJ\tB-NP\tO' -p25044 -aS'diuresis\tdiuresis\tNN\tI-NP\tO' -p25045 -aS'with\twith\tIN\tB-PP\tO' -p25046 -aS'Lasix\tLasix\tNNP\tB-NP\tO' -p25047 -aS'.\t.\t.\tO\tO' -p25048 -asS'He is married .' -p25049 -(lp25050 -S'He\tHe\tPRP\tB-NP\tO' -p25051 -aS'is\tbe\tVBZ\tB-VP\tO' -p25052 -aS'married\tmarry\tVBN\tI-VP\tO' -p25053 -aS'.\t.\t.\tO\tO' -p25054 -asS'She was noted to have low urine output at times .' -p25055 -(lp25056 -S'She\tShe\tPRP\tB-NP\tO' -p25057 -aS'was\tbe\tVBD\tB-VP\tO' -p25058 -aS'noted\tnote\tVBN\tI-VP\tO' -p25059 -aS'to\tto\tTO\tI-VP\tO' -p25060 -aS'have\thave\tVB\tI-VP\tO' -p25061 -aS'low\tlow\tJJ\tB-NP\tO' -p25062 -aS'urine\turine\tNN\tI-NP\tO' -p25063 -aS'output\toutput\tNN\tI-NP\tO' -p25064 -aS'at\tat\tIN\tB-PP\tO' -p25065 -aS'times\ttime\tNNS\tB-NP\tO' -p25066 -aS'.\t.\t.\tO\tO' -p25067 -asS'S1/S2 .' -p25068 -(lp25069 -S'S1/S2\tS1/S2\tNN\tB-NP\tO' -p25070 -aS'.\t.\t.\tO\tO' -p25071 -asS'Skin is warm and dry with decreased skin turgor .' -p25072 -(lp25073 -S'Skin\tSkin\tNNP\tB-NP\tO' -p25074 -aS'is\tbe\tVBZ\tB-VP\tO' -p25075 -aS'warm\twarm\tJJ\tB-ADJP\tO' -p25076 -aS'and\tand\tCC\tI-ADJP\tO' -p25077 -aS'dry\tdry\tJJ\tI-ADJP\tO' -p25078 -aS'with\twith\tIN\tB-PP\tO' -p25079 -aS'decreased\tdecrease\tVBN\tB-NP\tO' -p25080 -aS'skin\tskin\tNN\tI-NP\tO' -p25081 -aS'turgor\tturgor\tNN\tI-NP\tO' -p25082 -aS'.\t.\t.\tO\tO' -p25083 -asS'6. Back surgery .' -p25084 -(lp25085 -S'6.\t6.\tLS\tB-NP\tO' -p25086 -aS'Back\tBack\tNN\tI-NP\tO' -p25087 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p25088 -aS'.\t.\t.\tO\tO' -p25089 -asS'L PICC ( 2017-02-14 ) .' -p25090 -(lp25091 -S'L\tL\tNN\tB-NP\tO' -p25092 -aS'PICC\tPICC\tNN\tI-NP\tO' -p25093 -aS'(\t(\t(\tO\tO' -p25094 -aS'2017-02-14\t2017-02-14\tCD\tB-NP\tO' -p25095 -aS')\t)\t)\tO\tO' -p25096 -aS'.\t.\t.\tO\tO' -p25097 -asS'Incision with staples , open to air , clean and dry .' -p25098 -(lp25099 -S'Incision\tIncision\tNN\tB-NP\tO' -p25100 -aS'with\twith\tIN\tB-PP\tO' -p25101 -aS'staples\tstaple\tNNS\tB-NP\tO' -p25102 -aS',\t,\t,\tO\tO' -p25103 -aS'open\topen\tJJ\tB-ADJP\tO' -p25104 -aS'to\tto\tTO\tB-PP\tO' -p25105 -aS'air\tair\tNN\tB-NP\tO' -p25106 -aS',\t,\t,\tO\tO' -p25107 -aS'clean\tclean\tJJ\tB-ADJP\tO' -p25108 -aS'and\tand\tCC\tI-ADJP\tO' -p25109 -aS'dry\tdry\tJJ\tI-ADJP\tO' -p25110 -aS'.\t.\t.\tO\tO' -p25111 -asS'3. Codeine for cough .' -p25112 -(lp25113 -S'3.\t3.\tLS\tB-NP\tO' -p25114 -aS'Codeine\tCodeine\tNN\tI-NP\tO' -p25115 -aS'for\tfor\tIN\tB-PP\tO' -p25116 -aS'cough\tcough\tNN\tB-NP\tO' -p25117 -aS'.\t.\t.\tO\tO' -p25118 -asS'The patient smoked one pack of cigarettes per day from age 16 to 50 .' -p25119 -(lp25120 -S'The\tThe\tDT\tB-NP\tO' -p25121 -aS'patient\tpatient\tNN\tI-NP\tO' -p25122 -aS'smoked\tsmoke\tVBD\tB-VP\tO' -p25123 -aS'one\tone\tCD\tB-NP\tO' -p25124 -aS'pack\tpack\tNN\tI-NP\tO' -p25125 -aS'of\tof\tIN\tB-PP\tO' -p25126 -aS'cigarettes\tcigarette\tNNS\tB-NP\tO' -p25127 -aS'per\tper\tIN\tB-PP\tO' -p25128 -aS'day\tday\tNN\tB-NP\tO' -p25129 -aS'from\tfrom\tIN\tB-PP\tO' -p25130 -aS'age\tage\tNN\tB-NP\tO' -p25131 -aS'16\t16\tCD\tI-NP\tO' -p25132 -aS'to\tto\tTO\tB-PP\tO' -p25133 -aS'50\t50\tCD\tB-NP\tO' -p25134 -aS'.\t.\t.\tO\tO' -p25135 -asS'Follow-up chest CT on October 26 , 1997 at the Ver Medical Center showed multiple pulmonary nodules in abundant number , very small nodes seen in the mediastinum but no hilar adenopathy , no hepatosplenomegaly or adrenal mass was noted .' -p25136 -(lp25137 -S'Follow-up\tFollow-up\tJJ\tB-NP\tO' -p25138 -aS'chest\tchest\tNN\tI-NP\tO' -p25139 -aS'CT\tCT\tNN\tI-NP\tO' -p25140 -aS'on\ton\tIN\tB-PP\tO' -p25141 -aS'October\tOctober\tNNP\tB-NP\tO' -p25142 -aS'26\t26\tCD\tI-NP\tO' -p25143 -aS',\t,\t,\tI-NP\tO' -p25144 -aS'1997\t1997\tCD\tI-NP\tO' -p25145 -aS'at\tat\tIN\tB-PP\tO' -p25146 -aS'the\tthe\tDT\tB-NP\tO' -p25147 -aS'Ver\tVer\tNNP\tI-NP\tO' -p25148 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p25149 -aS'Center\tCenter\tNNP\tI-NP\tO' -p25150 -aS'showed\tshow\tVBD\tB-VP\tO' -p25151 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p25152 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p25153 -aS'nodules\tnodule\tNNS\tI-NP\tO' -p25154 -aS'in\tin\tIN\tB-PP\tO' -p25155 -aS'abundant\tabundant\tJJ\tB-NP\tO' -p25156 -aS'number\tnumber\tNN\tI-NP\tO' -p25157 -aS',\t,\t,\tO\tO' -p25158 -aS'very\tvery\tRB\tB-NP\tO' -p25159 -aS'small\tsmall\tJJ\tI-NP\tO' -p25160 -aS'nodes\tnode\tNNS\tI-NP\tO' -p25161 -aS'seen\tsee\tVBN\tB-VP\tO' -p25162 -aS'in\tin\tIN\tB-PP\tO' -p25163 -aS'the\tthe\tDT\tB-NP\tO' -p25164 -aS'mediastinum\tmediastinum\tNN\tI-NP\tO' -p25165 -aS'but\tbut\tCC\tO\tO' -p25166 -aS'no\tno\tDT\tB-NP\tO' -p25167 -aS'hilar\thilar\tJJ\tI-NP\tO' -p25168 -aS'adenopathy\tadenopathy\tNN\tI-NP\tO' -p25169 -aS',\t,\t,\tO\tO' -p25170 -aS'no\tno\tDT\tB-NP\tO' -p25171 -aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tI-NP\tO' -p25172 -aS'or\tor\tCC\tO\tO' -p25173 -aS'adrenal\tadrenal\tJJ\tB-NP\tO' -p25174 -aS'mass\tmass\tNN\tI-NP\tO' -p25175 -aS'was\tbe\tVBD\tB-VP\tO' -p25176 -aS'noted\tnote\tVBN\tI-VP\tO' -p25177 -aS'.\t.\t.\tO\tO' -p25178 -asS'At this time , an Infectious Disease consult was obtained , and the recommendation was to discontinue the ampicillin , gentamicin and clindamycin , and start her on intravenous Unasyn .' -p25179 -(lp25180 -S'At\tAt\tIN\tB-PP\tO' -p25181 -aS'this\tthis\tDT\tB-NP\tO' -p25182 -aS'time\ttime\tNN\tI-NP\tO' -p25183 -aS',\t,\t,\tO\tO' -p25184 -aS'an\tan\tDT\tB-NP\tO' -p25185 -aS'Infectious\tInfectious\tJJ\tI-NP\tO' -p25186 -aS'Disease\tDisease\tNN\tI-NP\tO' -p25187 -aS'consult\tconsult\tNN\tI-NP\tO' -p25188 -aS'was\tbe\tVBD\tB-VP\tO' -p25189 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p25190 -aS',\t,\t,\tO\tO' -p25191 -aS'and\tand\tCC\tO\tO' -p25192 -aS'the\tthe\tDT\tB-NP\tO' -p25193 -aS'recommendation\trecommendation\tNN\tI-NP\tO' -p25194 -aS'was\tbe\tVBD\tB-VP\tO' -p25195 -aS'to\tto\tTO\tB-VP\tO' -p25196 -aS'discontinue\tdiscontinue\tVB\tI-VP\tO' -p25197 -aS'the\tthe\tDT\tB-NP\tO' -p25198 -aS'ampicillin\tampicillin\tNN\tI-NP\tO' -p25199 -aS',\t,\t,\tI-NP\tO' -p25200 -aS'gentamicin\tgentamicin\tNN\tI-NP\tO' -p25201 -aS'and\tand\tCC\tI-NP\tO' -p25202 -aS'clindamycin\tclindamycin\tNN\tI-NP\tO' -p25203 -aS',\t,\t,\tO\tO' -p25204 -aS'and\tand\tCC\tO\tO' -p25205 -aS'start\tstart\tVB\tB-VP\tO' -p25206 -aS'her\ther\tPRP\tB-NP\tO' -p25207 -aS'on\ton\tIN\tB-PP\tO' -p25208 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p25209 -aS'Unasyn\tUnasyn\tNN\tI-NP\tO' -p25210 -aS'.\t.\t.\tO\tO' -p25211 -asS'Visual fields were full to confrontation .' -p25212 -(lp25213 -S'Visual\tVisual\tJJ\tB-NP\tO' -p25214 -aS'fields\tfield\tNNS\tI-NP\tO' -p25215 -aS'were\tbe\tVBD\tB-VP\tO' -p25216 -aS'full\tfull\tJJ\tB-ADJP\tO' -p25217 -aS'to\tto\tTO\tB-PP\tO' -p25218 -aS'confrontation\tconfrontation\tNN\tB-NP\tO' -p25219 -aS'.\t.\t.\tO\tO' -p25220 -asS'Infant was extubated on day of life four to CPAP and transitioned to room air on day of life six .' -p25221 -(lp25222 -S'Infant\tInfant\tNN\tB-NP\tO' -p25223 -aS'was\tbe\tVBD\tB-VP\tO' -p25224 -aS'extubated\textubate\tVBN\tI-VP\tO' -p25225 -aS'on\ton\tIN\tB-PP\tO' -p25226 -aS'day\tday\tNN\tB-NP\tO' -p25227 -aS'of\tof\tIN\tB-PP\tO' -p25228 -aS'life\tlife\tNN\tB-NP\tO' -p25229 -aS'four\tfour\tCD\tI-NP\tO' -p25230 -aS'to\tto\tTO\tB-PP\tO' -p25231 -aS'CPAP\tCPAP\tNN\tB-NP\tB-protein' -p25232 -aS'and\tand\tCC\tO\tO' -p25233 -aS'transitioned\ttransitione\tVBN\tB-VP\tO' -p25234 -aS'to\tto\tTO\tB-PP\tO' -p25235 -aS'room\troom\tNN\tB-NP\tO' -p25236 -aS'air\tair\tNN\tI-NP\tO' -p25237 -aS'on\ton\tIN\tB-PP\tO' -p25238 -aS'day\tday\tNN\tB-NP\tO' -p25239 -aS'of\tof\tIN\tB-PP\tO' -p25240 -aS'life\tlife\tNN\tB-NP\tO' -p25241 -aS'six\tsix\tCD\tI-NP\tO' -p25242 -aS'.\t.\t.\tO\tO' -p25243 -asS'Therefore , she received 1L of D5 , and her sugars were elevated to 400 the day of discharge .' -p25244 -(lp25245 -S'Therefore\tTherefore\tRB\tB-ADVP\tO' -p25246 -aS',\t,\t,\tO\tO' -p25247 -aS'she\tshe\tPRP\tB-NP\tO' -p25248 -aS'received\treceive\tVBD\tB-VP\tO' -p25249 -aS'1L\t1L\tNN\tB-NP\tO' -p25250 -aS'of\tof\tIN\tB-PP\tO' -p25251 -aS'D5\tD5\tNN\tB-NP\tB-protein' -p25252 -aS',\t,\t,\tO\tO' -p25253 -aS'and\tand\tCC\tO\tO' -p25254 -aS'her\ther\tPRP$\tB-NP\tO' -p25255 -aS'sugars\tsugar\tNNS\tI-NP\tO' -p25256 -aS'were\tbe\tVBD\tB-VP\tO' -p25257 -aS'elevated\televate\tVBN\tI-VP\tO' -p25258 -aS'to\tto\tTO\tB-PP\tO' -p25259 -aS'400\t400\tCD\tB-NP\tO' -p25260 -aS'the\tthe\tDT\tB-NP\tO' -p25261 -aS'day\tday\tNN\tI-NP\tO' -p25262 -aS'of\tof\tIN\tB-PP\tO' -p25263 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p25264 -aS'.\t.\t.\tO\tO' -p25265 -asS"The patient 's pericardium was left open ; lines placed included a right radial line and a right IJ line ; both ventricular and atrial wires were placed ; two mediastinal tubes were placed ." -p25266 -(lp25267 -S'The\tThe\tDT\tB-NP\tO' -p25268 -aS'patient\tpatient\tNN\tI-NP\tO' -p25269 -aS"'s\t's\tPOS\tB-NP\tO" -p25270 -aS'pericardium\tpericardium\tNN\tI-NP\tO' -p25271 -aS'was\tbe\tVBD\tB-VP\tO' -p25272 -aS'left\tleave\tVBN\tI-VP\tO' -p25273 -aS'open\topen\tJJ\tB-ADJP\tO' -p25274 -aS';\t;\t:\tO\tO' -p25275 -aS'lines\tline\tNNS\tB-NP\tO' -p25276 -aS'placed\tplace\tVBN\tB-VP\tO' -p25277 -aS'included\tinclude\tVBD\tB-VP\tO' -p25278 -aS'a\ta\tDT\tB-NP\tO' -p25279 -aS'right\tright\tJJ\tI-NP\tB-cell_line' -p25280 -aS'radial\tradial\tJJ\tI-NP\tI-cell_line' -p25281 -aS'line\tline\tNN\tI-NP\tI-cell_line' -p25282 -aS'and\tand\tCC\tO\tO' -p25283 -aS'a\ta\tDT\tB-NP\tO' -p25284 -aS'right\tright\tJJ\tI-NP\tB-cell_line' -p25285 -aS'IJ\tIJ\tNN\tI-NP\tI-cell_line' -p25286 -aS'line\tline\tNN\tI-NP\tI-cell_line' -p25287 -aS';\t;\t:\tO\tO' -p25288 -aS'both\tboth\tDT\tB-NP\tO' -p25289 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p25290 -aS'and\tand\tCC\tI-NP\tO' -p25291 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p25292 -aS'wires\twire\tNNS\tI-NP\tO' -p25293 -aS'were\tbe\tVBD\tB-VP\tO' -p25294 -aS'placed\tplace\tVBN\tI-VP\tO' -p25295 -aS';\t;\t:\tO\tO' -p25296 -aS'two\ttwo\tCD\tB-NP\tO' -p25297 -aS'mediastinal\tmediastinal\tJJ\tI-NP\tO' -p25298 -aS'tubes\ttube\tNNS\tI-NP\tO' -p25299 -aS'were\tbe\tVBD\tB-VP\tO' -p25300 -aS'placed\tplace\tVBN\tI-VP\tO' -p25301 -aS'.\t.\t.\tO\tO' -p25302 -asS'The patient should follow-up with his primary care physician within one week .' -p25303 -(lp25304 -S'The\tThe\tDT\tB-NP\tO' -p25305 -aS'patient\tpatient\tNN\tI-NP\tO' -p25306 -aS'should\tshould\tMD\tB-VP\tO' -p25307 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p25308 -aS'with\twith\tIN\tB-PP\tO' -p25309 -aS'his\this\tPRP$\tB-NP\tO' -p25310 -aS'primary\tprimary\tJJ\tI-NP\tO' -p25311 -aS'care\tcare\tNN\tI-NP\tO' -p25312 -aS'physician\tphysician\tNN\tI-NP\tO' -p25313 -aS'within\twithin\tIN\tB-PP\tO' -p25314 -aS'one\tone\tCD\tB-NP\tO' -p25315 -aS'week\tweek\tNN\tI-NP\tO' -p25316 -aS'.\t.\t.\tO\tO' -p25317 -asS'Concern for aspiration of mediations to lungs .' -p25318 -(lp25319 -S'Concern\tConcern\tNN\tB-NP\tO' -p25320 -aS'for\tfor\tIN\tB-PP\tO' -p25321 -aS'aspiration\taspiration\tNN\tB-NP\tO' -p25322 -aS'of\tof\tIN\tB-PP\tO' -p25323 -aS'mediations\tmediation\tNNS\tB-NP\tO' -p25324 -aS'to\tto\tTO\tB-PP\tO' -p25325 -aS'lungs\tlung\tNNS\tB-NP\tO' -p25326 -aS'.\t.\t.\tO\tO' -p25327 -asS'The patient 's abdominal fluid cell counts showed 2400 white blood cells , 500 red cells with 82 polyps , 11 lymphs , 7 monos .' -p25328 -(lp25329 -S'The\tThe\tDT\tB-NP\tO' -p25330 -aS'patient\tpatient\tNN\tI-NP\tO' -p25331 -aS''s\t'\tNNS\tI-NP\tO' -p25332 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p25333 -aS'fluid\tfluid\tNN\tI-NP\tO' -p25334 -aS'cell\tcell\tNN\tI-NP\tO' -p25335 -aS'counts\tcount\tNNS\tI-NP\tO' -p25336 -aS'showed\tshow\tVBD\tB-VP\tO' -p25337 -aS'2400\t2400\tCD\tB-NP\tO' -p25338 -aS'white\twhite\tJJ\tI-NP\tO' -p25339 -aS'blood\tblood\tNN\tI-NP\tO' -p25340 -aS'cells\tcell\tNNS\tI-NP\tO' -p25341 -aS',\t,\t,\tO\tO' -p25342 -aS'500\t500\tCD\tB-NP\tO' -p25343 -aS'red\tred\tJJ\tI-NP\tB-cell_type' -p25344 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p25345 -aS'with\twith\tIN\tB-PP\tO' -p25346 -aS'82\t82\tCD\tB-NP\tO' -p25347 -aS'polyps\tpolyp\tNNS\tI-NP\tO' -p25348 -aS',\t,\t,\tO\tO' -p25349 -aS'11\t11\tCD\tB-NP\tO' -p25350 -aS'lymphs\tlymph\tNNS\tI-NP\tO' -p25351 -aS',\t,\t,\tO\tO' -p25352 -aS'7\t7\tCD\tB-NP\tO' -p25353 -aS'monos\tmono\tNNS\tI-NP\tO' -p25354 -aS'.\t.\t.\tO\tO' -p25355 -asS'4. Failed swallow study status post percutaneous endoscopic gastrostomy tube placement .' -p25356 -(lp25357 -S'4.\t4.\tLS\tB-LST\tO' -p25358 -aS'Failed\tFail\tVBD\tB-VP\tO' -p25359 -aS'swallow\tswallow\tVB\tI-VP\tO' -p25360 -aS'study\tstudy\tNN\tB-NP\tO' -p25361 -aS'status\tstatus\tNN\tI-NP\tO' -p25362 -aS'post\tpost\tIN\tB-PP\tO' -p25363 -aS'percutaneous\tpercutaneous\tJJ\tB-NP\tO' -p25364 -aS'endoscopic\tendoscopic\tJJ\tI-NP\tO' -p25365 -aS'gastrostomy\tgastrostomy\tNN\tI-NP\tO' -p25366 -aS'tube\ttube\tNN\tI-NP\tO' -p25367 -aS'placement\tplacement\tNN\tI-NP\tO' -p25368 -aS'.\t.\t.\tO\tO' -p25369 -asS'He has a history of intravenous drug abuse , no alcohol abuse or tobacco abuse .' -p25370 -(lp25371 -S'He\tHe\tPRP\tB-NP\tO' -p25372 -aS'has\thave\tVBZ\tB-VP\tO' -p25373 -aS'a\ta\tDT\tB-NP\tO' -p25374 -aS'history\thistory\tNN\tI-NP\tO' -p25375 -aS'of\tof\tIN\tB-PP\tO' -p25376 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p25377 -aS'drug\tdrug\tNN\tI-NP\tO' -p25378 -aS'abuse\tabuse\tNN\tI-NP\tO' -p25379 -aS',\t,\t,\tO\tO' -p25380 -aS'no\tno\tDT\tB-NP\tO' -p25381 -aS'alcohol\talcohol\tNN\tI-NP\tO' -p25382 -aS'abuse\tabuse\tNN\tI-NP\tO' -p25383 -aS'or\tor\tCC\tI-NP\tO' -p25384 -aS'tobacco\ttobacco\tNN\tI-NP\tO' -p25385 -aS'abuse\tabuse\tNN\tI-NP\tO' -p25386 -aS'.\t.\t.\tO\tO' -p25387 -asS'Following initiation of his Zosyn , the white count continued to improve and the patient was planned for a PICC line for long-term intravenous antibiotics .' -p25388 -(lp25389 -S'Following\tFollow\tVBG\tB-PP\tO' -p25390 -aS'initiation\tinitiation\tNN\tB-NP\tO' -p25391 -aS'of\tof\tIN\tB-PP\tO' -p25392 -aS'his\this\tPRP$\tB-NP\tO' -p25393 -aS'Zosyn\tZosyn\tNN\tI-NP\tB-protein' -p25394 -aS',\t,\t,\tO\tO' -p25395 -aS'the\tthe\tDT\tB-NP\tO' -p25396 -aS'white\twhite\tJJ\tI-NP\tO' -p25397 -aS'count\tcount\tNN\tI-NP\tO' -p25398 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p25399 -aS'to\tto\tTO\tI-VP\tO' -p25400 -aS'improve\timprove\tVB\tI-VP\tO' -p25401 -aS'and\tand\tCC\tO\tO' -p25402 -aS'the\tthe\tDT\tB-NP\tO' -p25403 -aS'patient\tpatient\tNN\tI-NP\tO' -p25404 -aS'was\tbe\tVBD\tB-VP\tO' -p25405 -aS'planned\tplan\tVBN\tI-VP\tO' -p25406 -aS'for\tfor\tIN\tB-PP\tO' -p25407 -aS'a\ta\tDT\tB-NP\tO' -p25408 -aS'PICC\tPICC\tNN\tI-NP\tB-cell_line' -p25409 -aS'line\tline\tNN\tI-NP\tI-cell_line' -p25410 -aS'for\tfor\tIN\tB-PP\tO' -p25411 -aS'long-term\tlong-term\tJJ\tB-NP\tO' -p25412 -aS'intravenous\tintravenous\tJJ\tI-NP\tO' -p25413 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p25414 -aS'.\t.\t.\tO\tO' -p25415 -asS'5. Declined triple screen and amniocentesis .' -p25416 -(lp25417 -S'5.\t5.\tLS\tB-LST\tO' -p25418 -aS'Declined\tDecline\tVBD\tB-VP\tO' -p25419 -aS'triple\ttriple\tJJ\tB-NP\tO' -p25420 -aS'screen\tscreen\tNN\tI-NP\tO' -p25421 -aS'and\tand\tCC\tI-NP\tO' -p25422 -aS'amniocentesis\tamniocentesis\tNN\tI-NP\tO' -p25423 -aS'.\t.\t.\tO\tO' -p25424 -asS'8) MULTIPLE MYELOMA .' -p25425 -(lp25426 -S'8)\t8)\tLS\tB-NP\tO' -p25427 -aS'MULTIPLE\tMULTIPLE\tNN\tI-NP\tO' -p25428 -aS'MYELOMA\tMYELOMA\tNN\tI-NP\tO' -p25429 -aS'.\t.\t.\tO\tO' -p25430 -asS'Grasp symmetric .' -p25431 -(lp25432 -S'Grasp\tGrasp\tNN\tB-NP\tO' -p25433 -aS'symmetric\tsymmetric\tJJ\tB-ADJP\tO' -p25434 -aS'.\t.\t.\tO\tO' -p25435 -asS'ECG : Ventricular paced rhythm .' -p25436 -(lp25437 -S'ECG\tECG\tNN\tB-NP\tO' -p25438 -aS':\t:\t:\tO\tO' -p25439 -aS'Ventricular\tVentricular\tJJ\tB-NP\tO' -p25440 -aS'paced\tpaced\tJJ\tI-NP\tO' -p25441 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p25442 -aS'.\t.\t.\tO\tO' -p25443 -asS'Her Foley was removed .' -p25444 -(lp25445 -S'Her\tHer\tPRP$\tB-NP\tO' -p25446 -aS'Foley\tFoley\tNNP\tI-NP\tO' -p25447 -aS'was\tbe\tVBD\tB-VP\tO' -p25448 -aS'removed\tremove\tVBN\tI-VP\tO' -p25449 -aS'.\t.\t.\tO\tO' -p25450 -asS'GI was consulted for colonoscopy .' -p25451 -(lp25452 -S'GI\tGI\tNN\tB-NP\tO' -p25453 -aS'was\tbe\tVBD\tB-VP\tO' -p25454 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p25455 -aS'for\tfor\tIN\tB-PP\tO' -p25456 -aS'colonoscopy\tcolonoscopy\tNN\tB-NP\tO' -p25457 -aS'.\t.\t.\tO\tO' -p25458 -asS'He has a history of gastroesophageal reflux disease and anemia .' -p25459 -(lp25460 -S'He\tHe\tPRP\tB-NP\tO' -p25461 -aS'has\thave\tVBZ\tB-VP\tO' -p25462 -aS'a\ta\tDT\tB-NP\tO' -p25463 -aS'history\thistory\tNN\tI-NP\tO' -p25464 -aS'of\tof\tIN\tB-PP\tO' -p25465 -aS'gastroesophageal\tgastroesophageal\tJJ\tB-NP\tO' -p25466 -aS'reflux\treflux\tNN\tI-NP\tO' -p25467 -aS'disease\tdisease\tNN\tI-NP\tO' -p25468 -aS'and\tand\tCC\tO\tO' -p25469 -aS'anemia\tanemia\tNN\tB-NP\tO' -p25470 -aS'.\t.\t.\tO\tO' -p25471 -asS'Her central line was removed and the tip was culture negative .' -p25472 -(lp25473 -S'Her\tHer\tPRP$\tB-NP\tB-cell_line' -p25474 -aS'central\tcentral\tJJ\tI-NP\tI-cell_line' -p25475 -aS'line\tline\tNN\tI-NP\tI-cell_line' -p25476 -aS'was\tbe\tVBD\tB-VP\tO' -p25477 -aS'removed\tremove\tVBN\tI-VP\tO' -p25478 -aS'and\tand\tCC\tO\tO' -p25479 -aS'the\tthe\tDT\tB-NP\tO' -p25480 -aS'tip\ttip\tNN\tI-NP\tB-protein' -p25481 -aS'was\tbe\tVBD\tB-VP\tO' -p25482 -aS'culture\tculture\tNN\tB-NP\tO' -p25483 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p25484 -aS'.\t.\t.\tO\tO' -p25485 -asS'His blood sugars were followed by the Cape Cod Hospital Clinic service and insulin has been adjusted accordingly .' -p25486 -(lp25487 -S'His\tHis\tPRP$\tB-NP\tO' -p25488 -aS'blood\tblood\tNN\tI-NP\tO' -p25489 -aS'sugars\tsugar\tNNS\tI-NP\tO' -p25490 -aS'were\tbe\tVBD\tB-VP\tO' -p25491 -aS'followed\tfollow\tVBN\tI-VP\tO' -p25492 -aS'by\tby\tIN\tB-PP\tO' -p25493 -aS'the\tthe\tDT\tB-NP\tO' -p25494 -aS'Cape\tCape\tNNP\tI-NP\tO' -p25495 -aS'Cod\tCod\tNNP\tI-NP\tO' -p25496 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p25497 -aS'Clinic\tClinic\tNNP\tI-NP\tO' -p25498 -aS'service\tservice\tNN\tI-NP\tO' -p25499 -aS'and\tand\tCC\tI-NP\tO' -p25500 -aS'insulin\tinsulin\tNN\tI-NP\tB-protein' -p25501 -aS'has\thave\tVBZ\tB-VP\tO' -p25502 -aS'been\tbe\tVBN\tI-VP\tO' -p25503 -aS'adjusted\tadjust\tVBN\tI-VP\tO' -p25504 -aS'accordingly\taccordingly\tRB\tB-ADVP\tO' -p25505 -aS'.\t.\t.\tO\tO' -p25506 -asS'Shortness of breath .' -p25507 -(lp25508 -S'Shortness\tShortness\tNN\tB-NP\tO' -p25509 -aS'of\tof\tIN\tB-PP\tO' -p25510 -aS'breath\tbreath\tNN\tB-NP\tO' -p25511 -aS'.\t.\t.\tO\tO' -p25512 -asS'Slightly increased in recent months .' -p25513 -(lp25514 -S'Slightly\tSlightly\tRB\tB-ADVP\tO' -p25515 -aS'increased\tincrease\tVBN\tB-VP\tO' -p25516 -aS'in\tin\tIN\tB-PP\tO' -p25517 -aS'recent\trecent\tJJ\tB-NP\tO' -p25518 -aS'months\tmonth\tNNS\tI-NP\tO' -p25519 -aS'.\t.\t.\tO\tO' -p25520 -asS'The general examination was essentially unremarkable , as per previous notes .' -p25521 -(lp25522 -S'The\tThe\tDT\tB-NP\tO' -p25523 -aS'general\tgeneral\tJJ\tI-NP\tO' -p25524 -aS'examination\texamination\tNN\tI-NP\tO' -p25525 -aS'was\tbe\tVBD\tB-VP\tO' -p25526 -aS'essentially\tessentially\tRB\tB-ADJP\tO' -p25527 -aS'unremarkable\tunremarkable\tJJ\tI-ADJP\tO' -p25528 -aS',\t,\t,\tO\tO' -p25529 -aS'as\tas\tIN\tB-PP\tO' -p25530 -aS'per\tper\tIN\tB-PP\tO' -p25531 -aS'previous\tprevious\tJJ\tB-NP\tO' -p25532 -aS'notes\tnote\tNNS\tI-NP\tO' -p25533 -aS'.\t.\t.\tO\tO' -p25534 -asS'Able to describe two routes from house to the CMH .' -p25535 -(lp25536 -S'Able\tAble\tNN\tB-NP\tO' -p25537 -aS'to\tto\tTO\tB-VP\tO' -p25538 -aS'describe\tdescribe\tVB\tI-VP\tO' -p25539 -aS'two\ttwo\tCD\tB-NP\tO' -p25540 -aS'routes\troute\tNNS\tI-NP\tO' -p25541 -aS'from\tfrom\tIN\tB-PP\tO' -p25542 -aS'house\thouse\tNN\tB-NP\tO' -p25543 -aS'to\tto\tTO\tB-PP\tO' -p25544 -aS'the\tthe\tDT\tB-NP\tO' -p25545 -aS'CMH\tCMH\tNN\tI-NP\tB-DNA' -p25546 -aS'.\t.\t.\tO\tO' -p25547 -asS'The head , eyes , ears , nose and throat examination is notable for pupils which have irregular border and are very sluggishly reactive .' -p25548 -(lp25549 -S'The\tThe\tDT\tB-NP\tO' -p25550 -aS'head\thead\tNN\tI-NP\tO' -p25551 -aS',\t,\t,\tO\tO' -p25552 -aS'eyes\teye\tNNS\tB-NP\tO' -p25553 -aS',\t,\t,\tO\tO' -p25554 -aS'ears\tear\tNNS\tB-NP\tO' -p25555 -aS',\t,\t,\tO\tO' -p25556 -aS'nose\tnose\tNN\tB-NP\tO' -p25557 -aS'and\tand\tCC\tI-NP\tO' -p25558 -aS'throat\tthroat\tNN\tI-NP\tO' -p25559 -aS'examination\texamination\tNN\tI-NP\tO' -p25560 -aS'is\tbe\tVBZ\tB-VP\tO' -p25561 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p25562 -aS'for\tfor\tIN\tB-PP\tO' -p25563 -aS'pupils\tpupil\tNNS\tB-NP\tO' -p25564 -aS'which\twhich\tWDT\tB-NP\tO' -p25565 -aS'have\thave\tVBP\tB-VP\tO' -p25566 -aS'irregular\tirregular\tJJ\tB-NP\tO' -p25567 -aS'border\tborder\tNN\tI-NP\tO' -p25568 -aS'and\tand\tCC\tO\tO' -p25569 -aS'are\tbe\tVBP\tB-VP\tO' -p25570 -aS'very\tvery\tRB\tB-ADJP\tO' -p25571 -aS'sluggishly\tsluggishly\tRB\tI-ADJP\tO' -p25572 -aS'reactive\treactive\tJJ\tI-ADJP\tO' -p25573 -aS'.\t.\t.\tO\tO' -p25574 -asS'Briefly , this is a 57-year-old gentleman with a history of COPD , status post intubation six years ago but not on home 02 with recent FEV1 27% of predicted value , and FEV1/FVC ratio 56% of hypercholesterolemia , who was admitted for COPD exacerbation and worsening of upper respiratory tract infection symptoms for a week prior to admission .' -p25575 -(lp25576 -S'Briefly\tBriefly\tNNP\tB-NP\tO' -p25577 -aS',\t,\t,\tO\tO' -p25578 -aS'this\tthis\tDT\tB-NP\tO' -p25579 -aS'is\tbe\tVBZ\tB-VP\tO' -p25580 -aS'a\ta\tDT\tB-NP\tO' -p25581 -aS'57-year-old\t57-year-old\tJJ\tI-NP\tO' -p25582 -aS'gentleman\tgentleman\tNN\tI-NP\tO' -p25583 -aS'with\twith\tIN\tB-PP\tO' -p25584 -aS'a\ta\tDT\tB-NP\tO' -p25585 -aS'history\thistory\tNN\tI-NP\tO' -p25586 -aS'of\tof\tIN\tB-PP\tO' -p25587 -aS'COPD\tCOPD\tNN\tB-NP\tO' -p25588 -aS',\t,\t,\tO\tO' -p25589 -aS'status\tstatus\tNN\tB-NP\tO' -p25590 -aS'post\tpost\tNN\tI-NP\tO' -p25591 -aS'intubation\tintubation\tNN\tI-NP\tO' -p25592 -aS'six\tsix\tCD\tB-NP\tO' -p25593 -aS'years\tyear\tNNS\tI-NP\tO' -p25594 -aS'ago\tago\tRB\tB-ADVP\tO' -p25595 -aS'but\tbut\tCC\tB-PP\tO' -p25596 -aS'not\tnot\tRB\tB-PP\tO' -p25597 -aS'on\ton\tIN\tI-PP\tO' -p25598 -aS'home\thome\tNN\tB-NP\tO' -p25599 -aS'02\t02\tCD\tI-NP\tO' -p25600 -aS'with\twith\tIN\tB-PP\tO' -p25601 -aS'recent\trecent\tJJ\tB-NP\tO' -p25602 -aS'FEV1\tFEV1\tNN\tI-NP\tO' -p25603 -aS'27%\t27%\tNN\tI-NP\tO' -p25604 -aS'of\tof\tIN\tB-PP\tO' -p25605 -aS'predicted\tpredict\tVBN\tB-NP\tO' -p25606 -aS'value\tvalue\tNN\tI-NP\tO' -p25607 -aS',\t,\t,\tO\tO' -p25608 -aS'and\tand\tCC\tO\tO' -p25609 -aS'FEV1/FVC\tFEV1/FVC\tNN\tB-NP\tO' -p25610 -aS'ratio\tratio\tNN\tI-NP\tO' -p25611 -aS'56%\t56%\tNN\tI-NP\tO' -p25612 -aS'of\tof\tIN\tB-PP\tO' -p25613 -aS'hypercholesterolemia\thypercholesterolemia\tNN\tB-NP\tO' -p25614 -aS',\t,\t,\tO\tO' -p25615 -aS'who\twho\tWP\tB-NP\tO' -p25616 -aS'was\tbe\tVBD\tB-VP\tO' -p25617 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p25618 -aS'for\tfor\tIN\tB-PP\tO' -p25619 -aS'COPD\tCOPD\tNN\tB-NP\tO' -p25620 -aS'exacerbation\texacerbation\tNN\tI-NP\tO' -p25621 -aS'and\tand\tCC\tI-NP\tO' -p25622 -aS'worsening\tworsening\tNN\tI-NP\tO' -p25623 -aS'of\tof\tIN\tB-PP\tO' -p25624 -aS'upper\tupper\tJJ\tB-NP\tO' -p25625 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p25626 -aS'tract\ttract\tNN\tI-NP\tO' -p25627 -aS'infection\tinfection\tNN\tI-NP\tO' -p25628 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p25629 -aS'for\tfor\tIN\tB-PP\tO' -p25630 -aS'a\ta\tDT\tB-NP\tO' -p25631 -aS'week\tweek\tNN\tI-NP\tO' -p25632 -aS'prior\tprior\tRB\tB-ADVP\tO' -p25633 -aS'to\tto\tTO\tB-PP\tO' -p25634 -aS'admission\tadmission\tNN\tB-NP\tO' -p25635 -aS'.\t.\t.\tO\tO' -p25636 -asS'In December of 1992 , she underwent a transverse colectomy for colon carcinoma which was Duke 's grade B-II , lymph nodes were negative .' -p25637 -(lp25638 -S'In\tIn\tIN\tB-PP\tO' -p25639 -aS'December\tDecember\tNNP\tB-NP\tO' -p25640 -aS'of\tof\tIN\tB-PP\tO' -p25641 -aS'1992\t1992\tCD\tB-NP\tO' -p25642 -aS',\t,\t,\tO\tO' -p25643 -aS'she\tshe\tPRP\tB-NP\tO' -p25644 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p25645 -aS'a\ta\tDT\tB-NP\tO' -p25646 -aS'transverse\ttransverse\tJJ\tI-NP\tO' -p25647 -aS'colectomy\tcolectomy\tNN\tI-NP\tO' -p25648 -aS'for\tfor\tIN\tB-PP\tO' -p25649 -aS'colon\tcolon\tNN\tB-NP\tO' -p25650 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p25651 -aS'which\twhich\tWDT\tB-NP\tO' -p25652 -aS'was\tbe\tVBD\tB-VP\tO' -p25653 -aS'Duke\tDuke\tNNP\tB-NP\tO' -p25654 -aS''s\t'\tNNS\tI-NP\tO' -p25655 -aS'grade\tgrade\tNN\tI-NP\tO' -p25656 -aS'B-II\tB-II\tNN\tI-NP\tO' -p25657 -aS',\t,\t,\tO\tO' -p25658 -aS'lymph\tlymph\tNN\tB-NP\tO' -p25659 -aS'nodes\tnode\tNNS\tI-NP\tO' -p25660 -aS'were\tbe\tVBD\tB-VP\tO' -p25661 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p25662 -aS'.\t.\t.\tO\tO' -p25663 -asS'Post right heart catheterization and right ventricular biopsy , the patient was sent to the CCU for a Swan - guided therapy in the setting of her elevated wedge pressures and low cardiac output .' -p25664 -(lp25665 -S'Post\tPost\tJJ\tB-NP\tO' -p25666 -aS'right\tright\tJJ\tI-NP\tO' -p25667 -aS'heart\theart\tNN\tI-NP\tO' -p25668 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p25669 -aS'and\tand\tCC\tO\tO' -p25670 -aS'right\tright\tJJ\tB-NP\tO' -p25671 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p25672 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p25673 -aS',\t,\t,\tO\tO' -p25674 -aS'the\tthe\tDT\tB-NP\tO' -p25675 -aS'patient\tpatient\tNN\tI-NP\tO' -p25676 -aS'was\tbe\tVBD\tB-VP\tO' -p25677 -aS'sent\tsend\tVBN\tI-VP\tO' -p25678 -aS'to\tto\tTO\tB-PP\tO' -p25679 -aS'the\tthe\tDT\tB-NP\tO' -p25680 -aS'CCU\tCCU\tNN\tI-NP\tO' -p25681 -aS'for\tfor\tIN\tB-PP\tO' -p25682 -aS'a\ta\tDT\tB-NP\tO' -p25683 -aS'Swan\tSwan\tNN\tI-NP\tO' -p25684 -aS'-\t-\tHYPH\tO\tO' -p25685 -aS'guided\tguide\tVBN\tB-NP\tO' -p25686 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p25687 -aS'in\tin\tIN\tB-PP\tO' -p25688 -aS'the\tthe\tDT\tB-NP\tO' -p25689 -aS'setting\tsetting\tNN\tI-NP\tO' -p25690 -aS'of\tof\tIN\tB-PP\tO' -p25691 -aS'her\ther\tPRP$\tB-NP\tO' -p25692 -aS'elevated\televated\tJJ\tI-NP\tO' -p25693 -aS'wedge\twedge\tNN\tI-NP\tO' -p25694 -aS'pressures\tpressure\tNNS\tI-NP\tO' -p25695 -aS'and\tand\tCC\tO\tO' -p25696 -aS'low\tlow\tJJ\tB-NP\tO' -p25697 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p25698 -aS'output\toutput\tNN\tI-NP\tO' -p25699 -aS'.\t.\t.\tO\tO' -p25700 -asS'Clinically , she did much better and her blood pressure was optimized prior to discharge .' -p25701 -(lp25702 -S'Clinically\tClinically\tRB\tB-ADVP\tO' -p25703 -aS',\t,\t,\tO\tO' -p25704 -aS'she\tshe\tPRP\tB-NP\tO' -p25705 -aS'did\tdo\tVBD\tB-VP\tO' -p25706 -aS'much\tmuch\tRB\tB-ADJP\tO' -p25707 -aS'better\tgood\tJJR\tI-ADJP\tO' -p25708 -aS'and\tand\tCC\tO\tO' -p25709 -aS'her\ther\tPRP$\tB-NP\tO' -p25710 -aS'blood\tblood\tNN\tI-NP\tO' -p25711 -aS'pressure\tpressure\tNN\tI-NP\tO' -p25712 -aS'was\tbe\tVBD\tB-VP\tO' -p25713 -aS'optimized\toptimize\tVBN\tI-VP\tO' -p25714 -aS'prior\tprior\tRB\tB-ADVP\tO' -p25715 -aS'to\tto\tTO\tB-VP\tO' -p25716 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p25717 -aS'.\t.\t.\tO\tO' -p25718 -asS'In the esophagus , there was a small hiatal hernia and in the stomach there is evidence of erosive gastritis of the body of the stomach and the antrum , the mucous appeared edematous .' -p25719 -(lp25720 -S'In\tIn\tIN\tB-PP\tO' -p25721 -aS'the\tthe\tDT\tB-NP\tO' -p25722 -aS'esophagus\tesophagus\tNN\tI-NP\tO' -p25723 -aS',\t,\t,\tO\tO' -p25724 -aS'there\tthere\tEX\tB-NP\tO' -p25725 -aS'was\tbe\tVBD\tB-VP\tO' -p25726 -aS'a\ta\tDT\tB-NP\tO' -p25727 -aS'small\tsmall\tJJ\tI-NP\tO' -p25728 -aS'hiatal\thiatal\tJJ\tI-NP\tO' -p25729 -aS'hernia\thernia\tNN\tI-NP\tO' -p25730 -aS'and\tand\tCC\tB-PP\tO' -p25731 -aS'in\tin\tIN\tB-PP\tO' -p25732 -aS'the\tthe\tDT\tB-NP\tO' -p25733 -aS'stomach\tstomach\tNN\tI-NP\tO' -p25734 -aS'there\tthere\tEX\tB-NP\tO' -p25735 -aS'is\tbe\tVBZ\tB-VP\tO' -p25736 -aS'evidence\tevidence\tNN\tB-NP\tO' -p25737 -aS'of\tof\tIN\tB-PP\tO' -p25738 -aS'erosive\terosive\tJJ\tB-NP\tO' -p25739 -aS'gastritis\tgastritis\tNN\tI-NP\tO' -p25740 -aS'of\tof\tIN\tB-PP\tO' -p25741 -aS'the\tthe\tDT\tB-NP\tO' -p25742 -aS'body\tbody\tNN\tI-NP\tO' -p25743 -aS'of\tof\tIN\tB-PP\tO' -p25744 -aS'the\tthe\tDT\tB-NP\tO' -p25745 -aS'stomach\tstomach\tNN\tI-NP\tO' -p25746 -aS'and\tand\tCC\tO\tO' -p25747 -aS'the\tthe\tDT\tB-NP\tO' -p25748 -aS'antrum\tantrum\tNN\tI-NP\tO' -p25749 -aS',\t,\t,\tO\tO' -p25750 -aS'the\tthe\tDT\tB-NP\tO' -p25751 -aS'mucous\tmucous\tNN\tI-NP\tO' -p25752 -aS'appeared\tappear\tVBD\tB-VP\tO' -p25753 -aS'edematous\tedematous\tJJ\tB-ADJP\tO' -p25754 -aS'.\t.\t.\tO\tO' -p25755 -asS'While mammogram and CA-15.3 and breast exam are all normal , the idea of a perineoplastic syndrome with or without concomitant breast Ca has reared its head .' -p25756 -(lp25757 -S'While\tWhile\tIN\tB-SBAR\tO' -p25758 -aS'mammogram\tmammogram\tNN\tB-NP\tO' -p25759 -aS'and\tand\tCC\tI-NP\tO' -p25760 -aS'CA-15.3\tCA-15.3\tNN\tI-NP\tB-protein' -p25761 -aS'and\tand\tCC\tI-NP\tO' -p25762 -aS'breast\tbreast\tNN\tI-NP\tO' -p25763 -aS'exam\texam\tNN\tI-NP\tO' -p25764 -aS'are\tbe\tVBP\tB-VP\tO' -p25765 -aS'all\tall\tDT\tO\tO' -p25766 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p25767 -aS',\t,\t,\tO\tO' -p25768 -aS'the\tthe\tDT\tB-NP\tO' -p25769 -aS'idea\tidea\tNN\tI-NP\tO' -p25770 -aS'of\tof\tIN\tB-PP\tO' -p25771 -aS'a\ta\tDT\tB-NP\tO' -p25772 -aS'perineoplastic\tperineoplastic\tJJ\tI-NP\tO' -p25773 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p25774 -aS'with\twith\tIN\tB-PP\tO' -p25775 -aS'or\tor\tCC\tB-PP\tO' -p25776 -aS'without\twithout\tIN\tB-PP\tO' -p25777 -aS'concomitant\tconcomitant\tJJ\tB-NP\tO' -p25778 -aS'breast\tbreast\tNN\tI-NP\tO' -p25779 -aS'Ca\tCa\tNN\tI-NP\tO' -p25780 -aS'has\thave\tVBZ\tB-VP\tO' -p25781 -aS'reared\trear\tVBN\tI-VP\tO' -p25782 -aS'its\tits\tPRP$\tB-NP\tO' -p25783 -aS'head\thead\tNN\tI-NP\tO' -p25784 -aS'.\t.\t.\tO\tO' -p25785 -asS'He then developed urinary retention requiring foley placement .' -p25786 -(lp25787 -S'He\tHe\tPRP\tB-NP\tO' -p25788 -aS'then\tthen\tRB\tB-ADVP\tO' -p25789 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p25790 -aS'urinary\turinary\tJJ\tB-NP\tO' -p25791 -aS'retention\tretention\tNN\tI-NP\tO' -p25792 -aS'requiring\trequire\tVBG\tB-VP\tO' -p25793 -aS'foley\tfoley\tJJ\tB-NP\tO' -p25794 -aS'placement\tplacement\tNN\tI-NP\tO' -p25795 -aS'.\t.\t.\tO\tO' -p25796 -asS'Newton-Wellesley Hospital for the Aged - Acute Rehab' -p25797 -(lp25798 -S'Newton-Wellesley\tNewton-Wellesley\tNNP\tB-NP\tO' -p25799 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p25800 -aS'for\tfor\tIN\tB-PP\tO' -p25801 -aS'the\tthe\tDT\tB-NP\tO' -p25802 -aS'Aged\tAged\tNNP\tI-NP\tO' -p25803 -aS'-\t-\tHYPH\tI-NP\tO' -p25804 -aS'Acute\tAcute\tNNP\tI-NP\tO' -p25805 -aS'Rehab\tRehab\tNNP\tI-NP\tO' -p25806 -asS'He was loaded with IV Dilantin .' -p25807 -(lp25808 -S'He\tHe\tPRP\tB-NP\tO' -p25809 -aS'was\tbe\tVBD\tB-VP\tO' -p25810 -aS'loaded\tload\tVBN\tI-VP\tO' -p25811 -aS'with\twith\tIN\tB-PP\tO' -p25812 -aS'IV\tIV\tCD\tB-NP\tO' -p25813 -aS'Dilantin\tDilantin\tNN\tI-NP\tO' -p25814 -aS'.\t.\t.\tO\tO' -p25815 -asS'The patient was initially treated with Dopamine which was subsequently weaned off after his sepsis improved .' -p25816 -(lp25817 -S'The\tThe\tDT\tB-NP\tO' -p25818 -aS'patient\tpatient\tNN\tI-NP\tO' -p25819 -aS'was\tbe\tVBD\tB-VP\tO' -p25820 -aS'initially\tinitially\tRB\tI-VP\tO' -p25821 -aS'treated\ttreat\tVBN\tI-VP\tO' -p25822 -aS'with\twith\tIN\tB-PP\tO' -p25823 -aS'Dopamine\tDopamine\tNN\tB-NP\tO' -p25824 -aS'which\twhich\tWDT\tB-NP\tO' -p25825 -aS'was\tbe\tVBD\tB-VP\tO' -p25826 -aS'subsequently\tsubsequently\tRB\tI-VP\tO' -p25827 -aS'weaned\twean\tVBN\tI-VP\tO' -p25828 -aS'off\toff\tRP\tB-PRT\tO' -p25829 -aS'after\tafter\tIN\tB-PP\tO' -p25830 -aS'his\this\tPRP$\tB-NP\tO' -p25831 -aS'sepsis\tsepsis\tNN\tI-NP\tO' -p25832 -aS'improved\timprove\tVBD\tB-VP\tO' -p25833 -aS'.\t.\t.\tO\tO' -p25834 -asS'Grade II decrescendo diastolic murmur at the left lower sternal border .' -p25835 -(lp25836 -S'Grade\tGrade\tNN\tB-NP\tB-protein' -p25837 -aS'II\tII\tCD\tI-NP\tI-protein' -p25838 -aS'decrescendo\tdecrescendo\tVBP\tB-VP\tO' -p25839 -aS'diastolic\tdiastolic\tJJ\tB-NP\tO' -p25840 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p25841 -aS'at\tat\tIN\tB-PP\tO' -p25842 -aS'the\tthe\tDT\tB-NP\tO' -p25843 -aS'left\tleft\tJJ\tI-NP\tO' -p25844 -aS'lower\tlow\tJJR\tI-NP\tO' -p25845 -aS'sternal\tsternal\tJJ\tI-NP\tO' -p25846 -aS'border\tborder\tNN\tI-NP\tO' -p25847 -aS'.\t.\t.\tO\tO' -p25848 -asS'His mediastinal chest tubes were removed , however , his pleural chest tubes remained in place .' -p25849 -(lp25850 -S'His\tHis\tPRP$\tB-NP\tO' -p25851 -aS'mediastinal\tmediastinal\tJJ\tI-NP\tO' -p25852 -aS'chest\tchest\tNN\tI-NP\tO' -p25853 -aS'tubes\ttube\tNNS\tI-NP\tO' -p25854 -aS'were\tbe\tVBD\tB-VP\tO' -p25855 -aS'removed\tremove\tVBN\tI-VP\tO' -p25856 -aS',\t,\t,\tO\tO' -p25857 -aS'however\thowever\tRB\tB-ADVP\tO' -p25858 -aS',\t,\t,\tO\tO' -p25859 -aS'his\this\tPRP$\tB-NP\tO' -p25860 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p25861 -aS'chest\tchest\tNN\tI-NP\tO' -p25862 -aS'tubes\ttube\tNNS\tI-NP\tO' -p25863 -aS'remained\tremain\tVBD\tB-VP\tO' -p25864 -aS'in\tin\tIN\tB-PP\tO' -p25865 -aS'place\tplace\tNN\tB-NP\tO' -p25866 -aS'.\t.\t.\tO\tO' -p25867 -asS'5. B-Complex with Vitamin C Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' -p25868 -(lp25869 -S'5.\t5.\tLS\tB-NP\tO' -p25870 -aS'B-Complex\tB-Complex\tNN\tI-NP\tB-protein' -p25871 -aS'with\twith\tIN\tB-PP\tO' -p25872 -aS'Vitamin\tVitamin\tNNP\tB-NP\tO' -p25873 -aS'C\tC\tNNP\tI-NP\tO' -p25874 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p25875 -aS'Sig\tSig\tNNP\tI-NP\tO' -p25876 -aS':\t:\t:\tO\tO' -p25877 -aS'One\tOne\tCD\tB-NP\tO' -p25878 -aS'(\t(\t(\tO\tO' -p25879 -aS'1\t1\tCD\tB-NP\tO' -p25880 -aS')\t)\t)\tO\tO' -p25881 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p25882 -aS'PO\tPO\tNN\tI-NP\tO' -p25883 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p25884 -aS'(\t(\t(\tO\tO' -p25885 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p25886 -aS')\t)\t)\tO\tO' -p25887 -aS'.\t.\t.\tO\tO' -p25888 -asS'There were no other abnormalities noted on this study .' -p25889 -(lp25890 -S'There\tThere\tEX\tB-NP\tO' -p25891 -aS'were\tbe\tVBD\tB-VP\tO' -p25892 -aS'no\tno\tDT\tB-NP\tO' -p25893 -aS'other\tother\tJJ\tI-NP\tO' -p25894 -aS'abnormalities\tabnormality\tNNS\tI-NP\tO' -p25895 -aS'noted\tnote\tVBN\tB-VP\tO' -p25896 -aS'on\ton\tIN\tB-PP\tO' -p25897 -aS'this\tthis\tDT\tB-NP\tO' -p25898 -aS'study\tstudy\tNN\tI-NP\tO' -p25899 -aS'.\t.\t.\tO\tO' -p25900 -asS'Call for an appointment ( 724 ) 875 5043' -p25901 -(lp25902 -S'Call\tCall\tVB\tB-NP\tO' -p25903 -aS'for\tfor\tIN\tB-PP\tO' -p25904 -aS'an\tan\tDT\tB-NP\tO' -p25905 -aS'appointment\tappointment\tNN\tI-NP\tO' -p25906 -aS'(\t(\t(\tO\tO' -p25907 -aS'724\t724\tCD\tB-NP\tO' -p25908 -aS')\t)\t)\tO\tO' -p25909 -aS'875\t875\tCD\tB-NP\tO' -p25910 -aS'5043\t5043\tCD\tI-NP\tO' -p25911 -asS'Mrs. Gonzalez is a patient with a prior medical history including hypothyroidism , iron-deficiency anemia , osteoporosis , increased cholesterol , peptic ulcer disease , chronic constipation , and status post appendectomy as well as status post hysterectomy and bilateral salpingo-oophorectomy .' -p25912 -(lp25913 -S'Mrs.\tMrs.\tNNP\tB-NP\tO' -p25914 -aS'Gonzalez\tGonzalez\tNNP\tI-NP\tO' -p25915 -aS'is\tbe\tVBZ\tB-VP\tO' -p25916 -aS'a\ta\tDT\tB-NP\tO' -p25917 -aS'patient\tpatient\tNN\tI-NP\tO' -p25918 -aS'with\twith\tIN\tB-PP\tO' -p25919 -aS'a\ta\tDT\tB-NP\tO' -p25920 -aS'prior\tprior\tJJ\tI-NP\tO' -p25921 -aS'medical\tmedical\tJJ\tI-NP\tO' -p25922 -aS'history\thistory\tNN\tI-NP\tO' -p25923 -aS'including\tinclude\tVBG\tB-PP\tO' -p25924 -aS'hypothyroidism\thypothyroidism\tNN\tB-NP\tO' -p25925 -aS',\t,\t,\tO\tO' -p25926 -aS'iron-deficiency\tiron-deficiency\tNN\tB-NP\tO' -p25927 -aS'anemia\tanemia\tNN\tI-NP\tO' -p25928 -aS',\t,\t,\tO\tO' -p25929 -aS'osteoporosis\tosteoporosis\tNN\tB-NP\tO' -p25930 -aS',\t,\t,\tO\tO' -p25931 -aS'increased\tincrease\tVBN\tB-NP\tO' -p25932 -aS'cholesterol\tcholesterol\tNN\tI-NP\tO' -p25933 -aS',\t,\t,\tO\tO' -p25934 -aS'peptic\tpeptic\tJJ\tB-NP\tO' -p25935 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p25936 -aS'disease\tdisease\tNN\tI-NP\tO' -p25937 -aS',\t,\t,\tO\tO' -p25938 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p25939 -aS'constipation\tconstipation\tNN\tI-NP\tO' -p25940 -aS',\t,\t,\tO\tO' -p25941 -aS'and\tand\tCC\tO\tO' -p25942 -aS'status\tstatus\tNN\tB-NP\tO' -p25943 -aS'post\tpost\tNN\tI-NP\tO' -p25944 -aS'appendectomy\tappendectomy\tNN\tI-NP\tO' -p25945 -aS'as\tas\tRB\tB-CONJP\tO' -p25946 -aS'well\twell\tRB\tI-CONJP\tO' -p25947 -aS'as\tas\tIN\tI-CONJP\tO' -p25948 -aS'status\tstatus\tNN\tB-NP\tO' -p25949 -aS'post\tpost\tNN\tI-NP\tO' -p25950 -aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' -p25951 -aS'and\tand\tCC\tO\tO' -p25952 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p25953 -aS'salpingo-oophorectomy\tsalpingo-oophorectomy\tNN\tI-NP\tO' -p25954 -aS'.\t.\t.\tO\tO' -p25955 -asS'Moreover her MRI did not show any discrete cerebellar lesions .' -p25956 -(lp25957 -S'Moreover\tMoreover\tRB\tB-ADVP\tO' -p25958 -aS'her\ther\tPRP$\tB-NP\tO' -p25959 -aS'MRI\tMRI\tNN\tI-NP\tB-protein' -p25960 -aS'did\tdo\tVBD\tB-VP\tO' -p25961 -aS'not\tnot\tRB\tI-VP\tO' -p25962 -aS'show\tshow\tVB\tI-VP\tO' -p25963 -aS'any\tany\tDT\tB-NP\tO' -p25964 -aS'discrete\tdiscrete\tJJ\tI-NP\tO' -p25965 -aS'cerebellar\tcerebellar\tJJ\tI-NP\tO' -p25966 -aS'lesions\tlesion\tNNS\tI-NP\tO' -p25967 -aS'.\t.\t.\tO\tO' -p25968 -asS'He has been a construction worker for the past 20 years .' -p25969 -(lp25970 -S'He\tHe\tPRP\tB-NP\tO' -p25971 -aS'has\thave\tVBZ\tB-VP\tO' -p25972 -aS'been\tbe\tVBN\tI-VP\tO' -p25973 -aS'a\ta\tDT\tB-NP\tO' -p25974 -aS'construction\tconstruction\tNN\tI-NP\tO' -p25975 -aS'worker\tworker\tNN\tI-NP\tO' -p25976 -aS'for\tfor\tIN\tB-PP\tO' -p25977 -aS'the\tthe\tDT\tB-NP\tO' -p25978 -aS'past\tpast\tJJ\tI-NP\tO' -p25979 -aS'20\t20\tCD\tI-NP\tO' -p25980 -aS'years\tyear\tNNS\tI-NP\tO' -p25981 -aS'.\t.\t.\tO\tO' -p25982 -asS'5. Levothyroxine 75 mcg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' -p25983 -(lp25984 -S'5.\t5.\tLS\tB-NP\tO' -p25985 -aS'Levothyroxine\tLevothyroxine\tNNP\tI-NP\tO' -p25986 -aS'75\t75\tCD\tI-NP\tO' -p25987 -aS'mcg\tmcg\tNN\tI-NP\tO' -p25988 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p25989 -aS'Sig\tSig\tNNP\tI-NP\tO' -p25990 -aS':\t:\t:\tO\tO' -p25991 -aS'One\tOne\tCD\tB-NP\tO' -p25992 -aS'(\t(\t(\tO\tO' -p25993 -aS'1\t1\tCD\tB-NP\tO' -p25994 -aS')\t)\t)\tO\tO' -p25995 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p25996 -aS'PO\tPO\tNN\tI-NP\tO' -p25997 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p25998 -aS'(\t(\t(\tO\tO' -p25999 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p26000 -aS')\t)\t)\tO\tO' -p26001 -aS'.\t.\t.\tO\tO' -p26002 -asS'However , she is CMO and will not be intubated for respiratory distress .' -p26003 -(lp26004 -S'However\tHowever\tRB\tB-ADVP\tO' -p26005 -aS',\t,\t,\tO\tO' -p26006 -aS'she\tshe\tPRP\tB-NP\tO' -p26007 -aS'is\tbe\tVBZ\tB-VP\tO' -p26008 -aS'CMO\tCMO\tNN\tB-NP\tO' -p26009 -aS'and\tand\tCC\tO\tO' -p26010 -aS'will\twill\tMD\tB-VP\tO' -p26011 -aS'not\tnot\tRB\tI-VP\tO' -p26012 -aS'be\tbe\tVB\tI-VP\tO' -p26013 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p26014 -aS'for\tfor\tIN\tB-PP\tO' -p26015 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p26016 -aS'distress\tdistress\tNN\tI-NP\tO' -p26017 -aS'.\t.\t.\tO\tO' -p26018 -asS'3. Rectal cancer .' -p26019 -(lp26020 -S'3.\t3.\tLS\tB-NP\tO' -p26021 -aS'Rectal\tRectal\tJJ\tI-NP\tO' -p26022 -aS'cancer\tcancer\tNN\tI-NP\tO' -p26023 -aS'.\t.\t.\tO\tO' -p26024 -asS'hematocrit 33 , white count 4.4 , with 28% monos and 30% polys and bands .' -p26025 -(lp26026 -S'hematocrit\thematocrit\tNN\tB-NP\tO' -p26027 -aS'33\t33\tCD\tI-NP\tO' -p26028 -aS',\t,\t,\tO\tO' -p26029 -aS'white\twhite\tJJ\tB-NP\tO' -p26030 -aS'count\tcount\tNN\tI-NP\tO' -p26031 -aS'4.4\t4.4\tCD\tI-NP\tO' -p26032 -aS',\t,\t,\tO\tO' -p26033 -aS'with\twith\tIN\tB-PP\tO' -p26034 -aS'28%\t28%\tJJ\tB-NP\tO' -p26035 -aS'monos\tmono\tNNS\tI-NP\tO' -p26036 -aS'and\tand\tCC\tO\tO' -p26037 -aS'30%\t30%\tCD\tB-NP\tO' -p26038 -aS'polys\tpoly\tNNS\tI-NP\tO' -p26039 -aS'and\tand\tCC\tI-NP\tO' -p26040 -aS'bands\tband\tNNS\tI-NP\tO' -p26041 -aS'.\t.\t.\tO\tO' -p26042 -asS'Penicillins / Estrogens / Ancef / Tegretol / Keflex' -p26043 -(lp26044 -S'Penicillins\tPenicillin\tNNS\tB-NP\tB-protein' -p26045 -aS'/\t/\tSYM\tO\tB-protein' -p26046 -aS'Estrogens\tEstrogen\tNNS\tB-NP\tI-protein' -p26047 -aS'/\t/\tSYM\tB-VP\tI-protein' -p26048 -aS'Ancef\tAncef\tNN\tB-NP\tI-protein' -p26049 -aS'/\t/\tSYM\tI-NP\tO' -p26050 -aS'Tegretol\tTegretol\tNN\tI-NP\tO' -p26051 -aS'/\t/\tSYM\tO\tO' -p26052 -aS'Keflex\tKeflex\tNN\tB-NP\tO' -p26053 -asS'This was a well-developed , well-nourished female in no acute distress .' -p26054 -(lp26055 -S'This\tThis\tDT\tB-NP\tO' -p26056 -aS'was\tbe\tVBD\tB-VP\tO' -p26057 -aS'a\ta\tDT\tB-NP\tO' -p26058 -aS'well-developed\twell-developed\tJJ\tI-NP\tO' -p26059 -aS',\t,\t,\tI-NP\tO' -p26060 -aS'well-nourished\twell-nourished\tJJ\tI-NP\tO' -p26061 -aS'female\tfemale\tNN\tI-NP\tO' -p26062 -aS'in\tin\tIN\tB-PP\tO' -p26063 -aS'no\tno\tDT\tB-NP\tO' -p26064 -aS'acute\tacute\tJJ\tI-NP\tO' -p26065 -aS'distress\tdistress\tNN\tI-NP\tO' -p26066 -aS'.\t.\t.\tO\tO' -p26067 -asS'INDICATION : 72-year-old male with altered mental status .' -p26068 -(lp26069 -S'INDICATION\tINDICATION\tNN\tB-NP\tO' -p26070 -aS':\t:\t:\tO\tO' -p26071 -aS'72-year-old\t72-year-old\tJJ\tB-NP\tO' -p26072 -aS'male\tmale\tNN\tI-NP\tO' -p26073 -aS'with\twith\tIN\tB-PP\tO' -p26074 -aS'altered\talter\tVBN\tB-NP\tO' -p26075 -aS'mental\tmental\tJJ\tI-NP\tO' -p26076 -aS'status\tstatus\tNN\tI-NP\tO' -p26077 -aS'.\t.\t.\tO\tO' -p26078 -asS'The patient was continued on heparin throughout his hospital course and transitioned to Coumadin on hospital day four .' -p26079 -(lp26080 -S'The\tThe\tDT\tB-NP\tO' -p26081 -aS'patient\tpatient\tNN\tI-NP\tO' -p26082 -aS'was\tbe\tVBD\tB-VP\tO' -p26083 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p26084 -aS'on\ton\tIN\tB-PP\tO' -p26085 -aS'heparin\theparin\tNN\tB-NP\tO' -p26086 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p26087 -aS'his\this\tPRP$\tB-NP\tO' -p26088 -aS'hospital\thospital\tNN\tI-NP\tO' -p26089 -aS'course\tcourse\tNN\tI-NP\tO' -p26090 -aS'and\tand\tCC\tO\tO' -p26091 -aS'transitioned\ttransitione\tVBN\tB-VP\tO' -p26092 -aS'to\tto\tTO\tB-PP\tO' -p26093 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p26094 -aS'on\ton\tIN\tB-PP\tO' -p26095 -aS'hospital\thospital\tNN\tB-NP\tO' -p26096 -aS'day\tday\tNN\tI-NP\tO' -p26097 -aS'four\tfour\tCD\tI-NP\tO' -p26098 -aS'.\t.\t.\tO\tO' -p26099 -asS'Images through the skull base demonstrate soft tissue changes in the sphenoid sinus which could be due to retained secretions from intubation .' -p26100 -(lp26101 -S'Images\tImage\tNNS\tB-NP\tO' -p26102 -aS'through\tthrough\tIN\tB-PP\tO' -p26103 -aS'the\tthe\tDT\tB-NP\tO' -p26104 -aS'skull\tskull\tNN\tI-NP\tO' -p26105 -aS'base\tbase\tNN\tI-NP\tO' -p26106 -aS'demonstrate\tdemonstrate\tVBP\tB-VP\tO' -p26107 -aS'soft\tsoft\tJJ\tB-NP\tO' -p26108 -aS'tissue\ttissue\tNN\tI-NP\tO' -p26109 -aS'changes\tchange\tNNS\tI-NP\tO' -p26110 -aS'in\tin\tIN\tB-PP\tO' -p26111 -aS'the\tthe\tDT\tB-NP\tO' -p26112 -aS'sphenoid\tsphenoid\tJJ\tI-NP\tO' -p26113 -aS'sinus\tsinus\tNN\tI-NP\tO' -p26114 -aS'which\twhich\tWDT\tB-NP\tO' -p26115 -aS'could\tcould\tMD\tB-VP\tO' -p26116 -aS'be\tbe\tVB\tI-VP\tO' -p26117 -aS'due\tdue\tJJ\tB-PP\tO' -p26118 -aS'to\tto\tTO\tB-PP\tO' -p26119 -aS'retained\tretain\tVBN\tB-NP\tO' -p26120 -aS'secretions\tsecretion\tNNS\tI-NP\tO' -p26121 -aS'from\tfrom\tIN\tB-PP\tO' -p26122 -aS'intubation\tintubation\tNN\tB-NP\tO' -p26123 -aS'.\t.\t.\tO\tO' -p26124 -asS'He was continued on his home cardiac regimen , but was started on indomethacin for post pericardiotomy syndrome .' -p26125 -(lp26126 -S'He\tHe\tPRP\tB-NP\tO' -p26127 -aS'was\tbe\tVBD\tB-VP\tO' -p26128 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p26129 -aS'on\ton\tIN\tB-PP\tO' -p26130 -aS'his\this\tPRP$\tB-NP\tO' -p26131 -aS'home\thome\tNN\tI-NP\tO' -p26132 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p26133 -aS'regimen\tregimen\tNN\tI-NP\tO' -p26134 -aS',\t,\t,\tO\tO' -p26135 -aS'but\tbut\tCC\tO\tO' -p26136 -aS'was\tbe\tVBD\tB-VP\tO' -p26137 -aS'started\tstart\tVBN\tI-VP\tO' -p26138 -aS'on\ton\tIN\tB-PP\tO' -p26139 -aS'indomethacin\tindomethacin\tNN\tB-NP\tO' -p26140 -aS'for\tfor\tIN\tB-PP\tO' -p26141 -aS'post\tpost\tNN\tB-NP\tO' -p26142 -aS'pericardiotomy\tpericardiotomy\tNN\tI-NP\tO' -p26143 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p26144 -aS'.\t.\t.\tO\tO' -p26145 -asS'He had a gastric pull up in 1992 of the stomach into the left thorax and he has a transverse colostomy and a sinus tract on the abdomen .' -p26146 -(lp26147 -S'He\tHe\tPRP\tB-NP\tO' -p26148 -aS'had\thave\tVBD\tB-VP\tO' -p26149 -aS'a\ta\tDT\tB-NP\tO' -p26150 -aS'gastric\tgastric\tJJ\tI-NP\tO' -p26151 -aS'pull\tpull\tNN\tI-NP\tO' -p26152 -aS'up\tup\tRB\tB-ADVP\tO' -p26153 -aS'in\tin\tIN\tB-PP\tO' -p26154 -aS'1992\t1992\tCD\tB-NP\tO' -p26155 -aS'of\tof\tIN\tB-PP\tO' -p26156 -aS'the\tthe\tDT\tB-NP\tO' -p26157 -aS'stomach\tstomach\tNN\tI-NP\tO' -p26158 -aS'into\tinto\tIN\tB-PP\tO' -p26159 -aS'the\tthe\tDT\tB-NP\tO' -p26160 -aS'left\tleft\tJJ\tI-NP\tO' -p26161 -aS'thorax\tthorax\tNN\tI-NP\tO' -p26162 -aS'and\tand\tCC\tO\tO' -p26163 -aS'he\the\tPRP\tB-NP\tO' -p26164 -aS'has\thave\tVBZ\tB-VP\tO' -p26165 -aS'a\ta\tDT\tB-NP\tO' -p26166 -aS'transverse\ttransverse\tJJ\tI-NP\tO' -p26167 -aS'colostomy\tcolostomy\tNN\tI-NP\tO' -p26168 -aS'and\tand\tCC\tO\tO' -p26169 -aS'a\ta\tDT\tB-NP\tO' -p26170 -aS'sinus\tsinus\tNN\tI-NP\tO' -p26171 -aS'tract\ttract\tNN\tI-NP\tO' -p26172 -aS'on\ton\tIN\tB-PP\tO' -p26173 -aS'the\tthe\tDT\tB-NP\tO' -p26174 -aS'abdomen\tabdoman\tNNS\tI-NP\tO' -p26175 -aS'.\t.\t.\tO\tO' -p26176 -asS'She was discharged to home in stable condition .' -p26177 -(lp26178 -S'She\tShe\tPRP\tB-NP\tO' -p26179 -aS'was\tbe\tVBD\tB-VP\tO' -p26180 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p26181 -aS'to\tto\tTO\tB-PP\tO' -p26182 -aS'home\thome\tNN\tB-NP\tO' -p26183 -aS'in\tin\tIN\tB-PP\tO' -p26184 -aS'stable\tstable\tJJ\tB-NP\tO' -p26185 -aS'condition\tcondition\tNN\tI-NP\tO' -p26186 -aS'.\t.\t.\tO\tO' -p26187 -asS'1. Synthroid 0.125 mg. daily .' -p26188 -(lp26189 -S'1.\t1.\tLS\tB-NP\tO' -p26190 -aS'Synthroid\tSynthroid\tJJ\tI-NP\tO' -p26191 -aS'0.125\t0.125\tCD\tI-NP\tO' -p26192 -aS'mg.\tmg.\tNN\tI-NP\tO' -p26193 -aS'daily\tdaily\tRB\tB-ADVP\tO' -p26194 -aS'.\t.\t.\tO\tO' -p26195 -asS'1. Uterus and cervix , hysterectomy ( A-E ):' -p26196 -(lp26197 -S'1.\t1.\tLS\tB-NP\tO' -p26198 -aS'Uterus\tUterus\tNN\tI-NP\tO' -p26199 -aS'and\tand\tCC\tI-NP\tO' -p26200 -aS'cervix\tcervix\tNN\tI-NP\tO' -p26201 -aS',\t,\t,\tO\tO' -p26202 -aS'hysterectomy\thysterectomy\tNN\tB-NP\tO' -p26203 -aS'(\t(\t(\tO\tO' -p26204 -aS'A-E\tA-E\tNN\tB-NP\tO' -p26205 -aS'):\t):\t)\tO\tO' -p26206 -asS'On discharge she was awake , alert and orientated X3 with c/o mild headache .' -p26207 -(lp26208 -S'On\tOn\tIN\tB-PP\tO' -p26209 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p26210 -aS'she\tshe\tPRP\tB-NP\tO' -p26211 -aS'was\tbe\tVBD\tB-VP\tO' -p26212 -aS'awake\tawake\tJJ\tB-ADJP\tO' -p26213 -aS',\t,\t,\tO\tO' -p26214 -aS'alert\talert\tJJ\tB-ADJP\tO' -p26215 -aS'and\tand\tCC\tO\tO' -p26216 -aS'orientated\torientate\tVBN\tB-VP\tO' -p26217 -aS'X3\tX3\tNN\tB-NP\tB-DNA' -p26218 -aS'with\twith\tIN\tB-PP\tO' -p26219 -aS'c/o\tc/o\tNN\tB-NP\tO' -p26220 -aS'mild\tmild\tJJ\tI-NP\tO' -p26221 -aS'headache\theadache\tNN\tI-NP\tO' -p26222 -aS'.\t.\t.\tO\tO' -p26223 -asS'It was felt at that time that the changing mental status and respiratory distress might be due to a combination of medication and worsening mucositis .' -p26224 -(lp26225 -S'It\tIt\tPRP\tB-NP\tO' -p26226 -aS'was\tbe\tVBD\tB-VP\tO' -p26227 -aS'felt\tfeel\tVBN\tI-VP\tO' -p26228 -aS'at\tat\tIN\tB-PP\tO' -p26229 -aS'that\tthat\tDT\tB-NP\tO' -p26230 -aS'time\ttime\tNN\tI-NP\tO' -p26231 -aS'that\tthat\tIN\tB-SBAR\tO' -p26232 -aS'the\tthe\tDT\tB-NP\tO' -p26233 -aS'changing\tchange\tVBG\tI-NP\tO' -p26234 -aS'mental\tmental\tJJ\tI-NP\tO' -p26235 -aS'status\tstatus\tNN\tI-NP\tO' -p26236 -aS'and\tand\tCC\tO\tO' -p26237 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p26238 -aS'distress\tdistress\tNN\tI-NP\tO' -p26239 -aS'might\tmight\tMD\tB-VP\tO' -p26240 -aS'be\tbe\tVB\tI-VP\tO' -p26241 -aS'due\tdue\tJJ\tB-ADVP\tO' -p26242 -aS'to\tto\tTO\tB-PP\tO' -p26243 -aS'a\ta\tDT\tB-NP\tO' -p26244 -aS'combination\tcombination\tNN\tI-NP\tO' -p26245 -aS'of\tof\tIN\tB-PP\tO' -p26246 -aS'medication\tmedication\tNN\tB-NP\tO' -p26247 -aS'and\tand\tCC\tO\tO' -p26248 -aS'worsening\tworsen\tVBG\tB-VP\tO' -p26249 -aS'mucositis\tmucositis\tNN\tB-NP\tO' -p26250 -aS'.\t.\t.\tO\tO' -p26251 -asS'versus early pseudocyst .' -p26252 -(lp26253 -S'versus\tversus\tIN\tB-PP\tO' -p26254 -aS'early\tearly\tJJ\tB-NP\tO' -p26255 -aS'pseudocyst\tpseudocyst\tNN\tI-NP\tO' -p26256 -aS'.\t.\t.\tO\tO' -p26257 -asS'A bone scan was also obtained to rule out an occult hip fracture which was negative .' -p26258 -(lp26259 -S'A\tA\tDT\tB-NP\tO' -p26260 -aS'bone\tbone\tNN\tI-NP\tO' -p26261 -aS'scan\tscan\tNN\tI-NP\tO' -p26262 -aS'was\tbe\tVBD\tB-VP\tO' -p26263 -aS'also\talso\tRB\tI-VP\tO' -p26264 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p26265 -aS'to\tto\tTO\tI-VP\tO' -p26266 -aS'rule\trule\tVB\tI-VP\tO' -p26267 -aS'out\tout\tRP\tB-PRT\tO' -p26268 -aS'an\tan\tDT\tB-NP\tO' -p26269 -aS'occult\toccult\tJJ\tI-NP\tO' -p26270 -aS'hip\thip\tNN\tI-NP\tO' -p26271 -aS'fracture\tfracture\tNN\tI-NP\tO' -p26272 -aS'which\twhich\tWDT\tB-NP\tO' -p26273 -aS'was\tbe\tVBD\tB-VP\tO' -p26274 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p26275 -aS'.\t.\t.\tO\tO' -p26276 -asS'4) STEROID INDUCED DIABETES MELLITUS .' -p26277 -(lp26278 -S'4)\t4)\tLS\tB-NP\tO' -p26279 -aS'STEROID\tSTEROID\tNN\tI-NP\tO' -p26280 -aS'INDUCED\tINDUCED\tNNP\tI-NP\tO' -p26281 -aS'DIABETES\tDIABETES\tNNP\tI-NP\tO' -p26282 -aS'MELLITUS\tMELLITUS\tNNP\tI-NP\tO' -p26283 -aS'.\t.\t.\tO\tO' -p26284 -asS'There was sigmoid narrowing near a large left ovarian mass , and distal ileal narrowing by a right ovarian mass .' -p26285 -(lp26286 -S'There\tThere\tEX\tB-NP\tO' -p26287 -aS'was\tbe\tVBD\tB-VP\tO' -p26288 -aS'sigmoid\tsigmoid\tJJ\tB-NP\tO' -p26289 -aS'narrowing\tnarrowing\tNN\tI-NP\tO' -p26290 -aS'near\tnear\tIN\tB-PP\tO' -p26291 -aS'a\ta\tDT\tB-NP\tO' -p26292 -aS'large\tlarge\tJJ\tI-NP\tO' -p26293 -aS'left\tleft\tJJ\tI-NP\tO' -p26294 -aS'ovarian\tovarian\tJJ\tI-NP\tO' -p26295 -aS'mass\tmass\tNN\tI-NP\tO' -p26296 -aS',\t,\t,\tO\tO' -p26297 -aS'and\tand\tCC\tO\tO' -p26298 -aS'distal\tdistal\tJJ\tB-NP\tO' -p26299 -aS'ileal\tileal\tJJ\tI-NP\tO' -p26300 -aS'narrowing\tnarrowing\tNN\tI-NP\tO' -p26301 -aS'by\tby\tIN\tB-PP\tO' -p26302 -aS'a\ta\tDT\tB-NP\tO' -p26303 -aS'right\tright\tJJ\tI-NP\tO' -p26304 -aS'ovarian\tovarian\tJJ\tI-NP\tO' -p26305 -aS'mass\tmass\tNN\tI-NP\tO' -p26306 -aS'.\t.\t.\tO\tO' -p26307 -asS'Infant is currently on breast milk or Enfamil 24 calories per ounce po minimum 140 cc per kilogram per day .' -p26308 -(lp26309 -S'Infant\tInfant\tNN\tB-NP\tO' -p26310 -aS'is\tbe\tVBZ\tB-VP\tO' -p26311 -aS'currently\tcurrently\tRB\tB-ADVP\tO' -p26312 -aS'on\ton\tIN\tB-PP\tO' -p26313 -aS'breast\tbreast\tNN\tB-NP\tO' -p26314 -aS'milk\tmilk\tNN\tI-NP\tO' -p26315 -aS'or\tor\tCC\tO\tO' -p26316 -aS'Enfamil\tEnfamil\tNN\tB-NP\tO' -p26317 -aS'24\t24\tCD\tB-NP\tO' -p26318 -aS'calories\tcalorie\tNNS\tI-NP\tO' -p26319 -aS'per\tper\tIN\tB-PP\tO' -p26320 -aS'ounce\tounce\tNN\tB-NP\tO' -p26321 -aS'po\tpo\tNN\tI-NP\tO' -p26322 -aS'minimum\tminimum\tNN\tI-NP\tO' -p26323 -aS'140\t140\tCD\tI-NP\tO' -p26324 -aS'cc\tcc\tNN\tI-NP\tO' -p26325 -aS'per\tper\tIN\tB-PP\tO' -p26326 -aS'kilogram\tkilogram\tNN\tB-NP\tO' -p26327 -aS'per\tper\tIN\tB-PP\tO' -p26328 -aS'day\tday\tNN\tB-NP\tO' -p26329 -aS'.\t.\t.\tO\tO' -p26330 -asS'Right AKA stump with dry gangrene' -p26331 -(lp26332 -S'Right\tRight\tNN\tB-NP\tO' -p26333 -aS'AKA\tAKA\tNN\tI-NP\tO' -p26334 -aS'stump\tstump\tNN\tI-NP\tO' -p26335 -aS'with\twith\tIN\tB-PP\tO' -p26336 -aS'dry\tdry\tJJ\tB-NP\tO' -p26337 -aS'gangrene\tgangrene\tNN\tI-NP\tO' -p26338 -asS'Thomas Haas x 15 yrs but maintains her certification .' -p26339 -(lp26340 -S'Thomas\tThomas\tNNP\tB-NP\tO' -p26341 -aS'Haas\tHaas\tNNP\tI-NP\tO' -p26342 -aS'x\tx\tNNP\tI-NP\tO' -p26343 -aS'15\t15\tCD\tB-NP\tO' -p26344 -aS'yrs\tyr\tNNS\tI-NP\tO' -p26345 -aS'but\tbut\tCC\tO\tO' -p26346 -aS'maintains\tmaintain\tVBZ\tB-VP\tO' -p26347 -aS'her\ther\tPRP$\tB-NP\tO' -p26348 -aS'certification\tcertification\tNN\tI-NP\tO' -p26349 -aS'.\t.\t.\tO\tO' -p26350 -asS'IMPRESSION : AP chest compared to 07-30 through 26 : Mild pulmonary edema is unchanged .' -p26351 -(lp26352 -S'IMPRESSION\tIMPRESSION\tNN\tB-NP\tO' -p26353 -aS':\t:\t:\tO\tO' -p26354 -aS'AP\tAP\tNN\tB-NP\tO' -p26355 -aS'chest\tchest\tNN\tI-NP\tO' -p26356 -aS'compared\tcompare\tVBN\tB-VP\tO' -p26357 -aS'to\tto\tTO\tB-PP\tO' -p26358 -aS'07-30\t07-30\tCD\tB-NP\tO' -p26359 -aS'through\tthrough\tIN\tB-PP\tO' -p26360 -aS'26\t26\tCD\tB-NP\tO' -p26361 -aS':\t:\t:\tO\tO' -p26362 -aS'Mild\tMild\tNNP\tB-NP\tO' -p26363 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p26364 -aS'edema\tedema\tNN\tI-NP\tO' -p26365 -aS'is\tbe\tVBZ\tB-VP\tO' -p26366 -aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' -p26367 -aS'.\t.\t.\tO\tO' -p26368 -asS'The pain and light-headedness is now severely lifestyle limiting and the patient requested evaluation for possible aortic valve replacement .' -p26369 -(lp26370 -S'The\tThe\tDT\tB-NP\tO' -p26371 -aS'pain\tpain\tNN\tI-NP\tO' -p26372 -aS'and\tand\tCC\tI-NP\tO' -p26373 -aS'light-headedness\tlight-headedness\tNN\tI-NP\tO' -p26374 -aS'is\tbe\tVBZ\tB-VP\tO' -p26375 -aS'now\tnow\tRB\tB-ADVP\tO' -p26376 -aS'severely\tseverely\tRB\tB-NP\tO' -p26377 -aS'lifestyle\tlifestyle\tNN\tI-NP\tO' -p26378 -aS'limiting\tlimit\tVBG\tB-VP\tO' -p26379 -aS'and\tand\tCC\tO\tO' -p26380 -aS'the\tthe\tDT\tB-NP\tO' -p26381 -aS'patient\tpatient\tNN\tI-NP\tO' -p26382 -aS'requested\trequest\tVBD\tB-VP\tO' -p26383 -aS'evaluation\tevaluation\tNN\tB-NP\tO' -p26384 -aS'for\tfor\tIN\tB-PP\tO' -p26385 -aS'possible\tpossible\tJJ\tB-NP\tO' -p26386 -aS'aortic\taortic\tJJ\tI-NP\tO' -p26387 -aS'valve\tvalve\tNN\tI-NP\tO' -p26388 -aS'replacement\treplacement\tNN\tI-NP\tO' -p26389 -aS'.\t.\t.\tO\tO' -p26390 -asS'Her heart has regular rate and rhythm with I / VI systolic ejection murmur at the base .' -p26391 -(lp26392 -S'Her\tHer\tPRP$\tB-NP\tO' -p26393 -aS'heart\theart\tNN\tI-NP\tO' -p26394 -aS'has\thave\tVBZ\tB-VP\tO' -p26395 -aS'regular\tregular\tJJ\tB-NP\tO' -p26396 -aS'rate\trate\tNN\tI-NP\tO' -p26397 -aS'and\tand\tCC\tI-NP\tO' -p26398 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p26399 -aS'with\twith\tIN\tB-PP\tO' -p26400 -aS'I\tI\tNN\tB-NP\tO' -p26401 -aS'/\t/\tSYM\tB-NP\tO' -p26402 -aS'VI\tVI\tNN\tI-NP\tO' -p26403 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p26404 -aS'ejection\tejection\tNN\tI-NP\tO' -p26405 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p26406 -aS'at\tat\tIN\tB-PP\tO' -p26407 -aS'the\tthe\tDT\tB-NP\tO' -p26408 -aS'base\tbase\tNN\tI-NP\tO' -p26409 -aS'.\t.\t.\tO\tO' -p26410 -asS'The Foley catheter was in place and the Bacitracin ointment should be applied to the urethral meatus twice a day .' -p26411 -(lp26412 -S'The\tThe\tDT\tB-NP\tO' -p26413 -aS'Foley\tFoley\tNNP\tI-NP\tO' -p26414 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p26415 -aS'was\tbe\tVBD\tB-VP\tO' -p26416 -aS'in\tin\tIN\tB-PP\tO' -p26417 -aS'place\tplace\tNN\tB-NP\tO' -p26418 -aS'and\tand\tCC\tO\tO' -p26419 -aS'the\tthe\tDT\tB-NP\tO' -p26420 -aS'Bacitracin\tBacitracin\tNN\tI-NP\tO' -p26421 -aS'ointment\tointment\tNN\tI-NP\tO' -p26422 -aS'should\tshould\tMD\tB-VP\tO' -p26423 -aS'be\tbe\tVB\tI-VP\tO' -p26424 -aS'applied\tapply\tVBN\tI-VP\tO' -p26425 -aS'to\tto\tTO\tB-PP\tO' -p26426 -aS'the\tthe\tDT\tB-NP\tO' -p26427 -aS'urethral\turethral\tJJ\tI-NP\tO' -p26428 -aS'meatus\tmeatus\tNN\tI-NP\tO' -p26429 -aS'twice\ttwice\tRB\tB-NP\tO' -p26430 -aS'a\ta\tDT\tI-NP\tO' -p26431 -aS'day\tday\tNN\tI-NP\tO' -p26432 -aS'.\t.\t.\tO\tO' -p26433 -asS'Subsequently , the patient began vigorously diuresing with 4 liters urine recovered the following hospital day .' -p26434 -(lp26435 -S'Subsequently\tSubsequently\tRB\tB-ADVP\tO' -p26436 -aS',\t,\t,\tO\tO' -p26437 -aS'the\tthe\tDT\tB-NP\tO' -p26438 -aS'patient\tpatient\tNN\tI-NP\tO' -p26439 -aS'began\tbegin\tVBD\tB-VP\tO' -p26440 -aS'vigorously\tvigorously\tRB\tI-VP\tO' -p26441 -aS'diuresing\tdiurese\tVBG\tI-VP\tO' -p26442 -aS'with\twith\tIN\tB-PP\tO' -p26443 -aS'4\t4\tCD\tB-NP\tO' -p26444 -aS'liters\tliter\tNNS\tI-NP\tO' -p26445 -aS'urine\turine\tNN\tI-NP\tO' -p26446 -aS'recovered\trecover\tVBD\tB-VP\tO' -p26447 -aS'the\tthe\tDT\tB-NP\tO' -p26448 -aS'following\tfollow\tVBG\tI-NP\tO' -p26449 -aS'hospital\thospital\tNN\tI-NP\tO' -p26450 -aS'day\tday\tNN\tI-NP\tO' -p26451 -aS'.\t.\t.\tO\tO' -p26452 -asS'The gait was intact and the tandem gait was intact as well .' -p26453 -(lp26454 -S'The\tThe\tDT\tB-NP\tO' -p26455 -aS'gait\tgait\tNN\tI-NP\tO' -p26456 -aS'was\tbe\tVBD\tB-VP\tO' -p26457 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p26458 -aS'and\tand\tCC\tO\tO' -p26459 -aS'the\tthe\tDT\tB-NP\tO' -p26460 -aS'tandem\ttandem\tJJ\tI-NP\tO' -p26461 -aS'gait\tgait\tNN\tI-NP\tO' -p26462 -aS'was\tbe\tVBD\tB-VP\tO' -p26463 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p26464 -aS'as\tas\tRB\tB-ADVP\tO' -p26465 -aS'well\twell\tRB\tI-ADVP\tO' -p26466 -aS'.\t.\t.\tO\tO' -p26467 -asS'130s .' -p26468 -(lp26469 -S'130s\t130\tNNS\tB-NP\tO' -p26470 -aS'.\t.\t.\tO\tO' -p26471 -asS'Primarily the family lives in Wisconsin .' -p26472 -(lp26473 -S'Primarily\tPrimarily\tRB\tB-ADVP\tO' -p26474 -aS'the\tthe\tDT\tB-NP\tO' -p26475 -aS'family\tfamily\tNN\tI-NP\tO' -p26476 -aS'lives\tlife\tNNS\tI-NP\tO' -p26477 -aS'in\tin\tIN\tB-PP\tO' -p26478 -aS'Wisconsin\tWisconsin\tNNP\tB-NP\tO' -p26479 -aS'.\t.\t.\tO\tO' -p26480 -asS'A thallium stress test showed tachycardia and severe dyspnea as well as a fall in blood pressure with low level exercise .' -p26481 -(lp26482 -S'A\tA\tDT\tB-NP\tO' -p26483 -aS'thallium\tthallium\tNN\tI-NP\tO' -p26484 -aS'stress\tstress\tNN\tI-NP\tO' -p26485 -aS'test\ttest\tNN\tI-NP\tO' -p26486 -aS'showed\tshow\tVBD\tB-VP\tO' -p26487 -aS'tachycardia\ttachycardia\tNN\tB-NP\tO' -p26488 -aS'and\tand\tCC\tO\tO' -p26489 -aS'severe\tsevere\tJJ\tB-NP\tO' -p26490 -aS'dyspnea\tdyspnea\tNN\tI-NP\tO' -p26491 -aS'as\tas\tRB\tB-CONJP\tO' -p26492 -aS'well\twell\tRB\tI-CONJP\tO' -p26493 -aS'as\tas\tIN\tI-CONJP\tO' -p26494 -aS'a\ta\tDT\tB-NP\tO' -p26495 -aS'fall\tfall\tNN\tI-NP\tO' -p26496 -aS'in\tin\tIN\tB-PP\tO' -p26497 -aS'blood\tblood\tNN\tB-NP\tO' -p26498 -aS'pressure\tpressure\tNN\tI-NP\tO' -p26499 -aS'with\twith\tIN\tB-PP\tO' -p26500 -aS'low\tlow\tJJ\tB-NP\tO' -p26501 -aS'level\tlevel\tNN\tI-NP\tO' -p26502 -aS'exercise\texercise\tNN\tI-NP\tO' -p26503 -aS'.\t.\t.\tO\tO' -p26504 -asS'R nephrostomy tube in place and draining' -p26505 -(lp26506 -S'R\tR\tNN\tB-NP\tO' -p26507 -aS'nephrostomy\tnephrostomy\tNN\tI-NP\tO' -p26508 -aS'tube\ttube\tNN\tI-NP\tO' -p26509 -aS'in\tin\tIN\tB-PP\tO' -p26510 -aS'place\tplace\tNN\tB-NP\tO' -p26511 -aS'and\tand\tCC\tO\tO' -p26512 -aS'draining\tdrain\tVBG\tB-VP\tO' -p26513 -asS'Cranial nerves II-XII are grossly intact , 5/5 strength in all extremities , sensation is intact in all extremities .' -p26514 -(lp26515 -S'Cranial\tCranial\tJJ\tB-NP\tO' -p26516 -aS'nerves\tnerve\tNNS\tI-NP\tO' -p26517 -aS'II-XII\tII-XII\tNN\tI-NP\tB-protein' -p26518 -aS'are\tbe\tVBP\tB-VP\tO' -p26519 -aS'grossly\tgrossly\tRB\tB-ADJP\tO' -p26520 -aS'intact\tintact\tJJ\tI-ADJP\tO' -p26521 -aS',\t,\t,\tO\tO' -p26522 -aS'5/5\t5/5\tCD\tB-NP\tO' -p26523 -aS'strength\tstrength\tNN\tI-NP\tO' -p26524 -aS'in\tin\tIN\tB-PP\tO' -p26525 -aS'all\tall\tDT\tB-NP\tO' -p26526 -aS'extremities\textremity\tNNS\tI-NP\tO' -p26527 -aS',\t,\t,\tO\tO' -p26528 -aS'sensation\tsensation\tNN\tB-NP\tO' -p26529 -aS'is\tbe\tVBZ\tB-VP\tO' -p26530 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p26531 -aS'in\tin\tIN\tB-PP\tO' -p26532 -aS'all\tall\tDT\tB-NP\tO' -p26533 -aS'extremities\textremity\tNNS\tI-NP\tO' -p26534 -aS'.\t.\t.\tO\tO' -p26535 -asS'Significant for a left ear operation approximately 30 years ago with left TM reconstruction in December 1999 at Hitch Hospital .' -p26536 -(lp26537 -S'Significant\tSignificant\tJJ\tB-ADJP\tO' -p26538 -aS'for\tfor\tIN\tB-PP\tO' -p26539 -aS'a\ta\tDT\tB-NP\tO' -p26540 -aS'left\tleft\tJJ\tI-NP\tO' -p26541 -aS'ear\tear\tNN\tI-NP\tO' -p26542 -aS'operation\toperation\tNN\tI-NP\tO' -p26543 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p26544 -aS'30\t30\tCD\tI-NP\tO' -p26545 -aS'years\tyear\tNNS\tI-NP\tO' -p26546 -aS'ago\tago\tRB\tB-ADVP\tO' -p26547 -aS'with\twith\tIN\tB-PP\tO' -p26548 -aS'left\tleft\tJJ\tB-NP\tO' -p26549 -aS'TM\tTM\tNN\tI-NP\tO' -p26550 -aS'reconstruction\treconstruction\tNN\tI-NP\tO' -p26551 -aS'in\tin\tIN\tB-PP\tO' -p26552 -aS'December\tDecember\tNNP\tB-NP\tO' -p26553 -aS'1999\t1999\tCD\tI-NP\tO' -p26554 -aS'at\tat\tIN\tB-PP\tO' -p26555 -aS'Hitch\tHitch\tNNP\tB-NP\tO' -p26556 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p26557 -aS'.\t.\t.\tO\tO' -p26558 -asS'3. End stage renal disease , status post kidney transplantation .' -p26559 -(lp26560 -S'3.\t3.\tLS\tB-NP\tO' -p26561 -aS'End\tEnd\tNN\tI-NP\tO' -p26562 -aS'stage\tstage\tNN\tI-NP\tO' -p26563 -aS'renal\trenal\tJJ\tI-NP\tO' -p26564 -aS'disease\tdisease\tNN\tI-NP\tO' -p26565 -aS',\t,\t,\tO\tO' -p26566 -aS'status\tstatus\tNN\tB-NP\tO' -p26567 -aS'post\tpost\tNN\tI-NP\tO' -p26568 -aS'kidney\tkidney\tNN\tI-NP\tO' -p26569 -aS'transplantation\ttransplantation\tNN\tI-NP\tO' -p26570 -aS'.\t.\t.\tO\tO' -p26571 -asS'Guarded , but stable .' -p26572 -(lp26573 -S'Guarded\tGuard\tVBN\tB-VP\tO' -p26574 -aS',\t,\t,\tO\tO' -p26575 -aS'but\tbut\tCC\tO\tO' -p26576 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p26577 -aS'.\t.\t.\tO\tO' -p26578 -asS'On postoperative day number ten , the patient returned to the floor with improved renal function and without oxygen requirement .' -p26579 -(lp26580 -S'On\tOn\tIN\tB-PP\tO' -p26581 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p26582 -aS'day\tday\tNN\tI-NP\tO' -p26583 -aS'number\tnumber\tNN\tI-NP\tO' -p26584 -aS'ten\tten\tCD\tI-NP\tO' -p26585 -aS',\t,\t,\tO\tO' -p26586 -aS'the\tthe\tDT\tB-NP\tO' -p26587 -aS'patient\tpatient\tNN\tI-NP\tO' -p26588 -aS'returned\treturn\tVBD\tB-VP\tO' -p26589 -aS'to\tto\tTO\tB-PP\tO' -p26590 -aS'the\tthe\tDT\tB-NP\tO' -p26591 -aS'floor\tfloor\tNN\tI-NP\tO' -p26592 -aS'with\twith\tIN\tB-PP\tO' -p26593 -aS'improved\timprove\tVBN\tB-NP\tO' -p26594 -aS'renal\trenal\tJJ\tI-NP\tO' -p26595 -aS'function\tfunction\tNN\tI-NP\tO' -p26596 -aS'and\tand\tCC\tB-PP\tO' -p26597 -aS'without\twithout\tIN\tB-PP\tO' -p26598 -aS'oxygen\toxygen\tNN\tB-NP\tO' -p26599 -aS'requirement\trequirement\tNN\tI-NP\tO' -p26600 -aS'.\t.\t.\tO\tO' -p26601 -asS'1 ) Non-insulin dependent diabetes mellitus .' -p26602 -(lp26603 -S'1\t1\tLS\tB-LST\tO' -p26604 -aS')\t)\t)\tO\tO' -p26605 -aS'Non-insulin\tNon-insulin\tNN\tB-NP\tB-protein' -p26606 -aS'dependent\tdependent\tJJ\tI-NP\tO' -p26607 -aS'diabetes\tdiabete\tNNS\tI-NP\tO' -p26608 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p26609 -aS'.\t.\t.\tO\tO' -p26610 -asS'2 ) Coronary artery disease , status post coronary artery bypass graft , status post anterior myocardial infarction , sick sinus syndrome , status post a VVI pacer placement .' -p26611 -(lp26612 -S'2\t2\tLS\tB-LST\tO' -p26613 -aS')\t)\t)\tO\tO' -p26614 -aS'Coronary\tCoronary\tJJ\tB-NP\tO' -p26615 -aS'artery\tartery\tNN\tI-NP\tO' -p26616 -aS'disease\tdisease\tNN\tI-NP\tO' -p26617 -aS',\t,\t,\tO\tO' -p26618 -aS'status\tstatus\tNN\tB-NP\tO' -p26619 -aS'post\tpost\tNN\tI-NP\tO' -p26620 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p26621 -aS'artery\tartery\tNN\tI-NP\tO' -p26622 -aS'bypass\tbypass\tIN\tB-PP\tO' -p26623 -aS'graft\tgraft\tNN\tB-NP\tO' -p26624 -aS',\t,\t,\tO\tO' -p26625 -aS'status\tstatus\tNN\tB-NP\tO' -p26626 -aS'post\tpost\tVBD\tB-VP\tO' -p26627 -aS'anterior\tanterior\tJJ\tB-NP\tO' -p26628 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p26629 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p26630 -aS',\t,\t,\tO\tO' -p26631 -aS'sick\tsick\tJJ\tB-NP\tO' -p26632 -aS'sinus\tsinus\tNN\tI-NP\tO' -p26633 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p26634 -aS',\t,\t,\tO\tO' -p26635 -aS'status\tstatus\tNN\tB-NP\tO' -p26636 -aS'post\tpost\tVBD\tB-VP\tO' -p26637 -aS'a\ta\tDT\tB-NP\tO' -p26638 -aS'VVI\tVVI\tNN\tI-NP\tO' -p26639 -aS'pacer\tpacer\tNN\tI-NP\tO' -p26640 -aS'placement\tplacement\tNN\tI-NP\tO' -p26641 -aS'.\t.\t.\tO\tO' -p26642 -asS'negative .' -p26643 -(lp26644 -S'negative\tnegative\tJJ\tB-ADJP\tO' -p26645 -aS'.\t.\t.\tO\tO' -p26646 -asS'Sensation : Intact to light touch , propioception , pinprick execept decreased sensation L5-S1 distrubution .' -p26647 -(lp26648 -S'Sensation\tSensation\tNN\tB-NP\tO' -p26649 -aS':\t:\t:\tO\tO' -p26650 -aS'Intact\tIntact\tNN\tB-NP\tO' -p26651 -aS'to\tto\tTO\tB-PP\tO' -p26652 -aS'light\tlight\tJJ\tB-NP\tO' -p26653 -aS'touch\ttouch\tNN\tI-NP\tO' -p26654 -aS',\t,\t,\tO\tO' -p26655 -aS'propioception\tpropioception\tNN\tB-NP\tO' -p26656 -aS',\t,\t,\tO\tO' -p26657 -aS'pinprick\tpinprick\tNN\tB-NP\tO' -p26658 -aS'execept\texecept\tNN\tI-NP\tO' -p26659 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p26660 -aS'sensation\tsensation\tNN\tB-NP\tO' -p26661 -aS'L5-S1\tL5-S1\tNN\tI-NP\tO' -p26662 -aS'distrubution\tdistrubution\tNN\tI-NP\tO' -p26663 -aS'.\t.\t.\tO\tO' -p26664 -asS'Blood pressure 110/50 , pulse rate 94 , respiratory rate 22 , temperature maximum 101 degrees , decreasing to 99 degrees .' -p26665 -(lp26666 -S'Blood\tBlood\tNN\tB-NP\tO' -p26667 -aS'pressure\tpressure\tNN\tI-NP\tO' -p26668 -aS'110/50\t110/50\tCD\tI-NP\tO' -p26669 -aS',\t,\t,\tO\tO' -p26670 -aS'pulse\tpulse\tNN\tB-NP\tO' -p26671 -aS'rate\trate\tNN\tI-NP\tO' -p26672 -aS'94\t94\tCD\tI-NP\tO' -p26673 -aS',\t,\t,\tO\tO' -p26674 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p26675 -aS'rate\trate\tNN\tI-NP\tO' -p26676 -aS'22\t22\tCD\tI-NP\tO' -p26677 -aS',\t,\t,\tO\tO' -p26678 -aS'temperature\ttemperature\tNN\tB-NP\tO' -p26679 -aS'maximum\tmaximum\tNN\tI-NP\tO' -p26680 -aS'101\t101\tCD\tB-NP\tO' -p26681 -aS'degrees\tdegree\tNNS\tI-NP\tO' -p26682 -aS',\t,\t,\tO\tO' -p26683 -aS'decreasing\tdecrease\tVBG\tB-VP\tO' -p26684 -aS'to\tto\tTO\tB-PP\tO' -p26685 -aS'99\t99\tCD\tB-NP\tO' -p26686 -aS'degrees\tdegree\tNNS\tI-NP\tO' -p26687 -aS'.\t.\t.\tO\tO' -p26688 -asS'There was no evidence of ARDS .' -p26689 -(lp26690 -S'There\tThere\tEX\tB-NP\tO' -p26691 -aS'was\tbe\tVBD\tB-VP\tO' -p26692 -aS'no\tno\tDT\tB-NP\tO' -p26693 -aS'evidence\tevidence\tNN\tI-NP\tO' -p26694 -aS'of\tof\tIN\tB-PP\tO' -p26695 -aS'ARDS\tARDS\tNN\tB-NP\tO' -p26696 -aS'.\t.\t.\tO\tO' -p26697 -asS'He received one gram of Ceftriaxone intravenously after blood cultures were drawn .' -p26698 -(lp26699 -S'He\tHe\tPRP\tB-NP\tO' -p26700 -aS'received\treceive\tVBD\tB-VP\tO' -p26701 -aS'one\tone\tCD\tB-NP\tO' -p26702 -aS'gram\tgram\tNN\tI-NP\tO' -p26703 -aS'of\tof\tIN\tB-PP\tO' -p26704 -aS'Ceftriaxone\tCeftriaxone\tNN\tB-NP\tB-cell_line' -p26705 -aS'intravenously\tintravenously\tRB\tB-ADVP\tI-cell_line' -p26706 -aS'after\tafter\tIN\tB-PP\tI-cell_line' -p26707 -aS'blood\tblood\tNN\tB-NP\tI-cell_line' -p26708 -aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' -p26709 -aS'were\tbe\tVBD\tB-VP\tO' -p26710 -aS'drawn\tdraw\tVBN\tI-VP\tO' -p26711 -aS'.\t.\t.\tO\tO' -p26712 -asS'Endotracheal .' -p26713 -(lp26714 -S'Endotracheal\tEndotracheal\tJJ\tB-ADJP\tO' -p26715 -aS'.\t.\t.\tO\tO' -p26716 -asS'PSYCHOSOCIAL : A Arbour Hospital social worker has been involved with the family .' -p26717 -(lp26718 -S'PSYCHOSOCIAL\tPSYCHOSOCIAL\tNN\tB-NP\tO' -p26719 -aS':\t:\t:\tO\tO' -p26720 -aS'A\tA\tDT\tB-NP\tO' -p26721 -aS'Arbour\tArbour\tNNP\tI-NP\tO' -p26722 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p26723 -aS'social\tsocial\tJJ\tI-NP\tO' -p26724 -aS'worker\tworker\tNN\tI-NP\tO' -p26725 -aS'has\thave\tVBZ\tB-VP\tO' -p26726 -aS'been\tbe\tVBN\tI-VP\tO' -p26727 -aS'involved\tinvolve\tVBN\tI-VP\tO' -p26728 -aS'with\twith\tIN\tB-PP\tO' -p26729 -aS'the\tthe\tDT\tB-NP\tO' -p26730 -aS'family\tfamily\tNN\tI-NP\tO' -p26731 -aS'.\t.\t.\tO\tO' -p26732 -asS'Extremities had 2+ bilateral lower extremity edema to knees .' -p26733 -(lp26734 -S'Extremities\tExtremity\tNNS\tB-NP\tO' -p26735 -aS'had\thave\tVBD\tB-VP\tO' -p26736 -aS'2+\t2+\tJJ\tB-NP\tO' -p26737 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p26738 -aS'lower\tlow\tJJR\tI-NP\tO' -p26739 -aS'extremity\textremity\tNN\tI-NP\tO' -p26740 -aS'edema\tedema\tNN\tI-NP\tO' -p26741 -aS'to\tto\tTO\tB-PP\tO' -p26742 -aS'knees\tknee\tNNS\tB-NP\tO' -p26743 -aS'.\t.\t.\tO\tO' -p26744 -asS'In general , the patient looked acutely and chronically ill .' -p26745 -(lp26746 -S'In\tIn\tIN\tB-PP\tO' -p26747 -aS'general\tgeneral\tJJ\tB-ADJP\tO' -p26748 -aS',\t,\t,\tO\tO' -p26749 -aS'the\tthe\tDT\tB-NP\tO' -p26750 -aS'patient\tpatient\tNN\tI-NP\tO' -p26751 -aS'looked\tlook\tVBD\tB-VP\tO' -p26752 -aS'acutely\tacutely\tRB\tB-ADVP\tO' -p26753 -aS'and\tand\tCC\tI-ADVP\tO' -p26754 -aS'chronically\tchronically\tRB\tB-ADJP\tO' -p26755 -aS'ill\till\tJJ\tI-ADJP\tO' -p26756 -aS'.\t.\t.\tO\tO' -p26757 -asS'1. Prematurity at 31 weeks , twin #1 .' -p26758 -(lp26759 -S'1.\t1.\tLS\tB-NP\tO' -p26760 -aS'Prematurity\tPrematurity\tNN\tI-NP\tO' -p26761 -aS'at\tat\tIN\tB-PP\tO' -p26762 -aS'31\t31\tCD\tB-NP\tO' -p26763 -aS'weeks\tweek\tNNS\tI-NP\tO' -p26764 -aS',\t,\t,\tO\tO' -p26765 -aS'twin\ttwin\tNN\tB-NP\tO' -p26766 -aS'#1\t#1\tNN\tI-NP\tO' -p26767 -aS'.\t.\t.\tO\tO' -p26768 -asS'The patient was started on Lupron on 10/18/03 , but pain was not affected .' -p26769 -(lp26770 -S'The\tThe\tDT\tB-NP\tO' -p26771 -aS'patient\tpatient\tNN\tI-NP\tO' -p26772 -aS'was\tbe\tVBD\tB-VP\tO' -p26773 -aS'started\tstart\tVBN\tI-VP\tO' -p26774 -aS'on\ton\tIN\tB-PP\tO' -p26775 -aS'Lupron\tLupron\tNNP\tB-NP\tO' -p26776 -aS'on\ton\tIN\tB-PP\tO' -p26777 -aS'10/18/03\t10/18/03\tCD\tB-NP\tO' -p26778 -aS',\t,\t,\tO\tO' -p26779 -aS'but\tbut\tCC\tO\tO' -p26780 -aS'pain\tpain\tNN\tB-NP\tO' -p26781 -aS'was\tbe\tVBD\tB-VP\tO' -p26782 -aS'not\tnot\tRB\tI-VP\tO' -p26783 -aS'affected\taffect\tVBN\tI-VP\tO' -p26784 -aS'.\t.\t.\tO\tO' -p26785 -asS'His fingersticks are currently in the 200 s and his normal blood glucose at home ranges between 90-200 per the patient .' -p26786 -(lp26787 -S'His\tHis\tPRP$\tB-NP\tO' -p26788 -aS'fingersticks\tfingerstick\tNNS\tI-NP\tO' -p26789 -aS'are\tbe\tVBP\tB-VP\tO' -p26790 -aS'currently\tcurrently\tRB\tB-ADVP\tO' -p26791 -aS'in\tin\tIN\tB-PP\tO' -p26792 -aS'the\tthe\tDT\tB-NP\tO' -p26793 -aS'200\t200\tCD\tI-NP\tO' -p26794 -aS's\ts\tNN\tI-NP\tO' -p26795 -aS'and\tand\tCC\tO\tO' -p26796 -aS'his\this\tPRP$\tB-NP\tO' -p26797 -aS'normal\tnormal\tJJ\tI-NP\tO' -p26798 -aS'blood\tblood\tNN\tI-NP\tO' -p26799 -aS'glucose\tglucose\tNN\tI-NP\tO' -p26800 -aS'at\tat\tIN\tB-PP\tO' -p26801 -aS'home\thome\tNN\tB-NP\tO' -p26802 -aS'ranges\trange\tNNS\tI-NP\tO' -p26803 -aS'between\tbetween\tIN\tB-PP\tO' -p26804 -aS'90-200\t90-200\tCD\tB-NP\tO' -p26805 -aS'per\tper\tIN\tB-PP\tO' -p26806 -aS'the\tthe\tDT\tB-NP\tO' -p26807 -aS'patient\tpatient\tNN\tI-NP\tO' -p26808 -aS'.\t.\t.\tO\tO' -p26809 -asS'The patient was seen by the oncology consult service who contacted her outside hematologist Dr. Pauling .' -p26810 -(lp26811 -S'The\tThe\tDT\tB-NP\tO' -p26812 -aS'patient\tpatient\tNN\tI-NP\tO' -p26813 -aS'was\tbe\tVBD\tB-VP\tO' -p26814 -aS'seen\tsee\tVBN\tI-VP\tO' -p26815 -aS'by\tby\tIN\tB-PP\tO' -p26816 -aS'the\tthe\tDT\tB-NP\tO' -p26817 -aS'oncology\toncology\tNN\tI-NP\tO' -p26818 -aS'consult\tconsult\tNN\tI-NP\tO' -p26819 -aS'service\tservice\tNN\tI-NP\tO' -p26820 -aS'who\twho\tWP\tB-NP\tO' -p26821 -aS'contacted\tcontact\tVBD\tB-VP\tO' -p26822 -aS'her\ther\tPRP$\tB-NP\tO' -p26823 -aS'outside\toutside\tJJ\tI-NP\tO' -p26824 -aS'hematologist\thematologist\tNN\tI-NP\tO' -p26825 -aS'Dr.\tDr.\tNNP\tI-NP\tO' -p26826 -aS'Pauling\tPauling\tNNP\tI-NP\tO' -p26827 -aS'.\t.\t.\tO\tO' -p26828 -asS'This was a .................... graft .' -p26829 -(lp26830 -S'This\tThis\tDT\tB-NP\tO' -p26831 -aS'was\tbe\tVBD\tB-VP\tO' -p26832 -aS'a\ta\tDT\tO\tO' -p26833 -aS'....................\t....................\t:\tO\tO' -p26834 -aS'graft\tgraft\tNN\tB-NP\tO' -p26835 -aS'.\t.\t.\tO\tO' -p26836 -asS'Albumin was very low and pt had significant edema likely 03-15 this .' -p26837 -(lp26838 -S'Albumin\tAlbumin\tNN\tB-NP\tB-protein' -p26839 -aS'was\tbe\tVBD\tB-VP\tO' -p26840 -aS'very\tvery\tRB\tB-ADJP\tO' -p26841 -aS'low\tlow\tJJ\tI-ADJP\tO' -p26842 -aS'and\tand\tCC\tO\tO' -p26843 -aS'pt\tpt\tNN\tB-NP\tO' -p26844 -aS'had\thave\tVBD\tB-VP\tO' -p26845 -aS'significant\tsignificant\tJJ\tB-NP\tO' -p26846 -aS'edema\tedema\tNN\tI-NP\tO' -p26847 -aS'likely\tlikely\tRB\tB-ADJP\tO' -p26848 -aS'03-15\t03-15\tCD\tB-NP\tO' -p26849 -aS'this\tthis\tDT\tB-NP\tO' -p26850 -aS'.\t.\t.\tO\tO' -p26851 -asS'C. Unremarkable myometrium .' -p26852 -(lp26853 -S'C.\tC.\tFW\tB-NP\tO' -p26854 -aS'Unremarkable\tUnremarkable\tJJ\tI-NP\tO' -p26855 -aS'myometrium\tmyometrium\tNN\tI-NP\tO' -p26856 -aS'.\t.\t.\tO\tO' -p26857 -asS'Patient was also found to have abnormal TFTs on Sutent and was started on replacement' -p26858 -(lp26859 -S'Patient\tPatient\tNN\tB-NP\tO' -p26860 -aS'was\tbe\tVBD\tB-VP\tO' -p26861 -aS'also\talso\tRB\tI-VP\tO' -p26862 -aS'found\tfind\tVBN\tI-VP\tO' -p26863 -aS'to\tto\tTO\tI-VP\tO' -p26864 -aS'have\thave\tVB\tI-VP\tO' -p26865 -aS'abnormal\tabnormal\tJJ\tB-NP\tO' -p26866 -aS'TFTs\tTFT\tNNS\tI-NP\tO' -p26867 -aS'on\ton\tIN\tB-PP\tO' -p26868 -aS'Sutent\tSutent\tNNP\tB-NP\tO' -p26869 -aS'and\tand\tCC\tO\tO' -p26870 -aS'was\tbe\tVBD\tB-VP\tO' -p26871 -aS'started\tstart\tVBN\tI-VP\tO' -p26872 -aS'on\ton\tIN\tB-PP\tO' -p26873 -aS'replacement\treplacement\tNN\tB-NP\tO' -p26874 -asS'The patient was briefly admitted to the ICU for low hematocrit and hyponatremia immediately following the surgery but was then transferred back to the floor in stable condition .' -p26875 -(lp26876 -S'The\tThe\tDT\tB-NP\tO' -p26877 -aS'patient\tpatient\tNN\tI-NP\tO' -p26878 -aS'was\tbe\tVBD\tB-VP\tO' -p26879 -aS'briefly\tbriefly\tRB\tI-VP\tO' -p26880 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p26881 -aS'to\tto\tTO\tB-PP\tO' -p26882 -aS'the\tthe\tDT\tB-NP\tO' -p26883 -aS'ICU\tICU\tNN\tI-NP\tO' -p26884 -aS'for\tfor\tIN\tB-PP\tO' -p26885 -aS'low\tlow\tJJ\tB-NP\tO' -p26886 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p26887 -aS'and\tand\tCC\tI-NP\tO' -p26888 -aS'hyponatremia\thyponatremia\tNN\tI-NP\tO' -p26889 -aS'immediately\timmediately\tRB\tB-VP\tO' -p26890 -aS'following\tfollow\tVBG\tI-VP\tO' -p26891 -aS'the\tthe\tDT\tB-NP\tO' -p26892 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p26893 -aS'but\tbut\tCC\tO\tO' -p26894 -aS'was\tbe\tVBD\tB-VP\tO' -p26895 -aS'then\tthen\tRB\tI-VP\tO' -p26896 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p26897 -aS'back\tback\tRB\tB-ADVP\tO' -p26898 -aS'to\tto\tTO\tB-PP\tO' -p26899 -aS'the\tthe\tDT\tB-NP\tO' -p26900 -aS'floor\tfloor\tNN\tI-NP\tO' -p26901 -aS'in\tin\tIN\tB-PP\tO' -p26902 -aS'stable\tstable\tJJ\tB-NP\tO' -p26903 -aS'condition\tcondition\tNN\tI-NP\tO' -p26904 -aS'.\t.\t.\tO\tO' -p26905 -asS'No further intraaxial or extraaxial fluid collections or hematoma are identified .' -p26906 -(lp26907 -S'No\tNo\tDT\tB-NP\tO' -p26908 -aS'further\tfurther\tJJ\tI-NP\tO' -p26909 -aS'intraaxial\tintraaxial\tJJ\tI-NP\tO' -p26910 -aS'or\tor\tCC\tI-NP\tO' -p26911 -aS'extraaxial\textraaxial\tJJ\tI-NP\tO' -p26912 -aS'fluid\tfluid\tNN\tI-NP\tO' -p26913 -aS'collections\tcollection\tNNS\tI-NP\tO' -p26914 -aS'or\tor\tCC\tO\tO' -p26915 -aS'hematoma\thematoma\tNN\tB-NP\tO' -p26916 -aS'are\tbe\tVBP\tB-VP\tO' -p26917 -aS'identified\tidentify\tVBN\tI-VP\tO' -p26918 -aS'.\t.\t.\tO\tO' -p26919 -asS'Her preoperative hematocrit was 41 and her hematocrit dropped to 30.4 on postoperative day # 2 .' -p26920 -(lp26921 -S'Her\tHer\tPRP$\tB-NP\tO' -p26922 -aS'preoperative\tpreoperative\tJJ\tI-NP\tO' -p26923 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p26924 -aS'was\tbe\tVBD\tB-VP\tO' -p26925 -aS'41\t41\tCD\tB-NP\tO' -p26926 -aS'and\tand\tCC\tO\tO' -p26927 -aS'her\ther\tPRP$\tB-NP\tO' -p26928 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p26929 -aS'dropped\tdrop\tVBD\tB-VP\tO' -p26930 -aS'to\tto\tTO\tB-PP\tO' -p26931 -aS'30.4\t30.4\tCD\tB-NP\tO' -p26932 -aS'on\ton\tIN\tB-PP\tO' -p26933 -aS'postoperative\tpostoperative\tJJ\tB-NP\tB-protein' -p26934 -aS'day\tday\tNN\tI-NP\tI-protein' -p26935 -aS'#\t#\t#\tB-NP\tI-protein' -p26936 -aS'2\t2\tCD\tI-NP\tI-protein' -p26937 -aS'.\t.\t.\tO\tO' -p26938 -asS'Her son reports that she then developed a headache and fevers started three days ago which were treated with tylenol .' -p26939 -(lp26940 -S'Her\tHer\tPRP$\tB-NP\tO' -p26941 -aS'son\tson\tNN\tI-NP\tO' -p26942 -aS'reports\treport\tVBZ\tB-VP\tO' -p26943 -aS'that\tthat\tIN\tB-SBAR\tO' -p26944 -aS'she\tshe\tPRP\tB-NP\tO' -p26945 -aS'then\tthen\tRB\tB-ADVP\tO' -p26946 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p26947 -aS'a\ta\tDT\tB-NP\tO' -p26948 -aS'headache\theadache\tNN\tI-NP\tO' -p26949 -aS'and\tand\tCC\tI-NP\tO' -p26950 -aS'fevers\tfever\tNNS\tI-NP\tO' -p26951 -aS'started\tstart\tVBD\tB-VP\tO' -p26952 -aS'three\tthree\tCD\tB-NP\tO' -p26953 -aS'days\tday\tNNS\tI-NP\tO' -p26954 -aS'ago\tago\tIN\tB-ADVP\tO' -p26955 -aS'which\twhich\tWDT\tB-NP\tO' -p26956 -aS'were\tbe\tVBD\tB-VP\tO' -p26957 -aS'treated\ttreat\tVBN\tI-VP\tO' -p26958 -aS'with\twith\tIN\tB-PP\tO' -p26959 -aS'tylenol\ttylenol\tNN\tB-NP\tO' -p26960 -aS'.\t.\t.\tO\tO' -p26961 -asS'Mr. Cordano is a 58-year-old gentlemen with a past medical history significant for primary sclerosing cholangitis who presented with a chief complaint of endoscopic retrograde cholangiopancreatography endoscopic retrograde cholangiopancreatography and percutaneous transhepatic cholangiogram .' -p26962 -(lp26963 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p26964 -aS'Cordano\tCordano\tNNP\tI-NP\tO' -p26965 -aS'is\tbe\tVBZ\tB-VP\tO' -p26966 -aS'a\ta\tDT\tB-NP\tO' -p26967 -aS'58-year-old\t58-year-old\tJJ\tI-NP\tO' -p26968 -aS'gentlemen\tgentleman\tNNS\tI-NP\tO' -p26969 -aS'with\twith\tIN\tB-PP\tO' -p26970 -aS'a\ta\tDT\tB-NP\tO' -p26971 -aS'past\tpast\tJJ\tI-NP\tO' -p26972 -aS'medical\tmedical\tJJ\tI-NP\tO' -p26973 -aS'history\thistory\tNN\tI-NP\tO' -p26974 -aS'significant\tsignificant\tJJ\tB-ADJP\tO' -p26975 -aS'for\tfor\tIN\tB-PP\tO' -p26976 -aS'primary\tprimary\tJJ\tB-NP\tO' -p26977 -aS'sclerosing\tsclerose\tVBG\tI-NP\tO' -p26978 -aS'cholangitis\tcholangitis\tNN\tI-NP\tO' -p26979 -aS'who\twho\tWP\tB-NP\tO' -p26980 -aS'presented\tpresent\tVBD\tB-VP\tO' -p26981 -aS'with\twith\tIN\tB-PP\tO' -p26982 -aS'a\ta\tDT\tB-NP\tO' -p26983 -aS'chief\tchief\tJJ\tI-NP\tO' -p26984 -aS'complaint\tcomplaint\tNN\tI-NP\tO' -p26985 -aS'of\tof\tIN\tB-PP\tO' -p26986 -aS'endoscopic\tendoscopic\tJJ\tB-NP\tO' -p26987 -aS'retrograde\tretrograde\tJJ\tI-NP\tO' -p26988 -aS'cholangiopancreatography\tcholangiopancreatography\tNN\tI-NP\tO' -p26989 -aS'endoscopic\tendoscopic\tJJ\tI-NP\tO' -p26990 -aS'retrograde\tretrograde\tJJ\tI-NP\tO' -p26991 -aS'cholangiopancreatography\tcholangiopancreatography\tNN\tI-NP\tO' -p26992 -aS'and\tand\tCC\tO\tO' -p26993 -aS'percutaneous\tpercutaneous\tJJ\tB-NP\tO' -p26994 -aS'transhepatic\ttranshepatic\tJJ\tI-NP\tO' -p26995 -aS'cholangiogram\tcholangiogram\tNN\tI-NP\tO' -p26996 -aS'.\t.\t.\tO\tO' -p26997 -asS'The diagnosis , therefore , was relapsed C. difficile colitis .' -p26998 -(lp26999 -S'The\tThe\tDT\tB-NP\tO' -p27000 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p27001 -aS',\t,\t,\tO\tO' -p27002 -aS'therefore\ttherefore\tRB\tB-ADVP\tO' -p27003 -aS',\t,\t,\tO\tO' -p27004 -aS'was\tbe\tVBD\tB-VP\tO' -p27005 -aS'relapsed\trelapse\tVBN\tI-VP\tO' -p27006 -aS'C.\tC.\tNNP\tB-NP\tO' -p27007 -aS'difficile\tdifficile\tJJ\tI-NP\tO' -p27008 -aS'colitis\tcolitis\tNN\tI-NP\tO' -p27009 -aS'.\t.\t.\tO\tO' -p27010 -asS'Mr. Patient underwent venogram and inferior vena cava filter placement on February 23 , 1993 and was then he was admitted to the Fairm of Ijordcompmac Hospital for postoperative care .' -p27011 -(lp27012 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p27013 -aS'Patient\tPatient\tNNP\tI-NP\tO' -p27014 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p27015 -aS'venogram\tvenogram\tNN\tB-NP\tO' -p27016 -aS'and\tand\tCC\tO\tO' -p27017 -aS'inferior\tinferior\tJJ\tB-NP\tO' -p27018 -aS'vena\tvena\tNN\tI-NP\tO' -p27019 -aS'cava\tcava\tNN\tI-NP\tO' -p27020 -aS'filter\tfilter\tNN\tI-NP\tO' -p27021 -aS'placement\tplacement\tNN\tI-NP\tO' -p27022 -aS'on\ton\tIN\tB-PP\tO' -p27023 -aS'February\tFebruary\tNNP\tB-NP\tO' -p27024 -aS'23\t23\tCD\tI-NP\tO' -p27025 -aS',\t,\t,\tI-NP\tO' -p27026 -aS'1993\t1993\tCD\tI-NP\tO' -p27027 -aS'and\tand\tCC\tO\tO' -p27028 -aS'was\tbe\tVBD\tB-VP\tO' -p27029 -aS'then\tthen\tRB\tB-ADVP\tO' -p27030 -aS'he\the\tPRP\tB-NP\tO' -p27031 -aS'was\tbe\tVBD\tB-VP\tO' -p27032 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p27033 -aS'to\tto\tTO\tB-PP\tO' -p27034 -aS'the\tthe\tDT\tB-NP\tO' -p27035 -aS'Fairm\tFairm\tNNP\tI-NP\tO' -p27036 -aS'of\tof\tIN\tB-PP\tO' -p27037 -aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' -p27038 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p27039 -aS'for\tfor\tIN\tB-PP\tO' -p27040 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p27041 -aS'care\tcare\tNN\tI-NP\tO' -p27042 -aS'.\t.\t.\tO\tO' -p27043 -asS'Allergies include AMOXICILLIN and CODEINE .' -p27044 -(lp27045 -S'Allergies\tAllergy\tNNS\tB-NP\tO' -p27046 -aS'include\tinclude\tVBP\tB-VP\tO' -p27047 -aS'AMOXICILLIN\tAMOXICILLIN\tNN\tB-NP\tB-protein' -p27048 -aS'and\tand\tCC\tI-NP\tO' -p27049 -aS'CODEINE\tCODEINE\tNN\tI-NP\tO' -p27050 -aS'.\t.\t.\tO\tO' -p27051 -asS'He was born to a 35 - year-old gravida 2 , para 1 ( now 2 ) mother .' -p27052 -(lp27053 -S'He\tHe\tPRP\tB-NP\tO' -p27054 -aS'was\tbe\tVBD\tB-VP\tO' -p27055 -aS'born\tbear\tVBN\tI-VP\tO' -p27056 -aS'to\tto\tTO\tB-PP\tO' -p27057 -aS'a\ta\tDT\tB-NP\tO' -p27058 -aS'35\t35\tCD\tI-NP\tO' -p27059 -aS'-\t-\tHYPH\tI-NP\tO' -p27060 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p27061 -aS'gravida\tgravida\tNN\tI-NP\tO' -p27062 -aS'2\t2\tCD\tI-NP\tO' -p27063 -aS',\t,\t,\tO\tO' -p27064 -aS'para\tpara\tNN\tB-NP\tO' -p27065 -aS'1\t1\tCD\tI-NP\tO' -p27066 -aS'(\t(\t(\tO\tO' -p27067 -aS'now\tnow\tRB\tB-ADVP\tO' -p27068 -aS'2\t2\tCD\tO\tO' -p27069 -aS')\t)\t)\tO\tO' -p27070 -aS'mother\tmother\tNN\tB-NP\tO' -p27071 -aS'.\t.\t.\tO\tO' -p27072 -asS'There were no blood products received during hospitalization .' -p27073 -(lp27074 -S'There\tThere\tEX\tB-NP\tO' -p27075 -aS'were\tbe\tVBD\tB-VP\tO' -p27076 -aS'no\tno\tDT\tB-NP\tO' -p27077 -aS'blood\tblood\tNN\tI-NP\tO' -p27078 -aS'products\tproduct\tNNS\tI-NP\tO' -p27079 -aS'received\treceive\tVBN\tB-VP\tO' -p27080 -aS'during\tduring\tIN\tB-PP\tO' -p27081 -aS'hospitalization\thospitalization\tNN\tB-NP\tO' -p27082 -aS'.\t.\t.\tO\tO' -p27083 -asS'She has complaints of abdominal distention , emesis , and constipation .' -p27084 -(lp27085 -S'She\tShe\tPRP\tB-NP\tO' -p27086 -aS'has\thave\tVBZ\tB-VP\tO' -p27087 -aS'complaints\tcomplaint\tNNS\tB-NP\tO' -p27088 -aS'of\tof\tIN\tB-PP\tO' -p27089 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p27090 -aS'distention\tdistention\tNN\tI-NP\tO' -p27091 -aS',\t,\t,\tO\tO' -p27092 -aS'emesis\temesis\tNN\tB-NP\tO' -p27093 -aS',\t,\t,\tO\tO' -p27094 -aS'and\tand\tCC\tO\tO' -p27095 -aS'constipation\tconstipation\tNN\tB-NP\tO' -p27096 -aS'.\t.\t.\tO\tO' -p27097 -asS'There was a tiny region of activity in what appears to be anterior scalp .' -p27098 -(lp27099 -S'There\tThere\tEX\tB-NP\tO' -p27100 -aS'was\tbe\tVBD\tB-VP\tO' -p27101 -aS'a\ta\tDT\tB-NP\tO' -p27102 -aS'tiny\ttiny\tJJ\tI-NP\tO' -p27103 -aS'region\tregion\tNN\tI-NP\tO' -p27104 -aS'of\tof\tIN\tB-PP\tO' -p27105 -aS'activity\tactivity\tNN\tB-NP\tO' -p27106 -aS'in\tin\tIN\tB-PP\tO' -p27107 -aS'what\twhat\tWP\tB-NP\tO' -p27108 -aS'appears\tappear\tVBZ\tB-VP\tO' -p27109 -aS'to\tto\tTO\tI-VP\tO' -p27110 -aS'be\tbe\tVB\tI-VP\tO' -p27111 -aS'anterior\tanterior\tJJ\tB-NP\tO' -p27112 -aS'scalp\tscalp\tNN\tI-NP\tO' -p27113 -aS'.\t.\t.\tO\tO' -p27114 -asS'# A fib - continued BB .' -p27115 -(lp27116 -S'#\t#\t#\tO\tO' -p27117 -aS'A\tA\tDT\tB-NP\tO' -p27118 -aS'fib\tfib\tNN\tI-NP\tB-protein' -p27119 -aS'-\t-\tHYPH\tB-VP\tO' -p27120 -aS'continued\tcontinue\tVBN\tB-NP\tO' -p27121 -aS'BB\tBB\tNN\tI-NP\tO' -p27122 -aS'.\t.\t.\tO\tO' -p27123 -asS'Please see the previously dictated operative note for more details .' -p27124 -(lp27125 -S'Please\tPlease\tVB\tB-VP\tO' -p27126 -aS'see\tsee\tVB\tI-VP\tO' -p27127 -aS'the\tthe\tDT\tB-NP\tO' -p27128 -aS'previously\tpreviously\tRB\tI-NP\tO' -p27129 -aS'dictated\tdictate\tVBN\tI-NP\tO' -p27130 -aS'operative\toperative\tJJ\tI-NP\tO' -p27131 -aS'note\tnote\tNN\tI-NP\tO' -p27132 -aS'for\tfor\tIN\tB-PP\tO' -p27133 -aS'more\tmore\tJJR\tB-NP\tO' -p27134 -aS'details\tdetail\tNNS\tI-NP\tO' -p27135 -aS'.\t.\t.\tO\tO' -p27136 -asS'From his urinalysis , he has mostly a prerenal state .' -p27137 -(lp27138 -S'From\tFrom\tIN\tB-PP\tO' -p27139 -aS'his\this\tPRP$\tB-NP\tO' -p27140 -aS'urinalysis\turinalysis\tNN\tI-NP\tO' -p27141 -aS',\t,\t,\tO\tO' -p27142 -aS'he\the\tPRP\tB-NP\tO' -p27143 -aS'has\thave\tVBZ\tB-VP\tO' -p27144 -aS'mostly\tmostly\tRB\tB-ADVP\tO' -p27145 -aS'a\ta\tDT\tB-NP\tO' -p27146 -aS'prerenal\tprerenal\tJJ\tI-NP\tO' -p27147 -aS'state\tstate\tNN\tI-NP\tO' -p27148 -aS'.\t.\t.\tO\tO' -p27149 -asS'FOLLOW-UP PLANS : The patient will follow-up with her primary care physician in the week following discharge for further monitoring of her INR and adjustment of her Coumadin dose .' -p27150 -(lp27151 -S'FOLLOW-UP\tFOLLOW-UP\tNN\tB-NP\tO' -p27152 -aS'PLANS\tPLANS\tNN\tI-NP\tO' -p27153 -aS':\t:\t:\tO\tO' -p27154 -aS'The\tThe\tDT\tB-NP\tO' -p27155 -aS'patient\tpatient\tNN\tI-NP\tO' -p27156 -aS'will\twill\tMD\tB-VP\tO' -p27157 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p27158 -aS'with\twith\tIN\tB-PP\tO' -p27159 -aS'her\ther\tPRP$\tB-NP\tO' -p27160 -aS'primary\tprimary\tJJ\tI-NP\tO' -p27161 -aS'care\tcare\tNN\tI-NP\tO' -p27162 -aS'physician\tphysician\tNN\tI-NP\tO' -p27163 -aS'in\tin\tIN\tB-PP\tO' -p27164 -aS'the\tthe\tDT\tB-NP\tO' -p27165 -aS'week\tweek\tNN\tI-NP\tO' -p27166 -aS'following\tfollow\tVBG\tB-PP\tO' -p27167 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p27168 -aS'for\tfor\tIN\tB-PP\tO' -p27169 -aS'further\tfurther\tJJ\tB-NP\tO' -p27170 -aS'monitoring\tmonitoring\tNN\tI-NP\tO' -p27171 -aS'of\tof\tIN\tB-PP\tO' -p27172 -aS'her\ther\tPRP$\tB-NP\tO' -p27173 -aS'INR\tINR\tNN\tI-NP\tB-protein' -p27174 -aS'and\tand\tCC\tI-NP\tO' -p27175 -aS'adjustment\tadjustment\tNN\tI-NP\tO' -p27176 -aS'of\tof\tIN\tB-PP\tO' -p27177 -aS'her\ther\tPRP$\tB-NP\tO' -p27178 -aS'Coumadin\tCoumadin\tNN\tI-NP\tO' -p27179 -aS'dose\tdose\tNN\tI-NP\tO' -p27180 -aS'.\t.\t.\tO\tO' -p27181 -asS'This will be discussed below .' -p27182 -(lp27183 -S'This\tThis\tDT\tB-NP\tO' -p27184 -aS'will\twill\tMD\tB-VP\tO' -p27185 -aS'be\tbe\tVB\tI-VP\tO' -p27186 -aS'discussed\tdiscuss\tVBN\tI-VP\tO' -p27187 -aS'below\tbelow\tIN\tB-PP\tO' -p27188 -aS'.\t.\t.\tO\tO' -p27189 -asS'2. Asthma .' -p27190 -(lp27191 -S'2.\t2.\tLS\tB-NP\tO' -p27192 -aS'Asthma\tAsthma\tNN\tI-NP\tO' -p27193 -aS'.\t.\t.\tO\tO' -p27194 -asS'An appointment was established for him to see his primary care doctor , Dr. Stella Booth on Maynard , 2014-10-20 and the patient was referred to Dr. Granville Hamers , at Ware in cardiology to be seen in two weeks .' -p27195 -(lp27196 -S'An\tAn\tDT\tB-NP\tO' -p27197 -aS'appointment\tappointment\tNN\tI-NP\tO' -p27198 -aS'was\tbe\tVBD\tB-VP\tO' -p27199 -aS'established\testablish\tVBN\tI-VP\tO' -p27200 -aS'for\tfor\tIN\tB-SBAR\tO' -p27201 -aS'him\thim\tPRP\tB-NP\tO' -p27202 -aS'to\tto\tTO\tB-VP\tO' -p27203 -aS'see\tsee\tVB\tI-VP\tO' -p27204 -aS'his\this\tPRP$\tB-NP\tO' -p27205 -aS'primary\tprimary\tJJ\tI-NP\tO' -p27206 -aS'care\tcare\tNN\tI-NP\tO' -p27207 -aS'doctor\tdoctor\tNN\tI-NP\tO' -p27208 -aS',\t,\t,\tO\tO' -p27209 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p27210 -aS'Stella\tStella\tNNP\tI-NP\tO' -p27211 -aS'Booth\tBooth\tNNP\tI-NP\tO' -p27212 -aS'on\ton\tIN\tB-PP\tO' -p27213 -aS'Maynard\tMaynard\tNNP\tB-NP\tO' -p27214 -aS',\t,\t,\tO\tO' -p27215 -aS'2014-10-20\t2014-10-20\tCD\tB-NP\tO' -p27216 -aS'and\tand\tCC\tO\tO' -p27217 -aS'the\tthe\tDT\tB-NP\tO' -p27218 -aS'patient\tpatient\tNN\tI-NP\tO' -p27219 -aS'was\tbe\tVBD\tB-VP\tO' -p27220 -aS'referred\trefer\tVBN\tI-VP\tO' -p27221 -aS'to\tto\tTO\tB-PP\tO' -p27222 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p27223 -aS'Granville\tGranville\tNNP\tI-NP\tO' -p27224 -aS'Hamers\tHamers\tNNP\tI-NP\tO' -p27225 -aS',\t,\t,\tO\tO' -p27226 -aS'at\tat\tIN\tB-PP\tO' -p27227 -aS'Ware\tWare\tNNP\tB-NP\tO' -p27228 -aS'in\tin\tIN\tB-PP\tO' -p27229 -aS'cardiology\tcardiology\tNN\tB-NP\tO' -p27230 -aS'to\tto\tTO\tB-VP\tO' -p27231 -aS'be\tbe\tVB\tI-VP\tO' -p27232 -aS'seen\tsee\tVBN\tI-VP\tO' -p27233 -aS'in\tin\tIN\tB-PP\tO' -p27234 -aS'two\ttwo\tCD\tB-NP\tO' -p27235 -aS'weeks\tweek\tNNS\tI-NP\tO' -p27236 -aS'.\t.\t.\tO\tO' -p27237 -asS'He underwent lower extremity study to rule out a DVT in both legs .' -p27238 -(lp27239 -S'He\tHe\tPRP\tB-NP\tO' -p27240 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p27241 -aS'lower\tlow\tJJR\tB-NP\tO' -p27242 -aS'extremity\textremity\tNN\tI-NP\tO' -p27243 -aS'study\tstudy\tNN\tI-NP\tO' -p27244 -aS'to\tto\tTO\tB-VP\tO' -p27245 -aS'rule\trule\tVB\tI-VP\tO' -p27246 -aS'out\tout\tRP\tB-PRT\tO' -p27247 -aS'a\ta\tDT\tB-NP\tO' -p27248 -aS'DVT\tDVT\tNN\tI-NP\tO' -p27249 -aS'in\tin\tIN\tB-PP\tO' -p27250 -aS'both\tboth\tDT\tB-NP\tO' -p27251 -aS'legs\tleg\tNNS\tI-NP\tO' -p27252 -aS'.\t.\t.\tO\tO' -p27253 -asS"If the patient 's p.o. intake drop below 300 cc per day , the patient should be hydrated at 100 cc an hour ." -p27254 -(lp27255 -S'If\tIf\tIN\tB-SBAR\tO' -p27256 -aS'the\tthe\tDT\tB-NP\tO' -p27257 -aS'patient\tpatient\tNN\tI-NP\tO' -p27258 -aS"'s\t's\tPOS\tB-NP\tO" -p27259 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p27260 -aS'intake\tintake\tFW\tI-NP\tO' -p27261 -aS'drop\tdrop\tNN\tI-NP\tO' -p27262 -aS'below\tbelow\tIN\tB-PP\tO' -p27263 -aS'300\t300\tCD\tB-NP\tO' -p27264 -aS'cc\tcc\tNN\tI-NP\tO' -p27265 -aS'per\tper\tIN\tB-PP\tO' -p27266 -aS'day\tday\tNN\tB-NP\tO' -p27267 -aS',\t,\t,\tO\tO' -p27268 -aS'the\tthe\tDT\tB-NP\tO' -p27269 -aS'patient\tpatient\tNN\tI-NP\tO' -p27270 -aS'should\tshould\tMD\tB-VP\tO' -p27271 -aS'be\tbe\tVB\tI-VP\tO' -p27272 -aS'hydrated\thydrate\tVBN\tI-VP\tO' -p27273 -aS'at\tat\tIN\tB-PP\tO' -p27274 -aS'100\t100\tCD\tB-NP\tO' -p27275 -aS'cc\tcc\tNN\tI-NP\tO' -p27276 -aS'an\tan\tDT\tB-NP\tO' -p27277 -aS'hour\thour\tNN\tI-NP\tO' -p27278 -aS'.\t.\t.\tO\tO' -p27279 -asS'Chest xray reveals no consolidation or signs of edema .' -p27280 -(lp27281 -S'Chest\tCh\tJJS\tB-NP\tO' -p27282 -aS'xray\txray\tNN\tI-NP\tO' -p27283 -aS'reveals\treveal\tVBZ\tB-VP\tO' -p27284 -aS'no\tno\tDT\tB-NP\tO' -p27285 -aS'consolidation\tconsolidation\tNN\tI-NP\tO' -p27286 -aS'or\tor\tCC\tI-NP\tO' -p27287 -aS'signs\tsign\tNNS\tI-NP\tO' -p27288 -aS'of\tof\tIN\tB-PP\tO' -p27289 -aS'edema\tedema\tNN\tB-NP\tO' -p27290 -aS'.\t.\t.\tO\tO' -p27291 -asS'On postoperative day #4 , he remained afebrile with stable vital signs on Lopressor at 25 mg po bid and an amiodarone dose .' -p27292 -(lp27293 -S'On\tOn\tIN\tB-PP\tO' -p27294 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p27295 -aS'day\tday\tNN\tI-NP\tO' -p27296 -aS'#4\t#4\tCD\tI-NP\tO' -p27297 -aS',\t,\t,\tO\tO' -p27298 -aS'he\the\tPRP\tB-NP\tO' -p27299 -aS'remained\tremain\tVBD\tB-VP\tO' -p27300 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p27301 -aS'with\twith\tIN\tB-PP\tO' -p27302 -aS'stable\tstable\tJJ\tB-NP\tO' -p27303 -aS'vital\tvital\tJJ\tI-NP\tO' -p27304 -aS'signs\tsign\tNNS\tI-NP\tO' -p27305 -aS'on\ton\tIN\tB-PP\tO' -p27306 -aS'Lopressor\tLopressor\tNN\tB-NP\tO' -p27307 -aS'at\tat\tIN\tB-PP\tO' -p27308 -aS'25\t25\tCD\tB-NP\tO' -p27309 -aS'mg\tmg\tNN\tI-NP\tO' -p27310 -aS'po\tpo\tNN\tI-NP\tO' -p27311 -aS'bid\tbid\tNN\tI-NP\tO' -p27312 -aS'and\tand\tCC\tO\tO' -p27313 -aS'an\tan\tDT\tB-NP\tO' -p27314 -aS'amiodarone\tamiodarone\tNN\tI-NP\tO' -p27315 -aS'dose\tdose\tNN\tI-NP\tO' -p27316 -aS'.\t.\t.\tO\tO' -p27317 -asS'The patient 's pain was initially controlled with IV pain medications but at the time of discharge to the rehab facility he was able to control his pain on po pain medications .' -p27318 -(lp27319 -S'The\tThe\tDT\tB-NP\tO' -p27320 -aS'patient\tpatient\tNN\tI-NP\tO' -p27321 -aS''s\t'\tNNS\tI-NP\tO' -p27322 -aS'pain\tpain\tNN\tI-NP\tO' -p27323 -aS'was\tbe\tVBD\tB-VP\tO' -p27324 -aS'initially\tinitially\tRB\tI-VP\tO' -p27325 -aS'controlled\tcontrol\tVBN\tI-VP\tO' -p27326 -aS'with\twith\tIN\tB-PP\tO' -p27327 -aS'IV\tIV\tCD\tB-NP\tO' -p27328 -aS'pain\tpain\tNN\tI-NP\tO' -p27329 -aS'medications\tmedication\tNNS\tI-NP\tO' -p27330 -aS'but\tbut\tCC\tB-PP\tO' -p27331 -aS'at\tat\tIN\tB-PP\tO' -p27332 -aS'the\tthe\tDT\tB-NP\tO' -p27333 -aS'time\ttime\tNN\tI-NP\tO' -p27334 -aS'of\tof\tIN\tB-PP\tO' -p27335 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p27336 -aS'to\tto\tTO\tB-PP\tO' -p27337 -aS'the\tthe\tDT\tB-NP\tO' -p27338 -aS'rehab\trehab\tNN\tI-NP\tO' -p27339 -aS'facility\tfacility\tNN\tI-NP\tO' -p27340 -aS'he\the\tPRP\tB-NP\tO' -p27341 -aS'was\tbe\tVBD\tB-VP\tO' -p27342 -aS'able\table\tJJ\tB-ADJP\tO' -p27343 -aS'to\tto\tTO\tB-VP\tO' -p27344 -aS'control\tcontrol\tVB\tI-VP\tO' -p27345 -aS'his\this\tPRP$\tB-NP\tO' -p27346 -aS'pain\tpain\tNN\tI-NP\tO' -p27347 -aS'on\ton\tIN\tB-PP\tO' -p27348 -aS'po\tpo\tNN\tB-NP\tO' -p27349 -aS'pain\tpain\tNN\tI-NP\tO' -p27350 -aS'medications\tmedication\tNNS\tI-NP\tO' -p27351 -aS'.\t.\t.\tO\tO' -p27352 -asS'Pulmonary is clear to auscultation bilaterally .' -p27353 -(lp27354 -S'Pulmonary\tPulmonary\tNNP\tB-NP\tO' -p27355 -aS'is\tbe\tVBZ\tB-VP\tO' -p27356 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p27357 -aS'to\tto\tTO\tB-PP\tO' -p27358 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p27359 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p27360 -aS'.\t.\t.\tO\tO' -p27361 -asS'He stopped secondary to aggressive behavior .' -p27362 -(lp27363 -S'He\tHe\tPRP\tB-NP\tO' -p27364 -aS'stopped\tstop\tVBD\tB-VP\tO' -p27365 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p27366 -aS'to\tto\tTO\tB-PP\tO' -p27367 -aS'aggressive\taggressive\tJJ\tB-NP\tO' -p27368 -aS'behavior\tbehavior\tNN\tI-NP\tO' -p27369 -aS'.\t.\t.\tO\tO' -p27370 -asS'Acute postoperative delirium .' -p27371 -(lp27372 -S'Acute\tAcute\tJJ\tB-NP\tO' -p27373 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p27374 -aS'delirium\tdelirium\tNN\tI-NP\tO' -p27375 -aS'.\t.\t.\tO\tO' -p27376 -asS'1. Prilosec 20 mg p.o. q. day .' -p27377 -(lp27378 -S'1.\t1.\tLS\tB-NP\tO' -p27379 -aS'Prilosec\tPrilosec\tNNP\tI-NP\tO' -p27380 -aS'20\t20\tCD\tI-NP\tO' -p27381 -aS'mg\tmg\tNN\tI-NP\tO' -p27382 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p27383 -aS'q.\tq.\tNN\tI-NP\tO' -p27384 -aS'day\tday\tNN\tI-NP\tO' -p27385 -aS'.\t.\t.\tO\tO' -p27386 -asS'Warm , with no edema and palpable pulses bilaterally .' -p27387 -(lp27388 -S'Warm\tWarm\tNNP\tB-NP\tO' -p27389 -aS',\t,\t,\tO\tO' -p27390 -aS'with\twith\tIN\tB-PP\tO' -p27391 -aS'no\tno\tDT\tB-NP\tO' -p27392 -aS'edema\tedema\tNN\tI-NP\tO' -p27393 -aS'and\tand\tCC\tO\tO' -p27394 -aS'palpable\tpalpable\tJJ\tB-NP\tO' -p27395 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p27396 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p27397 -aS'.\t.\t.\tO\tO' -p27398 -asS'The patient is allergic to penicillin and shell fish .' -p27399 -(lp27400 -S'The\tThe\tDT\tB-NP\tO' -p27401 -aS'patient\tpatient\tNN\tI-NP\tO' -p27402 -aS'is\tbe\tVBZ\tB-VP\tO' -p27403 -aS'allergic\tallergic\tJJ\tB-ADJP\tO' -p27404 -aS'to\tto\tTO\tB-PP\tO' -p27405 -aS'penicillin\tpenicillin\tNN\tB-NP\tO' -p27406 -aS'and\tand\tCC\tI-NP\tO' -p27407 -aS'shell\tshell\tNN\tI-NP\tO' -p27408 -aS'fish\tfish\tNN\tI-NP\tO' -p27409 -aS'.\t.\t.\tO\tO' -p27410 -asS'12. Insulin NPH Human Recomb 100 unit / mL Cartridge Sig : One ( 1 ) Subcutaneous at breakfast : Please take as prescribed by Albano / Transplant Team .' -p27411 -(lp27412 -S'12.\t12.\tLS\tB-NP\tO' -p27413 -aS'Insulin\tInsulin\tNN\tI-NP\tB-protein' -p27414 -aS'NPH\tNPH\tNN\tI-NP\tI-protein' -p27415 -aS'Human\tHuman\tJJ\tI-NP\tI-protein' -p27416 -aS'Recomb\tRecomb\tNN\tI-NP\tI-protein' -p27417 -aS'100\t100\tCD\tI-NP\tI-protein' -p27418 -aS'unit\tunit\tNN\tI-NP\tI-protein' -p27419 -aS'/\t/\tSYM\tB-NP\tO' -p27420 -aS'mL\tmL\tNN\tI-NP\tO' -p27421 -aS'Cartridge\tCartridge\tNNP\tI-NP\tO' -p27422 -aS'Sig\tSig\tNNP\tI-NP\tO' -p27423 -aS':\t:\t:\tO\tO' -p27424 -aS'One\tOne\tCD\tB-NP\tO' -p27425 -aS'(\t(\t(\tO\tO' -p27426 -aS'1\t1\tCD\tB-NP\tO' -p27427 -aS')\t)\t)\tO\tO' -p27428 -aS'Subcutaneous\tSubcutaneous\tJJ\tB-ADJP\tO' -p27429 -aS'at\tat\tIN\tB-PP\tO' -p27430 -aS'breakfast\tbreakfast\tNN\tB-NP\tO' -p27431 -aS':\t:\t:\tO\tO' -p27432 -aS'Please\tPlease\tNN\tB-NP\tB-protein' -p27433 -aS'take\ttake\tVBP\tB-VP\tO' -p27434 -aS'as\tas\tRB\tI-VP\tO' -p27435 -aS'prescribed\tprescribe\tVBN\tI-VP\tO' -p27436 -aS'by\tby\tIN\tB-PP\tO' -p27437 -aS'Albano\tAlbano\tNN\tB-NP\tO' -p27438 -aS'/\t/\tSYM\tI-NP\tO' -p27439 -aS'Transplant\tTransplant\tNN\tI-NP\tO' -p27440 -aS'Team\tTeam\tNN\tI-NP\tO' -p27441 -aS'.\t.\t.\tO\tO' -p27442 -asS'1. Atorvastatin 80 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' -p27443 -(lp27444 -S'1.\t1.\tLS\tB-LST\tO' -p27445 -aS'Atorvastatin\tAtorvastatin\tNN\tB-NP\tO' -p27446 -aS'80\t80\tCD\tI-NP\tO' -p27447 -aS'mg\tmg\tNN\tI-NP\tO' -p27448 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p27449 -aS'Sig\tSig\tNNP\tI-NP\tO' -p27450 -aS':\t:\t:\tO\tO' -p27451 -aS'One\tOne\tCD\tB-NP\tO' -p27452 -aS'(\t(\t(\tO\tO' -p27453 -aS'1\t1\tCD\tB-NP\tO' -p27454 -aS')\t)\t)\tO\tO' -p27455 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p27456 -aS'PO\tPO\tNN\tI-NP\tO' -p27457 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p27458 -aS'(\t(\t(\tO\tO' -p27459 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p27460 -aS')\t)\t)\tO\tO' -p27461 -aS'.\t.\t.\tO\tO' -p27462 -asS'3. Thiamine .' -p27463 -(lp27464 -S'3.\t3.\tLS\tB-NP\tO' -p27465 -aS'Thiamine\tThiamine\tNN\tI-NP\tO' -p27466 -aS'.\t.\t.\tO\tO' -p27467 -asS'6. right cheek basal cell carcinoma to be removed in the future ,' -p27468 -(lp27469 -S'6.\t6.\tLS\tB-NP\tO' -p27470 -aS'right\tright\tJJ\tI-NP\tO' -p27471 -aS'cheek\tcheek\tNN\tI-NP\tO' -p27472 -aS'basal\tbasal\tJJ\tI-NP\tO' -p27473 -aS'cell\tcell\tNN\tI-NP\tO' -p27474 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p27475 -aS'to\tto\tTO\tB-VP\tO' -p27476 -aS'be\tbe\tVB\tI-VP\tO' -p27477 -aS'removed\tremove\tVBN\tI-VP\tO' -p27478 -aS'in\tin\tIN\tB-PP\tO' -p27479 -aS'the\tthe\tDT\tB-NP\tO' -p27480 -aS'future\tfuture\tNN\tI-NP\tO' -p27481 -aS',\t,\t,\tO\tO' -p27482 -asS'He had no lymphadenopathy .' -p27483 -(lp27484 -S'He\tHe\tPRP\tB-NP\tO' -p27485 -aS'had\thave\tVBD\tB-VP\tO' -p27486 -aS'no\tno\tDT\tB-NP\tO' -p27487 -aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' -p27488 -aS'.\t.\t.\tO\tO' -p27489 -asS'were clear to auscultation .' -p27490 -(lp27491 -S'were\tbe\tVBD\tB-VP\tO' -p27492 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p27493 -aS'to\tto\tTO\tB-PP\tO' -p27494 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p27495 -aS'.\t.\t.\tO\tO' -p27496 -asS'Continued on IVF ( received total 2300 cc ) , with improved BP to SBP 105-118 .' -p27497 -(lp27498 -S'Continued\tContinue\tVBN\tB-VP\tO' -p27499 -aS'on\ton\tIN\tB-PP\tO' -p27500 -aS'IVF\tIVF\tNN\tB-NP\tB-protein' -p27501 -aS'(\t(\t(\tO\tO' -p27502 -aS'received\treceive\tVBN\tB-VP\tO' -p27503 -aS'total\ttotal\tJJ\tB-NP\tO' -p27504 -aS'2300\t2300\tCD\tI-NP\tO' -p27505 -aS'cc\tcc\tNN\tI-NP\tO' -p27506 -aS')\t)\t)\tO\tO' -p27507 -aS',\t,\t,\tO\tO' -p27508 -aS'with\twith\tIN\tB-PP\tO' -p27509 -aS'improved\timprove\tVBN\tB-NP\tO' -p27510 -aS'BP\tBP\tNN\tI-NP\tO' -p27511 -aS'to\tto\tTO\tB-PP\tO' -p27512 -aS'SBP\tSBP\tNN\tB-NP\tO' -p27513 -aS'105-118\t105-118\tCD\tI-NP\tO' -p27514 -aS'.\t.\t.\tO\tO' -p27515 -asS'He had some further anterolateral ST segment changes .' -p27516 -(lp27517 -S'He\tHe\tPRP\tB-NP\tO' -p27518 -aS'had\thave\tVBD\tB-VP\tO' -p27519 -aS'some\tsome\tDT\tB-NP\tO' -p27520 -aS'further\tfurther\tJJ\tI-NP\tO' -p27521 -aS'anterolateral\tanterolateral\tJJ\tI-NP\tO' -p27522 -aS'ST\tST\tNN\tI-NP\tO' -p27523 -aS'segment\tsegment\tNN\tI-NP\tO' -p27524 -aS'changes\tchange\tNNS\tI-NP\tO' -p27525 -aS'.\t.\t.\tO\tO' -p27526 -asS'On examination , her lungs were clear .' -p27527 -(lp27528 -S'On\tOn\tIN\tB-PP\tO' -p27529 -aS'examination\texamination\tNN\tB-NP\tO' -p27530 -aS',\t,\t,\tO\tO' -p27531 -aS'her\ther\tPRP$\tB-NP\tO' -p27532 -aS'lungs\tlung\tNNS\tI-NP\tO' -p27533 -aS'were\tbe\tVBD\tB-VP\tO' -p27534 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p27535 -aS'.\t.\t.\tO\tO' -p27536 -asS'We think this is likely due to an SIADH as she is euvolemic .' -p27537 -(lp27538 -S'We\tWe\tPRP\tB-NP\tO' -p27539 -aS'think\tthink\tVBP\tB-VP\tO' -p27540 -aS'this\tthis\tDT\tB-NP\tO' -p27541 -aS'is\tbe\tVBZ\tB-VP\tO' -p27542 -aS'likely\tlikely\tRB\tB-ADJP\tO' -p27543 -aS'due\tdue\tJJ\tI-ADJP\tO' -p27544 -aS'to\tto\tTO\tB-PP\tO' -p27545 -aS'an\tan\tDT\tB-NP\tO' -p27546 -aS'SIADH\tSIADH\tNN\tI-NP\tB-protein' -p27547 -aS'as\tas\tIN\tB-SBAR\tO' -p27548 -aS'she\tshe\tPRP\tB-NP\tO' -p27549 -aS'is\tbe\tVBZ\tB-VP\tO' -p27550 -aS'euvolemic\teuvolemic\tJJ\tB-ADJP\tO' -p27551 -aS'.\t.\t.\tO\tO' -p27552 -asS'The Lasix drip was eventually changed to IV Lasix boluses , with a net diuresis of over 36 liters for the hospital stay .' -p27553 -(lp27554 -S'The\tThe\tDT\tB-NP\tO' -p27555 -aS'Lasix\tLasix\tNNP\tI-NP\tO' -p27556 -aS'drip\tdrip\tNN\tI-NP\tO' -p27557 -aS'was\tbe\tVBD\tB-VP\tO' -p27558 -aS'eventually\teventually\tRB\tI-VP\tO' -p27559 -aS'changed\tchange\tVBN\tI-VP\tO' -p27560 -aS'to\tto\tTO\tB-PP\tO' -p27561 -aS'IV\tIV\tCD\tB-NP\tO' -p27562 -aS'Lasix\tLasix\tNNP\tI-NP\tO' -p27563 -aS'boluses\tbolus\tNNS\tI-NP\tO' -p27564 -aS',\t,\t,\tO\tO' -p27565 -aS'with\twith\tIN\tB-PP\tO' -p27566 -aS'a\ta\tDT\tB-NP\tO' -p27567 -aS'net\tnet\tJJ\tI-NP\tO' -p27568 -aS'diuresis\tdiuresis\tNN\tI-NP\tO' -p27569 -aS'of\tof\tIN\tB-PP\tO' -p27570 -aS'over\tover\tIN\tB-NP\tO' -p27571 -aS'36\t36\tCD\tI-NP\tO' -p27572 -aS'liters\tliter\tNNS\tI-NP\tO' -p27573 -aS'for\tfor\tIN\tB-PP\tO' -p27574 -aS'the\tthe\tDT\tB-NP\tO' -p27575 -aS'hospital\thospital\tNN\tI-NP\tO' -p27576 -aS'stay\tstay\tNN\tI-NP\tO' -p27577 -aS'.\t.\t.\tO\tO' -p27578 -asS'Multiple tattoos .' -p27579 -(lp27580 -S'Multiple\tMultiple\tJJ\tB-NP\tO' -p27581 -aS'tattoos\ttattoo\tNNS\tI-NP\tO' -p27582 -aS'.\t.\t.\tO\tO' -p27583 -asS'Chronic renal insufficiency .' -p27584 -(lp27585 -S'Chronic\tChronic\tJJ\tB-NP\tO' -p27586 -aS'renal\trenal\tJJ\tI-NP\tO' -p27587 -aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' -p27588 -aS'.\t.\t.\tO\tO' -p27589 -asS'The patient was an alert , jaundiced gentleman in no acute distress .' -p27590 -(lp27591 -S'The\tThe\tDT\tB-NP\tO' -p27592 -aS'patient\tpatient\tNN\tI-NP\tO' -p27593 -aS'was\tbe\tVBD\tB-VP\tO' -p27594 -aS'an\tan\tDT\tB-NP\tO' -p27595 -aS'alert\talert\tJJ\tI-NP\tO' -p27596 -aS',\t,\t,\tI-NP\tO' -p27597 -aS'jaundiced\tjaundiced\tJJ\tI-NP\tO' -p27598 -aS'gentleman\tgentleman\tNN\tI-NP\tO' -p27599 -aS'in\tin\tIN\tB-PP\tO' -p27600 -aS'no\tno\tDT\tB-NP\tO' -p27601 -aS'acute\tacute\tJJ\tI-NP\tO' -p27602 -aS'distress\tdistress\tNN\tI-NP\tO' -p27603 -aS'.\t.\t.\tO\tO' -p27604 -asS'He reports that his primary physician is aware of his anemia and was in the process of followup .' -p27605 -(lp27606 -S'He\tHe\tPRP\tB-NP\tO' -p27607 -aS'reports\treport\tVBZ\tB-VP\tO' -p27608 -aS'that\tthat\tIN\tB-SBAR\tO' -p27609 -aS'his\this\tPRP$\tB-NP\tO' -p27610 -aS'primary\tprimary\tJJ\tI-NP\tO' -p27611 -aS'physician\tphysician\tNN\tI-NP\tO' -p27612 -aS'is\tbe\tVBZ\tB-VP\tO' -p27613 -aS'aware\taware\tJJ\tB-ADJP\tO' -p27614 -aS'of\tof\tIN\tB-PP\tO' -p27615 -aS'his\this\tPRP$\tB-NP\tO' -p27616 -aS'anemia\tanemia\tNN\tI-NP\tO' -p27617 -aS'and\tand\tCC\tO\tO' -p27618 -aS'was\tbe\tVBD\tB-VP\tO' -p27619 -aS'in\tin\tIN\tB-PP\tO' -p27620 -aS'the\tthe\tDT\tB-NP\tO' -p27621 -aS'process\tprocess\tNN\tI-NP\tO' -p27622 -aS'of\tof\tIN\tB-PP\tO' -p27623 -aS'followup\tfollowup\tNN\tB-NP\tO' -p27624 -aS'.\t.\t.\tO\tO' -p27625 -asS'His DIC was further complicated by hepatic failure which resulted in poor endogenous production of clotting factors and he remained fresh frozen plasma dependent .' -p27626 -(lp27627 -S'His\tHis\tPRP$\tB-NP\tO' -p27628 -aS'DIC\tDIC\tNN\tI-NP\tO' -p27629 -aS'was\tbe\tVBD\tB-VP\tO' -p27630 -aS'further\tfurther\tRBR\tI-VP\tO' -p27631 -aS'complicated\tcomplicate\tVBN\tI-VP\tO' -p27632 -aS'by\tby\tIN\tB-PP\tO' -p27633 -aS'hepatic\thepatic\tJJ\tB-NP\tO' -p27634 -aS'failure\tfailure\tNN\tI-NP\tO' -p27635 -aS'which\twhich\tWDT\tB-NP\tO' -p27636 -aS'resulted\tresult\tVBD\tB-VP\tO' -p27637 -aS'in\tin\tIN\tB-PP\tO' -p27638 -aS'poor\tpoor\tJJ\tB-NP\tO' -p27639 -aS'endogenous\tendogenous\tJJ\tI-NP\tO' -p27640 -aS'production\tproduction\tNN\tI-NP\tO' -p27641 -aS'of\tof\tIN\tB-PP\tO' -p27642 -aS'clotting\tclot\tVBG\tB-NP\tB-protein' -p27643 -aS'factors\tfactor\tNNS\tI-NP\tI-protein' -p27644 -aS'and\tand\tCC\tO\tO' -p27645 -aS'he\the\tPRP\tB-NP\tO' -p27646 -aS'remained\tremain\tVBD\tB-VP\tO' -p27647 -aS'fresh\tfresh\tJJ\tB-NP\tO' -p27648 -aS'frozen\tfreeze\tVBN\tI-NP\tO' -p27649 -aS'plasma\tplasma\tNN\tI-NP\tO' -p27650 -aS'dependent\tdependent\tJJ\tB-ADJP\tO' -p27651 -aS'.\t.\t.\tO\tO' -p27652 -asS'Condition on discharge was stable and asymptomatic .' -p27653 -(lp27654 -S'Condition\tCondition\tNN\tB-NP\tO' -p27655 -aS'on\ton\tIN\tB-PP\tO' -p27656 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p27657 -aS'was\tbe\tVBD\tB-VP\tO' -p27658 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p27659 -aS'and\tand\tCC\tI-ADJP\tO' -p27660 -aS'asymptomatic\tasymptomatic\tJJ\tI-ADJP\tO' -p27661 -aS'.\t.\t.\tO\tO' -p27662 -asS'After a long discussion , patient and family asked to be made CMO .' -p27663 -(lp27664 -S'After\tAfter\tIN\tB-PP\tO' -p27665 -aS'a\ta\tDT\tB-NP\tO' -p27666 -aS'long\tlong\tJJ\tI-NP\tO' -p27667 -aS'discussion\tdiscussion\tNN\tI-NP\tO' -p27668 -aS',\t,\t,\tO\tO' -p27669 -aS'patient\tpatient\tNN\tB-NP\tO' -p27670 -aS'and\tand\tCC\tI-NP\tO' -p27671 -aS'family\tfamily\tNN\tI-NP\tO' -p27672 -aS'asked\task\tVBD\tB-VP\tO' -p27673 -aS'to\tto\tTO\tI-VP\tO' -p27674 -aS'be\tbe\tVB\tI-VP\tO' -p27675 -aS'made\tmake\tVBN\tI-VP\tO' -p27676 -aS'CMO\tCMO\tNN\tB-NP\tB-protein' -p27677 -aS'.\t.\t.\tO\tO' -p27678 -asS'His aspirin was restarted prior to discharge .' -p27679 -(lp27680 -S'His\tHis\tPRP$\tB-NP\tO' -p27681 -aS'aspirin\taspirin\tNN\tI-NP\tO' -p27682 -aS'was\tbe\tVBD\tB-VP\tO' -p27683 -aS'restarted\trestart\tVBN\tI-VP\tO' -p27684 -aS'prior\tprior\tRB\tB-ADVP\tO' -p27685 -aS'to\tto\tTO\tB-VP\tO' -p27686 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p27687 -aS'.\t.\t.\tO\tO' -p27688 -asS'Discharge Condition : patient passed away' -p27689 -(lp27690 -S'Discharge\tDischarge\tNNP\tB-NP\tO' -p27691 -aS'Condition\tCondition\tNNP\tI-NP\tO' -p27692 -aS':\t:\t:\tO\tO' -p27693 -aS'patient\tpatient\tNN\tB-NP\tO' -p27694 -aS'passed\tpass\tVBD\tB-VP\tO' -p27695 -aS'away\taway\tRB\tB-ADVP\tO' -p27696 -asS'Otherwise , the gait was normal .' -p27697 -(lp27698 -S'Otherwise\tOtherwise\tRB\tB-ADVP\tO' -p27699 -aS',\t,\t,\tO\tO' -p27700 -aS'the\tthe\tDT\tB-NP\tO' -p27701 -aS'gait\tgait\tNN\tI-NP\tO' -p27702 -aS'was\tbe\tVBD\tB-VP\tO' -p27703 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p27704 -aS'.\t.\t.\tO\tO' -p27705 -asS'She had a normal S1 , S2 with a 2/6 systolic ejection murmur at the left upper sternal border .' -p27706 -(lp27707 -S'She\tShe\tPRP\tB-NP\tO' -p27708 -aS'had\thave\tVBD\tB-VP\tO' -p27709 -aS'a\ta\tDT\tB-NP\tO' -p27710 -aS'normal\tnormal\tJJ\tI-NP\tO' -p27711 -aS'S1\tS1\tNN\tI-NP\tO' -p27712 -aS',\t,\t,\tO\tO' -p27713 -aS'S2\tS2\tNN\tB-NP\tB-protein' -p27714 -aS'with\twith\tIN\tB-PP\tO' -p27715 -aS'a\ta\tDT\tB-NP\tO' -p27716 -aS'2/6\t2/6\tCD\tI-NP\tO' -p27717 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p27718 -aS'ejection\tejection\tNN\tI-NP\tO' -p27719 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p27720 -aS'at\tat\tIN\tB-PP\tO' -p27721 -aS'the\tthe\tDT\tB-NP\tO' -p27722 -aS'left\tleft\tJJ\tI-NP\tO' -p27723 -aS'upper\tupper\tJJ\tI-NP\tO' -p27724 -aS'sternal\tsternal\tJJ\tI-NP\tO' -p27725 -aS'border\tborder\tNN\tI-NP\tO' -p27726 -aS'.\t.\t.\tO\tO' -p27727 -asS'Later that am , she stood from her wheelchair , had a prodrome of LH and then reports LOC and fall .' -p27728 -(lp27729 -S'Later\tLater\tRB\tB-ADVP\tO' -p27730 -aS'that\tthat\tWDT\tB-NP\tO' -p27731 -aS'am\tbe\tVBP\tB-VP\tO' -p27732 -aS',\t,\t,\tO\tO' -p27733 -aS'she\tshe\tPRP\tB-NP\tO' -p27734 -aS'stood\tstand\tVBD\tB-VP\tO' -p27735 -aS'from\tfrom\tIN\tB-PP\tO' -p27736 -aS'her\ther\tPRP$\tB-NP\tO' -p27737 -aS'wheelchair\twheelchair\tNN\tI-NP\tO' -p27738 -aS',\t,\t,\tO\tO' -p27739 -aS'had\thave\tVBD\tB-VP\tO' -p27740 -aS'a\ta\tDT\tB-NP\tO' -p27741 -aS'prodrome\tprodrome\tNN\tI-NP\tO' -p27742 -aS'of\tof\tIN\tB-PP\tO' -p27743 -aS'LH\tLH\tNN\tB-NP\tO' -p27744 -aS'and\tand\tCC\tO\tO' -p27745 -aS'then\tthen\tRB\tB-VP\tO' -p27746 -aS'reports\treport\tVBZ\tI-VP\tO' -p27747 -aS'LOC\tLOC\tNN\tB-NP\tO' -p27748 -aS'and\tand\tCC\tI-NP\tO' -p27749 -aS'fall\tfall\tNN\tI-NP\tO' -p27750 -aS'.\t.\t.\tO\tO' -p27751 -asS'P - no evidence of failure' -p27752 -(lp27753 -S'P\tP\tNN\tB-NP\tO' -p27754 -aS'-\t-\tHYPH\tB-VP\tO' -p27755 -aS'no\tno\tDT\tB-NP\tO' -p27756 -aS'evidence\tevidence\tNN\tI-NP\tO' -p27757 -aS'of\tof\tIN\tB-PP\tO' -p27758 -aS'failure\tfailure\tNN\tB-NP\tO' -p27759 -asS'She voided on the morning of POD # 1 .' -p27760 -(lp27761 -S'She\tShe\tPRP\tB-NP\tO' -p27762 -aS'voided\tvoid\tVBD\tB-VP\tO' -p27763 -aS'on\ton\tIN\tB-PP\tO' -p27764 -aS'the\tthe\tDT\tB-NP\tO' -p27765 -aS'morning\tmorning\tNN\tI-NP\tO' -p27766 -aS'of\tof\tIN\tB-PP\tO' -p27767 -aS'POD\tPOD\tNN\tB-NP\tB-protein' -p27768 -aS'#\t#\tSYM\tB-NP\tI-protein' -p27769 -aS'1\t1\tCD\tI-NP\tI-protein' -p27770 -aS'.\t.\t.\tO\tO' -p27771 -asS'It is also noted that there was splenomegaly .' -p27772 -(lp27773 -S'It\tIt\tPRP\tB-NP\tO' -p27774 -aS'is\tbe\tVBZ\tB-VP\tO' -p27775 -aS'also\talso\tRB\tI-VP\tO' -p27776 -aS'noted\tnote\tVBN\tI-VP\tO' -p27777 -aS'that\tthat\tIN\tB-SBAR\tO' -p27778 -aS'there\tthere\tEX\tB-NP\tO' -p27779 -aS'was\tbe\tVBD\tB-VP\tO' -p27780 -aS'splenomegaly\tsplenomegaly\tNN\tB-NP\tO' -p27781 -aS'.\t.\t.\tO\tO' -p27782 -asS'No prominent focal abnormalities were evident , and there were no epileptiform features .' -p27783 -(lp27784 -S'No\tNo\tDT\tB-NP\tO' -p27785 -aS'prominent\tprominent\tJJ\tI-NP\tO' -p27786 -aS'focal\tfocal\tJJ\tI-NP\tO' -p27787 -aS'abnormalities\tabnormality\tNNS\tI-NP\tO' -p27788 -aS'were\tbe\tVBD\tB-VP\tO' -p27789 -aS'evident\tevident\tJJ\tB-ADJP\tO' -p27790 -aS',\t,\t,\tO\tO' -p27791 -aS'and\tand\tCC\tO\tO' -p27792 -aS'there\tthere\tEX\tB-NP\tO' -p27793 -aS'were\tbe\tVBD\tB-VP\tO' -p27794 -aS'no\tno\tDT\tB-NP\tO' -p27795 -aS'epileptiform\tepileptiform\tNN\tI-NP\tO' -p27796 -aS'features\tfeature\tNNS\tI-NP\tO' -p27797 -aS'.\t.\t.\tO\tO' -p27798 -asS'Ext : warm well perfused , no C/C/E' -p27799 -(lp27800 -S'Ext\tExt\tNNP\tB-NP\tO' -p27801 -aS':\t:\t:\tO\tO' -p27802 -aS'warm\twarm\tJJ\tB-ADJP\tO' -p27803 -aS'well\twell\tRB\tB-VP\tO' -p27804 -aS'perfused\tperfuse\tVBN\tI-VP\tO' -p27805 -aS',\t,\t,\tO\tO' -p27806 -aS'no\tno\tDT\tB-NP\tO' -p27807 -aS'C/C/E\tC/C/E\tNN\tI-NP\tB-protein' -p27808 -asS'2. Osteoarthritis .' -p27809 -(lp27810 -S'2.\t2.\tLS\tB-NP\tO' -p27811 -aS'Osteoarthritis\tOsteoarthritis\tNN\tI-NP\tO' -p27812 -aS'.\t.\t.\tO\tO' -p27813 -asS'Cardiovascular - irregular rhythm , normal rate .' -p27814 -(lp27815 -S'Cardiovascular\tCardiovascular\tJJ\tB-NP\tO' -p27816 -aS'-\t-\tHYPH\tI-NP\tO' -p27817 -aS'irregular\tirregular\tJJ\tI-NP\tO' -p27818 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p27819 -aS',\t,\t,\tO\tO' -p27820 -aS'normal\tnormal\tJJ\tB-NP\tO' -p27821 -aS'rate\trate\tNN\tI-NP\tO' -p27822 -aS'.\t.\t.\tO\tO' -p27823 -asS'He was treated with Octreotide to try to slow down the bleeding .' -p27824 -(lp27825 -S'He\tHe\tPRP\tB-NP\tO' -p27826 -aS'was\tbe\tVBD\tB-VP\tO' -p27827 -aS'treated\ttreat\tVBN\tI-VP\tO' -p27828 -aS'with\twith\tIN\tB-PP\tO' -p27829 -aS'Octreotide\tOctreotide\tNN\tB-NP\tO' -p27830 -aS'to\tto\tTO\tB-VP\tO' -p27831 -aS'try\ttry\tVB\tI-VP\tO' -p27832 -aS'to\tto\tTO\tI-VP\tO' -p27833 -aS'slow\tslow\tVB\tI-VP\tO' -p27834 -aS'down\tdown\tRP\tB-PRT\tO' -p27835 -aS'the\tthe\tDT\tB-NP\tO' -p27836 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p27837 -aS'.\t.\t.\tO\tO' -p27838 -asS'On 5/11/05 repeat imaging revealed some edema and mass affect .' -p27839 -(lp27840 -S'On\tOn\tIN\tB-PP\tO' -p27841 -aS'5/11/05\t5/11/05\tCD\tB-NP\tO' -p27842 -aS'repeat\trepeat\tNN\tI-NP\tO' -p27843 -aS'imaging\timaging\tNN\tI-NP\tO' -p27844 -aS'revealed\treveal\tVBD\tB-VP\tO' -p27845 -aS'some\tsome\tDT\tB-NP\tO' -p27846 -aS'edema\tedema\tNN\tI-NP\tO' -p27847 -aS'and\tand\tCC\tI-NP\tO' -p27848 -aS'mass\tmass\tNN\tI-NP\tO' -p27849 -aS'affect\taffect\tNN\tI-NP\tO' -p27850 -aS'.\t.\t.\tO\tO' -p27851 -asS'4. Oxycodone-Acetaminophen 5-325 mg Tablet Sig : 1-2 Tablets PO every 4-6 hours as needed for pain .' -p27852 -(lp27853 -S'4.\t4.\tLS\tB-NP\tO' -p27854 -aS'Oxycodone-Acetaminophen\tOxycodone-Acetaminophen\tNN\tI-NP\tO' -p27855 -aS'5-325\t5-325\tCD\tI-NP\tO' -p27856 -aS'mg\tmg\tNN\tI-NP\tO' -p27857 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p27858 -aS'Sig\tSig\tNNP\tI-NP\tO' -p27859 -aS':\t:\t:\tO\tO' -p27860 -aS'1-2\t1-2\tCD\tB-NP\tO' -p27861 -aS'Tablets\tTablet\tNNS\tI-NP\tO' -p27862 -aS'PO\tPO\tNN\tI-NP\tO' -p27863 -aS'every\tevery\tDT\tB-NP\tO' -p27864 -aS'4-6\t4-6\tCD\tI-NP\tO' -p27865 -aS'hours\thour\tNNS\tI-NP\tO' -p27866 -aS'as\tas\tIN\tB-SBAR\tO' -p27867 -aS'needed\tneed\tVBN\tB-VP\tO' -p27868 -aS'for\tfor\tIN\tB-PP\tO' -p27869 -aS'pain\tpain\tNN\tB-NP\tO' -p27870 -aS'.\t.\t.\tO\tO' -p27871 -asS'Hepatitis C .' -p27872 -(lp27873 -S'Hepatitis\tHepatitis\tNNP\tB-NP\tO' -p27874 -aS'C\tC\tNNP\tI-NP\tO' -p27875 -aS'.\t.\t.\tO\tO' -p27876 -asS'Insomnia .' -p27877 -(lp27878 -S'Insomnia\tInsomnia\tNNP\tB-NP\tO' -p27879 -aS'.\t.\t.\tO\tO' -p27880 -asS'On admission revealed white blood cell count 4.2 , Hct 27 , platelet count 28 .' -p27881 -(lp27882 -S'On\tOn\tIN\tB-PP\tO' -p27883 -aS'admission\tadmission\tNN\tB-NP\tO' -p27884 -aS'revealed\treveal\tVBD\tB-VP\tO' -p27885 -aS'white\twhite\tJJ\tB-NP\tO' -p27886 -aS'blood\tblood\tNN\tI-NP\tO' -p27887 -aS'cell\tcell\tNN\tI-NP\tO' -p27888 -aS'count\tcount\tNN\tI-NP\tO' -p27889 -aS'4.2\t4.2\tCD\tB-NP\tO' -p27890 -aS',\t,\t,\tO\tO' -p27891 -aS'Hct\tHct\tNN\tB-NP\tB-protein' -p27892 -aS'27\t27\tCD\tI-NP\tI-protein' -p27893 -aS',\t,\t,\tO\tO' -p27894 -aS'platelet\tplatelet\tNN\tB-NP\tO' -p27895 -aS'count\tcount\tNN\tI-NP\tO' -p27896 -aS'28\t28\tCD\tI-NP\tO' -p27897 -aS'.\t.\t.\tO\tO' -p27898 -asS'CN 04-15 intact , 07-06 bilateral upper and lower extremity strength .' -p27899 -(lp27900 -S'CN\tCN\tNN\tB-NP\tO' -p27901 -aS'04-15\t04-15\tCD\tI-NP\tO' -p27902 -aS'intact\tintact\tJJ\tI-NP\tO' -p27903 -aS',\t,\t,\tO\tO' -p27904 -aS'07-06\t07-06\tCD\tB-NP\tO' -p27905 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p27906 -aS'upper\tupper\tJJ\tI-NP\tO' -p27907 -aS'and\tand\tCC\tI-NP\tO' -p27908 -aS'lower\tlow\tJJR\tI-NP\tO' -p27909 -aS'extremity\textremity\tNN\tI-NP\tO' -p27910 -aS'strength\tstrength\tNN\tI-NP\tO' -p27911 -aS'.\t.\t.\tO\tO' -p27912 -asS'Pt continued on home regimen of calcium acetate 667 mg , 3 capsules TID .' -p27913 -(lp27914 -S'Pt\tPt\tNN\tB-NP\tO' -p27915 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p27916 -aS'on\ton\tIN\tB-PP\tO' -p27917 -aS'home\thome\tNN\tB-NP\tO' -p27918 -aS'regimen\tregimen\tNN\tI-NP\tO' -p27919 -aS'of\tof\tIN\tB-PP\tO' -p27920 -aS'calcium\tcalcium\tNN\tB-NP\tO' -p27921 -aS'acetate\tacetate\tNN\tI-NP\tO' -p27922 -aS'667\t667\tCD\tI-NP\tO' -p27923 -aS'mg\tmg\tNN\tI-NP\tO' -p27924 -aS',\t,\t,\tO\tO' -p27925 -aS'3\t3\tCD\tB-NP\tO' -p27926 -aS'capsules\tcapsule\tNNS\tI-NP\tO' -p27927 -aS'TID\tTID\tNN\tI-NP\tO' -p27928 -aS'.\t.\t.\tO\tO' -p27929 -asS'However , following cycle 4 , she developed a flu-like illness , followed by fever , nonproductive cough and dyspnea on exertion .' -p27930 -(lp27931 -S'However\tHowever\tRB\tB-ADVP\tO' -p27932 -aS',\t,\t,\tO\tO' -p27933 -aS'following\tfollow\tVBG\tB-VP\tO' -p27934 -aS'cycle\tcycle\tNN\tB-NP\tO' -p27935 -aS'4\t4\tCD\tI-NP\tO' -p27936 -aS',\t,\t,\tO\tO' -p27937 -aS'she\tshe\tPRP\tB-NP\tO' -p27938 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p27939 -aS'a\ta\tDT\tB-NP\tO' -p27940 -aS'flu-like\tflu-like\tJJ\tI-NP\tO' -p27941 -aS'illness\tillness\tNN\tI-NP\tO' -p27942 -aS',\t,\t,\tO\tO' -p27943 -aS'followed\tfollow\tVBN\tB-VP\tO' -p27944 -aS'by\tby\tIN\tB-PP\tO' -p27945 -aS'fever\tfever\tNN\tB-NP\tO' -p27946 -aS',\t,\t,\tO\tO' -p27947 -aS'nonproductive\tnonproductive\tJJ\tB-NP\tO' -p27948 -aS'cough\tcough\tNN\tI-NP\tO' -p27949 -aS'and\tand\tCC\tI-NP\tO' -p27950 -aS'dyspnea\tdyspnea\tNN\tI-NP\tO' -p27951 -aS'on\ton\tIN\tB-PP\tO' -p27952 -aS'exertion\texertion\tNN\tB-NP\tO' -p27953 -aS'.\t.\t.\tO\tO' -p27954 -asS'The patient 's sister has a history of cervical cancer .' -p27955 -(lp27956 -S'The\tThe\tDT\tB-NP\tO' -p27957 -aS'patient\tpatient\tNN\tI-NP\tO' -p27958 -aS''s\t'\tNNS\tI-NP\tO' -p27959 -aS'sister\tsister\tNN\tI-NP\tO' -p27960 -aS'has\thave\tVBZ\tB-VP\tO' -p27961 -aS'a\ta\tDT\tB-NP\tO' -p27962 -aS'history\thistory\tNN\tI-NP\tO' -p27963 -aS'of\tof\tIN\tB-PP\tO' -p27964 -aS'cervical\tcervical\tJJ\tB-NP\tO' -p27965 -aS'cancer\tcancer\tNN\tI-NP\tO' -p27966 -aS'.\t.\t.\tO\tO' -p27967 -asS'#. Anemia : Unclear source .' -p27968 -(lp27969 -S'#.\t#.\tRB\tB-ADVP\tO' -p27970 -aS'Anemia\tAnemia\tNNP\tB-NP\tO' -p27971 -aS':\t:\t:\tO\tO' -p27972 -aS'Unclear\tUnclear\tJJ\tB-NP\tO' -p27973 -aS'source\tsource\tNN\tI-NP\tO' -p27974 -aS'.\t.\t.\tO\tO' -p27975 -asS'Temp 98.5 , heart rate 74 , BP 140/90 , respiratory rate 18 , O2 sat 98% .' -p27976 -(lp27977 -S'Temp\tTemp\tNNP\tB-NP\tO' -p27978 -aS'98.5\t98.5\tCD\tI-NP\tO' -p27979 -aS',\t,\t,\tO\tO' -p27980 -aS'heart\theart\tNN\tB-NP\tO' -p27981 -aS'rate\trate\tNN\tI-NP\tO' -p27982 -aS'74\t74\tCD\tI-NP\tO' -p27983 -aS',\t,\t,\tO\tO' -p27984 -aS'BP\tBP\tNN\tB-NP\tB-DNA' -p27985 -aS'140/90\t140/90\tCD\tI-NP\tI-DNA' -p27986 -aS',\t,\t,\tO\tO' -p27987 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p27988 -aS'rate\trate\tNN\tI-NP\tO' -p27989 -aS'18\t18\tCD\tI-NP\tO' -p27990 -aS',\t,\t,\tO\tO' -p27991 -aS'O2\tO2\tNN\tB-NP\tO' -p27992 -aS'sat\tsit\tVBD\tB-VP\tO' -p27993 -aS'98%\t98%\tCD\tB-NP\tO' -p27994 -aS'.\t.\t.\tO\tO' -p27995 -asS'The patient has no history of alcohol abuse .' -p27996 -(lp27997 -S'The\tThe\tDT\tB-NP\tO' -p27998 -aS'patient\tpatient\tNN\tI-NP\tO' -p27999 -aS'has\thave\tVBZ\tB-VP\tO' -p28000 -aS'no\tno\tDT\tB-NP\tO' -p28001 -aS'history\thistory\tNN\tI-NP\tO' -p28002 -aS'of\tof\tIN\tB-PP\tO' -p28003 -aS'alcohol\talcohol\tNN\tB-NP\tO' -p28004 -aS'abuse\tabuse\tNN\tI-NP\tO' -p28005 -aS'.\t.\t.\tO\tO' -p28006 -asS'Pt was extubated the next day .' -p28007 -(lp28008 -S'Pt\tPt\tNN\tB-NP\tO' -p28009 -aS'was\tbe\tVBD\tB-VP\tO' -p28010 -aS'extubated\textubate\tVBN\tI-VP\tO' -p28011 -aS'the\tthe\tDT\tB-NP\tO' -p28012 -aS'next\tnext\tJJ\tI-NP\tO' -p28013 -aS'day\tday\tNN\tI-NP\tO' -p28014 -aS'.\t.\t.\tO\tO' -p28015 -asS'4. Nasal oxygen 3L per minute .' -p28016 -(lp28017 -S'4.\t4.\tLS\tB-NP\tO' -p28018 -aS'Nasal\tNasal\tJJ\tI-NP\tO' -p28019 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p28020 -aS'3L\t3L\tNN\tI-NP\tO' -p28021 -aS'per\tper\tIN\tB-PP\tO' -p28022 -aS'minute\tminute\tNN\tB-NP\tO' -p28023 -aS'.\t.\t.\tO\tO' -p28024 -asS'--- RISS - tight glucose control pre-op' -p28025 -(lp28026 -S'---\t---\tSYM\tO\tO' -p28027 -aS'RISS\tRISS\tNN\tB-NP\tB-protein' -p28028 -aS'-\t-\tHYPH\tI-NP\tO' -p28029 -aS'tight\ttight\tJJ\tI-NP\tO' -p28030 -aS'glucose\tglucose\tNN\tI-NP\tO' -p28031 -aS'control\tcontrol\tNN\tI-NP\tO' -p28032 -aS'pre-op\tpre-op\tJJ\tB-ADJP\tO' -p28033 -asS'At time of my evaluation , the patient denied nausea , vomitting , abdominal pain , dysuria , dizziness , changes in vision /hearing' -p28034 -(lp28035 -S'At\tAt\tIN\tB-PP\tO' -p28036 -aS'time\ttime\tNN\tB-NP\tO' -p28037 -aS'of\tof\tIN\tB-PP\tO' -p28038 -aS'my\tmy\tPRP$\tB-NP\tO' -p28039 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p28040 -aS',\t,\t,\tO\tO' -p28041 -aS'the\tthe\tDT\tB-NP\tO' -p28042 -aS'patient\tpatient\tNN\tI-NP\tO' -p28043 -aS'denied\tdeny\tVBD\tB-VP\tO' -p28044 -aS'nausea\tnausea\tNN\tB-NP\tO' -p28045 -aS',\t,\t,\tO\tO' -p28046 -aS'vomitting\tvomitting\tNN\tB-NP\tO' -p28047 -aS',\t,\t,\tO\tO' -p28048 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p28049 -aS'pain\tpain\tNN\tI-NP\tO' -p28050 -aS',\t,\t,\tO\tO' -p28051 -aS'dysuria\tdysuria\tNN\tB-NP\tO' -p28052 -aS',\t,\t,\tO\tO' -p28053 -aS'dizziness\tdizziness\tNN\tB-NP\tO' -p28054 -aS',\t,\t,\tO\tO' -p28055 -aS'changes\tchange\tNNS\tB-NP\tO' -p28056 -aS'in\tin\tIN\tB-PP\tO' -p28057 -aS'vision\tvision\tNN\tB-NP\tO' -p28058 -aS'/hearing\t/heare\tVBG\tB-VP\tO' -p28059 -asS'Also , with Dr. Fyfe of ENT scheduled for Halloween .' -p28060 -(lp28061 -S'Also\tAlso\tRB\tB-ADVP\tO' -p28062 -aS',\t,\t,\tO\tO' -p28063 -aS'with\twith\tIN\tB-PP\tO' -p28064 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p28065 -aS'Fyfe\tFyfe\tNNP\tI-NP\tO' -p28066 -aS'of\tof\tIN\tB-PP\tO' -p28067 -aS'ENT\tENT\tNNP\tB-NP\tO' -p28068 -aS'scheduled\tschedule\tVBN\tB-VP\tO' -p28069 -aS'for\tfor\tIN\tB-PP\tO' -p28070 -aS'Halloween\tHalloween\tNNP\tB-NP\tO' -p28071 -aS'.\t.\t.\tO\tO' -p28072 -asS'A nitro drip was started in an effort to decrease her preload and afterload .' -p28073 -(lp28074 -S'A\tA\tDT\tB-NP\tO' -p28075 -aS'nitro\tnitro\tNN\tI-NP\tO' -p28076 -aS'drip\tdrip\tNN\tI-NP\tO' -p28077 -aS'was\tbe\tVBD\tB-VP\tO' -p28078 -aS'started\tstart\tVBN\tI-VP\tO' -p28079 -aS'in\tin\tIN\tB-PP\tO' -p28080 -aS'an\tan\tDT\tB-NP\tO' -p28081 -aS'effort\teffort\tNN\tI-NP\tO' -p28082 -aS'to\tto\tTO\tB-VP\tO' -p28083 -aS'decrease\tdecrease\tVB\tI-VP\tO' -p28084 -aS'her\ther\tPRP$\tB-NP\tO' -p28085 -aS'preload\tpreload\tNN\tI-NP\tO' -p28086 -aS'and\tand\tCC\tI-NP\tO' -p28087 -aS'afterload\tafterload\tNN\tI-NP\tO' -p28088 -aS'.\t.\t.\tO\tO' -p28089 -asS'Osteochondromatosis , right knee .' -p28090 -(lp28091 -S'Osteochondromatosis\tOsteochondromatosis\tNN\tB-NP\tO' -p28092 -aS',\t,\t,\tO\tO' -p28093 -aS'right\tright\tJJ\tB-NP\tO' -p28094 -aS'knee\tknee\tNN\tI-NP\tO' -p28095 -aS'.\t.\t.\tO\tO' -p28096 -asS'Mr. Vinktlandfreierm was admitted from Owaleharbo Tanaminer Hospital to which he had been discharged approximately four days prior to admission .' -p28097 -(lp28098 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p28099 -aS'Vinktlandfreierm\tVinktlandfreierm\tNNP\tI-NP\tO' -p28100 -aS'was\tbe\tVBD\tB-VP\tO' -p28101 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p28102 -aS'from\tfrom\tIN\tB-PP\tO' -p28103 -aS'Owaleharbo\tOwaleharbo\tNNP\tB-NP\tO' -p28104 -aS'Tanaminer\tTanaminer\tNNP\tI-NP\tO' -p28105 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p28106 -aS'to\tto\tTO\tB-PP\tO' -p28107 -aS'which\twhich\tWDT\tB-NP\tO' -p28108 -aS'he\the\tPRP\tB-NP\tO' -p28109 -aS'had\thave\tVBD\tB-VP\tO' -p28110 -aS'been\tbe\tVBN\tI-VP\tO' -p28111 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p28112 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p28113 -aS'four\tfour\tCD\tI-NP\tO' -p28114 -aS'days\tday\tNNS\tI-NP\tO' -p28115 -aS'prior\tprior\tRB\tB-ADVP\tO' -p28116 -aS'to\tto\tTO\tB-PP\tO' -p28117 -aS'admission\tadmission\tNN\tB-NP\tO' -p28118 -aS'.\t.\t.\tO\tO' -p28119 -asS'7. Metoprolol Tartrate 25 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ) .' -p28120 -(lp28121 -S'7.\t7.\tCD\tB-NP\tO' -p28122 -aS'Metoprolol\tMetoprolol\tNNP\tI-NP\tO' -p28123 -aS'Tartrate\tTartrate\tNNP\tI-NP\tO' -p28124 -aS'25\t25\tCD\tI-NP\tO' -p28125 -aS'mg\tmg\tNN\tI-NP\tO' -p28126 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p28127 -aS'Sig\tSig\tNNP\tI-NP\tO' -p28128 -aS':\t:\t:\tO\tO' -p28129 -aS'One\tOne\tCD\tB-NP\tO' -p28130 -aS'(\t(\t(\tO\tO' -p28131 -aS'1\t1\tCD\tB-NP\tO' -p28132 -aS')\t)\t)\tO\tO' -p28133 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p28134 -aS'PO\tPO\tNN\tI-NP\tO' -p28135 -aS'BID\tBID\tNN\tI-NP\tO' -p28136 -aS'(\t(\t(\tO\tO' -p28137 -aS'2\t2\tCD\tB-NP\tO' -p28138 -aS'times\ttime\tNNS\tI-NP\tO' -p28139 -aS'a\ta\tDT\tB-NP\tO' -p28140 -aS'day\tday\tNN\tI-NP\tO' -p28141 -aS')\t)\t)\tO\tO' -p28142 -aS'.\t.\t.\tO\tO' -p28143 -asS'1+ right posterior tibialis , 2+ left posterior tibialis , no edema , ichthyotic changes were present .' -p28144 -(lp28145 -S'1+\t1+\tJJ\tB-NP\tO' -p28146 -aS'right\tright\tJJ\tI-NP\tO' -p28147 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p28148 -aS'tibialis\ttibialis\tNN\tI-NP\tO' -p28149 -aS',\t,\t,\tO\tO' -p28150 -aS'2+\t2+\tJJ\tB-NP\tO' -p28151 -aS'left\tleft\tJJ\tI-NP\tO' -p28152 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p28153 -aS'tibialis\ttibialis\tNN\tI-NP\tO' -p28154 -aS',\t,\t,\tO\tO' -p28155 -aS'no\tno\tDT\tB-NP\tO' -p28156 -aS'edema\tedema\tNN\tI-NP\tO' -p28157 -aS',\t,\t,\tO\tO' -p28158 -aS'ichthyotic\tichthyotic\tJJ\tB-NP\tO' -p28159 -aS'changes\tchange\tNNS\tI-NP\tO' -p28160 -aS'were\tbe\tVBD\tB-VP\tO' -p28161 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p28162 -aS'.\t.\t.\tO\tO' -p28163 -asS'9) Fosamax 10 mg p.o. q. day .' -p28164 -(lp28165 -S'9)\t9)\tCD\tB-NP\tO' -p28166 -aS'Fosamax\tFosamax\tNN\tI-NP\tO' -p28167 -aS'10\t10\tCD\tB-NP\tO' -p28168 -aS'mg\tmg\tNN\tI-NP\tO' -p28169 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p28170 -aS'q.\tq.\tNN\tI-NP\tO' -p28171 -aS'day\tday\tNN\tI-NP\tO' -p28172 -aS'.\t.\t.\tO\tO' -p28173 -asS'RIGHT TIBIA / FIBULA , AP AND LATERAL VIEWS : An intramedullary rod is seen fixating a proximal diaphyseal comminuted tibial fracture with six proximal and two distal screws .' -p28174 -(lp28175 -S'RIGHT\tRIGHT\tNN\tB-NP\tO' -p28176 -aS'TIBIA\tTIBIA\tNN\tI-NP\tO' -p28177 -aS'/\t/\tSYM\tB-NP\tO' -p28178 -aS'FIBULA\tFIBULA\tNN\tI-NP\tO' -p28179 -aS',\t,\t,\tO\tO' -p28180 -aS'AP\tAP\tNN\tB-NP\tO' -p28181 -aS'AND\tAND\tCC\tI-NP\tO' -p28182 -aS'LATERAL\tLATERAL\tNN\tI-NP\tO' -p28183 -aS'VIEWS\tVIEWS\tNN\tI-NP\tO' -p28184 -aS':\t:\t:\tO\tO' -p28185 -aS'An\tAn\tDT\tB-NP\tO' -p28186 -aS'intramedullary\tintramedullary\tJJ\tI-NP\tO' -p28187 -aS'rod\trod\tNN\tI-NP\tO' -p28188 -aS'is\tbe\tVBZ\tB-VP\tO' -p28189 -aS'seen\tsee\tVBN\tI-VP\tO' -p28190 -aS'fixating\tfixate\tVBG\tI-VP\tO' -p28191 -aS'a\ta\tDT\tB-NP\tO' -p28192 -aS'proximal\tproximal\tJJ\tI-NP\tO' -p28193 -aS'diaphyseal\tdiaphyseal\tNN\tI-NP\tO' -p28194 -aS'comminuted\tcomminute\tVBD\tB-VP\tO' -p28195 -aS'tibial\ttibial\tJJ\tB-NP\tO' -p28196 -aS'fracture\tfracture\tNN\tI-NP\tO' -p28197 -aS'with\twith\tIN\tB-PP\tO' -p28198 -aS'six\tsix\tCD\tB-NP\tO' -p28199 -aS'proximal\tproximal\tJJ\tI-NP\tO' -p28200 -aS'and\tand\tCC\tO\tO' -p28201 -aS'two\ttwo\tCD\tB-NP\tO' -p28202 -aS'distal\tdistal\tJJ\tI-NP\tO' -p28203 -aS'screws\tscrew\tNNS\tI-NP\tO' -p28204 -aS'.\t.\t.\tO\tO' -p28205 -asS'She was in her usual state of health until around 12:40 on October 19 , when while on the phone , started to have difficulty in talking .' -p28206 -(lp28207 -S'She\tShe\tPRP\tB-NP\tO' -p28208 -aS'was\tbe\tVBD\tB-VP\tO' -p28209 -aS'in\tin\tIN\tB-PP\tO' -p28210 -aS'her\ther\tPRP$\tB-NP\tO' -p28211 -aS'usual\tusual\tJJ\tI-NP\tO' -p28212 -aS'state\tstate\tNN\tI-NP\tO' -p28213 -aS'of\tof\tIN\tB-PP\tO' -p28214 -aS'health\thealth\tNN\tB-NP\tO' -p28215 -aS'until\tuntil\tIN\tB-PP\tO' -p28216 -aS'around\taround\tIN\tB-PP\tO' -p28217 -aS'12:40\t12:40\tCD\tB-NP\tO' -p28218 -aS'on\ton\tIN\tB-PP\tO' -p28219 -aS'October\tOctober\tNNP\tB-NP\tO' -p28220 -aS'19\t19\tCD\tI-NP\tO' -p28221 -aS',\t,\t,\tO\tO' -p28222 -aS'when\twhen\tWRB\tB-ADVP\tO' -p28223 -aS'while\twhile\tIN\tB-SBAR\tO' -p28224 -aS'on\ton\tIN\tB-PP\tO' -p28225 -aS'the\tthe\tDT\tB-NP\tO' -p28226 -aS'phone\tphone\tNN\tI-NP\tO' -p28227 -aS',\t,\t,\tO\tO' -p28228 -aS'started\tstart\tVBD\tB-VP\tO' -p28229 -aS'to\tto\tTO\tI-VP\tO' -p28230 -aS'have\thave\tVB\tI-VP\tO' -p28231 -aS'difficulty\tdifficulty\tNN\tB-NP\tO' -p28232 -aS'in\tin\tIN\tB-PP\tO' -p28233 -aS'talking\ttalk\tVBG\tB-NP\tO' -p28234 -aS'.\t.\t.\tO\tO' -p28235 -asS'Emaciated white female in mild respiratory distress .' -p28236 -(lp28237 -S'Emaciated\tEmaciate\tVBN\tB-NP\tO' -p28238 -aS'white\twhite\tJJ\tI-NP\tO' -p28239 -aS'female\tfemale\tNN\tI-NP\tO' -p28240 -aS'in\tin\tIN\tB-PP\tO' -p28241 -aS'mild\tmild\tJJ\tB-NP\tO' -p28242 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p28243 -aS'distress\tdistress\tNN\tI-NP\tO' -p28244 -aS'.\t.\t.\tO\tO' -p28245 -asS'She remained afebrile throughout her admission tolerating a regular diet by post-operative day two and was discharged on June 6 , 1993 with Percocet for pain .' -p28246 -(lp28247 -S'She\tShe\tPRP\tB-NP\tO' -p28248 -aS'remained\tremain\tVBD\tB-VP\tO' -p28249 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p28250 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p28251 -aS'her\ther\tPRP$\tB-NP\tO' -p28252 -aS'admission\tadmission\tNN\tI-NP\tO' -p28253 -aS'tolerating\ttolerate\tVBG\tB-VP\tO' -p28254 -aS'a\ta\tDT\tB-NP\tO' -p28255 -aS'regular\tregular\tJJ\tI-NP\tO' -p28256 -aS'diet\tdiet\tNN\tI-NP\tO' -p28257 -aS'by\tby\tIN\tB-PP\tO' -p28258 -aS'post-operative\tpost-operative\tJJ\tB-NP\tO' -p28259 -aS'day\tday\tNN\tI-NP\tO' -p28260 -aS'two\ttwo\tCD\tB-NP\tO' -p28261 -aS'and\tand\tCC\tO\tO' -p28262 -aS'was\tbe\tVBD\tB-VP\tO' -p28263 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p28264 -aS'on\ton\tIN\tB-PP\tO' -p28265 -aS'June\tJune\tNNP\tB-NP\tB-protein' -p28266 -aS'6\t6\tCD\tI-NP\tI-protein' -p28267 -aS',\t,\t,\tI-NP\tO' -p28268 -aS'1993\t1993\tCD\tI-NP\tO' -p28269 -aS'with\twith\tIN\tB-PP\tO' -p28270 -aS'Percocet\tPercocet\tNN\tB-NP\tO' -p28271 -aS'for\tfor\tIN\tB-PP\tO' -p28272 -aS'pain\tpain\tNN\tB-NP\tO' -p28273 -aS'.\t.\t.\tO\tO' -p28274 -asS'4. Abnormal liver function tests - The patient had an isolated , elevated alkaline phosphatase with a confirmatory elevation in his gamma glutamyl transferase .' -p28275 -(lp28276 -S'4.\t4.\tLS\tB-NP\tO' -p28277 -aS'Abnormal\tAbnormal\tJJ\tI-NP\tO' -p28278 -aS'liver\tliver\tNN\tI-NP\tO' -p28279 -aS'function\tfunction\tNN\tI-NP\tO' -p28280 -aS'tests\ttest\tNNS\tI-NP\tO' -p28281 -aS'-\t-\t:\tO\tO' -p28282 -aS'The\tThe\tDT\tB-NP\tO' -p28283 -aS'patient\tpatient\tNN\tI-NP\tO' -p28284 -aS'had\thave\tVBD\tB-VP\tO' -p28285 -aS'an\tan\tDT\tB-NP\tO' -p28286 -aS'isolated\tisolate\tVBN\tI-NP\tO' -p28287 -aS',\t,\t,\tI-NP\tO' -p28288 -aS'elevated\televated\tJJ\tI-NP\tO' -p28289 -aS'alkaline\talkaline\tNN\tI-NP\tB-protein' -p28290 -aS'phosphatase\tphosphatase\tNN\tI-NP\tI-protein' -p28291 -aS'with\twith\tIN\tB-PP\tO' -p28292 -aS'a\ta\tDT\tB-NP\tO' -p28293 -aS'confirmatory\tconfirmatory\tJJ\tI-NP\tO' -p28294 -aS'elevation\televation\tNN\tI-NP\tO' -p28295 -aS'in\tin\tIN\tB-PP\tO' -p28296 -aS'his\this\tPRP$\tB-NP\tO' -p28297 -aS'gamma\tgamma\tNN\tI-NP\tB-protein' -p28298 -aS'glutamyl\tglutamyl\tNN\tI-NP\tI-protein' -p28299 -aS'transferase\ttransferase\tNN\tI-NP\tI-protein' -p28300 -aS'.\t.\t.\tO\tO' -p28301 -asS'5. Mild apnea and bradycardia of prematurity resolved .' -p28302 -(lp28303 -S'5.\t5.\tLS\tB-NP\tO' -p28304 -aS'Mild\tMild\tNNP\tI-NP\tO' -p28305 -aS'apnea\tapnea\tNN\tI-NP\tO' -p28306 -aS'and\tand\tCC\tI-NP\tO' -p28307 -aS'bradycardia\tbradycardia\tNN\tI-NP\tO' -p28308 -aS'of\tof\tIN\tB-PP\tO' -p28309 -aS'prematurity\tprematurity\tNN\tB-NP\tO' -p28310 -aS'resolved\tresolve\tVBN\tB-VP\tO' -p28311 -aS'.\t.\t.\tO\tO' -p28312 -asS'The patient is to follow up with Dr. Ria in clinic on one month time and the family is to call me if there were any questions in the interim .' -p28313 -(lp28314 -S'The\tThe\tDT\tB-NP\tO' -p28315 -aS'patient\tpatient\tNN\tI-NP\tO' -p28316 -aS'is\tbe\tVBZ\tB-VP\tO' -p28317 -aS'to\tto\tTO\tB-VP\tO' -p28318 -aS'follow\tfollow\tVB\tI-VP\tO' -p28319 -aS'up\tup\tRP\tB-PRT\tO' -p28320 -aS'with\twith\tIN\tB-PP\tO' -p28321 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p28322 -aS'Ria\tRia\tNNP\tI-NP\tO' -p28323 -aS'in\tin\tIN\tB-PP\tO' -p28324 -aS'clinic\tclinic\tNN\tB-NP\tO' -p28325 -aS'on\ton\tIN\tB-PP\tO' -p28326 -aS'one\tone\tCD\tB-NP\tO' -p28327 -aS'month\tmonth\tNN\tI-NP\tO' -p28328 -aS'time\ttime\tNN\tI-NP\tO' -p28329 -aS'and\tand\tCC\tO\tO' -p28330 -aS'the\tthe\tDT\tB-NP\tO' -p28331 -aS'family\tfamily\tNN\tI-NP\tO' -p28332 -aS'is\tbe\tVBZ\tB-VP\tO' -p28333 -aS'to\tto\tTO\tB-VP\tO' -p28334 -aS'call\tcall\tVB\tI-VP\tO' -p28335 -aS'me\tme\tPRP\tB-NP\tO' -p28336 -aS'if\tif\tIN\tB-SBAR\tO' -p28337 -aS'there\tthere\tEX\tB-NP\tO' -p28338 -aS'were\tbe\tVBD\tB-VP\tO' -p28339 -aS'any\tany\tDT\tB-NP\tO' -p28340 -aS'questions\tquestion\tNNS\tI-NP\tO' -p28341 -aS'in\tin\tIN\tB-PP\tO' -p28342 -aS'the\tthe\tDT\tB-NP\tO' -p28343 -aS'interim\tinterim\tNN\tI-NP\tO' -p28344 -aS'.\t.\t.\tO\tO' -p28345 -asS'On admission he had no upper respiratory tract symptoms , recent infections , chest pain , shortness of breath , nausea or vomiting , change in bowel habits or abdomen pain .' -p28346 -(lp28347 -S'On\tOn\tIN\tB-PP\tO' -p28348 -aS'admission\tadmission\tNN\tB-NP\tO' -p28349 -aS'he\the\tPRP\tB-NP\tO' -p28350 -aS'had\thave\tVBD\tB-VP\tO' -p28351 -aS'no\tno\tDT\tB-NP\tO' -p28352 -aS'upper\tupper\tJJ\tI-NP\tO' -p28353 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p28354 -aS'tract\ttract\tNN\tI-NP\tO' -p28355 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p28356 -aS',\t,\t,\tO\tO' -p28357 -aS'recent\trecent\tJJ\tB-NP\tO' -p28358 -aS'infections\tinfection\tNNS\tI-NP\tO' -p28359 -aS',\t,\t,\tO\tO' -p28360 -aS'chest\tchest\tNN\tB-NP\tO' -p28361 -aS'pain\tpain\tNN\tI-NP\tO' -p28362 -aS',\t,\t,\tO\tO' -p28363 -aS'shortness\tshortness\tNN\tB-NP\tO' -p28364 -aS'of\tof\tIN\tB-PP\tO' -p28365 -aS'breath\tbreath\tNN\tB-NP\tO' -p28366 -aS',\t,\t,\tI-NP\tO' -p28367 -aS'nausea\tnausea\tNN\tI-NP\tO' -p28368 -aS'or\tor\tCC\tI-NP\tO' -p28369 -aS'vomiting\tvomiting\tNN\tI-NP\tO' -p28370 -aS',\t,\t,\tO\tO' -p28371 -aS'change\tchange\tNN\tB-NP\tO' -p28372 -aS'in\tin\tIN\tB-PP\tO' -p28373 -aS'bowel\tbowel\tNN\tB-NP\tO' -p28374 -aS'habits\thabit\tNNS\tI-NP\tO' -p28375 -aS'or\tor\tCC\tO\tO' -p28376 -aS'abdomen\tabdomen\tNN\tB-NP\tO' -p28377 -aS'pain\tpain\tNN\tI-NP\tO' -p28378 -aS'.\t.\t.\tO\tO' -p28379 -asS'Bloody drainage from his increasingly distended abdomen was noted .' -p28380 -(lp28381 -S'Bloody\tBloody\tJJ\tB-NP\tO' -p28382 -aS'drainage\tdrainage\tNN\tI-NP\tO' -p28383 -aS'from\tfrom\tIN\tB-PP\tO' -p28384 -aS'his\this\tPRP$\tB-NP\tB-DNA' -p28385 -aS'increasingly\tincreasingly\tRB\tI-NP\tO' -p28386 -aS'distended\tdistended\tJJ\tI-NP\tO' -p28387 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p28388 -aS'was\tbe\tVBD\tB-VP\tO' -p28389 -aS'noted\tnote\tVBN\tI-VP\tO' -p28390 -aS'.\t.\t.\tO\tO' -p28391 -asS'She has been seen by Dr. Tokbelb , her primary care physician in Itgreenredan Hospital , and also Dr. Kotefyfechird , her cardiologist , and also an endocrinologist at Retelk County Medical Center .' -p28392 -(lp28393 -S'She\tShe\tPRP\tB-NP\tO' -p28394 -aS'has\thave\tVBZ\tB-VP\tO' -p28395 -aS'been\tbe\tVBN\tI-VP\tO' -p28396 -aS'seen\tsee\tVBN\tI-VP\tO' -p28397 -aS'by\tby\tIN\tB-PP\tO' -p28398 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p28399 -aS'Tokbelb\tTokbelb\tNNP\tI-NP\tO' -p28400 -aS',\t,\t,\tO\tO' -p28401 -aS'her\ther\tPRP$\tB-NP\tO' -p28402 -aS'primary\tprimary\tJJ\tI-NP\tO' -p28403 -aS'care\tcare\tNN\tI-NP\tO' -p28404 -aS'physician\tphysician\tNN\tI-NP\tO' -p28405 -aS'in\tin\tIN\tB-PP\tO' -p28406 -aS'Itgreenredan\tItgreenredan\tNNP\tB-NP\tO' -p28407 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p28408 -aS',\t,\t,\tO\tO' -p28409 -aS'and\tand\tCC\tO\tO' -p28410 -aS'also\talso\tRB\tB-ADVP\tO' -p28411 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p28412 -aS'Kotefyfechird\tKotefyfechird\tNNP\tI-NP\tO' -p28413 -aS',\t,\t,\tO\tO' -p28414 -aS'her\ther\tPRP$\tB-NP\tO' -p28415 -aS'cardiologist\tcardiologist\tNN\tI-NP\tO' -p28416 -aS',\t,\t,\tO\tO' -p28417 -aS'and\tand\tCC\tO\tO' -p28418 -aS'also\talso\tRB\tB-ADVP\tO' -p28419 -aS'an\tan\tDT\tB-NP\tO' -p28420 -aS'endocrinologist\tendocrinologist\tNN\tI-NP\tO' -p28421 -aS'at\tat\tIN\tB-PP\tO' -p28422 -aS'Retelk\tRetelk\tNNP\tB-NP\tO' -p28423 -aS'County\tCounty\tNNP\tI-NP\tO' -p28424 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p28425 -aS'Center\tCenter\tNNP\tI-NP\tO' -p28426 -aS'.\t.\t.\tO\tO' -p28427 -asS'The patient finally died .' -p28428 -(lp28429 -S'The\tThe\tDT\tB-NP\tO' -p28430 -aS'patient\tpatient\tNN\tI-NP\tO' -p28431 -aS'finally\tfinally\tRB\tB-ADVP\tO' -p28432 -aS'died\tdie\tVBD\tB-VP\tO' -p28433 -aS'.\t.\t.\tO\tO' -p28434 -asS'Disp :* 8 Capsule (s)* Refills :* 0 *' -p28435 -(lp28436 -S'Disp\tDisp\tNN\tB-NP\tO' -p28437 -aS':*\t:*\tSYM\tI-NP\tO' -p28438 -aS'8\t8\tCD\tI-NP\tO' -p28439 -aS'Capsule\tCapsule\tNN\tI-NP\tO' -p28440 -aS'(s)*\t(s)*\tSYM\tB-NP\tO' -p28441 -aS'Refills\tRefill\tNNPS\tI-NP\tO' -p28442 -aS':*\t:*\tSYM\tI-NP\tO' -p28443 -aS'0\t0\tCD\tI-NP\tO' -p28444 -aS'*\t*\tSYM\tB-NP\tO' -p28445 -asS'2. In addition , as stated above , Dr.Hastings office from Cardiothoracic Surgery will be in contact with Ms. Williams to arrange followup for her ascending aortic aneurysm in approximately one month .' -p28446 -(lp28447 -S'2.\t2.\tLS\tB-LST\tO' -p28448 -aS'In\tIn\tIN\tB-PP\tO' -p28449 -aS'addition\taddition\tNN\tB-NP\tO' -p28450 -aS',\t,\t,\tO\tO' -p28451 -aS'as\tas\tIN\tB-SBAR\tO' -p28452 -aS'stated\tstate\tVBN\tB-VP\tO' -p28453 -aS'above\tabove\tRB\tB-ADVP\tO' -p28454 -aS',\t,\t,\tO\tO' -p28455 -aS'Dr.Hastings\tDr.Hastings\tNNP\tB-NP\tO' -p28456 -aS'office\toffice\tNN\tI-NP\tO' -p28457 -aS'from\tfrom\tIN\tB-PP\tO' -p28458 -aS'Cardiothoracic\tCardiothoracic\tNNP\tB-NP\tO' -p28459 -aS'Surgery\tSurgery\tNNP\tI-NP\tO' -p28460 -aS'will\twill\tMD\tB-VP\tO' -p28461 -aS'be\tbe\tVB\tI-VP\tO' -p28462 -aS'in\tin\tIN\tB-PP\tO' -p28463 -aS'contact\tcontact\tNN\tB-NP\tO' -p28464 -aS'with\twith\tIN\tB-PP\tO' -p28465 -aS'Ms.\tMs.\tNNP\tB-NP\tO' -p28466 -aS'Williams\tWilliams\tNNP\tI-NP\tO' -p28467 -aS'to\tto\tTO\tB-VP\tO' -p28468 -aS'arrange\tarrange\tVB\tI-VP\tO' -p28469 -aS'followup\tfollowup\tNN\tB-NP\tO' -p28470 -aS'for\tfor\tIN\tB-PP\tO' -p28471 -aS'her\ther\tPRP$\tB-NP\tO' -p28472 -aS'ascending\tascend\tVBG\tI-NP\tO' -p28473 -aS'aortic\taortic\tJJ\tI-NP\tO' -p28474 -aS'aneurysm\taneurysm\tNN\tI-NP\tO' -p28475 -aS'in\tin\tIN\tB-PP\tO' -p28476 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p28477 -aS'one\tone\tCD\tI-NP\tO' -p28478 -aS'month\tmonth\tNN\tI-NP\tO' -p28479 -aS'.\t.\t.\tO\tO' -p28480 -asS'The patient lives with his wife and is a retired sardine packer .' -p28481 -(lp28482 -S'The\tThe\tDT\tB-NP\tO' -p28483 -aS'patient\tpatient\tNN\tI-NP\tO' -p28484 -aS'lives\tlive\tVBZ\tB-VP\tO' -p28485 -aS'with\twith\tIN\tB-PP\tO' -p28486 -aS'his\this\tPRP$\tB-NP\tO' -p28487 -aS'wife\twife\tNN\tI-NP\tO' -p28488 -aS'and\tand\tCC\tO\tO' -p28489 -aS'is\tbe\tVBZ\tB-VP\tO' -p28490 -aS'a\ta\tDT\tB-NP\tO' -p28491 -aS'retired\tretired\tJJ\tI-NP\tO' -p28492 -aS'sardine\tsardine\tNN\tI-NP\tO' -p28493 -aS'packer\tpacker\tNN\tI-NP\tO' -p28494 -aS'.\t.\t.\tO\tO' -p28495 -asS'2. dilation and curettage in 1992 for polyps ,' -p28496 -(lp28497 -S'2.\t2.\tLS\tB-NP\tO' -p28498 -aS'dilation\tdilation\tNN\tI-NP\tO' -p28499 -aS'and\tand\tCC\tI-NP\tO' -p28500 -aS'curettage\tcurettage\tNN\tI-NP\tO' -p28501 -aS'in\tin\tIN\tB-PP\tO' -p28502 -aS'1992\t1992\tCD\tB-NP\tO' -p28503 -aS'for\tfor\tIN\tB-PP\tO' -p28504 -aS'polyps\tpolyp\tNNS\tB-NP\tO' -p28505 -aS',\t,\t,\tO\tO' -p28506 -asS'5) Ischemic bowel status post SMA Percutaneous Transluminal Coronary Angioplasty .' -p28507 -(lp28508 -S'5)\t5)\tLS\tB-NP\tO' -p28509 -aS'Ischemic\tIschemic\tJJ\tI-NP\tO' -p28510 -aS'bowel\tbowel\tNN\tI-NP\tO' -p28511 -aS'status\tstatus\tNN\tI-NP\tO' -p28512 -aS'post\tpost\tIN\tB-PP\tO' -p28513 -aS'SMA\tSMA\tNNP\tB-NP\tO' -p28514 -aS'Percutaneous\tPercutaneous\tNNP\tI-NP\tO' -p28515 -aS'Transluminal\tTransluminal\tNNP\tI-NP\tO' -p28516 -aS'Coronary\tCoronary\tNNP\tI-NP\tO' -p28517 -aS'Angioplasty\tAngioplasty\tNNP\tI-NP\tO' -p28518 -aS'.\t.\t.\tO\tO' -p28519 -asS'Influenza A - DFA confirmed , the viral cultures were pending at the time of discharge .' -p28520 -(lp28521 -S'Influenza\tInfluenza\tNN\tB-NP\tB-protein' -p28522 -aS'A\tA\tNN\tI-NP\tI-protein' -p28523 -aS'-\t-\tHYPH\tI-NP\tO' -p28524 -aS'DFA\tDFA\tNN\tI-NP\tO' -p28525 -aS'confirmed\tconfirm\tVBN\tB-VP\tO' -p28526 -aS',\t,\t,\tO\tO' -p28527 -aS'the\tthe\tDT\tB-NP\tO' -p28528 -aS'viral\tviral\tJJ\tI-NP\tB-cell_line' -p28529 -aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' -p28530 -aS'were\tbe\tVBD\tB-VP\tO' -p28531 -aS'pending\tpende\tVBG\tI-VP\tO' -p28532 -aS'at\tat\tIN\tB-PP\tO' -p28533 -aS'the\tthe\tDT\tB-NP\tO' -p28534 -aS'time\ttime\tNN\tI-NP\tO' -p28535 -aS'of\tof\tIN\tB-PP\tO' -p28536 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p28537 -aS'.\t.\t.\tO\tO' -p28538 -asS'On postoperative day number four , the patient was noted to have a low platelet level of 43,000 .' -p28539 -(lp28540 -S'On\tOn\tIN\tB-PP\tO' -p28541 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p28542 -aS'day\tday\tNN\tI-NP\tO' -p28543 -aS'number\tnumber\tNN\tI-NP\tO' -p28544 -aS'four\tfour\tCD\tB-NP\tO' -p28545 -aS',\t,\t,\tO\tO' -p28546 -aS'the\tthe\tDT\tB-NP\tO' -p28547 -aS'patient\tpatient\tNN\tI-NP\tO' -p28548 -aS'was\tbe\tVBD\tB-VP\tO' -p28549 -aS'noted\tnote\tVBN\tI-VP\tO' -p28550 -aS'to\tto\tTO\tI-VP\tO' -p28551 -aS'have\thave\tVB\tI-VP\tO' -p28552 -aS'a\ta\tDT\tB-NP\tO' -p28553 -aS'low\tlow\tJJ\tI-NP\tO' -p28554 -aS'platelet\tplatelet\tNN\tI-NP\tO' -p28555 -aS'level\tlevel\tNN\tI-NP\tO' -p28556 -aS'of\tof\tIN\tB-PP\tO' -p28557 -aS'43,000\t43,000\tCD\tB-NP\tO' -p28558 -aS'.\t.\t.\tO\tO' -p28559 -asS'The pupils are equal , round , and reactive to light and accommodation .' -p28560 -(lp28561 -S'The\tThe\tDT\tB-NP\tO' -p28562 -aS'pupils\tpupil\tNNS\tI-NP\tO' -p28563 -aS'are\tbe\tVBP\tB-VP\tO' -p28564 -aS'equal\tequal\tJJ\tB-ADJP\tO' -p28565 -aS',\t,\t,\tO\tO' -p28566 -aS'round\tround\tJJ\tB-ADJP\tO' -p28567 -aS',\t,\t,\tO\tO' -p28568 -aS'and\tand\tCC\tO\tO' -p28569 -aS'reactive\treactive\tJJ\tB-ADJP\tO' -p28570 -aS'to\tto\tTO\tB-PP\tO' -p28571 -aS'light\tlight\tNN\tB-NP\tO' -p28572 -aS'and\tand\tCC\tI-NP\tO' -p28573 -aS'accommodation\taccommodation\tNN\tI-NP\tO' -p28574 -aS'.\t.\t.\tO\tO' -p28575 -asS'An angiogram on HD#4 showed severe tibial disease and moderate SFA disease , no DP artery was seen .' -p28576 -(lp28577 -S'An\tAn\tDT\tB-NP\tO' -p28578 -aS'angiogram\tangiogram\tNN\tI-NP\tO' -p28579 -aS'on\ton\tIN\tB-PP\tO' -p28580 -aS'HD#4\tHD#4\tNN\tB-NP\tB-protein' -p28581 -aS'showed\tshow\tVBD\tB-VP\tO' -p28582 -aS'severe\tsevere\tJJ\tB-NP\tO' -p28583 -aS'tibial\ttibial\tJJ\tI-NP\tO' -p28584 -aS'disease\tdisease\tNN\tI-NP\tO' -p28585 -aS'and\tand\tCC\tO\tO' -p28586 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p28587 -aS'SFA\tSFA\tNN\tI-NP\tO' -p28588 -aS'disease\tdisease\tNN\tI-NP\tO' -p28589 -aS',\t,\t,\tO\tO' -p28590 -aS'no\tno\tDT\tB-NP\tO' -p28591 -aS'DP\tDP\tNN\tI-NP\tO' -p28592 -aS'artery\tartery\tNN\tI-NP\tO' -p28593 -aS'was\tbe\tVBD\tB-VP\tO' -p28594 -aS'seen\tsee\tVBN\tI-VP\tO' -p28595 -aS'.\t.\t.\tO\tO' -p28596 -asS'She had a cough productive of white sputum and felt warm , although she did not record her temperature .' -p28597 -(lp28598 -S'She\tShe\tPRP\tB-NP\tO' -p28599 -aS'had\thave\tVBD\tB-VP\tO' -p28600 -aS'a\ta\tDT\tB-NP\tO' -p28601 -aS'cough\tcough\tNN\tI-NP\tO' -p28602 -aS'productive\tproductive\tJJ\tB-ADJP\tO' -p28603 -aS'of\tof\tIN\tB-PP\tO' -p28604 -aS'white\twhite\tJJ\tB-NP\tO' -p28605 -aS'sputum\tsputum\tNN\tI-NP\tO' -p28606 -aS'and\tand\tCC\tO\tO' -p28607 -aS'felt\tfeel\tVBD\tB-VP\tO' -p28608 -aS'warm\twarm\tJJ\tB-ADJP\tO' -p28609 -aS',\t,\t,\tO\tO' -p28610 -aS'although\talthough\tIN\tB-SBAR\tO' -p28611 -aS'she\tshe\tPRP\tB-NP\tO' -p28612 -aS'did\tdo\tVBD\tB-VP\tO' -p28613 -aS'not\tnot\tRB\tI-VP\tO' -p28614 -aS'record\trecord\tVB\tI-VP\tO' -p28615 -aS'her\ther\tPRP$\tB-NP\tO' -p28616 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p28617 -aS'.\t.\t.\tO\tO' -p28618 -asS'It initially started one day previously but has gotten significantly worse over last 12 hours .' -p28619 -(lp28620 -S'It\tIt\tPRP\tB-NP\tO' -p28621 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p28622 -aS'started\tstart\tVBD\tB-VP\tO' -p28623 -aS'one\tone\tCD\tB-NP\tO' -p28624 -aS'day\tday\tNN\tI-NP\tO' -p28625 -aS'previously\tpreviously\tRB\tB-ADVP\tO' -p28626 -aS'but\tbut\tCC\tO\tO' -p28627 -aS'has\thave\tVBZ\tB-VP\tO' -p28628 -aS'gotten\tget\tVBN\tI-VP\tO' -p28629 -aS'significantly\tsignificantly\tRB\tB-ADJP\tO' -p28630 -aS'worse\tworse\tJJR\tI-ADJP\tO' -p28631 -aS'over\tover\tIN\tB-PP\tO' -p28632 -aS'last\tlast\tJJ\tB-NP\tO' -p28633 -aS'12\t12\tCD\tI-NP\tO' -p28634 -aS'hours\thour\tNNS\tI-NP\tO' -p28635 -aS'.\t.\t.\tO\tO' -p28636 -asS'She was quickly placed on a diet and advanced to regular diet .' -p28637 -(lp28638 -S'She\tShe\tPRP\tB-NP\tO' -p28639 -aS'was\tbe\tVBD\tB-VP\tO' -p28640 -aS'quickly\tquickly\tRB\tI-VP\tO' -p28641 -aS'placed\tplace\tVBN\tI-VP\tO' -p28642 -aS'on\ton\tIN\tB-PP\tO' -p28643 -aS'a\ta\tDT\tB-NP\tO' -p28644 -aS'diet\tdiet\tNN\tI-NP\tO' -p28645 -aS'and\tand\tCC\tO\tO' -p28646 -aS'advanced\tadvance\tVBN\tB-VP\tO' -p28647 -aS'to\tto\tTO\tB-PP\tO' -p28648 -aS'regular\tregular\tJJ\tB-NP\tO' -p28649 -aS'diet\tdiet\tNN\tI-NP\tO' -p28650 -aS'.\t.\t.\tO\tO' -p28651 -asS'His hospital course began on 2014-02-13 when he underwent a right carotid endarterectomy for 95% stenosis of the carotid artery .' -p28652 -(lp28653 -S'His\tHis\tPRP$\tB-NP\tO' -p28654 -aS'hospital\thospital\tNN\tI-NP\tO' -p28655 -aS'course\tcourse\tNN\tI-NP\tO' -p28656 -aS'began\tbegin\tVBD\tB-VP\tO' -p28657 -aS'on\ton\tIN\tB-PP\tO' -p28658 -aS'2014-02-13\t2014-02-13\tCD\tB-NP\tO' -p28659 -aS'when\twhen\tWRB\tB-ADVP\tO' -p28660 -aS'he\the\tPRP\tB-NP\tO' -p28661 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p28662 -aS'a\ta\tDT\tB-NP\tO' -p28663 -aS'right\tright\tJJ\tI-NP\tO' -p28664 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p28665 -aS'endarterectomy\tendarterectomy\tNN\tI-NP\tO' -p28666 -aS'for\tfor\tIN\tB-PP\tO' -p28667 -aS'95%\t95%\tCD\tB-NP\tO' -p28668 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p28669 -aS'of\tof\tIN\tB-PP\tO' -p28670 -aS'the\tthe\tDT\tB-NP\tO' -p28671 -aS'carotid\tcarotid\tJJ\tI-NP\tO' -p28672 -aS'artery\tartery\tNN\tI-NP\tO' -p28673 -aS'.\t.\t.\tO\tO' -p28674 -asS'She was started on Singulair 10 mg p.o. q.d.' -p28675 -(lp28676 -S'She\tShe\tPRP\tB-NP\tO' -p28677 -aS'was\tbe\tVBD\tB-VP\tO' -p28678 -aS'started\tstart\tVBN\tI-VP\tO' -p28679 -aS'on\ton\tIN\tB-PP\tO' -p28680 -aS'Singulair\tSingulair\tNN\tB-NP\tO' -p28681 -aS'10\t10\tCD\tI-NP\tO' -p28682 -aS'mg\tmg\tNN\tI-NP\tO' -p28683 -aS'p.o.\tp.o.\tFW\tB-ADVP\tO' -p28684 -aS'q.d.\tq.d.\tFW\tI-ADVP\tO' -p28685 -asS'Pt is medically cleared for procedure , likely has some mile rate related ischemia .' -p28686 -(lp28687 -S'Pt\tPt\tNN\tB-NP\tO' -p28688 -aS'is\tbe\tVBZ\tB-VP\tO' -p28689 -aS'medically\tmedically\tRB\tI-VP\tO' -p28690 -aS'cleared\tclear\tVBN\tI-VP\tO' -p28691 -aS'for\tfor\tIN\tB-PP\tO' -p28692 -aS'procedure\tprocedure\tNN\tB-NP\tO' -p28693 -aS',\t,\t,\tO\tO' -p28694 -aS'likely\tlikely\tRB\tB-ADVP\tO' -p28695 -aS'has\thave\tVBZ\tB-VP\tO' -p28696 -aS'some\tsome\tDT\tB-NP\tO' -p28697 -aS'mile\tmile\tJJ\tI-NP\tO' -p28698 -aS'rate\trate\tNN\tI-NP\tO' -p28699 -aS'related\trelated\tJJ\tI-NP\tO' -p28700 -aS'ischemia\tischemia\tNN\tI-NP\tO' -p28701 -aS'.\t.\t.\tO\tO' -p28702 -asS'The patient is intubated and sedated , but easily arousable .' -p28703 -(lp28704 -S'The\tThe\tDT\tB-NP\tO' -p28705 -aS'patient\tpatient\tNN\tI-NP\tO' -p28706 -aS'is\tbe\tVBZ\tB-VP\tO' -p28707 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p28708 -aS'and\tand\tCC\tI-VP\tO' -p28709 -aS'sedated\tsedate\tVBN\tI-VP\tO' -p28710 -aS',\t,\t,\tO\tO' -p28711 -aS'but\tbut\tCC\tO\tO' -p28712 -aS'easily\teasily\tRB\tB-ADJP\tO' -p28713 -aS'arousable\tarousable\tJJ\tI-ADJP\tO' -p28714 -aS'.\t.\t.\tO\tO' -p28715 -asS'Anemia , with a baseline hematocrit of 31.0 , with a TIBC that was low and a high ferritin .' -p28716 -(lp28717 -S'Anemia\tAnemia\tNNP\tB-NP\tO' -p28718 -aS',\t,\t,\tO\tO' -p28719 -aS'with\twith\tIN\tB-PP\tO' -p28720 -aS'a\ta\tDT\tB-NP\tO' -p28721 -aS'baseline\tbaseline\tNN\tI-NP\tO' -p28722 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p28723 -aS'of\tof\tIN\tB-PP\tO' -p28724 -aS'31.0\t31.0\tCD\tB-NP\tO' -p28725 -aS',\t,\t,\tO\tO' -p28726 -aS'with\twith\tIN\tB-PP\tO' -p28727 -aS'a\ta\tDT\tB-NP\tO' -p28728 -aS'TIBC\tTIBC\tNN\tI-NP\tB-DNA' -p28729 -aS'that\tthat\tWDT\tB-NP\tO' -p28730 -aS'was\tbe\tVBD\tB-VP\tO' -p28731 -aS'low\tlow\tJJ\tB-ADJP\tO' -p28732 -aS'and\tand\tCC\tO\tO' -p28733 -aS'a\ta\tDT\tB-NP\tO' -p28734 -aS'high\thigh\tJJ\tI-NP\tO' -p28735 -aS'ferritin\tferritin\tNN\tI-NP\tO' -p28736 -aS'.\t.\t.\tO\tO' -p28737 -asS'Mr. Knueppel Robertson a distal radius fracture prior to arriving to the hospital .' -p28738 -(lp28739 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p28740 -aS'Knueppel\tKnueppel\tNNP\tI-NP\tO' -p28741 -aS'Robertson\tRobertson\tNNP\tI-NP\tO' -p28742 -aS'a\ta\tDT\tB-NP\tO' -p28743 -aS'distal\tdistal\tJJ\tI-NP\tO' -p28744 -aS'radius\tradius\tNN\tI-NP\tO' -p28745 -aS'fracture\tfracture\tNN\tI-NP\tO' -p28746 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p28747 -aS'to\tto\tTO\tB-PP\tO' -p28748 -aS'arriving\tarrive\tVBG\tB-VP\tO' -p28749 -aS'to\tto\tTO\tB-PP\tO' -p28750 -aS'the\tthe\tDT\tB-NP\tO' -p28751 -aS'hospital\thospital\tNN\tI-NP\tO' -p28752 -aS'.\t.\t.\tO\tO' -p28753 -asS'8. Neoral 500 mg po bid .' -p28754 -(lp28755 -S'8.\t8.\tCD\tB-NP\tO' -p28756 -aS'Neoral\tNeoral\tJJ\tI-NP\tO' -p28757 -aS'500\t500\tCD\tI-NP\tO' -p28758 -aS'mg\tmg\tNN\tI-NP\tO' -p28759 -aS'po\tpo\tNN\tI-NP\tO' -p28760 -aS'bid\tbid\tNN\tI-NP\tO' -p28761 -aS'.\t.\t.\tO\tO' -p28762 -asS'The infant is currently on a 120 cc per kg per day of premature Enfamil 20 calorie or breast milk , tolerating feeds well .' -p28763 -(lp28764 -S'The\tThe\tDT\tB-NP\tO' -p28765 -aS'infant\tinfant\tNN\tI-NP\tO' -p28766 -aS'is\tbe\tVBZ\tB-VP\tO' -p28767 -aS'currently\tcurrently\tRB\tB-ADVP\tO' -p28768 -aS'on\ton\tIN\tB-PP\tO' -p28769 -aS'a\ta\tDT\tB-NP\tO' -p28770 -aS'120\t120\tCD\tI-NP\tO' -p28771 -aS'cc\tcc\tNN\tI-NP\tO' -p28772 -aS'per\tper\tIN\tB-PP\tO' -p28773 -aS'kg\tkg\tNN\tB-NP\tO' -p28774 -aS'per\tper\tIN\tB-PP\tO' -p28775 -aS'day\tday\tNN\tB-NP\tO' -p28776 -aS'of\tof\tIN\tB-PP\tO' -p28777 -aS'premature\tpremature\tJJ\tB-NP\tO' -p28778 -aS'Enfamil\tEnfamil\tNN\tI-NP\tO' -p28779 -aS'20\t20\tCD\tI-NP\tO' -p28780 -aS'calorie\tcalorie\tNN\tI-NP\tO' -p28781 -aS'or\tor\tCC\tI-NP\tO' -p28782 -aS'breast\tbreast\tNN\tI-NP\tO' -p28783 -aS'milk\tmilk\tNN\tI-NP\tO' -p28784 -aS',\t,\t,\tO\tO' -p28785 -aS'tolerating\ttolerate\tVBG\tB-VP\tO' -p28786 -aS'feeds\tfeed\tNNS\tB-NP\tO' -p28787 -aS'well\twell\tRB\tB-ADVP\tO' -p28788 -aS'.\t.\t.\tO\tO' -p28789 -asS'Her sputum grew out Pseudomonas aeruginosa as well .' -p28790 -(lp28791 -S'Her\tHer\tPRP$\tB-NP\tO' -p28792 -aS'sputum\tsputum\tNN\tI-NP\tO' -p28793 -aS'grew\tgrow\tVBD\tB-VP\tO' -p28794 -aS'out\tout\tRP\tB-PRT\tO' -p28795 -aS'Pseudomonas\tPseudomonas\tNNP\tB-NP\tO' -p28796 -aS'aeruginosa\taeruginosa\tNN\tI-NP\tO' -p28797 -aS'as\tas\tRB\tB-ADVP\tO' -p28798 -aS'well\twell\tRB\tI-ADVP\tO' -p28799 -aS'.\t.\t.\tO\tO' -p28800 -asS'Unfortunately throughout her admission , we were unable to test any more titers since she was receiving daily plasma exchange .' -p28801 -(lp28802 -S'Unfortunately\tUnfortunately\tRB\tB-ADVP\tO' -p28803 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p28804 -aS'her\ther\tPRP$\tB-NP\tO' -p28805 -aS'admission\tadmission\tNN\tI-NP\tO' -p28806 -aS',\t,\t,\tO\tO' -p28807 -aS'we\twe\tPRP\tB-NP\tO' -p28808 -aS'were\tbe\tVBD\tB-VP\tO' -p28809 -aS'unable\tunable\tJJ\tB-ADJP\tO' -p28810 -aS'to\tto\tTO\tB-VP\tO' -p28811 -aS'test\ttest\tVB\tI-VP\tO' -p28812 -aS'any\tany\tDT\tB-NP\tO' -p28813 -aS'more\tmore\tJJR\tI-NP\tO' -p28814 -aS'titers\ttiter\tNNS\tI-NP\tO' -p28815 -aS'since\tsince\tIN\tB-SBAR\tO' -p28816 -aS'she\tshe\tPRP\tB-NP\tO' -p28817 -aS'was\tbe\tVBD\tB-VP\tO' -p28818 -aS'receiving\treceive\tVBG\tI-VP\tO' -p28819 -aS'daily\tdaily\tJJ\tB-NP\tO' -p28820 -aS'plasma\tplasma\tNN\tI-NP\tO' -p28821 -aS'exchange\texchange\tNN\tI-NP\tO' -p28822 -aS'.\t.\t.\tO\tO' -p28823 -asS'Hematocrit was 24.8 , with a baseline of 46 .' -p28824 -(lp28825 -S'Hematocrit\tHematocrit\tNN\tB-NP\tB-protein' -p28826 -aS'was\tbe\tVBD\tB-VP\tI-protein' -p28827 -aS'24.8\t24.8\tCD\tB-NP\tI-protein' -p28828 -aS',\t,\t,\tO\tO' -p28829 -aS'with\twith\tIN\tB-PP\tO' -p28830 -aS'a\ta\tDT\tB-NP\tO' -p28831 -aS'baseline\tbaseline\tNN\tI-NP\tO' -p28832 -aS'of\tof\tIN\tB-PP\tO' -p28833 -aS'46\t46\tCD\tB-NP\tO' -p28834 -aS'.\t.\t.\tO\tO' -p28835 -asS'He had no fecal leukocytes .' -p28836 -(lp28837 -S'He\tHe\tPRP\tB-NP\tO' -p28838 -aS'had\thave\tVBD\tB-VP\tO' -p28839 -aS'no\tno\tDT\tB-NP\tO' -p28840 -aS'fecal\tfecal\tJJ\tI-NP\tB-cell_type' -p28841 -aS'leukocytes\tleukocyte\tNNS\tI-NP\tI-cell_type' -p28842 -aS'.\t.\t.\tO\tO' -p28843 -asS'You must take your aspirin and plavix every day to prevent failure of these stents which could be life threatening .' -p28844 -(lp28845 -S'You\tYou\tPRP\tB-NP\tB-protein' -p28846 -aS'must\tmust\tMD\tB-VP\tO' -p28847 -aS'take\ttake\tVB\tI-VP\tO' -p28848 -aS'your\tyour\tPRP$\tB-NP\tO' -p28849 -aS'aspirin\taspirin\tNN\tI-NP\tO' -p28850 -aS'and\tand\tCC\tI-NP\tO' -p28851 -aS'plavix\tplavix\tNN\tI-NP\tO' -p28852 -aS'every\tevery\tDT\tB-NP\tO' -p28853 -aS'day\tday\tNN\tI-NP\tO' -p28854 -aS'to\tto\tTO\tB-VP\tO' -p28855 -aS'prevent\tprevent\tVB\tI-VP\tO' -p28856 -aS'failure\tfailure\tNN\tB-NP\tO' -p28857 -aS'of\tof\tIN\tB-PP\tO' -p28858 -aS'these\tthese\tDT\tB-NP\tO' -p28859 -aS'stents\tstent\tNNS\tI-NP\tO' -p28860 -aS'which\twhich\tWDT\tB-NP\tO' -p28861 -aS'could\tcould\tMD\tB-VP\tO' -p28862 -aS'be\tbe\tVB\tI-VP\tO' -p28863 -aS'life\tlife\tNN\tB-NP\tO' -p28864 -aS'threatening\tthreatening\tNN\tI-NP\tO' -p28865 -aS'.\t.\t.\tO\tO' -p28866 -asS'On postop day number three her abdomen was noted to be distended with a few bowel sounds and she still had not passed gas .' -p28867 -(lp28868 -S'On\tOn\tIN\tB-PP\tO' -p28869 -aS'postop\tpostop\tJJ\tB-NP\tO' -p28870 -aS'day\tday\tNN\tI-NP\tO' -p28871 -aS'number\tnumber\tNN\tI-NP\tO' -p28872 -aS'three\tthree\tCD\tB-NP\tO' -p28873 -aS'her\ther\tPRP$\tI-NP\tO' -p28874 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p28875 -aS'was\tbe\tVBD\tB-VP\tO' -p28876 -aS'noted\tnote\tVBN\tI-VP\tO' -p28877 -aS'to\tto\tTO\tI-VP\tO' -p28878 -aS'be\tbe\tVB\tI-VP\tO' -p28879 -aS'distended\tdistend\tVBN\tI-VP\tO' -p28880 -aS'with\twith\tIN\tB-PP\tO' -p28881 -aS'a\ta\tDT\tB-NP\tO' -p28882 -aS'few\tfew\tJJ\tI-NP\tO' -p28883 -aS'bowel\tbowel\tNN\tI-NP\tO' -p28884 -aS'sounds\tsound\tNNS\tI-NP\tO' -p28885 -aS'and\tand\tCC\tO\tO' -p28886 -aS'she\tshe\tPRP\tB-NP\tO' -p28887 -aS'still\tstill\tRB\tB-ADVP\tO' -p28888 -aS'had\thave\tVBD\tB-VP\tO' -p28889 -aS'not\tnot\tRB\tI-VP\tO' -p28890 -aS'passed\tpass\tVBN\tI-VP\tO' -p28891 -aS'gas\tgas\tNN\tB-NP\tB-DNA' -p28892 -aS'.\t.\t.\tO\tO' -p28893 -asS'8) CAD - w/ abnl EF , however pt tolerated aggressive fluid resusciation w/o significant hypoxia .' -p28894 -(lp28895 -S'8)\t8)\tLS\tB-NP\tO' -p28896 -aS'CAD\tCAD\tNN\tI-NP\tB-protein' -p28897 -aS'-\t-\tHYPH\tO\tO' -p28898 -aS'w/\tw/\tSYM\tB-NP\tO' -p28899 -aS'abnl\tabnl\tNN\tI-NP\tO' -p28900 -aS'EF\tEF\tNN\tI-NP\tO' -p28901 -aS',\t,\t,\tO\tO' -p28902 -aS'however\thowever\tRB\tB-NP\tO' -p28903 -aS'pt\tpt\tJJ\tI-NP\tO' -p28904 -aS'tolerated\ttolerate\tVBN\tI-NP\tO' -p28905 -aS'aggressive\taggressive\tJJ\tI-NP\tO' -p28906 -aS'fluid\tfluid\tNN\tI-NP\tO' -p28907 -aS'resusciation\tresusciation\tNN\tI-NP\tO' -p28908 -aS'w/o\tw/o\tNN\tI-NP\tO' -p28909 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p28910 -aS'hypoxia\thypoxia\tNN\tI-NP\tO' -p28911 -aS'.\t.\t.\tO\tO' -p28912 -asS'The patient had a normal amylase and lipase , and a normal basic metabolic panel .' -p28913 -(lp28914 -S'The\tThe\tDT\tB-NP\tO' -p28915 -aS'patient\tpatient\tNN\tI-NP\tO' -p28916 -aS'had\thave\tVBD\tB-VP\tO' -p28917 -aS'a\ta\tDT\tB-NP\tO' -p28918 -aS'normal\tnormal\tJJ\tI-NP\tO' -p28919 -aS'amylase\tamylase\tNN\tI-NP\tO' -p28920 -aS'and\tand\tCC\tI-NP\tO' -p28921 -aS'lipase\tlipase\tNN\tI-NP\tO' -p28922 -aS',\t,\t,\tO\tO' -p28923 -aS'and\tand\tCC\tO\tO' -p28924 -aS'a\ta\tDT\tB-NP\tO' -p28925 -aS'normal\tnormal\tJJ\tI-NP\tO' -p28926 -aS'basic\tbasic\tJJ\tI-NP\tO' -p28927 -aS'metabolic\tmetabolic\tJJ\tI-NP\tO' -p28928 -aS'panel\tpanel\tNN\tI-NP\tO' -p28929 -aS'.\t.\t.\tO\tO' -p28930 -asS'No regular breast self examination , has not had a mammogram .' -p28931 -(lp28932 -S'No\tNo\tDT\tB-NP\tO' -p28933 -aS'regular\tregular\tJJ\tI-NP\tO' -p28934 -aS'breast\tbreast\tNN\tI-NP\tO' -p28935 -aS'self\tself\tNN\tI-NP\tO' -p28936 -aS'examination\texamination\tNN\tI-NP\tO' -p28937 -aS',\t,\t,\tO\tO' -p28938 -aS'has\thave\tVBZ\tB-VP\tO' -p28939 -aS'not\tnot\tRB\tI-VP\tO' -p28940 -aS'had\thave\tVBN\tI-VP\tO' -p28941 -aS'a\ta\tDT\tB-NP\tO' -p28942 -aS'mammogram\tmammogram\tNN\tI-NP\tO' -p28943 -aS'.\t.\t.\tO\tO' -p28944 -asS'denies fh of bleeding or clotting disorders .' -p28945 -(lp28946 -S'denies\tdeny\tVBZ\tB-VP\tO' -p28947 -aS'fh\tfh\tNN\tB-NP\tO' -p28948 -aS'of\tof\tIN\tB-PP\tO' -p28949 -aS'bleeding\tbleed\tVBG\tB-VP\tO' -p28950 -aS'or\tor\tCC\tI-VP\tO' -p28951 -aS'clotting\tclot\tVBG\tI-VP\tO' -p28952 -aS'disorders\tdisorder\tNNS\tB-NP\tO' -p28953 -aS'.\t.\t.\tO\tO' -p28954 -asS'He was finally sent home for home rehabilitation on 2011-02-23 .' -p28955 -(lp28956 -S'He\tHe\tPRP\tB-NP\tO' -p28957 -aS'was\tbe\tVBD\tB-VP\tO' -p28958 -aS'finally\tfinally\tRB\tI-VP\tO' -p28959 -aS'sent\tsend\tVBN\tI-VP\tO' -p28960 -aS'home\thome\tNN\tB-ADVP\tO' -p28961 -aS'for\tfor\tIN\tB-PP\tO' -p28962 -aS'home\thome\tNN\tB-NP\tO' -p28963 -aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' -p28964 -aS'on\ton\tIN\tB-PP\tO' -p28965 -aS'2011-02-23\t2011-02-23\tCD\tB-NP\tO' -p28966 -aS'.\t.\t.\tO\tO' -p28967 -asS'The importance of quitting smoking as well as continuing to follow his medical regimen was emphasized to the daughter and to the patient .' -p28968 -(lp28969 -S'The\tThe\tDT\tB-NP\tO' -p28970 -aS'importance\timportance\tNN\tI-NP\tO' -p28971 -aS'of\tof\tIN\tB-PP\tO' -p28972 -aS'quitting\tquit\tVBG\tB-VP\tO' -p28973 -aS'smoking\tsmoking\tNN\tB-NP\tO' -p28974 -aS'as\tas\tRB\tB-CONJP\tO' -p28975 -aS'well\twell\tRB\tI-CONJP\tO' -p28976 -aS'as\tas\tIN\tI-CONJP\tO' -p28977 -aS'continuing\tcontinue\tVBG\tB-VP\tO' -p28978 -aS'to\tto\tTO\tI-VP\tO' -p28979 -aS'follow\tfollow\tVB\tI-VP\tO' -p28980 -aS'his\this\tPRP$\tB-NP\tO' -p28981 -aS'medical\tmedical\tJJ\tI-NP\tO' -p28982 -aS'regimen\tregimen\tNN\tI-NP\tO' -p28983 -aS'was\tbe\tVBD\tB-VP\tO' -p28984 -aS'emphasized\temphasize\tVBN\tI-VP\tO' -p28985 -aS'to\tto\tTO\tB-PP\tO' -p28986 -aS'the\tthe\tDT\tB-NP\tO' -p28987 -aS'daughter\tdaughter\tNN\tI-NP\tO' -p28988 -aS'and\tand\tCC\tB-PP\tO' -p28989 -aS'to\tto\tTO\tB-PP\tO' -p28990 -aS'the\tthe\tDT\tB-NP\tO' -p28991 -aS'patient\tpatient\tNN\tI-NP\tO' -p28992 -aS'.\t.\t.\tO\tO' -p28993 -asS'The patient spoke with his cardiologist who referred him for pericardiocentesis for persistent and symptomatic pericardial effusion .' -p28994 -(lp28995 -S'The\tThe\tDT\tB-NP\tO' -p28996 -aS'patient\tpatient\tNN\tI-NP\tO' -p28997 -aS'spoke\tspeak\tVBD\tB-VP\tO' -p28998 -aS'with\twith\tIN\tB-PP\tO' -p28999 -aS'his\this\tPRP$\tB-NP\tO' -p29000 -aS'cardiologist\tcardiologist\tNN\tI-NP\tO' -p29001 -aS'who\twho\tWP\tB-NP\tO' -p29002 -aS'referred\trefer\tVBD\tB-VP\tO' -p29003 -aS'him\thim\tPRP\tB-NP\tO' -p29004 -aS'for\tfor\tIN\tB-PP\tO' -p29005 -aS'pericardiocentesis\tpericardiocentesis\tNN\tB-NP\tO' -p29006 -aS'for\tfor\tIN\tB-PP\tO' -p29007 -aS'persistent\tpersistent\tJJ\tB-NP\tO' -p29008 -aS'and\tand\tCC\tI-NP\tO' -p29009 -aS'symptomatic\tsymptomatic\tJJ\tI-NP\tO' -p29010 -aS'pericardial\tpericardial\tJJ\tI-NP\tO' -p29011 -aS'effusion\teffusion\tNN\tI-NP\tO' -p29012 -aS'.\t.\t.\tO\tO' -p29013 -asS'Proventil inhaler via nebulizers 0.5 milligrams with Atrovent .' -p29014 -(lp29015 -S'Proventil\tProventil\tIN\tB-PP\tO' -p29016 -aS'inhaler\tinhaler\tNN\tB-NP\tO' -p29017 -aS'via\tvia\tIN\tB-PP\tO' -p29018 -aS'nebulizers\tnebulizer\tNNS\tB-NP\tO' -p29019 -aS'0.5\t0.5\tCD\tB-NP\tO' -p29020 -aS'milligrams\tmilligram\tNNS\tI-NP\tO' -p29021 -aS'with\twith\tIN\tB-PP\tO' -p29022 -aS'Atrovent\tAtrovent\tNNP\tB-NP\tO' -p29023 -aS'.\t.\t.\tO\tO' -p29024 -asS'She is ready to be sent home with antibiotics .' -p29025 -(lp29026 -S'She\tShe\tPRP\tB-NP\tO' -p29027 -aS'is\tbe\tVBZ\tB-VP\tO' -p29028 -aS'ready\tready\tJJ\tB-ADJP\tO' -p29029 -aS'to\tto\tTO\tB-VP\tO' -p29030 -aS'be\tbe\tVB\tI-VP\tO' -p29031 -aS'sent\tsend\tVBN\tI-VP\tO' -p29032 -aS'home\thome\tNN\tB-ADVP\tO' -p29033 -aS'with\twith\tIN\tB-PP\tO' -p29034 -aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' -p29035 -aS'.\t.\t.\tO\tO' -p29036 -asS'Discharged to rehab .' -p29037 -(lp29038 -S'Discharged\tDischarge\tVBN\tB-VP\tO' -p29039 -aS'to\tto\tTO\tB-VP\tO' -p29040 -aS'rehab\trehab\tVB\tI-VP\tO' -p29041 -aS'.\t.\t.\tO\tO' -p29042 -asS'2. His non-essential medications that may have been contributing to his change in mental status were discontinued ; those included Temocillin , Nortriptyline , Haldol , Lorazepam , Venlafaxine , Bupropion , and Gabapentin .' -p29043 -(lp29044 -S'2.\t2.\tLS\tB-LST\tO' -p29045 -aS'His\tHis\tPRP$\tB-NP\tO' -p29046 -aS'non-essential\tnon-essential\tJJ\tI-NP\tO' -p29047 -aS'medications\tmedication\tNNS\tI-NP\tO' -p29048 -aS'that\tthat\tWDT\tB-NP\tO' -p29049 -aS'may\tmay\tMD\tB-VP\tO' -p29050 -aS'have\thave\tVB\tI-VP\tO' -p29051 -aS'been\tbe\tVBN\tI-VP\tO' -p29052 -aS'contributing\tcontribute\tVBG\tI-VP\tO' -p29053 -aS'to\tto\tTO\tB-PP\tO' -p29054 -aS'his\this\tPRP$\tB-NP\tO' -p29055 -aS'change\tchange\tNN\tI-NP\tO' -p29056 -aS'in\tin\tIN\tB-PP\tO' -p29057 -aS'mental\tmental\tJJ\tB-NP\tO' -p29058 -aS'status\tstatus\tNN\tI-NP\tO' -p29059 -aS'were\tbe\tVBD\tB-VP\tO' -p29060 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p29061 -aS';\t;\t:\tO\tO' -p29062 -aS'those\tthose\tDT\tB-NP\tO' -p29063 -aS'included\tinclude\tVBN\tB-VP\tO' -p29064 -aS'Temocillin\tTemocillin\tNNP\tB-NP\tO' -p29065 -aS',\t,\t,\tO\tO' -p29066 -aS'Nortriptyline\tNortriptyline\tNNP\tB-NP\tO' -p29067 -aS',\t,\t,\tO\tO' -p29068 -aS'Haldol\tHaldol\tNNP\tB-NP\tO' -p29069 -aS',\t,\t,\tO\tO' -p29070 -aS'Lorazepam\tLorazepam\tNNP\tB-NP\tO' -p29071 -aS',\t,\t,\tO\tO' -p29072 -aS'Venlafaxine\tVenlafaxine\tNNP\tB-NP\tO' -p29073 -aS',\t,\t,\tO\tO' -p29074 -aS'Bupropion\tBupropion\tNNP\tB-NP\tO' -p29075 -aS',\t,\t,\tO\tO' -p29076 -aS'and\tand\tCC\tO\tO' -p29077 -aS'Gabapentin\tGabapentin\tNN\tB-NP\tB-protein' -p29078 -aS'.\t.\t.\tO\tO' -p29079 -asS'He was supported on BIPAP for his respiratory status .' -p29080 -(lp29081 -S'He\tHe\tPRP\tB-NP\tO' -p29082 -aS'was\tbe\tVBD\tB-VP\tO' -p29083 -aS'supported\tsupport\tVBN\tI-VP\tO' -p29084 -aS'on\ton\tIN\tB-PP\tO' -p29085 -aS'BIPAP\tBIPAP\tNN\tB-NP\tB-protein' -p29086 -aS'for\tfor\tIN\tB-PP\tO' -p29087 -aS'his\this\tPRP$\tB-NP\tO' -p29088 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p29089 -aS'status\tstatus\tNN\tI-NP\tO' -p29090 -aS'.\t.\t.\tO\tO' -p29091 -asS'The patient was admitted to Edith Nourse Rogers Memorial VA Hospital and brought to the operating room on 2013-01-04 by Dr. van der Talbot where she received a coronary artery bypass graft times three .' -p29092 -(lp29093 -S'The\tThe\tDT\tB-NP\tO' -p29094 -aS'patient\tpatient\tNN\tI-NP\tO' -p29095 -aS'was\tbe\tVBD\tB-VP\tO' -p29096 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p29097 -aS'to\tto\tTO\tB-PP\tO' -p29098 -aS'Edith\tEdith\tNNP\tB-NP\tO' -p29099 -aS'Nourse\tNourse\tNNP\tI-NP\tO' -p29100 -aS'Rogers\tRogers\tNNP\tI-NP\tO' -p29101 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p29102 -aS'VA\tVA\tNNP\tI-NP\tO' -p29103 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p29104 -aS'and\tand\tCC\tO\tO' -p29105 -aS'brought\tbring\tVBD\tB-VP\tO' -p29106 -aS'to\tto\tTO\tB-PP\tO' -p29107 -aS'the\tthe\tDT\tB-NP\tO' -p29108 -aS'operating\toperating\tNN\tI-NP\tO' -p29109 -aS'room\troom\tNN\tI-NP\tO' -p29110 -aS'on\ton\tIN\tB-PP\tO' -p29111 -aS'2013-01-04\t2013-01-04\tCD\tB-NP\tO' -p29112 -aS'by\tby\tIN\tB-PP\tO' -p29113 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p29114 -aS'van\tvan\tNNP\tI-NP\tO' -p29115 -aS'der\tder\tNNP\tI-NP\tO' -p29116 -aS'Talbot\tTalbot\tNNP\tI-NP\tO' -p29117 -aS'where\twhere\tWRB\tB-ADVP\tO' -p29118 -aS'she\tshe\tPRP\tB-NP\tO' -p29119 -aS'received\treceive\tVBD\tB-VP\tO' -p29120 -aS'a\ta\tDT\tB-NP\tO' -p29121 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p29122 -aS'artery\tartery\tNN\tI-NP\tO' -p29123 -aS'bypass\tbypass\tIN\tB-PP\tO' -p29124 -aS'graft\tgraft\tNN\tB-NP\tO' -p29125 -aS'times\ttime\tNNS\tI-NP\tO' -p29126 -aS'three\tthree\tCD\tI-NP\tO' -p29127 -aS'.\t.\t.\tO\tO' -p29128 -asS'He will follow up with Dr. Iechalette Cancer in his office .' -p29129 -(lp29130 -S'He\tHe\tPRP\tB-NP\tO' -p29131 -aS'will\twill\tMD\tB-VP\tO' -p29132 -aS'follow\tfollow\tVB\tI-VP\tO' -p29133 -aS'up\tup\tRP\tB-PRT\tO' -p29134 -aS'with\twith\tIN\tB-PP\tO' -p29135 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p29136 -aS'Iechalette\tIechalette\tNNP\tI-NP\tO' -p29137 -aS'Cancer\tCancer\tNNP\tI-NP\tO' -p29138 -aS'in\tin\tIN\tB-PP\tO' -p29139 -aS'his\this\tPRP$\tB-NP\tO' -p29140 -aS'office\toffice\tNN\tI-NP\tO' -p29141 -aS'.\t.\t.\tO\tO' -p29142 -asS'He was told to return to the emergency department if he had any chest pain , pressure , difficulty breathing , nausea , light-headiness or dizziness .' -p29143 -(lp29144 -S'He\tHe\tPRP\tB-NP\tO' -p29145 -aS'was\tbe\tVBD\tB-VP\tO' -p29146 -aS'told\ttell\tVBN\tI-VP\tO' -p29147 -aS'to\tto\tTO\tI-VP\tO' -p29148 -aS'return\treturn\tVB\tI-VP\tO' -p29149 -aS'to\tto\tTO\tB-PP\tO' -p29150 -aS'the\tthe\tDT\tB-NP\tO' -p29151 -aS'emergency\temergency\tNN\tI-NP\tO' -p29152 -aS'department\tdepartment\tNN\tI-NP\tO' -p29153 -aS'if\tif\tIN\tB-SBAR\tO' -p29154 -aS'he\the\tPRP\tB-NP\tO' -p29155 -aS'had\thave\tVBD\tB-VP\tO' -p29156 -aS'any\tany\tDT\tB-NP\tO' -p29157 -aS'chest\tch\tJJS\tI-NP\tO' -p29158 -aS'pain\tpain\tNN\tI-NP\tO' -p29159 -aS',\t,\t,\tO\tO' -p29160 -aS'pressure\tpressure\tNN\tB-NP\tO' -p29161 -aS',\t,\t,\tO\tO' -p29162 -aS'difficulty\tdifficulty\tNN\tB-NP\tO' -p29163 -aS'breathing\tbreathing\tNN\tI-NP\tO' -p29164 -aS',\t,\t,\tO\tO' -p29165 -aS'nausea\tnausea\tNN\tB-NP\tO' -p29166 -aS',\t,\t,\tO\tO' -p29167 -aS'light-headiness\tlight-headiness\tNN\tB-NP\tO' -p29168 -aS'or\tor\tCC\tI-NP\tO' -p29169 -aS'dizziness\tdizziness\tNN\tI-NP\tO' -p29170 -aS'.\t.\t.\tO\tO' -p29171 -asS'She was promptly intubated for airway protection and in order to administer charcoal .' -p29172 -(lp29173 -S'She\tShe\tPRP\tB-NP\tO' -p29174 -aS'was\tbe\tVBD\tB-VP\tO' -p29175 -aS'promptly\tpromptly\tRB\tI-VP\tO' -p29176 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p29177 -aS'for\tfor\tIN\tB-PP\tO' -p29178 -aS'airway\tairway\tNN\tB-NP\tO' -p29179 -aS'protection\tprotection\tNN\tI-NP\tO' -p29180 -aS'and\tand\tCC\tO\tO' -p29181 -aS'in\tin\tIN\tB-SBAR\tO' -p29182 -aS'order\torder\tNN\tO\tO' -p29183 -aS'to\tto\tTO\tB-VP\tO' -p29184 -aS'administer\tadminister\tVB\tI-VP\tO' -p29185 -aS'charcoal\tcharcoal\tNN\tB-NP\tO' -p29186 -aS'.\t.\t.\tO\tO' -p29187 -asS'NO FUNGUS ISOLATED .' -p29188 -(lp29189 -S'NO\tNO\tNNP\tB-NP\tO' -p29190 -aS'FUNGUS\tFUNGUS\tNNP\tI-NP\tO' -p29191 -aS'ISOLATED\tISOLATED\tNNP\tI-NP\tO' -p29192 -aS'.\t.\t.\tO\tO' -p29193 -asS'Symptoms lasted about five hours and then gradually resolved except for the change in vision .' -p29194 -(lp29195 -S'Symptoms\tSymptom\tNNS\tB-NP\tO' -p29196 -aS'lasted\tlast\tVBD\tB-VP\tO' -p29197 -aS'about\tabout\tRB\tB-NP\tO' -p29198 -aS'five\tfive\tCD\tI-NP\tO' -p29199 -aS'hours\thour\tNNS\tI-NP\tO' -p29200 -aS'and\tand\tCC\tO\tO' -p29201 -aS'then\tthen\tRB\tB-VP\tO' -p29202 -aS'gradually\tgradually\tRB\tI-VP\tO' -p29203 -aS'resolved\tresolve\tVBN\tI-VP\tO' -p29204 -aS'except\texcept\tIN\tB-PP\tO' -p29205 -aS'for\tfor\tIN\tB-PP\tO' -p29206 -aS'the\tthe\tDT\tB-NP\tO' -p29207 -aS'change\tchange\tNN\tI-NP\tO' -p29208 -aS'in\tin\tIN\tB-PP\tO' -p29209 -aS'vision\tvision\tNN\tB-NP\tO' -p29210 -aS'.\t.\t.\tO\tO' -p29211 -asS'This was also compounded by a language barrier since the patient cannot speak English .' -p29212 -(lp29213 -S'This\tThis\tDT\tB-NP\tO' -p29214 -aS'was\tbe\tVBD\tB-VP\tO' -p29215 -aS'also\talso\tRB\tI-VP\tO' -p29216 -aS'compounded\tcompound\tVBN\tI-VP\tO' -p29217 -aS'by\tby\tIN\tB-PP\tO' -p29218 -aS'a\ta\tDT\tB-NP\tO' -p29219 -aS'language\tlanguage\tNN\tI-NP\tO' -p29220 -aS'barrier\tbarrier\tNN\tI-NP\tO' -p29221 -aS'since\tsince\tIN\tB-PP\tO' -p29222 -aS'the\tthe\tDT\tB-NP\tO' -p29223 -aS'patient\tpatient\tNN\tI-NP\tO' -p29224 -aS'cannot\tcannot\tMD\tB-VP\tO' -p29225 -aS'speak\tspeak\tVB\tI-VP\tO' -p29226 -aS'English\tEnglish\tNNP\tB-NP\tO' -p29227 -aS'.\t.\t.\tO\tO' -p29228 -asS'6. Aspirin 325 mg qd .' -p29229 -(lp29230 -S'6.\t6.\tLS\tB-LST\tO' -p29231 -aS'Aspirin\tAspirin\tNN\tB-NP\tO' -p29232 -aS'325\t325\tCD\tI-NP\tO' -p29233 -aS'mg\tmg\tNN\tI-NP\tO' -p29234 -aS'qd\tqd\tNN\tI-NP\tO' -p29235 -aS'.\t.\t.\tO\tO' -p29236 -asS'Chest x-ray shows question of a pulmonary nodule in the right lower lobe which may be cancer .' -p29237 -(lp29238 -S'Chest\tCh\tJJS\tB-NP\tO' -p29239 -aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' -p29240 -aS'shows\tshow\tVBZ\tB-VP\tO' -p29241 -aS'question\tquestion\tNN\tB-NP\tO' -p29242 -aS'of\tof\tIN\tB-PP\tO' -p29243 -aS'a\ta\tDT\tB-NP\tO' -p29244 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p29245 -aS'nodule\tnodule\tNN\tI-NP\tO' -p29246 -aS'in\tin\tIN\tB-PP\tO' -p29247 -aS'the\tthe\tDT\tB-NP\tO' -p29248 -aS'right\tright\tJJ\tI-NP\tO' -p29249 -aS'lower\tlow\tJJR\tI-NP\tO' -p29250 -aS'lobe\tlobe\tNN\tI-NP\tO' -p29251 -aS'which\twhich\tWDT\tB-NP\tO' -p29252 -aS'may\tmay\tMD\tB-VP\tO' -p29253 -aS'be\tbe\tVB\tI-VP\tO' -p29254 -aS'cancer\tcancer\tNN\tB-NP\tO' -p29255 -aS'.\t.\t.\tO\tO' -p29256 -asS'A needle jejunostomy catheter was placed at the time of her operation to facilitate postoperative nutrition .' -p29257 -(lp29258 -S'A\tA\tDT\tB-NP\tO' -p29259 -aS'needle\tneedle\tNN\tI-NP\tO' -p29260 -aS'jejunostomy\tjejunostomy\tNN\tI-NP\tO' -p29261 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p29262 -aS'was\tbe\tVBD\tB-VP\tO' -p29263 -aS'placed\tplace\tVBN\tI-VP\tO' -p29264 -aS'at\tat\tIN\tB-PP\tO' -p29265 -aS'the\tthe\tDT\tB-NP\tO' -p29266 -aS'time\ttime\tNN\tI-NP\tO' -p29267 -aS'of\tof\tIN\tB-PP\tO' -p29268 -aS'her\ther\tPRP$\tB-NP\tO' -p29269 -aS'operation\toperation\tNN\tI-NP\tO' -p29270 -aS'to\tto\tTO\tB-VP\tO' -p29271 -aS'facilitate\tfacilitate\tVB\tI-VP\tO' -p29272 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p29273 -aS'nutrition\tnutrition\tNN\tI-NP\tO' -p29274 -aS'.\t.\t.\tO\tO' -p29275 -asS'Patient was discharged from the unit on 12/30/09 and was sent to the floor .' -p29276 -(lp29277 -S'Patient\tPatient\tNN\tB-NP\tO' -p29278 -aS'was\tbe\tVBD\tB-VP\tO' -p29279 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p29280 -aS'from\tfrom\tIN\tB-PP\tO' -p29281 -aS'the\tthe\tDT\tB-NP\tO' -p29282 -aS'unit\tunit\tNN\tI-NP\tO' -p29283 -aS'on\ton\tIN\tB-PP\tO' -p29284 -aS'12/30/09\t12/30/09\tCD\tB-NP\tO' -p29285 -aS'and\tand\tCC\tO\tO' -p29286 -aS'was\tbe\tVBD\tB-VP\tO' -p29287 -aS'sent\tsend\tVBN\tI-VP\tO' -p29288 -aS'to\tto\tTO\tB-PP\tO' -p29289 -aS'the\tthe\tDT\tB-NP\tO' -p29290 -aS'floor\tfloor\tNN\tI-NP\tO' -p29291 -aS'.\t.\t.\tO\tO' -p29292 -asS'The patient was admitted on 3-16-93 to Diy Hospital for an E. coli urinary tract infection .' -p29293 -(lp29294 -S'The\tThe\tDT\tB-NP\tO' -p29295 -aS'patient\tpatient\tNN\tI-NP\tO' -p29296 -aS'was\tbe\tVBD\tB-VP\tO' -p29297 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p29298 -aS'on\ton\tIN\tB-PP\tO' -p29299 -aS'3-16-93\t3-16-93\tCD\tB-NP\tO' -p29300 -aS'to\tto\tTO\tB-PP\tO' -p29301 -aS'Diy\tDiy\tNNP\tB-NP\tO' -p29302 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p29303 -aS'for\tfor\tIN\tB-PP\tO' -p29304 -aS'an\tan\tDT\tB-NP\tO' -p29305 -aS'E.\tE.\tFW\tI-NP\tO' -p29306 -aS'coli\tcoli\tFW\tI-NP\tO' -p29307 -aS'urinary\turinary\tJJ\tI-NP\tO' -p29308 -aS'tract\ttract\tNN\tI-NP\tO' -p29309 -aS'infection\tinfection\tNN\tI-NP\tO' -p29310 -aS'.\t.\t.\tO\tO' -p29311 -asS'On day of life one , the infant had a dextrose stick of 34 .' -p29312 -(lp29313 -S'On\tOn\tIN\tB-PP\tO' -p29314 -aS'day\tday\tNN\tB-NP\tO' -p29315 -aS'of\tof\tIN\tB-PP\tO' -p29316 -aS'life\tlife\tNN\tB-NP\tO' -p29317 -aS'one\tone\tCD\tI-NP\tO' -p29318 -aS',\t,\t,\tO\tO' -p29319 -aS'the\tthe\tDT\tB-NP\tO' -p29320 -aS'infant\tinfant\tNN\tI-NP\tO' -p29321 -aS'had\thave\tVBD\tB-VP\tO' -p29322 -aS'a\ta\tDT\tB-NP\tO' -p29323 -aS'dextrose\tdextrose\tNN\tI-NP\tO' -p29324 -aS'stick\tstick\tNN\tI-NP\tO' -p29325 -aS'of\tof\tIN\tB-PP\tO' -p29326 -aS'34\t34\tCD\tB-NP\tO' -p29327 -aS'.\t.\t.\tO\tO' -p29328 -asS'She underwent four treatments of brachytherapy in March through May of 1993 .' -p29329 -(lp29330 -S'She\tShe\tPRP\tB-NP\tO' -p29331 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p29332 -aS'four\tfour\tCD\tB-NP\tO' -p29333 -aS'treatments\ttreatment\tNNS\tI-NP\tO' -p29334 -aS'of\tof\tIN\tB-PP\tO' -p29335 -aS'brachytherapy\tbrachytherapy\tNN\tB-NP\tO' -p29336 -aS'in\tin\tIN\tB-PP\tO' -p29337 -aS'March\tMarch\tNNP\tB-NP\tO' -p29338 -aS'through\tthrough\tIN\tB-PP\tO' -p29339 -aS'May\tMay\tNNP\tB-NP\tO' -p29340 -aS'of\tof\tIN\tB-PP\tO' -p29341 -aS'1993\t1993\tCD\tB-NP\tO' -p29342 -aS'.\t.\t.\tO\tO' -p29343 -asS'She has had no fevers , chills , respiratory symptoms , diarrhea , bright red blood per rectum or melena .' -p29344 -(lp29345 -S'She\tShe\tPRP\tB-NP\tO' -p29346 -aS'has\thave\tVBZ\tB-VP\tO' -p29347 -aS'had\thave\tVBN\tI-VP\tO' -p29348 -aS'no\tno\tDT\tB-NP\tO' -p29349 -aS'fevers\tfever\tNNS\tI-NP\tO' -p29350 -aS',\t,\t,\tO\tO' -p29351 -aS'chills\tchill\tNNS\tB-NP\tO' -p29352 -aS',\t,\t,\tO\tO' -p29353 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p29354 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p29355 -aS',\t,\t,\tO\tO' -p29356 -aS'diarrhea\tdiarrhea\tNN\tB-NP\tO' -p29357 -aS',\t,\t,\tO\tO' -p29358 -aS'bright\tbright\tJJ\tB-NP\tO' -p29359 -aS'red\tred\tJJ\tI-NP\tO' -p29360 -aS'blood\tblood\tNN\tI-NP\tO' -p29361 -aS'per\tper\tIN\tB-PP\tO' -p29362 -aS'rectum\trectum\tNN\tB-NP\tO' -p29363 -aS'or\tor\tCC\tO\tO' -p29364 -aS'melena\tmelena\tNN\tB-NP\tO' -p29365 -aS'.\t.\t.\tO\tO' -p29366 -asS'No transfusion during this admission .' -p29367 -(lp29368 -S'No\tNo\tDT\tB-NP\tO' -p29369 -aS'transfusion\ttransfusion\tNN\tI-NP\tO' -p29370 -aS'during\tduring\tIN\tB-PP\tO' -p29371 -aS'this\tthis\tDT\tB-NP\tO' -p29372 -aS'admission\tadmission\tNN\tI-NP\tO' -p29373 -aS'.\t.\t.\tO\tO' -p29374 -asS'A stress thallium was planned for the day following admission .' -p29375 -(lp29376 -S'A\tA\tDT\tB-NP\tO' -p29377 -aS'stress\tstress\tNN\tI-NP\tO' -p29378 -aS'thallium\tthallium\tNN\tI-NP\tO' -p29379 -aS'was\tbe\tVBD\tB-VP\tO' -p29380 -aS'planned\tplan\tVBN\tI-VP\tO' -p29381 -aS'for\tfor\tIN\tB-PP\tO' -p29382 -aS'the\tthe\tDT\tB-NP\tO' -p29383 -aS'day\tday\tNN\tI-NP\tO' -p29384 -aS'following\tfollow\tVBG\tB-PP\tO' -p29385 -aS'admission\tadmission\tNN\tB-NP\tO' -p29386 -aS'.\t.\t.\tO\tO' -p29387 -asS'COMPARISON : Non-contrast head CT from 2015-10-27 .' -p29388 -(lp29389 -S'COMPARISON\tCOMPARISON\tNN\tB-NP\tO' -p29390 -aS':\t:\t:\tO\tO' -p29391 -aS'Non-contrast\tNon-contrast\tJJ\tB-NP\tO' -p29392 -aS'head\thead\tNN\tI-NP\tO' -p29393 -aS'CT\tCT\tNN\tI-NP\tO' -p29394 -aS'from\tfrom\tIN\tB-PP\tO' -p29395 -aS'2015-10-27\t2015-10-27\tCD\tB-NP\tO' -p29396 -aS'.\t.\t.\tO\tO' -p29397 -asS'There was normal flow within the middle hepatic vein .' -p29398 -(lp29399 -S'There\tThere\tEX\tB-NP\tO' -p29400 -aS'was\tbe\tVBD\tB-VP\tO' -p29401 -aS'normal\tnormal\tJJ\tB-NP\tO' -p29402 -aS'flow\tflow\tNN\tI-NP\tO' -p29403 -aS'within\twithin\tIN\tB-PP\tO' -p29404 -aS'the\tthe\tDT\tB-NP\tO' -p29405 -aS'middle\tmiddle\tJJ\tI-NP\tO' -p29406 -aS'hepatic\thepatic\tJJ\tI-NP\tO' -p29407 -aS'vein\tvein\tNN\tI-NP\tO' -p29408 -aS'.\t.\t.\tO\tO' -p29409 -asS'She had a symmetric smile .' -p29410 -(lp29411 -S'She\tShe\tPRP\tB-NP\tO' -p29412 -aS'had\thave\tVBD\tB-VP\tO' -p29413 -aS'a\ta\tDT\tB-NP\tO' -p29414 -aS'symmetric\tsymmetric\tJJ\tI-NP\tO' -p29415 -aS'smile\tsmile\tNN\tI-NP\tO' -p29416 -aS'.\t.\t.\tO\tO' -p29417 -asS'At the time , patient had bright red blood per rectum as well and patient had cardiac catheterization at the time which showed 95% left anterior descending , which was percutaneous transluminal coronary angioplastied and had intra-aortic balloon pump placement .' -p29418 -(lp29419 -S'At\tAt\tIN\tB-PP\tO' -p29420 -aS'the\tthe\tDT\tB-NP\tO' -p29421 -aS'time\ttime\tNN\tI-NP\tO' -p29422 -aS',\t,\t,\tO\tO' -p29423 -aS'patient\tpatient\tNN\tB-NP\tO' -p29424 -aS'had\thave\tVBD\tB-VP\tO' -p29425 -aS'bright\tbright\tJJ\tB-NP\tO' -p29426 -aS'red\tred\tJJ\tI-NP\tO' -p29427 -aS'blood\tblood\tNN\tI-NP\tO' -p29428 -aS'per\tper\tIN\tB-PP\tO' -p29429 -aS'rectum\trectum\tNN\tB-NP\tO' -p29430 -aS'as\tas\tRB\tB-ADVP\tO' -p29431 -aS'well\twell\tRB\tI-ADVP\tO' -p29432 -aS'and\tand\tCC\tO\tO' -p29433 -aS'patient\tpatient\tNN\tB-NP\tO' -p29434 -aS'had\thave\tVBD\tB-VP\tO' -p29435 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p29436 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p29437 -aS'at\tat\tIN\tB-PP\tO' -p29438 -aS'the\tthe\tDT\tB-NP\tO' -p29439 -aS'time\ttime\tNN\tI-NP\tO' -p29440 -aS'which\twhich\tWDT\tB-NP\tO' -p29441 -aS'showed\tshow\tVBD\tB-VP\tO' -p29442 -aS'95%\t95%\tCD\tB-NP\tO' -p29443 -aS'left\tleft\tJJ\tI-NP\tO' -p29444 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p29445 -aS'descending\tdescending\tNN\tI-NP\tO' -p29446 -aS',\t,\t,\tO\tO' -p29447 -aS'which\twhich\tWDT\tB-NP\tO' -p29448 -aS'was\tbe\tVBD\tB-VP\tO' -p29449 -aS'percutaneous\tpercutaneous\tJJ\tB-NP\tO' -p29450 -aS'transluminal\ttransluminal\tJJ\tI-NP\tO' -p29451 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p29452 -aS'angioplastied\tangioplastie\tVBD\tB-VP\tO' -p29453 -aS'and\tand\tCC\tO\tO' -p29454 -aS'had\thave\tVBD\tB-VP\tO' -p29455 -aS'intra-aortic\tintra-aortic\tJJ\tB-NP\tO' -p29456 -aS'balloon\tballoon\tNN\tI-NP\tO' -p29457 -aS'pump\tpump\tNN\tI-NP\tO' -p29458 -aS'placement\tplacement\tNN\tI-NP\tO' -p29459 -aS'.\t.\t.\tO\tO' -p29460 -asS'3. Hypoplastic left lower extremity and hip repair at the age of five .' -p29461 -(lp29462 -S'3.\t3.\tLS\tB-LST\tO' -p29463 -aS'Hypoplastic\tHypoplastic\tNNP\tB-NP\tO' -p29464 -aS'left\tleave\tVBD\tB-VP\tO' -p29465 -aS'lower\tlow\tJJR\tB-NP\tO' -p29466 -aS'extremity\textremity\tNN\tI-NP\tO' -p29467 -aS'and\tand\tCC\tI-NP\tO' -p29468 -aS'hip\thip\tNN\tI-NP\tO' -p29469 -aS'repair\trepair\tNN\tI-NP\tO' -p29470 -aS'at\tat\tIN\tB-PP\tO' -p29471 -aS'the\tthe\tDT\tB-NP\tO' -p29472 -aS'age\tage\tNN\tI-NP\tO' -p29473 -aS'of\tof\tIN\tB-PP\tO' -p29474 -aS'five\tfive\tCD\tB-NP\tO' -p29475 -aS'.\t.\t.\tO\tO' -p29476 -asS'Gastritis .' -p29477 -(lp29478 -S'Gastritis\tGastritis\tNN\tB-NP\tO' -p29479 -aS'.\t.\t.\tO\tO' -p29480 -asS'On May 12 , 1998 , the patient presented to Pre Health with fever , cough , dyspnea and a chest x-ray revealing a patchy infiltrate in the right lung .' -p29481 -(lp29482 -S'On\tOn\tIN\tB-PP\tO' -p29483 -aS'May\tMay\tNNP\tB-NP\tO' -p29484 -aS'12\t12\tCD\tI-NP\tO' -p29485 -aS',\t,\t,\tI-NP\tO' -p29486 -aS'1998\t1998\tCD\tI-NP\tO' -p29487 -aS',\t,\t,\tO\tO' -p29488 -aS'the\tthe\tDT\tB-NP\tO' -p29489 -aS'patient\tpatient\tNN\tI-NP\tO' -p29490 -aS'presented\tpresent\tVBN\tB-VP\tO' -p29491 -aS'to\tto\tTO\tB-PP\tO' -p29492 -aS'Pre\tPre\tNNP\tB-NP\tO' -p29493 -aS'Health\tHealth\tNNP\tI-NP\tO' -p29494 -aS'with\twith\tIN\tB-PP\tO' -p29495 -aS'fever\tfever\tNN\tB-NP\tO' -p29496 -aS',\t,\t,\tO\tO' -p29497 -aS'cough\tcough\tNN\tB-NP\tO' -p29498 -aS',\t,\t,\tO\tO' -p29499 -aS'dyspnea\tdyspnea\tNN\tB-NP\tO' -p29500 -aS'and\tand\tCC\tO\tO' -p29501 -aS'a\ta\tDT\tB-NP\tO' -p29502 -aS'chest\tchest\tNN\tI-NP\tO' -p29503 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p29504 -aS'revealing\treveal\tVBG\tB-VP\tO' -p29505 -aS'a\ta\tDT\tB-NP\tO' -p29506 -aS'patchy\tpatchy\tJJ\tI-NP\tO' -p29507 -aS'infiltrate\tinfiltrate\tNN\tI-NP\tO' -p29508 -aS'in\tin\tIN\tB-PP\tO' -p29509 -aS'the\tthe\tDT\tB-NP\tO' -p29510 -aS'right\tright\tJJ\tI-NP\tO' -p29511 -aS'lung\tlung\tNN\tI-NP\tO' -p29512 -aS'.\t.\t.\tO\tO' -p29513 -asS'He is not ambulatory and is very deconditioned secondary to several complications within the past two months related to an AICD pocket infection .' -p29514 -(lp29515 -S'He\tHe\tPRP\tB-NP\tO' -p29516 -aS'is\tbe\tVBZ\tB-VP\tO' -p29517 -aS'not\tnot\tRB\tO\tO' -p29518 -aS'ambulatory\tambulatory\tJJ\tB-ADJP\tO' -p29519 -aS'and\tand\tCC\tO\tO' -p29520 -aS'is\tbe\tVBZ\tB-VP\tO' -p29521 -aS'very\tvery\tRB\tI-VP\tO' -p29522 -aS'deconditioned\tdeconditione\tVBN\tI-VP\tO' -p29523 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p29524 -aS'to\tto\tTO\tB-PP\tO' -p29525 -aS'several\tseveral\tJJ\tB-NP\tO' -p29526 -aS'complications\tcomplication\tNNS\tI-NP\tO' -p29527 -aS'within\twithin\tIN\tB-PP\tO' -p29528 -aS'the\tthe\tDT\tB-NP\tO' -p29529 -aS'past\tpast\tJJ\tI-NP\tO' -p29530 -aS'two\ttwo\tCD\tI-NP\tO' -p29531 -aS'months\tmonth\tNNS\tI-NP\tO' -p29532 -aS'related\trelate\tVBN\tB-VP\tO' -p29533 -aS'to\tto\tTO\tB-PP\tO' -p29534 -aS'an\tan\tDT\tB-NP\tO' -p29535 -aS'AICD\tAICD\tNN\tI-NP\tO' -p29536 -aS'pocket\tpocket\tNN\tI-NP\tO' -p29537 -aS'infection\tinfection\tNN\tI-NP\tO' -p29538 -aS'.\t.\t.\tO\tO' -p29539 -asS"Right parietal oligodendroglioma , as above status post craniotomy x 3 ( '95 , '04 , '05 )" -p29540 -(lp29541 -S'Right\tRight\tRB\tB-NP\tO' -p29542 -aS'parietal\tparietal\tJJ\tI-NP\tO' -p29543 -aS'oligodendroglioma\toligodendroglioma\tNN\tI-NP\tO' -p29544 -aS',\t,\t,\tO\tO' -p29545 -aS'as\tas\tIN\tB-PP\tO' -p29546 -aS'above\tabove\tIN\tB-PP\tO' -p29547 -aS'status\tstatus\tNN\tB-NP\tB-protein' -p29548 -aS'post\tpost\tNN\tI-NP\tI-protein' -p29549 -aS'craniotomy\tcraniotomy\tNN\tI-NP\tI-protein' -p29550 -aS'x\tx\tSYM\tB-NP\tI-protein' -p29551 -aS'3\t3\tCD\tI-NP\tI-protein' -p29552 -aS'(\t(\t(\tO\tO' -p29553 -aS"'95\t'95\tCD\tB-NP\tO" -p29554 -aS',\t,\t,\tI-NP\tO' -p29555 -aS"'04\t'04\tCD\tI-NP\tO" -p29556 -aS',\t,\t,\tI-NP\tO' -p29557 -aS"'05\t'05\tCD\tI-NP\tO" -p29558 -aS')\t)\t)\tO\tO' -p29559 -asS'She had some wheezing , which responded well to Albuterol nebulizers .' -p29560 -(lp29561 -S'She\tShe\tPRP\tB-NP\tO' -p29562 -aS'had\thave\tVBD\tB-VP\tO' -p29563 -aS'some\tsome\tDT\tB-NP\tO' -p29564 -aS'wheezing\twheezing\tNN\tI-NP\tO' -p29565 -aS',\t,\t,\tO\tO' -p29566 -aS'which\twhich\tWDT\tB-NP\tO' -p29567 -aS'responded\trespond\tVBD\tB-VP\tO' -p29568 -aS'well\twell\tRB\tB-ADVP\tO' -p29569 -aS'to\tto\tTO\tB-PP\tO' -p29570 -aS'Albuterol\tAlbuterol\tNN\tB-NP\tO' -p29571 -aS'nebulizers\tnebulizer\tNNS\tI-NP\tO' -p29572 -aS'.\t.\t.\tO\tO' -p29573 -asS'Vitals on admission : Please refer to addendum .' -p29574 -(lp29575 -S'Vitals\tVital\tNNS\tB-NP\tO' -p29576 -aS'on\ton\tIN\tB-PP\tO' -p29577 -aS'admission\tadmission\tNN\tB-NP\tO' -p29578 -aS':\t:\t:\tO\tO' -p29579 -aS'Please\tPlease\tNN\tB-NP\tB-protein' -p29580 -aS'refer\trefer\tVBP\tB-VP\tO' -p29581 -aS'to\tto\tTO\tI-VP\tO' -p29582 -aS'addendum\taddendum\tVB\tI-VP\tO' -p29583 -aS'.\t.\t.\tO\tO' -p29584 -asS'Includes diabetes , diagnosed at age 14 .' -p29585 -(lp29586 -S'Includes\tInclude\tVBZ\tB-VP\tO' -p29587 -aS'diabetes\tdiabete\tNNS\tB-NP\tO' -p29588 -aS',\t,\t,\tO\tO' -p29589 -aS'diagnosed\tdiagnose\tVBN\tB-VP\tO' -p29590 -aS'at\tat\tIN\tB-PP\tO' -p29591 -aS'age\tage\tNN\tB-NP\tO' -p29592 -aS'14\t14\tCD\tI-NP\tO' -p29593 -aS'.\t.\t.\tO\tO' -p29594 -asS'Skin examination was notable for a leg ulcer and cellulitis to be delineated below .' -p29595 -(lp29596 -S'Skin\tSkin\tNN\tB-NP\tO' -p29597 -aS'examination\texamination\tNN\tI-NP\tO' -p29598 -aS'was\tbe\tVBD\tB-VP\tO' -p29599 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p29600 -aS'for\tfor\tIN\tB-PP\tO' -p29601 -aS'a\ta\tDT\tB-NP\tO' -p29602 -aS'leg\tleg\tNN\tI-NP\tO' -p29603 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p29604 -aS'and\tand\tCC\tI-NP\tO' -p29605 -aS'cellulitis\tcellulitis\tNN\tI-NP\tO' -p29606 -aS'to\tto\tTO\tB-VP\tO' -p29607 -aS'be\tbe\tVB\tI-VP\tO' -p29608 -aS'delineated\tdelineate\tVBN\tI-VP\tO' -p29609 -aS'below\tbelow\tIN\tB-PP\tO' -p29610 -aS'.\t.\t.\tO\tO' -p29611 -asS'There is luminal irregularity seen in segments of both the left and right external iliac arteries consistent with spasm .' -p29612 -(lp29613 -S'There\tThere\tEX\tB-NP\tO' -p29614 -aS'is\tbe\tVBZ\tB-VP\tO' -p29615 -aS'luminal\tluminal\tJJ\tB-NP\tO' -p29616 -aS'irregularity\tirregularity\tNN\tI-NP\tO' -p29617 -aS'seen\tsee\tVBN\tB-VP\tO' -p29618 -aS'in\tin\tIN\tB-PP\tO' -p29619 -aS'segments\tsegment\tNNS\tB-NP\tO' -p29620 -aS'of\tof\tIN\tB-PP\tO' -p29621 -aS'both\tboth\tCC\tO\tO' -p29622 -aS'the\tthe\tDT\tB-NP\tO' -p29623 -aS'left\tleft\tJJ\tI-NP\tO' -p29624 -aS'and\tand\tCC\tI-NP\tO' -p29625 -aS'right\tright\tJJ\tI-NP\tO' -p29626 -aS'external\texternal\tJJ\tI-NP\tO' -p29627 -aS'iliac\tiliac\tJJ\tI-NP\tO' -p29628 -aS'arteries\tartery\tNNS\tI-NP\tO' -p29629 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p29630 -aS'with\twith\tIN\tB-PP\tO' -p29631 -aS'spasm\tspasm\tNN\tB-NP\tO' -p29632 -aS'.\t.\t.\tO\tO' -p29633 -asS'He should be on Coumadin for anticoagulation for three weeks from the date of surgery with twice weekly blood draws for INR with a goal of 1.5 to 2.0 .' -p29634 -(lp29635 -S'He\tHe\tPRP\tB-NP\tO' -p29636 -aS'should\tshould\tMD\tB-VP\tO' -p29637 -aS'be\tbe\tVB\tI-VP\tO' -p29638 -aS'on\ton\tIN\tB-PP\tO' -p29639 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p29640 -aS'for\tfor\tIN\tB-PP\tO' -p29641 -aS'anticoagulation\tanticoagulation\tNN\tB-NP\tO' -p29642 -aS'for\tfor\tIN\tB-PP\tO' -p29643 -aS'three\tthree\tCD\tB-NP\tO' -p29644 -aS'weeks\tweek\tNNS\tI-NP\tO' -p29645 -aS'from\tfrom\tIN\tB-PP\tO' -p29646 -aS'the\tthe\tDT\tB-NP\tO' -p29647 -aS'date\tdate\tNN\tI-NP\tO' -p29648 -aS'of\tof\tIN\tB-PP\tO' -p29649 -aS'surgery\tsurgery\tNN\tB-NP\tO' -p29650 -aS'with\twith\tIN\tB-PP\tO' -p29651 -aS'twice\ttwice\tJJ\tB-NP\tO' -p29652 -aS'weekly\tweekly\tJJ\tI-NP\tO' -p29653 -aS'blood\tblood\tNN\tI-NP\tO' -p29654 -aS'draws\tdraw\tNNS\tI-NP\tO' -p29655 -aS'for\tfor\tIN\tB-PP\tO' -p29656 -aS'INR\tINR\tNN\tB-NP\tB-protein' -p29657 -aS'with\twith\tIN\tB-PP\tO' -p29658 -aS'a\ta\tDT\tB-NP\tO' -p29659 -aS'goal\tgoal\tNN\tI-NP\tO' -p29660 -aS'of\tof\tIN\tB-PP\tO' -p29661 -aS'1.5\t1.5\tCD\tB-NP\tO' -p29662 -aS'to\tto\tTO\tB-PP\tO' -p29663 -aS'2.0\t2.0\tCD\tB-NP\tO' -p29664 -aS'.\t.\t.\tO\tO' -p29665 -asS'Attending : Derrick Z Wooster , M.D.' -p29666 -(lp29667 -S'Attending\tAttend\tVBG\tB-VP\tO' -p29668 -aS':\t:\t:\tO\tO' -p29669 -aS'Derrick\tDerrick\tNNP\tB-NP\tO' -p29670 -aS'Z\tZ\tNNP\tI-NP\tO' -p29671 -aS'Wooster\tWooster\tNNP\tI-NP\tO' -p29672 -aS',\t,\t,\tO\tO' -p29673 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p29674 -asS'Her neurologic examination remained completely nonfocal and otherwise normal .' -p29675 -(lp29676 -S'Her\tHer\tPRP$\tB-NP\tO' -p29677 -aS'neurologic\tneurologic\tJJ\tI-NP\tO' -p29678 -aS'examination\texamination\tNN\tI-NP\tO' -p29679 -aS'remained\tremain\tVBD\tB-VP\tO' -p29680 -aS'completely\tcompletely\tRB\tB-ADJP\tO' -p29681 -aS'nonfocal\tnonfocal\tJJ\tI-ADJP\tO' -p29682 -aS'and\tand\tCC\tO\tO' -p29683 -aS'otherwise\totherwise\tRB\tB-ADJP\tO' -p29684 -aS'normal\tnormal\tJJ\tI-ADJP\tO' -p29685 -aS'.\t.\t.\tO\tO' -p29686 -asS'Over the next several days he continued to improve his ambulation and mobility with physical therapy .' -p29687 -(lp29688 -S'Over\tOver\tIN\tB-PP\tO' -p29689 -aS'the\tthe\tDT\tB-NP\tO' -p29690 -aS'next\tnext\tJJ\tI-NP\tO' -p29691 -aS'several\tseveral\tJJ\tI-NP\tO' -p29692 -aS'days\tday\tNNS\tI-NP\tO' -p29693 -aS'he\the\tPRP\tB-NP\tO' -p29694 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p29695 -aS'to\tto\tTO\tI-VP\tO' -p29696 -aS'improve\timprove\tVB\tI-VP\tO' -p29697 -aS'his\this\tPRP$\tB-NP\tO' -p29698 -aS'ambulation\tambulation\tNN\tI-NP\tO' -p29699 -aS'and\tand\tCC\tI-NP\tO' -p29700 -aS'mobility\tmobility\tNN\tI-NP\tO' -p29701 -aS'with\twith\tIN\tB-PP\tO' -p29702 -aS'physical\tphysical\tJJ\tB-NP\tO' -p29703 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p29704 -aS'.\t.\t.\tO\tO' -p29705 -asS'Respirations are unlabored at 16 .' -p29706 -(lp29707 -S'Respirations\tRespiration\tNNS\tB-NP\tO' -p29708 -aS'are\tbe\tVBP\tB-VP\tO' -p29709 -aS'unlabored\tunlabored\tJJ\tB-ADJP\tO' -p29710 -aS'at\tat\tIN\tB-PP\tO' -p29711 -aS'16\t16\tCD\tB-NP\tO' -p29712 -aS'.\t.\t.\tO\tO' -p29713 -asS'The blood culture remained sterile .' -p29714 -(lp29715 -S'The\tThe\tDT\tB-NP\tO' -p29716 -aS'blood\tblood\tNN\tI-NP\tO' -p29717 -aS'culture\tculture\tNN\tI-NP\tO' -p29718 -aS'remained\tremain\tVBD\tB-VP\tO' -p29719 -aS'sterile\tsterile\tJJ\tB-ADJP\tO' -p29720 -aS'.\t.\t.\tO\tO' -p29721 -asS'He diuresed well on the dopamine gtt and his BP was supported .' -p29722 -(lp29723 -S'He\tHe\tPRP\tB-NP\tO' -p29724 -aS'diuresed\tdiurese\tVBD\tB-VP\tO' -p29725 -aS'well\twell\tRB\tB-ADVP\tO' -p29726 -aS'on\ton\tIN\tB-PP\tO' -p29727 -aS'the\tthe\tDT\tB-NP\tO' -p29728 -aS'dopamine\tdopamine\tNN\tI-NP\tO' -p29729 -aS'gtt\tgtt\tNN\tI-NP\tO' -p29730 -aS'and\tand\tCC\tO\tO' -p29731 -aS'his\this\tPRP$\tB-NP\tO' -p29732 -aS'BP\tBP\tNN\tI-NP\tO' -p29733 -aS'was\tbe\tVBD\tB-VP\tO' -p29734 -aS'supported\tsupport\tVBN\tI-VP\tO' -p29735 -aS'.\t.\t.\tO\tO' -p29736 -asS'IMPRESSION : Moderate symmetric eft ventricular hypertrophy with severe global biventricular hypokinesis c/w diffuse process ( toxin , metabolic , cannot exclude myocarditis ; in the absence of LVH on ECG , an infiltrative process should also be considered ).' -p29737 -(lp29738 -S'IMPRESSION\tIMPRESSION\tNN\tB-NP\tO' -p29739 -aS':\t:\t:\tO\tO' -p29740 -aS'Moderate\tModerate\tJJ\tB-NP\tO' -p29741 -aS'symmetric\tsymmetric\tJJ\tI-NP\tO' -p29742 -aS'eft\teft\tNN\tI-NP\tO' -p29743 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p29744 -aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' -p29745 -aS'with\twith\tIN\tB-PP\tO' -p29746 -aS'severe\tsevere\tJJ\tB-NP\tO' -p29747 -aS'global\tglobal\tJJ\tI-NP\tO' -p29748 -aS'biventricular\tbiventricular\tJJ\tI-NP\tO' -p29749 -aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' -p29750 -aS'c/w\tc/w\tNN\tI-NP\tO' -p29751 -aS'diffuse\tdiffuse\tJJ\tI-NP\tO' -p29752 -aS'process\tprocess\tNN\tI-NP\tO' -p29753 -aS'(\t(\t(\tO\tO' -p29754 -aS'toxin\ttoxin\tNN\tB-NP\tO' -p29755 -aS',\t,\t,\tO\tO' -p29756 -aS'metabolic\tmetabolic\tJJ\tB-ADJP\tO' -p29757 -aS',\t,\t,\tO\tO' -p29758 -aS'cannot\tcannot\tMD\tB-VP\tO' -p29759 -aS'exclude\texclude\tVB\tI-VP\tO' -p29760 -aS'myocarditis\tmyocarditis\tNN\tB-NP\tO' -p29761 -aS';\t;\t:\tO\tO' -p29762 -aS'in\tin\tIN\tB-PP\tO' -p29763 -aS'the\tthe\tDT\tB-NP\tO' -p29764 -aS'absence\tabsence\tNN\tI-NP\tO' -p29765 -aS'of\tof\tIN\tB-PP\tO' -p29766 -aS'LVH\tLVH\tNN\tB-NP\tB-protein' -p29767 -aS'on\ton\tIN\tB-PP\tO' -p29768 -aS'ECG\tECG\tNN\tB-NP\tB-protein' -p29769 -aS',\t,\t,\tO\tO' -p29770 -aS'an\tan\tDT\tB-NP\tO' -p29771 -aS'infiltrative\tinfiltrative\tJJ\tI-NP\tO' -p29772 -aS'process\tprocess\tNN\tI-NP\tO' -p29773 -aS'should\tshould\tMD\tB-VP\tO' -p29774 -aS'also\talso\tRB\tI-VP\tO' -p29775 -aS'be\tbe\tVB\tI-VP\tO' -p29776 -aS'considered\tconsider\tVBN\tI-VP\tO' -p29777 -aS').\t).\t)\tO\tO' -p29778 -asS'Perfusion good .' -p29779 -(lp29780 -S'Perfusion\tPerfusion\tNN\tB-NP\tO' -p29781 -aS'good\tgood\tJJ\tI-NP\tO' -p29782 -aS'.\t.\t.\tO\tO' -p29783 -asS'Her post-operative course continued uneventfully in the ICU , and she was transferred to the floor POD#6 .' -p29784 -(lp29785 -S'Her\tHer\tPRP$\tB-NP\tO' -p29786 -aS'post-operative\tpost-operative\tJJ\tI-NP\tO' -p29787 -aS'course\tcourse\tNN\tI-NP\tO' -p29788 -aS'continued\tcontinue\tVBN\tB-VP\tO' -p29789 -aS'uneventfully\tuneventfully\tRB\tB-ADVP\tO' -p29790 -aS'in\tin\tIN\tB-PP\tO' -p29791 -aS'the\tthe\tDT\tB-NP\tO' -p29792 -aS'ICU\tICU\tNN\tI-NP\tB-DNA' -p29793 -aS',\t,\t,\tO\tO' -p29794 -aS'and\tand\tCC\tO\tO' -p29795 -aS'she\tshe\tPRP\tB-NP\tO' -p29796 -aS'was\tbe\tVBD\tB-VP\tO' -p29797 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p29798 -aS'to\tto\tTO\tB-PP\tO' -p29799 -aS'the\tthe\tDT\tB-NP\tO' -p29800 -aS'floor\tfloor\tNN\tI-NP\tB-protein' -p29801 -aS'POD#6\tPOD#6\tNN\tI-NP\tI-protein' -p29802 -aS'.\t.\t.\tO\tO' -p29803 -asS'AST 87 .' -p29804 -(lp29805 -S'AST\tAST\tRB\tB-NP\tO' -p29806 -aS'87\t87\tCD\tI-NP\tO' -p29807 -aS'.\t.\t.\tO\tO' -p29808 -asS'Continue elevation and tight dressing to LUE >' -p29809 -(lp29810 -S'Continue\tContinue\tJJ\tB-NP\tO' -p29811 -aS'elevation\televation\tNN\tI-NP\tO' -p29812 -aS'and\tand\tCC\tO\tO' -p29813 -aS'tight\ttight\tVB\tB-VP\tO' -p29814 -aS'dressing\tdress\tVBG\tI-VP\tO' -p29815 -aS'to\tto\tTO\tB-PP\tO' -p29816 -aS'LUE\tLUE\tNN\tB-NP\tB-protein' -p29817 -aS'>\t>\tSYM\tB-NP\tI-protein' -p29818 -asS'Also a chronic infarction in the right cerebellum .' -p29819 -(lp29820 -S'Also\tAlso\tRB\tB-ADVP\tO' -p29821 -aS'a\ta\tDT\tB-NP\tO' -p29822 -aS'chronic\tchronic\tJJ\tI-NP\tO' -p29823 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p29824 -aS'in\tin\tIN\tB-PP\tO' -p29825 -aS'the\tthe\tDT\tB-NP\tO' -p29826 -aS'right\tright\tJJ\tI-NP\tO' -p29827 -aS'cerebellum\tcerebellum\tNN\tI-NP\tO' -p29828 -aS'.\t.\t.\tO\tO' -p29829 -asS'Inspect site every shift .' -p29830 -(lp29831 -S'Inspect\tInspect\tNN\tB-NP\tO' -p29832 -aS'site\tsite\tNN\tI-NP\tO' -p29833 -aS'every\tevery\tDT\tB-NP\tO' -p29834 -aS'shift\tshift\tNN\tI-NP\tO' -p29835 -aS'.\t.\t.\tO\tO' -p29836 -asS'3. Mitochondrial myopathy .' -p29837 -(lp29838 -S'3.\t3.\tLS\tB-NP\tO' -p29839 -aS'Mitochondrial\tMitochondrial\tJJ\tI-NP\tO' -p29840 -aS'myopathy\tmyopathy\tNN\tI-NP\tO' -p29841 -aS'.\t.\t.\tO\tO' -p29842 -asS'4) Hypertension : He was restarted on his atenolol and verapamil once his blood pressure stabilized on 03-25 .' -p29843 -(lp29844 -S'4)\t4)\tCD\tB-NP\tO' -p29845 -aS'Hypertension\tHypertension\tNN\tI-NP\tO' -p29846 -aS':\t:\t:\tO\tO' -p29847 -aS'He\tHe\tPRP\tB-NP\tO' -p29848 -aS'was\tbe\tVBD\tB-VP\tO' -p29849 -aS'restarted\trestart\tVBN\tI-VP\tO' -p29850 -aS'on\ton\tIN\tB-PP\tO' -p29851 -aS'his\this\tPRP$\tB-NP\tO' -p29852 -aS'atenolol\tatenolol\tNN\tI-NP\tO' -p29853 -aS'and\tand\tCC\tI-NP\tO' -p29854 -aS'verapamil\tverapamil\tNN\tI-NP\tO' -p29855 -aS'once\tonce\tRB\tO\tO' -p29856 -aS'his\this\tPRP$\tB-NP\tO' -p29857 -aS'blood\tblood\tNN\tI-NP\tO' -p29858 -aS'pressure\tpressure\tNN\tI-NP\tO' -p29859 -aS'stabilized\tstabilize\tVBD\tB-VP\tO' -p29860 -aS'on\ton\tIN\tB-PP\tO' -p29861 -aS'03-25\t03-25\tCD\tB-NP\tO' -p29862 -aS'.\t.\t.\tO\tO' -p29863 -asS'Chest CT revealed a pulmonary nodule .' -p29864 -(lp29865 -S'Chest\tCh\tJJS\tB-NP\tO' -p29866 -aS'CT\tCT\tNN\tI-NP\tB-protein' -p29867 -aS'revealed\treveal\tVBD\tB-VP\tO' -p29868 -aS'a\ta\tDT\tB-NP\tO' -p29869 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p29870 -aS'nodule\tnodule\tNN\tI-NP\tO' -p29871 -aS'.\t.\t.\tO\tO' -p29872 -asS'Other major issues - As a result of all the things happened and with her hyponatremia and also the other problems , her blood pressure was elevated also .' -p29873 -(lp29874 -S'Other\tOther\tJJ\tB-NP\tO' -p29875 -aS'major\tmajor\tJJ\tI-NP\tO' -p29876 -aS'issues\tissue\tNNS\tI-NP\tO' -p29877 -aS'-\t-\t:\tO\tO' -p29878 -aS'As\tAs\tIN\tB-PP\tO' -p29879 -aS'a\ta\tDT\tB-NP\tO' -p29880 -aS'result\tresult\tNN\tI-NP\tO' -p29881 -aS'of\tof\tIN\tB-PP\tO' -p29882 -aS'all\tall\tPDT\tB-NP\tO' -p29883 -aS'the\tthe\tDT\tI-NP\tO' -p29884 -aS'things\tthing\tNNS\tI-NP\tO' -p29885 -aS'happened\thappen\tVBD\tB-VP\tO' -p29886 -aS'and\tand\tCC\tO\tO' -p29887 -aS'with\twith\tIN\tB-PP\tO' -p29888 -aS'her\ther\tPRP$\tB-NP\tO' -p29889 -aS'hyponatremia\thyponatremia\tNN\tI-NP\tO' -p29890 -aS'and\tand\tCC\tO\tO' -p29891 -aS'also\talso\tRB\tB-ADVP\tO' -p29892 -aS'the\tthe\tDT\tB-NP\tO' -p29893 -aS'other\tother\tJJ\tI-NP\tO' -p29894 -aS'problems\tproblem\tNNS\tI-NP\tO' -p29895 -aS',\t,\t,\tO\tO' -p29896 -aS'her\ther\tPRP$\tB-NP\tO' -p29897 -aS'blood\tblood\tNN\tI-NP\tO' -p29898 -aS'pressure\tpressure\tNN\tI-NP\tO' -p29899 -aS'was\tbe\tVBD\tB-VP\tO' -p29900 -aS'elevated\televate\tVBN\tI-VP\tO' -p29901 -aS'also\talso\tRB\tB-ADVP\tO' -p29902 -aS'.\t.\t.\tO\tO' -p29903 -asS'He was afebrile .' -p29904 -(lp29905 -S'He\tHe\tPRP\tB-NP\tO' -p29906 -aS'was\tbe\tVBD\tB-VP\tO' -p29907 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p29908 -aS'.\t.\t.\tO\tO' -p29909 -asS'The toes were downgoing bilaterally .' -p29910 -(lp29911 -S'The\tThe\tDT\tB-NP\tO' -p29912 -aS'toes\ttoe\tNNS\tI-NP\tO' -p29913 -aS'were\tbe\tVBD\tB-VP\tO' -p29914 -aS'downgoing\tdowngoe\tVBG\tI-VP\tO' -p29915 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p29916 -aS'.\t.\t.\tO\tO' -p29917 -asS'2. Rupture of diverticulum with pericolic abscess .' -p29918 -(lp29919 -S'2.\t2.\tLS\tB-NP\tO' -p29920 -aS'Rupture\tRupture\tNN\tI-NP\tO' -p29921 -aS'of\tof\tIN\tB-PP\tO' -p29922 -aS'diverticulum\tdiverticulum\tNN\tB-NP\tO' -p29923 -aS'with\twith\tIN\tB-PP\tO' -p29924 -aS'pericolic\tpericolic\tJJ\tB-NP\tO' -p29925 -aS'abscess\tabscess\tNN\tI-NP\tO' -p29926 -aS'.\t.\t.\tO\tO' -p29927 -asS'1. Ciprofloxacin 500 mg Tablet Sig : One ( 1 ) Tablet PO Q12H ( every 12 hours ) for 6 days .' -p29928 -(lp29929 -S'1.\t1.\tLS\tB-NP\tO' -p29930 -aS'Ciprofloxacin\tCiprofloxacin\tNN\tI-NP\tO' -p29931 -aS'500\t500\tCD\tI-NP\tO' -p29932 -aS'mg\tmg\tNN\tI-NP\tO' -p29933 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p29934 -aS'Sig\tSig\tNNP\tI-NP\tO' -p29935 -aS':\t:\t:\tO\tO' -p29936 -aS'One\tOne\tCD\tB-NP\tO' -p29937 -aS'(\t(\t(\tO\tO' -p29938 -aS'1\t1\tCD\tB-NP\tO' -p29939 -aS')\t)\t)\tO\tO' -p29940 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p29941 -aS'PO\tPO\tNN\tI-NP\tO' -p29942 -aS'Q12H\tQ12H\tNN\tI-NP\tO' -p29943 -aS'(\t(\t(\tO\tO' -p29944 -aS'every\tevery\tDT\tB-NP\tO' -p29945 -aS'12\t12\tCD\tI-NP\tO' -p29946 -aS'hours\thour\tNNS\tI-NP\tO' -p29947 -aS')\t)\t)\tO\tO' -p29948 -aS'for\tfor\tIN\tB-PP\tO' -p29949 -aS'6\t6\tCD\tB-NP\tO' -p29950 -aS'days\tday\tNNS\tI-NP\tO' -p29951 -aS'.\t.\t.\tO\tO' -p29952 -asS'Right hip pain degenerative joint disease for right total hip replacement .' -p29953 -(lp29954 -S'Right\tRight\tNN\tB-NP\tO' -p29955 -aS'hip\thip\tNN\tI-NP\tO' -p29956 -aS'pain\tpain\tNN\tI-NP\tO' -p29957 -aS'degenerative\tdegenerative\tJJ\tI-NP\tO' -p29958 -aS'joint\tjoint\tNN\tI-NP\tO' -p29959 -aS'disease\tdisease\tNN\tI-NP\tO' -p29960 -aS'for\tfor\tIN\tB-PP\tO' -p29961 -aS'right\tright\tJJ\tB-NP\tO' -p29962 -aS'total\ttotal\tJJ\tI-NP\tO' -p29963 -aS'hip\thip\tNN\tI-NP\tO' -p29964 -aS'replacement\treplacement\tNN\tI-NP\tO' -p29965 -aS'.\t.\t.\tO\tO' -p29966 -asS'The patient tolerated nasogastric tube clamping trials with high residuals in the 600 cc range .' -p29967 -(lp29968 -S'The\tThe\tDT\tB-NP\tO' -p29969 -aS'patient\tpatient\tNN\tI-NP\tO' -p29970 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p29971 -aS'nasogastric\tnasogastric\tJJ\tB-NP\tO' -p29972 -aS'tube\ttube\tNN\tI-NP\tO' -p29973 -aS'clamping\tclamping\tNN\tI-NP\tO' -p29974 -aS'trials\ttrial\tNNS\tI-NP\tO' -p29975 -aS'with\twith\tIN\tB-PP\tO' -p29976 -aS'high\thigh\tJJ\tB-NP\tO' -p29977 -aS'residuals\tresidual\tNNS\tI-NP\tO' -p29978 -aS'in\tin\tIN\tB-PP\tO' -p29979 -aS'the\tthe\tDT\tB-NP\tO' -p29980 -aS'600\t600\tCD\tI-NP\tO' -p29981 -aS'cc\tcc\tNN\tI-NP\tO' -p29982 -aS'range\trange\tNN\tI-NP\tO' -p29983 -aS'.\t.\t.\tO\tO' -p29984 -asS'There has been interval development of moderate amount of high-attenuation fluid within the effusion consistent with hemorrhage .' -p29985 -(lp29986 -S'There\tThere\tEX\tB-NP\tO' -p29987 -aS'has\thave\tVBZ\tB-VP\tO' -p29988 -aS'been\tbe\tVBN\tI-VP\tO' -p29989 -aS'interval\tinterval\tJJ\tB-NP\tO' -p29990 -aS'development\tdevelopment\tNN\tI-NP\tO' -p29991 -aS'of\tof\tIN\tB-PP\tO' -p29992 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p29993 -aS'amount\tamount\tNN\tI-NP\tO' -p29994 -aS'of\tof\tIN\tB-PP\tO' -p29995 -aS'high-attenuation\thigh-attenuation\tJJ\tB-NP\tO' -p29996 -aS'fluid\tfluid\tNN\tI-NP\tO' -p29997 -aS'within\twithin\tIN\tB-PP\tO' -p29998 -aS'the\tthe\tDT\tB-NP\tO' -p29999 -aS'effusion\teffusion\tNN\tI-NP\tO' -p30000 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p30001 -aS'with\twith\tIN\tB-PP\tO' -p30002 -aS'hemorrhage\themorrhage\tNN\tB-NP\tO' -p30003 -aS'.\t.\t.\tO\tO' -p30004 -asS'If you have any fevers/chills , nausea/vomiting , chest pain , foot pain , please seek medical attention .' -p30005 -(lp30006 -S'If\tIf\tIN\tB-SBAR\tO' -p30007 -aS'you\tyou\tPRP\tB-NP\tO' -p30008 -aS'have\thave\tVBP\tB-VP\tO' -p30009 -aS'any\tany\tDT\tB-NP\tO' -p30010 -aS'fevers/chills\tfevers/chill\tNNS\tI-NP\tO' -p30011 -aS',\t,\t,\tO\tO' -p30012 -aS'nausea/vomiting\tnausea/vomiting\tNN\tB-NP\tO' -p30013 -aS',\t,\t,\tO\tO' -p30014 -aS'chest\tchest\tNN\tB-NP\tO' -p30015 -aS'pain\tpain\tNN\tI-NP\tO' -p30016 -aS',\t,\t,\tO\tO' -p30017 -aS'foot\tfoot\tNN\tB-NP\tO' -p30018 -aS'pain\tpain\tNN\tI-NP\tO' -p30019 -aS',\t,\t,\tO\tO' -p30020 -aS'please\tplease\tNN\tB-NP\tO' -p30021 -aS'seek\tseek\tVBP\tB-VP\tO' -p30022 -aS'medical\tmedical\tJJ\tB-NP\tO' -p30023 -aS'attention\tattention\tNN\tI-NP\tO' -p30024 -aS'.\t.\t.\tO\tO' -p30025 -asS'SINGLE AP VIEW OF THE CHEST .' -p30026 -(lp30027 -S'SINGLE\tSINGLE\tNNP\tB-NP\tO' -p30028 -aS'AP\tAP\tNNP\tI-NP\tO' -p30029 -aS'VIEW\tVIEW\tNNP\tI-NP\tO' -p30030 -aS'OF\tOF\tIN\tB-PP\tO' -p30031 -aS'THE\tTHE\tDT\tB-NP\tO' -p30032 -aS'CHEST\tCHEST\tNN\tI-NP\tB-DNA' -p30033 -aS'.\t.\t.\tO\tO' -p30034 -asS'The patient was continued on Ampicillin , Gentamycin and Flagyl , which had been started at the time of transfer to the CMED CCU .' -p30035 -(lp30036 -S'The\tThe\tDT\tB-NP\tO' -p30037 -aS'patient\tpatient\tNN\tI-NP\tO' -p30038 -aS'was\tbe\tVBD\tB-VP\tO' -p30039 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p30040 -aS'on\ton\tIN\tB-PP\tO' -p30041 -aS'Ampicillin\tAmpicillin\tNN\tB-NP\tB-protein' -p30042 -aS',\t,\t,\tI-NP\tO' -p30043 -aS'Gentamycin\tGentamycin\tNN\tI-NP\tO' -p30044 -aS'and\tand\tCC\tI-NP\tO' -p30045 -aS'Flagyl\tFlagyl\tNN\tI-NP\tO' -p30046 -aS',\t,\t,\tO\tO' -p30047 -aS'which\twhich\tWDT\tB-NP\tO' -p30048 -aS'had\thave\tVBD\tB-VP\tO' -p30049 -aS'been\tbe\tVBN\tI-VP\tO' -p30050 -aS'started\tstart\tVBN\tI-VP\tO' -p30051 -aS'at\tat\tIN\tB-PP\tO' -p30052 -aS'the\tthe\tDT\tB-NP\tO' -p30053 -aS'time\ttime\tNN\tI-NP\tO' -p30054 -aS'of\tof\tIN\tB-PP\tO' -p30055 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p30056 -aS'to\tto\tTO\tB-PP\tO' -p30057 -aS'the\tthe\tDT\tB-NP\tO' -p30058 -aS'CMED\tCMED\tVBN\tI-NP\tO' -p30059 -aS'CCU\tCCU\tNN\tI-NP\tO' -p30060 -aS'.\t.\t.\tO\tO' -p30061 -asS'Osteopenia .' -p30062 -(lp30063 -S'Osteopenia\tOsteopenia\tNNP\tB-NP\tO' -p30064 -aS'.\t.\t.\tO\tO' -p30065 -asS'He has coronary artery disease and underwent a CABG in 1998 .' -p30066 -(lp30067 -S'He\tHe\tPRP\tB-NP\tO' -p30068 -aS'has\thave\tVBZ\tB-VP\tO' -p30069 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p30070 -aS'artery\tartery\tNN\tI-NP\tO' -p30071 -aS'disease\tdisease\tNN\tI-NP\tO' -p30072 -aS'and\tand\tCC\tO\tO' -p30073 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p30074 -aS'a\ta\tDT\tB-NP\tO' -p30075 -aS'CABG\tCABG\tNN\tI-NP\tB-protein' -p30076 -aS'in\tin\tIN\tB-PP\tO' -p30077 -aS'1998\t1998\tCD\tB-NP\tO' -p30078 -aS'.\t.\t.\tO\tO' -p30079 -asS'His hematocrit was 44 .' -p30080 -(lp30081 -S'His\tHis\tPRP$\tB-NP\tO' -p30082 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p30083 -aS'was\tbe\tVBD\tB-VP\tO' -p30084 -aS'44\t44\tCD\tB-NP\tO' -p30085 -aS'.\t.\t.\tO\tO' -p30086 -asS'A chest x-ray showed clearing of the opacities in the chest x-ray that were consistent with pulmonary edema because he continued to have some abnormality in the right lower lobe .' -p30087 -(lp30088 -S'A\tA\tDT\tB-NP\tO' -p30089 -aS'chest\tchest\tNN\tI-NP\tO' -p30090 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p30091 -aS'showed\tshow\tVBD\tB-VP\tO' -p30092 -aS'clearing\tclearing\tNN\tB-NP\tO' -p30093 -aS'of\tof\tIN\tB-PP\tO' -p30094 -aS'the\tthe\tDT\tB-NP\tO' -p30095 -aS'opacities\topacity\tNNS\tI-NP\tO' -p30096 -aS'in\tin\tIN\tB-PP\tO' -p30097 -aS'the\tthe\tDT\tB-NP\tO' -p30098 -aS'chest\tchest\tNN\tI-NP\tO' -p30099 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p30100 -aS'that\tthat\tWDT\tB-NP\tO' -p30101 -aS'were\tbe\tVBD\tB-VP\tO' -p30102 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p30103 -aS'with\twith\tIN\tB-PP\tO' -p30104 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p30105 -aS'edema\tedema\tNN\tI-NP\tO' -p30106 -aS'because\tbecause\tIN\tB-SBAR\tO' -p30107 -aS'he\the\tPRP\tB-NP\tO' -p30108 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p30109 -aS'to\tto\tTO\tI-VP\tO' -p30110 -aS'have\thave\tVB\tI-VP\tO' -p30111 -aS'some\tsome\tDT\tB-NP\tO' -p30112 -aS'abnormality\tabnormality\tNN\tI-NP\tO' -p30113 -aS'in\tin\tIN\tB-PP\tO' -p30114 -aS'the\tthe\tDT\tB-NP\tO' -p30115 -aS'right\tright\tJJ\tI-NP\tO' -p30116 -aS'lower\tlow\tJJR\tI-NP\tO' -p30117 -aS'lobe\tlobe\tNN\tI-NP\tO' -p30118 -aS'.\t.\t.\tO\tO' -p30119 -asS'There was no evidence of head trauma .' -p30120 -(lp30121 -S'There\tThere\tEX\tB-NP\tO' -p30122 -aS'was\tbe\tVBD\tB-VP\tO' -p30123 -aS'no\tno\tDT\tB-NP\tO' -p30124 -aS'evidence\tevidence\tNN\tI-NP\tO' -p30125 -aS'of\tof\tIN\tB-PP\tO' -p30126 -aS'head\thead\tNN\tB-NP\tO' -p30127 -aS'trauma\ttrauma\tNN\tI-NP\tO' -p30128 -aS'.\t.\t.\tO\tO' -p30129 -asS'His weight at the time of transfer is 2800 grams .' -p30130 -(lp30131 -S'His\tHis\tPRP$\tB-NP\tO' -p30132 -aS'weight\tweight\tNN\tI-NP\tO' -p30133 -aS'at\tat\tIN\tB-PP\tO' -p30134 -aS'the\tthe\tDT\tB-NP\tO' -p30135 -aS'time\ttime\tNN\tI-NP\tO' -p30136 -aS'of\tof\tIN\tB-PP\tO' -p30137 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p30138 -aS'is\tbe\tVBZ\tB-VP\tO' -p30139 -aS'2800\t2800\tCD\tB-NP\tO' -p30140 -aS'grams\tgram\tNNS\tI-NP\tO' -p30141 -aS'.\t.\t.\tO\tO' -p30142 -asS'4. Comorbidities of anxiety disorder/depression .' -p30143 -(lp30144 -S'4.\t4.\tLS\tB-NP\tO' -p30145 -aS'Comorbidities\tComorbidity\tNNS\tI-NP\tO' -p30146 -aS'of\tof\tIN\tB-PP\tO' -p30147 -aS'anxiety\tanxiety\tNN\tB-NP\tO' -p30148 -aS'disorder/depression\tdisorder/depression\tNN\tI-NP\tO' -p30149 -aS'.\t.\t.\tO\tO' -p30150 -asS'She was started under phototherapy on day of life one through day of life three with a peak serum bilirubin of 4.7/0.3 .' -p30151 -(lp30152 -S'She\tShe\tPRP\tB-NP\tO' -p30153 -aS'was\tbe\tVBD\tB-VP\tO' -p30154 -aS'started\tstart\tVBN\tI-VP\tO' -p30155 -aS'under\tunder\tIN\tB-PP\tO' -p30156 -aS'phototherapy\tphototherapy\tNN\tB-NP\tO' -p30157 -aS'on\ton\tIN\tB-PP\tO' -p30158 -aS'day\tday\tNN\tB-NP\tO' -p30159 -aS'of\tof\tIN\tB-PP\tO' -p30160 -aS'life\tlife\tNN\tB-NP\tO' -p30161 -aS'one\tone\tCD\tB-NP\tO' -p30162 -aS'through\tthrough\tIN\tB-PP\tO' -p30163 -aS'day\tday\tNN\tB-NP\tO' -p30164 -aS'of\tof\tIN\tB-PP\tO' -p30165 -aS'life\tlife\tNN\tB-NP\tO' -p30166 -aS'three\tthree\tCD\tB-NP\tO' -p30167 -aS'with\twith\tIN\tB-PP\tO' -p30168 -aS'a\ta\tDT\tB-NP\tO' -p30169 -aS'peak\tpeak\tJJ\tI-NP\tO' -p30170 -aS'serum\tserum\tNN\tI-NP\tO' -p30171 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p30172 -aS'of\tof\tIN\tB-PP\tO' -p30173 -aS'4.7/0.3\t4.7/0.3\tCD\tB-NP\tO' -p30174 -aS'.\t.\t.\tO\tO' -p30175 -asS'Focal calcifications in aortic root .' -p30176 -(lp30177 -S'Focal\tFocal\tJJ\tB-NP\tO' -p30178 -aS'calcifications\tcalcification\tNNS\tI-NP\tO' -p30179 -aS'in\tin\tIN\tB-PP\tO' -p30180 -aS'aortic\taortic\tJJ\tB-NP\tO' -p30181 -aS'root\troot\tNN\tI-NP\tO' -p30182 -aS'.\t.\t.\tO\tO' -p30183 -asS'The patient was admitted to the Step Down Unit for a rule out MI protocol .' -p30184 -(lp30185 -S'The\tThe\tDT\tB-NP\tO' -p30186 -aS'patient\tpatient\tNN\tI-NP\tO' -p30187 -aS'was\tbe\tVBD\tB-VP\tO' -p30188 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p30189 -aS'to\tto\tTO\tB-PP\tO' -p30190 -aS'the\tthe\tDT\tB-NP\tO' -p30191 -aS'Step\tStep\tNNP\tI-NP\tO' -p30192 -aS'Down\tDown\tNNP\tI-NP\tO' -p30193 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p30194 -aS'for\tfor\tIN\tB-PP\tO' -p30195 -aS'a\ta\tDT\tB-NP\tO' -p30196 -aS'rule\trule\tNN\tI-NP\tO' -p30197 -aS'out\tout\tIN\tB-PP\tO' -p30198 -aS'MI\tMI\tNN\tB-NP\tO' -p30199 -aS'protocol\tprotocol\tNN\tI-NP\tO' -p30200 -aS'.\t.\t.\tO\tO' -p30201 -asS'She had dual-mode , dual-pacing , dual-sensing pacemaker placed with a lower rate at 60 ppm , and upper rate of 120 ppm with a paced AV of 150 msec .' -p30202 -(lp30203 -S'She\tShe\tPRP\tB-NP\tO' -p30204 -aS'had\thave\tVBD\tB-VP\tO' -p30205 -aS'dual-mode\tdual-mode\tJJ\tB-NP\tO' -p30206 -aS',\t,\t,\tI-NP\tO' -p30207 -aS'dual-pacing\tdual-pacing\tJJ\tI-NP\tO' -p30208 -aS',\t,\t,\tI-NP\tO' -p30209 -aS'dual-sensing\tdual-sensing\tJJ\tI-NP\tO' -p30210 -aS'pacemaker\tpacemaker\tNN\tI-NP\tO' -p30211 -aS'placed\tplace\tVBN\tB-VP\tO' -p30212 -aS'with\twith\tIN\tB-PP\tO' -p30213 -aS'a\ta\tDT\tB-NP\tO' -p30214 -aS'lower\tlow\tJJR\tI-NP\tO' -p30215 -aS'rate\trate\tNN\tI-NP\tO' -p30216 -aS'at\tat\tIN\tB-PP\tO' -p30217 -aS'60\t60\tCD\tB-NP\tO' -p30218 -aS'ppm\tppm\tNN\tI-NP\tO' -p30219 -aS',\t,\t,\tO\tO' -p30220 -aS'and\tand\tCC\tO\tO' -p30221 -aS'upper\tupper\tJJ\tB-NP\tO' -p30222 -aS'rate\trate\tNN\tI-NP\tO' -p30223 -aS'of\tof\tIN\tB-PP\tO' -p30224 -aS'120\t120\tCD\tB-NP\tO' -p30225 -aS'ppm\tppm\tNN\tI-NP\tO' -p30226 -aS'with\twith\tIN\tB-PP\tO' -p30227 -aS'a\ta\tDT\tB-NP\tO' -p30228 -aS'paced\tpaced\tJJ\tI-NP\tO' -p30229 -aS'AV\tAV\tNN\tI-NP\tO' -p30230 -aS'of\tof\tIN\tB-PP\tO' -p30231 -aS'150\t150\tCD\tB-NP\tO' -p30232 -aS'msec\tmsec\tNN\tI-NP\tO' -p30233 -aS'.\t.\t.\tO\tO' -p30234 -asS'Her lungs have decreased sounds bilaterally in the upper lung fields .' -p30235 -(lp30236 -S'Her\tHer\tPRP$\tB-NP\tO' -p30237 -aS'lungs\tlung\tNNS\tI-NP\tO' -p30238 -aS'have\thave\tVBP\tB-VP\tO' -p30239 -aS'decreased\tdecrease\tVBN\tI-VP\tO' -p30240 -aS'sounds\tsound\tNNS\tB-NP\tO' -p30241 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p30242 -aS'in\tin\tIN\tB-PP\tO' -p30243 -aS'the\tthe\tDT\tB-NP\tO' -p30244 -aS'upper\tupper\tJJ\tI-NP\tO' -p30245 -aS'lung\tlung\tNN\tI-NP\tO' -p30246 -aS'fields\tfield\tNNS\tI-NP\tO' -p30247 -aS'.\t.\t.\tO\tO' -p30248 -asS'The patient urinalysis on 10/19/97 showed moderate occult blood , pH 5 , albumin 1+ , white blood cells present , 2-50 red blood cell , 10-20 white blood cells , few bacteria , and moderate bladder epithelial cells .' -p30249 -(lp30250 -S'The\tThe\tDT\tB-NP\tO' -p30251 -aS'patient\tpatient\tNN\tI-NP\tO' -p30252 -aS'urinalysis\turinalysis\tNN\tI-NP\tO' -p30253 -aS'on\ton\tIN\tB-PP\tO' -p30254 -aS'10/19/97\t10/19/97\tCD\tB-NP\tO' -p30255 -aS'showed\tshow\tVBD\tB-VP\tO' -p30256 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p30257 -aS'occult\toccult\tJJ\tI-NP\tO' -p30258 -aS'blood\tblood\tNN\tI-NP\tO' -p30259 -aS',\t,\t,\tO\tO' -p30260 -aS'pH\tpH\tNN\tB-NP\tB-protein' -p30261 -aS'5\t5\tCD\tI-NP\tI-protein' -p30262 -aS',\t,\t,\tO\tO' -p30263 -aS'albumin\talbumin\tNN\tB-NP\tO' -p30264 -aS'1+\t1+\tJJ\tI-NP\tO' -p30265 -aS',\t,\t,\tI-NP\tO' -p30266 -aS'white\twhite\tJJ\tI-NP\tB-cell_type' -p30267 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p30268 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p30269 -aS'present\tpresent\tVBP\tB-VP\tO' -p30270 -aS',\t,\t,\tO\tO' -p30271 -aS'2-50\t2-50\tCD\tB-NP\tO' -p30272 -aS'red\tred\tJJ\tI-NP\tO' -p30273 -aS'blood\tblood\tNN\tI-NP\tO' -p30274 -aS'cell\tcell\tNN\tI-NP\tO' -p30275 -aS',\t,\t,\tO\tO' -p30276 -aS'10-20\t10-20\tCD\tB-NP\tO' -p30277 -aS'white\twhite\tJJ\tI-NP\tB-cell_type' -p30278 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p30279 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p30280 -aS',\t,\t,\tO\tO' -p30281 -aS'few\tfew\tJJ\tB-NP\tO' -p30282 -aS'bacteria\tbacteria\tNNS\tI-NP\tO' -p30283 -aS',\t,\t,\tO\tO' -p30284 -aS'and\tand\tCC\tO\tO' -p30285 -aS'moderate\tmoderate\tJJ\tB-NP\tB-cell_type' -p30286 -aS'bladder\tbladder\tNN\tI-NP\tI-cell_type' -p30287 -aS'epithelial\tepithelial\tJJ\tI-NP\tI-cell_type' -p30288 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p30289 -aS'.\t.\t.\tO\tO' -p30290 -asS'She receives this medication by mail from her relatives in Jill .' -p30291 -(lp30292 -S'She\tShe\tPRP\tB-NP\tO' -p30293 -aS'receives\treceive\tVBZ\tB-VP\tO' -p30294 -aS'this\tthis\tDT\tB-NP\tO' -p30295 -aS'medication\tmedication\tNN\tI-NP\tO' -p30296 -aS'by\tby\tIN\tB-PP\tO' -p30297 -aS'mail\tmail\tNN\tB-NP\tO' -p30298 -aS'from\tfrom\tIN\tB-PP\tO' -p30299 -aS'her\ther\tPRP$\tB-NP\tO' -p30300 -aS'relatives\trelative\tNNS\tI-NP\tO' -p30301 -aS'in\tin\tIN\tB-PP\tO' -p30302 -aS'Jill\tJill\tNNP\tB-NP\tO' -p30303 -aS'.\t.\t.\tO\tO' -p30304 -asS'She was held NPO .' -p30305 -(lp30306 -S'She\tShe\tPRP\tB-NP\tO' -p30307 -aS'was\tbe\tVBD\tB-VP\tO' -p30308 -aS'held\thold\tVBN\tI-VP\tO' -p30309 -aS'NPO\tNPO\tNNP\tB-NP\tO' -p30310 -aS'.\t.\t.\tO\tO' -p30311 -asS'Anxiety disorder .' -p30312 -(lp30313 -S'Anxiety\tAnxiety\tNN\tB-NP\tO' -p30314 -aS'disorder\tdisorder\tNN\tI-NP\tO' -p30315 -aS'.\t.\t.\tO\tO' -p30316 -asS'Given the elevated stroke risk of aortic cross-clamping in the setting of this finding , the plan for a bypass graft was aborted .' -p30317 -(lp30318 -S'Given\tGive\tVBN\tB-PP\tO' -p30319 -aS'the\tthe\tDT\tB-NP\tO' -p30320 -aS'elevated\televated\tJJ\tI-NP\tO' -p30321 -aS'stroke\tstroke\tJJ\tI-NP\tO' -p30322 -aS'risk\trisk\tNN\tI-NP\tO' -p30323 -aS'of\tof\tIN\tB-PP\tO' -p30324 -aS'aortic\taortic\tJJ\tB-NP\tO' -p30325 -aS'cross-clamping\tcross-clamping\tNN\tI-NP\tO' -p30326 -aS'in\tin\tIN\tB-PP\tO' -p30327 -aS'the\tthe\tDT\tB-NP\tO' -p30328 -aS'setting\tsetting\tNN\tI-NP\tO' -p30329 -aS'of\tof\tIN\tB-PP\tO' -p30330 -aS'this\tthis\tDT\tB-NP\tO' -p30331 -aS'finding\tfinding\tNN\tI-NP\tO' -p30332 -aS',\t,\t,\tO\tO' -p30333 -aS'the\tthe\tDT\tB-NP\tO' -p30334 -aS'plan\tplan\tNN\tI-NP\tO' -p30335 -aS'for\tfor\tIN\tB-PP\tO' -p30336 -aS'a\ta\tDT\tB-NP\tO' -p30337 -aS'bypass\tbypass\tNN\tI-NP\tO' -p30338 -aS'graft\tgraft\tNN\tI-NP\tO' -p30339 -aS'was\tbe\tVBD\tB-VP\tO' -p30340 -aS'aborted\tabort\tVBN\tI-VP\tO' -p30341 -aS'.\t.\t.\tO\tO' -p30342 -asS'4. Aspirin .' -p30343 -(lp30344 -S'4.\t4.\tLS\tB-NP\tO' -p30345 -aS'Aspirin\tAspirin\tNN\tI-NP\tO' -p30346 -aS'.\t.\t.\tO\tO' -p30347 -asS'No bowel or bladder incontinence .' -p30348 -(lp30349 -S'No\tNo\tDT\tB-NP\tO' -p30350 -aS'bowel\tbowel\tNN\tI-NP\tO' -p30351 -aS'or\tor\tCC\tI-NP\tO' -p30352 -aS'bladder\tbladder\tNN\tI-NP\tO' -p30353 -aS'incontinence\tincontinence\tNN\tI-NP\tO' -p30354 -aS'.\t.\t.\tO\tO' -p30355 -asS'There were no hypertensive or diabetic changes .' -p30356 -(lp30357 -S'There\tThere\tEX\tB-NP\tO' -p30358 -aS'were\tbe\tVBD\tB-VP\tO' -p30359 -aS'no\tno\tDT\tB-NP\tO' -p30360 -aS'hypertensive\thypertensive\tJJ\tI-NP\tO' -p30361 -aS'or\tor\tCC\tI-NP\tO' -p30362 -aS'diabetic\tdiabetic\tJJ\tI-NP\tO' -p30363 -aS'changes\tchange\tNNS\tI-NP\tO' -p30364 -aS'.\t.\t.\tO\tO' -p30365 -asS'Discussion was had at this time with the patient regarding whether or not this represented an infected abscess vs. post-surgical change .' -p30366 -(lp30367 -S'Discussion\tDiscussion\tNN\tB-NP\tO' -p30368 -aS'was\tbe\tVBD\tB-VP\tO' -p30369 -aS'had\thave\tVBN\tI-VP\tO' -p30370 -aS'at\tat\tIN\tB-PP\tO' -p30371 -aS'this\tthis\tDT\tB-NP\tO' -p30372 -aS'time\ttime\tNN\tI-NP\tO' -p30373 -aS'with\twith\tIN\tB-PP\tO' -p30374 -aS'the\tthe\tDT\tB-NP\tO' -p30375 -aS'patient\tpatient\tNN\tI-NP\tO' -p30376 -aS'regarding\tregard\tVBG\tB-VP\tO' -p30377 -aS'whether\twhether\tIN\tB-SBAR\tO' -p30378 -aS'or\tor\tCC\tO\tO' -p30379 -aS'not\tnot\tRB\tO\tO' -p30380 -aS'this\tthis\tDT\tB-NP\tO' -p30381 -aS'represented\trepresent\tVBD\tB-VP\tO' -p30382 -aS'an\tan\tDT\tB-NP\tO' -p30383 -aS'infected\tinfected\tJJ\tI-NP\tO' -p30384 -aS'abscess\tabscess\tNN\tI-NP\tO' -p30385 -aS'vs.\tvs.\tIN\tB-PP\tO' -p30386 -aS'post-surgical\tpost-surgical\tJJ\tB-NP\tO' -p30387 -aS'change\tchange\tNN\tI-NP\tO' -p30388 -aS'.\t.\t.\tO\tO' -p30389 -asS'Examination demonstrated a regular rate and rhythm without any murmurs noted .' -p30390 -(lp30391 -S'Examination\tExamination\tNN\tB-NP\tO' -p30392 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p30393 -aS'a\ta\tDT\tB-NP\tO' -p30394 -aS'regular\tregular\tJJ\tI-NP\tO' -p30395 -aS'rate\trate\tNN\tI-NP\tO' -p30396 -aS'and\tand\tCC\tI-NP\tO' -p30397 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p30398 -aS'without\twithout\tIN\tB-PP\tO' -p30399 -aS'any\tany\tDT\tB-NP\tO' -p30400 -aS'murmurs\tmurmur\tNNS\tI-NP\tO' -p30401 -aS'noted\tnote\tVBD\tB-VP\tO' -p30402 -aS'.\t.\t.\tO\tO' -p30403 -asS'Dr. Robinson , Lawrence General Hospital Hospital' -p30404 -(lp30405 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p30406 -aS'Robinson\tRobinson\tNNP\tI-NP\tO' -p30407 -aS',\t,\t,\tO\tO' -p30408 -aS'Lawrence\tLawrence\tNNP\tB-NP\tO' -p30409 -aS'General\tGeneral\tNNP\tI-NP\tO' -p30410 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p30411 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p30412 -asS"54 yo F with Crohn 's disease s/p ileostomy with subsequent short gut syndrome with port-o-cath for TPN presents with acute onset pleuritic chest pain with fever , chills , and sob ." -p30413 -(lp30414 -S'54\t54\tCD\tB-NP\tO' -p30415 -aS'yo\tyo\tNN\tI-NP\tO' -p30416 -aS'F\tF\tNN\tI-NP\tO' -p30417 -aS'with\twith\tIN\tB-PP\tO' -p30418 -aS'Crohn\tCrohn\tNN\tB-NP\tO' -p30419 -aS"'s\t's\tPOS\tB-NP\tO" -p30420 -aS'disease\tdisease\tNN\tI-NP\tO' -p30421 -aS's/p\ts/p\tNN\tI-NP\tO' -p30422 -aS'ileostomy\tileostomy\tNN\tI-NP\tO' -p30423 -aS'with\twith\tIN\tB-PP\tO' -p30424 -aS'subsequent\tsubsequent\tJJ\tB-NP\tO' -p30425 -aS'short\tshort\tJJ\tI-NP\tO' -p30426 -aS'gut\tgut\tNN\tI-NP\tO' -p30427 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p30428 -aS'with\twith\tIN\tB-PP\tO' -p30429 -aS'port-o-cath\tport-o-cath\tNN\tB-NP\tO' -p30430 -aS'for\tfor\tIN\tB-PP\tO' -p30431 -aS'TPN\tTPN\tNN\tB-NP\tB-protein' -p30432 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p30433 -aS'with\twith\tIN\tB-PP\tO' -p30434 -aS'acute\tacute\tJJ\tB-NP\tO' -p30435 -aS'onset\tonset\tNN\tI-NP\tO' -p30436 -aS'pleuritic\tpleuritic\tJJ\tI-NP\tO' -p30437 -aS'chest\tchest\tNN\tI-NP\tO' -p30438 -aS'pain\tpain\tNN\tI-NP\tO' -p30439 -aS'with\twith\tIN\tB-PP\tO' -p30440 -aS'fever\tfever\tNN\tB-NP\tO' -p30441 -aS',\t,\t,\tO\tO' -p30442 -aS'chills\tchill\tNNS\tB-NP\tO' -p30443 -aS',\t,\t,\tO\tO' -p30444 -aS'and\tand\tCC\tO\tO' -p30445 -aS'sob\tsob\tNN\tB-NP\tB-protein' -p30446 -aS'.\t.\t.\tO\tO' -p30447 -asS'- AICD Pocket infection c/b MSSA bacteremia , pericardial effusion s/p mediastinal exploration , evacuation of pericardial effusion & hematoma ( 2017-07-24 )' -p30448 -(lp30449 -S'-\t-\tHYPH\tB-NP\tO' -p30450 -aS'AICD\tAICD\tNN\tI-NP\tO' -p30451 -aS'Pocket\tPocket\tNN\tI-NP\tO' -p30452 -aS'infection\tinfection\tNN\tI-NP\tO' -p30453 -aS'c/b\tc/b\tNN\tI-NP\tO' -p30454 -aS'MSSA\tMSSA\tNN\tI-NP\tO' -p30455 -aS'bacteremia\tbacteremia\tNN\tI-NP\tO' -p30456 -aS',\t,\t,\tO\tO' -p30457 -aS'pericardial\tpericardial\tJJ\tB-NP\tO' -p30458 -aS'effusion\teffusion\tNN\tI-NP\tO' -p30459 -aS's/p\ts/p\tNN\tI-NP\tO' -p30460 -aS'mediastinal\tmediastinal\tJJ\tI-NP\tO' -p30461 -aS'exploration\texploration\tNN\tI-NP\tO' -p30462 -aS',\t,\t,\tO\tO' -p30463 -aS'evacuation\tevacuation\tNN\tB-NP\tO' -p30464 -aS'of\tof\tIN\tB-PP\tO' -p30465 -aS'pericardial\tpericardial\tJJ\tB-NP\tO' -p30466 -aS'effusion\teffusion\tNN\tI-NP\tO' -p30467 -aS'&\t&\tCC\tI-NP\tO' -p30468 -aS'hematoma\thematoma\tNN\tI-NP\tO' -p30469 -aS'(\t(\t(\tO\tO' -p30470 -aS'2017-07-24\t2017-07-24\tCD\tB-NP\tO' -p30471 -aS')\t)\t)\tO\tO' -p30472 -asS'At 2:30 on June 26 , 1999 , I was called to see the patient who had expired .' -p30473 -(lp30474 -S'At\tAt\tIN\tB-PP\tO' -p30475 -aS'2:30\t2:30\tCD\tB-NP\tO' -p30476 -aS'on\ton\tIN\tB-PP\tO' -p30477 -aS'June\tJune\tNNP\tB-NP\tO' -p30478 -aS'26\t26\tCD\tI-NP\tO' -p30479 -aS',\t,\t,\tI-NP\tO' -p30480 -aS'1999\t1999\tCD\tI-NP\tO' -p30481 -aS',\t,\t,\tO\tO' -p30482 -aS'I\tI\tPRP\tB-NP\tO' -p30483 -aS'was\tbe\tVBD\tB-VP\tO' -p30484 -aS'called\tcall\tVBN\tI-VP\tO' -p30485 -aS'to\tto\tTO\tB-VP\tO' -p30486 -aS'see\tsee\tVB\tI-VP\tO' -p30487 -aS'the\tthe\tDT\tB-NP\tO' -p30488 -aS'patient\tpatient\tNN\tI-NP\tO' -p30489 -aS'who\twho\tWP\tB-NP\tO' -p30490 -aS'had\thave\tVBD\tB-VP\tO' -p30491 -aS'expired\texpire\tVBN\tI-VP\tO' -p30492 -aS'.\t.\t.\tO\tO' -p30493 -asS'3) Cogentin 0.5 mg. 2 tabs q.a.m. , 1 q.lunch time , 1 q.bed time .' -p30494 -(lp30495 -S'3)\t3)\tLS\tB-NP\tO' -p30496 -aS'Cogentin\tCogentin\tNN\tI-NP\tO' -p30497 -aS'0.5\t0.5\tCD\tB-NP\tO' -p30498 -aS'mg.\tmg.\tNN\tI-NP\tO' -p30499 -aS'2\t2\tCD\tB-NP\tO' -p30500 -aS'tabs\ttab\tNNS\tI-NP\tO' -p30501 -aS'q.a.m.\tq.a.m.\tNN\tI-NP\tO' -p30502 -aS',\t,\t,\tO\tO' -p30503 -aS'1\t1\tCD\tB-NP\tO' -p30504 -aS'q.lunch\tq.lunch\tNN\tI-NP\tO' -p30505 -aS'time\ttime\tNN\tI-NP\tO' -p30506 -aS',\t,\t,\tO\tO' -p30507 -aS'1\t1\tCD\tB-NP\tO' -p30508 -aS'q.bed\tq.be\tVBD\tB-VP\tO' -p30509 -aS'time\ttime\tNN\tB-NP\tO' -p30510 -aS'.\t.\t.\tO\tO' -p30511 -asS'She described the pain as a burning pain which is positional , worse when she walks or does any type of exercise .' -p30512 -(lp30513 -S'She\tShe\tPRP\tB-NP\tO' -p30514 -aS'described\tdescribe\tVBD\tB-VP\tO' -p30515 -aS'the\tthe\tDT\tB-NP\tO' -p30516 -aS'pain\tpain\tNN\tI-NP\tO' -p30517 -aS'as\tas\tIN\tB-PP\tO' -p30518 -aS'a\ta\tDT\tB-NP\tO' -p30519 -aS'burning\tburn\tVBG\tI-NP\tO' -p30520 -aS'pain\tpain\tNN\tI-NP\tO' -p30521 -aS'which\twhich\tWDT\tB-NP\tO' -p30522 -aS'is\tbe\tVBZ\tB-VP\tO' -p30523 -aS'positional\tpositional\tJJ\tB-ADJP\tO' -p30524 -aS',\t,\t,\tO\tO' -p30525 -aS'worse\tworse\tJJR\tB-ADJP\tO' -p30526 -aS'when\twhen\tWRB\tB-ADVP\tO' -p30527 -aS'she\tshe\tPRP\tB-NP\tO' -p30528 -aS'walks\twalk\tVBZ\tB-VP\tO' -p30529 -aS'or\tor\tCC\tI-VP\tO' -p30530 -aS'does\tdo\tVBZ\tI-VP\tO' -p30531 -aS'any\tany\tDT\tB-NP\tO' -p30532 -aS'type\ttype\tNN\tI-NP\tO' -p30533 -aS'of\tof\tIN\tB-PP\tO' -p30534 -aS'exercise\texercise\tNN\tB-NP\tO' -p30535 -aS'.\t.\t.\tO\tO' -p30536 -asS'7. Vitamins .' -p30537 -(lp30538 -S'7.\t7.\tLS\tB-NP\tO' -p30539 -aS'Vitamins\tVitamin\tNNS\tI-NP\tO' -p30540 -aS'.\t.\t.\tO\tO' -p30541 -asS'The patient was admitted with the assessment of left rotator cuff repair and he was taken to the Operating Room on the day of admission where he underwent left rotator cuff repair under general endotracheal tube anesthesia .' -p30542 -(lp30543 -S'The\tThe\tDT\tB-NP\tO' -p30544 -aS'patient\tpatient\tNN\tI-NP\tO' -p30545 -aS'was\tbe\tVBD\tB-VP\tO' -p30546 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p30547 -aS'with\twith\tIN\tB-PP\tO' -p30548 -aS'the\tthe\tDT\tB-NP\tO' -p30549 -aS'assessment\tassessment\tNN\tI-NP\tO' -p30550 -aS'of\tof\tIN\tB-PP\tO' -p30551 -aS'left\tleft\tJJ\tB-NP\tO' -p30552 -aS'rotator\trotator\tNN\tI-NP\tO' -p30553 -aS'cuff\tcuff\tNN\tI-NP\tO' -p30554 -aS'repair\trepair\tNN\tI-NP\tO' -p30555 -aS'and\tand\tCC\tO\tO' -p30556 -aS'he\the\tPRP\tB-NP\tO' -p30557 -aS'was\tbe\tVBD\tB-VP\tO' -p30558 -aS'taken\ttake\tVBN\tI-VP\tO' -p30559 -aS'to\tto\tTO\tB-PP\tO' -p30560 -aS'the\tthe\tDT\tB-NP\tO' -p30561 -aS'Operating\tOperating\tNNP\tI-NP\tO' -p30562 -aS'Room\tRoom\tNNP\tI-NP\tO' -p30563 -aS'on\ton\tIN\tB-PP\tO' -p30564 -aS'the\tthe\tDT\tB-NP\tO' -p30565 -aS'day\tday\tNN\tI-NP\tO' -p30566 -aS'of\tof\tIN\tB-PP\tO' -p30567 -aS'admission\tadmission\tNN\tB-NP\tO' -p30568 -aS'where\twhere\tWRB\tB-ADVP\tO' -p30569 -aS'he\the\tPRP\tB-NP\tO' -p30570 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p30571 -aS'left\tleft\tJJ\tB-NP\tO' -p30572 -aS'rotator\trotator\tNN\tI-NP\tO' -p30573 -aS'cuff\tcuff\tNN\tI-NP\tO' -p30574 -aS'repair\trepair\tNN\tI-NP\tO' -p30575 -aS'under\tunder\tIN\tB-PP\tO' -p30576 -aS'general\tgeneral\tJJ\tB-NP\tO' -p30577 -aS'endotracheal\tendotracheal\tJJ\tI-NP\tO' -p30578 -aS'tube\ttube\tNN\tI-NP\tO' -p30579 -aS'anesthesia\tanesthesia\tNN\tI-NP\tO' -p30580 -aS'.\t.\t.\tO\tO' -p30581 -asS'In addition , the patient gets 250 cc. of juice ( not water ) three times a day .' -p30582 -(lp30583 -S'In\tIn\tIN\tB-PP\tO' -p30584 -aS'addition\taddition\tNN\tB-NP\tO' -p30585 -aS',\t,\t,\tO\tO' -p30586 -aS'the\tthe\tDT\tB-NP\tO' -p30587 -aS'patient\tpatient\tNN\tI-NP\tO' -p30588 -aS'gets\tget\tVBZ\tB-VP\tO' -p30589 -aS'250\t250\tCD\tB-NP\tO' -p30590 -aS'cc.\tcc.\tNN\tI-NP\tO' -p30591 -aS'of\tof\tIN\tB-PP\tO' -p30592 -aS'juice\tjuice\tNN\tB-NP\tO' -p30593 -aS'(\t(\t(\tO\tO' -p30594 -aS'not\tnot\tRB\tO\tO' -p30595 -aS'water\twater\tNN\tB-NP\tO' -p30596 -aS')\t)\t)\tO\tO' -p30597 -aS'three\tthree\tCD\tB-NP\tO' -p30598 -aS'times\ttime\tNNS\tI-NP\tO' -p30599 -aS'a\ta\tDT\tB-NP\tO' -p30600 -aS'day\tday\tNN\tI-NP\tO' -p30601 -aS'.\t.\t.\tO\tO' -p30602 -asS'POD# 05-25 she continued with intermittent complaints of urinary retention .' -p30603 -(lp30604 -S'POD#\tPOD#\tNN\tB-NP\tO' -p30605 -aS'05-25\t05-25\tCD\tI-NP\tO' -p30606 -aS'she\tshe\tPRP\tB-NP\tO' -p30607 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p30608 -aS'with\twith\tIN\tB-PP\tO' -p30609 -aS'intermittent\tintermittent\tJJ\tB-NP\tO' -p30610 -aS'complaints\tcomplaint\tNNS\tI-NP\tO' -p30611 -aS'of\tof\tIN\tB-PP\tO' -p30612 -aS'urinary\turinary\tJJ\tB-NP\tO' -p30613 -aS'retention\tretention\tNN\tI-NP\tO' -p30614 -aS'.\t.\t.\tO\tO' -p30615 -asS'4/11/95 .' -p30616 -(lp30617 -S'4/11/95\t4/11/95\tCD\tB-NP\tO' -p30618 -aS'.\t.\t.\tO\tO' -p30619 -asS'Coumadin 2.5 mg. five times a week , Ativan and Lomotil prn .' -p30620 -(lp30621 -S'Coumadin\tCoumadin\tNN\tB-NP\tO' -p30622 -aS'2.5\t2.5\tCD\tI-NP\tO' -p30623 -aS'mg.\tmg.\tNN\tI-NP\tO' -p30624 -aS'five\tfive\tCD\tB-NP\tO' -p30625 -aS'times\ttime\tNNS\tI-NP\tO' -p30626 -aS'a\ta\tDT\tB-NP\tO' -p30627 -aS'week\tweek\tNN\tI-NP\tO' -p30628 -aS',\t,\t,\tO\tO' -p30629 -aS'Ativan\tAtivan\tNN\tB-NP\tO' -p30630 -aS'and\tand\tCC\tO\tO' -p30631 -aS'Lomotil\tLomotil\tNN\tB-NP\tO' -p30632 -aS'prn\tprn\tNN\tI-NP\tO' -p30633 -aS'.\t.\t.\tO\tO' -p30634 -asS'Epinephrine and atropine were administered as were bicarbonate and calcium .' -p30635 -(lp30636 -S'Epinephrine\tEpinephrine\tNN\tB-NP\tO' -p30637 -aS'and\tand\tCC\tI-NP\tO' -p30638 -aS'atropine\tatropine\tNN\tI-NP\tO' -p30639 -aS'were\tbe\tVBD\tB-VP\tO' -p30640 -aS'administered\tadminister\tVBN\tI-VP\tO' -p30641 -aS'as\tas\tIN\tB-SBAR\tO' -p30642 -aS'were\tbe\tVBD\tB-VP\tO' -p30643 -aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' -p30644 -aS'and\tand\tCC\tI-NP\tO' -p30645 -aS'calcium\tcalcium\tNN\tI-NP\tO' -p30646 -aS'.\t.\t.\tO\tO' -p30647 -asS'1. Amiodarone 200 mg Tablet Sig : 0.5 Tablet PO qod - in March , should be on odd days .' -p30648 -(lp30649 -S'1.\t1.\tLS\tB-NP\tO' -p30650 -aS'Amiodarone\tAmiodarone\tNN\tI-NP\tO' -p30651 -aS'200\t200\tCD\tI-NP\tO' -p30652 -aS'mg\tmg\tNN\tI-NP\tO' -p30653 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p30654 -aS'Sig\tSig\tNNP\tI-NP\tO' -p30655 -aS':\t:\t:\tO\tO' -p30656 -aS'0.5\t0.5\tCD\tB-NP\tO' -p30657 -aS'Tablet\tTablet\tNN\tI-NP\tO' -p30658 -aS'PO\tPO\tNN\tI-NP\tO' -p30659 -aS'qod\tqod\tNN\tI-NP\tO' -p30660 -aS'-\t-\tHYPH\tB-ADJP\tO' -p30661 -aS'in\tin\tIN\tB-PP\tO' -p30662 -aS'March\tMarch\tNNP\tB-NP\tO' -p30663 -aS',\t,\t,\tO\tO' -p30664 -aS'should\tshould\tMD\tB-VP\tO' -p30665 -aS'be\tbe\tVB\tI-VP\tO' -p30666 -aS'on\ton\tIN\tB-PP\tO' -p30667 -aS'odd\todd\tJJ\tB-NP\tO' -p30668 -aS'days\tday\tNNS\tI-NP\tO' -p30669 -aS'.\t.\t.\tO\tO' -p30670 -asS'Postoperatively , she had her heparin restarted , and had a PTT rising to 142.8 and then down to 92 .' -p30671 -(lp30672 -S'Postoperatively\tPostoperatively\tRB\tB-ADVP\tO' -p30673 -aS',\t,\t,\tO\tO' -p30674 -aS'she\tshe\tPRP\tB-NP\tO' -p30675 -aS'had\thave\tVBD\tB-VP\tO' -p30676 -aS'her\ther\tPRP$\tB-NP\tO' -p30677 -aS'heparin\theparin\tNN\tI-NP\tO' -p30678 -aS'restarted\trestart\tVBD\tB-VP\tO' -p30679 -aS',\t,\t,\tO\tO' -p30680 -aS'and\tand\tCC\tO\tO' -p30681 -aS'had\thave\tVBD\tB-VP\tO' -p30682 -aS'a\ta\tDT\tB-NP\tO' -p30683 -aS'PTT\tPTT\tNN\tI-NP\tO' -p30684 -aS'rising\trise\tVBG\tB-VP\tO' -p30685 -aS'to\tto\tTO\tB-PP\tO' -p30686 -aS'142.8\t142.8\tCD\tB-NP\tO' -p30687 -aS'and\tand\tCC\tO\tO' -p30688 -aS'then\tthen\tRB\tB-ADVP\tO' -p30689 -aS'down\tdown\tRB\tI-ADVP\tO' -p30690 -aS'to\tto\tTO\tB-PP\tO' -p30691 -aS'92\t92\tCD\tB-NP\tO' -p30692 -aS'.\t.\t.\tO\tO' -p30693 -asS"On 09-02 it was decided that the patient was stable and ready to be transferred back to rehabilitation , however case management was unable to get authorization from the patient 's insurance company and he remained in the hospital throughout the holiday weekend awaiting insurance authorization for transfer back to rehabilitation ." -p30694 -(lp30695 -S'On\tOn\tIN\tB-PP\tO' -p30696 -aS'09-02\t09-02\tCD\tB-NP\tO' -p30697 -aS'it\tit\tPRP\tB-NP\tO' -p30698 -aS'was\tbe\tVBD\tB-VP\tO' -p30699 -aS'decided\tdecide\tVBN\tI-VP\tO' -p30700 -aS'that\tthat\tIN\tB-SBAR\tO' -p30701 -aS'the\tthe\tDT\tB-NP\tO' -p30702 -aS'patient\tpatient\tNN\tI-NP\tO' -p30703 -aS'was\tbe\tVBD\tB-VP\tO' -p30704 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p30705 -aS'and\tand\tCC\tI-ADJP\tO' -p30706 -aS'ready\tready\tJJ\tI-ADJP\tO' -p30707 -aS'to\tto\tTO\tB-VP\tO' -p30708 -aS'be\tbe\tVB\tI-VP\tO' -p30709 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p30710 -aS'back\tback\tRB\tB-ADVP\tO' -p30711 -aS'to\tto\tTO\tB-PP\tO' -p30712 -aS'rehabilitation\trehabilitation\tNN\tB-NP\tO' -p30713 -aS',\t,\t,\tO\tO' -p30714 -aS'however\thowever\tRB\tB-NP\tO' -p30715 -aS'case\tcase\tNN\tI-NP\tO' -p30716 -aS'management\tmanagement\tNN\tI-NP\tO' -p30717 -aS'was\tbe\tVBD\tB-VP\tO' -p30718 -aS'unable\tunable\tJJ\tB-ADJP\tO' -p30719 -aS'to\tto\tTO\tB-VP\tO' -p30720 -aS'get\tget\tVB\tI-VP\tO' -p30721 -aS'authorization\tauthorization\tNN\tB-NP\tO' -p30722 -aS'from\tfrom\tIN\tB-PP\tO' -p30723 -aS'the\tthe\tDT\tB-NP\tO' -p30724 -aS'patient\tpatient\tNN\tI-NP\tO' -p30725 -aS"'s\t's\tPOS\tB-NP\tO" -p30726 -aS'insurance\tinsurance\tNN\tI-NP\tO' -p30727 -aS'company\tcompany\tNN\tI-NP\tO' -p30728 -aS'and\tand\tCC\tO\tO' -p30729 -aS'he\the\tPRP\tB-NP\tO' -p30730 -aS'remained\tremain\tVBD\tB-VP\tO' -p30731 -aS'in\tin\tIN\tB-PP\tO' -p30732 -aS'the\tthe\tDT\tB-NP\tO' -p30733 -aS'hospital\thospital\tNN\tI-NP\tO' -p30734 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p30735 -aS'the\tthe\tDT\tB-NP\tO' -p30736 -aS'holiday\tholiday\tNN\tI-NP\tO' -p30737 -aS'weekend\tweekend\tNN\tI-NP\tO' -p30738 -aS'awaiting\tawait\tVBG\tB-VP\tO' -p30739 -aS'insurance\tinsurance\tNN\tB-NP\tO' -p30740 -aS'authorization\tauthorization\tNN\tI-NP\tO' -p30741 -aS'for\tfor\tIN\tB-PP\tO' -p30742 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p30743 -aS'back\tback\tRB\tB-ADVP\tO' -p30744 -aS'to\tto\tTO\tB-PP\tO' -p30745 -aS'rehabilitation\trehabilitation\tNN\tB-NP\tO' -p30746 -aS'.\t.\t.\tO\tO' -p30747 -asS'It was felt that his dementing illness and rigidity was most likely due to some type of cortico-basal ganglia degeneration process , but this was not clarified during this admission .' -p30748 -(lp30749 -S'It\tIt\tPRP\tB-NP\tO' -p30750 -aS'was\tbe\tVBD\tB-VP\tO' -p30751 -aS'felt\tfeel\tVBN\tI-VP\tO' -p30752 -aS'that\tthat\tIN\tB-SBAR\tO' -p30753 -aS'his\this\tPRP$\tB-NP\tB-DNA' -p30754 -aS'dementing\tdemente\tVBG\tI-NP\tO' -p30755 -aS'illness\tillness\tNN\tI-NP\tO' -p30756 -aS'and\tand\tCC\tI-NP\tO' -p30757 -aS'rigidity\trigidity\tNN\tI-NP\tO' -p30758 -aS'was\tbe\tVBD\tB-VP\tO' -p30759 -aS'most\tmost\tRBS\tB-ADVP\tO' -p30760 -aS'likely\tlikely\tRB\tI-ADVP\tO' -p30761 -aS'due\tdue\tIN\tB-PP\tO' -p30762 -aS'to\tto\tTO\tB-PP\tO' -p30763 -aS'some\tsome\tDT\tB-NP\tO' -p30764 -aS'type\ttype\tNN\tI-NP\tO' -p30765 -aS'of\tof\tIN\tB-PP\tO' -p30766 -aS'cortico-basal\tcortico-basal\tJJ\tB-NP\tO' -p30767 -aS'ganglia\tganglia\tNNS\tI-NP\tO' -p30768 -aS'degeneration\tdegeneration\tNN\tI-NP\tO' -p30769 -aS'process\tprocess\tNN\tI-NP\tO' -p30770 -aS',\t,\t,\tO\tO' -p30771 -aS'but\tbut\tCC\tO\tO' -p30772 -aS'this\tthis\tDT\tB-NP\tO' -p30773 -aS'was\tbe\tVBD\tB-VP\tO' -p30774 -aS'not\tnot\tRB\tI-VP\tO' -p30775 -aS'clarified\tclarify\tVBN\tI-VP\tO' -p30776 -aS'during\tduring\tIN\tB-PP\tO' -p30777 -aS'this\tthis\tDT\tB-NP\tO' -p30778 -aS'admission\tadmission\tNN\tI-NP\tO' -p30779 -aS'.\t.\t.\tO\tO' -p30780 -asS'The patient had two recent admissions for pancreatitis in January 1994 , and August 1994 .' -p30781 -(lp30782 -S'The\tThe\tDT\tB-NP\tO' -p30783 -aS'patient\tpatient\tNN\tI-NP\tO' -p30784 -aS'had\thave\tVBD\tB-VP\tO' -p30785 -aS'two\ttwo\tCD\tB-NP\tO' -p30786 -aS'recent\trecent\tJJ\tI-NP\tO' -p30787 -aS'admissions\tadmission\tNNS\tI-NP\tO' -p30788 -aS'for\tfor\tIN\tB-PP\tO' -p30789 -aS'pancreatitis\tpancreatitis\tNN\tB-NP\tO' -p30790 -aS'in\tin\tIN\tB-PP\tO' -p30791 -aS'January\tJanuary\tNNP\tB-NP\tO' -p30792 -aS'1994\t1994\tCD\tI-NP\tO' -p30793 -aS',\t,\t,\tO\tO' -p30794 -aS'and\tand\tCC\tO\tO' -p30795 -aS'August\tAugust\tNNP\tB-NP\tO' -p30796 -aS'1994\t1994\tCD\tI-NP\tO' -p30797 -aS'.\t.\t.\tO\tO' -p30798 -asS'A dual chamber pacemaker is seen with leads terminating in the right atrium and right ventricle .' -p30799 -(lp30800 -S'A\tA\tDT\tB-NP\tO' -p30801 -aS'dual\tdual\tJJ\tI-NP\tO' -p30802 -aS'chamber\tchamber\tNN\tI-NP\tO' -p30803 -aS'pacemaker\tpacemaker\tNN\tI-NP\tO' -p30804 -aS'is\tbe\tVBZ\tB-VP\tO' -p30805 -aS'seen\tsee\tVBN\tI-VP\tO' -p30806 -aS'with\twith\tIN\tB-PP\tO' -p30807 -aS'leads\tlead\tNNS\tB-NP\tO' -p30808 -aS'terminating\tterminate\tVBG\tB-VP\tO' -p30809 -aS'in\tin\tIN\tB-PP\tO' -p30810 -aS'the\tthe\tDT\tB-NP\tO' -p30811 -aS'right\tright\tJJ\tI-NP\tO' -p30812 -aS'atrium\tatrium\tNN\tI-NP\tO' -p30813 -aS'and\tand\tCC\tI-NP\tO' -p30814 -aS'right\tright\tJJ\tI-NP\tO' -p30815 -aS'ventricle\tventricle\tNN\tI-NP\tO' -p30816 -aS'.\t.\t.\tO\tO' -p30817 -asS'Rectal is guaiac positive per Emergency Department .' -p30818 -(lp30819 -S'Rectal\tRectal\tJJ\tB-NP\tO' -p30820 -aS'is\tbe\tVBZ\tB-VP\tO' -p30821 -aS'guaiac\tguaiac\tJJ\tB-ADJP\tO' -p30822 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p30823 -aS'per\tper\tIN\tB-PP\tO' -p30824 -aS'Emergency\tEmergency\tNNP\tB-NP\tO' -p30825 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p30826 -aS'.\t.\t.\tO\tO' -p30827 -asS'She ambulated without difficulty and was discharged to home to be followed medically for her coronary artery disease following two failed bypass graft procedure by Dr. Brendniungand Asilbekote in Bi Masase , KS .' -p30828 -(lp30829 -S'She\tShe\tPRP\tB-NP\tO' -p30830 -aS'ambulated\tambulate\tVBD\tB-VP\tO' -p30831 -aS'without\twithout\tIN\tB-PP\tO' -p30832 -aS'difficulty\tdifficulty\tNN\tB-NP\tO' -p30833 -aS'and\tand\tCC\tO\tO' -p30834 -aS'was\tbe\tVBD\tB-VP\tO' -p30835 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p30836 -aS'to\tto\tTO\tB-PP\tO' -p30837 -aS'home\thome\tNN\tB-NP\tO' -p30838 -aS'to\tto\tTO\tB-VP\tO' -p30839 -aS'be\tbe\tVB\tI-VP\tO' -p30840 -aS'followed\tfollow\tVBN\tI-VP\tO' -p30841 -aS'medically\tmedically\tRB\tB-ADVP\tO' -p30842 -aS'for\tfor\tIN\tB-PP\tO' -p30843 -aS'her\ther\tPRP$\tB-NP\tO' -p30844 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p30845 -aS'artery\tartery\tNN\tI-NP\tO' -p30846 -aS'disease\tdisease\tNN\tI-NP\tO' -p30847 -aS'following\tfollow\tVBG\tB-PP\tO' -p30848 -aS'two\ttwo\tCD\tB-NP\tO' -p30849 -aS'failed\tfail\tVBD\tB-VP\tO' -p30850 -aS'bypass\tbypass\tIN\tB-PP\tO' -p30851 -aS'graft\tgraft\tNN\tB-NP\tO' -p30852 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p30853 -aS'by\tby\tIN\tB-PP\tO' -p30854 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p30855 -aS'Brendniungand\tBrendniungand\tNNP\tI-NP\tO' -p30856 -aS'Asilbekote\tAsilbekote\tNNP\tI-NP\tO' -p30857 -aS'in\tin\tIN\tB-PP\tO' -p30858 -aS'Bi\tBi\tNNP\tB-NP\tO' -p30859 -aS'Masase\tMasase\tNNP\tI-NP\tO' -p30860 -aS',\t,\t,\tO\tO' -p30861 -aS'KS\tKS\tNNP\tB-NP\tO' -p30862 -aS'.\t.\t.\tO\tO' -p30863 -asS'The creatinine was 1.3 and dropping to 1.1 .' -p30864 -(lp30865 -S'The\tThe\tDT\tB-NP\tO' -p30866 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p30867 -aS'was\tbe\tVBD\tB-VP\tO' -p30868 -aS'1.3\t1.3\tCD\tB-NP\tO' -p30869 -aS'and\tand\tCC\tO\tO' -p30870 -aS'dropping\tdrop\tVBG\tB-VP\tO' -p30871 -aS'to\tto\tTO\tB-PP\tO' -p30872 -aS'1.1\t1.1\tCD\tB-NP\tO' -p30873 -aS'.\t.\t.\tO\tO' -p30874 -asS'She had admitted to the CMED and had multiple episodes of apnea throughout the night .' -p30875 -(lp30876 -S'She\tShe\tPRP\tB-NP\tO' -p30877 -aS'had\thave\tVBD\tB-VP\tO' -p30878 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p30879 -aS'to\tto\tTO\tB-PP\tO' -p30880 -aS'the\tthe\tDT\tB-NP\tO' -p30881 -aS'CMED\tCMED\tNN\tI-NP\tO' -p30882 -aS'and\tand\tCC\tO\tO' -p30883 -aS'had\thave\tVBD\tB-VP\tO' -p30884 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p30885 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p30886 -aS'of\tof\tIN\tB-PP\tO' -p30887 -aS'apnea\tapnea\tNN\tB-NP\tO' -p30888 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p30889 -aS'the\tthe\tDT\tB-NP\tO' -p30890 -aS'night\tnight\tNN\tI-NP\tO' -p30891 -aS'.\t.\t.\tO\tO' -p30892 -asS'Hematocrit 36 , white blood cell count 8.3 , platelets 342 .' -p30893 -(lp30894 -S'Hematocrit\tHematocrit\tNN\tB-NP\tB-protein' -p30895 -aS'36\t36\tCD\tI-NP\tI-protein' -p30896 -aS',\t,\t,\tO\tO' -p30897 -aS'white\twhite\tJJ\tB-NP\tO' -p30898 -aS'blood\tblood\tNN\tI-NP\tO' -p30899 -aS'cell\tcell\tNN\tI-NP\tO' -p30900 -aS'count\tcount\tNN\tI-NP\tO' -p30901 -aS'8.3\t8.3\tCD\tB-NP\tO' -p30902 -aS',\t,\t,\tO\tO' -p30903 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p30904 -aS'342\t342\tCD\tB-NP\tO' -p30905 -aS'.\t.\t.\tO\tO' -p30906 -asS'The deep tendon reflexes were 2+ on the left side , 1+ on the right side .' -p30907 -(lp30908 -S'The\tThe\tDT\tB-NP\tO' -p30909 -aS'deep\tdeep\tJJ\tI-NP\tO' -p30910 -aS'tendon\ttendon\tNN\tI-NP\tO' -p30911 -aS'reflexes\treflex\tNNS\tI-NP\tO' -p30912 -aS'were\tbe\tVBD\tB-VP\tO' -p30913 -aS'2+\t2+\tJJ\tB-ADJP\tO' -p30914 -aS'on\ton\tIN\tB-PP\tO' -p30915 -aS'the\tthe\tDT\tB-NP\tO' -p30916 -aS'left\tleft\tJJ\tI-NP\tO' -p30917 -aS'side\tside\tNN\tI-NP\tO' -p30918 -aS',\t,\t,\tO\tO' -p30919 -aS'1+\t1+\tJJ\tB-ADJP\tO' -p30920 -aS'on\ton\tIN\tB-PP\tO' -p30921 -aS'the\tthe\tDT\tB-NP\tO' -p30922 -aS'right\tright\tJJ\tI-NP\tO' -p30923 -aS'side\tside\tNN\tI-NP\tO' -p30924 -aS'.\t.\t.\tO\tO' -p30925 -asS'OTHER TREATMENTS / PROCEDURES ( NOT IN O.R. ) None .' -p30926 -(lp30927 -S'OTHER\tOTHER\tNN\tB-NP\tO' -p30928 -aS'TREATMENTS\tTREATMENTS\tNN\tI-NP\tO' -p30929 -aS'/\t/\tSYM\tO\tO' -p30930 -aS'PROCEDURES\tPROCEDURES\tNN\tB-NP\tO' -p30931 -aS'(\t(\t(\tO\tO' -p30932 -aS'NOT\tNOT\tNN\tB-NP\tB-protein' -p30933 -aS'IN\tIN\tIN\tB-PP\tI-protein' -p30934 -aS'O.R.\tO.R.\tNNP\tB-NP\tO' -p30935 -aS')\t)\t)\tO\tO' -p30936 -aS'None\tNone\tNNP\tB-NP\tO' -p30937 -aS'.\t.\t.\tO\tO' -p30938 -asS'The head , eyes , ears , nose , throat exam was notable for alopecia , otherwise unremarkable .' -p30939 -(lp30940 -S'The\tThe\tDT\tB-NP\tO' -p30941 -aS'head\thead\tNN\tI-NP\tO' -p30942 -aS',\t,\t,\tO\tO' -p30943 -aS'eyes\teye\tNNS\tB-NP\tO' -p30944 -aS',\t,\t,\tO\tO' -p30945 -aS'ears\tear\tNNS\tB-NP\tO' -p30946 -aS',\t,\t,\tO\tO' -p30947 -aS'nose\tnose\tNN\tB-NP\tO' -p30948 -aS',\t,\t,\tO\tO' -p30949 -aS'throat\tthroat\tDT\tB-NP\tO' -p30950 -aS'exam\texam\tNN\tI-NP\tO' -p30951 -aS'was\tbe\tVBD\tB-VP\tO' -p30952 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p30953 -aS'for\tfor\tIN\tB-PP\tO' -p30954 -aS'alopecia\talopecia\tNN\tB-NP\tO' -p30955 -aS',\t,\t,\tO\tO' -p30956 -aS'otherwise\totherwise\tRB\tB-ADJP\tO' -p30957 -aS'unremarkable\tunremarkable\tJJ\tI-ADJP\tO' -p30958 -aS'.\t.\t.\tO\tO' -p30959 -asS'The patient complained of diaphoresis , confusion , dizziness , lightheadedness after drinking a 24 ounce beer and taking at least an extra 15 units of NPH insulin the evening of 2010-08-27 ( later reported over 70 U insulin administered from 2.30 PM until time of presentation ) followed by not eating dinner .' -p30960 -(lp30961 -S'The\tThe\tDT\tB-NP\tO' -p30962 -aS'patient\tpatient\tNN\tI-NP\tO' -p30963 -aS'complained\tcomplain\tVBD\tB-VP\tO' -p30964 -aS'of\tof\tIN\tB-PP\tO' -p30965 -aS'diaphoresis\tdiaphoresis\tNN\tB-NP\tO' -p30966 -aS',\t,\t,\tO\tO' -p30967 -aS'confusion\tconfusion\tNN\tB-NP\tO' -p30968 -aS',\t,\t,\tO\tO' -p30969 -aS'dizziness\tdizziness\tNN\tB-NP\tO' -p30970 -aS',\t,\t,\tO\tO' -p30971 -aS'lightheadedness\tlightheadedness\tNN\tB-NP\tO' -p30972 -aS'after\tafter\tIN\tB-PP\tO' -p30973 -aS'drinking\tdrink\tVBG\tB-VP\tO' -p30974 -aS'a\ta\tDT\tB-NP\tO' -p30975 -aS'24\t24\tCD\tI-NP\tO' -p30976 -aS'ounce\tounce\tNN\tI-NP\tO' -p30977 -aS'beer\tbeer\tNN\tI-NP\tO' -p30978 -aS'and\tand\tCC\tO\tO' -p30979 -aS'taking\ttake\tVBG\tB-VP\tO' -p30980 -aS'at\tat\tIN\tB-ADVP\tO' -p30981 -aS'least\tleast\tJJS\tI-ADVP\tO' -p30982 -aS'an\tan\tDT\tB-NP\tO' -p30983 -aS'extra\textra\tJJ\tI-NP\tO' -p30984 -aS'15\t15\tCD\tI-NP\tO' -p30985 -aS'units\tunit\tNNS\tI-NP\tO' -p30986 -aS'of\tof\tIN\tB-PP\tO' -p30987 -aS'NPH\tNPH\tNN\tB-NP\tB-protein' -p30988 -aS'insulin\tinsulin\tNN\tI-NP\tI-protein' -p30989 -aS'the\tthe\tDT\tB-NP\tO' -p30990 -aS'evening\tevening\tNN\tI-NP\tO' -p30991 -aS'of\tof\tIN\tB-PP\tO' -p30992 -aS'2010-08-27\t2010-08-27\tCD\tB-NP\tO' -p30993 -aS'(\t(\t(\tO\tO' -p30994 -aS'later\tlater\tRB\tB-VP\tO' -p30995 -aS'reported\treport\tVBN\tI-VP\tO' -p30996 -aS'over\tover\tIN\tB-NP\tO' -p30997 -aS'70\t70\tCD\tI-NP\tO' -p30998 -aS'U\tU\tNN\tI-NP\tO' -p30999 -aS'insulin\tinsulin\tNN\tI-NP\tO' -p31000 -aS'administered\tadminister\tVBN\tB-VP\tO' -p31001 -aS'from\tfrom\tIN\tB-PP\tO' -p31002 -aS'2.30\t2.30\tCD\tB-NP\tO' -p31003 -aS'PM\tPM\tNN\tI-NP\tO' -p31004 -aS'until\tuntil\tIN\tB-PP\tO' -p31005 -aS'time\ttime\tNN\tB-NP\tO' -p31006 -aS'of\tof\tIN\tB-PP\tO' -p31007 -aS'presentation\tpresentation\tNN\tB-NP\tO' -p31008 -aS')\t)\t)\tO\tO' -p31009 -aS'followed\tfollow\tVBN\tB-VP\tO' -p31010 -aS'by\tby\tIN\tB-PP\tO' -p31011 -aS'not\tnot\tRB\tO\tO' -p31012 -aS'eating\teat\tVBG\tB-VP\tO' -p31013 -aS'dinner\tdinner\tNN\tB-NP\tO' -p31014 -aS'.\t.\t.\tO\tO' -p31015 -asS'The patient is a 65-year-old man with refractory CLL , status post non-myeloblative stem cell transplant approximately nine months prior to admission , and status post prolonged recent Retelk County Medical Center stay for Acanthamoeba infection of skin and sinuses , complicated by ARS due to medication toxicity , as well as GVHD and recent CMV infection , readmitted for new fever , increasing creatinine , hepatomegaly and fluid surge spacing , in the setting of hyponatremia .' -p31016 -(lp31017 -S'The\tThe\tDT\tB-NP\tO' -p31018 -aS'patient\tpatient\tNN\tI-NP\tO' -p31019 -aS'is\tbe\tVBZ\tB-VP\tO' -p31020 -aS'a\ta\tDT\tB-NP\tO' -p31021 -aS'65-year-old\t65-year-old\tJJ\tI-NP\tO' -p31022 -aS'man\tman\tNN\tI-NP\tO' -p31023 -aS'with\twith\tIN\tB-PP\tO' -p31024 -aS'refractory\trefractory\tJJ\tB-NP\tO' -p31025 -aS'CLL\tCLL\tNN\tI-NP\tO' -p31026 -aS',\t,\t,\tO\tO' -p31027 -aS'status\tstatus\tNN\tB-NP\tO' -p31028 -aS'post\tpost\tNN\tI-NP\tO' -p31029 -aS'non-myeloblative\tnon-myeloblative\tJJ\tI-NP\tO' -p31030 -aS'stem\tstem\tNN\tI-NP\tO' -p31031 -aS'cell\tcell\tNN\tI-NP\tO' -p31032 -aS'transplant\ttransplant\tNN\tI-NP\tO' -p31033 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p31034 -aS'nine\tnine\tCD\tI-NP\tO' -p31035 -aS'months\tmonth\tNNS\tI-NP\tO' -p31036 -aS'prior\tprior\tRB\tB-ADVP\tO' -p31037 -aS'to\tto\tTO\tB-PP\tO' -p31038 -aS'admission\tadmission\tNN\tB-NP\tO' -p31039 -aS',\t,\t,\tO\tO' -p31040 -aS'and\tand\tCC\tO\tO' -p31041 -aS'status\tstatus\tNN\tB-NP\tO' -p31042 -aS'post\tpost\tNN\tI-NP\tO' -p31043 -aS'prolonged\tprolong\tVBD\tB-VP\tO' -p31044 -aS'recent\trecent\tJJ\tB-NP\tO' -p31045 -aS'Retelk\tRetelk\tNNP\tI-NP\tO' -p31046 -aS'County\tCounty\tNNP\tI-NP\tO' -p31047 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p31048 -aS'Center\tCenter\tNNP\tI-NP\tO' -p31049 -aS'stay\tstay\tNN\tI-NP\tO' -p31050 -aS'for\tfor\tIN\tB-PP\tO' -p31051 -aS'Acanthamoeba\tAcanthamoeba\tNN\tB-NP\tO' -p31052 -aS'infection\tinfection\tNN\tI-NP\tO' -p31053 -aS'of\tof\tIN\tB-PP\tO' -p31054 -aS'skin\tskin\tNN\tB-NP\tO' -p31055 -aS'and\tand\tCC\tI-NP\tO' -p31056 -aS'sinuses\tsinus\tNNS\tI-NP\tO' -p31057 -aS',\t,\t,\tO\tO' -p31058 -aS'complicated\tcomplicate\tVBN\tB-VP\tO' -p31059 -aS'by\tby\tIN\tB-PP\tO' -p31060 -aS'ARS\tARS\tNNS\tB-NP\tB-protein' -p31061 -aS'due\tdue\tJJ\tB-ADJP\tO' -p31062 -aS'to\tto\tTO\tB-PP\tO' -p31063 -aS'medication\tmedication\tNN\tB-NP\tO' -p31064 -aS'toxicity\ttoxicity\tNN\tI-NP\tO' -p31065 -aS',\t,\t,\tO\tO' -p31066 -aS'as\tas\tRB\tB-CONJP\tO' -p31067 -aS'well\twell\tRB\tI-CONJP\tO' -p31068 -aS'as\tas\tIN\tI-CONJP\tO' -p31069 -aS'GVHD\tGVHD\tNN\tB-NP\tO' -p31070 -aS'and\tand\tCC\tO\tO' -p31071 -aS'recent\trecent\tJJ\tB-NP\tO' -p31072 -aS'CMV\tCMV\tNN\tI-NP\tO' -p31073 -aS'infection\tinfection\tNN\tI-NP\tO' -p31074 -aS',\t,\t,\tO\tO' -p31075 -aS'readmitted\treadmitte\tVBN\tB-VP\tO' -p31076 -aS'for\tfor\tIN\tB-PP\tO' -p31077 -aS'new\tnew\tJJ\tB-NP\tO' -p31078 -aS'fever\tfever\tNN\tI-NP\tO' -p31079 -aS',\t,\t,\tO\tO' -p31080 -aS'increasing\tincrease\tVBG\tB-VP\tO' -p31081 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p31082 -aS',\t,\t,\tI-NP\tO' -p31083 -aS'hepatomegaly\thepatomegaly\tNN\tI-NP\tO' -p31084 -aS'and\tand\tCC\tI-NP\tO' -p31085 -aS'fluid\tfluid\tNN\tI-NP\tO' -p31086 -aS'surge\tsurge\tNN\tI-NP\tO' -p31087 -aS'spacing\tspacing\tNN\tI-NP\tO' -p31088 -aS',\t,\t,\tO\tO' -p31089 -aS'in\tin\tIN\tB-PP\tO' -p31090 -aS'the\tthe\tDT\tB-NP\tO' -p31091 -aS'setting\tsetting\tNN\tI-NP\tO' -p31092 -aS'of\tof\tIN\tB-PP\tO' -p31093 -aS'hyponatremia\thyponatremia\tNN\tB-NP\tO' -p31094 -aS'.\t.\t.\tO\tO' -p31095 -asS'The patient is a 62-year-old female with a history of diabetes mellitus , hypertension , COPD , hypercholesterolemia , depression and CHF who was lying in bed on the night prior to admission when she developed left-sided chest pain located in the mid-breast region with some fluttering her chest .' -p31096 -(lp31097 -S'The\tThe\tDT\tB-NP\tO' -p31098 -aS'patient\tpatient\tNN\tI-NP\tO' -p31099 -aS'is\tbe\tVBZ\tB-VP\tO' -p31100 -aS'a\ta\tDT\tB-NP\tO' -p31101 -aS'62-year-old\t62-year-old\tJJ\tI-NP\tO' -p31102 -aS'female\tfemale\tNN\tI-NP\tO' -p31103 -aS'with\twith\tIN\tB-PP\tO' -p31104 -aS'a\ta\tDT\tB-NP\tO' -p31105 -aS'history\thistory\tNN\tI-NP\tO' -p31106 -aS'of\tof\tIN\tB-PP\tO' -p31107 -aS'diabetes\tdiabetes\tNN\tB-NP\tO' -p31108 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p31109 -aS',\t,\t,\tO\tO' -p31110 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p31111 -aS',\t,\t,\tO\tO' -p31112 -aS'COPD\tCOPD\tNN\tB-NP\tO' -p31113 -aS',\t,\t,\tO\tO' -p31114 -aS'hypercholesterolemia\thypercholesterolemia\tNN\tB-NP\tO' -p31115 -aS',\t,\t,\tO\tO' -p31116 -aS'depression\tdepression\tNN\tB-NP\tO' -p31117 -aS'and\tand\tCC\tI-NP\tO' -p31118 -aS'CHF\tCHF\tNN\tI-NP\tB-protein' -p31119 -aS'who\twho\tWP\tB-NP\tO' -p31120 -aS'was\tbe\tVBD\tB-VP\tO' -p31121 -aS'lying\tlie\tVBG\tI-VP\tO' -p31122 -aS'in\tin\tIN\tB-PP\tO' -p31123 -aS'bed\tbed\tNN\tB-NP\tO' -p31124 -aS'on\ton\tIN\tB-PP\tO' -p31125 -aS'the\tthe\tDT\tB-NP\tO' -p31126 -aS'night\tnight\tNN\tI-NP\tO' -p31127 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p31128 -aS'to\tto\tTO\tB-PP\tO' -p31129 -aS'admission\tadmission\tNN\tB-NP\tO' -p31130 -aS'when\twhen\tWRB\tB-ADVP\tO' -p31131 -aS'she\tshe\tPRP\tB-NP\tO' -p31132 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p31133 -aS'left-sided\tleft-sided\tJJ\tB-NP\tO' -p31134 -aS'chest\tchest\tNN\tI-NP\tO' -p31135 -aS'pain\tpain\tNN\tI-NP\tO' -p31136 -aS'located\tlocated\tJJ\tB-ADJP\tO' -p31137 -aS'in\tin\tIN\tB-PP\tO' -p31138 -aS'the\tthe\tDT\tB-NP\tO' -p31139 -aS'mid-breast\tmid-breast\tJJ\tI-NP\tB-DNA' -p31140 -aS'region\tregion\tNN\tI-NP\tI-DNA' -p31141 -aS'with\twith\tIN\tB-PP\tO' -p31142 -aS'some\tsome\tDT\tB-NP\tO' -p31143 -aS'fluttering\tflutter\tVBG\tB-VP\tO' -p31144 -aS'her\ther\tPRP$\tB-NP\tO' -p31145 -aS'chest\tchest\tNN\tI-NP\tO' -p31146 -aS'.\t.\t.\tO\tO' -p31147 -asS'The patient 's hospitalization was uncomplicated .' -p31148 -(lp31149 -S'The\tThe\tDT\tB-NP\tO' -p31150 -aS'patient\tpatient\tNN\tI-NP\tO' -p31151 -aS''s\t'\tNNS\tI-NP\tO' -p31152 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p31153 -aS'was\tbe\tVBD\tB-VP\tO' -p31154 -aS'uncomplicated\tuncomplicated\tJJ\tB-ADJP\tO' -p31155 -aS'.\t.\t.\tO\tO' -p31156 -asS'Extremities were unremarkable .' -p31157 -(lp31158 -S'Extremities\tExtremity\tNNS\tB-NP\tO' -p31159 -aS'were\tbe\tVBD\tB-VP\tO' -p31160 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p31161 -aS'.\t.\t.\tO\tO' -p31162 -asS'PLEASE GIVE PATIENT MEDICATIONS AS PRESCRIBED AND READ WARNING LABELS CAREFULLY .' -p31163 -(lp31164 -S'PLEASE\tPLEASE\tNNP\tB-NP\tO' -p31165 -aS'GIVE\tGIVE\tNNP\tI-NP\tO' -p31166 -aS'PATIENT\tPATIENT\tNNP\tI-NP\tO' -p31167 -aS'MEDICATIONS\tMEDICATIONS\tNNP\tI-NP\tO' -p31168 -aS'AS\tAS\tNNP\tI-NP\tO' -p31169 -aS'PRESCRIBED\tPRESCRIBED\tVBD\tB-VP\tO' -p31170 -aS'AND\tAND\tCC\tB-NP\tO' -p31171 -aS'READ\tREAD\tNN\tI-NP\tO' -p31172 -aS'WARNING\tWARNING\tNN\tI-NP\tO' -p31173 -aS'LABELS\tLABELS\tNN\tI-NP\tO' -p31174 -aS'CAREFULLY\tCAREFULLY\tNN\tI-NP\tO' -p31175 -aS'.\t.\t.\tO\tO' -p31176 -asS'On postoperative day seven the patient diet was slowly advanced as tolerated .' -p31177 -(lp31178 -S'On\tOn\tIN\tB-PP\tO' -p31179 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p31180 -aS'day\tday\tNN\tI-NP\tO' -p31181 -aS'seven\tseven\tCD\tI-NP\tO' -p31182 -aS'the\tthe\tDT\tB-NP\tO' -p31183 -aS'patient\tpatient\tNN\tI-NP\tO' -p31184 -aS'diet\tdiet\tNN\tI-NP\tO' -p31185 -aS'was\tbe\tVBD\tB-VP\tO' -p31186 -aS'slowly\tslowly\tRB\tI-VP\tO' -p31187 -aS'advanced\tadvance\tVBN\tI-VP\tO' -p31188 -aS'as\tas\tIN\tB-SBAR\tO' -p31189 -aS'tolerated\ttolerate\tVBN\tB-VP\tO' -p31190 -aS'.\t.\t.\tO\tO' -p31191 -asS'The patient will follow up with Dr. Kayschird to schedule for the epidural pump .' -p31192 -(lp31193 -S'The\tThe\tDT\tB-NP\tO' -p31194 -aS'patient\tpatient\tNN\tI-NP\tO' -p31195 -aS'will\twill\tMD\tB-VP\tO' -p31196 -aS'follow\tfollow\tVB\tI-VP\tO' -p31197 -aS'up\tup\tRP\tB-PRT\tO' -p31198 -aS'with\twith\tIN\tB-PP\tO' -p31199 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p31200 -aS'Kayschird\tKayschird\tNNP\tI-NP\tO' -p31201 -aS'to\tto\tTO\tB-VP\tO' -p31202 -aS'schedule\tschedule\tVB\tI-VP\tO' -p31203 -aS'for\tfor\tIN\tB-PP\tO' -p31204 -aS'the\tthe\tDT\tB-NP\tO' -p31205 -aS'epidural\tepidural\tJJ\tI-NP\tO' -p31206 -aS'pump\tpump\tNN\tI-NP\tO' -p31207 -aS'.\t.\t.\tO\tO' -p31208 -asS'This area has continued to drain and it is felt that it could be best managed by an ostomy appliance and stoma care .' -p31209 -(lp31210 -S'This\tThis\tDT\tB-NP\tO' -p31211 -aS'area\tarea\tNN\tI-NP\tO' -p31212 -aS'has\thave\tVBZ\tB-VP\tO' -p31213 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p31214 -aS'to\tto\tTO\tI-VP\tO' -p31215 -aS'drain\tdrain\tVB\tI-VP\tO' -p31216 -aS'and\tand\tCC\tO\tO' -p31217 -aS'it\tit\tPRP\tB-NP\tO' -p31218 -aS'is\tbe\tVBZ\tB-VP\tO' -p31219 -aS'felt\tfeel\tVBN\tI-VP\tO' -p31220 -aS'that\tthat\tIN\tB-SBAR\tO' -p31221 -aS'it\tit\tPRP\tB-NP\tO' -p31222 -aS'could\tcould\tMD\tB-VP\tO' -p31223 -aS'be\tbe\tVB\tI-VP\tO' -p31224 -aS'best\twell\tRBS\tI-VP\tO' -p31225 -aS'managed\tmanage\tVBN\tI-VP\tO' -p31226 -aS'by\tby\tIN\tB-PP\tO' -p31227 -aS'an\tan\tDT\tB-NP\tO' -p31228 -aS'ostomy\tostomy\tNN\tI-NP\tO' -p31229 -aS'appliance\tappliance\tNN\tI-NP\tO' -p31230 -aS'and\tand\tCC\tO\tO' -p31231 -aS'stoma\tstoma\tNN\tB-NP\tO' -p31232 -aS'care\tcare\tNN\tI-NP\tO' -p31233 -aS'.\t.\t.\tO\tO' -p31234 -asS'In general , this was a female in moderate distress secondary to shortness of breath , spoke in short phrases and then in complete sentences as the night went on .' -p31235 -(lp31236 -S'In\tIn\tIN\tB-PP\tO' -p31237 -aS'general\tgeneral\tJJ\tB-ADJP\tO' -p31238 -aS',\t,\t,\tO\tO' -p31239 -aS'this\tthis\tDT\tB-NP\tO' -p31240 -aS'was\tbe\tVBD\tB-VP\tO' -p31241 -aS'a\ta\tDT\tB-NP\tO' -p31242 -aS'female\tfemale\tNN\tI-NP\tO' -p31243 -aS'in\tin\tIN\tB-PP\tO' -p31244 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p31245 -aS'distress\tdistress\tNN\tI-NP\tO' -p31246 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p31247 -aS'to\tto\tTO\tB-PP\tO' -p31248 -aS'shortness\tshortness\tNN\tB-NP\tO' -p31249 -aS'of\tof\tIN\tB-PP\tO' -p31250 -aS'breath\tbreath\tNN\tB-NP\tO' -p31251 -aS',\t,\t,\tO\tO' -p31252 -aS'spoke\tspeak\tVBD\tB-VP\tO' -p31253 -aS'in\tin\tIN\tB-PP\tO' -p31254 -aS'short\tshort\tJJ\tB-NP\tO' -p31255 -aS'phrases\tphrase\tNNS\tI-NP\tO' -p31256 -aS'and\tand\tCC\tO\tO' -p31257 -aS'then\tthen\tRB\tB-ADVP\tO' -p31258 -aS'in\tin\tIN\tB-PP\tO' -p31259 -aS'complete\tcomplete\tJJ\tB-NP\tO' -p31260 -aS'sentences\tsentence\tNNS\tI-NP\tO' -p31261 -aS'as\tas\tIN\tB-PP\tO' -p31262 -aS'the\tthe\tDT\tB-NP\tO' -p31263 -aS'night\tnight\tNN\tI-NP\tO' -p31264 -aS'went\tgo\tVBD\tB-VP\tO' -p31265 -aS'on\ton\tIN\tB-PRT\tO' -p31266 -aS'.\t.\t.\tO\tO' -p31267 -asS'Moist mucous membranes , clear oropharynx .' -p31268 -(lp31269 -S'Moist\tMoist\tJJ\tB-NP\tO' -p31270 -aS'mucous\tmucous\tJJ\tI-NP\tO' -p31271 -aS'membranes\tmembrane\tNNS\tI-NP\tO' -p31272 -aS',\t,\t,\tO\tO' -p31273 -aS'clear\tclear\tJJ\tB-NP\tO' -p31274 -aS'oropharynx\toropharynx\tNN\tI-NP\tO' -p31275 -aS'.\t.\t.\tO\tO' -p31276 -asS'5. Oxycodone 10 mg q.4 h. p.r.n. for pain .' -p31277 -(lp31278 -S'5.\t5.\tLS\tB-LST\tO' -p31279 -aS'Oxycodone\tOxycodone\tNN\tB-NP\tO' -p31280 -aS'10\t10\tCD\tI-NP\tO' -p31281 -aS'mg\tmg\tNN\tI-NP\tO' -p31282 -aS'q.4\tq.4\tNN\tI-NP\tO' -p31283 -aS'h.\th.\tNN\tI-NP\tO' -p31284 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p31285 -aS'for\tfor\tIN\tB-PP\tO' -p31286 -aS'pain\tpain\tNN\tB-NP\tO' -p31287 -aS'.\t.\t.\tO\tO' -p31288 -asS'No tub baths or swimming .' -p31289 -(lp31290 -S'No\tNo\tDT\tB-NP\tO' -p31291 -aS'tub\ttub\tNN\tI-NP\tO' -p31292 -aS'baths\tbath\tNNS\tI-NP\tO' -p31293 -aS'or\tor\tCC\tI-NP\tO' -p31294 -aS'swimming\tswimming\tNN\tI-NP\tO' -p31295 -aS'.\t.\t.\tO\tO' -p31296 -asS'He also had a 3-4 year history of impotence .' -p31297 -(lp31298 -S'He\tHe\tPRP\tB-NP\tO' -p31299 -aS'also\talso\tRB\tB-ADVP\tO' -p31300 -aS'had\thave\tVBD\tB-VP\tO' -p31301 -aS'a\ta\tDT\tB-NP\tO' -p31302 -aS'3-4\t3-4\tCD\tI-NP\tO' -p31303 -aS'year\tyear\tNN\tI-NP\tO' -p31304 -aS'history\thistory\tNN\tI-NP\tO' -p31305 -aS'of\tof\tIN\tB-PP\tO' -p31306 -aS'impotence\timpotence\tNN\tB-NP\tO' -p31307 -aS'.\t.\t.\tO\tO' -p31308 -asS'In November , 1997 she had a small myocardial infarction as was transferred to Ona Hospital where a cardiac catheterization showed a tight left internal mammary artery to left anterior descending stenosis , high grade saphenous vein graft to obtuse marginal 1 stenosis and patent obtuse marginal 2 graft .' -p31309 -(lp31310 -S'In\tIn\tIN\tB-PP\tO' -p31311 -aS'November\tNovember\tNNP\tB-NP\tO' -p31312 -aS',\t,\t,\tO\tO' -p31313 -aS'1997\t1997\tCD\tB-NP\tO' -p31314 -aS'she\tshe\tPRP\tB-NP\tO' -p31315 -aS'had\thave\tVBD\tB-VP\tO' -p31316 -aS'a\ta\tDT\tB-NP\tO' -p31317 -aS'small\tsmall\tJJ\tI-NP\tO' -p31318 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p31319 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p31320 -aS'as\tas\tIN\tB-SBAR\tO' -p31321 -aS'was\tbe\tVBD\tB-VP\tO' -p31322 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p31323 -aS'to\tto\tTO\tB-PP\tO' -p31324 -aS'Ona\tOna\tNNP\tB-NP\tO' -p31325 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p31326 -aS'where\twhere\tWRB\tB-ADVP\tO' -p31327 -aS'a\ta\tDT\tB-NP\tO' -p31328 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p31329 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p31330 -aS'showed\tshow\tVBD\tB-VP\tO' -p31331 -aS'a\ta\tDT\tB-NP\tO' -p31332 -aS'tight\ttight\tJJ\tI-NP\tO' -p31333 -aS'left\tleft\tJJ\tI-NP\tO' -p31334 -aS'internal\tinternal\tJJ\tI-NP\tO' -p31335 -aS'mammary\tmammary\tJJ\tI-NP\tO' -p31336 -aS'artery\tartery\tNN\tI-NP\tO' -p31337 -aS'to\tto\tTO\tB-VP\tO' -p31338 -aS'left\tleft\tVB\tI-VP\tO' -p31339 -aS'anterior\tanterior\tJJ\tB-NP\tO' -p31340 -aS'descending\tdescend\tVBG\tI-NP\tO' -p31341 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p31342 -aS',\t,\t,\tO\tO' -p31343 -aS'high\thigh\tJJ\tB-NP\tO' -p31344 -aS'grade\tgrade\tNN\tI-NP\tO' -p31345 -aS'saphenous\tsaphenous\tJJ\tI-NP\tO' -p31346 -aS'vein\tvein\tNN\tI-NP\tO' -p31347 -aS'graft\tgraft\tNN\tI-NP\tO' -p31348 -aS'to\tto\tTO\tB-VP\tO' -p31349 -aS'obtuse\tobtuse\tVB\tI-VP\tO' -p31350 -aS'marginal\tmarginal\tJJ\tB-NP\tO' -p31351 -aS'1\t1\tCD\tI-NP\tO' -p31352 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p31353 -aS'and\tand\tCC\tI-NP\tO' -p31354 -aS'patent\tpatent\tNN\tI-NP\tO' -p31355 -aS'obtuse\tobtuse\tNN\tI-NP\tO' -p31356 -aS'marginal\tmarginal\tJJ\tI-NP\tO' -p31357 -aS'2\t2\tCD\tI-NP\tO' -p31358 -aS'graft\tgraft\tNN\tI-NP\tO' -p31359 -aS'.\t.\t.\tO\tO' -p31360 -asS'On transfer , she also arrived on 200 mcg of nitroglycerin and reports p.r.n. Alka-Seltzer , sinus and NyQuil use .' -p31361 -(lp31362 -S'On\tOn\tIN\tB-PP\tO' -p31363 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p31364 -aS',\t,\t,\tO\tO' -p31365 -aS'she\tshe\tPRP\tB-NP\tO' -p31366 -aS'also\talso\tRB\tB-ADVP\tO' -p31367 -aS'arrived\tarrive\tVBD\tB-VP\tO' -p31368 -aS'on\ton\tIN\tB-PP\tO' -p31369 -aS'200\t200\tCD\tB-NP\tO' -p31370 -aS'mcg\tmcg\tNN\tI-NP\tO' -p31371 -aS'of\tof\tIN\tB-PP\tO' -p31372 -aS'nitroglycerin\tnitroglycerin\tNN\tB-NP\tO' -p31373 -aS'and\tand\tCC\tI-NP\tO' -p31374 -aS'reports\treport\tNNS\tI-NP\tO' -p31375 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p31376 -aS'Alka-Seltzer\tAlka-Seltzer\tNNP\tI-NP\tO' -p31377 -aS',\t,\t,\tI-NP\tO' -p31378 -aS'sinus\tsinus\tNNP\tI-NP\tO' -p31379 -aS'and\tand\tCC\tI-NP\tO' -p31380 -aS'NyQuil\tNyQuil\tNNP\tI-NP\tO' -p31381 -aS'use\tuse\tNN\tI-NP\tO' -p31382 -aS'.\t.\t.\tO\tO' -p31383 -asS'She does stairs one at a time and only with help .' -p31384 -(lp31385 -S'She\tShe\tPRP\tB-NP\tO' -p31386 -aS'does\tdo\tVBZ\tB-VP\tO' -p31387 -aS'stairs\tstair\tNNS\tB-NP\tO' -p31388 -aS'one\tone\tCD\tB-NP\tO' -p31389 -aS'at\tat\tIN\tB-PP\tO' -p31390 -aS'a\ta\tDT\tB-NP\tO' -p31391 -aS'time\ttime\tNN\tI-NP\tO' -p31392 -aS'and\tand\tCC\tO\tO' -p31393 -aS'only\tonly\tRB\tB-ADVP\tO' -p31394 -aS'with\twith\tIN\tB-PP\tO' -p31395 -aS'help\thelp\tNN\tB-NP\tO' -p31396 -aS'.\t.\t.\tO\tO' -p31397 -asS'The patient is retired employee of the City of Avi Den , Hawaii , lives on a pension and Social Security .' -p31398 -(lp31399 -S'The\tThe\tDT\tB-NP\tO' -p31400 -aS'patient\tpatient\tNN\tI-NP\tO' -p31401 -aS'is\tbe\tVBZ\tB-VP\tO' -p31402 -aS'retired\tretire\tVBN\tI-VP\tO' -p31403 -aS'employee\temployee\tNN\tB-NP\tO' -p31404 -aS'of\tof\tIN\tB-PP\tO' -p31405 -aS'the\tthe\tDT\tB-NP\tO' -p31406 -aS'City\tCity\tNNP\tI-NP\tO' -p31407 -aS'of\tof\tIN\tB-PP\tO' -p31408 -aS'Avi\tAvi\tNNP\tB-NP\tO' -p31409 -aS'Den\tDen\tNNP\tI-NP\tO' -p31410 -aS',\t,\t,\tO\tO' -p31411 -aS'Hawaii\tHawaii\tNNP\tB-NP\tO' -p31412 -aS',\t,\t,\tO\tO' -p31413 -aS'lives\tlive\tVBZ\tB-VP\tO' -p31414 -aS'on\ton\tIN\tB-PP\tO' -p31415 -aS'a\ta\tDT\tB-NP\tO' -p31416 -aS'pension\tpension\tNN\tI-NP\tO' -p31417 -aS'and\tand\tCC\tI-NP\tO' -p31418 -aS'Social\tSocial\tNNP\tI-NP\tO' -p31419 -aS'Security\tSecurity\tNNP\tI-NP\tO' -p31420 -aS'.\t.\t.\tO\tO' -p31421 -asS'Creatine kinases trended from 11:15 on the day of admission from 83 to 3021 at 5 p.m. to 3450 at 11 p.m. , to 1734 at 5:30 a.m. on 11-07 , to 1277 at 11:30 a.m. on 11-07 , to 83 at 9:30 a.m. on 11-11 .' -p31422 -(lp31423 -S'Creatine\tCreatine\tNN\tB-NP\tB-protein' -p31424 -aS'kinases\tkinase\tNNS\tI-NP\tI-protein' -p31425 -aS'trended\ttrend\tVBN\tB-VP\tO' -p31426 -aS'from\tfrom\tIN\tB-PP\tO' -p31427 -aS'11:15\t11:15\tCD\tB-NP\tO' -p31428 -aS'on\ton\tIN\tB-PP\tO' -p31429 -aS'the\tthe\tDT\tB-NP\tO' -p31430 -aS'day\tday\tNN\tI-NP\tO' -p31431 -aS'of\tof\tIN\tB-PP\tO' -p31432 -aS'admission\tadmission\tNN\tB-NP\tO' -p31433 -aS'from\tfrom\tIN\tB-PP\tO' -p31434 -aS'83\t83\tCD\tB-NP\tO' -p31435 -aS'to\tto\tTO\tB-PP\tO' -p31436 -aS'3021\t3021\tCD\tB-NP\tO' -p31437 -aS'at\tat\tIN\tB-PP\tO' -p31438 -aS'5\t5\tCD\tB-NP\tO' -p31439 -aS'p.m.\tp.m.\tNN\tI-NP\tO' -p31440 -aS'to\tto\tTO\tB-PP\tO' -p31441 -aS'3450\t3450\tCD\tB-NP\tO' -p31442 -aS'at\tat\tIN\tB-PP\tO' -p31443 -aS'11\t11\tCD\tB-NP\tO' -p31444 -aS'p.m.\tp.m.\tRB\tI-NP\tO' -p31445 -aS',\t,\t,\tO\tO' -p31446 -aS'to\tto\tTO\tB-PP\tO' -p31447 -aS'1734\t1734\tCD\tB-NP\tO' -p31448 -aS'at\tat\tIN\tB-PP\tO' -p31449 -aS'5:30\t5:30\tCD\tB-NP\tO' -p31450 -aS'a.m.\ta.m.\tNN\tI-NP\tO' -p31451 -aS'on\ton\tIN\tB-PP\tO' -p31452 -aS'11-07\t11-07\tCD\tB-NP\tO' -p31453 -aS',\t,\t,\tO\tO' -p31454 -aS'to\tto\tTO\tB-PP\tO' -p31455 -aS'1277\t1277\tCD\tB-NP\tO' -p31456 -aS'at\tat\tIN\tB-PP\tO' -p31457 -aS'11:30\t11:30\tCD\tB-NP\tO' -p31458 -aS'a.m.\ta.m.\tNN\tI-NP\tO' -p31459 -aS'on\ton\tIN\tB-PP\tO' -p31460 -aS'11-07\t11-07\tCD\tB-NP\tO' -p31461 -aS',\t,\t,\tO\tO' -p31462 -aS'to\tto\tTO\tB-PP\tO' -p31463 -aS'83\t83\tCD\tB-NP\tO' -p31464 -aS'at\tat\tIN\tB-PP\tO' -p31465 -aS'9:30\t9:30\tCD\tB-NP\tO' -p31466 -aS'a.m.\ta.m.\tNN\tI-NP\tO' -p31467 -aS'on\ton\tIN\tB-PP\tO' -p31468 -aS'11-11\t11-11\tNN\tB-NP\tO' -p31469 -aS'.\t.\t.\tO\tO' -p31470 -asS'A right heart catheterization was performed on 2014-12-05 .' -p31471 -(lp31472 -S'A\tA\tDT\tB-NP\tO' -p31473 -aS'right\tright\tJJ\tI-NP\tO' -p31474 -aS'heart\theart\tNN\tI-NP\tO' -p31475 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p31476 -aS'was\tbe\tVBD\tB-VP\tO' -p31477 -aS'performed\tperform\tVBN\tI-VP\tO' -p31478 -aS'on\ton\tIN\tB-PP\tO' -p31479 -aS'2014-12-05\t2014-12-05\tCD\tB-NP\tO' -p31480 -aS'.\t.\t.\tO\tO' -p31481 -asS'revealed 2+ carotid pulses with bruits bilaterally , 2+ radial , 2+ femoral , 1+ dorsalis pedis bilaterally .' -p31482 -(lp31483 -S'revealed\treveal\tVBD\tB-VP\tO' -p31484 -aS'2+\t2+\tJJ\tB-NP\tO' -p31485 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p31486 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p31487 -aS'with\twith\tIN\tB-PP\tO' -p31488 -aS'bruits\tbruit\tNNS\tB-NP\tO' -p31489 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p31490 -aS',\t,\t,\tO\tO' -p31491 -aS'2+\t2+\tJJ\tB-NP\tO' -p31492 -aS'radial\tradial\tNN\tI-NP\tO' -p31493 -aS',\t,\t,\tO\tO' -p31494 -aS'2+\t2+\tJJ\tB-NP\tO' -p31495 -aS'femoral\tfemoral\tJJ\tI-NP\tO' -p31496 -aS',\t,\t,\tI-NP\tO' -p31497 -aS'1+\t1+\tJJ\tI-NP\tO' -p31498 -aS'dorsalis\tdorsalis\tNN\tI-NP\tO' -p31499 -aS'pedis\tpedis\tNN\tI-NP\tO' -p31500 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p31501 -aS'.\t.\t.\tO\tO' -p31502 -asS'- Trauma Surgery Clinic in four weeks with CT abdomen results .' -p31503 -(lp31504 -S'-\t-\tHYPH\tB-NP\tO' -p31505 -aS'Trauma\tTrauma\tNNP\tI-NP\tO' -p31506 -aS'Surgery\tSurgery\tNNP\tI-NP\tO' -p31507 -aS'Clinic\tClinic\tNNP\tI-NP\tO' -p31508 -aS'in\tin\tIN\tB-PP\tO' -p31509 -aS'four\tfour\tCD\tB-NP\tO' -p31510 -aS'weeks\tweek\tNNS\tI-NP\tO' -p31511 -aS'with\twith\tIN\tB-PP\tO' -p31512 -aS'CT\tCT\tNN\tB-NP\tO' -p31513 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p31514 -aS'results\tresult\tNNS\tI-NP\tO' -p31515 -aS'.\t.\t.\tO\tO' -p31516 -asS'11. Minoxidil 10 mg Tablet Sig : 0.5 Tablet PO DAILY ( Daily ) .' -p31517 -(lp31518 -S'11.\t11.\tCD\tB-NP\tO' -p31519 -aS'Minoxidil\tMinoxidil\tNN\tI-NP\tO' -p31520 -aS'10\t10\tCD\tB-NP\tO' -p31521 -aS'mg\tmg\tNN\tI-NP\tO' -p31522 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p31523 -aS'Sig\tSig\tNNP\tI-NP\tO' -p31524 -aS':\t:\t:\tO\tO' -p31525 -aS'0.5\t0.5\tCD\tB-NP\tO' -p31526 -aS'Tablet\tTablet\tNN\tI-NP\tO' -p31527 -aS'PO\tPO\tNN\tI-NP\tO' -p31528 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p31529 -aS'(\t(\t(\tO\tO' -p31530 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p31531 -aS')\t)\t)\tO\tO' -p31532 -aS'.\t.\t.\tO\tO' -p31533 -asS'All anticoagulation stopped despite the risk of DVT , afib .' -p31534 -(lp31535 -S'All\tAll\tDT\tB-NP\tO' -p31536 -aS'anticoagulation\tanticoagulation\tNN\tI-NP\tO' -p31537 -aS'stopped\tstop\tVBD\tB-VP\tO' -p31538 -aS'despite\tdespite\tIN\tB-PP\tO' -p31539 -aS'the\tthe\tDT\tB-NP\tO' -p31540 -aS'risk\trisk\tNN\tI-NP\tO' -p31541 -aS'of\tof\tIN\tB-PP\tO' -p31542 -aS'DVT\tDVT\tNN\tB-NP\tO' -p31543 -aS',\t,\t,\tO\tO' -p31544 -aS'afib\tafib\tNN\tB-NP\tO' -p31545 -aS'.\t.\t.\tO\tO' -p31546 -asS'Renal - The patient was admitted with a creatinine of 1.8 , considered likely secondary to hypovolemia .' -p31547 -(lp31548 -S'Renal\tRenal\tJJ\tB-ADJP\tO' -p31549 -aS'-\t-\tHYPH\tO\tO' -p31550 -aS'The\tThe\tDT\tB-NP\tO' -p31551 -aS'patient\tpatient\tNN\tI-NP\tO' -p31552 -aS'was\tbe\tVBD\tB-VP\tO' -p31553 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p31554 -aS'with\twith\tIN\tB-PP\tO' -p31555 -aS'a\ta\tDT\tB-NP\tO' -p31556 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p31557 -aS'of\tof\tIN\tB-PP\tO' -p31558 -aS'1.8\t1.8\tCD\tB-NP\tO' -p31559 -aS',\t,\t,\tO\tO' -p31560 -aS'considered\tconsider\tVBN\tB-VP\tO' -p31561 -aS'likely\tlikely\tRB\tB-ADJP\tO' -p31562 -aS'secondary\tsecondary\tJJ\tI-ADJP\tO' -p31563 -aS'to\tto\tTO\tB-PP\tO' -p31564 -aS'hypovolemia\thypovolemia\tNN\tB-NP\tO' -p31565 -aS'.\t.\t.\tO\tO' -p31566 -asS'Pain was 12-28 at time of transfer .' -p31567 -(lp31568 -S'Pain\tPain\tNNP\tB-NP\tO' -p31569 -aS'was\tbe\tVBD\tB-VP\tO' -p31570 -aS'12-28\t12-28\tCD\tB-NP\tO' -p31571 -aS'at\tat\tIN\tB-PP\tO' -p31572 -aS'time\ttime\tNN\tB-NP\tO' -p31573 -aS'of\tof\tIN\tB-PP\tO' -p31574 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p31575 -aS'.\t.\t.\tO\tO' -p31576 -asS'Metformin 1000 qd tums 1500 bid' -p31577 -(lp31578 -S'Metformin\tMetformin\tNN\tB-NP\tO' -p31579 -aS'1000\t1000\tCD\tI-NP\tO' -p31580 -aS'qd\tqd\tNN\tI-NP\tO' -p31581 -aS'tums\ttum\tNNS\tI-NP\tO' -p31582 -aS'1500\t1500\tCD\tB-NP\tO' -p31583 -aS'bid\tbid\tNN\tI-NP\tO' -p31584 -asS'The patient will follow up in EP Clinic on 2012-03-19 .' -p31585 -(lp31586 -S'The\tThe\tDT\tB-NP\tO' -p31587 -aS'patient\tpatient\tNN\tI-NP\tO' -p31588 -aS'will\twill\tMD\tB-VP\tO' -p31589 -aS'follow\tfollow\tVB\tI-VP\tO' -p31590 -aS'up\tup\tRP\tB-PRT\tO' -p31591 -aS'in\tin\tIN\tB-PP\tO' -p31592 -aS'EP\tEP\tNNP\tB-NP\tO' -p31593 -aS'Clinic\tClinic\tNNP\tI-NP\tO' -p31594 -aS'on\ton\tIN\tB-PP\tO' -p31595 -aS'2012-03-19\t2012-03-19\tCD\tB-NP\tO' -p31596 -aS'.\t.\t.\tO\tO' -p31597 -asS'Nursing Director Pcaer,ter Medical Center Sco , Ohio' -p31598 -(lp31599 -S'Nursing\tNurse\tVBG\tB-VP\tO' -p31600 -aS'Director\tDirector\tNNP\tB-NP\tO' -p31601 -aS'Pcaer,ter\tPcaer,ter\tNNP\tI-NP\tO' -p31602 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p31603 -aS'Center\tCenter\tNNP\tI-NP\tO' -p31604 -aS'Sco\tSco\tNNP\tI-NP\tO' -p31605 -aS',\t,\t,\tO\tO' -p31606 -aS'Ohio\tOhio\tNNP\tB-NP\tO' -p31607 -asS'6. Lovenox 60 mg b.i.d. until therapeutic on Coumadin .' -p31608 -(lp31609 -S'6.\t6.\tCD\tB-NP\tO' -p31610 -aS'Lovenox\tLovenox\tNNP\tI-NP\tO' -p31611 -aS'60\t60\tCD\tI-NP\tO' -p31612 -aS'mg\tmg\tNN\tI-NP\tO' -p31613 -aS'b.i.d.\tb.i.d.\tRB\tB-ADVP\tO' -p31614 -aS'until\tuntil\tIN\tB-PP\tO' -p31615 -aS'therapeutic\ttherapeutic\tJJ\tB-ADJP\tO' -p31616 -aS'on\ton\tIN\tB-PP\tO' -p31617 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p31618 -aS'.\t.\t.\tO\tO' -p31619 -asS'Apgar scores were 6 at one minute and 8 at five minutes .' -p31620 -(lp31621 -S'Apgar\tApgar\tNN\tB-NP\tO' -p31622 -aS'scores\tscore\tNNS\tI-NP\tO' -p31623 -aS'were\tbe\tVBD\tB-VP\tO' -p31624 -aS'6\t6\tCD\tB-NP\tO' -p31625 -aS'at\tat\tIN\tB-PP\tO' -p31626 -aS'one\tone\tCD\tB-NP\tO' -p31627 -aS'minute\tminute\tNN\tI-NP\tO' -p31628 -aS'and\tand\tCC\tO\tO' -p31629 -aS'8\t8\tCD\tB-NP\tO' -p31630 -aS'at\tat\tIN\tB-PP\tO' -p31631 -aS'five\tfive\tCD\tB-NP\tO' -p31632 -aS'minutes\tminute\tNNS\tI-NP\tO' -p31633 -aS'.\t.\t.\tO\tO' -p31634 -asS'Clear to auscultation bilaterally .' -p31635 -(lp31636 -S'Clear\tClear\tJJ\tB-ADJP\tO' -p31637 -aS'to\tto\tTO\tB-PP\tO' -p31638 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p31639 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p31640 -aS'.\t.\t.\tO\tO' -p31641 -asS'The patient has a history of hypertension , coronary artery disease , and insulin-dependent diabetes for 32 years .' -p31642 -(lp31643 -S'The\tThe\tDT\tB-NP\tO' -p31644 -aS'patient\tpatient\tNN\tI-NP\tO' -p31645 -aS'has\thave\tVBZ\tB-VP\tO' -p31646 -aS'a\ta\tDT\tB-NP\tO' -p31647 -aS'history\thistory\tNN\tI-NP\tO' -p31648 -aS'of\tof\tIN\tB-PP\tO' -p31649 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p31650 -aS',\t,\t,\tO\tO' -p31651 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p31652 -aS'artery\tartery\tNN\tI-NP\tO' -p31653 -aS'disease\tdisease\tNN\tI-NP\tO' -p31654 -aS',\t,\t,\tO\tO' -p31655 -aS'and\tand\tCC\tO\tO' -p31656 -aS'insulin-dependent\tinsulin-dependent\tJJ\tB-NP\tO' -p31657 -aS'diabetes\tdiabete\tNNS\tI-NP\tO' -p31658 -aS'for\tfor\tIN\tB-PP\tO' -p31659 -aS'32\t32\tCD\tB-NP\tO' -p31660 -aS'years\tyear\tNNS\tI-NP\tO' -p31661 -aS'.\t.\t.\tO\tO' -p31662 -asS'Percocet one to two tablets PO q.4h. to 6h.p.r.n. pain .' -p31663 -(lp31664 -S'Percocet\tPercocet\tIN\tB-PP\tO' -p31665 -aS'one\tone\tCD\tB-NP\tO' -p31666 -aS'to\tto\tTO\tI-NP\tO' -p31667 -aS'two\ttwo\tCD\tI-NP\tO' -p31668 -aS'tablets\ttablet\tNNS\tI-NP\tO' -p31669 -aS'PO\tPO\tNN\tI-NP\tO' -p31670 -aS'q.4h.\tq.4h.\tNN\tI-NP\tO' -p31671 -aS'to\tto\tTO\tB-PP\tO' -p31672 -aS'6h.p.r.n.\t6h.p.r.n.\tCD\tB-NP\tO' -p31673 -aS'pain\tpain\tNN\tI-NP\tO' -p31674 -aS'.\t.\t.\tO\tO' -p31675 -asS'The patient was taken to the Operating Room on 2013-09-04 , where a coronary artery bypass graft times four was performed , left internal mammary artery to left anterior descending , saphenous vein graft to diagonal , saphenous vein graft to obtuse marginal and saphenous vein graft to PC by Dr. Wright .' -p31676 -(lp31677 -S'The\tThe\tDT\tB-NP\tO' -p31678 -aS'patient\tpatient\tNN\tI-NP\tO' -p31679 -aS'was\tbe\tVBD\tB-VP\tO' -p31680 -aS'taken\ttake\tVBN\tI-VP\tO' -p31681 -aS'to\tto\tTO\tB-PP\tO' -p31682 -aS'the\tthe\tDT\tB-NP\tO' -p31683 -aS'Operating\tOperating\tNNP\tI-NP\tO' -p31684 -aS'Room\tRoom\tNNP\tI-NP\tO' -p31685 -aS'on\ton\tIN\tB-PP\tO' -p31686 -aS'2013-09-04\t2013-09-04\tCD\tB-NP\tO' -p31687 -aS',\t,\t,\tO\tO' -p31688 -aS'where\twhere\tWRB\tB-ADVP\tO' -p31689 -aS'a\ta\tDT\tB-NP\tO' -p31690 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p31691 -aS'artery\tartery\tNN\tI-NP\tO' -p31692 -aS'bypass\tbypass\tIN\tB-PP\tO' -p31693 -aS'graft\tgraft\tNN\tB-NP\tO' -p31694 -aS'times\ttime\tNNS\tI-NP\tO' -p31695 -aS'four\tfour\tCD\tB-NP\tO' -p31696 -aS'was\tbe\tVBD\tB-VP\tO' -p31697 -aS'performed\tperform\tVBN\tI-VP\tO' -p31698 -aS',\t,\t,\tO\tO' -p31699 -aS'left\tleave\tVBD\tB-VP\tO' -p31700 -aS'internal\tinternal\tJJ\tB-NP\tO' -p31701 -aS'mammary\tmammary\tJJ\tI-NP\tO' -p31702 -aS'artery\tartery\tNN\tI-NP\tO' -p31703 -aS'to\tto\tTO\tB-VP\tO' -p31704 -aS'left\tleft\tVB\tI-VP\tO' -p31705 -aS'anterior\tanterior\tJJ\tB-NP\tO' -p31706 -aS'descending\tdescend\tVBG\tI-NP\tO' -p31707 -aS',\t,\t,\tO\tO' -p31708 -aS'saphenous\tsaphenous\tJJ\tB-NP\tO' -p31709 -aS'vein\tvein\tNN\tI-NP\tO' -p31710 -aS'graft\tgraft\tNN\tI-NP\tO' -p31711 -aS'to\tto\tTO\tB-PP\tO' -p31712 -aS'diagonal\tdiagonal\tJJ\tB-NP\tO' -p31713 -aS',\t,\t,\tI-NP\tO' -p31714 -aS'saphenous\tsaphenous\tJJ\tI-NP\tO' -p31715 -aS'vein\tvein\tNN\tI-NP\tO' -p31716 -aS'graft\tgraft\tNN\tI-NP\tO' -p31717 -aS'to\tto\tTO\tB-VP\tO' -p31718 -aS'obtuse\tobtuse\tVB\tI-VP\tO' -p31719 -aS'marginal\tmarginal\tJJ\tB-NP\tO' -p31720 -aS'and\tand\tCC\tI-NP\tO' -p31721 -aS'saphenous\tsaphenous\tJJ\tI-NP\tO' -p31722 -aS'vein\tvein\tNN\tI-NP\tO' -p31723 -aS'graft\tgraft\tNN\tI-NP\tO' -p31724 -aS'to\tto\tTO\tB-PP\tO' -p31725 -aS'PC\tPC\tNN\tB-NP\tB-cell_type' -p31726 -aS'by\tby\tIN\tB-PP\tO' -p31727 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p31728 -aS'Wright\tWright\tNNP\tI-NP\tO' -p31729 -aS'.\t.\t.\tO\tO' -p31730 -asS'Her amylase and lipase were trending down , however .' -p31731 -(lp31732 -S'Her\tHer\tPRP$\tB-NP\tO' -p31733 -aS'amylase\tamylase\tNN\tI-NP\tB-protein' -p31734 -aS'and\tand\tCC\tI-NP\tO' -p31735 -aS'lipase\tlipase\tNN\tI-NP\tO' -p31736 -aS'were\tbe\tVBD\tB-VP\tO' -p31737 -aS'trending\ttrend\tVBG\tI-VP\tO' -p31738 -aS'down\tdown\tRP\tB-PRT\tO' -p31739 -aS',\t,\t,\tO\tO' -p31740 -aS'however\thowever\tRB\tB-ADVP\tO' -p31741 -aS'.\t.\t.\tO\tO' -p31742 -asS'Opening pressure was 17 and approximately 20-25 cc of CSF was removed .' -p31743 -(lp31744 -S'Opening\tOpen\tVBG\tB-NP\tO' -p31745 -aS'pressure\tpressure\tNN\tI-NP\tO' -p31746 -aS'was\tbe\tVBD\tB-VP\tO' -p31747 -aS'17\t17\tCD\tB-NP\tO' -p31748 -aS'and\tand\tCC\tO\tO' -p31749 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p31750 -aS'20-25\t20-25\tCD\tI-NP\tO' -p31751 -aS'cc\tcc\tNN\tI-NP\tO' -p31752 -aS'of\tof\tIN\tB-PP\tO' -p31753 -aS'CSF\tCSF\tNN\tB-NP\tB-protein' -p31754 -aS'was\tbe\tVBD\tB-VP\tO' -p31755 -aS'removed\tremove\tVBN\tI-VP\tO' -p31756 -aS'.\t.\t.\tO\tO' -p31757 -asS'Right posterior tibial artery completely occluded .' -p31758 -(lp31759 -S'Right\tRight\tRB\tB-NP\tO' -p31760 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p31761 -aS'tibial\ttibial\tJJ\tI-NP\tO' -p31762 -aS'artery\tartery\tNN\tI-NP\tO' -p31763 -aS'completely\tcompletely\tRB\tB-ADVP\tO' -p31764 -aS'occluded\tocclude\tVBD\tB-VP\tO' -p31765 -aS'.\t.\t.\tO\tO' -p31766 -asS'He was encouraged to eat and it was decided not to place either a feeding tube or to start TPN .' -p31767 -(lp31768 -S'He\tHe\tPRP\tB-NP\tO' -p31769 -aS'was\tbe\tVBD\tB-VP\tO' -p31770 -aS'encouraged\tencourage\tVBN\tI-VP\tO' -p31771 -aS'to\tto\tTO\tI-VP\tO' -p31772 -aS'eat\teat\tVB\tI-VP\tO' -p31773 -aS'and\tand\tCC\tO\tO' -p31774 -aS'it\tit\tPRP\tB-NP\tO' -p31775 -aS'was\tbe\tVBD\tB-VP\tO' -p31776 -aS'decided\tdecide\tVBN\tI-VP\tO' -p31777 -aS'not\tnot\tRB\tO\tO' -p31778 -aS'to\tto\tTO\tB-VP\tO' -p31779 -aS'place\tplace\tVB\tI-VP\tO' -p31780 -aS'either\teither\tCC\tO\tO' -p31781 -aS'a\ta\tDT\tB-NP\tO' -p31782 -aS'feeding\tfeeding\tNN\tI-NP\tO' -p31783 -aS'tube\ttube\tNN\tI-NP\tO' -p31784 -aS'or\tor\tCC\tO\tO' -p31785 -aS'to\tto\tTO\tB-VP\tO' -p31786 -aS'start\tstart\tVB\tI-VP\tO' -p31787 -aS'TPN\tTPN\tNN\tB-NP\tB-protein' -p31788 -aS'.\t.\t.\tO\tO' -p31789 -asS'The patient is divorced .' -p31790 -(lp31791 -S'The\tThe\tDT\tB-NP\tO' -p31792 -aS'patient\tpatient\tNN\tI-NP\tO' -p31793 -aS'is\tbe\tVBZ\tB-VP\tO' -p31794 -aS'divorced\tdivorce\tVBN\tI-VP\tO' -p31795 -aS'.\t.\t.\tO\tO' -p31796 -asS'Coumadin was restarted at a dose of 2 mg qhs .' -p31797 -(lp31798 -S'Coumadin\tCoumadin\tNN\tB-NP\tO' -p31799 -aS'was\tbe\tVBD\tB-VP\tO' -p31800 -aS'restarted\trestart\tVBN\tI-VP\tO' -p31801 -aS'at\tat\tIN\tB-PP\tO' -p31802 -aS'a\ta\tDT\tB-NP\tO' -p31803 -aS'dose\tdose\tNN\tI-NP\tO' -p31804 -aS'of\tof\tIN\tB-PP\tO' -p31805 -aS'2\t2\tCD\tB-NP\tO' -p31806 -aS'mg\tmg\tNN\tI-NP\tO' -p31807 -aS'qhs\tqh\tNNS\tI-NP\tO' -p31808 -aS'.\t.\t.\tO\tO' -p31809 -asS'The patient was treated with a Lidocaine patch and Percocet prn .' -p31810 -(lp31811 -S'The\tThe\tDT\tB-NP\tO' -p31812 -aS'patient\tpatient\tNN\tI-NP\tO' -p31813 -aS'was\tbe\tVBD\tB-VP\tO' -p31814 -aS'treated\ttreat\tVBN\tI-VP\tO' -p31815 -aS'with\twith\tIN\tB-PP\tO' -p31816 -aS'a\ta\tDT\tB-NP\tO' -p31817 -aS'Lidocaine\tLidocaine\tNN\tI-NP\tO' -p31818 -aS'patch\tpatch\tNN\tI-NP\tO' -p31819 -aS'and\tand\tCC\tO\tO' -p31820 -aS'Percocet\tPercocet\tNN\tB-NP\tO' -p31821 -aS'prn\tprn\tNN\tI-NP\tO' -p31822 -aS'.\t.\t.\tO\tO' -p31823 -asS'13. Amoxicillin-Pot Clavulanate 875-125 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ) for 4 days .' -p31824 -(lp31825 -S'13.\t13.\tLS\tB-LST\tO' -p31826 -aS'Amoxicillin-Pot\tAmoxicillin-Pot\t:\tO\tO' -p31827 -aS'Clavulanate\tClavulanate\tVB\tB-VP\tO' -p31828 -aS'875-125\t875-125\tCD\tB-NP\tO' -p31829 -aS'mg\tmg\tNN\tI-NP\tO' -p31830 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p31831 -aS'Sig\tSig\tNNP\tI-NP\tO' -p31832 -aS':\t:\t:\tO\tO' -p31833 -aS'One\tOne\tCD\tB-NP\tO' -p31834 -aS'(\t(\t(\tO\tO' -p31835 -aS'1\t1\tCD\tB-NP\tO' -p31836 -aS')\t)\t)\tO\tO' -p31837 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p31838 -aS'PO\tPO\tNN\tI-NP\tO' -p31839 -aS'BID\tBID\tNN\tI-NP\tO' -p31840 -aS'(\t(\t(\tO\tO' -p31841 -aS'2\t2\tCD\tB-NP\tO' -p31842 -aS'times\ttime\tNNS\tI-NP\tO' -p31843 -aS'a\ta\tDT\tB-NP\tO' -p31844 -aS'day\tday\tNN\tI-NP\tO' -p31845 -aS')\t)\t)\tO\tO' -p31846 -aS'for\tfor\tIN\tB-PP\tO' -p31847 -aS'4\t4\tCD\tB-NP\tO' -p31848 -aS'days\tday\tNNS\tI-NP\tO' -p31849 -aS'.\t.\t.\tO\tO' -p31850 -asS'The patient is getting tube feeds via her NG tube of full strength Jevity of 75 cc per hour .' -p31851 -(lp31852 -S'The\tThe\tDT\tB-NP\tO' -p31853 -aS'patient\tpatient\tNN\tI-NP\tO' -p31854 -aS'is\tbe\tVBZ\tB-VP\tO' -p31855 -aS'getting\tget\tVBG\tI-VP\tO' -p31856 -aS'tube\ttube\tJJ\tB-NP\tO' -p31857 -aS'feeds\tfeed\tNNS\tI-NP\tO' -p31858 -aS'via\tvia\tIN\tB-PP\tO' -p31859 -aS'her\ther\tPRP$\tB-NP\tO' -p31860 -aS'NG\tNG\tNN\tI-NP\tO' -p31861 -aS'tube\ttube\tNN\tI-NP\tO' -p31862 -aS'of\tof\tIN\tB-PP\tO' -p31863 -aS'full\tfull\tJJ\tB-NP\tO' -p31864 -aS'strength\tstrength\tNN\tI-NP\tO' -p31865 -aS'Jevity\tJevity\tNN\tI-NP\tO' -p31866 -aS'of\tof\tIN\tB-PP\tO' -p31867 -aS'75\t75\tCD\tB-NP\tO' -p31868 -aS'cc\tcc\tNN\tI-NP\tO' -p31869 -aS'per\tper\tIN\tB-PP\tO' -p31870 -aS'hour\thour\tNN\tB-NP\tO' -p31871 -aS'.\t.\t.\tO\tO' -p31872 -asS'The patient is a 40 year old male with a history of prior anterior myocardial infarction and insulin dependent diabetes mellitus who was transferred from an outside hospital after an episode of acute shortness of breath and pulmonary edema .' -p31873 -(lp31874 -S'The\tThe\tDT\tB-NP\tO' -p31875 -aS'patient\tpatient\tNN\tI-NP\tO' -p31876 -aS'is\tbe\tVBZ\tB-VP\tO' -p31877 -aS'a\ta\tDT\tB-NP\tO' -p31878 -aS'40\t40\tCD\tI-NP\tO' -p31879 -aS'year\tyear\tNN\tI-NP\tO' -p31880 -aS'old\told\tJJ\tI-NP\tO' -p31881 -aS'male\tmale\tNN\tI-NP\tO' -p31882 -aS'with\twith\tIN\tB-PP\tO' -p31883 -aS'a\ta\tDT\tB-NP\tO' -p31884 -aS'history\thistory\tNN\tI-NP\tO' -p31885 -aS'of\tof\tIN\tB-PP\tO' -p31886 -aS'prior\tprior\tJJ\tB-NP\tO' -p31887 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p31888 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p31889 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p31890 -aS'and\tand\tCC\tI-NP\tO' -p31891 -aS'insulin\tinsulin\tNN\tI-NP\tB-protein' -p31892 -aS'dependent\tdependent\tJJ\tI-NP\tO' -p31893 -aS'diabetes\tdiabete\tNNS\tI-NP\tO' -p31894 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p31895 -aS'who\twho\tWP\tB-NP\tO' -p31896 -aS'was\tbe\tVBD\tB-VP\tO' -p31897 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p31898 -aS'from\tfrom\tIN\tB-PP\tO' -p31899 -aS'an\tan\tDT\tB-NP\tO' -p31900 -aS'outside\toutside\tJJ\tI-NP\tO' -p31901 -aS'hospital\thospital\tNN\tI-NP\tO' -p31902 -aS'after\tafter\tIN\tB-PP\tO' -p31903 -aS'an\tan\tDT\tB-NP\tO' -p31904 -aS'episode\tepisode\tNN\tI-NP\tO' -p31905 -aS'of\tof\tIN\tB-PP\tO' -p31906 -aS'acute\tacute\tJJ\tB-NP\tO' -p31907 -aS'shortness\tshortness\tNN\tI-NP\tO' -p31908 -aS'of\tof\tIN\tB-PP\tO' -p31909 -aS'breath\tbreath\tNN\tB-NP\tO' -p31910 -aS'and\tand\tCC\tO\tO' -p31911 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p31912 -aS'edema\tedema\tNN\tI-NP\tO' -p31913 -aS'.\t.\t.\tO\tO' -p31914 -asS'He has not had a bilirubin checked .' -p31915 -(lp31916 -S'He\tHe\tPRP\tB-NP\tO' -p31917 -aS'has\thave\tVBZ\tB-VP\tO' -p31918 -aS'not\tnot\tRB\tI-VP\tO' -p31919 -aS'had\thave\tVBN\tI-VP\tO' -p31920 -aS'a\ta\tDT\tB-NP\tO' -p31921 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p31922 -aS'checked\tcheck\tVBD\tB-VP\tO' -p31923 -aS'.\t.\t.\tO\tO' -p31924 -asS'Extremities demonstrated no edema .' -p31925 -(lp31926 -S'Extremities\tExtremity\tNNS\tB-NP\tO' -p31927 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p31928 -aS'no\tno\tDT\tB-NP\tO' -p31929 -aS'edema\tedema\tNN\tI-NP\tO' -p31930 -aS'.\t.\t.\tO\tO' -p31931 -asS'No smoking history .' -p31932 -(lp31933 -S'No\tNo\tDT\tB-NP\tO' -p31934 -aS'smoking\tsmoking\tNN\tI-NP\tO' -p31935 -aS'history\thistory\tNN\tI-NP\tO' -p31936 -aS'.\t.\t.\tO\tO' -p31937 -asS'Due to the risks of coronary ischemia if this represented an LCAPA , the infant was followed with regular ECHOs and EKGs during the remainder of hospitalization , with no evidence of ischemia , valvular regurgitation , or compromised ventricular function .' -p31938 -(lp31939 -S'Due\tDue\tJJ\tB-PP\tO' -p31940 -aS'to\tto\tTO\tI-PP\tO' -p31941 -aS'the\tthe\tDT\tB-NP\tO' -p31942 -aS'risks\trisk\tNNS\tI-NP\tO' -p31943 -aS'of\tof\tIN\tB-PP\tO' -p31944 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p31945 -aS'ischemia\tischemia\tNN\tI-NP\tO' -p31946 -aS'if\tif\tIN\tB-SBAR\tO' -p31947 -aS'this\tthis\tDT\tB-NP\tO' -p31948 -aS'represented\trepresent\tVBD\tB-VP\tO' -p31949 -aS'an\tan\tDT\tB-NP\tO' -p31950 -aS'LCAPA\tLCAPA\tNN\tI-NP\tB-protein' -p31951 -aS',\t,\t,\tO\tO' -p31952 -aS'the\tthe\tDT\tB-NP\tO' -p31953 -aS'infant\tinfant\tNN\tI-NP\tO' -p31954 -aS'was\tbe\tVBD\tB-VP\tO' -p31955 -aS'followed\tfollow\tVBN\tI-VP\tO' -p31956 -aS'with\twith\tIN\tB-PP\tO' -p31957 -aS'regular\tregular\tJJ\tB-NP\tO' -p31958 -aS'ECHOs\tECHO\tNNS\tI-NP\tO' -p31959 -aS'and\tand\tCC\tI-NP\tO' -p31960 -aS'EKGs\tEKG\tNNS\tI-NP\tB-protein' -p31961 -aS'during\tduring\tIN\tB-PP\tO' -p31962 -aS'the\tthe\tDT\tB-NP\tO' -p31963 -aS'remainder\tremainder\tNN\tI-NP\tO' -p31964 -aS'of\tof\tIN\tB-PP\tO' -p31965 -aS'hospitalization\thospitalization\tNN\tB-NP\tO' -p31966 -aS',\t,\t,\tO\tO' -p31967 -aS'with\twith\tIN\tB-PP\tO' -p31968 -aS'no\tno\tDT\tB-NP\tO' -p31969 -aS'evidence\tevidence\tNN\tI-NP\tO' -p31970 -aS'of\tof\tIN\tB-PP\tO' -p31971 -aS'ischemia\tischemia\tNN\tB-NP\tO' -p31972 -aS',\t,\t,\tO\tO' -p31973 -aS'valvular\tvalvular\tJJ\tB-NP\tO' -p31974 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p31975 -aS',\t,\t,\tO\tO' -p31976 -aS'or\tor\tCC\tO\tO' -p31977 -aS'compromised\tcompromise\tVBN\tB-NP\tO' -p31978 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p31979 -aS'function\tfunction\tNN\tI-NP\tO' -p31980 -aS'.\t.\t.\tO\tO' -p31981 -asS'Strength was 5/5 times four extremities .' -p31982 -(lp31983 -S'Strength\tStrength\tNN\tB-NP\tO' -p31984 -aS'was\tbe\tVBD\tB-VP\tO' -p31985 -aS'5/5\t5/5\tCD\tB-NP\tO' -p31986 -aS'times\ttime\tNNS\tI-NP\tO' -p31987 -aS'four\tfour\tCD\tB-NP\tO' -p31988 -aS'extremities\textremity\tNNS\tI-NP\tO' -p31989 -aS'.\t.\t.\tO\tO' -p31990 -asS'1. Lopressor 75 mg p.o. twice a day .' -p31991 -(lp31992 -S'1.\t1.\tLS\tB-NP\tO' -p31993 -aS'Lopressor\tLopressor\tNN\tI-NP\tO' -p31994 -aS'75\t75\tCD\tI-NP\tO' -p31995 -aS'mg\tmg\tNN\tI-NP\tO' -p31996 -aS'p.o.\tp.o.\tRB\tB-NP\tO' -p31997 -aS'twice\ttwice\tRB\tI-NP\tO' -p31998 -aS'a\ta\tDT\tI-NP\tO' -p31999 -aS'day\tday\tNN\tI-NP\tO' -p32000 -aS'.\t.\t.\tO\tO' -p32001 -asS'Her tachycardia improved .' -p32002 -(lp32003 -S'Her\tHer\tPRP$\tB-NP\tO' -p32004 -aS'tachycardia\ttachycardia\tNN\tI-NP\tO' -p32005 -aS'improved\timprove\tVBD\tB-VP\tO' -p32006 -aS'.\t.\t.\tO\tO' -p32007 -asS'The patient 's allergies include a questionable penicillin reaction ; however , the patient tolerated Ampicillin well .' -p32008 -(lp32009 -S'The\tThe\tDT\tB-NP\tO' -p32010 -aS'patient\tpatient\tNN\tI-NP\tO' -p32011 -aS''s\t'\tNNS\tI-NP\tO' -p32012 -aS'allergies\tallergy\tNNS\tI-NP\tO' -p32013 -aS'include\tinclude\tVBP\tB-VP\tO' -p32014 -aS'a\ta\tDT\tB-NP\tO' -p32015 -aS'questionable\tquestionable\tJJ\tI-NP\tO' -p32016 -aS'penicillin\tpenicillin\tNN\tI-NP\tO' -p32017 -aS'reaction\treaction\tNN\tI-NP\tO' -p32018 -aS';\t;\t:\tO\tO' -p32019 -aS'however\thowever\tRB\tB-ADVP\tO' -p32020 -aS',\t,\t,\tO\tO' -p32021 -aS'the\tthe\tDT\tB-NP\tO' -p32022 -aS'patient\tpatient\tNN\tI-NP\tO' -p32023 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p32024 -aS'Ampicillin\tAmpicillin\tNNP\tB-NP\tO' -p32025 -aS'well\twell\tRB\tB-ADVP\tO' -p32026 -aS'.\t.\t.\tO\tO' -p32027 -asS'Similar lack of improvement w/ additional broad spectrum coverage following admission .' -p32028 -(lp32029 -S'Similar\tSimilar\tJJ\tB-NP\tO' -p32030 -aS'lack\tlack\tNN\tI-NP\tO' -p32031 -aS'of\tof\tIN\tB-PP\tO' -p32032 -aS'improvement\timprovement\tNN\tB-NP\tO' -p32033 -aS'w/\tw/\tNN\tI-NP\tO' -p32034 -aS'additional\tadditional\tJJ\tI-NP\tO' -p32035 -aS'broad\tbroad\tJJ\tI-NP\tO' -p32036 -aS'spectrum\tspectrum\tNN\tI-NP\tO' -p32037 -aS'coverage\tcoverage\tNN\tI-NP\tO' -p32038 -aS'following\tfollow\tVBG\tB-PP\tO' -p32039 -aS'admission\tadmission\tNN\tB-NP\tO' -p32040 -aS'.\t.\t.\tO\tO' -p32041 -asS'The patient has had several admissions in the past for attempted suicide with overdose of his insulin and though he denied at this time attempting to end his life , it appears that the social situation of increased stressors corresponding to this time suggest that this is not the truth .' -p32042 -(lp32043 -S'The\tThe\tDT\tB-NP\tO' -p32044 -aS'patient\tpatient\tNN\tI-NP\tO' -p32045 -aS'has\thave\tVBZ\tB-VP\tO' -p32046 -aS'had\thave\tVBN\tI-VP\tO' -p32047 -aS'several\tseveral\tJJ\tB-NP\tO' -p32048 -aS'admissions\tadmission\tNNS\tI-NP\tO' -p32049 -aS'in\tin\tIN\tB-PP\tO' -p32050 -aS'the\tthe\tDT\tB-NP\tO' -p32051 -aS'past\tpast\tNN\tI-NP\tO' -p32052 -aS'for\tfor\tIN\tB-PP\tO' -p32053 -aS'attempted\tattempt\tVBN\tB-NP\tO' -p32054 -aS'suicide\tsuicide\tNN\tI-NP\tO' -p32055 -aS'with\twith\tIN\tB-PP\tO' -p32056 -aS'overdose\toverdose\tNN\tB-NP\tO' -p32057 -aS'of\tof\tIN\tB-PP\tO' -p32058 -aS'his\this\tPRP$\tB-NP\tO' -p32059 -aS'insulin\tinsulin\tNN\tI-NP\tB-protein' -p32060 -aS'and\tand\tCC\tO\tO' -p32061 -aS'though\tthough\tIN\tB-SBAR\tO' -p32062 -aS'he\the\tPRP\tB-NP\tO' -p32063 -aS'denied\tdeny\tVBD\tB-VP\tO' -p32064 -aS'at\tat\tIN\tB-PP\tO' -p32065 -aS'this\tthis\tDT\tB-NP\tO' -p32066 -aS'time\ttime\tNN\tI-NP\tO' -p32067 -aS'attempting\tattempt\tVBG\tB-VP\tO' -p32068 -aS'to\tto\tTO\tI-VP\tO' -p32069 -aS'end\tend\tVB\tI-VP\tO' -p32070 -aS'his\this\tPRP$\tB-NP\tO' -p32071 -aS'life\tlife\tNN\tI-NP\tO' -p32072 -aS',\t,\t,\tO\tO' -p32073 -aS'it\tit\tPRP\tB-NP\tO' -p32074 -aS'appears\tappear\tVBZ\tB-VP\tO' -p32075 -aS'that\tthat\tIN\tB-SBAR\tO' -p32076 -aS'the\tthe\tDT\tB-NP\tO' -p32077 -aS'social\tsocial\tJJ\tI-NP\tO' -p32078 -aS'situation\tsituation\tNN\tI-NP\tO' -p32079 -aS'of\tof\tIN\tB-PP\tO' -p32080 -aS'increased\tincrease\tVBN\tB-NP\tO' -p32081 -aS'stressors\tstressor\tNNS\tI-NP\tO' -p32082 -aS'corresponding\tcorrespond\tVBG\tB-VP\tO' -p32083 -aS'to\tto\tTO\tB-PP\tO' -p32084 -aS'this\tthis\tDT\tB-NP\tO' -p32085 -aS'time\ttime\tNN\tI-NP\tO' -p32086 -aS'suggest\tsuggest\tVBP\tB-VP\tO' -p32087 -aS'that\tthat\tIN\tB-SBAR\tO' -p32088 -aS'this\tthis\tDT\tB-NP\tO' -p32089 -aS'is\tbe\tVBZ\tB-VP\tO' -p32090 -aS'not\tnot\tRB\tO\tO' -p32091 -aS'the\tthe\tDT\tB-NP\tO' -p32092 -aS'truth\ttruth\tNN\tI-NP\tO' -p32093 -aS'.\t.\t.\tO\tO' -p32094 -asS'The patient will get a total of a two week course of Diflucan .' -p32095 -(lp32096 -S'The\tThe\tDT\tB-NP\tO' -p32097 -aS'patient\tpatient\tNN\tI-NP\tO' -p32098 -aS'will\twill\tMD\tB-VP\tO' -p32099 -aS'get\tget\tVB\tI-VP\tO' -p32100 -aS'a\ta\tDT\tB-NP\tO' -p32101 -aS'total\ttotal\tNN\tI-NP\tO' -p32102 -aS'of\tof\tIN\tB-PP\tO' -p32103 -aS'a\ta\tDT\tB-NP\tO' -p32104 -aS'two\ttwo\tCD\tI-NP\tO' -p32105 -aS'week\tweek\tNN\tI-NP\tO' -p32106 -aS'course\tcourse\tNN\tI-NP\tO' -p32107 -aS'of\tof\tIN\tB-PP\tO' -p32108 -aS'Diflucan\tDiflucan\tNNP\tB-NP\tO' -p32109 -aS'.\t.\t.\tO\tO' -p32110 -asS'Chronic muscle spasms .' -p32111 -(lp32112 -S'Chronic\tChronic\tJJ\tB-NP\tO' -p32113 -aS'muscle\tmuscle\tNN\tI-NP\tO' -p32114 -aS'spasms\tspasm\tNNS\tI-NP\tO' -p32115 -aS'.\t.\t.\tO\tO' -p32116 -asS'Regular and tachycardic .' -p32117 -(lp32118 -S'Regular\tRegular\tJJ\tB-ADJP\tO' -p32119 -aS'and\tand\tCC\tI-ADJP\tO' -p32120 -aS'tachycardic\ttachycardic\tJJ\tI-ADJP\tO' -p32121 -aS'.\t.\t.\tO\tO' -p32122 -asS'1. Atrovent nebulizers 0.5 mg mixed with albuterol , nebulizer is given every six hours .' -p32123 -(lp32124 -S'1.\t1.\tLS\tB-NP\tO' -p32125 -aS'Atrovent\tAtrovent\tNN\tI-NP\tO' -p32126 -aS'nebulizers\tnebulizer\tNNS\tI-NP\tO' -p32127 -aS'0.5\t0.5\tCD\tB-NP\tO' -p32128 -aS'mg\tmg\tNN\tI-NP\tO' -p32129 -aS'mixed\tmix\tVBN\tB-VP\tO' -p32130 -aS'with\twith\tIN\tB-PP\tO' -p32131 -aS'albuterol\talbuterol\tNN\tB-NP\tO' -p32132 -aS',\t,\t,\tO\tO' -p32133 -aS'nebulizer\tnebulizer\tNN\tB-NP\tO' -p32134 -aS'is\tbe\tVBZ\tB-VP\tO' -p32135 -aS'given\tgive\tVBN\tI-VP\tO' -p32136 -aS'every\tevery\tDT\tB-NP\tO' -p32137 -aS'six\tsix\tCD\tI-NP\tO' -p32138 -aS'hours\thour\tNNS\tI-NP\tO' -p32139 -aS'.\t.\t.\tO\tO' -p32140 -asS'This showed the unchanged left temporal parenchymal interparenchymal hematoma and the old embolic right frontal infarct , but there were no new lesions and no evidence of his susceptibility studies to suggest old bleeds which might have been consistent with amylase angiopathy .' -p32141 -(lp32142 -S'This\tThis\tDT\tB-NP\tO' -p32143 -aS'showed\tshow\tVBD\tB-VP\tO' -p32144 -aS'the\tthe\tDT\tB-NP\tO' -p32145 -aS'unchanged\tunchanged\tJJ\tI-NP\tO' -p32146 -aS'left\tleft\tJJ\tI-NP\tO' -p32147 -aS'temporal\ttemporal\tJJ\tI-NP\tO' -p32148 -aS'parenchymal\tparenchymal\tJJ\tI-NP\tO' -p32149 -aS'interparenchymal\tinterparenchymal\tJJ\tI-NP\tO' -p32150 -aS'hematoma\thematoma\tNN\tI-NP\tO' -p32151 -aS'and\tand\tCC\tO\tO' -p32152 -aS'the\tthe\tDT\tB-NP\tO' -p32153 -aS'old\told\tJJ\tI-NP\tO' -p32154 -aS'embolic\tembolic\tJJ\tI-NP\tO' -p32155 -aS'right\tright\tJJ\tI-NP\tO' -p32156 -aS'frontal\tfrontal\tJJ\tI-NP\tO' -p32157 -aS'infarct\tinfarct\tNN\tI-NP\tO' -p32158 -aS',\t,\t,\tO\tO' -p32159 -aS'but\tbut\tCC\tO\tO' -p32160 -aS'there\tthere\tEX\tB-NP\tO' -p32161 -aS'were\tbe\tVBD\tB-VP\tO' -p32162 -aS'no\tno\tDT\tB-NP\tO' -p32163 -aS'new\tnew\tJJ\tI-NP\tO' -p32164 -aS'lesions\tlesion\tNNS\tI-NP\tO' -p32165 -aS'and\tand\tCC\tO\tO' -p32166 -aS'no\tno\tDT\tB-NP\tO' -p32167 -aS'evidence\tevidence\tNN\tI-NP\tO' -p32168 -aS'of\tof\tIN\tB-PP\tO' -p32169 -aS'his\this\tPRP$\tB-NP\tO' -p32170 -aS'susceptibility\tsusceptibility\tNN\tI-NP\tO' -p32171 -aS'studies\tstudy\tNNS\tI-NP\tO' -p32172 -aS'to\tto\tTO\tB-VP\tO' -p32173 -aS'suggest\tsuggest\tVB\tI-VP\tO' -p32174 -aS'old\told\tJJ\tB-NP\tO' -p32175 -aS'bleeds\tbleed\tNNS\tI-NP\tO' -p32176 -aS'which\twhich\tWDT\tB-NP\tO' -p32177 -aS'might\tmight\tMD\tB-VP\tO' -p32178 -aS'have\thave\tVB\tI-VP\tO' -p32179 -aS'been\tbe\tVBN\tI-VP\tO' -p32180 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p32181 -aS'with\twith\tIN\tB-PP\tO' -p32182 -aS'amylase\tamylase\tNN\tB-NP\tO' -p32183 -aS'angiopathy\tangiopathy\tNN\tI-NP\tO' -p32184 -aS'.\t.\t.\tO\tO' -p32185 -asS'The patient was discharged from The Hospital for Orthopedics with the diagnosis of pulmonary embolism about six months prior to the current admission and was started on Warfarin .' -p32186 -(lp32187 -S'The\tThe\tDT\tB-NP\tO' -p32188 -aS'patient\tpatient\tNN\tI-NP\tO' -p32189 -aS'was\tbe\tVBD\tB-VP\tO' -p32190 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p32191 -aS'from\tfrom\tIN\tB-PP\tO' -p32192 -aS'The\tThe\tDT\tB-NP\tO' -p32193 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p32194 -aS'for\tfor\tIN\tB-PP\tO' -p32195 -aS'Orthopedics\tOrthopedics\tNNP\tB-NP\tO' -p32196 -aS'with\twith\tIN\tB-PP\tO' -p32197 -aS'the\tthe\tDT\tB-NP\tO' -p32198 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p32199 -aS'of\tof\tIN\tB-PP\tO' -p32200 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p32201 -aS'embolism\tembolism\tNN\tI-NP\tO' -p32202 -aS'about\tabout\tIN\tB-NP\tO' -p32203 -aS'six\tsix\tCD\tI-NP\tO' -p32204 -aS'months\tmonth\tNNS\tI-NP\tO' -p32205 -aS'prior\tprior\tRB\tB-ADVP\tO' -p32206 -aS'to\tto\tTO\tB-PP\tO' -p32207 -aS'the\tthe\tDT\tB-NP\tO' -p32208 -aS'current\tcurrent\tJJ\tI-NP\tO' -p32209 -aS'admission\tadmission\tNN\tI-NP\tO' -p32210 -aS'and\tand\tCC\tO\tO' -p32211 -aS'was\tbe\tVBD\tB-VP\tO' -p32212 -aS'started\tstart\tVBN\tI-VP\tO' -p32213 -aS'on\ton\tIN\tB-PP\tO' -p32214 -aS'Warfarin\tWarfarin\tNNP\tB-NP\tO' -p32215 -aS'.\t.\t.\tO\tO' -p32216 -asS'CN : mild left facial droop , o/w appears intact ; 4/5 strength on flex at elbows b/l , legs 06-22 strength , DTR s intact , sensation intact' -p32217 -(lp32218 -S'CN\tCN\tNN\tB-NP\tB-protein' -p32219 -aS':\t:\t:\tO\tO' -p32220 -aS'mild\tmild\tJJ\tB-NP\tO' -p32221 -aS'left\tleft\tJJ\tI-NP\tO' -p32222 -aS'facial\tfacial\tJJ\tI-NP\tO' -p32223 -aS'droop\tdroop\tNN\tI-NP\tO' -p32224 -aS',\t,\t,\tO\tO' -p32225 -aS'o/w\to/w\tNN\tB-NP\tO' -p32226 -aS'appears\tappear\tVBZ\tB-VP\tO' -p32227 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p32228 -aS';\t;\t:\tO\tO' -p32229 -aS'4/5\t4/5\tCD\tB-NP\tO' -p32230 -aS'strength\tstrength\tNN\tI-NP\tO' -p32231 -aS'on\ton\tIN\tB-PP\tO' -p32232 -aS'flex\tflex\tNN\tB-NP\tO' -p32233 -aS'at\tat\tIN\tB-PP\tO' -p32234 -aS'elbows\telbow\tNNS\tB-NP\tO' -p32235 -aS'b/l\tb/l\tNN\tI-NP\tO' -p32236 -aS',\t,\t,\tO\tO' -p32237 -aS'legs\tleg\tVBZ\tB-VP\tO' -p32238 -aS'06-22\t06-22\tCD\tB-NP\tO' -p32239 -aS'strength\tstrength\tNN\tI-NP\tO' -p32240 -aS',\t,\t,\tO\tO' -p32241 -aS'DTR\tDTR\tNN\tB-NP\tB-protein' -p32242 -aS's\ts\tVBZ\tB-VP\tO' -p32243 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p32244 -aS',\t,\t,\tO\tO' -p32245 -aS'sensation\tsensation\tNN\tB-NP\tO' -p32246 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p32247 -asS'Corneals were present bilaterally .' -p32248 -(lp32249 -S'Corneals\tCorneal\tNNS\tB-NP\tO' -p32250 -aS'were\tbe\tVBD\tB-VP\tO' -p32251 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p32252 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p32253 -aS'.\t.\t.\tO\tO' -p32254 -asS'7. Nephrocaps one cap p.o. q.d.' -p32255 -(lp32256 -S'7.\t7.\tCD\tB-NP\tO' -p32257 -aS'Nephrocaps\tNephrocap\tVBZ\tB-VP\tO' -p32258 -aS'one\tone\tCD\tB-NP\tO' -p32259 -aS'cap\tcap\tNN\tI-NP\tO' -p32260 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p32261 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p32262 -asS"Upon arrival to the floor the patient 's wires were discontinued on 2009-05-05 and his Foley catheter was discontinued ." -p32263 -(lp32264 -S'Upon\tUpon\tIN\tB-PP\tO' -p32265 -aS'arrival\tarrival\tNN\tB-NP\tO' -p32266 -aS'to\tto\tTO\tB-PP\tO' -p32267 -aS'the\tthe\tDT\tB-NP\tO' -p32268 -aS'floor\tfloor\tNN\tI-NP\tO' -p32269 -aS'the\tthe\tDT\tB-NP\tO' -p32270 -aS'patient\tpatient\tNN\tI-NP\tO' -p32271 -aS"'s\t's\tPOS\tB-NP\tO" -p32272 -aS'wires\twire\tNNS\tI-NP\tO' -p32273 -aS'were\tbe\tVBD\tB-VP\tO' -p32274 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p32275 -aS'on\ton\tIN\tB-PP\tO' -p32276 -aS'2009-05-05\t2009-05-05\tCD\tB-NP\tO' -p32277 -aS'and\tand\tCC\tO\tO' -p32278 -aS'his\this\tPRP$\tB-NP\tO' -p32279 -aS'Foley\tFoley\tNNP\tI-NP\tO' -p32280 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p32281 -aS'was\tbe\tVBD\tB-VP\tO' -p32282 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p32283 -aS'.\t.\t.\tO\tO' -p32284 -asS'There was no evidence of cardiac tamponade or specific underlying coronary dysfunction .' -p32285 -(lp32286 -S'There\tThere\tEX\tB-NP\tO' -p32287 -aS'was\tbe\tVBD\tB-VP\tO' -p32288 -aS'no\tno\tDT\tB-NP\tO' -p32289 -aS'evidence\tevidence\tNN\tI-NP\tO' -p32290 -aS'of\tof\tIN\tB-PP\tO' -p32291 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p32292 -aS'tamponade\ttamponade\tNN\tI-NP\tO' -p32293 -aS'or\tor\tCC\tO\tO' -p32294 -aS'specific\tspecific\tJJ\tB-NP\tO' -p32295 -aS'underlying\tunderlie\tVBG\tI-NP\tO' -p32296 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p32297 -aS'dysfunction\tdysfunction\tNN\tI-NP\tO' -p32298 -aS'.\t.\t.\tO\tO' -p32299 -asS'Please call the surgeon or return to the Emergency Department if you develop chest pain , shortness of breath , fever greater than 101.5 , foul smelling or colorful drainage from your incisions , redness or swelling , severe abdominal pain or distention , persistent nausea or vomiting , inability to eat or drink , or any' -p32300 -(lp32301 -S'Please\tPlease\tVB\tB-VP\tO' -p32302 -aS'call\tcall\tVB\tI-VP\tO' -p32303 -aS'the\tthe\tDT\tB-NP\tO' -p32304 -aS'surgeon\tsurgeon\tNN\tI-NP\tO' -p32305 -aS'or\tor\tCC\tO\tO' -p32306 -aS'return\treturn\tVB\tB-VP\tO' -p32307 -aS'to\tto\tTO\tB-PP\tO' -p32308 -aS'the\tthe\tDT\tB-NP\tO' -p32309 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p32310 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p32311 -aS'if\tif\tIN\tB-SBAR\tO' -p32312 -aS'you\tyou\tPRP\tB-NP\tO' -p32313 -aS'develop\tdevelop\tVBP\tB-VP\tO' -p32314 -aS'chest\tchest\tNN\tB-NP\tO' -p32315 -aS'pain\tpain\tNN\tI-NP\tO' -p32316 -aS',\t,\t,\tO\tO' -p32317 -aS'shortness\tshortness\tNN\tB-NP\tO' -p32318 -aS'of\tof\tIN\tB-PP\tO' -p32319 -aS'breath\tbreath\tNN\tB-NP\tO' -p32320 -aS',\t,\t,\tO\tO' -p32321 -aS'fever\tfever\tRB\tB-ADJP\tO' -p32322 -aS'greater\tgreat\tJJR\tI-ADJP\tO' -p32323 -aS'than\tthan\tIN\tB-PP\tO' -p32324 -aS'101.5\t101.5\tCD\tB-NP\tO' -p32325 -aS',\t,\t,\tO\tO' -p32326 -aS'foul\tfoul\tJJ\tB-NP\tO' -p32327 -aS'smelling\tsmelling\tNN\tI-NP\tO' -p32328 -aS'or\tor\tCC\tO\tO' -p32329 -aS'colorful\tcolorful\tJJ\tB-NP\tO' -p32330 -aS'drainage\tdrainage\tNN\tI-NP\tO' -p32331 -aS'from\tfrom\tIN\tB-PP\tO' -p32332 -aS'your\tyour\tPRP$\tB-NP\tO' -p32333 -aS'incisions\tincision\tNNS\tI-NP\tO' -p32334 -aS',\t,\t,\tO\tO' -p32335 -aS'redness\tredness\tNN\tB-NP\tO' -p32336 -aS'or\tor\tCC\tI-NP\tO' -p32337 -aS'swelling\tswelling\tNN\tI-NP\tO' -p32338 -aS',\t,\t,\tO\tO' -p32339 -aS'severe\tsevere\tJJ\tB-NP\tO' -p32340 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p32341 -aS'pain\tpain\tNN\tI-NP\tO' -p32342 -aS'or\tor\tCC\tI-NP\tO' -p32343 -aS'distention\tdistention\tNN\tI-NP\tO' -p32344 -aS',\t,\t,\tO\tO' -p32345 -aS'persistent\tpersistent\tJJ\tB-NP\tO' -p32346 -aS'nausea\tnausea\tNN\tI-NP\tO' -p32347 -aS'or\tor\tCC\tI-NP\tO' -p32348 -aS'vomiting\tvomiting\tNN\tI-NP\tO' -p32349 -aS',\t,\t,\tO\tO' -p32350 -aS'inability\tinability\tNN\tB-NP\tO' -p32351 -aS'to\tto\tTO\tB-VP\tO' -p32352 -aS'eat\teat\tVB\tI-VP\tO' -p32353 -aS'or\tor\tCC\tI-VP\tO' -p32354 -aS'drink\tdrink\tVB\tI-VP\tO' -p32355 -aS',\t,\t,\tO\tO' -p32356 -aS'or\tor\tCC\tO\tO' -p32357 -aS'any\tany\tDT\tO\tO' -p32358 -asS'It was unclear the source of her bacteremia .' -p32359 -(lp32360 -S'It\tIt\tPRP\tB-NP\tO' -p32361 -aS'was\tbe\tVBD\tB-VP\tO' -p32362 -aS'unclear\tunclear\tJJ\tB-ADJP\tO' -p32363 -aS'the\tthe\tDT\tB-NP\tO' -p32364 -aS'source\tsource\tNN\tI-NP\tO' -p32365 -aS'of\tof\tIN\tB-PP\tO' -p32366 -aS'her\ther\tPRP$\tB-NP\tO' -p32367 -aS'bacteremia\tbacteremia\tNN\tI-NP\tO' -p32368 -aS'.\t.\t.\tO\tO' -p32369 -asS'She did well during the postoperative period .' -p32370 -(lp32371 -S'She\tShe\tPRP\tB-NP\tO' -p32372 -aS'did\tdo\tVBD\tB-VP\tO' -p32373 -aS'well\twell\tRB\tB-ADVP\tO' -p32374 -aS'during\tduring\tIN\tB-PP\tO' -p32375 -aS'the\tthe\tDT\tB-NP\tO' -p32376 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p32377 -aS'period\tperiod\tNN\tI-NP\tO' -p32378 -aS'.\t.\t.\tO\tO' -p32379 -asS'On the following morning 4/17/93 , the patient was taken to the operating room where she underwent a right total hip replacement , using a hybrid S-ROM system .' -p32380 -(lp32381 -S'On\tOn\tIN\tB-PP\tO' -p32382 -aS'the\tthe\tDT\tB-NP\tO' -p32383 -aS'following\tfollow\tVBG\tI-NP\tO' -p32384 -aS'morning\tmorning\tNN\tI-NP\tO' -p32385 -aS'4/17/93\t4/17/93\tCD\tI-NP\tO' -p32386 -aS',\t,\t,\tO\tO' -p32387 -aS'the\tthe\tDT\tB-NP\tO' -p32388 -aS'patient\tpatient\tNN\tI-NP\tO' -p32389 -aS'was\tbe\tVBD\tB-VP\tO' -p32390 -aS'taken\ttake\tVBN\tI-VP\tO' -p32391 -aS'to\tto\tTO\tB-PP\tO' -p32392 -aS'the\tthe\tDT\tB-NP\tO' -p32393 -aS'operating\toperating\tNN\tI-NP\tO' -p32394 -aS'room\troom\tNN\tI-NP\tO' -p32395 -aS'where\twhere\tWRB\tB-ADVP\tO' -p32396 -aS'she\tshe\tPRP\tB-NP\tO' -p32397 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p32398 -aS'a\ta\tDT\tB-NP\tO' -p32399 -aS'right\tright\tJJ\tI-NP\tO' -p32400 -aS'total\ttotal\tJJ\tI-NP\tO' -p32401 -aS'hip\thip\tNN\tI-NP\tO' -p32402 -aS'replacement\treplacement\tNN\tI-NP\tO' -p32403 -aS',\t,\t,\tO\tO' -p32404 -aS'using\tuse\tVBG\tB-VP\tO' -p32405 -aS'a\ta\tDT\tB-NP\tO' -p32406 -aS'hybrid\thybrid\tNN\tI-NP\tO' -p32407 -aS'S-ROM\tS-ROM\tNN\tI-NP\tO' -p32408 -aS'system\tsystem\tNN\tI-NP\tO' -p32409 -aS'.\t.\t.\tO\tO' -p32410 -asS'He quit all tobacco approximately 27 years ago .' -p32411 -(lp32412 -S'He\tHe\tPRP\tB-NP\tO' -p32413 -aS'quit\tquit\tVBD\tB-VP\tO' -p32414 -aS'all\tall\tDT\tB-NP\tO' -p32415 -aS'tobacco\ttobacco\tNN\tI-NP\tO' -p32416 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p32417 -aS'27\t27\tCD\tI-NP\tO' -p32418 -aS'years\tyear\tNNS\tI-NP\tO' -p32419 -aS'ago\tago\tRB\tB-ADVP\tO' -p32420 -aS'.\t.\t.\tO\tO' -p32421 -asS'He was transferred to the CMED CCU in critical but stable condition .' -p32422 -(lp32423 -S'He\tHe\tPRP\tB-NP\tO' -p32424 -aS'was\tbe\tVBD\tB-VP\tO' -p32425 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p32426 -aS'to\tto\tTO\tB-PP\tO' -p32427 -aS'the\tthe\tDT\tB-NP\tO' -p32428 -aS'CMED\tCMED\tVBN\tI-NP\tO' -p32429 -aS'CCU\tCCU\tNN\tI-NP\tO' -p32430 -aS'in\tin\tIN\tB-PP\tO' -p32431 -aS'critical\tcritical\tJJ\tB-NP\tO' -p32432 -aS'but\tbut\tCC\tI-NP\tO' -p32433 -aS'stable\tstable\tJJ\tI-NP\tO' -p32434 -aS'condition\tcondition\tNN\tI-NP\tO' -p32435 -aS'.\t.\t.\tO\tO' -p32436 -asS'Infectious disease continued to follow and on 2012-02-29 , the patient spiked again which at that time was felt to be due to his central line and the central line was resited on the left side and the patient was started on intravenous Vancomycin .' -p32437 -(lp32438 -S'Infectious\tInfectious\tJJ\tB-NP\tO' -p32439 -aS'disease\tdisease\tNN\tI-NP\tO' -p32440 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p32441 -aS'to\tto\tTO\tI-VP\tO' -p32442 -aS'follow\tfollow\tVB\tI-VP\tO' -p32443 -aS'and\tand\tCC\tO\tO' -p32444 -aS'on\ton\tIN\tB-PP\tO' -p32445 -aS'2012-02-29\t2012-02-29\tCD\tB-NP\tO' -p32446 -aS',\t,\t,\tO\tO' -p32447 -aS'the\tthe\tDT\tB-NP\tO' -p32448 -aS'patient\tpatient\tNN\tI-NP\tO' -p32449 -aS'spiked\tspike\tVBD\tB-VP\tO' -p32450 -aS'again\tagain\tRB\tB-ADVP\tO' -p32451 -aS'which\twhich\tWDT\tB-NP\tO' -p32452 -aS'at\tat\tIN\tB-PP\tO' -p32453 -aS'that\tthat\tDT\tB-NP\tO' -p32454 -aS'time\ttime\tNN\tI-NP\tO' -p32455 -aS'was\tbe\tVBD\tB-VP\tO' -p32456 -aS'felt\tfeel\tVBN\tI-VP\tO' -p32457 -aS'to\tto\tTO\tI-VP\tO' -p32458 -aS'be\tbe\tVB\tI-VP\tO' -p32459 -aS'due\tdue\tIN\tB-PP\tO' -p32460 -aS'to\tto\tTO\tB-PP\tO' -p32461 -aS'his\this\tPRP$\tB-NP\tO' -p32462 -aS'central\tcentral\tJJ\tI-NP\tO' -p32463 -aS'line\tline\tNN\tI-NP\tO' -p32464 -aS'and\tand\tCC\tO\tO' -p32465 -aS'the\tthe\tDT\tB-NP\tO' -p32466 -aS'central\tcentral\tJJ\tI-NP\tB-cell_line' -p32467 -aS'line\tline\tNN\tI-NP\tI-cell_line' -p32468 -aS'was\tbe\tVBD\tB-VP\tO' -p32469 -aS'resited\tresite\tVBN\tI-VP\tO' -p32470 -aS'on\ton\tIN\tB-PP\tO' -p32471 -aS'the\tthe\tDT\tB-NP\tO' -p32472 -aS'left\tleft\tJJ\tI-NP\tO' -p32473 -aS'side\tside\tNN\tI-NP\tO' -p32474 -aS'and\tand\tCC\tO\tO' -p32475 -aS'the\tthe\tDT\tB-NP\tO' -p32476 -aS'patient\tpatient\tNN\tI-NP\tO' -p32477 -aS'was\tbe\tVBD\tB-VP\tO' -p32478 -aS'started\tstart\tVBN\tI-VP\tO' -p32479 -aS'on\ton\tIN\tB-PP\tO' -p32480 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p32481 -aS'Vancomycin\tVancomycin\tNN\tI-NP\tO' -p32482 -aS'.\t.\t.\tO\tO' -p32483 -asS'He is a realtor .' -p32484 -(lp32485 -S'He\tHe\tPRP\tB-NP\tB-DNA' -p32486 -aS'is\tbe\tVBZ\tB-VP\tO' -p32487 -aS'a\ta\tDT\tB-NP\tO' -p32488 -aS'realtor\trealtor\tNN\tI-NP\tO' -p32489 -aS'.\t.\t.\tO\tO' -p32490 -asS'The patient initially presented with T max of 101.3 at outside hospital with increasing white blood cell counts and a positive urinalysis .' -p32491 -(lp32492 -S'The\tThe\tDT\tB-NP\tO' -p32493 -aS'patient\tpatient\tNN\tI-NP\tO' -p32494 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p32495 -aS'presented\tpresent\tVBD\tB-VP\tO' -p32496 -aS'with\twith\tIN\tB-PP\tO' -p32497 -aS'T\tT\tNN\tB-NP\tO' -p32498 -aS'max\tmax\tNN\tI-NP\tO' -p32499 -aS'of\tof\tIN\tB-PP\tO' -p32500 -aS'101.3\t101.3\tCD\tB-NP\tO' -p32501 -aS'at\tat\tIN\tB-PP\tO' -p32502 -aS'outside\toutside\tJJ\tB-NP\tO' -p32503 -aS'hospital\thospital\tNN\tI-NP\tO' -p32504 -aS'with\twith\tIN\tB-PP\tO' -p32505 -aS'increasing\tincrease\tVBG\tB-VP\tO' -p32506 -aS'white\twhite\tJJ\tB-NP\tO' -p32507 -aS'blood\tblood\tNN\tI-NP\tO' -p32508 -aS'cell\tcell\tNN\tI-NP\tO' -p32509 -aS'counts\tcount\tNNS\tI-NP\tO' -p32510 -aS'and\tand\tCC\tO\tO' -p32511 -aS'a\ta\tDT\tB-NP\tO' -p32512 -aS'positive\tpositive\tJJ\tI-NP\tO' -p32513 -aS'urinalysis\turinalysis\tNN\tI-NP\tO' -p32514 -aS'.\t.\t.\tO\tO' -p32515 -asS'#. SOB : Most consistent with CHF by exam , although unknown what the severity of her COPD is currently .' -p32516 -(lp32517 -S'#.\t#.\tJJ\tB-NP\tB-protein' -p32518 -aS'SOB\tSOB\tNN\tI-NP\tI-protein' -p32519 -aS':\t:\t:\tO\tO' -p32520 -aS'Most\tMost\tJJS\tB-ADJP\tO' -p32521 -aS'consistent\tconsistent\tJJ\tI-ADJP\tO' -p32522 -aS'with\twith\tIN\tB-PP\tO' -p32523 -aS'CHF\tCHF\tNN\tB-NP\tB-protein' -p32524 -aS'by\tby\tIN\tB-PP\tO' -p32525 -aS'exam\texam\tNN\tB-NP\tO' -p32526 -aS',\t,\t,\tO\tO' -p32527 -aS'although\talthough\tIN\tB-SBAR\tO' -p32528 -aS'unknown\tunknown\tJJ\tO\tO' -p32529 -aS'what\twhat\tWP\tB-NP\tO' -p32530 -aS'the\tthe\tDT\tB-NP\tO' -p32531 -aS'severity\tseverity\tNN\tI-NP\tO' -p32532 -aS'of\tof\tIN\tB-PP\tO' -p32533 -aS'her\ther\tPRP$\tB-NP\tO' -p32534 -aS'COPD\tCOPD\tNN\tI-NP\tO' -p32535 -aS'is\tbe\tVBZ\tB-VP\tO' -p32536 -aS'currently\tcurrently\tRB\tB-ADVP\tO' -p32537 -aS'.\t.\t.\tO\tO' -p32538 -asS'Therefore , because of his need for intense psychiatric care , the patient is discharged to the Vo Black Doylestrictshore Ft. Clinics Medical Center on the 7th hospital day .' -p32539 -(lp32540 -S'Therefore\tTherefore\tRB\tB-ADVP\tO' -p32541 -aS',\t,\t,\tO\tO' -p32542 -aS'because\tbecause\tIN\tB-PP\tO' -p32543 -aS'of\tof\tIN\tI-PP\tO' -p32544 -aS'his\this\tPRP$\tB-NP\tO' -p32545 -aS'need\tneed\tNN\tI-NP\tO' -p32546 -aS'for\tfor\tIN\tB-PP\tO' -p32547 -aS'intense\tintense\tJJ\tB-NP\tO' -p32548 -aS'psychiatric\tpsychiatric\tJJ\tI-NP\tO' -p32549 -aS'care\tcare\tNN\tI-NP\tO' -p32550 -aS',\t,\t,\tO\tO' -p32551 -aS'the\tthe\tDT\tB-NP\tO' -p32552 -aS'patient\tpatient\tNN\tI-NP\tO' -p32553 -aS'is\tbe\tVBZ\tB-VP\tO' -p32554 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p32555 -aS'to\tto\tTO\tB-PP\tO' -p32556 -aS'the\tthe\tDT\tB-NP\tO' -p32557 -aS'Vo\tVo\tNNP\tI-NP\tO' -p32558 -aS'Black\tBlack\tNNP\tI-NP\tO' -p32559 -aS'Doylestrictshore\tDoylestrictshore\tNNP\tI-NP\tO' -p32560 -aS'Ft.\tFt.\tNNP\tI-NP\tO' -p32561 -aS'Clinics\tClinics\tNNP\tI-NP\tO' -p32562 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p32563 -aS'Center\tCenter\tNNP\tI-NP\tO' -p32564 -aS'on\ton\tIN\tB-PP\tO' -p32565 -aS'the\tthe\tDT\tB-NP\tO' -p32566 -aS'7th\t7th\tJJ\tI-NP\tO' -p32567 -aS'hospital\thospital\tNN\tI-NP\tO' -p32568 -aS'day\tday\tNN\tI-NP\tO' -p32569 -aS'.\t.\t.\tO\tO' -p32570 -asS'She uses only occasional alcohol and she is not sexually active .' -p32571 -(lp32572 -S'She\tShe\tPRP\tB-NP\tO' -p32573 -aS'uses\tuse\tVBZ\tB-VP\tO' -p32574 -aS'only\tonly\tRB\tB-NP\tO' -p32575 -aS'occasional\toccasional\tJJ\tI-NP\tO' -p32576 -aS'alcohol\talcohol\tNN\tI-NP\tO' -p32577 -aS'and\tand\tCC\tO\tO' -p32578 -aS'she\tshe\tPRP\tB-NP\tO' -p32579 -aS'is\tbe\tVBZ\tB-VP\tO' -p32580 -aS'not\tnot\tRB\tO\tO' -p32581 -aS'sexually\tsexually\tRB\tB-ADJP\tO' -p32582 -aS'active\tactive\tJJ\tI-ADJP\tO' -p32583 -aS'.\t.\t.\tO\tO' -p32584 -asS'He underwent catheterization on 2016-04-05 which revealed a left ventricular ejection fraction of 50% , no mitral regurgitation , insufficiency or hypokinesis .' -p32585 -(lp32586 -S'He\tHe\tPRP\tB-NP\tO' -p32587 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p32588 -aS'catheterization\tcatheterization\tNN\tB-NP\tO' -p32589 -aS'on\ton\tIN\tB-PP\tO' -p32590 -aS'2016-04-05\t2016-04-05\tCD\tB-NP\tO' -p32591 -aS'which\twhich\tWDT\tB-NP\tO' -p32592 -aS'revealed\treveal\tVBD\tB-VP\tO' -p32593 -aS'a\ta\tDT\tB-NP\tO' -p32594 -aS'left\tleft\tJJ\tI-NP\tO' -p32595 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p32596 -aS'ejection\tejection\tNN\tI-NP\tO' -p32597 -aS'fraction\tfraction\tNN\tI-NP\tO' -p32598 -aS'of\tof\tIN\tB-PP\tO' -p32599 -aS'50%\t50%\tCD\tB-NP\tO' -p32600 -aS',\t,\t,\tO\tO' -p32601 -aS'no\tno\tDT\tB-NP\tO' -p32602 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p32603 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p32604 -aS',\t,\t,\tI-NP\tO' -p32605 -aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' -p32606 -aS'or\tor\tCC\tI-NP\tO' -p32607 -aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' -p32608 -aS'.\t.\t.\tO\tO' -p32609 -asS'8. Polyvinyl Alcohol 1.4 % Drops Sig : 1-2 Drops Ophthalmic PRN ( as needed ) .' -p32610 -(lp32611 -S'8.\t8.\tCD\tB-NP\tO' -p32612 -aS'Polyvinyl\tPolyvinyl\tNN\tI-NP\tO' -p32613 -aS'Alcohol\tAlcohol\tNN\tI-NP\tO' -p32614 -aS'1.4\t1.4\tCD\tB-NP\tO' -p32615 -aS'%\t%\tNN\tI-NP\tO' -p32616 -aS'Drops\tDrops\tNNP\tI-NP\tO' -p32617 -aS'Sig\tSig\tNNP\tI-NP\tO' -p32618 -aS':\t:\t:\tO\tO' -p32619 -aS'1-2\t1-2\tCD\tB-NP\tO' -p32620 -aS'Drops\tDrop\tVBZ\tB-VP\tO' -p32621 -aS'Ophthalmic\tOphthalmic\tJJ\tB-NP\tO' -p32622 -aS'PRN\tPRN\tNN\tI-NP\tO' -p32623 -aS'(\t(\t(\tO\tO' -p32624 -aS'as\tas\tIN\tB-SBAR\tO' -p32625 -aS'needed\tneed\tVBN\tB-VP\tO' -p32626 -aS')\t)\t)\tO\tO' -p32627 -aS'.\t.\t.\tO\tO' -p32628 -asS'In the correct clincial setting , this could be consistent with an abscess .' -p32629 -(lp32630 -S'In\tIn\tIN\tB-PP\tO' -p32631 -aS'the\tthe\tDT\tB-NP\tO' -p32632 -aS'correct\tcorrect\tJJ\tI-NP\tO' -p32633 -aS'clincial\tclincial\tJJ\tI-NP\tO' -p32634 -aS'setting\tsetting\tNN\tI-NP\tO' -p32635 -aS',\t,\t,\tO\tO' -p32636 -aS'this\tthis\tDT\tB-NP\tO' -p32637 -aS'could\tcould\tMD\tB-VP\tO' -p32638 -aS'be\tbe\tVB\tI-VP\tO' -p32639 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p32640 -aS'with\twith\tIN\tB-PP\tO' -p32641 -aS'an\tan\tDT\tB-NP\tO' -p32642 -aS'abscess\tabscess\tNN\tI-NP\tO' -p32643 -aS'.\t.\t.\tO\tO' -p32644 -asS'4. Hydralazine 12.5 mg four times per day .' -p32645 -(lp32646 -S'4.\t4.\tLS\tB-NP\tO' -p32647 -aS'Hydralazine\tHydralazine\tNN\tI-NP\tO' -p32648 -aS'12.5\t12.5\tCD\tB-NP\tO' -p32649 -aS'mg\tmg\tNN\tI-NP\tO' -p32650 -aS'four\tfour\tCD\tB-NP\tO' -p32651 -aS'times\ttime\tNNS\tI-NP\tO' -p32652 -aS'per\tper\tIN\tB-PP\tO' -p32653 -aS'day\tday\tNN\tB-NP\tO' -p32654 -aS'.\t.\t.\tO\tO' -p32655 -asS'2. Bilateral pleural effusions , right greater than left , with left-sided compressive atelectasis .' -p32656 -(lp32657 -S'2.\t2.\tLS\tB-NP\tO' -p32658 -aS'Bilateral\tBilateral\tJJ\tI-NP\tO' -p32659 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p32660 -aS'effusions\teffusion\tNNS\tI-NP\tO' -p32661 -aS',\t,\t,\tO\tO' -p32662 -aS'right\tright\tRB\tB-ADVP\tO' -p32663 -aS'greater\tgreat\tJJR\tI-ADVP\tO' -p32664 -aS'than\tthan\tIN\tB-PP\tO' -p32665 -aS'left\tleft\tJJ\tB-ADJP\tO' -p32666 -aS',\t,\t,\tO\tO' -p32667 -aS'with\twith\tIN\tB-SBAR\tO' -p32668 -aS'left-sided\tleft-sided\tJJ\tB-NP\tO' -p32669 -aS'compressive\tcompressive\tJJ\tI-NP\tO' -p32670 -aS'atelectasis\tatelectasis\tNN\tI-NP\tO' -p32671 -aS'.\t.\t.\tO\tO' -p32672 -asS'Appropriate tone and activity .' -p32673 -(lp32674 -S'Appropriate\tAppropriate\tJJ\tB-NP\tO' -p32675 -aS'tone\ttone\tNN\tI-NP\tO' -p32676 -aS'and\tand\tCC\tI-NP\tO' -p32677 -aS'activity\tactivity\tNN\tI-NP\tO' -p32678 -aS'.\t.\t.\tO\tO' -p32679 -asS'5. Reglan 10 mg four times a day before meals and at bedtime .' -p32680 -(lp32681 -S'5.\t5.\tLS\tB-LST\tO' -p32682 -aS'Reglan\tReglan\tNNP\tB-NP\tO' -p32683 -aS'10\t10\tCD\tI-NP\tO' -p32684 -aS'mg\tmg\tNN\tI-NP\tO' -p32685 -aS'four\tfour\tCD\tB-NP\tO' -p32686 -aS'times\ttime\tNNS\tI-NP\tO' -p32687 -aS'a\ta\tDT\tB-NP\tO' -p32688 -aS'day\tday\tNN\tI-NP\tO' -p32689 -aS'before\tbefore\tIN\tB-PP\tO' -p32690 -aS'meals\tmeal\tNNS\tB-NP\tO' -p32691 -aS'and\tand\tCC\tB-PP\tO' -p32692 -aS'at\tat\tIN\tB-PP\tO' -p32693 -aS'bedtime\tbedtime\tNN\tB-NP\tO' -p32694 -aS'.\t.\t.\tO\tO' -p32695 -asS'The patient has been admitted 5 x in the past to Nantucket Cottage Hospital since 11-30 for encephalopathy .' -p32696 -(lp32697 -S'The\tThe\tDT\tB-NP\tO' -p32698 -aS'patient\tpatient\tNN\tI-NP\tO' -p32699 -aS'has\thave\tVBZ\tB-VP\tO' -p32700 -aS'been\tbe\tVBN\tI-VP\tO' -p32701 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p32702 -aS'5\t5\tCD\tB-NP\tO' -p32703 -aS'x\tx\tNN\tI-NP\tO' -p32704 -aS'in\tin\tIN\tB-PP\tO' -p32705 -aS'the\tthe\tDT\tB-NP\tO' -p32706 -aS'past\tpast\tNN\tI-NP\tO' -p32707 -aS'to\tto\tTO\tB-PP\tO' -p32708 -aS'Nantucket\tNantucket\tNNP\tB-NP\tO' -p32709 -aS'Cottage\tCottage\tNNP\tI-NP\tO' -p32710 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p32711 -aS'since\tsince\tIN\tB-PP\tO' -p32712 -aS'11-30\t11-30\tCD\tB-NP\tO' -p32713 -aS'for\tfor\tIN\tB-PP\tO' -p32714 -aS'encephalopathy\tencephalopathy\tNN\tB-NP\tO' -p32715 -aS'.\t.\t.\tO\tO' -p32716 -asS'Plan is for surveillance cultures to be drawn at dialysis .' -p32717 -(lp32718 -S'Plan\tPlan\tNN\tB-NP\tO' -p32719 -aS'is\tbe\tVBZ\tB-VP\tO' -p32720 -aS'for\tfor\tIN\tB-PP\tO' -p32721 -aS'surveillance\tsurveillance\tNN\tB-NP\tO' -p32722 -aS'cultures\tculture\tNNS\tI-NP\tO' -p32723 -aS'to\tto\tTO\tB-VP\tO' -p32724 -aS'be\tbe\tVB\tI-VP\tO' -p32725 -aS'drawn\tdraw\tVBN\tI-VP\tO' -p32726 -aS'at\tat\tIN\tB-PP\tO' -p32727 -aS'dialysis\tdialysis\tNN\tB-NP\tO' -p32728 -aS'.\t.\t.\tO\tO' -p32729 -asS'Significant for an appendectomy in the distant past , cholecystectomy in the past , history of of Cesarean section in the past and a history of near total thyroidectomy for nodular goiter in the past .' -p32730 -(lp32731 -S'Significant\tSignificant\tJJ\tB-ADJP\tO' -p32732 -aS'for\tfor\tIN\tB-PP\tO' -p32733 -aS'an\tan\tDT\tB-NP\tO' -p32734 -aS'appendectomy\tappendectomy\tNN\tI-NP\tO' -p32735 -aS'in\tin\tIN\tB-PP\tO' -p32736 -aS'the\tthe\tDT\tB-NP\tO' -p32737 -aS'distant\tdistant\tJJ\tI-NP\tO' -p32738 -aS'past\tpast\tNN\tI-NP\tO' -p32739 -aS',\t,\t,\tO\tO' -p32740 -aS'cholecystectomy\tcholecystectomy\tNN\tB-NP\tO' -p32741 -aS'in\tin\tIN\tB-PP\tO' -p32742 -aS'the\tthe\tDT\tB-NP\tO' -p32743 -aS'past\tpast\tNN\tI-NP\tO' -p32744 -aS',\t,\t,\tO\tO' -p32745 -aS'history\thistory\tNN\tB-NP\tO' -p32746 -aS'of\tof\tIN\tB-PP\tO' -p32747 -aS'of\tof\tIN\tB-PP\tO' -p32748 -aS'Cesarean\tCesarean\tJJ\tB-NP\tO' -p32749 -aS'section\tsection\tNN\tI-NP\tO' -p32750 -aS'in\tin\tIN\tB-PP\tO' -p32751 -aS'the\tthe\tDT\tB-NP\tO' -p32752 -aS'past\tpast\tNN\tI-NP\tO' -p32753 -aS'and\tand\tCC\tO\tO' -p32754 -aS'a\ta\tDT\tB-NP\tO' -p32755 -aS'history\thistory\tNN\tI-NP\tO' -p32756 -aS'of\tof\tIN\tB-PP\tO' -p32757 -aS'near\tnear\tJJ\tB-NP\tO' -p32758 -aS'total\ttotal\tJJ\tI-NP\tO' -p32759 -aS'thyroidectomy\tthyroidectomy\tNN\tI-NP\tO' -p32760 -aS'for\tfor\tIN\tB-PP\tO' -p32761 -aS'nodular\tnodular\tJJ\tB-NP\tO' -p32762 -aS'goiter\tgoiter\tNN\tI-NP\tO' -p32763 -aS'in\tin\tIN\tB-PP\tO' -p32764 -aS'the\tthe\tDT\tB-NP\tO' -p32765 -aS'past\tpast\tNN\tI-NP\tO' -p32766 -aS'.\t.\t.\tO\tO' -p32767 -asS'Gerardo weaned to room air on day of life #6 .' -p32768 -(lp32769 -S'Gerardo\tGerardo\tNNP\tB-NP\tO' -p32770 -aS'weaned\twean\tVBD\tB-VP\tO' -p32771 -aS'to\tto\tTO\tB-PP\tO' -p32772 -aS'room\troom\tNN\tB-NP\tO' -p32773 -aS'air\tair\tNN\tI-NP\tO' -p32774 -aS'on\ton\tIN\tB-PP\tO' -p32775 -aS'day\tday\tNN\tB-NP\tO' -p32776 -aS'of\tof\tIN\tB-PP\tO' -p32777 -aS'life\tlife\tNN\tB-NP\tO' -p32778 -aS'#6\t#6\tCD\tI-NP\tO' -p32779 -aS'.\t.\t.\tO\tO' -p32780 -asS'Vanco was added for possible nosocomial infection .' -p32781 -(lp32782 -S'Vanco\tVanco\tNNP\tB-NP\tO' -p32783 -aS'was\tbe\tVBD\tB-VP\tO' -p32784 -aS'added\tadd\tVBN\tI-VP\tO' -p32785 -aS'for\tfor\tIN\tB-PP\tO' -p32786 -aS'possible\tpossible\tJJ\tB-NP\tO' -p32787 -aS'nosocomial\tnosocomial\tJJ\tI-NP\tO' -p32788 -aS'infection\tinfection\tNN\tI-NP\tO' -p32789 -aS'.\t.\t.\tO\tO' -p32790 -asS'Dictated By : Lynn J Crump , M.D.' -p32791 -(lp32792 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p32793 -aS'By\tBy\tIN\tB-PP\tO' -p32794 -aS':\t:\t:\tO\tO' -p32795 -aS'Lynn\tLynn\tNNP\tB-NP\tO' -p32796 -aS'J\tJ\tNNP\tI-NP\tO' -p32797 -aS'Crump\tCrump\tNNP\tI-NP\tO' -p32798 -aS',\t,\t,\tO\tO' -p32799 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p32800 -asS'The patient is to maintain his incisions clean and dry at all times .' -p32801 -(lp32802 -S'The\tThe\tDT\tB-NP\tO' -p32803 -aS'patient\tpatient\tNN\tI-NP\tO' -p32804 -aS'is\tbe\tVBZ\tB-VP\tO' -p32805 -aS'to\tto\tTO\tB-VP\tO' -p32806 -aS'maintain\tmaintain\tVB\tI-VP\tO' -p32807 -aS'his\this\tPRP$\tB-NP\tO' -p32808 -aS'incisions\tincision\tNNS\tI-NP\tO' -p32809 -aS'clean\tclean\tJJ\tB-ADJP\tO' -p32810 -aS'and\tand\tCC\tO\tO' -p32811 -aS'dry\tdry\tJJ\tB-ADJP\tO' -p32812 -aS'at\tat\tIN\tB-PP\tO' -p32813 -aS'all\tall\tDT\tB-NP\tO' -p32814 -aS'times\ttime\tNNS\tI-NP\tO' -p32815 -aS'.\t.\t.\tO\tO' -p32816 -asS'The patient was a 108-year-old nursing home resident , who was admitted with a two-day history of increased respiratory secretions and a 24-hour history of elevated fever .' -p32817 -(lp32818 -S'The\tThe\tDT\tB-NP\tO' -p32819 -aS'patient\tpatient\tNN\tI-NP\tO' -p32820 -aS'was\tbe\tVBD\tB-VP\tO' -p32821 -aS'a\ta\tDT\tB-NP\tO' -p32822 -aS'108-year-old\t108-year-old\tJJ\tI-NP\tO' -p32823 -aS'nursing\tnursing\tNN\tI-NP\tO' -p32824 -aS'home\thome\tNN\tI-NP\tO' -p32825 -aS'resident\tresident\tNN\tI-NP\tO' -p32826 -aS',\t,\t,\tO\tO' -p32827 -aS'who\twho\tWP\tB-NP\tO' -p32828 -aS'was\tbe\tVBD\tB-VP\tO' -p32829 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p32830 -aS'with\twith\tIN\tB-PP\tO' -p32831 -aS'a\ta\tDT\tB-NP\tO' -p32832 -aS'two-day\ttwo-day\tJJ\tI-NP\tO' -p32833 -aS'history\thistory\tNN\tI-NP\tO' -p32834 -aS'of\tof\tIN\tB-PP\tO' -p32835 -aS'increased\tincrease\tVBN\tB-NP\tO' -p32836 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p32837 -aS'secretions\tsecretion\tNNS\tI-NP\tO' -p32838 -aS'and\tand\tCC\tO\tO' -p32839 -aS'a\ta\tDT\tB-NP\tO' -p32840 -aS'24-hour\t24-hour\tJJ\tI-NP\tO' -p32841 -aS'history\thistory\tNN\tI-NP\tO' -p32842 -aS'of\tof\tIN\tB-PP\tO' -p32843 -aS'elevated\televated\tJJ\tB-NP\tO' -p32844 -aS'fever\tfever\tNN\tI-NP\tO' -p32845 -aS'.\t.\t.\tO\tO' -p32846 -asS'8 ) Serax 15 mg p.o. q.h.s. p.r.n. insomnia .' -p32847 -(lp32848 -S'8\t8\tCD\tB-NP\tO' -p32849 -aS')\t)\t)\tO\tO' -p32850 -aS'Serax\tSerax\tNNP\tB-NP\tO' -p32851 -aS'15\t15\tCD\tI-NP\tO' -p32852 -aS'mg\tmg\tNN\tI-NP\tO' -p32853 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p32854 -aS'q.h.s.\tq.h.s.\tFW\tI-NP\tO' -p32855 -aS'p.r.n.\tp.r.n.\tFW\tI-NP\tO' -p32856 -aS'insomnia\tinsomnia\tNN\tI-NP\tO' -p32857 -aS'.\t.\t.\tO\tO' -p32858 -asS'pacer DDDR ( Vitatron CL860 ) placed 05-08 for SSS with symptomatic bradycardia , c/b R PTX requiring chest tube' -p32859 -(lp32860 -S'pacer\tpacer\tNN\tB-NP\tO' -p32861 -aS'DDDR\tDDDR\tNN\tI-NP\tO' -p32862 -aS'(\t(\t(\tO\tO' -p32863 -aS'Vitatron\tVitatron\tNN\tB-NP\tO' -p32864 -aS'CL860\tCL860\tNN\tI-NP\tO' -p32865 -aS')\t)\t)\tO\tO' -p32866 -aS'placed\tplace\tVBD\tB-VP\tO' -p32867 -aS'05-08\t05-08\tCD\tB-NP\tO' -p32868 -aS'for\tfor\tIN\tB-PP\tO' -p32869 -aS'SSS\tSSS\tNN\tB-NP\tO' -p32870 -aS'with\twith\tIN\tB-PP\tO' -p32871 -aS'symptomatic\tsymptomatic\tJJ\tB-NP\tO' -p32872 -aS'bradycardia\tbradycardia\tNN\tI-NP\tO' -p32873 -aS',\t,\t,\tO\tO' -p32874 -aS'c/b\tc/b\tNN\tB-NP\tO' -p32875 -aS'R\tR\tNN\tI-NP\tO' -p32876 -aS'PTX\tPTX\tNN\tI-NP\tO' -p32877 -aS'requiring\trequire\tVBG\tB-VP\tO' -p32878 -aS'chest\tchest\tNN\tB-NP\tO' -p32879 -aS'tube\ttube\tNN\tI-NP\tO' -p32880 -asS'This pregnancy is complicated by a cyst noted on the umbilical cord on fetal ultrasound study at 18 weeks gestation .' -p32881 -(lp32882 -S'This\tThis\tDT\tB-NP\tO' -p32883 -aS'pregnancy\tpregnancy\tNN\tI-NP\tO' -p32884 -aS'is\tbe\tVBZ\tB-VP\tO' -p32885 -aS'complicated\tcomplicate\tVBN\tI-VP\tO' -p32886 -aS'by\tby\tIN\tB-PP\tO' -p32887 -aS'a\ta\tDT\tB-NP\tO' -p32888 -aS'cyst\tcyst\tNN\tI-NP\tO' -p32889 -aS'noted\tnote\tVBN\tB-VP\tO' -p32890 -aS'on\ton\tIN\tB-PP\tO' -p32891 -aS'the\tthe\tDT\tB-NP\tO' -p32892 -aS'umbilical\tumbilical\tJJ\tI-NP\tO' -p32893 -aS'cord\tcord\tNN\tI-NP\tO' -p32894 -aS'on\ton\tIN\tB-PP\tO' -p32895 -aS'fetal\tfetal\tJJ\tB-NP\tO' -p32896 -aS'ultrasound\tultrasound\tJJ\tI-NP\tO' -p32897 -aS'study\tstudy\tNN\tI-NP\tO' -p32898 -aS'at\tat\tIN\tB-PP\tO' -p32899 -aS'18\t18\tCD\tB-NP\tO' -p32900 -aS'weeks\tweek\tNNS\tI-NP\tO' -p32901 -aS'gestation\tgestation\tNN\tI-NP\tO' -p32902 -aS'.\t.\t.\tO\tO' -p32903 -asS'The patient now presents for line 1 , cycle 4 to 15 of VP 16 and Cisplatin chemotherapy .' -p32904 -(lp32905 -S'The\tThe\tDT\tB-NP\tO' -p32906 -aS'patient\tpatient\tNN\tI-NP\tO' -p32907 -aS'now\tnow\tRB\tB-ADVP\tO' -p32908 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p32909 -aS'for\tfor\tIN\tB-PP\tO' -p32910 -aS'line\tline\tNN\tB-NP\tO' -p32911 -aS'1\t1\tCD\tI-NP\tO' -p32912 -aS',\t,\t,\tO\tO' -p32913 -aS'cycle\tcycle\tNN\tB-NP\tO' -p32914 -aS'4\t4\tCD\tI-NP\tO' -p32915 -aS'to\tto\tTO\tB-PP\tO' -p32916 -aS'15\t15\tCD\tB-NP\tO' -p32917 -aS'of\tof\tIN\tB-PP\tO' -p32918 -aS'VP\tVP\tNN\tB-NP\tB-protein' -p32919 -aS'16\t16\tCD\tI-NP\tI-protein' -p32920 -aS'and\tand\tCC\tI-NP\tO' -p32921 -aS'Cisplatin\tCisplatin\tNN\tI-NP\tO' -p32922 -aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' -p32923 -aS'.\t.\t.\tO\tO' -p32924 -asS'The left toe was upgoing , the right toe was downgoing .' -p32925 -(lp32926 -S'The\tThe\tDT\tB-NP\tO' -p32927 -aS'left\tleft\tJJ\tI-NP\tO' -p32928 -aS'toe\ttoe\tNN\tI-NP\tO' -p32929 -aS'was\tbe\tVBD\tB-VP\tO' -p32930 -aS'upgoing\tupgoe\tVBG\tI-VP\tO' -p32931 -aS',\t,\t,\tO\tO' -p32932 -aS'the\tthe\tDT\tB-NP\tO' -p32933 -aS'right\tright\tJJ\tI-NP\tO' -p32934 -aS'toe\ttoe\tNN\tI-NP\tO' -p32935 -aS'was\tbe\tVBD\tB-VP\tO' -p32936 -aS'downgoing\tdowngoe\tVBG\tI-VP\tO' -p32937 -aS'.\t.\t.\tO\tO' -p32938 -asS'The pupils were equal , round , and reactive to light .' -p32939 -(lp32940 -S'The\tThe\tDT\tB-NP\tO' -p32941 -aS'pupils\tpupil\tNNS\tI-NP\tO' -p32942 -aS'were\tbe\tVBD\tB-VP\tO' -p32943 -aS'equal\tequal\tJJ\tB-ADJP\tO' -p32944 -aS',\t,\t,\tO\tO' -p32945 -aS'round\tround\tJJ\tB-ADJP\tO' -p32946 -aS',\t,\t,\tO\tO' -p32947 -aS'and\tand\tCC\tO\tO' -p32948 -aS'reactive\treactive\tJJ\tB-ADJP\tO' -p32949 -aS'to\tto\tTO\tB-PP\tO' -p32950 -aS'light\tlight\tNN\tB-NP\tO' -p32951 -aS'.\t.\t.\tO\tO' -p32952 -asS'Negative in detail .' -p32953 -(lp32954 -S'Negative\tNegative\tJJ\tB-ADJP\tO' -p32955 -aS'in\tin\tIN\tB-PP\tO' -p32956 -aS'detail\tdetail\tNN\tB-NP\tO' -p32957 -aS'.\t.\t.\tO\tO' -p32958 -asS'Ms Crossman is an 84 year old female with complaints of abdominal pain , diarrhea , nausea and vomiting x 1 week , who presented to an outside hospital .' -p32959 -(lp32960 -S'Ms\tMs\tNNP\tB-NP\tO' -p32961 -aS'Crossman\tCrossman\tNNP\tI-NP\tO' -p32962 -aS'is\tbe\tVBZ\tB-VP\tO' -p32963 -aS'an\tan\tDT\tB-NP\tO' -p32964 -aS'84\t84\tCD\tI-NP\tO' -p32965 -aS'year\tyear\tNN\tI-NP\tO' -p32966 -aS'old\told\tJJ\tI-NP\tO' -p32967 -aS'female\tfemale\tNN\tI-NP\tO' -p32968 -aS'with\twith\tIN\tB-PP\tO' -p32969 -aS'complaints\tcomplaint\tNNS\tB-NP\tO' -p32970 -aS'of\tof\tIN\tB-PP\tO' -p32971 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p32972 -aS'pain\tpain\tNN\tI-NP\tO' -p32973 -aS',\t,\t,\tO\tO' -p32974 -aS'diarrhea\tdiarrhea\tNN\tB-NP\tO' -p32975 -aS',\t,\t,\tO\tO' -p32976 -aS'nausea\tnausea\tNN\tB-NP\tO' -p32977 -aS'and\tand\tCC\tO\tO' -p32978 -aS'vomiting\tvomit\tVBG\tB-VP\tO' -p32979 -aS'x\tx\tSYM\tB-NP\tO' -p32980 -aS'1\t1\tCD\tI-NP\tO' -p32981 -aS'week\tweek\tNN\tI-NP\tO' -p32982 -aS',\t,\t,\tO\tO' -p32983 -aS'who\twho\tWP\tB-NP\tO' -p32984 -aS'presented\tpresent\tVBD\tB-VP\tO' -p32985 -aS'to\tto\tTO\tB-PP\tO' -p32986 -aS'an\tan\tDT\tB-NP\tO' -p32987 -aS'outside\toutside\tJJ\tI-NP\tO' -p32988 -aS'hospital\thospital\tNN\tI-NP\tO' -p32989 -aS'.\t.\t.\tO\tO' -p32990 -asS'He withdrew to noxious stimuli equally and purposefully after 20 minutes in the trauma bay .' -p32991 -(lp32992 -S'He\tHe\tPRP\tB-NP\tO' -p32993 -aS'withdrew\twithdraw\tVBD\tB-VP\tO' -p32994 -aS'to\tto\tTO\tB-PP\tO' -p32995 -aS'noxious\tnoxious\tJJ\tB-NP\tO' -p32996 -aS'stimuli\tstimulus\tNNS\tI-NP\tO' -p32997 -aS'equally\tequally\tRB\tB-ADVP\tO' -p32998 -aS'and\tand\tCC\tI-ADVP\tO' -p32999 -aS'purposefully\tpurposefully\tRB\tI-ADVP\tO' -p33000 -aS'after\tafter\tIN\tB-PP\tO' -p33001 -aS'20\t20\tCD\tB-NP\tO' -p33002 -aS'minutes\tminute\tNNS\tI-NP\tO' -p33003 -aS'in\tin\tIN\tB-PP\tO' -p33004 -aS'the\tthe\tDT\tB-NP\tO' -p33005 -aS'trauma\ttrauma\tNN\tI-NP\tO' -p33006 -aS'bay\tbay\tNN\tI-NP\tO' -p33007 -aS'.\t.\t.\tO\tO' -p33008 -asS'On postoperative day one , there were no active issues .' -p33009 -(lp33010 -S'On\tOn\tIN\tB-PP\tO' -p33011 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p33012 -aS'day\tday\tNN\tI-NP\tO' -p33013 -aS'one\tone\tCD\tB-NP\tO' -p33014 -aS',\t,\t,\tO\tO' -p33015 -aS'there\tthere\tEX\tB-NP\tO' -p33016 -aS'were\tbe\tVBD\tB-VP\tO' -p33017 -aS'no\tno\tDT\tB-NP\tO' -p33018 -aS'active\tactive\tJJ\tI-NP\tO' -p33019 -aS'issues\tissue\tNNS\tI-NP\tO' -p33020 -aS'.\t.\t.\tO\tO' -p33021 -asS'She presented to the hospital with a numb right leg this morning and underwent an emergent embolectomy .' -p33022 -(lp33023 -S'She\tShe\tPRP\tB-NP\tO' -p33024 -aS'presented\tpresent\tVBD\tB-VP\tO' -p33025 -aS'to\tto\tTO\tB-PP\tO' -p33026 -aS'the\tthe\tDT\tB-NP\tO' -p33027 -aS'hospital\thospital\tNN\tI-NP\tO' -p33028 -aS'with\twith\tIN\tB-PP\tO' -p33029 -aS'a\ta\tDT\tB-NP\tO' -p33030 -aS'numb\tnumb\tNN\tI-NP\tO' -p33031 -aS'right\tright\tJJ\tI-NP\tO' -p33032 -aS'leg\tleg\tNN\tI-NP\tO' -p33033 -aS'this\tthis\tDT\tB-NP\tO' -p33034 -aS'morning\tmorning\tNN\tI-NP\tO' -p33035 -aS'and\tand\tCC\tO\tO' -p33036 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p33037 -aS'an\tan\tDT\tB-NP\tO' -p33038 -aS'emergent\temergent\tJJ\tI-NP\tO' -p33039 -aS'embolectomy\tembolectomy\tNN\tI-NP\tO' -p33040 -aS'.\t.\t.\tO\tO' -p33041 -asS'Other blood culture was negative .' -p33042 -(lp33043 -S'Other\tOther\tJJ\tB-NP\tO' -p33044 -aS'blood\tblood\tNN\tI-NP\tO' -p33045 -aS'culture\tculture\tNN\tI-NP\tO' -p33046 -aS'was\tbe\tVBD\tB-VP\tO' -p33047 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p33048 -aS'.\t.\t.\tO\tO' -p33049 -asS'He was treated with Dopamine for hypertension and Inderal for tachycardia .' -p33050 -(lp33051 -S'He\tHe\tPRP\tB-NP\tO' -p33052 -aS'was\tbe\tVBD\tB-VP\tO' -p33053 -aS'treated\ttreat\tVBN\tI-VP\tO' -p33054 -aS'with\twith\tIN\tB-PP\tO' -p33055 -aS'Dopamine\tDopamine\tNN\tB-NP\tO' -p33056 -aS'for\tfor\tIN\tB-PP\tO' -p33057 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p33058 -aS'and\tand\tCC\tO\tO' -p33059 -aS'Inderal\tInderal\tJJ\tB-ADJP\tO' -p33060 -aS'for\tfor\tIN\tB-PP\tO' -p33061 -aS'tachycardia\ttachycardia\tNN\tB-NP\tO' -p33062 -aS'.\t.\t.\tO\tO' -p33063 -asS'She was immobilized in the C-spine collar at the scene of the accident and subsequently transported by EMS to the New England Sinai Hospital & Rehab Center Emergency Department for further management .' -p33064 -(lp33065 -S'She\tShe\tPRP\tB-NP\tO' -p33066 -aS'was\tbe\tVBD\tB-VP\tO' -p33067 -aS'immobilized\timmobilize\tVBN\tI-VP\tO' -p33068 -aS'in\tin\tIN\tB-PP\tO' -p33069 -aS'the\tthe\tDT\tB-NP\tO' -p33070 -aS'C-spine\tC-spine\tNN\tI-NP\tO' -p33071 -aS'collar\tcollar\tNN\tI-NP\tO' -p33072 -aS'at\tat\tIN\tB-PP\tO' -p33073 -aS'the\tthe\tDT\tB-NP\tO' -p33074 -aS'scene\tscene\tNN\tI-NP\tO' -p33075 -aS'of\tof\tIN\tB-PP\tO' -p33076 -aS'the\tthe\tDT\tB-NP\tO' -p33077 -aS'accident\taccident\tNN\tI-NP\tO' -p33078 -aS'and\tand\tCC\tO\tO' -p33079 -aS'subsequently\tsubsequently\tRB\tB-VP\tO' -p33080 -aS'transported\ttransport\tVBN\tI-VP\tO' -p33081 -aS'by\tby\tIN\tB-PP\tO' -p33082 -aS'EMS\tEMS\tNNP\tB-NP\tO' -p33083 -aS'to\tto\tTO\tB-PP\tO' -p33084 -aS'the\tthe\tDT\tB-NP\tO' -p33085 -aS'New\tNew\tNNP\tI-NP\tO' -p33086 -aS'England\tEngland\tNNP\tI-NP\tO' -p33087 -aS'Sinai\tSinai\tNNP\tI-NP\tO' -p33088 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p33089 -aS'&\t&\tCC\tI-NP\tO' -p33090 -aS'Rehab\tRehab\tNNP\tI-NP\tO' -p33091 -aS'Center\tCenter\tNNP\tI-NP\tO' -p33092 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p33093 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p33094 -aS'for\tfor\tIN\tB-PP\tO' -p33095 -aS'further\tfurther\tJJ\tB-NP\tO' -p33096 -aS'management\tmanagement\tNN\tI-NP\tO' -p33097 -aS'.\t.\t.\tO\tO' -p33098 -asS'Not applicable; patient deceased .' -p33099 -(lp33100 -S'Not\tNot\tRB\tB-NP\tO' -p33101 -aS'applicable;\tapplicable;\tNN\tI-NP\tO' -p33102 -aS'patient\tpatient\tNN\tI-NP\tO' -p33103 -aS'deceased\tdecease\tVBD\tB-VP\tO' -p33104 -aS'.\t.\t.\tO\tO' -p33105 -asS'- L hydroureter obstruction , s/p R ureteral stent 2016-03-24' -p33106 -(lp33107 -S'-\t-\tHYPH\tB-NP\tO' -p33108 -aS'L\tL\tNN\tI-NP\tO' -p33109 -aS'hydroureter\thydroureter\tNN\tI-NP\tO' -p33110 -aS'obstruction\tobstruction\tNN\tI-NP\tO' -p33111 -aS',\t,\t,\tO\tO' -p33112 -aS's/p\ts/p\tNN\tB-NP\tO' -p33113 -aS'R\tR\tNN\tI-NP\tO' -p33114 -aS'ureteral\tureteral\tJJ\tI-NP\tO' -p33115 -aS'stent\tstent\tNN\tI-NP\tO' -p33116 -aS'2016-03-24\t2016-03-24\tCD\tI-NP\tO' -p33117 -asS'Signed electronically by : DR. Santos von der Ross on : WED 2013-08-21 2:56 PM' -p33118 -(lp33119 -S'Signed\tSign\tVBN\tB-VP\tO' -p33120 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p33121 -aS'by\tby\tIN\tB-PP\tO' -p33122 -aS':\t:\t:\tO\tO' -p33123 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p33124 -aS'Santos\tSantos\tNNP\tI-NP\tO' -p33125 -aS'von\tvon\tNNP\tI-NP\tO' -p33126 -aS'der\tder\tNNP\tI-NP\tO' -p33127 -aS'Ross\tRoss\tNNP\tI-NP\tO' -p33128 -aS'on\ton\tIN\tB-PP\tO' -p33129 -aS':\t:\t:\tO\tO' -p33130 -aS'WED\tWED\tVBD\tB-VP\tO' -p33131 -aS'2013-08-21\t2013-08-21\tCD\tB-NP\tO' -p33132 -aS'2:56\t2:56\tCD\tI-NP\tO' -p33133 -aS'PM\tPM\tNN\tI-NP\tO' -p33134 -asS'No signs of edema and the patient had warm and palpable pulses distally .' -p33135 -(lp33136 -S'No\tNo\tDT\tB-NP\tO' -p33137 -aS'signs\tsign\tNNS\tI-NP\tO' -p33138 -aS'of\tof\tIN\tB-PP\tO' -p33139 -aS'edema\tedema\tNN\tB-NP\tO' -p33140 -aS'and\tand\tCC\tO\tO' -p33141 -aS'the\tthe\tDT\tB-NP\tO' -p33142 -aS'patient\tpatient\tNN\tI-NP\tO' -p33143 -aS'had\thave\tVBD\tB-VP\tO' -p33144 -aS'warm\twarm\tJJ\tB-NP\tO' -p33145 -aS'and\tand\tCC\tI-NP\tO' -p33146 -aS'palpable\tpalpable\tJJ\tI-NP\tO' -p33147 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p33148 -aS'distally\tdistally\tRB\tB-ADVP\tO' -p33149 -aS'.\t.\t.\tO\tO' -p33150 -asS'6. Caspofungin acetate 50 mg IV q.d. , day 23 of treatment and patient should remain on it indefinitely .' -p33151 -(lp33152 -S'6.\t6.\tLS\tB-NP\tO' -p33153 -aS'Caspofungin\tCaspofungin\tNN\tI-NP\tO' -p33154 -aS'acetate\tacetate\tNN\tI-NP\tO' -p33155 -aS'50\t50\tCD\tB-NP\tO' -p33156 -aS'mg\tmg\tNN\tI-NP\tO' -p33157 -aS'IV\tIV\tCD\tB-NP\tO' -p33158 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p33159 -aS',\t,\t,\tO\tO' -p33160 -aS'day\tday\tNN\tB-NP\tO' -p33161 -aS'23\t23\tCD\tI-NP\tO' -p33162 -aS'of\tof\tIN\tB-PP\tO' -p33163 -aS'treatment\ttreatment\tNN\tB-NP\tO' -p33164 -aS'and\tand\tCC\tI-NP\tO' -p33165 -aS'patient\tpatient\tNN\tI-NP\tO' -p33166 -aS'should\tshould\tMD\tB-VP\tO' -p33167 -aS'remain\tremain\tVB\tI-VP\tO' -p33168 -aS'on\ton\tIN\tB-PP\tO' -p33169 -aS'it\tit\tPRP\tB-NP\tO' -p33170 -aS'indefinitely\tindefinitely\tRB\tB-ADVP\tO' -p33171 -aS'.\t.\t.\tO\tO' -p33172 -asS'Blood cltures from 11-30 grew KLEBSIELLA PNEUMONIAE and 12-01 grew KLEBSIELLA PNEUMONIAE and PROTEUS MIRABILIS both sensitive to the Meropenam which she had already been receiving .' -p33173 -(lp33174 -S'Blood\tBlood\tNN\tB-NP\tO' -p33175 -aS'cltures\tclture\tNNS\tI-NP\tO' -p33176 -aS'from\tfrom\tIN\tB-PP\tO' -p33177 -aS'11-30\t11-30\tCD\tB-NP\tO' -p33178 -aS'grew\tgrow\tVBD\tB-VP\tO' -p33179 -aS'KLEBSIELLA\tKLEBSIELLA\tNN\tB-NP\tO' -p33180 -aS'PNEUMONIAE\tPNEUMONIAE\tNN\tI-NP\tO' -p33181 -aS'and\tand\tCC\tI-NP\tO' -p33182 -aS'12-01\t12-01\tNN\tI-NP\tO' -p33183 -aS'grew\tgrow\tVBD\tB-VP\tO' -p33184 -aS'KLEBSIELLA\tKLEBSIELLA\tNN\tB-NP\tO' -p33185 -aS'PNEUMONIAE\tPNEUMONIAE\tNN\tI-NP\tO' -p33186 -aS'and\tand\tCC\tO\tO' -p33187 -aS'PROTEUS\tPROTEUS\tNN\tB-NP\tO' -p33188 -aS'MIRABILIS\tMIRABILIS\tNN\tI-NP\tO' -p33189 -aS'both\tboth\tCC\tO\tO' -p33190 -aS'sensitive\tsensitive\tJJ\tB-ADJP\tO' -p33191 -aS'to\tto\tTO\tB-PP\tO' -p33192 -aS'the\tthe\tDT\tB-NP\tO' -p33193 -aS'Meropenam\tMeropenam\tNNP\tI-NP\tO' -p33194 -aS'which\twhich\tWDT\tB-NP\tO' -p33195 -aS'she\tshe\tPRP\tB-NP\tO' -p33196 -aS'had\thave\tVBD\tB-VP\tO' -p33197 -aS'already\talready\tRB\tI-VP\tO' -p33198 -aS'been\tbe\tVBN\tI-VP\tO' -p33199 -aS'receiving\treceive\tVBG\tI-VP\tO' -p33200 -aS'.\t.\t.\tO\tO' -p33201 -asS'This additional chest tube was removed the following day .' -p33202 -(lp33203 -S'This\tThis\tDT\tB-NP\tO' -p33204 -aS'additional\tadditional\tJJ\tI-NP\tO' -p33205 -aS'chest\tchest\tNN\tI-NP\tO' -p33206 -aS'tube\ttube\tNN\tI-NP\tO' -p33207 -aS'was\tbe\tVBD\tB-VP\tO' -p33208 -aS'removed\tremove\tVBN\tI-VP\tO' -p33209 -aS'the\tthe\tDT\tB-NP\tO' -p33210 -aS'following\tfollowing\tJJ\tI-NP\tO' -p33211 -aS'day\tday\tNN\tI-NP\tO' -p33212 -aS'.\t.\t.\tO\tO' -p33213 -asS'7. PE ( 11-14 )- On heparin drip .' -p33214 -(lp33215 -S'7.\t7.\tLS\tB-NP\tO' -p33216 -aS'PE\tPE\tNN\tI-NP\tO' -p33217 -aS'(\t(\t(\tO\tO' -p33218 -aS'11-14\t11-14\tCD\tB-NP\tO' -p33219 -aS')-\t)-\t)\tO\tO' -p33220 -aS'On\tOn\tIN\tB-PP\tO' -p33221 -aS'heparin\theparin\tNN\tB-NP\tO' -p33222 -aS'drip\tdrip\tNN\tI-NP\tO' -p33223 -aS'.\t.\t.\tO\tO' -p33224 -asS'The pupils were equal , round , reactive to light .' -p33225 -(lp33226 -S'The\tThe\tDT\tB-NP\tO' -p33227 -aS'pupils\tpupil\tNNS\tI-NP\tO' -p33228 -aS'were\tbe\tVBD\tB-VP\tO' -p33229 -aS'equal\tequal\tJJ\tB-NP\tO' -p33230 -aS',\t,\t,\tI-NP\tO' -p33231 -aS'round\tround\tJJ\tI-NP\tO' -p33232 -aS',\t,\t,\tI-NP\tO' -p33233 -aS'reactive\treactive\tJJ\tI-NP\tO' -p33234 -aS'to\tto\tTO\tB-PP\tO' -p33235 -aS'light\tlight\tNN\tB-NP\tO' -p33236 -aS'.\t.\t.\tO\tO' -p33237 -asS'Systemic arterial resistance 12/81 .' -p33238 -(lp33239 -S'Systemic\tSystemic\tJJ\tB-NP\tO' -p33240 -aS'arterial\tarterial\tJJ\tI-NP\tO' -p33241 -aS'resistance\tresistance\tNN\tI-NP\tO' -p33242 -aS'12/81\t12/81\tCD\tI-NP\tO' -p33243 -aS'.\t.\t.\tO\tO' -p33244 -asS'red blood cells with a good response up to 30 .' -p33245 -(lp33246 -S'red\tred\tJJ\tB-NP\tB-cell_type' -p33247 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p33248 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p33249 -aS'with\twith\tIN\tB-PP\tO' -p33250 -aS'a\ta\tDT\tB-NP\tO' -p33251 -aS'good\tgood\tJJ\tI-NP\tO' -p33252 -aS'response\tresponse\tNN\tI-NP\tO' -p33253 -aS'up\tup\tIN\tB-PP\tO' -p33254 -aS'to\tto\tTO\tB-PP\tO' -p33255 -aS'30\t30\tCD\tB-NP\tO' -p33256 -aS'.\t.\t.\tO\tO' -p33257 -asS'Clinically , the patient continued to deteriorate .' -p33258 -(lp33259 -S'Clinically\tClinically\tRB\tB-ADVP\tO' -p33260 -aS',\t,\t,\tO\tO' -p33261 -aS'the\tthe\tDT\tB-NP\tO' -p33262 -aS'patient\tpatient\tNN\tI-NP\tO' -p33263 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p33264 -aS'to\tto\tTO\tI-VP\tO' -p33265 -aS'deteriorate\tdeteriorate\tVB\tI-VP\tO' -p33266 -aS'.\t.\t.\tO\tO' -p33267 -asS'Tylenol 650 mg po q4h p.r.n. , Dulcolax 10 mg per rectum b.i.d. p.r.n. , Decadron 5 mg IV q6h , Digoxin 0.25 mg po q day , Colace 100 mg po t.i.d. , Florinef 0.1 mg po q day for presumed adrenal insufficiency , Imipenem 500 mg IV q6h , insulin NPH 60 units subcu q a.m. , insulin NPH 20 units subcu q p.m. , insulin CZI sliding scale regular , Synthroid 125 mcg po q day , magnesium sliding scale , potassium sliding scale today , morphine sulfate IV p.r.n. dressing changes and breakthrough pain , Carafate 1 gm po q.i.d. , Tobramycin 200 mg IV q30h , Vancomyin 1 mg IV q18h.' -p33268 -(lp33269 -S'Tylenol\tTylenol\tNN\tB-NP\tO' -p33270 -aS'650\t650\tCD\tI-NP\tO' -p33271 -aS'mg\tmg\tNN\tI-NP\tO' -p33272 -aS'po\tpo\tNN\tI-NP\tO' -p33273 -aS'q4h\tq4h\tNN\tI-NP\tO' -p33274 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p33275 -aS',\t,\t,\tO\tO' -p33276 -aS'Dulcolax\tDulcolax\tNN\tB-NP\tO' -p33277 -aS'10\t10\tCD\tI-NP\tO' -p33278 -aS'mg\tmg\tNN\tI-NP\tO' -p33279 -aS'per\tper\tIN\tB-PP\tO' -p33280 -aS'rectum\trectum\tNN\tB-NP\tO' -p33281 -aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' -p33282 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p33283 -aS',\t,\t,\tO\tO' -p33284 -aS'Decadron\tDecadron\tNNP\tB-NP\tO' -p33285 -aS'5\t5\tCD\tI-NP\tO' -p33286 -aS'mg\tmg\tNN\tI-NP\tO' -p33287 -aS'IV\tIV\tCD\tB-NP\tO' -p33288 -aS'q6h\tq6h\tNN\tI-NP\tO' -p33289 -aS',\t,\t,\tO\tO' -p33290 -aS'Digoxin\tDigoxin\tNN\tB-NP\tO' -p33291 -aS'0.25\t0.25\tCD\tI-NP\tO' -p33292 -aS'mg\tmg\tNN\tI-NP\tO' -p33293 -aS'po\tpo\tNN\tI-NP\tO' -p33294 -aS'q\tq\tNN\tI-NP\tO' -p33295 -aS'day\tday\tNN\tI-NP\tO' -p33296 -aS',\t,\t,\tO\tO' -p33297 -aS'Colace\tColace\tNNP\tB-NP\tO' -p33298 -aS'100\t100\tCD\tI-NP\tO' -p33299 -aS'mg\tmg\tNN\tI-NP\tO' -p33300 -aS'po\tpo\tNN\tI-NP\tO' -p33301 -aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' -p33302 -aS',\t,\t,\tO\tO' -p33303 -aS'Florinef\tFlorinef\tNN\tB-NP\tO' -p33304 -aS'0.1\t0.1\tCD\tI-NP\tO' -p33305 -aS'mg\tmg\tNN\tI-NP\tO' -p33306 -aS'po\tpo\tNN\tI-NP\tO' -p33307 -aS'q\tq\tNN\tI-NP\tO' -p33308 -aS'day\tday\tNN\tI-NP\tO' -p33309 -aS'for\tfor\tIN\tB-PP\tO' -p33310 -aS'presumed\tpresume\tVBN\tB-NP\tO' -p33311 -aS'adrenal\tadrenal\tJJ\tI-NP\tO' -p33312 -aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' -p33313 -aS',\t,\t,\tO\tO' -p33314 -aS'Imipenem\tImipenem\tNN\tB-NP\tO' -p33315 -aS'500\t500\tCD\tI-NP\tO' -p33316 -aS'mg\tmg\tNN\tI-NP\tO' -p33317 -aS'IV\tIV\tCD\tB-NP\tO' -p33318 -aS'q6h\tq6h\tNN\tI-NP\tO' -p33319 -aS',\t,\t,\tO\tO' -p33320 -aS'insulin\tinsulin\tNN\tB-NP\tO' -p33321 -aS'NPH\tNPH\tNN\tI-NP\tO' -p33322 -aS'60\t60\tCD\tB-NP\tO' -p33323 -aS'units\tunit\tNNS\tI-NP\tO' -p33324 -aS'subcu\tsubcu\tNN\tI-NP\tO' -p33325 -aS'q\tq\tNN\tI-NP\tO' -p33326 -aS'a.m.\ta.m.\tNN\tI-NP\tO' -p33327 -aS',\t,\t,\tO\tO' -p33328 -aS'insulin\tinsulin\tNN\tB-NP\tO' -p33329 -aS'NPH\tNPH\tNN\tI-NP\tO' -p33330 -aS'20\t20\tCD\tB-NP\tO' -p33331 -aS'units\tunit\tNNS\tI-NP\tO' -p33332 -aS'subcu\tsubcu\tNN\tI-NP\tO' -p33333 -aS'q\tq\tNN\tI-NP\tO' -p33334 -aS'p.m.\tp.m.\tNN\tI-NP\tO' -p33335 -aS',\t,\t,\tO\tO' -p33336 -aS'insulin\tinsulin\tNN\tB-NP\tO' -p33337 -aS'CZI\tCZI\tNN\tI-NP\tO' -p33338 -aS'sliding\tslide\tVBG\tB-VP\tO' -p33339 -aS'scale\tscale\tNN\tB-NP\tO' -p33340 -aS'regular\tregular\tJJ\tI-NP\tO' -p33341 -aS',\t,\t,\tI-NP\tO' -p33342 -aS'Synthroid\tSynthroid\tJJ\tI-NP\tO' -p33343 -aS'125\t125\tCD\tI-NP\tO' -p33344 -aS'mcg\tmcg\tNN\tI-NP\tO' -p33345 -aS'po\tpo\tNN\tI-NP\tO' -p33346 -aS'q\tq\tNN\tI-NP\tO' -p33347 -aS'day\tday\tNN\tI-NP\tO' -p33348 -aS',\t,\t,\tO\tO' -p33349 -aS'magnesium\tmagnesium\tNN\tB-NP\tO' -p33350 -aS'sliding\tslide\tVBG\tB-VP\tO' -p33351 -aS'scale\tscale\tNN\tB-NP\tO' -p33352 -aS',\t,\t,\tO\tO' -p33353 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p33354 -aS'sliding\tslide\tVBG\tB-VP\tO' -p33355 -aS'scale\tscale\tNN\tB-NP\tO' -p33356 -aS'today\ttoday\tNN\tB-NP\tO' -p33357 -aS',\t,\t,\tO\tO' -p33358 -aS'morphine\tmorphine\tNN\tB-NP\tO' -p33359 -aS'sulfate\tsulfate\tNN\tI-NP\tO' -p33360 -aS'IV\tIV\tCD\tI-NP\tO' -p33361 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p33362 -aS'dressing\tdress\tVBG\tB-VP\tO' -p33363 -aS'changes\tchange\tNNS\tB-NP\tO' -p33364 -aS'and\tand\tCC\tO\tO' -p33365 -aS'breakthrough\tbreakthrough\tNN\tB-NP\tO' -p33366 -aS'pain\tpain\tNN\tI-NP\tO' -p33367 -aS',\t,\t,\tO\tO' -p33368 -aS'Carafate\tCarafate\tNN\tB-NP\tO' -p33369 -aS'1\t1\tCD\tI-NP\tO' -p33370 -aS'gm\tgm\tNN\tI-NP\tO' -p33371 -aS'po\tpo\tNN\tI-NP\tO' -p33372 -aS'q.i.d.\tq.i.d.\tNN\tI-NP\tO' -p33373 -aS',\t,\t,\tO\tO' -p33374 -aS'Tobramycin\tTobramycin\tNN\tB-NP\tO' -p33375 -aS'200\t200\tCD\tI-NP\tO' -p33376 -aS'mg\tmg\tNN\tI-NP\tO' -p33377 -aS'IV\tIV\tCD\tB-NP\tO' -p33378 -aS'q30h\tq30h\tNN\tI-NP\tO' -p33379 -aS',\t,\t,\tO\tO' -p33380 -aS'Vancomyin\tVancomyin\tNN\tB-NP\tO' -p33381 -aS'1\t1\tCD\tI-NP\tO' -p33382 -aS'mg\tmg\tNN\tI-NP\tO' -p33383 -aS'IV\tIV\tCD\tB-NP\tO' -p33384 -aS'q18h.\tq18h.\tNN\tI-NP\tO' -p33385 -asS'1. Coronary artery disease ; 3-vessel disease .' -p33386 -(lp33387 -S'1.\t1.\tLS\tB-NP\tO' -p33388 -aS'Coronary\tCoronary\tJJ\tI-NP\tO' -p33389 -aS'artery\tartery\tNN\tI-NP\tO' -p33390 -aS'disease\tdisease\tNN\tI-NP\tO' -p33391 -aS';\t;\t:\tO\tO' -p33392 -aS'3-vessel\t3-vessel\tJJ\tB-NP\tO' -p33393 -aS'disease\tdisease\tNN\tI-NP\tO' -p33394 -aS'.\t.\t.\tO\tO' -p33395 -asS'- After she was made CMO , the pt was started on Morphine gtt to maximize comfort and minimize air hunger .' -p33396 -(lp33397 -S'-\t-\t:\tO\tO' -p33398 -aS'After\tAfter\tIN\tB-PP\tO' -p33399 -aS'she\tshe\tPRP\tB-NP\tO' -p33400 -aS'was\tbe\tVBD\tB-VP\tO' -p33401 -aS'made\tmake\tVBN\tI-VP\tO' -p33402 -aS'CMO\tCMO\tNN\tB-NP\tB-protein' -p33403 -aS',\t,\t,\tO\tO' -p33404 -aS'the\tthe\tDT\tB-NP\tO' -p33405 -aS'pt\tpt\tNN\tI-NP\tO' -p33406 -aS'was\tbe\tVBD\tB-VP\tO' -p33407 -aS'started\tstart\tVBN\tI-VP\tO' -p33408 -aS'on\ton\tIN\tB-PP\tO' -p33409 -aS'Morphine\tMorphine\tNN\tB-NP\tO' -p33410 -aS'gtt\tgtt\tNN\tI-NP\tO' -p33411 -aS'to\tto\tTO\tB-VP\tO' -p33412 -aS'maximize\tmaximize\tVB\tI-VP\tO' -p33413 -aS'comfort\tcomfort\tNN\tB-NP\tO' -p33414 -aS'and\tand\tCC\tO\tO' -p33415 -aS'minimize\tminimize\tVB\tB-VP\tO' -p33416 -aS'air\tair\tNN\tB-NP\tO' -p33417 -aS'hunger\thunger\tNN\tI-NP\tO' -p33418 -aS'.\t.\t.\tO\tO' -p33419 -asS'Neurology follow up with Dr. Workman is scheduled for 2017-10-20 at 12:30 pm at the Addison Gilbert Hospital of Oak Bluffs , Ison 11 .' -p33420 -(lp33421 -S'Neurology\tNeurology\tNNP\tB-NP\tO' -p33422 -aS'follow\tfollow\tVB\tB-VP\tO' -p33423 -aS'up\tup\tRP\tB-PRT\tO' -p33424 -aS'with\twith\tIN\tB-PP\tO' -p33425 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p33426 -aS'Workman\tWorkman\tNNP\tI-NP\tO' -p33427 -aS'is\tbe\tVBZ\tB-VP\tO' -p33428 -aS'scheduled\tschedule\tVBN\tI-VP\tO' -p33429 -aS'for\tfor\tIN\tB-PP\tO' -p33430 -aS'2017-10-20\t2017-10-20\tCD\tB-NP\tO' -p33431 -aS'at\tat\tIN\tB-PP\tO' -p33432 -aS'12:30\t12:30\tCD\tB-NP\tO' -p33433 -aS'pm\tpm\tNN\tI-NP\tO' -p33434 -aS'at\tat\tIN\tB-PP\tO' -p33435 -aS'the\tthe\tDT\tB-NP\tO' -p33436 -aS'Addison\tAddison\tNNP\tI-NP\tO' -p33437 -aS'Gilbert\tGilbert\tNNP\tI-NP\tO' -p33438 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p33439 -aS'of\tof\tIN\tB-PP\tO' -p33440 -aS'Oak\tOak\tNNP\tB-NP\tB-protein' -p33441 -aS'Bluffs\tBluff\tNNPS\tI-NP\tO' -p33442 -aS',\t,\t,\tO\tO' -p33443 -aS'Ison\tIson\tNNP\tB-NP\tO' -p33444 -aS'11\t11\tCD\tI-NP\tO' -p33445 -aS'.\t.\t.\tO\tO' -p33446 -asS'She has been very helpful in translating and seems to say that Ms. Shuffa is in good spirits .' -p33447 -(lp33448 -S'She\tShe\tPRP\tB-NP\tO' -p33449 -aS'has\thave\tVBZ\tB-VP\tO' -p33450 -aS'been\tbe\tVBN\tI-VP\tO' -p33451 -aS'very\tvery\tRB\tB-ADJP\tO' -p33452 -aS'helpful\thelpful\tJJ\tI-ADJP\tO' -p33453 -aS'in\tin\tIN\tB-PP\tO' -p33454 -aS'translating\ttranslate\tVBG\tB-VP\tO' -p33455 -aS'and\tand\tCC\tO\tO' -p33456 -aS'seems\tseem\tVBZ\tB-VP\tO' -p33457 -aS'to\tto\tTO\tI-VP\tO' -p33458 -aS'say\tsay\tVB\tI-VP\tO' -p33459 -aS'that\tthat\tIN\tB-SBAR\tO' -p33460 -aS'Ms.\tMs.\tNNP\tB-NP\tO' -p33461 -aS'Shuffa\tShuffa\tNNP\tI-NP\tO' -p33462 -aS'is\tbe\tVBZ\tB-VP\tO' -p33463 -aS'in\tin\tIN\tB-PP\tO' -p33464 -aS'good\tgood\tJJ\tB-NP\tO' -p33465 -aS'spirits\tspirit\tNNS\tI-NP\tO' -p33466 -aS'.\t.\t.\tO\tO' -p33467 -asS'The patient was continued on his G-CSF with an increase in his white count to 8 from 1.8 .' -p33468 -(lp33469 -S'The\tThe\tDT\tB-NP\tO' -p33470 -aS'patient\tpatient\tNN\tI-NP\tO' -p33471 -aS'was\tbe\tVBD\tB-VP\tO' -p33472 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p33473 -aS'on\ton\tIN\tB-PP\tO' -p33474 -aS'his\this\tPRP$\tB-NP\tO' -p33475 -aS'G-CSF\tG-CSF\tNN\tI-NP\tB-protein' -p33476 -aS'with\twith\tIN\tB-PP\tO' -p33477 -aS'an\tan\tDT\tB-NP\tO' -p33478 -aS'increase\tincrease\tNN\tI-NP\tO' -p33479 -aS'in\tin\tIN\tB-PP\tO' -p33480 -aS'his\this\tPRP$\tB-NP\tO' -p33481 -aS'white\twhite\tJJ\tI-NP\tO' -p33482 -aS'count\tcount\tNN\tI-NP\tO' -p33483 -aS'to\tto\tTO\tB-PP\tO' -p33484 -aS'8\t8\tCD\tB-NP\tO' -p33485 -aS'from\tfrom\tIN\tB-PP\tO' -p33486 -aS'1.8\t1.8\tCD\tB-NP\tO' -p33487 -aS'.\t.\t.\tO\tO' -p33488 -asS'The abdomen revealed a midline scar and a right lower quadrant scar , and it was soft and nontender wit positive bowel sounds .' -p33489 -(lp33490 -S'The\tThe\tDT\tB-NP\tO' -p33491 -aS'abdomen\tabdoman\tNNS\tI-NP\tO' -p33492 -aS'revealed\treveal\tVBD\tB-VP\tO' -p33493 -aS'a\ta\tDT\tB-NP\tO' -p33494 -aS'midline\tmidline\tNN\tI-NP\tO' -p33495 -aS'scar\tscar\tNN\tI-NP\tO' -p33496 -aS'and\tand\tCC\tO\tO' -p33497 -aS'a\ta\tDT\tB-NP\tO' -p33498 -aS'right\tright\tRB\tI-NP\tO' -p33499 -aS'lower\tlow\tJJR\tI-NP\tO' -p33500 -aS'quadrant\tquadrant\tNN\tI-NP\tO' -p33501 -aS'scar\tscar\tNN\tI-NP\tO' -p33502 -aS',\t,\t,\tO\tO' -p33503 -aS'and\tand\tCC\tO\tO' -p33504 -aS'it\tit\tPRP\tB-NP\tO' -p33505 -aS'was\tbe\tVBD\tB-VP\tO' -p33506 -aS'soft\tsoft\tJJ\tB-NP\tO' -p33507 -aS'and\tand\tCC\tI-NP\tO' -p33508 -aS'nontender\tnontender\tJJ\tI-NP\tO' -p33509 -aS'wit\twit\tNN\tI-NP\tO' -p33510 -aS'positive\tpositive\tJJ\tI-NP\tO' -p33511 -aS'bowel\tbowel\tNN\tI-NP\tO' -p33512 -aS'sounds\tsound\tNNS\tI-NP\tO' -p33513 -aS'.\t.\t.\tO\tO' -p33514 -asS'She describes her mood as depressed , however she denies suicidal ideation at this time .' -p33515 -(lp33516 -S'She\tShe\tPRP\tB-NP\tO' -p33517 -aS'describes\tdescribe\tVBZ\tB-VP\tO' -p33518 -aS'her\ther\tPRP$\tB-NP\tO' -p33519 -aS'mood\tmood\tNN\tI-NP\tO' -p33520 -aS'as\tas\tIN\tB-PP\tO' -p33521 -aS'depressed\tdepressed\tJJ\tB-ADJP\tO' -p33522 -aS',\t,\t,\tO\tO' -p33523 -aS'however\thowever\tRB\tB-ADVP\tO' -p33524 -aS'she\tshe\tPRP\tB-NP\tO' -p33525 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p33526 -aS'suicidal\tsuicidal\tJJ\tB-NP\tO' -p33527 -aS'ideation\tideation\tNN\tI-NP\tO' -p33528 -aS'at\tat\tIN\tB-PP\tO' -p33529 -aS'this\tthis\tDT\tB-NP\tO' -p33530 -aS'time\ttime\tNN\tI-NP\tO' -p33531 -aS'.\t.\t.\tO\tO' -p33532 -asS'Sister with bone cancer .' -p33533 -(lp33534 -S'Sister\tSister\tNN\tB-NP\tO' -p33535 -aS'with\twith\tIN\tB-PP\tO' -p33536 -aS'bone\tbone\tNN\tB-NP\tO' -p33537 -aS'cancer\tcancer\tNN\tI-NP\tO' -p33538 -aS'.\t.\t.\tO\tO' -p33539 -asS'Deep tendon reflexes were 1-2+ and symmetric bilaterally .' -p33540 -(lp33541 -S'Deep\tDeep\tJJ\tB-NP\tO' -p33542 -aS'tendon\ttendon\tNN\tI-NP\tO' -p33543 -aS'reflexes\treflex\tNNS\tI-NP\tO' -p33544 -aS'were\tbe\tVBD\tB-VP\tO' -p33545 -aS'1-2+\t1-2+\tJJ\tB-ADJP\tO' -p33546 -aS'and\tand\tCC\tI-ADJP\tO' -p33547 -aS'symmetric\tsymmetric\tJJ\tI-ADJP\tO' -p33548 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p33549 -aS'.\t.\t.\tO\tO' -p33550 -asS'There is no evidence of surrounding edema .' -p33551 -(lp33552 -S'There\tThere\tEX\tB-NP\tO' -p33553 -aS'is\tbe\tVBZ\tB-VP\tO' -p33554 -aS'no\tno\tDT\tB-NP\tO' -p33555 -aS'evidence\tevidence\tNN\tI-NP\tO' -p33556 -aS'of\tof\tIN\tB-PP\tO' -p33557 -aS'surrounding\tsurround\tVBG\tB-VP\tO' -p33558 -aS'edema\tedema\tNN\tB-NP\tO' -p33559 -aS'.\t.\t.\tO\tO' -p33560 -asS'For her paraplegia and associated muscle spasticity she was continued on her Zanaflex .' -p33561 -(lp33562 -S'For\tFor\tIN\tB-PP\tO' -p33563 -aS'her\ther\tPRP$\tB-NP\tO' -p33564 -aS'paraplegia\tparaplegia\tNN\tI-NP\tO' -p33565 -aS'and\tand\tCC\tO\tO' -p33566 -aS'associated\tassociate\tVBN\tB-NP\tO' -p33567 -aS'muscle\tmuscle\tNN\tI-NP\tO' -p33568 -aS'spasticity\tspasticity\tNN\tI-NP\tO' -p33569 -aS'she\tshe\tPRP\tB-NP\tO' -p33570 -aS'was\tbe\tVBD\tB-VP\tO' -p33571 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p33572 -aS'on\ton\tIN\tB-PP\tO' -p33573 -aS'her\ther\tPRP$\tB-NP\tO' -p33574 -aS'Zanaflex\tZanaflex\tNN\tI-NP\tO' -p33575 -aS'.\t.\t.\tO\tO' -p33576 -asS'4. Suspicion for sepsis ruled out .' -p33577 -(lp33578 -S'4.\t4.\tLS\tB-NP\tO' -p33579 -aS'Suspicion\tSuspicion\tNN\tI-NP\tO' -p33580 -aS'for\tfor\tIN\tB-PP\tO' -p33581 -aS'sepsis\tsepsis\tNN\tB-NP\tO' -p33582 -aS'ruled\trule\tVBD\tB-VP\tO' -p33583 -aS'out\tout\tRP\tB-PRT\tO' -p33584 -aS'.\t.\t.\tO\tO' -p33585 -asS'You should call Dr. Worden to also see him again sooner 09-07 days .' -p33586 -(lp33587 -S'You\tYou\tPRP\tB-NP\tB-protein' -p33588 -aS'should\tshould\tMD\tB-VP\tO' -p33589 -aS'call\tcall\tVB\tI-VP\tO' -p33590 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p33591 -aS'Worden\tWorden\tNNP\tI-NP\tO' -p33592 -aS'to\tto\tTO\tB-VP\tO' -p33593 -aS'also\talso\tRB\tI-VP\tO' -p33594 -aS'see\tsee\tVB\tI-VP\tO' -p33595 -aS'him\thim\tPRP\tB-NP\tO' -p33596 -aS'again\tagain\tRB\tB-ADVP\tO' -p33597 -aS'sooner\tsooner\tRBR\tB-ADVP\tO' -p33598 -aS'09-07\t09-07\tCD\tB-NP\tO' -p33599 -aS'days\tday\tNNS\tI-NP\tO' -p33600 -aS'.\t.\t.\tO\tO' -p33601 -asS'Per report , there were empty bottles of Inderal and Klonopin found at bedside , as well as 02-26 full bottles of geodon , gabapentin , Lescol and paroxitine .' -p33602 -(lp33603 -S'Per\tPer\tNNP\tB-NP\tO' -p33604 -aS'report\treport\tNN\tI-NP\tO' -p33605 -aS',\t,\t,\tO\tO' -p33606 -aS'there\tthere\tEX\tB-NP\tO' -p33607 -aS'were\tbe\tVBD\tB-VP\tO' -p33608 -aS'empty\tempty\tJJ\tB-NP\tO' -p33609 -aS'bottles\tbottle\tNNS\tI-NP\tO' -p33610 -aS'of\tof\tIN\tB-PP\tO' -p33611 -aS'Inderal\tInderal\tJJ\tB-NP\tO' -p33612 -aS'and\tand\tCC\tI-NP\tO' -p33613 -aS'Klonopin\tKlonopin\tNN\tI-NP\tO' -p33614 -aS'found\tfind\tVBN\tB-VP\tO' -p33615 -aS'at\tat\tIN\tB-PP\tO' -p33616 -aS'bedside\tbedside\tNN\tB-NP\tO' -p33617 -aS',\t,\t,\tO\tO' -p33618 -aS'as\tas\tRB\tB-CONJP\tO' -p33619 -aS'well\twell\tRB\tI-CONJP\tO' -p33620 -aS'as\tas\tIN\tI-CONJP\tO' -p33621 -aS'02-26\t02-26\tCD\tB-NP\tO' -p33622 -aS'full\tfull\tJJ\tI-NP\tO' -p33623 -aS'bottles\tbottle\tNNS\tI-NP\tO' -p33624 -aS'of\tof\tIN\tB-PP\tO' -p33625 -aS'geodon\tgeodon\tNN\tB-NP\tO' -p33626 -aS',\t,\t,\tI-NP\tO' -p33627 -aS'gabapentin\tgabapentin\tNN\tI-NP\tB-protein' -p33628 -aS',\t,\t,\tI-NP\tO' -p33629 -aS'Lescol\tLescol\tNN\tI-NP\tO' -p33630 -aS'and\tand\tCC\tI-NP\tO' -p33631 -aS'paroxitine\tparoxitine\tNN\tI-NP\tO' -p33632 -aS'.\t.\t.\tO\tO' -p33633 -asS'She had an extensive workup by Hematology which revealed a bleeding diathesis of unknown origin .' -p33634 -(lp33635 -S'She\tShe\tPRP\tB-NP\tO' -p33636 -aS'had\thave\tVBD\tB-VP\tO' -p33637 -aS'an\tan\tDT\tB-NP\tO' -p33638 -aS'extensive\textensive\tJJ\tI-NP\tO' -p33639 -aS'workup\tworkup\tNN\tI-NP\tO' -p33640 -aS'by\tby\tIN\tB-PP\tO' -p33641 -aS'Hematology\tHematology\tNN\tB-NP\tO' -p33642 -aS'which\twhich\tWDT\tB-NP\tO' -p33643 -aS'revealed\treveal\tVBD\tB-VP\tO' -p33644 -aS'a\ta\tDT\tB-NP\tO' -p33645 -aS'bleeding\tbleed\tVBG\tI-NP\tO' -p33646 -aS'diathesis\tdiathesis\tNN\tI-NP\tO' -p33647 -aS'of\tof\tIN\tB-PP\tO' -p33648 -aS'unknown\tunknown\tJJ\tB-NP\tO' -p33649 -aS'origin\torigin\tNN\tI-NP\tO' -p33650 -aS'.\t.\t.\tO\tO' -p33651 -asS'He went to the Padrugmoff Hospital Emergency Room after trying nitroglycerin at home .' -p33652 -(lp33653 -S'He\tHe\tPRP\tB-NP\tO' -p33654 -aS'went\tgo\tVBD\tB-VP\tO' -p33655 -aS'to\tto\tTO\tB-PP\tO' -p33656 -aS'the\tthe\tDT\tB-NP\tO' -p33657 -aS'Padrugmoff\tPadrugmoff\tNNP\tI-NP\tO' -p33658 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p33659 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p33660 -aS'Room\tRoom\tNNP\tI-NP\tO' -p33661 -aS'after\tafter\tIN\tB-PP\tO' -p33662 -aS'trying\ttry\tVBG\tB-VP\tO' -p33663 -aS'nitroglycerin\tnitroglycerin\tNN\tB-NP\tO' -p33664 -aS'at\tat\tIN\tB-PP\tO' -p33665 -aS'home\thome\tNN\tB-NP\tO' -p33666 -aS'.\t.\t.\tO\tO' -p33667 -asS'1) Alcohol abuse in the past .' -p33668 -(lp33669 -S'1)\t1)\tLS\tB-NP\tO' -p33670 -aS'Alcohol\tAlcohol\tNN\tI-NP\tO' -p33671 -aS'abuse\tabuse\tNN\tI-NP\tO' -p33672 -aS'in\tin\tIN\tB-PP\tO' -p33673 -aS'the\tthe\tDT\tB-NP\tO' -p33674 -aS'past\tpast\tNN\tI-NP\tO' -p33675 -aS'.\t.\t.\tO\tO' -p33676 -asS"Physical Therapy was consulted in order to assess the patient 's ambulation and mobility , however , with his foot infection and associated pain , it was difficult to assess at that time ." -p33677 -(lp33678 -S'Physical\tPhysical\tJJ\tB-NP\tO' -p33679 -aS'Therapy\tTherapy\tNN\tI-NP\tO' -p33680 -aS'was\tbe\tVBD\tB-VP\tO' -p33681 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p33682 -aS'in\tin\tIN\tB-SBAR\tO' -p33683 -aS'order\torder\tNN\tO\tO' -p33684 -aS'to\tto\tTO\tB-VP\tO' -p33685 -aS'assess\tassess\tVB\tI-VP\tO' -p33686 -aS'the\tthe\tDT\tB-NP\tO' -p33687 -aS'patient\tpatient\tNN\tI-NP\tO' -p33688 -aS"'s\t's\tPOS\tB-NP\tO" -p33689 -aS'ambulation\tambulation\tNN\tI-NP\tO' -p33690 -aS'and\tand\tCC\tI-NP\tO' -p33691 -aS'mobility\tmobility\tNN\tI-NP\tO' -p33692 -aS',\t,\t,\tO\tO' -p33693 -aS'however\thowever\tRB\tB-ADVP\tO' -p33694 -aS',\t,\t,\tO\tO' -p33695 -aS'with\twith\tIN\tB-PP\tO' -p33696 -aS'his\this\tPRP$\tB-NP\tO' -p33697 -aS'foot\tfoot\tNN\tI-NP\tO' -p33698 -aS'infection\tinfection\tNN\tI-NP\tO' -p33699 -aS'and\tand\tCC\tO\tO' -p33700 -aS'associated\tassociate\tVBN\tB-VP\tO' -p33701 -aS'pain\tpain\tNN\tB-NP\tO' -p33702 -aS',\t,\t,\tO\tO' -p33703 -aS'it\tit\tPRP\tB-NP\tO' -p33704 -aS'was\tbe\tVBD\tB-VP\tO' -p33705 -aS'difficult\tdifficult\tJJ\tB-ADJP\tO' -p33706 -aS'to\tto\tTO\tB-VP\tO' -p33707 -aS'assess\tassess\tVB\tI-VP\tO' -p33708 -aS'at\tat\tIN\tB-PP\tO' -p33709 -aS'that\tthat\tDT\tB-NP\tO' -p33710 -aS'time\ttime\tNN\tI-NP\tO' -p33711 -aS'.\t.\t.\tO\tO' -p33712 -asS'Goal INR is 2.0-3.0 .' -p33713 -(lp33714 -S'Goal\tGoal\tNNP\tB-NP\tO' -p33715 -aS'INR\tINR\tNNP\tI-NP\tO' -p33716 -aS'is\tbe\tVBZ\tB-VP\tO' -p33717 -aS'2.0-3.0\t2.0-3.0\tCD\tB-NP\tO' -p33718 -aS'.\t.\t.\tO\tO' -p33719 -asS'4. Hand surgery .' -p33720 -(lp33721 -S'4.\t4.\tLS\tB-NP\tO' -p33722 -aS'Hand\tHand\tNN\tI-NP\tO' -p33723 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p33724 -aS'.\t.\t.\tO\tO' -p33725 -asS'Hips normal , held in the breech position .' -p33726 -(lp33727 -S'Hips\tHip\tNNS\tB-NP\tO' -p33728 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p33729 -aS',\t,\t,\tO\tO' -p33730 -aS'held\thold\tVBN\tB-VP\tO' -p33731 -aS'in\tin\tIN\tB-PP\tO' -p33732 -aS'the\tthe\tDT\tB-NP\tO' -p33733 -aS'breech\tbreech\tNN\tI-NP\tO' -p33734 -aS'position\tposition\tNN\tI-NP\tO' -p33735 -aS'.\t.\t.\tO\tO' -p33736 -asS'He was given lopressor 5 mg x 2 ( 3rd dose given by medflight , 5 mg morphine , ativan , nitro gtt , heparin , and integrillin .' -p33737 -(lp33738 -S'He\tHe\tPRP\tB-NP\tB-protein' -p33739 -aS'was\tbe\tVBD\tB-VP\tI-protein' -p33740 -aS'given\tgive\tVBN\tI-VP\tI-protein' -p33741 -aS'lopressor\tlopressor\tNN\tB-NP\tI-protein' -p33742 -aS'5\t5\tCD\tI-NP\tI-protein' -p33743 -aS'mg\tmg\tNN\tI-NP\tI-protein' -p33744 -aS'x\tx\tSYM\tO\tI-protein' -p33745 -aS'2\t2\tCD\tB-NP\tI-protein' -p33746 -aS'(\t(\t(\tO\tO' -p33747 -aS'3rd\t3rd\tCD\tB-NP\tO' -p33748 -aS'dose\tdose\tNN\tI-NP\tO' -p33749 -aS'given\tgive\tVBN\tB-VP\tO' -p33750 -aS'by\tby\tIN\tB-PP\tO' -p33751 -aS'medflight\tmedflight\tNN\tB-NP\tO' -p33752 -aS',\t,\t,\tO\tO' -p33753 -aS'5\t5\tCD\tB-NP\tO' -p33754 -aS'mg\tmg\tNN\tI-NP\tO' -p33755 -aS'morphine\tmorphine\tNN\tI-NP\tO' -p33756 -aS',\t,\t,\tO\tO' -p33757 -aS'ativan\tativan\tNN\tB-NP\tO' -p33758 -aS',\t,\t,\tO\tO' -p33759 -aS'nitro\tnitro\tNN\tB-NP\tO' -p33760 -aS'gtt\tgtt\tNN\tI-NP\tO' -p33761 -aS',\t,\t,\tO\tO' -p33762 -aS'heparin\theparin\tNN\tB-NP\tO' -p33763 -aS',\t,\t,\tO\tO' -p33764 -aS'and\tand\tCC\tO\tO' -p33765 -aS'integrillin\tintegrillin\tNN\tB-NP\tB-protein' -p33766 -aS'.\t.\t.\tO\tO' -p33767 -asS'She was admitted on 2011-08-25 for nausea , vomiting , and a shortened cervix .' -p33768 -(lp33769 -S'She\tShe\tPRP\tB-NP\tO' -p33770 -aS'was\tbe\tVBD\tB-VP\tO' -p33771 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p33772 -aS'on\ton\tIN\tB-PP\tO' -p33773 -aS'2011-08-25\t2011-08-25\tCD\tB-NP\tO' -p33774 -aS'for\tfor\tIN\tB-PP\tO' -p33775 -aS'nausea\tnausea\tNN\tB-NP\tO' -p33776 -aS',\t,\t,\tO\tO' -p33777 -aS'vomiting\tvomiting\tNN\tB-NP\tO' -p33778 -aS',\t,\t,\tO\tO' -p33779 -aS'and\tand\tCC\tO\tO' -p33780 -aS'a\ta\tDT\tB-NP\tO' -p33781 -aS'shortened\tshorten\tVBN\tI-NP\tO' -p33782 -aS'cervix\tcervix\tNN\tI-NP\tO' -p33783 -aS'.\t.\t.\tO\tO' -p33784 -asS'1. Hyaline Membrane Disease .' -p33785 -(lp33786 -S'1.\t1.\tLS\tB-NP\tO' -p33787 -aS'Hyaline\tHyaline\tNN\tI-NP\tO' -p33788 -aS'Membrane\tMembrane\tNN\tI-NP\tO' -p33789 -aS'Disease\tDisease\tNN\tI-NP\tO' -p33790 -aS'.\t.\t.\tO\tO' -p33791 -asS'It was not felt likely to be due to Parkinson 's disease , as he had no significant response to Eldopa in the past and the patient had no evidence of tremor , although he was quite rigid and bradykinetic .' -p33792 -(lp33793 -S'It\tIt\tPRP\tB-NP\tO' -p33794 -aS'was\tbe\tVBD\tB-VP\tO' -p33795 -aS'not\tnot\tRB\tI-VP\tO' -p33796 -aS'felt\tfeel\tVBN\tI-VP\tO' -p33797 -aS'likely\tlikely\tJJ\tB-ADJP\tO' -p33798 -aS'to\tto\tTO\tB-VP\tO' -p33799 -aS'be\tbe\tVB\tI-VP\tO' -p33800 -aS'due\tdue\tJJ\tB-ADJP\tO' -p33801 -aS'to\tto\tTO\tB-PP\tO' -p33802 -aS'Parkinson\tParkinson\tNNP\tB-NP\tO' -p33803 -aS''s\t'\tNNS\tI-NP\tO' -p33804 -aS'disease\tdisease\tNN\tI-NP\tO' -p33805 -aS',\t,\t,\tO\tO' -p33806 -aS'as\tas\tIN\tB-SBAR\tO' -p33807 -aS'he\the\tPRP\tB-NP\tO' -p33808 -aS'had\thave\tVBD\tB-VP\tO' -p33809 -aS'no\tno\tDT\tB-NP\tO' -p33810 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p33811 -aS'response\tresponse\tNN\tI-NP\tO' -p33812 -aS'to\tto\tTO\tB-PP\tO' -p33813 -aS'Eldopa\tEldopa\tNN\tB-NP\tO' -p33814 -aS'in\tin\tIN\tB-PP\tO' -p33815 -aS'the\tthe\tDT\tB-NP\tO' -p33816 -aS'past\tpast\tNN\tI-NP\tO' -p33817 -aS'and\tand\tCC\tO\tO' -p33818 -aS'the\tthe\tDT\tB-NP\tO' -p33819 -aS'patient\tpatient\tNN\tI-NP\tO' -p33820 -aS'had\thave\tVBD\tB-VP\tO' -p33821 -aS'no\tno\tDT\tB-NP\tO' -p33822 -aS'evidence\tevidence\tNN\tI-NP\tO' -p33823 -aS'of\tof\tIN\tB-PP\tO' -p33824 -aS'tremor\ttremor\tNN\tB-NP\tO' -p33825 -aS',\t,\t,\tO\tO' -p33826 -aS'although\talthough\tIN\tB-SBAR\tO' -p33827 -aS'he\the\tPRP\tB-NP\tO' -p33828 -aS'was\tbe\tVBD\tB-VP\tO' -p33829 -aS'quite\tquite\tRB\tB-ADJP\tO' -p33830 -aS'rigid\trigid\tJJ\tI-ADJP\tO' -p33831 -aS'and\tand\tCC\tI-ADJP\tO' -p33832 -aS'bradykinetic\tbradykinetic\tJJ\tI-ADJP\tO' -p33833 -aS'.\t.\t.\tO\tO' -p33834 -asS'4. Ampicillin 2 grams q. 4 hours .' -p33835 -(lp33836 -S'4.\t4.\tLS\tB-NP\tO' -p33837 -aS'Ampicillin\tAmpicillin\tNN\tI-NP\tO' -p33838 -aS'2\t2\tCD\tB-NP\tO' -p33839 -aS'grams\tgram\tNNS\tI-NP\tO' -p33840 -aS'q.\tq.\tNN\tI-NP\tO' -p33841 -aS'4\t4\tCD\tB-NP\tO' -p33842 -aS'hours\thour\tNNS\tI-NP\tO' -p33843 -aS'.\t.\t.\tO\tO' -p33844 -asS'Dr. Pearly Reilly , 208-4200 .' -p33845 -(lp33846 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p33847 -aS'Pearly\tPearly\tNNP\tI-NP\tO' -p33848 -aS'Reilly\tReilly\tNNP\tI-NP\tO' -p33849 -aS',\t,\t,\tO\tO' -p33850 -aS'208-4200\t208-4200\tCD\tB-NP\tO' -p33851 -aS'.\t.\t.\tO\tO' -p33852 -asS'An echo performed on admission showed an LF EF of 25% .' -p33853 -(lp33854 -S'An\tAn\tDT\tB-NP\tO' -p33855 -aS'echo\techo\tNN\tI-NP\tO' -p33856 -aS'performed\tperform\tVBN\tB-VP\tO' -p33857 -aS'on\ton\tIN\tB-PP\tO' -p33858 -aS'admission\tadmission\tNN\tB-NP\tO' -p33859 -aS'showed\tshow\tVBD\tB-VP\tO' -p33860 -aS'an\tan\tDT\tB-NP\tO' -p33861 -aS'LF\tLF\tNN\tI-NP\tB-protein' -p33862 -aS'EF\tEF\tNN\tI-NP\tI-protein' -p33863 -aS'of\tof\tIN\tB-PP\tO' -p33864 -aS'25%\t25%\tNN\tB-NP\tO' -p33865 -aS'.\t.\t.\tO\tO' -p33866 -asS'She recieved serial enzymes and EKGs .' -p33867 -(lp33868 -S'She\tShe\tPRP\tB-NP\tB-protein' -p33869 -aS'recieved\trecieve\tVBD\tB-VP\tI-protein' -p33870 -aS'serial\tserial\tJJ\tB-NP\tI-protein' -p33871 -aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' -p33872 -aS'and\tand\tCC\tI-NP\tO' -p33873 -aS'EKGs\tEKG\tNNS\tI-NP\tB-protein' -p33874 -aS'.\t.\t.\tO\tO' -p33875 -asS'IP reviewed the films and recommended continue oncologic care according to' -p33876 -(lp33877 -S'IP\tIP\tNN\tB-NP\tO' -p33878 -aS'reviewed\treview\tVBD\tB-VP\tO' -p33879 -aS'the\tthe\tDT\tB-NP\tO' -p33880 -aS'films\tfilm\tNNS\tI-NP\tO' -p33881 -aS'and\tand\tCC\tO\tO' -p33882 -aS'recommended\trecommend\tVBD\tB-VP\tO' -p33883 -aS'continue\tcontinue\tJJ\tB-NP\tO' -p33884 -aS'oncologic\toncologic\tJJ\tI-NP\tO' -p33885 -aS'care\tcare\tNN\tI-NP\tO' -p33886 -aS'according\taccord\tVBG\tB-PP\tO' -p33887 -aS'to\tto\tTO\tB-PP\tO' -p33888 -asS'psychological assessment , past medication responses discussed .' -p33889 -(lp33890 -S'psychological\tpsychological\tJJ\tB-NP\tO' -p33891 -aS'assessment\tassessment\tNN\tI-NP\tO' -p33892 -aS',\t,\t,\tO\tO' -p33893 -aS'past\tpast\tJJ\tB-NP\tO' -p33894 -aS'medication\tmedication\tNN\tI-NP\tO' -p33895 -aS'responses\tresponse\tNNS\tI-NP\tO' -p33896 -aS'discussed\tdiscuss\tVBN\tB-VP\tO' -p33897 -aS'.\t.\t.\tO\tO' -p33898 -asS'3. Acetic acid 0.25% wet-to-dry dressing changes q. day for his left foot ulcer .' -p33899 -(lp33900 -S'3.\t3.\tLS\tB-NP\tO' -p33901 -aS'Acetic\tAcetic\tJJ\tI-NP\tO' -p33902 -aS'acid\tacid\tNN\tI-NP\tO' -p33903 -aS'0.25%\t0.25%\tCD\tI-NP\tO' -p33904 -aS'wet-to-dry\twet-to-dry\tJJ\tI-NP\tO' -p33905 -aS'dressing\tdress\tVBG\tI-NP\tO' -p33906 -aS'changes\tchange\tNNS\tI-NP\tO' -p33907 -aS'q.\tq.\tLS\tB-NP\tO' -p33908 -aS'day\tday\tNN\tI-NP\tO' -p33909 -aS'for\tfor\tIN\tB-PP\tO' -p33910 -aS'his\this\tPRP$\tB-NP\tO' -p33911 -aS'left\tleft\tJJ\tI-NP\tO' -p33912 -aS'foot\tfoot\tNN\tI-NP\tO' -p33913 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p33914 -aS'.\t.\t.\tO\tO' -p33915 -asS'The review of systems is negative .' -p33916 -(lp33917 -S'The\tThe\tDT\tB-NP\tO' -p33918 -aS'review\treview\tNN\tI-NP\tO' -p33919 -aS'of\tof\tIN\tB-PP\tO' -p33920 -aS'systems\tsystem\tNNS\tB-NP\tO' -p33921 -aS'is\tbe\tVBZ\tB-VP\tO' -p33922 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p33923 -aS'.\t.\t.\tO\tO' -p33924 -asS'His hematocrit has been stable in the mid-30s .' -p33925 -(lp33926 -S'His\tHis\tPRP$\tB-NP\tO' -p33927 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p33928 -aS'has\thave\tVBZ\tB-VP\tO' -p33929 -aS'been\tbe\tVBN\tI-VP\tO' -p33930 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p33931 -aS'in\tin\tIN\tB-PP\tO' -p33932 -aS'the\tthe\tDT\tB-NP\tO' -p33933 -aS'mid-30s\tmid-30\tNNS\tI-NP\tO' -p33934 -aS'.\t.\t.\tO\tO' -p33935 -asS'The patient was admitted on July 9 to the operating room .' -p33936 -(lp33937 -S'The\tThe\tDT\tB-NP\tO' -p33938 -aS'patient\tpatient\tNN\tI-NP\tO' -p33939 -aS'was\tbe\tVBD\tB-VP\tO' -p33940 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p33941 -aS'on\ton\tIN\tB-PP\tO' -p33942 -aS'July\tJuly\tNNP\tB-NP\tO' -p33943 -aS'9\t9\tCD\tI-NP\tO' -p33944 -aS'to\tto\tTO\tB-PP\tO' -p33945 -aS'the\tthe\tDT\tB-NP\tO' -p33946 -aS'operating\toperating\tNN\tI-NP\tO' -p33947 -aS'room\troom\tNN\tI-NP\tO' -p33948 -aS'.\t.\t.\tO\tO' -p33949 -asS'These findings indicate a widespread encephalopathy .' -p33950 -(lp33951 -S'These\tThese\tDT\tB-NP\tO' -p33952 -aS'findings\tfinding\tNNS\tI-NP\tO' -p33953 -aS'indicate\tindicate\tVBP\tB-VP\tO' -p33954 -aS'a\ta\tDT\tB-NP\tO' -p33955 -aS'widespread\twidespread\tJJ\tI-NP\tO' -p33956 -aS'encephalopathy\tencephalopathy\tNN\tI-NP\tO' -p33957 -aS'.\t.\t.\tO\tO' -p33958 -asS'HEENT : mmm , JVP at 14 cm , no bruits , supple' -p33959 -(lp33960 -S'HEENT\tHEENT\tNN\tB-NP\tO' -p33961 -aS':\t:\t:\tO\tO' -p33962 -aS'mmm\tmmm\tNN\tB-NP\tO' -p33963 -aS',\t,\t,\tO\tO' -p33964 -aS'JVP\tJVP\tNN\tB-NP\tB-protein' -p33965 -aS'at\tat\tIN\tB-PP\tO' -p33966 -aS'14\t14\tCD\tB-NP\tO' -p33967 -aS'cm\tcm\tNN\tI-NP\tO' -p33968 -aS',\t,\t,\tO\tO' -p33969 -aS'no\tno\tDT\tB-NP\tO' -p33970 -aS'bruits\tbruit\tNNS\tI-NP\tO' -p33971 -aS',\t,\t,\tO\tO' -p33972 -aS'supple\tsupple\tNN\tB-NP\tO' -p33973 -asS'Following evaluation and treatment , the patient 's disposition at the end of the visit was ADMITTED AS AN INPATIENT TO FAIRM OF IJORDCOMPMAC HOSPITAL .' -p33974 -(lp33975 -S'Following\tFollow\tVBG\tB-PP\tO' -p33976 -aS'evaluation\tevaluation\tNN\tB-NP\tO' -p33977 -aS'and\tand\tCC\tI-NP\tO' -p33978 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p33979 -aS',\t,\t,\tO\tO' -p33980 -aS'the\tthe\tDT\tB-NP\tO' -p33981 -aS'patient\tpatient\tNN\tI-NP\tO' -p33982 -aS''s\t'\tNNS\tI-NP\tO' -p33983 -aS'disposition\tdisposition\tNN\tI-NP\tO' -p33984 -aS'at\tat\tIN\tB-PP\tO' -p33985 -aS'the\tthe\tDT\tB-NP\tO' -p33986 -aS'end\tend\tNN\tI-NP\tO' -p33987 -aS'of\tof\tIN\tB-PP\tO' -p33988 -aS'the\tthe\tDT\tB-NP\tO' -p33989 -aS'visit\tvisit\tNN\tI-NP\tO' -p33990 -aS'was\tbe\tVBD\tB-VP\tO' -p33991 -aS'ADMITTED\tADMITTED\tVBN\tI-VP\tO' -p33992 -aS'AS\tAS\tNNP\tB-NP\tO' -p33993 -aS'AN\tAN\tNNP\tI-NP\tO' -p33994 -aS'INPATIENT\tINPATIENT\tNNP\tI-NP\tO' -p33995 -aS'TO\tTO\tNNP\tI-NP\tO' -p33996 -aS'FAIRM\tFAIRM\tNNP\tI-NP\tO' -p33997 -aS'OF\tOF\tIN\tB-PP\tO' -p33998 -aS'IJORDCOMPMAC\tIJORDCOMPMAC\tNNP\tB-NP\tO' -p33999 -aS'HOSPITAL\tHOSPITAL\tNNP\tI-NP\tO' -p34000 -aS'.\t.\t.\tO\tO' -p34001 -asS'The abdomen was soft , nontender , nondistended , mildly obese with liver edge two centimeters below the right costal margin .' -p34002 -(lp34003 -S'The\tThe\tDT\tB-NP\tO' -p34004 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p34005 -aS'was\tbe\tVBD\tB-VP\tO' -p34006 -aS'soft\tsoft\tJJ\tB-NP\tO' -p34007 -aS',\t,\t,\tI-NP\tO' -p34008 -aS'nontender\tnontender\tJJ\tI-NP\tO' -p34009 -aS',\t,\t,\tI-NP\tO' -p34010 -aS'nondistended\tnondistended\tJJ\tI-NP\tO' -p34011 -aS',\t,\t,\tI-NP\tO' -p34012 -aS'mildly\tmildly\tRB\tI-NP\tO' -p34013 -aS'obese\tobese\tJJ\tI-ADJP\tO' -p34014 -aS'with\twith\tIN\tB-PP\tO' -p34015 -aS'liver\tliver\tNN\tB-NP\tO' -p34016 -aS'edge\tedge\tNN\tI-NP\tO' -p34017 -aS'two\ttwo\tCD\tB-NP\tO' -p34018 -aS'centimeters\tcentimeter\tNNS\tI-NP\tO' -p34019 -aS'below\tbelow\tIN\tB-PP\tO' -p34020 -aS'the\tthe\tDT\tB-NP\tO' -p34021 -aS'right\tright\tJJ\tI-NP\tO' -p34022 -aS'costal\tcostal\tJJ\tI-NP\tO' -p34023 -aS'margin\tmargin\tNN\tI-NP\tO' -p34024 -aS'.\t.\t.\tO\tO' -p34025 -asS'White blood cell count was 11.5 , 85 polys , 5 bands , hematocrit 37.6 , platelet count 328 .' -p34026 -(lp34027 -S'White\tWhite\tJJ\tB-NP\tO' -p34028 -aS'blood\tblood\tNN\tI-NP\tO' -p34029 -aS'cell\tcell\tNN\tI-NP\tO' -p34030 -aS'count\tcount\tNN\tI-NP\tO' -p34031 -aS'was\tbe\tVBD\tB-VP\tO' -p34032 -aS'11.5\t11.5\tCD\tB-NP\tO' -p34033 -aS',\t,\t,\tO\tO' -p34034 -aS'85\t85\tCD\tB-NP\tO' -p34035 -aS'polys\tpoly\tNNS\tI-NP\tO' -p34036 -aS',\t,\t,\tO\tO' -p34037 -aS'5\t5\tCD\tB-NP\tO' -p34038 -aS'bands\tband\tNNS\tI-NP\tO' -p34039 -aS',\t,\t,\tO\tO' -p34040 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p34041 -aS'37.6\t37.6\tCD\tI-NP\tI-protein' -p34042 -aS',\t,\t,\tO\tO' -p34043 -aS'platelet\tplatelet\tNN\tB-NP\tB-protein' -p34044 -aS'count\tcount\tNN\tI-NP\tI-protein' -p34045 -aS'328\t328\tCD\tI-NP\tI-protein' -p34046 -aS'.\t.\t.\tO\tO' -p34047 -asS'Lives along , takes care of herself .' -p34048 -(lp34049 -S'Lives\tLife\tNNS\tB-NP\tO' -p34050 -aS'along\talong\tRB\tB-ADVP\tO' -p34051 -aS',\t,\t,\tO\tO' -p34052 -aS'takes\ttake\tVBZ\tB-VP\tO' -p34053 -aS'care\tcare\tNN\tB-NP\tO' -p34054 -aS'of\tof\tIN\tB-PP\tO' -p34055 -aS'herself\therself\tPRP\tB-NP\tO' -p34056 -aS'.\t.\t.\tO\tO' -p34057 -asS'There are several foster children also in the home that take care of her at times .' -p34058 -(lp34059 -S'There\tThere\tEX\tB-NP\tO' -p34060 -aS'are\tbe\tVBP\tB-VP\tO' -p34061 -aS'several\tseveral\tJJ\tB-NP\tO' -p34062 -aS'foster\tfoster\tJJ\tI-NP\tO' -p34063 -aS'children\tchild\tNNS\tI-NP\tO' -p34064 -aS'also\talso\tRB\tB-ADVP\tO' -p34065 -aS'in\tin\tIN\tB-PP\tO' -p34066 -aS'the\tthe\tDT\tB-NP\tO' -p34067 -aS'home\thome\tNN\tI-NP\tO' -p34068 -aS'that\tthat\tWDT\tB-NP\tO' -p34069 -aS'take\ttake\tVBP\tB-VP\tO' -p34070 -aS'care\tcare\tNN\tB-NP\tO' -p34071 -aS'of\tof\tIN\tB-PP\tO' -p34072 -aS'her\ther\tPRP\tB-NP\tO' -p34073 -aS'at\tat\tIN\tB-PP\tO' -p34074 -aS'times\ttime\tNNS\tB-NP\tO' -p34075 -aS'.\t.\t.\tO\tO' -p34076 -asS'Overall left ventricular systolic function is normal ( LVEF>55% ) .' -p34077 -(lp34078 -S'Overall\tOverall\tRB\tB-ADVP\tO' -p34079 -aS'left\tleave\tVBD\tB-VP\tO' -p34080 -aS'ventricular\tventricular\tJJ\tB-NP\tO' -p34081 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p34082 -aS'function\tfunction\tNN\tI-NP\tO' -p34083 -aS'is\tbe\tVBZ\tB-VP\tO' -p34084 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p34085 -aS'(\t(\t(\tO\tO' -p34086 -aS'LVEF>55%\tLVEF>55%\tNN\tB-NP\tB-protein' -p34087 -aS')\t)\t)\tO\tO' -p34088 -aS'.\t.\t.\tO\tO' -p34089 -asS'He lives by himself in Tennessee .' -p34090 -(lp34091 -S'He\tHe\tPRP\tB-NP\tO' -p34092 -aS'lives\tlive\tVBZ\tB-VP\tO' -p34093 -aS'by\tby\tIN\tB-PP\tO' -p34094 -aS'himself\thimself\tPRP\tB-NP\tO' -p34095 -aS'in\tin\tIN\tB-PP\tO' -p34096 -aS'Tennessee\tTennessee\tNNP\tB-NP\tO' -p34097 -aS'.\t.\t.\tO\tO' -p34098 -asS'In the Intensive Care Unit the patient was kept intubated and sedated until 09/02/98 which was postoperative day no. 1 following the homograft replacement .' -p34099 -(lp34100 -S'In\tIn\tIN\tB-PP\tO' -p34101 -aS'the\tthe\tDT\tB-NP\tO' -p34102 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p34103 -aS'Care\tCare\tNNP\tI-NP\tO' -p34104 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p34105 -aS'the\tthe\tDT\tB-NP\tO' -p34106 -aS'patient\tpatient\tNN\tI-NP\tO' -p34107 -aS'was\tbe\tVBD\tB-VP\tO' -p34108 -aS'kept\tkeep\tVBN\tI-VP\tO' -p34109 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p34110 -aS'and\tand\tCC\tI-VP\tO' -p34111 -aS'sedated\tsedate\tVBN\tI-VP\tO' -p34112 -aS'until\tuntil\tIN\tB-PP\tO' -p34113 -aS'09/02/98\t09/02/98\tCD\tB-NP\tO' -p34114 -aS'which\twhich\tWDT\tB-NP\tO' -p34115 -aS'was\tbe\tVBD\tB-VP\tO' -p34116 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p34117 -aS'day\tday\tNN\tI-NP\tO' -p34118 -aS'no.\tno.\tRB\tB-NP\tO' -p34119 -aS'1\t1\tCD\tI-NP\tO' -p34120 -aS'following\tfollow\tVBG\tB-PP\tO' -p34121 -aS'the\tthe\tDT\tB-NP\tO' -p34122 -aS'homograft\thomograft\tNN\tI-NP\tO' -p34123 -aS'replacement\treplacement\tNN\tI-NP\tO' -p34124 -aS'.\t.\t.\tO\tO' -p34125 -asS'She made mistakes with position sense , roughly at chance level with both great toes and the left first finger , position sense in the right limb seems preserved .' -p34126 -(lp34127 -S'She\tShe\tPRP\tB-NP\tO' -p34128 -aS'made\tmake\tVBD\tB-VP\tO' -p34129 -aS'mistakes\tmistake\tNNS\tB-NP\tO' -p34130 -aS'with\twith\tIN\tB-PP\tO' -p34131 -aS'position\tposition\tNN\tB-NP\tO' -p34132 -aS'sense\tsense\tNN\tI-NP\tO' -p34133 -aS',\t,\t,\tO\tO' -p34134 -aS'roughly\troughly\tRB\tB-ADVP\tO' -p34135 -aS'at\tat\tIN\tB-PP\tO' -p34136 -aS'chance\tchance\tNN\tB-NP\tO' -p34137 -aS'level\tlevel\tNN\tI-NP\tO' -p34138 -aS'with\twith\tIN\tB-PP\tO' -p34139 -aS'both\tboth\tDT\tB-NP\tO' -p34140 -aS'great\tgreat\tJJ\tI-NP\tO' -p34141 -aS'toes\ttoe\tNNS\tI-NP\tO' -p34142 -aS'and\tand\tCC\tO\tO' -p34143 -aS'the\tthe\tDT\tB-NP\tO' -p34144 -aS'left\tleft\tJJ\tI-NP\tO' -p34145 -aS'first\tfirst\tJJ\tI-NP\tO' -p34146 -aS'finger\tfinger\tNN\tI-NP\tO' -p34147 -aS',\t,\t,\tO\tO' -p34148 -aS'position\tposition\tNN\tB-NP\tO' -p34149 -aS'sense\tsense\tNN\tI-NP\tO' -p34150 -aS'in\tin\tIN\tB-PP\tO' -p34151 -aS'the\tthe\tDT\tB-NP\tO' -p34152 -aS'right\tright\tJJ\tI-NP\tO' -p34153 -aS'limb\tlimb\tNN\tI-NP\tO' -p34154 -aS'seems\tseem\tVBZ\tB-VP\tO' -p34155 -aS'preserved\tpreserve\tVBN\tB-ADJP\tO' -p34156 -aS'.\t.\t.\tO\tO' -p34157 -asS'Two daughters came by and requested to be health care proxies as patient approved .' -p34158 -(lp34159 -S'Two\tTwo\tCD\tB-NP\tO' -p34160 -aS'daughters\tdaughter\tNNS\tI-NP\tO' -p34161 -aS'came\tcome\tVBD\tB-VP\tO' -p34162 -aS'by\tby\tIN\tB-PP\tO' -p34163 -aS'and\tand\tCC\tO\tO' -p34164 -aS'requested\trequest\tVBN\tB-VP\tO' -p34165 -aS'to\tto\tTO\tI-VP\tO' -p34166 -aS'be\tbe\tVB\tI-VP\tO' -p34167 -aS'health\thealth\tNN\tB-NP\tO' -p34168 -aS'care\tcare\tNN\tI-NP\tO' -p34169 -aS'proxies\tproxy\tNNS\tI-NP\tO' -p34170 -aS'as\tas\tIN\tB-PP\tO' -p34171 -aS'patient\tpatient\tNN\tB-NP\tO' -p34172 -aS'approved\tapprove\tVBN\tB-VP\tO' -p34173 -aS'.\t.\t.\tO\tO' -p34174 -asS'Finally , on the day prior to discharge , she was stabilized to the point that she could have her EGD .' -p34175 -(lp34176 -S'Finally\tFinally\tRB\tB-ADVP\tO' -p34177 -aS',\t,\t,\tO\tO' -p34178 -aS'on\ton\tIN\tB-PP\tO' -p34179 -aS'the\tthe\tDT\tB-NP\tO' -p34180 -aS'day\tday\tNN\tI-NP\tO' -p34181 -aS'prior\tprior\tRB\tB-ADVP\tO' -p34182 -aS'to\tto\tTO\tB-VP\tO' -p34183 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p34184 -aS',\t,\t,\tO\tO' -p34185 -aS'she\tshe\tPRP\tB-NP\tO' -p34186 -aS'was\tbe\tVBD\tB-VP\tO' -p34187 -aS'stabilized\tstabilize\tVBN\tI-VP\tO' -p34188 -aS'to\tto\tTO\tB-PP\tO' -p34189 -aS'the\tthe\tDT\tB-NP\tO' -p34190 -aS'point\tpoint\tNN\tI-NP\tO' -p34191 -aS'that\tthat\tIN\tB-SBAR\tO' -p34192 -aS'she\tshe\tPRP\tB-NP\tO' -p34193 -aS'could\tcould\tMD\tB-VP\tO' -p34194 -aS'have\thave\tVB\tI-VP\tO' -p34195 -aS'her\ther\tPRP$\tB-NP\tO' -p34196 -aS'EGD\tEGD\tNN\tI-NP\tB-protein' -p34197 -aS'.\t.\t.\tO\tO' -p34198 -asS'If you lose consciousness , develop a low BP , have lightheadedness with standing , develop a fever , or have other worrisome symptoms , please seek medical care .' -p34199 -(lp34200 -S'If\tIf\tIN\tB-SBAR\tO' -p34201 -aS'you\tyou\tPRP\tB-NP\tO' -p34202 -aS'lose\tlose\tVBP\tB-VP\tO' -p34203 -aS'consciousness\tconsciousness\tNN\tB-NP\tO' -p34204 -aS',\t,\t,\tO\tO' -p34205 -aS'develop\tdevelop\tVBP\tB-VP\tO' -p34206 -aS'a\ta\tDT\tB-NP\tO' -p34207 -aS'low\tlow\tJJ\tI-NP\tO' -p34208 -aS'BP\tBP\tNN\tI-NP\tO' -p34209 -aS',\t,\t,\tO\tO' -p34210 -aS'have\thave\tVBP\tB-VP\tO' -p34211 -aS'lightheadedness\tlightheadedness\tNN\tB-NP\tO' -p34212 -aS'with\twith\tIN\tB-PP\tO' -p34213 -aS'standing\tstanding\tNN\tB-NP\tO' -p34214 -aS',\t,\t,\tO\tO' -p34215 -aS'develop\tdevelop\tVBP\tB-VP\tO' -p34216 -aS'a\ta\tDT\tB-NP\tO' -p34217 -aS'fever\tfever\tNN\tI-NP\tO' -p34218 -aS',\t,\t,\tO\tO' -p34219 -aS'or\tor\tCC\tO\tO' -p34220 -aS'have\thave\tVBP\tB-VP\tO' -p34221 -aS'other\tother\tJJ\tB-NP\tO' -p34222 -aS'worrisome\tworrisome\tJJ\tI-NP\tO' -p34223 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p34224 -aS',\t,\t,\tO\tO' -p34225 -aS'please\tplease\tVB\tB-VP\tO' -p34226 -aS'seek\tseek\tJJ\tB-NP\tO' -p34227 -aS'medical\tmedical\tJJ\tI-NP\tO' -p34228 -aS'care\tcare\tNN\tI-NP\tO' -p34229 -aS'.\t.\t.\tO\tO' -p34230 -asS'He has Nystatin suspension mouthwash , 10 cc swish and swallow q.i.d. He gets Serax , 15 to 30 mg p.o. q h.s. prni nsomnia .' -p34231 -(lp34232 -S'He\tHe\tPRP\tB-NP\tO' -p34233 -aS'has\thave\tVBZ\tB-VP\tO' -p34234 -aS'Nystatin\tNystatin\tNN\tB-NP\tO' -p34235 -aS'suspension\tsuspension\tNN\tI-NP\tO' -p34236 -aS'mouthwash\tmouthwash\tNN\tI-NP\tO' -p34237 -aS',\t,\t,\tO\tO' -p34238 -aS'10\t10\tCD\tB-NP\tO' -p34239 -aS'cc\tcc\tNN\tI-NP\tO' -p34240 -aS'swish\tswish\tVB\tB-VP\tO' -p34241 -aS'and\tand\tCC\tI-VP\tO' -p34242 -aS'swallow\tswallow\tVB\tI-VP\tO' -p34243 -aS'q.i.d.\tq.i.d.\tFW\tB-NP\tO' -p34244 -aS'He\tHe\tPRP\tB-NP\tO' -p34245 -aS'gets\tget\tVBZ\tB-VP\tO' -p34246 -aS'Serax\tSerax\tNN\tB-NP\tO' -p34247 -aS',\t,\t,\tO\tO' -p34248 -aS'15\t15\tCD\tB-NP\tO' -p34249 -aS'to\tto\tTO\tI-NP\tO' -p34250 -aS'30\t30\tCD\tI-NP\tO' -p34251 -aS'mg\tmg\tNN\tI-NP\tO' -p34252 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p34253 -aS'q\tq\tNN\tI-NP\tO' -p34254 -aS'h.s.\th.s.\tNN\tI-NP\tO' -p34255 -aS'prni\tprni\tNN\tI-NP\tO' -p34256 -aS'nsomnia\tnsomnia\tNN\tI-NP\tO' -p34257 -aS'.\t.\t.\tO\tO' -p34258 -asS'3. Osteoarthritis .' -p34259 -(lp34260 -S'3.\t3.\tLS\tB-NP\tO' -p34261 -aS'Osteoarthritis\tOsteoarthritis\tNN\tI-NP\tO' -p34262 -aS'.\t.\t.\tO\tO' -p34263 -asS'AZMACORT , CLINDAMYCIN , VERSED , FENTANYL , and MORPHINE .' -p34264 -(lp34265 -S'AZMACORT\tAZMACORT\tNN\tB-NP\tO' -p34266 -aS',\t,\t,\tO\tO' -p34267 -aS'CLINDAMYCIN\tCLINDAMYCIN\tNN\tB-NP\tO' -p34268 -aS',\t,\t,\tO\tO' -p34269 -aS'VERSED\tVERSED\tNN\tB-NP\tO' -p34270 -aS',\t,\t,\tO\tO' -p34271 -aS'FENTANYL\tFENTANYL\tNN\tB-NP\tO' -p34272 -aS',\t,\t,\tO\tO' -p34273 -aS'and\tand\tCC\tO\tO' -p34274 -aS'MORPHINE\tMORPHINE\tNN\tB-NP\tO' -p34275 -aS'.\t.\t.\tO\tO' -p34276 -asS'Prior to admission , he had a long and complicated hospital course at the outside hospital .' -p34277 -(lp34278 -S'Prior\tPrior\tRB\tB-ADVP\tO' -p34279 -aS'to\tto\tTO\tB-PP\tO' -p34280 -aS'admission\tadmission\tNN\tB-NP\tO' -p34281 -aS',\t,\t,\tO\tO' -p34282 -aS'he\the\tPRP\tB-NP\tO' -p34283 -aS'had\thave\tVBD\tB-VP\tO' -p34284 -aS'a\ta\tDT\tB-NP\tO' -p34285 -aS'long\tlong\tJJ\tI-NP\tO' -p34286 -aS'and\tand\tCC\tI-NP\tO' -p34287 -aS'complicated\tcomplicate\tVBN\tI-NP\tO' -p34288 -aS'hospital\thospital\tNN\tI-NP\tO' -p34289 -aS'course\tcourse\tNN\tI-NP\tO' -p34290 -aS'at\tat\tIN\tB-PP\tO' -p34291 -aS'the\tthe\tDT\tB-NP\tO' -p34292 -aS'outside\toutside\tJJ\tI-NP\tO' -p34293 -aS'hospital\thospital\tNN\tI-NP\tO' -p34294 -aS'.\t.\t.\tO\tO' -p34295 -asS'States that lightheadedness is resolved .' -p34296 -(lp34297 -S'States\tState\tNNS\tB-NP\tO' -p34298 -aS'that\tthat\tIN\tB-SBAR\tO' -p34299 -aS'lightheadedness\tlightheadedness\tNN\tB-NP\tO' -p34300 -aS'is\tbe\tVBZ\tB-VP\tO' -p34301 -aS'resolved\tresolve\tVBN\tI-VP\tO' -p34302 -aS'.\t.\t.\tO\tO' -p34303 -asS'Neck and mouth were normal .' -p34304 -(lp34305 -S'Neck\tNeck\tNN\tB-NP\tO' -p34306 -aS'and\tand\tCC\tI-NP\tO' -p34307 -aS'mouth\tmouth\tNN\tI-NP\tO' -p34308 -aS'were\tbe\tVBD\tB-VP\tO' -p34309 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p34310 -aS'.\t.\t.\tO\tO' -p34311 -asS'pneumothorax .' -p34312 -(lp34313 -S'pneumothorax\tpneumothorax\tNN\tB-NP\tO' -p34314 -aS'.\t.\t.\tO\tO' -p34315 -asS'ENDOMETRIAL CANCER .' -p34316 -(lp34317 -S'ENDOMETRIAL\tENDOMETRIAL\tJJ\tB-NP\tO' -p34318 -aS'CANCER\tCANCER\tNN\tI-NP\tO' -p34319 -aS'.\t.\t.\tO\tO' -p34320 -asS'The cardiac examination revealed anapical impulse in the fifth left intercostal space , left to mid clavicular line .' -p34321 -(lp34322 -S'The\tThe\tDT\tB-NP\tO' -p34323 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p34324 -aS'examination\texamination\tNN\tI-NP\tO' -p34325 -aS'revealed\treveal\tVBD\tB-VP\tO' -p34326 -aS'anapical\tanapical\tJJ\tB-NP\tO' -p34327 -aS'impulse\timpulse\tNN\tI-NP\tO' -p34328 -aS'in\tin\tIN\tB-PP\tO' -p34329 -aS'the\tthe\tDT\tB-NP\tO' -p34330 -aS'fifth\tfifth\tJJ\tI-NP\tO' -p34331 -aS'left\tleft\tJJ\tI-NP\tO' -p34332 -aS'intercostal\tintercostal\tJJ\tI-NP\tO' -p34333 -aS'space\tspace\tNN\tI-NP\tO' -p34334 -aS',\t,\t,\tO\tO' -p34335 -aS'left\tleave\tVBD\tB-VP\tO' -p34336 -aS'to\tto\tTO\tI-VP\tO' -p34337 -aS'mid\tmid\tVB\tI-VP\tO' -p34338 -aS'clavicular\tclavicular\tJJ\tB-NP\tO' -p34339 -aS'line\tline\tNN\tI-NP\tO' -p34340 -aS'.\t.\t.\tO\tO' -p34341 -asS'You may bear weight on your both legs .' -p34342 -(lp34343 -S'You\tYou\tPRP\tB-NP\tB-protein' -p34344 -aS'may\tmay\tMD\tB-VP\tO' -p34345 -aS'bear\tbear\tVB\tI-VP\tO' -p34346 -aS'weight\tweight\tNN\tB-NP\tO' -p34347 -aS'on\ton\tIN\tB-PP\tO' -p34348 -aS'your\tyour\tPRP$\tB-NP\tO' -p34349 -aS'both\tboth\tDT\tI-NP\tO' -p34350 -aS'legs\tleg\tNNS\tI-NP\tO' -p34351 -aS'.\t.\t.\tO\tO' -p34352 -asS'His Alk Phos were inititially low a few days after the operation , but it rised up to 422 two weeks after , but down-trended , as with the rest of his liver function test by the time he left the hospital .' -p34353 -(lp34354 -S'His\tHis\tPRP$\tB-NP\tB-protein' -p34355 -aS'Alk\tAlk\tNNP\tI-NP\tB-protein' -p34356 -aS'Phos\tPhos\tNNP\tI-NP\tO' -p34357 -aS'were\tbe\tVBD\tB-VP\tO' -p34358 -aS'inititially\tinititially\tRB\tB-NP\tO' -p34359 -aS'low\tlow\tJJ\tI-NP\tO' -p34360 -aS'a\ta\tDT\tI-NP\tO' -p34361 -aS'few\tfew\tJJ\tI-NP\tO' -p34362 -aS'days\tday\tNNS\tI-NP\tO' -p34363 -aS'after\tafter\tIN\tB-PP\tO' -p34364 -aS'the\tthe\tDT\tB-NP\tO' -p34365 -aS'operation\toperation\tNN\tI-NP\tO' -p34366 -aS',\t,\t,\tO\tO' -p34367 -aS'but\tbut\tCC\tO\tO' -p34368 -aS'it\tit\tPRP\tB-NP\tO' -p34369 -aS'rised\trise\tVBD\tB-VP\tO' -p34370 -aS'up\tup\tRB\tB-ADVP\tO' -p34371 -aS'to\tto\tTO\tB-PP\tO' -p34372 -aS'422\t422\tCD\tB-NP\tO' -p34373 -aS'two\ttwo\tCD\tI-NP\tO' -p34374 -aS'weeks\tweek\tNNS\tI-NP\tO' -p34375 -aS'after\tafter\tIN\tB-SBAR\tO' -p34376 -aS',\t,\t,\tO\tO' -p34377 -aS'but\tbut\tCC\tO\tO' -p34378 -aS'down-trended\tdown-trende\tVBD\tB-VP\tO' -p34379 -aS',\t,\t,\tO\tO' -p34380 -aS'as\tas\tIN\tB-PP\tO' -p34381 -aS'with\twith\tIN\tB-PP\tO' -p34382 -aS'the\tthe\tDT\tB-NP\tO' -p34383 -aS'rest\trest\tNN\tI-NP\tO' -p34384 -aS'of\tof\tIN\tB-PP\tO' -p34385 -aS'his\this\tPRP$\tB-NP\tO' -p34386 -aS'liver\tliver\tNN\tI-NP\tO' -p34387 -aS'function\tfunction\tNN\tI-NP\tO' -p34388 -aS'test\ttest\tNN\tI-NP\tO' -p34389 -aS'by\tby\tIN\tB-PP\tO' -p34390 -aS'the\tthe\tDT\tB-NP\tO' -p34391 -aS'time\ttime\tNN\tI-NP\tO' -p34392 -aS'he\the\tPRP\tB-NP\tO' -p34393 -aS'left\tleave\tVBD\tB-VP\tO' -p34394 -aS'the\tthe\tDT\tB-NP\tO' -p34395 -aS'hospital\thospital\tNN\tI-NP\tO' -p34396 -aS'.\t.\t.\tO\tO' -p34397 -asS'The goal was 3 to 4 stools per day .' -p34398 -(lp34399 -S'The\tThe\tDT\tB-NP\tO' -p34400 -aS'goal\tgoal\tNN\tI-NP\tO' -p34401 -aS'was\tbe\tVBD\tB-VP\tO' -p34402 -aS'3\t3\tCD\tB-NP\tO' -p34403 -aS'to\tto\tTO\tB-PP\tO' -p34404 -aS'4\t4\tCD\tB-NP\tO' -p34405 -aS'stools\tstool\tNNS\tI-NP\tO' -p34406 -aS'per\tper\tIN\tB-PP\tO' -p34407 -aS'day\tday\tNN\tB-NP\tO' -p34408 -aS'.\t.\t.\tO\tO' -p34409 -asS'A small apical muscular VSD was also noted .' -p34410 -(lp34411 -S'A\tA\tDT\tB-NP\tO' -p34412 -aS'small\tsmall\tJJ\tI-NP\tO' -p34413 -aS'apical\tapical\tJJ\tI-NP\tO' -p34414 -aS'muscular\tmuscular\tJJ\tI-NP\tO' -p34415 -aS'VSD\tVSD\tNN\tI-NP\tO' -p34416 -aS'was\tbe\tVBD\tB-VP\tO' -p34417 -aS'also\talso\tRB\tI-VP\tO' -p34418 -aS'noted\tnote\tVBN\tI-VP\tO' -p34419 -aS'.\t.\t.\tO\tO' -p34420 -asS'Her phosphorous rose appropriately to 3.6 at the time of discharge .' -p34421 -(lp34422 -S'Her\tHer\tPRP$\tB-NP\tO' -p34423 -aS'phosphorous\tphosphorous\tJJ\tI-NP\tO' -p34424 -aS'rose\trise\tVBD\tB-VP\tO' -p34425 -aS'appropriately\tappropriately\tRB\tB-ADVP\tO' -p34426 -aS'to\tto\tTO\tB-PP\tO' -p34427 -aS'3.6\t3.6\tCD\tB-NP\tO' -p34428 -aS'at\tat\tIN\tB-PP\tO' -p34429 -aS'the\tthe\tDT\tB-NP\tO' -p34430 -aS'time\ttime\tNN\tI-NP\tO' -p34431 -aS'of\tof\tIN\tB-PP\tO' -p34432 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p34433 -aS'.\t.\t.\tO\tO' -p34434 -asS'Catheterization results showed 100% occlusion of the proximal left anterior descending artery and 50% stenosis of first diagonal .' -p34435 -(lp34436 -S'Catheterization\tCatheterization\tNN\tB-NP\tO' -p34437 -aS'results\tresult\tNNS\tI-NP\tO' -p34438 -aS'showed\tshow\tVBD\tB-VP\tO' -p34439 -aS'100%\t100%\tCD\tB-NP\tO' -p34440 -aS'occlusion\tocclusion\tNN\tI-NP\tO' -p34441 -aS'of\tof\tIN\tB-PP\tO' -p34442 -aS'the\tthe\tDT\tB-NP\tO' -p34443 -aS'proximal\tproximal\tJJ\tI-NP\tO' -p34444 -aS'left\tleft\tJJ\tI-NP\tO' -p34445 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p34446 -aS'descending\tdescend\tVBG\tI-NP\tO' -p34447 -aS'artery\tartery\tNN\tI-NP\tO' -p34448 -aS'and\tand\tCC\tO\tO' -p34449 -aS'50%\t50%\tCD\tB-NP\tO' -p34450 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p34451 -aS'of\tof\tIN\tB-PP\tO' -p34452 -aS'first\tfirst\tJJ\tB-NP\tO' -p34453 -aS'diagonal\tdiagonal\tNN\tI-NP\tO' -p34454 -aS'.\t.\t.\tO\tO' -p34455 -asS'On 09-03-92 , patient underwent a left great toe buttontoe amputation under regional ankle block for chronic ulcer and osteomyelitis of the left great toe .' -p34456 -(lp34457 -S'On\tOn\tIN\tB-PP\tO' -p34458 -aS'09-03-92\t09-03-92\tCD\tB-NP\tO' -p34459 -aS',\t,\t,\tO\tO' -p34460 -aS'patient\tpatient\tNN\tB-NP\tO' -p34461 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p34462 -aS'a\ta\tDT\tB-NP\tO' -p34463 -aS'left\tleft\tJJ\tI-NP\tO' -p34464 -aS'great\tgreat\tJJ\tI-NP\tO' -p34465 -aS'toe\ttoe\tNN\tI-NP\tO' -p34466 -aS'buttontoe\tbuttontoe\tNN\tI-NP\tO' -p34467 -aS'amputation\tamputation\tNN\tI-NP\tO' -p34468 -aS'under\tunder\tIN\tB-PP\tO' -p34469 -aS'regional\tregional\tJJ\tB-NP\tO' -p34470 -aS'ankle\tankle\tNN\tI-NP\tO' -p34471 -aS'block\tblock\tNN\tI-NP\tO' -p34472 -aS'for\tfor\tIN\tB-PP\tO' -p34473 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p34474 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p34475 -aS'and\tand\tCC\tI-NP\tO' -p34476 -aS'osteomyelitis\tosteomyelitis\tNN\tI-NP\tO' -p34477 -aS'of\tof\tIN\tB-PP\tO' -p34478 -aS'the\tthe\tDT\tB-NP\tO' -p34479 -aS'left\tleft\tJJ\tI-NP\tO' -p34480 -aS'great\tgreat\tJJ\tI-NP\tO' -p34481 -aS'toe\ttoe\tNN\tI-NP\tO' -p34482 -aS'.\t.\t.\tO\tO' -p34483 -asS'The patient was discharged to stay with her family until returning home and will be screened for house safety upon moving from the family 's house .' -p34484 -(lp34485 -S'The\tThe\tDT\tB-NP\tO' -p34486 -aS'patient\tpatient\tNN\tI-NP\tO' -p34487 -aS'was\tbe\tVBD\tB-VP\tO' -p34488 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p34489 -aS'to\tto\tTO\tI-VP\tO' -p34490 -aS'stay\tstay\tVB\tI-VP\tO' -p34491 -aS'with\twith\tIN\tB-PP\tO' -p34492 -aS'her\ther\tPRP$\tB-NP\tO' -p34493 -aS'family\tfamily\tNN\tI-NP\tO' -p34494 -aS'until\tuntil\tIN\tB-PP\tO' -p34495 -aS'returning\treturn\tVBG\tB-VP\tO' -p34496 -aS'home\thome\tNN\tB-NP\tO' -p34497 -aS'and\tand\tCC\tO\tO' -p34498 -aS'will\twill\tMD\tB-VP\tO' -p34499 -aS'be\tbe\tVB\tI-VP\tO' -p34500 -aS'screened\tscreen\tVBN\tI-VP\tO' -p34501 -aS'for\tfor\tIN\tB-PP\tO' -p34502 -aS'house\thouse\tNN\tB-NP\tO' -p34503 -aS'safety\tsafety\tNN\tI-NP\tO' -p34504 -aS'upon\tupon\tIN\tB-PP\tO' -p34505 -aS'moving\tmove\tVBG\tB-VP\tO' -p34506 -aS'from\tfrom\tIN\tB-PP\tO' -p34507 -aS'the\tthe\tDT\tB-NP\tO' -p34508 -aS'family\tfamily\tNN\tI-NP\tO' -p34509 -aS''s\t'\tNNS\tI-NP\tO' -p34510 -aS'house\thouse\tNN\tI-NP\tO' -p34511 -aS'.\t.\t.\tO\tO' -p34512 -asS'Vital signs were stable on arrival in the David , but the patient was minimally responsive and subsequently intubated for airway protection .' -p34513 -(lp34514 -S'Vital\tVital\tJJ\tB-NP\tO' -p34515 -aS'signs\tsign\tNNS\tI-NP\tO' -p34516 -aS'were\tbe\tVBD\tB-VP\tO' -p34517 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p34518 -aS'on\ton\tIN\tB-PP\tO' -p34519 -aS'arrival\tarrival\tNN\tB-NP\tO' -p34520 -aS'in\tin\tIN\tB-PP\tO' -p34521 -aS'the\tthe\tDT\tB-NP\tO' -p34522 -aS'David\tDavid\tNNP\tI-NP\tO' -p34523 -aS',\t,\t,\tO\tO' -p34524 -aS'but\tbut\tCC\tO\tO' -p34525 -aS'the\tthe\tDT\tB-NP\tO' -p34526 -aS'patient\tpatient\tNN\tI-NP\tO' -p34527 -aS'was\tbe\tVBD\tB-VP\tO' -p34528 -aS'minimally\tminimally\tRB\tB-ADJP\tO' -p34529 -aS'responsive\tresponsive\tJJ\tI-ADJP\tO' -p34530 -aS'and\tand\tCC\tO\tO' -p34531 -aS'subsequently\tsubsequently\tRB\tB-VP\tO' -p34532 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p34533 -aS'for\tfor\tIN\tB-PP\tO' -p34534 -aS'airway\tairway\tNN\tB-NP\tO' -p34535 -aS'protection\tprotection\tNN\tI-NP\tO' -p34536 -aS'.\t.\t.\tO\tO' -p34537 -asS'Central IV access was obtained .' -p34538 -(lp34539 -S'Central\tCentral\tJJ\tB-NP\tO' -p34540 -aS'IV\tIV\tCD\tI-NP\tO' -p34541 -aS'access\taccess\tNN\tI-NP\tO' -p34542 -aS'was\tbe\tVBD\tB-VP\tO' -p34543 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p34544 -aS'.\t.\t.\tO\tO' -p34545 -asS'The patient was discharged on Tenormin , 25 mg PO qd ; Bactrim DS , one PO bid x5 days .' -p34546 -(lp34547 -S'The\tThe\tDT\tB-NP\tO' -p34548 -aS'patient\tpatient\tNN\tI-NP\tO' -p34549 -aS'was\tbe\tVBD\tB-VP\tO' -p34550 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p34551 -aS'on\ton\tIN\tB-PP\tO' -p34552 -aS'Tenormin\tTenormin\tNN\tB-NP\tO' -p34553 -aS',\t,\t,\tO\tO' -p34554 -aS'25\t25\tCD\tB-NP\tO' -p34555 -aS'mg\tmg\tNN\tI-NP\tO' -p34556 -aS'PO\tPO\tNN\tI-NP\tO' -p34557 -aS'qd\tqd\tNN\tI-NP\tO' -p34558 -aS';\t;\t:\tO\tO' -p34559 -aS'Bactrim\tBactrim\tNNP\tB-NP\tO' -p34560 -aS'DS\tDS\tNNP\tI-NP\tO' -p34561 -aS',\t,\t,\tO\tO' -p34562 -aS'one\tone\tCD\tB-NP\tO' -p34563 -aS'PO\tPO\tNN\tI-NP\tO' -p34564 -aS'bid\tbid\tNN\tI-NP\tO' -p34565 -aS'x5\tx5\tCD\tB-NP\tO' -p34566 -aS'days\tday\tNNS\tI-NP\tO' -p34567 -aS'.\t.\t.\tO\tO' -p34568 -asS'No phototherapy was started .' -p34569 -(lp34570 -S'No\tNo\tDT\tB-NP\tO' -p34571 -aS'phototherapy\tphototherapy\tNN\tI-NP\tO' -p34572 -aS'was\tbe\tVBD\tB-VP\tO' -p34573 -aS'started\tstart\tVBN\tI-VP\tO' -p34574 -aS'.\t.\t.\tO\tO' -p34575 -asS'The patient remained mechanically ventilated throughout his hospitalization .' -p34576 -(lp34577 -S'The\tThe\tDT\tB-NP\tO' -p34578 -aS'patient\tpatient\tNN\tI-NP\tO' -p34579 -aS'remained\tremain\tVBD\tB-VP\tO' -p34580 -aS'mechanically\tmechanically\tRB\tI-VP\tO' -p34581 -aS'ventilated\tventilate\tVBN\tI-VP\tO' -p34582 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p34583 -aS'his\this\tPRP$\tB-NP\tO' -p34584 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p34585 -aS'.\t.\t.\tO\tO' -p34586 -asS'Rales 1/3 of the way upbilaterally .' -p34587 -(lp34588 -S'Rales\tRale\tNNS\tB-NP\tB-protein' -p34589 -aS'1/3\t1/3\tCD\tB-NP\tI-protein' -p34590 -aS'of\tof\tIN\tB-PP\tO' -p34591 -aS'the\tthe\tDT\tB-NP\tO' -p34592 -aS'way\tway\tNN\tI-NP\tO' -p34593 -aS'upbilaterally\tupbilaterally\tRB\tB-ADVP\tO' -p34594 -aS'.\t.\t.\tO\tO' -p34595 -asS'Lopressor 100 mg p.o. b.i.d. ; Nifedipine 10 mg p.o. t.i.d. ; Timoptic solution 0.5% OS b.i.d. ; Coumadin 1 mg alternating with 1.5 mg q.o.d. at q.h.s. and Haldol 2 mg p.o. q.h.s. p.r.n. in the evening , only for agitation associated with confusion .' -p34596 -(lp34597 -S'Lopressor\tLopressor\tNN\tB-NP\tO' -p34598 -aS'100\t100\tCD\tI-NP\tO' -p34599 -aS'mg\tmg\tNN\tI-NP\tO' -p34600 -aS'p.o.\tp.o.\tFW\tB-ADVP\tO' -p34601 -aS'b.i.d.\tb.i.d.\tFW\tI-ADVP\tO' -p34602 -aS';\t;\t:\tO\tO' -p34603 -aS'Nifedipine\tNifedipine\tNN\tB-NP\tO' -p34604 -aS'10\t10\tCD\tI-NP\tO' -p34605 -aS'mg\tmg\tNN\tI-NP\tO' -p34606 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p34607 -aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' -p34608 -aS';\t;\t:\tO\tO' -p34609 -aS'Timoptic\tTimoptic\tJJ\tB-NP\tO' -p34610 -aS'solution\tsolution\tNN\tI-NP\tO' -p34611 -aS'0.5%\t0.5%\tCD\tI-NP\tO' -p34612 -aS'OS\tOS\tNN\tI-NP\tO' -p34613 -aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' -p34614 -aS';\t;\t:\tO\tO' -p34615 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p34616 -aS'1\t1\tCD\tI-NP\tO' -p34617 -aS'mg\tmg\tNN\tI-NP\tO' -p34618 -aS'alternating\talternate\tVBG\tB-VP\tO' -p34619 -aS'with\twith\tIN\tB-PP\tO' -p34620 -aS'1.5\t1.5\tCD\tB-NP\tO' -p34621 -aS'mg\tmg\tNN\tI-NP\tO' -p34622 -aS'q.o.d.\tq.o.d.\tNN\tI-NP\tO' -p34623 -aS'at\tat\tIN\tB-PP\tO' -p34624 -aS'q.h.s.\tq.h.s.\tNN\tB-NP\tO' -p34625 -aS'and\tand\tCC\tO\tO' -p34626 -aS'Haldol\tHaldol\tNN\tB-NP\tO' -p34627 -aS'2\t2\tCD\tI-NP\tO' -p34628 -aS'mg\tmg\tNN\tI-NP\tO' -p34629 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p34630 -aS'q.h.s.\tq.h.s.\tNN\tI-NP\tO' -p34631 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p34632 -aS'in\tin\tIN\tB-PP\tO' -p34633 -aS'the\tthe\tDT\tB-NP\tO' -p34634 -aS'evening\tevening\tNN\tI-NP\tO' -p34635 -aS',\t,\t,\tO\tO' -p34636 -aS'only\tonly\tRB\tB-ADVP\tO' -p34637 -aS'for\tfor\tIN\tB-PP\tO' -p34638 -aS'agitation\tagitation\tNN\tB-NP\tO' -p34639 -aS'associated\tassociate\tVBN\tB-VP\tO' -p34640 -aS'with\twith\tIN\tB-PP\tO' -p34641 -aS'confusion\tconfusion\tNN\tB-NP\tO' -p34642 -aS'.\t.\t.\tO\tO' -p34643 -asS'Pressure ulcers under bilateral LE right above the ankles .' -p34644 -(lp34645 -S'Pressure\tPressure\tNN\tB-NP\tO' -p34646 -aS'ulcers\tulcer\tNNS\tI-NP\tO' -p34647 -aS'under\tunder\tIN\tB-PP\tO' -p34648 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p34649 -aS'LE\tLE\tNN\tI-NP\tO' -p34650 -aS'right\tright\tRB\tB-PP\tO' -p34651 -aS'above\tabove\tIN\tI-PP\tO' -p34652 -aS'the\tthe\tDT\tB-NP\tO' -p34653 -aS'ankles\tankle\tNNS\tI-NP\tO' -p34654 -aS'.\t.\t.\tO\tO' -p34655 -asS'Asthma / COPD on BiPAP , history of intubation .' -p34656 -(lp34657 -S'Asthma\tAsthma\tNN\tB-NP\tO' -p34658 -aS'/\t/\tSYM\tI-NP\tO' -p34659 -aS'COPD\tCOPD\tNN\tI-NP\tO' -p34660 -aS'on\ton\tIN\tB-PP\tO' -p34661 -aS'BiPAP\tBiPAP\tNN\tB-NP\tB-protein' -p34662 -aS',\t,\t,\tO\tO' -p34663 -aS'history\thistory\tNN\tB-NP\tO' -p34664 -aS'of\tof\tIN\tB-PP\tO' -p34665 -aS'intubation\tintubation\tNN\tB-NP\tO' -p34666 -aS'.\t.\t.\tO\tO' -p34667 -asS'At that time a pelvic ultrasound was performed showing extensive fluid and clear mass within the pelvi-abdominal cavity .' -p34668 -(lp34669 -S'At\tAt\tIN\tB-PP\tO' -p34670 -aS'that\tthat\tDT\tB-NP\tO' -p34671 -aS'time\ttime\tNN\tI-NP\tO' -p34672 -aS'a\ta\tDT\tB-NP\tO' -p34673 -aS'pelvic\tpelvic\tJJ\tI-NP\tO' -p34674 -aS'ultrasound\tultrasound\tNN\tI-NP\tO' -p34675 -aS'was\tbe\tVBD\tB-VP\tO' -p34676 -aS'performed\tperform\tVBN\tI-VP\tO' -p34677 -aS'showing\tshow\tVBG\tB-VP\tO' -p34678 -aS'extensive\textensive\tJJ\tB-NP\tO' -p34679 -aS'fluid\tfluid\tNN\tI-NP\tO' -p34680 -aS'and\tand\tCC\tO\tO' -p34681 -aS'clear\tclear\tJJ\tB-NP\tO' -p34682 -aS'mass\tmass\tNN\tI-NP\tO' -p34683 -aS'within\twithin\tIN\tB-PP\tO' -p34684 -aS'the\tthe\tDT\tB-NP\tO' -p34685 -aS'pelvi-abdominal\tpelvi-abdominal\tJJ\tI-NP\tO' -p34686 -aS'cavity\tcavity\tNN\tI-NP\tO' -p34687 -aS'.\t.\t.\tO\tO' -p34688 -asS'1. Mitral regurgitation status post minimally invasive mitral valve repair .' -p34689 -(lp34690 -S'1.\t1.\tLS\tB-NP\tO' -p34691 -aS'Mitral\tMitral\tJJ\tI-NP\tO' -p34692 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p34693 -aS'status\tstatus\tNN\tI-NP\tO' -p34694 -aS'post\tpost\tVBD\tB-VP\tO' -p34695 -aS'minimally\tminimally\tRB\tB-NP\tO' -p34696 -aS'invasive\tinvasive\tJJ\tI-NP\tO' -p34697 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p34698 -aS'valve\tvalve\tNN\tI-NP\tO' -p34699 -aS'repair\trepair\tNN\tI-NP\tO' -p34700 -aS'.\t.\t.\tO\tO' -p34701 -asS'CXR confirmed good position and no PTx .' -p34702 -(lp34703 -S'CXR\tCXR\tNN\tB-NP\tB-protein' -p34704 -aS'confirmed\tconfirm\tVBD\tB-VP\tO' -p34705 -aS'good\tgood\tJJ\tB-NP\tO' -p34706 -aS'position\tposition\tNN\tI-NP\tO' -p34707 -aS'and\tand\tCC\tO\tO' -p34708 -aS'no\tno\tDT\tB-NP\tO' -p34709 -aS'PTx\tPTx\tNN\tI-NP\tB-protein' -p34710 -aS'.\t.\t.\tO\tO' -p34711 -asS"The patient 's bilirubin level at 24 hours of life was 4.6." -p34712 -(lp34713 -S'The\tThe\tDT\tB-NP\tO' -p34714 -aS'patient\tpatient\tNN\tI-NP\tO' -p34715 -aS"'s\t's\tPOS\tB-NP\tO" -p34716 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p34717 -aS'level\tlevel\tNN\tI-NP\tO' -p34718 -aS'at\tat\tIN\tB-PP\tO' -p34719 -aS'24\t24\tCD\tB-NP\tO' -p34720 -aS'hours\thour\tNNS\tI-NP\tO' -p34721 -aS'of\tof\tIN\tB-PP\tO' -p34722 -aS'life\tlife\tNN\tB-NP\tO' -p34723 -aS'was\tbe\tVBD\tB-VP\tO' -p34724 -aS'4.6.\t4.6.\tCD\tB-NP\tO' -p34725 -asS'Pulse 60 .' -p34726 -(lp34727 -S'Pulse\tPulse\tNN\tB-NP\tO' -p34728 -aS'60\t60\tCD\tI-NP\tO' -p34729 -aS'.\t.\t.\tO\tO' -p34730 -asS'1. The patient was asked to call his physician if he experienced any lightheadedness , dizziness , nausea , vomiting , fevers , or chills .' -p34731 -(lp34732 -S'1.\t1.\tLS\tB-LST\tO' -p34733 -aS'The\tThe\tDT\tB-NP\tO' -p34734 -aS'patient\tpatient\tNN\tI-NP\tO' -p34735 -aS'was\tbe\tVBD\tB-VP\tO' -p34736 -aS'asked\task\tVBN\tI-VP\tO' -p34737 -aS'to\tto\tTO\tI-VP\tO' -p34738 -aS'call\tcall\tVB\tI-VP\tO' -p34739 -aS'his\this\tPRP$\tB-NP\tO' -p34740 -aS'physician\tphysician\tNN\tI-NP\tO' -p34741 -aS'if\tif\tIN\tB-SBAR\tO' -p34742 -aS'he\the\tPRP\tB-NP\tO' -p34743 -aS'experienced\texperience\tVBD\tB-VP\tO' -p34744 -aS'any\tany\tDT\tB-NP\tO' -p34745 -aS'lightheadedness\tlightheadedness\tNN\tI-NP\tO' -p34746 -aS',\t,\t,\tO\tO' -p34747 -aS'dizziness\tdizziness\tNN\tB-NP\tO' -p34748 -aS',\t,\t,\tO\tO' -p34749 -aS'nausea\tnausea\tNN\tB-NP\tO' -p34750 -aS',\t,\t,\tO\tO' -p34751 -aS'vomiting\tvomit\tVBG\tB-VP\tO' -p34752 -aS',\t,\t,\tO\tO' -p34753 -aS'fevers\tfever\tNNS\tB-NP\tO' -p34754 -aS',\t,\t,\tO\tO' -p34755 -aS'or\tor\tCC\tO\tO' -p34756 -aS'chills\tchill\tNNS\tB-NP\tO' -p34757 -aS'.\t.\t.\tO\tO' -p34758 -asS'His chest X-ray did not reveal any abnormality .' -p34759 -(lp34760 -S'His\tHis\tPRP$\tB-NP\tO' -p34761 -aS'chest\tchest\tNN\tI-NP\tO' -p34762 -aS'X-ray\tX-ray\tNN\tI-NP\tO' -p34763 -aS'did\tdo\tVBD\tB-VP\tO' -p34764 -aS'not\tnot\tRB\tI-VP\tO' -p34765 -aS'reveal\treveal\tVB\tI-VP\tO' -p34766 -aS'any\tany\tDT\tB-NP\tO' -p34767 -aS'abnormality\tabnormality\tNN\tI-NP\tO' -p34768 -aS'.\t.\t.\tO\tO' -p34769 -asS'Her Neo-Synephrine drip was weaned to off .' -p34770 -(lp34771 -S'Her\tHer\tPRP$\tB-NP\tO' -p34772 -aS'Neo-Synephrine\tNeo-Synephrine\tJJ\tI-NP\tO' -p34773 -aS'drip\tdrip\tNN\tI-NP\tO' -p34774 -aS'was\tbe\tVBD\tB-VP\tO' -p34775 -aS'weaned\twean\tVBN\tI-VP\tO' -p34776 -aS'to\tto\tTO\tB-PP\tO' -p34777 -aS'off\toff\tRB\tB-ADVP\tO' -p34778 -aS'.\t.\t.\tO\tO' -p34779 -asS'please evaluate ambutlation ability and O2 requirement' -p34780 -(lp34781 -S'please\tplease\tVB\tB-INTJ\tO' -p34782 -aS'evaluate\tevaluate\tVB\tB-VP\tO' -p34783 -aS'ambutlation\tambutlation\tNN\tB-NP\tO' -p34784 -aS'ability\tability\tNN\tI-NP\tO' -p34785 -aS'and\tand\tCC\tO\tO' -p34786 -aS'O2\tO2\tNN\tB-NP\tO' -p34787 -aS'requirement\trequirement\tNN\tI-NP\tO' -p34788 -asS'7. Zithropren 50 mg q. day .' -p34789 -(lp34790 -S'7.\t7.\tCD\tB-NP\tO' -p34791 -aS'Zithropren\tZithropren\tNN\tI-NP\tO' -p34792 -aS'50\t50\tCD\tB-NP\tO' -p34793 -aS'mg\tmg\tNN\tI-NP\tO' -p34794 -aS'q.\tq.\tNN\tI-NP\tO' -p34795 -aS'day\tday\tNN\tI-NP\tO' -p34796 -aS'.\t.\t.\tO\tO' -p34797 -asS'Radiographic studies demonstrated an inferior displaced left midclavicular fracture , no evidence of' -p34798 -(lp34799 -S'Radiographic\tRadiographic\tJJ\tB-NP\tO' -p34800 -aS'studies\tstudy\tNNS\tI-NP\tO' -p34801 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p34802 -aS'an\tan\tDT\tB-NP\tO' -p34803 -aS'inferior\tinferior\tJJ\tI-NP\tO' -p34804 -aS'displaced\tdisplaced\tJJ\tI-NP\tO' -p34805 -aS'left\tleft\tJJ\tI-NP\tO' -p34806 -aS'midclavicular\tmidclavicular\tJJ\tI-NP\tO' -p34807 -aS'fracture\tfracture\tNN\tI-NP\tO' -p34808 -aS',\t,\t,\tO\tO' -p34809 -aS'no\tno\tDT\tB-NP\tO' -p34810 -aS'evidence\tevidence\tNN\tI-NP\tO' -p34811 -aS'of\tof\tIN\tB-PP\tO' -p34812 -asS'She was advanced to full volume enteral feeds by day of life 7 , and then to a maximum caloric density of 28 cals / oz .' -p34813 -(lp34814 -S'She\tShe\tPRP\tB-NP\tO' -p34815 -aS'was\tbe\tVBD\tB-VP\tO' -p34816 -aS'advanced\tadvance\tVBN\tI-VP\tO' -p34817 -aS'to\tto\tTO\tB-PP\tO' -p34818 -aS'full\tfull\tJJ\tB-NP\tO' -p34819 -aS'volume\tvolume\tNN\tI-NP\tO' -p34820 -aS'enteral\tenteral\tJJ\tI-NP\tO' -p34821 -aS'feeds\tfeed\tNNS\tI-NP\tO' -p34822 -aS'by\tby\tIN\tB-PP\tO' -p34823 -aS'day\tday\tNN\tB-NP\tO' -p34824 -aS'of\tof\tIN\tB-PP\tO' -p34825 -aS'life\tlife\tNN\tB-NP\tO' -p34826 -aS'7\t7\tCD\tI-NP\tO' -p34827 -aS',\t,\t,\tO\tO' -p34828 -aS'and\tand\tCC\tO\tO' -p34829 -aS'then\tthen\tRB\tB-ADVP\tO' -p34830 -aS'to\tto\tTO\tB-PP\tO' -p34831 -aS'a\ta\tDT\tB-NP\tO' -p34832 -aS'maximum\tmaximum\tNN\tI-NP\tO' -p34833 -aS'caloric\tcaloric\tJJ\tI-NP\tO' -p34834 -aS'density\tdensity\tNN\tI-NP\tO' -p34835 -aS'of\tof\tIN\tB-PP\tO' -p34836 -aS'28\t28\tCD\tB-NP\tO' -p34837 -aS'cals\tcal\tNNS\tI-NP\tO' -p34838 -aS'/\t/\tSYM\tB-NP\tO' -p34839 -aS'oz\toz\tNN\tI-NP\tO' -p34840 -aS'.\t.\t.\tO\tO' -p34841 -asS'Mason Street .' -p34842 -(lp34843 -S'Mason\tMason\tNNP\tB-NP\tO' -p34844 -aS'Street\tStreet\tNNP\tI-NP\tO' -p34845 -aS'.\t.\t.\tO\tO' -p34846 -asS'R inguinal hernia .' -p34847 -(lp34848 -S'R\tR\tNN\tB-NP\tO' -p34849 -aS'inguinal\tinguinal\tJJ\tI-NP\tO' -p34850 -aS'hernia\thernia\tNN\tI-NP\tO' -p34851 -aS'.\t.\t.\tO\tO' -p34852 -asS'3. left breast biopsy which was benign ,' -p34853 -(lp34854 -S'3.\t3.\tLS\tB-LST\tO' -p34855 -aS'left\tleave\tVBD\tB-VP\tO' -p34856 -aS'breast\tbreast\tNN\tB-NP\tO' -p34857 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p34858 -aS'which\twhich\tWDT\tB-NP\tO' -p34859 -aS'was\tbe\tVBD\tB-VP\tO' -p34860 -aS'benign\tbenign\tJJ\tB-ADJP\tO' -p34861 -aS',\t,\t,\tO\tO' -p34862 -asS'He was then transitioned to oral Lasix for maintainence .' -p34863 -(lp34864 -S'He\tHe\tPRP\tB-NP\tO' -p34865 -aS'was\tbe\tVBD\tB-VP\tO' -p34866 -aS'then\tthen\tRB\tI-VP\tO' -p34867 -aS'transitioned\ttransitione\tVBN\tI-VP\tO' -p34868 -aS'to\tto\tTO\tB-PP\tO' -p34869 -aS'oral\toral\tJJ\tB-NP\tO' -p34870 -aS'Lasix\tLasix\tNN\tI-NP\tO' -p34871 -aS'for\tfor\tIN\tB-PP\tO' -p34872 -aS'maintainence\tmaintainence\tNN\tB-NP\tO' -p34873 -aS'.\t.\t.\tO\tO' -p34874 -asS'FINDINGS : C1 through T1 are well visualized .' -p34875 -(lp34876 -S'FINDINGS\tFINDINGS\tNNS\tB-NP\tO' -p34877 -aS':\t:\t:\tO\tO' -p34878 -aS'C1\tC1\tNN\tB-NP\tB-protein' -p34879 -aS'through\tthrough\tIN\tB-PP\tO' -p34880 -aS'T1\tT1\tNN\tB-NP\tB-DNA' -p34881 -aS'are\tbe\tVBP\tB-VP\tO' -p34882 -aS'well\twell\tRB\tI-VP\tO' -p34883 -aS'visualized\tvisualize\tVBN\tI-VP\tO' -p34884 -aS'.\t.\t.\tO\tO' -p34885 -asS'He is tolerating his feedings well .' -p34886 -(lp34887 -S'He\tHe\tPRP\tB-NP\tO' -p34888 -aS'is\tbe\tVBZ\tB-VP\tO' -p34889 -aS'tolerating\ttolerate\tVBG\tI-VP\tO' -p34890 -aS'his\this\tPRP$\tB-NP\tO' -p34891 -aS'feedings\tfeeding\tNNS\tI-NP\tO' -p34892 -aS'well\twell\tRB\tB-ADVP\tO' -p34893 -aS'.\t.\t.\tO\tO' -p34894 -asS'This was controlled , necessitating ten minutes of aortic clamping and found to have originated from the rupture of the left renal vein one centimeter from its junction with the inferior vena cava .' -p34895 -(lp34896 -S'This\tThis\tDT\tB-NP\tO' -p34897 -aS'was\tbe\tVBD\tB-VP\tO' -p34898 -aS'controlled\tcontrol\tVBN\tI-VP\tO' -p34899 -aS',\t,\t,\tO\tO' -p34900 -aS'necessitating\tnecessitate\tVBG\tB-VP\tO' -p34901 -aS'ten\tten\tCD\tB-NP\tO' -p34902 -aS'minutes\tminute\tNNS\tI-NP\tO' -p34903 -aS'of\tof\tIN\tB-PP\tO' -p34904 -aS'aortic\taortic\tJJ\tB-NP\tO' -p34905 -aS'clamping\tclamping\tNN\tI-NP\tO' -p34906 -aS'and\tand\tCC\tO\tO' -p34907 -aS'found\tfind\tVBN\tB-VP\tO' -p34908 -aS'to\tto\tTO\tI-VP\tO' -p34909 -aS'have\thave\tVB\tI-VP\tO' -p34910 -aS'originated\toriginate\tVBN\tI-VP\tO' -p34911 -aS'from\tfrom\tIN\tB-PP\tO' -p34912 -aS'the\tthe\tDT\tB-NP\tO' -p34913 -aS'rupture\trupture\tNN\tI-NP\tO' -p34914 -aS'of\tof\tIN\tB-PP\tO' -p34915 -aS'the\tthe\tDT\tB-NP\tO' -p34916 -aS'left\tleft\tJJ\tI-NP\tO' -p34917 -aS'renal\trenal\tJJ\tI-NP\tO' -p34918 -aS'vein\tvein\tNN\tI-NP\tO' -p34919 -aS'one\tone\tCD\tB-NP\tO' -p34920 -aS'centimeter\tcentimeter\tNN\tI-NP\tO' -p34921 -aS'from\tfrom\tIN\tB-PP\tO' -p34922 -aS'its\tits\tPRP$\tB-NP\tO' -p34923 -aS'junction\tjunction\tNN\tI-NP\tO' -p34924 -aS'with\twith\tIN\tB-PP\tO' -p34925 -aS'the\tthe\tDT\tB-NP\tO' -p34926 -aS'inferior\tinferior\tJJ\tI-NP\tO' -p34927 -aS'vena\tvena\tNN\tI-NP\tO' -p34928 -aS'cava\tcava\tNN\tI-NP\tO' -p34929 -aS'.\t.\t.\tO\tO' -p34930 -asS'However , on the night of admission the patient was found lying in her bed diaphoretic and obtunded , and a code was called .' -p34931 -(lp34932 -S'However\tHowever\tRB\tB-ADVP\tO' -p34933 -aS',\t,\t,\tO\tO' -p34934 -aS'on\ton\tIN\tB-PP\tO' -p34935 -aS'the\tthe\tDT\tB-NP\tO' -p34936 -aS'night\tnight\tNN\tI-NP\tO' -p34937 -aS'of\tof\tIN\tB-PP\tO' -p34938 -aS'admission\tadmission\tNN\tB-NP\tO' -p34939 -aS'the\tthe\tDT\tB-NP\tO' -p34940 -aS'patient\tpatient\tNN\tI-NP\tO' -p34941 -aS'was\tbe\tVBD\tB-VP\tO' -p34942 -aS'found\tfind\tVBN\tI-VP\tO' -p34943 -aS'lying\tlie\tVBG\tI-VP\tO' -p34944 -aS'in\tin\tIN\tB-PP\tO' -p34945 -aS'her\ther\tPRP$\tB-NP\tO' -p34946 -aS'bed\tbed\tNN\tI-NP\tO' -p34947 -aS'diaphoretic\tdiaphoretic\tJJ\tB-ADJP\tO' -p34948 -aS'and\tand\tCC\tI-ADJP\tO' -p34949 -aS'obtunded\tobtunded\tJJ\tI-ADJP\tO' -p34950 -aS',\t,\t,\tO\tO' -p34951 -aS'and\tand\tCC\tO\tO' -p34952 -aS'a\ta\tDT\tB-NP\tO' -p34953 -aS'code\tcode\tNN\tI-NP\tO' -p34954 -aS'was\tbe\tVBD\tB-VP\tO' -p34955 -aS'called\tcall\tVBN\tI-VP\tO' -p34956 -aS'.\t.\t.\tO\tO' -p34957 -asS'No radial pulse on right .' -p34958 -(lp34959 -S'No\tNo\tDT\tB-NP\tO' -p34960 -aS'radial\tradial\tJJ\tI-NP\tO' -p34961 -aS'pulse\tpulse\tNN\tI-NP\tO' -p34962 -aS'on\ton\tIN\tB-PP\tO' -p34963 -aS'right\tright\tNN\tB-NP\tO' -p34964 -aS'.\t.\t.\tO\tO' -p34965 -asS'2. Protonix 40 mg po qd .' -p34966 -(lp34967 -S'2.\t2.\tLS\tB-NP\tO' -p34968 -aS'Protonix\tProtonix\tNNP\tI-NP\tO' -p34969 -aS'40\t40\tCD\tI-NP\tO' -p34970 -aS'mg\tmg\tNN\tI-NP\tO' -p34971 -aS'po\tpo\tNN\tI-NP\tO' -p34972 -aS'qd\tqd\tNN\tI-NP\tO' -p34973 -aS'.\t.\t.\tO\tO' -p34974 -asS'Renal tubular acidosis distal type I ; shock ; severe acidosis and severe electrolyte imbalance ; seizure disorder ; rule out sepsis , varicella .' -p34975 -(lp34976 -S'Renal\tRenal\tJJ\tB-NP\tO' -p34977 -aS'tubular\ttubular\tJJ\tI-NP\tO' -p34978 -aS'acidosis\tacidosis\tNN\tI-NP\tO' -p34979 -aS'distal\tdistal\tJJ\tI-NP\tO' -p34980 -aS'type\ttype\tNN\tI-NP\tO' -p34981 -aS'I\tI\tCD\tI-NP\tO' -p34982 -aS';\t;\t:\tO\tO' -p34983 -aS'shock\tshock\tNN\tB-NP\tO' -p34984 -aS';\t;\t:\tO\tO' -p34985 -aS'severe\tsevere\tJJ\tB-NP\tO' -p34986 -aS'acidosis\tacidosis\tNN\tI-NP\tO' -p34987 -aS'and\tand\tCC\tO\tO' -p34988 -aS'severe\tsevere\tJJ\tB-NP\tO' -p34989 -aS'electrolyte\telectrolyte\tNN\tI-NP\tO' -p34990 -aS'imbalance\timbalance\tNN\tI-NP\tO' -p34991 -aS';\t;\t:\tO\tO' -p34992 -aS'seizure\tseizure\tNN\tB-NP\tO' -p34993 -aS'disorder\tdisorder\tNN\tI-NP\tO' -p34994 -aS';\t;\t:\tO\tO' -p34995 -aS'rule\trule\tNN\tB-VP\tO' -p34996 -aS'out\tout\tRP\tB-PRT\tO' -p34997 -aS'sepsis\tsepsis\tNN\tB-NP\tO' -p34998 -aS',\t,\t,\tO\tO' -p34999 -aS'varicella\tvaricella\tNN\tB-NP\tO' -p35000 -aS'.\t.\t.\tO\tO' -p35001 -asS'Plavix 75 mg every day , Lipitor 40 mg every day , HCTZ 50 mg , Monopril 10 mg every day , Viagra 100 mg prn .' -p35002 -(lp35003 -S'Plavix\tPlavix\tNN\tB-NP\tO' -p35004 -aS'75\t75\tCD\tI-NP\tO' -p35005 -aS'mg\tmg\tNN\tI-NP\tO' -p35006 -aS'every\tevery\tDT\tB-NP\tO' -p35007 -aS'day\tday\tNN\tI-NP\tO' -p35008 -aS',\t,\t,\tO\tO' -p35009 -aS'Lipitor\tLipitor\tNN\tB-NP\tO' -p35010 -aS'40\t40\tCD\tI-NP\tO' -p35011 -aS'mg\tmg\tNN\tI-NP\tO' -p35012 -aS'every\tevery\tDT\tB-NP\tO' -p35013 -aS'day\tday\tNN\tI-NP\tO' -p35014 -aS',\t,\t,\tO\tO' -p35015 -aS'HCTZ\tHCTZ\tNN\tB-NP\tO' -p35016 -aS'50\t50\tCD\tI-NP\tO' -p35017 -aS'mg\tmg\tNN\tI-NP\tO' -p35018 -aS',\t,\t,\tO\tO' -p35019 -aS'Monopril\tMonopril\tNNP\tB-NP\tO' -p35020 -aS'10\t10\tCD\tI-NP\tO' -p35021 -aS'mg\tmg\tNN\tI-NP\tO' -p35022 -aS'every\tevery\tDT\tB-NP\tO' -p35023 -aS'day\tday\tNN\tI-NP\tO' -p35024 -aS',\t,\t,\tO\tO' -p35025 -aS'Viagra\tViagra\tNNP\tB-NP\tO' -p35026 -aS'100\t100\tCD\tI-NP\tO' -p35027 -aS'mg\tmg\tNN\tI-NP\tO' -p35028 -aS'prn\tprn\tNN\tI-NP\tO' -p35029 -aS'.\t.\t.\tO\tO' -p35030 -asS'He was found in his apartment lobby " shouting " and very agitated .' -p35031 -(lp35032 -S'He\tHe\tPRP\tB-NP\tO' -p35033 -aS'was\tbe\tVBD\tB-VP\tO' -p35034 -aS'found\tfind\tVBN\tI-VP\tO' -p35035 -aS'in\tin\tIN\tB-PP\tO' -p35036 -aS'his\this\tPRP$\tB-NP\tB-cell_type' -p35037 -aS'apartment\tapartment\tNN\tI-NP\tI-cell_type' -p35038 -aS'lobby\tlobby\tNN\tI-NP\tI-cell_type' -p35039 -aS'"\t"\t``\tB-NP\tI-cell_type' -p35040 -aS'shouting\tshouting\tNN\tI-NP\tI-cell_type' -p35041 -aS'"\t"\t\'\'\tO\tI-cell_type' -p35042 -aS'and\tand\tCC\tO\tO' -p35043 -aS'very\tvery\tRB\tB-ADJP\tO' -p35044 -aS'agitated\tagitate\tVBN\tI-ADJP\tO' -p35045 -aS'.\t.\t.\tO\tO' -p35046 -asS'His blood type is A+ , Coombs negative .' -p35047 -(lp35048 -S'His\tHis\tPRP$\tB-NP\tO' -p35049 -aS'blood\tblood\tNN\tI-NP\tO' -p35050 -aS'type\ttype\tNN\tI-NP\tO' -p35051 -aS'is\tbe\tVBZ\tB-VP\tO' -p35052 -aS'A+\tA+\tNNP\tB-NP\tO' -p35053 -aS',\t,\t,\tO\tO' -p35054 -aS'Coombs\tCoombs\tNNP\tB-NP\tO' -p35055 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p35056 -aS'.\t.\t.\tO\tO' -p35057 -asS'The wound was a midline incision for his radical cystoprostatectomy .' -p35058 -(lp35059 -S'The\tThe\tDT\tB-NP\tO' -p35060 -aS'wound\twound\tNN\tI-NP\tO' -p35061 -aS'was\tbe\tVBD\tB-VP\tO' -p35062 -aS'a\ta\tDT\tB-NP\tO' -p35063 -aS'midline\tmidline\tNN\tI-NP\tO' -p35064 -aS'incision\tincision\tNN\tI-NP\tO' -p35065 -aS'for\tfor\tIN\tB-PP\tO' -p35066 -aS'his\this\tPRP$\tB-NP\tO' -p35067 -aS'radical\tradical\tJJ\tI-NP\tO' -p35068 -aS'cystoprostatectomy\tcystoprostatectomy\tNN\tI-NP\tO' -p35069 -aS'.\t.\t.\tO\tO' -p35070 -asS'Chest clear to percussion and auscultation .' -p35071 -(lp35072 -S'Chest\tChest\tRBS\tB-ADJP\tO' -p35073 -aS'clear\tclear\tJJ\tI-ADJP\tO' -p35074 -aS'to\tto\tTO\tB-PP\tO' -p35075 -aS'percussion\tpercussion\tNN\tB-NP\tO' -p35076 -aS'and\tand\tCC\tI-NP\tO' -p35077 -aS'auscultation\tauscultation\tNN\tI-NP\tO' -p35078 -aS'.\t.\t.\tO\tO' -p35079 -asS'Regular rate and rhythm .' -p35080 -(lp35081 -S'Regular\tRegular\tJJ\tB-NP\tO' -p35082 -aS'rate\trate\tNN\tI-NP\tO' -p35083 -aS'and\tand\tCC\tI-NP\tO' -p35084 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p35085 -aS'.\t.\t.\tO\tO' -p35086 -asS'Based on 1997 AHA endocarditis prophylaxis recommendations , the echo findings indicate a low risk ( prophylaxis not recommended ).' -p35087 -(lp35088 -S'Based\tBase\tVBN\tB-PP\tO' -p35089 -aS'on\ton\tIN\tB-PP\tO' -p35090 -aS'1997\t1997\tCD\tB-NP\tO' -p35091 -aS'AHA\tAHA\tNN\tI-NP\tO' -p35092 -aS'endocarditis\tendocarditis\tNN\tI-NP\tO' -p35093 -aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' -p35094 -aS'recommendations\trecommendation\tNNS\tI-NP\tO' -p35095 -aS',\t,\t,\tO\tO' -p35096 -aS'the\tthe\tDT\tB-NP\tO' -p35097 -aS'echo\techo\tJJ\tI-NP\tO' -p35098 -aS'findings\tfinding\tNNS\tI-NP\tO' -p35099 -aS'indicate\tindicate\tVBP\tB-VP\tO' -p35100 -aS'a\ta\tDT\tB-NP\tO' -p35101 -aS'low\tlow\tJJ\tI-NP\tO' -p35102 -aS'risk\trisk\tNN\tI-NP\tO' -p35103 -aS'(\t(\t(\tO\tO' -p35104 -aS'prophylaxis\tprophylaxis\tNN\tB-NP\tO' -p35105 -aS'not\tnot\tRB\tO\tO' -p35106 -aS'recommended\trecommend\tVBD\tB-VP\tO' -p35107 -aS').\t).\t.\tO\tO' -p35108 -asS'There is no shift of normally midline structures .' -p35109 -(lp35110 -S'There\tThere\tEX\tB-NP\tO' -p35111 -aS'is\tbe\tVBZ\tB-VP\tO' -p35112 -aS'no\tno\tDT\tB-NP\tO' -p35113 -aS'shift\tshift\tNN\tI-NP\tO' -p35114 -aS'of\tof\tIN\tB-PP\tO' -p35115 -aS'normally\tnormally\tRB\tB-NP\tO' -p35116 -aS'midline\tmidline\tNN\tI-NP\tO' -p35117 -aS'structures\tstructure\tNNS\tI-NP\tO' -p35118 -aS'.\t.\t.\tO\tO' -p35119 -asS'Coronary artery disease ; hypertension ; hyperlipidemia ; sleep apnea ; diabetes type 2 .' -p35120 -(lp35121 -S'Coronary\tCoronary\tJJ\tB-NP\tO' -p35122 -aS'artery\tartery\tNN\tI-NP\tO' -p35123 -aS'disease\tdisease\tNN\tI-NP\tO' -p35124 -aS';\t;\t:\tO\tO' -p35125 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p35126 -aS';\t;\t:\tO\tO' -p35127 -aS'hyperlipidemia\thyperlipidemia\tNN\tB-NP\tO' -p35128 -aS';\t;\t:\tO\tO' -p35129 -aS'sleep\tsleep\tJJ\tB-NP\tO' -p35130 -aS'apnea\tapnea\tNN\tI-NP\tO' -p35131 -aS';\t;\t:\tO\tO' -p35132 -aS'diabetes\tdiabetes\tNN\tB-NP\tO' -p35133 -aS'type\ttype\tNN\tI-NP\tO' -p35134 -aS'2\t2\tCD\tI-NP\tO' -p35135 -aS'.\t.\t.\tO\tO' -p35136 -asS'4. History of colon cancer with a colectomy in the past .' -p35137 -(lp35138 -S'4.\t4.\tLS\tB-NP\tO' -p35139 -aS'History\tHistory\tNN\tI-NP\tO' -p35140 -aS'of\tof\tIN\tB-PP\tO' -p35141 -aS'colon\tcolon\tNN\tB-NP\tO' -p35142 -aS'cancer\tcancer\tNN\tI-NP\tO' -p35143 -aS'with\twith\tIN\tB-PP\tO' -p35144 -aS'a\ta\tDT\tB-NP\tO' -p35145 -aS'colectomy\tcolectomy\tNN\tI-NP\tO' -p35146 -aS'in\tin\tIN\tB-PP\tO' -p35147 -aS'the\tthe\tDT\tB-NP\tO' -p35148 -aS'past\tpast\tNN\tI-NP\tO' -p35149 -aS'.\t.\t.\tO\tO' -p35150 -asS'A differential according to the imaging included a fistula with adjacent inflammatory change but also carcinoma or adenomatosis .' -p35151 -(lp35152 -S'A\tA\tDT\tB-NP\tO' -p35153 -aS'differential\tdifferential\tJJ\tI-NP\tO' -p35154 -aS'according\taccord\tVBG\tB-PP\tO' -p35155 -aS'to\tto\tTO\tB-PP\tO' -p35156 -aS'the\tthe\tDT\tB-NP\tO' -p35157 -aS'imaging\timaging\tNN\tI-NP\tO' -p35158 -aS'included\tinclude\tVBD\tB-VP\tO' -p35159 -aS'a\ta\tDT\tB-NP\tO' -p35160 -aS'fistula\tfistula\tNN\tI-NP\tO' -p35161 -aS'with\twith\tIN\tB-PP\tO' -p35162 -aS'adjacent\tadjacent\tJJ\tB-NP\tO' -p35163 -aS'inflammatory\tinflammatory\tJJ\tI-NP\tO' -p35164 -aS'change\tchange\tNN\tI-NP\tO' -p35165 -aS'but\tbut\tCC\tB-CONJP\tO' -p35166 -aS'also\talso\tRB\tI-CONJP\tO' -p35167 -aS'carcinoma\tcarcinoma\tNN\tB-NP\tO' -p35168 -aS'or\tor\tCC\tI-NP\tO' -p35169 -aS'adenomatosis\tadenomatosis\tNN\tI-NP\tO' -p35170 -aS'.\t.\t.\tO\tO' -p35171 -asS'The right ventricular cavity is mildly dilated .' -p35172 -(lp35173 -S'The\tThe\tDT\tB-NP\tO' -p35174 -aS'right\tright\tJJ\tI-NP\tO' -p35175 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p35176 -aS'cavity\tcavity\tNN\tI-NP\tO' -p35177 -aS'is\tbe\tVBZ\tB-VP\tO' -p35178 -aS'mildly\tmildly\tRB\tI-VP\tO' -p35179 -aS'dilated\tdilate\tVBN\tI-VP\tO' -p35180 -aS'.\t.\t.\tO\tO' -p35181 -asS"The patient 's HSV antibody titer was found to be negative and the patient 's Acyclovir was not restarted ." -p35182 -(lp35183 -S'The\tThe\tDT\tB-NP\tO' -p35184 -aS'patient\tpatient\tNN\tI-NP\tO' -p35185 -aS"'s\t's\tPOS\tB-NP\tO" -p35186 -aS'HSV\tHSV\tNN\tI-NP\tO' -p35187 -aS'antibody\tantibody\tNN\tI-NP\tO' -p35188 -aS'titer\ttiter\tNN\tI-NP\tO' -p35189 -aS'was\tbe\tVBD\tB-VP\tO' -p35190 -aS'found\tfind\tVBN\tI-VP\tO' -p35191 -aS'to\tto\tTO\tI-VP\tO' -p35192 -aS'be\tbe\tVB\tI-VP\tO' -p35193 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p35194 -aS'and\tand\tCC\tO\tO' -p35195 -aS'the\tthe\tDT\tB-NP\tO' -p35196 -aS'patient\tpatient\tNN\tI-NP\tO' -p35197 -aS"'s\t's\tPOS\tB-NP\tO" -p35198 -aS'Acyclovir\tAcyclovir\tNN\tI-NP\tO' -p35199 -aS'was\tbe\tVBD\tB-VP\tO' -p35200 -aS'not\tnot\tRB\tI-VP\tO' -p35201 -aS'restarted\trestart\tVBN\tI-VP\tO' -p35202 -aS'.\t.\t.\tO\tO' -p35203 -asS'Her medications were resumed .' -p35204 -(lp35205 -S'Her\tHer\tPRP$\tB-NP\tO' -p35206 -aS'medications\tmedication\tNNS\tI-NP\tO' -p35207 -aS'were\tbe\tVBD\tB-VP\tO' -p35208 -aS'resumed\tresume\tVBN\tI-VP\tO' -p35209 -aS'.\t.\t.\tO\tO' -p35210 -asS'A quantitative VQ scan of the lung showed 42% ventilation to the left , 57% ventilation to the right , 42% perfusion to the left , 57% perfusion to the right .' -p35211 -(lp35212 -S'A\tA\tDT\tB-NP\tO' -p35213 -aS'quantitative\tquantitative\tJJ\tI-NP\tO' -p35214 -aS'VQ\tVQ\tNN\tI-NP\tO' -p35215 -aS'scan\tscan\tNN\tI-NP\tO' -p35216 -aS'of\tof\tIN\tB-PP\tO' -p35217 -aS'the\tthe\tDT\tB-NP\tO' -p35218 -aS'lung\tlung\tNN\tI-NP\tO' -p35219 -aS'showed\tshow\tVBD\tB-VP\tO' -p35220 -aS'42%\t42%\tCD\tB-NP\tO' -p35221 -aS'ventilation\tventilation\tNN\tI-NP\tO' -p35222 -aS'to\tto\tTO\tB-PP\tO' -p35223 -aS'the\tthe\tDT\tB-NP\tO' -p35224 -aS'left\tleft\tNN\tI-NP\tO' -p35225 -aS',\t,\t,\tO\tO' -p35226 -aS'57%\t57%\tCD\tB-NP\tO' -p35227 -aS'ventilation\tventilation\tNN\tI-NP\tO' -p35228 -aS'to\tto\tTO\tB-PP\tO' -p35229 -aS'the\tthe\tDT\tB-NP\tO' -p35230 -aS'right\tright\tNN\tI-NP\tO' -p35231 -aS',\t,\t,\tO\tO' -p35232 -aS'42%\t42%\tCD\tB-NP\tO' -p35233 -aS'perfusion\tperfusion\tNN\tI-NP\tO' -p35234 -aS'to\tto\tTO\tB-PP\tO' -p35235 -aS'the\tthe\tDT\tB-NP\tO' -p35236 -aS'left\tleft\tNN\tI-NP\tO' -p35237 -aS',\t,\t,\tO\tO' -p35238 -aS'57%\t57%\tCD\tB-NP\tO' -p35239 -aS'perfusion\tperfusion\tNN\tI-NP\tO' -p35240 -aS'to\tto\tTO\tB-PP\tO' -p35241 -aS'the\tthe\tDT\tB-NP\tO' -p35242 -aS'right\tright\tNN\tI-NP\tO' -p35243 -aS'.\t.\t.\tO\tO' -p35244 -asS'monitor / return for nausea / vomiting , headache , visual / mental status changes or other concerns .' -p35245 -(lp35246 -S'monitor\tmonitor\tNN\tB-NP\tO' -p35247 -aS'/\t/\tSYM\tI-NP\tO' -p35248 -aS'return\treturn\tNN\tI-NP\tO' -p35249 -aS'for\tfor\tIN\tB-PP\tO' -p35250 -aS'nausea\tnausea\tNN\tB-NP\tO' -p35251 -aS'/\t/\tSYM\tI-NP\tO' -p35252 -aS'vomiting\tvomiting\tNN\tI-NP\tO' -p35253 -aS',\t,\t,\tO\tO' -p35254 -aS'headache\theadache\tNN\tB-NP\tO' -p35255 -aS',\t,\t,\tO\tO' -p35256 -aS'visual\tvisual\tJJ\tB-NP\tO' -p35257 -aS'/\t/\tSYM\tI-NP\tO' -p35258 -aS'mental\tmental\tJJ\tI-NP\tO' -p35259 -aS'status\tstatus\tNN\tI-NP\tO' -p35260 -aS'changes\tchange\tNNS\tI-NP\tO' -p35261 -aS'or\tor\tCC\tO\tO' -p35262 -aS'other\tother\tJJ\tB-NP\tO' -p35263 -aS'concerns\tconcern\tNNS\tI-NP\tO' -p35264 -aS'.\t.\t.\tO\tO' -p35265 -asS'Her abdomen remained tender and distended despite attempted decompression .' -p35266 -(lp35267 -S'Her\tHer\tPRP$\tB-NP\tO' -p35268 -aS'abdomen\tabdoman\tNNS\tI-NP\tO' -p35269 -aS'remained\tremain\tVBD\tB-VP\tO' -p35270 -aS'tender\ttender\tNN\tB-NP\tO' -p35271 -aS'and\tand\tCC\tO\tO' -p35272 -aS'distended\tdistend\tVBD\tB-VP\tO' -p35273 -aS'despite\tdespite\tIN\tB-PP\tO' -p35274 -aS'attempted\tattempt\tVBN\tB-NP\tO' -p35275 -aS'decompression\tdecompression\tNN\tI-NP\tO' -p35276 -aS'.\t.\t.\tO\tO' -p35277 -asS'The patient was able to advance her diet well from liquids to solids , however , she was plagued with a persistent cough and some low grade fevers to 99.0 F .' -p35278 -(lp35279 -S'The\tThe\tDT\tB-NP\tO' -p35280 -aS'patient\tpatient\tNN\tI-NP\tO' -p35281 -aS'was\tbe\tVBD\tB-VP\tO' -p35282 -aS'able\table\tJJ\tB-ADJP\tO' -p35283 -aS'to\tto\tTO\tB-VP\tO' -p35284 -aS'advance\tadvance\tVB\tI-VP\tO' -p35285 -aS'her\ther\tPRP$\tB-NP\tO' -p35286 -aS'diet\tdiet\tNN\tI-NP\tO' -p35287 -aS'well\twell\tRB\tB-ADVP\tO' -p35288 -aS'from\tfrom\tIN\tB-PP\tO' -p35289 -aS'liquids\tliquid\tNNS\tB-NP\tO' -p35290 -aS'to\tto\tTO\tB-PP\tO' -p35291 -aS'solids\tsolid\tNNS\tB-NP\tO' -p35292 -aS',\t,\t,\tO\tO' -p35293 -aS'however\thowever\tRB\tB-ADVP\tO' -p35294 -aS',\t,\t,\tO\tO' -p35295 -aS'she\tshe\tPRP\tB-NP\tO' -p35296 -aS'was\tbe\tVBD\tB-VP\tO' -p35297 -aS'plagued\tplague\tVBN\tI-VP\tO' -p35298 -aS'with\twith\tIN\tB-PP\tO' -p35299 -aS'a\ta\tDT\tB-NP\tO' -p35300 -aS'persistent\tpersistent\tJJ\tI-NP\tO' -p35301 -aS'cough\tcough\tNN\tI-NP\tO' -p35302 -aS'and\tand\tCC\tO\tO' -p35303 -aS'some\tsome\tDT\tB-NP\tO' -p35304 -aS'low\tlow\tJJ\tI-NP\tO' -p35305 -aS'grade\tgrade\tNN\tI-NP\tO' -p35306 -aS'fevers\tfever\tNNS\tI-NP\tO' -p35307 -aS'to\tto\tTO\tB-PP\tO' -p35308 -aS'99.0\t99.0\tCD\tB-NP\tO' -p35309 -aS'F\tF\tNN\tI-NP\tO' -p35310 -aS'.\t.\t.\tO\tO' -p35311 -asS'Coronary Artery Disease s/p Coronary Artery Bypass Graft x 2' -p35312 -(lp35313 -S'Coronary\tCoronary\tNNP\tB-NP\tO' -p35314 -aS'Artery\tArtery\tNNP\tI-NP\tO' -p35315 -aS'Disease\tDisease\tNNP\tI-NP\tO' -p35316 -aS's/p\ts/p\tNN\tI-NP\tO' -p35317 -aS'Coronary\tCoronary\tNNP\tI-NP\tO' -p35318 -aS'Artery\tArtery\tNNP\tI-NP\tO' -p35319 -aS'Bypass\tBypass\tNNP\tI-NP\tO' -p35320 -aS'Graft\tGraft\tNNP\tI-NP\tO' -p35321 -aS'x\tx\tNN\tI-NP\tO' -p35322 -aS'2\t2\tCD\tI-NP\tO' -p35323 -asS'2. Tamoxifen 20 mg p.o. daily .' -p35324 -(lp35325 -S'2.\t2.\tLS\tB-NP\tO' -p35326 -aS'Tamoxifen\tTamoxifen\tNN\tI-NP\tO' -p35327 -aS'20\t20\tCD\tI-NP\tO' -p35328 -aS'mg\tmg\tNN\tI-NP\tO' -p35329 -aS'p.o.\tp.o.\tRB\tB-ADVP\tO' -p35330 -aS'daily\tdaily\tRB\tI-ADVP\tO' -p35331 -aS'.\t.\t.\tO\tO' -p35332 -asS'The EP service was consulted and recommended transesophageal echocardiogram and cardioversion .' -p35333 -(lp35334 -S'The\tThe\tDT\tB-NP\tO' -p35335 -aS'EP\tEP\tNN\tI-NP\tO' -p35336 -aS'service\tservice\tNN\tI-NP\tO' -p35337 -aS'was\tbe\tVBD\tB-VP\tO' -p35338 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p35339 -aS'and\tand\tCC\tO\tO' -p35340 -aS'recommended\trecommend\tVBN\tB-VP\tO' -p35341 -aS'transesophageal\ttransesophageal\tJJ\tB-NP\tO' -p35342 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p35343 -aS'and\tand\tCC\tI-NP\tO' -p35344 -aS'cardioversion\tcardioversion\tNN\tI-NP\tO' -p35345 -aS'.\t.\t.\tO\tO' -p35346 -asS'The patient should also have her potassium levels checked two times per week to insure that she is not becoming hypokalemic .' -p35347 -(lp35348 -S'The\tThe\tDT\tB-NP\tO' -p35349 -aS'patient\tpatient\tNN\tI-NP\tO' -p35350 -aS'should\tshould\tMD\tB-VP\tO' -p35351 -aS'also\talso\tRB\tI-VP\tO' -p35352 -aS'have\thave\tVB\tI-VP\tO' -p35353 -aS'her\ther\tPRP$\tB-NP\tO' -p35354 -aS'potassium\tpotassium\tNN\tI-NP\tO' -p35355 -aS'levels\tlevel\tNNS\tI-NP\tO' -p35356 -aS'checked\tcheck\tVBD\tB-VP\tO' -p35357 -aS'two\ttwo\tCD\tB-NP\tO' -p35358 -aS'times\ttime\tNNS\tI-NP\tO' -p35359 -aS'per\tper\tIN\tB-PP\tO' -p35360 -aS'week\tweek\tNN\tB-NP\tO' -p35361 -aS'to\tto\tTO\tB-VP\tO' -p35362 -aS'insure\tinsure\tVB\tI-VP\tO' -p35363 -aS'that\tthat\tIN\tB-SBAR\tO' -p35364 -aS'she\tshe\tPRP\tB-NP\tO' -p35365 -aS'is\tbe\tVBZ\tB-VP\tO' -p35366 -aS'not\tnot\tRB\tI-VP\tO' -p35367 -aS'becoming\tbecome\tVBG\tI-VP\tO' -p35368 -aS'hypokalemic\thypokalemic\tJJ\tB-ADJP\tO' -p35369 -aS'.\t.\t.\tO\tO' -p35370 -asS'He lives at home with his wife .' -p35371 -(lp35372 -S'He\tHe\tPRP\tB-NP\tO' -p35373 -aS'lives\tlive\tVBZ\tB-VP\tO' -p35374 -aS'at\tat\tIN\tB-PP\tO' -p35375 -aS'home\thome\tNN\tB-NP\tO' -p35376 -aS'with\twith\tIN\tB-PP\tO' -p35377 -aS'his\this\tPRP$\tB-NP\tO' -p35378 -aS'wife\twife\tNN\tI-NP\tO' -p35379 -aS'.\t.\t.\tO\tO' -p35380 -asS'She started on enteral feeds on day of life number two and progressed without difficulty to full volume feedings by day of life five and then was advanced to calorie enhanced breast milk of 24 calories per ounce .' -p35381 -(lp35382 -S'She\tShe\tPRP\tB-NP\tO' -p35383 -aS'started\tstart\tVBD\tB-VP\tO' -p35384 -aS'on\ton\tIN\tB-PP\tO' -p35385 -aS'enteral\tenteral\tJJ\tB-NP\tO' -p35386 -aS'feeds\tfeed\tNNS\tI-NP\tO' -p35387 -aS'on\ton\tIN\tB-PP\tO' -p35388 -aS'day\tday\tNN\tB-NP\tO' -p35389 -aS'of\tof\tIN\tB-PP\tO' -p35390 -aS'life\tlife\tNN\tB-NP\tO' -p35391 -aS'number\tnumber\tNN\tI-NP\tO' -p35392 -aS'two\ttwo\tCD\tB-NP\tO' -p35393 -aS'and\tand\tCC\tO\tO' -p35394 -aS'progressed\tprogress\tVBD\tB-VP\tO' -p35395 -aS'without\twithout\tIN\tB-PP\tO' -p35396 -aS'difficulty\tdifficulty\tNN\tB-NP\tO' -p35397 -aS'to\tto\tTO\tB-PP\tO' -p35398 -aS'full\tfull\tJJ\tB-NP\tO' -p35399 -aS'volume\tvolume\tNN\tI-NP\tO' -p35400 -aS'feedings\tfeeding\tNNS\tI-NP\tO' -p35401 -aS'by\tby\tIN\tB-PP\tO' -p35402 -aS'day\tday\tNN\tB-NP\tO' -p35403 -aS'of\tof\tIN\tB-PP\tO' -p35404 -aS'life\tlife\tNN\tB-NP\tO' -p35405 -aS'five\tfive\tCD\tI-NP\tO' -p35406 -aS'and\tand\tCC\tO\tO' -p35407 -aS'then\tthen\tRB\tO\tO' -p35408 -aS'was\tbe\tVBD\tB-VP\tO' -p35409 -aS'advanced\tadvance\tVBN\tI-VP\tO' -p35410 -aS'to\tto\tTO\tI-VP\tO' -p35411 -aS'calorie\tcalorie\tVB\tI-VP\tO' -p35412 -aS'enhanced\tenhance\tVBN\tB-NP\tO' -p35413 -aS'breast\tbreast\tNN\tI-NP\tO' -p35414 -aS'milk\tmilk\tNN\tI-NP\tO' -p35415 -aS'of\tof\tIN\tB-PP\tO' -p35416 -aS'24\t24\tCD\tB-NP\tO' -p35417 -aS'calories\tcalorie\tNNS\tI-NP\tO' -p35418 -aS'per\tper\tIN\tB-PP\tO' -p35419 -aS'ounce\tounce\tNN\tB-NP\tO' -p35420 -aS'.\t.\t.\tO\tO' -p35421 -asS'Group B Streptococcus status unknown .' -p35422 -(lp35423 -S'Group\tGroup\tNN\tB-NP\tO' -p35424 -aS'B\tB\tNN\tI-NP\tO' -p35425 -aS'Streptococcus\tStreptococcus\tNN\tI-NP\tO' -p35426 -aS'status\tstatus\tNN\tI-NP\tO' -p35427 -aS'unknown\tunknown\tJJ\tB-ADJP\tO' -p35428 -aS'.\t.\t.\tO\tO' -p35429 -asS'There was a left central facial paresis .' -p35430 -(lp35431 -S'There\tThere\tEX\tB-NP\tO' -p35432 -aS'was\tbe\tVBD\tB-VP\tO' -p35433 -aS'a\ta\tDT\tB-NP\tO' -p35434 -aS'left\tleft\tJJ\tI-NP\tO' -p35435 -aS'central\tcentral\tJJ\tI-NP\tO' -p35436 -aS'facial\tfacial\tJJ\tI-NP\tO' -p35437 -aS'paresis\tparesis\tNN\tI-NP\tO' -p35438 -aS'.\t.\t.\tO\tO' -p35439 -asS'1. Heparin Sodium ( Porcine ) 5,000 unit / mL Solution Sig : One ( 1 ) Injection TID ( 3 times a day ) .' -p35440 -(lp35441 -S'1.\t1.\tLS\tB-NP\tO' -p35442 -aS'Heparin\tHeparin\tNN\tI-NP\tB-protein' -p35443 -aS'Sodium\tSodium\tNN\tI-NP\tI-protein' -p35444 -aS'(\t(\t(\tO\tI-protein' -p35445 -aS'Porcine\tPorcine\tNN\tB-NP\tI-protein' -p35446 -aS')\t)\t)\tO\tI-protein' -p35447 -aS'5,000\t5,000\tCD\tB-NP\tI-protein' -p35448 -aS'unit\tunit\tNN\tI-NP\tI-protein' -p35449 -aS'/\t/\tSYM\tB-NP\tO' -p35450 -aS'mL\tmL\tNN\tI-NP\tO' -p35451 -aS'Solution\tSolution\tNNP\tI-NP\tO' -p35452 -aS'Sig\tSig\tNNP\tI-NP\tO' -p35453 -aS':\t:\t:\tO\tO' -p35454 -aS'One\tOne\tCD\tB-NP\tO' -p35455 -aS'(\t(\t(\tO\tO' -p35456 -aS'1\t1\tCD\tB-NP\tO' -p35457 -aS')\t)\t)\tO\tO' -p35458 -aS'Injection\tInjection\tNN\tB-NP\tO' -p35459 -aS'TID\tTID\tNN\tI-NP\tO' -p35460 -aS'(\t(\t(\tO\tO' -p35461 -aS'3\t3\tCD\tB-NP\tO' -p35462 -aS'times\ttime\tNNS\tI-NP\tO' -p35463 -aS'a\ta\tDT\tB-NP\tO' -p35464 -aS'day\tday\tNN\tI-NP\tO' -p35465 -aS')\t)\t)\tO\tO' -p35466 -aS'.\t.\t.\tO\tO' -p35467 -asS'At a goal weight of 142 pounds , Mr. State 's filling pressures appeared ideal with a wedge pressure of 14 and his goal weight range will be between 142 and 44 pounds at home .' -p35468 -(lp35469 -S'At\tAt\tIN\tB-PP\tO' -p35470 -aS'a\ta\tDT\tB-NP\tO' -p35471 -aS'goal\tgoal\tNN\tI-NP\tO' -p35472 -aS'weight\tweight\tNN\tI-NP\tO' -p35473 -aS'of\tof\tIN\tB-PP\tO' -p35474 -aS'142\t142\tCD\tB-NP\tO' -p35475 -aS'pounds\tpound\tNNS\tI-NP\tO' -p35476 -aS',\t,\t,\tO\tO' -p35477 -aS'Mr.\tMr.\tNNP\tB-NP\tO' -p35478 -aS'State\tState\tNNP\tI-NP\tO' -p35479 -aS''s\t'\tNNS\tI-NP\tO' -p35480 -aS'filling\tfill\tVBG\tB-VP\tO' -p35481 -aS'pressures\tpressure\tNNS\tB-NP\tO' -p35482 -aS'appeared\tappear\tVBD\tB-VP\tO' -p35483 -aS'ideal\tideal\tJJ\tB-ADJP\tO' -p35484 -aS'with\twith\tIN\tB-PP\tO' -p35485 -aS'a\ta\tDT\tB-NP\tO' -p35486 -aS'wedge\twedge\tNN\tI-NP\tO' -p35487 -aS'pressure\tpressure\tNN\tI-NP\tO' -p35488 -aS'of\tof\tIN\tB-PP\tO' -p35489 -aS'14\t14\tCD\tB-NP\tO' -p35490 -aS'and\tand\tCC\tO\tO' -p35491 -aS'his\this\tPRP$\tB-NP\tO' -p35492 -aS'goal\tgoal\tJJ\tI-NP\tO' -p35493 -aS'weight\tweight\tNN\tI-NP\tO' -p35494 -aS'range\trange\tNN\tI-NP\tO' -p35495 -aS'will\twill\tMD\tB-VP\tO' -p35496 -aS'be\tbe\tVB\tI-VP\tO' -p35497 -aS'between\tbetween\tIN\tB-PP\tO' -p35498 -aS'142\t142\tCD\tB-NP\tO' -p35499 -aS'and\tand\tCC\tI-NP\tO' -p35500 -aS'44\t44\tCD\tI-NP\tO' -p35501 -aS'pounds\tpound\tNNS\tI-NP\tO' -p35502 -aS'at\tat\tIN\tB-PP\tO' -p35503 -aS'home\thome\tNN\tB-NP\tO' -p35504 -aS'.\t.\t.\tO\tO' -p35505 -asS'11. Warfarin Sodium 1 mg Tablet Sig : Five ( 5 ) Tablet PO once a day : Take 5 mg on 04-18 .' -p35506 -(lp35507 -S'11.\t11.\tLS\tB-NP\tO' -p35508 -aS'Warfarin\tWarfarin\tNNP\tI-NP\tO' -p35509 -aS'Sodium\tSodium\tNNP\tI-NP\tO' -p35510 -aS'1\t1\tCD\tI-NP\tO' -p35511 -aS'mg\tmg\tNN\tI-NP\tO' -p35512 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p35513 -aS'Sig\tSig\tNNP\tI-NP\tO' -p35514 -aS':\t:\t:\tO\tO' -p35515 -aS'Five\tFive\tCD\tB-NP\tO' -p35516 -aS'(\t(\t(\tO\tO' -p35517 -aS'5\t5\tCD\tB-NP\tO' -p35518 -aS')\t)\t)\tO\tO' -p35519 -aS'Tablet\tTablet\tNN\tB-NP\tB-protein' -p35520 -aS'PO\tPO\tNN\tI-NP\tI-protein' -p35521 -aS'once\tonce\tRB\tO\tO' -p35522 -aS'a\ta\tDT\tB-NP\tO' -p35523 -aS'day\tday\tNN\tI-NP\tO' -p35524 -aS':\t:\t:\tO\tO' -p35525 -aS'Take\tTake\tVB\tB-VP\tO' -p35526 -aS'5\t5\tCD\tB-NP\tO' -p35527 -aS'mg\tmg\tNN\tI-NP\tO' -p35528 -aS'on\ton\tIN\tB-PP\tO' -p35529 -aS'04-18\t04-18\tCD\tB-NP\tO' -p35530 -aS'.\t.\t.\tO\tO' -p35531 -asS'Appendectomy at the age of 14 , open .' -p35532 -(lp35533 -S'Appendectomy\tAppendectomy\tNN\tB-NP\tO' -p35534 -aS'at\tat\tIN\tB-PP\tO' -p35535 -aS'the\tthe\tDT\tB-NP\tO' -p35536 -aS'age\tage\tNN\tI-NP\tO' -p35537 -aS'of\tof\tIN\tB-PP\tO' -p35538 -aS'14\t14\tCD\tB-NP\tO' -p35539 -aS',\t,\t,\tO\tO' -p35540 -aS'open\topen\tJJ\tB-ADJP\tO' -p35541 -aS'.\t.\t.\tO\tO' -p35542 -asS'He was initially treated with vancomycin and zosyn while awaiting culture results .' -p35543 -(lp35544 -S'He\tHe\tPRP\tB-NP\tO' -p35545 -aS'was\tbe\tVBD\tB-VP\tO' -p35546 -aS'initially\tinitially\tRB\tI-VP\tO' -p35547 -aS'treated\ttreat\tVBN\tI-VP\tO' -p35548 -aS'with\twith\tIN\tB-PP\tO' -p35549 -aS'vancomycin\tvancomycin\tNN\tB-NP\tO' -p35550 -aS'and\tand\tCC\tI-NP\tO' -p35551 -aS'zosyn\tzosyn\tNN\tI-NP\tO' -p35552 -aS'while\twhile\tIN\tB-SBAR\tO' -p35553 -aS'awaiting\tawait\tVBG\tB-VP\tO' -p35554 -aS'culture\tculture\tNN\tB-NP\tO' -p35555 -aS'results\tresult\tNNS\tI-NP\tO' -p35556 -aS'.\t.\t.\tO\tO' -p35557 -asS'UTIs , obstruction of the right subclavian vein and right brachial cephalic vein , herpes zoster .' -p35558 -(lp35559 -S'UTIs\tUTI\tNNS\tB-NP\tO' -p35560 -aS',\t,\t,\tO\tO' -p35561 -aS'obstruction\tobstruction\tNN\tB-NP\tO' -p35562 -aS'of\tof\tIN\tB-PP\tO' -p35563 -aS'the\tthe\tDT\tB-NP\tO' -p35564 -aS'right\tright\tJJ\tI-NP\tO' -p35565 -aS'subclavian\tsubclavian\tJJ\tI-NP\tO' -p35566 -aS'vein\tvein\tNN\tI-NP\tO' -p35567 -aS'and\tand\tCC\tO\tO' -p35568 -aS'right\tright\tJJ\tB-NP\tO' -p35569 -aS'brachial\tbrachial\tJJ\tI-NP\tO' -p35570 -aS'cephalic\tcephalic\tJJ\tI-NP\tO' -p35571 -aS'vein\tvein\tNN\tI-NP\tO' -p35572 -aS',\t,\t,\tO\tO' -p35573 -aS'herpes\therpes\tNN\tB-NP\tO' -p35574 -aS'zoster\tzoster\tNN\tI-NP\tO' -p35575 -aS'.\t.\t.\tO\tO' -p35576 -asS'Afebrile the next day and pacing wires removed without incident .' -p35577 -(lp35578 -S'Afebrile\tAfebrile\tIN\tB-PP\tO' -p35579 -aS'the\tthe\tDT\tB-NP\tO' -p35580 -aS'next\tnext\tJJ\tI-NP\tO' -p35581 -aS'day\tday\tNN\tI-NP\tO' -p35582 -aS'and\tand\tCC\tO\tO' -p35583 -aS'pacing\tpacing\tNN\tB-NP\tO' -p35584 -aS'wires\twire\tNNS\tI-NP\tO' -p35585 -aS'removed\tremove\tVBN\tB-VP\tO' -p35586 -aS'without\twithout\tIN\tB-PP\tO' -p35587 -aS'incident\tincident\tNN\tB-NP\tO' -p35588 -aS'.\t.\t.\tO\tO' -p35589 -asS'Oropharynx was benign without exudate .' -p35590 -(lp35591 -S'Oropharynx\tOropharynx\tNNP\tB-NP\tO' -p35592 -aS'was\tbe\tVBD\tB-VP\tO' -p35593 -aS'benign\tbenign\tJJ\tB-ADJP\tO' -p35594 -aS'without\twithout\tIN\tB-PP\tO' -p35595 -aS'exudate\texudate\tNN\tB-NP\tO' -p35596 -aS'.\t.\t.\tO\tO' -p35597 -asS'Cultures were taken .' -p35598 -(lp35599 -S'Cultures\tCulture\tNNS\tB-NP\tO' -p35600 -aS'were\tbe\tVBD\tB-VP\tO' -p35601 -aS'taken\ttake\tVBN\tI-VP\tO' -p35602 -aS'.\t.\t.\tO\tO' -p35603 -asS'There had been some concern her nausea was due to her amiodarone which had been discontinued about 1 week ago .' -p35604 -(lp35605 -S'There\tThere\tEX\tB-NP\tO' -p35606 -aS'had\thave\tVBD\tB-VP\tO' -p35607 -aS'been\tbe\tVBN\tI-VP\tO' -p35608 -aS'some\tsome\tDT\tB-NP\tO' -p35609 -aS'concern\tconcern\tNN\tI-NP\tO' -p35610 -aS'her\ther\tPRP$\tB-NP\tO' -p35611 -aS'nausea\tnausea\tNN\tI-NP\tO' -p35612 -aS'was\tbe\tVBD\tB-VP\tO' -p35613 -aS'due\tdue\tJJ\tB-ADJP\tO' -p35614 -aS'to\tto\tTO\tB-PP\tO' -p35615 -aS'her\ther\tPRP$\tB-NP\tO' -p35616 -aS'amiodarone\tamiodarone\tNN\tI-NP\tO' -p35617 -aS'which\twhich\tWDT\tB-NP\tO' -p35618 -aS'had\thave\tVBD\tB-VP\tO' -p35619 -aS'been\tbe\tVBN\tI-VP\tO' -p35620 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p35621 -aS'about\tabout\tIN\tB-NP\tO' -p35622 -aS'1\t1\tCD\tI-NP\tO' -p35623 -aS'week\tweek\tNN\tI-NP\tO' -p35624 -aS'ago\tago\tRB\tB-ADVP\tO' -p35625 -aS'.\t.\t.\tO\tO' -p35626 -asS'She had bilateral crepitus in the anterior neck .' -p35627 -(lp35628 -S'She\tShe\tPRP\tB-NP\tO' -p35629 -aS'had\thave\tVBD\tB-VP\tO' -p35630 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p35631 -aS'crepitus\tcrepitus\tNN\tI-NP\tO' -p35632 -aS'in\tin\tIN\tB-PP\tO' -p35633 -aS'the\tthe\tDT\tB-NP\tO' -p35634 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p35635 -aS'neck\tneck\tNN\tI-NP\tO' -p35636 -aS'.\t.\t.\tO\tO' -p35637 -asS'FLANK PAIN URI ?' -p35638 -(lp35639 -S'FLANK\tFLANK\tNN\tB-NP\tB-protein' -p35640 -aS'PAIN\tPAIN\tNN\tI-NP\tO' -p35641 -aS'URI\tURI\tNN\tI-NP\tO' -p35642 -aS'?\t?\t.\tO\tO' -p35643 -asS'SMA-7 was unremarkable aside form a creatinine of 1.6 and a glucose of 207 ; otherwise , was within normal limits .' -p35644 -(lp35645 -S'SMA-7\tSMA-7\tNN\tB-NP\tB-protein' -p35646 -aS'was\tbe\tVBD\tB-VP\tO' -p35647 -aS'unremarkable\tunremarkable\tJJ\tB-NP\tO' -p35648 -aS'aside\taside\tNN\tI-NP\tO' -p35649 -aS'form\tform\tVBP\tB-VP\tO' -p35650 -aS'a\ta\tDT\tB-NP\tO' -p35651 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p35652 -aS'of\tof\tIN\tB-PP\tO' -p35653 -aS'1.6\t1.6\tCD\tB-NP\tO' -p35654 -aS'and\tand\tCC\tO\tO' -p35655 -aS'a\ta\tDT\tB-NP\tO' -p35656 -aS'glucose\tglucose\tNN\tI-NP\tO' -p35657 -aS'of\tof\tIN\tB-PP\tO' -p35658 -aS'207\t207\tCD\tB-NP\tO' -p35659 -aS';\t;\t:\tO\tO' -p35660 -aS'otherwise\totherwise\tRB\tB-ADVP\tO' -p35661 -aS',\t,\t,\tO\tO' -p35662 -aS'was\tbe\tVBD\tB-VP\tO' -p35663 -aS'within\twithin\tIN\tB-PP\tO' -p35664 -aS'normal\tnormal\tJJ\tB-NP\tO' -p35665 -aS'limits\tlimit\tNNS\tI-NP\tO' -p35666 -aS'.\t.\t.\tO\tO' -p35667 -asS'His extraocular movements were intact .' -p35668 -(lp35669 -S'His\tHis\tPRP$\tB-NP\tO' -p35670 -aS'extraocular\textraocular\tJJ\tI-NP\tO' -p35671 -aS'movements\tmovement\tNNS\tI-NP\tO' -p35672 -aS'were\tbe\tVBD\tB-VP\tO' -p35673 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p35674 -aS'.\t.\t.\tO\tO' -p35675 -asS'He had chest tube and pacing wires in place .' -p35676 -(lp35677 -S'He\tHe\tPRP\tB-NP\tO' -p35678 -aS'had\thave\tVBD\tB-VP\tO' -p35679 -aS'chest\tchest\tNN\tB-NP\tO' -p35680 -aS'tube\ttube\tNN\tI-NP\tO' -p35681 -aS'and\tand\tCC\tI-NP\tO' -p35682 -aS'pacing\tpacing\tNN\tI-NP\tO' -p35683 -aS'wires\twire\tNNS\tI-NP\tO' -p35684 -aS'in\tin\tIN\tB-PP\tO' -p35685 -aS'place\tplace\tNN\tB-NP\tO' -p35686 -aS'.\t.\t.\tO\tO' -p35687 -asS'Mr. Mass had a past medical history which included Wegener 's granulomatosis , history of an anterior myocardial infarction , and gallstone pancreatitis .' -p35688 -(lp35689 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p35690 -aS'Mass\tMass\tNNP\tI-NP\tO' -p35691 -aS'had\thave\tVBD\tB-VP\tO' -p35692 -aS'a\ta\tDT\tB-NP\tO' -p35693 -aS'past\tpast\tJJ\tI-NP\tO' -p35694 -aS'medical\tmedical\tJJ\tI-NP\tO' -p35695 -aS'history\thistory\tNN\tI-NP\tO' -p35696 -aS'which\twhich\tWDT\tB-NP\tO' -p35697 -aS'included\tinclude\tVBD\tB-VP\tO' -p35698 -aS'Wegener\tWegener\tNNP\tB-NP\tO' -p35699 -aS''s\t'\tNNS\tI-NP\tO' -p35700 -aS'granulomatosis\tgranulomatosis\tNN\tI-NP\tO' -p35701 -aS',\t,\t,\tO\tO' -p35702 -aS'history\thistory\tNN\tB-NP\tO' -p35703 -aS'of\tof\tIN\tB-PP\tO' -p35704 -aS'an\tan\tDT\tB-NP\tO' -p35705 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p35706 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p35707 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p35708 -aS',\t,\t,\tO\tO' -p35709 -aS'and\tand\tCC\tO\tO' -p35710 -aS'gallstone\tgallstone\tNN\tB-NP\tO' -p35711 -aS'pancreatitis\tpancreatitis\tNN\tI-NP\tO' -p35712 -aS'.\t.\t.\tO\tO' -p35713 -asS'Prenatal screens benign .' -p35714 -(lp35715 -S'Prenatal\tPrenatal\tJJ\tB-NP\tO' -p35716 -aS'screens\tscreen\tNNS\tI-NP\tO' -p35717 -aS'benign\tbenign\tJJ\tB-ADJP\tO' -p35718 -aS'.\t.\t.\tO\tO' -p35719 -asS'In the subsequent two days , she had several small spells of " imbalance " , particularly towards the right , and other symptoms included diffuse and mainly frontal headaches and mild neck soreness .' -p35720 -(lp35721 -S'In\tIn\tIN\tB-PP\tO' -p35722 -aS'the\tthe\tDT\tB-NP\tO' -p35723 -aS'subsequent\tsubsequent\tJJ\tI-NP\tO' -p35724 -aS'two\ttwo\tCD\tI-NP\tO' -p35725 -aS'days\tday\tNNS\tI-NP\tO' -p35726 -aS',\t,\t,\tO\tO' -p35727 -aS'she\tshe\tPRP\tB-NP\tO' -p35728 -aS'had\thave\tVBD\tB-VP\tO' -p35729 -aS'several\tseveral\tJJ\tB-NP\tO' -p35730 -aS'small\tsmall\tJJ\tI-NP\tO' -p35731 -aS'spells\tspell\tNNS\tI-NP\tO' -p35732 -aS'of\tof\tIN\tB-PP\tO' -p35733 -aS'"\t"\tNN\tB-NP\tB-protein' -p35734 -aS'imbalance\timbalance\tNN\tI-NP\tI-protein' -p35735 -aS'"\t"\tNN\tI-NP\tI-protein' -p35736 -aS',\t,\t,\tO\tO' -p35737 -aS'particularly\tparticularly\tRB\tB-ADVP\tO' -p35738 -aS'towards\ttowards\tIN\tB-PP\tO' -p35739 -aS'the\tthe\tDT\tB-NP\tO' -p35740 -aS'right\tright\tNN\tI-NP\tO' -p35741 -aS',\t,\t,\tO\tO' -p35742 -aS'and\tand\tCC\tO\tO' -p35743 -aS'other\tother\tJJ\tB-NP\tO' -p35744 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p35745 -aS'included\tinclude\tVBD\tB-VP\tO' -p35746 -aS'diffuse\tdiffuse\tJJ\tB-NP\tO' -p35747 -aS'and\tand\tCC\tI-NP\tO' -p35748 -aS'mainly\tmainly\tRB\tI-NP\tO' -p35749 -aS'frontal\tfrontal\tJJ\tI-NP\tO' -p35750 -aS'headaches\theadache\tNNS\tI-NP\tO' -p35751 -aS'and\tand\tCC\tO\tO' -p35752 -aS'mild\tmild\tJJ\tB-NP\tO' -p35753 -aS'neck\tneck\tNN\tI-NP\tO' -p35754 -aS'soreness\tsoreness\tNN\tI-NP\tO' -p35755 -aS'.\t.\t.\tO\tO' -p35756 -asS'Warm with good distal pulses .' -p35757 -(lp35758 -S'Warm\tWarm\tNN\tB-NP\tO' -p35759 -aS'with\twith\tIN\tB-PP\tO' -p35760 -aS'good\tgood\tJJ\tB-NP\tO' -p35761 -aS'distal\tdistal\tJJ\tI-NP\tO' -p35762 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p35763 -aS'.\t.\t.\tO\tO' -p35764 -asS'Denies any hemetemesis .' -p35765 -(lp35766 -S'Denies\tDeny\tNNS\tB-NP\tO' -p35767 -aS'any\tany\tDT\tB-NP\tO' -p35768 -aS'hemetemesis\themetemesis\tNN\tI-NP\tO' -p35769 -aS'.\t.\t.\tO\tO' -p35770 -asS'24. Prochlorperazine 10 mg Tablet Sig : One ( 1 ) Tablet PO Q6H ( every 6 hours ) as needed .' -p35771 -(lp35772 -S'24.\t24.\tCD\tB-NP\tO' -p35773 -aS'Prochlorperazine\tProchlorperazine\tNN\tI-NP\tO' -p35774 -aS'10\t10\tCD\tB-NP\tO' -p35775 -aS'mg\tmg\tNN\tI-NP\tO' -p35776 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p35777 -aS'Sig\tSig\tNNP\tI-NP\tO' -p35778 -aS':\t:\t:\tO\tO' -p35779 -aS'One\tOne\tCD\tB-NP\tO' -p35780 -aS'(\t(\t(\tO\tO' -p35781 -aS'1\t1\tCD\tB-NP\tO' -p35782 -aS')\t)\t)\tO\tO' -p35783 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p35784 -aS'PO\tPO\tNN\tI-NP\tO' -p35785 -aS'Q6H\tQ6H\tNN\tI-NP\tO' -p35786 -aS'(\t(\t(\tO\tO' -p35787 -aS'every\tevery\tDT\tB-NP\tO' -p35788 -aS'6\t6\tCD\tI-NP\tO' -p35789 -aS'hours\thour\tNNS\tI-NP\tO' -p35790 -aS')\t)\t)\tO\tO' -p35791 -aS'as\tas\tIN\tB-SBAR\tO' -p35792 -aS'needed\tneed\tVBN\tB-VP\tO' -p35793 -aS'.\t.\t.\tO\tO' -p35794 -asS'8. Hypertension .' -p35795 -(lp35796 -S'8.\t8.\tCD\tB-NP\tO' -p35797 -aS'Hypertension\tHypertension\tNN\tI-NP\tO' -p35798 -aS'.\t.\t.\tO\tO' -p35799 -asS'10. Lasix 40 mg bid x 21 days .' -p35800 -(lp35801 -S'10.\t10.\tCD\tB-NP\tO' -p35802 -aS'Lasix\tLasix\tNNP\tI-NP\tO' -p35803 -aS'40\t40\tCD\tI-NP\tO' -p35804 -aS'mg\tmg\tNN\tI-NP\tO' -p35805 -aS'bid\tbid\tRB\tB-VP\tO' -p35806 -aS'x\tx\tSYM\tB-NP\tO' -p35807 -aS'21\t21\tCD\tB-NP\tO' -p35808 -aS'days\tday\tNNS\tI-NP\tO' -p35809 -aS'.\t.\t.\tO\tO' -p35810 -asS'Briefly , the surgery on 2014-07-29 revealed a carcinoma of the gallbladder with a cholecystocolonic fistula which crossed into the liver as well as metastatic adenopathy around the portal nodes as well as retroperitoneal nodes around the inferior vena cava and the hepatic artery .' -p35811 -(lp35812 -S'Briefly\tBriefly\tNNP\tB-NP\tO' -p35813 -aS',\t,\t,\tO\tO' -p35814 -aS'the\tthe\tDT\tB-NP\tO' -p35815 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p35816 -aS'on\ton\tIN\tB-PP\tO' -p35817 -aS'2014-07-29\t2014-07-29\tCD\tB-NP\tO' -p35818 -aS'revealed\treveal\tVBD\tB-VP\tO' -p35819 -aS'a\ta\tDT\tB-NP\tO' -p35820 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p35821 -aS'of\tof\tIN\tB-PP\tO' -p35822 -aS'the\tthe\tDT\tB-NP\tO' -p35823 -aS'gallbladder\tgallbladder\tNN\tI-NP\tO' -p35824 -aS'with\twith\tIN\tB-PP\tO' -p35825 -aS'a\ta\tDT\tB-NP\tO' -p35826 -aS'cholecystocolonic\tcholecystocolonic\tJJ\tI-NP\tO' -p35827 -aS'fistula\tfistula\tNN\tI-NP\tO' -p35828 -aS'which\twhich\tWDT\tB-NP\tO' -p35829 -aS'crossed\tcross\tVBD\tB-VP\tO' -p35830 -aS'into\tinto\tIN\tB-PP\tO' -p35831 -aS'the\tthe\tDT\tB-NP\tO' -p35832 -aS'liver\tliver\tNN\tI-NP\tO' -p35833 -aS'as\tas\tRB\tB-CONJP\tO' -p35834 -aS'well\twell\tRB\tI-CONJP\tO' -p35835 -aS'as\tas\tIN\tI-CONJP\tO' -p35836 -aS'metastatic\tmetastatic\tJJ\tB-NP\tO' -p35837 -aS'adenopathy\tadenopathy\tNN\tI-NP\tO' -p35838 -aS'around\taround\tIN\tB-PP\tO' -p35839 -aS'the\tthe\tDT\tB-NP\tO' -p35840 -aS'portal\tportal\tJJ\tI-NP\tO' -p35841 -aS'nodes\tnode\tNNS\tI-NP\tO' -p35842 -aS'as\tas\tRB\tB-CONJP\tO' -p35843 -aS'well\twell\tRB\tI-CONJP\tO' -p35844 -aS'as\tas\tIN\tI-CONJP\tO' -p35845 -aS'retroperitoneal\tretroperitoneal\tJJ\tB-NP\tO' -p35846 -aS'nodes\tnode\tNNS\tI-NP\tO' -p35847 -aS'around\taround\tIN\tB-PP\tO' -p35848 -aS'the\tthe\tDT\tB-NP\tO' -p35849 -aS'inferior\tinferior\tJJ\tI-NP\tO' -p35850 -aS'vena\tvena\tNN\tI-NP\tO' -p35851 -aS'cava\tcava\tNN\tI-NP\tO' -p35852 -aS'and\tand\tCC\tO\tO' -p35853 -aS'the\tthe\tDT\tB-NP\tO' -p35854 -aS'hepatic\thepatic\tJJ\tI-NP\tO' -p35855 -aS'artery\tartery\tNN\tI-NP\tO' -p35856 -aS'.\t.\t.\tO\tO' -p35857 -asS'She now presents for left axillary node dissection , to complete her staging .' -p35858 -(lp35859 -S'She\tShe\tPRP\tB-NP\tO' -p35860 -aS'now\tnow\tRB\tB-ADVP\tO' -p35861 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p35862 -aS'for\tfor\tIN\tB-PP\tO' -p35863 -aS'left\tleft\tJJ\tB-NP\tO' -p35864 -aS'axillary\taxillary\tJJ\tI-NP\tO' -p35865 -aS'node\tnode\tNN\tI-NP\tO' -p35866 -aS'dissection\tdissection\tNN\tI-NP\tO' -p35867 -aS',\t,\t,\tO\tO' -p35868 -aS'to\tto\tTO\tB-VP\tO' -p35869 -aS'complete\tcomplete\tVB\tI-VP\tO' -p35870 -aS'her\ther\tPRP$\tB-NP\tO' -p35871 -aS'staging\tstaging\tNN\tI-NP\tO' -p35872 -aS'.\t.\t.\tO\tO' -p35873 -asS'Of note , the patient has extreme pain with these dressing changes and requires parenteral morphine sulfate for pain control during dressing changes .' -p35874 -(lp35875 -S'Of\tOf\tIN\tB-PP\tO' -p35876 -aS'note\tnote\tNN\tB-NP\tO' -p35877 -aS',\t,\t,\tO\tO' -p35878 -aS'the\tthe\tDT\tB-NP\tO' -p35879 -aS'patient\tpatient\tNN\tI-NP\tO' -p35880 -aS'has\thave\tVBZ\tB-VP\tO' -p35881 -aS'extreme\textreme\tJJ\tB-NP\tO' -p35882 -aS'pain\tpain\tNN\tI-NP\tO' -p35883 -aS'with\twith\tIN\tB-PP\tO' -p35884 -aS'these\tthese\tDT\tB-NP\tO' -p35885 -aS'dressing\tdress\tVBG\tI-NP\tO' -p35886 -aS'changes\tchange\tNNS\tI-NP\tO' -p35887 -aS'and\tand\tCC\tO\tO' -p35888 -aS'requires\trequire\tVBZ\tB-VP\tO' -p35889 -aS'parenteral\tparenteral\tJJ\tB-NP\tO' -p35890 -aS'morphine\tmorphine\tNN\tI-NP\tO' -p35891 -aS'sulfate\tsulfate\tNN\tI-NP\tO' -p35892 -aS'for\tfor\tIN\tB-PP\tO' -p35893 -aS'pain\tpain\tNN\tB-NP\tO' -p35894 -aS'control\tcontrol\tNN\tI-NP\tO' -p35895 -aS'during\tduring\tIN\tB-PP\tO' -p35896 -aS'dressing\tdress\tVBG\tB-VP\tO' -p35897 -aS'changes\tchange\tNNS\tB-NP\tO' -p35898 -aS'.\t.\t.\tO\tO' -p35899 -asS'He was seen by his primary care physician the day before admission and complained of two weeks of increasing shortness of breath and fatigue , weight gain and abdominal fullness .' -p35900 -(lp35901 -S'He\tHe\tPRP\tB-NP\tO' -p35902 -aS'was\tbe\tVBD\tB-VP\tO' -p35903 -aS'seen\tsee\tVBN\tI-VP\tO' -p35904 -aS'by\tby\tIN\tB-PP\tO' -p35905 -aS'his\this\tPRP$\tB-NP\tO' -p35906 -aS'primary\tprimary\tJJ\tI-NP\tO' -p35907 -aS'care\tcare\tNN\tI-NP\tO' -p35908 -aS'physician\tphysician\tNN\tI-NP\tO' -p35909 -aS'the\tthe\tDT\tB-NP\tO' -p35910 -aS'day\tday\tNN\tI-NP\tO' -p35911 -aS'before\tbefore\tIN\tB-PP\tO' -p35912 -aS'admission\tadmission\tNN\tB-NP\tO' -p35913 -aS'and\tand\tCC\tO\tO' -p35914 -aS'complained\tcomplain\tVBD\tB-VP\tO' -p35915 -aS'of\tof\tIN\tB-PP\tO' -p35916 -aS'two\ttwo\tCD\tB-NP\tO' -p35917 -aS'weeks\tweek\tNNS\tI-NP\tO' -p35918 -aS'of\tof\tIN\tB-PP\tO' -p35919 -aS'increasing\tincrease\tVBG\tB-VP\tO' -p35920 -aS'shortness\tshortness\tNN\tB-NP\tO' -p35921 -aS'of\tof\tIN\tB-PP\tO' -p35922 -aS'breath\tbreath\tNN\tB-NP\tO' -p35923 -aS'and\tand\tCC\tI-NP\tO' -p35924 -aS'fatigue\tfatigue\tNN\tI-NP\tO' -p35925 -aS',\t,\t,\tO\tO' -p35926 -aS'weight\tweight\tNN\tB-NP\tO' -p35927 -aS'gain\tgain\tNN\tI-NP\tO' -p35928 -aS'and\tand\tCC\tO\tO' -p35929 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p35930 -aS'fullness\tfullness\tNN\tI-NP\tO' -p35931 -aS'.\t.\t.\tO\tO' -p35932 -asS'1) atrial fibrillation on coumadin ,' -p35933 -(lp35934 -S'1)\t1)\tLS\tB-NP\tO' -p35935 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p35936 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p35937 -aS'on\ton\tIN\tB-PP\tO' -p35938 -aS'coumadin\tcoumadin\tNN\tB-NP\tO' -p35939 -aS',\t,\t,\tO\tO' -p35940 -asS'He developed another round of acute renal failure with ATN and casts in his urine .' -p35941 -(lp35942 -S'He\tHe\tPRP\tB-NP\tO' -p35943 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p35944 -aS'another\tanother\tDT\tB-NP\tO' -p35945 -aS'round\tround\tNN\tI-NP\tO' -p35946 -aS'of\tof\tIN\tB-PP\tO' -p35947 -aS'acute\tacute\tJJ\tB-NP\tO' -p35948 -aS'renal\trenal\tJJ\tI-NP\tO' -p35949 -aS'failure\tfailure\tNN\tI-NP\tO' -p35950 -aS'with\twith\tIN\tB-PP\tO' -p35951 -aS'ATN\tATN\tNN\tB-NP\tB-protein' -p35952 -aS'and\tand\tCC\tI-NP\tO' -p35953 -aS'casts\tcast\tNNS\tI-NP\tO' -p35954 -aS'in\tin\tIN\tB-PP\tO' -p35955 -aS'his\this\tPRP$\tB-NP\tO' -p35956 -aS'urine\turine\tNN\tI-NP\tO' -p35957 -aS'.\t.\t.\tO\tO' -p35958 -asS'D-dimer was negative .' -p35959 -(lp35960 -S'D-dimer\tD-dimer\tNN\tB-NP\tB-protein' -p35961 -aS'was\tbe\tVBD\tB-VP\tO' -p35962 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p35963 -aS'.\t.\t.\tO\tO' -p35964 -asS'He was seen by respiratory therapy and suctioned continually throughout his hospital course .' -p35965 -(lp35966 -S'He\tHe\tPRP\tB-NP\tO' -p35967 -aS'was\tbe\tVBD\tB-VP\tO' -p35968 -aS'seen\tsee\tVBN\tI-VP\tO' -p35969 -aS'by\tby\tIN\tB-PP\tO' -p35970 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p35971 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p35972 -aS'and\tand\tCC\tO\tO' -p35973 -aS'suctioned\tsuctione\tVBN\tB-VP\tO' -p35974 -aS'continually\tcontinually\tRB\tB-ADVP\tO' -p35975 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p35976 -aS'his\this\tPRP$\tB-NP\tO' -p35977 -aS'hospital\thospital\tNN\tI-NP\tO' -p35978 -aS'course\tcourse\tNN\tI-NP\tO' -p35979 -aS'.\t.\t.\tO\tO' -p35980 -asS'The patient was discharged to Kindred Park View Specialty Hospital of Springfield Rehabilitation Hospital in good condition .' -p35981 -(lp35982 -S'The\tThe\tDT\tB-NP\tO' -p35983 -aS'patient\tpatient\tNN\tI-NP\tO' -p35984 -aS'was\tbe\tVBD\tB-VP\tO' -p35985 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p35986 -aS'to\tto\tTO\tB-PP\tO' -p35987 -aS'Kindred\tKindred\tNNP\tB-NP\tO' -p35988 -aS'Park\tPark\tNNP\tI-NP\tO' -p35989 -aS'View\tView\tNNP\tI-NP\tO' -p35990 -aS'Specialty\tSpecialty\tNNP\tI-NP\tO' -p35991 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p35992 -aS'of\tof\tIN\tB-PP\tO' -p35993 -aS'Springfield\tSpringfield\tNNP\tB-NP\tO' -p35994 -aS'Rehabilitation\tRehabilitation\tNNP\tI-NP\tO' -p35995 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p35996 -aS'in\tin\tIN\tB-PP\tO' -p35997 -aS'good\tgood\tJJ\tB-NP\tO' -p35998 -aS'condition\tcondition\tNN\tI-NP\tO' -p35999 -aS'.\t.\t.\tO\tO' -p36000 -asS'Fine needle aspiration on October 23 , 1991 demonstrated atypical cells which occurred singly and in clusters .' -p36001 -(lp36002 -S'Fine\tFine\tJJ\tB-NP\tO' -p36003 -aS'needle\tneedle\tNN\tI-NP\tO' -p36004 -aS'aspiration\taspiration\tNN\tI-NP\tO' -p36005 -aS'on\ton\tIN\tB-PP\tO' -p36006 -aS'October\tOctober\tNNP\tB-NP\tO' -p36007 -aS'23\t23\tCD\tI-NP\tO' -p36008 -aS',\t,\t,\tI-NP\tO' -p36009 -aS'1991\t1991\tCD\tI-NP\tO' -p36010 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p36011 -aS'atypical\tatypical\tJJ\tB-NP\tB-cell_type' -p36012 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p36013 -aS'which\twhich\tWDT\tB-NP\tO' -p36014 -aS'occurred\toccur\tVBD\tB-VP\tO' -p36015 -aS'singly\tsingly\tRB\tB-ADVP\tO' -p36016 -aS'and\tand\tCC\tO\tO' -p36017 -aS'in\tin\tIN\tB-PP\tO' -p36018 -aS'clusters\tcluster\tNNS\tB-NP\tO' -p36019 -aS'.\t.\t.\tO\tO' -p36020 -asS'1. Aspirin 325 mg p.o. once per day .' -p36021 -(lp36022 -S'1.\t1.\tLS\tB-NP\tO' -p36023 -aS'Aspirin\tAspirin\tNN\tI-NP\tO' -p36024 -aS'325\t325\tCD\tI-NP\tO' -p36025 -aS'mg\tmg\tNN\tI-NP\tO' -p36026 -aS'p.o.\tp.o.\tRB\tB-ADVP\tO' -p36027 -aS'once\tonce\tRB\tI-ADVP\tO' -p36028 -aS'per\tper\tIN\tB-PP\tO' -p36029 -aS'day\tday\tNN\tB-NP\tO' -p36030 -aS'.\t.\t.\tO\tO' -p36031 -asS'He underwent flap checks every 15 minutes initially with a dextran infusion .' -p36032 -(lp36033 -S'He\tHe\tPRP\tB-NP\tO' -p36034 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p36035 -aS'flap\tflap\tNN\tB-NP\tO' -p36036 -aS'checks\tcheck\tNNS\tI-NP\tO' -p36037 -aS'every\tevery\tDT\tB-NP\tO' -p36038 -aS'15\t15\tCD\tI-NP\tO' -p36039 -aS'minutes\tminute\tNNS\tI-NP\tO' -p36040 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p36041 -aS'with\twith\tIN\tB-PP\tO' -p36042 -aS'a\ta\tDT\tB-NP\tO' -p36043 -aS'dextran\tdextran\tNN\tI-NP\tO' -p36044 -aS'infusion\tinfusion\tNN\tI-NP\tO' -p36045 -aS'.\t.\t.\tO\tO' -p36046 -asS'12. Metoprolol Tartrate 25 mg Tablet Sig : 0.5 Tablet PO BID ( 2 times a day ) .' -p36047 -(lp36048 -S'12.\t12.\tLS\tB-NP\tO' -p36049 -aS'Metoprolol\tMetoprolol\tNN\tI-NP\tO' -p36050 -aS'Tartrate\tTartrate\tNN\tI-NP\tO' -p36051 -aS'25\t25\tCD\tI-NP\tO' -p36052 -aS'mg\tmg\tNN\tI-NP\tO' -p36053 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p36054 -aS'Sig\tSig\tNNP\tI-NP\tO' -p36055 -aS':\t:\t:\tO\tO' -p36056 -aS'0.5\t0.5\tCD\tB-NP\tO' -p36057 -aS'Tablet\tTablet\tNN\tI-NP\tO' -p36058 -aS'PO\tPO\tNN\tI-NP\tO' -p36059 -aS'BID\tBID\tNN\tI-NP\tO' -p36060 -aS'(\t(\t(\tO\tO' -p36061 -aS'2\t2\tCD\tB-NP\tO' -p36062 -aS'times\ttime\tNNS\tI-NP\tO' -p36063 -aS'a\ta\tDT\tB-NP\tO' -p36064 -aS'day\tday\tNN\tI-NP\tO' -p36065 -aS')\t)\t)\tO\tO' -p36066 -aS'.\t.\t.\tO\tO' -p36067 -asS'7. Levetiracetam 500 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ) : on 04-05 , please increase to TWO tablets bid ( 1000 mg bid ) .' -p36068 -(lp36069 -S'7.\t7.\tCD\tB-NP\tO' -p36070 -aS'Levetiracetam\tLevetiracetam\tNNP\tI-NP\tO' -p36071 -aS'500\t500\tCD\tI-NP\tO' -p36072 -aS'mg\tmg\tNN\tI-NP\tO' -p36073 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p36074 -aS'Sig\tSig\tNNP\tI-NP\tO' -p36075 -aS':\t:\t:\tO\tO' -p36076 -aS'One\tOne\tCD\tB-NP\tO' -p36077 -aS'(\t(\t(\tO\tO' -p36078 -aS'1\t1\tCD\tB-NP\tO' -p36079 -aS')\t)\t)\tO\tO' -p36080 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p36081 -aS'PO\tPO\tNN\tI-NP\tO' -p36082 -aS'BID\tBID\tNN\tI-NP\tO' -p36083 -aS'(\t(\t(\tO\tO' -p36084 -aS'2\t2\tCD\tB-NP\tO' -p36085 -aS'times\ttime\tNNS\tI-NP\tO' -p36086 -aS'a\ta\tDT\tB-NP\tO' -p36087 -aS'day\tday\tNN\tI-NP\tO' -p36088 -aS')\t)\t)\tO\tO' -p36089 -aS':\t:\t:\tO\tO' -p36090 -aS'on\ton\tIN\tB-PP\tO' -p36091 -aS'04-05\t04-05\tCD\tB-NP\tO' -p36092 -aS',\t,\t,\tO\tO' -p36093 -aS'please\tplease\tVB\tB-VP\tO' -p36094 -aS'increase\tincrease\tNN\tB-NP\tO' -p36095 -aS'to\tto\tTO\tB-PP\tO' -p36096 -aS'TWO\tTWO\tNN\tB-NP\tO' -p36097 -aS'tablets\ttablet\tNNS\tI-NP\tO' -p36098 -aS'bid\tbid\tNN\tI-NP\tO' -p36099 -aS'(\t(\t(\tO\tO' -p36100 -aS'1000\t1000\tCD\tB-NP\tO' -p36101 -aS'mg\tmg\tNN\tI-NP\tO' -p36102 -aS'bid\tbid\tRB\tB-ADVP\tO' -p36103 -aS')\t)\t)\tO\tO' -p36104 -aS'.\t.\t.\tO\tO' -p36105 -asS'Her physical examination remained relatively unchanged , with resolution of the subtle left hand weakness and right facial weakness .' -p36106 -(lp36107 -S'Her\tHer\tPRP$\tB-NP\tO' -p36108 -aS'physical\tphysical\tJJ\tI-NP\tO' -p36109 -aS'examination\texamination\tNN\tI-NP\tO' -p36110 -aS'remained\tremain\tVBD\tB-VP\tO' -p36111 -aS'relatively\trelatively\tRB\tB-ADJP\tO' -p36112 -aS'unchanged\tunchanged\tJJ\tI-ADJP\tO' -p36113 -aS',\t,\t,\tO\tO' -p36114 -aS'with\twith\tIN\tB-PP\tO' -p36115 -aS'resolution\tresolution\tNN\tB-NP\tO' -p36116 -aS'of\tof\tIN\tB-PP\tO' -p36117 -aS'the\tthe\tDT\tB-NP\tO' -p36118 -aS'subtle\tsubtle\tJJ\tI-NP\tO' -p36119 -aS'left\tleft\tJJ\tI-NP\tO' -p36120 -aS'hand\thand\tNN\tI-NP\tO' -p36121 -aS'weakness\tweakness\tNN\tI-NP\tO' -p36122 -aS'and\tand\tCC\tO\tO' -p36123 -aS'right\tright\tJJ\tB-NP\tO' -p36124 -aS'facial\tfacial\tJJ\tI-NP\tO' -p36125 -aS'weakness\tweakness\tNN\tI-NP\tO' -p36126 -aS'.\t.\t.\tO\tO' -p36127 -asS'The patient was admitted .' -p36128 -(lp36129 -S'The\tThe\tDT\tB-NP\tO' -p36130 -aS'patient\tpatient\tNN\tI-NP\tO' -p36131 -aS'was\tbe\tVBD\tB-VP\tO' -p36132 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p36133 -aS'.\t.\t.\tO\tO' -p36134 -asS'He has a PICC line in place for his antibiotics which are as follows .' -p36135 -(lp36136 -S'He\tHe\tPRP\tB-NP\tO' -p36137 -aS'has\thave\tVBZ\tB-VP\tO' -p36138 -aS'a\ta\tDT\tB-NP\tO' -p36139 -aS'PICC\tPICC\tNN\tI-NP\tB-cell_line' -p36140 -aS'line\tline\tNN\tI-NP\tI-cell_line' -p36141 -aS'in\tin\tIN\tB-PP\tO' -p36142 -aS'place\tplace\tNN\tB-NP\tO' -p36143 -aS'for\tfor\tIN\tB-SBAR\tO' -p36144 -aS'his\this\tPRP$\tB-NP\tO' -p36145 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p36146 -aS'which\twhich\tWDT\tB-NP\tO' -p36147 -aS'are\tbe\tVBP\tB-VP\tO' -p36148 -aS'as\tas\tIN\tB-PP\tO' -p36149 -aS'follows\tfollow\tVBZ\tB-VP\tO' -p36150 -aS'.\t.\t.\tO\tO' -p36151 -asS'At this time , her post-void residuals range from 2 cc to 25 cc .' -p36152 -(lp36153 -S'At\tAt\tIN\tB-PP\tO' -p36154 -aS'this\tthis\tDT\tB-NP\tO' -p36155 -aS'time\ttime\tNN\tI-NP\tO' -p36156 -aS',\t,\t,\tO\tO' -p36157 -aS'her\ther\tPRP$\tB-NP\tO' -p36158 -aS'post-void\tpost-void\tJJ\tI-NP\tO' -p36159 -aS'residuals\tresidual\tNNS\tI-NP\tO' -p36160 -aS'range\trange\tVBP\tB-VP\tO' -p36161 -aS'from\tfrom\tIN\tB-PP\tO' -p36162 -aS'2\t2\tCD\tB-NP\tO' -p36163 -aS'cc\tcc\tNN\tI-NP\tO' -p36164 -aS'to\tto\tTO\tB-PP\tO' -p36165 -aS'25\t25\tCD\tB-NP\tO' -p36166 -aS'cc\tcc\tNN\tI-NP\tO' -p36167 -aS'.\t.\t.\tO\tO' -p36168 -asS'His wound demonstrated no erythema with moderate dark drainage .' -p36169 -(lp36170 -S'His\tHis\tPRP$\tB-NP\tO' -p36171 -aS'wound\twound\tNN\tI-NP\tO' -p36172 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p36173 -aS'no\tno\tDT\tB-NP\tO' -p36174 -aS'erythema\terythema\tNN\tI-NP\tO' -p36175 -aS'with\twith\tIN\tB-PP\tO' -p36176 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p36177 -aS'dark\tdark\tJJ\tI-NP\tO' -p36178 -aS'drainage\tdrainage\tNN\tI-NP\tO' -p36179 -aS'.\t.\t.\tO\tO' -p36180 -asS'Initially when she arrived to the floor she was afebrile , normotensive without signs of orthostasis , had a negative UA , a clear chest xray and no signs / symptoms of a fever .' -p36181 -(lp36182 -S'Initially\tInitially\tRB\tB-ADVP\tO' -p36183 -aS'when\twhen\tWRB\tB-ADVP\tO' -p36184 -aS'she\tshe\tPRP\tB-NP\tO' -p36185 -aS'arrived\tarrive\tVBD\tB-VP\tO' -p36186 -aS'to\tto\tTO\tB-PP\tO' -p36187 -aS'the\tthe\tDT\tB-NP\tO' -p36188 -aS'floor\tfloor\tNN\tI-NP\tO' -p36189 -aS'she\tshe\tPRP\tB-NP\tO' -p36190 -aS'was\tbe\tVBD\tB-VP\tO' -p36191 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p36192 -aS',\t,\t,\tO\tO' -p36193 -aS'normotensive\tnormotensive\tJJ\tB-ADJP\tO' -p36194 -aS'without\twithout\tIN\tB-PP\tO' -p36195 -aS'signs\tsign\tNNS\tB-NP\tO' -p36196 -aS'of\tof\tIN\tB-PP\tO' -p36197 -aS'orthostasis\torthostasis\tNN\tB-NP\tO' -p36198 -aS',\t,\t,\tO\tO' -p36199 -aS'had\thave\tVBD\tB-VP\tO' -p36200 -aS'a\ta\tDT\tB-NP\tO' -p36201 -aS'negative\tnegative\tJJ\tI-NP\tO' -p36202 -aS'UA\tUA\tNNP\tI-NP\tO' -p36203 -aS',\t,\t,\tO\tO' -p36204 -aS'a\ta\tDT\tB-NP\tO' -p36205 -aS'clear\tclear\tJJ\tI-NP\tO' -p36206 -aS'chest\tchest\tNN\tI-NP\tO' -p36207 -aS'xray\txray\tNN\tI-NP\tO' -p36208 -aS'and\tand\tCC\tO\tO' -p36209 -aS'no\tno\tDT\tB-NP\tO' -p36210 -aS'signs\tsign\tNNS\tI-NP\tO' -p36211 -aS'/\t/\tSYM\tB-NP\tO' -p36212 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p36213 -aS'of\tof\tIN\tB-PP\tO' -p36214 -aS'a\ta\tDT\tB-NP\tO' -p36215 -aS'fever\tfever\tNN\tI-NP\tO' -p36216 -aS'.\t.\t.\tO\tO' -p36217 -asS'Serum Cocaine was positive 6-12 hours ingestion at the Fairm of Ijordcompmac Hospital .' -p36218 -(lp36219 -S'Serum\tSerum\tNN\tB-NP\tO' -p36220 -aS'Cocaine\tCocaine\tNN\tI-NP\tO' -p36221 -aS'was\tbe\tVBD\tB-VP\tO' -p36222 -aS'positive\tpositive\tJJ\tB-NP\tO' -p36223 -aS'6-12\t6-12\tNN\tI-NP\tO' -p36224 -aS'hours\thour\tNNS\tI-NP\tO' -p36225 -aS'ingestion\tingestion\tNN\tI-NP\tO' -p36226 -aS'at\tat\tIN\tB-PP\tO' -p36227 -aS'the\tthe\tDT\tB-NP\tO' -p36228 -aS'Fairm\tFairm\tNNP\tI-NP\tO' -p36229 -aS'of\tof\tIN\tB-PP\tO' -p36230 -aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' -p36231 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p36232 -aS'.\t.\t.\tO\tO' -p36233 -asS'2010-10-01 pt underwent ex. lap with en bloc resection of L liver lobe , biliary tree , and portal vein .' -p36234 -(lp36235 -S'2010-10-01\t2010-10-01\tCD\tB-NP\tO' -p36236 -aS'pt\tpt\tNN\tI-NP\tO' -p36237 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p36238 -aS'ex.\tex.\tNN\tB-NP\tO' -p36239 -aS'lap\tlap\tNN\tI-NP\tO' -p36240 -aS'with\twith\tIN\tB-PP\tO' -p36241 -aS'en\ten\tNN\tB-NP\tO' -p36242 -aS'bloc\tbloc\tNN\tI-NP\tO' -p36243 -aS'resection\tresection\tNN\tI-NP\tO' -p36244 -aS'of\tof\tIN\tB-PP\tO' -p36245 -aS'L\tL\tNN\tB-NP\tO' -p36246 -aS'liver\tliver\tNN\tI-NP\tO' -p36247 -aS'lobe\tlobe\tNN\tI-NP\tO' -p36248 -aS',\t,\t,\tO\tO' -p36249 -aS'biliary\tbiliary\tJJ\tB-NP\tO' -p36250 -aS'tree\ttree\tNN\tI-NP\tO' -p36251 -aS',\t,\t,\tO\tO' -p36252 -aS'and\tand\tCC\tO\tO' -p36253 -aS'portal\tportal\tJJ\tB-NP\tO' -p36254 -aS'vein\tvein\tNN\tI-NP\tO' -p36255 -aS'.\t.\t.\tO\tO' -p36256 -asS'Ativan .' -p36257 -(lp36258 -S'Ativan\tAtivan\tNNP\tB-NP\tO' -p36259 -aS'.\t.\t.\tO\tO' -p36260 -asS'Also contribution of autonomic dysfunction .' -p36261 -(lp36262 -S'Also\tAlso\tRB\tB-NP\tO' -p36263 -aS'contribution\tcontribution\tNN\tI-NP\tO' -p36264 -aS'of\tof\tIN\tB-PP\tO' -p36265 -aS'autonomic\tautonomic\tJJ\tB-NP\tO' -p36266 -aS'dysfunction\tdysfunction\tNN\tI-NP\tO' -p36267 -aS'.\t.\t.\tO\tO' -p36268 -asS'She underwent exploratory laparotomy and had a bilateral salpingo-oophorectomy and appendectomy .' -p36269 -(lp36270 -S'She\tShe\tPRP\tB-NP\tO' -p36271 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p36272 -aS'exploratory\texploratory\tJJ\tB-NP\tO' -p36273 -aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' -p36274 -aS'and\tand\tCC\tO\tO' -p36275 -aS'had\thave\tVBD\tB-VP\tO' -p36276 -aS'a\ta\tDT\tB-NP\tO' -p36277 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p36278 -aS'salpingo-oophorectomy\tsalpingo-oophorectomy\tNN\tI-NP\tO' -p36279 -aS'and\tand\tCC\tI-NP\tO' -p36280 -aS'appendectomy\tappendectomy\tNN\tI-NP\tO' -p36281 -aS'.\t.\t.\tO\tO' -p36282 -asS'She had lost the 6 pounds that she reported gaining in the four days prior to her hospitalization .' -p36283 -(lp36284 -S'She\tShe\tPRP\tB-NP\tO' -p36285 -aS'had\thave\tVBD\tB-VP\tO' -p36286 -aS'lost\tlose\tVBN\tI-VP\tO' -p36287 -aS'the\tthe\tDT\tB-NP\tO' -p36288 -aS'6\t6\tCD\tI-NP\tO' -p36289 -aS'pounds\tpound\tNNS\tI-NP\tO' -p36290 -aS'that\tthat\tIN\tB-NP\tO' -p36291 -aS'she\tshe\tPRP\tB-NP\tO' -p36292 -aS'reported\treport\tVBD\tB-VP\tO' -p36293 -aS'gaining\tgain\tVBG\tB-NP\tO' -p36294 -aS'in\tin\tIN\tB-PP\tO' -p36295 -aS'the\tthe\tDT\tB-NP\tO' -p36296 -aS'four\tfour\tCD\tI-NP\tO' -p36297 -aS'days\tday\tNNS\tI-NP\tO' -p36298 -aS'prior\tprior\tRB\tB-ADVP\tO' -p36299 -aS'to\tto\tTO\tB-PP\tO' -p36300 -aS'her\ther\tPRP$\tB-NP\tO' -p36301 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p36302 -aS'.\t.\t.\tO\tO' -p36303 -asS'Oropharynx is moist .' -p36304 -(lp36305 -S'Oropharynx\tOropharynx\tNN\tB-NP\tO' -p36306 -aS'is\tbe\tVBZ\tB-VP\tO' -p36307 -aS'moist\tmoist\tNN\tB-NP\tO' -p36308 -aS'.\t.\t.\tO\tO' -p36309 -asS'She is a remote cigarette smoker .' -p36310 -(lp36311 -S'She\tShe\tPRP\tB-NP\tO' -p36312 -aS'is\tbe\tVBZ\tB-VP\tO' -p36313 -aS'a\ta\tDT\tB-NP\tO' -p36314 -aS'remote\tremote\tJJ\tI-NP\tO' -p36315 -aS'cigarette\tcigarette\tNN\tI-NP\tO' -p36316 -aS'smoker\tsmoker\tNN\tI-NP\tO' -p36317 -aS'.\t.\t.\tO\tO' -p36318 -asS'3. FEVER .' -p36319 -(lp36320 -S'3.\t3.\tLS\tB-NP\tO' -p36321 -aS'FEVER\tFEVER\tNN\tI-NP\tB-protein' -p36322 -aS'.\t.\t.\tO\tO' -p36323 -asS'The patient has extensive hepatic metastases and by CT scan there is obstruction of the intrahepatic IVC .' -p36324 -(lp36325 -S'The\tThe\tDT\tB-NP\tO' -p36326 -aS'patient\tpatient\tNN\tI-NP\tO' -p36327 -aS'has\thave\tVBZ\tB-VP\tO' -p36328 -aS'extensive\textensive\tJJ\tB-NP\tO' -p36329 -aS'hepatic\thepatic\tJJ\tI-NP\tO' -p36330 -aS'metastases\tmetastasis\tNNS\tI-NP\tO' -p36331 -aS'and\tand\tCC\tB-PP\tO' -p36332 -aS'by\tby\tIN\tB-PP\tO' -p36333 -aS'CT\tCT\tNN\tB-NP\tO' -p36334 -aS'scan\tscan\tNN\tI-NP\tO' -p36335 -aS'there\tthere\tEX\tB-NP\tO' -p36336 -aS'is\tbe\tVBZ\tB-VP\tO' -p36337 -aS'obstruction\tobstruction\tNN\tB-NP\tO' -p36338 -aS'of\tof\tIN\tB-PP\tO' -p36339 -aS'the\tthe\tDT\tB-NP\tO' -p36340 -aS'intrahepatic\tintrahepatic\tJJ\tI-NP\tO' -p36341 -aS'IVC\tIVC\tNN\tI-NP\tO' -p36342 -aS'.\t.\t.\tO\tO' -p36343 -asS'Left kidney with a small cyst splenic lesion and no triple A .' -p36344 -(lp36345 -S'Left\tLeft\tJJ\tB-NP\tO' -p36346 -aS'kidney\tkidney\tNN\tI-NP\tO' -p36347 -aS'with\twith\tIN\tB-PP\tO' -p36348 -aS'a\ta\tDT\tB-NP\tO' -p36349 -aS'small\tsmall\tJJ\tI-NP\tO' -p36350 -aS'cyst\tcyst\tNN\tI-NP\tO' -p36351 -aS'splenic\tsplenic\tJJ\tI-NP\tO' -p36352 -aS'lesion\tlesion\tNN\tI-NP\tO' -p36353 -aS'and\tand\tCC\tO\tO' -p36354 -aS'no\tno\tDT\tB-NP\tO' -p36355 -aS'triple\ttriple\tJJ\tI-NP\tB-protein' -p36356 -aS'A\tA\tNN\tI-NP\tI-protein' -p36357 -aS'.\t.\t.\tO\tO' -p36358 -asS'Lives alone in elderly housing , a daughter in the area , two children and exercises two times a week by walking and stretching .' -p36359 -(lp36360 -S'Lives\tLife\tNNS\tB-NP\tO' -p36361 -aS'alone\talone\tRB\tB-ADVP\tO' -p36362 -aS'in\tin\tIN\tB-PP\tO' -p36363 -aS'elderly\telderly\tJJ\tB-NP\tO' -p36364 -aS'housing\thousing\tNN\tI-NP\tO' -p36365 -aS',\t,\t,\tO\tO' -p36366 -aS'a\ta\tDT\tB-NP\tO' -p36367 -aS'daughter\tdaughter\tNN\tI-NP\tO' -p36368 -aS'in\tin\tIN\tB-PP\tO' -p36369 -aS'the\tthe\tDT\tB-NP\tO' -p36370 -aS'area\tarea\tNN\tI-NP\tO' -p36371 -aS',\t,\t,\tO\tO' -p36372 -aS'two\ttwo\tCD\tB-NP\tO' -p36373 -aS'children\tchild\tNNS\tI-NP\tO' -p36374 -aS'and\tand\tCC\tO\tO' -p36375 -aS'exercises\texercise\tVBZ\tB-VP\tO' -p36376 -aS'two\ttwo\tCD\tB-NP\tO' -p36377 -aS'times\ttime\tNNS\tI-NP\tO' -p36378 -aS'a\ta\tDT\tB-NP\tO' -p36379 -aS'week\tweek\tNN\tI-NP\tO' -p36380 -aS'by\tby\tIN\tB-PP\tO' -p36381 -aS'walking\twalk\tVBG\tB-VP\tO' -p36382 -aS'and\tand\tCC\tI-VP\tO' -p36383 -aS'stretching\tstretch\tVBG\tI-VP\tO' -p36384 -aS'.\t.\t.\tO\tO' -p36385 -asS'Please call your surgeon if you develop chest pain , shortness of breath , fever greater than 101.5 , foul smelling or colorful drainage from your incisions , redness or swelling , severe abdominal pain or distention , persistent nausea or vomiting , inability to eat or drink , or any other symptoms which are concerning to you .' -p36386 -(lp36387 -S'Please\tPlease\tVB\tB-VP\tO' -p36388 -aS'call\tcall\tVB\tI-VP\tO' -p36389 -aS'your\tyour\tPRP$\tB-NP\tO' -p36390 -aS'surgeon\tsurgeon\tNN\tI-NP\tO' -p36391 -aS'if\tif\tIN\tB-SBAR\tO' -p36392 -aS'you\tyou\tPRP\tB-NP\tO' -p36393 -aS'develop\tdevelop\tVBP\tB-VP\tO' -p36394 -aS'chest\tchest\tNN\tB-NP\tO' -p36395 -aS'pain\tpain\tNN\tI-NP\tO' -p36396 -aS',\t,\t,\tO\tO' -p36397 -aS'shortness\tshortness\tNN\tB-NP\tO' -p36398 -aS'of\tof\tIN\tB-PP\tO' -p36399 -aS'breath\tbreath\tNN\tB-NP\tO' -p36400 -aS',\t,\t,\tO\tO' -p36401 -aS'fever\tfever\tRB\tB-ADJP\tO' -p36402 -aS'greater\tgreat\tJJR\tI-ADJP\tO' -p36403 -aS'than\tthan\tIN\tB-PP\tO' -p36404 -aS'101.5\t101.5\tCD\tB-NP\tO' -p36405 -aS',\t,\t,\tO\tO' -p36406 -aS'foul\tfoul\tJJ\tB-NP\tO' -p36407 -aS'smelling\tsmelling\tNN\tI-NP\tO' -p36408 -aS'or\tor\tCC\tO\tO' -p36409 -aS'colorful\tcolorful\tJJ\tB-NP\tO' -p36410 -aS'drainage\tdrainage\tNN\tI-NP\tO' -p36411 -aS'from\tfrom\tIN\tB-PP\tO' -p36412 -aS'your\tyour\tPRP$\tB-NP\tO' -p36413 -aS'incisions\tincision\tNNS\tI-NP\tO' -p36414 -aS',\t,\t,\tO\tO' -p36415 -aS'redness\tredness\tNN\tB-NP\tO' -p36416 -aS'or\tor\tCC\tI-NP\tO' -p36417 -aS'swelling\tswelling\tNN\tI-NP\tO' -p36418 -aS',\t,\t,\tO\tO' -p36419 -aS'severe\tsevere\tJJ\tB-NP\tO' -p36420 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p36421 -aS'pain\tpain\tNN\tI-NP\tO' -p36422 -aS'or\tor\tCC\tI-NP\tO' -p36423 -aS'distention\tdistention\tNN\tI-NP\tO' -p36424 -aS',\t,\t,\tO\tO' -p36425 -aS'persistent\tpersistent\tJJ\tB-NP\tO' -p36426 -aS'nausea\tnausea\tNN\tI-NP\tO' -p36427 -aS'or\tor\tCC\tI-NP\tO' -p36428 -aS'vomiting\tvomiting\tNN\tI-NP\tO' -p36429 -aS',\t,\t,\tO\tO' -p36430 -aS'inability\tinability\tNN\tB-NP\tO' -p36431 -aS'to\tto\tTO\tB-VP\tO' -p36432 -aS'eat\teat\tVB\tI-VP\tO' -p36433 -aS'or\tor\tCC\tI-VP\tO' -p36434 -aS'drink\tdrink\tVB\tI-VP\tO' -p36435 -aS',\t,\t,\tO\tO' -p36436 -aS'or\tor\tCC\tO\tO' -p36437 -aS'any\tany\tDT\tB-NP\tO' -p36438 -aS'other\tother\tJJ\tI-NP\tO' -p36439 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p36440 -aS'which\twhich\tWDT\tB-NP\tO' -p36441 -aS'are\tbe\tVBP\tB-VP\tO' -p36442 -aS'concerning\tconcern\tVBG\tI-VP\tO' -p36443 -aS'to\tto\tTO\tB-PP\tO' -p36444 -aS'you\tyou\tPRP\tB-NP\tO' -p36445 -aS'.\t.\t.\tO\tO' -p36446 -asS'2. Bronchitis .' -p36447 -(lp36448 -S'2.\t2.\tLS\tB-NP\tO' -p36449 -aS'Bronchitis\tBronchitis\tNN\tI-NP\tO' -p36450 -aS'.\t.\t.\tO\tO' -p36451 -asS'An extensive work-up was done for any metabolic abnormalities which was unrevealing .' -p36452 -(lp36453 -S'An\tAn\tDT\tB-NP\tO' -p36454 -aS'extensive\textensive\tJJ\tI-NP\tO' -p36455 -aS'work-up\twork-up\tNN\tI-NP\tO' -p36456 -aS'was\tbe\tVBD\tB-VP\tO' -p36457 -aS'done\tdo\tVBN\tI-VP\tO' -p36458 -aS'for\tfor\tIN\tB-PP\tO' -p36459 -aS'any\tany\tDT\tB-NP\tO' -p36460 -aS'metabolic\tmetabolic\tJJ\tI-NP\tO' -p36461 -aS'abnormalities\tabnormality\tNNS\tI-NP\tO' -p36462 -aS'which\twhich\tWDT\tB-NP\tO' -p36463 -aS'was\tbe\tVBD\tB-VP\tO' -p36464 -aS'unrevealing\tunreveale\tVBG\tI-VP\tO' -p36465 -aS'.\t.\t.\tO\tO' -p36466 -asS'Lumbar puncture was performed and the micro cultures are still pending .' -p36467 -(lp36468 -S'Lumbar\tLumbar\tNN\tB-NP\tO' -p36469 -aS'puncture\tpuncture\tNN\tI-NP\tO' -p36470 -aS'was\tbe\tVBD\tB-VP\tO' -p36471 -aS'performed\tperform\tVBN\tI-VP\tO' -p36472 -aS'and\tand\tCC\tO\tO' -p36473 -aS'the\tthe\tDT\tB-NP\tO' -p36474 -aS'micro\tmicro\tNN\tI-NP\tB-cell_line' -p36475 -aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' -p36476 -aS'are\tbe\tVBP\tB-VP\tO' -p36477 -aS'still\tstill\tRB\tI-VP\tO' -p36478 -aS'pending\tpende\tVBG\tI-VP\tO' -p36479 -aS'.\t.\t.\tO\tO' -p36480 -asS'She was also admitted to be connected up with social services for HIV patients .' -p36481 -(lp36482 -S'She\tShe\tPRP\tB-NP\tO' -p36483 -aS'was\tbe\tVBD\tB-VP\tO' -p36484 -aS'also\talso\tRB\tI-VP\tO' -p36485 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p36486 -aS'to\tto\tTO\tI-VP\tO' -p36487 -aS'be\tbe\tVB\tI-VP\tO' -p36488 -aS'connected\tconnect\tVBN\tI-VP\tO' -p36489 -aS'up\tup\tRP\tB-PRT\tO' -p36490 -aS'with\twith\tIN\tB-PP\tO' -p36491 -aS'social\tsocial\tJJ\tB-NP\tO' -p36492 -aS'services\tservice\tNNS\tI-NP\tO' -p36493 -aS'for\tfor\tIN\tB-PP\tO' -p36494 -aS'HIV\tHIV\tNN\tB-NP\tO' -p36495 -aS'patients\tpatient\tNNS\tI-NP\tO' -p36496 -aS'.\t.\t.\tO\tO' -p36497 -asS'Cardiac catheterization .' -p36498 -(lp36499 -S'Cardiac\tCardiac\tJJ\tB-NP\tO' -p36500 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p36501 -aS'.\t.\t.\tO\tO' -p36502 -asS'The patient is a pleasant 83-year-old retired psychiatrist who presents with a chief complaint of gait difficulty for the last five to six months .' -p36503 -(lp36504 -S'The\tThe\tDT\tB-NP\tO' -p36505 -aS'patient\tpatient\tNN\tI-NP\tO' -p36506 -aS'is\tbe\tVBZ\tB-VP\tO' -p36507 -aS'a\ta\tDT\tB-NP\tO' -p36508 -aS'pleasant\tpleasant\tJJ\tI-NP\tO' -p36509 -aS'83-year-old\t83-year-old\tJJ\tI-NP\tO' -p36510 -aS'retired\tretired\tJJ\tI-NP\tO' -p36511 -aS'psychiatrist\tpsychiatrist\tNN\tI-NP\tO' -p36512 -aS'who\twho\tWP\tB-NP\tO' -p36513 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p36514 -aS'with\twith\tIN\tB-PP\tO' -p36515 -aS'a\ta\tDT\tB-NP\tO' -p36516 -aS'chief\tchief\tJJ\tI-NP\tO' -p36517 -aS'complaint\tcomplaint\tNN\tI-NP\tO' -p36518 -aS'of\tof\tIN\tB-PP\tO' -p36519 -aS'gait\tgait\tNN\tB-NP\tO' -p36520 -aS'difficulty\tdifficulty\tNN\tI-NP\tO' -p36521 -aS'for\tfor\tIN\tB-PP\tO' -p36522 -aS'the\tthe\tDT\tB-NP\tO' -p36523 -aS'last\tlast\tJJ\tI-NP\tO' -p36524 -aS'five\tfive\tCD\tI-NP\tO' -p36525 -aS'to\tto\tTO\tI-NP\tO' -p36526 -aS'six\tsix\tCD\tI-NP\tO' -p36527 -aS'months\tmonth\tNNS\tI-NP\tO' -p36528 -aS'.\t.\t.\tO\tO' -p36529 -asS'10. Lipitor 10 mg p.o. q. day .' -p36530 -(lp36531 -S'10.\t10.\tCD\tB-NP\tO' -p36532 -aS'Lipitor\tLipitor\tNN\tI-NP\tO' -p36533 -aS'10\t10\tCD\tB-NP\tO' -p36534 -aS'mg\tmg\tNN\tI-NP\tO' -p36535 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p36536 -aS'q.\tq.\tNN\tI-NP\tO' -p36537 -aS'day\tday\tNN\tI-NP\tO' -p36538 -aS'.\t.\t.\tO\tO' -p36539 -asS'His INR will have to be monitored closely unitl his levels are stable .' -p36540 -(lp36541 -S'His\tHis\tPRP$\tB-NP\tO' -p36542 -aS'INR\tINR\tNN\tI-NP\tB-protein' -p36543 -aS'will\twill\tMD\tB-VP\tO' -p36544 -aS'have\thave\tVB\tI-VP\tO' -p36545 -aS'to\tto\tTO\tI-VP\tO' -p36546 -aS'be\tbe\tVB\tI-VP\tO' -p36547 -aS'monitored\tmonitor\tVBN\tI-VP\tO' -p36548 -aS'closely\tclosely\tRB\tB-ADVP\tO' -p36549 -aS'unitl\tunitl\tIN\tB-PP\tO' -p36550 -aS'his\this\tPRP$\tB-NP\tO' -p36551 -aS'levels\tlevel\tNNS\tI-NP\tO' -p36552 -aS'are\tbe\tVBP\tB-VP\tO' -p36553 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p36554 -aS'.\t.\t.\tO\tO' -p36555 -asS'--- hold off on X-rays for now' -p36556 -(lp36557 -S'---\t---\tSYM\tO\tO' -p36558 -aS'hold\thold\tVB\tB-VP\tO' -p36559 -aS'off\toff\tRP\tB-PRT\tO' -p36560 -aS'on\ton\tIN\tB-PP\tO' -p36561 -aS'X-rays\tX-ray\tNNS\tB-NP\tO' -p36562 -aS'for\tfor\tIN\tB-PP\tO' -p36563 -aS'now\tnow\tRB\tB-NP\tO' -p36564 -asS'PT was 12.5 ; PTT 27.0 .' -p36565 -(lp36566 -S'PT\tPT\tNN\tB-NP\tO' -p36567 -aS'was\tbe\tVBD\tB-VP\tO' -p36568 -aS'12.5\t12.5\tCD\tB-NP\tO' -p36569 -aS';\t;\t:\tO\tO' -p36570 -aS'PTT\tPTT\tNN\tB-NP\tO' -p36571 -aS'27.0\t27.0\tCD\tI-NP\tO' -p36572 -aS'.\t.\t.\tO\tO' -p36573 -asS'The patient should continue to have dry sterile dressings to her back and iliac crest wounds until follow up with Dr. Uph .' -p36574 -(lp36575 -S'The\tThe\tDT\tB-NP\tO' -p36576 -aS'patient\tpatient\tNN\tI-NP\tO' -p36577 -aS'should\tshould\tMD\tB-VP\tO' -p36578 -aS'continue\tcontinue\tVB\tI-VP\tO' -p36579 -aS'to\tto\tTO\tI-VP\tO' -p36580 -aS'have\thave\tVB\tI-VP\tO' -p36581 -aS'dry\tdry\tJJ\tB-NP\tO' -p36582 -aS'sterile\tsterile\tJJ\tI-NP\tO' -p36583 -aS'dressings\tdressing\tNNS\tI-NP\tO' -p36584 -aS'to\tto\tTO\tB-PP\tO' -p36585 -aS'her\ther\tPRP$\tB-NP\tO' -p36586 -aS'back\tback\tJJ\tI-NP\tO' -p36587 -aS'and\tand\tCC\tI-NP\tO' -p36588 -aS'iliac\tiliac\tJJ\tI-NP\tO' -p36589 -aS'crest\tcrest\tNN\tI-NP\tO' -p36590 -aS'wounds\twound\tNNS\tI-NP\tO' -p36591 -aS'until\tuntil\tIN\tB-PP\tO' -p36592 -aS'follow\tfollow\tVB\tB-VP\tO' -p36593 -aS'up\tup\tRP\tB-PRT\tO' -p36594 -aS'with\twith\tIN\tB-PP\tO' -p36595 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p36596 -aS'Uph\tUph\tNNP\tI-NP\tO' -p36597 -aS'.\t.\t.\tO\tO' -p36598 -asS'His alkaline phosphatase and all the other abnormal liver function tests were resolving .' -p36599 -(lp36600 -S'His\tHis\tPRP$\tB-NP\tO' -p36601 -aS'alkaline\talkaline\tJJ\tI-NP\tB-protein' -p36602 -aS'phosphatase\tphosphatase\tNN\tI-NP\tI-protein' -p36603 -aS'and\tand\tCC\tO\tO' -p36604 -aS'all\tall\tPDT\tB-NP\tO' -p36605 -aS'the\tthe\tDT\tI-NP\tO' -p36606 -aS'other\tother\tJJ\tI-NP\tO' -p36607 -aS'abnormal\tabnormal\tJJ\tI-NP\tO' -p36608 -aS'liver\tliver\tNN\tI-NP\tO' -p36609 -aS'function\tfunction\tNN\tI-NP\tO' -p36610 -aS'tests\ttest\tNNS\tI-NP\tO' -p36611 -aS'were\tbe\tVBD\tB-VP\tO' -p36612 -aS'resolving\tresolve\tVBG\tI-VP\tO' -p36613 -aS'.\t.\t.\tO\tO' -p36614 -asS'extrem warm , no edema , no varicosities , 2+ pedal pulses' -p36615 -(lp36616 -S'extrem\textrem\tNN\tB-NP\tO' -p36617 -aS'warm\twarm\tNN\tI-NP\tO' -p36618 -aS',\t,\t,\tO\tO' -p36619 -aS'no\tno\tDT\tB-NP\tO' -p36620 -aS'edema\tedema\tNN\tI-NP\tO' -p36621 -aS',\t,\t,\tO\tO' -p36622 -aS'no\tno\tDT\tB-NP\tO' -p36623 -aS'varicosities\tvaricosity\tNNS\tI-NP\tO' -p36624 -aS',\t,\t,\tO\tO' -p36625 -aS'2+\t2+\tJJ\tB-NP\tO' -p36626 -aS'pedal\tpedal\tJJ\tI-NP\tO' -p36627 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p36628 -asS'Otherwise he is awake , alert and appropriate and can respond to questions and can move his upper extremities .' -p36629 -(lp36630 -S'Otherwise\tOtherwise\tRB\tB-ADVP\tO' -p36631 -aS'he\the\tPRP\tB-NP\tO' -p36632 -aS'is\tbe\tVBZ\tB-VP\tO' -p36633 -aS'awake\tawake\tJJ\tB-ADJP\tO' -p36634 -aS',\t,\t,\tI-ADJP\tO' -p36635 -aS'alert\talert\tJJ\tI-ADJP\tO' -p36636 -aS'and\tand\tCC\tI-ADJP\tO' -p36637 -aS'appropriate\tappropriate\tJJ\tI-ADJP\tO' -p36638 -aS'and\tand\tCC\tO\tO' -p36639 -aS'can\tcan\tMD\tB-VP\tO' -p36640 -aS'respond\trespond\tVB\tI-VP\tO' -p36641 -aS'to\tto\tTO\tB-PP\tO' -p36642 -aS'questions\tquestion\tNNS\tB-NP\tO' -p36643 -aS'and\tand\tCC\tO\tO' -p36644 -aS'can\tcan\tMD\tB-VP\tO' -p36645 -aS'move\tmove\tVB\tI-VP\tO' -p36646 -aS'his\this\tPRP$\tB-NP\tO' -p36647 -aS'upper\tupper\tJJ\tI-NP\tO' -p36648 -aS'extremities\textremity\tNNS\tI-NP\tO' -p36649 -aS'.\t.\t.\tO\tO' -p36650 -asS'10-02-94 left hepatectomy , 10-01-94 celiac and superior mesenteric angiogram .' -p36651 -(lp36652 -S'10-02-94\t10-02-94\tCD\tB-NP\tO' -p36653 -aS'left\tleft\tJJ\tI-NP\tO' -p36654 -aS'hepatectomy\thepatectomy\tNN\tI-NP\tO' -p36655 -aS',\t,\t,\tO\tO' -p36656 -aS'10-01-94\t10-01-94\tCD\tB-NP\tO' -p36657 -aS'celiac\tceliac\tJJ\tI-NP\tO' -p36658 -aS'and\tand\tCC\tI-NP\tO' -p36659 -aS'superior\tsuperior\tJJ\tI-NP\tO' -p36660 -aS'mesenteric\tmesenteric\tJJ\tI-NP\tO' -p36661 -aS'angiogram\tangiogram\tNN\tI-NP\tO' -p36662 -aS'.\t.\t.\tO\tO' -p36663 -asS'The peritoneal fluid showed a glucose of 244 , total protein 0.8 and a albumin of 0.5 , globulin 0.3 , amylase 16 , LDH of 51 .' -p36664 -(lp36665 -S'The\tThe\tDT\tB-NP\tO' -p36666 -aS'peritoneal\tperitoneal\tJJ\tI-NP\tO' -p36667 -aS'fluid\tfluid\tNN\tI-NP\tO' -p36668 -aS'showed\tshow\tVBD\tB-VP\tO' -p36669 -aS'a\ta\tDT\tB-NP\tO' -p36670 -aS'glucose\tglucose\tNN\tI-NP\tO' -p36671 -aS'of\tof\tIN\tB-PP\tO' -p36672 -aS'244\t244\tCD\tB-NP\tO' -p36673 -aS',\t,\t,\tO\tO' -p36674 -aS'total\ttotal\tJJ\tB-NP\tO' -p36675 -aS'protein\tprotein\tNN\tI-NP\tO' -p36676 -aS'0.8\t0.8\tCD\tI-NP\tO' -p36677 -aS'and\tand\tCC\tO\tO' -p36678 -aS'a\ta\tDT\tB-NP\tO' -p36679 -aS'albumin\talbumin\tNN\tI-NP\tO' -p36680 -aS'of\tof\tIN\tB-PP\tO' -p36681 -aS'0.5\t0.5\tCD\tB-NP\tO' -p36682 -aS',\t,\t,\tO\tO' -p36683 -aS'globulin\tglobulin\tNN\tB-NP\tB-protein' -p36684 -aS'0.3\t0.3\tCD\tI-NP\tI-protein' -p36685 -aS',\t,\t,\tO\tO' -p36686 -aS'amylase\tamylase\tNN\tB-NP\tB-protein' -p36687 -aS'16\t16\tCD\tI-NP\tI-protein' -p36688 -aS',\t,\t,\tO\tO' -p36689 -aS'LDH\tLDH\tNN\tB-NP\tO' -p36690 -aS'of\tof\tIN\tB-PP\tO' -p36691 -aS'51\t51\tCD\tB-NP\tO' -p36692 -aS'.\t.\t.\tO\tO' -p36693 -asS'3 ) Prednisone 40 mg p.o. q. day .' -p36694 -(lp36695 -S'3\t3\tLS\tB-LST\tO' -p36696 -aS')\t)\t)\tO\tO' -p36697 -aS'Prednisone\tPrednisone\tNN\tB-NP\tO' -p36698 -aS'40\t40\tCD\tI-NP\tO' -p36699 -aS'mg\tmg\tNN\tI-NP\tO' -p36700 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p36701 -aS'q.\tq.\tNN\tI-NP\tO' -p36702 -aS'day\tday\tNN\tI-NP\tO' -p36703 -aS'.\t.\t.\tO\tO' -p36704 -asS'Regular rate and rhythm , no murmurs .' -p36705 -(lp36706 -S'Regular\tRegular\tJJ\tB-NP\tO' -p36707 -aS'rate\trate\tNN\tI-NP\tO' -p36708 -aS'and\tand\tCC\tI-NP\tO' -p36709 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p36710 -aS',\t,\t,\tO\tO' -p36711 -aS'no\tno\tDT\tB-NP\tO' -p36712 -aS'murmurs\tmurmur\tNNS\tI-NP\tO' -p36713 -aS'.\t.\t.\tO\tO' -p36714 -asS'The abdomen was soft .' -p36715 -(lp36716 -S'The\tThe\tDT\tB-NP\tO' -p36717 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p36718 -aS'was\tbe\tVBD\tB-VP\tO' -p36719 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p36720 -aS'.\t.\t.\tO\tO' -p36721 -asS'A/P : 48 yo morbidly obese woman with HCV cirrhosis c/b encephalopathy , esophageal varices and partial vein thrombosis ( but no hx of SBP ) presents with increasing abdominal girth likely secondary to ascites .' -p36722 -(lp36723 -S'A/P\tA/P\tNN\tB-NP\tO' -p36724 -aS':\t:\t:\tO\tO' -p36725 -aS'48\t48\tCD\tB-NP\tO' -p36726 -aS'yo\tyo\tNN\tI-NP\tO' -p36727 -aS'morbidly\tmorbidly\tRB\tB-NP\tO' -p36728 -aS'obese\tobese\tJJ\tI-NP\tO' -p36729 -aS'woman\twoman\tNN\tI-NP\tO' -p36730 -aS'with\twith\tIN\tB-PP\tO' -p36731 -aS'HCV\tHCV\tNN\tB-NP\tO' -p36732 -aS'cirrhosis\tcirrhosis\tNN\tI-NP\tO' -p36733 -aS'c/b\tc/b\tNN\tI-NP\tO' -p36734 -aS'encephalopathy\tencephalopathy\tNN\tI-NP\tO' -p36735 -aS',\t,\t,\tO\tO' -p36736 -aS'esophageal\tesophageal\tJJ\tB-NP\tO' -p36737 -aS'varices\tvarix\tNNS\tI-NP\tO' -p36738 -aS'and\tand\tCC\tO\tO' -p36739 -aS'partial\tpartial\tJJ\tB-NP\tO' -p36740 -aS'vein\tvein\tNN\tI-NP\tO' -p36741 -aS'thrombosis\tthrombosis\tNN\tI-NP\tO' -p36742 -aS'(\t(\t(\tO\tO' -p36743 -aS'but\tbut\tCC\tO\tO' -p36744 -aS'no\tno\tDT\tB-NP\tO' -p36745 -aS'hx\thx\tNN\tI-NP\tO' -p36746 -aS'of\tof\tIN\tB-PP\tO' -p36747 -aS'SBP\tSBP\tNN\tB-NP\tB-protein' -p36748 -aS')\t)\t)\tO\tO' -p36749 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p36750 -aS'with\twith\tIN\tB-PP\tO' -p36751 -aS'increasing\tincrease\tVBG\tB-NP\tO' -p36752 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p36753 -aS'girth\tgirth\tNN\tI-NP\tO' -p36754 -aS'likely\tlikely\tRB\tB-ADJP\tO' -p36755 -aS'secondary\tsecondary\tJJ\tI-ADJP\tO' -p36756 -aS'to\tto\tTO\tB-PP\tO' -p36757 -aS'ascites\tascite\tNNS\tB-NP\tO' -p36758 -aS'.\t.\t.\tO\tO' -p36759 -asS'However , he was still an intubation candidate if it were felt to be a short term procedure .' -p36760 -(lp36761 -S'However\tHowever\tRB\tB-ADVP\tO' -p36762 -aS',\t,\t,\tO\tO' -p36763 -aS'he\the\tPRP\tB-NP\tO' -p36764 -aS'was\tbe\tVBD\tB-VP\tO' -p36765 -aS'still\tstill\tRB\tB-ADVP\tO' -p36766 -aS'an\tan\tDT\tB-NP\tO' -p36767 -aS'intubation\tintubation\tNN\tI-NP\tO' -p36768 -aS'candidate\tcandidate\tNN\tI-NP\tO' -p36769 -aS'if\tif\tIN\tB-SBAR\tO' -p36770 -aS'it\tit\tPRP\tB-NP\tO' -p36771 -aS'were\tbe\tVBD\tB-VP\tO' -p36772 -aS'felt\tfeel\tVBN\tI-VP\tO' -p36773 -aS'to\tto\tTO\tI-VP\tO' -p36774 -aS'be\tbe\tVB\tI-VP\tO' -p36775 -aS'a\ta\tDT\tB-NP\tO' -p36776 -aS'short\tshort\tJJ\tI-NP\tO' -p36777 -aS'term\tterm\tNN\tI-NP\tO' -p36778 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p36779 -aS'.\t.\t.\tO\tO' -p36780 -asS'The patient smokes one pack per day .' -p36781 -(lp36782 -S'The\tThe\tDT\tB-NP\tO' -p36783 -aS'patient\tpatient\tNN\tI-NP\tO' -p36784 -aS'smokes\tsmoke\tVBZ\tB-VP\tO' -p36785 -aS'one\tone\tCD\tB-NP\tO' -p36786 -aS'pack\tpack\tNN\tI-NP\tO' -p36787 -aS'per\tper\tIN\tB-PP\tO' -p36788 -aS'day\tday\tNN\tB-NP\tO' -p36789 -aS'.\t.\t.\tO\tO' -p36790 -asS'The patient knows to go to Sper Medical Center every day for line care , blood draws , and monitoring .' -p36791 -(lp36792 -S'The\tThe\tDT\tB-NP\tO' -p36793 -aS'patient\tpatient\tNN\tI-NP\tO' -p36794 -aS'knows\tknow\tVBZ\tB-VP\tO' -p36795 -aS'to\tto\tTO\tI-VP\tO' -p36796 -aS'go\tgo\tVB\tI-VP\tO' -p36797 -aS'to\tto\tTO\tB-PP\tO' -p36798 -aS'Sper\tSper\tNNP\tB-NP\tO' -p36799 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p36800 -aS'Center\tCenter\tNNP\tI-NP\tO' -p36801 -aS'every\tevery\tDT\tB-NP\tO' -p36802 -aS'day\tday\tNN\tI-NP\tO' -p36803 -aS'for\tfor\tIN\tB-PP\tO' -p36804 -aS'line\tline\tNN\tB-NP\tO' -p36805 -aS'care\tcare\tNN\tI-NP\tO' -p36806 -aS',\t,\t,\tO\tO' -p36807 -aS'blood\tblood\tNN\tB-NP\tO' -p36808 -aS'draws\tdraw\tNNS\tI-NP\tO' -p36809 -aS',\t,\t,\tO\tO' -p36810 -aS'and\tand\tCC\tO\tO' -p36811 -aS'monitoring\tmonitoring\tNN\tB-NP\tO' -p36812 -aS'.\t.\t.\tO\tO' -p36813 -asS'She denies any CP / cough / fever , abdominal pain / diarrhea , black or bloody stools or headache .' -p36814 -(lp36815 -S'She\tShe\tPRP\tB-NP\tO' -p36816 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p36817 -aS'any\tany\tDT\tB-NP\tO' -p36818 -aS'CP\tCP\tNN\tI-NP\tB-DNA' -p36819 -aS'/\t/\tSYM\tB-NP\tO' -p36820 -aS'cough\tcough\tNN\tI-NP\tO' -p36821 -aS'/\t/\tSYM\tI-NP\tO' -p36822 -aS'fever\tfever\tNN\tI-NP\tO' -p36823 -aS',\t,\t,\tO\tO' -p36824 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p36825 -aS'pain\tpain\tNN\tI-NP\tO' -p36826 -aS'/\t/\tSYM\tB-NP\tO' -p36827 -aS'diarrhea\tdiarrhea\tNN\tI-NP\tO' -p36828 -aS',\t,\t,\tO\tO' -p36829 -aS'black\tblack\tJJ\tB-NP\tO' -p36830 -aS'or\tor\tCC\tI-NP\tO' -p36831 -aS'bloody\tbloody\tJJ\tI-NP\tO' -p36832 -aS'stools\tstool\tNNS\tI-NP\tO' -p36833 -aS'or\tor\tCC\tI-NP\tO' -p36834 -aS'headache\theadache\tNN\tI-NP\tO' -p36835 -aS'.\t.\t.\tO\tO' -p36836 -asS'Pt was recently admitted for fever due to cholangitis on 10-18 and had chemo ( CDDP and Gemcitabine ) on Monday , 10-21 .' -p36837 -(lp36838 -S'Pt\tPt\tNN\tB-NP\tO' -p36839 -aS'was\tbe\tVBD\tB-VP\tO' -p36840 -aS'recently\trecently\tRB\tI-VP\tO' -p36841 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p36842 -aS'for\tfor\tIN\tB-PP\tO' -p36843 -aS'fever\tfever\tNN\tB-NP\tO' -p36844 -aS'due\tdue\tJJ\tB-ADJP\tO' -p36845 -aS'to\tto\tTO\tB-PP\tO' -p36846 -aS'cholangitis\tcholangitis\tNN\tB-NP\tO' -p36847 -aS'on\ton\tIN\tB-PP\tO' -p36848 -aS'10-18\t10-18\tCD\tB-NP\tO' -p36849 -aS'and\tand\tCC\tO\tO' -p36850 -aS'had\thave\tVBD\tB-VP\tO' -p36851 -aS'chemo\tchemo\tNN\tB-NP\tO' -p36852 -aS'(\t(\t(\tO\tO' -p36853 -aS'CDDP\tCDDP\tNN\tB-NP\tB-protein' -p36854 -aS'and\tand\tCC\tO\tO' -p36855 -aS'Gemcitabine\tGemcitabine\tNN\tB-NP\tO' -p36856 -aS')\t)\t)\tO\tO' -p36857 -aS'on\ton\tIN\tB-PP\tO' -p36858 -aS'Monday\tMonday\tNNP\tB-NP\tO' -p36859 -aS',\t,\t,\tO\tO' -p36860 -aS'10-21\t10-21\tCD\tB-NP\tO' -p36861 -aS'.\t.\t.\tO\tO' -p36862 -asS'Cryptogenic cirrhosis with an unclear work up .' -p36863 -(lp36864 -S'Cryptogenic\tCryptogenic\tJJ\tB-NP\tO' -p36865 -aS'cirrhosis\tcirrhosis\tNN\tI-NP\tO' -p36866 -aS'with\twith\tIN\tB-PP\tO' -p36867 -aS'an\tan\tDT\tB-NP\tO' -p36868 -aS'unclear\tunclear\tJJ\tI-NP\tO' -p36869 -aS'work\twork\tNN\tI-NP\tO' -p36870 -aS'up\tup\tRP\tB-PRT\tO' -p36871 -aS'.\t.\t.\tO\tO' -p36872 -asS'1. Sepsis / ID- Started on sepsis protocol .' -p36873 -(lp36874 -S'1.\t1.\tLS\tB-NP\tO' -p36875 -aS'Sepsis\tSepsis\tNN\tI-NP\tO' -p36876 -aS'/\t/\tSYM\tI-NP\tO' -p36877 -aS'ID-\tID-\tNN\tI-NP\tO' -p36878 -aS'Started\tStart\tVBN\tB-VP\tO' -p36879 -aS'on\ton\tIN\tB-PP\tO' -p36880 -aS'sepsis\tsepsis\tNN\tB-NP\tO' -p36881 -aS'protocol\tprotocol\tNN\tI-NP\tO' -p36882 -aS'.\t.\t.\tO\tO' -p36883 -asS'The patient 's temperature was 102 , heart rate 118 , blood pressure 111/56 , respiratory rate 28 , satting 92% on room air .' -p36884 -(lp36885 -S'The\tThe\tDT\tB-NP\tO' -p36886 -aS'patient\tpatient\tNN\tI-NP\tO' -p36887 -aS''s\t'\tNNS\tI-NP\tO' -p36888 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p36889 -aS'was\tbe\tVBD\tB-VP\tO' -p36890 -aS'102\t102\tCD\tB-NP\tO' -p36891 -aS',\t,\t,\tO\tO' -p36892 -aS'heart\theart\tNN\tB-NP\tO' -p36893 -aS'rate\trate\tNN\tI-NP\tO' -p36894 -aS'118\t118\tCD\tI-NP\tO' -p36895 -aS',\t,\t,\tO\tO' -p36896 -aS'blood\tblood\tNN\tB-NP\tO' -p36897 -aS'pressure\tpressure\tNN\tI-NP\tO' -p36898 -aS'111/56\t111/56\tCD\tI-NP\tO' -p36899 -aS',\t,\t,\tI-NP\tO' -p36900 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p36901 -aS'rate\trate\tNN\tI-NP\tO' -p36902 -aS'28\t28\tCD\tI-NP\tO' -p36903 -aS',\t,\t,\tO\tO' -p36904 -aS'satting\tsatte\tVBG\tB-VP\tO' -p36905 -aS'92%\t92%\tNN\tB-NP\tO' -p36906 -aS'on\ton\tIN\tB-PP\tO' -p36907 -aS'room\troom\tNN\tB-NP\tO' -p36908 -aS'air\tair\tNN\tI-NP\tO' -p36909 -aS'.\t.\t.\tO\tO' -p36910 -asS'He drinks one glass of wine per night .' -p36911 -(lp36912 -S'He\tHe\tPRP\tB-NP\tO' -p36913 -aS'drinks\tdrink\tVBZ\tB-VP\tO' -p36914 -aS'one\tone\tCD\tB-NP\tO' -p36915 -aS'glass\tglass\tNN\tI-NP\tO' -p36916 -aS'of\tof\tIN\tB-PP\tO' -p36917 -aS'wine\twine\tNN\tB-NP\tO' -p36918 -aS'per\tper\tIN\tB-PP\tO' -p36919 -aS'night\tnight\tNN\tB-NP\tO' -p36920 -aS'.\t.\t.\tO\tO' -p36921 -asS'ROM , no signs of effusion' -p36922 -(lp36923 -S'ROM\tROM\tNN\tB-NP\tO' -p36924 -aS',\t,\t,\tO\tO' -p36925 -aS'no\tno\tDT\tB-NP\tO' -p36926 -aS'signs\tsign\tNNS\tI-NP\tO' -p36927 -aS'of\tof\tIN\tB-PP\tO' -p36928 -aS'effusion\teffusion\tNN\tB-NP\tO' -p36929 -asS'The assay was nonreactive .' -p36930 -(lp36931 -S'The\tThe\tDT\tB-NP\tO' -p36932 -aS'assay\tassay\tNN\tI-NP\tO' -p36933 -aS'was\tbe\tVBD\tB-VP\tO' -p36934 -aS'nonreactive\tnonreactive\tJJ\tB-ADJP\tO' -p36935 -aS'.\t.\t.\tO\tO' -p36936 -asS'Urine cultures from 11-30 grew STAPH AUREUS COAG + , and GRAM NEGATIVE RODS of two morphologies ( not further speciated ) .' -p36937 -(lp36938 -S'Urine\tUrine\tNN\tB-NP\tB-cell_line' -p36939 -aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' -p36940 -aS'from\tfrom\tIN\tB-PP\tO' -p36941 -aS'11-30\t11-30\tCD\tB-NP\tO' -p36942 -aS'grew\tgrow\tVBD\tB-VP\tO' -p36943 -aS'STAPH\tSTAPH\tNN\tB-NP\tB-protein' -p36944 -aS'AUREUS\tAUREUS\tNN\tI-NP\tI-protein' -p36945 -aS'COAG\tCOAG\tNN\tI-NP\tI-protein' -p36946 -aS'+\t+\tSYM\tB-NP\tO' -p36947 -aS',\t,\t,\tO\tO' -p36948 -aS'and\tand\tCC\tO\tO' -p36949 -aS'GRAM\tGRAM\tNNP\tB-NP\tO' -p36950 -aS'NEGATIVE\tNEGATIVE\tNNP\tI-NP\tO' -p36951 -aS'RODS\tRODS\tNNP\tI-NP\tO' -p36952 -aS'of\tof\tIN\tB-PP\tO' -p36953 -aS'two\ttwo\tCD\tB-NP\tO' -p36954 -aS'morphologies\tmorphology\tNNS\tI-NP\tO' -p36955 -aS'(\t(\t(\tO\tO' -p36956 -aS'not\tnot\tRB\tB-VP\tO' -p36957 -aS'further\tfurther\tRBR\tI-VP\tO' -p36958 -aS'speciated\tspeciate\tVBN\tI-VP\tO' -p36959 -aS')\t)\t)\tO\tO' -p36960 -aS'.\t.\t.\tO\tO' -p36961 -asS'So on discharge she is on atenolol 100 .' -p36962 -(lp36963 -S'So\tSo\tRB\tB-ADVP\tO' -p36964 -aS'on\ton\tIN\tB-PP\tO' -p36965 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p36966 -aS'she\tshe\tPRP\tB-NP\tO' -p36967 -aS'is\tbe\tVBZ\tB-VP\tO' -p36968 -aS'on\ton\tIN\tB-PP\tO' -p36969 -aS'atenolol\tatenolol\tNN\tB-NP\tB-protein' -p36970 -aS'100\t100\tCD\tI-NP\tI-protein' -p36971 -aS'.\t.\t.\tO\tO' -p36972 -asS'1) Comminuted intertrochanteric fracture of the right femur , with avulsion of the lesser trochanter , displacement and angulation .' -p36973 -(lp36974 -S'1)\t1)\tLS\tB-LST\tO' -p36975 -aS'Comminuted\tComminute\tVBD\tB-VP\tO' -p36976 -aS'intertrochanteric\tintertrochanteric\tJJ\tB-NP\tO' -p36977 -aS'fracture\tfracture\tNN\tI-NP\tO' -p36978 -aS'of\tof\tIN\tB-PP\tO' -p36979 -aS'the\tthe\tDT\tB-NP\tO' -p36980 -aS'right\tright\tJJ\tI-NP\tO' -p36981 -aS'femur\tfemur\tNN\tI-NP\tO' -p36982 -aS',\t,\t,\tO\tO' -p36983 -aS'with\twith\tIN\tB-PP\tO' -p36984 -aS'avulsion\tavulsion\tNN\tB-NP\tO' -p36985 -aS'of\tof\tIN\tB-PP\tO' -p36986 -aS'the\tthe\tDT\tB-NP\tO' -p36987 -aS'lesser\tless\tJJR\tI-NP\tO' -p36988 -aS'trochanter\ttrochanter\tNN\tI-NP\tO' -p36989 -aS',\t,\t,\tI-NP\tO' -p36990 -aS'displacement\tdisplacement\tNN\tI-NP\tO' -p36991 -aS'and\tand\tCC\tI-NP\tO' -p36992 -aS'angulation\tangulation\tNN\tI-NP\tO' -p36993 -aS'.\t.\t.\tO\tO' -p36994 -asS'The patient was told that he should discus with his PCP further GI testing , as well as medications for anxiety .' -p36995 -(lp36996 -S'The\tThe\tDT\tB-NP\tO' -p36997 -aS'patient\tpatient\tNN\tI-NP\tO' -p36998 -aS'was\tbe\tVBD\tB-VP\tO' -p36999 -aS'told\ttell\tVBN\tI-VP\tO' -p37000 -aS'that\tthat\tIN\tB-SBAR\tO' -p37001 -aS'he\the\tPRP\tB-NP\tO' -p37002 -aS'should\tshould\tMD\tB-VP\tO' -p37003 -aS'discus\tdiscus\tVB\tI-VP\tO' -p37004 -aS'with\twith\tIN\tB-PP\tO' -p37005 -aS'his\this\tPRP$\tB-NP\tO' -p37006 -aS'PCP\tPCP\tNN\tI-NP\tO' -p37007 -aS'further\tfurther\tJJ\tI-NP\tO' -p37008 -aS'GI\tGI\tNN\tI-NP\tO' -p37009 -aS'testing\ttesting\tNN\tI-NP\tO' -p37010 -aS',\t,\t,\tO\tO' -p37011 -aS'as\tas\tRB\tB-CONJP\tO' -p37012 -aS'well\twell\tRB\tI-CONJP\tO' -p37013 -aS'as\tas\tIN\tI-CONJP\tO' -p37014 -aS'medications\tmedication\tNNS\tB-NP\tO' -p37015 -aS'for\tfor\tIN\tB-PP\tO' -p37016 -aS'anxiety\tanxiety\tNN\tB-NP\tO' -p37017 -aS'.\t.\t.\tO\tO' -p37018 -asS'[ Intrinsic right ventricular systolic function is likely more depressed given the severity of tricuspid regurgitation .]' -p37019 -(lp37020 -S'[\t[\t(\tO\tO' -p37021 -aS'Intrinsic\tIntrinsic\tJJ\tB-NP\tO' -p37022 -aS'right\tright\tJJ\tI-NP\tO' -p37023 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p37024 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p37025 -aS'function\tfunction\tNN\tI-NP\tO' -p37026 -aS'is\tbe\tVBZ\tB-VP\tO' -p37027 -aS'likely\tlikely\tRB\tB-ADJP\tO' -p37028 -aS'more\tmore\tRBR\tI-ADJP\tO' -p37029 -aS'depressed\tdepressed\tJJ\tI-ADJP\tO' -p37030 -aS'given\tgive\tVBN\tB-PP\tO' -p37031 -aS'the\tthe\tDT\tB-NP\tO' -p37032 -aS'severity\tseverity\tNN\tI-NP\tO' -p37033 -aS'of\tof\tIN\tB-PP\tO' -p37034 -aS'tricuspid\ttricuspid\tJJ\tB-NP\tO' -p37035 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p37036 -aS'.]\t.]\t.\tO\tO' -p37037 -asS'Urinary tract infection .' -p37038 -(lp37039 -S'Urinary\tUrinary\tJJ\tB-NP\tO' -p37040 -aS'tract\ttract\tNN\tI-NP\tO' -p37041 -aS'infection\tinfection\tNN\tI-NP\tO' -p37042 -aS'.\t.\t.\tO\tO' -p37043 -asS'2. Triplet #3 of triplet gestation .' -p37044 -(lp37045 -S'2.\t2.\tLS\tB-NP\tO' -p37046 -aS'Triplet\tTriplet\tNN\tI-NP\tO' -p37047 -aS'#3\t#3\tNN\tI-NP\tO' -p37048 -aS'of\tof\tIN\tB-PP\tO' -p37049 -aS'triplet\ttriplet\tJJ\tB-NP\tO' -p37050 -aS'gestation\tgestation\tNN\tI-NP\tO' -p37051 -aS'.\t.\t.\tO\tO' -p37052 -asS'On day three of admission , the patient felt that his strength was back to baseline .' -p37053 -(lp37054 -S'On\tOn\tIN\tB-PP\tO' -p37055 -aS'day\tday\tNN\tB-NP\tO' -p37056 -aS'three\tthree\tCD\tI-NP\tO' -p37057 -aS'of\tof\tIN\tB-PP\tO' -p37058 -aS'admission\tadmission\tNN\tB-NP\tO' -p37059 -aS',\t,\t,\tO\tO' -p37060 -aS'the\tthe\tDT\tB-NP\tO' -p37061 -aS'patient\tpatient\tNN\tI-NP\tO' -p37062 -aS'felt\tfeel\tVBD\tB-VP\tO' -p37063 -aS'that\tthat\tDT\tO\tO' -p37064 -aS'his\this\tPRP$\tB-NP\tO' -p37065 -aS'strength\tstrength\tNN\tI-NP\tO' -p37066 -aS'was\tbe\tVBD\tB-VP\tO' -p37067 -aS'back\tback\tRB\tB-ADVP\tO' -p37068 -aS'to\tto\tTO\tB-PP\tO' -p37069 -aS'baseline\tbaseline\tNN\tB-NP\tO' -p37070 -aS'.\t.\t.\tO\tO' -p37071 -asS'PT 11.6/10.1 , repeat PT 12.8/10.5 .' -p37072 -(lp37073 -S'PT\tPT\tNN\tB-NP\tB-protein' -p37074 -aS'11.6/10.1\t11.6/10.1\tCD\tI-NP\tI-protein' -p37075 -aS',\t,\t,\tO\tO' -p37076 -aS'repeat\trepeat\tNN\tB-NP\tO' -p37077 -aS'PT\tPT\tNN\tI-NP\tO' -p37078 -aS'12.8/10.5\t12.8/10.5\tCD\tI-NP\tO' -p37079 -aS'.\t.\t.\tO\tO' -p37080 -asS'Bone scan showed degenerative joint disease in the shoulders and lumbar spine as well as increased radio chaser uptake in the breast bilaterally .' -p37081 -(lp37082 -S'Bone\tBone\tNN\tB-NP\tO' -p37083 -aS'scan\tscan\tNN\tI-NP\tO' -p37084 -aS'showed\tshow\tVBD\tB-VP\tO' -p37085 -aS'degenerative\tdegenerative\tJJ\tB-NP\tO' -p37086 -aS'joint\tjoint\tJJ\tI-NP\tO' -p37087 -aS'disease\tdisease\tNN\tI-NP\tO' -p37088 -aS'in\tin\tIN\tB-PP\tO' -p37089 -aS'the\tthe\tDT\tB-NP\tO' -p37090 -aS'shoulders\tshoulder\tNNS\tI-NP\tO' -p37091 -aS'and\tand\tCC\tI-NP\tO' -p37092 -aS'lumbar\tlumbar\tNN\tI-NP\tO' -p37093 -aS'spine\tspine\tNN\tI-NP\tO' -p37094 -aS'as\tas\tRB\tB-CONJP\tO' -p37095 -aS'well\twell\tRB\tI-CONJP\tO' -p37096 -aS'as\tas\tIN\tI-CONJP\tO' -p37097 -aS'increased\tincrease\tVBN\tB-NP\tO' -p37098 -aS'radio\tradio\tNN\tI-NP\tO' -p37099 -aS'chaser\tchaser\tNN\tI-NP\tO' -p37100 -aS'uptake\tuptake\tNN\tI-NP\tO' -p37101 -aS'in\tin\tIN\tB-PP\tO' -p37102 -aS'the\tthe\tDT\tB-NP\tO' -p37103 -aS'breast\tbreast\tNN\tI-NP\tO' -p37104 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p37105 -aS'.\t.\t.\tO\tO' -p37106 -asS'Significant for mother who has hypertension and stroke at the age of 70 .' -p37107 -(lp37108 -S'Significant\tSignificant\tJJ\tB-ADJP\tO' -p37109 -aS'for\tfor\tIN\tB-PP\tO' -p37110 -aS'mother\tmother\tNN\tB-NP\tO' -p37111 -aS'who\twho\tWP\tB-NP\tO' -p37112 -aS'has\thave\tVBZ\tB-VP\tO' -p37113 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p37114 -aS'and\tand\tCC\tO\tO' -p37115 -aS'stroke\tstroke\tVB\tB-VP\tO' -p37116 -aS'at\tat\tIN\tB-PP\tO' -p37117 -aS'the\tthe\tDT\tB-NP\tO' -p37118 -aS'age\tage\tNN\tI-NP\tO' -p37119 -aS'of\tof\tIN\tB-PP\tO' -p37120 -aS'70\t70\tCD\tB-NP\tO' -p37121 -aS'.\t.\t.\tO\tO' -p37122 -asS'The plantar was upgoing on the left side .' -p37123 -(lp37124 -S'The\tThe\tDT\tB-NP\tO' -p37125 -aS'plantar\tplantar\tNN\tI-NP\tO' -p37126 -aS'was\tbe\tVBD\tB-VP\tO' -p37127 -aS'upgoing\tupgoe\tVBG\tI-VP\tO' -p37128 -aS'on\ton\tIN\tB-PP\tO' -p37129 -aS'the\tthe\tDT\tB-NP\tO' -p37130 -aS'left\tleft\tJJ\tI-NP\tO' -p37131 -aS'side\tside\tNN\tI-NP\tO' -p37132 -aS'.\t.\t.\tO\tO' -p37133 -asS'There was no splenomegaly or hepatosplenomegaly .' -p37134 -(lp37135 -S'There\tThere\tEX\tB-NP\tO' -p37136 -aS'was\tbe\tVBD\tB-VP\tO' -p37137 -aS'no\tno\tDT\tB-NP\tO' -p37138 -aS'splenomegaly\tsplenomegaly\tNN\tI-NP\tO' -p37139 -aS'or\tor\tCC\tI-NP\tO' -p37140 -aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tI-NP\tO' -p37141 -aS'.\t.\t.\tO\tO' -p37142 -asS'Enfamil or breast milk 24 calories per oz , with enfamil powder .' -p37143 -(lp37144 -S'Enfamil\tEnfamil\tNN\tB-NP\tO' -p37145 -aS'or\tor\tCC\tI-NP\tO' -p37146 -aS'breast\tbreast\tNN\tI-NP\tO' -p37147 -aS'milk\tmilk\tNN\tI-NP\tO' -p37148 -aS'24\t24\tCD\tB-NP\tO' -p37149 -aS'calories\tcalorie\tNNS\tI-NP\tO' -p37150 -aS'per\tper\tIN\tB-PP\tO' -p37151 -aS'oz\toz\tNN\tB-NP\tO' -p37152 -aS',\t,\t,\tO\tO' -p37153 -aS'with\twith\tIN\tB-PP\tO' -p37154 -aS'enfamil\tenfamil\tNN\tB-NP\tO' -p37155 -aS'powder\tpowder\tNN\tI-NP\tO' -p37156 -aS'.\t.\t.\tO\tO' -p37157 -asS'Dr. Koteelks indicated that the patient did not have sinus problems currently but thought that the trigeminal pain might be investigated further and that the sphenoid might account for some of the patient 's discomfort .' -p37158 -(lp37159 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p37160 -aS'Koteelks\tKoteelks\tNNP\tI-NP\tO' -p37161 -aS'indicated\tindicate\tVBD\tB-VP\tO' -p37162 -aS'that\tthat\tIN\tB-SBAR\tO' -p37163 -aS'the\tthe\tDT\tB-NP\tO' -p37164 -aS'patient\tpatient\tNN\tI-NP\tO' -p37165 -aS'did\tdo\tVBD\tB-VP\tO' -p37166 -aS'not\tnot\tRB\tI-VP\tO' -p37167 -aS'have\thave\tVB\tI-VP\tO' -p37168 -aS'sinus\tsinus\tNN\tB-NP\tO' -p37169 -aS'problems\tproblem\tNNS\tI-NP\tO' -p37170 -aS'currently\tcurrently\tRB\tB-ADVP\tO' -p37171 -aS'but\tbut\tCC\tO\tO' -p37172 -aS'thought\tthink\tVBD\tB-VP\tO' -p37173 -aS'that\tthat\tIN\tB-SBAR\tO' -p37174 -aS'the\tthe\tDT\tB-NP\tO' -p37175 -aS'trigeminal\ttrigeminal\tJJ\tI-NP\tB-protein' -p37176 -aS'pain\tpain\tNN\tI-NP\tI-protein' -p37177 -aS'might\tmight\tMD\tB-VP\tO' -p37178 -aS'be\tbe\tVB\tI-VP\tO' -p37179 -aS'investigated\tinvestigate\tVBN\tI-VP\tO' -p37180 -aS'further\tfurther\tRBR\tB-ADVP\tO' -p37181 -aS'and\tand\tCC\tO\tO' -p37182 -aS'that\tthat\tIN\tB-SBAR\tO' -p37183 -aS'the\tthe\tDT\tB-NP\tO' -p37184 -aS'sphenoid\tsphenoid\tNN\tI-NP\tO' -p37185 -aS'might\tmight\tMD\tB-VP\tO' -p37186 -aS'account\taccount\tVB\tI-VP\tO' -p37187 -aS'for\tfor\tIN\tB-PP\tO' -p37188 -aS'some\tsome\tDT\tB-NP\tO' -p37189 -aS'of\tof\tIN\tB-PP\tO' -p37190 -aS'the\tthe\tDT\tB-NP\tO' -p37191 -aS'patient\tpatient\tNN\tI-NP\tO' -p37192 -aS''s\t'\tNNS\tI-NP\tO' -p37193 -aS'discomfort\tdiscomfort\tNN\tI-NP\tO' -p37194 -aS'.\t.\t.\tO\tO' -p37195 -asS'His name is Ettrent Can and he can be reached at 678-233-5033 , b 549 .' -p37196 -(lp37197 -S'His\tHis\tPRP$\tB-NP\tO' -p37198 -aS'name\tname\tNN\tI-NP\tO' -p37199 -aS'is\tbe\tVBZ\tB-VP\tO' -p37200 -aS'Ettrent\tEttrent\tNNP\tB-NP\tO' -p37201 -aS'Can\tCan\tMD\tB-VP\tO' -p37202 -aS'and\tand\tCC\tO\tO' -p37203 -aS'he\the\tPRP\tB-NP\tO' -p37204 -aS'can\tcan\tMD\tB-VP\tO' -p37205 -aS'be\tbe\tVB\tI-VP\tO' -p37206 -aS'reached\treach\tVBN\tI-VP\tO' -p37207 -aS'at\tat\tIN\tB-PP\tO' -p37208 -aS'678-233-5033\t678-233-5033\tCD\tB-NP\tO' -p37209 -aS',\t,\t,\tO\tO' -p37210 -aS'b\tb\tNN\tB-NP\tB-protein' -p37211 -aS'549\t549\tCD\tI-NP\tI-protein' -p37212 -aS'.\t.\t.\tO\tO' -p37213 -asS'Diagnosis peritoneum lavage times two was negative for any signs of intra-abdominal bleeding .' -p37214 -(lp37215 -S'Diagnosis\tDiagnosis\tNN\tB-NP\tO' -p37216 -aS'peritoneum\tperitoneum\tNN\tI-NP\tO' -p37217 -aS'lavage\tlavage\tNN\tI-NP\tO' -p37218 -aS'times\ttime\tNNS\tI-NP\tO' -p37219 -aS'two\ttwo\tCD\tB-NP\tO' -p37220 -aS'was\tbe\tVBD\tB-VP\tO' -p37221 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p37222 -aS'for\tfor\tIN\tB-PP\tO' -p37223 -aS'any\tany\tDT\tB-NP\tO' -p37224 -aS'signs\tsign\tNNS\tI-NP\tO' -p37225 -aS'of\tof\tIN\tB-PP\tO' -p37226 -aS'intra-abdominal\tintra-abdominal\tJJ\tB-NP\tO' -p37227 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p37228 -aS'.\t.\t.\tO\tO' -p37229 -asS'Digoxin , .25 mg PO QD ; Ecotrin , 325 mg QD ; Coumadin , 2.5 mg PO QD ; Lisinopril , 2.5 mg PO QD ; Micronase , 5 mg PO BID .' -p37230 -(lp37231 -S'Digoxin\tDigoxin\tNN\tB-NP\tO' -p37232 -aS',\t,\t,\tO\tO' -p37233 -aS'.25\t.25\tCD\tB-NP\tO' -p37234 -aS'mg\tmg\tNN\tI-NP\tO' -p37235 -aS'PO\tPO\tNN\tI-NP\tO' -p37236 -aS'QD\tQD\tNN\tI-NP\tO' -p37237 -aS';\t;\t:\tO\tO' -p37238 -aS'Ecotrin\tEcotrin\tNN\tB-NP\tO' -p37239 -aS',\t,\t,\tO\tO' -p37240 -aS'325\t325\tCD\tB-NP\tO' -p37241 -aS'mg\tmg\tNN\tI-NP\tO' -p37242 -aS'QD\tQD\tNN\tI-NP\tO' -p37243 -aS';\t;\t:\tO\tO' -p37244 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p37245 -aS',\t,\t,\tO\tO' -p37246 -aS'2.5\t2.5\tCD\tB-NP\tO' -p37247 -aS'mg\tmg\tNN\tI-NP\tO' -p37248 -aS'PO\tPO\tNN\tI-NP\tO' -p37249 -aS'QD\tQD\tNN\tI-NP\tO' -p37250 -aS';\t;\t:\tO\tO' -p37251 -aS'Lisinopril\tLisinopril\tNNP\tB-NP\tO' -p37252 -aS',\t,\t,\tO\tO' -p37253 -aS'2.5\t2.5\tCD\tB-NP\tO' -p37254 -aS'mg\tmg\tNN\tI-NP\tO' -p37255 -aS'PO\tPO\tNN\tI-NP\tO' -p37256 -aS'QD\tQD\tNN\tI-NP\tO' -p37257 -aS';\t;\t:\tO\tO' -p37258 -aS'Micronase\tMicronase\tNN\tB-NP\tO' -p37259 -aS',\t,\t,\tO\tO' -p37260 -aS'5\t5\tCD\tB-NP\tO' -p37261 -aS'mg\tmg\tNN\tI-NP\tO' -p37262 -aS'PO\tPO\tNN\tI-NP\tO' -p37263 -aS'BID\tBID\tNN\tI-NP\tO' -p37264 -aS'.\t.\t.\tO\tO' -p37265 -asS'She smokes approximately one and a half packs of cigarettes per day for the last 30 years .' -p37266 -(lp37267 -S'She\tShe\tPRP\tB-NP\tO' -p37268 -aS'smokes\tsmoke\tVBZ\tB-VP\tO' -p37269 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p37270 -aS'one\tone\tCD\tI-NP\tO' -p37271 -aS'and\tand\tCC\tI-NP\tO' -p37272 -aS'a\ta\tDT\tI-NP\tO' -p37273 -aS'half\thalf\tJJ\tI-NP\tO' -p37274 -aS'packs\tpack\tNNS\tI-NP\tO' -p37275 -aS'of\tof\tIN\tB-PP\tO' -p37276 -aS'cigarettes\tcigarette\tNNS\tB-NP\tO' -p37277 -aS'per\tper\tIN\tB-PP\tO' -p37278 -aS'day\tday\tNN\tB-NP\tO' -p37279 -aS'for\tfor\tIN\tB-PP\tO' -p37280 -aS'the\tthe\tDT\tB-NP\tO' -p37281 -aS'last\tlast\tJJ\tI-NP\tB-protein' -p37282 -aS'30\t30\tCD\tI-NP\tI-protein' -p37283 -aS'years\tyear\tNNS\tI-NP\tI-protein' -p37284 -aS'.\t.\t.\tO\tO' -p37285 -asS'History of 20-to-30-pack-year smoking , quit approximately 15 years ago .' -p37286 -(lp37287 -S'History\tHistory\tNN\tB-NP\tO' -p37288 -aS'of\tof\tIN\tB-PP\tO' -p37289 -aS'20-to-30-pack-year\t20-to-30-pack-year\tJJ\tB-NP\tO' -p37290 -aS'smoking\tsmoking\tNN\tI-NP\tO' -p37291 -aS',\t,\t,\tO\tO' -p37292 -aS'quit\tquit\tVBD\tB-VP\tO' -p37293 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p37294 -aS'15\t15\tCD\tI-NP\tO' -p37295 -aS'years\tyear\tNNS\tI-NP\tO' -p37296 -aS'ago\tago\tRB\tB-ADVP\tO' -p37297 -aS'.\t.\t.\tO\tO' -p37298 -asS'Upon receiving the one unit of red blood cells , her hematocrit returned to 33 , and in the two days subsequent to the transfusion , returned to 34 .' -p37299 -(lp37300 -S'Upon\tUpon\tIN\tB-PP\tO' -p37301 -aS'receiving\treceive\tVBG\tB-VP\tO' -p37302 -aS'the\tthe\tDT\tB-NP\tO' -p37303 -aS'one\tone\tCD\tI-NP\tO' -p37304 -aS'unit\tunit\tNN\tI-NP\tO' -p37305 -aS'of\tof\tIN\tB-PP\tO' -p37306 -aS'red\tred\tJJ\tB-NP\tB-cell_type' -p37307 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p37308 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p37309 -aS',\t,\t,\tO\tO' -p37310 -aS'her\ther\tPRP$\tB-NP\tO' -p37311 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p37312 -aS'returned\treturn\tVBD\tB-VP\tO' -p37313 -aS'to\tto\tTO\tB-PP\tO' -p37314 -aS'33\t33\tCD\tB-NP\tO' -p37315 -aS',\t,\t,\tO\tO' -p37316 -aS'and\tand\tCC\tO\tO' -p37317 -aS'in\tin\tIN\tB-PP\tO' -p37318 -aS'the\tthe\tDT\tB-NP\tO' -p37319 -aS'two\ttwo\tCD\tI-NP\tO' -p37320 -aS'days\tday\tNNS\tI-NP\tO' -p37321 -aS'subsequent\tsubsequent\tJJ\tB-ADJP\tO' -p37322 -aS'to\tto\tTO\tB-PP\tO' -p37323 -aS'the\tthe\tDT\tB-NP\tO' -p37324 -aS'transfusion\ttransfusion\tNN\tI-NP\tO' -p37325 -aS',\t,\t,\tO\tO' -p37326 -aS'returned\treturn\tVBD\tB-VP\tO' -p37327 -aS'to\tto\tTO\tB-PP\tO' -p37328 -aS'34\t34\tCD\tB-NP\tO' -p37329 -aS'.\t.\t.\tO\tO' -p37330 -asS'Coronary artery disease , status post coronary artery bypass grafting times three .' -p37331 -(lp37332 -S'Coronary\tCoronary\tJJ\tB-NP\tO' -p37333 -aS'artery\tartery\tNN\tI-NP\tO' -p37334 -aS'disease\tdisease\tNN\tI-NP\tO' -p37335 -aS',\t,\t,\tO\tO' -p37336 -aS'status\tstatus\tNN\tB-NP\tO' -p37337 -aS'post\tpost\tNN\tI-NP\tO' -p37338 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p37339 -aS'artery\tartery\tNN\tI-NP\tO' -p37340 -aS'bypass\tbypass\tIN\tB-PP\tO' -p37341 -aS'grafting\tgraft\tVBG\tB-VP\tO' -p37342 -aS'times\ttime\tNNS\tB-NP\tO' -p37343 -aS'three\tthree\tCD\tB-NP\tO' -p37344 -aS'.\t.\t.\tO\tO' -p37345 -asS'7. Insulin-sliding scale as well as 40 units of Humalog in the a.m. and 20 at night .' -p37346 -(lp37347 -S'7.\t7.\tLS\tB-NP\tO' -p37348 -aS'Insulin-sliding\tInsulin-sliding\tJJ\tI-NP\tO' -p37349 -aS'scale\tscale\tNN\tI-NP\tO' -p37350 -aS'as\tas\tRB\tB-CONJP\tO' -p37351 -aS'well\twell\tRB\tI-CONJP\tO' -p37352 -aS'as\tas\tIN\tI-CONJP\tO' -p37353 -aS'40\t40\tCD\tB-NP\tO' -p37354 -aS'units\tunit\tNNS\tI-NP\tO' -p37355 -aS'of\tof\tIN\tB-PP\tO' -p37356 -aS'Humalog\tHumalog\tNNP\tB-NP\tO' -p37357 -aS'in\tin\tIN\tB-PP\tO' -p37358 -aS'the\tthe\tDT\tB-NP\tO' -p37359 -aS'a.m.\ta.m.\tNN\tI-NP\tO' -p37360 -aS'and\tand\tCC\tI-NP\tO' -p37361 -aS'20\t20\tCD\tI-NP\tO' -p37362 -aS'at\tat\tIN\tB-PP\tO' -p37363 -aS'night\tnight\tNN\tB-NP\tO' -p37364 -aS'.\t.\t.\tO\tO' -p37365 -asS'The patient was to follow up with her primary care physician ( Dr. Desmet ) , as well as' -p37366 -(lp37367 -S'The\tThe\tDT\tB-NP\tO' -p37368 -aS'patient\tpatient\tNN\tI-NP\tO' -p37369 -aS'was\tbe\tVBD\tB-VP\tO' -p37370 -aS'to\tto\tTO\tB-VP\tO' -p37371 -aS'follow\tfollow\tVB\tI-VP\tO' -p37372 -aS'up\tup\tRP\tB-PRT\tO' -p37373 -aS'with\twith\tIN\tB-PP\tO' -p37374 -aS'her\ther\tPRP$\tB-NP\tO' -p37375 -aS'primary\tprimary\tJJ\tI-NP\tO' -p37376 -aS'care\tcare\tNN\tI-NP\tO' -p37377 -aS'physician\tphysician\tNN\tI-NP\tO' -p37378 -aS'(\t(\t(\tO\tO' -p37379 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p37380 -aS'Desmet\tDesmet\tNNP\tI-NP\tO' -p37381 -aS')\t)\t)\tO\tO' -p37382 -aS',\t,\t,\tO\tO' -p37383 -aS'as\tas\tRB\tB-CONJP\tO' -p37384 -aS'well\twell\tRB\tI-CONJP\tO' -p37385 -aS'as\tas\tIN\tI-CONJP\tO' -p37386 -asS'Weight on admission was 64 kg , at discharge was 51.6 kg .' -p37387 -(lp37388 -S'Weight\tWeight\tNN\tB-NP\tO' -p37389 -aS'on\ton\tIN\tB-PP\tO' -p37390 -aS'admission\tadmission\tNN\tB-NP\tO' -p37391 -aS'was\tbe\tVBD\tB-VP\tO' -p37392 -aS'64\t64\tCD\tB-NP\tO' -p37393 -aS'kg\tkg\tNN\tI-NP\tO' -p37394 -aS',\t,\t,\tO\tO' -p37395 -aS'at\tat\tIN\tB-PP\tO' -p37396 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p37397 -aS'was\tbe\tVBD\tB-VP\tO' -p37398 -aS'51.6\t51.6\tCD\tB-NP\tO' -p37399 -aS'kg\tkg\tNN\tI-NP\tO' -p37400 -aS'.\t.\t.\tO\tO' -p37401 -asS'A second endoscopy was also performed several days later , in order to rule out a gastric ulcer , and also because the patient had had another episode of melena .' -p37402 -(lp37403 -S'A\tA\tDT\tB-NP\tO' -p37404 -aS'second\tsecond\tJJ\tI-NP\tO' -p37405 -aS'endoscopy\tendoscopy\tNN\tI-NP\tO' -p37406 -aS'was\tbe\tVBD\tB-VP\tO' -p37407 -aS'also\talso\tRB\tI-VP\tO' -p37408 -aS'performed\tperform\tVBN\tI-VP\tO' -p37409 -aS'several\tseveral\tJJ\tB-NP\tO' -p37410 -aS'days\tday\tNNS\tI-NP\tO' -p37411 -aS'later\tlater\tRB\tB-ADVP\tO' -p37412 -aS',\t,\t,\tO\tO' -p37413 -aS'in\tin\tIN\tB-SBAR\tO' -p37414 -aS'order\torder\tNN\tO\tO' -p37415 -aS'to\tto\tTO\tB-VP\tO' -p37416 -aS'rule\trule\tVB\tI-VP\tO' -p37417 -aS'out\tout\tRP\tB-PRT\tO' -p37418 -aS'a\ta\tDT\tB-NP\tO' -p37419 -aS'gastric\tgastric\tJJ\tI-NP\tO' -p37420 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p37421 -aS',\t,\t,\tO\tO' -p37422 -aS'and\tand\tCC\tO\tO' -p37423 -aS'also\talso\tRB\tB-ADVP\tO' -p37424 -aS'because\tbecause\tIN\tB-SBAR\tO' -p37425 -aS'the\tthe\tDT\tB-NP\tO' -p37426 -aS'patient\tpatient\tNN\tI-NP\tO' -p37427 -aS'had\thave\tVBD\tB-VP\tO' -p37428 -aS'had\thave\tVBN\tI-VP\tO' -p37429 -aS'another\tanother\tDT\tB-NP\tO' -p37430 -aS'episode\tepisode\tNN\tI-NP\tO' -p37431 -aS'of\tof\tIN\tB-PP\tO' -p37432 -aS'melena\tmelena\tNN\tB-NP\tO' -p37433 -aS'.\t.\t.\tO\tO' -p37434 -asS'3. Episodes of cholecystitis and spastic colon .' -p37435 -(lp37436 -S'3.\t3.\tLS\tB-NP\tO' -p37437 -aS'Episodes\tEpisode\tNNS\tI-NP\tO' -p37438 -aS'of\tof\tIN\tB-PP\tO' -p37439 -aS'cholecystitis\tcholecystitis\tNN\tB-NP\tO' -p37440 -aS'and\tand\tCC\tO\tO' -p37441 -aS'spastic\tspastic\tJJ\tB-NP\tO' -p37442 -aS'colon\tcolon\tNN\tI-NP\tO' -p37443 -aS'.\t.\t.\tO\tO' -p37444 -asS'He has had no antibiotic therapy or blood cultures sent .' -p37445 -(lp37446 -S'He\tHe\tPRP\tB-NP\tO' -p37447 -aS'has\thave\tVBZ\tB-VP\tO' -p37448 -aS'had\thave\tVBN\tI-VP\tO' -p37449 -aS'no\tno\tDT\tB-NP\tO' -p37450 -aS'antibiotic\tantibiotic\tJJ\tI-NP\tO' -p37451 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p37452 -aS'or\tor\tCC\tI-NP\tO' -p37453 -aS'blood\tblood\tNN\tI-NP\tO' -p37454 -aS'cultures\tculture\tNNS\tI-NP\tO' -p37455 -aS'sent\tsend\tVBN\tB-VP\tO' -p37456 -aS'.\t.\t.\tO\tO' -p37457 -asS'6. Depression .' -p37458 -(lp37459 -S'6.\t6.\tLS\tB-NP\tO' -p37460 -aS'Depression\tDepression\tNN\tI-NP\tO' -p37461 -aS'.\t.\t.\tO\tO' -p37462 -asS'OTHER DIAGNOSIS ; Conditions , Infections , Complications , affecting Treatment / Stay depression ( depression )' -p37463 -(lp37464 -S'OTHER\tOTHER\tNN\tB-NP\tO' -p37465 -aS'DIAGNOSIS\tDIAGNOSIS\tNN\tI-NP\tO' -p37466 -aS';\t;\t:\tO\tO' -p37467 -aS'Conditions\tCondition\tNNS\tB-NP\tO' -p37468 -aS',\t,\t,\tO\tO' -p37469 -aS'Infections\tInfection\tNNS\tB-NP\tO' -p37470 -aS',\t,\t,\tO\tO' -p37471 -aS'Complications\tComplication\tNNS\tB-NP\tO' -p37472 -aS',\t,\t,\tO\tO' -p37473 -aS'affecting\taffect\tVBG\tB-VP\tO' -p37474 -aS'Treatment\tTreatment\tNN\tB-NP\tO' -p37475 -aS'/\t/\tSYM\tO\tO' -p37476 -aS'Stay\tStay\tNN\tB-NP\tO' -p37477 -aS'depression\tdepression\tNN\tI-NP\tO' -p37478 -aS'(\t(\t(\tO\tO' -p37479 -aS'depression\tdepression\tNN\tB-NP\tO' -p37480 -aS')\t)\t)\tO\tO' -p37481 -asS'Previous right pneumothorax has resolved except for what is either a small fissural component or a bulla adjacent to the minor fissure .' -p37482 -(lp37483 -S'Previous\tPrevious\tJJ\tB-NP\tO' -p37484 -aS'right\tright\tJJ\tI-NP\tO' -p37485 -aS'pneumothorax\tpneumothorax\tNN\tI-NP\tO' -p37486 -aS'has\thave\tVBZ\tB-VP\tO' -p37487 -aS'resolved\tresolve\tVBN\tI-VP\tO' -p37488 -aS'except\texcept\tIN\tB-PP\tO' -p37489 -aS'for\tfor\tIN\tB-PP\tO' -p37490 -aS'what\twhat\tWP\tB-NP\tO' -p37491 -aS'is\tbe\tVBZ\tB-VP\tO' -p37492 -aS'either\teither\tRB\tB-ADVP\tO' -p37493 -aS'a\ta\tDT\tB-NP\tO' -p37494 -aS'small\tsmall\tJJ\tI-NP\tO' -p37495 -aS'fissural\tfissural\tJJ\tI-NP\tO' -p37496 -aS'component\tcomponent\tNN\tI-NP\tO' -p37497 -aS'or\tor\tCC\tO\tO' -p37498 -aS'a\ta\tDT\tB-NP\tO' -p37499 -aS'bulla\tbulla\tNN\tI-NP\tO' -p37500 -aS'adjacent\tadjacent\tJJ\tB-ADJP\tO' -p37501 -aS'to\tto\tTO\tB-PP\tO' -p37502 -aS'the\tthe\tDT\tB-NP\tO' -p37503 -aS'minor\tminor\tJJ\tI-NP\tO' -p37504 -aS'fissure\tfissure\tNN\tI-NP\tO' -p37505 -aS'.\t.\t.\tO\tO' -p37506 -asS'SHE WILL BE DISCHARGED TODAY BACK TO HER NURSING HOME IN GOOD CONDITION , ON PAIN MEDS , ANTIBIOTICS , AND WITH ANTICIPATED 1:1 WATCH .' -p37507 -(lp37508 -S'SHE\tSHE\tNNP\tB-NP\tO' -p37509 -aS'WILL\tWILL\tNNP\tI-NP\tO' -p37510 -aS'BE\tBE\tNNP\tI-NP\tO' -p37511 -aS'DISCHARGED\tDISCHARGED\tNNP\tI-NP\tO' -p37512 -aS'TODAY\tTODAY\tNNP\tI-NP\tO' -p37513 -aS'BACK\tBACK\tNNP\tI-NP\tO' -p37514 -aS'TO\tTO\tNNP\tI-NP\tO' -p37515 -aS'HER\tHER\tNNP\tI-NP\tO' -p37516 -aS'NURSING\tNURSING\tNNP\tI-NP\tO' -p37517 -aS'HOME\tHOME\tNNP\tI-NP\tO' -p37518 -aS'IN\tIN\tNNP\tI-NP\tO' -p37519 -aS'GOOD\tGOOD\tNNP\tI-NP\tO' -p37520 -aS'CONDITION\tCONDITION\tNNP\tI-NP\tO' -p37521 -aS',\t,\t,\tO\tO' -p37522 -aS'ON\tON\tNNP\tB-NP\tO' -p37523 -aS'PAIN\tPAIN\tNNP\tI-NP\tO' -p37524 -aS'MEDS\tMEDS\tNNP\tI-NP\tO' -p37525 -aS',\t,\t,\tO\tO' -p37526 -aS'ANTIBIOTICS\tANTIBIOTICS\tNNP\tB-NP\tO' -p37527 -aS',\t,\t,\tO\tO' -p37528 -aS'AND\tAND\tCC\tO\tO' -p37529 -aS'WITH\tWITH\tNNP\tB-NP\tO' -p37530 -aS'ANTICIPATED\tANTICIPATED\tVBD\tB-VP\tO' -p37531 -aS'1:1\t1:1\tCD\tB-NP\tO' -p37532 -aS'WATCH\tWATCH\tNN\tI-NP\tO' -p37533 -aS'.\t.\t.\tO\tO' -p37534 -asS'The patient was initially admitted for likely CHF exacerbation .' -p37535 -(lp37536 -S'The\tThe\tDT\tB-NP\tO' -p37537 -aS'patient\tpatient\tNN\tI-NP\tO' -p37538 -aS'was\tbe\tVBD\tB-VP\tO' -p37539 -aS'initially\tinitially\tRB\tI-VP\tO' -p37540 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p37541 -aS'for\tfor\tIN\tB-PP\tO' -p37542 -aS'likely\tlikely\tJJ\tB-NP\tO' -p37543 -aS'CHF\tCHF\tNN\tI-NP\tO' -p37544 -aS'exacerbation\texacerbation\tNN\tI-NP\tO' -p37545 -aS'.\t.\t.\tO\tO' -p37546 -asS'Resting regional wall motion abnormalities include inferolateral , inferior and mid septal hypokinesis .' -p37547 -(lp37548 -S'Resting\tRest\tVBG\tB-VP\tO' -p37549 -aS'regional\tregional\tJJ\tB-NP\tO' -p37550 -aS'wall\twall\tNN\tI-NP\tO' -p37551 -aS'motion\tmotion\tNN\tI-NP\tO' -p37552 -aS'abnormalities\tabnormality\tNNS\tI-NP\tO' -p37553 -aS'include\tinclude\tVBP\tB-VP\tO' -p37554 -aS'inferolateral\tinferolateral\tJJ\tB-NP\tO' -p37555 -aS',\t,\t,\tI-NP\tO' -p37556 -aS'inferior\tinferior\tJJ\tI-NP\tO' -p37557 -aS'and\tand\tCC\tI-NP\tO' -p37558 -aS'mid\tmid\tJJ\tI-NP\tO' -p37559 -aS'septal\tseptal\tJJ\tI-NP\tO' -p37560 -aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' -p37561 -aS'.\t.\t.\tO\tO' -p37562 -asS'Left sided spastic hemiparesis , status post surgical correction of C-1 , C-2 dural AVM .' -p37563 -(lp37564 -S'Left\tLeave\tVBN\tB-NP\tO' -p37565 -aS'sided\tsided\tJJ\tI-NP\tO' -p37566 -aS'spastic\tspastic\tJJ\tI-NP\tO' -p37567 -aS'hemiparesis\themiparesis\tNN\tI-NP\tO' -p37568 -aS',\t,\t,\tO\tO' -p37569 -aS'status\tstatus\tNN\tB-NP\tO' -p37570 -aS'post\tpost\tNN\tI-NP\tO' -p37571 -aS'surgical\tsurgical\tJJ\tI-NP\tO' -p37572 -aS'correction\tcorrection\tNN\tI-NP\tO' -p37573 -aS'of\tof\tIN\tB-PP\tO' -p37574 -aS'C-1\tC-1\tNN\tB-NP\tB-protein' -p37575 -aS',\t,\t,\tO\tO' -p37576 -aS'C-2\tC-2\tNN\tB-NP\tO' -p37577 -aS'dural\tdural\tJJ\tI-NP\tO' -p37578 -aS'AVM\tAVM\tNN\tI-NP\tO' -p37579 -aS'.\t.\t.\tO\tO' -p37580 -asS"While on the floor patient 's hands improved with good range of motion of left hand , however Jones some poor range of motion of right ." -p37581 -(lp37582 -S'While\tWhile\tIN\tB-SBAR\tO' -p37583 -aS'on\ton\tIN\tB-PP\tO' -p37584 -aS'the\tthe\tDT\tB-NP\tO' -p37585 -aS'floor\tfloor\tNN\tI-NP\tO' -p37586 -aS'patient\tpatient\tNN\tI-NP\tO' -p37587 -aS"'s\t's\tPOS\tB-NP\tO" -p37588 -aS'hands\thand\tNNS\tI-NP\tO' -p37589 -aS'improved\timprove\tVBD\tB-VP\tO' -p37590 -aS'with\twith\tIN\tB-PP\tO' -p37591 -aS'good\tgood\tJJ\tB-NP\tO' -p37592 -aS'range\trange\tNN\tI-NP\tO' -p37593 -aS'of\tof\tIN\tB-PP\tO' -p37594 -aS'motion\tmotion\tNN\tB-NP\tO' -p37595 -aS'of\tof\tIN\tB-PP\tO' -p37596 -aS'left\tleft\tJJ\tB-NP\tO' -p37597 -aS'hand\thand\tNN\tI-NP\tO' -p37598 -aS',\t,\t,\tO\tO' -p37599 -aS'however\thowever\tRB\tB-ADVP\tO' -p37600 -aS'Jones\tJones\tNNP\tB-NP\tO' -p37601 -aS'some\tsome\tDT\tB-NP\tO' -p37602 -aS'poor\tpoor\tJJ\tI-NP\tO' -p37603 -aS'range\trange\tNN\tI-NP\tO' -p37604 -aS'of\tof\tIN\tB-PP\tO' -p37605 -aS'motion\tmotion\tNN\tB-NP\tO' -p37606 -aS'of\tof\tIN\tB-PP\tO' -p37607 -aS'right\tright\tNN\tB-NP\tO' -p37608 -aS'.\t.\t.\tO\tO' -p37609 -asS'Her diet was advanced from clears to a diet as tolerated .' -p37610 -(lp37611 -S'Her\tHer\tPRP$\tB-NP\tO' -p37612 -aS'diet\tdiet\tNN\tI-NP\tO' -p37613 -aS'was\tbe\tVBD\tB-VP\tO' -p37614 -aS'advanced\tadvance\tVBN\tI-VP\tO' -p37615 -aS'from\tfrom\tIN\tB-PP\tO' -p37616 -aS'clears\tclear\tNNS\tB-NP\tO' -p37617 -aS'to\tto\tTO\tB-PP\tO' -p37618 -aS'a\ta\tDT\tB-NP\tO' -p37619 -aS'diet\tdiet\tNN\tI-NP\tO' -p37620 -aS'as\tas\tIN\tB-SBAR\tO' -p37621 -aS'tolerated\ttolerate\tVBN\tB-VP\tO' -p37622 -aS'.\t.\t.\tO\tO' -p37623 -asS'Dry mucous membranes .' -p37624 -(lp37625 -S'Dry\tDry\tJJ\tB-NP\tO' -p37626 -aS'mucous\tmucous\tJJ\tI-NP\tO' -p37627 -aS'membranes\tmembrane\tNNS\tI-NP\tO' -p37628 -aS'.\t.\t.\tO\tO' -p37629 -asS'The patient was given Vancomycin and a gram of intravenous fluids .' -p37630 -(lp37631 -S'The\tThe\tDT\tB-NP\tO' -p37632 -aS'patient\tpatient\tNN\tI-NP\tO' -p37633 -aS'was\tbe\tVBD\tB-VP\tO' -p37634 -aS'given\tgive\tVBN\tI-VP\tO' -p37635 -aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' -p37636 -aS'and\tand\tCC\tO\tO' -p37637 -aS'a\ta\tDT\tB-NP\tO' -p37638 -aS'gram\tgram\tNN\tI-NP\tO' -p37639 -aS'of\tof\tIN\tB-PP\tO' -p37640 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p37641 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p37642 -aS'.\t.\t.\tO\tO' -p37643 -asS'Pt tolerated surgery well and was transferred to CT CMED ICU .' -p37644 -(lp37645 -S'Pt\tPt\tNN\tB-NP\tO' -p37646 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p37647 -aS'surgery\tsurgery\tNN\tB-NP\tO' -p37648 -aS'well\twell\tRB\tB-ADVP\tO' -p37649 -aS'and\tand\tCC\tO\tO' -p37650 -aS'was\tbe\tVBD\tB-VP\tO' -p37651 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p37652 -aS'to\tto\tTO\tB-PP\tO' -p37653 -aS'CT\tCT\tNN\tB-NP\tB-protein' -p37654 -aS'CMED\tCMED\tNN\tI-NP\tI-protein' -p37655 -aS'ICU\tICU\tNN\tI-NP\tI-protein' -p37656 -aS'.\t.\t.\tO\tO' -p37657 -asS'Pulmonary capillary wedge pressure was markedly elevated at 38 , with a very large mitral valve gradient .' -p37658 -(lp37659 -S'Pulmonary\tPulmonary\tJJ\tB-NP\tO' -p37660 -aS'capillary\tcapillary\tJJ\tI-NP\tO' -p37661 -aS'wedge\twedge\tNN\tI-NP\tO' -p37662 -aS'pressure\tpressure\tNN\tI-NP\tO' -p37663 -aS'was\tbe\tVBD\tB-VP\tO' -p37664 -aS'markedly\tmarkedly\tRB\tI-VP\tO' -p37665 -aS'elevated\televate\tVBN\tI-VP\tO' -p37666 -aS'at\tat\tIN\tB-PP\tO' -p37667 -aS'38\t38\tCD\tB-NP\tO' -p37668 -aS',\t,\t,\tO\tO' -p37669 -aS'with\twith\tIN\tB-PP\tO' -p37670 -aS'a\ta\tDT\tB-NP\tO' -p37671 -aS'very\tvery\tRB\tI-NP\tO' -p37672 -aS'large\tlarge\tJJ\tI-NP\tO' -p37673 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p37674 -aS'valve\tvalve\tNN\tI-NP\tO' -p37675 -aS'gradient\tgradient\tNN\tI-NP\tO' -p37676 -aS'.\t.\t.\tO\tO' -p37677 -asS'He denies any recent chest pain , palpitations , headache , confusion , weakness , numbness , abd pain , or hematuria .' -p37678 -(lp37679 -S'He\tHe\tPRP\tB-NP\tO' -p37680 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p37681 -aS'any\tany\tDT\tB-NP\tO' -p37682 -aS'recent\trecent\tJJ\tI-NP\tO' -p37683 -aS'chest\tchest\tNN\tI-NP\tO' -p37684 -aS'pain\tpain\tNN\tI-NP\tO' -p37685 -aS',\t,\t,\tO\tO' -p37686 -aS'palpitations\tpalpitation\tNNS\tB-NP\tO' -p37687 -aS',\t,\t,\tO\tO' -p37688 -aS'headache\theadache\tNN\tB-NP\tO' -p37689 -aS',\t,\t,\tO\tO' -p37690 -aS'confusion\tconfusion\tNN\tB-NP\tO' -p37691 -aS',\t,\t,\tO\tO' -p37692 -aS'weakness\tweakness\tNN\tB-NP\tO' -p37693 -aS',\t,\t,\tO\tO' -p37694 -aS'numbness\tnumbness\tNN\tB-NP\tO' -p37695 -aS',\t,\t,\tO\tO' -p37696 -aS'abd\tabd\tNN\tB-NP\tO' -p37697 -aS'pain\tpain\tNN\tI-NP\tO' -p37698 -aS',\t,\t,\tO\tO' -p37699 -aS'or\tor\tCC\tO\tO' -p37700 -aS'hematuria\thematuria\tNN\tB-NP\tO' -p37701 -aS'.\t.\t.\tO\tO' -p37702 -asS'It was thought that it could have been a combination of hypotension , hypercapnia and infection .' -p37703 -(lp37704 -S'It\tIt\tPRP\tB-NP\tO' -p37705 -aS'was\tbe\tVBD\tB-VP\tO' -p37706 -aS'thought\tthink\tVBN\tI-VP\tO' -p37707 -aS'that\tthat\tIN\tB-SBAR\tO' -p37708 -aS'it\tit\tPRP\tB-NP\tO' -p37709 -aS'could\tcould\tMD\tB-VP\tO' -p37710 -aS'have\thave\tVB\tI-VP\tO' -p37711 -aS'been\tbe\tVBN\tI-VP\tO' -p37712 -aS'a\ta\tDT\tB-NP\tO' -p37713 -aS'combination\tcombination\tNN\tI-NP\tO' -p37714 -aS'of\tof\tIN\tB-PP\tO' -p37715 -aS'hypotension\thypotension\tNN\tB-NP\tO' -p37716 -aS',\t,\t,\tI-NP\tO' -p37717 -aS'hypercapnia\thypercapnia\tNN\tI-NP\tO' -p37718 -aS'and\tand\tCC\tI-NP\tO' -p37719 -aS'infection\tinfection\tNN\tI-NP\tO' -p37720 -aS'.\t.\t.\tO\tO' -p37721 -asS'3. Pulmonary emboli .' -p37722 -(lp37723 -S'3.\t3.\tLS\tB-NP\tO' -p37724 -aS'Pulmonary\tPulmonary\tNNP\tI-NP\tO' -p37725 -aS'emboli\temboli\tNNP\tI-NP\tO' -p37726 -aS'.\t.\t.\tO\tO' -p37727 -asS'The patient presented initially to Rehab Hospital of the Cape & Islands Hospital at the end of December for abdominal pain , and was found to have pancreatitis .' -p37728 -(lp37729 -S'The\tThe\tDT\tB-NP\tO' -p37730 -aS'patient\tpatient\tNN\tI-NP\tO' -p37731 -aS'presented\tpresent\tVBD\tB-VP\tO' -p37732 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p37733 -aS'to\tto\tTO\tB-VP\tO' -p37734 -aS'Rehab\tRehab\tVB\tI-VP\tO' -p37735 -aS'Hospital\tHospital\tNN\tB-NP\tO' -p37736 -aS'of\tof\tIN\tB-PP\tO' -p37737 -aS'the\tthe\tDT\tB-NP\tO' -p37738 -aS'Cape\tCape\tNNP\tI-NP\tO' -p37739 -aS'&\t&\tCC\tI-NP\tO' -p37740 -aS'Islands\tIslands\tNNP\tI-NP\tO' -p37741 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p37742 -aS'at\tat\tIN\tB-PP\tO' -p37743 -aS'the\tthe\tDT\tB-NP\tO' -p37744 -aS'end\tend\tNN\tI-NP\tO' -p37745 -aS'of\tof\tIN\tB-PP\tO' -p37746 -aS'December\tDecember\tNNP\tB-NP\tO' -p37747 -aS'for\tfor\tIN\tB-PP\tO' -p37748 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p37749 -aS'pain\tpain\tNN\tI-NP\tO' -p37750 -aS',\t,\t,\tO\tO' -p37751 -aS'and\tand\tCC\tO\tO' -p37752 -aS'was\tbe\tVBD\tB-VP\tO' -p37753 -aS'found\tfind\tVBN\tI-VP\tO' -p37754 -aS'to\tto\tTO\tI-VP\tO' -p37755 -aS'have\thave\tVB\tI-VP\tO' -p37756 -aS'pancreatitis\tpancreatitis\tNN\tB-NP\tO' -p37757 -aS'.\t.\t.\tO\tO' -p37758 -asS'Tone decreased slightly in symmetric distribution , moves all extremities equally .' -p37759 -(lp37760 -S'Tone\tTone\tNN\tB-NP\tO' -p37761 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p37762 -aS'slightly\tslightly\tRB\tB-ADVP\tO' -p37763 -aS'in\tin\tIN\tB-PP\tO' -p37764 -aS'symmetric\tsymmetric\tJJ\tB-NP\tO' -p37765 -aS'distribution\tdistribution\tNN\tI-NP\tO' -p37766 -aS',\t,\t,\tO\tO' -p37767 -aS'moves\tmove\tVBZ\tB-VP\tO' -p37768 -aS'all\tall\tDT\tB-NP\tO' -p37769 -aS'extremities\textremity\tNNS\tI-NP\tO' -p37770 -aS'equally\tequally\tRB\tB-ADVP\tO' -p37771 -aS'.\t.\t.\tO\tO' -p37772 -asS'Toes were downgoing .' -p37773 -(lp37774 -S'Toes\tToe\tNNS\tB-NP\tO' -p37775 -aS'were\tbe\tVBD\tB-VP\tO' -p37776 -aS'downgoing\tdowngoe\tVBG\tI-VP\tO' -p37777 -aS'.\t.\t.\tO\tO' -p37778 -asS'Cardiac catheterization : inferior , posterobasilar hypokinesis , 1 + MR , EF 48% , mid RCA 50% , distal RCA 40% , mid LAD 50% , OM3 diffusely diseased s/p stenting of RCA with drug eluting stent with 10% residual flow .' -p37779 -(lp37780 -S'Cardiac\tCardiac\tJJ\tB-NP\tO' -p37781 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p37782 -aS':\t:\t:\tO\tO' -p37783 -aS'inferior\tinferior\tJJ\tB-NP\tO' -p37784 -aS',\t,\t,\tI-NP\tO' -p37785 -aS'posterobasilar\tposterobasilar\tJJ\tI-NP\tO' -p37786 -aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' -p37787 -aS',\t,\t,\tO\tO' -p37788 -aS'1\t1\tCD\tB-NP\tO' -p37789 -aS'+\t+\tSYM\tI-NP\tO' -p37790 -aS'MR\tMR\tNN\tI-NP\tB-protein' -p37791 -aS',\t,\t,\tO\tO' -p37792 -aS'EF\tEF\tNN\tB-NP\tB-protein' -p37793 -aS'48%\t48%\tNN\tI-NP\tI-protein' -p37794 -aS',\t,\t,\tO\tO' -p37795 -aS'mid\tmid\tJJ\tB-ADJP\tO' -p37796 -aS'RCA\tRCA\tNNP\tB-NP\tO' -p37797 -aS'50%\t50%\tCD\tI-NP\tO' -p37798 -aS',\t,\t,\tO\tO' -p37799 -aS'distal\tdistal\tJJ\tB-NP\tB-protein' -p37800 -aS'RCA\tRCA\tNN\tI-NP\tI-protein' -p37801 -aS'40%\t40%\tNN\tI-NP\tI-protein' -p37802 -aS',\t,\t,\tO\tO' -p37803 -aS'mid\tmid\tJJ\tB-NP\tO' -p37804 -aS'LAD\tLAD\tNN\tI-NP\tO' -p37805 -aS'50%\t50%\tCD\tI-NP\tO' -p37806 -aS',\t,\t,\tO\tO' -p37807 -aS'OM3\tOM3\tNN\tB-NP\tB-protein' -p37808 -aS'diffusely\tdiffusely\tRB\tB-ADVP\tO' -p37809 -aS'diseased\tdisease\tVBD\tB-VP\tO' -p37810 -aS's/p\ts/p\tNN\tB-NP\tO' -p37811 -aS'stenting\tstenting\tNN\tI-NP\tO' -p37812 -aS'of\tof\tIN\tB-PP\tO' -p37813 -aS'RCA\tRCA\tNN\tB-NP\tB-protein' -p37814 -aS'with\twith\tIN\tB-PP\tO' -p37815 -aS'drug\tdrug\tNN\tB-NP\tO' -p37816 -aS'eluting\telute\tVBG\tB-VP\tO' -p37817 -aS'stent\tstent\tNN\tB-NP\tO' -p37818 -aS'with\twith\tIN\tB-PP\tO' -p37819 -aS'10%\t10%\tCD\tB-NP\tO' -p37820 -aS'residual\tresidual\tJJ\tI-NP\tO' -p37821 -aS'flow\tflow\tNN\tI-NP\tO' -p37822 -aS'.\t.\t.\tO\tO' -p37823 -asS'May start beta-blocker at a low dose given mild bradycardia at atenolol 50 mg p.o. q day .' -p37824 -(lp37825 -S'May\tMay\tMD\tB-VP\tO' -p37826 -aS'start\tstart\tVB\tI-VP\tO' -p37827 -aS'beta-blocker\tbeta-blocker\tNN\tB-NP\tO' -p37828 -aS'at\tat\tIN\tB-PP\tO' -p37829 -aS'a\ta\tDT\tB-NP\tO' -p37830 -aS'low\tlow\tJJ\tI-NP\tO' -p37831 -aS'dose\tdose\tNN\tI-NP\tO' -p37832 -aS'given\tgive\tVBN\tB-VP\tO' -p37833 -aS'mild\tmild\tJJ\tB-NP\tO' -p37834 -aS'bradycardia\tbradycardia\tNN\tI-NP\tO' -p37835 -aS'at\tat\tIN\tB-PP\tO' -p37836 -aS'atenolol\tatenolol\tNN\tB-NP\tO' -p37837 -aS'50\t50\tCD\tI-NP\tO' -p37838 -aS'mg\tmg\tNN\tI-NP\tO' -p37839 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p37840 -aS'q\tq\tNN\tI-NP\tO' -p37841 -aS'day\tday\tNN\tI-NP\tO' -p37842 -aS'.\t.\t.\tO\tO' -p37843 -asS'There was no obvious segmental wall-motion abnormality .' -p37844 -(lp37845 -S'There\tThere\tEX\tB-NP\tO' -p37846 -aS'was\tbe\tVBD\tB-VP\tO' -p37847 -aS'no\tno\tDT\tB-NP\tO' -p37848 -aS'obvious\tobvious\tJJ\tI-NP\tO' -p37849 -aS'segmental\tsegmental\tJJ\tI-NP\tO' -p37850 -aS'wall-motion\twall-motion\tNN\tI-NP\tO' -p37851 -aS'abnormality\tabnormality\tNN\tI-NP\tO' -p37852 -aS'.\t.\t.\tO\tO' -p37853 -asS'EKG is notable for sinus tachycardia at 100 beats per minute , normal axis .' -p37854 -(lp37855 -S'EKG\tEKG\tNN\tB-NP\tB-protein' -p37856 -aS'is\tbe\tVBZ\tB-VP\tO' -p37857 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p37858 -aS'for\tfor\tIN\tB-PP\tO' -p37859 -aS'sinus\tsinus\tNN\tB-NP\tO' -p37860 -aS'tachycardia\ttachycardia\tNN\tI-NP\tO' -p37861 -aS'at\tat\tIN\tB-PP\tO' -p37862 -aS'100\t100\tCD\tB-NP\tO' -p37863 -aS'beats\tbeat\tNNS\tI-NP\tO' -p37864 -aS'per\tper\tIN\tB-PP\tO' -p37865 -aS'minute\tminute\tNN\tB-NP\tO' -p37866 -aS',\t,\t,\tO\tO' -p37867 -aS'normal\tnormal\tJJ\tB-NP\tO' -p37868 -aS'axis\taxis\tNN\tI-NP\tO' -p37869 -aS'.\t.\t.\tO\tO' -p37870 -asS'The patient should have a follow up appointment arranged with Dr. Level .' -p37871 -(lp37872 -S'The\tThe\tDT\tB-NP\tO' -p37873 -aS'patient\tpatient\tNN\tI-NP\tO' -p37874 -aS'should\tshould\tMD\tB-VP\tO' -p37875 -aS'have\thave\tVB\tI-VP\tO' -p37876 -aS'a\ta\tDT\tB-NP\tO' -p37877 -aS'follow\tfollow\tNN\tI-NP\tO' -p37878 -aS'up\tup\tRP\tB-PRT\tO' -p37879 -aS'appointment\tappointment\tNN\tB-NP\tO' -p37880 -aS'arranged\tarrange\tVBN\tB-VP\tO' -p37881 -aS'with\twith\tIN\tB-PP\tO' -p37882 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p37883 -aS'Level\tLevel\tNNP\tI-NP\tO' -p37884 -aS'.\t.\t.\tO\tO' -p37885 -asS'Abdomen : obese , soft , mildly distended dull to percussion throughout , no tenderness , liver non-palpable due to large volume of ascited' -p37886 -(lp37887 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p37888 -aS':\t:\t:\tO\tO' -p37889 -aS'obese\tobese\tJJ\tB-NP\tO' -p37890 -aS',\t,\t,\tI-NP\tO' -p37891 -aS'soft\tsoft\tJJ\tI-NP\tO' -p37892 -aS',\t,\t,\tO\tO' -p37893 -aS'mildly\tmildly\tRB\tB-ADVP\tO' -p37894 -aS'distended\tdistend\tVBD\tB-VP\tO' -p37895 -aS'dull\tdull\tNN\tB-NP\tO' -p37896 -aS'to\tto\tTO\tB-PP\tO' -p37897 -aS'percussion\tpercussion\tNN\tB-NP\tO' -p37898 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p37899 -aS',\t,\t,\tO\tO' -p37900 -aS'no\tno\tDT\tB-NP\tO' -p37901 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p37902 -aS',\t,\t,\tO\tO' -p37903 -aS'liver\tliver\tNN\tB-NP\tO' -p37904 -aS'non-palpable\tnon-palpable\tJJ\tI-NP\tO' -p37905 -aS'due\tdue\tJJ\tB-ADVP\tO' -p37906 -aS'to\tto\tTO\tB-PP\tO' -p37907 -aS'large\tlarge\tJJ\tB-NP\tO' -p37908 -aS'volume\tvolume\tNN\tI-NP\tO' -p37909 -aS'of\tof\tIN\tB-PP\tO' -p37910 -aS'ascited\tascite\tVBN\tB-VP\tO' -p37911 -asS'Demyelinating polyradiculopathy .' -p37912 -(lp37913 -S'Demyelinating\tDemyelinate\tVBG\tB-VP\tO' -p37914 -aS'polyradiculopathy\tpolyradiculopathy\tNN\tB-NP\tO' -p37915 -aS'.\t.\t.\tO\tO' -p37916 -asS'He was fired as a Federal Express worker recently and his wife kicked the patient out of his home on 2010-08-27 .' -p37917 -(lp37918 -S'He\tHe\tPRP\tB-NP\tO' -p37919 -aS'was\tbe\tVBD\tB-VP\tO' -p37920 -aS'fired\tfire\tVBN\tI-VP\tO' -p37921 -aS'as\tas\tIN\tB-PP\tO' -p37922 -aS'a\ta\tDT\tB-NP\tO' -p37923 -aS'Federal\tFederal\tNNP\tI-NP\tO' -p37924 -aS'Express\tExpress\tNNP\tI-NP\tO' -p37925 -aS'worker\tworker\tNN\tI-NP\tO' -p37926 -aS'recently\trecently\tRB\tB-ADVP\tO' -p37927 -aS'and\tand\tCC\tO\tO' -p37928 -aS'his\this\tPRP$\tB-NP\tO' -p37929 -aS'wife\twife\tNN\tI-NP\tO' -p37930 -aS'kicked\tkick\tVBD\tB-VP\tO' -p37931 -aS'the\tthe\tDT\tB-NP\tO' -p37932 -aS'patient\tpatient\tNN\tI-NP\tO' -p37933 -aS'out\tout\tIN\tB-PP\tO' -p37934 -aS'of\tof\tIN\tB-PP\tO' -p37935 -aS'his\this\tPRP$\tB-NP\tO' -p37936 -aS'home\thome\tNN\tI-NP\tO' -p37937 -aS'on\ton\tIN\tB-PP\tO' -p37938 -aS'2010-08-27\t2010-08-27\tCD\tB-NP\tO' -p37939 -aS'.\t.\t.\tO\tO' -p37940 -asS'She self extubated the first day and was reintubated without any complications .' -p37941 -(lp37942 -S'She\tShe\tPRP\tB-NP\tO' -p37943 -aS'self\tself\tPRP\tB-NP\tO' -p37944 -aS'extubated\textubate\tVBD\tB-VP\tO' -p37945 -aS'the\tthe\tDT\tB-NP\tO' -p37946 -aS'first\tfirst\tJJ\tI-NP\tO' -p37947 -aS'day\tday\tNN\tI-NP\tO' -p37948 -aS'and\tand\tCC\tO\tO' -p37949 -aS'was\tbe\tVBD\tB-VP\tO' -p37950 -aS'reintubated\treintubate\tVBN\tI-VP\tO' -p37951 -aS'without\twithout\tIN\tB-PP\tO' -p37952 -aS'any\tany\tDT\tB-NP\tO' -p37953 -aS'complications\tcomplication\tNNS\tI-NP\tO' -p37954 -aS'.\t.\t.\tO\tO' -p37955 -asS'Initial biopsy of the allograft three days after the operation was consistent with preservation / ischemic injury .' -p37956 -(lp37957 -S'Initial\tInitial\tJJ\tB-NP\tO' -p37958 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p37959 -aS'of\tof\tIN\tB-PP\tO' -p37960 -aS'the\tthe\tDT\tB-NP\tO' -p37961 -aS'allograft\tallograft\tNN\tI-NP\tO' -p37962 -aS'three\tthree\tCD\tB-NP\tO' -p37963 -aS'days\tday\tNNS\tI-NP\tO' -p37964 -aS'after\tafter\tIN\tB-PP\tO' -p37965 -aS'the\tthe\tDT\tB-NP\tO' -p37966 -aS'operation\toperation\tNN\tI-NP\tO' -p37967 -aS'was\tbe\tVBD\tB-VP\tO' -p37968 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p37969 -aS'with\twith\tIN\tB-PP\tO' -p37970 -aS'preservation\tpreservation\tNN\tB-NP\tO' -p37971 -aS'/\t/\tSYM\tB-NP\tO' -p37972 -aS'ischemic\tischemic\tJJ\tI-NP\tO' -p37973 -aS'injury\tinjury\tNN\tI-NP\tO' -p37974 -aS'.\t.\t.\tO\tO' -p37975 -asS'There was no evidence of continued bleeding and her HCT remained stable around 30 .' -p37976 -(lp37977 -S'There\tThere\tEX\tB-NP\tO' -p37978 -aS'was\tbe\tVBD\tB-VP\tO' -p37979 -aS'no\tno\tDT\tB-NP\tO' -p37980 -aS'evidence\tevidence\tNN\tI-NP\tO' -p37981 -aS'of\tof\tIN\tB-PP\tO' -p37982 -aS'continued\tcontinued\tJJ\tB-NP\tO' -p37983 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p37984 -aS'and\tand\tCC\tO\tO' -p37985 -aS'her\ther\tPRP$\tB-NP\tO' -p37986 -aS'HCT\tHCT\tNN\tI-NP\tB-protein' -p37987 -aS'remained\tremain\tVBD\tB-VP\tI-protein' -p37988 -aS'stable\tstable\tJJ\tB-ADJP\tI-protein' -p37989 -aS'around\taround\tIN\tB-PP\tI-protein' -p37990 -aS'30\t30\tCD\tB-NP\tI-protein' -p37991 -aS'.\t.\t.\tO\tO' -p37992 -asS'Also , explained which meds are new .' -p37993 -(lp37994 -S'Also\tAlso\tRB\tB-ADVP\tO' -p37995 -aS',\t,\t,\tO\tO' -p37996 -aS'explained\texplain\tVBD\tB-VP\tO' -p37997 -aS'which\twhich\tWDT\tB-NP\tO' -p37998 -aS'meds\tmed\tNNS\tI-NP\tO' -p37999 -aS'are\tbe\tVBP\tB-VP\tO' -p38000 -aS'new\tnew\tJJ\tB-ADJP\tO' -p38001 -aS'.\t.\t.\tO\tO' -p38002 -asS'- Started lisinopril .' -p38003 -(lp38004 -S'-\t-\tHYPH\tB-NP\tO' -p38005 -aS'Started\tStarted\tJJ\tI-NP\tO' -p38006 -aS'lisinopril\tlisinopril\tNN\tI-NP\tO' -p38007 -aS'.\t.\t.\tO\tO' -p38008 -asS'The patient is to return to the ED for recurrent dizziness , chest pain , shortness of breath or weakness .' -p38009 -(lp38010 -S'The\tThe\tDT\tB-NP\tO' -p38011 -aS'patient\tpatient\tNN\tI-NP\tO' -p38012 -aS'is\tbe\tVBZ\tB-VP\tO' -p38013 -aS'to\tto\tTO\tB-VP\tO' -p38014 -aS'return\treturn\tVB\tI-VP\tO' -p38015 -aS'to\tto\tTO\tB-PP\tO' -p38016 -aS'the\tthe\tDT\tB-NP\tO' -p38017 -aS'ED\tED\tNN\tI-NP\tO' -p38018 -aS'for\tfor\tIN\tB-PP\tO' -p38019 -aS'recurrent\trecurrent\tJJ\tB-NP\tO' -p38020 -aS'dizziness\tdizziness\tNN\tI-NP\tO' -p38021 -aS',\t,\t,\tO\tO' -p38022 -aS'chest\tchest\tNN\tB-NP\tO' -p38023 -aS'pain\tpain\tNN\tI-NP\tO' -p38024 -aS',\t,\t,\tO\tO' -p38025 -aS'shortness\tshortness\tNN\tB-NP\tO' -p38026 -aS'of\tof\tIN\tB-PP\tO' -p38027 -aS'breath\tbreath\tNN\tB-NP\tO' -p38028 -aS'or\tor\tCC\tI-NP\tO' -p38029 -aS'weakness\tweakness\tNN\tI-NP\tO' -p38030 -aS'.\t.\t.\tO\tO' -p38031 -asS'A 24 hour CBC was obtained .' -p38032 -(lp38033 -S'A\tA\tDT\tB-NP\tO' -p38034 -aS'24\t24\tCD\tI-NP\tO' -p38035 -aS'hour\thour\tNN\tI-NP\tO' -p38036 -aS'CBC\tCBC\tNN\tI-NP\tO' -p38037 -aS'was\tbe\tVBD\tB-VP\tO' -p38038 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p38039 -aS'.\t.\t.\tO\tO' -p38040 -asS'She had diagnosed brain mets in 2012-03-25 right side cerebella and parietal for which she was treated with chemotherapy , radiation therapy and Decadron .' -p38041 -(lp38042 -S'She\tShe\tPRP\tB-NP\tO' -p38043 -aS'had\thave\tVBD\tB-VP\tO' -p38044 -aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' -p38045 -aS'brain\tbrain\tNN\tB-NP\tO' -p38046 -aS'mets\tmet\tNNS\tI-NP\tO' -p38047 -aS'in\tin\tIN\tB-PP\tO' -p38048 -aS'2012-03-25\t2012-03-25\tCD\tB-NP\tO' -p38049 -aS'right\tright\tJJ\tI-NP\tO' -p38050 -aS'side\tside\tNN\tI-NP\tO' -p38051 -aS'cerebella\tcerebella\tNN\tI-NP\tO' -p38052 -aS'and\tand\tCC\tI-NP\tO' -p38053 -aS'parietal\tparietal\tNN\tI-NP\tO' -p38054 -aS'for\tfor\tIN\tB-PP\tO' -p38055 -aS'which\twhich\tWDT\tB-NP\tO' -p38056 -aS'she\tshe\tPRP\tB-NP\tO' -p38057 -aS'was\tbe\tVBD\tB-VP\tO' -p38058 -aS'treated\ttreat\tVBN\tI-VP\tO' -p38059 -aS'with\twith\tIN\tB-PP\tO' -p38060 -aS'chemotherapy\tchemotherapy\tNN\tB-NP\tO' -p38061 -aS',\t,\t,\tO\tO' -p38062 -aS'radiation\tradiation\tNN\tB-NP\tO' -p38063 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p38064 -aS'and\tand\tCC\tO\tO' -p38065 -aS'Decadron\tDecadron\tNNP\tB-NP\tO' -p38066 -aS'.\t.\t.\tO\tO' -p38067 -asS'Per cardiology consult recs , discontinued digoxin and started amiodarone .' -p38068 -(lp38069 -S'Per\tPer\tNN\tB-NP\tB-cell_type' -p38070 -aS'cardiology\tcardiology\tNN\tI-NP\tI-cell_type' -p38071 -aS'consult\tconsult\tNN\tI-NP\tI-cell_type' -p38072 -aS'recs\trec\tNNS\tI-NP\tI-cell_type' -p38073 -aS',\t,\t,\tO\tO' -p38074 -aS'discontinued\tdiscontinue\tVBN\tB-NP\tO' -p38075 -aS'digoxin\tdigoxin\tNN\tI-NP\tO' -p38076 -aS'and\tand\tCC\tO\tO' -p38077 -aS'started\tstart\tVBD\tB-VP\tO' -p38078 -aS'amiodarone\tamiodarone\tNN\tB-NP\tO' -p38079 -aS'.\t.\t.\tO\tO' -p38080 -asS'Lorazepam / Penicillins / Prednisone / Hydrochlorothiazide / Ceftriaxone / Phenytoin' -p38081 -(lp38082 -S'Lorazepam\tLorazepam\tNN\tB-NP\tO' -p38083 -aS'/\t/\tSYM\tI-NP\tO' -p38084 -aS'Penicillins\tPenicillins\tNN\tI-NP\tB-protein' -p38085 -aS'/\t/\tSYM\tB-NP\tO' -p38086 -aS'Prednisone\tPrednisone\tNN\tI-NP\tO' -p38087 -aS'/\t/\tSYM\tI-NP\tO' -p38088 -aS'Hydrochlorothiazide\tHydrochlorothiazide\tNN\tI-NP\tO' -p38089 -aS'/\t/\tSYM\tB-NP\tO' -p38090 -aS'Ceftriaxone\tCeftriaxone\tNN\tI-NP\tO' -p38091 -aS'/\t/\tSYM\tO\tO' -p38092 -aS'Phenytoin\tPhenytoin\tNN\tB-NP\tO' -p38093 -asS'Abdominal CT while in the Emergency Department revealed likely primary colorectal adenocarcinoma with multiple liver metastases .' -p38094 -(lp38095 -S'Abdominal\tAbdominal\tJJ\tB-NP\tO' -p38096 -aS'CT\tCT\tNN\tI-NP\tO' -p38097 -aS'while\twhile\tIN\tB-SBAR\tO' -p38098 -aS'in\tin\tIN\tB-PP\tO' -p38099 -aS'the\tthe\tDT\tB-NP\tO' -p38100 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p38101 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p38102 -aS'revealed\treveal\tVBD\tB-VP\tO' -p38103 -aS'likely\tlikely\tRB\tB-NP\tO' -p38104 -aS'primary\tprimary\tJJ\tI-NP\tO' -p38105 -aS'colorectal\tcolorectal\tJJ\tI-NP\tO' -p38106 -aS'adenocarcinoma\tadenocarcinoma\tNN\tI-NP\tO' -p38107 -aS'with\twith\tIN\tB-PP\tO' -p38108 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p38109 -aS'liver\tliver\tNN\tI-NP\tO' -p38110 -aS'metastases\tmetastasis\tNNS\tI-NP\tO' -p38111 -aS'.\t.\t.\tO\tO' -p38112 -asS'Dictated By : Randolph Q Barber , M.D.' -p38113 -(lp38114 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p38115 -aS'By\tBy\tIN\tB-PP\tO' -p38116 -aS':\t:\t:\tO\tO' -p38117 -aS'Randolph\tRandolph\tNNP\tB-NP\tO' -p38118 -aS'Q\tQ\tNNP\tI-NP\tO' -p38119 -aS'Barber\tBarber\tNNP\tI-NP\tO' -p38120 -aS',\t,\t,\tO\tO' -p38121 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p38122 -asS'A Hickman catheter was placed and the patient was begun on chemotherapy .' -p38123 -(lp38124 -S'A\tA\tDT\tB-NP\tO' -p38125 -aS'Hickman\tHickman\tNNP\tI-NP\tO' -p38126 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p38127 -aS'was\tbe\tVBD\tB-VP\tO' -p38128 -aS'placed\tplace\tVBN\tI-VP\tO' -p38129 -aS'and\tand\tCC\tO\tO' -p38130 -aS'the\tthe\tDT\tB-NP\tO' -p38131 -aS'patient\tpatient\tNN\tI-NP\tO' -p38132 -aS'was\tbe\tVBD\tB-VP\tO' -p38133 -aS'begun\tbegin\tVBN\tI-VP\tO' -p38134 -aS'on\ton\tIN\tB-PP\tO' -p38135 -aS'chemotherapy\tchemotherapy\tNN\tB-NP\tO' -p38136 -aS'.\t.\t.\tO\tO' -p38137 -asS'right above-knee amputation five years ago , status post motor vehicle accident .' -p38138 -(lp38139 -S'right\tright\tJJ\tB-NP\tO' -p38140 -aS'above-knee\tabove-knee\tJJ\tI-NP\tO' -p38141 -aS'amputation\tamputation\tNN\tI-NP\tO' -p38142 -aS'five\tfive\tCD\tB-NP\tO' -p38143 -aS'years\tyear\tNNS\tI-NP\tO' -p38144 -aS'ago\tago\tIN\tB-ADVP\tO' -p38145 -aS',\t,\t,\tO\tO' -p38146 -aS'status\tstatus\tNN\tB-NP\tO' -p38147 -aS'post\tpost\tNN\tI-NP\tO' -p38148 -aS'motor\tmotor\tNN\tI-NP\tO' -p38149 -aS'vehicle\tvehicle\tNN\tI-NP\tO' -p38150 -aS'accident\taccident\tNN\tI-NP\tO' -p38151 -aS'.\t.\t.\tO\tO' -p38152 -asS'Psoriasis .' -p38153 -(lp38154 -S'Psoriasis\tPsoriasis\tNN\tB-NP\tO' -p38155 -aS'.\t.\t.\tO\tO' -p38156 -asS'He was extubated on 03-24 and was weaned off oxygen slowly from 03-24 to 03-26 without significant event .' -p38157 -(lp38158 -S'He\tHe\tPRP\tB-NP\tO' -p38159 -aS'was\tbe\tVBD\tB-VP\tO' -p38160 -aS'extubated\textubate\tVBN\tI-VP\tO' -p38161 -aS'on\ton\tIN\tB-PP\tO' -p38162 -aS'03-24\t03-24\tCD\tB-NP\tO' -p38163 -aS'and\tand\tCC\tO\tO' -p38164 -aS'was\tbe\tVBD\tB-VP\tO' -p38165 -aS'weaned\twean\tVBN\tI-VP\tO' -p38166 -aS'off\toff\tRP\tB-PRT\tO' -p38167 -aS'oxygen\toxygen\tNN\tB-NP\tO' -p38168 -aS'slowly\tslowly\tRB\tB-ADVP\tO' -p38169 -aS'from\tfrom\tIN\tB-PP\tO' -p38170 -aS'03-24\t03-24\tCD\tB-NP\tO' -p38171 -aS'to\tto\tTO\tB-PP\tO' -p38172 -aS'03-26\t03-26\tCD\tB-NP\tO' -p38173 -aS'without\twithout\tIN\tB-PP\tO' -p38174 -aS'significant\tsignificant\tJJ\tB-NP\tO' -p38175 -aS'event\tevent\tNN\tI-NP\tO' -p38176 -aS'.\t.\t.\tO\tO' -p38177 -asS'Review of the medical record revealed several previous admissions for cellulitis and bacteremia .' -p38178 -(lp38179 -S'Review\tReview\tNN\tB-NP\tO' -p38180 -aS'of\tof\tIN\tB-PP\tO' -p38181 -aS'the\tthe\tDT\tB-NP\tO' -p38182 -aS'medical\tmedical\tJJ\tI-NP\tO' -p38183 -aS'record\trecord\tNN\tI-NP\tO' -p38184 -aS'revealed\treveal\tVBD\tB-VP\tO' -p38185 -aS'several\tseveral\tJJ\tB-NP\tO' -p38186 -aS'previous\tprevious\tJJ\tI-NP\tO' -p38187 -aS'admissions\tadmission\tNNS\tI-NP\tO' -p38188 -aS'for\tfor\tIN\tB-PP\tO' -p38189 -aS'cellulitis\tcellulitis\tNN\tB-NP\tO' -p38190 -aS'and\tand\tCC\tI-NP\tO' -p38191 -aS'bacteremia\tbacteremia\tNN\tI-NP\tO' -p38192 -aS'.\t.\t.\tO\tO' -p38193 -asS'60 yo M with exertional angina -> positive ETT -> cath with severe 3VD' -p38194 -(lp38195 -S'60\t60\tCD\tB-NP\tO' -p38196 -aS'yo\tyo\tNN\tI-NP\tO' -p38197 -aS'M\tM\tNN\tI-NP\tO' -p38198 -aS'with\twith\tIN\tB-PP\tO' -p38199 -aS'exertional\texertional\tJJ\tB-NP\tO' -p38200 -aS'angina\tangina\tNN\tI-NP\tO' -p38201 -aS'->\t->\tSYM\tB-NP\tO' -p38202 -aS'positive\tpositive\tJJ\tI-NP\tO' -p38203 -aS'ETT\tETT\tNN\tI-NP\tO' -p38204 -aS'->\t->\tSYM\tB-NP\tO' -p38205 -aS'cath\tcath\tNN\tI-NP\tO' -p38206 -aS'with\twith\tIN\tB-PP\tO' -p38207 -aS'severe\tsevere\tJJ\tB-NP\tO' -p38208 -aS'3VD\t3VD\tNN\tI-NP\tO' -p38209 -asS'Dictated By : Cristobal C. Reid , M.D.' -p38210 -(lp38211 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p38212 -aS'By\tBy\tIN\tB-PP\tO' -p38213 -aS':\t:\t:\tO\tO' -p38214 -aS'Cristobal\tCristobal\tNNP\tB-NP\tO' -p38215 -aS'C.\tC.\tNNP\tI-NP\tO' -p38216 -aS'Reid\tReid\tNNP\tI-NP\tO' -p38217 -aS',\t,\t,\tO\tO' -p38218 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p38219 -asS'Blood pressure 140/100 , phosphorus 94 , weight 181 lb .' -p38220 -(lp38221 -S'Blood\tBlood\tNN\tB-NP\tO' -p38222 -aS'pressure\tpressure\tNN\tI-NP\tO' -p38223 -aS'140/100\t140/100\tCD\tI-NP\tO' -p38224 -aS',\t,\t,\tO\tO' -p38225 -aS'phosphorus\tphosphorus\tNN\tB-NP\tO' -p38226 -aS'94\t94\tCD\tI-NP\tO' -p38227 -aS',\t,\t,\tO\tO' -p38228 -aS'weight\tweight\tNN\tB-NP\tO' -p38229 -aS'181\t181\tCD\tI-NP\tO' -p38230 -aS'lb\tlb\tNN\tI-NP\tO' -p38231 -aS'.\t.\t.\tO\tO' -p38232 -asS'Continue to be non-weight bearing on your left leg' -p38233 -(lp38234 -S'Continue\tContinue\tNNP\tB-NP\tO' -p38235 -aS'to\tto\tTO\tB-VP\tO' -p38236 -aS'be\tbe\tVB\tI-VP\tO' -p38237 -aS'non-weight\tnon-weight\tJJ\tB-NP\tO' -p38238 -aS'bearing\tbearing\tNN\tI-NP\tO' -p38239 -aS'on\ton\tIN\tB-PP\tO' -p38240 -aS'your\tyour\tPRP$\tB-NP\tO' -p38241 -aS'left\tleft\tJJ\tI-NP\tO' -p38242 -aS'leg\tleg\tNN\tI-NP\tO' -p38243 -asS'A swan was placed for a more accurate picture of his volume status and he was volume overloaded by swan numbers with an elevated PAD and elevated CVP without an obtainable wedge pressure .' -p38244 -(lp38245 -S'A\tA\tDT\tB-NP\tO' -p38246 -aS'swan\tswan\tNN\tI-NP\tO' -p38247 -aS'was\tbe\tVBD\tB-VP\tO' -p38248 -aS'placed\tplace\tVBN\tI-VP\tO' -p38249 -aS'for\tfor\tIN\tB-PP\tO' -p38250 -aS'a\ta\tDT\tB-NP\tO' -p38251 -aS'more\tmore\tRBR\tI-NP\tO' -p38252 -aS'accurate\taccurate\tJJ\tI-NP\tO' -p38253 -aS'picture\tpicture\tNN\tI-NP\tO' -p38254 -aS'of\tof\tIN\tB-PP\tO' -p38255 -aS'his\this\tPRP$\tB-NP\tO' -p38256 -aS'volume\tvolume\tNN\tI-NP\tO' -p38257 -aS'status\tstatus\tNN\tI-NP\tO' -p38258 -aS'and\tand\tCC\tO\tO' -p38259 -aS'he\the\tPRP\tB-NP\tO' -p38260 -aS'was\tbe\tVBD\tB-VP\tO' -p38261 -aS'volume\tvolume\tNN\tB-NP\tO' -p38262 -aS'overloaded\toverload\tVBN\tB-VP\tO' -p38263 -aS'by\tby\tIN\tB-PP\tO' -p38264 -aS'swan\tswan\tNN\tB-NP\tO' -p38265 -aS'numbers\tnumber\tNNS\tI-NP\tO' -p38266 -aS'with\twith\tIN\tB-PP\tO' -p38267 -aS'an\tan\tDT\tB-NP\tO' -p38268 -aS'elevated\televate\tVBN\tI-NP\tO' -p38269 -aS'PAD\tPAD\tNN\tI-NP\tO' -p38270 -aS'and\tand\tCC\tI-NP\tO' -p38271 -aS'elevated\televated\tJJ\tI-NP\tO' -p38272 -aS'CVP\tCVP\tNN\tI-NP\tO' -p38273 -aS'without\twithout\tIN\tB-PP\tO' -p38274 -aS'an\tan\tDT\tB-NP\tO' -p38275 -aS'obtainable\tobtainable\tJJ\tI-NP\tO' -p38276 -aS'wedge\twedge\tNN\tI-NP\tO' -p38277 -aS'pressure\tpressure\tNN\tI-NP\tO' -p38278 -aS'.\t.\t.\tO\tO' -p38279 -asS"The patient is a 49-year-old gravida III , para II , who was sent from her primary care physician 's office secondary to lower abdominal pain ." -p38280 -(lp38281 -S'The\tThe\tDT\tB-NP\tO' -p38282 -aS'patient\tpatient\tNN\tI-NP\tO' -p38283 -aS'is\tbe\tVBZ\tB-VP\tO' -p38284 -aS'a\ta\tDT\tB-NP\tO' -p38285 -aS'49-year-old\t49-year-old\tJJ\tI-NP\tO' -p38286 -aS'gravida\tgravida\tNN\tI-NP\tO' -p38287 -aS'III\tIII\tCD\tI-NP\tO' -p38288 -aS',\t,\t,\tO\tO' -p38289 -aS'para\tpara\tNN\tB-NP\tO' -p38290 -aS'II\tII\tCD\tI-NP\tO' -p38291 -aS',\t,\t,\tO\tO' -p38292 -aS'who\twho\tWP\tB-NP\tO' -p38293 -aS'was\tbe\tVBD\tB-VP\tO' -p38294 -aS'sent\tsend\tVBN\tI-VP\tO' -p38295 -aS'from\tfrom\tIN\tB-PP\tO' -p38296 -aS'her\ther\tPRP$\tB-NP\tO' -p38297 -aS'primary\tprimary\tJJ\tI-NP\tO' -p38298 -aS'care\tcare\tNN\tI-NP\tO' -p38299 -aS'physician\tphysician\tNN\tI-NP\tO' -p38300 -aS"'s\t's\tPOS\tB-NP\tO" -p38301 -aS'office\toffice\tNN\tI-NP\tO' -p38302 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p38303 -aS'to\tto\tTO\tB-PP\tO' -p38304 -aS'lower\tlow\tJJR\tB-NP\tO' -p38305 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p38306 -aS'pain\tpain\tNN\tI-NP\tO' -p38307 -aS'.\t.\t.\tO\tO' -p38308 -asS'61-120 mg / dL 0 Units' -p38309 -(lp38310 -S'61-120\t61-120\tCD\tB-NP\tO' -p38311 -aS'mg\tmg\tNN\tI-NP\tO' -p38312 -aS'/\t/\tSYM\tB-NP\tO' -p38313 -aS'dL\tdL\tNN\tI-NP\tO' -p38314 -aS'0\t0\tCD\tB-NP\tO' -p38315 -aS'Units\tUnit\tNNS\tI-NP\tO' -p38316 -asS'1. Coronary artery disease , status post coronary artery bypass grafting times 4 with LIMA to the LAD , saphenous vein graft to OM1 , saphenous vein graft to OM2 and saphenous vein graft to the diagonal .' -p38317 -(lp38318 -S'1.\t1.\tLS\tB-NP\tO' -p38319 -aS'Coronary\tCoronary\tJJ\tI-NP\tO' -p38320 -aS'artery\tartery\tNN\tI-NP\tO' -p38321 -aS'disease\tdisease\tNN\tI-NP\tO' -p38322 -aS',\t,\t,\tO\tO' -p38323 -aS'status\tstatus\tNN\tB-NP\tB-protein' -p38324 -aS'post\tpost\tNN\tI-NP\tI-protein' -p38325 -aS'coronary\tcoronary\tJJ\tI-NP\tI-protein' -p38326 -aS'artery\tartery\tNN\tI-NP\tI-protein' -p38327 -aS'bypass\tbypass\tIN\tB-PP\tI-protein' -p38328 -aS'grafting\tgraft\tVBG\tB-VP\tI-protein' -p38329 -aS'times\ttime\tNNS\tB-NP\tI-protein' -p38330 -aS'4\t4\tCD\tB-NP\tI-protein' -p38331 -aS'with\twith\tIN\tB-PP\tO' -p38332 -aS'LIMA\tLIMA\tNN\tB-NP\tB-protein' -p38333 -aS'to\tto\tTO\tB-PP\tO' -p38334 -aS'the\tthe\tDT\tB-NP\tO' -p38335 -aS'LAD\tLAD\tNN\tI-NP\tO' -p38336 -aS',\t,\t,\tO\tO' -p38337 -aS'saphenous\tsaphenous\tJJ\tB-NP\tO' -p38338 -aS'vein\tvein\tNN\tI-NP\tO' -p38339 -aS'graft\tgraft\tNN\tI-NP\tO' -p38340 -aS'to\tto\tTO\tB-PP\tO' -p38341 -aS'OM1\tOM1\tNN\tB-NP\tB-protein' -p38342 -aS',\t,\t,\tO\tO' -p38343 -aS'saphenous\tsaphenous\tJJ\tB-NP\tO' -p38344 -aS'vein\tvein\tNN\tI-NP\tO' -p38345 -aS'graft\tgraft\tNN\tI-NP\tO' -p38346 -aS'to\tto\tTO\tB-PP\tO' -p38347 -aS'OM2\tOM2\tNN\tB-NP\tB-protein' -p38348 -aS'and\tand\tCC\tO\tO' -p38349 -aS'saphenous\tsaphenous\tJJ\tB-NP\tO' -p38350 -aS'vein\tvein\tNN\tI-NP\tO' -p38351 -aS'graft\tgraft\tNN\tI-NP\tO' -p38352 -aS'to\tto\tTO\tB-PP\tO' -p38353 -aS'the\tthe\tDT\tB-NP\tO' -p38354 -aS'diagonal\tdiagonal\tNN\tI-NP\tO' -p38355 -aS'.\t.\t.\tO\tO' -p38356 -asS'The patient had decreased vibratory sense in the distal lower extremities , worse on the left side .' -p38357 -(lp38358 -S'The\tThe\tDT\tB-NP\tO' -p38359 -aS'patient\tpatient\tNN\tI-NP\tO' -p38360 -aS'had\thave\tVBD\tB-VP\tO' -p38361 -aS'decreased\tdecrease\tVBN\tI-VP\tO' -p38362 -aS'vibratory\tvibratory\tJJ\tB-NP\tO' -p38363 -aS'sense\tsense\tNN\tI-NP\tO' -p38364 -aS'in\tin\tIN\tB-PP\tO' -p38365 -aS'the\tthe\tDT\tB-NP\tO' -p38366 -aS'distal\tdistal\tJJ\tI-NP\tO' -p38367 -aS'lower\tlow\tJJR\tI-NP\tO' -p38368 -aS'extremities\textremity\tNNS\tI-NP\tO' -p38369 -aS',\t,\t,\tO\tO' -p38370 -aS'worse\tworse\tJJR\tB-ADJP\tO' -p38371 -aS'on\ton\tIN\tB-PP\tO' -p38372 -aS'the\tthe\tDT\tB-NP\tO' -p38373 -aS'left\tleft\tJJ\tI-NP\tO' -p38374 -aS'side\tside\tNN\tI-NP\tO' -p38375 -aS'.\t.\t.\tO\tO' -p38376 -asS'7. Atrovent nebulizers q6h as needed .' -p38377 -(lp38378 -S'7.\t7.\tLS\tB-NP\tO' -p38379 -aS'Atrovent\tAtrovent\tNN\tI-NP\tO' -p38380 -aS'nebulizers\tnebulizer\tNNS\tI-NP\tO' -p38381 -aS'q6h\tq6h\tNN\tI-NP\tO' -p38382 -aS'as\tas\tIN\tB-SBAR\tO' -p38383 -aS'needed\tneed\tVBN\tB-VP\tO' -p38384 -aS'.\t.\t.\tO\tO' -p38385 -asS'3/6 systolic ejection murmur throughout his precordium .' -p38386 -(lp38387 -S'3/6\t3/6\tCD\tB-NP\tO' -p38388 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p38389 -aS'ejection\tejection\tNN\tI-NP\tO' -p38390 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p38391 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p38392 -aS'his\this\tPRP$\tB-NP\tO' -p38393 -aS'precordium\tprecordium\tNN\tI-NP\tO' -p38394 -aS'.\t.\t.\tO\tO' -p38395 -asS'7. History of salivary gland removal .' -p38396 -(lp38397 -S'7.\t7.\tLS\tB-NP\tO' -p38398 -aS'History\tHistory\tNN\tI-NP\tO' -p38399 -aS'of\tof\tIN\tB-PP\tO' -p38400 -aS'salivary\tsalivary\tJJ\tB-NP\tO' -p38401 -aS'gland\tgland\tNN\tI-NP\tO' -p38402 -aS'removal\tremoval\tNN\tI-NP\tO' -p38403 -aS'.\t.\t.\tO\tO' -p38404 -asS'The patient was treated with intravenous fluids , Kefzol , gentamicin , Vancomycin , and he was transferred to Gaanvantsir .' -p38405 -(lp38406 -S'The\tThe\tDT\tB-NP\tO' -p38407 -aS'patient\tpatient\tNN\tI-NP\tO' -p38408 -aS'was\tbe\tVBD\tB-VP\tO' -p38409 -aS'treated\ttreat\tVBN\tI-VP\tO' -p38410 -aS'with\twith\tIN\tB-PP\tO' -p38411 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p38412 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p38413 -aS',\t,\t,\tO\tO' -p38414 -aS'Kefzol\tKefzol\tNN\tB-NP\tO' -p38415 -aS',\t,\t,\tO\tO' -p38416 -aS'gentamicin\tgentamicin\tNN\tB-NP\tO' -p38417 -aS',\t,\t,\tO\tO' -p38418 -aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' -p38419 -aS',\t,\t,\tO\tO' -p38420 -aS'and\tand\tCC\tO\tO' -p38421 -aS'he\the\tPRP\tB-NP\tO' -p38422 -aS'was\tbe\tVBD\tB-VP\tO' -p38423 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p38424 -aS'to\tto\tTO\tB-PP\tO' -p38425 -aS'Gaanvantsir\tGaanvantsir\tNNP\tB-NP\tO' -p38426 -aS'.\t.\t.\tO\tO' -p38427 -asS'INFERIOR VENA CAVA OBSTRUCTION .' -p38428 -(lp38429 -S'INFERIOR\tINFERIOR\tNN\tB-NP\tO' -p38430 -aS'VENA\tVENA\tNN\tI-NP\tO' -p38431 -aS'CAVA\tCAVA\tNN\tI-NP\tO' -p38432 -aS'OBSTRUCTION\tOBSTRUCTION\tNN\tI-NP\tO' -p38433 -aS'.\t.\t.\tO\tO' -p38434 -asS'3. Phenytoin 50 mg Tablet , Chewable Sig : Three ( 3 ) Tablet , Chewable PO QPM ( once a day ( in the evening )).' -p38435 -(lp38436 -S'3.\t3.\tLS\tB-NP\tO' -p38437 -aS'Phenytoin\tPhenytoin\tNN\tI-NP\tO' -p38438 -aS'50\t50\tCD\tB-NP\tO' -p38439 -aS'mg\tmg\tNN\tI-NP\tO' -p38440 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p38441 -aS',\t,\t,\tO\tO' -p38442 -aS'Chewable\tChewable\tNNP\tB-NP\tO' -p38443 -aS'Sig\tSig\tNNP\tI-NP\tO' -p38444 -aS':\t:\t:\tO\tO' -p38445 -aS'Three\tThree\tCD\tB-NP\tO' -p38446 -aS'(\t(\t(\tO\tO' -p38447 -aS'3\t3\tCD\tB-NP\tO' -p38448 -aS')\t)\t)\tO\tO' -p38449 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p38450 -aS',\t,\t,\tO\tO' -p38451 -aS'Chewable\tChewable\tNNP\tB-NP\tO' -p38452 -aS'PO\tPO\tNNP\tI-NP\tO' -p38453 -aS'QPM\tQPM\tNNP\tI-NP\tO' -p38454 -aS'(\t(\t(\tO\tO' -p38455 -aS'once\tonce\tRB\tO\tO' -p38456 -aS'a\ta\tDT\tB-NP\tO' -p38457 -aS'day\tday\tNN\tI-NP\tO' -p38458 -aS'(\t(\t(\tO\tO' -p38459 -aS'in\tin\tIN\tB-PP\tO' -p38460 -aS'the\tthe\tDT\tB-NP\tO' -p38461 -aS'evening\tevening\tNN\tI-NP\tO' -p38462 -aS')).\t)).\t.\tO\tO' -p38463 -asS'Patient was restarted on her iron supplementation .' -p38464 -(lp38465 -S'Patient\tPatient\tNN\tB-NP\tO' -p38466 -aS'was\tbe\tVBD\tB-VP\tO' -p38467 -aS'restarted\trestart\tVBN\tI-VP\tO' -p38468 -aS'on\ton\tIN\tB-PP\tO' -p38469 -aS'her\ther\tPRP$\tB-NP\tO' -p38470 -aS'iron\tiron\tNN\tI-NP\tO' -p38471 -aS'supplementation\tsupplementation\tNN\tI-NP\tO' -p38472 -aS'.\t.\t.\tO\tO' -p38473 -asS'3. Esoph Varices ( Grade I )' -p38474 -(lp38475 -S'3.\t3.\tLS\tB-NP\tO' -p38476 -aS'Esoph\tEsoph\tNN\tI-NP\tO' -p38477 -aS'Varices\tVarix\tNNS\tI-NP\tO' -p38478 -aS'(\t(\t(\tO\tO' -p38479 -aS'Grade\tGrade\tNN\tB-NP\tO' -p38480 -aS'I\tI\tCD\tI-NP\tO' -p38481 -aS')\t)\t)\tO\tO' -p38482 -asS'There was a small liver laceration seen on the A/P pelvis .' -p38483 -(lp38484 -S'There\tThere\tEX\tB-NP\tO' -p38485 -aS'was\tbe\tVBD\tB-VP\tO' -p38486 -aS'a\ta\tDT\tB-NP\tO' -p38487 -aS'small\tsmall\tJJ\tI-NP\tO' -p38488 -aS'liver\tliver\tNN\tI-NP\tO' -p38489 -aS'laceration\tlaceration\tNN\tI-NP\tO' -p38490 -aS'seen\tsee\tVBN\tB-VP\tO' -p38491 -aS'on\ton\tIN\tB-PP\tO' -p38492 -aS'the\tthe\tDT\tB-NP\tO' -p38493 -aS'A/P\tA/P\tNN\tI-NP\tO' -p38494 -aS'pelvis\tpelvis\tNN\tI-NP\tO' -p38495 -aS'.\t.\t.\tO\tO' -p38496 -asS'9. Zinc Sulfate 220 mg Capsule Sig : One ( 1 ) Capsule PO DAILY ( Daily ) .' -p38497 -(lp38498 -S'9.\t9.\tLS\tB-NP\tO' -p38499 -aS'Zinc\tZinc\tNNP\tI-NP\tO' -p38500 -aS'Sulfate\tSulfate\tNNP\tI-NP\tO' -p38501 -aS'220\t220\tCD\tI-NP\tO' -p38502 -aS'mg\tmg\tNN\tI-NP\tO' -p38503 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p38504 -aS'Sig\tSig\tNNP\tI-NP\tO' -p38505 -aS':\t:\t:\tO\tO' -p38506 -aS'One\tOne\tCD\tB-NP\tO' -p38507 -aS'(\t(\t(\tO\tO' -p38508 -aS'1\t1\tCD\tB-NP\tO' -p38509 -aS')\t)\t)\tO\tO' -p38510 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p38511 -aS'PO\tPO\tNNP\tI-NP\tO' -p38512 -aS'DAILY\tDAILY\tNNP\tI-NP\tO' -p38513 -aS'(\t(\t(\tO\tO' -p38514 -aS'Daily\tDaily\tNNP\tB-NP\tO' -p38515 -aS')\t)\t)\tO\tO' -p38516 -aS'.\t.\t.\tO\tO' -p38517 -asS'He has 2 daughters .' -p38518 -(lp38519 -S'He\tHe\tPRP\tB-NP\tO' -p38520 -aS'has\thave\tVBZ\tB-VP\tO' -p38521 -aS'2\t2\tCD\tB-NP\tO' -p38522 -aS'daughters\tdaughter\tNNS\tI-NP\tO' -p38523 -aS'.\t.\t.\tO\tO' -p38524 -asS'After much discussion with the patient , the patient was informed of the risks of not finishing a 14 day course of intravenous antibiotics and chose to go home .' -p38525 -(lp38526 -S'After\tAfter\tIN\tB-PP\tO' -p38527 -aS'much\tmuch\tJJ\tB-NP\tO' -p38528 -aS'discussion\tdiscussion\tNN\tI-NP\tO' -p38529 -aS'with\twith\tIN\tB-PP\tO' -p38530 -aS'the\tthe\tDT\tB-NP\tO' -p38531 -aS'patient\tpatient\tNN\tI-NP\tO' -p38532 -aS',\t,\t,\tO\tO' -p38533 -aS'the\tthe\tDT\tB-NP\tO' -p38534 -aS'patient\tpatient\tNN\tI-NP\tO' -p38535 -aS'was\tbe\tVBD\tB-VP\tO' -p38536 -aS'informed\tinform\tVBN\tI-VP\tO' -p38537 -aS'of\tof\tIN\tB-PP\tO' -p38538 -aS'the\tthe\tDT\tB-NP\tO' -p38539 -aS'risks\trisk\tNNS\tI-NP\tO' -p38540 -aS'of\tof\tIN\tB-PP\tO' -p38541 -aS'not\tnot\tRB\tB-VP\tO' -p38542 -aS'finishing\tfinish\tVBG\tI-VP\tO' -p38543 -aS'a\ta\tDT\tB-NP\tO' -p38544 -aS'14\t14\tCD\tI-NP\tO' -p38545 -aS'day\tday\tNN\tI-NP\tO' -p38546 -aS'course\tcourse\tNN\tI-NP\tO' -p38547 -aS'of\tof\tIN\tB-PP\tO' -p38548 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p38549 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p38550 -aS'and\tand\tCC\tO\tO' -p38551 -aS'chose\tchoose\tVBD\tB-VP\tO' -p38552 -aS'to\tto\tTO\tI-VP\tO' -p38553 -aS'go\tgo\tVB\tI-VP\tO' -p38554 -aS'home\thome\tNN\tB-NP\tO' -p38555 -aS'.\t.\t.\tO\tO' -p38556 -asS'Given his high right-sided filling pressure , he was started on Lasix for diuresis and his Captopril was increased for greater afterload reduction .' -p38557 -(lp38558 -S'Given\tGive\tVBN\tB-VP\tO' -p38559 -aS'his\this\tPRP$\tB-NP\tO' -p38560 -aS'high\thigh\tJJ\tI-NP\tO' -p38561 -aS'right-sided\tright-sided\tJJ\tI-NP\tO' -p38562 -aS'filling\tfilling\tNN\tI-NP\tO' -p38563 -aS'pressure\tpressure\tNN\tI-NP\tO' -p38564 -aS',\t,\t,\tO\tO' -p38565 -aS'he\the\tPRP\tB-NP\tO' -p38566 -aS'was\tbe\tVBD\tB-VP\tO' -p38567 -aS'started\tstart\tVBN\tI-VP\tO' -p38568 -aS'on\ton\tIN\tB-PP\tO' -p38569 -aS'Lasix\tLasix\tNN\tB-NP\tO' -p38570 -aS'for\tfor\tIN\tB-PP\tO' -p38571 -aS'diuresis\tdiuresis\tNN\tB-NP\tO' -p38572 -aS'and\tand\tCC\tO\tO' -p38573 -aS'his\this\tPRP$\tB-NP\tO' -p38574 -aS'Captopril\tCaptopril\tNNP\tI-NP\tO' -p38575 -aS'was\tbe\tVBD\tB-VP\tO' -p38576 -aS'increased\tincrease\tVBN\tI-VP\tO' -p38577 -aS'for\tfor\tIN\tB-PP\tO' -p38578 -aS'greater\tgreat\tJJR\tB-NP\tO' -p38579 -aS'afterload\tafterload\tJJ\tI-NP\tO' -p38580 -aS'reduction\treduction\tNN\tI-NP\tO' -p38581 -aS'.\t.\t.\tO\tO' -p38582 -asS'Details of the procedure can be found in the operative dictation .' -p38583 -(lp38584 -S'Details\tDetail\tNNS\tB-NP\tO' -p38585 -aS'of\tof\tIN\tB-PP\tO' -p38586 -aS'the\tthe\tDT\tB-NP\tO' -p38587 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p38588 -aS'can\tcan\tMD\tB-VP\tO' -p38589 -aS'be\tbe\tVB\tI-VP\tO' -p38590 -aS'found\tfind\tVBN\tI-VP\tO' -p38591 -aS'in\tin\tIN\tB-PP\tO' -p38592 -aS'the\tthe\tDT\tB-NP\tO' -p38593 -aS'operative\toperative\tJJ\tI-NP\tO' -p38594 -aS'dictation\tdictation\tNN\tI-NP\tO' -p38595 -aS'.\t.\t.\tO\tO' -p38596 -asS'7. Aggrenox twice a day , the dose was not known .' -p38597 -(lp38598 -S'7.\t7.\tLS\tB-NP\tO' -p38599 -aS'Aggrenox\tAggrenox\tNN\tI-NP\tO' -p38600 -aS'twice\ttwice\tRB\tB-NP\tO' -p38601 -aS'a\ta\tDT\tI-NP\tO' -p38602 -aS'day\tday\tNN\tI-NP\tO' -p38603 -aS',\t,\t,\tO\tO' -p38604 -aS'the\tthe\tDT\tB-NP\tO' -p38605 -aS'dose\tdose\tNN\tI-NP\tO' -p38606 -aS'was\tbe\tVBD\tB-VP\tO' -p38607 -aS'not\tnot\tRB\tI-VP\tO' -p38608 -aS'known\tknow\tVBN\tI-VP\tO' -p38609 -aS'.\t.\t.\tO\tO' -p38610 -asS'Pt is a 78 yo male with h/o A fib , s/p multiple CVA s, CHF , HTN , DM2 admitted to Mediplex Rehab Hospital Robert on 02-01 with abdominal pain and n/v since that morning .' -p38611 -(lp38612 -S'Pt\tPt\tNN\tB-NP\tO' -p38613 -aS'is\tbe\tVBZ\tB-VP\tO' -p38614 -aS'a\ta\tDT\tB-NP\tO' -p38615 -aS'78\t78\tCD\tI-NP\tO' -p38616 -aS'yo\tyo\tNN\tI-NP\tO' -p38617 -aS'male\tmale\tJJ\tB-ADJP\tO' -p38618 -aS'with\twith\tIN\tB-PP\tO' -p38619 -aS'h/o\th/o\tNN\tB-NP\tO' -p38620 -aS'A\tA\tNN\tI-NP\tO' -p38621 -aS'fib\tfib\tNN\tI-NP\tO' -p38622 -aS',\t,\t,\tO\tO' -p38623 -aS's/p\ts/p\tNN\tB-NP\tO' -p38624 -aS'multiple\tmultiple\tJJ\tI-NP\tO' -p38625 -aS'CVA\tCVA\tNN\tI-NP\tO' -p38626 -aS's,\ts,\tNN\tI-NP\tO' -p38627 -aS'CHF\tCHF\tNN\tI-NP\tO' -p38628 -aS',\t,\t,\tO\tO' -p38629 -aS'HTN\tHTN\tNN\tB-NP\tB-protein' -p38630 -aS',\t,\t,\tO\tO' -p38631 -aS'DM2\tDM2\tNN\tB-NP\tB-protein' -p38632 -aS'admitted\tadmit\tVBN\tB-VP\tO' -p38633 -aS'to\tto\tTO\tB-PP\tO' -p38634 -aS'Mediplex\tMediplex\tNNP\tB-NP\tO' -p38635 -aS'Rehab\tRehab\tNNP\tI-NP\tO' -p38636 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p38637 -aS'Robert\tRobert\tNNP\tI-NP\tO' -p38638 -aS'on\ton\tIN\tB-PP\tO' -p38639 -aS'02-01\t02-01\tCD\tB-NP\tO' -p38640 -aS'with\twith\tIN\tB-PP\tO' -p38641 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p38642 -aS'pain\tpain\tNN\tI-NP\tO' -p38643 -aS'and\tand\tCC\tI-NP\tO' -p38644 -aS'n/v\tn/v\tNN\tI-NP\tO' -p38645 -aS'since\tsince\tIN\tB-PP\tO' -p38646 -aS'that\tthat\tDT\tB-NP\tO' -p38647 -aS'morning\tmorning\tNN\tI-NP\tO' -p38648 -aS'.\t.\t.\tO\tO' -p38649 -asS'continued .' -p38650 -(lp38651 -S'continued\tcontinue\tVBN\tB-VP\tO' -p38652 -aS'.\t.\t.\tO\tO' -p38653 -asS'Alcohol ; he has no recent use .' -p38654 -(lp38655 -S'Alcohol\tAlcohol\tNN\tB-NP\tO' -p38656 -aS';\t;\t:\tO\tO' -p38657 -aS'he\the\tPRP\tB-NP\tO' -p38658 -aS'has\thave\tVBZ\tB-VP\tO' -p38659 -aS'no\tno\tDT\tB-NP\tO' -p38660 -aS'recent\trecent\tJJ\tI-NP\tO' -p38661 -aS'use\tuse\tNN\tI-NP\tO' -p38662 -aS'.\t.\t.\tO\tO' -p38663 -asS'8. Albuterol ipratropium two puffs four times a day .' -p38664 -(lp38665 -S'8.\t8.\tCD\tB-NP\tO' -p38666 -aS'Albuterol\tAlbuterol\tNNP\tI-NP\tO' -p38667 -aS'ipratropium\tipratropium\tNN\tI-NP\tO' -p38668 -aS'two\ttwo\tCD\tB-NP\tO' -p38669 -aS'puffs\tpuff\tNNS\tI-NP\tO' -p38670 -aS'four\tfour\tCD\tB-NP\tO' -p38671 -aS'times\ttime\tNNS\tI-NP\tO' -p38672 -aS'a\ta\tDT\tB-NP\tO' -p38673 -aS'day\tday\tNN\tI-NP\tO' -p38674 -aS'.\t.\t.\tO\tO' -p38675 -asS'Temperature 101.4 , blood pressure 101/62 , pulse 80 , respiratory rate 19 on a ventilator with settings of assist control at 500/12 and a PEEP of 5 .' -p38676 -(lp38677 -S'Temperature\tTemperature\tNN\tB-NP\tB-protein' -p38678 -aS'101.4\t101.4\tCD\tI-NP\tI-protein' -p38679 -aS',\t,\t,\tO\tO' -p38680 -aS'blood\tblood\tNN\tB-NP\tO' -p38681 -aS'pressure\tpressure\tNN\tI-NP\tO' -p38682 -aS'101/62\t101/62\tCD\tI-NP\tO' -p38683 -aS',\t,\t,\tO\tO' -p38684 -aS'pulse\tpulse\tNN\tB-NP\tO' -p38685 -aS'80\t80\tCD\tI-NP\tO' -p38686 -aS',\t,\t,\tO\tO' -p38687 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p38688 -aS'rate\trate\tNN\tI-NP\tO' -p38689 -aS'19\t19\tCD\tI-NP\tO' -p38690 -aS'on\ton\tIN\tB-PP\tO' -p38691 -aS'a\ta\tDT\tB-NP\tO' -p38692 -aS'ventilator\tventilator\tNN\tI-NP\tO' -p38693 -aS'with\twith\tIN\tB-PP\tO' -p38694 -aS'settings\tsetting\tNNS\tB-NP\tO' -p38695 -aS'of\tof\tIN\tB-PP\tO' -p38696 -aS'assist\tassist\tNN\tB-NP\tO' -p38697 -aS'control\tcontrol\tNN\tI-NP\tO' -p38698 -aS'at\tat\tIN\tB-PP\tO' -p38699 -aS'500/12\t500/12\tCD\tB-NP\tO' -p38700 -aS'and\tand\tCC\tO\tO' -p38701 -aS'a\ta\tDT\tB-NP\tO' -p38702 -aS'PEEP\tPEEP\tNN\tI-NP\tB-protein' -p38703 -aS'of\tof\tIN\tB-PP\tO' -p38704 -aS'5\t5\tCD\tB-NP\tO' -p38705 -aS'.\t.\t.\tO\tO' -p38706 -asS'In the Emergency Department he received aspirin , nitroglycerin drip , heparin drip , Dilaudid , and TNK with decreased in his pain but without resolution of symptoms .' -p38707 -(lp38708 -S'In\tIn\tIN\tB-PP\tO' -p38709 -aS'the\tthe\tDT\tB-NP\tO' -p38710 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p38711 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p38712 -aS'he\the\tPRP\tB-NP\tO' -p38713 -aS'received\treceive\tVBD\tB-VP\tO' -p38714 -aS'aspirin\taspirin\tNN\tB-NP\tO' -p38715 -aS',\t,\t,\tO\tO' -p38716 -aS'nitroglycerin\tnitroglycerin\tNN\tB-NP\tB-protein' -p38717 -aS'drip\tdrip\tNN\tI-NP\tI-protein' -p38718 -aS',\t,\t,\tO\tO' -p38719 -aS'heparin\theparin\tNN\tB-NP\tO' -p38720 -aS'drip\tdrip\tNN\tI-NP\tO' -p38721 -aS',\t,\t,\tO\tO' -p38722 -aS'Dilaudid\tDilaudid\tNN\tB-NP\tO' -p38723 -aS',\t,\t,\tO\tO' -p38724 -aS'and\tand\tCC\tO\tO' -p38725 -aS'TNK\tTNK\tNN\tB-NP\tB-protein' -p38726 -aS'with\twith\tIN\tB-PP\tO' -p38727 -aS'decreased\tdecrease\tVBN\tB-VP\tO' -p38728 -aS'in\tin\tIN\tB-PP\tO' -p38729 -aS'his\this\tPRP$\tB-NP\tO' -p38730 -aS'pain\tpain\tNN\tI-NP\tO' -p38731 -aS'but\tbut\tCC\tB-PP\tO' -p38732 -aS'without\twithout\tIN\tB-PP\tO' -p38733 -aS'resolution\tresolution\tNN\tB-NP\tO' -p38734 -aS'of\tof\tIN\tB-PP\tO' -p38735 -aS'symptoms\tsymptom\tNNS\tB-NP\tO' -p38736 -aS'.\t.\t.\tO\tO' -p38737 -asS'Transferred to Hallmark Health System 03-22 .' -p38738 -(lp38739 -S'Transferred\tTransfer\tVBN\tB-VP\tO' -p38740 -aS'to\tto\tTO\tB-PP\tO' -p38741 -aS'Hallmark\tHallmark\tNNP\tB-NP\tO' -p38742 -aS'Health\tHealth\tNNP\tI-NP\tO' -p38743 -aS'System\tSystem\tNNP\tI-NP\tO' -p38744 -aS'03-22\t03-22\tCD\tI-NP\tO' -p38745 -aS'.\t.\t.\tO\tO' -p38746 -asS"Pt 's vitals on admission wer significant for T 104 , SBP 100 s, HR in the 120 s." -p38747 -(lp38748 -S'Pt\tPt\tNNP\tB-NP\tO' -p38749 -aS"'s\t's\tPOS\tB-NP\tO" -p38750 -aS'vitals\tvital\tNNS\tI-NP\tO' -p38751 -aS'on\ton\tIN\tB-PP\tO' -p38752 -aS'admission\tadmission\tNN\tB-NP\tO' -p38753 -aS'wer\twer\tNN\tI-NP\tO' -p38754 -aS'significant\tsignificant\tJJ\tB-ADJP\tO' -p38755 -aS'for\tfor\tIN\tB-PP\tO' -p38756 -aS'T\tT\tNN\tB-NP\tB-protein' -p38757 -aS'104\t104\tCD\tI-NP\tI-protein' -p38758 -aS',\t,\t,\tO\tO' -p38759 -aS'SBP\tSBP\tNN\tB-NP\tO' -p38760 -aS'100\t100\tCD\tI-NP\tO' -p38761 -aS's,\ts,\tNN\tI-NP\tO' -p38762 -aS'HR\tHR\tNN\tI-NP\tO' -p38763 -aS'in\tin\tIN\tB-PP\tO' -p38764 -aS'the\tthe\tDT\tB-NP\tO' -p38765 -aS'120\t120\tCD\tI-NP\tO' -p38766 -aS's.\ts.\tNNS\tI-NP\tO' -p38767 -asS'During that period of time he received nebulizer treatments with Albuterol .' -p38768 -(lp38769 -S'During\tDuring\tIN\tB-PP\tO' -p38770 -aS'that\tthat\tDT\tB-NP\tO' -p38771 -aS'period\tperiod\tNN\tI-NP\tO' -p38772 -aS'of\tof\tIN\tB-PP\tO' -p38773 -aS'time\ttime\tNN\tB-NP\tO' -p38774 -aS'he\the\tPRP\tB-NP\tO' -p38775 -aS'received\treceive\tVBD\tB-VP\tO' -p38776 -aS'nebulizer\tnebulizer\tNN\tB-NP\tO' -p38777 -aS'treatments\ttreatment\tNNS\tI-NP\tO' -p38778 -aS'with\twith\tIN\tB-PP\tO' -p38779 -aS'Albuterol\tAlbuterol\tNN\tB-NP\tO' -p38780 -aS'.\t.\t.\tO\tO' -p38781 -asS'Neck and lungs are unremarkable .' -p38782 -(lp38783 -S'Neck\tNeck\tNN\tB-NP\tO' -p38784 -aS'and\tand\tCC\tI-NP\tO' -p38785 -aS'lungs\tlung\tNNS\tI-NP\tO' -p38786 -aS'are\tbe\tVBP\tB-VP\tO' -p38787 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p38788 -aS'.\t.\t.\tO\tO' -p38789 -asS'Dictated By : Judy Y Carnevale , M.D.' -p38790 -(lp38791 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p38792 -aS'By\tBy\tIN\tB-PP\tO' -p38793 -aS':\t:\t:\tO\tO' -p38794 -aS'Judy\tJudy\tNNP\tB-NP\tO' -p38795 -aS'Y\tY\tNNP\tI-NP\tO' -p38796 -aS'Carnevale\tCarnevale\tNNP\tI-NP\tO' -p38797 -aS',\t,\t,\tO\tO' -p38798 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p38799 -asS'NO FLATUS X 1 DAY .' -p38800 -(lp38801 -S'NO\tNO\tNN\tB-NP\tO' -p38802 -aS'FLATUS\tFLATUS\tNN\tI-NP\tO' -p38803 -aS'X\tX\tSYM\tB-NP\tO' -p38804 -aS'1\t1\tCD\tI-NP\tO' -p38805 -aS'DAY\tDAY\tNN\tI-NP\tO' -p38806 -aS'.\t.\t.\tO\tO' -p38807 -asS'White blood cell count 3.2 , hematocrit 26.6 , platelets 130 , chemistry is 131 , potassium 3.0 , chloride 105 , bicarb 17 , BUN 10 , creatinine 0.5 , glucose 105 .' -p38808 -(lp38809 -S'White\tWhite\tJJ\tB-NP\tO' -p38810 -aS'blood\tblood\tNN\tI-NP\tO' -p38811 -aS'cell\tcell\tNN\tI-NP\tO' -p38812 -aS'count\tcount\tNN\tI-NP\tO' -p38813 -aS'3.2\t3.2\tCD\tB-NP\tO' -p38814 -aS',\t,\t,\tO\tO' -p38815 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p38816 -aS'26.6\t26.6\tCD\tI-NP\tI-protein' -p38817 -aS',\t,\t,\tO\tO' -p38818 -aS'platelets\tplatelet\tNNS\tB-NP\tB-protein' -p38819 -aS'130\t130\tCD\tB-NP\tI-protein' -p38820 -aS',\t,\t,\tO\tO' -p38821 -aS'chemistry\tchemistry\tNN\tB-NP\tO' -p38822 -aS'is\tbe\tVBZ\tB-VP\tO' -p38823 -aS'131\t131\tCD\tB-NP\tO' -p38824 -aS',\t,\t,\tO\tO' -p38825 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p38826 -aS'3.0\t3.0\tCD\tI-NP\tO' -p38827 -aS',\t,\t,\tO\tO' -p38828 -aS'chloride\tchloride\tNN\tB-NP\tO' -p38829 -aS'105\t105\tCD\tI-NP\tO' -p38830 -aS',\t,\t,\tO\tO' -p38831 -aS'bicarb\tbicarb\tNN\tB-NP\tO' -p38832 -aS'17\t17\tCD\tI-NP\tO' -p38833 -aS',\t,\t,\tO\tO' -p38834 -aS'BUN\tBUN\tNN\tB-NP\tB-DNA' -p38835 -aS'10\t10\tCD\tI-NP\tI-DNA' -p38836 -aS',\t,\t,\tO\tO' -p38837 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p38838 -aS'0.5\t0.5\tCD\tI-NP\tO' -p38839 -aS',\t,\t,\tO\tO' -p38840 -aS'glucose\tglucose\tNN\tB-NP\tO' -p38841 -aS'105\t105\tCD\tI-NP\tO' -p38842 -aS'.\t.\t.\tO\tO' -p38843 -asS'At the time of presentation , temperature 100.8 , heart rate 89 , blood pressure 106 systolic , respiratory rate 18 , oxygen saturation 97 percent in room air .' -p38844 -(lp38845 -S'At\tAt\tIN\tB-PP\tO' -p38846 -aS'the\tthe\tDT\tB-NP\tO' -p38847 -aS'time\ttime\tNN\tI-NP\tO' -p38848 -aS'of\tof\tIN\tB-PP\tO' -p38849 -aS'presentation\tpresentation\tNN\tB-NP\tO' -p38850 -aS',\t,\t,\tO\tO' -p38851 -aS'temperature\ttemperature\tNN\tB-NP\tB-protein' -p38852 -aS'100.8\t100.8\tCD\tI-NP\tI-protein' -p38853 -aS',\t,\t,\tO\tO' -p38854 -aS'heart\theart\tNN\tB-NP\tO' -p38855 -aS'rate\trate\tNN\tI-NP\tO' -p38856 -aS'89\t89\tCD\tI-NP\tO' -p38857 -aS',\t,\t,\tO\tO' -p38858 -aS'blood\tblood\tNN\tB-NP\tO' -p38859 -aS'pressure\tpressure\tNN\tI-NP\tO' -p38860 -aS'106\t106\tCD\tI-NP\tO' -p38861 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p38862 -aS',\t,\t,\tI-NP\tO' -p38863 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p38864 -aS'rate\trate\tNN\tI-NP\tO' -p38865 -aS'18\t18\tCD\tI-NP\tO' -p38866 -aS',\t,\t,\tO\tO' -p38867 -aS'oxygen\toxygen\tNN\tB-NP\tO' -p38868 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p38869 -aS'97\t97\tCD\tI-NP\tO' -p38870 -aS'percent\tpercent\tNN\tI-NP\tO' -p38871 -aS'in\tin\tIN\tB-PP\tO' -p38872 -aS'room\troom\tNN\tB-NP\tO' -p38873 -aS'air\tair\tNN\tI-NP\tO' -p38874 -aS'.\t.\t.\tO\tO' -p38875 -asS'The infant has had no antibiotics since that time .' -p38876 -(lp38877 -S'The\tThe\tDT\tB-NP\tO' -p38878 -aS'infant\tinfant\tNN\tI-NP\tO' -p38879 -aS'has\thave\tVBZ\tB-VP\tO' -p38880 -aS'had\thave\tVBN\tI-VP\tO' -p38881 -aS'no\tno\tDT\tB-NP\tO' -p38882 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p38883 -aS'since\tsince\tIN\tB-PP\tO' -p38884 -aS'that\tthat\tDT\tB-NP\tO' -p38885 -aS'time\ttime\tNN\tI-NP\tO' -p38886 -aS'.\t.\t.\tO\tO' -p38887 -asS'That evening she was unresponsive and the patient was brought to Amesbury Hospital Hospital .' -p38888 -(lp38889 -S'That\tThat\tDT\tB-NP\tO' -p38890 -aS'evening\tevening\tNN\tI-NP\tO' -p38891 -aS'she\tshe\tPRP\tB-NP\tO' -p38892 -aS'was\tbe\tVBD\tB-VP\tO' -p38893 -aS'unresponsive\tunresponsive\tJJ\tB-ADJP\tO' -p38894 -aS'and\tand\tCC\tO\tO' -p38895 -aS'the\tthe\tDT\tB-NP\tO' -p38896 -aS'patient\tpatient\tNN\tI-NP\tO' -p38897 -aS'was\tbe\tVBD\tB-VP\tO' -p38898 -aS'brought\tbring\tVBN\tI-VP\tO' -p38899 -aS'to\tto\tTO\tB-PP\tO' -p38900 -aS'Amesbury\tAmesbury\tNNP\tB-NP\tO' -p38901 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p38902 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p38903 -aS'.\t.\t.\tO\tO' -p38904 -asS'An upper gastrointestinal was unremarkable .' -p38905 -(lp38906 -S'An\tAn\tDT\tB-NP\tO' -p38907 -aS'upper\tupper\tJJ\tI-NP\tO' -p38908 -aS'gastrointestinal\tgastrointestinal\tNN\tI-NP\tO' -p38909 -aS'was\tbe\tVBD\tB-VP\tO' -p38910 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p38911 -aS'.\t.\t.\tO\tO' -p38912 -asS'Significant for normal head , eyes , ears , nose , throat exam with no scleral icterus .' -p38913 -(lp38914 -S'Significant\tSignificant\tJJ\tB-ADJP\tO' -p38915 -aS'for\tfor\tIN\tB-PP\tO' -p38916 -aS'normal\tnormal\tJJ\tB-NP\tO' -p38917 -aS'head\thead\tNN\tI-NP\tO' -p38918 -aS',\t,\t,\tO\tO' -p38919 -aS'eyes\teye\tNNS\tB-NP\tO' -p38920 -aS',\t,\t,\tO\tO' -p38921 -aS'ears\tear\tNNS\tB-NP\tO' -p38922 -aS',\t,\t,\tO\tO' -p38923 -aS'nose\tnose\tNN\tB-NP\tO' -p38924 -aS',\t,\t,\tO\tO' -p38925 -aS'throat\tthroat\tDT\tB-NP\tO' -p38926 -aS'exam\texam\tNN\tI-NP\tO' -p38927 -aS'with\twith\tIN\tB-PP\tO' -p38928 -aS'no\tno\tDT\tB-NP\tO' -p38929 -aS'scleral\tscleral\tJJ\tI-NP\tO' -p38930 -aS'icterus\ticterus\tNN\tI-NP\tO' -p38931 -aS'.\t.\t.\tO\tO' -p38932 -asS'In ED HR 70 , BP 130/80 , O2sat 96% .' -p38933 -(lp38934 -S'In\tIn\tIN\tB-PP\tO' -p38935 -aS'ED\tED\tNN\tB-NP\tB-cell_line' -p38936 -aS'HR\tHR\tNN\tI-NP\tI-cell_line' -p38937 -aS'70\t70\tCD\tI-NP\tI-cell_line' -p38938 -aS',\t,\t,\tO\tO' -p38939 -aS'BP\tBP\tNN\tB-NP\tB-DNA' -p38940 -aS'130/80\t130/80\tCD\tI-NP\tI-DNA' -p38941 -aS',\t,\t,\tO\tO' -p38942 -aS'O2sat\tO2sat\tNN\tB-NP\tO' -p38943 -aS'96%\t96%\tCD\tI-NP\tO' -p38944 -aS'.\t.\t.\tO\tO' -p38945 -asS'History of SVT .' -p38946 -(lp38947 -S'History\tHistory\tNN\tB-NP\tO' -p38948 -aS'of\tof\tIN\tB-PP\tO' -p38949 -aS'SVT\tSVT\tNN\tB-NP\tB-protein' -p38950 -aS'.\t.\t.\tO\tO' -p38951 -asS'His cultures came back as noted with Klebsiella ultimately in his chest wound , MRSA in his sputum .' -p38952 -(lp38953 -S'His\tHis\tPRP$\tB-NP\tB-cell_line' -p38954 -aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' -p38955 -aS'came\tcome\tVBD\tB-VP\tO' -p38956 -aS'back\tback\tRB\tB-ADVP\tO' -p38957 -aS'as\tas\tIN\tB-SBAR\tO' -p38958 -aS'noted\tnote\tVBN\tB-VP\tO' -p38959 -aS'with\twith\tIN\tB-PP\tO' -p38960 -aS'Klebsiella\tKlebsiella\tNN\tB-NP\tO' -p38961 -aS'ultimately\tultimately\tRB\tB-ADVP\tO' -p38962 -aS'in\tin\tIN\tB-PP\tO' -p38963 -aS'his\this\tPRP$\tB-NP\tO' -p38964 -aS'chest\tchest\tNN\tI-NP\tO' -p38965 -aS'wound\twound\tNN\tI-NP\tO' -p38966 -aS',\t,\t,\tO\tO' -p38967 -aS'MRSA\tMRSA\tNN\tB-NP\tO' -p38968 -aS'in\tin\tIN\tB-PP\tO' -p38969 -aS'his\this\tPRP$\tB-NP\tO' -p38970 -aS'sputum\tsputum\tNN\tI-NP\tO' -p38971 -aS'.\t.\t.\tO\tO' -p38972 -asS'Graphesthesia was poor in both hands .' -p38973 -(lp38974 -S'Graphesthesia\tGraphesthesia\tNNP\tB-NP\tO' -p38975 -aS'was\tbe\tVBD\tB-VP\tO' -p38976 -aS'poor\tpoor\tJJ\tB-ADJP\tO' -p38977 -aS'in\tin\tIN\tB-PP\tO' -p38978 -aS'both\tboth\tDT\tB-NP\tO' -p38979 -aS'hands\thand\tNNS\tI-NP\tO' -p38980 -aS'.\t.\t.\tO\tO' -p38981 -asS'10. Epogen 5000 units two times weekly , on Monday and Thursday .' -p38982 -(lp38983 -S'10.\t10.\tLS\tB-NP\tO' -p38984 -aS'Epogen\tEpogen\tNN\tI-NP\tO' -p38985 -aS'5000\t5000\tCD\tB-NP\tO' -p38986 -aS'units\tunit\tNNS\tI-NP\tO' -p38987 -aS'two\ttwo\tCD\tB-NP\tO' -p38988 -aS'times\ttime\tNNS\tI-NP\tO' -p38989 -aS'weekly\tweekly\tRB\tB-ADVP\tO' -p38990 -aS',\t,\t,\tO\tO' -p38991 -aS'on\ton\tIN\tB-PP\tO' -p38992 -aS'Monday\tMonday\tNNP\tB-NP\tO' -p38993 -aS'and\tand\tCC\tO\tO' -p38994 -aS'Thursday\tThursday\tNNP\tB-NP\tO' -p38995 -aS'.\t.\t.\tO\tO' -p38996 -asS'Although her upper respiratory tract infection seemed to be resolving , her weakness persisted .' -p38997 -(lp38998 -S'Although\tAlthough\tIN\tB-SBAR\tO' -p38999 -aS'her\ther\tPRP$\tB-NP\tO' -p39000 -aS'upper\tupper\tJJ\tI-NP\tO' -p39001 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p39002 -aS'tract\ttract\tNN\tI-NP\tO' -p39003 -aS'infection\tinfection\tNN\tI-NP\tO' -p39004 -aS'seemed\tseem\tVBD\tB-VP\tO' -p39005 -aS'to\tto\tTO\tI-VP\tO' -p39006 -aS'be\tbe\tVB\tI-VP\tO' -p39007 -aS'resolving\tresolve\tVBG\tI-VP\tO' -p39008 -aS',\t,\t,\tO\tO' -p39009 -aS'her\ther\tPRP$\tB-NP\tO' -p39010 -aS'weakness\tweakness\tNN\tI-NP\tO' -p39011 -aS'persisted\tpersist\tVBD\tB-VP\tO' -p39012 -aS'.\t.\t.\tO\tO' -p39013 -asS'3. The patient also had a Gastrointestinal Clinic follow-up on 2011-03-28 .' -p39014 -(lp39015 -S'3.\t3.\tLS\tB-LST\tO' -p39016 -aS'The\tThe\tDT\tB-NP\tO' -p39017 -aS'patient\tpatient\tNN\tI-NP\tO' -p39018 -aS'also\talso\tRB\tB-ADVP\tO' -p39019 -aS'had\thave\tVBD\tB-VP\tO' -p39020 -aS'a\ta\tDT\tB-NP\tO' -p39021 -aS'Gastrointestinal\tGastrointestinal\tNNP\tI-NP\tO' -p39022 -aS'Clinic\tClinic\tNNP\tI-NP\tO' -p39023 -aS'follow-up\tfollow-up\tNN\tI-NP\tO' -p39024 -aS'on\ton\tIN\tB-PP\tO' -p39025 -aS'2011-03-28\t2011-03-28\tCD\tB-NP\tO' -p39026 -aS'.\t.\t.\tO\tO' -p39027 -asS'He has been receiving radiation therapy to that area during the hospital stay .' -p39028 -(lp39029 -S'He\tHe\tPRP\tB-NP\tO' -p39030 -aS'has\thave\tVBZ\tB-VP\tO' -p39031 -aS'been\tbe\tVBN\tI-VP\tO' -p39032 -aS'receiving\treceive\tVBG\tI-VP\tO' -p39033 -aS'radiation\tradiation\tNN\tB-NP\tO' -p39034 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p39035 -aS'to\tto\tTO\tB-PP\tO' -p39036 -aS'that\tthat\tDT\tB-NP\tO' -p39037 -aS'area\tarea\tNN\tI-NP\tO' -p39038 -aS'during\tduring\tIN\tB-PP\tO' -p39039 -aS'the\tthe\tDT\tB-NP\tO' -p39040 -aS'hospital\thospital\tNN\tI-NP\tO' -p39041 -aS'stay\tstay\tNN\tI-NP\tO' -p39042 -aS'.\t.\t.\tO\tO' -p39043 -asS'Signed electronically by : DR. Ruth Gibson on : MON 2011-07-18 7:48 AM' -p39044 -(lp39045 -S'Signed\tSign\tVBN\tB-VP\tO' -p39046 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p39047 -aS'by\tby\tIN\tB-PP\tO' -p39048 -aS':\t:\t:\tO\tO' -p39049 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p39050 -aS'Ruth\tRuth\tNNP\tI-NP\tO' -p39051 -aS'Gibson\tGibson\tNNP\tI-NP\tO' -p39052 -aS'on\ton\tIN\tB-PP\tO' -p39053 -aS':\t:\t:\tO\tO' -p39054 -aS'MON\tMON\tNN\tB-NP\tO' -p39055 -aS'2011-07-18\t2011-07-18\tCD\tI-NP\tO' -p39056 -aS'7:48\t7:48\tCD\tI-NP\tO' -p39057 -aS'AM\tAM\tNN\tI-NP\tO' -p39058 -asS'Premature infant born at 34 weeks .' -p39059 -(lp39060 -S'Premature\tPremature\tJJ\tB-NP\tO' -p39061 -aS'infant\tinfant\tNN\tI-NP\tO' -p39062 -aS'born\tbear\tVBN\tB-VP\tO' -p39063 -aS'at\tat\tIN\tB-PP\tO' -p39064 -aS'34\t34\tCD\tB-NP\tO' -p39065 -aS'weeks\tweek\tNNS\tI-NP\tO' -p39066 -aS'.\t.\t.\tO\tO' -p39067 -asS'The patient is an 80 female with a history of diastolic function and heart failure , hypertension and rheumatoid arthritis who presents from an outside hospital with presyncope .' -p39068 -(lp39069 -S'The\tThe\tDT\tB-NP\tO' -p39070 -aS'patient\tpatient\tNN\tI-NP\tO' -p39071 -aS'is\tbe\tVBZ\tB-VP\tO' -p39072 -aS'an\tan\tDT\tB-NP\tO' -p39073 -aS'80\t80\tCD\tI-NP\tO' -p39074 -aS'female\tfemale\tNN\tI-NP\tO' -p39075 -aS'with\twith\tIN\tB-PP\tO' -p39076 -aS'a\ta\tDT\tB-NP\tO' -p39077 -aS'history\thistory\tNN\tI-NP\tO' -p39078 -aS'of\tof\tIN\tB-PP\tO' -p39079 -aS'diastolic\tdiastolic\tJJ\tB-NP\tO' -p39080 -aS'function\tfunction\tNN\tI-NP\tO' -p39081 -aS'and\tand\tCC\tI-NP\tO' -p39082 -aS'heart\theart\tNN\tI-NP\tO' -p39083 -aS'failure\tfailure\tNN\tI-NP\tO' -p39084 -aS',\t,\t,\tO\tO' -p39085 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p39086 -aS'and\tand\tCC\tO\tO' -p39087 -aS'rheumatoid\trheumatoid\tJJ\tB-NP\tO' -p39088 -aS'arthritis\tarthritis\tNN\tI-NP\tO' -p39089 -aS'who\twho\tWP\tB-NP\tO' -p39090 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p39091 -aS'from\tfrom\tIN\tB-PP\tO' -p39092 -aS'an\tan\tDT\tB-NP\tO' -p39093 -aS'outside\toutside\tJJ\tI-NP\tO' -p39094 -aS'hospital\thospital\tNN\tI-NP\tO' -p39095 -aS'with\twith\tIN\tB-PP\tO' -p39096 -aS'presyncope\tpresyncope\tNN\tB-NP\tO' -p39097 -aS'.\t.\t.\tO\tO' -p39098 -asS'Medically eval not high risk surgery , preop beta blocker given .' -p39099 -(lp39100 -S'Medically\tMedically\tRB\tB-ADJP\tO' -p39101 -aS'eval\teval\tJJ\tI-ADJP\tO' -p39102 -aS'not\tnot\tRB\tB-NP\tO' -p39103 -aS'high\thigh\tJJ\tI-NP\tO' -p39104 -aS'risk\trisk\tNN\tI-NP\tO' -p39105 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p39106 -aS',\t,\t,\tO\tO' -p39107 -aS'preop\tpreop\tNN\tB-NP\tO' -p39108 -aS'beta\tbeta\tSYM\tB-NP\tO' -p39109 -aS'blocker\tblocker\tNN\tI-NP\tO' -p39110 -aS'given\tgive\tVBN\tB-VP\tO' -p39111 -aS'.\t.\t.\tO\tO' -p39112 -asS'The patient was then transferred back to the Cardiac Surgical Intensive Care Unit in stable condition .' -p39113 -(lp39114 -S'The\tThe\tDT\tB-NP\tO' -p39115 -aS'patient\tpatient\tNN\tI-NP\tO' -p39116 -aS'was\tbe\tVBD\tB-VP\tO' -p39117 -aS'then\tthen\tRB\tI-VP\tO' -p39118 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p39119 -aS'back\tback\tRB\tB-ADVP\tO' -p39120 -aS'to\tto\tTO\tB-PP\tO' -p39121 -aS'the\tthe\tDT\tB-NP\tO' -p39122 -aS'Cardiac\tCardiac\tNNP\tI-NP\tO' -p39123 -aS'Surgical\tSurgical\tNNP\tI-NP\tO' -p39124 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p39125 -aS'Care\tCare\tNNP\tI-NP\tO' -p39126 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p39127 -aS'in\tin\tIN\tB-PP\tO' -p39128 -aS'stable\tstable\tJJ\tB-NP\tO' -p39129 -aS'condition\tcondition\tNN\tI-NP\tO' -p39130 -aS'.\t.\t.\tO\tO' -p39131 -asS'After a short Medical Intensive Care Unit course where she remained hemodynamically stable , she was transferred to the floor .' -p39132 -(lp39133 -S'After\tAfter\tIN\tB-PP\tO' -p39134 -aS'a\ta\tDT\tB-NP\tO' -p39135 -aS'short\tshort\tJJ\tI-NP\tO' -p39136 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p39137 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p39138 -aS'Care\tCare\tNNP\tI-NP\tO' -p39139 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p39140 -aS'course\tcourse\tNN\tI-NP\tO' -p39141 -aS'where\twhere\tWRB\tB-ADVP\tO' -p39142 -aS'she\tshe\tPRP\tB-NP\tO' -p39143 -aS'remained\tremain\tVBD\tB-VP\tO' -p39144 -aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' -p39145 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p39146 -aS',\t,\t,\tO\tO' -p39147 -aS'she\tshe\tPRP\tB-NP\tO' -p39148 -aS'was\tbe\tVBD\tB-VP\tO' -p39149 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p39150 -aS'to\tto\tTO\tB-PP\tO' -p39151 -aS'the\tthe\tDT\tB-NP\tO' -p39152 -aS'floor\tfloor\tNN\tI-NP\tO' -p39153 -aS'.\t.\t.\tO\tO' -p39154 -asS'No nausea , vomiting , or diarrhea .' -p39155 -(lp39156 -S'No\tNo\tDT\tB-NP\tO' -p39157 -aS'nausea\tnausea\tNN\tI-NP\tO' -p39158 -aS',\t,\t,\tO\tO' -p39159 -aS'vomiting\tvomiting\tNN\tB-NP\tO' -p39160 -aS',\t,\t,\tO\tO' -p39161 -aS'or\tor\tCC\tO\tO' -p39162 -aS'diarrhea\tdiarrhea\tNN\tB-NP\tO' -p39163 -aS'.\t.\t.\tO\tO' -p39164 -asS'Of note , the patient also has a history of incontinence .' -p39165 -(lp39166 -S'Of\tOf\tIN\tB-PP\tO' -p39167 -aS'note\tnote\tNN\tB-NP\tO' -p39168 -aS',\t,\t,\tO\tO' -p39169 -aS'the\tthe\tDT\tB-NP\tO' -p39170 -aS'patient\tpatient\tNN\tI-NP\tO' -p39171 -aS'also\talso\tRB\tB-ADVP\tO' -p39172 -aS'has\thave\tVBZ\tB-VP\tO' -p39173 -aS'a\ta\tDT\tB-NP\tO' -p39174 -aS'history\thistory\tNN\tI-NP\tO' -p39175 -aS'of\tof\tIN\tB-PP\tO' -p39176 -aS'incontinence\tincontinence\tNN\tB-NP\tO' -p39177 -aS'.\t.\t.\tO\tO' -p39178 -asS'Examination showed that the patient was noted to be alert and oriented times three , short term memory was deficient , patient remembered zero out of three things to remember at one minute , speech was noted to be fluent , and cranial nerves II-XII were intact .' -p39179 -(lp39180 -S'Examination\tExamination\tNN\tB-NP\tO' -p39181 -aS'showed\tshow\tVBD\tB-VP\tO' -p39182 -aS'that\tthat\tIN\tB-SBAR\tO' -p39183 -aS'the\tthe\tDT\tB-NP\tO' -p39184 -aS'patient\tpatient\tNN\tI-NP\tO' -p39185 -aS'was\tbe\tVBD\tB-VP\tO' -p39186 -aS'noted\tnote\tVBN\tI-VP\tO' -p39187 -aS'to\tto\tTO\tI-VP\tO' -p39188 -aS'be\tbe\tVB\tI-VP\tO' -p39189 -aS'alert\talert\tJJ\tB-ADJP\tO' -p39190 -aS'and\tand\tCC\tO\tO' -p39191 -aS'oriented\torient\tVBN\tB-VP\tO' -p39192 -aS'times\ttime\tNNS\tB-NP\tO' -p39193 -aS'three\tthree\tCD\tB-NP\tO' -p39194 -aS',\t,\t,\tI-NP\tO' -p39195 -aS'short\tshort\tJJ\tI-NP\tO' -p39196 -aS'term\tterm\tNN\tI-NP\tO' -p39197 -aS'memory\tmemory\tNN\tI-NP\tO' -p39198 -aS'was\tbe\tVBD\tB-VP\tO' -p39199 -aS'deficient\tdeficient\tJJ\tB-ADJP\tO' -p39200 -aS',\t,\t,\tO\tO' -p39201 -aS'patient\tpatient\tNN\tB-NP\tO' -p39202 -aS'remembered\tremember\tVBD\tB-VP\tO' -p39203 -aS'zero\tzero\tCD\tB-NP\tO' -p39204 -aS'out\tout\tIN\tB-PP\tO' -p39205 -aS'of\tof\tIN\tB-PP\tO' -p39206 -aS'three\tthree\tCD\tB-NP\tO' -p39207 -aS'things\tthing\tNNS\tI-NP\tO' -p39208 -aS'to\tto\tTO\tB-VP\tO' -p39209 -aS'remember\tremember\tVB\tI-VP\tO' -p39210 -aS'at\tat\tIN\tB-PP\tO' -p39211 -aS'one\tone\tCD\tB-NP\tO' -p39212 -aS'minute\tminute\tNN\tI-NP\tO' -p39213 -aS',\t,\t,\tO\tO' -p39214 -aS'speech\tspeech\tNN\tB-NP\tO' -p39215 -aS'was\tbe\tVBD\tB-VP\tO' -p39216 -aS'noted\tnote\tVBN\tI-VP\tO' -p39217 -aS'to\tto\tTO\tI-VP\tO' -p39218 -aS'be\tbe\tVB\tI-VP\tO' -p39219 -aS'fluent\tfluent\tJJ\tB-ADJP\tO' -p39220 -aS',\t,\t,\tO\tO' -p39221 -aS'and\tand\tCC\tO\tO' -p39222 -aS'cranial\tcranial\tJJ\tB-NP\tB-protein' -p39223 -aS'nerves\tnerve\tNNS\tI-NP\tI-protein' -p39224 -aS'II-XII\tII-XII\tNN\tI-NP\tI-protein' -p39225 -aS'were\tbe\tVBD\tB-VP\tO' -p39226 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p39227 -aS'.\t.\t.\tO\tO' -p39228 -asS'Her fingersticks decreased with the insulin drip and the intravenous fluids .' -p39229 -(lp39230 -S'Her\tHer\tPRP$\tB-NP\tO' -p39231 -aS'fingersticks\tfingerstick\tNNS\tI-NP\tO' -p39232 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p39233 -aS'with\twith\tIN\tB-PP\tO' -p39234 -aS'the\tthe\tDT\tB-NP\tO' -p39235 -aS'insulin\tinsulin\tNN\tI-NP\tO' -p39236 -aS'drip\tdrip\tNN\tI-NP\tO' -p39237 -aS'and\tand\tCC\tO\tO' -p39238 -aS'the\tthe\tDT\tB-NP\tO' -p39239 -aS'intravenous\tintravenous\tJJ\tI-NP\tO' -p39240 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p39241 -aS'.\t.\t.\tO\tO' -p39242 -asS'Cardiovascular regular rate and rhythm without murmur .' -p39243 -(lp39244 -S'Cardiovascular\tCardiovascular\tJJ\tB-NP\tO' -p39245 -aS'regular\tregular\tJJ\tI-NP\tO' -p39246 -aS'rate\trate\tNN\tI-NP\tO' -p39247 -aS'and\tand\tCC\tI-NP\tO' -p39248 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p39249 -aS'without\twithout\tIN\tB-PP\tO' -p39250 -aS'murmur\tmurmur\tNN\tB-NP\tO' -p39251 -aS'.\t.\t.\tO\tO' -p39252 -asS'The transaortic gradient is normal for this prosthesis .' -p39253 -(lp39254 -S'The\tThe\tDT\tB-NP\tO' -p39255 -aS'transaortic\ttransaortic\tJJ\tI-NP\tO' -p39256 -aS'gradient\tgradient\tNN\tI-NP\tO' -p39257 -aS'is\tbe\tVBZ\tB-VP\tO' -p39258 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p39259 -aS'for\tfor\tIN\tB-PP\tO' -p39260 -aS'this\tthis\tDT\tB-NP\tO' -p39261 -aS'prosthesis\tprosthesis\tNN\tI-NP\tO' -p39262 -aS'.\t.\t.\tO\tO' -p39263 -asS'His graft is granulating in .' -p39264 -(lp39265 -S'His\tHis\tPRP$\tB-NP\tO' -p39266 -aS'graft\tgraft\tNN\tI-NP\tO' -p39267 -aS'is\tbe\tVBZ\tB-VP\tO' -p39268 -aS'granulating\tgranulate\tVBG\tI-VP\tO' -p39269 -aS'in\tin\tRP\tB-PRT\tO' -p39270 -aS'.\t.\t.\tO\tO' -p39271 -asS'2. Atorvastatin 40 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' -p39272 -(lp39273 -S'2.\t2.\tCD\tB-NP\tO' -p39274 -aS'Atorvastatin\tAtorvastatin\tIN\tI-NP\tO' -p39275 -aS'40\t40\tCD\tI-NP\tO' -p39276 -aS'mg\tmg\tNN\tI-NP\tO' -p39277 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p39278 -aS'Sig\tSig\tNNP\tI-NP\tO' -p39279 -aS':\t:\t:\tO\tO' -p39280 -aS'One\tOne\tCD\tB-NP\tO' -p39281 -aS'(\t(\t(\tO\tO' -p39282 -aS'1\t1\tCD\tB-NP\tO' -p39283 -aS')\t)\t)\tO\tO' -p39284 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p39285 -aS'PO\tPO\tNN\tI-NP\tO' -p39286 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p39287 -aS'(\t(\t(\tO\tO' -p39288 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p39289 -aS')\t)\t)\tO\tO' -p39290 -aS'.\t.\t.\tO\tO' -p39291 -asS'She continued to require pressor support in the high 30 's .' -p39292 -(lp39293 -S'She\tShe\tPRP\tB-NP\tO' -p39294 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p39295 -aS'to\tto\tTO\tI-VP\tO' -p39296 -aS'require\trequire\tVB\tI-VP\tO' -p39297 -aS'pressor\tpressor\tNN\tB-NP\tO' -p39298 -aS'support\tsupport\tNN\tI-NP\tO' -p39299 -aS'in\tin\tIN\tB-PP\tO' -p39300 -aS'the\tthe\tDT\tB-NP\tO' -p39301 -aS'high\thigh\tJJ\tI-NP\tO' -p39302 -aS'30\t30\tCD\tI-NP\tO' -p39303 -aS''s\t'\tNNS\tI-NP\tO' -p39304 -aS'.\t.\t.\tO\tO' -p39305 -asS'The patient was made do not resuscitate / do not intubate .' -p39306 -(lp39307 -S'The\tThe\tDT\tB-NP\tO' -p39308 -aS'patient\tpatient\tNN\tI-NP\tO' -p39309 -aS'was\tbe\tVBD\tB-VP\tO' -p39310 -aS'made\tmake\tVBN\tI-VP\tO' -p39311 -aS'do\tdo\tVB\tB-VP\tO' -p39312 -aS'not\tnot\tRB\tI-VP\tO' -p39313 -aS'resuscitate\tresuscitate\tVB\tI-VP\tO' -p39314 -aS'/\t/\tSYM\tB-NP\tO' -p39315 -aS'do\tdo\tVB\tB-VP\tO' -p39316 -aS'not\tnot\tRB\tI-VP\tO' -p39317 -aS'intubate\tintubate\tVB\tI-VP\tO' -p39318 -aS'.\t.\t.\tO\tO' -p39319 -asS'Her enzymes continued to trend down .' -p39320 -(lp39321 -S'Her\tHer\tPRP$\tB-NP\tB-protein' -p39322 -aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' -p39323 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p39324 -aS'to\tto\tTO\tI-VP\tO' -p39325 -aS'trend\ttrend\tVB\tI-VP\tO' -p39326 -aS'down\tdown\tRP\tB-PRT\tO' -p39327 -aS'.\t.\t.\tO\tO' -p39328 -asS'The spine was intact .' -p39329 -(lp39330 -S'The\tThe\tDT\tB-NP\tO' -p39331 -aS'spine\tspine\tNN\tI-NP\tO' -p39332 -aS'was\tbe\tVBD\tB-VP\tO' -p39333 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p39334 -aS'.\t.\t.\tO\tO' -p39335 -asS'Because of his confusion , a neurology consult was obtained and subsequent radiographic imaging revealed chronic appearing infarcts in the right occipital lobe as well as both cerebellar hemispheres , suggestive of more chronic infarcts , as well as an area in the left corona radiata , adjacent to the left lateral ventricle which may or may not be an acute infarct .' -p39336 -(lp39337 -S'Because\tBecause\tIN\tB-PP\tO' -p39338 -aS'of\tof\tIN\tI-PP\tO' -p39339 -aS'his\this\tPRP$\tB-NP\tO' -p39340 -aS'confusion\tconfusion\tNN\tI-NP\tO' -p39341 -aS',\t,\t,\tO\tO' -p39342 -aS'a\ta\tDT\tB-NP\tO' -p39343 -aS'neurology\tneurology\tNN\tI-NP\tO' -p39344 -aS'consult\tconsult\tNN\tI-NP\tO' -p39345 -aS'was\tbe\tVBD\tB-VP\tO' -p39346 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p39347 -aS'and\tand\tCC\tO\tO' -p39348 -aS'subsequent\tsubsequent\tJJ\tB-NP\tO' -p39349 -aS'radiographic\tradiographic\tJJ\tI-NP\tO' -p39350 -aS'imaging\timaging\tNN\tI-NP\tO' -p39351 -aS'revealed\treveal\tVBD\tB-VP\tO' -p39352 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p39353 -aS'appearing\tappear\tVBG\tI-NP\tO' -p39354 -aS'infarcts\tinfarct\tNNS\tI-NP\tO' -p39355 -aS'in\tin\tIN\tB-PP\tO' -p39356 -aS'the\tthe\tDT\tB-NP\tO' -p39357 -aS'right\tright\tJJ\tI-NP\tO' -p39358 -aS'occipital\toccipital\tNN\tI-NP\tO' -p39359 -aS'lobe\tlobe\tNN\tI-NP\tO' -p39360 -aS'as\tas\tRB\tB-CONJP\tO' -p39361 -aS'well\twell\tRB\tI-CONJP\tO' -p39362 -aS'as\tas\tIN\tI-CONJP\tO' -p39363 -aS'both\tboth\tDT\tB-NP\tO' -p39364 -aS'cerebellar\tcerebellar\tJJ\tI-NP\tO' -p39365 -aS'hemispheres\themisphere\tNNS\tI-NP\tO' -p39366 -aS',\t,\t,\tO\tO' -p39367 -aS'suggestive\tsuggestive\tJJ\tB-ADJP\tO' -p39368 -aS'of\tof\tIN\tB-PP\tO' -p39369 -aS'more\tmore\tJJR\tB-NP\tO' -p39370 -aS'chronic\tchronic\tJJ\tI-NP\tO' -p39371 -aS'infarcts\tinfarct\tNNS\tI-NP\tO' -p39372 -aS',\t,\t,\tO\tO' -p39373 -aS'as\tas\tRB\tB-CONJP\tO' -p39374 -aS'well\twell\tRB\tI-CONJP\tO' -p39375 -aS'as\tas\tIN\tI-CONJP\tO' -p39376 -aS'an\tan\tDT\tB-NP\tO' -p39377 -aS'area\tarea\tNN\tI-NP\tO' -p39378 -aS'in\tin\tIN\tB-PP\tO' -p39379 -aS'the\tthe\tDT\tB-NP\tO' -p39380 -aS'left\tleft\tJJ\tI-NP\tO' -p39381 -aS'corona\tcorona\tNN\tI-NP\tO' -p39382 -aS'radiata\tradiata\tNNS\tI-NP\tO' -p39383 -aS',\t,\t,\tO\tO' -p39384 -aS'adjacent\tadjacent\tJJ\tB-ADJP\tO' -p39385 -aS'to\tto\tTO\tB-PP\tO' -p39386 -aS'the\tthe\tDT\tB-NP\tO' -p39387 -aS'left\tleft\tJJ\tI-NP\tO' -p39388 -aS'lateral\tlateral\tJJ\tI-NP\tO' -p39389 -aS'ventricle\tventricle\tNN\tI-NP\tO' -p39390 -aS'which\twhich\tWDT\tB-NP\tO' -p39391 -aS'may\tmay\tMD\tB-VP\tO' -p39392 -aS'or\tor\tCC\tO\tO' -p39393 -aS'may\tmay\tMD\tB-VP\tO' -p39394 -aS'not\tnot\tRB\tI-VP\tO' -p39395 -aS'be\tbe\tVB\tI-VP\tO' -p39396 -aS'an\tan\tDT\tB-NP\tO' -p39397 -aS'acute\tacute\tJJ\tI-NP\tO' -p39398 -aS'infarct\tinfarct\tNN\tI-NP\tO' -p39399 -aS'.\t.\t.\tO\tO' -p39400 -asS'He was found to have CML .' -p39401 -(lp39402 -S'He\tHe\tPRP\tB-NP\tO' -p39403 -aS'was\tbe\tVBD\tB-VP\tO' -p39404 -aS'found\tfind\tVBN\tI-VP\tO' -p39405 -aS'to\tto\tTO\tI-VP\tO' -p39406 -aS'have\thave\tVB\tI-VP\tO' -p39407 -aS'CML\tCML\tNN\tB-NP\tO' -p39408 -aS'.\t.\t.\tO\tO' -p39409 -asS'Baby passed hearing test on 2009-01-21 .' -p39410 -(lp39411 -S'Baby\tBaby\tNNP\tB-NP\tO' -p39412 -aS'passed\tpass\tVBD\tB-VP\tO' -p39413 -aS'hearing\thear\tVBG\tI-VP\tO' -p39414 -aS'test\ttest\tNN\tB-NP\tO' -p39415 -aS'on\ton\tIN\tB-PP\tO' -p39416 -aS'2009-01-21\t2009-01-21\tCD\tB-NP\tO' -p39417 -aS'.\t.\t.\tO\tO' -p39418 -asS'On disability secondary to work-related back injury .' -p39419 -(lp39420 -S'On\tOn\tIN\tB-PP\tO' -p39421 -aS'disability\tdisability\tNN\tB-NP\tO' -p39422 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p39423 -aS'to\tto\tTO\tB-PP\tO' -p39424 -aS'work-related\twork-related\tJJ\tB-NP\tO' -p39425 -aS'back\tback\tJJ\tI-NP\tO' -p39426 -aS'injury\tinjury\tNN\tI-NP\tO' -p39427 -aS'.\t.\t.\tO\tO' -p39428 -asS'There remains a large right and small left pleural effusion , not significantly changed .' -p39429 -(lp39430 -S'There\tThere\tEX\tB-NP\tO' -p39431 -aS'remains\tremain\tVBZ\tB-VP\tO' -p39432 -aS'a\ta\tDT\tB-NP\tO' -p39433 -aS'large\tlarge\tJJ\tI-NP\tO' -p39434 -aS'right\tright\tJJ\tI-NP\tO' -p39435 -aS'and\tand\tCC\tI-NP\tO' -p39436 -aS'small\tsmall\tJJ\tI-NP\tO' -p39437 -aS'left\tleft\tJJ\tI-NP\tO' -p39438 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p39439 -aS'effusion\teffusion\tNN\tI-NP\tO' -p39440 -aS',\t,\t,\tO\tO' -p39441 -aS'not\tnot\tRB\tB-VP\tO' -p39442 -aS'significantly\tsignificantly\tRB\tI-VP\tO' -p39443 -aS'changed\tchange\tVBN\tI-VP\tO' -p39444 -aS'.\t.\t.\tO\tO' -p39445 -asS'Review of liver function tests revealed a cholestatic picture which was not previously found and it was felt that this was secondary to the Bactrim which had been recently stopped anyway .' -p39446 -(lp39447 -S'Review\tReview\tNN\tB-NP\tO' -p39448 -aS'of\tof\tIN\tB-PP\tO' -p39449 -aS'liver\tliver\tNN\tB-NP\tO' -p39450 -aS'function\tfunction\tNN\tI-NP\tO' -p39451 -aS'tests\ttest\tNNS\tI-NP\tO' -p39452 -aS'revealed\treveal\tVBD\tB-VP\tO' -p39453 -aS'a\ta\tDT\tB-NP\tO' -p39454 -aS'cholestatic\tcholestatic\tJJ\tI-NP\tO' -p39455 -aS'picture\tpicture\tNN\tI-NP\tO' -p39456 -aS'which\twhich\tWDT\tB-NP\tO' -p39457 -aS'was\tbe\tVBD\tB-VP\tO' -p39458 -aS'not\tnot\tRB\tI-VP\tO' -p39459 -aS'previously\tpreviously\tRB\tI-VP\tO' -p39460 -aS'found\tfind\tVBN\tI-VP\tO' -p39461 -aS'and\tand\tCC\tO\tO' -p39462 -aS'it\tit\tPRP\tB-NP\tO' -p39463 -aS'was\tbe\tVBD\tB-VP\tO' -p39464 -aS'felt\tfeel\tVBN\tI-VP\tO' -p39465 -aS'that\tthat\tIN\tB-SBAR\tO' -p39466 -aS'this\tthis\tDT\tB-NP\tO' -p39467 -aS'was\tbe\tVBD\tB-VP\tO' -p39468 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p39469 -aS'to\tto\tTO\tB-PP\tO' -p39470 -aS'the\tthe\tDT\tB-NP\tO' -p39471 -aS'Bactrim\tBactrim\tNNP\tI-NP\tO' -p39472 -aS'which\twhich\tWDT\tB-NP\tO' -p39473 -aS'had\thave\tVBD\tB-VP\tO' -p39474 -aS'been\tbe\tVBN\tI-VP\tO' -p39475 -aS'recently\trecently\tRB\tB-ADVP\tO' -p39476 -aS'stopped\tstop\tVBD\tB-VP\tO' -p39477 -aS'anyway\tanyway\tRB\tB-ADVP\tO' -p39478 -aS'.\t.\t.\tO\tO' -p39479 -asS'1) STAPH .' -p39480 -(lp39481 -S'1)\t1)\tLS\tB-NP\tO' -p39482 -aS'STAPH\tSTAPH\tNN\tI-NP\tB-protein' -p39483 -aS'.\t.\t.\tO\tO' -p39484 -asS'Her neurologic examination remained nonfocal .' -p39485 -(lp39486 -S'Her\tHer\tPRP$\tB-NP\tO' -p39487 -aS'neurologic\tneurologic\tJJ\tI-NP\tO' -p39488 -aS'examination\texamination\tNN\tI-NP\tO' -p39489 -aS'remained\tremain\tVBD\tB-VP\tO' -p39490 -aS'nonfocal\tnonfocal\tJJ\tB-ADJP\tO' -p39491 -aS'.\t.\t.\tO\tO' -p39492 -asS'This is also sensitive only to Macrodantin .' -p39493 -(lp39494 -S'This\tThis\tDT\tB-NP\tO' -p39495 -aS'is\tbe\tVBZ\tB-VP\tO' -p39496 -aS'also\talso\tRB\tB-ADVP\tO' -p39497 -aS'sensitive\tsensitive\tJJ\tB-ADJP\tO' -p39498 -aS'only\tonly\tRB\tI-ADJP\tO' -p39499 -aS'to\tto\tTO\tB-PP\tO' -p39500 -aS'Macrodantin\tMacrodantin\tNNP\tB-NP\tO' -p39501 -aS'.\t.\t.\tO\tO' -p39502 -asS'The patient has not obtained gynecologic care for 32 years until April 2004 when an increase in abdominal GERD and urinary symptoms lead her to initial consultation with Dr. Lentny Farstnappsshee in Gobrew Street , Denlandcobridclevena , West Virginia 28880 .' -p39503 -(lp39504 -S'The\tThe\tDT\tB-NP\tO' -p39505 -aS'patient\tpatient\tNN\tI-NP\tO' -p39506 -aS'has\thave\tVBZ\tB-VP\tO' -p39507 -aS'not\tnot\tRB\tI-VP\tO' -p39508 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p39509 -aS'gynecologic\tgynecologic\tJJ\tB-NP\tO' -p39510 -aS'care\tcare\tNN\tI-NP\tO' -p39511 -aS'for\tfor\tIN\tB-PP\tO' -p39512 -aS'32\t32\tCD\tB-NP\tO' -p39513 -aS'years\tyear\tNNS\tI-NP\tO' -p39514 -aS'until\tuntil\tIN\tB-PP\tO' -p39515 -aS'April\tApril\tNNP\tB-NP\tO' -p39516 -aS'2004\t2004\tCD\tI-NP\tO' -p39517 -aS'when\twhen\tWRB\tB-ADVP\tO' -p39518 -aS'an\tan\tDT\tB-NP\tO' -p39519 -aS'increase\tincrease\tNN\tI-NP\tO' -p39520 -aS'in\tin\tIN\tB-PP\tO' -p39521 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p39522 -aS'GERD\tGERD\tNN\tI-NP\tO' -p39523 -aS'and\tand\tCC\tO\tO' -p39524 -aS'urinary\turinary\tJJ\tB-NP\tO' -p39525 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p39526 -aS'lead\tlead\tVBP\tB-VP\tO' -p39527 -aS'her\ther\tPRP\tB-NP\tO' -p39528 -aS'to\tto\tTO\tB-PP\tO' -p39529 -aS'initial\tinitial\tJJ\tB-NP\tO' -p39530 -aS'consultation\tconsultation\tNN\tI-NP\tO' -p39531 -aS'with\twith\tIN\tB-PP\tO' -p39532 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p39533 -aS'Lentny\tLentny\tNNP\tI-NP\tO' -p39534 -aS'Farstnappsshee\tFarstnappsshee\tNNP\tI-NP\tO' -p39535 -aS'in\tin\tIN\tB-PP\tO' -p39536 -aS'Gobrew\tGobrew\tNNP\tB-NP\tO' -p39537 -aS'Street\tStreet\tNNP\tI-NP\tO' -p39538 -aS',\t,\t,\tO\tO' -p39539 -aS'Denlandcobridclevena\tDenlandcobridclevena\tNNP\tB-NP\tO' -p39540 -aS',\t,\t,\tO\tO' -p39541 -aS'West\tWest\tNNP\tB-NP\tO' -p39542 -aS'Virginia\tVirginia\tNNP\tI-NP\tO' -p39543 -aS'28880\t28880\tCD\tI-NP\tO' -p39544 -aS'.\t.\t.\tO\tO' -p39545 -asS'He subsequently developed a staphylococcus aureus pneumonia which was treated with Vancomycin , dosed to levels appropriate for his renal failure .' -p39546 -(lp39547 -S'He\tHe\tPRP\tB-NP\tO' -p39548 -aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' -p39549 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p39550 -aS'a\ta\tDT\tB-NP\tO' -p39551 -aS'staphylococcus\tstaphylococcus\tNN\tI-NP\tO' -p39552 -aS'aureus\taureus\tNN\tI-NP\tO' -p39553 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p39554 -aS'which\twhich\tWDT\tB-NP\tO' -p39555 -aS'was\tbe\tVBD\tB-VP\tO' -p39556 -aS'treated\ttreat\tVBN\tI-VP\tO' -p39557 -aS'with\twith\tIN\tB-PP\tO' -p39558 -aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' -p39559 -aS',\t,\t,\tO\tO' -p39560 -aS'dosed\tdose\tVBN\tB-VP\tO' -p39561 -aS'to\tto\tTO\tB-PP\tO' -p39562 -aS'levels\tlevel\tNNS\tB-NP\tO' -p39563 -aS'appropriate\tappropriate\tJJ\tB-ADJP\tO' -p39564 -aS'for\tfor\tIN\tB-PP\tO' -p39565 -aS'his\this\tPRP$\tB-NP\tO' -p39566 -aS'renal\trenal\tJJ\tI-NP\tO' -p39567 -aS'failure\tfailure\tNN\tI-NP\tO' -p39568 -aS'.\t.\t.\tO\tO' -p39569 -asS'Carotid pulsations are normal without bruit .' -p39570 -(lp39571 -S'Carotid\tCarotid\tJJ\tB-NP\tO' -p39572 -aS'pulsations\tpulsation\tNNS\tI-NP\tO' -p39573 -aS'are\tbe\tVBP\tB-VP\tO' -p39574 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p39575 -aS'without\twithout\tIN\tB-PP\tO' -p39576 -aS'bruit\tbruit\tNN\tB-NP\tO' -p39577 -aS'.\t.\t.\tO\tO' -p39578 -asS'Last menstrual period 2009-02-21 .' -p39579 -(lp39580 -S'Last\tLast\tJJ\tB-NP\tO' -p39581 -aS'menstrual\tmenstrual\tJJ\tI-NP\tO' -p39582 -aS'period\tperiod\tNN\tI-NP\tO' -p39583 -aS'2009-02-21\t2009-02-21\tCD\tI-NP\tO' -p39584 -aS'.\t.\t.\tO\tO' -p39585 -asS'Father with emphysema .' -p39586 -(lp39587 -S'Father\tFather\tRB\tB-ADVP\tO' -p39588 -aS'with\twith\tIN\tB-PP\tO' -p39589 -aS'emphysema\temphysema\tNN\tB-NP\tO' -p39590 -aS'.\t.\t.\tO\tO' -p39591 -asS'This is a 59 year old male with a past medical history significant for an atrioseptal defect repair at age 18 , congestive heart failure with an ejection fraction of 45% and a recent cardiac myocardial infarction , pulmonary hypertension and mitral regurgitation , and atrial fibrillation .' -p39592 -(lp39593 -S'This\tThis\tDT\tB-NP\tO' -p39594 -aS'is\tbe\tVBZ\tB-VP\tO' -p39595 -aS'a\ta\tDT\tB-NP\tO' -p39596 -aS'59\t59\tCD\tI-NP\tO' -p39597 -aS'year\tyear\tNN\tI-NP\tO' -p39598 -aS'old\told\tJJ\tI-NP\tO' -p39599 -aS'male\tmale\tNN\tI-NP\tO' -p39600 -aS'with\twith\tIN\tB-PP\tO' -p39601 -aS'a\ta\tDT\tB-NP\tO' -p39602 -aS'past\tpast\tJJ\tI-NP\tO' -p39603 -aS'medical\tmedical\tJJ\tI-NP\tO' -p39604 -aS'history\thistory\tNN\tI-NP\tO' -p39605 -aS'significant\tsignificant\tJJ\tB-ADJP\tO' -p39606 -aS'for\tfor\tIN\tB-PP\tO' -p39607 -aS'an\tan\tDT\tB-NP\tO' -p39608 -aS'atrioseptal\tatrioseptal\tJJ\tI-NP\tO' -p39609 -aS'defect\tdefect\tNN\tI-NP\tO' -p39610 -aS'repair\trepair\tNN\tI-NP\tO' -p39611 -aS'at\tat\tIN\tB-PP\tO' -p39612 -aS'age\tage\tNN\tB-NP\tO' -p39613 -aS'18\t18\tCD\tI-NP\tO' -p39614 -aS',\t,\t,\tO\tO' -p39615 -aS'congestive\tcongestive\tJJ\tB-NP\tO' -p39616 -aS'heart\theart\tNN\tI-NP\tO' -p39617 -aS'failure\tfailure\tNN\tI-NP\tO' -p39618 -aS'with\twith\tIN\tB-PP\tO' -p39619 -aS'an\tan\tDT\tB-NP\tO' -p39620 -aS'ejection\tejection\tNN\tI-NP\tO' -p39621 -aS'fraction\tfraction\tNN\tI-NP\tO' -p39622 -aS'of\tof\tIN\tB-PP\tO' -p39623 -aS'45%\t45%\tNN\tB-NP\tO' -p39624 -aS'and\tand\tCC\tO\tO' -p39625 -aS'a\ta\tDT\tB-NP\tO' -p39626 -aS'recent\trecent\tJJ\tI-NP\tO' -p39627 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p39628 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p39629 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p39630 -aS',\t,\t,\tO\tO' -p39631 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p39632 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p39633 -aS'and\tand\tCC\tO\tO' -p39634 -aS'mitral\tmitral\tJJ\tB-NP\tO' -p39635 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p39636 -aS',\t,\t,\tO\tO' -p39637 -aS'and\tand\tCC\tO\tO' -p39638 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p39639 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p39640 -aS'.\t.\t.\tO\tO' -p39641 -asS'Therefore , she is on no DVT prophylaxis .' -p39642 -(lp39643 -S'Therefore\tTherefore\tRB\tB-ADVP\tO' -p39644 -aS',\t,\t,\tO\tO' -p39645 -aS'she\tshe\tPRP\tB-NP\tO' -p39646 -aS'is\tbe\tVBZ\tB-VP\tO' -p39647 -aS'on\ton\tIN\tB-PP\tO' -p39648 -aS'no\tno\tDT\tB-NP\tO' -p39649 -aS'DVT\tDVT\tNN\tI-NP\tO' -p39650 -aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' -p39651 -aS'.\t.\t.\tO\tO' -p39652 -asS'This is thought due to the extensive course of Gentamicin which she received .' -p39653 -(lp39654 -S'This\tThis\tDT\tB-NP\tO' -p39655 -aS'is\tbe\tVBZ\tB-VP\tO' -p39656 -aS'thought\tthink\tVBN\tI-VP\tO' -p39657 -aS'due\tdue\tIN\tB-PP\tO' -p39658 -aS'to\tto\tTO\tB-PP\tO' -p39659 -aS'the\tthe\tDT\tB-NP\tO' -p39660 -aS'extensive\textensive\tJJ\tI-NP\tO' -p39661 -aS'course\tcourse\tNN\tI-NP\tO' -p39662 -aS'of\tof\tIN\tB-PP\tO' -p39663 -aS'Gentamicin\tGentamicin\tNN\tB-NP\tO' -p39664 -aS'which\twhich\tWDT\tB-NP\tO' -p39665 -aS'she\tshe\tPRP\tB-NP\tO' -p39666 -aS'received\treceive\tVBD\tB-VP\tO' -p39667 -aS'.\t.\t.\tO\tO' -p39668 -asS'9. Dulcolax 10 mg once daily p.r.n.' -p39669 -(lp39670 -S'9.\t9.\tCD\tB-NP\tO' -p39671 -aS'Dulcolax\tDulcolax\tNN\tI-NP\tO' -p39672 -aS'10\t10\tCD\tB-NP\tO' -p39673 -aS'mg\tmg\tNN\tI-NP\tO' -p39674 -aS'once\tonce\tRB\tB-VP\tO' -p39675 -aS'daily\tdaily\tRB\tI-VP\tO' -p39676 -aS'p.r.n.\tp.r.n.\tVB\tI-VP\tO' -p39677 -asS'She was started on octreotide and nadolol to control portal htn .' -p39678 -(lp39679 -S'She\tShe\tPRP\tB-NP\tO' -p39680 -aS'was\tbe\tVBD\tB-VP\tO' -p39681 -aS'started\tstart\tVBN\tI-VP\tO' -p39682 -aS'on\ton\tIN\tB-PP\tO' -p39683 -aS'octreotide\toctreotide\tNN\tB-NP\tO' -p39684 -aS'and\tand\tCC\tI-NP\tO' -p39685 -aS'nadolol\tnadolol\tNN\tI-NP\tO' -p39686 -aS'to\tto\tTO\tB-VP\tO' -p39687 -aS'control\tcontrol\tVB\tI-VP\tO' -p39688 -aS'portal\tportal\tJJ\tB-NP\tO' -p39689 -aS'htn\thtn\tNN\tI-NP\tO' -p39690 -aS'.\t.\t.\tO\tO' -p39691 -asS'During feeding advancement infant was given parenteral nutrition and intralipids .' -p39692 -(lp39693 -S'During\tDuring\tIN\tB-PP\tO' -p39694 -aS'feeding\tfeed\tVBG\tB-VP\tO' -p39695 -aS'advancement\tadvancement\tNN\tB-NP\tO' -p39696 -aS'infant\tinfant\tNN\tI-NP\tO' -p39697 -aS'was\tbe\tVBD\tB-VP\tO' -p39698 -aS'given\tgive\tVBN\tI-VP\tO' -p39699 -aS'parenteral\tparenteral\tJJ\tB-NP\tO' -p39700 -aS'nutrition\tnutrition\tNN\tI-NP\tO' -p39701 -aS'and\tand\tCC\tI-NP\tO' -p39702 -aS'intralipids\tintralipid\tNNS\tI-NP\tO' -p39703 -aS'.\t.\t.\tO\tO' -p39704 -asS'After his heart rate was controlled , he was transitioned to oral medications and transferred to the medicine service .' -p39705 -(lp39706 -S'After\tAfter\tIN\tB-PP\tO' -p39707 -aS'his\this\tPRP$\tB-NP\tO' -p39708 -aS'heart\theart\tNN\tI-NP\tO' -p39709 -aS'rate\trate\tNN\tI-NP\tO' -p39710 -aS'was\tbe\tVBD\tB-VP\tO' -p39711 -aS'controlled\tcontrol\tVBN\tI-VP\tO' -p39712 -aS',\t,\t,\tO\tO' -p39713 -aS'he\the\tPRP\tB-NP\tO' -p39714 -aS'was\tbe\tVBD\tB-VP\tO' -p39715 -aS'transitioned\ttransitione\tVBN\tI-VP\tO' -p39716 -aS'to\tto\tTO\tB-PP\tO' -p39717 -aS'oral\toral\tJJ\tB-NP\tO' -p39718 -aS'medications\tmedication\tNNS\tI-NP\tO' -p39719 -aS'and\tand\tCC\tO\tO' -p39720 -aS'transferred\ttransfer\tVBN\tB-VP\tO' -p39721 -aS'to\tto\tTO\tB-PP\tO' -p39722 -aS'the\tthe\tDT\tB-NP\tO' -p39723 -aS'medicine\tmedicine\tNN\tI-NP\tO' -p39724 -aS'service\tservice\tNN\tI-NP\tO' -p39725 -aS'.\t.\t.\tO\tO' -p39726 -asS'Several tests , including Duplex Ultrasound , CT of the Abdomen , and Abdominal A-gram all showed patent right and left hepatic arteries arising from the celiac trunk .' -p39727 -(lp39728 -S'Several\tSeveral\tJJ\tB-NP\tO' -p39729 -aS'tests\ttest\tNNS\tI-NP\tO' -p39730 -aS',\t,\t,\tO\tO' -p39731 -aS'including\tinclude\tVBG\tB-PP\tO' -p39732 -aS'Duplex\tDuplex\tNNP\tB-NP\tO' -p39733 -aS'Ultrasound\tUltrasound\tNNP\tI-NP\tO' -p39734 -aS',\t,\t,\tO\tO' -p39735 -aS'CT\tCT\tNN\tB-NP\tO' -p39736 -aS'of\tof\tIN\tB-PP\tO' -p39737 -aS'the\tthe\tDT\tB-NP\tO' -p39738 -aS'Abdomen\tAbdoman\tNNS\tI-NP\tO' -p39739 -aS',\t,\t,\tO\tO' -p39740 -aS'and\tand\tCC\tO\tO' -p39741 -aS'Abdominal\tAbdominal\tJJ\tB-NP\tO' -p39742 -aS'A-gram\tA-gram\tNN\tI-NP\tO' -p39743 -aS'all\tall\tDT\tO\tO' -p39744 -aS'showed\tshow\tVBD\tB-VP\tO' -p39745 -aS'patent\tpatent\tNN\tB-NP\tO' -p39746 -aS'right\tright\tNN\tI-NP\tO' -p39747 -aS'and\tand\tCC\tO\tO' -p39748 -aS'left\tleave\tVBD\tB-VP\tO' -p39749 -aS'hepatic\thepatic\tJJ\tB-NP\tO' -p39750 -aS'arteries\tartery\tNNS\tI-NP\tO' -p39751 -aS'arising\tarise\tVBG\tB-VP\tO' -p39752 -aS'from\tfrom\tIN\tB-PP\tO' -p39753 -aS'the\tthe\tDT\tB-NP\tO' -p39754 -aS'celiac\tceliac\tJJ\tI-NP\tO' -p39755 -aS'trunk\ttrunk\tNN\tI-NP\tO' -p39756 -aS'.\t.\t.\tO\tO' -p39757 -asS'We can go up by 25 mg on the fentanyl patch as needed to control her pain and we can always go up on the dilaudid because she is still in considerable amount of pain .' -p39758 -(lp39759 -S'We\tWe\tPRP\tB-NP\tO' -p39760 -aS'can\tcan\tMD\tB-VP\tO' -p39761 -aS'go\tgo\tVB\tI-VP\tO' -p39762 -aS'up\tup\tRB\tB-ADVP\tO' -p39763 -aS'by\tby\tIN\tB-PP\tO' -p39764 -aS'25\t25\tCD\tB-NP\tO' -p39765 -aS'mg\tmg\tNN\tI-NP\tO' -p39766 -aS'on\ton\tIN\tB-PP\tO' -p39767 -aS'the\tthe\tDT\tB-NP\tO' -p39768 -aS'fentanyl\tfentanyl\tNN\tI-NP\tO' -p39769 -aS'patch\tpatch\tNN\tI-NP\tO' -p39770 -aS'as\tas\tIN\tB-SBAR\tO' -p39771 -aS'needed\tneed\tVBN\tB-VP\tO' -p39772 -aS'to\tto\tTO\tB-VP\tO' -p39773 -aS'control\tcontrol\tVB\tI-VP\tO' -p39774 -aS'her\ther\tPRP$\tB-NP\tO' -p39775 -aS'pain\tpain\tNN\tI-NP\tO' -p39776 -aS'and\tand\tCC\tO\tO' -p39777 -aS'we\twe\tPRP\tB-NP\tO' -p39778 -aS'can\tcan\tMD\tB-VP\tO' -p39779 -aS'always\talways\tRB\tI-VP\tO' -p39780 -aS'go\tgo\tVB\tI-VP\tO' -p39781 -aS'up\tup\tRP\tB-PRT\tO' -p39782 -aS'on\ton\tIN\tB-PP\tO' -p39783 -aS'the\tthe\tDT\tB-NP\tO' -p39784 -aS'dilaudid\tdilaudid\tNN\tI-NP\tO' -p39785 -aS'because\tbecause\tIN\tB-SBAR\tO' -p39786 -aS'she\tshe\tPRP\tB-NP\tO' -p39787 -aS'is\tbe\tVBZ\tB-VP\tO' -p39788 -aS'still\tstill\tRB\tB-ADVP\tO' -p39789 -aS'in\tin\tIN\tB-PP\tO' -p39790 -aS'considerable\tconsiderable\tJJ\tB-NP\tO' -p39791 -aS'amount\tamount\tNN\tI-NP\tO' -p39792 -aS'of\tof\tIN\tB-PP\tO' -p39793 -aS'pain\tpain\tNN\tB-NP\tO' -p39794 -aS'.\t.\t.\tO\tO' -p39795 -asS'Upon admission , he was treated for his pneumonia .' -p39796 -(lp39797 -S'Upon\tUpon\tIN\tB-PP\tO' -p39798 -aS'admission\tadmission\tNN\tB-NP\tO' -p39799 -aS',\t,\t,\tO\tO' -p39800 -aS'he\the\tPRP\tB-NP\tO' -p39801 -aS'was\tbe\tVBD\tB-VP\tO' -p39802 -aS'treated\ttreat\tVBN\tI-VP\tO' -p39803 -aS'for\tfor\tIN\tB-PP\tO' -p39804 -aS'his\this\tPRP$\tB-NP\tO' -p39805 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p39806 -aS'.\t.\t.\tO\tO' -p39807 -asS'In the CMED CCU pt was intubated for ERCP procedure .' -p39808 -(lp39809 -S'In\tIn\tIN\tB-PP\tO' -p39810 -aS'the\tthe\tDT\tB-NP\tO' -p39811 -aS'CMED\tCMED\tVBN\tI-NP\tO' -p39812 -aS'CCU\tCCU\tNN\tI-NP\tO' -p39813 -aS'pt\tpt\tNN\tI-NP\tO' -p39814 -aS'was\tbe\tVBD\tB-VP\tO' -p39815 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p39816 -aS'for\tfor\tIN\tB-PP\tO' -p39817 -aS'ERCP\tERCP\tNN\tB-NP\tO' -p39818 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p39819 -aS'.\t.\t.\tO\tO' -p39820 -asS'regular rate and rhythm with 1 out of 6 systolic ejection murmur .' -p39821 -(lp39822 -S'regular\tregular\tJJ\tB-NP\tO' -p39823 -aS'rate\trate\tNN\tI-NP\tO' -p39824 -aS'and\tand\tCC\tI-NP\tO' -p39825 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p39826 -aS'with\twith\tIN\tB-PP\tO' -p39827 -aS'1\t1\tCD\tB-NP\tO' -p39828 -aS'out\tout\tIN\tI-NP\tO' -p39829 -aS'of\tof\tIN\tI-NP\tO' -p39830 -aS'6\t6\tCD\tI-NP\tO' -p39831 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p39832 -aS'ejection\tejection\tNN\tI-NP\tO' -p39833 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p39834 -aS'.\t.\t.\tO\tO' -p39835 -asS'Tubefeed was resumed without any difficulty since .' -p39836 -(lp39837 -S'Tubefeed\tTubefeed\tNN\tB-NP\tO' -p39838 -aS'was\tbe\tVBD\tB-VP\tO' -p39839 -aS'resumed\tresume\tVBN\tI-VP\tO' -p39840 -aS'without\twithout\tIN\tB-PP\tO' -p39841 -aS'any\tany\tDT\tB-NP\tO' -p39842 -aS'difficulty\tdifficulty\tNN\tI-NP\tO' -p39843 -aS'since\tsince\tIN\tB-ADVP\tO' -p39844 -aS'.\t.\t.\tO\tO' -p39845 -asS'SHe has a culture pending which needs to be followed up at the nursing home and treated if positive .' -p39846 -(lp39847 -S'SHe\tSHe\tNNP\tB-NP\tO' -p39848 -aS'has\thave\tVBZ\tB-VP\tO' -p39849 -aS'a\ta\tDT\tB-NP\tO' -p39850 -aS'culture\tculture\tNN\tI-NP\tO' -p39851 -aS'pending\tpending\tNN\tI-NP\tO' -p39852 -aS'which\twhich\tWDT\tB-NP\tO' -p39853 -aS'needs\tneed\tVBZ\tB-VP\tO' -p39854 -aS'to\tto\tTO\tI-VP\tO' -p39855 -aS'be\tbe\tVB\tI-VP\tO' -p39856 -aS'followed\tfollow\tVBN\tI-VP\tO' -p39857 -aS'up\tup\tRP\tB-PRT\tO' -p39858 -aS'at\tat\tIN\tB-PP\tO' -p39859 -aS'the\tthe\tDT\tB-NP\tO' -p39860 -aS'nursing\tnursing\tNN\tI-NP\tO' -p39861 -aS'home\thome\tNN\tI-NP\tO' -p39862 -aS'and\tand\tCC\tO\tO' -p39863 -aS'treated\ttreat\tVBN\tB-VP\tO' -p39864 -aS'if\tif\tIN\tB-SBAR\tO' -p39865 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p39866 -aS'.\t.\t.\tO\tO' -p39867 -asS'72 yo M with rib fx s/p trauma , failure on previous CXR , now with fever .' -p39868 -(lp39869 -S'72\t72\tCD\tB-NP\tO' -p39870 -aS'yo\tyo\tNN\tI-NP\tO' -p39871 -aS'M\tM\tNN\tI-NP\tO' -p39872 -aS'with\twith\tIN\tB-PP\tO' -p39873 -aS'rib\trib\tNN\tB-NP\tO' -p39874 -aS'fx\tfx\tNN\tI-NP\tO' -p39875 -aS's/p\ts/p\tNN\tI-NP\tO' -p39876 -aS'trauma\ttrauma\tNN\tI-NP\tO' -p39877 -aS',\t,\t,\tO\tO' -p39878 -aS'failure\tfailure\tNN\tB-NP\tO' -p39879 -aS'on\ton\tIN\tB-PP\tO' -p39880 -aS'previous\tprevious\tJJ\tB-NP\tO' -p39881 -aS'CXR\tCXR\tNN\tI-NP\tO' -p39882 -aS',\t,\t,\tO\tO' -p39883 -aS'now\tnow\tRB\tB-ADVP\tO' -p39884 -aS'with\twith\tIN\tB-PP\tO' -p39885 -aS'fever\tfever\tNN\tB-NP\tO' -p39886 -aS'.\t.\t.\tO\tO' -p39887 -asS'2. Respiratory failure unclear etiology , presumed secondary to possible pneumonia , questionable lymphangitic spread .' -p39888 -(lp39889 -S'2.\t2.\tLS\tB-NP\tO' -p39890 -aS'Respiratory\tRespiratory\tJJ\tI-NP\tO' -p39891 -aS'failure\tfailure\tNN\tI-NP\tO' -p39892 -aS'unclear\tunclear\tJJ\tI-NP\tO' -p39893 -aS'etiology\tetiology\tNN\tI-NP\tO' -p39894 -aS',\t,\t,\tO\tO' -p39895 -aS'presumed\tpresume\tVBN\tB-VP\tO' -p39896 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p39897 -aS'to\tto\tTO\tB-PP\tO' -p39898 -aS'possible\tpossible\tJJ\tB-NP\tO' -p39899 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p39900 -aS',\t,\t,\tO\tO' -p39901 -aS'questionable\tquestionable\tJJ\tB-NP\tO' -p39902 -aS'lymphangitic\tlymphangitic\tJJ\tI-NP\tO' -p39903 -aS'spread\tspread\tNN\tI-NP\tO' -p39904 -aS'.\t.\t.\tO\tO' -p39905 -asS'While at home , the patient did not do well and could tolerate minimal food intake and lost about 20 pounds in one month .' -p39906 -(lp39907 -S'While\tWhile\tIN\tB-SBAR\tO' -p39908 -aS'at\tat\tIN\tB-PP\tO' -p39909 -aS'home\thome\tNN\tB-NP\tO' -p39910 -aS',\t,\t,\tO\tO' -p39911 -aS'the\tthe\tDT\tB-NP\tO' -p39912 -aS'patient\tpatient\tNN\tI-NP\tO' -p39913 -aS'did\tdo\tVBD\tB-VP\tO' -p39914 -aS'not\tnot\tRB\tI-VP\tO' -p39915 -aS'do\tdo\tVB\tI-VP\tO' -p39916 -aS'well\twell\tRB\tB-ADVP\tO' -p39917 -aS'and\tand\tCC\tO\tO' -p39918 -aS'could\tcould\tMD\tB-VP\tO' -p39919 -aS'tolerate\ttolerate\tVB\tI-VP\tO' -p39920 -aS'minimal\tminimal\tJJ\tB-NP\tO' -p39921 -aS'food\tfood\tNN\tI-NP\tO' -p39922 -aS'intake\tintake\tNN\tI-NP\tO' -p39923 -aS'and\tand\tCC\tO\tO' -p39924 -aS'lost\tlose\tVBD\tB-VP\tO' -p39925 -aS'about\tabout\tRB\tB-NP\tO' -p39926 -aS'20\t20\tCD\tI-NP\tO' -p39927 -aS'pounds\tpound\tNNS\tI-NP\tO' -p39928 -aS'in\tin\tIN\tB-PP\tO' -p39929 -aS'one\tone\tCD\tB-NP\tO' -p39930 -aS'month\tmonth\tNN\tI-NP\tO' -p39931 -aS'.\t.\t.\tO\tO' -p39932 -asS'Dr. Maa Bloch ( WAMA HEALTH ) Call ASAP to schedule in 1-2 days' -p39933 -(lp39934 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p39935 -aS'Maa\tMaa\tNNP\tI-NP\tO' -p39936 -aS'Bloch\tBloch\tNNP\tI-NP\tO' -p39937 -aS'(\t(\t(\tO\tO' -p39938 -aS'WAMA\tWAMA\tNNP\tB-NP\tO' -p39939 -aS'HEALTH\tHEALTH\tNNP\tI-NP\tO' -p39940 -aS')\t)\t)\tO\tO' -p39941 -aS'Call\tCall\tNN\tB-NP\tO' -p39942 -aS'ASAP\tASAP\tNN\tI-NP\tO' -p39943 -aS'to\tto\tTO\tB-VP\tO' -p39944 -aS'schedule\tschedule\tVB\tI-VP\tO' -p39945 -aS'in\tin\tIN\tB-PP\tO' -p39946 -aS'1-2\t1-2\tCD\tB-NP\tO' -p39947 -aS'days\tday\tNNS\tI-NP\tO' -p39948 -asS'Abdomen was soft and nontender .' -p39949 -(lp39950 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p39951 -aS'was\tbe\tVBD\tB-VP\tO' -p39952 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p39953 -aS'and\tand\tCC\tI-ADJP\tO' -p39954 -aS'nontender\tnontender\tJJ\tI-ADJP\tO' -p39955 -aS'.\t.\t.\tO\tO' -p39956 -asS'11. Bisacodyl 10 mg Suppository Sig : One ( 1 ) Suppository Rectal DAILY ( Daily ) as needed for constipation .' -p39957 -(lp39958 -S'11.\t11.\tLS\tB-LST\tO' -p39959 -aS'Bisacodyl\tBisacodyl\tNN\tB-NP\tO' -p39960 -aS'10\t10\tCD\tI-NP\tO' -p39961 -aS'mg\tmg\tNN\tI-NP\tO' -p39962 -aS'Suppository\tSuppository\tNNP\tI-NP\tO' -p39963 -aS'Sig\tSig\tNNP\tI-NP\tO' -p39964 -aS':\t:\t:\tO\tO' -p39965 -aS'One\tOne\tCD\tB-NP\tO' -p39966 -aS'(\t(\t(\tO\tO' -p39967 -aS'1\t1\tCD\tB-NP\tO' -p39968 -aS')\t)\t)\tO\tO' -p39969 -aS'Suppository\tSuppository\tJJ\tB-NP\tO' -p39970 -aS'Rectal\tRectal\tJJ\tI-NP\tO' -p39971 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p39972 -aS'(\t(\t(\tO\tO' -p39973 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p39974 -aS')\t)\t)\tO\tO' -p39975 -aS'as\tas\tIN\tB-SBAR\tO' -p39976 -aS'needed\tneed\tVBN\tB-VP\tO' -p39977 -aS'for\tfor\tIN\tB-PP\tO' -p39978 -aS'constipation\tconstipation\tNN\tB-NP\tO' -p39979 -aS'.\t.\t.\tO\tO' -p39980 -asS'Standard 12 lead electrocardiogram revealed normal sinus rhythm at a rate of 85 , with poor R wave progression in leads V1 through V3 suggesting the possibility of an old anteroseptal myocardial infarction .' -p39981 -(lp39982 -S'Standard\tStandard\tNNP\tB-NP\tO' -p39983 -aS'12\t12\tCD\tI-NP\tO' -p39984 -aS'lead\tlead\tNN\tI-NP\tO' -p39985 -aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' -p39986 -aS'revealed\treveal\tVBD\tB-VP\tO' -p39987 -aS'normal\tnormal\tJJ\tB-NP\tO' -p39988 -aS'sinus\tsinus\tNN\tI-NP\tO' -p39989 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p39990 -aS'at\tat\tIN\tB-PP\tO' -p39991 -aS'a\ta\tDT\tB-NP\tO' -p39992 -aS'rate\trate\tNN\tI-NP\tO' -p39993 -aS'of\tof\tIN\tB-PP\tO' -p39994 -aS'85\t85\tCD\tB-NP\tO' -p39995 -aS',\t,\t,\tO\tO' -p39996 -aS'with\twith\tIN\tB-PP\tO' -p39997 -aS'poor\tpoor\tJJ\tB-NP\tO' -p39998 -aS'R\tR\tNN\tI-NP\tO' -p39999 -aS'wave\twave\tNN\tI-NP\tO' -p40000 -aS'progression\tprogression\tNN\tI-NP\tO' -p40001 -aS'in\tin\tIN\tB-PP\tO' -p40002 -aS'leads\tlead\tVBZ\tB-VP\tO' -p40003 -aS'V1\tV1\tNN\tB-NP\tB-protein' -p40004 -aS'through\tthrough\tIN\tB-PP\tO' -p40005 -aS'V3\tV3\tNN\tB-NP\tB-protein' -p40006 -aS'suggesting\tsuggest\tVBG\tB-VP\tO' -p40007 -aS'the\tthe\tDT\tB-NP\tO' -p40008 -aS'possibility\tpossibility\tNN\tI-NP\tO' -p40009 -aS'of\tof\tIN\tB-PP\tO' -p40010 -aS'an\tan\tDT\tB-NP\tO' -p40011 -aS'old\told\tJJ\tI-NP\tO' -p40012 -aS'anteroseptal\tanteroseptal\tJJ\tI-NP\tO' -p40013 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p40014 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p40015 -aS'.\t.\t.\tO\tO' -p40016 -asS'11. Potassium Chloride 10 mEq Capsule , Sustained Release Sig : Two ( 2 ) Capsule , Sustained Release PO Q12H ( every 12 hours ).' -p40017 -(lp40018 -S'11.\t11.\tLS\tB-NP\tO' -p40019 -aS'Potassium\tPotassium\tNNP\tI-NP\tO' -p40020 -aS'Chloride\tChloride\tNNP\tI-NP\tO' -p40021 -aS'10\t10\tCD\tI-NP\tO' -p40022 -aS'mEq\tmEq\tNN\tI-NP\tO' -p40023 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p40024 -aS',\t,\t,\tO\tO' -p40025 -aS'Sustained\tSustained\tNNP\tB-NP\tO' -p40026 -aS'Release\tRelease\tNNP\tI-NP\tO' -p40027 -aS'Sig\tSig\tNNP\tI-NP\tB-protein' -p40028 -aS':\t:\t:\tO\tO' -p40029 -aS'Two\tTwo\tCD\tB-NP\tO' -p40030 -aS'(\t(\t(\tO\tO' -p40031 -aS'2\t2\tCD\tB-NP\tO' -p40032 -aS')\t)\t)\tO\tO' -p40033 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p40034 -aS',\t,\t,\tO\tO' -p40035 -aS'Sustained\tSustained\tNNP\tB-NP\tO' -p40036 -aS'Release\tRelease\tNNP\tI-NP\tO' -p40037 -aS'PO\tPO\tNN\tI-NP\tO' -p40038 -aS'Q12H\tQ12H\tNN\tI-NP\tO' -p40039 -aS'(\t(\t(\tO\tO' -p40040 -aS'every\tevery\tDT\tB-NP\tO' -p40041 -aS'12\t12\tCD\tI-NP\tO' -p40042 -aS'hours\thour\tNNS\tI-NP\tO' -p40043 -aS').\t).\t)\tO\tO' -p40044 -asS'Joint deformities consistent with rheumatoid arthritis , right MTP / toe with minimal erythema .' -p40045 -(lp40046 -S'Joint\tJoint\tNN\tB-NP\tO' -p40047 -aS'deformities\tdeformity\tNNS\tI-NP\tO' -p40048 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p40049 -aS'with\twith\tIN\tB-PP\tO' -p40050 -aS'rheumatoid\trheumatoid\tJJ\tB-NP\tO' -p40051 -aS'arthritis\tarthritis\tNN\tI-NP\tO' -p40052 -aS',\t,\t,\tO\tO' -p40053 -aS'right\tright\tJJ\tB-NP\tO' -p40054 -aS'MTP\tMTP\tNN\tI-NP\tO' -p40055 -aS'/\t/\tSYM\tB-NP\tO' -p40056 -aS'toe\ttoe\tNN\tI-NP\tO' -p40057 -aS'with\twith\tIN\tB-PP\tO' -p40058 -aS'minimal\tminimal\tJJ\tB-NP\tO' -p40059 -aS'erythema\terythema\tNN\tI-NP\tO' -p40060 -aS'.\t.\t.\tO\tO' -p40061 -asS'Speech and Swallow evaluated the patient at bedside and recommended advancing to regular diet with regular consistency and saw no evidence of any dysphagia .' -p40062 -(lp40063 -S'Speech\tSpeech\tNNP\tB-NP\tO' -p40064 -aS'and\tand\tCC\tI-NP\tO' -p40065 -aS'Swallow\tSwallow\tNNP\tI-NP\tO' -p40066 -aS'evaluated\tevaluate\tVBD\tB-VP\tO' -p40067 -aS'the\tthe\tDT\tB-NP\tO' -p40068 -aS'patient\tpatient\tNN\tI-NP\tO' -p40069 -aS'at\tat\tIN\tB-PP\tO' -p40070 -aS'bedside\tbedside\tNN\tB-NP\tO' -p40071 -aS'and\tand\tCC\tO\tO' -p40072 -aS'recommended\trecommend\tVBD\tB-VP\tO' -p40073 -aS'advancing\tadvance\tVBG\tI-VP\tO' -p40074 -aS'to\tto\tTO\tB-PP\tO' -p40075 -aS'regular\tregular\tJJ\tB-NP\tO' -p40076 -aS'diet\tdiet\tNN\tI-NP\tO' -p40077 -aS'with\twith\tIN\tB-PP\tO' -p40078 -aS'regular\tregular\tJJ\tB-NP\tO' -p40079 -aS'consistency\tconsistency\tNN\tI-NP\tO' -p40080 -aS'and\tand\tCC\tO\tO' -p40081 -aS'saw\tsee\tVBD\tB-VP\tO' -p40082 -aS'no\tno\tDT\tB-NP\tO' -p40083 -aS'evidence\tevidence\tNN\tI-NP\tO' -p40084 -aS'of\tof\tIN\tB-PP\tO' -p40085 -aS'any\tany\tDT\tB-NP\tO' -p40086 -aS'dysphagia\tdysphagia\tNN\tI-NP\tO' -p40087 -aS'.\t.\t.\tO\tO' -p40088 -asS'Neurosurgical evaluation just recommended serial neurologic checks and a repeat CAT scan on the second day of admission to see if there was any evidence of progression of the bleeding .' -p40089 -(lp40090 -S'Neurosurgical\tNeurosurgical\tJJ\tB-NP\tB-protein' -p40091 -aS'evaluation\tevaluation\tNN\tI-NP\tI-protein' -p40092 -aS'just\tjust\tRB\tB-ADVP\tI-protein' -p40093 -aS'recommended\trecommend\tVBD\tB-VP\tI-protein' -p40094 -aS'serial\tserial\tJJ\tB-NP\tI-protein' -p40095 -aS'neurologic\tneurologic\tJJ\tI-NP\tI-protein' -p40096 -aS'checks\tcheck\tNNS\tI-NP\tI-protein' -p40097 -aS'and\tand\tCC\tO\tO' -p40098 -aS'a\ta\tDT\tB-NP\tO' -p40099 -aS'repeat\trepeat\tNN\tI-NP\tO' -p40100 -aS'CAT\tCAT\tNN\tI-NP\tO' -p40101 -aS'scan\tscan\tNN\tI-NP\tO' -p40102 -aS'on\ton\tIN\tB-PP\tO' -p40103 -aS'the\tthe\tDT\tB-NP\tO' -p40104 -aS'second\tsecond\tJJ\tI-NP\tO' -p40105 -aS'day\tday\tNN\tI-NP\tO' -p40106 -aS'of\tof\tIN\tB-PP\tO' -p40107 -aS'admission\tadmission\tNN\tB-NP\tO' -p40108 -aS'to\tto\tTO\tB-VP\tO' -p40109 -aS'see\tsee\tVB\tI-VP\tO' -p40110 -aS'if\tif\tIN\tB-SBAR\tO' -p40111 -aS'there\tthere\tEX\tB-NP\tO' -p40112 -aS'was\tbe\tVBD\tB-VP\tO' -p40113 -aS'any\tany\tDT\tB-NP\tO' -p40114 -aS'evidence\tevidence\tNN\tI-NP\tO' -p40115 -aS'of\tof\tIN\tB-PP\tO' -p40116 -aS'progression\tprogression\tNN\tB-NP\tO' -p40117 -aS'of\tof\tIN\tB-PP\tO' -p40118 -aS'the\tthe\tDT\tB-NP\tO' -p40119 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p40120 -aS'.\t.\t.\tO\tO' -p40121 -asS'She was treated in the CMED as above .' -p40122 -(lp40123 -S'She\tShe\tPRP\tB-NP\tO' -p40124 -aS'was\tbe\tVBD\tB-VP\tO' -p40125 -aS'treated\ttreat\tVBN\tI-VP\tO' -p40126 -aS'in\tin\tIN\tB-PP\tO' -p40127 -aS'the\tthe\tDT\tB-NP\tO' -p40128 -aS'CMED\tCMED\tNN\tI-NP\tO' -p40129 -aS'as\tas\tIN\tB-PP\tO' -p40130 -aS'above\tabove\tRB\tB-ADVP\tO' -p40131 -aS'.\t.\t.\tO\tO' -p40132 -asS'The hydronephrosis was likely caused by blockage by her tumor .' -p40133 -(lp40134 -S'The\tThe\tDT\tB-NP\tO' -p40135 -aS'hydronephrosis\thydronephrosis\tNN\tI-NP\tO' -p40136 -aS'was\tbe\tVBD\tB-VP\tO' -p40137 -aS'likely\tlikely\tRB\tI-VP\tO' -p40138 -aS'caused\tcause\tVBN\tI-VP\tO' -p40139 -aS'by\tby\tIN\tB-PP\tO' -p40140 -aS'blockage\tblockage\tNN\tB-NP\tO' -p40141 -aS'by\tby\tIN\tB-PP\tO' -p40142 -aS'her\ther\tPRP$\tB-NP\tO' -p40143 -aS'tumor\ttumor\tNN\tI-NP\tO' -p40144 -aS'.\t.\t.\tO\tO' -p40145 -asS'On arrival to Shirley , temperature was 101.2 .' -p40146 -(lp40147 -S'On\tOn\tIN\tB-PP\tO' -p40148 -aS'arrival\tarrival\tNN\tB-NP\tO' -p40149 -aS'to\tto\tTO\tB-PP\tO' -p40150 -aS'Shirley\tShirley\tNNP\tB-NP\tO' -p40151 -aS',\t,\t,\tO\tO' -p40152 -aS'temperature\ttemperature\tNN\tB-NP\tO' -p40153 -aS'was\tbe\tVBD\tB-VP\tO' -p40154 -aS'101.2\t101.2\tCD\tB-NP\tO' -p40155 -aS'.\t.\t.\tO\tO' -p40156 -asS'Please see operative note for full details .' -p40157 -(lp40158 -S'Please\tPlease\tVB\tB-VP\tO' -p40159 -aS'see\tsee\tVB\tI-VP\tO' -p40160 -aS'operative\toperative\tJJ\tB-NP\tO' -p40161 -aS'note\tnote\tNN\tI-NP\tO' -p40162 -aS'for\tfor\tIN\tB-PP\tO' -p40163 -aS'full\tfull\tJJ\tB-NP\tO' -p40164 -aS'details\tdetail\tNNS\tI-NP\tO' -p40165 -aS'.\t.\t.\tO\tO' -p40166 -asS'At home , the patient received metformin and SSI .' -p40167 -(lp40168 -S'At\tAt\tIN\tB-PP\tO' -p40169 -aS'home\thome\tNN\tB-NP\tO' -p40170 -aS',\t,\t,\tO\tO' -p40171 -aS'the\tthe\tDT\tB-NP\tO' -p40172 -aS'patient\tpatient\tNN\tI-NP\tO' -p40173 -aS'received\treceive\tVBD\tB-VP\tO' -p40174 -aS'metformin\tmetformin\tNN\tB-NP\tO' -p40175 -aS'and\tand\tCC\tI-NP\tO' -p40176 -aS'SSI\tSSI\tNN\tI-NP\tO' -p40177 -aS'.\t.\t.\tO\tO' -p40178 -asS'5. GERD .' -p40179 -(lp40180 -S'5.\t5.\tLS\tB-LST\tO' -p40181 -aS'GERD\tGERD\tNNP\tB-NP\tO' -p40182 -aS'.\t.\t.\tO\tO' -p40183 -asS'1. Diabetes .' -p40184 -(lp40185 -S'1.\t1.\tLS\tB-NP\tO' -p40186 -aS'Diabetes\tDiabetes\tNN\tI-NP\tO' -p40187 -aS'.\t.\t.\tO\tO' -p40188 -asS'No hemoptysis , no fevers , chills , sweats , when pneumonia resolved .' -p40189 -(lp40190 -S'No\tNo\tDT\tB-NP\tO' -p40191 -aS'hemoptysis\themoptysis\tNN\tI-NP\tO' -p40192 -aS',\t,\t,\tO\tO' -p40193 -aS'no\tno\tDT\tB-NP\tO' -p40194 -aS'fevers\tfever\tNNS\tI-NP\tO' -p40195 -aS',\t,\t,\tO\tO' -p40196 -aS'chills\tchill\tNNS\tB-NP\tO' -p40197 -aS',\t,\t,\tO\tO' -p40198 -aS'sweats\tsweat\tNNS\tB-NP\tO' -p40199 -aS',\t,\t,\tO\tO' -p40200 -aS'when\twhen\tWRB\tB-ADVP\tO' -p40201 -aS'pneumonia\tpneumonia\tNN\tB-NP\tO' -p40202 -aS'resolved\tresolve\tVBN\tB-VP\tO' -p40203 -aS'.\t.\t.\tO\tO' -p40204 -asS'The psychiatrist also noted the indifference the patient evinced regarding her own symptomatology .' -p40205 -(lp40206 -S'The\tThe\tDT\tB-NP\tO' -p40207 -aS'psychiatrist\tpsychiatrist\tNN\tI-NP\tO' -p40208 -aS'also\talso\tRB\tB-ADVP\tO' -p40209 -aS'noted\tnote\tVBD\tB-VP\tO' -p40210 -aS'the\tthe\tDT\tB-NP\tO' -p40211 -aS'indifference\tindifference\tNN\tI-NP\tO' -p40212 -aS'the\tthe\tDT\tB-NP\tO' -p40213 -aS'patient\tpatient\tNN\tI-NP\tO' -p40214 -aS'evinced\tevince\tVBD\tB-VP\tO' -p40215 -aS'regarding\tregard\tVBG\tI-VP\tO' -p40216 -aS'her\ther\tPRP$\tB-NP\tO' -p40217 -aS'own\town\tJJ\tI-NP\tO' -p40218 -aS'symptomatology\tsymptomatology\tNN\tI-NP\tO' -p40219 -aS'.\t.\t.\tO\tO' -p40220 -asS'stable , will work with home PT' -p40221 -(lp40222 -S'stable\tstable\tJJ\tB-ADJP\tO' -p40223 -aS',\t,\t,\tO\tO' -p40224 -aS'will\twill\tMD\tB-VP\tO' -p40225 -aS'work\twork\tVB\tI-VP\tO' -p40226 -aS'with\twith\tIN\tB-PP\tO' -p40227 -aS'home\thome\tNN\tB-NP\tO' -p40228 -aS'PT\tPT\tNN\tI-NP\tO' -p40229 -asS'2. Multivitamin Capsule Sig : One ( 1 ) Cap PO QAM ( once a day ( in the morning )).' -p40230 -(lp40231 -S'2.\t2.\tLS\tB-LST\tO' -p40232 -aS'Multivitamin\tMultivitamin\tNNP\tB-NP\tO' -p40233 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p40234 -aS'Sig\tSig\tNNP\tI-NP\tO' -p40235 -aS':\t:\t:\tO\tO' -p40236 -aS'One\tOne\tCD\tB-NP\tO' -p40237 -aS'(\t(\t(\tO\tO' -p40238 -aS'1\t1\tCD\tB-NP\tO' -p40239 -aS')\t)\t)\tO\tO' -p40240 -aS'Cap\tCap\tNN\tB-NP\tO' -p40241 -aS'PO\tPO\tNN\tI-NP\tO' -p40242 -aS'QAM\tQAM\tNN\tI-NP\tO' -p40243 -aS'(\t(\t(\tO\tO' -p40244 -aS'once\tonce\tRB\tB-ADVP\tO' -p40245 -aS'a\ta\tDT\tB-NP\tO' -p40246 -aS'day\tday\tNN\tI-NP\tO' -p40247 -aS'(\t(\t(\tO\tO' -p40248 -aS'in\tin\tIN\tB-PP\tO' -p40249 -aS'the\tthe\tDT\tB-NP\tO' -p40250 -aS'morning\tmorning\tNN\tI-NP\tO' -p40251 -aS')).\t)).\t.\tO\tO' -p40252 -asS'Her lungs were clear to auscultation bilaterally .' -p40253 -(lp40254 -S'Her\tHer\tPRP$\tB-NP\tO' -p40255 -aS'lungs\tlung\tNNS\tI-NP\tO' -p40256 -aS'were\tbe\tVBD\tB-VP\tO' -p40257 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p40258 -aS'to\tto\tTO\tB-PP\tO' -p40259 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p40260 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p40261 -aS'.\t.\t.\tO\tO' -p40262 -asS'The patient is a 40 year old woman with end stage renal disease , on hemodialysis since 12/91 .' -p40263 -(lp40264 -S'The\tThe\tDT\tB-NP\tO' -p40265 -aS'patient\tpatient\tNN\tI-NP\tO' -p40266 -aS'is\tbe\tVBZ\tB-VP\tO' -p40267 -aS'a\ta\tDT\tB-NP\tO' -p40268 -aS'40\t40\tCD\tI-NP\tO' -p40269 -aS'year\tyear\tNN\tI-NP\tO' -p40270 -aS'old\told\tJJ\tI-NP\tO' -p40271 -aS'woman\twoman\tNN\tI-NP\tO' -p40272 -aS'with\twith\tIN\tB-PP\tO' -p40273 -aS'end\tend\tNN\tB-NP\tO' -p40274 -aS'stage\tstage\tNN\tI-NP\tO' -p40275 -aS'renal\trenal\tJJ\tI-NP\tO' -p40276 -aS'disease\tdisease\tNN\tI-NP\tO' -p40277 -aS',\t,\t,\tO\tO' -p40278 -aS'on\ton\tIN\tB-PP\tO' -p40279 -aS'hemodialysis\themodialysis\tNN\tB-NP\tB-protein' -p40280 -aS'since\tsince\tIN\tB-PP\tI-protein' -p40281 -aS'12/91\t12/91\tCD\tB-NP\tI-protein' -p40282 -aS'.\t.\t.\tO\tO' -p40283 -asS'Magnetic resonance imaging was negative except for some microvascular cerebral white matter changes .' -p40284 -(lp40285 -S'Magnetic\tMagnetic\tJJ\tB-NP\tO' -p40286 -aS'resonance\tresonance\tNN\tI-NP\tO' -p40287 -aS'imaging\timaging\tNN\tI-NP\tO' -p40288 -aS'was\tbe\tVBD\tB-VP\tO' -p40289 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p40290 -aS'except\texcept\tIN\tB-PP\tO' -p40291 -aS'for\tfor\tIN\tB-PP\tO' -p40292 -aS'some\tsome\tDT\tB-NP\tO' -p40293 -aS'microvascular\tmicrovascular\tJJ\tI-NP\tO' -p40294 -aS'cerebral\tcerebral\tJJ\tI-NP\tO' -p40295 -aS'white\twhite\tJJ\tI-NP\tO' -p40296 -aS'matter\tmatter\tNN\tI-NP\tO' -p40297 -aS'changes\tchange\tNNS\tI-NP\tO' -p40298 -aS'.\t.\t.\tO\tO' -p40299 -asS'The heart was regular rate and rhythm , S4 , S1 , S2 , with a I / VI systolic murmur at the left lower sternal border .' -p40300 -(lp40301 -S'The\tThe\tDT\tB-NP\tO' -p40302 -aS'heart\theart\tNN\tI-NP\tO' -p40303 -aS'was\tbe\tVBD\tB-VP\tO' -p40304 -aS'regular\tregular\tJJ\tB-NP\tO' -p40305 -aS'rate\trate\tNN\tI-NP\tO' -p40306 -aS'and\tand\tCC\tI-NP\tO' -p40307 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p40308 -aS',\t,\t,\tO\tO' -p40309 -aS'S4\tS4\tNN\tB-NP\tB-protein' -p40310 -aS',\t,\t,\tO\tO' -p40311 -aS'S1\tS1\tNN\tB-NP\tB-protein' -p40312 -aS',\t,\t,\tO\tO' -p40313 -aS'S2\tS2\tNN\tB-NP\tB-protein' -p40314 -aS',\t,\t,\tO\tO' -p40315 -aS'with\twith\tIN\tB-PP\tO' -p40316 -aS'a\ta\tDT\tB-NP\tO' -p40317 -aS'I\tI\tNN\tI-NP\tO' -p40318 -aS'/\t/\tSYM\tB-NP\tO' -p40319 -aS'VI\tVI\tNN\tI-NP\tO' -p40320 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p40321 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p40322 -aS'at\tat\tIN\tB-PP\tO' -p40323 -aS'the\tthe\tDT\tB-NP\tO' -p40324 -aS'left\tleft\tJJ\tI-NP\tO' -p40325 -aS'lower\tlow\tJJR\tI-NP\tO' -p40326 -aS'sternal\tsternal\tJJ\tI-NP\tO' -p40327 -aS'border\tborder\tNN\tI-NP\tO' -p40328 -aS'.\t.\t.\tO\tO' -p40329 -asS'4. Gastritis .' -p40330 -(lp40331 -S'4.\t4.\tLS\tB-NP\tO' -p40332 -aS'Gastritis\tGastritis\tNN\tI-NP\tO' -p40333 -aS'.\t.\t.\tO\tO' -p40334 -asS'Anicteric sclera bilat .' -p40335 -(lp40336 -S'Anicteric\tAnicteric\tJJ\tB-NP\tO' -p40337 -aS'sclera\tsclera\tNN\tI-NP\tO' -p40338 -aS'bilat\tbilat\tNN\tI-NP\tO' -p40339 -aS'.\t.\t.\tO\tO' -p40340 -asS'4. depression : continue escitalopram ; assess need to change medication as an outpatient .' -p40341 -(lp40342 -S'4.\t4.\tCD\tB-NP\tO' -p40343 -aS'depression\tdepression\tNN\tI-NP\tO' -p40344 -aS':\t:\t:\tO\tO' -p40345 -aS'continue\tcontinue\tVB\tB-VP\tO' -p40346 -aS'escitalopram\tescitalopram\tNN\tB-NP\tO' -p40347 -aS';\t;\t:\tO\tO' -p40348 -aS'assess\tassess\tNN\tB-NP\tO' -p40349 -aS'need\tneed\tVBP\tB-VP\tO' -p40350 -aS'to\tto\tTO\tI-VP\tO' -p40351 -aS'change\tchange\tVB\tI-VP\tO' -p40352 -aS'medication\tmedication\tNN\tB-NP\tO' -p40353 -aS'as\tas\tIN\tB-PP\tO' -p40354 -aS'an\tan\tDT\tB-NP\tO' -p40355 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p40356 -aS'.\t.\t.\tO\tO' -p40357 -asS'Overall appearances are essentially unchanged since the prior film of 2013-02-20 , apart from removal of the ET tube .' -p40358 -(lp40359 -S'Overall\tOverall\tJJ\tB-NP\tO' -p40360 -aS'appearances\tappearance\tNNS\tI-NP\tO' -p40361 -aS'are\tbe\tVBP\tB-VP\tO' -p40362 -aS'essentially\tessentially\tRB\tB-ADJP\tO' -p40363 -aS'unchanged\tunchanged\tJJ\tI-ADJP\tO' -p40364 -aS'since\tsince\tIN\tB-PP\tO' -p40365 -aS'the\tthe\tDT\tB-NP\tO' -p40366 -aS'prior\tprior\tJJ\tI-NP\tO' -p40367 -aS'film\tfilm\tNN\tI-NP\tO' -p40368 -aS'of\tof\tIN\tB-PP\tO' -p40369 -aS'2013-02-20\t2013-02-20\tCD\tB-NP\tO' -p40370 -aS',\t,\t,\tO\tO' -p40371 -aS'apart\tapart\tRB\tB-ADVP\tO' -p40372 -aS'from\tfrom\tIN\tB-PP\tO' -p40373 -aS'removal\tremoval\tNN\tB-NP\tO' -p40374 -aS'of\tof\tIN\tB-PP\tO' -p40375 -aS'the\tthe\tDT\tB-NP\tO' -p40376 -aS'ET\tET\tNN\tI-NP\tB-DNA' -p40377 -aS'tube\ttube\tNN\tI-NP\tI-DNA' -p40378 -aS'.\t.\t.\tO\tO' -p40379 -asS'Heart rate 108 , blood pressure 140/82 , oxygen saturation 96% , respiratory rate of 22 on BiPAP 5/10/30% .' -p40380 -(lp40381 -S'Heart\tHeart\tNN\tB-NP\tO' -p40382 -aS'rate\trate\tNN\tI-NP\tO' -p40383 -aS'108\t108\tCD\tI-NP\tO' -p40384 -aS',\t,\t,\tO\tO' -p40385 -aS'blood\tblood\tNN\tB-NP\tO' -p40386 -aS'pressure\tpressure\tNN\tI-NP\tO' -p40387 -aS'140/82\t140/82\tCD\tI-NP\tO' -p40388 -aS',\t,\t,\tO\tO' -p40389 -aS'oxygen\toxygen\tNN\tB-NP\tB-protein' -p40390 -aS'saturation\tsaturation\tNN\tI-NP\tI-protein' -p40391 -aS'96%\t96%\tCD\tI-NP\tI-protein' -p40392 -aS',\t,\t,\tO\tO' -p40393 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p40394 -aS'rate\trate\tNN\tI-NP\tO' -p40395 -aS'of\tof\tIN\tB-PP\tO' -p40396 -aS'22\t22\tCD\tB-NP\tO' -p40397 -aS'on\ton\tIN\tB-PP\tO' -p40398 -aS'BiPAP\tBiPAP\tNN\tB-NP\tB-protein' -p40399 -aS'5/10/30%\t5/10/30%\tCD\tI-NP\tI-protein' -p40400 -aS'.\t.\t.\tO\tO' -p40401 -asS'Albumin was 2.3 .' -p40402 -(lp40403 -S'Albumin\tAlbumin\tNNP\tB-NP\tO' -p40404 -aS'was\tbe\tVBD\tB-VP\tO' -p40405 -aS'2.3\t2.3\tCD\tB-NP\tO' -p40406 -aS'.\t.\t.\tO\tO' -p40407 -asS'PENICILLIN .' -p40408 -(lp40409 -S'PENICILLIN\tPENICILLIN\tNN\tB-NP\tB-protein' -p40410 -aS'.\t.\t.\tO\tO' -p40411 -asS'Son is next of kin .' -p40412 -(lp40413 -S'Son\tSon\tNNP\tB-NP\tO' -p40414 -aS'is\tbe\tVBZ\tB-VP\tO' -p40415 -aS'next\tnext\tJJ\tB-ADJP\tO' -p40416 -aS'of\tof\tIN\tB-PP\tO' -p40417 -aS'kin\tkin\tNN\tB-NP\tO' -p40418 -aS'.\t.\t.\tO\tO' -p40419 -asS'Neurologically , mental status examination is normal .' -p40420 -(lp40421 -S'Neurologically\tNeurologically\tRB\tB-ADVP\tO' -p40422 -aS',\t,\t,\tO\tO' -p40423 -aS'mental\tmental\tJJ\tB-NP\tO' -p40424 -aS'status\tstatus\tNN\tI-NP\tO' -p40425 -aS'examination\texamination\tNN\tI-NP\tO' -p40426 -aS'is\tbe\tVBZ\tB-VP\tO' -p40427 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p40428 -aS'.\t.\t.\tO\tO' -p40429 -asS'Patient expired after the endotracheal tube was withdrawn at 6:40 p.m.' -p40430 -(lp40431 -S'Patient\tPatient\tNN\tB-NP\tO' -p40432 -aS'expired\texpire\tVBD\tB-VP\tO' -p40433 -aS'after\tafter\tIN\tB-PP\tO' -p40434 -aS'the\tthe\tDT\tB-NP\tO' -p40435 -aS'endotracheal\tendotracheal\tJJ\tI-NP\tO' -p40436 -aS'tube\ttube\tNN\tI-NP\tO' -p40437 -aS'was\tbe\tVBD\tB-VP\tO' -p40438 -aS'withdrawn\twithdraw\tVBN\tI-VP\tO' -p40439 -aS'at\tat\tIN\tB-PP\tO' -p40440 -aS'6:40\t6:40\tCD\tB-NP\tO' -p40441 -aS'p.m.\tp.m.\tNN\tI-NP\tO' -p40442 -asS'Smokes 1 pack-per-day for 15 years but had quit for 20 years and recently restarted .' -p40443 -(lp40444 -S'Smokes\tSmoke\tNNS\tB-NP\tO' -p40445 -aS'1\t1\tCD\tI-NP\tO' -p40446 -aS'pack-per-day\tpack-per-day\tNN\tI-NP\tO' -p40447 -aS'for\tfor\tIN\tB-PP\tO' -p40448 -aS'15\t15\tCD\tB-NP\tO' -p40449 -aS'years\tyear\tNNS\tI-NP\tO' -p40450 -aS'but\tbut\tCC\tO\tO' -p40451 -aS'had\thave\tVBD\tB-VP\tO' -p40452 -aS'quit\tquit\tVBN\tI-VP\tO' -p40453 -aS'for\tfor\tIN\tB-PP\tO' -p40454 -aS'20\t20\tCD\tB-NP\tO' -p40455 -aS'years\tyear\tNNS\tI-NP\tO' -p40456 -aS'and\tand\tCC\tO\tO' -p40457 -aS'recently\trecently\tRB\tB-VP\tO' -p40458 -aS'restarted\trestart\tVBD\tI-VP\tO' -p40459 -aS'.\t.\t.\tO\tO' -p40460 -asS'Surgery was consulted and Dr. Boston took patient to OR for exploration of cord on 04-01 .' -p40461 -(lp40462 -S'Surgery\tSurgery\tNN\tB-NP\tO' -p40463 -aS'was\tbe\tVBD\tB-VP\tO' -p40464 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p40465 -aS'and\tand\tCC\tO\tO' -p40466 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p40467 -aS'Boston\tBoston\tNNP\tI-NP\tO' -p40468 -aS'took\ttake\tVBD\tB-VP\tO' -p40469 -aS'patient\tpatient\tNN\tB-NP\tO' -p40470 -aS'to\tto\tTO\tB-PP\tO' -p40471 -aS'OR\tOR\tNN\tB-NP\tB-protein' -p40472 -aS'for\tfor\tIN\tB-PP\tO' -p40473 -aS'exploration\texploration\tNN\tB-NP\tO' -p40474 -aS'of\tof\tIN\tB-PP\tO' -p40475 -aS'cord\tcord\tNN\tB-NP\tO' -p40476 -aS'on\ton\tIN\tB-PP\tO' -p40477 -aS'04-01\t04-01\tCD\tB-NP\tO' -p40478 -aS'.\t.\t.\tO\tO' -p40479 -asS'1. Bucket handle medial meniscal tear with flipped fragment in the intercondylar notch .' -p40480 -(lp40481 -S'1.\t1.\tLS\tB-NP\tO' -p40482 -aS'Bucket\tBucket\tNN\tI-NP\tO' -p40483 -aS'handle\thandle\tVB\tB-VP\tO' -p40484 -aS'medial\tmedial\tJJ\tB-NP\tO' -p40485 -aS'meniscal\tmeniscal\tJJ\tI-NP\tO' -p40486 -aS'tear\ttear\tNN\tI-NP\tO' -p40487 -aS'with\twith\tIN\tB-PP\tO' -p40488 -aS'flipped\tflipped\tJJ\tB-NP\tB-protein' -p40489 -aS'fragment\tfragment\tNN\tI-NP\tI-protein' -p40490 -aS'in\tin\tIN\tB-PP\tO' -p40491 -aS'the\tthe\tDT\tB-NP\tO' -p40492 -aS'intercondylar\tintercondylar\tJJ\tI-NP\tO' -p40493 -aS'notch\tnotch\tNN\tI-NP\tO' -p40494 -aS'.\t.\t.\tO\tO' -p40495 -asS'On transfer , she was on her preadmission medications plus Unasyn and Tigan 250 mg p.o. q.6h. p.r.n.' -p40496 -(lp40497 -S'On\tOn\tIN\tB-PP\tO' -p40498 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p40499 -aS',\t,\t,\tO\tO' -p40500 -aS'she\tshe\tPRP\tB-NP\tO' -p40501 -aS'was\tbe\tVBD\tB-VP\tO' -p40502 -aS'on\ton\tIN\tB-PP\tO' -p40503 -aS'her\ther\tPRP$\tB-NP\tO' -p40504 -aS'preadmission\tpreadmission\tNN\tI-NP\tO' -p40505 -aS'medications\tmedication\tNNS\tI-NP\tO' -p40506 -aS'plus\tplus\tCC\tO\tO' -p40507 -aS'Unasyn\tUnasyn\tNN\tB-NP\tO' -p40508 -aS'and\tand\tCC\tI-NP\tO' -p40509 -aS'Tigan\tTigan\tNN\tI-NP\tO' -p40510 -aS'250\t250\tCD\tI-NP\tO' -p40511 -aS'mg\tmg\tNN\tI-NP\tO' -p40512 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p40513 -aS'q.6h.\tq.6h.\tNN\tI-NP\tO' -p40514 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p40515 -asS'Keep your appointments .' -p40516 -(lp40517 -S'Keep\tKeep\tVB\tB-VP\tO' -p40518 -aS'your\tyour\tPRP$\tB-NP\tO' -p40519 -aS'appointments\tappointment\tNNS\tI-NP\tO' -p40520 -aS'.\t.\t.\tO\tO' -p40521 -asS'She was subsequently referred to Dr. Ko for a possible resection of this carcinoma .' -p40522 -(lp40523 -S'She\tShe\tPRP\tB-NP\tO' -p40524 -aS'was\tbe\tVBD\tB-VP\tO' -p40525 -aS'subsequently\tsubsequently\tRB\tI-VP\tO' -p40526 -aS'referred\trefer\tVBN\tI-VP\tO' -p40527 -aS'to\tto\tTO\tB-PP\tO' -p40528 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p40529 -aS'Ko\tKo\tNNP\tI-NP\tO' -p40530 -aS'for\tfor\tIN\tB-PP\tO' -p40531 -aS'a\ta\tDT\tB-NP\tO' -p40532 -aS'possible\tpossible\tJJ\tI-NP\tO' -p40533 -aS'resection\tresection\tNN\tI-NP\tO' -p40534 -aS'of\tof\tIN\tB-PP\tO' -p40535 -aS'this\tthis\tDT\tB-NP\tO' -p40536 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p40537 -aS'.\t.\t.\tO\tO' -p40538 -asS'Calcium 8.7 , bilirubin 0.3/1.3 , creatinine 1.1 , glucose 128 .' -p40539 -(lp40540 -S'Calcium\tCalcium\tNN\tB-NP\tO' -p40541 -aS'8.7\t8.7\tCD\tI-NP\tO' -p40542 -aS',\t,\t,\tO\tO' -p40543 -aS'bilirubin\tbilirubin\tNN\tB-NP\tO' -p40544 -aS'0.3/1.3\t0.3/1.3\tCD\tI-NP\tO' -p40545 -aS',\t,\t,\tO\tO' -p40546 -aS'creatinine\tcreatinine\tNN\tB-NP\tB-protein' -p40547 -aS'1.1\t1.1\tCD\tI-NP\tI-protein' -p40548 -aS',\t,\t,\tO\tO' -p40549 -aS'glucose\tglucose\tNN\tB-NP\tO' -p40550 -aS'128\t128\tCD\tI-NP\tO' -p40551 -aS'.\t.\t.\tO\tO' -p40552 -asS'She has been started on several new medications which are important to protect her heart .' -p40553 -(lp40554 -S'She\tShe\tPRP\tB-NP\tO' -p40555 -aS'has\thave\tVBZ\tB-VP\tO' -p40556 -aS'been\tbe\tVBN\tI-VP\tO' -p40557 -aS'started\tstart\tVBN\tI-VP\tO' -p40558 -aS'on\ton\tIN\tB-PP\tO' -p40559 -aS'several\tseveral\tJJ\tB-NP\tO' -p40560 -aS'new\tnew\tJJ\tI-NP\tO' -p40561 -aS'medications\tmedication\tNNS\tI-NP\tO' -p40562 -aS'which\twhich\tWDT\tB-NP\tO' -p40563 -aS'are\tbe\tVBP\tB-VP\tO' -p40564 -aS'important\timportant\tJJ\tB-ADJP\tO' -p40565 -aS'to\tto\tTO\tB-VP\tO' -p40566 -aS'protect\tprotect\tVB\tI-VP\tO' -p40567 -aS'her\ther\tPRP$\tB-NP\tO' -p40568 -aS'heart\theart\tNN\tI-NP\tO' -p40569 -aS'.\t.\t.\tO\tO' -p40570 -asS'A CT was performed in the Deanna that showed a new significant R-frontal intraparenchymal hemorrhage in the same location as the prior bleed .' -p40571 -(lp40572 -S'A\tA\tDT\tB-NP\tO' -p40573 -aS'CT\tCT\tNN\tI-NP\tB-protein' -p40574 -aS'was\tbe\tVBD\tB-VP\tO' -p40575 -aS'performed\tperform\tVBN\tI-VP\tO' -p40576 -aS'in\tin\tIN\tB-PP\tO' -p40577 -aS'the\tthe\tDT\tB-NP\tO' -p40578 -aS'Deanna\tDeanna\tNNP\tI-NP\tO' -p40579 -aS'that\tthat\tWDT\tB-NP\tO' -p40580 -aS'showed\tshow\tVBD\tB-VP\tO' -p40581 -aS'a\ta\tDT\tB-NP\tO' -p40582 -aS'new\tnew\tJJ\tI-NP\tO' -p40583 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p40584 -aS'R-frontal\tR-frontal\tJJ\tI-NP\tO' -p40585 -aS'intraparenchymal\tintraparenchymal\tJJ\tI-NP\tO' -p40586 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p40587 -aS'in\tin\tIN\tB-PP\tO' -p40588 -aS'the\tthe\tDT\tB-NP\tO' -p40589 -aS'same\tsame\tJJ\tI-NP\tO' -p40590 -aS'location\tlocation\tNN\tI-NP\tO' -p40591 -aS'as\tas\tIN\tB-PP\tO' -p40592 -aS'the\tthe\tDT\tB-NP\tO' -p40593 -aS'prior\tprior\tJJ\tI-NP\tO' -p40594 -aS'bleed\tbleed\tNN\tI-NP\tO' -p40595 -aS'.\t.\t.\tO\tO' -p40596 -asS'CT chest at Erich Lindemann Mental Health Center 05-25 : large pericardial effusion , bilat pleural eff with underlying consolidation which could represent PNA vs. atelectasis' -p40597 -(lp40598 -S'CT\tCT\tNN\tB-NP\tO' -p40599 -aS'chest\tchest\tNN\tI-NP\tO' -p40600 -aS'at\tat\tIN\tB-PP\tO' -p40601 -aS'Erich\tErich\tNNP\tB-NP\tO' -p40602 -aS'Lindemann\tLindemann\tNNP\tI-NP\tO' -p40603 -aS'Mental\tMental\tNNP\tI-NP\tO' -p40604 -aS'Health\tHealth\tNNP\tI-NP\tO' -p40605 -aS'Center\tCenter\tNNP\tI-NP\tO' -p40606 -aS'05-25\t05-25\tCD\tI-NP\tO' -p40607 -aS':\t:\t:\tO\tO' -p40608 -aS'large\tlarge\tJJ\tB-NP\tO' -p40609 -aS'pericardial\tpericardial\tJJ\tI-NP\tO' -p40610 -aS'effusion\teffusion\tNN\tI-NP\tO' -p40611 -aS',\t,\t,\tO\tO' -p40612 -aS'bilat\tbilat\tJJ\tB-NP\tO' -p40613 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p40614 -aS'eff\teff\tNN\tI-NP\tO' -p40615 -aS'with\twith\tIN\tB-PP\tO' -p40616 -aS'underlying\tunderlie\tVBG\tB-VP\tO' -p40617 -aS'consolidation\tconsolidation\tNN\tB-NP\tO' -p40618 -aS'which\twhich\tWDT\tB-NP\tO' -p40619 -aS'could\tcould\tMD\tB-VP\tO' -p40620 -aS'represent\trepresent\tVB\tI-VP\tO' -p40621 -aS'PNA\tPNA\tNN\tB-NP\tB-protein' -p40622 -aS'vs.\tvs.\tIN\tB-PP\tO' -p40623 -aS'atelectasis\tatelectasis\tNN\tB-NP\tO' -p40624 -asS'A computerized tomography scan done on 4/16/95 showed a large " pseudocyst " .' -p40625 -(lp40626 -S'A\tA\tDT\tB-NP\tO' -p40627 -aS'computerized\tcomputerized\tJJ\tI-NP\tO' -p40628 -aS'tomography\ttomography\tNN\tI-NP\tO' -p40629 -aS'scan\tscan\tNN\tI-NP\tO' -p40630 -aS'done\tdo\tVBN\tB-VP\tO' -p40631 -aS'on\ton\tIN\tB-PP\tO' -p40632 -aS'4/16/95\t4/16/95\tCD\tB-NP\tO' -p40633 -aS'showed\tshow\tVBD\tB-VP\tO' -p40634 -aS'a\ta\tDT\tB-NP\tO' -p40635 -aS'large\tlarge\tJJ\tI-NP\tO' -p40636 -aS'"\t"\tCC\tI-NP\tO' -p40637 -aS'pseudocyst\tpseudocyst\tNN\tI-NP\tO' -p40638 -aS'"\t"\tNN\tI-NP\tO' -p40639 -aS'.\t.\t.\tO\tO' -p40640 -asS'She was to followup with Maternal Fetal Medicine in 5 to 7 days .' -p40641 -(lp40642 -S'She\tShe\tPRP\tB-NP\tO' -p40643 -aS'was\tbe\tVBD\tB-VP\tO' -p40644 -aS'to\tto\tTO\tB-VP\tO' -p40645 -aS'followup\tfollowup\tVB\tI-VP\tO' -p40646 -aS'with\twith\tIN\tB-PP\tO' -p40647 -aS'Maternal\tMaternal\tNNP\tB-NP\tO' -p40648 -aS'Fetal\tFetal\tNNP\tI-NP\tO' -p40649 -aS'Medicine\tMedicine\tNNP\tI-NP\tO' -p40650 -aS'in\tin\tIN\tB-PP\tO' -p40651 -aS'5\t5\tCD\tB-NP\tO' -p40652 -aS'to\tto\tTO\tI-NP\tO' -p40653 -aS'7\t7\tCD\tI-NP\tO' -p40654 -aS'days\tday\tNNS\tI-NP\tO' -p40655 -aS'.\t.\t.\tO\tO' -p40656 -asS'Hemodynamic monitoring revealed low systemic vascular resistance and high cardiac output .' -p40657 -(lp40658 -S'Hemodynamic\tHemodynamic\tJJ\tB-NP\tO' -p40659 -aS'monitoring\tmonitoring\tNN\tI-NP\tO' -p40660 -aS'revealed\treveal\tVBD\tB-VP\tO' -p40661 -aS'low\tlow\tJJ\tB-NP\tO' -p40662 -aS'systemic\tsystemic\tJJ\tI-NP\tO' -p40663 -aS'vascular\tvascular\tJJ\tI-NP\tO' -p40664 -aS'resistance\tresistance\tNN\tI-NP\tO' -p40665 -aS'and\tand\tCC\tO\tO' -p40666 -aS'high\thigh\tJJ\tB-NP\tO' -p40667 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p40668 -aS'output\toutput\tNN\tI-NP\tO' -p40669 -aS'.\t.\t.\tO\tO' -p40670 -asS'Urinalysis is pending .' -p40671 -(lp40672 -S'Urinalysis\tUrinalysis\tNN\tB-NP\tO' -p40673 -aS'is\tbe\tVBZ\tB-VP\tO' -p40674 -aS'pending\tpende\tVBG\tB-ADJP\tO' -p40675 -aS'.\t.\t.\tO\tO' -p40676 -asS'She reports no prior surgical history .' -p40677 -(lp40678 -S'She\tShe\tPRP\tB-NP\tO' -p40679 -aS'reports\treport\tVBZ\tB-VP\tO' -p40680 -aS'no\tno\tDT\tB-NP\tO' -p40681 -aS'prior\tprior\tRB\tI-NP\tO' -p40682 -aS'surgical\tsurgical\tJJ\tI-NP\tO' -p40683 -aS'history\thistory\tNN\tI-NP\tO' -p40684 -aS'.\t.\t.\tO\tO' -p40685 -asS'At surgery , the descending aorta was noted to be calcified , and an intraoperative transesophageal echocardiogram revealed an irregular intra-aortic pedunculated lesion .' -p40686 -(lp40687 -S'At\tAt\tIN\tB-PP\tO' -p40688 -aS'surgery\tsurgery\tNN\tB-NP\tO' -p40689 -aS',\t,\t,\tO\tO' -p40690 -aS'the\tthe\tDT\tB-NP\tO' -p40691 -aS'descending\tdescend\tVBG\tI-NP\tO' -p40692 -aS'aorta\taorta\tNN\tI-NP\tO' -p40693 -aS'was\tbe\tVBD\tB-VP\tO' -p40694 -aS'noted\tnote\tVBN\tI-VP\tO' -p40695 -aS'to\tto\tTO\tI-VP\tO' -p40696 -aS'be\tbe\tVB\tI-VP\tO' -p40697 -aS'calcified\tcalcify\tVBN\tI-VP\tO' -p40698 -aS',\t,\t,\tO\tO' -p40699 -aS'and\tand\tCC\tO\tO' -p40700 -aS'an\tan\tDT\tB-NP\tO' -p40701 -aS'intraoperative\tintraoperative\tJJ\tI-NP\tO' -p40702 -aS'transesophageal\ttransesophageal\tJJ\tI-NP\tO' -p40703 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p40704 -aS'revealed\treveal\tVBD\tB-VP\tO' -p40705 -aS'an\tan\tDT\tB-NP\tO' -p40706 -aS'irregular\tirregular\tJJ\tI-NP\tO' -p40707 -aS'intra-aortic\tintra-aortic\tJJ\tI-NP\tO' -p40708 -aS'pedunculated\tpedunculated\tJJ\tI-NP\tO' -p40709 -aS'lesion\tlesion\tNN\tI-NP\tO' -p40710 -aS'.\t.\t.\tO\tO' -p40711 -asS'Vancomycin was added when we had the positive blood culture .' -p40712 -(lp40713 -S'Vancomycin\tVancomycin\tNN\tB-NP\tO' -p40714 -aS'was\tbe\tVBD\tB-VP\tO' -p40715 -aS'added\tadd\tVBN\tI-VP\tO' -p40716 -aS'when\twhen\tWRB\tB-ADVP\tO' -p40717 -aS'we\twe\tPRP\tB-NP\tO' -p40718 -aS'had\thave\tVBD\tB-VP\tO' -p40719 -aS'the\tthe\tDT\tB-NP\tO' -p40720 -aS'positive\tpositive\tJJ\tI-NP\tO' -p40721 -aS'blood\tblood\tNN\tI-NP\tO' -p40722 -aS'culture\tculture\tNN\tI-NP\tO' -p40723 -aS'.\t.\t.\tO\tO' -p40724 -asS'Normal contrast enhancement seen in the left common/internal carotid artery stent .' -p40725 -(lp40726 -S'Normal\tNormal\tJJ\tB-NP\tO' -p40727 -aS'contrast\tcontrast\tNN\tI-NP\tO' -p40728 -aS'enhancement\tenhancement\tNN\tI-NP\tO' -p40729 -aS'seen\tsee\tVBN\tB-VP\tO' -p40730 -aS'in\tin\tIN\tB-PP\tO' -p40731 -aS'the\tthe\tDT\tB-NP\tO' -p40732 -aS'left\tleft\tJJ\tI-NP\tO' -p40733 -aS'common/internal\tcommon/internal\tJJ\tI-NP\tO' -p40734 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p40735 -aS'artery\tartery\tNN\tI-NP\tO' -p40736 -aS'stent\tstent\tNN\tI-NP\tO' -p40737 -aS'.\t.\t.\tO\tO' -p40738 -asS'4. Fluticasone-Salmeterol 250-50 mcg / Dose Disk with Device Sig : One ( 1 ) Disk with Device Inhalation BID ( 2 times a day ).' -p40739 -(lp40740 -S'4.\t4.\tLS\tB-NP\tO' -p40741 -aS'Fluticasone-Salmeterol\tFluticasone-Salmeterol\tNN\tI-NP\tO' -p40742 -aS'250-50\t250-50\tCD\tI-NP\tO' -p40743 -aS'mcg\tmcg\tNN\tI-NP\tO' -p40744 -aS'/\t/\tSYM\tB-NP\tO' -p40745 -aS'Dose\tDose\tNN\tI-NP\tO' -p40746 -aS'Disk\tDisk\tNN\tI-NP\tO' -p40747 -aS'with\twith\tIN\tB-PP\tO' -p40748 -aS'Device\tDevice\tNNP\tB-NP\tO' -p40749 -aS'Sig\tSig\tNNP\tI-NP\tO' -p40750 -aS':\t:\t:\tO\tO' -p40751 -aS'One\tOne\tCD\tB-NP\tO' -p40752 -aS'(\t(\t(\tO\tO' -p40753 -aS'1\t1\tCD\tB-NP\tO' -p40754 -aS')\t)\t)\tO\tO' -p40755 -aS'Disk\tDisk\tNN\tB-NP\tO' -p40756 -aS'with\twith\tIN\tB-PP\tO' -p40757 -aS'Device\tDevice\tNN\tB-NP\tO' -p40758 -aS'Inhalation\tInhalation\tNN\tI-NP\tO' -p40759 -aS'BID\tBID\tNN\tI-NP\tO' -p40760 -aS'(\t(\t(\tO\tO' -p40761 -aS'2\t2\tCD\tB-NP\tO' -p40762 -aS'times\ttime\tNNS\tI-NP\tO' -p40763 -aS'a\ta\tDT\tB-NP\tO' -p40764 -aS'day\tday\tNN\tI-NP\tO' -p40765 -aS').\t).\t.\tO\tO' -p40766 -asS'Her cholesterol was 350 here .' -p40767 -(lp40768 -S'Her\tHer\tPRP$\tB-NP\tO' -p40769 -aS'cholesterol\tcholesterol\tNN\tI-NP\tO' -p40770 -aS'was\tbe\tVBD\tB-VP\tO' -p40771 -aS'350\t350\tCD\tB-NP\tO' -p40772 -aS'here\there\tRB\tB-ADVP\tO' -p40773 -aS'.\t.\t.\tO\tO' -p40774 -asS'Brain CT was negative , as was a bronchoscopy with lavage .' -p40775 -(lp40776 -S'Brain\tBrain\tNN\tB-NP\tO' -p40777 -aS'CT\tCT\tNN\tI-NP\tO' -p40778 -aS'was\tbe\tVBD\tB-VP\tO' -p40779 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p40780 -aS',\t,\t,\tO\tO' -p40781 -aS'as\tas\tIN\tB-SBAR\tO' -p40782 -aS'was\tbe\tVBD\tB-VP\tO' -p40783 -aS'a\ta\tDT\tB-NP\tO' -p40784 -aS'bronchoscopy\tbronchoscopy\tNN\tI-NP\tO' -p40785 -aS'with\twith\tIN\tB-PP\tO' -p40786 -aS'lavage\tlavage\tNN\tB-NP\tO' -p40787 -aS'.\t.\t.\tO\tO' -p40788 -asS'In short , frozen pathology from the uterus showed that there was a grade 1 cancer with no invasion of the myometrium .' -p40789 -(lp40790 -S'In\tIn\tIN\tB-PP\tO' -p40791 -aS'short\tshort\tJJ\tB-NP\tO' -p40792 -aS',\t,\t,\tI-NP\tO' -p40793 -aS'frozen\tfrozen\tJJ\tI-NP\tO' -p40794 -aS'pathology\tpathology\tNN\tI-NP\tO' -p40795 -aS'from\tfrom\tIN\tB-PP\tO' -p40796 -aS'the\tthe\tDT\tB-NP\tO' -p40797 -aS'uterus\tuterus\tNN\tI-NP\tO' -p40798 -aS'showed\tshow\tVBD\tB-VP\tO' -p40799 -aS'that\tthat\tIN\tB-SBAR\tO' -p40800 -aS'there\tthere\tEX\tB-NP\tO' -p40801 -aS'was\tbe\tVBD\tB-VP\tO' -p40802 -aS'a\ta\tDT\tB-NP\tO' -p40803 -aS'grade\tgrade\tNN\tI-NP\tO' -p40804 -aS'1\t1\tCD\tI-NP\tO' -p40805 -aS'cancer\tcancer\tNN\tI-NP\tO' -p40806 -aS'with\twith\tIN\tB-PP\tO' -p40807 -aS'no\tno\tDT\tB-NP\tO' -p40808 -aS'invasion\tinvasion\tNN\tI-NP\tO' -p40809 -aS'of\tof\tIN\tB-PP\tO' -p40810 -aS'the\tthe\tDT\tB-NP\tO' -p40811 -aS'myometrium\tmyometrium\tNN\tI-NP\tO' -p40812 -aS'.\t.\t.\tO\tO' -p40813 -asS'TEF was primarily ruled out as Baker was passed easily to stomach and x-ray revealed good position .' -p40814 -(lp40815 -S'TEF\tTEF\tNN\tB-NP\tB-protein' -p40816 -aS'was\tbe\tVBD\tB-VP\tO' -p40817 -aS'primarily\tprimarily\tRB\tI-VP\tO' -p40818 -aS'ruled\trule\tVBN\tI-VP\tO' -p40819 -aS'out\tout\tRP\tB-PRT\tO' -p40820 -aS'as\tas\tIN\tB-SBAR\tO' -p40821 -aS'Baker\tBaker\tNNP\tB-NP\tO' -p40822 -aS'was\tbe\tVBD\tB-VP\tO' -p40823 -aS'passed\tpass\tVBN\tI-VP\tO' -p40824 -aS'easily\teasily\tRB\tB-ADVP\tO' -p40825 -aS'to\tto\tTO\tB-PP\tO' -p40826 -aS'stomach\tstomach\tNN\tB-NP\tO' -p40827 -aS'and\tand\tCC\tI-NP\tO' -p40828 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p40829 -aS'revealed\treveal\tVBD\tB-VP\tO' -p40830 -aS'good\tgood\tJJ\tB-NP\tO' -p40831 -aS'position\tposition\tNN\tI-NP\tO' -p40832 -aS'.\t.\t.\tO\tO' -p40833 -asS'Hypertension .' -p40834 -(lp40835 -S'Hypertension\tHypertension\tNN\tB-NP\tO' -p40836 -aS'.\t.\t.\tO\tO' -p40837 -asS'11. Furosemide 20 mg Tablet Sig : One ( 1 ) Tablet PO once a day for 2 weeks .' -p40838 -(lp40839 -S'11.\t11.\tCD\tB-NP\tO' -p40840 -aS'Furosemide\tFurosemide\tNN\tI-NP\tO' -p40841 -aS'20\t20\tCD\tB-NP\tO' -p40842 -aS'mg\tmg\tNN\tI-NP\tO' -p40843 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p40844 -aS'Sig\tSig\tNNP\tI-NP\tO' -p40845 -aS':\t:\t:\tO\tO' -p40846 -aS'One\tOne\tCD\tB-NP\tO' -p40847 -aS'(\t(\t(\tO\tO' -p40848 -aS'1\t1\tCD\tB-NP\tO' -p40849 -aS')\t)\t)\tO\tO' -p40850 -aS'Tablet\tTablet\tNN\tB-NP\tB-protein' -p40851 -aS'PO\tPO\tNN\tI-NP\tI-protein' -p40852 -aS'once\tonce\tRB\tO\tO' -p40853 -aS'a\ta\tDT\tB-NP\tO' -p40854 -aS'day\tday\tNN\tI-NP\tO' -p40855 -aS'for\tfor\tIN\tB-PP\tO' -p40856 -aS'2\t2\tCD\tB-NP\tO' -p40857 -aS'weeks\tweek\tNNS\tI-NP\tO' -p40858 -aS'.\t.\t.\tO\tO' -p40859 -asS'STERNAL WOUND INFECTION .' -p40860 -(lp40861 -S'STERNAL\tSTERNAL\tJJ\tB-NP\tO' -p40862 -aS'WOUND\tWOUND\tNN\tI-NP\tO' -p40863 -aS'INFECTION\tINFECTION\tNN\tI-NP\tO' -p40864 -aS'.\t.\t.\tO\tO' -p40865 -asS'Suck and gag present .' -p40866 -(lp40867 -S'Suck\tSuck\tNN\tB-NP\tO' -p40868 -aS'and\tand\tCC\tI-NP\tO' -p40869 -aS'gag\tgag\tNN\tI-NP\tO' -p40870 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p40871 -aS'.\t.\t.\tO\tO' -p40872 -asS'Wound care consult given anasarca to prevent decub .' -p40873 -(lp40874 -S'Wound\tWound\tJJ\tB-NP\tO' -p40875 -aS'care\tcare\tNN\tI-NP\tO' -p40876 -aS'consult\tconsult\tNN\tI-NP\tO' -p40877 -aS'given\tgive\tVBN\tB-VP\tO' -p40878 -aS'anasarca\tanasarca\tNN\tB-NP\tO' -p40879 -aS'to\tto\tTO\tB-VP\tO' -p40880 -aS'prevent\tprevent\tVB\tI-VP\tO' -p40881 -aS'decub\tdecub\tNN\tB-NP\tO' -p40882 -aS'.\t.\t.\tO\tO' -p40883 -asS'Radial , carotid and femoral pulses were symmetric and strong .' -p40884 -(lp40885 -S'Radial\tRadial\tNNP\tB-NP\tO' -p40886 -aS',\t,\t,\tO\tO' -p40887 -aS'carotid\tcarotid\tJJ\tB-NP\tO' -p40888 -aS'and\tand\tCC\tI-NP\tO' -p40889 -aS'femoral\tfemoral\tJJ\tI-NP\tO' -p40890 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p40891 -aS'were\tbe\tVBD\tB-VP\tO' -p40892 -aS'symmetric\tsymmetric\tJJ\tB-ADJP\tO' -p40893 -aS'and\tand\tCC\tI-ADJP\tO' -p40894 -aS'strong\tstrong\tJJ\tI-ADJP\tO' -p40895 -aS'.\t.\t.\tO\tO' -p40896 -asS'Mild PA systolic hypertension .' -p40897 -(lp40898 -S'Mild\tMild\tNNP\tB-NP\tO' -p40899 -aS'PA\tPA\tNNP\tI-NP\tO' -p40900 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p40901 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p40902 -aS'.\t.\t.\tO\tO' -p40903 -asS'3. Atarax 25 mg IV / p.o. q. 4-6 h. prn for itching .' -p40904 -(lp40905 -S'3.\t3.\tLS\tB-NP\tO' -p40906 -aS'Atarax\tAtarax\tNN\tI-NP\tO' -p40907 -aS'25\t25\tCD\tI-NP\tO' -p40908 -aS'mg\tmg\tNN\tI-NP\tO' -p40909 -aS'IV\tIV\tCD\tB-NP\tO' -p40910 -aS'/\t/\tSYM\tI-NP\tO' -p40911 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p40912 -aS'q.\tq.\tNN\tI-NP\tO' -p40913 -aS'4-6\t4-6\tCD\tI-NP\tO' -p40914 -aS'h.\th.\tNN\tI-NP\tO' -p40915 -aS'prn\tprn\tNN\tI-NP\tO' -p40916 -aS'for\tfor\tIN\tB-PP\tO' -p40917 -aS'itching\titch\tVBG\tB-NP\tO' -p40918 -aS'.\t.\t.\tO\tO' -p40919 -asS'Immunostains for cytokeratin AE1/3 and CAM 5.2 , CD-68 , CD-79a , CD-138 , S-100 , LCA absorbed CEA , EMA , CD34 , CD31 , TTF-1 , actin , desmin , MNF-116 , calcitonin , and thyroglobulin are negative .' -p40920 -(lp40921 -S'Immunostains\tImmunostain\tNNS\tB-NP\tO' -p40922 -aS'for\tfor\tIN\tB-PP\tO' -p40923 -aS'cytokeratin\tcytokeratin\tNN\tB-NP\tB-protein' -p40924 -aS'AE1/3\tAE1/3\tNN\tI-NP\tI-protein' -p40925 -aS'and\tand\tCC\tO\tO' -p40926 -aS'CAM\tCAM\tNN\tB-NP\tB-protein' -p40927 -aS'5.2\t5.2\tCD\tI-NP\tI-protein' -p40928 -aS',\t,\t,\tO\tO' -p40929 -aS'CD-68\tCD-68\tNN\tB-NP\tB-protein' -p40930 -aS',\t,\t,\tO\tO' -p40931 -aS'CD-79a\tCD-79a\tNN\tB-NP\tB-protein' -p40932 -aS',\t,\t,\tO\tO' -p40933 -aS'CD-138\tCD-138\tNN\tB-NP\tB-protein' -p40934 -aS',\t,\t,\tO\tO' -p40935 -aS'S-100\tS-100\tNN\tB-NP\tB-protein' -p40936 -aS',\t,\t,\tO\tO' -p40937 -aS'LCA\tLCA\tNN\tB-NP\tB-protein' -p40938 -aS'absorbed\tabsorb\tVBD\tB-VP\tO' -p40939 -aS'CEA\tCEA\tNN\tB-NP\tO' -p40940 -aS',\t,\t,\tO\tO' -p40941 -aS'EMA\tEMA\tNN\tB-NP\tO' -p40942 -aS',\t,\t,\tO\tO' -p40943 -aS'CD34\tCD34\tNN\tB-NP\tB-protein' -p40944 -aS',\t,\t,\tO\tO' -p40945 -aS'CD31\tCD31\tNN\tB-NP\tB-protein' -p40946 -aS',\t,\t,\tO\tO' -p40947 -aS'TTF-1\tTTF-1\tNN\tB-NP\tB-protein' -p40948 -aS',\t,\t,\tO\tO' -p40949 -aS'actin\tactin\tNN\tB-NP\tB-protein' -p40950 -aS',\t,\t,\tO\tO' -p40951 -aS'desmin\tdesmin\tNN\tB-NP\tO' -p40952 -aS',\t,\t,\tO\tO' -p40953 -aS'MNF-116\tMNF-116\tNN\tB-NP\tB-protein' -p40954 -aS',\t,\t,\tO\tO' -p40955 -aS'calcitonin\tcalcitonin\tNN\tB-NP\tB-protein' -p40956 -aS',\t,\t,\tO\tO' -p40957 -aS'and\tand\tCC\tO\tO' -p40958 -aS'thyroglobulin\tthyroglobulin\tNN\tB-NP\tB-protein' -p40959 -aS'are\tbe\tVBP\tB-VP\tO' -p40960 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p40961 -aS'.\t.\t.\tO\tO' -p40962 -asS'Wife reports that he drank a large amt of alcohol ( 12 bottles of beer ) night PTA .' -p40963 -(lp40964 -S'Wife\tWife\tNNP\tB-NP\tO' -p40965 -aS'reports\treport\tVBZ\tB-VP\tO' -p40966 -aS'that\tthat\tIN\tB-SBAR\tO' -p40967 -aS'he\the\tPRP\tB-NP\tO' -p40968 -aS'drank\tdrink\tVBD\tB-VP\tO' -p40969 -aS'a\ta\tDT\tB-NP\tO' -p40970 -aS'large\tlarge\tJJ\tI-NP\tO' -p40971 -aS'amt\tamt\tNN\tI-NP\tO' -p40972 -aS'of\tof\tIN\tB-PP\tO' -p40973 -aS'alcohol\talcohol\tNN\tB-NP\tO' -p40974 -aS'(\t(\t(\tO\tO' -p40975 -aS'12\t12\tCD\tB-NP\tO' -p40976 -aS'bottles\tbottle\tNNS\tI-NP\tO' -p40977 -aS'of\tof\tIN\tB-PP\tO' -p40978 -aS'beer\tbeer\tNN\tB-NP\tO' -p40979 -aS')\t)\t)\tO\tO' -p40980 -aS'night\tnight\tNN\tB-NP\tO' -p40981 -aS'PTA\tPTA\tNN\tI-NP\tO' -p40982 -aS'.\t.\t.\tO\tO' -p40983 -asS'Dr. Asha Vengloan of General Surgery consulted on the patient and concluded the patient does not require any surgical treatment of this problem at the current time and the best treatment for this situation would be to increase the patient 's nutrition .' -p40984 -(lp40985 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p40986 -aS'Asha\tAsha\tNNP\tI-NP\tO' -p40987 -aS'Vengloan\tVengloan\tNNP\tI-NP\tO' -p40988 -aS'of\tof\tIN\tB-PP\tO' -p40989 -aS'General\tGeneral\tNNP\tB-NP\tO' -p40990 -aS'Surgery\tSurgery\tNNP\tI-NP\tO' -p40991 -aS'consulted\tconsult\tVBD\tB-VP\tO' -p40992 -aS'on\ton\tIN\tB-PP\tO' -p40993 -aS'the\tthe\tDT\tB-NP\tO' -p40994 -aS'patient\tpatient\tNN\tI-NP\tO' -p40995 -aS'and\tand\tCC\tO\tO' -p40996 -aS'concluded\tconclude\tVBD\tB-VP\tO' -p40997 -aS'the\tthe\tDT\tB-NP\tO' -p40998 -aS'patient\tpatient\tNN\tI-NP\tO' -p40999 -aS'does\tdo\tVBZ\tB-VP\tO' -p41000 -aS'not\tnot\tRB\tI-VP\tO' -p41001 -aS'require\trequire\tVB\tI-VP\tO' -p41002 -aS'any\tany\tDT\tB-NP\tO' -p41003 -aS'surgical\tsurgical\tJJ\tI-NP\tO' -p41004 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p41005 -aS'of\tof\tIN\tB-PP\tO' -p41006 -aS'this\tthis\tDT\tB-NP\tO' -p41007 -aS'problem\tproblem\tNN\tI-NP\tO' -p41008 -aS'at\tat\tIN\tB-PP\tO' -p41009 -aS'the\tthe\tDT\tB-NP\tO' -p41010 -aS'current\tcurrent\tJJ\tI-NP\tO' -p41011 -aS'time\ttime\tNN\tI-NP\tO' -p41012 -aS'and\tand\tCC\tO\tO' -p41013 -aS'the\tthe\tDT\tB-NP\tO' -p41014 -aS'best\tgood\tJJS\tI-NP\tO' -p41015 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p41016 -aS'for\tfor\tIN\tB-PP\tO' -p41017 -aS'this\tthis\tDT\tB-NP\tO' -p41018 -aS'situation\tsituation\tNN\tI-NP\tO' -p41019 -aS'would\twould\tMD\tB-VP\tO' -p41020 -aS'be\tbe\tVB\tI-VP\tO' -p41021 -aS'to\tto\tTO\tB-VP\tO' -p41022 -aS'increase\tincrease\tVB\tI-VP\tO' -p41023 -aS'the\tthe\tDT\tB-NP\tO' -p41024 -aS'patient\tpatient\tNN\tI-NP\tO' -p41025 -aS''s\t'\tNNS\tI-NP\tO' -p41026 -aS'nutrition\tnutrition\tNN\tI-NP\tO' -p41027 -aS'.\t.\t.\tO\tO' -p41028 -asS'He also required FFP initially to reverse his coagulopathy .' -p41029 -(lp41030 -S'He\tHe\tPRP\tB-NP\tO' -p41031 -aS'also\talso\tRB\tB-ADVP\tO' -p41032 -aS'required\trequire\tVBD\tB-VP\tO' -p41033 -aS'FFP\tFFP\tNN\tB-NP\tB-protein' -p41034 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p41035 -aS'to\tto\tTO\tB-VP\tO' -p41036 -aS'reverse\treverse\tVB\tI-VP\tO' -p41037 -aS'his\this\tPRP$\tB-NP\tO' -p41038 -aS'coagulopathy\tcoagulopathy\tNN\tI-NP\tO' -p41039 -aS'.\t.\t.\tO\tO' -p41040 -asS'Well controlled on Lipitor .' -p41041 -(lp41042 -S'Well\tWell\tRB\tB-ADVP\tO' -p41043 -aS'controlled\tcontrol\tVBN\tB-VP\tO' -p41044 -aS'on\ton\tIN\tB-PP\tO' -p41045 -aS'Lipitor\tLipitor\tNN\tB-NP\tO' -p41046 -aS'.\t.\t.\tO\tO' -p41047 -asS'The patient tolerated the procedure well and there were no complications .' -p41048 -(lp41049 -S'The\tThe\tDT\tB-NP\tO' -p41050 -aS'patient\tpatient\tNN\tI-NP\tO' -p41051 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p41052 -aS'the\tthe\tDT\tB-NP\tO' -p41053 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p41054 -aS'well\twell\tRB\tB-ADVP\tO' -p41055 -aS'and\tand\tCC\tO\tO' -p41056 -aS'there\tthere\tEX\tB-NP\tO' -p41057 -aS'were\tbe\tVBD\tB-VP\tO' -p41058 -aS'no\tno\tDT\tB-NP\tO' -p41059 -aS'complications\tcomplication\tNNS\tI-NP\tO' -p41060 -aS'.\t.\t.\tO\tO' -p41061 -asS'Operative course and recovery were without complication .' -p41062 -(lp41063 -S'Operative\tOperative\tJJ\tB-NP\tO' -p41064 -aS'course\tcourse\tNN\tI-NP\tO' -p41065 -aS'and\tand\tCC\tI-NP\tO' -p41066 -aS'recovery\trecovery\tNN\tI-NP\tO' -p41067 -aS'were\tbe\tVBD\tB-VP\tO' -p41068 -aS'without\twithout\tIN\tB-PP\tO' -p41069 -aS'complication\tcomplication\tNN\tB-NP\tO' -p41070 -aS'.\t.\t.\tO\tO' -p41071 -asS'1. Furosemide 20 mg Tablet Sig : One ( 1 ) Tablet PO once a day for 2 weeks .' -p41072 -(lp41073 -S'1.\t1.\tLS\tB-NP\tO' -p41074 -aS'Furosemide\tFurosemide\tNN\tI-NP\tO' -p41075 -aS'20\t20\tCD\tI-NP\tO' -p41076 -aS'mg\tmg\tNN\tI-NP\tO' -p41077 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p41078 -aS'Sig\tSig\tNNP\tI-NP\tO' -p41079 -aS':\t:\t:\tO\tO' -p41080 -aS'One\tOne\tCD\tB-NP\tO' -p41081 -aS'(\t(\t(\tO\tO' -p41082 -aS'1\t1\tCD\tB-NP\tO' -p41083 -aS')\t)\t)\tO\tO' -p41084 -aS'Tablet\tTablet\tNN\tB-NP\tB-protein' -p41085 -aS'PO\tPO\tNN\tI-NP\tI-protein' -p41086 -aS'once\tonce\tRB\tO\tO' -p41087 -aS'a\ta\tDT\tB-NP\tO' -p41088 -aS'day\tday\tNN\tI-NP\tO' -p41089 -aS'for\tfor\tIN\tB-PP\tO' -p41090 -aS'2\t2\tCD\tB-NP\tO' -p41091 -aS'weeks\tweek\tNNS\tI-NP\tO' -p41092 -aS'.\t.\t.\tO\tO' -p41093 -asS'Continue all your previous medications as directed .' -p41094 -(lp41095 -S'Continue\tContinue\tIN\tB-PP\tO' -p41096 -aS'all\tall\tDT\tB-NP\tO' -p41097 -aS'your\tyour\tPRP$\tI-NP\tO' -p41098 -aS'previous\tprevious\tJJ\tI-NP\tO' -p41099 -aS'medications\tmedication\tNNS\tI-NP\tO' -p41100 -aS'as\tas\tIN\tB-SBAR\tO' -p41101 -aS'directed\tdirect\tVBN\tB-VP\tO' -p41102 -aS'.\t.\t.\tO\tO' -p41103 -asS'He was evaluated by the trauma surgery department and the orthopaedic surgery department .' -p41104 -(lp41105 -S'He\tHe\tPRP\tB-NP\tO' -p41106 -aS'was\tbe\tVBD\tB-VP\tO' -p41107 -aS'evaluated\tevaluate\tVBN\tI-VP\tO' -p41108 -aS'by\tby\tIN\tB-PP\tO' -p41109 -aS'the\tthe\tDT\tB-NP\tO' -p41110 -aS'trauma\ttrauma\tNN\tI-NP\tO' -p41111 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p41112 -aS'department\tdepartment\tNN\tI-NP\tO' -p41113 -aS'and\tand\tCC\tO\tO' -p41114 -aS'the\tthe\tDT\tB-NP\tO' -p41115 -aS'orthopaedic\torthopaedic\tJJ\tI-NP\tO' -p41116 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p41117 -aS'department\tdepartment\tNN\tI-NP\tO' -p41118 -aS'.\t.\t.\tO\tO' -p41119 -asS'NON-Q WAVE MYOCARDIAL INFARCTION .' -p41120 -(lp41121 -S'NON-Q\tNON-Q\tNNP\tB-NP\tO' -p41122 -aS'WAVE\tWAVE\tNNP\tI-NP\tO' -p41123 -aS'MYOCARDIAL\tMYOCARDIAL\tNNP\tI-NP\tO' -p41124 -aS'INFARCTION\tINFARCTION\tNNP\tI-NP\tO' -p41125 -aS'.\t.\t.\tO\tO' -p41126 -asS'Take with 8 oz of plain water SPIRIVA ( TIOTROPIUM ) 18' -p41127 -(lp41128 -S'Take\tTake\tVB\tB-VP\tO' -p41129 -aS'with\twith\tIN\tB-PP\tO' -p41130 -aS'8\t8\tCD\tB-NP\tO' -p41131 -aS'oz\toz\tNN\tI-NP\tO' -p41132 -aS'of\tof\tIN\tB-PP\tO' -p41133 -aS'plain\tplain\tJJ\tB-NP\tO' -p41134 -aS'water\twater\tNN\tI-NP\tO' -p41135 -aS'SPIRIVA\tSPIRIVA\tNN\tI-NP\tO' -p41136 -aS'(\t(\t(\tO\tO' -p41137 -aS'TIOTROPIUM\tTIOTROPIUM\tNN\tB-NP\tO' -p41138 -aS')\t)\t)\tO\tO' -p41139 -aS'18\t18\tCD\tB-NP\tO' -p41140 -asS'Extremities had no edema , 2+ distal pedis .' -p41141 -(lp41142 -S'Extremities\tExtremity\tNNS\tB-NP\tO' -p41143 -aS'had\thave\tVBD\tB-VP\tO' -p41144 -aS'no\tno\tDT\tB-NP\tO' -p41145 -aS'edema\tedema\tNN\tI-NP\tO' -p41146 -aS',\t,\t,\tO\tO' -p41147 -aS'2+\t2+\tJJ\tB-NP\tO' -p41148 -aS'distal\tdistal\tJJ\tI-NP\tO' -p41149 -aS'pedis\tpedis\tNN\tI-NP\tO' -p41150 -aS'.\t.\t.\tO\tO' -p41151 -asS'Abdomen with positive bowel sounds , soft , nontender , nondistended , tolerating a regular diet .' -p41152 -(lp41153 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p41154 -aS'with\twith\tIN\tB-PP\tO' -p41155 -aS'positive\tpositive\tJJ\tB-NP\tO' -p41156 -aS'bowel\tbowel\tNN\tI-NP\tO' -p41157 -aS'sounds\tsound\tNNS\tI-NP\tO' -p41158 -aS',\t,\t,\tO\tO' -p41159 -aS'soft\tsoft\tJJ\tB-NP\tO' -p41160 -aS',\t,\t,\tI-NP\tO' -p41161 -aS'nontender\tnontender\tJJ\tI-NP\tO' -p41162 -aS',\t,\t,\tI-NP\tO' -p41163 -aS'nondistended\tnondistended\tJJ\tI-NP\tO' -p41164 -aS',\t,\t,\tO\tO' -p41165 -aS'tolerating\ttolerate\tVBG\tB-VP\tO' -p41166 -aS'a\ta\tDT\tB-NP\tO' -p41167 -aS'regular\tregular\tJJ\tI-NP\tO' -p41168 -aS'diet\tdiet\tNN\tI-NP\tO' -p41169 -aS'.\t.\t.\tO\tO' -p41170 -asS'There was no rash and no edema and the neurological examination was non-focal .' -p41171 -(lp41172 -S'There\tThere\tEX\tB-NP\tO' -p41173 -aS'was\tbe\tVBD\tB-VP\tO' -p41174 -aS'no\tno\tDT\tB-NP\tO' -p41175 -aS'rash\trash\tNN\tI-NP\tO' -p41176 -aS'and\tand\tCC\tO\tO' -p41177 -aS'no\tno\tDT\tB-NP\tO' -p41178 -aS'edema\tedema\tNN\tI-NP\tO' -p41179 -aS'and\tand\tCC\tO\tO' -p41180 -aS'the\tthe\tDT\tB-NP\tO' -p41181 -aS'neurological\tneurological\tJJ\tI-NP\tO' -p41182 -aS'examination\texamination\tNN\tI-NP\tO' -p41183 -aS'was\tbe\tVBD\tB-VP\tO' -p41184 -aS'non-focal\tnon-focal\tJJ\tB-ADJP\tO' -p41185 -aS'.\t.\t.\tO\tO' -p41186 -asS'At that time , he had guaiac-positive and had a small bowel follow through which was negative .' -p41187 -(lp41188 -S'At\tAt\tIN\tB-PP\tO' -p41189 -aS'that\tthat\tDT\tB-NP\tO' -p41190 -aS'time\ttime\tNN\tI-NP\tO' -p41191 -aS',\t,\t,\tO\tO' -p41192 -aS'he\the\tPRP\tB-NP\tO' -p41193 -aS'had\thave\tVBD\tB-VP\tO' -p41194 -aS'guaiac-positive\tguaiac-positive\tJJ\tB-ADJP\tO' -p41195 -aS'and\tand\tCC\tO\tO' -p41196 -aS'had\thave\tVBD\tB-VP\tO' -p41197 -aS'a\ta\tDT\tB-NP\tO' -p41198 -aS'small\tsmall\tJJ\tI-NP\tO' -p41199 -aS'bowel\tbowel\tNN\tI-NP\tO' -p41200 -aS'follow\tfollow\tNN\tI-NP\tO' -p41201 -aS'through\tthrough\tIN\tB-PP\tO' -p41202 -aS'which\twhich\tWDT\tB-NP\tO' -p41203 -aS'was\tbe\tVBD\tB-VP\tO' -p41204 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p41205 -aS'.\t.\t.\tO\tO' -p41206 -asS'Prenatal screens : blood type A positive , antibody negative , rubella immune , RPR nonreactive , hepatitis B surface antigen negative , GBS unknown .' -p41207 -(lp41208 -S'Prenatal\tPrenatal\tJJ\tB-NP\tO' -p41209 -aS'screens\tscreen\tNNS\tI-NP\tO' -p41210 -aS':\t:\t:\tO\tO' -p41211 -aS'blood\tblood\tNN\tB-NP\tO' -p41212 -aS'type\ttype\tNN\tI-NP\tO' -p41213 -aS'A\tA\tNN\tI-NP\tO' -p41214 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p41215 -aS',\t,\t,\tO\tO' -p41216 -aS'antibody\tantibody\tNN\tB-NP\tO' -p41217 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p41218 -aS',\t,\t,\tO\tO' -p41219 -aS'rubella\trubella\tNN\tB-NP\tO' -p41220 -aS'immune\timmune\tJJ\tB-ADJP\tO' -p41221 -aS',\t,\t,\tO\tO' -p41222 -aS'RPR\tRPR\tNN\tB-NP\tB-protein' -p41223 -aS'nonreactive\tnonreactive\tJJ\tB-ADJP\tO' -p41224 -aS',\t,\t,\tO\tO' -p41225 -aS'hepatitis\thepatitis\tNN\tB-NP\tB-protein' -p41226 -aS'B\tB\tNN\tI-NP\tI-protein' -p41227 -aS'surface\tsurface\tNN\tI-NP\tI-protein' -p41228 -aS'antigen\tantigen\tNN\tI-NP\tI-protein' -p41229 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p41230 -aS',\t,\t,\tO\tO' -p41231 -aS'GBS\tGBS\tNNP\tB-NP\tO' -p41232 -aS'unknown\tunknown\tJJ\tB-ADJP\tO' -p41233 -aS'.\t.\t.\tO\tO' -p41234 -asS'2. Left midclavicular fracture managed nonoperatively .' -p41235 -(lp41236 -S'2.\t2.\tLS\tB-NP\tO' -p41237 -aS'Left\tLeft\tJJ\tI-NP\tO' -p41238 -aS'midclavicular\tmidclavicular\tJJ\tI-NP\tO' -p41239 -aS'fracture\tfracture\tNN\tI-NP\tO' -p41240 -aS'managed\tmanage\tVBD\tB-VP\tO' -p41241 -aS'nonoperatively\tnonoperatively\tRB\tB-ADVP\tO' -p41242 -aS'.\t.\t.\tO\tO' -p41243 -asS'Daughter Lurline is Durable Power of Attorney .' -p41244 -(lp41245 -S'Daughter\tDaughter\tNN\tB-NP\tO' -p41246 -aS'Lurline\tLurline\tNN\tI-NP\tO' -p41247 -aS'is\tbe\tVBZ\tB-VP\tO' -p41248 -aS'Durable\tDurable\tJJ\tB-NP\tO' -p41249 -aS'Power\tPower\tNNP\tI-NP\tO' -p41250 -aS'of\tof\tIN\tB-PP\tO' -p41251 -aS'Attorney\tAttorney\tNNP\tB-NP\tO' -p41252 -aS'.\t.\t.\tO\tO' -p41253 -asS'She was continued on Demerol 50 mg q 6-8 hours p.r.n. for left arm and leg pain .' -p41254 -(lp41255 -S'She\tShe\tPRP\tB-NP\tO' -p41256 -aS'was\tbe\tVBD\tB-VP\tO' -p41257 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p41258 -aS'on\ton\tIN\tB-PP\tO' -p41259 -aS'Demerol\tDemerol\tNN\tB-NP\tO' -p41260 -aS'50\t50\tCD\tI-NP\tO' -p41261 -aS'mg\tmg\tNN\tI-NP\tO' -p41262 -aS'q\tq\tNN\tI-NP\tO' -p41263 -aS'6-8\t6-8\tCD\tB-NP\tO' -p41264 -aS'hours\thour\tNNS\tI-NP\tO' -p41265 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p41266 -aS'for\tfor\tIN\tB-PP\tO' -p41267 -aS'left\tleft\tJJ\tB-NP\tO' -p41268 -aS'arm\tarm\tNN\tI-NP\tO' -p41269 -aS'and\tand\tCC\tI-NP\tO' -p41270 -aS'leg\tleg\tNN\tI-NP\tO' -p41271 -aS'pain\tpain\tNN\tI-NP\tO' -p41272 -aS'.\t.\t.\tO\tO' -p41273 -asS'Sinus tachycardia at 100 .' -p41274 -(lp41275 -S'Sinus\tSinus\tNNP\tB-NP\tO' -p41276 -aS'tachycardia\ttachycardia\tNN\tI-NP\tO' -p41277 -aS'at\tat\tIN\tB-PP\tO' -p41278 -aS'100\t100\tCD\tB-NP\tO' -p41279 -aS'.\t.\t.\tO\tO' -p41280 -asS'No further hematocrit or platelets have been measured .' -p41281 -(lp41282 -S'No\tNo\tDT\tB-NP\tO' -p41283 -aS'further\tfurther\tJJ\tI-NP\tO' -p41284 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p41285 -aS'or\tor\tCC\tI-NP\tO' -p41286 -aS'platelets\tplatelet\tNNS\tI-NP\tB-cell_type' -p41287 -aS'have\thave\tVBP\tB-VP\tO' -p41288 -aS'been\tbe\tVBN\tI-VP\tO' -p41289 -aS'measured\tmeasure\tVBN\tI-VP\tO' -p41290 -aS'.\t.\t.\tO\tO' -p41291 -asS'Pupils are equal and reactive to light .' -p41292 -(lp41293 -S'Pupils\tPupil\tNNS\tB-NP\tO' -p41294 -aS'are\tbe\tVBP\tB-VP\tO' -p41295 -aS'equal\tequal\tJJ\tB-ADJP\tO' -p41296 -aS'and\tand\tCC\tI-ADJP\tO' -p41297 -aS'reactive\treactive\tJJ\tI-ADJP\tO' -p41298 -aS'to\tto\tTO\tB-PP\tO' -p41299 -aS'light\tlight\tNN\tB-NP\tO' -p41300 -aS'.\t.\t.\tO\tO' -p41301 -asS'6. Hydrochlorothiazide , 15 mg p.o. q. day .' -p41302 -(lp41303 -S'6.\t6.\tLS\tB-NP\tO' -p41304 -aS'Hydrochlorothiazide\tHydrochlorothiazide\tNNP\tI-NP\tO' -p41305 -aS',\t,\t,\tO\tO' -p41306 -aS'15\t15\tCD\tB-NP\tO' -p41307 -aS'mg\tmg\tNN\tI-NP\tO' -p41308 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p41309 -aS'q.\tq.\tNN\tI-NP\tO' -p41310 -aS'day\tday\tNN\tI-NP\tO' -p41311 -aS'.\t.\t.\tO\tO' -p41312 -asS'Urine output was always noted to be of sufficient quantity .' -p41313 -(lp41314 -S'Urine\tUrine\tNN\tB-NP\tO' -p41315 -aS'output\toutput\tNN\tI-NP\tO' -p41316 -aS'was\tbe\tVBD\tB-VP\tO' -p41317 -aS'always\talways\tRB\tI-VP\tO' -p41318 -aS'noted\tnote\tVBN\tI-VP\tO' -p41319 -aS'to\tto\tTO\tI-VP\tO' -p41320 -aS'be\tbe\tVB\tI-VP\tO' -p41321 -aS'of\tof\tIN\tB-PP\tO' -p41322 -aS'sufficient\tsufficient\tJJ\tB-NP\tO' -p41323 -aS'quantity\tquantity\tNN\tI-NP\tO' -p41324 -aS'.\t.\t.\tO\tO' -p41325 -asS'3. The patient was instructed to follow up in the Trauma' -p41326 -(lp41327 -S'3.\t3.\tLS\tB-LST\tO' -p41328 -aS'The\tThe\tDT\tB-NP\tO' -p41329 -aS'patient\tpatient\tNN\tI-NP\tO' -p41330 -aS'was\tbe\tVBD\tB-VP\tO' -p41331 -aS'instructed\tinstruct\tVBN\tI-VP\tO' -p41332 -aS'to\tto\tTO\tI-VP\tO' -p41333 -aS'follow\tfollow\tVB\tI-VP\tO' -p41334 -aS'up\tup\tRP\tB-PRT\tO' -p41335 -aS'in\tin\tIN\tB-PP\tO' -p41336 -aS'the\tthe\tDT\tB-NP\tO' -p41337 -aS'Trauma\tTrauma\tNNP\tI-NP\tO' -p41338 -asS'There was no pleural effusion .' -p41339 -(lp41340 -S'There\tThere\tEX\tB-NP\tO' -p41341 -aS'was\tbe\tVBD\tB-VP\tO' -p41342 -aS'no\tno\tDT\tB-NP\tO' -p41343 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p41344 -aS'effusion\teffusion\tNN\tI-NP\tO' -p41345 -aS'.\t.\t.\tO\tO' -p41346 -asS'Haldol / Compazine / Phenergan / Tigan / Flagyl' -p41347 -(lp41348 -S'Haldol\tHaldol\tNN\tB-NP\tO' -p41349 -aS'/\t/\tSYM\tI-NP\tO' -p41350 -aS'Compazine\tCompazine\tNN\tI-NP\tO' -p41351 -aS'/\t/\tSYM\tB-NP\tO' -p41352 -aS'Phenergan\tPhenergan\tNN\tI-NP\tO' -p41353 -aS'/\t/\tSYM\tI-NP\tO' -p41354 -aS'Tigan\tTigan\tNN\tI-NP\tO' -p41355 -aS'/\t/\tSYM\tO\tO' -p41356 -aS'Flagyl\tFlagyl\tNN\tB-NP\tO' -p41357 -asS'2. Lumpectomy of the left breast nodule .' -p41358 -(lp41359 -S'2.\t2.\tLS\tB-NP\tO' -p41360 -aS'Lumpectomy\tLumpectomy\tNN\tI-NP\tO' -p41361 -aS'of\tof\tIN\tB-PP\tO' -p41362 -aS'the\tthe\tDT\tB-NP\tO' -p41363 -aS'left\tleft\tJJ\tI-NP\tO' -p41364 -aS'breast\tbreast\tNN\tI-NP\tO' -p41365 -aS'nodule\tnodule\tNN\tI-NP\tO' -p41366 -aS'.\t.\t.\tO\tO' -p41367 -asS'- may need to diurese based on clinical status , swan numbers' -p41368 -(lp41369 -S'-\t-\tHYPH\tB-NP\tO' -p41370 -aS'may\tmay\tMD\tB-VP\tO' -p41371 -aS'need\tneed\tVB\tI-VP\tO' -p41372 -aS'to\tto\tTO\tI-VP\tO' -p41373 -aS'diurese\tdiurese\tVB\tI-VP\tO' -p41374 -aS'based\tbase\tVBN\tB-PP\tO' -p41375 -aS'on\ton\tIN\tB-PP\tO' -p41376 -aS'clinical\tclinical\tJJ\tB-NP\tO' -p41377 -aS'status\tstatus\tNN\tI-NP\tO' -p41378 -aS',\t,\t,\tO\tO' -p41379 -aS'swan\tswan\tNN\tB-NP\tO' -p41380 -aS'numbers\tnumber\tNNS\tI-NP\tO' -p41381 -asS'A biliary stent was placed after the removal of the stone .' -p41382 -(lp41383 -S'A\tA\tDT\tB-NP\tO' -p41384 -aS'biliary\tbiliary\tJJ\tI-NP\tO' -p41385 -aS'stent\tstent\tNN\tI-NP\tO' -p41386 -aS'was\tbe\tVBD\tB-VP\tO' -p41387 -aS'placed\tplace\tVBN\tI-VP\tO' -p41388 -aS'after\tafter\tIN\tB-PP\tO' -p41389 -aS'the\tthe\tDT\tB-NP\tO' -p41390 -aS'removal\tremoval\tNN\tI-NP\tO' -p41391 -aS'of\tof\tIN\tB-PP\tO' -p41392 -aS'the\tthe\tDT\tB-NP\tO' -p41393 -aS'stone\tstone\tNN\tI-NP\tO' -p41394 -aS'.\t.\t.\tO\tO' -p41395 -asS'You should resume this medication starting Wallace , 06-24 .' -p41396 -(lp41397 -S'You\tYou\tPRP\tB-NP\tB-protein' -p41398 -aS'should\tshould\tMD\tB-VP\tO' -p41399 -aS'resume\tresume\tVB\tI-VP\tO' -p41400 -aS'this\tthis\tDT\tB-NP\tO' -p41401 -aS'medication\tmedication\tNN\tI-NP\tO' -p41402 -aS'starting\tstart\tVBG\tB-PP\tO' -p41403 -aS'Wallace\tWallace\tNNP\tB-NP\tO' -p41404 -aS',\t,\t,\tO\tO' -p41405 -aS'06-24\t06-24\tCD\tB-NP\tO' -p41406 -aS'.\t.\t.\tO\tO' -p41407 -asS'75 yo F s/p MIx4 , numerous cath , PAF , Inducible VTach s/p AICD and pacer with severe COPD / restrictive lung disease s/p fall with intertrochanteric fracture .' -p41408 -(lp41409 -S'75\t75\tCD\tB-NP\tO' -p41410 -aS'yo\tyo\tNN\tI-NP\tO' -p41411 -aS'F\tF\tNN\tI-NP\tO' -p41412 -aS's/p\ts/p\tNN\tI-NP\tO' -p41413 -aS'MIx4\tMIx4\tNN\tI-NP\tO' -p41414 -aS',\t,\t,\tO\tO' -p41415 -aS'numerous\tnumerous\tJJ\tB-NP\tO' -p41416 -aS'cath\tcath\tNN\tI-NP\tO' -p41417 -aS',\t,\t,\tO\tO' -p41418 -aS'PAF\tPAF\tNN\tB-NP\tB-protein' -p41419 -aS',\t,\t,\tO\tO' -p41420 -aS'Inducible\tInducible\tNNP\tB-NP\tO' -p41421 -aS'VTach\tVTach\tNNP\tI-NP\tO' -p41422 -aS's/p\ts/p\tNN\tI-NP\tO' -p41423 -aS'AICD\tAICD\tNN\tI-NP\tO' -p41424 -aS'and\tand\tCC\tI-NP\tO' -p41425 -aS'pacer\tpacer\tNN\tI-NP\tO' -p41426 -aS'with\twith\tIN\tB-PP\tO' -p41427 -aS'severe\tsevere\tJJ\tB-NP\tO' -p41428 -aS'COPD\tCOPD\tNN\tI-NP\tO' -p41429 -aS'/\t/\tSYM\tB-NP\tO' -p41430 -aS'restrictive\trestrictive\tJJ\tI-NP\tO' -p41431 -aS'lung\tlung\tNN\tI-NP\tO' -p41432 -aS'disease\tdisease\tNN\tI-NP\tO' -p41433 -aS's/p\ts/p\tNN\tI-NP\tO' -p41434 -aS'fall\tfall\tNN\tI-NP\tO' -p41435 -aS'with\twith\tIN\tB-PP\tO' -p41436 -aS'intertrochanteric\tintertrochanteric\tJJ\tB-NP\tO' -p41437 -aS'fracture\tfracture\tNN\tI-NP\tO' -p41438 -aS'.\t.\t.\tO\tO' -p41439 -asS'The descending thoracic aorta is mildly dilated .' -p41440 -(lp41441 -S'The\tThe\tDT\tB-NP\tO' -p41442 -aS'descending\tdescend\tVBG\tI-NP\tO' -p41443 -aS'thoracic\tthoracic\tJJ\tI-NP\tO' -p41444 -aS'aorta\taorta\tNN\tI-NP\tO' -p41445 -aS'is\tbe\tVBZ\tB-VP\tO' -p41446 -aS'mildly\tmildly\tRB\tI-VP\tO' -p41447 -aS'dilated\tdilate\tVBN\tI-VP\tO' -p41448 -aS'.\t.\t.\tO\tO' -p41449 -asS'A Hepacoat stent was placed with no residuals but good flow after nitroglycerin and diltiazem .' -p41450 -(lp41451 -S'A\tA\tDT\tB-NP\tO' -p41452 -aS'Hepacoat\tHepacoat\tNN\tI-NP\tO' -p41453 -aS'stent\tstent\tNN\tI-NP\tO' -p41454 -aS'was\tbe\tVBD\tB-VP\tO' -p41455 -aS'placed\tplace\tVBN\tI-VP\tO' -p41456 -aS'with\twith\tIN\tB-PP\tO' -p41457 -aS'no\tno\tDT\tB-NP\tO' -p41458 -aS'residuals\tresidual\tNNS\tI-NP\tO' -p41459 -aS'but\tbut\tCC\tO\tO' -p41460 -aS'good\tgood\tJJ\tB-NP\tO' -p41461 -aS'flow\tflow\tNN\tI-NP\tO' -p41462 -aS'after\tafter\tIN\tB-PP\tO' -p41463 -aS'nitroglycerin\tnitroglycerin\tNN\tB-NP\tO' -p41464 -aS'and\tand\tCC\tI-NP\tO' -p41465 -aS'diltiazem\tdiltiazem\tNN\tI-NP\tO' -p41466 -aS'.\t.\t.\tO\tO' -p41467 -asS'2. History of pulmonary embolism in 2012-04-23 treated with only aspirin secondary to brain mets .' -p41468 -(lp41469 -S'2.\t2.\tLS\tB-NP\tO' -p41470 -aS'History\tHistory\tNN\tI-NP\tO' -p41471 -aS'of\tof\tIN\tB-PP\tO' -p41472 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p41473 -aS'embolism\tembolism\tNN\tI-NP\tO' -p41474 -aS'in\tin\tIN\tB-PP\tO' -p41475 -aS'2012-04-23\t2012-04-23\tCD\tB-NP\tO' -p41476 -aS'treated\ttreat\tVBN\tB-VP\tO' -p41477 -aS'with\twith\tIN\tB-PP\tO' -p41478 -aS'only\tonly\tRB\tB-NP\tO' -p41479 -aS'aspirin\taspirin\tNN\tI-NP\tO' -p41480 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p41481 -aS'to\tto\tTO\tB-PP\tO' -p41482 -aS'brain\tbrain\tNN\tB-NP\tO' -p41483 -aS'mets\tmet\tNNS\tI-NP\tO' -p41484 -aS'.\t.\t.\tO\tO' -p41485 -asS'Left ventricular wall thickness , cavity size , and systolic function are normal ( LVEF>55% ) .' -p41486 -(lp41487 -S'Left\tLeave\tVBN\tB-NP\tO' -p41488 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p41489 -aS'wall\twall\tNN\tI-NP\tO' -p41490 -aS'thickness\tthickness\tNN\tI-NP\tO' -p41491 -aS',\t,\t,\tO\tO' -p41492 -aS'cavity\tcavity\tNN\tB-NP\tO' -p41493 -aS'size\tsize\tNN\tI-NP\tO' -p41494 -aS',\t,\t,\tO\tO' -p41495 -aS'and\tand\tCC\tO\tO' -p41496 -aS'systolic\tsystolic\tJJ\tB-NP\tO' -p41497 -aS'function\tfunction\tNN\tI-NP\tO' -p41498 -aS'are\tbe\tVBP\tB-VP\tO' -p41499 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p41500 -aS'(\t(\t(\tO\tO' -p41501 -aS'LVEF>55%\tLVEF>55%\tNN\tB-NP\tB-protein' -p41502 -aS')\t)\t)\tO\tO' -p41503 -aS'.\t.\t.\tO\tO' -p41504 -asS'Patient will follow-up with his PCP , Dr. Foutchner , on Monday .' -p41505 -(lp41506 -S'Patient\tPatient\tNN\tB-NP\tO' -p41507 -aS'will\twill\tMD\tB-VP\tO' -p41508 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p41509 -aS'with\twith\tIN\tB-PP\tO' -p41510 -aS'his\this\tPRP$\tB-NP\tO' -p41511 -aS'PCP\tPCP\tNN\tI-NP\tB-DNA' -p41512 -aS',\t,\t,\tO\tO' -p41513 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p41514 -aS'Foutchner\tFoutchner\tNNP\tI-NP\tO' -p41515 -aS',\t,\t,\tO\tO' -p41516 -aS'on\ton\tIN\tB-PP\tO' -p41517 -aS'Monday\tMonday\tNNP\tB-NP\tO' -p41518 -aS'.\t.\t.\tO\tO' -p41519 -asS'Lasix 40 PO bid .' -p41520 -(lp41521 -S'Lasix\tLasix\tNNP\tB-NP\tO' -p41522 -aS'40\t40\tCD\tI-NP\tO' -p41523 -aS'PO\tPO\tNN\tI-NP\tO' -p41524 -aS'bid\tbid\tNN\tI-NP\tO' -p41525 -aS'.\t.\t.\tO\tO' -p41526 -asS'Insulin NPH 10 units q.p.m. and 28 units q.a.m. , insulin Regular 4 units q.a.m. and 4 units q.p.m. , aspirin 325 mg p.o. q. day , digoxin 0.25 mg p.o. q. day , simvastatin 20 mg p.o. q. day , captopril 37.5 mg p.o. t.i.d. , Coumadin 5 mg p.o. q.h.s. , Lasix 20 mg p.o. q. day .' -p41527 -(lp41528 -S'Insulin\tInsulin\tNN\tB-NP\tO' -p41529 -aS'NPH\tNPH\tNN\tI-NP\tO' -p41530 -aS'10\t10\tCD\tB-NP\tO' -p41531 -aS'units\tunit\tNNS\tI-NP\tO' -p41532 -aS'q.p.m.\tq.p.m.\tNN\tB-NP\tO' -p41533 -aS'and\tand\tCC\tO\tO' -p41534 -aS'28\t28\tCD\tB-NP\tO' -p41535 -aS'units\tunit\tNNS\tI-NP\tO' -p41536 -aS'q.a.m.\tq.a.m.\tNN\tI-NP\tO' -p41537 -aS',\t,\t,\tO\tO' -p41538 -aS'insulin\tinsulin\tNN\tB-NP\tO' -p41539 -aS'Regular\tRegular\tJJ\tI-NP\tO' -p41540 -aS'4\t4\tCD\tI-NP\tO' -p41541 -aS'units\tunit\tNNS\tI-NP\tO' -p41542 -aS'q.a.m.\tq.a.m.\tNN\tI-NP\tO' -p41543 -aS'and\tand\tCC\tO\tO' -p41544 -aS'4\t4\tCD\tB-NP\tO' -p41545 -aS'units\tunit\tNNS\tI-NP\tO' -p41546 -aS'q.p.m.\tq.p.m.\tNN\tI-NP\tO' -p41547 -aS',\t,\t,\tO\tO' -p41548 -aS'aspirin\taspirin\tNN\tB-NP\tO' -p41549 -aS'325\t325\tCD\tI-NP\tO' -p41550 -aS'mg\tmg\tNN\tI-NP\tO' -p41551 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p41552 -aS'q.\tq.\tNN\tI-NP\tO' -p41553 -aS'day\tday\tNN\tI-NP\tO' -p41554 -aS',\t,\t,\tO\tO' -p41555 -aS'digoxin\tdigoxin\tNN\tB-NP\tO' -p41556 -aS'0.25\t0.25\tCD\tI-NP\tO' -p41557 -aS'mg\tmg\tNN\tI-NP\tO' -p41558 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p41559 -aS'q.\tq.\tNN\tI-NP\tO' -p41560 -aS'day\tday\tNN\tI-NP\tO' -p41561 -aS',\t,\t,\tO\tO' -p41562 -aS'simvastatin\tsimvastatin\tNN\tB-NP\tO' -p41563 -aS'20\t20\tCD\tI-NP\tO' -p41564 -aS'mg\tmg\tNN\tI-NP\tO' -p41565 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p41566 -aS'q.\tq.\tNN\tI-NP\tO' -p41567 -aS'day\tday\tNN\tI-NP\tO' -p41568 -aS',\t,\t,\tO\tO' -p41569 -aS'captopril\tcaptopril\tNN\tB-NP\tO' -p41570 -aS'37.5\t37.5\tCD\tI-NP\tO' -p41571 -aS'mg\tmg\tNN\tI-NP\tO' -p41572 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p41573 -aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' -p41574 -aS',\t,\t,\tO\tO' -p41575 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p41576 -aS'5\t5\tCD\tI-NP\tO' -p41577 -aS'mg\tmg\tNN\tI-NP\tO' -p41578 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p41579 -aS'q.h.s.\tq.h.s.\tNN\tI-NP\tO' -p41580 -aS',\t,\t,\tO\tO' -p41581 -aS'Lasix\tLasix\tNNP\tB-NP\tO' -p41582 -aS'20\t20\tCD\tI-NP\tO' -p41583 -aS'mg\tmg\tNN\tI-NP\tO' -p41584 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p41585 -aS'q.\tq.\tNN\tI-NP\tO' -p41586 -aS'day\tday\tNN\tI-NP\tO' -p41587 -aS'.\t.\t.\tO\tO' -p41588 -asS'She is anticoagulated on Coumadin and this has been stable .' -p41589 -(lp41590 -S'She\tShe\tPRP\tB-NP\tO' -p41591 -aS'is\tbe\tVBZ\tB-VP\tO' -p41592 -aS'anticoagulated\tanticoagulate\tVBN\tI-VP\tO' -p41593 -aS'on\ton\tIN\tB-PP\tO' -p41594 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p41595 -aS'and\tand\tCC\tO\tO' -p41596 -aS'this\tthis\tDT\tB-NP\tO' -p41597 -aS'has\thave\tVBZ\tB-VP\tO' -p41598 -aS'been\tbe\tVBN\tI-VP\tO' -p41599 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p41600 -aS'.\t.\t.\tO\tO' -p41601 -asS'Clinically , this was consistent with SBP , although unfortunately , fluid was never sent for cytology and a lot of those white cells are most likely due to his cancer .' -p41602 -(lp41603 -S'Clinically\tClinically\tRB\tB-ADVP\tO' -p41604 -aS',\t,\t,\tO\tO' -p41605 -aS'this\tthis\tDT\tB-NP\tO' -p41606 -aS'was\tbe\tVBD\tB-VP\tO' -p41607 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p41608 -aS'with\twith\tIN\tB-PP\tO' -p41609 -aS'SBP\tSBP\tNN\tB-NP\tB-protein' -p41610 -aS',\t,\t,\tO\tO' -p41611 -aS'although\talthough\tIN\tB-SBAR\tO' -p41612 -aS'unfortunately\tunfortunately\tRB\tB-ADVP\tO' -p41613 -aS',\t,\t,\tO\tO' -p41614 -aS'fluid\tfluid\tNN\tB-NP\tO' -p41615 -aS'was\tbe\tVBD\tB-VP\tO' -p41616 -aS'never\tnever\tRB\tI-VP\tO' -p41617 -aS'sent\tsend\tVBN\tI-VP\tO' -p41618 -aS'for\tfor\tIN\tB-PP\tO' -p41619 -aS'cytology\tcytology\tNN\tB-NP\tO' -p41620 -aS'and\tand\tCC\tO\tO' -p41621 -aS'a\ta\tDT\tB-NP\tO' -p41622 -aS'lot\tlot\tNN\tI-NP\tO' -p41623 -aS'of\tof\tIN\tB-PP\tO' -p41624 -aS'those\tthose\tDT\tB-NP\tO' -p41625 -aS'white\twhite\tJJ\tI-NP\tB-cell_type' -p41626 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p41627 -aS'are\tbe\tVBP\tB-VP\tO' -p41628 -aS'most\tmost\tRBS\tB-ADVP\tO' -p41629 -aS'likely\tlikely\tRB\tI-ADVP\tO' -p41630 -aS'due\tdue\tIN\tB-PP\tO' -p41631 -aS'to\tto\tTO\tB-PP\tO' -p41632 -aS'his\this\tPRP$\tB-NP\tO' -p41633 -aS'cancer\tcancer\tNN\tI-NP\tO' -p41634 -aS'.\t.\t.\tO\tO' -p41635 -asS'LFTs show an elevated ALT of 52 and AST of 101 with normal alkaline phosphatase and total bilirubin .' -p41636 -(lp41637 -S'LFTs\tLFT\tNNS\tB-NP\tO' -p41638 -aS'show\tshow\tVBP\tB-VP\tO' -p41639 -aS'an\tan\tDT\tB-NP\tO' -p41640 -aS'elevated\televate\tVBN\tI-NP\tO' -p41641 -aS'ALT\tALT\tNN\tI-NP\tO' -p41642 -aS'of\tof\tIN\tB-PP\tO' -p41643 -aS'52\t52\tCD\tB-NP\tO' -p41644 -aS'and\tand\tCC\tO\tO' -p41645 -aS'AST\tAST\tNN\tB-NP\tO' -p41646 -aS'of\tof\tIN\tB-PP\tO' -p41647 -aS'101\t101\tCD\tB-NP\tO' -p41648 -aS'with\twith\tIN\tB-PP\tO' -p41649 -aS'normal\tnormal\tJJ\tB-NP\tO' -p41650 -aS'alkaline\talkaline\tNN\tI-NP\tB-protein' -p41651 -aS'phosphatase\tphosphatase\tNN\tI-NP\tI-protein' -p41652 -aS'and\tand\tCC\tO\tO' -p41653 -aS'total\ttotal\tJJ\tB-NP\tO' -p41654 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p41655 -aS'.\t.\t.\tO\tO' -p41656 -asS'The test was positive for EKG changes and shortness of breath .' -p41657 -(lp41658 -S'The\tThe\tDT\tB-NP\tO' -p41659 -aS'test\ttest\tNN\tI-NP\tO' -p41660 -aS'was\tbe\tVBD\tB-VP\tO' -p41661 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p41662 -aS'for\tfor\tIN\tB-PP\tO' -p41663 -aS'EKG\tEKG\tNN\tB-NP\tO' -p41664 -aS'changes\tchange\tNNS\tI-NP\tO' -p41665 -aS'and\tand\tCC\tO\tO' -p41666 -aS'shortness\tshortness\tNN\tB-NP\tO' -p41667 -aS'of\tof\tIN\tB-PP\tO' -p41668 -aS'breath\tbreath\tNN\tB-NP\tO' -p41669 -aS'.\t.\t.\tO\tO' -p41670 -asS'The fundi are benign and the discs are sharp .' -p41671 -(lp41672 -S'The\tThe\tDT\tB-NP\tO' -p41673 -aS'fundi\tfundi\tNN\tI-NP\tO' -p41674 -aS'are\tbe\tVBP\tB-VP\tO' -p41675 -aS'benign\tbenign\tJJ\tB-ADJP\tO' -p41676 -aS'and\tand\tCC\tO\tO' -p41677 -aS'the\tthe\tDT\tB-NP\tO' -p41678 -aS'discs\tdisc\tNNS\tI-NP\tO' -p41679 -aS'are\tbe\tVBP\tB-VP\tO' -p41680 -aS'sharp\tsharp\tJJ\tB-ADJP\tO' -p41681 -aS'.\t.\t.\tO\tO' -p41682 -asS'no significant arrhythmias .' -p41683 -(lp41684 -S'no\tno\tDT\tB-NP\tO' -p41685 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p41686 -aS'arrhythmias\tarrhythmia\tNNS\tI-NP\tO' -p41687 -aS'.\t.\t.\tO\tO' -p41688 -asS'Over the past several weeks she has also developed severe intermittent abdominal pain , localized to the suprapubic area , left greater than right , occurring intermittently .' -p41689 -(lp41690 -S'Over\tOver\tIN\tB-PP\tO' -p41691 -aS'the\tthe\tDT\tB-NP\tO' -p41692 -aS'past\tpast\tJJ\tI-NP\tO' -p41693 -aS'several\tseveral\tJJ\tI-NP\tO' -p41694 -aS'weeks\tweek\tNNS\tI-NP\tO' -p41695 -aS'she\tshe\tPRP\tB-NP\tO' -p41696 -aS'has\thave\tVBZ\tB-VP\tO' -p41697 -aS'also\talso\tRB\tI-VP\tO' -p41698 -aS'developed\tdevelop\tVBN\tI-VP\tO' -p41699 -aS'severe\tsevere\tJJ\tB-NP\tO' -p41700 -aS'intermittent\tintermittent\tJJ\tI-NP\tO' -p41701 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p41702 -aS'pain\tpain\tNN\tI-NP\tO' -p41703 -aS',\t,\t,\tO\tO' -p41704 -aS'localized\tlocalize\tVBD\tB-VP\tO' -p41705 -aS'to\tto\tTO\tB-PP\tO' -p41706 -aS'the\tthe\tDT\tB-NP\tO' -p41707 -aS'suprapubic\tsuprapubic\tJJ\tI-NP\tO' -p41708 -aS'area\tarea\tNN\tI-NP\tO' -p41709 -aS',\t,\t,\tO\tO' -p41710 -aS'left\tleave\tVBD\tB-VP\tO' -p41711 -aS'greater\tgreat\tJJR\tB-ADJP\tO' -p41712 -aS'than\tthan\tIN\tB-PP\tO' -p41713 -aS'right\tright\tJJ\tB-ADJP\tO' -p41714 -aS',\t,\t,\tO\tO' -p41715 -aS'occurring\toccur\tVBG\tB-VP\tO' -p41716 -aS'intermittently\tintermittently\tRB\tB-ADVP\tO' -p41717 -aS'.\t.\t.\tO\tO' -p41718 -asS'Chest soreness .' -p41719 -(lp41720 -S'Chest\tCh\tJJS\tB-NP\tO' -p41721 -aS'soreness\tsoreness\tNN\tI-NP\tO' -p41722 -aS'.\t.\t.\tO\tO' -p41723 -asS'He had dopplerable lower extremity pulses on the left and on the right , they were palpable .' -p41724 -(lp41725 -S'He\tHe\tPRP\tB-NP\tO' -p41726 -aS'had\thave\tVBD\tB-VP\tO' -p41727 -aS'dopplerable\tdopplerable\tJJ\tB-NP\tO' -p41728 -aS'lower\tlow\tJJR\tI-NP\tO' -p41729 -aS'extremity\textremity\tNN\tI-NP\tO' -p41730 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p41731 -aS'on\ton\tIN\tB-PP\tO' -p41732 -aS'the\tthe\tDT\tB-NP\tO' -p41733 -aS'left\tleft\tNN\tI-NP\tO' -p41734 -aS'and\tand\tCC\tB-PP\tO' -p41735 -aS'on\ton\tIN\tB-PP\tO' -p41736 -aS'the\tthe\tDT\tB-NP\tO' -p41737 -aS'right\tright\tNN\tI-NP\tO' -p41738 -aS',\t,\t,\tO\tO' -p41739 -aS'they\tthey\tPRP\tB-NP\tO' -p41740 -aS'were\tbe\tVBD\tB-VP\tO' -p41741 -aS'palpable\tpalpable\tJJ\tB-ADJP\tO' -p41742 -aS'.\t.\t.\tO\tO' -p41743 -asS'The patient was discharged home early from this admission due to family needs .' -p41744 -(lp41745 -S'The\tThe\tDT\tB-NP\tO' -p41746 -aS'patient\tpatient\tNN\tI-NP\tO' -p41747 -aS'was\tbe\tVBD\tB-VP\tO' -p41748 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p41749 -aS'home\thome\tRB\tB-ADVP\tO' -p41750 -aS'early\tearly\tRB\tB-ADVP\tO' -p41751 -aS'from\tfrom\tIN\tB-PP\tO' -p41752 -aS'this\tthis\tDT\tB-NP\tO' -p41753 -aS'admission\tadmission\tNN\tI-NP\tO' -p41754 -aS'due\tdue\tJJ\tB-ADJP\tO' -p41755 -aS'to\tto\tTO\tB-PP\tO' -p41756 -aS'family\tfamily\tNN\tB-NP\tO' -p41757 -aS'needs\tneed\tNNS\tI-NP\tO' -p41758 -aS'.\t.\t.\tO\tO' -p41759 -asS'Arrested on day of admission for soliciting prostitute ( undercover police officer ) , currently in police custody' -p41760 -(lp41761 -S'Arrested\tArrest\tVBN\tB-VP\tO' -p41762 -aS'on\ton\tIN\tB-PP\tO' -p41763 -aS'day\tday\tNN\tB-NP\tO' -p41764 -aS'of\tof\tIN\tB-PP\tO' -p41765 -aS'admission\tadmission\tNN\tB-NP\tO' -p41766 -aS'for\tfor\tIN\tB-PP\tO' -p41767 -aS'soliciting\tsolicit\tVBG\tB-VP\tO' -p41768 -aS'prostitute\tprostitute\tNN\tB-NP\tO' -p41769 -aS'(\t(\t(\tO\tO' -p41770 -aS'undercover\tundercover\tJJ\tB-NP\tO' -p41771 -aS'police\tpolice\tNN\tI-NP\tO' -p41772 -aS'officer\tofficer\tNN\tI-NP\tO' -p41773 -aS')\t)\t)\tO\tO' -p41774 -aS',\t,\t,\tO\tO' -p41775 -aS'currently\tcurrently\tRB\tB-ADVP\tO' -p41776 -aS'in\tin\tIN\tB-PP\tO' -p41777 -aS'police\tpolice\tNN\tB-NP\tO' -p41778 -aS'custody\tcustody\tNN\tI-NP\tO' -p41779 -asS'During this hospitalization , pt was noted to have sinus bradycardia and pauses , associated with desaturations in the 70 's .' -p41780 -(lp41781 -S'During\tDuring\tIN\tB-PP\tO' -p41782 -aS'this\tthis\tDT\tB-NP\tO' -p41783 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p41784 -aS',\t,\t,\tO\tO' -p41785 -aS'pt\tpt\tNN\tB-NP\tO' -p41786 -aS'was\tbe\tVBD\tB-VP\tO' -p41787 -aS'noted\tnote\tVBN\tI-VP\tO' -p41788 -aS'to\tto\tTO\tI-VP\tO' -p41789 -aS'have\thave\tVB\tI-VP\tO' -p41790 -aS'sinus\tsinus\tNN\tB-NP\tO' -p41791 -aS'bradycardia\tbradycardia\tNN\tI-NP\tO' -p41792 -aS'and\tand\tCC\tI-NP\tO' -p41793 -aS'pauses\tpause\tNNS\tI-NP\tO' -p41794 -aS',\t,\t,\tO\tO' -p41795 -aS'associated\tassociate\tVBN\tB-VP\tO' -p41796 -aS'with\twith\tIN\tB-PP\tO' -p41797 -aS'desaturations\tdesaturation\tNNS\tB-NP\tO' -p41798 -aS'in\tin\tIN\tB-PP\tO' -p41799 -aS'the\tthe\tDT\tB-NP\tO' -p41800 -aS'70\t70\tCD\tI-NP\tO' -p41801 -aS''s\t'\tNNS\tI-NP\tO' -p41802 -aS'.\t.\t.\tO\tO' -p41803 -asS'The patient has a severely comminuted fracture of the proximal left humerus .' -p41804 -(lp41805 -S'The\tThe\tDT\tB-NP\tO' -p41806 -aS'patient\tpatient\tNN\tI-NP\tO' -p41807 -aS'has\thave\tVBZ\tB-VP\tO' -p41808 -aS'a\ta\tDT\tB-NP\tO' -p41809 -aS'severely\tseverely\tRB\tI-NP\tO' -p41810 -aS'comminuted\tcomminute\tVBN\tI-NP\tO' -p41811 -aS'fracture\tfracture\tNN\tI-NP\tO' -p41812 -aS'of\tof\tIN\tB-PP\tO' -p41813 -aS'the\tthe\tDT\tB-NP\tO' -p41814 -aS'proximal\tproximal\tJJ\tI-NP\tO' -p41815 -aS'left\tleft\tJJ\tI-NP\tO' -p41816 -aS'humerus\thumerus\tNN\tI-NP\tO' -p41817 -aS'.\t.\t.\tO\tO' -p41818 -asS'The patient had been made a do not resuscitate do not intubate patient earlier in his hospital stay .' -p41819 -(lp41820 -S'The\tThe\tDT\tB-NP\tO' -p41821 -aS'patient\tpatient\tNN\tI-NP\tO' -p41822 -aS'had\thave\tVBD\tB-VP\tO' -p41823 -aS'been\tbe\tVBN\tI-VP\tO' -p41824 -aS'made\tmake\tVBN\tI-VP\tO' -p41825 -aS'a\ta\tDT\tB-NP\tO' -p41826 -aS'do\tdo\tVBP\tB-VP\tO' -p41827 -aS'not\tnot\tRB\tI-VP\tO' -p41828 -aS'resuscitate\tresuscitate\tVB\tI-VP\tO' -p41829 -aS'do\tdo\tVBP\tB-VP\tO' -p41830 -aS'not\tnot\tRB\tI-VP\tO' -p41831 -aS'intubate\tintubate\tVB\tI-VP\tO' -p41832 -aS'patient\tpatient\tNN\tB-NP\tO' -p41833 -aS'earlier\tearlier\tRBR\tB-ADVP\tO' -p41834 -aS'in\tin\tIN\tB-PP\tO' -p41835 -aS'his\this\tPRP$\tB-NP\tO' -p41836 -aS'hospital\thospital\tNN\tI-NP\tO' -p41837 -aS'stay\tstay\tNN\tI-NP\tO' -p41838 -aS'.\t.\t.\tO\tO' -p41839 -asS'Sodium 139 , potassium 3.8 , chloride 101 , bicarb 26 , BUN 9 , creatinine 0.7 , glucose 141 , albumin 4.1 , calcium 8.9 , LDH 665 , AST 44 , ALT of 57 , amylase 41 , CK 32 .' -p41840 -(lp41841 -S'Sodium\tSodium\tNN\tB-NP\tB-protein' -p41842 -aS'139\t139\tCD\tI-NP\tI-protein' -p41843 -aS',\t,\t,\tO\tO' -p41844 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p41845 -aS'3.8\t3.8\tCD\tI-NP\tO' -p41846 -aS',\t,\t,\tO\tO' -p41847 -aS'chloride\tchloride\tNN\tB-NP\tO' -p41848 -aS'101\t101\tCD\tI-NP\tO' -p41849 -aS',\t,\t,\tO\tO' -p41850 -aS'bicarb\tbicarb\tNN\tB-NP\tO' -p41851 -aS'26\t26\tCD\tI-NP\tO' -p41852 -aS',\t,\t,\tO\tO' -p41853 -aS'BUN\tBUN\tNN\tB-NP\tB-protein' -p41854 -aS'9\t9\tCD\tI-NP\tI-protein' -p41855 -aS',\t,\t,\tO\tO' -p41856 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p41857 -aS'0.7\t0.7\tCD\tI-NP\tO' -p41858 -aS',\t,\t,\tO\tO' -p41859 -aS'glucose\tglucose\tNN\tB-NP\tO' -p41860 -aS'141\t141\tCD\tI-NP\tO' -p41861 -aS',\t,\t,\tO\tO' -p41862 -aS'albumin\talbumin\tNN\tB-NP\tB-protein' -p41863 -aS'4.1\t4.1\tCD\tI-NP\tI-protein' -p41864 -aS',\t,\t,\tO\tO' -p41865 -aS'calcium\tcalcium\tNN\tB-NP\tO' -p41866 -aS'8.9\t8.9\tCD\tI-NP\tO' -p41867 -aS',\t,\t,\tO\tO' -p41868 -aS'LDH\tLDH\tNN\tB-NP\tB-protein' -p41869 -aS'665\t665\tCD\tI-NP\tI-protein' -p41870 -aS',\t,\t,\tO\tO' -p41871 -aS'AST\tAST\tNN\tB-NP\tB-DNA' -p41872 -aS'44\t44\tCD\tI-NP\tI-DNA' -p41873 -aS',\t,\t,\tO\tO' -p41874 -aS'ALT\tALT\tNN\tB-NP\tO' -p41875 -aS'of\tof\tIN\tB-PP\tO' -p41876 -aS'57\t57\tCD\tB-NP\tO' -p41877 -aS',\t,\t,\tO\tO' -p41878 -aS'amylase\tamylase\tNN\tB-NP\tO' -p41879 -aS'41\t41\tCD\tI-NP\tO' -p41880 -aS',\t,\t,\tO\tO' -p41881 -aS'CK\tCK\tNN\tB-NP\tB-protein' -p41882 -aS'32\t32\tCD\tI-NP\tI-protein' -p41883 -aS'.\t.\t.\tO\tO' -p41884 -asS'Her differential diagnosis included ovarian cancer .' -p41885 -(lp41886 -S'Her\tHer\tPRP$\tB-NP\tO' -p41887 -aS'differential\tdifferential\tJJ\tI-NP\tO' -p41888 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p41889 -aS'included\tinclude\tVBD\tB-VP\tO' -p41890 -aS'ovarian\tovarian\tJJ\tB-NP\tO' -p41891 -aS'cancer\tcancer\tNN\tI-NP\tO' -p41892 -aS'.\t.\t.\tO\tO' -p41893 -asS'1. Term male newborn .' -p41894 -(lp41895 -S'1.\t1.\tLS\tB-NP\tO' -p41896 -aS'Term\tTerm\tNN\tI-NP\tO' -p41897 -aS'male\tmale\tJJ\tI-NP\tO' -p41898 -aS'newborn\tnewborn\tNN\tI-NP\tO' -p41899 -aS'.\t.\t.\tO\tO' -p41900 -asS'Chest tubes and wires were all discontinued according to protocol on postoperative day number four .' -p41901 -(lp41902 -S'Chest\tCh\tJJS\tB-NP\tO' -p41903 -aS'tubes\ttube\tNNS\tI-NP\tO' -p41904 -aS'and\tand\tCC\tI-NP\tO' -p41905 -aS'wires\twire\tNNS\tI-NP\tO' -p41906 -aS'were\tbe\tVBD\tB-VP\tO' -p41907 -aS'all\tall\tDT\tO\tO' -p41908 -aS'discontinued\tdiscontinue\tVBN\tB-VP\tO' -p41909 -aS'according\taccord\tVBG\tB-VP\tO' -p41910 -aS'to\tto\tTO\tI-VP\tO' -p41911 -aS'protocol\tprotocol\tVB\tI-VP\tO' -p41912 -aS'on\ton\tIN\tB-PP\tO' -p41913 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p41914 -aS'day\tday\tNN\tI-NP\tO' -p41915 -aS'number\tnumber\tNN\tI-NP\tO' -p41916 -aS'four\tfour\tCD\tI-NP\tO' -p41917 -aS'.\t.\t.\tO\tO' -p41918 -asS'3. Bilateral round , hypodense renal lesions , too small to accurately characterize but likely representing cysts .' -p41919 -(lp41920 -S'3.\t3.\tLS\tB-NP\tO' -p41921 -aS'Bilateral\tBilateral\tNNP\tI-NP\tO' -p41922 -aS'round\tround\tNN\tI-NP\tO' -p41923 -aS',\t,\t,\tO\tO' -p41924 -aS'hypodense\thypodense\tJJ\tB-NP\tO' -p41925 -aS'renal\trenal\tJJ\tI-NP\tO' -p41926 -aS'lesions\tlesion\tNNS\tI-NP\tO' -p41927 -aS',\t,\t,\tO\tO' -p41928 -aS'too\ttoo\tRB\tB-ADJP\tO' -p41929 -aS'small\tsmall\tJJ\tI-ADJP\tO' -p41930 -aS'to\tto\tTO\tB-VP\tO' -p41931 -aS'accurately\taccurately\tRB\tI-VP\tO' -p41932 -aS'characterize\tcharacterize\tVB\tI-VP\tO' -p41933 -aS'but\tbut\tCC\tO\tO' -p41934 -aS'likely\tlikely\tRB\tB-VP\tO' -p41935 -aS'representing\trepresent\tVBG\tI-VP\tO' -p41936 -aS'cysts\tcyst\tNNS\tB-NP\tO' -p41937 -aS'.\t.\t.\tO\tO' -p41938 -asS'The tympanic membranes were gray .' -p41939 -(lp41940 -S'The\tThe\tDT\tB-NP\tO' -p41941 -aS'tympanic\ttympanic\tJJ\tI-NP\tO' -p41942 -aS'membranes\tmembrane\tNNS\tI-NP\tO' -p41943 -aS'were\tbe\tVBD\tB-VP\tO' -p41944 -aS'gray\tgray\tJJ\tB-ADJP\tO' -p41945 -aS'.\t.\t.\tO\tO' -p41946 -asS'He has a history of myocardial infarctions in 1981 , 1992 and 08/97 with thelast episode complicated by anoxic encephalopathy .' -p41947 -(lp41948 -S'He\tHe\tPRP\tB-NP\tO' -p41949 -aS'has\thave\tVBZ\tB-VP\tO' -p41950 -aS'a\ta\tDT\tB-NP\tO' -p41951 -aS'history\thistory\tNN\tI-NP\tO' -p41952 -aS'of\tof\tIN\tB-PP\tO' -p41953 -aS'myocardial\tmyocardial\tJJ\tB-NP\tO' -p41954 -aS'infarctions\tinfarction\tNNS\tI-NP\tO' -p41955 -aS'in\tin\tIN\tB-PP\tO' -p41956 -aS'1981\t1981\tCD\tB-NP\tO' -p41957 -aS',\t,\t,\tI-NP\tO' -p41958 -aS'1992\t1992\tCD\tI-NP\tO' -p41959 -aS'and\tand\tCC\tI-NP\tO' -p41960 -aS'08/97\t08/97\tCD\tI-NP\tO' -p41961 -aS'with\twith\tIN\tB-PP\tO' -p41962 -aS'thelast\tthelast\tNN\tB-NP\tO' -p41963 -aS'episode\tepisode\tNN\tI-NP\tO' -p41964 -aS'complicated\tcomplicate\tVBN\tB-VP\tO' -p41965 -aS'by\tby\tIN\tB-PP\tO' -p41966 -aS'anoxic\tanoxic\tJJ\tB-NP\tO' -p41967 -aS'encephalopathy\tencephalopathy\tNN\tI-NP\tO' -p41968 -aS'.\t.\t.\tO\tO' -p41969 -asS'Left main coronary artery with short vessel without significant lesions .' -p41970 -(lp41971 -S'Left\tLeave\tVBN\tB-NP\tO' -p41972 -aS'main\tmain\tJJ\tI-NP\tO' -p41973 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p41974 -aS'artery\tartery\tNN\tI-NP\tO' -p41975 -aS'with\twith\tIN\tB-PP\tO' -p41976 -aS'short\tshort\tJJ\tB-NP\tO' -p41977 -aS'vessel\tvessel\tNN\tI-NP\tO' -p41978 -aS'without\twithout\tIN\tB-PP\tO' -p41979 -aS'significant\tsignificant\tJJ\tB-NP\tO' -p41980 -aS'lesions\tlesion\tNNS\tI-NP\tO' -p41981 -aS'.\t.\t.\tO\tO' -p41982 -asS'She occasionally feels chest twinges which are nonradiating but are sharp .' -p41983 -(lp41984 -S'She\tShe\tPRP\tB-NP\tO' -p41985 -aS'occasionally\toccasionally\tRB\tB-ADVP\tO' -p41986 -aS'feels\tfeel\tVBZ\tB-VP\tO' -p41987 -aS'chest\tchest\tNN\tB-NP\tO' -p41988 -aS'twinges\ttwinge\tNNS\tI-NP\tO' -p41989 -aS'which\twhich\tWDT\tB-NP\tO' -p41990 -aS'are\tbe\tVBP\tB-VP\tO' -p41991 -aS'nonradiating\tnonradiating\tJJ\tB-ADJP\tO' -p41992 -aS'but\tbut\tCC\tO\tO' -p41993 -aS'are\tbe\tVBP\tB-VP\tO' -p41994 -aS'sharp\tsharp\tJJ\tB-ADJP\tO' -p41995 -aS'.\t.\t.\tO\tO' -p41996 -asS'History of diverticulitis , status post cholecystectomy , status post appendectomy , and hypertension .' -p41997 -(lp41998 -S'History\tHistory\tNN\tB-NP\tO' -p41999 -aS'of\tof\tIN\tB-PP\tO' -p42000 -aS'diverticulitis\tdiverticulitis\tNN\tB-NP\tO' -p42001 -aS',\t,\t,\tO\tO' -p42002 -aS'status\tstatus\tNN\tB-NP\tO' -p42003 -aS'post\tpost\tNN\tI-NP\tO' -p42004 -aS'cholecystectomy\tcholecystectomy\tNN\tI-NP\tO' -p42005 -aS',\t,\t,\tO\tO' -p42006 -aS'status\tstatus\tNN\tB-NP\tO' -p42007 -aS'post\tpost\tNN\tI-NP\tO' -p42008 -aS'appendectomy\tappendectomy\tNN\tI-NP\tO' -p42009 -aS',\t,\t,\tO\tO' -p42010 -aS'and\tand\tCC\tO\tO' -p42011 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p42012 -aS'.\t.\t.\tO\tO' -p42013 -asS'She had no hematoma in her groin site .' -p42014 -(lp42015 -S'She\tShe\tPRP\tB-NP\tO' -p42016 -aS'had\thave\tVBD\tB-VP\tO' -p42017 -aS'no\tno\tDT\tB-NP\tO' -p42018 -aS'hematoma\thematoma\tNN\tI-NP\tO' -p42019 -aS'in\tin\tIN\tB-PP\tO' -p42020 -aS'her\ther\tPRP$\tB-NP\tO' -p42021 -aS'groin\tgroin\tNN\tI-NP\tO' -p42022 -aS'site\tsite\tNN\tI-NP\tO' -p42023 -aS'.\t.\t.\tO\tO' -p42024 -asS"Ultimately it was decided that the patient 's wishes would be to not be maintained in a vegetative state and given his poor prognosis ultimately the decision was made to pursue comfort measures only ." -p42025 -(lp42026 -S'Ultimately\tUltimately\tRB\tB-ADVP\tO' -p42027 -aS'it\tit\tPRP\tB-NP\tO' -p42028 -aS'was\tbe\tVBD\tB-VP\tO' -p42029 -aS'decided\tdecide\tVBN\tI-VP\tO' -p42030 -aS'that\tthat\tIN\tB-SBAR\tO' -p42031 -aS'the\tthe\tDT\tB-NP\tO' -p42032 -aS'patient\tpatient\tNN\tI-NP\tO' -p42033 -aS"'s\t's\tPOS\tB-NP\tO" -p42034 -aS'wishes\twish\tNNS\tI-NP\tO' -p42035 -aS'would\twould\tMD\tB-VP\tO' -p42036 -aS'be\tbe\tVB\tI-VP\tO' -p42037 -aS'to\tto\tTO\tB-VP\tO' -p42038 -aS'not\tnot\tRB\tI-VP\tO' -p42039 -aS'be\tbe\tVB\tI-VP\tO' -p42040 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p42041 -aS'in\tin\tIN\tB-PP\tO' -p42042 -aS'a\ta\tDT\tB-NP\tO' -p42043 -aS'vegetative\tvegetative\tJJ\tI-NP\tO' -p42044 -aS'state\tstate\tNN\tI-NP\tO' -p42045 -aS'and\tand\tCC\tO\tO' -p42046 -aS'given\tgive\tVBN\tB-VP\tO' -p42047 -aS'his\this\tPRP$\tB-NP\tO' -p42048 -aS'poor\tpoor\tJJ\tI-NP\tO' -p42049 -aS'prognosis\tprognosis\tNN\tI-NP\tO' -p42050 -aS'ultimately\tultimately\tRB\tB-ADVP\tO' -p42051 -aS'the\tthe\tDT\tB-NP\tO' -p42052 -aS'decision\tdecision\tNN\tI-NP\tO' -p42053 -aS'was\tbe\tVBD\tB-VP\tO' -p42054 -aS'made\tmake\tVBN\tI-VP\tO' -p42055 -aS'to\tto\tTO\tB-VP\tO' -p42056 -aS'pursue\tpursue\tVB\tI-VP\tO' -p42057 -aS'comfort\tcomfort\tNN\tB-NP\tO' -p42058 -aS'measures\tmeasure\tNNS\tI-NP\tO' -p42059 -aS'only\tonly\tRB\tB-ADVP\tO' -p42060 -aS'.\t.\t.\tO\tO' -p42061 -asS'Significant for left TM scarring without acute inflammation or drainage .' -p42062 -(lp42063 -S'Significant\tSignificant\tJJ\tB-ADJP\tO' -p42064 -aS'for\tfor\tIN\tB-PP\tO' -p42065 -aS'left\tleft\tJJ\tB-NP\tO' -p42066 -aS'TM\tTM\tNN\tI-NP\tO' -p42067 -aS'scarring\tscar\tVBG\tB-VP\tO' -p42068 -aS'without\twithout\tIN\tB-PP\tO' -p42069 -aS'acute\tacute\tJJ\tB-NP\tO' -p42070 -aS'inflammation\tinflammation\tNN\tI-NP\tO' -p42071 -aS'or\tor\tCC\tI-NP\tO' -p42072 -aS'drainage\tdrainage\tNN\tI-NP\tO' -p42073 -aS'.\t.\t.\tO\tO' -p42074 -asS'Light touch was subjectively abnormal on both sides of the face .' -p42075 -(lp42076 -S'Light\tLight\tNN\tB-NP\tO' -p42077 -aS'touch\ttouch\tNN\tI-NP\tO' -p42078 -aS'was\tbe\tVBD\tB-VP\tO' -p42079 -aS'subjectively\tsubjectively\tRB\tB-ADJP\tO' -p42080 -aS'abnormal\tabnormal\tJJ\tI-ADJP\tO' -p42081 -aS'on\ton\tIN\tB-PP\tO' -p42082 -aS'both\tboth\tDT\tB-NP\tO' -p42083 -aS'sides\tside\tNNS\tI-NP\tO' -p42084 -aS'of\tof\tIN\tB-PP\tO' -p42085 -aS'the\tthe\tDT\tB-NP\tO' -p42086 -aS'face\tface\tNN\tI-NP\tO' -p42087 -aS'.\t.\t.\tO\tO' -p42088 -asS'3) STATUS POST FALL .' -p42089 -(lp42090 -S'3)\t3)\tLS\tB-NP\tO' -p42091 -aS'STATUS\tSTATUS\tNN\tI-NP\tO' -p42092 -aS'POST\tPOST\tNN\tI-NP\tO' -p42093 -aS'FALL\tFALL\tNN\tI-NP\tO' -p42094 -aS'.\t.\t.\tO\tO' -p42095 -asS'In mid May she was admitted for fever and neutropenia and at that time had a UTI with blood clots in the urine .' -p42096 -(lp42097 -S'In\tIn\tIN\tB-PP\tO' -p42098 -aS'mid\tmid\tJJ\tB-NP\tO' -p42099 -aS'May\tMay\tNNP\tI-NP\tO' -p42100 -aS'she\tshe\tPRP\tB-NP\tO' -p42101 -aS'was\tbe\tVBD\tB-VP\tO' -p42102 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p42103 -aS'for\tfor\tIN\tB-PP\tO' -p42104 -aS'fever\tfever\tNN\tB-NP\tO' -p42105 -aS'and\tand\tCC\tI-NP\tO' -p42106 -aS'neutropenia\tneutropenia\tNN\tI-NP\tO' -p42107 -aS'and\tand\tCC\tB-PP\tO' -p42108 -aS'at\tat\tIN\tB-PP\tO' -p42109 -aS'that\tthat\tDT\tB-NP\tO' -p42110 -aS'time\ttime\tNN\tI-NP\tO' -p42111 -aS'had\thave\tVBD\tB-VP\tO' -p42112 -aS'a\ta\tDT\tB-NP\tO' -p42113 -aS'UTI\tUTI\tNN\tI-NP\tO' -p42114 -aS'with\twith\tIN\tB-PP\tO' -p42115 -aS'blood\tblood\tNN\tB-NP\tO' -p42116 -aS'clots\tclot\tNNS\tI-NP\tO' -p42117 -aS'in\tin\tIN\tB-PP\tO' -p42118 -aS'the\tthe\tDT\tB-NP\tO' -p42119 -aS'urine\turine\tNN\tI-NP\tO' -p42120 -aS'.\t.\t.\tO\tO' -p42121 -asS'He is a retired taxi driver .' -p42122 -(lp42123 -S'He\tHe\tPRP\tB-NP\tB-DNA' -p42124 -aS'is\tbe\tVBZ\tB-VP\tO' -p42125 -aS'a\ta\tDT\tB-NP\tO' -p42126 -aS'retired\tretired\tJJ\tI-NP\tO' -p42127 -aS'taxi\ttaxi\tNN\tI-NP\tO' -p42128 -aS'driver\tdriver\tNN\tI-NP\tO' -p42129 -aS'.\t.\t.\tO\tO' -p42130 -asS'Return immediately for worsening signs of infection ( increased swelling , pain , redness ) or for any neurologic changes ( blurry or double vision , headaches , trouble walking , etc ) .' -p42131 -(lp42132 -S'Return\tReturn\tNN\tB-NP\tO' -p42133 -aS'immediately\timmediately\tRB\tB-ADVP\tO' -p42134 -aS'for\tfor\tIN\tB-PP\tO' -p42135 -aS'worsening\tworsen\tVBG\tB-VP\tO' -p42136 -aS'signs\tsign\tNNS\tB-NP\tO' -p42137 -aS'of\tof\tIN\tB-PP\tO' -p42138 -aS'infection\tinfection\tNN\tB-NP\tO' -p42139 -aS'(\t(\t(\tO\tO' -p42140 -aS'increased\tincrease\tVBN\tB-NP\tO' -p42141 -aS'swelling\tswelling\tNN\tI-NP\tO' -p42142 -aS',\t,\t,\tO\tO' -p42143 -aS'pain\tpain\tNN\tB-NP\tO' -p42144 -aS',\t,\t,\tO\tO' -p42145 -aS'redness\tredness\tNN\tB-NP\tO' -p42146 -aS')\t)\t)\tO\tO' -p42147 -aS'or\tor\tCC\tO\tO' -p42148 -aS'for\tfor\tIN\tB-PP\tO' -p42149 -aS'any\tany\tDT\tB-NP\tO' -p42150 -aS'neurologic\tneurologic\tJJ\tI-NP\tO' -p42151 -aS'changes\tchange\tNNS\tI-NP\tO' -p42152 -aS'(\t(\t(\tO\tO' -p42153 -aS'blurry\tblurry\tNN\tB-NP\tO' -p42154 -aS'or\tor\tCC\tO\tO' -p42155 -aS'double\tdouble\tJJ\tB-NP\tO' -p42156 -aS'vision\tvision\tNN\tI-NP\tO' -p42157 -aS',\t,\t,\tO\tO' -p42158 -aS'headaches\theadache\tNNS\tB-NP\tO' -p42159 -aS',\t,\t,\tO\tO' -p42160 -aS'trouble\ttrouble\tNN\tB-NP\tO' -p42161 -aS'walking\twalking\tNN\tI-NP\tO' -p42162 -aS',\t,\t,\tO\tO' -p42163 -aS'etc\tetc\tFW\tB-NP\tO' -p42164 -aS')\t)\t)\tO\tO' -p42165 -aS'.\t.\t.\tO\tO' -p42166 -asS'Most recent bilirubin was on 11-14 of 4.8 / 0.3 .' -p42167 -(lp42168 -S'Most\tMost\tRBS\tB-NP\tO' -p42169 -aS'recent\trecent\tJJ\tI-NP\tO' -p42170 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p42171 -aS'was\tbe\tVBD\tB-VP\tO' -p42172 -aS'on\ton\tIN\tB-PP\tO' -p42173 -aS'11-14\t11-14\tCD\tB-NP\tO' -p42174 -aS'of\tof\tIN\tB-PP\tO' -p42175 -aS'4.8\t4.8\tCD\tB-NP\tO' -p42176 -aS'/\t/\tSYM\tI-NP\tO' -p42177 -aS'0.3\t0.3\tCD\tI-NP\tO' -p42178 -aS'.\t.\t.\tO\tO' -p42179 -asS'He was medically managed and eventually his tracheostomy was decannulated .' -p42180 -(lp42181 -S'He\tHe\tPRP\tB-NP\tO' -p42182 -aS'was\tbe\tVBD\tB-VP\tO' -p42183 -aS'medically\tmedically\tRB\tI-VP\tO' -p42184 -aS'managed\tmanage\tVBN\tI-VP\tO' -p42185 -aS'and\tand\tCC\tO\tO' -p42186 -aS'eventually\teventually\tRB\tB-ADVP\tO' -p42187 -aS'his\this\tPRP$\tB-NP\tO' -p42188 -aS'tracheostomy\ttracheostomy\tNN\tI-NP\tO' -p42189 -aS'was\tbe\tVBD\tB-VP\tO' -p42190 -aS'decannulated\tdecannulate\tVBN\tI-VP\tO' -p42191 -aS'.\t.\t.\tO\tO' -p42192 -asS'Dyazide was discontinued .' -p42193 -(lp42194 -S'Dyazide\tDyazide\tNN\tB-NP\tO' -p42195 -aS'was\tbe\tVBD\tB-VP\tO' -p42196 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p42197 -aS'.\t.\t.\tO\tO' -p42198 -asS'At the time of discharge , her potassium had been low despite repletion , Na was elevated , as was blood pressure .' -p42199 -(lp42200 -S'At\tAt\tIN\tB-PP\tO' -p42201 -aS'the\tthe\tDT\tB-NP\tO' -p42202 -aS'time\ttime\tNN\tI-NP\tO' -p42203 -aS'of\tof\tIN\tB-PP\tO' -p42204 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p42205 -aS',\t,\t,\tO\tO' -p42206 -aS'her\ther\tPRP$\tB-NP\tO' -p42207 -aS'potassium\tpotassium\tNN\tI-NP\tO' -p42208 -aS'had\thave\tVBD\tB-VP\tO' -p42209 -aS'been\tbe\tVBN\tI-VP\tO' -p42210 -aS'low\tlow\tJJ\tB-ADJP\tO' -p42211 -aS'despite\tdespite\tIN\tB-PP\tO' -p42212 -aS'repletion\trepletion\tNN\tB-NP\tO' -p42213 -aS',\t,\t,\tO\tO' -p42214 -aS'Na\tNa\tNN\tB-NP\tO' -p42215 -aS'was\tbe\tVBD\tB-VP\tO' -p42216 -aS'elevated\televate\tVBN\tI-VP\tO' -p42217 -aS',\t,\t,\tO\tO' -p42218 -aS'as\tas\tIN\tB-SBAR\tO' -p42219 -aS'was\tbe\tVBD\tB-VP\tO' -p42220 -aS'blood\tblood\tNN\tB-NP\tO' -p42221 -aS'pressure\tpressure\tNN\tI-NP\tO' -p42222 -aS'.\t.\t.\tO\tO' -p42223 -asS'A chest x-ray done at that time revealed a left-sided infiltrate versus effusion .' -p42224 -(lp42225 -S'A\tA\tDT\tB-NP\tO' -p42226 -aS'chest\tch\tJJS\tI-NP\tO' -p42227 -aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' -p42228 -aS'done\tdo\tVBN\tB-VP\tO' -p42229 -aS'at\tat\tIN\tB-PP\tO' -p42230 -aS'that\tthat\tDT\tB-NP\tO' -p42231 -aS'time\ttime\tNN\tI-NP\tO' -p42232 -aS'revealed\treveal\tVBD\tB-VP\tO' -p42233 -aS'a\ta\tDT\tB-NP\tO' -p42234 -aS'left-sided\tleft-sided\tJJ\tI-NP\tO' -p42235 -aS'infiltrate\tinfiltrate\tNN\tI-NP\tO' -p42236 -aS'versus\tversus\tIN\tB-PP\tO' -p42237 -aS'effusion\teffusion\tNN\tB-NP\tO' -p42238 -aS'.\t.\t.\tO\tO' -p42239 -asS'2. Medications : none .' -p42240 -(lp42241 -S'2.\t2.\tCD\tB-NP\tO' -p42242 -aS'Medications\tMedication\tNNS\tI-NP\tO' -p42243 -aS':\t:\t:\tO\tO' -p42244 -aS'none\tnone\tNN\tB-NP\tO' -p42245 -aS'.\t.\t.\tO\tO' -p42246 -asS'Histochemical stains are consistent with hepatobiliary origin .' -p42247 -(lp42248 -S'Histochemical\tHistochemical\tJJ\tB-NP\tO' -p42249 -aS'stains\tstain\tNNS\tI-NP\tO' -p42250 -aS'are\tbe\tVBP\tB-VP\tO' -p42251 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p42252 -aS'with\twith\tIN\tB-PP\tO' -p42253 -aS'hepatobiliary\thepatobiliary\tJJ\tB-NP\tB-protein' -p42254 -aS'origin\torigin\tNN\tI-NP\tI-protein' -p42255 -aS'.\t.\t.\tO\tO' -p42256 -asS'The patient had decreased exercise tolerance and therefore was placed back on his milrinone to keep his cardiac index greater than 2.0 .' -p42257 -(lp42258 -S'The\tThe\tDT\tB-NP\tO' -p42259 -aS'patient\tpatient\tNN\tI-NP\tO' -p42260 -aS'had\thave\tVBD\tB-VP\tO' -p42261 -aS'decreased\tdecrease\tVBN\tI-VP\tO' -p42262 -aS'exercise\texercise\tNN\tB-NP\tO' -p42263 -aS'tolerance\ttolerance\tNN\tI-NP\tO' -p42264 -aS'and\tand\tCC\tO\tO' -p42265 -aS'therefore\ttherefore\tRB\tB-ADVP\tO' -p42266 -aS'was\tbe\tVBD\tB-VP\tO' -p42267 -aS'placed\tplace\tVBN\tI-VP\tO' -p42268 -aS'back\tback\tRB\tB-ADVP\tO' -p42269 -aS'on\ton\tIN\tB-PP\tO' -p42270 -aS'his\this\tPRP$\tB-NP\tO' -p42271 -aS'milrinone\tmilrinone\tNN\tI-NP\tO' -p42272 -aS'to\tto\tTO\tB-VP\tO' -p42273 -aS'keep\tkeep\tVB\tI-VP\tO' -p42274 -aS'his\this\tPRP$\tB-NP\tO' -p42275 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p42276 -aS'index\tindex\tNN\tI-NP\tO' -p42277 -aS'greater\tgreat\tJJR\tB-ADJP\tO' -p42278 -aS'than\tthan\tIN\tB-PP\tO' -p42279 -aS'2.0\t2.0\tCD\tB-NP\tO' -p42280 -aS'.\t.\t.\tO\tO' -p42281 -asS'A repeact head CT was unchanged .' -p42282 -(lp42283 -S'A\tA\tDT\tB-NP\tO' -p42284 -aS'repeact\trepeact\tNN\tI-NP\tO' -p42285 -aS'head\thead\tNN\tI-NP\tO' -p42286 -aS'CT\tCT\tNN\tI-NP\tO' -p42287 -aS'was\tbe\tVBD\tB-VP\tO' -p42288 -aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' -p42289 -aS'.\t.\t.\tO\tO' -p42290 -asS'No evidence of compartment syndrome .' -p42291 -(lp42292 -S'No\tNo\tDT\tB-NP\tO' -p42293 -aS'evidence\tevidence\tNN\tI-NP\tO' -p42294 -aS'of\tof\tIN\tB-PP\tO' -p42295 -aS'compartment\tcompartment\tNN\tB-NP\tO' -p42296 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p42297 -aS'.\t.\t.\tO\tO' -p42298 -asS'1. Non-small cell lung cancer s/p XRT and chemotherapy in French Guiana , s/p right pneumonectomy in 2016-09-21 for recurrence .' -p42299 -(lp42300 -S'1.\t1.\tLS\tB-NP\tO' -p42301 -aS'Non-small\tNon-small\tJJ\tI-NP\tO' -p42302 -aS'cell\tcell\tNN\tI-NP\tO' -p42303 -aS'lung\tlung\tNN\tI-NP\tO' -p42304 -aS'cancer\tcancer\tNN\tI-NP\tO' -p42305 -aS's/p\ts/p\tNN\tI-NP\tO' -p42306 -aS'XRT\tXRT\tNN\tI-NP\tO' -p42307 -aS'and\tand\tCC\tI-NP\tO' -p42308 -aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' -p42309 -aS'in\tin\tIN\tB-PP\tO' -p42310 -aS'French\tFrench\tNNP\tB-NP\tO' -p42311 -aS'Guiana\tGuiana\tNNP\tI-NP\tO' -p42312 -aS',\t,\t,\tO\tO' -p42313 -aS's/p\ts/p\tNN\tB-NP\tO' -p42314 -aS'right\tright\tJJ\tI-NP\tO' -p42315 -aS'pneumonectomy\tpneumonectomy\tNN\tI-NP\tO' -p42316 -aS'in\tin\tIN\tB-PP\tO' -p42317 -aS'2016-09-21\t2016-09-21\tCD\tB-NP\tO' -p42318 -aS'for\tfor\tIN\tB-PP\tO' -p42319 -aS'recurrence\trecurrence\tNN\tB-NP\tO' -p42320 -aS'.\t.\t.\tO\tO' -p42321 -asS'Repeat TSH and Free T4 were appropriate on current outpatient regimen. Patient was continued on Levothyroxine 75mcg po qd .' -p42322 -(lp42323 -S'Repeat\tRepeat\tNN\tB-NP\tO' -p42324 -aS'TSH\tTSH\tNN\tI-NP\tO' -p42325 -aS'and\tand\tCC\tO\tO' -p42326 -aS'Free\tFree\tJJ\tB-NP\tO' -p42327 -aS'T4\tT4\tNN\tI-NP\tO' -p42328 -aS'were\tbe\tVBD\tB-VP\tO' -p42329 -aS'appropriate\tappropriate\tJJ\tB-ADJP\tO' -p42330 -aS'on\ton\tIN\tB-PP\tO' -p42331 -aS'current\tcurrent\tJJ\tB-NP\tO' -p42332 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p42333 -aS'regimen.\tregimen.\tNN\tI-NP\tO' -p42334 -aS'Patient\tPatient\tNN\tI-NP\tO' -p42335 -aS'was\tbe\tVBD\tB-VP\tO' -p42336 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p42337 -aS'on\ton\tIN\tB-PP\tO' -p42338 -aS'Levothyroxine\tLevothyroxine\tNN\tB-NP\tO' -p42339 -aS'75mcg\t75mcg\tCD\tI-NP\tO' -p42340 -aS'po\tpo\tNN\tI-NP\tO' -p42341 -aS'qd\tqd\tNN\tI-NP\tO' -p42342 -aS'.\t.\t.\tO\tO' -p42343 -asS'2. Cardiovascular - The infant was noted on CR-monitor to have premature ventricular contractions which resolved spontaneously .' -p42344 -(lp42345 -S'2.\t2.\tLS\tB-LST\tO' -p42346 -aS'Cardiovascular\tCardiovascular\tJJ\tB-ADJP\tO' -p42347 -aS'-\t-\tHYPH\tO\tO' -p42348 -aS'The\tThe\tDT\tB-NP\tO' -p42349 -aS'infant\tinfant\tNN\tI-NP\tO' -p42350 -aS'was\tbe\tVBD\tB-VP\tO' -p42351 -aS'noted\tnote\tVBN\tI-VP\tO' -p42352 -aS'on\ton\tIN\tB-PP\tO' -p42353 -aS'CR-monitor\tCR-monitor\tNNP\tB-NP\tO' -p42354 -aS'to\tto\tTO\tB-VP\tO' -p42355 -aS'have\thave\tVB\tI-VP\tO' -p42356 -aS'premature\tpremature\tJJ\tB-NP\tO' -p42357 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p42358 -aS'contractions\tcontraction\tNNS\tI-NP\tO' -p42359 -aS'which\twhich\tWDT\tB-NP\tO' -p42360 -aS'resolved\tresolve\tVBD\tB-VP\tO' -p42361 -aS'spontaneously\tspontaneously\tRB\tB-ADVP\tO' -p42362 -aS'.\t.\t.\tO\tO' -p42363 -asS'She has fibromyalgia and a history of slurred speech .' -p42364 -(lp42365 -S'She\tShe\tPRP\tB-NP\tO' -p42366 -aS'has\thave\tVBZ\tB-VP\tO' -p42367 -aS'fibromyalgia\tfibromyalgia\tNN\tB-NP\tO' -p42368 -aS'and\tand\tCC\tO\tO' -p42369 -aS'a\ta\tDT\tB-NP\tO' -p42370 -aS'history\thistory\tNN\tI-NP\tO' -p42371 -aS'of\tof\tIN\tB-PP\tO' -p42372 -aS'slurred\tslur\tVBN\tB-NP\tO' -p42373 -aS'speech\tspeech\tNN\tI-NP\tO' -p42374 -aS'.\t.\t.\tO\tO' -p42375 -asS'Her electrolytes were checked on a daily basis and remained within normal limits , being replaced as needed .' -p42376 -(lp42377 -S'Her\tHer\tPRP$\tB-NP\tO' -p42378 -aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' -p42379 -aS'were\tbe\tVBD\tB-VP\tO' -p42380 -aS'checked\tcheck\tVBN\tI-VP\tO' -p42381 -aS'on\ton\tIN\tB-PP\tO' -p42382 -aS'a\ta\tDT\tB-NP\tO' -p42383 -aS'daily\tdaily\tJJ\tI-NP\tO' -p42384 -aS'basis\tbasis\tNN\tI-NP\tO' -p42385 -aS'and\tand\tCC\tO\tO' -p42386 -aS'remained\tremain\tVBD\tB-VP\tO' -p42387 -aS'within\twithin\tIN\tB-PP\tO' -p42388 -aS'normal\tnormal\tJJ\tB-NP\tO' -p42389 -aS'limits\tlimit\tNNS\tI-NP\tO' -p42390 -aS',\t,\t,\tO\tO' -p42391 -aS'being\tbe\tVBG\tB-VP\tO' -p42392 -aS'replaced\treplace\tVBN\tI-VP\tO' -p42393 -aS'as\tas\tIN\tB-PP\tO' -p42394 -aS'needed\tneed\tVBN\tB-VP\tO' -p42395 -aS'.\t.\t.\tO\tO' -p42396 -asS'This is the second Fairm of Ijordcompmac Hospital admission for Taroby Patient , a 70 year old male with a history of metastatic melanoma .' -p42397 -(lp42398 -S'This\tThis\tDT\tB-NP\tO' -p42399 -aS'is\tbe\tVBZ\tB-VP\tO' -p42400 -aS'the\tthe\tDT\tB-NP\tO' -p42401 -aS'second\tsecond\tJJ\tI-NP\tO' -p42402 -aS'Fairm\tFairm\tNN\tI-NP\tO' -p42403 -aS'of\tof\tIN\tB-PP\tO' -p42404 -aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' -p42405 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p42406 -aS'admission\tadmission\tNN\tI-NP\tO' -p42407 -aS'for\tfor\tIN\tB-PP\tO' -p42408 -aS'Taroby\tTaroby\tNNP\tB-NP\tO' -p42409 -aS'Patient\tPatient\tNNP\tI-NP\tO' -p42410 -aS',\t,\t,\tO\tO' -p42411 -aS'a\ta\tDT\tB-NP\tO' -p42412 -aS'70\t70\tCD\tI-NP\tO' -p42413 -aS'year\tyear\tNN\tI-NP\tO' -p42414 -aS'old\told\tJJ\tI-NP\tO' -p42415 -aS'male\tmale\tNN\tI-NP\tO' -p42416 -aS'with\twith\tIN\tB-PP\tO' -p42417 -aS'a\ta\tDT\tB-NP\tO' -p42418 -aS'history\thistory\tNN\tI-NP\tO' -p42419 -aS'of\tof\tIN\tB-PP\tO' -p42420 -aS'metastatic\tmetastatic\tJJ\tB-NP\tO' -p42421 -aS'melanoma\tmelanoma\tNN\tI-NP\tO' -p42422 -aS'.\t.\t.\tO\tO' -p42423 -asS'We believe the this was an osmotic diarrhea .' -p42424 -(lp42425 -S'We\tWe\tPRP\tB-NP\tO' -p42426 -aS'believe\tbelieve\tVBP\tB-VP\tO' -p42427 -aS'the\tthe\tDT\tB-NP\tO' -p42428 -aS'this\tthis\tDT\tI-NP\tO' -p42429 -aS'was\tbe\tVBD\tB-VP\tO' -p42430 -aS'an\tan\tDT\tB-NP\tO' -p42431 -aS'osmotic\tosmotic\tJJ\tI-NP\tO' -p42432 -aS'diarrhea\tdiarrhea\tNN\tI-NP\tO' -p42433 -aS'.\t.\t.\tO\tO' -p42434 -asS'9. Sevelamer 800 mg Tablet Sig : One ( 1 ) Tablet PO TID ( 3 times a day ) .' -p42435 -(lp42436 -S'9.\t9.\tCD\tB-NP\tO' -p42437 -aS'Sevelamer\tSevelamer\tNN\tI-NP\tO' -p42438 -aS'800\t800\tCD\tB-NP\tO' -p42439 -aS'mg\tmg\tNN\tI-NP\tO' -p42440 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p42441 -aS'Sig\tSig\tNNP\tI-NP\tO' -p42442 -aS':\t:\t:\tO\tO' -p42443 -aS'One\tOne\tCD\tB-NP\tO' -p42444 -aS'(\t(\t(\tO\tO' -p42445 -aS'1\t1\tCD\tB-NP\tO' -p42446 -aS')\t)\t)\tO\tO' -p42447 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p42448 -aS'PO\tPO\tNN\tI-NP\tO' -p42449 -aS'TID\tTID\tNN\tI-NP\tO' -p42450 -aS'(\t(\t(\tO\tO' -p42451 -aS'3\t3\tCD\tB-NP\tO' -p42452 -aS'times\ttime\tNNS\tI-NP\tO' -p42453 -aS'a\ta\tDT\tB-NP\tO' -p42454 -aS'day\tday\tNN\tI-NP\tO' -p42455 -aS')\t)\t)\tO\tO' -p42456 -aS'.\t.\t.\tO\tO' -p42457 -asS'The patient presented with changes in mental status , pCO2 of 100 , pH of 7.19 , decreasing sats on arrival likely element of obstructive-sleep apnea .' -p42458 -(lp42459 -S'The\tThe\tDT\tB-NP\tO' -p42460 -aS'patient\tpatient\tNN\tI-NP\tO' -p42461 -aS'presented\tpresent\tVBD\tB-VP\tO' -p42462 -aS'with\twith\tIN\tB-PP\tO' -p42463 -aS'changes\tchange\tNNS\tB-NP\tO' -p42464 -aS'in\tin\tIN\tB-PP\tO' -p42465 -aS'mental\tmental\tJJ\tB-NP\tO' -p42466 -aS'status\tstatus\tNN\tI-NP\tO' -p42467 -aS',\t,\t,\tO\tO' -p42468 -aS'pCO2\tpCO2\tNN\tB-NP\tO' -p42469 -aS'of\tof\tIN\tB-PP\tO' -p42470 -aS'100\t100\tCD\tB-NP\tO' -p42471 -aS',\t,\t,\tO\tO' -p42472 -aS'pH\tpH\tNN\tB-NP\tO' -p42473 -aS'of\tof\tIN\tB-PP\tO' -p42474 -aS'7.19\t7.19\tCD\tB-NP\tO' -p42475 -aS',\t,\t,\tO\tO' -p42476 -aS'decreasing\tdecrease\tVBG\tB-VP\tO' -p42477 -aS'sats\tsat\tNNS\tB-NP\tO' -p42478 -aS'on\ton\tIN\tB-PP\tO' -p42479 -aS'arrival\tarrival\tJJ\tB-NP\tB-DNA' -p42480 -aS'likely\tlikely\tJJ\tI-NP\tI-DNA' -p42481 -aS'element\telement\tNN\tI-NP\tI-DNA' -p42482 -aS'of\tof\tIN\tB-PP\tO' -p42483 -aS'obstructive-sleep\tobstructive-sleep\tJJ\tB-NP\tO' -p42484 -aS'apnea\tapnea\tNN\tI-NP\tO' -p42485 -aS'.\t.\t.\tO\tO' -p42486 -asS'She ejected .' -p42487 -(lp42488 -S'She\tShe\tPRP\tB-NP\tO' -p42489 -aS'ejected\teject\tVBD\tB-VP\tO' -p42490 -aS'.\t.\t.\tO\tO' -p42491 -asS'fraction of 25 percent .' -p42492 -(lp42493 -S'fraction\tfraction\tNN\tB-NP\tO' -p42494 -aS'of\tof\tIN\tB-PP\tO' -p42495 -aS'25\t25\tCD\tB-NP\tO' -p42496 -aS'percent\tpercent\tNN\tI-NP\tO' -p42497 -aS'.\t.\t.\tO\tO' -p42498 -asS'Specimens sent to pathology included peritoneal washings and permanent specimens from the liver and falciform nodules .' -p42499 -(lp42500 -S'Specimens\tSpecimen\tNNS\tB-NP\tO' -p42501 -aS'sent\tsend\tVBN\tB-VP\tO' -p42502 -aS'to\tto\tTO\tB-PP\tO' -p42503 -aS'pathology\tpathology\tNN\tB-NP\tO' -p42504 -aS'included\tinclude\tVBD\tB-VP\tO' -p42505 -aS'peritoneal\tperitoneal\tJJ\tB-NP\tO' -p42506 -aS'washings\twashing\tNNS\tI-NP\tO' -p42507 -aS'and\tand\tCC\tO\tO' -p42508 -aS'permanent\tpermanent\tJJ\tB-NP\tO' -p42509 -aS'specimens\tspecimen\tNNS\tI-NP\tO' -p42510 -aS'from\tfrom\tIN\tB-PP\tO' -p42511 -aS'the\tthe\tDT\tB-NP\tO' -p42512 -aS'liver\tliver\tNN\tI-NP\tO' -p42513 -aS'and\tand\tCC\tO\tO' -p42514 -aS'falciform\tfalciform\tJJ\tB-NP\tO' -p42515 -aS'nodules\tnodule\tNNS\tI-NP\tO' -p42516 -aS'.\t.\t.\tO\tO' -p42517 -asS"Patient 's hypoxia was felt most likely to be caused by pneumonia ." -p42518 -(lp42519 -S'Patient\tPatient\tNN\tB-NP\tO' -p42520 -aS"'s\t's\tPOS\tB-NP\tO" -p42521 -aS'hypoxia\thypoxia\tNN\tI-NP\tO' -p42522 -aS'was\tbe\tVBD\tB-VP\tO' -p42523 -aS'felt\tfeel\tVBN\tI-VP\tO' -p42524 -aS'most\tmost\tRBS\tB-ADJP\tO' -p42525 -aS'likely\tlikely\tJJ\tI-ADJP\tO' -p42526 -aS'to\tto\tTO\tB-VP\tO' -p42527 -aS'be\tbe\tVB\tI-VP\tO' -p42528 -aS'caused\tcause\tVBN\tI-VP\tO' -p42529 -aS'by\tby\tIN\tB-PP\tO' -p42530 -aS'pneumonia\tpneumonia\tNN\tB-NP\tO' -p42531 -aS'.\t.\t.\tO\tO' -p42532 -asS'Alleyne birth weight was 3.710 kg ( 8 pounds / 3 ounces ).' -p42533 -(lp42534 -S'Alleyne\tAlleyne\tNN\tB-NP\tO' -p42535 -aS'birth\tbirth\tNN\tI-NP\tO' -p42536 -aS'weight\tweight\tNN\tI-NP\tO' -p42537 -aS'was\tbe\tVBD\tB-VP\tO' -p42538 -aS'3.710\t3.710\tCD\tB-NP\tO' -p42539 -aS'kg\tkg\tNN\tI-NP\tO' -p42540 -aS'(\t(\t(\tO\tO' -p42541 -aS'8\t8\tCD\tB-NP\tO' -p42542 -aS'pounds\tpound\tNNS\tI-NP\tO' -p42543 -aS'/\t/\tSYM\tB-NP\tO' -p42544 -aS'3\t3\tCD\tB-NP\tO' -p42545 -aS'ounces\tounce\tNNS\tI-NP\tO' -p42546 -aS').\t).\t)\tO\tO' -p42547 -asS'Sister with stomach cancer .' -p42548 -(lp42549 -S'Sister\tSister\tNN\tB-NP\tO' -p42550 -aS'with\twith\tIN\tB-PP\tO' -p42551 -aS'stomach\tstomach\tNN\tB-NP\tO' -p42552 -aS'cancer\tcancer\tNN\tI-NP\tO' -p42553 -aS'.\t.\t.\tO\tO' -p42554 -asS'Following his recent bone marrow harvest he had protracted episodes of nausea and vomiting .' -p42555 -(lp42556 -S'Following\tFollow\tVBG\tB-PP\tO' -p42557 -aS'his\this\tPRP$\tB-NP\tO' -p42558 -aS'recent\trecent\tJJ\tI-NP\tO' -p42559 -aS'bone\tbone\tNN\tI-NP\tO' -p42560 -aS'marrow\tmarrow\tNN\tI-NP\tO' -p42561 -aS'harvest\tharvest\tNN\tI-NP\tO' -p42562 -aS'he\the\tPRP\tB-NP\tO' -p42563 -aS'had\thave\tVBD\tB-VP\tO' -p42564 -aS'protracted\tprotract\tVBN\tI-VP\tO' -p42565 -aS'episodes\tepisode\tNNS\tB-NP\tO' -p42566 -aS'of\tof\tIN\tB-PP\tO' -p42567 -aS'nausea\tnausea\tNN\tB-NP\tO' -p42568 -aS'and\tand\tCC\tI-NP\tO' -p42569 -aS'vomiting\tvomiting\tNN\tI-NP\tO' -p42570 -aS'.\t.\t.\tO\tO' -p42571 -asS'During his hospital stay , he developed some nonsustained ventricular tachycardia .' -p42572 -(lp42573 -S'During\tDuring\tIN\tB-PP\tO' -p42574 -aS'his\this\tPRP$\tB-NP\tO' -p42575 -aS'hospital\thospital\tNN\tI-NP\tO' -p42576 -aS'stay\tstay\tNN\tI-NP\tO' -p42577 -aS',\t,\t,\tO\tO' -p42578 -aS'he\the\tPRP\tB-NP\tO' -p42579 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p42580 -aS'some\tsome\tDT\tB-NP\tO' -p42581 -aS'nonsustained\tnonsustained\tJJ\tI-NP\tO' -p42582 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p42583 -aS'tachycardia\ttachycardia\tNN\tI-NP\tO' -p42584 -aS'.\t.\t.\tO\tO' -p42585 -asS'normal axis , and normalizing of the inferior ST segments , with Q waves evolving in leads III and aVF .' -p42586 -(lp42587 -S'normal\tnormal\tJJ\tB-NP\tO' -p42588 -aS'axis\taxis\tNN\tI-NP\tO' -p42589 -aS',\t,\t,\tO\tO' -p42590 -aS'and\tand\tCC\tO\tO' -p42591 -aS'normalizing\tnormalize\tVBG\tB-VP\tO' -p42592 -aS'of\tof\tIN\tB-PP\tO' -p42593 -aS'the\tthe\tDT\tB-NP\tO' -p42594 -aS'inferior\tinferior\tJJ\tI-NP\tB-DNA' -p42595 -aS'ST\tST\tNN\tI-NP\tI-DNA' -p42596 -aS'segments\tsegment\tNNS\tI-NP\tI-DNA' -p42597 -aS',\t,\t,\tO\tO' -p42598 -aS'with\twith\tIN\tB-PP\tO' -p42599 -aS'Q\tQ\tNN\tB-NP\tO' -p42600 -aS'waves\twave\tNNS\tI-NP\tO' -p42601 -aS'evolving\tevolve\tVBG\tB-VP\tO' -p42602 -aS'in\tin\tIN\tB-PP\tO' -p42603 -aS'leads\tlead\tNNS\tB-NP\tO' -p42604 -aS'III\tIII\tCD\tB-NP\tO' -p42605 -aS'and\tand\tCC\tO\tO' -p42606 -aS'aVF\taVF\tNN\tB-NP\tO' -p42607 -aS'.\t.\t.\tO\tO' -p42608 -asS'Right ventricular chamber size is normal and free wall motion may be mildly impaired .' -p42609 -(lp42610 -S'Right\tRight\tRB\tB-NP\tO' -p42611 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p42612 -aS'chamber\tchamber\tNN\tI-NP\tO' -p42613 -aS'size\tsize\tNN\tI-NP\tO' -p42614 -aS'is\tbe\tVBZ\tB-VP\tO' -p42615 -aS'normal\tnormal\tJJ\tB-NP\tO' -p42616 -aS'and\tand\tCC\tI-NP\tO' -p42617 -aS'free\tfree\tJJ\tI-NP\tO' -p42618 -aS'wall\twall\tNN\tI-NP\tO' -p42619 -aS'motion\tmotion\tNN\tI-NP\tO' -p42620 -aS'may\tmay\tMD\tB-VP\tO' -p42621 -aS'be\tbe\tVB\tI-VP\tO' -p42622 -aS'mildly\tmildly\tRB\tB-ADJP\tO' -p42623 -aS'impaired\timpaired\tJJ\tI-ADJP\tO' -p42624 -aS'.\t.\t.\tO\tO' -p42625 -asS'He was then intubated for airway protection ( etomidate / succinate ); it was a traumatic intubation' -p42626 -(lp42627 -S'He\tHe\tPRP\tB-NP\tO' -p42628 -aS'was\tbe\tVBD\tB-VP\tO' -p42629 -aS'then\tthen\tRB\tI-VP\tO' -p42630 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p42631 -aS'for\tfor\tIN\tB-PP\tO' -p42632 -aS'airway\tairway\tNN\tB-NP\tO' -p42633 -aS'protection\tprotection\tNN\tI-NP\tO' -p42634 -aS'(\t(\t(\tO\tO' -p42635 -aS'etomidate\tetomidate\tNN\tB-NP\tO' -p42636 -aS'/\t/\tSYM\tB-NP\tO' -p42637 -aS'succinate\tsuccinate\tNN\tI-NP\tO' -p42638 -aS');\t);\t:\tO\tO' -p42639 -aS'it\tit\tPRP\tB-NP\tO' -p42640 -aS'was\tbe\tVBD\tB-VP\tO' -p42641 -aS'a\ta\tDT\tB-NP\tO' -p42642 -aS'traumatic\ttraumatic\tJJ\tI-NP\tO' -p42643 -aS'intubation\tintubation\tNN\tI-NP\tO' -p42644 -asS'2 ) Hypertension .' -p42645 -(lp42646 -S'2\t2\tLS\tB-LST\tO' -p42647 -aS')\t)\t)\tO\tO' -p42648 -aS'Hypertension\tHypertension\tNN\tB-NP\tO' -p42649 -aS'.\t.\t.\tO\tO' -p42650 -asS'1. Regular insulin sliding scale .' -p42651 -(lp42652 -S'1.\t1.\tLS\tB-NP\tO' -p42653 -aS'Regular\tRegular\tJJ\tI-NP\tB-protein' -p42654 -aS'insulin\tinsulin\tNN\tI-NP\tI-protein' -p42655 -aS'sliding\tslide\tVBG\tB-VP\tO' -p42656 -aS'scale\tscale\tNN\tB-NP\tO' -p42657 -aS'.\t.\t.\tO\tO' -p42658 -asS'These dressing changes are applied by applying the Xeroform on Betadine initially and then changing it with sterile dry bandages .' -p42659 -(lp42660 -S'These\tThese\tDT\tB-NP\tO' -p42661 -aS'dressing\tdress\tVBG\tI-NP\tO' -p42662 -aS'changes\tchange\tNNS\tI-NP\tO' -p42663 -aS'are\tbe\tVBP\tB-VP\tO' -p42664 -aS'applied\tapply\tVBN\tI-VP\tO' -p42665 -aS'by\tby\tIN\tB-PP\tO' -p42666 -aS'applying\tapply\tVBG\tB-VP\tO' -p42667 -aS'the\tthe\tDT\tB-NP\tO' -p42668 -aS'Xeroform\tXeroform\tNN\tI-NP\tO' -p42669 -aS'on\ton\tIN\tB-PP\tO' -p42670 -aS'Betadine\tBetadine\tNN\tB-NP\tO' -p42671 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p42672 -aS'and\tand\tCC\tO\tO' -p42673 -aS'then\tthen\tRB\tO\tO' -p42674 -aS'changing\tchange\tVBG\tB-VP\tO' -p42675 -aS'it\tit\tPRP\tB-NP\tO' -p42676 -aS'with\twith\tIN\tB-PP\tO' -p42677 -aS'sterile\tsterile\tJJ\tB-NP\tO' -p42678 -aS'dry\tdry\tJJ\tI-NP\tO' -p42679 -aS'bandages\tbandage\tNNS\tI-NP\tO' -p42680 -aS'.\t.\t.\tO\tO' -p42681 -asS'Pain worse with movement .' -p42682 -(lp42683 -S'Pain\tPain\tNN\tB-NP\tB-protein' -p42684 -aS'worse\tworse\tJJR\tB-ADJP\tO' -p42685 -aS'with\twith\tIN\tB-PP\tO' -p42686 -aS'movement\tmovement\tNN\tB-NP\tO' -p42687 -aS'.\t.\t.\tO\tO' -p42688 -asS'10. Gout .' -p42689 -(lp42690 -S'10.\t10.\tLS\tB-LST\tO' -p42691 -aS'Gout\tGout\tNNP\tB-NP\tO' -p42692 -aS'.\t.\t.\tO\tO' -p42693 -asS'HEENT exam was within normal limits .' -p42694 -(lp42695 -S'HEENT\tHEENT\tNN\tB-NP\tO' -p42696 -aS'exam\texam\tNN\tI-NP\tO' -p42697 -aS'was\tbe\tVBD\tB-VP\tO' -p42698 -aS'within\twithin\tIN\tB-PP\tO' -p42699 -aS'normal\tnormal\tJJ\tB-NP\tO' -p42700 -aS'limits\tlimit\tNNS\tI-NP\tO' -p42701 -aS'.\t.\t.\tO\tO' -p42702 -asS'3. Chronic leg edema .' -p42703 -(lp42704 -S'3.\t3.\tLS\tB-NP\tO' -p42705 -aS'Chronic\tChronic\tJJ\tI-NP\tO' -p42706 -aS'leg\tleg\tNN\tI-NP\tO' -p42707 -aS'edema\tedema\tNN\tI-NP\tO' -p42708 -aS'.\t.\t.\tO\tO' -p42709 -asS'Orthostatic hypotension .' -p42710 -(lp42711 -S'Orthostatic\tOrthostatic\tJJ\tB-NP\tO' -p42712 -aS'hypotension\thypotension\tNN\tI-NP\tO' -p42713 -aS'.\t.\t.\tO\tO' -p42714 -asS'The patient has had progressive failure to thrive and steady weight loss .' -p42715 -(lp42716 -S'The\tThe\tDT\tB-NP\tO' -p42717 -aS'patient\tpatient\tNN\tI-NP\tO' -p42718 -aS'has\thave\tVBZ\tB-VP\tO' -p42719 -aS'had\thave\tVBN\tI-VP\tO' -p42720 -aS'progressive\tprogressive\tJJ\tB-NP\tO' -p42721 -aS'failure\tfailure\tNN\tI-NP\tO' -p42722 -aS'to\tto\tTO\tB-VP\tO' -p42723 -aS'thrive\tthrive\tVB\tI-VP\tO' -p42724 -aS'and\tand\tCC\tO\tO' -p42725 -aS'steady\tsteady\tJJ\tB-NP\tO' -p42726 -aS'weight\tweight\tNN\tI-NP\tO' -p42727 -aS'loss\tloss\tNN\tI-NP\tO' -p42728 -aS'.\t.\t.\tO\tO' -p42729 -asS'This is an 85 year old man initially admitted to the Plastic Surgery Service for evaluation of a left facial mass .' -p42730 -(lp42731 -S'This\tThis\tDT\tB-NP\tO' -p42732 -aS'is\tbe\tVBZ\tB-VP\tO' -p42733 -aS'an\tan\tDT\tB-NP\tO' -p42734 -aS'85\t85\tCD\tI-NP\tO' -p42735 -aS'year\tyear\tNN\tI-NP\tO' -p42736 -aS'old\told\tJJ\tI-NP\tO' -p42737 -aS'man\tman\tNN\tI-NP\tO' -p42738 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p42739 -aS'admitted\tadmit\tVBD\tB-VP\tO' -p42740 -aS'to\tto\tTO\tB-PP\tO' -p42741 -aS'the\tthe\tDT\tB-NP\tO' -p42742 -aS'Plastic\tPlastic\tNNP\tI-NP\tO' -p42743 -aS'Surgery\tSurgery\tNNP\tI-NP\tO' -p42744 -aS'Service\tService\tNNP\tI-NP\tO' -p42745 -aS'for\tfor\tIN\tB-PP\tO' -p42746 -aS'evaluation\tevaluation\tNN\tB-NP\tO' -p42747 -aS'of\tof\tIN\tB-PP\tO' -p42748 -aS'a\ta\tDT\tB-NP\tO' -p42749 -aS'left\tleft\tJJ\tI-NP\tO' -p42750 -aS'facial\tfacial\tJJ\tI-NP\tO' -p42751 -aS'mass\tmass\tNN\tI-NP\tO' -p42752 -aS'.\t.\t.\tO\tO' -p42753 -asS'Pulses remained , aside from the above-knee amputation on the right side , they remained symmetrical bilaterally with 3+ carotid , 2+ brachial , 1+ radial , 3+ femoral .' -p42754 -(lp42755 -S'Pulses\tPulse\tNNS\tB-NP\tO' -p42756 -aS'remained\tremain\tVBD\tB-VP\tO' -p42757 -aS',\t,\t,\tO\tO' -p42758 -aS'aside\taside\tRB\tB-ADVP\tO' -p42759 -aS'from\tfrom\tIN\tB-PP\tO' -p42760 -aS'the\tthe\tDT\tB-NP\tO' -p42761 -aS'above-knee\tabove-knee\tJJ\tI-NP\tO' -p42762 -aS'amputation\tamputation\tNN\tI-NP\tO' -p42763 -aS'on\ton\tIN\tB-PP\tO' -p42764 -aS'the\tthe\tDT\tB-NP\tO' -p42765 -aS'right\tright\tJJ\tI-NP\tO' -p42766 -aS'side\tside\tNN\tI-NP\tO' -p42767 -aS',\t,\t,\tO\tO' -p42768 -aS'they\tthey\tPRP\tB-NP\tO' -p42769 -aS'remained\tremain\tVBD\tB-VP\tO' -p42770 -aS'symmetrical\tsymmetrical\tJJ\tB-ADJP\tO' -p42771 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p42772 -aS'with\twith\tIN\tB-PP\tO' -p42773 -aS'3+\t3+\tJJ\tB-NP\tO' -p42774 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p42775 -aS',\t,\t,\tO\tO' -p42776 -aS'2+\t2+\tJJ\tB-NP\tO' -p42777 -aS'brachial\tbrachial\tJJ\tI-NP\tO' -p42778 -aS',\t,\t,\tI-NP\tO' -p42779 -aS'1+\t1+\tJJ\tI-NP\tO' -p42780 -aS'radial\tradial\tNN\tI-NP\tO' -p42781 -aS',\t,\t,\tO\tO' -p42782 -aS'3+\t3+\tJJ\tB-NP\tO' -p42783 -aS'femoral\tfemoral\tNN\tI-NP\tO' -p42784 -aS'.\t.\t.\tO\tO' -p42785 -asS'A pelvic and abdominal computerized tomography scan on February 18 also showed no evidence of a focal collection or abscess .' -p42786 -(lp42787 -S'A\tA\tDT\tB-NP\tO' -p42788 -aS'pelvic\tpelvic\tJJ\tI-NP\tO' -p42789 -aS'and\tand\tCC\tI-NP\tO' -p42790 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p42791 -aS'computerized\tcomputerized\tJJ\tI-NP\tO' -p42792 -aS'tomography\ttomography\tNN\tI-NP\tO' -p42793 -aS'scan\tscan\tNN\tI-NP\tO' -p42794 -aS'on\ton\tIN\tB-PP\tO' -p42795 -aS'February\tFebruary\tNNP\tB-NP\tO' -p42796 -aS'18\t18\tCD\tI-NP\tO' -p42797 -aS'also\talso\tRB\tB-ADVP\tO' -p42798 -aS'showed\tshow\tVBD\tB-VP\tO' -p42799 -aS'no\tno\tDT\tB-NP\tO' -p42800 -aS'evidence\tevidence\tNN\tI-NP\tO' -p42801 -aS'of\tof\tIN\tB-PP\tO' -p42802 -aS'a\ta\tDT\tB-NP\tO' -p42803 -aS'focal\tfocal\tJJ\tI-NP\tO' -p42804 -aS'collection\tcollection\tNN\tI-NP\tO' -p42805 -aS'or\tor\tCC\tI-NP\tO' -p42806 -aS'abscess\tabscess\tNN\tI-NP\tO' -p42807 -aS'.\t.\t.\tO\tO' -p42808 -asS'The infant cried after bulb suctioning and stimulation .' -p42809 -(lp42810 -S'The\tThe\tDT\tB-NP\tO' -p42811 -aS'infant\tinfant\tNN\tI-NP\tO' -p42812 -aS'cried\tcry\tVBD\tB-VP\tO' -p42813 -aS'after\tafter\tIN\tB-PP\tO' -p42814 -aS'bulb\tbulb\tNN\tB-NP\tO' -p42815 -aS'suctioning\tsuctioning\tNN\tI-NP\tO' -p42816 -aS'and\tand\tCC\tI-NP\tO' -p42817 -aS'stimulation\tstimulation\tNN\tI-NP\tO' -p42818 -aS'.\t.\t.\tO\tO' -p42819 -asS'She denies a rash and any genitourinary symptoms .' -p42820 -(lp42821 -S'She\tShe\tPRP\tB-NP\tO' -p42822 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p42823 -aS'a\ta\tDT\tB-NP\tO' -p42824 -aS'rash\trash\tNN\tI-NP\tO' -p42825 -aS'and\tand\tCC\tO\tO' -p42826 -aS'any\tany\tDT\tB-NP\tO' -p42827 -aS'genitourinary\tgenitourinary\tJJ\tI-NP\tO' -p42828 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p42829 -aS'.\t.\t.\tO\tO' -p42830 -asS'He can walk about a quarter of a mile without stopping .' -p42831 -(lp42832 -S'He\tHe\tPRP\tB-NP\tO' -p42833 -aS'can\tcan\tMD\tB-VP\tO' -p42834 -aS'walk\twalk\tVB\tI-VP\tO' -p42835 -aS'about\tabout\tIN\tB-NP\tO' -p42836 -aS'a\ta\tDT\tI-NP\tO' -p42837 -aS'quarter\tquarter\tNN\tI-NP\tO' -p42838 -aS'of\tof\tIN\tB-PP\tO' -p42839 -aS'a\ta\tDT\tB-NP\tO' -p42840 -aS'mile\tmile\tNN\tI-NP\tO' -p42841 -aS'without\twithout\tIN\tB-PP\tO' -p42842 -aS'stopping\tstop\tVBG\tB-VP\tO' -p42843 -aS'.\t.\t.\tO\tO' -p42844 -asS'Chest was clear to percussion and auscultation .' -p42845 -(lp42846 -S'Chest\tChest\tNNP\tB-NP\tO' -p42847 -aS'was\tbe\tVBD\tB-VP\tO' -p42848 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p42849 -aS'to\tto\tTO\tB-PP\tO' -p42850 -aS'percussion\tpercussion\tNN\tB-NP\tO' -p42851 -aS'and\tand\tCC\tI-NP\tO' -p42852 -aS'auscultation\tauscultation\tNN\tI-NP\tO' -p42853 -aS'.\t.\t.\tO\tO' -p42854 -asS'This AM while talking with his daughter on the phone , he was noted to desaturate into the high 80s and he was brought to the The Hospital for Orthopedics Juan for further evaluation .' -p42855 -(lp42856 -S'This\tThis\tDT\tB-NP\tO' -p42857 -aS'AM\tAM\tNN\tI-NP\tO' -p42858 -aS'while\twhile\tIN\tB-SBAR\tO' -p42859 -aS'talking\ttalk\tVBG\tB-VP\tO' -p42860 -aS'with\twith\tIN\tB-PP\tO' -p42861 -aS'his\this\tPRP$\tB-NP\tO' -p42862 -aS'daughter\tdaughter\tNN\tI-NP\tO' -p42863 -aS'on\ton\tIN\tB-PP\tO' -p42864 -aS'the\tthe\tDT\tB-NP\tO' -p42865 -aS'phone\tphone\tNN\tI-NP\tO' -p42866 -aS',\t,\t,\tO\tO' -p42867 -aS'he\the\tPRP\tB-NP\tO' -p42868 -aS'was\tbe\tVBD\tB-VP\tO' -p42869 -aS'noted\tnote\tVBN\tI-VP\tO' -p42870 -aS'to\tto\tTO\tI-VP\tO' -p42871 -aS'desaturate\tdesaturate\tVB\tI-VP\tO' -p42872 -aS'into\tinto\tIN\tB-PP\tO' -p42873 -aS'the\tthe\tDT\tB-NP\tO' -p42874 -aS'high\thigh\tJJ\tI-NP\tO' -p42875 -aS'80s\t80\tNNS\tI-NP\tO' -p42876 -aS'and\tand\tCC\tO\tO' -p42877 -aS'he\the\tPRP\tB-NP\tO' -p42878 -aS'was\tbe\tVBD\tB-VP\tO' -p42879 -aS'brought\tbring\tVBN\tI-VP\tO' -p42880 -aS'to\tto\tTO\tB-PP\tO' -p42881 -aS'the\tthe\tDT\tB-NP\tO' -p42882 -aS'The\tThe\tNNP\tI-NP\tO' -p42883 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p42884 -aS'for\tfor\tIN\tB-PP\tO' -p42885 -aS'Orthopedics\tOrthopedics\tNNP\tB-NP\tO' -p42886 -aS'Juan\tJuan\tNNP\tI-NP\tO' -p42887 -aS'for\tfor\tIN\tB-PP\tO' -p42888 -aS'further\tfurther\tJJ\tB-NP\tO' -p42889 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p42890 -aS'.\t.\t.\tO\tO' -p42891 -asS'His wife gave him mouth-to-mouth resuscitation and he regained consciousness .' -p42892 -(lp42893 -S'His\tHis\tPRP$\tB-NP\tO' -p42894 -aS'wife\twife\tNN\tI-NP\tO' -p42895 -aS'gave\tgive\tVBD\tB-VP\tO' -p42896 -aS'him\thim\tPRP\tB-NP\tO' -p42897 -aS'mouth-to-mouth\tmouth-to-mouth\tJJ\tB-NP\tO' -p42898 -aS'resuscitation\tresuscitation\tNN\tI-NP\tO' -p42899 -aS'and\tand\tCC\tO\tO' -p42900 -aS'he\the\tPRP\tB-NP\tO' -p42901 -aS'regained\tregain\tVBD\tB-VP\tO' -p42902 -aS'consciousness\tconsciousness\tNN\tB-NP\tO' -p42903 -aS'.\t.\t.\tO\tO' -p42904 -asS'ENTEROCOCCUS SP .' -p42905 -(lp42906 -S'ENTEROCOCCUS\tENTEROCOCCUS\tJJ\tB-NP\tO' -p42907 -aS'SP\tSP\tNN\tI-NP\tO' -p42908 -aS'.\t.\t.\tO\tO' -p42909 -asS'She was able to move all four of her extremities in response to pain .' -p42910 -(lp42911 -S'She\tShe\tPRP\tB-NP\tO' -p42912 -aS'was\tbe\tVBD\tB-VP\tO' -p42913 -aS'able\table\tJJ\tB-ADJP\tO' -p42914 -aS'to\tto\tTO\tB-VP\tO' -p42915 -aS'move\tmove\tVB\tI-VP\tO' -p42916 -aS'all\tall\tDT\tB-NP\tO' -p42917 -aS'four\tfour\tCD\tI-NP\tO' -p42918 -aS'of\tof\tIN\tB-PP\tO' -p42919 -aS'her\ther\tPRP$\tB-NP\tO' -p42920 -aS'extremities\textremity\tNNS\tI-NP\tO' -p42921 -aS'in\tin\tIN\tB-PP\tO' -p42922 -aS'response\tresponse\tNN\tB-NP\tO' -p42923 -aS'to\tto\tTO\tB-VP\tO' -p42924 -aS'pain\tpain\tVB\tI-VP\tO' -p42925 -aS'.\t.\t.\tO\tO' -p42926 -asS'INTRAUTERINE PREGNANCY AT 23 WEEKS .' -p42927 -(lp42928 -S'INTRAUTERINE\tINTRAUTERINE\tNN\tB-NP\tO' -p42929 -aS'PREGNANCY\tPREGNANCY\tNN\tI-NP\tO' -p42930 -aS'AT\tAT\tIN\tB-PP\tO' -p42931 -aS'23\t23\tCD\tB-NP\tO' -p42932 -aS'WEEKS\tWEEKS\tNNS\tI-NP\tO' -p42933 -aS'.\t.\t.\tO\tO' -p42934 -asS'Medications - aspirin 325 mg po qd , Glipizide 25 mg po qd .' -p42935 -(lp42936 -S'Medications\tMedication\tNNS\tB-NP\tO' -p42937 -aS'-\t-\t:\tO\tO' -p42938 -aS'aspirin\taspirin\tNN\tB-NP\tO' -p42939 -aS'325\t325\tCD\tI-NP\tO' -p42940 -aS'mg\tmg\tNN\tI-NP\tO' -p42941 -aS'po\tpo\tNN\tI-NP\tO' -p42942 -aS'qd\tqd\tNN\tI-NP\tO' -p42943 -aS',\t,\t,\tO\tO' -p42944 -aS'Glipizide\tGlipizide\tNN\tB-NP\tO' -p42945 -aS'25\t25\tCD\tI-NP\tO' -p42946 -aS'mg\tmg\tNN\tI-NP\tO' -p42947 -aS'po\tpo\tNN\tI-NP\tO' -p42948 -aS'qd\tqd\tNN\tI-NP\tO' -p42949 -aS'.\t.\t.\tO\tO' -p42950 -asS'6. Rectal bleeding - The patient has a history of rectal bleeding , ever since his brachytherapy for his prostate cancer .' -p42951 -(lp42952 -S'6.\t6.\tLS\tB-NP\tO' -p42953 -aS'Rectal\tRectal\tJJ\tI-NP\tO' -p42954 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p42955 -aS'-\t-\tHYPH\tO\tO' -p42956 -aS'The\tThe\tDT\tB-NP\tO' -p42957 -aS'patient\tpatient\tNN\tI-NP\tO' -p42958 -aS'has\thave\tVBZ\tB-VP\tO' -p42959 -aS'a\ta\tDT\tB-NP\tO' -p42960 -aS'history\thistory\tNN\tI-NP\tO' -p42961 -aS'of\tof\tIN\tB-PP\tO' -p42962 -aS'rectal\trectal\tJJ\tB-NP\tO' -p42963 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p42964 -aS',\t,\t,\tO\tO' -p42965 -aS'ever\tever\tRB\tB-ADVP\tO' -p42966 -aS'since\tsince\tIN\tB-PP\tO' -p42967 -aS'his\this\tPRP$\tB-NP\tO' -p42968 -aS'brachytherapy\tbrachytherapy\tNN\tI-NP\tO' -p42969 -aS'for\tfor\tIN\tB-PP\tO' -p42970 -aS'his\this\tPRP$\tB-NP\tO' -p42971 -aS'prostate\tprostate\tNN\tI-NP\tO' -p42972 -aS'cancer\tcancer\tNN\tI-NP\tO' -p42973 -aS'.\t.\t.\tO\tO' -p42974 -asS'Mychelia was extubated to a CPAP of 6 cm on day of life two where she remained until day of life 20 .' -p42975 -(lp42976 -S'Mychelia\tMychelia\tNN\tB-NP\tO' -p42977 -aS'was\tbe\tVBD\tB-VP\tO' -p42978 -aS'extubated\textubate\tVBN\tI-VP\tO' -p42979 -aS'to\tto\tTO\tB-PP\tO' -p42980 -aS'a\ta\tDT\tB-NP\tO' -p42981 -aS'CPAP\tCPAP\tNN\tI-NP\tB-protein' -p42982 -aS'of\tof\tIN\tB-PP\tO' -p42983 -aS'6\t6\tCD\tB-NP\tO' -p42984 -aS'cm\tcm\tNN\tI-NP\tO' -p42985 -aS'on\ton\tIN\tB-PP\tO' -p42986 -aS'day\tday\tNN\tB-NP\tO' -p42987 -aS'of\tof\tIN\tB-PP\tO' -p42988 -aS'life\tlife\tNN\tB-NP\tO' -p42989 -aS'two\ttwo\tCD\tI-NP\tO' -p42990 -aS'where\twhere\tWRB\tB-ADVP\tO' -p42991 -aS'she\tshe\tPRP\tB-NP\tO' -p42992 -aS'remained\tremain\tVBD\tB-VP\tO' -p42993 -aS'until\tuntil\tIN\tB-PP\tO' -p42994 -aS'day\tday\tNN\tB-NP\tO' -p42995 -aS'of\tof\tIN\tB-PP\tO' -p42996 -aS'life\tlife\tNN\tB-NP\tB-protein' -p42997 -aS'20\t20\tCD\tI-NP\tI-protein' -p42998 -aS'.\t.\t.\tO\tO' -p42999 -asS'Infant with non- dysmorphic facies , palate intact .' -p43000 -(lp43001 -S'Infant\tInfant\tJJ\tB-ADJP\tO' -p43002 -aS'with\twith\tIN\tB-PP\tO' -p43003 -aS'non-\tnon-\tJJ\tB-NP\tO' -p43004 -aS'dysmorphic\tdysmorphic\tJJ\tI-NP\tO' -p43005 -aS'facies\tfacy\tNNS\tI-NP\tO' -p43006 -aS',\t,\t,\tO\tO' -p43007 -aS'palate\tpalate\tNN\tB-NP\tO' -p43008 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p43009 -aS'.\t.\t.\tO\tO' -p43010 -asS'Signed electronically by : DR. Homer Peterson on : FRI 2016-01-29 11:36 AM' -p43011 -(lp43012 -S'Signed\tSign\tVBN\tB-VP\tO' -p43013 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p43014 -aS'by\tby\tIN\tB-PP\tO' -p43015 -aS':\t:\t:\tO\tO' -p43016 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p43017 -aS'Homer\tHomer\tNNP\tI-NP\tO' -p43018 -aS'Peterson\tPeterson\tNNP\tI-NP\tO' -p43019 -aS'on\ton\tIN\tB-PP\tO' -p43020 -aS':\t:\t:\tO\tO' -p43021 -aS'FRI\tFRI\tCD\tB-NP\tO' -p43022 -aS'2016-01-29\t2016-01-29\tCD\tI-NP\tO' -p43023 -aS'11:36\t11:36\tCD\tI-NP\tO' -p43024 -aS'AM\tAM\tNN\tI-NP\tO' -p43025 -asS'Cultures were negative and onlyon one gram stain did it show rare gram negative rods .' -p43026 -(lp43027 -S'Cultures\tCulture\tNNS\tB-NP\tO' -p43028 -aS'were\tbe\tVBD\tB-VP\tO' -p43029 -aS'negative\tnegative\tJJ\tB-NP\tO' -p43030 -aS'and\tand\tCC\tI-NP\tO' -p43031 -aS'onlyon\tonlyon\tJJ\tI-NP\tO' -p43032 -aS'one\tone\tCD\tI-NP\tO' -p43033 -aS'gram\tgram\tNN\tI-NP\tO' -p43034 -aS'stain\tstain\tNN\tI-NP\tO' -p43035 -aS'did\tdo\tVBD\tO\tO' -p43036 -aS'it\tit\tPRP\tB-NP\tO' -p43037 -aS'show\tshow\tVB\tB-VP\tO' -p43038 -aS'rare\trare\tJJ\tB-NP\tO' -p43039 -aS'gram\tgram\tNN\tI-NP\tO' -p43040 -aS'negative\tnegative\tJJ\tI-NP\tO' -p43041 -aS'rods\trod\tNNS\tI-NP\tO' -p43042 -aS'.\t.\t.\tO\tO' -p43043 -asS'Neurologic examination revealed an alert and oriented individual .' -p43044 -(lp43045 -S'Neurologic\tNeurologic\tJJ\tB-NP\tO' -p43046 -aS'examination\texamination\tNN\tI-NP\tO' -p43047 -aS'revealed\treveal\tVBD\tB-VP\tO' -p43048 -aS'an\tan\tDT\tB-NP\tO' -p43049 -aS'alert\talert\tJJ\tI-NP\tO' -p43050 -aS'and\tand\tCC\tI-NP\tO' -p43051 -aS'oriented\torient\tVBN\tI-NP\tO' -p43052 -aS'individual\tindividual\tNN\tI-NP\tO' -p43053 -aS'.\t.\t.\tO\tO' -p43054 -asS'He subsequently was diuresed to a euvolemic state .' -p43055 -(lp43056 -S'He\tHe\tPRP\tB-NP\tO' -p43057 -aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' -p43058 -aS'was\tbe\tVBD\tB-VP\tO' -p43059 -aS'diuresed\tdiurese\tVBN\tI-VP\tO' -p43060 -aS'to\tto\tTO\tB-PP\tO' -p43061 -aS'a\ta\tDT\tB-NP\tO' -p43062 -aS'euvolemic\teuvolemic\tJJ\tI-NP\tO' -p43063 -aS'state\tstate\tNN\tI-NP\tO' -p43064 -aS'.\t.\t.\tO\tO' -p43065 -asS'24. Warfarin 1 mg Tablet Sig : One ( 1 ) Tablet PO at bedtime : Please monitor INR with goal 02-24 .' -p43066 -(lp43067 -S'24.\t24.\tLS\tB-LST\tO' -p43068 -aS'Warfarin\tWarfarin\tNNP\tB-NP\tO' -p43069 -aS'1\t1\tCD\tI-NP\tO' -p43070 -aS'mg\tmg\tNN\tI-NP\tO' -p43071 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p43072 -aS'Sig\tSig\tNNP\tI-NP\tO' -p43073 -aS':\t:\t:\tO\tO' -p43074 -aS'One\tOne\tCD\tB-NP\tO' -p43075 -aS'(\t(\t(\tO\tO' -p43076 -aS'1\t1\tCD\tB-NP\tO' -p43077 -aS')\t)\t)\tO\tO' -p43078 -aS'Tablet\tTablet\tNN\tB-NP\tB-protein' -p43079 -aS'PO\tPO\tNN\tI-NP\tI-protein' -p43080 -aS'at\tat\tIN\tB-PP\tO' -p43081 -aS'bedtime\tbedtime\tNN\tB-NP\tO' -p43082 -aS':\t:\t:\tO\tO' -p43083 -aS'Please\tPlease\tNN\tB-NP\tB-protein' -p43084 -aS'monitor\tmonitor\tNN\tI-NP\tI-protein' -p43085 -aS'INR\tINR\tNN\tI-NP\tI-protein' -p43086 -aS'with\twith\tIN\tB-PP\tO' -p43087 -aS'goal\tgoal\tNN\tB-NP\tO' -p43088 -aS'02-24\t02-24\tCD\tI-NP\tO' -p43089 -aS'.\t.\t.\tO\tO' -p43090 -asS'Read by : Dunn , Rachel Finch' -p43091 -(lp43092 -S'Read\tRead\tVBN\tB-VP\tO' -p43093 -aS'by\tby\tIN\tB-PP\tO' -p43094 -aS':\t:\t:\tO\tO' -p43095 -aS'Dunn\tDunn\tNNP\tB-NP\tO' -p43096 -aS',\t,\t,\tO\tO' -p43097 -aS'Rachel\tRachel\tNNP\tB-NP\tO' -p43098 -aS'Finch\tFinch\tNNP\tI-NP\tO' -p43099 -asS'The patient was found to have substantial auto PEEP with an elevated dead space .' -p43100 -(lp43101 -S'The\tThe\tDT\tB-NP\tO' -p43102 -aS'patient\tpatient\tNN\tI-NP\tO' -p43103 -aS'was\tbe\tVBD\tB-VP\tO' -p43104 -aS'found\tfind\tVBN\tI-VP\tO' -p43105 -aS'to\tto\tTO\tI-VP\tO' -p43106 -aS'have\thave\tVB\tI-VP\tO' -p43107 -aS'substantial\tsubstantial\tJJ\tB-NP\tO' -p43108 -aS'auto\tauto\tNN\tI-NP\tO' -p43109 -aS'PEEP\tPEEP\tNN\tI-NP\tO' -p43110 -aS'with\twith\tIN\tB-PP\tO' -p43111 -aS'an\tan\tDT\tB-NP\tO' -p43112 -aS'elevated\televated\tJJ\tI-NP\tO' -p43113 -aS'dead\tdead\tJJ\tI-NP\tO' -p43114 -aS'space\tspace\tNN\tI-NP\tO' -p43115 -aS'.\t.\t.\tO\tO' -p43116 -asS'#. Oliguric ARF : likely prerenal due to n/v poor po intake and poor forward flow , However , need to continue diuresis .' -p43117 -(lp43118 -S'#.\t#.\tLS\tB-NP\tO' -p43119 -aS'Oliguric\tOliguric\tJJ\tI-NP\tO' -p43120 -aS'ARF\tARF\tNN\tI-NP\tO' -p43121 -aS':\t:\t:\tO\tO' -p43122 -aS'likely\tlikely\tJJ\tB-NP\tO' -p43123 -aS'prerenal\tprerenal\tJJ\tI-NP\tO' -p43124 -aS'due\tdue\tJJ\tB-ADJP\tO' -p43125 -aS'to\tto\tTO\tB-VP\tO' -p43126 -aS'n/v\tn/v\tVB\tI-VP\tO' -p43127 -aS'poor\tpoor\tJJ\tB-NP\tO' -p43128 -aS'po\tpo\tNN\tI-NP\tO' -p43129 -aS'intake\tintake\tNN\tI-NP\tO' -p43130 -aS'and\tand\tCC\tO\tO' -p43131 -aS'poor\tpoor\tJJ\tB-NP\tO' -p43132 -aS'forward\tforward\tJJ\tI-NP\tO' -p43133 -aS'flow\tflow\tNN\tI-NP\tO' -p43134 -aS',\t,\t,\tO\tO' -p43135 -aS'However\tHowever\tRB\tB-ADVP\tO' -p43136 -aS',\t,\t,\tO\tO' -p43137 -aS'need\tneed\tVBP\tB-VP\tO' -p43138 -aS'to\tto\tTO\tI-VP\tO' -p43139 -aS'continue\tcontinue\tVB\tI-VP\tO' -p43140 -aS'diuresis\tdiuresis\tNN\tB-NP\tO' -p43141 -aS'.\t.\t.\tO\tO' -p43142 -asS'The visualized paranasal sinuses are clear .' -p43143 -(lp43144 -S'The\tThe\tDT\tB-NP\tO' -p43145 -aS'visualized\tvisualize\tVBN\tI-NP\tO' -p43146 -aS'paranasal\tparanasal\tJJ\tI-NP\tO' -p43147 -aS'sinuses\tsinus\tNNS\tI-NP\tO' -p43148 -aS'are\tbe\tVBP\tB-VP\tO' -p43149 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p43150 -aS'.\t.\t.\tO\tO' -p43151 -asS'Amicar was of uncertain value , but used intermittently .' -p43152 -(lp43153 -S'Amicar\tAmicar\tNN\tB-NP\tO' -p43154 -aS'was\tbe\tVBD\tB-VP\tO' -p43155 -aS'of\tof\tIN\tB-PP\tO' -p43156 -aS'uncertain\tuncertain\tJJ\tB-NP\tO' -p43157 -aS'value\tvalue\tNN\tI-NP\tO' -p43158 -aS',\t,\t,\tO\tO' -p43159 -aS'but\tbut\tCC\tO\tO' -p43160 -aS'used\tuse\tVBN\tB-VP\tO' -p43161 -aS'intermittently\tintermittently\tRB\tB-ADVP\tO' -p43162 -aS'.\t.\t.\tO\tO' -p43163 -asS'Coronary artery disease - s/p Off Pump CABG' -p43164 -(lp43165 -S'Coronary\tCoronary\tJJ\tB-NP\tO' -p43166 -aS'artery\tartery\tNN\tI-NP\tO' -p43167 -aS'disease\tdisease\tNN\tI-NP\tO' -p43168 -aS'-\t-\tHYPH\tB-NP\tO' -p43169 -aS's/p\ts/p\tNN\tI-NP\tO' -p43170 -aS'Off\tOff\tNNP\tI-NP\tO' -p43171 -aS'Pump\tPump\tNNP\tI-NP\tO' -p43172 -aS'CABG\tCABG\tNNP\tI-NP\tO' -p43173 -asS'On that day she underwent clearance from the Cardiology Service , Dr. Shuff .' -p43174 -(lp43175 -S'On\tOn\tIN\tB-PP\tO' -p43176 -aS'that\tthat\tDT\tB-NP\tO' -p43177 -aS'day\tday\tNN\tI-NP\tO' -p43178 -aS'she\tshe\tPRP\tB-NP\tO' -p43179 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p43180 -aS'clearance\tclearance\tNN\tB-NP\tO' -p43181 -aS'from\tfrom\tIN\tB-PP\tO' -p43182 -aS'the\tthe\tDT\tB-NP\tO' -p43183 -aS'Cardiology\tCardiology\tNNP\tI-NP\tO' -p43184 -aS'Service\tService\tNNP\tI-NP\tO' -p43185 -aS',\t,\t,\tO\tO' -p43186 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p43187 -aS'Shuff\tShuff\tNNP\tI-NP\tO' -p43188 -aS'.\t.\t.\tO\tO' -p43189 -asS'Cocaine intoxication , rhabdomyolysis , renal failure , disseminated intravascular coagulation , septic shock , hepatic failure , pneumonia , pancreatitis , catheter tip infection , anemia , coma .' -p43190 -(lp43191 -S'Cocaine\tCocaine\tNN\tB-NP\tO' -p43192 -aS'intoxication\tintoxication\tNN\tI-NP\tO' -p43193 -aS',\t,\t,\tO\tO' -p43194 -aS'rhabdomyolysis\trhabdomyolysis\tNN\tB-NP\tO' -p43195 -aS',\t,\t,\tO\tO' -p43196 -aS'renal\trenal\tJJ\tB-NP\tO' -p43197 -aS'failure\tfailure\tNN\tI-NP\tO' -p43198 -aS',\t,\t,\tO\tO' -p43199 -aS'disseminated\tdisseminate\tVBN\tB-VP\tO' -p43200 -aS'intravascular\tintravascular\tJJ\tB-NP\tO' -p43201 -aS'coagulation\tcoagulation\tNN\tI-NP\tO' -p43202 -aS',\t,\t,\tO\tO' -p43203 -aS'septic\tseptic\tJJ\tB-NP\tO' -p43204 -aS'shock\tshock\tNN\tI-NP\tO' -p43205 -aS',\t,\t,\tO\tO' -p43206 -aS'hepatic\thepatic\tJJ\tB-NP\tO' -p43207 -aS'failure\tfailure\tNN\tI-NP\tO' -p43208 -aS',\t,\t,\tO\tO' -p43209 -aS'pneumonia\tpneumonia\tNN\tB-NP\tO' -p43210 -aS',\t,\t,\tO\tO' -p43211 -aS'pancreatitis\tpancreatitis\tNN\tB-NP\tO' -p43212 -aS',\t,\t,\tO\tO' -p43213 -aS'catheter\tcatheter\tNN\tB-NP\tO' -p43214 -aS'tip\ttip\tNN\tI-NP\tO' -p43215 -aS'infection\tinfection\tNN\tI-NP\tO' -p43216 -aS',\t,\t,\tO\tO' -p43217 -aS'anemia\tanemia\tNN\tB-NP\tO' -p43218 -aS',\t,\t,\tO\tO' -p43219 -aS'coma\tcoma\tNN\tB-NP\tO' -p43220 -aS'.\t.\t.\tO\tO' -p43221 -asS'Tone was appropriate for gestational age with equal strength , symmetric reflexes .' -p43222 -(lp43223 -S'Tone\tTone\tNN\tB-NP\tO' -p43224 -aS'was\tbe\tVBD\tB-VP\tO' -p43225 -aS'appropriate\tappropriate\tJJ\tB-ADJP\tO' -p43226 -aS'for\tfor\tIN\tB-PP\tO' -p43227 -aS'gestational\tgestational\tJJ\tB-NP\tO' -p43228 -aS'age\tage\tNN\tI-NP\tO' -p43229 -aS'with\twith\tIN\tB-PP\tO' -p43230 -aS'equal\tequal\tJJ\tB-NP\tO' -p43231 -aS'strength\tstrength\tNN\tI-NP\tO' -p43232 -aS',\t,\t,\tO\tO' -p43233 -aS'symmetric\tsymmetric\tJJ\tB-NP\tO' -p43234 -aS'reflexes\treflex\tNNS\tI-NP\tO' -p43235 -aS'.\t.\t.\tO\tO' -p43236 -asS'His coumadin was transitioned to 2 mg and then 1 mg .' -p43237 -(lp43238 -S'His\tHis\tPRP$\tB-NP\tO' -p43239 -aS'coumadin\tcoumadin\tNN\tI-NP\tO' -p43240 -aS'was\tbe\tVBD\tB-VP\tO' -p43241 -aS'transitioned\ttransitione\tVBN\tI-VP\tO' -p43242 -aS'to\tto\tTO\tB-PP\tO' -p43243 -aS'2\t2\tCD\tB-NP\tO' -p43244 -aS'mg\tmg\tNN\tI-NP\tO' -p43245 -aS'and\tand\tCC\tO\tO' -p43246 -aS'then\tthen\tRB\tO\tO' -p43247 -aS'1\t1\tCD\tB-NP\tO' -p43248 -aS'mg\tmg\tNN\tI-NP\tO' -p43249 -aS'.\t.\t.\tO\tO' -p43250 -asS'The patient was seen and it was suggested that he should have an amputation and he decided to come to Fairm of Ijordcompmac Hospital for further evaluation .' -p43251 -(lp43252 -S'The\tThe\tDT\tB-NP\tO' -p43253 -aS'patient\tpatient\tNN\tI-NP\tO' -p43254 -aS'was\tbe\tVBD\tB-VP\tO' -p43255 -aS'seen\tsee\tVBN\tI-VP\tO' -p43256 -aS'and\tand\tCC\tO\tO' -p43257 -aS'it\tit\tPRP\tB-NP\tO' -p43258 -aS'was\tbe\tVBD\tB-VP\tO' -p43259 -aS'suggested\tsuggest\tVBN\tI-VP\tO' -p43260 -aS'that\tthat\tIN\tB-SBAR\tO' -p43261 -aS'he\the\tPRP\tB-NP\tO' -p43262 -aS'should\tshould\tMD\tB-VP\tO' -p43263 -aS'have\thave\tVB\tI-VP\tO' -p43264 -aS'an\tan\tDT\tB-NP\tO' -p43265 -aS'amputation\tamputation\tNN\tI-NP\tO' -p43266 -aS'and\tand\tCC\tO\tO' -p43267 -aS'he\the\tPRP\tB-NP\tO' -p43268 -aS'decided\tdecide\tVBD\tB-VP\tO' -p43269 -aS'to\tto\tTO\tI-VP\tO' -p43270 -aS'come\tcome\tVB\tI-VP\tO' -p43271 -aS'to\tto\tTO\tB-PP\tO' -p43272 -aS'Fairm\tFairm\tNNP\tB-NP\tO' -p43273 -aS'of\tof\tIN\tB-PP\tO' -p43274 -aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' -p43275 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p43276 -aS'for\tfor\tIN\tB-PP\tO' -p43277 -aS'further\tfurther\tJJ\tB-NP\tO' -p43278 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p43279 -aS'.\t.\t.\tO\tO' -p43280 -asS'She is a professional bowler .' -p43281 -(lp43282 -S'She\tShe\tPRP\tB-NP\tO' -p43283 -aS'is\tbe\tVBZ\tB-VP\tO' -p43284 -aS'a\ta\tDT\tB-NP\tO' -p43285 -aS'professional\tprofessional\tJJ\tI-NP\tO' -p43286 -aS'bowler\tbowler\tNN\tI-NP\tO' -p43287 -aS'.\t.\t.\tO\tO' -p43288 -asS'Recent urinary tract infection , E. coli 03/93 .' -p43289 -(lp43290 -S'Recent\tRecent\tJJ\tB-NP\tO' -p43291 -aS'urinary\turinary\tJJ\tI-NP\tO' -p43292 -aS'tract\ttract\tNN\tI-NP\tO' -p43293 -aS'infection\tinfection\tNN\tI-NP\tO' -p43294 -aS',\t,\t,\tO\tO' -p43295 -aS'E.\tE.\tFW\tB-NP\tO' -p43296 -aS'coli\tcoli\tFW\tI-NP\tO' -p43297 -aS'03/93\t03/93\tCD\tI-NP\tO' -p43298 -aS'.\t.\t.\tO\tO' -p43299 -asS'2. CHF : EF 25% on Echo , states he takes lasix at home' -p43300 -(lp43301 -S'2.\t2.\tCD\tB-NP\tO' -p43302 -aS'CHF\tCHF\tNN\tI-NP\tO' -p43303 -aS':\t:\t:\tO\tO' -p43304 -aS'EF\tEF\tNN\tB-NP\tB-protein' -p43305 -aS'25%\t25%\tNN\tI-NP\tI-protein' -p43306 -aS'on\ton\tIN\tB-PP\tO' -p43307 -aS'Echo\tEcho\tNNP\tB-NP\tO' -p43308 -aS',\t,\t,\tO\tO' -p43309 -aS'states\tstate\tVBZ\tB-VP\tO' -p43310 -aS'he\the\tPRP\tB-NP\tO' -p43311 -aS'takes\ttake\tVBZ\tB-VP\tO' -p43312 -aS'lasix\tlasix\tNN\tB-NP\tO' -p43313 -aS'at\tat\tIN\tB-PP\tO' -p43314 -aS'home\thome\tNN\tB-NP\tO' -p43315 -asS'Pupils were large but equal and reactive .' -p43316 -(lp43317 -S'Pupils\tPupil\tNNS\tB-NP\tO' -p43318 -aS'were\tbe\tVBD\tB-VP\tO' -p43319 -aS'large\tlarge\tJJ\tB-ADJP\tO' -p43320 -aS'but\tbut\tCC\tI-ADJP\tO' -p43321 -aS'equal\tequal\tJJ\tI-ADJP\tO' -p43322 -aS'and\tand\tCC\tI-ADJP\tO' -p43323 -aS'reactive\treactive\tJJ\tI-ADJP\tO' -p43324 -aS'.\t.\t.\tO\tO' -p43325 -asS'While on transfer , the patient underwent cardiac catheterization .' -p43326 -(lp43327 -S'While\tWhile\tIN\tB-SBAR\tO' -p43328 -aS'on\ton\tIN\tB-PP\tO' -p43329 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p43330 -aS',\t,\t,\tO\tO' -p43331 -aS'the\tthe\tDT\tB-NP\tO' -p43332 -aS'patient\tpatient\tNN\tI-NP\tO' -p43333 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p43334 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p43335 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p43336 -aS'.\t.\t.\tO\tO' -p43337 -asS'The bilirubin was 0.2 , SGOT 20 , magnesium of 1.4 .' -p43338 -(lp43339 -S'The\tThe\tDT\tB-NP\tO' -p43340 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p43341 -aS'was\tbe\tVBD\tB-VP\tO' -p43342 -aS'0.2\t0.2\tCD\tB-NP\tO' -p43343 -aS',\t,\t,\tO\tO' -p43344 -aS'SGOT\tSGOT\tNN\tB-NP\tB-protein' -p43345 -aS'20\t20\tCD\tI-NP\tI-protein' -p43346 -aS',\t,\t,\tO\tO' -p43347 -aS'magnesium\tmagnesium\tNN\tB-NP\tO' -p43348 -aS'of\tof\tIN\tB-PP\tO' -p43349 -aS'1.4\t1.4\tCD\tB-NP\tO' -p43350 -aS'.\t.\t.\tO\tO' -p43351 -asS'Communicating by speech s/p PMV placement .' -p43352 -(lp43353 -S'Communicating\tCommunicate\tVBG\tB-VP\tO' -p43354 -aS'by\tby\tIN\tB-PP\tO' -p43355 -aS'speech\tspeech\tNN\tB-NP\tO' -p43356 -aS's/p\ts/p\tNN\tI-NP\tO' -p43357 -aS'PMV\tPMV\tNN\tI-NP\tO' -p43358 -aS'placement\tplacement\tNN\tI-NP\tO' -p43359 -aS'.\t.\t.\tO\tO' -p43360 -asS'The leash got wrapped around his legs .' -p43361 -(lp43362 -S'The\tThe\tDT\tB-NP\tO' -p43363 -aS'leash\tleash\tNN\tI-NP\tO' -p43364 -aS'got\tget\tVBD\tB-VP\tO' -p43365 -aS'wrapped\twrap\tVBN\tI-VP\tO' -p43366 -aS'around\taround\tIN\tB-PP\tO' -p43367 -aS'his\this\tPRP$\tB-NP\tO' -p43368 -aS'legs\tleg\tNNS\tI-NP\tO' -p43369 -aS'.\t.\t.\tO\tO' -p43370 -asS'He had episodes of bradycardia without subsequent fall in blood pressure at the beginning of his admission .' -p43371 -(lp43372 -S'He\tHe\tPRP\tB-NP\tO' -p43373 -aS'had\thave\tVBD\tB-VP\tO' -p43374 -aS'episodes\tepisode\tNNS\tB-NP\tO' -p43375 -aS'of\tof\tIN\tB-PP\tO' -p43376 -aS'bradycardia\tbradycardia\tNN\tB-NP\tO' -p43377 -aS'without\twithout\tIN\tB-PP\tO' -p43378 -aS'subsequent\tsubsequent\tJJ\tB-NP\tO' -p43379 -aS'fall\tfall\tNN\tI-NP\tO' -p43380 -aS'in\tin\tIN\tB-PP\tO' -p43381 -aS'blood\tblood\tNN\tB-NP\tO' -p43382 -aS'pressure\tpressure\tNN\tI-NP\tO' -p43383 -aS'at\tat\tIN\tB-PP\tO' -p43384 -aS'the\tthe\tDT\tB-NP\tO' -p43385 -aS'beginning\tbeginning\tNN\tI-NP\tO' -p43386 -aS'of\tof\tIN\tB-PP\tO' -p43387 -aS'his\this\tPRP$\tB-NP\tO' -p43388 -aS'admission\tadmission\tNN\tI-NP\tO' -p43389 -aS'.\t.\t.\tO\tO' -p43390 -asS'Jacqueline has been admitted to the newborn intensive care unit and has been stable in room air since admission .' -p43391 -(lp43392 -S'Jacqueline\tJacqueline\tNNP\tB-NP\tO' -p43393 -aS'has\thave\tVBZ\tB-VP\tO' -p43394 -aS'been\tbe\tVBN\tI-VP\tO' -p43395 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p43396 -aS'to\tto\tTO\tB-PP\tO' -p43397 -aS'the\tthe\tDT\tB-NP\tO' -p43398 -aS'newborn\tnewborn\tJJ\tI-NP\tO' -p43399 -aS'intensive\tintensive\tJJ\tI-NP\tO' -p43400 -aS'care\tcare\tNN\tI-NP\tO' -p43401 -aS'unit\tunit\tNN\tI-NP\tO' -p43402 -aS'and\tand\tCC\tO\tO' -p43403 -aS'has\thave\tVBZ\tB-VP\tO' -p43404 -aS'been\tbe\tVBN\tI-VP\tO' -p43405 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p43406 -aS'in\tin\tIN\tB-PP\tO' -p43407 -aS'room\troom\tNN\tB-NP\tO' -p43408 -aS'air\tair\tNN\tI-NP\tO' -p43409 -aS'since\tsince\tIN\tB-PP\tO' -p43410 -aS'admission\tadmission\tNN\tB-NP\tO' -p43411 -aS'.\t.\t.\tO\tO' -p43412 -asS'There were no radiographic indications of congestive heart failure .' -p43413 -(lp43414 -S'There\tThere\tEX\tB-NP\tO' -p43415 -aS'were\tbe\tVBD\tB-VP\tO' -p43416 -aS'no\tno\tDT\tB-NP\tO' -p43417 -aS'radiographic\tradiographic\tJJ\tI-NP\tO' -p43418 -aS'indications\tindication\tNNS\tI-NP\tO' -p43419 -aS'of\tof\tIN\tB-PP\tO' -p43420 -aS'congestive\tcongestive\tJJ\tB-NP\tO' -p43421 -aS'heart\theart\tNN\tI-NP\tO' -p43422 -aS'failure\tfailure\tNN\tI-NP\tO' -p43423 -aS'.\t.\t.\tO\tO' -p43424 -asS'A growth hormone was sent and the results were pending at time of transfer .' -p43425 -(lp43426 -S'A\tA\tDT\tB-NP\tO' -p43427 -aS'growth\tgrowth\tNN\tI-NP\tO' -p43428 -aS'hormone\thormone\tNN\tI-NP\tO' -p43429 -aS'was\tbe\tVBD\tB-VP\tO' -p43430 -aS'sent\tsend\tVBN\tI-VP\tO' -p43431 -aS'and\tand\tCC\tO\tO' -p43432 -aS'the\tthe\tDT\tB-NP\tO' -p43433 -aS'results\tresult\tNNS\tI-NP\tO' -p43434 -aS'were\tbe\tVBD\tB-VP\tO' -p43435 -aS'pending\tpende\tVBG\tI-VP\tO' -p43436 -aS'at\tat\tIN\tB-PP\tO' -p43437 -aS'time\ttime\tNN\tB-NP\tO' -p43438 -aS'of\tof\tIN\tB-PP\tO' -p43439 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p43440 -aS'.\t.\t.\tO\tO' -p43441 -asS'CTS chest was negative for PE , however it did reveal pulmonary nodules in his RML which need fu imaging in 3 months .' -p43442 -(lp43443 -S'CTS\tCTS\tNN\tB-NP\tO' -p43444 -aS'chest\tchest\tNN\tI-NP\tO' -p43445 -aS'was\tbe\tVBD\tB-VP\tO' -p43446 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p43447 -aS'for\tfor\tIN\tB-PP\tO' -p43448 -aS'PE\tPE\tNN\tB-NP\tO' -p43449 -aS',\t,\t,\tO\tO' -p43450 -aS'however\thowever\tRB\tB-ADVP\tO' -p43451 -aS'it\tit\tPRP\tB-NP\tO' -p43452 -aS'did\tdo\tVBD\tB-VP\tO' -p43453 -aS'reveal\treveal\tVB\tI-VP\tO' -p43454 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p43455 -aS'nodules\tnodule\tNNS\tI-NP\tO' -p43456 -aS'in\tin\tIN\tB-PP\tO' -p43457 -aS'his\this\tPRP$\tB-NP\tO' -p43458 -aS'RML\tRML\tNN\tI-NP\tB-protein' -p43459 -aS'which\twhich\tWDT\tB-NP\tO' -p43460 -aS'need\tneed\tVBP\tB-VP\tO' -p43461 -aS'fu\tfu\tNN\tB-NP\tO' -p43462 -aS'imaging\timaging\tNN\tI-NP\tO' -p43463 -aS'in\tin\tIN\tB-PP\tO' -p43464 -aS'3\t3\tCD\tB-NP\tO' -p43465 -aS'months\tmonth\tNNS\tI-NP\tO' -p43466 -aS'.\t.\t.\tO\tO' -p43467 -asS'Heart Failure Service was involved .' -p43468 -(lp43469 -S'Heart\tHeart\tNNP\tB-NP\tO' -p43470 -aS'Failure\tFailure\tNNP\tI-NP\tO' -p43471 -aS'Service\tService\tNNP\tI-NP\tO' -p43472 -aS'was\tbe\tVBD\tB-VP\tO' -p43473 -aS'involved\tinvolve\tVBN\tI-VP\tO' -p43474 -aS'.\t.\t.\tO\tO' -p43475 -asS'Head injury to the occiput .' -p43476 -(lp43477 -S'Head\tHead\tJJ\tB-NP\tO' -p43478 -aS'injury\tinjury\tNN\tI-NP\tO' -p43479 -aS'to\tto\tTO\tB-PP\tO' -p43480 -aS'the\tthe\tDT\tB-NP\tO' -p43481 -aS'occiput\tocciput\tNN\tI-NP\tO' -p43482 -aS'.\t.\t.\tO\tO' -p43483 -asS'CT shows a right parietal hyperdense and heterogenously enhancing mass measuring 6.5 x 5 cm with the surrounding vasogenic edema in effacement of the right lateral ventricle .' -p43484 -(lp43485 -S'CT\tCT\tNN\tB-NP\tB-protein' -p43486 -aS'shows\tshow\tVBZ\tB-VP\tO' -p43487 -aS'a\ta\tDT\tB-NP\tO' -p43488 -aS'right\tright\tJJ\tI-NP\tO' -p43489 -aS'parietal\tparietal\tJJ\tI-NP\tO' -p43490 -aS'hyperdense\thyperdense\tNN\tI-NP\tO' -p43491 -aS'and\tand\tCC\tO\tO' -p43492 -aS'heterogenously\theterogenously\tRB\tB-VP\tO' -p43493 -aS'enhancing\tenhance\tVBG\tI-VP\tO' -p43494 -aS'mass\tmass\tNN\tB-NP\tO' -p43495 -aS'measuring\tmeasure\tVBG\tB-VP\tO' -p43496 -aS'6.5\t6.5\tCD\tB-NP\tO' -p43497 -aS'x\tx\tSYM\tI-NP\tO' -p43498 -aS'5\t5\tCD\tI-NP\tO' -p43499 -aS'cm\tcm\tNN\tI-NP\tO' -p43500 -aS'with\twith\tIN\tB-PP\tO' -p43501 -aS'the\tthe\tDT\tB-NP\tO' -p43502 -aS'surrounding\tsurround\tVBG\tI-NP\tO' -p43503 -aS'vasogenic\tvasogenic\tJJ\tI-NP\tO' -p43504 -aS'edema\tedema\tNN\tI-NP\tO' -p43505 -aS'in\tin\tIN\tB-PP\tO' -p43506 -aS'effacement\teffacement\tNN\tB-NP\tO' -p43507 -aS'of\tof\tIN\tB-PP\tO' -p43508 -aS'the\tthe\tDT\tB-NP\tO' -p43509 -aS'right\tright\tJJ\tI-NP\tO' -p43510 -aS'lateral\tlateral\tJJ\tI-NP\tO' -p43511 -aS'ventricle\tventricle\tNN\tI-NP\tO' -p43512 -aS'.\t.\t.\tO\tO' -p43513 -asS'4) C. difficile colitis with white blood cell count rising to 51,000 , treated with intravenous and p.o. Flagyl .' -p43514 -(lp43515 -S'4)\t4)\tLS\tB-NP\tO' -p43516 -aS'C.\tC.\tFW\tI-NP\tO' -p43517 -aS'difficile\tdifficile\tJJ\tI-NP\tO' -p43518 -aS'colitis\tcolitis\tNN\tI-NP\tO' -p43519 -aS'with\twith\tIN\tB-PP\tO' -p43520 -aS'white\twhite\tJJ\tB-NP\tO' -p43521 -aS'blood\tblood\tNN\tI-NP\tO' -p43522 -aS'cell\tcell\tNN\tI-NP\tO' -p43523 -aS'count\tcount\tNN\tI-NP\tO' -p43524 -aS'rising\trise\tVBG\tB-VP\tO' -p43525 -aS'to\tto\tTO\tB-PP\tO' -p43526 -aS'51,000\t51,000\tCD\tB-NP\tO' -p43527 -aS',\t,\t,\tO\tO' -p43528 -aS'treated\ttreat\tVBN\tB-VP\tO' -p43529 -aS'with\twith\tIN\tB-PP\tO' -p43530 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p43531 -aS'and\tand\tCC\tI-NP\tO' -p43532 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p43533 -aS'Flagyl\tFlagyl\tNNP\tI-NP\tO' -p43534 -aS'.\t.\t.\tO\tO' -p43535 -asS'Ejection fraction was felt to be 35% in 1993 .' -p43536 -(lp43537 -S'Ejection\tEjection\tNN\tB-NP\tO' -p43538 -aS'fraction\tfraction\tNN\tI-NP\tO' -p43539 -aS'was\tbe\tVBD\tB-VP\tO' -p43540 -aS'felt\tfeel\tVBN\tI-VP\tO' -p43541 -aS'to\tto\tTO\tI-VP\tO' -p43542 -aS'be\tbe\tVB\tI-VP\tO' -p43543 -aS'35%\t35%\tCD\tB-NP\tO' -p43544 -aS'in\tin\tIN\tB-PP\tO' -p43545 -aS'1993\t1993\tCD\tB-NP\tO' -p43546 -aS'.\t.\t.\tO\tO' -p43547 -asS'Full code carried out .' -p43548 -(lp43549 -S'Full\tFull\tJJ\tB-NP\tO' -p43550 -aS'code\tcode\tNN\tI-NP\tO' -p43551 -aS'carried\tcarry\tVBD\tB-VP\tO' -p43552 -aS'out\tout\tRP\tB-PRT\tO' -p43553 -aS'.\t.\t.\tO\tO' -p43554 -asS'From a cardiac point of view , he is in sinus rhythm today .' -p43555 -(lp43556 -S'From\tFrom\tIN\tB-PP\tO' -p43557 -aS'a\ta\tDT\tB-NP\tO' -p43558 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p43559 -aS'point\tpoint\tNN\tI-NP\tO' -p43560 -aS'of\tof\tIN\tB-PP\tO' -p43561 -aS'view\tview\tNN\tB-NP\tO' -p43562 -aS',\t,\t,\tO\tO' -p43563 -aS'he\the\tPRP\tB-NP\tO' -p43564 -aS'is\tbe\tVBZ\tB-VP\tO' -p43565 -aS'in\tin\tIN\tB-PP\tO' -p43566 -aS'sinus\tsinus\tNN\tB-NP\tO' -p43567 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p43568 -aS'today\ttoday\tNN\tB-NP\tO' -p43569 -aS'.\t.\t.\tO\tO' -p43570 -asS'The lateral masses of C1 articulate normally about the odontoid process .' -p43571 -(lp43572 -S'The\tThe\tDT\tB-NP\tO' -p43573 -aS'lateral\tlateral\tJJ\tI-NP\tO' -p43574 -aS'masses\tmass\tNNS\tI-NP\tO' -p43575 -aS'of\tof\tIN\tB-PP\tO' -p43576 -aS'C1\tC1\tNN\tB-NP\tB-protein' -p43577 -aS'articulate\tarticulate\tVBP\tB-VP\tO' -p43578 -aS'normally\tnormally\tRB\tB-ADVP\tO' -p43579 -aS'about\tabout\tRB\tB-NP\tO' -p43580 -aS'the\tthe\tDT\tI-NP\tO' -p43581 -aS'odontoid\todontoid\tJJ\tI-NP\tO' -p43582 -aS'process\tprocess\tNN\tI-NP\tO' -p43583 -aS'.\t.\t.\tO\tO' -p43584 -asS'Following pacemaker placement the patient had no further episodes of bradycardia on telemetry , and therefore she was discharged in satisfactory condition .' -p43585 -(lp43586 -S'Following\tFollow\tVBG\tB-PP\tO' -p43587 -aS'pacemaker\tpacemaker\tNN\tB-NP\tO' -p43588 -aS'placement\tplacement\tNN\tI-NP\tO' -p43589 -aS'the\tthe\tDT\tB-NP\tO' -p43590 -aS'patient\tpatient\tNN\tI-NP\tO' -p43591 -aS'had\thave\tVBD\tB-VP\tO' -p43592 -aS'no\tno\tDT\tB-NP\tO' -p43593 -aS'further\tfurther\tJJ\tI-NP\tO' -p43594 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p43595 -aS'of\tof\tIN\tB-PP\tO' -p43596 -aS'bradycardia\tbradycardia\tNN\tB-NP\tO' -p43597 -aS'on\ton\tIN\tB-PP\tO' -p43598 -aS'telemetry\ttelemetry\tNN\tB-NP\tO' -p43599 -aS',\t,\t,\tO\tO' -p43600 -aS'and\tand\tCC\tO\tO' -p43601 -aS'therefore\ttherefore\tRB\tB-ADVP\tO' -p43602 -aS'she\tshe\tPRP\tB-NP\tO' -p43603 -aS'was\tbe\tVBD\tB-VP\tO' -p43604 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p43605 -aS'in\tin\tIN\tB-PP\tO' -p43606 -aS'satisfactory\tsatisfactory\tJJ\tB-NP\tO' -p43607 -aS'condition\tcondition\tNN\tI-NP\tO' -p43608 -aS'.\t.\t.\tO\tO' -p43609 -asS'Given the patient 's history of cervical cancer , the pericardial effusion was felt most likely to be malignant .' -p43610 -(lp43611 -S'Given\tGive\tVBN\tB-PP\tO' -p43612 -aS'the\tthe\tDT\tB-NP\tO' -p43613 -aS'patient\tpatient\tNN\tI-NP\tO' -p43614 -aS''s\t'\tNNS\tI-NP\tO' -p43615 -aS'history\thistory\tNN\tI-NP\tO' -p43616 -aS'of\tof\tIN\tB-PP\tO' -p43617 -aS'cervical\tcervical\tJJ\tB-NP\tO' -p43618 -aS'cancer\tcancer\tNN\tI-NP\tO' -p43619 -aS',\t,\t,\tO\tO' -p43620 -aS'the\tthe\tDT\tB-NP\tO' -p43621 -aS'pericardial\tpericardial\tJJ\tI-NP\tO' -p43622 -aS'effusion\teffusion\tNN\tI-NP\tO' -p43623 -aS'was\tbe\tVBD\tB-VP\tO' -p43624 -aS'felt\tfeel\tVBN\tI-VP\tO' -p43625 -aS'most\tmost\tRBS\tB-ADJP\tO' -p43626 -aS'likely\tlikely\tJJ\tI-ADJP\tO' -p43627 -aS'to\tto\tTO\tB-VP\tO' -p43628 -aS'be\tbe\tVB\tI-VP\tO' -p43629 -aS'malignant\tmalignant\tJJ\tB-ADJP\tO' -p43630 -aS'.\t.\t.\tO\tO' -p43631 -asS'This is a 30-year-old right hand dominant gentleman who pleasant Software Engineer .' -p43632 -(lp43633 -S'This\tThis\tDT\tB-NP\tO' -p43634 -aS'is\tbe\tVBZ\tB-VP\tO' -p43635 -aS'a\ta\tDT\tB-NP\tO' -p43636 -aS'30-year-old\t30-year-old\tJJ\tI-NP\tO' -p43637 -aS'right\tright\tJJ\tI-NP\tO' -p43638 -aS'hand\thand\tNN\tI-NP\tO' -p43639 -aS'dominant\tdominant\tJJ\tI-NP\tO' -p43640 -aS'gentleman\tgentleman\tNN\tI-NP\tO' -p43641 -aS'who\twho\tWP\tB-NP\tO' -p43642 -aS'pleasant\tpleasant\tVBP\tB-VP\tO' -p43643 -aS'Software\tSoftware\tNNP\tB-NP\tO' -p43644 -aS'Engineer\tEngineer\tNNP\tI-NP\tO' -p43645 -aS'.\t.\t.\tO\tO' -p43646 -asS'He was diuresed with intravenous Lasix to which he responded with at lease a 2L urine output on the first day and 1.5L the second day .' -p43647 -(lp43648 -S'He\tHe\tPRP\tB-NP\tO' -p43649 -aS'was\tbe\tVBD\tB-VP\tO' -p43650 -aS'diuresed\tdiurese\tVBN\tI-VP\tO' -p43651 -aS'with\twith\tIN\tB-PP\tO' -p43652 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p43653 -aS'Lasix\tLasix\tNN\tI-NP\tO' -p43654 -aS'to\tto\tTO\tB-PP\tO' -p43655 -aS'which\twhich\tWDT\tB-NP\tO' -p43656 -aS'he\the\tPRP\tB-NP\tO' -p43657 -aS'responded\trespond\tVBD\tB-VP\tO' -p43658 -aS'with\twith\tIN\tB-PP\tO' -p43659 -aS'at\tat\tIN\tB-PP\tO' -p43660 -aS'lease\tlease\tNN\tB-NP\tO' -p43661 -aS'a\ta\tDT\tB-NP\tO' -p43662 -aS'2L\t2L\tNN\tI-NP\tO' -p43663 -aS'urine\turine\tNN\tI-NP\tO' -p43664 -aS'output\toutput\tNN\tI-NP\tO' -p43665 -aS'on\ton\tIN\tB-PP\tO' -p43666 -aS'the\tthe\tDT\tB-NP\tO' -p43667 -aS'first\tfirst\tJJ\tI-NP\tO' -p43668 -aS'day\tday\tNN\tI-NP\tO' -p43669 -aS'and\tand\tCC\tO\tO' -p43670 -aS'1.5L\t1.5L\tNN\tB-NP\tO' -p43671 -aS'the\tthe\tDT\tB-NP\tO' -p43672 -aS'second\tsecond\tJJ\tI-NP\tO' -p43673 -aS'day\tday\tNN\tI-NP\tO' -p43674 -aS'.\t.\t.\tO\tO' -p43675 -asS'The trachea was midline .' -p43676 -(lp43677 -S'The\tThe\tDT\tB-NP\tO' -p43678 -aS'trachea\ttrachea\tNN\tI-NP\tO' -p43679 -aS'was\tbe\tVBD\tB-VP\tO' -p43680 -aS'midline\tmidline\tNN\tB-NP\tO' -p43681 -aS'.\t.\t.\tO\tO' -p43682 -asS'There was no electrographic evidence of seizure activity noted .' -p43683 -(lp43684 -S'There\tThere\tEX\tB-NP\tO' -p43685 -aS'was\tbe\tVBD\tB-VP\tO' -p43686 -aS'no\tno\tDT\tB-NP\tO' -p43687 -aS'electrographic\telectrographic\tJJ\tI-NP\tO' -p43688 -aS'evidence\tevidence\tNN\tI-NP\tO' -p43689 -aS'of\tof\tIN\tB-PP\tO' -p43690 -aS'seizure\tseizure\tNN\tB-NP\tO' -p43691 -aS'activity\tactivity\tNN\tI-NP\tO' -p43692 -aS'noted\tnote\tVBD\tB-VP\tO' -p43693 -aS'.\t.\t.\tO\tO' -p43694 -asS'she was alert and oriented times three .' -p43695 -(lp43696 -S'she\tshe\tPRP\tB-NP\tO' -p43697 -aS'was\tbe\tVBD\tB-VP\tO' -p43698 -aS'alert\talert\tJJ\tB-ADJP\tO' -p43699 -aS'and\tand\tCC\tO\tO' -p43700 -aS'oriented\torient\tVBN\tB-VP\tO' -p43701 -aS'times\ttime\tNNS\tB-NP\tO' -p43702 -aS'three\tthree\tCD\tB-NP\tO' -p43703 -aS'.\t.\t.\tO\tO' -p43704 -asS'The conclusions at this time of the thyroid cytologist , as well as the bone pathologist , were that the findings were diagnostic of papillary thyroid carcinoma with pulmonary metastases .' -p43705 -(lp43706 -S'The\tThe\tDT\tB-NP\tO' -p43707 -aS'conclusions\tconclusion\tNNS\tI-NP\tO' -p43708 -aS'at\tat\tIN\tB-PP\tO' -p43709 -aS'this\tthis\tDT\tB-NP\tO' -p43710 -aS'time\ttime\tNN\tI-NP\tO' -p43711 -aS'of\tof\tIN\tB-PP\tO' -p43712 -aS'the\tthe\tDT\tB-NP\tO' -p43713 -aS'thyroid\tthyroid\tJJ\tI-NP\tO' -p43714 -aS'cytologist\tcytologist\tNN\tI-NP\tO' -p43715 -aS',\t,\t,\tO\tO' -p43716 -aS'as\tas\tRB\tB-CONJP\tO' -p43717 -aS'well\twell\tRB\tI-CONJP\tO' -p43718 -aS'as\tas\tIN\tI-CONJP\tO' -p43719 -aS'the\tthe\tDT\tB-NP\tO' -p43720 -aS'bone\tbone\tNN\tI-NP\tO' -p43721 -aS'pathologist\tpathologist\tNN\tI-NP\tO' -p43722 -aS',\t,\t,\tO\tO' -p43723 -aS'were\tbe\tVBD\tB-VP\tO' -p43724 -aS'that\tthat\tIN\tB-SBAR\tO' -p43725 -aS'the\tthe\tDT\tB-NP\tO' -p43726 -aS'findings\tfinding\tNNS\tI-NP\tO' -p43727 -aS'were\tbe\tVBD\tB-VP\tO' -p43728 -aS'diagnostic\tdiagnostic\tJJ\tB-ADJP\tO' -p43729 -aS'of\tof\tIN\tB-PP\tO' -p43730 -aS'papillary\tpapillary\tJJ\tB-NP\tO' -p43731 -aS'thyroid\tthyroid\tJJ\tI-NP\tO' -p43732 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p43733 -aS'with\twith\tIN\tB-PP\tO' -p43734 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tB-protein' -p43735 -aS'metastases\tmetastasis\tNNS\tI-NP\tI-protein' -p43736 -aS'.\t.\t.\tO\tO' -p43737 -asS'Lungs were clear to auscultation bilaterally .' -p43738 -(lp43739 -S'Lungs\tLung\tNNS\tB-NP\tO' -p43740 -aS'were\tbe\tVBD\tB-VP\tO' -p43741 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p43742 -aS'to\tto\tTO\tB-PP\tO' -p43743 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p43744 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p43745 -aS'.\t.\t.\tO\tO' -p43746 -asS'Cisapride 10 mg. po. qid .' -p43747 -(lp43748 -S'Cisapride\tCisapride\tNN\tB-NP\tO' -p43749 -aS'10\t10\tCD\tI-NP\tO' -p43750 -aS'mg.\tmg.\tNN\tI-NP\tO' -p43751 -aS'po.\tpo.\tNN\tI-NP\tO' -p43752 -aS'qid\tqid\tNN\tI-NP\tO' -p43753 -aS'.\t.\t.\tO\tO' -p43754 -asS'1. Pill esophagitis .' -p43755 -(lp43756 -S'1.\t1.\tLS\tB-NP\tO' -p43757 -aS'Pill\tPill\tNN\tI-NP\tO' -p43758 -aS'esophagitis\tesophagitis\tNN\tI-NP\tO' -p43759 -aS'.\t.\t.\tO\tO' -p43760 -asS'Follow-up is with Dr. Wedleung in the Hem / Onc in two weeks .' -p43761 -(lp43762 -S'Follow-up\tFollow-up\tNN\tB-NP\tO' -p43763 -aS'is\tbe\tVBZ\tB-VP\tO' -p43764 -aS'with\twith\tIN\tB-PP\tO' -p43765 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p43766 -aS'Wedleung\tWedleung\tNNP\tI-NP\tO' -p43767 -aS'in\tin\tIN\tB-PP\tO' -p43768 -aS'the\tthe\tDT\tB-NP\tO' -p43769 -aS'Hem\tHem\tNN\tI-NP\tB-protein' -p43770 -aS'/\t/\tSYM\tB-NP\tO' -p43771 -aS'Onc\tOnc\tNN\tI-NP\tB-protein' -p43772 -aS'in\tin\tIN\tB-PP\tO' -p43773 -aS'two\ttwo\tCD\tB-NP\tO' -p43774 -aS'weeks\tweek\tNNS\tI-NP\tO' -p43775 -aS'.\t.\t.\tO\tO' -p43776 -asS'The patient was taken from the emergency room and transferred to the Surgical Intensive Care Unit for airway observation .' -p43777 -(lp43778 -S'The\tThe\tDT\tB-NP\tO' -p43779 -aS'patient\tpatient\tNN\tI-NP\tO' -p43780 -aS'was\tbe\tVBD\tB-VP\tO' -p43781 -aS'taken\ttake\tVBN\tI-VP\tO' -p43782 -aS'from\tfrom\tIN\tB-PP\tO' -p43783 -aS'the\tthe\tDT\tB-NP\tO' -p43784 -aS'emergency\temergency\tNN\tI-NP\tO' -p43785 -aS'room\troom\tNN\tI-NP\tO' -p43786 -aS'and\tand\tCC\tO\tO' -p43787 -aS'transferred\ttransfer\tVBN\tB-VP\tO' -p43788 -aS'to\tto\tTO\tB-PP\tO' -p43789 -aS'the\tthe\tDT\tB-NP\tO' -p43790 -aS'Surgical\tSurgical\tNNP\tI-NP\tO' -p43791 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p43792 -aS'Care\tCare\tNNP\tI-NP\tO' -p43793 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p43794 -aS'for\tfor\tIN\tB-PP\tO' -p43795 -aS'airway\tairway\tNN\tB-NP\tO' -p43796 -aS'observation\tobservation\tNN\tI-NP\tO' -p43797 -aS'.\t.\t.\tO\tO' -p43798 -asS'She has been recently evaluated as an outpatient for bradycardia .' -p43799 -(lp43800 -S'She\tShe\tPRP\tB-NP\tO' -p43801 -aS'has\thave\tVBZ\tB-VP\tO' -p43802 -aS'been\tbe\tVBN\tI-VP\tO' -p43803 -aS'recently\trecently\tRB\tI-VP\tO' -p43804 -aS'evaluated\tevaluate\tVBN\tI-VP\tO' -p43805 -aS'as\tas\tIN\tB-PP\tO' -p43806 -aS'an\tan\tDT\tB-NP\tO' -p43807 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p43808 -aS'for\tfor\tIN\tB-PP\tO' -p43809 -aS'bradycardia\tbradycardia\tNN\tB-NP\tO' -p43810 -aS'.\t.\t.\tO\tO' -p43811 -asS'This showed tracheal compressions but no other lesions that were obvious at the time .' -p43812 -(lp43813 -S'This\tThis\tDT\tB-NP\tO' -p43814 -aS'showed\tshow\tVBD\tB-VP\tO' -p43815 -aS'tracheal\ttracheal\tJJ\tB-NP\tO' -p43816 -aS'compressions\tcompression\tNNS\tI-NP\tO' -p43817 -aS'but\tbut\tCC\tO\tO' -p43818 -aS'no\tno\tDT\tB-NP\tO' -p43819 -aS'other\tother\tJJ\tI-NP\tO' -p43820 -aS'lesions\tlesion\tNNS\tI-NP\tO' -p43821 -aS'that\tthat\tWDT\tB-NP\tO' -p43822 -aS'were\tbe\tVBD\tB-VP\tO' -p43823 -aS'obvious\tobvious\tJJ\tB-ADJP\tO' -p43824 -aS'at\tat\tIN\tB-PP\tO' -p43825 -aS'the\tthe\tDT\tB-NP\tO' -p43826 -aS'time\ttime\tNN\tI-NP\tO' -p43827 -aS'.\t.\t.\tO\tO' -p43828 -asS'Non smoker .' -p43829 -(lp43830 -S'Non\tNon\tJJ\tB-NP\tO' -p43831 -aS'smoker\tsmoker\tNN\tI-NP\tO' -p43832 -aS'.\t.\t.\tO\tO' -p43833 -asS'He went home and did not take any of his medications and smoked and drank heavily throughout the several months .' -p43834 -(lp43835 -S'He\tHe\tPRP\tB-NP\tO' -p43836 -aS'went\tgo\tVBD\tB-VP\tO' -p43837 -aS'home\thome\tNN\tB-ADVP\tO' -p43838 -aS'and\tand\tCC\tO\tO' -p43839 -aS'did\tdo\tVBD\tB-VP\tO' -p43840 -aS'not\tnot\tRB\tI-VP\tO' -p43841 -aS'take\ttake\tVB\tI-VP\tO' -p43842 -aS'any\tany\tDT\tB-NP\tO' -p43843 -aS'of\tof\tIN\tB-PP\tO' -p43844 -aS'his\this\tPRP$\tB-NP\tO' -p43845 -aS'medications\tmedication\tNNS\tI-NP\tO' -p43846 -aS'and\tand\tCC\tO\tO' -p43847 -aS'smoked\tsmoke\tVBD\tB-VP\tO' -p43848 -aS'and\tand\tCC\tO\tO' -p43849 -aS'drank\tdrink\tVBD\tB-VP\tO' -p43850 -aS'heavily\theavily\tRB\tB-ADVP\tO' -p43851 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p43852 -aS'the\tthe\tDT\tB-NP\tO' -p43853 -aS'several\tseveral\tJJ\tI-NP\tO' -p43854 -aS'months\tmonth\tNNS\tI-NP\tO' -p43855 -aS'.\t.\t.\tO\tO' -p43856 -asS'Prior to catheterization a VQ scan was performed which revealed a moderate probability for PE with a subsegmental defect in the lingular on the left lung .' -p43857 -(lp43858 -S'Prior\tPrior\tRB\tB-ADVP\tO' -p43859 -aS'to\tto\tTO\tB-VP\tO' -p43860 -aS'catheterization\tcatheterization\tNN\tI-VP\tO' -p43861 -aS'a\ta\tDT\tB-NP\tO' -p43862 -aS'VQ\tVQ\tNN\tI-NP\tO' -p43863 -aS'scan\tscan\tNN\tI-NP\tO' -p43864 -aS'was\tbe\tVBD\tB-VP\tO' -p43865 -aS'performed\tperform\tVBN\tI-VP\tO' -p43866 -aS'which\twhich\tWDT\tB-NP\tO' -p43867 -aS'revealed\treveal\tVBD\tB-VP\tO' -p43868 -aS'a\ta\tDT\tB-NP\tO' -p43869 -aS'moderate\tmoderate\tJJ\tI-NP\tO' -p43870 -aS'probability\tprobability\tNN\tI-NP\tO' -p43871 -aS'for\tfor\tIN\tB-PP\tO' -p43872 -aS'PE\tPE\tNN\tB-NP\tO' -p43873 -aS'with\twith\tIN\tB-PP\tO' -p43874 -aS'a\ta\tDT\tB-NP\tO' -p43875 -aS'subsegmental\tsubsegmental\tJJ\tI-NP\tO' -p43876 -aS'defect\tdefect\tNN\tI-NP\tO' -p43877 -aS'in\tin\tIN\tB-PP\tO' -p43878 -aS'the\tthe\tDT\tB-NP\tO' -p43879 -aS'lingular\tlingular\tJJ\tI-NP\tO' -p43880 -aS'on\ton\tIN\tB-PP\tO' -p43881 -aS'the\tthe\tDT\tB-NP\tO' -p43882 -aS'left\tleft\tJJ\tI-NP\tO' -p43883 -aS'lung\tlung\tNN\tI-NP\tO' -p43884 -aS'.\t.\t.\tO\tO' -p43885 -asS'3. Prilosec 20 mg po per day .' -p43886 -(lp43887 -S'3.\t3.\tLS\tB-NP\tO' -p43888 -aS'Prilosec\tPrilosec\tNNP\tI-NP\tO' -p43889 -aS'20\t20\tCD\tI-NP\tO' -p43890 -aS'mg\tmg\tNN\tI-NP\tO' -p43891 -aS'po\tpo\tNN\tI-NP\tO' -p43892 -aS'per\tper\tIN\tB-PP\tO' -p43893 -aS'day\tday\tNN\tB-NP\tO' -p43894 -aS'.\t.\t.\tO\tO' -p43895 -asS'Platelet count 411,000 .' -p43896 -(lp43897 -S'Platelet\tPlatelet\tNN\tB-NP\tB-protein' -p43898 -aS'count\tcount\tNN\tI-NP\tI-protein' -p43899 -aS'411,000\t411,000\tCD\tI-NP\tI-protein' -p43900 -aS'.\t.\t.\tO\tO' -p43901 -asS'There is no family history of premature coronary artery disease or sudden death .' -p43902 -(lp43903 -S'There\tThere\tEX\tB-NP\tO' -p43904 -aS'is\tbe\tVBZ\tB-VP\tO' -p43905 -aS'no\tno\tDT\tB-NP\tO' -p43906 -aS'family\tfamily\tNN\tI-NP\tO' -p43907 -aS'history\thistory\tNN\tI-NP\tO' -p43908 -aS'of\tof\tIN\tB-PP\tO' -p43909 -aS'premature\tpremature\tJJ\tB-NP\tO' -p43910 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p43911 -aS'artery\tartery\tNN\tI-NP\tO' -p43912 -aS'disease\tdisease\tNN\tI-NP\tO' -p43913 -aS'or\tor\tCC\tO\tO' -p43914 -aS'sudden\tsudden\tJJ\tB-NP\tO' -p43915 -aS'death\tdeath\tNN\tI-NP\tO' -p43916 -aS'.\t.\t.\tO\tO' -p43917 -asS'will discharge pt with instructions to continue NPH 2 UNITS BID as Frederick Tracey recs .' -p43918 -(lp43919 -S'will\twill\tMD\tB-VP\tO' -p43920 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p43921 -aS'pt\tpt\tNN\tB-NP\tO' -p43922 -aS'with\twith\tIN\tB-PP\tO' -p43923 -aS'instructions\tinstruction\tNNS\tB-NP\tO' -p43924 -aS'to\tto\tTO\tB-VP\tO' -p43925 -aS'continue\tcontinue\tVB\tI-VP\tO' -p43926 -aS'NPH\tNPH\tNN\tB-NP\tB-protein' -p43927 -aS'2\t2\tCD\tI-NP\tI-protein' -p43928 -aS'UNITS\tUNITS\tNNP\tI-NP\tO' -p43929 -aS'BID\tBID\tNNP\tI-NP\tO' -p43930 -aS'as\tas\tIN\tB-PP\tO' -p43931 -aS'Frederick\tFrederick\tNNP\tB-NP\tO' -p43932 -aS'Tracey\tTracey\tNNP\tI-NP\tO' -p43933 -aS'recs\trec\tNNS\tI-NP\tO' -p43934 -aS'.\t.\t.\tO\tO' -p43935 -asS'The patient was started on Coumadin five months prior to this admission .' -p43936 -(lp43937 -S'The\tThe\tDT\tB-NP\tO' -p43938 -aS'patient\tpatient\tNN\tI-NP\tO' -p43939 -aS'was\tbe\tVBD\tB-VP\tO' -p43940 -aS'started\tstart\tVBN\tI-VP\tO' -p43941 -aS'on\ton\tIN\tB-PP\tO' -p43942 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p43943 -aS'five\tfive\tCD\tB-NP\tO' -p43944 -aS'months\tmonth\tNNS\tI-NP\tO' -p43945 -aS'prior\tprior\tRB\tB-ADVP\tO' -p43946 -aS'to\tto\tTO\tB-PP\tO' -p43947 -aS'this\tthis\tDT\tB-NP\tO' -p43948 -aS'admission\tadmission\tNN\tI-NP\tO' -p43949 -aS'.\t.\t.\tO\tO' -p43950 -asS'The neck was supple and no goiter was noticed , no bruit was noticed .' -p43951 -(lp43952 -S'The\tThe\tDT\tB-NP\tO' -p43953 -aS'neck\tneck\tNN\tI-NP\tO' -p43954 -aS'was\tbe\tVBD\tB-VP\tO' -p43955 -aS'supple\tsupple\tNN\tB-NP\tO' -p43956 -aS'and\tand\tCC\tO\tO' -p43957 -aS'no\tno\tDT\tB-NP\tO' -p43958 -aS'goiter\tgoiter\tNN\tI-NP\tO' -p43959 -aS'was\tbe\tVBD\tB-VP\tO' -p43960 -aS'noticed\tnotice\tVBN\tI-VP\tO' -p43961 -aS',\t,\t,\tO\tO' -p43962 -aS'no\tno\tDT\tB-NP\tO' -p43963 -aS'bruit\tbruit\tNN\tI-NP\tO' -p43964 -aS'was\tbe\tVBD\tB-VP\tO' -p43965 -aS'noticed\tnotice\tVBN\tI-VP\tO' -p43966 -aS'.\t.\t.\tO\tO' -p43967 -asS'There was no hepatosplenomegaly .' -p43968 -(lp43969 -S'There\tThere\tEX\tB-NP\tO' -p43970 -aS'was\tbe\tVBD\tB-VP\tO' -p43971 -aS'no\tno\tDT\tB-NP\tO' -p43972 -aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tI-NP\tO' -p43973 -aS'.\t.\t.\tO\tO' -p43974 -asS'After extensive discussion between myself , Dr. Amesin , and Dr. Scgach , it was elected to discharge the patient to home with medical management .' -p43975 -(lp43976 -S'After\tAfter\tIN\tB-PP\tO' -p43977 -aS'extensive\textensive\tJJ\tB-NP\tO' -p43978 -aS'discussion\tdiscussion\tNN\tI-NP\tO' -p43979 -aS'between\tbetween\tIN\tB-PP\tO' -p43980 -aS'myself\tmyself\tPRP\tB-NP\tO' -p43981 -aS',\t,\t,\tO\tO' -p43982 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p43983 -aS'Amesin\tAmesin\tNNP\tI-NP\tO' -p43984 -aS',\t,\t,\tO\tO' -p43985 -aS'and\tand\tCC\tO\tO' -p43986 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p43987 -aS'Scgach\tScgach\tNNP\tI-NP\tO' -p43988 -aS',\t,\t,\tO\tO' -p43989 -aS'it\tit\tPRP\tB-NP\tO' -p43990 -aS'was\tbe\tVBD\tB-VP\tO' -p43991 -aS'elected\telect\tVBN\tI-VP\tO' -p43992 -aS'to\tto\tTO\tI-VP\tO' -p43993 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p43994 -aS'the\tthe\tDT\tB-NP\tO' -p43995 -aS'patient\tpatient\tNN\tI-NP\tO' -p43996 -aS'to\tto\tTO\tB-PP\tO' -p43997 -aS'home\thome\tNN\tB-NP\tO' -p43998 -aS'with\twith\tIN\tB-PP\tO' -p43999 -aS'medical\tmedical\tJJ\tB-NP\tO' -p44000 -aS'management\tmanagement\tNN\tI-NP\tO' -p44001 -aS'.\t.\t.\tO\tO' -p44002 -asS'2. Hypertension .' -p44003 -(lp44004 -S'2.\t2.\tLS\tB-NP\tO' -p44005 -aS'Hypertension\tHypertension\tNN\tI-NP\tO' -p44006 -aS'.\t.\t.\tO\tO' -p44007 -asS'The patient could not be moved and had to have 911 called for help .' -p44008 -(lp44009 -S'The\tThe\tDT\tB-NP\tO' -p44010 -aS'patient\tpatient\tNN\tI-NP\tO' -p44011 -aS'could\tcould\tMD\tB-VP\tO' -p44012 -aS'not\tnot\tRB\tI-VP\tO' -p44013 -aS'be\tbe\tVB\tI-VP\tO' -p44014 -aS'moved\tmove\tVBN\tI-VP\tO' -p44015 -aS'and\tand\tCC\tO\tO' -p44016 -aS'had\thave\tVBD\tB-VP\tO' -p44017 -aS'to\tto\tTO\tI-VP\tO' -p44018 -aS'have\thave\tVB\tI-VP\tO' -p44019 -aS'911\t911\tCD\tB-NP\tO' -p44020 -aS'called\tcall\tVBN\tB-VP\tO' -p44021 -aS'for\tfor\tIN\tB-PP\tO' -p44022 -aS'help\thelp\tNN\tB-NP\tO' -p44023 -aS'.\t.\t.\tO\tO' -p44024 -asS'Denies alcohol or tobacco use .' -p44025 -(lp44026 -S'Denies\tDeny\tNNS\tB-NP\tO' -p44027 -aS'alcohol\talcohol\tNN\tI-NP\tO' -p44028 -aS'or\tor\tCC\tI-NP\tO' -p44029 -aS'tobacco\ttobacco\tNN\tI-NP\tO' -p44030 -aS'use\tuse\tNN\tI-NP\tO' -p44031 -aS'.\t.\t.\tO\tO' -p44032 -asS'3. Zanaflex .' -p44033 -(lp44034 -S'3.\t3.\tLS\tB-NP\tO' -p44035 -aS'Zanaflex\tZanaflex\tNN\tI-NP\tO' -p44036 -aS'.\t.\t.\tO\tO' -p44037 -asS"A 5 cm laceration was noted over the patient 's occiput on further inspection with no exposed underlying bone ." -p44038 -(lp44039 -S'A\tA\tDT\tB-NP\tO' -p44040 -aS'5\t5\tCD\tI-NP\tO' -p44041 -aS'cm\tcm\tNN\tI-NP\tO' -p44042 -aS'laceration\tlaceration\tNN\tI-NP\tO' -p44043 -aS'was\tbe\tVBD\tB-VP\tO' -p44044 -aS'noted\tnote\tVBN\tI-VP\tO' -p44045 -aS'over\tover\tIN\tB-PP\tO' -p44046 -aS'the\tthe\tDT\tB-NP\tO' -p44047 -aS'patient\tpatient\tNN\tI-NP\tO' -p44048 -aS"'s\t's\tPOS\tB-NP\tO" -p44049 -aS'occiput\tocciput\tNN\tI-NP\tO' -p44050 -aS'on\ton\tIN\tB-PP\tO' -p44051 -aS'further\tfurther\tJJ\tB-NP\tO' -p44052 -aS'inspection\tinspection\tNN\tI-NP\tO' -p44053 -aS'with\twith\tIN\tB-PP\tO' -p44054 -aS'no\tno\tDT\tB-NP\tO' -p44055 -aS'exposed\texpose\tVBN\tI-NP\tO' -p44056 -aS'underlying\tunderlying\tJJ\tI-NP\tO' -p44057 -aS'bone\tbone\tNN\tI-NP\tO' -p44058 -aS'.\t.\t.\tO\tO' -p44059 -asS'Patient is a 28 year old gravida IV , para 2 with metastatic cervical cancer admitted with a question of malignant pericardial effusion .' -p44060 -(lp44061 -S'Patient\tPatient\tNN\tB-NP\tO' -p44062 -aS'is\tbe\tVBZ\tB-VP\tO' -p44063 -aS'a\ta\tDT\tB-NP\tO' -p44064 -aS'28\t28\tCD\tI-NP\tO' -p44065 -aS'year\tyear\tNN\tI-NP\tO' -p44066 -aS'old\told\tJJ\tI-NP\tO' -p44067 -aS'gravida\tgravida\tNN\tI-NP\tO' -p44068 -aS'IV\tIV\tCD\tI-NP\tO' -p44069 -aS',\t,\t,\tO\tO' -p44070 -aS'para\tpara\tNN\tB-NP\tO' -p44071 -aS'2\t2\tCD\tI-NP\tO' -p44072 -aS'with\twith\tIN\tB-PP\tO' -p44073 -aS'metastatic\tmetastatic\tJJ\tB-NP\tO' -p44074 -aS'cervical\tcervical\tJJ\tI-NP\tO' -p44075 -aS'cancer\tcancer\tNN\tI-NP\tO' -p44076 -aS'admitted\tadmit\tVBN\tB-VP\tO' -p44077 -aS'with\twith\tIN\tB-PP\tO' -p44078 -aS'a\ta\tDT\tB-NP\tO' -p44079 -aS'question\tquestion\tNN\tI-NP\tO' -p44080 -aS'of\tof\tIN\tB-PP\tO' -p44081 -aS'malignant\tmalignant\tJJ\tB-NP\tO' -p44082 -aS'pericardial\tpericardial\tJJ\tI-NP\tO' -p44083 -aS'effusion\teffusion\tNN\tI-NP\tO' -p44084 -aS'.\t.\t.\tO\tO' -p44085 -asS'Neurologically the patient was alert and oriented x3 .' -p44086 -(lp44087 -S'Neurologically\tNeurologically\tRB\tB-ADVP\tO' -p44088 -aS'the\tthe\tDT\tB-NP\tO' -p44089 -aS'patient\tpatient\tNN\tI-NP\tO' -p44090 -aS'was\tbe\tVBD\tB-VP\tO' -p44091 -aS'alert\talert\tJJ\tB-ADJP\tO' -p44092 -aS'and\tand\tCC\tO\tO' -p44093 -aS'oriented\torient\tVBN\tB-VP\tO' -p44094 -aS'x3\tx3\tNN\tB-NP\tO' -p44095 -aS'.\t.\t.\tO\tO' -p44096 -asS'The patient 's gait remained wide based and shuffling and requiring assist .' -p44097 -(lp44098 -S'The\tThe\tDT\tB-NP\tO' -p44099 -aS'patient\tpatient\tNN\tI-NP\tO' -p44100 -aS''s\t'\tNNS\tI-NP\tO' -p44101 -aS'gait\tgait\tNN\tI-NP\tO' -p44102 -aS'remained\tremain\tVBD\tB-VP\tO' -p44103 -aS'wide\twide\tJJ\tB-ADJP\tO' -p44104 -aS'based\tbase\tVBN\tI-ADJP\tO' -p44105 -aS'and\tand\tCC\tO\tO' -p44106 -aS'shuffling\tshuffle\tVBG\tB-VP\tO' -p44107 -aS'and\tand\tCC\tI-VP\tO' -p44108 -aS'requiring\trequire\tVBG\tI-VP\tO' -p44109 -aS'assist\tassist\tNN\tB-NP\tO' -p44110 -aS'.\t.\t.\tO\tO' -p44111 -asS'Lipid panel was checked and showed good control of lipids on his home dose of zocor .' -p44112 -(lp44113 -S'Lipid\tLipid\tNN\tB-NP\tO' -p44114 -aS'panel\tpanel\tNN\tI-NP\tO' -p44115 -aS'was\tbe\tVBD\tB-VP\tO' -p44116 -aS'checked\tcheck\tVBN\tI-VP\tO' -p44117 -aS'and\tand\tCC\tO\tO' -p44118 -aS'showed\tshow\tVBD\tB-VP\tO' -p44119 -aS'good\tgood\tJJ\tB-NP\tO' -p44120 -aS'control\tcontrol\tNN\tI-NP\tO' -p44121 -aS'of\tof\tIN\tB-PP\tO' -p44122 -aS'lipids\tlipid\tNNS\tB-NP\tO' -p44123 -aS'on\ton\tIN\tB-PP\tO' -p44124 -aS'his\this\tPRP$\tB-NP\tO' -p44125 -aS'home\thome\tNN\tI-NP\tO' -p44126 -aS'dose\tdose\tNN\tI-NP\tO' -p44127 -aS'of\tof\tIN\tB-PP\tO' -p44128 -aS'zocor\tzocor\tNN\tB-NP\tO' -p44129 -aS'.\t.\t.\tO\tO' -p44130 -asS'7. Phenytoin Sodium Extended 100 mg Capsule Sig : One ( 1 ) Capsule PO TID ( 3 times a day ).' -p44131 -(lp44132 -S'7.\t7.\tCD\tB-NP\tO' -p44133 -aS'Phenytoin\tPhenytoin\tNNP\tI-NP\tO' -p44134 -aS'Sodium\tSodium\tNNP\tI-NP\tO' -p44135 -aS'Extended\tExtend\tVBD\tB-VP\tO' -p44136 -aS'100\t100\tCD\tB-NP\tO' -p44137 -aS'mg\tmg\tNN\tI-NP\tO' -p44138 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p44139 -aS'Sig\tSig\tNNP\tI-NP\tO' -p44140 -aS':\t:\t:\tO\tO' -p44141 -aS'One\tOne\tCD\tB-NP\tO' -p44142 -aS'(\t(\t(\tO\tO' -p44143 -aS'1\t1\tCD\tB-NP\tO' -p44144 -aS')\t)\t)\tO\tO' -p44145 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p44146 -aS'PO\tPO\tNNP\tI-NP\tO' -p44147 -aS'TID\tTID\tNNP\tI-NP\tO' -p44148 -aS'(\t(\t(\tO\tO' -p44149 -aS'3\t3\tCD\tB-NP\tO' -p44150 -aS'times\ttime\tNNS\tI-NP\tO' -p44151 -aS'a\ta\tDT\tB-NP\tO' -p44152 -aS'day\tday\tNN\tI-NP\tO' -p44153 -aS').\t).\t.\tO\tO' -p44154 -asS'Her allergies are penicillin , which cause throat edema .' -p44155 -(lp44156 -S'Her\tHer\tPRP$\tB-NP\tO' -p44157 -aS'allergies\tallergy\tNNS\tI-NP\tO' -p44158 -aS'are\tbe\tVBP\tB-VP\tO' -p44159 -aS'penicillin\tpenicillin\tNN\tB-NP\tO' -p44160 -aS',\t,\t,\tO\tO' -p44161 -aS'which\twhich\tWDT\tB-NP\tO' -p44162 -aS'cause\tcause\tVBP\tB-VP\tO' -p44163 -aS'throat\tthroat\tDT\tB-NP\tO' -p44164 -aS'edema\tedema\tNN\tI-NP\tO' -p44165 -aS'.\t.\t.\tO\tO' -p44166 -asS'regular rate and rhythm with normal S1 and S2 , no murmurs .' -p44167 -(lp44168 -S'regular\tregular\tJJ\tB-NP\tO' -p44169 -aS'rate\trate\tNN\tI-NP\tO' -p44170 -aS'and\tand\tCC\tI-NP\tO' -p44171 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p44172 -aS'with\twith\tIN\tB-PP\tO' -p44173 -aS'normal\tnormal\tJJ\tB-NP\tO' -p44174 -aS'S1\tS1\tNN\tI-NP\tB-protein' -p44175 -aS'and\tand\tCC\tO\tO' -p44176 -aS'S2\tS2\tNN\tB-NP\tB-protein' -p44177 -aS',\t,\t,\tO\tO' -p44178 -aS'no\tno\tDT\tB-NP\tO' -p44179 -aS'murmurs\tmurmur\tNNS\tI-NP\tO' -p44180 -aS'.\t.\t.\tO\tO' -p44181 -asS'Disp :* 4 Tablet (s)* Refills :* 0 *' -p44182 -(lp44183 -S'Disp\tDisp\tNN\tB-NP\tO' -p44184 -aS':*\t:*\tSYM\tI-NP\tO' -p44185 -aS'4\t4\tCD\tI-NP\tO' -p44186 -aS'Tablet\tTablet\tNN\tI-NP\tO' -p44187 -aS'(s)*\t(s)*\tSYM\tB-NP\tO' -p44188 -aS'Refills\tRefill\tNNPS\tI-NP\tO' -p44189 -aS':*\t:*\tSYM\tI-NP\tO' -p44190 -aS'0\t0\tCD\tI-NP\tO' -p44191 -aS'*\t*\tSYM\tB-NP\tO' -p44192 -asS'Severe hypertension , angina , GERD , peptic ulcer disease , status post Billroth II , ovarian cancer , status post TAH-BSO in 1987 with a negative second look laparotomy in 1988 , chronic anemia , chronic left ear infection .' -p44193 -(lp44194 -S'Severe\tSevere\tJJ\tB-NP\tO' -p44195 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p44196 -aS',\t,\t,\tO\tO' -p44197 -aS'angina\tangina\tNN\tB-NP\tO' -p44198 -aS',\t,\t,\tO\tO' -p44199 -aS'GERD\tGERD\tNN\tB-NP\tO' -p44200 -aS',\t,\t,\tO\tO' -p44201 -aS'peptic\tpeptic\tJJ\tB-NP\tO' -p44202 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p44203 -aS'disease\tdisease\tNN\tI-NP\tO' -p44204 -aS',\t,\t,\tO\tO' -p44205 -aS'status\tstatus\tNN\tB-NP\tB-protein' -p44206 -aS'post\tpost\tNN\tI-NP\tI-protein' -p44207 -aS'Billroth\tBillroth\tNNP\tB-NP\tI-protein' -p44208 -aS'II\tII\tCD\tI-NP\tI-protein' -p44209 -aS',\t,\t,\tO\tO' -p44210 -aS'ovarian\tovarian\tJJ\tB-NP\tO' -p44211 -aS'cancer\tcancer\tNN\tI-NP\tO' -p44212 -aS',\t,\t,\tO\tO' -p44213 -aS'status\tstatus\tNN\tB-NP\tO' -p44214 -aS'post\tpost\tNN\tI-NP\tO' -p44215 -aS'TAH-BSO\tTAH-BSO\tNN\tI-NP\tO' -p44216 -aS'in\tin\tIN\tB-PP\tO' -p44217 -aS'1987\t1987\tCD\tB-NP\tO' -p44218 -aS'with\twith\tIN\tB-PP\tO' -p44219 -aS'a\ta\tDT\tB-NP\tO' -p44220 -aS'negative\tnegative\tJJ\tI-NP\tO' -p44221 -aS'second\tsecond\tJJ\tI-NP\tO' -p44222 -aS'look\tlook\tNN\tI-NP\tO' -p44223 -aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' -p44224 -aS'in\tin\tIN\tB-PP\tO' -p44225 -aS'1988\t1988\tCD\tB-NP\tO' -p44226 -aS',\t,\t,\tO\tO' -p44227 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p44228 -aS'anemia\tanemia\tNN\tI-NP\tO' -p44229 -aS',\t,\t,\tO\tO' -p44230 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p44231 -aS'left\tleft\tJJ\tI-NP\tO' -p44232 -aS'ear\tear\tNN\tI-NP\tO' -p44233 -aS'infection\tinfection\tNN\tI-NP\tO' -p44234 -aS'.\t.\t.\tO\tO' -p44235 -asS'This is a 54 - year-old man with significant coronary artery disease risk factors , positive family history , smoking history , hypertension and gender who presented with an ST elevation MI status post LAD stent , complicated by no residuals requiring nitroglycerin and diltiazem for good flow .' -p44236 -(lp44237 -S'This\tThis\tDT\tB-NP\tO' -p44238 -aS'is\tbe\tVBZ\tB-VP\tO' -p44239 -aS'a\ta\tDT\tB-NP\tO' -p44240 -aS'54\t54\tCD\tI-NP\tO' -p44241 -aS'-\t-\tHYPH\tI-NP\tO' -p44242 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p44243 -aS'man\tman\tNN\tI-NP\tO' -p44244 -aS'with\twith\tIN\tB-PP\tO' -p44245 -aS'significant\tsignificant\tJJ\tB-NP\tO' -p44246 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p44247 -aS'artery\tartery\tNN\tI-NP\tO' -p44248 -aS'disease\tdisease\tNN\tI-NP\tO' -p44249 -aS'risk\trisk\tNN\tI-NP\tO' -p44250 -aS'factors\tfactor\tNNS\tI-NP\tO' -p44251 -aS',\t,\t,\tO\tO' -p44252 -aS'positive\tpositive\tJJ\tB-NP\tO' -p44253 -aS'family\tfamily\tNN\tI-NP\tO' -p44254 -aS'history\thistory\tNN\tI-NP\tO' -p44255 -aS',\t,\t,\tO\tO' -p44256 -aS'smoking\tsmoking\tNN\tB-NP\tO' -p44257 -aS'history\thistory\tNN\tI-NP\tO' -p44258 -aS',\t,\t,\tI-NP\tO' -p44259 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p44260 -aS'and\tand\tCC\tI-NP\tO' -p44261 -aS'gender\tgender\tNN\tI-NP\tO' -p44262 -aS'who\twho\tWP\tB-NP\tO' -p44263 -aS'presented\tpresent\tVBD\tB-VP\tO' -p44264 -aS'with\twith\tIN\tB-PP\tO' -p44265 -aS'an\tan\tDT\tB-NP\tO' -p44266 -aS'ST\tST\tJJ\tI-NP\tO' -p44267 -aS'elevation\televation\tNN\tI-NP\tO' -p44268 -aS'MI\tMI\tNN\tI-NP\tO' -p44269 -aS'status\tstatus\tNN\tI-NP\tO' -p44270 -aS'post\tpost\tNN\tI-NP\tO' -p44271 -aS'LAD\tLAD\tNN\tI-NP\tO' -p44272 -aS'stent\tstent\tNN\tI-NP\tO' -p44273 -aS',\t,\t,\tO\tO' -p44274 -aS'complicated\tcomplicate\tVBN\tB-VP\tO' -p44275 -aS'by\tby\tIN\tB-PP\tO' -p44276 -aS'no\tno\tDT\tB-NP\tO' -p44277 -aS'residuals\tresidual\tNNS\tI-NP\tO' -p44278 -aS'requiring\trequire\tVBG\tB-VP\tO' -p44279 -aS'nitroglycerin\tnitroglycerin\tNN\tB-NP\tO' -p44280 -aS'and\tand\tCC\tI-NP\tO' -p44281 -aS'diltiazem\tdiltiazem\tNN\tI-NP\tO' -p44282 -aS'for\tfor\tIN\tB-PP\tO' -p44283 -aS'good\tgood\tJJ\tB-NP\tO' -p44284 -aS'flow\tflow\tNN\tI-NP\tO' -p44285 -aS'.\t.\t.\tO\tO' -p44286 -asS'Both parents are very involved in the care of Baby Norman Stead .' -p44287 -(lp44288 -S'Both\tBoth\tDT\tB-NP\tO' -p44289 -aS'parents\tparent\tNNS\tI-NP\tO' -p44290 -aS'are\tbe\tVBP\tB-VP\tO' -p44291 -aS'very\tvery\tRB\tI-VP\tO' -p44292 -aS'involved\tinvolve\tVBN\tI-VP\tO' -p44293 -aS'in\tin\tIN\tB-PP\tO' -p44294 -aS'the\tthe\tDT\tB-NP\tO' -p44295 -aS'care\tcare\tNN\tI-NP\tO' -p44296 -aS'of\tof\tIN\tB-PP\tO' -p44297 -aS'Baby\tBaby\tNNP\tB-NP\tO' -p44298 -aS'Norman\tNorman\tNNP\tI-NP\tO' -p44299 -aS'Stead\tStead\tNNP\tI-NP\tO' -p44300 -aS'.\t.\t.\tO\tO' -p44301 -asS'By 04-01 , on postoperative day two , the patient was doing well and the chest tube was discontinued .' -p44302 -(lp44303 -S'By\tBy\tIN\tB-PP\tO' -p44304 -aS'04-01\t04-01\tCD\tB-NP\tO' -p44305 -aS',\t,\t,\tO\tO' -p44306 -aS'on\ton\tIN\tB-PP\tO' -p44307 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p44308 -aS'day\tday\tNN\tI-NP\tO' -p44309 -aS'two\ttwo\tCD\tB-NP\tO' -p44310 -aS',\t,\t,\tO\tO' -p44311 -aS'the\tthe\tDT\tB-NP\tO' -p44312 -aS'patient\tpatient\tNN\tI-NP\tO' -p44313 -aS'was\tbe\tVBD\tB-VP\tO' -p44314 -aS'doing\tdo\tVBG\tI-VP\tO' -p44315 -aS'well\twell\tRB\tB-ADVP\tO' -p44316 -aS'and\tand\tCC\tO\tO' -p44317 -aS'the\tthe\tDT\tB-NP\tO' -p44318 -aS'chest\tchest\tNN\tI-NP\tO' -p44319 -aS'tube\ttube\tNN\tI-NP\tO' -p44320 -aS'was\tbe\tVBD\tB-VP\tO' -p44321 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p44322 -aS'.\t.\t.\tO\tO' -p44323 -asS'Disp :* 28 Tablet Sustained Release (s)* Refills :* 0 *' -p44324 -(lp44325 -S'Disp\tDisp\tNN\tB-NP\tO' -p44326 -aS':*\t:*\tSYM\tI-NP\tO' -p44327 -aS'28\t28\tCD\tI-NP\tO' -p44328 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p44329 -aS'Sustained\tSustained\tNNP\tI-NP\tO' -p44330 -aS'Release\tRelease\tNNP\tI-NP\tO' -p44331 -aS'(s)*\t(s)*\tSYM\tB-NP\tO' -p44332 -aS'Refills\tRefill\tNNPS\tI-NP\tO' -p44333 -aS':*\t:*\tSYM\tI-NP\tO' -p44334 -aS'0\t0\tCD\tI-NP\tO' -p44335 -aS'*\t*\tSYM\tB-NP\tO' -p44336 -asS'Lungs are bilaterally clear to auscultation .' -p44337 -(lp44338 -S'Lungs\tLung\tNNS\tB-NP\tO' -p44339 -aS'are\tbe\tVBP\tB-VP\tO' -p44340 -aS'bilaterally\tbilaterally\tRB\tB-ADJP\tO' -p44341 -aS'clear\tclear\tJJ\tI-ADJP\tO' -p44342 -aS'to\tto\tTO\tB-PP\tO' -p44343 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p44344 -aS'.\t.\t.\tO\tO' -p44345 -asS'According to her sister , the patient has no short-term memory .' -p44346 -(lp44347 -S'According\tAccord\tVBG\tB-PP\tO' -p44348 -aS'to\tto\tTO\tB-PP\tO' -p44349 -aS'her\ther\tPRP$\tB-NP\tO' -p44350 -aS'sister\tsister\tNN\tI-NP\tO' -p44351 -aS',\t,\t,\tO\tO' -p44352 -aS'the\tthe\tDT\tB-NP\tO' -p44353 -aS'patient\tpatient\tNN\tI-NP\tO' -p44354 -aS'has\thave\tVBZ\tB-VP\tO' -p44355 -aS'no\tno\tDT\tB-NP\tO' -p44356 -aS'short-term\tshort-term\tJJ\tI-NP\tO' -p44357 -aS'memory\tmemory\tNN\tI-NP\tO' -p44358 -aS'.\t.\t.\tO\tO' -p44359 -asS'In the seven to eight months preceding admission , he developed recurrent angina with dyspnea on exertion .' -p44360 -(lp44361 -S'In\tIn\tIN\tB-PP\tO' -p44362 -aS'the\tthe\tDT\tB-NP\tO' -p44363 -aS'seven\tseven\tCD\tI-NP\tO' -p44364 -aS'to\tto\tTO\tI-NP\tO' -p44365 -aS'eight\teight\tCD\tI-NP\tO' -p44366 -aS'months\tmonth\tNNS\tI-NP\tO' -p44367 -aS'preceding\tprecede\tVBG\tB-VP\tO' -p44368 -aS'admission\tadmission\tNN\tB-NP\tO' -p44369 -aS',\t,\t,\tO\tO' -p44370 -aS'he\the\tPRP\tB-NP\tO' -p44371 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p44372 -aS'recurrent\trecurrent\tJJ\tB-NP\tO' -p44373 -aS'angina\tangina\tNN\tI-NP\tO' -p44374 -aS'with\twith\tIN\tB-PP\tO' -p44375 -aS'dyspnea\tdyspnea\tNN\tB-NP\tO' -p44376 -aS'on\ton\tIN\tB-PP\tO' -p44377 -aS'exertion\texertion\tNN\tB-NP\tO' -p44378 -aS'.\t.\t.\tO\tO' -p44379 -asS'Chest x-ray revealed mild pulmonary edema .' -p44380 -(lp44381 -S'Chest\tCh\tJJS\tB-NP\tO' -p44382 -aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' -p44383 -aS'revealed\treveal\tVBD\tB-VP\tO' -p44384 -aS'mild\tmild\tJJ\tB-NP\tO' -p44385 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p44386 -aS'edema\tedema\tNN\tI-NP\tO' -p44387 -aS'.\t.\t.\tO\tO' -p44388 -asS'Rectal had normal tone , empty rectal vault , and guaiac negative .' -p44389 -(lp44390 -S'Rectal\tRectal\tNNP\tB-NP\tO' -p44391 -aS'had\thave\tVBD\tB-VP\tO' -p44392 -aS'normal\tnormal\tJJ\tB-NP\tO' -p44393 -aS'tone\ttone\tNN\tI-NP\tO' -p44394 -aS',\t,\t,\tO\tO' -p44395 -aS'empty\tempty\tJJ\tB-NP\tO' -p44396 -aS'rectal\trectal\tJJ\tI-NP\tO' -p44397 -aS'vault\tvault\tNN\tI-NP\tO' -p44398 -aS',\t,\t,\tO\tO' -p44399 -aS'and\tand\tCC\tO\tO' -p44400 -aS'guaiac\tguaiac\tNN\tB-NP\tO' -p44401 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p44402 -aS'.\t.\t.\tO\tO' -p44403 -asS'Transfer from Athol Memorial Hospital for acute on chronic respiratory distress .' -p44404 -(lp44405 -S'Transfer\tTransfer\tNNP\tB-NP\tO' -p44406 -aS'from\tfrom\tIN\tB-PP\tO' -p44407 -aS'Athol\tAthol\tNNP\tB-NP\tO' -p44408 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p44409 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p44410 -aS'for\tfor\tIN\tB-PP\tO' -p44411 -aS'acute\tacute\tJJ\tB-NP\tO' -p44412 -aS'on\ton\tIN\tB-PP\tO' -p44413 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p44414 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p44415 -aS'distress\tdistress\tNN\tI-NP\tO' -p44416 -aS'.\t.\t.\tO\tO' -p44417 -asS'At this time , sodium was 147 , potassium 2.6 , total sodium given during the first 24 hours 20 mEq per kilo per day .' -p44418 -(lp44419 -S'At\tAt\tIN\tB-PP\tO' -p44420 -aS'this\tthis\tDT\tB-NP\tO' -p44421 -aS'time\ttime\tNN\tI-NP\tO' -p44422 -aS',\t,\t,\tO\tO' -p44423 -aS'sodium\tsodium\tNN\tB-NP\tO' -p44424 -aS'was\tbe\tVBD\tB-VP\tO' -p44425 -aS'147\t147\tCD\tB-NP\tO' -p44426 -aS',\t,\t,\tO\tO' -p44427 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p44428 -aS'2.6\t2.6\tCD\tI-NP\tO' -p44429 -aS',\t,\t,\tO\tO' -p44430 -aS'total\ttotal\tJJ\tB-NP\tO' -p44431 -aS'sodium\tsodium\tNN\tI-NP\tO' -p44432 -aS'given\tgive\tVBN\tB-PP\tO' -p44433 -aS'during\tduring\tIN\tB-PP\tO' -p44434 -aS'the\tthe\tDT\tB-NP\tO' -p44435 -aS'first\tfirst\tJJ\tI-NP\tO' -p44436 -aS'24\t24\tCD\tI-NP\tO' -p44437 -aS'hours\thour\tNNS\tI-NP\tO' -p44438 -aS'20\t20\tCD\tI-NP\tO' -p44439 -aS'mEq\tmEq\tNN\tI-NP\tO' -p44440 -aS'per\tper\tIN\tB-PP\tO' -p44441 -aS'kilo\tkilo\tNN\tB-NP\tO' -p44442 -aS'per\tper\tIN\tB-PP\tO' -p44443 -aS'day\tday\tNN\tB-NP\tO' -p44444 -aS'.\t.\t.\tO\tO' -p44445 -asS'7. Coronary artery disease .' -p44446 -(lp44447 -S'7.\t7.\tLS\tB-NP\tO' -p44448 -aS'Coronary\tCoronary\tJJ\tI-NP\tO' -p44449 -aS'artery\tartery\tNN\tI-NP\tO' -p44450 -aS'disease\tdisease\tNN\tI-NP\tO' -p44451 -aS'.\t.\t.\tO\tO' -p44452 -asS'Primary pediatrician is Dr. Satterlund of Westborough Pediatrics .' -p44453 -(lp44454 -S'Primary\tPrimary\tJJ\tB-NP\tO' -p44455 -aS'pediatrician\tpediatrician\tNN\tI-NP\tO' -p44456 -aS'is\tbe\tVBZ\tB-VP\tO' -p44457 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p44458 -aS'Satterlund\tSatterlund\tNNP\tI-NP\tO' -p44459 -aS'of\tof\tIN\tB-PP\tO' -p44460 -aS'Westborough\tWestborough\tNNP\tB-NP\tO' -p44461 -aS'Pediatrics\tPediatrics\tNNP\tI-NP\tO' -p44462 -aS'.\t.\t.\tO\tO' -p44463 -asS'Her hematocrit was 31.1 , WBC 11.6 and 151,000 platelets .' -p44464 -(lp44465 -S'Her\tHer\tPRP$\tB-NP\tO' -p44466 -aS'hematocrit\thematocrit\tNN\tI-NP\tB-protein' -p44467 -aS'was\tbe\tVBD\tB-VP\tI-protein' -p44468 -aS'31.1\t31.1\tCD\tB-NP\tI-protein' -p44469 -aS',\t,\t,\tO\tO' -p44470 -aS'WBC\tWBC\tNNP\tB-NP\tB-DNA' -p44471 -aS'11.6\t11.6\tCD\tI-NP\tI-DNA' -p44472 -aS'and\tand\tCC\tI-NP\tO' -p44473 -aS'151,000\t151,000\tCD\tI-NP\tO' -p44474 -aS'platelets\tplatelet\tNNS\tI-NP\tB-cell_type' -p44475 -aS'.\t.\t.\tO\tO' -p44476 -asS'This was consistent with scar .' -p44477 -(lp44478 -S'This\tThis\tDT\tB-NP\tO' -p44479 -aS'was\tbe\tVBD\tB-VP\tO' -p44480 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p44481 -aS'with\twith\tIN\tB-PP\tO' -p44482 -aS'scar\tscar\tNN\tB-NP\tO' -p44483 -aS'.\t.\t.\tO\tO' -p44484 -asS'Dialysis was continued 3 / week .' -p44485 -(lp44486 -S'Dialysis\tDialysis\tNN\tB-NP\tO' -p44487 -aS'was\tbe\tVBD\tB-VP\tO' -p44488 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p44489 -aS'3\t3\tCD\tB-NP\tO' -p44490 -aS'/\t/\tSYM\tI-NP\tO' -p44491 -aS'week\tweek\tNN\tI-NP\tO' -p44492 -aS'.\t.\t.\tO\tO' -p44493 -asS'Her disposition was to home .' -p44494 -(lp44495 -S'Her\tHer\tPRP$\tB-NP\tO' -p44496 -aS'disposition\tdisposition\tNN\tI-NP\tO' -p44497 -aS'was\tbe\tVBD\tB-VP\tO' -p44498 -aS'to\tto\tTO\tB-PP\tO' -p44499 -aS'home\thome\tNN\tB-NP\tO' -p44500 -aS'.\t.\t.\tO\tO' -p44501 -asS'The Jewish Memorial Hospital hospital course over the 1-day addendum is improving .' -p44502 -(lp44503 -S'The\tThe\tDT\tB-NP\tO' -p44504 -aS'Jewish\tJewish\tNNP\tI-NP\tO' -p44505 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p44506 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p44507 -aS'hospital\thospital\tNN\tI-NP\tO' -p44508 -aS'course\tcourse\tNN\tI-NP\tO' -p44509 -aS'over\tover\tIN\tB-PP\tO' -p44510 -aS'the\tthe\tDT\tB-NP\tO' -p44511 -aS'1-day\t1-day\tJJ\tI-NP\tO' -p44512 -aS'addendum\taddendum\tNN\tI-NP\tO' -p44513 -aS'is\tbe\tVBZ\tB-VP\tO' -p44514 -aS'improving\timprove\tVBG\tI-VP\tO' -p44515 -aS'.\t.\t.\tO\tO' -p44516 -asS'Cardiac and mediastinal contours are within normal limits .' -p44517 -(lp44518 -S'Cardiac\tCardiac\tJJ\tB-NP\tO' -p44519 -aS'and\tand\tCC\tI-NP\tO' -p44520 -aS'mediastinal\tmediastinal\tJJ\tI-NP\tO' -p44521 -aS'contours\tcontour\tNNS\tI-NP\tO' -p44522 -aS'are\tbe\tVBP\tB-VP\tO' -p44523 -aS'within\twithin\tIN\tB-PP\tO' -p44524 -aS'normal\tnormal\tJJ\tB-NP\tO' -p44525 -aS'limits\tlimit\tNNS\tI-NP\tO' -p44526 -aS'.\t.\t.\tO\tO' -p44527 -asS'EKG demonstrated NSR at 87 bpm , nl axis , nl int , LVH w/ strain pattern , no ischemic changes .' -p44528 -(lp44529 -S'EKG\tEKG\tNN\tB-NP\tB-protein' -p44530 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p44531 -aS'NSR\tNSR\tNN\tB-NP\tB-protein' -p44532 -aS'at\tat\tIN\tB-PP\tO' -p44533 -aS'87\t87\tCD\tB-NP\tO' -p44534 -aS'bpm\tbpm\tNN\tI-NP\tO' -p44535 -aS',\t,\t,\tO\tO' -p44536 -aS'nl\tnl\tNN\tB-NP\tO' -p44537 -aS'axis\taxis\tNN\tI-NP\tO' -p44538 -aS',\t,\t,\tO\tO' -p44539 -aS'nl\tnl\tNN\tB-NP\tO' -p44540 -aS'int\tint\tNN\tI-NP\tO' -p44541 -aS',\t,\t,\tO\tO' -p44542 -aS'LVH\tLVH\tNN\tB-NP\tO' -p44543 -aS'w/\tw/\tNN\tI-NP\tO' -p44544 -aS'strain\tstrain\tNN\tI-NP\tO' -p44545 -aS'pattern\tpattern\tNN\tI-NP\tO' -p44546 -aS',\t,\t,\tO\tO' -p44547 -aS'no\tno\tDT\tB-NP\tO' -p44548 -aS'ischemic\tischemic\tJJ\tI-NP\tO' -p44549 -aS'changes\tchange\tNNS\tI-NP\tO' -p44550 -aS'.\t.\t.\tO\tO' -p44551 -asS'Again , she was advanced to full volume but was made NPO on day of life 20 for abdominal distention .' -p44552 -(lp44553 -S'Again\tAgain\tRB\tB-ADVP\tO' -p44554 -aS',\t,\t,\tO\tO' -p44555 -aS'she\tshe\tPRP\tB-NP\tO' -p44556 -aS'was\tbe\tVBD\tB-VP\tO' -p44557 -aS'advanced\tadvance\tVBN\tI-VP\tO' -p44558 -aS'to\tto\tTO\tB-PP\tO' -p44559 -aS'full\tfull\tJJ\tB-NP\tO' -p44560 -aS'volume\tvolume\tNN\tI-NP\tO' -p44561 -aS'but\tbut\tCC\tO\tO' -p44562 -aS'was\tbe\tVBD\tB-VP\tO' -p44563 -aS'made\tmake\tVBN\tI-VP\tO' -p44564 -aS'NPO\tNPO\tNN\tB-NP\tB-protein' -p44565 -aS'on\ton\tIN\tB-PP\tO' -p44566 -aS'day\tday\tNN\tB-NP\tO' -p44567 -aS'of\tof\tIN\tB-PP\tO' -p44568 -aS'life\tlife\tNN\tB-NP\tO' -p44569 -aS'20\t20\tCD\tI-NP\tO' -p44570 -aS'for\tfor\tIN\tB-PP\tO' -p44571 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p44572 -aS'distention\tdistention\tNN\tI-NP\tO' -p44573 -aS'.\t.\t.\tO\tO' -p44574 -asS'no masses .' -p44575 -(lp44576 -S'no\tno\tDT\tB-NP\tO' -p44577 -aS'masses\tmass\tNNS\tI-NP\tO' -p44578 -aS'.\t.\t.\tO\tO' -p44579 -asS'2. Docusate Sodium 100 mg Capsule Sig : One ( 1 ) Capsule PO BID ( 2 times a day ) .' -p44580 -(lp44581 -S'2.\t2.\tLS\tB-NP\tO' -p44582 -aS'Docusate\tDocusate\tNN\tI-NP\tO' -p44583 -aS'Sodium\tSodium\tNN\tI-NP\tO' -p44584 -aS'100\t100\tCD\tI-NP\tO' -p44585 -aS'mg\tmg\tNN\tI-NP\tO' -p44586 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p44587 -aS'Sig\tSig\tNNP\tI-NP\tO' -p44588 -aS':\t:\t:\tO\tO' -p44589 -aS'One\tOne\tCD\tB-NP\tO' -p44590 -aS'(\t(\t(\tO\tO' -p44591 -aS'1\t1\tCD\tB-NP\tO' -p44592 -aS')\t)\t)\tO\tO' -p44593 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p44594 -aS'PO\tPO\tNNP\tI-NP\tO' -p44595 -aS'BID\tBID\tNNP\tI-NP\tO' -p44596 -aS'(\t(\t(\tO\tO' -p44597 -aS'2\t2\tCD\tB-NP\tO' -p44598 -aS'times\ttime\tNNS\tI-NP\tO' -p44599 -aS'a\ta\tDT\tB-NP\tO' -p44600 -aS'day\tday\tNN\tI-NP\tO' -p44601 -aS')\t)\t)\tO\tO' -p44602 -aS'.\t.\t.\tO\tO' -p44603 -asS'Noncontributory .' -p44604 -(lp44605 -S'Noncontributory\tNoncontributory\tJJ\tB-ADJP\tO' -p44606 -aS'.\t.\t.\tO\tO' -p44607 -asS'She has not had hypertension or diabetes , and says he has lowered her cholesterol from 333 to 197 by changing her diet .' -p44608 -(lp44609 -S'She\tShe\tPRP\tB-NP\tO' -p44610 -aS'has\thave\tVBZ\tB-VP\tO' -p44611 -aS'not\tnot\tRB\tI-VP\tO' -p44612 -aS'had\thave\tVBN\tI-VP\tO' -p44613 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p44614 -aS'or\tor\tCC\tI-NP\tO' -p44615 -aS'diabetes\tdiabetes\tNN\tI-NP\tO' -p44616 -aS',\t,\t,\tO\tO' -p44617 -aS'and\tand\tCC\tO\tO' -p44618 -aS'says\tsay\tVBZ\tB-VP\tO' -p44619 -aS'he\the\tPRP\tB-NP\tO' -p44620 -aS'has\thave\tVBZ\tB-VP\tO' -p44621 -aS'lowered\tlower\tVBN\tI-VP\tO' -p44622 -aS'her\ther\tPRP$\tB-NP\tO' -p44623 -aS'cholesterol\tcholesterol\tNN\tI-NP\tO' -p44624 -aS'from\tfrom\tIN\tB-PP\tO' -p44625 -aS'333\t333\tCD\tB-NP\tO' -p44626 -aS'to\tto\tTO\tB-PP\tO' -p44627 -aS'197\t197\tCD\tB-NP\tO' -p44628 -aS'by\tby\tIN\tB-PP\tO' -p44629 -aS'changing\tchange\tVBG\tB-VP\tO' -p44630 -aS'her\ther\tPRP$\tB-NP\tO' -p44631 -aS'diet\tdiet\tNN\tI-NP\tO' -p44632 -aS'.\t.\t.\tO\tO' -p44633 -asS'He was also found to have a malignant lesion in his descending colon .' -p44634 -(lp44635 -S'He\tHe\tPRP\tB-NP\tO' -p44636 -aS'was\tbe\tVBD\tB-VP\tO' -p44637 -aS'also\talso\tRB\tI-VP\tO' -p44638 -aS'found\tfind\tVBN\tI-VP\tO' -p44639 -aS'to\tto\tTO\tI-VP\tO' -p44640 -aS'have\thave\tVB\tI-VP\tO' -p44641 -aS'a\ta\tDT\tB-NP\tO' -p44642 -aS'malignant\tmalignant\tJJ\tI-NP\tO' -p44643 -aS'lesion\tlesion\tNN\tI-NP\tO' -p44644 -aS'in\tin\tIN\tB-PP\tO' -p44645 -aS'his\this\tPRP$\tB-NP\tO' -p44646 -aS'descending\tdescend\tVBG\tI-NP\tO' -p44647 -aS'colon\tcolon\tNN\tI-NP\tO' -p44648 -aS'.\t.\t.\tO\tO' -p44649 -asS'Notable for decreased ability to do her activities of daily living , a decrease in her language , some urinary accidents , increased falls and a poor gait .' -p44650 -(lp44651 -S'Notable\tNotable\tJJ\tB-ADJP\tO' -p44652 -aS'for\tfor\tIN\tB-PP\tO' -p44653 -aS'decreased\tdecrease\tVBN\tB-NP\tO' -p44654 -aS'ability\tability\tNN\tI-NP\tO' -p44655 -aS'to\tto\tTO\tB-VP\tO' -p44656 -aS'do\tdo\tVB\tI-VP\tO' -p44657 -aS'her\ther\tPRP$\tB-NP\tO' -p44658 -aS'activities\tactivity\tNNS\tI-NP\tO' -p44659 -aS'of\tof\tIN\tB-PP\tO' -p44660 -aS'daily\tdaily\tJJ\tB-NP\tO' -p44661 -aS'living\tliving\tNN\tI-NP\tO' -p44662 -aS',\t,\t,\tO\tO' -p44663 -aS'a\ta\tDT\tB-NP\tO' -p44664 -aS'decrease\tdecrease\tNN\tI-NP\tO' -p44665 -aS'in\tin\tIN\tB-PP\tO' -p44666 -aS'her\ther\tPRP$\tB-NP\tO' -p44667 -aS'language\tlanguage\tNN\tI-NP\tO' -p44668 -aS',\t,\t,\tO\tO' -p44669 -aS'some\tsome\tDT\tB-NP\tO' -p44670 -aS'urinary\turinary\tJJ\tI-NP\tO' -p44671 -aS'accidents\taccident\tNNS\tI-NP\tO' -p44672 -aS',\t,\t,\tO\tO' -p44673 -aS'increased\tincrease\tVBN\tB-VP\tO' -p44674 -aS'falls\tfall\tVBZ\tB-VP\tO' -p44675 -aS'and\tand\tCC\tO\tO' -p44676 -aS'a\ta\tDT\tB-NP\tO' -p44677 -aS'poor\tpoor\tJJ\tI-NP\tO' -p44678 -aS'gait\tgait\tNN\tI-NP\tO' -p44679 -aS'.\t.\t.\tO\tO' -p44680 -asS'The day prior , the patient had endoscopic retrograde cholangiopancreatography done with dilated ducts times two and eventually had interventional radiology attempt to place percutaneous drains to decompress his biliary tree .' -p44681 -(lp44682 -S'The\tThe\tDT\tB-NP\tO' -p44683 -aS'day\tday\tNN\tI-NP\tO' -p44684 -aS'prior\tprior\tRB\tB-ADVP\tO' -p44685 -aS',\t,\t,\tO\tO' -p44686 -aS'the\tthe\tDT\tB-NP\tO' -p44687 -aS'patient\tpatient\tNN\tI-NP\tO' -p44688 -aS'had\thave\tVBD\tB-VP\tO' -p44689 -aS'endoscopic\tendoscopic\tJJ\tB-NP\tO' -p44690 -aS'retrograde\tretrograde\tJJ\tI-NP\tO' -p44691 -aS'cholangiopancreatography\tcholangiopancreatography\tNN\tI-NP\tO' -p44692 -aS'done\tdo\tVBN\tB-VP\tO' -p44693 -aS'with\twith\tIN\tB-PP\tO' -p44694 -aS'dilated\tdilate\tVBN\tB-NP\tO' -p44695 -aS'ducts\tduct\tNNS\tI-NP\tO' -p44696 -aS'times\ttime\tNNS\tI-NP\tO' -p44697 -aS'two\ttwo\tCD\tI-NP\tO' -p44698 -aS'and\tand\tCC\tO\tO' -p44699 -aS'eventually\teventually\tRB\tB-VP\tO' -p44700 -aS'had\thave\tVBD\tI-VP\tO' -p44701 -aS'interventional\tinterventional\tJJ\tB-NP\tO' -p44702 -aS'radiology\tradiology\tNN\tI-NP\tO' -p44703 -aS'attempt\tattempt\tNN\tI-NP\tO' -p44704 -aS'to\tto\tTO\tB-VP\tO' -p44705 -aS'place\tplace\tVB\tI-VP\tO' -p44706 -aS'percutaneous\tpercutaneous\tJJ\tB-NP\tO' -p44707 -aS'drains\tdrain\tNNS\tI-NP\tO' -p44708 -aS'to\tto\tTO\tB-VP\tO' -p44709 -aS'decompress\tdecompress\tVB\tI-VP\tO' -p44710 -aS'his\this\tPRP$\tB-NP\tO' -p44711 -aS'biliary\tbiliary\tJJ\tI-NP\tO' -p44712 -aS'tree\ttree\tNN\tI-NP\tO' -p44713 -aS'.\t.\t.\tO\tO' -p44714 -asS'At this time , his neurologic exam is notable for hemiplegia of his left arm , severe hemiparesis of his left leg , mild large fiber sensory loss in his left arm , and otherwise fairly intact mental status , cranial nerve function , and right sided motor and sensory function .' -p44715 -(lp44716 -S'At\tAt\tIN\tB-PP\tO' -p44717 -aS'this\tthis\tDT\tB-NP\tO' -p44718 -aS'time\ttime\tNN\tI-NP\tO' -p44719 -aS',\t,\t,\tO\tO' -p44720 -aS'his\this\tPRP$\tB-NP\tO' -p44721 -aS'neurologic\tneurologic\tJJ\tI-NP\tO' -p44722 -aS'exam\texam\tNN\tI-NP\tO' -p44723 -aS'is\tbe\tVBZ\tB-VP\tO' -p44724 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p44725 -aS'for\tfor\tIN\tB-PP\tO' -p44726 -aS'hemiplegia\themiplegia\tNN\tB-NP\tO' -p44727 -aS'of\tof\tIN\tB-PP\tO' -p44728 -aS'his\this\tPRP$\tB-NP\tO' -p44729 -aS'left\tleft\tJJ\tI-NP\tO' -p44730 -aS'arm\tarm\tNN\tI-NP\tO' -p44731 -aS',\t,\t,\tO\tO' -p44732 -aS'severe\tsevere\tJJ\tB-NP\tO' -p44733 -aS'hemiparesis\themiparesis\tNN\tI-NP\tO' -p44734 -aS'of\tof\tIN\tB-PP\tO' -p44735 -aS'his\this\tPRP$\tB-NP\tO' -p44736 -aS'left\tleft\tJJ\tI-NP\tO' -p44737 -aS'leg\tleg\tNN\tI-NP\tO' -p44738 -aS',\t,\t,\tO\tO' -p44739 -aS'mild\tmild\tJJ\tB-NP\tO' -p44740 -aS'large\tlarge\tJJ\tI-NP\tO' -p44741 -aS'fiber\tfiber\tNN\tI-NP\tO' -p44742 -aS'sensory\tsensory\tJJ\tI-NP\tO' -p44743 -aS'loss\tloss\tNN\tI-NP\tO' -p44744 -aS'in\tin\tIN\tB-PP\tO' -p44745 -aS'his\this\tPRP$\tB-NP\tO' -p44746 -aS'left\tleft\tJJ\tI-NP\tO' -p44747 -aS'arm\tarm\tNN\tI-NP\tO' -p44748 -aS',\t,\t,\tO\tO' -p44749 -aS'and\tand\tCC\tO\tO' -p44750 -aS'otherwise\totherwise\tRB\tB-NP\tO' -p44751 -aS'fairly\tfairly\tRB\tI-NP\tO' -p44752 -aS'intact\tintact\tJJ\tI-NP\tO' -p44753 -aS'mental\tmental\tJJ\tI-NP\tO' -p44754 -aS'status\tstatus\tNN\tI-NP\tO' -p44755 -aS',\t,\t,\tO\tO' -p44756 -aS'cranial\tcranial\tJJ\tB-NP\tO' -p44757 -aS'nerve\tnerve\tNN\tI-NP\tO' -p44758 -aS'function\tfunction\tNN\tI-NP\tO' -p44759 -aS',\t,\t,\tO\tO' -p44760 -aS'and\tand\tCC\tO\tO' -p44761 -aS'right\tright\tJJ\tB-NP\tO' -p44762 -aS'sided\tsided\tJJ\tI-NP\tO' -p44763 -aS'motor\tmotor\tNN\tI-NP\tO' -p44764 -aS'and\tand\tCC\tO\tO' -p44765 -aS'sensory\tsensory\tJJ\tB-NP\tO' -p44766 -aS'function\tfunction\tNN\tI-NP\tO' -p44767 -aS'.\t.\t.\tO\tO' -p44768 -asS'She was not orthostatic .' -p44769 -(lp44770 -S'She\tShe\tPRP\tB-NP\tO' -p44771 -aS'was\tbe\tVBD\tB-VP\tO' -p44772 -aS'not\tnot\tRB\tO\tO' -p44773 -aS'orthostatic\torthostatic\tJJ\tB-ADJP\tO' -p44774 -aS'.\t.\t.\tO\tO' -p44775 -asS'Amiodarone 200 mg Tablet Sig : 0.5 Tablet PO qod - in March , should be on odd days .' -p44776 -(lp44777 -S'Amiodarone\tAmiodarone\tNN\tB-NP\tO' -p44778 -aS'200\t200\tCD\tI-NP\tO' -p44779 -aS'mg\tmg\tNN\tI-NP\tO' -p44780 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p44781 -aS'Sig\tSig\tNNP\tI-NP\tO' -p44782 -aS':\t:\t:\tO\tO' -p44783 -aS'0.5\t0.5\tCD\tB-NP\tO' -p44784 -aS'Tablet\tTablet\tNN\tI-NP\tO' -p44785 -aS'PO\tPO\tNN\tI-NP\tO' -p44786 -aS'qod\tqod\tNN\tI-NP\tO' -p44787 -aS'-\t-\tHYPH\tB-ADJP\tO' -p44788 -aS'in\tin\tIN\tB-PP\tO' -p44789 -aS'March\tMarch\tNNP\tB-NP\tO' -p44790 -aS',\t,\t,\tO\tO' -p44791 -aS'should\tshould\tMD\tB-VP\tO' -p44792 -aS'be\tbe\tVB\tI-VP\tO' -p44793 -aS'on\ton\tIN\tB-PP\tO' -p44794 -aS'odd\todd\tJJ\tB-NP\tO' -p44795 -aS'days\tday\tNNS\tI-NP\tO' -p44796 -aS'.\t.\t.\tO\tO' -p44797 -asS'Patient needs to take all of the medications as directed .' -p44798 -(lp44799 -S'Patient\tPatient\tNN\tB-NP\tO' -p44800 -aS'needs\tneed\tVBZ\tB-VP\tO' -p44801 -aS'to\tto\tTO\tI-VP\tO' -p44802 -aS'take\ttake\tVB\tI-VP\tO' -p44803 -aS'all\tall\tDT\tB-NP\tO' -p44804 -aS'of\tof\tIN\tB-PP\tO' -p44805 -aS'the\tthe\tDT\tB-NP\tO' -p44806 -aS'medications\tmedication\tNNS\tI-NP\tO' -p44807 -aS'as\tas\tIN\tB-SBAR\tO' -p44808 -aS'directed\tdirect\tVBN\tB-VP\tO' -p44809 -aS'.\t.\t.\tO\tO' -p44810 -asS'On physical examination , the patient is afebrile .' -p44811 -(lp44812 -S'On\tOn\tIN\tB-PP\tO' -p44813 -aS'physical\tphysical\tJJ\tB-NP\tO' -p44814 -aS'examination\texamination\tNN\tI-NP\tO' -p44815 -aS',\t,\t,\tO\tO' -p44816 -aS'the\tthe\tDT\tB-NP\tO' -p44817 -aS'patient\tpatient\tNN\tI-NP\tO' -p44818 -aS'is\tbe\tVBZ\tB-VP\tO' -p44819 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p44820 -aS'.\t.\t.\tO\tO' -p44821 -asS'WWP , multiple linear scars and burns on hands and arms' -p44822 -(lp44823 -S'WWP\tWWP\tNN\tB-NP\tB-protein' -p44824 -aS',\t,\t,\tO\tO' -p44825 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p44826 -aS'linear\tlinear\tJJ\tI-NP\tO' -p44827 -aS'scars\tscar\tNNS\tI-NP\tO' -p44828 -aS'and\tand\tCC\tI-NP\tO' -p44829 -aS'burns\tburn\tNNS\tI-NP\tO' -p44830 -aS'on\ton\tIN\tB-PP\tO' -p44831 -aS'hands\thand\tNNS\tB-NP\tO' -p44832 -aS'and\tand\tCC\tI-NP\tO' -p44833 -aS'arms\tarm\tNNS\tI-NP\tO' -p44834 -asS'Dilantin was stopped .' -p44835 -(lp44836 -S'Dilantin\tDilantin\tNN\tB-NP\tB-protein' -p44837 -aS'was\tbe\tVBD\tB-VP\tO' -p44838 -aS'stopped\tstop\tVBN\tI-VP\tO' -p44839 -aS'.\t.\t.\tO\tO' -p44840 -asS'If you continue to have fevers , blood cultures should be repeated .' -p44841 -(lp44842 -S'If\tIf\tIN\tB-SBAR\tO' -p44843 -aS'you\tyou\tPRP\tB-NP\tO' -p44844 -aS'continue\tcontinue\tVBP\tB-VP\tO' -p44845 -aS'to\tto\tTO\tI-VP\tO' -p44846 -aS'have\thave\tVB\tI-VP\tO' -p44847 -aS'fevers\tfever\tNNS\tB-NP\tO' -p44848 -aS',\t,\t,\tO\tO' -p44849 -aS'blood\tblood\tNN\tB-NP\tO' -p44850 -aS'cultures\tculture\tNNS\tI-NP\tO' -p44851 -aS'should\tshould\tMD\tB-VP\tO' -p44852 -aS'be\tbe\tVB\tI-VP\tO' -p44853 -aS'repeated\trepeat\tVBN\tI-VP\tO' -p44854 -aS'.\t.\t.\tO\tO' -p44855 -asS'3. DIARRHEA , NAUSEA AND VOMITING , FEVER .' -p44856 -(lp44857 -S'3.\t3.\tLS\tB-LST\tO' -p44858 -aS'DIARRHEA\tDIARRHEA\tNN\tB-NP\tO' -p44859 -aS',\t,\t,\tO\tO' -p44860 -aS'NAUSEA\tNAUSEA\tNN\tB-NP\tB-protein' -p44861 -aS'AND\tAND\tCC\tO\tO' -p44862 -aS'VOMITING\tVOMITING\tNNP\tB-NP\tO' -p44863 -aS',\t,\t,\tO\tO' -p44864 -aS'FEVER\tFEVER\tNNP\tB-NP\tO' -p44865 -aS'.\t.\t.\tO\tO' -p44866 -asS'She was again weaned from the ventilator , and successfully extubated .' -p44867 -(lp44868 -S'She\tShe\tPRP\tB-NP\tO' -p44869 -aS'was\tbe\tVBD\tB-VP\tO' -p44870 -aS'again\tagain\tRB\tI-VP\tO' -p44871 -aS'weaned\twean\tVBN\tI-VP\tO' -p44872 -aS'from\tfrom\tIN\tB-PP\tO' -p44873 -aS'the\tthe\tDT\tB-NP\tO' -p44874 -aS'ventilator\tventilator\tNN\tI-NP\tO' -p44875 -aS',\t,\t,\tO\tO' -p44876 -aS'and\tand\tCC\tO\tO' -p44877 -aS'successfully\tsuccessfully\tRB\tB-VP\tO' -p44878 -aS'extubated\textubate\tVBN\tI-VP\tO' -p44879 -aS'.\t.\t.\tO\tO' -p44880 -asS'She was found to be having preterm contractions without cervical change and was admitted for bedrest .' -p44881 -(lp44882 -S'She\tShe\tPRP\tB-NP\tO' -p44883 -aS'was\tbe\tVBD\tB-VP\tO' -p44884 -aS'found\tfind\tVBN\tI-VP\tO' -p44885 -aS'to\tto\tTO\tI-VP\tO' -p44886 -aS'be\tbe\tVB\tI-VP\tO' -p44887 -aS'having\thave\tVBG\tI-VP\tO' -p44888 -aS'preterm\tpreterm\tJJ\tB-NP\tO' -p44889 -aS'contractions\tcontraction\tNNS\tI-NP\tO' -p44890 -aS'without\twithout\tIN\tB-PP\tO' -p44891 -aS'cervical\tcervical\tJJ\tB-NP\tO' -p44892 -aS'change\tchange\tNN\tI-NP\tO' -p44893 -aS'and\tand\tCC\tO\tO' -p44894 -aS'was\tbe\tVBD\tB-VP\tO' -p44895 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p44896 -aS'for\tfor\tIN\tB-PP\tO' -p44897 -aS'bedrest\tbedrest\tNN\tB-NP\tO' -p44898 -aS'.\t.\t.\tO\tO' -p44899 -asS'Attending : Jerry R Morris , M.D.' -p44900 -(lp44901 -S'Attending\tAttend\tVBG\tB-VP\tO' -p44902 -aS':\t:\t:\tO\tO' -p44903 -aS'Jerry\tJerry\tNNP\tB-NP\tO' -p44904 -aS'R\tR\tNNP\tI-NP\tO' -p44905 -aS'Morris\tMorris\tNNP\tI-NP\tO' -p44906 -aS',\t,\t,\tO\tO' -p44907 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p44908 -asS'The patient was discharged to the regular cardiothoracic floor where his anti-hypertensives were manipulated to improve his heart rate and blood pressure .' -p44909 -(lp44910 -S'The\tThe\tDT\tB-NP\tO' -p44911 -aS'patient\tpatient\tNN\tI-NP\tO' -p44912 -aS'was\tbe\tVBD\tB-VP\tO' -p44913 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p44914 -aS'to\tto\tTO\tB-PP\tO' -p44915 -aS'the\tthe\tDT\tB-NP\tO' -p44916 -aS'regular\tregular\tJJ\tI-NP\tO' -p44917 -aS'cardiothoracic\tcardiothoracic\tJJ\tI-NP\tO' -p44918 -aS'floor\tfloor\tNN\tI-NP\tO' -p44919 -aS'where\twhere\tWRB\tB-ADVP\tO' -p44920 -aS'his\this\tPRP$\tB-NP\tO' -p44921 -aS'anti-hypertensives\tanti-hypertensive\tNNS\tI-NP\tO' -p44922 -aS'were\tbe\tVBD\tB-VP\tO' -p44923 -aS'manipulated\tmanipulate\tVBN\tI-VP\tO' -p44924 -aS'to\tto\tTO\tI-VP\tO' -p44925 -aS'improve\timprove\tVB\tI-VP\tO' -p44926 -aS'his\this\tPRP$\tB-NP\tO' -p44927 -aS'heart\theart\tNN\tI-NP\tO' -p44928 -aS'rate\trate\tNN\tI-NP\tO' -p44929 -aS'and\tand\tCC\tO\tO' -p44930 -aS'blood\tblood\tNN\tB-NP\tO' -p44931 -aS'pressure\tpressure\tNN\tI-NP\tO' -p44932 -aS'.\t.\t.\tO\tO' -p44933 -asS'Saint Vincent Hospital Hospital .' -p44934 -(lp44935 -S'Saint\tSaint\tNNP\tB-NP\tO' -p44936 -aS'Vincent\tVincent\tNNP\tI-NP\tO' -p44937 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p44938 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p44939 -aS'.\t.\t.\tO\tO' -p44940 -asS'ACUTE PANCREATITIS .' -p44941 -(lp44942 -S'ACUTE\tACUTE\tNN\tB-NP\tO' -p44943 -aS'PANCREATITIS\tPANCREATITIS\tNN\tI-NP\tO' -p44944 -aS'.\t.\t.\tO\tO' -p44945 -asS'His cast was removed by the Orthopedic Service in anticipation of this edema and to avoid compartment syndrome .' -p44946 -(lp44947 -S'His\tHis\tPRP$\tB-NP\tO' -p44948 -aS'cast\tcast\tNN\tI-NP\tO' -p44949 -aS'was\tbe\tVBD\tB-VP\tO' -p44950 -aS'removed\tremove\tVBN\tI-VP\tO' -p44951 -aS'by\tby\tIN\tB-PP\tO' -p44952 -aS'the\tthe\tDT\tB-NP\tO' -p44953 -aS'Orthopedic\tOrthopedic\tNNP\tI-NP\tO' -p44954 -aS'Service\tService\tNNP\tI-NP\tO' -p44955 -aS'in\tin\tIN\tB-PP\tO' -p44956 -aS'anticipation\tanticipation\tNN\tB-NP\tO' -p44957 -aS'of\tof\tIN\tB-PP\tO' -p44958 -aS'this\tthis\tDT\tB-NP\tO' -p44959 -aS'edema\tedema\tNN\tI-NP\tO' -p44960 -aS'and\tand\tCC\tO\tO' -p44961 -aS'to\tto\tTO\tB-VP\tO' -p44962 -aS'avoid\tavoid\tVB\tI-VP\tO' -p44963 -aS'compartment\tcompartment\tNN\tB-NP\tO' -p44964 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p44965 -aS'.\t.\t.\tO\tO' -p44966 -asS'She denies any alcohol , drugs or tobacco .' -p44967 -(lp44968 -S'She\tShe\tPRP\tB-NP\tO' -p44969 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p44970 -aS'any\tany\tDT\tB-NP\tO' -p44971 -aS'alcohol\talcohol\tNN\tI-NP\tO' -p44972 -aS',\t,\t,\tO\tO' -p44973 -aS'drugs\tdrug\tNNS\tB-NP\tO' -p44974 -aS'or\tor\tCC\tO\tO' -p44975 -aS'tobacco\ttobacco\tNN\tB-NP\tO' -p44976 -aS'.\t.\t.\tO\tO' -p44977 -asS'No pneumonia .' -p44978 -(lp44979 -S'No\tNo\tDT\tB-NP\tO' -p44980 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p44981 -aS'.\t.\t.\tO\tO' -p44982 -asS'Neurologic examination revealed alert and oriented times three .' -p44983 -(lp44984 -S'Neurologic\tNeurologic\tJJ\tB-NP\tO' -p44985 -aS'examination\texamination\tNN\tI-NP\tO' -p44986 -aS'revealed\treveal\tVBD\tB-VP\tO' -p44987 -aS'alert\talert\tJJ\tB-NP\tO' -p44988 -aS'and\tand\tCC\tI-NP\tO' -p44989 -aS'oriented\torient\tVBN\tI-NP\tO' -p44990 -aS'times\ttime\tNNS\tI-NP\tO' -p44991 -aS'three\tthree\tCD\tB-NP\tO' -p44992 -aS'.\t.\t.\tO\tO' -p44993 -asS'Please follow up in 1 month .' -p44994 -(lp44995 -S'Please\tPlease\tVB\tB-VP\tO' -p44996 -aS'follow\tfollow\tVB\tI-VP\tO' -p44997 -aS'up\tup\tRP\tB-PRT\tO' -p44998 -aS'in\tin\tIN\tB-PP\tO' -p44999 -aS'1\t1\tCD\tB-NP\tO' -p45000 -aS'month\tmonth\tNN\tI-NP\tO' -p45001 -aS'.\t.\t.\tO\tO' -p45002 -asS'She had been in a whole lot of pain from her left arm lesion .' -p45003 -(lp45004 -S'She\tShe\tPRP\tB-NP\tO' -p45005 -aS'had\thave\tVBD\tB-VP\tO' -p45006 -aS'been\tbe\tVBN\tI-VP\tO' -p45007 -aS'in\tin\tIN\tB-PP\tO' -p45008 -aS'a\ta\tDT\tB-NP\tO' -p45009 -aS'whole\twhole\tJJ\tI-NP\tO' -p45010 -aS'lot\tlot\tNN\tI-NP\tO' -p45011 -aS'of\tof\tIN\tB-PP\tO' -p45012 -aS'pain\tpain\tNN\tB-NP\tO' -p45013 -aS'from\tfrom\tIN\tB-PP\tO' -p45014 -aS'her\ther\tPRP$\tB-NP\tO' -p45015 -aS'left\tleft\tJJ\tI-NP\tO' -p45016 -aS'arm\tarm\tNN\tI-NP\tO' -p45017 -aS'lesion\tlesion\tNN\tI-NP\tO' -p45018 -aS'.\t.\t.\tO\tO' -p45019 -asS'Abdomen soft .' -p45020 -(lp45021 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p45022 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p45023 -aS'.\t.\t.\tO\tO' -p45024 -asS'His post transplant course was initially complicated by hyperglycemia and seizure on postoperative day number one .' -p45025 -(lp45026 -S'His\tHis\tPRP$\tB-NP\tO' -p45027 -aS'post\tpost\tJJ\tI-NP\tO' -p45028 -aS'transplant\ttransplant\tNN\tI-NP\tO' -p45029 -aS'course\tcourse\tNN\tI-NP\tO' -p45030 -aS'was\tbe\tVBD\tB-VP\tO' -p45031 -aS'initially\tinitially\tRB\tI-VP\tO' -p45032 -aS'complicated\tcomplicate\tVBN\tI-VP\tO' -p45033 -aS'by\tby\tIN\tB-PP\tO' -p45034 -aS'hyperglycemia\thyperglycemia\tNN\tB-NP\tO' -p45035 -aS'and\tand\tCC\tI-NP\tO' -p45036 -aS'seizure\tseizure\tNN\tI-NP\tO' -p45037 -aS'on\ton\tIN\tB-PP\tO' -p45038 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p45039 -aS'day\tday\tNN\tI-NP\tO' -p45040 -aS'number\tnumber\tNN\tI-NP\tO' -p45041 -aS'one\tone\tCD\tB-NP\tO' -p45042 -aS'.\t.\t.\tO\tO' -p45043 -asS'Ext : trace LE edema at ankles , extremities cool w/ 2+ radial , 1+ DP/PT pulses .' -p45044 -(lp45045 -S'Ext\tExt\tNNP\tB-NP\tO' -p45046 -aS':\t:\t:\tO\tO' -p45047 -aS'trace\ttrace\tNN\tB-NP\tO' -p45048 -aS'LE\tLE\tNN\tI-NP\tO' -p45049 -aS'edema\tedema\tNN\tI-NP\tO' -p45050 -aS'at\tat\tIN\tB-PP\tO' -p45051 -aS'ankles\tankle\tNNS\tB-NP\tO' -p45052 -aS',\t,\t,\tO\tO' -p45053 -aS'extremities\textremity\tNNS\tB-NP\tO' -p45054 -aS'cool\tcool\tVBP\tB-VP\tO' -p45055 -aS'w/\tw/\tNN\tB-NP\tO' -p45056 -aS'2+\t2+\tJJ\tI-NP\tO' -p45057 -aS'radial\tradial\tNN\tI-NP\tO' -p45058 -aS',\t,\t,\tO\tO' -p45059 -aS'1+\t1+\tJJ\tB-NP\tO' -p45060 -aS'DP/PT\tDP/PT\tNN\tI-NP\tO' -p45061 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p45062 -aS'.\t.\t.\tO\tO' -p45063 -asS'The patient was a very pleasant man who appeared his stated age .' -p45064 -(lp45065 -S'The\tThe\tDT\tB-NP\tO' -p45066 -aS'patient\tpatient\tNN\tI-NP\tO' -p45067 -aS'was\tbe\tVBD\tB-VP\tO' -p45068 -aS'a\ta\tDT\tB-NP\tO' -p45069 -aS'very\tvery\tRB\tI-NP\tO' -p45070 -aS'pleasant\tpleasant\tJJ\tI-NP\tO' -p45071 -aS'man\tman\tNN\tI-NP\tO' -p45072 -aS'who\twho\tWP\tB-NP\tO' -p45073 -aS'appeared\tappear\tVBD\tB-VP\tO' -p45074 -aS'his\this\tPRP$\tB-NP\tO' -p45075 -aS'stated\tstated\tJJ\tI-NP\tO' -p45076 -aS'age\tage\tNN\tI-NP\tO' -p45077 -aS'.\t.\t.\tO\tO' -p45078 -asS'They made recommendations for adjustments to her anti-psychotic medications .' -p45079 -(lp45080 -S'They\tThey\tPRP\tB-NP\tO' -p45081 -aS'made\tmake\tVBD\tB-VP\tO' -p45082 -aS'recommendations\trecommendation\tNNS\tB-NP\tO' -p45083 -aS'for\tfor\tIN\tB-PP\tO' -p45084 -aS'adjustments\tadjustment\tNNS\tB-NP\tO' -p45085 -aS'to\tto\tTO\tB-PP\tO' -p45086 -aS'her\ther\tPRP$\tB-NP\tO' -p45087 -aS'anti-psychotic\tanti-psychotic\tJJ\tI-NP\tO' -p45088 -aS'medications\tmedication\tNNS\tI-NP\tO' -p45089 -aS'.\t.\t.\tO\tO' -p45090 -asS'His hematocrit was 36 , and creatinine 1.6 .' -p45091 -(lp45092 -S'His\tHis\tPRP$\tB-NP\tO' -p45093 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p45094 -aS'was\tbe\tVBD\tB-VP\tO' -p45095 -aS'36\t36\tCD\tB-NP\tO' -p45096 -aS',\t,\t,\tO\tO' -p45097 -aS'and\tand\tCC\tO\tO' -p45098 -aS'creatinine\tcreatinine\tNN\tB-NP\tB-protein' -p45099 -aS'1.6\t1.6\tCD\tI-NP\tI-protein' -p45100 -aS'.\t.\t.\tO\tO' -p45101 -asS'The anus was patent and normally placed .' -p45102 -(lp45103 -S'The\tThe\tDT\tB-NP\tO' -p45104 -aS'anus\tanus\tNN\tI-NP\tO' -p45105 -aS'was\tbe\tVBD\tB-VP\tO' -p45106 -aS'patent\tpatent\tNN\tB-NP\tO' -p45107 -aS'and\tand\tCC\tO\tO' -p45108 -aS'normally\tnormally\tRB\tB-VP\tO' -p45109 -aS'placed\tplace\tVBN\tI-VP\tO' -p45110 -aS'.\t.\t.\tO\tO' -p45111 -asS'We continued amiodarone until pt was made CMO .' -p45112 -(lp45113 -S'We\tWe\tPRP\tB-NP\tO' -p45114 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p45115 -aS'amiodarone\tamiodarone\tNN\tB-NP\tO' -p45116 -aS'until\tuntil\tIN\tB-SBAR\tO' -p45117 -aS'pt\tpt\tNN\tB-NP\tO' -p45118 -aS'was\tbe\tVBD\tB-VP\tO' -p45119 -aS'made\tmake\tVBN\tI-VP\tO' -p45120 -aS'CMO\tCMO\tNN\tB-NP\tB-protein' -p45121 -aS'.\t.\t.\tO\tO' -p45122 -asS'2. Diabetes mellitus type 2 , now currently on insulin .' -p45123 -(lp45124 -S'2.\t2.\tLS\tB-NP\tO' -p45125 -aS'Diabetes\tDiabetes\tNN\tI-NP\tO' -p45126 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p45127 -aS'type\ttype\tNN\tI-NP\tO' -p45128 -aS'2\t2\tCD\tI-NP\tO' -p45129 -aS',\t,\t,\tO\tO' -p45130 -aS'now\tnow\tRB\tB-ADVP\tO' -p45131 -aS'currently\tcurrently\tRB\tB-ADVP\tO' -p45132 -aS'on\ton\tIN\tB-PP\tO' -p45133 -aS'insulin\tinsulin\tNN\tB-NP\tB-protein' -p45134 -aS'.\t.\t.\tO\tO' -p45135 -asS'His mental status did clear somewhat with the addition of standing lactulose ; he was discharged on this medication .' -p45136 -(lp45137 -S'His\tHis\tPRP$\tB-NP\tO' -p45138 -aS'mental\tmental\tJJ\tI-NP\tO' -p45139 -aS'status\tstatus\tNN\tI-NP\tO' -p45140 -aS'did\tdo\tVBD\tB-VP\tO' -p45141 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p45142 -aS'somewhat\tsomewhat\tRB\tB-ADVP\tO' -p45143 -aS'with\twith\tIN\tB-PP\tO' -p45144 -aS'the\tthe\tDT\tB-NP\tO' -p45145 -aS'addition\taddition\tNN\tI-NP\tO' -p45146 -aS'of\tof\tIN\tB-PP\tO' -p45147 -aS'standing\tstand\tVBG\tB-VP\tO' -p45148 -aS'lactulose\tlactulose\tNN\tB-NP\tO' -p45149 -aS';\t;\t:\tO\tO' -p45150 -aS'he\the\tPRP\tB-NP\tO' -p45151 -aS'was\tbe\tVBD\tB-VP\tO' -p45152 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p45153 -aS'on\ton\tIN\tB-PP\tO' -p45154 -aS'this\tthis\tDT\tB-NP\tO' -p45155 -aS'medication\tmedication\tNN\tI-NP\tO' -p45156 -aS'.\t.\t.\tO\tO' -p45157 -asS'She is status post appendectomy and otherwise has no remarkable past medical history .' -p45158 -(lp45159 -S'She\tShe\tPRP\tB-NP\tO' -p45160 -aS'is\tbe\tVBZ\tB-VP\tO' -p45161 -aS'status\tstatus\tNN\tB-NP\tO' -p45162 -aS'post\tpost\tNN\tI-NP\tO' -p45163 -aS'appendectomy\tappendectomy\tNN\tI-NP\tO' -p45164 -aS'and\tand\tCC\tO\tO' -p45165 -aS'otherwise\totherwise\tRB\tB-VP\tO' -p45166 -aS'has\thave\tVBZ\tI-VP\tO' -p45167 -aS'no\tno\tDT\tB-NP\tO' -p45168 -aS'remarkable\tremarkable\tJJ\tI-NP\tO' -p45169 -aS'past\tpast\tJJ\tI-NP\tO' -p45170 -aS'medical\tmedical\tJJ\tI-NP\tO' -p45171 -aS'history\thistory\tNN\tI-NP\tO' -p45172 -aS'.\t.\t.\tO\tO' -p45173 -asS'08-27-92 , left foot film , correlation , patient consistent with osteomyelitis involving the first digit and possibly the second digit of the left foot .' -p45174 -(lp45175 -S'08-27-92\t08-27-92\tCD\tB-NP\tO' -p45176 -aS',\t,\t,\tO\tO' -p45177 -aS'left\tleave\tVBD\tB-VP\tO' -p45178 -aS'foot\tfoot\tNN\tB-NP\tO' -p45179 -aS'film\tfilm\tNN\tI-NP\tO' -p45180 -aS',\t,\t,\tO\tO' -p45181 -aS'correlation\tcorrelation\tNN\tB-NP\tO' -p45182 -aS',\t,\t,\tO\tO' -p45183 -aS'patient\tpatient\tNN\tB-NP\tO' -p45184 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p45185 -aS'with\twith\tIN\tB-PP\tO' -p45186 -aS'osteomyelitis\tosteomyelitis\tNN\tB-NP\tO' -p45187 -aS'involving\tinvolve\tVBG\tB-VP\tO' -p45188 -aS'the\tthe\tDT\tB-NP\tO' -p45189 -aS'first\tfirst\tJJ\tI-NP\tO' -p45190 -aS'digit\tdigit\tNN\tI-NP\tO' -p45191 -aS'and\tand\tCC\tO\tO' -p45192 -aS'possibly\tpossibly\tRB\tB-ADVP\tO' -p45193 -aS'the\tthe\tDT\tB-NP\tO' -p45194 -aS'second\tsecond\tJJ\tI-NP\tO' -p45195 -aS'digit\tdigit\tNN\tI-NP\tO' -p45196 -aS'of\tof\tIN\tB-PP\tO' -p45197 -aS'the\tthe\tDT\tB-NP\tO' -p45198 -aS'left\tleft\tJJ\tI-NP\tO' -p45199 -aS'foot\tfoot\tNN\tI-NP\tO' -p45200 -aS'.\t.\t.\tO\tO' -p45201 -asS'He has been taking breast milk or Enfamil 20 po adlib .' -p45202 -(lp45203 -S'He\tHe\tPRP\tB-NP\tO' -p45204 -aS'has\thave\tVBZ\tB-VP\tO' -p45205 -aS'been\tbe\tVBN\tI-VP\tO' -p45206 -aS'taking\ttake\tVBG\tI-VP\tO' -p45207 -aS'breast\tbreast\tNN\tB-NP\tO' -p45208 -aS'milk\tmilk\tNN\tI-NP\tO' -p45209 -aS'or\tor\tCC\tO\tO' -p45210 -aS'Enfamil\tEnfamil\tNN\tB-NP\tO' -p45211 -aS'20\t20\tCD\tI-NP\tO' -p45212 -aS'po\tpo\tNN\tI-NP\tO' -p45213 -aS'adlib\tadlib\tNN\tI-NP\tO' -p45214 -aS'.\t.\t.\tO\tO' -p45215 -asS'Of note , the patient is status post lymphoma with treatment of chemotherapy and radiation six years ago , and is an insulin-dependent diabetic .' -p45216 -(lp45217 -S'Of\tOf\tIN\tB-PP\tO' -p45218 -aS'note\tnote\tNN\tB-NP\tO' -p45219 -aS',\t,\t,\tO\tO' -p45220 -aS'the\tthe\tDT\tB-NP\tO' -p45221 -aS'patient\tpatient\tNN\tI-NP\tO' -p45222 -aS'is\tbe\tVBZ\tB-VP\tO' -p45223 -aS'status\tstatus\tNN\tB-NP\tO' -p45224 -aS'post\tpost\tNN\tI-NP\tO' -p45225 -aS'lymphoma\tlymphoma\tNN\tI-NP\tO' -p45226 -aS'with\twith\tIN\tB-PP\tO' -p45227 -aS'treatment\ttreatment\tNN\tB-NP\tO' -p45228 -aS'of\tof\tIN\tB-PP\tO' -p45229 -aS'chemotherapy\tchemotherapy\tNN\tB-NP\tO' -p45230 -aS'and\tand\tCC\tI-NP\tO' -p45231 -aS'radiation\tradiation\tNN\tI-NP\tO' -p45232 -aS'six\tsix\tCD\tB-NP\tO' -p45233 -aS'years\tyear\tNNS\tI-NP\tO' -p45234 -aS'ago\tago\tRB\tB-ADVP\tO' -p45235 -aS',\t,\t,\tO\tO' -p45236 -aS'and\tand\tCC\tO\tO' -p45237 -aS'is\tbe\tVBZ\tB-VP\tO' -p45238 -aS'an\tan\tDT\tB-NP\tO' -p45239 -aS'insulin-dependent\tinsulin-dependent\tJJ\tI-NP\tO' -p45240 -aS'diabetic\tdiabetic\tNN\tI-NP\tO' -p45241 -aS'.\t.\t.\tO\tO' -p45242 -asS'The lung fields are clear .' -p45243 -(lp45244 -S'The\tThe\tDT\tB-NP\tO' -p45245 -aS'lung\tlung\tNN\tI-NP\tO' -p45246 -aS'fields\tfield\tNNS\tI-NP\tO' -p45247 -aS'are\tbe\tVBP\tB-VP\tO' -p45248 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p45249 -aS'.\t.\t.\tO\tO' -p45250 -asS'Her extraocular movements were full .' -p45251 -(lp45252 -S'Her\tHer\tPRP$\tB-NP\tO' -p45253 -aS'extraocular\textraocular\tJJ\tI-NP\tO' -p45254 -aS'movements\tmovement\tNNS\tI-NP\tO' -p45255 -aS'were\tbe\tVBD\tB-VP\tO' -p45256 -aS'full\tfull\tJJ\tB-ADJP\tO' -p45257 -aS'.\t.\t.\tO\tO' -p45258 -asS'His neurological exam remained stable with no evidence of increasing lower extremity edema .' -p45259 -(lp45260 -S'His\tHis\tPRP$\tB-NP\tO' -p45261 -aS'neurological\tneurological\tJJ\tI-NP\tO' -p45262 -aS'exam\texam\tNN\tI-NP\tO' -p45263 -aS'remained\tremain\tVBD\tB-VP\tO' -p45264 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p45265 -aS'with\twith\tIN\tB-PP\tO' -p45266 -aS'no\tno\tDT\tB-NP\tO' -p45267 -aS'evidence\tevidence\tNN\tI-NP\tO' -p45268 -aS'of\tof\tIN\tB-PP\tO' -p45269 -aS'increasing\tincrease\tVBG\tB-VP\tO' -p45270 -aS'lower\tlow\tJJR\tB-NP\tO' -p45271 -aS'extremity\textremity\tNN\tI-NP\tO' -p45272 -aS'edema\tedema\tNN\tI-NP\tO' -p45273 -aS'.\t.\t.\tO\tO' -p45274 -asS'16) h/o total hysterectomy in 2009' -p45275 -(lp45276 -S'16)\t16)\tLS\tB-NP\tO' -p45277 -aS'h/o\th/o\tNN\tI-NP\tO' -p45278 -aS'total\ttotal\tJJ\tI-NP\tO' -p45279 -aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' -p45280 -aS'in\tin\tIN\tB-PP\tO' -p45281 -aS'2009\t2009\tCD\tB-NP\tO' -p45282 -asS'8. Insulin Regular Human 100 unit / mL Solution Sig : Sliding scale Injection ASDIR ( AS DIRECTED ) : See the sliding scale .' -p45283 -(lp45284 -S'8.\t8.\tLS\tB-NP\tO' -p45285 -aS'Insulin\tInsulin\tNN\tI-NP\tB-protein' -p45286 -aS'Regular\tRegular\tJJ\tI-NP\tI-protein' -p45287 -aS'Human\tHuman\tJJ\tI-NP\tI-protein' -p45288 -aS'100\t100\tCD\tI-NP\tI-protein' -p45289 -aS'unit\tunit\tNN\tI-NP\tI-protein' -p45290 -aS'/\t/\tSYM\tB-NP\tO' -p45291 -aS'mL\tmL\tNN\tI-NP\tO' -p45292 -aS'Solution\tSolution\tNNP\tI-NP\tO' -p45293 -aS'Sig\tSig\tNNP\tI-NP\tO' -p45294 -aS':\t:\t:\tO\tO' -p45295 -aS'Sliding\tSlide\tVBG\tB-VP\tO' -p45296 -aS'scale\tscale\tNN\tB-NP\tO' -p45297 -aS'Injection\tInjection\tNN\tI-NP\tO' -p45298 -aS'ASDIR\tASDIR\tNN\tI-NP\tO' -p45299 -aS'(\t(\t(\tO\tO' -p45300 -aS'AS\tAS\tNNP\tB-NP\tO' -p45301 -aS'DIRECTED\tDIRECTED\tNNP\tI-NP\tO' -p45302 -aS')\t)\t)\tO\tO' -p45303 -aS':\t:\t:\tO\tO' -p45304 -aS'See\tSee\tVB\tB-VP\tO' -p45305 -aS'the\tthe\tDT\tB-NP\tO' -p45306 -aS'sliding\tslide\tVBG\tI-NP\tO' -p45307 -aS'scale\tscale\tNN\tI-NP\tO' -p45308 -aS'.\t.\t.\tO\tO' -p45309 -asS'Audiology hearing screening was performed with automated auditory brain stem responses .' -p45310 -(lp45311 -S'Audiology\tAudiology\tNN\tB-NP\tO' -p45312 -aS'hearing\thearing\tNN\tI-NP\tO' -p45313 -aS'screening\tscreening\tNN\tI-NP\tO' -p45314 -aS'was\tbe\tVBD\tB-VP\tO' -p45315 -aS'performed\tperform\tVBN\tI-VP\tO' -p45316 -aS'with\twith\tIN\tB-PP\tO' -p45317 -aS'automated\tautomate\tVBN\tB-NP\tO' -p45318 -aS'auditory\tauditory\tJJ\tI-NP\tO' -p45319 -aS'brain\tbrain\tNN\tI-NP\tO' -p45320 -aS'stem\tstem\tNN\tI-NP\tO' -p45321 -aS'responses\tresponse\tNNS\tI-NP\tO' -p45322 -aS'.\t.\t.\tO\tO' -p45323 -asS'Percocet for pain as needed .' -p45324 -(lp45325 -S'Percocet\tPercocet\tNN\tB-NP\tO' -p45326 -aS'for\tfor\tIN\tB-PP\tO' -p45327 -aS'pain\tpain\tNN\tB-NP\tO' -p45328 -aS'as\tas\tIN\tB-SBAR\tO' -p45329 -aS'needed\tneed\tVBN\tB-VP\tO' -p45330 -aS'.\t.\t.\tO\tO' -p45331 -asS'Mr . Davison died approximately 24 hours after decision to be CMO , on 2018-05-01 .' -p45332 -(lp45333 -S'Mr\tMr\tNNP\tB-NP\tB-protein' -p45334 -aS'.\t.\t.\tI-NP\tO' -p45335 -aS'Davison\tDavison\tNNP\tI-NP\tO' -p45336 -aS'died\tdie\tVBD\tB-VP\tO' -p45337 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p45338 -aS'24\t24\tCD\tI-NP\tO' -p45339 -aS'hours\thour\tNNS\tI-NP\tO' -p45340 -aS'after\tafter\tIN\tB-PP\tO' -p45341 -aS'decision\tdecision\tNN\tB-NP\tO' -p45342 -aS'to\tto\tTO\tB-VP\tO' -p45343 -aS'be\tbe\tVB\tI-VP\tO' -p45344 -aS'CMO\tCMO\tNN\tB-NP\tB-protein' -p45345 -aS',\t,\t,\tO\tO' -p45346 -aS'on\ton\tIN\tB-PP\tO' -p45347 -aS'2018-05-01\t2018-05-01\tCD\tB-NP\tO' -p45348 -aS'.\t.\t.\tO\tO' -p45349 -asS'Cardiac : RRR , nl . S1S2 , soft holosytolic murmur apex' -p45350 -(lp45351 -S'Cardiac\tCardiac\tJJ\tB-ADJP\tO' -p45352 -aS':\t:\t:\tO\tO' -p45353 -aS'RRR\tRRR\tNN\tB-NP\tB-protein' -p45354 -aS',\t,\t,\tO\tO' -p45355 -aS'nl\tnl\tNN\tB-NP\tB-protein' -p45356 -aS'.\t.\t.\tI-NP\tI-protein' -p45357 -aS'S1S2\tS1S2\tNN\tI-NP\tI-protein' -p45358 -aS',\t,\t,\tO\tO' -p45359 -aS'soft\tsoft\tJJ\tB-NP\tO' -p45360 -aS'holosytolic\tholosytolic\tJJ\tI-NP\tO' -p45361 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p45362 -aS'apex\tapex\tNN\tI-NP\tO' -p45363 -asS'There is cardiomegaly and tortuosity of the thoracic aorta with small bilateral pleural effusions consistent with CHF .' -p45364 -(lp45365 -S'There\tThere\tEX\tB-NP\tO' -p45366 -aS'is\tbe\tVBZ\tB-VP\tO' -p45367 -aS'cardiomegaly\tcardiomegaly\tNN\tB-NP\tO' -p45368 -aS'and\tand\tCC\tI-NP\tO' -p45369 -aS'tortuosity\ttortuosity\tNN\tI-NP\tO' -p45370 -aS'of\tof\tIN\tB-PP\tO' -p45371 -aS'the\tthe\tDT\tB-NP\tO' -p45372 -aS'thoracic\tthoracic\tJJ\tI-NP\tO' -p45373 -aS'aorta\taorta\tNN\tI-NP\tO' -p45374 -aS'with\twith\tIN\tB-PP\tO' -p45375 -aS'small\tsmall\tJJ\tB-NP\tO' -p45376 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p45377 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p45378 -aS'effusions\teffusion\tNNS\tI-NP\tO' -p45379 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p45380 -aS'with\twith\tIN\tB-PP\tO' -p45381 -aS'CHF\tCHF\tNN\tB-NP\tB-protein' -p45382 -aS'.\t.\t.\tO\tO' -p45383 -asS'BUN 8 , creatinine 0.9 .' -p45384 -(lp45385 -S'BUN\tBUN\tNN\tB-NP\tB-protein' -p45386 -aS'8\t8\tCD\tI-NP\tI-protein' -p45387 -aS',\t,\t,\tO\tO' -p45388 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p45389 -aS'0.9\t0.9\tCD\tI-NP\tO' -p45390 -aS'.\t.\t.\tO\tO' -p45391 -asS'The patient weighed 100 kilograms preoperatively .' -p45392 -(lp45393 -S'The\tThe\tDT\tB-NP\tO' -p45394 -aS'patient\tpatient\tNN\tI-NP\tO' -p45395 -aS'weighed\tweigh\tVBD\tB-VP\tO' -p45396 -aS'100\t100\tCD\tB-NP\tO' -p45397 -aS'kilograms\tkilogram\tNNS\tI-NP\tO' -p45398 -aS'preoperatively\tpreoperatively\tRB\tB-ADVP\tO' -p45399 -aS'.\t.\t.\tO\tO' -p45400 -asS'Chief Complaint : altered metnal status' -p45401 -(lp45402 -S'Chief\tChief\tNNP\tB-NP\tO' -p45403 -aS'Complaint\tComplaint\tNNP\tI-NP\tO' -p45404 -aS':\t:\t:\tO\tO' -p45405 -aS'altered\talter\tVBN\tB-VP\tO' -p45406 -aS'metnal\tmetnal\tJJ\tB-NP\tO' -p45407 -aS'status\tstatus\tNN\tI-NP\tO' -p45408 -asS'2) Mechanical mitral valve : Anticoagulation was reversed for ERCP .' -p45409 -(lp45410 -S'2)\t2)\tLS\tB-NP\tO' -p45411 -aS'Mechanical\tMechanical\tJJ\tI-NP\tO' -p45412 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p45413 -aS'valve\tvalve\tNN\tI-NP\tO' -p45414 -aS':\t:\t:\tO\tO' -p45415 -aS'Anticoagulation\tAnticoagulation\tNN\tB-NP\tO' -p45416 -aS'was\tbe\tVBD\tB-VP\tO' -p45417 -aS'reversed\treverse\tVBN\tI-VP\tO' -p45418 -aS'for\tfor\tIN\tB-PP\tO' -p45419 -aS'ERCP\tERCP\tNN\tB-NP\tB-protein' -p45420 -aS'.\t.\t.\tO\tO' -p45421 -asS'Tizanidine HCl 8 mg PO QHS' -p45422 -(lp45423 -S'Tizanidine\tTizanidine\tNN\tB-NP\tO' -p45424 -aS'HCl\tHCl\tNN\tI-NP\tO' -p45425 -aS'8\t8\tCD\tI-NP\tO' -p45426 -aS'mg\tmg\tNN\tI-NP\tO' -p45427 -aS'PO\tPO\tNN\tI-NP\tO' -p45428 -aS'QHS\tQHS\tNN\tI-NP\tO' -p45429 -asS'She had full strength motor exam , no pronator drift and PERRLA with full EOM s.' -p45430 -(lp45431 -S'She\tShe\tPRP\tB-NP\tO' -p45432 -aS'had\thave\tVBD\tB-VP\tO' -p45433 -aS'full\tfull\tJJ\tB-NP\tO' -p45434 -aS'strength\tstrength\tNN\tI-NP\tO' -p45435 -aS'motor\tmotor\tNN\tI-NP\tO' -p45436 -aS'exam\texam\tNN\tI-NP\tO' -p45437 -aS',\t,\t,\tO\tO' -p45438 -aS'no\tno\tDT\tB-NP\tO' -p45439 -aS'pronator\tpronator\tNN\tI-NP\tO' -p45440 -aS'drift\tdrift\tNN\tI-NP\tO' -p45441 -aS'and\tand\tCC\tI-NP\tO' -p45442 -aS'PERRLA\tPERRLA\tNN\tI-NP\tO' -p45443 -aS'with\twith\tIN\tB-PP\tO' -p45444 -aS'full\tfull\tJJ\tB-NP\tO' -p45445 -aS'EOM\tEOM\tNN\tI-NP\tO' -p45446 -aS's.\ts.\tNN\tI-NP\tO' -p45447 -asS'An echocardiogram was done .' -p45448 -(lp45449 -S'An\tAn\tDT\tB-NP\tO' -p45450 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p45451 -aS'was\tbe\tVBD\tB-VP\tO' -p45452 -aS'done\tdo\tVBN\tI-VP\tO' -p45453 -aS'.\t.\t.\tO\tO' -p45454 -asS'Pregnancy was uncomplicated until an occurrence of HSV outbreak occurred on 2017-09-13 approximately one week prior to delivery .' -p45455 -(lp45456 -S'Pregnancy\tPregnancy\tNN\tB-NP\tO' -p45457 -aS'was\tbe\tVBD\tB-VP\tO' -p45458 -aS'uncomplicated\tuncomplicated\tJJ\tB-ADJP\tO' -p45459 -aS'until\tuntil\tIN\tB-SBAR\tO' -p45460 -aS'an\tan\tDT\tB-NP\tO' -p45461 -aS'occurrence\toccurrence\tNN\tI-NP\tO' -p45462 -aS'of\tof\tIN\tB-PP\tO' -p45463 -aS'HSV\tHSV\tNN\tB-NP\tO' -p45464 -aS'outbreak\toutbreak\tNN\tI-NP\tO' -p45465 -aS'occurred\toccur\tVBD\tB-VP\tO' -p45466 -aS'on\ton\tIN\tB-PP\tO' -p45467 -aS'2017-09-13\t2017-09-13\tCD\tB-NP\tO' -p45468 -aS'approximately\tapproximately\tRB\tI-NP\tO' -p45469 -aS'one\tone\tCD\tI-NP\tO' -p45470 -aS'week\tweek\tNN\tI-NP\tO' -p45471 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p45472 -aS'to\tto\tTO\tB-PP\tO' -p45473 -aS'delivery\tdelivery\tNN\tB-NP\tO' -p45474 -aS'.\t.\t.\tO\tO' -p45475 -asS'The circumflex had a long 30% stenosis proximally and an 80% stenosis at the origin of the second major marginal artery .' -p45476 -(lp45477 -S'The\tThe\tDT\tB-NP\tO' -p45478 -aS'circumflex\tcircumflex\tNN\tI-NP\tO' -p45479 -aS'had\thave\tVBD\tB-VP\tO' -p45480 -aS'a\ta\tDT\tB-NP\tO' -p45481 -aS'long\tlong\tJJ\tI-NP\tO' -p45482 -aS'30%\t30%\tCD\tI-NP\tO' -p45483 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p45484 -aS'proximally\tproximally\tRB\tB-ADVP\tO' -p45485 -aS'and\tand\tCC\tO\tO' -p45486 -aS'an\tan\tDT\tB-NP\tO' -p45487 -aS'80%\t80%\tNN\tI-NP\tO' -p45488 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p45489 -aS'at\tat\tIN\tB-PP\tO' -p45490 -aS'the\tthe\tDT\tB-NP\tO' -p45491 -aS'origin\torigin\tNN\tI-NP\tO' -p45492 -aS'of\tof\tIN\tB-PP\tO' -p45493 -aS'the\tthe\tDT\tB-NP\tO' -p45494 -aS'second\tsecond\tJJ\tI-NP\tO' -p45495 -aS'major\tmajor\tJJ\tI-NP\tO' -p45496 -aS'marginal\tmarginal\tJJ\tI-NP\tO' -p45497 -aS'artery\tartery\tNN\tI-NP\tO' -p45498 -aS'.\t.\t.\tO\tO' -p45499 -asS'Sodium 134 , potassium 4.0 , chloride 91 , bicarbonate 33 , BUN 21 , creatinine 1.1 , glucose 99 , CK 22 , troponin 0 .' -p45500 -(lp45501 -S'Sodium\tSodium\tNN\tB-NP\tB-protein' -p45502 -aS'134\t134\tCD\tI-NP\tI-protein' -p45503 -aS',\t,\t,\tO\tO' -p45504 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p45505 -aS'4.0\t4.0\tCD\tI-NP\tO' -p45506 -aS',\t,\t,\tO\tO' -p45507 -aS'chloride\tchloride\tNN\tB-NP\tO' -p45508 -aS'91\t91\tCD\tI-NP\tO' -p45509 -aS',\t,\t,\tO\tO' -p45510 -aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' -p45511 -aS'33\t33\tCD\tI-NP\tO' -p45512 -aS',\t,\t,\tO\tO' -p45513 -aS'BUN\tBUN\tNN\tB-NP\tB-DNA' -p45514 -aS'21\t21\tCD\tI-NP\tI-DNA' -p45515 -aS',\t,\t,\tO\tO' -p45516 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p45517 -aS'1.1\t1.1\tCD\tI-NP\tO' -p45518 -aS',\t,\t,\tO\tO' -p45519 -aS'glucose\tglucose\tNN\tB-NP\tB-protein' -p45520 -aS'99\t99\tCD\tI-NP\tI-protein' -p45521 -aS',\t,\t,\tO\tO' -p45522 -aS'CK\tCK\tNN\tB-NP\tB-protein' -p45523 -aS'22\t22\tCD\tI-NP\tI-protein' -p45524 -aS',\t,\t,\tO\tO' -p45525 -aS'troponin\ttroponin\tNN\tB-NP\tB-protein' -p45526 -aS'0\t0\tCD\tI-NP\tI-protein' -p45527 -aS'.\t.\t.\tO\tO' -p45528 -asS'Exam today shows he is neurologically alert .' -p45529 -(lp45530 -S'Exam\tExam\tNN\tB-NP\tO' -p45531 -aS'today\ttoday\tNN\tB-NP\tO' -p45532 -aS'shows\tshow\tVBZ\tB-VP\tO' -p45533 -aS'he\the\tPRP\tB-NP\tO' -p45534 -aS'is\tbe\tVBZ\tB-VP\tO' -p45535 -aS'neurologically\tneurologically\tRB\tB-ADJP\tO' -p45536 -aS'alert\talert\tJJ\tI-ADJP\tO' -p45537 -aS'.\t.\t.\tO\tO' -p45538 -asS'Appropriate tone and reflexes .' -p45539 -(lp45540 -S'Appropriate\tAppropriate\tJJ\tB-NP\tO' -p45541 -aS'tone\ttone\tNN\tI-NP\tO' -p45542 -aS'and\tand\tCC\tI-NP\tO' -p45543 -aS'reflexes\treflex\tNNS\tI-NP\tO' -p45544 -aS'.\t.\t.\tO\tO' -p45545 -asS'She denies nausea , vomiting , and diarrhea .' -p45546 -(lp45547 -S'She\tShe\tPRP\tB-NP\tO' -p45548 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p45549 -aS'nausea\tnausea\tNN\tB-NP\tO' -p45550 -aS',\t,\t,\tO\tO' -p45551 -aS'vomiting\tvomiting\tNN\tB-NP\tO' -p45552 -aS',\t,\t,\tO\tO' -p45553 -aS'and\tand\tCC\tO\tO' -p45554 -aS'diarrhea\tdiarrhea\tNN\tB-NP\tO' -p45555 -aS'.\t.\t.\tO\tO' -p45556 -asS'Proceed with colonoscopy .' -p45557 -(lp45558 -S'Proceed\tProceed\tVB\tB-VP\tO' -p45559 -aS'with\twith\tIN\tB-PP\tO' -p45560 -aS'colonoscopy\tcolonoscopy\tNN\tB-NP\tO' -p45561 -aS'.\t.\t.\tO\tO' -p45562 -asS'warm , no edema , no varicosities' -p45563 -(lp45564 -S'warm\twarm\tJJ\tB-ADJP\tO' -p45565 -aS',\t,\t,\tO\tO' -p45566 -aS'no\tno\tDT\tB-NP\tO' -p45567 -aS'edema\tedema\tNN\tI-NP\tO' -p45568 -aS',\t,\t,\tO\tO' -p45569 -aS'no\tno\tDT\tB-NP\tO' -p45570 -aS'varicosities\tvaricosity\tNNS\tI-NP\tO' -p45571 -asS'Mr. Knueppel is afebrile with a temperature of 97.1 , pulse 77 , sinus rhythm .' -p45572 -(lp45573 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p45574 -aS'Knueppel\tKnueppel\tNNP\tI-NP\tO' -p45575 -aS'is\tbe\tVBZ\tB-VP\tO' -p45576 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p45577 -aS'with\twith\tIN\tB-PP\tO' -p45578 -aS'a\ta\tDT\tB-NP\tO' -p45579 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p45580 -aS'of\tof\tIN\tB-PP\tO' -p45581 -aS'97.1\t97.1\tCD\tB-NP\tO' -p45582 -aS',\t,\t,\tO\tO' -p45583 -aS'pulse\tpulse\tNN\tB-NP\tO' -p45584 -aS'77\t77\tCD\tI-NP\tO' -p45585 -aS',\t,\t,\tO\tO' -p45586 -aS'sinus\tsinus\tNN\tB-NP\tO' -p45587 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p45588 -aS'.\t.\t.\tO\tO' -p45589 -asS'Followup cardiac studies showed there was a resolution of his constrictive pericarditis .' -p45590 -(lp45591 -S'Followup\tFollowup\tNN\tB-NP\tO' -p45592 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p45593 -aS'studies\tstudy\tNNS\tI-NP\tO' -p45594 -aS'showed\tshow\tVBD\tB-VP\tO' -p45595 -aS'there\tthere\tEX\tB-NP\tO' -p45596 -aS'was\tbe\tVBD\tB-VP\tO' -p45597 -aS'a\ta\tDT\tB-NP\tO' -p45598 -aS'resolution\tresolution\tNN\tI-NP\tO' -p45599 -aS'of\tof\tIN\tB-PP\tO' -p45600 -aS'his\this\tPRP$\tB-NP\tO' -p45601 -aS'constrictive\tconstrictive\tJJ\tI-NP\tO' -p45602 -aS'pericarditis\tpericarditis\tNN\tI-NP\tO' -p45603 -aS'.\t.\t.\tO\tO' -p45604 -asS'A chest x-ray revealed increased free air under the diaphragm .' -p45605 -(lp45606 -S'A\tA\tDT\tB-NP\tO' -p45607 -aS'chest\tchest\tNN\tI-NP\tO' -p45608 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p45609 -aS'revealed\treveal\tVBD\tB-VP\tO' -p45610 -aS'increased\tincrease\tVBN\tI-VP\tO' -p45611 -aS'free\tfree\tJJ\tB-NP\tO' -p45612 -aS'air\tair\tNN\tI-NP\tO' -p45613 -aS'under\tunder\tIN\tB-PP\tO' -p45614 -aS'the\tthe\tDT\tB-NP\tO' -p45615 -aS'diaphragm\tdiaphragm\tNN\tI-NP\tO' -p45616 -aS'.\t.\t.\tO\tO' -p45617 -asS'Anemia - baseline mid 30 s.' -p45618 -(lp45619 -S'Anemia\tAnemia\tNN\tB-NP\tO' -p45620 -aS'-\t-\tHYPH\tI-NP\tO' -p45621 -aS'baseline\tbaseline\tNN\tI-NP\tO' -p45622 -aS'mid\tmid\tNN\tI-NP\tO' -p45623 -aS'30\t30\tCD\tB-NP\tO' -p45624 -aS's.\ts.\tNNS\tI-NP\tO' -p45625 -asS'She remained afebrile so on 11-02 antibiotic regimen was weaned to only levofloxacin .' -p45626 -(lp45627 -S'She\tShe\tPRP\tB-NP\tO' -p45628 -aS'remained\tremain\tVBD\tB-VP\tO' -p45629 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p45630 -aS'so\tso\tRB\tB-ADVP\tO' -p45631 -aS'on\ton\tIN\tB-PP\tO' -p45632 -aS'11-02\t11-02\tCD\tB-NP\tO' -p45633 -aS'antibiotic\tantibiotic\tJJ\tI-NP\tO' -p45634 -aS'regimen\tregimen\tNN\tI-NP\tO' -p45635 -aS'was\tbe\tVBD\tB-VP\tO' -p45636 -aS'weaned\twean\tVBN\tI-VP\tO' -p45637 -aS'to\tto\tTO\tB-PP\tO' -p45638 -aS'only\tonly\tRB\tB-NP\tO' -p45639 -aS'levofloxacin\tlevofloxacin\tNN\tI-NP\tO' -p45640 -aS'.\t.\t.\tO\tO' -p45641 -asS'His left lower lobe micro results revealed alpha hemolytic Streptococcus on culture and he was then switched to penicillin and Gentamicin after being started on triples of Flagyl , Ampicillin , and Gentamicin .' -p45642 -(lp45643 -S'His\tHis\tPRP$\tB-NP\tB-protein' -p45644 -aS'left\tleave\tVBD\tB-VP\tO' -p45645 -aS'lower\tlow\tJJR\tB-NP\tO' -p45646 -aS'lobe\tlobe\tNN\tI-NP\tO' -p45647 -aS'micro\tmicro\tNN\tI-NP\tO' -p45648 -aS'results\tresult\tNNS\tI-NP\tO' -p45649 -aS'revealed\treveal\tVBD\tB-VP\tO' -p45650 -aS'alpha\talpha\tNN\tB-NP\tO' -p45651 -aS'hemolytic\themolytic\tJJ\tI-NP\tO' -p45652 -aS'Streptococcus\tStreptococcus\tNN\tI-NP\tO' -p45653 -aS'on\ton\tIN\tB-PP\tO' -p45654 -aS'culture\tculture\tNN\tB-NP\tO' -p45655 -aS'and\tand\tCC\tO\tO' -p45656 -aS'he\the\tPRP\tB-NP\tO' -p45657 -aS'was\tbe\tVBD\tB-VP\tO' -p45658 -aS'then\tthen\tRB\tI-VP\tO' -p45659 -aS'switched\tswitch\tVBN\tI-VP\tO' -p45660 -aS'to\tto\tTO\tB-PP\tO' -p45661 -aS'penicillin\tpenicillin\tNN\tB-NP\tO' -p45662 -aS'and\tand\tCC\tI-NP\tO' -p45663 -aS'Gentamicin\tGentamicin\tNN\tI-NP\tO' -p45664 -aS'after\tafter\tIN\tB-PP\tO' -p45665 -aS'being\tbe\tVBG\tB-VP\tO' -p45666 -aS'started\tstart\tVBN\tI-VP\tO' -p45667 -aS'on\ton\tIN\tB-PP\tO' -p45668 -aS'triples\ttriple\tNNS\tB-NP\tO' -p45669 -aS'of\tof\tIN\tB-PP\tO' -p45670 -aS'Flagyl\tFlagyl\tNN\tB-NP\tO' -p45671 -aS',\t,\t,\tO\tO' -p45672 -aS'Ampicillin\tAmpicillin\tNN\tB-NP\tB-protein' -p45673 -aS',\t,\t,\tO\tO' -p45674 -aS'and\tand\tCC\tO\tO' -p45675 -aS'Gentamicin\tGentamicin\tNN\tB-NP\tO' -p45676 -aS'.\t.\t.\tO\tO' -p45677 -asS'She continued to have a rise in her CEA level which prompted a further work up .' -p45678 -(lp45679 -S'She\tShe\tPRP\tB-NP\tO' -p45680 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p45681 -aS'to\tto\tTO\tI-VP\tO' -p45682 -aS'have\thave\tVB\tI-VP\tO' -p45683 -aS'a\ta\tDT\tB-NP\tO' -p45684 -aS'rise\trise\tNN\tI-NP\tO' -p45685 -aS'in\tin\tIN\tB-PP\tO' -p45686 -aS'her\ther\tPRP$\tB-NP\tO' -p45687 -aS'CEA\tCEA\tNN\tI-NP\tB-protein' -p45688 -aS'level\tlevel\tNN\tI-NP\tO' -p45689 -aS'which\twhich\tWDT\tB-NP\tO' -p45690 -aS'prompted\tprompt\tVBD\tB-VP\tO' -p45691 -aS'a\ta\tDT\tB-NP\tO' -p45692 -aS'further\tfurther\tJJ\tI-NP\tO' -p45693 -aS'work\twork\tNN\tI-NP\tO' -p45694 -aS'up\tup\tRP\tB-PRT\tO' -p45695 -aS'.\t.\t.\tO\tO' -p45696 -asS'She underwent the procedure and tolerated the procedure very well .' -p45697 -(lp45698 -S'She\tShe\tPRP\tB-NP\tO' -p45699 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p45700 -aS'the\tthe\tDT\tB-NP\tO' -p45701 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p45702 -aS'and\tand\tCC\tO\tO' -p45703 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p45704 -aS'the\tthe\tDT\tB-NP\tO' -p45705 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p45706 -aS'very\tvery\tRB\tB-ADVP\tO' -p45707 -aS'well\twell\tRB\tI-ADVP\tO' -p45708 -aS'.\t.\t.\tO\tO' -p45709 -asS'The patient is discharged to home .' -p45710 -(lp45711 -S'The\tThe\tDT\tB-NP\tO' -p45712 -aS'patient\tpatient\tNN\tI-NP\tO' -p45713 -aS'is\tbe\tVBZ\tB-VP\tO' -p45714 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p45715 -aS'to\tto\tTO\tB-PP\tO' -p45716 -aS'home\thome\tNN\tB-NP\tO' -p45717 -aS'.\t.\t.\tO\tO' -p45718 -asS'The patient lives currently with a friend , he is from the Taheimpromong and has lived here for 13 years , he does note multiple sexual partners , although he notes using condoms with everyone except his wife , he reportedly had a negative PPD during his prison stay one year ago for one week .' -p45719 -(lp45720 -S'The\tThe\tDT\tB-NP\tO' -p45721 -aS'patient\tpatient\tNN\tI-NP\tO' -p45722 -aS'lives\tlive\tVBZ\tB-VP\tO' -p45723 -aS'currently\tcurrently\tRB\tB-ADVP\tO' -p45724 -aS'with\twith\tIN\tB-PP\tO' -p45725 -aS'a\ta\tDT\tB-NP\tO' -p45726 -aS'friend\tfriend\tNN\tI-NP\tO' -p45727 -aS',\t,\t,\tO\tO' -p45728 -aS'he\the\tPRP\tB-NP\tO' -p45729 -aS'is\tbe\tVBZ\tB-VP\tO' -p45730 -aS'from\tfrom\tIN\tB-PP\tO' -p45731 -aS'the\tthe\tDT\tB-NP\tO' -p45732 -aS'Taheimpromong\tTaheimpromong\tNNP\tI-NP\tO' -p45733 -aS'and\tand\tCC\tO\tO' -p45734 -aS'has\thave\tVBZ\tB-VP\tO' -p45735 -aS'lived\tlive\tVBN\tI-VP\tO' -p45736 -aS'here\there\tRB\tB-ADVP\tO' -p45737 -aS'for\tfor\tIN\tB-PP\tO' -p45738 -aS'13\t13\tCD\tB-NP\tO' -p45739 -aS'years\tyear\tNNS\tI-NP\tO' -p45740 -aS',\t,\t,\tO\tO' -p45741 -aS'he\the\tPRP\tB-NP\tO' -p45742 -aS'does\tdo\tVBZ\tB-VP\tO' -p45743 -aS'note\tnote\tVB\tI-VP\tO' -p45744 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p45745 -aS'sexual\tsexual\tJJ\tI-NP\tO' -p45746 -aS'partners\tpartner\tNNS\tI-NP\tO' -p45747 -aS',\t,\t,\tO\tO' -p45748 -aS'although\talthough\tIN\tB-SBAR\tO' -p45749 -aS'he\the\tPRP\tB-NP\tO' -p45750 -aS'notes\tnote\tVBZ\tB-VP\tO' -p45751 -aS'using\tuse\tVBG\tI-VP\tO' -p45752 -aS'condoms\tcondom\tNNS\tB-NP\tO' -p45753 -aS'with\twith\tIN\tB-PP\tO' -p45754 -aS'everyone\teveryone\tNN\tB-NP\tO' -p45755 -aS'except\texcept\tIN\tB-PP\tO' -p45756 -aS'his\this\tPRP$\tB-NP\tO' -p45757 -aS'wife\twife\tNN\tI-NP\tO' -p45758 -aS',\t,\t,\tO\tO' -p45759 -aS'he\the\tPRP\tB-NP\tO' -p45760 -aS'reportedly\treportedly\tRB\tB-ADVP\tO' -p45761 -aS'had\thave\tVBD\tB-VP\tO' -p45762 -aS'a\ta\tDT\tB-NP\tO' -p45763 -aS'negative\tnegative\tJJ\tI-NP\tO' -p45764 -aS'PPD\tPPD\tNN\tI-NP\tO' -p45765 -aS'during\tduring\tIN\tB-PP\tO' -p45766 -aS'his\this\tPRP$\tB-NP\tO' -p45767 -aS'prison\tprison\tNN\tI-NP\tO' -p45768 -aS'stay\tstay\tVB\tB-VP\tO' -p45769 -aS'one\tone\tCD\tB-NP\tO' -p45770 -aS'year\tyear\tNN\tI-NP\tO' -p45771 -aS'ago\tago\tRB\tB-ADVP\tO' -p45772 -aS'for\tfor\tIN\tB-PP\tO' -p45773 -aS'one\tone\tCD\tB-NP\tO' -p45774 -aS'week\tweek\tNN\tI-NP\tO' -p45775 -aS'.\t.\t.\tO\tO' -p45776 -asS'Signed electronically by : DR. John Bonilla on : MON 2013-05-13 4:49 PM' -p45777 -(lp45778 -S'Signed\tSign\tVBN\tB-VP\tO' -p45779 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p45780 -aS'by\tby\tIN\tB-PP\tO' -p45781 -aS':\t:\t:\tO\tO' -p45782 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p45783 -aS'John\tJohn\tNNP\tI-NP\tO' -p45784 -aS'Bonilla\tBonilla\tNNP\tI-NP\tO' -p45785 -aS'on\ton\tIN\tB-PP\tO' -p45786 -aS':\t:\t:\tO\tO' -p45787 -aS'MON\tMON\tNN\tB-NP\tO' -p45788 -aS'2013-05-13\t2013-05-13\tCD\tI-NP\tO' -p45789 -aS'4:49\t4:49\tCD\tI-NP\tO' -p45790 -aS'PM\tPM\tNN\tI-NP\tO' -p45791 -asS'15. Nitroglycerin SR 2.5 mg twice a day .' -p45792 -(lp45793 -S'15.\t15.\tLS\tB-NP\tO' -p45794 -aS'Nitroglycerin\tNitroglycerin\tNN\tI-NP\tO' -p45795 -aS'SR\tSR\tNN\tI-NP\tO' -p45796 -aS'2.5\t2.5\tCD\tB-NP\tO' -p45797 -aS'mg\tmg\tNN\tI-NP\tO' -p45798 -aS'twice\ttwice\tRB\tB-NP\tO' -p45799 -aS'a\ta\tDT\tI-NP\tO' -p45800 -aS'day\tday\tNN\tI-NP\tO' -p45801 -aS'.\t.\t.\tO\tO' -p45802 -asS'All four children in pts room and agree on CMO - want to d/c c-collar and start morphine ggt .' -p45803 -(lp45804 -S'All\tAll\tDT\tB-NP\tO' -p45805 -aS'four\tfour\tCD\tI-NP\tO' -p45806 -aS'children\tchild\tNNS\tI-NP\tO' -p45807 -aS'in\tin\tIN\tB-PP\tO' -p45808 -aS'pts\tpt\tNNS\tB-NP\tO' -p45809 -aS'room\troom\tNN\tI-NP\tO' -p45810 -aS'and\tand\tCC\tO\tO' -p45811 -aS'agree\tagree\tVBP\tB-VP\tO' -p45812 -aS'on\ton\tIN\tB-PP\tO' -p45813 -aS'CMO\tCMO\tNN\tB-NP\tB-protein' -p45814 -aS'-\t-\tHYPH\tB-NP\tO' -p45815 -aS'want\twant\tNN\tI-NP\tO' -p45816 -aS'to\tto\tTO\tB-PP\tO' -p45817 -aS'd/c\td/c\tNN\tB-NP\tO' -p45818 -aS'c-collar\tc-collar\tNN\tI-NP\tO' -p45819 -aS'and\tand\tCC\tO\tO' -p45820 -aS'start\tstart\tVB\tB-VP\tO' -p45821 -aS'morphine\tmorphine\tNN\tB-NP\tO' -p45822 -aS'ggt\tggt\tNN\tI-NP\tO' -p45823 -aS'.\t.\t.\tO\tO' -p45824 -asS'Deep tendon reflexes are 2+ and symmetric , toes were up going bilaterally .' -p45825 -(lp45826 -S'Deep\tDeep\tJJ\tB-NP\tO' -p45827 -aS'tendon\ttendon\tNN\tI-NP\tO' -p45828 -aS'reflexes\treflex\tNNS\tI-NP\tO' -p45829 -aS'are\tbe\tVBP\tB-VP\tO' -p45830 -aS'2+\t2+\tJJ\tB-ADJP\tO' -p45831 -aS'and\tand\tCC\tI-ADJP\tO' -p45832 -aS'symmetric\tsymmetric\tJJ\tI-ADJP\tO' -p45833 -aS',\t,\t,\tO\tO' -p45834 -aS'toes\ttoe\tNNS\tB-NP\tO' -p45835 -aS'were\tbe\tVBD\tB-VP\tO' -p45836 -aS'up\tup\tRB\tI-VP\tO' -p45837 -aS'going\tgo\tVBG\tI-VP\tO' -p45838 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p45839 -aS'.\t.\t.\tO\tO' -p45840 -asS'She is now unable to stand and needs assistance to sit up .' -p45841 -(lp45842 -S'She\tShe\tPRP\tB-NP\tO' -p45843 -aS'is\tbe\tVBZ\tB-VP\tO' -p45844 -aS'now\tnow\tRB\tB-ADVP\tO' -p45845 -aS'unable\tunable\tJJ\tB-ADJP\tO' -p45846 -aS'to\tto\tTO\tB-VP\tO' -p45847 -aS'stand\tstand\tVB\tI-VP\tO' -p45848 -aS'and\tand\tCC\tO\tO' -p45849 -aS'needs\tneed\tVBZ\tB-VP\tO' -p45850 -aS'assistance\tassistance\tNN\tB-NP\tO' -p45851 -aS'to\tto\tTO\tB-VP\tO' -p45852 -aS'sit\tsit\tVB\tI-VP\tO' -p45853 -aS'up\tup\tRP\tB-PRT\tO' -p45854 -aS'.\t.\t.\tO\tO' -p45855 -asS'BP remained stable throughout the admission ; initially , BP meds were held , but as VS remai ned stable and bleeding subsided , lopressor was titrated up to 25 mg po tid .' -p45856 -(lp45857 -S'BP\tBP\tNN\tB-NP\tO' -p45858 -aS'remained\tremain\tVBD\tB-VP\tO' -p45859 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p45860 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p45861 -aS'the\tthe\tDT\tB-NP\tO' -p45862 -aS'admission\tadmission\tNN\tI-NP\tO' -p45863 -aS';\t;\t:\tO\tO' -p45864 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p45865 -aS',\t,\t,\tO\tO' -p45866 -aS'BP\tBP\tNN\tB-NP\tO' -p45867 -aS'meds\tmed\tNNS\tI-NP\tO' -p45868 -aS'were\tbe\tVBD\tB-VP\tO' -p45869 -aS'held\thold\tVBN\tI-VP\tO' -p45870 -aS',\t,\t,\tO\tO' -p45871 -aS'but\tbut\tCC\tO\tO' -p45872 -aS'as\tas\tIN\tB-SBAR\tO' -p45873 -aS'VS\tVS\tNN\tB-NP\tB-protein' -p45874 -aS'remai\tremai\tNNS\tI-NP\tI-protein' -p45875 -aS'ned\tne\tVBD\tB-VP\tO' -p45876 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p45877 -aS'and\tand\tCC\tO\tO' -p45878 -aS'bleeding\tbleed\tVBG\tB-VP\tO' -p45879 -aS'subsided\tsubsided\tJJ\tB-NP\tO' -p45880 -aS',\t,\t,\tO\tO' -p45881 -aS'lopressor\tlopressor\tNN\tB-NP\tO' -p45882 -aS'was\tbe\tVBD\tB-VP\tO' -p45883 -aS'titrated\ttitrate\tVBN\tI-VP\tO' -p45884 -aS'up\tup\tRB\tB-NP\tO' -p45885 -aS'to\tto\tTO\tI-NP\tO' -p45886 -aS'25\t25\tCD\tI-NP\tO' -p45887 -aS'mg\tmg\tNN\tI-NP\tO' -p45888 -aS'po\tpo\tNN\tI-NP\tO' -p45889 -aS'tid\ttid\tNN\tI-NP\tO' -p45890 -aS'.\t.\t.\tO\tO' -p45891 -asS'On that day he was slightly diaphoretic with some tachycardia to 100 .' -p45892 -(lp45893 -S'On\tOn\tIN\tB-PP\tO' -p45894 -aS'that\tthat\tDT\tB-NP\tO' -p45895 -aS'day\tday\tNN\tI-NP\tO' -p45896 -aS'he\the\tPRP\tB-NP\tO' -p45897 -aS'was\tbe\tVBD\tB-VP\tO' -p45898 -aS'slightly\tslightly\tRB\tB-ADJP\tO' -p45899 -aS'diaphoretic\tdiaphoretic\tJJ\tI-ADJP\tO' -p45900 -aS'with\twith\tIN\tB-PP\tO' -p45901 -aS'some\tsome\tDT\tB-NP\tO' -p45902 -aS'tachycardia\ttachycardia\tNN\tI-NP\tO' -p45903 -aS'to\tto\tTO\tB-PP\tO' -p45904 -aS'100\t100\tCD\tB-NP\tO' -p45905 -aS'.\t.\t.\tO\tO' -p45906 -asS'R complex renal cyst , bladder diverticula .' -p45907 -(lp45908 -S'R\tR\tNN\tB-NP\tB-protein' -p45909 -aS'complex\tcomplex\tNN\tI-NP\tI-protein' -p45910 -aS'renal\trenal\tJJ\tI-NP\tO' -p45911 -aS'cyst\tcyst\tNN\tI-NP\tO' -p45912 -aS',\t,\t,\tO\tO' -p45913 -aS'bladder\tbladder\tNN\tB-NP\tO' -p45914 -aS'diverticula\tdiverticula\tNN\tI-NP\tO' -p45915 -aS'.\t.\t.\tO\tO' -p45916 -asS'The patient presented with a chief complaint of WHEEZES .' -p45917 -(lp45918 -S'The\tThe\tDT\tB-NP\tO' -p45919 -aS'patient\tpatient\tNN\tI-NP\tO' -p45920 -aS'presented\tpresent\tVBD\tB-VP\tO' -p45921 -aS'with\twith\tIN\tB-PP\tO' -p45922 -aS'a\ta\tDT\tB-NP\tO' -p45923 -aS'chief\tchief\tJJ\tI-NP\tO' -p45924 -aS'complaint\tcomplaint\tNN\tI-NP\tO' -p45925 -aS'of\tof\tIN\tB-PP\tO' -p45926 -aS'WHEEZES\tWHEEZES\tNNS\tB-NP\tO' -p45927 -aS'.\t.\t.\tO\tO' -p45928 -asS'Charles quit using Cocaine , ETOH , and IV Heroin two years ago , and his son is unaware of any relapses .' -p45929 -(lp45930 -S'Charles\tCharles\tNNP\tB-NP\tO' -p45931 -aS'quit\tquit\tVBD\tB-VP\tO' -p45932 -aS'using\tuse\tVBG\tI-VP\tO' -p45933 -aS'Cocaine\tCocaine\tNN\tB-NP\tO' -p45934 -aS',\t,\t,\tO\tO' -p45935 -aS'ETOH\tETOH\tNN\tB-NP\tB-protein' -p45936 -aS',\t,\t,\tO\tO' -p45937 -aS'and\tand\tCC\tO\tO' -p45938 -aS'IV\tIV\tCD\tB-NP\tO' -p45939 -aS'Heroin\tHeroin\tNNP\tI-NP\tO' -p45940 -aS'two\ttwo\tCD\tB-NP\tO' -p45941 -aS'years\tyear\tNNS\tI-NP\tO' -p45942 -aS'ago\tago\tRB\tB-ADVP\tO' -p45943 -aS',\t,\t,\tO\tO' -p45944 -aS'and\tand\tCC\tO\tO' -p45945 -aS'his\this\tPRP$\tB-NP\tO' -p45946 -aS'son\tson\tNN\tI-NP\tO' -p45947 -aS'is\tbe\tVBZ\tB-VP\tO' -p45948 -aS'unaware\tunaware\tJJ\tB-ADJP\tO' -p45949 -aS'of\tof\tIN\tB-PP\tO' -p45950 -aS'any\tany\tDT\tB-NP\tO' -p45951 -aS'relapses\trelapse\tNNS\tI-NP\tO' -p45952 -aS'.\t.\t.\tO\tO' -p45953 -asS'No clear diagnosis was made .' -p45954 -(lp45955 -S'No\tNo\tDT\tB-NP\tO' -p45956 -aS'clear\tclear\tJJ\tI-NP\tO' -p45957 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p45958 -aS'was\tbe\tVBD\tB-VP\tO' -p45959 -aS'made\tmake\tVBN\tI-VP\tO' -p45960 -aS'.\t.\t.\tO\tO' -p45961 -asS'Glaucoma .' -p45962 -(lp45963 -S'Glaucoma\tGlaucoma\tNN\tB-NP\tO' -p45964 -aS'.\t.\t.\tO\tO' -p45965 -asS'He has not had any blood work done .' -p45966 -(lp45967 -S'He\tHe\tPRP\tB-NP\tO' -p45968 -aS'has\thave\tVBZ\tB-VP\tO' -p45969 -aS'not\tnot\tRB\tI-VP\tO' -p45970 -aS'had\thave\tVBN\tI-VP\tO' -p45971 -aS'any\tany\tDT\tB-NP\tO' -p45972 -aS'blood\tblood\tNN\tI-NP\tO' -p45973 -aS'work\twork\tNN\tI-NP\tO' -p45974 -aS'done\tdo\tVBN\tB-VP\tO' -p45975 -aS'.\t.\t.\tO\tO' -p45976 -asS'4. Has not received any immunization .' -p45977 -(lp45978 -S'4.\t4.\tLS\tB-LST\tO' -p45979 -aS'Has\tHas\tNNP\tB-NP\tO' -p45980 -aS'not\tnot\tRB\tB-VP\tO' -p45981 -aS'received\treceive\tVBN\tI-VP\tO' -p45982 -aS'any\tany\tDT\tB-NP\tO' -p45983 -aS'immunization\timmunization\tNN\tI-NP\tO' -p45984 -aS'.\t.\t.\tO\tO' -p45985 -asS'The patient is an 82 - year-old male with a history of hypertension , remote tobacco abuse , chronic renal insufficiency , and a history of a TIA who was in his usual state of health until five nights prior to admission when he awoke at midnight with severe epigastric pain radiating to both arms .' -p45986 -(lp45987 -S'The\tThe\tDT\tB-NP\tO' -p45988 -aS'patient\tpatient\tNN\tI-NP\tO' -p45989 -aS'is\tbe\tVBZ\tB-VP\tO' -p45990 -aS'an\tan\tDT\tB-NP\tO' -p45991 -aS'82\t82\tCD\tI-NP\tO' -p45992 -aS'-\t-\tHYPH\tI-NP\tO' -p45993 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p45994 -aS'male\tmale\tNN\tI-NP\tO' -p45995 -aS'with\twith\tIN\tB-PP\tO' -p45996 -aS'a\ta\tDT\tB-NP\tO' -p45997 -aS'history\thistory\tNN\tI-NP\tO' -p45998 -aS'of\tof\tIN\tB-PP\tO' -p45999 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p46000 -aS',\t,\t,\tO\tO' -p46001 -aS'remote\tremote\tJJ\tB-NP\tO' -p46002 -aS'tobacco\ttobacco\tNN\tI-NP\tO' -p46003 -aS'abuse\tabuse\tNN\tI-NP\tO' -p46004 -aS',\t,\t,\tO\tO' -p46005 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p46006 -aS'renal\trenal\tJJ\tI-NP\tO' -p46007 -aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' -p46008 -aS',\t,\t,\tO\tO' -p46009 -aS'and\tand\tCC\tO\tO' -p46010 -aS'a\ta\tDT\tB-NP\tO' -p46011 -aS'history\thistory\tNN\tI-NP\tO' -p46012 -aS'of\tof\tIN\tB-PP\tO' -p46013 -aS'a\ta\tDT\tB-NP\tO' -p46014 -aS'TIA\tTIA\tNN\tI-NP\tB-protein' -p46015 -aS'who\twho\tWP\tB-NP\tO' -p46016 -aS'was\tbe\tVBD\tB-VP\tO' -p46017 -aS'in\tin\tIN\tB-PP\tO' -p46018 -aS'his\this\tPRP$\tB-NP\tO' -p46019 -aS'usual\tusual\tJJ\tI-NP\tO' -p46020 -aS'state\tstate\tNN\tI-NP\tO' -p46021 -aS'of\tof\tIN\tB-PP\tO' -p46022 -aS'health\thealth\tNN\tB-NP\tO' -p46023 -aS'until\tuntil\tIN\tB-PP\tO' -p46024 -aS'five\tfive\tCD\tB-NP\tO' -p46025 -aS'nights\tnight\tNNS\tI-NP\tO' -p46026 -aS'prior\tprior\tRB\tB-ADVP\tO' -p46027 -aS'to\tto\tTO\tB-PP\tO' -p46028 -aS'admission\tadmission\tNN\tB-NP\tO' -p46029 -aS'when\twhen\tWRB\tB-ADVP\tO' -p46030 -aS'he\the\tPRP\tB-NP\tO' -p46031 -aS'awoke\tawake\tVBD\tB-VP\tO' -p46032 -aS'at\tat\tIN\tB-PP\tO' -p46033 -aS'midnight\tmidnight\tNN\tB-NP\tO' -p46034 -aS'with\twith\tIN\tB-PP\tO' -p46035 -aS'severe\tsevere\tJJ\tB-NP\tO' -p46036 -aS'epigastric\tepigastric\tJJ\tI-NP\tO' -p46037 -aS'pain\tpain\tNN\tI-NP\tO' -p46038 -aS'radiating\tradiate\tVBG\tB-VP\tO' -p46039 -aS'to\tto\tTO\tB-PP\tO' -p46040 -aS'both\tboth\tDT\tB-NP\tO' -p46041 -aS'arms\tarm\tNNS\tI-NP\tO' -p46042 -aS'.\t.\t.\tO\tO' -p46043 -asS'There were non-specific ST-T wave abnormalities .' -p46044 -(lp46045 -S'There\tThere\tEX\tB-NP\tO' -p46046 -aS'were\tbe\tVBD\tB-VP\tO' -p46047 -aS'non-specific\tnon-specific\tJJ\tB-NP\tO' -p46048 -aS'ST-T\tST-T\tNN\tI-NP\tO' -p46049 -aS'wave\twave\tNN\tI-NP\tO' -p46050 -aS'abnormalities\tabnormality\tNNS\tI-NP\tO' -p46051 -aS'.\t.\t.\tO\tO' -p46052 -asS'Otherwise normal CN 's .' -p46053 -(lp46054 -S'Otherwise\tOtherwise\tRB\tB-NP\tO' -p46055 -aS'normal\tnormal\tJJ\tI-NP\tO' -p46056 -aS'CN\tCN\tNN\tI-NP\tO' -p46057 -aS''s\t'\tNNS\tI-NP\tO' -p46058 -aS'.\t.\t.\tO\tO' -p46059 -asS'The vehicle was noted to be extensively damaged .' -p46060 -(lp46061 -S'The\tThe\tDT\tB-NP\tO' -p46062 -aS'vehicle\tvehicle\tNN\tI-NP\tO' -p46063 -aS'was\tbe\tVBD\tB-VP\tO' -p46064 -aS'noted\tnote\tVBN\tI-VP\tO' -p46065 -aS'to\tto\tTO\tI-VP\tO' -p46066 -aS'be\tbe\tVB\tI-VP\tO' -p46067 -aS'extensively\textensively\tRB\tI-VP\tO' -p46068 -aS'damaged\tdamage\tVBN\tI-VP\tO' -p46069 -aS'.\t.\t.\tO\tO' -p46070 -asS'Ampicillin and chloramphenicol were given at Noughwell Entanbon Health , and ceftriaxone was given at Fairm of Ijordcompmac Hospital .' -p46071 -(lp46072 -S'Ampicillin\tAmpicillin\tNN\tB-NP\tO' -p46073 -aS'and\tand\tCC\tI-NP\tO' -p46074 -aS'chloramphenicol\tchloramphenicol\tNN\tI-NP\tO' -p46075 -aS'were\tbe\tVBD\tB-VP\tO' -p46076 -aS'given\tgive\tVBN\tI-VP\tO' -p46077 -aS'at\tat\tIN\tB-PP\tO' -p46078 -aS'Noughwell\tNoughwell\tNNP\tB-NP\tO' -p46079 -aS'Entanbon\tEntanbon\tNNP\tI-NP\tO' -p46080 -aS'Health\tHealth\tNNP\tI-NP\tO' -p46081 -aS',\t,\t,\tO\tO' -p46082 -aS'and\tand\tCC\tO\tO' -p46083 -aS'ceftriaxone\tceftriaxone\tNN\tB-NP\tO' -p46084 -aS'was\tbe\tVBD\tB-VP\tO' -p46085 -aS'given\tgive\tVBN\tI-VP\tO' -p46086 -aS'at\tat\tIN\tB-PP\tO' -p46087 -aS'Fairm\tFairm\tNNP\tB-NP\tO' -p46088 -aS'of\tof\tIN\tB-PP\tO' -p46089 -aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' -p46090 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p46091 -aS'.\t.\t.\tO\tO' -p46092 -asS'Dr. Cantsleddjesc felt that no surgical approach to this problem or further intervention or radiologic procedures would be helpful .' -p46093 -(lp46094 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p46095 -aS'Cantsleddjesc\tCantsleddjesc\tNNP\tI-NP\tO' -p46096 -aS'felt\tfeel\tVBD\tB-VP\tO' -p46097 -aS'that\tthat\tIN\tB-SBAR\tO' -p46098 -aS'no\tno\tDT\tB-NP\tO' -p46099 -aS'surgical\tsurgical\tJJ\tI-NP\tO' -p46100 -aS'approach\tapproach\tNN\tI-NP\tO' -p46101 -aS'to\tto\tTO\tB-PP\tO' -p46102 -aS'this\tthis\tDT\tB-NP\tO' -p46103 -aS'problem\tproblem\tNN\tI-NP\tO' -p46104 -aS'or\tor\tCC\tO\tO' -p46105 -aS'further\tfurther\tJJ\tB-NP\tO' -p46106 -aS'intervention\tintervention\tNN\tI-NP\tO' -p46107 -aS'or\tor\tCC\tO\tO' -p46108 -aS'radiologic\tradiologic\tJJ\tB-NP\tO' -p46109 -aS'procedures\tprocedure\tNNS\tI-NP\tO' -p46110 -aS'would\twould\tMD\tB-VP\tO' -p46111 -aS'be\tbe\tVB\tI-VP\tO' -p46112 -aS'helpful\thelpful\tJJ\tB-ADJP\tO' -p46113 -aS'.\t.\t.\tO\tO' -p46114 -asS'Neurologically , the patient was not following commands .' -p46115 -(lp46116 -S'Neurologically\tNeurologically\tRB\tB-ADVP\tO' -p46117 -aS',\t,\t,\tO\tO' -p46118 -aS'the\tthe\tDT\tB-NP\tO' -p46119 -aS'patient\tpatient\tNN\tI-NP\tO' -p46120 -aS'was\tbe\tVBD\tB-VP\tO' -p46121 -aS'not\tnot\tRB\tI-VP\tO' -p46122 -aS'following\tfollow\tVBG\tI-VP\tO' -p46123 -aS'commands\tcommand\tNNS\tB-NP\tO' -p46124 -aS'.\t.\t.\tO\tO' -p46125 -asS'She can name several words such as thumb , watch and knuckle .' -p46126 -(lp46127 -S'She\tShe\tPRP\tB-NP\tO' -p46128 -aS'can\tcan\tMD\tB-VP\tO' -p46129 -aS'name\tname\tVB\tI-VP\tO' -p46130 -aS'several\tseveral\tJJ\tB-NP\tO' -p46131 -aS'words\tword\tNNS\tI-NP\tO' -p46132 -aS'such\tsuch\tJJ\tB-PP\tO' -p46133 -aS'as\tas\tIN\tI-PP\tO' -p46134 -aS'thumb\tthumb\tNN\tB-NP\tO' -p46135 -aS',\t,\t,\tI-NP\tO' -p46136 -aS'watch\twatch\tNN\tI-NP\tO' -p46137 -aS'and\tand\tCC\tI-NP\tO' -p46138 -aS'knuckle\tknuckle\tNN\tI-NP\tO' -p46139 -aS'.\t.\t.\tO\tO' -p46140 -asS'Please call ( 808 ) 246-1373 and schedule an appointment to see Dr. Lewis in 2 weeks .' -p46141 -(lp46142 -S'Please\tPlease\tNN\tB-NP\tO' -p46143 -aS'call\tcall\tNN\tI-NP\tO' -p46144 -aS'(\t(\t(\tO\tO' -p46145 -aS'808\t808\tCD\tB-NP\tO' -p46146 -aS')\t)\t)\tO\tO' -p46147 -aS'246-1373\t246-1373\tCD\tB-NP\tO' -p46148 -aS'and\tand\tCC\tO\tO' -p46149 -aS'schedule\tschedule\tVB\tB-VP\tO' -p46150 -aS'an\tan\tDT\tB-NP\tO' -p46151 -aS'appointment\tappointment\tNN\tI-NP\tO' -p46152 -aS'to\tto\tTO\tB-VP\tO' -p46153 -aS'see\tsee\tVB\tI-VP\tO' -p46154 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p46155 -aS'Lewis\tLewis\tNNP\tI-NP\tO' -p46156 -aS'in\tin\tIN\tB-PP\tO' -p46157 -aS'2\t2\tCD\tB-NP\tO' -p46158 -aS'weeks\tweek\tNNS\tI-NP\tO' -p46159 -aS'.\t.\t.\tO\tO' -p46160 -asS'Symptoms of congestive heart failure gradually abated over the next 48 to 72 hours .' -p46161 -(lp46162 -S'Symptoms\tSymptom\tNNS\tB-NP\tO' -p46163 -aS'of\tof\tIN\tB-PP\tO' -p46164 -aS'congestive\tcongestive\tJJ\tB-NP\tO' -p46165 -aS'heart\theart\tNN\tI-NP\tO' -p46166 -aS'failure\tfailure\tNN\tI-NP\tO' -p46167 -aS'gradually\tgradually\tRB\tB-ADVP\tO' -p46168 -aS'abated\tabate\tVBD\tB-VP\tO' -p46169 -aS'over\tover\tIN\tB-PP\tO' -p46170 -aS'the\tthe\tDT\tB-NP\tO' -p46171 -aS'next\tnext\tJJ\tI-NP\tO' -p46172 -aS'48\t48\tCD\tI-NP\tO' -p46173 -aS'to\tto\tTO\tI-NP\tO' -p46174 -aS'72\t72\tCD\tI-NP\tO' -p46175 -aS'hours\thour\tNNS\tI-NP\tO' -p46176 -aS'.\t.\t.\tO\tO' -p46177 -asS'Discharge Wt 1645 gms .' -p46178 -(lp46179 -S'Discharge\tDischarge\tNNP\tB-NP\tO' -p46180 -aS'Wt\tWt\tNNP\tI-NP\tO' -p46181 -aS'1645\t1645\tCD\tI-NP\tO' -p46182 -aS'gms\tgm\tNNS\tI-NP\tO' -p46183 -aS'.\t.\t.\tO\tO' -p46184 -asS'Cardiology evaluation commented on the patient 's increasing ventricular ectopy and suggested that these were due to an R and T phenomenon from his pacer in the setting of prolonged QT interval .' -p46185 -(lp46186 -S'Cardiology\tCardiology\tNN\tB-NP\tO' -p46187 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p46188 -aS'commented\tcomment\tVBN\tB-VP\tO' -p46189 -aS'on\ton\tIN\tB-PP\tO' -p46190 -aS'the\tthe\tDT\tB-NP\tO' -p46191 -aS'patient\tpatient\tNN\tI-NP\tO' -p46192 -aS''s\t'\tNNS\tI-NP\tO' -p46193 -aS'increasing\tincrease\tVBG\tB-VP\tO' -p46194 -aS'ventricular\tventricular\tJJ\tB-NP\tO' -p46195 -aS'ectopy\tectopy\tNN\tI-NP\tO' -p46196 -aS'and\tand\tCC\tO\tO' -p46197 -aS'suggested\tsuggest\tVBD\tB-VP\tO' -p46198 -aS'that\tthat\tIN\tB-SBAR\tO' -p46199 -aS'these\tthese\tDT\tB-NP\tO' -p46200 -aS'were\tbe\tVBD\tB-VP\tO' -p46201 -aS'due\tdue\tJJ\tB-ADJP\tO' -p46202 -aS'to\tto\tTO\tB-PP\tO' -p46203 -aS'an\tan\tDT\tB-NP\tO' -p46204 -aS'R\tR\tNN\tI-NP\tB-protein' -p46205 -aS'and\tand\tCC\tI-NP\tO' -p46206 -aS'T\tT\tNN\tI-NP\tO' -p46207 -aS'phenomenon\tphenomenon\tNN\tI-NP\tO' -p46208 -aS'from\tfrom\tIN\tB-PP\tO' -p46209 -aS'his\this\tPRP$\tB-NP\tO' -p46210 -aS'pacer\tpacer\tNN\tI-NP\tO' -p46211 -aS'in\tin\tIN\tB-PP\tO' -p46212 -aS'the\tthe\tDT\tB-NP\tO' -p46213 -aS'setting\tsetting\tNN\tI-NP\tO' -p46214 -aS'of\tof\tIN\tB-PP\tO' -p46215 -aS'prolonged\tprolonged\tJJ\tB-NP\tO' -p46216 -aS'QT\tQT\tNN\tI-NP\tO' -p46217 -aS'interval\tinterval\tNN\tI-NP\tO' -p46218 -aS'.\t.\t.\tO\tO' -p46219 -asS'Of note , she has had recent medication changes which included discontinuing Diovan and starting terazosin .' -p46220 -(lp46221 -S'Of\tOf\tIN\tB-PP\tO' -p46222 -aS'note\tnote\tNN\tB-NP\tO' -p46223 -aS',\t,\t,\tO\tO' -p46224 -aS'she\tshe\tPRP\tB-NP\tO' -p46225 -aS'has\thave\tVBZ\tB-VP\tO' -p46226 -aS'had\thave\tVBN\tI-VP\tO' -p46227 -aS'recent\trecent\tJJ\tB-NP\tO' -p46228 -aS'medication\tmedication\tNN\tI-NP\tO' -p46229 -aS'changes\tchange\tNNS\tI-NP\tO' -p46230 -aS'which\twhich\tWDT\tB-NP\tO' -p46231 -aS'included\tinclude\tVBD\tB-VP\tO' -p46232 -aS'discontinuing\tdiscontinue\tVBG\tI-VP\tO' -p46233 -aS'Diovan\tDiovan\tNNP\tB-NP\tO' -p46234 -aS'and\tand\tCC\tO\tO' -p46235 -aS'starting\tstart\tVBG\tB-VP\tO' -p46236 -aS'terazosin\tterazosin\tNN\tB-NP\tO' -p46237 -aS'.\t.\t.\tO\tO' -p46238 -asS'His blood urine and sputum were all cultured .' -p46239 -(lp46240 -S'His\tHis\tPRP$\tB-NP\tO' -p46241 -aS'blood\tblood\tNN\tI-NP\tO' -p46242 -aS'urine\turine\tNN\tI-NP\tO' -p46243 -aS'and\tand\tCC\tI-NP\tO' -p46244 -aS'sputum\tsputum\tNN\tI-NP\tO' -p46245 -aS'were\tbe\tVBD\tB-VP\tO' -p46246 -aS'all\tall\tDT\tO\tO' -p46247 -aS'cultured\tculture\tVBN\tB-VP\tO' -p46248 -aS'.\t.\t.\tO\tO' -p46249 -asS'She also reports a cough productive of green sputum for approximately one week .' -p46250 -(lp46251 -S'She\tShe\tPRP\tB-NP\tO' -p46252 -aS'also\talso\tRB\tB-ADVP\tO' -p46253 -aS'reports\treport\tVBZ\tB-VP\tO' -p46254 -aS'a\ta\tDT\tB-NP\tO' -p46255 -aS'cough\tcough\tNN\tI-NP\tO' -p46256 -aS'productive\tproductive\tJJ\tB-ADJP\tO' -p46257 -aS'of\tof\tIN\tB-PP\tO' -p46258 -aS'green\tgreen\tJJ\tB-NP\tO' -p46259 -aS'sputum\tsputum\tNN\tI-NP\tO' -p46260 -aS'for\tfor\tIN\tB-PP\tO' -p46261 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p46262 -aS'one\tone\tCD\tI-NP\tO' -p46263 -aS'week\tweek\tNN\tI-NP\tO' -p46264 -aS'.\t.\t.\tO\tO' -p46265 -asS'No signs of infection presently , and tolerating dialysis without difficulty .' -p46266 -(lp46267 -S'No\tNo\tDT\tB-NP\tO' -p46268 -aS'signs\tsign\tNNS\tI-NP\tO' -p46269 -aS'of\tof\tIN\tB-PP\tO' -p46270 -aS'infection\tinfection\tNN\tB-NP\tO' -p46271 -aS'presently\tpresently\tRB\tB-ADVP\tO' -p46272 -aS',\t,\t,\tO\tO' -p46273 -aS'and\tand\tCC\tO\tO' -p46274 -aS'tolerating\ttolerate\tVBG\tB-VP\tO' -p46275 -aS'dialysis\tdialysis\tNN\tB-NP\tO' -p46276 -aS'without\twithout\tIN\tB-PP\tO' -p46277 -aS'difficulty\tdifficulty\tNN\tB-NP\tO' -p46278 -aS'.\t.\t.\tO\tO' -p46279 -asS'Vital signs were temperature 97.8 , heart rate 80 and sinus rhythm , blood pressure 140/82 , respiratory rate 18 ,' -p46280 -(lp46281 -S'Vital\tVital\tJJ\tB-NP\tO' -p46282 -aS'signs\tsign\tNNS\tI-NP\tO' -p46283 -aS'were\tbe\tVBD\tB-VP\tO' -p46284 -aS'temperature\ttemperature\tNN\tB-NP\tO' -p46285 -aS'97.8\t97.8\tCD\tI-NP\tO' -p46286 -aS',\t,\t,\tO\tO' -p46287 -aS'heart\theart\tNN\tB-NP\tO' -p46288 -aS'rate\trate\tNN\tI-NP\tO' -p46289 -aS'80\t80\tCD\tB-NP\tO' -p46290 -aS'and\tand\tCC\tI-NP\tO' -p46291 -aS'sinus\tsinus\tNN\tI-NP\tO' -p46292 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p46293 -aS',\t,\t,\tO\tO' -p46294 -aS'blood\tblood\tNN\tB-NP\tO' -p46295 -aS'pressure\tpressure\tNN\tI-NP\tO' -p46296 -aS'140/82\t140/82\tCD\tI-NP\tO' -p46297 -aS',\t,\t,\tI-NP\tO' -p46298 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p46299 -aS'rate\trate\tNN\tI-NP\tO' -p46300 -aS'18\t18\tCD\tI-NP\tO' -p46301 -aS',\t,\t,\tO\tO' -p46302 -asS'A neurologic work-up was undertaken which included a CT scan of the head which revealed no acute bleed and a lumbar puncture which revealed a glucose of 72 , protein 65 , white blood cell count 19 , red blood cell count 11,500 with no evidence of xanthrochromasia .' -p46303 -(lp46304 -S'A\tA\tDT\tB-NP\tO' -p46305 -aS'neurologic\tneurologic\tJJ\tI-NP\tO' -p46306 -aS'work-up\twork-up\tNN\tI-NP\tO' -p46307 -aS'was\tbe\tVBD\tB-VP\tO' -p46308 -aS'undertaken\tundertake\tVBN\tI-VP\tO' -p46309 -aS'which\twhich\tWDT\tB-NP\tO' -p46310 -aS'included\tinclude\tVBD\tB-VP\tO' -p46311 -aS'a\ta\tDT\tB-NP\tO' -p46312 -aS'CT\tCT\tNN\tI-NP\tO' -p46313 -aS'scan\tscan\tNN\tI-NP\tO' -p46314 -aS'of\tof\tIN\tB-PP\tO' -p46315 -aS'the\tthe\tDT\tB-NP\tO' -p46316 -aS'head\thead\tNN\tI-NP\tO' -p46317 -aS'which\twhich\tWDT\tB-NP\tO' -p46318 -aS'revealed\treveal\tVBD\tB-VP\tO' -p46319 -aS'no\tno\tDT\tB-NP\tO' -p46320 -aS'acute\tacute\tJJ\tI-NP\tO' -p46321 -aS'bleed\tbleed\tNN\tI-NP\tO' -p46322 -aS'and\tand\tCC\tO\tO' -p46323 -aS'a\ta\tDT\tB-NP\tO' -p46324 -aS'lumbar\tlumbar\tNN\tI-NP\tO' -p46325 -aS'puncture\tpuncture\tNN\tI-NP\tO' -p46326 -aS'which\twhich\tWDT\tB-NP\tO' -p46327 -aS'revealed\treveal\tVBD\tB-VP\tO' -p46328 -aS'a\ta\tDT\tB-NP\tO' -p46329 -aS'glucose\tglucose\tNN\tI-NP\tO' -p46330 -aS'of\tof\tIN\tB-PP\tO' -p46331 -aS'72\t72\tCD\tB-NP\tO' -p46332 -aS',\t,\t,\tO\tO' -p46333 -aS'protein\tprotein\tNN\tB-NP\tO' -p46334 -aS'65\t65\tCD\tI-NP\tO' -p46335 -aS',\t,\t,\tO\tO' -p46336 -aS'white\twhite\tJJ\tB-NP\tO' -p46337 -aS'blood\tblood\tNN\tI-NP\tO' -p46338 -aS'cell\tcell\tNN\tI-NP\tO' -p46339 -aS'count\tcount\tNN\tI-NP\tO' -p46340 -aS'19\t19\tCD\tI-NP\tO' -p46341 -aS',\t,\t,\tO\tO' -p46342 -aS'red\tred\tJJ\tB-NP\tO' -p46343 -aS'blood\tblood\tNN\tI-NP\tO' -p46344 -aS'cell\tcell\tNN\tI-NP\tO' -p46345 -aS'count\tcount\tNN\tI-NP\tO' -p46346 -aS'11,500\t11,500\tCD\tB-NP\tO' -p46347 -aS'with\twith\tIN\tB-PP\tO' -p46348 -aS'no\tno\tDT\tB-NP\tO' -p46349 -aS'evidence\tevidence\tNN\tI-NP\tO' -p46350 -aS'of\tof\tIN\tB-PP\tO' -p46351 -aS'xanthrochromasia\txanthrochromasia\tNN\tB-NP\tO' -p46352 -aS'.\t.\t.\tO\tO' -p46353 -asS'Please continue to take coumadin as directed by your doctors until told to stop for clots found in your lungs .' -p46354 -(lp46355 -S'Please\tPlease\tNN\tB-NP\tB-protein' -p46356 -aS'continue\tcontinue\tVBP\tB-VP\tO' -p46357 -aS'to\tto\tTO\tI-VP\tO' -p46358 -aS'take\ttake\tVB\tI-VP\tO' -p46359 -aS'coumadin\tcoumadin\tNN\tB-NP\tO' -p46360 -aS'as\tas\tIN\tB-SBAR\tO' -p46361 -aS'directed\tdirect\tVBN\tB-VP\tO' -p46362 -aS'by\tby\tIN\tB-PP\tO' -p46363 -aS'your\tyour\tPRP$\tB-NP\tO' -p46364 -aS'doctors\tdoctor\tNNS\tI-NP\tO' -p46365 -aS'until\tuntil\tIN\tB-SBAR\tO' -p46366 -aS'told\ttell\tVBN\tB-VP\tO' -p46367 -aS'to\tto\tTO\tB-VP\tO' -p46368 -aS'stop\tstop\tVB\tI-VP\tO' -p46369 -aS'for\tfor\tIN\tB-PP\tO' -p46370 -aS'clots\tclot\tNNS\tB-NP\tO' -p46371 -aS'found\tfind\tVBN\tB-VP\tO' -p46372 -aS'in\tin\tIN\tB-PP\tO' -p46373 -aS'your\tyour\tPRP$\tB-NP\tO' -p46374 -aS'lungs\tlung\tNNS\tI-NP\tO' -p46375 -aS'.\t.\t.\tO\tO' -p46376 -asS'Name of primary pediatrician is Ashley Daley of Village Pediatrics in Stockbridge .' -p46377 -(lp46378 -S'Name\tName\tNN\tB-NP\tO' -p46379 -aS'of\tof\tIN\tB-PP\tO' -p46380 -aS'primary\tprimary\tJJ\tB-NP\tO' -p46381 -aS'pediatrician\tpediatrician\tNN\tI-NP\tO' -p46382 -aS'is\tbe\tVBZ\tB-VP\tO' -p46383 -aS'Ashley\tAshley\tNNP\tB-NP\tO' -p46384 -aS'Daley\tDaley\tNNP\tI-NP\tO' -p46385 -aS'of\tof\tIN\tB-PP\tO' -p46386 -aS'Village\tVillage\tNNP\tB-NP\tO' -p46387 -aS'Pediatrics\tPediatrics\tNNP\tI-NP\tO' -p46388 -aS'in\tin\tIN\tB-PP\tO' -p46389 -aS'Stockbridge\tStockbridge\tNNP\tB-NP\tO' -p46390 -aS'.\t.\t.\tO\tO' -p46391 -asS'The patient tolerated the procedure well and was transported to the cardiac surgery recovery room .' -p46392 -(lp46393 -S'The\tThe\tDT\tB-NP\tO' -p46394 -aS'patient\tpatient\tNN\tI-NP\tO' -p46395 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p46396 -aS'the\tthe\tDT\tB-NP\tO' -p46397 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p46398 -aS'well\twell\tRB\tB-ADVP\tO' -p46399 -aS'and\tand\tCC\tO\tO' -p46400 -aS'was\tbe\tVBD\tB-VP\tO' -p46401 -aS'transported\ttransport\tVBN\tI-VP\tO' -p46402 -aS'to\tto\tTO\tB-PP\tO' -p46403 -aS'the\tthe\tDT\tB-NP\tO' -p46404 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p46405 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p46406 -aS'recovery\trecovery\tNN\tI-NP\tO' -p46407 -aS'room\troom\tNN\tI-NP\tO' -p46408 -aS'.\t.\t.\tO\tO' -p46409 -asS'Sensation intact to light touch , pin prick , temperature ( cold ) .' -p46410 -(lp46411 -S'Sensation\tSensation\tNN\tB-NP\tO' -p46412 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p46413 -aS'to\tto\tTO\tB-PP\tO' -p46414 -aS'light\tlight\tJJ\tB-NP\tO' -p46415 -aS'touch\ttouch\tNN\tI-NP\tO' -p46416 -aS',\t,\t,\tO\tO' -p46417 -aS'pin\tpin\tNN\tB-NP\tO' -p46418 -aS'prick\tprick\tNN\tI-NP\tO' -p46419 -aS',\t,\t,\tO\tO' -p46420 -aS'temperature\ttemperature\tNN\tB-NP\tO' -p46421 -aS'(\t(\t(\tO\tO' -p46422 -aS'cold\tcold\tNN\tB-NP\tO' -p46423 -aS')\t)\t)\tO\tO' -p46424 -aS'.\t.\t.\tO\tO' -p46425 -asS'Dilantin 100 mg. po tid , Mylanta 30 cc. po q 4 hours prn , Dyspepsia , Milk of Magnesia 30 cc. po q 4 hours prn constipation , Cimetidine 400 mg. po bid , Haloperidol 1 mg. po or IM q 3 hours prn agitation .' -p46426 -(lp46427 -S'Dilantin\tDilantin\tNN\tB-NP\tO' -p46428 -aS'100\t100\tCD\tI-NP\tO' -p46429 -aS'mg.\tmg.\tNN\tI-NP\tO' -p46430 -aS'po\tpo\tNN\tI-NP\tO' -p46431 -aS'tid\ttid\tNN\tI-NP\tO' -p46432 -aS',\t,\t,\tO\tO' -p46433 -aS'Mylanta\tMylanta\tNNP\tB-NP\tO' -p46434 -aS'30\t30\tCD\tI-NP\tO' -p46435 -aS'cc.\tcc.\tNN\tI-NP\tO' -p46436 -aS'po\tpo\tNN\tI-NP\tO' -p46437 -aS'q\tq\tNN\tI-NP\tO' -p46438 -aS'4\t4\tCD\tB-NP\tO' -p46439 -aS'hours\thour\tNNS\tI-NP\tO' -p46440 -aS'prn\tprn\tNN\tI-NP\tO' -p46441 -aS',\t,\t,\tO\tO' -p46442 -aS'Dyspepsia\tDyspepsia\tNNP\tB-NP\tO' -p46443 -aS',\t,\t,\tO\tO' -p46444 -aS'Milk\tMilk\tNNP\tB-NP\tO' -p46445 -aS'of\tof\tIN\tB-PP\tO' -p46446 -aS'Magnesia\tMagnesia\tNNP\tB-NP\tO' -p46447 -aS'30\t30\tCD\tI-NP\tO' -p46448 -aS'cc.\tcc.\tNN\tI-NP\tO' -p46449 -aS'po\tpo\tNN\tI-NP\tO' -p46450 -aS'q\tq\tNN\tI-NP\tO' -p46451 -aS'4\t4\tCD\tB-NP\tO' -p46452 -aS'hours\thour\tNNS\tI-NP\tO' -p46453 -aS'prn\tprn\tVBP\tB-VP\tO' -p46454 -aS'constipation\tconstipation\tNN\tB-NP\tO' -p46455 -aS',\t,\t,\tO\tO' -p46456 -aS'Cimetidine\tCimetidine\tNN\tB-NP\tO' -p46457 -aS'400\t400\tCD\tI-NP\tO' -p46458 -aS'mg.\tmg.\tNN\tI-NP\tO' -p46459 -aS'po\tpo\tNN\tI-NP\tO' -p46460 -aS'bid\tbid\tNN\tI-NP\tO' -p46461 -aS',\t,\t,\tO\tO' -p46462 -aS'Haloperidol\tHaloperidol\tNN\tB-NP\tO' -p46463 -aS'1\t1\tCD\tI-NP\tO' -p46464 -aS'mg.\tmg.\tNN\tI-NP\tO' -p46465 -aS'po\tpo\tNN\tI-NP\tO' -p46466 -aS'or\tor\tCC\tI-NP\tO' -p46467 -aS'IM\tIM\tNN\tI-NP\tO' -p46468 -aS'q\tq\tNN\tI-NP\tO' -p46469 -aS'3\t3\tCD\tB-NP\tO' -p46470 -aS'hours\thour\tNNS\tI-NP\tO' -p46471 -aS'prn\tprn\tNN\tI-NP\tO' -p46472 -aS'agitation\tagitation\tNN\tI-NP\tO' -p46473 -aS'.\t.\t.\tO\tO' -p46474 -asS'Pulses 2+ carotids bilaterally , 2+ radial pulses , 2+ DP pulses bilaterally .' -p46475 -(lp46476 -S'Pulses\tPulse\tNNS\tB-NP\tO' -p46477 -aS'2+\t2+\tJJ\tI-NP\tO' -p46478 -aS'carotids\tcarotid\tNNS\tI-NP\tO' -p46479 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p46480 -aS',\t,\t,\tO\tO' -p46481 -aS'2+\t2+\tJJ\tB-NP\tO' -p46482 -aS'radial\tradial\tJJ\tI-NP\tO' -p46483 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p46484 -aS',\t,\t,\tO\tO' -p46485 -aS'2+\t2+\tJJ\tB-NP\tO' -p46486 -aS'DP\tDP\tNN\tI-NP\tO' -p46487 -aS'pulses\tpulse\tVBZ\tB-VP\tO' -p46488 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p46489 -aS'.\t.\t.\tO\tO' -p46490 -asS'Patient declined workup / imaging for mets as outpatient .' -p46491 -(lp46492 -S'Patient\tPatient\tNN\tB-NP\tO' -p46493 -aS'declined\tdecline\tVBD\tB-VP\tO' -p46494 -aS'workup\tworkup\tNN\tB-NP\tO' -p46495 -aS'/\t/\tSYM\tB-NP\tO' -p46496 -aS'imaging\timaging\tNN\tI-NP\tO' -p46497 -aS'for\tfor\tIN\tB-PP\tO' -p46498 -aS'mets\tmet\tNNS\tB-NP\tO' -p46499 -aS'as\tas\tIN\tB-PP\tO' -p46500 -aS'outpatient\toutpatient\tNN\tB-NP\tO' -p46501 -aS'.\t.\t.\tO\tO' -p46502 -asS'Ophthalmology noted that this left Martha coloboma was likely an isolated anomaly in the absence of other pathology .' -p46503 -(lp46504 -S'Ophthalmology\tOphthalmology\tNN\tB-NP\tO' -p46505 -aS'noted\tnote\tVBD\tB-VP\tO' -p46506 -aS'that\tthat\tIN\tB-SBAR\tO' -p46507 -aS'this\tthis\tDT\tB-NP\tO' -p46508 -aS'left\tleft\tJJ\tI-NP\tO' -p46509 -aS'Martha\tMartha\tNNP\tI-NP\tO' -p46510 -aS'coloboma\tcoloboma\tNN\tI-NP\tO' -p46511 -aS'was\tbe\tVBD\tB-VP\tO' -p46512 -aS'likely\tlikely\tRB\tB-ADJP\tO' -p46513 -aS'an\tan\tDT\tB-NP\tO' -p46514 -aS'isolated\tisolate\tVBN\tI-NP\tO' -p46515 -aS'anomaly\tanomaly\tRB\tB-ADVP\tO' -p46516 -aS'in\tin\tIN\tB-PP\tO' -p46517 -aS'the\tthe\tDT\tB-NP\tO' -p46518 -aS'absence\tabsence\tNN\tI-NP\tO' -p46519 -aS'of\tof\tIN\tB-PP\tO' -p46520 -aS'other\tother\tJJ\tB-NP\tO' -p46521 -aS'pathology\tpathology\tNN\tI-NP\tO' -p46522 -aS'.\t.\t.\tO\tO' -p46523 -asS'head , eyes , ears , nose and throat examination ; abrasions about his forehead , there was some minimal swelling associated .' -p46524 -(lp46525 -S'head\thead\tNN\tB-NP\tO' -p46526 -aS',\t,\t,\tI-NP\tO' -p46527 -aS'eyes\teye\tNNS\tI-NP\tO' -p46528 -aS',\t,\t,\tI-NP\tO' -p46529 -aS'ears\tear\tNNS\tI-NP\tO' -p46530 -aS',\t,\t,\tI-NP\tO' -p46531 -aS'nose\tnose\tNN\tI-NP\tO' -p46532 -aS'and\tand\tCC\tI-NP\tO' -p46533 -aS'throat\tthroat\tNN\tI-NP\tO' -p46534 -aS'examination\texamination\tNN\tI-NP\tO' -p46535 -aS';\t;\t:\tO\tO' -p46536 -aS'abrasions\tabrasion\tNNS\tB-NP\tO' -p46537 -aS'about\tabout\tIN\tB-PP\tO' -p46538 -aS'his\this\tPRP$\tB-NP\tO' -p46539 -aS'forehead\tforehead\tNN\tI-NP\tO' -p46540 -aS',\t,\t,\tO\tO' -p46541 -aS'there\tthere\tEX\tB-NP\tO' -p46542 -aS'was\tbe\tVBD\tB-VP\tO' -p46543 -aS'some\tsome\tDT\tB-NP\tO' -p46544 -aS'minimal\tminimal\tJJ\tI-NP\tO' -p46545 -aS'swelling\tswelling\tNN\tI-NP\tO' -p46546 -aS'associated\tassociate\tVBN\tB-VP\tO' -p46547 -aS'.\t.\t.\tO\tO' -p46548 -asS"5. Lovenox 40 mg / 0.4 mL Syringe Sig : 0.4 ML 's Subcutaneous once a day for 30 days ." -p46549 -(lp46550 -S'5.\t5.\tLS\tB-NP\tO' -p46551 -aS'Lovenox\tLovenox\tNNP\tI-NP\tO' -p46552 -aS'40\t40\tCD\tI-NP\tO' -p46553 -aS'mg\tmg\tNN\tI-NP\tO' -p46554 -aS'/\t/\tSYM\tB-NP\tO' -p46555 -aS'0.4\t0.4\tCD\tB-NP\tO' -p46556 -aS'mL\tmL\tNN\tI-NP\tO' -p46557 -aS'Syringe\tSyringe\tNNP\tI-NP\tO' -p46558 -aS'Sig\tSig\tNNP\tI-NP\tO' -p46559 -aS':\t:\t:\tO\tO' -p46560 -aS'0.4\t0.4\tCD\tB-NP\tO' -p46561 -aS'ML\tML\tNN\tI-NP\tO' -p46562 -aS"'s\t's\tPOS\tB-NP\tO" -p46563 -aS'Subcutaneous\tSubcutaneous\tJJ\tI-NP\tO' -p46564 -aS'once\tonce\tRB\tB-ADVP\tO' -p46565 -aS'a\ta\tDT\tB-NP\tO' -p46566 -aS'day\tday\tNN\tI-NP\tO' -p46567 -aS'for\tfor\tIN\tB-PP\tO' -p46568 -aS'30\t30\tCD\tB-NP\tO' -p46569 -aS'days\tday\tNNS\tI-NP\tO' -p46570 -aS'.\t.\t.\tO\tO' -p46571 -asS'No carotid bruits .' -p46572 -(lp46573 -S'No\tNo\tDT\tB-NP\tO' -p46574 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p46575 -aS'bruits\tbruit\tNNS\tI-NP\tO' -p46576 -aS'.\t.\t.\tO\tO' -p46577 -asS'A thoracentesis was done with removal of 1.5 liters of fluid .' -p46578 -(lp46579 -S'A\tA\tDT\tB-NP\tO' -p46580 -aS'thoracentesis\tthoracentesis\tNN\tI-NP\tO' -p46581 -aS'was\tbe\tVBD\tB-VP\tO' -p46582 -aS'done\tdo\tVBN\tI-VP\tO' -p46583 -aS'with\twith\tIN\tB-PP\tO' -p46584 -aS'removal\tremoval\tNN\tB-NP\tO' -p46585 -aS'of\tof\tIN\tB-PP\tO' -p46586 -aS'1.5\t1.5\tCD\tB-NP\tO' -p46587 -aS'liters\tliter\tNNS\tI-NP\tO' -p46588 -aS'of\tof\tIN\tB-PP\tO' -p46589 -aS'fluid\tfluid\tNN\tB-NP\tO' -p46590 -aS'.\t.\t.\tO\tO' -p46591 -asS'Decreased turgor with dry mucous membranes .' -p46592 -(lp46593 -S'Decreased\tDecrease\tVBN\tB-NP\tO' -p46594 -aS'turgor\tturgor\tNN\tI-NP\tO' -p46595 -aS'with\twith\tIN\tB-PP\tO' -p46596 -aS'dry\tdry\tJJ\tB-NP\tO' -p46597 -aS'mucous\tmucous\tJJ\tI-NP\tO' -p46598 -aS'membranes\tmembrane\tNNS\tI-NP\tO' -p46599 -aS'.\t.\t.\tO\tO' -p46600 -asS'-- Pt advised of medical risks of using cocaine' -p46601 -(lp46602 -S'--\t--\t:\tO\tO' -p46603 -aS'Pt\tPt\tNN\tB-NP\tO' -p46604 -aS'advised\tadvise\tVBN\tB-VP\tO' -p46605 -aS'of\tof\tIN\tB-PP\tO' -p46606 -aS'medical\tmedical\tJJ\tB-NP\tO' -p46607 -aS'risks\trisk\tNNS\tI-NP\tO' -p46608 -aS'of\tof\tIN\tB-PP\tO' -p46609 -aS'using\tuse\tVBG\tB-VP\tO' -p46610 -aS'cocaine\tcocaine\tNN\tB-NP\tO' -p46611 -asS'There is no hydrocephalus or midline shift seen .' -p46612 -(lp46613 -S'There\tThere\tEX\tB-NP\tO' -p46614 -aS'is\tbe\tVBZ\tB-VP\tO' -p46615 -aS'no\tno\tDT\tB-NP\tO' -p46616 -aS'hydrocephalus\thydrocephalus\tNN\tI-NP\tO' -p46617 -aS'or\tor\tCC\tI-NP\tO' -p46618 -aS'midline\tmidline\tNN\tI-NP\tO' -p46619 -aS'shift\tshift\tNN\tI-NP\tO' -p46620 -aS'seen\tsee\tVBN\tB-VP\tO' -p46621 -aS'.\t.\t.\tO\tO' -p46622 -asS'Chief Complaint : sp cardiac arrest / colitis' -p46623 -(lp46624 -S'Chief\tChief\tNNP\tB-NP\tO' -p46625 -aS'Complaint\tComplaint\tNNP\tI-NP\tO' -p46626 -aS':\t:\t:\tO\tO' -p46627 -aS'sp\tsp\tVB\tB-VP\tO' -p46628 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p46629 -aS'arrest\tarrest\tNN\tI-NP\tO' -p46630 -aS'/\t/\tSYM\tO\tO' -p46631 -aS'colitis\tcolitis\tNN\tB-NP\tO' -p46632 -asS'She was evaluated by Dr. Mielke , a Pulmonologist , who found her to be wheezing and performed pulmonary function tests which showed an FEV1 of 1.1 and an FVC of 1.8 .' -p46633 -(lp46634 -S'She\tShe\tPRP\tB-NP\tO' -p46635 -aS'was\tbe\tVBD\tB-VP\tO' -p46636 -aS'evaluated\tevaluate\tVBN\tI-VP\tO' -p46637 -aS'by\tby\tIN\tB-PP\tO' -p46638 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p46639 -aS'Mielke\tMielke\tNNP\tI-NP\tO' -p46640 -aS',\t,\t,\tO\tO' -p46641 -aS'a\ta\tDT\tB-NP\tO' -p46642 -aS'Pulmonologist\tPulmonologist\tNNP\tI-NP\tO' -p46643 -aS',\t,\t,\tO\tO' -p46644 -aS'who\twho\tWP\tB-NP\tO' -p46645 -aS'found\tfind\tVBD\tB-VP\tO' -p46646 -aS'her\ther\tPRP\tB-NP\tO' -p46647 -aS'to\tto\tTO\tB-VP\tO' -p46648 -aS'be\tbe\tVB\tI-VP\tO' -p46649 -aS'wheezing\twheeze\tVBG\tI-VP\tO' -p46650 -aS'and\tand\tCC\tO\tO' -p46651 -aS'performed\tperform\tVBN\tB-VP\tO' -p46652 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p46653 -aS'function\tfunction\tNN\tI-NP\tO' -p46654 -aS'tests\ttest\tNNS\tI-NP\tO' -p46655 -aS'which\twhich\tWDT\tB-NP\tO' -p46656 -aS'showed\tshow\tVBD\tB-VP\tO' -p46657 -aS'an\tan\tDT\tB-NP\tO' -p46658 -aS'FEV1\tFEV1\tNN\tI-NP\tO' -p46659 -aS'of\tof\tIN\tB-PP\tO' -p46660 -aS'1.1\t1.1\tCD\tB-NP\tO' -p46661 -aS'and\tand\tCC\tO\tO' -p46662 -aS'an\tan\tDT\tB-NP\tO' -p46663 -aS'FVC\tFVC\tNN\tI-NP\tO' -p46664 -aS'of\tof\tIN\tB-PP\tO' -p46665 -aS'1.8\t1.8\tCD\tB-NP\tO' -p46666 -aS'.\t.\t.\tO\tO' -p46667 -asS'It was felt that the patient should have an augmented medical regimen and as an outpatient undergo an exercise tolerance test with viability evaluation to determine whether he would benefit from revascularization .' -p46668 -(lp46669 -S'It\tIt\tPRP\tB-NP\tO' -p46670 -aS'was\tbe\tVBD\tB-VP\tO' -p46671 -aS'felt\tfeel\tVBN\tI-VP\tO' -p46672 -aS'that\tthat\tIN\tB-SBAR\tO' -p46673 -aS'the\tthe\tDT\tB-NP\tO' -p46674 -aS'patient\tpatient\tNN\tI-NP\tO' -p46675 -aS'should\tshould\tMD\tB-VP\tO' -p46676 -aS'have\thave\tVB\tI-VP\tO' -p46677 -aS'an\tan\tDT\tB-NP\tO' -p46678 -aS'augmented\taugmented\tJJ\tI-NP\tO' -p46679 -aS'medical\tmedical\tJJ\tI-NP\tO' -p46680 -aS'regimen\tregimen\tNN\tI-NP\tO' -p46681 -aS'and\tand\tCC\tB-PP\tO' -p46682 -aS'as\tas\tIN\tB-PP\tO' -p46683 -aS'an\tan\tDT\tB-NP\tO' -p46684 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p46685 -aS'undergo\tundergo\tVBP\tB-VP\tO' -p46686 -aS'an\tan\tDT\tB-NP\tO' -p46687 -aS'exercise\texercise\tNN\tI-NP\tO' -p46688 -aS'tolerance\ttolerance\tNN\tI-NP\tO' -p46689 -aS'test\ttest\tNN\tI-NP\tO' -p46690 -aS'with\twith\tIN\tB-PP\tO' -p46691 -aS'viability\tviability\tNN\tB-NP\tO' -p46692 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p46693 -aS'to\tto\tTO\tB-VP\tO' -p46694 -aS'determine\tdetermine\tVB\tI-VP\tO' -p46695 -aS'whether\twhether\tIN\tB-SBAR\tO' -p46696 -aS'he\the\tPRP\tB-NP\tO' -p46697 -aS'would\twould\tMD\tB-VP\tO' -p46698 -aS'benefit\tbenefit\tVB\tI-VP\tO' -p46699 -aS'from\tfrom\tIN\tB-PP\tO' -p46700 -aS'revascularization\trevascularization\tNN\tB-NP\tO' -p46701 -aS'.\t.\t.\tO\tO' -p46702 -asS'Dictated By : James Q. Mitchell , M.D.' -p46703 -(lp46704 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p46705 -aS'By\tBy\tIN\tB-PP\tO' -p46706 -aS':\t:\t:\tO\tO' -p46707 -aS'James\tJames\tNNP\tB-NP\tO' -p46708 -aS'Q.\tQ.\tNNP\tI-NP\tO' -p46709 -aS'Mitchell\tMitchell\tNNP\tI-NP\tO' -p46710 -aS',\t,\t,\tO\tO' -p46711 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p46712 -asS'6. Proteinuria .' -p46713 -(lp46714 -S'6.\t6.\tLS\tB-LST\tO' -p46715 -aS'Proteinuria\tProteinuria\tNNP\tB-NP\tO' -p46716 -aS'.\t.\t.\tO\tO' -p46717 -asS'b. A smoker in the household ,' -p46718 -(lp46719 -S'b.\tb.\tLS\tB-NP\tO' -p46720 -aS'A\tA\tNN\tI-NP\tO' -p46721 -aS'smoker\tsmoker\tNN\tI-NP\tO' -p46722 -aS'in\tin\tIN\tB-PP\tO' -p46723 -aS'the\tthe\tDT\tB-NP\tO' -p46724 -aS'household\thousehold\tNN\tI-NP\tO' -p46725 -aS',\t,\t,\tO\tO' -p46726 -asS'Mother has had multiple ultrasounds and fetal surveys at 17 and 21 weeks that had been unremarkable .' -p46727 -(lp46728 -S'Mother\tMother\tNNP\tB-NP\tO' -p46729 -aS'has\thave\tVBZ\tB-VP\tO' -p46730 -aS'had\thave\tVBN\tI-VP\tO' -p46731 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p46732 -aS'ultrasounds\tultrasound\tNNS\tI-NP\tO' -p46733 -aS'and\tand\tCC\tO\tO' -p46734 -aS'fetal\tfetal\tJJ\tB-NP\tO' -p46735 -aS'surveys\tsurvey\tNNS\tI-NP\tO' -p46736 -aS'at\tat\tIN\tB-PP\tO' -p46737 -aS'17\t17\tCD\tB-NP\tO' -p46738 -aS'and\tand\tCC\tI-NP\tO' -p46739 -aS'21\t21\tCD\tI-NP\tO' -p46740 -aS'weeks\tweek\tNNS\tI-NP\tO' -p46741 -aS'that\tthat\tWDT\tB-NP\tO' -p46742 -aS'had\thave\tVBD\tB-VP\tO' -p46743 -aS'been\tbe\tVBN\tI-VP\tO' -p46744 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p46745 -aS'.\t.\t.\tO\tO' -p46746 -asS'Nuchal cord was noted at delivery .' -p46747 -(lp46748 -S'Nuchal\tNuchal\tJJ\tB-NP\tO' -p46749 -aS'cord\tcord\tNN\tI-NP\tO' -p46750 -aS'was\tbe\tVBD\tB-VP\tO' -p46751 -aS'noted\tnote\tVBN\tI-VP\tO' -p46752 -aS'at\tat\tIN\tB-PP\tO' -p46753 -aS'delivery\tdelivery\tNN\tB-NP\tO' -p46754 -aS'.\t.\t.\tO\tO' -p46755 -asS'His Lopressor was increased another increment .' -p46756 -(lp46757 -S'His\tHis\tPRP$\tB-NP\tO' -p46758 -aS'Lopressor\tLopressor\tNN\tI-NP\tB-protein' -p46759 -aS'was\tbe\tVBD\tB-VP\tO' -p46760 -aS'increased\tincrease\tVBN\tI-VP\tO' -p46761 -aS'another\tanother\tDT\tB-NP\tO' -p46762 -aS'increment\tincrement\tNN\tI-NP\tO' -p46763 -aS'.\t.\t.\tO\tO' -p46764 -asS'Heme - Chronic Fe deficiency anemia , cont iron' -p46765 -(lp46766 -S'Heme\tHeme\tNN\tB-NP\tB-protein' -p46767 -aS'-\t-\tHYPH\tI-NP\tO' -p46768 -aS'Chronic\tChronic\tJJ\tI-NP\tO' -p46769 -aS'Fe\tFe\tNN\tI-NP\tO' -p46770 -aS'deficiency\tdeficiency\tNN\tI-NP\tO' -p46771 -aS'anemia\tanemia\tNN\tI-NP\tO' -p46772 -aS',\t,\t,\tO\tO' -p46773 -aS'cont\tcont\tNN\tB-NP\tO' -p46774 -aS'iron\tiron\tNN\tI-NP\tO' -p46775 -asS'He was also seen by the Electrophysiology service , his pacemaker was interrogated and working fine , with no signs of recent ventricular arrhythmia .' -p46776 -(lp46777 -S'He\tHe\tPRP\tB-NP\tO' -p46778 -aS'was\tbe\tVBD\tB-VP\tO' -p46779 -aS'also\talso\tRB\tI-VP\tO' -p46780 -aS'seen\tsee\tVBN\tI-VP\tO' -p46781 -aS'by\tby\tIN\tB-PP\tO' -p46782 -aS'the\tthe\tDT\tB-NP\tO' -p46783 -aS'Electrophysiology\tElectrophysiology\tNN\tI-NP\tO' -p46784 -aS'service\tservice\tNN\tI-NP\tO' -p46785 -aS',\t,\t,\tO\tO' -p46786 -aS'his\this\tPRP$\tB-NP\tO' -p46787 -aS'pacemaker\tpacemaker\tNN\tI-NP\tO' -p46788 -aS'was\tbe\tVBD\tB-VP\tO' -p46789 -aS'interrogated\tinterrogate\tVBN\tI-VP\tO' -p46790 -aS'and\tand\tCC\tO\tO' -p46791 -aS'working\twork\tVBG\tB-NP\tO' -p46792 -aS'fine\tfine\tNN\tI-NP\tO' -p46793 -aS',\t,\t,\tO\tO' -p46794 -aS'with\twith\tIN\tB-PP\tO' -p46795 -aS'no\tno\tDT\tB-NP\tO' -p46796 -aS'signs\tsign\tNNS\tI-NP\tO' -p46797 -aS'of\tof\tIN\tB-PP\tO' -p46798 -aS'recent\trecent\tJJ\tB-NP\tO' -p46799 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p46800 -aS'arrhythmia\tarrhythmia\tNN\tI-NP\tO' -p46801 -aS'.\t.\t.\tO\tO' -p46802 -asS"Her risk factors : Hypertension , tobacco abuse ( one pack per day times 45 years ), family history ( father diagnosed with coronary artery disease in his 50 's, patient 's mother had coronary artery disease , patient 's brother has coronary artery disease )." -p46803 -(lp46804 -S'Her\tHer\tPRP$\tB-NP\tB-protein' -p46805 -aS'risk\trisk\tNN\tI-NP\tI-protein' -p46806 -aS'factors\tfactor\tNNS\tI-NP\tI-protein' -p46807 -aS':\t:\t:\tO\tO' -p46808 -aS'Hypertension\tHypertension\tNN\tB-NP\tO' -p46809 -aS',\t,\t,\tO\tO' -p46810 -aS'tobacco\ttobacco\tNN\tB-NP\tO' -p46811 -aS'abuse\tabuse\tNN\tI-NP\tO' -p46812 -aS'(\t(\t(\tO\tO' -p46813 -aS'one\tone\tCD\tB-NP\tO' -p46814 -aS'pack\tpack\tNN\tI-NP\tO' -p46815 -aS'per\tper\tIN\tB-PP\tO' -p46816 -aS'day\tday\tNN\tB-NP\tO' -p46817 -aS'times\ttime\tNNS\tI-NP\tO' -p46818 -aS'45\t45\tCD\tB-NP\tO' -p46819 -aS'years\tyear\tNNS\tI-NP\tO' -p46820 -aS'),\t),\tIN\tB-PP\tO' -p46821 -aS'family\tfamily\tNN\tB-NP\tO' -p46822 -aS'history\thistory\tNN\tI-NP\tO' -p46823 -aS'(\t(\t(\tO\tO' -p46824 -aS'father\tfather\tNN\tB-NP\tO' -p46825 -aS'diagnosed\tdiagnose\tVBN\tB-VP\tO' -p46826 -aS'with\twith\tIN\tB-PP\tO' -p46827 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p46828 -aS'artery\tartery\tNN\tI-NP\tO' -p46829 -aS'disease\tdisease\tNN\tI-NP\tO' -p46830 -aS'in\tin\tIN\tB-PP\tO' -p46831 -aS'his\this\tPRP$\tB-NP\tO' -p46832 -aS'50\t50\tCD\tI-NP\tO' -p46833 -aS"'s,\t's,\tPOS\tB-NP\tO" -p46834 -aS'patient\tpatient\tNN\tI-NP\tO' -p46835 -aS"'s\t's\tPOS\tB-NP\tO" -p46836 -aS'mother\tmother\tNN\tI-NP\tO' -p46837 -aS'had\thave\tVBD\tB-VP\tO' -p46838 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p46839 -aS'artery\tartery\tNN\tI-NP\tO' -p46840 -aS'disease\tdisease\tNN\tI-NP\tO' -p46841 -aS',\t,\t,\tO\tO' -p46842 -aS'patient\tpatient\tNN\tB-NP\tO' -p46843 -aS"'s\t's\tPOS\tB-NP\tO" -p46844 -aS'brother\tbrother\tNN\tI-NP\tO' -p46845 -aS'has\thave\tVBZ\tB-VP\tO' -p46846 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p46847 -aS'artery\tartery\tNN\tI-NP\tO' -p46848 -aS'disease\tdisease\tNN\tI-NP\tO' -p46849 -aS').\t).\t.\tO\tO' -p46850 -asS'The aortic valve leaflets ( 3 ) are mildly thickened .' -p46851 -(lp46852 -S'The\tThe\tDT\tB-NP\tO' -p46853 -aS'aortic\taortic\tJJ\tI-NP\tO' -p46854 -aS'valve\tvalve\tNN\tI-NP\tO' -p46855 -aS'leaflets\tleaflet\tNNS\tI-NP\tO' -p46856 -aS'(\t(\t(\tO\tO' -p46857 -aS'3\t3\tCD\tB-NP\tO' -p46858 -aS')\t)\t)\tO\tO' -p46859 -aS'are\tbe\tVBP\tB-VP\tO' -p46860 -aS'mildly\tmildly\tRB\tI-VP\tO' -p46861 -aS'thickened\tthicken\tVBN\tI-VP\tO' -p46862 -aS'.\t.\t.\tO\tO' -p46863 -asS'A bioprosthetic aortic valve prosthesis is present .' -p46864 -(lp46865 -S'A\tA\tDT\tB-NP\tO' -p46866 -aS'bioprosthetic\tbioprosthetic\tJJ\tI-NP\tO' -p46867 -aS'aortic\taortic\tJJ\tI-NP\tO' -p46868 -aS'valve\tvalve\tNN\tI-NP\tO' -p46869 -aS'prosthesis\tprosthesis\tNN\tI-NP\tO' -p46870 -aS'is\tbe\tVBZ\tB-VP\tO' -p46871 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p46872 -aS'.\t.\t.\tO\tO' -p46873 -asS'The patient has been doing well on low flow nasal cannula. He has been tolerating p.o. ad lib feeds .' -p46874 -(lp46875 -S'The\tThe\tDT\tB-NP\tO' -p46876 -aS'patient\tpatient\tNN\tI-NP\tO' -p46877 -aS'has\thave\tVBZ\tB-VP\tO' -p46878 -aS'been\tbe\tVBN\tI-VP\tO' -p46879 -aS'doing\tdo\tVBG\tI-VP\tO' -p46880 -aS'well\twell\tRB\tB-ADVP\tO' -p46881 -aS'on\ton\tIN\tB-PP\tO' -p46882 -aS'low\tlow\tJJ\tB-NP\tO' -p46883 -aS'flow\tflow\tNN\tI-NP\tO' -p46884 -aS'nasal\tnasal\tJJ\tI-NP\tO' -p46885 -aS'cannula.\tcannula.\tNN\tI-NP\tO' -p46886 -aS'He\tHe\tPRP\tB-NP\tO' -p46887 -aS'has\thave\tVBZ\tB-VP\tO' -p46888 -aS'been\tbe\tVBN\tI-VP\tO' -p46889 -aS'tolerating\ttolerate\tVBG\tI-VP\tO' -p46890 -aS'p.o.\tp.o.\tFW\tB-NP\tO' -p46891 -aS'ad\tad\tNN\tI-NP\tO' -p46892 -aS'lib\tlib\tNN\tI-NP\tO' -p46893 -aS'feeds\tfeed\tNNS\tI-NP\tO' -p46894 -aS'.\t.\t.\tO\tO' -p46895 -asS'Ataxia with gait abnormality .' -p46896 -(lp46897 -S'Ataxia\tAtaxia\tNN\tB-NP\tO' -p46898 -aS'with\twith\tIN\tB-PP\tO' -p46899 -aS'gait\tgait\tNN\tB-NP\tO' -p46900 -aS'abnormality\tabnormality\tNN\tI-NP\tO' -p46901 -aS'.\t.\t.\tO\tO' -p46902 -asS'The right coronary artery had mild diffuse plaquing but no evidence of focal stenosis .' -p46903 -(lp46904 -S'The\tThe\tDT\tB-NP\tO' -p46905 -aS'right\tright\tJJ\tI-NP\tO' -p46906 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p46907 -aS'artery\tartery\tNN\tI-NP\tO' -p46908 -aS'had\thave\tVBD\tB-VP\tO' -p46909 -aS'mild\tmild\tJJ\tB-NP\tO' -p46910 -aS'diffuse\tdiffuse\tJJ\tI-NP\tO' -p46911 -aS'plaquing\tplaquing\tNN\tI-NP\tO' -p46912 -aS'but\tbut\tCC\tO\tO' -p46913 -aS'no\tno\tDT\tB-NP\tO' -p46914 -aS'evidence\tevidence\tNN\tI-NP\tO' -p46915 -aS'of\tof\tIN\tB-PP\tO' -p46916 -aS'focal\tfocal\tJJ\tB-NP\tO' -p46917 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p46918 -aS'.\t.\t.\tO\tO' -p46919 -asS'There was mildly reduced flow in the branches of the right middle cerebral artery compared to the left .' -p46920 -(lp46921 -S'There\tThere\tEX\tB-NP\tO' -p46922 -aS'was\tbe\tVBD\tB-VP\tO' -p46923 -aS'mildly\tmildly\tRB\tI-VP\tO' -p46924 -aS'reduced\treduce\tVBN\tB-NP\tO' -p46925 -aS'flow\tflow\tNN\tI-NP\tO' -p46926 -aS'in\tin\tIN\tB-PP\tO' -p46927 -aS'the\tthe\tDT\tB-NP\tO' -p46928 -aS'branches\tbranch\tNNS\tI-NP\tO' -p46929 -aS'of\tof\tIN\tB-PP\tO' -p46930 -aS'the\tthe\tDT\tB-NP\tO' -p46931 -aS'right\tright\tJJ\tI-NP\tO' -p46932 -aS'middle\tmiddle\tJJ\tI-NP\tO' -p46933 -aS'cerebral\tcerebral\tJJ\tI-NP\tO' -p46934 -aS'artery\tartery\tNN\tI-NP\tO' -p46935 -aS'compared\tcompare\tVBN\tB-VP\tO' -p46936 -aS'to\tto\tTO\tB-PP\tO' -p46937 -aS'the\tthe\tDT\tB-NP\tO' -p46938 -aS'left\tleft\tNN\tI-NP\tO' -p46939 -aS'.\t.\t.\tO\tO' -p46940 -asS'# ESRD : etiology likely 02-08 DM and HTN , pt tolerating HD well , and underwent dialysis without difficulty on 01-24 .' -p46941 -(lp46942 -S'#\t#\t#\tB-NP\tO' -p46943 -aS'ESRD\tESRD\tNNP\tI-NP\tO' -p46944 -aS':\t:\t:\tO\tO' -p46945 -aS'etiology\tetiology\tNN\tB-NP\tO' -p46946 -aS'likely\tlikely\tRB\tB-NP\tO' -p46947 -aS'02-08\t02-08\tCD\tI-NP\tO' -p46948 -aS'DM\tDM\tNN\tI-NP\tO' -p46949 -aS'and\tand\tCC\tI-NP\tO' -p46950 -aS'HTN\tHTN\tNN\tI-NP\tB-protein' -p46951 -aS',\t,\t,\tO\tO' -p46952 -aS'pt\tpt\tNN\tB-NP\tO' -p46953 -aS'tolerating\ttolerate\tVBG\tB-VP\tO' -p46954 -aS'HD\tHD\tNN\tB-NP\tO' -p46955 -aS'well\twell\tRB\tB-ADVP\tO' -p46956 -aS',\t,\t,\tO\tO' -p46957 -aS'and\tand\tCC\tO\tO' -p46958 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p46959 -aS'dialysis\tdialysis\tNN\tB-NP\tO' -p46960 -aS'without\twithout\tIN\tB-PP\tO' -p46961 -aS'difficulty\tdifficulty\tNN\tB-NP\tO' -p46962 -aS'on\ton\tIN\tB-PP\tO' -p46963 -aS'01-24\t01-24\tCD\tB-NP\tO' -p46964 -aS'.\t.\t.\tO\tO' -p46965 -asS'His last PTT on 05-16 was 68.3 .' -p46966 -(lp46967 -S'His\tHis\tPRP$\tB-NP\tO' -p46968 -aS'last\tlast\tJJ\tI-NP\tO' -p46969 -aS'PTT\tPTT\tNN\tI-NP\tO' -p46970 -aS'on\ton\tIN\tB-PP\tO' -p46971 -aS'05-16\t05-16\tCD\tB-NP\tO' -p46972 -aS'was\tbe\tVBD\tB-VP\tO' -p46973 -aS'68.3\t68.3\tCD\tB-NP\tO' -p46974 -aS'.\t.\t.\tO\tO' -p46975 -asS'Repleting potassium , magnesium , phosphorus as needed .' -p46976 -(lp46977 -S'Repleting\tReplete\tVBG\tB-VP\tO' -p46978 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p46979 -aS',\t,\t,\tO\tO' -p46980 -aS'magnesium\tmagnesium\tNN\tB-NP\tO' -p46981 -aS',\t,\t,\tO\tO' -p46982 -aS'phosphorus\tphosphorus\tNN\tB-NP\tO' -p46983 -aS'as\tas\tIN\tB-SBAR\tO' -p46984 -aS'needed\tneed\tVBN\tB-VP\tO' -p46985 -aS'.\t.\t.\tO\tO' -p46986 -asS'Pupils noted to be fixed and dilated at 14:10 .' -p46987 -(lp46988 -S'Pupils\tPupil\tNNS\tB-NP\tO' -p46989 -aS'noted\tnote\tVBD\tB-VP\tO' -p46990 -aS'to\tto\tTO\tI-VP\tO' -p46991 -aS'be\tbe\tVB\tI-VP\tO' -p46992 -aS'fixed\tfix\tVBN\tI-VP\tO' -p46993 -aS'and\tand\tCC\tI-VP\tO' -p46994 -aS'dilated\tdilate\tVBN\tI-VP\tO' -p46995 -aS'at\tat\tIN\tB-PP\tO' -p46996 -aS'14:10\t14:10\tCD\tB-NP\tO' -p46997 -aS'.\t.\t.\tO\tO' -p46998 -asS'He tolerated this procedure well .' -p46999 -(lp47000 -S'He\tHe\tPRP\tB-NP\tO' -p47001 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p47002 -aS'this\tthis\tDT\tB-NP\tO' -p47003 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p47004 -aS'well\twell\tRB\tB-ADVP\tO' -p47005 -aS'.\t.\t.\tO\tO' -p47006 -asS'Baby Thomas Moss was born at 39 and 1/2 weeks gestation to a 20-year-old gravida IV , para III , now IV woman .' -p47007 -(lp47008 -S'Baby\tBaby\tNNP\tB-NP\tO' -p47009 -aS'Thomas\tThomas\tNNP\tI-NP\tO' -p47010 -aS'Moss\tMoss\tNNP\tI-NP\tO' -p47011 -aS'was\tbe\tVBD\tB-VP\tO' -p47012 -aS'born\tbear\tVBN\tI-VP\tO' -p47013 -aS'at\tat\tIN\tB-PP\tO' -p47014 -aS'39\t39\tCD\tB-NP\tO' -p47015 -aS'and\tand\tCC\tI-NP\tO' -p47016 -aS'1/2\t1/2\tCD\tI-NP\tO' -p47017 -aS'weeks\tweek\tNNS\tI-NP\tO' -p47018 -aS'gestation\tgestation\tNN\tI-NP\tO' -p47019 -aS'to\tto\tTO\tB-PP\tO' -p47020 -aS'a\ta\tDT\tB-NP\tO' -p47021 -aS'20-year-old\t20-year-old\tJJ\tI-NP\tO' -p47022 -aS'gravida\tgravida\tNN\tI-NP\tO' -p47023 -aS'IV\tIV\tCD\tI-NP\tO' -p47024 -aS',\t,\t,\tO\tO' -p47025 -aS'para\tpara\tNN\tB-NP\tO' -p47026 -aS'III\tIII\tCD\tI-NP\tO' -p47027 -aS',\t,\t,\tO\tO' -p47028 -aS'now\tnow\tRB\tB-ADVP\tO' -p47029 -aS'IV\tIV\tCD\tB-NP\tO' -p47030 -aS'woman\twoman\tNN\tI-NP\tO' -p47031 -aS'.\t.\t.\tO\tO' -p47032 -asS'If her prothrombin time does not come into therapeutic range promptly , then surgery may be delayed .' -p47033 -(lp47034 -S'If\tIf\tIN\tB-SBAR\tO' -p47035 -aS'her\ther\tPRP$\tB-NP\tO' -p47036 -aS'prothrombin\tprothrombin\tNN\tI-NP\tO' -p47037 -aS'time\ttime\tNN\tI-NP\tO' -p47038 -aS'does\tdo\tVBZ\tB-VP\tO' -p47039 -aS'not\tnot\tRB\tI-VP\tO' -p47040 -aS'come\tcome\tVB\tI-VP\tO' -p47041 -aS'into\tinto\tIN\tB-PP\tO' -p47042 -aS'therapeutic\ttherapeutic\tJJ\tB-NP\tO' -p47043 -aS'range\trange\tNN\tI-NP\tO' -p47044 -aS'promptly\tpromptly\tRB\tB-ADVP\tO' -p47045 -aS',\t,\t,\tO\tO' -p47046 -aS'then\tthen\tRB\tB-ADVP\tO' -p47047 -aS'surgery\tsurgery\tNN\tB-NP\tO' -p47048 -aS'may\tmay\tMD\tB-VP\tO' -p47049 -aS'be\tbe\tVB\tI-VP\tO' -p47050 -aS'delayed\tdelay\tVBN\tI-VP\tO' -p47051 -aS'.\t.\t.\tO\tO' -p47052 -asS'The patient lives at Norwood in assisted living section .' -p47053 -(lp47054 -S'The\tThe\tDT\tB-NP\tO' -p47055 -aS'patient\tpatient\tNN\tI-NP\tO' -p47056 -aS'lives\tlive\tVBZ\tB-VP\tO' -p47057 -aS'at\tat\tIN\tB-PP\tO' -p47058 -aS'Norwood\tNorwood\tNNP\tB-NP\tO' -p47059 -aS'in\tin\tIN\tB-PP\tO' -p47060 -aS'assisted\tassist\tVBN\tB-NP\tO' -p47061 -aS'living\tliving\tNN\tI-NP\tO' -p47062 -aS'section\tsection\tNN\tI-NP\tO' -p47063 -aS'.\t.\t.\tO\tO' -p47064 -asS'The patient reported disorientation with Ambien and Halcyon .' -p47065 -(lp47066 -S'The\tThe\tDT\tB-NP\tO' -p47067 -aS'patient\tpatient\tNN\tI-NP\tO' -p47068 -aS'reported\treport\tVBD\tB-VP\tO' -p47069 -aS'disorientation\tdisorientation\tNN\tB-NP\tO' -p47070 -aS'with\twith\tIN\tB-PP\tO' -p47071 -aS'Ambien\tAmbien\tNNP\tB-NP\tO' -p47072 -aS'and\tand\tCC\tI-NP\tO' -p47073 -aS'Halcyon\tHalcyon\tNNP\tI-NP\tO' -p47074 -aS'.\t.\t.\tO\tO' -p47075 -asS'The nares were patent .' -p47076 -(lp47077 -S'The\tThe\tDT\tB-NP\tO' -p47078 -aS'nares\tnare\tNNS\tI-NP\tO' -p47079 -aS'were\tbe\tVBD\tB-VP\tO' -p47080 -aS'patent\tpatent\tNN\tB-NP\tO' -p47081 -aS'.\t.\t.\tO\tO' -p47082 -asS'Normal global and regional biventricular systolic function .' -p47083 -(lp47084 -S'Normal\tNormal\tJJ\tB-NP\tO' -p47085 -aS'global\tglobal\tJJ\tI-NP\tO' -p47086 -aS'and\tand\tCC\tI-NP\tO' -p47087 -aS'regional\tregional\tJJ\tI-NP\tO' -p47088 -aS'biventricular\tbiventricular\tJJ\tI-NP\tO' -p47089 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p47090 -aS'function\tfunction\tNN\tI-NP\tO' -p47091 -aS'.\t.\t.\tO\tO' -p47092 -asS'ST depressions V4 , 5 .' -p47093 -(lp47094 -S'ST\tST\tJJ\tB-NP\tO' -p47095 -aS'depressions\tdepression\tNNS\tI-NP\tO' -p47096 -aS'V4\tV4\tNN\tI-NP\tO' -p47097 -aS',\t,\t,\tO\tO' -p47098 -aS'5\t5\tCD\tB-NP\tO' -p47099 -aS'.\t.\t.\tO\tO' -p47100 -asS"In addition , the patient 's early postoperative course had a tremendous urine output ." -p47101 -(lp47102 -S'In\tIn\tIN\tB-PP\tO' -p47103 -aS'addition\taddition\tNN\tB-NP\tO' -p47104 -aS',\t,\t,\tO\tO' -p47105 -aS'the\tthe\tDT\tB-NP\tO' -p47106 -aS'patient\tpatient\tNN\tI-NP\tO' -p47107 -aS"'s\t's\tPOS\tB-NP\tO" -p47108 -aS'early\tearly\tJJ\tI-NP\tO' -p47109 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p47110 -aS'course\tcourse\tNN\tI-NP\tO' -p47111 -aS'had\thave\tVBD\tB-VP\tO' -p47112 -aS'a\ta\tDT\tB-NP\tO' -p47113 -aS'tremendous\ttremendous\tJJ\tI-NP\tO' -p47114 -aS'urine\turine\tNN\tI-NP\tO' -p47115 -aS'output\toutput\tNN\tI-NP\tO' -p47116 -aS'.\t.\t.\tO\tO' -p47117 -asS'His job as a computer programmer is unstable .' -p47118 -(lp47119 -S'His\tHis\tPRP$\tB-NP\tO' -p47120 -aS'job\tjob\tNN\tI-NP\tB-protein' -p47121 -aS'as\tas\tIN\tB-PP\tO' -p47122 -aS'a\ta\tDT\tB-NP\tO' -p47123 -aS'computer\tcomputer\tNN\tI-NP\tO' -p47124 -aS'programmer\tprogrammer\tNN\tI-NP\tO' -p47125 -aS'is\tbe\tVBZ\tB-VP\tO' -p47126 -aS'unstable\tunstable\tJJ\tB-ADJP\tO' -p47127 -aS'.\t.\t.\tO\tO' -p47128 -asS'1) Digoxin 0.125 mg p.o. q. day .' -p47129 -(lp47130 -S'1)\t1)\tLS\tB-LST\tO' -p47131 -aS'Digoxin\tDigoxin\tNN\tB-NP\tO' -p47132 -aS'0.125\t0.125\tCD\tI-NP\tO' -p47133 -aS'mg\tmg\tNN\tI-NP\tO' -p47134 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p47135 -aS'q.\tq.\tNN\tI-NP\tO' -p47136 -aS'day\tday\tNN\tI-NP\tO' -p47137 -aS'.\t.\t.\tO\tO' -p47138 -asS'The restraints were weaned off overnight although he became acutely agitated and they were replaced early on 08-31 .' -p47139 -(lp47140 -S'The\tThe\tDT\tB-NP\tO' -p47141 -aS'restraints\trestraint\tNNS\tI-NP\tO' -p47142 -aS'were\tbe\tVBD\tB-VP\tO' -p47143 -aS'weaned\twean\tVBN\tI-VP\tO' -p47144 -aS'off\toff\tRP\tB-PRT\tO' -p47145 -aS'overnight\tovernight\tRB\tB-ADVP\tO' -p47146 -aS'although\talthough\tIN\tB-SBAR\tO' -p47147 -aS'he\the\tPRP\tB-NP\tO' -p47148 -aS'became\tbecome\tVBD\tB-VP\tO' -p47149 -aS'acutely\tacutely\tRB\tB-ADJP\tO' -p47150 -aS'agitated\tagitate\tVBN\tI-ADJP\tO' -p47151 -aS'and\tand\tCC\tO\tO' -p47152 -aS'they\tthey\tPRP\tB-NP\tO' -p47153 -aS'were\tbe\tVBD\tB-VP\tO' -p47154 -aS'replaced\treplace\tVBN\tI-VP\tO' -p47155 -aS'early\tearly\tRB\tB-ADVP\tO' -p47156 -aS'on\ton\tIN\tB-PP\tO' -p47157 -aS'08-31\t08-31\tCD\tB-NP\tO' -p47158 -aS'.\t.\t.\tO\tO' -p47159 -asS'There is an air / fluid level within the right maxillary sinus - ? acute sinusitis , but acute blood cannot be excluded , in the setting of acute trauma .' -p47160 -(lp47161 -S'There\tThere\tEX\tB-NP\tO' -p47162 -aS'is\tbe\tVBZ\tB-VP\tO' -p47163 -aS'an\tan\tDT\tB-NP\tO' -p47164 -aS'air\tair\tNN\tI-NP\tO' -p47165 -aS'/\t/\tSYM\tI-NP\tO' -p47166 -aS'fluid\tfluid\tNN\tI-NP\tO' -p47167 -aS'level\tlevel\tNN\tI-NP\tO' -p47168 -aS'within\twithin\tIN\tB-PP\tO' -p47169 -aS'the\tthe\tDT\tB-NP\tO' -p47170 -aS'right\tright\tJJ\tI-NP\tO' -p47171 -aS'maxillary\tmaxillary\tJJ\tI-NP\tO' -p47172 -aS'sinus\tsinus\tNN\tI-NP\tO' -p47173 -aS'-\t-\tHYPH\tB-NP\tO' -p47174 -aS'?\t?\t.\tI-NP\tO' -p47175 -aS'acute\tacute\tJJ\tI-NP\tO' -p47176 -aS'sinusitis\tsinusitis\tNN\tI-NP\tO' -p47177 -aS',\t,\t,\tO\tO' -p47178 -aS'but\tbut\tCC\tO\tO' -p47179 -aS'acute\tacute\tJJ\tB-NP\tO' -p47180 -aS'blood\tblood\tNN\tI-NP\tO' -p47181 -aS'cannot\tcannot\tMD\tB-VP\tO' -p47182 -aS'be\tbe\tVB\tI-VP\tO' -p47183 -aS'excluded\texclude\tVBN\tI-VP\tO' -p47184 -aS',\t,\t,\tO\tO' -p47185 -aS'in\tin\tIN\tB-PP\tO' -p47186 -aS'the\tthe\tDT\tB-NP\tO' -p47187 -aS'setting\tsetting\tNN\tI-NP\tO' -p47188 -aS'of\tof\tIN\tB-PP\tO' -p47189 -aS'acute\tacute\tJJ\tB-NP\tO' -p47190 -aS'trauma\ttrauma\tNN\tI-NP\tO' -p47191 -aS'.\t.\t.\tO\tO' -p47192 -asS'The patient received ampicillin , Gentamycin and Flagyl empirically as well as Narcan to reverse fentanyl .' -p47193 -(lp47194 -S'The\tThe\tDT\tB-NP\tO' -p47195 -aS'patient\tpatient\tNN\tI-NP\tO' -p47196 -aS'received\treceive\tVBD\tB-VP\tO' -p47197 -aS'ampicillin\tampicillin\tNN\tB-NP\tO' -p47198 -aS',\t,\t,\tI-NP\tO' -p47199 -aS'Gentamycin\tGentamycin\tNN\tI-NP\tO' -p47200 -aS'and\tand\tCC\tI-NP\tO' -p47201 -aS'Flagyl\tFlagyl\tNN\tI-NP\tO' -p47202 -aS'empirically\tempirically\tRB\tO\tO' -p47203 -aS'as\tas\tRB\tB-CONJP\tO' -p47204 -aS'well\twell\tRB\tI-CONJP\tO' -p47205 -aS'as\tas\tIN\tI-CONJP\tO' -p47206 -aS'Narcan\tNarcan\tNNP\tB-NP\tO' -p47207 -aS'to\tto\tTO\tB-VP\tO' -p47208 -aS'reverse\treverse\tVB\tI-VP\tO' -p47209 -aS'fentanyl\tfentanyl\tNN\tB-NP\tO' -p47210 -aS'.\t.\t.\tO\tO' -p47211 -asS'FOLLOW-UP will be with Dr. Suot N. Dragtente and with her Venbonlea Health oncology fellows .' -p47212 -(lp47213 -S'FOLLOW-UP\tFOLLOW-UP\tNN\tB-NP\tO' -p47214 -aS'will\twill\tMD\tB-VP\tO' -p47215 -aS'be\tbe\tVB\tI-VP\tO' -p47216 -aS'with\twith\tIN\tB-PP\tO' -p47217 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p47218 -aS'Suot\tSuot\tNNP\tI-NP\tO' -p47219 -aS'N.\tN.\tNNP\tI-NP\tO' -p47220 -aS'Dragtente\tDragtente\tNNP\tI-NP\tO' -p47221 -aS'and\tand\tCC\tB-PP\tO' -p47222 -aS'with\twith\tIN\tB-PP\tO' -p47223 -aS'her\ther\tPRP$\tB-NP\tO' -p47224 -aS'Venbonlea\tVenbonlea\tNNP\tI-NP\tO' -p47225 -aS'Health\tHealth\tNNP\tI-NP\tO' -p47226 -aS'oncology\toncology\tNN\tI-NP\tO' -p47227 -aS'fellows\tfellow\tVBZ\tB-VP\tO' -p47228 -aS'.\t.\t.\tO\tO' -p47229 -asS'Liver slightly pulsatile but no enlarged .' -p47230 -(lp47231 -S'Liver\tLiver\tNN\tB-NP\tO' -p47232 -aS'slightly\tslightly\tRB\tB-ADJP\tO' -p47233 -aS'pulsatile\tpulsatile\tJJ\tI-ADJP\tO' -p47234 -aS'but\tbut\tCC\tO\tO' -p47235 -aS'no\tno\tDT\tB-NP\tO' -p47236 -aS'enlarged\tenlarged\tJJ\tI-NP\tO' -p47237 -aS'.\t.\t.\tO\tO' -p47238 -asS'Dictated By : Margaret BT Mahaffey , M.D.' -p47239 -(lp47240 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p47241 -aS'By\tBy\tIN\tB-PP\tO' -p47242 -aS':\t:\t:\tO\tO' -p47243 -aS'Margaret\tMargaret\tNNP\tB-NP\tO' -p47244 -aS'BT\tBT\tNNP\tI-NP\tO' -p47245 -aS'Mahaffey\tMahaffey\tNNP\tI-NP\tO' -p47246 -aS',\t,\t,\tO\tO' -p47247 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p47248 -asS'hypertension , poor dentition .' -p47249 -(lp47250 -S'hypertension\thypertension\tNN\tB-NP\tO' -p47251 -aS',\t,\t,\tO\tO' -p47252 -aS'poor\tpoor\tJJ\tB-NP\tO' -p47253 -aS'dentition\tdentition\tNN\tI-NP\tO' -p47254 -aS'.\t.\t.\tO\tO' -p47255 -asS'He should be n.p.o. until he has a repeat swallow evaluation which demonstrates his ability to swallow without aspiration .' -p47256 -(lp47257 -S'He\tHe\tPRP\tB-NP\tO' -p47258 -aS'should\tshould\tMD\tB-VP\tO' -p47259 -aS'be\tbe\tVB\tI-VP\tO' -p47260 -aS'n.p.o.\tn.p.o.\tRB\tB-ADVP\tO' -p47261 -aS'until\tuntil\tIN\tB-SBAR\tO' -p47262 -aS'he\the\tPRP\tB-NP\tO' -p47263 -aS'has\thave\tVBZ\tB-VP\tO' -p47264 -aS'a\ta\tDT\tB-NP\tO' -p47265 -aS'repeat\trepeat\tNN\tI-NP\tO' -p47266 -aS'swallow\tswallow\tNN\tI-NP\tO' -p47267 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p47268 -aS'which\twhich\tWDT\tB-NP\tO' -p47269 -aS'demonstrates\tdemonstrate\tVBZ\tB-VP\tO' -p47270 -aS'his\this\tPRP$\tB-NP\tO' -p47271 -aS'ability\tability\tNN\tI-NP\tO' -p47272 -aS'to\tto\tTO\tB-VP\tO' -p47273 -aS'swallow\tswallow\tVB\tI-VP\tO' -p47274 -aS'without\twithout\tIN\tB-PP\tO' -p47275 -aS'aspiration\taspiration\tNN\tB-NP\tO' -p47276 -aS'.\t.\t.\tO\tO' -p47277 -asS'Abdomen is soft , nontender , nondistended , no hepatosplenomegaly .' -p47278 -(lp47279 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p47280 -aS'is\tbe\tVBZ\tB-VP\tO' -p47281 -aS'soft\tsoft\tJJ\tB-NP\tO' -p47282 -aS',\t,\t,\tI-NP\tO' -p47283 -aS'nontender\tnontender\tJJ\tI-NP\tO' -p47284 -aS',\t,\t,\tI-NP\tO' -p47285 -aS'nondistended\tnondistended\tJJ\tI-NP\tO' -p47286 -aS',\t,\t,\tO\tO' -p47287 -aS'no\tno\tDT\tB-NP\tO' -p47288 -aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tI-NP\tO' -p47289 -aS'.\t.\t.\tO\tO' -p47290 -asS'There was a left cataract on the fundoscopic examination .' -p47291 -(lp47292 -S'There\tThere\tEX\tB-NP\tO' -p47293 -aS'was\tbe\tVBD\tB-VP\tO' -p47294 -aS'a\ta\tDT\tB-NP\tO' -p47295 -aS'left\tleft\tJJ\tI-NP\tO' -p47296 -aS'cataract\tcataract\tNN\tI-NP\tO' -p47297 -aS'on\ton\tIN\tB-PP\tO' -p47298 -aS'the\tthe\tDT\tB-NP\tO' -p47299 -aS'fundoscopic\tfundoscopic\tJJ\tI-NP\tO' -p47300 -aS'examination\texamination\tNN\tI-NP\tO' -p47301 -aS'.\t.\t.\tO\tO' -p47302 -asS'O positive , antibody negative , hepatitis B surface antigen negative , RPR nonreactive , GBS negative .' -p47303 -(lp47304 -S'O\tO\tNN\tB-NP\tO' -p47305 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p47306 -aS',\t,\t,\tO\tO' -p47307 -aS'antibody\tantibody\tNN\tB-NP\tO' -p47308 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p47309 -aS',\t,\t,\tO\tO' -p47310 -aS'hepatitis\thepatitis\tNN\tB-NP\tB-protein' -p47311 -aS'B\tB\tNN\tI-NP\tI-protein' -p47312 -aS'surface\tsurface\tNN\tI-NP\tI-protein' -p47313 -aS'antigen\tantigen\tNN\tI-NP\tI-protein' -p47314 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p47315 -aS',\t,\t,\tO\tO' -p47316 -aS'RPR\tRPR\tNN\tB-NP\tB-protein' -p47317 -aS'nonreactive\tnonreactive\tJJ\tI-NP\tO' -p47318 -aS',\t,\t,\tO\tO' -p47319 -aS'GBS\tGBS\tNNP\tB-NP\tO' -p47320 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p47321 -aS'.\t.\t.\tO\tO' -p47322 -asS'On 07-25 , his J-tube was noted to be obstructed but was able to be flushed by IR on 07-26 .' -p47323 -(lp47324 -S'On\tOn\tIN\tB-PP\tO' -p47325 -aS'07-25\t07-25\tCD\tB-NP\tO' -p47326 -aS',\t,\t,\tO\tO' -p47327 -aS'his\this\tPRP$\tB-NP\tO' -p47328 -aS'J-tube\tJ-tube\tNNP\tI-NP\tO' -p47329 -aS'was\tbe\tVBD\tB-VP\tO' -p47330 -aS'noted\tnote\tVBN\tI-VP\tO' -p47331 -aS'to\tto\tTO\tI-VP\tO' -p47332 -aS'be\tbe\tVB\tI-VP\tO' -p47333 -aS'obstructed\tobstruct\tVBN\tI-VP\tO' -p47334 -aS'but\tbut\tCC\tO\tO' -p47335 -aS'was\tbe\tVBD\tB-VP\tO' -p47336 -aS'able\table\tJJ\tB-ADJP\tO' -p47337 -aS'to\tto\tTO\tB-VP\tO' -p47338 -aS'be\tbe\tVB\tI-VP\tO' -p47339 -aS'flushed\tflush\tVBN\tI-VP\tO' -p47340 -aS'by\tby\tIN\tB-PP\tO' -p47341 -aS'IR\tIR\tNN\tB-NP\tB-protein' -p47342 -aS'on\ton\tIN\tB-PP\tO' -p47343 -aS'07-26\t07-26\tCD\tB-NP\tO' -p47344 -aS'.\t.\t.\tO\tO' -p47345 -asS'Coronary artery disease s/p Coronary Artery Bypass Graft x3' -p47346 -(lp47347 -S'Coronary\tCoronary\tJJ\tB-NP\tO' -p47348 -aS'artery\tartery\tNN\tI-NP\tO' -p47349 -aS'disease\tdisease\tNN\tI-NP\tO' -p47350 -aS's/p\ts/p\tNN\tI-NP\tO' -p47351 -aS'Coronary\tCoronary\tNNP\tI-NP\tO' -p47352 -aS'Artery\tArtery\tNNP\tI-NP\tO' -p47353 -aS'Bypass\tBypass\tNNP\tI-NP\tO' -p47354 -aS'Graft\tGraft\tNNP\tI-NP\tO' -p47355 -aS'x3\tx3\tNN\tI-NP\tO' -p47356 -asS'Follow up appointments listed below .' -p47357 -(lp47358 -S'Follow\tFollow\tVB\tB-VP\tO' -p47359 -aS'up\tup\tRP\tB-PRT\tO' -p47360 -aS'appointments\tappointment\tNNS\tB-NP\tO' -p47361 -aS'listed\tlist\tVBN\tB-VP\tO' -p47362 -aS'below\tbelow\tIN\tB-PP\tO' -p47363 -aS'.\t.\t.\tO\tO' -p47364 -asS'He denied any falls at home .' -p47365 -(lp47366 -S'He\tHe\tPRP\tB-NP\tO' -p47367 -aS'denied\tdeny\tVBD\tB-VP\tO' -p47368 -aS'any\tany\tDT\tB-NP\tO' -p47369 -aS'falls\tfall\tNNS\tI-NP\tO' -p47370 -aS'at\tat\tIN\tB-PP\tO' -p47371 -aS'home\thome\tNN\tB-NP\tO' -p47372 -aS'.\t.\t.\tO\tO' -p47373 -asS'HIV .' -p47374 -(lp47375 -S'HIV\tHIV\tNN\tB-NP\tO' -p47376 -aS'.\t.\t.\tO\tO' -p47377 -asS'Continue your Lovenox injections as instructed' -p47378 -(lp47379 -S'Continue\tContinue\tVB\tB-VP\tO' -p47380 -aS'your\tyour\tPRP$\tB-NP\tO' -p47381 -aS'Lovenox\tLovenox\tNNP\tI-NP\tO' -p47382 -aS'injections\tinjection\tNNS\tI-NP\tO' -p47383 -aS'as\tas\tIN\tB-SBAR\tO' -p47384 -aS'instructed\tinstruct\tVBN\tB-VP\tO' -p47385 -asS'So that has really improved .' -p47386 -(lp47387 -S'So\tSo\tIN\tO\tO' -p47388 -aS'that\tthat\tDT\tB-NP\tO' -p47389 -aS'has\thave\tVBZ\tB-VP\tO' -p47390 -aS'really\treally\tRB\tI-VP\tO' -p47391 -aS'improved\timprove\tVBN\tI-VP\tO' -p47392 -aS'.\t.\t.\tO\tO' -p47393 -asS'Arterial blood gas at 3 a.m. demonstrated 7.4/45/125 .' -p47394 -(lp47395 -S'Arterial\tArterial\tJJ\tB-NP\tO' -p47396 -aS'blood\tblood\tNN\tI-NP\tO' -p47397 -aS'gas\tgas\tNN\tI-NP\tO' -p47398 -aS'at\tat\tIN\tB-PP\tO' -p47399 -aS'3\t3\tCD\tB-NP\tO' -p47400 -aS'a.m.\ta.m.\tNN\tI-NP\tO' -p47401 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p47402 -aS'7.4/45/125\t7.4/45/125\tCD\tB-NP\tO' -p47403 -aS'.\t.\t.\tO\tO' -p47404 -asS'9. Absent septum pellucidum .' -p47405 -(lp47406 -S'9.\t9.\tLS\tB-NP\tO' -p47407 -aS'Absent\tAbsent\tJJ\tI-NP\tO' -p47408 -aS'septum\tseptum\tNN\tI-NP\tO' -p47409 -aS'pellucidum\tpellucidum\tNN\tI-NP\tO' -p47410 -aS'.\t.\t.\tO\tO' -p47411 -asS'Infant was treated with supplemental iron , and did not receive any blood transfusions .' -p47412 -(lp47413 -S'Infant\tInfant\tNN\tB-NP\tO' -p47414 -aS'was\tbe\tVBD\tB-VP\tO' -p47415 -aS'treated\ttreat\tVBN\tI-VP\tO' -p47416 -aS'with\twith\tIN\tB-PP\tO' -p47417 -aS'supplemental\tsupplemental\tJJ\tB-NP\tO' -p47418 -aS'iron\tiron\tNN\tI-NP\tO' -p47419 -aS',\t,\t,\tO\tO' -p47420 -aS'and\tand\tCC\tO\tO' -p47421 -aS'did\tdo\tVBD\tB-VP\tO' -p47422 -aS'not\tnot\tRB\tI-VP\tO' -p47423 -aS'receive\treceive\tVB\tI-VP\tO' -p47424 -aS'any\tany\tDT\tB-NP\tO' -p47425 -aS'blood\tblood\tNN\tI-NP\tO' -p47426 -aS'transfusions\ttransfusion\tNNS\tI-NP\tO' -p47427 -aS'.\t.\t.\tO\tO' -p47428 -asS'She also received a fourteen day course of Acyclovir which was begun on June 21 , 1998 for perianal lesions consistent with herpes simplex virus .' -p47429 -(lp47430 -S'She\tShe\tPRP\tB-NP\tO' -p47431 -aS'also\talso\tRB\tB-ADVP\tO' -p47432 -aS'received\treceive\tVBD\tB-VP\tO' -p47433 -aS'a\ta\tDT\tB-NP\tO' -p47434 -aS'fourteen\tfourteen\tCD\tI-NP\tO' -p47435 -aS'day\tday\tNN\tI-NP\tO' -p47436 -aS'course\tcourse\tNN\tI-NP\tO' -p47437 -aS'of\tof\tIN\tB-PP\tO' -p47438 -aS'Acyclovir\tAcyclovir\tNN\tB-NP\tO' -p47439 -aS'which\twhich\tWDT\tB-NP\tO' -p47440 -aS'was\tbe\tVBD\tB-VP\tO' -p47441 -aS'begun\tbegin\tVBN\tI-VP\tO' -p47442 -aS'on\ton\tIN\tB-PP\tO' -p47443 -aS'June\tJune\tNNP\tB-NP\tO' -p47444 -aS'21\t21\tCD\tI-NP\tO' -p47445 -aS',\t,\t,\tO\tO' -p47446 -aS'1998\t1998\tCD\tB-NP\tO' -p47447 -aS'for\tfor\tIN\tB-PP\tO' -p47448 -aS'perianal\tperianal\tJJ\tB-NP\tO' -p47449 -aS'lesions\tlesion\tNNS\tI-NP\tO' -p47450 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p47451 -aS'with\twith\tIN\tB-PP\tO' -p47452 -aS'herpes\therpes\tNN\tB-NP\tO' -p47453 -aS'simplex\tsimplex\tNN\tI-NP\tO' -p47454 -aS'virus\tvirus\tNN\tI-NP\tO' -p47455 -aS'.\t.\t.\tO\tO' -p47456 -asS'On admission the white blood count was 67.3 with a differential of 21% polys , 16% bands , 3% lymphocytes , 2% monocytes , 57% eosinophils and 1% myelocytes .' -p47457 -(lp47458 -S'On\tOn\tIN\tB-PP\tO' -p47459 -aS'admission\tadmission\tNN\tB-NP\tO' -p47460 -aS'the\tthe\tDT\tB-NP\tO' -p47461 -aS'white\twhite\tJJ\tI-NP\tO' -p47462 -aS'blood\tblood\tNN\tI-NP\tO' -p47463 -aS'count\tcount\tNN\tI-NP\tO' -p47464 -aS'was\tbe\tVBD\tB-VP\tO' -p47465 -aS'67.3\t67.3\tCD\tB-NP\tO' -p47466 -aS'with\twith\tIN\tB-PP\tO' -p47467 -aS'a\ta\tDT\tB-NP\tO' -p47468 -aS'differential\tdifferential\tNN\tI-NP\tO' -p47469 -aS'of\tof\tIN\tB-PP\tO' -p47470 -aS'21%\t21%\tCD\tB-NP\tO' -p47471 -aS'polys\tpoly\tNNS\tI-NP\tO' -p47472 -aS',\t,\t,\tO\tO' -p47473 -aS'16%\t16%\tNN\tB-NP\tO' -p47474 -aS'bands\tband\tNNS\tI-NP\tO' -p47475 -aS',\t,\t,\tO\tO' -p47476 -aS'3%\t3%\tNN\tB-NP\tB-cell_line' -p47477 -aS'lymphocytes\tlymphocyte\tNNS\tI-NP\tI-cell_line' -p47478 -aS',\t,\t,\tO\tO' -p47479 -aS'2%\t2%\tNN\tB-NP\tB-cell_type' -p47480 -aS'monocytes\tmonocyte\tNNS\tI-NP\tI-cell_type' -p47481 -aS',\t,\t,\tO\tO' -p47482 -aS'57%\t57%\tCD\tB-NP\tO' -p47483 -aS'eosinophils\teosinophil\tNNS\tI-NP\tB-cell_type' -p47484 -aS'and\tand\tCC\tO\tO' -p47485 -aS'1%\t1%\tNN\tB-NP\tB-cell_line' -p47486 -aS'myelocytes\tmyelocyte\tNNS\tI-NP\tI-cell_line' -p47487 -aS'.\t.\t.\tO\tO' -p47488 -asS'Neurologists at RIH felt she had a poor prognosis , but communication between the medical team and family was strained and transfer was arranged to Mediplex Rehab Hospital for a second opinion .' -p47489 -(lp47490 -S'Neurologists\tNeurologist\tNNS\tB-NP\tO' -p47491 -aS'at\tat\tIN\tB-PP\tO' -p47492 -aS'RIH\tRIH\tNN\tB-NP\tB-protein' -p47493 -aS'felt\tfeel\tVBD\tB-VP\tO' -p47494 -aS'she\tshe\tPRP\tB-NP\tO' -p47495 -aS'had\thave\tVBD\tB-VP\tO' -p47496 -aS'a\ta\tDT\tB-NP\tO' -p47497 -aS'poor\tpoor\tJJ\tI-NP\tO' -p47498 -aS'prognosis\tprognosis\tNN\tI-NP\tO' -p47499 -aS',\t,\t,\tO\tO' -p47500 -aS'but\tbut\tCC\tO\tO' -p47501 -aS'communication\tcommunication\tNN\tB-NP\tO' -p47502 -aS'between\tbetween\tIN\tB-PP\tO' -p47503 -aS'the\tthe\tDT\tB-NP\tO' -p47504 -aS'medical\tmedical\tJJ\tI-NP\tO' -p47505 -aS'team\tteam\tNN\tI-NP\tO' -p47506 -aS'and\tand\tCC\tI-NP\tO' -p47507 -aS'family\tfamily\tNN\tI-NP\tO' -p47508 -aS'was\tbe\tVBD\tB-VP\tO' -p47509 -aS'strained\tstrain\tVBN\tI-VP\tO' -p47510 -aS'and\tand\tCC\tO\tO' -p47511 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p47512 -aS'was\tbe\tVBD\tB-VP\tO' -p47513 -aS'arranged\tarrange\tVBN\tI-VP\tO' -p47514 -aS'to\tto\tTO\tB-PP\tO' -p47515 -aS'Mediplex\tMediplex\tNNP\tB-NP\tO' -p47516 -aS'Rehab\tRehab\tNNP\tI-NP\tO' -p47517 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p47518 -aS'for\tfor\tIN\tB-PP\tO' -p47519 -aS'a\ta\tDT\tB-NP\tO' -p47520 -aS'second\tsecond\tJJ\tI-NP\tO' -p47521 -aS'opinion\topinion\tNN\tI-NP\tO' -p47522 -aS'.\t.\t.\tO\tO' -p47523 -asS'Left humerus film series demonstrated no evidence of fracture or displacement .' -p47524 -(lp47525 -S'Left\tLeave\tVBN\tB-NP\tO' -p47526 -aS'humerus\thumerus\tJJ\tI-NP\tO' -p47527 -aS'film\tfilm\tNN\tI-NP\tO' -p47528 -aS'series\tseries\tNN\tI-NP\tO' -p47529 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p47530 -aS'no\tno\tDT\tB-NP\tO' -p47531 -aS'evidence\tevidence\tNN\tI-NP\tO' -p47532 -aS'of\tof\tIN\tB-PP\tO' -p47533 -aS'fracture\tfracture\tNN\tB-NP\tO' -p47534 -aS'or\tor\tCC\tI-NP\tO' -p47535 -aS'displacement\tdisplacement\tNN\tI-NP\tO' -p47536 -aS'.\t.\t.\tO\tO' -p47537 -asS'States he is not able to walk because of severe pain .' -p47538 -(lp47539 -S'States\tState\tNNS\tB-NP\tO' -p47540 -aS'he\the\tPRP\tB-NP\tO' -p47541 -aS'is\tbe\tVBZ\tB-VP\tO' -p47542 -aS'not\tnot\tRB\tO\tO' -p47543 -aS'able\table\tJJ\tB-ADJP\tO' -p47544 -aS'to\tto\tTO\tB-VP\tO' -p47545 -aS'walk\twalk\tVB\tI-VP\tO' -p47546 -aS'because\tbecause\tIN\tB-PP\tO' -p47547 -aS'of\tof\tIN\tI-PP\tO' -p47548 -aS'severe\tsevere\tJJ\tB-NP\tO' -p47549 -aS'pain\tpain\tNN\tI-NP\tO' -p47550 -aS'.\t.\t.\tO\tO' -p47551 -asS'The heart has a regular rate and rhythm with normal S1 , S2 .' -p47552 -(lp47553 -S'The\tThe\tDT\tB-NP\tO' -p47554 -aS'heart\theart\tNN\tI-NP\tO' -p47555 -aS'has\thave\tVBZ\tB-VP\tO' -p47556 -aS'a\ta\tDT\tB-NP\tO' -p47557 -aS'regular\tregular\tJJ\tI-NP\tO' -p47558 -aS'rate\trate\tNN\tI-NP\tO' -p47559 -aS'and\tand\tCC\tI-NP\tO' -p47560 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p47561 -aS'with\twith\tIN\tB-PP\tO' -p47562 -aS'normal\tnormal\tJJ\tB-NP\tO' -p47563 -aS'S1\tS1\tNN\tI-NP\tO' -p47564 -aS',\t,\t,\tO\tO' -p47565 -aS'S2\tS2\tNN\tB-NP\tB-protein' -p47566 -aS'.\t.\t.\tO\tO' -p47567 -asS'She was given 1 dose of nifedipine 2 days ago as a tocolytic without effect .' -p47568 -(lp47569 -S'She\tShe\tPRP\tB-NP\tO' -p47570 -aS'was\tbe\tVBD\tB-VP\tO' -p47571 -aS'given\tgive\tVBN\tI-VP\tO' -p47572 -aS'1\t1\tCD\tB-NP\tO' -p47573 -aS'dose\tdose\tNN\tI-NP\tO' -p47574 -aS'of\tof\tIN\tB-PP\tO' -p47575 -aS'nifedipine\tnifedipine\tNN\tB-NP\tO' -p47576 -aS'2\t2\tCD\tB-NP\tO' -p47577 -aS'days\tday\tNNS\tI-NP\tO' -p47578 -aS'ago\tago\tRB\tB-ADVP\tO' -p47579 -aS'as\tas\tIN\tB-PP\tO' -p47580 -aS'a\ta\tDT\tB-NP\tO' -p47581 -aS'tocolytic\ttocolytic\tJJ\tI-NP\tO' -p47582 -aS'without\twithout\tIN\tB-PP\tO' -p47583 -aS'effect\teffect\tNN\tB-NP\tO' -p47584 -aS'.\t.\t.\tO\tO' -p47585 -asS'Electrocardiogram at that time showed ST elevations and J point elevations in V2 through V4 .' -p47586 -(lp47587 -S'Electrocardiogram\tElectrocardiogram\tNN\tB-NP\tO' -p47588 -aS'at\tat\tIN\tB-PP\tO' -p47589 -aS'that\tthat\tDT\tB-NP\tO' -p47590 -aS'time\ttime\tNN\tI-NP\tO' -p47591 -aS'showed\tshow\tVBD\tB-VP\tO' -p47592 -aS'ST\tST\tJJ\tB-NP\tO' -p47593 -aS'elevations\televation\tNNS\tI-NP\tO' -p47594 -aS'and\tand\tCC\tO\tO' -p47595 -aS'J\tJ\tNN\tB-NP\tO' -p47596 -aS'point\tpoint\tNN\tI-NP\tO' -p47597 -aS'elevations\televation\tNNS\tI-NP\tO' -p47598 -aS'in\tin\tIN\tB-PP\tO' -p47599 -aS'V2\tV2\tNN\tB-NP\tO' -p47600 -aS'through\tthrough\tIN\tB-PP\tO' -p47601 -aS'V4\tV4\tNN\tB-NP\tB-protein' -p47602 -aS'.\t.\t.\tO\tO' -p47603 -asS'6. CHF with EF 25% on last echo on 2017-07-19' -p47604 -(lp47605 -S'6.\t6.\tLS\tB-NP\tO' -p47606 -aS'CHF\tCHF\tNN\tI-NP\tB-protein' -p47607 -aS'with\twith\tIN\tB-PP\tO' -p47608 -aS'EF\tEF\tNN\tB-NP\tB-protein' -p47609 -aS'25%\t25%\tNN\tI-NP\tI-protein' -p47610 -aS'on\ton\tIN\tB-PP\tO' -p47611 -aS'last\tlast\tJJ\tB-NP\tO' -p47612 -aS'echo\techo\tNN\tI-NP\tO' -p47613 -aS'on\ton\tIN\tB-PP\tO' -p47614 -aS'2017-07-19\t2017-07-19\tCD\tB-NP\tO' -p47615 -asS'He was noted to have some ventricular ectopy on Holter monitor .' -p47616 -(lp47617 -S'He\tHe\tPRP\tB-NP\tO' -p47618 -aS'was\tbe\tVBD\tB-VP\tO' -p47619 -aS'noted\tnote\tVBN\tI-VP\tO' -p47620 -aS'to\tto\tTO\tI-VP\tO' -p47621 -aS'have\thave\tVB\tI-VP\tO' -p47622 -aS'some\tsome\tDT\tB-NP\tO' -p47623 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p47624 -aS'ectopy\tectopy\tNN\tI-NP\tO' -p47625 -aS'on\ton\tIN\tB-PP\tO' -p47626 -aS'Holter\tHolter\tNNP\tB-NP\tO' -p47627 -aS'monitor\tmonitor\tNN\tI-NP\tO' -p47628 -aS'.\t.\t.\tO\tO' -p47629 -asS'The patient was extubated on arrival in the cardiac surgery recovery room but was on no drips .' -p47630 -(lp47631 -S'The\tThe\tDT\tB-NP\tO' -p47632 -aS'patient\tpatient\tNN\tI-NP\tO' -p47633 -aS'was\tbe\tVBD\tB-VP\tO' -p47634 -aS'extubated\textubate\tVBN\tI-VP\tO' -p47635 -aS'on\ton\tIN\tB-PP\tO' -p47636 -aS'arrival\tarrival\tNN\tB-NP\tO' -p47637 -aS'in\tin\tIN\tB-PP\tO' -p47638 -aS'the\tthe\tDT\tB-NP\tO' -p47639 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p47640 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p47641 -aS'recovery\trecovery\tNN\tI-NP\tO' -p47642 -aS'room\troom\tNN\tI-NP\tO' -p47643 -aS'but\tbut\tCC\tO\tO' -p47644 -aS'was\tbe\tVBD\tB-VP\tO' -p47645 -aS'on\ton\tIN\tB-PP\tO' -p47646 -aS'no\tno\tDT\tB-NP\tO' -p47647 -aS'drips\tdrip\tNNS\tI-NP\tO' -p47648 -aS'.\t.\t.\tO\tO' -p47649 -asS'4. Transplant nephrectomy .' -p47650 -(lp47651 -S'4.\t4.\tLS\tB-NP\tO' -p47652 -aS'Transplant\tTransplant\tNN\tI-NP\tO' -p47653 -aS'nephrectomy\tnephrectomy\tNN\tI-NP\tO' -p47654 -aS'.\t.\t.\tO\tO' -p47655 -asS'regular rate and rhythm without murmur .' -p47656 -(lp47657 -S'regular\tregular\tJJ\tB-NP\tO' -p47658 -aS'rate\trate\tNN\tI-NP\tO' -p47659 -aS'and\tand\tCC\tI-NP\tO' -p47660 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p47661 -aS'without\twithout\tIN\tB-PP\tO' -p47662 -aS'murmur\tmurmur\tNN\tB-NP\tO' -p47663 -aS'.\t.\t.\tO\tO' -p47664 -asS'Please see GI .' -p47665 -(lp47666 -S'Please\tPlease\tVB\tB-VP\tO' -p47667 -aS'see\tsee\tVB\tI-VP\tO' -p47668 -aS'GI\tGI\tNN\tB-NP\tO' -p47669 -aS'.\t.\t.\tO\tO' -p47670 -asS'4 ) Plaquenil 200 mg p.o. q. day .' -p47671 -(lp47672 -S'4\t4\tLS\tB-LST\tO' -p47673 -aS')\t)\t)\tO\tO' -p47674 -aS'Plaquenil\tPlaquenil\tNN\tB-NP\tO' -p47675 -aS'200\t200\tCD\tI-NP\tO' -p47676 -aS'mg\tmg\tNN\tI-NP\tO' -p47677 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p47678 -aS'q.\tq.\tNN\tI-NP\tO' -p47679 -aS'day\tday\tNN\tI-NP\tO' -p47680 -aS'.\t.\t.\tO\tO' -p47681 -asS'On day of life 15 , she was made NPO for a distended abdomen and a bilious spit .' -p47682 -(lp47683 -S'On\tOn\tIN\tB-PP\tO' -p47684 -aS'day\tday\tNN\tB-NP\tO' -p47685 -aS'of\tof\tIN\tB-PP\tO' -p47686 -aS'life\tlife\tNN\tB-NP\tO' -p47687 -aS'15\t15\tCD\tI-NP\tO' -p47688 -aS',\t,\t,\tO\tO' -p47689 -aS'she\tshe\tPRP\tB-NP\tO' -p47690 -aS'was\tbe\tVBD\tB-VP\tO' -p47691 -aS'made\tmake\tVBN\tI-VP\tO' -p47692 -aS'NPO\tNPO\tNNP\tB-NP\tO' -p47693 -aS'for\tfor\tIN\tB-PP\tO' -p47694 -aS'a\ta\tDT\tB-NP\tO' -p47695 -aS'distended\tdistended\tJJ\tI-NP\tO' -p47696 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p47697 -aS'and\tand\tCC\tO\tO' -p47698 -aS'a\ta\tDT\tB-NP\tO' -p47699 -aS'bilious\tbilious\tJJ\tI-NP\tO' -p47700 -aS'spit\tspit\tNN\tI-NP\tO' -p47701 -aS'.\t.\t.\tO\tO' -p47702 -asS'Transfer from Tewksbury State Hospital Hospital CMED CCU for neurologic compromise , at request of family for second opinion .' -p47703 -(lp47704 -S'Transfer\tTransfer\tNNP\tB-NP\tO' -p47705 -aS'from\tfrom\tIN\tB-PP\tO' -p47706 -aS'Tewksbury\tTewksbury\tNNP\tB-NP\tO' -p47707 -aS'State\tState\tNNP\tI-NP\tO' -p47708 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p47709 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p47710 -aS'CMED\tCMED\tNNP\tI-NP\tO' -p47711 -aS'CCU\tCCU\tNNP\tI-NP\tO' -p47712 -aS'for\tfor\tIN\tB-PP\tO' -p47713 -aS'neurologic\tneurologic\tJJ\tB-NP\tO' -p47714 -aS'compromise\tcompromise\tNN\tI-NP\tO' -p47715 -aS',\t,\t,\tO\tO' -p47716 -aS'at\tat\tIN\tB-PP\tO' -p47717 -aS'request\trequest\tNN\tB-NP\tO' -p47718 -aS'of\tof\tIN\tB-PP\tO' -p47719 -aS'family\tfamily\tNN\tB-NP\tO' -p47720 -aS'for\tfor\tIN\tB-PP\tO' -p47721 -aS'second\tsecond\tJJ\tB-NP\tO' -p47722 -aS'opinion\topinion\tNN\tI-NP\tO' -p47723 -aS'.\t.\t.\tO\tO' -p47724 -asS'Review of bone windows demonstrates no skull bulge or skull base fracture .' -p47725 -(lp47726 -S'Review\tReview\tNN\tB-NP\tO' -p47727 -aS'of\tof\tIN\tB-PP\tO' -p47728 -aS'bone\tbone\tNN\tB-NP\tO' -p47729 -aS'windows\twindow\tNNS\tI-NP\tO' -p47730 -aS'demonstrates\tdemonstrate\tVBZ\tB-VP\tO' -p47731 -aS'no\tno\tDT\tB-NP\tO' -p47732 -aS'skull\tskull\tNN\tI-NP\tO' -p47733 -aS'bulge\tbulge\tNN\tI-NP\tO' -p47734 -aS'or\tor\tCC\tI-NP\tO' -p47735 -aS'skull\tskull\tNN\tI-NP\tO' -p47736 -aS'base\tbase\tNN\tI-NP\tO' -p47737 -aS'fracture\tfracture\tNN\tI-NP\tO' -p47738 -aS'.\t.\t.\tO\tO' -p47739 -asS'PPX : SC heparin , bowel regimen , nicotine patch' -p47740 -(lp47741 -S'PPX\tPPX\tNN\tB-NP\tB-protein' -p47742 -aS':\t:\t:\tO\tO' -p47743 -aS'SC\tSC\tNN\tB-NP\tO' -p47744 -aS'heparin\theparin\tNN\tI-NP\tO' -p47745 -aS',\t,\t,\tO\tO' -p47746 -aS'bowel\tbowel\tNN\tB-NP\tO' -p47747 -aS'regimen\tregimen\tNN\tI-NP\tO' -p47748 -aS',\t,\t,\tO\tO' -p47749 -aS'nicotine\tnicotine\tNN\tB-NP\tO' -p47750 -aS'patch\tpatch\tNN\tI-NP\tO' -p47751 -asS'His symptoms mildly improved after eating a candy bar .' -p47752 -(lp47753 -S'His\tHis\tPRP$\tB-NP\tO' -p47754 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p47755 -aS'mildly\tmildly\tRB\tB-VP\tO' -p47756 -aS'improved\timprove\tVBD\tI-VP\tO' -p47757 -aS'after\tafter\tIN\tB-PP\tO' -p47758 -aS'eating\teat\tVBG\tB-VP\tO' -p47759 -aS'a\ta\tDT\tB-NP\tO' -p47760 -aS'candy\tcandy\tNN\tI-NP\tO' -p47761 -aS'bar\tbar\tNN\tI-NP\tO' -p47762 -aS'.\t.\t.\tO\tO' -p47763 -asS'Examination was clear to auscultation .' -p47764 -(lp47765 -S'Examination\tExamination\tNN\tB-NP\tO' -p47766 -aS'was\tbe\tVBD\tB-VP\tO' -p47767 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p47768 -aS'to\tto\tTO\tB-PP\tO' -p47769 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p47770 -aS'.\t.\t.\tO\tO' -p47771 -asS'At the time of discharge , he is taking Enfamil 20 calories / ounce with iron .' -p47772 -(lp47773 -S'At\tAt\tIN\tB-PP\tO' -p47774 -aS'the\tthe\tDT\tB-NP\tO' -p47775 -aS'time\ttime\tNN\tI-NP\tO' -p47776 -aS'of\tof\tIN\tB-PP\tO' -p47777 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p47778 -aS',\t,\t,\tO\tO' -p47779 -aS'he\the\tPRP\tB-NP\tO' -p47780 -aS'is\tbe\tVBZ\tB-VP\tO' -p47781 -aS'taking\ttake\tVBG\tI-VP\tO' -p47782 -aS'Enfamil\tEnfamil\tNNP\tB-NP\tO' -p47783 -aS'20\t20\tCD\tI-NP\tO' -p47784 -aS'calories\tcalorie\tNNS\tI-NP\tO' -p47785 -aS'/\t/\tSYM\tB-NP\tO' -p47786 -aS'ounce\tounce\tNN\tI-NP\tO' -p47787 -aS'with\twith\tIN\tB-PP\tO' -p47788 -aS'iron\tiron\tNN\tB-NP\tO' -p47789 -aS'.\t.\t.\tO\tO' -p47790 -asS"On 06-28 , the patient experienced PVC 's ." -p47791 -(lp47792 -S'On\tOn\tIN\tB-PP\tO' -p47793 -aS'06-28\t06-28\tCD\tB-NP\tO' -p47794 -aS',\t,\t,\tO\tO' -p47795 -aS'the\tthe\tDT\tB-NP\tO' -p47796 -aS'patient\tpatient\tNN\tI-NP\tO' -p47797 -aS'experienced\texperience\tVBD\tB-VP\tO' -p47798 -aS'PVC\tPVC\tNN\tB-NP\tO' -p47799 -aS"'s\t's\tPOS\tB-NP\tO" -p47800 -aS'.\t.\t.\tO\tO' -p47801 -asS'Protonix 20 mg q. 24 hours .' -p47802 -(lp47803 -S'Protonix\tProtonix\tNN\tB-NP\tO' -p47804 -aS'20\t20\tCD\tI-NP\tO' -p47805 -aS'mg\tmg\tNN\tI-NP\tO' -p47806 -aS'q.\tq.\tNN\tI-NP\tO' -p47807 -aS'24\t24\tCD\tB-NP\tO' -p47808 -aS'hours\thour\tNNS\tI-NP\tO' -p47809 -aS'.\t.\t.\tO\tO' -p47810 -asS'2) born between 32 and 35 weeks with plans for daycare during RSV season , with a smoker in the household , or with preschool siblings , or' -p47811 -(lp47812 -S'2)\t2)\tLS\tB-LST\tO' -p47813 -aS'born\tbear\tVBN\tB-VP\tO' -p47814 -aS'between\tbetween\tIN\tB-PP\tO' -p47815 -aS'32\t32\tCD\tB-NP\tO' -p47816 -aS'and\tand\tCC\tI-NP\tO' -p47817 -aS'35\t35\tCD\tI-NP\tO' -p47818 -aS'weeks\tweek\tNNS\tI-NP\tO' -p47819 -aS'with\twith\tIN\tB-PP\tO' -p47820 -aS'plans\tplan\tNNS\tB-NP\tO' -p47821 -aS'for\tfor\tIN\tB-PP\tO' -p47822 -aS'daycare\tdaycare\tNN\tB-NP\tO' -p47823 -aS'during\tduring\tIN\tB-PP\tO' -p47824 -aS'RSV\tRSV\tNN\tB-NP\tO' -p47825 -aS'season\tseason\tNN\tI-NP\tO' -p47826 -aS',\t,\t,\tO\tO' -p47827 -aS'with\twith\tIN\tB-PP\tO' -p47828 -aS'a\ta\tDT\tB-NP\tO' -p47829 -aS'smoker\tsmoker\tNN\tI-NP\tO' -p47830 -aS'in\tin\tIN\tB-PP\tO' -p47831 -aS'the\tthe\tDT\tB-NP\tO' -p47832 -aS'household\thousehold\tNN\tI-NP\tO' -p47833 -aS',\t,\t,\tO\tO' -p47834 -aS'or\tor\tCC\tO\tO' -p47835 -aS'with\twith\tIN\tB-PP\tO' -p47836 -aS'preschool\tpreschool\tNN\tB-NP\tO' -p47837 -aS'siblings\tsibling\tNNS\tI-NP\tO' -p47838 -aS',\t,\t,\tO\tO' -p47839 -aS'or\tor\tCC\tO\tO' -p47840 -asS'There was no evidence of MVP .' -p47841 -(lp47842 -S'There\tThere\tEX\tB-NP\tO' -p47843 -aS'was\tbe\tVBD\tB-VP\tO' -p47844 -aS'no\tno\tDT\tB-NP\tO' -p47845 -aS'evidence\tevidence\tNN\tI-NP\tO' -p47846 -aS'of\tof\tIN\tB-PP\tO' -p47847 -aS'MVP\tMVP\tNN\tB-NP\tB-protein' -p47848 -aS'.\t.\t.\tO\tO' -p47849 -asS'Cardiac - RRR .' -p47850 -(lp47851 -S'Cardiac\tCardiac\tJJ\tB-NP\tO' -p47852 -aS'-\t-\tHYPH\tI-NP\tO' -p47853 -aS'RRR\tRRR\tNN\tI-NP\tB-protein' -p47854 -aS'.\t.\t.\tO\tO' -p47855 -asS'The patient originally presented to her PCP approximately one week prior to admission here with increasing cough , dyspnea and fatigue .' -p47856 -(lp47857 -S'The\tThe\tDT\tB-NP\tO' -p47858 -aS'patient\tpatient\tNN\tI-NP\tO' -p47859 -aS'originally\toriginally\tRB\tB-VP\tO' -p47860 -aS'presented\tpresent\tVBN\tI-VP\tO' -p47861 -aS'to\tto\tTO\tB-PP\tO' -p47862 -aS'her\ther\tPRP$\tB-NP\tO' -p47863 -aS'PCP\tPCP\tNN\tI-NP\tB-protein' -p47864 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p47865 -aS'one\tone\tCD\tI-NP\tO' -p47866 -aS'week\tweek\tNN\tI-NP\tO' -p47867 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p47868 -aS'to\tto\tTO\tB-PP\tO' -p47869 -aS'admission\tadmission\tNN\tB-NP\tO' -p47870 -aS'here\there\tRB\tB-ADVP\tO' -p47871 -aS'with\twith\tIN\tB-PP\tO' -p47872 -aS'increasing\tincrease\tVBG\tB-NP\tO' -p47873 -aS'cough\tcough\tNN\tI-NP\tO' -p47874 -aS',\t,\t,\tI-NP\tO' -p47875 -aS'dyspnea\tdyspnea\tNN\tI-NP\tO' -p47876 -aS'and\tand\tCC\tI-NP\tO' -p47877 -aS'fatigue\tfatigue\tNN\tI-NP\tO' -p47878 -aS'.\t.\t.\tO\tO' -p47879 -asS'He was started on IV ig and IV Solu-Medrol for a diagnosis of myasthenia gravis given his past history of thymoma .' -p47880 -(lp47881 -S'He\tHe\tPRP\tB-NP\tO' -p47882 -aS'was\tbe\tVBD\tB-VP\tO' -p47883 -aS'started\tstart\tVBN\tI-VP\tO' -p47884 -aS'on\ton\tIN\tB-PP\tO' -p47885 -aS'IV\tIV\tCD\tB-NP\tO' -p47886 -aS'ig\tig\tNN\tI-NP\tO' -p47887 -aS'and\tand\tCC\tO\tO' -p47888 -aS'IV\tIV\tCD\tB-NP\tO' -p47889 -aS'Solu-Medrol\tSolu-Medrol\tNN\tI-NP\tO' -p47890 -aS'for\tfor\tIN\tB-PP\tO' -p47891 -aS'a\ta\tDT\tB-NP\tO' -p47892 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p47893 -aS'of\tof\tIN\tB-PP\tO' -p47894 -aS'myasthenia\tmyasthenia\tNN\tB-NP\tO' -p47895 -aS'gravis\tgravis\tNN\tI-NP\tO' -p47896 -aS'given\tgive\tVBN\tB-VP\tO' -p47897 -aS'his\this\tPRP$\tB-NP\tO' -p47898 -aS'past\tpast\tJJ\tI-NP\tO' -p47899 -aS'history\thistory\tNN\tI-NP\tO' -p47900 -aS'of\tof\tIN\tB-PP\tO' -p47901 -aS'thymoma\tthymoma\tNN\tB-NP\tO' -p47902 -aS'.\t.\t.\tO\tO' -p47903 -asS'His peak serum bilirubin occurred on day of life three with a total of 8.3 / 0.2 direct , 8.1 indirect mg/dl .' -p47904 -(lp47905 -S'His\tHis\tPRP$\tB-NP\tO' -p47906 -aS'peak\tpeak\tJJ\tI-NP\tO' -p47907 -aS'serum\tserum\tNN\tI-NP\tO' -p47908 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p47909 -aS'occurred\toccur\tVBD\tB-VP\tO' -p47910 -aS'on\ton\tIN\tB-PP\tO' -p47911 -aS'day\tday\tNN\tB-NP\tO' -p47912 -aS'of\tof\tIN\tB-PP\tO' -p47913 -aS'life\tlife\tNN\tB-NP\tO' -p47914 -aS'three\tthree\tCD\tB-NP\tO' -p47915 -aS'with\twith\tIN\tB-PP\tO' -p47916 -aS'a\ta\tDT\tB-NP\tO' -p47917 -aS'total\ttotal\tNN\tI-NP\tO' -p47918 -aS'of\tof\tIN\tB-PP\tO' -p47919 -aS'8.3\t8.3\tCD\tB-NP\tO' -p47920 -aS'/\t/\tSYM\tI-NP\tO' -p47921 -aS'0.2\t0.2\tCD\tI-NP\tO' -p47922 -aS'direct\tdirect\tJJ\tI-NP\tO' -p47923 -aS',\t,\t,\tI-NP\tO' -p47924 -aS'8.1\t8.1\tCD\tI-NP\tO' -p47925 -aS'indirect\tindirect\tJJ\tI-NP\tO' -p47926 -aS'mg/dl\tmg/dl\tNN\tI-NP\tO' -p47927 -aS'.\t.\t.\tO\tO' -p47928 -asS'Walks with walker .' -p47929 -(lp47930 -S'Walks\tWalk\tNNS\tB-NP\tO' -p47931 -aS'with\twith\tIN\tB-PP\tO' -p47932 -aS'walker\twalker\tNN\tB-NP\tO' -p47933 -aS'.\t.\t.\tO\tO' -p47934 -asS'Chest x-ray there revealed bilateral pulmonary infiltrates with increasing pleural effusion .' -p47935 -(lp47936 -S'Chest\tCh\tJJS\tB-NP\tO' -p47937 -aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' -p47938 -aS'there\tthere\tRB\tB-ADVP\tO' -p47939 -aS'revealed\treveal\tVBD\tB-VP\tO' -p47940 -aS'bilateral\tbilateral\tJJ\tB-NP\tB-cell_type' -p47941 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tI-cell_type' -p47942 -aS'infiltrates\tinfiltrate\tNNS\tI-NP\tI-cell_type' -p47943 -aS'with\twith\tIN\tB-PP\tO' -p47944 -aS'increasing\tincrease\tVBG\tB-NP\tO' -p47945 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p47946 -aS'effusion\teffusion\tNN\tI-NP\tO' -p47947 -aS'.\t.\t.\tO\tO' -p47948 -asS'On 1/5 , the patient underwent a local tumor debulking at Bri Health under local anesthesia .' -p47949 -(lp47950 -S'On\tOn\tIN\tB-PP\tO' -p47951 -aS'1/5\t1/5\tCD\tB-NP\tO' -p47952 -aS',\t,\t,\tO\tO' -p47953 -aS'the\tthe\tDT\tB-NP\tO' -p47954 -aS'patient\tpatient\tNN\tI-NP\tO' -p47955 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p47956 -aS'a\ta\tDT\tB-NP\tO' -p47957 -aS'local\tlocal\tJJ\tI-NP\tO' -p47958 -aS'tumor\ttumor\tNN\tI-NP\tO' -p47959 -aS'debulking\tdebulke\tVBG\tB-VP\tO' -p47960 -aS'at\tat\tIN\tB-PP\tO' -p47961 -aS'Bri\tBri\tNNP\tB-NP\tO' -p47962 -aS'Health\tHealth\tNNP\tI-NP\tO' -p47963 -aS'under\tunder\tIN\tB-PP\tO' -p47964 -aS'local\tlocal\tJJ\tB-NP\tO' -p47965 -aS'anesthesia\tanesthesia\tNN\tI-NP\tO' -p47966 -aS'.\t.\t.\tO\tO' -p47967 -asS'2019-10-10 via ambulance after falling 15-20 feet onto concrete .' -p47968 -(lp47969 -S'2019-10-10\t2019-10-10\tCD\tB-NP\tO' -p47970 -aS'via\tvia\tIN\tB-PP\tO' -p47971 -aS'ambulance\tambulance\tNN\tB-NP\tO' -p47972 -aS'after\tafter\tIN\tB-PP\tO' -p47973 -aS'falling\tfall\tVBG\tB-VP\tO' -p47974 -aS'15-20\t15-20\tCD\tB-NP\tO' -p47975 -aS'feet\tfoot\tNNS\tI-NP\tO' -p47976 -aS'onto\tonto\tIN\tB-PP\tO' -p47977 -aS'concrete\tconcrete\tNN\tB-NP\tO' -p47978 -aS'.\t.\t.\tO\tO' -p47979 -asS'Interval development of large left pneumothorax with almost complete collapse of the left lung .' -p47980 -(lp47981 -S'Interval\tInterval\tJJ\tB-NP\tO' -p47982 -aS'development\tdevelopment\tNN\tI-NP\tO' -p47983 -aS'of\tof\tIN\tB-PP\tO' -p47984 -aS'large\tlarge\tJJ\tB-NP\tO' -p47985 -aS'left\tleft\tJJ\tI-NP\tO' -p47986 -aS'pneumothorax\tpneumothorax\tNN\tI-NP\tO' -p47987 -aS'with\twith\tIN\tB-PP\tO' -p47988 -aS'almost\talmost\tRB\tB-NP\tO' -p47989 -aS'complete\tcomplete\tJJ\tI-NP\tO' -p47990 -aS'collapse\tcollapse\tNN\tI-NP\tO' -p47991 -aS'of\tof\tIN\tB-PP\tO' -p47992 -aS'the\tthe\tDT\tB-NP\tO' -p47993 -aS'left\tleft\tJJ\tI-NP\tO' -p47994 -aS'lung\tlung\tNN\tI-NP\tO' -p47995 -aS'.\t.\t.\tO\tO' -p47996 -asS'RESPIRATORY : He has been stable in room air throughout hospital course .' -p47997 -(lp47998 -S'RESPIRATORY\tRESPIRATORY\tNN\tB-NP\tO' -p47999 -aS':\t:\t:\tO\tO' -p48000 -aS'He\tHe\tPRP\tB-NP\tO' -p48001 -aS'has\thave\tVBZ\tB-VP\tO' -p48002 -aS'been\tbe\tVBN\tI-VP\tO' -p48003 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p48004 -aS'in\tin\tIN\tB-PP\tO' -p48005 -aS'room\troom\tNN\tB-NP\tO' -p48006 -aS'air\tair\tNN\tI-NP\tO' -p48007 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p48008 -aS'hospital\thospital\tNN\tB-NP\tO' -p48009 -aS'course\tcourse\tNN\tI-NP\tO' -p48010 -aS'.\t.\t.\tO\tO' -p48011 -asS'The differential diagnosis included viral pneumonitis , Mycoplasma , Chlamydia .' -p48012 -(lp48013 -S'The\tThe\tDT\tB-NP\tO' -p48014 -aS'differential\tdifferential\tJJ\tI-NP\tO' -p48015 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p48016 -aS'included\tinclude\tVBD\tB-VP\tO' -p48017 -aS'viral\tviral\tJJ\tB-NP\tO' -p48018 -aS'pneumonitis\tpneumonitis\tNN\tI-NP\tO' -p48019 -aS',\t,\t,\tO\tO' -p48020 -aS'Mycoplasma\tMycoplasma\tNN\tB-NP\tO' -p48021 -aS',\t,\t,\tO\tO' -p48022 -aS'Chlamydia\tChlamydia\tNNP\tB-NP\tO' -p48023 -aS'.\t.\t.\tO\tO' -p48024 -asS'Sodium 137 , potassium 4.5 , chloride97 , bicarb 24 , BUN 124 , creatinine 4.1 , glucose 144 , AST 49 , ALT33 , alkaline phosphatase 253 , total bili 1.6 , calcium 9.2 , magnesium 2.3 , albumin 3.4 .' -p48025 -(lp48026 -S'Sodium\tSodium\tNN\tB-NP\tB-protein' -p48027 -aS'137\t137\tCD\tI-NP\tI-protein' -p48028 -aS',\t,\t,\tO\tO' -p48029 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p48030 -aS'4.5\t4.5\tCD\tI-NP\tO' -p48031 -aS',\t,\t,\tO\tO' -p48032 -aS'chloride97\tchloride97\tNN\tB-NP\tB-protein' -p48033 -aS',\t,\t,\tO\tO' -p48034 -aS'bicarb\tbicarb\tNN\tB-NP\tO' -p48035 -aS'24\t24\tCD\tI-NP\tO' -p48036 -aS',\t,\t,\tO\tO' -p48037 -aS'BUN\tBUN\tNN\tB-NP\tB-cell_line' -p48038 -aS'124\t124\tCD\tI-NP\tI-cell_line' -p48039 -aS',\t,\t,\tO\tO' -p48040 -aS'creatinine\tcreatinine\tNN\tB-NP\tB-protein' -p48041 -aS'4.1\t4.1\tCD\tI-NP\tI-protein' -p48042 -aS',\t,\t,\tO\tO' -p48043 -aS'glucose\tglucose\tNN\tB-NP\tO' -p48044 -aS'144\t144\tCD\tI-NP\tO' -p48045 -aS',\t,\t,\tO\tO' -p48046 -aS'AST\tAST\tNN\tB-NP\tB-DNA' -p48047 -aS'49\t49\tCD\tI-NP\tI-DNA' -p48048 -aS',\t,\t,\tO\tO' -p48049 -aS'ALT33\tALT33\tNN\tB-NP\tB-protein' -p48050 -aS',\t,\t,\tO\tO' -p48051 -aS'alkaline\talkaline\tNN\tB-NP\tO' -p48052 -aS'phosphatase\tphosphatase\tNN\tI-NP\tO' -p48053 -aS'253\t253\tCD\tI-NP\tO' -p48054 -aS',\t,\t,\tO\tO' -p48055 -aS'total\ttotal\tJJ\tB-NP\tO' -p48056 -aS'bili\tbili\tNNS\tI-NP\tO' -p48057 -aS'1.6\t1.6\tCD\tB-NP\tO' -p48058 -aS',\t,\t,\tO\tO' -p48059 -aS'calcium\tcalcium\tNN\tB-NP\tO' -p48060 -aS'9.2\t9.2\tCD\tI-NP\tO' -p48061 -aS',\t,\t,\tO\tO' -p48062 -aS'magnesium\tmagnesium\tNN\tB-NP\tO' -p48063 -aS'2.3\t2.3\tCD\tI-NP\tO' -p48064 -aS',\t,\t,\tO\tO' -p48065 -aS'albumin\talbumin\tNN\tB-NP\tO' -p48066 -aS'3.4\t3.4\tCD\tI-NP\tO' -p48067 -aS'.\t.\t.\tO\tO' -p48068 -asS'Denies subj / obj fevers or chills .' -p48069 -(lp48070 -S'Denies\tDeny\tNNS\tB-NP\tO' -p48071 -aS'subj\tsubj\tNN\tI-NP\tO' -p48072 -aS'/\t/\tSYM\tB-NP\tO' -p48073 -aS'obj\tobj\tNN\tI-NP\tO' -p48074 -aS'fevers\tfever\tNNS\tI-NP\tO' -p48075 -aS'or\tor\tCC\tI-NP\tO' -p48076 -aS'chills\tchill\tNNS\tI-NP\tO' -p48077 -aS'.\t.\t.\tO\tO' -p48078 -asS'The patient was discharged in stable conditionand will follow up for ( 1 ) sacral decubitus closure , and ( 2 ) placement of epidural pump in the future .' -p48079 -(lp48080 -S'The\tThe\tDT\tB-NP\tO' -p48081 -aS'patient\tpatient\tNN\tI-NP\tO' -p48082 -aS'was\tbe\tVBD\tB-VP\tO' -p48083 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p48084 -aS'in\tin\tIN\tB-PP\tO' -p48085 -aS'stable\tstable\tJJ\tB-NP\tO' -p48086 -aS'conditionand\tconditionand\tNN\tI-NP\tO' -p48087 -aS'will\twill\tMD\tB-VP\tO' -p48088 -aS'follow\tfollow\tVB\tI-VP\tO' -p48089 -aS'up\tup\tRP\tB-PRT\tO' -p48090 -aS'for\tfor\tIN\tB-PP\tO' -p48091 -aS'(\t(\t(\tB-LST\tO' -p48092 -aS'1\t1\tLS\tI-LST\tO' -p48093 -aS')\t)\t)\tO\tO' -p48094 -aS'sacral\tsacral\tJJ\tB-NP\tO' -p48095 -aS'decubitus\tdecubitus\tNN\tI-NP\tO' -p48096 -aS'closure\tclosure\tNN\tI-NP\tO' -p48097 -aS',\t,\t,\tO\tO' -p48098 -aS'and\tand\tCC\tO\tO' -p48099 -aS'(\t(\t(\tB-LST\tO' -p48100 -aS'2\t2\tLS\tI-LST\tO' -p48101 -aS')\t)\t)\tO\tO' -p48102 -aS'placement\tplacement\tNN\tB-NP\tO' -p48103 -aS'of\tof\tIN\tB-PP\tO' -p48104 -aS'epidural\tepidural\tJJ\tB-NP\tO' -p48105 -aS'pump\tpump\tNN\tI-NP\tO' -p48106 -aS'in\tin\tIN\tB-PP\tO' -p48107 -aS'the\tthe\tDT\tB-NP\tO' -p48108 -aS'future\tfuture\tNN\tI-NP\tO' -p48109 -aS'.\t.\t.\tO\tO' -p48110 -asS'While in the Intensive Care Unit , the patient was noted to have increasing abdominal distention .' -p48111 -(lp48112 -S'While\tWhile\tIN\tB-SBAR\tO' -p48113 -aS'in\tin\tIN\tB-PP\tO' -p48114 -aS'the\tthe\tDT\tB-NP\tO' -p48115 -aS'Intensive\tIntensive\tJJ\tI-NP\tB-DNA' -p48116 -aS'Care\tCare\tNNP\tI-NP\tI-DNA' -p48117 -aS'Unit\tUnit\tNNP\tI-NP\tI-DNA' -p48118 -aS',\t,\t,\tO\tO' -p48119 -aS'the\tthe\tDT\tB-NP\tO' -p48120 -aS'patient\tpatient\tNN\tI-NP\tO' -p48121 -aS'was\tbe\tVBD\tB-VP\tO' -p48122 -aS'noted\tnote\tVBN\tI-VP\tO' -p48123 -aS'to\tto\tTO\tI-VP\tO' -p48124 -aS'have\thave\tVB\tI-VP\tO' -p48125 -aS'increasing\tincrease\tVBG\tI-VP\tO' -p48126 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p48127 -aS'distention\tdistention\tNN\tI-NP\tO' -p48128 -aS'.\t.\t.\tO\tO' -p48129 -asS'Rebound bilirubin on day of life #7 was 6.6 , and total was 0.2 direct .' -p48130 -(lp48131 -S'Rebound\tRebound\tJJ\tB-NP\tO' -p48132 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p48133 -aS'on\ton\tIN\tB-PP\tO' -p48134 -aS'day\tday\tNN\tB-NP\tO' -p48135 -aS'of\tof\tIN\tB-PP\tO' -p48136 -aS'life\tlife\tNN\tB-NP\tO' -p48137 -aS'#7\t#7\tCD\tI-NP\tO' -p48138 -aS'was\tbe\tVBD\tB-VP\tO' -p48139 -aS'6.6\t6.6\tCD\tB-NP\tO' -p48140 -aS',\t,\t,\tO\tO' -p48141 -aS'and\tand\tCC\tO\tO' -p48142 -aS'total\ttotal\tNN\tB-NP\tO' -p48143 -aS'was\tbe\tVBD\tB-VP\tO' -p48144 -aS'0.2\t0.2\tCD\tB-ADJP\tO' -p48145 -aS'direct\tdirect\tJJ\tI-ADJP\tO' -p48146 -aS'.\t.\t.\tO\tO' -p48147 -asS'7. Nimodipine 30 mg Capsule Sig : Two ( 2 ) Capsule PO Q4H ( every 4 hours ) for 2 weeks .' -p48148 -(lp48149 -S'7.\t7.\tCD\tB-NP\tO' -p48150 -aS'Nimodipine\tNimodipine\tNN\tI-NP\tO' -p48151 -aS'30\t30\tCD\tB-NP\tO' -p48152 -aS'mg\tmg\tNN\tI-NP\tO' -p48153 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p48154 -aS'Sig\tSig\tNNP\tI-NP\tO' -p48155 -aS':\t:\t:\tO\tO' -p48156 -aS'Two\tTwo\tCD\tB-NP\tO' -p48157 -aS'(\t(\t(\tO\tO' -p48158 -aS'2\t2\tCD\tB-NP\tO' -p48159 -aS')\t)\t)\tO\tO' -p48160 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p48161 -aS'PO\tPO\tNN\tI-NP\tO' -p48162 -aS'Q4H\tQ4H\tNN\tI-NP\tO' -p48163 -aS'(\t(\t(\tO\tO' -p48164 -aS'every\tevery\tDT\tB-NP\tO' -p48165 -aS'4\t4\tCD\tI-NP\tO' -p48166 -aS'hours\thour\tNNS\tI-NP\tO' -p48167 -aS')\t)\t)\tO\tO' -p48168 -aS'for\tfor\tIN\tB-PP\tO' -p48169 -aS'2\t2\tCD\tB-NP\tO' -p48170 -aS'weeks\tweek\tNNS\tI-NP\tO' -p48171 -aS'.\t.\t.\tO\tO' -p48172 -asS'Extremities notable for two plus lower extremity edema and the ankles were noted to be in pressure stockings .' -p48173 -(lp48174 -S'Extremities\tExtremity\tNNS\tB-NP\tO' -p48175 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p48176 -aS'for\tfor\tIN\tB-PP\tO' -p48177 -aS'two\ttwo\tCD\tB-NP\tO' -p48178 -aS'plus\tplus\tCC\tI-NP\tO' -p48179 -aS'lower\tlow\tJJR\tI-NP\tO' -p48180 -aS'extremity\textremity\tNN\tI-NP\tO' -p48181 -aS'edema\tedema\tNN\tI-NP\tO' -p48182 -aS'and\tand\tCC\tO\tO' -p48183 -aS'the\tthe\tDT\tB-NP\tO' -p48184 -aS'ankles\tankle\tNNS\tI-NP\tO' -p48185 -aS'were\tbe\tVBD\tB-VP\tO' -p48186 -aS'noted\tnote\tVBN\tI-VP\tO' -p48187 -aS'to\tto\tTO\tI-VP\tO' -p48188 -aS'be\tbe\tVB\tI-VP\tO' -p48189 -aS'in\tin\tIN\tB-PP\tO' -p48190 -aS'pressure\tpressure\tNN\tB-NP\tO' -p48191 -aS'stockings\tstocking\tNNS\tI-NP\tO' -p48192 -aS'.\t.\t.\tO\tO' -p48193 -asS'As there was no identified bacterial pathogen on any cultures , the patient was continued on the triple antibiotics for first several days of the hospitalization .' -p48194 -(lp48195 -S'As\tAs\tIN\tB-SBAR\tO' -p48196 -aS'there\tthere\tEX\tB-NP\tO' -p48197 -aS'was\tbe\tVBD\tB-VP\tO' -p48198 -aS'no\tno\tDT\tB-NP\tO' -p48199 -aS'identified\tidentify\tVBN\tI-NP\tO' -p48200 -aS'bacterial\tbacterial\tJJ\tI-NP\tO' -p48201 -aS'pathogen\tpathogen\tNN\tI-NP\tO' -p48202 -aS'on\ton\tIN\tB-PP\tO' -p48203 -aS'any\tany\tDT\tB-NP\tO' -p48204 -aS'cultures\tculture\tNNS\tI-NP\tO' -p48205 -aS',\t,\t,\tO\tO' -p48206 -aS'the\tthe\tDT\tB-NP\tO' -p48207 -aS'patient\tpatient\tNN\tI-NP\tO' -p48208 -aS'was\tbe\tVBD\tB-VP\tO' -p48209 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p48210 -aS'on\ton\tIN\tB-PP\tO' -p48211 -aS'the\tthe\tDT\tB-NP\tO' -p48212 -aS'triple\ttriple\tJJ\tI-NP\tO' -p48213 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p48214 -aS'for\tfor\tIN\tB-PP\tO' -p48215 -aS'first\tfirst\tJJ\tB-NP\tO' -p48216 -aS'several\tseveral\tJJ\tI-NP\tO' -p48217 -aS'days\tday\tNNS\tI-NP\tO' -p48218 -aS'of\tof\tIN\tB-PP\tO' -p48219 -aS'the\tthe\tDT\tB-NP\tO' -p48220 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p48221 -aS'.\t.\t.\tO\tO' -p48222 -asS'Further examination revealed a strong palpable pulse with a systolic blood pressure in the 130 s and a heart rate in the 80 s.' -p48223 -(lp48224 -S'Further\tFurther\tRB\tB-NP\tO' -p48225 -aS'examination\texamination\tNN\tI-NP\tO' -p48226 -aS'revealed\treveal\tVBD\tB-VP\tO' -p48227 -aS'a\ta\tDT\tB-NP\tO' -p48228 -aS'strong\tstrong\tJJ\tI-NP\tO' -p48229 -aS'palpable\tpalpable\tJJ\tI-NP\tO' -p48230 -aS'pulse\tpulse\tNN\tI-NP\tO' -p48231 -aS'with\twith\tIN\tB-PP\tO' -p48232 -aS'a\ta\tDT\tB-NP\tO' -p48233 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p48234 -aS'blood\tblood\tNN\tI-NP\tO' -p48235 -aS'pressure\tpressure\tNN\tI-NP\tO' -p48236 -aS'in\tin\tIN\tB-PP\tO' -p48237 -aS'the\tthe\tDT\tB-NP\tO' -p48238 -aS'130\t130\tCD\tI-NP\tO' -p48239 -aS's\ts\tNN\tI-NP\tO' -p48240 -aS'and\tand\tCC\tO\tO' -p48241 -aS'a\ta\tDT\tB-NP\tO' -p48242 -aS'heart\theart\tNN\tI-NP\tO' -p48243 -aS'rate\trate\tNN\tI-NP\tO' -p48244 -aS'in\tin\tIN\tB-PP\tO' -p48245 -aS'the\tthe\tDT\tB-NP\tO' -p48246 -aS'80\t80\tCD\tI-NP\tO' -p48247 -aS's.\ts.\tNNS\tI-NP\tO' -p48248 -asS'Hydrocortisone Na Succ. 100 mg IV Q8H' -p48249 -(lp48250 -S'Hydrocortisone\tHydrocortisone\tNN\tB-NP\tO' -p48251 -aS'Na\tNa\tNN\tI-NP\tO' -p48252 -aS'Succ.\tSucc.\tNNP\tB-NP\tO' -p48253 -aS'100\t100\tCD\tI-NP\tO' -p48254 -aS'mg\tmg\tNN\tI-NP\tO' -p48255 -aS'IV\tIV\tCD\tB-NP\tO' -p48256 -aS'Q8H\tQ8H\tNN\tI-NP\tO' -p48257 -asS'He does have a history of B12 deficiency in the past , and evidence for peripheral neuropathy BLE which may also be contributing to his recent falls . ? EtOH' -p48258 -(lp48259 -S'He\tHe\tPRP\tB-NP\tO' -p48260 -aS'does\tdo\tVBZ\tB-VP\tO' -p48261 -aS'have\thave\tVB\tI-VP\tO' -p48262 -aS'a\ta\tDT\tB-NP\tO' -p48263 -aS'history\thistory\tNN\tI-NP\tO' -p48264 -aS'of\tof\tIN\tB-PP\tO' -p48265 -aS'B12\tB12\tNN\tB-NP\tB-protein' -p48266 -aS'deficiency\tdeficiency\tNN\tI-NP\tO' -p48267 -aS'in\tin\tIN\tB-PP\tO' -p48268 -aS'the\tthe\tDT\tB-NP\tO' -p48269 -aS'past\tpast\tNN\tI-NP\tO' -p48270 -aS',\t,\t,\tO\tO' -p48271 -aS'and\tand\tCC\tO\tO' -p48272 -aS'evidence\tevidence\tNN\tB-NP\tO' -p48273 -aS'for\tfor\tIN\tB-PP\tO' -p48274 -aS'peripheral\tperipheral\tJJ\tB-NP\tO' -p48275 -aS'neuropathy\tneuropathy\tJJ\tI-NP\tO' -p48276 -aS'BLE\tBLE\tNN\tI-NP\tO' -p48277 -aS'which\twhich\tWDT\tB-NP\tO' -p48278 -aS'may\tmay\tMD\tB-VP\tO' -p48279 -aS'also\talso\tRB\tI-VP\tO' -p48280 -aS'be\tbe\tVB\tI-VP\tO' -p48281 -aS'contributing\tcontribute\tVBG\tI-VP\tO' -p48282 -aS'to\tto\tTO\tB-PP\tO' -p48283 -aS'his\this\tPRP$\tB-NP\tB-cell_type' -p48284 -aS'recent\trecent\tJJ\tI-NP\tI-cell_type' -p48285 -aS'falls\tfall\tNNS\tI-NP\tI-cell_type' -p48286 -aS'.\t.\t.\tO\tO' -p48287 -aS'?\t?\t.\tO\tB-protein' -p48288 -aS'EtOH\tEtOH\tNN\tB-NP\tI-protein' -p48289 -asS'She presented for an elective left total knee arthroplasty .' -p48290 -(lp48291 -S'She\tShe\tPRP\tB-NP\tO' -p48292 -aS'presented\tpresent\tVBD\tB-VP\tO' -p48293 -aS'for\tfor\tIN\tB-PP\tO' -p48294 -aS'an\tan\tDT\tB-NP\tO' -p48295 -aS'elective\telective\tJJ\tI-NP\tO' -p48296 -aS'left\tleft\tJJ\tI-NP\tO' -p48297 -aS'total\ttotal\tJJ\tI-NP\tO' -p48298 -aS'knee\tknee\tNN\tI-NP\tO' -p48299 -aS'arthroplasty\tarthroplasty\tNN\tI-NP\tO' -p48300 -aS'.\t.\t.\tO\tO' -p48301 -asS'It was obese with a large midline defect consistent with a ventral hernia , as well as a smaller anterior defect in the left lower quadrant .' -p48302 -(lp48303 -S'It\tIt\tPRP\tB-NP\tO' -p48304 -aS'was\tbe\tVBD\tB-VP\tO' -p48305 -aS'obese\tobese\tJJ\tB-ADJP\tO' -p48306 -aS'with\twith\tIN\tB-PP\tO' -p48307 -aS'a\ta\tDT\tB-NP\tO' -p48308 -aS'large\tlarge\tJJ\tI-NP\tO' -p48309 -aS'midline\tmidline\tNN\tI-NP\tO' -p48310 -aS'defect\tdefect\tNN\tI-NP\tO' -p48311 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p48312 -aS'with\twith\tIN\tB-PP\tO' -p48313 -aS'a\ta\tDT\tB-NP\tO' -p48314 -aS'ventral\tventral\tJJ\tI-NP\tO' -p48315 -aS'hernia\thernia\tNN\tI-NP\tO' -p48316 -aS',\t,\t,\tO\tO' -p48317 -aS'as\tas\tRB\tB-CONJP\tO' -p48318 -aS'well\twell\tRB\tI-CONJP\tO' -p48319 -aS'as\tas\tIN\tI-CONJP\tO' -p48320 -aS'a\ta\tDT\tB-NP\tO' -p48321 -aS'smaller\tsmall\tJJR\tI-NP\tO' -p48322 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p48323 -aS'defect\tdefect\tNN\tI-NP\tO' -p48324 -aS'in\tin\tIN\tB-PP\tO' -p48325 -aS'the\tthe\tDT\tB-NP\tO' -p48326 -aS'left\tleft\tJJ\tI-NP\tO' -p48327 -aS'lower\tlow\tJJR\tI-NP\tO' -p48328 -aS'quadrant\tquadrant\tNN\tI-NP\tO' -p48329 -aS'.\t.\t.\tO\tO' -p48330 -asS'Houghtbreun 6 weeks , No Known Allergies' -p48331 -(lp48332 -S'Houghtbreun\tHoughtbreun\tNNP\tB-NP\tO' -p48333 -aS'6\t6\tCD\tI-NP\tO' -p48334 -aS'weeks\tweek\tNNS\tI-NP\tO' -p48335 -aS',\t,\t,\tO\tO' -p48336 -aS'No\tNo\tNNP\tB-NP\tO' -p48337 -aS'Known\tKnown\tNNP\tI-NP\tO' -p48338 -aS'Allergies\tAllergies\tNNP\tI-NP\tO' -p48339 -asS'3D-construction : poor , difficulties putting handles in clock ; No Apraxia .' -p48340 -(lp48341 -S'3D-construction\t3D-construction\tNN\tB-NP\tO' -p48342 -aS':\t:\t:\tO\tO' -p48343 -aS'poor\tpoor\tJJ\tB-ADJP\tO' -p48344 -aS',\t,\t,\tO\tO' -p48345 -aS'difficulties\tdifficulty\tNNS\tB-NP\tO' -p48346 -aS'putting\tput\tVBG\tB-VP\tO' -p48347 -aS'handles\thandle\tNNS\tB-NP\tO' -p48348 -aS'in\tin\tIN\tB-PP\tO' -p48349 -aS'clock\tclock\tNN\tB-NP\tO' -p48350 -aS';\t;\t:\tO\tO' -p48351 -aS'No\tNo\tDT\tB-NP\tO' -p48352 -aS'Apraxia\tApraxia\tNNP\tI-NP\tO' -p48353 -aS'.\t.\t.\tO\tO' -p48354 -asS'4. Tobacco history .' -p48355 -(lp48356 -S'4.\t4.\tLS\tB-NP\tO' -p48357 -aS'Tobacco\tTobacco\tNNP\tI-NP\tO' -p48358 -aS'history\thistory\tNN\tI-NP\tO' -p48359 -aS'.\t.\t.\tO\tO' -p48360 -asS'Maternal blood type 0-positive , DAT negative , negative , RPR nonreactive .' -p48361 -(lp48362 -S'Maternal\tMaternal\tJJ\tB-NP\tO' -p48363 -aS'blood\tblood\tNN\tI-NP\tO' -p48364 -aS'type\ttype\tNN\tI-NP\tO' -p48365 -aS'0-positive\t0-positive\tJJ\tB-ADJP\tO' -p48366 -aS',\t,\t,\tO\tO' -p48367 -aS'DAT\tDAT\tNN\tB-NP\tO' -p48368 -aS'negative\tnegative\tJJ\tI-NP\tO' -p48369 -aS',\t,\t,\tI-NP\tO' -p48370 -aS'negative\tnegative\tJJ\tI-NP\tO' -p48371 -aS',\t,\t,\tI-NP\tO' -p48372 -aS'RPR\tRPR\tNN\tI-NP\tB-protein' -p48373 -aS'nonreactive\tnonreactive\tJJ\tI-NP\tO' -p48374 -aS'.\t.\t.\tO\tO' -p48375 -asS'However , his Coumadin was subsequently restarted and he achieved therapeutic INR levels before discharge .' -p48376 -(lp48377 -S'However\tHowever\tRB\tB-ADVP\tO' -p48378 -aS',\t,\t,\tO\tO' -p48379 -aS'his\this\tPRP$\tB-NP\tO' -p48380 -aS'Coumadin\tCoumadin\tNN\tI-NP\tO' -p48381 -aS'was\tbe\tVBD\tB-VP\tO' -p48382 -aS'subsequently\tsubsequently\tRB\tI-VP\tO' -p48383 -aS'restarted\trestart\tVBN\tI-VP\tO' -p48384 -aS'and\tand\tCC\tO\tO' -p48385 -aS'he\the\tPRP\tB-NP\tO' -p48386 -aS'achieved\tachieve\tVBD\tB-VP\tO' -p48387 -aS'therapeutic\ttherapeutic\tJJ\tB-NP\tO' -p48388 -aS'INR\tINR\tNN\tI-NP\tO' -p48389 -aS'levels\tlevel\tNNS\tI-NP\tO' -p48390 -aS'before\tbefore\tIN\tB-PP\tO' -p48391 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p48392 -aS'.\t.\t.\tO\tO' -p48393 -asS'The patient was observed overnight without any problems .' -p48394 -(lp48395 -S'The\tThe\tDT\tB-NP\tO' -p48396 -aS'patient\tpatient\tNN\tI-NP\tO' -p48397 -aS'was\tbe\tVBD\tB-VP\tO' -p48398 -aS'observed\tobserve\tVBN\tI-VP\tO' -p48399 -aS'overnight\tovernight\tRB\tB-ADVP\tO' -p48400 -aS'without\twithout\tIN\tB-PP\tO' -p48401 -aS'any\tany\tDT\tB-NP\tO' -p48402 -aS'problems\tproblem\tNNS\tI-NP\tO' -p48403 -aS'.\t.\t.\tO\tO' -p48404 -asS"Again , this was a 47-year-old female admitted with Berkitt's lymphoma ." -p48405 -(lp48406 -S'Again\tAgain\tRB\tB-ADVP\tO' -p48407 -aS',\t,\t,\tO\tO' -p48408 -aS'this\tthis\tDT\tB-NP\tO' -p48409 -aS'was\tbe\tVBD\tB-VP\tO' -p48410 -aS'a\ta\tDT\tB-NP\tO' -p48411 -aS'47-year-old\t47-year-old\tJJ\tI-NP\tO' -p48412 -aS'female\tfemale\tNN\tI-NP\tO' -p48413 -aS'admitted\tadmit\tVBN\tB-VP\tO' -p48414 -aS'with\twith\tIN\tB-PP\tO' -p48415 -aS"Berkitt's\tBerkitt'\tNNS\tB-NP\tO" -p48416 -aS'lymphoma\tlymphoma\tNN\tI-NP\tO' -p48417 -aS'.\t.\t.\tO\tO' -p48418 -asS'Diet was advanced .' -p48419 -(lp48420 -S'Diet\tDiet\tNN\tB-NP\tO' -p48421 -aS'was\tbe\tVBD\tB-VP\tO' -p48422 -aS'advanced\tadvance\tVBN\tI-VP\tO' -p48423 -aS'.\t.\t.\tO\tO' -p48424 -asS'HEENT : MM dry , JVD cannot be assessed' -p48425 -(lp48426 -S'HEENT\tHEENT\tNN\tB-NP\tO' -p48427 -aS':\t:\t:\tO\tO' -p48428 -aS'MM\tMM\tNN\tB-NP\tO' -p48429 -aS'dry\tdry\tNN\tI-NP\tO' -p48430 -aS',\t,\t,\tO\tO' -p48431 -aS'JVD\tJVD\tNN\tB-NP\tB-protein' -p48432 -aS'cannot\tcannot\tMD\tB-VP\tO' -p48433 -aS'be\tbe\tVB\tI-VP\tO' -p48434 -aS'assessed\tassess\tVBN\tI-VP\tO' -p48435 -asS'No carotid bruits were noted .' -p48436 -(lp48437 -S'No\tNo\tDT\tB-NP\tO' -p48438 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p48439 -aS'bruits\tbruit\tNNS\tI-NP\tO' -p48440 -aS'were\tbe\tVBD\tB-VP\tO' -p48441 -aS'noted\tnote\tVBN\tI-VP\tO' -p48442 -aS'.\t.\t.\tO\tO' -p48443 -asS'Her uterus and adnexa were difficult to assess secondary to voluntary tensing of her abdomen .' -p48444 -(lp48445 -S'Her\tHer\tPRP$\tB-NP\tO' -p48446 -aS'uterus\tuterus\tNN\tI-NP\tO' -p48447 -aS'and\tand\tCC\tI-NP\tO' -p48448 -aS'adnexa\tadnexa\tNN\tI-NP\tO' -p48449 -aS'were\tbe\tVBD\tB-VP\tO' -p48450 -aS'difficult\tdifficult\tJJ\tB-ADJP\tO' -p48451 -aS'to\tto\tTO\tB-VP\tO' -p48452 -aS'assess\tassess\tVB\tI-VP\tO' -p48453 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p48454 -aS'to\tto\tTO\tB-PP\tO' -p48455 -aS'voluntary\tvoluntary\tJJ\tB-NP\tO' -p48456 -aS'tensing\ttensing\tNN\tI-NP\tO' -p48457 -aS'of\tof\tIN\tB-PP\tO' -p48458 -aS'her\ther\tPRP$\tB-NP\tO' -p48459 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p48460 -aS'.\t.\t.\tO\tO' -p48461 -asS'The patient has felt unwell since 7/21 after his non-Q wave MI .' -p48462 -(lp48463 -S'The\tThe\tDT\tB-NP\tO' -p48464 -aS'patient\tpatient\tNN\tI-NP\tO' -p48465 -aS'has\thave\tVBZ\tB-VP\tO' -p48466 -aS'felt\tfeel\tVBN\tI-VP\tO' -p48467 -aS'unwell\tunwell\tJJ\tB-ADJP\tO' -p48468 -aS'since\tsince\tIN\tB-PP\tO' -p48469 -aS'7/21\t7/21\tCD\tB-NP\tO' -p48470 -aS'after\tafter\tIN\tB-SBAR\tO' -p48471 -aS'his\this\tPRP$\tB-NP\tO' -p48472 -aS'non-Q\tnon-Q\tJJ\tI-NP\tO' -p48473 -aS'wave\twave\tNN\tI-NP\tO' -p48474 -aS'MI\tMI\tNN\tI-NP\tO' -p48475 -aS'.\t.\t.\tO\tO' -p48476 -asS'The patient was afebrile ; his vital signs were stable .' -p48477 -(lp48478 -S'The\tThe\tDT\tB-NP\tO' -p48479 -aS'patient\tpatient\tNN\tI-NP\tO' -p48480 -aS'was\tbe\tVBD\tB-VP\tO' -p48481 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p48482 -aS';\t;\t:\tO\tO' -p48483 -aS'his\this\tPRP$\tB-NP\tO' -p48484 -aS'vital\tvital\tJJ\tI-NP\tO' -p48485 -aS'signs\tsign\tNNS\tI-NP\tO' -p48486 -aS'were\tbe\tVBD\tB-VP\tO' -p48487 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p48488 -aS'.\t.\t.\tO\tO' -p48489 -asS'Extremities : 05-09 + pretibial edema extending above knee R > L , no asterixis .' -p48490 -(lp48491 -S'Extremities\tExtremity\tNNS\tB-NP\tO' -p48492 -aS':\t:\t:\tO\tO' -p48493 -aS'05-09\t05-09\tCD\tB-NP\tO' -p48494 -aS'+\t+\tCC\tO\tO' -p48495 -aS'pretibial\tpretibial\tJJ\tB-NP\tO' -p48496 -aS'edema\tedema\tNN\tI-NP\tO' -p48497 -aS'extending\textend\tVBG\tB-VP\tO' -p48498 -aS'above\tabove\tIN\tB-PP\tO' -p48499 -aS'knee\tknee\tNN\tB-NP\tO' -p48500 -aS'R\tR\tNN\tI-NP\tO' -p48501 -aS'>\t>\tSYM\tB-VP\tO' -p48502 -aS'L\tL\tNN\tB-NP\tO' -p48503 -aS',\t,\t,\tO\tO' -p48504 -aS'no\tno\tDT\tB-NP\tO' -p48505 -aS'asterixis\tasterixis\tNN\tI-NP\tO' -p48506 -aS'.\t.\t.\tO\tO' -p48507 -asS'A " spot " in the left lower lobe on chest X-ray was noted in October of 1993 , after his pneumonia cleared .' -p48508 -(lp48509 -S'A\tA\tDT\tB-NP\tO' -p48510 -aS'"\t"\tJJ\tI-NP\tO' -p48511 -aS'spot\tspot\tNN\tI-NP\tO' -p48512 -aS'"\t"\tNN\tI-NP\tO' -p48513 -aS'in\tin\tIN\tB-PP\tO' -p48514 -aS'the\tthe\tDT\tB-NP\tO' -p48515 -aS'left\tleft\tJJ\tI-NP\tO' -p48516 -aS'lower\tlow\tJJR\tI-NP\tO' -p48517 -aS'lobe\tlobe\tNN\tI-NP\tO' -p48518 -aS'on\ton\tIN\tB-PP\tO' -p48519 -aS'chest\tchest\tNN\tB-NP\tO' -p48520 -aS'X-ray\tX-ray\tNN\tI-NP\tO' -p48521 -aS'was\tbe\tVBD\tB-VP\tO' -p48522 -aS'noted\tnote\tVBN\tI-VP\tO' -p48523 -aS'in\tin\tIN\tB-PP\tO' -p48524 -aS'October\tOctober\tNNP\tB-NP\tO' -p48525 -aS'of\tof\tIN\tB-PP\tO' -p48526 -aS'1993\t1993\tCD\tB-NP\tO' -p48527 -aS',\t,\t,\tO\tO' -p48528 -aS'after\tafter\tIN\tB-PP\tO' -p48529 -aS'his\this\tPRP$\tB-NP\tO' -p48530 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p48531 -aS'cleared\tclear\tVBD\tB-VP\tO' -p48532 -aS'.\t.\t.\tO\tO' -p48533 -asS'His abdomen had normal bowel sounds , soft and nontender .' -p48534 -(lp48535 -S'His\tHis\tPRP$\tB-NP\tO' -p48536 -aS'abdomen\tabdoman\tNNS\tI-NP\tO' -p48537 -aS'had\thave\tVBD\tB-VP\tO' -p48538 -aS'normal\tnormal\tJJ\tB-NP\tO' -p48539 -aS'bowel\tbowel\tNN\tI-NP\tO' -p48540 -aS'sounds\tsound\tNNS\tI-NP\tO' -p48541 -aS',\t,\t,\tO\tO' -p48542 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p48543 -aS'and\tand\tCC\tI-ADJP\tO' -p48544 -aS'nontender\tnontender\tJJ\tI-ADJP\tO' -p48545 -aS'.\t.\t.\tO\tO' -p48546 -asS'The patient remained hemodynamically stable over the next few days , continued to increase with physical therapy and ambulation .' -p48547 -(lp48548 -S'The\tThe\tDT\tB-NP\tO' -p48549 -aS'patient\tpatient\tNN\tI-NP\tO' -p48550 -aS'remained\tremain\tVBD\tB-VP\tO' -p48551 -aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' -p48552 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p48553 -aS'over\tover\tIN\tB-PP\tO' -p48554 -aS'the\tthe\tDT\tB-NP\tO' -p48555 -aS'next\tnext\tJJ\tI-NP\tO' -p48556 -aS'few\tfew\tJJ\tI-NP\tO' -p48557 -aS'days\tday\tNNS\tI-NP\tO' -p48558 -aS',\t,\t,\tO\tO' -p48559 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p48560 -aS'to\tto\tTO\tI-VP\tO' -p48561 -aS'increase\tincrease\tVB\tI-VP\tO' -p48562 -aS'with\twith\tIN\tB-PP\tO' -p48563 -aS'physical\tphysical\tJJ\tB-NP\tO' -p48564 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p48565 -aS'and\tand\tCC\tI-NP\tO' -p48566 -aS'ambulation\tambulation\tNN\tI-NP\tO' -p48567 -aS'.\t.\t.\tO\tO' -p48568 -asS'The patient worsened rapidly following admission and it was clear to his family and to his physician that he was pre-terminal .' -p48569 -(lp48570 -S'The\tThe\tDT\tB-NP\tO' -p48571 -aS'patient\tpatient\tNN\tI-NP\tO' -p48572 -aS'worsened\tworsen\tVBD\tB-VP\tO' -p48573 -aS'rapidly\trapidly\tRB\tI-VP\tO' -p48574 -aS'following\tfollow\tVBG\tI-VP\tO' -p48575 -aS'admission\tadmission\tNN\tB-NP\tO' -p48576 -aS'and\tand\tCC\tO\tO' -p48577 -aS'it\tit\tPRP\tB-NP\tO' -p48578 -aS'was\tbe\tVBD\tB-VP\tO' -p48579 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p48580 -aS'to\tto\tTO\tB-PP\tO' -p48581 -aS'his\this\tPRP$\tB-NP\tO' -p48582 -aS'family\tfamily\tNN\tI-NP\tO' -p48583 -aS'and\tand\tCC\tB-PP\tO' -p48584 -aS'to\tto\tTO\tB-PP\tO' -p48585 -aS'his\this\tPRP$\tB-NP\tO' -p48586 -aS'physician\tphysician\tNN\tI-NP\tO' -p48587 -aS'that\tthat\tIN\tB-SBAR\tO' -p48588 -aS'he\the\tPRP\tB-NP\tO' -p48589 -aS'was\tbe\tVBD\tB-VP\tO' -p48590 -aS'pre-terminal\tpre-terminal\tJJ\tB-ADJP\tO' -p48591 -aS'.\t.\t.\tO\tO' -p48592 -asS'She went with her sister 's husband to La Community Hospital where she was given sublingual nitroglycerin with complete relief of pain .' -p48593 -(lp48594 -S'She\tShe\tPRP\tB-NP\tO' -p48595 -aS'went\tgo\tVBD\tB-VP\tO' -p48596 -aS'with\twith\tIN\tB-PP\tO' -p48597 -aS'her\ther\tPRP$\tB-NP\tO' -p48598 -aS'sister\tsister\tNN\tI-NP\tO' -p48599 -aS''s\t'\tNNS\tI-NP\tO' -p48600 -aS'husband\thusband\tNN\tI-NP\tO' -p48601 -aS'to\tto\tTO\tB-PP\tO' -p48602 -aS'La\tLa\tNNP\tB-NP\tO' -p48603 -aS'Community\tCommunity\tNNP\tI-NP\tO' -p48604 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p48605 -aS'where\twhere\tWRB\tB-ADVP\tO' -p48606 -aS'she\tshe\tPRP\tB-NP\tO' -p48607 -aS'was\tbe\tVBD\tB-VP\tO' -p48608 -aS'given\tgive\tVBN\tI-VP\tO' -p48609 -aS'sublingual\tsublingual\tJJ\tB-NP\tO' -p48610 -aS'nitroglycerin\tnitroglycerin\tNN\tI-NP\tO' -p48611 -aS'with\twith\tIN\tB-PP\tO' -p48612 -aS'complete\tcomplete\tJJ\tB-NP\tO' -p48613 -aS'relief\trelief\tNN\tI-NP\tO' -p48614 -aS'of\tof\tIN\tB-PP\tO' -p48615 -aS'pain\tpain\tNN\tB-NP\tO' -p48616 -aS'.\t.\t.\tO\tO' -p48617 -asS'CHEMISTRY TotProt Albumin Globuln Calcium Phos Mg UricAcd Iron Cholest' -p48618 -(lp48619 -S'CHEMISTRY\tCHEMISTRY\tNNP\tB-NP\tO' -p48620 -aS'TotProt\tTotProt\tNNP\tI-NP\tO' -p48621 -aS'Albumin\tAlbumin\tNNP\tI-NP\tO' -p48622 -aS'Globuln\tGlobuln\tNNP\tI-NP\tO' -p48623 -aS'Calcium\tCalcium\tNNP\tI-NP\tO' -p48624 -aS'Phos\tPhos\tNNP\tI-NP\tO' -p48625 -aS'Mg\tMg\tNNP\tI-NP\tO' -p48626 -aS'UricAcd\tUricAcd\tNNP\tI-NP\tO' -p48627 -aS'Iron\tIron\tNNP\tI-NP\tO' -p48628 -aS'Cholest\tCholest\tNNP\tI-NP\tO' -p48629 -asS'No dysmetria or pastpointing .' -p48630 -(lp48631 -S'No\tNo\tDT\tB-NP\tO' -p48632 -aS'dysmetria\tdysmetria\tNN\tI-NP\tO' -p48633 -aS'or\tor\tCC\tI-NP\tO' -p48634 -aS'pastpointing\tpastpointing\tNN\tI-NP\tO' -p48635 -aS'.\t.\t.\tO\tO' -p48636 -asS'She will need a TSH and T4 checked as an outpatient .' -p48637 -(lp48638 -S'She\tShe\tPRP\tB-NP\tO' -p48639 -aS'will\twill\tMD\tB-VP\tO' -p48640 -aS'need\tneed\tVB\tI-VP\tO' -p48641 -aS'a\ta\tDT\tB-NP\tO' -p48642 -aS'TSH\tTSH\tNN\tI-NP\tO' -p48643 -aS'and\tand\tCC\tI-NP\tO' -p48644 -aS'T4\tT4\tNN\tI-NP\tO' -p48645 -aS'checked\tcheck\tVBD\tB-VP\tO' -p48646 -aS'as\tas\tIN\tB-PP\tO' -p48647 -aS'an\tan\tDT\tB-NP\tO' -p48648 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p48649 -aS'.\t.\t.\tO\tO' -p48650 -asS'She had 2+ bilateral DP and radial pulses .' -p48651 -(lp48652 -S'She\tShe\tPRP\tB-NP\tO' -p48653 -aS'had\thave\tVBD\tB-VP\tO' -p48654 -aS'2+\t2+\tJJ\tB-NP\tO' -p48655 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p48656 -aS'DP\tDP\tNN\tI-NP\tO' -p48657 -aS'and\tand\tCC\tO\tO' -p48658 -aS'radial\tradial\tJJ\tB-NP\tO' -p48659 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p48660 -aS'.\t.\t.\tO\tO' -p48661 -asS'4. She was also instructed to follow-up with Dr. Reid from Neurology within a month at ( 382 ) 716 4151 , given her neurological deficits during this presentation .' -p48662 -(lp48663 -S'4.\t4.\tLS\tB-LST\tO' -p48664 -aS'She\tShe\tPRP\tB-NP\tO' -p48665 -aS'was\tbe\tVBD\tB-VP\tO' -p48666 -aS'also\talso\tRB\tI-VP\tO' -p48667 -aS'instructed\tinstruct\tVBN\tI-VP\tO' -p48668 -aS'to\tto\tTO\tI-VP\tO' -p48669 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p48670 -aS'with\twith\tIN\tB-PP\tO' -p48671 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p48672 -aS'Reid\tReid\tNNP\tI-NP\tO' -p48673 -aS'from\tfrom\tIN\tB-PP\tO' -p48674 -aS'Neurology\tNeurology\tNNP\tB-NP\tO' -p48675 -aS'within\twithin\tIN\tB-PP\tO' -p48676 -aS'a\ta\tDT\tB-NP\tO' -p48677 -aS'month\tmonth\tNN\tI-NP\tO' -p48678 -aS'at\tat\tIN\tB-PP\tO' -p48679 -aS'(\t(\t(\tO\tO' -p48680 -aS'382\t382\tCD\tB-NP\tO' -p48681 -aS')\t)\t)\tO\tO' -p48682 -aS'716\t716\tCD\tB-NP\tO' -p48683 -aS'4151\t4151\tCD\tI-NP\tO' -p48684 -aS',\t,\t,\tO\tO' -p48685 -aS'given\tgive\tVBN\tB-PP\tO' -p48686 -aS'her\ther\tPRP$\tB-NP\tO' -p48687 -aS'neurological\tneurological\tJJ\tI-NP\tB-protein' -p48688 -aS'deficits\tdeficit\tNNS\tI-NP\tI-protein' -p48689 -aS'during\tduring\tIN\tB-PP\tO' -p48690 -aS'this\tthis\tDT\tB-NP\tO' -p48691 -aS'presentation\tpresentation\tNN\tI-NP\tO' -p48692 -aS'.\t.\t.\tO\tO' -p48693 -asS'It was treated with gent and Cipro .' -p48694 -(lp48695 -S'It\tIt\tPRP\tB-NP\tO' -p48696 -aS'was\tbe\tVBD\tB-VP\tO' -p48697 -aS'treated\ttreat\tVBN\tI-VP\tO' -p48698 -aS'with\twith\tIN\tB-PP\tO' -p48699 -aS'gent\tgent\tJJ\tO\tO' -p48700 -aS'and\tand\tCC\tO\tO' -p48701 -aS'Cipro\tCipro\tNNP\tB-NP\tO' -p48702 -aS'.\t.\t.\tO\tO' -p48703 -asS'Tylenol 650 mg p.o. q4 hours p.r.n. pain .' -p48704 -(lp48705 -S'Tylenol\tTylenol\tNN\tB-NP\tB-protein' -p48706 -aS'650\t650\tCD\tI-NP\tI-protein' -p48707 -aS'mg\tmg\tNN\tI-NP\tI-protein' -p48708 -aS'p.o.\tp.o.\tNN\tI-NP\tI-protein' -p48709 -aS'q4\tq4\tNN\tI-NP\tI-protein' -p48710 -aS'hours\thour\tNNS\tI-NP\tI-protein' -p48711 -aS'p.r.n.\tp.r.n.\tFW\tB-NP\tI-protein' -p48712 -aS'pain\tpain\tNN\tI-NP\tI-protein' -p48713 -aS'.\t.\t.\tO\tO' -p48714 -asS'Right foot pain .' -p48715 -(lp48716 -S'Right\tRight\tNN\tB-NP\tO' -p48717 -aS'foot\tfoot\tNN\tI-NP\tO' -p48718 -aS'pain\tpain\tNN\tI-NP\tO' -p48719 -aS'.\t.\t.\tO\tO' -p48720 -asS'Also , he has been afebrile with stable vitals , tolerating a regular diet , producing good urine and adequate stool .' -p48721 -(lp48722 -S'Also\tAlso\tRB\tB-ADVP\tO' -p48723 -aS',\t,\t,\tO\tO' -p48724 -aS'he\the\tPRP\tB-NP\tO' -p48725 -aS'has\thave\tVBZ\tB-VP\tO' -p48726 -aS'been\tbe\tVBN\tI-VP\tO' -p48727 -aS'afebrile\tafebrile\tRB\tB-ADVP\tO' -p48728 -aS'with\twith\tIN\tB-PP\tO' -p48729 -aS'stable\tstable\tJJ\tB-NP\tO' -p48730 -aS'vitals\tvital\tNNS\tI-NP\tO' -p48731 -aS',\t,\t,\tO\tO' -p48732 -aS'tolerating\ttolerate\tVBG\tB-VP\tO' -p48733 -aS'a\ta\tDT\tB-NP\tO' -p48734 -aS'regular\tregular\tJJ\tI-NP\tO' -p48735 -aS'diet\tdiet\tNN\tI-NP\tO' -p48736 -aS',\t,\t,\tO\tO' -p48737 -aS'producing\tproduce\tVBG\tB-VP\tO' -p48738 -aS'good\tgood\tJJ\tB-NP\tO' -p48739 -aS'urine\turine\tNN\tI-NP\tO' -p48740 -aS'and\tand\tCC\tO\tO' -p48741 -aS'adequate\tadequate\tJJ\tB-NP\tO' -p48742 -aS'stool\tstool\tNN\tI-NP\tO' -p48743 -aS'.\t.\t.\tO\tO' -p48744 -asS'He denies increased urinary frequent or urgency .' -p48745 -(lp48746 -S'He\tHe\tPRP\tB-NP\tO' -p48747 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p48748 -aS'increased\tincrease\tVBN\tI-VP\tO' -p48749 -aS'urinary\turinary\tJJ\tB-NP\tO' -p48750 -aS'frequent\tfrequent\tJJ\tI-NP\tO' -p48751 -aS'or\tor\tCC\tI-NP\tO' -p48752 -aS'urgency\turgency\tNN\tI-NP\tO' -p48753 -aS'.\t.\t.\tO\tO' -p48754 -asS'Neck was supple with no thyromegaly .' -p48755 -(lp48756 -S'Neck\tNeck\tNN\tB-NP\tO' -p48757 -aS'was\tbe\tVBD\tB-VP\tO' -p48758 -aS'supple\tsupple\tNN\tB-NP\tO' -p48759 -aS'with\twith\tIN\tB-PP\tO' -p48760 -aS'no\tno\tDT\tB-NP\tO' -p48761 -aS'thyromegaly\tthyromegaly\tRB\tI-NP\tO' -p48762 -aS'.\t.\t.\tO\tO' -p48763 -asS'He continued to make steady progress and was discharged home on postoperative day three .' -p48764 -(lp48765 -S'He\tHe\tPRP\tB-NP\tO' -p48766 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p48767 -aS'to\tto\tTO\tI-VP\tO' -p48768 -aS'make\tmake\tVB\tI-VP\tO' -p48769 -aS'steady\tsteady\tJJ\tB-NP\tO' -p48770 -aS'progress\tprogress\tNN\tI-NP\tO' -p48771 -aS'and\tand\tCC\tO\tO' -p48772 -aS'was\tbe\tVBD\tB-VP\tO' -p48773 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p48774 -aS'home\thome\tNN\tB-ADVP\tO' -p48775 -aS'on\ton\tIN\tB-PP\tO' -p48776 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p48777 -aS'day\tday\tNN\tI-NP\tO' -p48778 -aS'three\tthree\tCD\tI-NP\tO' -p48779 -aS'.\t.\t.\tO\tO' -p48780 -asS'UA was negative .' -p48781 -(lp48782 -S'UA\tUA\tNNP\tB-NP\tO' -p48783 -aS'was\tbe\tVBD\tB-VP\tO' -p48784 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p48785 -aS'.\t.\t.\tO\tO' -p48786 -asS'On July 29 , the septic state with low SVR and acidosis accelerated beyond the control of maximal support .' -p48787 -(lp48788 -S'On\tOn\tIN\tB-PP\tO' -p48789 -aS'July\tJuly\tNNP\tB-NP\tO' -p48790 -aS'29\t29\tCD\tI-NP\tO' -p48791 -aS',\t,\t,\tO\tO' -p48792 -aS'the\tthe\tDT\tB-NP\tO' -p48793 -aS'septic\tseptic\tJJ\tI-NP\tO' -p48794 -aS'state\tstate\tNN\tI-NP\tO' -p48795 -aS'with\twith\tIN\tB-PP\tO' -p48796 -aS'low\tlow\tJJ\tB-NP\tO' -p48797 -aS'SVR\tSVR\tNN\tI-NP\tB-protein' -p48798 -aS'and\tand\tCC\tI-NP\tO' -p48799 -aS'acidosis\tacidosis\tNN\tI-NP\tO' -p48800 -aS'accelerated\taccelerate\tVBD\tB-VP\tO' -p48801 -aS'beyond\tbeyond\tIN\tB-PP\tO' -p48802 -aS'the\tthe\tDT\tB-NP\tO' -p48803 -aS'control\tcontrol\tNN\tI-NP\tO' -p48804 -aS'of\tof\tIN\tB-PP\tO' -p48805 -aS'maximal\tmaximal\tJJ\tB-NP\tO' -p48806 -aS'support\tsupport\tNN\tI-NP\tO' -p48807 -aS'.\t.\t.\tO\tO' -p48808 -asS'On reflex examination , 2 on the right upper extremity , 2+ on the left upper extremity , 2 on the right knee , 0 on the right ankle , with down going toe on the right .' -p48809 -(lp48810 -S'On\tOn\tIN\tB-PP\tO' -p48811 -aS'reflex\treflex\tNN\tB-NP\tO' -p48812 -aS'examination\texamination\tNN\tI-NP\tO' -p48813 -aS',\t,\t,\tO\tO' -p48814 -aS'2\t2\tCD\tB-NP\tO' -p48815 -aS'on\ton\tIN\tB-PP\tO' -p48816 -aS'the\tthe\tDT\tB-NP\tO' -p48817 -aS'right\tright\tJJ\tI-NP\tO' -p48818 -aS'upper\tupper\tJJ\tI-NP\tO' -p48819 -aS'extremity\textremity\tNN\tI-NP\tO' -p48820 -aS',\t,\t,\tO\tO' -p48821 -aS'2+\t2+\tJJ\tB-ADJP\tO' -p48822 -aS'on\ton\tIN\tB-PP\tO' -p48823 -aS'the\tthe\tDT\tB-NP\tO' -p48824 -aS'left\tleft\tJJ\tI-NP\tO' -p48825 -aS'upper\tupper\tJJ\tI-NP\tO' -p48826 -aS'extremity\textremity\tNN\tI-NP\tO' -p48827 -aS',\t,\t,\tO\tO' -p48828 -aS'2\t2\tCD\tB-NP\tO' -p48829 -aS'on\ton\tIN\tB-PP\tO' -p48830 -aS'the\tthe\tDT\tB-NP\tO' -p48831 -aS'right\tright\tJJ\tI-NP\tO' -p48832 -aS'knee\tknee\tNN\tI-NP\tO' -p48833 -aS',\t,\t,\tO\tO' -p48834 -aS'0\t0\tCD\tB-NP\tO' -p48835 -aS'on\ton\tIN\tB-PP\tO' -p48836 -aS'the\tthe\tDT\tB-NP\tO' -p48837 -aS'right\tright\tJJ\tI-NP\tO' -p48838 -aS'ankle\tankle\tNN\tI-NP\tO' -p48839 -aS',\t,\t,\tO\tO' -p48840 -aS'with\twith\tIN\tB-PP\tO' -p48841 -aS'down\tdown\tRB\tB-ADVP\tO' -p48842 -aS'going\tgo\tVBG\tB-VP\tO' -p48843 -aS'toe\ttoe\tNN\tB-NP\tO' -p48844 -aS'on\ton\tIN\tB-PP\tO' -p48845 -aS'the\tthe\tDT\tB-NP\tO' -p48846 -aS'right\tright\tNN\tI-NP\tO' -p48847 -aS'.\t.\t.\tO\tO' -p48848 -asS'Her CA-125 is 9 .' -p48849 -(lp48850 -S'Her\tHer\tPRP$\tB-NP\tO' -p48851 -aS'CA-125\tCA-125\tNN\tI-NP\tB-protein' -p48852 -aS'is\tbe\tVBZ\tB-VP\tO' -p48853 -aS'9\t9\tCD\tB-NP\tO' -p48854 -aS'.\t.\t.\tO\tO' -p48855 -asS'Please take all medications as listed in the discharge paperwork .' -p48856 -(lp48857 -S'Please\tPlease\tVB\tB-VP\tO' -p48858 -aS'take\ttake\tVB\tI-VP\tO' -p48859 -aS'all\tall\tDT\tB-NP\tO' -p48860 -aS'medications\tmedication\tNNS\tI-NP\tO' -p48861 -aS'as\tas\tIN\tB-SBAR\tO' -p48862 -aS'listed\tlist\tVBN\tB-VP\tO' -p48863 -aS'in\tin\tIN\tB-PP\tO' -p48864 -aS'the\tthe\tDT\tB-NP\tO' -p48865 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p48866 -aS'paperwork\tpaperwork\tNN\tI-NP\tO' -p48867 -aS'.\t.\t.\tO\tO' -p48868 -asS'3. Migraines .' -p48869 -(lp48870 -S'3.\t3.\tLS\tB-NP\tO' -p48871 -aS'Migraines\tMigraine\tNNPS\tI-NP\tO' -p48872 -aS'.\t.\t.\tO\tO' -p48873 -asS'The patient was seen in consultation by the Neurology Department because of the history of Parkinson 's disease .' -p48874 -(lp48875 -S'The\tThe\tDT\tB-NP\tO' -p48876 -aS'patient\tpatient\tNN\tI-NP\tO' -p48877 -aS'was\tbe\tVBD\tB-VP\tO' -p48878 -aS'seen\tsee\tVBN\tI-VP\tO' -p48879 -aS'in\tin\tIN\tB-PP\tO' -p48880 -aS'consultation\tconsultation\tNN\tB-NP\tO' -p48881 -aS'by\tby\tIN\tB-PP\tO' -p48882 -aS'the\tthe\tDT\tB-NP\tO' -p48883 -aS'Neurology\tNeurology\tNNP\tI-NP\tO' -p48884 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p48885 -aS'because\tbecause\tIN\tB-PP\tO' -p48886 -aS'of\tof\tIN\tI-PP\tO' -p48887 -aS'the\tthe\tDT\tB-NP\tO' -p48888 -aS'history\thistory\tNN\tI-NP\tO' -p48889 -aS'of\tof\tIN\tB-PP\tO' -p48890 -aS'Parkinson\tParkinson\tNNP\tB-NP\tO' -p48891 -aS''s\t'\tNNS\tI-NP\tO' -p48892 -aS'disease\tdisease\tNN\tI-NP\tO' -p48893 -aS'.\t.\t.\tO\tO' -p48894 -asS'EKG showed sinus tachycardia .' -p48895 -(lp48896 -S'EKG\tEKG\tNN\tB-NP\tB-protein' -p48897 -aS'showed\tshow\tVBD\tB-VP\tO' -p48898 -aS'sinus\tsinus\tNN\tB-NP\tO' -p48899 -aS'tachycardia\ttachycardia\tNN\tI-NP\tO' -p48900 -aS'.\t.\t.\tO\tO' -p48901 -asS'5 ) The patient will need packed red blood cell transfusions with dialysis when her hematocrit falls below 26 .' -p48902 -(lp48903 -S'5\t5\tLS\tB-LST\tO' -p48904 -aS')\t)\t)\tO\tO' -p48905 -aS'The\tThe\tDT\tB-NP\tO' -p48906 -aS'patient\tpatient\tNN\tI-NP\tO' -p48907 -aS'will\twill\tMD\tB-VP\tO' -p48908 -aS'need\tneed\tVB\tI-VP\tO' -p48909 -aS'packed\tpacked\tJJ\tB-NP\tO' -p48910 -aS'red\tred\tJJ\tI-NP\tO' -p48911 -aS'blood\tblood\tNN\tI-NP\tO' -p48912 -aS'cell\tcell\tNN\tI-NP\tO' -p48913 -aS'transfusions\ttransfusion\tNNS\tI-NP\tO' -p48914 -aS'with\twith\tIN\tB-PP\tO' -p48915 -aS'dialysis\tdialysis\tNN\tB-NP\tO' -p48916 -aS'when\twhen\tWRB\tB-ADVP\tO' -p48917 -aS'her\ther\tPRP$\tB-NP\tO' -p48918 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p48919 -aS'falls\tfall\tVBZ\tB-VP\tO' -p48920 -aS'below\tbelow\tIN\tB-PP\tO' -p48921 -aS'26\t26\tCD\tB-NP\tO' -p48922 -aS'.\t.\t.\tO\tO' -p48923 -asS'In this 2 week interval he denied having CP / chest discomfort or difficulty breathing , no cough or hemoptysis .' -p48924 -(lp48925 -S'In\tIn\tIN\tB-PP\tO' -p48926 -aS'this\tthis\tDT\tB-NP\tO' -p48927 -aS'2\t2\tCD\tI-NP\tO' -p48928 -aS'week\tweek\tNN\tI-NP\tO' -p48929 -aS'interval\tinterval\tNN\tI-NP\tO' -p48930 -aS'he\the\tPRP\tB-NP\tO' -p48931 -aS'denied\tdeny\tVBD\tB-VP\tO' -p48932 -aS'having\thave\tVBG\tI-VP\tO' -p48933 -aS'CP\tCP\tNN\tB-NP\tB-DNA' -p48934 -aS'/\t/\tSYM\tO\tO' -p48935 -aS'chest\tchest\tNN\tB-NP\tO' -p48936 -aS'discomfort\tdiscomfort\tNN\tI-NP\tO' -p48937 -aS'or\tor\tCC\tO\tO' -p48938 -aS'difficulty\tdifficulty\tNN\tB-NP\tO' -p48939 -aS'breathing\tbreathing\tNN\tI-NP\tO' -p48940 -aS',\t,\t,\tO\tO' -p48941 -aS'no\tno\tDT\tB-NP\tO' -p48942 -aS'cough\tcough\tNN\tI-NP\tO' -p48943 -aS'or\tor\tCC\tI-NP\tO' -p48944 -aS'hemoptysis\themoptysis\tNN\tI-NP\tO' -p48945 -aS'.\t.\t.\tO\tO' -p48946 -asS'The patient radiated down her left arm associated with some nausea , no shortness of breath , cough , vomiting , diarrhea .' -p48947 -(lp48948 -S'The\tThe\tDT\tB-NP\tO' -p48949 -aS'patient\tpatient\tNN\tI-NP\tO' -p48950 -aS'radiated\tradiate\tVBD\tB-VP\tO' -p48951 -aS'down\tdown\tRP\tB-PRT\tO' -p48952 -aS'her\ther\tPRP$\tB-NP\tO' -p48953 -aS'left\tleft\tJJ\tI-NP\tO' -p48954 -aS'arm\tarm\tNN\tI-NP\tO' -p48955 -aS'associated\tassociate\tVBN\tB-VP\tO' -p48956 -aS'with\twith\tIN\tB-PP\tO' -p48957 -aS'some\tsome\tDT\tB-NP\tO' -p48958 -aS'nausea\tnausea\tNN\tI-NP\tO' -p48959 -aS',\t,\t,\tO\tO' -p48960 -aS'no\tno\tDT\tB-NP\tO' -p48961 -aS'shortness\tshortness\tNN\tI-NP\tO' -p48962 -aS'of\tof\tIN\tB-PP\tO' -p48963 -aS'breath\tbreath\tNN\tB-NP\tO' -p48964 -aS',\t,\t,\tO\tO' -p48965 -aS'cough\tcough\tNN\tB-NP\tO' -p48966 -aS',\t,\t,\tO\tO' -p48967 -aS'vomiting\tvomiting\tNN\tB-NP\tO' -p48968 -aS',\t,\t,\tO\tO' -p48969 -aS'diarrhea\tdiarrhea\tNN\tB-NP\tO' -p48970 -aS'.\t.\t.\tO\tO' -p48971 -asS'Creatinine slightly elevated at 1.3 , otherwise CBC , chemistries normal .' -p48972 -(lp48973 -S'Creatinine\tCreatinine\tNN\tB-NP\tO' -p48974 -aS'slightly\tslightly\tRB\tB-ADJP\tO' -p48975 -aS'elevated\televated\tJJ\tI-ADJP\tO' -p48976 -aS'at\tat\tIN\tB-PP\tO' -p48977 -aS'1.3\t1.3\tCD\tB-NP\tO' -p48978 -aS',\t,\t,\tO\tO' -p48979 -aS'otherwise\totherwise\tRB\tB-NP\tO' -p48980 -aS'CBC\tCBC\tNNP\tI-NP\tO' -p48981 -aS',\t,\t,\tO\tO' -p48982 -aS'chemistries\tchemistry\tNNS\tB-NP\tO' -p48983 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p48984 -aS'.\t.\t.\tO\tO' -p48985 -asS'The abdomen was soft , nontender and nondistended with no guarding and no hepatosplenomegaly .' -p48986 -(lp48987 -S'The\tThe\tDT\tB-NP\tO' -p48988 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p48989 -aS'was\tbe\tVBD\tB-VP\tO' -p48990 -aS'soft\tsoft\tJJ\tB-NP\tO' -p48991 -aS',\t,\t,\tI-NP\tO' -p48992 -aS'nontender\tnontender\tJJ\tI-NP\tO' -p48993 -aS'and\tand\tCC\tI-NP\tO' -p48994 -aS'nondistended\tnondistended\tJJ\tI-NP\tO' -p48995 -aS'with\twith\tIN\tB-PP\tO' -p48996 -aS'no\tno\tDT\tB-NP\tO' -p48997 -aS'guarding\tguarding\tNN\tI-NP\tO' -p48998 -aS'and\tand\tCC\tO\tO' -p48999 -aS'no\tno\tDT\tB-NP\tO' -p49000 -aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tI-NP\tO' -p49001 -aS'.\t.\t.\tO\tO' -p49002 -asS'Lymphatic-he had shotty cervical adenopathy .' -p49003 -(lp49004 -S'Lymphatic-he\tLymphatic-he\tNNP\tB-NP\tO' -p49005 -aS'had\thave\tVBD\tB-VP\tO' -p49006 -aS'shotty\tshotty\tJJ\tB-NP\tO' -p49007 -aS'cervical\tcervical\tJJ\tI-NP\tO' -p49008 -aS'adenopathy\tadenopathy\tNN\tI-NP\tO' -p49009 -aS'.\t.\t.\tO\tO' -p49010 -asS'Chest x-ray showed left atrial , right ventricular and pulmonary arterial enlargement and interstitial edema with small , bilateral effusions .' -p49011 -(lp49012 -S'Chest\tCh\tJJS\tB-NP\tO' -p49013 -aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' -p49014 -aS'showed\tshow\tVBD\tB-VP\tO' -p49015 -aS'left\tleft\tRB\tB-NP\tO' -p49016 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p49017 -aS',\t,\t,\tI-NP\tO' -p49018 -aS'right\tright\tJJ\tI-NP\tO' -p49019 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p49020 -aS'and\tand\tCC\tI-NP\tO' -p49021 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p49022 -aS'arterial\tarterial\tJJ\tI-NP\tO' -p49023 -aS'enlargement\tenlargement\tNN\tI-NP\tO' -p49024 -aS'and\tand\tCC\tO\tO' -p49025 -aS'interstitial\tinterstitial\tJJ\tB-NP\tO' -p49026 -aS'edema\tedema\tNN\tI-NP\tO' -p49027 -aS'with\twith\tIN\tB-PP\tO' -p49028 -aS'small\tsmall\tJJ\tB-NP\tO' -p49029 -aS',\t,\t,\tI-NP\tO' -p49030 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p49031 -aS'effusions\teffusion\tNNS\tI-NP\tO' -p49032 -aS'.\t.\t.\tO\tO' -p49033 -asS'He was found to have a temperature of 97.4 , heart rate 65 , pressure 107/52 , respiratory rate 22 and saturating 100% on 2 L of a nasal cannula .' -p49034 -(lp49035 -S'He\tHe\tPRP\tB-NP\tO' -p49036 -aS'was\tbe\tVBD\tB-VP\tO' -p49037 -aS'found\tfind\tVBN\tI-VP\tO' -p49038 -aS'to\tto\tTO\tI-VP\tO' -p49039 -aS'have\thave\tVB\tI-VP\tO' -p49040 -aS'a\ta\tDT\tB-NP\tO' -p49041 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p49042 -aS'of\tof\tIN\tB-PP\tO' -p49043 -aS'97.4\t97.4\tCD\tB-NP\tO' -p49044 -aS',\t,\t,\tO\tO' -p49045 -aS'heart\theart\tNN\tB-NP\tO' -p49046 -aS'rate\trate\tNN\tI-NP\tO' -p49047 -aS'65\t65\tCD\tI-NP\tO' -p49048 -aS',\t,\t,\tO\tO' -p49049 -aS'pressure\tpressure\tNN\tB-NP\tO' -p49050 -aS'107/52\t107/52\tCD\tI-NP\tO' -p49051 -aS',\t,\t,\tO\tO' -p49052 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p49053 -aS'rate\trate\tNN\tI-NP\tO' -p49054 -aS'22\t22\tCD\tI-NP\tO' -p49055 -aS'and\tand\tCC\tO\tO' -p49056 -aS'saturating\tsaturate\tVBG\tB-VP\tO' -p49057 -aS'100%\t100%\tCD\tB-NP\tO' -p49058 -aS'on\ton\tIN\tB-PP\tO' -p49059 -aS'2\t2\tCD\tB-NP\tO' -p49060 -aS'L\tL\tNN\tI-NP\tO' -p49061 -aS'of\tof\tIN\tB-PP\tO' -p49062 -aS'a\ta\tDT\tB-NP\tO' -p49063 -aS'nasal\tnasal\tJJ\tI-NP\tO' -p49064 -aS'cannula\tcannula\tNN\tI-NP\tO' -p49065 -aS'.\t.\t.\tO\tO' -p49066 -asS'In addition , to monitoring his intracranial pressure , his systemic blood pressures were maintained in such a manner that his cerebral perfusion pressure was maintained at 70 mmHg .' -p49067 -(lp49068 -S'In\tIn\tIN\tB-PP\tO' -p49069 -aS'addition\taddition\tNN\tB-NP\tO' -p49070 -aS',\t,\t,\tO\tO' -p49071 -aS'to\tto\tTO\tB-PP\tO' -p49072 -aS'monitoring\tmonitor\tVBG\tB-VP\tO' -p49073 -aS'his\this\tPRP$\tB-NP\tO' -p49074 -aS'intracranial\tintracranial\tJJ\tI-NP\tO' -p49075 -aS'pressure\tpressure\tNN\tI-NP\tO' -p49076 -aS',\t,\t,\tO\tO' -p49077 -aS'his\this\tPRP$\tB-NP\tO' -p49078 -aS'systemic\tsystemic\tJJ\tI-NP\tO' -p49079 -aS'blood\tblood\tNN\tI-NP\tO' -p49080 -aS'pressures\tpressure\tNNS\tI-NP\tO' -p49081 -aS'were\tbe\tVBD\tB-VP\tO' -p49082 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p49083 -aS'in\tin\tIN\tB-PP\tO' -p49084 -aS'such\tsuch\tJJ\tB-NP\tO' -p49085 -aS'a\ta\tDT\tI-NP\tO' -p49086 -aS'manner\tmanner\tNN\tI-NP\tO' -p49087 -aS'that\tthat\tIN\tB-NP\tO' -p49088 -aS'his\this\tPRP$\tB-NP\tO' -p49089 -aS'cerebral\tcerebral\tJJ\tI-NP\tO' -p49090 -aS'perfusion\tperfusion\tNN\tI-NP\tO' -p49091 -aS'pressure\tpressure\tNN\tI-NP\tO' -p49092 -aS'was\tbe\tVBD\tB-VP\tO' -p49093 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p49094 -aS'at\tat\tIN\tB-PP\tO' -p49095 -aS'70\t70\tCD\tB-NP\tO' -p49096 -aS'mmHg\tmmHg\tNN\tI-NP\tO' -p49097 -aS'.\t.\t.\tO\tO' -p49098 -asS'She was given a trial of 80/20 mixed helium/oxygen to decrease the stridor but had minimal effect .' -p49099 -(lp49100 -S'She\tShe\tPRP\tB-NP\tO' -p49101 -aS'was\tbe\tVBD\tB-VP\tO' -p49102 -aS'given\tgive\tVBN\tI-VP\tO' -p49103 -aS'a\ta\tDT\tB-NP\tO' -p49104 -aS'trial\ttrial\tNN\tI-NP\tO' -p49105 -aS'of\tof\tIN\tB-PP\tO' -p49106 -aS'80/20\t80/20\tCD\tB-NP\tO' -p49107 -aS'mixed\tmixed\tJJ\tI-NP\tO' -p49108 -aS'helium/oxygen\thelium/oxygen\tNN\tI-NP\tO' -p49109 -aS'to\tto\tTO\tB-VP\tO' -p49110 -aS'decrease\tdecrease\tVB\tI-VP\tO' -p49111 -aS'the\tthe\tDT\tB-NP\tO' -p49112 -aS'stridor\tstridor\tNN\tI-NP\tO' -p49113 -aS'but\tbut\tCC\tO\tO' -p49114 -aS'had\thave\tVBD\tB-VP\tO' -p49115 -aS'minimal\tminimal\tJJ\tB-NP\tO' -p49116 -aS'effect\teffect\tNN\tI-NP\tO' -p49117 -aS'.\t.\t.\tO\tO' -p49118 -asS'Abdomen was soft .' -p49119 -(lp49120 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p49121 -aS'was\tbe\tVBD\tB-VP\tO' -p49122 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p49123 -aS'.\t.\t.\tO\tO' -p49124 -asS'Other possibilities include infection , including her UTI .' -p49125 -(lp49126 -S'Other\tOther\tJJ\tB-NP\tO' -p49127 -aS'possibilities\tpossibility\tNNS\tI-NP\tO' -p49128 -aS'include\tinclude\tVBP\tB-VP\tO' -p49129 -aS'infection\tinfection\tNN\tB-NP\tO' -p49130 -aS',\t,\t,\tO\tO' -p49131 -aS'including\tinclude\tVBG\tB-PP\tO' -p49132 -aS'her\ther\tPRP$\tB-NP\tO' -p49133 -aS'UTI\tUTI\tNN\tI-NP\tB-DNA' -p49134 -aS'.\t.\t.\tO\tO' -p49135 -asS'O positive , antibody negative , hepatitis B surface antigen negative , RPR nonreactive , rubella immune' -p49136 -(lp49137 -S'O\tO\tNN\tB-NP\tO' -p49138 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p49139 -aS',\t,\t,\tO\tO' -p49140 -aS'antibody\tantibody\tNN\tB-NP\tO' -p49141 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p49142 -aS',\t,\t,\tO\tO' -p49143 -aS'hepatitis\thepatitis\tNN\tB-NP\tB-protein' -p49144 -aS'B\tB\tNN\tI-NP\tI-protein' -p49145 -aS'surface\tsurface\tNN\tI-NP\tI-protein' -p49146 -aS'antigen\tantigen\tNN\tI-NP\tI-protein' -p49147 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p49148 -aS',\t,\t,\tO\tO' -p49149 -aS'RPR\tRPR\tNN\tB-NP\tB-protein' -p49150 -aS'nonreactive\tnonreactive\tJJ\tB-ADJP\tO' -p49151 -aS',\t,\t,\tO\tO' -p49152 -aS'rubella\trubella\tNN\tB-NP\tO' -p49153 -aS'immune\timmune\tJJ\tB-ADJP\tO' -p49154 -asS'On 12-23 he went back to the operating room for open jejunostomy tube dehiscence site .' -p49155 -(lp49156 -S'On\tOn\tIN\tB-PP\tO' -p49157 -aS'12-23\t12-23\tCD\tB-NP\tO' -p49158 -aS'he\the\tPRP\tB-NP\tO' -p49159 -aS'went\tgo\tVBD\tB-VP\tO' -p49160 -aS'back\tback\tRB\tB-ADVP\tO' -p49161 -aS'to\tto\tTO\tB-PP\tO' -p49162 -aS'the\tthe\tDT\tB-NP\tO' -p49163 -aS'operating\toperating\tNN\tI-NP\tO' -p49164 -aS'room\troom\tNN\tI-NP\tO' -p49165 -aS'for\tfor\tIN\tB-PP\tO' -p49166 -aS'open\topen\tJJ\tB-NP\tO' -p49167 -aS'jejunostomy\tjejunostomy\tNN\tI-NP\tO' -p49168 -aS'tube\ttube\tNN\tI-NP\tO' -p49169 -aS'dehiscence\tdehiscence\tNN\tI-NP\tO' -p49170 -aS'site\tsite\tNN\tI-NP\tO' -p49171 -aS'.\t.\t.\tO\tO' -p49172 -asS'Physical Therapy has been seeing the patient and putting him through passive external rotation to the neutral position of the left shoulder and forward flexion with physical therapy assistance .' -p49173 -(lp49174 -S'Physical\tPhysical\tJJ\tB-NP\tO' -p49175 -aS'Therapy\tTherapy\tNN\tI-NP\tO' -p49176 -aS'has\thave\tVBZ\tB-VP\tO' -p49177 -aS'been\tbe\tVBN\tI-VP\tO' -p49178 -aS'seeing\tsee\tVBG\tI-VP\tO' -p49179 -aS'the\tthe\tDT\tB-NP\tO' -p49180 -aS'patient\tpatient\tNN\tI-NP\tO' -p49181 -aS'and\tand\tCC\tO\tO' -p49182 -aS'putting\tput\tVBG\tB-VP\tO' -p49183 -aS'him\thim\tPRP\tB-NP\tO' -p49184 -aS'through\tthrough\tIN\tB-PP\tO' -p49185 -aS'passive\tpassive\tJJ\tB-NP\tO' -p49186 -aS'external\texternal\tJJ\tI-NP\tO' -p49187 -aS'rotation\trotation\tNN\tI-NP\tO' -p49188 -aS'to\tto\tTO\tB-PP\tO' -p49189 -aS'the\tthe\tDT\tB-NP\tO' -p49190 -aS'neutral\tneutral\tJJ\tI-NP\tO' -p49191 -aS'position\tposition\tNN\tI-NP\tO' -p49192 -aS'of\tof\tIN\tB-PP\tO' -p49193 -aS'the\tthe\tDT\tB-NP\tO' -p49194 -aS'left\tleft\tJJ\tI-NP\tO' -p49195 -aS'shoulder\tshoulder\tNN\tI-NP\tO' -p49196 -aS'and\tand\tCC\tO\tO' -p49197 -aS'forward\tforward\tJJ\tB-NP\tO' -p49198 -aS'flexion\tflexion\tNN\tI-NP\tO' -p49199 -aS'with\twith\tIN\tB-PP\tO' -p49200 -aS'physical\tphysical\tJJ\tB-NP\tO' -p49201 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p49202 -aS'assistance\tassistance\tNN\tI-NP\tO' -p49203 -aS'.\t.\t.\tO\tO' -p49204 -asS'OK to shower , no bathing or swimming .' -p49205 -(lp49206 -S'OK\tOK\tNN\tB-NP\tO' -p49207 -aS'to\tto\tTO\tB-VP\tO' -p49208 -aS'shower\tshower\tVB\tI-VP\tO' -p49209 -aS',\t,\t,\tO\tO' -p49210 -aS'no\tno\tDT\tB-NP\tO' -p49211 -aS'bathing\tbathing\tNN\tI-NP\tO' -p49212 -aS'or\tor\tCC\tI-NP\tO' -p49213 -aS'swimming\tswimming\tNN\tI-NP\tO' -p49214 -aS'.\t.\t.\tO\tO' -p49215 -asS'In addition there is a distant history of M. kansasaii infection .' -p49216 -(lp49217 -S'In\tIn\tIN\tB-PP\tO' -p49218 -aS'addition\taddition\tNN\tB-NP\tO' -p49219 -aS'there\tthere\tEX\tB-NP\tO' -p49220 -aS'is\tbe\tVBZ\tB-VP\tO' -p49221 -aS'a\ta\tDT\tB-NP\tO' -p49222 -aS'distant\tdistant\tJJ\tI-NP\tO' -p49223 -aS'history\thistory\tNN\tI-NP\tO' -p49224 -aS'of\tof\tIN\tB-PP\tO' -p49225 -aS'M.\tM.\tFW\tB-NP\tO' -p49226 -aS'kansasaii\tkansasaii\tFW\tI-NP\tO' -p49227 -aS'infection\tinfection\tNN\tI-NP\tO' -p49228 -aS'.\t.\t.\tO\tO' -p49229 -asS'Her prednisone was tapered to a stable dose .' -p49230 -(lp49231 -S'Her\tHer\tPRP$\tB-NP\tO' -p49232 -aS'prednisone\tprednisone\tNN\tI-NP\tO' -p49233 -aS'was\tbe\tVBD\tB-VP\tO' -p49234 -aS'tapered\ttaper\tVBN\tI-VP\tO' -p49235 -aS'to\tto\tTO\tB-PP\tO' -p49236 -aS'a\ta\tDT\tB-NP\tO' -p49237 -aS'stable\tstable\tJJ\tI-NP\tO' -p49238 -aS'dose\tdose\tNN\tI-NP\tO' -p49239 -aS'.\t.\t.\tO\tO' -p49240 -asS'History of coronary artery disease status post silent myocardial infarction in the past and three-vessel coronary artery bypass graft in 1987 .' -p49241 -(lp49242 -S'History\tHistory\tNN\tB-NP\tO' -p49243 -aS'of\tof\tIN\tB-PP\tO' -p49244 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p49245 -aS'artery\tartery\tNN\tI-NP\tO' -p49246 -aS'disease\tdisease\tNN\tI-NP\tO' -p49247 -aS'status\tstatus\tNN\tI-NP\tO' -p49248 -aS'post\tpost\tIN\tB-PP\tO' -p49249 -aS'silent\tsilent\tJJ\tB-NP\tO' -p49250 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p49251 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p49252 -aS'in\tin\tIN\tB-PP\tO' -p49253 -aS'the\tthe\tDT\tB-NP\tO' -p49254 -aS'past\tpast\tNN\tI-NP\tO' -p49255 -aS'and\tand\tCC\tI-NP\tO' -p49256 -aS'three-vessel\tthree-vessel\tJJ\tI-NP\tO' -p49257 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p49258 -aS'artery\tartery\tNN\tI-NP\tO' -p49259 -aS'bypass\tbypass\tIN\tB-PP\tO' -p49260 -aS'graft\tgraft\tNN\tB-NP\tO' -p49261 -aS'in\tin\tIN\tB-PP\tO' -p49262 -aS'1987\t1987\tCD\tB-NP\tO' -p49263 -aS'.\t.\t.\tO\tO' -p49264 -asS'Once he was coherent enough , the patient was evaluated by the swallow team who' -p49265 -(lp49266 -S'Once\tOnce\tRB\tO\tO' -p49267 -aS'he\the\tPRP\tB-NP\tO' -p49268 -aS'was\tbe\tVBD\tB-VP\tO' -p49269 -aS'coherent\tcoherent\tJJ\tB-ADJP\tO' -p49270 -aS'enough\tenough\tRB\tI-ADJP\tO' -p49271 -aS',\t,\t,\tO\tO' -p49272 -aS'the\tthe\tDT\tB-NP\tO' -p49273 -aS'patient\tpatient\tNN\tI-NP\tO' -p49274 -aS'was\tbe\tVBD\tB-VP\tO' -p49275 -aS'evaluated\tevaluate\tVBN\tI-VP\tO' -p49276 -aS'by\tby\tIN\tB-PP\tO' -p49277 -aS'the\tthe\tDT\tB-NP\tO' -p49278 -aS'swallow\tswallow\tJJ\tI-NP\tO' -p49279 -aS'team\tteam\tNN\tI-NP\tO' -p49280 -aS'who\twho\tWP\tB-NP\tO' -p49281 -asS'She requested the patient be made Comfort Measures Only .' -p49282 -(lp49283 -S'She\tShe\tPRP\tB-NP\tO' -p49284 -aS'requested\trequest\tVBD\tB-VP\tO' -p49285 -aS'the\tthe\tDT\tB-NP\tO' -p49286 -aS'patient\tpatient\tNN\tI-NP\tO' -p49287 -aS'be\tbe\tVB\tB-VP\tO' -p49288 -aS'made\tmake\tVBN\tI-VP\tO' -p49289 -aS'Comfort\tComfort\tNNP\tB-NP\tO' -p49290 -aS'Measures\tMeasures\tNNP\tI-NP\tO' -p49291 -aS'Only\tOnly\tNNP\tI-NP\tO' -p49292 -aS'.\t.\t.\tO\tO' -p49293 -asS'Daycare during RSV season , a smoker in the household , neuromuscular disease , airway abnormalities or school age siblings or' -p49294 -(lp49295 -S'Daycare\tDaycare\tNN\tB-NP\tO' -p49296 -aS'during\tduring\tIN\tB-PP\tO' -p49297 -aS'RSV\tRSV\tNN\tB-NP\tO' -p49298 -aS'season\tseason\tNN\tI-NP\tO' -p49299 -aS',\t,\t,\tO\tO' -p49300 -aS'a\ta\tDT\tB-NP\tO' -p49301 -aS'smoker\tsmoker\tNN\tI-NP\tO' -p49302 -aS'in\tin\tIN\tB-PP\tO' -p49303 -aS'the\tthe\tDT\tB-NP\tO' -p49304 -aS'household\thousehold\tNN\tI-NP\tO' -p49305 -aS',\t,\t,\tO\tO' -p49306 -aS'neuromuscular\tneuromuscular\tJJ\tB-NP\tO' -p49307 -aS'disease\tdisease\tNN\tI-NP\tO' -p49308 -aS',\t,\t,\tO\tO' -p49309 -aS'airway\tairway\tNN\tB-NP\tO' -p49310 -aS'abnormalities\tabnormality\tNNS\tI-NP\tO' -p49311 -aS'or\tor\tCC\tO\tO' -p49312 -aS'school\tschool\tNN\tB-NP\tO' -p49313 -aS'age\tage\tNN\tI-NP\tO' -p49314 -aS'siblings\tsibling\tNNS\tI-NP\tO' -p49315 -aS'or\tor\tCC\tO\tO' -p49316 -asS'Mr. Minton did not get his IVIG until 2019-04-14 .' -p49317 -(lp49318 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p49319 -aS'Minton\tMinton\tNNP\tI-NP\tO' -p49320 -aS'did\tdo\tVBD\tB-VP\tO' -p49321 -aS'not\tnot\tRB\tI-VP\tO' -p49322 -aS'get\tget\tVB\tI-VP\tO' -p49323 -aS'his\this\tPRP$\tB-NP\tO' -p49324 -aS'IVIG\tIVIG\tNN\tI-NP\tB-protein' -p49325 -aS'until\tuntil\tIN\tB-PP\tO' -p49326 -aS'2019-04-14\t2019-04-14\tCD\tB-NP\tO' -p49327 -aS'.\t.\t.\tO\tO' -p49328 -asS'The patient was admitted to the Cardiac Catheterization Laboratory .' -p49329 -(lp49330 -S'The\tThe\tDT\tB-NP\tO' -p49331 -aS'patient\tpatient\tNN\tI-NP\tO' -p49332 -aS'was\tbe\tVBD\tB-VP\tO' -p49333 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p49334 -aS'to\tto\tTO\tB-PP\tO' -p49335 -aS'the\tthe\tDT\tB-NP\tO' -p49336 -aS'Cardiac\tCardiac\tNNP\tI-NP\tO' -p49337 -aS'Catheterization\tCatheterization\tNNP\tI-NP\tO' -p49338 -aS'Laboratory\tLaboratory\tNNP\tI-NP\tO' -p49339 -aS'.\t.\t.\tO\tO' -p49340 -asS'His goal INR should be 1.6-2.0 . If bleeding continues to occur , consider V. Winchester filter .' -p49341 -(lp49342 -S'His\tHis\tPRP$\tB-NP\tO' -p49343 -aS'goal\tgoal\tNN\tI-NP\tB-protein' -p49344 -aS'INR\tINR\tNN\tI-NP\tI-protein' -p49345 -aS'should\tshould\tMD\tB-VP\tO' -p49346 -aS'be\tbe\tVB\tI-VP\tO' -p49347 -aS'1.6-2.0\t1.6-2.0\tCD\tB-NP\tO' -p49348 -aS'.\t.\t.\tO\tO' -p49349 -aS'If\tIf\tIN\tB-SBAR\tO' -p49350 -aS'bleeding\tbleeding\tNN\tB-NP\tO' -p49351 -aS'continues\tcontinue\tVBZ\tB-VP\tO' -p49352 -aS'to\tto\tTO\tI-VP\tO' -p49353 -aS'occur\toccur\tVB\tI-VP\tO' -p49354 -aS',\t,\t,\tI-VP\tO' -p49355 -aS'consider\tconsider\tVB\tI-VP\tO' -p49356 -aS'V.\tV.\tNNP\tB-NP\tO' -p49357 -aS'Winchester\tWinchester\tNNP\tI-NP\tO' -p49358 -aS'filter\tfilter\tNN\tI-NP\tO' -p49359 -aS'.\t.\t.\tO\tO' -p49360 -asS'The patient smokes one pack per day and has a history of heavy alcohol use .' -p49361 -(lp49362 -S'The\tThe\tDT\tB-NP\tO' -p49363 -aS'patient\tpatient\tNN\tI-NP\tO' -p49364 -aS'smokes\tsmoke\tVBZ\tB-VP\tO' -p49365 -aS'one\tone\tCD\tB-NP\tO' -p49366 -aS'pack\tpack\tNN\tI-NP\tO' -p49367 -aS'per\tper\tIN\tB-PP\tO' -p49368 -aS'day\tday\tNN\tB-NP\tO' -p49369 -aS'and\tand\tCC\tO\tO' -p49370 -aS'has\thave\tVBZ\tB-VP\tO' -p49371 -aS'a\ta\tDT\tB-NP\tO' -p49372 -aS'history\thistory\tNN\tI-NP\tO' -p49373 -aS'of\tof\tIN\tB-PP\tO' -p49374 -aS'heavy\theavy\tJJ\tB-NP\tO' -p49375 -aS'alcohol\talcohol\tNN\tI-NP\tO' -p49376 -aS'use\tuse\tNN\tI-NP\tO' -p49377 -aS'.\t.\t.\tO\tO' -p49378 -asS'Given the fact that the patient had issues with muscle cramping with Atorvastatin in the past , she was started on Pravastatin which should give less of these side effects .' -p49379 -(lp49380 -S'Given\tGive\tVBN\tB-PP\tO' -p49381 -aS'the\tthe\tDT\tB-NP\tO' -p49382 -aS'fact\tfact\tNN\tI-NP\tO' -p49383 -aS'that\tthat\tIN\tB-SBAR\tO' -p49384 -aS'the\tthe\tDT\tB-NP\tO' -p49385 -aS'patient\tpatient\tNN\tI-NP\tO' -p49386 -aS'had\thave\tVBD\tB-VP\tO' -p49387 -aS'issues\tissue\tNNS\tB-NP\tO' -p49388 -aS'with\twith\tIN\tB-PP\tO' -p49389 -aS'muscle\tmuscle\tNN\tB-NP\tO' -p49390 -aS'cramping\tcramp\tVBG\tB-VP\tO' -p49391 -aS'with\twith\tIN\tB-PP\tO' -p49392 -aS'Atorvastatin\tAtorvastatin\tNN\tB-NP\tO' -p49393 -aS'in\tin\tIN\tB-PP\tO' -p49394 -aS'the\tthe\tDT\tB-NP\tO' -p49395 -aS'past\tpast\tNN\tI-NP\tO' -p49396 -aS',\t,\t,\tO\tO' -p49397 -aS'she\tshe\tPRP\tB-NP\tO' -p49398 -aS'was\tbe\tVBD\tB-VP\tO' -p49399 -aS'started\tstart\tVBN\tI-VP\tO' -p49400 -aS'on\ton\tIN\tB-PP\tO' -p49401 -aS'Pravastatin\tPravastatin\tNN\tB-NP\tB-protein' -p49402 -aS'which\twhich\tWDT\tB-NP\tO' -p49403 -aS'should\tshould\tMD\tB-VP\tO' -p49404 -aS'give\tgive\tVB\tI-VP\tO' -p49405 -aS'less\tless\tJJR\tB-NP\tO' -p49406 -aS'of\tof\tIN\tB-PP\tO' -p49407 -aS'these\tthese\tDT\tB-NP\tO' -p49408 -aS'side\tside\tJJ\tI-NP\tO' -p49409 -aS'effects\teffect\tNNS\tI-NP\tO' -p49410 -aS'.\t.\t.\tO\tO' -p49411 -asS'As mentioned earlier he continues to have erythema tracking up his leg and up to his lateral thigh .' -p49412 -(lp49413 -S'As\tAs\tIN\tB-SBAR\tO' -p49414 -aS'mentioned\tmention\tVBN\tB-VP\tO' -p49415 -aS'earlier\tearlier\tRBR\tB-ADVP\tO' -p49416 -aS'he\the\tPRP\tB-NP\tO' -p49417 -aS'continues\tcontinue\tVBZ\tB-VP\tO' -p49418 -aS'to\tto\tTO\tI-VP\tO' -p49419 -aS'have\thave\tVB\tI-VP\tO' -p49420 -aS'erythema\terythema\tNN\tB-NP\tO' -p49421 -aS'tracking\ttrack\tVBG\tB-VP\tO' -p49422 -aS'up\tup\tRP\tB-PRT\tO' -p49423 -aS'his\this\tPRP$\tB-NP\tO' -p49424 -aS'leg\tleg\tNN\tI-NP\tO' -p49425 -aS'and\tand\tCC\tO\tO' -p49426 -aS'up\tup\tRB\tB-ADVP\tO' -p49427 -aS'to\tto\tTO\tB-PP\tO' -p49428 -aS'his\this\tPRP$\tB-NP\tO' -p49429 -aS'lateral\tlateral\tJJ\tI-NP\tO' -p49430 -aS'thigh\tthigh\tNN\tI-NP\tO' -p49431 -aS'.\t.\t.\tO\tO' -p49432 -asS'High WBC .' -p49433 -(lp49434 -S'High\tHigh\tNNP\tB-NP\tO' -p49435 -aS'WBC\tWBC\tNNP\tI-NP\tO' -p49436 -aS'.\t.\t.\tO\tO' -p49437 -asS'On postoperative day one , she was noted to be largely unresponsive with left hemiparesis .' -p49438 -(lp49439 -S'On\tOn\tIN\tB-PP\tO' -p49440 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p49441 -aS'day\tday\tNN\tI-NP\tO' -p49442 -aS'one\tone\tCD\tB-NP\tO' -p49443 -aS',\t,\t,\tO\tO' -p49444 -aS'she\tshe\tPRP\tB-NP\tO' -p49445 -aS'was\tbe\tVBD\tB-VP\tO' -p49446 -aS'noted\tnote\tVBN\tI-VP\tO' -p49447 -aS'to\tto\tTO\tI-VP\tO' -p49448 -aS'be\tbe\tVB\tI-VP\tO' -p49449 -aS'largely\tlargely\tRB\tB-ADJP\tO' -p49450 -aS'unresponsive\tunresponsive\tJJ\tI-ADJP\tO' -p49451 -aS'with\twith\tIN\tB-PP\tO' -p49452 -aS'left\tleft\tJJ\tB-NP\tO' -p49453 -aS'hemiparesis\themiparesis\tNN\tI-NP\tO' -p49454 -aS'.\t.\t.\tO\tO' -p49455 -asS'7. Citalopram 10 mg q. day .' -p49456 -(lp49457 -S'7.\t7.\tCD\tB-NP\tO' -p49458 -aS'Citalopram\tCitalopram\tNNP\tI-NP\tO' -p49459 -aS'10\t10\tCD\tI-NP\tO' -p49460 -aS'mg\tmg\tNN\tI-NP\tO' -p49461 -aS'q.\tq.\tNN\tI-NP\tO' -p49462 -aS'day\tday\tNN\tI-NP\tO' -p49463 -aS'.\t.\t.\tO\tO' -p49464 -asS'Ankle surgery times two on the right .' -p49465 -(lp49466 -S'Ankle\tAnkle\tNN\tB-NP\tO' -p49467 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p49468 -aS'times\ttime\tNNS\tI-NP\tO' -p49469 -aS'two\ttwo\tCD\tB-NP\tO' -p49470 -aS'on\ton\tIN\tB-PP\tO' -p49471 -aS'the\tthe\tDT\tB-NP\tO' -p49472 -aS'right\tright\tNN\tI-NP\tO' -p49473 -aS'.\t.\t.\tO\tO' -p49474 -asS'She also developed a mild urinary tract infection which responded to Bactrim , but which was subsequently stopped because of diarrhea .' -p49475 -(lp49476 -S'She\tShe\tPRP\tB-NP\tO' -p49477 -aS'also\talso\tRB\tB-ADVP\tO' -p49478 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p49479 -aS'a\ta\tDT\tB-NP\tO' -p49480 -aS'mild\tmild\tJJ\tI-NP\tO' -p49481 -aS'urinary\turinary\tJJ\tI-NP\tO' -p49482 -aS'tract\ttract\tNN\tI-NP\tO' -p49483 -aS'infection\tinfection\tNN\tI-NP\tO' -p49484 -aS'which\twhich\tWDT\tB-NP\tO' -p49485 -aS'responded\trespond\tVBD\tB-VP\tO' -p49486 -aS'to\tto\tTO\tB-PP\tO' -p49487 -aS'Bactrim\tBactrim\tNNP\tB-NP\tO' -p49488 -aS',\t,\t,\tO\tO' -p49489 -aS'but\tbut\tCC\tO\tO' -p49490 -aS'which\twhich\tWDT\tB-NP\tO' -p49491 -aS'was\tbe\tVBD\tB-VP\tO' -p49492 -aS'subsequently\tsubsequently\tRB\tI-VP\tO' -p49493 -aS'stopped\tstop\tVBN\tI-VP\tO' -p49494 -aS'because\tbecause\tIN\tB-PP\tO' -p49495 -aS'of\tof\tIN\tI-PP\tO' -p49496 -aS'diarrhea\tdiarrhea\tNN\tB-NP\tO' -p49497 -aS'.\t.\t.\tO\tO' -p49498 -asS'15. Amiodarone 400 mg Tablet Sig : One ( 1 ) Tablet PO once a day : after finishing 400mg BID x 6 days .' -p49499 -(lp49500 -S'15.\t15.\tCD\tB-NP\tO' -p49501 -aS'Amiodarone\tAmiodarone\tNN\tI-NP\tO' -p49502 -aS'400\t400\tCD\tB-NP\tO' -p49503 -aS'mg\tmg\tNN\tI-NP\tO' -p49504 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p49505 -aS'Sig\tSig\tNNP\tI-NP\tO' -p49506 -aS':\t:\t:\tO\tO' -p49507 -aS'One\tOne\tCD\tB-NP\tO' -p49508 -aS'(\t(\t(\tO\tO' -p49509 -aS'1\t1\tCD\tB-NP\tO' -p49510 -aS')\t)\t)\tO\tO' -p49511 -aS'Tablet\tTablet\tNN\tB-NP\tB-protein' -p49512 -aS'PO\tPO\tNN\tI-NP\tI-protein' -p49513 -aS'once\tonce\tRB\tO\tO' -p49514 -aS'a\ta\tDT\tB-NP\tO' -p49515 -aS'day\tday\tNN\tI-NP\tO' -p49516 -aS':\t:\t:\tO\tO' -p49517 -aS'after\tafter\tIN\tB-PP\tO' -p49518 -aS'finishing\tfinish\tVBG\tB-VP\tO' -p49519 -aS'400mg\t400mg\tCD\tB-NP\tO' -p49520 -aS'BID\tBID\tNNP\tI-NP\tO' -p49521 -aS'x\tx\tCC\tO\tO' -p49522 -aS'6\t6\tCD\tB-NP\tO' -p49523 -aS'days\tday\tNNS\tI-NP\tO' -p49524 -aS'.\t.\t.\tO\tO' -p49525 -asS'8 ) The patient has a follow-up appointment with Dr. Ian Zineisfreierm at the We Erthunt Hospital at 180-0455 on August 15 , 1999 at 12:30 PM .' -p49526 -(lp49527 -S'8\t8\tCD\tB-NP\tO' -p49528 -aS')\t)\t)\tO\tO' -p49529 -aS'The\tThe\tDT\tB-NP\tO' -p49530 -aS'patient\tpatient\tNN\tI-NP\tO' -p49531 -aS'has\thave\tVBZ\tB-VP\tO' -p49532 -aS'a\ta\tDT\tB-NP\tO' -p49533 -aS'follow-up\tfollow-up\tJJ\tI-NP\tO' -p49534 -aS'appointment\tappointment\tNN\tI-NP\tO' -p49535 -aS'with\twith\tIN\tB-PP\tO' -p49536 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p49537 -aS'Ian\tIan\tNNP\tI-NP\tO' -p49538 -aS'Zineisfreierm\tZineisfreierm\tNNP\tI-NP\tO' -p49539 -aS'at\tat\tIN\tB-PP\tO' -p49540 -aS'the\tthe\tDT\tB-NP\tO' -p49541 -aS'We\tWe\tPRP\tI-NP\tO' -p49542 -aS'Erthunt\tErthunt\tNNP\tI-NP\tO' -p49543 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p49544 -aS'at\tat\tIN\tB-PP\tO' -p49545 -aS'180-0455\t180-0455\tCD\tB-NP\tO' -p49546 -aS'on\ton\tIN\tB-PP\tO' -p49547 -aS'August\tAugust\tNNP\tB-NP\tO' -p49548 -aS'15\t15\tCD\tI-NP\tO' -p49549 -aS',\t,\t,\tI-NP\tO' -p49550 -aS'1999\t1999\tCD\tI-NP\tO' -p49551 -aS'at\tat\tIN\tB-PP\tO' -p49552 -aS'12:30\t12:30\tCD\tB-NP\tO' -p49553 -aS'PM\tPM\tNN\tI-NP\tO' -p49554 -aS'.\t.\t.\tO\tO' -p49555 -asS'On 06-28 , the patient was also cleared for removal of her C-spine collar and deemed stable for transfer to the Orthopedic Service under the direction of Dr. Ronda Lopez .' -p49556 -(lp49557 -S'On\tOn\tIN\tB-PP\tO' -p49558 -aS'06-28\t06-28\tCD\tB-NP\tO' -p49559 -aS',\t,\t,\tO\tO' -p49560 -aS'the\tthe\tDT\tB-NP\tO' -p49561 -aS'patient\tpatient\tNN\tI-NP\tO' -p49562 -aS'was\tbe\tVBD\tB-VP\tO' -p49563 -aS'also\talso\tRB\tI-VP\tO' -p49564 -aS'cleared\tclear\tVBN\tI-VP\tO' -p49565 -aS'for\tfor\tIN\tB-PP\tO' -p49566 -aS'removal\tremoval\tNN\tB-NP\tO' -p49567 -aS'of\tof\tIN\tB-PP\tO' -p49568 -aS'her\ther\tPRP$\tB-NP\tO' -p49569 -aS'C-spine\tC-spine\tNN\tI-NP\tO' -p49570 -aS'collar\tcollar\tNN\tI-NP\tO' -p49571 -aS'and\tand\tCC\tO\tO' -p49572 -aS'deemed\tdeem\tVBD\tB-VP\tO' -p49573 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p49574 -aS'for\tfor\tIN\tB-PP\tO' -p49575 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p49576 -aS'to\tto\tTO\tB-PP\tO' -p49577 -aS'the\tthe\tDT\tB-NP\tO' -p49578 -aS'Orthopedic\tOrthopedic\tNNP\tI-NP\tO' -p49579 -aS'Service\tService\tNNP\tI-NP\tO' -p49580 -aS'under\tunder\tIN\tB-PP\tO' -p49581 -aS'the\tthe\tDT\tB-NP\tO' -p49582 -aS'direction\tdirection\tNN\tI-NP\tO' -p49583 -aS'of\tof\tIN\tB-PP\tO' -p49584 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p49585 -aS'Ronda\tRonda\tNNP\tI-NP\tO' -p49586 -aS'Lopez\tLopez\tNNP\tI-NP\tO' -p49587 -aS'.\t.\t.\tO\tO' -p49588 -asS'There was hemoptysis and intermittent gastrointestinal bleeding , while he remained profoundly thrombocytopenia .' -p49589 -(lp49590 -S'There\tThere\tEX\tB-NP\tO' -p49591 -aS'was\tbe\tVBD\tB-VP\tO' -p49592 -aS'hemoptysis\themoptysis\tNN\tB-NP\tO' -p49593 -aS'and\tand\tCC\tO\tO' -p49594 -aS'intermittent\tintermittent\tJJ\tB-NP\tO' -p49595 -aS'gastrointestinal\tgastrointestinal\tJJ\tI-NP\tO' -p49596 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p49597 -aS',\t,\t,\tO\tO' -p49598 -aS'while\twhile\tIN\tB-SBAR\tO' -p49599 -aS'he\the\tPRP\tB-NP\tO' -p49600 -aS'remained\tremain\tVBD\tB-VP\tO' -p49601 -aS'profoundly\tprofoundly\tRB\tB-NP\tO' -p49602 -aS'thrombocytopenia\tthrombocytopenia\tNN\tI-NP\tO' -p49603 -aS'.\t.\t.\tO\tO' -p49604 -asS'She had exertional angina at that time .' -p49605 -(lp49606 -S'She\tShe\tPRP\tB-NP\tO' -p49607 -aS'had\thave\tVBD\tB-VP\tO' -p49608 -aS'exertional\texertional\tJJ\tB-NP\tO' -p49609 -aS'angina\tangina\tNN\tI-NP\tO' -p49610 -aS'at\tat\tIN\tB-PP\tO' -p49611 -aS'that\tthat\tDT\tB-NP\tO' -p49612 -aS'time\ttime\tNN\tI-NP\tO' -p49613 -aS'.\t.\t.\tO\tO' -p49614 -asS'Works in a restaurant .' -p49615 -(lp49616 -S'Works\tWork\tNNS\tB-NP\tO' -p49617 -aS'in\tin\tIN\tB-PP\tO' -p49618 -aS'a\ta\tDT\tB-NP\tO' -p49619 -aS'restaurant\trestaurant\tNN\tI-NP\tO' -p49620 -aS'.\t.\t.\tO\tO' -p49621 -asS'He remained in the Intensive Care Unit for an additional day to monitor his hemodynamics .' -p49622 -(lp49623 -S'He\tHe\tPRP\tB-NP\tO' -p49624 -aS'remained\tremain\tVBD\tB-VP\tO' -p49625 -aS'in\tin\tIN\tB-PP\tO' -p49626 -aS'the\tthe\tDT\tB-NP\tO' -p49627 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p49628 -aS'Care\tCare\tNNP\tI-NP\tO' -p49629 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p49630 -aS'for\tfor\tIN\tB-PP\tO' -p49631 -aS'an\tan\tDT\tB-NP\tO' -p49632 -aS'additional\tadditional\tJJ\tI-NP\tO' -p49633 -aS'day\tday\tNN\tI-NP\tO' -p49634 -aS'to\tto\tTO\tB-VP\tO' -p49635 -aS'monitor\tmonitor\tVB\tI-VP\tO' -p49636 -aS'his\this\tPRP$\tB-NP\tO' -p49637 -aS'hemodynamics\themodynamic\tNNS\tI-NP\tO' -p49638 -aS'.\t.\t.\tO\tO' -p49639 -asS"Anemia - The patient 's hematocrit dropped in the Intensive Care Unit to the mid 20s and she received one unit of packed" -p49640 -(lp49641 -S'Anemia\tAnemia\tNN\tB-NP\tO' -p49642 -aS'-\t-\tHYPH\tO\tO' -p49643 -aS'The\tThe\tDT\tB-NP\tO' -p49644 -aS'patient\tpatient\tNN\tI-NP\tO' -p49645 -aS"'s\t's\tPOS\tB-NP\tO" -p49646 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p49647 -aS'dropped\tdrop\tVBD\tB-VP\tO' -p49648 -aS'in\tin\tIN\tB-PP\tO' -p49649 -aS'the\tthe\tDT\tB-NP\tO' -p49650 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p49651 -aS'Care\tCare\tNNP\tI-NP\tO' -p49652 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p49653 -aS'to\tto\tTO\tB-PP\tO' -p49654 -aS'the\tthe\tDT\tB-NP\tO' -p49655 -aS'mid\tmid\tJJ\tI-NP\tO' -p49656 -aS'20s\t20s\tCD\tI-NP\tO' -p49657 -aS'and\tand\tCC\tO\tO' -p49658 -aS'she\tshe\tPRP\tB-NP\tO' -p49659 -aS'received\treceive\tVBD\tB-VP\tO' -p49660 -aS'one\tone\tCD\tB-NP\tO' -p49661 -aS'unit\tunit\tNN\tI-NP\tO' -p49662 -aS'of\tof\tIN\tB-PP\tO' -p49663 -aS'packed\tpack\tVBN\tB-VP\tO' -p49664 -asS'HEENT : Pupils pinpoint , equal , anicteric , normal conjunctiva , intubated , OGT in place , OMMM , normocephalic , atraumatic' -p49665 -(lp49666 -S'HEENT\tHEENT\tNN\tB-NP\tO' -p49667 -aS':\t:\t:\tO\tO' -p49668 -aS'Pupils\tPupil\tNNS\tB-NP\tO' -p49669 -aS'pinpoint\tpinpoint\tNN\tI-NP\tO' -p49670 -aS',\t,\t,\tO\tO' -p49671 -aS'equal\tequal\tJJ\tB-NP\tO' -p49672 -aS',\t,\t,\tI-NP\tO' -p49673 -aS'anicteric\tanicteric\tJJ\tI-NP\tO' -p49674 -aS',\t,\t,\tI-NP\tO' -p49675 -aS'normal\tnormal\tJJ\tI-NP\tO' -p49676 -aS'conjunctiva\tconjunctiva\tNN\tI-NP\tO' -p49677 -aS',\t,\t,\tO\tO' -p49678 -aS'intubated\tintubate\tVBN\tB-VP\tO' -p49679 -aS',\t,\t,\tO\tO' -p49680 -aS'OGT\tOGT\tNN\tB-NP\tO' -p49681 -aS'in\tin\tIN\tB-PP\tO' -p49682 -aS'place\tplace\tNN\tB-NP\tO' -p49683 -aS',\t,\t,\tO\tO' -p49684 -aS'OMMM\tOMMM\tNN\tB-NP\tB-protein' -p49685 -aS',\t,\t,\tO\tO' -p49686 -aS'normocephalic\tnormocephalic\tJJ\tB-NP\tO' -p49687 -aS',\t,\t,\tI-NP\tO' -p49688 -aS'atraumatic\tatraumatic\tJJ\tI-NP\tO' -p49689 -asS'She received a normal saline bolus times one initially for poor perfusion and was started on dopamine with a maximum infusion rate of 6 mcg per kg per hour .' -p49690 -(lp49691 -S'She\tShe\tPRP\tB-NP\tO' -p49692 -aS'received\treceive\tVBD\tB-VP\tO' -p49693 -aS'a\ta\tDT\tB-NP\tO' -p49694 -aS'normal\tnormal\tJJ\tI-NP\tO' -p49695 -aS'saline\tsaline\tNN\tI-NP\tO' -p49696 -aS'bolus\tbolus\tNN\tI-NP\tO' -p49697 -aS'times\ttime\tNNS\tI-NP\tO' -p49698 -aS'one\tone\tCD\tB-NP\tO' -p49699 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p49700 -aS'for\tfor\tIN\tB-PP\tO' -p49701 -aS'poor\tpoor\tJJ\tB-NP\tO' -p49702 -aS'perfusion\tperfusion\tNN\tI-NP\tO' -p49703 -aS'and\tand\tCC\tO\tO' -p49704 -aS'was\tbe\tVBD\tB-VP\tO' -p49705 -aS'started\tstart\tVBN\tI-VP\tO' -p49706 -aS'on\ton\tIN\tB-PP\tO' -p49707 -aS'dopamine\tdopamine\tNN\tB-NP\tO' -p49708 -aS'with\twith\tIN\tB-PP\tO' -p49709 -aS'a\ta\tDT\tB-NP\tO' -p49710 -aS'maximum\tmaximum\tNN\tI-NP\tO' -p49711 -aS'infusion\tinfusion\tNN\tI-NP\tO' -p49712 -aS'rate\trate\tNN\tI-NP\tO' -p49713 -aS'of\tof\tIN\tB-PP\tO' -p49714 -aS'6\t6\tCD\tB-NP\tO' -p49715 -aS'mcg\tmcg\tNN\tI-NP\tO' -p49716 -aS'per\tper\tIN\tB-PP\tO' -p49717 -aS'kg\tkg\tNN\tB-NP\tO' -p49718 -aS'per\tper\tIN\tB-PP\tO' -p49719 -aS'hour\thour\tNN\tB-NP\tO' -p49720 -aS'.\t.\t.\tO\tO' -p49721 -asS'She was followed by Albano during the admission .' -p49722 -(lp49723 -S'She\tShe\tPRP\tB-NP\tO' -p49724 -aS'was\tbe\tVBD\tB-VP\tO' -p49725 -aS'followed\tfollow\tVBN\tI-VP\tO' -p49726 -aS'by\tby\tIN\tB-PP\tO' -p49727 -aS'Albano\tAlbano\tNNP\tB-NP\tO' -p49728 -aS'during\tduring\tIN\tB-PP\tO' -p49729 -aS'the\tthe\tDT\tB-NP\tO' -p49730 -aS'admission\tadmission\tNN\tI-NP\tO' -p49731 -aS'.\t.\t.\tO\tO' -p49732 -asS'A repeat echocardiogram on February 18 showed no significant change of her previous echocardiogram on February 11 , which showed only a small pericardial effusion .' -p49733 -(lp49734 -S'A\tA\tDT\tB-NP\tO' -p49735 -aS'repeat\trepeat\tNN\tI-NP\tO' -p49736 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p49737 -aS'on\ton\tIN\tB-PP\tO' -p49738 -aS'February\tFebruary\tNNP\tB-NP\tO' -p49739 -aS'18\t18\tCD\tI-NP\tO' -p49740 -aS'showed\tshow\tVBD\tB-VP\tO' -p49741 -aS'no\tno\tDT\tB-NP\tO' -p49742 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p49743 -aS'change\tchange\tNN\tI-NP\tO' -p49744 -aS'of\tof\tIN\tB-PP\tO' -p49745 -aS'her\ther\tPRP$\tB-NP\tO' -p49746 -aS'previous\tprevious\tJJ\tI-NP\tO' -p49747 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p49748 -aS'on\ton\tIN\tB-PP\tO' -p49749 -aS'February\tFebruary\tNNP\tB-NP\tO' -p49750 -aS'11\t11\tCD\tI-NP\tO' -p49751 -aS',\t,\t,\tO\tO' -p49752 -aS'which\twhich\tWDT\tB-NP\tO' -p49753 -aS'showed\tshow\tVBD\tB-VP\tO' -p49754 -aS'only\tonly\tRB\tB-NP\tO' -p49755 -aS'a\ta\tDT\tI-NP\tO' -p49756 -aS'small\tsmall\tJJ\tI-NP\tO' -p49757 -aS'pericardial\tpericardial\tJJ\tI-NP\tO' -p49758 -aS'effusion\teffusion\tNN\tI-NP\tO' -p49759 -aS'.\t.\t.\tO\tO' -p49760 -asS'haldol as well as the restraints were not required after the morning of the 23rd .' -p49761 -(lp49762 -S'haldol\thaldol\tNN\tB-NP\tO' -p49763 -aS'as\tas\tRB\tB-CONJP\tO' -p49764 -aS'well\twell\tRB\tI-CONJP\tO' -p49765 -aS'as\tas\tIN\tI-CONJP\tO' -p49766 -aS'the\tthe\tDT\tB-NP\tO' -p49767 -aS'restraints\trestraint\tNNS\tI-NP\tO' -p49768 -aS'were\tbe\tVBD\tB-VP\tO' -p49769 -aS'not\tnot\tRB\tI-VP\tO' -p49770 -aS'required\trequire\tVBN\tI-VP\tO' -p49771 -aS'after\tafter\tIN\tB-PP\tO' -p49772 -aS'the\tthe\tDT\tB-NP\tO' -p49773 -aS'morning\tmorning\tNN\tI-NP\tO' -p49774 -aS'of\tof\tIN\tB-PP\tO' -p49775 -aS'the\tthe\tDT\tB-NP\tO' -p49776 -aS'23rd\t23rd\tNN\tI-NP\tO' -p49777 -aS'.\t.\t.\tO\tO' -p49778 -asS'1. Hepatitis B .' -p49779 -(lp49780 -S'1.\t1.\tLS\tB-NP\tO' -p49781 -aS'Hepatitis\tHepatitis\tNN\tI-NP\tB-protein' -p49782 -aS'B\tB\tNN\tI-NP\tI-protein' -p49783 -aS'.\t.\t.\tO\tO' -p49784 -asS'The patient was taken to the operating room and underwent an orthotopic liver transplant .' -p49785 -(lp49786 -S'The\tThe\tDT\tB-NP\tO' -p49787 -aS'patient\tpatient\tNN\tI-NP\tO' -p49788 -aS'was\tbe\tVBD\tB-VP\tO' -p49789 -aS'taken\ttake\tVBN\tI-VP\tO' -p49790 -aS'to\tto\tTO\tB-PP\tO' -p49791 -aS'the\tthe\tDT\tB-NP\tO' -p49792 -aS'operating\toperating\tNN\tI-NP\tO' -p49793 -aS'room\troom\tNN\tI-NP\tO' -p49794 -aS'and\tand\tCC\tO\tO' -p49795 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p49796 -aS'an\tan\tDT\tB-NP\tO' -p49797 -aS'orthotopic\torthotopic\tJJ\tI-NP\tO' -p49798 -aS'liver\tliver\tNN\tI-NP\tO' -p49799 -aS'transplant\ttransplant\tNN\tI-NP\tO' -p49800 -aS'.\t.\t.\tO\tO' -p49801 -asS'On consultation the patient admitted to dysphasia and periods of diplopia in the past .' -p49802 -(lp49803 -S'On\tOn\tIN\tB-PP\tO' -p49804 -aS'consultation\tconsultation\tNN\tB-NP\tO' -p49805 -aS'the\tthe\tDT\tB-NP\tO' -p49806 -aS'patient\tpatient\tNN\tI-NP\tO' -p49807 -aS'admitted\tadmit\tVBN\tB-VP\tO' -p49808 -aS'to\tto\tTO\tB-PP\tO' -p49809 -aS'dysphasia\tdysphasia\tNN\tB-NP\tO' -p49810 -aS'and\tand\tCC\tI-NP\tO' -p49811 -aS'periods\tperiod\tNNS\tI-NP\tO' -p49812 -aS'of\tof\tIN\tB-PP\tO' -p49813 -aS'diplopia\tdiplopia\tNN\tB-NP\tO' -p49814 -aS'in\tin\tIN\tB-PP\tO' -p49815 -aS'the\tthe\tDT\tB-NP\tO' -p49816 -aS'past\tpast\tNN\tI-NP\tO' -p49817 -aS'.\t.\t.\tO\tO' -p49818 -asS'Notable for a white blood cell of 9.5 , ANC 7.7 , hematocrit 26 , platelets of 248 , BUN and creatinine 12. and 1.2 respectively , magnesium 1.1 , calcium 8.7 .' -p49819 -(lp49820 -S'Notable\tNotable\tJJ\tB-ADJP\tO' -p49821 -aS'for\tfor\tIN\tB-PP\tO' -p49822 -aS'a\ta\tDT\tB-NP\tO' -p49823 -aS'white\twhite\tJJ\tI-NP\tB-cell_type' -p49824 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p49825 -aS'cell\tcell\tNN\tI-NP\tI-cell_type' -p49826 -aS'of\tof\tIN\tB-PP\tO' -p49827 -aS'9.5\t9.5\tCD\tB-NP\tO' -p49828 -aS',\t,\t,\tO\tO' -p49829 -aS'ANC\tANC\tNNP\tB-NP\tO' -p49830 -aS'7.7\t7.7\tCD\tI-NP\tO' -p49831 -aS',\t,\t,\tO\tO' -p49832 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p49833 -aS'26\t26\tCD\tI-NP\tI-protein' -p49834 -aS',\t,\t,\tO\tO' -p49835 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p49836 -aS'of\tof\tIN\tB-PP\tO' -p49837 -aS'248\t248\tCD\tB-NP\tO' -p49838 -aS',\t,\t,\tO\tO' -p49839 -aS'BUN\tBUN\tNN\tB-NP\tB-protein' -p49840 -aS'and\tand\tCC\tO\tO' -p49841 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p49842 -aS'12.\t12.\tCD\tB-NP\tO' -p49843 -aS'and\tand\tCC\tI-NP\tO' -p49844 -aS'1.2\t1.2\tCD\tI-NP\tO' -p49845 -aS'respectively\trespectively\tRB\tB-ADVP\tO' -p49846 -aS',\t,\t,\tO\tO' -p49847 -aS'magnesium\tmagnesium\tNN\tB-NP\tO' -p49848 -aS'1.1\t1.1\tCD\tI-NP\tO' -p49849 -aS',\t,\t,\tO\tO' -p49850 -aS'calcium\tcalcium\tNN\tB-NP\tO' -p49851 -aS'8.7\t8.7\tCD\tI-NP\tO' -p49852 -aS'.\t.\t.\tO\tO' -p49853 -asS'Hepatitis 35 years ago .' -p49854 -(lp49855 -S'Hepatitis\tHepatitis\tNN\tB-NP\tO' -p49856 -aS'35\t35\tCD\tB-NP\tO' -p49857 -aS'years\tyear\tNNS\tI-NP\tO' -p49858 -aS'ago\tago\tRB\tB-ADVP\tO' -p49859 -aS'.\t.\t.\tO\tO' -p49860 -asS'Extremities had bilateral pedal edema .' -p49861 -(lp49862 -S'Extremities\tExtremity\tNNS\tB-NP\tO' -p49863 -aS'had\thave\tVBD\tB-VP\tO' -p49864 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p49865 -aS'pedal\tpedal\tJJ\tI-NP\tO' -p49866 -aS'edema\tedema\tNN\tI-NP\tO' -p49867 -aS'.\t.\t.\tO\tO' -p49868 -asS'Blood cultures done on 11/17/03 grew C. perfringens .' -p49869 -(lp49870 -S'Blood\tBlood\tNN\tB-NP\tO' -p49871 -aS'cultures\tculture\tNNS\tI-NP\tO' -p49872 -aS'done\tdo\tVBN\tB-VP\tO' -p49873 -aS'on\ton\tIN\tB-PP\tO' -p49874 -aS'11/17/03\t11/17/03\tCD\tB-NP\tO' -p49875 -aS'grew\tgrow\tVBD\tB-VP\tO' -p49876 -aS'C.\tC.\tNNP\tB-NP\tO' -p49877 -aS'perfringens\tperfringen\tNNS\tI-NP\tO' -p49878 -aS'.\t.\t.\tO\tO' -p49879 -asS'Dictated By : Michael O. Tucker , M.D.' -p49880 -(lp49881 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p49882 -aS'By\tBy\tIN\tB-PP\tO' -p49883 -aS':\t:\t:\tO\tO' -p49884 -aS'Michael\tMichael\tNNP\tB-NP\tO' -p49885 -aS'O.\tO.\tNNP\tI-NP\tO' -p49886 -aS'Tucker\tTucker\tNNP\tI-NP\tO' -p49887 -aS',\t,\t,\tO\tO' -p49888 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p49889 -asS'Ocuvite Tablet Sig : One ( 1 ) Tablet PO once a day .' -p49890 -(lp49891 -S'Ocuvite\tOcuvite\tNNP\tB-NP\tO' -p49892 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p49893 -aS'Sig\tSig\tNNP\tI-NP\tO' -p49894 -aS':\t:\t:\tO\tO' -p49895 -aS'One\tOne\tCD\tB-NP\tO' -p49896 -aS'(\t(\t(\tO\tO' -p49897 -aS'1\t1\tCD\tB-NP\tO' -p49898 -aS')\t)\t)\tO\tO' -p49899 -aS'Tablet\tTablet\tNN\tB-NP\tB-protein' -p49900 -aS'PO\tPO\tNN\tI-NP\tI-protein' -p49901 -aS'once\tonce\tRB\tO\tO' -p49902 -aS'a\ta\tDT\tB-NP\tO' -p49903 -aS'day\tday\tNN\tI-NP\tO' -p49904 -aS'.\t.\t.\tO\tO' -p49905 -asS'Pt did well in the ICU , w/ his respiratory status steadily improving and was extubated on' -p49906 -(lp49907 -S'Pt\tPt\tNN\tB-NP\tO' -p49908 -aS'did\tdo\tVBD\tB-VP\tO' -p49909 -aS'well\twell\tRB\tB-ADVP\tO' -p49910 -aS'in\tin\tIN\tB-PP\tO' -p49911 -aS'the\tthe\tDT\tB-NP\tO' -p49912 -aS'ICU\tICU\tNN\tI-NP\tB-DNA' -p49913 -aS',\t,\t,\tO\tO' -p49914 -aS'w/\tw/\tVB\tB-VP\tO' -p49915 -aS'his\this\tPRP$\tB-NP\tO' -p49916 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p49917 -aS'status\tstatus\tNN\tI-NP\tO' -p49918 -aS'steadily\tsteadily\tRB\tB-VP\tO' -p49919 -aS'improving\timprove\tVBG\tI-VP\tO' -p49920 -aS'and\tand\tCC\tO\tO' -p49921 -aS'was\tbe\tVBD\tB-VP\tO' -p49922 -aS'extubated\textubate\tVBN\tI-VP\tO' -p49923 -aS'on\ton\tIN\tB-PP\tO' -p49924 -asS'His staples should be removed 10 to 14 days from the date of surgery .' -p49925 -(lp49926 -S'His\tHis\tPRP$\tB-NP\tO' -p49927 -aS'staples\tstaple\tNNS\tI-NP\tO' -p49928 -aS'should\tshould\tMD\tB-VP\tO' -p49929 -aS'be\tbe\tVB\tI-VP\tO' -p49930 -aS'removed\tremove\tVBN\tI-VP\tO' -p49931 -aS'10\t10\tCD\tB-NP\tO' -p49932 -aS'to\tto\tTO\tI-NP\tO' -p49933 -aS'14\t14\tCD\tI-NP\tO' -p49934 -aS'days\tday\tNNS\tI-NP\tO' -p49935 -aS'from\tfrom\tIN\tB-PP\tO' -p49936 -aS'the\tthe\tDT\tB-NP\tO' -p49937 -aS'date\tdate\tNN\tI-NP\tO' -p49938 -aS'of\tof\tIN\tB-PP\tO' -p49939 -aS'surgery\tsurgery\tNN\tB-NP\tO' -p49940 -aS'.\t.\t.\tO\tO' -p49941 -asS'She was gently diuresed towards her pre-op weight .' -p49942 -(lp49943 -S'She\tShe\tPRP\tB-NP\tO' -p49944 -aS'was\tbe\tVBD\tB-VP\tO' -p49945 -aS'gently\tgently\tRB\tI-VP\tO' -p49946 -aS'diuresed\tdiurese\tVBN\tI-VP\tO' -p49947 -aS'towards\ttowards\tIN\tB-PP\tO' -p49948 -aS'her\ther\tPRP$\tB-NP\tO' -p49949 -aS'pre-op\tpre-op\tJJ\tI-NP\tO' -p49950 -aS'weight\tweight\tNN\tI-NP\tO' -p49951 -aS'.\t.\t.\tO\tO' -p49952 -asS'After being treated with lidocaine , the patient became apneic requiring intubation and transfer to the Coronary Care Unit .' -p49953 -(lp49954 -S'After\tAfter\tIN\tB-PP\tO' -p49955 -aS'being\tbe\tVBG\tB-VP\tO' -p49956 -aS'treated\ttreat\tVBN\tI-VP\tO' -p49957 -aS'with\twith\tIN\tB-PP\tO' -p49958 -aS'lidocaine\tlidocaine\tNN\tB-NP\tO' -p49959 -aS',\t,\t,\tO\tO' -p49960 -aS'the\tthe\tDT\tB-NP\tO' -p49961 -aS'patient\tpatient\tNN\tI-NP\tO' -p49962 -aS'became\tbecome\tVBD\tB-VP\tO' -p49963 -aS'apneic\tapneic\tJJ\tB-NP\tO' -p49964 -aS'requiring\trequire\tVBG\tI-NP\tO' -p49965 -aS'intubation\tintubation\tNN\tI-NP\tO' -p49966 -aS'and\tand\tCC\tI-NP\tO' -p49967 -aS'transfer\ttransfer\tNN\tI-NP\tO' -p49968 -aS'to\tto\tTO\tB-PP\tO' -p49969 -aS'the\tthe\tDT\tB-NP\tO' -p49970 -aS'Coronary\tCoronary\tNNP\tI-NP\tO' -p49971 -aS'Care\tCare\tNNP\tI-NP\tO' -p49972 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p49973 -aS'.\t.\t.\tO\tO' -p49974 -asS'Patient transferred from Women and Infants Hospital to RI Hospital 2016-04-25 with weaknes , vag bleeding x several days , fever 102.5 , hypotension , hypoxic 84% on 4L NC , tachypnic to 30 , with labs significant for lactate 6.3 , wbc <1.0 , plt 9 , hgb 8.9 , and INR greater than lab threshold .' -p49975 -(lp49976 -S'Patient\tPatient\tNN\tB-NP\tO' -p49977 -aS'transferred\ttransfer\tVBN\tB-VP\tO' -p49978 -aS'from\tfrom\tIN\tB-PP\tO' -p49979 -aS'Women\tWoman\tNNS\tB-NP\tO' -p49980 -aS'and\tand\tCC\tI-NP\tO' -p49981 -aS'Infants\tInfant\tNNS\tI-NP\tO' -p49982 -aS'Hospital\tHospital\tNN\tI-NP\tO' -p49983 -aS'to\tto\tTO\tB-PP\tO' -p49984 -aS'RI\tRI\tNNP\tB-NP\tO' -p49985 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p49986 -aS'2016-04-25\t2016-04-25\tCD\tI-NP\tO' -p49987 -aS'with\twith\tIN\tB-PP\tO' -p49988 -aS'weaknes\tweakne\tNNS\tB-NP\tO' -p49989 -aS',\t,\t,\tO\tO' -p49990 -aS'vag\tvag\tNN\tB-NP\tO' -p49991 -aS'bleeding\tbleed\tVBG\tB-VP\tO' -p49992 -aS'x\tx\tNN\tB-NP\tO' -p49993 -aS'several\tseveral\tJJ\tI-NP\tO' -p49994 -aS'days\tday\tNNS\tI-NP\tO' -p49995 -aS',\t,\t,\tO\tO' -p49996 -aS'fever\tfever\tNN\tB-NP\tO' -p49997 -aS'102.5\t102.5\tCD\tI-NP\tO' -p49998 -aS',\t,\t,\tO\tO' -p49999 -aS'hypotension\thypotension\tNN\tB-NP\tO' -p50000 -aS',\t,\t,\tO\tO' -p50001 -aS'hypoxic\thypoxic\tJJ\tB-NP\tO' -p50002 -aS'84%\t84%\tNN\tI-NP\tO' -p50003 -aS'on\ton\tIN\tB-PP\tO' -p50004 -aS'4L\t4L\tNN\tB-NP\tO' -p50005 -aS'NC\tNC\tNN\tI-NP\tO' -p50006 -aS',\t,\t,\tO\tO' -p50007 -aS'tachypnic\ttachypnic\tJJ\tB-ADJP\tO' -p50008 -aS'to\tto\tTO\tB-PP\tO' -p50009 -aS'30\t30\tCD\tB-NP\tO' -p50010 -aS',\t,\t,\tO\tO' -p50011 -aS'with\twith\tIN\tB-PP\tO' -p50012 -aS'labs\tlab\tNNS\tB-NP\tO' -p50013 -aS'significant\tsignificant\tJJ\tB-ADJP\tO' -p50014 -aS'for\tfor\tIN\tB-PP\tO' -p50015 -aS'lactate\tlactate\tNN\tB-NP\tO' -p50016 -aS'6.3\t6.3\tCD\tI-NP\tO' -p50017 -aS',\t,\t,\tO\tO' -p50018 -aS'wbc\twbc\tNN\tB-NP\tB-protein' -p50019 -aS'<1.0\t<1.0\tCD\tI-NP\tI-protein' -p50020 -aS',\t,\t,\tO\tO' -p50021 -aS'plt\tplt\tNN\tB-NP\tB-protein' -p50022 -aS'9\t9\tCD\tI-NP\tI-protein' -p50023 -aS',\t,\t,\tO\tO' -p50024 -aS'hgb\thgb\tNN\tB-NP\tB-protein' -p50025 -aS'8.9\t8.9\tCD\tI-NP\tI-protein' -p50026 -aS',\t,\t,\tO\tO' -p50027 -aS'and\tand\tCC\tO\tO' -p50028 -aS'INR\tINR\tNN\tB-NP\tB-protein' -p50029 -aS'greater\tgreat\tJJR\tB-ADJP\tO' -p50030 -aS'than\tthan\tIN\tB-PP\tO' -p50031 -aS'lab\tlab\tNN\tB-NP\tO' -p50032 -aS'threshold\tthreshold\tNN\tI-NP\tO' -p50033 -aS'.\t.\t.\tO\tO' -p50034 -asS'2. He is to follow-up with his primary care physician in one to two weeks .' -p50035 -(lp50036 -S'2.\t2.\tLS\tB-LST\tO' -p50037 -aS'He\tHe\tPRP\tB-NP\tO' -p50038 -aS'is\tbe\tVBZ\tB-VP\tO' -p50039 -aS'to\tto\tTO\tB-VP\tO' -p50040 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p50041 -aS'with\twith\tIN\tB-PP\tO' -p50042 -aS'his\this\tPRP$\tB-NP\tO' -p50043 -aS'primary\tprimary\tJJ\tI-NP\tO' -p50044 -aS'care\tcare\tNN\tI-NP\tO' -p50045 -aS'physician\tphysician\tNN\tI-NP\tO' -p50046 -aS'in\tin\tIN\tB-PP\tO' -p50047 -aS'one\tone\tCD\tB-NP\tO' -p50048 -aS'to\tto\tTO\tI-NP\tO' -p50049 -aS'two\ttwo\tCD\tI-NP\tO' -p50050 -aS'weeks\tweek\tNNS\tI-NP\tO' -p50051 -aS'.\t.\t.\tO\tO' -p50052 -asS'Follow up with Dr. Koteskismanhout in July .' -p50053 -(lp50054 -S'Follow\tFollow\tVB\tB-VP\tO' -p50055 -aS'up\tup\tRP\tB-PRT\tO' -p50056 -aS'with\twith\tIN\tB-PP\tO' -p50057 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p50058 -aS'Koteskismanhout\tKoteskismanhout\tNNP\tI-NP\tO' -p50059 -aS'in\tin\tIN\tB-PP\tO' -p50060 -aS'July\tJuly\tNNP\tB-NP\tO' -p50061 -aS'.\t.\t.\tO\tO' -p50062 -asS'HEENT examination revealed his pupils were equal , round , and reactive to light .' -p50063 -(lp50064 -S'HEENT\tHEENT\tNN\tB-NP\tO' -p50065 -aS'examination\texamination\tNN\tI-NP\tO' -p50066 -aS'revealed\treveal\tVBD\tB-VP\tO' -p50067 -aS'his\this\tPRP$\tB-NP\tO' -p50068 -aS'pupils\tpupil\tNNS\tI-NP\tO' -p50069 -aS'were\tbe\tVBD\tB-VP\tO' -p50070 -aS'equal\tequal\tJJ\tB-ADJP\tO' -p50071 -aS',\t,\t,\tO\tO' -p50072 -aS'round\tround\tJJ\tB-ADJP\tO' -p50073 -aS',\t,\t,\tO\tO' -p50074 -aS'and\tand\tCC\tO\tO' -p50075 -aS'reactive\treactive\tJJ\tB-ADJP\tO' -p50076 -aS'to\tto\tTO\tB-PP\tO' -p50077 -aS'light\tlight\tNN\tB-NP\tO' -p50078 -aS'.\t.\t.\tO\tO' -p50079 -asS'The steroids were tapered .' -p50080 -(lp50081 -S'The\tThe\tDT\tB-NP\tO' -p50082 -aS'steroids\tsteroid\tNNS\tI-NP\tO' -p50083 -aS'were\tbe\tVBD\tB-VP\tO' -p50084 -aS'tapered\ttaper\tVBN\tI-VP\tO' -p50085 -aS'.\t.\t.\tO\tO' -p50086 -asS'She drinks alcohol socially .' -p50087 -(lp50088 -S'She\tShe\tPRP\tB-NP\tO' -p50089 -aS'drinks\tdrink\tVBZ\tB-VP\tO' -p50090 -aS'alcohol\talcohol\tNN\tB-NP\tO' -p50091 -aS'socially\tsocially\tRB\tB-ADVP\tO' -p50092 -aS'.\t.\t.\tO\tO' -p50093 -asS'15. Peripheral vascular disease with history of bilateral lower extremity claudication .' -p50094 -(lp50095 -S'15.\t15.\tLS\tB-NP\tO' -p50096 -aS'Peripheral\tPeripheral\tJJ\tI-NP\tO' -p50097 -aS'vascular\tvascular\tJJ\tI-NP\tO' -p50098 -aS'disease\tdisease\tNN\tI-NP\tO' -p50099 -aS'with\twith\tIN\tB-PP\tO' -p50100 -aS'history\thistory\tNN\tB-NP\tO' -p50101 -aS'of\tof\tIN\tB-PP\tO' -p50102 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p50103 -aS'lower\tlow\tJJR\tI-NP\tO' -p50104 -aS'extremity\textremity\tNN\tI-NP\tO' -p50105 -aS'claudication\tclaudication\tNN\tI-NP\tO' -p50106 -aS'.\t.\t.\tO\tO' -p50107 -asS'Hypertension , CVA 2001 , 2002 diabetes , laryngeal cancer , right CEA , prostatectomy for BPH , total knee replacement , status post appendectomy .' -p50108 -(lp50109 -S'Hypertension\tHypertension\tNN\tB-NP\tO' -p50110 -aS',\t,\t,\tO\tO' -p50111 -aS'CVA\tCVA\tNN\tB-NP\tO' -p50112 -aS'2001\t2001\tCD\tI-NP\tO' -p50113 -aS',\t,\t,\tO\tO' -p50114 -aS'2002\t2002\tCD\tB-NP\tO' -p50115 -aS'diabetes\tdiabete\tNNS\tI-NP\tO' -p50116 -aS',\t,\t,\tO\tO' -p50117 -aS'laryngeal\tlaryngeal\tJJ\tB-NP\tO' -p50118 -aS'cancer\tcancer\tNN\tI-NP\tO' -p50119 -aS',\t,\t,\tO\tO' -p50120 -aS'right\tright\tJJ\tB-NP\tO' -p50121 -aS'CEA\tCEA\tNN\tI-NP\tO' -p50122 -aS',\t,\t,\tO\tO' -p50123 -aS'prostatectomy\tprostatectomy\tNN\tB-NP\tO' -p50124 -aS'for\tfor\tIN\tB-PP\tO' -p50125 -aS'BPH\tBPH\tNN\tB-NP\tO' -p50126 -aS',\t,\t,\tO\tO' -p50127 -aS'total\ttotal\tJJ\tB-NP\tO' -p50128 -aS'knee\tknee\tNN\tI-NP\tO' -p50129 -aS'replacement\treplacement\tNN\tI-NP\tO' -p50130 -aS',\t,\t,\tO\tO' -p50131 -aS'status\tstatus\tNN\tB-NP\tO' -p50132 -aS'post\tpost\tNN\tI-NP\tO' -p50133 -aS'appendectomy\tappendectomy\tNN\tI-NP\tO' -p50134 -aS'.\t.\t.\tO\tO' -p50135 -asS'2. Rule out sepsis with antibiotics .' -p50136 -(lp50137 -S'2.\t2.\tLS\tB-LST\tO' -p50138 -aS'Rule\tRule\tNNP\tB-NP\tO' -p50139 -aS'out\tout\tIN\tB-PP\tO' -p50140 -aS'sepsis\tsepsis\tNN\tB-NP\tO' -p50141 -aS'with\twith\tIN\tB-PP\tO' -p50142 -aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' -p50143 -aS'.\t.\t.\tO\tO' -p50144 -asS'His office will contact her to make that appointment .' -p50145 -(lp50146 -S'His\tHis\tPRP$\tB-NP\tO' -p50147 -aS'office\toffice\tNN\tI-NP\tO' -p50148 -aS'will\twill\tMD\tB-VP\tO' -p50149 -aS'contact\tcontact\tVB\tI-VP\tO' -p50150 -aS'her\ther\tPRP\tB-NP\tO' -p50151 -aS'to\tto\tTO\tB-VP\tO' -p50152 -aS'make\tmake\tVB\tI-VP\tO' -p50153 -aS'that\tthat\tDT\tB-NP\tO' -p50154 -aS'appointment\tappointment\tNN\tI-NP\tO' -p50155 -aS'.\t.\t.\tO\tO' -p50156 -asS'The patient was maintained on triple antibiotics which included Vancomycin , ceftazidime and Gentamicin .' -p50157 -(lp50158 -S'The\tThe\tDT\tB-NP\tO' -p50159 -aS'patient\tpatient\tNN\tI-NP\tO' -p50160 -aS'was\tbe\tVBD\tB-VP\tO' -p50161 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p50162 -aS'on\ton\tIN\tB-PP\tO' -p50163 -aS'triple\ttriple\tJJ\tB-NP\tO' -p50164 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p50165 -aS'which\twhich\tWDT\tB-NP\tO' -p50166 -aS'included\tinclude\tVBD\tB-VP\tO' -p50167 -aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' -p50168 -aS',\t,\t,\tI-NP\tO' -p50169 -aS'ceftazidime\tceftazidime\tNN\tI-NP\tO' -p50170 -aS'and\tand\tCC\tI-NP\tO' -p50171 -aS'Gentamicin\tGentamicin\tNN\tI-NP\tO' -p50172 -aS'.\t.\t.\tO\tO' -p50173 -asS'9. Docusate Sodium 100 mg Capsule Sig : One ( 1 ) Capsule PO BID ( 2 times a day ).' -p50174 -(lp50175 -S'9.\t9.\tLS\tB-NP\tO' -p50176 -aS'Docusate\tDocusate\tNNP\tI-NP\tO' -p50177 -aS'Sodium\tSodium\tNNP\tI-NP\tO' -p50178 -aS'100\t100\tCD\tI-NP\tO' -p50179 -aS'mg\tmg\tNN\tI-NP\tO' -p50180 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p50181 -aS'Sig\tSig\tNNP\tI-NP\tO' -p50182 -aS':\t:\t:\tO\tO' -p50183 -aS'One\tOne\tCD\tB-NP\tO' -p50184 -aS'(\t(\t(\tO\tO' -p50185 -aS'1\t1\tCD\tB-NP\tO' -p50186 -aS')\t)\t)\tO\tO' -p50187 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p50188 -aS'PO\tPO\tNNP\tI-NP\tO' -p50189 -aS'BID\tBID\tNNP\tI-NP\tO' -p50190 -aS'(\t(\t(\tO\tO' -p50191 -aS'2\t2\tCD\tB-NP\tO' -p50192 -aS'times\ttime\tNNS\tI-NP\tO' -p50193 -aS'a\ta\tDT\tB-NP\tO' -p50194 -aS'day\tday\tNN\tI-NP\tO' -p50195 -aS').\t).\t.\tO\tO' -p50196 -asS'Ophthalmology was consulted due to the presence of a coloboma into the left CMED .' -p50197 -(lp50198 -S'Ophthalmology\tOphthalmology\tNN\tB-NP\tO' -p50199 -aS'was\tbe\tVBD\tB-VP\tO' -p50200 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p50201 -aS'due\tdue\tJJ\tB-ADJP\tO' -p50202 -aS'to\tto\tTO\tB-PP\tO' -p50203 -aS'the\tthe\tDT\tB-NP\tO' -p50204 -aS'presence\tpresence\tNN\tI-NP\tO' -p50205 -aS'of\tof\tIN\tB-PP\tO' -p50206 -aS'a\ta\tDT\tB-NP\tO' -p50207 -aS'coloboma\tcoloboma\tNN\tI-NP\tO' -p50208 -aS'into\tinto\tIN\tB-PP\tO' -p50209 -aS'the\tthe\tDT\tB-NP\tO' -p50210 -aS'left\tleft\tJJ\tI-NP\tO' -p50211 -aS'CMED\tCMED\tNN\tI-NP\tO' -p50212 -aS'.\t.\t.\tO\tO' -p50213 -asS'Discharge Diagnosis : mitral valve endocarditis s/p MV replacement' -p50214 -(lp50215 -S'Discharge\tDischarge\tNN\tB-NP\tO' -p50216 -aS'Diagnosis\tDiagnosis\tNN\tI-NP\tO' -p50217 -aS':\t:\t:\tO\tO' -p50218 -aS'mitral\tmitral\tJJ\tB-NP\tO' -p50219 -aS'valve\tvalve\tNN\tI-NP\tO' -p50220 -aS'endocarditis\tendocarditis\tNN\tI-NP\tO' -p50221 -aS's/p\ts/p\tNN\tI-NP\tO' -p50222 -aS'MV\tMV\tNN\tI-NP\tO' -p50223 -aS'replacement\treplacement\tNN\tI-NP\tO' -p50224 -asS'2. Cadaveric renal transplant .' -p50225 -(lp50226 -S'2.\t2.\tLS\tB-NP\tO' -p50227 -aS'Cadaveric\tCadaveric\tJJ\tI-NP\tO' -p50228 -aS'renal\trenal\tJJ\tI-NP\tO' -p50229 -aS'transplant\ttransplant\tNN\tI-NP\tO' -p50230 -aS'.\t.\t.\tO\tO' -p50231 -asS'Social alcohol .' -p50232 -(lp50233 -S'Social\tSocial\tJJ\tB-NP\tO' -p50234 -aS'alcohol\talcohol\tNN\tI-NP\tO' -p50235 -aS'.\t.\t.\tO\tO' -p50236 -asS'There were no rales or wheezes .' -p50237 -(lp50238 -S'There\tThere\tEX\tB-NP\tO' -p50239 -aS'were\tbe\tVBD\tB-VP\tO' -p50240 -aS'no\tno\tDT\tB-NP\tO' -p50241 -aS'rales\trale\tNNS\tI-NP\tO' -p50242 -aS'or\tor\tCC\tI-NP\tO' -p50243 -aS'wheezes\twheeze\tNNS\tI-NP\tO' -p50244 -aS'.\t.\t.\tO\tO' -p50245 -asS'Repeat CXR was unchanged from previously in the ICU ( official read noted mild CHF , but pt was continuing to autodiurese and has remained net negative everyday while on the floor .' -p50246 -(lp50247 -S'Repeat\tRepeat\tNN\tB-NP\tB-protein' -p50248 -aS'CXR\tCXR\tNN\tI-NP\tI-protein' -p50249 -aS'was\tbe\tVBD\tB-VP\tO' -p50250 -aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' -p50251 -aS'from\tfrom\tIN\tB-PP\tO' -p50252 -aS'previously\tpreviously\tRB\tB-NP\tO' -p50253 -aS'in\tin\tIN\tB-PP\tO' -p50254 -aS'the\tthe\tDT\tB-NP\tO' -p50255 -aS'ICU\tICU\tNN\tI-NP\tB-DNA' -p50256 -aS'(\t(\t(\tO\tO' -p50257 -aS'official\tofficial\tJJ\tB-NP\tO' -p50258 -aS'read\tread\tNN\tI-NP\tO' -p50259 -aS'noted\tnote\tVBD\tB-VP\tO' -p50260 -aS'mild\tmild\tJJ\tB-NP\tO' -p50261 -aS'CHF\tCHF\tNN\tI-NP\tO' -p50262 -aS',\t,\t,\tO\tO' -p50263 -aS'but\tbut\tCC\tO\tO' -p50264 -aS'pt\tpt\tNN\tB-NP\tO' -p50265 -aS'was\tbe\tVBD\tB-VP\tO' -p50266 -aS'continuing\tcontinue\tVBG\tI-VP\tO' -p50267 -aS'to\tto\tTO\tI-VP\tO' -p50268 -aS'autodiurese\tautodiurese\tVB\tI-VP\tO' -p50269 -aS'and\tand\tCC\tO\tO' -p50270 -aS'has\thave\tVBZ\tB-VP\tO' -p50271 -aS'remained\tremain\tVBN\tI-VP\tO' -p50272 -aS'net\tnet\tJJ\tB-NP\tO' -p50273 -aS'negative\tnegative\tJJ\tI-NP\tO' -p50274 -aS'everyday\teveryday\tNN\tI-NP\tO' -p50275 -aS'while\twhile\tIN\tB-SBAR\tO' -p50276 -aS'on\ton\tIN\tB-PP\tO' -p50277 -aS'the\tthe\tDT\tB-NP\tO' -p50278 -aS'floor\tfloor\tNN\tI-NP\tO' -p50279 -aS'.\t.\t.\tO\tO' -p50280 -asS'No lymphadenopathy was palpated .' -p50281 -(lp50282 -S'No\tNo\tDT\tB-NP\tO' -p50283 -aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' -p50284 -aS'was\tbe\tVBD\tB-VP\tO' -p50285 -aS'palpated\tpalpate\tVBN\tI-VP\tO' -p50286 -aS'.\t.\t.\tO\tO' -p50287 -asS'The patient is from 45 Sidewonly Blvd , Fresa Loharanleah , Maryland .' -p50288 -(lp50289 -S'The\tThe\tDT\tB-NP\tO' -p50290 -aS'patient\tpatient\tNN\tI-NP\tO' -p50291 -aS'is\tbe\tVBZ\tB-VP\tO' -p50292 -aS'from\tfrom\tIN\tB-PP\tO' -p50293 -aS'45\t45\tCD\tB-NP\tO' -p50294 -aS'Sidewonly\tSidewonly\tNNP\tI-NP\tO' -p50295 -aS'Blvd\tBlvd\tNNP\tI-NP\tO' -p50296 -aS',\t,\t,\tO\tO' -p50297 -aS'Fresa\tFresa\tNNP\tB-NP\tO' -p50298 -aS'Loharanleah\tLoharanleah\tNNP\tI-NP\tO' -p50299 -aS',\t,\t,\tO\tO' -p50300 -aS'Maryland\tMaryland\tNNP\tB-NP\tO' -p50301 -aS'.\t.\t.\tO\tO' -p50302 -asS'6.) Sinus node dysfunction s/p pacemaker' -p50303 -(lp50304 -S'6.)\t6.)\tLS\tB-NP\tO' -p50305 -aS'Sinus\tSinus\tNN\tI-NP\tO' -p50306 -aS'node\tnode\tNN\tI-NP\tO' -p50307 -aS'dysfunction\tdysfunction\tNN\tI-NP\tO' -p50308 -aS's/p\ts/p\tNN\tI-NP\tO' -p50309 -aS'pacemaker\tpacemaker\tNN\tI-NP\tO' -p50310 -asS'2. The patient will have follow-up with Dr. Para in three weeks .' -p50311 -(lp50312 -S'2.\t2.\tLS\tB-LST\tO' -p50313 -aS'The\tThe\tDT\tB-NP\tO' -p50314 -aS'patient\tpatient\tNN\tI-NP\tO' -p50315 -aS'will\twill\tMD\tB-VP\tO' -p50316 -aS'have\thave\tVB\tI-VP\tO' -p50317 -aS'follow-up\tfollow-up\tNN\tB-NP\tO' -p50318 -aS'with\twith\tIN\tB-PP\tO' -p50319 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p50320 -aS'Para\tPara\tNNP\tI-NP\tO' -p50321 -aS'in\tin\tIN\tB-PP\tO' -p50322 -aS'three\tthree\tCD\tB-NP\tO' -p50323 -aS'weeks\tweek\tNNS\tI-NP\tO' -p50324 -aS'.\t.\t.\tO\tO' -p50325 -asS'Over his postoperative course , Mr. Douglass has gradually been able to utilize more and more of his right side and with the assistance of physical therapy and occupational therapy , he has 4 to 5 + strength in his right hand and arm and about 4 + strength in his right leg .' -p50326 -(lp50327 -S'Over\tOver\tIN\tB-PP\tO' -p50328 -aS'his\this\tPRP$\tB-NP\tO' -p50329 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p50330 -aS'course\tcourse\tNN\tI-NP\tO' -p50331 -aS',\t,\t,\tO\tO' -p50332 -aS'Mr.\tMr.\tNNP\tB-NP\tO' -p50333 -aS'Douglass\tDouglass\tNNP\tI-NP\tO' -p50334 -aS'has\thave\tVBZ\tB-VP\tO' -p50335 -aS'gradually\tgradually\tRB\tI-VP\tO' -p50336 -aS'been\tbe\tVBN\tI-VP\tO' -p50337 -aS'able\table\tJJ\tB-ADJP\tO' -p50338 -aS'to\tto\tTO\tB-VP\tO' -p50339 -aS'utilize\tutilize\tVB\tI-VP\tO' -p50340 -aS'more\tmore\tJJR\tB-NP\tO' -p50341 -aS'and\tand\tCC\tI-NP\tO' -p50342 -aS'more\tmore\tJJR\tI-NP\tO' -p50343 -aS'of\tof\tIN\tB-PP\tO' -p50344 -aS'his\this\tPRP$\tB-NP\tO' -p50345 -aS'right\tright\tJJ\tI-NP\tO' -p50346 -aS'side\tside\tNN\tI-NP\tO' -p50347 -aS'and\tand\tCC\tB-PP\tO' -p50348 -aS'with\twith\tIN\tB-PP\tO' -p50349 -aS'the\tthe\tDT\tB-NP\tO' -p50350 -aS'assistance\tassistance\tNN\tI-NP\tO' -p50351 -aS'of\tof\tIN\tB-PP\tO' -p50352 -aS'physical\tphysical\tJJ\tB-NP\tO' -p50353 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p50354 -aS'and\tand\tCC\tO\tO' -p50355 -aS'occupational\toccupational\tJJ\tB-NP\tO' -p50356 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p50357 -aS',\t,\t,\tO\tO' -p50358 -aS'he\the\tPRP\tB-NP\tO' -p50359 -aS'has\thave\tVBZ\tB-VP\tO' -p50360 -aS'4\t4\tCD\tB-NP\tO' -p50361 -aS'to\tto\tTO\tI-NP\tO' -p50362 -aS'5\t5\tCD\tI-NP\tO' -p50363 -aS'+\t+\tSYM\tI-NP\tO' -p50364 -aS'strength\tstrength\tNN\tI-NP\tO' -p50365 -aS'in\tin\tIN\tB-PP\tO' -p50366 -aS'his\this\tPRP$\tB-NP\tO' -p50367 -aS'right\tright\tJJ\tI-NP\tO' -p50368 -aS'hand\thand\tNN\tI-NP\tO' -p50369 -aS'and\tand\tCC\tI-NP\tO' -p50370 -aS'arm\tarm\tNN\tI-NP\tO' -p50371 -aS'and\tand\tCC\tO\tO' -p50372 -aS'about\tabout\tRB\tB-NP\tO' -p50373 -aS'4\t4\tCD\tI-NP\tO' -p50374 -aS'+\t+\tSYM\tI-NP\tO' -p50375 -aS'strength\tstrength\tNN\tI-NP\tO' -p50376 -aS'in\tin\tIN\tB-PP\tO' -p50377 -aS'his\this\tPRP$\tB-NP\tO' -p50378 -aS'right\tright\tJJ\tI-NP\tO' -p50379 -aS'leg\tleg\tNN\tI-NP\tO' -p50380 -aS'.\t.\t.\tO\tO' -p50381 -asS'3. She will remove the neck suture lines Steri-Strips in 10 days .' -p50382 -(lp50383 -S'3.\t3.\tLS\tB-LST\tO' -p50384 -aS'She\tShe\tPRP\tB-NP\tO' -p50385 -aS'will\twill\tMD\tB-VP\tO' -p50386 -aS'remove\tremove\tVB\tI-VP\tO' -p50387 -aS'the\tthe\tDT\tB-NP\tO' -p50388 -aS'neck\tneck\tNN\tI-NP\tO' -p50389 -aS'suture\tsuture\tJJ\tI-NP\tO' -p50390 -aS'lines\tline\tNNS\tI-NP\tO' -p50391 -aS'Steri-Strips\tSteri-Strip\tNNS\tI-NP\tO' -p50392 -aS'in\tin\tIN\tB-PP\tO' -p50393 -aS'10\t10\tCD\tB-NP\tO' -p50394 -aS'days\tday\tNNS\tI-NP\tO' -p50395 -aS'.\t.\t.\tO\tO' -p50396 -asS'Attention deficit disorder ( diagnosed @ 14 yrs of age )' -p50397 -(lp50398 -S'Attention\tAttention\tNN\tB-NP\tO' -p50399 -aS'deficit\tdeficit\tNN\tI-NP\tO' -p50400 -aS'disorder\tdisorder\tNN\tI-NP\tO' -p50401 -aS'(\t(\t(\tO\tO' -p50402 -aS'diagnosed\tdiagnose\tVBN\tB-VP\tO' -p50403 -aS'@\t@\tIN\tB-PP\tO' -p50404 -aS'14\t14\tCD\tB-NP\tO' -p50405 -aS'yrs\tyr\tNNS\tI-NP\tO' -p50406 -aS'of\tof\tIN\tB-PP\tO' -p50407 -aS'age\tage\tNN\tB-NP\tO' -p50408 -aS')\t)\t)\tO\tO' -p50409 -asS'The patient was not intubated .' -p50410 -(lp50411 -S'The\tThe\tDT\tB-NP\tO' -p50412 -aS'patient\tpatient\tNN\tI-NP\tO' -p50413 -aS'was\tbe\tVBD\tB-VP\tO' -p50414 -aS'not\tnot\tRB\tI-VP\tO' -p50415 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p50416 -aS'.\t.\t.\tO\tO' -p50417 -asS'Given right sided hydronephrosis and GNR bactermeia , a percutaneous nephrostomy tube was placed by IR 2014-11-30 .' -p50418 -(lp50419 -S'Given\tGive\tVBN\tB-NP\tO' -p50420 -aS'right\tright\tJJ\tI-NP\tO' -p50421 -aS'sided\tsided\tJJ\tI-NP\tO' -p50422 -aS'hydronephrosis\thydronephrosis\tNN\tI-NP\tO' -p50423 -aS'and\tand\tCC\tI-NP\tO' -p50424 -aS'GNR\tGNR\tNN\tI-NP\tO' -p50425 -aS'bactermeia\tbactermeia\tNN\tI-NP\tO' -p50426 -aS',\t,\t,\tO\tO' -p50427 -aS'a\ta\tDT\tB-NP\tO' -p50428 -aS'percutaneous\tpercutaneous\tJJ\tI-NP\tO' -p50429 -aS'nephrostomy\tnephrostomy\tNN\tI-NP\tO' -p50430 -aS'tube\ttube\tNN\tI-NP\tO' -p50431 -aS'was\tbe\tVBD\tB-VP\tO' -p50432 -aS'placed\tplace\tVBN\tI-VP\tO' -p50433 -aS'by\tby\tIN\tB-PP\tO' -p50434 -aS'IR\tIR\tNN\tB-NP\tO' -p50435 -aS'2014-11-30\t2014-11-30\tCD\tI-NP\tO' -p50436 -aS'.\t.\t.\tO\tO' -p50437 -asS'Helen Cynthia , New York 10969' -p50438 -(lp50439 -S'Helen\tHelen\tNNP\tB-NP\tO' -p50440 -aS'Cynthia\tCynthia\tNNP\tI-NP\tO' -p50441 -aS',\t,\t,\tO\tO' -p50442 -aS'New\tNew\tNNP\tB-NP\tO' -p50443 -aS'York\tYork\tNNP\tI-NP\tO' -p50444 -aS'10969\t10969\t.\tO\tO' -p50445 -asS'She intermittently was able tolerate pos .' -p50446 -(lp50447 -S'She\tShe\tPRP\tB-NP\tO' -p50448 -aS'intermittently\tintermittently\tRB\tB-ADVP\tO' -p50449 -aS'was\tbe\tVBD\tB-VP\tO' -p50450 -aS'able\table\tJJ\tB-NP\tO' -p50451 -aS'tolerate\ttolerate\tJJ\tI-NP\tO' -p50452 -aS'pos\tpo\tNNS\tI-NP\tO' -p50453 -aS'.\t.\t.\tO\tO' -p50454 -asS'Continues to have trace lower extremity edema , and recieves lasix po .' -p50455 -(lp50456 -S'Continues\tContinue\tNNS\tB-NP\tO' -p50457 -aS'to\tto\tTO\tB-VP\tO' -p50458 -aS'have\thave\tVB\tI-VP\tO' -p50459 -aS'trace\ttrace\tNN\tB-NP\tO' -p50460 -aS'lower\tlow\tJJR\tI-NP\tO' -p50461 -aS'extremity\textremity\tNN\tI-NP\tO' -p50462 -aS'edema\tedema\tNN\tI-NP\tO' -p50463 -aS',\t,\t,\tO\tO' -p50464 -aS'and\tand\tCC\tO\tO' -p50465 -aS'recieves\trecieve\tVBZ\tB-VP\tO' -p50466 -aS'lasix\tlasix\tNN\tB-NP\tO' -p50467 -aS'po\tpo\tNN\tI-NP\tO' -p50468 -aS'.\t.\t.\tO\tO' -p50469 -asS'If biopsy results abnormal , will need follow-up intra-esophageal ultrasound by GI service .' -p50470 -(lp50471 -S'If\tIf\tIN\tB-SBAR\tO' -p50472 -aS'biopsy\tbiopsy\tNN\tB-NP\tO' -p50473 -aS'results\tresult\tNNS\tI-NP\tO' -p50474 -aS'abnormal\tabnormal\tJJ\tB-ADJP\tO' -p50475 -aS',\t,\t,\tO\tO' -p50476 -aS'will\twill\tMD\tB-VP\tO' -p50477 -aS'need\tneed\tVB\tI-VP\tO' -p50478 -aS'follow-up\tfollow-up\tJJ\tB-NP\tO' -p50479 -aS'intra-esophageal\tintra-esophageal\tJJ\tI-NP\tO' -p50480 -aS'ultrasound\tultrasound\tNN\tI-NP\tO' -p50481 -aS'by\tby\tIN\tB-PP\tO' -p50482 -aS'GI\tGI\tNN\tB-NP\tO' -p50483 -aS'service\tservice\tNN\tI-NP\tO' -p50484 -aS'.\t.\t.\tO\tO' -p50485 -asS'Avoid getting the incision soaking wet .' -p50486 -(lp50487 -S'Avoid\tAvoid\tNNP\tB-NP\tO' -p50488 -aS'getting\tget\tVBG\tB-VP\tO' -p50489 -aS'the\tthe\tDT\tB-NP\tO' -p50490 -aS'incision\tincision\tNN\tI-NP\tO' -p50491 -aS'soaking\tsoak\tVBG\tB-VP\tO' -p50492 -aS'wet\twet\tJJ\tB-ADJP\tO' -p50493 -aS'.\t.\t.\tO\tO' -p50494 -asS'In general , this is an obese male in mild respiratory distress .' -p50495 -(lp50496 -S'In\tIn\tIN\tB-PP\tO' -p50497 -aS'general\tgeneral\tJJ\tB-ADJP\tO' -p50498 -aS',\t,\t,\tO\tO' -p50499 -aS'this\tthis\tDT\tB-NP\tO' -p50500 -aS'is\tbe\tVBZ\tB-VP\tO' -p50501 -aS'an\tan\tDT\tB-NP\tO' -p50502 -aS'obese\tobese\tJJ\tI-NP\tO' -p50503 -aS'male\tmale\tNN\tI-NP\tO' -p50504 -aS'in\tin\tIN\tB-PP\tO' -p50505 -aS'mild\tmild\tJJ\tB-NP\tO' -p50506 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p50507 -aS'distress\tdistress\tNN\tI-NP\tO' -p50508 -aS'.\t.\t.\tO\tO' -p50509 -asS'4. Ondansetron HCl 2 mg / mL Solution Sig : One ( 1 ) ML Intravenous Q12H ( every 12 hours ) as needed for nausea .' -p50510 -(lp50511 -S'4.\t4.\tLS\tB-NP\tO' -p50512 -aS'Ondansetron\tOndansetron\tNN\tI-NP\tO' -p50513 -aS'HCl\tHCl\tNN\tI-NP\tO' -p50514 -aS'2\t2\tCD\tI-NP\tO' -p50515 -aS'mg\tmg\tNN\tI-NP\tO' -p50516 -aS'/\t/\tSYM\tB-NP\tO' -p50517 -aS'mL\tmL\tNN\tI-NP\tO' -p50518 -aS'Solution\tSolution\tNNP\tI-NP\tO' -p50519 -aS'Sig\tSig\tNNP\tI-NP\tO' -p50520 -aS':\t:\t:\tO\tO' -p50521 -aS'One\tOne\tCD\tB-NP\tO' -p50522 -aS'(\t(\t(\tO\tO' -p50523 -aS'1\t1\tCD\tB-NP\tO' -p50524 -aS')\t)\t)\tO\tO' -p50525 -aS'ML\tML\tNN\tB-NP\tO' -p50526 -aS'Intravenous\tIntravenous\tJJ\tI-NP\tO' -p50527 -aS'Q12H\tQ12H\tNN\tI-NP\tO' -p50528 -aS'(\t(\t(\tO\tO' -p50529 -aS'every\tevery\tDT\tB-NP\tO' -p50530 -aS'12\t12\tCD\tI-NP\tO' -p50531 -aS'hours\thour\tNNS\tI-NP\tO' -p50532 -aS')\t)\t)\tO\tO' -p50533 -aS'as\tas\tIN\tB-SBAR\tO' -p50534 -aS'needed\tneed\tVBN\tB-VP\tO' -p50535 -aS'for\tfor\tIN\tB-PP\tO' -p50536 -aS'nausea\tnausea\tNN\tB-NP\tO' -p50537 -aS'.\t.\t.\tO\tO' -p50538 -asS'She did receive pamidronate on postoperative day one and received a total of four doses thymoglobulin .' -p50539 -(lp50540 -S'She\tShe\tPRP\tB-NP\tO' -p50541 -aS'did\tdo\tVBD\tB-VP\tO' -p50542 -aS'receive\treceive\tVB\tI-VP\tO' -p50543 -aS'pamidronate\tpamidronate\tNN\tB-NP\tO' -p50544 -aS'on\ton\tIN\tB-PP\tO' -p50545 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p50546 -aS'day\tday\tNN\tI-NP\tO' -p50547 -aS'one\tone\tCD\tB-NP\tO' -p50548 -aS'and\tand\tCC\tO\tO' -p50549 -aS'received\treceive\tVBD\tB-VP\tO' -p50550 -aS'a\ta\tDT\tB-NP\tO' -p50551 -aS'total\ttotal\tNN\tI-NP\tO' -p50552 -aS'of\tof\tIN\tB-PP\tO' -p50553 -aS'four\tfour\tCD\tB-NP\tO' -p50554 -aS'doses\tdose\tNNS\tI-NP\tO' -p50555 -aS'thymoglobulin\tthymoglobulin\tNN\tI-NP\tO' -p50556 -aS'.\t.\t.\tO\tO' -p50557 -asS'Over the five to six weeks prior to admission he had a drop off in his mental functioning with more frequent episodes of confusion and disorientation and requiring more assistance with his activities of daily living .' -p50558 -(lp50559 -S'Over\tOver\tIN\tB-PP\tO' -p50560 -aS'the\tthe\tDT\tB-NP\tO' -p50561 -aS'five\tfive\tCD\tI-NP\tO' -p50562 -aS'to\tto\tTO\tI-NP\tO' -p50563 -aS'six\tsix\tCD\tI-NP\tO' -p50564 -aS'weeks\tweek\tNNS\tI-NP\tO' -p50565 -aS'prior\tprior\tRB\tB-ADVP\tO' -p50566 -aS'to\tto\tTO\tB-PP\tO' -p50567 -aS'admission\tadmission\tNN\tB-NP\tO' -p50568 -aS'he\the\tPRP\tB-NP\tO' -p50569 -aS'had\thave\tVBD\tB-VP\tO' -p50570 -aS'a\ta\tDT\tB-NP\tO' -p50571 -aS'drop\tdrop\tNN\tI-NP\tO' -p50572 -aS'off\toff\tRP\tB-PRT\tO' -p50573 -aS'in\tin\tIN\tB-PP\tO' -p50574 -aS'his\this\tPRP$\tB-NP\tO' -p50575 -aS'mental\tmental\tJJ\tI-NP\tO' -p50576 -aS'functioning\tfunction\tVBG\tI-NP\tO' -p50577 -aS'with\twith\tIN\tB-PP\tO' -p50578 -aS'more\tmore\tRBR\tB-NP\tO' -p50579 -aS'frequent\tfrequent\tJJ\tI-NP\tO' -p50580 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p50581 -aS'of\tof\tIN\tB-PP\tO' -p50582 -aS'confusion\tconfusion\tNN\tB-NP\tO' -p50583 -aS'and\tand\tCC\tI-NP\tO' -p50584 -aS'disorientation\tdisorientation\tNN\tI-NP\tO' -p50585 -aS'and\tand\tCC\tO\tO' -p50586 -aS'requiring\trequire\tVBG\tB-VP\tO' -p50587 -aS'more\tmore\tJJR\tB-NP\tO' -p50588 -aS'assistance\tassistance\tNN\tI-NP\tO' -p50589 -aS'with\twith\tIN\tB-PP\tO' -p50590 -aS'his\this\tPRP$\tB-NP\tO' -p50591 -aS'activities\tactivity\tNNS\tI-NP\tO' -p50592 -aS'of\tof\tIN\tB-PP\tO' -p50593 -aS'daily\tdaily\tJJ\tB-NP\tO' -p50594 -aS'living\tliving\tNN\tI-NP\tO' -p50595 -aS'.\t.\t.\tO\tO' -p50596 -asS'Head , eyes , ears , nose and throat - His pupils were equal and three millimeters .' -p50597 -(lp50598 -S'Head\tHead\tRB\tB-ADVP\tO' -p50599 -aS',\t,\t,\tO\tO' -p50600 -aS'eyes\teye\tNNS\tB-NP\tO' -p50601 -aS',\t,\t,\tI-NP\tO' -p50602 -aS'ears\tear\tNNS\tI-NP\tO' -p50603 -aS',\t,\t,\tI-NP\tO' -p50604 -aS'nose\tnose\tNN\tI-NP\tO' -p50605 -aS'and\tand\tCC\tI-NP\tO' -p50606 -aS'throat\tthroat\tNN\tI-NP\tB-protein' -p50607 -aS'-\t-\tHYPH\tO\tI-protein' -p50608 -aS'His\tHis\tPRP$\tB-NP\tI-protein' -p50609 -aS'pupils\tpupil\tNNS\tI-NP\tI-protein' -p50610 -aS'were\tbe\tVBD\tB-VP\tO' -p50611 -aS'equal\tequal\tJJ\tB-ADJP\tO' -p50612 -aS'and\tand\tCC\tO\tO' -p50613 -aS'three\tthree\tCD\tB-NP\tO' -p50614 -aS'millimeters\tmillimeter\tNNS\tI-NP\tO' -p50615 -aS'.\t.\t.\tO\tO' -p50616 -asS'Conditions , Infections , Complications , affecting Treatment / Stay postpartum' -p50617 -(lp50618 -S'Conditions\tCondition\tNNS\tB-NP\tO' -p50619 -aS',\t,\t,\tO\tO' -p50620 -aS'Infections\tInfection\tNNS\tB-NP\tO' -p50621 -aS',\t,\t,\tO\tO' -p50622 -aS'Complications\tComplication\tNNS\tB-NP\tO' -p50623 -aS',\t,\t,\tO\tO' -p50624 -aS'affecting\taffect\tVBG\tB-VP\tO' -p50625 -aS'Treatment\tTreatment\tNN\tB-NP\tO' -p50626 -aS'/\t/\tSYM\tO\tO' -p50627 -aS'Stay\tStay\tNN\tB-NP\tO' -p50628 -aS'postpartum\tpostpartum\tNN\tI-NP\tO' -p50629 -asS'Over the course of her admission were also sent an alpha-1-antitrypsin , which was negative .' -p50630 -(lp50631 -S'Over\tOver\tIN\tB-PP\tO' -p50632 -aS'the\tthe\tDT\tB-NP\tO' -p50633 -aS'course\tcourse\tNN\tI-NP\tO' -p50634 -aS'of\tof\tIN\tB-PP\tO' -p50635 -aS'her\ther\tPRP$\tB-NP\tO' -p50636 -aS'admission\tadmission\tNN\tI-NP\tO' -p50637 -aS'were\tbe\tVBD\tB-VP\tO' -p50638 -aS'also\talso\tRB\tI-VP\tO' -p50639 -aS'sent\tsend\tVBN\tI-VP\tO' -p50640 -aS'an\tan\tDT\tB-NP\tO' -p50641 -aS'alpha-1-antitrypsin\talpha-1-antitrypsin\tNN\tI-NP\tB-protein' -p50642 -aS',\t,\t,\tO\tO' -p50643 -aS'which\twhich\tWDT\tB-NP\tO' -p50644 -aS'was\tbe\tVBD\tB-VP\tO' -p50645 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p50646 -aS'.\t.\t.\tO\tO' -p50647 -asS'LEFT UPPER LOBE LARGE CELL CARCINOMA OF THE LUNG .' -p50648 -(lp50649 -S'LEFT\tLEFT\tNN\tB-NP\tO' -p50650 -aS'UPPER\tUPPER\tNN\tI-NP\tO' -p50651 -aS'LOBE\tLOBE\tNN\tI-NP\tO' -p50652 -aS'LARGE\tLARGE\tNN\tI-NP\tO' -p50653 -aS'CELL\tCELL\tNN\tI-NP\tO' -p50654 -aS'CARCINOMA\tCARCINOMA\tNN\tI-NP\tO' -p50655 -aS'OF\tOF\tIN\tB-PP\tO' -p50656 -aS'THE\tTHE\tDT\tB-NP\tO' -p50657 -aS'LUNG\tLUNG\tNN\tI-NP\tB-protein' -p50658 -aS'.\t.\t.\tO\tO' -p50659 -asS'No audible murmurs .' -p50660 -(lp50661 -S'No\tNo\tDT\tB-NP\tO' -p50662 -aS'audible\taudible\tJJ\tI-NP\tO' -p50663 -aS'murmurs\tmurmur\tNNS\tI-NP\tO' -p50664 -aS'.\t.\t.\tO\tO' -p50665 -asS'Cranial nerves II - XII were grossly intact .' -p50666 -(lp50667 -S'Cranial\tCranial\tNNP\tB-NP\tO' -p50668 -aS'nerves\tnerve\tVBZ\tB-VP\tO' -p50669 -aS'II\tII\tCD\tB-NP\tO' -p50670 -aS'-\t-\tHYPH\tI-NP\tO' -p50671 -aS'XII\tXII\tCD\tI-NP\tB-DNA' -p50672 -aS'were\tbe\tVBD\tB-VP\tO' -p50673 -aS'grossly\tgrossly\tRB\tB-ADJP\tO' -p50674 -aS'intact\tintact\tJJ\tI-ADJP\tO' -p50675 -aS'.\t.\t.\tO\tO' -p50676 -asS'Spinal Stenosis s/p Lumbar Laminectomy x 3' -p50677 -(lp50678 -S'Spinal\tSpinal\tNNP\tB-NP\tO' -p50679 -aS'Stenosis\tStenosis\tNNP\tI-NP\tO' -p50680 -aS's/p\ts/p\tNN\tI-NP\tO' -p50681 -aS'Lumbar\tLumbar\tNNP\tI-NP\tO' -p50682 -aS'Laminectomy\tLaminectomy\tNNP\tI-NP\tO' -p50683 -aS'x\tx\tNN\tI-NP\tO' -p50684 -aS'3\t3\tCD\tI-NP\tO' -p50685 -asS'He was intermittently congested limiting our ability to give intravenous fluid , for his hydrea , although we kept him on Allopurinol .' -p50686 -(lp50687 -S'He\tHe\tPRP\tB-NP\tO' -p50688 -aS'was\tbe\tVBD\tB-VP\tO' -p50689 -aS'intermittently\tintermittently\tRB\tI-VP\tO' -p50690 -aS'congested\tcongest\tVBN\tI-VP\tO' -p50691 -aS'limiting\tlimit\tVBG\tI-VP\tO' -p50692 -aS'our\tour\tPRP$\tB-NP\tO' -p50693 -aS'ability\tability\tNN\tI-NP\tO' -p50694 -aS'to\tto\tTO\tB-VP\tO' -p50695 -aS'give\tgive\tVB\tI-VP\tO' -p50696 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p50697 -aS'fluid\tfluid\tNN\tI-NP\tO' -p50698 -aS',\t,\t,\tO\tO' -p50699 -aS'for\tfor\tIN\tB-PP\tO' -p50700 -aS'his\this\tPRP$\tB-NP\tO' -p50701 -aS'hydrea\thydrea\tNN\tI-NP\tO' -p50702 -aS',\t,\t,\tO\tO' -p50703 -aS'although\talthough\tIN\tB-SBAR\tO' -p50704 -aS'we\twe\tPRP\tB-NP\tO' -p50705 -aS'kept\tkeep\tVBD\tB-VP\tO' -p50706 -aS'him\thim\tPRP\tB-NP\tO' -p50707 -aS'on\ton\tIN\tB-PP\tO' -p50708 -aS'Allopurinol\tAllopurinol\tNNP\tB-NP\tO' -p50709 -aS'.\t.\t.\tO\tO' -p50710 -asS'Vaginal Delivery With First Degree Laceration' -p50711 -(lp50712 -S'Vaginal\tVaginal\tNNP\tB-NP\tO' -p50713 -aS'Delivery\tDelivery\tNNP\tI-NP\tO' -p50714 -aS'With\tWith\tIN\tB-PP\tO' -p50715 -aS'First\tFirst\tNNP\tB-NP\tO' -p50716 -aS'Degree\tDegree\tNNP\tI-NP\tO' -p50717 -aS'Laceration\tLaceration\tNNP\tI-NP\tO' -p50718 -asS'11. Code status - Initially full code then made DNR / DNI after family meeting on 02-27 .' -p50719 -(lp50720 -S'11.\t11.\tLS\tB-NP\tO' -p50721 -aS'Code\tCode\tNN\tI-NP\tO' -p50722 -aS'status\tstatus\tNN\tI-NP\tO' -p50723 -aS'-\t-\tHYPH\tB-VP\tO' -p50724 -aS'Initially\tInitially\tRB\tB-NP\tO' -p50725 -aS'full\tfull\tJJ\tI-NP\tO' -p50726 -aS'code\tcode\tNN\tI-NP\tO' -p50727 -aS'then\tthen\tRB\tB-ADVP\tO' -p50728 -aS'made\tmake\tVBD\tB-VP\tO' -p50729 -aS'DNR\tDNR\tNN\tB-NP\tB-protein' -p50730 -aS'/\t/\tSYM\tB-NP\tO' -p50731 -aS'DNI\tDNI\tNN\tI-NP\tO' -p50732 -aS'after\tafter\tIN\tB-PP\tO' -p50733 -aS'family\tfamily\tNN\tB-NP\tO' -p50734 -aS'meeting\tmeeting\tNN\tI-NP\tO' -p50735 -aS'on\ton\tIN\tB-PP\tO' -p50736 -aS'02-27\t02-27\tCD\tB-NP\tO' -p50737 -aS'.\t.\t.\tO\tO' -p50738 -asS'Apgars were 6 at one minute and 8 at five minutes .' -p50739 -(lp50740 -S'Apgars\tApgar\tNNS\tB-NP\tO' -p50741 -aS'were\tbe\tVBD\tB-VP\tO' -p50742 -aS'6\t6\tCD\tB-NP\tO' -p50743 -aS'at\tat\tIN\tB-PP\tO' -p50744 -aS'one\tone\tCD\tB-NP\tO' -p50745 -aS'minute\tminute\tNN\tI-NP\tO' -p50746 -aS'and\tand\tCC\tO\tO' -p50747 -aS'8\t8\tCD\tB-NP\tO' -p50748 -aS'at\tat\tIN\tB-PP\tO' -p50749 -aS'five\tfive\tCD\tB-NP\tO' -p50750 -aS'minutes\tminute\tNNS\tI-NP\tO' -p50751 -aS'.\t.\t.\tO\tO' -p50752 -asS'Pulmonary revealed she had diffuse wheezes .' -p50753 -(lp50754 -S'Pulmonary\tPulmonary\tNNP\tB-NP\tO' -p50755 -aS'revealed\treveal\tVBD\tB-VP\tO' -p50756 -aS'she\tshe\tPRP\tB-NP\tO' -p50757 -aS'had\thave\tVBD\tB-VP\tO' -p50758 -aS'diffuse\tdiffuse\tJJ\tB-NP\tO' -p50759 -aS'wheezes\twheeze\tNNS\tI-NP\tO' -p50760 -aS'.\t.\t.\tO\tO' -p50761 -asS"However , the patient 's hematocrit bumped only to 28.1 and a repeat later on 9-11 , showed hematocrit of 27.6 ." -p50762 -(lp50763 -S'However\tHowever\tRB\tB-ADVP\tO' -p50764 -aS',\t,\t,\tO\tO' -p50765 -aS'the\tthe\tDT\tB-NP\tO' -p50766 -aS'patient\tpatient\tNN\tI-NP\tO' -p50767 -aS"'s\t's\tPOS\tB-NP\tO" -p50768 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p50769 -aS'bumped\tbump\tVBD\tB-VP\tO' -p50770 -aS'only\tonly\tRB\tB-ADVP\tO' -p50771 -aS'to\tto\tTO\tB-PP\tO' -p50772 -aS'28.1\t28.1\tCD\tB-NP\tO' -p50773 -aS'and\tand\tCC\tO\tO' -p50774 -aS'a\ta\tDT\tB-NP\tO' -p50775 -aS'repeat\trepeat\tNN\tI-NP\tO' -p50776 -aS'later\tlater\tRBR\tB-ADVP\tO' -p50777 -aS'on\ton\tIN\tB-PP\tO' -p50778 -aS'9-11\t9-11\tNN\tB-NP\tO' -p50779 -aS',\t,\t,\tO\tO' -p50780 -aS'showed\tshow\tVBD\tB-VP\tO' -p50781 -aS'hematocrit\thematocrit\tNN\tB-NP\tO' -p50782 -aS'of\tof\tIN\tB-PP\tO' -p50783 -aS'27.6\t27.6\tCD\tB-NP\tO' -p50784 -aS'.\t.\t.\tO\tO' -p50785 -asS'Left ventricular systolic function is hyperdynamic ( EF > 75% ) .' -p50786 -(lp50787 -S'Left\tLeave\tVBN\tB-NP\tO' -p50788 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p50789 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p50790 -aS'function\tfunction\tNN\tI-NP\tO' -p50791 -aS'is\tbe\tVBZ\tB-VP\tO' -p50792 -aS'hyperdynamic\thyperdynamic\tJJ\tB-ADJP\tO' -p50793 -aS'(\t(\t(\tO\tO' -p50794 -aS'EF\tEF\tNN\tB-NP\tB-protein' -p50795 -aS'>\t>\tSYM\tO\tI-protein' -p50796 -aS'75%\t75%\tCD\tB-NP\tI-protein' -p50797 -aS')\t)\t)\tO\tO' -p50798 -aS'.\t.\t.\tO\tO' -p50799 -asS'Left hip arthritis .' -p50800 -(lp50801 -S'Left\tLeave\tVBN\tB-NP\tO' -p50802 -aS'hip\thip\tNN\tI-NP\tO' -p50803 -aS'arthritis\tarthritis\tNN\tI-NP\tO' -p50804 -aS'.\t.\t.\tO\tO' -p50805 -asS'4. Levofloxacin 500 mg p.o. t.i.d. times two days .' -p50806 -(lp50807 -S'4.\t4.\tLS\tB-LST\tO' -p50808 -aS'Levofloxacin\tLevofloxacin\tNN\tB-NP\tO' -p50809 -aS'500\t500\tCD\tI-NP\tO' -p50810 -aS'mg\tmg\tNN\tI-NP\tO' -p50811 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p50812 -aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' -p50813 -aS'times\ttime\tNNS\tI-NP\tO' -p50814 -aS'two\ttwo\tCD\tB-NP\tO' -p50815 -aS'days\tday\tNNS\tI-NP\tO' -p50816 -aS'.\t.\t.\tO\tO' -p50817 -asS'Artificial Tears Drops Sig : One ( 1 ) drop Ophthalmic twice a day : ou .' -p50818 -(lp50819 -S'Artificial\tArtificial\tNNP\tB-NP\tO' -p50820 -aS'Tears\tTear\tNNPS\tI-NP\tO' -p50821 -aS'Drops\tDrops\tNNP\tI-NP\tO' -p50822 -aS'Sig\tSig\tNNP\tI-NP\tO' -p50823 -aS':\t:\t:\tO\tO' -p50824 -aS'One\tOne\tCD\tB-NP\tO' -p50825 -aS'(\t(\t(\tO\tO' -p50826 -aS'1\t1\tCD\tB-NP\tO' -p50827 -aS')\t)\t)\tO\tO' -p50828 -aS'drop\tdrop\tVBP\tB-VP\tO' -p50829 -aS'Ophthalmic\tOphthalmic\tNNP\tB-NP\tO' -p50830 -aS'twice\ttwice\tRB\tB-NP\tO' -p50831 -aS'a\ta\tDT\tI-NP\tO' -p50832 -aS'day\tday\tNN\tI-NP\tO' -p50833 -aS':\t:\t:\tO\tO' -p50834 -aS'ou\tou\tPRP\tB-NP\tO' -p50835 -aS'.\t.\t.\tO\tO' -p50836 -asS'He is discharged to home with pain medication which is percocet .' -p50837 -(lp50838 -S'He\tHe\tPRP\tB-NP\tO' -p50839 -aS'is\tbe\tVBZ\tB-VP\tO' -p50840 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p50841 -aS'to\tto\tTO\tB-PP\tO' -p50842 -aS'home\thome\tNN\tB-NP\tO' -p50843 -aS'with\twith\tIN\tB-PP\tO' -p50844 -aS'pain\tpain\tNN\tB-NP\tO' -p50845 -aS'medication\tmedication\tNN\tI-NP\tO' -p50846 -aS'which\twhich\tWDT\tB-NP\tO' -p50847 -aS'is\tbe\tVBZ\tB-VP\tO' -p50848 -aS'percocet\tpercocet\tNN\tB-NP\tO' -p50849 -aS'.\t.\t.\tO\tO' -p50850 -asS'She also gets Peridex to clean out her mouth .' -p50851 -(lp50852 -S'She\tShe\tPRP\tB-NP\tO' -p50853 -aS'also\talso\tRB\tB-ADVP\tO' -p50854 -aS'gets\tget\tVBZ\tB-VP\tO' -p50855 -aS'Peridex\tPeridex\tNNP\tB-NP\tO' -p50856 -aS'to\tto\tTO\tB-VP\tO' -p50857 -aS'clean\tclean\tVB\tI-VP\tO' -p50858 -aS'out\tout\tRP\tB-PRT\tO' -p50859 -aS'her\ther\tPRP$\tB-NP\tO' -p50860 -aS'mouth\tmouth\tNN\tI-NP\tO' -p50861 -aS'.\t.\t.\tO\tO' -p50862 -asS'The patient was asymptomatic without chest pain , shortness of breath and no mental status changes .' -p50863 -(lp50864 -S'The\tThe\tDT\tB-NP\tO' -p50865 -aS'patient\tpatient\tNN\tI-NP\tO' -p50866 -aS'was\tbe\tVBD\tB-VP\tO' -p50867 -aS'asymptomatic\tasymptomatic\tJJ\tB-ADJP\tO' -p50868 -aS'without\twithout\tIN\tB-PP\tO' -p50869 -aS'chest\tchest\tNN\tB-NP\tO' -p50870 -aS'pain\tpain\tNN\tI-NP\tO' -p50871 -aS',\t,\t,\tO\tO' -p50872 -aS'shortness\tshortness\tNN\tB-NP\tO' -p50873 -aS'of\tof\tIN\tB-PP\tO' -p50874 -aS'breath\tbreath\tNN\tB-NP\tO' -p50875 -aS'and\tand\tCC\tO\tO' -p50876 -aS'no\tno\tDT\tB-NP\tO' -p50877 -aS'mental\tmental\tJJ\tI-NP\tO' -p50878 -aS'status\tstatus\tNN\tI-NP\tO' -p50879 -aS'changes\tchange\tNNS\tI-NP\tO' -p50880 -aS'.\t.\t.\tO\tO' -p50881 -asS'Signed electronically by : DR. Jermaine X Reynolds on : Andrea 2016-06-30 3:46 PM' -p50882 -(lp50883 -S'Signed\tSign\tVBN\tB-VP\tO' -p50884 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p50885 -aS'by\tby\tIN\tB-PP\tO' -p50886 -aS':\t:\t:\tO\tO' -p50887 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p50888 -aS'Jermaine\tJermaine\tNNP\tI-NP\tO' -p50889 -aS'X\tX\tNNP\tI-NP\tO' -p50890 -aS'Reynolds\tReynolds\tNNP\tI-NP\tO' -p50891 -aS'on\ton\tIN\tB-PP\tO' -p50892 -aS':\t:\t:\tO\tO' -p50893 -aS'Andrea\tAndrea\tNNP\tB-NP\tO' -p50894 -aS'2016-06-30\t2016-06-30\tCD\tB-NP\tO' -p50895 -aS'3:46\t3:46\tCD\tI-NP\tO' -p50896 -aS'PM\tPM\tNN\tI-NP\tO' -p50897 -asS'His neurological examination at that time was nonfocal and the head was atraumatic without any evidence of a hematoma .' -p50898 -(lp50899 -S'His\tHis\tPRP$\tB-NP\tO' -p50900 -aS'neurological\tneurological\tJJ\tI-NP\tO' -p50901 -aS'examination\texamination\tNN\tI-NP\tO' -p50902 -aS'at\tat\tIN\tB-PP\tO' -p50903 -aS'that\tthat\tDT\tB-NP\tO' -p50904 -aS'time\ttime\tNN\tI-NP\tO' -p50905 -aS'was\tbe\tVBD\tB-VP\tO' -p50906 -aS'nonfocal\tnonfocal\tJJ\tB-ADJP\tO' -p50907 -aS'and\tand\tCC\tO\tO' -p50908 -aS'the\tthe\tDT\tB-NP\tO' -p50909 -aS'head\thead\tNN\tI-NP\tO' -p50910 -aS'was\tbe\tVBD\tB-VP\tO' -p50911 -aS'atraumatic\tatraumatic\tJJ\tB-ADJP\tO' -p50912 -aS'without\twithout\tIN\tB-PP\tO' -p50913 -aS'any\tany\tDT\tB-NP\tO' -p50914 -aS'evidence\tevidence\tNN\tI-NP\tO' -p50915 -aS'of\tof\tIN\tB-PP\tO' -p50916 -aS'a\ta\tDT\tB-NP\tO' -p50917 -aS'hematoma\thematoma\tNN\tI-NP\tO' -p50918 -aS'.\t.\t.\tO\tO' -p50919 -asS'This report needs to be followed up , and will be available at Bri Health in the Pathology Department some time within the next three to seven days .' -p50920 -(lp50921 -S'This\tThis\tDT\tB-NP\tO' -p50922 -aS'report\treport\tNN\tI-NP\tO' -p50923 -aS'needs\tneed\tVBZ\tB-VP\tO' -p50924 -aS'to\tto\tTO\tI-VP\tO' -p50925 -aS'be\tbe\tVB\tI-VP\tO' -p50926 -aS'followed\tfollow\tVBN\tI-VP\tO' -p50927 -aS'up\tup\tRP\tB-PRT\tO' -p50928 -aS',\t,\t,\tO\tO' -p50929 -aS'and\tand\tCC\tO\tO' -p50930 -aS'will\twill\tMD\tB-VP\tO' -p50931 -aS'be\tbe\tVB\tI-VP\tO' -p50932 -aS'available\tavailable\tJJ\tB-ADJP\tO' -p50933 -aS'at\tat\tIN\tB-PP\tO' -p50934 -aS'Bri\tBri\tNNP\tB-NP\tO' -p50935 -aS'Health\tHealth\tNNP\tI-NP\tO' -p50936 -aS'in\tin\tIN\tB-PP\tO' -p50937 -aS'the\tthe\tDT\tB-NP\tO' -p50938 -aS'Pathology\tPathology\tNNP\tI-NP\tO' -p50939 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p50940 -aS'some\tsome\tDT\tB-NP\tO' -p50941 -aS'time\ttime\tNN\tI-NP\tO' -p50942 -aS'within\twithin\tIN\tB-PP\tO' -p50943 -aS'the\tthe\tDT\tB-NP\tO' -p50944 -aS'next\tnext\tJJ\tI-NP\tO' -p50945 -aS'three\tthree\tCD\tI-NP\tO' -p50946 -aS'to\tto\tTO\tI-NP\tO' -p50947 -aS'seven\tseven\tCD\tI-NP\tO' -p50948 -aS'days\tday\tNNS\tI-NP\tO' -p50949 -aS'.\t.\t.\tO\tO' -p50950 -asS'Abdominal examination was normal .' -p50951 -(lp50952 -S'Abdominal\tAbdominal\tJJ\tB-NP\tO' -p50953 -aS'examination\texamination\tNN\tI-NP\tO' -p50954 -aS'was\tbe\tVBD\tB-VP\tO' -p50955 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p50956 -aS'.\t.\t.\tO\tO' -p50957 -asS'Total volume given as bolus 50 cc's per kilo , sodium bicarbonate at 2 mEq per kilo was given .' -p50958 -(lp50959 -S'Total\tTotal\tJJ\tB-NP\tO' -p50960 -aS'volume\tvolume\tNN\tI-NP\tO' -p50961 -aS'given\tgive\tVBN\tB-VP\tO' -p50962 -aS'as\tas\tIN\tB-PP\tO' -p50963 -aS'bolus\tbolus\tNN\tB-NP\tO' -p50964 -aS'50\t50\tCD\tB-NP\tO' -p50965 -aS'cc's\tcc'\tNNS\tI-NP\tO' -p50966 -aS'per\tper\tIN\tB-PP\tO' -p50967 -aS'kilo\tkilo\tNN\tB-NP\tO' -p50968 -aS',\t,\t,\tO\tO' -p50969 -aS'sodium\tsodium\tNN\tB-NP\tO' -p50970 -aS'bicarbonate\tbicarbonate\tNN\tI-NP\tO' -p50971 -aS'at\tat\tIN\tB-PP\tO' -p50972 -aS'2\t2\tCD\tB-NP\tO' -p50973 -aS'mEq\tmEq\tNN\tI-NP\tO' -p50974 -aS'per\tper\tIN\tB-PP\tO' -p50975 -aS'kilo\tkilo\tNN\tB-NP\tO' -p50976 -aS'was\tbe\tVBD\tB-VP\tO' -p50977 -aS'given\tgive\tVBN\tI-VP\tO' -p50978 -aS'.\t.\t.\tO\tO' -p50979 -asS'1. Coronary artery disease ; the patient is status post percutaneous transluminal coronary angioplasty times three in 2009 at Clinton Hospital ; the patient is status post percutaneous transluminal coronary angioplasty times two in 2005 at Waltham/Weston Hospital .' -p50980 -(lp50981 -S'1.\t1.\tLS\tB-NP\tO' -p50982 -aS'Coronary\tCoronary\tJJ\tI-NP\tO' -p50983 -aS'artery\tartery\tNN\tI-NP\tO' -p50984 -aS'disease\tdisease\tNN\tI-NP\tO' -p50985 -aS';\t;\t:\tO\tO' -p50986 -aS'the\tthe\tDT\tB-NP\tO' -p50987 -aS'patient\tpatient\tNN\tI-NP\tO' -p50988 -aS'is\tbe\tVBZ\tB-VP\tO' -p50989 -aS'status\tstatus\tNN\tB-NP\tO' -p50990 -aS'post\tpost\tIN\tB-PP\tO' -p50991 -aS'percutaneous\tpercutaneous\tJJ\tB-NP\tO' -p50992 -aS'transluminal\ttransluminal\tJJ\tI-NP\tO' -p50993 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p50994 -aS'angioplasty\tangioplasty\tJJ\tI-NP\tO' -p50995 -aS'times\ttime\tNNS\tI-NP\tO' -p50996 -aS'three\tthree\tCD\tB-NP\tO' -p50997 -aS'in\tin\tIN\tB-PP\tO' -p50998 -aS'2009\t2009\tCD\tB-NP\tO' -p50999 -aS'at\tat\tIN\tB-PP\tO' -p51000 -aS'Clinton\tClinton\tNNP\tB-NP\tO' -p51001 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p51002 -aS';\t;\t:\tO\tO' -p51003 -aS'the\tthe\tDT\tB-NP\tO' -p51004 -aS'patient\tpatient\tNN\tI-NP\tO' -p51005 -aS'is\tbe\tVBZ\tB-VP\tO' -p51006 -aS'status\tstatus\tNN\tB-NP\tO' -p51007 -aS'post\tpost\tIN\tB-PP\tO' -p51008 -aS'percutaneous\tpercutaneous\tJJ\tB-NP\tO' -p51009 -aS'transluminal\ttransluminal\tJJ\tI-NP\tO' -p51010 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p51011 -aS'angioplasty\tangioplasty\tJJ\tI-NP\tO' -p51012 -aS'times\ttime\tNNS\tI-NP\tO' -p51013 -aS'two\ttwo\tCD\tB-NP\tO' -p51014 -aS'in\tin\tIN\tB-PP\tO' -p51015 -aS'2005\t2005\tCD\tB-NP\tO' -p51016 -aS'at\tat\tIN\tB-PP\tO' -p51017 -aS'Waltham/Weston\tWaltham/Weston\tNNP\tB-NP\tO' -p51018 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p51019 -aS'.\t.\t.\tO\tO' -p51020 -asS'The patient has a history of gastroesophageal reflux disease .' -p51021 -(lp51022 -S'The\tThe\tDT\tB-NP\tO' -p51023 -aS'patient\tpatient\tNN\tI-NP\tO' -p51024 -aS'has\thave\tVBZ\tB-VP\tO' -p51025 -aS'a\ta\tDT\tB-NP\tO' -p51026 -aS'history\thistory\tNN\tI-NP\tO' -p51027 -aS'of\tof\tIN\tB-PP\tO' -p51028 -aS'gastroesophageal\tgastroesophageal\tJJ\tB-NP\tO' -p51029 -aS'reflux\treflux\tNN\tI-NP\tO' -p51030 -aS'disease\tdisease\tNN\tI-NP\tO' -p51031 -aS'.\t.\t.\tO\tO' -p51032 -asS'He was out of bed to a chair .' -p51033 -(lp51034 -S'He\tHe\tPRP\tB-NP\tO' -p51035 -aS'was\tbe\tVBD\tB-VP\tO' -p51036 -aS'out\tout\tIN\tB-PP\tO' -p51037 -aS'of\tof\tIN\tB-PP\tO' -p51038 -aS'bed\tbed\tNN\tB-NP\tO' -p51039 -aS'to\tto\tTO\tB-PP\tO' -p51040 -aS'a\ta\tDT\tB-NP\tO' -p51041 -aS'chair\tchair\tNN\tI-NP\tO' -p51042 -aS'.\t.\t.\tO\tO' -p51043 -asS'The stoma was pink and functional .' -p51044 -(lp51045 -S'The\tThe\tDT\tB-NP\tO' -p51046 -aS'stoma\tstoma\tNN\tI-NP\tO' -p51047 -aS'was\tbe\tVBD\tB-VP\tO' -p51048 -aS'pink\tpink\tJJ\tB-ADJP\tO' -p51049 -aS'and\tand\tCC\tI-ADJP\tO' -p51050 -aS'functional\tfunctional\tJJ\tI-ADJP\tO' -p51051 -aS'.\t.\t.\tO\tO' -p51052 -asS'He had normoactive bowel sounds .' -p51053 -(lp51054 -S'He\tHe\tPRP\tB-NP\tO' -p51055 -aS'had\thave\tVBD\tB-VP\tO' -p51056 -aS'normoactive\tnormoactive\tJJ\tB-NP\tO' -p51057 -aS'bowel\tbowel\tNN\tI-NP\tO' -p51058 -aS'sounds\tsound\tNNS\tI-NP\tO' -p51059 -aS'.\t.\t.\tO\tO' -p51060 -asS'She was gradually advanced to a regular diet .' -p51061 -(lp51062 -S'She\tShe\tPRP\tB-NP\tO' -p51063 -aS'was\tbe\tVBD\tB-VP\tO' -p51064 -aS'gradually\tgradually\tRB\tI-VP\tO' -p51065 -aS'advanced\tadvance\tVBN\tI-VP\tO' -p51066 -aS'to\tto\tTO\tB-PP\tO' -p51067 -aS'a\ta\tDT\tB-NP\tO' -p51068 -aS'regular\tregular\tJJ\tI-NP\tO' -p51069 -aS'diet\tdiet\tNN\tI-NP\tO' -p51070 -aS'.\t.\t.\tO\tO' -p51071 -asS'1. The left atrium is moderately dilated .' -p51072 -(lp51073 -S'1.\t1.\tLS\tB-LST\tO' -p51074 -aS'The\tThe\tDT\tB-NP\tO' -p51075 -aS'left\tleft\tJJ\tI-NP\tO' -p51076 -aS'atrium\tatrium\tNN\tI-NP\tO' -p51077 -aS'is\tbe\tVBZ\tB-VP\tO' -p51078 -aS'moderately\tmoderately\tRB\tI-VP\tO' -p51079 -aS'dilated\tdilate\tVBN\tI-VP\tO' -p51080 -aS'.\t.\t.\tO\tO' -p51081 -asS'Her coagulation parameters were normal .' -p51082 -(lp51083 -S'Her\tHer\tPRP$\tB-NP\tO' -p51084 -aS'coagulation\tcoagulation\tNN\tI-NP\tO' -p51085 -aS'parameters\tparameter\tNNS\tI-NP\tO' -p51086 -aS'were\tbe\tVBD\tB-VP\tO' -p51087 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p51088 -aS'.\t.\t.\tO\tO' -p51089 -asS'Enteral feeds were started on the date of birth and gradually advanced to full volume .' -p51090 -(lp51091 -S'Enteral\tEnteral\tJJ\tB-NP\tO' -p51092 -aS'feeds\tfeed\tNNS\tI-NP\tO' -p51093 -aS'were\tbe\tVBD\tB-VP\tO' -p51094 -aS'started\tstart\tVBN\tI-VP\tO' -p51095 -aS'on\ton\tIN\tB-PP\tO' -p51096 -aS'the\tthe\tDT\tB-NP\tO' -p51097 -aS'date\tdate\tNN\tI-NP\tO' -p51098 -aS'of\tof\tIN\tB-PP\tO' -p51099 -aS'birth\tbirth\tNN\tB-NP\tO' -p51100 -aS'and\tand\tCC\tO\tO' -p51101 -aS'gradually\tgradually\tRB\tB-VP\tO' -p51102 -aS'advanced\tadvance\tVBN\tI-VP\tO' -p51103 -aS'to\tto\tTO\tB-PP\tO' -p51104 -aS'full\tfull\tJJ\tB-NP\tO' -p51105 -aS'volume\tvolume\tNN\tI-NP\tO' -p51106 -aS'.\t.\t.\tO\tO' -p51107 -asS'He does have his pacing lead with his external pacemaker DDD available to him and is being followed by the EP service and Dr. Janet Gutkin for further outpatient treatment of this' -p51108 -(lp51109 -S'He\tHe\tPRP\tB-NP\tO' -p51110 -aS'does\tdo\tVBZ\tB-VP\tO' -p51111 -aS'have\thave\tVB\tI-VP\tO' -p51112 -aS'his\this\tPRP$\tB-NP\tO' -p51113 -aS'pacing\tpacing\tNN\tI-NP\tO' -p51114 -aS'lead\tlead\tNN\tI-NP\tO' -p51115 -aS'with\twith\tIN\tB-PP\tO' -p51116 -aS'his\this\tPRP$\tB-NP\tO' -p51117 -aS'external\texternal\tJJ\tI-NP\tO' -p51118 -aS'pacemaker\tpacemaker\tNN\tI-NP\tO' -p51119 -aS'DDD\tDDD\tNN\tI-NP\tO' -p51120 -aS'available\tavailable\tJJ\tB-ADJP\tO' -p51121 -aS'to\tto\tTO\tB-PP\tO' -p51122 -aS'him\thim\tPRP\tB-NP\tB-cell_type' -p51123 -aS'and\tand\tCC\tO\tO' -p51124 -aS'is\tbe\tVBZ\tB-VP\tO' -p51125 -aS'being\tbe\tVBG\tI-VP\tO' -p51126 -aS'followed\tfollow\tVBN\tI-VP\tO' -p51127 -aS'by\tby\tIN\tB-PP\tO' -p51128 -aS'the\tthe\tDT\tB-NP\tO' -p51129 -aS'EP\tEP\tNN\tI-NP\tO' -p51130 -aS'service\tservice\tNN\tI-NP\tO' -p51131 -aS'and\tand\tCC\tO\tO' -p51132 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p51133 -aS'Janet\tJanet\tNNP\tI-NP\tO' -p51134 -aS'Gutkin\tGutkin\tNNP\tI-NP\tO' -p51135 -aS'for\tfor\tIN\tB-PP\tO' -p51136 -aS'further\tfurther\tJJ\tB-NP\tO' -p51137 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p51138 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p51139 -aS'of\tof\tIN\tB-PP\tO' -p51140 -aS'this\tthis\tDT\tB-NP\tO' -p51141 -asS'Palate was intact .' -p51142 -(lp51143 -S'Palate\tPalate\tNN\tB-NP\tO' -p51144 -aS'was\tbe\tVBD\tB-VP\tO' -p51145 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p51146 -aS'.\t.\t.\tO\tO' -p51147 -asS'On June 11 , 1998 , the patient had a video assisted thoracoscopic study of the right lung which revealed chronic interstitial pneumonitis with a bronchiolitis obliterans organizing pneumonia-like reaction and a chest tube was placed .' -p51148 -(lp51149 -S'On\tOn\tIN\tB-PP\tO' -p51150 -aS'June\tJune\tNNP\tB-NP\tO' -p51151 -aS'11\t11\tCD\tI-NP\tO' -p51152 -aS',\t,\t,\tO\tO' -p51153 -aS'1998\t1998\tCD\tB-NP\tO' -p51154 -aS',\t,\t,\tO\tO' -p51155 -aS'the\tthe\tDT\tB-NP\tO' -p51156 -aS'patient\tpatient\tNN\tI-NP\tO' -p51157 -aS'had\thave\tVBD\tB-VP\tO' -p51158 -aS'a\ta\tDT\tB-NP\tO' -p51159 -aS'video\tvideo\tNN\tI-NP\tO' -p51160 -aS'assisted\tassist\tVBD\tB-VP\tO' -p51161 -aS'thoracoscopic\tthoracoscopic\tJJ\tB-NP\tO' -p51162 -aS'study\tstudy\tNN\tI-NP\tO' -p51163 -aS'of\tof\tIN\tB-PP\tO' -p51164 -aS'the\tthe\tDT\tB-NP\tO' -p51165 -aS'right\tright\tJJ\tI-NP\tO' -p51166 -aS'lung\tlung\tNN\tI-NP\tO' -p51167 -aS'which\twhich\tWDT\tB-NP\tO' -p51168 -aS'revealed\treveal\tVBD\tB-VP\tO' -p51169 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p51170 -aS'interstitial\tinterstitial\tJJ\tI-NP\tO' -p51171 -aS'pneumonitis\tpneumonitis\tNN\tI-NP\tO' -p51172 -aS'with\twith\tIN\tB-PP\tO' -p51173 -aS'a\ta\tDT\tB-NP\tO' -p51174 -aS'bronchiolitis\tbronchiolitis\tNN\tI-NP\tO' -p51175 -aS'obliterans\tobliteran\tNNS\tI-NP\tO' -p51176 -aS'organizing\torganize\tVBG\tB-VP\tO' -p51177 -aS'pneumonia-like\tpneumonia-like\tJJ\tB-NP\tO' -p51178 -aS'reaction\treaction\tNN\tI-NP\tO' -p51179 -aS'and\tand\tCC\tO\tO' -p51180 -aS'a\ta\tDT\tB-NP\tO' -p51181 -aS'chest\tchest\tNN\tI-NP\tO' -p51182 -aS'tube\ttube\tNN\tI-NP\tO' -p51183 -aS'was\tbe\tVBD\tB-VP\tO' -p51184 -aS'placed\tplace\tVBN\tI-VP\tO' -p51185 -aS'.\t.\t.\tO\tO' -p51186 -asS'Significant only for history of hypertension .' -p51187 -(lp51188 -S'Significant\tSignificant\tJJ\tB-ADJP\tO' -p51189 -aS'only\tonly\tRB\tB-ADVP\tO' -p51190 -aS'for\tfor\tIN\tB-PP\tO' -p51191 -aS'history\thistory\tNN\tB-NP\tO' -p51192 -aS'of\tof\tIN\tB-PP\tO' -p51193 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p51194 -aS'.\t.\t.\tO\tO' -p51195 -asS'She denies smoking or alcohol .' -p51196 -(lp51197 -S'She\tShe\tPRP\tB-NP\tO' -p51198 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p51199 -aS'smoking\tsmoking\tNN\tB-NP\tO' -p51200 -aS'or\tor\tCC\tI-NP\tO' -p51201 -aS'alcohol\talcohol\tNN\tI-NP\tO' -p51202 -aS'.\t.\t.\tO\tO' -p51203 -asS'Dictated By : Steven L. Ibarra , M.D.' -p51204 -(lp51205 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p51206 -aS'By\tBy\tIN\tB-PP\tO' -p51207 -aS':\t:\t:\tO\tO' -p51208 -aS'Steven\tSteven\tNNP\tB-NP\tO' -p51209 -aS'L.\tL.\tNNP\tI-NP\tO' -p51210 -aS'Ibarra\tIbarra\tNNP\tI-NP\tO' -p51211 -aS',\t,\t,\tO\tO' -p51212 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p51213 -asS'The renal service continued to follow close management of his immunosuppression .' -p51214 -(lp51215 -S'The\tThe\tDT\tB-NP\tO' -p51216 -aS'renal\trenal\tJJ\tI-NP\tO' -p51217 -aS'service\tservice\tNN\tI-NP\tO' -p51218 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p51219 -aS'to\tto\tTO\tI-VP\tO' -p51220 -aS'follow\tfollow\tVB\tI-VP\tO' -p51221 -aS'close\tclose\tJJ\tB-NP\tO' -p51222 -aS'management\tmanagement\tNN\tI-NP\tO' -p51223 -aS'of\tof\tIN\tB-PP\tO' -p51224 -aS'his\this\tPRP$\tB-NP\tO' -p51225 -aS'immunosuppression\timmunosuppression\tNN\tI-NP\tO' -p51226 -aS'.\t.\t.\tO\tO' -p51227 -asS'She did well for approximately twelve years until she was diagnosed with carcinoid cancer of the same right upper lobe .' -p51228 -(lp51229 -S'She\tShe\tPRP\tB-NP\tO' -p51230 -aS'did\tdo\tVBD\tB-VP\tO' -p51231 -aS'well\twell\tRB\tB-ADVP\tO' -p51232 -aS'for\tfor\tIN\tB-PP\tO' -p51233 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p51234 -aS'twelve\ttwelve\tCD\tI-NP\tO' -p51235 -aS'years\tyear\tNNS\tI-NP\tO' -p51236 -aS'until\tuntil\tIN\tB-SBAR\tO' -p51237 -aS'she\tshe\tPRP\tB-NP\tO' -p51238 -aS'was\tbe\tVBD\tB-VP\tO' -p51239 -aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' -p51240 -aS'with\twith\tIN\tB-PP\tO' -p51241 -aS'carcinoid\tcarcinoid\tJJ\tB-NP\tO' -p51242 -aS'cancer\tcancer\tNN\tI-NP\tO' -p51243 -aS'of\tof\tIN\tB-PP\tO' -p51244 -aS'the\tthe\tDT\tB-NP\tO' -p51245 -aS'same\tsame\tJJ\tI-NP\tO' -p51246 -aS'right\tright\tJJ\tI-NP\tO' -p51247 -aS'upper\tupper\tJJ\tI-NP\tO' -p51248 -aS'lobe\tlobe\tNN\tI-NP\tO' -p51249 -aS'.\t.\t.\tO\tO' -p51250 -asS'No cervical , para-auricular or clavicular lymphadenopathy .' -p51251 -(lp51252 -S'No\tNo\tDT\tB-NP\tO' -p51253 -aS'cervical\tcervical\tJJ\tI-NP\tO' -p51254 -aS',\t,\t,\tI-NP\tO' -p51255 -aS'para-auricular\tpara-auricular\tJJ\tI-NP\tO' -p51256 -aS'or\tor\tCC\tI-NP\tO' -p51257 -aS'clavicular\tclavicular\tJJ\tI-NP\tO' -p51258 -aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' -p51259 -aS'.\t.\t.\tO\tO' -p51260 -asS'1. Ortho Tri-Cyclen .' -p51261 -(lp51262 -S'1.\t1.\tLS\tB-NP\tO' -p51263 -aS'Ortho\tOrtho\tNNP\tI-NP\tO' -p51264 -aS'Tri-Cyclen\tTri-Cyclen\tNNP\tI-NP\tO' -p51265 -aS'.\t.\t.\tO\tO' -p51266 -asS'He had no recurrent chest pain or shortness of breath throughout admission .' -p51267 -(lp51268 -S'He\tHe\tPRP\tB-NP\tO' -p51269 -aS'had\thave\tVBD\tB-VP\tO' -p51270 -aS'no\tno\tDT\tB-NP\tO' -p51271 -aS'recurrent\trecurrent\tJJ\tI-NP\tO' -p51272 -aS'chest\tchest\tNN\tI-NP\tO' -p51273 -aS'pain\tpain\tNN\tI-NP\tO' -p51274 -aS'or\tor\tCC\tI-NP\tO' -p51275 -aS'shortness\tshortness\tNN\tI-NP\tO' -p51276 -aS'of\tof\tIN\tB-PP\tO' -p51277 -aS'breath\tbreath\tNN\tB-NP\tO' -p51278 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p51279 -aS'admission\tadmission\tNN\tB-NP\tO' -p51280 -aS'.\t.\t.\tO\tO' -p51281 -asS'Potassium 5.2 , creatinine 1.3 , BUN 35 , glucose 152 , D dimer 1636 , INR 1.3 .' -p51282 -(lp51283 -S'Potassium\tPotassium\tNN\tB-NP\tO' -p51284 -aS'5.2\t5.2\tCD\tI-NP\tO' -p51285 -aS',\t,\t,\tO\tO' -p51286 -aS'creatinine\tcreatinine\tNN\tB-NP\tB-protein' -p51287 -aS'1.3\t1.3\tCD\tI-NP\tI-protein' -p51288 -aS',\t,\t,\tO\tO' -p51289 -aS'BUN\tBUN\tNN\tB-NP\tB-DNA' -p51290 -aS'35\t35\tCD\tI-NP\tI-DNA' -p51291 -aS',\t,\t,\tO\tO' -p51292 -aS'glucose\tglucose\tNN\tB-NP\tO' -p51293 -aS'152\t152\tCD\tI-NP\tO' -p51294 -aS',\t,\t,\tO\tO' -p51295 -aS'D\tD\tNN\tB-NP\tO' -p51296 -aS'dimer\tdimer\tNN\tI-NP\tO' -p51297 -aS'1636\t1636\tCD\tI-NP\tO' -p51298 -aS',\t,\t,\tO\tO' -p51299 -aS'INR\tINR\tNN\tB-NP\tB-protein' -p51300 -aS'1.3\t1.3\tCD\tI-NP\tI-protein' -p51301 -aS'.\t.\t.\tO\tO' -p51302 -asS'The patient was continued on his statin .' -p51303 -(lp51304 -S'The\tThe\tDT\tB-NP\tO' -p51305 -aS'patient\tpatient\tNN\tI-NP\tO' -p51306 -aS'was\tbe\tVBD\tB-VP\tO' -p51307 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p51308 -aS'on\ton\tIN\tB-PP\tO' -p51309 -aS'his\this\tPRP$\tB-NP\tO' -p51310 -aS'statin\tstatin\tNN\tI-NP\tO' -p51311 -aS'.\t.\t.\tO\tO' -p51312 -asS'The most recent weight is 2525 g.' -p51313 -(lp51314 -S'The\tThe\tDT\tB-NP\tO' -p51315 -aS'most\tmost\tRBS\tI-NP\tO' -p51316 -aS'recent\trecent\tJJ\tI-NP\tO' -p51317 -aS'weight\tweight\tNN\tI-NP\tO' -p51318 -aS'is\tbe\tVBZ\tB-VP\tO' -p51319 -aS'2525\t2525\tCD\tB-NP\tO' -p51320 -aS'g.\tg.\tNN\tI-NP\tO' -p51321 -asS'Her mental status remained similarly to her admission examination .' -p51322 -(lp51323 -S'Her\tHer\tPRP$\tB-NP\tO' -p51324 -aS'mental\tmental\tJJ\tI-NP\tO' -p51325 -aS'status\tstatus\tNN\tI-NP\tO' -p51326 -aS'remained\tremain\tVBD\tB-VP\tO' -p51327 -aS'similarly\tsimilarly\tRB\tB-ADVP\tO' -p51328 -aS'to\tto\tTO\tB-PP\tO' -p51329 -aS'her\ther\tPRP$\tB-NP\tO' -p51330 -aS'admission\tadmission\tNN\tI-NP\tO' -p51331 -aS'examination\texamination\tNN\tI-NP\tO' -p51332 -aS'.\t.\t.\tO\tO' -p51333 -asS'On postoperative day #4 , the patient began tolerating clear liquids and his diet was advanced as tolerated by postoperative day #6 and 7 .' -p51334 -(lp51335 -S'On\tOn\tIN\tB-PP\tO' -p51336 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p51337 -aS'day\tday\tNN\tI-NP\tO' -p51338 -aS'#4\t#4\tNN\tI-NP\tO' -p51339 -aS',\t,\t,\tO\tO' -p51340 -aS'the\tthe\tDT\tB-NP\tO' -p51341 -aS'patient\tpatient\tNN\tI-NP\tO' -p51342 -aS'began\tbegin\tVBD\tB-VP\tO' -p51343 -aS'tolerating\ttolerate\tVBG\tI-VP\tO' -p51344 -aS'clear\tclear\tJJ\tB-NP\tO' -p51345 -aS'liquids\tliquid\tNNS\tI-NP\tO' -p51346 -aS'and\tand\tCC\tO\tO' -p51347 -aS'his\this\tPRP$\tB-NP\tO' -p51348 -aS'diet\tdiet\tNN\tI-NP\tO' -p51349 -aS'was\tbe\tVBD\tB-VP\tO' -p51350 -aS'advanced\tadvance\tVBN\tI-VP\tO' -p51351 -aS'as\tas\tIN\tB-SBAR\tO' -p51352 -aS'tolerated\ttolerate\tVBN\tB-VP\tO' -p51353 -aS'by\tby\tIN\tB-PP\tO' -p51354 -aS'postoperative\tpostoperative\tJJ\tB-NP\tB-protein' -p51355 -aS'day\tday\tNN\tI-NP\tI-protein' -p51356 -aS'#6\t#6\tCD\tB-NP\tI-protein' -p51357 -aS'and\tand\tCC\tI-NP\tI-protein' -p51358 -aS'7\t7\tCD\tI-NP\tI-protein' -p51359 -aS'.\t.\t.\tO\tO' -p51360 -asS'She was tolerating liquids .' -p51361 -(lp51362 -S'She\tShe\tPRP\tB-NP\tO' -p51363 -aS'was\tbe\tVBD\tB-VP\tO' -p51364 -aS'tolerating\ttolerate\tVBG\tI-VP\tO' -p51365 -aS'liquids\tliquid\tNNS\tB-NP\tO' -p51366 -aS'.\t.\t.\tO\tO' -p51367 -asS'No erythema or swelling noted .' -p51368 -(lp51369 -S'No\tNo\tDT\tB-NP\tO' -p51370 -aS'erythema\terythema\tNN\tI-NP\tO' -p51371 -aS'or\tor\tCC\tI-NP\tO' -p51372 -aS'swelling\tswelling\tNN\tI-NP\tO' -p51373 -aS'noted\tnote\tVBD\tB-VP\tO' -p51374 -aS'.\t.\t.\tO\tO' -p51375 -asS'Findings included thickened pleura with multiple adhesions and an abscess near the margin major fissure .' -p51376 -(lp51377 -S'Findings\tFinding\tNNS\tB-NP\tO' -p51378 -aS'included\tinclude\tVBD\tB-VP\tO' -p51379 -aS'thickened\tthicken\tVBN\tI-VP\tO' -p51380 -aS'pleura\tpleura\tNN\tB-NP\tO' -p51381 -aS'with\twith\tIN\tB-PP\tO' -p51382 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p51383 -aS'adhesions\tadhesion\tNNS\tI-NP\tO' -p51384 -aS'and\tand\tCC\tO\tO' -p51385 -aS'an\tan\tDT\tB-NP\tO' -p51386 -aS'abscess\tabscess\tNN\tI-NP\tO' -p51387 -aS'near\tnear\tIN\tB-PP\tO' -p51388 -aS'the\tthe\tDT\tB-NP\tO' -p51389 -aS'margin\tmargin\tNN\tI-NP\tO' -p51390 -aS'major\tmajor\tJJ\tI-NP\tO' -p51391 -aS'fissure\tfissure\tNN\tI-NP\tO' -p51392 -aS'.\t.\t.\tO\tO' -p51393 -asS'The ears and eyes were normally placed .' -p51394 -(lp51395 -S'The\tThe\tDT\tB-NP\tO' -p51396 -aS'ears\tear\tNNS\tI-NP\tO' -p51397 -aS'and\tand\tCC\tI-NP\tO' -p51398 -aS'eyes\teye\tNNS\tI-NP\tO' -p51399 -aS'were\tbe\tVBD\tB-VP\tO' -p51400 -aS'normally\tnormally\tRB\tI-VP\tO' -p51401 -aS'placed\tplace\tVBN\tI-VP\tO' -p51402 -aS'.\t.\t.\tO\tO' -p51403 -asS'Signed electronically by : DR. George Sherwood on : MON 2012-05-21 11:57 AM' -p51404 -(lp51405 -S'Signed\tSign\tVBN\tB-VP\tO' -p51406 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p51407 -aS'by\tby\tIN\tB-PP\tO' -p51408 -aS':\t:\t:\tO\tO' -p51409 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p51410 -aS'George\tGeorge\tNNP\tI-NP\tO' -p51411 -aS'Sherwood\tSherwood\tNNP\tI-NP\tO' -p51412 -aS'on\ton\tIN\tB-PP\tO' -p51413 -aS':\t:\t:\tO\tO' -p51414 -aS'MON\tMON\tNN\tB-NP\tO' -p51415 -aS'2012-05-21\t2012-05-21\tCD\tI-NP\tO' -p51416 -aS'11:57\t11:57\tCD\tI-NP\tO' -p51417 -aS'AM\tAM\tNN\tI-NP\tO' -p51418 -asS'During the fall she hit her nose and her R knee .' -p51419 -(lp51420 -S'During\tDuring\tIN\tB-PP\tO' -p51421 -aS'the\tthe\tDT\tB-NP\tO' -p51422 -aS'fall\tfall\tNN\tI-NP\tO' -p51423 -aS'she\tshe\tPRP\tB-NP\tO' -p51424 -aS'hit\thit\tVBD\tB-VP\tO' -p51425 -aS'her\ther\tPRP$\tB-NP\tO' -p51426 -aS'nose\tnose\tNN\tI-NP\tO' -p51427 -aS'and\tand\tCC\tO\tO' -p51428 -aS'her\ther\tPRP$\tB-NP\tO' -p51429 -aS'R\tR\tNN\tI-NP\tO' -p51430 -aS'knee\tknee\tNN\tI-NP\tO' -p51431 -aS'.\t.\t.\tO\tO' -p51432 -asS'Currently plans are in the making for arranging for the patient to have home hospice care .' -p51433 -(lp51434 -S'Currently\tCurrently\tRB\tB-ADVP\tO' -p51435 -aS'plans\tplan\tNNS\tB-NP\tO' -p51436 -aS'are\tbe\tVBP\tB-VP\tO' -p51437 -aS'in\tin\tIN\tB-PP\tO' -p51438 -aS'the\tthe\tDT\tB-NP\tO' -p51439 -aS'making\tmaking\tNN\tI-NP\tO' -p51440 -aS'for\tfor\tIN\tB-PP\tO' -p51441 -aS'arranging\tarrange\tVBG\tB-VP\tO' -p51442 -aS'for\tfor\tIN\tB-PP\tO' -p51443 -aS'the\tthe\tDT\tB-NP\tO' -p51444 -aS'patient\tpatient\tNN\tI-NP\tO' -p51445 -aS'to\tto\tTO\tB-VP\tO' -p51446 -aS'have\thave\tVB\tI-VP\tO' -p51447 -aS'home\thome\tNN\tB-NP\tO' -p51448 -aS'hospice\thospice\tNN\tI-NP\tO' -p51449 -aS'care\tcare\tNN\tI-NP\tO' -p51450 -aS'.\t.\t.\tO\tO' -p51451 -asS'He had normal voiding and stooling patterns .' -p51452 -(lp51453 -S'He\tHe\tPRP\tB-NP\tO' -p51454 -aS'had\thave\tVBD\tB-VP\tO' -p51455 -aS'normal\tnormal\tJJ\tB-NP\tO' -p51456 -aS'voiding\tvoiding\tNN\tI-NP\tO' -p51457 -aS'and\tand\tCC\tO\tO' -p51458 -aS'stooling\tstool\tVBG\tB-VP\tO' -p51459 -aS'patterns\tpattern\tNNS\tB-NP\tO' -p51460 -aS'.\t.\t.\tO\tO' -p51461 -asS'Parathyroidectomy on 12-27-96 .' -p51462 -(lp51463 -S'Parathyroidectomy\tParathyroidectomy\tNN\tB-NP\tO' -p51464 -aS'on\ton\tIN\tB-PP\tO' -p51465 -aS'12-27-96\t12-27-96\tCD\tB-NP\tO' -p51466 -aS'.\t.\t.\tO\tO' -p51467 -asS'By the following mornig all mental status changes had cleared and the pt was transferred to the floors for continued care .' -p51468 -(lp51469 -S'By\tBy\tIN\tB-PP\tO' -p51470 -aS'the\tthe\tDT\tB-NP\tO' -p51471 -aS'following\tfollow\tVBG\tI-NP\tO' -p51472 -aS'mornig\tmornig\tNN\tI-NP\tO' -p51473 -aS'all\tall\tDT\tB-NP\tO' -p51474 -aS'mental\tmental\tJJ\tI-NP\tO' -p51475 -aS'status\tstatus\tNN\tI-NP\tO' -p51476 -aS'changes\tchange\tNNS\tI-NP\tO' -p51477 -aS'had\thave\tVBD\tB-VP\tO' -p51478 -aS'cleared\tclear\tVBN\tI-VP\tO' -p51479 -aS'and\tand\tCC\tO\tO' -p51480 -aS'the\tthe\tDT\tB-NP\tO' -p51481 -aS'pt\tpt\tNN\tI-NP\tO' -p51482 -aS'was\tbe\tVBD\tB-VP\tO' -p51483 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p51484 -aS'to\tto\tTO\tB-PP\tO' -p51485 -aS'the\tthe\tDT\tB-NP\tO' -p51486 -aS'floors\tfloor\tNNS\tI-NP\tO' -p51487 -aS'for\tfor\tIN\tB-PP\tO' -p51488 -aS'continued\tcontinued\tJJ\tB-NP\tO' -p51489 -aS'care\tcare\tNN\tI-NP\tO' -p51490 -aS'.\t.\t.\tO\tO' -p51491 -asS'No dysphagia , trouble hearing .' -p51492 -(lp51493 -S'No\tNo\tDT\tB-NP\tO' -p51494 -aS'dysphagia\tdysphagia\tNN\tI-NP\tO' -p51495 -aS',\t,\t,\tO\tO' -p51496 -aS'trouble\ttrouble\tNN\tB-NP\tO' -p51497 -aS'hearing\thearing\tNN\tI-NP\tO' -p51498 -aS'.\t.\t.\tO\tO' -p51499 -asS'There was mild atherosclerosis of the mid left anterior descending .' -p51500 -(lp51501 -S'There\tThere\tEX\tB-NP\tO' -p51502 -aS'was\tbe\tVBD\tB-VP\tO' -p51503 -aS'mild\tmild\tJJ\tB-NP\tO' -p51504 -aS'atherosclerosis\tatherosclerosis\tNN\tI-NP\tO' -p51505 -aS'of\tof\tIN\tB-PP\tO' -p51506 -aS'the\tthe\tDT\tB-NP\tO' -p51507 -aS'mid\tmid\tJJ\tI-NP\tO' -p51508 -aS'left\tleft\tJJ\tI-NP\tO' -p51509 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p51510 -aS'descending\tdescending\tNN\tI-NP\tO' -p51511 -aS'.\t.\t.\tO\tO' -p51512 -asS'She was aggressively anticoagulated with heparin .' -p51513 -(lp51514 -S'She\tShe\tPRP\tB-NP\tO' -p51515 -aS'was\tbe\tVBD\tB-VP\tO' -p51516 -aS'aggressively\taggressively\tRB\tI-VP\tO' -p51517 -aS'anticoagulated\tanticoagulate\tVBN\tI-VP\tO' -p51518 -aS'with\twith\tIN\tB-PP\tO' -p51519 -aS'heparin\theparin\tNN\tB-NP\tO' -p51520 -aS'.\t.\t.\tO\tO' -p51521 -asS'Her MEDICATIONS ON ADMISSION included Coumadin , digoxin , 0.125 , qD , Lasix , 40 , q.i.d. , and Vanceril inhaler .' -p51522 -(lp51523 -S'Her\tHer\tPRP$\tB-NP\tO' -p51524 -aS'MEDICATIONS\tMEDICATIONS\tNNS\tI-NP\tO' -p51525 -aS'ON\tON\tNN\tI-NP\tO' -p51526 -aS'ADMISSION\tADMISSION\tNN\tI-NP\tO' -p51527 -aS'included\tinclude\tVBD\tB-VP\tO' -p51528 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p51529 -aS',\t,\t,\tO\tO' -p51530 -aS'digoxin\tdigoxin\tNN\tB-NP\tO' -p51531 -aS',\t,\t,\tO\tO' -p51532 -aS'0.125\t0.125\tCD\tB-NP\tO' -p51533 -aS',\t,\t,\tO\tO' -p51534 -aS'qD\tqD\tNN\tB-NP\tO' -p51535 -aS',\t,\t,\tO\tO' -p51536 -aS'Lasix\tLasix\tNNP\tB-NP\tO' -p51537 -aS',\t,\t,\tO\tO' -p51538 -aS'40\t40\tCD\tB-NP\tO' -p51539 -aS',\t,\t,\tO\tO' -p51540 -aS'q.i.d.\tq.i.d.\tNN\tB-NP\tO' -p51541 -aS',\t,\t,\tO\tO' -p51542 -aS'and\tand\tCC\tO\tO' -p51543 -aS'Vanceril\tVanceril\tNNP\tB-NP\tO' -p51544 -aS'inhaler\tinhaler\tNN\tI-NP\tO' -p51545 -aS'.\t.\t.\tO\tO' -p51546 -asS'She remained afebrile , she was given ice chips .' -p51547 -(lp51548 -S'She\tShe\tPRP\tB-NP\tO' -p51549 -aS'remained\tremain\tVBD\tB-VP\tO' -p51550 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p51551 -aS',\t,\t,\tO\tO' -p51552 -aS'she\tshe\tPRP\tB-NP\tO' -p51553 -aS'was\tbe\tVBD\tB-VP\tO' -p51554 -aS'given\tgive\tVBN\tI-VP\tO' -p51555 -aS'ice\tice\tNN\tB-NP\tO' -p51556 -aS'chips\tchip\tNNS\tI-NP\tO' -p51557 -aS'.\t.\t.\tO\tO' -p51558 -asS'Attending : Collette C. Higa , M.D.' -p51559 -(lp51560 -S'Attending\tAttend\tVBG\tB-VP\tO' -p51561 -aS':\t:\t:\tO\tO' -p51562 -aS'Collette\tCollette\tNNP\tB-NP\tO' -p51563 -aS'C.\tC.\tNNP\tI-NP\tO' -p51564 -aS'Higa\tHiga\tNNP\tI-NP\tO' -p51565 -aS',\t,\t,\tO\tO' -p51566 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p51567 -asS'Surgical clips are present in the left axilla .' -p51568 -(lp51569 -S'Surgical\tSurgical\tJJ\tB-NP\tO' -p51570 -aS'clips\tclip\tNNS\tI-NP\tO' -p51571 -aS'are\tbe\tVBP\tB-VP\tO' -p51572 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p51573 -aS'in\tin\tIN\tB-PP\tO' -p51574 -aS'the\tthe\tDT\tB-NP\tO' -p51575 -aS'left\tleft\tJJ\tI-NP\tO' -p51576 -aS'axilla\taxilla\tNN\tI-NP\tO' -p51577 -aS'.\t.\t.\tO\tO' -p51578 -asS'Extensive discussions were carried out with Mrs. Less condition was irretrievable .' -p51579 -(lp51580 -S'Extensive\tExtensive\tJJ\tB-NP\tO' -p51581 -aS'discussions\tdiscussion\tNNS\tI-NP\tO' -p51582 -aS'were\tbe\tVBD\tB-VP\tO' -p51583 -aS'carried\tcarry\tVBN\tI-VP\tO' -p51584 -aS'out\tout\tRP\tB-PRT\tO' -p51585 -aS'with\twith\tIN\tB-PP\tO' -p51586 -aS'Mrs.\tMrs.\tNNP\tB-NP\tO' -p51587 -aS'Less\tLess\tNNP\tI-NP\tO' -p51588 -aS'condition\tcondition\tNN\tI-NP\tO' -p51589 -aS'was\tbe\tVBD\tB-VP\tO' -p51590 -aS'irretrievable\tirretrievable\tJJ\tB-ADJP\tO' -p51591 -aS'.\t.\t.\tO\tO' -p51592 -asS'We discontinued his Flagyl on that day .' -p51593 -(lp51594 -S'We\tWe\tPRP\tB-NP\tO' -p51595 -aS'discontinued\tdiscontinue\tVBD\tB-VP\tO' -p51596 -aS'his\this\tPRP$\tB-NP\tO' -p51597 -aS'Flagyl\tFlagyl\tNN\tI-NP\tO' -p51598 -aS'on\ton\tIN\tB-PP\tO' -p51599 -aS'that\tthat\tDT\tB-NP\tO' -p51600 -aS'day\tday\tNN\tI-NP\tO' -p51601 -aS'.\t.\t.\tO\tO' -p51602 -asS'Patient follwed with serial CXR that did not demonstrate reaccumulation .' -p51603 -(lp51604 -S'Patient\tPatient\tNN\tB-NP\tO' -p51605 -aS'follwed\tfollwe\tVBD\tB-VP\tO' -p51606 -aS'with\twith\tIN\tB-PP\tO' -p51607 -aS'serial\tserial\tJJ\tB-NP\tO' -p51608 -aS'CXR\tCXR\tNN\tI-NP\tB-protein' -p51609 -aS'that\tthat\tWDT\tB-NP\tO' -p51610 -aS'did\tdo\tVBD\tB-VP\tO' -p51611 -aS'not\tnot\tRB\tI-VP\tO' -p51612 -aS'demonstrate\tdemonstrate\tVB\tI-VP\tO' -p51613 -aS'reaccumulation\treaccumulation\tNN\tB-NP\tO' -p51614 -aS'.\t.\t.\tO\tO' -p51615 -asS'Please continue to take your other medications as prescribed .' -p51616 -(lp51617 -S'Please\tPlease\tNN\tB-NP\tB-protein' -p51618 -aS'continue\tcontinue\tVBP\tB-VP\tO' -p51619 -aS'to\tto\tTO\tI-VP\tO' -p51620 -aS'take\ttake\tVB\tI-VP\tO' -p51621 -aS'your\tyour\tPRP$\tB-NP\tO' -p51622 -aS'other\tother\tJJ\tI-NP\tO' -p51623 -aS'medications\tmedication\tNNS\tI-NP\tO' -p51624 -aS'as\tas\tIN\tB-SBAR\tO' -p51625 -aS'prescribed\tprescribe\tVBN\tB-VP\tO' -p51626 -aS'.\t.\t.\tO\tO' -p51627 -asS'Regular rate and rhythm , no murmur .' -p51628 -(lp51629 -S'Regular\tRegular\tJJ\tB-NP\tO' -p51630 -aS'rate\trate\tNN\tI-NP\tO' -p51631 -aS'and\tand\tCC\tI-NP\tO' -p51632 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p51633 -aS',\t,\t,\tO\tO' -p51634 -aS'no\tno\tDT\tB-NP\tO' -p51635 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p51636 -aS'.\t.\t.\tO\tO' -p51637 -asS'6. Percocet 1 to 2 po q 4 to 6 hours prn' -p51638 -(lp51639 -S'6.\t6.\tCD\tB-NP\tO' -p51640 -aS'Percocet\tPercocet\tNNP\tI-NP\tO' -p51641 -aS'1\t1\tCD\tI-NP\tO' -p51642 -aS'to\tto\tTO\tI-NP\tO' -p51643 -aS'2\t2\tCD\tI-NP\tO' -p51644 -aS'po\tpo\tNN\tI-NP\tO' -p51645 -aS'q\tq\tNN\tI-NP\tO' -p51646 -aS'4\t4\tCD\tB-NP\tO' -p51647 -aS'to\tto\tTO\tI-NP\tO' -p51648 -aS'6\t6\tCD\tI-NP\tO' -p51649 -aS'hours\thour\tNNS\tI-NP\tO' -p51650 -aS'prn\tprn\tVBP\tB-VP\tO' -p51651 -asS'She had paroxysms of cough and shortness of breath which resolves with water and sitting up .' -p51652 -(lp51653 -S'She\tShe\tPRP\tB-NP\tO' -p51654 -aS'had\thave\tVBD\tB-VP\tO' -p51655 -aS'paroxysms\tparoxysm\tNNS\tB-NP\tO' -p51656 -aS'of\tof\tIN\tB-PP\tO' -p51657 -aS'cough\tcough\tNN\tB-NP\tO' -p51658 -aS'and\tand\tCC\tI-NP\tO' -p51659 -aS'shortness\tshortness\tNN\tI-NP\tO' -p51660 -aS'of\tof\tIN\tB-PP\tO' -p51661 -aS'breath\tbreath\tNN\tB-NP\tO' -p51662 -aS'which\twhich\tWDT\tB-NP\tO' -p51663 -aS'resolves\tresolve\tVBZ\tB-VP\tO' -p51664 -aS'with\twith\tIN\tB-PP\tO' -p51665 -aS'water\twater\tNN\tB-NP\tO' -p51666 -aS'and\tand\tCC\tO\tO' -p51667 -aS'sitting\tsit\tVBG\tB-VP\tO' -p51668 -aS'up\tup\tRP\tB-PRT\tO' -p51669 -aS'.\t.\t.\tO\tO' -p51670 -asS'Patrick reports a mild cough for 2 days PTA , non-productive .' -p51671 -(lp51672 -S'Patrick\tPatrick\tNN\tB-NP\tO' -p51673 -aS'reports\treport\tVBZ\tB-VP\tO' -p51674 -aS'a\ta\tDT\tB-NP\tO' -p51675 -aS'mild\tmild\tJJ\tI-NP\tO' -p51676 -aS'cough\tcough\tNN\tI-NP\tO' -p51677 -aS'for\tfor\tIN\tB-PP\tO' -p51678 -aS'2\t2\tCD\tB-NP\tO' -p51679 -aS'days\tday\tNNS\tI-NP\tO' -p51680 -aS'PTA\tPTA\tNN\tI-NP\tB-protein' -p51681 -aS',\t,\t,\tO\tO' -p51682 -aS'non-productive\tnon-productive\tJJ\tB-ADJP\tO' -p51683 -aS'.\t.\t.\tO\tO' -p51684 -asS'Her family felt that at the present time , because her condition was no good , they would like to just take her home so that she could enjoy the quality of life .' -p51685 -(lp51686 -S'Her\tHer\tPRP$\tB-NP\tB-protein' -p51687 -aS'family\tfamily\tNN\tI-NP\tI-protein' -p51688 -aS'felt\tfeel\tVBD\tB-VP\tO' -p51689 -aS'that\tthat\tIN\tB-SBAR\tO' -p51690 -aS'at\tat\tIN\tB-PP\tO' -p51691 -aS'the\tthe\tDT\tB-NP\tO' -p51692 -aS'present\tpresent\tJJ\tI-NP\tO' -p51693 -aS'time\ttime\tNN\tI-NP\tO' -p51694 -aS',\t,\t,\tO\tO' -p51695 -aS'because\tbecause\tIN\tB-SBAR\tO' -p51696 -aS'her\ther\tPRP$\tB-NP\tO' -p51697 -aS'condition\tcondition\tNN\tI-NP\tO' -p51698 -aS'was\tbe\tVBD\tB-VP\tO' -p51699 -aS'no\tno\tDT\tB-NP\tO' -p51700 -aS'good\tgood\tJJ\tI-NP\tO' -p51701 -aS',\t,\t,\tO\tO' -p51702 -aS'they\tthey\tPRP\tB-NP\tO' -p51703 -aS'would\twould\tMD\tB-VP\tO' -p51704 -aS'like\tlike\tVB\tI-VP\tO' -p51705 -aS'to\tto\tTO\tI-VP\tO' -p51706 -aS'just\tjust\tRB\tI-VP\tO' -p51707 -aS'take\ttake\tVB\tI-VP\tO' -p51708 -aS'her\ther\tPRP$\tB-NP\tO' -p51709 -aS'home\thome\tNN\tI-NP\tO' -p51710 -aS'so\tso\tIN\tB-SBAR\tO' -p51711 -aS'that\tthat\tIN\tI-SBAR\tO' -p51712 -aS'she\tshe\tPRP\tB-NP\tO' -p51713 -aS'could\tcould\tMD\tB-VP\tO' -p51714 -aS'enjoy\tenjoy\tVB\tI-VP\tO' -p51715 -aS'the\tthe\tDT\tB-NP\tO' -p51716 -aS'quality\tquality\tNN\tI-NP\tO' -p51717 -aS'of\tof\tIN\tB-PP\tO' -p51718 -aS'life\tlife\tNN\tB-NP\tO' -p51719 -aS'.\t.\t.\tO\tO' -p51720 -asS'LDH was 38.9 , CK was 66 , her hematocrit was 27.4 , white count was 8.0 and her platelets were 55 .' -p51721 -(lp51722 -S'LDH\tLDH\tNN\tB-NP\tB-protein' -p51723 -aS'was\tbe\tVBD\tB-VP\tO' -p51724 -aS'38.9\t38.9\tCD\tB-NP\tO' -p51725 -aS',\t,\t,\tO\tO' -p51726 -aS'CK\tCK\tNN\tB-NP\tB-protein' -p51727 -aS'was\tbe\tVBD\tB-VP\tO' -p51728 -aS'66\t66\tCD\tB-ADVP\tO' -p51729 -aS',\t,\t,\tO\tO' -p51730 -aS'her\ther\tPRP$\tB-NP\tO' -p51731 -aS'hematocrit\thematocrit\tNN\tI-NP\tB-protein' -p51732 -aS'was\tbe\tVBD\tB-VP\tI-protein' -p51733 -aS'27.4\t27.4\tCD\tB-NP\tI-protein' -p51734 -aS',\t,\t,\tO\tO' -p51735 -aS'white\twhite\tJJ\tB-NP\tO' -p51736 -aS'count\tcount\tNN\tI-NP\tO' -p51737 -aS'was\tbe\tVBD\tB-VP\tO' -p51738 -aS'8.0\t8.0\tCD\tB-NP\tO' -p51739 -aS'and\tand\tCC\tO\tO' -p51740 -aS'her\ther\tPRP$\tB-NP\tO' -p51741 -aS'platelets\tplatelet\tNNS\tI-NP\tB-cell_type' -p51742 -aS'were\tbe\tVBD\tB-VP\tO' -p51743 -aS'55\t55\tCD\tB-NP\tO' -p51744 -aS'.\t.\t.\tO\tO' -p51745 -asS'Platelet count was 759,000 .' -p51746 -(lp51747 -S'Platelet\tPlatelet\tNN\tB-NP\tO' -p51748 -aS'count\tcount\tNN\tI-NP\tO' -p51749 -aS'was\tbe\tVBD\tB-VP\tO' -p51750 -aS'759,000\t759,000\tCD\tB-NP\tO' -p51751 -aS'.\t.\t.\tO\tO' -p51752 -asS'Insight , abstract thinking and ______________ test were all intact .' -p51753 -(lp51754 -S'Insight\tInsight\tNN\tB-NP\tO' -p51755 -aS',\t,\t,\tO\tO' -p51756 -aS'abstract\tabstract\tJJ\tB-NP\tO' -p51757 -aS'thinking\tthinking\tNN\tI-NP\tO' -p51758 -aS'and\tand\tCC\tI-NP\tO' -p51759 -aS'______________\t______________\tNN\tI-NP\tO' -p51760 -aS'test\ttest\tNN\tI-NP\tO' -p51761 -aS'were\tbe\tVBD\tB-VP\tO' -p51762 -aS'all\tall\tDT\tO\tO' -p51763 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p51764 -aS'.\t.\t.\tO\tO' -p51765 -asS'4. Liver laceration .' -p51766 -(lp51767 -S'4.\t4.\tLS\tB-NP\tO' -p51768 -aS'Liver\tLiver\tNN\tI-NP\tO' -p51769 -aS'laceration\tlaceration\tNN\tI-NP\tO' -p51770 -aS'.\t.\t.\tO\tO' -p51771 -asS'If you need additional information please call 598-754-5083 .' -p51772 -(lp51773 -S'If\tIf\tIN\tB-SBAR\tO' -p51774 -aS'you\tyou\tPRP\tB-NP\tO' -p51775 -aS'need\tneed\tVBP\tB-VP\tO' -p51776 -aS'additional\tadditional\tJJ\tB-NP\tO' -p51777 -aS'information\tinformation\tNN\tI-NP\tO' -p51778 -aS'please\tplease\tNN\tI-NP\tO' -p51779 -aS'call\tcall\tNN\tI-NP\tO' -p51780 -aS'598-754-5083\t598-754-5083\tCD\tI-NP\tO' -p51781 -aS'.\t.\t.\tO\tO' -p51782 -asS'He was feeling well and afebrile .' -p51783 -(lp51784 -S'He\tHe\tPRP\tB-NP\tO' -p51785 -aS'was\tbe\tVBD\tB-VP\tO' -p51786 -aS'feeling\tfeel\tVBG\tI-VP\tO' -p51787 -aS'well\twell\tRB\tB-ADVP\tO' -p51788 -aS'and\tand\tCC\tI-ADVP\tO' -p51789 -aS'afebrile\tafebrile\tRB\tI-ADVP\tO' -p51790 -aS'.\t.\t.\tO\tO' -p51791 -asS'Improved .' -p51792 -(lp51793 -S'Improved\tImprove\tVBN\tB-VP\tO' -p51794 -aS'.\t.\t.\tO\tO' -p51795 -asS'Urine sodium is 75 , urine creatinine 143 , urine osmose 392 .' -p51796 -(lp51797 -S'Urine\tUrine\tNN\tB-NP\tO' -p51798 -aS'sodium\tsodium\tNN\tI-NP\tO' -p51799 -aS'is\tbe\tVBZ\tB-VP\tO' -p51800 -aS'75\t75\tCD\tB-NP\tO' -p51801 -aS',\t,\t,\tO\tO' -p51802 -aS'urine\turine\tNN\tB-NP\tO' -p51803 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p51804 -aS'143\t143\tCD\tI-NP\tO' -p51805 -aS',\t,\t,\tO\tO' -p51806 -aS'urine\turine\tNN\tB-NP\tO' -p51807 -aS'osmose\tosmose\tNN\tI-NP\tO' -p51808 -aS'392\t392\tCD\tI-NP\tO' -p51809 -aS'.\t.\t.\tO\tO' -p51810 -asS'Radical retropubic prostatectomy , bilateral lymph node dissection .' -p51811 -(lp51812 -S'Radical\tRadical\tJJ\tB-NP\tO' -p51813 -aS'retropubic\tretropubic\tJJ\tI-NP\tO' -p51814 -aS'prostatectomy\tprostatectomy\tNN\tI-NP\tO' -p51815 -aS',\t,\t,\tO\tO' -p51816 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p51817 -aS'lymph\tlymph\tNN\tI-NP\tO' -p51818 -aS'node\tnode\tNN\tI-NP\tO' -p51819 -aS'dissection\tdissection\tNN\tI-NP\tO' -p51820 -aS'.\t.\t.\tO\tO' -p51821 -asS'Bowel sounds positive , soft , non-tender , non-distended .' -p51822 -(lp51823 -S'Bowel\tBowel\tNNP\tB-NP\tO' -p51824 -aS'sounds\tsound\tVBZ\tB-VP\tO' -p51825 -aS'positive\tpositive\tJJ\tB-NP\tO' -p51826 -aS',\t,\t,\tI-NP\tO' -p51827 -aS'soft\tsoft\tJJ\tI-NP\tO' -p51828 -aS',\t,\t,\tI-NP\tO' -p51829 -aS'non-tender\tnon-tender\tJJ\tI-NP\tO' -p51830 -aS',\t,\t,\tI-NP\tO' -p51831 -aS'non-distended\tnon-distended\tJJ\tI-NP\tO' -p51832 -aS'.\t.\t.\tO\tO' -p51833 -asS'Dr. Rencobe and Dr. Saddbeem .' -p51834 -(lp51835 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p51836 -aS'Rencobe\tRencobe\tNNP\tI-NP\tO' -p51837 -aS'and\tand\tCC\tO\tO' -p51838 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p51839 -aS'Saddbeem\tSaddbeem\tNNP\tI-NP\tO' -p51840 -aS'.\t.\t.\tO\tO' -p51841 -asS'- The patient had a colonoscopy on Monday 11-05 but unfortunately , was unable to complete the study as his bowel' -p51842 -(lp51843 -S'-\t-\tHYPH\tO\tO' -p51844 -aS'The\tThe\tDT\tB-NP\tO' -p51845 -aS'patient\tpatient\tNN\tI-NP\tO' -p51846 -aS'had\thave\tVBD\tB-VP\tO' -p51847 -aS'a\ta\tDT\tB-NP\tO' -p51848 -aS'colonoscopy\tcolonoscopy\tNN\tI-NP\tO' -p51849 -aS'on\ton\tIN\tB-PP\tO' -p51850 -aS'Monday\tMonday\tNNP\tB-NP\tO' -p51851 -aS'11-05\t11-05\tCD\tI-NP\tO' -p51852 -aS'but\tbut\tCC\tO\tO' -p51853 -aS'unfortunately\tunfortunately\tRB\tB-ADVP\tO' -p51854 -aS',\t,\t,\tO\tO' -p51855 -aS'was\tbe\tVBD\tB-VP\tO' -p51856 -aS'unable\tunable\tJJ\tB-ADJP\tO' -p51857 -aS'to\tto\tTO\tB-VP\tO' -p51858 -aS'complete\tcomplete\tVB\tI-VP\tO' -p51859 -aS'the\tthe\tDT\tB-NP\tO' -p51860 -aS'study\tstudy\tNN\tI-NP\tO' -p51861 -aS'as\tas\tIN\tB-PP\tO' -p51862 -aS'his\this\tPRP$\tB-NP\tO' -p51863 -aS'bowel\tbowel\tNN\tI-NP\tO' -p51864 -asS'The patient tolerated the chemotherapy regimen well .' -p51865 -(lp51866 -S'The\tThe\tDT\tB-NP\tO' -p51867 -aS'patient\tpatient\tNN\tI-NP\tO' -p51868 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p51869 -aS'the\tthe\tDT\tB-NP\tO' -p51870 -aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' -p51871 -aS'regimen\tregimen\tNN\tI-NP\tO' -p51872 -aS'well\twell\tRB\tB-ADVP\tO' -p51873 -aS'.\t.\t.\tO\tO' -p51874 -asS'She does have one son who died at the age of 21 years old .' -p51875 -(lp51876 -S'She\tShe\tPRP\tB-NP\tO' -p51877 -aS'does\tdo\tVBZ\tB-VP\tO' -p51878 -aS'have\thave\tVB\tI-VP\tO' -p51879 -aS'one\tone\tCD\tB-NP\tO' -p51880 -aS'son\tson\tNN\tI-NP\tO' -p51881 -aS'who\twho\tWP\tB-NP\tO' -p51882 -aS'died\tdie\tVBD\tB-VP\tO' -p51883 -aS'at\tat\tIN\tB-PP\tO' -p51884 -aS'the\tthe\tDT\tB-NP\tO' -p51885 -aS'age\tage\tNN\tI-NP\tO' -p51886 -aS'of\tof\tIN\tB-PP\tO' -p51887 -aS'21\t21\tCD\tB-NP\tO' -p51888 -aS'years\tyear\tNNS\tI-NP\tO' -p51889 -aS'old\told\tJJ\tB-ADJP\tO' -p51890 -aS'.\t.\t.\tO\tO' -p51891 -asS'The patient had ANCA , anti-GBM , anti-streptolycin , ANA , UPEP , SPEP , renal ultrasound , hepatitis C cryoglobulin sent out .' -p51892 -(lp51893 -S'The\tThe\tDT\tB-NP\tO' -p51894 -aS'patient\tpatient\tNN\tI-NP\tO' -p51895 -aS'had\thave\tVBD\tB-VP\tO' -p51896 -aS'ANCA\tANCA\tNNP\tB-NP\tO' -p51897 -aS',\t,\t,\tO\tO' -p51898 -aS'anti-GBM\tanti-GBM\tJJ\tB-NP\tO' -p51899 -aS',\t,\t,\tI-NP\tO' -p51900 -aS'anti-streptolycin\tanti-streptolycin\tJJ\tI-NP\tO' -p51901 -aS',\t,\t,\tI-NP\tO' -p51902 -aS'ANA\tANA\tNN\tI-NP\tO' -p51903 -aS',\t,\t,\tI-NP\tO' -p51904 -aS'UPEP\tUPEP\tNN\tI-NP\tB-protein' -p51905 -aS',\t,\t,\tI-NP\tO' -p51906 -aS'SPEP\tSPEP\tNN\tI-NP\tB-protein' -p51907 -aS',\t,\t,\tI-NP\tO' -p51908 -aS'renal\trenal\tJJ\tI-NP\tO' -p51909 -aS'ultrasound\tultrasound\tNN\tI-NP\tO' -p51910 -aS',\t,\t,\tO\tO' -p51911 -aS'hepatitis\thepatitis\tNN\tB-NP\tB-protein' -p51912 -aS'C\tC\tNN\tI-NP\tI-protein' -p51913 -aS'cryoglobulin\tcryoglobulin\tNN\tI-NP\tI-protein' -p51914 -aS'sent\tsend\tVBD\tB-VP\tO' -p51915 -aS'out\tout\tRP\tB-PRT\tO' -p51916 -aS'.\t.\t.\tO\tO' -p51917 -asS'2. Furosemide 20 mg Tablet Sig : One ( 1 ) Tablet PO once a Leukhardt for 2 weeks .' -p51918 -(lp51919 -S'2.\t2.\tLS\tB-NP\tO' -p51920 -aS'Furosemide\tFurosemide\tNN\tI-NP\tO' -p51921 -aS'20\t20\tCD\tI-NP\tO' -p51922 -aS'mg\tmg\tNN\tI-NP\tO' -p51923 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p51924 -aS'Sig\tSig\tNNP\tI-NP\tO' -p51925 -aS':\t:\t:\tO\tO' -p51926 -aS'One\tOne\tCD\tB-NP\tO' -p51927 -aS'(\t(\t(\tO\tO' -p51928 -aS'1\t1\tCD\tB-NP\tO' -p51929 -aS')\t)\t)\tO\tO' -p51930 -aS'Tablet\tTablet\tNN\tB-NP\tB-protein' -p51931 -aS'PO\tPO\tNN\tI-NP\tI-protein' -p51932 -aS'once\tonce\tIN\tB-SBAR\tO' -p51933 -aS'a\ta\tDT\tB-NP\tO' -p51934 -aS'Leukhardt\tLeukhardt\tNNP\tI-NP\tO' -p51935 -aS'for\tfor\tIN\tB-PP\tO' -p51936 -aS'2\t2\tCD\tB-NP\tO' -p51937 -aS'weeks\tweek\tNNS\tI-NP\tO' -p51938 -aS'.\t.\t.\tO\tO' -p51939 -asS'Disks were flat .' -p51940 -(lp51941 -S'Disks\tDisk\tNNS\tB-NP\tO' -p51942 -aS'were\tbe\tVBD\tB-VP\tO' -p51943 -aS'flat\tflat\tJJ\tB-ADJP\tO' -p51944 -aS'.\t.\t.\tO\tO' -p51945 -asS'NON-CONTRAST HEAD CT : There is a small amount of hemorrhage within the occipital horns of both lateral ventricles , right greater than left .' -p51946 -(lp51947 -S'NON-CONTRAST\tNON-CONTRAST\tNN\tB-NP\tO' -p51948 -aS'HEAD\tHEAD\tNN\tI-NP\tO' -p51949 -aS'CT\tCT\tNN\tI-NP\tO' -p51950 -aS':\t:\t:\tO\tO' -p51951 -aS'There\tThere\tEX\tB-NP\tO' -p51952 -aS'is\tbe\tVBZ\tB-VP\tO' -p51953 -aS'a\ta\tDT\tB-NP\tO' -p51954 -aS'small\tsmall\tJJ\tI-NP\tO' -p51955 -aS'amount\tamount\tNN\tI-NP\tO' -p51956 -aS'of\tof\tIN\tB-PP\tO' -p51957 -aS'hemorrhage\themorrhage\tNN\tB-NP\tO' -p51958 -aS'within\twithin\tIN\tB-PP\tO' -p51959 -aS'the\tthe\tDT\tB-NP\tO' -p51960 -aS'occipital\toccipital\tJJ\tI-NP\tO' -p51961 -aS'horns\thorn\tNNS\tI-NP\tO' -p51962 -aS'of\tof\tIN\tB-PP\tO' -p51963 -aS'both\tboth\tCC\tB-NP\tO' -p51964 -aS'lateral\tlateral\tJJ\tI-NP\tO' -p51965 -aS'ventricles\tventricle\tNNS\tI-NP\tO' -p51966 -aS',\t,\t,\tO\tO' -p51967 -aS'right\tright\tRB\tB-ADVP\tO' -p51968 -aS'greater\tgreat\tJJR\tI-ADVP\tO' -p51969 -aS'than\tthan\tIN\tB-PP\tO' -p51970 -aS'left\tleft\tJJ\tB-ADJP\tO' -p51971 -aS'.\t.\t.\tO\tO' -p51972 -asS'If symptoms continue to be overwhelming return to V or call 1-903-263-5797' -p51973 -(lp51974 -S'If\tIf\tIN\tB-SBAR\tO' -p51975 -aS'symptoms\tsymptom\tNNS\tB-NP\tO' -p51976 -aS'continue\tcontinue\tVBP\tB-VP\tO' -p51977 -aS'to\tto\tTO\tI-VP\tO' -p51978 -aS'be\tbe\tVB\tI-VP\tO' -p51979 -aS'overwhelming\toverwhelming\tJJ\tB-NP\tO' -p51980 -aS'return\treturn\tNN\tI-NP\tO' -p51981 -aS'to\tto\tTO\tB-PP\tO' -p51982 -aS'V\tV\tNN\tB-NP\tO' -p51983 -aS'or\tor\tCC\tO\tO' -p51984 -aS'call\tcall\tVB\tB-VP\tO' -p51985 -aS'1-903-263-5797\t1-903-263-5797\tCD\tB-NP\tO' -p51986 -asS'There was no CSF density .' -p51987 -(lp51988 -S'There\tThere\tEX\tB-NP\tO' -p51989 -aS'was\tbe\tVBD\tB-VP\tO' -p51990 -aS'no\tno\tDT\tB-NP\tO' -p51991 -aS'CSF\tCSF\tNN\tI-NP\tB-protein' -p51992 -aS'density\tdensity\tNN\tI-NP\tO' -p51993 -aS'.\t.\t.\tO\tO' -p51994 -asS'A follow-up CT scan was done which did not show any evidence for splenomegaly or hepatomegaly .' -p51995 -(lp51996 -S'A\tA\tDT\tB-NP\tO' -p51997 -aS'follow-up\tfollow-up\tJJ\tI-NP\tO' -p51998 -aS'CT\tCT\tNN\tI-NP\tO' -p51999 -aS'scan\tscan\tNN\tI-NP\tO' -p52000 -aS'was\tbe\tVBD\tB-VP\tO' -p52001 -aS'done\tdo\tVBN\tI-VP\tO' -p52002 -aS'which\twhich\tWDT\tB-NP\tO' -p52003 -aS'did\tdo\tVBD\tB-VP\tO' -p52004 -aS'not\tnot\tRB\tI-VP\tO' -p52005 -aS'show\tshow\tVB\tI-VP\tO' -p52006 -aS'any\tany\tDT\tB-NP\tO' -p52007 -aS'evidence\tevidence\tNN\tI-NP\tO' -p52008 -aS'for\tfor\tIN\tB-PP\tO' -p52009 -aS'splenomegaly\tsplenomegaly\tNN\tB-NP\tO' -p52010 -aS'or\tor\tCC\tI-NP\tO' -p52011 -aS'hepatomegaly\thepatomegaly\tNN\tI-NP\tO' -p52012 -aS'.\t.\t.\tO\tO' -p52013 -asS"Patient was transferred to the Kindred Hospital Melendez the patient 's primary care provider was here ." -p52014 -(lp52015 -S'Patient\tPatient\tNN\tB-NP\tO' -p52016 -aS'was\tbe\tVBD\tB-VP\tO' -p52017 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p52018 -aS'to\tto\tTO\tB-PP\tO' -p52019 -aS'the\tthe\tDT\tB-NP\tO' -p52020 -aS'Kindred\tKindred\tNNP\tI-NP\tO' -p52021 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p52022 -aS'Melendez\tMelendez\tNNP\tI-NP\tO' -p52023 -aS'the\tthe\tDT\tB-NP\tO' -p52024 -aS'patient\tpatient\tNN\tI-NP\tO' -p52025 -aS"'s\t's\tPOS\tB-NP\tO" -p52026 -aS'primary\tprimary\tJJ\tI-NP\tO' -p52027 -aS'care\tcare\tNN\tI-NP\tO' -p52028 -aS'provider\tprovider\tNN\tI-NP\tO' -p52029 -aS'was\tbe\tVBD\tB-VP\tO' -p52030 -aS'here\there\tRB\tB-ADVP\tO' -p52031 -aS'.\t.\t.\tO\tO' -p52032 -asS'10. Glucophage 500 mg p.o. twice a day .' -p52033 -(lp52034 -S'10.\t10.\tCD\tB-NP\tO' -p52035 -aS'Glucophage\tGlucophage\tNN\tI-NP\tO' -p52036 -aS'500\t500\tCD\tB-NP\tO' -p52037 -aS'mg\tmg\tNN\tI-NP\tO' -p52038 -aS'p.o.\tp.o.\tRB\tB-NP\tO' -p52039 -aS'twice\ttwice\tRB\tI-NP\tO' -p52040 -aS'a\ta\tDT\tI-NP\tO' -p52041 -aS'day\tday\tNN\tI-NP\tO' -p52042 -aS'.\t.\t.\tO\tO' -p52043 -asS'He is also on MS Contin 45 mg PO q12 hours ( confirmed with wife ) and MSIR 15 mg every 4 hours as needed .' -p52044 -(lp52045 -S'He\tHe\tPRP\tB-NP\tO' -p52046 -aS'is\tbe\tVBZ\tB-VP\tO' -p52047 -aS'also\talso\tRB\tB-ADVP\tO' -p52048 -aS'on\ton\tIN\tB-PP\tO' -p52049 -aS'MS\tMS\tNN\tB-NP\tO' -p52050 -aS'Contin\tContin\tNN\tI-NP\tO' -p52051 -aS'45\t45\tCD\tI-NP\tO' -p52052 -aS'mg\tmg\tNN\tI-NP\tO' -p52053 -aS'PO\tPO\tNN\tI-NP\tO' -p52054 -aS'q12\tq12\tNN\tI-NP\tO' -p52055 -aS'hours\thour\tNNS\tI-NP\tO' -p52056 -aS'(\t(\t(\tO\tO' -p52057 -aS'confirmed\tconfirm\tVBN\tB-VP\tO' -p52058 -aS'with\twith\tIN\tB-PP\tO' -p52059 -aS'wife\twife\tNN\tB-NP\tO' -p52060 -aS')\t)\t)\tO\tO' -p52061 -aS'and\tand\tCC\tO\tO' -p52062 -aS'MSIR\tMSIR\tNN\tB-NP\tO' -p52063 -aS'15\t15\tCD\tI-NP\tO' -p52064 -aS'mg\tmg\tNN\tI-NP\tO' -p52065 -aS'every\tevery\tDT\tB-NP\tO' -p52066 -aS'4\t4\tCD\tI-NP\tO' -p52067 -aS'hours\thour\tNNS\tI-NP\tO' -p52068 -aS'as\tas\tIN\tB-PP\tO' -p52069 -aS'needed\tneed\tVBN\tB-VP\tO' -p52070 -aS'.\t.\t.\tO\tO' -p52071 -asS'The patient has a history of ischemic bowel status post SMA Percutaneous Transluminal Coronary Angioplasty with recent admission for gram negative rod urosepsis complicated by C. difficile colitis .' -p52072 -(lp52073 -S'The\tThe\tDT\tB-NP\tO' -p52074 -aS'patient\tpatient\tNN\tI-NP\tO' -p52075 -aS'has\thave\tVBZ\tB-VP\tO' -p52076 -aS'a\ta\tDT\tB-NP\tO' -p52077 -aS'history\thistory\tNN\tI-NP\tO' -p52078 -aS'of\tof\tIN\tB-PP\tO' -p52079 -aS'ischemic\tischemic\tJJ\tB-NP\tO' -p52080 -aS'bowel\tbowel\tNN\tI-NP\tO' -p52081 -aS'status\tstatus\tNN\tI-NP\tO' -p52082 -aS'post\tpost\tIN\tB-PP\tO' -p52083 -aS'SMA\tSMA\tNNP\tB-NP\tO' -p52084 -aS'Percutaneous\tPercutaneous\tNNP\tI-NP\tO' -p52085 -aS'Transluminal\tTransluminal\tNNP\tI-NP\tO' -p52086 -aS'Coronary\tCoronary\tNNP\tI-NP\tO' -p52087 -aS'Angioplasty\tAngioplasty\tNNP\tI-NP\tO' -p52088 -aS'with\twith\tIN\tB-PP\tO' -p52089 -aS'recent\trecent\tJJ\tB-NP\tO' -p52090 -aS'admission\tadmission\tNN\tI-NP\tO' -p52091 -aS'for\tfor\tIN\tB-PP\tO' -p52092 -aS'gram\tgram\tNN\tB-NP\tO' -p52093 -aS'negative\tnegative\tJJ\tI-NP\tO' -p52094 -aS'rod\trod\tNN\tI-NP\tO' -p52095 -aS'urosepsis\turosepsis\tNN\tI-NP\tO' -p52096 -aS'complicated\tcomplicate\tVBN\tB-VP\tO' -p52097 -aS'by\tby\tIN\tB-PP\tO' -p52098 -aS'C.\tC.\tFW\tB-NP\tO' -p52099 -aS'difficile\tdifficile\tJJ\tI-NP\tO' -p52100 -aS'colitis\tcolitis\tNN\tI-NP\tO' -p52101 -aS'.\t.\t.\tO\tO' -p52102 -asS'2. Exaggerated physiologic hyperbilirubinemia responsive to phototherapy .' -p52103 -(lp52104 -S'2.\t2.\tLS\tB-LST\tO' -p52105 -aS'Exaggerated\tExaggerate\tVBD\tB-VP\tO' -p52106 -aS'physiologic\tphysiologic\tJJ\tB-NP\tO' -p52107 -aS'hyperbilirubinemia\thyperbilirubinemia\tNN\tI-NP\tO' -p52108 -aS'responsive\tresponsive\tJJ\tB-ADJP\tO' -p52109 -aS'to\tto\tTO\tB-PP\tO' -p52110 -aS'phototherapy\tphototherapy\tNN\tB-NP\tO' -p52111 -aS'.\t.\t.\tO\tO' -p52112 -asS'Rectal tone was normal , guaiac negative stool .' -p52113 -(lp52114 -S'Rectal\tRectal\tJJ\tB-NP\tO' -p52115 -aS'tone\ttone\tNN\tI-NP\tO' -p52116 -aS'was\tbe\tVBD\tB-VP\tO' -p52117 -aS'normal\tnormal\tJJ\tB-NP\tO' -p52118 -aS',\t,\t,\tI-NP\tO' -p52119 -aS'guaiac\tguaiac\tJJ\tI-NP\tO' -p52120 -aS'negative\tnegative\tJJ\tI-NP\tO' -p52121 -aS'stool\tstool\tNN\tI-NP\tO' -p52122 -aS'.\t.\t.\tO\tO' -p52123 -asS'The patient was transferred to the West Campus on postoperative day #2 in stable condition .' -p52124 -(lp52125 -S'The\tThe\tDT\tB-NP\tO' -p52126 -aS'patient\tpatient\tNN\tI-NP\tO' -p52127 -aS'was\tbe\tVBD\tB-VP\tO' -p52128 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p52129 -aS'to\tto\tTO\tB-PP\tO' -p52130 -aS'the\tthe\tDT\tB-NP\tO' -p52131 -aS'West\tWest\tNNP\tI-NP\tO' -p52132 -aS'Campus\tCampus\tNNP\tI-NP\tO' -p52133 -aS'on\ton\tIN\tB-PP\tO' -p52134 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p52135 -aS'day\tday\tNN\tI-NP\tO' -p52136 -aS'#2\t#2\tNN\tI-NP\tO' -p52137 -aS'in\tin\tIN\tB-PP\tO' -p52138 -aS'stable\tstable\tJJ\tB-NP\tO' -p52139 -aS'condition\tcondition\tNN\tI-NP\tO' -p52140 -aS'.\t.\t.\tO\tO' -p52141 -asS'The remainder of his hospitalization was uncomplicated .' -p52142 -(lp52143 -S'The\tThe\tDT\tB-NP\tO' -p52144 -aS'remainder\tremainder\tNN\tI-NP\tO' -p52145 -aS'of\tof\tIN\tB-PP\tO' -p52146 -aS'his\this\tPRP$\tB-NP\tO' -p52147 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p52148 -aS'was\tbe\tVBD\tB-VP\tO' -p52149 -aS'uncomplicated\tuncomplicated\tJJ\tB-ADJP\tO' -p52150 -aS'.\t.\t.\tO\tO' -p52151 -asS'Echocardiogram times two .' -p52152 -(lp52153 -S'Echocardiogram\tEchocardiogram\tNN\tB-NP\tO' -p52154 -aS'times\ttime\tNNS\tI-NP\tO' -p52155 -aS'two\ttwo\tCD\tB-NP\tO' -p52156 -aS'.\t.\t.\tO\tO' -p52157 -asS'Her platelet count stayed persistently low and we decided that it might be due to Cimetidine .' -p52158 -(lp52159 -S'Her\tHer\tPRP$\tB-NP\tO' -p52160 -aS'platelet\tplatelet\tNN\tI-NP\tO' -p52161 -aS'count\tcount\tNN\tI-NP\tO' -p52162 -aS'stayed\tstay\tVBD\tB-VP\tO' -p52163 -aS'persistently\tpersistently\tRB\tB-ADJP\tO' -p52164 -aS'low\tlow\tJJ\tI-ADJP\tO' -p52165 -aS'and\tand\tCC\tO\tO' -p52166 -aS'we\twe\tPRP\tB-NP\tO' -p52167 -aS'decided\tdecide\tVBD\tB-VP\tO' -p52168 -aS'that\tthat\tIN\tB-SBAR\tO' -p52169 -aS'it\tit\tPRP\tB-NP\tO' -p52170 -aS'might\tmight\tMD\tB-VP\tO' -p52171 -aS'be\tbe\tVB\tI-VP\tO' -p52172 -aS'due\tdue\tJJ\tB-ADJP\tO' -p52173 -aS'to\tto\tTO\tB-PP\tO' -p52174 -aS'Cimetidine\tCimetidine\tNN\tB-NP\tO' -p52175 -aS'.\t.\t.\tO\tO' -p52176 -asS'At this point the patient continued to followed by Infectious Disease Service and continued to be on intravenous antibiotics which included Vancomycin and Levofloxacin .' -p52177 -(lp52178 -S'At\tAt\tIN\tB-PP\tO' -p52179 -aS'this\tthis\tDT\tB-NP\tO' -p52180 -aS'point\tpoint\tNN\tI-NP\tO' -p52181 -aS'the\tthe\tDT\tB-NP\tO' -p52182 -aS'patient\tpatient\tNN\tI-NP\tO' -p52183 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p52184 -aS'to\tto\tTO\tI-VP\tO' -p52185 -aS'followed\tfollow\tVBN\tI-VP\tO' -p52186 -aS'by\tby\tIN\tB-PP\tO' -p52187 -aS'Infectious\tInfectious\tNNP\tB-NP\tO' -p52188 -aS'Disease\tDisease\tNNP\tI-NP\tO' -p52189 -aS'Service\tService\tNNP\tI-NP\tO' -p52190 -aS'and\tand\tCC\tO\tO' -p52191 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p52192 -aS'to\tto\tTO\tI-VP\tO' -p52193 -aS'be\tbe\tVB\tI-VP\tO' -p52194 -aS'on\ton\tIN\tB-PP\tO' -p52195 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p52196 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p52197 -aS'which\twhich\tWDT\tB-NP\tO' -p52198 -aS'included\tinclude\tVBD\tB-VP\tO' -p52199 -aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' -p52200 -aS'and\tand\tCC\tI-NP\tO' -p52201 -aS'Levofloxacin\tLevofloxacin\tNN\tI-NP\tO' -p52202 -aS'.\t.\t.\tO\tO' -p52203 -asS'PTT was 55 .' -p52204 -(lp52205 -S'PTT\tPTT\tNN\tB-NP\tO' -p52206 -aS'was\tbe\tVBD\tB-VP\tO' -p52207 -aS'55\t55\tCD\tB-NP\tO' -p52208 -aS'.\t.\t.\tO\tO' -p52209 -asS'7. Asthma .' -p52210 -(lp52211 -S'7.\t7.\tCD\tB-NP\tO' -p52212 -aS'Asthma\tAsthma\tNNP\tI-NP\tO' -p52213 -aS'.\t.\t.\tO\tO' -p52214 -asS'On postoperative day three , he transferred to the SDU .' -p52215 -(lp52216 -S'On\tOn\tIN\tB-PP\tO' -p52217 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p52218 -aS'day\tday\tNN\tI-NP\tO' -p52219 -aS'three\tthree\tCD\tI-NP\tO' -p52220 -aS',\t,\t,\tO\tO' -p52221 -aS'he\the\tPRP\tB-NP\tO' -p52222 -aS'transferred\ttransfer\tVBD\tB-VP\tO' -p52223 -aS'to\tto\tTO\tB-PP\tO' -p52224 -aS'the\tthe\tDT\tB-NP\tO' -p52225 -aS'SDU\tSDU\tNNP\tI-NP\tO' -p52226 -aS'.\t.\t.\tO\tO' -p52227 -asS'His face was symmetric ; tongue was midline .' -p52228 -(lp52229 -S'His\tHis\tPRP$\tB-NP\tO' -p52230 -aS'face\tface\tNN\tI-NP\tO' -p52231 -aS'was\tbe\tVBD\tB-VP\tO' -p52232 -aS'symmetric\tsymmetric\tJJ\tB-ADJP\tO' -p52233 -aS';\t;\t:\tO\tO' -p52234 -aS'tongue\ttongue\tNN\tB-NP\tO' -p52235 -aS'was\tbe\tVBD\tB-VP\tO' -p52236 -aS'midline\tmidline\tNN\tB-NP\tO' -p52237 -aS'.\t.\t.\tO\tO' -p52238 -asS'The patient did not qualify for routine ophthalmology exams due to his gestational age at birth .' -p52239 -(lp52240 -S'The\tThe\tDT\tB-NP\tO' -p52241 -aS'patient\tpatient\tNN\tI-NP\tO' -p52242 -aS'did\tdo\tVBD\tB-VP\tO' -p52243 -aS'not\tnot\tRB\tI-VP\tO' -p52244 -aS'qualify\tqualify\tVB\tI-VP\tO' -p52245 -aS'for\tfor\tIN\tB-PP\tO' -p52246 -aS'routine\troutine\tJJ\tB-NP\tO' -p52247 -aS'ophthalmology\tophthalmology\tNN\tI-NP\tO' -p52248 -aS'exams\texam\tNNS\tI-NP\tO' -p52249 -aS'due\tdue\tJJ\tB-ADJP\tO' -p52250 -aS'to\tto\tTO\tB-PP\tO' -p52251 -aS'his\this\tPRP$\tB-NP\tO' -p52252 -aS'gestational\tgestational\tJJ\tI-NP\tO' -p52253 -aS'age\tage\tNN\tI-NP\tO' -p52254 -aS'at\tat\tIN\tB-PP\tO' -p52255 -aS'birth\tbirth\tNN\tB-NP\tO' -p52256 -aS'.\t.\t.\tO\tO' -p52257 -asS'An epidural mass was present at T10 which was extending from the lamina or spinous process anteriorly and almost compressing the spinal cord .' -p52258 -(lp52259 -S'An\tAn\tDT\tB-NP\tO' -p52260 -aS'epidural\tepidural\tJJ\tI-NP\tO' -p52261 -aS'mass\tmass\tNN\tI-NP\tO' -p52262 -aS'was\tbe\tVBD\tB-VP\tO' -p52263 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p52264 -aS'at\tat\tIN\tB-PP\tO' -p52265 -aS'T10\tT10\tNN\tB-NP\tB-protein' -p52266 -aS'which\twhich\tWDT\tB-NP\tO' -p52267 -aS'was\tbe\tVBD\tB-VP\tO' -p52268 -aS'extending\textend\tVBG\tI-VP\tO' -p52269 -aS'from\tfrom\tIN\tB-PP\tO' -p52270 -aS'the\tthe\tDT\tB-NP\tO' -p52271 -aS'lamina\tlamina\tNN\tI-NP\tO' -p52272 -aS'or\tor\tCC\tO\tO' -p52273 -aS'spinous\tspinous\tJJ\tB-NP\tO' -p52274 -aS'process\tprocess\tNN\tI-NP\tO' -p52275 -aS'anteriorly\tanteriorly\tRB\tB-ADVP\tO' -p52276 -aS'and\tand\tCC\tI-ADVP\tO' -p52277 -aS'almost\talmost\tRB\tB-VP\tO' -p52278 -aS'compressing\tcompress\tVBG\tI-VP\tO' -p52279 -aS'the\tthe\tDT\tB-NP\tO' -p52280 -aS'spinal\tspinal\tJJ\tI-NP\tO' -p52281 -aS'cord\tcord\tNN\tI-NP\tO' -p52282 -aS'.\t.\t.\tO\tO' -p52283 -asS'The patient was seen by the wound care nurse and the decubitus ulcer was felt to be mild , but was causing the patient a lot of discomfort and the wound care nurse Ivy Rose lidocaine jelly .' -p52284 -(lp52285 -S'The\tThe\tDT\tB-NP\tO' -p52286 -aS'patient\tpatient\tNN\tI-NP\tO' -p52287 -aS'was\tbe\tVBD\tB-VP\tO' -p52288 -aS'seen\tsee\tVBN\tI-VP\tO' -p52289 -aS'by\tby\tIN\tB-PP\tO' -p52290 -aS'the\tthe\tDT\tB-NP\tO' -p52291 -aS'wound\twound\tNN\tI-NP\tO' -p52292 -aS'care\tcare\tNN\tI-NP\tO' -p52293 -aS'nurse\tnurse\tNN\tI-NP\tO' -p52294 -aS'and\tand\tCC\tO\tO' -p52295 -aS'the\tthe\tDT\tB-NP\tO' -p52296 -aS'decubitus\tdecubitus\tNN\tI-NP\tO' -p52297 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p52298 -aS'was\tbe\tVBD\tB-VP\tO' -p52299 -aS'felt\tfeel\tVBN\tI-VP\tO' -p52300 -aS'to\tto\tTO\tI-VP\tO' -p52301 -aS'be\tbe\tVB\tI-VP\tO' -p52302 -aS'mild\tmild\tJJ\tB-ADJP\tO' -p52303 -aS',\t,\t,\tO\tO' -p52304 -aS'but\tbut\tCC\tO\tO' -p52305 -aS'was\tbe\tVBD\tB-VP\tO' -p52306 -aS'causing\tcause\tVBG\tI-VP\tO' -p52307 -aS'the\tthe\tDT\tB-NP\tO' -p52308 -aS'patient\tpatient\tNN\tI-NP\tO' -p52309 -aS'a\ta\tDT\tB-NP\tO' -p52310 -aS'lot\tlot\tNN\tI-NP\tO' -p52311 -aS'of\tof\tIN\tB-PP\tO' -p52312 -aS'discomfort\tdiscomfort\tNN\tB-NP\tO' -p52313 -aS'and\tand\tCC\tO\tO' -p52314 -aS'the\tthe\tDT\tB-NP\tO' -p52315 -aS'wound\twound\tNN\tI-NP\tO' -p52316 -aS'care\tcare\tNN\tI-NP\tO' -p52317 -aS'nurse\tnurse\tNN\tI-NP\tO' -p52318 -aS'Ivy\tIvy\tNNP\tI-NP\tO' -p52319 -aS'Rose\tRose\tNNP\tI-NP\tO' -p52320 -aS'lidocaine\tlidocaine\tNN\tI-NP\tO' -p52321 -aS'jelly\tjelly\tRB\tB-ADVP\tO' -p52322 -aS'.\t.\t.\tO\tO' -p52323 -asS'Ruled out subarachnoid hemorrhage .' -p52324 -(lp52325 -S'Ruled\tRule\tVBN\tB-VP\tO' -p52326 -aS'out\tout\tRP\tB-PRT\tO' -p52327 -aS'subarachnoid\tsubarachnoid\tJJ\tB-NP\tO' -p52328 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p52329 -aS'.\t.\t.\tO\tO' -p52330 -asS'atrial fibrillation , deep venous thrombosis , pulmonary embolus , right frontal infarct , hypertension , and question progressive supranuclear palsy .' -p52331 -(lp52332 -S'atrial\tatrial\tJJ\tB-NP\tO' -p52333 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p52334 -aS',\t,\t,\tO\tO' -p52335 -aS'deep\tdeep\tJJ\tB-NP\tO' -p52336 -aS'venous\tvenous\tJJ\tI-NP\tO' -p52337 -aS'thrombosis\tthrombosis\tNN\tI-NP\tO' -p52338 -aS',\t,\t,\tO\tO' -p52339 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p52340 -aS'embolus\tembolus\tNN\tI-NP\tO' -p52341 -aS',\t,\t,\tO\tO' -p52342 -aS'right\tright\tJJ\tB-NP\tO' -p52343 -aS'frontal\tfrontal\tJJ\tI-NP\tO' -p52344 -aS'infarct\tinfarct\tNN\tI-NP\tO' -p52345 -aS',\t,\t,\tO\tO' -p52346 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p52347 -aS',\t,\t,\tO\tO' -p52348 -aS'and\tand\tCC\tO\tO' -p52349 -aS'question\tquestion\tNN\tB-NP\tO' -p52350 -aS'progressive\tprogressive\tJJ\tI-NP\tO' -p52351 -aS'supranuclear\tsupranuclear\tJJ\tI-NP\tO' -p52352 -aS'palsy\tpalsy\tNN\tI-NP\tO' -p52353 -aS'.\t.\t.\tO\tO' -p52354 -asS'2. Ventricular ectopy .' -p52355 -(lp52356 -S'2.\t2.\tLS\tB-NP\tO' -p52357 -aS'Ventricular\tVentricular\tJJ\tI-NP\tO' -p52358 -aS'ectopy\tectopy\tNN\tI-NP\tO' -p52359 -aS'.\t.\t.\tO\tO' -p52360 -asS'4. Hiatal hernia .' -p52361 -(lp52362 -S'4.\t4.\tLS\tB-NP\tO' -p52363 -aS'Hiatal\tHiatal\tJJ\tI-NP\tO' -p52364 -aS'hernia\thernia\tNN\tI-NP\tO' -p52365 -aS'.\t.\t.\tO\tO' -p52366 -asS'To home .' -p52367 -(lp52368 -S'To\tTo\tTO\tB-PP\tO' -p52369 -aS'home\thome\tNN\tB-NP\tO' -p52370 -aS'.\t.\t.\tO\tO' -p52371 -asS'The cardiac exam showed point of maximal impulse was not displaced , regular rate and rhythm with normal S1 , S2 , no S3 or S4 , a grade II / VI systolic murmur was heard at the left upper sternal border without radiation , likely representing a flow murmur .' -p52372 -(lp52373 -S'The\tThe\tDT\tB-NP\tO' -p52374 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p52375 -aS'exam\texam\tNN\tI-NP\tO' -p52376 -aS'showed\tshow\tVBD\tB-VP\tO' -p52377 -aS'point\tpoint\tNN\tB-NP\tO' -p52378 -aS'of\tof\tIN\tB-PP\tO' -p52379 -aS'maximal\tmaximal\tJJ\tB-NP\tO' -p52380 -aS'impulse\timpulse\tNN\tI-NP\tO' -p52381 -aS'was\tbe\tVBD\tB-VP\tO' -p52382 -aS'not\tnot\tRB\tI-VP\tO' -p52383 -aS'displaced\tdisplace\tVBN\tI-VP\tO' -p52384 -aS',\t,\t,\tO\tO' -p52385 -aS'regular\tregular\tJJ\tB-NP\tO' -p52386 -aS'rate\trate\tNN\tI-NP\tO' -p52387 -aS'and\tand\tCC\tO\tO' -p52388 -aS'rhythm\trhythm\tNN\tB-NP\tO' -p52389 -aS'with\twith\tIN\tB-PP\tO' -p52390 -aS'normal\tnormal\tJJ\tB-NP\tO' -p52391 -aS'S1\tS1\tNN\tI-NP\tO' -p52392 -aS',\t,\t,\tO\tO' -p52393 -aS'S2\tS2\tNN\tB-NP\tB-protein' -p52394 -aS',\t,\t,\tO\tO' -p52395 -aS'no\tno\tDT\tB-NP\tO' -p52396 -aS'S3\tS3\tNN\tI-NP\tB-protein' -p52397 -aS'or\tor\tCC\tI-NP\tO' -p52398 -aS'S4\tS4\tNN\tI-NP\tB-protein' -p52399 -aS',\t,\t,\tO\tO' -p52400 -aS'a\ta\tDT\tB-NP\tO' -p52401 -aS'grade\tgrade\tNN\tI-NP\tB-protein' -p52402 -aS'II\tII\tCD\tI-NP\tI-protein' -p52403 -aS'/\t/\tSYM\tI-NP\tO' -p52404 -aS'VI\tVI\tCD\tI-NP\tO' -p52405 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p52406 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p52407 -aS'was\tbe\tVBD\tB-VP\tO' -p52408 -aS'heard\thear\tVBN\tI-VP\tO' -p52409 -aS'at\tat\tIN\tB-PP\tO' -p52410 -aS'the\tthe\tDT\tB-NP\tO' -p52411 -aS'left\tleft\tJJ\tI-NP\tO' -p52412 -aS'upper\tupper\tJJ\tI-NP\tO' -p52413 -aS'sternal\tsternal\tJJ\tI-NP\tO' -p52414 -aS'border\tborder\tNN\tI-NP\tO' -p52415 -aS'without\twithout\tIN\tB-PP\tO' -p52416 -aS'radiation\tradiation\tNN\tB-NP\tO' -p52417 -aS',\t,\t,\tO\tO' -p52418 -aS'likely\tlikely\tRB\tB-VP\tO' -p52419 -aS'representing\trepresent\tVBG\tI-VP\tO' -p52420 -aS'a\ta\tDT\tB-NP\tO' -p52421 -aS'flow\tflow\tNN\tI-NP\tO' -p52422 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p52423 -aS'.\t.\t.\tO\tO' -p52424 -asS'She denies any tobacco or alcohol history .' -p52425 -(lp52426 -S'She\tShe\tPRP\tB-NP\tO' -p52427 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p52428 -aS'any\tany\tDT\tB-NP\tO' -p52429 -aS'tobacco\ttobacco\tNN\tI-NP\tO' -p52430 -aS'or\tor\tCC\tI-NP\tO' -p52431 -aS'alcohol\talcohol\tNN\tI-NP\tO' -p52432 -aS'history\thistory\tNN\tI-NP\tO' -p52433 -aS'.\t.\t.\tO\tO' -p52434 -asS'3. Magnesium Hydroxide 400 mg / 5 mL Suspension Sig : Thirty ( 30 ) ML PO Q6H ( every 6 hours ) as needed .' -p52435 -(lp52436 -S'3.\t3.\tLS\tB-NP\tO' -p52437 -aS'Magnesium\tMagnesium\tNN\tI-NP\tO' -p52438 -aS'Hydroxide\tHydroxide\tNN\tI-NP\tO' -p52439 -aS'400\t400\tCD\tI-NP\tO' -p52440 -aS'mg\tmg\tNN\tI-NP\tO' -p52441 -aS'/\t/\tSYM\tB-NP\tO' -p52442 -aS'5\t5\tCD\tB-NP\tO' -p52443 -aS'mL\tmL\tNN\tI-NP\tO' -p52444 -aS'Suspension\tSuspension\tNNP\tI-NP\tO' -p52445 -aS'Sig\tSig\tNNP\tI-NP\tO' -p52446 -aS':\t:\t:\tO\tO' -p52447 -aS'Thirty\tThirty\tCD\tB-NP\tO' -p52448 -aS'(\t(\t(\tO\tO' -p52449 -aS'30\t30\tCD\tO\tO' -p52450 -aS')\t)\t)\tO\tO' -p52451 -aS'ML\tML\tNN\tB-NP\tO' -p52452 -aS'PO\tPO\tNN\tI-NP\tO' -p52453 -aS'Q6H\tQ6H\tNN\tI-NP\tO' -p52454 -aS'(\t(\t(\tO\tO' -p52455 -aS'every\tevery\tDT\tB-NP\tO' -p52456 -aS'6\t6\tCD\tI-NP\tO' -p52457 -aS'hours\thour\tNNS\tI-NP\tO' -p52458 -aS')\t)\t)\tO\tO' -p52459 -aS'as\tas\tIN\tB-SBAR\tO' -p52460 -aS'needed\tneed\tVBN\tB-VP\tO' -p52461 -aS'.\t.\t.\tO\tO' -p52462 -asS'She is drowsy at times , but generally alert , responsive , interactive , able to talk in two to three word sentences when she wants to .' -p52463 -(lp52464 -S'She\tShe\tPRP\tB-NP\tO' -p52465 -aS'is\tbe\tVBZ\tB-VP\tO' -p52466 -aS'drowsy\tdrowsy\tJJ\tB-ADJP\tO' -p52467 -aS'at\tat\tIN\tB-PP\tO' -p52468 -aS'times\ttime\tNNS\tB-NP\tO' -p52469 -aS',\t,\t,\tO\tO' -p52470 -aS'but\tbut\tCC\tO\tO' -p52471 -aS'generally\tgenerally\tRB\tB-NP\tO' -p52472 -aS'alert\talert\tJJ\tI-NP\tO' -p52473 -aS',\t,\t,\tI-NP\tO' -p52474 -aS'responsive\tresponsive\tJJ\tI-NP\tO' -p52475 -aS',\t,\t,\tI-NP\tO' -p52476 -aS'interactive\tinteractive\tJJ\tI-NP\tO' -p52477 -aS',\t,\t,\tI-NP\tO' -p52478 -aS'able\table\tJJ\tI-NP\tO' -p52479 -aS'to\tto\tTO\tB-VP\tO' -p52480 -aS'talk\ttalk\tVB\tI-VP\tO' -p52481 -aS'in\tin\tIN\tB-PP\tO' -p52482 -aS'two\ttwo\tCD\tB-NP\tO' -p52483 -aS'to\tto\tTO\tI-NP\tO' -p52484 -aS'three\tthree\tCD\tI-NP\tO' -p52485 -aS'word\tword\tNN\tI-NP\tO' -p52486 -aS'sentences\tsentence\tNNS\tI-NP\tO' -p52487 -aS'when\twhen\tWRB\tB-ADVP\tO' -p52488 -aS'she\tshe\tPRP\tB-NP\tO' -p52489 -aS'wants\twant\tVBZ\tB-VP\tO' -p52490 -aS'to\tto\tTO\tI-VP\tO' -p52491 -aS'.\t.\t.\tO\tO' -p52492 -asS'She was afebrile with stable vital signs .' -p52493 -(lp52494 -S'She\tShe\tPRP\tB-NP\tO' -p52495 -aS'was\tbe\tVBD\tB-VP\tO' -p52496 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p52497 -aS'with\twith\tIN\tB-PP\tO' -p52498 -aS'stable\tstable\tJJ\tB-NP\tO' -p52499 -aS'vital\tvital\tJJ\tI-NP\tO' -p52500 -aS'signs\tsign\tNNS\tI-NP\tO' -p52501 -aS'.\t.\t.\tO\tO' -p52502 -asS'The patient underwent a percutaneous sphincterotomy extended to a full sphincterectomy .' -p52503 -(lp52504 -S'The\tThe\tDT\tB-NP\tO' -p52505 -aS'patient\tpatient\tNN\tI-NP\tO' -p52506 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p52507 -aS'a\ta\tDT\tB-NP\tO' -p52508 -aS'percutaneous\tpercutaneous\tJJ\tI-NP\tO' -p52509 -aS'sphincterotomy\tsphincterotomy\tNN\tI-NP\tO' -p52510 -aS'extended\textend\tVBN\tB-VP\tO' -p52511 -aS'to\tto\tTO\tB-PP\tO' -p52512 -aS'a\ta\tDT\tB-NP\tO' -p52513 -aS'full\tfull\tJJ\tI-NP\tO' -p52514 -aS'sphincterectomy\tsphincterectomy\tNN\tI-NP\tO' -p52515 -aS'.\t.\t.\tO\tO' -p52516 -asS'Keep the dressing on and dry for 48 hours after the surgery .' -p52517 -(lp52518 -S'Keep\tKeep\tVB\tB-VP\tO' -p52519 -aS'the\tthe\tDT\tB-NP\tO' -p52520 -aS'dressing\tdressing\tNN\tI-NP\tO' -p52521 -aS'on\ton\tIN\tB-PP\tO' -p52522 -aS'and\tand\tCC\tO\tO' -p52523 -aS'dry\tdry\tJJ\tB-ADJP\tO' -p52524 -aS'for\tfor\tIN\tB-PP\tO' -p52525 -aS'48\t48\tCD\tB-NP\tO' -p52526 -aS'hours\thour\tNNS\tI-NP\tO' -p52527 -aS'after\tafter\tIN\tB-PP\tO' -p52528 -aS'the\tthe\tDT\tB-NP\tO' -p52529 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p52530 -aS'.\t.\t.\tO\tO' -p52531 -asS'The patient was A+ .' -p52532 -(lp52533 -S'The\tThe\tDT\tB-NP\tO' -p52534 -aS'patient\tpatient\tNN\tI-NP\tO' -p52535 -aS'was\tbe\tVBD\tB-VP\tO' -p52536 -aS'A+\tA+\tJJ\tB-ADJP\tO' -p52537 -aS'.\t.\t.\tO\tO' -p52538 -asS'Were as they were on admission .' -p52539 -(lp52540 -S'Were\tWere\tJJ\tB-ADJP\tO' -p52541 -aS'as\tas\tIN\tB-SBAR\tO' -p52542 -aS'they\tthey\tPRP\tB-NP\tO' -p52543 -aS'were\tbe\tVBD\tB-VP\tO' -p52544 -aS'on\ton\tIN\tB-PP\tO' -p52545 -aS'admission\tadmission\tNN\tB-NP\tO' -p52546 -aS'.\t.\t.\tO\tO' -p52547 -asS'Right lower quadrant scar and inferior midline scar that are well healed .' -p52548 -(lp52549 -S'Right\tRight\tRB\tB-NP\tO' -p52550 -aS'lower\tlow\tJJR\tI-NP\tO' -p52551 -aS'quadrant\tquadrant\tJJ\tI-NP\tO' -p52552 -aS'scar\tscar\tNN\tI-NP\tO' -p52553 -aS'and\tand\tCC\tO\tO' -p52554 -aS'inferior\tinferior\tJJ\tB-NP\tO' -p52555 -aS'midline\tmidline\tNN\tI-NP\tO' -p52556 -aS'scar\tscar\tNN\tI-NP\tO' -p52557 -aS'that\tthat\tWDT\tB-NP\tO' -p52558 -aS'are\tbe\tVBP\tB-VP\tO' -p52559 -aS'well\twell\tRB\tI-VP\tO' -p52560 -aS'healed\theal\tVBN\tI-VP\tO' -p52561 -aS'.\t.\t.\tO\tO' -p52562 -asS'After a Cardiology consulton 12/13/03 , the patient was started on metoprolol 100 mg p.o. q.i.d. , lisinopril 10 mg q.d. , hydrochlorothiazide 25 mg q.d. .' -p52563 -(lp52564 -S'After\tAfter\tIN\tB-PP\tO' -p52565 -aS'a\ta\tDT\tB-NP\tO' -p52566 -aS'Cardiology\tCardiology\tNN\tI-NP\tB-protein' -p52567 -aS'consulton\tconsulton\tNN\tI-NP\tI-protein' -p52568 -aS'12/13/03\t12/13/03\tCD\tI-NP\tI-protein' -p52569 -aS',\t,\t,\tO\tO' -p52570 -aS'the\tthe\tDT\tB-NP\tO' -p52571 -aS'patient\tpatient\tNN\tI-NP\tO' -p52572 -aS'was\tbe\tVBD\tB-VP\tO' -p52573 -aS'started\tstart\tVBN\tI-VP\tO' -p52574 -aS'on\ton\tIN\tB-PP\tO' -p52575 -aS'metoprolol\tmetoprolol\tNN\tB-NP\tO' -p52576 -aS'100\t100\tCD\tI-NP\tO' -p52577 -aS'mg\tmg\tNN\tI-NP\tO' -p52578 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p52579 -aS'q.i.d.\tq.i.d.\tNN\tI-NP\tO' -p52580 -aS',\t,\t,\tO\tO' -p52581 -aS'lisinopril\tlisinopril\tNN\tB-NP\tO' -p52582 -aS'10\t10\tCD\tI-NP\tO' -p52583 -aS'mg\tmg\tNN\tI-NP\tO' -p52584 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p52585 -aS',\t,\t,\tO\tO' -p52586 -aS'hydrochlorothiazide\thydrochlorothiazide\tNN\tB-NP\tO' -p52587 -aS'25\t25\tCD\tI-NP\tO' -p52588 -aS'mg\tmg\tNN\tI-NP\tO' -p52589 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p52590 -aS'.\t.\t.\tO\tO' -p52591 -asS'She also has new changes on EKG .' -p52592 -(lp52593 -S'She\tShe\tPRP\tB-NP\tO' -p52594 -aS'also\talso\tRB\tB-ADVP\tO' -p52595 -aS'has\thave\tVBZ\tB-VP\tO' -p52596 -aS'new\tnew\tJJ\tB-NP\tO' -p52597 -aS'changes\tchange\tNNS\tI-NP\tO' -p52598 -aS'on\ton\tIN\tB-PP\tO' -p52599 -aS'EKG\tEKG\tNN\tB-NP\tB-protein' -p52600 -aS'.\t.\t.\tO\tO' -p52601 -asS'1. Aspirin 81 mg PO qd ;' -p52602 -(lp52603 -S'1.\t1.\tLS\tB-LST\tO' -p52604 -aS'Aspirin\tAspirin\tNN\tB-NP\tO' -p52605 -aS'81\t81\tCD\tI-NP\tO' -p52606 -aS'mg\tmg\tNN\tI-NP\tO' -p52607 -aS'PO\tPO\tNN\tI-NP\tO' -p52608 -aS'qd\tqd\tNN\tI-NP\tO' -p52609 -aS';\t;\t:\tO\tO' -p52610 -asS'16. Vancomycin in Dextrose 1 g / 200 mL Piggyback Sig : One ( 1 ) Intravenous Q 12H ( Every 12 Hours ): To finish on 2020-05-12 .' -p52611 -(lp52612 -S'16.\t16.\tLS\tB-NP\tO' -p52613 -aS'Vancomycin\tVancomycin\tNN\tI-NP\tO' -p52614 -aS'in\tin\tIN\tB-PP\tO' -p52615 -aS'Dextrose\tDextrose\tNN\tB-NP\tO' -p52616 -aS'1\t1\tCD\tI-NP\tO' -p52617 -aS'g\tg\tNN\tI-NP\tO' -p52618 -aS'/\t/\tSYM\tO\tO' -p52619 -aS'200\t200\tCD\tB-NP\tO' -p52620 -aS'mL\tmL\tNN\tI-NP\tO' -p52621 -aS'Piggyback\tPiggyback\tNNP\tI-NP\tO' -p52622 -aS'Sig\tSig\tNNP\tI-NP\tO' -p52623 -aS':\t:\t:\tO\tO' -p52624 -aS'One\tOne\tCD\tB-NP\tO' -p52625 -aS'(\t(\t(\tO\tO' -p52626 -aS'1\t1\tCD\tB-NP\tO' -p52627 -aS')\t)\t)\tO\tO' -p52628 -aS'Intravenous\tIntravenous\tJJ\tB-NP\tO' -p52629 -aS'Q\tQ\tNN\tI-NP\tO' -p52630 -aS'12H\t12H\tNN\tI-NP\tO' -p52631 -aS'(\t(\t(\tO\tO' -p52632 -aS'Every\tEvery\tDT\tB-NP\tO' -p52633 -aS'12\t12\tCD\tI-NP\tO' -p52634 -aS'Hours\tHour\tNNS\tI-NP\tO' -p52635 -aS'):\t):\t:\tO\tO' -p52636 -aS'To\tTo\tTO\tB-VP\tO' -p52637 -aS'finish\tfinish\tVB\tI-VP\tO' -p52638 -aS'on\ton\tIN\tB-PP\tO' -p52639 -aS'2020-05-12\t2020-05-12\tCD\tB-NP\tO' -p52640 -aS'.\t.\t.\tO\tO' -p52641 -asS'8. Muscular ventricular septal defect .' -p52642 -(lp52643 -S'8.\t8.\tCD\tB-NP\tO' -p52644 -aS'Muscular\tMuscular\tJJ\tI-NP\tO' -p52645 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p52646 -aS'septal\tseptal\tJJ\tI-NP\tO' -p52647 -aS'defect\tdefect\tNN\tI-NP\tO' -p52648 -aS'.\t.\t.\tO\tO' -p52649 -asS'Upon arrival of the covering access physician the patient was being ventilated mechanically and CPR was being performed .' -p52650 -(lp52651 -S'Upon\tUpon\tIN\tB-PP\tO' -p52652 -aS'arrival\tarrival\tNN\tB-NP\tO' -p52653 -aS'of\tof\tIN\tB-PP\tO' -p52654 -aS'the\tthe\tDT\tB-NP\tO' -p52655 -aS'covering\tcover\tVBG\tI-NP\tO' -p52656 -aS'access\taccess\tNN\tI-NP\tO' -p52657 -aS'physician\tphysician\tNN\tI-NP\tO' -p52658 -aS'the\tthe\tDT\tB-NP\tO' -p52659 -aS'patient\tpatient\tNN\tI-NP\tO' -p52660 -aS'was\tbe\tVBD\tB-VP\tO' -p52661 -aS'being\tbe\tVBG\tI-VP\tO' -p52662 -aS'ventilated\tventilate\tVBN\tI-VP\tO' -p52663 -aS'mechanically\tmechanically\tRB\tB-ADVP\tO' -p52664 -aS'and\tand\tCC\tO\tO' -p52665 -aS'CPR\tCPR\tNN\tB-NP\tB-protein' -p52666 -aS'was\tbe\tVBD\tB-VP\tO' -p52667 -aS'being\tbe\tVBG\tI-VP\tO' -p52668 -aS'performed\tperform\tVBN\tI-VP\tO' -p52669 -aS'.\t.\t.\tO\tO' -p52670 -asS'He had coarse respiratory sounds .' -p52671 -(lp52672 -S'He\tHe\tPRP\tB-NP\tO' -p52673 -aS'had\thave\tVBD\tB-VP\tO' -p52674 -aS'coarse\tcoarse\tJJ\tB-NP\tO' -p52675 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p52676 -aS'sounds\tsound\tNNS\tI-NP\tO' -p52677 -aS'.\t.\t.\tO\tO' -p52678 -asS'He was transferred to the floor on HD#2 .' -p52679 -(lp52680 -S'He\tHe\tPRP\tB-NP\tO' -p52681 -aS'was\tbe\tVBD\tB-VP\tO' -p52682 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p52683 -aS'to\tto\tTO\tB-PP\tO' -p52684 -aS'the\tthe\tDT\tB-NP\tO' -p52685 -aS'floor\tfloor\tNN\tI-NP\tO' -p52686 -aS'on\ton\tIN\tB-PP\tO' -p52687 -aS'HD#2\tHD#2\tNN\tB-NP\tB-protein' -p52688 -aS'.\t.\t.\tO\tO' -p52689 -asS'There was a class II laceration of the left liver at the falciform ligament which was actively bleeding , a tear of the transverse mesocolon from its base to the bowel wall with active bleeding , a 7 cm serosal tear of the adjacent transverse colon , and a large central retroperitoneal hematoma .' -p52690 -(lp52691 -S'There\tThere\tEX\tB-NP\tO' -p52692 -aS'was\tbe\tVBD\tB-VP\tO' -p52693 -aS'a\ta\tDT\tB-NP\tO' -p52694 -aS'class\tclass\tNN\tI-NP\tO' -p52695 -aS'II\tII\tCD\tI-NP\tO' -p52696 -aS'laceration\tlaceration\tNN\tI-NP\tO' -p52697 -aS'of\tof\tIN\tB-PP\tO' -p52698 -aS'the\tthe\tDT\tB-NP\tO' -p52699 -aS'left\tleft\tJJ\tI-NP\tO' -p52700 -aS'liver\tliver\tNN\tI-NP\tO' -p52701 -aS'at\tat\tIN\tB-PP\tO' -p52702 -aS'the\tthe\tDT\tB-NP\tO' -p52703 -aS'falciform\tfalciform\tJJ\tI-NP\tO' -p52704 -aS'ligament\tligament\tNN\tI-NP\tO' -p52705 -aS'which\twhich\tWDT\tB-NP\tO' -p52706 -aS'was\tbe\tVBD\tB-VP\tO' -p52707 -aS'actively\tactively\tRB\tI-VP\tO' -p52708 -aS'bleeding\tbleed\tVBG\tI-VP\tO' -p52709 -aS',\t,\t,\tO\tO' -p52710 -aS'a\ta\tDT\tB-NP\tO' -p52711 -aS'tear\ttear\tNN\tI-NP\tO' -p52712 -aS'of\tof\tIN\tB-PP\tO' -p52713 -aS'the\tthe\tDT\tB-NP\tO' -p52714 -aS'transverse\ttransverse\tJJ\tI-NP\tO' -p52715 -aS'mesocolon\tmesocolon\tNN\tI-NP\tO' -p52716 -aS'from\tfrom\tIN\tB-PP\tO' -p52717 -aS'its\tits\tPRP$\tB-NP\tO' -p52718 -aS'base\tbase\tNN\tI-NP\tO' -p52719 -aS'to\tto\tTO\tB-PP\tO' -p52720 -aS'the\tthe\tDT\tB-NP\tO' -p52721 -aS'bowel\tbowel\tNN\tI-NP\tO' -p52722 -aS'wall\twall\tNN\tI-NP\tO' -p52723 -aS'with\twith\tIN\tB-PP\tO' -p52724 -aS'active\tactive\tJJ\tB-NP\tO' -p52725 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p52726 -aS',\t,\t,\tO\tO' -p52727 -aS'a\ta\tDT\tB-NP\tO' -p52728 -aS'7\t7\tCD\tI-NP\tO' -p52729 -aS'cm\tcm\tNN\tI-NP\tO' -p52730 -aS'serosal\tserosal\tJJ\tI-NP\tO' -p52731 -aS'tear\ttear\tNN\tI-NP\tO' -p52732 -aS'of\tof\tIN\tB-PP\tO' -p52733 -aS'the\tthe\tDT\tB-NP\tO' -p52734 -aS'adjacent\tadjacent\tJJ\tI-NP\tO' -p52735 -aS'transverse\ttransverse\tJJ\tI-NP\tO' -p52736 -aS'colon\tcolon\tNN\tI-NP\tO' -p52737 -aS',\t,\t,\tO\tO' -p52738 -aS'and\tand\tCC\tO\tO' -p52739 -aS'a\ta\tDT\tB-NP\tO' -p52740 -aS'large\tlarge\tJJ\tI-NP\tO' -p52741 -aS'central\tcentral\tJJ\tI-NP\tO' -p52742 -aS'retroperitoneal\tretroperitoneal\tJJ\tI-NP\tO' -p52743 -aS'hematoma\thematoma\tNN\tI-NP\tO' -p52744 -aS'.\t.\t.\tO\tO' -p52745 -asS'During the hospital course , the patient was started on a PPI , Nexium , for concerns of acid reflux .' -p52746 -(lp52747 -S'During\tDuring\tIN\tB-PP\tO' -p52748 -aS'the\tthe\tDT\tB-NP\tO' -p52749 -aS'hospital\thospital\tNN\tI-NP\tO' -p52750 -aS'course\tcourse\tNN\tI-NP\tO' -p52751 -aS',\t,\t,\tO\tO' -p52752 -aS'the\tthe\tDT\tB-NP\tO' -p52753 -aS'patient\tpatient\tNN\tI-NP\tO' -p52754 -aS'was\tbe\tVBD\tB-VP\tO' -p52755 -aS'started\tstart\tVBN\tI-VP\tO' -p52756 -aS'on\ton\tIN\tB-PP\tO' -p52757 -aS'a\ta\tDT\tB-NP\tO' -p52758 -aS'PPI\tPPI\tNN\tI-NP\tB-protein' -p52759 -aS',\t,\t,\tO\tO' -p52760 -aS'Nexium\tNexium\tNN\tB-NP\tO' -p52761 -aS',\t,\t,\tO\tO' -p52762 -aS'for\tfor\tIN\tB-PP\tO' -p52763 -aS'concerns\tconcern\tNNS\tB-NP\tO' -p52764 -aS'of\tof\tIN\tB-PP\tO' -p52765 -aS'acid\tacid\tNN\tB-NP\tO' -p52766 -aS'reflux\treflux\tNN\tI-NP\tO' -p52767 -aS'.\t.\t.\tO\tO' -p52768 -asS'He was treated with intravenous fluids and intravenous antibiotics with ceftizoxime , gentamicin , and Flagyl .' -p52769 -(lp52770 -S'He\tHe\tPRP\tB-NP\tO' -p52771 -aS'was\tbe\tVBD\tB-VP\tO' -p52772 -aS'treated\ttreat\tVBN\tI-VP\tO' -p52773 -aS'with\twith\tIN\tB-PP\tO' -p52774 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p52775 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p52776 -aS'and\tand\tCC\tO\tO' -p52777 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p52778 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p52779 -aS'with\twith\tIN\tB-PP\tO' -p52780 -aS'ceftizoxime\tceftizoxime\tNN\tB-NP\tO' -p52781 -aS',\t,\t,\tO\tO' -p52782 -aS'gentamicin\tgentamicin\tNN\tB-NP\tO' -p52783 -aS',\t,\t,\tO\tO' -p52784 -aS'and\tand\tCC\tO\tO' -p52785 -aS'Flagyl\tFlagyl\tNN\tB-NP\tO' -p52786 -aS'.\t.\t.\tO\tO' -p52787 -asS'Infant demonstrated mild increased work of breathing in the delivery room .' -p52788 -(lp52789 -S'Infant\tInfant\tNN\tB-NP\tO' -p52790 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p52791 -aS'mild\tmild\tJJ\tB-NP\tO' -p52792 -aS'increased\tincrease\tVBN\tI-NP\tO' -p52793 -aS'work\twork\tNN\tI-NP\tO' -p52794 -aS'of\tof\tIN\tB-PP\tO' -p52795 -aS'breathing\tbreathing\tNN\tB-NP\tO' -p52796 -aS'in\tin\tIN\tB-PP\tO' -p52797 -aS'the\tthe\tDT\tB-NP\tO' -p52798 -aS'delivery\tdelivery\tNN\tI-NP\tO' -p52799 -aS'room\troom\tNN\tI-NP\tO' -p52800 -aS'.\t.\t.\tO\tO' -p52801 -asS'On 11-2-93 , the patient underwent a low level treadmill exercise test with Thallium imaging .' -p52802 -(lp52803 -S'On\tOn\tIN\tB-PP\tO' -p52804 -aS'11-2-93\t11-2-93\tCD\tB-NP\tO' -p52805 -aS',\t,\t,\tO\tO' -p52806 -aS'the\tthe\tDT\tB-NP\tO' -p52807 -aS'patient\tpatient\tNN\tI-NP\tO' -p52808 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p52809 -aS'a\ta\tDT\tB-NP\tO' -p52810 -aS'low\tlow\tJJ\tI-NP\tO' -p52811 -aS'level\tlevel\tNN\tI-NP\tO' -p52812 -aS'treadmill\ttreadmill\tNN\tI-NP\tO' -p52813 -aS'exercise\texercise\tNN\tI-NP\tO' -p52814 -aS'test\ttest\tNN\tI-NP\tO' -p52815 -aS'with\twith\tIN\tB-PP\tO' -p52816 -aS'Thallium\tThallium\tNN\tB-NP\tO' -p52817 -aS'imaging\timaging\tNN\tI-NP\tO' -p52818 -aS'.\t.\t.\tO\tO' -p52819 -asS'The heart exam revealed a normal Sl and S2 was normally split .' -p52820 -(lp52821 -S'The\tThe\tDT\tB-NP\tO' -p52822 -aS'heart\theart\tNN\tI-NP\tO' -p52823 -aS'exam\texam\tNN\tI-NP\tO' -p52824 -aS'revealed\treveal\tVBD\tB-VP\tO' -p52825 -aS'a\ta\tDT\tB-NP\tO' -p52826 -aS'normal\tnormal\tJJ\tI-NP\tO' -p52827 -aS'Sl\tSl\tNN\tI-NP\tO' -p52828 -aS'and\tand\tCC\tI-NP\tO' -p52829 -aS'S2\tS2\tNN\tI-NP\tB-protein' -p52830 -aS'was\tbe\tVBD\tB-VP\tO' -p52831 -aS'normally\tnormally\tRB\tI-VP\tO' -p52832 -aS'split\tsplit\tVBN\tI-VP\tO' -p52833 -aS'.\t.\t.\tO\tO' -p52834 -asS'He has a history of chronic renal insufficiency likely secondary to hypertension and was admitted with a creatinine of 1.6 .' -p52835 -(lp52836 -S'He\tHe\tPRP\tB-NP\tO' -p52837 -aS'has\thave\tVBZ\tB-VP\tO' -p52838 -aS'a\ta\tDT\tB-NP\tO' -p52839 -aS'history\thistory\tNN\tI-NP\tO' -p52840 -aS'of\tof\tIN\tB-PP\tO' -p52841 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p52842 -aS'renal\trenal\tJJ\tI-NP\tO' -p52843 -aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' -p52844 -aS'likely\tlikely\tRB\tB-ADJP\tO' -p52845 -aS'secondary\tsecondary\tJJ\tI-ADJP\tO' -p52846 -aS'to\tto\tTO\tB-PP\tO' -p52847 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p52848 -aS'and\tand\tCC\tO\tO' -p52849 -aS'was\tbe\tVBD\tB-VP\tO' -p52850 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p52851 -aS'with\twith\tIN\tB-PP\tO' -p52852 -aS'a\ta\tDT\tB-NP\tO' -p52853 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p52854 -aS'of\tof\tIN\tB-PP\tO' -p52855 -aS'1.6\t1.6\tCD\tB-NP\tO' -p52856 -aS'.\t.\t.\tO\tO' -p52857 -asS'Neurological examination revealed that the patient was quite sedated at this time having received some medications .' -p52858 -(lp52859 -S'Neurological\tNeurological\tJJ\tB-NP\tO' -p52860 -aS'examination\texamination\tNN\tI-NP\tO' -p52861 -aS'revealed\treveal\tVBD\tB-VP\tO' -p52862 -aS'that\tthat\tIN\tB-SBAR\tO' -p52863 -aS'the\tthe\tDT\tB-NP\tO' -p52864 -aS'patient\tpatient\tNN\tI-NP\tO' -p52865 -aS'was\tbe\tVBD\tB-VP\tO' -p52866 -aS'quite\tquite\tRB\tI-VP\tO' -p52867 -aS'sedated\tsedate\tVBN\tI-VP\tO' -p52868 -aS'at\tat\tIN\tB-PP\tO' -p52869 -aS'this\tthis\tDT\tB-NP\tO' -p52870 -aS'time\ttime\tNN\tI-NP\tO' -p52871 -aS'having\thave\tVBG\tB-VP\tO' -p52872 -aS'received\treceive\tVBN\tI-VP\tO' -p52873 -aS'some\tsome\tDT\tB-NP\tO' -p52874 -aS'medications\tmedication\tNNS\tI-NP\tO' -p52875 -aS'.\t.\t.\tO\tO' -p52876 -asS'One-year followup may be considered .' -p52877 -(lp52878 -S'One-year\tOne-year\tJJ\tB-NP\tO' -p52879 -aS'followup\tfollowup\tNN\tI-NP\tO' -p52880 -aS'may\tmay\tMD\tB-VP\tO' -p52881 -aS'be\tbe\tVB\tI-VP\tO' -p52882 -aS'considered\tconsider\tVBN\tI-VP\tO' -p52883 -aS'.\t.\t.\tO\tO' -p52884 -asS'The patient was readmitted on 3-20-93 because of fever , chills and a sudden onset of ventricular fibrillation arrest , successfully cardioverted back to rapid atrial fibrillation and finally to sinus rhythm , where an electrocardiogram then showed ST elevation in inferior leads .' -p52885 -(lp52886 -S'The\tThe\tDT\tB-NP\tO' -p52887 -aS'patient\tpatient\tNN\tI-NP\tO' -p52888 -aS'was\tbe\tVBD\tB-VP\tO' -p52889 -aS'readmitted\treadmitte\tVBN\tI-VP\tO' -p52890 -aS'on\ton\tIN\tB-PP\tO' -p52891 -aS'3-20-93\t3-20-93\tNN\tB-NP\tO' -p52892 -aS'because\tbecause\tIN\tB-PP\tO' -p52893 -aS'of\tof\tIN\tI-PP\tO' -p52894 -aS'fever\tfever\tNN\tB-NP\tO' -p52895 -aS',\t,\t,\tO\tO' -p52896 -aS'chills\tchill\tNNS\tB-NP\tO' -p52897 -aS'and\tand\tCC\tO\tO' -p52898 -aS'a\ta\tDT\tB-NP\tO' -p52899 -aS'sudden\tsudden\tJJ\tI-NP\tO' -p52900 -aS'onset\tonset\tNN\tI-NP\tO' -p52901 -aS'of\tof\tIN\tB-PP\tO' -p52902 -aS'ventricular\tventricular\tJJ\tB-NP\tO' -p52903 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p52904 -aS'arrest\tarrest\tNN\tI-NP\tO' -p52905 -aS',\t,\t,\tO\tO' -p52906 -aS'successfully\tsuccessfully\tRB\tB-VP\tO' -p52907 -aS'cardioverted\tcardioverte\tVBD\tI-VP\tO' -p52908 -aS'back\tback\tRB\tB-ADVP\tO' -p52909 -aS'to\tto\tTO\tB-PP\tO' -p52910 -aS'rapid\trapid\tJJ\tB-NP\tO' -p52911 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p52912 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p52913 -aS'and\tand\tCC\tO\tO' -p52914 -aS'finally\tfinally\tRB\tB-ADVP\tO' -p52915 -aS'to\tto\tTO\tB-PP\tO' -p52916 -aS'sinus\tsinus\tNN\tB-NP\tO' -p52917 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p52918 -aS',\t,\t,\tO\tO' -p52919 -aS'where\twhere\tWRB\tB-ADVP\tO' -p52920 -aS'an\tan\tDT\tB-NP\tO' -p52921 -aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' -p52922 -aS'then\tthen\tRB\tB-ADVP\tO' -p52923 -aS'showed\tshow\tVBD\tB-VP\tO' -p52924 -aS'ST\tST\tJJ\tB-NP\tO' -p52925 -aS'elevation\televation\tNN\tI-NP\tO' -p52926 -aS'in\tin\tIN\tB-PP\tO' -p52927 -aS'inferior\tinferior\tJJ\tB-NP\tO' -p52928 -aS'leads\tlead\tNNS\tI-NP\tO' -p52929 -aS'.\t.\t.\tO\tO' -p52930 -asS'2. Captopril 75 mg po three times a day .' -p52931 -(lp52932 -S'2.\t2.\tLS\tB-NP\tO' -p52933 -aS'Captopril\tCaptopril\tNNP\tI-NP\tO' -p52934 -aS'75\t75\tCD\tI-NP\tO' -p52935 -aS'mg\tmg\tNN\tI-NP\tO' -p52936 -aS'po\tpo\tIN\tB-PP\tO' -p52937 -aS'three\tthree\tCD\tB-NP\tO' -p52938 -aS'times\ttime\tNNS\tI-NP\tO' -p52939 -aS'a\ta\tDT\tB-NP\tO' -p52940 -aS'day\tday\tNN\tI-NP\tO' -p52941 -aS'.\t.\t.\tO\tO' -p52942 -asS'Appears to be chronic in nature given degree of metabolic compensation with acute component earlier today .' -p52943 -(lp52944 -S'Appears\tAppear\tVBZ\tB-VP\tO' -p52945 -aS'to\tto\tTO\tI-VP\tO' -p52946 -aS'be\tbe\tVB\tI-VP\tO' -p52947 -aS'chronic\tchronic\tJJ\tB-ADJP\tO' -p52948 -aS'in\tin\tIN\tB-PP\tO' -p52949 -aS'nature\tnature\tJJ\tB-NP\tO' -p52950 -aS'given\tgive\tVBN\tI-NP\tO' -p52951 -aS'degree\tdegree\tNN\tI-NP\tO' -p52952 -aS'of\tof\tIN\tB-PP\tO' -p52953 -aS'metabolic\tmetabolic\tJJ\tB-NP\tO' -p52954 -aS'compensation\tcompensation\tNN\tI-NP\tO' -p52955 -aS'with\twith\tIN\tB-PP\tO' -p52956 -aS'acute\tacute\tJJ\tB-NP\tO' -p52957 -aS'component\tcomponent\tNN\tI-NP\tO' -p52958 -aS'earlier\tearly\tJJR\tB-ADVP\tO' -p52959 -aS'today\ttoday\tNN\tB-NP\tO' -p52960 -aS'.\t.\t.\tO\tO' -p52961 -asS'Has low grade fever since chemo but otherwise ROS was neg for shaking chills , chest pain , SOB , coughing , constipation , diarrhea , tarry stools , abd pain .' -p52962 -(lp52963 -S'Has\tHas\tRB\tB-NP\tO' -p52964 -aS'low\tlow\tJJ\tI-NP\tO' -p52965 -aS'grade\tgrade\tNN\tI-NP\tO' -p52966 -aS'fever\tfever\tNN\tI-NP\tO' -p52967 -aS'since\tsince\tIN\tB-PP\tO' -p52968 -aS'chemo\tchemo\tNN\tB-NP\tO' -p52969 -aS'but\tbut\tCC\tO\tO' -p52970 -aS'otherwise\totherwise\tRB\tB-ADVP\tO' -p52971 -aS'ROS\tROS\tNN\tB-NP\tO' -p52972 -aS'was\tbe\tVBD\tB-VP\tO' -p52973 -aS'neg\tneg\tNN\tB-NP\tO' -p52974 -aS'for\tfor\tIN\tB-PP\tO' -p52975 -aS'shaking\tshake\tVBG\tB-VP\tO' -p52976 -aS'chills\tchill\tNNS\tB-NP\tO' -p52977 -aS',\t,\t,\tO\tO' -p52978 -aS'chest\tchest\tNN\tB-NP\tO' -p52979 -aS'pain\tpain\tNN\tI-NP\tO' -p52980 -aS',\t,\t,\tO\tO' -p52981 -aS'SOB\tSOB\tNN\tB-NP\tB-protein' -p52982 -aS',\t,\t,\tO\tO' -p52983 -aS'coughing\tcoughing\tNN\tB-NP\tO' -p52984 -aS',\t,\t,\tO\tO' -p52985 -aS'constipation\tconstipation\tNN\tB-NP\tO' -p52986 -aS',\t,\t,\tO\tO' -p52987 -aS'diarrhea\tdiarrhea\tNN\tB-NP\tO' -p52988 -aS',\t,\t,\tO\tO' -p52989 -aS'tarry\ttarry\tNN\tB-NP\tO' -p52990 -aS'stools\tstool\tNNS\tI-NP\tO' -p52991 -aS',\t,\t,\tO\tO' -p52992 -aS'abd\tabd\tNN\tB-NP\tO' -p52993 -aS'pain\tpain\tNN\tI-NP\tO' -p52994 -aS'.\t.\t.\tO\tO' -p52995 -asS'Adhere to 2 gm sodium diet' -p52996 -(lp52997 -S'Adhere\tAdhere\tRB\tB-ADVP\tO' -p52998 -aS'to\tto\tTO\tB-PP\tO' -p52999 -aS'2\t2\tCD\tB-NP\tO' -p53000 -aS'gm\tgm\tNN\tI-NP\tO' -p53001 -aS'sodium\tsodium\tNN\tI-NP\tO' -p53002 -aS'diet\tdiet\tNN\tI-NP\tO' -p53003 -asS'1. Epiglottitis / supraglottitis .' -p53004 -(lp53005 -S'1.\t1.\tLS\tB-NP\tO' -p53006 -aS'Epiglottitis\tEpiglottitis\tNN\tI-NP\tO' -p53007 -aS'/\t/\tSYM\tI-NP\tO' -p53008 -aS'supraglottitis\tsupraglottitis\tNN\tI-NP\tO' -p53009 -aS'.\t.\t.\tO\tO' -p53010 -asS'Please add this dictation to initial dictation done on 2015-03-26 .' -p53011 -(lp53012 -S'Please\tPlease\tVB\tB-VP\tO' -p53013 -aS'add\tadd\tVB\tI-VP\tO' -p53014 -aS'this\tthis\tDT\tB-NP\tO' -p53015 -aS'dictation\tdictation\tNN\tI-NP\tO' -p53016 -aS'to\tto\tTO\tB-PP\tO' -p53017 -aS'initial\tinitial\tJJ\tB-NP\tO' -p53018 -aS'dictation\tdictation\tNN\tI-NP\tO' -p53019 -aS'done\tdo\tVBN\tB-VP\tO' -p53020 -aS'on\ton\tIN\tB-PP\tO' -p53021 -aS'2015-03-26\t2015-03-26\tCD\tB-NP\tO' -p53022 -aS'.\t.\t.\tO\tO' -p53023 -asS'Of note , he will need to remain on Plavix for three months postop given the off pump procedure .' -p53024 -(lp53025 -S'Of\tOf\tIN\tB-PP\tO' -p53026 -aS'note\tnote\tNN\tB-NP\tO' -p53027 -aS',\t,\t,\tO\tO' -p53028 -aS'he\the\tPRP\tB-NP\tO' -p53029 -aS'will\twill\tMD\tB-VP\tO' -p53030 -aS'need\tneed\tVB\tI-VP\tO' -p53031 -aS'to\tto\tTO\tI-VP\tO' -p53032 -aS'remain\tremain\tVB\tI-VP\tO' -p53033 -aS'on\ton\tIN\tB-PP\tO' -p53034 -aS'Plavix\tPlavix\tNNP\tB-NP\tO' -p53035 -aS'for\tfor\tIN\tB-PP\tO' -p53036 -aS'three\tthree\tCD\tB-NP\tO' -p53037 -aS'months\tmonth\tNNS\tI-NP\tO' -p53038 -aS'postop\tpostop\tRB\tB-VP\tO' -p53039 -aS'given\tgive\tVBN\tI-VP\tO' -p53040 -aS'the\tthe\tDT\tB-NP\tO' -p53041 -aS'off\toff\tJJ\tI-NP\tO' -p53042 -aS'pump\tpump\tNN\tI-NP\tO' -p53043 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p53044 -aS'.\t.\t.\tO\tO' -p53045 -asS'On 06-25 , urine cultures grew out VRE , and a C diff was negative .' -p53046 -(lp53047 -S'On\tOn\tIN\tB-PP\tO' -p53048 -aS'06-25\t06-25\tCD\tB-NP\tO' -p53049 -aS',\t,\t,\tO\tO' -p53050 -aS'urine\turine\tNN\tB-NP\tB-cell_line' -p53051 -aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' -p53052 -aS'grew\tgrow\tVBD\tB-VP\tO' -p53053 -aS'out\tout\tRP\tB-PRT\tO' -p53054 -aS'VRE\tVRE\tNN\tB-NP\tB-DNA' -p53055 -aS',\t,\t,\tO\tO' -p53056 -aS'and\tand\tCC\tO\tO' -p53057 -aS'a\ta\tDT\tB-NP\tO' -p53058 -aS'C\tC\tNN\tI-NP\tB-protein' -p53059 -aS'diff\tdiff\tNN\tI-NP\tI-protein' -p53060 -aS'was\tbe\tVBD\tB-VP\tO' -p53061 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p53062 -aS'.\t.\t.\tO\tO' -p53063 -asS'He does not regard the examiner .' -p53064 -(lp53065 -S'He\tHe\tPRP\tB-NP\tO' -p53066 -aS'does\tdo\tVBZ\tB-VP\tO' -p53067 -aS'not\tnot\tRB\tI-VP\tO' -p53068 -aS'regard\tregard\tVB\tI-VP\tO' -p53069 -aS'the\tthe\tDT\tB-NP\tO' -p53070 -aS'examiner\texaminer\tNN\tI-NP\tO' -p53071 -aS'.\t.\t.\tO\tO' -p53072 -asS'A abdominal plain film showed non-specific bowel gas patterns that may represent an early obstruction .' -p53073 -(lp53074 -S'A\tA\tDT\tB-NP\tO' -p53075 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p53076 -aS'plain\tplain\tJJ\tI-NP\tO' -p53077 -aS'film\tfilm\tNN\tI-NP\tO' -p53078 -aS'showed\tshow\tVBD\tB-VP\tO' -p53079 -aS'non-specific\tnon-specific\tJJ\tB-NP\tO' -p53080 -aS'bowel\tbowel\tNN\tI-NP\tO' -p53081 -aS'gas\tgas\tNN\tI-NP\tO' -p53082 -aS'patterns\tpattern\tNNS\tI-NP\tO' -p53083 -aS'that\tthat\tWDT\tB-NP\tO' -p53084 -aS'may\tmay\tMD\tB-VP\tO' -p53085 -aS'represent\trepresent\tVB\tI-VP\tO' -p53086 -aS'an\tan\tDT\tB-NP\tO' -p53087 -aS'early\tearly\tJJ\tI-NP\tO' -p53088 -aS'obstruction\tobstruction\tNN\tI-NP\tO' -p53089 -aS'.\t.\t.\tO\tO' -p53090 -asS'Respiratory : She was intubated briefly post-op subtotal colectomy and again for several days after second surgery .' -p53091 -(lp53092 -S'Respiratory\tRespiratory\tJJ\tB-ADJP\tO' -p53093 -aS':\t:\t:\tO\tO' -p53094 -aS'She\tShe\tPRP\tB-NP\tO' -p53095 -aS'was\tbe\tVBD\tB-VP\tO' -p53096 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p53097 -aS'briefly\tbriefly\tRB\tB-ADVP\tO' -p53098 -aS'post-op\tpost-op\tJJ\tB-NP\tO' -p53099 -aS'subtotal\tsubtotal\tJJ\tI-NP\tO' -p53100 -aS'colectomy\tcolectomy\tNN\tI-NP\tO' -p53101 -aS'and\tand\tCC\tO\tO' -p53102 -aS'again\tagain\tRB\tB-ADVP\tO' -p53103 -aS'for\tfor\tIN\tB-PP\tO' -p53104 -aS'several\tseveral\tJJ\tB-NP\tO' -p53105 -aS'days\tday\tNNS\tI-NP\tO' -p53106 -aS'after\tafter\tIN\tB-PP\tO' -p53107 -aS'second\tsecond\tJJ\tB-NP\tO' -p53108 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p53109 -aS'.\t.\t.\tO\tO' -p53110 -asS'Persistent bibasilar atelectasis and tiny pleural effusions .' -p53111 -(lp53112 -S'Persistent\tPersistent\tJJ\tB-NP\tO' -p53113 -aS'bibasilar\tbibasilar\tJJ\tI-NP\tO' -p53114 -aS'atelectasis\tatelectasis\tNN\tI-NP\tO' -p53115 -aS'and\tand\tCC\tO\tO' -p53116 -aS'tiny\ttiny\tJJ\tB-NP\tO' -p53117 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p53118 -aS'effusions\teffusion\tNNS\tI-NP\tO' -p53119 -aS'.\t.\t.\tO\tO' -p53120 -asS'After returning to her room she w noted SSCP without radiation .' -p53121 -(lp53122 -S'After\tAfter\tIN\tB-PP\tO' -p53123 -aS'returning\treturn\tVBG\tB-VP\tO' -p53124 -aS'to\tto\tTO\tB-PP\tO' -p53125 -aS'her\ther\tPRP$\tB-NP\tO' -p53126 -aS'room\troom\tNN\tI-NP\tO' -p53127 -aS'she\tshe\tPRP\tB-NP\tO' -p53128 -aS'w\tw\tVBD\tB-VP\tO' -p53129 -aS'noted\tnote\tVBN\tB-NP\tO' -p53130 -aS'SSCP\tSSCP\tNN\tI-NP\tO' -p53131 -aS'without\twithout\tIN\tB-PP\tO' -p53132 -aS'radiation\tradiation\tNN\tB-NP\tO' -p53133 -aS'.\t.\t.\tO\tO' -p53134 -asS'The patient was anxious with depression poorly controlled until 12/14/03 .' -p53135 -(lp53136 -S'The\tThe\tDT\tB-NP\tO' -p53137 -aS'patient\tpatient\tNN\tI-NP\tO' -p53138 -aS'was\tbe\tVBD\tB-VP\tO' -p53139 -aS'anxious\tanxious\tJJ\tB-ADJP\tO' -p53140 -aS'with\twith\tIN\tB-PP\tO' -p53141 -aS'depression\tdepression\tNN\tB-NP\tO' -p53142 -aS'poorly\tpoorly\tRB\tB-VP\tO' -p53143 -aS'controlled\tcontrol\tVBN\tI-VP\tO' -p53144 -aS'until\tuntil\tIN\tB-PP\tO' -p53145 -aS'12/14/03\t12/14/03\tCD\tB-NP\tO' -p53146 -aS'.\t.\t.\tO\tO' -p53147 -asS'The patient showed peaked T waves on electrocardiogram , and he was transferred to Medicine .' -p53148 -(lp53149 -S'The\tThe\tDT\tB-NP\tO' -p53150 -aS'patient\tpatient\tNN\tI-NP\tO' -p53151 -aS'showed\tshow\tVBD\tB-VP\tO' -p53152 -aS'peaked\tpeaked\tJJ\tB-NP\tO' -p53153 -aS'T\tT\tNN\tI-NP\tO' -p53154 -aS'waves\twave\tNNS\tI-NP\tO' -p53155 -aS'on\ton\tIN\tB-PP\tO' -p53156 -aS'electrocardiogram\telectrocardiogram\tNN\tB-NP\tO' -p53157 -aS',\t,\t,\tO\tO' -p53158 -aS'and\tand\tCC\tO\tO' -p53159 -aS'he\the\tPRP\tB-NP\tO' -p53160 -aS'was\tbe\tVBD\tB-VP\tO' -p53161 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p53162 -aS'to\tto\tTO\tB-PP\tO' -p53163 -aS'Medicine\tMedicine\tNN\tB-NP\tO' -p53164 -aS'.\t.\t.\tO\tO' -p53165 -asS'18. Epoetin Alfa 4,000 unit/mL Solution Sig : One ( 1 ) Injection QMOWEFR ( Monday - Wednesday - Friday ) .' -p53166 -(lp53167 -S'18.\t18.\tCD\tB-NP\tO' -p53168 -aS'Epoetin\tEpoetin\tNNP\tI-NP\tO' -p53169 -aS'Alfa\tAlfa\tNNP\tI-NP\tO' -p53170 -aS'4,000\t4,000\tCD\tI-NP\tO' -p53171 -aS'unit/mL\tunit/mL\tNN\tI-NP\tO' -p53172 -aS'Solution\tSolution\tNNP\tI-NP\tO' -p53173 -aS'Sig\tSig\tNNP\tI-NP\tO' -p53174 -aS':\t:\t:\tO\tO' -p53175 -aS'One\tOne\tCD\tB-NP\tO' -p53176 -aS'(\t(\t(\tO\tO' -p53177 -aS'1\t1\tCD\tB-NP\tO' -p53178 -aS')\t)\t)\tO\tO' -p53179 -aS'Injection\tInjection\tNN\tB-NP\tO' -p53180 -aS'QMOWEFR\tQMOWEFR\tNN\tI-NP\tO' -p53181 -aS'(\t(\t(\tO\tO' -p53182 -aS'Monday\tMonday\tNNP\tB-NP\tO' -p53183 -aS'-\t-\tHYPH\tO\tO' -p53184 -aS'Wednesday\tWednesday\tNNP\tB-NP\tO' -p53185 -aS'-\t-\tHYPH\tO\tO' -p53186 -aS'Friday\tFriday\tNNP\tB-NP\tO' -p53187 -aS')\t)\t)\tO\tO' -p53188 -aS'.\t.\t.\tO\tO' -p53189 -asS'Patient was on pneumoboots while in hospital .' -p53190 -(lp53191 -S'Patient\tPatient\tNN\tB-NP\tO' -p53192 -aS'was\tbe\tVBD\tB-VP\tO' -p53193 -aS'on\ton\tIN\tB-PP\tO' -p53194 -aS'pneumoboots\tpneumoboot\tNNS\tB-NP\tO' -p53195 -aS'while\twhile\tIN\tB-SBAR\tO' -p53196 -aS'in\tin\tIN\tB-PP\tO' -p53197 -aS'hospital\thospital\tNN\tB-NP\tO' -p53198 -aS'.\t.\t.\tO\tO' -p53199 -asS'At this time , his head CT was negative , and he was treated with Dilantin and Phenobarbital .' -p53200 -(lp53201 -S'At\tAt\tIN\tB-PP\tO' -p53202 -aS'this\tthis\tDT\tB-NP\tO' -p53203 -aS'time\ttime\tNN\tI-NP\tO' -p53204 -aS',\t,\t,\tO\tO' -p53205 -aS'his\this\tPRP$\tB-NP\tO' -p53206 -aS'head\thead\tNN\tI-NP\tO' -p53207 -aS'CT\tCT\tNN\tI-NP\tO' -p53208 -aS'was\tbe\tVBD\tB-VP\tO' -p53209 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p53210 -aS',\t,\t,\tO\tO' -p53211 -aS'and\tand\tCC\tO\tO' -p53212 -aS'he\the\tPRP\tB-NP\tO' -p53213 -aS'was\tbe\tVBD\tB-VP\tO' -p53214 -aS'treated\ttreat\tVBN\tI-VP\tO' -p53215 -aS'with\twith\tIN\tB-PP\tO' -p53216 -aS'Dilantin\tDilantin\tNN\tB-NP\tB-protein' -p53217 -aS'and\tand\tCC\tI-NP\tO' -p53218 -aS'Phenobarbital\tPhenobarbital\tNN\tI-NP\tO' -p53219 -aS'.\t.\t.\tO\tO' -p53220 -asS'On admission , he was on Isordil 10 tid and enteric coated aspirin , but he was not taking either of these medications .' -p53221 -(lp53222 -S'On\tOn\tIN\tB-PP\tO' -p53223 -aS'admission\tadmission\tNN\tB-NP\tO' -p53224 -aS',\t,\t,\tO\tO' -p53225 -aS'he\the\tPRP\tB-NP\tO' -p53226 -aS'was\tbe\tVBD\tB-VP\tO' -p53227 -aS'on\ton\tIN\tB-PP\tO' -p53228 -aS'Isordil\tIsordil\tNN\tB-NP\tO' -p53229 -aS'10\t10\tCD\tI-NP\tO' -p53230 -aS'tid\ttid\tNN\tI-NP\tO' -p53231 -aS'and\tand\tCC\tI-NP\tO' -p53232 -aS'enteric\tenteric\tJJ\tI-NP\tO' -p53233 -aS'coated\tcoat\tVBN\tI-NP\tO' -p53234 -aS'aspirin\taspirin\tNN\tI-NP\tO' -p53235 -aS',\t,\t,\tO\tO' -p53236 -aS'but\tbut\tCC\tO\tO' -p53237 -aS'he\the\tPRP\tB-NP\tO' -p53238 -aS'was\tbe\tVBD\tB-VP\tO' -p53239 -aS'not\tnot\tRB\tI-VP\tO' -p53240 -aS'taking\ttake\tVBG\tI-VP\tO' -p53241 -aS'either\teither\tDT\tB-NP\tO' -p53242 -aS'of\tof\tIN\tB-PP\tO' -p53243 -aS'these\tthese\tDT\tB-NP\tO' -p53244 -aS'medications\tmedication\tNNS\tI-NP\tO' -p53245 -aS'.\t.\t.\tO\tO' -p53246 -asS'This was considered too high risk for angioplasty because of the severe disease in the graft .' -p53247 -(lp53248 -S'This\tThis\tDT\tB-NP\tO' -p53249 -aS'was\tbe\tVBD\tB-VP\tO' -p53250 -aS'considered\tconsider\tVBN\tI-VP\tO' -p53251 -aS'too\ttoo\tRB\tB-NP\tO' -p53252 -aS'high\thigh\tJJ\tI-NP\tO' -p53253 -aS'risk\trisk\tNN\tI-NP\tO' -p53254 -aS'for\tfor\tIN\tB-PP\tO' -p53255 -aS'angioplasty\tangioplasty\tJJ\tB-NP\tO' -p53256 -aS'because\tbecause\tIN\tB-PP\tO' -p53257 -aS'of\tof\tIN\tI-PP\tO' -p53258 -aS'the\tthe\tDT\tB-NP\tO' -p53259 -aS'severe\tsevere\tJJ\tI-NP\tO' -p53260 -aS'disease\tdisease\tNN\tI-NP\tO' -p53261 -aS'in\tin\tIN\tB-PP\tO' -p53262 -aS'the\tthe\tDT\tB-NP\tO' -p53263 -aS'graft\tgraft\tNN\tI-NP\tO' -p53264 -aS'.\t.\t.\tO\tO' -p53265 -asS'Abd : thin , nd , nt , soft , no masses palpable' -p53266 -(lp53267 -S'Abd\tAbd\tNN\tB-NP\tO' -p53268 -aS':\t:\t:\tO\tO' -p53269 -aS'thin\tthin\tJJ\tB-ADJP\tO' -p53270 -aS',\t,\t,\tO\tO' -p53271 -aS'nd\tnd\tNN\tB-NP\tO' -p53272 -aS',\t,\t,\tO\tO' -p53273 -aS'nt\tnt\tNN\tB-NP\tO' -p53274 -aS',\t,\t,\tO\tO' -p53275 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p53276 -aS',\t,\t,\tO\tO' -p53277 -aS'no\tno\tDT\tB-NP\tO' -p53278 -aS'masses\tmass\tNNS\tI-NP\tO' -p53279 -aS'palpable\tpalpable\tJJ\tB-ADJP\tO' -p53280 -asS'May take shower .' -p53281 -(lp53282 -S'May\tMay\tMD\tO\tO' -p53283 -aS'take\ttake\tVBP\tB-VP\tO' -p53284 -aS'shower\tshower\tNN\tB-NP\tO' -p53285 -aS'.\t.\t.\tO\tO' -p53286 -asS"On the floor the patient remained stable hemodynamically without recurrent fever and was stable for transfer back to Franciscan Children 's Hospital & Rehab Center 4 ." -p53287 -(lp53288 -S'On\tOn\tIN\tB-PP\tO' -p53289 -aS'the\tthe\tDT\tB-NP\tO' -p53290 -aS'floor\tfloor\tNN\tI-NP\tO' -p53291 -aS'the\tthe\tDT\tB-NP\tO' -p53292 -aS'patient\tpatient\tNN\tI-NP\tO' -p53293 -aS'remained\tremain\tVBD\tB-VP\tO' -p53294 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p53295 -aS'hemodynamically\themodynamically\tRB\tB-ADVP\tO' -p53296 -aS'without\twithout\tIN\tB-PP\tO' -p53297 -aS'recurrent\trecurrent\tJJ\tB-NP\tO' -p53298 -aS'fever\tfever\tNN\tI-NP\tO' -p53299 -aS'and\tand\tCC\tO\tO' -p53300 -aS'was\tbe\tVBD\tB-VP\tO' -p53301 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p53302 -aS'for\tfor\tIN\tB-PP\tO' -p53303 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p53304 -aS'back\tback\tRB\tB-ADVP\tO' -p53305 -aS'to\tto\tTO\tB-PP\tO' -p53306 -aS'Franciscan\tFranciscan\tNNP\tB-NP\tO' -p53307 -aS'Children\tChildren\tNNP\tI-NP\tO' -p53308 -aS"'s\t's\tPOS\tB-NP\tO" -p53309 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p53310 -aS'&\t&\tCC\tI-NP\tO' -p53311 -aS'Rehab\tRehab\tNNP\tI-NP\tO' -p53312 -aS'Center\tCenter\tNNP\tI-NP\tO' -p53313 -aS'4\t4\tCD\tI-NP\tO' -p53314 -aS'.\t.\t.\tO\tO' -p53315 -asS'He was found to have bilateral Staphylococcus pneumonia .' -p53316 -(lp53317 -S'He\tHe\tPRP\tB-NP\tO' -p53318 -aS'was\tbe\tVBD\tB-VP\tO' -p53319 -aS'found\tfind\tVBN\tI-VP\tO' -p53320 -aS'to\tto\tTO\tI-VP\tO' -p53321 -aS'have\thave\tVB\tI-VP\tO' -p53322 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p53323 -aS'Staphylococcus\tStaphylococcus\tNNP\tI-NP\tO' -p53324 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p53325 -aS'.\t.\t.\tO\tO' -p53326 -asS'Pt was continued on aspirin , metoprolol , nifedipine .' -p53327 -(lp53328 -S'Pt\tPt\tNN\tB-NP\tO' -p53329 -aS'was\tbe\tVBD\tB-VP\tO' -p53330 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p53331 -aS'on\ton\tIN\tB-PP\tO' -p53332 -aS'aspirin\taspirin\tNN\tB-NP\tO' -p53333 -aS',\t,\t,\tO\tO' -p53334 -aS'metoprolol\tmetoprolol\tNN\tB-NP\tO' -p53335 -aS',\t,\t,\tO\tO' -p53336 -aS'nifedipine\tnifedipine\tNN\tB-NP\tO' -p53337 -aS'.\t.\t.\tO\tO' -p53338 -asS'We had given her some normal saline and then we proceeded to just do fluid restriction .' -p53339 -(lp53340 -S'We\tWe\tPRP\tB-NP\tO' -p53341 -aS'had\thave\tVBD\tB-VP\tO' -p53342 -aS'given\tgive\tVBN\tI-VP\tO' -p53343 -aS'her\ther\tPRP\tB-NP\tO' -p53344 -aS'some\tsome\tDT\tB-NP\tO' -p53345 -aS'normal\tnormal\tJJ\tI-NP\tO' -p53346 -aS'saline\tsaline\tNN\tI-NP\tO' -p53347 -aS'and\tand\tCC\tO\tO' -p53348 -aS'then\tthen\tRB\tB-ADVP\tO' -p53349 -aS'we\twe\tPRP\tB-NP\tO' -p53350 -aS'proceeded\tproceed\tVBD\tB-VP\tO' -p53351 -aS'to\tto\tTO\tI-VP\tO' -p53352 -aS'just\tjust\tRB\tI-VP\tO' -p53353 -aS'do\tdo\tVB\tI-VP\tO' -p53354 -aS'fluid\tfluid\tJJ\tB-NP\tO' -p53355 -aS'restriction\trestriction\tNN\tI-NP\tO' -p53356 -aS'.\t.\t.\tO\tO' -p53357 -asS'The chemotherapy was well tolerated .' -p53358 -(lp53359 -S'The\tThe\tDT\tB-NP\tO' -p53360 -aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' -p53361 -aS'was\tbe\tVBD\tB-VP\tO' -p53362 -aS'well\twell\tRB\tI-VP\tO' -p53363 -aS'tolerated\ttolerate\tVBN\tI-VP\tO' -p53364 -aS'.\t.\t.\tO\tO' -p53365 -asS'Aspiration pneumonia bilateral , multiple strokes , chronic atrial fibrillation , prostatic hypertrophy with gross hematuria .' -p53366 -(lp53367 -S'Aspiration\tAspiration\tNN\tB-NP\tO' -p53368 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p53369 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p53370 -aS',\t,\t,\tI-NP\tO' -p53371 -aS'multiple\tmultiple\tJJ\tI-NP\tO' -p53372 -aS'strokes\tstroke\tNNS\tI-NP\tO' -p53373 -aS',\t,\t,\tO\tO' -p53374 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p53375 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p53376 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p53377 -aS',\t,\t,\tO\tO' -p53378 -aS'prostatic\tprostatic\tJJ\tB-NP\tO' -p53379 -aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' -p53380 -aS'with\twith\tIN\tB-PP\tO' -p53381 -aS'gross\tgross\tJJ\tB-NP\tO' -p53382 -aS'hematuria\thematuria\tNN\tI-NP\tO' -p53383 -aS'.\t.\t.\tO\tO' -p53384 -asS's / p ventral hernia repair' -p53385 -(lp53386 -S's\ts\tNN\tB-NP\tO' -p53387 -aS'/\t/\tSYM\tI-NP\tO' -p53388 -aS'p\tp\tNN\tI-NP\tO' -p53389 -aS'ventral\tventral\tJJ\tI-NP\tO' -p53390 -aS'hernia\thernia\tNN\tI-NP\tO' -p53391 -aS'repair\trepair\tNN\tI-NP\tO' -p53392 -asS'No CAD in 1st degree relatives .' -p53393 -(lp53394 -S'No\tNo\tDT\tB-NP\tO' -p53395 -aS'CAD\tCAD\tNN\tI-NP\tB-protein' -p53396 -aS'in\tin\tIN\tB-PP\tO' -p53397 -aS'1st\t1st\tJJ\tB-NP\tO' -p53398 -aS'degree\tdegree\tNN\tI-NP\tO' -p53399 -aS'relatives\trelative\tNNS\tI-NP\tO' -p53400 -aS'.\t.\t.\tO\tO' -p53401 -asS'He was to follow up with pulmonary as an outpatient .' -p53402 -(lp53403 -S'He\tHe\tPRP\tB-NP\tO' -p53404 -aS'was\tbe\tVBD\tB-VP\tO' -p53405 -aS'to\tto\tTO\tB-VP\tO' -p53406 -aS'follow\tfollow\tVB\tI-VP\tO' -p53407 -aS'up\tup\tRP\tB-PRT\tO' -p53408 -aS'with\twith\tIN\tB-PP\tO' -p53409 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p53410 -aS'as\tas\tIN\tB-PP\tO' -p53411 -aS'an\tan\tDT\tB-NP\tO' -p53412 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p53413 -aS'.\t.\t.\tO\tO' -p53414 -asS'The surrounding osseous and soft tissue structures are unremarkable .' -p53415 -(lp53416 -S'The\tThe\tDT\tB-NP\tO' -p53417 -aS'surrounding\tsurround\tVBG\tI-NP\tO' -p53418 -aS'osseous\tosseous\tJJ\tI-NP\tO' -p53419 -aS'and\tand\tCC\tI-NP\tO' -p53420 -aS'soft\tsoft\tJJ\tI-NP\tO' -p53421 -aS'tissue\ttissue\tNN\tI-NP\tO' -p53422 -aS'structures\tstructure\tNNS\tI-NP\tO' -p53423 -aS'are\tbe\tVBP\tB-VP\tO' -p53424 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p53425 -aS'.\t.\t.\tO\tO' -p53426 -asS'If the patient can not make those appointments or has any questions about the appointments , please call 787-984-9608 .' -p53427 -(lp53428 -S'If\tIf\tIN\tB-SBAR\tO' -p53429 -aS'the\tthe\tDT\tB-NP\tO' -p53430 -aS'patient\tpatient\tNN\tI-NP\tO' -p53431 -aS'can\tcan\tMD\tB-VP\tO' -p53432 -aS'not\tnot\tRB\tI-VP\tO' -p53433 -aS'make\tmake\tVB\tI-VP\tO' -p53434 -aS'those\tthose\tDT\tB-NP\tO' -p53435 -aS'appointments\tappointment\tNNS\tI-NP\tO' -p53436 -aS'or\tor\tCC\tO\tO' -p53437 -aS'has\thave\tVBZ\tB-VP\tO' -p53438 -aS'any\tany\tDT\tB-NP\tO' -p53439 -aS'questions\tquestion\tNNS\tI-NP\tO' -p53440 -aS'about\tabout\tIN\tB-PP\tO' -p53441 -aS'the\tthe\tDT\tB-NP\tO' -p53442 -aS'appointments\tappointment\tNNS\tI-NP\tO' -p53443 -aS',\t,\t,\tO\tO' -p53444 -aS'please\tplease\tVB\tB-VP\tO' -p53445 -aS'call\tcall\tNN\tB-NP\tO' -p53446 -aS'787-984-9608\t787-984-9608\tCD\tI-NP\tO' -p53447 -aS'.\t.\t.\tO\tO' -p53448 -asS'2. Albuterol-Ipratropium 103-18 mcg/Actuation Aerosol Sig : 06-17 Puffs Inhalation Q2-4H ( every 2 to 4 hours ) as needed .' -p53449 -(lp53450 -S'2.\t2.\tLS\tB-NP\tO' -p53451 -aS'Albuterol-Ipratropium\tAlbuterol-Ipratropium\tNN\tI-NP\tO' -p53452 -aS'103-18\t103-18\tCD\tI-NP\tO' -p53453 -aS'mcg/Actuation\tmcg/Actuation\tNN\tI-NP\tO' -p53454 -aS'Aerosol\tAerosol\tNNP\tI-NP\tO' -p53455 -aS'Sig\tSig\tNNP\tI-NP\tO' -p53456 -aS':\t:\t:\tO\tO' -p53457 -aS'06-17\t06-17\tCD\tB-NP\tO' -p53458 -aS'Puffs\tPuff\tNNS\tI-NP\tO' -p53459 -aS'Inhalation\tInhalation\tNN\tI-NP\tO' -p53460 -aS'Q2-4H\tQ2-4H\tNN\tI-NP\tO' -p53461 -aS'(\t(\t(\tO\tO' -p53462 -aS'every\tevery\tDT\tB-NP\tO' -p53463 -aS'2\t2\tCD\tI-NP\tO' -p53464 -aS'to\tto\tTO\tI-NP\tO' -p53465 -aS'4\t4\tCD\tI-NP\tO' -p53466 -aS'hours\thour\tNNS\tI-NP\tO' -p53467 -aS')\t)\t)\tO\tO' -p53468 -aS'as\tas\tIN\tB-SBAR\tO' -p53469 -aS'needed\tneed\tVBN\tB-VP\tO' -p53470 -aS'.\t.\t.\tO\tO' -p53471 -asS'The patient also revealed a prior history of heavy alcohol use for approximately 20 years , during the mid 1950s to mid 1970s .' -p53472 -(lp53473 -S'The\tThe\tDT\tB-NP\tO' -p53474 -aS'patient\tpatient\tNN\tI-NP\tO' -p53475 -aS'also\talso\tRB\tB-ADVP\tO' -p53476 -aS'revealed\treveal\tVBD\tB-VP\tO' -p53477 -aS'a\ta\tDT\tB-NP\tO' -p53478 -aS'prior\tprior\tJJ\tI-NP\tO' -p53479 -aS'history\thistory\tNN\tI-NP\tO' -p53480 -aS'of\tof\tIN\tB-PP\tO' -p53481 -aS'heavy\theavy\tJJ\tB-NP\tO' -p53482 -aS'alcohol\talcohol\tNN\tI-NP\tO' -p53483 -aS'use\tuse\tNN\tI-NP\tO' -p53484 -aS'for\tfor\tIN\tB-PP\tO' -p53485 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p53486 -aS'20\t20\tCD\tI-NP\tO' -p53487 -aS'years\tyear\tNNS\tI-NP\tO' -p53488 -aS',\t,\t,\tO\tO' -p53489 -aS'during\tduring\tIN\tB-PP\tO' -p53490 -aS'the\tthe\tDT\tB-NP\tO' -p53491 -aS'mid\tmid\tJJ\tI-NP\tO' -p53492 -aS'1950s\t1950s\tCD\tI-NP\tO' -p53493 -aS'to\tto\tTO\tB-PP\tO' -p53494 -aS'mid\tmid\tJJ\tB-NP\tO' -p53495 -aS'1970s\t1970\tNNS\tI-NP\tO' -p53496 -aS'.\t.\t.\tO\tO' -p53497 -asS'Notable for sodium 141 , potassium 4.2 , chloride 109 , bicarb 19.8 , BUN 38 , creatinine 1.2 and glucose 388 .' -p53498 -(lp53499 -S'Notable\tNotable\tJJ\tB-ADJP\tO' -p53500 -aS'for\tfor\tIN\tB-PP\tO' -p53501 -aS'sodium\tsodium\tNN\tB-NP\tO' -p53502 -aS'141\t141\tCD\tI-NP\tO' -p53503 -aS',\t,\t,\tO\tO' -p53504 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p53505 -aS'4.2\t4.2\tCD\tI-NP\tO' -p53506 -aS',\t,\t,\tO\tO' -p53507 -aS'chloride\tchloride\tNN\tB-NP\tO' -p53508 -aS'109\t109\tCD\tI-NP\tO' -p53509 -aS',\t,\t,\tO\tO' -p53510 -aS'bicarb\tbicarb\tNN\tB-NP\tB-protein' -p53511 -aS'19.8\t19.8\tCD\tI-NP\tI-protein' -p53512 -aS',\t,\t,\tO\tO' -p53513 -aS'BUN\tBUN\tNN\tB-NP\tB-DNA' -p53514 -aS'38\t38\tCD\tI-NP\tI-DNA' -p53515 -aS',\t,\t,\tO\tO' -p53516 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p53517 -aS'1.2\t1.2\tCD\tI-NP\tO' -p53518 -aS'and\tand\tCC\tO\tO' -p53519 -aS'glucose\tglucose\tNN\tB-NP\tB-protein' -p53520 -aS'388\t388\tCD\tI-NP\tI-protein' -p53521 -aS'.\t.\t.\tO\tO' -p53522 -asS'Right-sided electrocardiograms showed 1-mm ST elevations in V4 ; consistent with a right ventricular infarct .' -p53523 -(lp53524 -S'Right-sided\tRight-sided\tJJ\tB-NP\tO' -p53525 -aS'electrocardiograms\telectrocardiogram\tNNS\tI-NP\tO' -p53526 -aS'showed\tshow\tVBD\tB-VP\tO' -p53527 -aS'1-mm\t1-mm\tJJ\tB-NP\tO' -p53528 -aS'ST\tST\tJJ\tI-NP\tO' -p53529 -aS'elevations\televation\tNNS\tI-NP\tO' -p53530 -aS'in\tin\tIN\tB-PP\tO' -p53531 -aS'V4\tV4\tNN\tB-NP\tO' -p53532 -aS';\t;\t:\tO\tO' -p53533 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p53534 -aS'with\twith\tIN\tB-PP\tO' -p53535 -aS'a\ta\tDT\tB-NP\tO' -p53536 -aS'right\tright\tJJ\tI-NP\tO' -p53537 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p53538 -aS'infarct\tinfarct\tNN\tI-NP\tO' -p53539 -aS'.\t.\t.\tO\tO' -p53540 -asS'Do no strenuous activity until your symptoms are improved .' -p53541 -(lp53542 -S'Do\tDo\tVBP\tB-VP\tO' -p53543 -aS'no\tno\tDT\tB-NP\tO' -p53544 -aS'strenuous\tstrenuous\tJJ\tI-NP\tO' -p53545 -aS'activity\tactivity\tNN\tI-NP\tO' -p53546 -aS'until\tuntil\tIN\tB-SBAR\tO' -p53547 -aS'your\tyour\tPRP$\tB-NP\tO' -p53548 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p53549 -aS'are\tbe\tVBP\tB-VP\tO' -p53550 -aS'improved\timprove\tVBN\tI-VP\tO' -p53551 -aS'.\t.\t.\tO\tO' -p53552 -asS'This may have been the initial primary cancer although it is unclear at present .' -p53553 -(lp53554 -S'This\tThis\tDT\tB-NP\tO' -p53555 -aS'may\tmay\tMD\tB-VP\tO' -p53556 -aS'have\thave\tVB\tI-VP\tO' -p53557 -aS'been\tbe\tVBN\tI-VP\tO' -p53558 -aS'the\tthe\tDT\tB-NP\tO' -p53559 -aS'initial\tinitial\tJJ\tI-NP\tO' -p53560 -aS'primary\tprimary\tJJ\tI-NP\tO' -p53561 -aS'cancer\tcancer\tNN\tI-NP\tO' -p53562 -aS'although\talthough\tIN\tB-SBAR\tO' -p53563 -aS'it\tit\tPRP\tB-NP\tO' -p53564 -aS'is\tbe\tVBZ\tB-VP\tO' -p53565 -aS'unclear\tunclear\tJJ\tB-ADJP\tO' -p53566 -aS'at\tat\tIN\tB-PP\tO' -p53567 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p53568 -aS'.\t.\t.\tO\tO' -p53569 -asS'The patient was stable for transfer to the CMED floor on POD#3 .' -p53570 -(lp53571 -S'The\tThe\tDT\tB-NP\tO' -p53572 -aS'patient\tpatient\tNN\tI-NP\tO' -p53573 -aS'was\tbe\tVBD\tB-VP\tO' -p53574 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p53575 -aS'for\tfor\tIN\tB-PP\tO' -p53576 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p53577 -aS'to\tto\tTO\tB-PP\tO' -p53578 -aS'the\tthe\tDT\tB-NP\tO' -p53579 -aS'CMED\tCMED\tVBN\tI-NP\tO' -p53580 -aS'floor\tfloor\tNN\tI-NP\tO' -p53581 -aS'on\ton\tIN\tB-PP\tO' -p53582 -aS'POD#3\tPOD#3\tNN\tB-NP\tB-protein' -p53583 -aS'.\t.\t.\tO\tO' -p53584 -asS'CSF grm stn / cx : negative' -p53585 -(lp53586 -S'CSF\tCSF\tNN\tB-NP\tB-protein' -p53587 -aS'grm\tgrm\tNN\tI-NP\tO' -p53588 -aS'stn\tstn\tNN\tI-NP\tO' -p53589 -aS'/\t/\tSYM\tB-NP\tO' -p53590 -aS'cx\tcx\tNN\tI-NP\tO' -p53591 -aS':\t:\t:\tO\tO' -p53592 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p53593 -asS'This was thought to be due to her pneumonia ; however , with her right ventricular hypokinesis , it is also possible that she may have an element of pulmonary hypertension and may warrant further investigation as an outpatient , for example , with chest CT .' -p53594 -(lp53595 -S'This\tThis\tDT\tB-NP\tO' -p53596 -aS'was\tbe\tVBD\tB-VP\tO' -p53597 -aS'thought\tthink\tVBN\tI-VP\tO' -p53598 -aS'to\tto\tTO\tI-VP\tO' -p53599 -aS'be\tbe\tVB\tI-VP\tO' -p53600 -aS'due\tdue\tIN\tB-PP\tO' -p53601 -aS'to\tto\tTO\tB-PP\tO' -p53602 -aS'her\ther\tPRP$\tB-NP\tO' -p53603 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p53604 -aS';\t;\t:\tO\tO' -p53605 -aS'however\thowever\tRB\tB-ADVP\tO' -p53606 -aS',\t,\t,\tO\tO' -p53607 -aS'with\twith\tIN\tB-PP\tO' -p53608 -aS'her\ther\tPRP\tB-NP\tO' -p53609 -aS'right\tright\tJJ\tI-NP\tO' -p53610 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p53611 -aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' -p53612 -aS',\t,\t,\tO\tO' -p53613 -aS'it\tit\tPRP\tB-NP\tO' -p53614 -aS'is\tbe\tVBZ\tB-VP\tO' -p53615 -aS'also\talso\tRB\tB-ADVP\tO' -p53616 -aS'possible\tpossible\tJJ\tB-ADJP\tO' -p53617 -aS'that\tthat\tIN\tB-SBAR\tO' -p53618 -aS'she\tshe\tPRP\tB-NP\tO' -p53619 -aS'may\tmay\tMD\tB-VP\tO' -p53620 -aS'have\thave\tVB\tI-VP\tO' -p53621 -aS'an\tan\tDT\tB-NP\tO' -p53622 -aS'element\telement\tNN\tI-NP\tO' -p53623 -aS'of\tof\tIN\tB-PP\tO' -p53624 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p53625 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p53626 -aS'and\tand\tCC\tO\tO' -p53627 -aS'may\tmay\tMD\tB-VP\tO' -p53628 -aS'warrant\twarrant\tVB\tI-VP\tO' -p53629 -aS'further\tfurther\tJJ\tB-NP\tO' -p53630 -aS'investigation\tinvestigation\tNN\tI-NP\tO' -p53631 -aS'as\tas\tIN\tB-PP\tO' -p53632 -aS'an\tan\tDT\tB-NP\tO' -p53633 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p53634 -aS',\t,\t,\tO\tO' -p53635 -aS'for\tfor\tIN\tB-PP\tO' -p53636 -aS'example\texample\tNN\tB-NP\tO' -p53637 -aS',\t,\t,\tO\tO' -p53638 -aS'with\twith\tIN\tB-PP\tO' -p53639 -aS'chest\tchest\tNN\tB-NP\tO' -p53640 -aS'CT\tCT\tNN\tI-NP\tO' -p53641 -aS'.\t.\t.\tO\tO' -p53642 -asS'WBC s since admission were as high as 14,000 but normalized .' -p53643 -(lp53644 -S'WBC\tWBC\tNNP\tB-NP\tO' -p53645 -aS's\ts\tVBZ\tB-VP\tO' -p53646 -aS'since\tsince\tIN\tB-SBAR\tO' -p53647 -aS'admission\tadmission\tNN\tB-NP\tO' -p53648 -aS'were\tbe\tVBD\tB-VP\tO' -p53649 -aS'as\tas\tRB\tB-ADJP\tO' -p53650 -aS'high\thigh\tJJ\tI-ADJP\tO' -p53651 -aS'as\tas\tIN\tB-PP\tO' -p53652 -aS'14,000\t14,000\tCD\tB-NP\tO' -p53653 -aS'but\tbut\tCC\tO\tO' -p53654 -aS'normalized\tnormalize\tVBD\tB-VP\tO' -p53655 -aS'.\t.\t.\tO\tO' -p53656 -asS'Quit smoking 3.5 years ago .' -p53657 -(lp53658 -S'Quit\tQuit\tNNP\tB-NP\tO' -p53659 -aS'smoking\tsmoke\tVBG\tB-VP\tO' -p53660 -aS'3.5\t3.5\tCD\tB-NP\tO' -p53661 -aS'years\tyear\tNNS\tI-NP\tO' -p53662 -aS'ago\tago\tRB\tB-ADVP\tO' -p53663 -aS'.\t.\t.\tO\tO' -p53664 -asS"Podiatry and Vascular Surgery were reconsulted to assess the patient 's needs for revascularization and for his foot ulcer ." -p53665 -(lp53666 -S'Podiatry\tPodiatry\tNNP\tB-NP\tO' -p53667 -aS'and\tand\tCC\tI-NP\tO' -p53668 -aS'Vascular\tVascular\tNNP\tI-NP\tO' -p53669 -aS'Surgery\tSurgery\tNNP\tI-NP\tO' -p53670 -aS'were\tbe\tVBD\tB-VP\tO' -p53671 -aS'reconsulted\treconsulte\tVBN\tI-VP\tO' -p53672 -aS'to\tto\tTO\tI-VP\tO' -p53673 -aS'assess\tassess\tVB\tI-VP\tO' -p53674 -aS'the\tthe\tDT\tB-NP\tO' -p53675 -aS'patient\tpatient\tNN\tI-NP\tO' -p53676 -aS"'s\t's\tPOS\tB-NP\tO" -p53677 -aS'needs\tneed\tNNS\tI-NP\tO' -p53678 -aS'for\tfor\tIN\tB-PP\tO' -p53679 -aS'revascularization\trevascularization\tNN\tB-NP\tO' -p53680 -aS'and\tand\tCC\tB-PP\tO' -p53681 -aS'for\tfor\tIN\tB-PP\tO' -p53682 -aS'his\this\tPRP$\tB-NP\tO' -p53683 -aS'foot\tfoot\tNN\tI-NP\tO' -p53684 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p53685 -aS'.\t.\t.\tO\tO' -p53686 -asS'The study and the report were reviewed by the staff radiologist .' -p53687 -(lp53688 -S'The\tThe\tDT\tB-NP\tO' -p53689 -aS'study\tstudy\tNN\tI-NP\tO' -p53690 -aS'and\tand\tCC\tO\tO' -p53691 -aS'the\tthe\tDT\tB-NP\tO' -p53692 -aS'report\treport\tNN\tI-NP\tO' -p53693 -aS'were\tbe\tVBD\tB-VP\tO' -p53694 -aS'reviewed\treview\tVBN\tI-VP\tO' -p53695 -aS'by\tby\tIN\tB-PP\tO' -p53696 -aS'the\tthe\tDT\tB-NP\tO' -p53697 -aS'staff\tstaff\tNN\tI-NP\tO' -p53698 -aS'radiologist\tradiologist\tNN\tI-NP\tO' -p53699 -aS'.\t.\t.\tO\tO' -p53700 -asS"4. guiac pos stool : Given the patient 's sx of GERD , current PO steroid regimen , and ASA for her stents , the ddx for her guiac positive stools would include gastritis / gastric ulcer in addition to lower GI pathology ." -p53701 -(lp53702 -S'4.\t4.\tLS\tB-NP\tO' -p53703 -aS'guiac\tguiac\tJJ\tI-NP\tO' -p53704 -aS'pos\tpo\tNNS\tI-NP\tO' -p53705 -aS'stool\tstool\tNN\tI-NP\tO' -p53706 -aS':\t:\t:\tO\tO' -p53707 -aS'Given\tGive\tVBN\tB-VP\tO' -p53708 -aS'the\tthe\tDT\tB-NP\tO' -p53709 -aS'patient\tpatient\tNN\tI-NP\tO' -p53710 -aS"'s\t's\tPOS\tB-NP\tO" -p53711 -aS'sx\tsx\tNN\tI-NP\tO' -p53712 -aS'of\tof\tIN\tB-PP\tO' -p53713 -aS'GERD\tGERD\tNN\tB-NP\tO' -p53714 -aS',\t,\t,\tO\tO' -p53715 -aS'current\tcurrent\tJJ\tB-NP\tO' -p53716 -aS'PO\tPO\tNN\tI-NP\tO' -p53717 -aS'steroid\tsteroid\tNN\tI-NP\tO' -p53718 -aS'regimen\tregimen\tNN\tI-NP\tO' -p53719 -aS',\t,\t,\tO\tO' -p53720 -aS'and\tand\tCC\tO\tO' -p53721 -aS'ASA\tASA\tNN\tB-NP\tO' -p53722 -aS'for\tfor\tIN\tB-PP\tO' -p53723 -aS'her\ther\tPRP$\tB-NP\tO' -p53724 -aS'stents\tstent\tNNS\tI-NP\tO' -p53725 -aS',\t,\t,\tO\tO' -p53726 -aS'the\tthe\tDT\tB-NP\tO' -p53727 -aS'ddx\tddx\tNN\tI-NP\tO' -p53728 -aS'for\tfor\tIN\tB-PP\tO' -p53729 -aS'her\ther\tPRP$\tB-NP\tO' -p53730 -aS'guiac\tguiac\tJJ\tI-NP\tO' -p53731 -aS'positive\tpositive\tJJ\tI-NP\tO' -p53732 -aS'stools\tstool\tNNS\tI-NP\tO' -p53733 -aS'would\twould\tMD\tB-VP\tO' -p53734 -aS'include\tinclude\tVB\tI-VP\tO' -p53735 -aS'gastritis\tgastritis\tNN\tB-NP\tO' -p53736 -aS'/\t/\tSYM\tB-NP\tO' -p53737 -aS'gastric\tgastric\tJJ\tI-NP\tO' -p53738 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p53739 -aS'in\tin\tIN\tB-PP\tO' -p53740 -aS'addition\taddition\tNN\tB-NP\tO' -p53741 -aS'to\tto\tTO\tB-PP\tO' -p53742 -aS'lower\tlow\tJJR\tB-NP\tO' -p53743 -aS'GI\tGI\tNN\tI-NP\tO' -p53744 -aS'pathology\tpathology\tNN\tI-NP\tO' -p53745 -aS'.\t.\t.\tO\tO' -p53746 -asS'She was feeding herself and was very enthusiastic and energetic in her participation in her rehabilitation activities .' -p53747 -(lp53748 -S'She\tShe\tPRP\tB-NP\tO' -p53749 -aS'was\tbe\tVBD\tB-VP\tO' -p53750 -aS'feeding\tfeed\tVBG\tI-VP\tO' -p53751 -aS'herself\therself\tPRP\tB-NP\tO' -p53752 -aS'and\tand\tCC\tO\tO' -p53753 -aS'was\tbe\tVBD\tB-VP\tO' -p53754 -aS'very\tvery\tRB\tB-ADJP\tO' -p53755 -aS'enthusiastic\tenthusiastic\tJJ\tI-ADJP\tO' -p53756 -aS'and\tand\tCC\tI-ADJP\tO' -p53757 -aS'energetic\tenergetic\tJJ\tI-ADJP\tO' -p53758 -aS'in\tin\tIN\tB-PP\tO' -p53759 -aS'her\ther\tPRP$\tB-NP\tO' -p53760 -aS'participation\tparticipation\tNN\tI-NP\tO' -p53761 -aS'in\tin\tIN\tB-PP\tO' -p53762 -aS'her\ther\tPRP$\tB-NP\tO' -p53763 -aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' -p53764 -aS'activities\tactivity\tNNS\tI-NP\tO' -p53765 -aS'.\t.\t.\tO\tO' -p53766 -asS'The patient was discharged hemodynamicallly stable , afebrile with appropriate follow up .' -p53767 -(lp53768 -S'The\tThe\tDT\tB-NP\tO' -p53769 -aS'patient\tpatient\tNN\tI-NP\tO' -p53770 -aS'was\tbe\tVBD\tB-VP\tO' -p53771 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p53772 -aS'hemodynamicallly\themodynamicallly\tRB\tB-ADJP\tO' -p53773 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p53774 -aS',\t,\t,\tO\tO' -p53775 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p53776 -aS'with\twith\tIN\tB-PP\tO' -p53777 -aS'appropriate\tappropriate\tJJ\tB-ADJP\tO' -p53778 -aS'follow\tfollow\tVB\tB-VP\tO' -p53779 -aS'up\tup\tIN\tB-PRT\tO' -p53780 -aS'.\t.\t.\tO\tO' -p53781 -asS'He had a saphenous vein graft to his LAD and diagonal in a sequential fashion , saphenous vein graft to his PDA and a saphenous vein graft to his OM .' -p53782 -(lp53783 -S'He\tHe\tPRP\tB-NP\tO' -p53784 -aS'had\thave\tVBD\tB-VP\tO' -p53785 -aS'a\ta\tDT\tB-NP\tO' -p53786 -aS'saphenous\tsaphenous\tJJ\tI-NP\tO' -p53787 -aS'vein\tvein\tNN\tI-NP\tO' -p53788 -aS'graft\tgraft\tNN\tI-NP\tO' -p53789 -aS'to\tto\tTO\tB-PP\tO' -p53790 -aS'his\this\tPRP$\tB-NP\tO' -p53791 -aS'LAD\tLAD\tNN\tI-NP\tO' -p53792 -aS'and\tand\tCC\tO\tO' -p53793 -aS'diagonal\tdiagonal\tJJ\tB-ADJP\tO' -p53794 -aS'in\tin\tIN\tB-PP\tO' -p53795 -aS'a\ta\tDT\tB-NP\tO' -p53796 -aS'sequential\tsequential\tJJ\tI-NP\tO' -p53797 -aS'fashion\tfashion\tNN\tI-NP\tO' -p53798 -aS',\t,\t,\tO\tO' -p53799 -aS'saphenous\tsaphenous\tJJ\tB-NP\tO' -p53800 -aS'vein\tvein\tNN\tI-NP\tO' -p53801 -aS'graft\tgraft\tNN\tI-NP\tO' -p53802 -aS'to\tto\tTO\tB-PP\tO' -p53803 -aS'his\this\tPRP$\tB-NP\tO' -p53804 -aS'PDA\tPDA\tNN\tI-NP\tB-protein' -p53805 -aS'and\tand\tCC\tO\tO' -p53806 -aS'a\ta\tDT\tB-NP\tO' -p53807 -aS'saphenous\tsaphenous\tJJ\tI-NP\tO' -p53808 -aS'vein\tvein\tNN\tI-NP\tO' -p53809 -aS'graft\tgraft\tNN\tI-NP\tO' -p53810 -aS'to\tto\tTO\tB-PP\tO' -p53811 -aS'his\this\tPRP$\tB-NP\tO' -p53812 -aS'OM\tOM\tNN\tI-NP\tO' -p53813 -aS'.\t.\t.\tO\tO' -p53814 -asS'Dictated By : Emily O Ennis , M.D.' -p53815 -(lp53816 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p53817 -aS'By\tBy\tIN\tB-PP\tO' -p53818 -aS':\t:\t:\tO\tO' -p53819 -aS'Emily\tEmily\tNNP\tB-NP\tO' -p53820 -aS'O\tO\tNNP\tI-NP\tO' -p53821 -aS'Ennis\tEnnis\tNNP\tI-NP\tO' -p53822 -aS',\t,\t,\tO\tO' -p53823 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p53824 -asS'Patient 's chest X-Ray , as mentioned above , showed pulmonary edema .' -p53825 -(lp53826 -S'Patient\tPatient\tNN\tB-NP\tO' -p53827 -aS''s\t'\tNNS\tI-NP\tO' -p53828 -aS'chest\tchest\tVBP\tB-VP\tO' -p53829 -aS'X-Ray\tX-Ray\tNNP\tB-NP\tO' -p53830 -aS',\t,\t,\tO\tO' -p53831 -aS'as\tas\tIN\tB-SBAR\tO' -p53832 -aS'mentioned\tmention\tVBN\tB-VP\tO' -p53833 -aS'above\tabove\tRB\tB-ADVP\tO' -p53834 -aS',\t,\t,\tO\tO' -p53835 -aS'showed\tshow\tVBD\tB-VP\tO' -p53836 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p53837 -aS'edema\tedema\tNN\tI-NP\tO' -p53838 -aS'.\t.\t.\tO\tO' -p53839 -asS'To home without service .' -p53840 -(lp53841 -S'To\tTo\tTO\tB-PP\tO' -p53842 -aS'home\thome\tNN\tB-NP\tO' -p53843 -aS'without\twithout\tIN\tB-PP\tO' -p53844 -aS'service\tservice\tNN\tB-NP\tO' -p53845 -aS'.\t.\t.\tO\tO' -p53846 -asS'He was admitted on 10/17/06 and echocardiogram done on 11/13/09 revealed poor left ventricular function and cardiac catheterization was done on admission which showed three vessel disease .' -p53847 -(lp53848 -S'He\tHe\tPRP\tB-NP\tO' -p53849 -aS'was\tbe\tVBD\tB-VP\tO' -p53850 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p53851 -aS'on\ton\tIN\tB-PP\tO' -p53852 -aS'10/17/06\t10/17/06\tCD\tB-NP\tO' -p53853 -aS'and\tand\tCC\tO\tO' -p53854 -aS'echocardiogram\techocardiogram\tNN\tB-NP\tO' -p53855 -aS'done\tdo\tVBN\tB-VP\tO' -p53856 -aS'on\ton\tIN\tB-PP\tO' -p53857 -aS'11/13/09\t11/13/09\tCD\tB-NP\tO' -p53858 -aS'revealed\treveal\tVBD\tB-VP\tO' -p53859 -aS'poor\tpoor\tJJ\tB-NP\tO' -p53860 -aS'left\tleft\tJJ\tI-NP\tO' -p53861 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p53862 -aS'function\tfunction\tNN\tI-NP\tO' -p53863 -aS'and\tand\tCC\tO\tO' -p53864 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p53865 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p53866 -aS'was\tbe\tVBD\tB-VP\tO' -p53867 -aS'done\tdo\tVBN\tI-VP\tO' -p53868 -aS'on\ton\tIN\tB-PP\tO' -p53869 -aS'admission\tadmission\tNN\tB-NP\tO' -p53870 -aS'which\twhich\tWDT\tB-NP\tO' -p53871 -aS'showed\tshow\tVBD\tB-VP\tO' -p53872 -aS'three\tthree\tCD\tB-NP\tO' -p53873 -aS'vessel\tvessel\tNN\tI-NP\tO' -p53874 -aS'disease\tdisease\tNN\tI-NP\tO' -p53875 -aS'.\t.\t.\tO\tO' -p53876 -asS'The patient was exacerbated when eating and when lying flat .' -p53877 -(lp53878 -S'The\tThe\tDT\tB-NP\tO' -p53879 -aS'patient\tpatient\tNN\tI-NP\tO' -p53880 -aS'was\tbe\tVBD\tB-VP\tO' -p53881 -aS'exacerbated\texacerbate\tVBN\tI-VP\tO' -p53882 -aS'when\twhen\tWRB\tB-ADVP\tO' -p53883 -aS'eating\teat\tVBG\tB-VP\tO' -p53884 -aS'and\tand\tCC\tO\tO' -p53885 -aS'when\twhen\tWRB\tB-ADVP\tO' -p53886 -aS'lying\tlie\tVBG\tB-VP\tO' -p53887 -aS'flat\tflat\tJJ\tB-ADJP\tO' -p53888 -aS'.\t.\t.\tO\tO' -p53889 -asS'Pulm - CTA anteriorlly .' -p53890 -(lp53891 -S'Pulm\tPulm\tNN\tB-NP\tO' -p53892 -aS'-\t-\tHYPH\tI-NP\tO' -p53893 -aS'CTA\tCTA\tNN\tI-NP\tB-protein' -p53894 -aS'anteriorlly\tanteriorlly\tRB\tB-ADVP\tO' -p53895 -aS'.\t.\t.\tO\tO' -p53896 -asS'6. Magnesium Hydroxide 400 mg / 5 mL Suspension Sig : Thirty ( 30 ) ML PO HS ( at bedtime ) as needed for constipation .' -p53897 -(lp53898 -S'6.\t6.\tLS\tB-NP\tO' -p53899 -aS'Magnesium\tMagnesium\tNNP\tI-NP\tO' -p53900 -aS'Hydroxide\tHydroxide\tNNP\tI-NP\tO' -p53901 -aS'400\t400\tCD\tI-NP\tO' -p53902 -aS'mg\tmg\tNN\tI-NP\tO' -p53903 -aS'/\t/\tSYM\tB-NP\tO' -p53904 -aS'5\t5\tCD\tB-NP\tO' -p53905 -aS'mL\tmL\tNN\tI-NP\tO' -p53906 -aS'Suspension\tSuspension\tNNP\tI-NP\tO' -p53907 -aS'Sig\tSig\tNNP\tI-NP\tO' -p53908 -aS':\t:\t:\tO\tO' -p53909 -aS'Thirty\tThirty\tCD\tB-NP\tO' -p53910 -aS'(\t(\t(\tO\tO' -p53911 -aS'30\t30\tCD\tO\tO' -p53912 -aS')\t)\t)\tO\tO' -p53913 -aS'ML\tML\tNN\tB-NP\tO' -p53914 -aS'PO\tPO\tNN\tI-NP\tO' -p53915 -aS'HS\tHS\tNN\tI-NP\tO' -p53916 -aS'(\t(\t(\tO\tO' -p53917 -aS'at\tat\tIN\tB-PP\tO' -p53918 -aS'bedtime\tbedtime\tNN\tB-NP\tO' -p53919 -aS')\t)\t)\tO\tO' -p53920 -aS'as\tas\tIN\tB-SBAR\tO' -p53921 -aS'needed\tneed\tVBN\tB-VP\tO' -p53922 -aS'for\tfor\tIN\tB-PP\tO' -p53923 -aS'constipation\tconstipation\tNN\tB-NP\tO' -p53924 -aS'.\t.\t.\tO\tO' -p53925 -asS'CV : Regular rate and rhythm .' -p53926 -(lp53927 -S'CV\tCV\tNN\tB-NP\tO' -p53928 -aS':\t:\t:\tO\tO' -p53929 -aS'Regular\tRegular\tJJ\tB-NP\tO' -p53930 -aS'rate\trate\tNN\tI-NP\tO' -p53931 -aS'and\tand\tCC\tI-NP\tO' -p53932 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p53933 -aS'.\t.\t.\tO\tO' -p53934 -asS'Vital signs temperature 100.6 .' -p53935 -(lp53936 -S'Vital\tVital\tJJ\tB-NP\tO' -p53937 -aS'signs\tsign\tNNS\tI-NP\tO' -p53938 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p53939 -aS'100.6\t100.6\tCD\tI-NP\tO' -p53940 -aS'.\t.\t.\tO\tO' -p53941 -asS'Extended chemistries were within normal limits with a creatine kinase of 122 and no measured methylene blue fraction given the low value .' -p53942 -(lp53943 -S'Extended\tExtend\tVBN\tB-NP\tO' -p53944 -aS'chemistries\tchemistry\tNNS\tI-NP\tO' -p53945 -aS'were\tbe\tVBD\tB-VP\tO' -p53946 -aS'within\twithin\tIN\tB-PP\tO' -p53947 -aS'normal\tnormal\tJJ\tB-NP\tO' -p53948 -aS'limits\tlimit\tNNS\tI-NP\tO' -p53949 -aS'with\twith\tIN\tB-PP\tO' -p53950 -aS'a\ta\tDT\tB-NP\tO' -p53951 -aS'creatine\tcreatine\tNN\tI-NP\tB-protein' -p53952 -aS'kinase\tkinase\tNN\tI-NP\tI-protein' -p53953 -aS'of\tof\tIN\tB-PP\tO' -p53954 -aS'122\t122\tCD\tB-NP\tO' -p53955 -aS'and\tand\tCC\tO\tO' -p53956 -aS'no\tno\tDT\tB-NP\tO' -p53957 -aS'measured\tmeasure\tVBN\tI-NP\tO' -p53958 -aS'methylene\tmethylene\tNN\tI-NP\tO' -p53959 -aS'blue\tblue\tJJ\tI-NP\tO' -p53960 -aS'fraction\tfraction\tNN\tI-NP\tO' -p53961 -aS'given\tgive\tVBN\tB-PP\tO' -p53962 -aS'the\tthe\tDT\tB-NP\tO' -p53963 -aS'low\tlow\tJJ\tI-NP\tO' -p53964 -aS'value\tvalue\tNN\tI-NP\tO' -p53965 -aS'.\t.\t.\tO\tO' -p53966 -asS'The right side does not move .' -p53967 -(lp53968 -S'The\tThe\tDT\tB-NP\tO' -p53969 -aS'right\tright\tJJ\tI-NP\tO' -p53970 -aS'side\tside\tNN\tI-NP\tO' -p53971 -aS'does\tdo\tVBZ\tB-VP\tO' -p53972 -aS'not\tnot\tRB\tI-VP\tO' -p53973 -aS'move\tmove\tVB\tI-VP\tO' -p53974 -aS'.\t.\t.\tO\tO' -p53975 -asS'Chest x-ray revealed streaky lung fields of normal situs , no consolidation , consistent with retained fetal lung fluid .' -p53976 -(lp53977 -S'Chest\tCh\tJJS\tB-NP\tO' -p53978 -aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' -p53979 -aS'revealed\treveal\tVBD\tB-VP\tO' -p53980 -aS'streaky\tstreaky\tJJ\tB-NP\tO' -p53981 -aS'lung\tlung\tNN\tI-NP\tO' -p53982 -aS'fields\tfield\tNNS\tI-NP\tO' -p53983 -aS'of\tof\tIN\tB-PP\tO' -p53984 -aS'normal\tnormal\tJJ\tB-NP\tO' -p53985 -aS'situs\tsitus\tNN\tI-NP\tO' -p53986 -aS',\t,\t,\tO\tO' -p53987 -aS'no\tno\tDT\tB-NP\tO' -p53988 -aS'consolidation\tconsolidation\tNN\tI-NP\tO' -p53989 -aS',\t,\t,\tO\tO' -p53990 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p53991 -aS'with\twith\tIN\tB-PP\tO' -p53992 -aS'retained\tretain\tVBN\tB-NP\tO' -p53993 -aS'fetal\tfetal\tJJ\tI-NP\tO' -p53994 -aS'lung\tlung\tNN\tI-NP\tO' -p53995 -aS'fluid\tfluid\tNN\tI-NP\tO' -p53996 -aS'.\t.\t.\tO\tO' -p53997 -asS'Given these findings , she underwent a Sestamibi scan .' -p53998 -(lp53999 -S'Given\tGive\tVBN\tB-PP\tO' -p54000 -aS'these\tthese\tDT\tB-NP\tO' -p54001 -aS'findings\tfinding\tNNS\tI-NP\tO' -p54002 -aS',\t,\t,\tO\tO' -p54003 -aS'she\tshe\tPRP\tB-NP\tO' -p54004 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p54005 -aS'a\ta\tDT\tB-NP\tO' -p54006 -aS'Sestamibi\tSestamibi\tNNP\tI-NP\tO' -p54007 -aS'scan\tscan\tNN\tI-NP\tO' -p54008 -aS'.\t.\t.\tO\tO' -p54009 -asS'Then becoming irregular for several years .' -p54010 -(lp54011 -S'Then\tThen\tRB\tO\tO' -p54012 -aS'becoming\tbecome\tVBG\tB-VP\tO' -p54013 -aS'irregular\tirregular\tJJ\tB-ADJP\tO' -p54014 -aS'for\tfor\tIN\tB-PP\tO' -p54015 -aS'several\tseveral\tJJ\tB-NP\tO' -p54016 -aS'years\tyear\tNNS\tI-NP\tO' -p54017 -aS'.\t.\t.\tO\tO' -p54018 -asS'His incision was clean , dry and intact with no erythema .' -p54019 -(lp54020 -S'His\tHis\tPRP$\tB-NP\tO' -p54021 -aS'incision\tincision\tNN\tI-NP\tO' -p54022 -aS'was\tbe\tVBD\tB-VP\tO' -p54023 -aS'clean\tclean\tJJ\tB-NP\tO' -p54024 -aS',\t,\t,\tI-NP\tO' -p54025 -aS'dry\tdry\tJJ\tI-NP\tO' -p54026 -aS'and\tand\tCC\tI-NP\tO' -p54027 -aS'intact\tintact\tJJ\tI-NP\tO' -p54028 -aS'with\twith\tIN\tB-PP\tO' -p54029 -aS'no\tno\tDT\tB-NP\tO' -p54030 -aS'erythema\terythema\tNN\tI-NP\tO' -p54031 -aS'.\t.\t.\tO\tO' -p54032 -asS'Mr. Le is a seventy three year old male who presents to the Fairm of Ijordcompmac Hospital , following a self inflicted gunshot wound to the head .' -p54033 -(lp54034 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p54035 -aS'Le\tLe\tNNP\tI-NP\tO' -p54036 -aS'is\tbe\tVBZ\tB-VP\tO' -p54037 -aS'a\ta\tDT\tB-NP\tO' -p54038 -aS'seventy\tseventy\tJJ\tI-NP\tO' -p54039 -aS'three\tthree\tCD\tI-NP\tO' -p54040 -aS'year\tyear\tNN\tI-NP\tO' -p54041 -aS'old\told\tJJ\tI-NP\tO' -p54042 -aS'male\tmale\tNN\tI-NP\tO' -p54043 -aS'who\twho\tWP\tB-NP\tO' -p54044 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p54045 -aS'to\tto\tTO\tB-PP\tO' -p54046 -aS'the\tthe\tDT\tB-NP\tO' -p54047 -aS'Fairm\tFairm\tNNP\tI-NP\tO' -p54048 -aS'of\tof\tIN\tB-PP\tO' -p54049 -aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' -p54050 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p54051 -aS',\t,\t,\tO\tO' -p54052 -aS'following\tfollow\tVBG\tB-PP\tO' -p54053 -aS'a\ta\tDT\tB-NP\tO' -p54054 -aS'self\tself\tNN\tI-NP\tO' -p54055 -aS'inflicted\tinflict\tVBD\tB-VP\tO' -p54056 -aS'gunshot\tgunshot\tNN\tB-NP\tO' -p54057 -aS'wound\twound\tNN\tI-NP\tO' -p54058 -aS'to\tto\tTO\tB-PP\tO' -p54059 -aS'the\tthe\tDT\tB-NP\tO' -p54060 -aS'head\thead\tNN\tI-NP\tO' -p54061 -aS'.\t.\t.\tO\tO' -p54062 -asS'No central access was needed .' -p54063 -(lp54064 -S'No\tNo\tDT\tB-NP\tO' -p54065 -aS'central\tcentral\tJJ\tI-NP\tO' -p54066 -aS'access\taccess\tNN\tI-NP\tO' -p54067 -aS'was\tbe\tVBD\tB-VP\tO' -p54068 -aS'needed\tneed\tVBN\tI-VP\tO' -p54069 -aS'.\t.\t.\tO\tO' -p54070 -asS'Following evaluation and treatment , the patient 's disposition at the end of the visit was ADMITTED AS AN INPATIENT TO OAKSGEKESSER/ MEMORIAL HOSPITAL .' -p54071 -(lp54072 -S'Following\tFollow\tVBG\tB-PP\tO' -p54073 -aS'evaluation\tevaluation\tNN\tB-NP\tO' -p54074 -aS'and\tand\tCC\tI-NP\tO' -p54075 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p54076 -aS',\t,\t,\tO\tO' -p54077 -aS'the\tthe\tDT\tB-NP\tO' -p54078 -aS'patient\tpatient\tNN\tI-NP\tO' -p54079 -aS''s\t'\tNNS\tI-NP\tO' -p54080 -aS'disposition\tdisposition\tNN\tI-NP\tO' -p54081 -aS'at\tat\tIN\tB-PP\tO' -p54082 -aS'the\tthe\tDT\tB-NP\tO' -p54083 -aS'end\tend\tNN\tI-NP\tO' -p54084 -aS'of\tof\tIN\tB-PP\tO' -p54085 -aS'the\tthe\tDT\tB-NP\tO' -p54086 -aS'visit\tvisit\tNN\tI-NP\tO' -p54087 -aS'was\tbe\tVBD\tB-VP\tO' -p54088 -aS'ADMITTED\tADMITTED\tVBN\tI-VP\tO' -p54089 -aS'AS\tAS\tNNP\tB-NP\tO' -p54090 -aS'AN\tAN\tNNP\tI-NP\tO' -p54091 -aS'INPATIENT\tINPATIENT\tNNP\tI-NP\tO' -p54092 -aS'TO\tTO\tNNP\tI-NP\tO' -p54093 -aS'OAKSGEKESSER/\tOAKSGEKESSER/\tNNP\tI-NP\tO' -p54094 -aS'MEMORIAL\tMEMORIAL\tNNP\tI-NP\tO' -p54095 -aS'HOSPITAL\tHOSPITAL\tNNP\tI-NP\tO' -p54096 -aS'.\t.\t.\tO\tO' -p54097 -asS'12. Acetaminophen - Codeine 300-30 mg Tablet Sig : One ( 1 ) Tablet PO Q4H ( every 4 hours ) as needed .' -p54098 -(lp54099 -S'12.\t12.\tLS\tB-NP\tO' -p54100 -aS'Acetaminophen\tAcetaminophen\tNN\tI-NP\tO' -p54101 -aS'-\t-\tHYPH\tO\tO' -p54102 -aS'Codeine\tCodeine\tNN\tB-NP\tO' -p54103 -aS'300-30\t300-30\tCD\tI-NP\tO' -p54104 -aS'mg\tmg\tNN\tI-NP\tO' -p54105 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p54106 -aS'Sig\tSig\tNNP\tI-NP\tO' -p54107 -aS':\t:\t:\tO\tO' -p54108 -aS'One\tOne\tCD\tB-NP\tO' -p54109 -aS'(\t(\t(\tO\tO' -p54110 -aS'1\t1\tCD\tB-NP\tO' -p54111 -aS')\t)\t)\tO\tO' -p54112 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p54113 -aS'PO\tPO\tNN\tI-NP\tO' -p54114 -aS'Q4H\tQ4H\tNN\tI-NP\tO' -p54115 -aS'(\t(\t(\tO\tO' -p54116 -aS'every\tevery\tDT\tB-NP\tO' -p54117 -aS'4\t4\tCD\tI-NP\tO' -p54118 -aS'hours\thour\tNNS\tI-NP\tO' -p54119 -aS')\t)\t)\tO\tO' -p54120 -aS'as\tas\tIN\tB-SBAR\tO' -p54121 -aS'needed\tneed\tVBN\tB-VP\tO' -p54122 -aS'.\t.\t.\tO\tO' -p54123 -asS'Hips stable , moving all .' -p54124 -(lp54125 -S'Hips\tHip\tNNS\tB-NP\tO' -p54126 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p54127 -aS',\t,\t,\tO\tO' -p54128 -aS'moving\tmove\tVBG\tB-VP\tO' -p54129 -aS'all\tall\tDT\tB-NP\tO' -p54130 -aS'.\t.\t.\tO\tO' -p54131 -asS'Heart rate was 78 , blood pressure 98/50 , respiratory rate of 32 , satting 91% on four liters .' -p54132 -(lp54133 -S'Heart\tHeart\tNN\tB-NP\tO' -p54134 -aS'rate\trate\tNN\tI-NP\tO' -p54135 -aS'was\tbe\tVBD\tB-VP\tO' -p54136 -aS'78\t78\tCD\tB-NP\tO' -p54137 -aS',\t,\t,\tO\tO' -p54138 -aS'blood\tblood\tNN\tB-NP\tO' -p54139 -aS'pressure\tpressure\tNN\tI-NP\tO' -p54140 -aS'98/50\t98/50\tCD\tI-NP\tO' -p54141 -aS',\t,\t,\tO\tO' -p54142 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p54143 -aS'rate\trate\tNN\tI-NP\tO' -p54144 -aS'of\tof\tIN\tB-PP\tO' -p54145 -aS'32\t32\tCD\tB-NP\tO' -p54146 -aS',\t,\t,\tO\tO' -p54147 -aS'satting\tsatte\tVBG\tB-VP\tO' -p54148 -aS'91%\t91%\tCD\tB-NP\tO' -p54149 -aS'on\ton\tIN\tB-PP\tO' -p54150 -aS'four\tfour\tCD\tB-NP\tO' -p54151 -aS'liters\tliter\tNNS\tI-NP\tO' -p54152 -aS'.\t.\t.\tO\tO' -p54153 -asS'Call 381-389-5852 to schedule an apointment with your pain doctor ( Dr. Maa Bloch ) ASAP' -p54154 -(lp54155 -S'Call\tCall\tVB\tB-NP\tO' -p54156 -aS'381-389-5852\t381-389-5852\tCD\tB-NP\tO' -p54157 -aS'to\tto\tTO\tB-VP\tO' -p54158 -aS'schedule\tschedule\tVB\tI-VP\tO' -p54159 -aS'an\tan\tDT\tB-NP\tO' -p54160 -aS'apointment\tapointment\tNN\tI-NP\tO' -p54161 -aS'with\twith\tIN\tB-PP\tO' -p54162 -aS'your\tyour\tPRP$\tB-NP\tO' -p54163 -aS'pain\tpain\tNN\tI-NP\tO' -p54164 -aS'doctor\tdoctor\tNN\tI-NP\tO' -p54165 -aS'(\t(\t(\tO\tO' -p54166 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p54167 -aS'Maa\tMaa\tNNP\tI-NP\tO' -p54168 -aS'Bloch\tBloch\tNNP\tI-NP\tO' -p54169 -aS')\t)\t)\tO\tO' -p54170 -aS'ASAP\tASAP\t.\tO\tO' -p54171 -asS'Cath Lab at the Pinewood , Norfolk that evening where a stent procedure to the RCA was complicated by guidewire entrapment inside of a stent requiring CT surgery to do a thoracotomy with bypass and excision of the wire .' -p54172 -(lp54173 -S'Cath\tCath\tNNP\tB-NP\tO' -p54174 -aS'Lab\tLab\tNNP\tI-NP\tO' -p54175 -aS'at\tat\tIN\tB-PP\tO' -p54176 -aS'the\tthe\tDT\tB-NP\tO' -p54177 -aS'Pinewood\tPinewood\tNNP\tI-NP\tO' -p54178 -aS',\t,\t,\tO\tO' -p54179 -aS'Norfolk\tNorfolk\tNNP\tB-NP\tO' -p54180 -aS'that\tthat\tIN\tB-SBAR\tO' -p54181 -aS'evening\teven\tVBG\tB-VP\tO' -p54182 -aS'where\twhere\tWRB\tB-ADVP\tO' -p54183 -aS'a\ta\tDT\tB-NP\tO' -p54184 -aS'stent\tstent\tJJ\tI-NP\tO' -p54185 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p54186 -aS'to\tto\tTO\tB-PP\tO' -p54187 -aS'the\tthe\tDT\tB-NP\tO' -p54188 -aS'RCA\tRCA\tNN\tI-NP\tB-protein' -p54189 -aS'was\tbe\tVBD\tB-VP\tO' -p54190 -aS'complicated\tcomplicate\tVBN\tI-VP\tO' -p54191 -aS'by\tby\tIN\tB-PP\tO' -p54192 -aS'guidewire\tguidewire\tNN\tB-NP\tO' -p54193 -aS'entrapment\tentrapment\tNN\tI-NP\tO' -p54194 -aS'inside\tinside\tIN\tB-PP\tO' -p54195 -aS'of\tof\tIN\tB-PP\tO' -p54196 -aS'a\ta\tDT\tB-NP\tO' -p54197 -aS'stent\tstent\tJJ\tI-NP\tO' -p54198 -aS'requiring\trequire\tVBG\tI-NP\tO' -p54199 -aS'CT\tCT\tNN\tI-NP\tO' -p54200 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p54201 -aS'to\tto\tTO\tB-VP\tO' -p54202 -aS'do\tdo\tVB\tI-VP\tO' -p54203 -aS'a\ta\tDT\tB-NP\tO' -p54204 -aS'thoracotomy\tthoracotomy\tNN\tI-NP\tO' -p54205 -aS'with\twith\tIN\tB-PP\tO' -p54206 -aS'bypass\tbypass\tNN\tB-NP\tO' -p54207 -aS'and\tand\tCC\tI-NP\tO' -p54208 -aS'excision\texcision\tNN\tI-NP\tO' -p54209 -aS'of\tof\tIN\tB-PP\tO' -p54210 -aS'the\tthe\tDT\tB-NP\tO' -p54211 -aS'wire\twire\tNN\tI-NP\tO' -p54212 -aS'.\t.\t.\tO\tO' -p54213 -asS'5. Fluticasone - Salmeterol 100-50 mcg / Dose Disk with Device Sig : One ( 1 ) Disk with Device Inhalation BID ( 2 times a day ) .' -p54214 -(lp54215 -S'5.\t5.\tLS\tB-NP\tO' -p54216 -aS'Fluticasone\tFluticasone\tNN\tI-NP\tO' -p54217 -aS'-\t-\tHYPH\tO\tO' -p54218 -aS'Salmeterol\tSalmeterol\tNN\tB-NP\tO' -p54219 -aS'100-50\t100-50\tCD\tI-NP\tO' -p54220 -aS'mcg\tmcg\tNN\tI-NP\tO' -p54221 -aS'/\t/\tSYM\tB-NP\tO' -p54222 -aS'Dose\tDose\tNN\tI-NP\tO' -p54223 -aS'Disk\tDisk\tNN\tI-NP\tO' -p54224 -aS'with\twith\tIN\tB-PP\tO' -p54225 -aS'Device\tDevice\tNNP\tB-NP\tO' -p54226 -aS'Sig\tSig\tNNP\tI-NP\tO' -p54227 -aS':\t:\t:\tO\tO' -p54228 -aS'One\tOne\tCD\tB-NP\tO' -p54229 -aS'(\t(\t(\tO\tO' -p54230 -aS'1\t1\tCD\tB-NP\tO' -p54231 -aS')\t)\t)\tO\tO' -p54232 -aS'Disk\tDisk\tNN\tB-NP\tO' -p54233 -aS'with\twith\tIN\tB-PP\tO' -p54234 -aS'Device\tDevice\tNN\tB-NP\tO' -p54235 -aS'Inhalation\tInhalation\tNN\tI-NP\tO' -p54236 -aS'BID\tBID\tNN\tI-NP\tO' -p54237 -aS'(\t(\t(\tO\tO' -p54238 -aS'2\t2\tCD\tB-NP\tO' -p54239 -aS'times\ttime\tNNS\tI-NP\tO' -p54240 -aS'a\ta\tDT\tB-NP\tO' -p54241 -aS'day\tday\tNN\tI-NP\tO' -p54242 -aS')\t)\t)\tO\tO' -p54243 -aS'.\t.\t.\tO\tO' -p54244 -asS'Please follow up with Dr. Scott Ann , MD Phone :( 921 ) 538 8079 on 2020-04-30 at 11:00am .' -p54245 -(lp54246 -S'Please\tPlease\tVB\tB-VP\tO' -p54247 -aS'follow\tfollow\tVB\tI-VP\tO' -p54248 -aS'up\tup\tRP\tB-PRT\tO' -p54249 -aS'with\twith\tIN\tB-PP\tO' -p54250 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p54251 -aS'Scott\tScott\tNNP\tI-NP\tO' -p54252 -aS'Ann\tAnn\tNNP\tI-NP\tO' -p54253 -aS',\t,\t,\tO\tO' -p54254 -aS'MD\tMD\tNNP\tB-NP\tO' -p54255 -aS'Phone\tPhone\tNNP\tI-NP\tO' -p54256 -aS':(\t:(\t(\tO\tO' -p54257 -aS'921\t921\tCD\tB-NP\tO' -p54258 -aS')\t)\t)\tO\tO' -p54259 -aS'538\t538\tCD\tB-NP\tO' -p54260 -aS'8079\t8079\tCD\tI-NP\tO' -p54261 -aS'on\ton\tIN\tB-PP\tO' -p54262 -aS'2020-04-30\t2020-04-30\tCD\tB-NP\tO' -p54263 -aS'at\tat\tIN\tB-PP\tO' -p54264 -aS'11:00am\t11:00am\tNN\tB-NP\tO' -p54265 -aS'.\t.\t.\tO\tO' -p54266 -asS'CP , low prob with atypical chest pain , CK 's x3 flat , and no further episodes of CP during the admission .' -p54267 -(lp54268 -S'CP\tCP\tNN\tB-NP\tB-DNA' -p54269 -aS',\t,\t,\tO\tO' -p54270 -aS'low\tlow\tJJ\tB-NP\tO' -p54271 -aS'prob\tprob\tNN\tI-NP\tO' -p54272 -aS'with\twith\tIN\tB-PP\tO' -p54273 -aS'atypical\tatypical\tJJ\tB-NP\tB-protein' -p54274 -aS'chest\tchest\tNN\tI-NP\tI-protein' -p54275 -aS'pain\tpain\tNN\tI-NP\tI-protein' -p54276 -aS',\t,\t,\tO\tO' -p54277 -aS'CK\tCK\tNN\tB-NP\tB-protein' -p54278 -aS''s\t'\tNNS\tI-NP\tI-protein' -p54279 -aS'x3\tx3\tCD\tB-NP\tI-protein' -p54280 -aS'flat\tflat\tJJ\tB-ADJP\tO' -p54281 -aS',\t,\t,\tO\tO' -p54282 -aS'and\tand\tCC\tO\tO' -p54283 -aS'no\tno\tDT\tB-NP\tO' -p54284 -aS'further\tfurther\tJJ\tI-NP\tO' -p54285 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p54286 -aS'of\tof\tIN\tB-PP\tO' -p54287 -aS'CP\tCP\tNN\tB-NP\tB-DNA' -p54288 -aS'during\tduring\tIN\tB-PP\tO' -p54289 -aS'the\tthe\tDT\tB-NP\tO' -p54290 -aS'admission\tadmission\tNN\tI-NP\tO' -p54291 -aS'.\t.\t.\tO\tO' -p54292 -asS'Cardiac risk factors hypercholesterolemia , hypertension , no history of tobacco use , diabetes or family history .' -p54293 -(lp54294 -S'Cardiac\tCardiac\tJJ\tB-NP\tO' -p54295 -aS'risk\trisk\tNN\tI-NP\tO' -p54296 -aS'factors\tfactor\tNNS\tI-NP\tO' -p54297 -aS'hypercholesterolemia\thypercholesterolemia\tNN\tB-NP\tO' -p54298 -aS',\t,\t,\tO\tO' -p54299 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p54300 -aS',\t,\t,\tO\tO' -p54301 -aS'no\tno\tDT\tB-NP\tO' -p54302 -aS'history\thistory\tNN\tI-NP\tO' -p54303 -aS'of\tof\tIN\tB-PP\tO' -p54304 -aS'tobacco\ttobacco\tNN\tB-NP\tO' -p54305 -aS'use\tuse\tNN\tI-NP\tO' -p54306 -aS',\t,\t,\tO\tO' -p54307 -aS'diabetes\tdiabetes\tNN\tB-NP\tO' -p54308 -aS'or\tor\tCC\tI-NP\tO' -p54309 -aS'family\tfamily\tNN\tI-NP\tO' -p54310 -aS'history\thistory\tNN\tI-NP\tO' -p54311 -aS'.\t.\t.\tO\tO' -p54312 -asS'Dr. James Ramos , telephone ( 346 ) 741 2728 .' -p54313 -(lp54314 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p54315 -aS'James\tJames\tNNP\tI-NP\tO' -p54316 -aS'Ramos\tRamos\tNNP\tI-NP\tO' -p54317 -aS',\t,\t,\tO\tO' -p54318 -aS'telephone\ttelephone\tNN\tB-NP\tO' -p54319 -aS'(\t(\t(\tO\tO' -p54320 -aS'346\t346\tCD\tB-NP\tO' -p54321 -aS')\t)\t)\tO\tO' -p54322 -aS'741\t741\tCD\tB-NP\tO' -p54323 -aS'2728\t2728\tCD\tI-NP\tO' -p54324 -aS'.\t.\t.\tO\tO' -p54325 -asS'The patient was noted to be anxious .' -p54326 -(lp54327 -S'The\tThe\tDT\tB-NP\tO' -p54328 -aS'patient\tpatient\tNN\tI-NP\tO' -p54329 -aS'was\tbe\tVBD\tB-VP\tO' -p54330 -aS'noted\tnote\tVBN\tI-VP\tO' -p54331 -aS'to\tto\tTO\tI-VP\tO' -p54332 -aS'be\tbe\tVB\tI-VP\tO' -p54333 -aS'anxious\tanxious\tJJ\tB-ADJP\tO' -p54334 -aS'.\t.\t.\tO\tO' -p54335 -asS'Potassium 4.4 .' -p54336 -(lp54337 -S'Potassium\tPotassium\tNN\tB-NP\tO' -p54338 -aS'4.4\t4.4\tCD\tI-NP\tO' -p54339 -aS'.\t.\t.\tO\tO' -p54340 -asS'The patient had a steady decline in her hematocrit during this hospitalization .' -p54341 -(lp54342 -S'The\tThe\tDT\tB-NP\tO' -p54343 -aS'patient\tpatient\tNN\tI-NP\tO' -p54344 -aS'had\thave\tVBD\tB-VP\tO' -p54345 -aS'a\ta\tDT\tB-NP\tO' -p54346 -aS'steady\tsteady\tJJ\tI-NP\tO' -p54347 -aS'decline\tdecline\tNN\tI-NP\tO' -p54348 -aS'in\tin\tIN\tB-PP\tO' -p54349 -aS'her\ther\tPRP$\tB-NP\tO' -p54350 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p54351 -aS'during\tduring\tIN\tB-PP\tO' -p54352 -aS'this\tthis\tDT\tB-NP\tO' -p54353 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p54354 -aS'.\t.\t.\tO\tO' -p54355 -asS'His electrocardiogram was concerning for ischemia .' -p54356 -(lp54357 -S'His\tHis\tPRP$\tB-NP\tO' -p54358 -aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' -p54359 -aS'was\tbe\tVBD\tB-VP\tO' -p54360 -aS'concerning\tconcern\tVBG\tI-VP\tO' -p54361 -aS'for\tfor\tIN\tB-PP\tO' -p54362 -aS'ischemia\tischemia\tNN\tB-NP\tO' -p54363 -aS'.\t.\t.\tO\tO' -p54364 -asS'Chronic back pain : several discs and spondylolisthesis' -p54365 -(lp54366 -S'Chronic\tChronic\tJJ\tB-NP\tO' -p54367 -aS'back\tback\tJJ\tI-NP\tO' -p54368 -aS'pain\tpain\tNN\tI-NP\tO' -p54369 -aS':\t:\t:\tO\tO' -p54370 -aS'several\tseveral\tJJ\tB-NP\tO' -p54371 -aS'discs\tdisc\tNNS\tI-NP\tO' -p54372 -aS'and\tand\tCC\tI-NP\tO' -p54373 -aS'spondylolisthesis\tspondylolisthesis\tNN\tI-NP\tO' -p54374 -asS'He also had significant lower extremity and scrotum edema .' -p54375 -(lp54376 -S'He\tHe\tPRP\tB-NP\tO' -p54377 -aS'also\talso\tRB\tB-ADVP\tO' -p54378 -aS'had\thave\tVBD\tB-VP\tO' -p54379 -aS'significant\tsignificant\tJJ\tB-NP\tO' -p54380 -aS'lower\tlow\tJJR\tI-NP\tO' -p54381 -aS'extremity\textremity\tNN\tI-NP\tO' -p54382 -aS'and\tand\tCC\tI-NP\tO' -p54383 -aS'scrotum\tscrotum\tNN\tI-NP\tO' -p54384 -aS'edema\tedema\tNN\tI-NP\tO' -p54385 -aS'.\t.\t.\tO\tO' -p54386 -asS'Neurologic : Awake , alert and oriented x3 .' -p54387 -(lp54388 -S'Neurologic\tNeurologic\tJJ\tB-ADJP\tO' -p54389 -aS':\t:\t:\tO\tO' -p54390 -aS'Awake\tAwake\tNN\tB-NP\tO' -p54391 -aS',\t,\t,\tO\tO' -p54392 -aS'alert\talert\tJJ\tB-NP\tO' -p54393 -aS'and\tand\tCC\tI-NP\tO' -p54394 -aS'oriented\torient\tVBN\tI-NP\tO' -p54395 -aS'x3\tx3\tNN\tI-NP\tO' -p54396 -aS'.\t.\t.\tO\tO' -p54397 -asS'Postoperative days one and two , the patient continued to require Neo-Synephrine to maintain systolic blood pressures greater than 100 .' -p54398 -(lp54399 -S'Postoperative\tPostoperative\tJJ\tB-NP\tO' -p54400 -aS'days\tday\tNNS\tI-NP\tO' -p54401 -aS'one\tone\tCD\tB-NP\tO' -p54402 -aS'and\tand\tCC\tI-NP\tO' -p54403 -aS'two\ttwo\tCD\tI-NP\tO' -p54404 -aS',\t,\t,\tO\tO' -p54405 -aS'the\tthe\tDT\tB-NP\tO' -p54406 -aS'patient\tpatient\tNN\tI-NP\tO' -p54407 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p54408 -aS'to\tto\tTO\tI-VP\tO' -p54409 -aS'require\trequire\tVB\tI-VP\tO' -p54410 -aS'Neo-Synephrine\tNeo-Synephrine\tNN\tB-NP\tO' -p54411 -aS'to\tto\tTO\tB-VP\tO' -p54412 -aS'maintain\tmaintain\tVB\tI-VP\tO' -p54413 -aS'systolic\tsystolic\tJJ\tB-NP\tO' -p54414 -aS'blood\tblood\tNN\tI-NP\tO' -p54415 -aS'pressures\tpressure\tNNS\tI-NP\tO' -p54416 -aS'greater\tgreat\tJJR\tB-ADJP\tO' -p54417 -aS'than\tthan\tIN\tB-PP\tO' -p54418 -aS'100\t100\tCD\tB-NP\tO' -p54419 -aS'.\t.\t.\tO\tO' -p54420 -asS'He is also concerned about the threat of war and is ready to " move to Madagascar ".' -p54421 -(lp54422 -S'He\tHe\tPRP\tB-NP\tO' -p54423 -aS'is\tbe\tVBZ\tB-VP\tO' -p54424 -aS'also\talso\tRB\tI-VP\tO' -p54425 -aS'concerned\tconcern\tVBN\tI-VP\tO' -p54426 -aS'about\tabout\tIN\tB-PP\tO' -p54427 -aS'the\tthe\tDT\tB-NP\tO' -p54428 -aS'threat\tthreat\tNN\tI-NP\tO' -p54429 -aS'of\tof\tIN\tB-PP\tO' -p54430 -aS'war\twar\tNN\tB-NP\tO' -p54431 -aS'and\tand\tCC\tO\tO' -p54432 -aS'is\tbe\tVBZ\tB-VP\tO' -p54433 -aS'ready\tready\tJJ\tB-ADJP\tO' -p54434 -aS'to\tto\tTO\tB-PP\tO' -p54435 -aS'"\t"\t``\tO\tO' -p54436 -aS'move\tmove\tNN\tB-NP\tO' -p54437 -aS'to\tto\tTO\tB-PP\tO' -p54438 -aS'Madagascar\tMadagascar\tNNP\tB-NP\tO' -p54439 -aS'".\t".\t.\tO\tO' -p54440 -asS'Therefore , with blood available from the first aliquot , a second 20 cc per kg of packed red blood cells were infused without incident .' -p54441 -(lp54442 -S'Therefore\tTherefore\tRB\tB-ADVP\tO' -p54443 -aS',\t,\t,\tO\tO' -p54444 -aS'with\twith\tIN\tB-PP\tO' -p54445 -aS'blood\tblood\tNN\tB-NP\tO' -p54446 -aS'available\tavailable\tJJ\tB-ADJP\tO' -p54447 -aS'from\tfrom\tIN\tB-PP\tO' -p54448 -aS'the\tthe\tDT\tB-NP\tO' -p54449 -aS'first\tfirst\tJJ\tI-NP\tO' -p54450 -aS'aliquot\taliquot\tNN\tI-NP\tO' -p54451 -aS',\t,\t,\tO\tO' -p54452 -aS'a\ta\tDT\tB-NP\tO' -p54453 -aS'second\tsecond\tJJ\tI-NP\tO' -p54454 -aS'20\t20\tCD\tI-NP\tO' -p54455 -aS'cc\tcc\tNN\tI-NP\tO' -p54456 -aS'per\tper\tIN\tB-PP\tO' -p54457 -aS'kg\tkg\tNN\tB-NP\tO' -p54458 -aS'of\tof\tIN\tB-PP\tO' -p54459 -aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' -p54460 -aS'red\tred\tJJ\tI-NP\tI-cell_type' -p54461 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p54462 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p54463 -aS'were\tbe\tVBD\tB-VP\tO' -p54464 -aS'infused\tinfuse\tVBN\tI-VP\tO' -p54465 -aS'without\twithout\tIN\tB-PP\tO' -p54466 -aS'incident\tincident\tNN\tB-NP\tO' -p54467 -aS'.\t.\t.\tO\tO' -p54468 -asS'4) Chronic renal insufficiency with baseline creatinine 1.8-2 .' -p54469 -(lp54470 -S'4)\t4)\tLS\tB-NP\tO' -p54471 -aS'Chronic\tChronic\tJJ\tI-NP\tO' -p54472 -aS'renal\trenal\tJJ\tI-NP\tO' -p54473 -aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' -p54474 -aS'with\twith\tIN\tB-PP\tO' -p54475 -aS'baseline\tbaseline\tNN\tB-NP\tO' -p54476 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p54477 -aS'1.8-2\t1.8-2\tCD\tI-NP\tO' -p54478 -aS'.\t.\t.\tO\tO' -p54479 -asS'Hematocrit was 45 , platelet count 270 .' -p54480 -(lp54481 -S'Hematocrit\tHematocrit\tNN\tB-NP\tB-protein' -p54482 -aS'was\tbe\tVBD\tB-VP\tI-protein' -p54483 -aS'45\t45\tCD\tB-NP\tI-protein' -p54484 -aS',\t,\t,\tO\tO' -p54485 -aS'platelet\tplatelet\tNN\tB-NP\tB-protein' -p54486 -aS'count\tcount\tNN\tI-NP\tI-protein' -p54487 -aS'270\t270\tCD\tI-NP\tI-protein' -p54488 -aS'.\t.\t.\tO\tO' -p54489 -asS'She has developed symptoms from a right lower dominant nodule with pressure discomfort in the neck .' -p54490 -(lp54491 -S'She\tShe\tPRP\tB-NP\tO' -p54492 -aS'has\thave\tVBZ\tB-VP\tO' -p54493 -aS'developed\tdevelop\tVBN\tI-VP\tO' -p54494 -aS'symptoms\tsymptom\tNNS\tB-NP\tO' -p54495 -aS'from\tfrom\tIN\tB-PP\tO' -p54496 -aS'a\ta\tDT\tB-NP\tO' -p54497 -aS'right\tright\tJJ\tI-NP\tO' -p54498 -aS'lower\tlow\tJJR\tI-NP\tO' -p54499 -aS'dominant\tdominant\tJJ\tI-NP\tO' -p54500 -aS'nodule\tnodule\tNN\tI-NP\tO' -p54501 -aS'with\twith\tIN\tB-PP\tO' -p54502 -aS'pressure\tpressure\tNN\tB-NP\tO' -p54503 -aS'discomfort\tdiscomfort\tNN\tI-NP\tO' -p54504 -aS'in\tin\tIN\tB-PP\tO' -p54505 -aS'the\tthe\tDT\tB-NP\tO' -p54506 -aS'neck\tneck\tNN\tI-NP\tO' -p54507 -aS'.\t.\t.\tO\tO' -p54508 -asS'At the conclusion of the case , the patient continued to bleed , allbeit at a less brisk pace .' -p54509 -(lp54510 -S'At\tAt\tIN\tB-PP\tO' -p54511 -aS'the\tthe\tDT\tB-NP\tO' -p54512 -aS'conclusion\tconclusion\tNN\tI-NP\tO' -p54513 -aS'of\tof\tIN\tB-PP\tO' -p54514 -aS'the\tthe\tDT\tB-NP\tO' -p54515 -aS'case\tcase\tNN\tI-NP\tO' -p54516 -aS',\t,\t,\tO\tO' -p54517 -aS'the\tthe\tDT\tB-NP\tO' -p54518 -aS'patient\tpatient\tNN\tI-NP\tO' -p54519 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p54520 -aS'to\tto\tTO\tI-VP\tO' -p54521 -aS'bleed\tbleed\tVB\tI-VP\tO' -p54522 -aS',\t,\t,\tO\tO' -p54523 -aS'allbeit\tallbeit\tNN\tB-NP\tO' -p54524 -aS'at\tat\tIN\tB-PP\tO' -p54525 -aS'a\ta\tDT\tB-NP\tO' -p54526 -aS'less\tless\tRBR\tI-NP\tO' -p54527 -aS'brisk\tbrisk\tJJ\tI-NP\tO' -p54528 -aS'pace\tpace\tNN\tI-NP\tO' -p54529 -aS'.\t.\t.\tO\tO' -p54530 -asS'Signed electronically by : DR. Fredrick Rossi on : WED 2011-04-13 1:45 PM' -p54531 -(lp54532 -S'Signed\tSign\tVBN\tB-VP\tO' -p54533 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p54534 -aS'by\tby\tIN\tB-PP\tO' -p54535 -aS':\t:\t:\tO\tO' -p54536 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p54537 -aS'Fredrick\tFredrick\tNNP\tI-NP\tO' -p54538 -aS'Rossi\tRossi\tNNP\tI-NP\tO' -p54539 -aS'on\ton\tIN\tB-PP\tO' -p54540 -aS':\t:\t:\tO\tO' -p54541 -aS'WED\tWED\tVBD\tB-VP\tO' -p54542 -aS'2011-04-13\t2011-04-13\tCD\tB-NP\tO' -p54543 -aS'1:45\t1:45\tCD\tI-NP\tO' -p54544 -aS'PM\tPM\tNN\tI-NP\tO' -p54545 -asS'The patient was started on labetalol and Lisinopril .' -p54546 -(lp54547 -S'The\tThe\tDT\tB-NP\tO' -p54548 -aS'patient\tpatient\tNN\tI-NP\tO' -p54549 -aS'was\tbe\tVBD\tB-VP\tO' -p54550 -aS'started\tstart\tVBN\tI-VP\tO' -p54551 -aS'on\ton\tIN\tB-PP\tO' -p54552 -aS'labetalol\tlabetalol\tNN\tB-NP\tO' -p54553 -aS'and\tand\tCC\tO\tO' -p54554 -aS'Lisinopril\tLisinopril\tNNP\tB-NP\tO' -p54555 -aS'.\t.\t.\tO\tO' -p54556 -asS'An abdominal CT was obtained , which showed only mild pancreatitis .' -p54557 -(lp54558 -S'An\tAn\tDT\tB-NP\tO' -p54559 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p54560 -aS'CT\tCT\tNN\tI-NP\tO' -p54561 -aS'was\tbe\tVBD\tB-VP\tO' -p54562 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p54563 -aS',\t,\t,\tO\tO' -p54564 -aS'which\twhich\tWDT\tB-NP\tO' -p54565 -aS'showed\tshow\tVBD\tB-VP\tO' -p54566 -aS'only\tonly\tRB\tB-NP\tO' -p54567 -aS'mild\tmild\tJJ\tI-NP\tO' -p54568 -aS'pancreatitis\tpancreatitis\tNN\tI-NP\tO' -p54569 -aS'.\t.\t.\tO\tO' -p54570 -asS'Unclear baseline .' -p54571 -(lp54572 -S'Unclear\tUnclear\tJJ\tB-NP\tO' -p54573 -aS'baseline\tbaseline\tNN\tI-NP\tO' -p54574 -aS'.\t.\t.\tO\tO' -p54575 -asS'This is to notify you that your patient , BREUNDAIL , NETFA arrived in the Emergency Department at Fairm of Ijordcompmac Hospital on 11/20/2002 02:02 AM .' -p54576 -(lp54577 -S'This\tThis\tDT\tB-NP\tO' -p54578 -aS'is\tbe\tVBZ\tB-VP\tO' -p54579 -aS'to\tto\tTO\tB-VP\tO' -p54580 -aS'notify\tnotify\tVB\tI-VP\tO' -p54581 -aS'you\tyou\tPRP\tB-NP\tO' -p54582 -aS'that\tthat\tIN\tB-SBAR\tO' -p54583 -aS'your\tyour\tPRP$\tB-NP\tO' -p54584 -aS'patient\tpatient\tNN\tI-NP\tO' -p54585 -aS',\t,\t,\tO\tO' -p54586 -aS'BREUNDAIL\tBREUNDAIL\tNN\tB-NP\tO' -p54587 -aS',\t,\t,\tO\tO' -p54588 -aS'NETFA\tNETFA\tNN\tB-NP\tB-protein' -p54589 -aS'arrived\tarrive\tVBD\tB-VP\tO' -p54590 -aS'in\tin\tIN\tB-PP\tO' -p54591 -aS'the\tthe\tDT\tB-NP\tO' -p54592 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p54593 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p54594 -aS'at\tat\tIN\tB-PP\tO' -p54595 -aS'Fairm\tFairm\tNNP\tB-NP\tO' -p54596 -aS'of\tof\tIN\tB-PP\tO' -p54597 -aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' -p54598 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p54599 -aS'on\ton\tIN\tB-PP\tO' -p54600 -aS'11/20/2002\t11/20/2002\tCD\tB-NP\tO' -p54601 -aS'02:02\t02:02\tCD\tI-NP\tO' -p54602 -aS'AM\tAM\tNN\tI-NP\tO' -p54603 -aS'.\t.\t.\tO\tO' -p54604 -asS'Avoid grapefruit unless MD instructs otherwise .' -p54605 -(lp54606 -S'Avoid\tAvoid\tJJ\tB-NP\tO' -p54607 -aS'grapefruit\tgrapefruit\tNN\tI-NP\tO' -p54608 -aS'unless\tunless\tIN\tB-SBAR\tO' -p54609 -aS'MD\tMD\tNN\tB-NP\tB-DNA' -p54610 -aS'instructs\tinstruct\tNNS\tI-NP\tI-DNA' -p54611 -aS'otherwise\totherwise\tRB\tB-ADVP\tO' -p54612 -aS'.\t.\t.\tO\tO' -p54613 -asS'The daughter says that on the day PTA , when she visited the patient at the NH , he was " having a good day ," more interactive than usual and in good spirits .' -p54614 -(lp54615 -S'The\tThe\tDT\tB-NP\tO' -p54616 -aS'daughter\tdaughter\tNN\tI-NP\tO' -p54617 -aS'says\tsay\tVBZ\tB-VP\tO' -p54618 -aS'that\tthat\tIN\tB-SBAR\tO' -p54619 -aS'on\ton\tIN\tB-PP\tO' -p54620 -aS'the\tthe\tDT\tB-NP\tO' -p54621 -aS'day\tday\tNN\tI-NP\tO' -p54622 -aS'PTA\tPTA\tNN\tI-NP\tO' -p54623 -aS',\t,\t,\tO\tO' -p54624 -aS'when\twhen\tWRB\tB-ADVP\tO' -p54625 -aS'she\tshe\tPRP\tB-NP\tO' -p54626 -aS'visited\tvisit\tVBD\tB-VP\tO' -p54627 -aS'the\tthe\tDT\tB-NP\tO' -p54628 -aS'patient\tpatient\tNN\tI-NP\tO' -p54629 -aS'at\tat\tIN\tB-PP\tO' -p54630 -aS'the\tthe\tDT\tB-NP\tO' -p54631 -aS'NH\tNH\tNN\tI-NP\tO' -p54632 -aS',\t,\t,\tO\tO' -p54633 -aS'he\the\tPRP\tB-NP\tO' -p54634 -aS'was\tbe\tVBD\tB-VP\tO' -p54635 -aS'"\t"\t\'\'\tO\tO' -p54636 -aS'having\thave\tVBG\tB-VP\tO' -p54637 -aS'a\ta\tDT\tB-NP\tO' -p54638 -aS'good\tgood\tJJ\tI-NP\tO' -p54639 -aS'day\tday\tNN\tI-NP\tO' -p54640 -aS',"\t,"\t,\tO\tO' -p54641 -aS'more\tmore\tRBR\tB-ADJP\tO' -p54642 -aS'interactive\tinteractive\tJJ\tI-ADJP\tO' -p54643 -aS'than\tthan\tIN\tB-PP\tO' -p54644 -aS'usual\tusual\tJJ\tB-ADJP\tO' -p54645 -aS'and\tand\tCC\tO\tO' -p54646 -aS'in\tin\tIN\tB-PP\tO' -p54647 -aS'good\tgood\tJJ\tB-NP\tO' -p54648 -aS'spirits\tspirit\tNNS\tI-NP\tO' -p54649 -aS'.\t.\t.\tO\tO' -p54650 -asS'If you experience clear drainage from your wounds , cover them with a clean dressing and stop showering until the drainage subsides for at least 2 days .' -p54651 -(lp54652 -S'If\tIf\tIN\tB-SBAR\tO' -p54653 -aS'you\tyou\tPRP\tB-NP\tO' -p54654 -aS'experience\texperience\tVBP\tB-VP\tO' -p54655 -aS'clear\tclear\tJJ\tB-NP\tO' -p54656 -aS'drainage\tdrainage\tNN\tI-NP\tO' -p54657 -aS'from\tfrom\tIN\tB-PP\tO' -p54658 -aS'your\tyour\tPRP$\tB-NP\tO' -p54659 -aS'wounds\twound\tNNS\tI-NP\tO' -p54660 -aS',\t,\t,\tO\tO' -p54661 -aS'cover\tcover\tVBP\tB-VP\tO' -p54662 -aS'them\tthem\tPRP\tB-NP\tO' -p54663 -aS'with\twith\tIN\tB-PP\tO' -p54664 -aS'a\ta\tDT\tB-NP\tO' -p54665 -aS'clean\tclean\tJJ\tI-NP\tO' -p54666 -aS'dressing\tdressing\tNN\tI-NP\tO' -p54667 -aS'and\tand\tCC\tO\tO' -p54668 -aS'stop\tstop\tVB\tB-VP\tO' -p54669 -aS'showering\tshower\tVBG\tI-VP\tO' -p54670 -aS'until\tuntil\tIN\tB-SBAR\tO' -p54671 -aS'the\tthe\tDT\tB-NP\tO' -p54672 -aS'drainage\tdrainage\tNN\tI-NP\tO' -p54673 -aS'subsides\tsubside\tNNS\tI-NP\tO' -p54674 -aS'for\tfor\tIN\tB-PP\tO' -p54675 -aS'at\tat\tIN\tB-NP\tO' -p54676 -aS'least\tleast\tJJS\tI-NP\tO' -p54677 -aS'2\t2\tCD\tI-NP\tO' -p54678 -aS'days\tday\tNNS\tI-NP\tO' -p54679 -aS'.\t.\t.\tO\tO' -p54680 -asS'Postoperatively , she diuresed very well .' -p54681 -(lp54682 -S'Postoperatively\tPostoperatively\tRB\tB-ADVP\tO' -p54683 -aS',\t,\t,\tO\tO' -p54684 -aS'she\tshe\tPRP\tB-NP\tO' -p54685 -aS'diuresed\tdiurese\tVBD\tB-VP\tO' -p54686 -aS'very\tvery\tRB\tB-ADVP\tO' -p54687 -aS'well\twell\tRB\tI-ADVP\tO' -p54688 -aS'.\t.\t.\tO\tO' -p54689 -asS'He was continued on Aspirin , Metoprolol and Lipitor with no further issues .' -p54690 -(lp54691 -S'He\tHe\tPRP\tB-NP\tO' -p54692 -aS'was\tbe\tVBD\tB-VP\tO' -p54693 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p54694 -aS'on\ton\tIN\tB-PP\tO' -p54695 -aS'Aspirin\tAspirin\tNN\tB-NP\tO' -p54696 -aS',\t,\t,\tI-NP\tO' -p54697 -aS'Metoprolol\tMetoprolol\tNN\tI-NP\tO' -p54698 -aS'and\tand\tCC\tI-NP\tO' -p54699 -aS'Lipitor\tLipitor\tNN\tI-NP\tO' -p54700 -aS'with\twith\tIN\tB-PP\tO' -p54701 -aS'no\tno\tDT\tB-NP\tO' -p54702 -aS'further\tfurther\tJJ\tI-NP\tO' -p54703 -aS'issues\tissue\tNNS\tI-NP\tO' -p54704 -aS'.\t.\t.\tO\tO' -p54705 -asS'White blood cell count was 2.1 with 56 polys and 1 band .' -p54706 -(lp54707 -S'White\tWhite\tJJ\tB-NP\tO' -p54708 -aS'blood\tblood\tNN\tI-NP\tO' -p54709 -aS'cell\tcell\tNN\tI-NP\tO' -p54710 -aS'count\tcount\tNN\tI-NP\tO' -p54711 -aS'was\tbe\tVBD\tB-VP\tO' -p54712 -aS'2.1\t2.1\tCD\tB-NP\tO' -p54713 -aS'with\twith\tIN\tB-PP\tO' -p54714 -aS'56\t56\tCD\tB-NP\tO' -p54715 -aS'polys\tpoly\tNNS\tI-NP\tO' -p54716 -aS'and\tand\tCC\tO\tO' -p54717 -aS'1\t1\tCD\tB-NP\tO' -p54718 -aS'band\tband\tNN\tI-NP\tO' -p54719 -aS'.\t.\t.\tO\tO' -p54720 -asS'2. Colace 100 mg p.o. twice a day .' -p54721 -(lp54722 -S'2.\t2.\tLS\tB-NP\tO' -p54723 -aS'Colace\tColace\tNNP\tI-NP\tO' -p54724 -aS'100\t100\tCD\tI-NP\tO' -p54725 -aS'mg\tmg\tNN\tI-NP\tO' -p54726 -aS'p.o.\tp.o.\tRB\tB-NP\tO' -p54727 -aS'twice\ttwice\tRB\tI-NP\tO' -p54728 -aS'a\ta\tDT\tI-NP\tO' -p54729 -aS'day\tday\tNN\tI-NP\tO' -p54730 -aS'.\t.\t.\tO\tO' -p54731 -asS'No known dysphagia .' -p54732 -(lp54733 -S'No\tNo\tDT\tB-NP\tO' -p54734 -aS'known\tknown\tJJ\tI-NP\tO' -p54735 -aS'dysphagia\tdysphagia\tNN\tI-NP\tO' -p54736 -aS'.\t.\t.\tO\tO' -p54737 -asS'--- lovenox tonight x1 , hold AM dose per CMED CCU' -p54738 -(lp54739 -S'---\t---\tSYM\tO\tO' -p54740 -aS'lovenox\tlovenox\tNN\tB-NP\tO' -p54741 -aS'tonight\ttonight\tNN\tI-NP\tO' -p54742 -aS'x1\tx1\tNN\tI-NP\tO' -p54743 -aS',\t,\t,\tO\tO' -p54744 -aS'hold\thold\tVBG\tB-VP\tO' -p54745 -aS'AM\tAM\tNNP\tB-NP\tO' -p54746 -aS'dose\tdose\tNN\tI-NP\tO' -p54747 -aS'per\tper\tIN\tB-PP\tO' -p54748 -aS'CMED\tCMED\tNN\tB-NP\tO' -p54749 -aS'CCU\tCCU\tNN\tI-NP\tO' -p54750 -asS'Dr. Ther Ludzjesc Director , Section of Cardiology Shiekeu Hospital Medical Centers NC' -p54751 -(lp54752 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p54753 -aS'Ther\tTher\tNNP\tI-NP\tO' -p54754 -aS'Ludzjesc\tLudzjesc\tNNP\tI-NP\tO' -p54755 -aS'Director\tDirector\tNNP\tI-NP\tO' -p54756 -aS',\t,\t,\tO\tO' -p54757 -aS'Section\tSection\tNNP\tB-NP\tO' -p54758 -aS'of\tof\tIN\tB-PP\tO' -p54759 -aS'Cardiology\tCardiology\tNNP\tB-NP\tO' -p54760 -aS'Shiekeu\tShiekeu\tNNP\tI-NP\tO' -p54761 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p54762 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p54763 -aS'Centers\tCenters\tNNP\tI-NP\tO' -p54764 -aS'NC\tNC\tNNP\tI-NP\tO' -p54765 -asS"On postoperative day number two , the patient 's chest tubes were removed without complication and the patient was subsequently cleared for transfer to the floor ." -p54766 -(lp54767 -S'On\tOn\tIN\tB-PP\tO' -p54768 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p54769 -aS'day\tday\tNN\tI-NP\tO' -p54770 -aS'number\tnumber\tNN\tI-NP\tO' -p54771 -aS'two\ttwo\tCD\tB-NP\tO' -p54772 -aS',\t,\t,\tO\tO' -p54773 -aS'the\tthe\tDT\tB-NP\tO' -p54774 -aS'patient\tpatient\tNN\tI-NP\tO' -p54775 -aS"'s\t's\tPOS\tB-NP\tO" -p54776 -aS'chest\tchest\tNN\tI-NP\tO' -p54777 -aS'tubes\ttube\tNNS\tI-NP\tO' -p54778 -aS'were\tbe\tVBD\tB-VP\tO' -p54779 -aS'removed\tremove\tVBN\tI-VP\tO' -p54780 -aS'without\twithout\tIN\tB-PP\tO' -p54781 -aS'complication\tcomplication\tNN\tB-NP\tO' -p54782 -aS'and\tand\tCC\tO\tO' -p54783 -aS'the\tthe\tDT\tB-NP\tO' -p54784 -aS'patient\tpatient\tNN\tI-NP\tO' -p54785 -aS'was\tbe\tVBD\tB-VP\tO' -p54786 -aS'subsequently\tsubsequently\tRB\tI-VP\tO' -p54787 -aS'cleared\tclear\tVBN\tI-VP\tO' -p54788 -aS'for\tfor\tIN\tB-PP\tO' -p54789 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p54790 -aS'to\tto\tTO\tB-PP\tO' -p54791 -aS'the\tthe\tDT\tB-NP\tO' -p54792 -aS'floor\tfloor\tNN\tI-NP\tO' -p54793 -aS'.\t.\t.\tO\tO' -p54794 -asS'It was recommended that the patient begin anticoagulation given the severity of her pulmonary hypertension .' -p54795 -(lp54796 -S'It\tIt\tPRP\tB-NP\tO' -p54797 -aS'was\tbe\tVBD\tB-VP\tO' -p54798 -aS'recommended\trecommend\tVBN\tI-VP\tO' -p54799 -aS'that\tthat\tIN\tB-SBAR\tO' -p54800 -aS'the\tthe\tDT\tB-NP\tO' -p54801 -aS'patient\tpatient\tNN\tI-NP\tO' -p54802 -aS'begin\tbegin\tNN\tI-NP\tO' -p54803 -aS'anticoagulation\tanticoagulation\tNN\tI-NP\tO' -p54804 -aS'given\tgive\tVBN\tB-VP\tO' -p54805 -aS'the\tthe\tDT\tB-NP\tO' -p54806 -aS'severity\tseverity\tNN\tI-NP\tO' -p54807 -aS'of\tof\tIN\tB-PP\tO' -p54808 -aS'her\ther\tPRP$\tB-NP\tO' -p54809 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p54810 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p54811 -aS'.\t.\t.\tO\tO' -p54812 -asS'This is a chronic issue and was controlled with Flexeril and Vicodin .' -p54813 -(lp54814 -S'This\tThis\tDT\tB-NP\tO' -p54815 -aS'is\tbe\tVBZ\tB-VP\tO' -p54816 -aS'a\ta\tDT\tB-NP\tO' -p54817 -aS'chronic\tchronic\tJJ\tI-NP\tO' -p54818 -aS'issue\tissue\tNN\tI-NP\tO' -p54819 -aS'and\tand\tCC\tO\tO' -p54820 -aS'was\tbe\tVBD\tB-VP\tO' -p54821 -aS'controlled\tcontrol\tVBN\tI-VP\tO' -p54822 -aS'with\twith\tIN\tB-PP\tO' -p54823 -aS'Flexeril\tFlexeril\tNNP\tB-NP\tO' -p54824 -aS'and\tand\tCC\tI-NP\tO' -p54825 -aS'Vicodin\tVicodin\tNNP\tI-NP\tO' -p54826 -aS'.\t.\t.\tO\tO' -p54827 -asS'17 year old man with post-op fever .' -p54828 -(lp54829 -S'17\t17\tCD\tB-NP\tO' -p54830 -aS'year\tyear\tNN\tI-NP\tO' -p54831 -aS'old\told\tJJ\tI-NP\tO' -p54832 -aS'man\tman\tNN\tI-NP\tO' -p54833 -aS'with\twith\tIN\tB-PP\tO' -p54834 -aS'post-op\tpost-op\tJJ\tB-NP\tO' -p54835 -aS'fever\tfever\tNN\tI-NP\tO' -p54836 -aS'.\t.\t.\tO\tO' -p54837 -asS'Pulmonary exam he is clear upper lobes , diminished bilateral bases left greater than right .' -p54838 -(lp54839 -S'Pulmonary\tPulmonary\tJJ\tB-NP\tO' -p54840 -aS'exam\texam\tNN\tI-NP\tO' -p54841 -aS'he\the\tPRP\tB-NP\tO' -p54842 -aS'is\tbe\tVBZ\tB-VP\tO' -p54843 -aS'clear\tclear\tJJ\tB-NP\tO' -p54844 -aS'upper\tupper\tJJ\tI-NP\tO' -p54845 -aS'lobes\tlobe\tNNS\tI-NP\tO' -p54846 -aS',\t,\t,\tO\tO' -p54847 -aS'diminished\tdiminish\tVBD\tB-VP\tO' -p54848 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p54849 -aS'bases\tbase\tNNS\tI-NP\tO' -p54850 -aS'left\tleave\tVBD\tB-VP\tO' -p54851 -aS'greater\tgreat\tJJR\tB-ADJP\tO' -p54852 -aS'than\tthan\tIN\tB-PP\tO' -p54853 -aS'right\tright\tJJ\tB-ADJP\tO' -p54854 -aS'.\t.\t.\tO\tO' -p54855 -asS'GI consult team followed pt in hospital .' -p54856 -(lp54857 -S'GI\tGI\tNN\tB-NP\tO' -p54858 -aS'consult\tconsult\tNN\tI-NP\tO' -p54859 -aS'team\tteam\tNN\tI-NP\tO' -p54860 -aS'followed\tfollow\tVBD\tB-VP\tO' -p54861 -aS'pt\tpt\tNN\tB-NP\tO' -p54862 -aS'in\tin\tIN\tB-PP\tO' -p54863 -aS'hospital\thospital\tNN\tB-NP\tO' -p54864 -aS'.\t.\t.\tO\tO' -p54865 -asS'The femoral pulses were diminished .' -p54866 -(lp54867 -S'The\tThe\tDT\tB-NP\tO' -p54868 -aS'femoral\tfemoral\tJJ\tI-NP\tO' -p54869 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p54870 -aS'were\tbe\tVBD\tB-VP\tO' -p54871 -aS'diminished\tdiminish\tVBN\tI-VP\tO' -p54872 -aS'.\t.\t.\tO\tO' -p54873 -asS'Treated with course of local XRT in Springfield Municipal Hospital and Tamoxifen .' -p54874 -(lp54875 -S'Treated\tTreat\tVBN\tB-VP\tO' -p54876 -aS'with\twith\tIN\tB-PP\tO' -p54877 -aS'course\tcourse\tNN\tB-NP\tO' -p54878 -aS'of\tof\tIN\tB-PP\tO' -p54879 -aS'local\tlocal\tJJ\tB-NP\tO' -p54880 -aS'XRT\tXRT\tNN\tI-NP\tO' -p54881 -aS'in\tin\tIN\tB-PP\tO' -p54882 -aS'Springfield\tSpringfield\tNNP\tB-NP\tO' -p54883 -aS'Municipal\tMunicipal\tNNP\tI-NP\tO' -p54884 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p54885 -aS'and\tand\tCC\tO\tO' -p54886 -aS'Tamoxifen\tTamoxifen\tNNP\tB-NP\tO' -p54887 -aS'.\t.\t.\tO\tO' -p54888 -asS'EXTREMITIES : No clubbing , cyanosis , but + edema .' -p54889 -(lp54890 -S'EXTREMITIES\tEXTREMITIES\tNNS\tB-NP\tO' -p54891 -aS':\t:\t:\tO\tO' -p54892 -aS'No\tNo\tDT\tB-NP\tO' -p54893 -aS'clubbing\tclubbing\tNN\tI-NP\tO' -p54894 -aS',\t,\t,\tO\tO' -p54895 -aS'cyanosis\tcyanosis\tNN\tB-NP\tO' -p54896 -aS',\t,\t,\tO\tO' -p54897 -aS'but\tbut\tCC\tO\tO' -p54898 -aS'+\t+\tJJ\tB-NP\tO' -p54899 -aS'edema\tedema\tNN\tI-NP\tO' -p54900 -aS'.\t.\t.\tO\tO' -p54901 -asS'#. Pleural effusions : Likely due to CHF although had some leukocytosis at admission to OSH .' -p54902 -(lp54903 -S'#.\t#.\tLS\tB-NP\tO' -p54904 -aS'Pleural\tPleural\tJJ\tI-NP\tO' -p54905 -aS'effusions\teffusion\tNNS\tI-NP\tO' -p54906 -aS':\t:\t:\tO\tO' -p54907 -aS'Likely\tLikely\tRB\tB-ADVP\tO' -p54908 -aS'due\tdue\tIN\tB-PP\tO' -p54909 -aS'to\tto\tTO\tB-PP\tO' -p54910 -aS'CHF\tCHF\tNN\tB-NP\tB-protein' -p54911 -aS'although\talthough\tIN\tB-SBAR\tO' -p54912 -aS'had\thave\tVBD\tB-VP\tO' -p54913 -aS'some\tsome\tDT\tB-NP\tO' -p54914 -aS'leukocytosis\tleukocytosis\tNN\tI-NP\tO' -p54915 -aS'at\tat\tIN\tB-PP\tO' -p54916 -aS'admission\tadmission\tNN\tB-NP\tO' -p54917 -aS'to\tto\tTO\tB-PP\tO' -p54918 -aS'OSH\tOSH\tNN\tB-NP\tB-protein' -p54919 -aS'.\t.\t.\tO\tO' -p54920 -asS'GEN : Obese male , AAOx3' -p54921 -(lp54922 -S'GEN\tGEN\tNN\tB-NP\tO' -p54923 -aS':\t:\t:\tO\tO' -p54924 -aS'Obese\tObese\tJJ\tB-NP\tO' -p54925 -aS'male\tmale\tNN\tI-NP\tO' -p54926 -aS',\t,\t,\tO\tO' -p54927 -aS'AAOx3\tAAOx3\tNN\tB-NP\tB-protein' -p54928 -asS'10. Acetaminophen 325 mg Tablet Sig : Two ( 2 ) Tablet PO BID ( 2 times a day ) .' -p54929 -(lp54930 -S'10.\t10.\tCD\tB-NP\tO' -p54931 -aS'Acetaminophen\tAcetaminophen\tNN\tI-NP\tO' -p54932 -aS'325\t325\tCD\tB-NP\tO' -p54933 -aS'mg\tmg\tNN\tI-NP\tO' -p54934 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p54935 -aS'Sig\tSig\tNNP\tI-NP\tO' -p54936 -aS':\t:\t:\tO\tO' -p54937 -aS'Two\tTwo\tCD\tB-NP\tO' -p54938 -aS'(\t(\t(\tO\tO' -p54939 -aS'2\t2\tCD\tO\tO' -p54940 -aS')\t)\t)\tO\tO' -p54941 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p54942 -aS'PO\tPO\tNN\tI-NP\tO' -p54943 -aS'BID\tBID\tNN\tI-NP\tO' -p54944 -aS'(\t(\t(\tO\tO' -p54945 -aS'2\t2\tCD\tB-NP\tO' -p54946 -aS'times\ttime\tNNS\tI-NP\tO' -p54947 -aS'a\ta\tDT\tB-NP\tO' -p54948 -aS'day\tday\tNN\tI-NP\tO' -p54949 -aS')\t)\t)\tO\tO' -p54950 -aS'.\t.\t.\tO\tO' -p54951 -asS'There was no nodal dissection done at that time .' -p54952 -(lp54953 -S'There\tThere\tEX\tB-NP\tO' -p54954 -aS'was\tbe\tVBD\tB-VP\tO' -p54955 -aS'no\tno\tDT\tB-NP\tO' -p54956 -aS'nodal\tnodal\tJJ\tI-NP\tO' -p54957 -aS'dissection\tdissection\tNN\tI-NP\tO' -p54958 -aS'done\tdo\tVBN\tB-VP\tO' -p54959 -aS'at\tat\tIN\tB-PP\tO' -p54960 -aS'that\tthat\tDT\tB-NP\tO' -p54961 -aS'time\ttime\tNN\tI-NP\tO' -p54962 -aS'.\t.\t.\tO\tO' -p54963 -asS'Facies nondysmorphic , palate intact .' -p54964 -(lp54965 -S'Facies\tFacy\tNNS\tB-NP\tO' -p54966 -aS'nondysmorphic\tnondysmorphic\tJJ\tB-ADJP\tO' -p54967 -aS',\t,\t,\tO\tO' -p54968 -aS'palate\tpalate\tVB\tB-VP\tO' -p54969 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p54970 -aS'.\t.\t.\tO\tO' -p54971 -asS'The patient was initially treated with intravenous fluids , however , subsequently he was diuresed when he became symptomatic and short of breath .' -p54972 -(lp54973 -S'The\tThe\tDT\tB-NP\tO' -p54974 -aS'patient\tpatient\tNN\tI-NP\tO' -p54975 -aS'was\tbe\tVBD\tB-VP\tO' -p54976 -aS'initially\tinitially\tRB\tI-VP\tO' -p54977 -aS'treated\ttreat\tVBN\tI-VP\tO' -p54978 -aS'with\twith\tIN\tB-PP\tO' -p54979 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p54980 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p54981 -aS',\t,\t,\tO\tO' -p54982 -aS'however\thowever\tRB\tB-ADVP\tO' -p54983 -aS',\t,\t,\tO\tO' -p54984 -aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' -p54985 -aS'he\the\tPRP\tB-NP\tO' -p54986 -aS'was\tbe\tVBD\tB-VP\tO' -p54987 -aS'diuresed\tdiurese\tVBN\tI-VP\tO' -p54988 -aS'when\twhen\tWRB\tB-ADVP\tO' -p54989 -aS'he\the\tPRP\tB-NP\tO' -p54990 -aS'became\tbecome\tVBD\tB-VP\tO' -p54991 -aS'symptomatic\tsymptomatic\tJJ\tB-ADJP\tO' -p54992 -aS'and\tand\tCC\tI-ADJP\tO' -p54993 -aS'short\tshort\tJJ\tI-ADJP\tO' -p54994 -aS'of\tof\tIN\tB-PP\tO' -p54995 -aS'breath\tbreath\tNN\tB-NP\tO' -p54996 -aS'.\t.\t.\tO\tO' -p54997 -asS'Ophthalmology was consulted and ruled out ocular spread .' -p54998 -(lp54999 -S'Ophthalmology\tOphthalmology\tNN\tB-NP\tO' -p55000 -aS'was\tbe\tVBD\tB-VP\tO' -p55001 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p55002 -aS'and\tand\tCC\tO\tO' -p55003 -aS'ruled\trule\tVBD\tB-VP\tO' -p55004 -aS'out\tout\tRP\tB-PRT\tO' -p55005 -aS'ocular\tocular\tJJ\tB-NP\tO' -p55006 -aS'spread\tspread\tNN\tI-NP\tO' -p55007 -aS'.\t.\t.\tO\tO' -p55008 -asS'The patient has been treated with Argon laser therapy in the past for his rectal bleeding and it is recommended that he follow up with his gastroenterologist for repeat Argon laser therapy .' -p55009 -(lp55010 -S'The\tThe\tDT\tB-NP\tO' -p55011 -aS'patient\tpatient\tNN\tI-NP\tO' -p55012 -aS'has\thave\tVBZ\tB-VP\tO' -p55013 -aS'been\tbe\tVBN\tI-VP\tO' -p55014 -aS'treated\ttreat\tVBN\tI-VP\tO' -p55015 -aS'with\twith\tIN\tB-PP\tO' -p55016 -aS'Argon\tArgon\tNN\tB-NP\tO' -p55017 -aS'laser\tlaser\tNN\tI-NP\tO' -p55018 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p55019 -aS'in\tin\tIN\tB-PP\tO' -p55020 -aS'the\tthe\tDT\tB-NP\tO' -p55021 -aS'past\tpast\tNN\tI-NP\tO' -p55022 -aS'for\tfor\tIN\tB-PP\tO' -p55023 -aS'his\this\tPRP$\tB-NP\tO' -p55024 -aS'rectal\trectal\tJJ\tI-NP\tO' -p55025 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p55026 -aS'and\tand\tCC\tO\tO' -p55027 -aS'it\tit\tPRP\tB-NP\tO' -p55028 -aS'is\tbe\tVBZ\tB-VP\tO' -p55029 -aS'recommended\trecommend\tVBN\tI-VP\tO' -p55030 -aS'that\tthat\tIN\tB-SBAR\tO' -p55031 -aS'he\the\tPRP\tB-NP\tO' -p55032 -aS'follow\tfollow\tVB\tB-VP\tO' -p55033 -aS'up\tup\tRP\tB-PRT\tO' -p55034 -aS'with\twith\tIN\tB-PP\tO' -p55035 -aS'his\this\tPRP$\tB-NP\tO' -p55036 -aS'gastroenterologist\tgastroenterologist\tNN\tI-NP\tO' -p55037 -aS'for\tfor\tIN\tB-PP\tO' -p55038 -aS'repeat\trepeat\tNN\tB-NP\tO' -p55039 -aS'Argon\tArgon\tNN\tI-NP\tO' -p55040 -aS'laser\tlaser\tNN\tI-NP\tO' -p55041 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p55042 -aS'.\t.\t.\tO\tO' -p55043 -asS'This NPO was temporary for that day and she then resumed feedings and has been tolerating full enteral feeds well , improved since off of CPAP , passing normal stools , guaiac negative .' -p55044 -(lp55045 -S'This\tThis\tDT\tB-NP\tO' -p55046 -aS'NPO\tNPO\tNN\tI-NP\tB-protein' -p55047 -aS'was\tbe\tVBD\tB-VP\tO' -p55048 -aS'temporary\ttemporary\tJJ\tB-ADJP\tO' -p55049 -aS'for\tfor\tIN\tB-PP\tO' -p55050 -aS'that\tthat\tDT\tB-NP\tO' -p55051 -aS'day\tday\tNN\tI-NP\tO' -p55052 -aS'and\tand\tCC\tO\tO' -p55053 -aS'she\tshe\tPRP\tB-NP\tO' -p55054 -aS'then\tthen\tRB\tB-ADVP\tO' -p55055 -aS'resumed\tresume\tVBD\tB-VP\tO' -p55056 -aS'feedings\tfeeding\tNNS\tB-NP\tO' -p55057 -aS'and\tand\tCC\tO\tO' -p55058 -aS'has\thave\tVBZ\tB-VP\tO' -p55059 -aS'been\tbe\tVBN\tI-VP\tO' -p55060 -aS'tolerating\ttolerate\tVBG\tI-VP\tO' -p55061 -aS'full\tfull\tJJ\tB-NP\tO' -p55062 -aS'enteral\tenteral\tJJ\tI-NP\tO' -p55063 -aS'feeds\tfeed\tNNS\tI-NP\tO' -p55064 -aS'well\twell\tRB\tB-ADVP\tO' -p55065 -aS',\t,\t,\tO\tO' -p55066 -aS'improved\timprove\tVBD\tB-VP\tO' -p55067 -aS'since\tsince\tIN\tB-SBAR\tO' -p55068 -aS'off\toff\tRB\tB-ADVP\tO' -p55069 -aS'of\tof\tIN\tB-PP\tO' -p55070 -aS'CPAP\tCPAP\tNN\tB-NP\tB-protein' -p55071 -aS',\t,\t,\tO\tO' -p55072 -aS'passing\tpass\tVBG\tB-VP\tO' -p55073 -aS'normal\tnormal\tJJ\tB-NP\tO' -p55074 -aS'stools\tstool\tNNS\tI-NP\tO' -p55075 -aS',\t,\t,\tO\tO' -p55076 -aS'guaiac\tguaiac\tNN\tB-NP\tO' -p55077 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p55078 -aS'.\t.\t.\tO\tO' -p55079 -asS'In the setting of Right sublavian line placement as well as nephrostomy tube placement the patient was noted to have a drifting Hct , concerning for bleed , with nadir of 22.8 on 2014-12-01 .' -p55080 -(lp55081 -S'In\tIn\tIN\tB-PP\tO' -p55082 -aS'the\tthe\tDT\tB-NP\tO' -p55083 -aS'setting\tsetting\tNN\tI-NP\tO' -p55084 -aS'of\tof\tIN\tB-PP\tO' -p55085 -aS'Right\tRight\tNNP\tB-NP\tO' -p55086 -aS'sublavian\tsublavian\tJJ\tI-NP\tO' -p55087 -aS'line\tline\tNN\tI-NP\tO' -p55088 -aS'placement\tplacement\tNN\tI-NP\tO' -p55089 -aS'as\tas\tRB\tB-CONJP\tO' -p55090 -aS'well\twell\tRB\tI-CONJP\tO' -p55091 -aS'as\tas\tIN\tI-CONJP\tO' -p55092 -aS'nephrostomy\tnephrostomy\tNN\tB-NP\tO' -p55093 -aS'tube\ttube\tNN\tI-NP\tO' -p55094 -aS'placement\tplacement\tNN\tI-NP\tO' -p55095 -aS'the\tthe\tDT\tB-NP\tO' -p55096 -aS'patient\tpatient\tNN\tI-NP\tO' -p55097 -aS'was\tbe\tVBD\tB-VP\tO' -p55098 -aS'noted\tnote\tVBN\tI-VP\tO' -p55099 -aS'to\tto\tTO\tI-VP\tO' -p55100 -aS'have\thave\tVB\tI-VP\tO' -p55101 -aS'a\ta\tDT\tB-NP\tO' -p55102 -aS'drifting\tdrifting\tNN\tI-NP\tO' -p55103 -aS'Hct\tHct\tNNP\tI-NP\tO' -p55104 -aS',\t,\t,\tO\tO' -p55105 -aS'concerning\tconcern\tVBG\tB-VP\tO' -p55106 -aS'for\tfor\tIN\tB-PP\tO' -p55107 -aS'bleed\tbleed\tNN\tB-NP\tO' -p55108 -aS',\t,\t,\tO\tO' -p55109 -aS'with\twith\tIN\tB-PP\tO' -p55110 -aS'nadir\tnadir\tNN\tB-NP\tO' -p55111 -aS'of\tof\tIN\tB-PP\tO' -p55112 -aS'22.8\t22.8\tCD\tB-NP\tO' -p55113 -aS'on\ton\tIN\tB-PP\tO' -p55114 -aS'2014-12-01\t2014-12-01\tCD\tB-NP\tO' -p55115 -aS'.\t.\t.\tO\tO' -p55116 -asS'He again did not bump his hematocrit sufficiently and remained in the high 20 's after a total of 4 units , so he was given 2 more total units in 1/2 units segments the following day .' -p55117 -(lp55118 -S'He\tHe\tPRP\tB-NP\tO' -p55119 -aS'again\tagain\tRB\tB-ADVP\tO' -p55120 -aS'did\tdo\tVBD\tB-VP\tO' -p55121 -aS'not\tnot\tRB\tI-VP\tO' -p55122 -aS'bump\tbump\tVB\tI-VP\tO' -p55123 -aS'his\this\tPRP$\tB-NP\tO' -p55124 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p55125 -aS'sufficiently\tsufficiently\tRB\tB-ADVP\tO' -p55126 -aS'and\tand\tCC\tO\tO' -p55127 -aS'remained\tremain\tVBD\tB-VP\tO' -p55128 -aS'in\tin\tIN\tB-PP\tO' -p55129 -aS'the\tthe\tDT\tB-NP\tO' -p55130 -aS'high\thigh\tJJ\tI-NP\tO' -p55131 -aS'20\t20\tCD\tI-NP\tO' -p55132 -aS''s\t'\tNNS\tI-NP\tO' -p55133 -aS'after\tafter\tIN\tB-PP\tO' -p55134 -aS'a\ta\tDT\tB-NP\tO' -p55135 -aS'total\ttotal\tNN\tI-NP\tO' -p55136 -aS'of\tof\tIN\tB-PP\tO' -p55137 -aS'4\t4\tCD\tB-NP\tO' -p55138 -aS'units\tunit\tNNS\tI-NP\tO' -p55139 -aS',\t,\t,\tO\tO' -p55140 -aS'so\tso\tIN\tB-SBAR\tO' -p55141 -aS'he\the\tPRP\tB-NP\tO' -p55142 -aS'was\tbe\tVBD\tB-VP\tO' -p55143 -aS'given\tgive\tVBN\tI-VP\tO' -p55144 -aS'2\t2\tCD\tB-NP\tO' -p55145 -aS'more\tmore\tRBR\tI-NP\tO' -p55146 -aS'total\ttotal\tJJ\tI-NP\tO' -p55147 -aS'units\tunit\tNNS\tI-NP\tO' -p55148 -aS'in\tin\tIN\tB-PP\tO' -p55149 -aS'1/2\t1/2\tCD\tB-NP\tO' -p55150 -aS'units\tunit\tNNS\tI-NP\tO' -p55151 -aS'segments\tsegment\tVBZ\tB-VP\tO' -p55152 -aS'the\tthe\tDT\tB-NP\tO' -p55153 -aS'following\tfollow\tVBG\tI-NP\tO' -p55154 -aS'day\tday\tNN\tI-NP\tO' -p55155 -aS'.\t.\t.\tO\tO' -p55156 -asS'Mr. Hohlt is a 76 - year-old man with a history of hypertension , hyperlipidemia and prior myocardial infarction with a percutaneous transluminal coronary angioplasty of the right coronary artery in 2005 at the Cambridge Health Alliance .' -p55157 -(lp55158 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p55159 -aS'Hohlt\tHohlt\tNNP\tI-NP\tO' -p55160 -aS'is\tbe\tVBZ\tB-VP\tO' -p55161 -aS'a\ta\tDT\tB-NP\tO' -p55162 -aS'76\t76\tCD\tI-NP\tO' -p55163 -aS'-\t-\tHYPH\tI-NP\tO' -p55164 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p55165 -aS'man\tman\tNN\tI-NP\tO' -p55166 -aS'with\twith\tIN\tB-PP\tO' -p55167 -aS'a\ta\tDT\tB-NP\tO' -p55168 -aS'history\thistory\tNN\tI-NP\tO' -p55169 -aS'of\tof\tIN\tB-PP\tO' -p55170 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p55171 -aS',\t,\t,\tO\tO' -p55172 -aS'hyperlipidemia\thyperlipidemia\tNN\tB-NP\tO' -p55173 -aS'and\tand\tCC\tO\tO' -p55174 -aS'prior\tprior\tJJ\tB-NP\tO' -p55175 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p55176 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p55177 -aS'with\twith\tIN\tB-PP\tO' -p55178 -aS'a\ta\tDT\tB-NP\tO' -p55179 -aS'percutaneous\tpercutaneous\tJJ\tI-NP\tO' -p55180 -aS'transluminal\ttransluminal\tJJ\tI-NP\tO' -p55181 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p55182 -aS'angioplasty\tangioplasty\tNN\tI-NP\tO' -p55183 -aS'of\tof\tIN\tB-PP\tO' -p55184 -aS'the\tthe\tDT\tB-NP\tO' -p55185 -aS'right\tright\tJJ\tI-NP\tO' -p55186 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p55187 -aS'artery\tartery\tNN\tI-NP\tO' -p55188 -aS'in\tin\tIN\tB-PP\tO' -p55189 -aS'2005\t2005\tCD\tB-NP\tO' -p55190 -aS'at\tat\tIN\tB-PP\tO' -p55191 -aS'the\tthe\tDT\tB-NP\tO' -p55192 -aS'Cambridge\tCambridge\tNNP\tI-NP\tO' -p55193 -aS'Health\tHealth\tNNP\tI-NP\tO' -p55194 -aS'Alliance\tAlliance\tNNP\tI-NP\tO' -p55195 -aS'.\t.\t.\tO\tO' -p55196 -asS'The graft used was a homograft .' -p55197 -(lp55198 -S'The\tThe\tDT\tB-NP\tO' -p55199 -aS'graft\tgraft\tNN\tI-NP\tO' -p55200 -aS'used\tuse\tVBN\tB-VP\tO' -p55201 -aS'was\tbe\tVBD\tB-VP\tO' -p55202 -aS'a\ta\tDT\tB-NP\tO' -p55203 -aS'homograft\thomograft\tNN\tI-NP\tO' -p55204 -aS'.\t.\t.\tO\tO' -p55205 -asS'Her vital signs were stable , she remained afebrile off antibiotics .' -p55206 -(lp55207 -S'Her\tHer\tPRP$\tB-NP\tO' -p55208 -aS'vital\tvital\tJJ\tI-NP\tO' -p55209 -aS'signs\tsign\tNNS\tI-NP\tO' -p55210 -aS'were\tbe\tVBD\tB-VP\tO' -p55211 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p55212 -aS',\t,\t,\tO\tO' -p55213 -aS'she\tshe\tPRP\tB-NP\tO' -p55214 -aS'remained\tremain\tVBD\tB-VP\tO' -p55215 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p55216 -aS'off\toff\tIN\tB-PP\tO' -p55217 -aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' -p55218 -aS'.\t.\t.\tO\tO' -p55219 -asS'He received two amps of Narcan .' -p55220 -(lp55221 -S'He\tHe\tPRP\tB-NP\tO' -p55222 -aS'received\treceive\tVBD\tB-VP\tO' -p55223 -aS'two\ttwo\tCD\tB-NP\tO' -p55224 -aS'amps\tamp\tNNS\tI-NP\tO' -p55225 -aS'of\tof\tIN\tB-PP\tO' -p55226 -aS'Narcan\tNarcan\tNNP\tB-NP\tO' -p55227 -aS'.\t.\t.\tO\tO' -p55228 -asS'His abdomen was soft , nontender and nondistended with a nonerythematous peritoneal dialysis insertion site .' -p55229 -(lp55230 -S'His\tHis\tPRP$\tB-NP\tO' -p55231 -aS'abdomen\tabdoman\tNNS\tI-NP\tO' -p55232 -aS'was\tbe\tVBD\tB-VP\tO' -p55233 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p55234 -aS',\t,\t,\tO\tO' -p55235 -aS'nontender\tnontender\tJJ\tB-ADJP\tO' -p55236 -aS'and\tand\tCC\tI-ADJP\tO' -p55237 -aS'nondistended\tnondistended\tJJ\tI-ADJP\tO' -p55238 -aS'with\twith\tIN\tB-PP\tO' -p55239 -aS'a\ta\tDT\tB-NP\tO' -p55240 -aS'nonerythematous\tnonerythematous\tJJ\tI-NP\tB-DNA' -p55241 -aS'peritoneal\tperitoneal\tJJ\tI-NP\tI-DNA' -p55242 -aS'dialysis\tdialysis\tNN\tI-NP\tI-DNA' -p55243 -aS'insertion\tinsertion\tNN\tI-NP\tI-DNA' -p55244 -aS'site\tsite\tNN\tI-NP\tI-DNA' -p55245 -aS'.\t.\t.\tO\tO' -p55246 -asS'Says that she could not walk a few yards without developing symptoms .' -p55247 -(lp55248 -S'Says\tSay\tVBZ\tB-VP\tO' -p55249 -aS'that\tthat\tIN\tB-SBAR\tO' -p55250 -aS'she\tshe\tPRP\tB-NP\tO' -p55251 -aS'could\tcould\tMD\tB-VP\tO' -p55252 -aS'not\tnot\tRB\tI-VP\tO' -p55253 -aS'walk\twalk\tVB\tI-VP\tO' -p55254 -aS'a\ta\tDT\tB-NP\tO' -p55255 -aS'few\tfew\tJJ\tI-NP\tO' -p55256 -aS'yards\tyard\tNNS\tI-NP\tO' -p55257 -aS'without\twithout\tIN\tB-PP\tO' -p55258 -aS'developing\tdevelop\tVBG\tB-VP\tO' -p55259 -aS'symptoms\tsymptom\tNNS\tB-NP\tO' -p55260 -aS'.\t.\t.\tO\tO' -p55261 -asS'She was initially treated nonoperatively with IV fluids , antibiotics , serial exams and NGT decompression .' -p55262 -(lp55263 -S'She\tShe\tPRP\tB-NP\tO' -p55264 -aS'was\tbe\tVBD\tB-VP\tO' -p55265 -aS'initially\tinitially\tRB\tI-VP\tO' -p55266 -aS'treated\ttreat\tVBN\tI-VP\tO' -p55267 -aS'nonoperatively\tnonoperatively\tRB\tB-ADVP\tO' -p55268 -aS'with\twith\tIN\tB-PP\tO' -p55269 -aS'IV\tIV\tCD\tB-NP\tO' -p55270 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p55271 -aS',\t,\t,\tO\tO' -p55272 -aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' -p55273 -aS',\t,\t,\tO\tO' -p55274 -aS'serial\tserial\tJJ\tB-NP\tO' -p55275 -aS'exams\texam\tNNS\tI-NP\tO' -p55276 -aS'and\tand\tCC\tO\tO' -p55277 -aS'NGT\tNGT\tNN\tB-NP\tO' -p55278 -aS'decompression\tdecompression\tNN\tI-NP\tO' -p55279 -aS'.\t.\t.\tO\tO' -p55280 -asS'They have been informed up to date on his needs , discharge from the hospital .' -p55281 -(lp55282 -S'They\tThey\tPRP\tB-NP\tO' -p55283 -aS'have\thave\tVBP\tB-VP\tO' -p55284 -aS'been\tbe\tVBN\tI-VP\tO' -p55285 -aS'informed\tinform\tVBN\tI-VP\tO' -p55286 -aS'up\tup\tRP\tB-PRT\tO' -p55287 -aS'to\tto\tTO\tB-PP\tO' -p55288 -aS'date\tdate\tNN\tB-NP\tO' -p55289 -aS'on\ton\tIN\tB-PP\tO' -p55290 -aS'his\this\tPRP$\tB-NP\tO' -p55291 -aS'needs\tneed\tNNS\tI-NP\tO' -p55292 -aS',\t,\t,\tO\tO' -p55293 -aS'discharge\tdischarge\tVBP\tB-VP\tO' -p55294 -aS'from\tfrom\tIN\tB-PP\tO' -p55295 -aS'the\tthe\tDT\tB-NP\tO' -p55296 -aS'hospital\thospital\tNN\tI-NP\tO' -p55297 -aS'.\t.\t.\tO\tO' -p55298 -asS'Left ventricular wall thicknesses and cavity size are normal .' -p55299 -(lp55300 -S'Left\tLeave\tVBN\tB-NP\tO' -p55301 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p55302 -aS'wall\twall\tNN\tI-NP\tO' -p55303 -aS'thicknesses\tthickness\tNNS\tI-NP\tO' -p55304 -aS'and\tand\tCC\tO\tO' -p55305 -aS'cavity\tcavity\tNN\tB-NP\tO' -p55306 -aS'size\tsize\tNN\tI-NP\tO' -p55307 -aS'are\tbe\tVBP\tB-VP\tO' -p55308 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p55309 -aS'.\t.\t.\tO\tO' -p55310 -asS'His abdomen was soft , nontender , nondistended .' -p55311 -(lp55312 -S'His\tHis\tPRP$\tB-NP\tO' -p55313 -aS'abdomen\tabdoman\tNNS\tI-NP\tO' -p55314 -aS'was\tbe\tVBD\tB-VP\tO' -p55315 -aS'soft\tsoft\tJJ\tB-NP\tO' -p55316 -aS',\t,\t,\tI-NP\tO' -p55317 -aS'nontender\tnontender\tJJ\tI-NP\tO' -p55318 -aS',\t,\t,\tI-NP\tO' -p55319 -aS'nondistended\tnondistended\tJJ\tI-NP\tO' -p55320 -aS'.\t.\t.\tO\tO' -p55321 -asS'Postoperatively , the patient was transferred to the CSRU for close monitoring .' -p55322 -(lp55323 -S'Postoperatively\tPostoperatively\tRB\tB-ADVP\tO' -p55324 -aS',\t,\t,\tO\tO' -p55325 -aS'the\tthe\tDT\tB-NP\tO' -p55326 -aS'patient\tpatient\tNN\tI-NP\tO' -p55327 -aS'was\tbe\tVBD\tB-VP\tO' -p55328 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p55329 -aS'to\tto\tTO\tB-PP\tO' -p55330 -aS'the\tthe\tDT\tB-NP\tO' -p55331 -aS'CSRU\tCSRU\tNN\tI-NP\tO' -p55332 -aS'for\tfor\tIN\tB-PP\tO' -p55333 -aS'close\tclose\tJJ\tB-NP\tO' -p55334 -aS'monitoring\tmonitoring\tNN\tI-NP\tO' -p55335 -aS'.\t.\t.\tO\tO' -p55336 -asS'Therefore , IV tpa thrombolytics were administered within 3 hours of symptom onset .' -p55337 -(lp55338 -S'Therefore\tTherefore\tRB\tB-ADVP\tO' -p55339 -aS',\t,\t,\tO\tO' -p55340 -aS'IV\tIV\tCD\tB-NP\tO' -p55341 -aS'tpa\ttpa\tNN\tI-NP\tO' -p55342 -aS'thrombolytics\tthrombolytic\tNNS\tI-NP\tO' -p55343 -aS'were\tbe\tVBD\tB-VP\tO' -p55344 -aS'administered\tadminister\tVBN\tI-VP\tO' -p55345 -aS'within\twithin\tIN\tB-PP\tO' -p55346 -aS'3\t3\tCD\tB-NP\tO' -p55347 -aS'hours\thour\tNNS\tI-NP\tO' -p55348 -aS'of\tof\tIN\tB-PP\tO' -p55349 -aS'symptom\tsymptom\tNN\tB-NP\tO' -p55350 -aS'onset\tonset\tNN\tI-NP\tO' -p55351 -aS'.\t.\t.\tO\tO' -p55352 -asS'There were no murmurs or rubs .' -p55353 -(lp55354 -S'There\tThere\tEX\tB-NP\tO' -p55355 -aS'were\tbe\tVBD\tB-VP\tO' -p55356 -aS'no\tno\tDT\tB-NP\tO' -p55357 -aS'murmurs\tmurmur\tNNS\tI-NP\tO' -p55358 -aS'or\tor\tCC\tI-NP\tO' -p55359 -aS'rubs\trub\tNNS\tI-NP\tO' -p55360 -aS'.\t.\t.\tO\tO' -p55361 -asS'The patient tolerated the procedure well and was found postoperatively to have some left upper extremity weakness on proximal greater than distal musculature .' -p55362 -(lp55363 -S'The\tThe\tDT\tB-NP\tO' -p55364 -aS'patient\tpatient\tNN\tI-NP\tO' -p55365 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p55366 -aS'the\tthe\tDT\tB-NP\tO' -p55367 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p55368 -aS'well\twell\tRB\tB-ADVP\tO' -p55369 -aS'and\tand\tCC\tO\tO' -p55370 -aS'was\tbe\tVBD\tB-VP\tO' -p55371 -aS'found\tfind\tVBN\tI-VP\tO' -p55372 -aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' -p55373 -aS'to\tto\tTO\tB-VP\tO' -p55374 -aS'have\thave\tVB\tI-VP\tO' -p55375 -aS'some\tsome\tDT\tB-NP\tO' -p55376 -aS'left\tleft\tJJ\tI-NP\tO' -p55377 -aS'upper\tupper\tJJ\tI-NP\tO' -p55378 -aS'extremity\textremity\tNN\tI-NP\tO' -p55379 -aS'weakness\tweakness\tNN\tI-NP\tO' -p55380 -aS'on\ton\tIN\tB-PP\tO' -p55381 -aS'proximal\tproximal\tJJ\tB-NP\tO' -p55382 -aS'greater\tgreat\tJJR\tI-NP\tO' -p55383 -aS'than\tthan\tIN\tB-PP\tO' -p55384 -aS'distal\tdistal\tJJ\tB-NP\tO' -p55385 -aS'musculature\tmusculature\tNN\tI-NP\tO' -p55386 -aS'.\t.\t.\tO\tO' -p55387 -asS'The cortical ribbon is intact .' -p55388 -(lp55389 -S'The\tThe\tDT\tB-NP\tO' -p55390 -aS'cortical\tcortical\tJJ\tI-NP\tO' -p55391 -aS'ribbon\tribbon\tNN\tI-NP\tO' -p55392 -aS'is\tbe\tVBZ\tB-VP\tO' -p55393 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p55394 -aS'.\t.\t.\tO\tO' -p55395 -asS'Abdominal pain predominally on the right upper quadrant , no signs of peritoneal irritation .' -p55396 -(lp55397 -S'Abdominal\tAbdominal\tJJ\tB-NP\tO' -p55398 -aS'pain\tpain\tNN\tI-NP\tO' -p55399 -aS'predominally\tpredominally\tRB\tB-ADVP\tO' -p55400 -aS'on\ton\tIN\tB-PP\tO' -p55401 -aS'the\tthe\tDT\tB-NP\tO' -p55402 -aS'right\tright\tJJ\tI-NP\tO' -p55403 -aS'upper\tupper\tJJ\tI-NP\tO' -p55404 -aS'quadrant\tquadrant\tNN\tI-NP\tO' -p55405 -aS',\t,\t,\tO\tO' -p55406 -aS'no\tno\tDT\tB-NP\tO' -p55407 -aS'signs\tsign\tNNS\tI-NP\tO' -p55408 -aS'of\tof\tIN\tB-PP\tO' -p55409 -aS'peritoneal\tperitoneal\tJJ\tB-NP\tO' -p55410 -aS'irritation\tirritation\tNN\tI-NP\tO' -p55411 -aS'.\t.\t.\tO\tO' -p55412 -asS'10. Multivitamin Capsule Sig : One ( 1 ) Cap PO DAILY ( Daily ) .' -p55413 -(lp55414 -S'10.\t10.\tLS\tB-LST\tO' -p55415 -aS'Multivitamin\tMultivitamin\tNNP\tB-NP\tO' -p55416 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p55417 -aS'Sig\tSig\tNNP\tI-NP\tO' -p55418 -aS':\t:\t:\tO\tO' -p55419 -aS'One\tOne\tCD\tB-NP\tO' -p55420 -aS'(\t(\t(\tO\tO' -p55421 -aS'1\t1\tCD\tB-NP\tO' -p55422 -aS')\t)\t)\tO\tO' -p55423 -aS'Cap\tCap\tNN\tB-NP\tO' -p55424 -aS'PO\tPO\tNN\tI-NP\tO' -p55425 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p55426 -aS'(\t(\t(\tO\tO' -p55427 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p55428 -aS')\t)\t)\tO\tO' -p55429 -aS'.\t.\t.\tO\tO' -p55430 -asS'Currently the patient is admitted to the Intensive Care Unit for further medical care .' -p55431 -(lp55432 -S'Currently\tCurrently\tRB\tB-ADVP\tO' -p55433 -aS'the\tthe\tDT\tB-NP\tO' -p55434 -aS'patient\tpatient\tNN\tI-NP\tO' -p55435 -aS'is\tbe\tVBZ\tB-VP\tO' -p55436 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p55437 -aS'to\tto\tTO\tB-PP\tO' -p55438 -aS'the\tthe\tDT\tB-NP\tO' -p55439 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p55440 -aS'Care\tCare\tNNP\tI-NP\tO' -p55441 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p55442 -aS'for\tfor\tIN\tB-PP\tO' -p55443 -aS'further\tfurther\tJJ\tB-NP\tO' -p55444 -aS'medical\tmedical\tJJ\tI-NP\tO' -p55445 -aS'care\tcare\tNN\tI-NP\tO' -p55446 -aS'.\t.\t.\tO\tO' -p55447 -asS'This is a chronic problem but may be contributing to her current weakness and inability to walk .' -p55448 -(lp55449 -S'This\tThis\tDT\tB-NP\tO' -p55450 -aS'is\tbe\tVBZ\tB-VP\tO' -p55451 -aS'a\ta\tDT\tB-NP\tO' -p55452 -aS'chronic\tchronic\tJJ\tI-NP\tO' -p55453 -aS'problem\tproblem\tNN\tI-NP\tO' -p55454 -aS'but\tbut\tCC\tO\tO' -p55455 -aS'may\tmay\tMD\tB-VP\tO' -p55456 -aS'be\tbe\tVB\tI-VP\tO' -p55457 -aS'contributing\tcontribute\tVBG\tI-VP\tO' -p55458 -aS'to\tto\tTO\tB-PP\tO' -p55459 -aS'her\ther\tPRP$\tB-NP\tO' -p55460 -aS'current\tcurrent\tJJ\tI-NP\tO' -p55461 -aS'weakness\tweakness\tNN\tI-NP\tO' -p55462 -aS'and\tand\tCC\tI-NP\tO' -p55463 -aS'inability\tinability\tNN\tI-NP\tO' -p55464 -aS'to\tto\tTO\tB-VP\tO' -p55465 -aS'walk\twalk\tVB\tI-VP\tO' -p55466 -aS'.\t.\t.\tO\tO' -p55467 -asS'This was not significantly changed from comparison with 2016-03-17 .' -p55468 -(lp55469 -S'This\tThis\tDT\tB-NP\tO' -p55470 -aS'was\tbe\tVBD\tB-VP\tO' -p55471 -aS'not\tnot\tRB\tO\tO' -p55472 -aS'significantly\tsignificantly\tRB\tB-ADJP\tO' -p55473 -aS'changed\tchange\tVBN\tI-ADJP\tO' -p55474 -aS'from\tfrom\tIN\tB-PP\tO' -p55475 -aS'comparison\tcomparison\tNN\tB-NP\tO' -p55476 -aS'with\twith\tIN\tB-PP\tO' -p55477 -aS'2016-03-17\t2016-03-17\tCD\tB-NP\tO' -p55478 -aS'.\t.\t.\tO\tO' -p55479 -asS'Mildly dilated aortic root and ascending aorta .' -p55480 -(lp55481 -S'Mildly\tMildly\tRB\tB-NP\tO' -p55482 -aS'dilated\tdilate\tVBN\tI-NP\tO' -p55483 -aS'aortic\taortic\tJJ\tI-NP\tO' -p55484 -aS'root\troot\tNN\tI-NP\tO' -p55485 -aS'and\tand\tCC\tO\tO' -p55486 -aS'ascending\tascend\tVBG\tB-VP\tO' -p55487 -aS'aorta\taorta\tNN\tB-NP\tO' -p55488 -aS'.\t.\t.\tO\tO' -p55489 -asS'5. Heparin Sodium ( Porcine ) 5,000 unit / mL Solution Sig : One ( 1 ) Injection TID ( 3 times a day ) .' -p55490 -(lp55491 -S'5.\t5.\tLS\tB-NP\tO' -p55492 -aS'Heparin\tHeparin\tNN\tI-NP\tB-protein' -p55493 -aS'Sodium\tSodium\tNN\tI-NP\tI-protein' -p55494 -aS'(\t(\t(\tO\tI-protein' -p55495 -aS'Porcine\tPorcine\tNN\tB-NP\tI-protein' -p55496 -aS')\t)\t)\tO\tI-protein' -p55497 -aS'5,000\t5,000\tCD\tB-NP\tI-protein' -p55498 -aS'unit\tunit\tNN\tI-NP\tI-protein' -p55499 -aS'/\t/\tSYM\tB-NP\tO' -p55500 -aS'mL\tmL\tNN\tI-NP\tO' -p55501 -aS'Solution\tSolution\tNNP\tI-NP\tO' -p55502 -aS'Sig\tSig\tNNP\tI-NP\tO' -p55503 -aS':\t:\t:\tO\tO' -p55504 -aS'One\tOne\tCD\tB-NP\tO' -p55505 -aS'(\t(\t(\tO\tO' -p55506 -aS'1\t1\tCD\tB-NP\tO' -p55507 -aS')\t)\t)\tO\tO' -p55508 -aS'Injection\tInjection\tNN\tB-NP\tO' -p55509 -aS'TID\tTID\tNN\tI-NP\tO' -p55510 -aS'(\t(\t(\tO\tO' -p55511 -aS'3\t3\tCD\tB-NP\tO' -p55512 -aS'times\ttime\tNNS\tI-NP\tO' -p55513 -aS'a\ta\tDT\tB-NP\tO' -p55514 -aS'day\tday\tNN\tI-NP\tO' -p55515 -aS')\t)\t)\tO\tO' -p55516 -aS'.\t.\t.\tO\tO' -p55517 -asS'He came to this country in late December 1994 to live with his son for a few months and was referred to me for follow up .' -p55518 -(lp55519 -S'He\tHe\tPRP\tB-NP\tO' -p55520 -aS'came\tcome\tVBD\tB-VP\tO' -p55521 -aS'to\tto\tTO\tB-PP\tO' -p55522 -aS'this\tthis\tDT\tB-NP\tO' -p55523 -aS'country\tcountry\tNN\tI-NP\tO' -p55524 -aS'in\tin\tIN\tB-PP\tO' -p55525 -aS'late\tlate\tJJ\tB-NP\tO' -p55526 -aS'December\tDecember\tNNP\tI-NP\tO' -p55527 -aS'1994\t1994\tCD\tI-NP\tO' -p55528 -aS'to\tto\tTO\tB-VP\tO' -p55529 -aS'live\tlive\tVB\tI-VP\tO' -p55530 -aS'with\twith\tIN\tB-PP\tO' -p55531 -aS'his\this\tPRP$\tB-NP\tO' -p55532 -aS'son\tson\tNN\tI-NP\tO' -p55533 -aS'for\tfor\tIN\tB-PP\tO' -p55534 -aS'a\ta\tDT\tB-NP\tO' -p55535 -aS'few\tfew\tJJ\tI-NP\tO' -p55536 -aS'months\tmonth\tNNS\tI-NP\tO' -p55537 -aS'and\tand\tCC\tO\tO' -p55538 -aS'was\tbe\tVBD\tB-VP\tO' -p55539 -aS'referred\trefer\tVBN\tI-VP\tO' -p55540 -aS'to\tto\tTO\tB-PP\tO' -p55541 -aS'me\tme\tPRP\tB-NP\tO' -p55542 -aS'for\tfor\tIN\tB-PP\tO' -p55543 -aS'follow\tfollow\tVB\tB-VP\tO' -p55544 -aS'up\tup\tIN\tB-PRT\tO' -p55545 -aS'.\t.\t.\tO\tO' -p55546 -asS'She delivered a 3263 gram female infant on 10/30/2003 at 05:03 am with apgar scores of 8 and 9 at one and five minutes respectively at 40.1 weeks gestation via spontaneous vertex vaginal delivery .' -p55547 -(lp55548 -S'She\tShe\tPRP\tB-NP\tO' -p55549 -aS'delivered\tdeliver\tVBD\tB-VP\tO' -p55550 -aS'a\ta\tDT\tB-NP\tO' -p55551 -aS'3263\t3263\tCD\tI-NP\tO' -p55552 -aS'gram\tgram\tNN\tI-NP\tO' -p55553 -aS'female\tfemale\tJJ\tI-NP\tO' -p55554 -aS'infant\tinfant\tNN\tI-NP\tO' -p55555 -aS'on\ton\tIN\tB-PP\tO' -p55556 -aS'10/30/2003\t10/30/2003\tCD\tB-NP\tO' -p55557 -aS'at\tat\tIN\tB-PP\tO' -p55558 -aS'05:03\t05:03\tCD\tB-NP\tO' -p55559 -aS'am\tam\tNN\tI-NP\tO' -p55560 -aS'with\twith\tIN\tB-PP\tO' -p55561 -aS'apgar\tapgar\tNN\tB-NP\tO' -p55562 -aS'scores\tscore\tNNS\tI-NP\tO' -p55563 -aS'of\tof\tIN\tB-PP\tO' -p55564 -aS'8\t8\tCD\tB-NP\tO' -p55565 -aS'and\tand\tCC\tI-NP\tO' -p55566 -aS'9\t9\tCD\tI-NP\tO' -p55567 -aS'at\tat\tIN\tB-PP\tO' -p55568 -aS'one\tone\tCD\tB-NP\tO' -p55569 -aS'and\tand\tCC\tI-NP\tO' -p55570 -aS'five\tfive\tCD\tI-NP\tO' -p55571 -aS'minutes\tminute\tNNS\tI-NP\tO' -p55572 -aS'respectively\trespectively\tRB\tB-ADVP\tO' -p55573 -aS'at\tat\tIN\tB-PP\tO' -p55574 -aS'40.1\t40.1\tCD\tB-NP\tO' -p55575 -aS'weeks\tweek\tNNS\tI-NP\tO' -p55576 -aS'gestation\tgestation\tNN\tI-NP\tO' -p55577 -aS'via\tvia\tIN\tB-PP\tO' -p55578 -aS'spontaneous\tspontaneous\tJJ\tB-NP\tO' -p55579 -aS'vertex\tvertex\tNN\tI-NP\tO' -p55580 -aS'vaginal\tvaginal\tJJ\tI-NP\tO' -p55581 -aS'delivery\tdelivery\tNN\tI-NP\tO' -p55582 -aS'.\t.\t.\tO\tO' -p55583 -asS'After some debate , we concluded that Vetrano was not at unusually high risk from RSV , but that her sister might be .' -p55584 -(lp55585 -S'After\tAfter\tIN\tB-PP\tO' -p55586 -aS'some\tsome\tDT\tB-NP\tO' -p55587 -aS'debate\tdebate\tNN\tI-NP\tO' -p55588 -aS',\t,\t,\tO\tO' -p55589 -aS'we\twe\tPRP\tB-NP\tO' -p55590 -aS'concluded\tconclude\tVBD\tB-VP\tO' -p55591 -aS'that\tthat\tIN\tB-SBAR\tO' -p55592 -aS'Vetrano\tVetrano\tNNP\tB-NP\tO' -p55593 -aS'was\tbe\tVBD\tB-VP\tO' -p55594 -aS'not\tnot\tRB\tO\tO' -p55595 -aS'at\tat\tIN\tB-PP\tO' -p55596 -aS'unusually\tunusually\tRB\tB-NP\tO' -p55597 -aS'high\thigh\tJJ\tI-NP\tO' -p55598 -aS'risk\trisk\tNN\tI-NP\tO' -p55599 -aS'from\tfrom\tIN\tB-PP\tO' -p55600 -aS'RSV\tRSV\tNN\tB-NP\tB-protein' -p55601 -aS',\t,\t,\tO\tO' -p55602 -aS'but\tbut\tCC\tO\tO' -p55603 -aS'that\tthat\tDT\tO\tO' -p55604 -aS'her\ther\tPRP$\tB-NP\tO' -p55605 -aS'sister\tsister\tNN\tI-NP\tO' -p55606 -aS'might\tmight\tMD\tB-VP\tO' -p55607 -aS'be\tbe\tVB\tI-VP\tO' -p55608 -aS'.\t.\t.\tO\tO' -p55609 -asS'5) E. coli bacteremia / sepsis : Source of acute cholangitis as above .' -p55610 -(lp55611 -S'5)\t5)\tLS\tB-LST\tO' -p55612 -aS'E.\tE.\tFW\tB-NP\tO' -p55613 -aS'coli\tcoli\tFW\tI-NP\tO' -p55614 -aS'bacteremia\tbacteremia\tNN\tI-NP\tO' -p55615 -aS'/\t/\tSYM\tB-NP\tO' -p55616 -aS'sepsis\tsepsis\tNN\tI-NP\tO' -p55617 -aS':\t:\t:\tO\tO' -p55618 -aS'Source\tSource\tNN\tB-NP\tO' -p55619 -aS'of\tof\tIN\tB-PP\tO' -p55620 -aS'acute\tacute\tJJ\tB-NP\tO' -p55621 -aS'cholangitis\tcholangitis\tNN\tI-NP\tO' -p55622 -aS'as\tas\tIN\tB-PP\tO' -p55623 -aS'above\tabove\tRB\tB-ADVP\tO' -p55624 -aS'.\t.\t.\tO\tO' -p55625 -asS'The patient was admitted with a blood pressure of 140/80 , temperature 101.3 , pulse 84 , and respiratory rate 22 .' -p55626 -(lp55627 -S'The\tThe\tDT\tB-NP\tO' -p55628 -aS'patient\tpatient\tNN\tI-NP\tO' -p55629 -aS'was\tbe\tVBD\tB-VP\tO' -p55630 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p55631 -aS'with\twith\tIN\tB-PP\tO' -p55632 -aS'a\ta\tDT\tB-NP\tO' -p55633 -aS'blood\tblood\tNN\tI-NP\tO' -p55634 -aS'pressure\tpressure\tNN\tI-NP\tO' -p55635 -aS'of\tof\tIN\tB-PP\tO' -p55636 -aS'140/80\t140/80\tCD\tB-NP\tO' -p55637 -aS',\t,\t,\tO\tO' -p55638 -aS'temperature\ttemperature\tNN\tB-NP\tB-protein' -p55639 -aS'101.3\t101.3\tCD\tI-NP\tI-protein' -p55640 -aS',\t,\t,\tO\tO' -p55641 -aS'pulse\tpulse\tNN\tB-NP\tO' -p55642 -aS'84\t84\tCD\tI-NP\tO' -p55643 -aS',\t,\t,\tO\tO' -p55644 -aS'and\tand\tCC\tO\tO' -p55645 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p55646 -aS'rate\trate\tNN\tI-NP\tO' -p55647 -aS'22\t22\tCD\tI-NP\tO' -p55648 -aS'.\t.\t.\tO\tO' -p55649 -asS'Abdominal aortic aneurysm was discovered on examination and patient was referred to Retelk County Medical Center .' -p55650 -(lp55651 -S'Abdominal\tAbdominal\tJJ\tB-NP\tO' -p55652 -aS'aortic\taortic\tJJ\tI-NP\tO' -p55653 -aS'aneurysm\taneurysm\tNN\tI-NP\tO' -p55654 -aS'was\tbe\tVBD\tB-VP\tO' -p55655 -aS'discovered\tdiscover\tVBN\tI-VP\tO' -p55656 -aS'on\ton\tIN\tB-PP\tO' -p55657 -aS'examination\texamination\tNN\tB-NP\tO' -p55658 -aS'and\tand\tCC\tI-NP\tO' -p55659 -aS'patient\tpatient\tNN\tI-NP\tO' -p55660 -aS'was\tbe\tVBD\tB-VP\tO' -p55661 -aS'referred\trefer\tVBN\tI-VP\tO' -p55662 -aS'to\tto\tTO\tB-PP\tO' -p55663 -aS'Retelk\tRetelk\tNNP\tB-NP\tO' -p55664 -aS'County\tCounty\tNNP\tI-NP\tO' -p55665 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p55666 -aS'Center\tCenter\tNNP\tI-NP\tO' -p55667 -aS'.\t.\t.\tO\tO' -p55668 -asS'The cranial nerves II-XII grossly intact , bilaterally symmetric .' -p55669 -(lp55670 -S'The\tThe\tDT\tB-NP\tO' -p55671 -aS'cranial\tcranial\tJJ\tI-NP\tO' -p55672 -aS'nerves\tnerve\tNNS\tI-NP\tO' -p55673 -aS'II-XII\tII-XII\tNN\tI-NP\tB-protein' -p55674 -aS'grossly\tgrossly\tRB\tB-ADJP\tO' -p55675 -aS'intact\tintact\tJJ\tI-ADJP\tO' -p55676 -aS',\t,\t,\tO\tO' -p55677 -aS'bilaterally\tbilaterally\tRB\tB-ADJP\tO' -p55678 -aS'symmetric\tsymmetric\tJJ\tI-ADJP\tO' -p55679 -aS'.\t.\t.\tO\tO' -p55680 -asS'On admission blood pressure 165/70 .' -p55681 -(lp55682 -S'On\tOn\tIN\tB-PP\tO' -p55683 -aS'admission\tadmission\tNN\tB-NP\tB-DNA' -p55684 -aS'blood\tblood\tNN\tI-NP\tI-DNA' -p55685 -aS'pressure\tpressure\tNN\tI-NP\tI-DNA' -p55686 -aS'165/70\t165/70\tCD\tI-NP\tI-DNA' -p55687 -aS'.\t.\t.\tO\tO' -p55688 -asS'A colonoscopy showed anteriordysplasia , no bleeding was seen .' -p55689 -(lp55690 -S'A\tA\tDT\tB-NP\tO' -p55691 -aS'colonoscopy\tcolonoscopy\tNN\tI-NP\tO' -p55692 -aS'showed\tshow\tVBD\tB-VP\tO' -p55693 -aS'anteriordysplasia\tanteriordysplasia\tNN\tB-NP\tO' -p55694 -aS',\t,\t,\tO\tO' -p55695 -aS'no\tno\tDT\tB-NP\tO' -p55696 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p55697 -aS'was\tbe\tVBD\tB-VP\tO' -p55698 -aS'seen\tsee\tVBN\tI-VP\tO' -p55699 -aS'.\t.\t.\tO\tO' -p55700 -asS'Ext : tr edema , 2+ DP bilaterally' -p55701 -(lp55702 -S'Ext\tExt\tNN\tB-NP\tO' -p55703 -aS':\t:\t:\tO\tO' -p55704 -aS'tr\ttr\tNN\tB-NP\tO' -p55705 -aS'edema\tedema\tNN\tI-NP\tO' -p55706 -aS',\t,\t,\tO\tO' -p55707 -aS'2+\t2+\tJJ\tB-NP\tO' -p55708 -aS'DP\tDP\tNN\tI-NP\tO' -p55709 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p55710 -asS'Scruntches eyes closed when try to open them .' -p55711 -(lp55712 -S'Scruntches\tScruntch\tNNS\tB-NP\tO' -p55713 -aS'eyes\teye\tNNS\tI-NP\tO' -p55714 -aS'closed\tclose\tVBD\tB-VP\tO' -p55715 -aS'when\twhen\tWRB\tB-ADVP\tO' -p55716 -aS'try\ttry\tNN\tB-NP\tO' -p55717 -aS'to\tto\tTO\tB-VP\tO' -p55718 -aS'open\topen\tVB\tI-VP\tO' -p55719 -aS'them\tthem\tPRP\tB-NP\tO' -p55720 -aS'.\t.\t.\tO\tO' -p55721 -asS'It was decided that patient should receive one more trial off the vent before committing her to a tracheotomy .' -p55722 -(lp55723 -S'It\tIt\tPRP\tB-NP\tO' -p55724 -aS'was\tbe\tVBD\tB-VP\tO' -p55725 -aS'decided\tdecide\tVBN\tI-VP\tO' -p55726 -aS'that\tthat\tIN\tB-SBAR\tO' -p55727 -aS'patient\tpatient\tNN\tB-NP\tO' -p55728 -aS'should\tshould\tMD\tB-VP\tO' -p55729 -aS'receive\treceive\tVB\tI-VP\tO' -p55730 -aS'one\tone\tCD\tB-NP\tO' -p55731 -aS'more\tmore\tJJR\tI-NP\tO' -p55732 -aS'trial\ttrial\tNN\tI-NP\tO' -p55733 -aS'off\toff\tIN\tB-PP\tO' -p55734 -aS'the\tthe\tDT\tB-NP\tO' -p55735 -aS'vent\tvent\tNN\tI-NP\tO' -p55736 -aS'before\tbefore\tIN\tB-PP\tO' -p55737 -aS'committing\tcommit\tVBG\tB-VP\tO' -p55738 -aS'her\ther\tPRP\tB-NP\tO' -p55739 -aS'to\tto\tTO\tB-PP\tO' -p55740 -aS'a\ta\tDT\tB-NP\tO' -p55741 -aS'tracheotomy\ttracheotomy\tNN\tI-NP\tO' -p55742 -aS'.\t.\t.\tO\tO' -p55743 -asS'Please arrive 1 hour prior to the appointment to complete the Free Care Application there .' -p55744 -(lp55745 -S'Please\tPlease\tNN\tB-NP\tB-protein' -p55746 -aS'arrive\tarrive\tVBP\tB-VP\tO' -p55747 -aS'1\t1\tCD\tB-NP\tO' -p55748 -aS'hour\thour\tNN\tI-NP\tO' -p55749 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p55750 -aS'to\tto\tTO\tB-PP\tO' -p55751 -aS'the\tthe\tDT\tB-NP\tO' -p55752 -aS'appointment\tappointment\tNN\tI-NP\tO' -p55753 -aS'to\tto\tTO\tB-VP\tO' -p55754 -aS'complete\tcomplete\tVB\tI-VP\tO' -p55755 -aS'the\tthe\tDT\tB-NP\tO' -p55756 -aS'Free\tFree\tNNP\tI-NP\tO' -p55757 -aS'Care\tCare\tNNP\tI-NP\tO' -p55758 -aS'Application\tApplication\tNNP\tI-NP\tO' -p55759 -aS'there\tthere\tRB\tB-ADVP\tO' -p55760 -aS'.\t.\t.\tO\tO' -p55761 -asS'After endotracheal intubation , MAPs were maintained between 70 and 90 , dilantin was dose to maintain an appropriate level .' -p55762 -(lp55763 -S'After\tAfter\tIN\tB-PP\tO' -p55764 -aS'endotracheal\tendotracheal\tJJ\tB-NP\tO' -p55765 -aS'intubation\tintubation\tNN\tI-NP\tO' -p55766 -aS',\t,\t,\tO\tO' -p55767 -aS'MAPs\tMAP\tNNS\tB-NP\tB-protein' -p55768 -aS'were\tbe\tVBD\tB-VP\tO' -p55769 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p55770 -aS'between\tbetween\tIN\tB-PP\tO' -p55771 -aS'70\t70\tCD\tB-NP\tO' -p55772 -aS'and\tand\tCC\tI-NP\tO' -p55773 -aS'90\t90\tCD\tI-NP\tO' -p55774 -aS',\t,\t,\tO\tO' -p55775 -aS'dilantin\tdilantin\tNN\tB-NP\tO' -p55776 -aS'was\tbe\tVBD\tB-VP\tO' -p55777 -aS'dose\tdose\tNN\tB-NP\tO' -p55778 -aS'to\tto\tTO\tB-VP\tO' -p55779 -aS'maintain\tmaintain\tVB\tI-VP\tO' -p55780 -aS'an\tan\tDT\tB-NP\tO' -p55781 -aS'appropriate\tappropriate\tJJ\tI-NP\tO' -p55782 -aS'level\tlevel\tNN\tI-NP\tO' -p55783 -aS'.\t.\t.\tO\tO' -p55784 -asS'He is HITT negative .' -p55785 -(lp55786 -S'He\tHe\tPRP\tB-NP\tO' -p55787 -aS'is\tbe\tVBZ\tB-VP\tO' -p55788 -aS'HITT\tHITT\tNN\tB-NP\tO' -p55789 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p55790 -aS'.\t.\t.\tO\tO' -p55791 -asS'Sinemet was stopped during last admission 06-30 as he was thought to NOT have PD .' -p55792 -(lp55793 -S'Sinemet\tSinemet\tNN\tB-NP\tO' -p55794 -aS'was\tbe\tVBD\tB-VP\tO' -p55795 -aS'stopped\tstop\tVBN\tI-VP\tO' -p55796 -aS'during\tduring\tIN\tB-PP\tO' -p55797 -aS'last\tlast\tJJ\tB-NP\tO' -p55798 -aS'admission\tadmission\tNN\tI-NP\tO' -p55799 -aS'06-30\t06-30\tCD\tI-NP\tO' -p55800 -aS'as\tas\tIN\tB-SBAR\tO' -p55801 -aS'he\the\tPRP\tB-NP\tO' -p55802 -aS'was\tbe\tVBD\tB-VP\tO' -p55803 -aS'thought\tthink\tVBN\tI-VP\tO' -p55804 -aS'to\tto\tTO\tB-PP\tO' -p55805 -aS'NOT\tNOT\tNN\tB-NP\tB-protein' -p55806 -aS'have\thave\tVBP\tB-VP\tO' -p55807 -aS'PD\tPD\tNN\tB-NP\tO' -p55808 -aS'.\t.\t.\tO\tO' -p55809 -asS'He was diagnosed by biopsy with oligodendroglioma , and gross total resection by Dr. Redner in' -p55810 -(lp55811 -S'He\tHe\tPRP\tB-NP\tO' -p55812 -aS'was\tbe\tVBD\tB-VP\tO' -p55813 -aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' -p55814 -aS'by\tby\tIN\tB-PP\tO' -p55815 -aS'biopsy\tbiopsy\tNN\tB-NP\tO' -p55816 -aS'with\twith\tIN\tB-PP\tO' -p55817 -aS'oligodendroglioma\toligodendroglioma\tNN\tB-NP\tO' -p55818 -aS',\t,\t,\tO\tO' -p55819 -aS'and\tand\tCC\tO\tO' -p55820 -aS'gross\tgross\tJJ\tB-NP\tO' -p55821 -aS'total\ttotal\tJJ\tI-NP\tO' -p55822 -aS'resection\tresection\tNN\tI-NP\tO' -p55823 -aS'by\tby\tIN\tB-PP\tO' -p55824 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p55825 -aS'Redner\tRedner\tNNP\tI-NP\tO' -p55826 -aS'in\tin\tIN\tB-PP\tO' -p55827 -asS'Due to suboptimal technical quality , a focal wall motion abnormality cannot be fully excluded .' -p55828 -(lp55829 -S'Due\tDue\tJJ\tB-PP\tO' -p55830 -aS'to\tto\tTO\tB-PP\tO' -p55831 -aS'suboptimal\tsuboptimal\tJJ\tB-NP\tO' -p55832 -aS'technical\ttechnical\tJJ\tI-NP\tO' -p55833 -aS'quality\tquality\tNN\tI-NP\tO' -p55834 -aS',\t,\t,\tO\tO' -p55835 -aS'a\ta\tDT\tB-NP\tO' -p55836 -aS'focal\tfocal\tJJ\tI-NP\tO' -p55837 -aS'wall\twall\tNN\tI-NP\tO' -p55838 -aS'motion\tmotion\tNN\tI-NP\tO' -p55839 -aS'abnormality\tabnormality\tNN\tI-NP\tO' -p55840 -aS'cannot\tcannot\tMD\tB-VP\tO' -p55841 -aS'be\tbe\tVB\tI-VP\tO' -p55842 -aS'fully\tfully\tRB\tI-VP\tO' -p55843 -aS'excluded\texclude\tVBN\tI-VP\tO' -p55844 -aS'.\t.\t.\tO\tO' -p55845 -asS'The patient was placed on suicide precautions , and was hydrated with an infusion of intravenous fluid .' -p55846 -(lp55847 -S'The\tThe\tDT\tB-NP\tO' -p55848 -aS'patient\tpatient\tNN\tI-NP\tO' -p55849 -aS'was\tbe\tVBD\tB-VP\tO' -p55850 -aS'placed\tplace\tVBN\tI-VP\tO' -p55851 -aS'on\ton\tIN\tB-PP\tO' -p55852 -aS'suicide\tsuicide\tNN\tB-NP\tO' -p55853 -aS'precautions\tprecaution\tNNS\tI-NP\tO' -p55854 -aS',\t,\t,\tO\tO' -p55855 -aS'and\tand\tCC\tO\tO' -p55856 -aS'was\tbe\tVBD\tB-VP\tO' -p55857 -aS'hydrated\thydrate\tVBN\tI-VP\tO' -p55858 -aS'with\twith\tIN\tB-PP\tO' -p55859 -aS'an\tan\tDT\tB-NP\tO' -p55860 -aS'infusion\tinfusion\tNN\tI-NP\tO' -p55861 -aS'of\tof\tIN\tB-PP\tO' -p55862 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p55863 -aS'fluid\tfluid\tNN\tI-NP\tO' -p55864 -aS'.\t.\t.\tO\tO' -p55865 -asS'temperature 98.9 , pulse 82 , respirations 20 .' -p55866 -(lp55867 -S'temperature\ttemperature\tNN\tB-NP\tO' -p55868 -aS'98.9\t98.9\tCD\tI-NP\tO' -p55869 -aS',\t,\t,\tO\tO' -p55870 -aS'pulse\tpulse\tNN\tB-NP\tO' -p55871 -aS'82\t82\tCD\tI-NP\tO' -p55872 -aS',\t,\t,\tO\tO' -p55873 -aS'respirations\trespiration\tNNS\tB-NP\tO' -p55874 -aS'20\t20\tCD\tB-NP\tO' -p55875 -aS'.\t.\t.\tO\tO' -p55876 -asS'She lives with her daughter .' -p55877 -(lp55878 -S'She\tShe\tPRP\tB-NP\tO' -p55879 -aS'lives\tlive\tVBZ\tB-VP\tO' -p55880 -aS'with\twith\tIN\tB-PP\tO' -p55881 -aS'her\ther\tPRP$\tB-NP\tO' -p55882 -aS'daughter\tdaughter\tNN\tI-NP\tO' -p55883 -aS'.\t.\t.\tO\tO' -p55884 -asS'In the Deanna , her temperature was 96.5 , HR 51 , BP 112/60 , RR 18 , and oxygen saturation was 98% on ambient air .' -p55885 -(lp55886 -S'In\tIn\tIN\tB-PP\tO' -p55887 -aS'the\tthe\tDT\tB-NP\tO' -p55888 -aS'Deanna\tDeanna\tNNP\tI-NP\tO' -p55889 -aS',\t,\t,\tO\tO' -p55890 -aS'her\ther\tPRP$\tB-NP\tO' -p55891 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p55892 -aS'was\tbe\tVBD\tB-VP\tO' -p55893 -aS'96.5\t96.5\tCD\tB-NP\tO' -p55894 -aS',\t,\t,\tO\tO' -p55895 -aS'HR\tHR\tNN\tB-NP\tB-protein' -p55896 -aS'51\t51\tCD\tI-NP\tI-protein' -p55897 -aS',\t,\t,\tO\tO' -p55898 -aS'BP\tBP\tNN\tB-NP\tB-DNA' -p55899 -aS'112/60\t112/60\tCD\tI-NP\tI-DNA' -p55900 -aS',\t,\t,\tO\tO' -p55901 -aS'RR\tRR\tNN\tB-NP\tB-protein' -p55902 -aS'18\t18\tCD\tI-NP\tI-protein' -p55903 -aS',\t,\t,\tO\tO' -p55904 -aS'and\tand\tCC\tO\tO' -p55905 -aS'oxygen\toxygen\tNN\tB-NP\tO' -p55906 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p55907 -aS'was\tbe\tVBD\tB-VP\tO' -p55908 -aS'98%\t98%\tCD\tB-NP\tO' -p55909 -aS'on\ton\tIN\tB-PP\tO' -p55910 -aS'ambient\tambient\tJJ\tB-NP\tO' -p55911 -aS'air\tair\tNN\tI-NP\tO' -p55912 -aS'.\t.\t.\tO\tO' -p55913 -asS'METASTATIC ADENOCARCINOMA OF THE BREAST .' -p55914 -(lp55915 -S'METASTATIC\tMETASTATIC\tNN\tB-NP\tO' -p55916 -aS'ADENOCARCINOMA\tADENOCARCINOMA\tNN\tI-NP\tO' -p55917 -aS'OF\tOF\tIN\tB-PP\tO' -p55918 -aS'THE\tTHE\tDT\tB-NP\tO' -p55919 -aS'BREAST\tBREAST\tNN\tI-NP\tO' -p55920 -aS'.\t.\t.\tO\tO' -p55921 -asS'At this appointment , you should confirm orthopedic follow-up and request a hematology referral .' -p55922 -(lp55923 -S'At\tAt\tIN\tB-PP\tO' -p55924 -aS'this\tthis\tDT\tB-NP\tO' -p55925 -aS'appointment\tappointment\tNN\tI-NP\tO' -p55926 -aS',\t,\t,\tO\tO' -p55927 -aS'you\tyou\tPRP\tB-NP\tO' -p55928 -aS'should\tshould\tMD\tB-VP\tO' -p55929 -aS'confirm\tconfirm\tVB\tI-VP\tO' -p55930 -aS'orthopedic\torthopedic\tJJ\tB-NP\tO' -p55931 -aS'follow-up\tfollow-up\tNN\tI-NP\tO' -p55932 -aS'and\tand\tCC\tI-NP\tO' -p55933 -aS'request\trequest\tNN\tI-NP\tO' -p55934 -aS'a\ta\tDT\tB-NP\tO' -p55935 -aS'hematology\thematology\tNN\tI-NP\tO' -p55936 -aS'referral\treferral\tNN\tI-NP\tO' -p55937 -aS'.\t.\t.\tO\tO' -p55938 -asS'18. Debrox 6.5 % Drops Sig : Five ( 5 ) Drop Otic BID ( 2 times a day ) for 5 days : both ears .' -p55939 -(lp55940 -S'18.\t18.\tCD\tB-NP\tO' -p55941 -aS'Debrox\tDebrox\tNNP\tI-NP\tO' -p55942 -aS'6.5\t6.5\tCD\tI-NP\tO' -p55943 -aS'%\t%\tNN\tI-NP\tO' -p55944 -aS'Drops\tDrops\tNNP\tI-NP\tO' -p55945 -aS'Sig\tSig\tNNP\tI-NP\tO' -p55946 -aS':\t:\t:\tO\tO' -p55947 -aS'Five\tFive\tCD\tB-NP\tO' -p55948 -aS'(\t(\t(\tO\tO' -p55949 -aS'5\t5\tCD\tB-NP\tO' -p55950 -aS')\t)\t)\tO\tO' -p55951 -aS'Drop\tDrop\tNNP\tB-NP\tO' -p55952 -aS'Otic\tOtic\tJJ\tI-NP\tO' -p55953 -aS'BID\tBID\tNN\tI-NP\tO' -p55954 -aS'(\t(\t(\tO\tO' -p55955 -aS'2\t2\tCD\tB-NP\tO' -p55956 -aS'times\ttime\tNNS\tI-NP\tO' -p55957 -aS'a\ta\tDT\tB-NP\tO' -p55958 -aS'day\tday\tNN\tI-NP\tO' -p55959 -aS')\t)\t)\tO\tO' -p55960 -aS'for\tfor\tIN\tB-PP\tO' -p55961 -aS'5\t5\tCD\tB-NP\tO' -p55962 -aS'days\tday\tNNS\tI-NP\tO' -p55963 -aS':\t:\t:\tO\tO' -p55964 -aS'both\tboth\tDT\tB-NP\tO' -p55965 -aS'ears\tear\tNNS\tI-NP\tO' -p55966 -aS'.\t.\t.\tO\tO' -p55967 -asS'Same as admission .' -p55968 -(lp55969 -S'Same\tSame\tNN\tB-NP\tO' -p55970 -aS'as\tas\tIN\tB-PP\tO' -p55971 -aS'admission\tadmission\tNN\tB-NP\tO' -p55972 -aS'.\t.\t.\tO\tO' -p55973 -asS'Metronidazole Tablets ( Flagyl ) ; Multivitamins And Folate Capsules ( Stuart Prenatal With Folate )' -p55974 -(lp55975 -S'Metronidazole\tMetronidazole\tNN\tB-NP\tO' -p55976 -aS'Tablets\tTablet\tNNS\tI-NP\tO' -p55977 -aS'(\t(\t(\tO\tO' -p55978 -aS'Flagyl\tFlagyl\tNN\tB-NP\tO' -p55979 -aS')\t)\t)\tO\tO' -p55980 -aS';\t;\t:\tO\tO' -p55981 -aS'Multivitamins\tMultivitamins\tNNP\tB-NP\tO' -p55982 -aS'And\tAnd\tCC\tI-NP\tO' -p55983 -aS'Folate\tFolate\tNNP\tI-NP\tO' -p55984 -aS'Capsules\tCapsules\tNNP\tI-NP\tO' -p55985 -aS'(\t(\t(\tO\tO' -p55986 -aS'Stuart\tStuart\tNNP\tB-NP\tO' -p55987 -aS'Prenatal\tPrenatal\tNNP\tI-NP\tO' -p55988 -aS'With\tWith\tIN\tB-PP\tO' -p55989 -aS'Folate\tFolate\tNNP\tB-NP\tO' -p55990 -aS')\t)\t)\tO\tO' -p55991 -asS'13. The patient was also discharged with the restarting of warfarin 2 mg daily .' -p55992 -(lp55993 -S'13.\t13.\tLS\tB-LST\tO' -p55994 -aS'The\tThe\tDT\tB-NP\tO' -p55995 -aS'patient\tpatient\tNN\tI-NP\tO' -p55996 -aS'was\tbe\tVBD\tB-VP\tO' -p55997 -aS'also\talso\tRB\tI-VP\tO' -p55998 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p55999 -aS'with\twith\tIN\tB-PP\tO' -p56000 -aS'the\tthe\tDT\tB-NP\tO' -p56001 -aS'restarting\trestarting\tNN\tI-NP\tO' -p56002 -aS'of\tof\tIN\tB-PP\tO' -p56003 -aS'warfarin\twarfarin\tNN\tB-NP\tO' -p56004 -aS'2\t2\tCD\tI-NP\tO' -p56005 -aS'mg\tmg\tNN\tI-NP\tO' -p56006 -aS'daily\tdaily\tRB\tB-ADVP\tO' -p56007 -aS'.\t.\t.\tO\tO' -p56008 -asS'She has failed conservative therapy and is admitted for a spinal cord stimulator trial .' -p56009 -(lp56010 -S'She\tShe\tPRP\tB-NP\tO' -p56011 -aS'has\thave\tVBZ\tB-VP\tO' -p56012 -aS'failed\tfail\tVBN\tI-VP\tO' -p56013 -aS'conservative\tconservative\tJJ\tB-NP\tO' -p56014 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p56015 -aS'and\tand\tCC\tO\tO' -p56016 -aS'is\tbe\tVBZ\tB-VP\tO' -p56017 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p56018 -aS'for\tfor\tIN\tB-PP\tO' -p56019 -aS'a\ta\tDT\tB-NP\tO' -p56020 -aS'spinal\tspinal\tJJ\tI-NP\tO' -p56021 -aS'cord\tcord\tNN\tI-NP\tO' -p56022 -aS'stimulator\tstimulator\tNN\tI-NP\tO' -p56023 -aS'trial\ttrial\tNN\tI-NP\tO' -p56024 -aS'.\t.\t.\tO\tO' -p56025 -asS'HYPERPARATHYROIDISM .' -p56026 -(lp56027 -S'HYPERPARATHYROIDISM\tHYPERPARATHYROIDISM\tNN\tB-NP\tO' -p56028 -aS'.\t.\t.\tO\tO' -p56029 -asS'Soft , non-distended .' -p56030 -(lp56031 -S'Soft\tSoft\tRB\tB-ADVP\tO' -p56032 -aS',\t,\t,\tO\tO' -p56033 -aS'non-distended\tnon-distended\tJJ\tB-ADJP\tO' -p56034 -aS'.\t.\t.\tO\tO' -p56035 -asS'However , the patient is not febrile and her white count should be continued to be watched .' -p56036 -(lp56037 -S'However\tHowever\tRB\tB-ADVP\tO' -p56038 -aS',\t,\t,\tO\tO' -p56039 -aS'the\tthe\tDT\tB-NP\tO' -p56040 -aS'patient\tpatient\tNN\tI-NP\tO' -p56041 -aS'is\tbe\tVBZ\tB-VP\tO' -p56042 -aS'not\tnot\tRB\tO\tO' -p56043 -aS'febrile\tfebrile\tJJ\tB-ADJP\tO' -p56044 -aS'and\tand\tCC\tO\tO' -p56045 -aS'her\ther\tPRP$\tB-NP\tO' -p56046 -aS'white\twhite\tJJ\tI-NP\tO' -p56047 -aS'count\tcount\tNN\tI-NP\tO' -p56048 -aS'should\tshould\tMD\tB-VP\tO' -p56049 -aS'be\tbe\tVB\tI-VP\tO' -p56050 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p56051 -aS'to\tto\tTO\tI-VP\tO' -p56052 -aS'be\tbe\tVB\tI-VP\tO' -p56053 -aS'watched\twatch\tVBN\tI-VP\tO' -p56054 -aS'.\t.\t.\tO\tO' -p56055 -asS'There was no rebound or guarding .' -p56056 -(lp56057 -S'There\tThere\tEX\tB-NP\tO' -p56058 -aS'was\tbe\tVBD\tB-VP\tO' -p56059 -aS'no\tno\tDT\tB-NP\tO' -p56060 -aS'rebound\trebound\tNN\tI-NP\tO' -p56061 -aS'or\tor\tCC\tI-NP\tO' -p56062 -aS'guarding\tguarding\tNN\tI-NP\tO' -p56063 -aS'.\t.\t.\tO\tO' -p56064 -asS'Soft , obese , nontender , nondistended , normal active bowel sounds .' -p56065 -(lp56066 -S'Soft\tSoft\tRB\tB-ADVP\tO' -p56067 -aS',\t,\t,\tO\tO' -p56068 -aS'obese\tobese\tJJ\tB-NP\tO' -p56069 -aS',\t,\t,\tI-NP\tO' -p56070 -aS'nontender\tnontender\tJJ\tI-NP\tO' -p56071 -aS',\t,\t,\tI-NP\tO' -p56072 -aS'nondistended\tnondistended\tJJ\tI-NP\tO' -p56073 -aS',\t,\t,\tI-NP\tO' -p56074 -aS'normal\tnormal\tJJ\tI-NP\tO' -p56075 -aS'active\tactive\tJJ\tI-NP\tO' -p56076 -aS'bowel\tbowel\tNN\tI-NP\tO' -p56077 -aS'sounds\tsound\tNNS\tI-NP\tO' -p56078 -aS'.\t.\t.\tO\tO' -p56079 -asS'Coumadin , 5 mg po alternating with 2.5 mg po ; prednisolone , 30 mg po bid ; hydrochlorothiazide , 50 mg po bid ; potassium chloride , 40 mEq po bid ; Augmentin , 500 mg po tid ; Digoxin , 0.125 mg po qd ; Tylenol , 650 mg po q4h prn ; Carafate , 1 gram po bid ; Synthroid , 0.125 mg po qd .' -p56080 -(lp56081 -S'Coumadin\tCoumadin\tNN\tB-NP\tO' -p56082 -aS',\t,\t,\tO\tO' -p56083 -aS'5\t5\tCD\tB-NP\tO' -p56084 -aS'mg\tmg\tNN\tI-NP\tO' -p56085 -aS'po\tpo\tNN\tI-NP\tO' -p56086 -aS'alternating\talternate\tVBG\tB-VP\tO' -p56087 -aS'with\twith\tIN\tB-PP\tO' -p56088 -aS'2.5\t2.5\tCD\tB-NP\tO' -p56089 -aS'mg\tmg\tNN\tI-NP\tO' -p56090 -aS'po\tpo\tNN\tI-NP\tO' -p56091 -aS';\t;\t:\tO\tO' -p56092 -aS'prednisolone\tprednisolone\tNN\tB-NP\tO' -p56093 -aS',\t,\t,\tO\tO' -p56094 -aS'30\t30\tCD\tB-NP\tO' -p56095 -aS'mg\tmg\tNN\tI-NP\tO' -p56096 -aS'po\tpo\tNN\tI-NP\tO' -p56097 -aS'bid\tbid\tNN\tI-NP\tO' -p56098 -aS';\t;\t:\tO\tO' -p56099 -aS'hydrochlorothiazide\thydrochlorothiazide\tNN\tB-NP\tO' -p56100 -aS',\t,\t,\tO\tO' -p56101 -aS'50\t50\tCD\tB-NP\tO' -p56102 -aS'mg\tmg\tNN\tI-NP\tO' -p56103 -aS'po\tpo\tNN\tI-NP\tO' -p56104 -aS'bid\tbid\tNN\tI-NP\tO' -p56105 -aS';\t;\t:\tO\tO' -p56106 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p56107 -aS'chloride\tchloride\tNN\tI-NP\tO' -p56108 -aS',\t,\t,\tO\tO' -p56109 -aS'40\t40\tCD\tB-NP\tO' -p56110 -aS'mEq\tmEq\tNN\tI-NP\tO' -p56111 -aS'po\tpo\tNN\tI-NP\tO' -p56112 -aS'bid\tbid\tNN\tI-NP\tO' -p56113 -aS';\t;\t:\tO\tO' -p56114 -aS'Augmentin\tAugmentin\tNN\tB-NP\tO' -p56115 -aS',\t,\t,\tO\tO' -p56116 -aS'500\t500\tCD\tB-NP\tO' -p56117 -aS'mg\tmg\tNN\tI-NP\tO' -p56118 -aS'po\tpo\tNN\tI-NP\tO' -p56119 -aS'tid\ttid\tNN\tI-NP\tO' -p56120 -aS';\t;\t:\tO\tO' -p56121 -aS'Digoxin\tDigoxin\tNN\tB-NP\tO' -p56122 -aS',\t,\t,\tO\tO' -p56123 -aS'0.125\t0.125\tCD\tB-NP\tO' -p56124 -aS'mg\tmg\tNN\tI-NP\tO' -p56125 -aS'po\tpo\tNN\tI-NP\tO' -p56126 -aS'qd\tqd\tNN\tI-NP\tO' -p56127 -aS';\t;\t:\tO\tO' -p56128 -aS'Tylenol\tTylenol\tNN\tB-NP\tO' -p56129 -aS',\t,\t,\tO\tO' -p56130 -aS'650\t650\tCD\tB-NP\tO' -p56131 -aS'mg\tmg\tNN\tI-NP\tO' -p56132 -aS'po\tpo\tNN\tI-NP\tO' -p56133 -aS'q4h\tq4h\tNN\tI-NP\tO' -p56134 -aS'prn\tprn\tNN\tI-NP\tO' -p56135 -aS';\t;\t:\tO\tO' -p56136 -aS'Carafate\tCarafate\tNN\tB-NP\tO' -p56137 -aS',\t,\t,\tO\tO' -p56138 -aS'1\t1\tCD\tB-NP\tO' -p56139 -aS'gram\tgram\tNN\tI-NP\tO' -p56140 -aS'po\tpo\tNN\tI-NP\tO' -p56141 -aS'bid\tbid\tNN\tI-NP\tO' -p56142 -aS';\t;\t:\tO\tO' -p56143 -aS'Synthroid\tSynthroid\tNN\tB-NP\tO' -p56144 -aS',\t,\t,\tO\tO' -p56145 -aS'0.125\t0.125\tCD\tB-NP\tO' -p56146 -aS'mg\tmg\tNN\tI-NP\tO' -p56147 -aS'po\tpo\tNN\tI-NP\tO' -p56148 -aS'qd\tqd\tNN\tI-NP\tO' -p56149 -aS'.\t.\t.\tO\tO' -p56150 -asS'He just claims to have no appetite and has very poor effort with feeding .' -p56151 -(lp56152 -S'He\tHe\tPRP\tB-NP\tO' -p56153 -aS'just\tjust\tRB\tB-ADVP\tO' -p56154 -aS'claims\tclaim\tVBZ\tB-VP\tO' -p56155 -aS'to\tto\tTO\tI-VP\tO' -p56156 -aS'have\thave\tVB\tI-VP\tO' -p56157 -aS'no\tno\tDT\tB-NP\tO' -p56158 -aS'appetite\tappetite\tNN\tI-NP\tO' -p56159 -aS'and\tand\tCC\tO\tO' -p56160 -aS'has\thave\tVBZ\tB-VP\tO' -p56161 -aS'very\tvery\tRB\tB-NP\tO' -p56162 -aS'poor\tpoor\tJJ\tI-NP\tO' -p56163 -aS'effort\teffort\tNN\tI-NP\tO' -p56164 -aS'with\twith\tIN\tB-PP\tO' -p56165 -aS'feeding\tfeeding\tNN\tB-NP\tO' -p56166 -aS'.\t.\t.\tO\tO' -p56167 -asS'The same symptoms occurred again the same evening with exertion and then were again relieved with rest .' -p56168 -(lp56169 -S'The\tThe\tDT\tB-NP\tO' -p56170 -aS'same\tsame\tJJ\tI-NP\tO' -p56171 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p56172 -aS'occurred\toccur\tVBD\tB-VP\tO' -p56173 -aS'again\tagain\tRB\tB-ADVP\tO' -p56174 -aS'the\tthe\tDT\tB-NP\tO' -p56175 -aS'same\tsame\tJJ\tI-NP\tO' -p56176 -aS'evening\tevening\tNN\tI-NP\tO' -p56177 -aS'with\twith\tIN\tB-PP\tO' -p56178 -aS'exertion\texertion\tNN\tB-NP\tO' -p56179 -aS'and\tand\tCC\tO\tO' -p56180 -aS'then\tthen\tRB\tO\tO' -p56181 -aS'were\tbe\tVBD\tB-VP\tO' -p56182 -aS'again\tagain\tRB\tI-VP\tO' -p56183 -aS'relieved\trelieve\tVBN\tI-VP\tO' -p56184 -aS'with\twith\tIN\tB-PP\tO' -p56185 -aS'rest\trest\tNN\tB-NP\tO' -p56186 -aS'.\t.\t.\tO\tO' -p56187 -asS'Temp noted to be low at 94 and she was placed on bear hugger which improved temp to 96.7 .' -p56188 -(lp56189 -S'Temp\tTemp\tNNP\tB-NP\tO' -p56190 -aS'noted\tnote\tVBD\tB-VP\tO' -p56191 -aS'to\tto\tTO\tI-VP\tO' -p56192 -aS'be\tbe\tVB\tI-VP\tO' -p56193 -aS'low\tlow\tJJ\tB-ADJP\tO' -p56194 -aS'at\tat\tIN\tB-PP\tO' -p56195 -aS'94\t94\tCD\tB-NP\tO' -p56196 -aS'and\tand\tCC\tO\tO' -p56197 -aS'she\tshe\tPRP\tB-NP\tO' -p56198 -aS'was\tbe\tVBD\tB-VP\tO' -p56199 -aS'placed\tplace\tVBN\tI-VP\tO' -p56200 -aS'on\ton\tIN\tB-PP\tO' -p56201 -aS'bear\tbear\tNN\tB-NP\tO' -p56202 -aS'hugger\thugger\tNN\tI-NP\tO' -p56203 -aS'which\twhich\tWDT\tB-NP\tO' -p56204 -aS'improved\timprove\tVBD\tB-VP\tO' -p56205 -aS'temp\ttemp\tNN\tB-NP\tO' -p56206 -aS'to\tto\tTO\tB-PP\tO' -p56207 -aS'96.7\t96.7\tCD\tB-NP\tO' -p56208 -aS'.\t.\t.\tO\tO' -p56209 -asS'He underwent a trial of TPA followed by heparin .' -p56210 -(lp56211 -S'He\tHe\tPRP\tB-NP\tO' -p56212 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p56213 -aS'a\ta\tDT\tB-NP\tO' -p56214 -aS'trial\ttrial\tNN\tI-NP\tO' -p56215 -aS'of\tof\tIN\tB-PP\tO' -p56216 -aS'TPA\tTPA\tNN\tB-NP\tO' -p56217 -aS'followed\tfollow\tVBN\tB-VP\tO' -p56218 -aS'by\tby\tIN\tB-PP\tO' -p56219 -aS'heparin\theparin\tNN\tB-NP\tO' -p56220 -aS'.\t.\t.\tO\tO' -p56221 -asS'Signed electronically by : DR. Janice Oconnell on : Kent 2019-01-10 3:28 PM' -p56222 -(lp56223 -S'Signed\tSign\tVBN\tB-VP\tO' -p56224 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p56225 -aS'by\tby\tIN\tB-PP\tO' -p56226 -aS':\t:\t:\tO\tO' -p56227 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p56228 -aS'Janice\tJanice\tNNP\tI-NP\tO' -p56229 -aS'Oconnell\tOconnell\tNNP\tI-NP\tO' -p56230 -aS'on\ton\tIN\tB-PP\tO' -p56231 -aS':\t:\t:\tO\tO' -p56232 -aS'Kent\tKent\tNNP\tB-NP\tO' -p56233 -aS'2019-01-10\t2019-01-10\tCD\tB-NP\tO' -p56234 -aS'3:28\t3:28\tCD\tI-NP\tO' -p56235 -aS'PM\tPM\tNN\tI-NP\tO' -p56236 -asS'While he is in the Surgical Intensive Care Unit , paracentesis was performed and it' -p56237 -(lp56238 -S'While\tWhile\tIN\tB-SBAR\tO' -p56239 -aS'he\the\tPRP\tB-NP\tO' -p56240 -aS'is\tbe\tVBZ\tB-VP\tO' -p56241 -aS'in\tin\tIN\tB-PP\tO' -p56242 -aS'the\tthe\tDT\tB-NP\tO' -p56243 -aS'Surgical\tSurgical\tNNP\tI-NP\tO' -p56244 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p56245 -aS'Care\tCare\tNNP\tI-NP\tO' -p56246 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p56247 -aS',\t,\t,\tO\tO' -p56248 -aS'paracentesis\tparacentesis\tNN\tB-NP\tO' -p56249 -aS'was\tbe\tVBD\tB-VP\tO' -p56250 -aS'performed\tperform\tVBN\tI-VP\tO' -p56251 -aS'and\tand\tCC\tO\tO' -p56252 -aS'it\tit\tPRP\tB-NP\tO' -p56253 -asS'At this point , a diagnosis of lupus was considered and her ANA was 1:640 and her rheumatoid factor and ANCA were negative .' -p56254 -(lp56255 -S'At\tAt\tIN\tB-PP\tO' -p56256 -aS'this\tthis\tDT\tB-NP\tO' -p56257 -aS'point\tpoint\tNN\tI-NP\tO' -p56258 -aS',\t,\t,\tO\tO' -p56259 -aS'a\ta\tDT\tB-NP\tO' -p56260 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p56261 -aS'of\tof\tIN\tB-PP\tO' -p56262 -aS'lupus\tlupus\tNN\tB-NP\tO' -p56263 -aS'was\tbe\tVBD\tB-VP\tO' -p56264 -aS'considered\tconsider\tVBN\tI-VP\tO' -p56265 -aS'and\tand\tCC\tO\tO' -p56266 -aS'her\ther\tPRP$\tB-NP\tO' -p56267 -aS'ANA\tANA\tNN\tI-NP\tO' -p56268 -aS'was\tbe\tVBD\tB-VP\tO' -p56269 -aS'1:640\t1:640\tCD\tB-NP\tO' -p56270 -aS'and\tand\tCC\tO\tO' -p56271 -aS'her\ther\tPRP$\tB-NP\tO' -p56272 -aS'rheumatoid\trheumatoid\tJJ\tI-NP\tO' -p56273 -aS'factor\tfactor\tNN\tI-NP\tO' -p56274 -aS'and\tand\tCC\tI-NP\tO' -p56275 -aS'ANCA\tANCA\tNN\tI-NP\tB-protein' -p56276 -aS'were\tbe\tVBD\tB-VP\tO' -p56277 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p56278 -aS'.\t.\t.\tO\tO' -p56279 -asS'In view of these findings , it was elected to discharge her on her present medical program .' -p56280 -(lp56281 -S'In\tIn\tIN\tB-PP\tO' -p56282 -aS'view\tview\tNN\tB-NP\tO' -p56283 -aS'of\tof\tIN\tB-PP\tO' -p56284 -aS'these\tthese\tDT\tB-NP\tO' -p56285 -aS'findings\tfinding\tNNS\tI-NP\tO' -p56286 -aS',\t,\t,\tO\tO' -p56287 -aS'it\tit\tPRP\tB-NP\tO' -p56288 -aS'was\tbe\tVBD\tB-VP\tO' -p56289 -aS'elected\telect\tVBN\tI-VP\tO' -p56290 -aS'to\tto\tTO\tI-VP\tO' -p56291 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p56292 -aS'her\ther\tPRP\tB-NP\tO' -p56293 -aS'on\ton\tIN\tB-PP\tO' -p56294 -aS'her\ther\tPRP\tB-NP\tO' -p56295 -aS'present\tpresent\tJJ\tI-NP\tO' -p56296 -aS'medical\tmedical\tJJ\tI-NP\tO' -p56297 -aS'program\tprogram\tNN\tI-NP\tO' -p56298 -aS'.\t.\t.\tO\tO' -p56299 -asS'Interval resolution of the right pleural effusion and no evidence of pneumothorax .' -p56300 -(lp56301 -S'Interval\tInterval\tJJ\tB-NP\tO' -p56302 -aS'resolution\tresolution\tNN\tI-NP\tO' -p56303 -aS'of\tof\tIN\tB-PP\tO' -p56304 -aS'the\tthe\tDT\tB-NP\tO' -p56305 -aS'right\tright\tJJ\tI-NP\tO' -p56306 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p56307 -aS'effusion\teffusion\tNN\tI-NP\tO' -p56308 -aS'and\tand\tCC\tO\tO' -p56309 -aS'no\tno\tDT\tB-NP\tO' -p56310 -aS'evidence\tevidence\tNN\tI-NP\tO' -p56311 -aS'of\tof\tIN\tB-PP\tO' -p56312 -aS'pneumothorax\tpneumothorax\tNN\tB-NP\tO' -p56313 -aS'.\t.\t.\tO\tO' -p56314 -asS'The physical examination on transfer showed an alert male with temperature 100 degrees , blood pressure 120/64 , heart rate 80 .' -p56315 -(lp56316 -S'The\tThe\tDT\tB-NP\tO' -p56317 -aS'physical\tphysical\tJJ\tI-NP\tO' -p56318 -aS'examination\texamination\tNN\tI-NP\tO' -p56319 -aS'on\ton\tIN\tB-PP\tO' -p56320 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p56321 -aS'showed\tshow\tVBD\tB-VP\tO' -p56322 -aS'an\tan\tDT\tB-NP\tO' -p56323 -aS'alert\talert\tJJ\tI-NP\tO' -p56324 -aS'male\tmale\tNN\tI-NP\tO' -p56325 -aS'with\twith\tIN\tB-PP\tO' -p56326 -aS'temperature\ttemperature\tNN\tB-NP\tO' -p56327 -aS'100\t100\tCD\tB-NP\tO' -p56328 -aS'degrees\tdegree\tNNS\tI-NP\tO' -p56329 -aS',\t,\t,\tO\tO' -p56330 -aS'blood\tblood\tNN\tB-NP\tO' -p56331 -aS'pressure\tpressure\tNN\tI-NP\tO' -p56332 -aS'120/64\t120/64\tCD\tI-NP\tO' -p56333 -aS',\t,\t,\tO\tO' -p56334 -aS'heart\theart\tNN\tB-NP\tO' -p56335 -aS'rate\trate\tNN\tI-NP\tO' -p56336 -aS'80\t80\tCD\tI-NP\tO' -p56337 -aS'.\t.\t.\tO\tO' -p56338 -asS'Mychelia was also treated for physiologic jaundice .' -p56339 -(lp56340 -S'Mychelia\tMychelia\tNN\tB-NP\tO' -p56341 -aS'was\tbe\tVBD\tB-VP\tO' -p56342 -aS'also\talso\tRB\tI-VP\tO' -p56343 -aS'treated\ttreat\tVBN\tI-VP\tO' -p56344 -aS'for\tfor\tIN\tB-PP\tO' -p56345 -aS'physiologic\tphysiologic\tJJ\tB-NP\tO' -p56346 -aS'jaundice\tjaundice\tNN\tI-NP\tO' -p56347 -aS'.\t.\t.\tO\tO' -p56348 -asS'She has been living in an assisted living facility and frequently calls her even right after she has left without remembering her visit .' -p56349 -(lp56350 -S'She\tShe\tPRP\tB-NP\tO' -p56351 -aS'has\thave\tVBZ\tB-VP\tO' -p56352 -aS'been\tbe\tVBN\tI-VP\tO' -p56353 -aS'living\tlive\tVBG\tI-VP\tO' -p56354 -aS'in\tin\tIN\tB-PP\tO' -p56355 -aS'an\tan\tDT\tB-NP\tO' -p56356 -aS'assisted\tassist\tVBN\tI-NP\tO' -p56357 -aS'living\tlive\tVBG\tI-NP\tO' -p56358 -aS'facility\tfacility\tNN\tI-NP\tO' -p56359 -aS'and\tand\tCC\tO\tO' -p56360 -aS'frequently\tfrequently\tRB\tB-VP\tO' -p56361 -aS'calls\tcall\tVBZ\tI-VP\tO' -p56362 -aS'her\ther\tPRP\tB-NP\tO' -p56363 -aS'even\teven\tRB\tB-ADVP\tO' -p56364 -aS'right\tright\tRB\tI-ADVP\tO' -p56365 -aS'after\tafter\tIN\tB-SBAR\tO' -p56366 -aS'she\tshe\tPRP\tB-NP\tO' -p56367 -aS'has\thave\tVBZ\tB-VP\tO' -p56368 -aS'left\tleave\tVBN\tI-VP\tO' -p56369 -aS'without\twithout\tIN\tB-PP\tO' -p56370 -aS'remembering\tremember\tVBG\tB-VP\tO' -p56371 -aS'her\ther\tPRP$\tB-NP\tO' -p56372 -aS'visit\tvisit\tNN\tI-NP\tO' -p56373 -aS'.\t.\t.\tO\tO' -p56374 -asS'6. Status post left knee surgery .' -p56375 -(lp56376 -S'6.\t6.\tLS\tB-NP\tO' -p56377 -aS'Status\tStatus\tNNP\tI-NP\tO' -p56378 -aS'post\tpost\tNN\tI-NP\tO' -p56379 -aS'left\tleave\tVBD\tB-VP\tO' -p56380 -aS'knee\tknee\tNN\tB-NP\tO' -p56381 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p56382 -aS'.\t.\t.\tO\tO' -p56383 -asS'He was instructed to have labs drawn on 08-17 to check trough level of prograf as well as cbc , chem 10 , coags .' -p56384 -(lp56385 -S'He\tHe\tPRP\tB-NP\tO' -p56386 -aS'was\tbe\tVBD\tB-VP\tO' -p56387 -aS'instructed\tinstruct\tVBN\tI-VP\tO' -p56388 -aS'to\tto\tTO\tI-VP\tO' -p56389 -aS'have\thave\tVB\tI-VP\tO' -p56390 -aS'labs\tlab\tNNS\tB-NP\tO' -p56391 -aS'drawn\tdraw\tVBN\tB-VP\tO' -p56392 -aS'on\ton\tIN\tB-PP\tO' -p56393 -aS'08-17\t08-17\tCD\tB-NP\tO' -p56394 -aS'to\tto\tTO\tB-VP\tO' -p56395 -aS'check\tcheck\tVB\tI-VP\tO' -p56396 -aS'trough\ttrough\tNN\tB-NP\tO' -p56397 -aS'level\tlevel\tNN\tI-NP\tO' -p56398 -aS'of\tof\tIN\tB-PP\tO' -p56399 -aS'prograf\tprograf\tNN\tB-NP\tO' -p56400 -aS'as\tas\tRB\tB-CONJP\tO' -p56401 -aS'well\twell\tRB\tI-CONJP\tO' -p56402 -aS'as\tas\tIN\tI-CONJP\tO' -p56403 -aS'cbc\tcbc\tNN\tB-NP\tO' -p56404 -aS',\t,\t,\tO\tO' -p56405 -aS'chem\tchem\tNN\tB-NP\tO' -p56406 -aS'10\t10\tCD\tI-NP\tO' -p56407 -aS',\t,\t,\tO\tO' -p56408 -aS'coags\tcoag\tNNS\tB-NP\tO' -p56409 -aS'.\t.\t.\tO\tO' -p56410 -asS'Deep tendon reflexes were equal and adequate in upper and lower extremities .' -p56411 -(lp56412 -S'Deep\tDeep\tJJ\tB-NP\tO' -p56413 -aS'tendon\ttendon\tNN\tI-NP\tO' -p56414 -aS'reflexes\treflex\tNNS\tI-NP\tO' -p56415 -aS'were\tbe\tVBD\tB-VP\tO' -p56416 -aS'equal\tequal\tJJ\tB-ADJP\tO' -p56417 -aS'and\tand\tCC\tI-ADJP\tO' -p56418 -aS'adequate\tadequate\tJJ\tI-ADJP\tO' -p56419 -aS'in\tin\tIN\tB-PP\tO' -p56420 -aS'upper\tupper\tJJ\tB-NP\tO' -p56421 -aS'and\tand\tCC\tI-NP\tO' -p56422 -aS'lower\tlow\tJJR\tI-NP\tO' -p56423 -aS'extremities\textremity\tNNS\tI-NP\tO' -p56424 -aS'.\t.\t.\tO\tO' -p56425 -asS'His respiratory rate was 30 on face mask .' -p56426 -(lp56427 -S'His\tHis\tPRP$\tB-NP\tO' -p56428 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p56429 -aS'rate\trate\tNN\tI-NP\tO' -p56430 -aS'was\tbe\tVBD\tB-VP\tO' -p56431 -aS'30\t30\tCD\tB-NP\tO' -p56432 -aS'on\ton\tIN\tB-PP\tO' -p56433 -aS'face\tface\tNN\tB-NP\tO' -p56434 -aS'mask\tmask\tNN\tI-NP\tO' -p56435 -aS'.\t.\t.\tO\tO' -p56436 -asS'Extremities and neurological examinations were unremarkable .' -p56437 -(lp56438 -S'Extremities\tExtremity\tNNS\tB-NP\tO' -p56439 -aS'and\tand\tCC\tO\tO' -p56440 -aS'neurological\tneurological\tJJ\tB-NP\tO' -p56441 -aS'examinations\texamination\tNNS\tI-NP\tO' -p56442 -aS'were\tbe\tVBD\tB-VP\tO' -p56443 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p56444 -aS'.\t.\t.\tO\tO' -p56445 -asS'According to his wife , he came home and went to sleep .' -p56446 -(lp56447 -S'According\tAccord\tVBG\tB-PP\tO' -p56448 -aS'to\tto\tTO\tB-PP\tO' -p56449 -aS'his\this\tPRP$\tB-NP\tO' -p56450 -aS'wife\twife\tNN\tI-NP\tO' -p56451 -aS',\t,\t,\tO\tO' -p56452 -aS'he\the\tPRP\tB-NP\tO' -p56453 -aS'came\tcome\tVBD\tB-VP\tO' -p56454 -aS'home\thome\tNN\tB-NP\tO' -p56455 -aS'and\tand\tCC\tO\tO' -p56456 -aS'went\tgo\tVBD\tB-VP\tO' -p56457 -aS'to\tto\tTO\tI-VP\tO' -p56458 -aS'sleep\tsleep\tVB\tI-VP\tO' -p56459 -aS'.\t.\t.\tO\tO' -p56460 -asS'She uses a cane or walker for ambulation , and is limited to one to two blocks .' -p56461 -(lp56462 -S'She\tShe\tPRP\tB-NP\tO' -p56463 -aS'uses\tuse\tVBZ\tB-VP\tO' -p56464 -aS'a\ta\tDT\tB-NP\tO' -p56465 -aS'cane\tcane\tNN\tI-NP\tO' -p56466 -aS'or\tor\tCC\tI-NP\tO' -p56467 -aS'walker\twalker\tNN\tI-NP\tO' -p56468 -aS'for\tfor\tIN\tB-PP\tO' -p56469 -aS'ambulation\tambulation\tNN\tB-NP\tO' -p56470 -aS',\t,\t,\tO\tO' -p56471 -aS'and\tand\tCC\tO\tO' -p56472 -aS'is\tbe\tVBZ\tB-VP\tO' -p56473 -aS'limited\tlimit\tVBN\tB-ADJP\tO' -p56474 -aS'to\tto\tTO\tB-PP\tO' -p56475 -aS'one\tone\tCD\tB-NP\tO' -p56476 -aS'to\tto\tTO\tB-PP\tO' -p56477 -aS'two\ttwo\tCD\tB-NP\tO' -p56478 -aS'blocks\tblock\tNNS\tI-NP\tO' -p56479 -aS'.\t.\t.\tO\tO' -p56480 -asS'Echocardiogram showed moderate dilated left atrium , no atrioseptal defect , severe global left ventricular hypokinesis with severe left ventricular systolic function and moderately dilated right ventricle .' -p56481 -(lp56482 -S'Echocardiogram\tEchocardiogram\tNN\tB-NP\tO' -p56483 -aS'showed\tshow\tVBD\tB-VP\tO' -p56484 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p56485 -aS'dilated\tdilated\tJJ\tI-NP\tO' -p56486 -aS'left\tleft\tJJ\tI-NP\tO' -p56487 -aS'atrium\tatrium\tNN\tI-NP\tO' -p56488 -aS',\t,\t,\tO\tO' -p56489 -aS'no\tno\tDT\tB-NP\tO' -p56490 -aS'atrioseptal\tatrioseptal\tJJ\tI-NP\tO' -p56491 -aS'defect\tdefect\tNN\tI-NP\tO' -p56492 -aS',\t,\t,\tO\tO' -p56493 -aS'severe\tsevere\tJJ\tB-NP\tO' -p56494 -aS'global\tglobal\tJJ\tI-NP\tO' -p56495 -aS'left\tleft\tJJ\tI-NP\tO' -p56496 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p56497 -aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' -p56498 -aS'with\twith\tIN\tB-PP\tO' -p56499 -aS'severe\tsevere\tJJ\tB-NP\tO' -p56500 -aS'left\tleft\tJJ\tI-NP\tO' -p56501 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p56502 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p56503 -aS'function\tfunction\tNN\tI-NP\tO' -p56504 -aS'and\tand\tCC\tO\tO' -p56505 -aS'moderately\tmoderately\tRB\tB-NP\tO' -p56506 -aS'dilated\tdilated\tJJ\tI-NP\tO' -p56507 -aS'right\tright\tJJ\tI-NP\tO' -p56508 -aS'ventricle\tventricle\tNN\tI-NP\tO' -p56509 -aS'.\t.\t.\tO\tO' -p56510 -asS'However , please note that this nodule has been stable over time .' -p56511 -(lp56512 -S'However\tHowever\tRB\tB-ADVP\tO' -p56513 -aS',\t,\t,\tO\tO' -p56514 -aS'please\tplease\tVB\tB-VP\tO' -p56515 -aS'note\tnote\tNN\tB-NP\tO' -p56516 -aS'that\tthat\tIN\tB-SBAR\tO' -p56517 -aS'this\tthis\tDT\tB-NP\tO' -p56518 -aS'nodule\tnodule\tNN\tI-NP\tO' -p56519 -aS'has\thave\tVBZ\tB-VP\tO' -p56520 -aS'been\tbe\tVBN\tI-VP\tO' -p56521 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p56522 -aS'over\tover\tIN\tB-PP\tO' -p56523 -aS'time\ttime\tNN\tB-NP\tO' -p56524 -aS'.\t.\t.\tO\tO' -p56525 -asS'The patient was given printed instructions for headache ( English ) .' -p56526 -(lp56527 -S'The\tThe\tDT\tB-NP\tO' -p56528 -aS'patient\tpatient\tNN\tI-NP\tO' -p56529 -aS'was\tbe\tVBD\tB-VP\tO' -p56530 -aS'given\tgive\tVBN\tI-VP\tO' -p56531 -aS'printed\tprint\tVBN\tB-NP\tO' -p56532 -aS'instructions\tinstruction\tNNS\tI-NP\tO' -p56533 -aS'for\tfor\tIN\tB-PP\tO' -p56534 -aS'headache\theadache\tNN\tB-NP\tO' -p56535 -aS'(\t(\t(\tO\tO' -p56536 -aS'English\tEnglish\tNN\tB-NP\tO' -p56537 -aS')\t)\t)\tO\tO' -p56538 -aS'.\t.\t.\tO\tO' -p56539 -asS'Betoptic 0.5% one drop OU bid , Propene 0.1% one drop OU bid .' -p56540 -(lp56541 -S'Betoptic\tBetoptic\tJJ\tB-NP\tO' -p56542 -aS'0.5%\t0.5%\tCD\tI-NP\tO' -p56543 -aS'one\tone\tCD\tI-NP\tO' -p56544 -aS'drop\tdrop\tNN\tI-NP\tO' -p56545 -aS'OU\tOU\tNN\tI-NP\tO' -p56546 -aS'bid\tbid\tNN\tI-NP\tO' -p56547 -aS',\t,\t,\tO\tO' -p56548 -aS'Propene\tPropene\tNN\tB-NP\tO' -p56549 -aS'0.1%\t0.1%\tCD\tI-NP\tO' -p56550 -aS'one\tone\tCD\tI-NP\tO' -p56551 -aS'drop\tdrop\tNN\tI-NP\tO' -p56552 -aS'OU\tOU\tNN\tI-NP\tO' -p56553 -aS'bid\tbid\tNN\tI-NP\tO' -p56554 -aS'.\t.\t.\tO\tO' -p56555 -asS'She will be sent home with home Arnsperni Health .' -p56556 -(lp56557 -S'She\tShe\tPRP\tB-NP\tO' -p56558 -aS'will\twill\tMD\tB-VP\tO' -p56559 -aS'be\tbe\tVB\tI-VP\tO' -p56560 -aS'sent\tsend\tVBN\tI-VP\tO' -p56561 -aS'home\thome\tNN\tB-ADVP\tO' -p56562 -aS'with\twith\tIN\tB-PP\tO' -p56563 -aS'home\thome\tNN\tB-NP\tO' -p56564 -aS'Arnsperni\tArnsperni\tNNP\tI-NP\tO' -p56565 -aS'Health\tHealth\tNNP\tI-NP\tO' -p56566 -aS'.\t.\t.\tO\tO' -p56567 -asS'The patient had an enlarged left pleural effusion which was noted to layer on a lateral decubitus film .' -p56568 -(lp56569 -S'The\tThe\tDT\tB-NP\tO' -p56570 -aS'patient\tpatient\tNN\tI-NP\tO' -p56571 -aS'had\thave\tVBD\tB-VP\tO' -p56572 -aS'an\tan\tDT\tB-NP\tO' -p56573 -aS'enlarged\tenlarged\tJJ\tI-NP\tO' -p56574 -aS'left\tleft\tJJ\tI-NP\tO' -p56575 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p56576 -aS'effusion\teffusion\tNN\tI-NP\tO' -p56577 -aS'which\twhich\tWDT\tB-NP\tO' -p56578 -aS'was\tbe\tVBD\tB-VP\tO' -p56579 -aS'noted\tnote\tVBN\tI-VP\tO' -p56580 -aS'to\tto\tTO\tI-VP\tO' -p56581 -aS'layer\tlayer\tVB\tI-VP\tO' -p56582 -aS'on\ton\tIN\tB-PP\tO' -p56583 -aS'a\ta\tDT\tB-NP\tO' -p56584 -aS'lateral\tlateral\tJJ\tI-NP\tO' -p56585 -aS'decubitus\tdecubitus\tNN\tI-NP\tO' -p56586 -aS'film\tfilm\tNN\tI-NP\tO' -p56587 -aS'.\t.\t.\tO\tO' -p56588 -asS'17. Ibuprofen 100 mg/5 mL Suspension Sig : Twenty ( 20 ) mL PO Q8H ( every 8 hours ) as needed .' -p56589 -(lp56590 -S'17.\t17.\tCD\tB-NP\tO' -p56591 -aS'Ibuprofen\tIbuprofen\tNN\tI-NP\tO' -p56592 -aS'100\t100\tCD\tB-NP\tO' -p56593 -aS'mg/5\tmg/5\tNN\tI-NP\tO' -p56594 -aS'mL\tmL\tNN\tI-NP\tO' -p56595 -aS'Suspension\tSuspension\tNNP\tI-NP\tO' -p56596 -aS'Sig\tSig\tNNP\tI-NP\tO' -p56597 -aS':\t:\t:\tO\tO' -p56598 -aS'Twenty\tTwenty\tCD\tB-NP\tO' -p56599 -aS'(\t(\t(\tO\tO' -p56600 -aS'20\t20\tCD\tO\tO' -p56601 -aS')\t)\t)\tO\tO' -p56602 -aS'mL\tmL\tNN\tB-NP\tO' -p56603 -aS'PO\tPO\tNN\tI-NP\tO' -p56604 -aS'Q8H\tQ8H\tNN\tI-NP\tO' -p56605 -aS'(\t(\t(\tO\tO' -p56606 -aS'every\tevery\tDT\tB-NP\tO' -p56607 -aS'8\t8\tCD\tI-NP\tO' -p56608 -aS'hours\thour\tNNS\tI-NP\tO' -p56609 -aS')\t)\t)\tO\tO' -p56610 -aS'as\tas\tIN\tB-SBAR\tO' -p56611 -aS'needed\tneed\tVBN\tB-VP\tO' -p56612 -aS'.\t.\t.\tO\tO' -p56613 -asS'3. Oxycodone - Acetaminophen 5-325 mg Tablet Sig : 1-2 Tablets PO Q4H ( every 4 hours ) as needed for pain for 30 doses .' -p56614 -(lp56615 -S'3.\t3.\tLS\tB-NP\tO' -p56616 -aS'Oxycodone\tOxycodone\tNN\tI-NP\tO' -p56617 -aS'-\t-\tHYPH\tO\tO' -p56618 -aS'Acetaminophen\tAcetaminophen\tNN\tB-NP\tO' -p56619 -aS'5-325\t5-325\tCD\tI-NP\tO' -p56620 -aS'mg\tmg\tNN\tI-NP\tO' -p56621 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p56622 -aS'Sig\tSig\tNNP\tI-NP\tO' -p56623 -aS':\t:\t:\tO\tO' -p56624 -aS'1-2\t1-2\tCD\tB-NP\tO' -p56625 -aS'Tablets\tTablet\tNNS\tI-NP\tO' -p56626 -aS'PO\tPO\tNN\tI-NP\tO' -p56627 -aS'Q4H\tQ4H\tNN\tI-NP\tO' -p56628 -aS'(\t(\t(\tO\tO' -p56629 -aS'every\tevery\tDT\tB-NP\tO' -p56630 -aS'4\t4\tCD\tI-NP\tO' -p56631 -aS'hours\thour\tNNS\tI-NP\tO' -p56632 -aS')\t)\t)\tO\tO' -p56633 -aS'as\tas\tIN\tB-SBAR\tO' -p56634 -aS'needed\tneed\tVBN\tB-VP\tO' -p56635 -aS'for\tfor\tIN\tB-PP\tO' -p56636 -aS'pain\tpain\tNN\tB-NP\tO' -p56637 -aS'for\tfor\tIN\tB-PP\tO' -p56638 -aS'30\t30\tCD\tB-NP\tO' -p56639 -aS'doses\tdose\tNNS\tI-NP\tO' -p56640 -aS'.\t.\t.\tO\tO' -p56641 -asS'He was able to maintain a stable mental level for extubation on 03-24 .' -p56642 -(lp56643 -S'He\tHe\tPRP\tB-NP\tO' -p56644 -aS'was\tbe\tVBD\tB-VP\tO' -p56645 -aS'able\table\tJJ\tB-ADJP\tO' -p56646 -aS'to\tto\tTO\tB-VP\tO' -p56647 -aS'maintain\tmaintain\tVB\tI-VP\tO' -p56648 -aS'a\ta\tDT\tB-NP\tO' -p56649 -aS'stable\tstable\tJJ\tI-NP\tO' -p56650 -aS'mental\tmental\tJJ\tI-NP\tO' -p56651 -aS'level\tlevel\tNN\tI-NP\tO' -p56652 -aS'for\tfor\tIN\tB-PP\tO' -p56653 -aS'extubation\textubation\tNN\tB-NP\tO' -p56654 -aS'on\ton\tIN\tB-PP\tO' -p56655 -aS'03-24\t03-24\tCD\tB-NP\tO' -p56656 -aS'.\t.\t.\tO\tO' -p56657 -asS'UCx grew proteus and her abx were changed to levaquin alone and she remained afebrile for > 24 hr on this regimen .' -p56658 -(lp56659 -S'UCx\tUCx\tNN\tB-NP\tO' -p56660 -aS'grew\tgrow\tVBD\tB-VP\tO' -p56661 -aS'proteus\tproteus\tNN\tB-NP\tO' -p56662 -aS'and\tand\tCC\tO\tO' -p56663 -aS'her\ther\tPRP$\tB-NP\tO' -p56664 -aS'abx\tabx\tNN\tI-NP\tO' -p56665 -aS'were\tbe\tVBD\tB-VP\tO' -p56666 -aS'changed\tchange\tVBN\tI-VP\tO' -p56667 -aS'to\tto\tTO\tB-PP\tO' -p56668 -aS'levaquin\tlevaquin\tNN\tB-NP\tO' -p56669 -aS'alone\talone\tRB\tB-ADVP\tO' -p56670 -aS'and\tand\tCC\tO\tO' -p56671 -aS'she\tshe\tPRP\tB-NP\tO' -p56672 -aS'remained\tremain\tVBD\tB-VP\tO' -p56673 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p56674 -aS'for\tfor\tIN\tB-PP\tO' -p56675 -aS'>\t>\tJJR\tB-NP\tO' -p56676 -aS'24\t24\tCD\tI-NP\tO' -p56677 -aS'hr\thr\tNN\tI-NP\tO' -p56678 -aS'on\ton\tIN\tB-PP\tO' -p56679 -aS'this\tthis\tDT\tB-NP\tO' -p56680 -aS'regimen\tregimen\tNN\tI-NP\tO' -p56681 -aS'.\t.\t.\tO\tO' -p56682 -asS'Membranes were ruptured at delivery for clear fluid .' -p56683 -(lp56684 -S'Membranes\tMembrane\tNNS\tB-NP\tO' -p56685 -aS'were\tbe\tVBD\tB-VP\tO' -p56686 -aS'ruptured\trupture\tVBN\tI-VP\tO' -p56687 -aS'at\tat\tIN\tB-PP\tO' -p56688 -aS'delivery\tdelivery\tNN\tB-NP\tO' -p56689 -aS'for\tfor\tIN\tB-PP\tO' -p56690 -aS'clear\tclear\tJJ\tB-NP\tO' -p56691 -aS'fluid\tfluid\tNN\tI-NP\tO' -p56692 -aS'.\t.\t.\tO\tO' -p56693 -asS'The patient had a CT scan , which revealed a mass in the gallbladder neck , but no biliary dilatation .' -p56694 -(lp56695 -S'The\tThe\tDT\tB-NP\tO' -p56696 -aS'patient\tpatient\tNN\tI-NP\tO' -p56697 -aS'had\thave\tVBD\tB-VP\tO' -p56698 -aS'a\ta\tDT\tB-NP\tO' -p56699 -aS'CT\tCT\tNN\tI-NP\tO' -p56700 -aS'scan\tscan\tNN\tI-NP\tO' -p56701 -aS',\t,\t,\tO\tO' -p56702 -aS'which\twhich\tWDT\tB-NP\tO' -p56703 -aS'revealed\treveal\tVBD\tB-VP\tO' -p56704 -aS'a\ta\tDT\tB-NP\tO' -p56705 -aS'mass\tmass\tNN\tI-NP\tO' -p56706 -aS'in\tin\tIN\tB-PP\tO' -p56707 -aS'the\tthe\tDT\tB-NP\tO' -p56708 -aS'gallbladder\tgallbladder\tNN\tI-NP\tO' -p56709 -aS'neck\tneck\tNN\tI-NP\tO' -p56710 -aS',\t,\t,\tO\tO' -p56711 -aS'but\tbut\tCC\tO\tO' -p56712 -aS'no\tno\tDT\tB-NP\tO' -p56713 -aS'biliary\tbiliary\tJJ\tI-NP\tO' -p56714 -aS'dilatation\tdilatation\tNN\tI-NP\tO' -p56715 -aS'.\t.\t.\tO\tO' -p56716 -asS'Pulses : 2+ distally , no carotid or femoral bruits' -p56717 -(lp56718 -S'Pulses\tPulse\tNNS\tB-NP\tO' -p56719 -aS':\t:\t:\tO\tO' -p56720 -aS'2+\t2+\tJJ\tB-ADJP\tO' -p56721 -aS'distally\tdistally\tRB\tB-ADVP\tO' -p56722 -aS',\t,\t,\tO\tO' -p56723 -aS'no\tno\tDT\tB-NP\tO' -p56724 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p56725 -aS'or\tor\tCC\tI-NP\tO' -p56726 -aS'femoral\tfemoral\tJJ\tI-NP\tO' -p56727 -aS'bruits\tbruit\tNNS\tI-NP\tO' -p56728 -asS'He has two kids , works as a landscaper and as a school custodian in Ware .' -p56729 -(lp56730 -S'He\tHe\tPRP\tB-NP\tO' -p56731 -aS'has\thave\tVBZ\tB-VP\tO' -p56732 -aS'two\ttwo\tCD\tB-NP\tO' -p56733 -aS'kids\tkid\tNNS\tI-NP\tO' -p56734 -aS',\t,\t,\tO\tO' -p56735 -aS'works\twork\tVBZ\tB-VP\tO' -p56736 -aS'as\tas\tIN\tB-PP\tO' -p56737 -aS'a\ta\tDT\tB-NP\tO' -p56738 -aS'landscaper\tlandscaper\tNN\tI-NP\tO' -p56739 -aS'and\tand\tCC\tB-PP\tO' -p56740 -aS'as\tas\tIN\tB-PP\tO' -p56741 -aS'a\ta\tDT\tB-NP\tO' -p56742 -aS'school\tschool\tNN\tI-NP\tO' -p56743 -aS'custodian\tcustodian\tNN\tI-NP\tO' -p56744 -aS'in\tin\tIN\tB-PP\tO' -p56745 -aS'Ware\tWare\tNNP\tB-NP\tO' -p56746 -aS'.\t.\t.\tO\tO' -p56747 -asS'The patient was referred to CT surgery who was seen and accepted for coronary artery bypass grafting .' -p56748 -(lp56749 -S'The\tThe\tDT\tB-NP\tO' -p56750 -aS'patient\tpatient\tNN\tI-NP\tO' -p56751 -aS'was\tbe\tVBD\tB-VP\tO' -p56752 -aS'referred\trefer\tVBN\tI-VP\tO' -p56753 -aS'to\tto\tTO\tB-PP\tO' -p56754 -aS'CT\tCT\tNN\tB-NP\tO' -p56755 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p56756 -aS'who\twho\tWP\tB-NP\tO' -p56757 -aS'was\tbe\tVBD\tB-VP\tO' -p56758 -aS'seen\tsee\tVBN\tI-VP\tO' -p56759 -aS'and\tand\tCC\tO\tO' -p56760 -aS'accepted\taccept\tVBN\tB-VP\tO' -p56761 -aS'for\tfor\tIN\tB-PP\tO' -p56762 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p56763 -aS'artery\tartery\tNN\tI-NP\tO' -p56764 -aS'bypass\tbypass\tIN\tB-PP\tO' -p56765 -aS'grafting\tgrafting\tNN\tB-NP\tO' -p56766 -aS'.\t.\t.\tO\tO' -p56767 -asS'Absolutely no smoking .' -p56768 -(lp56769 -S'Absolutely\tAbsolutely\tRB\tB-NP\tO' -p56770 -aS'no\tno\tDT\tI-NP\tO' -p56771 -aS'smoking\tsmoking\tNN\tI-NP\tO' -p56772 -aS'.\t.\t.\tO\tO' -p56773 -asS'1. Pantoprazole 40 mg Tablet , Delayed Release ( E.C. ) Sig : One ( 1 ) Tablet , Delayed Release ( E.C. ) PO once a day .' -p56774 -(lp56775 -S'1.\t1.\tLS\tB-NP\tO' -p56776 -aS'Pantoprazole\tPantoprazole\tNN\tI-NP\tO' -p56777 -aS'40\t40\tCD\tI-NP\tO' -p56778 -aS'mg\tmg\tNN\tI-NP\tO' -p56779 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p56780 -aS',\t,\t,\tO\tO' -p56781 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p56782 -aS'Release\tRelease\tNNP\tI-NP\tO' -p56783 -aS'(\t(\t(\tO\tO' -p56784 -aS'E.C.\tE.C.\tNNP\tB-NP\tO' -p56785 -aS')\t)\t)\tO\tO' -p56786 -aS'Sig\tSig\tNNP\tB-NP\tO' -p56787 -aS':\t:\t:\tO\tO' -p56788 -aS'One\tOne\tCD\tB-NP\tO' -p56789 -aS'(\t(\t(\tO\tO' -p56790 -aS'1\t1\tCD\tB-NP\tO' -p56791 -aS')\t)\t)\tO\tO' -p56792 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p56793 -aS',\t,\t,\tO\tO' -p56794 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p56795 -aS'Release\tRelease\tNNP\tI-NP\tO' -p56796 -aS'(\t(\t(\tO\tO' -p56797 -aS'E.C.\tE.C.\tNNP\tO\tO' -p56798 -aS')\t)\t)\tO\tO' -p56799 -aS'PO\tPO\tNN\tB-NP\tO' -p56800 -aS'once\tonce\tRB\tB-ADVP\tO' -p56801 -aS'a\ta\tDT\tB-NP\tO' -p56802 -aS'day\tday\tNN\tI-NP\tO' -p56803 -aS'.\t.\t.\tO\tO' -p56804 -asS'There was an initial murmur on admission likely secondary to severe anemia which has since resolved .' -p56805 -(lp56806 -S'There\tThere\tEX\tB-NP\tO' -p56807 -aS'was\tbe\tVBD\tB-VP\tO' -p56808 -aS'an\tan\tDT\tB-NP\tO' -p56809 -aS'initial\tinitial\tJJ\tI-NP\tO' -p56810 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p56811 -aS'on\ton\tIN\tB-PP\tO' -p56812 -aS'admission\tadmission\tNN\tB-NP\tO' -p56813 -aS'likely\tlikely\tRB\tB-ADJP\tO' -p56814 -aS'secondary\tsecondary\tJJ\tI-ADJP\tO' -p56815 -aS'to\tto\tTO\tB-PP\tO' -p56816 -aS'severe\tsevere\tJJ\tB-NP\tO' -p56817 -aS'anemia\tanemia\tNN\tI-NP\tO' -p56818 -aS'which\twhich\tWDT\tB-NP\tO' -p56819 -aS'has\thave\tVBZ\tB-VP\tO' -p56820 -aS'since\tsince\tIN\tI-VP\tO' -p56821 -aS'resolved\tresolve\tVBN\tI-VP\tO' -p56822 -aS'.\t.\t.\tO\tO' -p56823 -asS'no known drug allergies .' -p56824 -(lp56825 -S'no\tno\tDT\tB-NP\tO' -p56826 -aS'known\tknow\tVBN\tI-NP\tO' -p56827 -aS'drug\tdrug\tNN\tI-NP\tO' -p56828 -aS'allergies\tallergy\tNNS\tI-NP\tO' -p56829 -aS'.\t.\t.\tO\tO' -p56830 -asS'No hepatosplenomegaly .' -p56831 -(lp56832 -S'No\tNo\tDT\tB-NP\tO' -p56833 -aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tI-NP\tO' -p56834 -aS'.\t.\t.\tO\tO' -p56835 -asS'Her chest was clear to auscultation .' -p56836 -(lp56837 -S'Her\tHer\tPRP$\tB-NP\tO' -p56838 -aS'chest\tchest\tNN\tI-NP\tO' -p56839 -aS'was\tbe\tVBD\tB-VP\tO' -p56840 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p56841 -aS'to\tto\tTO\tB-PP\tO' -p56842 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p56843 -aS'.\t.\t.\tO\tO' -p56844 -asS'He was placed nothing by mouth and the esophagogastroduodenoscopy was done by the GI Service .' -p56845 -(lp56846 -S'He\tHe\tPRP\tB-NP\tO' -p56847 -aS'was\tbe\tVBD\tB-VP\tO' -p56848 -aS'placed\tplace\tVBN\tI-VP\tO' -p56849 -aS'nothing\tnothing\tNN\tB-NP\tO' -p56850 -aS'by\tby\tIN\tB-PP\tO' -p56851 -aS'mouth\tmouth\tNN\tB-NP\tO' -p56852 -aS'and\tand\tCC\tO\tO' -p56853 -aS'the\tthe\tDT\tB-NP\tO' -p56854 -aS'esophagogastroduodenoscopy\tesophagogastroduodenoscopy\tNN\tI-NP\tO' -p56855 -aS'was\tbe\tVBD\tB-VP\tO' -p56856 -aS'done\tdo\tVBN\tI-VP\tO' -p56857 -aS'by\tby\tIN\tB-PP\tO' -p56858 -aS'the\tthe\tDT\tB-NP\tO' -p56859 -aS'GI\tGI\tNNP\tI-NP\tO' -p56860 -aS'Service\tService\tNNP\tI-NP\tO' -p56861 -aS'.\t.\t.\tO\tO' -p56862 -asS'He was given Vitamin K 10 mg subcutaneously , 2.5 liters of normal saline , two units of packed red blood cells and two units of fresh frozen plasma and transferred to the Medical Intensive Care Unit for further management .' -p56863 -(lp56864 -S'He\tHe\tPRP\tB-NP\tO' -p56865 -aS'was\tbe\tVBD\tB-VP\tO' -p56866 -aS'given\tgive\tVBN\tI-VP\tO' -p56867 -aS'Vitamin\tVitamin\tNN\tB-NP\tO' -p56868 -aS'K\tK\tNN\tI-NP\tO' -p56869 -aS'10\t10\tCD\tI-NP\tO' -p56870 -aS'mg\tmg\tNN\tI-NP\tO' -p56871 -aS'subcutaneously\tsubcutaneously\tRB\tB-ADVP\tO' -p56872 -aS',\t,\t,\tO\tO' -p56873 -aS'2.5\t2.5\tCD\tB-NP\tO' -p56874 -aS'liters\tliter\tNNS\tI-NP\tO' -p56875 -aS'of\tof\tIN\tB-PP\tO' -p56876 -aS'normal\tnormal\tJJ\tB-NP\tO' -p56877 -aS'saline\tsaline\tNN\tI-NP\tO' -p56878 -aS',\t,\t,\tO\tO' -p56879 -aS'two\ttwo\tCD\tB-NP\tO' -p56880 -aS'units\tunit\tNNS\tI-NP\tO' -p56881 -aS'of\tof\tIN\tB-PP\tO' -p56882 -aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' -p56883 -aS'red\tred\tJJ\tI-NP\tI-cell_type' -p56884 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p56885 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p56886 -aS'and\tand\tCC\tO\tO' -p56887 -aS'two\ttwo\tCD\tB-NP\tO' -p56888 -aS'units\tunit\tNNS\tI-NP\tO' -p56889 -aS'of\tof\tIN\tB-PP\tO' -p56890 -aS'fresh\tfresh\tJJ\tB-NP\tO' -p56891 -aS'frozen\tfrozen\tJJ\tI-NP\tO' -p56892 -aS'plasma\tplasma\tNN\tI-NP\tO' -p56893 -aS'and\tand\tCC\tO\tO' -p56894 -aS'transferred\ttransfer\tVBN\tB-VP\tO' -p56895 -aS'to\tto\tTO\tB-PP\tO' -p56896 -aS'the\tthe\tDT\tB-NP\tO' -p56897 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p56898 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p56899 -aS'Care\tCare\tNNP\tI-NP\tO' -p56900 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p56901 -aS'for\tfor\tIN\tB-PP\tO' -p56902 -aS'further\tfurther\tJJ\tB-NP\tO' -p56903 -aS'management\tmanagement\tNN\tI-NP\tO' -p56904 -aS'.\t.\t.\tO\tO' -p56905 -asS'In the Emergency Department at the Rehab Hospital of the Cape & Islands Hospital , the patient was noted to have vomited some heme positive material .' -p56906 -(lp56907 -S'In\tIn\tIN\tB-PP\tO' -p56908 -aS'the\tthe\tDT\tB-NP\tO' -p56909 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p56910 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p56911 -aS'at\tat\tIN\tB-PP\tO' -p56912 -aS'the\tthe\tDT\tB-NP\tO' -p56913 -aS'Rehab\tRehab\tNNP\tI-NP\tO' -p56914 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p56915 -aS'of\tof\tIN\tB-PP\tO' -p56916 -aS'the\tthe\tDT\tB-NP\tO' -p56917 -aS'Cape\tCape\tNNP\tI-NP\tO' -p56918 -aS'&\t&\tCC\tI-NP\tO' -p56919 -aS'Islands\tIslands\tNNP\tI-NP\tO' -p56920 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p56921 -aS',\t,\t,\tO\tO' -p56922 -aS'the\tthe\tDT\tB-NP\tO' -p56923 -aS'patient\tpatient\tNN\tI-NP\tO' -p56924 -aS'was\tbe\tVBD\tB-VP\tO' -p56925 -aS'noted\tnote\tVBN\tI-VP\tO' -p56926 -aS'to\tto\tTO\tI-VP\tO' -p56927 -aS'have\thave\tVB\tI-VP\tO' -p56928 -aS'vomited\tvomit\tVBN\tI-VP\tO' -p56929 -aS'some\tsome\tDT\tB-NP\tO' -p56930 -aS'heme\theme\tNN\tI-NP\tO' -p56931 -aS'positive\tpositive\tJJ\tI-NP\tO' -p56932 -aS'material\tmaterial\tNN\tI-NP\tO' -p56933 -aS'.\t.\t.\tO\tO' -p56934 -asS'EKG showed sinus tachycardia and incomplete right bundle branch block .' -p56935 -(lp56936 -S'EKG\tEKG\tNN\tB-NP\tB-protein' -p56937 -aS'showed\tshow\tVBD\tB-VP\tO' -p56938 -aS'sinus\tsinus\tNN\tB-NP\tO' -p56939 -aS'tachycardia\ttachycardia\tNN\tI-NP\tO' -p56940 -aS'and\tand\tCC\tO\tO' -p56941 -aS'incomplete\tincomplete\tJJ\tB-NP\tO' -p56942 -aS'right\tright\tJJ\tI-NP\tO' -p56943 -aS'bundle\tbundle\tNN\tI-NP\tO' -p56944 -aS'branch\tbranch\tNN\tI-NP\tO' -p56945 -aS'block\tblock\tNN\tI-NP\tO' -p56946 -aS'.\t.\t.\tO\tO' -p56947 -asS'The left ventricular ejection fraction was estimated to 38% .' -p56948 -(lp56949 -S'The\tThe\tDT\tB-NP\tO' -p56950 -aS'left\tleft\tJJ\tI-NP\tO' -p56951 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p56952 -aS'ejection\tejection\tNN\tI-NP\tO' -p56953 -aS'fraction\tfraction\tNN\tI-NP\tO' -p56954 -aS'was\tbe\tVBD\tB-VP\tO' -p56955 -aS'estimated\testimate\tVBN\tI-VP\tO' -p56956 -aS'to\tto\tTO\tB-PP\tO' -p56957 -aS'38%\t38%\tCD\tB-NP\tO' -p56958 -aS'.\t.\t.\tO\tO' -p56959 -asS'They continued to agree with the management of the patient and with aggressive pulmonary toilet as well as diuresis and nebulizer treatment .' -p56960 -(lp56961 -S'They\tThey\tPRP\tB-NP\tO' -p56962 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p56963 -aS'to\tto\tTO\tI-VP\tO' -p56964 -aS'agree\tagree\tVB\tI-VP\tO' -p56965 -aS'with\twith\tIN\tB-PP\tO' -p56966 -aS'the\tthe\tDT\tB-NP\tO' -p56967 -aS'management\tmanagement\tNN\tI-NP\tO' -p56968 -aS'of\tof\tIN\tB-PP\tO' -p56969 -aS'the\tthe\tDT\tB-NP\tO' -p56970 -aS'patient\tpatient\tNN\tI-NP\tO' -p56971 -aS'and\tand\tCC\tB-PP\tO' -p56972 -aS'with\twith\tIN\tB-PP\tO' -p56973 -aS'aggressive\taggressive\tJJ\tB-NP\tO' -p56974 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p56975 -aS'toilet\ttoilet\tNN\tI-NP\tO' -p56976 -aS'as\tas\tRB\tB-CONJP\tO' -p56977 -aS'well\twell\tRB\tI-CONJP\tO' -p56978 -aS'as\tas\tIN\tI-CONJP\tO' -p56979 -aS'diuresis\tdiuresis\tNN\tB-NP\tO' -p56980 -aS'and\tand\tCC\tI-NP\tO' -p56981 -aS'nebulizer\tnebulizer\tNN\tI-NP\tO' -p56982 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p56983 -aS'.\t.\t.\tO\tO' -p56984 -asS'The rectal examination is guaiac negative without masses .' -p56985 -(lp56986 -S'The\tThe\tDT\tB-NP\tO' -p56987 -aS'rectal\trectal\tJJ\tI-NP\tO' -p56988 -aS'examination\texamination\tNN\tI-NP\tO' -p56989 -aS'is\tbe\tVBZ\tB-VP\tO' -p56990 -aS'guaiac\tguaiac\tJJ\tB-ADJP\tO' -p56991 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p56992 -aS'without\twithout\tIN\tB-PP\tO' -p56993 -aS'masses\tmass\tNNS\tB-NP\tO' -p56994 -aS'.\t.\t.\tO\tO' -p56995 -asS'Showed normal sinus rhythm at 107 beats per minute with left axis deviation and poor R-wave progression .' -p56996 -(lp56997 -S'Showed\tShow\tVBN\tB-NP\tO' -p56998 -aS'normal\tnormal\tJJ\tI-NP\tO' -p56999 -aS'sinus\tsinus\tNN\tI-NP\tO' -p57000 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p57001 -aS'at\tat\tIN\tB-PP\tO' -p57002 -aS'107\t107\tCD\tB-NP\tO' -p57003 -aS'beats\tbeat\tNNS\tI-NP\tO' -p57004 -aS'per\tper\tIN\tB-PP\tO' -p57005 -aS'minute\tminute\tNN\tB-NP\tO' -p57006 -aS'with\twith\tIN\tB-PP\tO' -p57007 -aS'left\tleft\tJJ\tB-NP\tO' -p57008 -aS'axis\taxis\tNN\tI-NP\tO' -p57009 -aS'deviation\tdeviation\tNN\tI-NP\tO' -p57010 -aS'and\tand\tCC\tO\tO' -p57011 -aS'poor\tpoor\tJJ\tB-NP\tO' -p57012 -aS'R-wave\tR-wave\tNN\tI-NP\tO' -p57013 -aS'progression\tprogression\tNN\tI-NP\tO' -p57014 -aS'.\t.\t.\tO\tO' -p57015 -asS'Pt was weaned down on ventilator , minimal secretions noted .' -p57016 -(lp57017 -S'Pt\tPt\tNN\tB-NP\tO' -p57018 -aS'was\tbe\tVBD\tB-VP\tO' -p57019 -aS'weaned\twean\tVBN\tI-VP\tO' -p57020 -aS'down\tdown\tRP\tB-PRT\tO' -p57021 -aS'on\ton\tIN\tB-PP\tO' -p57022 -aS'ventilator\tventilator\tNN\tB-NP\tO' -p57023 -aS',\t,\t,\tO\tO' -p57024 -aS'minimal\tminimal\tJJ\tB-NP\tO' -p57025 -aS'secretions\tsecretion\tNNS\tI-NP\tO' -p57026 -aS'noted\tnote\tVBD\tB-VP\tO' -p57027 -aS'.\t.\t.\tO\tO' -p57028 -asS'White blood cell count was 16.89 .' -p57029 -(lp57030 -S'White\tWhite\tJJ\tB-NP\tO' -p57031 -aS'blood\tblood\tNN\tI-NP\tO' -p57032 -aS'cell\tcell\tNN\tI-NP\tO' -p57033 -aS'count\tcount\tNN\tI-NP\tO' -p57034 -aS'was\tbe\tVBD\tB-VP\tO' -p57035 -aS'16.89\t16.89\tCD\tB-NP\tO' -p57036 -aS'.\t.\t.\tO\tO' -p57037 -asS'3. Car seat position screening was performed successfully .' -p57038 -(lp57039 -S'3.\t3.\tLS\tB-NP\tO' -p57040 -aS'Car\tCar\tNN\tI-NP\tB-protein' -p57041 -aS'seat\tseat\tNN\tI-NP\tO' -p57042 -aS'position\tposition\tNN\tI-NP\tO' -p57043 -aS'screening\tscreening\tNN\tI-NP\tO' -p57044 -aS'was\tbe\tVBD\tB-VP\tO' -p57045 -aS'performed\tperform\tVBN\tI-VP\tO' -p57046 -aS'successfully\tsuccessfully\tRB\tB-ADVP\tO' -p57047 -aS'.\t.\t.\tO\tO' -p57048 -asS'2. Follow-up with Dr. Michael , his psychiatrist , on Wednesday , 09-08 .' -p57049 -(lp57050 -S'2.\t2.\tLS\tB-NP\tO' -p57051 -aS'Follow-up\tFollow-up\tNN\tI-NP\tO' -p57052 -aS'with\twith\tIN\tB-PP\tO' -p57053 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p57054 -aS'Michael\tMichael\tNNP\tI-NP\tO' -p57055 -aS',\t,\t,\tO\tO' -p57056 -aS'his\this\tPRP$\tB-NP\tO' -p57057 -aS'psychiatrist\tpsychiatrist\tNN\tI-NP\tO' -p57058 -aS',\t,\t,\tO\tO' -p57059 -aS'on\ton\tIN\tB-PP\tO' -p57060 -aS'Wednesday\tWednesday\tNNP\tB-NP\tO' -p57061 -aS',\t,\t,\tO\tO' -p57062 -aS'09-08\t09-08\tCD\tB-NP\tO' -p57063 -aS'.\t.\t.\tO\tO' -p57064 -asS'Date / Time : 2013-11-20 3:00 .' -p57065 -(lp57066 -S'Date\tDate\tNN\tB-NP\tO' -p57067 -aS'/\t/\tSYM\tI-NP\tO' -p57068 -aS'Time\tTime\tNN\tI-NP\tO' -p57069 -aS':\t:\t:\tO\tO' -p57070 -aS'2013-11-20\t2013-11-20\tCD\tB-NP\tO' -p57071 -aS'3:00\t3:00\tCD\tI-NP\tO' -p57072 -aS'.\t.\t.\tO\tO' -p57073 -asS'An abscessogram was performed on 04/12/05 and revealed no fistula .' -p57074 -(lp57075 -S'An\tAn\tDT\tB-NP\tO' -p57076 -aS'abscessogram\tabscessogram\tNN\tI-NP\tO' -p57077 -aS'was\tbe\tVBD\tB-VP\tO' -p57078 -aS'performed\tperform\tVBN\tI-VP\tO' -p57079 -aS'on\ton\tIN\tB-PP\tO' -p57080 -aS'04/12/05\t04/12/05\tCD\tB-NP\tO' -p57081 -aS'and\tand\tCC\tO\tO' -p57082 -aS'revealed\treveal\tVBD\tB-VP\tO' -p57083 -aS'no\tno\tDT\tB-NP\tO' -p57084 -aS'fistula\tfistula\tNN\tI-NP\tO' -p57085 -aS'.\t.\t.\tO\tO' -p57086 -asS'She failed to improve following placement of the ventriculostomy and her poor prognosis was discussed with the family .' -p57087 -(lp57088 -S'She\tShe\tPRP\tB-NP\tO' -p57089 -aS'failed\tfail\tVBD\tB-VP\tO' -p57090 -aS'to\tto\tTO\tI-VP\tO' -p57091 -aS'improve\timprove\tVB\tI-VP\tO' -p57092 -aS'following\tfollow\tVBG\tB-PP\tO' -p57093 -aS'placement\tplacement\tNN\tB-NP\tO' -p57094 -aS'of\tof\tIN\tB-PP\tO' -p57095 -aS'the\tthe\tDT\tB-NP\tO' -p57096 -aS'ventriculostomy\tventriculostomy\tNN\tI-NP\tO' -p57097 -aS'and\tand\tCC\tO\tO' -p57098 -aS'her\ther\tPRP$\tB-NP\tO' -p57099 -aS'poor\tpoor\tJJ\tI-NP\tO' -p57100 -aS'prognosis\tprognosis\tNN\tI-NP\tO' -p57101 -aS'was\tbe\tVBD\tB-VP\tO' -p57102 -aS'discussed\tdiscuss\tVBN\tI-VP\tO' -p57103 -aS'with\twith\tIN\tB-PP\tO' -p57104 -aS'the\tthe\tDT\tB-NP\tO' -p57105 -aS'family\tfamily\tNN\tI-NP\tO' -p57106 -aS'.\t.\t.\tO\tO' -p57107 -asS'He will still need to be on tubefeed to support his nutrition until he is cleared by a nutritionist .' -p57108 -(lp57109 -S'He\tHe\tPRP\tB-NP\tO' -p57110 -aS'will\twill\tMD\tB-VP\tO' -p57111 -aS'still\tstill\tRB\tI-VP\tO' -p57112 -aS'need\tneed\tVB\tI-VP\tO' -p57113 -aS'to\tto\tTO\tI-VP\tO' -p57114 -aS'be\tbe\tVB\tI-VP\tO' -p57115 -aS'on\ton\tIN\tB-PP\tO' -p57116 -aS'tubefeed\ttubefeed\tNN\tB-NP\tO' -p57117 -aS'to\tto\tTO\tB-VP\tO' -p57118 -aS'support\tsupport\tVB\tI-VP\tO' -p57119 -aS'his\this\tPRP$\tB-NP\tO' -p57120 -aS'nutrition\tnutrition\tNN\tI-NP\tO' -p57121 -aS'until\tuntil\tIN\tB-SBAR\tO' -p57122 -aS'he\the\tPRP\tB-NP\tO' -p57123 -aS'is\tbe\tVBZ\tB-VP\tO' -p57124 -aS'cleared\tclear\tVBN\tI-VP\tO' -p57125 -aS'by\tby\tIN\tB-PP\tO' -p57126 -aS'a\ta\tDT\tB-NP\tO' -p57127 -aS'nutritionist\tnutritionist\tNN\tI-NP\tO' -p57128 -aS'.\t.\t.\tO\tO' -p57129 -asS'The patient was then switched to po etidronate .' -p57130 -(lp57131 -S'The\tThe\tDT\tB-NP\tO' -p57132 -aS'patient\tpatient\tNN\tI-NP\tO' -p57133 -aS'was\tbe\tVBD\tB-VP\tO' -p57134 -aS'then\tthen\tRB\tI-VP\tO' -p57135 -aS'switched\tswitch\tVBN\tI-VP\tO' -p57136 -aS'to\tto\tTO\tB-PP\tO' -p57137 -aS'po\tpo\tNN\tB-NP\tO' -p57138 -aS'etidronate\tetidronate\tNN\tI-NP\tO' -p57139 -aS'.\t.\t.\tO\tO' -p57140 -asS'Pheresis to continue as an outpatient with supervision of transplant nephrology on 08-17 , 08-20 and 08-22 .' -p57141 -(lp57142 -S'Pheresis\tPheresis\tNN\tB-NP\tO' -p57143 -aS'to\tto\tTO\tB-VP\tO' -p57144 -aS'continue\tcontinue\tVB\tI-VP\tO' -p57145 -aS'as\tas\tIN\tB-PP\tO' -p57146 -aS'an\tan\tDT\tB-NP\tO' -p57147 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p57148 -aS'with\twith\tIN\tB-PP\tO' -p57149 -aS'supervision\tsupervision\tNN\tB-NP\tO' -p57150 -aS'of\tof\tIN\tB-PP\tO' -p57151 -aS'transplant\ttransplant\tNN\tB-NP\tO' -p57152 -aS'nephrology\tnephrology\tNN\tI-NP\tO' -p57153 -aS'on\ton\tIN\tB-PP\tO' -p57154 -aS'08-17\t08-17\tCD\tB-NP\tO' -p57155 -aS',\t,\t,\tI-NP\tO' -p57156 -aS'08-20\t08-20\tCD\tI-NP\tO' -p57157 -aS'and\tand\tCC\tI-NP\tO' -p57158 -aS'08-22\t08-22\tCD\tI-NP\tO' -p57159 -aS'.\t.\t.\tO\tO' -p57160 -asS'Medications on transfer include multivitamin 1 tablet p.o. q.d. ; Pepcid 20 mg p.o. b.i.d. ; Ventolin inhaler two puffs q.i.d. ; Vancomycin 125 mg p.o. q.i.d. times seven days ; calcium carbonate 1250 mg p.o. b.i.d. ; Lotrimin cream to groin b.i.d. p.r.n. ; O2 at four liters per minute ; and Haldol 1 mg p.o. b.i.d. p.r.n.' -p57161 -(lp57162 -S'Medications\tMedication\tNNS\tB-NP\tO' -p57163 -aS'on\ton\tIN\tB-PP\tO' -p57164 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p57165 -aS'include\tinclude\tVBP\tB-VP\tO' -p57166 -aS'multivitamin\tmultivitamin\tNN\tB-NP\tO' -p57167 -aS'1\t1\tCD\tI-NP\tO' -p57168 -aS'tablet\ttablet\tNN\tI-NP\tO' -p57169 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p57170 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p57171 -aS';\t;\t:\tO\tO' -p57172 -aS'Pepcid\tPepcid\tNN\tB-NP\tO' -p57173 -aS'20\t20\tCD\tI-NP\tO' -p57174 -aS'mg\tmg\tNN\tI-NP\tO' -p57175 -aS'p.o.\tp.o.\tFW\tB-ADVP\tO' -p57176 -aS'b.i.d.\tb.i.d.\tFW\tI-ADVP\tO' -p57177 -aS';\t;\t:\tO\tO' -p57178 -aS'Ventolin\tVentolin\tNNP\tB-NP\tO' -p57179 -aS'inhaler\tinhaler\tIN\tB-PP\tO' -p57180 -aS'two\ttwo\tCD\tB-NP\tO' -p57181 -aS'puffs\tpuff\tNNS\tI-NP\tO' -p57182 -aS'q.i.d.\tq.i.d.\tRB\tB-ADVP\tO' -p57183 -aS';\t;\t:\tO\tO' -p57184 -aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' -p57185 -aS'125\t125\tCD\tI-NP\tO' -p57186 -aS'mg\tmg\tNN\tI-NP\tO' -p57187 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p57188 -aS'q.i.d.\tq.i.d.\tNN\tI-NP\tO' -p57189 -aS'times\ttime\tNNS\tI-NP\tO' -p57190 -aS'seven\tseven\tCD\tI-NP\tO' -p57191 -aS'days\tday\tNNS\tI-NP\tO' -p57192 -aS';\t;\t:\tO\tO' -p57193 -aS'calcium\tcalcium\tNN\tB-NP\tO' -p57194 -aS'carbonate\tcarbonate\tNN\tI-NP\tO' -p57195 -aS'1250\t1250\tCD\tB-NP\tO' -p57196 -aS'mg\tmg\tNN\tI-NP\tO' -p57197 -aS'p.o.\tp.o.\tFW\tB-ADVP\tO' -p57198 -aS'b.i.d.\tb.i.d.\tFW\tI-ADVP\tO' -p57199 -aS';\t;\t:\tO\tO' -p57200 -aS'Lotrimin\tLotrimin\tNNP\tB-NP\tO' -p57201 -aS'cream\tcream\tVBP\tB-VP\tO' -p57202 -aS'to\tto\tTO\tI-VP\tO' -p57203 -aS'groin\tgroin\tVB\tI-VP\tO' -p57204 -aS'b.i.d.\tb.i.d.\tNN\tB-NP\tO' -p57205 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p57206 -aS';\t;\t:\tO\tO' -p57207 -aS'O2\tO2\tNN\tB-NP\tO' -p57208 -aS'at\tat\tIN\tB-PP\tO' -p57209 -aS'four\tfour\tCD\tB-NP\tO' -p57210 -aS'liters\tliter\tNNS\tI-NP\tO' -p57211 -aS'per\tper\tIN\tB-PP\tO' -p57212 -aS'minute\tminute\tNN\tB-NP\tO' -p57213 -aS';\t;\t:\tO\tO' -p57214 -aS'and\tand\tCC\tO\tO' -p57215 -aS'Haldol\tHaldol\tNN\tB-NP\tO' -p57216 -aS'1\t1\tCD\tI-NP\tO' -p57217 -aS'mg\tmg\tNN\tI-NP\tO' -p57218 -aS'p.o.\tp.o.\tFW\tB-NP\tO' -p57219 -aS'b.i.d.\tb.i.d.\tFW\tI-NP\tO' -p57220 -aS'p.r.n.\tp.r.n.\tFW\tI-NP\tO' -p57221 -asS'On hospital day 2 she experienced atrial fibrillation with HR in the 140s .' -p57222 -(lp57223 -S'On\tOn\tIN\tB-PP\tO' -p57224 -aS'hospital\thospital\tNN\tB-NP\tO' -p57225 -aS'day\tday\tNN\tI-NP\tO' -p57226 -aS'2\t2\tCD\tI-NP\tO' -p57227 -aS'she\tshe\tPRP\tB-NP\tO' -p57228 -aS'experienced\texperience\tVBD\tB-VP\tO' -p57229 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p57230 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p57231 -aS'with\twith\tIN\tB-PP\tO' -p57232 -aS'HR\tHR\tNN\tB-NP\tB-protein' -p57233 -aS'in\tin\tIN\tB-PP\tO' -p57234 -aS'the\tthe\tDT\tB-NP\tO' -p57235 -aS'140s\t140\tNNS\tI-NP\tB-DNA' -p57236 -aS'.\t.\t.\tO\tO' -p57237 -asS'Ms. Lenkpruskihkooglekih is a 63-year-old lady with a history of frequent premature ventricular contractions and infrequent short runs of non-sustained ventricular tachycardia ( one four-beat run ) in 1991 , for which several antiarrhythmic agents including Propranolol , Quinidine , Procainamide , Tenormin , Norpace , Corgard , and Flecainide were used , but were stopped because of intolerance .' -p57238 -(lp57239 -S'Ms.\tMs.\tNNP\tB-NP\tO' -p57240 -aS'Lenkpruskihkooglekih\tLenkpruskihkooglekih\tNNP\tI-NP\tO' -p57241 -aS'is\tbe\tVBZ\tB-VP\tO' -p57242 -aS'a\ta\tDT\tB-NP\tO' -p57243 -aS'63-year-old\t63-year-old\tJJ\tI-NP\tO' -p57244 -aS'lady\tlady\tNN\tI-NP\tO' -p57245 -aS'with\twith\tIN\tB-PP\tO' -p57246 -aS'a\ta\tDT\tB-NP\tO' -p57247 -aS'history\thistory\tNN\tI-NP\tO' -p57248 -aS'of\tof\tIN\tB-PP\tO' -p57249 -aS'frequent\tfrequent\tJJ\tB-NP\tO' -p57250 -aS'premature\tpremature\tJJ\tI-NP\tO' -p57251 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p57252 -aS'contractions\tcontraction\tNNS\tI-NP\tO' -p57253 -aS'and\tand\tCC\tO\tO' -p57254 -aS'infrequent\tinfrequent\tJJ\tB-NP\tO' -p57255 -aS'short\tshort\tJJ\tI-NP\tO' -p57256 -aS'runs\trun\tNNS\tI-NP\tO' -p57257 -aS'of\tof\tIN\tB-PP\tO' -p57258 -aS'non-sustained\tnon-sustained\tJJ\tB-NP\tO' -p57259 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p57260 -aS'tachycardia\ttachycardia\tNN\tI-NP\tO' -p57261 -aS'(\t(\t(\tO\tO' -p57262 -aS'one\tone\tCD\tB-NP\tO' -p57263 -aS'four-beat\tfour-beat\tJJ\tI-NP\tO' -p57264 -aS'run\trun\tNN\tI-NP\tO' -p57265 -aS')\t)\t)\tO\tO' -p57266 -aS'in\tin\tIN\tB-PP\tO' -p57267 -aS'1991\t1991\tCD\tB-NP\tO' -p57268 -aS',\t,\t,\tO\tO' -p57269 -aS'for\tfor\tIN\tB-PP\tO' -p57270 -aS'which\twhich\tWDT\tB-NP\tO' -p57271 -aS'several\tseveral\tJJ\tB-NP\tO' -p57272 -aS'antiarrhythmic\tantiarrhythmic\tJJ\tI-NP\tO' -p57273 -aS'agents\tagent\tNNS\tI-NP\tO' -p57274 -aS'including\tinclude\tVBG\tB-PP\tO' -p57275 -aS'Propranolol\tPropranolol\tNN\tB-NP\tO' -p57276 -aS',\t,\t,\tO\tO' -p57277 -aS'Quinidine\tQuinidine\tNN\tB-NP\tO' -p57278 -aS',\t,\t,\tO\tO' -p57279 -aS'Procainamide\tProcainamide\tNNP\tB-NP\tO' -p57280 -aS',\t,\t,\tO\tO' -p57281 -aS'Tenormin\tTenormin\tNNP\tB-NP\tO' -p57282 -aS',\t,\t,\tO\tO' -p57283 -aS'Norpace\tNorpace\tNNP\tB-NP\tO' -p57284 -aS',\t,\t,\tO\tO' -p57285 -aS'Corgard\tCorgard\tNNP\tB-NP\tO' -p57286 -aS',\t,\t,\tO\tO' -p57287 -aS'and\tand\tCC\tO\tO' -p57288 -aS'Flecainide\tFlecainide\tNN\tB-NP\tO' -p57289 -aS'were\tbe\tVBD\tB-VP\tO' -p57290 -aS'used\tuse\tVBN\tI-VP\tO' -p57291 -aS',\t,\t,\tO\tO' -p57292 -aS'but\tbut\tCC\tO\tO' -p57293 -aS'were\tbe\tVBD\tB-VP\tO' -p57294 -aS'stopped\tstop\tVBN\tI-VP\tO' -p57295 -aS'because\tbecause\tRB\tB-PP\tO' -p57296 -aS'of\tof\tIN\tI-PP\tO' -p57297 -aS'intolerance\tintolerance\tNN\tB-NP\tO' -p57298 -aS'.\t.\t.\tO\tO' -p57299 -asS'Review of CTA showed no PE , but there was ground glass opacities on CT , so PCP was considered highly unlikely given her recent history of steroid use .' -p57300 -(lp57301 -S'Review\tReview\tNN\tB-NP\tO' -p57302 -aS'of\tof\tIN\tB-PP\tO' -p57303 -aS'CTA\tCTA\tNN\tB-NP\tB-protein' -p57304 -aS'showed\tshow\tVBD\tB-VP\tO' -p57305 -aS'no\tno\tDT\tB-NP\tO' -p57306 -aS'PE\tPE\tNN\tI-NP\tO' -p57307 -aS',\t,\t,\tO\tO' -p57308 -aS'but\tbut\tCC\tO\tO' -p57309 -aS'there\tthere\tEX\tB-NP\tO' -p57310 -aS'was\tbe\tVBD\tB-VP\tO' -p57311 -aS'ground\tground\tNN\tB-NP\tO' -p57312 -aS'glass\tglass\tNN\tI-NP\tO' -p57313 -aS'opacities\topacity\tNNS\tI-NP\tO' -p57314 -aS'on\ton\tIN\tB-PP\tO' -p57315 -aS'CT\tCT\tNN\tB-NP\tB-protein' -p57316 -aS',\t,\t,\tO\tO' -p57317 -aS'so\tso\tIN\tO\tO' -p57318 -aS'PCP\tPCP\tNN\tB-NP\tB-protein' -p57319 -aS'was\tbe\tVBD\tB-VP\tO' -p57320 -aS'considered\tconsider\tVBN\tI-VP\tO' -p57321 -aS'highly\thighly\tRB\tB-ADJP\tO' -p57322 -aS'unlikely\tunlikely\tJJ\tI-ADJP\tO' -p57323 -aS'given\tgive\tVBN\tB-VP\tO' -p57324 -aS'her\ther\tPRP$\tB-NP\tO' -p57325 -aS'recent\trecent\tJJ\tI-NP\tO' -p57326 -aS'history\thistory\tNN\tI-NP\tO' -p57327 -aS'of\tof\tIN\tB-PP\tO' -p57328 -aS'steroid\tsteroid\tNN\tB-NP\tO' -p57329 -aS'use\tuse\tNN\tI-NP\tO' -p57330 -aS'.\t.\t.\tO\tO' -p57331 -asS'She has got bilateral basilar crackles , no wheezing .' -p57332 -(lp57333 -S'She\tShe\tPRP\tB-NP\tO' -p57334 -aS'has\thave\tVBZ\tB-VP\tO' -p57335 -aS'got\tget\tVBD\tI-VP\tO' -p57336 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p57337 -aS'basilar\tbasilar\tJJ\tI-NP\tO' -p57338 -aS'crackles\tcrackle\tNNS\tI-NP\tO' -p57339 -aS',\t,\t,\tO\tO' -p57340 -aS'no\tno\tDT\tB-NP\tO' -p57341 -aS'wheezing\twheezing\tNN\tI-NP\tO' -p57342 -aS'.\t.\t.\tO\tO' -p57343 -asS'BUN 25 and creatinine 1.4 .' -p57344 -(lp57345 -S'BUN\tBUN\tNN\tB-NP\tO' -p57346 -aS'25\t25\tCD\tI-NP\tO' -p57347 -aS'and\tand\tCC\tO\tO' -p57348 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p57349 -aS'1.4\t1.4\tCD\tI-NP\tO' -p57350 -aS'.\t.\t.\tO\tO' -p57351 -asS'On 2011-11-21 , the patient experienced atypical chest pain which was made worse with inspiration and movement .' -p57352 -(lp57353 -S'On\tOn\tIN\tB-PP\tO' -p57354 -aS'2011-11-21\t2011-11-21\tCD\tB-NP\tO' -p57355 -aS',\t,\t,\tO\tO' -p57356 -aS'the\tthe\tDT\tB-NP\tO' -p57357 -aS'patient\tpatient\tNN\tI-NP\tO' -p57358 -aS'experienced\texperience\tVBD\tB-VP\tO' -p57359 -aS'atypical\tatypical\tJJ\tB-NP\tO' -p57360 -aS'chest\tchest\tNN\tI-NP\tO' -p57361 -aS'pain\tpain\tNN\tI-NP\tO' -p57362 -aS'which\twhich\tWDT\tB-NP\tO' -p57363 -aS'was\tbe\tVBD\tB-VP\tO' -p57364 -aS'made\tmake\tVBN\tI-VP\tO' -p57365 -aS'worse\tworse\tJJR\tB-ADJP\tO' -p57366 -aS'with\twith\tIN\tB-PP\tO' -p57367 -aS'inspiration\tinspiration\tNN\tB-NP\tO' -p57368 -aS'and\tand\tCC\tI-NP\tO' -p57369 -aS'movement\tmovement\tNN\tI-NP\tO' -p57370 -aS'.\t.\t.\tO\tO' -p57371 -asS'Call all providers for appointments .' -p57372 -(lp57373 -S'Call\tCall\tVB\tB-VP\tO' -p57374 -aS'all\tall\tDT\tB-NP\tO' -p57375 -aS'providers\tprovider\tNNS\tI-NP\tO' -p57376 -aS'for\tfor\tIN\tB-PP\tO' -p57377 -aS'appointments\tappointment\tNNS\tB-NP\tO' -p57378 -aS'.\t.\t.\tO\tO' -p57379 -asS'Ascorbic Acid 500 mg PO TID' -p57380 -(lp57381 -S'Ascorbic\tAscorbic\tJJ\tB-NP\tO' -p57382 -aS'Acid\tAcid\tNN\tI-NP\tO' -p57383 -aS'500\t500\tCD\tI-NP\tO' -p57384 -aS'mg\tmg\tNN\tI-NP\tO' -p57385 -aS'PO\tPO\tNN\tI-NP\tO' -p57386 -aS'TID\tTID\tNN\tI-NP\tO' -p57387 -asS'On postoperative day 6 , the patient remained hemodynamically stable and he was transferred to the floor for continuing postoperative care and cardiac rehabilitation .' -p57388 -(lp57389 -S'On\tOn\tIN\tB-PP\tO' -p57390 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p57391 -aS'day\tday\tNN\tI-NP\tO' -p57392 -aS'6\t6\tCD\tI-NP\tO' -p57393 -aS',\t,\t,\tO\tO' -p57394 -aS'the\tthe\tDT\tB-NP\tO' -p57395 -aS'patient\tpatient\tNN\tI-NP\tO' -p57396 -aS'remained\tremain\tVBD\tB-VP\tO' -p57397 -aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' -p57398 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p57399 -aS'and\tand\tCC\tO\tO' -p57400 -aS'he\the\tPRP\tB-NP\tO' -p57401 -aS'was\tbe\tVBD\tB-VP\tO' -p57402 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p57403 -aS'to\tto\tTO\tB-PP\tO' -p57404 -aS'the\tthe\tDT\tB-NP\tO' -p57405 -aS'floor\tfloor\tNN\tI-NP\tO' -p57406 -aS'for\tfor\tIN\tB-PP\tO' -p57407 -aS'continuing\tcontinue\tVBG\tB-NP\tO' -p57408 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p57409 -aS'care\tcare\tNN\tI-NP\tO' -p57410 -aS'and\tand\tCC\tI-NP\tO' -p57411 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p57412 -aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' -p57413 -aS'.\t.\t.\tO\tO' -p57414 -asS'12) Citrucel one tablespoon p.o. q day .' -p57415 -(lp57416 -S'12)\t12)\tLS\tB-LST\tO' -p57417 -aS'Citrucel\tCitrucel\tNNP\tB-NP\tO' -p57418 -aS'one\tone\tCD\tI-NP\tO' -p57419 -aS'tablespoon\ttablespoon\tNN\tI-NP\tO' -p57420 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p57421 -aS'q\tq\tNN\tI-NP\tO' -p57422 -aS'day\tday\tNN\tI-NP\tO' -p57423 -aS'.\t.\t.\tO\tO' -p57424 -asS'1. Tylenol 650 mg p.o. q.4.h. p.r.n. pain .' -p57425 -(lp57426 -S'1.\t1.\tLS\tB-LST\tO' -p57427 -aS'Tylenol\tTylenol\tNN\tB-NP\tB-protein' -p57428 -aS'650\t650\tCD\tI-NP\tI-protein' -p57429 -aS'mg\tmg\tNN\tI-NP\tI-protein' -p57430 -aS'p.o.\tp.o.\tFW\tI-NP\tI-protein' -p57431 -aS'q.4.h.\tq.4.h.\tNN\tI-NP\tI-protein' -p57432 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tI-protein' -p57433 -aS'pain\tpain\tNN\tI-NP\tI-protein' -p57434 -aS'.\t.\t.\tO\tO' -p57435 -asS'Pancreatitis , fluid collection in the lesser sac .' -p57436 -(lp57437 -S'Pancreatitis\tPancreatitis\tNN\tB-NP\tO' -p57438 -aS',\t,\t,\tO\tO' -p57439 -aS'fluid\tfluid\tNN\tB-NP\tO' -p57440 -aS'collection\tcollection\tNN\tI-NP\tO' -p57441 -aS'in\tin\tIN\tB-PP\tO' -p57442 -aS'the\tthe\tDT\tB-NP\tO' -p57443 -aS'lesser\tless\tJJR\tI-NP\tO' -p57444 -aS'sac\tsac\tNN\tI-NP\tO' -p57445 -aS'.\t.\t.\tO\tO' -p57446 -asS'Extraocular movements are intact .' -p57447 -(lp57448 -S'Extraocular\tExtraocular\tJJ\tB-NP\tO' -p57449 -aS'movements\tmovement\tNNS\tI-NP\tO' -p57450 -aS'are\tbe\tVBP\tB-VP\tO' -p57451 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p57452 -aS'.\t.\t.\tO\tO' -p57453 -asS'Swan showed a PA of 29/11 , SVR of 14/9 , cardiac output of 3.86 , cardiac index of 2.14 .' -p57454 -(lp57455 -S'Swan\tSwan\tNN\tB-NP\tO' -p57456 -aS'showed\tshow\tVBD\tB-VP\tO' -p57457 -aS'a\ta\tDT\tB-NP\tO' -p57458 -aS'PA\tPA\tNN\tI-NP\tO' -p57459 -aS'of\tof\tIN\tB-PP\tO' -p57460 -aS'29/11\t29/11\tCD\tB-NP\tO' -p57461 -aS',\t,\t,\tO\tO' -p57462 -aS'SVR\tSVR\tNN\tB-NP\tB-protein' -p57463 -aS'of\tof\tIN\tB-PP\tO' -p57464 -aS'14/9\t14/9\tCD\tB-NP\tO' -p57465 -aS',\t,\t,\tO\tO' -p57466 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p57467 -aS'output\toutput\tNN\tI-NP\tO' -p57468 -aS'of\tof\tIN\tB-PP\tO' -p57469 -aS'3.86\t3.86\tCD\tB-NP\tO' -p57470 -aS',\t,\t,\tO\tO' -p57471 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p57472 -aS'index\tindex\tNN\tI-NP\tO' -p57473 -aS'of\tof\tIN\tB-PP\tO' -p57474 -aS'2.14\t2.14\tCD\tB-NP\tO' -p57475 -aS'.\t.\t.\tO\tO' -p57476 -asS'Fluoroquinolones and other renal toxins were avoided .' -p57477 -(lp57478 -S'Fluoroquinolones\tFluoroquinolone\tNNS\tB-NP\tO' -p57479 -aS'and\tand\tCC\tO\tO' -p57480 -aS'other\tother\tJJ\tB-NP\tO' -p57481 -aS'renal\trenal\tJJ\tI-NP\tO' -p57482 -aS'toxins\ttoxin\tNNS\tI-NP\tO' -p57483 -aS'were\tbe\tVBD\tB-VP\tO' -p57484 -aS'avoided\tavoid\tVBN\tI-VP\tO' -p57485 -aS'.\t.\t.\tO\tO' -p57486 -asS'She had 5/5 strength in bilateral upper and lower extremities .' -p57487 -(lp57488 -S'She\tShe\tPRP\tB-NP\tO' -p57489 -aS'had\thave\tVBD\tB-VP\tO' -p57490 -aS'5/5\t5/5\tCD\tB-NP\tO' -p57491 -aS'strength\tstrength\tNN\tI-NP\tO' -p57492 -aS'in\tin\tIN\tB-PP\tO' -p57493 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p57494 -aS'upper\tupper\tJJ\tI-NP\tO' -p57495 -aS'and\tand\tCC\tI-NP\tO' -p57496 -aS'lower\tlow\tJJR\tI-NP\tO' -p57497 -aS'extremities\textremity\tNNS\tI-NP\tO' -p57498 -aS'.\t.\t.\tO\tO' -p57499 -asS'Likewise , on 04-01 , the patient was weaned off surgery without difficulty .' -p57500 -(lp57501 -S'Likewise\tLikewise\tRB\tB-ADVP\tO' -p57502 -aS',\t,\t,\tO\tO' -p57503 -aS'on\ton\tIN\tB-PP\tO' -p57504 -aS'04-01\t04-01\tCD\tB-NP\tO' -p57505 -aS',\t,\t,\tO\tO' -p57506 -aS'the\tthe\tDT\tB-NP\tO' -p57507 -aS'patient\tpatient\tNN\tI-NP\tO' -p57508 -aS'was\tbe\tVBD\tB-VP\tO' -p57509 -aS'weaned\twean\tVBN\tI-VP\tO' -p57510 -aS'off\toff\tRP\tB-PRT\tO' -p57511 -aS'surgery\tsurgery\tNN\tB-NP\tO' -p57512 -aS'without\twithout\tIN\tB-PP\tO' -p57513 -aS'difficulty\tdifficulty\tNN\tB-NP\tO' -p57514 -aS'.\t.\t.\tO\tO' -p57515 -asS'However the patient was then subsequently transferred to Fairm of Ijordcompmac Hospital upon request of the family on 8/24/98 for further evaluation and possible intervention .' -p57516 -(lp57517 -S'However\tHowever\tRB\tB-ADVP\tO' -p57518 -aS'the\tthe\tDT\tB-NP\tO' -p57519 -aS'patient\tpatient\tNN\tI-NP\tO' -p57520 -aS'was\tbe\tVBD\tB-VP\tO' -p57521 -aS'then\tthen\tRB\tI-VP\tO' -p57522 -aS'subsequently\tsubsequently\tRB\tI-VP\tO' -p57523 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p57524 -aS'to\tto\tTO\tB-PP\tO' -p57525 -aS'Fairm\tFairm\tNNP\tB-NP\tO' -p57526 -aS'of\tof\tIN\tB-PP\tO' -p57527 -aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' -p57528 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p57529 -aS'upon\tupon\tIN\tB-PP\tO' -p57530 -aS'request\trequest\tNN\tB-NP\tO' -p57531 -aS'of\tof\tIN\tB-PP\tO' -p57532 -aS'the\tthe\tDT\tB-NP\tO' -p57533 -aS'family\tfamily\tNN\tI-NP\tO' -p57534 -aS'on\ton\tIN\tB-PP\tO' -p57535 -aS'8/24/98\t8/24/98\tCD\tB-NP\tO' -p57536 -aS'for\tfor\tIN\tB-PP\tO' -p57537 -aS'further\tfurther\tJJ\tB-NP\tO' -p57538 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p57539 -aS'and\tand\tCC\tO\tO' -p57540 -aS'possible\tpossible\tJJ\tB-NP\tO' -p57541 -aS'intervention\tintervention\tNN\tI-NP\tO' -p57542 -aS'.\t.\t.\tO\tO' -p57543 -asS'Left upper extremity examination demonstrated no gross deformities , tenderness to palpation in the mid forearm , intact motor function in the median , radial , and ulnar nerve distributions , intact sensation to light touch in the median and radial nerve distributions , decreased sensation in the ulnar-nerve distribution , warm and well perfused limb with 2+ radial pulses .' -p57544 -(lp57545 -S'Left\tLeave\tVBN\tB-NP\tO' -p57546 -aS'upper\tupper\tJJ\tI-NP\tO' -p57547 -aS'extremity\textremity\tNN\tI-NP\tO' -p57548 -aS'examination\texamination\tNN\tI-NP\tO' -p57549 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p57550 -aS'no\tno\tDT\tB-NP\tO' -p57551 -aS'gross\tgross\tJJ\tI-NP\tO' -p57552 -aS'deformities\tdeformity\tNNS\tI-NP\tO' -p57553 -aS',\t,\t,\tO\tO' -p57554 -aS'tenderness\ttenderness\tNN\tB-NP\tO' -p57555 -aS'to\tto\tTO\tB-PP\tO' -p57556 -aS'palpation\tpalpation\tNN\tB-NP\tO' -p57557 -aS'in\tin\tIN\tB-PP\tO' -p57558 -aS'the\tthe\tDT\tB-NP\tO' -p57559 -aS'mid\tmid\tJJ\tI-NP\tO' -p57560 -aS'forearm\tforearm\tNN\tI-NP\tO' -p57561 -aS',\t,\t,\tO\tO' -p57562 -aS'intact\tintact\tJJ\tB-NP\tO' -p57563 -aS'motor\tmotor\tNN\tI-NP\tO' -p57564 -aS'function\tfunction\tNN\tI-NP\tO' -p57565 -aS'in\tin\tIN\tB-PP\tO' -p57566 -aS'the\tthe\tDT\tB-NP\tO' -p57567 -aS'median\tmedian\tNN\tI-NP\tO' -p57568 -aS',\t,\t,\tO\tO' -p57569 -aS'radial\tradial\tNN\tB-NP\tO' -p57570 -aS',\t,\t,\tO\tO' -p57571 -aS'and\tand\tCC\tO\tO' -p57572 -aS'ulnar\tulnar\tJJ\tB-NP\tO' -p57573 -aS'nerve\tnerve\tNN\tI-NP\tO' -p57574 -aS'distributions\tdistribution\tNNS\tI-NP\tO' -p57575 -aS',\t,\t,\tO\tO' -p57576 -aS'intact\tintact\tJJ\tB-NP\tO' -p57577 -aS'sensation\tsensation\tNN\tI-NP\tO' -p57578 -aS'to\tto\tTO\tB-PP\tO' -p57579 -aS'light\tlight\tNN\tB-NP\tO' -p57580 -aS'touch\ttouch\tNN\tI-NP\tO' -p57581 -aS'in\tin\tIN\tB-PP\tO' -p57582 -aS'the\tthe\tDT\tB-NP\tO' -p57583 -aS'median\tmedian\tJJ\tI-NP\tO' -p57584 -aS'and\tand\tCC\tI-NP\tO' -p57585 -aS'radial\tradial\tJJ\tI-NP\tO' -p57586 -aS'nerve\tnerve\tNN\tI-NP\tO' -p57587 -aS'distributions\tdistribution\tNNS\tI-NP\tO' -p57588 -aS',\t,\t,\tO\tO' -p57589 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p57590 -aS'sensation\tsensation\tNN\tB-NP\tO' -p57591 -aS'in\tin\tIN\tB-PP\tO' -p57592 -aS'the\tthe\tDT\tB-NP\tO' -p57593 -aS'ulnar-nerve\tulnar-nerve\tJJ\tI-NP\tO' -p57594 -aS'distribution\tdistribution\tNN\tI-NP\tO' -p57595 -aS',\t,\t,\tO\tO' -p57596 -aS'warm\twarm\tJJ\tB-NP\tO' -p57597 -aS'and\tand\tCC\tI-NP\tO' -p57598 -aS'well\twell\tRB\tI-NP\tO' -p57599 -aS'perfused\tperfuse\tVBN\tI-NP\tO' -p57600 -aS'limb\tlimb\tNN\tI-NP\tO' -p57601 -aS'with\twith\tIN\tB-PP\tO' -p57602 -aS'2+\t2+\tJJ\tB-NP\tO' -p57603 -aS'radial\tradial\tJJ\tI-NP\tO' -p57604 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p57605 -aS'.\t.\t.\tO\tO' -p57606 -asS'Weight preoperatively was 67 kg , at discharge is 70.9 kg .' -p57607 -(lp57608 -S'Weight\tWeight\tNN\tB-NP\tO' -p57609 -aS'preoperatively\tpreoperatively\tRB\tB-ADVP\tO' -p57610 -aS'was\tbe\tVBD\tB-VP\tO' -p57611 -aS'67\t67\tCD\tB-NP\tO' -p57612 -aS'kg\tkg\tNN\tI-NP\tO' -p57613 -aS',\t,\t,\tO\tO' -p57614 -aS'at\tat\tIN\tB-PP\tO' -p57615 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p57616 -aS'is\tbe\tVBZ\tB-VP\tO' -p57617 -aS'70.9\t70.9\tCD\tB-NP\tO' -p57618 -aS'kg\tkg\tNN\tI-NP\tO' -p57619 -aS'.\t.\t.\tO\tO' -p57620 -asS'A CTA showed diffuse subarachnoid hemorrhage and intraventricular blood but no evidence of an aneurysm .' -p57621 -(lp57622 -S'A\tA\tDT\tB-NP\tO' -p57623 -aS'CTA\tCTA\tNN\tI-NP\tB-protein' -p57624 -aS'showed\tshow\tVBD\tB-VP\tO' -p57625 -aS'diffuse\tdiffuse\tJJ\tB-NP\tO' -p57626 -aS'subarachnoid\tsubarachnoid\tJJ\tI-NP\tO' -p57627 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p57628 -aS'and\tand\tCC\tO\tO' -p57629 -aS'intraventricular\tintraventricular\tJJ\tB-NP\tO' -p57630 -aS'blood\tblood\tNN\tI-NP\tO' -p57631 -aS'but\tbut\tCC\tO\tO' -p57632 -aS'no\tno\tDT\tB-NP\tO' -p57633 -aS'evidence\tevidence\tNN\tI-NP\tO' -p57634 -aS'of\tof\tIN\tB-PP\tO' -p57635 -aS'an\tan\tDT\tB-NP\tO' -p57636 -aS'aneurysm\taneurysm\tNN\tI-NP\tO' -p57637 -aS'.\t.\t.\tO\tO' -p57638 -asS'Tonsillectomy around the age of 10' -p57639 -(lp57640 -S'Tonsillectomy\tTonsillectomy\tNN\tB-NP\tO' -p57641 -aS'around\taround\tIN\tB-PP\tO' -p57642 -aS'the\tthe\tDT\tB-NP\tO' -p57643 -aS'age\tage\tNN\tI-NP\tO' -p57644 -aS'of\tof\tIN\tB-PP\tO' -p57645 -aS'10\t10\tCD\tB-NP\tO' -p57646 -asS'Amiodarone drip .' -p57647 -(lp57648 -S'Amiodarone\tAmiodarone\tNN\tB-NP\tO' -p57649 -aS'drip\tdrip\tNN\tI-NP\tO' -p57650 -aS'.\t.\t.\tO\tO' -p57651 -asS'Weigh yourself every morning , call MD if weight > 3 lbs .' -p57652 -(lp57653 -S'Weigh\tWeigh\tIN\tB-PP\tO' -p57654 -aS'yourself\tyourself\tPRP\tB-NP\tO' -p57655 -aS'every\tevery\tDT\tB-NP\tO' -p57656 -aS'morning\tmorning\tNN\tI-NP\tO' -p57657 -aS',\t,\t,\tO\tO' -p57658 -aS'call\tcall\tNN\tB-NP\tO' -p57659 -aS'MD\tMD\tNN\tI-NP\tO' -p57660 -aS'if\tif\tIN\tB-SBAR\tO' -p57661 -aS'weight\tweight\tNN\tB-NP\tO' -p57662 -aS'>\t>\tSYM\tB-VP\tO' -p57663 -aS'3\t3\tCD\tB-NP\tO' -p57664 -aS'lbs\tlb\tNNS\tI-NP\tO' -p57665 -aS'.\t.\t.\tO\tO' -p57666 -asS'He had also some increased shortness of breath and a 10 pound weight gain and new three to four pillow orthopnea with a dry cough .' -p57667 -(lp57668 -S'He\tHe\tPRP\tB-NP\tO' -p57669 -aS'had\thave\tVBD\tB-VP\tO' -p57670 -aS'also\talso\tRB\tB-ADVP\tO' -p57671 -aS'some\tsome\tDT\tB-NP\tO' -p57672 -aS'increased\tincrease\tVBN\tI-NP\tO' -p57673 -aS'shortness\tshortness\tNN\tI-NP\tO' -p57674 -aS'of\tof\tIN\tB-PP\tO' -p57675 -aS'breath\tbreath\tNN\tB-NP\tO' -p57676 -aS'and\tand\tCC\tO\tO' -p57677 -aS'a\ta\tDT\tB-NP\tO' -p57678 -aS'10\t10\tCD\tI-NP\tO' -p57679 -aS'pound\tpound\tNN\tI-NP\tO' -p57680 -aS'weight\tweight\tNN\tI-NP\tO' -p57681 -aS'gain\tgain\tNN\tI-NP\tO' -p57682 -aS'and\tand\tCC\tO\tO' -p57683 -aS'new\tnew\tJJ\tB-NP\tO' -p57684 -aS'three\tthree\tCD\tI-NP\tO' -p57685 -aS'to\tto\tTO\tI-NP\tO' -p57686 -aS'four\tfour\tCD\tI-NP\tO' -p57687 -aS'pillow\tpillow\tNN\tI-NP\tO' -p57688 -aS'orthopnea\torthopnea\tNN\tI-NP\tO' -p57689 -aS'with\twith\tIN\tB-PP\tO' -p57690 -aS'a\ta\tDT\tB-NP\tO' -p57691 -aS'dry\tdry\tJJ\tI-NP\tO' -p57692 -aS'cough\tcough\tNN\tI-NP\tO' -p57693 -aS'.\t.\t.\tO\tO' -p57694 -asS'Do not drive or drink alcohol while taking narcotics .' -p57695 -(lp57696 -S'Do\tDo\tVBP\tB-VP\tO' -p57697 -aS'not\tnot\tRB\tI-VP\tO' -p57698 -aS'drive\tdrive\tVB\tI-VP\tO' -p57699 -aS'or\tor\tCC\tI-VP\tO' -p57700 -aS'drink\tdrink\tVB\tI-VP\tO' -p57701 -aS'alcohol\talcohol\tNN\tB-NP\tO' -p57702 -aS'while\twhile\tIN\tB-SBAR\tO' -p57703 -aS'taking\ttake\tVBG\tB-VP\tO' -p57704 -aS'narcotics\tnarcotic\tNNS\tB-NP\tO' -p57705 -aS'.\t.\t.\tO\tO' -p57706 -asS'She was then transferred to Ro Woodma Healthcare for further management .' -p57707 -(lp57708 -S'She\tShe\tPRP\tB-NP\tO' -p57709 -aS'was\tbe\tVBD\tB-VP\tO' -p57710 -aS'then\tthen\tRB\tI-VP\tO' -p57711 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p57712 -aS'to\tto\tTO\tB-PP\tO' -p57713 -aS'Ro\tRo\tNNP\tB-NP\tO' -p57714 -aS'Woodma\tWoodma\tNNP\tI-NP\tO' -p57715 -aS'Healthcare\tHealthcare\tNNP\tI-NP\tO' -p57716 -aS'for\tfor\tIN\tB-PP\tO' -p57717 -aS'further\tfurther\tJJ\tB-NP\tO' -p57718 -aS'management\tmanagement\tNN\tI-NP\tO' -p57719 -aS'.\t.\t.\tO\tO' -p57720 -asS'The lung examination was clear but breath sounds were more pronounced on the left than the right .' -p57721 -(lp57722 -S'The\tThe\tDT\tB-NP\tO' -p57723 -aS'lung\tlung\tNN\tI-NP\tO' -p57724 -aS'examination\texamination\tNN\tI-NP\tO' -p57725 -aS'was\tbe\tVBD\tB-VP\tO' -p57726 -aS'clear\tclear\tJJ\tB-NP\tO' -p57727 -aS'but\tbut\tCC\tI-NP\tO' -p57728 -aS'breath\tbreath\tNN\tI-NP\tO' -p57729 -aS'sounds\tsound\tNNS\tI-NP\tO' -p57730 -aS'were\tbe\tVBD\tB-VP\tO' -p57731 -aS'more\tmore\tRBR\tB-ADJP\tO' -p57732 -aS'pronounced\tpronounced\tJJ\tI-ADJP\tO' -p57733 -aS'on\ton\tIN\tB-PP\tO' -p57734 -aS'the\tthe\tDT\tB-NP\tO' -p57735 -aS'left\tleft\tNN\tI-NP\tO' -p57736 -aS'than\tthan\tIN\tB-PP\tO' -p57737 -aS'the\tthe\tDT\tB-NP\tO' -p57738 -aS'right\tright\tNN\tI-NP\tO' -p57739 -aS'.\t.\t.\tO\tO' -p57740 -asS'1. Please take all medications as prescribed .' -p57741 -(lp57742 -S'1.\t1.\tLS\tB-NP\tO' -p57743 -aS'Please\tPlease\tNN\tI-NP\tB-protein' -p57744 -aS'take\ttake\tVB\tB-VP\tO' -p57745 -aS'all\tall\tDT\tB-NP\tO' -p57746 -aS'medications\tmedication\tNNS\tI-NP\tO' -p57747 -aS'as\tas\tIN\tB-SBAR\tO' -p57748 -aS'prescribed\tprescribe\tVBN\tB-VP\tO' -p57749 -aS'.\t.\t.\tO\tO' -p57750 -asS"Patient 's family was notified and declined autopsy ." -p57751 -(lp57752 -S'Patient\tPatient\tNN\tB-NP\tB-protein' -p57753 -aS"'s\t's\tPOS\tB-NP\tI-protein" -p57754 -aS'family\tfamily\tNN\tI-NP\tI-protein' -p57755 -aS'was\tbe\tVBD\tB-VP\tO' -p57756 -aS'notified\tnotify\tVBN\tI-VP\tO' -p57757 -aS'and\tand\tCC\tO\tO' -p57758 -aS'declined\tdecline\tVBN\tB-VP\tO' -p57759 -aS'autopsy\tautopsy\tNN\tB-NP\tO' -p57760 -aS'.\t.\t.\tO\tO' -p57761 -asS'She has been adequately controlled with Tylenol , Motrin & Oxycodone by mouth , per recommendations by Geriatrics .' -p57762 -(lp57763 -S'She\tShe\tPRP\tB-NP\tO' -p57764 -aS'has\thave\tVBZ\tB-VP\tO' -p57765 -aS'been\tbe\tVBN\tI-VP\tO' -p57766 -aS'adequately\tadequately\tRB\tI-VP\tO' -p57767 -aS'controlled\tcontrol\tVBN\tI-VP\tO' -p57768 -aS'with\twith\tIN\tB-PP\tO' -p57769 -aS'Tylenol\tTylenol\tNN\tB-NP\tO' -p57770 -aS',\t,\t,\tO\tO' -p57771 -aS'Motrin\tMotrin\tNNP\tB-NP\tO' -p57772 -aS'&\t&\tCC\tO\tO' -p57773 -aS'Oxycodone\tOxycodone\tVBN\tB-VP\tO' -p57774 -aS'by\tby\tIN\tB-PP\tO' -p57775 -aS'mouth\tmouth\tNN\tB-NP\tO' -p57776 -aS',\t,\t,\tO\tO' -p57777 -aS'per\tper\tIN\tB-PP\tO' -p57778 -aS'recommendations\trecommendation\tNNS\tB-NP\tO' -p57779 -aS'by\tby\tIN\tB-PP\tO' -p57780 -aS'Geriatrics\tGeriatric\tNNS\tB-NP\tO' -p57781 -aS'.\t.\t.\tO\tO' -p57782 -asS'The infant emerged vigorous with Apgars of 9 at one and five minutes .' -p57783 -(lp57784 -S'The\tThe\tDT\tB-NP\tO' -p57785 -aS'infant\tinfant\tNN\tI-NP\tO' -p57786 -aS'emerged\temerge\tVBD\tB-VP\tO' -p57787 -aS'vigorous\tvigorous\tJJ\tB-ADJP\tO' -p57788 -aS'with\twith\tIN\tB-PP\tO' -p57789 -aS'Apgars\tApgar\tNNS\tB-NP\tO' -p57790 -aS'of\tof\tIN\tB-PP\tO' -p57791 -aS'9\t9\tCD\tB-NP\tO' -p57792 -aS'at\tat\tIN\tB-PP\tO' -p57793 -aS'one\tone\tCD\tB-NP\tO' -p57794 -aS'and\tand\tCC\tI-NP\tO' -p57795 -aS'five\tfive\tCD\tI-NP\tO' -p57796 -aS'minutes\tminute\tNNS\tI-NP\tO' -p57797 -aS'.\t.\t.\tO\tO' -p57798 -asS'The patient had an episode of her described vertigo while lying in bed and on the monitor during which no dysrhythmia was noted .' -p57799 -(lp57800 -S'The\tThe\tDT\tB-NP\tO' -p57801 -aS'patient\tpatient\tNN\tI-NP\tO' -p57802 -aS'had\thave\tVBD\tB-VP\tO' -p57803 -aS'an\tan\tDT\tB-NP\tO' -p57804 -aS'episode\tepisode\tNN\tI-NP\tO' -p57805 -aS'of\tof\tIN\tB-PP\tO' -p57806 -aS'her\ther\tPRP$\tB-NP\tO' -p57807 -aS'described\tdescribe\tVBN\tI-NP\tO' -p57808 -aS'vertigo\tvertigo\tRB\tI-NP\tO' -p57809 -aS'while\twhile\tIN\tB-SBAR\tO' -p57810 -aS'lying\tlie\tVBG\tB-VP\tO' -p57811 -aS'in\tin\tIN\tB-PP\tO' -p57812 -aS'bed\tbed\tNN\tB-NP\tO' -p57813 -aS'and\tand\tCC\tB-PP\tO' -p57814 -aS'on\ton\tIN\tB-PP\tO' -p57815 -aS'the\tthe\tDT\tB-NP\tO' -p57816 -aS'monitor\tmonitor\tNN\tI-NP\tO' -p57817 -aS'during\tduring\tIN\tB-PP\tO' -p57818 -aS'which\twhich\tWDT\tB-NP\tO' -p57819 -aS'no\tno\tDT\tB-NP\tO' -p57820 -aS'dysrhythmia\tdysrhythmia\tNN\tI-NP\tO' -p57821 -aS'was\tbe\tVBD\tB-VP\tO' -p57822 -aS'noted\tnote\tVBN\tI-VP\tO' -p57823 -aS'.\t.\t.\tO\tO' -p57824 -asS'Chest x-ray showed right patchy opacity with a right effusion .' -p57825 -(lp57826 -S'Chest\tCh\tJJS\tB-NP\tO' -p57827 -aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' -p57828 -aS'showed\tshow\tVBD\tB-VP\tO' -p57829 -aS'right\tright\tJJ\tB-NP\tO' -p57830 -aS'patchy\tpatchy\tNN\tI-NP\tO' -p57831 -aS'opacity\topacity\tNN\tI-NP\tO' -p57832 -aS'with\twith\tIN\tB-PP\tO' -p57833 -aS'a\ta\tDT\tB-NP\tO' -p57834 -aS'right\tright\tJJ\tI-NP\tO' -p57835 -aS'effusion\teffusion\tNN\tI-NP\tO' -p57836 -aS'.\t.\t.\tO\tO' -p57837 -asS'The patient was taken off fluid restriction .' -p57838 -(lp57839 -S'The\tThe\tDT\tB-NP\tO' -p57840 -aS'patient\tpatient\tNN\tI-NP\tO' -p57841 -aS'was\tbe\tVBD\tB-VP\tO' -p57842 -aS'taken\ttake\tVBN\tI-VP\tO' -p57843 -aS'off\toff\tRP\tB-PRT\tO' -p57844 -aS'fluid\tfluid\tNN\tB-NP\tO' -p57845 -aS'restriction\trestriction\tNN\tI-NP\tO' -p57846 -aS'.\t.\t.\tO\tO' -p57847 -asS'Lipitor 10 mg once a day .' -p57848 -(lp57849 -S'Lipitor\tLipitor\tNN\tB-NP\tO' -p57850 -aS'10\t10\tCD\tI-NP\tO' -p57851 -aS'mg\tmg\tNN\tI-NP\tO' -p57852 -aS'once\tonce\tRB\tB-ADVP\tO' -p57853 -aS'a\ta\tDT\tB-NP\tO' -p57854 -aS'day\tday\tNN\tI-NP\tO' -p57855 -aS'.\t.\t.\tO\tO' -p57856 -asS'Please take your medications as directed' -p57857 -(lp57858 -S'Please\tPlease\tVB\tB-VP\tO' -p57859 -aS'take\ttake\tVB\tI-VP\tO' -p57860 -aS'your\tyour\tPRP$\tB-NP\tO' -p57861 -aS'medications\tmedication\tNNS\tI-NP\tO' -p57862 -aS'as\tas\tIN\tB-SBAR\tO' -p57863 -aS'directed\tdirect\tVBN\tB-VP\tO' -p57864 -asS'C. difficile colitis .' -p57865 -(lp57866 -S'C.\tC.\tFW\tB-NP\tO' -p57867 -aS'difficile\tdifficile\tJJ\tI-NP\tO' -p57868 -aS'colitis\tcolitis\tNN\tI-NP\tO' -p57869 -aS'.\t.\t.\tO\tO' -p57870 -asS'She gets short of breath walking up steps .' -p57871 -(lp57872 -S'She\tShe\tPRP\tB-NP\tO' -p57873 -aS'gets\tget\tVBZ\tB-VP\tO' -p57874 -aS'short\tshort\tJJ\tB-ADJP\tO' -p57875 -aS'of\tof\tIN\tB-PP\tO' -p57876 -aS'breath\tbreath\tNN\tB-NP\tO' -p57877 -aS'walking\twalk\tVBG\tB-VP\tO' -p57878 -aS'up\tup\tRP\tB-PRT\tO' -p57879 -aS'steps\tstep\tNNS\tB-NP\tO' -p57880 -aS'.\t.\t.\tO\tO' -p57881 -asS'Dr. Jesc .' -p57882 -(lp57883 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p57884 -aS'Jesc\tJesc\tNNP\tI-NP\tO' -p57885 -aS'.\t.\t.\tO\tO' -p57886 -asS'EXTREMITIES : Warm and pink .' -p57887 -(lp57888 -S'EXTREMITIES\tEXTREMITIES\tNNS\tB-NP\tO' -p57889 -aS':\t:\t:\tO\tO' -p57890 -aS'Warm\tWarm\tNNP\tB-NP\tO' -p57891 -aS'and\tand\tCC\tO\tO' -p57892 -aS'pink\tpink\tVB\tB-VP\tO' -p57893 -aS'.\t.\t.\tO\tO' -p57894 -asS'She continued to have trouble with afib and required a dilt gtt on the day prior to call-out to control this rhythm but she was transitioned to PO diltiazem on the day of call-out .' -p57895 -(lp57896 -S'She\tShe\tPRP\tB-NP\tO' -p57897 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p57898 -aS'to\tto\tTO\tI-VP\tO' -p57899 -aS'have\thave\tVB\tI-VP\tO' -p57900 -aS'trouble\ttrouble\tNN\tB-NP\tO' -p57901 -aS'with\twith\tIN\tB-PP\tO' -p57902 -aS'afib\tafib\tNN\tB-NP\tO' -p57903 -aS'and\tand\tCC\tO\tO' -p57904 -aS'required\trequire\tVBD\tB-VP\tO' -p57905 -aS'a\ta\tDT\tB-NP\tO' -p57906 -aS'dilt\tdilt\tJJ\tI-NP\tO' -p57907 -aS'gtt\tgtt\tNN\tI-NP\tO' -p57908 -aS'on\ton\tIN\tB-PP\tO' -p57909 -aS'the\tthe\tDT\tB-NP\tO' -p57910 -aS'day\tday\tNN\tI-NP\tO' -p57911 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p57912 -aS'to\tto\tTO\tB-VP\tO' -p57913 -aS'call-out\tcall-out\tVB\tI-VP\tO' -p57914 -aS'to\tto\tTO\tI-VP\tO' -p57915 -aS'control\tcontrol\tVB\tI-VP\tO' -p57916 -aS'this\tthis\tDT\tB-NP\tO' -p57917 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p57918 -aS'but\tbut\tCC\tO\tO' -p57919 -aS'she\tshe\tPRP\tB-NP\tO' -p57920 -aS'was\tbe\tVBD\tB-VP\tO' -p57921 -aS'transitioned\ttransitione\tVBN\tI-VP\tO' -p57922 -aS'to\tto\tTO\tB-PP\tO' -p57923 -aS'PO\tPO\tNN\tB-NP\tO' -p57924 -aS'diltiazem\tdiltiazem\tNN\tI-NP\tO' -p57925 -aS'on\ton\tIN\tB-PP\tO' -p57926 -aS'the\tthe\tDT\tB-NP\tO' -p57927 -aS'day\tday\tNN\tI-NP\tO' -p57928 -aS'of\tof\tIN\tB-PP\tO' -p57929 -aS'call-out\tcall-out\tNN\tB-NP\tO' -p57930 -aS'.\t.\t.\tO\tO' -p57931 -asS'These culminated in an attempted cadaveric kidney transplant undertaken on 12/16/97 , which was complicated by thrombosis and necrosis of the cadaveric renal vein within 24 hours .' -p57932 -(lp57933 -S'These\tThese\tDT\tB-NP\tO' -p57934 -aS'culminated\tculminate\tVBN\tB-VP\tO' -p57935 -aS'in\tin\tIN\tB-PP\tO' -p57936 -aS'an\tan\tDT\tB-NP\tO' -p57937 -aS'attempted\tattempt\tVBN\tI-NP\tO' -p57938 -aS'cadaveric\tcadaveric\tJJ\tI-NP\tO' -p57939 -aS'kidney\tkidney\tNN\tI-NP\tO' -p57940 -aS'transplant\ttransplant\tNN\tI-NP\tO' -p57941 -aS'undertaken\tundertake\tVBN\tB-VP\tO' -p57942 -aS'on\ton\tIN\tB-PP\tO' -p57943 -aS'12/16/97\t12/16/97\tCD\tB-NP\tO' -p57944 -aS',\t,\t,\tO\tO' -p57945 -aS'which\twhich\tWDT\tB-NP\tO' -p57946 -aS'was\tbe\tVBD\tB-VP\tO' -p57947 -aS'complicated\tcomplicate\tVBN\tI-VP\tO' -p57948 -aS'by\tby\tIN\tB-PP\tO' -p57949 -aS'thrombosis\tthrombosis\tNN\tB-NP\tO' -p57950 -aS'and\tand\tCC\tI-NP\tO' -p57951 -aS'necrosis\tnecrosis\tNN\tI-NP\tO' -p57952 -aS'of\tof\tIN\tB-PP\tO' -p57953 -aS'the\tthe\tDT\tB-NP\tO' -p57954 -aS'cadaveric\tcadaveric\tJJ\tI-NP\tO' -p57955 -aS'renal\trenal\tJJ\tI-NP\tO' -p57956 -aS'vein\tvein\tNN\tI-NP\tO' -p57957 -aS'within\twithin\tIN\tB-PP\tO' -p57958 -aS'24\t24\tCD\tB-NP\tO' -p57959 -aS'hours\thour\tNNS\tI-NP\tO' -p57960 -aS'.\t.\t.\tO\tO' -p57961 -asS'Toxicology screen was negative .' -p57962 -(lp57963 -S'Toxicology\tToxicology\tNN\tB-NP\tO' -p57964 -aS'screen\tscreen\tNN\tI-NP\tO' -p57965 -aS'was\tbe\tVBD\tB-VP\tO' -p57966 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p57967 -aS'.\t.\t.\tO\tO' -p57968 -asS'trop < assay , CK 67 , MB 0.2 .' -p57969 -(lp57970 -S'trop\ttrop\tVB\tB-VP\tO' -p57971 -aS'<\t<\tJJ|NN\tB-NP\tO' -p57972 -aS'assay\tassay\tNN\tI-NP\tO' -p57973 -aS',\t,\t,\tO\tO' -p57974 -aS'CK\tCK\tNN\tB-NP\tB-protein' -p57975 -aS'67\t67\tCD\tI-NP\tI-protein' -p57976 -aS',\t,\t,\tO\tO' -p57977 -aS'MB\tMB\tNN\tB-NP\tB-protein' -p57978 -aS'0.2\t0.2\tCD\tI-NP\tI-protein' -p57979 -aS'.\t.\t.\tO\tO' -p57980 -asS'In Clinic his cervical spine examination was benign .' -p57981 -(lp57982 -S'In\tIn\tIN\tB-PP\tO' -p57983 -aS'Clinic\tClinic\tNNP\tB-NP\tO' -p57984 -aS'his\this\tPRP$\tB-NP\tO' -p57985 -aS'cervical\tcervical\tJJ\tI-NP\tO' -p57986 -aS'spine\tspine\tNN\tI-NP\tO' -p57987 -aS'examination\texamination\tNN\tI-NP\tO' -p57988 -aS'was\tbe\tVBD\tB-VP\tO' -p57989 -aS'benign\tbenign\tJJ\tB-ADJP\tO' -p57990 -aS'.\t.\t.\tO\tO' -p57991 -asS'Transmitral Doppler and tissue velocity imaging are consistent with Grade III/IV ( severe ) left ventricular diastolic dysfunction .' -p57992 -(lp57993 -S'Transmitral\tTransmitral\tJJ\tB-NP\tO' -p57994 -aS'Doppler\tDoppler\tNN\tI-NP\tO' -p57995 -aS'and\tand\tCC\tI-NP\tO' -p57996 -aS'tissue\ttissue\tNN\tI-NP\tO' -p57997 -aS'velocity\tvelocity\tNN\tI-NP\tO' -p57998 -aS'imaging\timaging\tNN\tI-NP\tO' -p57999 -aS'are\tbe\tVBP\tB-VP\tO' -p58000 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p58001 -aS'with\twith\tIN\tB-PP\tO' -p58002 -aS'Grade\tGrade\tNN\tB-NP\tO' -p58003 -aS'III/IV\tIII/IV\tCD\tI-NP\tO' -p58004 -aS'(\t(\t(\tO\tO' -p58005 -aS'severe\tsevere\tJJ\tB-ADJP\tO' -p58006 -aS')\t)\t)\tO\tO' -p58007 -aS'left\tleave\tVBD\tB-VP\tO' -p58008 -aS'ventricular\tventricular\tJJ\tB-NP\tO' -p58009 -aS'diastolic\tdiastolic\tJJ\tI-NP\tO' -p58010 -aS'dysfunction\tdysfunction\tNN\tI-NP\tO' -p58011 -aS'.\t.\t.\tO\tO' -p58012 -asS'Urinalysis obtained on admission was additionally negative .' -p58013 -(lp58014 -S'Urinalysis\tUrinalysis\tNN\tB-NP\tO' -p58015 -aS'obtained\tobtain\tVBN\tB-VP\tO' -p58016 -aS'on\ton\tIN\tB-PP\tO' -p58017 -aS'admission\tadmission\tNN\tB-NP\tO' -p58018 -aS'was\tbe\tVBD\tB-VP\tO' -p58019 -aS'additionally\tadditionally\tRB\tB-ADJP\tO' -p58020 -aS'negative\tnegative\tJJ\tI-ADJP\tO' -p58021 -aS'.\t.\t.\tO\tO' -p58022 -asS'2. Hypercholesterolemia .' -p58023 -(lp58024 -S'2.\t2.\tLS\tB-NP\tO' -p58025 -aS'Hypercholesterolemia\tHypercholesterolemia\tNN\tI-NP\tO' -p58026 -aS'.\t.\t.\tO\tO' -p58027 -asS'At this time , the decision to treat the patient nonoperatively was made , and the patient was admitted to the Intensive Care Unit for close monitoring .' -p58028 -(lp58029 -S'At\tAt\tIN\tB-PP\tO' -p58030 -aS'this\tthis\tDT\tB-NP\tO' -p58031 -aS'time\ttime\tNN\tI-NP\tO' -p58032 -aS',\t,\t,\tO\tO' -p58033 -aS'the\tthe\tDT\tB-NP\tO' -p58034 -aS'decision\tdecision\tNN\tI-NP\tO' -p58035 -aS'to\tto\tTO\tB-VP\tO' -p58036 -aS'treat\ttreat\tVB\tI-VP\tO' -p58037 -aS'the\tthe\tDT\tB-NP\tO' -p58038 -aS'patient\tpatient\tNN\tI-NP\tO' -p58039 -aS'nonoperatively\tnonoperatively\tRB\tB-ADVP\tO' -p58040 -aS'was\tbe\tVBD\tB-VP\tO' -p58041 -aS'made\tmake\tVBN\tI-VP\tO' -p58042 -aS',\t,\t,\tO\tO' -p58043 -aS'and\tand\tCC\tO\tO' -p58044 -aS'the\tthe\tDT\tB-NP\tO' -p58045 -aS'patient\tpatient\tNN\tI-NP\tO' -p58046 -aS'was\tbe\tVBD\tB-VP\tO' -p58047 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p58048 -aS'to\tto\tTO\tB-PP\tO' -p58049 -aS'the\tthe\tDT\tB-NP\tO' -p58050 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p58051 -aS'Care\tCare\tNNP\tI-NP\tO' -p58052 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p58053 -aS'for\tfor\tIN\tB-PP\tO' -p58054 -aS'close\tclose\tJJ\tB-NP\tO' -p58055 -aS'monitoring\tmonitoring\tNN\tI-NP\tO' -p58056 -aS'.\t.\t.\tO\tO' -p58057 -asS'B and W and work w/ therapist re: historical issues .' -p58058 -(lp58059 -S'B\tB\tNN\tB-NP\tO' -p58060 -aS'and\tand\tCC\tO\tO' -p58061 -aS'W\tW\tNN\tB-NP\tO' -p58062 -aS'and\tand\tCC\tO\tO' -p58063 -aS'work\twork\tNN\tB-NP\tO' -p58064 -aS'w/\tw/\tNN\tI-NP\tO' -p58065 -aS'therapist\ttherapist\tNN\tI-NP\tO' -p58066 -aS're:\tre:\tVBP\tB-VP\tO' -p58067 -aS'historical\thistorical\tJJ\tB-NP\tO' -p58068 -aS'issues\tissue\tNNS\tI-NP\tO' -p58069 -aS'.\t.\t.\tO\tO' -p58070 -asS'In addition , on postoperative day number two , the patient was transferred out to the floor and she was doing better in terms of pain control on a Dilaudid PCA machine .' -p58071 -(lp58072 -S'In\tIn\tIN\tB-PP\tO' -p58073 -aS'addition\taddition\tNN\tB-NP\tO' -p58074 -aS',\t,\t,\tO\tO' -p58075 -aS'on\ton\tIN\tB-PP\tO' -p58076 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p58077 -aS'day\tday\tNN\tI-NP\tO' -p58078 -aS'number\tnumber\tNN\tI-NP\tO' -p58079 -aS'two\ttwo\tCD\tB-NP\tO' -p58080 -aS',\t,\t,\tO\tO' -p58081 -aS'the\tthe\tDT\tB-NP\tO' -p58082 -aS'patient\tpatient\tNN\tI-NP\tO' -p58083 -aS'was\tbe\tVBD\tB-VP\tO' -p58084 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p58085 -aS'out\tout\tRP\tB-PRT\tO' -p58086 -aS'to\tto\tTO\tB-PP\tO' -p58087 -aS'the\tthe\tDT\tB-NP\tO' -p58088 -aS'floor\tfloor\tNN\tI-NP\tO' -p58089 -aS'and\tand\tCC\tO\tO' -p58090 -aS'she\tshe\tPRP\tB-NP\tO' -p58091 -aS'was\tbe\tVBD\tB-VP\tO' -p58092 -aS'doing\tdo\tVBG\tI-VP\tO' -p58093 -aS'better\twell\tRBR\tB-ADVP\tO' -p58094 -aS'in\tin\tIN\tB-PP\tO' -p58095 -aS'terms\tterm\tNNS\tB-NP\tO' -p58096 -aS'of\tof\tIN\tB-PP\tO' -p58097 -aS'pain\tpain\tNN\tB-NP\tO' -p58098 -aS'control\tcontrol\tNN\tI-NP\tO' -p58099 -aS'on\ton\tIN\tB-PP\tO' -p58100 -aS'a\ta\tDT\tB-NP\tO' -p58101 -aS'Dilaudid\tDilaudid\tJJ\tI-NP\tO' -p58102 -aS'PCA\tPCA\tNN\tI-NP\tO' -p58103 -aS'machine\tmachine\tNN\tI-NP\tO' -p58104 -aS'.\t.\t.\tO\tO' -p58105 -asS'She says that her appetite is good and has noted no weight loss .' -p58106 -(lp58107 -S'She\tShe\tPRP\tB-NP\tO' -p58108 -aS'says\tsay\tVBZ\tB-VP\tO' -p58109 -aS'that\tthat\tIN\tB-SBAR\tO' -p58110 -aS'her\ther\tPRP$\tB-NP\tO' -p58111 -aS'appetite\tappetite\tNN\tI-NP\tO' -p58112 -aS'is\tbe\tVBZ\tB-VP\tO' -p58113 -aS'good\tgood\tJJ\tB-ADJP\tO' -p58114 -aS'and\tand\tCC\tO\tO' -p58115 -aS'has\thave\tVBZ\tB-VP\tO' -p58116 -aS'noted\tnote\tVBN\tI-VP\tO' -p58117 -aS'no\tno\tDT\tB-NP\tO' -p58118 -aS'weight\tweight\tNN\tI-NP\tO' -p58119 -aS'loss\tloss\tNN\tI-NP\tO' -p58120 -aS'.\t.\t.\tO\tO' -p58121 -asS'Became progressively hypoxic and tachypneic throughout the day with respiratory rates of 30-40 with a max respiratory rate of 116 , tachycardia to 120s .' -p58122 -(lp58123 -S'Became\tBecome\tVBD\tB-VP\tO' -p58124 -aS'progressively\tprogressively\tRB\tB-ADJP\tO' -p58125 -aS'hypoxic\thypoxic\tJJ\tI-ADJP\tO' -p58126 -aS'and\tand\tCC\tI-ADJP\tO' -p58127 -aS'tachypneic\ttachypneic\tJJ\tI-ADJP\tO' -p58128 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p58129 -aS'the\tthe\tDT\tB-NP\tO' -p58130 -aS'day\tday\tNN\tI-NP\tO' -p58131 -aS'with\twith\tIN\tB-PP\tO' -p58132 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p58133 -aS'rates\trate\tNNS\tI-NP\tO' -p58134 -aS'of\tof\tIN\tB-PP\tO' -p58135 -aS'30-40\t30-40\tCD\tB-NP\tO' -p58136 -aS'with\twith\tIN\tB-PP\tO' -p58137 -aS'a\ta\tDT\tB-NP\tO' -p58138 -aS'max\tmax\tNN\tI-NP\tO' -p58139 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p58140 -aS'rate\trate\tNN\tI-NP\tO' -p58141 -aS'of\tof\tIN\tB-PP\tO' -p58142 -aS'116\t116\tCD\tB-NP\tO' -p58143 -aS',\t,\t,\tO\tO' -p58144 -aS'tachycardia\ttachycardia\tNN\tB-NP\tO' -p58145 -aS'to\tto\tTO\tB-PP\tO' -p58146 -aS'120s\t120s\tCD\tB-NP\tO' -p58147 -aS'.\t.\t.\tO\tO' -p58148 -asS'A rhythm check obtained during the time of this event demonstrated a pause of six seconds followed by a junctional escape rhythm .' -p58149 -(lp58150 -S'A\tA\tDT\tB-NP\tO' -p58151 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p58152 -aS'check\tcheck\tNN\tI-NP\tO' -p58153 -aS'obtained\tobtain\tVBN\tB-VP\tO' -p58154 -aS'during\tduring\tIN\tB-PP\tO' -p58155 -aS'the\tthe\tDT\tB-NP\tO' -p58156 -aS'time\ttime\tNN\tI-NP\tO' -p58157 -aS'of\tof\tIN\tB-PP\tO' -p58158 -aS'this\tthis\tDT\tB-NP\tO' -p58159 -aS'event\tevent\tNN\tI-NP\tO' -p58160 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p58161 -aS'a\ta\tDT\tB-NP\tO' -p58162 -aS'pause\tpause\tNN\tI-NP\tO' -p58163 -aS'of\tof\tIN\tB-PP\tO' -p58164 -aS'six\tsix\tCD\tB-NP\tO' -p58165 -aS'seconds\tsecond\tNNS\tI-NP\tO' -p58166 -aS'followed\tfollow\tVBN\tB-VP\tO' -p58167 -aS'by\tby\tIN\tB-PP\tO' -p58168 -aS'a\ta\tDT\tB-NP\tO' -p58169 -aS'junctional\tjunctional\tJJ\tI-NP\tO' -p58170 -aS'escape\tescape\tNN\tI-NP\tO' -p58171 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p58172 -aS'.\t.\t.\tO\tO' -p58173 -asS'There was a right groin A line and a left groin venous sheath with a Swan .' -p58174 -(lp58175 -S'There\tThere\tEX\tB-NP\tO' -p58176 -aS'was\tbe\tVBD\tB-VP\tO' -p58177 -aS'a\ta\tDT\tB-NP\tO' -p58178 -aS'right\tright\tJJ\tI-NP\tO' -p58179 -aS'groin\tgroin\tNN\tI-NP\tO' -p58180 -aS'A\tA\tNN\tI-NP\tO' -p58181 -aS'line\tline\tNN\tI-NP\tO' -p58182 -aS'and\tand\tCC\tO\tO' -p58183 -aS'a\ta\tDT\tB-NP\tO' -p58184 -aS'left\tleft\tJJ\tI-NP\tO' -p58185 -aS'groin\tgroin\tNN\tI-NP\tO' -p58186 -aS'venous\tvenous\tJJ\tI-NP\tO' -p58187 -aS'sheath\tsheath\tNN\tI-NP\tO' -p58188 -aS'with\twith\tIN\tB-PP\tO' -p58189 -aS'a\ta\tDT\tB-NP\tO' -p58190 -aS'Swan\tSwan\tNNP\tI-NP\tO' -p58191 -aS'.\t.\t.\tO\tO' -p58192 -asS'Dictated By : Michelle A Sweeney , M.D.' -p58193 -(lp58194 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p58195 -aS'By\tBy\tIN\tB-PP\tO' -p58196 -aS':\t:\t:\tO\tO' -p58197 -aS'Michelle\tMichelle\tNNP\tB-NP\tO' -p58198 -aS'A\tA\tNNP\tI-NP\tO' -p58199 -aS'Sweeney\tSweeney\tNNP\tI-NP\tO' -p58200 -aS',\t,\t,\tO\tO' -p58201 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p58202 -asS'11. S/P L shoulder hemiarthroplasty following a left humeral fracuture in 2018-11-10- Dumas was complicated by a PEA arrest secondary to PE .' -p58203 -(lp58204 -S'11.\t11.\tLS\tB-NP\tO' -p58205 -aS'S/P\tS/P\tNN\tI-NP\tO' -p58206 -aS'L\tL\tNN\tI-NP\tO' -p58207 -aS'shoulder\tshoulder\tNN\tI-NP\tO' -p58208 -aS'hemiarthroplasty\themiarthroplasty\tNN\tI-NP\tO' -p58209 -aS'following\tfollow\tVBG\tB-PP\tO' -p58210 -aS'a\ta\tDT\tB-NP\tO' -p58211 -aS'left\tleft\tJJ\tI-NP\tO' -p58212 -aS'humeral\thumeral\tJJ\tI-NP\tO' -p58213 -aS'fracuture\tfracuture\tNN\tI-NP\tO' -p58214 -aS'in\tin\tIN\tB-PP\tO' -p58215 -aS'2018-11-10-\t2018-11-10-\tCD\tB-NP\tO' -p58216 -aS'Dumas\tDumas\tNNP\tI-NP\tO' -p58217 -aS'was\tbe\tVBD\tB-VP\tO' -p58218 -aS'complicated\tcomplicate\tVBN\tI-VP\tO' -p58219 -aS'by\tby\tIN\tB-PP\tO' -p58220 -aS'a\ta\tDT\tB-NP\tO' -p58221 -aS'PEA\tPEA\tNN\tI-NP\tO' -p58222 -aS'arrest\tarrest\tNN\tI-NP\tO' -p58223 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p58224 -aS'to\tto\tTO\tB-PP\tO' -p58225 -aS'PE\tPE\tNN\tB-NP\tO' -p58226 -aS'.\t.\t.\tO\tO' -p58227 -asS'No masses or vegetations are seen on the aortic valve .' -p58228 -(lp58229 -S'No\tNo\tDT\tB-NP\tO' -p58230 -aS'masses\tmass\tNNS\tI-NP\tO' -p58231 -aS'or\tor\tCC\tI-NP\tO' -p58232 -aS'vegetations\tvegetation\tNNS\tI-NP\tO' -p58233 -aS'are\tbe\tVBP\tB-VP\tO' -p58234 -aS'seen\tsee\tVBN\tI-VP\tO' -p58235 -aS'on\ton\tIN\tB-PP\tO' -p58236 -aS'the\tthe\tDT\tB-NP\tO' -p58237 -aS'aortic\taortic\tJJ\tI-NP\tO' -p58238 -aS'valve\tvalve\tNN\tI-NP\tO' -p58239 -aS'.\t.\t.\tO\tO' -p58240 -asS'Despite having a profund limitation communicating given his neurological status , his mental changes seemed to improved initially .' -p58241 -(lp58242 -S'Despite\tDespite\tIN\tB-PP\tO' -p58243 -aS'having\thave\tVBG\tB-VP\tO' -p58244 -aS'a\ta\tDT\tB-NP\tO' -p58245 -aS'profund\tprofund\tNN\tI-NP\tO' -p58246 -aS'limitation\tlimitation\tNN\tI-NP\tO' -p58247 -aS'communicating\tcommunicate\tVBG\tB-VP\tO' -p58248 -aS'given\tgive\tVBN\tB-PP\tO' -p58249 -aS'his\this\tPRP$\tB-NP\tO' -p58250 -aS'neurological\tneurological\tJJ\tI-NP\tO' -p58251 -aS'status\tstatus\tNN\tI-NP\tO' -p58252 -aS',\t,\t,\tO\tO' -p58253 -aS'his\this\tPRP$\tB-NP\tO' -p58254 -aS'mental\tmental\tJJ\tI-NP\tO' -p58255 -aS'changes\tchange\tNNS\tI-NP\tO' -p58256 -aS'seemed\tseem\tVBD\tB-VP\tO' -p58257 -aS'to\tto\tTO\tI-VP\tO' -p58258 -aS'improved\timproved\tVB\tI-VP\tO' -p58259 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p58260 -aS'.\t.\t.\tO\tO' -p58261 -asS'She also describes a fast heart rate and palpitations .' -p58262 -(lp58263 -S'She\tShe\tPRP\tB-NP\tO' -p58264 -aS'also\talso\tRB\tB-ADVP\tO' -p58265 -aS'describes\tdescribe\tVBZ\tB-VP\tO' -p58266 -aS'a\ta\tDT\tB-NP\tO' -p58267 -aS'fast\tfast\tJJ\tI-NP\tO' -p58268 -aS'heart\theart\tNN\tI-NP\tO' -p58269 -aS'rate\trate\tNN\tI-NP\tO' -p58270 -aS'and\tand\tCC\tO\tO' -p58271 -aS'palpitations\tpalpitation\tNNS\tB-NP\tO' -p58272 -aS'.\t.\t.\tO\tO' -p58273 -asS'The patient was discharged home with services .' -p58274 -(lp58275 -S'The\tThe\tDT\tB-NP\tO' -p58276 -aS'patient\tpatient\tNN\tI-NP\tO' -p58277 -aS'was\tbe\tVBD\tB-VP\tO' -p58278 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p58279 -aS'home\thome\tNN\tB-ADVP\tO' -p58280 -aS'with\twith\tIN\tB-PP\tO' -p58281 -aS'services\tservice\tNNS\tB-NP\tO' -p58282 -aS'.\t.\t.\tO\tO' -p58283 -asS'This is to notify you that your patient , FYFEUARDFEL , TADE arrived in the Emergency Department at Ph University Of Medical Center on 09/20/2000 12:41 PM .' -p58284 -(lp58285 -S'This\tThis\tDT\tB-NP\tO' -p58286 -aS'is\tbe\tVBZ\tB-VP\tO' -p58287 -aS'to\tto\tTO\tB-VP\tO' -p58288 -aS'notify\tnotify\tVB\tI-VP\tO' -p58289 -aS'you\tyou\tPRP\tB-NP\tO' -p58290 -aS'that\tthat\tIN\tB-SBAR\tO' -p58291 -aS'your\tyour\tPRP$\tB-NP\tO' -p58292 -aS'patient\tpatient\tNN\tI-NP\tO' -p58293 -aS',\t,\t,\tO\tO' -p58294 -aS'FYFEUARDFEL\tFYFEUARDFEL\tNN\tB-NP\tO' -p58295 -aS',\t,\t,\tO\tO' -p58296 -aS'TADE\tTADE\tNN\tB-NP\tO' -p58297 -aS'arrived\tarrive\tVBD\tB-VP\tO' -p58298 -aS'in\tin\tIN\tB-PP\tO' -p58299 -aS'the\tthe\tDT\tB-NP\tO' -p58300 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p58301 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p58302 -aS'at\tat\tIN\tB-PP\tO' -p58303 -aS'Ph\tPh\tNNP\tB-NP\tO' -p58304 -aS'University\tUniversity\tNNP\tI-NP\tO' -p58305 -aS'Of\tOf\tNNP\tI-NP\tO' -p58306 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p58307 -aS'Center\tCenter\tNNP\tI-NP\tO' -p58308 -aS'on\ton\tIN\tB-PP\tO' -p58309 -aS'09/20/2000\t09/20/2000\tCD\tB-NP\tO' -p58310 -aS'12:41\t12:41\tCD\tI-NP\tO' -p58311 -aS'PM\tPM\tNN\tI-NP\tO' -p58312 -aS'.\t.\t.\tO\tO' -p58313 -asS'He also had bl atelectasis on cxr .' -p58314 -(lp58315 -S'He\tHe\tPRP\tB-NP\tO' -p58316 -aS'also\talso\tRB\tB-ADVP\tO' -p58317 -aS'had\thave\tVBD\tB-VP\tO' -p58318 -aS'bl\tbl\tNN\tB-NP\tO' -p58319 -aS'atelectasis\tatelectasis\tNN\tI-NP\tO' -p58320 -aS'on\ton\tIN\tB-PP\tO' -p58321 -aS'cxr\tcxr\tNN\tB-NP\tB-protein' -p58322 -aS'.\t.\t.\tO\tO' -p58323 -asS'These have spontaneously reversed , and are nearly normal at the time of discharge .' -p58324 -(lp58325 -S'These\tThese\tDT\tB-NP\tO' -p58326 -aS'have\thave\tVBP\tB-VP\tO' -p58327 -aS'spontaneously\tspontaneously\tRB\tI-VP\tO' -p58328 -aS'reversed\treverse\tVBN\tI-VP\tO' -p58329 -aS',\t,\t,\tO\tO' -p58330 -aS'and\tand\tCC\tO\tO' -p58331 -aS'are\tbe\tVBP\tB-VP\tO' -p58332 -aS'nearly\tnearly\tRB\tB-ADJP\tO' -p58333 -aS'normal\tnormal\tJJ\tI-ADJP\tO' -p58334 -aS'at\tat\tIN\tB-PP\tO' -p58335 -aS'the\tthe\tDT\tB-NP\tO' -p58336 -aS'time\ttime\tNN\tI-NP\tO' -p58337 -aS'of\tof\tIN\tB-PP\tO' -p58338 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p58339 -aS'.\t.\t.\tO\tO' -p58340 -asS'Physical Therapy was consulted , and crutches were given to the patient .' -p58341 -(lp58342 -S'Physical\tPhysical\tJJ\tB-NP\tO' -p58343 -aS'Therapy\tTherapy\tNN\tI-NP\tO' -p58344 -aS'was\tbe\tVBD\tB-VP\tO' -p58345 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p58346 -aS',\t,\t,\tO\tO' -p58347 -aS'and\tand\tCC\tO\tO' -p58348 -aS'crutches\tcrutch\tNNS\tB-NP\tO' -p58349 -aS'were\tbe\tVBD\tB-VP\tO' -p58350 -aS'given\tgive\tVBN\tI-VP\tO' -p58351 -aS'to\tto\tTO\tB-PP\tO' -p58352 -aS'the\tthe\tDT\tB-NP\tO' -p58353 -aS'patient\tpatient\tNN\tI-NP\tO' -p58354 -aS'.\t.\t.\tO\tO' -p58355 -asS'took Prednisone 40 at home and presented to ED where found to have 1mm lateral ST depressions and slight troponin and MB leak .' -p58356 -(lp58357 -S'took\ttake\tVBD\tB-VP\tO' -p58358 -aS'Prednisone\tPrednisone\tNN\tB-NP\tO' -p58359 -aS'40\t40\tCD\tI-NP\tO' -p58360 -aS'at\tat\tIN\tB-PP\tO' -p58361 -aS'home\thome\tNN\tB-NP\tO' -p58362 -aS'and\tand\tCC\tO\tO' -p58363 -aS'presented\tpresent\tVBN\tB-VP\tO' -p58364 -aS'to\tto\tTO\tB-VP\tO' -p58365 -aS'ED\tED\tVBN\tI-VP\tO' -p58366 -aS'where\twhere\tWRB\tB-ADVP\tO' -p58367 -aS'found\tfind\tVBN\tB-VP\tO' -p58368 -aS'to\tto\tTO\tI-VP\tO' -p58369 -aS'have\thave\tVB\tI-VP\tO' -p58370 -aS'1mm\t1mm\tNN\tB-NP\tO' -p58371 -aS'lateral\tlateral\tJJ\tI-NP\tO' -p58372 -aS'ST\tST\tJJ\tI-NP\tO' -p58373 -aS'depressions\tdepression\tNNS\tI-NP\tO' -p58374 -aS'and\tand\tCC\tO\tO' -p58375 -aS'slight\tslight\tJJ\tB-NP\tO' -p58376 -aS'troponin\ttroponin\tNN\tI-NP\tO' -p58377 -aS'and\tand\tCC\tI-NP\tO' -p58378 -aS'MB\tMB\tNN\tI-NP\tB-protein' -p58379 -aS'leak\tleak\tNN\tI-NP\tI-protein' -p58380 -aS'.\t.\t.\tO\tO' -p58381 -asS'Attending : Sarah Q. George , M.D.' -p58382 -(lp58383 -S'Attending\tAttend\tVBG\tB-VP\tO' -p58384 -aS':\t:\t:\tO\tO' -p58385 -aS'Sarah\tSarah\tNNP\tB-NP\tO' -p58386 -aS'Q.\tQ.\tNNP\tI-NP\tO' -p58387 -aS'George\tGeorge\tNNP\tI-NP\tO' -p58388 -aS',\t,\t,\tO\tO' -p58389 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p58390 -asS'9. Hypercoagulable state .' -p58391 -(lp58392 -S'9.\t9.\tLS\tB-NP\tO' -p58393 -aS'Hypercoagulable\tHypercoagulable\tJJ\tI-NP\tO' -p58394 -aS'state\tstate\tNN\tI-NP\tO' -p58395 -aS'.\t.\t.\tO\tO' -p58396 -asS'He is status post a hemiarthroplasty on 10/17/97 .' -p58397 -(lp58398 -S'He\tHe\tPRP\tB-NP\tO' -p58399 -aS'is\tbe\tVBZ\tB-VP\tO' -p58400 -aS'status\tstatus\tNN\tB-NP\tO' -p58401 -aS'post\tpost\tIN\tB-PP\tO' -p58402 -aS'a\ta\tDT\tB-NP\tO' -p58403 -aS'hemiarthroplasty\themiarthroplasty\tNN\tI-NP\tO' -p58404 -aS'on\ton\tIN\tB-PP\tO' -p58405 -aS'10/17/97\t10/17/97\tCD\tB-NP\tO' -p58406 -aS'.\t.\t.\tO\tO' -p58407 -asS'With blood pressure control via a nitroglycerin drip and fluid restriction , the patient quickly improved and a had a relatively short stay in the Intensive Care Unit .' -p58408 -(lp58409 -S'With\tWith\tIN\tB-PP\tO' -p58410 -aS'blood\tblood\tNN\tB-NP\tO' -p58411 -aS'pressure\tpressure\tNN\tI-NP\tO' -p58412 -aS'control\tcontrol\tNN\tI-NP\tO' -p58413 -aS'via\tvia\tIN\tB-PP\tO' -p58414 -aS'a\ta\tDT\tB-NP\tO' -p58415 -aS'nitroglycerin\tnitroglycerin\tNN\tI-NP\tO' -p58416 -aS'drip\tdrip\tNN\tI-NP\tO' -p58417 -aS'and\tand\tCC\tO\tO' -p58418 -aS'fluid\tfluid\tNN\tB-NP\tO' -p58419 -aS'restriction\trestriction\tNN\tI-NP\tO' -p58420 -aS',\t,\t,\tO\tO' -p58421 -aS'the\tthe\tDT\tB-NP\tO' -p58422 -aS'patient\tpatient\tNN\tI-NP\tO' -p58423 -aS'quickly\tquickly\tRB\tB-ADVP\tO' -p58424 -aS'improved\timprove\tVBD\tB-VP\tO' -p58425 -aS'and\tand\tCC\tO\tO' -p58426 -aS'a\ta\tDT\tO\tO' -p58427 -aS'had\thave\tVBD\tB-VP\tO' -p58428 -aS'a\ta\tDT\tB-NP\tO' -p58429 -aS'relatively\trelatively\tRB\tI-NP\tO' -p58430 -aS'short\tshort\tJJ\tI-NP\tO' -p58431 -aS'stay\tstay\tNN\tI-NP\tO' -p58432 -aS'in\tin\tIN\tB-PP\tO' -p58433 -aS'the\tthe\tDT\tB-NP\tO' -p58434 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p58435 -aS'Care\tCare\tNNP\tI-NP\tO' -p58436 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p58437 -aS'.\t.\t.\tO\tO' -p58438 -asS'Significant for her father , who died at 50 years from myocarditis .' -p58439 -(lp58440 -S'Significant\tSignificant\tJJ\tB-ADJP\tO' -p58441 -aS'for\tfor\tIN\tB-PP\tO' -p58442 -aS'her\ther\tPRP$\tB-NP\tO' -p58443 -aS'father\tfather\tNN\tI-NP\tO' -p58444 -aS',\t,\t,\tO\tO' -p58445 -aS'who\twho\tWP\tB-NP\tO' -p58446 -aS'died\tdie\tVBD\tB-VP\tO' -p58447 -aS'at\tat\tIN\tB-PP\tO' -p58448 -aS'50\t50\tCD\tB-NP\tO' -p58449 -aS'years\tyear\tNNS\tI-NP\tO' -p58450 -aS'from\tfrom\tIN\tB-PP\tO' -p58451 -aS'myocarditis\tmyocarditis\tNN\tB-NP\tO' -p58452 -aS'.\t.\t.\tO\tO' -p58453 -asS'You will need to conrtinue with your Lovenox injections for at least 4-6 weeks as instructed by Orthopedics' -p58454 -(lp58455 -S'You\tYou\tPRP\tB-NP\tB-protein' -p58456 -aS'will\twill\tMD\tB-VP\tO' -p58457 -aS'need\tneed\tVB\tI-VP\tO' -p58458 -aS'to\tto\tTO\tI-VP\tO' -p58459 -aS'conrtinue\tconrtinue\tVB\tI-VP\tO' -p58460 -aS'with\twith\tIN\tB-PP\tO' -p58461 -aS'your\tyour\tPRP$\tB-NP\tO' -p58462 -aS'Lovenox\tLovenox\tNN\tI-NP\tO' -p58463 -aS'injections\tinjection\tNNS\tI-NP\tO' -p58464 -aS'for\tfor\tIN\tB-PP\tO' -p58465 -aS'at\tat\tIN\tB-NP\tO' -p58466 -aS'least\tleast\tJJS\tI-NP\tO' -p58467 -aS'4-6\t4-6\tCD\tI-NP\tO' -p58468 -aS'weeks\tweek\tNNS\tI-NP\tO' -p58469 -aS'as\tas\tIN\tB-SBAR\tO' -p58470 -aS'instructed\tinstruct\tVBN\tB-VP\tO' -p58471 -aS'by\tby\tIN\tB-PP\tO' -p58472 -aS'Orthopedics\tOrthopedic\tNNS\tB-NP\tO' -p58473 -asS'Thea patient was referred to Dr. Coma of the Eragnes Houseco Ardbay Memorial Hospital .' -p58474 -(lp58475 -S'Thea\tThea\tNN\tB-NP\tO' -p58476 -aS'patient\tpatient\tNN\tI-NP\tO' -p58477 -aS'was\tbe\tVBD\tB-VP\tO' -p58478 -aS'referred\trefer\tVBN\tI-VP\tO' -p58479 -aS'to\tto\tTO\tB-PP\tO' -p58480 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p58481 -aS'Coma\tComa\tNNP\tI-NP\tO' -p58482 -aS'of\tof\tIN\tB-PP\tO' -p58483 -aS'the\tthe\tDT\tB-NP\tO' -p58484 -aS'Eragnes\tEragnes\tNNP\tI-NP\tO' -p58485 -aS'Houseco\tHouseco\tNNP\tI-NP\tO' -p58486 -aS'Ardbay\tArdbay\tNNP\tI-NP\tO' -p58487 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p58488 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p58489 -aS'.\t.\t.\tO\tO' -p58490 -asS'2. Haldol 1 mg p.o. q. four to six hours p.r.n. agitation .' -p58491 -(lp58492 -S'2.\t2.\tLS\tB-LST\tO' -p58493 -aS'Haldol\tHaldol\tNN\tB-NP\tO' -p58494 -aS'1\t1\tCD\tI-NP\tO' -p58495 -aS'mg\tmg\tNN\tI-NP\tO' -p58496 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p58497 -aS'q.\tq.\tNN\tI-NP\tO' -p58498 -aS'four\tfour\tCD\tB-NP\tO' -p58499 -aS'to\tto\tTO\tI-NP\tO' -p58500 -aS'six\tsix\tCD\tI-NP\tO' -p58501 -aS'hours\thour\tNNS\tI-NP\tO' -p58502 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p58503 -aS'agitation\tagitation\tNN\tI-NP\tO' -p58504 -aS'.\t.\t.\tO\tO' -p58505 -asS'Abd : Non-distended , tender to palpation LLQ' -p58506 -(lp58507 -S'Abd\tAbd\tNN\tB-NP\tO' -p58508 -aS':\t:\t:\tO\tO' -p58509 -aS'Non-distended\tNon-distended\tJJ\tB-NP\tO' -p58510 -aS',\t,\t,\tI-NP\tO' -p58511 -aS'tender\ttender\tNN\tI-NP\tO' -p58512 -aS'to\tto\tTO\tB-PP\tO' -p58513 -aS'palpation\tpalpation\tNN\tB-NP\tO' -p58514 -aS'LLQ\tLLQ\tNN\tI-NP\tO' -p58515 -asS'She was treated with repeated Fleet 's enemas , and on postoperative day three , she had a number of bowel movements , was considerably more comfortable , and deemed ready for discharge .' -p58516 -(lp58517 -S'She\tShe\tPRP\tB-NP\tO' -p58518 -aS'was\tbe\tVBD\tB-VP\tO' -p58519 -aS'treated\ttreat\tVBN\tI-VP\tO' -p58520 -aS'with\twith\tIN\tB-PP\tO' -p58521 -aS'repeated\trepeat\tVBN\tB-NP\tO' -p58522 -aS'Fleet\tFleet\tNNP\tI-NP\tO' -p58523 -aS''s\t'\tNNS\tI-NP\tO' -p58524 -aS'enemas\tenema\tNNS\tI-NP\tO' -p58525 -aS',\t,\t,\tB-PP\tO' -p58526 -aS'and\tand\tCC\tI-PP\tO' -p58527 -aS'on\ton\tIN\tB-PP\tO' -p58528 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p58529 -aS'day\tday\tNN\tI-NP\tO' -p58530 -aS'three\tthree\tCD\tI-NP\tO' -p58531 -aS',\t,\t,\tO\tO' -p58532 -aS'she\tshe\tPRP\tB-NP\tO' -p58533 -aS'had\thave\tVBD\tB-VP\tO' -p58534 -aS'a\ta\tDT\tB-NP\tO' -p58535 -aS'number\tnumber\tNN\tI-NP\tO' -p58536 -aS'of\tof\tIN\tB-PP\tO' -p58537 -aS'bowel\tbowel\tNN\tB-NP\tO' -p58538 -aS'movements\tmovement\tNNS\tI-NP\tO' -p58539 -aS',\t,\t,\tO\tO' -p58540 -aS'was\tbe\tVBD\tB-VP\tO' -p58541 -aS'considerably\tconsiderably\tRB\tB-ADJP\tO' -p58542 -aS'more\tmore\tRBR\tI-ADJP\tO' -p58543 -aS'comfortable\tcomfortable\tJJ\tI-ADJP\tO' -p58544 -aS',\t,\t,\tO\tO' -p58545 -aS'and\tand\tCC\tO\tO' -p58546 -aS'deemed\tdeem\tVBD\tB-VP\tO' -p58547 -aS'ready\tready\tJJ\tB-ADJP\tO' -p58548 -aS'for\tfor\tIN\tB-PP\tO' -p58549 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p58550 -aS'.\t.\t.\tO\tO' -p58551 -asS'Cranial nerves II through XII grossly intact .' -p58552 -(lp58553 -S'Cranial\tCranial\tNNP\tB-NP\tO' -p58554 -aS'nerves\tnerve\tVBZ\tB-VP\tO' -p58555 -aS'II\tII\tCD\tB-NP\tO' -p58556 -aS'through\tthrough\tIN\tB-PP\tO' -p58557 -aS'XII\tXII\tCD\tB-NP\tB-DNA' -p58558 -aS'grossly\tgrossly\tRB\tB-ADJP\tO' -p58559 -aS'intact\tintact\tJJ\tI-ADJP\tO' -p58560 -aS'.\t.\t.\tO\tO' -p58561 -asS'If tests are positive , follow up with your primary care doctor of gynecologist .' -p58562 -(lp58563 -S'If\tIf\tIN\tB-SBAR\tO' -p58564 -aS'tests\ttest\tNNS\tB-NP\tO' -p58565 -aS'are\tbe\tVBP\tB-VP\tO' -p58566 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p58567 -aS',\t,\t,\tO\tO' -p58568 -aS'follow\tfollow\tVB\tB-VP\tO' -p58569 -aS'up\tup\tRP\tB-PRT\tO' -p58570 -aS'with\twith\tIN\tB-PP\tO' -p58571 -aS'your\tyour\tPRP$\tB-NP\tO' -p58572 -aS'primary\tprimary\tJJ\tI-NP\tO' -p58573 -aS'care\tcare\tNN\tI-NP\tO' -p58574 -aS'doctor\tdoctor\tNN\tI-NP\tO' -p58575 -aS'of\tof\tIN\tB-PP\tO' -p58576 -aS'gynecologist\tgynecologist\tNN\tB-NP\tO' -p58577 -aS'.\t.\t.\tO\tO' -p58578 -asS'He has bilateral breath sounds that are clear and equal .' -p58579 -(lp58580 -S'He\tHe\tPRP\tB-NP\tO' -p58581 -aS'has\thave\tVBZ\tB-VP\tO' -p58582 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p58583 -aS'breath\tbreath\tNN\tI-NP\tO' -p58584 -aS'sounds\tsound\tNNS\tI-NP\tO' -p58585 -aS'that\tthat\tWDT\tB-NP\tO' -p58586 -aS'are\tbe\tVBP\tB-VP\tO' -p58587 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p58588 -aS'and\tand\tCC\tI-ADJP\tO' -p58589 -aS'equal\tequal\tJJ\tI-ADJP\tO' -p58590 -aS'.\t.\t.\tO\tO' -p58591 -asS'The patient is married with two children and is currently unemployed .' -p58592 -(lp58593 -S'The\tThe\tDT\tB-NP\tO' -p58594 -aS'patient\tpatient\tNN\tI-NP\tO' -p58595 -aS'is\tbe\tVBZ\tB-VP\tO' -p58596 -aS'married\tmarry\tVBN\tI-VP\tO' -p58597 -aS'with\twith\tIN\tB-PP\tO' -p58598 -aS'two\ttwo\tCD\tB-NP\tO' -p58599 -aS'children\tchild\tNNS\tI-NP\tO' -p58600 -aS'and\tand\tCC\tO\tO' -p58601 -aS'is\tbe\tVBZ\tB-VP\tO' -p58602 -aS'currently\tcurrently\tRB\tB-ADJP\tO' -p58603 -aS'unemployed\tunemployed\tJJ\tI-ADJP\tO' -p58604 -aS'.\t.\t.\tO\tO' -p58605 -asS'There was no cva tenderness or spinal tenderness noted .' -p58606 -(lp58607 -S'There\tThere\tEX\tB-NP\tO' -p58608 -aS'was\tbe\tVBD\tB-VP\tO' -p58609 -aS'no\tno\tDT\tB-NP\tO' -p58610 -aS'cva\tcva\tNN\tI-NP\tO' -p58611 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p58612 -aS'or\tor\tCC\tO\tO' -p58613 -aS'spinal\tspinal\tJJ\tB-NP\tO' -p58614 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p58615 -aS'noted\tnote\tVBD\tB-VP\tO' -p58616 -aS'.\t.\t.\tO\tO' -p58617 -asS'Pulmonary recommended that he just be started on Albuterol and Atrovent metered dose inhalers , 2 puffs q6h , prior to surgery .' -p58618 -(lp58619 -S'Pulmonary\tPulmonary\tNNP\tB-NP\tO' -p58620 -aS'recommended\trecommend\tVBD\tB-VP\tO' -p58621 -aS'that\tthat\tIN\tB-SBAR\tO' -p58622 -aS'he\the\tPRP\tB-NP\tO' -p58623 -aS'just\tjust\tRB\tB-ADVP\tO' -p58624 -aS'be\tbe\tVB\tB-VP\tO' -p58625 -aS'started\tstart\tVBN\tI-VP\tO' -p58626 -aS'on\ton\tIN\tB-PP\tO' -p58627 -aS'Albuterol\tAlbuterol\tNNP\tB-NP\tO' -p58628 -aS'and\tand\tCC\tI-NP\tO' -p58629 -aS'Atrovent\tAtrovent\tNNP\tI-NP\tO' -p58630 -aS'metered\tmeter\tVBD\tB-VP\tO' -p58631 -aS'dose\tdose\tNN\tB-NP\tO' -p58632 -aS'inhalers\tinhaler\tNNS\tI-NP\tO' -p58633 -aS',\t,\t,\tO\tO' -p58634 -aS'2\t2\tCD\tB-NP\tO' -p58635 -aS'puffs\tpuff\tNNS\tI-NP\tO' -p58636 -aS'q6h\tq6h\tNN\tI-NP\tO' -p58637 -aS',\t,\t,\tO\tO' -p58638 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p58639 -aS'to\tto\tTO\tB-PP\tO' -p58640 -aS'surgery\tsurgery\tNN\tB-NP\tO' -p58641 -aS'.\t.\t.\tO\tO' -p58642 -asS'Chem-7 was notable for a bicarbonate of 31 and a glucose of 156 .' -p58643 -(lp58644 -S'Chem-7\tChem-7\tNN\tB-NP\tB-protein' -p58645 -aS'was\tbe\tVBD\tB-VP\tO' -p58646 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p58647 -aS'for\tfor\tIN\tB-PP\tO' -p58648 -aS'a\ta\tDT\tB-NP\tO' -p58649 -aS'bicarbonate\tbicarbonate\tNN\tI-NP\tO' -p58650 -aS'of\tof\tIN\tB-PP\tO' -p58651 -aS'31\t31\tCD\tB-NP\tO' -p58652 -aS'and\tand\tCC\tO\tO' -p58653 -aS'a\ta\tDT\tB-NP\tO' -p58654 -aS'glucose\tglucose\tNN\tI-NP\tO' -p58655 -aS'of\tof\tIN\tB-PP\tO' -p58656 -aS'156\t156\tCD\tB-NP\tO' -p58657 -aS'.\t.\t.\tO\tO' -p58658 -asS'This was done on 11-23 .' -p58659 -(lp58660 -S'This\tThis\tDT\tB-NP\tO' -p58661 -aS'was\tbe\tVBD\tB-VP\tO' -p58662 -aS'done\tdo\tVBN\tI-VP\tO' -p58663 -aS'on\ton\tIN\tB-PP\tO' -p58664 -aS'11-23\t11-23\tCD\tB-NP\tO' -p58665 -aS'.\t.\t.\tO\tO' -p58666 -asS'She was continued on zosyn and vancomycin to complete a >14 day course .' -p58667 -(lp58668 -S'She\tShe\tPRP\tB-NP\tO' -p58669 -aS'was\tbe\tVBD\tB-VP\tO' -p58670 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p58671 -aS'on\ton\tIN\tB-PP\tO' -p58672 -aS'zosyn\tzosyn\tNN\tB-NP\tO' -p58673 -aS'and\tand\tCC\tI-NP\tO' -p58674 -aS'vancomycin\tvancomycin\tNN\tI-NP\tO' -p58675 -aS'to\tto\tTO\tB-VP\tO' -p58676 -aS'complete\tcomplete\tVB\tI-VP\tO' -p58677 -aS'a\ta\tDT\tB-NP\tO' -p58678 -aS'>14\t>14\tNN\tI-NP\tO' -p58679 -aS'day\tday\tNN\tI-NP\tO' -p58680 -aS'course\tcourse\tNN\tI-NP\tO' -p58681 -aS'.\t.\t.\tO\tO' -p58682 -asS'He was diagnosed with needle biopsy on either side of the prostate with 3+3 equals 6 on the right side and 3+4 equals 7 on the left side .' -p58683 -(lp58684 -S'He\tHe\tPRP\tB-NP\tO' -p58685 -aS'was\tbe\tVBD\tB-VP\tO' -p58686 -aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' -p58687 -aS'with\twith\tIN\tB-PP\tO' -p58688 -aS'needle\tneedle\tNN\tB-NP\tO' -p58689 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p58690 -aS'on\ton\tIN\tB-PP\tO' -p58691 -aS'either\teither\tDT\tB-NP\tO' -p58692 -aS'side\tside\tNN\tI-NP\tO' -p58693 -aS'of\tof\tIN\tB-PP\tO' -p58694 -aS'the\tthe\tDT\tB-NP\tO' -p58695 -aS'prostate\tprostate\tNN\tI-NP\tO' -p58696 -aS'with\twith\tIN\tB-PP\tO' -p58697 -aS'3+3\t3+3\tCD\tB-NP\tO' -p58698 -aS'equals\tequal\tNNS\tI-NP\tO' -p58699 -aS'6\t6\tCD\tB-NP\tO' -p58700 -aS'on\ton\tIN\tB-PP\tO' -p58701 -aS'the\tthe\tDT\tB-NP\tO' -p58702 -aS'right\tright\tJJ\tI-NP\tO' -p58703 -aS'side\tside\tNN\tI-NP\tO' -p58704 -aS'and\tand\tCC\tO\tO' -p58705 -aS'3+4\t3+4\tCD\tB-NP\tO' -p58706 -aS'equals\tequal\tNNS\tI-NP\tO' -p58707 -aS'7\t7\tCD\tB-NP\tO' -p58708 -aS'on\ton\tIN\tB-PP\tO' -p58709 -aS'the\tthe\tDT\tB-NP\tO' -p58710 -aS'left\tleft\tJJ\tI-NP\tO' -p58711 -aS'side\tside\tNN\tI-NP\tO' -p58712 -aS'.\t.\t.\tO\tO' -p58713 -asS'The blood cultures on February 26 , 1994 grew out Staphylococcus and she was treated for septicemia .' -p58714 -(lp58715 -S'The\tThe\tDT\tB-NP\tO' -p58716 -aS'blood\tblood\tNN\tI-NP\tO' -p58717 -aS'cultures\tculture\tNNS\tI-NP\tO' -p58718 -aS'on\ton\tIN\tB-PP\tO' -p58719 -aS'February\tFebruary\tNNP\tB-NP\tO' -p58720 -aS'26\t26\tCD\tI-NP\tO' -p58721 -aS',\t,\t,\tI-NP\tO' -p58722 -aS'1994\t1994\tCD\tI-NP\tO' -p58723 -aS'grew\tgrow\tVBD\tB-VP\tO' -p58724 -aS'out\tout\tRP\tB-PRT\tO' -p58725 -aS'Staphylococcus\tStaphylococcus\tNNP\tB-NP\tO' -p58726 -aS'and\tand\tCC\tO\tO' -p58727 -aS'she\tshe\tPRP\tB-NP\tO' -p58728 -aS'was\tbe\tVBD\tB-VP\tO' -p58729 -aS'treated\ttreat\tVBN\tI-VP\tO' -p58730 -aS'for\tfor\tIN\tB-PP\tO' -p58731 -aS'septicemia\tsepticemia\tNN\tB-NP\tO' -p58732 -aS'.\t.\t.\tO\tO' -p58733 -asS'Her number is ( 512 ) 677-6547 .' -p58734 -(lp58735 -S'Her\tHer\tPRP$\tB-NP\tO' -p58736 -aS'number\tnumber\tNN\tI-NP\tO' -p58737 -aS'is\tbe\tVBZ\tB-VP\tO' -p58738 -aS'(\t(\t(\tO\tO' -p58739 -aS'512\t512\tCD\tB-NP\tO' -p58740 -aS')\t)\t)\tO\tO' -p58741 -aS'677-6547\t677-6547\tCD\tB-NP\tO' -p58742 -aS'.\t.\t.\tO\tO' -p58743 -asS'CT was negative and she returned to baseline neuro status without deficits by arrival to CSRU .' -p58744 -(lp58745 -S'CT\tCT\tNN\tB-NP\tO' -p58746 -aS'was\tbe\tVBD\tB-VP\tO' -p58747 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p58748 -aS'and\tand\tCC\tO\tO' -p58749 -aS'she\tshe\tPRP\tB-NP\tO' -p58750 -aS'returned\treturn\tVBD\tB-VP\tO' -p58751 -aS'to\tto\tTO\tB-PP\tO' -p58752 -aS'baseline\tbaseline\tNN\tB-NP\tO' -p58753 -aS'neuro\tneuro\tNN\tI-NP\tO' -p58754 -aS'status\tstatus\tNN\tI-NP\tO' -p58755 -aS'without\twithout\tIN\tB-PP\tO' -p58756 -aS'deficits\tdeficit\tNNS\tB-NP\tO' -p58757 -aS'by\tby\tIN\tB-PP\tO' -p58758 -aS'arrival\tarrival\tNN\tB-NP\tO' -p58759 -aS'to\tto\tTO\tB-PP\tO' -p58760 -aS'CSRU\tCSRU\tNN\tB-NP\tB-protein' -p58761 -aS'.\t.\t.\tO\tO' -p58762 -asS'The patient on admission was requiring 3 L NC in the setting of receiving 2L NS and chest film which demonstrated pulmonary congestion .' -p58763 -(lp58764 -S'The\tThe\tDT\tB-NP\tO' -p58765 -aS'patient\tpatient\tNN\tI-NP\tO' -p58766 -aS'on\ton\tIN\tB-PP\tO' -p58767 -aS'admission\tadmission\tNN\tB-NP\tO' -p58768 -aS'was\tbe\tVBD\tB-VP\tO' -p58769 -aS'requiring\trequire\tVBG\tI-VP\tO' -p58770 -aS'3\t3\tCD\tB-NP\tO' -p58771 -aS'L\tL\tNN\tI-NP\tO' -p58772 -aS'NC\tNC\tNN\tI-NP\tO' -p58773 -aS'in\tin\tIN\tB-PP\tO' -p58774 -aS'the\tthe\tDT\tB-NP\tO' -p58775 -aS'setting\tsetting\tNN\tI-NP\tO' -p58776 -aS'of\tof\tIN\tB-PP\tO' -p58777 -aS'receiving\treceive\tVBG\tB-VP\tO' -p58778 -aS'2L\t2L\tNN\tB-NP\tO' -p58779 -aS'NS\tNS\tNN\tI-NP\tO' -p58780 -aS'and\tand\tCC\tO\tO' -p58781 -aS'chest\tchest\tNN\tB-NP\tO' -p58782 -aS'film\tfilm\tNN\tI-NP\tO' -p58783 -aS'which\twhich\tWDT\tB-NP\tO' -p58784 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p58785 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p58786 -aS'congestion\tcongestion\tNN\tI-NP\tO' -p58787 -aS'.\t.\t.\tO\tO' -p58788 -asS'The patient has stable three-pillow orthopnea and occasional paroxysmal nocturnal dyspnea .' -p58789 -(lp58790 -S'The\tThe\tDT\tB-NP\tO' -p58791 -aS'patient\tpatient\tNN\tI-NP\tO' -p58792 -aS'has\thave\tVBZ\tB-VP\tO' -p58793 -aS'stable\tstable\tJJ\tB-NP\tO' -p58794 -aS'three-pillow\tthree-pillow\tJJ\tI-NP\tO' -p58795 -aS'orthopnea\torthopnea\tNN\tI-NP\tO' -p58796 -aS'and\tand\tCC\tO\tO' -p58797 -aS'occasional\toccasional\tJJ\tB-NP\tO' -p58798 -aS'paroxysmal\tparoxysmal\tJJ\tI-NP\tO' -p58799 -aS'nocturnal\tnocturnal\tJJ\tI-NP\tO' -p58800 -aS'dyspnea\tdyspnea\tNN\tI-NP\tO' -p58801 -aS'.\t.\t.\tO\tO' -p58802 -asS'The abdomen was soft and non-tender , obese , with normal bowel sounds .' -p58803 -(lp58804 -S'The\tThe\tDT\tB-NP\tO' -p58805 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p58806 -aS'was\tbe\tVBD\tB-VP\tO' -p58807 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p58808 -aS'and\tand\tCC\tI-ADJP\tO' -p58809 -aS'non-tender\tnon-tender\tJJ\tI-ADJP\tO' -p58810 -aS',\t,\t,\tO\tO' -p58811 -aS'obese\tobese\tJJ\tB-ADJP\tO' -p58812 -aS',\t,\t,\tO\tO' -p58813 -aS'with\twith\tIN\tB-PP\tO' -p58814 -aS'normal\tnormal\tJJ\tB-NP\tO' -p58815 -aS'bowel\tbowel\tNN\tI-NP\tO' -p58816 -aS'sounds\tsound\tNNS\tI-NP\tO' -p58817 -aS'.\t.\t.\tO\tO' -p58818 -asS'He was monitored with QID fingersticks .' -p58819 -(lp58820 -S'He\tHe\tPRP\tB-NP\tO' -p58821 -aS'was\tbe\tVBD\tB-VP\tO' -p58822 -aS'monitored\tmonitor\tVBN\tI-VP\tO' -p58823 -aS'with\twith\tIN\tB-PP\tO' -p58824 -aS'QID\tQID\tNN\tB-NP\tB-protein' -p58825 -aS'fingersticks\tfingerstick\tNNS\tI-NP\tI-protein' -p58826 -aS'.\t.\t.\tO\tO' -p58827 -asS'Chest pain .' -p58828 -(lp58829 -S'Chest\tCh\tJJS\tB-NP\tO' -p58830 -aS'pain\tpain\tNN\tI-NP\tO' -p58831 -aS'.\t.\t.\tO\tO' -p58832 -asS'There was a question of a small ulcer .' -p58833 -(lp58834 -S'There\tThere\tEX\tB-NP\tO' -p58835 -aS'was\tbe\tVBD\tB-VP\tO' -p58836 -aS'a\ta\tDT\tB-NP\tO' -p58837 -aS'question\tquestion\tNN\tI-NP\tO' -p58838 -aS'of\tof\tIN\tB-PP\tO' -p58839 -aS'a\ta\tDT\tB-NP\tO' -p58840 -aS'small\tsmall\tJJ\tI-NP\tO' -p58841 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p58842 -aS'.\t.\t.\tO\tO' -p58843 -asS'Apparently , the gun belonged to his father .' -p58844 -(lp58845 -S'Apparently\tApparently\tRB\tB-ADVP\tO' -p58846 -aS',\t,\t,\tO\tO' -p58847 -aS'the\tthe\tDT\tB-NP\tO' -p58848 -aS'gun\tgun\tNN\tI-NP\tO' -p58849 -aS'belonged\tbelong\tVBD\tB-VP\tO' -p58850 -aS'to\tto\tTO\tB-PP\tO' -p58851 -aS'his\this\tPRP$\tB-NP\tO' -p58852 -aS'father\tfather\tNN\tI-NP\tO' -p58853 -aS'.\t.\t.\tO\tO' -p58854 -asS'She was transferred in stable condition to the Pasi for further rehabilitation therapy .' -p58855 -(lp58856 -S'She\tShe\tPRP\tB-NP\tO' -p58857 -aS'was\tbe\tVBD\tB-VP\tO' -p58858 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p58859 -aS'in\tin\tIN\tB-PP\tO' -p58860 -aS'stable\tstable\tJJ\tB-NP\tO' -p58861 -aS'condition\tcondition\tNN\tI-NP\tO' -p58862 -aS'to\tto\tTO\tB-PP\tO' -p58863 -aS'the\tthe\tDT\tB-NP\tO' -p58864 -aS'Pasi\tPasi\tNNP\tI-NP\tO' -p58865 -aS'for\tfor\tIN\tB-PP\tO' -p58866 -aS'further\tfurther\tJJ\tB-NP\tO' -p58867 -aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' -p58868 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p58869 -aS'.\t.\t.\tO\tO' -p58870 -asS'He was switched to a 100% NRB mask and ABG was 7.47/31/80 .' -p58871 -(lp58872 -S'He\tHe\tPRP\tB-NP\tO' -p58873 -aS'was\tbe\tVBD\tB-VP\tO' -p58874 -aS'switched\tswitch\tVBN\tI-VP\tO' -p58875 -aS'to\tto\tTO\tB-PP\tO' -p58876 -aS'a\ta\tDT\tB-NP\tO' -p58877 -aS'100%\t100%\tJJ\tI-NP\tO' -p58878 -aS'NRB\tNRB\tNN\tI-NP\tO' -p58879 -aS'mask\tmask\tNN\tI-NP\tO' -p58880 -aS'and\tand\tCC\tI-NP\tO' -p58881 -aS'ABG\tABG\tNN\tI-NP\tO' -p58882 -aS'was\tbe\tVBD\tB-VP\tO' -p58883 -aS'7.47/31/80\t7.47/31/80\tCD\tB-NP\tO' -p58884 -aS'.\t.\t.\tO\tO' -p58885 -asS'Coordination - toe tap was slow bilaterally , although difficult to reproduce , and at best , was essentially within normal limits .' -p58886 -(lp58887 -S'Coordination\tCoordination\tNN\tB-NP\tO' -p58888 -aS'-\t-\tHYPH\tI-NP\tO' -p58889 -aS'toe\ttoe\tNN\tI-NP\tO' -p58890 -aS'tap\ttap\tNN\tI-NP\tO' -p58891 -aS'was\tbe\tVBD\tB-VP\tO' -p58892 -aS'slow\tslow\tJJ\tB-ADJP\tO' -p58893 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p58894 -aS',\t,\t,\tO\tO' -p58895 -aS'although\talthough\tIN\tB-SBAR\tO' -p58896 -aS'difficult\tdifficult\tJJ\tB-ADJP\tO' -p58897 -aS'to\tto\tTO\tB-VP\tO' -p58898 -aS'reproduce\treproduce\tVB\tI-VP\tO' -p58899 -aS',\t,\t,\tO\tO' -p58900 -aS'and\tand\tCC\tO\tO' -p58901 -aS'at\tat\tIN\tB-ADVP\tO' -p58902 -aS'best\tgood\tJJS\tI-ADVP\tO' -p58903 -aS',\t,\t,\tO\tO' -p58904 -aS'was\tbe\tVBD\tB-VP\tO' -p58905 -aS'essentially\tessentially\tRB\tB-ADVP\tO' -p58906 -aS'within\twithin\tIN\tB-PP\tO' -p58907 -aS'normal\tnormal\tJJ\tB-NP\tO' -p58908 -aS'limits\tlimit\tNNS\tI-NP\tO' -p58909 -aS'.\t.\t.\tO\tO' -p58910 -asS'Results are pending .' -p58911 -(lp58912 -S'Results\tResult\tNNS\tB-NP\tO' -p58913 -aS'are\tbe\tVBP\tB-VP\tO' -p58914 -aS'pending\tpende\tVBG\tI-VP\tO' -p58915 -aS'.\t.\t.\tO\tO' -p58916 -asS'These findings indicate a widespread encephalopathic condition affecting both cortical and subcortical structures .' -p58917 -(lp58918 -S'These\tThese\tDT\tB-NP\tO' -p58919 -aS'findings\tfinding\tNNS\tI-NP\tO' -p58920 -aS'indicate\tindicate\tVBP\tB-VP\tO' -p58921 -aS'a\ta\tDT\tB-NP\tO' -p58922 -aS'widespread\twidespread\tJJ\tI-NP\tO' -p58923 -aS'encephalopathic\tencephalopathic\tJJ\tI-NP\tO' -p58924 -aS'condition\tcondition\tNN\tI-NP\tO' -p58925 -aS'affecting\taffect\tVBG\tB-VP\tO' -p58926 -aS'both\tboth\tCC\tO\tO' -p58927 -aS'cortical\tcortical\tJJ\tB-NP\tO' -p58928 -aS'and\tand\tCC\tI-NP\tO' -p58929 -aS'subcortical\tsubcortical\tJJ\tI-NP\tO' -p58930 -aS'structures\tstructure\tNNS\tI-NP\tO' -p58931 -aS'.\t.\t.\tO\tO' -p58932 -asS'MEDICATIONS ON DISCHARGE included Percocet 1 to 2 tablets by mouth every 4 hours as needed for pain , Colace 100 milligrams by mouth twice a day .' -p58933 -(lp58934 -S'MEDICATIONS\tMEDICATIONS\tNNS\tB-NP\tO' -p58935 -aS'ON\tON\tNN\tI-NP\tO' -p58936 -aS'DISCHARGE\tDISCHARGE\tNN\tI-NP\tO' -p58937 -aS'included\tinclude\tVBD\tB-VP\tO' -p58938 -aS'Percocet\tPercocet\tNNP\tB-NP\tO' -p58939 -aS'1\t1\tCD\tI-NP\tO' -p58940 -aS'to\tto\tTO\tI-NP\tO' -p58941 -aS'2\t2\tCD\tI-NP\tO' -p58942 -aS'tablets\ttablet\tNNS\tI-NP\tO' -p58943 -aS'by\tby\tIN\tB-PP\tO' -p58944 -aS'mouth\tmouth\tNN\tB-NP\tO' -p58945 -aS'every\tevery\tDT\tB-NP\tO' -p58946 -aS'4\t4\tCD\tI-NP\tO' -p58947 -aS'hours\thour\tNNS\tI-NP\tO' -p58948 -aS'as\tas\tIN\tB-SBAR\tO' -p58949 -aS'needed\tneed\tVBN\tB-VP\tO' -p58950 -aS'for\tfor\tIN\tB-PP\tO' -p58951 -aS'pain\tpain\tNN\tB-NP\tO' -p58952 -aS',\t,\t,\tO\tO' -p58953 -aS'Colace\tColace\tNNP\tB-NP\tO' -p58954 -aS'100\t100\tCD\tI-NP\tO' -p58955 -aS'milligrams\tmilligram\tNNS\tI-NP\tO' -p58956 -aS'by\tby\tIN\tB-PP\tO' -p58957 -aS'mouth\tmouth\tNN\tB-NP\tO' -p58958 -aS'twice\ttwice\tRB\tB-NP\tO' -p58959 -aS'a\ta\tDT\tI-NP\tO' -p58960 -aS'day\tday\tNN\tI-NP\tO' -p58961 -aS'.\t.\t.\tO\tO' -p58962 -asS'His platelet count was 267 .' -p58963 -(lp58964 -S'His\tHis\tPRP$\tB-NP\tO' -p58965 -aS'platelet\tplatelet\tNN\tI-NP\tB-protein' -p58966 -aS'count\tcount\tNN\tI-NP\tI-protein' -p58967 -aS'was\tbe\tVBD\tB-VP\tI-protein' -p58968 -aS'267\t267\tCD\tB-NP\tI-protein' -p58969 -aS'.\t.\t.\tO\tO' -p58970 -asS'The jugular venous pressure was not assessed secondary to cervical collar being in place .' -p58971 -(lp58972 -S'The\tThe\tDT\tB-NP\tO' -p58973 -aS'jugular\tjugular\tJJ\tI-NP\tO' -p58974 -aS'venous\tvenous\tJJ\tI-NP\tO' -p58975 -aS'pressure\tpressure\tNN\tI-NP\tO' -p58976 -aS'was\tbe\tVBD\tB-VP\tO' -p58977 -aS'not\tnot\tRB\tI-VP\tO' -p58978 -aS'assessed\tassess\tVBN\tI-VP\tO' -p58979 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p58980 -aS'to\tto\tTO\tB-PP\tO' -p58981 -aS'cervical\tcervical\tJJ\tB-NP\tO' -p58982 -aS'collar\tcollar\tNN\tI-NP\tO' -p58983 -aS'being\tbe\tVBG\tB-VP\tO' -p58984 -aS'in\tin\tIN\tB-PP\tO' -p58985 -aS'place\tplace\tNN\tB-NP\tO' -p58986 -aS'.\t.\t.\tO\tO' -p58987 -asS'Stable , much improved from admission , and almost at baseline .' -p58988 -(lp58989 -S'Stable\tStable\tJJ\tB-NP\tO' -p58990 -aS',\t,\t,\tI-NP\tO' -p58991 -aS'much\tmuch\tJJ\tI-NP\tO' -p58992 -aS'improved\timprove\tVBN\tB-VP\tO' -p58993 -aS'from\tfrom\tIN\tB-PP\tO' -p58994 -aS'admission\tadmission\tNN\tB-NP\tO' -p58995 -aS',\t,\t,\tO\tO' -p58996 -aS'and\tand\tCC\tO\tO' -p58997 -aS'almost\talmost\tRB\tB-ADVP\tO' -p58998 -aS'at\tat\tIN\tB-PP\tO' -p58999 -aS'baseline\tbaseline\tNN\tB-NP\tO' -p59000 -aS'.\t.\t.\tO\tO' -p59001 -asS'Extremities : There was no edema in the extremities .' -p59002 -(lp59003 -S'Extremities\tExtremity\tNNS\tB-NP\tO' -p59004 -aS':\t:\t:\tO\tO' -p59005 -aS'There\tThere\tEX\tB-NP\tO' -p59006 -aS'was\tbe\tVBD\tB-VP\tO' -p59007 -aS'no\tno\tDT\tB-NP\tO' -p59008 -aS'edema\tedema\tNN\tI-NP\tO' -p59009 -aS'in\tin\tIN\tB-PP\tO' -p59010 -aS'the\tthe\tDT\tB-NP\tO' -p59011 -aS'extremities\textremity\tNNS\tI-NP\tO' -p59012 -aS'.\t.\t.\tO\tO' -p59013 -asS'She is legally blind .' -p59014 -(lp59015 -S'She\tShe\tPRP\tB-NP\tO' -p59016 -aS'is\tbe\tVBZ\tB-VP\tO' -p59017 -aS'legally\tlegally\tRB\tB-ADJP\tO' -p59018 -aS'blind\tblind\tJJ\tI-ADJP\tO' -p59019 -aS'.\t.\t.\tO\tO' -p59020 -asS'Pulses 2+ PT and DP .' -p59021 -(lp59022 -S'Pulses\tPulse\tNNS\tB-NP\tO' -p59023 -aS'2+\t2+\tJJ\tI-NP\tO' -p59024 -aS'PT\tPT\tNN\tI-NP\tO' -p59025 -aS'and\tand\tCC\tI-NP\tO' -p59026 -aS'DP\tDP\tNN\tI-NP\tO' -p59027 -aS'.\t.\t.\tO\tO' -p59028 -asS'Flow across the interatrial septum is no longer visualized with color flow doppler or with injection of agitatated saline at rest or with valsalva .' -p59029 -(lp59030 -S'Flow\tFlow\tNN\tB-NP\tO' -p59031 -aS'across\tacross\tIN\tB-PP\tO' -p59032 -aS'the\tthe\tDT\tB-NP\tO' -p59033 -aS'interatrial\tinteratrial\tJJ\tI-NP\tO' -p59034 -aS'septum\tseptum\tNN\tI-NP\tO' -p59035 -aS'is\tbe\tVBZ\tB-VP\tO' -p59036 -aS'no\tno\tRB\tB-ADVP\tO' -p59037 -aS'longer\tlonger\tRBR\tI-ADVP\tO' -p59038 -aS'visualized\tvisualize\tVBN\tB-ADJP\tO' -p59039 -aS'with\twith\tIN\tB-PP\tO' -p59040 -aS'color\tcolor\tNN\tB-NP\tO' -p59041 -aS'flow\tflow\tNN\tI-NP\tO' -p59042 -aS'doppler\tdoppler\tNN\tI-NP\tO' -p59043 -aS'or\tor\tCC\tB-PP\tO' -p59044 -aS'with\twith\tIN\tB-PP\tO' -p59045 -aS'injection\tinjection\tNN\tB-NP\tO' -p59046 -aS'of\tof\tIN\tB-PP\tO' -p59047 -aS'agitatated\tagitatate\tVBN\tB-NP\tO' -p59048 -aS'saline\tsaline\tNN\tI-NP\tO' -p59049 -aS'at\tat\tIN\tB-PP\tO' -p59050 -aS'rest\trest\tNN\tB-NP\tO' -p59051 -aS'or\tor\tCC\tB-PP\tO' -p59052 -aS'with\twith\tIN\tB-PP\tO' -p59053 -aS'valsalva\tvalsalva\tNN\tB-NP\tO' -p59054 -aS'.\t.\t.\tO\tO' -p59055 -asS'The chest exam was clear to auscultation .' -p59056 -(lp59057 -S'The\tThe\tDT\tB-NP\tO' -p59058 -aS'chest\tchest\tNN\tI-NP\tO' -p59059 -aS'exam\texam\tNN\tI-NP\tO' -p59060 -aS'was\tbe\tVBD\tB-VP\tO' -p59061 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p59062 -aS'to\tto\tTO\tB-PP\tO' -p59063 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p59064 -aS'.\t.\t.\tO\tO' -p59065 -asS'On discharge , he is mobilized , partial weight bearing with the help of a walker .' -p59066 -(lp59067 -S'On\tOn\tIN\tB-PP\tO' -p59068 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p59069 -aS',\t,\t,\tO\tO' -p59070 -aS'he\the\tPRP\tB-NP\tO' -p59071 -aS'is\tbe\tVBZ\tB-VP\tO' -p59072 -aS'mobilized\tmobilize\tVBN\tI-VP\tO' -p59073 -aS',\t,\t,\tO\tO' -p59074 -aS'partial\tpartial\tJJ\tB-NP\tO' -p59075 -aS'weight\tweight\tNN\tI-NP\tO' -p59076 -aS'bearing\tbear\tVBG\tB-VP\tO' -p59077 -aS'with\twith\tIN\tB-PP\tO' -p59078 -aS'the\tthe\tDT\tB-NP\tO' -p59079 -aS'help\thelp\tNN\tI-NP\tO' -p59080 -aS'of\tof\tIN\tB-PP\tO' -p59081 -aS'a\ta\tDT\tB-NP\tO' -p59082 -aS'walker\twalker\tNN\tI-NP\tO' -p59083 -aS'.\t.\t.\tO\tO' -p59084 -asS'Regular rate , 04-07 holosystolic murmur' -p59085 -(lp59086 -S'Regular\tRegular\tJJ\tB-NP\tO' -p59087 -aS'rate\trate\tNN\tI-NP\tO' -p59088 -aS',\t,\t,\tO\tO' -p59089 -aS'04-07\t04-07\tCD\tB-NP\tO' -p59090 -aS'holosystolic\tholosystolic\tJJ\tI-NP\tO' -p59091 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p59092 -asS'Chemotherapy .' -p59093 -(lp59094 -S'Chemotherapy\tChemotherapy\tNN\tB-NP\tO' -p59095 -aS'.\t.\t.\tO\tO' -p59096 -asS'45 yo F s / p recent inferior STEMI ( 2/17 ) w/ 100% RCA stented -> 0% , and residual LAD / Diag1/LCx / OM2 disease .' -p59097 -(lp59098 -S'45\t45\tCD\tB-NP\tO' -p59099 -aS'yo\tyo\tNN\tI-NP\tO' -p59100 -aS'F\tF\tNN\tI-NP\tO' -p59101 -aS's\ts\tNN\tI-NP\tO' -p59102 -aS'/\t/\tSYM\tB-NP\tO' -p59103 -aS'p\tp\tNN\tI-NP\tO' -p59104 -aS'recent\trecent\tJJ\tI-NP\tO' -p59105 -aS'inferior\tinferior\tJJ\tI-NP\tO' -p59106 -aS'STEMI\tSTEMI\tNN\tI-NP\tO' -p59107 -aS'(\t(\t(\tO\tO' -p59108 -aS'2/17\t2/17\tCD\tB-NP\tO' -p59109 -aS')\t)\t)\tO\tO' -p59110 -aS'w/\tw/\tVBP\tB-VP\tO' -p59111 -aS'100%\t100%\tCD\tB-NP\tO' -p59112 -aS'RCA\tRCA\tNN\tI-NP\tO' -p59113 -aS'stented\tstente\tVBD\tB-VP\tO' -p59114 -aS'->\t->\tJJ\tB-NP\tO' -p59115 -aS'0%\t0%\tNN\tI-NP\tO' -p59116 -aS',\t,\t,\tO\tO' -p59117 -aS'and\tand\tCC\tO\tO' -p59118 -aS'residual\tresidual\tJJ\tB-NP\tO' -p59119 -aS'LAD\tLAD\tNN\tI-NP\tO' -p59120 -aS'/\t/\tSYM\tB-NP\tO' -p59121 -aS'Diag1/LCx\tDiag1/LCx\tNN\tI-NP\tO' -p59122 -aS'/\t/\tSYM\tI-NP\tO' -p59123 -aS'OM2\tOM2\tNN\tI-NP\tO' -p59124 -aS'disease\tdisease\tNN\tI-NP\tO' -p59125 -aS'.\t.\t.\tO\tO' -p59126 -asS'Cardiology felt that follow-up echo was indicated on 06/18 as she had another echocardiogram which showed no change or evidence of tamponade .' -p59127 -(lp59128 -S'Cardiology\tCardiology\tNNP\tB-NP\tO' -p59129 -aS'felt\tfeel\tVBD\tB-VP\tO' -p59130 -aS'that\tthat\tIN\tB-SBAR\tO' -p59131 -aS'follow-up\tfollow-up\tJJ\tB-NP\tO' -p59132 -aS'echo\techo\tNN\tI-NP\tO' -p59133 -aS'was\tbe\tVBD\tB-VP\tO' -p59134 -aS'indicated\tindicate\tVBN\tI-VP\tO' -p59135 -aS'on\ton\tIN\tB-PP\tO' -p59136 -aS'06/18\t06/18\tCD\tB-NP\tO' -p59137 -aS'as\tas\tIN\tB-SBAR\tO' -p59138 -aS'she\tshe\tPRP\tB-NP\tO' -p59139 -aS'had\thave\tVBD\tB-VP\tO' -p59140 -aS'another\tanother\tDT\tB-NP\tO' -p59141 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p59142 -aS'which\twhich\tWDT\tB-NP\tO' -p59143 -aS'showed\tshow\tVBD\tB-VP\tO' -p59144 -aS'no\tno\tDT\tB-NP\tO' -p59145 -aS'change\tchange\tNN\tI-NP\tO' -p59146 -aS'or\tor\tCC\tI-NP\tO' -p59147 -aS'evidence\tevidence\tNN\tI-NP\tO' -p59148 -aS'of\tof\tIN\tB-PP\tO' -p59149 -aS'tamponade\ttamponade\tNN\tB-NP\tO' -p59150 -aS'.\t.\t.\tO\tO' -p59151 -asS'Bilirubin on 04-17 was 8.2/0.3 .' -p59152 -(lp59153 -S'Bilirubin\tBilirubin\tNN\tB-NP\tO' -p59154 -aS'on\ton\tIN\tB-PP\tO' -p59155 -aS'04-17\t04-17\tCD\tB-NP\tO' -p59156 -aS'was\tbe\tVBD\tB-VP\tO' -p59157 -aS'8.2/0.3\t8.2/0.3\tCD\tB-NP\tO' -p59158 -aS'.\t.\t.\tO\tO' -p59159 -asS'The patient had stage 1 sacral decubitus on her buttocks .' -p59160 -(lp59161 -S'The\tThe\tDT\tB-NP\tO' -p59162 -aS'patient\tpatient\tNN\tI-NP\tO' -p59163 -aS'had\thave\tVBD\tB-VP\tO' -p59164 -aS'stage\tstage\tNN\tB-NP\tO' -p59165 -aS'1\t1\tCD\tI-NP\tO' -p59166 -aS'sacral\tsacral\tJJ\tI-NP\tO' -p59167 -aS'decubitus\tdecubitus\tNN\tI-NP\tO' -p59168 -aS'on\ton\tIN\tB-PP\tO' -p59169 -aS'her\ther\tPRP$\tB-NP\tO' -p59170 -aS'buttocks\tbuttock\tNNS\tI-NP\tO' -p59171 -aS'.\t.\t.\tO\tO' -p59172 -asS'Soft abdomen , 3 vessel cord .' -p59173 -(lp59174 -S'Soft\tSoft\tNNP\tB-NP\tO' -p59175 -aS'abdomen\tabdoman\tNNS\tI-NP\tO' -p59176 -aS',\t,\t,\tO\tO' -p59177 -aS'3\t3\tCD\tB-NP\tO' -p59178 -aS'vessel\tvessel\tNN\tI-NP\tO' -p59179 -aS'cord\tcord\tNN\tI-NP\tO' -p59180 -aS'.\t.\t.\tO\tO' -p59181 -asS'It is likely that the patient continues to drink more than he admits .' -p59182 -(lp59183 -S'It\tIt\tPRP\tB-NP\tO' -p59184 -aS'is\tbe\tVBZ\tB-VP\tO' -p59185 -aS'likely\tlikely\tJJ\tB-ADJP\tO' -p59186 -aS'that\tthat\tIN\tB-SBAR\tO' -p59187 -aS'the\tthe\tDT\tB-NP\tO' -p59188 -aS'patient\tpatient\tNN\tI-NP\tO' -p59189 -aS'continues\tcontinue\tVBZ\tB-VP\tO' -p59190 -aS'to\tto\tTO\tI-VP\tO' -p59191 -aS'drink\tdrink\tVB\tI-VP\tO' -p59192 -aS'more\tmore\tJJR\tB-NP\tO' -p59193 -aS'than\tthan\tIN\tB-SBAR\tO' -p59194 -aS'he\the\tPRP\tB-NP\tO' -p59195 -aS'admits\tadmit\tVBZ\tB-VP\tO' -p59196 -aS'.\t.\t.\tO\tO' -p59197 -asS'Later in the morning on 08-31 , the patient was more oriented and alert , and asked to have the restraints removed .' -p59198 -(lp59199 -S'Later\tLater\tRB\tB-ADVP\tO' -p59200 -aS'in\tin\tIN\tB-PP\tO' -p59201 -aS'the\tthe\tDT\tB-NP\tO' -p59202 -aS'morning\tmorning\tNN\tI-NP\tO' -p59203 -aS'on\ton\tIN\tB-PP\tO' -p59204 -aS'08-31\t08-31\tNN\tB-NP\tO' -p59205 -aS',\t,\t,\tO\tO' -p59206 -aS'the\tthe\tDT\tB-NP\tO' -p59207 -aS'patient\tpatient\tNN\tI-NP\tO' -p59208 -aS'was\tbe\tVBD\tB-VP\tO' -p59209 -aS'more\tmore\tRBR\tB-ADJP\tO' -p59210 -aS'oriented\toriented\tJJ\tI-ADJP\tO' -p59211 -aS'and\tand\tCC\tI-ADJP\tO' -p59212 -aS'alert\talert\tJJ\tI-ADJP\tO' -p59213 -aS',\t,\t,\tO\tO' -p59214 -aS'and\tand\tCC\tO\tO' -p59215 -aS'asked\task\tVBD\tB-VP\tO' -p59216 -aS'to\tto\tTO\tI-VP\tO' -p59217 -aS'have\thave\tVB\tI-VP\tO' -p59218 -aS'the\tthe\tDT\tB-NP\tO' -p59219 -aS'restraints\trestraint\tNNS\tI-NP\tO' -p59220 -aS'removed\tremove\tVBN\tB-VP\tO' -p59221 -aS'.\t.\t.\tO\tO' -p59222 -asS'History of coronary artery disease .' -p59223 -(lp59224 -S'History\tHistory\tNN\tB-NP\tO' -p59225 -aS'of\tof\tIN\tB-PP\tO' -p59226 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p59227 -aS'artery\tartery\tNN\tI-NP\tO' -p59228 -aS'disease\tdisease\tNN\tI-NP\tO' -p59229 -aS'.\t.\t.\tO\tO' -p59230 -asS'At cardiac catheterization he had an RA pressure of 8 , an RV pressure of 52/10 , PA pressure of 60/25 , and wedge of 26 .' -p59231 -(lp59232 -S'At\tAt\tIN\tB-PP\tO' -p59233 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p59234 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p59235 -aS'he\the\tPRP\tB-NP\tO' -p59236 -aS'had\thave\tVBD\tB-VP\tO' -p59237 -aS'an\tan\tDT\tB-NP\tO' -p59238 -aS'RA\tRA\tNN\tI-NP\tO' -p59239 -aS'pressure\tpressure\tNN\tI-NP\tO' -p59240 -aS'of\tof\tIN\tB-PP\tO' -p59241 -aS'8\t8\tCD\tB-NP\tO' -p59242 -aS',\t,\t,\tO\tO' -p59243 -aS'an\tan\tDT\tB-NP\tO' -p59244 -aS'RV\tRV\tNN\tI-NP\tO' -p59245 -aS'pressure\tpressure\tNN\tI-NP\tO' -p59246 -aS'of\tof\tIN\tB-PP\tO' -p59247 -aS'52/10\t52/10\tCD\tB-NP\tO' -p59248 -aS',\t,\t,\tO\tO' -p59249 -aS'PA\tPA\tNN\tB-NP\tO' -p59250 -aS'pressure\tpressure\tNN\tI-NP\tO' -p59251 -aS'of\tof\tIN\tB-PP\tO' -p59252 -aS'60/25\t60/25\tCD\tB-NP\tO' -p59253 -aS',\t,\t,\tO\tO' -p59254 -aS'and\tand\tCC\tO\tO' -p59255 -aS'wedge\twedge\tNN\tB-NP\tO' -p59256 -aS'of\tof\tIN\tB-PP\tO' -p59257 -aS'26\t26\tCD\tB-NP\tO' -p59258 -aS'.\t.\t.\tO\tO' -p59259 -asS'His Helicobacter pylori serology was sent and was pending at the time of discharge .' -p59260 -(lp59261 -S'His\tHis\tPRP$\tB-NP\tO' -p59262 -aS'Helicobacter\tHelicobacter\tNN\tI-NP\tO' -p59263 -aS'pylori\tpylori\tNN\tI-NP\tO' -p59264 -aS'serology\tserology\tNN\tI-NP\tO' -p59265 -aS'was\tbe\tVBD\tB-VP\tO' -p59266 -aS'sent\tsend\tVBN\tI-VP\tO' -p59267 -aS'and\tand\tCC\tO\tO' -p59268 -aS'was\tbe\tVBD\tB-VP\tO' -p59269 -aS'pending\tpende\tVBG\tI-VP\tO' -p59270 -aS'at\tat\tIN\tB-PP\tO' -p59271 -aS'the\tthe\tDT\tB-NP\tO' -p59272 -aS'time\ttime\tNN\tI-NP\tO' -p59273 -aS'of\tof\tIN\tB-PP\tO' -p59274 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p59275 -aS'.\t.\t.\tO\tO' -p59276 -asS'Pt was diuresed .' -p59277 -(lp59278 -S'Pt\tPt\tNN\tB-NP\tO' -p59279 -aS'was\tbe\tVBD\tB-VP\tO' -p59280 -aS'diuresed\tdiurese\tVBN\tI-VP\tO' -p59281 -aS'.\t.\t.\tO\tO' -p59282 -asS'No added salt .' -p59283 -(lp59284 -S'No\tNo\tDT\tB-NP\tO' -p59285 -aS'added\tadd\tVBN\tI-NP\tO' -p59286 -aS'salt\tsalt\tNN\tI-NP\tO' -p59287 -aS'.\t.\t.\tO\tO' -p59288 -asS'Potassium chloride 20 mEq times seven days , Plavix 75 mg p.o. q day , Isosorbide 60 mg q day , Percocet p.r.n. , Entericoated aspirin 325 mg q day .' -p59289 -(lp59290 -S'Potassium\tPotassium\tNN\tB-NP\tO' -p59291 -aS'chloride\tchloride\tNN\tI-NP\tO' -p59292 -aS'20\t20\tCD\tI-NP\tO' -p59293 -aS'mEq\tmEq\tNN\tI-NP\tO' -p59294 -aS'times\ttime\tNNS\tI-NP\tO' -p59295 -aS'seven\tseven\tCD\tB-NP\tO' -p59296 -aS'days\tday\tNNS\tI-NP\tO' -p59297 -aS',\t,\t,\tO\tO' -p59298 -aS'Plavix\tPlavix\tNN\tB-NP\tO' -p59299 -aS'75\t75\tCD\tI-NP\tO' -p59300 -aS'mg\tmg\tNN\tI-NP\tO' -p59301 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p59302 -aS'q\tq\tNN\tI-NP\tO' -p59303 -aS'day\tday\tNN\tI-NP\tO' -p59304 -aS',\t,\t,\tO\tO' -p59305 -aS'Isosorbide\tIsosorbide\tNN\tB-NP\tO' -p59306 -aS'60\t60\tCD\tI-NP\tO' -p59307 -aS'mg\tmg\tNN\tI-NP\tO' -p59308 -aS'q\tq\tNN\tI-NP\tO' -p59309 -aS'day\tday\tNN\tI-NP\tO' -p59310 -aS',\t,\t,\tO\tO' -p59311 -aS'Percocet\tPercocet\tNNP\tB-NP\tO' -p59312 -aS'p.r.n.\tp.r.n.\tNNP\tI-NP\tO' -p59313 -aS',\t,\t,\tO\tO' -p59314 -aS'Entericoated\tEntericoate\tVBD\tB-VP\tO' -p59315 -aS'aspirin\taspirin\tNN\tB-NP\tO' -p59316 -aS'325\t325\tCD\tI-NP\tO' -p59317 -aS'mg\tmg\tNN\tI-NP\tO' -p59318 -aS'q\tq\tNN\tI-NP\tO' -p59319 -aS'day\tday\tNN\tI-NP\tO' -p59320 -aS'.\t.\t.\tO\tO' -p59321 -asS'Neck - supple without masses or thyromegaly .' -p59322 -(lp59323 -S'Neck\tNeck\tNN\tB-NP\tO' -p59324 -aS'-\t-\tHYPH\tI-NP\tO' -p59325 -aS'supple\tsupple\tNN\tI-NP\tO' -p59326 -aS'without\twithout\tIN\tB-PP\tO' -p59327 -aS'masses\tmass\tNNS\tB-NP\tO' -p59328 -aS'or\tor\tCC\tO\tO' -p59329 -aS'thyromegaly\tthyromegaly\tRB\tB-ADVP\tO' -p59330 -aS'.\t.\t.\tO\tO' -p59331 -asS'Dr. Shaw at Wellesley House .' -p59332 -(lp59333 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p59334 -aS'Shaw\tShaw\tNNP\tI-NP\tO' -p59335 -aS'at\tat\tIN\tB-PP\tO' -p59336 -aS'Wellesley\tWellesley\tNNP\tB-NP\tO' -p59337 -aS'House\tHouse\tNNP\tI-NP\tO' -p59338 -aS'.\t.\t.\tO\tO' -p59339 -asS'Examination was otherwise unchanged .' -p59340 -(lp59341 -S'Examination\tExamination\tNN\tB-NP\tO' -p59342 -aS'was\tbe\tVBD\tB-VP\tO' -p59343 -aS'otherwise\totherwise\tRB\tB-ADJP\tO' -p59344 -aS'unchanged\tunchanged\tJJ\tI-ADJP\tO' -p59345 -aS'.\t.\t.\tO\tO' -p59346 -asS'1. Percocet , one p.o. q. four hours p.r.n. pain .' -p59347 -(lp59348 -S'1.\t1.\tLS\tB-NP\tO' -p59349 -aS'Percocet\tPercocet\tNNP\tI-NP\tO' -p59350 -aS',\t,\t,\tO\tO' -p59351 -aS'one\tone\tCD\tB-NP\tO' -p59352 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p59353 -aS'q.\tq.\tNN\tI-NP\tO' -p59354 -aS'four\tfour\tCD\tB-NP\tO' -p59355 -aS'hours\thour\tNNS\tI-NP\tO' -p59356 -aS'p.r.n.\tp.r.n.\tJJ\tI-NP\tO' -p59357 -aS'pain\tpain\tNN\tI-NP\tO' -p59358 -aS'.\t.\t.\tO\tO' -p59359 -asS'Unremarkable .' -p59360 -(lp59361 -S'Unremarkable\tUnremarkable\tJJ\tB-ADJP\tO' -p59362 -aS'.\t.\t.\tO\tO' -p59363 -asS'Elongated left atrium .' -p59364 -(lp59365 -S'Elongated\tElongate\tVBN\tB-NP\tO' -p59366 -aS'left\tleft\tJJ\tI-NP\tO' -p59367 -aS'atrium\tatrium\tNN\tI-NP\tO' -p59368 -aS'.\t.\t.\tO\tO' -p59369 -asS'Gout .' -p59370 -(lp59371 -S'Gout\tGout\tNNP\tB-NP\tO' -p59372 -aS'.\t.\t.\tO\tO' -p59373 -asS'He triple flexed his bilateral lower extremities to pain .' -p59374 -(lp59375 -S'He\tHe\tPRP\tB-NP\tO' -p59376 -aS'triple\ttriple\tRB\tB-ADVP\tO' -p59377 -aS'flexed\tflex\tVBD\tB-VP\tO' -p59378 -aS'his\this\tPRP$\tB-NP\tO' -p59379 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p59380 -aS'lower\tlow\tJJR\tI-NP\tO' -p59381 -aS'extremities\textremity\tNNS\tI-NP\tO' -p59382 -aS'to\tto\tTO\tB-VP\tO' -p59383 -aS'pain\tpain\tVB\tI-VP\tO' -p59384 -aS'.\t.\t.\tO\tO' -p59385 -asS'No hydronephrosis is seen .' -p59386 -(lp59387 -S'No\tNo\tDT\tB-NP\tO' -p59388 -aS'hydronephrosis\thydronephrosis\tNN\tI-NP\tO' -p59389 -aS'is\tbe\tVBZ\tB-VP\tO' -p59390 -aS'seen\tsee\tVBN\tI-VP\tO' -p59391 -aS'.\t.\t.\tO\tO' -p59392 -asS'Repeat hepato fungal flare .' -p59393 -(lp59394 -S'Repeat\tRepeat\tNN\tB-NP\tO' -p59395 -aS'hepato\thepato\tNN\tI-NP\tO' -p59396 -aS'fungal\tfungal\tJJ\tI-NP\tO' -p59397 -aS'flare\tflare\tNN\tI-NP\tO' -p59398 -aS'.\t.\t.\tO\tO' -p59399 -asS'The patient was continued on a heparin drip for atrial fibrillation .' -p59400 -(lp59401 -S'The\tThe\tDT\tB-NP\tO' -p59402 -aS'patient\tpatient\tNN\tI-NP\tO' -p59403 -aS'was\tbe\tVBD\tB-VP\tO' -p59404 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p59405 -aS'on\ton\tIN\tB-PP\tO' -p59406 -aS'a\ta\tDT\tB-NP\tO' -p59407 -aS'heparin\theparin\tNN\tI-NP\tO' -p59408 -aS'drip\tdrip\tNN\tI-NP\tO' -p59409 -aS'for\tfor\tIN\tB-PP\tO' -p59410 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p59411 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p59412 -aS'.\t.\t.\tO\tO' -p59413 -asS'3. Levothyroxine 175 mcg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' -p59414 -(lp59415 -S'3.\t3.\tLS\tB-NP\tO' -p59416 -aS'Levothyroxine\tLevothyroxine\tNN\tI-NP\tO' -p59417 -aS'175\t175\tCD\tI-NP\tO' -p59418 -aS'mcg\tmcg\tNN\tI-NP\tO' -p59419 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p59420 -aS'Sig\tSig\tNNP\tI-NP\tO' -p59421 -aS':\t:\t:\tO\tO' -p59422 -aS'One\tOne\tCD\tB-NP\tO' -p59423 -aS'(\t(\t(\tO\tO' -p59424 -aS'1\t1\tCD\tB-NP\tO' -p59425 -aS')\t)\t)\tO\tO' -p59426 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p59427 -aS'PO\tPO\tNN\tI-NP\tO' -p59428 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p59429 -aS'(\t(\t(\tO\tO' -p59430 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p59431 -aS')\t)\t)\tO\tO' -p59432 -aS'.\t.\t.\tO\tO' -p59433 -asS'Here she was given an additional valium 5 mg x 2 and ativan 1 mg x 3 for persistent twitching in her face and right hand .' -p59434 -(lp59435 -S'Here\tHere\tRB\tB-ADVP\tO' -p59436 -aS'she\tshe\tPRP\tB-NP\tO' -p59437 -aS'was\tbe\tVBD\tB-VP\tO' -p59438 -aS'given\tgive\tVBN\tI-VP\tO' -p59439 -aS'an\tan\tDT\tB-NP\tO' -p59440 -aS'additional\tadditional\tJJ\tI-NP\tO' -p59441 -aS'valium\tvalium\tNN\tI-NP\tO' -p59442 -aS'5\t5\tCD\tI-NP\tO' -p59443 -aS'mg\tmg\tNN\tI-NP\tO' -p59444 -aS'x\tx\tSYM\tB-NP\tO' -p59445 -aS'2\t2\tCD\tB-NP\tO' -p59446 -aS'and\tand\tCC\tO\tO' -p59447 -aS'ativan\tativan\tNN\tB-NP\tB-protein' -p59448 -aS'1\t1\tCD\tI-NP\tI-protein' -p59449 -aS'mg\tmg\tNN\tI-NP\tI-protein' -p59450 -aS'x\tx\tSYM\tB-NP\tI-protein' -p59451 -aS'3\t3\tCD\tI-NP\tI-protein' -p59452 -aS'for\tfor\tIN\tB-PP\tO' -p59453 -aS'persistent\tpersistent\tJJ\tB-NP\tO' -p59454 -aS'twitching\ttwitching\tNN\tI-NP\tO' -p59455 -aS'in\tin\tIN\tB-PP\tO' -p59456 -aS'her\ther\tPRP$\tB-NP\tO' -p59457 -aS'face\tface\tNN\tI-NP\tO' -p59458 -aS'and\tand\tCC\tI-NP\tO' -p59459 -aS'right\tright\tJJ\tI-NP\tO' -p59460 -aS'hand\thand\tNN\tI-NP\tO' -p59461 -aS'.\t.\t.\tO\tO' -p59462 -asS'He was given two doses of calcium carbonate 1 gram , and will most likely normalize secondary to both calcium binding and urinary excretion .' -p59463 -(lp59464 -S'He\tHe\tPRP\tB-NP\tO' -p59465 -aS'was\tbe\tVBD\tB-VP\tO' -p59466 -aS'given\tgive\tVBN\tI-VP\tO' -p59467 -aS'two\ttwo\tCD\tB-NP\tO' -p59468 -aS'doses\tdose\tNNS\tI-NP\tO' -p59469 -aS'of\tof\tIN\tB-PP\tO' -p59470 -aS'calcium\tcalcium\tNN\tB-NP\tO' -p59471 -aS'carbonate\tcarbonate\tNN\tI-NP\tO' -p59472 -aS'1\t1\tCD\tI-NP\tO' -p59473 -aS'gram\tgram\tNN\tI-NP\tO' -p59474 -aS',\t,\t,\tO\tO' -p59475 -aS'and\tand\tCC\tO\tO' -p59476 -aS'will\twill\tMD\tB-VP\tO' -p59477 -aS'most\tmost\tRBS\tB-ADVP\tO' -p59478 -aS'likely\tlikely\tRB\tI-ADVP\tO' -p59479 -aS'normalize\tnormalize\tVBP\tB-VP\tO' -p59480 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p59481 -aS'to\tto\tTO\tB-PP\tO' -p59482 -aS'both\tboth\tCC\tO\tO' -p59483 -aS'calcium\tcalcium\tNN\tB-NP\tO' -p59484 -aS'binding\tbinding\tNN\tI-NP\tO' -p59485 -aS'and\tand\tCC\tO\tO' -p59486 -aS'urinary\turinary\tJJ\tB-NP\tO' -p59487 -aS'excretion\texcretion\tNN\tI-NP\tO' -p59488 -aS'.\t.\t.\tO\tO' -p59489 -asS'The right ventricular cavity is mildly dilated with severe free wall hypokinesis .' -p59490 -(lp59491 -S'The\tThe\tDT\tB-NP\tO' -p59492 -aS'right\tright\tJJ\tI-NP\tO' -p59493 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p59494 -aS'cavity\tcavity\tNN\tI-NP\tO' -p59495 -aS'is\tbe\tVBZ\tB-VP\tO' -p59496 -aS'mildly\tmildly\tRB\tI-VP\tO' -p59497 -aS'dilated\tdilate\tVBN\tI-VP\tO' -p59498 -aS'with\twith\tIN\tB-PP\tO' -p59499 -aS'severe\tsevere\tJJ\tB-NP\tO' -p59500 -aS'free\tfree\tJJ\tI-NP\tO' -p59501 -aS'wall\twall\tNN\tI-NP\tO' -p59502 -aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' -p59503 -aS'.\t.\t.\tO\tO' -p59504 -asS'Gent and Cipro were then discontinued and changed to meropenem when blood culture sensitivities became available revealing GNR sensitive to Jacoby but resistant to both Gent and Cipro .' -p59505 -(lp59506 -S'Gent\tGent\tNNP\tB-NP\tO' -p59507 -aS'and\tand\tCC\tI-NP\tO' -p59508 -aS'Cipro\tCipro\tNNP\tI-NP\tO' -p59509 -aS'were\tbe\tVBD\tB-VP\tO' -p59510 -aS'then\tthen\tRB\tI-VP\tO' -p59511 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p59512 -aS'and\tand\tCC\tO\tO' -p59513 -aS'changed\tchange\tVBN\tB-VP\tO' -p59514 -aS'to\tto\tTO\tB-VP\tO' -p59515 -aS'meropenem\tmeropenem\tVB\tI-VP\tO' -p59516 -aS'when\twhen\tWRB\tB-ADVP\tO' -p59517 -aS'blood\tblood\tNN\tB-NP\tO' -p59518 -aS'culture\tculture\tNN\tI-NP\tO' -p59519 -aS'sensitivities\tsensitivity\tNNS\tI-NP\tO' -p59520 -aS'became\tbecome\tVBD\tB-VP\tO' -p59521 -aS'available\tavailable\tJJ\tB-ADJP\tO' -p59522 -aS'revealing\treveal\tVBG\tB-NP\tO' -p59523 -aS'GNR\tGNR\tNN\tI-NP\tB-protein' -p59524 -aS'sensitive\tsensitive\tJJ\tB-ADJP\tO' -p59525 -aS'to\tto\tTO\tB-PP\tO' -p59526 -aS'Jacoby\tJacoby\tNNP\tB-NP\tO' -p59527 -aS'but\tbut\tCC\tO\tO' -p59528 -aS'resistant\tresistant\tJJ\tB-ADJP\tO' -p59529 -aS'to\tto\tTO\tB-PP\tO' -p59530 -aS'both\tboth\tDT\tB-NP\tO' -p59531 -aS'Gent\tGent\tNNP\tI-NP\tO' -p59532 -aS'and\tand\tCC\tI-NP\tO' -p59533 -aS'Cipro\tCipro\tNNP\tI-NP\tO' -p59534 -aS'.\t.\t.\tO\tO' -p59535 -asS'The patient was admitted to the O-CMED Service for further management .' -p59536 -(lp59537 -S'The\tThe\tDT\tB-NP\tO' -p59538 -aS'patient\tpatient\tNN\tI-NP\tO' -p59539 -aS'was\tbe\tVBD\tB-VP\tO' -p59540 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p59541 -aS'to\tto\tTO\tB-PP\tO' -p59542 -aS'the\tthe\tDT\tB-NP\tO' -p59543 -aS'O-CMED\tO-CMED\tNNP\tI-NP\tO' -p59544 -aS'Service\tService\tNNP\tI-NP\tO' -p59545 -aS'for\tfor\tIN\tB-PP\tO' -p59546 -aS'further\tfurther\tJJ\tB-NP\tO' -p59547 -aS'management\tmanagement\tNN\tI-NP\tO' -p59548 -aS'.\t.\t.\tO\tO' -p59549 -asS'The first was Acinetobacter calcoaceticus subspecies anitratus , treated with Ciprofloxacin and Gentamicin .' -p59550 -(lp59551 -S'The\tThe\tDT\tB-NP\tO' -p59552 -aS'first\tfirst\tJJ\tI-NP\tO' -p59553 -aS'was\tbe\tVBD\tB-VP\tO' -p59554 -aS'Acinetobacter\tAcinetobacter\tNN\tB-NP\tO' -p59555 -aS'calcoaceticus\tcalcoaceticus\tNN\tI-NP\tO' -p59556 -aS'subspecies\tsubspecy\tNNS\tI-NP\tO' -p59557 -aS'anitratus\tanitratus\tNN\tI-NP\tO' -p59558 -aS',\t,\t,\tO\tO' -p59559 -aS'treated\ttreat\tVBN\tB-VP\tO' -p59560 -aS'with\twith\tIN\tB-PP\tO' -p59561 -aS'Ciprofloxacin\tCiprofloxacin\tNN\tB-NP\tO' -p59562 -aS'and\tand\tCC\tI-NP\tO' -p59563 -aS'Gentamicin\tGentamicin\tNN\tI-NP\tO' -p59564 -aS'.\t.\t.\tO\tO' -p59565 -asS'The patient was found to have a resting heart rate of approximately 50 subsequent to this .' -p59566 -(lp59567 -S'The\tThe\tDT\tB-NP\tO' -p59568 -aS'patient\tpatient\tNN\tI-NP\tO' -p59569 -aS'was\tbe\tVBD\tB-VP\tO' -p59570 -aS'found\tfind\tVBN\tI-VP\tO' -p59571 -aS'to\tto\tTO\tI-VP\tO' -p59572 -aS'have\thave\tVB\tI-VP\tO' -p59573 -aS'a\ta\tDT\tB-NP\tO' -p59574 -aS'resting\tresting\tJJ\tI-NP\tO' -p59575 -aS'heart\theart\tNN\tI-NP\tO' -p59576 -aS'rate\trate\tNN\tI-NP\tO' -p59577 -aS'of\tof\tIN\tB-PP\tO' -p59578 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p59579 -aS'50\t50\tCD\tI-NP\tO' -p59580 -aS'subsequent\tsubsequent\tJJ\tI-NP\tO' -p59581 -aS'to\tto\tTO\tB-PP\tO' -p59582 -aS'this\tthis\tDT\tB-NP\tO' -p59583 -aS'.\t.\t.\tO\tO' -p59584 -asS'2+ dorsalis pedis and radial pulse on left .' -p59585 -(lp59586 -S'2+\t2+\tJJ\tB-NP\tO' -p59587 -aS'dorsalis\tdorsalis\tNN\tI-NP\tO' -p59588 -aS'pedis\tpedis\tNN\tI-NP\tO' -p59589 -aS'and\tand\tCC\tO\tO' -p59590 -aS'radial\tradial\tJJ\tB-NP\tO' -p59591 -aS'pulse\tpulse\tNN\tI-NP\tO' -p59592 -aS'on\ton\tIN\tB-PP\tO' -p59593 -aS'left\tleft\tNN\tB-NP\tO' -p59594 -aS'.\t.\t.\tO\tO' -p59595 -asS'Please follow-up with PCP .' -p59596 -(lp59597 -S'Please\tPlease\tNN\tB-NP\tO' -p59598 -aS'follow-up\tfollow-up\tNN\tI-NP\tO' -p59599 -aS'with\twith\tIN\tB-PP\tO' -p59600 -aS'PCP\tPCP\tNN\tB-NP\tB-protein' -p59601 -aS'.\t.\t.\tO\tO' -p59602 -asS'General : Asleep , easily arousable .' -p59603 -(lp59604 -S'General\tGeneral\tNNP\tB-NP\tO' -p59605 -aS':\t:\t:\tO\tO' -p59606 -aS'Asleep\tAsleep\tNNP\tB-NP\tO' -p59607 -aS',\t,\t,\tO\tO' -p59608 -aS'easily\teasily\tRB\tB-ADJP\tO' -p59609 -aS'arousable\tarousable\tJJ\tI-ADJP\tO' -p59610 -aS'.\t.\t.\tO\tO' -p59611 -asS'His abdomen is soft and nontender .' -p59612 -(lp59613 -S'His\tHis\tPRP$\tB-NP\tO' -p59614 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p59615 -aS'is\tbe\tVBZ\tB-VP\tO' -p59616 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p59617 -aS'and\tand\tCC\tI-ADJP\tO' -p59618 -aS'nontender\tnontender\tJJ\tI-ADJP\tO' -p59619 -aS'.\t.\t.\tO\tO' -p59620 -asS'He will also go home with VNA for INRs twice weekly with the results reported to his PCP or cardiologist for Coumadin adjustment .' -p59621 -(lp59622 -S'He\tHe\tPRP\tB-NP\tO' -p59623 -aS'will\twill\tMD\tB-VP\tO' -p59624 -aS'also\talso\tRB\tI-VP\tO' -p59625 -aS'go\tgo\tVB\tI-VP\tO' -p59626 -aS'home\thome\tNN\tB-ADVP\tO' -p59627 -aS'with\twith\tIN\tB-PP\tO' -p59628 -aS'VNA\tVNA\tNN\tB-NP\tB-protein' -p59629 -aS'for\tfor\tIN\tB-PP\tO' -p59630 -aS'INRs\tINR\tNNS\tB-NP\tB-protein' -p59631 -aS'twice\ttwice\tRB\tB-ADVP\tO' -p59632 -aS'weekly\tweekly\tRB\tI-ADVP\tO' -p59633 -aS'with\twith\tIN\tB-PP\tO' -p59634 -aS'the\tthe\tDT\tB-NP\tO' -p59635 -aS'results\tresult\tNNS\tI-NP\tO' -p59636 -aS'reported\treport\tVBN\tB-VP\tO' -p59637 -aS'to\tto\tTO\tB-PP\tO' -p59638 -aS'his\this\tPRP$\tB-NP\tO' -p59639 -aS'PCP\tPCP\tNN\tI-NP\tB-DNA' -p59640 -aS'or\tor\tCC\tI-NP\tO' -p59641 -aS'cardiologist\tcardiologist\tNN\tI-NP\tO' -p59642 -aS'for\tfor\tIN\tB-PP\tO' -p59643 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p59644 -aS'adjustment\tadjustment\tNN\tI-NP\tO' -p59645 -aS'.\t.\t.\tO\tO' -p59646 -asS'Overnight in the ICU patient was noticed to have painful bullae on hands and arm along with swelling .' -p59647 -(lp59648 -S'Overnight\tOvernight\tRB\tB-ADVP\tO' -p59649 -aS'in\tin\tIN\tB-PP\tO' -p59650 -aS'the\tthe\tDT\tB-NP\tO' -p59651 -aS'ICU\tICU\tNN\tI-NP\tO' -p59652 -aS'patient\tpatient\tNN\tI-NP\tO' -p59653 -aS'was\tbe\tVBD\tB-VP\tO' -p59654 -aS'noticed\tnotice\tVBN\tI-VP\tO' -p59655 -aS'to\tto\tTO\tI-VP\tO' -p59656 -aS'have\thave\tVB\tI-VP\tO' -p59657 -aS'painful\tpainful\tJJ\tB-NP\tO' -p59658 -aS'bullae\tbulla\tNNS\tI-NP\tO' -p59659 -aS'on\ton\tIN\tB-PP\tO' -p59660 -aS'hands\thand\tNNS\tB-NP\tO' -p59661 -aS'and\tand\tCC\tI-NP\tO' -p59662 -aS'arm\tarm\tNN\tI-NP\tO' -p59663 -aS'along\talong\tIN\tB-PP\tO' -p59664 -aS'with\twith\tIN\tB-PP\tO' -p59665 -aS'swelling\tswelling\tNN\tB-NP\tO' -p59666 -aS'.\t.\t.\tO\tO' -p59667 -asS"On post-op day #3 , the patient 's pacing wires were removed , and his lopressor was started ." -p59668 -(lp59669 -S'On\tOn\tIN\tB-PP\tO' -p59670 -aS'post-op\tpost-op\tJJ\tB-NP\tO' -p59671 -aS'day\tday\tNN\tI-NP\tO' -p59672 -aS'#3\t#3\tNN\tI-NP\tO' -p59673 -aS',\t,\t,\tO\tO' -p59674 -aS'the\tthe\tDT\tB-NP\tO' -p59675 -aS'patient\tpatient\tNN\tI-NP\tO' -p59676 -aS"'s\t's\tPOS\tB-NP\tO" -p59677 -aS'pacing\tpacing\tNN\tI-NP\tO' -p59678 -aS'wires\twire\tNNS\tI-NP\tO' -p59679 -aS'were\tbe\tVBD\tB-VP\tO' -p59680 -aS'removed\tremove\tVBN\tI-VP\tO' -p59681 -aS',\t,\t,\tO\tO' -p59682 -aS'and\tand\tCC\tO\tO' -p59683 -aS'his\this\tPRP$\tB-NP\tO' -p59684 -aS'lopressor\tlopressor\tNN\tI-NP\tO' -p59685 -aS'was\tbe\tVBD\tB-VP\tO' -p59686 -aS'started\tstart\tVBN\tI-VP\tO' -p59687 -aS'.\t.\t.\tO\tO' -p59688 -asS'Gen : caucasian man lying in bed , NAD' -p59689 -(lp59690 -S'Gen\tGen\tNN\tB-NP\tO' -p59691 -aS':\t:\t:\tO\tO' -p59692 -aS'caucasian\tcaucasian\tJJ\tB-NP\tO' -p59693 -aS'man\tman\tNN\tI-NP\tO' -p59694 -aS'lying\tlie\tVBG\tB-VP\tO' -p59695 -aS'in\tin\tIN\tB-PP\tO' -p59696 -aS'bed\tbed\tNN\tB-NP\tO' -p59697 -aS',\t,\t,\tO\tO' -p59698 -aS'NAD\tNAD\tNN\tB-NP\tO' -p59699 -asS'Status post gastric stapling .' -p59700 -(lp59701 -S'Status\tStatus\tNNP\tB-NP\tO' -p59702 -aS'post\tpost\tVBD\tB-VP\tO' -p59703 -aS'gastric\tgastric\tJJ\tB-NP\tO' -p59704 -aS'stapling\tstapling\tNN\tI-NP\tO' -p59705 -aS'.\t.\t.\tO\tO' -p59706 -asS'There is occasional left chest tightening which is brief .' -p59707 -(lp59708 -S'There\tThere\tEX\tB-NP\tO' -p59709 -aS'is\tbe\tVBZ\tB-VP\tO' -p59710 -aS'occasional\toccasional\tJJ\tB-NP\tO' -p59711 -aS'left\tleft\tJJ\tI-NP\tO' -p59712 -aS'chest\tchest\tNN\tI-NP\tO' -p59713 -aS'tightening\ttighten\tVBG\tB-VP\tO' -p59714 -aS'which\twhich\tWDT\tB-NP\tO' -p59715 -aS'is\tbe\tVBZ\tB-VP\tO' -p59716 -aS'brief\tbrief\tJJ\tB-ADJP\tO' -p59717 -aS'.\t.\t.\tO\tO' -p59718 -asS'Blood cultures mentioned previously were positive for C. perfringens .' -p59719 -(lp59720 -S'Blood\tBlood\tNN\tB-NP\tO' -p59721 -aS'cultures\tculture\tNNS\tI-NP\tO' -p59722 -aS'mentioned\tmention\tVBN\tB-VP\tO' -p59723 -aS'previously\tpreviously\tRB\tB-ADVP\tO' -p59724 -aS'were\tbe\tVBD\tB-VP\tO' -p59725 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p59726 -aS'for\tfor\tIN\tB-PP\tO' -p59727 -aS'C.\tC.\tNNP\tB-NP\tO' -p59728 -aS'perfringens\tperfringen\tNNS\tI-NP\tO' -p59729 -aS'.\t.\t.\tO\tO' -p59730 -asS'There was also elevation of the PTT suggesting possible inborn coagulopathy .' -p59731 -(lp59732 -S'There\tThere\tEX\tB-NP\tO' -p59733 -aS'was\tbe\tVBD\tB-VP\tO' -p59734 -aS'also\talso\tRB\tB-ADVP\tO' -p59735 -aS'elevation\televation\tNN\tB-NP\tO' -p59736 -aS'of\tof\tIN\tB-PP\tO' -p59737 -aS'the\tthe\tDT\tB-NP\tO' -p59738 -aS'PTT\tPTT\tNN\tI-NP\tO' -p59739 -aS'suggesting\tsuggest\tVBG\tB-VP\tO' -p59740 -aS'possible\tpossible\tJJ\tB-NP\tO' -p59741 -aS'inborn\tinborn\tJJ\tI-NP\tO' -p59742 -aS'coagulopathy\tcoagulopathy\tNN\tI-NP\tO' -p59743 -aS'.\t.\t.\tO\tO' -p59744 -asS'Patient continued on Lactulose .' -p59745 -(lp59746 -S'Patient\tPatient\tNN\tB-NP\tO' -p59747 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p59748 -aS'on\ton\tIN\tB-PP\tO' -p59749 -aS'Lactulose\tLactulose\tNN\tB-NP\tO' -p59750 -aS'.\t.\t.\tO\tO' -p59751 -asS'No other confluent infiltrates are appreciated' -p59752 -(lp59753 -S'No\tNo\tDT\tB-NP\tO' -p59754 -aS'other\tother\tJJ\tI-NP\tO' -p59755 -aS'confluent\tconfluent\tJJ\tI-NP\tO' -p59756 -aS'infiltrates\tinfiltrate\tNNS\tI-NP\tO' -p59757 -aS'are\tbe\tVBP\tB-VP\tO' -p59758 -aS'appreciated\tappreciate\tVBN\tI-VP\tO' -p59759 -asS'9. Prilosec 20 mg Capsule , Delayed Release ( E.C. ) Sig : One ( 1 ) Capsule , Delayed Release ( E.C. ) PO once a Gray .' -p59760 -(lp59761 -S'9.\t9.\tCD\tB-NP\tO' -p59762 -aS'Prilosec\tPrilosec\tNNP\tI-NP\tO' -p59763 -aS'20\t20\tCD\tI-NP\tO' -p59764 -aS'mg\tmg\tNN\tI-NP\tO' -p59765 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p59766 -aS',\t,\t,\tO\tO' -p59767 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p59768 -aS'Release\tRelease\tNNP\tI-NP\tO' -p59769 -aS'(\t(\t(\tO\tO' -p59770 -aS'E.C.\tE.C.\tNNP\tB-NP\tO' -p59771 -aS')\t)\t)\tO\tO' -p59772 -aS'Sig\tSig\tNNP\tB-NP\tO' -p59773 -aS':\t:\t:\tO\tO' -p59774 -aS'One\tOne\tCD\tB-NP\tO' -p59775 -aS'(\t(\t(\tO\tO' -p59776 -aS'1\t1\tCD\tB-NP\tO' -p59777 -aS')\t)\t)\tO\tO' -p59778 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p59779 -aS',\t,\t,\tO\tO' -p59780 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p59781 -aS'Release\tRelease\tNNP\tI-NP\tO' -p59782 -aS'(\t(\t(\tO\tO' -p59783 -aS'E.C.\tE.C.\tNNP\tO\tO' -p59784 -aS')\t)\t)\tO\tO' -p59785 -aS'PO\tPO\tNN\tB-NP\tO' -p59786 -aS'once\tonce\tRB\tB-ADVP\tO' -p59787 -aS'a\ta\tDT\tB-NP\tO' -p59788 -aS'Gray\tGray\tNNP\tI-NP\tO' -p59789 -aS'.\t.\t.\tO\tO' -p59790 -asS'On transfer , the pt had VSS with a mildly tender abdomen without peritoneal signs .' -p59791 -(lp59792 -S'On\tOn\tIN\tB-PP\tO' -p59793 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p59794 -aS',\t,\t,\tO\tO' -p59795 -aS'the\tthe\tDT\tB-NP\tO' -p59796 -aS'pt\tpt\tNN\tI-NP\tO' -p59797 -aS'had\thave\tVBD\tB-VP\tO' -p59798 -aS'VSS\tVSS\tNN\tB-NP\tB-protein' -p59799 -aS'with\twith\tIN\tB-PP\tO' -p59800 -aS'a\ta\tDT\tB-NP\tO' -p59801 -aS'mildly\tmildly\tRB\tI-NP\tO' -p59802 -aS'tender\ttender\tNN\tI-NP\tO' -p59803 -aS'abdomen\tabdoman\tNNS\tI-NP\tO' -p59804 -aS'without\twithout\tIN\tB-PP\tO' -p59805 -aS'peritoneal\tperitoneal\tJJ\tB-NP\tO' -p59806 -aS'signs\tsign\tNNS\tI-NP\tO' -p59807 -aS'.\t.\t.\tO\tO' -p59808 -asS'If you have any further black stools , bleeding , lightheadedness or any other concerning symptoms please contact your PCP or return to the emergency room .' -p59809 -(lp59810 -S'If\tIf\tIN\tB-SBAR\tO' -p59811 -aS'you\tyou\tPRP\tB-NP\tO' -p59812 -aS'have\thave\tVBP\tB-VP\tO' -p59813 -aS'any\tany\tDT\tB-NP\tO' -p59814 -aS'further\tfurther\tJJ\tI-NP\tO' -p59815 -aS'black\tblack\tJJ\tI-NP\tO' -p59816 -aS'stools\tstool\tNNS\tI-NP\tO' -p59817 -aS',\t,\t,\tO\tO' -p59818 -aS'bleeding\tbleeding\tNN\tB-NP\tO' -p59819 -aS',\t,\t,\tO\tO' -p59820 -aS'lightheadedness\tlightheadedness\tNN\tB-NP\tO' -p59821 -aS'or\tor\tCC\tO\tO' -p59822 -aS'any\tany\tDT\tB-NP\tO' -p59823 -aS'other\tother\tJJ\tI-NP\tO' -p59824 -aS'concerning\tconcern\tVBG\tI-NP\tO' -p59825 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p59826 -aS'please\tplease\tVB\tB-VP\tO' -p59827 -aS'contact\tcontact\tNN\tB-NP\tO' -p59828 -aS'your\tyour\tPRP$\tB-NP\tO' -p59829 -aS'PCP\tPCP\tNN\tI-NP\tB-DNA' -p59830 -aS'or\tor\tCC\tO\tO' -p59831 -aS'return\treturn\tVB\tB-VP\tO' -p59832 -aS'to\tto\tTO\tB-PP\tO' -p59833 -aS'the\tthe\tDT\tB-NP\tO' -p59834 -aS'emergency\temergency\tNN\tI-NP\tO' -p59835 -aS'room\troom\tNN\tI-NP\tO' -p59836 -aS'.\t.\t.\tO\tO' -p59837 -asS'Digoxin 0.125 mg po q.d. , Lasix 40 mg b.i.d. , aspirin held , and Vanceril three puffs b.i.d.' -p59838 -(lp59839 -S'Digoxin\tDigoxin\tNN\tB-NP\tO' -p59840 -aS'0.125\t0.125\tCD\tI-NP\tO' -p59841 -aS'mg\tmg\tNN\tI-NP\tO' -p59842 -aS'po\tpo\tNN\tI-NP\tO' -p59843 -aS'q.d.\tq.d.\tNNP\tI-NP\tO' -p59844 -aS',\t,\t,\tI-NP\tO' -p59845 -aS'Lasix\tLasix\tNNP\tI-NP\tO' -p59846 -aS'40\t40\tCD\tI-NP\tO' -p59847 -aS'mg\tmg\tNN\tI-NP\tO' -p59848 -aS'b.i.d.\tb.i.d.\tRB\tB-ADVP\tO' -p59849 -aS',\t,\t,\tO\tO' -p59850 -aS'aspirin\taspirin\tNN\tB-NP\tO' -p59851 -aS'held\thold\tVBN\tB-VP\tO' -p59852 -aS',\t,\t,\tO\tO' -p59853 -aS'and\tand\tCC\tO\tO' -p59854 -aS'Vanceril\tVanceril\tNNP\tB-NP\tO' -p59855 -aS'three\tthree\tCD\tB-NP\tO' -p59856 -aS'puffs\tpuff\tNNS\tI-NP\tO' -p59857 -aS'b.i.d.\tb.i.d.\tRB\tB-ADVP\tO' -p59858 -asS'Tai Pamela Christopher , Oklahoma 05158' -p59859 -(lp59860 -S'Tai\tTai\tNNP\tB-NP\tO' -p59861 -aS'Pamela\tPamela\tNNP\tI-NP\tO' -p59862 -aS'Christopher\tChristopher\tNNP\tI-NP\tO' -p59863 -aS',\t,\t,\tO\tO' -p59864 -aS'Oklahoma\tOklahoma\tNNP\tB-NP\tO' -p59865 -aS'05158\t05158\tCD\tI-NP\tO' -p59866 -asS'3. Car seat position screening passed .' -p59867 -(lp59868 -S'3.\t3.\tLS\tB-NP\tO' -p59869 -aS'Car\tCar\tNN\tI-NP\tB-protein' -p59870 -aS'seat\tseat\tNN\tI-NP\tO' -p59871 -aS'position\tposition\tNN\tI-NP\tO' -p59872 -aS'screening\tscreening\tNN\tI-NP\tO' -p59873 -aS'passed\tpass\tVBN\tB-VP\tO' -p59874 -aS'.\t.\t.\tO\tO' -p59875 -asS'Mitral Valve Replacement with 31 mm SJM Biocor Tissue valve / della' -p59876 -(lp59877 -S'Mitral\tMitral\tNNP\tB-NP\tO' -p59878 -aS'Valve\tValve\tNNP\tI-NP\tO' -p59879 -aS'Replacement\tReplacement\tNNP\tI-NP\tO' -p59880 -aS'with\twith\tIN\tB-PP\tO' -p59881 -aS'31\t31\tCD\tB-NP\tO' -p59882 -aS'mm\tmm\tNN\tI-NP\tO' -p59883 -aS'SJM\tSJM\tNNP\tI-NP\tO' -p59884 -aS'Biocor\tBiocor\tNNP\tI-NP\tO' -p59885 -aS'Tissue\tTissue\tNN\tI-NP\tO' -p59886 -aS'valve\tvalve\tNN\tI-NP\tO' -p59887 -aS'/\t/\tSYM\tB-VP\tO' -p59888 -aS'della\tdella\tNN\tB-NP\tO' -p59889 -asS'Pt was transferred here for further mgmt of airway and large thyroid mass by our IP team .' -p59890 -(lp59891 -S'Pt\tPt\tNN\tB-NP\tO' -p59892 -aS'was\tbe\tVBD\tB-VP\tO' -p59893 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p59894 -aS'here\there\tRB\tB-ADVP\tO' -p59895 -aS'for\tfor\tIN\tB-PP\tO' -p59896 -aS'further\tfurther\tJJ\tB-NP\tO' -p59897 -aS'mgmt\tmgmt\tNN\tI-NP\tO' -p59898 -aS'of\tof\tIN\tB-PP\tO' -p59899 -aS'airway\tairway\tNN\tB-NP\tO' -p59900 -aS'and\tand\tCC\tO\tO' -p59901 -aS'large\tlarge\tJJ\tB-NP\tO' -p59902 -aS'thyroid\tthyroid\tJJ\tI-NP\tO' -p59903 -aS'mass\tmass\tNN\tI-NP\tO' -p59904 -aS'by\tby\tIN\tB-PP\tO' -p59905 -aS'our\tour\tPRP$\tB-NP\tO' -p59906 -aS'IP\tIP\tNN\tI-NP\tO' -p59907 -aS'team\tteam\tNN\tI-NP\tO' -p59908 -aS'.\t.\t.\tO\tO' -p59909 -asS'The patient received chest physical therapy bid .' -p59910 -(lp59911 -S'The\tThe\tDT\tB-NP\tO' -p59912 -aS'patient\tpatient\tNN\tI-NP\tO' -p59913 -aS'received\treceive\tVBD\tB-VP\tO' -p59914 -aS'chest\tchest\tNN\tB-NP\tO' -p59915 -aS'physical\tphysical\tJJ\tI-NP\tO' -p59916 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p59917 -aS'bid\tbid\tNN\tI-NP\tO' -p59918 -aS'.\t.\t.\tO\tO' -p59919 -asS'2. Silent stroke affecting anterior part of brain' -p59920 -(lp59921 -S'2.\t2.\tLS\tB-LST\tO' -p59922 -aS'Silent\tSilent\tNNP\tB-NP\tO' -p59923 -aS'stroke\tstroke\tVBD\tB-VP\tO' -p59924 -aS'affecting\taffect\tVBG\tI-VP\tO' -p59925 -aS'anterior\tanterior\tJJ\tB-NP\tO' -p59926 -aS'part\tpart\tNN\tI-NP\tO' -p59927 -aS'of\tof\tIN\tB-PP\tO' -p59928 -aS'brain\tbrain\tNN\tB-NP\tO' -p59929 -asS'He is to have follow up in the wound clinic in two weeks and follow up with Dr. Brewster in two to three weeks and follow up with Dr. Rota in 4 weeks .' -p59930 -(lp59931 -S'He\tHe\tPRP\tB-NP\tO' -p59932 -aS'is\tbe\tVBZ\tB-VP\tO' -p59933 -aS'to\tto\tTO\tI-VP\tO' -p59934 -aS'have\thave\tVB\tI-VP\tO' -p59935 -aS'follow\tfollow\tVB\tI-VP\tO' -p59936 -aS'up\tup\tRP\tB-PRT\tO' -p59937 -aS'in\tin\tIN\tB-PP\tO' -p59938 -aS'the\tthe\tDT\tB-NP\tO' -p59939 -aS'wound\twound\tNN\tI-NP\tO' -p59940 -aS'clinic\tclinic\tNN\tI-NP\tO' -p59941 -aS'in\tin\tIN\tB-PP\tO' -p59942 -aS'two\ttwo\tCD\tB-NP\tO' -p59943 -aS'weeks\tweek\tNNS\tI-NP\tO' -p59944 -aS'and\tand\tCC\tO\tO' -p59945 -aS'follow\tfollow\tVB\tB-VP\tO' -p59946 -aS'up\tup\tRP\tB-PRT\tO' -p59947 -aS'with\twith\tIN\tB-PP\tO' -p59948 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p59949 -aS'Brewster\tBrewster\tNNP\tI-NP\tO' -p59950 -aS'in\tin\tIN\tB-PP\tO' -p59951 -aS'two\ttwo\tCD\tB-NP\tO' -p59952 -aS'to\tto\tTO\tI-NP\tO' -p59953 -aS'three\tthree\tCD\tI-NP\tO' -p59954 -aS'weeks\tweek\tNNS\tI-NP\tO' -p59955 -aS'and\tand\tCC\tO\tO' -p59956 -aS'follow\tfollow\tVB\tB-VP\tO' -p59957 -aS'up\tup\tRP\tB-PRT\tO' -p59958 -aS'with\twith\tIN\tB-PP\tO' -p59959 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p59960 -aS'Rota\tRota\tNNP\tI-NP\tO' -p59961 -aS'in\tin\tIN\tB-PP\tO' -p59962 -aS'4\t4\tCD\tB-NP\tO' -p59963 -aS'weeks\tweek\tNNS\tI-NP\tO' -p59964 -aS'.\t.\t.\tO\tO' -p59965 -asS'Wheelchair dependent + requires Hoyer lift .' -p59966 -(lp59967 -S'Wheelchair\tWheelchair\tNN\tB-NP\tO' -p59968 -aS'dependent\tdependent\tJJ\tI-NP\tO' -p59969 -aS'+\t+\tSYM\tB-NP\tO' -p59970 -aS'requires\trequire\tVBZ\tB-VP\tO' -p59971 -aS'Hoyer\tHoyer\tNN\tB-NP\tO' -p59972 -aS'lift\tlift\tNN\tI-NP\tO' -p59973 -aS'.\t.\t.\tO\tO' -p59974 -asS'Her extremities are without edema and are warm .' -p59975 -(lp59976 -S'Her\tHer\tPRP$\tB-NP\tO' -p59977 -aS'extremities\textremity\tNNS\tI-NP\tO' -p59978 -aS'are\tbe\tVBP\tB-VP\tO' -p59979 -aS'without\twithout\tIN\tB-PP\tO' -p59980 -aS'edema\tedema\tNN\tB-NP\tO' -p59981 -aS'and\tand\tCC\tO\tO' -p59982 -aS'are\tbe\tVBP\tB-VP\tO' -p59983 -aS'warm\twarm\tJJ\tB-ADJP\tO' -p59984 -aS'.\t.\t.\tO\tO' -p59985 -asS'The patient was managed on the Medical Service for his drop in blood pressure and cardiac evaluation .' -p59986 -(lp59987 -S'The\tThe\tDT\tB-NP\tO' -p59988 -aS'patient\tpatient\tNN\tI-NP\tO' -p59989 -aS'was\tbe\tVBD\tB-VP\tO' -p59990 -aS'managed\tmanage\tVBN\tI-VP\tO' -p59991 -aS'on\ton\tIN\tB-PP\tO' -p59992 -aS'the\tthe\tDT\tB-NP\tO' -p59993 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p59994 -aS'Service\tService\tNNP\tI-NP\tO' -p59995 -aS'for\tfor\tIN\tB-PP\tO' -p59996 -aS'his\this\tPRP$\tB-NP\tO' -p59997 -aS'drop\tdrop\tNN\tI-NP\tO' -p59998 -aS'in\tin\tIN\tB-PP\tO' -p59999 -aS'blood\tblood\tNN\tB-NP\tO' -p60000 -aS'pressure\tpressure\tNN\tI-NP\tO' -p60001 -aS'and\tand\tCC\tO\tO' -p60002 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p60003 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p60004 -aS'.\t.\t.\tO\tO' -p60005 -asS'2. Ophthalmology Dr. Wilson .' -p60006 -(lp60007 -S'2.\t2.\tLS\tB-LST\tO' -p60008 -aS'Ophthalmology\tOphthalmology\tNNP\tB-NP\tO' -p60009 -aS'Dr.\tDr.\tNNP\tI-NP\tO' -p60010 -aS'Wilson\tWilson\tNNP\tI-NP\tO' -p60011 -aS'.\t.\t.\tO\tO' -p60012 -asS'4. History of hyperkalemia .' -p60013 -(lp60014 -S'4.\t4.\tLS\tB-NP\tO' -p60015 -aS'History\tHistory\tNN\tI-NP\tO' -p60016 -aS'of\tof\tIN\tB-PP\tO' -p60017 -aS'hyperkalemia\thyperkalemia\tNN\tB-NP\tO' -p60018 -aS'.\t.\t.\tO\tO' -p60019 -asS'Soft , nontender , nondistended .' -p60020 -(lp60021 -S'Soft\tSoft\tRB\tB-ADVP\tO' -p60022 -aS',\t,\t,\tO\tO' -p60023 -aS'nontender\tnontender\tJJ\tB-NP\tO' -p60024 -aS',\t,\t,\tI-NP\tO' -p60025 -aS'nondistended\tnondistended\tJJ\tI-NP\tO' -p60026 -aS'.\t.\t.\tO\tO' -p60027 -asS'HEENT showed pupils equal , round , reactive to light and accommodation , and extra ocular movements intact .' -p60028 -(lp60029 -S'HEENT\tHEENT\tNN\tB-NP\tO' -p60030 -aS'showed\tshow\tVBD\tB-VP\tO' -p60031 -aS'pupils\tpupil\tNNS\tB-NP\tO' -p60032 -aS'equal\tequal\tJJ\tB-NP\tO' -p60033 -aS',\t,\t,\tI-NP\tO' -p60034 -aS'round\tround\tJJ\tI-NP\tO' -p60035 -aS',\t,\t,\tI-NP\tO' -p60036 -aS'reactive\treactive\tJJ\tI-NP\tO' -p60037 -aS'to\tto\tTO\tB-PP\tO' -p60038 -aS'light\tlight\tNN\tB-NP\tO' -p60039 -aS'and\tand\tCC\tI-NP\tO' -p60040 -aS'accommodation\taccommodation\tNN\tI-NP\tO' -p60041 -aS',\t,\t,\tO\tO' -p60042 -aS'and\tand\tCC\tO\tO' -p60043 -aS'extra\textra\tJJ\tB-NP\tO' -p60044 -aS'ocular\tocular\tJJ\tI-NP\tO' -p60045 -aS'movements\tmovement\tNNS\tI-NP\tO' -p60046 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p60047 -aS'.\t.\t.\tO\tO' -p60048 -asS'Peritoneal dialysis was instituted on 4/11 after a Tenckhoff catheter was placed by Drs. Freierm , Le , and Round .' -p60049 -(lp60050 -S'Peritoneal\tPeritoneal\tJJ\tB-NP\tO' -p60051 -aS'dialysis\tdialysis\tNN\tI-NP\tO' -p60052 -aS'was\tbe\tVBD\tB-VP\tO' -p60053 -aS'instituted\tinstitute\tVBN\tI-VP\tO' -p60054 -aS'on\ton\tIN\tB-PP\tO' -p60055 -aS'4/11\t4/11\tCD\tB-NP\tO' -p60056 -aS'after\tafter\tIN\tB-PP\tO' -p60057 -aS'a\ta\tDT\tB-NP\tO' -p60058 -aS'Tenckhoff\tTenckhoff\tNNP\tI-NP\tO' -p60059 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p60060 -aS'was\tbe\tVBD\tB-VP\tO' -p60061 -aS'placed\tplace\tVBN\tI-VP\tO' -p60062 -aS'by\tby\tIN\tB-PP\tO' -p60063 -aS'Drs.\tDrs.\tNNP\tB-NP\tO' -p60064 -aS'Freierm\tFreierm\tNNP\tI-NP\tO' -p60065 -aS',\t,\t,\tO\tO' -p60066 -aS'Le\tLe\tNNP\tB-NP\tO' -p60067 -aS',\t,\t,\tO\tO' -p60068 -aS'and\tand\tCC\tO\tO' -p60069 -aS'Round\tRound\tNN\tB-NP\tO' -p60070 -aS'.\t.\t.\tO\tO' -p60071 -asS'Urinalysis showed specific gravity 1.005 , pH 8.0 , positive proteins , positive red blood cells , negative white cell count , positive glucose .' -p60072 -(lp60073 -S'Urinalysis\tUrinalysis\tNN\tB-NP\tO' -p60074 -aS'showed\tshow\tVBD\tB-VP\tO' -p60075 -aS'specific\tspecific\tJJ\tB-NP\tO' -p60076 -aS'gravity\tgravity\tNN\tI-NP\tO' -p60077 -aS'1.005\t1.005\tCD\tI-NP\tO' -p60078 -aS',\t,\t,\tO\tO' -p60079 -aS'pH\tpH\tNN\tB-NP\tO' -p60080 -aS'8.0\t8.0\tCD\tI-NP\tO' -p60081 -aS',\t,\t,\tO\tO' -p60082 -aS'positive\tpositive\tJJ\tB-NP\tB-protein' -p60083 -aS'proteins\tprotein\tNNS\tI-NP\tI-protein' -p60084 -aS',\t,\t,\tO\tO' -p60085 -aS'positive\tpositive\tJJ\tB-NP\tB-cell_type' -p60086 -aS'red\tred\tJJ\tI-NP\tI-cell_type' -p60087 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p60088 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p60089 -aS',\t,\t,\tO\tO' -p60090 -aS'negative\tnegative\tJJ\tB-NP\tO' -p60091 -aS'white\twhite\tJJ\tI-NP\tO' -p60092 -aS'cell\tcell\tNN\tI-NP\tO' -p60093 -aS'count\tcount\tNN\tI-NP\tO' -p60094 -aS',\t,\t,\tO\tO' -p60095 -aS'positive\tpositive\tJJ\tB-NP\tO' -p60096 -aS'glucose\tglucose\tNN\tI-NP\tO' -p60097 -aS'.\t.\t.\tO\tO' -p60098 -asS'Although details were not available at the time of admission , apparently , she had done well until the 24 hours proceeding admission when the cellulitis was felt to be worsening .' -p60099 -(lp60100 -S'Although\tAlthough\tIN\tB-SBAR\tO' -p60101 -aS'details\tdetail\tNNS\tB-NP\tO' -p60102 -aS'were\tbe\tVBD\tB-VP\tO' -p60103 -aS'not\tnot\tRB\tO\tO' -p60104 -aS'available\tavailable\tJJ\tB-ADJP\tO' -p60105 -aS'at\tat\tIN\tB-PP\tO' -p60106 -aS'the\tthe\tDT\tB-NP\tO' -p60107 -aS'time\ttime\tNN\tI-NP\tO' -p60108 -aS'of\tof\tIN\tB-PP\tO' -p60109 -aS'admission\tadmission\tNN\tB-NP\tO' -p60110 -aS',\t,\t,\tO\tO' -p60111 -aS'apparently\tapparently\tRB\tB-ADVP\tO' -p60112 -aS',\t,\t,\tO\tO' -p60113 -aS'she\tshe\tPRP\tB-NP\tO' -p60114 -aS'had\thave\tVBD\tB-VP\tO' -p60115 -aS'done\tdo\tVBN\tI-VP\tO' -p60116 -aS'well\twell\tRB\tB-ADVP\tO' -p60117 -aS'until\tuntil\tIN\tB-PP\tO' -p60118 -aS'the\tthe\tDT\tB-NP\tO' -p60119 -aS'24\t24\tCD\tI-NP\tO' -p60120 -aS'hours\thour\tNNS\tI-NP\tO' -p60121 -aS'proceeding\tproceed\tVBG\tB-VP\tO' -p60122 -aS'admission\tadmission\tNN\tB-NP\tO' -p60123 -aS'when\twhen\tWRB\tB-ADVP\tO' -p60124 -aS'the\tthe\tDT\tB-NP\tO' -p60125 -aS'cellulitis\tcellulitis\tNN\tI-NP\tO' -p60126 -aS'was\tbe\tVBD\tB-VP\tO' -p60127 -aS'felt\tfeel\tVBN\tI-VP\tO' -p60128 -aS'to\tto\tTO\tI-VP\tO' -p60129 -aS'be\tbe\tVB\tI-VP\tO' -p60130 -aS'worsening\tworsen\tVBG\tI-VP\tO' -p60131 -aS'.\t.\t.\tO\tO' -p60132 -asS'Patient was hospitalized September 26 to November 11 for what was diagnosed by skin biopsy and sinus washings as Acanthamoeba infection of skin and sinuses , without any progression to neurologic infection ( as assessed by head CT and MRI ) .' -p60133 -(lp60134 -S'Patient\tPatient\tNN\tB-NP\tO' -p60135 -aS'was\tbe\tVBD\tB-VP\tO' -p60136 -aS'hospitalized\thospitalize\tVBN\tI-VP\tO' -p60137 -aS'September\tSeptember\tNNP\tB-NP\tO' -p60138 -aS'26\t26\tCD\tI-NP\tO' -p60139 -aS'to\tto\tTO\tB-PP\tO' -p60140 -aS'November\tNovember\tNNP\tB-NP\tO' -p60141 -aS'11\t11\tCD\tI-NP\tO' -p60142 -aS'for\tfor\tIN\tB-PP\tO' -p60143 -aS'what\twhat\tWP\tB-NP\tO' -p60144 -aS'was\tbe\tVBD\tB-VP\tO' -p60145 -aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' -p60146 -aS'by\tby\tIN\tB-PP\tO' -p60147 -aS'skin\tskin\tNN\tB-NP\tO' -p60148 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p60149 -aS'and\tand\tCC\tI-NP\tO' -p60150 -aS'sinus\tsinus\tNN\tI-NP\tO' -p60151 -aS'washings\twashing\tNNS\tI-NP\tO' -p60152 -aS'as\tas\tIN\tB-PP\tO' -p60153 -aS'Acanthamoeba\tAcanthamoeba\tNN\tB-NP\tO' -p60154 -aS'infection\tinfection\tNN\tI-NP\tO' -p60155 -aS'of\tof\tIN\tB-PP\tO' -p60156 -aS'skin\tskin\tNN\tB-NP\tO' -p60157 -aS'and\tand\tCC\tI-NP\tO' -p60158 -aS'sinuses\tsinus\tNNS\tI-NP\tO' -p60159 -aS',\t,\t,\tO\tO' -p60160 -aS'without\twithout\tIN\tB-PP\tO' -p60161 -aS'any\tany\tDT\tB-NP\tO' -p60162 -aS'progression\tprogression\tNN\tI-NP\tO' -p60163 -aS'to\tto\tTO\tB-PP\tO' -p60164 -aS'neurologic\tneurologic\tJJ\tB-NP\tO' -p60165 -aS'infection\tinfection\tNN\tI-NP\tO' -p60166 -aS'(\t(\t(\tO\tO' -p60167 -aS'as\tas\tIN\tB-SBAR\tO' -p60168 -aS'assessed\tassess\tVBN\tB-VP\tO' -p60169 -aS'by\tby\tIN\tB-PP\tO' -p60170 -aS'head\thead\tNN\tB-NP\tO' -p60171 -aS'CT\tCT\tNN\tI-NP\tO' -p60172 -aS'and\tand\tCC\tO\tO' -p60173 -aS'MRI\tMRI\tNN\tB-NP\tB-protein' -p60174 -aS')\t)\t)\tO\tO' -p60175 -aS'.\t.\t.\tO\tO' -p60176 -asS'Part 1 of a sleep study .' -p60177 -(lp60178 -S'Part\tPart\tNNP\tB-NP\tO' -p60179 -aS'1\t1\tCD\tI-NP\tO' -p60180 -aS'of\tof\tIN\tB-PP\tO' -p60181 -aS'a\ta\tDT\tB-NP\tO' -p60182 -aS'sleep\tsleep\tJJ\tI-NP\tO' -p60183 -aS'study\tstudy\tNN\tI-NP\tO' -p60184 -aS'.\t.\t.\tO\tO' -p60185 -asS'She also had one episode of shortness of breath .' -p60186 -(lp60187 -S'She\tShe\tPRP\tB-NP\tO' -p60188 -aS'also\talso\tRB\tB-ADVP\tO' -p60189 -aS'had\thave\tVBD\tB-VP\tO' -p60190 -aS'one\tone\tCD\tB-NP\tO' -p60191 -aS'episode\tepisode\tNN\tI-NP\tO' -p60192 -aS'of\tof\tIN\tB-PP\tO' -p60193 -aS'shortness\tshortness\tNN\tB-NP\tO' -p60194 -aS'of\tof\tIN\tB-PP\tO' -p60195 -aS'breath\tbreath\tNN\tB-NP\tO' -p60196 -aS'.\t.\t.\tO\tO' -p60197 -asS'Neuro exam was alert and oriented x 3 .' -p60198 -(lp60199 -S'Neuro\tNeuro\tNN\tB-NP\tO' -p60200 -aS'exam\texam\tNN\tI-NP\tO' -p60201 -aS'was\tbe\tVBD\tB-VP\tO' -p60202 -aS'alert\talert\tJJ\tB-ADJP\tO' -p60203 -aS'and\tand\tCC\tO\tO' -p60204 -aS'oriented\torient\tVBN\tB-VP\tB-protein' -p60205 -aS'x\tx\tNN\tB-NP\tI-protein' -p60206 -aS'3\t3\tCD\tI-NP\tI-protein' -p60207 -aS'.\t.\t.\tO\tO' -p60208 -asS'Shoulder elevation is 170 degrees with 70 degrees of external rotation and internal rotation of the right shoulder to T9 vertebra versus T7 on the left .' -p60209 -(lp60210 -S'Shoulder\tShoulder\tNN\tB-NP\tO' -p60211 -aS'elevation\televation\tNN\tI-NP\tO' -p60212 -aS'is\tbe\tVBZ\tB-VP\tO' -p60213 -aS'170\t170\tCD\tB-NP\tO' -p60214 -aS'degrees\tdegree\tNNS\tI-NP\tO' -p60215 -aS'with\twith\tIN\tB-PP\tO' -p60216 -aS'70\t70\tCD\tB-NP\tO' -p60217 -aS'degrees\tdegree\tNNS\tI-NP\tO' -p60218 -aS'of\tof\tIN\tB-PP\tO' -p60219 -aS'external\texternal\tJJ\tB-NP\tO' -p60220 -aS'rotation\trotation\tNN\tI-NP\tO' -p60221 -aS'and\tand\tCC\tO\tO' -p60222 -aS'internal\tinternal\tJJ\tB-NP\tO' -p60223 -aS'rotation\trotation\tNN\tI-NP\tO' -p60224 -aS'of\tof\tIN\tB-PP\tO' -p60225 -aS'the\tthe\tDT\tB-NP\tO' -p60226 -aS'right\tright\tJJ\tI-NP\tO' -p60227 -aS'shoulder\tshoulder\tNN\tI-NP\tO' -p60228 -aS'to\tto\tTO\tB-PP\tO' -p60229 -aS'T9\tT9\tNN\tB-NP\tO' -p60230 -aS'vertebra\tvertebra\tNN\tI-NP\tO' -p60231 -aS'versus\tversus\tIN\tB-PP\tO' -p60232 -aS'T7\tT7\tNN\tB-NP\tB-DNA' -p60233 -aS'on\ton\tIN\tB-PP\tO' -p60234 -aS'the\tthe\tDT\tB-NP\tO' -p60235 -aS'left\tleft\tNN\tI-NP\tO' -p60236 -aS'.\t.\t.\tO\tO' -p60237 -asS'Postoperatively , the patient was ventilated .' -p60238 -(lp60239 -S'Postoperatively\tPostoperatively\tRB\tB-ADVP\tO' -p60240 -aS',\t,\t,\tO\tO' -p60241 -aS'the\tthe\tDT\tB-NP\tO' -p60242 -aS'patient\tpatient\tNN\tI-NP\tO' -p60243 -aS'was\tbe\tVBD\tB-VP\tO' -p60244 -aS'ventilated\tventilate\tVBN\tI-VP\tO' -p60245 -aS'.\t.\t.\tO\tO' -p60246 -asS'S1 S2 .' -p60247 -(lp60248 -S'S1\tS1\tNN\tB-NP\tB-protein' -p60249 -aS'S2\tS2\tNN\tI-NP\tI-protein' -p60250 -aS'.\t.\t.\tO\tO' -p60251 -asS'Over the next postoperative day the patient was awakened and weaned to extubate without significant difficulties .' -p60252 -(lp60253 -S'Over\tOver\tIN\tB-PP\tO' -p60254 -aS'the\tthe\tDT\tB-NP\tO' -p60255 -aS'next\tnext\tJJ\tI-NP\tO' -p60256 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p60257 -aS'day\tday\tNN\tI-NP\tO' -p60258 -aS'the\tthe\tDT\tB-NP\tO' -p60259 -aS'patient\tpatient\tNN\tI-NP\tO' -p60260 -aS'was\tbe\tVBD\tB-VP\tO' -p60261 -aS'awakened\tawaken\tVBN\tI-VP\tO' -p60262 -aS'and\tand\tCC\tO\tO' -p60263 -aS'weaned\twean\tVBN\tB-VP\tO' -p60264 -aS'to\tto\tTO\tB-VP\tO' -p60265 -aS'extubate\textubate\tVB\tI-VP\tO' -p60266 -aS'without\twithout\tIN\tB-PP\tO' -p60267 -aS'significant\tsignificant\tJJ\tB-NP\tO' -p60268 -aS'difficulties\tdifficulty\tNNS\tI-NP\tO' -p60269 -aS'.\t.\t.\tO\tO' -p60270 -asS'Other medical problems stable .' -p60271 -(lp60272 -S'Other\tOther\tJJ\tB-NP\tO' -p60273 -aS'medical\tmedical\tJJ\tI-NP\tO' -p60274 -aS'problems\tproblem\tNNS\tI-NP\tO' -p60275 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p60276 -aS'.\t.\t.\tO\tO' -p60277 -asS'Continuing taking meds she prescribed .' -p60278 -(lp60279 -S'Continuing\tContinue\tVBG\tB-VP\tO' -p60280 -aS'taking\ttake\tVBG\tI-VP\tO' -p60281 -aS'meds\tmed\tNNS\tB-NP\tO' -p60282 -aS'she\tshe\tPRP\tB-NP\tO' -p60283 -aS'prescribed\tprescribe\tVBD\tB-VP\tO' -p60284 -aS'.\t.\t.\tO\tO' -p60285 -asS'Chest x-ray revealed moderate cardiomegaly with no clear interstitial or alveolar pulmonary edema and chronic atelectasis and / or scarring at both lung bases .' -p60286 -(lp60287 -S'Chest\tCh\tJJS\tB-NP\tO' -p60288 -aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' -p60289 -aS'revealed\treveal\tVBD\tB-VP\tO' -p60290 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p60291 -aS'cardiomegaly\tcardiomegaly\tNN\tI-NP\tO' -p60292 -aS'with\twith\tIN\tB-PP\tO' -p60293 -aS'no\tno\tDT\tB-NP\tO' -p60294 -aS'clear\tclear\tJJ\tI-NP\tO' -p60295 -aS'interstitial\tinterstitial\tJJ\tI-NP\tO' -p60296 -aS'or\tor\tCC\tI-NP\tO' -p60297 -aS'alveolar\talveolar\tJJ\tI-NP\tO' -p60298 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p60299 -aS'edema\tedema\tNN\tI-NP\tO' -p60300 -aS'and\tand\tCC\tO\tO' -p60301 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p60302 -aS'atelectasis\tatelectasis\tNN\tI-NP\tO' -p60303 -aS'and\tand\tCC\tO\tO' -p60304 -aS'/\t/\tSYM\tB-NP\tO' -p60305 -aS'or\tor\tCC\tO\tO' -p60306 -aS'scarring\tscar\tVBG\tB-VP\tO' -p60307 -aS'at\tat\tIN\tB-PP\tO' -p60308 -aS'both\tboth\tDT\tB-NP\tO' -p60309 -aS'lung\tlung\tNN\tI-NP\tB-protein' -p60310 -aS'bases\tbase\tNNS\tI-NP\tI-protein' -p60311 -aS'.\t.\t.\tO\tO' -p60312 -asS'She was treated with Clindamycin and Erythromycin which were changed to Trovan and then transferred to A Hospital .' -p60313 -(lp60314 -S'She\tShe\tPRP\tB-NP\tO' -p60315 -aS'was\tbe\tVBD\tB-VP\tO' -p60316 -aS'treated\ttreat\tVBN\tI-VP\tO' -p60317 -aS'with\twith\tIN\tB-PP\tO' -p60318 -aS'Clindamycin\tClindamycin\tNN\tB-NP\tO' -p60319 -aS'and\tand\tCC\tI-NP\tO' -p60320 -aS'Erythromycin\tErythromycin\tNN\tI-NP\tO' -p60321 -aS'which\twhich\tWDT\tB-NP\tO' -p60322 -aS'were\tbe\tVBD\tB-VP\tO' -p60323 -aS'changed\tchange\tVBN\tI-VP\tO' -p60324 -aS'to\tto\tTO\tB-PP\tO' -p60325 -aS'Trovan\tTrovan\tNN\tB-NP\tO' -p60326 -aS'and\tand\tCC\tO\tO' -p60327 -aS'then\tthen\tRB\tB-VP\tO' -p60328 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p60329 -aS'to\tto\tTO\tB-PP\tO' -p60330 -aS'A\tA\tNN\tB-NP\tO' -p60331 -aS'Hospital\tHospital\tNN\tI-NP\tO' -p60332 -aS'.\t.\t.\tO\tO' -p60333 -asS'STATUS POST ORTHOTOPIC CARDIAC TRANSPLANT .' -p60334 -(lp60335 -S'STATUS\tSTATUS\tNNP\tB-NP\tO' -p60336 -aS'POST\tPOST\tNNP\tI-NP\tO' -p60337 -aS'ORTHOTOPIC\tORTHOTOPIC\tNNP\tI-NP\tO' -p60338 -aS'CARDIAC\tCARDIAC\tNNP\tI-NP\tO' -p60339 -aS'TRANSPLANT\tTRANSPLANT\tNNP\tI-NP\tO' -p60340 -aS'.\t.\t.\tO\tO' -p60341 -asS'Widowed since 1972 , no tobacco , no alcohol , lives alone .' -p60342 -(lp60343 -S'Widowed\tWidow\tVBD\tB-VP\tO' -p60344 -aS'since\tsince\tIN\tB-PP\tO' -p60345 -aS'1972\t1972\tCD\tB-NP\tO' -p60346 -aS',\t,\t,\tO\tO' -p60347 -aS'no\tno\tDT\tB-NP\tO' -p60348 -aS'tobacco\ttobacco\tNN\tI-NP\tO' -p60349 -aS',\t,\t,\tO\tO' -p60350 -aS'no\tno\tDT\tB-NP\tO' -p60351 -aS'alcohol\talcohol\tNN\tI-NP\tO' -p60352 -aS',\t,\t,\tO\tO' -p60353 -aS'lives\tlive\tVBZ\tB-VP\tO' -p60354 -aS'alone\talone\tRB\tB-ADVP\tO' -p60355 -aS'.\t.\t.\tO\tO' -p60356 -asS'She will be followed by the OT / PT dept. for that .' -p60357 -(lp60358 -S'She\tShe\tPRP\tB-NP\tO' -p60359 -aS'will\twill\tMD\tB-VP\tO' -p60360 -aS'be\tbe\tVB\tI-VP\tO' -p60361 -aS'followed\tfollow\tVBN\tI-VP\tO' -p60362 -aS'by\tby\tIN\tB-PP\tO' -p60363 -aS'the\tthe\tDT\tB-NP\tO' -p60364 -aS'OT\tOT\tNN\tI-NP\tO' -p60365 -aS'/\t/\tSYM\tB-NP\tO' -p60366 -aS'PT\tPT\tNN\tI-NP\tO' -p60367 -aS'dept.\tdept.\tNN\tI-NP\tO' -p60368 -aS'for\tfor\tIN\tB-PP\tO' -p60369 -aS'that\tthat\tDT\tB-NP\tO' -p60370 -aS'.\t.\t.\tO\tO' -p60371 -asS'He stayed in the unit for about one day .' -p60372 -(lp60373 -S'He\tHe\tPRP\tB-NP\tO' -p60374 -aS'stayed\tstay\tVBD\tB-VP\tO' -p60375 -aS'in\tin\tIN\tB-PP\tO' -p60376 -aS'the\tthe\tDT\tB-NP\tO' -p60377 -aS'unit\tunit\tNN\tI-NP\tO' -p60378 -aS'for\tfor\tIN\tB-PP\tO' -p60379 -aS'about\tabout\tRB\tB-NP\tO' -p60380 -aS'one\tone\tCD\tI-NP\tO' -p60381 -aS'day\tday\tNN\tI-NP\tO' -p60382 -aS'.\t.\t.\tO\tO' -p60383 -asS'The patient became intermittently agitated .' -p60384 -(lp60385 -S'The\tThe\tDT\tB-NP\tO' -p60386 -aS'patient\tpatient\tNN\tI-NP\tO' -p60387 -aS'became\tbecome\tVBD\tB-VP\tO' -p60388 -aS'intermittently\tintermittently\tRB\tB-ADJP\tO' -p60389 -aS'agitated\tagitate\tVBN\tI-ADJP\tO' -p60390 -aS'.\t.\t.\tO\tO' -p60391 -asS'Discussed with Dr. Joaquin the addition of an alternate Castelluccio with the possibility of tapering down the dilantin in the future , and he agreed that she may benefit from zonegran .' -p60392 -(lp60393 -S'Discussed\tDiscuss\tVBN\tB-VP\tO' -p60394 -aS'with\twith\tIN\tB-PP\tO' -p60395 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p60396 -aS'Joaquin\tJoaquin\tNNP\tI-NP\tO' -p60397 -aS'the\tthe\tDT\tB-NP\tO' -p60398 -aS'addition\taddition\tNN\tI-NP\tO' -p60399 -aS'of\tof\tIN\tB-PP\tO' -p60400 -aS'an\tan\tDT\tB-NP\tO' -p60401 -aS'alternate\talternate\tJJ\tI-NP\tO' -p60402 -aS'Castelluccio\tCastelluccio\tNNP\tI-NP\tO' -p60403 -aS'with\twith\tIN\tB-PP\tO' -p60404 -aS'the\tthe\tDT\tB-NP\tO' -p60405 -aS'possibility\tpossibility\tNN\tI-NP\tO' -p60406 -aS'of\tof\tIN\tB-PP\tO' -p60407 -aS'tapering\ttaper\tVBG\tB-VP\tO' -p60408 -aS'down\tdown\tRP\tB-PRT\tO' -p60409 -aS'the\tthe\tDT\tB-NP\tO' -p60410 -aS'dilantin\tdilantin\tNN\tI-NP\tO' -p60411 -aS'in\tin\tIN\tB-PP\tO' -p60412 -aS'the\tthe\tDT\tB-NP\tO' -p60413 -aS'future\tfuture\tNN\tI-NP\tO' -p60414 -aS',\t,\t,\tO\tO' -p60415 -aS'and\tand\tCC\tO\tO' -p60416 -aS'he\the\tPRP\tB-NP\tO' -p60417 -aS'agreed\tagree\tVBD\tB-VP\tO' -p60418 -aS'that\tthat\tIN\tB-SBAR\tO' -p60419 -aS'she\tshe\tPRP\tB-NP\tO' -p60420 -aS'may\tmay\tMD\tB-VP\tO' -p60421 -aS'benefit\tbenefit\tVB\tI-VP\tO' -p60422 -aS'from\tfrom\tIN\tB-PP\tO' -p60423 -aS'zonegran\tzonegran\tNN\tB-NP\tO' -p60424 -aS'.\t.\t.\tO\tO' -p60425 -asS'PPI , Heparin SQ .' -p60426 -(lp60427 -S'PPI\tPPI\tNN\tB-NP\tB-protein' -p60428 -aS',\t,\t,\tO\tO' -p60429 -aS'Heparin\tHeparin\tNN\tB-NP\tB-protein' -p60430 -aS'SQ\tSQ\tNN\tI-NP\tI-protein' -p60431 -aS'.\t.\t.\tO\tO' -p60432 -asS'Includes her regular insulin sliding scale and her NPH fixed scale of 7 units in the morning , 2 units at noon and 13 units at bedtime .' -p60433 -(lp60434 -S'Includes\tInclude\tVBZ\tB-VP\tO' -p60435 -aS'her\ther\tPRP$\tB-NP\tB-protein' -p60436 -aS'regular\tregular\tJJ\tI-NP\tI-protein' -p60437 -aS'insulin\tinsulin\tNN\tI-NP\tI-protein' -p60438 -aS'sliding\tslide\tVBG\tB-VP\tO' -p60439 -aS'scale\tscale\tNN\tB-NP\tO' -p60440 -aS'and\tand\tCC\tO\tO' -p60441 -aS'her\ther\tPRP$\tB-NP\tO' -p60442 -aS'NPH\tNPH\tNN\tI-NP\tB-protein' -p60443 -aS'fixed\tfix\tVBD\tB-VP\tO' -p60444 -aS'scale\tscale\tNN\tB-NP\tO' -p60445 -aS'of\tof\tIN\tB-PP\tO' -p60446 -aS'7\t7\tCD\tB-NP\tO' -p60447 -aS'units\tunit\tNNS\tI-NP\tO' -p60448 -aS'in\tin\tIN\tB-PP\tO' -p60449 -aS'the\tthe\tDT\tB-NP\tO' -p60450 -aS'morning\tmorning\tNN\tI-NP\tO' -p60451 -aS',\t,\t,\tO\tO' -p60452 -aS'2\t2\tCD\tB-NP\tO' -p60453 -aS'units\tunit\tNNS\tI-NP\tO' -p60454 -aS'at\tat\tIN\tB-PP\tO' -p60455 -aS'noon\tnoon\tNN\tB-NP\tO' -p60456 -aS'and\tand\tCC\tO\tO' -p60457 -aS'13\t13\tCD\tB-NP\tO' -p60458 -aS'units\tunit\tNNS\tI-NP\tO' -p60459 -aS'at\tat\tIN\tB-PP\tO' -p60460 -aS'bedtime\tbedtime\tNN\tB-NP\tO' -p60461 -aS'.\t.\t.\tO\tO' -p60462 -asS'Bowel sounds are active and patent .' -p60463 -(lp60464 -S'Bowel\tBowel\tNN\tB-NP\tO' -p60465 -aS'sounds\tsound\tNNS\tI-NP\tO' -p60466 -aS'are\tbe\tVBP\tB-VP\tO' -p60467 -aS'active\tactive\tJJ\tB-ADJP\tO' -p60468 -aS'and\tand\tCC\tO\tO' -p60469 -aS'patent\tpatent\tNN\tB-NP\tO' -p60470 -aS'.\t.\t.\tO\tO' -p60471 -asS'Topamax is another possibility , but not ideal in a patient with preexisting cognitive deficits .' -p60472 -(lp60473 -S'Topamax\tTopamax\tNN\tB-NP\tO' -p60474 -aS'is\tbe\tVBZ\tB-VP\tO' -p60475 -aS'another\tanother\tDT\tB-NP\tO' -p60476 -aS'possibility\tpossibility\tNN\tI-NP\tO' -p60477 -aS',\t,\t,\tO\tO' -p60478 -aS'but\tbut\tCC\tO\tO' -p60479 -aS'not\tnot\tRB\tO\tO' -p60480 -aS'ideal\tideal\tVB\tB-VP\tO' -p60481 -aS'in\tin\tIN\tB-PP\tO' -p60482 -aS'a\ta\tDT\tB-NP\tO' -p60483 -aS'patient\tpatient\tNN\tI-NP\tO' -p60484 -aS'with\twith\tIN\tB-PP\tO' -p60485 -aS'preexisting\tpreexist\tVBG\tB-VP\tO' -p60486 -aS'cognitive\tcognitive\tJJ\tB-NP\tO' -p60487 -aS'deficits\tdeficit\tNNS\tI-NP\tO' -p60488 -aS'.\t.\t.\tO\tO' -p60489 -asS'SEVERE BLUNT ABDOMINAL TRAUMA .' -p60490 -(lp60491 -S'SEVERE\tSEVERE\tNNP\tB-NP\tO' -p60492 -aS'BLUNT\tBLUNT\tNNP\tI-NP\tO' -p60493 -aS'ABDOMINAL\tABDOMINAL\tNNP\tI-NP\tO' -p60494 -aS'TRAUMA\tTRAUMA\tNNP\tI-NP\tO' -p60495 -aS'.\t.\t.\tO\tO' -p60496 -asS'cc : Beau J. Box , M.D.' -p60497 -(lp60498 -S'cc\tcc\tNN\tB-NP\tO' -p60499 -aS':\t:\t:\tO\tO' -p60500 -aS'Beau\tBeau\tNNP\tB-NP\tO' -p60501 -aS'J.\tJ.\tNNP\tI-NP\tO' -p60502 -aS'Box\tBox\tNNP\tI-NP\tO' -p60503 -aS',\t,\t,\tO\tO' -p60504 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p60505 -asS'The patient also received Unasyn for 2 days , Fluconazole , heparin , Protonix , insulin , morphine , Bactrim .' -p60506 -(lp60507 -S'The\tThe\tDT\tB-NP\tO' -p60508 -aS'patient\tpatient\tNN\tI-NP\tO' -p60509 -aS'also\talso\tRB\tB-ADVP\tO' -p60510 -aS'received\treceive\tVBD\tB-VP\tO' -p60511 -aS'Unasyn\tUnasyn\tNN\tB-NP\tO' -p60512 -aS'for\tfor\tIN\tB-PP\tO' -p60513 -aS'2\t2\tCD\tB-NP\tO' -p60514 -aS'days\tday\tNNS\tI-NP\tO' -p60515 -aS',\t,\t,\tO\tO' -p60516 -aS'Fluconazole\tFluconazole\tNN\tB-NP\tO' -p60517 -aS',\t,\t,\tO\tO' -p60518 -aS'heparin\theparin\tNN\tB-NP\tO' -p60519 -aS',\t,\t,\tO\tO' -p60520 -aS'Protonix\tProtonix\tNN\tB-NP\tO' -p60521 -aS',\t,\t,\tO\tO' -p60522 -aS'insulin\tinsulin\tNN\tB-NP\tB-protein' -p60523 -aS',\t,\t,\tO\tO' -p60524 -aS'morphine\tmorphine\tNN\tB-NP\tO' -p60525 -aS',\t,\t,\tO\tO' -p60526 -aS'Bactrim\tBactrim\tNNP\tB-NP\tO' -p60527 -aS'.\t.\t.\tO\tO' -p60528 -asS'The patient was initially treated with levofloxacin for a left lower lobe infiltrate and a urinary tract infection .' -p60529 -(lp60530 -S'The\tThe\tDT\tB-NP\tO' -p60531 -aS'patient\tpatient\tNN\tI-NP\tO' -p60532 -aS'was\tbe\tVBD\tB-VP\tO' -p60533 -aS'initially\tinitially\tRB\tI-VP\tO' -p60534 -aS'treated\ttreat\tVBN\tI-VP\tO' -p60535 -aS'with\twith\tIN\tB-PP\tO' -p60536 -aS'levofloxacin\tlevofloxacin\tNN\tB-NP\tO' -p60537 -aS'for\tfor\tIN\tB-PP\tO' -p60538 -aS'a\ta\tDT\tB-NP\tO' -p60539 -aS'left\tleft\tJJ\tI-NP\tO' -p60540 -aS'lower\tlow\tJJR\tI-NP\tO' -p60541 -aS'lobe\tlobe\tNN\tI-NP\tO' -p60542 -aS'infiltrate\tinfiltrate\tNN\tI-NP\tO' -p60543 -aS'and\tand\tCC\tO\tO' -p60544 -aS'a\ta\tDT\tB-NP\tO' -p60545 -aS'urinary\turinary\tJJ\tI-NP\tO' -p60546 -aS'tract\ttract\tNN\tI-NP\tO' -p60547 -aS'infection\tinfection\tNN\tI-NP\tO' -p60548 -aS'.\t.\t.\tO\tO' -p60549 -asS'likely having a NSTEMI secondary to demand .' -p60550 -(lp60551 -S'likely\tlikely\tRB\tB-ADVP\tO' -p60552 -aS'having\thave\tVBG\tB-VP\tO' -p60553 -aS'a\ta\tDT\tB-NP\tO' -p60554 -aS'NSTEMI\tNSTEMI\tNN\tI-NP\tO' -p60555 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p60556 -aS'to\tto\tTO\tB-VP\tO' -p60557 -aS'demand\tdemand\tVB\tI-VP\tO' -p60558 -aS'.\t.\t.\tO\tO' -p60559 -asS'Aspirin 325 mg. qday .' -p60560 -(lp60561 -S'Aspirin\tAspirin\tNN\tB-NP\tO' -p60562 -aS'325\t325\tCD\tI-NP\tO' -p60563 -aS'mg.\tmg.\tNN\tI-NP\tO' -p60564 -aS'qday\tqday\tNN\tI-NP\tO' -p60565 -aS'.\t.\t.\tO\tO' -p60566 -asS'Tobacco history , three cigarettes a week .' -p60567 -(lp60568 -S'Tobacco\tTobacco\tNNP\tB-NP\tO' -p60569 -aS'history\thistory\tNN\tI-NP\tO' -p60570 -aS',\t,\t,\tO\tO' -p60571 -aS'three\tthree\tCD\tB-NP\tO' -p60572 -aS'cigarettes\tcigarette\tNNS\tI-NP\tO' -p60573 -aS'a\ta\tDT\tB-NP\tO' -p60574 -aS'week\tweek\tNN\tI-NP\tO' -p60575 -aS'.\t.\t.\tO\tO' -p60576 -asS'No history of nausea and vomiting or shortness of breath .' -p60577 -(lp60578 -S'No\tNo\tDT\tB-NP\tO' -p60579 -aS'history\thistory\tNN\tI-NP\tO' -p60580 -aS'of\tof\tIN\tB-PP\tO' -p60581 -aS'nausea\tnausea\tNN\tB-NP\tO' -p60582 -aS'and\tand\tCC\tI-NP\tO' -p60583 -aS'vomiting\tvomiting\tNN\tI-NP\tO' -p60584 -aS'or\tor\tCC\tI-NP\tO' -p60585 -aS'shortness\tshortness\tNN\tI-NP\tO' -p60586 -aS'of\tof\tIN\tB-PP\tO' -p60587 -aS'breath\tbreath\tNN\tB-NP\tO' -p60588 -aS'.\t.\t.\tO\tO' -p60589 -asS'INR 2.7 and echo repeated , coumadin held , and heparin drips started .' -p60590 -(lp60591 -S'INR\tINR\tNN\tB-NP\tO' -p60592 -aS'2.7\t2.7\tCD\tI-NP\tO' -p60593 -aS'and\tand\tCC\tO\tO' -p60594 -aS'echo\techo\tRB\tB-VP\tO' -p60595 -aS'repeated\trepeat\tVBN\tI-VP\tO' -p60596 -aS',\t,\t,\tO\tO' -p60597 -aS'coumadin\tcoumadin\tNN\tB-NP\tO' -p60598 -aS'held\thold\tVBN\tB-VP\tO' -p60599 -aS',\t,\t,\tO\tO' -p60600 -aS'and\tand\tCC\tO\tO' -p60601 -aS'heparin\theparin\tNN\tB-NP\tO' -p60602 -aS'drips\tdrip\tNNS\tI-NP\tO' -p60603 -aS'started\tstart\tVBD\tB-VP\tO' -p60604 -aS'.\t.\t.\tO\tO' -p60605 -asS'The patient was asymptomatic at this time , and the decision was made to monitor him and to start him on Lasix .' -p60606 -(lp60607 -S'The\tThe\tDT\tB-NP\tO' -p60608 -aS'patient\tpatient\tNN\tI-NP\tO' -p60609 -aS'was\tbe\tVBD\tB-VP\tO' -p60610 -aS'asymptomatic\tasymptomatic\tJJ\tB-ADJP\tO' -p60611 -aS'at\tat\tIN\tB-PP\tO' -p60612 -aS'this\tthis\tDT\tB-NP\tO' -p60613 -aS'time\ttime\tNN\tI-NP\tO' -p60614 -aS',\t,\t,\tO\tO' -p60615 -aS'and\tand\tCC\tO\tO' -p60616 -aS'the\tthe\tDT\tB-NP\tO' -p60617 -aS'decision\tdecision\tNN\tI-NP\tO' -p60618 -aS'was\tbe\tVBD\tB-VP\tO' -p60619 -aS'made\tmake\tVBN\tI-VP\tO' -p60620 -aS'to\tto\tTO\tB-VP\tO' -p60621 -aS'monitor\tmonitor\tVB\tI-VP\tO' -p60622 -aS'him\thim\tPRP\tB-NP\tO' -p60623 -aS'and\tand\tCC\tO\tO' -p60624 -aS'to\tto\tTO\tB-VP\tO' -p60625 -aS'start\tstart\tVB\tI-VP\tO' -p60626 -aS'him\thim\tPRP\tB-NP\tO' -p60627 -aS'on\ton\tIN\tB-PP\tO' -p60628 -aS'Lasix\tLasix\tNNP\tB-NP\tO' -p60629 -aS'.\t.\t.\tO\tO' -p60630 -asS'2. Renal - cont MWF HD ; electrolytes have been stable .' -p60631 -(lp60632 -S'2.\t2.\tLS\tB-NP\tO' -p60633 -aS'Renal\tRenal\tJJ\tI-NP\tO' -p60634 -aS'-\t-\tHYPH\tI-NP\tO' -p60635 -aS'cont\tcont\tNN\tI-NP\tO' -p60636 -aS'MWF\tMWF\tNN\tI-NP\tO' -p60637 -aS'HD\tHD\tNN\tI-NP\tO' -p60638 -aS';\t;\t:\tO\tO' -p60639 -aS'electrolytes\telectrolyte\tNNS\tB-NP\tO' -p60640 -aS'have\thave\tVBP\tB-VP\tO' -p60641 -aS'been\tbe\tVBN\tI-VP\tO' -p60642 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p60643 -aS'.\t.\t.\tO\tO' -p60644 -asS'On POD4 , patient was discharged .' -p60645 -(lp60646 -S'On\tOn\tIN\tB-PP\tO' -p60647 -aS'POD4\tPOD4\tNN\tB-NP\tB-protein' -p60648 -aS',\t,\t,\tO\tO' -p60649 -aS'patient\tpatient\tNN\tB-NP\tO' -p60650 -aS'was\tbe\tVBD\tB-VP\tO' -p60651 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p60652 -aS'.\t.\t.\tO\tO' -p60653 -asS'101.8 , 100 , 144/92 , 18 , 98% 3lnc lying in bed , oriented hospital only scleral icterus tachy but reg diffusely ttp and guaiac negative non-pitting brawny edema with lichenification' -p60654 -(lp60655 -S'101.8\t101.8\tCD\tB-NP\tO' -p60656 -aS',\t,\t,\tI-NP\tO' -p60657 -aS'100\t100\tCD\tI-NP\tO' -p60658 -aS',\t,\t,\tI-NP\tO' -p60659 -aS'144/92\t144/92\tCD\tI-NP\tO' -p60660 -aS',\t,\t,\tI-NP\tO' -p60661 -aS'18\t18\tCD\tI-NP\tO' -p60662 -aS',\t,\t,\tI-NP\tO' -p60663 -aS'98%\t98%\tCD\tI-NP\tO' -p60664 -aS'3lnc\t3lnc\tNN\tI-NP\tO' -p60665 -aS'lying\tlie\tVBG\tB-VP\tO' -p60666 -aS'in\tin\tIN\tB-PP\tO' -p60667 -aS'bed\tbed\tNN\tB-NP\tO' -p60668 -aS',\t,\t,\tO\tO' -p60669 -aS'oriented\torient\tVBD\tB-VP\tO' -p60670 -aS'hospital\thospital\tNN\tB-NP\tO' -p60671 -aS'only\tonly\tRB\tB-NP\tO' -p60672 -aS'scleral\tscleral\tJJ\tI-NP\tO' -p60673 -aS'icterus\ticterus\tNN\tI-NP\tO' -p60674 -aS'tachy\ttachy\tNN\tI-NP\tO' -p60675 -aS'but\tbut\tCC\tO\tO' -p60676 -aS'reg\treg\tNN\tB-NP\tO' -p60677 -aS'diffusely\tdiffusely\tRB\tB-NP\tO' -p60678 -aS'ttp\tttp\tNN\tI-NP\tO' -p60679 -aS'and\tand\tCC\tO\tO' -p60680 -aS'guaiac\tguaiac\tJJ\tB-NP\tO' -p60681 -aS'negative\tnegative\tJJ\tI-NP\tO' -p60682 -aS'non-pitting\tnon-pitting\tJJ\tI-NP\tO' -p60683 -aS'brawny\tbrawny\tJJ\tI-NP\tO' -p60684 -aS'edema\tedema\tNN\tI-NP\tO' -p60685 -aS'with\twith\tIN\tB-PP\tO' -p60686 -aS'lichenification\tlichenification\tNN\tB-NP\tO' -p60687 -asS'Pale as above , nonicteric .' -p60688 -(lp60689 -S'Pale\tPale\tNNP\tB-NP\tO' -p60690 -aS'as\tas\tIN\tB-PP\tO' -p60691 -aS'above\tabove\tJJ\tB-NP\tO' -p60692 -aS',\t,\t,\tI-NP\tO' -p60693 -aS'nonicteric\tnonicteric\tJJ\tI-NP\tO' -p60694 -aS'.\t.\t.\tO\tO' -p60695 -asS'ESRD from IgA , s / p PPI after nodal ablation , HTN , COPD , hypothyroid , hypertrophic' -p60696 -(lp60697 -S'ESRD\tESRD\tNN\tB-NP\tO' -p60698 -aS'from\tfrom\tIN\tB-PP\tO' -p60699 -aS'IgA\tIgA\tNN\tB-NP\tB-protein' -p60700 -aS',\t,\t,\tO\tO' -p60701 -aS's\ts\tNN\tB-NP\tB-protein' -p60702 -aS'/\t/\tSYM\tI-NP\tI-protein' -p60703 -aS'p\tp\tNN\tI-NP\tI-protein' -p60704 -aS'PPI\tPPI\tNN\tI-NP\tI-protein' -p60705 -aS'after\tafter\tIN\tB-PP\tO' -p60706 -aS'nodal\tnodal\tJJ\tB-NP\tO' -p60707 -aS'ablation\tablation\tNN\tI-NP\tO' -p60708 -aS',\t,\t,\tO\tO' -p60709 -aS'HTN\tHTN\tNN\tB-NP\tB-protein' -p60710 -aS',\t,\t,\tO\tO' -p60711 -aS'COPD\tCOPD\tNN\tB-NP\tO' -p60712 -aS',\t,\t,\tO\tO' -p60713 -aS'hypothyroid\thypothyroid\tNN\tB-NP\tO' -p60714 -aS',\t,\t,\tO\tO' -p60715 -aS'hypertrophic\thypertrophic\tJJ\tB-ADJP\tO' -p60716 -asS'He was not taking any PO medications per Hunt Center Rehab so all medications were held .' -p60717 -(lp60718 -S'He\tHe\tPRP\tB-NP\tO' -p60719 -aS'was\tbe\tVBD\tB-VP\tO' -p60720 -aS'not\tnot\tRB\tI-VP\tO' -p60721 -aS'taking\ttake\tVBG\tI-VP\tO' -p60722 -aS'any\tany\tDT\tB-NP\tO' -p60723 -aS'PO\tPO\tNN\tI-NP\tO' -p60724 -aS'medications\tmedication\tNNS\tI-NP\tO' -p60725 -aS'per\tper\tIN\tB-PP\tO' -p60726 -aS'Hunt\tHunt\tNNP\tB-NP\tO' -p60727 -aS'Center\tCenter\tNNP\tI-NP\tO' -p60728 -aS'Rehab\tRehab\tNNP\tI-NP\tO' -p60729 -aS'so\tso\tIN\tB-SBAR\tO' -p60730 -aS'all\tall\tDT\tB-NP\tO' -p60731 -aS'medications\tmedication\tNNS\tI-NP\tO' -p60732 -aS'were\tbe\tVBD\tB-VP\tO' -p60733 -aS'held\thold\tVBN\tI-VP\tO' -p60734 -aS'.\t.\t.\tO\tO' -p60735 -asS'The patient was moving the right side spontaneously , but could not hold arm or leg up for any length of time .' -p60736 -(lp60737 -S'The\tThe\tDT\tB-NP\tO' -p60738 -aS'patient\tpatient\tNN\tI-NP\tO' -p60739 -aS'was\tbe\tVBD\tB-VP\tO' -p60740 -aS'moving\tmove\tVBG\tI-VP\tO' -p60741 -aS'the\tthe\tDT\tB-NP\tO' -p60742 -aS'right\tright\tJJ\tI-NP\tO' -p60743 -aS'side\tside\tNN\tI-NP\tO' -p60744 -aS'spontaneously\tspontaneously\tRB\tB-ADVP\tO' -p60745 -aS',\t,\t,\tO\tO' -p60746 -aS'but\tbut\tCC\tO\tO' -p60747 -aS'could\tcould\tMD\tB-VP\tO' -p60748 -aS'not\tnot\tRB\tI-VP\tO' -p60749 -aS'hold\thold\tVB\tI-VP\tO' -p60750 -aS'arm\tarm\tNN\tB-NP\tO' -p60751 -aS'or\tor\tCC\tI-NP\tO' -p60752 -aS'leg\tleg\tNN\tI-NP\tO' -p60753 -aS'up\tup\tRP\tB-PRT\tO' -p60754 -aS'for\tfor\tIN\tB-PP\tO' -p60755 -aS'any\tany\tDT\tB-NP\tO' -p60756 -aS'length\tlength\tNN\tI-NP\tO' -p60757 -aS'of\tof\tIN\tB-PP\tO' -p60758 -aS'time\ttime\tNN\tB-NP\tO' -p60759 -aS'.\t.\t.\tO\tO' -p60760 -asS'He was admitted for Lumbar drain placement' -p60761 -(lp60762 -S'He\tHe\tPRP\tB-NP\tO' -p60763 -aS'was\tbe\tVBD\tB-VP\tO' -p60764 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p60765 -aS'for\tfor\tIN\tB-PP\tO' -p60766 -aS'Lumbar\tLumbar\tNNP\tB-NP\tO' -p60767 -aS'drain\tdrain\tNN\tI-NP\tO' -p60768 -aS'placement\tplacement\tNN\tI-NP\tO' -p60769 -asS'The aortic valve leaflets ( 3 ) are minimally thickened .' -p60770 -(lp60771 -S'The\tThe\tDT\tB-NP\tO' -p60772 -aS'aortic\taortic\tJJ\tI-NP\tO' -p60773 -aS'valve\tvalve\tNN\tI-NP\tO' -p60774 -aS'leaflets\tleaflet\tNNS\tI-NP\tO' -p60775 -aS'(\t(\t(\tO\tO' -p60776 -aS'3\t3\tCD\tB-NP\tO' -p60777 -aS')\t)\t)\tO\tO' -p60778 -aS'are\tbe\tVBP\tB-VP\tO' -p60779 -aS'minimally\tminimally\tRB\tI-VP\tO' -p60780 -aS'thickened\tthicken\tVBN\tI-VP\tO' -p60781 -aS'.\t.\t.\tO\tO' -p60782 -asS'The patient remained afebrile during the majority of her hospital course .' -p60783 -(lp60784 -S'The\tThe\tDT\tB-NP\tO' -p60785 -aS'patient\tpatient\tNN\tI-NP\tO' -p60786 -aS'remained\tremain\tVBD\tB-VP\tO' -p60787 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p60788 -aS'during\tduring\tIN\tB-PP\tO' -p60789 -aS'the\tthe\tDT\tB-NP\tO' -p60790 -aS'majority\tmajority\tNN\tI-NP\tO' -p60791 -aS'of\tof\tIN\tB-PP\tO' -p60792 -aS'her\ther\tPRP$\tB-NP\tO' -p60793 -aS'hospital\thospital\tNN\tI-NP\tO' -p60794 -aS'course\tcourse\tNN\tI-NP\tO' -p60795 -aS'.\t.\t.\tO\tO' -p60796 -asS'History of Present Illness : see dc summary' -p60797 -(lp60798 -S'History\tHistory\tNN\tB-NP\tO' -p60799 -aS'of\tof\tIN\tB-PP\tO' -p60800 -aS'Present\tPresent\tNNP\tB-NP\tO' -p60801 -aS'Illness\tIllness\tNNP\tI-NP\tO' -p60802 -aS':\t:\t:\tO\tO' -p60803 -aS'see\tsee\tVB\tB-VP\tO' -p60804 -aS'dc\tdc\tNN\tB-NP\tO' -p60805 -aS'summary\tsummary\tNN\tI-NP\tO' -p60806 -asS'IMPRESSION : Comminuted proximal tibiofibular fractures status post ORIF of the tibia with an intramedullary rod and side plate .' -p60807 -(lp60808 -S'IMPRESSION\tIMPRESSION\tNN\tB-NP\tO' -p60809 -aS':\t:\t:\tO\tO' -p60810 -aS'Comminuted\tComminute\tVBN\tB-VP\tO' -p60811 -aS'proximal\tproximal\tJJ\tB-NP\tO' -p60812 -aS'tibiofibular\ttibiofibular\tJJ\tI-NP\tO' -p60813 -aS'fractures\tfracture\tNNS\tI-NP\tO' -p60814 -aS'status\tstatus\tNN\tI-NP\tB-protein' -p60815 -aS'post\tpost\tNN\tI-NP\tI-protein' -p60816 -aS'ORIF\tORIF\tNN\tI-NP\tI-protein' -p60817 -aS'of\tof\tIN\tB-PP\tO' -p60818 -aS'the\tthe\tDT\tB-NP\tO' -p60819 -aS'tibia\ttibia\tNN\tI-NP\tO' -p60820 -aS'with\twith\tIN\tB-PP\tO' -p60821 -aS'an\tan\tDT\tB-NP\tO' -p60822 -aS'intramedullary\tintramedullary\tJJ\tI-NP\tO' -p60823 -aS'rod\trod\tNN\tI-NP\tO' -p60824 -aS'and\tand\tCC\tI-NP\tO' -p60825 -aS'side\tside\tNN\tI-NP\tO' -p60826 -aS'plate\tplate\tNN\tI-NP\tO' -p60827 -aS'.\t.\t.\tO\tO' -p60828 -asS'Despite this findings , he was supported with 40% FIO2 most of the time .' -p60829 -(lp60830 -S'Despite\tDespite\tIN\tB-PP\tO' -p60831 -aS'this\tthis\tDT\tB-NP\tO' -p60832 -aS'findings\tfinding\tNNS\tI-NP\tO' -p60833 -aS',\t,\t,\tO\tO' -p60834 -aS'he\the\tPRP\tB-NP\tO' -p60835 -aS'was\tbe\tVBD\tB-VP\tO' -p60836 -aS'supported\tsupport\tVBN\tI-VP\tO' -p60837 -aS'with\twith\tIN\tB-PP\tO' -p60838 -aS'40%\t40%\tCD\tB-NP\tO' -p60839 -aS'FIO2\tFIO2\tCD\tI-NP\tO' -p60840 -aS'most\tmost\tJJS\tB-NP\tO' -p60841 -aS'of\tof\tIN\tB-PP\tO' -p60842 -aS'the\tthe\tDT\tB-NP\tO' -p60843 -aS'time\ttime\tNN\tI-NP\tO' -p60844 -aS'.\t.\t.\tO\tO' -p60845 -asS'She was brought in for an esophagogastroduodenoscopy on 9/26 but she basically was not sufficiently sedated and readmitted at this time for a GI work-up as well as an evaluation of new abscess in her left lower calf and right medial lower extremity quadriceps muscle .' -p60846 -(lp60847 -S'She\tShe\tPRP\tB-NP\tO' -p60848 -aS'was\tbe\tVBD\tB-VP\tO' -p60849 -aS'brought\tbring\tVBN\tI-VP\tO' -p60850 -aS'in\tin\tRP\tB-PRT\tO' -p60851 -aS'for\tfor\tIN\tB-PP\tO' -p60852 -aS'an\tan\tDT\tB-NP\tO' -p60853 -aS'esophagogastroduodenoscopy\tesophagogastroduodenoscopy\tNN\tI-NP\tO' -p60854 -aS'on\ton\tIN\tB-PP\tO' -p60855 -aS'9/26\t9/26\tCD\tB-NP\tO' -p60856 -aS'but\tbut\tCC\tO\tO' -p60857 -aS'she\tshe\tPRP\tB-NP\tO' -p60858 -aS'basically\tbasically\tRB\tB-ADVP\tO' -p60859 -aS'was\tbe\tVBD\tB-VP\tO' -p60860 -aS'not\tnot\tRB\tI-VP\tO' -p60861 -aS'sufficiently\tsufficiently\tRB\tI-VP\tO' -p60862 -aS'sedated\tsedate\tVBN\tI-VP\tO' -p60863 -aS'and\tand\tCC\tI-VP\tO' -p60864 -aS'readmitted\treadmitte\tVBN\tI-VP\tO' -p60865 -aS'at\tat\tIN\tB-PP\tO' -p60866 -aS'this\tthis\tDT\tB-NP\tO' -p60867 -aS'time\ttime\tNN\tI-NP\tO' -p60868 -aS'for\tfor\tIN\tB-PP\tO' -p60869 -aS'a\ta\tDT\tB-NP\tO' -p60870 -aS'GI\tGI\tNN\tI-NP\tO' -p60871 -aS'work-up\twork-up\tNN\tI-NP\tO' -p60872 -aS'as\tas\tRB\tB-CONJP\tO' -p60873 -aS'well\twell\tRB\tI-CONJP\tO' -p60874 -aS'as\tas\tIN\tI-CONJP\tO' -p60875 -aS'an\tan\tDT\tB-NP\tO' -p60876 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p60877 -aS'of\tof\tIN\tB-PP\tO' -p60878 -aS'new\tnew\tJJ\tB-NP\tO' -p60879 -aS'abscess\tabscess\tNN\tI-NP\tO' -p60880 -aS'in\tin\tIN\tB-PP\tO' -p60881 -aS'her\ther\tPRP$\tB-NP\tO' -p60882 -aS'left\tleft\tJJ\tI-NP\tO' -p60883 -aS'lower\tlow\tJJR\tI-NP\tO' -p60884 -aS'calf\tcalf\tNN\tI-NP\tO' -p60885 -aS'and\tand\tCC\tI-NP\tO' -p60886 -aS'right\tright\tJJ\tI-NP\tO' -p60887 -aS'medial\tmedial\tJJ\tI-NP\tO' -p60888 -aS'lower\tlow\tJJR\tI-NP\tO' -p60889 -aS'extremity\textremity\tNN\tI-NP\tO' -p60890 -aS'quadriceps\tquadricep\tVBZ\tB-VP\tO' -p60891 -aS'muscle\tmuscle\tNN\tB-NP\tO' -p60892 -aS'.\t.\t.\tO\tO' -p60893 -asS'Acute inferior myocardial infarction .' -p60894 -(lp60895 -S'Acute\tAcute\tJJ\tB-NP\tO' -p60896 -aS'inferior\tinferior\tJJ\tI-NP\tO' -p60897 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p60898 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p60899 -aS'.\t.\t.\tO\tO' -p60900 -asS'His CVP is ranging from 07-27 .' -p60901 -(lp60902 -S'His\tHis\tPRP$\tB-NP\tO' -p60903 -aS'CVP\tCVP\tNN\tI-NP\tB-protein' -p60904 -aS'is\tbe\tVBZ\tB-VP\tO' -p60905 -aS'ranging\trange\tVBG\tI-VP\tO' -p60906 -aS'from\tfrom\tIN\tB-PP\tO' -p60907 -aS'07-27\t07-27\tCD\tB-NP\tO' -p60908 -aS'.\t.\t.\tO\tO' -p60909 -asS'CV : difficult to assess heart sounds over respiratory sounds , but appears to have RRR , nl s1 s2 , no murmurs' -p60910 -(lp60911 -S'CV\tCV\tNN\tB-NP\tO' -p60912 -aS':\t:\t:\tO\tO' -p60913 -aS'difficult\tdifficult\tJJ\tB-ADJP\tO' -p60914 -aS'to\tto\tTO\tB-VP\tO' -p60915 -aS'assess\tassess\tVB\tI-VP\tO' -p60916 -aS'heart\theart\tNN\tB-NP\tO' -p60917 -aS'sounds\tsound\tNNS\tI-NP\tO' -p60918 -aS'over\tover\tIN\tB-PP\tO' -p60919 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p60920 -aS'sounds\tsound\tNNS\tI-NP\tO' -p60921 -aS',\t,\t,\tO\tO' -p60922 -aS'but\tbut\tCC\tO\tO' -p60923 -aS'appears\tappear\tVBZ\tB-VP\tO' -p60924 -aS'to\tto\tTO\tI-VP\tO' -p60925 -aS'have\thave\tVB\tI-VP\tO' -p60926 -aS'RRR\tRRR\tNN\tB-NP\tB-protein' -p60927 -aS',\t,\t,\tO\tO' -p60928 -aS'nl\tnl\tNN\tB-NP\tB-protein' -p60929 -aS's1\ts1\tNN\tI-NP\tI-protein' -p60930 -aS's2\ts2\tNN\tI-NP\tI-protein' -p60931 -aS',\t,\t,\tO\tO' -p60932 -aS'no\tno\tDT\tB-NP\tO' -p60933 -aS'murmurs\tmurmur\tNNS\tI-NP\tO' -p60934 -asS'The patient did well and was transferred to the floor on 04-02 .' -p60935 -(lp60936 -S'The\tThe\tDT\tB-NP\tO' -p60937 -aS'patient\tpatient\tNN\tI-NP\tO' -p60938 -aS'did\tdo\tVBD\tB-VP\tO' -p60939 -aS'well\twell\tRB\tB-ADVP\tO' -p60940 -aS'and\tand\tCC\tO\tO' -p60941 -aS'was\tbe\tVBD\tB-VP\tO' -p60942 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p60943 -aS'to\tto\tTO\tB-PP\tO' -p60944 -aS'the\tthe\tDT\tB-NP\tO' -p60945 -aS'floor\tfloor\tNN\tI-NP\tO' -p60946 -aS'on\ton\tIN\tB-PP\tO' -p60947 -aS'04-02\t04-02\tCD\tB-NP\tO' -p60948 -aS'.\t.\t.\tO\tO' -p60949 -asS'Vancomycin level was 21 .' -p60950 -(lp60951 -S'Vancomycin\tVancomycin\tNN\tB-NP\tO' -p60952 -aS'level\tlevel\tNN\tI-NP\tO' -p60953 -aS'was\tbe\tVBD\tB-VP\tO' -p60954 -aS'21\t21\tCD\tB-NP\tO' -p60955 -aS'.\t.\t.\tO\tO' -p60956 -asS'He continued to feed ad lib while a patient in the Newborn Intensive Care Unit .' -p60957 -(lp60958 -S'He\tHe\tPRP\tB-NP\tO' -p60959 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p60960 -aS'to\tto\tTO\tI-VP\tO' -p60961 -aS'feed\tfeed\tVB\tI-VP\tO' -p60962 -aS'ad\tad\tNN\tB-NP\tO' -p60963 -aS'lib\tlib\tNN\tI-NP\tO' -p60964 -aS'while\twhile\tIN\tB-SBAR\tO' -p60965 -aS'a\ta\tDT\tB-NP\tO' -p60966 -aS'patient\tpatient\tNN\tI-NP\tO' -p60967 -aS'in\tin\tIN\tB-PP\tO' -p60968 -aS'the\tthe\tDT\tB-NP\tO' -p60969 -aS'Newborn\tNewborn\tNNP\tI-NP\tO' -p60970 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p60971 -aS'Care\tCare\tNNP\tI-NP\tO' -p60972 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p60973 -aS'.\t.\t.\tO\tO' -p60974 -asS'3rd floor Henderson Building with Dr. Black ( 650 ) 866-1361' -p60975 -(lp60976 -S'3rd\t3rd\tLS\tB-NP\tO' -p60977 -aS'floor\tfloor\tNN\tI-NP\tO' -p60978 -aS'Henderson\tHenderson\tNNP\tI-NP\tO' -p60979 -aS'Building\tBuilding\tNNP\tI-NP\tO' -p60980 -aS'with\twith\tIN\tB-PP\tO' -p60981 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p60982 -aS'Black\tBlack\tNNP\tI-NP\tO' -p60983 -aS'(\t(\t(\tO\tO' -p60984 -aS'650\t650\tCD\tB-NP\tO' -p60985 -aS')\t)\t)\tO\tO' -p60986 -aS'866-1361\t866-1361\tCD\tB-NP\tO' -p60987 -asS'Legs are rigid .' -p60988 -(lp60989 -S'Legs\tLeg\tNNS\tB-NP\tO' -p60990 -aS'are\tbe\tVBP\tB-VP\tO' -p60991 -aS'rigid\trigid\tJJ\tB-ADJP\tO' -p60992 -aS'.\t.\t.\tO\tO' -p60993 -asS'Renee remained cardiovascularly stable with AP s noted to be 120 to 130 s.' -p60994 -(lp60995 -S'Renee\tRenee\tNNP\tB-NP\tO' -p60996 -aS'remained\tremain\tVBD\tB-VP\tO' -p60997 -aS'cardiovascularly\tcardiovascularly\tRB\tB-ADJP\tO' -p60998 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p60999 -aS'with\twith\tIN\tB-PP\tO' -p61000 -aS'AP\tAP\tNN\tB-NP\tB-protein' -p61001 -aS's\ts\tNNS\tI-NP\tI-protein' -p61002 -aS'noted\tnote\tVBN\tB-VP\tO' -p61003 -aS'to\tto\tTO\tI-VP\tO' -p61004 -aS'be\tbe\tVB\tI-VP\tO' -p61005 -aS'120\t120\tCD\tB-NP\tO' -p61006 -aS'to\tto\tTO\tI-NP\tO' -p61007 -aS'130\t130\tCD\tI-NP\tO' -p61008 -aS's.\ts.\tNNS\tI-NP\tO' -p61009 -asS'Cardiology recommended d/cing digoxin and starting amiodarone .' -p61010 -(lp61011 -S'Cardiology\tCardiology\tNNP\tB-NP\tO' -p61012 -aS'recommended\trecommend\tVBD\tB-VP\tO' -p61013 -aS'd/cing\td/ce\tVBG\tI-VP\tO' -p61014 -aS'digoxin\tdigoxin\tNN\tB-NP\tO' -p61015 -aS'and\tand\tCC\tO\tO' -p61016 -aS'starting\tstart\tVBG\tB-VP\tO' -p61017 -aS'amiodarone\tamiodarone\tNN\tB-NP\tO' -p61018 -aS'.\t.\t.\tO\tO' -p61019 -asS'Danvers State Hospital & Rehab Center - Beverly' -p61020 -(lp61021 -S'Danvers\tDanvers\tNNP\tB-NP\tO' -p61022 -aS'State\tState\tNNP\tI-NP\tO' -p61023 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p61024 -aS'&\t&\tCC\tI-NP\tO' -p61025 -aS'Rehab\tRehab\tNNP\tI-NP\tO' -p61026 -aS'Center\tCenter\tNNP\tI-NP\tO' -p61027 -aS'-\t-\tHYPH\tO\tO' -p61028 -aS'Beverly\tBeverly\tNNP\tB-NP\tO' -p61029 -asS'Mediastinal tumor mass .' -p61030 -(lp61031 -S'Mediastinal\tMediastinal\tJJ\tB-NP\tO' -p61032 -aS'tumor\ttumor\tNN\tI-NP\tO' -p61033 -aS'mass\tmass\tNN\tI-NP\tO' -p61034 -aS'.\t.\t.\tO\tO' -p61035 -asS'The right leg was with decreased range of motion of thigh flexion and extension .' -p61036 -(lp61037 -S'The\tThe\tDT\tB-NP\tO' -p61038 -aS'right\tright\tJJ\tI-NP\tO' -p61039 -aS'leg\tleg\tNN\tI-NP\tO' -p61040 -aS'was\tbe\tVBD\tB-VP\tO' -p61041 -aS'with\twith\tIN\tB-PP\tO' -p61042 -aS'decreased\tdecrease\tVBN\tB-NP\tO' -p61043 -aS'range\trange\tNN\tI-NP\tO' -p61044 -aS'of\tof\tIN\tB-PP\tO' -p61045 -aS'motion\tmotion\tNN\tB-NP\tO' -p61046 -aS'of\tof\tIN\tB-PP\tO' -p61047 -aS'thigh\tthigh\tJJ\tB-NP\tO' -p61048 -aS'flexion\tflexion\tNN\tI-NP\tO' -p61049 -aS'and\tand\tCC\tI-NP\tO' -p61050 -aS'extension\textension\tNN\tI-NP\tO' -p61051 -aS'.\t.\t.\tO\tO' -p61052 -asS"Before this age and for the first 24 months of the child 's life immunization against influenza is recommended for household contacts and out of home caregivers ." -p61053 -(lp61054 -S'Before\tBefore\tIN\tB-SBAR\tO' -p61055 -aS'this\tthis\tDT\tB-NP\tO' -p61056 -aS'age\tage\tNN\tI-NP\tO' -p61057 -aS'and\tand\tCC\tB-PP\tO' -p61058 -aS'for\tfor\tIN\tB-PP\tO' -p61059 -aS'the\tthe\tDT\tB-NP\tO' -p61060 -aS'first\tfirst\tJJ\tI-NP\tO' -p61061 -aS'24\t24\tCD\tI-NP\tO' -p61062 -aS'months\tmonth\tNNS\tI-NP\tO' -p61063 -aS'of\tof\tIN\tB-PP\tO' -p61064 -aS'the\tthe\tDT\tB-NP\tO' -p61065 -aS'child\tchild\tNN\tI-NP\tO' -p61066 -aS"'s\t's\tPOS\tB-NP\tO" -p61067 -aS'life\tlife\tNN\tI-NP\tO' -p61068 -aS'immunization\timmunization\tNN\tI-NP\tO' -p61069 -aS'against\tagainst\tIN\tB-PP\tO' -p61070 -aS'influenza\tinfluenza\tNN\tB-NP\tO' -p61071 -aS'is\tbe\tVBZ\tB-VP\tO' -p61072 -aS'recommended\trecommend\tVBN\tI-VP\tO' -p61073 -aS'for\tfor\tIN\tB-PP\tO' -p61074 -aS'household\thousehold\tNN\tB-NP\tO' -p61075 -aS'contacts\tcontact\tNNS\tI-NP\tO' -p61076 -aS'and\tand\tCC\tB-PP\tO' -p61077 -aS'out\tout\tIN\tB-PP\tO' -p61078 -aS'of\tof\tIN\tB-PP\tO' -p61079 -aS'home\thome\tNN\tB-NP\tO' -p61080 -aS'caregivers\tcaregiver\tNNS\tI-NP\tO' -p61081 -aS'.\t.\t.\tO\tO' -p61082 -asS'Baby Girl Rizza-Gannaway is the 1515 gram product of a 32 and 06-30 week twin gestation born to a 37-year-old G - 2 , P - 0 , now 2 , mother .' -p61083 -(lp61084 -S'Baby\tBaby\tNNP\tB-NP\tO' -p61085 -aS'Girl\tGirl\tNNP\tI-NP\tO' -p61086 -aS'Rizza-Gannaway\tRizza-Gannaway\tNNP\tI-NP\tO' -p61087 -aS'is\tbe\tVBZ\tB-VP\tO' -p61088 -aS'the\tthe\tDT\tB-NP\tO' -p61089 -aS'1515\t1515\tCD\tI-NP\tO' -p61090 -aS'gram\tgram\tNN\tI-NP\tO' -p61091 -aS'product\tproduct\tNN\tI-NP\tO' -p61092 -aS'of\tof\tIN\tB-PP\tO' -p61093 -aS'a\ta\tDT\tB-NP\tO' -p61094 -aS'32\t32\tCD\tI-NP\tO' -p61095 -aS'and\tand\tCC\tI-NP\tO' -p61096 -aS'06-30\t06-30\tCD\tI-NP\tO' -p61097 -aS'week\tweek\tNN\tI-NP\tO' -p61098 -aS'twin\ttwin\tNN\tI-NP\tO' -p61099 -aS'gestation\tgestation\tNN\tI-NP\tO' -p61100 -aS'born\tbear\tVBN\tB-VP\tO' -p61101 -aS'to\tto\tTO\tB-PP\tO' -p61102 -aS'a\ta\tDT\tB-NP\tO' -p61103 -aS'37-year-old\t37-year-old\tJJ\tI-NP\tO' -p61104 -aS'G\tG\tNN\tI-NP\tO' -p61105 -aS'-\t-\tHYPH\tO\tO' -p61106 -aS'2\t2\tCD\tB-NP\tO' -p61107 -aS',\t,\t,\tO\tO' -p61108 -aS'P\tP\tNN\tB-NP\tB-protein' -p61109 -aS'-\t-\tHYPH\tO\tI-protein' -p61110 -aS'0\t0\tCD\tB-NP\tI-protein' -p61111 -aS',\t,\t,\tO\tO' -p61112 -aS'now\tnow\tRB\tB-ADVP\tO' -p61113 -aS'2\t2\tCD\tB-NP\tO' -p61114 -aS',\t,\t,\tO\tO' -p61115 -aS'mother\tmother\tNN\tB-NP\tO' -p61116 -aS'.\t.\t.\tO\tO' -p61117 -asS'The patient lives alone , but in a senior living facility adjacent to friends .' -p61118 -(lp61119 -S'The\tThe\tDT\tB-NP\tO' -p61120 -aS'patient\tpatient\tNN\tI-NP\tO' -p61121 -aS'lives\tlive\tVBZ\tB-VP\tO' -p61122 -aS'alone\talone\tRB\tB-ADVP\tO' -p61123 -aS',\t,\t,\tO\tO' -p61124 -aS'but\tbut\tCC\tO\tO' -p61125 -aS'in\tin\tIN\tB-PP\tO' -p61126 -aS'a\ta\tDT\tB-NP\tO' -p61127 -aS'senior\tsenior\tJJ\tI-NP\tO' -p61128 -aS'living\tliving\tNN\tI-NP\tO' -p61129 -aS'facility\tfacility\tNN\tI-NP\tO' -p61130 -aS'adjacent\tadjacent\tJJ\tB-ADJP\tO' -p61131 -aS'to\tto\tTO\tB-PP\tO' -p61132 -aS'friends\tfriend\tNNS\tB-NP\tO' -p61133 -aS'.\t.\t.\tO\tO' -p61134 -asS'Blood alcohol level was 383 .' -p61135 -(lp61136 -S'Blood\tBlood\tNN\tB-NP\tO' -p61137 -aS'alcohol\talcohol\tNN\tI-NP\tO' -p61138 -aS'level\tlevel\tNN\tI-NP\tO' -p61139 -aS'was\tbe\tVBD\tB-VP\tO' -p61140 -aS'383\t383\tCD\tB-NP\tO' -p61141 -aS'.\t.\t.\tO\tO' -p61142 -asS'His heart rate continued to be well controlled with his lopressor .' -p61143 -(lp61144 -S'His\tHis\tPRP$\tB-NP\tO' -p61145 -aS'heart\theart\tNN\tI-NP\tO' -p61146 -aS'rate\trate\tNN\tI-NP\tO' -p61147 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p61148 -aS'to\tto\tTO\tI-VP\tO' -p61149 -aS'be\tbe\tVB\tI-VP\tO' -p61150 -aS'well\twell\tRB\tI-VP\tO' -p61151 -aS'controlled\tcontrol\tVBN\tI-VP\tO' -p61152 -aS'with\twith\tIN\tB-PP\tO' -p61153 -aS'his\this\tPRP$\tB-NP\tO' -p61154 -aS'lopressor\tlopressor\tNN\tI-NP\tO' -p61155 -aS'.\t.\t.\tO\tO' -p61156 -asS'Pt is to continue ciprofloxacin for a complete 14 day course .' -p61157 -(lp61158 -S'Pt\tPt\tNN\tB-NP\tO' -p61159 -aS'is\tbe\tVBZ\tB-VP\tO' -p61160 -aS'to\tto\tTO\tB-VP\tO' -p61161 -aS'continue\tcontinue\tVB\tI-VP\tO' -p61162 -aS'ciprofloxacin\tciprofloxacin\tNN\tB-NP\tO' -p61163 -aS'for\tfor\tIN\tB-PP\tO' -p61164 -aS'a\ta\tDT\tB-NP\tO' -p61165 -aS'complete\tcomplete\tJJ\tI-NP\tO' -p61166 -aS'14\t14\tCD\tI-NP\tO' -p61167 -aS'day\tday\tNN\tI-NP\tO' -p61168 -aS'course\tcourse\tNN\tI-NP\tO' -p61169 -aS'.\t.\t.\tO\tO' -p61170 -asS'Miconazole cream Flovent .' -p61171 -(lp61172 -S'Miconazole\tMiconazole\tNN\tB-NP\tO' -p61173 -aS'cream\tcream\tNN\tI-NP\tO' -p61174 -aS'Flovent\tFlovent\tNNP\tI-NP\tO' -p61175 -aS'.\t.\t.\tO\tO' -p61176 -asS'Hearing screen has not been done but should be done prior to discharge .' -p61177 -(lp61178 -S'Hearing\tHear\tVBG\tB-VP\tO' -p61179 -aS'screen\tscreen\tNN\tB-NP\tO' -p61180 -aS'has\thave\tVBZ\tB-VP\tO' -p61181 -aS'not\tnot\tRB\tI-VP\tO' -p61182 -aS'been\tbe\tVBN\tI-VP\tO' -p61183 -aS'done\tdo\tVBN\tI-VP\tO' -p61184 -aS'but\tbut\tCC\tO\tO' -p61185 -aS'should\tshould\tMD\tB-VP\tO' -p61186 -aS'be\tbe\tVB\tI-VP\tO' -p61187 -aS'done\tdo\tVBN\tI-VP\tO' -p61188 -aS'prior\tprior\tRB\tB-ADVP\tO' -p61189 -aS'to\tto\tTO\tB-VP\tO' -p61190 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p61191 -aS'.\t.\t.\tO\tO' -p61192 -asS'Autopsy permission was declined by the family .' -p61193 -(lp61194 -S'Autopsy\tAutopsy\tNN\tB-NP\tO' -p61195 -aS'permission\tpermission\tNN\tI-NP\tO' -p61196 -aS'was\tbe\tVBD\tB-VP\tO' -p61197 -aS'declined\tdecline\tVBN\tI-VP\tO' -p61198 -aS'by\tby\tIN\tB-PP\tO' -p61199 -aS'the\tthe\tDT\tB-NP\tO' -p61200 -aS'family\tfamily\tNN\tI-NP\tO' -p61201 -aS'.\t.\t.\tO\tO' -p61202 -asS'However , because he could not be weaned from the Neo-Synephrine , he again remained in the Intensive Care Unit .' -p61203 -(lp61204 -S'However\tHowever\tRB\tB-ADVP\tO' -p61205 -aS',\t,\t,\tO\tO' -p61206 -aS'because\tbecause\tIN\tB-SBAR\tO' -p61207 -aS'he\the\tPRP\tB-NP\tO' -p61208 -aS'could\tcould\tMD\tB-VP\tO' -p61209 -aS'not\tnot\tRB\tI-VP\tO' -p61210 -aS'be\tbe\tVB\tI-VP\tO' -p61211 -aS'weaned\twean\tVBN\tI-VP\tO' -p61212 -aS'from\tfrom\tIN\tB-PP\tO' -p61213 -aS'the\tthe\tDT\tB-NP\tO' -p61214 -aS'Neo-Synephrine\tNeo-Synephrine\tNN\tI-NP\tO' -p61215 -aS',\t,\t,\tO\tO' -p61216 -aS'he\the\tPRP\tB-NP\tO' -p61217 -aS'again\tagain\tRB\tB-ADVP\tO' -p61218 -aS'remained\tremain\tVBD\tB-VP\tO' -p61219 -aS'in\tin\tIN\tB-PP\tO' -p61220 -aS'the\tthe\tDT\tB-NP\tO' -p61221 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p61222 -aS'Care\tCare\tNNP\tI-NP\tO' -p61223 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p61224 -aS'.\t.\t.\tO\tO' -p61225 -asS'PM wires in good position .' -p61226 -(lp61227 -S'PM\tPM\tNN\tB-NP\tO' -p61228 -aS'wires\twire\tVBZ\tB-VP\tO' -p61229 -aS'in\tin\tIN\tB-PP\tO' -p61230 -aS'good\tgood\tJJ\tB-NP\tO' -p61231 -aS'position\tposition\tNN\tI-NP\tO' -p61232 -aS'.\t.\t.\tO\tO' -p61233 -asS'One hour after he had physical activity on the previously night as well .' -p61234 -(lp61235 -S'One\tOne\tCD\tB-NP\tO' -p61236 -aS'hour\thour\tNN\tI-NP\tO' -p61237 -aS'after\tafter\tIN\tB-SBAR\tO' -p61238 -aS'he\the\tPRP\tB-NP\tO' -p61239 -aS'had\thave\tVBD\tB-VP\tO' -p61240 -aS'physical\tphysical\tJJ\tB-NP\tO' -p61241 -aS'activity\tactivity\tNN\tI-NP\tO' -p61242 -aS'on\ton\tIN\tB-PP\tO' -p61243 -aS'the\tthe\tDT\tO\tO' -p61244 -aS'previously\tpreviously\tRB\tB-ADVP\tO' -p61245 -aS'night\tnight\tRB\tI-ADVP\tO' -p61246 -aS'as\tas\tRB\tB-ADVP\tO' -p61247 -aS'well\twell\tRB\tI-ADVP\tO' -p61248 -aS'.\t.\t.\tO\tO' -p61249 -asS'Denies ETOH .' -p61250 -(lp61251 -S'Denies\tDeny\tNNS\tB-NP\tO' -p61252 -aS'ETOH\tETOH\tNN\tI-NP\tO' -p61253 -aS'.\t.\t.\tO\tO' -p61254 -asS'The patient was admitted to the O-CMED' -p61255 -(lp61256 -S'The\tThe\tDT\tB-NP\tO' -p61257 -aS'patient\tpatient\tNN\tI-NP\tO' -p61258 -aS'was\tbe\tVBD\tB-VP\tO' -p61259 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p61260 -aS'to\tto\tTO\tB-PP\tO' -p61261 -aS'the\tthe\tDT\tB-NP\tO' -p61262 -aS'O-CMED\tO-CMED\tNN\tI-NP\tO' -p61263 -asS'He was given supplemental oxygen .' -p61264 -(lp61265 -S'He\tHe\tPRP\tB-NP\tO' -p61266 -aS'was\tbe\tVBD\tB-VP\tO' -p61267 -aS'given\tgive\tVBN\tI-VP\tO' -p61268 -aS'supplemental\tsupplemental\tJJ\tB-NP\tO' -p61269 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p61270 -aS'.\t.\t.\tO\tO' -p61271 -asS'The patient was unable to tolerate adequate p.o.'s in the last several days .' -p61272 -(lp61273 -S'The\tThe\tDT\tB-NP\tO' -p61274 -aS'patient\tpatient\tNN\tI-NP\tO' -p61275 -aS'was\tbe\tVBD\tB-VP\tO' -p61276 -aS'unable\tunable\tJJ\tB-ADJP\tO' -p61277 -aS'to\tto\tTO\tB-VP\tO' -p61278 -aS'tolerate\ttolerate\tVB\tI-VP\tO' -p61279 -aS'adequate\tadequate\tJJ\tB-NP\tO' -p61280 -aS'p.o.'s\tp.o.'\tNNS\tI-NP\tO' -p61281 -aS'in\tin\tIN\tB-PP\tO' -p61282 -aS'the\tthe\tDT\tB-NP\tO' -p61283 -aS'last\tlast\tJJ\tI-NP\tO' -p61284 -aS'several\tseveral\tJJ\tI-NP\tO' -p61285 -aS'days\tday\tNNS\tI-NP\tO' -p61286 -aS'.\t.\t.\tO\tO' -p61287 -asS'13. Prednisone 5 mg Tablet Sig : Three ( 3 ) Tablet PO DAILY ( Daily ) .' -p61288 -(lp61289 -S'13.\t13.\tLS\tB-NP\tO' -p61290 -aS'Prednisone\tPrednisone\tNN\tI-NP\tO' -p61291 -aS'5\t5\tCD\tI-NP\tO' -p61292 -aS'mg\tmg\tNN\tI-NP\tO' -p61293 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p61294 -aS'Sig\tSig\tNNP\tI-NP\tO' -p61295 -aS':\t:\t:\tO\tO' -p61296 -aS'Three\tThree\tCD\tB-NP\tO' -p61297 -aS'(\t(\t(\tO\tO' -p61298 -aS'3\t3\tCD\tB-NP\tO' -p61299 -aS')\t)\t)\tO\tO' -p61300 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p61301 -aS'PO\tPO\tNN\tI-NP\tO' -p61302 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p61303 -aS'(\t(\t(\tO\tO' -p61304 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p61305 -aS')\t)\t)\tO\tO' -p61306 -aS'.\t.\t.\tO\tO' -p61307 -asS'A twelve lead electrocardiogram was recommended if this persists .' -p61308 -(lp61309 -S'A\tA\tDT\tB-NP\tO' -p61310 -aS'twelve\ttwelve\tCD\tI-NP\tO' -p61311 -aS'lead\tlead\tNN\tI-NP\tO' -p61312 -aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' -p61313 -aS'was\tbe\tVBD\tB-VP\tO' -p61314 -aS'recommended\trecommend\tVBN\tI-VP\tO' -p61315 -aS'if\tif\tIN\tB-SBAR\tO' -p61316 -aS'this\tthis\tDT\tB-NP\tO' -p61317 -aS'persists\tpersist\tVBZ\tB-VP\tO' -p61318 -aS'.\t.\t.\tO\tO' -p61319 -asS'He was administered intravenous fluids and oral diet as tolerated .' -p61320 -(lp61321 -S'He\tHe\tPRP\tB-NP\tO' -p61322 -aS'was\tbe\tVBD\tB-VP\tO' -p61323 -aS'administered\tadminister\tVBN\tI-VP\tO' -p61324 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p61325 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p61326 -aS'and\tand\tCC\tO\tO' -p61327 -aS'oral\toral\tJJ\tB-NP\tO' -p61328 -aS'diet\tdiet\tNN\tI-NP\tO' -p61329 -aS'as\tas\tIN\tB-SBAR\tO' -p61330 -aS'tolerated\ttolerate\tVBN\tB-VP\tO' -p61331 -aS'.\t.\t.\tO\tO' -p61332 -asS'He had 0 left wrist flexion or extension while his left proximal muscles were 4 including his biceps and triceps .' -p61333 -(lp61334 -S'He\tHe\tPRP\tB-NP\tO' -p61335 -aS'had\thave\tVBD\tB-VP\tO' -p61336 -aS'0\t0\tCD\tB-NP\tO' -p61337 -aS'left\tleft\tJJ\tI-NP\tO' -p61338 -aS'wrist\twrist\tNN\tI-NP\tO' -p61339 -aS'flexion\tflexion\tNN\tI-NP\tO' -p61340 -aS'or\tor\tCC\tI-NP\tO' -p61341 -aS'extension\textension\tNN\tI-NP\tO' -p61342 -aS'while\twhile\tIN\tB-SBAR\tO' -p61343 -aS'his\this\tPRP$\tB-NP\tO' -p61344 -aS'left\tleft\tJJ\tI-NP\tO' -p61345 -aS'proximal\tproximal\tJJ\tI-NP\tO' -p61346 -aS'muscles\tmuscle\tNNS\tI-NP\tO' -p61347 -aS'were\tbe\tVBD\tB-VP\tO' -p61348 -aS'4\t4\tCD\tB-NP\tO' -p61349 -aS'including\tinclude\tVBG\tB-PP\tO' -p61350 -aS'his\this\tPRP$\tB-NP\tO' -p61351 -aS'biceps\tbicep\tNNS\tI-NP\tO' -p61352 -aS'and\tand\tCC\tI-NP\tO' -p61353 -aS'triceps\ttricep\tNNS\tI-NP\tO' -p61354 -aS'.\t.\t.\tO\tO' -p61355 -asS'Nephrolithiasis .' -p61356 -(lp61357 -S'Nephrolithiasis\tNephrolithiasis\tNN\tB-NP\tO' -p61358 -aS'.\t.\t.\tO\tO' -p61359 -asS'Gram stain and culture of the ascites failed to identify any organism .' -p61360 -(lp61361 -S'Gram\tGram\tNN\tB-NP\tO' -p61362 -aS'stain\tstain\tNN\tI-NP\tO' -p61363 -aS'and\tand\tCC\tI-NP\tO' -p61364 -aS'culture\tculture\tNN\tI-NP\tO' -p61365 -aS'of\tof\tIN\tB-PP\tO' -p61366 -aS'the\tthe\tDT\tB-NP\tO' -p61367 -aS'ascites\tascite\tNNS\tI-NP\tO' -p61368 -aS'failed\tfail\tVBD\tB-VP\tO' -p61369 -aS'to\tto\tTO\tI-VP\tO' -p61370 -aS'identify\tidentify\tVB\tI-VP\tO' -p61371 -aS'any\tany\tDT\tB-NP\tO' -p61372 -aS'organism\torganism\tNN\tI-NP\tO' -p61373 -aS'.\t.\t.\tO\tO' -p61374 -asS'4. Gastrointestinal : Boston required treatment for unconjungated hyperbilirubinemia with phototherapy .' -p61375 -(lp61376 -S'4.\t4.\tCD\tB-NP\tO' -p61377 -aS'Gastrointestinal\tGastrointestinal\tNNP\tI-NP\tO' -p61378 -aS':\t:\t:\tO\tO' -p61379 -aS'Boston\tBoston\tNNP\tB-NP\tO' -p61380 -aS'required\trequire\tVBD\tB-VP\tO' -p61381 -aS'treatment\ttreatment\tNN\tB-NP\tO' -p61382 -aS'for\tfor\tIN\tB-PP\tO' -p61383 -aS'unconjungated\tunconjungated\tJJ\tB-NP\tO' -p61384 -aS'hyperbilirubinemia\thyperbilirubinemia\tNN\tI-NP\tO' -p61385 -aS'with\twith\tIN\tB-PP\tO' -p61386 -aS'phototherapy\tphototherapy\tNN\tB-NP\tO' -p61387 -aS'.\t.\t.\tO\tO' -p61388 -asS'During ER evaluation pt was noted to have some degree of dyspnea as well as mental status changes , including loss of short term memory and brief unresponsive period after one dose of IV Benadry and steroids prior to CT scan .' -p61389 -(lp61390 -S'During\tDuring\tIN\tB-PP\tO' -p61391 -aS'ER\tER\tNN\tB-NP\tB-protein' -p61392 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p61393 -aS'pt\tpt\tNN\tI-NP\tO' -p61394 -aS'was\tbe\tVBD\tB-VP\tO' -p61395 -aS'noted\tnote\tVBN\tI-VP\tO' -p61396 -aS'to\tto\tTO\tI-VP\tO' -p61397 -aS'have\thave\tVB\tI-VP\tO' -p61398 -aS'some\tsome\tDT\tB-NP\tO' -p61399 -aS'degree\tdegree\tNN\tI-NP\tO' -p61400 -aS'of\tof\tIN\tB-PP\tO' -p61401 -aS'dyspnea\tdyspnea\tNN\tB-NP\tO' -p61402 -aS'as\tas\tRB\tB-CONJP\tO' -p61403 -aS'well\twell\tRB\tI-CONJP\tO' -p61404 -aS'as\tas\tIN\tI-CONJP\tO' -p61405 -aS'mental\tmental\tJJ\tB-NP\tO' -p61406 -aS'status\tstatus\tNN\tI-NP\tO' -p61407 -aS'changes\tchange\tNNS\tI-NP\tO' -p61408 -aS',\t,\t,\tO\tO' -p61409 -aS'including\tinclude\tVBG\tB-PP\tO' -p61410 -aS'loss\tloss\tNN\tB-NP\tO' -p61411 -aS'of\tof\tIN\tB-PP\tO' -p61412 -aS'short\tshort\tJJ\tB-NP\tO' -p61413 -aS'term\tterm\tNN\tI-NP\tO' -p61414 -aS'memory\tmemory\tNN\tI-NP\tO' -p61415 -aS'and\tand\tCC\tO\tO' -p61416 -aS'brief\tbrief\tJJ\tB-NP\tO' -p61417 -aS'unresponsive\tunresponsive\tJJ\tI-NP\tO' -p61418 -aS'period\tperiod\tNN\tI-NP\tO' -p61419 -aS'after\tafter\tIN\tB-PP\tO' -p61420 -aS'one\tone\tCD\tB-NP\tO' -p61421 -aS'dose\tdose\tNN\tI-NP\tO' -p61422 -aS'of\tof\tIN\tB-PP\tO' -p61423 -aS'IV\tIV\tCD\tB-NP\tO' -p61424 -aS'Benadry\tBenadry\tNNP\tI-NP\tO' -p61425 -aS'and\tand\tCC\tI-NP\tO' -p61426 -aS'steroids\tsteroid\tNNS\tI-NP\tO' -p61427 -aS'prior\tprior\tRB\tB-ADVP\tO' -p61428 -aS'to\tto\tTO\tB-PP\tO' -p61429 -aS'CT\tCT\tNN\tB-NP\tO' -p61430 -aS'scan\tscan\tNN\tI-NP\tO' -p61431 -aS'.\t.\t.\tO\tO' -p61432 -asS'Her history is detailed in the discharge summary of August 10 of this year .' -p61433 -(lp61434 -S'Her\tHer\tPRP$\tB-NP\tO' -p61435 -aS'history\thistory\tNN\tI-NP\tO' -p61436 -aS'is\tbe\tVBZ\tB-VP\tO' -p61437 -aS'detailed\tdetail\tVBN\tI-VP\tO' -p61438 -aS'in\tin\tIN\tB-PP\tO' -p61439 -aS'the\tthe\tDT\tB-NP\tO' -p61440 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p61441 -aS'summary\tsummary\tNN\tI-NP\tO' -p61442 -aS'of\tof\tIN\tB-PP\tO' -p61443 -aS'August\tAugust\tNNP\tB-NP\tO' -p61444 -aS'10\t10\tCD\tI-NP\tO' -p61445 -aS'of\tof\tIN\tB-PP\tO' -p61446 -aS'this\tthis\tDT\tB-NP\tO' -p61447 -aS'year\tyear\tNN\tI-NP\tO' -p61448 -aS'.\t.\t.\tO\tO' -p61449 -asS'His chest was clear to ascultation .' -p61450 -(lp61451 -S'His\tHis\tPRP$\tB-NP\tO' -p61452 -aS'chest\tchest\tNN\tI-NP\tO' -p61453 -aS'was\tbe\tVBD\tB-VP\tO' -p61454 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p61455 -aS'to\tto\tTO\tB-PP\tO' -p61456 -aS'ascultation\tascultation\tNN\tB-NP\tO' -p61457 -aS'.\t.\t.\tO\tO' -p61458 -asS'LEFT TOTAL KNEE ARTHROPLASTY ON 6/26/90 .' -p61459 -(lp61460 -S'LEFT\tLEFT\tNNP\tB-NP\tO' -p61461 -aS'TOTAL\tTOTAL\tNNP\tI-NP\tO' -p61462 -aS'KNEE\tKNEE\tNNP\tI-NP\tO' -p61463 -aS'ARTHROPLASTY\tARTHROPLASTY\tNNP\tI-NP\tO' -p61464 -aS'ON\tON\tNNP\tI-NP\tO' -p61465 -aS'6/26/90\t6/26/90\tCD\tI-NP\tO' -p61466 -aS'.\t.\t.\tO\tO' -p61467 -asS'Pulses were intact .' -p61468 -(lp61469 -S'Pulses\tPulse\tNNS\tB-NP\tO' -p61470 -aS'were\tbe\tVBD\tB-VP\tO' -p61471 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p61472 -aS'.\t.\t.\tO\tO' -p61473 -asS"The patient 's father died of a myocardial infarction at age 40 , and a brother who died of a myocardial infarction at age 40 ." -p61474 -(lp61475 -S'The\tThe\tDT\tB-NP\tO' -p61476 -aS'patient\tpatient\tNN\tI-NP\tO' -p61477 -aS"'s\t's\tPOS\tB-NP\tO" -p61478 -aS'father\tfather\tNN\tI-NP\tO' -p61479 -aS'died\tdie\tVBD\tB-VP\tO' -p61480 -aS'of\tof\tIN\tB-PP\tO' -p61481 -aS'a\ta\tDT\tB-NP\tO' -p61482 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p61483 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p61484 -aS'at\tat\tIN\tB-PP\tO' -p61485 -aS'age\tage\tNN\tB-NP\tO' -p61486 -aS'40\t40\tCD\tI-NP\tO' -p61487 -aS',\t,\t,\tO\tO' -p61488 -aS'and\tand\tCC\tO\tO' -p61489 -aS'a\ta\tDT\tB-NP\tO' -p61490 -aS'brother\tbrother\tNN\tI-NP\tO' -p61491 -aS'who\twho\tWP\tB-NP\tO' -p61492 -aS'died\tdie\tVBD\tB-VP\tO' -p61493 -aS'of\tof\tIN\tB-PP\tO' -p61494 -aS'a\ta\tDT\tB-NP\tO' -p61495 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p61496 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p61497 -aS'at\tat\tIN\tB-PP\tO' -p61498 -aS'age\tage\tNN\tB-NP\tO' -p61499 -aS'40\t40\tCD\tI-NP\tO' -p61500 -aS'.\t.\t.\tO\tO' -p61501 -asS'He was loaded with Dilantin and ultimately was treated with a Pentobarb coma .' -p61502 -(lp61503 -S'He\tHe\tPRP\tB-NP\tO' -p61504 -aS'was\tbe\tVBD\tB-VP\tO' -p61505 -aS'loaded\tload\tVBN\tI-VP\tO' -p61506 -aS'with\twith\tIN\tB-PP\tO' -p61507 -aS'Dilantin\tDilantin\tNN\tB-NP\tB-protein' -p61508 -aS'and\tand\tCC\tO\tO' -p61509 -aS'ultimately\tultimately\tRB\tB-ADVP\tO' -p61510 -aS'was\tbe\tVBD\tB-VP\tO' -p61511 -aS'treated\ttreat\tVBN\tI-VP\tO' -p61512 -aS'with\twith\tIN\tB-PP\tO' -p61513 -aS'a\ta\tDT\tB-NP\tO' -p61514 -aS'Pentobarb\tPentobarb\tNNP\tI-NP\tO' -p61515 -aS'coma\tcoma\tNN\tI-NP\tO' -p61516 -aS'.\t.\t.\tO\tO' -p61517 -asS'Symptoms resolved spontaneously .' -p61518 -(lp61519 -S'Symptoms\tSymptom\tNNS\tB-NP\tO' -p61520 -aS'resolved\tresolve\tVBD\tB-VP\tO' -p61521 -aS'spontaneously\tspontaneously\tRB\tB-ADVP\tO' -p61522 -aS'.\t.\t.\tO\tO' -p61523 -asS"The mother 's prenatal screens were blood type B positive , antibody negative , rubella immune , RPR nonreactive , hepatitis surface antigen negative and group B strep negative ." -p61524 -(lp61525 -S'The\tThe\tDT\tB-NP\tO' -p61526 -aS'mother\tmother\tNN\tI-NP\tO' -p61527 -aS"'s\t's\tPOS\tB-NP\tO" -p61528 -aS'prenatal\tprenatal\tJJ\tI-NP\tO' -p61529 -aS'screens\tscreen\tNNS\tI-NP\tO' -p61530 -aS'were\tbe\tVBD\tB-VP\tO' -p61531 -aS'blood\tblood\tNN\tB-NP\tO' -p61532 -aS'type\ttype\tNN\tI-NP\tO' -p61533 -aS'B\tB\tNN\tI-NP\tO' -p61534 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p61535 -aS',\t,\t,\tO\tO' -p61536 -aS'antibody\tantibody\tNN\tB-NP\tO' -p61537 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p61538 -aS',\t,\t,\tO\tO' -p61539 -aS'rubella\trubella\tNN\tB-NP\tO' -p61540 -aS'immune\timmune\tJJ\tB-ADJP\tO' -p61541 -aS',\t,\t,\tO\tO' -p61542 -aS'RPR\tRPR\tNN\tB-NP\tB-protein' -p61543 -aS'nonreactive\tnonreactive\tJJ\tB-ADJP\tO' -p61544 -aS',\t,\t,\tO\tO' -p61545 -aS'hepatitis\thepatitis\tNN\tB-NP\tB-protein' -p61546 -aS'surface\tsurface\tNN\tI-NP\tI-protein' -p61547 -aS'antigen\tantigen\tNN\tI-NP\tI-protein' -p61548 -aS'negative\tnegative\tJJ\tI-NP\tO' -p61549 -aS'and\tand\tCC\tI-NP\tO' -p61550 -aS'group\tgroup\tNN\tI-NP\tO' -p61551 -aS'B\tB\tNN\tI-NP\tO' -p61552 -aS'strep\tstrep\tNN\tI-NP\tO' -p61553 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p61554 -aS'.\t.\t.\tO\tO' -p61555 -asS'1 ) Cerebrovascular accident in 1995 in the pontine region secondary to hypertension .' -p61556 -(lp61557 -S'1\t1\tLS\tB-LST\tO' -p61558 -aS')\t)\t)\tO\tO' -p61559 -aS'Cerebrovascular\tCerebrovascular\tJJ\tB-NP\tO' -p61560 -aS'accident\taccident\tNN\tI-NP\tO' -p61561 -aS'in\tin\tIN\tB-PP\tO' -p61562 -aS'1995\t1995\tCD\tB-NP\tO' -p61563 -aS'in\tin\tIN\tB-PP\tO' -p61564 -aS'the\tthe\tDT\tB-NP\tO' -p61565 -aS'pontine\tpontine\tJJ\tI-NP\tO' -p61566 -aS'region\tregion\tNN\tI-NP\tO' -p61567 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p61568 -aS'to\tto\tTO\tB-PP\tO' -p61569 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p61570 -aS'.\t.\t.\tO\tO' -p61571 -asS'The patient presented to Sondi Memorial on 4-10-98 with fatigue and fall , found to have a hematocrit of 29 , baseline 37 .' -p61572 -(lp61573 -S'The\tThe\tDT\tB-NP\tO' -p61574 -aS'patient\tpatient\tNN\tI-NP\tO' -p61575 -aS'presented\tpresent\tVBN\tB-VP\tO' -p61576 -aS'to\tto\tTO\tB-PP\tO' -p61577 -aS'Sondi\tSondi\tNNP\tB-NP\tO' -p61578 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p61579 -aS'on\ton\tIN\tB-PP\tO' -p61580 -aS'4-10-98\t4-10-98\tNN\tB-NP\tO' -p61581 -aS'with\twith\tIN\tB-PP\tO' -p61582 -aS'fatigue\tfatigue\tNN\tB-NP\tO' -p61583 -aS'and\tand\tCC\tI-NP\tO' -p61584 -aS'fall\tfall\tNN\tI-NP\tO' -p61585 -aS',\t,\t,\tO\tO' -p61586 -aS'found\tfind\tVBN\tB-VP\tO' -p61587 -aS'to\tto\tTO\tI-VP\tO' -p61588 -aS'have\thave\tVB\tI-VP\tO' -p61589 -aS'a\ta\tDT\tB-NP\tO' -p61590 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p61591 -aS'of\tof\tIN\tB-PP\tO' -p61592 -aS'29\t29\tCD\tB-NP\tO' -p61593 -aS',\t,\t,\tO\tO' -p61594 -aS'baseline\tbaseline\tNN\tB-NP\tO' -p61595 -aS'37\t37\tCD\tI-NP\tO' -p61596 -aS'.\t.\t.\tO\tO' -p61597 -asS'Mr. Stain was transferred from the Oreiewlefell Merkane I Penaltbridgesgreat University Medical Center for progressive respiratory failure and adult respiratory distress syndrome superimposed on a history of chronic obstructive pulmonary disease , perhaps asthma , and ulcerative colitis .' -p61598 -(lp61599 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p61600 -aS'Stain\tStain\tNNP\tI-NP\tO' -p61601 -aS'was\tbe\tVBD\tB-VP\tO' -p61602 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p61603 -aS'from\tfrom\tIN\tB-PP\tO' -p61604 -aS'the\tthe\tDT\tB-NP\tO' -p61605 -aS'Oreiewlefell\tOreiewlefell\tNNP\tI-NP\tO' -p61606 -aS'Merkane\tMerkane\tNNP\tI-NP\tO' -p61607 -aS'I\tI\tNNP\tI-NP\tO' -p61608 -aS'Penaltbridgesgreat\tPenaltbridgesgreat\tNNP\tI-NP\tO' -p61609 -aS'University\tUniversity\tNNP\tI-NP\tO' -p61610 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p61611 -aS'Center\tCenter\tNNP\tI-NP\tO' -p61612 -aS'for\tfor\tIN\tB-PP\tO' -p61613 -aS'progressive\tprogressive\tJJ\tB-NP\tO' -p61614 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p61615 -aS'failure\tfailure\tNN\tI-NP\tO' -p61616 -aS'and\tand\tCC\tO\tO' -p61617 -aS'adult\tadult\tJJ\tB-NP\tO' -p61618 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p61619 -aS'distress\tdistress\tNN\tI-NP\tO' -p61620 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p61621 -aS'superimposed\tsuperimpose\tVBN\tB-VP\tO' -p61622 -aS'on\ton\tIN\tB-PP\tO' -p61623 -aS'a\ta\tDT\tB-NP\tO' -p61624 -aS'history\thistory\tNN\tI-NP\tO' -p61625 -aS'of\tof\tIN\tB-PP\tO' -p61626 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p61627 -aS'obstructive\tobstructive\tJJ\tI-NP\tO' -p61628 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p61629 -aS'disease\tdisease\tNN\tI-NP\tO' -p61630 -aS',\t,\t,\tO\tO' -p61631 -aS'perhaps\tperhaps\tRB\tB-NP\tO' -p61632 -aS'asthma\tasthma\tNN\tI-NP\tO' -p61633 -aS',\t,\t,\tO\tO' -p61634 -aS'and\tand\tCC\tO\tO' -p61635 -aS'ulcerative\tulcerative\tJJ\tB-NP\tO' -p61636 -aS'colitis\tcolitis\tNN\tI-NP\tO' -p61637 -aS'.\t.\t.\tO\tO' -p61638 -asS'Pediatric Nephrology recommended on 9/7/93 , 5:50 p.m. , 10 cc 's per kilo of 150 mEq of sodium bicarbonate per liter , ( 1.5 mEq per kilo bicarbonate , one dose of Lasix and volume as needed ) .' -p61639 -(lp61640 -S'Pediatric\tPediatric\tNNP\tB-NP\tO' -p61641 -aS'Nephrology\tNephrology\tNNP\tI-NP\tO' -p61642 -aS'recommended\trecommend\tVBD\tB-VP\tO' -p61643 -aS'on\ton\tIN\tB-PP\tO' -p61644 -aS'9/7/93\t9/7/93\tCD\tB-NP\tO' -p61645 -aS',\t,\t,\tO\tO' -p61646 -aS'5:50\t5:50\tCD\tB-NP\tO' -p61647 -aS'p.m.\tp.m.\tRB\tB-ADVP\tO' -p61648 -aS',\t,\t,\tO\tO' -p61649 -aS'10\t10\tCD\tB-NP\tO' -p61650 -aS'cc\tcc\tNN\tI-NP\tO' -p61651 -aS''s\t'\tNNS\tI-NP\tO' -p61652 -aS'per\tper\tIN\tB-PP\tO' -p61653 -aS'kilo\tkilo\tNN\tB-NP\tO' -p61654 -aS'of\tof\tIN\tB-PP\tO' -p61655 -aS'150\t150\tCD\tB-NP\tO' -p61656 -aS'mEq\tmEq\tNN\tI-NP\tO' -p61657 -aS'of\tof\tIN\tB-PP\tO' -p61658 -aS'sodium\tsodium\tNN\tB-NP\tO' -p61659 -aS'bicarbonate\tbicarbonate\tNN\tI-NP\tO' -p61660 -aS'per\tper\tIN\tB-PP\tO' -p61661 -aS'liter\tliter\tNN\tB-NP\tO' -p61662 -aS',\t,\t,\tO\tO' -p61663 -aS'(\t(\t(\tO\tO' -p61664 -aS'1.5\t1.5\tCD\tB-NP\tO' -p61665 -aS'mEq\tmEq\tNN\tI-NP\tO' -p61666 -aS'per\tper\tIN\tB-PP\tO' -p61667 -aS'kilo\tkilo\tNN\tB-NP\tO' -p61668 -aS'bicarbonate\tbicarbonate\tNN\tI-NP\tO' -p61669 -aS',\t,\t,\tO\tO' -p61670 -aS'one\tone\tCD\tB-NP\tO' -p61671 -aS'dose\tdose\tNN\tI-NP\tO' -p61672 -aS'of\tof\tIN\tB-PP\tO' -p61673 -aS'Lasix\tLasix\tNN\tB-NP\tO' -p61674 -aS'and\tand\tCC\tI-NP\tO' -p61675 -aS'volume\tvolume\tNN\tI-NP\tO' -p61676 -aS'as\tas\tIN\tB-SBAR\tO' -p61677 -aS'needed\tneed\tVBN\tB-VP\tO' -p61678 -aS')\t)\t)\tO\tO' -p61679 -aS'.\t.\t.\tO\tO' -p61680 -asS'clear to auscultation and percussion bilaterally .' -p61681 -(lp61682 -S'clear\tclear\tJJ\tB-ADJP\tO' -p61683 -aS'to\tto\tTO\tB-PP\tO' -p61684 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p61685 -aS'and\tand\tCC\tI-NP\tO' -p61686 -aS'percussion\tpercussion\tNN\tI-NP\tO' -p61687 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p61688 -aS'.\t.\t.\tO\tO' -p61689 -asS'Coumadin was initially held .' -p61690 -(lp61691 -S'Coumadin\tCoumadin\tNN\tB-NP\tO' -p61692 -aS'was\tbe\tVBD\tB-VP\tO' -p61693 -aS'initially\tinitially\tRB\tI-VP\tO' -p61694 -aS'held\thold\tVBN\tI-VP\tO' -p61695 -aS'.\t.\t.\tO\tO' -p61696 -asS'2. Protonix 40 mg po q day .' -p61697 -(lp61698 -S'2.\t2.\tLS\tB-NP\tO' -p61699 -aS'Protonix\tProtonix\tNNP\tI-NP\tO' -p61700 -aS'40\t40\tCD\tI-NP\tO' -p61701 -aS'mg\tmg\tNN\tI-NP\tO' -p61702 -aS'po\tpo\tNN\tI-NP\tO' -p61703 -aS'q\tq\tNN\tI-NP\tO' -p61704 -aS'day\tday\tNN\tI-NP\tO' -p61705 -aS'.\t.\t.\tO\tO' -p61706 -asS'On no medications at this time .' -p61707 -(lp61708 -S'On\tOn\tIN\tB-PP\tO' -p61709 -aS'no\tno\tDT\tB-NP\tO' -p61710 -aS'medications\tmedication\tNNS\tI-NP\tO' -p61711 -aS'at\tat\tIN\tB-PP\tO' -p61712 -aS'this\tthis\tDT\tB-NP\tO' -p61713 -aS'time\ttime\tNN\tI-NP\tO' -p61714 -aS'.\t.\t.\tO\tO' -p61715 -asS'Pt is now s/p drainage of right pleural effusion , diagnostic and therapeutic , with studies consistent with transudate , etiology most likely 02-15 CHF .' -p61716 -(lp61717 -S'Pt\tPt\tNN\tB-NP\tO' -p61718 -aS'is\tbe\tVBZ\tB-VP\tO' -p61719 -aS'now\tnow\tRB\tI-VP\tO' -p61720 -aS's/p\ts/p\tVB\tI-VP\tO' -p61721 -aS'drainage\tdrainage\tNN\tB-NP\tO' -p61722 -aS'of\tof\tIN\tB-PP\tO' -p61723 -aS'right\tright\tJJ\tB-NP\tO' -p61724 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p61725 -aS'effusion\teffusion\tNN\tI-NP\tO' -p61726 -aS',\t,\t,\tO\tO' -p61727 -aS'diagnostic\tdiagnostic\tJJ\tB-ADJP\tO' -p61728 -aS'and\tand\tCC\tI-ADJP\tO' -p61729 -aS'therapeutic\ttherapeutic\tJJ\tI-ADJP\tO' -p61730 -aS',\t,\t,\tO\tO' -p61731 -aS'with\twith\tIN\tB-PP\tO' -p61732 -aS'studies\tstudy\tNNS\tB-NP\tO' -p61733 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p61734 -aS'with\twith\tIN\tB-PP\tO' -p61735 -aS'transudate\ttransudate\tNN\tB-NP\tO' -p61736 -aS',\t,\t,\tO\tO' -p61737 -aS'etiology\tetiology\tNN\tB-NP\tO' -p61738 -aS'most\tmost\tRBS\tB-ADVP\tO' -p61739 -aS'likely\tlikely\tRB\tI-ADVP\tO' -p61740 -aS'02-15\t02-15\tCD\tB-NP\tO' -p61741 -aS'CHF\tCHF\tNN\tI-NP\tO' -p61742 -aS'.\t.\t.\tO\tO' -p61743 -asS'Extubated early the next morning and chest tubes removed .' -p61744 -(lp61745 -S'Extubated\tExtubate\tVBD\tB-VP\tO' -p61746 -aS'early\tearly\tRB\tB-NP\tO' -p61747 -aS'the\tthe\tDT\tI-NP\tO' -p61748 -aS'next\tnext\tJJ\tI-NP\tO' -p61749 -aS'morning\tmorning\tNN\tI-NP\tO' -p61750 -aS'and\tand\tCC\tI-NP\tO' -p61751 -aS'chest\tchest\tNN\tI-NP\tO' -p61752 -aS'tubes\ttube\tNNS\tI-NP\tO' -p61753 -aS'removed\tremove\tVBN\tB-VP\tO' -p61754 -aS'.\t.\t.\tO\tO' -p61755 -asS'Liver function tests were significant for an ALT 41 , AST 31 , alk phos 76 , T. bili 0.7 , D. bili 0.2 , amylase 345 , lipase 2510 , T. protein 8.1 , albumin 4.9 , globulin 3.2 , Ca 9.9 .' -p61756 -(lp61757 -S'Liver\tLiver\tNN\tB-NP\tO' -p61758 -aS'function\tfunction\tNN\tI-NP\tO' -p61759 -aS'tests\ttest\tNNS\tI-NP\tO' -p61760 -aS'were\tbe\tVBD\tB-VP\tO' -p61761 -aS'significant\tsignificant\tJJ\tB-ADJP\tO' -p61762 -aS'for\tfor\tIN\tB-PP\tO' -p61763 -aS'an\tan\tDT\tB-NP\tO' -p61764 -aS'ALT\tALT\tNN\tI-NP\tB-DNA' -p61765 -aS'41\t41\tCD\tI-NP\tI-DNA' -p61766 -aS',\t,\t,\tO\tO' -p61767 -aS'AST\tAST\tNN\tB-NP\tO' -p61768 -aS'31\t31\tCD\tI-NP\tO' -p61769 -aS',\t,\t,\tO\tO' -p61770 -aS'alk\talk\tNN\tB-NP\tO' -p61771 -aS'phos\tpho\tNNS\tI-NP\tO' -p61772 -aS'76\t76\tCD\tB-NP\tO' -p61773 -aS',\t,\t,\tO\tO' -p61774 -aS'T.\tT.\tNNP\tB-NP\tO' -p61775 -aS'bili\tbili\tNNP\tI-NP\tO' -p61776 -aS'0.7\t0.7\tCD\tI-NP\tO' -p61777 -aS',\t,\t,\tO\tO' -p61778 -aS'D.\tD.\tNNP\tB-NP\tO' -p61779 -aS'bili\tbili\tNNP\tI-NP\tO' -p61780 -aS'0.2\t0.2\tCD\tI-NP\tO' -p61781 -aS',\t,\t,\tO\tO' -p61782 -aS'amylase\tamylase\tNN\tB-NP\tO' -p61783 -aS'345\t345\tCD\tI-NP\tO' -p61784 -aS',\t,\t,\tO\tO' -p61785 -aS'lipase\tlipase\tNN\tB-NP\tO' -p61786 -aS'2510\t2510\tCD\tI-NP\tO' -p61787 -aS',\t,\t,\tO\tO' -p61788 -aS'T.\tT.\tNN\tB-NP\tB-protein' -p61789 -aS'protein\tprotein\tNN\tI-NP\tI-protein' -p61790 -aS'8.1\t8.1\tCD\tI-NP\tI-protein' -p61791 -aS',\t,\t,\tO\tO' -p61792 -aS'albumin\talbumin\tNN\tB-NP\tB-protein' -p61793 -aS'4.9\t4.9\tCD\tI-NP\tI-protein' -p61794 -aS',\t,\t,\tO\tO' -p61795 -aS'globulin\tglobulin\tNN\tB-NP\tB-protein' -p61796 -aS'3.2\t3.2\tCD\tI-NP\tI-protein' -p61797 -aS',\t,\t,\tO\tO' -p61798 -aS'Ca\tCa\tNNP\tB-NP\tO' -p61799 -aS'9.9\t9.9\tCD\tI-NP\tO' -p61800 -aS'.\t.\t.\tO\tO' -p61801 -asS'In addition , the patient desired liposuction of varying areas as well .' -p61802 -(lp61803 -S'In\tIn\tIN\tB-PP\tO' -p61804 -aS'addition\taddition\tNN\tB-NP\tO' -p61805 -aS',\t,\t,\tO\tO' -p61806 -aS'the\tthe\tDT\tB-NP\tO' -p61807 -aS'patient\tpatient\tNN\tI-NP\tO' -p61808 -aS'desired\tdesire\tVBD\tB-VP\tO' -p61809 -aS'liposuction\tliposuction\tNN\tB-NP\tO' -p61810 -aS'of\tof\tIN\tB-PP\tO' -p61811 -aS'varying\tvary\tVBG\tB-NP\tO' -p61812 -aS'areas\tarea\tNNS\tI-NP\tO' -p61813 -aS'as\tas\tRB\tB-ADVP\tO' -p61814 -aS'well\twell\tRB\tI-ADVP\tO' -p61815 -aS'.\t.\t.\tO\tO' -p61816 -asS'6. Losartan 50 mg p.o. q. day .' -p61817 -(lp61818 -S'6.\t6.\tCD\tB-NP\tO' -p61819 -aS'Losartan\tLosartan\tNNP\tI-NP\tO' -p61820 -aS'50\t50\tCD\tI-NP\tO' -p61821 -aS'mg\tmg\tNN\tI-NP\tO' -p61822 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p61823 -aS'q.\tq.\tNN\tI-NP\tO' -p61824 -aS'day\tday\tNN\tI-NP\tO' -p61825 -aS'.\t.\t.\tO\tO' -p61826 -asS'The patient was admitted preoperatively for surgery on 7/4/98 .' -p61827 -(lp61828 -S'The\tThe\tDT\tB-NP\tO' -p61829 -aS'patient\tpatient\tNN\tI-NP\tO' -p61830 -aS'was\tbe\tVBD\tB-VP\tO' -p61831 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p61832 -aS'preoperatively\tpreoperatively\tRB\tB-ADVP\tO' -p61833 -aS'for\tfor\tIN\tB-PP\tO' -p61834 -aS'surgery\tsurgery\tNN\tB-NP\tO' -p61835 -aS'on\ton\tIN\tB-PP\tO' -p61836 -aS'7/4/98\t7/4/98\tCD\tB-NP\tO' -p61837 -aS'.\t.\t.\tO\tO' -p61838 -asS'External ears normal .' -p61839 -(lp61840 -S'External\tExternal\tJJ\tB-NP\tO' -p61841 -aS'ears\tear\tNNS\tI-NP\tO' -p61842 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p61843 -aS'.\t.\t.\tO\tO' -p61844 -asS'Increasing tachypnea and tachycardia in Leola , cxr with likely aspiration pna versus chf , intubated .' -p61845 -(lp61846 -S'Increasing\tIncrease\tVBG\tB-VP\tO' -p61847 -aS'tachypnea\ttachypnea\tNN\tB-NP\tO' -p61848 -aS'and\tand\tCC\tI-NP\tO' -p61849 -aS'tachycardia\ttachycardia\tNN\tI-NP\tO' -p61850 -aS'in\tin\tIN\tB-PP\tO' -p61851 -aS'Leola\tLeola\tNNP\tB-NP\tO' -p61852 -aS',\t,\t,\tO\tO' -p61853 -aS'cxr\tcxr\tNN\tB-NP\tB-protein' -p61854 -aS'with\twith\tIN\tB-PP\tO' -p61855 -aS'likely\tlikely\tJJ\tB-NP\tO' -p61856 -aS'aspiration\taspiration\tNN\tI-NP\tO' -p61857 -aS'pna\tpna\tNN\tI-NP\tO' -p61858 -aS'versus\tversus\tIN\tB-PP\tO' -p61859 -aS'chf\tchf\tNN\tB-NP\tO' -p61860 -aS',\t,\t,\tO\tO' -p61861 -aS'intubated\tintubate\tVBN\tB-VP\tO' -p61862 -aS'.\t.\t.\tO\tO' -p61863 -asS'New echo showed pannus involving the valve and ? thrombus .' -p61864 -(lp61865 -S'New\tNew\tJJ\tB-NP\tO' -p61866 -aS'echo\techo\tNN\tI-NP\tO' -p61867 -aS'showed\tshow\tVBD\tB-VP\tO' -p61868 -aS'pannus\tpannus\tNN\tB-NP\tO' -p61869 -aS'involving\tinvolve\tVBG\tB-VP\tO' -p61870 -aS'the\tthe\tDT\tB-NP\tO' -p61871 -aS'valve\tvalve\tNN\tI-NP\tO' -p61872 -aS'and\tand\tCC\tO\tO' -p61873 -aS'?\t?\t.\tO\tO' -p61874 -aS'thrombus\tthrombus\tNN\tB-NP\tO' -p61875 -aS'.\t.\t.\tO\tO' -p61876 -asS'1. Albuterol Sulfate 0.083 % Solution Sig : One ( 1 ) Inhalation Q4H ( every 4 hours ) as needed .' -p61877 -(lp61878 -S'1.\t1.\tLS\tB-LST\tO' -p61879 -aS'Albuterol\tAlbuterol\tNN\tB-NP\tO' -p61880 -aS'Sulfate\tSulfate\tVB\tB-VP\tO' -p61881 -aS'0.083\t0.083\tCD\tB-NP\tO' -p61882 -aS'%\t%\tNN\tI-NP\tO' -p61883 -aS'Solution\tSolution\tNNP\tI-NP\tO' -p61884 -aS'Sig\tSig\tNNP\tI-NP\tO' -p61885 -aS':\t:\t:\tO\tO' -p61886 -aS'One\tOne\tCD\tB-NP\tO' -p61887 -aS'(\t(\t(\tO\tO' -p61888 -aS'1\t1\tCD\tB-NP\tO' -p61889 -aS')\t)\t)\tO\tO' -p61890 -aS'Inhalation\tInhalation\tNN\tB-NP\tO' -p61891 -aS'Q4H\tQ4H\tNN\tI-NP\tO' -p61892 -aS'(\t(\t(\tO\tO' -p61893 -aS'every\tevery\tDT\tB-NP\tO' -p61894 -aS'4\t4\tCD\tI-NP\tO' -p61895 -aS'hours\thour\tNNS\tI-NP\tO' -p61896 -aS')\t)\t)\tO\tO' -p61897 -aS'as\tas\tIN\tB-SBAR\tO' -p61898 -aS'needed\tneed\tVBN\tB-VP\tO' -p61899 -aS'.\t.\t.\tO\tO' -p61900 -asS'This is a 48-year-old G 3 P 3 who presented to Dr. Fuscmadril 's clinic after having an abnormal pap smear followed by an endometrial biopsy that was suggestive of grade 1 endometrial cancer .' -p61901 -(lp61902 -S'This\tThis\tDT\tB-NP\tO' -p61903 -aS'is\tbe\tVBZ\tB-VP\tO' -p61904 -aS'a\ta\tDT\tB-NP\tO' -p61905 -aS'48-year-old\t48-year-old\tJJ\tI-NP\tO' -p61906 -aS'G\tG\tNN\tI-NP\tO' -p61907 -aS'3\t3\tCD\tI-NP\tO' -p61908 -aS'P\tP\tNN\tI-NP\tO' -p61909 -aS'3\t3\tCD\tI-NP\tO' -p61910 -aS'who\twho\tWP\tB-NP\tO' -p61911 -aS'presented\tpresent\tVBD\tB-VP\tO' -p61912 -aS'to\tto\tTO\tB-PP\tO' -p61913 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p61914 -aS'Fuscmadril\tFuscmadril\tNNP\tI-NP\tO' -p61915 -aS''s\t'\tNNS\tI-NP\tO' -p61916 -aS'clinic\tclinic\tNN\tI-NP\tO' -p61917 -aS'after\tafter\tIN\tB-PP\tO' -p61918 -aS'having\thave\tVBG\tB-VP\tO' -p61919 -aS'an\tan\tDT\tB-NP\tO' -p61920 -aS'abnormal\tabnormal\tJJ\tI-NP\tO' -p61921 -aS'pap\tpap\tNN\tI-NP\tO' -p61922 -aS'smear\tsmear\tNN\tI-NP\tO' -p61923 -aS'followed\tfollow\tVBN\tB-VP\tO' -p61924 -aS'by\tby\tIN\tB-PP\tO' -p61925 -aS'an\tan\tDT\tB-NP\tO' -p61926 -aS'endometrial\tendometrial\tJJ\tI-NP\tO' -p61927 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p61928 -aS'that\tthat\tWDT\tB-NP\tO' -p61929 -aS'was\tbe\tVBD\tB-VP\tO' -p61930 -aS'suggestive\tsuggestive\tJJ\tB-ADJP\tO' -p61931 -aS'of\tof\tIN\tB-PP\tO' -p61932 -aS'grade\tgrade\tNN\tB-NP\tO' -p61933 -aS'1\t1\tCD\tI-NP\tO' -p61934 -aS'endometrial\tendometrial\tJJ\tI-NP\tO' -p61935 -aS'cancer\tcancer\tNN\tI-NP\tO' -p61936 -aS'.\t.\t.\tO\tO' -p61937 -asS'His course was complicated by atrial fibrillation requiring cardioversion .' -p61938 -(lp61939 -S'His\tHis\tPRP$\tB-NP\tO' -p61940 -aS'course\tcourse\tNN\tI-NP\tO' -p61941 -aS'was\tbe\tVBD\tB-VP\tO' -p61942 -aS'complicated\tcomplicate\tVBN\tI-VP\tO' -p61943 -aS'by\tby\tIN\tB-PP\tO' -p61944 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p61945 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p61946 -aS'requiring\trequire\tVBG\tB-VP\tO' -p61947 -aS'cardioversion\tcardioversion\tNN\tB-NP\tO' -p61948 -aS'.\t.\t.\tO\tO' -p61949 -asS'Ms. Bridge was admitted from OSH for coronary artery bypass surgery .' -p61950 -(lp61951 -S'Ms.\tMs.\tNNP\tB-NP\tO' -p61952 -aS'Bridge\tBridge\tNNP\tI-NP\tO' -p61953 -aS'was\tbe\tVBD\tB-VP\tO' -p61954 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p61955 -aS'from\tfrom\tIN\tB-PP\tO' -p61956 -aS'OSH\tOSH\tNN\tB-NP\tO' -p61957 -aS'for\tfor\tIN\tB-PP\tO' -p61958 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p61959 -aS'artery\tartery\tNN\tI-NP\tO' -p61960 -aS'bypass\tbypass\tIN\tB-PP\tO' -p61961 -aS'surgery\tsurgery\tNN\tB-NP\tO' -p61962 -aS'.\t.\t.\tO\tO' -p61963 -asS'Noted for nonicteric sclerae and lungs that are clear to auscultation .' -p61964 -(lp61965 -S'Noted\tNote\tVBN\tB-VP\tO' -p61966 -aS'for\tfor\tIN\tB-PP\tO' -p61967 -aS'nonicteric\tnonicteric\tJJ\tB-NP\tO' -p61968 -aS'sclerae\tsclerae\tNNS\tI-NP\tO' -p61969 -aS'and\tand\tCC\tI-NP\tO' -p61970 -aS'lungs\tlung\tNNS\tI-NP\tO' -p61971 -aS'that\tthat\tWDT\tB-NP\tO' -p61972 -aS'are\tbe\tVBP\tB-VP\tO' -p61973 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p61974 -aS'to\tto\tTO\tB-PP\tO' -p61975 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p61976 -aS'.\t.\t.\tO\tO' -p61977 -asS'Sodium of 138 ; potassium 3.5 ; 106 , 28 , 31 , 1.0 , glucose 134 .' -p61978 -(lp61979 -S'Sodium\tSodium\tNN\tB-NP\tO' -p61980 -aS'of\tof\tIN\tB-PP\tO' -p61981 -aS'138\t138\tCD\tB-NP\tO' -p61982 -aS';\t;\t:\tO\tO' -p61983 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p61984 -aS'3.5\t3.5\tCD\tI-NP\tO' -p61985 -aS';\t;\t:\tO\tO' -p61986 -aS'106\t106\tCD\tB-NP\tO' -p61987 -aS',\t,\t,\tI-NP\tO' -p61988 -aS'28\t28\tCD\tI-NP\tO' -p61989 -aS',\t,\t,\tI-NP\tO' -p61990 -aS'31\t31\tCD\tI-NP\tO' -p61991 -aS',\t,\t,\tI-NP\tO' -p61992 -aS'1.0\t1.0\tCD\tI-NP\tO' -p61993 -aS',\t,\t,\tO\tO' -p61994 -aS'glucose\tglucose\tNN\tB-NP\tO' -p61995 -aS'134\t134\tCD\tI-NP\tO' -p61996 -aS'.\t.\t.\tO\tO' -p61997 -asS'There was a plantar grasp present on the left hand .' -p61998 -(lp61999 -S'There\tThere\tEX\tB-NP\tO' -p62000 -aS'was\tbe\tVBD\tB-VP\tO' -p62001 -aS'a\ta\tDT\tB-NP\tO' -p62002 -aS'plantar\tplantar\tNN\tI-NP\tO' -p62003 -aS'grasp\tgrasp\tNN\tI-NP\tO' -p62004 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p62005 -aS'on\ton\tIN\tB-PP\tO' -p62006 -aS'the\tthe\tDT\tB-NP\tO' -p62007 -aS'left\tleft\tJJ\tI-NP\tO' -p62008 -aS'hand\thand\tNN\tI-NP\tO' -p62009 -aS'.\t.\t.\tO\tO' -p62010 -asS'1. Multiple diverticula .' -p62011 -(lp62012 -S'1.\t1.\tLS\tB-NP\tO' -p62013 -aS'Multiple\tMultiple\tJJ\tI-NP\tO' -p62014 -aS'diverticula\tdiverticula\tNN\tI-NP\tO' -p62015 -aS'.\t.\t.\tO\tO' -p62016 -asS'He has a very supportive family with numerous siblings .' -p62017 -(lp62018 -S'He\tHe\tPRP\tB-NP\tO' -p62019 -aS'has\thave\tVBZ\tB-VP\tO' -p62020 -aS'a\ta\tDT\tB-NP\tO' -p62021 -aS'very\tvery\tRB\tI-NP\tO' -p62022 -aS'supportive\tsupportive\tJJ\tI-NP\tO' -p62023 -aS'family\tfamily\tNN\tI-NP\tO' -p62024 -aS'with\twith\tIN\tB-PP\tO' -p62025 -aS'numerous\tnumerous\tJJ\tB-NP\tO' -p62026 -aS'siblings\tsibling\tNNS\tI-NP\tO' -p62027 -aS'.\t.\t.\tO\tO' -p62028 -asS'The patient 's preliminary admitting physician is CHIRD , GRAJORD C and the preliminary diagnosis is PNA .' -p62029 -(lp62030 -S'The\tThe\tDT\tB-NP\tO' -p62031 -aS'patient\tpatient\tNN\tI-NP\tO' -p62032 -aS''s\t'\tNNS\tI-NP\tO' -p62033 -aS'preliminary\tpreliminary\tJJ\tB-NP\tO' -p62034 -aS'admitting\tadmit\tVBG\tI-NP\tO' -p62035 -aS'physician\tphysician\tNN\tI-NP\tO' -p62036 -aS'is\tbe\tVBZ\tB-VP\tO' -p62037 -aS'CHIRD\tCHIRD\tNNP\tB-NP\tO' -p62038 -aS',\t,\t,\tO\tO' -p62039 -aS'GRAJORD\tGRAJORD\tNNP\tB-NP\tB-cell_type' -p62040 -aS'C\tC\tNNP\tI-NP\tI-cell_type' -p62041 -aS'and\tand\tCC\tO\tO' -p62042 -aS'the\tthe\tDT\tB-NP\tO' -p62043 -aS'preliminary\tpreliminary\tJJ\tI-NP\tO' -p62044 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p62045 -aS'is\tbe\tVBZ\tB-VP\tO' -p62046 -aS'PNA\tPNA\tNN\tB-NP\tO' -p62047 -aS'.\t.\t.\tO\tO' -p62048 -asS'He has had chronic anemia since 1990 , but a bone marrow biopsy in 07-92 , was consistent with myelodysplastic syndrome .' -p62049 -(lp62050 -S'He\tHe\tPRP\tB-NP\tO' -p62051 -aS'has\thave\tVBZ\tB-VP\tO' -p62052 -aS'had\thave\tVBN\tI-VP\tO' -p62053 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p62054 -aS'anemia\tanemia\tNN\tI-NP\tO' -p62055 -aS'since\tsince\tIN\tB-PP\tO' -p62056 -aS'1990\t1990\tCD\tB-NP\tO' -p62057 -aS',\t,\t,\tO\tO' -p62058 -aS'but\tbut\tCC\tO\tO' -p62059 -aS'a\ta\tDT\tB-NP\tO' -p62060 -aS'bone\tbone\tNN\tI-NP\tO' -p62061 -aS'marrow\tmarrow\tNN\tI-NP\tO' -p62062 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p62063 -aS'in\tin\tIN\tB-PP\tO' -p62064 -aS'07-92\t07-92\tCD\tB-NP\tO' -p62065 -aS',\t,\t,\tO\tO' -p62066 -aS'was\tbe\tVBD\tB-VP\tO' -p62067 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p62068 -aS'with\twith\tIN\tB-PP\tO' -p62069 -aS'myelodysplastic\tmyelodysplastic\tJJ\tB-NP\tO' -p62070 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p62071 -aS'.\t.\t.\tO\tO' -p62072 -asS'This 75 year old male had been noted to be anemic with an abnormal white blood count since at least November 1993 , while he was living in Aersing Rocuch Sun and his physicians there had begun to manage him with transfusions , and low dose hydroxyurea .' -p62073 -(lp62074 -S'This\tThis\tDT\tB-NP\tO' -p62075 -aS'75\t75\tCD\tI-NP\tO' -p62076 -aS'year\tyear\tNN\tI-NP\tO' -p62077 -aS'old\told\tJJ\tI-NP\tO' -p62078 -aS'male\tmale\tNN\tI-NP\tO' -p62079 -aS'had\thave\tVBD\tB-VP\tO' -p62080 -aS'been\tbe\tVBN\tI-VP\tO' -p62081 -aS'noted\tnote\tVBN\tI-VP\tO' -p62082 -aS'to\tto\tTO\tI-VP\tO' -p62083 -aS'be\tbe\tVB\tI-VP\tO' -p62084 -aS'anemic\tanemic\tJJ\tB-ADJP\tO' -p62085 -aS'with\twith\tIN\tB-PP\tO' -p62086 -aS'an\tan\tDT\tB-NP\tO' -p62087 -aS'abnormal\tabnormal\tJJ\tI-NP\tO' -p62088 -aS'white\twhite\tJJ\tI-NP\tO' -p62089 -aS'blood\tblood\tNN\tI-NP\tO' -p62090 -aS'count\tcount\tNN\tI-NP\tO' -p62091 -aS'since\tsince\tIN\tB-PP\tO' -p62092 -aS'at\tat\tIN\tB-ADVP\tO' -p62093 -aS'least\tleast\tJJS\tI-ADVP\tO' -p62094 -aS'November\tNovember\tNNP\tB-NP\tO' -p62095 -aS'1993\t1993\tCD\tI-NP\tO' -p62096 -aS',\t,\t,\tO\tO' -p62097 -aS'while\twhile\tIN\tB-SBAR\tO' -p62098 -aS'he\the\tPRP\tB-NP\tO' -p62099 -aS'was\tbe\tVBD\tB-VP\tO' -p62100 -aS'living\tlive\tVBG\tI-VP\tO' -p62101 -aS'in\tin\tIN\tB-PP\tO' -p62102 -aS'Aersing\tAersing\tNNP\tB-NP\tO' -p62103 -aS'Rocuch\tRocuch\tNNP\tI-NP\tO' -p62104 -aS'Sun\tSun\tNNP\tI-NP\tO' -p62105 -aS'and\tand\tCC\tO\tO' -p62106 -aS'his\this\tPRP$\tB-NP\tO' -p62107 -aS'physicians\tphysician\tNNS\tI-NP\tO' -p62108 -aS'there\tthere\tEX\tB-NP\tO' -p62109 -aS'had\thave\tVBD\tB-VP\tO' -p62110 -aS'begun\tbegin\tVBN\tI-VP\tO' -p62111 -aS'to\tto\tTO\tI-VP\tO' -p62112 -aS'manage\tmanage\tVB\tI-VP\tO' -p62113 -aS'him\thim\tPRP\tB-NP\tO' -p62114 -aS'with\twith\tIN\tB-PP\tO' -p62115 -aS'transfusions\ttransfusion\tNNS\tB-NP\tO' -p62116 -aS',\t,\t,\tO\tO' -p62117 -aS'and\tand\tCC\tO\tO' -p62118 -aS'low\tlow\tJJ\tB-NP\tO' -p62119 -aS'dose\tdose\tNN\tI-NP\tO' -p62120 -aS'hydroxyurea\thydroxyurea\tNN\tI-NP\tO' -p62121 -aS'.\t.\t.\tO\tO' -p62122 -asS'The head is normocephalic , atraumatic and eyes are icteric .' -p62123 -(lp62124 -S'The\tThe\tDT\tB-NP\tO' -p62125 -aS'head\thead\tNN\tI-NP\tO' -p62126 -aS'is\tbe\tVBZ\tB-VP\tO' -p62127 -aS'normocephalic\tnormocephalic\tJJ\tB-ADJP\tO' -p62128 -aS',\t,\t,\tO\tO' -p62129 -aS'atraumatic\tatraumatic\tJJ\tB-ADJP\tO' -p62130 -aS'and\tand\tCC\tO\tO' -p62131 -aS'eyes\teye\tNNS\tB-NP\tO' -p62132 -aS'are\tbe\tVBP\tB-VP\tO' -p62133 -aS'icteric\ticteric\tJJ\tB-ADJP\tO' -p62134 -aS'.\t.\t.\tO\tO' -p62135 -asS'Throughout admission , there are no neurological concerns at the time of discharge .' -p62136 -(lp62137 -S'Throughout\tThroughout\tIN\tB-PP\tO' -p62138 -aS'admission\tadmission\tNN\tB-NP\tO' -p62139 -aS',\t,\t,\tO\tO' -p62140 -aS'there\tthere\tEX\tB-NP\tO' -p62141 -aS'are\tbe\tVBP\tB-VP\tO' -p62142 -aS'no\tno\tDT\tB-NP\tO' -p62143 -aS'neurological\tneurological\tJJ\tI-NP\tO' -p62144 -aS'concerns\tconcern\tNNS\tI-NP\tO' -p62145 -aS'at\tat\tIN\tB-PP\tO' -p62146 -aS'the\tthe\tDT\tB-NP\tO' -p62147 -aS'time\ttime\tNN\tI-NP\tO' -p62148 -aS'of\tof\tIN\tB-PP\tO' -p62149 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p62150 -aS'.\t.\t.\tO\tO' -p62151 -asS'The patient will be discharged home without his regular cardiac medications .' -p62152 -(lp62153 -S'The\tThe\tDT\tB-NP\tO' -p62154 -aS'patient\tpatient\tNN\tI-NP\tO' -p62155 -aS'will\twill\tMD\tB-VP\tO' -p62156 -aS'be\tbe\tVB\tI-VP\tO' -p62157 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p62158 -aS'home\thome\tNN\tB-ADVP\tO' -p62159 -aS'without\twithout\tIN\tB-PP\tO' -p62160 -aS'his\this\tPRP$\tB-NP\tO' -p62161 -aS'regular\tregular\tJJ\tI-NP\tO' -p62162 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p62163 -aS'medications\tmedication\tNNS\tI-NP\tO' -p62164 -aS'.\t.\t.\tO\tO' -p62165 -asS'On 06-29 , the patient was transferred to the medical service .' -p62166 -(lp62167 -S'On\tOn\tIN\tB-PP\tO' -p62168 -aS'06-29\t06-29\tCD\tB-NP\tO' -p62169 -aS',\t,\t,\tO\tO' -p62170 -aS'the\tthe\tDT\tB-NP\tO' -p62171 -aS'patient\tpatient\tNN\tI-NP\tO' -p62172 -aS'was\tbe\tVBD\tB-VP\tO' -p62173 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p62174 -aS'to\tto\tTO\tB-PP\tO' -p62175 -aS'the\tthe\tDT\tB-NP\tO' -p62176 -aS'medical\tmedical\tJJ\tI-NP\tO' -p62177 -aS'service\tservice\tNN\tI-NP\tO' -p62178 -aS'.\t.\t.\tO\tO' -p62179 -asS'There was some mild surrounding edema .' -p62180 -(lp62181 -S'There\tThere\tEX\tB-NP\tO' -p62182 -aS'was\tbe\tVBD\tB-VP\tO' -p62183 -aS'some\tsome\tDT\tB-NP\tO' -p62184 -aS'mild\tmild\tJJ\tI-NP\tO' -p62185 -aS'surrounding\tsurround\tVBG\tI-NP\tO' -p62186 -aS'edema\tedema\tNN\tI-NP\tO' -p62187 -aS'.\t.\t.\tO\tO' -p62188 -asS'An echocardiogram was performed on Columbus Day which showed an ejection fraction of 50% , left atrial enlargement , thickening of the aortic wall consistent with atherosclerotic changes , left ventricle size , and systolic function within normal limits .' -p62189 -(lp62190 -S'An\tAn\tDT\tB-NP\tO' -p62191 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p62192 -aS'was\tbe\tVBD\tB-VP\tO' -p62193 -aS'performed\tperform\tVBN\tI-VP\tO' -p62194 -aS'on\ton\tIN\tB-PP\tO' -p62195 -aS'Columbus\tColumbus\tNNP\tB-NP\tO' -p62196 -aS'Day\tDay\tNNP\tI-NP\tO' -p62197 -aS'which\twhich\tWDT\tB-NP\tO' -p62198 -aS'showed\tshow\tVBD\tB-VP\tO' -p62199 -aS'an\tan\tDT\tB-NP\tO' -p62200 -aS'ejection\tejection\tNN\tI-NP\tO' -p62201 -aS'fraction\tfraction\tNN\tI-NP\tO' -p62202 -aS'of\tof\tIN\tB-PP\tO' -p62203 -aS'50%\t50%\tCD\tB-NP\tO' -p62204 -aS',\t,\t,\tO\tO' -p62205 -aS'left\tleave\tVBD\tB-VP\tO' -p62206 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p62207 -aS'enlargement\tenlargement\tNN\tI-NP\tO' -p62208 -aS',\t,\t,\tO\tO' -p62209 -aS'thickening\tthicken\tVBG\tB-VP\tO' -p62210 -aS'of\tof\tIN\tB-PP\tO' -p62211 -aS'the\tthe\tDT\tB-NP\tO' -p62212 -aS'aortic\taortic\tJJ\tI-NP\tO' -p62213 -aS'wall\twall\tNN\tI-NP\tO' -p62214 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p62215 -aS'with\twith\tIN\tB-PP\tO' -p62216 -aS'atherosclerotic\tatherosclerotic\tJJ\tB-NP\tO' -p62217 -aS'changes\tchange\tNNS\tI-NP\tO' -p62218 -aS',\t,\t,\tO\tO' -p62219 -aS'left\tleave\tVBD\tB-VP\tO' -p62220 -aS'ventricle\tventricle\tNN\tB-NP\tO' -p62221 -aS'size\tsize\tNN\tI-NP\tO' -p62222 -aS',\t,\t,\tO\tO' -p62223 -aS'and\tand\tCC\tO\tO' -p62224 -aS'systolic\tsystolic\tJJ\tB-NP\tO' -p62225 -aS'function\tfunction\tNN\tI-NP\tO' -p62226 -aS'within\twithin\tIN\tB-PP\tO' -p62227 -aS'normal\tnormal\tJJ\tB-NP\tO' -p62228 -aS'limits\tlimit\tNNS\tI-NP\tO' -p62229 -aS'.\t.\t.\tO\tO' -p62230 -asS'Dopamine and epinephrine given for cardiovascular support .' -p62231 -(lp62232 -S'Dopamine\tDopamine\tNN\tB-NP\tO' -p62233 -aS'and\tand\tCC\tI-NP\tO' -p62234 -aS'epinephrine\tepinephrine\tNN\tI-NP\tO' -p62235 -aS'given\tgive\tVBN\tB-PP\tO' -p62236 -aS'for\tfor\tIN\tB-PP\tO' -p62237 -aS'cardiovascular\tcardiovascular\tJJ\tB-NP\tO' -p62238 -aS'support\tsupport\tNN\tI-NP\tO' -p62239 -aS'.\t.\t.\tO\tO' -p62240 -asS'He states that he has experienced pain and tightness in his back radiating into both shoulders starting on 2016-09-02 .' -p62241 -(lp62242 -S'He\tHe\tPRP\tB-NP\tO' -p62243 -aS'states\tstate\tVBZ\tB-VP\tO' -p62244 -aS'that\tthat\tIN\tB-SBAR\tO' -p62245 -aS'he\the\tPRP\tB-NP\tO' -p62246 -aS'has\thave\tVBZ\tB-VP\tO' -p62247 -aS'experienced\texperience\tVBN\tI-VP\tO' -p62248 -aS'pain\tpain\tNN\tB-NP\tO' -p62249 -aS'and\tand\tCC\tI-NP\tO' -p62250 -aS'tightness\ttightness\tNN\tI-NP\tO' -p62251 -aS'in\tin\tIN\tB-PP\tO' -p62252 -aS'his\this\tPRP$\tB-NP\tO' -p62253 -aS'back\tback\tNN\tI-NP\tO' -p62254 -aS'radiating\tradiate\tVBG\tB-VP\tO' -p62255 -aS'into\tinto\tIN\tB-PP\tO' -p62256 -aS'both\tboth\tDT\tB-NP\tO' -p62257 -aS'shoulders\tshoulder\tNNS\tI-NP\tO' -p62258 -aS'starting\tstart\tVBG\tB-VP\tO' -p62259 -aS'on\ton\tIN\tB-PP\tO' -p62260 -aS'2016-09-02\t2016-09-02\tCD\tB-NP\tO' -p62261 -aS'.\t.\t.\tO\tO' -p62262 -asS'He was followed by Plastic Surgery for his split thickness skin graft and his bolster was discontinued on postoperative day #5 with good take up of his skin graft .' -p62263 -(lp62264 -S'He\tHe\tPRP\tB-NP\tO' -p62265 -aS'was\tbe\tVBD\tB-VP\tO' -p62266 -aS'followed\tfollow\tVBN\tI-VP\tO' -p62267 -aS'by\tby\tIN\tB-PP\tO' -p62268 -aS'Plastic\tPlastic\tNNP\tB-NP\tO' -p62269 -aS'Surgery\tSurgery\tNNP\tI-NP\tO' -p62270 -aS'for\tfor\tIN\tB-PP\tO' -p62271 -aS'his\this\tPRP$\tB-NP\tO' -p62272 -aS'split\tsplit\tJJ\tI-NP\tO' -p62273 -aS'thickness\tthickness\tNN\tI-NP\tO' -p62274 -aS'skin\tskin\tNN\tI-NP\tO' -p62275 -aS'graft\tgraft\tNN\tI-NP\tO' -p62276 -aS'and\tand\tCC\tO\tO' -p62277 -aS'his\this\tPRP$\tB-NP\tO' -p62278 -aS'bolster\tbolster\tNN\tI-NP\tO' -p62279 -aS'was\tbe\tVBD\tB-VP\tO' -p62280 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p62281 -aS'on\ton\tIN\tB-PP\tO' -p62282 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p62283 -aS'day\tday\tNN\tI-NP\tO' -p62284 -aS'#5\t#5\tCD\tI-NP\tO' -p62285 -aS'with\twith\tIN\tB-PP\tO' -p62286 -aS'good\tgood\tJJ\tB-NP\tO' -p62287 -aS'take\ttake\tNN\tI-NP\tO' -p62288 -aS'up\tup\tRP\tB-PRT\tO' -p62289 -aS'of\tof\tIN\tB-PP\tO' -p62290 -aS'his\this\tPRP$\tB-NP\tO' -p62291 -aS'skin\tskin\tNN\tI-NP\tO' -p62292 -aS'graft\tgraft\tNN\tI-NP\tO' -p62293 -aS'.\t.\t.\tO\tO' -p62294 -asS'He has a 15 to 20 pack-year history .' -p62295 -(lp62296 -S'He\tHe\tPRP\tB-NP\tO' -p62297 -aS'has\thave\tVBZ\tB-VP\tO' -p62298 -aS'a\ta\tDT\tB-NP\tO' -p62299 -aS'15\t15\tCD\tI-NP\tO' -p62300 -aS'to\tto\tTO\tI-NP\tO' -p62301 -aS'20\t20\tCD\tI-NP\tO' -p62302 -aS'pack-year\tpack-year\tJJ\tI-NP\tO' -p62303 -aS'history\thistory\tNN\tI-NP\tO' -p62304 -aS'.\t.\t.\tO\tO' -p62305 -asS'Right parietal wound dehiscence .' -p62306 -(lp62307 -S'Right\tRight\tRB\tB-NP\tO' -p62308 -aS'parietal\tparietal\tJJ\tI-NP\tO' -p62309 -aS'wound\twound\tNN\tI-NP\tO' -p62310 -aS'dehiscence\tdehiscence\tNN\tI-NP\tO' -p62311 -aS'.\t.\t.\tO\tO' -p62312 -asS'4. Sarcoid .' -p62313 -(lp62314 -S'4.\t4.\tLS\tB-NP\tO' -p62315 -aS'Sarcoid\tSarcoid\tNN\tI-NP\tO' -p62316 -aS'.\t.\t.\tO\tO' -p62317 -asS'The rest of her hospital course was unremarkable , with perioperative ampicillin , gentamicin and Flagyl discontinued on postoperative day # 1 .' -p62318 -(lp62319 -S'The\tThe\tDT\tB-NP\tO' -p62320 -aS'rest\trest\tNN\tI-NP\tO' -p62321 -aS'of\tof\tIN\tB-PP\tO' -p62322 -aS'her\ther\tPRP$\tB-NP\tO' -p62323 -aS'hospital\thospital\tNN\tI-NP\tO' -p62324 -aS'course\tcourse\tNN\tI-NP\tO' -p62325 -aS'was\tbe\tVBD\tB-VP\tO' -p62326 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p62327 -aS',\t,\t,\tO\tO' -p62328 -aS'with\twith\tIN\tB-PP\tO' -p62329 -aS'perioperative\tperioperative\tJJ\tB-NP\tB-protein' -p62330 -aS'ampicillin\tampicillin\tNN\tI-NP\tI-protein' -p62331 -aS',\t,\t,\tO\tO' -p62332 -aS'gentamicin\tgentamicin\tNN\tB-NP\tO' -p62333 -aS'and\tand\tCC\tI-NP\tO' -p62334 -aS'Flagyl\tFlagyl\tNN\tI-NP\tO' -p62335 -aS'discontinued\tdiscontinue\tVBN\tB-VP\tO' -p62336 -aS'on\ton\tIN\tB-PP\tO' -p62337 -aS'postoperative\tpostoperative\tJJ\tB-NP\tB-protein' -p62338 -aS'day\tday\tNN\tI-NP\tI-protein' -p62339 -aS'#\t#\t#\tB-NP\tI-protein' -p62340 -aS'1\t1\tCD\tI-NP\tI-protein' -p62341 -aS'.\t.\t.\tO\tO' -p62342 -asS'Rule out sepsis .' -p62343 -(lp62344 -S'Rule\tRule\tNNP\tB-NP\tO' -p62345 -aS'out\tout\tIN\tB-PP\tO' -p62346 -aS'sepsis\tsepsis\tNN\tB-NP\tO' -p62347 -aS'.\t.\t.\tO\tO' -p62348 -asS'There were multiple well healed surgical scars .' -p62349 -(lp62350 -S'There\tThere\tEX\tB-NP\tO' -p62351 -aS'were\tbe\tVBD\tB-VP\tO' -p62352 -aS'multiple\tmultiple\tJJ\tB-ADJP\tO' -p62353 -aS'well\twell\tRB\tB-ADVP\tO' -p62354 -aS'healed\theal\tVBD\tB-VP\tO' -p62355 -aS'surgical\tsurgical\tJJ\tB-NP\tO' -p62356 -aS'scars\tscar\tNNS\tI-NP\tO' -p62357 -aS'.\t.\t.\tO\tO' -p62358 -asS'He has intact distal pulses and 5/5 muscle strength in all major muscle groups .' -p62359 -(lp62360 -S'He\tHe\tPRP\tB-NP\tO' -p62361 -aS'has\thave\tVBZ\tB-VP\tO' -p62362 -aS'intact\tintact\tJJ\tB-NP\tO' -p62363 -aS'distal\tdistal\tJJ\tI-NP\tO' -p62364 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p62365 -aS'and\tand\tCC\tO\tO' -p62366 -aS'5/5\t5/5\tCD\tB-NP\tO' -p62367 -aS'muscle\tmuscle\tNN\tI-NP\tO' -p62368 -aS'strength\tstrength\tNN\tI-NP\tO' -p62369 -aS'in\tin\tIN\tB-PP\tO' -p62370 -aS'all\tall\tDT\tB-NP\tO' -p62371 -aS'major\tmajor\tJJ\tI-NP\tO' -p62372 -aS'muscle\tmuscle\tNN\tI-NP\tO' -p62373 -aS'groups\tgroup\tNNS\tI-NP\tO' -p62374 -aS'.\t.\t.\tO\tO' -p62375 -asS'On postoperative day number four , the patient was transferred from the Intensive Care Unit to the regular part of the hospital where he began working with Physical Therapy and on his first session he was able to ambulate 500 feet and climb one flight of stairs while remaining hemodynamically stable without requiring any oxygen .' -p62376 -(lp62377 -S'On\tOn\tIN\tB-PP\tO' -p62378 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p62379 -aS'day\tday\tNN\tI-NP\tO' -p62380 -aS'number\tnumber\tNN\tI-NP\tO' -p62381 -aS'four\tfour\tCD\tB-NP\tO' -p62382 -aS',\t,\t,\tO\tO' -p62383 -aS'the\tthe\tDT\tB-NP\tO' -p62384 -aS'patient\tpatient\tNN\tI-NP\tO' -p62385 -aS'was\tbe\tVBD\tB-VP\tO' -p62386 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p62387 -aS'from\tfrom\tIN\tB-PP\tO' -p62388 -aS'the\tthe\tDT\tB-NP\tO' -p62389 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p62390 -aS'Care\tCare\tNNP\tI-NP\tO' -p62391 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p62392 -aS'to\tto\tTO\tB-PP\tO' -p62393 -aS'the\tthe\tDT\tB-NP\tO' -p62394 -aS'regular\tregular\tJJ\tI-NP\tO' -p62395 -aS'part\tpart\tNN\tI-NP\tO' -p62396 -aS'of\tof\tIN\tB-PP\tO' -p62397 -aS'the\tthe\tDT\tB-NP\tO' -p62398 -aS'hospital\thospital\tNN\tI-NP\tO' -p62399 -aS'where\twhere\tWRB\tB-ADVP\tO' -p62400 -aS'he\the\tPRP\tB-NP\tO' -p62401 -aS'began\tbegin\tVBD\tB-VP\tO' -p62402 -aS'working\twork\tVBG\tI-VP\tO' -p62403 -aS'with\twith\tIN\tB-PP\tO' -p62404 -aS'Physical\tPhysical\tJJ\tB-NP\tO' -p62405 -aS'Therapy\tTherapy\tNN\tI-NP\tO' -p62406 -aS'and\tand\tCC\tB-PP\tO' -p62407 -aS'on\ton\tIN\tB-PP\tO' -p62408 -aS'his\this\tPRP$\tB-NP\tO' -p62409 -aS'first\tfirst\tJJ\tI-NP\tO' -p62410 -aS'session\tsession\tNN\tI-NP\tO' -p62411 -aS'he\the\tPRP\tB-NP\tO' -p62412 -aS'was\tbe\tVBD\tB-VP\tO' -p62413 -aS'able\table\tJJ\tB-ADJP\tO' -p62414 -aS'to\tto\tTO\tB-VP\tO' -p62415 -aS'ambulate\tambulate\tVB\tI-VP\tO' -p62416 -aS'500\t500\tCD\tB-NP\tO' -p62417 -aS'feet\tfoot\tNNS\tI-NP\tO' -p62418 -aS'and\tand\tCC\tO\tO' -p62419 -aS'climb\tclimb\tNN\tB-NP\tO' -p62420 -aS'one\tone\tCD\tI-NP\tO' -p62421 -aS'flight\tflight\tNN\tI-NP\tO' -p62422 -aS'of\tof\tIN\tB-PP\tO' -p62423 -aS'stairs\tstair\tNNS\tB-NP\tO' -p62424 -aS'while\twhile\tIN\tB-SBAR\tO' -p62425 -aS'remaining\tremain\tVBG\tB-VP\tO' -p62426 -aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' -p62427 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p62428 -aS'without\twithout\tIN\tB-PP\tO' -p62429 -aS'requiring\trequire\tVBG\tB-VP\tO' -p62430 -aS'any\tany\tDT\tB-NP\tO' -p62431 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p62432 -aS'.\t.\t.\tO\tO' -p62433 -asS'Tidal volume is 700 with a rate of 10 , 10 of pressure support , and 10 of PEEP , and 100% FiO2 , satting 100% .' -p62434 -(lp62435 -S'Tidal\tTidal\tJJ\tB-NP\tO' -p62436 -aS'volume\tvolume\tNN\tI-NP\tO' -p62437 -aS'is\tbe\tVBZ\tB-VP\tO' -p62438 -aS'700\t700\tCD\tB-NP\tO' -p62439 -aS'with\twith\tIN\tB-PP\tO' -p62440 -aS'a\ta\tDT\tB-NP\tO' -p62441 -aS'rate\trate\tNN\tI-NP\tO' -p62442 -aS'of\tof\tIN\tB-PP\tO' -p62443 -aS'10\t10\tCD\tB-NP\tO' -p62444 -aS',\t,\t,\tO\tO' -p62445 -aS'10\t10\tCD\tB-NP\tO' -p62446 -aS'of\tof\tIN\tB-PP\tO' -p62447 -aS'pressure\tpressure\tNN\tB-NP\tO' -p62448 -aS'support\tsupport\tNN\tI-NP\tO' -p62449 -aS',\t,\t,\tO\tO' -p62450 -aS'and\tand\tCC\tO\tO' -p62451 -aS'10\t10\tCD\tB-NP\tO' -p62452 -aS'of\tof\tIN\tB-PP\tO' -p62453 -aS'PEEP\tPEEP\tNN\tB-NP\tB-protein' -p62454 -aS',\t,\t,\tO\tO' -p62455 -aS'and\tand\tCC\tO\tO' -p62456 -aS'100%\t100%\tCD\tB-NP\tO' -p62457 -aS'FiO2\tFiO2\tNN\tI-NP\tO' -p62458 -aS',\t,\t,\tO\tO' -p62459 -aS'satting\tsatte\tVBG\tB-VP\tO' -p62460 -aS'100%\t100%\tCD\tB-NP\tO' -p62461 -aS'.\t.\t.\tO\tO' -p62462 -asS'The patient was discharged home that afternoon in stable condition in the afternoon .' -p62463 -(lp62464 -S'The\tThe\tDT\tB-NP\tO' -p62465 -aS'patient\tpatient\tNN\tI-NP\tO' -p62466 -aS'was\tbe\tVBD\tB-VP\tO' -p62467 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p62468 -aS'home\thome\tNN\tB-ADVP\tO' -p62469 -aS'that\tthat\tIN\tB-SBAR\tO' -p62470 -aS'afternoon\tafternoon\tNN\tB-NP\tO' -p62471 -aS'in\tin\tIN\tB-PP\tO' -p62472 -aS'stable\tstable\tJJ\tB-NP\tO' -p62473 -aS'condition\tcondition\tNN\tI-NP\tO' -p62474 -aS'in\tin\tIN\tB-PP\tO' -p62475 -aS'the\tthe\tDT\tB-NP\tO' -p62476 -aS'afternoon\tafternoon\tNN\tI-NP\tO' -p62477 -aS'.\t.\t.\tO\tO' -p62478 -asS'On his current admission , the patient was admitted to Free Medical Center .' -p62479 -(lp62480 -S'On\tOn\tIN\tB-PP\tO' -p62481 -aS'his\this\tPRP$\tB-NP\tO' -p62482 -aS'current\tcurrent\tJJ\tI-NP\tO' -p62483 -aS'admission\tadmission\tNN\tI-NP\tO' -p62484 -aS',\t,\t,\tO\tO' -p62485 -aS'the\tthe\tDT\tB-NP\tO' -p62486 -aS'patient\tpatient\tNN\tI-NP\tO' -p62487 -aS'was\tbe\tVBD\tB-VP\tO' -p62488 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p62489 -aS'to\tto\tTO\tB-PP\tO' -p62490 -aS'Free\tFree\tNNP\tB-NP\tO' -p62491 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p62492 -aS'Center\tCenter\tNNP\tI-NP\tO' -p62493 -aS'.\t.\t.\tO\tO' -p62494 -asS'Newborn state screens have been sent per protocol .' -p62495 -(lp62496 -S'Newborn\tNewborn\tJJ\tB-NP\tO' -p62497 -aS'state\tstate\tNN\tI-NP\tO' -p62498 -aS'screens\tscreen\tNNS\tI-NP\tO' -p62499 -aS'have\thave\tVBP\tB-VP\tO' -p62500 -aS'been\tbe\tVBN\tI-VP\tO' -p62501 -aS'sent\tsend\tVBN\tI-VP\tO' -p62502 -aS'per\tper\tIN\tB-PP\tO' -p62503 -aS'protocol\tprotocol\tNN\tB-NP\tO' -p62504 -aS'.\t.\t.\tO\tO' -p62505 -asS"The patient 's urine output has decreased and his BUN and creatinine remained normal ." -p62506 -(lp62507 -S'The\tThe\tDT\tB-NP\tO' -p62508 -aS'patient\tpatient\tNN\tI-NP\tO' -p62509 -aS"'s\t's\tPOS\tB-NP\tO" -p62510 -aS'urine\turine\tNN\tI-NP\tO' -p62511 -aS'output\toutput\tNN\tI-NP\tO' -p62512 -aS'has\thave\tVBZ\tB-VP\tO' -p62513 -aS'decreased\tdecrease\tVBN\tI-VP\tO' -p62514 -aS'and\tand\tCC\tO\tO' -p62515 -aS'his\this\tPRP$\tB-NP\tO' -p62516 -aS'BUN\tBUN\tNN\tI-NP\tB-protein' -p62517 -aS'and\tand\tCC\tI-NP\tO' -p62518 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p62519 -aS'remained\tremain\tVBD\tB-VP\tO' -p62520 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p62521 -aS'.\t.\t.\tO\tO' -p62522 -asS'It was determined to stop the beta blocker , and atropine was placed at the bedside .' -p62523 -(lp62524 -S'It\tIt\tPRP\tB-NP\tO' -p62525 -aS'was\tbe\tVBD\tB-VP\tO' -p62526 -aS'determined\tdetermine\tVBN\tI-VP\tO' -p62527 -aS'to\tto\tTO\tI-VP\tO' -p62528 -aS'stop\tstop\tVB\tI-VP\tO' -p62529 -aS'the\tthe\tDT\tB-NP\tO' -p62530 -aS'beta\tbeta\tNN\tI-NP\tO' -p62531 -aS'blocker\tblocker\tNN\tI-NP\tO' -p62532 -aS',\t,\t,\tO\tO' -p62533 -aS'and\tand\tCC\tO\tO' -p62534 -aS'atropine\tatropine\tNN\tB-NP\tO' -p62535 -aS'was\tbe\tVBD\tB-VP\tO' -p62536 -aS'placed\tplace\tVBN\tI-VP\tO' -p62537 -aS'at\tat\tIN\tB-PP\tO' -p62538 -aS'the\tthe\tDT\tB-NP\tO' -p62539 -aS'bedside\tbedside\tNN\tI-NP\tO' -p62540 -aS'.\t.\t.\tO\tO' -p62541 -asS'On review of systems , the patient denied any history of transient ischemic attacks .' -p62542 -(lp62543 -S'On\tOn\tIN\tB-PP\tO' -p62544 -aS'review\treview\tNN\tB-NP\tO' -p62545 -aS'of\tof\tIN\tB-PP\tO' -p62546 -aS'systems\tsystem\tNNS\tB-NP\tO' -p62547 -aS',\t,\t,\tO\tO' -p62548 -aS'the\tthe\tDT\tB-NP\tO' -p62549 -aS'patient\tpatient\tNN\tI-NP\tO' -p62550 -aS'denied\tdeny\tVBD\tB-VP\tO' -p62551 -aS'any\tany\tDT\tB-NP\tO' -p62552 -aS'history\thistory\tNN\tI-NP\tO' -p62553 -aS'of\tof\tIN\tB-PP\tO' -p62554 -aS'transient\ttransient\tJJ\tB-NP\tO' -p62555 -aS'ischemic\tischemic\tJJ\tI-NP\tO' -p62556 -aS'attacks\tattack\tNNS\tI-NP\tO' -p62557 -aS'.\t.\t.\tO\tO' -p62558 -asS'The infant has remained on room air throughout his hospitalization with oxygen saturations of greater than 95 percent .' -p62559 -(lp62560 -S'The\tThe\tDT\tB-NP\tO' -p62561 -aS'infant\tinfant\tNN\tI-NP\tO' -p62562 -aS'has\thave\tVBZ\tB-VP\tO' -p62563 -aS'remained\tremain\tVBN\tI-VP\tO' -p62564 -aS'on\ton\tIN\tB-PP\tO' -p62565 -aS'room\troom\tNN\tB-NP\tO' -p62566 -aS'air\tair\tNN\tI-NP\tO' -p62567 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p62568 -aS'his\this\tPRP$\tB-NP\tO' -p62569 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p62570 -aS'with\twith\tIN\tB-PP\tO' -p62571 -aS'oxygen\toxygen\tNN\tB-NP\tO' -p62572 -aS'saturations\tsaturation\tNNS\tI-NP\tO' -p62573 -aS'of\tof\tIN\tB-PP\tO' -p62574 -aS'greater\tgreat\tJJR\tB-NP\tO' -p62575 -aS'than\tthan\tIN\tI-NP\tO' -p62576 -aS'95\t95\tCD\tI-NP\tO' -p62577 -aS'percent\tpercent\tNN\tI-NP\tO' -p62578 -aS'.\t.\t.\tO\tO' -p62579 -asS'Superimposed infectious consolidation is likely .' -p62580 -(lp62581 -S'Superimposed\tSuperimpose\tVBN\tB-NP\tO' -p62582 -aS'infectious\tinfectious\tJJ\tI-NP\tO' -p62583 -aS'consolidation\tconsolidation\tNN\tI-NP\tO' -p62584 -aS'is\tbe\tVBZ\tB-VP\tO' -p62585 -aS'likely\tlikely\tJJ\tB-ADJP\tO' -p62586 -aS'.\t.\t.\tO\tO' -p62587 -asS'21. Calcium Carbonate 500 mg Tablet , Chewable Sig : Three ( 3 ) Tablet , Chewable PO QID ( 4 times a day ) .' -p62588 -(lp62589 -S'21.\t21.\tLS\tB-NP\tO' -p62590 -aS'Calcium\tCalcium\tNN\tI-NP\tO' -p62591 -aS'Carbonate\tCarbonate\tNN\tI-NP\tO' -p62592 -aS'500\t500\tCD\tI-NP\tO' -p62593 -aS'mg\tmg\tNN\tI-NP\tO' -p62594 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p62595 -aS',\t,\t,\tO\tO' -p62596 -aS'Chewable\tChewable\tNNP\tB-NP\tO' -p62597 -aS'Sig\tSig\tNNP\tI-NP\tO' -p62598 -aS':\t:\t:\tO\tO' -p62599 -aS'Three\tThree\tCD\tB-NP\tO' -p62600 -aS'(\t(\t(\tO\tO' -p62601 -aS'3\t3\tCD\tB-NP\tO' -p62602 -aS')\t)\t)\tO\tO' -p62603 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p62604 -aS',\t,\t,\tO\tO' -p62605 -aS'Chewable\tChewable\tJJ\tB-NP\tO' -p62606 -aS'PO\tPO\tNN\tI-NP\tO' -p62607 -aS'QID\tQID\tNN\tI-NP\tO' -p62608 -aS'(\t(\t(\tO\tO' -p62609 -aS'4\t4\tCD\tB-NP\tO' -p62610 -aS'times\ttime\tNNS\tI-NP\tO' -p62611 -aS'a\ta\tDT\tB-NP\tO' -p62612 -aS'day\tday\tNN\tI-NP\tO' -p62613 -aS')\t)\t)\tO\tO' -p62614 -aS'.\t.\t.\tO\tO' -p62615 -asS'Car seat position screening has not yet been done .' -p62616 -(lp62617 -S'Car\tCar\tNN\tB-NP\tB-protein' -p62618 -aS'seat\tseat\tNN\tI-NP\tO' -p62619 -aS'position\tposition\tNN\tI-NP\tO' -p62620 -aS'screening\tscreening\tNN\tI-NP\tO' -p62621 -aS'has\thave\tVBZ\tB-VP\tO' -p62622 -aS'not\tnot\tRB\tI-VP\tO' -p62623 -aS'yet\tyet\tRB\tI-VP\tO' -p62624 -aS'been\tbe\tVBN\tI-VP\tO' -p62625 -aS'done\tdo\tVBN\tI-VP\tO' -p62626 -aS'.\t.\t.\tO\tO' -p62627 -asS'A calcium of 8.4 , phosphate of 2.5 , magnesium of 1.9 .' -p62628 -(lp62629 -S'A\tA\tDT\tB-NP\tO' -p62630 -aS'calcium\tcalcium\tNN\tI-NP\tO' -p62631 -aS'of\tof\tIN\tB-PP\tO' -p62632 -aS'8.4\t8.4\tCD\tB-NP\tO' -p62633 -aS',\t,\t,\tO\tO' -p62634 -aS'phosphate\tphosphate\tNN\tB-NP\tO' -p62635 -aS'of\tof\tIN\tB-PP\tO' -p62636 -aS'2.5\t2.5\tCD\tB-NP\tO' -p62637 -aS',\t,\t,\tO\tO' -p62638 -aS'magnesium\tmagnesium\tNN\tB-NP\tO' -p62639 -aS'of\tof\tIN\tB-PP\tO' -p62640 -aS'1.9\t1.9\tCD\tB-NP\tO' -p62641 -aS'.\t.\t.\tO\tO' -p62642 -asS'Well-appearing female without distress on admission to the Newborn Intensive Care Unit .' -p62643 -(lp62644 -S'Well-appearing\tWell-appearing\tJJ\tB-NP\tO' -p62645 -aS'female\tfemale\tNN\tI-NP\tO' -p62646 -aS'without\twithout\tIN\tB-PP\tO' -p62647 -aS'distress\tdistress\tNN\tB-NP\tO' -p62648 -aS'on\ton\tIN\tB-PP\tO' -p62649 -aS'admission\tadmission\tNN\tB-NP\tO' -p62650 -aS'to\tto\tTO\tB-PP\tO' -p62651 -aS'the\tthe\tDT\tB-NP\tO' -p62652 -aS'Newborn\tNewborn\tNNP\tI-NP\tO' -p62653 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p62654 -aS'Care\tCare\tNNP\tI-NP\tO' -p62655 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p62656 -aS'.\t.\t.\tO\tO' -p62657 -asS'Calcium with 7.2 corrected to less than 8.0, completed calcium carbonate at 500 mg blood pressure.o. t.i.d. while in the hospital .' -p62658 -(lp62659 -S'Calcium\tCalcium\tNN\tB-NP\tO' -p62660 -aS'with\twith\tIN\tB-PP\tO' -p62661 -aS'7.2\t7.2\tCD\tB-NP\tO' -p62662 -aS'corrected\tcorrect\tVBN\tB-VP\tO' -p62663 -aS'to\tto\tTO\tB-PP\tO' -p62664 -aS'less\tless\tJJR\tB-NP\tO' -p62665 -aS'than\tthan\tIN\tI-NP\tO' -p62666 -aS'8.0,\t8.0,\tCD\tI-NP\tO' -p62667 -aS'completed\tcomplete\tVBN\tI-NP\tO' -p62668 -aS'calcium\tcalcium\tNN\tI-NP\tO' -p62669 -aS'carbonate\tcarbonate\tNN\tI-NP\tO' -p62670 -aS'at\tat\tIN\tB-PP\tO' -p62671 -aS'500\t500\tCD\tB-NP\tO' -p62672 -aS'mg\tmg\tNN\tI-NP\tO' -p62673 -aS'blood\tblood\tNN\tI-NP\tO' -p62674 -aS'pressure.o.\tpressure.o.\tNN\tI-NP\tO' -p62675 -aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' -p62676 -aS'while\twhile\tIN\tB-SBAR\tO' -p62677 -aS'in\tin\tIN\tB-PP\tO' -p62678 -aS'the\tthe\tDT\tB-NP\tO' -p62679 -aS'hospital\thospital\tNN\tI-NP\tO' -p62680 -aS'.\t.\t.\tO\tO' -p62681 -asS'No nausea , vomiting , diaphoresis .' -p62682 -(lp62683 -S'No\tNo\tDT\tB-NP\tO' -p62684 -aS'nausea\tnausea\tNN\tI-NP\tO' -p62685 -aS',\t,\t,\tO\tO' -p62686 -aS'vomiting\tvomiting\tNN\tB-NP\tO' -p62687 -aS',\t,\t,\tO\tO' -p62688 -aS'diaphoresis\tdiaphoresis\tNN\tB-NP\tO' -p62689 -aS'.\t.\t.\tO\tO' -p62690 -asS'Attending : Bobby Z.S. Ruiz , M.D.' -p62691 -(lp62692 -S'Attending\tAttend\tVBG\tB-VP\tO' -p62693 -aS':\t:\t:\tO\tO' -p62694 -aS'Bobby\tBobby\tNNP\tB-NP\tO' -p62695 -aS'Z.S.\tZ.S.\tNNP\tI-NP\tO' -p62696 -aS'Ruiz\tRuiz\tNNP\tI-NP\tO' -p62697 -aS',\t,\t,\tO\tO' -p62698 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p62699 -asS'The patient was also noted to have a lot of musculoskeletal component of her pain .' -p62700 -(lp62701 -S'The\tThe\tDT\tB-NP\tO' -p62702 -aS'patient\tpatient\tNN\tI-NP\tO' -p62703 -aS'was\tbe\tVBD\tB-VP\tO' -p62704 -aS'also\talso\tRB\tI-VP\tO' -p62705 -aS'noted\tnote\tVBN\tI-VP\tO' -p62706 -aS'to\tto\tTO\tI-VP\tO' -p62707 -aS'have\thave\tVB\tI-VP\tO' -p62708 -aS'a\ta\tDT\tB-NP\tO' -p62709 -aS'lot\tlot\tNN\tI-NP\tO' -p62710 -aS'of\tof\tIN\tB-PP\tO' -p62711 -aS'musculoskeletal\tmusculoskeletal\tJJ\tB-NP\tO' -p62712 -aS'component\tcomponent\tNN\tI-NP\tO' -p62713 -aS'of\tof\tIN\tB-PP\tO' -p62714 -aS'her\ther\tPRP$\tB-NP\tO' -p62715 -aS'pain\tpain\tNN\tI-NP\tO' -p62716 -aS'.\t.\t.\tO\tO' -p62717 -asS'1) Acute cholangitis : Pt was admitted to the ICU , intubated , and ERCP performed , likely stone obstructing CBD .' -p62718 -(lp62719 -S'1)\t1)\tLS\tB-NP\tO' -p62720 -aS'Acute\tAcute\tJJ\tI-NP\tO' -p62721 -aS'cholangitis\tcholangitis\tNN\tI-NP\tO' -p62722 -aS':\t:\t:\tO\tO' -p62723 -aS'Pt\tPt\tNN\tB-NP\tO' -p62724 -aS'was\tbe\tVBD\tB-VP\tO' -p62725 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p62726 -aS'to\tto\tTO\tB-PP\tO' -p62727 -aS'the\tthe\tDT\tB-NP\tO' -p62728 -aS'ICU\tICU\tNN\tI-NP\tB-DNA' -p62729 -aS',\t,\t,\tO\tO' -p62730 -aS'intubated\tintubate\tVBN\tB-VP\tO' -p62731 -aS',\t,\t,\tO\tO' -p62732 -aS'and\tand\tCC\tO\tO' -p62733 -aS'ERCP\tERCP\tNN\tB-NP\tB-protein' -p62734 -aS'performed\tperform\tVBN\tB-VP\tO' -p62735 -aS',\t,\t,\tO\tO' -p62736 -aS'likely\tlikely\tRB\tB-NP\tO' -p62737 -aS'stone\tstone\tNN\tI-NP\tO' -p62738 -aS'obstructing\tobstruct\tVBG\tB-VP\tO' -p62739 -aS'CBD\tCBD\tNN\tB-NP\tB-protein' -p62740 -aS'.\t.\t.\tO\tO' -p62741 -asS'No sacral anomalies .' -p62742 -(lp62743 -S'No\tNo\tDT\tB-NP\tO' -p62744 -aS'sacral\tsacral\tJJ\tI-NP\tO' -p62745 -aS'anomalies\tanomaly\tNNS\tI-NP\tO' -p62746 -aS'.\t.\t.\tO\tO' -p62747 -asS'He has a chronic cough with clear sputum .' -p62748 -(lp62749 -S'He\tHe\tPRP\tB-NP\tO' -p62750 -aS'has\thave\tVBZ\tB-VP\tO' -p62751 -aS'a\ta\tDT\tB-NP\tO' -p62752 -aS'chronic\tchronic\tJJ\tI-NP\tO' -p62753 -aS'cough\tcough\tNN\tI-NP\tO' -p62754 -aS'with\twith\tIN\tB-PP\tO' -p62755 -aS'clear\tclear\tJJ\tB-NP\tO' -p62756 -aS'sputum\tsputum\tNN\tI-NP\tO' -p62757 -aS'.\t.\t.\tO\tO' -p62758 -asS'The endoscopic retrograde cholangiopancreatography also showed the presence proximal common bile duct .' -p62759 -(lp62760 -S'The\tThe\tDT\tB-NP\tO' -p62761 -aS'endoscopic\tendoscopic\tJJ\tI-NP\tO' -p62762 -aS'retrograde\tretrograde\tJJ\tI-NP\tO' -p62763 -aS'cholangiopancreatography\tcholangiopancreatography\tNN\tI-NP\tO' -p62764 -aS'also\talso\tRB\tB-ADVP\tO' -p62765 -aS'showed\tshow\tVBD\tB-VP\tO' -p62766 -aS'the\tthe\tDT\tB-NP\tO' -p62767 -aS'presence\tpresence\tNN\tI-NP\tO' -p62768 -aS'proximal\tproximal\tJJ\tI-NP\tO' -p62769 -aS'common\tcommon\tJJ\tI-NP\tO' -p62770 -aS'bile\tbile\tNN\tI-NP\tO' -p62771 -aS'duct\tduct\tNN\tI-NP\tO' -p62772 -aS'.\t.\t.\tO\tO' -p62773 -asS'She has a son who is mentally handicapped .' -p62774 -(lp62775 -S'She\tShe\tPRP\tB-NP\tO' -p62776 -aS'has\thave\tVBZ\tB-VP\tO' -p62777 -aS'a\ta\tDT\tB-NP\tO' -p62778 -aS'son\tson\tNN\tI-NP\tO' -p62779 -aS'who\twho\tWP\tB-NP\tO' -p62780 -aS'is\tbe\tVBZ\tB-VP\tO' -p62781 -aS'mentally\tmentally\tRB\tI-VP\tO' -p62782 -aS'handicapped\thandicap\tVBN\tI-VP\tO' -p62783 -aS'.\t.\t.\tO\tO' -p62784 -asS'4. Asthma .' -p62785 -(lp62786 -S'4.\t4.\tLS\tB-NP\tO' -p62787 -aS'Asthma\tAsthma\tNN\tI-NP\tO' -p62788 -aS'.\t.\t.\tO\tO' -p62789 -asS'She went on to experience paroxysmal atrial fibrillation which was initially treated with intravenous Amiodarone .' -p62790 -(lp62791 -S'She\tShe\tPRP\tB-NP\tO' -p62792 -aS'went\tgo\tVBD\tB-VP\tO' -p62793 -aS'on\ton\tRP\tB-PRT\tO' -p62794 -aS'to\tto\tTO\tB-VP\tO' -p62795 -aS'experience\texperience\tVB\tI-VP\tO' -p62796 -aS'paroxysmal\tparoxysmal\tJJ\tB-NP\tO' -p62797 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p62798 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p62799 -aS'which\twhich\tWDT\tB-NP\tO' -p62800 -aS'was\tbe\tVBD\tB-VP\tO' -p62801 -aS'initially\tinitially\tRB\tI-VP\tO' -p62802 -aS'treated\ttreat\tVBN\tI-VP\tO' -p62803 -aS'with\twith\tIN\tB-PP\tO' -p62804 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p62805 -aS'Amiodarone\tAmiodarone\tNN\tI-NP\tO' -p62806 -aS'.\t.\t.\tO\tO' -p62807 -asS'The patient lives with mother and father .' -p62808 -(lp62809 -S'The\tThe\tDT\tB-NP\tO' -p62810 -aS'patient\tpatient\tNN\tI-NP\tO' -p62811 -aS'lives\tlive\tVBZ\tB-VP\tO' -p62812 -aS'with\twith\tIN\tB-PP\tO' -p62813 -aS'mother\tmother\tNN\tB-NP\tO' -p62814 -aS'and\tand\tCC\tI-NP\tO' -p62815 -aS'father\tfather\tNN\tI-NP\tO' -p62816 -aS'.\t.\t.\tO\tO' -p62817 -asS'It has been evaluated in the past without success .' -p62818 -(lp62819 -S'It\tIt\tPRP\tB-NP\tO' -p62820 -aS'has\thave\tVBZ\tB-VP\tO' -p62821 -aS'been\tbe\tVBN\tI-VP\tO' -p62822 -aS'evaluated\tevaluate\tVBN\tI-VP\tO' -p62823 -aS'in\tin\tIN\tB-PP\tO' -p62824 -aS'the\tthe\tDT\tB-NP\tO' -p62825 -aS'past\tpast\tNN\tI-NP\tO' -p62826 -aS'without\twithout\tIN\tB-PP\tO' -p62827 -aS'success\tsuccess\tNN\tB-NP\tO' -p62828 -aS'.\t.\t.\tO\tO' -p62829 -asS'She had peripheral edema with 2+ peripheral pulses bilaterally .' -p62830 -(lp62831 -S'She\tShe\tPRP\tB-NP\tO' -p62832 -aS'had\thave\tVBD\tB-VP\tO' -p62833 -aS'peripheral\tperipheral\tJJ\tB-NP\tO' -p62834 -aS'edema\tedema\tNN\tI-NP\tO' -p62835 -aS'with\twith\tIN\tB-PP\tO' -p62836 -aS'2+\t2+\tJJ\tB-NP\tO' -p62837 -aS'peripheral\tperipheral\tJJ\tI-NP\tO' -p62838 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p62839 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p62840 -aS'.\t.\t.\tO\tO' -p62841 -asS'The patient was taking 470 cc of liquid p.o. and is now in stable condition and ready for transfer to El Hospital to continue his recovery .' -p62842 -(lp62843 -S'The\tThe\tDT\tB-NP\tO' -p62844 -aS'patient\tpatient\tNN\tI-NP\tO' -p62845 -aS'was\tbe\tVBD\tB-VP\tO' -p62846 -aS'taking\ttake\tVBG\tI-VP\tO' -p62847 -aS'470\t470\tCD\tB-NP\tO' -p62848 -aS'cc\tcc\tNN\tI-NP\tO' -p62849 -aS'of\tof\tIN\tB-PP\tO' -p62850 -aS'liquid\tliquid\tJJ\tB-NP\tO' -p62851 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p62852 -aS'and\tand\tCC\tO\tO' -p62853 -aS'is\tbe\tVBZ\tB-VP\tO' -p62854 -aS'now\tnow\tRB\tB-ADVP\tO' -p62855 -aS'in\tin\tIN\tB-PP\tO' -p62856 -aS'stable\tstable\tJJ\tB-NP\tO' -p62857 -aS'condition\tcondition\tNN\tI-NP\tO' -p62858 -aS'and\tand\tCC\tO\tO' -p62859 -aS'ready\tready\tJJ\tB-ADJP\tO' -p62860 -aS'for\tfor\tIN\tB-PP\tO' -p62861 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p62862 -aS'to\tto\tTO\tB-PP\tO' -p62863 -aS'El\tEl\tNNP\tB-NP\tO' -p62864 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p62865 -aS'to\tto\tTO\tB-VP\tO' -p62866 -aS'continue\tcontinue\tVB\tI-VP\tO' -p62867 -aS'his\this\tPRP$\tB-NP\tO' -p62868 -aS'recovery\trecovery\tNN\tI-NP\tO' -p62869 -aS'.\t.\t.\tO\tO' -p62870 -asS'Positive shortness of breath .' -p62871 -(lp62872 -S'Positive\tPositive\tJJ\tB-NP\tO' -p62873 -aS'shortness\tshortness\tNN\tI-NP\tO' -p62874 -aS'of\tof\tIN\tB-PP\tO' -p62875 -aS'breath\tbreath\tNN\tB-NP\tO' -p62876 -aS'.\t.\t.\tO\tO' -p62877 -asS'Fluid amnioswab and fern positive .' -p62878 -(lp62879 -S'Fluid\tFluid\tNN\tB-NP\tB-protein' -p62880 -aS'amnioswab\tamnioswab\tNN\tI-NP\tI-protein' -p62881 -aS'and\tand\tCC\tO\tO' -p62882 -aS'fern\tfern\tNN\tB-NP\tO' -p62883 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p62884 -aS'.\t.\t.\tO\tO' -p62885 -asS'A CT neck showed soft tissue swelling obliterating the airway surrounding the ETT tube .' -p62886 -(lp62887 -S'A\tA\tDT\tB-NP\tO' -p62888 -aS'CT\tCT\tNN\tI-NP\tO' -p62889 -aS'neck\tneck\tNN\tI-NP\tO' -p62890 -aS'showed\tshow\tVBD\tB-VP\tO' -p62891 -aS'soft\tsoft\tJJ\tB-NP\tO' -p62892 -aS'tissue\ttissue\tNN\tI-NP\tO' -p62893 -aS'swelling\tswell\tVBG\tB-VP\tO' -p62894 -aS'obliterating\tobliterate\tVBG\tB-VP\tO' -p62895 -aS'the\tthe\tDT\tB-NP\tO' -p62896 -aS'airway\tairway\tNN\tI-NP\tO' -p62897 -aS'surrounding\tsurround\tVBG\tB-VP\tO' -p62898 -aS'the\tthe\tDT\tB-NP\tO' -p62899 -aS'ETT\tETT\tNN\tI-NP\tB-DNA' -p62900 -aS'tube\ttube\tNN\tI-NP\tI-DNA' -p62901 -aS'.\t.\t.\tO\tO' -p62902 -asS'No lymphadenopathy or thyromegaly .' -p62903 -(lp62904 -S'No\tNo\tDT\tB-NP\tO' -p62905 -aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' -p62906 -aS'or\tor\tCC\tO\tO' -p62907 -aS'thyromegaly\tthyromegaly\tRB\tB-ADVP\tO' -p62908 -aS'.\t.\t.\tO\tO' -p62909 -asS'Clinical decisions regarding the need for prophylaxis should be based on clinical and echocardiographic data .' -p62910 -(lp62911 -S'Clinical\tClinical\tJJ\tB-NP\tO' -p62912 -aS'decisions\tdecision\tNNS\tI-NP\tO' -p62913 -aS'regarding\tregard\tVBG\tB-VP\tO' -p62914 -aS'the\tthe\tDT\tB-NP\tO' -p62915 -aS'need\tneed\tNN\tI-NP\tO' -p62916 -aS'for\tfor\tIN\tB-PP\tO' -p62917 -aS'prophylaxis\tprophylaxis\tNN\tB-NP\tO' -p62918 -aS'should\tshould\tMD\tB-VP\tO' -p62919 -aS'be\tbe\tVB\tI-VP\tO' -p62920 -aS'based\tbase\tVBN\tI-VP\tO' -p62921 -aS'on\ton\tIN\tB-PP\tO' -p62922 -aS'clinical\tclinical\tJJ\tB-NP\tO' -p62923 -aS'and\tand\tCC\tI-NP\tO' -p62924 -aS'echocardiographic\techocardiographic\tJJ\tI-NP\tO' -p62925 -aS'data\tdatum\tNNS\tI-NP\tO' -p62926 -aS'.\t.\t.\tO\tO' -p62927 -asS'He denied chest pain , shortness of breath , palpitations , abdominal pain , N/V , penile discharge .' -p62928 -(lp62929 -S'He\tHe\tPRP\tB-NP\tO' -p62930 -aS'denied\tdeny\tVBD\tB-VP\tO' -p62931 -aS'chest\tchest\tNN\tB-NP\tO' -p62932 -aS'pain\tpain\tNN\tI-NP\tO' -p62933 -aS',\t,\t,\tO\tO' -p62934 -aS'shortness\tshortness\tNN\tB-NP\tO' -p62935 -aS'of\tof\tIN\tB-PP\tO' -p62936 -aS'breath\tbreath\tNN\tB-NP\tO' -p62937 -aS',\t,\t,\tO\tO' -p62938 -aS'palpitations\tpalpitation\tNNS\tB-NP\tO' -p62939 -aS',\t,\t,\tO\tO' -p62940 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p62941 -aS'pain\tpain\tNN\tI-NP\tO' -p62942 -aS',\t,\t,\tO\tO' -p62943 -aS'N/V\tN/V\tNN\tB-NP\tO' -p62944 -aS',\t,\t,\tO\tO' -p62945 -aS'penile\tpenile\tJJ\tB-NP\tO' -p62946 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p62947 -aS'.\t.\t.\tO\tO' -p62948 -asS'The patient had an elective termination of her pregnancy on 1/13/91 .' -p62949 -(lp62950 -S'The\tThe\tDT\tB-NP\tO' -p62951 -aS'patient\tpatient\tNN\tI-NP\tO' -p62952 -aS'had\thave\tVBD\tB-VP\tO' -p62953 -aS'an\tan\tDT\tB-NP\tO' -p62954 -aS'elective\telective\tJJ\tI-NP\tO' -p62955 -aS'termination\ttermination\tNN\tI-NP\tO' -p62956 -aS'of\tof\tIN\tB-PP\tO' -p62957 -aS'her\ther\tPRP$\tB-NP\tO' -p62958 -aS'pregnancy\tpregnancy\tNN\tI-NP\tO' -p62959 -aS'on\ton\tIN\tB-PP\tO' -p62960 -aS'1/13/91\t1/13/91\tCD\tB-NP\tO' -p62961 -aS'.\t.\t.\tO\tO' -p62962 -asS'The patient was able to follow complex commands of three parts involving right and left side .' -p62963 -(lp62964 -S'The\tThe\tDT\tB-NP\tO' -p62965 -aS'patient\tpatient\tNN\tI-NP\tO' -p62966 -aS'was\tbe\tVBD\tB-VP\tO' -p62967 -aS'able\table\tJJ\tB-ADJP\tO' -p62968 -aS'to\tto\tTO\tB-VP\tO' -p62969 -aS'follow\tfollow\tVB\tI-VP\tO' -p62970 -aS'complex\tcomplex\tJJ\tB-NP\tO' -p62971 -aS'commands\tcommand\tNNS\tI-NP\tO' -p62972 -aS'of\tof\tIN\tB-PP\tO' -p62973 -aS'three\tthree\tCD\tB-NP\tO' -p62974 -aS'parts\tpart\tNNS\tI-NP\tO' -p62975 -aS'involving\tinvolve\tVBG\tB-VP\tO' -p62976 -aS'right\tright\tJJ\tB-NP\tO' -p62977 -aS'and\tand\tCC\tI-NP\tO' -p62978 -aS'left\tleft\tJJ\tI-NP\tO' -p62979 -aS'side\tside\tNN\tI-NP\tO' -p62980 -aS'.\t.\t.\tO\tO' -p62981 -asS'On admission , blood pressure 151/61 , heart rate 75 , SaO2 93% on room air .' -p62982 -(lp62983 -S'On\tOn\tIN\tB-PP\tO' -p62984 -aS'admission\tadmission\tNN\tB-NP\tO' -p62985 -aS',\t,\t,\tO\tO' -p62986 -aS'blood\tblood\tNN\tB-NP\tO' -p62987 -aS'pressure\tpressure\tNN\tI-NP\tO' -p62988 -aS'151/61\t151/61\tCD\tI-NP\tO' -p62989 -aS',\t,\t,\tO\tO' -p62990 -aS'heart\theart\tNN\tB-NP\tO' -p62991 -aS'rate\trate\tNN\tI-NP\tO' -p62992 -aS'75\t75\tCD\tI-NP\tO' -p62993 -aS',\t,\t,\tI-NP\tO' -p62994 -aS'SaO2\tSaO2\tNN\tI-NP\tO' -p62995 -aS'93%\t93%\tNN\tI-NP\tO' -p62996 -aS'on\ton\tIN\tB-PP\tO' -p62997 -aS'room\troom\tNN\tB-NP\tO' -p62998 -aS'air\tair\tNN\tI-NP\tO' -p62999 -aS'.\t.\t.\tO\tO' -p63000 -asS'The end-diastolic pulmonic regurgitation velocity is increased suggesting pulmonary artery diastolic hypertension .' -p63001 -(lp63002 -S'The\tThe\tDT\tB-NP\tO' -p63003 -aS'end-diastolic\tend-diastolic\tJJ\tI-NP\tO' -p63004 -aS'pulmonic\tpulmonic\tJJ\tI-NP\tO' -p63005 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p63006 -aS'velocity\tvelocity\tNN\tI-NP\tO' -p63007 -aS'is\tbe\tVBZ\tB-VP\tO' -p63008 -aS'increased\tincrease\tVBN\tI-VP\tO' -p63009 -aS'suggesting\tsuggest\tVBG\tB-VP\tO' -p63010 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p63011 -aS'artery\tartery\tNN\tI-NP\tO' -p63012 -aS'diastolic\tdiastolic\tJJ\tI-NP\tO' -p63013 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p63014 -aS'.\t.\t.\tO\tO' -p63015 -asS'The patient presented with a chief complaint of FOUND DOWN .' -p63016 -(lp63017 -S'The\tThe\tDT\tB-NP\tO' -p63018 -aS'patient\tpatient\tNN\tI-NP\tO' -p63019 -aS'presented\tpresent\tVBD\tB-VP\tO' -p63020 -aS'with\twith\tIN\tB-PP\tO' -p63021 -aS'a\ta\tDT\tB-NP\tO' -p63022 -aS'chief\tchief\tJJ\tI-NP\tO' -p63023 -aS'complaint\tcomplaint\tNN\tI-NP\tO' -p63024 -aS'of\tof\tIN\tB-PP\tO' -p63025 -aS'FOUND\tFOUND\tNN\tB-NP\tO' -p63026 -aS'DOWN\tDOWN\tNN\tI-NP\tO' -p63027 -aS'.\t.\t.\tO\tO' -p63028 -asS'srom in labor .' -p63029 -(lp63030 -S'srom\tsrom\tNN\tB-NP\tO' -p63031 -aS'in\tin\tIN\tB-PP\tO' -p63032 -aS'labor\tlabor\tNN\tB-NP\tO' -p63033 -aS'.\t.\t.\tO\tO' -p63034 -asS'02-27 RUE , absent right ankle .' -p63035 -(lp63036 -S'02-27\t02-27\tCD\tB-NP\tO' -p63037 -aS'RUE\tRUE\tNN\tI-NP\tO' -p63038 -aS',\t,\t,\tO\tO' -p63039 -aS'absent\tabsent\tJJ\tB-NP\tO' -p63040 -aS'right\tright\tJJ\tI-NP\tO' -p63041 -aS'ankle\tankle\tNN\tI-NP\tO' -p63042 -aS'.\t.\t.\tO\tO' -p63043 -asS'generally intact .' -p63044 -(lp63045 -S'generally\tgenerally\tRB\tB-ADVP\tO' -p63046 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p63047 -aS'.\t.\t.\tO\tO' -p63048 -asS'Hearing screens were repeated on 2018-05-13 and he passed both ears .' -p63049 -(lp63050 -S'Hearing\tHear\tVBG\tB-NP\tO' -p63051 -aS'screens\tscreen\tNNS\tI-NP\tO' -p63052 -aS'were\tbe\tVBD\tB-VP\tO' -p63053 -aS'repeated\trepeat\tVBN\tI-VP\tO' -p63054 -aS'on\ton\tIN\tB-PP\tO' -p63055 -aS'2018-05-13\t2018-05-13\tCD\tB-NP\tO' -p63056 -aS'and\tand\tCC\tO\tO' -p63057 -aS'he\the\tPRP\tB-NP\tO' -p63058 -aS'passed\tpass\tVBD\tB-VP\tO' -p63059 -aS'both\tboth\tDT\tB-NP\tO' -p63060 -aS'ears\tear\tNNS\tI-NP\tO' -p63061 -aS'.\t.\t.\tO\tO' -p63062 -asS'His BUN/ creatinine rose from 16/1.2 on 10/18/97 to 25/1.9 on 10/18/97 to 22/9.1 to today 's labs , which are 15/0.7 on 10/23/97 .' -p63063 -(lp63064 -S'His\tHis\tPRP$\tB-NP\tB-protein' -p63065 -aS'BUN/\tBUN/\tNNP\tI-NP\tO' -p63066 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p63067 -aS'rose\trise\tVBD\tB-VP\tO' -p63068 -aS'from\tfrom\tIN\tB-PP\tO' -p63069 -aS'16/1.2\t16/1.2\tCD\tB-NP\tO' -p63070 -aS'on\ton\tIN\tB-PP\tO' -p63071 -aS'10/18/97\t10/18/97\tCD\tB-NP\tO' -p63072 -aS'to\tto\tTO\tB-PP\tO' -p63073 -aS'25/1.9\t25/1.9\tCD\tB-NP\tO' -p63074 -aS'on\ton\tIN\tB-PP\tO' -p63075 -aS'10/18/97\t10/18/97\tCD\tB-NP\tO' -p63076 -aS'to\tto\tTO\tB-PP\tO' -p63077 -aS'22/9.1\t22/9.1\tCD\tB-NP\tO' -p63078 -aS'to\tto\tTO\tB-PP\tO' -p63079 -aS'today\ttoday\tNN\tB-NP\tB-protein' -p63080 -aS''s\t'\tNNS\tI-NP\tI-protein' -p63081 -aS'labs\tlab\tNNS\tI-NP\tI-protein' -p63082 -aS',\t,\t,\tO\tO' -p63083 -aS'which\twhich\tWDT\tB-NP\tO' -p63084 -aS'are\tbe\tVBP\tB-VP\tO' -p63085 -aS'15/0.7\t15/0.7\tCD\tB-NP\tO' -p63086 -aS'on\ton\tIN\tB-PP\tO' -p63087 -aS'10/23/97\t10/23/97\tCD\tB-NP\tO' -p63088 -aS'.\t.\t.\tO\tO' -p63089 -asS'The remaining unit of autologous packed red blood cells was transfused .' -p63090 -(lp63091 -S'The\tThe\tDT\tB-NP\tO' -p63092 -aS'remaining\tremain\tVBG\tI-NP\tO' -p63093 -aS'unit\tunit\tNN\tI-NP\tO' -p63094 -aS'of\tof\tIN\tB-PP\tO' -p63095 -aS'autologous\tautologous\tJJ\tB-NP\tB-cell_type' -p63096 -aS'packed\tpacked\tJJ\tI-NP\tI-cell_type' -p63097 -aS'red\tred\tJJ\tI-NP\tI-cell_type' -p63098 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p63099 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p63100 -aS'was\tbe\tVBD\tB-VP\tO' -p63101 -aS'transfused\ttransfuse\tVBN\tI-VP\tO' -p63102 -aS'.\t.\t.\tO\tO' -p63103 -asS'From the point of discharge today on 12-31 his most recent labs are as follows .' -p63104 -(lp63105 -S'From\tFrom\tIN\tB-PP\tO' -p63106 -aS'the\tthe\tDT\tB-NP\tO' -p63107 -aS'point\tpoint\tNN\tI-NP\tO' -p63108 -aS'of\tof\tIN\tB-PP\tO' -p63109 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p63110 -aS'today\ttoday\tNN\tB-NP\tO' -p63111 -aS'on\ton\tIN\tB-PP\tO' -p63112 -aS'12-31\t12-31\tCD\tB-NP\tO' -p63113 -aS'his\this\tPRP$\tI-NP\tO' -p63114 -aS'most\tmost\tRBS\tI-NP\tO' -p63115 -aS'recent\trecent\tJJ\tI-NP\tO' -p63116 -aS'labs\tlab\tNNS\tI-NP\tO' -p63117 -aS'are\tbe\tVBP\tB-VP\tO' -p63118 -aS'as\tas\tIN\tB-SBAR\tO' -p63119 -aS'follows\tfollow\tVBZ\tB-VP\tO' -p63120 -aS'.\t.\t.\tO\tO' -p63121 -asS'With EKG changes consistent with myocardial infarction , he was transferred to the Mass. Eye & Ear Infirmary for further management .' -p63122 -(lp63123 -S'With\tWith\tIN\tB-PP\tO' -p63124 -aS'EKG\tEKG\tNN\tB-NP\tO' -p63125 -aS'changes\tchange\tNNS\tI-NP\tO' -p63126 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p63127 -aS'with\twith\tIN\tB-PP\tO' -p63128 -aS'myocardial\tmyocardial\tJJ\tB-NP\tO' -p63129 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p63130 -aS',\t,\t,\tO\tO' -p63131 -aS'he\the\tPRP\tB-NP\tO' -p63132 -aS'was\tbe\tVBD\tB-VP\tO' -p63133 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p63134 -aS'to\tto\tTO\tB-PP\tO' -p63135 -aS'the\tthe\tDT\tB-NP\tO' -p63136 -aS'Mass.\tMass.\tNNP\tI-NP\tO' -p63137 -aS'Eye\tEye\tNNP\tI-NP\tO' -p63138 -aS'&\t&\tCC\tI-NP\tO' -p63139 -aS'Ear\tEar\tNNP\tI-NP\tO' -p63140 -aS'Infirmary\tInfirmary\tNNP\tI-NP\tO' -p63141 -aS'for\tfor\tIN\tB-PP\tO' -p63142 -aS'further\tfurther\tJJ\tB-NP\tO' -p63143 -aS'management\tmanagement\tNN\tI-NP\tO' -p63144 -aS'.\t.\t.\tO\tO' -p63145 -asS'This AM with respiratory failure , continued tachycardia on dilt. gtt .' -p63146 -(lp63147 -S'This\tThis\tDT\tB-NP\tO' -p63148 -aS'AM\tAM\tNN\tI-NP\tO' -p63149 -aS'with\twith\tIN\tB-PP\tO' -p63150 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p63151 -aS'failure\tfailure\tNN\tI-NP\tO' -p63152 -aS',\t,\t,\tO\tO' -p63153 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p63154 -aS'tachycardia\ttachycardia\tNN\tB-NP\tO' -p63155 -aS'on\ton\tIN\tB-PP\tO' -p63156 -aS'dilt.\tdilt.\tNN\tB-NP\tO' -p63157 -aS'gtt\tgtt\tNN\tI-NP\tO' -p63158 -aS'.\t.\t.\tO\tO' -p63159 -asS'At the time of admission , white blood cell count 11.1 , hematocrit 37.7 , platelets 326 .' -p63160 -(lp63161 -S'At\tAt\tIN\tB-PP\tO' -p63162 -aS'the\tthe\tDT\tB-NP\tO' -p63163 -aS'time\ttime\tNN\tI-NP\tO' -p63164 -aS'of\tof\tIN\tB-PP\tO' -p63165 -aS'admission\tadmission\tNN\tB-NP\tO' -p63166 -aS',\t,\t,\tO\tO' -p63167 -aS'white\twhite\tJJ\tB-NP\tO' -p63168 -aS'blood\tblood\tNN\tI-NP\tO' -p63169 -aS'cell\tcell\tNN\tI-NP\tO' -p63170 -aS'count\tcount\tNN\tI-NP\tO' -p63171 -aS'11.1\t11.1\tNN\tI-NP\tO' -p63172 -aS',\t,\t,\tO\tO' -p63173 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p63174 -aS'37.7\t37.7\tCD\tI-NP\tI-protein' -p63175 -aS',\t,\t,\tO\tO' -p63176 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p63177 -aS'326\t326\tCD\tB-NP\tO' -p63178 -aS'.\t.\t.\tO\tO' -p63179 -asS'6. Moderate to severe [ 3+ ] tricuspid regurgitation is seen .' -p63180 -(lp63181 -S'6.\t6.\tLS\tB-LST\tO' -p63182 -aS'Moderate\tModerate\tNNP\tB-NP\tO' -p63183 -aS'to\tto\tTO\tB-VP\tO' -p63184 -aS'severe\tsevere\tVB\tI-VP\tO' -p63185 -aS'[\t[\t(\tO\tO' -p63186 -aS'3+\t3+\tJJ\tO\tO' -p63187 -aS']\t]\t)\tO\tO' -p63188 -aS'tricuspid\ttricuspid\tJJ\tB-NP\tO' -p63189 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p63190 -aS'is\tbe\tVBZ\tB-VP\tO' -p63191 -aS'seen\tsee\tVBN\tI-VP\tO' -p63192 -aS'.\t.\t.\tO\tO' -p63193 -asS'The patient was on FK 2 and 2 that was started on postoperative day number 2 .' -p63194 -(lp63195 -S'The\tThe\tDT\tB-NP\tO' -p63196 -aS'patient\tpatient\tNN\tI-NP\tO' -p63197 -aS'was\tbe\tVBD\tB-VP\tO' -p63198 -aS'on\ton\tIN\tB-PP\tO' -p63199 -aS'FK\tFK\tNN\tB-NP\tB-protein' -p63200 -aS'2\t2\tCD\tI-NP\tI-protein' -p63201 -aS'and\tand\tCC\tI-NP\tI-protein' -p63202 -aS'2\t2\tCD\tI-NP\tI-protein' -p63203 -aS'that\tthat\tWDT\tB-NP\tO' -p63204 -aS'was\tbe\tVBD\tB-VP\tO' -p63205 -aS'started\tstart\tVBN\tI-VP\tO' -p63206 -aS'on\ton\tIN\tB-PP\tO' -p63207 -aS'postoperative\tpostoperative\tJJ\tB-NP\tB-protein' -p63208 -aS'day\tday\tNN\tI-NP\tI-protein' -p63209 -aS'number\tnumber\tNN\tI-NP\tI-protein' -p63210 -aS'2\t2\tCD\tI-NP\tI-protein' -p63211 -aS'.\t.\t.\tO\tO' -p63212 -asS'The patient was instructed to follow-up with Dr. Lumar Jongguild .' -p63213 -(lp63214 -S'The\tThe\tDT\tB-NP\tO' -p63215 -aS'patient\tpatient\tNN\tI-NP\tO' -p63216 -aS'was\tbe\tVBD\tB-VP\tO' -p63217 -aS'instructed\tinstruct\tVBN\tI-VP\tO' -p63218 -aS'to\tto\tTO\tI-VP\tO' -p63219 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p63220 -aS'with\twith\tIN\tB-PP\tO' -p63221 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p63222 -aS'Lumar\tLumar\tNNP\tI-NP\tO' -p63223 -aS'Jongguild\tJongguild\tNNP\tI-NP\tO' -p63224 -aS'.\t.\t.\tO\tO' -p63225 -asS'She is also to follow up with her primary care physician to review her hypertensive medications .' -p63226 -(lp63227 -S'She\tShe\tPRP\tB-NP\tO' -p63228 -aS'is\tbe\tVBZ\tB-VP\tO' -p63229 -aS'also\talso\tRB\tB-ADVP\tO' -p63230 -aS'to\tto\tTO\tB-VP\tO' -p63231 -aS'follow\tfollow\tVB\tI-VP\tO' -p63232 -aS'up\tup\tRP\tB-PRT\tO' -p63233 -aS'with\twith\tIN\tB-PP\tO' -p63234 -aS'her\ther\tPRP$\tB-NP\tO' -p63235 -aS'primary\tprimary\tJJ\tI-NP\tO' -p63236 -aS'care\tcare\tNN\tI-NP\tO' -p63237 -aS'physician\tphysician\tNN\tI-NP\tO' -p63238 -aS'to\tto\tTO\tB-VP\tO' -p63239 -aS'review\treview\tVB\tI-VP\tO' -p63240 -aS'her\ther\tPRP$\tB-NP\tO' -p63241 -aS'hypertensive\thypertensive\tJJ\tI-NP\tO' -p63242 -aS'medications\tmedication\tNNS\tI-NP\tO' -p63243 -aS'.\t.\t.\tO\tO' -p63244 -asS'3. The patient is to return to Smith on or about 05-17 to have his staples removed .' -p63245 -(lp63246 -S'3.\t3.\tLS\tB-LST\tO' -p63247 -aS'The\tThe\tDT\tB-NP\tO' -p63248 -aS'patient\tpatient\tNN\tI-NP\tO' -p63249 -aS'is\tbe\tVBZ\tB-VP\tO' -p63250 -aS'to\tto\tTO\tB-VP\tO' -p63251 -aS'return\treturn\tVB\tI-VP\tO' -p63252 -aS'to\tto\tTO\tB-PP\tO' -p63253 -aS'Smith\tSmith\tNNP\tB-NP\tO' -p63254 -aS'on\ton\tIN\tB-PP\tO' -p63255 -aS'or\tor\tCC\tI-PP\tO' -p63256 -aS'about\tabout\tIN\tI-PP\tO' -p63257 -aS'05-17\t05-17\tCD\tB-NP\tO' -p63258 -aS'to\tto\tTO\tB-VP\tO' -p63259 -aS'have\thave\tVB\tI-VP\tO' -p63260 -aS'his\this\tPRP$\tB-NP\tO' -p63261 -aS'staples\tstaple\tNNS\tI-NP\tO' -p63262 -aS'removed\tremove\tVBN\tB-VP\tO' -p63263 -aS'.\t.\t.\tO\tO' -p63264 -asS'3. Follow up in 1 week at brain tumor clinic .' -p63265 -(lp63266 -S'3.\t3.\tLS\tB-LST\tO' -p63267 -aS'Follow\tFollow\tNNP\tB-NP\tO' -p63268 -aS'up\tup\tIN\tB-ADVP\tO' -p63269 -aS'in\tin\tIN\tB-PP\tO' -p63270 -aS'1\t1\tCD\tB-NP\tO' -p63271 -aS'week\tweek\tNN\tI-NP\tO' -p63272 -aS'at\tat\tIN\tB-PP\tO' -p63273 -aS'brain\tbrain\tNN\tB-NP\tO' -p63274 -aS'tumor\ttumor\tNN\tI-NP\tO' -p63275 -aS'clinic\tclinic\tNN\tI-NP\tO' -p63276 -aS'.\t.\t.\tO\tO' -p63277 -asS'Neurological exam was grossly intact .' -p63278 -(lp63279 -S'Neurological\tNeurological\tJJ\tB-NP\tO' -p63280 -aS'exam\texam\tNN\tI-NP\tO' -p63281 -aS'was\tbe\tVBD\tB-VP\tO' -p63282 -aS'grossly\tgrossly\tRB\tB-ADJP\tO' -p63283 -aS'intact\tintact\tJJ\tI-ADJP\tO' -p63284 -aS'.\t.\t.\tO\tO' -p63285 -asS'ETT MIBI 4/14 without e / o ischemia . ?' -p63286 -(lp63287 -S'ETT\tETT\tNNP\tB-NP\tO' -p63288 -aS'MIBI\tMIBI\tNNP\tI-NP\tO' -p63289 -aS'4/14\t4/14\tCD\tI-NP\tO' -p63290 -aS'without\twithout\tIN\tB-PP\tO' -p63291 -aS'e\te\tNN\tB-NP\tO' -p63292 -aS'/\t/\tSYM\tB-NP\tO' -p63293 -aS'o\to\tNN\tI-NP\tO' -p63294 -aS'ischemia\tischemia\tNN\tI-NP\tO' -p63295 -aS'.\t.\t.\tO\tO' -p63296 -aS'?\t?\t.\tO\tO' -p63297 -asS'She is now getting dilaudid 8 mg q2h and in addition she has been on fentanyl patch .' -p63298 -(lp63299 -S'She\tShe\tPRP\tB-NP\tO' -p63300 -aS'is\tbe\tVBZ\tB-VP\tO' -p63301 -aS'now\tnow\tRB\tI-VP\tO' -p63302 -aS'getting\tget\tVBG\tI-VP\tO' -p63303 -aS'dilaudid\tdilaudid\tJJ\tB-NP\tO' -p63304 -aS'8\t8\tCD\tI-NP\tO' -p63305 -aS'mg\tmg\tNN\tI-NP\tO' -p63306 -aS'q2h\tq2h\tNN\tI-NP\tO' -p63307 -aS'and\tand\tCC\tB-PP\tO' -p63308 -aS'in\tin\tIN\tB-PP\tO' -p63309 -aS'addition\taddition\tNN\tB-NP\tO' -p63310 -aS'she\tshe\tPRP\tB-NP\tO' -p63311 -aS'has\thave\tVBZ\tB-VP\tO' -p63312 -aS'been\tbe\tVBN\tI-VP\tO' -p63313 -aS'on\ton\tIN\tB-PP\tO' -p63314 -aS'fentanyl\tfentanyl\tNN\tB-NP\tO' -p63315 -aS'patch\tpatch\tNN\tI-NP\tO' -p63316 -aS'.\t.\t.\tO\tO' -p63317 -asS'4. Mild hyperbilirubinemia .' -p63318 -(lp63319 -S'4.\t4.\tLS\tB-NP\tO' -p63320 -aS'Mild\tMild\tNNP\tI-NP\tO' -p63321 -aS'hyperbilirubinemia\thyperbilirubinemia\tNN\tI-NP\tO' -p63322 -aS'.\t.\t.\tO\tO' -p63323 -asS'Normal first heart sound and second heart sound .' -p63324 -(lp63325 -S'Normal\tNormal\tJJ\tB-NP\tO' -p63326 -aS'first\tfirst\tJJ\tI-NP\tO' -p63327 -aS'heart\theart\tNN\tI-NP\tO' -p63328 -aS'sound\tsound\tNN\tI-NP\tO' -p63329 -aS'and\tand\tCC\tO\tO' -p63330 -aS'second\tsecond\tJJ\tB-NP\tO' -p63331 -aS'heart\theart\tNN\tI-NP\tO' -p63332 -aS'sound\tsound\tNN\tI-NP\tO' -p63333 -aS'.\t.\t.\tO\tO' -p63334 -asS'The patient was returned to the operating room on July 10 , where several loculated thin fluid collections were drained and obviously necrotic tissue was debrided .' -p63335 -(lp63336 -S'The\tThe\tDT\tB-NP\tO' -p63337 -aS'patient\tpatient\tNN\tI-NP\tO' -p63338 -aS'was\tbe\tVBD\tB-VP\tO' -p63339 -aS'returned\treturn\tVBN\tI-VP\tO' -p63340 -aS'to\tto\tTO\tB-PP\tO' -p63341 -aS'the\tthe\tDT\tB-NP\tO' -p63342 -aS'operating\toperating\tNN\tI-NP\tO' -p63343 -aS'room\troom\tNN\tI-NP\tO' -p63344 -aS'on\ton\tIN\tB-PP\tO' -p63345 -aS'July\tJuly\tNNP\tB-NP\tO' -p63346 -aS'10\t10\tCD\tI-NP\tO' -p63347 -aS',\t,\t,\tO\tO' -p63348 -aS'where\twhere\tWRB\tB-ADVP\tO' -p63349 -aS'several\tseveral\tJJ\tB-NP\tO' -p63350 -aS'loculated\tloculate\tVBN\tI-NP\tO' -p63351 -aS'thin\tthin\tJJ\tI-NP\tO' -p63352 -aS'fluid\tfluid\tNN\tI-NP\tO' -p63353 -aS'collections\tcollection\tNNS\tI-NP\tO' -p63354 -aS'were\tbe\tVBD\tB-VP\tO' -p63355 -aS'drained\tdrain\tVBN\tI-VP\tO' -p63356 -aS'and\tand\tCC\tO\tO' -p63357 -aS'obviously\tobviously\tRB\tB-NP\tO' -p63358 -aS'necrotic\tnecrotic\tJJ\tI-NP\tO' -p63359 -aS'tissue\ttissue\tNN\tI-NP\tO' -p63360 -aS'was\tbe\tVBD\tB-VP\tO' -p63361 -aS'debrided\tdebride\tVBN\tI-VP\tO' -p63362 -aS'.\t.\t.\tO\tO' -p63363 -asS'Nadolol 20 mg q. Day .' -p63364 -(lp63365 -S'Nadolol\tNadolol\tNN\tB-NP\tO' -p63366 -aS'20\t20\tCD\tI-NP\tO' -p63367 -aS'mg\tmg\tNN\tI-NP\tO' -p63368 -aS'q.\tq.\tNNP\tI-NP\tO' -p63369 -aS'Day\tDay\tNNP\tI-NP\tO' -p63370 -aS'.\t.\t.\tO\tO' -p63371 -asS'7. Follow up - Follow up appointment with primary pediatrician within five days of discharge .' -p63372 -(lp63373 -S'7.\t7.\tLS\tB-LST\tO' -p63374 -aS'Follow\tFollow\tNN\tB-NP\tO' -p63375 -aS'up\tup\tRB\tB-ADVP\tO' -p63376 -aS'-\t-\tHYPH\tO\tO' -p63377 -aS'Follow\tFollow\tVB\tB-VP\tO' -p63378 -aS'up\tup\tRP\tB-PRT\tO' -p63379 -aS'appointment\tappointment\tNN\tB-NP\tO' -p63380 -aS'with\twith\tIN\tB-PP\tO' -p63381 -aS'primary\tprimary\tJJ\tB-NP\tO' -p63382 -aS'pediatrician\tpediatrician\tNN\tI-NP\tO' -p63383 -aS'within\twithin\tIN\tB-PP\tO' -p63384 -aS'five\tfive\tCD\tB-NP\tO' -p63385 -aS'days\tday\tNNS\tI-NP\tO' -p63386 -aS'of\tof\tIN\tB-PP\tO' -p63387 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p63388 -aS'.\t.\t.\tO\tO' -p63389 -asS'82 , 119/60 , 22 , and 99% on room air .' -p63390 -(lp63391 -S'82\t82\tCD\tB-NP\tO' -p63392 -aS',\t,\t,\tI-NP\tO' -p63393 -aS'119/60\t119/60\tCD\tI-NP\tO' -p63394 -aS',\t,\t,\tI-NP\tO' -p63395 -aS'22\t22\tCD\tI-NP\tO' -p63396 -aS',\t,\t,\tO\tO' -p63397 -aS'and\tand\tCC\tO\tO' -p63398 -aS'99%\t99%\tCD\tB-NP\tO' -p63399 -aS'on\ton\tIN\tB-PP\tO' -p63400 -aS'room\troom\tNN\tB-NP\tO' -p63401 -aS'air\tair\tNN\tI-NP\tO' -p63402 -aS'.\t.\t.\tO\tO' -p63403 -asS'There was no nystagmus , except for some fine fast beat nystagmus bilateral extremes of abduction .' -p63404 -(lp63405 -S'There\tThere\tEX\tB-NP\tO' -p63406 -aS'was\tbe\tVBD\tB-VP\tO' -p63407 -aS'no\tno\tDT\tB-NP\tO' -p63408 -aS'nystagmus\tnystagmus\tNN\tI-NP\tO' -p63409 -aS',\t,\t,\tO\tO' -p63410 -aS'except\texcept\tIN\tB-PP\tO' -p63411 -aS'for\tfor\tIN\tB-PP\tO' -p63412 -aS'some\tsome\tDT\tB-NP\tO' -p63413 -aS'fine\tfine\tJJ\tI-NP\tO' -p63414 -aS'fast\tfast\tJJ\tI-NP\tO' -p63415 -aS'beat\tbeat\tNN\tI-NP\tO' -p63416 -aS'nystagmus\tnystagmus\tNN\tI-NP\tO' -p63417 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p63418 -aS'extremes\textreme\tNNS\tI-NP\tO' -p63419 -aS'of\tof\tIN\tB-PP\tO' -p63420 -aS'abduction\tabduction\tNN\tB-NP\tO' -p63421 -aS'.\t.\t.\tO\tO' -p63422 -asS'Because it was felt the patient was bleeding and the patient was contaminated , she received her IFEX / MESNA .' -p63423 -(lp63424 -S'Because\tBecause\tIN\tB-SBAR\tO' -p63425 -aS'it\tit\tPRP\tB-NP\tO' -p63426 -aS'was\tbe\tVBD\tB-VP\tO' -p63427 -aS'felt\tfeel\tVBN\tI-VP\tO' -p63428 -aS'the\tthe\tDT\tB-NP\tO' -p63429 -aS'patient\tpatient\tNN\tI-NP\tO' -p63430 -aS'was\tbe\tVBD\tB-VP\tO' -p63431 -aS'bleeding\tbleed\tVBG\tI-VP\tO' -p63432 -aS'and\tand\tCC\tO\tO' -p63433 -aS'the\tthe\tDT\tB-NP\tO' -p63434 -aS'patient\tpatient\tNN\tI-NP\tO' -p63435 -aS'was\tbe\tVBD\tB-VP\tO' -p63436 -aS'contaminated\tcontaminate\tVBN\tI-VP\tO' -p63437 -aS',\t,\t,\tO\tO' -p63438 -aS'she\tshe\tPRP\tB-NP\tO' -p63439 -aS'received\treceive\tVBD\tB-VP\tO' -p63440 -aS'her\ther\tPRP$\tB-NP\tO' -p63441 -aS'IFEX\tIFEX\tNN\tI-NP\tB-protein' -p63442 -aS'/\t/\tSYM\tB-NP\tO' -p63443 -aS'MESNA\tMESNA\tNN\tI-NP\tO' -p63444 -aS'.\t.\t.\tO\tO' -p63445 -asS'He was noted to have dark stools per rectum and to be somewhat fluid overloaded .' -p63446 -(lp63447 -S'He\tHe\tPRP\tB-NP\tO' -p63448 -aS'was\tbe\tVBD\tB-VP\tO' -p63449 -aS'noted\tnote\tVBN\tI-VP\tO' -p63450 -aS'to\tto\tTO\tI-VP\tO' -p63451 -aS'have\thave\tVB\tI-VP\tO' -p63452 -aS'dark\tdark\tJJ\tB-NP\tO' -p63453 -aS'stools\tstool\tNNS\tI-NP\tO' -p63454 -aS'per\tper\tIN\tB-PP\tO' -p63455 -aS'rectum\trectum\tNN\tB-NP\tO' -p63456 -aS'and\tand\tCC\tO\tO' -p63457 -aS'to\tto\tTO\tB-VP\tO' -p63458 -aS'be\tbe\tVB\tI-VP\tO' -p63459 -aS'somewhat\tsomewhat\tRB\tB-ADJP\tO' -p63460 -aS'fluid\tfluid\tJJ\tI-ADJP\tO' -p63461 -aS'overloaded\toverload\tVBN\tB-VP\tO' -p63462 -aS'.\t.\t.\tO\tO' -p63463 -asS'Her BP on admission was 120/70 and remained stable following the tap .' -p63464 -(lp63465 -S'Her\tHer\tPRP$\tB-NP\tB-protein' -p63466 -aS'BP\tBP\tNN\tI-NP\tI-protein' -p63467 -aS'on\ton\tIN\tB-PP\tO' -p63468 -aS'admission\tadmission\tNN\tB-NP\tO' -p63469 -aS'was\tbe\tVBD\tB-VP\tO' -p63470 -aS'120/70\t120/70\tCD\tB-NP\tO' -p63471 -aS'and\tand\tCC\tO\tO' -p63472 -aS'remained\tremain\tVBD\tB-VP\tO' -p63473 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p63474 -aS'following\tfollow\tVBG\tB-PP\tO' -p63475 -aS'the\tthe\tDT\tB-NP\tO' -p63476 -aS'tap\ttap\tNN\tI-NP\tB-protein' -p63477 -aS'.\t.\t.\tO\tO' -p63478 -asS"75 yo F with CAD s/p MI x4 ( s/p LAD stent '09 and RCA stent x 2 in '00 and '04 ) , CHF with EF 55% , PAF , Inducible Vtach s/p AICD placement , sick sinus syndrome s/p pacer and COPD with restrictive lung disease ." -p63479 -(lp63480 -S'75\t75\tCD\tB-NP\tO' -p63481 -aS'yo\tyo\tNN\tI-NP\tO' -p63482 -aS'F\tF\tNN\tI-NP\tO' -p63483 -aS'with\twith\tIN\tB-PP\tO' -p63484 -aS'CAD\tCAD\tNN\tB-NP\tO' -p63485 -aS's/p\ts/p\tNN\tI-NP\tO' -p63486 -aS'MI\tMI\tNN\tI-NP\tO' -p63487 -aS'x4\tx4\tNN\tI-NP\tO' -p63488 -aS'(\t(\t(\tO\tO' -p63489 -aS's/p\ts/p\tNN\tB-NP\tO' -p63490 -aS'LAD\tLAD\tNN\tI-NP\tO' -p63491 -aS'stent\tstent\tJJ\tB-ADJP\tO' -p63492 -aS"'09\t'09\tCC\tO\tO" -p63493 -aS'and\tand\tCC\tO\tO' -p63494 -aS'RCA\tRCA\tNN\tB-NP\tB-protein' -p63495 -aS'stent\tstent\tJJ\tI-NP\tI-protein' -p63496 -aS'x\tx\tNN\tI-NP\tI-protein' -p63497 -aS'2\t2\tCD\tI-NP\tI-protein' -p63498 -aS'in\tin\tIN\tB-PP\tO' -p63499 -aS"'00\t'00\tCD\tB-NP\tO" -p63500 -aS'and\tand\tCC\tI-NP\tO' -p63501 -aS"'04\t'04\tCD\tI-NP\tO" -p63502 -aS')\t)\t)\tO\tO' -p63503 -aS',\t,\t,\tO\tO' -p63504 -aS'CHF\tCHF\tNN\tB-NP\tB-protein' -p63505 -aS'with\twith\tIN\tB-PP\tO' -p63506 -aS'EF\tEF\tNN\tB-NP\tB-protein' -p63507 -aS'55%\t55%\tCD\tI-NP\tI-protein' -p63508 -aS',\t,\t,\tO\tO' -p63509 -aS'PAF\tPAF\tNNP\tB-NP\tB-protein' -p63510 -aS',\t,\t,\tO\tO' -p63511 -aS'Inducible\tInducible\tNNP\tB-NP\tO' -p63512 -aS'Vtach\tVtach\tNNP\tI-NP\tO' -p63513 -aS's/p\ts/p\tNN\tI-NP\tO' -p63514 -aS'AICD\tAICD\tNNP\tI-NP\tO' -p63515 -aS'placement\tplacement\tNN\tI-NP\tO' -p63516 -aS',\t,\t,\tO\tO' -p63517 -aS'sick\tsick\tJJ\tB-NP\tO' -p63518 -aS'sinus\tsinus\tNN\tI-NP\tO' -p63519 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p63520 -aS's/p\ts/p\tNN\tI-NP\tO' -p63521 -aS'pacer\tpacer\tNN\tI-NP\tO' -p63522 -aS'and\tand\tCC\tI-NP\tO' -p63523 -aS'COPD\tCOPD\tNN\tI-NP\tO' -p63524 -aS'with\twith\tIN\tB-PP\tO' -p63525 -aS'restrictive\trestrictive\tJJ\tB-NP\tO' -p63526 -aS'lung\tlung\tNN\tI-NP\tO' -p63527 -aS'disease\tdisease\tNN\tI-NP\tO' -p63528 -aS'.\t.\t.\tO\tO' -p63529 -asS'Able to carry on simple conversation .' -p63530 -(lp63531 -S'Able\tAble\tNN\tB-NP\tO' -p63532 -aS'to\tto\tTO\tB-VP\tO' -p63533 -aS'carry\tcarry\tVB\tI-VP\tO' -p63534 -aS'on\ton\tIN\tB-PP\tO' -p63535 -aS'simple\tsimple\tJJ\tB-NP\tO' -p63536 -aS'conversation\tconversation\tNN\tI-NP\tO' -p63537 -aS'.\t.\t.\tO\tO' -p63538 -asS'Pentamidine intravenous and nasal washings were continued .' -p63539 -(lp63540 -S'Pentamidine\tPentamidine\tNN\tB-NP\tO' -p63541 -aS'intravenous\tintravenous\tJJ\tI-NP\tO' -p63542 -aS'and\tand\tCC\tI-NP\tO' -p63543 -aS'nasal\tnasal\tJJ\tI-NP\tO' -p63544 -aS'washings\twashing\tNNS\tI-NP\tO' -p63545 -aS'were\tbe\tVBD\tB-VP\tO' -p63546 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p63547 -aS'.\t.\t.\tO\tO' -p63548 -asS'Father with stroke .' -p63549 -(lp63550 -S'Father\tFather\tRB\tB-ADVP\tO' -p63551 -aS'with\twith\tIN\tB-PP\tO' -p63552 -aS'stroke\tstroke\tNN\tB-NP\tO' -p63553 -aS'.\t.\t.\tO\tO' -p63554 -asS'The patient was supported with abundant use of fresh frozen plasma , cryoprecipitate , platelets , and packed red blood cells .' -p63555 -(lp63556 -S'The\tThe\tDT\tB-NP\tO' -p63557 -aS'patient\tpatient\tNN\tI-NP\tO' -p63558 -aS'was\tbe\tVBD\tB-VP\tO' -p63559 -aS'supported\tsupport\tVBN\tI-VP\tO' -p63560 -aS'with\twith\tIN\tB-PP\tO' -p63561 -aS'abundant\tabundant\tJJ\tB-NP\tO' -p63562 -aS'use\tuse\tNN\tI-NP\tO' -p63563 -aS'of\tof\tIN\tB-PP\tO' -p63564 -aS'fresh\tfresh\tJJ\tB-NP\tO' -p63565 -aS'frozen\tfreeze\tVBN\tI-NP\tO' -p63566 -aS'plasma\tplasma\tNN\tI-NP\tO' -p63567 -aS',\t,\t,\tO\tO' -p63568 -aS'cryoprecipitate\tcryoprecipitate\tNN\tB-NP\tO' -p63569 -aS',\t,\t,\tO\tO' -p63570 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p63571 -aS',\t,\t,\tO\tO' -p63572 -aS'and\tand\tCC\tO\tO' -p63573 -aS'packed\tpack\tVBD\tB-VP\tO' -p63574 -aS'red\tred\tJJ\tB-NP\tB-cell_type' -p63575 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p63576 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p63577 -aS'.\t.\t.\tO\tO' -p63578 -asS'7. Flagyl 500 mg p.o. t.i.d. for the next five weeks for osteomyelitis .' -p63579 -(lp63580 -S'7.\t7.\tCD\tB-NP\tO' -p63581 -aS'Flagyl\tFlagyl\tNN\tI-NP\tO' -p63582 -aS'500\t500\tCD\tB-NP\tO' -p63583 -aS'mg\tmg\tNN\tI-NP\tO' -p63584 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p63585 -aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' -p63586 -aS'for\tfor\tIN\tB-PP\tO' -p63587 -aS'the\tthe\tDT\tB-NP\tO' -p63588 -aS'next\tnext\tJJ\tI-NP\tO' -p63589 -aS'five\tfive\tCD\tI-NP\tO' -p63590 -aS'weeks\tweek\tNNS\tI-NP\tO' -p63591 -aS'for\tfor\tIN\tB-PP\tO' -p63592 -aS'osteomyelitis\tosteomyelitis\tNN\tB-NP\tO' -p63593 -aS'.\t.\t.\tO\tO' -p63594 -asS'He will have VNA services and make the appropriate follow-up appointments .' -p63595 -(lp63596 -S'He\tHe\tPRP\tB-NP\tO' -p63597 -aS'will\twill\tMD\tB-VP\tO' -p63598 -aS'have\thave\tVB\tI-VP\tO' -p63599 -aS'VNA\tVNA\tNN\tB-NP\tO' -p63600 -aS'services\tservice\tNNS\tI-NP\tO' -p63601 -aS'and\tand\tCC\tO\tO' -p63602 -aS'make\tmake\tVB\tB-VP\tO' -p63603 -aS'the\tthe\tDT\tB-NP\tO' -p63604 -aS'appropriate\tappropriate\tJJ\tI-NP\tO' -p63605 -aS'follow-up\tfollow-up\tJJ\tI-NP\tO' -p63606 -aS'appointments\tappointment\tNNS\tI-NP\tO' -p63607 -aS'.\t.\t.\tO\tO' -p63608 -asS'This is a 55-year-old female with multiple prior admissions for pneumonia , COPD , asthma exacerbation , over 3 weeks of upper respiratory like infection unremitting with increased nebulizer treatments at home .' -p63609 -(lp63610 -S'This\tThis\tDT\tB-NP\tO' -p63611 -aS'is\tbe\tVBZ\tB-VP\tO' -p63612 -aS'a\ta\tDT\tB-NP\tO' -p63613 -aS'55-year-old\t55-year-old\tJJ\tI-NP\tO' -p63614 -aS'female\tfemale\tNN\tI-NP\tO' -p63615 -aS'with\twith\tIN\tB-PP\tO' -p63616 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p63617 -aS'prior\tprior\tJJ\tI-NP\tO' -p63618 -aS'admissions\tadmission\tNNS\tI-NP\tO' -p63619 -aS'for\tfor\tIN\tB-PP\tO' -p63620 -aS'pneumonia\tpneumonia\tNN\tB-NP\tO' -p63621 -aS',\t,\t,\tO\tO' -p63622 -aS'COPD\tCOPD\tNN\tB-NP\tO' -p63623 -aS',\t,\t,\tO\tO' -p63624 -aS'asthma\tasthma\tNN\tB-NP\tO' -p63625 -aS'exacerbation\texacerbation\tNN\tI-NP\tO' -p63626 -aS',\t,\t,\tO\tO' -p63627 -aS'over\tover\tIN\tB-NP\tO' -p63628 -aS'3\t3\tCD\tI-NP\tO' -p63629 -aS'weeks\tweek\tNNS\tI-NP\tO' -p63630 -aS'of\tof\tIN\tB-PP\tO' -p63631 -aS'upper\tupper\tJJ\tB-NP\tO' -p63632 -aS'respiratory\trespiratory\tNN\tI-NP\tO' -p63633 -aS'like\tlike\tIN\tB-PP\tO' -p63634 -aS'infection\tinfection\tNN\tB-NP\tO' -p63635 -aS'unremitting\tunremitte\tVBG\tB-VP\tO' -p63636 -aS'with\twith\tIN\tB-PP\tO' -p63637 -aS'increased\tincrease\tVBN\tB-NP\tO' -p63638 -aS'nebulizer\tnebulizer\tNN\tI-NP\tO' -p63639 -aS'treatments\ttreatment\tNNS\tI-NP\tO' -p63640 -aS'at\tat\tIN\tB-PP\tO' -p63641 -aS'home\thome\tNN\tB-NP\tO' -p63642 -aS'.\t.\t.\tO\tO' -p63643 -asS'Signed electronically by : DR. Kevin Arthur on : Tony 2012-01-27 6:52 AM' -p63644 -(lp63645 -S'Signed\tSign\tVBN\tB-VP\tO' -p63646 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p63647 -aS'by\tby\tIN\tB-PP\tO' -p63648 -aS':\t:\t:\tO\tO' -p63649 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p63650 -aS'Kevin\tKevin\tNNP\tI-NP\tO' -p63651 -aS'Arthur\tArthur\tNNP\tI-NP\tO' -p63652 -aS'on\ton\tIN\tB-PP\tO' -p63653 -aS':\t:\t:\tO\tO' -p63654 -aS'Tony\tTony\tNNP\tB-NP\tO' -p63655 -aS'2012-01-27\t2012-01-27\tCD\tB-NP\tO' -p63656 -aS'6:52\t6:52\tCD\tI-NP\tO' -p63657 -aS'AM\tAM\tNN\tI-NP\tO' -p63658 -asS'She is right-handed .' -p63659 -(lp63660 -S'She\tShe\tPRP\tB-NP\tO' -p63661 -aS'is\tbe\tVBZ\tB-VP\tO' -p63662 -aS'right-handed\tright-handed\tJJ\tB-ADJP\tO' -p63663 -aS'.\t.\t.\tO\tO' -p63664 -asS'The ventricles are mildly prominent , but are unchanged from the prior study .' -p63665 -(lp63666 -S'The\tThe\tDT\tB-NP\tO' -p63667 -aS'ventricles\tventricle\tNNS\tI-NP\tO' -p63668 -aS'are\tbe\tVBP\tB-VP\tO' -p63669 -aS'mildly\tmildly\tRB\tB-ADJP\tO' -p63670 -aS'prominent\tprominent\tJJ\tI-ADJP\tO' -p63671 -aS',\t,\t,\tO\tO' -p63672 -aS'but\tbut\tCC\tO\tO' -p63673 -aS'are\tbe\tVBP\tB-VP\tO' -p63674 -aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' -p63675 -aS'from\tfrom\tIN\tB-PP\tO' -p63676 -aS'the\tthe\tDT\tB-NP\tO' -p63677 -aS'prior\tprior\tJJ\tI-NP\tO' -p63678 -aS'study\tstudy\tNN\tI-NP\tO' -p63679 -aS'.\t.\t.\tO\tO' -p63680 -asS'The BUN was 70 and creatinine was 4.6 and for this reason she had ultrasound of the kidney which showed bilateral hydronephrosis .' -p63681 -(lp63682 -S'The\tThe\tDT\tB-NP\tO' -p63683 -aS'BUN\tBUN\tNN\tI-NP\tB-protein' -p63684 -aS'was\tbe\tVBD\tB-VP\tO' -p63685 -aS'70\t70\tCD\tB-NP\tO' -p63686 -aS'and\tand\tCC\tO\tO' -p63687 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p63688 -aS'was\tbe\tVBD\tB-VP\tO' -p63689 -aS'4.6\t4.6\tCD\tB-NP\tO' -p63690 -aS'and\tand\tCC\tB-PP\tO' -p63691 -aS'for\tfor\tIN\tB-PP\tO' -p63692 -aS'this\tthis\tDT\tB-NP\tO' -p63693 -aS'reason\treason\tNN\tI-NP\tO' -p63694 -aS'she\tshe\tPRP\tB-NP\tO' -p63695 -aS'had\thave\tVBD\tB-VP\tO' -p63696 -aS'ultrasound\tultrasound\tVBN\tI-VP\tO' -p63697 -aS'of\tof\tIN\tB-PP\tO' -p63698 -aS'the\tthe\tDT\tB-NP\tO' -p63699 -aS'kidney\tkidney\tNN\tI-NP\tO' -p63700 -aS'which\twhich\tWDT\tB-NP\tO' -p63701 -aS'showed\tshow\tVBD\tB-VP\tO' -p63702 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p63703 -aS'hydronephrosis\thydronephrosis\tNN\tI-NP\tO' -p63704 -aS'.\t.\t.\tO\tO' -p63705 -asS'Coumadin was stopped and she received fFP for tunneled line change over a wire .' -p63706 -(lp63707 -S'Coumadin\tCoumadin\tNN\tB-NP\tO' -p63708 -aS'was\tbe\tVBD\tB-VP\tO' -p63709 -aS'stopped\tstop\tVBN\tI-VP\tO' -p63710 -aS'and\tand\tCC\tO\tO' -p63711 -aS'she\tshe\tPRP\tB-NP\tO' -p63712 -aS'received\treceive\tVBD\tB-VP\tO' -p63713 -aS'fFP\tfFP\tNN\tB-NP\tO' -p63714 -aS'for\tfor\tIN\tB-PP\tO' -p63715 -aS'tunneled\ttunnel\tVBN\tB-NP\tO' -p63716 -aS'line\tline\tNN\tI-NP\tO' -p63717 -aS'change\tchange\tNN\tI-NP\tO' -p63718 -aS'over\tover\tIN\tB-PP\tO' -p63719 -aS'a\ta\tDT\tB-NP\tO' -p63720 -aS'wire\twire\tNN\tI-NP\tO' -p63721 -aS'.\t.\t.\tO\tO' -p63722 -asS'He denied fevers , chills , nausea or vomiting , chest pain or diaphoresis .' -p63723 -(lp63724 -S'He\tHe\tPRP\tB-NP\tO' -p63725 -aS'denied\tdeny\tVBD\tB-VP\tO' -p63726 -aS'fevers\tfever\tNNS\tB-NP\tO' -p63727 -aS',\t,\t,\tO\tO' -p63728 -aS'chills\tchill\tNNS\tB-NP\tO' -p63729 -aS',\t,\t,\tO\tO' -p63730 -aS'nausea\tnausea\tNN\tB-NP\tO' -p63731 -aS'or\tor\tCC\tI-NP\tO' -p63732 -aS'vomiting\tvomiting\tNN\tI-NP\tO' -p63733 -aS',\t,\t,\tO\tO' -p63734 -aS'chest\tchest\tNN\tB-NP\tO' -p63735 -aS'pain\tpain\tNN\tI-NP\tO' -p63736 -aS'or\tor\tCC\tI-NP\tO' -p63737 -aS'diaphoresis\tdiaphoresis\tNN\tI-NP\tO' -p63738 -aS'.\t.\t.\tO\tO' -p63739 -asS'The patient eventually had a left subclavian Tesio catheter placed and a right brachial PICC line placed on July 10 , 1998 which remained patent and uninfected .' -p63740 -(lp63741 -S'The\tThe\tDT\tB-NP\tO' -p63742 -aS'patient\tpatient\tNN\tI-NP\tO' -p63743 -aS'eventually\teventually\tRB\tB-ADVP\tO' -p63744 -aS'had\thave\tVBD\tB-VP\tO' -p63745 -aS'a\ta\tDT\tB-NP\tO' -p63746 -aS'left\tleft\tJJ\tI-NP\tO' -p63747 -aS'subclavian\tsubclavian\tJJ\tI-NP\tO' -p63748 -aS'Tesio\tTesio\tNNP\tI-NP\tO' -p63749 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p63750 -aS'placed\tplace\tVBD\tB-VP\tO' -p63751 -aS'and\tand\tCC\tO\tO' -p63752 -aS'a\ta\tDT\tB-NP\tO' -p63753 -aS'right\tright\tJJ\tI-NP\tB-cell_line' -p63754 -aS'brachial\tbrachial\tJJ\tI-NP\tI-cell_line' -p63755 -aS'PICC\tPICC\tNN\tI-NP\tI-cell_line' -p63756 -aS'line\tline\tNN\tI-NP\tI-cell_line' -p63757 -aS'placed\tplace\tVBN\tB-VP\tO' -p63758 -aS'on\ton\tIN\tB-PP\tO' -p63759 -aS'July\tJuly\tNNP\tB-NP\tO' -p63760 -aS'10\t10\tCD\tI-NP\tO' -p63761 -aS',\t,\t,\tI-NP\tO' -p63762 -aS'1998\t1998\tCD\tI-NP\tO' -p63763 -aS'which\twhich\tWDT\tB-NP\tO' -p63764 -aS'remained\tremain\tVBD\tB-VP\tO' -p63765 -aS'patent\tpatent\tNN\tB-NP\tO' -p63766 -aS'and\tand\tCC\tO\tO' -p63767 -aS'uninfected\tuninfected\tJJ\tB-ADJP\tO' -p63768 -aS'.\t.\t.\tO\tO' -p63769 -asS'Several days prior to discharge , the patient developed some erythematous rash under her left breast and left side that was thought to be due to yeast .' -p63770 -(lp63771 -S'Several\tSeveral\tJJ\tB-NP\tO' -p63772 -aS'days\tday\tNNS\tI-NP\tO' -p63773 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p63774 -aS'to\tto\tTO\tB-VP\tO' -p63775 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p63776 -aS',\t,\t,\tO\tO' -p63777 -aS'the\tthe\tDT\tB-NP\tO' -p63778 -aS'patient\tpatient\tNN\tI-NP\tO' -p63779 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p63780 -aS'some\tsome\tDT\tB-NP\tO' -p63781 -aS'erythematous\terythematous\tJJ\tI-NP\tO' -p63782 -aS'rash\trash\tNN\tI-NP\tO' -p63783 -aS'under\tunder\tIN\tB-PP\tO' -p63784 -aS'her\ther\tPRP$\tB-NP\tO' -p63785 -aS'left\tleft\tJJ\tI-NP\tO' -p63786 -aS'breast\tbreast\tNN\tI-NP\tO' -p63787 -aS'and\tand\tCC\tO\tO' -p63788 -aS'left\tleft\tJJ\tB-NP\tO' -p63789 -aS'side\tside\tNN\tI-NP\tO' -p63790 -aS'that\tthat\tWDT\tB-NP\tO' -p63791 -aS'was\tbe\tVBD\tB-VP\tO' -p63792 -aS'thought\tthink\tVBN\tI-VP\tO' -p63793 -aS'to\tto\tTO\tI-VP\tO' -p63794 -aS'be\tbe\tVB\tI-VP\tO' -p63795 -aS'due\tdue\tIN\tB-PP\tO' -p63796 -aS'to\tto\tTO\tB-PP\tO' -p63797 -aS'yeast\tyeast\tNN\tB-NP\tO' -p63798 -aS'.\t.\t.\tO\tO' -p63799 -asS'At the time of discharge , Mr. Norman hematocrit is at 40.7 .' -p63800 -(lp63801 -S'At\tAt\tIN\tB-PP\tO' -p63802 -aS'the\tthe\tDT\tB-NP\tO' -p63803 -aS'time\ttime\tNN\tI-NP\tO' -p63804 -aS'of\tof\tIN\tB-PP\tO' -p63805 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p63806 -aS',\t,\t,\tO\tO' -p63807 -aS'Mr.\tMr.\tNNP\tB-NP\tO' -p63808 -aS'Norman\tNorman\tNNP\tI-NP\tO' -p63809 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p63810 -aS'is\tbe\tVBZ\tB-VP\tO' -p63811 -aS'at\tat\tIN\tB-PP\tO' -p63812 -aS'40.7\t40.7\tCD\tB-NP\tO' -p63813 -aS'.\t.\t.\tO\tO' -p63814 -asS'The MRI scan on admission revealed an impending cord compression at the level of T10 .' -p63815 -(lp63816 -S'The\tThe\tDT\tB-NP\tO' -p63817 -aS'MRI\tMRI\tNN\tI-NP\tO' -p63818 -aS'scan\tscan\tNN\tI-NP\tO' -p63819 -aS'on\ton\tIN\tB-PP\tO' -p63820 -aS'admission\tadmission\tNN\tB-NP\tO' -p63821 -aS'revealed\treveal\tVBD\tB-VP\tO' -p63822 -aS'an\tan\tDT\tB-NP\tO' -p63823 -aS'impending\timpending\tJJ\tI-NP\tO' -p63824 -aS'cord\tcord\tNN\tI-NP\tO' -p63825 -aS'compression\tcompression\tNN\tI-NP\tO' -p63826 -aS'at\tat\tIN\tB-PP\tO' -p63827 -aS'the\tthe\tDT\tB-NP\tO' -p63828 -aS'level\tlevel\tNN\tI-NP\tO' -p63829 -aS'of\tof\tIN\tB-PP\tO' -p63830 -aS'T10\tT10\tNN\tB-NP\tB-protein' -p63831 -aS'.\t.\t.\tO\tO' -p63832 -asS'The patient 's preoperative examination is notable for normal breasts , normal heart and lungs .' -p63833 -(lp63834 -S'The\tThe\tDT\tB-NP\tO' -p63835 -aS'patient\tpatient\tNN\tI-NP\tO' -p63836 -aS''s\t'\tNNS\tI-NP\tO' -p63837 -aS'preoperative\tpreoperative\tJJ\tB-NP\tO' -p63838 -aS'examination\texamination\tNN\tI-NP\tO' -p63839 -aS'is\tbe\tVBZ\tB-VP\tO' -p63840 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p63841 -aS'for\tfor\tIN\tB-PP\tO' -p63842 -aS'normal\tnormal\tJJ\tB-NP\tO' -p63843 -aS'breasts\tbreast\tNNS\tI-NP\tO' -p63844 -aS',\t,\t,\tO\tO' -p63845 -aS'normal\tnormal\tJJ\tB-NP\tO' -p63846 -aS'heart\theart\tNN\tI-NP\tO' -p63847 -aS'and\tand\tCC\tI-NP\tO' -p63848 -aS'lungs\tlung\tNNS\tI-NP\tO' -p63849 -aS'.\t.\t.\tO\tO' -p63850 -asS'11. Hypercholesterolemia .' -p63851 -(lp63852 -S'11.\t11.\tLS\tB-NP\tO' -p63853 -aS'Hypercholesterolemia\tHypercholesterolemia\tNN\tI-NP\tO' -p63854 -aS'.\t.\t.\tO\tO' -p63855 -asS'Brothers with William cancer and a MI .' -p63856 -(lp63857 -S'Brothers\tBrother\tNNS\tB-NP\tO' -p63858 -aS'with\twith\tIN\tB-PP\tO' -p63859 -aS'William\tWilliam\tNN\tB-NP\tO' -p63860 -aS'cancer\tcancer\tNN\tI-NP\tO' -p63861 -aS'and\tand\tCC\tO\tO' -p63862 -aS'a\ta\tDT\tB-NP\tO' -p63863 -aS'MI\tMI\tNN\tI-NP\tB-protein' -p63864 -aS'.\t.\t.\tO\tO' -p63865 -asS'Cryptogenic cirrhosis .' -p63866 -(lp63867 -S'Cryptogenic\tCryptogenic\tJJ\tB-NP\tO' -p63868 -aS'cirrhosis\tcirrhosis\tNN\tI-NP\tO' -p63869 -aS'.\t.\t.\tO\tO' -p63870 -asS'Ears are normally set .' -p63871 -(lp63872 -S'Ears\tEar\tNNS\tB-NP\tO' -p63873 -aS'are\tbe\tVBP\tB-VP\tO' -p63874 -aS'normally\tnormally\tRB\tI-VP\tO' -p63875 -aS'set\tset\tVBN\tI-VP\tO' -p63876 -aS'.\t.\t.\tO\tO' -p63877 -asS'There was visualization of flow within both posterior cerebral arteries .' -p63878 -(lp63879 -S'There\tThere\tEX\tB-NP\tO' -p63880 -aS'was\tbe\tVBD\tB-VP\tO' -p63881 -aS'visualization\tvisualization\tNN\tB-NP\tO' -p63882 -aS'of\tof\tIN\tB-PP\tO' -p63883 -aS'flow\tflow\tNN\tB-NP\tO' -p63884 -aS'within\twithin\tIN\tB-PP\tO' -p63885 -aS'both\tboth\tCC\tO\tO' -p63886 -aS'posterior\tposterior\tJJ\tB-NP\tO' -p63887 -aS'cerebral\tcerebral\tJJ\tI-NP\tO' -p63888 -aS'arteries\tartery\tNNS\tI-NP\tO' -p63889 -aS'.\t.\t.\tO\tO' -p63890 -asS'The patient describes chest discomfort without any significant EKG changes .' -p63891 -(lp63892 -S'The\tThe\tDT\tB-NP\tO' -p63893 -aS'patient\tpatient\tNN\tI-NP\tO' -p63894 -aS'describes\tdescribe\tVBZ\tB-VP\tO' -p63895 -aS'chest\tchest\tNN\tB-NP\tO' -p63896 -aS'discomfort\tdiscomfort\tNN\tI-NP\tO' -p63897 -aS'without\twithout\tIN\tB-PP\tO' -p63898 -aS'any\tany\tDT\tB-NP\tO' -p63899 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p63900 -aS'EKG\tEKG\tNN\tI-NP\tO' -p63901 -aS'changes\tchange\tNNS\tI-NP\tO' -p63902 -aS'.\t.\t.\tO\tO' -p63903 -asS'Bactrim DS tabs , one tablet p.o. q. day for ten days .' -p63904 -(lp63905 -S'Bactrim\tBactrim\tJJ\tB-NP\tB-protein' -p63906 -aS'DS\tDS\tNN\tI-NP\tI-protein' -p63907 -aS'tabs\ttab\tNNS\tI-NP\tI-protein' -p63908 -aS',\t,\t,\tO\tO' -p63909 -aS'one\tone\tCD\tB-NP\tO' -p63910 -aS'tablet\ttablet\tNN\tI-NP\tO' -p63911 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p63912 -aS'q.\tq.\tNN\tI-NP\tO' -p63913 -aS'day\tday\tNN\tI-NP\tO' -p63914 -aS'for\tfor\tIN\tB-PP\tO' -p63915 -aS'ten\tten\tCD\tB-NP\tO' -p63916 -aS'days\tday\tNNS\tI-NP\tO' -p63917 -aS'.\t.\t.\tO\tO' -p63918 -asS'The patient was admitted to the Fairm of Ijordcompmac Hospital .' -p63919 -(lp63920 -S'The\tThe\tDT\tB-NP\tO' -p63921 -aS'patient\tpatient\tNN\tI-NP\tO' -p63922 -aS'was\tbe\tVBD\tB-VP\tO' -p63923 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p63924 -aS'to\tto\tTO\tB-PP\tO' -p63925 -aS'the\tthe\tDT\tB-NP\tO' -p63926 -aS'Fairm\tFairm\tNNP\tI-NP\tO' -p63927 -aS'of\tof\tIN\tB-PP\tO' -p63928 -aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' -p63929 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p63930 -aS'.\t.\t.\tO\tO' -p63931 -asS'He also had an akinetic anterolateral and apical ventricle .' -p63932 -(lp63933 -S'He\tHe\tPRP\tB-NP\tO' -p63934 -aS'also\talso\tRB\tB-ADVP\tO' -p63935 -aS'had\thave\tVBD\tB-VP\tO' -p63936 -aS'an\tan\tDT\tB-NP\tO' -p63937 -aS'akinetic\takinetic\tJJ\tI-NP\tO' -p63938 -aS'anterolateral\tanterolateral\tJJ\tI-NP\tO' -p63939 -aS'and\tand\tCC\tI-NP\tO' -p63940 -aS'apical\tapical\tJJ\tI-NP\tO' -p63941 -aS'ventricle\tventricle\tNN\tI-NP\tO' -p63942 -aS'.\t.\t.\tO\tO' -p63943 -asS'He was made partial weight-bearing for his right lower extremity .' -p63944 -(lp63945 -S'He\tHe\tPRP\tB-NP\tO' -p63946 -aS'was\tbe\tVBD\tB-VP\tO' -p63947 -aS'made\tmake\tVBN\tI-VP\tO' -p63948 -aS'partial\tpartial\tJJ\tB-NP\tO' -p63949 -aS'weight-bearing\tweight-bearing\tNN\tI-NP\tO' -p63950 -aS'for\tfor\tIN\tB-PP\tO' -p63951 -aS'his\this\tPRP$\tB-NP\tO' -p63952 -aS'right\tright\tJJ\tI-NP\tO' -p63953 -aS'lower\tlow\tJJR\tI-NP\tO' -p63954 -aS'extremity\textremity\tNN\tI-NP\tO' -p63955 -aS'.\t.\t.\tO\tO' -p63956 -asS'However , one day prior to admission the patient developed right lower extremity pain and could not walk secondary to the pain .' -p63957 -(lp63958 -S'However\tHowever\tRB\tB-ADVP\tO' -p63959 -aS',\t,\t,\tO\tO' -p63960 -aS'one\tone\tCD\tB-NP\tO' -p63961 -aS'day\tday\tNN\tI-NP\tO' -p63962 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p63963 -aS'to\tto\tTO\tB-VP\tO' -p63964 -aS'admission\tadmission\tNN\tI-VP\tO' -p63965 -aS'the\tthe\tDT\tB-NP\tO' -p63966 -aS'patient\tpatient\tNN\tI-NP\tO' -p63967 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p63968 -aS'right\tright\tRB\tB-NP\tO' -p63969 -aS'lower\tlow\tJJR\tI-NP\tO' -p63970 -aS'extremity\textremity\tNN\tI-NP\tO' -p63971 -aS'pain\tpain\tNN\tI-NP\tO' -p63972 -aS'and\tand\tCC\tO\tO' -p63973 -aS'could\tcould\tMD\tB-VP\tO' -p63974 -aS'not\tnot\tRB\tI-VP\tO' -p63975 -aS'walk\twalk\tVB\tI-VP\tO' -p63976 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p63977 -aS'to\tto\tTO\tB-PP\tO' -p63978 -aS'the\tthe\tDT\tB-NP\tO' -p63979 -aS'pain\tpain\tNN\tI-NP\tO' -p63980 -aS'.\t.\t.\tO\tO' -p63981 -asS'However , she has no vomiting and only mild nausea with medications .' -p63982 -(lp63983 -S'However\tHowever\tRB\tB-ADVP\tO' -p63984 -aS',\t,\t,\tO\tO' -p63985 -aS'she\tshe\tPRP\tB-NP\tO' -p63986 -aS'has\thave\tVBZ\tB-VP\tO' -p63987 -aS'no\tno\tDT\tB-NP\tO' -p63988 -aS'vomiting\tvomiting\tNN\tI-NP\tO' -p63989 -aS'and\tand\tCC\tO\tO' -p63990 -aS'only\tonly\tRB\tB-NP\tO' -p63991 -aS'mild\tmild\tJJ\tI-NP\tO' -p63992 -aS'nausea\tnausea\tNN\tI-NP\tO' -p63993 -aS'with\twith\tIN\tB-PP\tO' -p63994 -aS'medications\tmedication\tNNS\tB-NP\tO' -p63995 -aS'.\t.\t.\tO\tO' -p63996 -asS'The generalized and background features indicate a wide-spread encephalopathy .' -p63997 -(lp63998 -S'The\tThe\tDT\tB-NP\tO' -p63999 -aS'generalized\tgeneralize\tVBN\tI-NP\tO' -p64000 -aS'and\tand\tCC\tI-NP\tO' -p64001 -aS'background\tbackground\tNN\tI-NP\tO' -p64002 -aS'features\tfeature\tNNS\tI-NP\tO' -p64003 -aS'indicate\tindicate\tVBP\tB-VP\tO' -p64004 -aS'a\ta\tDT\tB-NP\tO' -p64005 -aS'wide-spread\twide-spread\tJJ\tI-NP\tO' -p64006 -aS'encephalopathy\tencephalopathy\tNN\tI-NP\tO' -p64007 -aS'.\t.\t.\tO\tO' -p64008 -asS'Gastroenterology was consulted for this .' -p64009 -(lp64010 -S'Gastroenterology\tGastroenterology\tNN\tB-NP\tO' -p64011 -aS'was\tbe\tVBD\tB-VP\tO' -p64012 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p64013 -aS'for\tfor\tIN\tB-PP\tO' -p64014 -aS'this\tthis\tDT\tB-NP\tO' -p64015 -aS'.\t.\t.\tO\tO' -p64016 -asS'15. Regular insulin sliding scale with finger sticks qac and qhs .' -p64017 -(lp64018 -S'15.\t15.\tLS\tB-NP\tO' -p64019 -aS'Regular\tRegular\tJJ\tI-NP\tB-protein' -p64020 -aS'insulin\tinsulin\tNN\tI-NP\tI-protein' -p64021 -aS'sliding\tslide\tVBG\tB-VP\tO' -p64022 -aS'scale\tscale\tNN\tB-NP\tO' -p64023 -aS'with\twith\tIN\tB-PP\tO' -p64024 -aS'finger\tfinger\tNN\tB-NP\tO' -p64025 -aS'sticks\tstick\tNNS\tI-NP\tO' -p64026 -aS'qac\tqac\tNN\tI-NP\tO' -p64027 -aS'and\tand\tCC\tI-NP\tO' -p64028 -aS'qhs\tqh\tNNS\tI-NP\tO' -p64029 -aS'.\t.\t.\tO\tO' -p64030 -asS'Since chemo pt has intermittent nausea adequately controlled by zofran and compazine .' -p64031 -(lp64032 -S'Since\tSince\tIN\tB-SBAR\tO' -p64033 -aS'chemo\tchemo\tNN\tB-NP\tO' -p64034 -aS'pt\tpt\tNN\tI-NP\tO' -p64035 -aS'has\thave\tVBZ\tB-VP\tO' -p64036 -aS'intermittent\tintermittent\tJJ\tB-NP\tO' -p64037 -aS'nausea\tnausea\tNN\tI-NP\tO' -p64038 -aS'adequately\tadequately\tRB\tB-VP\tO' -p64039 -aS'controlled\tcontrol\tVBN\tI-VP\tO' -p64040 -aS'by\tby\tIN\tB-PP\tO' -p64041 -aS'zofran\tzofran\tNN\tB-NP\tO' -p64042 -aS'and\tand\tCC\tI-NP\tO' -p64043 -aS'compazine\tcompazine\tNN\tI-NP\tO' -p64044 -aS'.\t.\t.\tO\tO' -p64045 -asS'She had wounds which were clean , dry and intact and the patient was stable from a respiratory standpoint using her respirator at night .' -p64046 -(lp64047 -S'She\tShe\tPRP\tB-NP\tO' -p64048 -aS'had\thave\tVBD\tB-VP\tO' -p64049 -aS'wounds\twound\tNNS\tB-NP\tO' -p64050 -aS'which\twhich\tWDT\tB-NP\tO' -p64051 -aS'were\tbe\tVBD\tB-VP\tO' -p64052 -aS'clean\tclean\tJJ\tB-ADJP\tO' -p64053 -aS',\t,\t,\tO\tO' -p64054 -aS'dry\tdry\tJJ\tB-ADJP\tO' -p64055 -aS'and\tand\tCC\tI-ADJP\tO' -p64056 -aS'intact\tintact\tJJ\tI-ADJP\tO' -p64057 -aS'and\tand\tCC\tO\tO' -p64058 -aS'the\tthe\tDT\tB-NP\tO' -p64059 -aS'patient\tpatient\tNN\tI-NP\tO' -p64060 -aS'was\tbe\tVBD\tB-VP\tO' -p64061 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p64062 -aS'from\tfrom\tIN\tB-PP\tO' -p64063 -aS'a\ta\tDT\tB-NP\tO' -p64064 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p64065 -aS'standpoint\tstandpoint\tNN\tI-NP\tO' -p64066 -aS'using\tuse\tVBG\tB-VP\tO' -p64067 -aS'her\ther\tPRP$\tB-NP\tO' -p64068 -aS'respirator\trespirator\tNN\tI-NP\tO' -p64069 -aS'at\tat\tIN\tB-PP\tO' -p64070 -aS'night\tnight\tNN\tB-NP\tO' -p64071 -aS'.\t.\t.\tO\tO' -p64072 -asS'He was subsequently switched to Imipenem and Tobramycin and was maintained on those medications throughout the hospital course .' -p64073 -(lp64074 -S'He\tHe\tPRP\tB-NP\tO' -p64075 -aS'was\tbe\tVBD\tB-VP\tO' -p64076 -aS'subsequently\tsubsequently\tRB\tI-VP\tO' -p64077 -aS'switched\tswitch\tVBN\tI-VP\tO' -p64078 -aS'to\tto\tTO\tB-PP\tO' -p64079 -aS'Imipenem\tImipenem\tNN\tB-NP\tO' -p64080 -aS'and\tand\tCC\tI-NP\tO' -p64081 -aS'Tobramycin\tTobramycin\tNN\tI-NP\tO' -p64082 -aS'and\tand\tCC\tO\tO' -p64083 -aS'was\tbe\tVBD\tB-VP\tO' -p64084 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p64085 -aS'on\ton\tIN\tB-PP\tO' -p64086 -aS'those\tthose\tDT\tB-NP\tO' -p64087 -aS'medications\tmedication\tNNS\tI-NP\tO' -p64088 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p64089 -aS'the\tthe\tDT\tB-NP\tO' -p64090 -aS'hospital\thospital\tNN\tI-NP\tO' -p64091 -aS'course\tcourse\tNN\tI-NP\tO' -p64092 -aS'.\t.\t.\tO\tO' -p64093 -asS'He lives with his two brothers and is on disability .' -p64094 -(lp64095 -S'He\tHe\tPRP\tB-NP\tO' -p64096 -aS'lives\tlive\tVBZ\tB-VP\tO' -p64097 -aS'with\twith\tIN\tB-PP\tO' -p64098 -aS'his\this\tPRP$\tB-NP\tO' -p64099 -aS'two\ttwo\tCD\tI-NP\tO' -p64100 -aS'brothers\tbrother\tNNS\tI-NP\tO' -p64101 -aS'and\tand\tCC\tO\tO' -p64102 -aS'is\tbe\tVBZ\tB-VP\tO' -p64103 -aS'on\ton\tIN\tB-PP\tO' -p64104 -aS'disability\tdisability\tNN\tB-NP\tO' -p64105 -aS'.\t.\t.\tO\tO' -p64106 -asS'Patient is a 58 year old male with a recent admission for abdominal pain s/p negative exploratory laparotomy for suspected intussuception now returns on day of discharge with fever and tachycardia .' -p64107 -(lp64108 -S'Patient\tPatient\tNN\tB-NP\tO' -p64109 -aS'is\tbe\tVBZ\tB-VP\tO' -p64110 -aS'a\ta\tDT\tB-NP\tO' -p64111 -aS'58\t58\tCD\tI-NP\tO' -p64112 -aS'year\tyear\tNN\tI-NP\tO' -p64113 -aS'old\told\tJJ\tI-NP\tO' -p64114 -aS'male\tmale\tNN\tI-NP\tO' -p64115 -aS'with\twith\tIN\tB-PP\tO' -p64116 -aS'a\ta\tDT\tB-NP\tO' -p64117 -aS'recent\trecent\tJJ\tI-NP\tO' -p64118 -aS'admission\tadmission\tNN\tI-NP\tO' -p64119 -aS'for\tfor\tIN\tB-PP\tO' -p64120 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p64121 -aS'pain\tpain\tNN\tI-NP\tO' -p64122 -aS's/p\ts/p\tNN\tI-NP\tO' -p64123 -aS'negative\tnegative\tJJ\tI-NP\tO' -p64124 -aS'exploratory\texploratory\tJJ\tI-NP\tO' -p64125 -aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' -p64126 -aS'for\tfor\tIN\tB-PP\tO' -p64127 -aS'suspected\tsuspect\tVBN\tB-NP\tO' -p64128 -aS'intussuception\tintussuception\tNN\tI-NP\tO' -p64129 -aS'now\tnow\tRB\tB-ADVP\tO' -p64130 -aS'returns\treturn\tVBZ\tB-VP\tO' -p64131 -aS'on\ton\tIN\tB-PP\tO' -p64132 -aS'day\tday\tNN\tB-NP\tO' -p64133 -aS'of\tof\tIN\tB-PP\tO' -p64134 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p64135 -aS'with\twith\tIN\tB-PP\tO' -p64136 -aS'fever\tfever\tNN\tB-NP\tO' -p64137 -aS'and\tand\tCC\tI-NP\tO' -p64138 -aS'tachycardia\ttachycardia\tNN\tI-NP\tO' -p64139 -aS'.\t.\t.\tO\tO' -p64140 -asS'The mitral valve appears structurally normal with trivial mitral regurgitation .' -p64141 -(lp64142 -S'The\tThe\tDT\tB-NP\tO' -p64143 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p64144 -aS'valve\tvalve\tNN\tI-NP\tO' -p64145 -aS'appears\tappear\tVBZ\tB-VP\tO' -p64146 -aS'structurally\tstructurally\tRB\tB-ADJP\tO' -p64147 -aS'normal\tnormal\tJJ\tI-ADJP\tO' -p64148 -aS'with\twith\tIN\tB-PP\tO' -p64149 -aS'trivial\ttrivial\tJJ\tB-NP\tO' -p64150 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p64151 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p64152 -aS'.\t.\t.\tO\tO' -p64153 -asS'Vasotec 20 mg PO b.i.d. , Clonidine 0.2 mg PO b.i.d. , Nifedipine 20 mg PO t.i.d. , Flexeril 10 mg PO t.i.d. , Valium 5 mg PO t.i.d. , Micronase 1.25 mg q.day .' -p64154 -(lp64155 -S'Vasotec\tVasotec\tRB\tB-NP\tO' -p64156 -aS'20\t20\tCD\tI-NP\tO' -p64157 -aS'mg\tmg\tNN\tI-NP\tO' -p64158 -aS'PO\tPO\tNN\tI-NP\tO' -p64159 -aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' -p64160 -aS',\t,\t,\tO\tO' -p64161 -aS'Clonidine\tClonidine\tNN\tB-NP\tO' -p64162 -aS'0.2\t0.2\tCD\tI-NP\tO' -p64163 -aS'mg\tmg\tNN\tI-NP\tO' -p64164 -aS'PO\tPO\tNN\tI-NP\tO' -p64165 -aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' -p64166 -aS',\t,\t,\tO\tO' -p64167 -aS'Nifedipine\tNifedipine\tNN\tB-NP\tO' -p64168 -aS'20\t20\tCD\tI-NP\tO' -p64169 -aS'mg\tmg\tNN\tI-NP\tO' -p64170 -aS'PO\tPO\tNN\tI-NP\tO' -p64171 -aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' -p64172 -aS',\t,\t,\tO\tO' -p64173 -aS'Flexeril\tFlexeril\tNNP\tB-NP\tO' -p64174 -aS'10\t10\tCD\tI-NP\tO' -p64175 -aS'mg\tmg\tNN\tI-NP\tO' -p64176 -aS'PO\tPO\tNN\tI-NP\tO' -p64177 -aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' -p64178 -aS',\t,\t,\tO\tO' -p64179 -aS'Valium\tValium\tNNP\tB-NP\tO' -p64180 -aS'5\t5\tCD\tI-NP\tO' -p64181 -aS'mg\tmg\tNN\tI-NP\tO' -p64182 -aS'PO\tPO\tNN\tI-NP\tO' -p64183 -aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' -p64184 -aS',\t,\t,\tO\tO' -p64185 -aS'Micronase\tMicronase\tNNP\tB-NP\tO' -p64186 -aS'1.25\t1.25\tCD\tI-NP\tO' -p64187 -aS'mg\tmg\tNN\tI-NP\tO' -p64188 -aS'q.day\tq.day\tNN\tI-NP\tO' -p64189 -aS'.\t.\t.\tO\tO' -p64190 -asS'The patient was started on Meclizine on December 31 , 2000 for her nausea and vertigo .' -p64191 -(lp64192 -S'The\tThe\tDT\tB-NP\tO' -p64193 -aS'patient\tpatient\tNN\tI-NP\tO' -p64194 -aS'was\tbe\tVBD\tB-VP\tO' -p64195 -aS'started\tstart\tVBN\tI-VP\tO' -p64196 -aS'on\ton\tIN\tB-PP\tO' -p64197 -aS'Meclizine\tMeclizine\tNN\tB-NP\tO' -p64198 -aS'on\ton\tIN\tB-PP\tO' -p64199 -aS'December\tDecember\tNNP\tB-NP\tO' -p64200 -aS'31\t31\tCD\tI-NP\tO' -p64201 -aS',\t,\t,\tI-NP\tO' -p64202 -aS'2000\t2000\tCD\tI-NP\tO' -p64203 -aS'for\tfor\tIN\tB-PP\tO' -p64204 -aS'her\ther\tPRP$\tB-NP\tO' -p64205 -aS'nausea\tnausea\tNN\tI-NP\tO' -p64206 -aS'and\tand\tCC\tI-NP\tO' -p64207 -aS'vertigo\tvertigo\tNN\tI-NP\tO' -p64208 -aS'.\t.\t.\tO\tO' -p64209 -asS'Cardiology was consulted at that time to evaluate his heart .' -p64210 -(lp64211 -S'Cardiology\tCardiology\tNN\tB-NP\tO' -p64212 -aS'was\tbe\tVBD\tB-VP\tO' -p64213 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p64214 -aS'at\tat\tIN\tB-PP\tO' -p64215 -aS'that\tthat\tDT\tB-NP\tO' -p64216 -aS'time\ttime\tNN\tI-NP\tO' -p64217 -aS'to\tto\tTO\tB-VP\tO' -p64218 -aS'evaluate\tevaluate\tVB\tI-VP\tO' -p64219 -aS'his\this\tPRP$\tB-NP\tO' -p64220 -aS'heart\theart\tNN\tI-NP\tO' -p64221 -aS'.\t.\t.\tO\tO' -p64222 -asS'He received DVT prophylaxis with SC Heparin .' -p64223 -(lp64224 -S'He\tHe\tPRP\tB-NP\tO' -p64225 -aS'received\treceive\tVBD\tB-VP\tO' -p64226 -aS'DVT\tDVT\tNN\tB-NP\tO' -p64227 -aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' -p64228 -aS'with\twith\tIN\tB-PP\tO' -p64229 -aS'SC\tSC\tNN\tB-NP\tB-protein' -p64230 -aS'Heparin\tHeparin\tNN\tI-NP\tI-protein' -p64231 -aS'.\t.\t.\tO\tO' -p64232 -asS'Initial CBC had a white count of 16 , platelet count of 204 , 53 polys and 0 bands .' -p64233 -(lp64234 -S'Initial\tInitial\tJJ\tB-NP\tO' -p64235 -aS'CBC\tCBC\tNN\tI-NP\tO' -p64236 -aS'had\thave\tVBD\tB-VP\tO' -p64237 -aS'a\ta\tDT\tB-NP\tO' -p64238 -aS'white\twhite\tJJ\tI-NP\tO' -p64239 -aS'count\tcount\tNN\tI-NP\tO' -p64240 -aS'of\tof\tIN\tB-PP\tO' -p64241 -aS'16\t16\tCD\tB-NP\tO' -p64242 -aS',\t,\t,\tO\tO' -p64243 -aS'platelet\tplatelet\tNN\tB-NP\tO' -p64244 -aS'count\tcount\tNN\tI-NP\tO' -p64245 -aS'of\tof\tIN\tB-PP\tO' -p64246 -aS'204\t204\tCD\tB-NP\tO' -p64247 -aS',\t,\t,\tO\tO' -p64248 -aS'53\t53\tCD\tB-NP\tO' -p64249 -aS'polys\tpoly\tNNS\tI-NP\tO' -p64250 -aS'and\tand\tCC\tO\tO' -p64251 -aS'0\t0\tCD\tB-NP\tO' -p64252 -aS'bands\tband\tNNS\tI-NP\tO' -p64253 -aS'.\t.\t.\tO\tO' -p64254 -asS'She denies alcohol use .' -p64255 -(lp64256 -S'She\tShe\tPRP\tB-NP\tO' -p64257 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p64258 -aS'alcohol\talcohol\tNN\tB-NP\tO' -p64259 -aS'use\tuse\tNN\tI-NP\tO' -p64260 -aS'.\t.\t.\tO\tO' -p64261 -asS'CSF was notable for sugar level of 65 and total protein level of 56 .' -p64262 -(lp64263 -S'CSF\tCSF\tNN\tB-NP\tB-protein' -p64264 -aS'was\tbe\tVBD\tB-VP\tO' -p64265 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p64266 -aS'for\tfor\tIN\tB-PP\tO' -p64267 -aS'sugar\tsugar\tNN\tB-NP\tO' -p64268 -aS'level\tlevel\tNN\tI-NP\tO' -p64269 -aS'of\tof\tIN\tB-PP\tO' -p64270 -aS'65\t65\tCD\tB-NP\tO' -p64271 -aS'and\tand\tCC\tO\tO' -p64272 -aS'total\ttotal\tJJ\tB-NP\tO' -p64273 -aS'protein\tprotein\tNN\tI-NP\tO' -p64274 -aS'level\tlevel\tNN\tI-NP\tO' -p64275 -aS'of\tof\tIN\tB-PP\tO' -p64276 -aS'56\t56\tCD\tB-NP\tO' -p64277 -aS'.\t.\t.\tO\tO' -p64278 -asS'Neurologically , the patient is alert and oriented times three , anxious .' -p64279 -(lp64280 -S'Neurologically\tNeurologically\tRB\tB-ADVP\tO' -p64281 -aS',\t,\t,\tO\tO' -p64282 -aS'the\tthe\tDT\tB-NP\tO' -p64283 -aS'patient\tpatient\tNN\tI-NP\tO' -p64284 -aS'is\tbe\tVBZ\tB-VP\tO' -p64285 -aS'alert\talert\tJJ\tB-ADJP\tO' -p64286 -aS'and\tand\tCC\tO\tO' -p64287 -aS'oriented\torient\tVBN\tB-VP\tO' -p64288 -aS'times\ttime\tNNS\tB-NP\tO' -p64289 -aS'three\tthree\tCD\tB-NP\tO' -p64290 -aS',\t,\t,\tO\tO' -p64291 -aS'anxious\tanxious\tJJ\tB-ADJP\tO' -p64292 -aS'.\t.\t.\tO\tO' -p64293 -asS'No elevated JVP appreciated .' -p64294 -(lp64295 -S'No\tNo\tDT\tB-NP\tO' -p64296 -aS'elevated\televated\tJJ\tI-NP\tO' -p64297 -aS'JVP\tJVP\tNN\tI-NP\tO' -p64298 -aS'appreciated\tappreciate\tVBN\tB-VP\tO' -p64299 -aS'.\t.\t.\tO\tO' -p64300 -asS'Per daughter , pt did not note chest pain , tachycardia , had a good PO intake and no noted seizure activity .' -p64301 -(lp64302 -S'Per\tPer\tNNP\tB-NP\tO' -p64303 -aS'daughter\tdaughter\tNN\tI-NP\tO' -p64304 -aS',\t,\t,\tO\tO' -p64305 -aS'pt\tpt\tNN\tB-NP\tO' -p64306 -aS'did\tdo\tVBD\tB-VP\tO' -p64307 -aS'not\tnot\tRB\tI-VP\tO' -p64308 -aS'note\tnote\tVB\tI-VP\tO' -p64309 -aS'chest\tchest\tNN\tB-NP\tO' -p64310 -aS'pain\tpain\tNN\tI-NP\tO' -p64311 -aS',\t,\t,\tO\tO' -p64312 -aS'tachycardia\ttachycardia\tNN\tB-NP\tO' -p64313 -aS',\t,\t,\tO\tO' -p64314 -aS'had\thave\tVBD\tB-VP\tO' -p64315 -aS'a\ta\tDT\tB-NP\tO' -p64316 -aS'good\tgood\tJJ\tI-NP\tO' -p64317 -aS'PO\tPO\tNN\tI-NP\tO' -p64318 -aS'intake\tintake\tNN\tI-NP\tO' -p64319 -aS'and\tand\tCC\tO\tO' -p64320 -aS'no\tno\tDT\tB-NP\tO' -p64321 -aS'noted\tnote\tVBN\tI-NP\tO' -p64322 -aS'seizure\tseizure\tNN\tI-NP\tO' -p64323 -aS'activity\tactivity\tNN\tI-NP\tO' -p64324 -aS'.\t.\t.\tO\tO' -p64325 -asS'He was breathing 12 per minute and saturating 98% .' -p64326 -(lp64327 -S'He\tHe\tPRP\tB-NP\tO' -p64328 -aS'was\tbe\tVBD\tB-VP\tO' -p64329 -aS'breathing\tbreathe\tVBG\tI-VP\tO' -p64330 -aS'12\t12\tCD\tB-NP\tO' -p64331 -aS'per\tper\tIN\tB-PP\tO' -p64332 -aS'minute\tminute\tNN\tB-NP\tO' -p64333 -aS'and\tand\tCC\tO\tO' -p64334 -aS'saturating\tsaturate\tVBG\tB-VP\tO' -p64335 -aS'98%\t98%\tCD\tB-NP\tO' -p64336 -aS'.\t.\t.\tO\tO' -p64337 -asS'This was minimized with limitation of volume at each feed with frequent feeding .' -p64338 -(lp64339 -S'This\tThis\tDT\tB-NP\tO' -p64340 -aS'was\tbe\tVBD\tB-VP\tO' -p64341 -aS'minimized\tminimize\tVBN\tI-VP\tO' -p64342 -aS'with\twith\tIN\tB-PP\tO' -p64343 -aS'limitation\tlimitation\tNN\tB-NP\tO' -p64344 -aS'of\tof\tIN\tB-PP\tO' -p64345 -aS'volume\tvolume\tNN\tB-NP\tO' -p64346 -aS'at\tat\tIN\tB-PP\tO' -p64347 -aS'each\teach\tDT\tB-NP\tO' -p64348 -aS'feed\tfeed\tNN\tI-NP\tO' -p64349 -aS'with\twith\tIN\tB-PP\tO' -p64350 -aS'frequent\tfrequent\tJJ\tB-NP\tO' -p64351 -aS'feeding\tfeeding\tNN\tI-NP\tO' -p64352 -aS'.\t.\t.\tO\tO' -p64353 -asS'The patient was in his usual state of health until two months prior to admission when he began to notice shortness of breath on climbing flights of stairs .' -p64354 -(lp64355 -S'The\tThe\tDT\tB-NP\tO' -p64356 -aS'patient\tpatient\tNN\tI-NP\tO' -p64357 -aS'was\tbe\tVBD\tB-VP\tO' -p64358 -aS'in\tin\tIN\tB-PP\tO' -p64359 -aS'his\this\tPRP$\tB-NP\tO' -p64360 -aS'usual\tusual\tJJ\tI-NP\tO' -p64361 -aS'state\tstate\tNN\tI-NP\tO' -p64362 -aS'of\tof\tIN\tB-PP\tO' -p64363 -aS'health\thealth\tNN\tB-NP\tO' -p64364 -aS'until\tuntil\tIN\tB-PP\tO' -p64365 -aS'two\ttwo\tCD\tB-NP\tO' -p64366 -aS'months\tmonth\tNNS\tI-NP\tO' -p64367 -aS'prior\tprior\tRB\tB-ADVP\tO' -p64368 -aS'to\tto\tTO\tB-PP\tO' -p64369 -aS'admission\tadmission\tNN\tB-NP\tO' -p64370 -aS'when\twhen\tWRB\tB-ADVP\tO' -p64371 -aS'he\the\tPRP\tB-NP\tO' -p64372 -aS'began\tbegin\tVBD\tB-VP\tO' -p64373 -aS'to\tto\tTO\tI-VP\tO' -p64374 -aS'notice\tnotice\tVB\tI-VP\tO' -p64375 -aS'shortness\tshortness\tNN\tB-NP\tO' -p64376 -aS'of\tof\tIN\tB-PP\tO' -p64377 -aS'breath\tbreath\tNN\tB-NP\tO' -p64378 -aS'on\ton\tIN\tB-PP\tO' -p64379 -aS'climbing\tclimb\tVBG\tB-VP\tO' -p64380 -aS'flights\tflight\tNNS\tB-NP\tO' -p64381 -aS'of\tof\tIN\tB-PP\tO' -p64382 -aS'stairs\tstair\tNNS\tB-NP\tO' -p64383 -aS'.\t.\t.\tO\tO' -p64384 -asS'Continuous venovenous hemodialysis was started on July 5 , and continued for most of the remainder of the patient 's course .' -p64385 -(lp64386 -S'Continuous\tContinuous\tJJ\tB-NP\tO' -p64387 -aS'venovenous\tvenovenous\tJJ\tI-NP\tO' -p64388 -aS'hemodialysis\themodialysis\tNN\tI-NP\tO' -p64389 -aS'was\tbe\tVBD\tB-VP\tO' -p64390 -aS'started\tstart\tVBN\tI-VP\tO' -p64391 -aS'on\ton\tIN\tB-PP\tO' -p64392 -aS'July\tJuly\tNNP\tB-NP\tO' -p64393 -aS'5\t5\tCD\tI-NP\tO' -p64394 -aS',\t,\t,\tO\tO' -p64395 -aS'and\tand\tCC\tO\tO' -p64396 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p64397 -aS'for\tfor\tIN\tB-PP\tO' -p64398 -aS'most\tmost\tJJS\tB-NP\tO' -p64399 -aS'of\tof\tIN\tB-PP\tO' -p64400 -aS'the\tthe\tDT\tB-NP\tO' -p64401 -aS'remainder\tremainder\tNN\tI-NP\tO' -p64402 -aS'of\tof\tIN\tB-PP\tO' -p64403 -aS'the\tthe\tDT\tB-NP\tO' -p64404 -aS'patient\tpatient\tNN\tI-NP\tO' -p64405 -aS''s\t'\tNNS\tI-NP\tO' -p64406 -aS'course\tcourse\tNN\tI-NP\tO' -p64407 -aS'.\t.\t.\tO\tO' -p64408 -asS'The patient was continued on antibiotics and we obtained a CT scan to check for an enterocutaneous fistula .' -p64409 -(lp64410 -S'The\tThe\tDT\tB-NP\tO' -p64411 -aS'patient\tpatient\tNN\tI-NP\tO' -p64412 -aS'was\tbe\tVBD\tB-VP\tO' -p64413 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p64414 -aS'on\ton\tIN\tB-PP\tO' -p64415 -aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' -p64416 -aS'and\tand\tCC\tO\tO' -p64417 -aS'we\twe\tPRP\tB-NP\tO' -p64418 -aS'obtained\tobtain\tVBD\tB-VP\tO' -p64419 -aS'a\ta\tDT\tB-NP\tO' -p64420 -aS'CT\tCT\tNN\tI-NP\tO' -p64421 -aS'scan\tscan\tNN\tI-NP\tO' -p64422 -aS'to\tto\tTO\tB-VP\tO' -p64423 -aS'check\tcheck\tVB\tI-VP\tO' -p64424 -aS'for\tfor\tIN\tB-PP\tO' -p64425 -aS'an\tan\tDT\tB-NP\tO' -p64426 -aS'enterocutaneous\tenterocutaneous\tJJ\tI-NP\tO' -p64427 -aS'fistula\tfistula\tNN\tI-NP\tO' -p64428 -aS'.\t.\t.\tO\tO' -p64429 -asS'Subsequent discontinuance of azithromycin , trial of 5-FC , with increasing neutropenia requiring discontinuance , change if itraconazole to voriconazole , given continued neutropenia , and trial of sulfadiazine , discontinued for increasing ARS .' -p64430 -(lp64431 -S'Subsequent\tSubsequent\tJJ\tB-NP\tO' -p64432 -aS'discontinuance\tdiscontinuance\tNN\tI-NP\tO' -p64433 -aS'of\tof\tIN\tB-PP\tO' -p64434 -aS'azithromycin\tazithromycin\tNN\tB-NP\tO' -p64435 -aS',\t,\t,\tO\tO' -p64436 -aS'trial\ttrial\tNN\tB-NP\tO' -p64437 -aS'of\tof\tIN\tB-PP\tO' -p64438 -aS'5-FC\t5-FC\tNN\tB-NP\tO' -p64439 -aS',\t,\t,\tO\tO' -p64440 -aS'with\twith\tIN\tB-PP\tO' -p64441 -aS'increasing\tincrease\tVBG\tB-NP\tO' -p64442 -aS'neutropenia\tneutropenia\tNN\tI-NP\tO' -p64443 -aS'requiring\trequire\tVBG\tI-NP\tO' -p64444 -aS'discontinuance\tdiscontinuance\tNN\tI-NP\tO' -p64445 -aS',\t,\t,\tO\tO' -p64446 -aS'change\tchange\tNN\tB-NP\tO' -p64447 -aS'if\tif\tIN\tB-SBAR\tO' -p64448 -aS'itraconazole\titraconazole\tNN\tB-NP\tO' -p64449 -aS'to\tto\tTO\tB-PP\tO' -p64450 -aS'voriconazole\tvoriconazole\tNN\tB-NP\tO' -p64451 -aS',\t,\t,\tO\tO' -p64452 -aS'given\tgive\tVBN\tB-PP\tO' -p64453 -aS'continued\tcontinue\tVBN\tB-NP\tO' -p64454 -aS'neutropenia\tneutropenia\tNN\tI-NP\tO' -p64455 -aS',\t,\t,\tO\tO' -p64456 -aS'and\tand\tCC\tO\tO' -p64457 -aS'trial\ttrial\tNN\tB-NP\tO' -p64458 -aS'of\tof\tIN\tB-PP\tO' -p64459 -aS'sulfadiazine\tsulfadiazine\tNN\tB-NP\tO' -p64460 -aS',\t,\t,\tO\tO' -p64461 -aS'discontinued\tdiscontinue\tVBN\tB-VP\tO' -p64462 -aS'for\tfor\tIN\tB-PP\tO' -p64463 -aS'increasing\tincrease\tVBG\tB-VP\tO' -p64464 -aS'ARS\tARS\tNN\tB-NP\tB-protein' -p64465 -aS'.\t.\t.\tO\tO' -p64466 -asS'The patient quickly responded to a fluid bolus and became interactive .' -p64467 -(lp64468 -S'The\tThe\tDT\tB-NP\tO' -p64469 -aS'patient\tpatient\tNN\tI-NP\tO' -p64470 -aS'quickly\tquickly\tRB\tB-ADVP\tO' -p64471 -aS'responded\trespond\tVBD\tB-VP\tO' -p64472 -aS'to\tto\tTO\tB-PP\tO' -p64473 -aS'a\ta\tDT\tB-NP\tO' -p64474 -aS'fluid\tfluid\tNN\tI-NP\tO' -p64475 -aS'bolus\tbolus\tNN\tI-NP\tO' -p64476 -aS'and\tand\tCC\tO\tO' -p64477 -aS'became\tbecome\tVBD\tB-VP\tO' -p64478 -aS'interactive\tinteractive\tJJ\tB-ADJP\tO' -p64479 -aS'.\t.\t.\tO\tO' -p64480 -asS'He was awake , alert , uncomfortable secondary to incisional tenderness at neck site as well as right iliac graft site .' -p64481 -(lp64482 -S'He\tHe\tPRP\tB-NP\tO' -p64483 -aS'was\tbe\tVBD\tB-VP\tO' -p64484 -aS'awake\tawake\tJJ\tB-NP\tO' -p64485 -aS',\t,\t,\tI-NP\tO' -p64486 -aS'alert\talert\tJJ\tI-NP\tO' -p64487 -aS',\t,\t,\tI-NP\tO' -p64488 -aS'uncomfortable\tuncomfortable\tJJ\tI-NP\tO' -p64489 -aS'secondary\tsecondary\tJJ\tI-NP\tO' -p64490 -aS'to\tto\tTO\tB-PP\tO' -p64491 -aS'incisional\tincisional\tJJ\tB-NP\tO' -p64492 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p64493 -aS'at\tat\tIN\tB-PP\tO' -p64494 -aS'neck\tneck\tNN\tB-NP\tO' -p64495 -aS'site\tsite\tNN\tI-NP\tO' -p64496 -aS'as\tas\tRB\tB-CONJP\tO' -p64497 -aS'well\twell\tRB\tI-CONJP\tO' -p64498 -aS'as\tas\tIN\tI-CONJP\tO' -p64499 -aS'right\tright\tJJ\tB-NP\tB-DNA' -p64500 -aS'iliac\tiliac\tJJ\tI-NP\tI-DNA' -p64501 -aS'graft\tgraft\tNN\tI-NP\tI-DNA' -p64502 -aS'site\tsite\tNN\tI-NP\tI-DNA' -p64503 -aS'.\t.\t.\tO\tO' -p64504 -asS'28. Lorazepam 1 mg Tablet Sig : 0.5 Tablet PO Q6H ( every 6 hours ) as needed .' -p64505 -(lp64506 -S'28.\t28.\tCD\tB-NP\tO' -p64507 -aS'Lorazepam\tLorazepam\tNNP\tI-NP\tO' -p64508 -aS'1\t1\tCD\tI-NP\tO' -p64509 -aS'mg\tmg\tNN\tI-NP\tO' -p64510 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p64511 -aS'Sig\tSig\tNNP\tI-NP\tO' -p64512 -aS':\t:\t:\tO\tO' -p64513 -aS'0.5\t0.5\tCD\tB-NP\tO' -p64514 -aS'Tablet\tTablet\tNN\tI-NP\tO' -p64515 -aS'PO\tPO\tNN\tI-NP\tO' -p64516 -aS'Q6H\tQ6H\tNN\tI-NP\tO' -p64517 -aS'(\t(\t(\tO\tO' -p64518 -aS'every\tevery\tDT\tB-NP\tO' -p64519 -aS'6\t6\tCD\tI-NP\tO' -p64520 -aS'hours\thour\tNNS\tI-NP\tO' -p64521 -aS')\t)\t)\tO\tO' -p64522 -aS'as\tas\tIN\tB-SBAR\tO' -p64523 -aS'needed\tneed\tVBN\tB-VP\tO' -p64524 -aS'.\t.\t.\tO\tO' -p64525 -asS'8. Captopril 50 mg Tablet Sig : One ( 1 ) Tablet PO twice a day .' -p64526 -(lp64527 -S'8.\t8.\tCD\tB-NP\tO' -p64528 -aS'Captopril\tCaptopril\tNNP\tI-NP\tO' -p64529 -aS'50\t50\tCD\tI-NP\tO' -p64530 -aS'mg\tmg\tNN\tI-NP\tO' -p64531 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p64532 -aS'Sig\tSig\tNNP\tI-NP\tO' -p64533 -aS':\t:\t:\tO\tO' -p64534 -aS'One\tOne\tCD\tB-NP\tO' -p64535 -aS'(\t(\t(\tO\tO' -p64536 -aS'1\t1\tCD\tB-NP\tO' -p64537 -aS')\t)\t)\tO\tO' -p64538 -aS'Tablet\tTablet\tNN\tB-NP\tB-protein' -p64539 -aS'PO\tPO\tNN\tI-NP\tI-protein' -p64540 -aS'twice\ttwice\tRB\tB-NP\tO' -p64541 -aS'a\ta\tDT\tI-NP\tO' -p64542 -aS'day\tday\tNN\tI-NP\tO' -p64543 -aS'.\t.\t.\tO\tO' -p64544 -asS'Before this age , the family and other care givers should be considered for immunization against influenza to protect the infant .' -p64545 -(lp64546 -S'Before\tBefore\tIN\tB-SBAR\tO' -p64547 -aS'this\tthis\tDT\tB-NP\tO' -p64548 -aS'age\tage\tNN\tI-NP\tO' -p64549 -aS',\t,\t,\tO\tO' -p64550 -aS'the\tthe\tDT\tB-NP\tO' -p64551 -aS'family\tfamily\tNN\tI-NP\tO' -p64552 -aS'and\tand\tCC\tO\tO' -p64553 -aS'other\tother\tJJ\tB-NP\tO' -p64554 -aS'care\tcare\tNN\tI-NP\tO' -p64555 -aS'givers\tgiver\tNNS\tI-NP\tO' -p64556 -aS'should\tshould\tMD\tB-VP\tO' -p64557 -aS'be\tbe\tVB\tI-VP\tO' -p64558 -aS'considered\tconsider\tVBN\tI-VP\tO' -p64559 -aS'for\tfor\tIN\tB-PP\tO' -p64560 -aS'immunization\timmunization\tNN\tB-NP\tO' -p64561 -aS'against\tagainst\tIN\tB-PP\tO' -p64562 -aS'influenza\tinfluenza\tNN\tB-NP\tO' -p64563 -aS'to\tto\tTO\tB-VP\tO' -p64564 -aS'protect\tprotect\tVB\tI-VP\tO' -p64565 -aS'the\tthe\tDT\tB-NP\tO' -p64566 -aS'infant\tinfant\tNN\tI-NP\tO' -p64567 -aS'.\t.\t.\tO\tO' -p64568 -asS'On an office visit on 01-14 , the patient was found to have significantly elevated alkaline phosphatase .' -p64569 -(lp64570 -S'On\tOn\tIN\tB-PP\tO' -p64571 -aS'an\tan\tDT\tB-NP\tO' -p64572 -aS'office\toffice\tNN\tI-NP\tO' -p64573 -aS'visit\tvisit\tNN\tI-NP\tO' -p64574 -aS'on\ton\tIN\tB-PP\tO' -p64575 -aS'01-14\t01-14\tCD\tB-NP\tO' -p64576 -aS',\t,\t,\tO\tO' -p64577 -aS'the\tthe\tDT\tB-NP\tO' -p64578 -aS'patient\tpatient\tNN\tI-NP\tO' -p64579 -aS'was\tbe\tVBD\tB-VP\tO' -p64580 -aS'found\tfind\tVBN\tI-VP\tO' -p64581 -aS'to\tto\tTO\tI-VP\tO' -p64582 -aS'have\thave\tVB\tI-VP\tO' -p64583 -aS'significantly\tsignificantly\tRB\tB-NP\tO' -p64584 -aS'elevated\televated\tJJ\tI-NP\tO' -p64585 -aS'alkaline\talkaline\tJJ\tI-NP\tB-protein' -p64586 -aS'phosphatase\tphosphatase\tNN\tI-NP\tI-protein' -p64587 -aS'.\t.\t.\tO\tO' -p64588 -asS'Her neck was supple without masses or bruits noted .' -p64589 -(lp64590 -S'Her\tHer\tPRP$\tB-NP\tO' -p64591 -aS'neck\tneck\tNN\tI-NP\tO' -p64592 -aS'was\tbe\tVBD\tB-VP\tO' -p64593 -aS'supple\tsupple\tNN\tB-NP\tO' -p64594 -aS'without\twithout\tIN\tB-PP\tO' -p64595 -aS'masses\tmass\tNNS\tB-NP\tO' -p64596 -aS'or\tor\tCC\tI-NP\tO' -p64597 -aS'bruits\tbruit\tNNS\tI-NP\tO' -p64598 -aS'noted\tnote\tVBD\tB-VP\tO' -p64599 -aS'.\t.\t.\tO\tO' -p64600 -asS'Magnetic resonance cholangiopancreatography did not reveal any evidence of biliary dilatation or of any obstructing pancreatic mass .' -p64601 -(lp64602 -S'Magnetic\tMagnetic\tJJ\tB-NP\tO' -p64603 -aS'resonance\tresonance\tNN\tI-NP\tO' -p64604 -aS'cholangiopancreatography\tcholangiopancreatography\tNN\tI-NP\tO' -p64605 -aS'did\tdo\tVBD\tB-VP\tO' -p64606 -aS'not\tnot\tRB\tI-VP\tO' -p64607 -aS'reveal\treveal\tVB\tI-VP\tO' -p64608 -aS'any\tany\tDT\tB-NP\tO' -p64609 -aS'evidence\tevidence\tNN\tI-NP\tO' -p64610 -aS'of\tof\tIN\tB-PP\tO' -p64611 -aS'biliary\tbiliary\tJJ\tB-NP\tO' -p64612 -aS'dilatation\tdilatation\tNN\tI-NP\tO' -p64613 -aS'or\tor\tCC\tB-PP\tO' -p64614 -aS'of\tof\tIN\tB-PP\tO' -p64615 -aS'any\tany\tDT\tB-NP\tO' -p64616 -aS'obstructing\tobstruct\tVBG\tI-NP\tO' -p64617 -aS'pancreatic\tpancreatic\tJJ\tI-NP\tO' -p64618 -aS'mass\tmass\tNN\tI-NP\tO' -p64619 -aS'.\t.\t.\tO\tO' -p64620 -asS'DISCHARGE STATUS : To home .' -p64621 -(lp64622 -S'DISCHARGE\tDISCHARGE\tNN\tB-NP\tO' -p64623 -aS'STATUS\tSTATUS\tNNS\tI-NP\tO' -p64624 -aS':\t:\t:\tO\tO' -p64625 -aS'To\tTo\tTO\tB-PP\tO' -p64626 -aS'home\thome\tNN\tB-NP\tO' -p64627 -aS'.\t.\t.\tO\tO' -p64628 -asS'He was also given nebulizers without improvement .' -p64629 -(lp64630 -S'He\tHe\tPRP\tB-NP\tO' -p64631 -aS'was\tbe\tVBD\tB-VP\tO' -p64632 -aS'also\talso\tRB\tI-VP\tO' -p64633 -aS'given\tgive\tVBN\tI-VP\tO' -p64634 -aS'nebulizers\tnebulizer\tNNS\tB-NP\tO' -p64635 -aS'without\twithout\tIN\tB-PP\tO' -p64636 -aS'improvement\timprovement\tNN\tB-NP\tO' -p64637 -aS'.\t.\t.\tO\tO' -p64638 -asS'In summary , she had an aortic valve replacement with a #21 mosaic porcine valve .' -p64639 -(lp64640 -S'In\tIn\tIN\tB-PP\tO' -p64641 -aS'summary\tsummary\tNN\tB-NP\tO' -p64642 -aS',\t,\t,\tO\tO' -p64643 -aS'she\tshe\tPRP\tB-NP\tO' -p64644 -aS'had\thave\tVBD\tB-VP\tO' -p64645 -aS'an\tan\tDT\tB-NP\tO' -p64646 -aS'aortic\taortic\tJJ\tI-NP\tO' -p64647 -aS'valve\tvalve\tNN\tI-NP\tO' -p64648 -aS'replacement\treplacement\tNN\tI-NP\tO' -p64649 -aS'with\twith\tIN\tB-PP\tO' -p64650 -aS'a\ta\tDT\tB-NP\tO' -p64651 -aS'#21\t#21\tNN\tI-NP\tO' -p64652 -aS'mosaic\tmosaic\tJJ\tI-NP\tO' -p64653 -aS'porcine\tporcine\tJJ\tI-NP\tO' -p64654 -aS'valve\tvalve\tNN\tI-NP\tO' -p64655 -aS'.\t.\t.\tO\tO' -p64656 -asS"Initially , the patient was begun on Bactrim for presumptive urinary tract infection and the initial course of his hospitalization , he took p.o.' s poorly ." -p64657 -(lp64658 -S'Initially\tInitially\tRB\tB-ADVP\tO' -p64659 -aS',\t,\t,\tO\tO' -p64660 -aS'the\tthe\tDT\tB-NP\tO' -p64661 -aS'patient\tpatient\tNN\tI-NP\tO' -p64662 -aS'was\tbe\tVBD\tB-VP\tO' -p64663 -aS'begun\tbegin\tVBN\tI-VP\tO' -p64664 -aS'on\ton\tIN\tB-PP\tO' -p64665 -aS'Bactrim\tBactrim\tNNP\tB-NP\tO' -p64666 -aS'for\tfor\tIN\tB-PP\tO' -p64667 -aS'presumptive\tpresumptive\tJJ\tB-NP\tO' -p64668 -aS'urinary\turinary\tJJ\tI-NP\tO' -p64669 -aS'tract\ttract\tNN\tI-NP\tO' -p64670 -aS'infection\tinfection\tNN\tI-NP\tO' -p64671 -aS'and\tand\tCC\tO\tO' -p64672 -aS'the\tthe\tDT\tB-NP\tO' -p64673 -aS'initial\tinitial\tJJ\tI-NP\tO' -p64674 -aS'course\tcourse\tNN\tI-NP\tO' -p64675 -aS'of\tof\tIN\tB-PP\tO' -p64676 -aS'his\this\tPRP$\tB-NP\tO' -p64677 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p64678 -aS',\t,\t,\tO\tO' -p64679 -aS'he\the\tPRP\tB-NP\tO' -p64680 -aS'took\ttake\tVBD\tB-VP\tO' -p64681 -aS"p.o.'\tp.o.'\tRB\tB-NP\tO" -p64682 -aS's\ts\tNNS\tI-NP\tO' -p64683 -aS'poorly\tpoorly\tRB\tB-ADVP\tO' -p64684 -aS'.\t.\t.\tO\tO' -p64685 -asS'She had no symptoms of infectious source , normal UA , normal chest xray , and no symptoms nor signs of injury after her fall with syncope .' -p64686 -(lp64687 -S'She\tShe\tPRP\tB-NP\tO' -p64688 -aS'had\thave\tVBD\tB-VP\tO' -p64689 -aS'no\tno\tDT\tB-NP\tO' -p64690 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p64691 -aS'of\tof\tIN\tB-PP\tO' -p64692 -aS'infectious\tinfectious\tJJ\tB-NP\tO' -p64693 -aS'source\tsource\tNN\tI-NP\tO' -p64694 -aS',\t,\t,\tO\tO' -p64695 -aS'normal\tnormal\tJJ\tB-NP\tO' -p64696 -aS'UA\tUA\tNNP\tI-NP\tO' -p64697 -aS',\t,\t,\tO\tO' -p64698 -aS'normal\tnormal\tJJ\tB-NP\tO' -p64699 -aS'chest\tchest\tNN\tI-NP\tO' -p64700 -aS'xray\txray\tNN\tI-NP\tO' -p64701 -aS',\t,\t,\tO\tO' -p64702 -aS'and\tand\tCC\tO\tO' -p64703 -aS'no\tno\tDT\tB-NP\tO' -p64704 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p64705 -aS'nor\tnor\tCC\tI-NP\tO' -p64706 -aS'signs\tsign\tNNS\tI-NP\tO' -p64707 -aS'of\tof\tIN\tB-PP\tO' -p64708 -aS'injury\tinjury\tNN\tB-NP\tO' -p64709 -aS'after\tafter\tIN\tB-PP\tO' -p64710 -aS'her\ther\tPRP$\tB-NP\tO' -p64711 -aS'fall\tfall\tNN\tI-NP\tO' -p64712 -aS'with\twith\tIN\tB-PP\tO' -p64713 -aS'syncope\tsyncope\tNN\tB-NP\tO' -p64714 -aS'.\t.\t.\tO\tO' -p64715 -asS'Breast milk or special care formula 24 calories per ounce at 150 mls per kilo per day with plans to advance calories .' -p64716 -(lp64717 -S'Breast\tBreast\tNN\tB-NP\tO' -p64718 -aS'milk\tmilk\tNN\tI-NP\tO' -p64719 -aS'or\tor\tCC\tO\tO' -p64720 -aS'special\tspecial\tJJ\tB-NP\tO' -p64721 -aS'care\tcare\tNN\tI-NP\tO' -p64722 -aS'formula\tformula\tNN\tI-NP\tO' -p64723 -aS'24\t24\tCD\tB-NP\tO' -p64724 -aS'calories\tcalorie\tNNS\tI-NP\tO' -p64725 -aS'per\tper\tIN\tB-PP\tO' -p64726 -aS'ounce\tounce\tNN\tB-NP\tO' -p64727 -aS'at\tat\tIN\tB-PP\tO' -p64728 -aS'150\t150\tCD\tB-NP\tO' -p64729 -aS'mls\tml\tNNS\tI-NP\tO' -p64730 -aS'per\tper\tIN\tB-PP\tO' -p64731 -aS'kilo\tkilo\tNN\tB-NP\tO' -p64732 -aS'per\tper\tIN\tB-PP\tO' -p64733 -aS'day\tday\tNN\tB-NP\tO' -p64734 -aS'with\twith\tIN\tB-PP\tO' -p64735 -aS'plans\tplan\tNNS\tB-NP\tO' -p64736 -aS'to\tto\tTO\tB-PP\tO' -p64737 -aS'advance\tadvance\tNN\tB-NP\tO' -p64738 -aS'calories\tcalorie\tNNS\tI-NP\tO' -p64739 -aS'.\t.\t.\tO\tO' -p64740 -asS'Left rib fracture .' -p64741 -(lp64742 -S'Left\tLeave\tVBN\tB-NP\tO' -p64743 -aS'rib\trib\tNN\tI-NP\tO' -p64744 -aS'fracture\tfracture\tNN\tI-NP\tO' -p64745 -aS'.\t.\t.\tO\tO' -p64746 -asS'Within 24 hours , he awoke neurologically intact and was extubated without incident .' -p64747 -(lp64748 -S'Within\tWithin\tIN\tB-PP\tO' -p64749 -aS'24\t24\tCD\tB-NP\tO' -p64750 -aS'hours\thour\tNNS\tI-NP\tO' -p64751 -aS',\t,\t,\tO\tO' -p64752 -aS'he\the\tPRP\tB-NP\tO' -p64753 -aS'awoke\tawake\tVBD\tB-VP\tO' -p64754 -aS'neurologically\tneurologically\tRB\tB-ADJP\tO' -p64755 -aS'intact\tintact\tJJ\tI-ADJP\tO' -p64756 -aS'and\tand\tCC\tO\tO' -p64757 -aS'was\tbe\tVBD\tB-VP\tO' -p64758 -aS'extubated\textubate\tVBN\tI-VP\tO' -p64759 -aS'without\twithout\tIN\tB-PP\tO' -p64760 -aS'incident\tincident\tNN\tB-NP\tO' -p64761 -aS'.\t.\t.\tO\tO' -p64762 -asS'11. Left CMED cataract surgery in 2009-10-05 .' -p64763 -(lp64764 -S'11.\t11.\tLS\tB-NP\tO' -p64765 -aS'Left\tLeft\tJJ\tI-NP\tO' -p64766 -aS'CMED\tCMED\tJJ\tI-NP\tO' -p64767 -aS'cataract\tcataract\tNN\tI-NP\tO' -p64768 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p64769 -aS'in\tin\tIN\tB-PP\tO' -p64770 -aS'2009-10-05\t2009-10-05\tCD\tB-NP\tO' -p64771 -aS'.\t.\t.\tO\tO' -p64772 -asS'She was prophylaxed with Kefzol perioperatively and with Coumadin postoperatively .' -p64773 -(lp64774 -S'She\tShe\tPRP\tB-NP\tO' -p64775 -aS'was\tbe\tVBD\tB-VP\tO' -p64776 -aS'prophylaxed\tprophylaxe\tVBN\tI-VP\tO' -p64777 -aS'with\twith\tIN\tB-PP\tO' -p64778 -aS'Kefzol\tKefzol\tNN\tB-NP\tO' -p64779 -aS'perioperatively\tperioperatively\tRB\tB-ADVP\tO' -p64780 -aS'and\tand\tCC\tO\tO' -p64781 -aS'with\twith\tIN\tB-PP\tO' -p64782 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p64783 -aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' -p64784 -aS'.\t.\t.\tO\tO' -p64785 -asS'10. Neurontin 300 mg Capsule Sig : Three ( 3 ) Capsule PO three times a day : take 2 tabs in the morining , 4 tabs in the afternoon , and 4 tabs in the evening .' -p64786 -(lp64787 -S'10.\t10.\tCD\tB-NP\tO' -p64788 -aS'Neurontin\tNeurontin\tNN\tI-NP\tO' -p64789 -aS'300\t300\tCD\tB-NP\tO' -p64790 -aS'mg\tmg\tNN\tI-NP\tO' -p64791 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p64792 -aS'Sig\tSig\tNNP\tI-NP\tO' -p64793 -aS':\t:\t:\tO\tO' -p64794 -aS'Three\tThree\tCD\tB-NP\tO' -p64795 -aS'(\t(\t(\tO\tO' -p64796 -aS'3\t3\tCD\tB-NP\tO' -p64797 -aS')\t)\t)\tO\tO' -p64798 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p64799 -aS'PO\tPO\tNNP\tI-NP\tO' -p64800 -aS'three\tthree\tCD\tB-NP\tO' -p64801 -aS'times\ttime\tNNS\tI-NP\tO' -p64802 -aS'a\ta\tDT\tB-NP\tO' -p64803 -aS'day\tday\tNN\tI-NP\tO' -p64804 -aS':\t:\t:\tO\tO' -p64805 -aS'take\ttake\tVB\tB-VP\tO' -p64806 -aS'2\t2\tCD\tB-NP\tO' -p64807 -aS'tabs\ttab\tNNS\tI-NP\tO' -p64808 -aS'in\tin\tIN\tB-PP\tO' -p64809 -aS'the\tthe\tDT\tB-NP\tO' -p64810 -aS'morining\tmorining\tNN\tI-NP\tO' -p64811 -aS',\t,\t,\tO\tO' -p64812 -aS'4\t4\tCD\tB-NP\tO' -p64813 -aS'tabs\ttab\tNNS\tI-NP\tO' -p64814 -aS'in\tin\tIN\tB-PP\tO' -p64815 -aS'the\tthe\tDT\tB-NP\tO' -p64816 -aS'afternoon\tafternoon\tNN\tI-NP\tO' -p64817 -aS',\t,\t,\tO\tO' -p64818 -aS'and\tand\tCC\tO\tO' -p64819 -aS'4\t4\tCD\tB-NP\tO' -p64820 -aS'tabs\ttab\tNNS\tI-NP\tO' -p64821 -aS'in\tin\tIN\tB-PP\tO' -p64822 -aS'the\tthe\tDT\tB-NP\tO' -p64823 -aS'evening\tevening\tNN\tI-NP\tO' -p64824 -aS'.\t.\t.\tO\tO' -p64825 -asS'On scoping him he had significant supraglottic edema .' -p64826 -(lp64827 -S'On\tOn\tIN\tB-PP\tO' -p64828 -aS'scoping\tscope\tVBG\tB-VP\tO' -p64829 -aS'him\thim\tPRP\tB-NP\tO' -p64830 -aS'he\the\tPRP\tB-NP\tO' -p64831 -aS'had\thave\tVBD\tB-VP\tO' -p64832 -aS'significant\tsignificant\tJJ\tB-NP\tO' -p64833 -aS'supraglottic\tsupraglottic\tJJ\tI-NP\tO' -p64834 -aS'edema\tedema\tNN\tI-NP\tO' -p64835 -aS'.\t.\t.\tO\tO' -p64836 -asS'Baby Julian Stead had been stable with improvement of the subgaleal bleed and good peak and trough factor 8 levels after the bolus infusion .' -p64837 -(lp64838 -S'Baby\tBaby\tNNP\tB-NP\tO' -p64839 -aS'Julian\tJulian\tNNP\tI-NP\tO' -p64840 -aS'Stead\tStead\tNNP\tI-NP\tO' -p64841 -aS'had\thave\tVBD\tB-VP\tO' -p64842 -aS'been\tbe\tVBN\tI-VP\tO' -p64843 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p64844 -aS'with\twith\tIN\tB-PP\tO' -p64845 -aS'improvement\timprovement\tNN\tB-NP\tO' -p64846 -aS'of\tof\tIN\tB-PP\tO' -p64847 -aS'the\tthe\tDT\tB-NP\tO' -p64848 -aS'subgaleal\tsubgaleal\tJJ\tI-NP\tO' -p64849 -aS'bleed\tbleed\tNN\tI-NP\tO' -p64850 -aS'and\tand\tCC\tO\tO' -p64851 -aS'good\tgood\tJJ\tB-NP\tO' -p64852 -aS'peak\tpeak\tNN\tI-NP\tO' -p64853 -aS'and\tand\tCC\tO\tO' -p64854 -aS'trough\ttrough\tNN\tB-NP\tB-protein' -p64855 -aS'factor\tfactor\tNN\tI-NP\tI-protein' -p64856 -aS'8\t8\tCD\tB-NP\tI-protein' -p64857 -aS'levels\tlevel\tNNS\tI-NP\tO' -p64858 -aS'after\tafter\tIN\tB-PP\tO' -p64859 -aS'the\tthe\tDT\tB-NP\tO' -p64860 -aS'bolus\tbolus\tNN\tI-NP\tO' -p64861 -aS'infusion\tinfusion\tNN\tI-NP\tO' -p64862 -aS'.\t.\t.\tO\tO' -p64863 -asS'3. Levoxyl 100 ugm po qd .' -p64864 -(lp64865 -S'3.\t3.\tLS\tB-NP\tO' -p64866 -aS'Levoxyl\tLevoxyl\tNN\tI-NP\tO' -p64867 -aS'100\t100\tCD\tI-NP\tO' -p64868 -aS'ugm\tugm\tNN\tI-NP\tO' -p64869 -aS'po\tpo\tNN\tI-NP\tO' -p64870 -aS'qd\tqd\tNN\tI-NP\tO' -p64871 -aS'.\t.\t.\tO\tO' -p64872 -asS'His hematocrit subsequently bumped to greater than 30 and was discharged with hematocrit of 32 on 11-7-93 .' -p64873 -(lp64874 -S'His\tHis\tPRP$\tB-NP\tO' -p64875 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p64876 -aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' -p64877 -aS'bumped\tbump\tVBD\tB-VP\tO' -p64878 -aS'to\tto\tTO\tB-PP\tO' -p64879 -aS'greater\tgreat\tJJR\tB-NP\tO' -p64880 -aS'than\tthan\tIN\tI-NP\tO' -p64881 -aS'30\t30\tCD\tI-NP\tO' -p64882 -aS'and\tand\tCC\tO\tO' -p64883 -aS'was\tbe\tVBD\tB-VP\tO' -p64884 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p64885 -aS'with\twith\tIN\tB-PP\tO' -p64886 -aS'hematocrit\thematocrit\tNN\tB-NP\tO' -p64887 -aS'of\tof\tIN\tB-PP\tO' -p64888 -aS'32\t32\tCD\tB-NP\tO' -p64889 -aS'on\ton\tIN\tB-PP\tO' -p64890 -aS'11-7-93\t11-7-93\tCD\tB-NP\tO' -p64891 -aS'.\t.\t.\tO\tO' -p64892 -asS'She has noted increased urinary frequency .' -p64893 -(lp64894 -S'She\tShe\tPRP\tB-NP\tO' -p64895 -aS'has\thave\tVBZ\tB-VP\tO' -p64896 -aS'noted\tnote\tVBN\tI-VP\tO' -p64897 -aS'increased\tincrease\tVBN\tB-NP\tO' -p64898 -aS'urinary\turinary\tJJ\tI-NP\tO' -p64899 -aS'frequency\tfrequency\tNN\tI-NP\tO' -p64900 -aS'.\t.\t.\tO\tO' -p64901 -asS'aortic valve replacement .' -p64902 -(lp64903 -S'aortic\taortic\tJJ\tB-NP\tO' -p64904 -aS'valve\tvalve\tNN\tI-NP\tO' -p64905 -aS'replacement\treplacement\tNN\tI-NP\tO' -p64906 -aS'.\t.\t.\tO\tO' -p64907 -asS'A 1.8 cm exophytic renal cyst is seen on the left .' -p64908 -(lp64909 -S'A\tA\tDT\tB-NP\tO' -p64910 -aS'1.8\t1.8\tCD\tI-NP\tO' -p64911 -aS'cm\tcm\tNN\tI-NP\tO' -p64912 -aS'exophytic\texophytic\tJJ\tI-NP\tO' -p64913 -aS'renal\trenal\tJJ\tI-NP\tO' -p64914 -aS'cyst\tcyst\tNN\tI-NP\tO' -p64915 -aS'is\tbe\tVBZ\tB-VP\tO' -p64916 -aS'seen\tsee\tVBN\tI-VP\tO' -p64917 -aS'on\ton\tIN\tB-PP\tO' -p64918 -aS'the\tthe\tDT\tB-NP\tO' -p64919 -aS'left\tleft\tNN\tI-NP\tO' -p64920 -aS'.\t.\t.\tO\tO' -p64921 -asS'Was seen in dialysis on day of admission and was seen to have " raccoon eyes " and HD staff was worried about sending home .' -p64922 -(lp64923 -S'Was\tWa\tNNS\tB-NP\tB-protein' -p64924 -aS'seen\tsee\tVBN\tB-VP\tO' -p64925 -aS'in\tin\tIN\tB-PP\tO' -p64926 -aS'dialysis\tdialysis\tNN\tB-NP\tO' -p64927 -aS'on\ton\tIN\tB-PP\tO' -p64928 -aS'day\tday\tNN\tB-NP\tO' -p64929 -aS'of\tof\tIN\tB-PP\tO' -p64930 -aS'admission\tadmission\tNN\tB-NP\tO' -p64931 -aS'and\tand\tCC\tO\tO' -p64932 -aS'was\tbe\tVBD\tB-VP\tO' -p64933 -aS'seen\tsee\tVBN\tI-VP\tO' -p64934 -aS'to\tto\tTO\tI-VP\tO' -p64935 -aS'have\thave\tVB\tI-VP\tO' -p64936 -aS'"\t"\tJJ\tB-NP\tO' -p64937 -aS'raccoon\traccoon\tNN\tI-NP\tO' -p64938 -aS'eyes\teye\tNNS\tI-NP\tO' -p64939 -aS'"\t"\tCC\tO\tO' -p64940 -aS'and\tand\tCC\tO\tO' -p64941 -aS'HD\tHD\tNN\tB-NP\tO' -p64942 -aS'staff\tstaff\tNN\tI-NP\tO' -p64943 -aS'was\tbe\tVBD\tB-VP\tO' -p64944 -aS'worried\tworry\tVBN\tI-VP\tO' -p64945 -aS'about\tabout\tIN\tB-PP\tO' -p64946 -aS'sending\tsend\tVBG\tB-VP\tO' -p64947 -aS'home\thome\tNN\tB-NP\tO' -p64948 -aS'.\t.\t.\tO\tO' -p64949 -asS'LDH 254 , amylase 727 , lipase 8600 .' -p64950 -(lp64951 -S'LDH\tLDH\tNN\tB-NP\tB-protein' -p64952 -aS'254\t254\tCD\tI-NP\tI-protein' -p64953 -aS',\t,\t,\tO\tO' -p64954 -aS'amylase\tamylase\tNN\tB-NP\tB-protein' -p64955 -aS'727\t727\tCD\tI-NP\tI-protein' -p64956 -aS',\t,\t,\tO\tO' -p64957 -aS'lipase\tlipase\tNN\tB-NP\tO' -p64958 -aS'8600\t8600\tCD\tI-NP\tO' -p64959 -aS'.\t.\t.\tO\tO' -p64960 -asS'She says that oral analgesics have been of little help .' -p64961 -(lp64962 -S'She\tShe\tPRP\tB-NP\tO' -p64963 -aS'says\tsay\tVBZ\tB-VP\tO' -p64964 -aS'that\tthat\tIN\tB-SBAR\tO' -p64965 -aS'oral\toral\tJJ\tB-NP\tO' -p64966 -aS'analgesics\tanalgesic\tNNS\tI-NP\tO' -p64967 -aS'have\thave\tVBP\tB-VP\tO' -p64968 -aS'been\tbe\tVBN\tI-VP\tO' -p64969 -aS'of\tof\tIN\tB-PP\tO' -p64970 -aS'little\tlittle\tJJ\tB-NP\tO' -p64971 -aS'help\thelp\tNN\tI-NP\tO' -p64972 -aS'.\t.\t.\tO\tO' -p64973 -asS'While the pain was initially intermittent , it became steady at about 1:00 p.m. at which time she presented to the Tecal Galecounxopt Community Hospital Emergency Room and following this experience a spontaneous remission of her right sided pain .' -p64974 -(lp64975 -S'While\tWhile\tIN\tB-SBAR\tO' -p64976 -aS'the\tthe\tDT\tB-NP\tO' -p64977 -aS'pain\tpain\tNN\tI-NP\tO' -p64978 -aS'was\tbe\tVBD\tB-VP\tO' -p64979 -aS'initially\tinitially\tRB\tB-ADJP\tO' -p64980 -aS'intermittent\tintermittent\tJJ\tI-ADJP\tO' -p64981 -aS',\t,\t,\tO\tO' -p64982 -aS'it\tit\tPRP\tB-NP\tO' -p64983 -aS'became\tbecome\tVBD\tB-VP\tO' -p64984 -aS'steady\tsteady\tJJ\tB-ADJP\tO' -p64985 -aS'at\tat\tIN\tB-PP\tO' -p64986 -aS'about\tabout\tRB\tB-NP\tO' -p64987 -aS'1:00\t1:00\tCD\tI-NP\tO' -p64988 -aS'p.m.\tp.m.\tNN\tI-NP\tO' -p64989 -aS'at\tat\tIN\tB-PP\tO' -p64990 -aS'which\twhich\tWDT\tB-NP\tO' -p64991 -aS'time\ttime\tNN\tI-NP\tO' -p64992 -aS'she\tshe\tPRP\tB-NP\tO' -p64993 -aS'presented\tpresent\tVBD\tB-VP\tO' -p64994 -aS'to\tto\tTO\tB-PP\tO' -p64995 -aS'the\tthe\tDT\tB-NP\tO' -p64996 -aS'Tecal\tTecal\tNNP\tI-NP\tO' -p64997 -aS'Galecounxopt\tGalecounxopt\tNNP\tI-NP\tO' -p64998 -aS'Community\tCommunity\tNNP\tI-NP\tO' -p64999 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p65000 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p65001 -aS'Room\tRoom\tNNP\tI-NP\tO' -p65002 -aS'and\tand\tCC\tO\tO' -p65003 -aS'following\tfollow\tVBG\tB-PP\tO' -p65004 -aS'this\tthis\tDT\tB-NP\tO' -p65005 -aS'experience\texperience\tNN\tI-NP\tO' -p65006 -aS'a\ta\tDT\tB-NP\tO' -p65007 -aS'spontaneous\tspontaneous\tJJ\tI-NP\tO' -p65008 -aS'remission\tremission\tNN\tI-NP\tO' -p65009 -aS'of\tof\tIN\tB-PP\tO' -p65010 -aS'her\ther\tPRP$\tB-NP\tB-protein' -p65011 -aS'right\tright\tJJ\tI-NP\tI-protein' -p65012 -aS'sided\tsided\tJJ\tI-NP\tI-protein' -p65013 -aS'pain\tpain\tNN\tI-NP\tI-protein' -p65014 -aS'.\t.\t.\tO\tO' -p65015 -asS'She also described sob , nausea , worsening lower ext edema .' -p65016 -(lp65017 -S'She\tShe\tPRP\tB-NP\tO' -p65018 -aS'also\talso\tRB\tB-ADVP\tO' -p65019 -aS'described\tdescribe\tVBD\tB-VP\tO' -p65020 -aS'sob\tsob\tNN\tB-NP\tB-protein' -p65021 -aS',\t,\t,\tO\tO' -p65022 -aS'nausea\tnausea\tNN\tB-NP\tO' -p65023 -aS',\t,\t,\tO\tO' -p65024 -aS'worsening\tworsen\tVBG\tB-VP\tO' -p65025 -aS'lower\tlow\tJJR\tB-NP\tO' -p65026 -aS'ext\text\tJJ\tI-NP\tO' -p65027 -aS'edema\tedema\tNN\tI-NP\tO' -p65028 -aS'.\t.\t.\tO\tO' -p65029 -asS'1. Nephrostomy tube in the right kidney with an 8 mm right ureteric stone .' -p65030 -(lp65031 -S'1.\t1.\tLS\tB-NP\tO' -p65032 -aS'Nephrostomy\tNephrostomy\tNN\tI-NP\tO' -p65033 -aS'tube\ttube\tNN\tI-NP\tO' -p65034 -aS'in\tin\tIN\tB-PP\tO' -p65035 -aS'the\tthe\tDT\tB-NP\tO' -p65036 -aS'right\tright\tJJ\tI-NP\tO' -p65037 -aS'kidney\tkidney\tNN\tI-NP\tO' -p65038 -aS'with\twith\tIN\tB-PP\tO' -p65039 -aS'an\tan\tDT\tB-NP\tO' -p65040 -aS'8\t8\tCD\tI-NP\tO' -p65041 -aS'mm\tmm\tNN\tI-NP\tO' -p65042 -aS'right\tright\tJJ\tI-NP\tO' -p65043 -aS'ureteric\tureteric\tJJ\tI-NP\tO' -p65044 -aS'stone\tstone\tNN\tI-NP\tO' -p65045 -aS'.\t.\t.\tO\tO' -p65046 -asS'His cardiac enzymes include only elevated CK , but not Shaffer , Juan he ruled out for MI .' -p65047 -(lp65048 -S'His\tHis\tPRP$\tB-NP\tO' -p65049 -aS'cardiac\tcardiac\tJJ\tI-NP\tB-protein' -p65050 -aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' -p65051 -aS'include\tinclude\tVBP\tB-VP\tO' -p65052 -aS'only\tonly\tRB\tB-NP\tO' -p65053 -aS'elevated\televated\tJJ\tI-NP\tO' -p65054 -aS'CK\tCK\tNN\tI-NP\tO' -p65055 -aS',\t,\t,\tO\tO' -p65056 -aS'but\tbut\tCC\tO\tO' -p65057 -aS'not\tnot\tRB\tO\tO' -p65058 -aS'Shaffer\tShaffer\tNNP\tB-NP\tO' -p65059 -aS',\t,\t,\tO\tO' -p65060 -aS'Juan\tJuan\tNNP\tB-NP\tO' -p65061 -aS'he\the\tPRP\tB-NP\tO' -p65062 -aS'ruled\trule\tVBD\tB-VP\tO' -p65063 -aS'out\tout\tRP\tB-PRT\tO' -p65064 -aS'for\tfor\tIN\tB-PP\tO' -p65065 -aS'MI\tMI\tNN\tB-NP\tO' -p65066 -aS'.\t.\t.\tO\tO' -p65067 -asS'Impression : mildly dilated right ventricle ; small , hyperdynamic left ventricle ; at least moderate pulmonary hypertension' -p65068 -(lp65069 -S'Impression\tImpression\tNN\tB-NP\tO' -p65070 -aS':\t:\t:\tO\tO' -p65071 -aS'mildly\tmildly\tRB\tB-NP\tO' -p65072 -aS'dilated\tdilate\tVBN\tI-NP\tO' -p65073 -aS'right\tright\tJJ\tI-NP\tO' -p65074 -aS'ventricle\tventricle\tNN\tI-NP\tO' -p65075 -aS';\t;\t:\tO\tO' -p65076 -aS'small\tsmall\tJJ\tB-NP\tO' -p65077 -aS',\t,\t,\tI-NP\tO' -p65078 -aS'hyperdynamic\thyperdynamic\tJJ\tI-NP\tO' -p65079 -aS'left\tleft\tJJ\tI-NP\tO' -p65080 -aS'ventricle\tventricle\tNN\tI-NP\tO' -p65081 -aS';\t;\t:\tO\tO' -p65082 -aS'at\tat\tIN\tB-NP\tO' -p65083 -aS'least\tleast\tJJS\tI-NP\tO' -p65084 -aS'moderate\tmoderate\tJJ\tI-NP\tO' -p65085 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p65086 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p65087 -asS'Please see original Discharge Summary for discharge medications .' -p65088 -(lp65089 -S'Please\tPlease\tVB\tB-VP\tO' -p65090 -aS'see\tsee\tVB\tI-VP\tO' -p65091 -aS'original\toriginal\tJJ\tB-NP\tO' -p65092 -aS'Discharge\tDischarge\tNNP\tI-NP\tO' -p65093 -aS'Summary\tSummary\tNNP\tI-NP\tO' -p65094 -aS'for\tfor\tIN\tB-PP\tO' -p65095 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p65096 -aS'medications\tmedication\tNNS\tI-NP\tO' -p65097 -aS'.\t.\t.\tO\tO' -p65098 -asS'The CT of head and neck was likewise unremarkable showing no evidence of fasciitis or deep tissue thread .' -p65099 -(lp65100 -S'The\tThe\tDT\tB-NP\tO' -p65101 -aS'CT\tCT\tNN\tI-NP\tO' -p65102 -aS'of\tof\tIN\tB-PP\tO' -p65103 -aS'head\thead\tNN\tB-NP\tO' -p65104 -aS'and\tand\tCC\tI-NP\tO' -p65105 -aS'neck\tneck\tNN\tI-NP\tO' -p65106 -aS'was\tbe\tVBD\tB-VP\tO' -p65107 -aS'likewise\tlikewise\tRB\tB-ADJP\tO' -p65108 -aS'unremarkable\tunremarkable\tJJ\tI-ADJP\tO' -p65109 -aS'showing\tshow\tVBG\tB-VP\tO' -p65110 -aS'no\tno\tDT\tB-NP\tO' -p65111 -aS'evidence\tevidence\tNN\tI-NP\tO' -p65112 -aS'of\tof\tIN\tB-PP\tO' -p65113 -aS'fasciitis\tfasciitis\tNN\tB-NP\tO' -p65114 -aS'or\tor\tCC\tO\tO' -p65115 -aS'deep\tdeep\tJJ\tB-NP\tO' -p65116 -aS'tissue\ttissue\tNN\tI-NP\tO' -p65117 -aS'thread\tthread\tNN\tI-NP\tO' -p65118 -aS'.\t.\t.\tO\tO' -p65119 -asS'A fine needle aspirate of this mass reportedly revealed giant cell tumor .' -p65120 -(lp65121 -S'A\tA\tDT\tB-NP\tO' -p65122 -aS'fine\tfine\tJJ\tI-NP\tO' -p65123 -aS'needle\tneedle\tNN\tI-NP\tO' -p65124 -aS'aspirate\taspirate\tNN\tI-NP\tO' -p65125 -aS'of\tof\tIN\tB-PP\tO' -p65126 -aS'this\tthis\tDT\tB-NP\tO' -p65127 -aS'mass\tmass\tNN\tI-NP\tO' -p65128 -aS'reportedly\treportedly\tRB\tB-ADVP\tO' -p65129 -aS'revealed\treveal\tVBD\tB-VP\tO' -p65130 -aS'giant\tgiant\tJJ\tB-NP\tO' -p65131 -aS'cell\tcell\tNN\tI-NP\tO' -p65132 -aS'tumor\ttumor\tNN\tI-NP\tO' -p65133 -aS'.\t.\t.\tO\tO' -p65134 -asS'Hyperlipidemia .' -p65135 -(lp65136 -S'Hyperlipidemia\tHyperlipidemia\tNN\tB-NP\tO' -p65137 -aS'.\t.\t.\tO\tO' -p65138 -asS'Fluoroquinolones .' -p65139 -(lp65140 -S'Fluoroquinolones\tFluoroquinolone\tNNS\tB-NP\tO' -p65141 -aS'.\t.\t.\tO\tO' -p65142 -asS'She was given betamethasone times one and transferred to the Nantucket Cottage Hospital where she was delivered by cesarean section with rupture of membranes at time of delivery notable for slight meconium stained amniotic fluid .' -p65143 -(lp65144 -S'She\tShe\tPRP\tB-NP\tO' -p65145 -aS'was\tbe\tVBD\tB-VP\tO' -p65146 -aS'given\tgive\tVBN\tI-VP\tO' -p65147 -aS'betamethasone\tbetamethasone\tNN\tB-NP\tO' -p65148 -aS'times\ttime\tNNS\tI-NP\tO' -p65149 -aS'one\tone\tCD\tB-NP\tO' -p65150 -aS'and\tand\tCC\tO\tO' -p65151 -aS'transferred\ttransfer\tVBN\tB-VP\tO' -p65152 -aS'to\tto\tTO\tB-PP\tO' -p65153 -aS'the\tthe\tDT\tB-NP\tO' -p65154 -aS'Nantucket\tNantucket\tNNP\tI-NP\tO' -p65155 -aS'Cottage\tCottage\tNNP\tI-NP\tO' -p65156 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p65157 -aS'where\twhere\tWRB\tB-ADVP\tO' -p65158 -aS'she\tshe\tPRP\tB-NP\tO' -p65159 -aS'was\tbe\tVBD\tB-VP\tO' -p65160 -aS'delivered\tdeliver\tVBN\tI-VP\tO' -p65161 -aS'by\tby\tIN\tB-PP\tO' -p65162 -aS'cesarean\tcesarean\tJJ\tB-NP\tO' -p65163 -aS'section\tsection\tNN\tI-NP\tO' -p65164 -aS'with\twith\tIN\tB-PP\tO' -p65165 -aS'rupture\trupture\tNN\tB-NP\tO' -p65166 -aS'of\tof\tIN\tB-PP\tO' -p65167 -aS'membranes\tmembrane\tNNS\tB-NP\tO' -p65168 -aS'at\tat\tIN\tB-PP\tO' -p65169 -aS'time\ttime\tNN\tB-NP\tO' -p65170 -aS'of\tof\tIN\tB-PP\tO' -p65171 -aS'delivery\tdelivery\tNN\tB-NP\tO' -p65172 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p65173 -aS'for\tfor\tIN\tB-PP\tO' -p65174 -aS'slight\tslight\tJJ\tB-NP\tO' -p65175 -aS'meconium\tmeconium\tNN\tI-NP\tO' -p65176 -aS'stained\tstain\tVBD\tB-VP\tO' -p65177 -aS'amniotic\tamniotic\tJJ\tB-NP\tO' -p65178 -aS'fluid\tfluid\tNN\tI-NP\tO' -p65179 -aS'.\t.\t.\tO\tO' -p65180 -asS'Enteral feedings were initiated on day of life 3 and the infant has been ad lib PO feeding on demand since that time .' -p65181 -(lp65182 -S'Enteral\tEnteral\tJJ\tB-NP\tO' -p65183 -aS'feedings\tfeeding\tNNS\tI-NP\tO' -p65184 -aS'were\tbe\tVBD\tB-VP\tO' -p65185 -aS'initiated\tinitiate\tVBN\tI-VP\tO' -p65186 -aS'on\ton\tIN\tB-PP\tO' -p65187 -aS'day\tday\tNN\tB-NP\tO' -p65188 -aS'of\tof\tIN\tB-PP\tO' -p65189 -aS'life\tlife\tNN\tB-NP\tB-protein' -p65190 -aS'3\t3\tCD\tI-NP\tI-protein' -p65191 -aS'and\tand\tCC\tO\tO' -p65192 -aS'the\tthe\tDT\tB-NP\tO' -p65193 -aS'infant\tinfant\tNN\tI-NP\tO' -p65194 -aS'has\thave\tVBZ\tB-VP\tO' -p65195 -aS'been\tbe\tVBN\tI-VP\tO' -p65196 -aS'ad\tad\tNN\tB-NP\tO' -p65197 -aS'lib\tlib\tNN\tI-NP\tO' -p65198 -aS'PO\tPO\tNN\tI-NP\tO' -p65199 -aS'feeding\tfeeding\tNN\tI-NP\tO' -p65200 -aS'on\ton\tIN\tB-PP\tO' -p65201 -aS'demand\tdemand\tNN\tB-NP\tO' -p65202 -aS'since\tsince\tIN\tB-PP\tO' -p65203 -aS'that\tthat\tDT\tB-NP\tO' -p65204 -aS'time\ttime\tNN\tI-NP\tO' -p65205 -aS'.\t.\t.\tO\tO' -p65206 -asS'T 100.1 , P 104 , blood pressure 130/90 , heart rate of 16 , she was sating 95% on room air .' -p65207 -(lp65208 -S'T\tT\tNN\tB-NP\tB-cell_line' -p65209 -aS'100.1\t100.1\tCD\tI-NP\tI-cell_line' -p65210 -aS',\t,\t,\tO\tO' -p65211 -aS'P\tP\tNN\tB-NP\tB-protein' -p65212 -aS'104\t104\tCD\tI-NP\tI-protein' -p65213 -aS',\t,\t,\tO\tO' -p65214 -aS'blood\tblood\tNN\tB-NP\tO' -p65215 -aS'pressure\tpressure\tNN\tI-NP\tO' -p65216 -aS'130/90\t130/90\tCD\tI-NP\tO' -p65217 -aS',\t,\t,\tO\tO' -p65218 -aS'heart\theart\tNN\tB-NP\tO' -p65219 -aS'rate\trate\tNN\tI-NP\tO' -p65220 -aS'of\tof\tIN\tB-PP\tO' -p65221 -aS'16\t16\tCD\tB-NP\tO' -p65222 -aS',\t,\t,\tO\tO' -p65223 -aS'she\tshe\tPRP\tB-NP\tO' -p65224 -aS'was\tbe\tVBD\tB-VP\tO' -p65225 -aS'sating\tsate\tVBG\tI-VP\tO' -p65226 -aS'95%\t95%\tNN\tB-NP\tO' -p65227 -aS'on\ton\tIN\tB-PP\tO' -p65228 -aS'room\troom\tNN\tB-NP\tO' -p65229 -aS'air\tair\tNN\tI-NP\tO' -p65230 -aS'.\t.\t.\tO\tO' -p65231 -asS'The abdomen was left open , with the wound margins connected by a sheet of Marlex mesh to prevent evisceration .' -p65232 -(lp65233 -S'The\tThe\tDT\tB-NP\tO' -p65234 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p65235 -aS'was\tbe\tVBD\tB-VP\tO' -p65236 -aS'left\tleave\tVBN\tI-VP\tO' -p65237 -aS'open\topen\tRP\tB-PRT\tO' -p65238 -aS',\t,\t,\tO\tO' -p65239 -aS'with\twith\tIN\tB-PP\tO' -p65240 -aS'the\tthe\tDT\tB-NP\tO' -p65241 -aS'wound\twound\tJJ\tI-NP\tO' -p65242 -aS'margins\tmargin\tNNS\tI-NP\tO' -p65243 -aS'connected\tconnect\tVBN\tB-VP\tO' -p65244 -aS'by\tby\tIN\tB-PP\tO' -p65245 -aS'a\ta\tDT\tB-NP\tO' -p65246 -aS'sheet\tsheet\tNN\tI-NP\tO' -p65247 -aS'of\tof\tIN\tB-PP\tO' -p65248 -aS'Marlex\tMarlex\tNNP\tB-NP\tO' -p65249 -aS'mesh\tmesh\tVBP\tB-VP\tO' -p65250 -aS'to\tto\tTO\tI-VP\tO' -p65251 -aS'prevent\tprevent\tVB\tI-VP\tO' -p65252 -aS'evisceration\tevisceration\tNN\tB-NP\tO' -p65253 -aS'.\t.\t.\tO\tO' -p65254 -asS'She was seen by the Psychiatry Service .' -p65255 -(lp65256 -S'She\tShe\tPRP\tB-NP\tO' -p65257 -aS'was\tbe\tVBD\tB-VP\tO' -p65258 -aS'seen\tsee\tVBN\tI-VP\tO' -p65259 -aS'by\tby\tIN\tB-PP\tO' -p65260 -aS'the\tthe\tDT\tB-NP\tO' -p65261 -aS'Psychiatry\tPsychiatry\tNNP\tI-NP\tO' -p65262 -aS'Service\tService\tNNP\tI-NP\tO' -p65263 -aS'.\t.\t.\tO\tO' -p65264 -asS"Overnight , the patient became hypoxic , dropping to the 80 's ." -p65265 -(lp65266 -S'Overnight\tOvernight\tRB\tB-ADVP\tO' -p65267 -aS',\t,\t,\tO\tO' -p65268 -aS'the\tthe\tDT\tB-NP\tO' -p65269 -aS'patient\tpatient\tNN\tI-NP\tO' -p65270 -aS'became\tbecome\tVBD\tB-VP\tO' -p65271 -aS'hypoxic\thypoxic\tJJ\tB-ADJP\tO' -p65272 -aS',\t,\t,\tO\tO' -p65273 -aS'dropping\tdrop\tVBG\tB-VP\tO' -p65274 -aS'to\tto\tTO\tB-PP\tO' -p65275 -aS'the\tthe\tDT\tB-NP\tO' -p65276 -aS'80\t80\tCD\tI-NP\tO' -p65277 -aS"'s\t's\tPOS\tB-NP\tO" -p65278 -aS'.\t.\t.\tO\tO' -p65279 -asS'Significant for non-insulin diabetes mellitus , for which he takes Diabeta , one QD ; right eye cataract , operated on three years ago .' -p65280 -(lp65281 -S'Significant\tSignificant\tJJ\tB-ADJP\tO' -p65282 -aS'for\tfor\tIN\tB-PP\tO' -p65283 -aS'non-insulin\tnon-insulin\tJJ\tB-NP\tO' -p65284 -aS'diabetes\tdiabetes\tNN\tI-NP\tO' -p65285 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p65286 -aS',\t,\t,\tO\tO' -p65287 -aS'for\tfor\tIN\tB-PP\tO' -p65288 -aS'which\twhich\tWDT\tB-NP\tO' -p65289 -aS'he\the\tPRP\tB-NP\tO' -p65290 -aS'takes\ttake\tVBZ\tB-VP\tO' -p65291 -aS'Diabeta\tDiabeta\tNN\tB-NP\tO' -p65292 -aS',\t,\t,\tO\tO' -p65293 -aS'one\tone\tCD\tB-NP\tO' -p65294 -aS'QD\tQD\tNN\tI-NP\tO' -p65295 -aS';\t;\t:\tO\tO' -p65296 -aS'right\tright\tJJ\tB-NP\tO' -p65297 -aS'eye\teye\tNN\tI-NP\tO' -p65298 -aS'cataract\tcataract\tNN\tI-NP\tO' -p65299 -aS',\t,\t,\tO\tO' -p65300 -aS'operated\toperate\tVBD\tB-VP\tO' -p65301 -aS'on\ton\tIN\tB-PP\tO' -p65302 -aS'three\tthree\tCD\tB-NP\tO' -p65303 -aS'years\tyear\tNNS\tI-NP\tO' -p65304 -aS'ago\tago\tRB\tB-ADVP\tO' -p65305 -aS'.\t.\t.\tO\tO' -p65306 -asS'Abdominal CT showed inflammation in the right upper quadrant , small fluid in the circumferential thickening of the distal stomach .' -p65307 -(lp65308 -S'Abdominal\tAbdominal\tJJ\tB-NP\tO' -p65309 -aS'CT\tCT\tNN\tI-NP\tO' -p65310 -aS'showed\tshow\tVBD\tB-VP\tO' -p65311 -aS'inflammation\tinflammation\tNN\tB-NP\tO' -p65312 -aS'in\tin\tIN\tB-PP\tO' -p65313 -aS'the\tthe\tDT\tB-NP\tO' -p65314 -aS'right\tright\tJJ\tI-NP\tO' -p65315 -aS'upper\tupper\tJJ\tI-NP\tO' -p65316 -aS'quadrant\tquadrant\tNN\tI-NP\tO' -p65317 -aS',\t,\t,\tO\tO' -p65318 -aS'small\tsmall\tJJ\tB-NP\tO' -p65319 -aS'fluid\tfluid\tNN\tI-NP\tO' -p65320 -aS'in\tin\tIN\tB-PP\tO' -p65321 -aS'the\tthe\tDT\tB-NP\tO' -p65322 -aS'circumferential\tcircumferential\tJJ\tI-NP\tO' -p65323 -aS'thickening\tthickening\tNN\tI-NP\tO' -p65324 -aS'of\tof\tIN\tB-PP\tO' -p65325 -aS'the\tthe\tDT\tB-NP\tO' -p65326 -aS'distal\tdistal\tJJ\tI-NP\tO' -p65327 -aS'stomach\tstomach\tNN\tI-NP\tO' -p65328 -aS'.\t.\t.\tO\tO' -p65329 -asS'She has also had some discomfort in her left lower abdomen and notes diarrhea every 4-5 days .' -p65330 -(lp65331 -S'She\tShe\tPRP\tB-NP\tO' -p65332 -aS'has\thave\tVBZ\tB-VP\tO' -p65333 -aS'also\talso\tRB\tI-VP\tO' -p65334 -aS'had\thave\tVBD\tI-VP\tO' -p65335 -aS'some\tsome\tDT\tB-NP\tO' -p65336 -aS'discomfort\tdiscomfort\tNN\tI-NP\tO' -p65337 -aS'in\tin\tIN\tB-PP\tO' -p65338 -aS'her\ther\tPRP$\tB-NP\tO' -p65339 -aS'left\tleft\tJJ\tI-NP\tO' -p65340 -aS'lower\tlow\tJJR\tI-NP\tO' -p65341 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p65342 -aS'and\tand\tCC\tO\tO' -p65343 -aS'notes\tnote\tVBZ\tB-VP\tO' -p65344 -aS'diarrhea\tdiarrhea\tNN\tB-NP\tO' -p65345 -aS'every\tevery\tDT\tB-NP\tO' -p65346 -aS'4-5\t4-5\tCD\tI-NP\tO' -p65347 -aS'days\tday\tNNS\tI-NP\tO' -p65348 -aS'.\t.\t.\tO\tO' -p65349 -asS'The oropharynx was clear .' -p65350 -(lp65351 -S'The\tThe\tDT\tB-NP\tO' -p65352 -aS'oropharynx\toropharynx\tNN\tI-NP\tO' -p65353 -aS'was\tbe\tVBD\tB-VP\tO' -p65354 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p65355 -aS'.\t.\t.\tO\tO' -p65356 -asS'Not actively suicidal .' -p65357 -(lp65358 -S'Not\tNot\tRB\tO\tO' -p65359 -aS'actively\tactively\tRB\tB-ADJP\tO' -p65360 -aS'suicidal\tsuicidal\tJJ\tI-ADJP\tO' -p65361 -aS'.\t.\t.\tO\tO' -p65362 -asS'The patient and his wife , a nurse , were educated on low molecular wt heparin , which was started in the hospital on 2015-08-26 with close follow-up scheduled with Dr. Demmert of the Wareham VA primary care clinic the next morning .' -p65363 -(lp65364 -S'The\tThe\tDT\tB-NP\tO' -p65365 -aS'patient\tpatient\tNN\tI-NP\tO' -p65366 -aS'and\tand\tCC\tO\tO' -p65367 -aS'his\this\tPRP$\tB-NP\tO' -p65368 -aS'wife\twife\tNN\tI-NP\tO' -p65369 -aS',\t,\t,\tO\tO' -p65370 -aS'a\ta\tDT\tB-NP\tO' -p65371 -aS'nurse\tnurse\tNN\tI-NP\tO' -p65372 -aS',\t,\t,\tO\tO' -p65373 -aS'were\tbe\tVBD\tB-VP\tO' -p65374 -aS'educated\teducate\tVBN\tI-VP\tO' -p65375 -aS'on\ton\tIN\tB-PP\tO' -p65376 -aS'low\tlow\tJJ\tB-NP\tB-protein' -p65377 -aS'molecular\tmolecular\tJJ\tI-NP\tI-protein' -p65378 -aS'wt\twt\tNN\tI-NP\tI-protein' -p65379 -aS'heparin\theparin\tNN\tI-NP\tI-protein' -p65380 -aS',\t,\t,\tO\tO' -p65381 -aS'which\twhich\tWDT\tB-NP\tO' -p65382 -aS'was\tbe\tVBD\tB-VP\tO' -p65383 -aS'started\tstart\tVBN\tI-VP\tO' -p65384 -aS'in\tin\tIN\tB-PP\tO' -p65385 -aS'the\tthe\tDT\tB-NP\tO' -p65386 -aS'hospital\thospital\tNN\tI-NP\tO' -p65387 -aS'on\ton\tIN\tB-PP\tO' -p65388 -aS'2015-08-26\t2015-08-26\tCD\tB-NP\tO' -p65389 -aS'with\twith\tIN\tB-PP\tO' -p65390 -aS'close\tclose\tJJ\tB-NP\tO' -p65391 -aS'follow-up\tfollow-up\tNN\tI-NP\tO' -p65392 -aS'scheduled\tschedule\tVBN\tB-VP\tO' -p65393 -aS'with\twith\tIN\tB-PP\tO' -p65394 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p65395 -aS'Demmert\tDemmert\tNNP\tI-NP\tO' -p65396 -aS'of\tof\tIN\tB-PP\tO' -p65397 -aS'the\tthe\tDT\tB-NP\tO' -p65398 -aS'Wareham\tWareham\tNNP\tI-NP\tO' -p65399 -aS'VA\tVA\tNNP\tI-NP\tO' -p65400 -aS'primary\tprimary\tJJ\tI-NP\tO' -p65401 -aS'care\tcare\tNN\tI-NP\tO' -p65402 -aS'clinic\tclinic\tNN\tI-NP\tO' -p65403 -aS'the\tthe\tDT\tB-NP\tO' -p65404 -aS'next\tnext\tJJ\tI-NP\tO' -p65405 -aS'morning\tmorning\tNN\tI-NP\tO' -p65406 -aS'.\t.\t.\tO\tO' -p65407 -asS'2. Non-specific myositis involving multiple muscle groups in the foreleg , most severe in the anterior , lateral , and posterior deep compartments .' -p65408 -(lp65409 -S'2.\t2.\tLS\tB-NP\tO' -p65410 -aS'Non-specific\tNon-specific\tJJ\tI-NP\tO' -p65411 -aS'myositis\tmyositis\tNN\tI-NP\tO' -p65412 -aS'involving\tinvolve\tVBG\tB-VP\tO' -p65413 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p65414 -aS'muscle\tmuscle\tNN\tI-NP\tO' -p65415 -aS'groups\tgroup\tNNS\tI-NP\tO' -p65416 -aS'in\tin\tIN\tB-PP\tO' -p65417 -aS'the\tthe\tDT\tB-NP\tO' -p65418 -aS'foreleg\tforeleg\tNN\tI-NP\tO' -p65419 -aS',\t,\t,\tO\tO' -p65420 -aS'most\tmost\tRBS\tB-ADJP\tO' -p65421 -aS'severe\tsevere\tJJ\tI-ADJP\tO' -p65422 -aS'in\tin\tIN\tB-PP\tO' -p65423 -aS'the\tthe\tDT\tB-NP\tO' -p65424 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p65425 -aS',\t,\t,\tI-NP\tO' -p65426 -aS'lateral\tlateral\tJJ\tI-NP\tO' -p65427 -aS',\t,\t,\tO\tO' -p65428 -aS'and\tand\tCC\tO\tO' -p65429 -aS'posterior\tposterior\tJJ\tB-NP\tO' -p65430 -aS'deep\tdeep\tJJ\tI-NP\tO' -p65431 -aS'compartments\tcompartment\tNNS\tI-NP\tO' -p65432 -aS'.\t.\t.\tO\tO' -p65433 -asS"Her maternal grandmother had breast cancer in her 80 s and her dad 's grandmother had stomach cancer and died in her 50 s." -p65434 -(lp65435 -S'Her\tHer\tPRP$\tB-NP\tO' -p65436 -aS'maternal\tmaternal\tJJ\tI-NP\tO' -p65437 -aS'grandmother\tgrandmother\tNN\tI-NP\tO' -p65438 -aS'had\thave\tVBD\tB-VP\tO' -p65439 -aS'breast\tbreast\tNN\tB-NP\tO' -p65440 -aS'cancer\tcancer\tNN\tI-NP\tO' -p65441 -aS'in\tin\tIN\tB-PP\tO' -p65442 -aS'her\ther\tPRP$\tB-NP\tO' -p65443 -aS'80\t80\tCD\tI-NP\tO' -p65444 -aS's\ts\tNN\tI-NP\tO' -p65445 -aS'and\tand\tCC\tO\tO' -p65446 -aS'her\ther\tPRP$\tB-NP\tO' -p65447 -aS'dad\tdad\tNN\tI-NP\tO' -p65448 -aS"'s\t's\tPOS\tB-NP\tO" -p65449 -aS'grandmother\tgrandmother\tNN\tI-NP\tO' -p65450 -aS'had\thave\tVBD\tB-VP\tO' -p65451 -aS'stomach\tstomach\tNN\tB-NP\tO' -p65452 -aS'cancer\tcancer\tNN\tI-NP\tO' -p65453 -aS'and\tand\tCC\tO\tO' -p65454 -aS'died\tdie\tVBD\tB-VP\tO' -p65455 -aS'in\tin\tIN\tB-PP\tO' -p65456 -aS'her\ther\tPRP$\tB-NP\tO' -p65457 -aS'50\t50\tCD\tI-NP\tO' -p65458 -aS's.\ts.\tNNS\tI-NP\tO' -p65459 -asS'This could represent either recurrence of scar tissue .' -p65460 -(lp65461 -S'This\tThis\tDT\tB-NP\tO' -p65462 -aS'could\tcould\tMD\tB-VP\tO' -p65463 -aS'represent\trepresent\tVB\tI-VP\tO' -p65464 -aS'either\teither\tCC\tO\tO' -p65465 -aS'recurrence\trecurrence\tNN\tB-NP\tO' -p65466 -aS'of\tof\tIN\tB-PP\tO' -p65467 -aS'scar\tscar\tNN\tB-NP\tO' -p65468 -aS'tissue\ttissue\tNN\tI-NP\tO' -p65469 -aS'.\t.\t.\tO\tO' -p65470 -asS'He is scheduled to follow up with daughter in 2 days .' -p65471 -(lp65472 -S'He\tHe\tPRP\tB-NP\tO' -p65473 -aS'is\tbe\tVBZ\tB-VP\tO' -p65474 -aS'scheduled\tschedule\tVBN\tI-VP\tO' -p65475 -aS'to\tto\tTO\tI-VP\tO' -p65476 -aS'follow\tfollow\tVB\tI-VP\tO' -p65477 -aS'up\tup\tRP\tB-PRT\tO' -p65478 -aS'with\twith\tIN\tB-PP\tO' -p65479 -aS'daughter\tdaughter\tNN\tB-NP\tO' -p65480 -aS'in\tin\tIN\tB-PP\tO' -p65481 -aS'2\t2\tCD\tB-NP\tO' -p65482 -aS'days\tday\tNNS\tI-NP\tO' -p65483 -aS'.\t.\t.\tO\tO' -p65484 -asS'Wound infection .' -p65485 -(lp65486 -S'Wound\tWound\tJJ\tB-NP\tO' -p65487 -aS'infection\tinfection\tNN\tI-NP\tO' -p65488 -aS'.\t.\t.\tO\tO' -p65489 -asS'The patient was admitted to the Orthopedic Service on 4/16/93 .' -p65490 -(lp65491 -S'The\tThe\tDT\tB-NP\tO' -p65492 -aS'patient\tpatient\tNN\tI-NP\tO' -p65493 -aS'was\tbe\tVBD\tB-VP\tO' -p65494 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p65495 -aS'to\tto\tTO\tB-PP\tO' -p65496 -aS'the\tthe\tDT\tB-NP\tO' -p65497 -aS'Orthopedic\tOrthopedic\tNNP\tI-NP\tO' -p65498 -aS'Service\tService\tNNP\tI-NP\tO' -p65499 -aS'on\ton\tIN\tB-PP\tO' -p65500 -aS'4/16/93\t4/16/93\tCD\tB-NP\tO' -p65501 -aS'.\t.\t.\tO\tO' -p65502 -asS'5. Perinatal sepsis ruled out .' -p65503 -(lp65504 -S'5.\t5.\tLS\tB-NP\tO' -p65505 -aS'Perinatal\tPerinatal\tJJ\tI-NP\tO' -p65506 -aS'sepsis\tsepsis\tNN\tI-NP\tO' -p65507 -aS'ruled\trule\tVBD\tB-VP\tO' -p65508 -aS'out\tout\tRP\tB-PRT\tO' -p65509 -aS'.\t.\t.\tO\tO' -p65510 -asS'Hale Air Force Base Pediatrics .' -p65511 -(lp65512 -S'Hale\tHale\tNNP\tB-NP\tO' -p65513 -aS'Air\tAir\tNNP\tI-NP\tO' -p65514 -aS'Force\tForce\tNNP\tI-NP\tO' -p65515 -aS'Base\tBase\tNNP\tI-NP\tO' -p65516 -aS'Pediatrics\tPediatrics\tNNP\tI-NP\tO' -p65517 -aS'.\t.\t.\tO\tO' -p65518 -asS'POD#2 her pain was somewhat uncontrolled , she was placed on Dilaudid PCA with fair effect .' -p65519 -(lp65520 -S'POD#2\tPOD#2\tNN\tB-NP\tB-protein' -p65521 -aS'her\ther\tPRP$\tB-NP\tO' -p65522 -aS'pain\tpain\tNN\tI-NP\tO' -p65523 -aS'was\tbe\tVBD\tB-VP\tO' -p65524 -aS'somewhat\tsomewhat\tRB\tB-ADJP\tO' -p65525 -aS'uncontrolled\tuncontrolled\tJJ\tI-ADJP\tO' -p65526 -aS',\t,\t,\tO\tO' -p65527 -aS'she\tshe\tPRP\tB-NP\tO' -p65528 -aS'was\tbe\tVBD\tB-VP\tO' -p65529 -aS'placed\tplace\tVBN\tI-VP\tO' -p65530 -aS'on\ton\tIN\tB-PP\tO' -p65531 -aS'Dilaudid\tDilaudid\tNNP\tB-NP\tO' -p65532 -aS'PCA\tPCA\tNN\tI-NP\tO' -p65533 -aS'with\twith\tIN\tB-PP\tO' -p65534 -aS'fair\tfair\tJJ\tB-NP\tO' -p65535 -aS'effect\teffect\tNN\tI-NP\tO' -p65536 -aS'.\t.\t.\tO\tO' -p65537 -asS'CHRONIC LYMPHOCYTIC LEUKEMIA .' -p65538 -(lp65539 -S'CHRONIC\tCHRONIC\tNN\tB-NP\tO' -p65540 -aS'LYMPHOCYTIC\tLYMPHOCYTIC\tNN\tI-NP\tO' -p65541 -aS'LEUKEMIA\tLEUKEMIA\tNN\tI-NP\tO' -p65542 -aS'.\t.\t.\tO\tO' -p65543 -asS'He also became short of breath with climbing a flight of stairs .' -p65544 -(lp65545 -S'He\tHe\tPRP\tB-NP\tO' -p65546 -aS'also\talso\tRB\tB-ADVP\tO' -p65547 -aS'became\tbecome\tVBD\tB-VP\tO' -p65548 -aS'short\tshort\tRB\tB-ADJP\tO' -p65549 -aS'of\tof\tIN\tB-PP\tO' -p65550 -aS'breath\tbreath\tNN\tB-NP\tO' -p65551 -aS'with\twith\tIN\tB-PP\tO' -p65552 -aS'climbing\tclimb\tVBG\tB-VP\tO' -p65553 -aS'a\ta\tDT\tB-NP\tO' -p65554 -aS'flight\tflight\tNN\tI-NP\tO' -p65555 -aS'of\tof\tIN\tB-PP\tO' -p65556 -aS'stairs\tstair\tNNS\tB-NP\tO' -p65557 -aS'.\t.\t.\tO\tO' -p65558 -asS'2. Infertility .' -p65559 -(lp65560 -S'2.\t2.\tLS\tB-NP\tO' -p65561 -aS'Infertility\tInfertility\tNN\tI-NP\tO' -p65562 -aS'.\t.\t.\tO\tO' -p65563 -asS'The patient is allergic to penicillin , morphine , codeine .' -p65564 -(lp65565 -S'The\tThe\tDT\tB-NP\tO' -p65566 -aS'patient\tpatient\tNN\tI-NP\tO' -p65567 -aS'is\tbe\tVBZ\tB-VP\tO' -p65568 -aS'allergic\tallergic\tJJ\tB-ADJP\tO' -p65569 -aS'to\tto\tTO\tB-PP\tO' -p65570 -aS'penicillin\tpenicillin\tNN\tB-NP\tB-protein' -p65571 -aS',\t,\t,\tO\tO' -p65572 -aS'morphine\tmorphine\tNN\tB-NP\tO' -p65573 -aS',\t,\t,\tO\tO' -p65574 -aS'codeine\tcodeine\tNN\tB-NP\tO' -p65575 -aS'.\t.\t.\tO\tO' -p65576 -asS'Has brother , nephew and daughter in law near by .' -p65577 -(lp65578 -S'Has\tHas\tNNP\tB-NP\tO' -p65579 -aS'brother\tbrother\tNN\tI-NP\tO' -p65580 -aS',\t,\t,\tO\tO' -p65581 -aS'nephew\tnephew\tNN\tB-NP\tO' -p65582 -aS'and\tand\tCC\tI-NP\tO' -p65583 -aS'daughter\tdaughter\tNN\tI-NP\tO' -p65584 -aS'in\tin\tIN\tB-PP\tO' -p65585 -aS'law\tlaw\tNN\tB-NP\tO' -p65586 -aS'near\tnear\tIN\tB-PP\tO' -p65587 -aS'by\tby\tIN\tB-PP\tO' -p65588 -aS'.\t.\t.\tO\tO' -p65589 -asS'Extremities : no edema; cold feet bilaterally' -p65590 -(lp65591 -S'Extremities\tExtremity\tNNS\tB-NP\tO' -p65592 -aS':\t:\t:\tO\tO' -p65593 -aS'no\tno\tDT\tB-NP\tO' -p65594 -aS'edema;\tedema;\tNN\tI-NP\tO' -p65595 -aS'cold\tcold\tJJ\tI-NP\tO' -p65596 -aS'feet\tfoot\tNNS\tI-NP\tO' -p65597 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p65598 -asS'No st-t abnormalities .' -p65599 -(lp65600 -S'No\tNo\tDT\tB-NP\tO' -p65601 -aS'st-t\tst-t\tJJ\tI-NP\tO' -p65602 -aS'abnormalities\tabnormality\tNNS\tI-NP\tO' -p65603 -aS'.\t.\t.\tO\tO' -p65604 -asS'The neck was supple with full range of movement .' -p65605 -(lp65606 -S'The\tThe\tDT\tB-NP\tO' -p65607 -aS'neck\tneck\tNN\tI-NP\tO' -p65608 -aS'was\tbe\tVBD\tB-VP\tO' -p65609 -aS'supple\tsupple\tNN\tB-NP\tO' -p65610 -aS'with\twith\tIN\tB-PP\tO' -p65611 -aS'full\tfull\tJJ\tB-NP\tO' -p65612 -aS'range\trange\tNN\tI-NP\tO' -p65613 -aS'of\tof\tIN\tB-PP\tO' -p65614 -aS'movement\tmovement\tNN\tB-NP\tO' -p65615 -aS'.\t.\t.\tO\tO' -p65616 -asS'Additionally because of her history of contrast allergy , she was given Solu-Medrol 40 milligrams IV prior to the procedure .' -p65617 -(lp65618 -S'Additionally\tAdditionally\tRB\tB-ADVP\tO' -p65619 -aS'because\tbecause\tIN\tB-PP\tO' -p65620 -aS'of\tof\tIN\tI-PP\tO' -p65621 -aS'her\ther\tPRP$\tB-NP\tO' -p65622 -aS'history\thistory\tNN\tI-NP\tO' -p65623 -aS'of\tof\tIN\tB-PP\tO' -p65624 -aS'contrast\tcontrast\tNN\tB-NP\tO' -p65625 -aS'allergy\tallergy\tNN\tI-NP\tO' -p65626 -aS',\t,\t,\tO\tO' -p65627 -aS'she\tshe\tPRP\tB-NP\tO' -p65628 -aS'was\tbe\tVBD\tB-VP\tO' -p65629 -aS'given\tgive\tVBN\tI-VP\tO' -p65630 -aS'Solu-Medrol\tSolu-Medrol\tNNP\tB-NP\tO' -p65631 -aS'40\t40\tCD\tI-NP\tO' -p65632 -aS'milligrams\tmilligram\tNNS\tI-NP\tO' -p65633 -aS'IV\tIV\tCD\tB-NP\tO' -p65634 -aS'prior\tprior\tJJ\tB-ADVP\tO' -p65635 -aS'to\tto\tTO\tB-PP\tO' -p65636 -aS'the\tthe\tDT\tB-NP\tO' -p65637 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p65638 -aS'.\t.\t.\tO\tO' -p65639 -asS'regular rate and rhythm , without murmur , rub or gallop .' -p65640 -(lp65641 -S'regular\tregular\tJJ\tB-NP\tO' -p65642 -aS'rate\trate\tNN\tI-NP\tO' -p65643 -aS'and\tand\tCC\tI-NP\tO' -p65644 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p65645 -aS',\t,\t,\tO\tO' -p65646 -aS'without\twithout\tIN\tB-PP\tO' -p65647 -aS'murmur\tmurmur\tNN\tB-NP\tO' -p65648 -aS',\t,\t,\tI-NP\tO' -p65649 -aS'rub\trub\tNN\tI-NP\tO' -p65650 -aS'or\tor\tCC\tI-NP\tO' -p65651 -aS'gallop\tgallop\tNN\tI-NP\tO' -p65652 -aS'.\t.\t.\tO\tO' -p65653 -asS"9. Psychosocial - Bridgewater State Hospital Center 's social work involved with family ." -p65654 -(lp65655 -S'9.\t9.\tCD\tB-NP\tO' -p65656 -aS'Psychosocial\tPsychosocial\tNNP\tI-NP\tO' -p65657 -aS'-\t-\tHYPH\tI-NP\tO' -p65658 -aS'Bridgewater\tBridgewater\tNNP\tI-NP\tO' -p65659 -aS'State\tState\tNNP\tI-NP\tO' -p65660 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p65661 -aS'Center\tCenter\tNNP\tI-NP\tO' -p65662 -aS"'s\t's\tPOS\tB-NP\tO" -p65663 -aS'social\tsocial\tJJ\tI-NP\tO' -p65664 -aS'work\twork\tNN\tI-NP\tO' -p65665 -aS'involved\tinvolve\tVBN\tB-VP\tO' -p65666 -aS'with\twith\tIN\tB-PP\tO' -p65667 -aS'family\tfamily\tNN\tB-NP\tO' -p65668 -aS'.\t.\t.\tO\tO' -p65669 -asS'The patient received care on the Baydell Medical Center .' -p65670 -(lp65671 -S'The\tThe\tDT\tB-NP\tO' -p65672 -aS'patient\tpatient\tNN\tI-NP\tO' -p65673 -aS'received\treceive\tVBD\tB-VP\tO' -p65674 -aS'care\tcare\tNN\tB-NP\tO' -p65675 -aS'on\ton\tIN\tB-PP\tO' -p65676 -aS'the\tthe\tDT\tB-NP\tO' -p65677 -aS'Baydell\tBaydell\tNNP\tI-NP\tO' -p65678 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p65679 -aS'Center\tCenter\tNNP\tI-NP\tO' -p65680 -aS'.\t.\t.\tO\tO' -p65681 -asS'Heart rate 62 , respiratory rate 16 , blood pressure right arm 205/84 , oxygen saturation 97% on two liters nasal cannula .' -p65682 -(lp65683 -S'Heart\tHeart\tNN\tB-NP\tO' -p65684 -aS'rate\trate\tNN\tI-NP\tO' -p65685 -aS'62\t62\tCD\tI-NP\tO' -p65686 -aS',\t,\t,\tO\tO' -p65687 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p65688 -aS'rate\trate\tNN\tI-NP\tO' -p65689 -aS'16\t16\tCD\tI-NP\tO' -p65690 -aS',\t,\t,\tO\tO' -p65691 -aS'blood\tblood\tNN\tB-NP\tO' -p65692 -aS'pressure\tpressure\tNN\tI-NP\tO' -p65693 -aS'right\tright\tJJ\tI-NP\tO' -p65694 -aS'arm\tarm\tNN\tI-NP\tO' -p65695 -aS'205/84\t205/84\tCD\tI-NP\tO' -p65696 -aS',\t,\t,\tO\tO' -p65697 -aS'oxygen\toxygen\tNN\tB-NP\tO' -p65698 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p65699 -aS'97%\t97%\tCD\tI-NP\tO' -p65700 -aS'on\ton\tIN\tB-PP\tO' -p65701 -aS'two\ttwo\tCD\tB-NP\tO' -p65702 -aS'liters\tliter\tNNS\tI-NP\tO' -p65703 -aS'nasal\tnasal\tJJ\tI-NP\tO' -p65704 -aS'cannula\tcannula\tNN\tI-NP\tO' -p65705 -aS'.\t.\t.\tO\tO' -p65706 -asS'The patient did well postoperatively and was transported to the regular cardiac surgery floor where he tolerated a regular diet , ambulated well , did well with his activities of daily living .' -p65707 -(lp65708 -S'The\tThe\tDT\tB-NP\tO' -p65709 -aS'patient\tpatient\tNN\tI-NP\tO' -p65710 -aS'did\tdo\tVBD\tB-VP\tO' -p65711 -aS'well\twell\tRB\tB-ADVP\tO' -p65712 -aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' -p65713 -aS'and\tand\tCC\tO\tO' -p65714 -aS'was\tbe\tVBD\tB-VP\tO' -p65715 -aS'transported\ttransport\tVBN\tI-VP\tO' -p65716 -aS'to\tto\tTO\tB-PP\tO' -p65717 -aS'the\tthe\tDT\tB-NP\tO' -p65718 -aS'regular\tregular\tJJ\tI-NP\tO' -p65719 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p65720 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p65721 -aS'floor\tfloor\tNN\tI-NP\tO' -p65722 -aS'where\twhere\tWRB\tB-ADVP\tO' -p65723 -aS'he\the\tPRP\tB-NP\tO' -p65724 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p65725 -aS'a\ta\tDT\tB-NP\tO' -p65726 -aS'regular\tregular\tJJ\tI-NP\tO' -p65727 -aS'diet\tdiet\tNN\tI-NP\tO' -p65728 -aS',\t,\t,\tO\tO' -p65729 -aS'ambulated\tambulate\tVBN\tB-VP\tO' -p65730 -aS'well\twell\tRB\tB-ADVP\tO' -p65731 -aS',\t,\t,\tO\tO' -p65732 -aS'did\tdo\tVBD\tB-VP\tO' -p65733 -aS'well\twell\tRB\tB-ADVP\tO' -p65734 -aS'with\twith\tIN\tB-PP\tO' -p65735 -aS'his\this\tPRP$\tB-NP\tO' -p65736 -aS'activities\tactivity\tNNS\tI-NP\tO' -p65737 -aS'of\tof\tIN\tB-PP\tO' -p65738 -aS'daily\tdaily\tJJ\tB-NP\tO' -p65739 -aS'living\tliving\tNN\tI-NP\tO' -p65740 -aS'.\t.\t.\tO\tO' -p65741 -asS'She does have a left iliac deep vein thrombosis .' -p65742 -(lp65743 -S'She\tShe\tPRP\tB-NP\tO' -p65744 -aS'does\tdo\tVBZ\tB-VP\tO' -p65745 -aS'have\thave\tVB\tI-VP\tO' -p65746 -aS'a\ta\tDT\tB-NP\tO' -p65747 -aS'left\tleft\tJJ\tI-NP\tO' -p65748 -aS'iliac\tiliac\tJJ\tI-NP\tO' -p65749 -aS'deep\tdeep\tJJ\tI-NP\tO' -p65750 -aS'vein\tvein\tNN\tI-NP\tO' -p65751 -aS'thrombosis\tthrombosis\tNN\tI-NP\tO' -p65752 -aS'.\t.\t.\tO\tO' -p65753 -asS'During the operation , the patient received 13 units of packed red blood cells , four units of fresh frozen plasma and one unit of platelets with an estimated blood loss of 1500 cc .' -p65754 -(lp65755 -S'During\tDuring\tIN\tB-PP\tO' -p65756 -aS'the\tthe\tDT\tB-NP\tO' -p65757 -aS'operation\toperation\tNN\tI-NP\tO' -p65758 -aS',\t,\t,\tO\tO' -p65759 -aS'the\tthe\tDT\tB-NP\tO' -p65760 -aS'patient\tpatient\tNN\tI-NP\tO' -p65761 -aS'received\treceive\tVBD\tB-VP\tO' -p65762 -aS'13\t13\tCD\tB-NP\tO' -p65763 -aS'units\tunit\tNNS\tI-NP\tO' -p65764 -aS'of\tof\tIN\tB-PP\tO' -p65765 -aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' -p65766 -aS'red\tred\tJJ\tI-NP\tI-cell_type' -p65767 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p65768 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p65769 -aS',\t,\t,\tO\tO' -p65770 -aS'four\tfour\tCD\tB-NP\tO' -p65771 -aS'units\tunit\tNNS\tI-NP\tO' -p65772 -aS'of\tof\tIN\tB-PP\tO' -p65773 -aS'fresh\tfresh\tJJ\tB-NP\tO' -p65774 -aS'frozen\tfrozen\tJJ\tI-NP\tO' -p65775 -aS'plasma\tplasma\tNN\tI-NP\tO' -p65776 -aS'and\tand\tCC\tO\tO' -p65777 -aS'one\tone\tCD\tB-NP\tO' -p65778 -aS'unit\tunit\tNN\tI-NP\tO' -p65779 -aS'of\tof\tIN\tB-PP\tO' -p65780 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p65781 -aS'with\twith\tIN\tB-PP\tO' -p65782 -aS'an\tan\tDT\tB-NP\tO' -p65783 -aS'estimated\testimate\tVBN\tI-NP\tO' -p65784 -aS'blood\tblood\tNN\tI-NP\tO' -p65785 -aS'loss\tloss\tNN\tI-NP\tO' -p65786 -aS'of\tof\tIN\tB-PP\tO' -p65787 -aS'1500\t1500\tCD\tB-NP\tO' -p65788 -aS'cc\tcc\tNN\tI-NP\tO' -p65789 -aS'.\t.\t.\tO\tO' -p65790 -asS'VS were with stable BPs , tachy to 110-120 , sat 98% RA .' -p65791 -(lp65792 -S'VS\tVS\tNNS\tB-NP\tO' -p65793 -aS'were\tbe\tVBD\tB-VP\tO' -p65794 -aS'with\twith\tIN\tB-PP\tO' -p65795 -aS'stable\tstable\tJJ\tB-NP\tO' -p65796 -aS'BPs\tBP\tNNS\tI-NP\tO' -p65797 -aS',\t,\t,\tO\tO' -p65798 -aS'tachy\ttachy\tNN\tB-NP\tO' -p65799 -aS'to\tto\tTO\tB-PP\tO' -p65800 -aS'110-120\t110-120\tCD\tB-NP\tO' -p65801 -aS',\t,\t,\tO\tO' -p65802 -aS'sat\tsit\tVBD\tB-VP\tO' -p65803 -aS'98%\t98%\tCD\tB-NP\tO' -p65804 -aS'RA\tRA\tNN\tI-NP\tO' -p65805 -aS'.\t.\t.\tO\tO' -p65806 -asS'She denies any pain with activity .' -p65807 -(lp65808 -S'She\tShe\tPRP\tB-NP\tO' -p65809 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p65810 -aS'any\tany\tDT\tB-NP\tO' -p65811 -aS'pain\tpain\tNN\tI-NP\tO' -p65812 -aS'with\twith\tIN\tB-PP\tO' -p65813 -aS'activity\tactivity\tNN\tB-NP\tO' -p65814 -aS'.\t.\t.\tO\tO' -p65815 -asS'Attending : Donald I Patrick , M.D.' -p65816 -(lp65817 -S'Attending\tAttend\tVBG\tB-VP\tO' -p65818 -aS':\t:\t:\tO\tO' -p65819 -aS'Donald\tDonald\tNNP\tB-NP\tO' -p65820 -aS'I\tI\tNNP\tI-NP\tO' -p65821 -aS'Patrick\tPatrick\tNNP\tI-NP\tO' -p65822 -aS',\t,\t,\tO\tO' -p65823 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p65824 -asS'He was again treated with Campath , had recurrent fever in association with sinus symptoms , with CT scan showing left maxillary sinusitis in association with new skin nodules on right elbow and buttocks .' -p65825 -(lp65826 -S'He\tHe\tPRP\tB-NP\tO' -p65827 -aS'was\tbe\tVBD\tB-VP\tO' -p65828 -aS'again\tagain\tRB\tI-VP\tO' -p65829 -aS'treated\ttreat\tVBN\tI-VP\tO' -p65830 -aS'with\twith\tIN\tB-PP\tO' -p65831 -aS'Campath\tCampath\tNN\tB-NP\tO' -p65832 -aS',\t,\t,\tO\tO' -p65833 -aS'had\thave\tVBD\tB-VP\tO' -p65834 -aS'recurrent\trecurrent\tJJ\tB-NP\tO' -p65835 -aS'fever\tfever\tNN\tI-NP\tO' -p65836 -aS'in\tin\tIN\tB-PP\tO' -p65837 -aS'association\tassociation\tNN\tB-NP\tO' -p65838 -aS'with\twith\tIN\tB-PP\tO' -p65839 -aS'sinus\tsinus\tNN\tB-NP\tO' -p65840 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p65841 -aS',\t,\t,\tO\tO' -p65842 -aS'with\twith\tIN\tB-PP\tO' -p65843 -aS'CT\tCT\tNN\tB-NP\tO' -p65844 -aS'scan\tscan\tNN\tI-NP\tO' -p65845 -aS'showing\tshow\tVBG\tB-VP\tO' -p65846 -aS'left\tleft\tJJ\tB-NP\tO' -p65847 -aS'maxillary\tmaxillary\tJJ\tI-NP\tO' -p65848 -aS'sinusitis\tsinusitis\tNN\tI-NP\tO' -p65849 -aS'in\tin\tIN\tB-PP\tO' -p65850 -aS'association\tassociation\tNN\tB-NP\tO' -p65851 -aS'with\twith\tIN\tB-PP\tO' -p65852 -aS'new\tnew\tJJ\tB-NP\tO' -p65853 -aS'skin\tskin\tNN\tI-NP\tO' -p65854 -aS'nodules\tnodule\tNNS\tI-NP\tO' -p65855 -aS'on\ton\tIN\tB-PP\tO' -p65856 -aS'right\tright\tJJ\tB-NP\tO' -p65857 -aS'elbow\telbow\tNN\tI-NP\tO' -p65858 -aS'and\tand\tCC\tI-NP\tO' -p65859 -aS'buttocks\tbuttock\tNNS\tI-NP\tO' -p65860 -aS'.\t.\t.\tO\tO' -p65861 -asS'She takes 14 units of NPH insulin twice a day supplementing with a sliding scale .' -p65862 -(lp65863 -S'She\tShe\tPRP\tB-NP\tO' -p65864 -aS'takes\ttake\tVBZ\tB-VP\tO' -p65865 -aS'14\t14\tCD\tB-NP\tO' -p65866 -aS'units\tunit\tNNS\tI-NP\tO' -p65867 -aS'of\tof\tIN\tB-PP\tO' -p65868 -aS'NPH\tNPH\tNN\tB-NP\tB-protein' -p65869 -aS'insulin\tinsulin\tNN\tI-NP\tI-protein' -p65870 -aS'twice\ttwice\tRB\tB-NP\tO' -p65871 -aS'a\ta\tDT\tI-NP\tO' -p65872 -aS'day\tday\tNN\tI-NP\tO' -p65873 -aS'supplementing\tsupplement\tVBG\tB-VP\tO' -p65874 -aS'with\twith\tIN\tB-PP\tO' -p65875 -aS'a\ta\tDT\tB-NP\tO' -p65876 -aS'sliding\tslide\tVBG\tI-NP\tO' -p65877 -aS'scale\tscale\tNN\tI-NP\tO' -p65878 -aS'.\t.\t.\tO\tO' -p65879 -asS'Pt with surveillance cultures and port tip cultures showing NGTD on 01-24 , he will have futher surveillance cultures drawn at hemodialysis and followed by his nephrologist .' -p65880 -(lp65881 -S'Pt\tPt\tNN\tB-NP\tO' -p65882 -aS'with\twith\tIN\tB-PP\tO' -p65883 -aS'surveillance\tsurveillance\tNN\tB-NP\tO' -p65884 -aS'cultures\tculture\tNNS\tI-NP\tO' -p65885 -aS'and\tand\tCC\tO\tO' -p65886 -aS'port\tport\tNN\tB-NP\tO' -p65887 -aS'tip\ttip\tNN\tI-NP\tO' -p65888 -aS'cultures\tculture\tNNS\tI-NP\tO' -p65889 -aS'showing\tshow\tVBG\tB-VP\tO' -p65890 -aS'NGTD\tNGTD\tNN\tB-NP\tB-protein' -p65891 -aS'on\ton\tIN\tB-PP\tO' -p65892 -aS'01-24\t01-24\tCD\tB-NP\tO' -p65893 -aS',\t,\t,\tO\tO' -p65894 -aS'he\the\tPRP\tB-NP\tO' -p65895 -aS'will\twill\tMD\tB-VP\tO' -p65896 -aS'have\thave\tVB\tI-VP\tO' -p65897 -aS'futher\tfuth\tJJR\tB-NP\tO' -p65898 -aS'surveillance\tsurveillance\tNN\tI-NP\tO' -p65899 -aS'cultures\tculture\tNNS\tI-NP\tO' -p65900 -aS'drawn\tdraw\tVBN\tB-VP\tO' -p65901 -aS'at\tat\tIN\tB-PP\tO' -p65902 -aS'hemodialysis\themodialysis\tNN\tB-NP\tO' -p65903 -aS'and\tand\tCC\tO\tO' -p65904 -aS'followed\tfollow\tVBN\tB-VP\tO' -p65905 -aS'by\tby\tIN\tB-PP\tO' -p65906 -aS'his\this\tPRP$\tB-NP\tO' -p65907 -aS'nephrologist\tnephrologist\tNN\tI-NP\tO' -p65908 -aS'.\t.\t.\tO\tO' -p65909 -asS'Bilirubin level was peaked on day of life 4 to 10.9/0.3 .' -p65910 -(lp65911 -S'Bilirubin\tBilirubin\tNN\tB-NP\tO' -p65912 -aS'level\tlevel\tNN\tI-NP\tO' -p65913 -aS'was\tbe\tVBD\tB-VP\tO' -p65914 -aS'peaked\tpeak\tVBN\tI-VP\tO' -p65915 -aS'on\ton\tIN\tB-PP\tO' -p65916 -aS'day\tday\tNN\tB-NP\tO' -p65917 -aS'of\tof\tIN\tB-PP\tO' -p65918 -aS'life\tlife\tNN\tB-NP\tO' -p65919 -aS'4\t4\tCD\tB-NP\tO' -p65920 -aS'to\tto\tTO\tB-PP\tO' -p65921 -aS'10.9/0.3\t10.9/0.3\tCD\tB-NP\tO' -p65922 -aS'.\t.\t.\tO\tO' -p65923 -asS'On 12-06 , she received her second hepatitis B vaccine .' -p65924 -(lp65925 -S'On\tOn\tIN\tB-PP\tO' -p65926 -aS'12-06\t12-06\tCD\tB-NP\tO' -p65927 -aS',\t,\t,\tO\tO' -p65928 -aS'she\tshe\tPRP\tB-NP\tO' -p65929 -aS'received\treceive\tVBD\tB-VP\tO' -p65930 -aS'her\ther\tPRP$\tB-NP\tO' -p65931 -aS'second\tsecond\tJJ\tI-NP\tO' -p65932 -aS'hepatitis\thepatitis\tNN\tI-NP\tO' -p65933 -aS'B\tB\tNN\tI-NP\tO' -p65934 -aS'vaccine\tvaccine\tNN\tI-NP\tO' -p65935 -aS'.\t.\t.\tO\tO' -p65936 -asS'Prenatal screen , O positive , antibody negative , RPR nonreactive , hepatitis B surface antigen negative , reportedly GBS negative , Rubella immune .' -p65937 -(lp65938 -S'Prenatal\tPrenatal\tJJ\tB-NP\tO' -p65939 -aS'screen\tscreen\tNN\tI-NP\tO' -p65940 -aS',\t,\t,\tO\tO' -p65941 -aS'O\tO\tNN\tB-NP\tO' -p65942 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p65943 -aS',\t,\t,\tO\tO' -p65944 -aS'antibody\tantibody\tNN\tB-NP\tO' -p65945 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p65946 -aS',\t,\t,\tO\tO' -p65947 -aS'RPR\tRPR\tNN\tB-NP\tB-protein' -p65948 -aS'nonreactive\tnonreactive\tJJ\tB-ADJP\tO' -p65949 -aS',\t,\t,\tO\tO' -p65950 -aS'hepatitis\thepatitis\tNN\tB-NP\tB-protein' -p65951 -aS'B\tB\tNN\tI-NP\tI-protein' -p65952 -aS'surface\tsurface\tNN\tI-NP\tI-protein' -p65953 -aS'antigen\tantigen\tNN\tI-NP\tI-protein' -p65954 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p65955 -aS',\t,\t,\tO\tO' -p65956 -aS'reportedly\treportedly\tRB\tB-ADVP\tO' -p65957 -aS'GBS\tGBS\tVBZ\tB-VP\tO' -p65958 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p65959 -aS',\t,\t,\tO\tO' -p65960 -aS'Rubella\tRubella\tNNP\tB-NP\tO' -p65961 -aS'immune\timmune\tJJ\tB-ADJP\tO' -p65962 -aS'.\t.\t.\tO\tO' -p65963 -asS'He was switched from clindamycin to the imipenem and Flagyl .' -p65964 -(lp65965 -S'He\tHe\tPRP\tB-NP\tO' -p65966 -aS'was\tbe\tVBD\tB-VP\tO' -p65967 -aS'switched\tswitch\tVBN\tI-VP\tO' -p65968 -aS'from\tfrom\tIN\tB-PP\tO' -p65969 -aS'clindamycin\tclindamycin\tNN\tB-NP\tO' -p65970 -aS'to\tto\tTO\tB-PP\tO' -p65971 -aS'the\tthe\tDT\tB-NP\tO' -p65972 -aS'imipenem\timipenem\tNN\tI-NP\tO' -p65973 -aS'and\tand\tCC\tI-NP\tO' -p65974 -aS'Flagyl\tFlagyl\tNN\tI-NP\tO' -p65975 -aS'.\t.\t.\tO\tO' -p65976 -asS'Aside from the above , the patient had felt that baseline without fever and chills or change in chronic cough .' -p65977 -(lp65978 -S'Aside\tAside\tRB\tB-ADVP\tO' -p65979 -aS'from\tfrom\tIN\tB-PP\tO' -p65980 -aS'the\tthe\tDT\tB-NP\tO' -p65981 -aS'above\tabove\tJJ\tI-NP\tO' -p65982 -aS',\t,\t,\tO\tO' -p65983 -aS'the\tthe\tDT\tB-NP\tO' -p65984 -aS'patient\tpatient\tNN\tI-NP\tO' -p65985 -aS'had\thave\tVBD\tB-VP\tO' -p65986 -aS'felt\tfeel\tVBN\tI-VP\tO' -p65987 -aS'that\tthat\tIN\tB-SBAR\tO' -p65988 -aS'baseline\tbaseline\tNN\tB-NP\tO' -p65989 -aS'without\twithout\tIN\tB-PP\tO' -p65990 -aS'fever\tfever\tNN\tB-NP\tO' -p65991 -aS'and\tand\tCC\tI-NP\tO' -p65992 -aS'chills\tchill\tNNS\tI-NP\tO' -p65993 -aS'or\tor\tCC\tO\tO' -p65994 -aS'change\tchange\tNN\tB-NP\tO' -p65995 -aS'in\tin\tIN\tB-PP\tO' -p65996 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p65997 -aS'cough\tcough\tNN\tI-NP\tO' -p65998 -aS'.\t.\t.\tO\tO' -p65999 -asS'He is 6 feet 1 inches tall and has a pre-op weight of 181 pounds .' -p66000 -(lp66001 -S'He\tHe\tPRP\tB-NP\tO' -p66002 -aS'is\tbe\tVBZ\tB-VP\tO' -p66003 -aS'6\t6\tCD\tB-NP\tO' -p66004 -aS'feet\tfoot\tNNS\tI-NP\tO' -p66005 -aS'1\t1\tCD\tI-NP\tO' -p66006 -aS'inches\tinch\tNNS\tI-NP\tO' -p66007 -aS'tall\ttall\tJJ\tB-ADJP\tO' -p66008 -aS'and\tand\tCC\tO\tO' -p66009 -aS'has\thave\tVBZ\tB-VP\tO' -p66010 -aS'a\ta\tDT\tB-NP\tO' -p66011 -aS'pre-op\tpre-op\tJJ\tI-NP\tO' -p66012 -aS'weight\tweight\tNN\tI-NP\tO' -p66013 -aS'of\tof\tIN\tB-PP\tO' -p66014 -aS'181\t181\tCD\tB-NP\tO' -p66015 -aS'pounds\tpound\tNNS\tI-NP\tO' -p66016 -aS'.\t.\t.\tO\tO' -p66017 -asS'These drains will then be subsequently taken out by Dr. General upon his followup with the patient .' -p66018 -(lp66019 -S'These\tThese\tDT\tB-NP\tO' -p66020 -aS'drains\tdrain\tNNS\tI-NP\tO' -p66021 -aS'will\twill\tMD\tB-VP\tO' -p66022 -aS'then\tthen\tRB\tI-VP\tO' -p66023 -aS'be\tbe\tVB\tI-VP\tO' -p66024 -aS'subsequently\tsubsequently\tRB\tI-VP\tO' -p66025 -aS'taken\ttake\tVBN\tI-VP\tO' -p66026 -aS'out\tout\tRP\tB-PRT\tO' -p66027 -aS'by\tby\tIN\tB-PP\tO' -p66028 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p66029 -aS'General\tGeneral\tNNP\tI-NP\tO' -p66030 -aS'upon\tupon\tIN\tB-PP\tO' -p66031 -aS'his\this\tPRP$\tB-NP\tO' -p66032 -aS'followup\tfollowup\tNN\tI-NP\tO' -p66033 -aS'with\twith\tIN\tB-PP\tO' -p66034 -aS'the\tthe\tDT\tB-NP\tO' -p66035 -aS'patient\tpatient\tNN\tI-NP\tO' -p66036 -aS'.\t.\t.\tO\tO' -p66037 -asS'At this point , he was made comfort measures and expired comfortably .' -p66038 -(lp66039 -S'At\tAt\tIN\tB-PP\tO' -p66040 -aS'this\tthis\tDT\tB-NP\tO' -p66041 -aS'point\tpoint\tNN\tI-NP\tO' -p66042 -aS',\t,\t,\tO\tO' -p66043 -aS'he\the\tPRP\tB-NP\tO' -p66044 -aS'was\tbe\tVBD\tB-VP\tO' -p66045 -aS'made\tmake\tVBN\tI-VP\tO' -p66046 -aS'comfort\tcomfort\tNN\tB-NP\tO' -p66047 -aS'measures\tmeasure\tNNS\tI-NP\tO' -p66048 -aS'and\tand\tCC\tO\tO' -p66049 -aS'expired\texpire\tVBD\tB-VP\tO' -p66050 -aS'comfortably\tcomfortably\tRB\tB-ADVP\tO' -p66051 -aS'.\t.\t.\tO\tO' -p66052 -asS'Admission sodium of 136 , potassium 3.8 , chloride 99 , bicarbonate 27.3 , BUN and creatinine of 13 and 0.6 , glucose 86 , calcium 9.3 , liver function tests notable for an albumin of 2.5 , globulin 4.5 .' -p66053 -(lp66054 -S'Admission\tAdmission\tNN\tB-NP\tO' -p66055 -aS'sodium\tsodium\tNN\tI-NP\tO' -p66056 -aS'of\tof\tIN\tB-PP\tO' -p66057 -aS'136\t136\tCD\tB-NP\tO' -p66058 -aS',\t,\t,\tO\tO' -p66059 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p66060 -aS'3.8\t3.8\tCD\tI-NP\tO' -p66061 -aS',\t,\t,\tO\tO' -p66062 -aS'chloride\tchloride\tNN\tB-NP\tO' -p66063 -aS'99\t99\tCD\tI-NP\tO' -p66064 -aS',\t,\t,\tO\tO' -p66065 -aS'bicarbonate\tbicarbonate\tNN\tB-NP\tB-protein' -p66066 -aS'27.3\t27.3\tCD\tI-NP\tI-protein' -p66067 -aS',\t,\t,\tO\tO' -p66068 -aS'BUN\tBUN\tNN\tB-NP\tB-protein' -p66069 -aS'and\tand\tCC\tI-NP\tO' -p66070 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p66071 -aS'of\tof\tIN\tB-PP\tO' -p66072 -aS'13\t13\tCD\tB-NP\tO' -p66073 -aS'and\tand\tCC\tI-NP\tO' -p66074 -aS'0.6\t0.6\tCD\tI-NP\tO' -p66075 -aS',\t,\t,\tO\tO' -p66076 -aS'glucose\tglucose\tNN\tB-NP\tB-protein' -p66077 -aS'86\t86\tCD\tI-NP\tI-protein' -p66078 -aS',\t,\t,\tO\tO' -p66079 -aS'calcium\tcalcium\tNN\tB-NP\tO' -p66080 -aS'9.3\t9.3\tCD\tI-NP\tO' -p66081 -aS',\t,\t,\tO\tO' -p66082 -aS'liver\tliver\tNN\tB-NP\tO' -p66083 -aS'function\tfunction\tNN\tI-NP\tO' -p66084 -aS'tests\ttest\tNNS\tI-NP\tO' -p66085 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p66086 -aS'for\tfor\tIN\tB-PP\tO' -p66087 -aS'an\tan\tDT\tB-NP\tO' -p66088 -aS'albumin\talbumin\tNN\tI-NP\tO' -p66089 -aS'of\tof\tIN\tB-PP\tO' -p66090 -aS'2.5\t2.5\tCD\tB-NP\tO' -p66091 -aS',\t,\t,\tO\tO' -p66092 -aS'globulin\tglobulin\tNN\tB-NP\tO' -p66093 -aS'4.5\t4.5\tCD\tI-NP\tO' -p66094 -aS'.\t.\t.\tO\tO' -p66095 -asS'Her antihypertensives were initially held and reinstated upon discharge .' -p66096 -(lp66097 -S'Her\tHer\tPRP$\tB-NP\tO' -p66098 -aS'antihypertensives\tantihypertensive\tNNS\tI-NP\tO' -p66099 -aS'were\tbe\tVBD\tB-VP\tO' -p66100 -aS'initially\tinitially\tRB\tI-VP\tO' -p66101 -aS'held\thold\tVBN\tI-VP\tO' -p66102 -aS'and\tand\tCC\tI-VP\tO' -p66103 -aS'reinstated\treinstate\tVBN\tI-VP\tO' -p66104 -aS'upon\tupon\tIN\tB-PP\tO' -p66105 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p66106 -aS'.\t.\t.\tO\tO' -p66107 -asS'2. Plavix 75 mg once daily .' -p66108 -(lp66109 -S'2.\t2.\tLS\tB-NP\tO' -p66110 -aS'Plavix\tPlavix\tNNP\tI-NP\tO' -p66111 -aS'75\t75\tCD\tI-NP\tO' -p66112 -aS'mg\tmg\tNN\tI-NP\tO' -p66113 -aS'once\tonce\tRB\tB-ADVP\tO' -p66114 -aS'daily\tdaily\tRB\tI-ADVP\tO' -p66115 -aS'.\t.\t.\tO\tO' -p66116 -asS'11. Metoprolol Tartrate 50 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ) .' -p66117 -(lp66118 -S'11.\t11.\tLS\tB-NP\tO' -p66119 -aS'Metoprolol\tMetoprolol\tNN\tI-NP\tO' -p66120 -aS'Tartrate\tTartrate\tNN\tI-NP\tO' -p66121 -aS'50\t50\tCD\tI-NP\tO' -p66122 -aS'mg\tmg\tNN\tI-NP\tO' -p66123 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p66124 -aS'Sig\tSig\tNNP\tI-NP\tO' -p66125 -aS':\t:\t:\tO\tO' -p66126 -aS'One\tOne\tCD\tB-NP\tO' -p66127 -aS'(\t(\t(\tO\tO' -p66128 -aS'1\t1\tCD\tB-NP\tO' -p66129 -aS')\t)\t)\tO\tO' -p66130 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p66131 -aS'PO\tPO\tNN\tI-NP\tO' -p66132 -aS'BID\tBID\tNN\tI-NP\tO' -p66133 -aS'(\t(\t(\tO\tO' -p66134 -aS'2\t2\tCD\tB-NP\tO' -p66135 -aS'times\ttime\tNNS\tI-NP\tO' -p66136 -aS'a\ta\tDT\tB-NP\tO' -p66137 -aS'day\tday\tNN\tI-NP\tO' -p66138 -aS')\t)\t)\tO\tO' -p66139 -aS'.\t.\t.\tO\tO' -p66140 -asS'The ceftriaxone was discontinued after four days in the hospital , and the patient was to continue on Levaquin .' -p66141 -(lp66142 -S'The\tThe\tDT\tB-NP\tO' -p66143 -aS'ceftriaxone\tceftriaxone\tNN\tI-NP\tO' -p66144 -aS'was\tbe\tVBD\tB-VP\tO' -p66145 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p66146 -aS'after\tafter\tIN\tB-PP\tO' -p66147 -aS'four\tfour\tCD\tB-NP\tO' -p66148 -aS'days\tday\tNNS\tI-NP\tO' -p66149 -aS'in\tin\tIN\tB-PP\tO' -p66150 -aS'the\tthe\tDT\tB-NP\tO' -p66151 -aS'hospital\thospital\tNN\tI-NP\tO' -p66152 -aS',\t,\t,\tO\tO' -p66153 -aS'and\tand\tCC\tO\tO' -p66154 -aS'the\tthe\tDT\tB-NP\tO' -p66155 -aS'patient\tpatient\tNN\tI-NP\tO' -p66156 -aS'was\tbe\tVBD\tB-VP\tO' -p66157 -aS'to\tto\tTO\tI-VP\tO' -p66158 -aS'continue\tcontinue\tVB\tI-VP\tO' -p66159 -aS'on\ton\tIN\tB-PP\tO' -p66160 -aS'Levaquin\tLevaquin\tNNP\tB-NP\tO' -p66161 -aS'.\t.\t.\tO\tO' -p66162 -asS'On admission vital signs , heart rate 71 , blood pressure 134/75 , respiratory rate 20 .' -p66163 -(lp66164 -S'On\tOn\tIN\tB-PP\tO' -p66165 -aS'admission\tadmission\tNN\tB-NP\tO' -p66166 -aS'vital\tvital\tJJ\tI-NP\tO' -p66167 -aS'signs\tsign\tNNS\tI-NP\tO' -p66168 -aS',\t,\t,\tO\tO' -p66169 -aS'heart\theart\tNN\tB-NP\tO' -p66170 -aS'rate\trate\tNN\tI-NP\tO' -p66171 -aS'71\t71\tCD\tI-NP\tO' -p66172 -aS',\t,\t,\tO\tO' -p66173 -aS'blood\tblood\tNN\tB-NP\tO' -p66174 -aS'pressure\tpressure\tNN\tI-NP\tO' -p66175 -aS'134/75\t134/75\tCD\tI-NP\tO' -p66176 -aS',\t,\t,\tO\tO' -p66177 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p66178 -aS'rate\trate\tNN\tI-NP\tO' -p66179 -aS'20\t20\tCD\tI-NP\tO' -p66180 -aS'.\t.\t.\tO\tO' -p66181 -asS"The ICU was alerted to the patient 's disposition and the operating room was activated for urgent re-exploration ." -p66182 -(lp66183 -S'The\tThe\tDT\tB-NP\tO' -p66184 -aS'ICU\tICU\tNN\tI-NP\tB-protein' -p66185 -aS'was\tbe\tVBD\tB-VP\tO' -p66186 -aS'alerted\talert\tVBN\tI-VP\tO' -p66187 -aS'to\tto\tTO\tB-PP\tO' -p66188 -aS'the\tthe\tDT\tB-NP\tO' -p66189 -aS'patient\tpatient\tNN\tI-NP\tO' -p66190 -aS"'s\t's\tPOS\tB-NP\tO" -p66191 -aS'disposition\tdisposition\tNN\tI-NP\tO' -p66192 -aS'and\tand\tCC\tO\tO' -p66193 -aS'the\tthe\tDT\tB-NP\tO' -p66194 -aS'operating\toperating\tNN\tI-NP\tO' -p66195 -aS'room\troom\tNN\tI-NP\tO' -p66196 -aS'was\tbe\tVBD\tB-VP\tO' -p66197 -aS'activated\tactivate\tVBN\tI-VP\tO' -p66198 -aS'for\tfor\tIN\tB-PP\tO' -p66199 -aS'urgent\turgent\tJJ\tB-NP\tO' -p66200 -aS're-exploration\tre-exploration\tNN\tI-NP\tO' -p66201 -aS'.\t.\t.\tO\tO' -p66202 -asS'His saturation increased to 87% on a nonrebreather .' -p66203 -(lp66204 -S'His\tHis\tPRP$\tB-NP\tO' -p66205 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p66206 -aS'increased\tincrease\tVBD\tB-VP\tO' -p66207 -aS'to\tto\tTO\tI-VP\tO' -p66208 -aS'87%\t87%\tVB\tI-VP\tO' -p66209 -aS'on\ton\tIN\tB-PP\tO' -p66210 -aS'a\ta\tDT\tB-NP\tO' -p66211 -aS'nonrebreather\tnonrebreather\tNN\tI-NP\tO' -p66212 -aS'.\t.\t.\tO\tO' -p66213 -asS'Upon admission , pt was febrile to 101.2 with U/A consistent with UTI .' -p66214 -(lp66215 -S'Upon\tUpon\tIN\tB-PP\tO' -p66216 -aS'admission\tadmission\tNN\tB-NP\tO' -p66217 -aS',\t,\t,\tO\tO' -p66218 -aS'pt\tpt\tNN\tB-NP\tO' -p66219 -aS'was\tbe\tVBD\tB-VP\tO' -p66220 -aS'febrile\tfebrile\tJJ\tB-ADJP\tO' -p66221 -aS'to\tto\tTO\tB-PP\tO' -p66222 -aS'101.2\t101.2\tCD\tB-NP\tO' -p66223 -aS'with\twith\tIN\tB-PP\tO' -p66224 -aS'U/A\tU/A\tNN\tB-NP\tO' -p66225 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p66226 -aS'with\twith\tIN\tB-PP\tO' -p66227 -aS'UTI\tUTI\tNN\tB-NP\tB-protein' -p66228 -aS'.\t.\t.\tO\tO' -p66229 -asS'She was started on Ampicillin , Gentamycin and Flagyl .' -p66230 -(lp66231 -S'She\tShe\tPRP\tB-NP\tO' -p66232 -aS'was\tbe\tVBD\tB-VP\tO' -p66233 -aS'started\tstart\tVBN\tI-VP\tO' -p66234 -aS'on\ton\tIN\tB-PP\tO' -p66235 -aS'Ampicillin\tAmpicillin\tNN\tB-NP\tB-protein' -p66236 -aS',\t,\t,\tI-NP\tO' -p66237 -aS'Gentamycin\tGentamycin\tNN\tI-NP\tO' -p66238 -aS'and\tand\tCC\tI-NP\tO' -p66239 -aS'Flagyl\tFlagyl\tNN\tI-NP\tO' -p66240 -aS'.\t.\t.\tO\tO' -p66241 -asS'Follow-up appointments should be with Dr. Jones and Dr. Yost in the Transplant Clinic .' -p66242 -(lp66243 -S'Follow-up\tFollow-up\tJJ\tB-NP\tO' -p66244 -aS'appointments\tappointment\tNNS\tI-NP\tO' -p66245 -aS'should\tshould\tMD\tB-VP\tO' -p66246 -aS'be\tbe\tVB\tI-VP\tO' -p66247 -aS'with\twith\tIN\tB-PP\tO' -p66248 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p66249 -aS'Jones\tJones\tNNP\tI-NP\tO' -p66250 -aS'and\tand\tCC\tO\tO' -p66251 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p66252 -aS'Yost\tYost\tNNP\tI-NP\tO' -p66253 -aS'in\tin\tIN\tB-PP\tO' -p66254 -aS'the\tthe\tDT\tB-NP\tO' -p66255 -aS'Transplant\tTransplant\tNNP\tI-NP\tO' -p66256 -aS'Clinic\tClinic\tNNP\tI-NP\tO' -p66257 -aS'.\t.\t.\tO\tO' -p66258 -asS'On 2/23/00 , the high grade fever persisted .' -p66259 -(lp66260 -S'On\tOn\tIN\tB-PP\tO' -p66261 -aS'2/23/00\t2/23/00\tCD\tB-NP\tO' -p66262 -aS',\t,\t,\tO\tO' -p66263 -aS'the\tthe\tDT\tB-NP\tO' -p66264 -aS'high\thigh\tJJ\tI-NP\tO' -p66265 -aS'grade\tgrade\tNN\tI-NP\tO' -p66266 -aS'fever\tfever\tNN\tI-NP\tO' -p66267 -aS'persisted\tpersist\tVBD\tB-VP\tO' -p66268 -aS'.\t.\t.\tO\tO' -p66269 -asS'Notably with respect to apnea and bradycardia of prematurity , the patient has reached 5 days without significant apneic or bradycardic spells as of the time of discharge .' -p66270 -(lp66271 -S'Notably\tNotably\tRB\tB-ADVP\tO' -p66272 -aS'with\twith\tIN\tB-PP\tO' -p66273 -aS'respect\trespect\tNN\tB-NP\tO' -p66274 -aS'to\tto\tTO\tB-PP\tO' -p66275 -aS'apnea\tapnea\tNN\tB-NP\tO' -p66276 -aS'and\tand\tCC\tI-NP\tO' -p66277 -aS'bradycardia\tbradycardia\tNN\tI-NP\tO' -p66278 -aS'of\tof\tIN\tB-PP\tO' -p66279 -aS'prematurity\tprematurity\tNN\tB-NP\tO' -p66280 -aS',\t,\t,\tO\tO' -p66281 -aS'the\tthe\tDT\tB-NP\tO' -p66282 -aS'patient\tpatient\tNN\tI-NP\tO' -p66283 -aS'has\thave\tVBZ\tB-VP\tO' -p66284 -aS'reached\treach\tVBN\tI-VP\tO' -p66285 -aS'5\t5\tCD\tB-NP\tO' -p66286 -aS'days\tday\tNNS\tI-NP\tO' -p66287 -aS'without\twithout\tIN\tB-PP\tO' -p66288 -aS'significant\tsignificant\tJJ\tB-NP\tO' -p66289 -aS'apneic\tapneic\tJJ\tI-NP\tO' -p66290 -aS'or\tor\tCC\tI-NP\tO' -p66291 -aS'bradycardic\tbradycardic\tJJ\tI-NP\tO' -p66292 -aS'spells\tspell\tNNS\tI-NP\tO' -p66293 -aS'as\tas\tIN\tB-PP\tO' -p66294 -aS'of\tof\tIN\tB-PP\tO' -p66295 -aS'the\tthe\tDT\tB-NP\tO' -p66296 -aS'time\ttime\tNN\tI-NP\tO' -p66297 -aS'of\tof\tIN\tB-PP\tO' -p66298 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p66299 -aS'.\t.\t.\tO\tO' -p66300 -asS'Trace edema without cyanosis or clubbing .' -p66301 -(lp66302 -S'Trace\tTrace\tNN\tB-NP\tO' -p66303 -aS'edema\tedema\tNN\tI-NP\tO' -p66304 -aS'without\twithout\tIN\tB-PP\tO' -p66305 -aS'cyanosis\tcyanosis\tNN\tB-NP\tO' -p66306 -aS'or\tor\tCC\tI-NP\tO' -p66307 -aS'clubbing\tclubbing\tNN\tI-NP\tO' -p66308 -aS'.\t.\t.\tO\tO' -p66309 -asS'At the time of discharge her glargine was 10 .' -p66310 -(lp66311 -S'At\tAt\tIN\tB-PP\tO' -p66312 -aS'the\tthe\tDT\tB-NP\tO' -p66313 -aS'time\ttime\tNN\tI-NP\tO' -p66314 -aS'of\tof\tIN\tB-PP\tO' -p66315 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p66316 -aS'her\ther\tPRP$\tB-NP\tO' -p66317 -aS'glargine\tglargine\tNN\tI-NP\tO' -p66318 -aS'was\tbe\tVBD\tB-VP\tO' -p66319 -aS'10\t10\tCD\tB-NP\tO' -p66320 -aS'.\t.\t.\tO\tO' -p66321 -asS'18. Colace 100 mg p.o. twice a day .' -p66322 -(lp66323 -S'18.\t18.\tCD\tB-NP\tO' -p66324 -aS'Colace\tColace\tNNP\tI-NP\tO' -p66325 -aS'100\t100\tCD\tI-NP\tO' -p66326 -aS'mg\tmg\tNN\tI-NP\tO' -p66327 -aS'p.o.\tp.o.\tRB\tB-NP\tO' -p66328 -aS'twice\ttwice\tRB\tI-NP\tO' -p66329 -aS'a\ta\tDT\tI-NP\tO' -p66330 -aS'day\tday\tNN\tI-NP\tO' -p66331 -aS'.\t.\t.\tO\tO' -p66332 -asS'He received one dose of furosemide in the ICU and was transferred to the floor the next day .' -p66333 -(lp66334 -S'He\tHe\tPRP\tB-NP\tO' -p66335 -aS'received\treceive\tVBD\tB-VP\tO' -p66336 -aS'one\tone\tCD\tB-NP\tO' -p66337 -aS'dose\tdose\tNN\tI-NP\tO' -p66338 -aS'of\tof\tIN\tB-PP\tO' -p66339 -aS'furosemide\tfurosemide\tNN\tB-NP\tO' -p66340 -aS'in\tin\tIN\tB-PP\tO' -p66341 -aS'the\tthe\tDT\tB-NP\tO' -p66342 -aS'ICU\tICU\tNN\tI-NP\tB-DNA' -p66343 -aS'and\tand\tCC\tO\tO' -p66344 -aS'was\tbe\tVBD\tB-VP\tO' -p66345 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p66346 -aS'to\tto\tTO\tB-PP\tO' -p66347 -aS'the\tthe\tDT\tB-NP\tO' -p66348 -aS'floor\tfloor\tNN\tI-NP\tO' -p66349 -aS'the\tthe\tDT\tB-NP\tO' -p66350 -aS'next\tnext\tJJ\tI-NP\tO' -p66351 -aS'day\tday\tNN\tI-NP\tO' -p66352 -aS'.\t.\t.\tO\tO' -p66353 -asS'The patient did well until approximately three to four weeks prior to presentation when he began to experience increased dyspnea on exertion .' -p66354 -(lp66355 -S'The\tThe\tDT\tB-NP\tO' -p66356 -aS'patient\tpatient\tNN\tI-NP\tO' -p66357 -aS'did\tdo\tVBD\tB-VP\tO' -p66358 -aS'well\twell\tRB\tB-ADVP\tO' -p66359 -aS'until\tuntil\tIN\tB-PP\tO' -p66360 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p66361 -aS'three\tthree\tCD\tI-NP\tO' -p66362 -aS'to\tto\tTO\tI-NP\tO' -p66363 -aS'four\tfour\tCD\tI-NP\tO' -p66364 -aS'weeks\tweek\tNNS\tI-NP\tO' -p66365 -aS'prior\tprior\tRB\tB-ADVP\tO' -p66366 -aS'to\tto\tTO\tB-PP\tO' -p66367 -aS'presentation\tpresentation\tNN\tB-NP\tO' -p66368 -aS'when\twhen\tWRB\tB-ADVP\tO' -p66369 -aS'he\the\tPRP\tB-NP\tO' -p66370 -aS'began\tbegin\tVBD\tB-VP\tO' -p66371 -aS'to\tto\tTO\tI-VP\tO' -p66372 -aS'experience\texperience\tVB\tI-VP\tO' -p66373 -aS'increased\tincrease\tVBN\tB-NP\tO' -p66374 -aS'dyspnea\tdyspnea\tNN\tI-NP\tO' -p66375 -aS'on\ton\tIN\tB-PP\tO' -p66376 -aS'exertion\texertion\tNN\tB-NP\tO' -p66377 -aS'.\t.\t.\tO\tO' -p66378 -asS'Thoracic Surgery was also consulted and they felt that there was no need for a pericardial window at the time .' -p66379 -(lp66380 -S'Thoracic\tThoracic\tNNP\tB-NP\tO' -p66381 -aS'Surgery\tSurgery\tNNP\tI-NP\tO' -p66382 -aS'was\tbe\tVBD\tB-VP\tO' -p66383 -aS'also\talso\tRB\tI-VP\tO' -p66384 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p66385 -aS'and\tand\tCC\tO\tO' -p66386 -aS'they\tthey\tPRP\tB-NP\tO' -p66387 -aS'felt\tfeel\tVBD\tB-VP\tO' -p66388 -aS'that\tthat\tIN\tB-SBAR\tO' -p66389 -aS'there\tthere\tEX\tB-NP\tO' -p66390 -aS'was\tbe\tVBD\tB-VP\tO' -p66391 -aS'no\tno\tDT\tB-NP\tO' -p66392 -aS'need\tneed\tNN\tI-NP\tO' -p66393 -aS'for\tfor\tIN\tB-PP\tO' -p66394 -aS'a\ta\tDT\tB-NP\tO' -p66395 -aS'pericardial\tpericardial\tJJ\tI-NP\tO' -p66396 -aS'window\twindow\tNN\tI-NP\tO' -p66397 -aS'at\tat\tIN\tB-PP\tO' -p66398 -aS'the\tthe\tDT\tB-NP\tO' -p66399 -aS'time\ttime\tNN\tI-NP\tO' -p66400 -aS'.\t.\t.\tO\tO' -p66401 -asS'Her dilantin levels had been somewhat difficult to control .' -p66402 -(lp66403 -S'Her\tHer\tPRP$\tB-NP\tO' -p66404 -aS'dilantin\tdilantin\tNN\tI-NP\tO' -p66405 -aS'levels\tlevel\tNNS\tI-NP\tO' -p66406 -aS'had\thave\tVBD\tB-VP\tO' -p66407 -aS'been\tbe\tVBN\tI-VP\tO' -p66408 -aS'somewhat\tsomewhat\tRB\tB-ADJP\tO' -p66409 -aS'difficult\tdifficult\tJJ\tI-ADJP\tO' -p66410 -aS'to\tto\tTO\tB-PP\tO' -p66411 -aS'control\tcontrol\tNN\tB-NP\tO' -p66412 -aS'.\t.\t.\tO\tO' -p66413 -asS'He uses a walker .' -p66414 -(lp66415 -S'He\tHe\tPRP\tB-NP\tO' -p66416 -aS'uses\tuse\tVBZ\tB-VP\tO' -p66417 -aS'a\ta\tDT\tB-NP\tO' -p66418 -aS'walker\twalker\tNN\tI-NP\tO' -p66419 -aS'.\t.\t.\tO\tO' -p66420 -asS'- Consider repeat Echo in 1 month and Quincy Medical Center - V/ICD per discretion of primary cardiologist .' -p66421 -(lp66422 -S'-\t-\tHYPH\tB-NP\tO' -p66423 -aS'Consider\tConsider\tNN\tI-NP\tO' -p66424 -aS'repeat\trepeat\tNN\tI-NP\tO' -p66425 -aS'Echo\tEcho\tNNP\tI-NP\tO' -p66426 -aS'in\tin\tIN\tB-PP\tO' -p66427 -aS'1\t1\tCD\tB-NP\tO' -p66428 -aS'month\tmonth\tNN\tI-NP\tO' -p66429 -aS'and\tand\tCC\tO\tO' -p66430 -aS'Quincy\tQuincy\tNNP\tB-NP\tO' -p66431 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p66432 -aS'Center\tCenter\tNNP\tI-NP\tO' -p66433 -aS'-\t-\tHYPH\tI-NP\tO' -p66434 -aS'V/ICD\tV/ICD\tNNP\tI-NP\tO' -p66435 -aS'per\tper\tIN\tB-PP\tO' -p66436 -aS'discretion\tdiscretion\tNN\tB-NP\tO' -p66437 -aS'of\tof\tIN\tB-PP\tO' -p66438 -aS'primary\tprimary\tJJ\tB-NP\tO' -p66439 -aS'cardiologist\tcardiologist\tNN\tI-NP\tO' -p66440 -aS'.\t.\t.\tO\tO' -p66441 -asS'Benign with a hysterectomy scar which was well healed .' -p66442 -(lp66443 -S'Benign\tBenign\tJJ\tB-ADJP\tO' -p66444 -aS'with\twith\tIN\tB-PP\tO' -p66445 -aS'a\ta\tDT\tB-NP\tO' -p66446 -aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' -p66447 -aS'scar\tscar\tNN\tI-NP\tO' -p66448 -aS'which\twhich\tWDT\tB-NP\tO' -p66449 -aS'was\tbe\tVBD\tB-VP\tO' -p66450 -aS'well\twell\tRB\tI-VP\tO' -p66451 -aS'healed\theal\tVBN\tI-VP\tO' -p66452 -aS'.\t.\t.\tO\tO' -p66453 -asS'Abd : obese , +BS , soft , NTND .' -p66454 -(lp66455 -S'Abd\tAbd\tNNP\tB-NP\tO' -p66456 -aS':\t:\t:\tO\tO' -p66457 -aS'obese\tobese\tJJ\tB-NP\tO' -p66458 -aS',\t,\t,\tI-NP\tO' -p66459 -aS'+BS\t+BS\tNNP\tI-NP\tO' -p66460 -aS',\t,\t,\tI-NP\tO' -p66461 -aS'soft\tsoft\tJJ\tI-NP\tO' -p66462 -aS',\t,\t,\tI-NP\tO' -p66463 -aS'NTND\tNTND\tNN\tI-NP\tB-protein' -p66464 -aS'.\t.\t.\tO\tO' -p66465 -asS'She was initially supported with tube feeds during her Intensive Care Unit course , but at this point the patient is CMO and tube feeds have been subsequently discontinued .' -p66466 -(lp66467 -S'She\tShe\tPRP\tB-NP\tO' -p66468 -aS'was\tbe\tVBD\tB-VP\tO' -p66469 -aS'initially\tinitially\tRB\tI-VP\tO' -p66470 -aS'supported\tsupport\tVBN\tI-VP\tO' -p66471 -aS'with\twith\tIN\tB-PP\tO' -p66472 -aS'tube\ttube\tNN\tB-NP\tO' -p66473 -aS'feeds\tfeed\tNNS\tI-NP\tO' -p66474 -aS'during\tduring\tIN\tB-PP\tO' -p66475 -aS'her\ther\tPRP$\tB-NP\tO' -p66476 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p66477 -aS'Care\tCare\tNNP\tI-NP\tO' -p66478 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p66479 -aS'course\tcourse\tNN\tI-NP\tO' -p66480 -aS',\t,\t,\tO\tO' -p66481 -aS'but\tbut\tCC\tO\tO' -p66482 -aS'at\tat\tIN\tB-PP\tO' -p66483 -aS'this\tthis\tDT\tB-NP\tO' -p66484 -aS'point\tpoint\tNN\tI-NP\tO' -p66485 -aS'the\tthe\tDT\tB-NP\tO' -p66486 -aS'patient\tpatient\tNN\tI-NP\tO' -p66487 -aS'is\tbe\tVBZ\tB-VP\tO' -p66488 -aS'CMO\tCMO\tNN\tB-NP\tO' -p66489 -aS'and\tand\tCC\tI-NP\tO' -p66490 -aS'tube\ttube\tNN\tI-NP\tO' -p66491 -aS'feeds\tfeed\tNNS\tI-NP\tO' -p66492 -aS'have\thave\tVBP\tB-VP\tO' -p66493 -aS'been\tbe\tVBN\tI-VP\tO' -p66494 -aS'subsequently\tsubsequently\tRB\tI-VP\tO' -p66495 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p66496 -aS'.\t.\t.\tO\tO' -p66497 -asS'19. Levofloxacin 500 mg Tablet Sig : One ( 1 ) Tablet PO Q24H ( every 24 hours ) : Last day 08-07 .' -p66498 -(lp66499 -S'19.\t19.\tCD\tB-NP\tO' -p66500 -aS'Levofloxacin\tLevofloxacin\tNN\tI-NP\tO' -p66501 -aS'500\t500\tCD\tB-NP\tO' -p66502 -aS'mg\tmg\tNN\tI-NP\tO' -p66503 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p66504 -aS'Sig\tSig\tNNP\tI-NP\tO' -p66505 -aS':\t:\t:\tO\tO' -p66506 -aS'One\tOne\tCD\tB-NP\tO' -p66507 -aS'(\t(\t(\tO\tO' -p66508 -aS'1\t1\tCD\tB-NP\tO' -p66509 -aS')\t)\t)\tO\tO' -p66510 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p66511 -aS'PO\tPO\tNN\tI-NP\tO' -p66512 -aS'Q24H\tQ24H\tNN\tI-NP\tO' -p66513 -aS'(\t(\t(\tO\tO' -p66514 -aS'every\tevery\tDT\tB-NP\tO' -p66515 -aS'24\t24\tCD\tI-NP\tO' -p66516 -aS'hours\thour\tNNS\tI-NP\tO' -p66517 -aS')\t)\t)\tO\tO' -p66518 -aS':\t:\t:\tO\tO' -p66519 -aS'Last\tLast\tJJ\tB-NP\tO' -p66520 -aS'day\tday\tNN\tI-NP\tO' -p66521 -aS'08-07\t08-07\tCD\tI-NP\tO' -p66522 -aS'.\t.\t.\tO\tO' -p66523 -asS'Last week it was worse and he was seen in clinic .' -p66524 -(lp66525 -S'Last\tLast\tJJ\tB-NP\tO' -p66526 -aS'week\tweek\tNN\tI-NP\tO' -p66527 -aS'it\tit\tPRP\tB-NP\tO' -p66528 -aS'was\tbe\tVBD\tB-VP\tO' -p66529 -aS'worse\tworse\tJJR\tB-ADJP\tO' -p66530 -aS'and\tand\tCC\tO\tO' -p66531 -aS'he\the\tPRP\tB-NP\tO' -p66532 -aS'was\tbe\tVBD\tB-VP\tO' -p66533 -aS'seen\tsee\tVBN\tI-VP\tO' -p66534 -aS'in\tin\tIN\tB-PP\tO' -p66535 -aS'clinic\tclinic\tNN\tB-NP\tO' -p66536 -aS'.\t.\t.\tO\tO' -p66537 -asS'Infectious Disease Department as well as Cardiology had recommended a formal 14 - day course of intravenous antibiotics to treat a documented alpha Streptococcal septicemia from outside hospital blood cultures .' -p66538 -(lp66539 -S'Infectious\tInfectious\tNNP\tB-NP\tO' -p66540 -aS'Disease\tDisease\tNNP\tI-NP\tO' -p66541 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p66542 -aS'as\tas\tRB\tB-CONJP\tO' -p66543 -aS'well\twell\tRB\tI-CONJP\tO' -p66544 -aS'as\tas\tIN\tI-CONJP\tO' -p66545 -aS'Cardiology\tCardiology\tNNP\tB-NP\tO' -p66546 -aS'had\thave\tVBD\tB-VP\tO' -p66547 -aS'recommended\trecommend\tVBN\tI-VP\tO' -p66548 -aS'a\ta\tDT\tB-NP\tO' -p66549 -aS'formal\tformal\tJJ\tI-NP\tO' -p66550 -aS'14\t14\tCD\tI-NP\tO' -p66551 -aS'-\t-\tHYPH\tI-NP\tO' -p66552 -aS'day\tday\tNN\tI-NP\tO' -p66553 -aS'course\tcourse\tNN\tI-NP\tO' -p66554 -aS'of\tof\tIN\tB-PP\tO' -p66555 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p66556 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p66557 -aS'to\tto\tTO\tB-VP\tO' -p66558 -aS'treat\ttreat\tVB\tI-VP\tO' -p66559 -aS'a\ta\tDT\tB-NP\tO' -p66560 -aS'documented\tdocument\tVBN\tI-NP\tO' -p66561 -aS'alpha\talpha\tNN\tI-NP\tO' -p66562 -aS'Streptococcal\tStreptococcal\tJJ\tI-NP\tO' -p66563 -aS'septicemia\tsepticemia\tNN\tI-NP\tO' -p66564 -aS'from\tfrom\tIN\tB-PP\tO' -p66565 -aS'outside\toutside\tJJ\tB-NP\tB-cell_line' -p66566 -aS'hospital\thospital\tNN\tI-NP\tI-cell_line' -p66567 -aS'blood\tblood\tNN\tI-NP\tI-cell_line' -p66568 -aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' -p66569 -aS'.\t.\t.\tO\tO' -p66570 -asS'This is an 85 year old female with prior history of non-hodgkins lymphoma , s/p Cytoxan in 2003 a with recurrence in 2009 .' -p66571 -(lp66572 -S'This\tThis\tDT\tB-NP\tO' -p66573 -aS'is\tbe\tVBZ\tB-VP\tO' -p66574 -aS'an\tan\tDT\tB-NP\tO' -p66575 -aS'85\t85\tCD\tI-NP\tO' -p66576 -aS'year\tyear\tNN\tI-NP\tO' -p66577 -aS'old\told\tJJ\tI-NP\tO' -p66578 -aS'female\tfemale\tNN\tI-NP\tO' -p66579 -aS'with\twith\tIN\tB-PP\tO' -p66580 -aS'prior\tprior\tJJ\tB-NP\tO' -p66581 -aS'history\thistory\tNN\tI-NP\tO' -p66582 -aS'of\tof\tIN\tB-PP\tO' -p66583 -aS'non-hodgkins\tnon-hodgkins\tJJ\tB-NP\tO' -p66584 -aS'lymphoma\tlymphoma\tNN\tI-NP\tO' -p66585 -aS',\t,\t,\tO\tO' -p66586 -aS's/p\ts/p\tNN\tB-NP\tO' -p66587 -aS'Cytoxan\tCytoxan\tNN\tI-NP\tO' -p66588 -aS'in\tin\tIN\tB-PP\tO' -p66589 -aS'2003\t2003\tCD\tB-NP\tO' -p66590 -aS'a\ta\tDT\tO\tO' -p66591 -aS'with\twith\tIN\tB-PP\tO' -p66592 -aS'recurrence\trecurrence\tNN\tB-NP\tO' -p66593 -aS'in\tin\tIN\tB-PP\tO' -p66594 -aS'2009\t2009\tCD\tB-NP\tO' -p66595 -aS'.\t.\t.\tO\tO' -p66596 -asS'RARE GROWTH .' -p66597 -(lp66598 -S'RARE\tRARE\tNN\tB-NP\tO' -p66599 -aS'GROWTH\tGROWTH\tNN\tI-NP\tO' -p66600 -aS'.\t.\t.\tO\tO' -p66601 -asS'Sertraline 75 mg q.day .' -p66602 -(lp66603 -S'Sertraline\tSertraline\tNN\tB-NP\tO' -p66604 -aS'75\t75\tCD\tI-NP\tO' -p66605 -aS'mg\tmg\tNN\tI-NP\tO' -p66606 -aS'q.day\tq.day\tNN\tI-NP\tO' -p66607 -aS'.\t.\t.\tO\tO' -p66608 -asS'noncontributory , her last menstrual period was regular , and last week .' -p66609 -(lp66610 -S'noncontributory\tnoncontributory\tJJ\tB-ADVP\tO' -p66611 -aS',\t,\t,\tO\tO' -p66612 -aS'her\ther\tPRP$\tB-NP\tO' -p66613 -aS'last\tlast\tJJ\tI-NP\tO' -p66614 -aS'menstrual\tmenstrual\tJJ\tI-NP\tO' -p66615 -aS'period\tperiod\tNN\tI-NP\tO' -p66616 -aS'was\tbe\tVBD\tB-VP\tO' -p66617 -aS'regular\tregular\tJJ\tB-ADJP\tO' -p66618 -aS',\t,\t,\tO\tO' -p66619 -aS'and\tand\tCC\tO\tO' -p66620 -aS'last\tlast\tJJ\tB-NP\tO' -p66621 -aS'week\tweek\tNN\tI-NP\tO' -p66622 -aS'.\t.\t.\tO\tO' -p66623 -asS'Frank blood was taken out .' -p66624 -(lp66625 -S'Frank\tFrank\tNNP\tB-NP\tO' -p66626 -aS'blood\tblood\tNN\tI-NP\tO' -p66627 -aS'was\tbe\tVBD\tB-VP\tO' -p66628 -aS'taken\ttake\tVBN\tI-VP\tO' -p66629 -aS'out\tout\tRB\tB-PRT\tO' -p66630 -aS'.\t.\t.\tO\tO' -p66631 -asS'Flonase .' -p66632 -(lp66633 -S'Flonase\tFlonase\tNN\tB-NP\tB-protein' -p66634 -aS'.\t.\t.\tO\tO' -p66635 -asS'the right inguinal region .' -p66636 -(lp66637 -S'the\tthe\tDT\tB-NP\tO' -p66638 -aS'right\tright\tJJ\tI-NP\tB-DNA' -p66639 -aS'inguinal\tinguinal\tJJ\tI-NP\tI-DNA' -p66640 -aS'region\tregion\tNN\tI-NP\tI-DNA' -p66641 -aS'.\t.\t.\tO\tO' -p66642 -asS'ALT was 14 , AST was 31 , alkaline phosphatase was 42 , total bilirubin was 0.9 , albumin was 2.2 .' -p66643 -(lp66644 -S'ALT\tALT\tNN\tB-NP\tO' -p66645 -aS'was\tbe\tVBD\tB-VP\tO' -p66646 -aS'14\t14\tCD\tB-NP\tO' -p66647 -aS',\t,\t,\tO\tO' -p66648 -aS'AST\tAST\tNN\tB-NP\tO' -p66649 -aS'was\tbe\tVBD\tB-VP\tO' -p66650 -aS'31\t31\tCD\tB-NP\tO' -p66651 -aS',\t,\t,\tO\tO' -p66652 -aS'alkaline\talkaline\tNN\tB-NP\tB-protein' -p66653 -aS'phosphatase\tphosphatase\tNN\tI-NP\tI-protein' -p66654 -aS'was\tbe\tVBD\tB-VP\tO' -p66655 -aS'42\t42\tCD\tB-NP\tO' -p66656 -aS',\t,\t,\tO\tO' -p66657 -aS'total\ttotal\tJJ\tB-NP\tO' -p66658 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p66659 -aS'was\tbe\tVBD\tB-VP\tO' -p66660 -aS'0.9\t0.9\tCD\tB-NP\tO' -p66661 -aS',\t,\t,\tO\tO' -p66662 -aS'albumin\talbumin\tNN\tB-NP\tB-protein' -p66663 -aS'was\tbe\tVBD\tB-VP\tO' -p66664 -aS'2.2\t2.2\tCD\tB-NP\tO' -p66665 -aS'.\t.\t.\tO\tO' -p66666 -asS'A urinalysis was obtained which showed blood , urine sediment was active with positive dysmorphic cells , red cell casts , and 1+ albumin with mild protein uria .' -p66667 -(lp66668 -S'A\tA\tDT\tB-NP\tO' -p66669 -aS'urinalysis\turinalysis\tNN\tI-NP\tO' -p66670 -aS'was\tbe\tVBD\tB-VP\tO' -p66671 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p66672 -aS'which\twhich\tWDT\tB-NP\tO' -p66673 -aS'showed\tshow\tVBD\tB-VP\tO' -p66674 -aS'blood\tblood\tNN\tB-NP\tO' -p66675 -aS',\t,\t,\tO\tO' -p66676 -aS'urine\turine\tNN\tB-NP\tO' -p66677 -aS'sediment\tsediment\tNN\tI-NP\tO' -p66678 -aS'was\tbe\tVBD\tB-VP\tO' -p66679 -aS'active\tactive\tJJ\tB-ADJP\tO' -p66680 -aS'with\twith\tIN\tB-PP\tO' -p66681 -aS'positive\tpositive\tJJ\tB-NP\tB-cell_type' -p66682 -aS'dysmorphic\tdysmorphic\tJJ\tI-NP\tI-cell_type' -p66683 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p66684 -aS',\t,\t,\tO\tO' -p66685 -aS'red\tred\tJJ\tB-NP\tO' -p66686 -aS'cell\tcell\tNN\tI-NP\tO' -p66687 -aS'casts\tcast\tNNS\tI-NP\tO' -p66688 -aS',\t,\t,\tO\tO' -p66689 -aS'and\tand\tCC\tO\tO' -p66690 -aS'1+\t1+\tJJ\tB-NP\tO' -p66691 -aS'albumin\talbumin\tNN\tI-NP\tO' -p66692 -aS'with\twith\tIN\tB-PP\tO' -p66693 -aS'mild\tmild\tJJ\tB-NP\tO' -p66694 -aS'protein\tprotein\tNN\tI-NP\tO' -p66695 -aS'uria\turia\tNN\tI-NP\tO' -p66696 -aS'.\t.\t.\tO\tO' -p66697 -asS'Twice a day for one month , followed by one tablet per day .' -p66698 -(lp66699 -S'Twice\tTwice\tRB\tB-NP\tO' -p66700 -aS'a\ta\tDT\tI-NP\tO' -p66701 -aS'day\tday\tNN\tI-NP\tO' -p66702 -aS'for\tfor\tIN\tB-PP\tO' -p66703 -aS'one\tone\tCD\tB-NP\tO' -p66704 -aS'month\tmonth\tNN\tI-NP\tO' -p66705 -aS',\t,\t,\tO\tO' -p66706 -aS'followed\tfollow\tVBN\tB-VP\tO' -p66707 -aS'by\tby\tIN\tB-PP\tO' -p66708 -aS'one\tone\tCD\tB-NP\tO' -p66709 -aS'tablet\ttablet\tNN\tI-NP\tO' -p66710 -aS'per\tper\tIN\tB-PP\tO' -p66711 -aS'day\tday\tNN\tB-NP\tO' -p66712 -aS'.\t.\t.\tO\tO' -p66713 -asS'Signed electronically by : DR. Teresa Loper on : FRI 2017-09-22 4:29 PM' -p66714 -(lp66715 -S'Signed\tSign\tVBN\tB-VP\tO' -p66716 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p66717 -aS'by\tby\tIN\tB-PP\tO' -p66718 -aS':\t:\t:\tO\tO' -p66719 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p66720 -aS'Teresa\tTeresa\tNNP\tI-NP\tO' -p66721 -aS'Loper\tLoper\tNNP\tI-NP\tO' -p66722 -aS'on\ton\tIN\tB-PP\tO' -p66723 -aS':\t:\t:\tO\tO' -p66724 -aS'FRI\tFRI\tCD\tB-NP\tO' -p66725 -aS'2017-09-22\t2017-09-22\tCD\tI-NP\tO' -p66726 -aS'4:29\t4:29\tCD\tI-NP\tO' -p66727 -aS'PM\tPM\tNN\tI-NP\tO' -p66728 -asS'Father died from MI at age 72 .' -p66729 -(lp66730 -S'Father\tFather\tNNP\tB-NP\tO' -p66731 -aS'died\tdie\tVBD\tB-VP\tO' -p66732 -aS'from\tfrom\tIN\tB-PP\tO' -p66733 -aS'MI\tMI\tNN\tB-NP\tO' -p66734 -aS'at\tat\tIN\tB-PP\tO' -p66735 -aS'age\tage\tNN\tB-NP\tO' -p66736 -aS'72\t72\tCD\tI-NP\tO' -p66737 -aS'.\t.\t.\tO\tO' -p66738 -asS'Speech therapy was also consulted , and recommended oupatient speech therapy .' -p66739 -(lp66740 -S'Speech\tSpeech\tNN\tB-NP\tO' -p66741 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p66742 -aS'was\tbe\tVBD\tB-VP\tO' -p66743 -aS'also\talso\tRB\tI-VP\tO' -p66744 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p66745 -aS',\t,\t,\tO\tO' -p66746 -aS'and\tand\tCC\tO\tO' -p66747 -aS'recommended\trecommend\tVBD\tB-VP\tO' -p66748 -aS'oupatient\toupatient\tJJ\tB-NP\tO' -p66749 -aS'speech\tspeech\tNN\tI-NP\tO' -p66750 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p66751 -aS'.\t.\t.\tO\tO' -p66752 -asS'There was a 1 cm firm nodule in the right upper quadrant of the abdomen .' -p66753 -(lp66754 -S'There\tThere\tEX\tB-NP\tO' -p66755 -aS'was\tbe\tVBD\tB-VP\tO' -p66756 -aS'a\ta\tDT\tB-NP\tO' -p66757 -aS'1\t1\tCD\tI-NP\tO' -p66758 -aS'cm\tcm\tNN\tI-NP\tO' -p66759 -aS'firm\tfirm\tJJ\tI-NP\tO' -p66760 -aS'nodule\tnodule\tNN\tI-NP\tO' -p66761 -aS'in\tin\tIN\tB-PP\tO' -p66762 -aS'the\tthe\tDT\tB-NP\tO' -p66763 -aS'right\tright\tJJ\tI-NP\tO' -p66764 -aS'upper\tupper\tJJ\tI-NP\tO' -p66765 -aS'quadrant\tquadrant\tNN\tI-NP\tO' -p66766 -aS'of\tof\tIN\tB-PP\tO' -p66767 -aS'the\tthe\tDT\tB-NP\tO' -p66768 -aS'abdomen\tabdoman\tNNS\tI-NP\tO' -p66769 -aS'.\t.\t.\tO\tO' -p66770 -asS'CXR notable for RLL infiltrate with old B upper lung field granulomas .' -p66771 -(lp66772 -S'CXR\tCXR\tNN\tB-NP\tB-protein' -p66773 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p66774 -aS'for\tfor\tIN\tB-PP\tO' -p66775 -aS'RLL\tRLL\tNN\tB-NP\tO' -p66776 -aS'infiltrate\tinfiltrate\tNN\tI-NP\tO' -p66777 -aS'with\twith\tIN\tB-PP\tO' -p66778 -aS'old\told\tJJ\tB-NP\tO' -p66779 -aS'B\tB\tNN\tI-NP\tO' -p66780 -aS'upper\tupper\tJJ\tI-NP\tO' -p66781 -aS'lung\tlung\tNN\tI-NP\tO' -p66782 -aS'field\tfield\tNN\tI-NP\tO' -p66783 -aS'granulomas\tgranuloma\tNNS\tI-NP\tO' -p66784 -aS'.\t.\t.\tO\tO' -p66785 -asS'Sodium 141 , potassium 4.1 , chloride 104 , bicarbonate 28.8 , BUN 17 , creatinine 0.9 , glucose 118 .' -p66786 -(lp66787 -S'Sodium\tSodium\tNN\tB-NP\tB-protein' -p66788 -aS'141\t141\tCD\tI-NP\tI-protein' -p66789 -aS',\t,\t,\tO\tO' -p66790 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p66791 -aS'4.1\t4.1\tCD\tI-NP\tO' -p66792 -aS',\t,\t,\tO\tO' -p66793 -aS'chloride\tchloride\tNN\tB-NP\tO' -p66794 -aS'104\t104\tCD\tI-NP\tO' -p66795 -aS',\t,\t,\tO\tO' -p66796 -aS'bicarbonate\tbicarbonate\tNN\tB-NP\tB-protein' -p66797 -aS'28.8\t28.8\tCD\tI-NP\tI-protein' -p66798 -aS',\t,\t,\tO\tO' -p66799 -aS'BUN\tBUN\tNN\tB-NP\tB-DNA' -p66800 -aS'17\t17\tCD\tI-NP\tI-DNA' -p66801 -aS',\t,\t,\tO\tO' -p66802 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p66803 -aS'0.9\t0.9\tCD\tI-NP\tO' -p66804 -aS',\t,\t,\tO\tO' -p66805 -aS'glucose\tglucose\tNN\tB-NP\tO' -p66806 -aS'118\t118\tCD\tI-NP\tO' -p66807 -aS'.\t.\t.\tO\tO' -p66808 -asS'Discharge Instructions : keep wounds clean and dry .' -p66809 -(lp66810 -S'Discharge\tDischarge\tNNP\tB-NP\tO' -p66811 -aS'Instructions\tInstruction\tNNPS\tI-NP\tO' -p66812 -aS':\t:\t:\tO\tO' -p66813 -aS'keep\tkeep\tVB\tB-VP\tO' -p66814 -aS'wounds\twound\tNNS\tB-NP\tO' -p66815 -aS'clean\tclean\tJJ\tB-ADJP\tO' -p66816 -aS'and\tand\tCC\tI-ADJP\tO' -p66817 -aS'dry\tdry\tJJ\tI-ADJP\tO' -p66818 -aS'.\t.\t.\tO\tO' -p66819 -asS'The EMS was called and found his blood sugar at the time to be 61 and noted to be 41 in the Emergency Department .' -p66820 -(lp66821 -S'The\tThe\tDT\tB-NP\tO' -p66822 -aS'EMS\tEMS\tNNP\tI-NP\tO' -p66823 -aS'was\tbe\tVBD\tB-VP\tO' -p66824 -aS'called\tcall\tVBN\tI-VP\tO' -p66825 -aS'and\tand\tCC\tO\tO' -p66826 -aS'found\tfind\tVBN\tB-VP\tO' -p66827 -aS'his\this\tPRP$\tB-NP\tO' -p66828 -aS'blood\tblood\tNN\tI-NP\tO' -p66829 -aS'sugar\tsugar\tNN\tI-NP\tO' -p66830 -aS'at\tat\tIN\tB-PP\tO' -p66831 -aS'the\tthe\tDT\tB-NP\tO' -p66832 -aS'time\ttime\tNN\tI-NP\tO' -p66833 -aS'to\tto\tTO\tB-VP\tO' -p66834 -aS'be\tbe\tVB\tI-VP\tO' -p66835 -aS'61\t61\tCD\tB-NP\tO' -p66836 -aS'and\tand\tCC\tO\tO' -p66837 -aS'noted\tnote\tVBD\tB-VP\tO' -p66838 -aS'to\tto\tTO\tI-VP\tO' -p66839 -aS'be\tbe\tVB\tI-VP\tO' -p66840 -aS'41\t41\tCD\tB-NP\tO' -p66841 -aS'in\tin\tIN\tB-PP\tO' -p66842 -aS'the\tthe\tDT\tB-NP\tO' -p66843 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p66844 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p66845 -aS'.\t.\t.\tO\tO' -p66846 -asS'patient recovered well from colocetomy .' -p66847 -(lp66848 -S'patient\tpatient\tNN\tB-NP\tO' -p66849 -aS'recovered\trecover\tVBD\tB-VP\tO' -p66850 -aS'well\twell\tRB\tB-ADVP\tO' -p66851 -aS'from\tfrom\tIN\tB-PP\tO' -p66852 -aS'colocetomy\tcolocetomy\tNN\tB-NP\tO' -p66853 -aS'.\t.\t.\tO\tO' -p66854 -asS'This interim dictation to be followed by an addendum detailing end of hospital course .' -p66855 -(lp66856 -S'This\tThis\tDT\tB-NP\tO' -p66857 -aS'interim\tinterim\tJJ\tI-NP\tO' -p66858 -aS'dictation\tdictation\tNN\tI-NP\tO' -p66859 -aS'to\tto\tTO\tB-VP\tO' -p66860 -aS'be\tbe\tVB\tI-VP\tO' -p66861 -aS'followed\tfollow\tVBN\tI-VP\tO' -p66862 -aS'by\tby\tIN\tB-PP\tO' -p66863 -aS'an\tan\tDT\tB-NP\tO' -p66864 -aS'addendum\taddendum\tNN\tI-NP\tO' -p66865 -aS'detailing\tdetailing\tNN\tI-NP\tO' -p66866 -aS'end\tend\tNN\tI-NP\tO' -p66867 -aS'of\tof\tIN\tB-PP\tO' -p66868 -aS'hospital\thospital\tNN\tB-NP\tO' -p66869 -aS'course\tcourse\tNN\tI-NP\tO' -p66870 -aS'.\t.\t.\tO\tO' -p66871 -asS'The patient presented with a comminuted fracture of the proximal left humerus when he slipped over the stairs , about to board an airplane back to Jeglas Blvd. , Jolouisrowarlihis , Alabama 86071 .' -p66872 -(lp66873 -S'The\tThe\tDT\tB-NP\tO' -p66874 -aS'patient\tpatient\tNN\tI-NP\tO' -p66875 -aS'presented\tpresent\tVBD\tB-VP\tO' -p66876 -aS'with\twith\tIN\tB-PP\tO' -p66877 -aS'a\ta\tDT\tB-NP\tO' -p66878 -aS'comminuted\tcomminuted\tJJ\tI-NP\tO' -p66879 -aS'fracture\tfracture\tNN\tI-NP\tO' -p66880 -aS'of\tof\tIN\tB-PP\tO' -p66881 -aS'the\tthe\tDT\tB-NP\tO' -p66882 -aS'proximal\tproximal\tJJ\tI-NP\tO' -p66883 -aS'left\tleft\tJJ\tI-NP\tO' -p66884 -aS'humerus\thumerus\tNN\tI-NP\tO' -p66885 -aS'when\twhen\tWRB\tB-ADVP\tO' -p66886 -aS'he\the\tPRP\tB-NP\tO' -p66887 -aS'slipped\tslip\tVBD\tB-VP\tO' -p66888 -aS'over\tover\tIN\tB-PP\tO' -p66889 -aS'the\tthe\tDT\tB-NP\tO' -p66890 -aS'stairs\tstair\tNNS\tI-NP\tO' -p66891 -aS',\t,\t,\tO\tO' -p66892 -aS'about\tabout\tIN\tO\tO' -p66893 -aS'to\tto\tTO\tB-VP\tO' -p66894 -aS'board\tboard\tVB\tI-VP\tO' -p66895 -aS'an\tan\tDT\tB-NP\tO' -p66896 -aS'airplane\tairplane\tNN\tI-NP\tO' -p66897 -aS'back\tback\tRB\tB-ADVP\tO' -p66898 -aS'to\tto\tTO\tB-PP\tO' -p66899 -aS'Jeglas\tJeglas\tNNP\tB-NP\tO' -p66900 -aS'Blvd.\tBlvd.\tNNP\tI-NP\tO' -p66901 -aS',\t,\t,\tO\tO' -p66902 -aS'Jolouisrowarlihis\tJolouisrowarlihis\tNNP\tB-NP\tO' -p66903 -aS',\t,\t,\tO\tO' -p66904 -aS'Alabama\tAlabama\tNNP\tB-NP\tO' -p66905 -aS'86071\t86071\tCD\tI-NP\tO' -p66906 -aS'.\t.\t.\tO\tO' -p66907 -asS'At the time of her last visit ( 2015-03-18 ) Dr. Bradley had discussed the addition of a third Castelluccio , possibly zonegran ( less likely topamax ), to the dilantin 200 mg bid and keppra 1500 mg bid .' -p66908 -(lp66909 -S'At\tAt\tIN\tB-PP\tO' -p66910 -aS'the\tthe\tDT\tB-NP\tO' -p66911 -aS'time\ttime\tNN\tI-NP\tO' -p66912 -aS'of\tof\tIN\tB-PP\tO' -p66913 -aS'her\ther\tPRP$\tB-NP\tO' -p66914 -aS'last\tlast\tJJ\tI-NP\tO' -p66915 -aS'visit\tvisit\tNN\tI-NP\tO' -p66916 -aS'(\t(\t(\tO\tO' -p66917 -aS'2015-03-18\t2015-03-18\tCD\tB-NP\tO' -p66918 -aS')\t)\t)\tO\tO' -p66919 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p66920 -aS'Bradley\tBradley\tNNP\tI-NP\tO' -p66921 -aS'had\thave\tVBD\tB-VP\tO' -p66922 -aS'discussed\tdiscuss\tVBN\tI-VP\tO' -p66923 -aS'the\tthe\tDT\tB-NP\tO' -p66924 -aS'addition\taddition\tNN\tI-NP\tO' -p66925 -aS'of\tof\tIN\tB-PP\tO' -p66926 -aS'a\ta\tDT\tB-NP\tO' -p66927 -aS'third\tthird\tJJ\tI-NP\tO' -p66928 -aS'Castelluccio\tCastelluccio\tNNP\tI-NP\tO' -p66929 -aS',\t,\t,\tO\tO' -p66930 -aS'possibly\tpossibly\tRB\tB-NP\tO' -p66931 -aS'zonegran\tzonegran\tNN\tI-NP\tO' -p66932 -aS'(\t(\t(\tO\tO' -p66933 -aS'less\tless\tRBR\tB-NP\tO' -p66934 -aS'likely\tlikely\tJJ\tI-NP\tO' -p66935 -aS'topamax\ttopamax\tNN\tI-NP\tO' -p66936 -aS'),\t),\tVBD\tB-VP\tO' -p66937 -aS'to\tto\tTO\tB-PP\tO' -p66938 -aS'the\tthe\tDT\tB-NP\tO' -p66939 -aS'dilantin\tdilantin\tNN\tI-NP\tO' -p66940 -aS'200\t200\tCD\tI-NP\tO' -p66941 -aS'mg\tmg\tNN\tI-NP\tO' -p66942 -aS'bid\tbid\tRB\tB-ADVP\tO' -p66943 -aS'and\tand\tCC\tO\tO' -p66944 -aS'keppra\tkeppra\tNN\tB-NP\tO' -p66945 -aS'1500\t1500\tCD\tI-NP\tO' -p66946 -aS'mg\tmg\tNN\tI-NP\tO' -p66947 -aS'bid\tbid\tRB\tB-ADVP\tO' -p66948 -aS'.\t.\t.\tO\tO' -p66949 -asS'Stable , afebrile .' -p66950 -(lp66951 -S'Stable\tStable\tJJ\tB-NP\tO' -p66952 -aS',\t,\t,\tI-NP\tO' -p66953 -aS'afebrile\tafebrile\tJJ\tI-NP\tO' -p66954 -aS'.\t.\t.\tO\tO' -p66955 -asS'Bone scan , CT of the abdomen , chest X-Ray , and mammogram were all negative .' -p66956 -(lp66957 -S'Bone\tBone\tNN\tB-NP\tO' -p66958 -aS'scan\tscan\tNN\tI-NP\tO' -p66959 -aS',\t,\t,\tO\tO' -p66960 -aS'CT\tCT\tNN\tB-NP\tO' -p66961 -aS'of\tof\tIN\tB-PP\tO' -p66962 -aS'the\tthe\tDT\tB-NP\tO' -p66963 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p66964 -aS',\t,\t,\tO\tO' -p66965 -aS'chest\tchest\tNN\tB-NP\tO' -p66966 -aS'X-Ray\tX-Ray\tNNP\tI-NP\tO' -p66967 -aS',\t,\t,\tO\tO' -p66968 -aS'and\tand\tCC\tO\tO' -p66969 -aS'mammogram\tmammogram\tNN\tB-NP\tO' -p66970 -aS'were\tbe\tVBD\tB-VP\tO' -p66971 -aS'all\tall\tDT\tO\tO' -p66972 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p66973 -aS'.\t.\t.\tO\tO' -p66974 -asS'Upon transfer to the CMED CCU the patient appears somewhat uncomfortable , reporting nausea and abdominal pain , but when questioned he was unable / unwilling to participate in HPI or exam d/t sleepiness .' -p66975 -(lp66976 -S'Upon\tUpon\tIN\tB-PP\tO' -p66977 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p66978 -aS'to\tto\tTO\tB-PP\tO' -p66979 -aS'the\tthe\tDT\tB-NP\tO' -p66980 -aS'CMED\tCMED\tJJ\tI-NP\tO' -p66981 -aS'CCU\tCCU\tNN\tI-NP\tO' -p66982 -aS'the\tthe\tDT\tB-NP\tO' -p66983 -aS'patient\tpatient\tNN\tI-NP\tO' -p66984 -aS'appears\tappear\tVBZ\tB-VP\tO' -p66985 -aS'somewhat\tsomewhat\tRB\tB-ADJP\tO' -p66986 -aS'uncomfortable\tuncomfortable\tJJ\tI-ADJP\tO' -p66987 -aS',\t,\t,\tO\tO' -p66988 -aS'reporting\treport\tVBG\tB-VP\tO' -p66989 -aS'nausea\tnausea\tNN\tB-NP\tO' -p66990 -aS'and\tand\tCC\tO\tO' -p66991 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p66992 -aS'pain\tpain\tNN\tI-NP\tO' -p66993 -aS',\t,\t,\tO\tO' -p66994 -aS'but\tbut\tCC\tO\tO' -p66995 -aS'when\twhen\tWRB\tB-ADVP\tO' -p66996 -aS'questioned\tquestion\tVBN\tB-VP\tO' -p66997 -aS'he\the\tPRP\tB-NP\tO' -p66998 -aS'was\tbe\tVBD\tB-VP\tO' -p66999 -aS'unable\tunable\tJJ\tB-ADJP\tO' -p67000 -aS'/\t/\tSYM\tB-NP\tO' -p67001 -aS'unwilling\tunwilling\tJJ\tB-ADJP\tO' -p67002 -aS'to\tto\tTO\tB-VP\tO' -p67003 -aS'participate\tparticipate\tVB\tI-VP\tO' -p67004 -aS'in\tin\tIN\tB-PP\tO' -p67005 -aS'HPI\tHPI\tNN\tB-NP\tB-cell_line' -p67006 -aS'or\tor\tCC\tI-NP\tO' -p67007 -aS'exam\texam\tNN\tI-NP\tO' -p67008 -aS'd/t\td/t\tNN\tI-NP\tO' -p67009 -aS'sleepiness\tsleepiness\tNN\tI-NP\tO' -p67010 -aS'.\t.\t.\tO\tO' -p67011 -asS'There is no atlantoaxial subluxation .' -p67012 -(lp67013 -S'There\tThere\tEX\tB-NP\tO' -p67014 -aS'is\tbe\tVBZ\tB-VP\tO' -p67015 -aS'no\tno\tDT\tB-NP\tO' -p67016 -aS'atlantoaxial\tatlantoaxial\tJJ\tI-NP\tO' -p67017 -aS'subluxation\tsubluxation\tNN\tI-NP\tO' -p67018 -aS'.\t.\t.\tO\tO' -p67019 -asS'She is afebrile with stable vital signs .' -p67020 -(lp67021 -S'She\tShe\tPRP\tB-NP\tO' -p67022 -aS'is\tbe\tVBZ\tB-VP\tO' -p67023 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p67024 -aS'with\twith\tIN\tB-PP\tO' -p67025 -aS'stable\tstable\tJJ\tB-NP\tO' -p67026 -aS'vital\tvital\tJJ\tI-NP\tO' -p67027 -aS'signs\tsign\tNNS\tI-NP\tO' -p67028 -aS'.\t.\t.\tO\tO' -p67029 -asS'His intracranial pressure remained stable , and his clinical examination was unchanged .' -p67030 -(lp67031 -S'His\tHis\tPRP$\tB-NP\tO' -p67032 -aS'intracranial\tintracranial\tJJ\tI-NP\tO' -p67033 -aS'pressure\tpressure\tNN\tI-NP\tO' -p67034 -aS'remained\tremain\tVBD\tB-VP\tO' -p67035 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p67036 -aS',\t,\t,\tO\tO' -p67037 -aS'and\tand\tCC\tO\tO' -p67038 -aS'his\this\tPRP$\tB-NP\tO' -p67039 -aS'clinical\tclinical\tJJ\tI-NP\tO' -p67040 -aS'examination\texamination\tNN\tI-NP\tO' -p67041 -aS'was\tbe\tVBD\tB-VP\tO' -p67042 -aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' -p67043 -aS'.\t.\t.\tO\tO' -p67044 -asS'He is a heavy smoker and drinks 2-3 shots per day at times .' -p67045 -(lp67046 -S'He\tHe\tPRP\tB-NP\tB-DNA' -p67047 -aS'is\tbe\tVBZ\tB-VP\tO' -p67048 -aS'a\ta\tDT\tB-NP\tO' -p67049 -aS'heavy\theavy\tJJ\tI-NP\tO' -p67050 -aS'smoker\tsmoker\tNN\tI-NP\tO' -p67051 -aS'and\tand\tCC\tO\tO' -p67052 -aS'drinks\tdrink\tVBZ\tB-VP\tO' -p67053 -aS'2-3\t2-3\tCD\tB-NP\tO' -p67054 -aS'shots\tshot\tNNS\tI-NP\tO' -p67055 -aS'per\tper\tIN\tB-PP\tO' -p67056 -aS'day\tday\tNN\tB-NP\tO' -p67057 -aS'at\tat\tIN\tB-PP\tO' -p67058 -aS'times\ttime\tNNS\tB-NP\tO' -p67059 -aS'.\t.\t.\tO\tO' -p67060 -asS'The patient underwent cardiac catheterization on 2011-10-17 which revealed a 20% left vein osteal lesion as well as 70% LAD lesion and an 80% right coronary .' -p67061 -(lp67062 -S'The\tThe\tDT\tB-NP\tO' -p67063 -aS'patient\tpatient\tNN\tI-NP\tO' -p67064 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p67065 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p67066 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p67067 -aS'on\ton\tIN\tB-PP\tO' -p67068 -aS'2011-10-17\t2011-10-17\tCD\tB-NP\tO' -p67069 -aS'which\twhich\tWDT\tB-NP\tO' -p67070 -aS'revealed\treveal\tVBD\tB-VP\tO' -p67071 -aS'a\ta\tDT\tB-NP\tO' -p67072 -aS'20%\t20%\tJJ\tI-NP\tO' -p67073 -aS'left\tleft\tJJ\tI-NP\tO' -p67074 -aS'vein\tvein\tNN\tI-NP\tO' -p67075 -aS'osteal\tosteal\tJJ\tI-NP\tO' -p67076 -aS'lesion\tlesion\tNN\tI-NP\tO' -p67077 -aS'as\tas\tRB\tB-CONJP\tO' -p67078 -aS'well\twell\tRB\tI-CONJP\tO' -p67079 -aS'as\tas\tIN\tI-CONJP\tO' -p67080 -aS'70%\t70%\tJJ\tB-NP\tO' -p67081 -aS'LAD\tLAD\tNN\tI-NP\tO' -p67082 -aS'lesion\tlesion\tNN\tI-NP\tO' -p67083 -aS'and\tand\tCC\tO\tO' -p67084 -aS'an\tan\tDT\tB-NP\tO' -p67085 -aS'80%\t80%\tCD\tI-NP\tO' -p67086 -aS'right\tright\tJJ\tI-NP\tO' -p67087 -aS'coronary\tcoronary\tNN\tI-NP\tO' -p67088 -aS'.\t.\t.\tO\tO' -p67089 -asS'The patient currently lives lone in Malden .' -p67090 -(lp67091 -S'The\tThe\tDT\tB-NP\tO' -p67092 -aS'patient\tpatient\tNN\tI-NP\tO' -p67093 -aS'currently\tcurrently\tRB\tB-ADVP\tO' -p67094 -aS'lives\tlive\tVBZ\tB-VP\tO' -p67095 -aS'lone\tlone\tNN\tB-NP\tO' -p67096 -aS'in\tin\tIN\tB-PP\tO' -p67097 -aS'Malden\tMalden\tNNP\tB-NP\tO' -p67098 -aS'.\t.\t.\tO\tO' -p67099 -asS'The patient received the appropriate protocol for myocardial infarction , intravenous heparin , aspirin , and beta blockers for rate and blood pressure control .' -p67100 -(lp67101 -S'The\tThe\tDT\tB-NP\tO' -p67102 -aS'patient\tpatient\tNN\tI-NP\tO' -p67103 -aS'received\treceive\tVBD\tB-VP\tO' -p67104 -aS'the\tthe\tDT\tB-NP\tO' -p67105 -aS'appropriate\tappropriate\tJJ\tI-NP\tO' -p67106 -aS'protocol\tprotocol\tNN\tI-NP\tO' -p67107 -aS'for\tfor\tIN\tB-PP\tO' -p67108 -aS'myocardial\tmyocardial\tJJ\tB-NP\tO' -p67109 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p67110 -aS',\t,\t,\tO\tO' -p67111 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p67112 -aS'heparin\theparin\tNN\tI-NP\tO' -p67113 -aS',\t,\t,\tO\tO' -p67114 -aS'aspirin\taspirin\tNN\tB-NP\tO' -p67115 -aS',\t,\t,\tO\tO' -p67116 -aS'and\tand\tCC\tO\tO' -p67117 -aS'beta\tbeta\tNN\tB-NP\tO' -p67118 -aS'blockers\tblocker\tNNS\tI-NP\tO' -p67119 -aS'for\tfor\tIN\tB-PP\tO' -p67120 -aS'rate\trate\tNN\tB-NP\tO' -p67121 -aS'and\tand\tCC\tI-NP\tO' -p67122 -aS'blood\tblood\tNN\tI-NP\tO' -p67123 -aS'pressure\tpressure\tNN\tI-NP\tO' -p67124 -aS'control\tcontrol\tNN\tI-NP\tO' -p67125 -aS'.\t.\t.\tO\tO' -p67126 -asS'Denies alcohol use .' -p67127 -(lp67128 -S'Denies\tDeny\tNNS\tB-NP\tO' -p67129 -aS'alcohol\talcohol\tNN\tI-NP\tO' -p67130 -aS'use\tuse\tNN\tI-NP\tO' -p67131 -aS'.\t.\t.\tO\tO' -p67132 -asS'12. Status post left AV fistula .' -p67133 -(lp67134 -S'12.\t12.\tLS\tB-NP\tO' -p67135 -aS'Status\tStatus\tNNP\tI-NP\tO' -p67136 -aS'post\tpost\tNN\tI-NP\tO' -p67137 -aS'left\tleave\tVBD\tB-VP\tO' -p67138 -aS'AV\tAV\tNN\tB-NP\tO' -p67139 -aS'fistula\tfistula\tNN\tI-NP\tO' -p67140 -aS'.\t.\t.\tO\tO' -p67141 -asS'Her lasix gtt continued during this time .' -p67142 -(lp67143 -S'Her\tHer\tPRP$\tB-NP\tO' -p67144 -aS'lasix\tlasix\tNN\tI-NP\tO' -p67145 -aS'gtt\tgtt\tNN\tI-NP\tO' -p67146 -aS'continued\tcontinue\tVBN\tB-VP\tO' -p67147 -aS'during\tduring\tIN\tB-PP\tO' -p67148 -aS'this\tthis\tDT\tB-NP\tO' -p67149 -aS'time\ttime\tNN\tI-NP\tO' -p67150 -aS'.\t.\t.\tO\tO' -p67151 -asS'The possibility that she may need to receive radiation therapy to this area to prevent her from getting further obstruction was also brought up .' -p67152 -(lp67153 -S'The\tThe\tDT\tB-NP\tO' -p67154 -aS'possibility\tpossibility\tNN\tI-NP\tO' -p67155 -aS'that\tthat\tIN\tB-SBAR\tO' -p67156 -aS'she\tshe\tPRP\tB-NP\tO' -p67157 -aS'may\tmay\tMD\tB-VP\tO' -p67158 -aS'need\tneed\tVB\tI-VP\tO' -p67159 -aS'to\tto\tTO\tI-VP\tO' -p67160 -aS'receive\treceive\tVB\tI-VP\tO' -p67161 -aS'radiation\tradiation\tNN\tB-NP\tO' -p67162 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p67163 -aS'to\tto\tTO\tB-PP\tO' -p67164 -aS'this\tthis\tDT\tB-NP\tO' -p67165 -aS'area\tarea\tNN\tI-NP\tO' -p67166 -aS'to\tto\tTO\tB-VP\tO' -p67167 -aS'prevent\tprevent\tVB\tI-VP\tO' -p67168 -aS'her\ther\tPRP\tB-NP\tO' -p67169 -aS'from\tfrom\tIN\tB-PP\tO' -p67170 -aS'getting\tget\tVBG\tB-VP\tO' -p67171 -aS'further\tfurther\tJJ\tB-NP\tO' -p67172 -aS'obstruction\tobstruction\tNN\tI-NP\tO' -p67173 -aS'was\tbe\tVBD\tB-VP\tO' -p67174 -aS'also\talso\tRB\tI-VP\tO' -p67175 -aS'brought\tbring\tVBN\tI-VP\tO' -p67176 -aS'up\tup\tRP\tB-PRT\tO' -p67177 -aS'.\t.\t.\tO\tO' -p67178 -asS'Including cardiomyopathy , aortic stenosis , status post aortic valve replacement , coronary artery disease status post coronary artery bypass grafting with congestive heart failure and pulmonary edema .' -p67179 -(lp67180 -S'Including\tInclude\tVBG\tB-PP\tO' -p67181 -aS'cardiomyopathy\tcardiomyopathy\tNN\tB-NP\tO' -p67182 -aS',\t,\t,\tO\tO' -p67183 -aS'aortic\taortic\tJJ\tB-NP\tO' -p67184 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p67185 -aS',\t,\t,\tO\tO' -p67186 -aS'status\tstatus\tNN\tB-NP\tO' -p67187 -aS'post\tpost\tNN\tI-NP\tO' -p67188 -aS'aortic\taortic\tJJ\tI-NP\tO' -p67189 -aS'valve\tvalve\tNN\tI-NP\tO' -p67190 -aS'replacement\treplacement\tNN\tI-NP\tO' -p67191 -aS',\t,\t,\tO\tO' -p67192 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p67193 -aS'artery\tartery\tNN\tI-NP\tO' -p67194 -aS'disease\tdisease\tNN\tI-NP\tO' -p67195 -aS'status\tstatus\tNN\tI-NP\tO' -p67196 -aS'post\tpost\tNN\tI-NP\tO' -p67197 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p67198 -aS'artery\tartery\tNN\tI-NP\tO' -p67199 -aS'bypass\tbypass\tIN\tB-PP\tO' -p67200 -aS'grafting\tgraft\tVBG\tB-VP\tO' -p67201 -aS'with\twith\tIN\tB-PP\tO' -p67202 -aS'congestive\tcongestive\tJJ\tB-NP\tO' -p67203 -aS'heart\theart\tNN\tI-NP\tO' -p67204 -aS'failure\tfailure\tNN\tI-NP\tO' -p67205 -aS'and\tand\tCC\tO\tO' -p67206 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p67207 -aS'edema\tedema\tNN\tI-NP\tO' -p67208 -aS'.\t.\t.\tO\tO' -p67209 -asS'Mother received epidural and spinal anesthesia .' -p67210 -(lp67211 -S'Mother\tMother\tNNP\tB-NP\tO' -p67212 -aS'received\treceive\tVBD\tB-VP\tO' -p67213 -aS'epidural\tepidural\tJJ\tB-NP\tO' -p67214 -aS'and\tand\tCC\tI-NP\tO' -p67215 -aS'spinal\tspinal\tJJ\tI-NP\tO' -p67216 -aS'anesthesia\tanesthesia\tNN\tI-NP\tO' -p67217 -aS'.\t.\t.\tO\tO' -p67218 -asS'She was not a transplant candidate due to her obesity .' -p67219 -(lp67220 -S'She\tShe\tPRP\tB-NP\tO' -p67221 -aS'was\tbe\tVBD\tB-VP\tO' -p67222 -aS'not\tnot\tRB\tO\tO' -p67223 -aS'a\ta\tDT\tB-NP\tO' -p67224 -aS'transplant\ttransplant\tNN\tI-NP\tO' -p67225 -aS'candidate\tcandidate\tNN\tI-NP\tO' -p67226 -aS'due\tdue\tIN\tB-PP\tO' -p67227 -aS'to\tto\tTO\tB-PP\tO' -p67228 -aS'her\ther\tPRP$\tB-NP\tO' -p67229 -aS'obesity\tobesity\tNN\tI-NP\tO' -p67230 -aS'.\t.\t.\tO\tO' -p67231 -asS'Group B strep status was unknown .' -p67232 -(lp67233 -S'Group\tGroup\tNN\tB-NP\tO' -p67234 -aS'B\tB\tNN\tI-NP\tO' -p67235 -aS'strep\tstrep\tNN\tI-NP\tO' -p67236 -aS'status\tstatus\tNN\tI-NP\tO' -p67237 -aS'was\tbe\tVBD\tB-VP\tO' -p67238 -aS'unknown\tunknown\tJJ\tB-ADJP\tO' -p67239 -aS'.\t.\t.\tO\tO' -p67240 -asS'By report , the patient was ejected from the vehicle on impact and found curled in the fetal position at the rear of the vehicle at the scene .' -p67241 -(lp67242 -S'By\tBy\tIN\tB-PP\tO' -p67243 -aS'report\treport\tNN\tB-NP\tO' -p67244 -aS',\t,\t,\tO\tO' -p67245 -aS'the\tthe\tDT\tB-NP\tO' -p67246 -aS'patient\tpatient\tNN\tI-NP\tO' -p67247 -aS'was\tbe\tVBD\tB-VP\tO' -p67248 -aS'ejected\teject\tVBN\tI-VP\tO' -p67249 -aS'from\tfrom\tIN\tB-PP\tO' -p67250 -aS'the\tthe\tDT\tB-NP\tO' -p67251 -aS'vehicle\tvehicle\tNN\tI-NP\tO' -p67252 -aS'on\ton\tIN\tB-PP\tO' -p67253 -aS'impact\timpact\tNN\tB-NP\tO' -p67254 -aS'and\tand\tCC\tO\tO' -p67255 -aS'found\tfind\tVBN\tB-VP\tO' -p67256 -aS'curled\tcurl\tVBN\tI-VP\tO' -p67257 -aS'in\tin\tIN\tB-PP\tO' -p67258 -aS'the\tthe\tDT\tB-NP\tO' -p67259 -aS'fetal\tfetal\tJJ\tI-NP\tO' -p67260 -aS'position\tposition\tNN\tI-NP\tO' -p67261 -aS'at\tat\tIN\tB-PP\tO' -p67262 -aS'the\tthe\tDT\tB-NP\tO' -p67263 -aS'rear\trear\tNN\tI-NP\tO' -p67264 -aS'of\tof\tIN\tB-PP\tO' -p67265 -aS'the\tthe\tDT\tB-NP\tO' -p67266 -aS'vehicle\tvehicle\tNN\tI-NP\tO' -p67267 -aS'at\tat\tIN\tB-PP\tO' -p67268 -aS'the\tthe\tDT\tB-NP\tO' -p67269 -aS'scene\tscene\tNN\tI-NP\tO' -p67270 -aS'.\t.\t.\tO\tO' -p67271 -asS'Extremities showed trace pulmonary edema .' -p67272 -(lp67273 -S'Extremities\tExtremity\tNNS\tB-NP\tO' -p67274 -aS'showed\tshow\tVBD\tB-VP\tO' -p67275 -aS'trace\ttrace\tNN\tB-NP\tO' -p67276 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p67277 -aS'edema\tedema\tNN\tI-NP\tO' -p67278 -aS'.\t.\t.\tO\tO' -p67279 -asS'Following admission to the floor the pt developed increasing hypoxia and somnolence , requiring intubation on HD 5 .' -p67280 -(lp67281 -S'Following\tFollow\tVBG\tB-PP\tO' -p67282 -aS'admission\tadmission\tNN\tB-NP\tO' -p67283 -aS'to\tto\tTO\tB-PP\tO' -p67284 -aS'the\tthe\tDT\tB-NP\tO' -p67285 -aS'floor\tfloor\tNN\tI-NP\tO' -p67286 -aS'the\tthe\tDT\tB-NP\tO' -p67287 -aS'pt\tpt\tNN\tI-NP\tO' -p67288 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p67289 -aS'increasing\tincrease\tVBG\tI-VP\tO' -p67290 -aS'hypoxia\thypoxia\tNN\tB-NP\tO' -p67291 -aS'and\tand\tCC\tI-NP\tO' -p67292 -aS'somnolence\tsomnolence\tNN\tI-NP\tO' -p67293 -aS',\t,\t,\tO\tO' -p67294 -aS'requiring\trequire\tVBG\tB-VP\tO' -p67295 -aS'intubation\tintubation\tNN\tB-NP\tO' -p67296 -aS'on\ton\tIN\tB-PP\tO' -p67297 -aS'HD\tHD\tNN\tB-NP\tB-protein' -p67298 -aS'5\t5\tCD\tI-NP\tI-protein' -p67299 -aS'.\t.\t.\tO\tO' -p67300 -asS'She is a patient of Dr. James Deighan and will follow-up with her in one to two weeks .' -p67301 -(lp67302 -S'She\tShe\tPRP\tB-NP\tO' -p67303 -aS'is\tbe\tVBZ\tB-VP\tO' -p67304 -aS'a\ta\tDT\tB-NP\tO' -p67305 -aS'patient\tpatient\tNN\tI-NP\tO' -p67306 -aS'of\tof\tIN\tB-PP\tO' -p67307 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p67308 -aS'James\tJames\tNNP\tI-NP\tO' -p67309 -aS'Deighan\tDeighan\tNNP\tI-NP\tO' -p67310 -aS'and\tand\tCC\tO\tO' -p67311 -aS'will\twill\tMD\tB-VP\tO' -p67312 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p67313 -aS'with\twith\tIN\tB-PP\tO' -p67314 -aS'her\ther\tPRP\tB-NP\tO' -p67315 -aS'in\tin\tIN\tB-PP\tO' -p67316 -aS'one\tone\tCD\tB-NP\tO' -p67317 -aS'to\tto\tTO\tI-NP\tO' -p67318 -aS'two\ttwo\tCD\tI-NP\tO' -p67319 -aS'weeks\tweek\tNNS\tI-NP\tO' -p67320 -aS'.\t.\t.\tO\tO' -p67321 -asS'RIGHT OCCIPITAL , CEREBRAL INFARCTION .' -p67322 -(lp67323 -S'RIGHT\tRIGHT\tNNP\tB-NP\tO' -p67324 -aS'OCCIPITAL\tOCCIPITAL\tNNP\tI-NP\tO' -p67325 -aS',\t,\t,\tO\tO' -p67326 -aS'CEREBRAL\tCEREBRAL\tNNP\tB-NP\tO' -p67327 -aS'INFARCTION\tINFARCTION\tNNP\tI-NP\tO' -p67328 -aS'.\t.\t.\tO\tO' -p67329 -asS'His platelet count was maintained with platelet transfusion as necessary .' -p67330 -(lp67331 -S'His\tHis\tPRP$\tB-NP\tO' -p67332 -aS'platelet\tplatelet\tNN\tI-NP\tO' -p67333 -aS'count\tcount\tNN\tI-NP\tO' -p67334 -aS'was\tbe\tVBD\tB-VP\tO' -p67335 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p67336 -aS'with\twith\tIN\tB-PP\tO' -p67337 -aS'platelet\tplatelet\tNN\tB-NP\tO' -p67338 -aS'transfusion\ttransfusion\tNN\tI-NP\tO' -p67339 -aS'as\tas\tIN\tB-PP\tO' -p67340 -aS'necessary\tnecessary\tJJ\tB-ADJP\tO' -p67341 -aS'.\t.\t.\tO\tO' -p67342 -asS'The patient was therefore completely cultured again and begun on antibiotic coverage which would take care of the Pseudomonas he was known to have .' -p67343 -(lp67344 -S'The\tThe\tDT\tB-NP\tO' -p67345 -aS'patient\tpatient\tNN\tI-NP\tO' -p67346 -aS'was\tbe\tVBD\tB-VP\tO' -p67347 -aS'therefore\ttherefore\tRB\tI-VP\tO' -p67348 -aS'completely\tcompletely\tRB\tI-VP\tO' -p67349 -aS'cultured\tculture\tVBN\tI-VP\tO' -p67350 -aS'again\tagain\tRB\tB-ADVP\tO' -p67351 -aS'and\tand\tCC\tO\tO' -p67352 -aS'begun\tbegin\tVBN\tB-VP\tO' -p67353 -aS'on\ton\tIN\tB-PP\tO' -p67354 -aS'antibiotic\tantibiotic\tJJ\tB-NP\tO' -p67355 -aS'coverage\tcoverage\tNN\tI-NP\tO' -p67356 -aS'which\twhich\tWDT\tB-NP\tO' -p67357 -aS'would\twould\tMD\tB-VP\tO' -p67358 -aS'take\ttake\tVB\tI-VP\tO' -p67359 -aS'care\tcare\tNN\tB-NP\tO' -p67360 -aS'of\tof\tIN\tB-PP\tO' -p67361 -aS'the\tthe\tDT\tB-NP\tO' -p67362 -aS'Pseudomonas\tPseudomonas\tNN\tI-NP\tO' -p67363 -aS'he\the\tPRP\tB-NP\tO' -p67364 -aS'was\tbe\tVBD\tB-VP\tO' -p67365 -aS'known\tknow\tVBN\tI-VP\tO' -p67366 -aS'to\tto\tTO\tI-VP\tO' -p67367 -aS'have\thave\tVB\tI-VP\tO' -p67368 -aS'.\t.\t.\tO\tO' -p67369 -asS'On postoperative day number five , the patient continued to remain hemodynamically stable .' -p67370 -(lp67371 -S'On\tOn\tIN\tB-PP\tO' -p67372 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p67373 -aS'day\tday\tNN\tI-NP\tO' -p67374 -aS'number\tnumber\tNN\tI-NP\tO' -p67375 -aS'five\tfive\tCD\tB-NP\tO' -p67376 -aS',\t,\t,\tO\tO' -p67377 -aS'the\tthe\tDT\tB-NP\tO' -p67378 -aS'patient\tpatient\tNN\tI-NP\tO' -p67379 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p67380 -aS'to\tto\tTO\tI-VP\tO' -p67381 -aS'remain\tremain\tVB\tI-VP\tO' -p67382 -aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' -p67383 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p67384 -aS'.\t.\t.\tO\tO' -p67385 -asS'Discussed with trauma team during the study .' -p67386 -(lp67387 -S'Discussed\tDiscuss\tVBN\tB-VP\tO' -p67388 -aS'with\twith\tIN\tB-PP\tO' -p67389 -aS'trauma\ttrauma\tNN\tB-NP\tO' -p67390 -aS'team\tteam\tNN\tI-NP\tO' -p67391 -aS'during\tduring\tIN\tB-PP\tO' -p67392 -aS'the\tthe\tDT\tB-NP\tO' -p67393 -aS'study\tstudy\tNN\tI-NP\tO' -p67394 -aS'.\t.\t.\tO\tO' -p67395 -asS'He was walking in the hall , dragging his intravenous pole when he tripped over the foot of the pole and lost his balance .' -p67396 -(lp67397 -S'He\tHe\tPRP\tB-NP\tO' -p67398 -aS'was\tbe\tVBD\tB-VP\tO' -p67399 -aS'walking\twalk\tVBG\tI-VP\tO' -p67400 -aS'in\tin\tIN\tB-PP\tO' -p67401 -aS'the\tthe\tDT\tB-NP\tO' -p67402 -aS'hall\thall\tNN\tI-NP\tO' -p67403 -aS',\t,\t,\tO\tO' -p67404 -aS'dragging\tdrag\tVBG\tB-VP\tO' -p67405 -aS'his\this\tPRP$\tB-NP\tO' -p67406 -aS'intravenous\tintravenous\tJJ\tI-NP\tO' -p67407 -aS'pole\tpole\tNN\tI-NP\tO' -p67408 -aS'when\twhen\tWRB\tB-ADVP\tO' -p67409 -aS'he\the\tPRP\tB-NP\tO' -p67410 -aS'tripped\ttrip\tVBD\tB-VP\tO' -p67411 -aS'over\tover\tIN\tB-PP\tO' -p67412 -aS'the\tthe\tDT\tB-NP\tO' -p67413 -aS'foot\tfoot\tNN\tI-NP\tO' -p67414 -aS'of\tof\tIN\tB-PP\tO' -p67415 -aS'the\tthe\tDT\tB-NP\tO' -p67416 -aS'pole\tpole\tNN\tI-NP\tO' -p67417 -aS'and\tand\tCC\tO\tO' -p67418 -aS'lost\tlose\tVBD\tB-VP\tO' -p67419 -aS'his\this\tPRP$\tB-NP\tO' -p67420 -aS'balance\tbalance\tNN\tI-NP\tO' -p67421 -aS'.\t.\t.\tO\tO' -p67422 -asS'She is married and lives with her husband .' -p67423 -(lp67424 -S'She\tShe\tPRP\tB-NP\tO' -p67425 -aS'is\tbe\tVBZ\tB-VP\tO' -p67426 -aS'married\tmarried\tJJ\tB-ADJP\tO' -p67427 -aS'and\tand\tCC\tO\tO' -p67428 -aS'lives\tlive\tVBZ\tB-VP\tO' -p67429 -aS'with\twith\tIN\tB-PP\tO' -p67430 -aS'her\ther\tPRP$\tB-NP\tO' -p67431 -aS'husband\thusband\tNN\tI-NP\tO' -p67432 -aS'.\t.\t.\tO\tO' -p67433 -asS'The neck was suppled , with no lymphadenopathy and no jugular venous distention .' -p67434 -(lp67435 -S'The\tThe\tDT\tB-NP\tO' -p67436 -aS'neck\tneck\tNN\tI-NP\tO' -p67437 -aS'was\tbe\tVBD\tB-VP\tO' -p67438 -aS'suppled\tsupple\tVBN\tI-VP\tO' -p67439 -aS',\t,\t,\tO\tO' -p67440 -aS'with\twith\tIN\tB-PP\tO' -p67441 -aS'no\tno\tDT\tB-NP\tO' -p67442 -aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' -p67443 -aS'and\tand\tCC\tO\tO' -p67444 -aS'no\tno\tDT\tB-NP\tO' -p67445 -aS'jugular\tjugular\tJJ\tI-NP\tO' -p67446 -aS'venous\tvenous\tJJ\tI-NP\tO' -p67447 -aS'distention\tdistention\tNN\tI-NP\tO' -p67448 -aS'.\t.\t.\tO\tO' -p67449 -asS'Patient was weaned from supplemental oxygen and tolerated a regular diet prior to discharge .' -p67450 -(lp67451 -S'Patient\tPatient\tNN\tB-NP\tO' -p67452 -aS'was\tbe\tVBD\tB-VP\tO' -p67453 -aS'weaned\twean\tVBN\tI-VP\tO' -p67454 -aS'from\tfrom\tIN\tB-PP\tO' -p67455 -aS'supplemental\tsupplemental\tJJ\tB-NP\tO' -p67456 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p67457 -aS'and\tand\tCC\tO\tO' -p67458 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p67459 -aS'a\ta\tDT\tB-NP\tO' -p67460 -aS'regular\tregular\tJJ\tI-NP\tO' -p67461 -aS'diet\tdiet\tNN\tI-NP\tO' -p67462 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p67463 -aS'to\tto\tTO\tB-VP\tO' -p67464 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p67465 -aS'.\t.\t.\tO\tO' -p67466 -asS'Today , on 2014-03-03 , the patient was seen in clinic with increased lethargy , confusion .' -p67467 -(lp67468 -S'Today\tToday\tNN\tB-NP\tO' -p67469 -aS',\t,\t,\tO\tO' -p67470 -aS'on\ton\tIN\tB-PP\tO' -p67471 -aS'2014-03-03\t2014-03-03\tCD\tB-NP\tO' -p67472 -aS',\t,\t,\tO\tO' -p67473 -aS'the\tthe\tDT\tB-NP\tO' -p67474 -aS'patient\tpatient\tNN\tI-NP\tO' -p67475 -aS'was\tbe\tVBD\tB-VP\tO' -p67476 -aS'seen\tsee\tVBN\tI-VP\tO' -p67477 -aS'in\tin\tIN\tB-PP\tO' -p67478 -aS'clinic\tclinic\tNN\tB-NP\tO' -p67479 -aS'with\twith\tIN\tB-PP\tO' -p67480 -aS'increased\tincrease\tVBN\tB-NP\tO' -p67481 -aS'lethargy\tlethargy\tNN\tI-NP\tO' -p67482 -aS',\t,\t,\tO\tO' -p67483 -aS'confusion\tconfusion\tNN\tB-NP\tO' -p67484 -aS'.\t.\t.\tO\tO' -p67485 -asS'HEMATOLOGY : Hematocrit was done on admission to the CMED .' -p67486 -(lp67487 -S'HEMATOLOGY\tHEMATOLOGY\tNN\tB-NP\tO' -p67488 -aS':\t:\t:\tO\tO' -p67489 -aS'Hematocrit\tHematocrit\tNN\tB-NP\tO' -p67490 -aS'was\tbe\tVBD\tB-VP\tO' -p67491 -aS'done\tdo\tVBN\tI-VP\tO' -p67492 -aS'on\ton\tIN\tB-PP\tO' -p67493 -aS'admission\tadmission\tNN\tB-NP\tO' -p67494 -aS'to\tto\tTO\tB-PP\tO' -p67495 -aS'the\tthe\tDT\tB-NP\tO' -p67496 -aS'CMED\tCMED\tNN\tI-NP\tO' -p67497 -aS'.\t.\t.\tO\tO' -p67498 -asS'The patient 's preliminary admitting physician is GLYNCRED , NABETH N and the preliminary diagnosis is SDH .' -p67499 -(lp67500 -S'The\tThe\tDT\tB-NP\tO' -p67501 -aS'patient\tpatient\tNN\tI-NP\tO' -p67502 -aS''s\t'\tNNS\tI-NP\tO' -p67503 -aS'preliminary\tpreliminary\tJJ\tB-NP\tO' -p67504 -aS'admitting\tadmit\tVBG\tI-NP\tO' -p67505 -aS'physician\tphysician\tNN\tI-NP\tO' -p67506 -aS'is\tbe\tVBZ\tB-VP\tO' -p67507 -aS'GLYNCRED\tGLYNCRED\tVBN\tI-VP\tO' -p67508 -aS',\t,\t,\tO\tO' -p67509 -aS'NABETH\tNABETH\tNNP\tB-NP\tO' -p67510 -aS'N\tN\tNNP\tI-NP\tO' -p67511 -aS'and\tand\tCC\tO\tO' -p67512 -aS'the\tthe\tDT\tB-NP\tO' -p67513 -aS'preliminary\tpreliminary\tJJ\tI-NP\tO' -p67514 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p67515 -aS'is\tbe\tVBZ\tB-VP\tO' -p67516 -aS'SDH\tSDH\tNN\tB-NP\tO' -p67517 -aS'.\t.\t.\tO\tO' -p67518 -asS'Normal male genitalia , testes descended bilaterally .' -p67519 -(lp67520 -S'Normal\tNormal\tJJ\tB-NP\tO' -p67521 -aS'male\tmale\tJJ\tI-NP\tO' -p67522 -aS'genitalia\tgenitalia\tNNS\tI-NP\tO' -p67523 -aS',\t,\t,\tO\tO' -p67524 -aS'testes\ttestis\tNNS\tB-NP\tO' -p67525 -aS'descended\tdescend\tVBD\tB-VP\tO' -p67526 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p67527 -aS'.\t.\t.\tO\tO' -p67528 -asS'Attending : Geoffrey F Corney , M.D.' -p67529 -(lp67530 -S'Attending\tAttend\tVBG\tB-VP\tO' -p67531 -aS':\t:\t:\tO\tO' -p67532 -aS'Geoffrey\tGeoffrey\tNNP\tB-NP\tO' -p67533 -aS'F\tF\tNNP\tI-NP\tO' -p67534 -aS'Corney\tCorney\tNNP\tI-NP\tO' -p67535 -aS',\t,\t,\tO\tO' -p67536 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p67537 -asS'Disp :* 90 Capsule (s)* Refills :* 0 *' -p67538 -(lp67539 -S'Disp\tDisp\tNN\tB-NP\tO' -p67540 -aS':*\t:*\tSYM\tI-NP\tO' -p67541 -aS'90\t90\tCD\tI-NP\tO' -p67542 -aS'Capsule\tCapsule\tNN\tI-NP\tO' -p67543 -aS'(s)*\t(s)*\tSYM\tB-NP\tO' -p67544 -aS'Refills\tRefill\tNNPS\tI-NP\tO' -p67545 -aS':*\t:*\tSYM\tI-NP\tO' -p67546 -aS'0\t0\tCD\tI-NP\tO' -p67547 -aS'*\t*\tSYM\tB-NP\tO' -p67548 -asS'Of note , intraoperatively multiple tissue cultures had been sent .' -p67549 -(lp67550 -S'Of\tOf\tIN\tB-PP\tO' -p67551 -aS'note\tnote\tNN\tB-NP\tO' -p67552 -aS',\t,\t,\tO\tO' -p67553 -aS'intraoperatively\tintraoperatively\tRB\tB-NP\tO' -p67554 -aS'multiple\tmultiple\tJJ\tI-NP\tO' -p67555 -aS'tissue\ttissue\tNN\tI-NP\tO' -p67556 -aS'cultures\tculture\tNNS\tI-NP\tO' -p67557 -aS'had\thave\tVBD\tB-VP\tO' -p67558 -aS'been\tbe\tVBN\tI-VP\tO' -p67559 -aS'sent\tsend\tVBN\tI-VP\tO' -p67560 -aS'.\t.\t.\tO\tO' -p67561 -asS'She is a nurse Damian Mary Lane Hospital .' -p67562 -(lp67563 -S'She\tShe\tPRP\tB-NP\tO' -p67564 -aS'is\tbe\tVBZ\tB-VP\tO' -p67565 -aS'a\ta\tDT\tB-NP\tO' -p67566 -aS'nurse\tnurse\tJJ\tI-NP\tO' -p67567 -aS'Damian\tDamian\tNNP\tI-NP\tO' -p67568 -aS'Mary\tMary\tNNP\tI-NP\tO' -p67569 -aS'Lane\tLane\tNNP\tI-NP\tO' -p67570 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p67571 -aS'.\t.\t.\tO\tO' -p67572 -asS'3. Aspirin 325 mg once daily .' -p67573 -(lp67574 -S'3.\t3.\tLS\tB-NP\tO' -p67575 -aS'Aspirin\tAspirin\tNN\tI-NP\tO' -p67576 -aS'325\t325\tCD\tI-NP\tO' -p67577 -aS'mg\tmg\tNN\tI-NP\tO' -p67578 -aS'once\tonce\tRB\tB-ADVP\tO' -p67579 -aS'daily\tdaily\tRB\tI-ADVP\tO' -p67580 -aS'.\t.\t.\tO\tO' -p67581 -asS'Three on the left knee , 4 on the left ankle with upgoing toe and clonus on the left .' -p67582 -(lp67583 -S'Three\tThree\tCD\tB-NP\tO' -p67584 -aS'on\ton\tIN\tB-PP\tO' -p67585 -aS'the\tthe\tDT\tB-NP\tO' -p67586 -aS'left\tleft\tJJ\tI-NP\tO' -p67587 -aS'knee\tknee\tNN\tI-NP\tO' -p67588 -aS',\t,\t,\tO\tO' -p67589 -aS'4\t4\tCD\tB-NP\tO' -p67590 -aS'on\ton\tIN\tB-PP\tO' -p67591 -aS'the\tthe\tDT\tB-NP\tO' -p67592 -aS'left\tleft\tJJ\tI-NP\tO' -p67593 -aS'ankle\tankle\tNN\tI-NP\tO' -p67594 -aS'with\twith\tIN\tB-PP\tO' -p67595 -aS'upgoing\tupgoe\tVBG\tB-VP\tO' -p67596 -aS'toe\ttoe\tNN\tB-NP\tO' -p67597 -aS'and\tand\tCC\tI-NP\tO' -p67598 -aS'clonus\tclonus\tNN\tI-NP\tO' -p67599 -aS'on\ton\tIN\tB-PP\tO' -p67600 -aS'the\tthe\tDT\tB-NP\tO' -p67601 -aS'left\tleft\tNN\tI-NP\tO' -p67602 -aS'.\t.\t.\tO\tO' -p67603 -asS'1. Senna 8.6 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ) as needed .' -p67604 -(lp67605 -S'1.\t1.\tLS\tB-LST\tO' -p67606 -aS'Senna\tSenna\tNNP\tB-NP\tO' -p67607 -aS'8.6\t8.6\tCD\tI-NP\tO' -p67608 -aS'mg\tmg\tNN\tI-NP\tO' -p67609 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p67610 -aS'Sig\tSig\tNNP\tI-NP\tO' -p67611 -aS':\t:\t:\tO\tO' -p67612 -aS'One\tOne\tCD\tB-NP\tO' -p67613 -aS'(\t(\t(\tO\tO' -p67614 -aS'1\t1\tCD\tB-NP\tO' -p67615 -aS')\t)\t)\tO\tO' -p67616 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p67617 -aS'PO\tPO\tNN\tI-NP\tO' -p67618 -aS'BID\tBID\tNN\tI-NP\tO' -p67619 -aS'(\t(\t(\tO\tO' -p67620 -aS'2\t2\tCD\tB-NP\tO' -p67621 -aS'times\ttime\tNNS\tI-NP\tO' -p67622 -aS'a\ta\tDT\tB-NP\tO' -p67623 -aS'day\tday\tNN\tI-NP\tO' -p67624 -aS')\t)\t)\tO\tO' -p67625 -aS'as\tas\tIN\tB-SBAR\tO' -p67626 -aS'needed\tneed\tVBN\tB-VP\tO' -p67627 -aS'.\t.\t.\tO\tO' -p67628 -asS'5. Right coronary artery stent in 2008 ; ejection fraction 60 to 65% .' -p67629 -(lp67630 -S'5.\t5.\tLS\tB-NP\tO' -p67631 -aS'Right\tRight\tNN\tI-NP\tO' -p67632 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p67633 -aS'artery\tartery\tNN\tI-NP\tO' -p67634 -aS'stent\tstent\tNN\tI-NP\tO' -p67635 -aS'in\tin\tIN\tB-PP\tO' -p67636 -aS'2008\t2008\tCD\tB-NP\tO' -p67637 -aS';\t;\t:\tO\tO' -p67638 -aS'ejection\tejection\tNN\tB-NP\tO' -p67639 -aS'fraction\tfraction\tNN\tI-NP\tO' -p67640 -aS'60\t60\tCD\tB-NP\tO' -p67641 -aS'to\tto\tTO\tB-PP\tO' -p67642 -aS'65%\t65%\tCD\tB-NP\tO' -p67643 -aS'.\t.\t.\tO\tO' -p67644 -asS'Positive bowel sounds , nontender and nondistended .' -p67645 -(lp67646 -S'Positive\tPositive\tJJ\tB-NP\tO' -p67647 -aS'bowel\tbowel\tNN\tI-NP\tO' -p67648 -aS'sounds\tsound\tNNS\tI-NP\tO' -p67649 -aS',\t,\t,\tO\tO' -p67650 -aS'nontender\tnontender\tJJ\tB-ADJP\tO' -p67651 -aS'and\tand\tCC\tI-ADJP\tO' -p67652 -aS'nondistended\tnondistended\tJJ\tI-ADJP\tO' -p67653 -aS'.\t.\t.\tO\tO' -p67654 -asS'Overall left ventricular systolic function is normal LVEF > 55% ) .' -p67655 -(lp67656 -S'Overall\tOverall\tRB\tB-ADVP\tO' -p67657 -aS'left\tleave\tVBD\tB-VP\tO' -p67658 -aS'ventricular\tventricular\tJJ\tB-NP\tO' -p67659 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p67660 -aS'function\tfunction\tNN\tI-NP\tO' -p67661 -aS'is\tbe\tVBZ\tB-VP\tO' -p67662 -aS'normal\tnormal\tJJ\tB-NP\tO' -p67663 -aS'LVEF\tLVEF\tNN\tI-NP\tB-protein' -p67664 -aS'>\t>\tSYM\tB-NP\tO' -p67665 -aS'55%\t55%\tCD\tI-NP\tO' -p67666 -aS')\t)\t)\tO\tO' -p67667 -aS'.\t.\t.\tO\tO' -p67668 -asS"DM , sp L ax-bifem , L fem-CMED , ERCP '04 , T+A , Appy , CEA , L4-L5 laminectomy ." -p67669 -(lp67670 -S'DM\tDM\tNN\tB-NP\tO' -p67671 -aS',\t,\t,\tO\tO' -p67672 -aS'sp\tsp\tNN\tB-NP\tO' -p67673 -aS'L\tL\tNN\tI-NP\tO' -p67674 -aS'ax-bifem\tax-bifem\tNN\tI-NP\tO' -p67675 -aS',\t,\t,\tO\tO' -p67676 -aS'L\tL\tNN\tB-NP\tO' -p67677 -aS'fem-CMED\tfem-CMED\tNN\tI-NP\tO' -p67678 -aS',\t,\t,\tO\tO' -p67679 -aS'ERCP\tERCP\tNN\tB-NP\tB-protein' -p67680 -aS"'04\t'04\tCD\tI-NP\tI-protein" -p67681 -aS',\t,\t,\tO\tO' -p67682 -aS'T+A\tT+A\tNNP\tB-NP\tO' -p67683 -aS',\t,\t,\tO\tO' -p67684 -aS'Appy\tAppy\tNNP\tB-NP\tO' -p67685 -aS',\t,\t,\tO\tO' -p67686 -aS'CEA\tCEA\tNNP\tB-NP\tO' -p67687 -aS',\t,\t,\tO\tO' -p67688 -aS'L4-L5\tL4-L5\tNN\tB-NP\tO' -p67689 -aS'laminectomy\tlaminectomy\tNN\tI-NP\tO' -p67690 -aS'.\t.\t.\tO\tO' -p67691 -asS'Multiple cultures were done and the patient was ultimately found to have methicillin resistant Staphylococcus aureus bacteremia , pneumonia , and urinary tract infection .' -p67692 -(lp67693 -S'Multiple\tMultiple\tJJ\tB-NP\tB-cell_line' -p67694 -aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' -p67695 -aS'were\tbe\tVBD\tB-VP\tO' -p67696 -aS'done\tdo\tVBN\tI-VP\tO' -p67697 -aS'and\tand\tCC\tO\tO' -p67698 -aS'the\tthe\tDT\tB-NP\tO' -p67699 -aS'patient\tpatient\tNN\tI-NP\tO' -p67700 -aS'was\tbe\tVBD\tB-VP\tO' -p67701 -aS'ultimately\tultimately\tRB\tI-VP\tO' -p67702 -aS'found\tfind\tVBN\tI-VP\tO' -p67703 -aS'to\tto\tTO\tI-VP\tO' -p67704 -aS'have\thave\tVB\tI-VP\tO' -p67705 -aS'methicillin\tmethicillin\tNN\tB-NP\tO' -p67706 -aS'resistant\tresistant\tJJ\tI-NP\tO' -p67707 -aS'Staphylococcus\tStaphylococcus\tFW\tI-NP\tO' -p67708 -aS'aureus\taureus\tFW\tI-NP\tO' -p67709 -aS'bacteremia\tbacteremia\tNN\tI-NP\tO' -p67710 -aS',\t,\t,\tO\tO' -p67711 -aS'pneumonia\tpneumonia\tNN\tB-NP\tO' -p67712 -aS',\t,\t,\tO\tO' -p67713 -aS'and\tand\tCC\tO\tO' -p67714 -aS'urinary\turinary\tJJ\tB-NP\tO' -p67715 -aS'tract\ttract\tNN\tI-NP\tO' -p67716 -aS'infection\tinfection\tNN\tI-NP\tO' -p67717 -aS'.\t.\t.\tO\tO' -p67718 -asS'The patient on discharge is to have twice weekly Vancomycin peak and trough levels while he continues on long term Vancomycin therapy .' -p67719 -(lp67720 -S'The\tThe\tDT\tB-NP\tO' -p67721 -aS'patient\tpatient\tNN\tI-NP\tO' -p67722 -aS'on\ton\tIN\tB-PP\tO' -p67723 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p67724 -aS'is\tbe\tVBZ\tB-VP\tO' -p67725 -aS'to\tto\tTO\tB-VP\tO' -p67726 -aS'have\thave\tVB\tI-VP\tO' -p67727 -aS'twice\ttwice\tRB\tB-NP\tO' -p67728 -aS'weekly\tweekly\tJJ\tI-NP\tO' -p67729 -aS'Vancomycin\tVancomycin\tNN\tI-NP\tO' -p67730 -aS'peak\tpeak\tNN\tI-NP\tO' -p67731 -aS'and\tand\tCC\tI-NP\tO' -p67732 -aS'trough\ttrough\tNN\tI-NP\tO' -p67733 -aS'levels\tlevel\tNNS\tI-NP\tO' -p67734 -aS'while\twhile\tIN\tB-SBAR\tO' -p67735 -aS'he\the\tPRP\tB-NP\tO' -p67736 -aS'continues\tcontinue\tVBZ\tB-VP\tO' -p67737 -aS'on\ton\tIN\tB-PP\tO' -p67738 -aS'long\tlong\tJJ\tB-NP\tO' -p67739 -aS'term\tterm\tNN\tI-NP\tO' -p67740 -aS'Vancomycin\tVancomycin\tNN\tI-NP\tO' -p67741 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p67742 -aS'.\t.\t.\tO\tO' -p67743 -asS'The patient received 5 liters of crystalloid , 9 units of fresh frozen plasma , 9 units of red cells , 6 units of platelets , as well as 1 liter of Cell Saver .' -p67744 -(lp67745 -S'The\tThe\tDT\tB-NP\tO' -p67746 -aS'patient\tpatient\tNN\tI-NP\tO' -p67747 -aS'received\treceive\tVBD\tB-VP\tO' -p67748 -aS'5\t5\tCD\tB-NP\tO' -p67749 -aS'liters\tliter\tNNS\tI-NP\tO' -p67750 -aS'of\tof\tIN\tB-PP\tO' -p67751 -aS'crystalloid\tcrystalloid\tNN\tB-NP\tO' -p67752 -aS',\t,\t,\tO\tO' -p67753 -aS'9\t9\tCD\tB-NP\tO' -p67754 -aS'units\tunit\tNNS\tI-NP\tO' -p67755 -aS'of\tof\tIN\tB-PP\tO' -p67756 -aS'fresh\tfresh\tJJ\tB-NP\tO' -p67757 -aS'frozen\tfreeze\tVBN\tI-NP\tO' -p67758 -aS'plasma\tplasma\tNN\tI-NP\tO' -p67759 -aS',\t,\t,\tO\tO' -p67760 -aS'9\t9\tCD\tB-NP\tO' -p67761 -aS'units\tunit\tNNS\tI-NP\tO' -p67762 -aS'of\tof\tIN\tB-PP\tO' -p67763 -aS'red\tred\tJJ\tB-NP\tB-cell_type' -p67764 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p67765 -aS',\t,\t,\tO\tO' -p67766 -aS'6\t6\tCD\tB-NP\tO' -p67767 -aS'units\tunit\tNNS\tI-NP\tO' -p67768 -aS'of\tof\tIN\tB-PP\tO' -p67769 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p67770 -aS',\t,\t,\tO\tO' -p67771 -aS'as\tas\tRB\tB-CONJP\tO' -p67772 -aS'well\twell\tRB\tI-CONJP\tO' -p67773 -aS'as\tas\tIN\tI-CONJP\tO' -p67774 -aS'1\t1\tCD\tB-NP\tO' -p67775 -aS'liter\tliter\tNN\tI-NP\tO' -p67776 -aS'of\tof\tIN\tB-PP\tO' -p67777 -aS'Cell\tCell\tNNP\tB-NP\tO' -p67778 -aS'Saver\tSaver\tNNP\tI-NP\tO' -p67779 -aS'.\t.\t.\tO\tO' -p67780 -asS'Neurosensory was intact and she had normal motor examination with 5/5 strength throughout all her upper and lower extremities .' -p67781 -(lp67782 -S'Neurosensory\tNeurosensory\tNNP\tB-NP\tO' -p67783 -aS'was\tbe\tVBD\tB-VP\tO' -p67784 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p67785 -aS'and\tand\tCC\tO\tO' -p67786 -aS'she\tshe\tPRP\tB-NP\tO' -p67787 -aS'had\thave\tVBD\tB-VP\tO' -p67788 -aS'normal\tnormal\tJJ\tB-NP\tO' -p67789 -aS'motor\tmotor\tNN\tI-NP\tO' -p67790 -aS'examination\texamination\tNN\tI-NP\tO' -p67791 -aS'with\twith\tIN\tB-PP\tO' -p67792 -aS'5/5\t5/5\tCD\tB-NP\tO' -p67793 -aS'strength\tstrength\tNN\tI-NP\tO' -p67794 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p67795 -aS'all\tall\tDT\tB-NP\tO' -p67796 -aS'her\ther\tPRP$\tI-NP\tO' -p67797 -aS'upper\tupper\tJJ\tI-NP\tO' -p67798 -aS'and\tand\tCC\tI-NP\tO' -p67799 -aS'lower\tlow\tJJR\tI-NP\tO' -p67800 -aS'extremities\textremity\tNNS\tI-NP\tO' -p67801 -aS'.\t.\t.\tO\tO' -p67802 -asS'Breath sounds are clear and equal .' -p67803 -(lp67804 -S'Breath\tBreath\tNN\tB-NP\tO' -p67805 -aS'sounds\tsound\tNNS\tI-NP\tO' -p67806 -aS'are\tbe\tVBP\tB-VP\tO' -p67807 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p67808 -aS'and\tand\tCC\tI-ADJP\tO' -p67809 -aS'equal\tequal\tJJ\tI-ADJP\tO' -p67810 -aS'.\t.\t.\tO\tO' -p67811 -asS'1. Morphine Concentrate 20 mg / mL Solution Sig : 2.5-20 mg PO Q1-2H ( ) as needed for pain .' -p67812 -(lp67813 -S'1.\t1.\tLS\tB-NP\tO' -p67814 -aS'Morphine\tMorphine\tNN\tI-NP\tO' -p67815 -aS'Concentrate\tConcentrate\tVBP\tB-VP\tO' -p67816 -aS'20\t20\tCD\tB-NP\tO' -p67817 -aS'mg\tmg\tNN\tI-NP\tO' -p67818 -aS'/\t/\tSYM\tB-NP\tO' -p67819 -aS'mL\tmL\tNN\tI-NP\tO' -p67820 -aS'Solution\tSolution\tNNP\tI-NP\tO' -p67821 -aS'Sig\tSig\tNNP\tI-NP\tO' -p67822 -aS':\t:\t:\tO\tO' -p67823 -aS'2.5-20\t2.5-20\tCD\tB-NP\tO' -p67824 -aS'mg\tmg\tNN\tI-NP\tO' -p67825 -aS'PO\tPO\tNN\tI-NP\tO' -p67826 -aS'Q1-2H\tQ1-2H\tNN\tI-NP\tO' -p67827 -aS'(\t(\t(\tO\tO' -p67828 -aS')\t)\t)\tO\tO' -p67829 -aS'as\tas\tIN\tB-SBAR\tO' -p67830 -aS'needed\tneed\tVBN\tB-VP\tO' -p67831 -aS'for\tfor\tIN\tB-PP\tO' -p67832 -aS'pain\tpain\tNN\tB-NP\tO' -p67833 -aS'.\t.\t.\tO\tO' -p67834 -asS'However , a septic component to the hypotension was also considered as the pt was found to have citrobacter in her urine and C diff in her stool .' -p67835 -(lp67836 -S'However\tHowever\tRB\tB-ADVP\tO' -p67837 -aS',\t,\t,\tO\tO' -p67838 -aS'a\ta\tDT\tB-NP\tO' -p67839 -aS'septic\tseptic\tJJ\tI-NP\tO' -p67840 -aS'component\tcomponent\tNN\tI-NP\tO' -p67841 -aS'to\tto\tTO\tB-PP\tO' -p67842 -aS'the\tthe\tDT\tB-NP\tO' -p67843 -aS'hypotension\thypotension\tNN\tI-NP\tO' -p67844 -aS'was\tbe\tVBD\tB-VP\tO' -p67845 -aS'also\talso\tRB\tI-VP\tO' -p67846 -aS'considered\tconsider\tVBN\tI-VP\tO' -p67847 -aS'as\tas\tIN\tB-PP\tO' -p67848 -aS'the\tthe\tDT\tB-NP\tO' -p67849 -aS'pt\tpt\tNN\tI-NP\tO' -p67850 -aS'was\tbe\tVBD\tB-VP\tO' -p67851 -aS'found\tfind\tVBN\tI-VP\tO' -p67852 -aS'to\tto\tTO\tI-VP\tO' -p67853 -aS'have\thave\tVB\tI-VP\tO' -p67854 -aS'citrobacter\tcitrobacter\tNN\tB-NP\tO' -p67855 -aS'in\tin\tIN\tB-PP\tO' -p67856 -aS'her\ther\tPRP$\tB-NP\tO' -p67857 -aS'urine\turine\tNN\tI-NP\tO' -p67858 -aS'and\tand\tCC\tI-NP\tO' -p67859 -aS'C\tC\tNN\tI-NP\tO' -p67860 -aS'diff\tdiff\tNN\tI-NP\tO' -p67861 -aS'in\tin\tIN\tB-PP\tO' -p67862 -aS'her\ther\tPRP$\tB-NP\tO' -p67863 -aS'stool\tstool\tNN\tI-NP\tO' -p67864 -aS'.\t.\t.\tO\tO' -p67865 -asS'Finally , a super coronary arch graft was implanted .' -p67866 -(lp67867 -S'Finally\tFinally\tRB\tB-ADVP\tO' -p67868 -aS',\t,\t,\tO\tO' -p67869 -aS'a\ta\tDT\tB-NP\tO' -p67870 -aS'super\tsuper\tJJ\tI-NP\tO' -p67871 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p67872 -aS'arch\tarch\tNN\tI-NP\tO' -p67873 -aS'graft\tgraft\tNN\tI-NP\tO' -p67874 -aS'was\tbe\tVBD\tB-VP\tO' -p67875 -aS'implanted\timplant\tVBN\tI-VP\tO' -p67876 -aS'.\t.\t.\tO\tO' -p67877 -asS'Tender to palpation at the left lower quadrant and especially at the epigastrium .' -p67878 -(lp67879 -S'Tender\tTender\tNN\tB-NP\tO' -p67880 -aS'to\tto\tTO\tB-PP\tO' -p67881 -aS'palpation\tpalpation\tNN\tB-NP\tO' -p67882 -aS'at\tat\tIN\tB-PP\tO' -p67883 -aS'the\tthe\tDT\tB-NP\tO' -p67884 -aS'left\tleft\tJJ\tI-NP\tO' -p67885 -aS'lower\tlow\tJJR\tI-NP\tO' -p67886 -aS'quadrant\tquadrant\tNN\tI-NP\tO' -p67887 -aS'and\tand\tCC\tO\tO' -p67888 -aS'especially\tespecially\tRB\tB-ADVP\tO' -p67889 -aS'at\tat\tIN\tB-PP\tO' -p67890 -aS'the\tthe\tDT\tB-NP\tO' -p67891 -aS'epigastrium\tepigastrium\tNN\tI-NP\tO' -p67892 -aS'.\t.\t.\tO\tO' -p67893 -asS'2. Aspirin 325 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' -p67894 -(lp67895 -S'2.\t2.\tLS\tB-NP\tO' -p67896 -aS'Aspirin\tAspirin\tNN\tI-NP\tO' -p67897 -aS'325\t325\tCD\tI-NP\tO' -p67898 -aS'mg\tmg\tNN\tI-NP\tO' -p67899 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p67900 -aS'Sig\tSig\tNNP\tI-NP\tO' -p67901 -aS':\t:\t:\tO\tO' -p67902 -aS'One\tOne\tCD\tB-NP\tO' -p67903 -aS'(\t(\t(\tO\tO' -p67904 -aS'1\t1\tCD\tB-NP\tO' -p67905 -aS')\t)\t)\tO\tO' -p67906 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p67907 -aS'PO\tPO\tNN\tI-NP\tO' -p67908 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p67909 -aS'(\t(\t(\tO\tO' -p67910 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p67911 -aS')\t)\t)\tO\tO' -p67912 -aS'.\t.\t.\tO\tO' -p67913 -asS'EKG , when the patient goes out of left bundle branch block transiently shows an anterolateral Q/wave inversion .' -p67914 -(lp67915 -S'EKG\tEKG\tNN\tB-NP\tB-protein' -p67916 -aS',\t,\t,\tO\tO' -p67917 -aS'when\twhen\tWRB\tB-ADVP\tO' -p67918 -aS'the\tthe\tDT\tB-NP\tO' -p67919 -aS'patient\tpatient\tNN\tI-NP\tO' -p67920 -aS'goes\tgo\tVBZ\tB-VP\tO' -p67921 -aS'out\tout\tIN\tB-PP\tO' -p67922 -aS'of\tof\tIN\tB-PP\tO' -p67923 -aS'left\tleft\tJJ\tB-NP\tO' -p67924 -aS'bundle\tbundle\tNN\tI-NP\tO' -p67925 -aS'branch\tbranch\tNN\tI-NP\tO' -p67926 -aS'block\tblock\tNN\tI-NP\tO' -p67927 -aS'transiently\ttransiently\tRB\tB-VP\tO' -p67928 -aS'shows\tshow\tVBZ\tI-VP\tO' -p67929 -aS'an\tan\tDT\tB-NP\tO' -p67930 -aS'anterolateral\tanterolateral\tJJ\tI-NP\tO' -p67931 -aS'Q/wave\tQ/wave\tNN\tI-NP\tO' -p67932 -aS'inversion\tinversion\tNN\tI-NP\tO' -p67933 -aS'.\t.\t.\tO\tO' -p67934 -asS'On postoperative day #2 , the patient was noted to be relatively stable .' -p67935 -(lp67936 -S'On\tOn\tIN\tB-PP\tO' -p67937 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p67938 -aS'day\tday\tNN\tI-NP\tO' -p67939 -aS'#2\t#2\tNN\tI-NP\tO' -p67940 -aS',\t,\t,\tO\tO' -p67941 -aS'the\tthe\tDT\tB-NP\tO' -p67942 -aS'patient\tpatient\tNN\tI-NP\tO' -p67943 -aS'was\tbe\tVBD\tB-VP\tO' -p67944 -aS'noted\tnote\tVBN\tI-VP\tO' -p67945 -aS'to\tto\tTO\tI-VP\tO' -p67946 -aS'be\tbe\tVB\tI-VP\tO' -p67947 -aS'relatively\trelatively\tRB\tB-ADJP\tO' -p67948 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p67949 -aS'.\t.\t.\tO\tO' -p67950 -asS'She developed no problems with edema or with her wound during her hospital stay .' -p67951 -(lp67952 -S'She\tShe\tPRP\tB-NP\tO' -p67953 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p67954 -aS'no\tno\tDT\tB-NP\tO' -p67955 -aS'problems\tproblem\tNNS\tI-NP\tO' -p67956 -aS'with\twith\tIN\tB-PP\tO' -p67957 -aS'edema\tedema\tNN\tB-NP\tO' -p67958 -aS'or\tor\tCC\tB-PP\tO' -p67959 -aS'with\twith\tIN\tB-PP\tO' -p67960 -aS'her\ther\tPRP$\tB-NP\tO' -p67961 -aS'wound\twound\tNN\tI-NP\tO' -p67962 -aS'during\tduring\tIN\tB-PP\tO' -p67963 -aS'her\ther\tPRP$\tB-NP\tO' -p67964 -aS'hospital\thospital\tNN\tI-NP\tO' -p67965 -aS'stay\tstay\tNN\tI-NP\tO' -p67966 -aS'.\t.\t.\tO\tO' -p67967 -asS'3. Albuterol-Ipratropium 103-18 mcg / Actuation Aerosol Sig : 02-26 Puffs Inhalation Q6H ( every 6 hours ) as needed .' -p67968 -(lp67969 -S'3.\t3.\tLS\tB-NP\tO' -p67970 -aS'Albuterol-Ipratropium\tAlbuterol-Ipratropium\tNN\tI-NP\tO' -p67971 -aS'103-18\t103-18\tCD\tI-NP\tO' -p67972 -aS'mcg\tmcg\tNN\tI-NP\tO' -p67973 -aS'/\t/\tSYM\tB-NP\tO' -p67974 -aS'Actuation\tActuation\tNN\tI-NP\tO' -p67975 -aS'Aerosol\tAerosol\tNNP\tI-NP\tO' -p67976 -aS'Sig\tSig\tNNP\tI-NP\tO' -p67977 -aS':\t:\t:\tO\tO' -p67978 -aS'02-26\t02-26\tCD\tB-NP\tO' -p67979 -aS'Puffs\tPuff\tNNS\tI-NP\tO' -p67980 -aS'Inhalation\tInhalation\tNN\tI-NP\tO' -p67981 -aS'Q6H\tQ6H\tNN\tI-NP\tO' -p67982 -aS'(\t(\t(\tO\tO' -p67983 -aS'every\tevery\tDT\tB-NP\tO' -p67984 -aS'6\t6\tCD\tI-NP\tO' -p67985 -aS'hours\thour\tNNS\tI-NP\tO' -p67986 -aS')\t)\t)\tO\tO' -p67987 -aS'as\tas\tIN\tB-SBAR\tO' -p67988 -aS'needed\tneed\tVBN\tB-VP\tO' -p67989 -aS'.\t.\t.\tO\tO' -p67990 -asS'She had sustained gaze holding nystagmus in both horizontal directions .' -p67991 -(lp67992 -S'She\tShe\tPRP\tB-NP\tO' -p67993 -aS'had\thave\tVBD\tB-VP\tO' -p67994 -aS'sustained\tsustain\tVBN\tI-VP\tO' -p67995 -aS'gaze\tgaze\tVB\tI-VP\tO' -p67996 -aS'holding\thold\tVBG\tI-VP\tO' -p67997 -aS'nystagmus\tnystagmus\tNN\tB-NP\tO' -p67998 -aS'in\tin\tIN\tB-PP\tO' -p67999 -aS'both\tboth\tCC\tB-NP\tO' -p68000 -aS'horizontal\thorizontal\tJJ\tI-NP\tO' -p68001 -aS'directions\tdirection\tNNS\tI-NP\tO' -p68002 -aS'.\t.\t.\tO\tO' -p68003 -asS'On 10-14 , the patient had a transthoracic echocardiogram which revealed a new , moderate-to-large sized pericardial effusion .' -p68004 -(lp68005 -S'On\tOn\tIN\tB-PP\tO' -p68006 -aS'10-14\t10-14\tCD\tB-NP\tO' -p68007 -aS',\t,\t,\tO\tO' -p68008 -aS'the\tthe\tDT\tB-NP\tO' -p68009 -aS'patient\tpatient\tNN\tI-NP\tO' -p68010 -aS'had\thave\tVBD\tB-VP\tO' -p68011 -aS'a\ta\tDT\tB-NP\tO' -p68012 -aS'transthoracic\ttransthoracic\tJJ\tI-NP\tO' -p68013 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p68014 -aS'which\twhich\tWDT\tB-NP\tO' -p68015 -aS'revealed\treveal\tVBD\tB-VP\tO' -p68016 -aS'a\ta\tDT\tB-NP\tO' -p68017 -aS'new\tnew\tJJ\tI-NP\tO' -p68018 -aS',\t,\t,\tI-NP\tO' -p68019 -aS'moderate-to-large\tmoderate-to-large\tJJ\tI-NP\tO' -p68020 -aS'sized\tsized\tJJ\tI-NP\tO' -p68021 -aS'pericardial\tpericardial\tJJ\tI-NP\tO' -p68022 -aS'effusion\teffusion\tNN\tI-NP\tO' -p68023 -aS'.\t.\t.\tO\tO' -p68024 -asS'Signed electronically by : DR. Brian S Heath on : Danielle 2014-08-28 2:52 PM' -p68025 -(lp68026 -S'Signed\tSign\tVBN\tB-VP\tO' -p68027 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p68028 -aS'by\tby\tIN\tB-PP\tO' -p68029 -aS':\t:\t:\tO\tO' -p68030 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p68031 -aS'Brian\tBrian\tNNP\tI-NP\tO' -p68032 -aS'S\tS\tNNP\tI-NP\tO' -p68033 -aS'Heath\tHeath\tNNP\tI-NP\tO' -p68034 -aS'on\ton\tIN\tB-PP\tO' -p68035 -aS':\t:\t:\tO\tO' -p68036 -aS'Danielle\tDanielle\tNNP\tB-NP\tO' -p68037 -aS'2014-08-28\t2014-08-28\tCD\tB-NP\tO' -p68038 -aS'2:52\t2:52\tCD\tI-NP\tO' -p68039 -aS'PM\tPM\tNN\tI-NP\tO' -p68040 -asS'Her oxygen saturation has always been good .' -p68041 -(lp68042 -S'Her\tHer\tPRP$\tB-NP\tO' -p68043 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p68044 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p68045 -aS'has\thave\tVBZ\tB-VP\tO' -p68046 -aS'always\talways\tRB\tI-VP\tO' -p68047 -aS'been\tbe\tVBN\tI-VP\tO' -p68048 -aS'good\tgood\tJJ\tB-ADJP\tO' -p68049 -aS'.\t.\t.\tO\tO' -p68050 -asS'130 minutes , and a rest time of 16 minutes .' -p68051 -(lp68052 -S'130\t130\tCD\tB-NP\tO' -p68053 -aS'minutes\tminute\tNNS\tI-NP\tO' -p68054 -aS',\t,\t,\tO\tO' -p68055 -aS'and\tand\tCC\tO\tO' -p68056 -aS'a\ta\tDT\tB-NP\tO' -p68057 -aS'rest\trest\tNN\tI-NP\tO' -p68058 -aS'time\ttime\tNN\tI-NP\tO' -p68059 -aS'of\tof\tIN\tB-PP\tO' -p68060 -aS'16\t16\tCD\tB-NP\tO' -p68061 -aS'minutes\tminute\tNNS\tI-NP\tO' -p68062 -aS'.\t.\t.\tO\tO' -p68063 -asS'On 2017-09-14 , she was transferred to the regular floor at Far 5 .' -p68064 -(lp68065 -S'On\tOn\tIN\tB-PP\tO' -p68066 -aS'2017-09-14\t2017-09-14\tCD\tB-NP\tO' -p68067 -aS',\t,\t,\tO\tO' -p68068 -aS'she\tshe\tPRP\tB-NP\tO' -p68069 -aS'was\tbe\tVBD\tB-VP\tO' -p68070 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p68071 -aS'to\tto\tTO\tB-PP\tO' -p68072 -aS'the\tthe\tDT\tB-NP\tO' -p68073 -aS'regular\tregular\tJJ\tI-NP\tO' -p68074 -aS'floor\tfloor\tNN\tI-NP\tO' -p68075 -aS'at\tat\tIN\tB-PP\tO' -p68076 -aS'Far\tFar\tNNP\tB-NP\tB-protein' -p68077 -aS'5\t5\tCD\tI-NP\tI-protein' -p68078 -aS'.\t.\t.\tO\tO' -p68079 -asS'He was transfused with 3 u packed cells for a hematocrit of 21 , post transfusion HCT was 26.1 ; there was a questionable transfusion reaction at the end of his first unit of packed cells ; he did subsequently receive the remaining 2 units without any further reaction .' -p68080 -(lp68081 -S'He\tHe\tPRP\tB-NP\tO' -p68082 -aS'was\tbe\tVBD\tB-VP\tO' -p68083 -aS'transfused\ttransfuse\tVBN\tI-VP\tO' -p68084 -aS'with\twith\tIN\tB-PP\tO' -p68085 -aS'3\t3\tCD\tB-NP\tO' -p68086 -aS'u\tu\tNN\tI-NP\tO' -p68087 -aS'packed\tpack\tVBD\tB-VP\tO' -p68088 -aS'cells\tcell\tNNS\tB-NP\tO' -p68089 -aS'for\tfor\tIN\tB-PP\tO' -p68090 -aS'a\ta\tDT\tB-NP\tO' -p68091 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p68092 -aS'of\tof\tIN\tB-PP\tO' -p68093 -aS'21\t21\tCD\tB-NP\tO' -p68094 -aS',\t,\t,\tO\tO' -p68095 -aS'post\tpost\tNN\tB-NP\tO' -p68096 -aS'transfusion\ttransfusion\tNN\tI-NP\tO' -p68097 -aS'HCT\tHCT\tNN\tI-NP\tO' -p68098 -aS'was\tbe\tVBD\tB-VP\tO' -p68099 -aS'26.1\t26.1\tCD\tB-NP\tO' -p68100 -aS';\t;\t:\tO\tO' -p68101 -aS'there\tthere\tEX\tB-NP\tO' -p68102 -aS'was\tbe\tVBD\tB-VP\tO' -p68103 -aS'a\ta\tDT\tB-NP\tO' -p68104 -aS'questionable\tquestionable\tJJ\tI-NP\tO' -p68105 -aS'transfusion\ttransfusion\tNN\tI-NP\tO' -p68106 -aS'reaction\treaction\tNN\tI-NP\tO' -p68107 -aS'at\tat\tIN\tB-PP\tO' -p68108 -aS'the\tthe\tDT\tB-NP\tO' -p68109 -aS'end\tend\tNN\tI-NP\tO' -p68110 -aS'of\tof\tIN\tB-PP\tO' -p68111 -aS'his\this\tPRP$\tB-NP\tO' -p68112 -aS'first\tfirst\tJJ\tI-NP\tO' -p68113 -aS'unit\tunit\tNN\tI-NP\tO' -p68114 -aS'of\tof\tIN\tB-PP\tO' -p68115 -aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' -p68116 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p68117 -aS';\t;\t:\tO\tO' -p68118 -aS'he\the\tPRP\tB-NP\tO' -p68119 -aS'did\tdo\tVBD\tB-VP\tO' -p68120 -aS'subsequently\tsubsequently\tRB\tI-VP\tO' -p68121 -aS'receive\treceive\tVB\tI-VP\tO' -p68122 -aS'the\tthe\tDT\tB-NP\tO' -p68123 -aS'remaining\tremain\tVBG\tI-NP\tO' -p68124 -aS'2\t2\tCD\tI-NP\tO' -p68125 -aS'units\tunit\tNNS\tI-NP\tO' -p68126 -aS'without\twithout\tIN\tB-PP\tO' -p68127 -aS'any\tany\tDT\tB-NP\tO' -p68128 -aS'further\tfurther\tJJ\tI-NP\tO' -p68129 -aS'reaction\treaction\tNN\tI-NP\tO' -p68130 -aS'.\t.\t.\tO\tO' -p68131 -asS'Metastatic work-up was negative .' -p68132 -(lp68133 -S'Metastatic\tMetastatic\tJJ\tB-NP\tO' -p68134 -aS'work-up\twork-up\tNN\tI-NP\tO' -p68135 -aS'was\tbe\tVBD\tB-VP\tO' -p68136 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p68137 -aS'.\t.\t.\tO\tO' -p68138 -asS'For deep vein thrombosis prophylaxis she was treated with subcutaneous heparin and for gastrointestinal prophylaxis she was treated with Protonix .' -p68139 -(lp68140 -S'For\tFor\tIN\tB-PP\tO' -p68141 -aS'deep\tdeep\tJJ\tB-NP\tO' -p68142 -aS'vein\tvein\tNN\tI-NP\tO' -p68143 -aS'thrombosis\tthrombosis\tNN\tI-NP\tO' -p68144 -aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' -p68145 -aS'she\tshe\tPRP\tB-NP\tO' -p68146 -aS'was\tbe\tVBD\tB-VP\tO' -p68147 -aS'treated\ttreat\tVBN\tI-VP\tO' -p68148 -aS'with\twith\tIN\tB-PP\tO' -p68149 -aS'subcutaneous\tsubcutaneous\tJJ\tB-NP\tO' -p68150 -aS'heparin\theparin\tNN\tI-NP\tO' -p68151 -aS'and\tand\tCC\tB-PP\tO' -p68152 -aS'for\tfor\tIN\tB-PP\tO' -p68153 -aS'gastrointestinal\tgastrointestinal\tJJ\tB-NP\tO' -p68154 -aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' -p68155 -aS'she\tshe\tPRP\tB-NP\tO' -p68156 -aS'was\tbe\tVBD\tB-VP\tO' -p68157 -aS'treated\ttreat\tVBN\tI-VP\tO' -p68158 -aS'with\twith\tIN\tB-PP\tO' -p68159 -aS'Protonix\tProtonix\tNNP\tB-NP\tO' -p68160 -aS'.\t.\t.\tO\tO' -p68161 -asS'9. Status post myocardial infarction .' -p68162 -(lp68163 -S'9.\t9.\tLS\tB-LST\tO' -p68164 -aS'Status\tStatus\tNNP\tB-NP\tO' -p68165 -aS'post\tpost\tIN\tB-PP\tO' -p68166 -aS'myocardial\tmyocardial\tJJ\tB-NP\tO' -p68167 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p68168 -aS'.\t.\t.\tO\tO' -p68169 -asS'After discussion , it was decided to attempt to obtain 28 weeks gestation and then deliver electively by cesarean section given the decompensation in the third trimester .' -p68170 -(lp68171 -S'After\tAfter\tIN\tB-PP\tO' -p68172 -aS'discussion\tdiscussion\tNN\tB-NP\tO' -p68173 -aS',\t,\t,\tO\tO' -p68174 -aS'it\tit\tPRP\tB-NP\tO' -p68175 -aS'was\tbe\tVBD\tB-VP\tO' -p68176 -aS'decided\tdecide\tVBN\tI-VP\tO' -p68177 -aS'to\tto\tTO\tI-VP\tO' -p68178 -aS'attempt\tattempt\tVB\tI-VP\tO' -p68179 -aS'to\tto\tTO\tI-VP\tO' -p68180 -aS'obtain\tobtain\tVB\tI-VP\tO' -p68181 -aS'28\t28\tCD\tB-NP\tO' -p68182 -aS'weeks\tweek\tNNS\tI-NP\tO' -p68183 -aS'gestation\tgestation\tNN\tI-NP\tO' -p68184 -aS'and\tand\tCC\tO\tO' -p68185 -aS'then\tthen\tRB\tB-VP\tO' -p68186 -aS'deliver\tdeliver\tVB\tI-VP\tO' -p68187 -aS'electively\telectively\tRB\tB-ADVP\tO' -p68188 -aS'by\tby\tIN\tB-PP\tO' -p68189 -aS'cesarean\tcesarean\tJJ\tB-NP\tO' -p68190 -aS'section\tsection\tNN\tI-NP\tO' -p68191 -aS'given\tgive\tVBN\tB-PP\tO' -p68192 -aS'the\tthe\tDT\tB-NP\tO' -p68193 -aS'decompensation\tdecompensation\tNN\tI-NP\tO' -p68194 -aS'in\tin\tIN\tB-PP\tO' -p68195 -aS'the\tthe\tDT\tB-NP\tO' -p68196 -aS'third\tthird\tJJ\tI-NP\tO' -p68197 -aS'trimester\ttrimester\tNN\tI-NP\tO' -p68198 -aS'.\t.\t.\tO\tO' -p68199 -asS'His cranial nerves and strength were full , and the sensory exam showed mildly decreased vibration and proprioception in both LE , suggesting peripheral neuropathy .' -p68200 -(lp68201 -S'His\tHis\tPRP$\tB-NP\tO' -p68202 -aS'cranial\tcranial\tJJ\tI-NP\tO' -p68203 -aS'nerves\tnerve\tNNS\tI-NP\tO' -p68204 -aS'and\tand\tCC\tI-NP\tO' -p68205 -aS'strength\tstrength\tNN\tI-NP\tO' -p68206 -aS'were\tbe\tVBD\tB-VP\tO' -p68207 -aS'full\tfull\tJJ\tB-ADJP\tO' -p68208 -aS',\t,\t,\tO\tO' -p68209 -aS'and\tand\tCC\tO\tO' -p68210 -aS'the\tthe\tDT\tB-NP\tO' -p68211 -aS'sensory\tsensory\tJJ\tI-NP\tO' -p68212 -aS'exam\texam\tNN\tI-NP\tO' -p68213 -aS'showed\tshow\tVBD\tB-VP\tO' -p68214 -aS'mildly\tmildly\tRB\tB-NP\tO' -p68215 -aS'decreased\tdecrease\tVBN\tI-NP\tO' -p68216 -aS'vibration\tvibration\tNN\tI-NP\tO' -p68217 -aS'and\tand\tCC\tI-NP\tO' -p68218 -aS'proprioception\tproprioception\tNN\tI-NP\tO' -p68219 -aS'in\tin\tIN\tB-PP\tO' -p68220 -aS'both\tboth\tDT\tB-NP\tO' -p68221 -aS'LE\tLE\tNN\tI-NP\tO' -p68222 -aS',\t,\t,\tO\tO' -p68223 -aS'suggesting\tsuggest\tVBG\tB-VP\tO' -p68224 -aS'peripheral\tperipheral\tJJ\tB-NP\tO' -p68225 -aS'neuropathy\tneuropathy\tNN\tI-NP\tO' -p68226 -aS'.\t.\t.\tO\tO' -p68227 -asS'On admission to Fairm of Ijordcompmac Hospital , temperature 100.2 , pulse 149 , respiratory rate 50 , blood pressure 98/66 , mean arterial pressure of 73 , weight 12 kilos .' -p68228 -(lp68229 -S'On\tOn\tIN\tB-PP\tO' -p68230 -aS'admission\tadmission\tNN\tB-NP\tO' -p68231 -aS'to\tto\tTO\tB-PP\tO' -p68232 -aS'Fairm\tFairm\tNNP\tB-NP\tO' -p68233 -aS'of\tof\tIN\tB-PP\tO' -p68234 -aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' -p68235 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p68236 -aS',\t,\t,\tO\tO' -p68237 -aS'temperature\ttemperature\tNN\tB-NP\tB-protein' -p68238 -aS'100.2\t100.2\tCD\tI-NP\tI-protein' -p68239 -aS',\t,\t,\tO\tO' -p68240 -aS'pulse\tpulse\tNN\tB-NP\tO' -p68241 -aS'149\t149\tCD\tI-NP\tO' -p68242 -aS',\t,\t,\tO\tO' -p68243 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p68244 -aS'rate\trate\tNN\tI-NP\tO' -p68245 -aS'50\t50\tCD\tI-NP\tO' -p68246 -aS',\t,\t,\tO\tO' -p68247 -aS'blood\tblood\tNN\tB-NP\tO' -p68248 -aS'pressure\tpressure\tNN\tI-NP\tO' -p68249 -aS'98/66\t98/66\tCD\tI-NP\tO' -p68250 -aS',\t,\t,\tO\tO' -p68251 -aS'mean\tmean\tJJ\tB-NP\tO' -p68252 -aS'arterial\tarterial\tJJ\tI-NP\tO' -p68253 -aS'pressure\tpressure\tNN\tI-NP\tO' -p68254 -aS'of\tof\tIN\tB-PP\tO' -p68255 -aS'73\t73\tCD\tB-NP\tO' -p68256 -aS',\t,\t,\tO\tO' -p68257 -aS'weight\tweight\tNN\tB-NP\tO' -p68258 -aS'12\t12\tCD\tI-NP\tO' -p68259 -aS'kilos\tkilo\tNNS\tI-NP\tO' -p68260 -aS'.\t.\t.\tO\tO' -p68261 -asS'Perforated sigmoid diverticulum status post exploratory laparotomy' -p68262 -(lp68263 -S'Perforated\tPerforate\tVBN\tB-NP\tO' -p68264 -aS'sigmoid\tsigmoid\tJJ\tI-NP\tO' -p68265 -aS'diverticulum\tdiverticulum\tNN\tI-NP\tO' -p68266 -aS'status\tstatus\tNN\tI-NP\tO' -p68267 -aS'post\tpost\tNN\tI-NP\tO' -p68268 -aS'exploratory\texploratory\tNN\tI-NP\tO' -p68269 -aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' -p68270 -asS'She also had an episode of nausea with some emesis , after being treated with Zofran with no relief , a nasogastric tube was placed which drained 1200 cc of bilious fluid .' -p68271 -(lp68272 -S'She\tShe\tPRP\tB-NP\tO' -p68273 -aS'also\talso\tRB\tB-ADVP\tO' -p68274 -aS'had\thave\tVBD\tB-VP\tO' -p68275 -aS'an\tan\tDT\tB-NP\tO' -p68276 -aS'episode\tepisode\tNN\tI-NP\tO' -p68277 -aS'of\tof\tIN\tB-PP\tO' -p68278 -aS'nausea\tnausea\tNN\tB-NP\tO' -p68279 -aS'with\twith\tIN\tB-PP\tO' -p68280 -aS'some\tsome\tDT\tB-NP\tO' -p68281 -aS'emesis\temesis\tNN\tI-NP\tO' -p68282 -aS',\t,\t,\tO\tO' -p68283 -aS'after\tafter\tIN\tB-PP\tO' -p68284 -aS'being\tbe\tVBG\tB-VP\tO' -p68285 -aS'treated\ttreat\tVBN\tI-VP\tO' -p68286 -aS'with\twith\tIN\tB-PP\tO' -p68287 -aS'Zofran\tZofran\tNN\tB-NP\tO' -p68288 -aS'with\twith\tIN\tB-PP\tO' -p68289 -aS'no\tno\tDT\tB-NP\tO' -p68290 -aS'relief\trelief\tNN\tI-NP\tO' -p68291 -aS',\t,\t,\tO\tO' -p68292 -aS'a\ta\tDT\tB-NP\tO' -p68293 -aS'nasogastric\tnasogastric\tJJ\tI-NP\tO' -p68294 -aS'tube\ttube\tNN\tI-NP\tO' -p68295 -aS'was\tbe\tVBD\tB-VP\tO' -p68296 -aS'placed\tplace\tVBN\tI-VP\tO' -p68297 -aS'which\twhich\tWDT\tB-NP\tO' -p68298 -aS'drained\tdrain\tVBD\tB-VP\tO' -p68299 -aS'1200\t1200\tCD\tB-NP\tO' -p68300 -aS'cc\tcc\tNN\tI-NP\tO' -p68301 -aS'of\tof\tIN\tB-PP\tO' -p68302 -aS'bilious\tbilious\tJJ\tB-NP\tO' -p68303 -aS'fluid\tfluid\tNN\tI-NP\tO' -p68304 -aS'.\t.\t.\tO\tO' -p68305 -asS'5. Plavix 75 mg p.o. once per day .' -p68306 -(lp68307 -S'5.\t5.\tLS\tB-NP\tO' -p68308 -aS'Plavix\tPlavix\tNNP\tI-NP\tO' -p68309 -aS'75\t75\tCD\tI-NP\tO' -p68310 -aS'mg\tmg\tNN\tI-NP\tO' -p68311 -aS'p.o.\tp.o.\tRB\tB-ADVP\tO' -p68312 -aS'once\tonce\tRB\tI-ADVP\tO' -p68313 -aS'per\tper\tIN\tB-PP\tO' -p68314 -aS'day\tday\tNN\tB-NP\tO' -p68315 -aS'.\t.\t.\tO\tO' -p68316 -asS'The patient denies use of alcohol or drugs .' -p68317 -(lp68318 -S'The\tThe\tDT\tB-NP\tO' -p68319 -aS'patient\tpatient\tNN\tI-NP\tO' -p68320 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p68321 -aS'use\tuse\tNN\tB-NP\tO' -p68322 -aS'of\tof\tIN\tB-PP\tO' -p68323 -aS'alcohol\talcohol\tNN\tB-NP\tO' -p68324 -aS'or\tor\tCC\tI-NP\tO' -p68325 -aS'drugs\tdrug\tNNS\tI-NP\tO' -p68326 -aS'.\t.\t.\tO\tO' -p68327 -asS'Dictated By : Jeffrey N. Elvington , M.D.' -p68328 -(lp68329 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p68330 -aS'By\tBy\tIN\tB-PP\tO' -p68331 -aS':\t:\t:\tO\tO' -p68332 -aS'Jeffrey\tJeffrey\tNNP\tB-NP\tO' -p68333 -aS'N.\tN.\tNNP\tI-NP\tO' -p68334 -aS'Elvington\tElvington\tNNP\tI-NP\tO' -p68335 -aS',\t,\t,\tO\tO' -p68336 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p68337 -asS'However , he was eventually able to achieve forward flexion of 135 degrees and external rotation of 30 degrees by postoperative day number eight .' -p68338 -(lp68339 -S'However\tHowever\tRB\tB-ADVP\tO' -p68340 -aS',\t,\t,\tO\tO' -p68341 -aS'he\the\tPRP\tB-NP\tO' -p68342 -aS'was\tbe\tVBD\tB-VP\tO' -p68343 -aS'eventually\teventually\tRB\tB-ADJP\tO' -p68344 -aS'able\table\tJJ\tI-ADJP\tO' -p68345 -aS'to\tto\tTO\tB-VP\tO' -p68346 -aS'achieve\tachieve\tVB\tI-VP\tO' -p68347 -aS'forward\tforward\tJJ\tB-NP\tO' -p68348 -aS'flexion\tflexion\tNN\tI-NP\tO' -p68349 -aS'of\tof\tIN\tB-PP\tO' -p68350 -aS'135\t135\tCD\tB-NP\tO' -p68351 -aS'degrees\tdegree\tNNS\tI-NP\tO' -p68352 -aS'and\tand\tCC\tO\tO' -p68353 -aS'external\texternal\tJJ\tB-NP\tO' -p68354 -aS'rotation\trotation\tNN\tI-NP\tO' -p68355 -aS'of\tof\tIN\tB-PP\tO' -p68356 -aS'30\t30\tCD\tB-NP\tO' -p68357 -aS'degrees\tdegree\tNNS\tI-NP\tO' -p68358 -aS'by\tby\tIN\tB-PP\tO' -p68359 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p68360 -aS'day\tday\tNN\tI-NP\tO' -p68361 -aS'number\tnumber\tNN\tI-NP\tO' -p68362 -aS'eight\teight\tCD\tI-NP\tO' -p68363 -aS'.\t.\t.\tO\tO' -p68364 -asS'Dictated By : Linda P.F. Clark , M.D.' -p68365 -(lp68366 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p68367 -aS'By\tBy\tIN\tB-PP\tO' -p68368 -aS':\t:\t:\tO\tO' -p68369 -aS'Linda\tLinda\tNNP\tB-NP\tO' -p68370 -aS'P.F.\tP.F.\tNNP\tI-NP\tO' -p68371 -aS'Clark\tClark\tNNP\tI-NP\tO' -p68372 -aS',\t,\t,\tO\tO' -p68373 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p68374 -asS'1. Levaquin 500 mg one po q day times seven days .' -p68375 -(lp68376 -S'1.\t1.\tLS\tB-NP\tO' -p68377 -aS'Levaquin\tLevaquin\tNNP\tI-NP\tO' -p68378 -aS'500\t500\tCD\tI-NP\tO' -p68379 -aS'mg\tmg\tNN\tI-NP\tO' -p68380 -aS'one\tone\tCD\tB-NP\tO' -p68381 -aS'po\tpo\tNN\tI-NP\tO' -p68382 -aS'q\tq\tNN\tI-NP\tO' -p68383 -aS'day\tday\tNN\tI-NP\tO' -p68384 -aS'times\ttime\tNNS\tI-NP\tO' -p68385 -aS'seven\tseven\tCD\tB-NP\tO' -p68386 -aS'days\tday\tNNS\tI-NP\tO' -p68387 -aS'.\t.\t.\tO\tO' -p68388 -asS'He was started on Pitressin to try to control the gastrointestinal bleeding , but he continued to have severe bleeding , and became progressively hypotensive , with eventual bradycardia and cardiac arrest .' -p68389 -(lp68390 -S'He\tHe\tPRP\tB-NP\tO' -p68391 -aS'was\tbe\tVBD\tB-VP\tO' -p68392 -aS'started\tstart\tVBN\tI-VP\tO' -p68393 -aS'on\ton\tIN\tB-PP\tO' -p68394 -aS'Pitressin\tPitressin\tNNP\tB-NP\tO' -p68395 -aS'to\tto\tTO\tB-VP\tO' -p68396 -aS'try\ttry\tVB\tI-VP\tO' -p68397 -aS'to\tto\tTO\tI-VP\tO' -p68398 -aS'control\tcontrol\tVB\tI-VP\tO' -p68399 -aS'the\tthe\tDT\tB-NP\tO' -p68400 -aS'gastrointestinal\tgastrointestinal\tJJ\tI-NP\tO' -p68401 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p68402 -aS',\t,\t,\tO\tO' -p68403 -aS'but\tbut\tCC\tO\tO' -p68404 -aS'he\the\tPRP\tB-NP\tO' -p68405 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p68406 -aS'to\tto\tTO\tI-VP\tO' -p68407 -aS'have\thave\tVB\tI-VP\tO' -p68408 -aS'severe\tsevere\tJJ\tB-NP\tO' -p68409 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p68410 -aS',\t,\t,\tO\tO' -p68411 -aS'and\tand\tCC\tO\tO' -p68412 -aS'became\tbecome\tVBD\tB-VP\tO' -p68413 -aS'progressively\tprogressively\tRB\tB-ADJP\tO' -p68414 -aS'hypotensive\thypotensive\tJJ\tI-ADJP\tO' -p68415 -aS',\t,\t,\tO\tO' -p68416 -aS'with\twith\tIN\tB-PP\tO' -p68417 -aS'eventual\teventual\tJJ\tB-NP\tO' -p68418 -aS'bradycardia\tbradycardia\tNN\tI-NP\tO' -p68419 -aS'and\tand\tCC\tO\tO' -p68420 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p68421 -aS'arrest\tarrest\tNN\tI-NP\tO' -p68422 -aS'.\t.\t.\tO\tO' -p68423 -asS'He was well nourished so TPN was not started .' -p68424 -(lp68425 -S'He\tHe\tPRP\tB-NP\tO' -p68426 -aS'was\tbe\tVBD\tB-VP\tO' -p68427 -aS'well\twell\tRB\tI-VP\tO' -p68428 -aS'nourished\tnourish\tVBN\tI-VP\tO' -p68429 -aS'so\tso\tIN\tB-SBAR\tO' -p68430 -aS'TPN\tTPN\tNN\tB-NP\tB-protein' -p68431 -aS'was\tbe\tVBD\tB-VP\tO' -p68432 -aS'not\tnot\tRB\tI-VP\tO' -p68433 -aS'started\tstart\tVBN\tI-VP\tO' -p68434 -aS'.\t.\t.\tO\tO' -p68435 -asS'5. Hematology - Most recent hematocrit was 42.8 on 50-05-25 .' -p68436 -(lp68437 -S'5.\t5.\tLS\tB-NP\tO' -p68438 -aS'Hematology\tHematology\tNNP\tI-NP\tO' -p68439 -aS'-\t-\tHYPH\tI-NP\tO' -p68440 -aS'Most\tMost\tJJS\tI-NP\tO' -p68441 -aS'recent\trecent\tJJ\tI-NP\tO' -p68442 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p68443 -aS'was\tbe\tVBD\tB-VP\tO' -p68444 -aS'42.8\t42.8\tCD\tB-NP\tO' -p68445 -aS'on\ton\tIN\tB-PP\tO' -p68446 -aS'50-05-25\t50-05-25\tCD\tB-NP\tO' -p68447 -aS'.\t.\t.\tO\tO' -p68448 -asS'The infant is currently receiving breast milk 22 calories per ounce or premature Enfamil 22 calories per ounce , 150 cc / kg / day p.o. and gavage .' -p68449 -(lp68450 -S'The\tThe\tDT\tB-NP\tO' -p68451 -aS'infant\tinfant\tNN\tI-NP\tO' -p68452 -aS'is\tbe\tVBZ\tB-VP\tO' -p68453 -aS'currently\tcurrently\tRB\tI-VP\tO' -p68454 -aS'receiving\treceive\tVBG\tI-VP\tO' -p68455 -aS'breast\tbreast\tNN\tB-NP\tO' -p68456 -aS'milk\tmilk\tNN\tI-NP\tO' -p68457 -aS'22\t22\tCD\tB-NP\tO' -p68458 -aS'calories\tcalorie\tNNS\tI-NP\tO' -p68459 -aS'per\tper\tIN\tB-PP\tO' -p68460 -aS'ounce\tounce\tNN\tB-NP\tO' -p68461 -aS'or\tor\tCC\tO\tO' -p68462 -aS'premature\tpremature\tJJ\tB-NP\tO' -p68463 -aS'Enfamil\tEnfamil\tNN\tI-NP\tO' -p68464 -aS'22\t22\tCD\tB-NP\tO' -p68465 -aS'calories\tcalorie\tNNS\tI-NP\tO' -p68466 -aS'per\tper\tIN\tB-PP\tO' -p68467 -aS'ounce\tounce\tNN\tB-NP\tO' -p68468 -aS',\t,\t,\tO\tO' -p68469 -aS'150\t150\tCD\tB-NP\tO' -p68470 -aS'cc\tcc\tNN\tI-NP\tO' -p68471 -aS'/\t/\tSYM\tB-NP\tO' -p68472 -aS'kg\tkg\tNN\tI-NP\tO' -p68473 -aS'/\t/\tSYM\tB-NP\tO' -p68474 -aS'day\tday\tNN\tI-NP\tO' -p68475 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p68476 -aS'and\tand\tCC\tI-NP\tO' -p68477 -aS'gavage\tgavage\tNN\tI-NP\tO' -p68478 -aS'.\t.\t.\tO\tO' -p68479 -asS'He remained hemodynamically stable throughout this admission .' -p68480 -(lp68481 -S'He\tHe\tPRP\tB-NP\tO' -p68482 -aS'remained\tremain\tVBD\tB-VP\tO' -p68483 -aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' -p68484 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p68485 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p68486 -aS'this\tthis\tDT\tB-NP\tO' -p68487 -aS'admission\tadmission\tNN\tI-NP\tO' -p68488 -aS'.\t.\t.\tO\tO' -p68489 -asS'Retired .' -p68490 -(lp68491 -S'Retired\tRetire\tVBN\tB-VP\tO' -p68492 -aS'.\t.\t.\tO\tO' -p68493 -asS'8. Enoxaparin 30 mg / 0.3 mL Syringe Sig : One ( 1 ) Subcutaneous Q12H ( every 12 hours ) for 4 weeks .' -p68494 -(lp68495 -S'8.\t8.\tCD\tB-NP\tO' -p68496 -aS'Enoxaparin\tEnoxaparin\tNN\tI-NP\tO' -p68497 -aS'30\t30\tCD\tB-NP\tO' -p68498 -aS'mg\tmg\tNN\tI-NP\tO' -p68499 -aS'/\t/\tSYM\tB-NP\tO' -p68500 -aS'0.3\t0.3\tCD\tB-NP\tO' -p68501 -aS'mL\tmL\tNN\tI-NP\tO' -p68502 -aS'Syringe\tSyringe\tNNP\tI-NP\tO' -p68503 -aS'Sig\tSig\tNNP\tI-NP\tO' -p68504 -aS':\t:\t:\tO\tO' -p68505 -aS'One\tOne\tCD\tB-NP\tO' -p68506 -aS'(\t(\t(\tO\tO' -p68507 -aS'1\t1\tCD\tB-NP\tO' -p68508 -aS')\t)\t)\tO\tO' -p68509 -aS'Subcutaneous\tSubcutaneous\tJJ\tB-NP\tO' -p68510 -aS'Q12H\tQ12H\tNN\tI-NP\tO' -p68511 -aS'(\t(\t(\tO\tO' -p68512 -aS'every\tevery\tDT\tB-NP\tO' -p68513 -aS'12\t12\tCD\tI-NP\tO' -p68514 -aS'hours\thour\tNNS\tI-NP\tO' -p68515 -aS')\t)\t)\tO\tO' -p68516 -aS'for\tfor\tIN\tB-PP\tO' -p68517 -aS'4\t4\tCD\tB-NP\tO' -p68518 -aS'weeks\tweek\tNNS\tI-NP\tO' -p68519 -aS'.\t.\t.\tO\tO' -p68520 -asS'6. Diabetes mellitus .' -p68521 -(lp68522 -S'6.\t6.\tLS\tB-NP\tO' -p68523 -aS'Diabetes\tDiabetes\tNN\tI-NP\tO' -p68524 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p68525 -aS'.\t.\t.\tO\tO' -p68526 -asS'He is to follow up with providers as per discharge instructions .' -p68527 -(lp68528 -S'He\tHe\tPRP\tB-NP\tO' -p68529 -aS'is\tbe\tVBZ\tB-VP\tO' -p68530 -aS'to\tto\tTO\tB-VP\tO' -p68531 -aS'follow\tfollow\tVB\tI-VP\tO' -p68532 -aS'up\tup\tRP\tB-PRT\tO' -p68533 -aS'with\twith\tIN\tB-PP\tO' -p68534 -aS'providers\tprovider\tNNS\tB-NP\tO' -p68535 -aS'as\tas\tIN\tB-PP\tO' -p68536 -aS'per\tper\tIN\tB-PP\tO' -p68537 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p68538 -aS'instructions\tinstruction\tNNS\tI-NP\tO' -p68539 -aS'.\t.\t.\tO\tO' -p68540 -asS'The patient was oriented to person , place and time and opened eyes appropriately to speech when asked .' -p68541 -(lp68542 -S'The\tThe\tDT\tB-NP\tO' -p68543 -aS'patient\tpatient\tNN\tI-NP\tO' -p68544 -aS'was\tbe\tVBD\tB-VP\tO' -p68545 -aS'oriented\torient\tVBN\tI-VP\tO' -p68546 -aS'to\tto\tTO\tB-PP\tO' -p68547 -aS'person\tperson\tNN\tB-NP\tO' -p68548 -aS',\t,\t,\tI-NP\tO' -p68549 -aS'place\tplace\tNN\tI-NP\tO' -p68550 -aS'and\tand\tCC\tI-NP\tO' -p68551 -aS'time\ttime\tNN\tI-NP\tO' -p68552 -aS'and\tand\tCC\tO\tO' -p68553 -aS'opened\topen\tVBD\tB-VP\tO' -p68554 -aS'eyes\teye\tNNS\tB-NP\tO' -p68555 -aS'appropriately\tappropriately\tRB\tB-ADVP\tO' -p68556 -aS'to\tto\tTO\tB-VP\tO' -p68557 -aS'speech\tspeech\tVB\tI-VP\tO' -p68558 -aS'when\twhen\tWRB\tB-ADVP\tO' -p68559 -aS'asked\task\tVBN\tB-VP\tO' -p68560 -aS'.\t.\t.\tO\tO' -p68561 -asS'Should continue Keflex for 10 more days or as clinically indicated .' -p68562 -(lp68563 -S'Should\tShould\tMD\tB-VP\tO' -p68564 -aS'continue\tcontinue\tVB\tI-VP\tO' -p68565 -aS'Keflex\tKeflex\tNNP\tB-NP\tO' -p68566 -aS'for\tfor\tIN\tB-PP\tO' -p68567 -aS'10\t10\tCD\tB-NP\tO' -p68568 -aS'more\tmore\tJJR\tI-NP\tO' -p68569 -aS'days\tday\tNNS\tI-NP\tO' -p68570 -aS'or\tor\tCC\tO\tO' -p68571 -aS'as\tas\tIN\tB-SBAR\tO' -p68572 -aS'clinically\tclinically\tRB\tB-ADVP\tO' -p68573 -aS'indicated\tindicate\tVBN\tB-VP\tO' -p68574 -aS'.\t.\t.\tO\tO' -p68575 -asS'6. Fluticasone .' -p68576 -(lp68577 -S'6.\t6.\tLS\tB-NP\tO' -p68578 -aS'Fluticasone\tFluticasone\tNN\tI-NP\tO' -p68579 -aS'.\t.\t.\tO\tO' -p68580 -asS'2. Status post current cardioversion times four .' -p68581 -(lp68582 -S'2.\t2.\tLS\tB-NP\tO' -p68583 -aS'Status\tStatus\tNNP\tI-NP\tO' -p68584 -aS'post\tpost\tNN\tI-NP\tO' -p68585 -aS'current\tcurrent\tJJ\tI-NP\tO' -p68586 -aS'cardioversion\tcardioversion\tNN\tI-NP\tO' -p68587 -aS'times\ttime\tNNS\tI-NP\tO' -p68588 -aS'four\tfour\tCD\tI-NP\tO' -p68589 -aS'.\t.\t.\tO\tO' -p68590 -asS'Cardiac exam revealed an S1 and an S2 and a diffuse 2/6 systolic murmur .' -p68591 -(lp68592 -S'Cardiac\tCardiac\tJJ\tB-NP\tO' -p68593 -aS'exam\texam\tNN\tI-NP\tO' -p68594 -aS'revealed\treveal\tVBD\tB-VP\tO' -p68595 -aS'an\tan\tDT\tB-NP\tO' -p68596 -aS'S1\tS1\tNN\tI-NP\tB-protein' -p68597 -aS'and\tand\tCC\tO\tO' -p68598 -aS'an\tan\tDT\tB-NP\tO' -p68599 -aS'S2\tS2\tNN\tI-NP\tB-protein' -p68600 -aS'and\tand\tCC\tO\tO' -p68601 -aS'a\ta\tDT\tB-NP\tO' -p68602 -aS'diffuse\tdiffuse\tJJ\tI-NP\tO' -p68603 -aS'2/6\t2/6\tCD\tI-NP\tO' -p68604 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p68605 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p68606 -aS'.\t.\t.\tO\tO' -p68607 -asS'Left coloboma .' -p68608 -(lp68609 -S'Left\tLeft\tJJ\tB-NP\tO' -p68610 -aS'coloboma\tcoloboma\tNN\tI-NP\tO' -p68611 -aS'.\t.\t.\tO\tO' -p68612 -asS'Status post coronary artery bypass grafting .' -p68613 -(lp68614 -S'Status\tStatus\tNNP\tB-NP\tO' -p68615 -aS'post\tpost\tVBD\tB-VP\tO' -p68616 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p68617 -aS'artery\tartery\tNN\tI-NP\tO' -p68618 -aS'bypass\tbypass\tIN\tB-PP\tO' -p68619 -aS'grafting\tgrafting\tNN\tB-NP\tO' -p68620 -aS'.\t.\t.\tO\tO' -p68621 -asS'Please f/u with Dr. Hernandez / neurosurgery in 6 weeks - patient will receive a call from the neurosurgery office to set up a repeat head CT prior and to schedule this visit .' -p68622 -(lp68623 -S'Please\tPlease\tNN\tB-NP\tO' -p68624 -aS'f/u\tf/u\tNN\tI-NP\tO' -p68625 -aS'with\twith\tIN\tB-PP\tO' -p68626 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p68627 -aS'Hernandez\tHernandez\tNNP\tI-NP\tO' -p68628 -aS'/\t/\tSYM\tB-NP\tO' -p68629 -aS'neurosurgery\tneurosurgery\tNN\tI-NP\tO' -p68630 -aS'in\tin\tIN\tB-PP\tO' -p68631 -aS'6\t6\tCD\tB-NP\tO' -p68632 -aS'weeks\tweek\tNNS\tI-NP\tO' -p68633 -aS'-\t-\t:\tO\tO' -p68634 -aS'patient\tpatient\tNN\tB-NP\tO' -p68635 -aS'will\twill\tMD\tB-VP\tO' -p68636 -aS'receive\treceive\tVB\tI-VP\tO' -p68637 -aS'a\ta\tDT\tB-NP\tO' -p68638 -aS'call\tcall\tNN\tI-NP\tO' -p68639 -aS'from\tfrom\tIN\tB-PP\tO' -p68640 -aS'the\tthe\tDT\tB-NP\tO' -p68641 -aS'neurosurgery\tneurosurgery\tNN\tI-NP\tO' -p68642 -aS'office\toffice\tNN\tI-NP\tO' -p68643 -aS'to\tto\tTO\tB-VP\tO' -p68644 -aS'set\tset\tVB\tI-VP\tO' -p68645 -aS'up\tup\tRP\tB-PRT\tO' -p68646 -aS'a\ta\tDT\tB-NP\tO' -p68647 -aS'repeat\trepeat\tNN\tI-NP\tO' -p68648 -aS'head\thead\tNN\tI-NP\tO' -p68649 -aS'CT\tCT\tNN\tI-NP\tO' -p68650 -aS'prior\tprior\tRB\tB-ADVP\tO' -p68651 -aS'and\tand\tCC\tO\tO' -p68652 -aS'to\tto\tTO\tB-VP\tO' -p68653 -aS'schedule\tschedule\tVB\tI-VP\tO' -p68654 -aS'this\tthis\tDT\tB-NP\tO' -p68655 -aS'visit\tvisit\tNN\tI-NP\tO' -p68656 -aS'.\t.\t.\tO\tO' -p68657 -asS'This is most consistent with complex partial seizures with a focus in the left hemisphere , most likely the motor strip .' -p68658 -(lp68659 -S'This\tThis\tDT\tB-NP\tO' -p68660 -aS'is\tbe\tVBZ\tB-VP\tO' -p68661 -aS'most\tmost\tRBS\tB-ADJP\tO' -p68662 -aS'consistent\tconsistent\tJJ\tI-ADJP\tO' -p68663 -aS'with\twith\tIN\tB-PP\tO' -p68664 -aS'complex\tcomplex\tJJ\tB-NP\tO' -p68665 -aS'partial\tpartial\tJJ\tI-NP\tO' -p68666 -aS'seizures\tseizure\tNNS\tI-NP\tO' -p68667 -aS'with\twith\tIN\tB-PP\tO' -p68668 -aS'a\ta\tDT\tB-NP\tO' -p68669 -aS'focus\tfocus\tNN\tI-NP\tO' -p68670 -aS'in\tin\tIN\tB-PP\tO' -p68671 -aS'the\tthe\tDT\tB-NP\tO' -p68672 -aS'left\tleft\tJJ\tI-NP\tO' -p68673 -aS'hemisphere\themisphere\tNN\tI-NP\tO' -p68674 -aS',\t,\t,\tO\tO' -p68675 -aS'most\tmost\tRBS\tB-ADVP\tO' -p68676 -aS'likely\tlikely\tRB\tI-ADVP\tO' -p68677 -aS'the\tthe\tDT\tB-NP\tO' -p68678 -aS'motor\tmotor\tNN\tI-NP\tO' -p68679 -aS'strip\tstrip\tNN\tI-NP\tO' -p68680 -aS'.\t.\t.\tO\tO' -p68681 -asS'He was begun on Physical Therapy but remained agitated .' -p68682 -(lp68683 -S'He\tHe\tPRP\tB-NP\tO' -p68684 -aS'was\tbe\tVBD\tB-VP\tO' -p68685 -aS'begun\tbegin\tVBN\tI-VP\tO' -p68686 -aS'on\ton\tIN\tB-PP\tO' -p68687 -aS'Physical\tPhysical\tJJ\tB-NP\tO' -p68688 -aS'Therapy\tTherapy\tNN\tI-NP\tO' -p68689 -aS'but\tbut\tCC\tO\tO' -p68690 -aS'remained\tremain\tVBD\tB-VP\tO' -p68691 -aS'agitated\tagitate\tVBN\tI-VP\tO' -p68692 -aS'.\t.\t.\tO\tO' -p68693 -asS'Balloon was weaned and finally discontinued .' -p68694 -(lp68695 -S'Balloon\tBalloon\tNN\tB-NP\tO' -p68696 -aS'was\tbe\tVBD\tB-VP\tO' -p68697 -aS'weaned\twean\tVBN\tI-VP\tO' -p68698 -aS'and\tand\tCC\tO\tO' -p68699 -aS'finally\tfinally\tRB\tB-VP\tO' -p68700 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p68701 -aS'.\t.\t.\tO\tO' -p68702 -asS'He was admitted for that procedure .' -p68703 -(lp68704 -S'He\tHe\tPRP\tB-NP\tO' -p68705 -aS'was\tbe\tVBD\tB-VP\tO' -p68706 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p68707 -aS'for\tfor\tIN\tB-PP\tO' -p68708 -aS'that\tthat\tDT\tB-NP\tO' -p68709 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p68710 -aS'.\t.\t.\tO\tO' -p68711 -asS'Negative for congestive heart failure , positive for occasional dyspnea on exertion , negative for dyspnea and she has excellent exercise tolerance .' -p68712 -(lp68713 -S'Negative\tNegative\tJJ\tB-ADJP\tO' -p68714 -aS'for\tfor\tIN\tB-PP\tO' -p68715 -aS'congestive\tcongestive\tJJ\tB-NP\tO' -p68716 -aS'heart\theart\tNN\tI-NP\tO' -p68717 -aS'failure\tfailure\tNN\tI-NP\tO' -p68718 -aS',\t,\t,\tO\tO' -p68719 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p68720 -aS'for\tfor\tIN\tB-PP\tO' -p68721 -aS'occasional\toccasional\tJJ\tB-NP\tO' -p68722 -aS'dyspnea\tdyspnea\tNN\tI-NP\tO' -p68723 -aS'on\ton\tIN\tB-PP\tO' -p68724 -aS'exertion\texertion\tNN\tB-NP\tO' -p68725 -aS',\t,\t,\tO\tO' -p68726 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p68727 -aS'for\tfor\tIN\tB-PP\tO' -p68728 -aS'dyspnea\tdyspnea\tNN\tB-NP\tO' -p68729 -aS'and\tand\tCC\tO\tO' -p68730 -aS'she\tshe\tPRP\tB-NP\tO' -p68731 -aS'has\thave\tVBZ\tB-VP\tO' -p68732 -aS'excellent\texcellent\tJJ\tB-NP\tO' -p68733 -aS'exercise\texercise\tNN\tI-NP\tO' -p68734 -aS'tolerance\ttolerance\tNN\tI-NP\tO' -p68735 -aS'.\t.\t.\tO\tO' -p68736 -asS'opiates used very sparingly in setting of MS change' -p68737 -(lp68738 -S'opiates\topiate\tNNS\tB-NP\tO' -p68739 -aS'used\tuse\tVBN\tB-VP\tO' -p68740 -aS'very\tvery\tRB\tB-ADVP\tO' -p68741 -aS'sparingly\tsparingly\tRB\tI-ADVP\tO' -p68742 -aS'in\tin\tIN\tB-PP\tO' -p68743 -aS'setting\tset\tVBG\tB-VP\tO' -p68744 -aS'of\tof\tIN\tB-PP\tO' -p68745 -aS'MS\tMS\tNN\tB-NP\tO' -p68746 -aS'change\tchange\tNN\tI-NP\tO' -p68747 -asS'Throughout his course during this hospitalization , the patient was also followed by the ENT service .' -p68748 -(lp68749 -S'Throughout\tThroughout\tIN\tB-PP\tO' -p68750 -aS'his\this\tPRP$\tB-NP\tO' -p68751 -aS'course\tcourse\tNN\tI-NP\tO' -p68752 -aS'during\tduring\tIN\tB-PP\tO' -p68753 -aS'this\tthis\tDT\tB-NP\tO' -p68754 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p68755 -aS',\t,\t,\tO\tO' -p68756 -aS'the\tthe\tDT\tB-NP\tO' -p68757 -aS'patient\tpatient\tNN\tI-NP\tO' -p68758 -aS'was\tbe\tVBD\tB-VP\tO' -p68759 -aS'also\talso\tRB\tI-VP\tO' -p68760 -aS'followed\tfollow\tVBN\tI-VP\tO' -p68761 -aS'by\tby\tIN\tB-PP\tO' -p68762 -aS'the\tthe\tDT\tB-NP\tO' -p68763 -aS'ENT\tENT\tNN\tI-NP\tO' -p68764 -aS'service\tservice\tNN\tI-NP\tO' -p68765 -aS'.\t.\t.\tO\tO' -p68766 -asS'The extremities were without edema .' -p68767 -(lp68768 -S'The\tThe\tDT\tB-NP\tO' -p68769 -aS'extremities\textremity\tNNS\tI-NP\tO' -p68770 -aS'were\tbe\tVBD\tB-VP\tO' -p68771 -aS'without\twithout\tIN\tB-PP\tO' -p68772 -aS'edema\tedema\tNN\tB-NP\tO' -p68773 -aS'.\t.\t.\tO\tO' -p68774 -asS'The patient underwent an uncomplicated recovery in the intensive care unit .' -p68775 -(lp68776 -S'The\tThe\tDT\tB-NP\tO' -p68777 -aS'patient\tpatient\tNN\tI-NP\tO' -p68778 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p68779 -aS'an\tan\tDT\tB-NP\tO' -p68780 -aS'uncomplicated\tuncomplicated\tJJ\tI-NP\tO' -p68781 -aS'recovery\trecovery\tNN\tI-NP\tO' -p68782 -aS'in\tin\tIN\tB-PP\tO' -p68783 -aS'the\tthe\tDT\tB-NP\tO' -p68784 -aS'intensive\tintensive\tJJ\tI-NP\tO' -p68785 -aS'care\tcare\tNN\tI-NP\tO' -p68786 -aS'unit\tunit\tNN\tI-NP\tO' -p68787 -aS'.\t.\t.\tO\tO' -p68788 -asS'Allergies included PENICILLIN and IODINE .' -p68789 -(lp68790 -S'Allergies\tAllergy\tNNS\tB-NP\tO' -p68791 -aS'included\tinclude\tVBD\tB-VP\tO' -p68792 -aS'PENICILLIN\tPENICILLIN\tNN\tB-NP\tB-protein' -p68793 -aS'and\tand\tCC\tI-NP\tO' -p68794 -aS'IODINE\tIODINE\tNN\tI-NP\tO' -p68795 -aS'.\t.\t.\tO\tO' -p68796 -asS'The left ventricular cavity is small .' -p68797 -(lp68798 -S'The\tThe\tDT\tB-NP\tO' -p68799 -aS'left\tleft\tJJ\tI-NP\tO' -p68800 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p68801 -aS'cavity\tcavity\tNN\tI-NP\tO' -p68802 -aS'is\tbe\tVBZ\tB-VP\tO' -p68803 -aS'small\tsmall\tJJ\tB-ADJP\tO' -p68804 -aS'.\t.\t.\tO\tO' -p68805 -asS'Status post stent .' -p68806 -(lp68807 -S'Status\tStatus\tNNP\tB-NP\tO' -p68808 -aS'post\tpost\tNN\tI-NP\tO' -p68809 -aS'stent\tstent\tNN\tI-NP\tO' -p68810 -aS'.\t.\t.\tO\tO' -p68811 -asS'11. Sliding scale Humalog regular insulin for breakfast is blood glucose of 151 to 200 equal 4 units , 201 to 250 equal 6 units , 251 to 350 equal 12 units , greater than 350 equals 15 units .' -p68812 -(lp68813 -S'11.\t11.\tLS\tB-LST\tO' -p68814 -aS'Sliding\tSlide\tVBG\tB-VP\tO' -p68815 -aS'scale\tscale\tNN\tB-NP\tB-protein' -p68816 -aS'Humalog\tHumalog\tNN\tI-NP\tI-protein' -p68817 -aS'regular\tregular\tJJ\tI-NP\tI-protein' -p68818 -aS'insulin\tinsulin\tNN\tI-NP\tI-protein' -p68819 -aS'for\tfor\tIN\tB-PP\tO' -p68820 -aS'breakfast\tbreakfast\tNN\tB-NP\tO' -p68821 -aS'is\tbe\tVBZ\tB-VP\tO' -p68822 -aS'blood\tblood\tNN\tB-NP\tO' -p68823 -aS'glucose\tglucose\tNN\tI-NP\tO' -p68824 -aS'of\tof\tIN\tB-PP\tO' -p68825 -aS'151\t151\tCD\tB-NP\tB-DNA' -p68826 -aS'to\tto\tTO\tI-NP\tI-DNA' -p68827 -aS'200\t200\tCD\tI-NP\tI-DNA' -p68828 -aS'equal\tequal\tJJ\tI-NP\tI-DNA' -p68829 -aS'4\t4\tCD\tI-NP\tI-DNA' -p68830 -aS'units\tunit\tNNS\tI-NP\tI-DNA' -p68831 -aS',\t,\t,\tO\tO' -p68832 -aS'201\t201\tCD\tB-NP\tB-DNA' -p68833 -aS'to\tto\tTO\tI-NP\tI-DNA' -p68834 -aS'250\t250\tCD\tI-NP\tI-DNA' -p68835 -aS'equal\tequal\tJJ\tI-NP\tI-DNA' -p68836 -aS'6\t6\tCD\tI-NP\tI-DNA' -p68837 -aS'units\tunit\tNNS\tI-NP\tI-DNA' -p68838 -aS',\t,\t,\tO\tO' -p68839 -aS'251\t251\tCD\tB-NP\tB-DNA' -p68840 -aS'to\tto\tTO\tI-NP\tI-DNA' -p68841 -aS'350\t350\tCD\tI-NP\tI-DNA' -p68842 -aS'equal\tequal\tJJ\tI-NP\tI-DNA' -p68843 -aS'12\t12\tCD\tI-NP\tI-DNA' -p68844 -aS'units\tunit\tNNS\tI-NP\tI-DNA' -p68845 -aS',\t,\t,\tO\tO' -p68846 -aS'greater\tgreat\tJJR\tB-NP\tO' -p68847 -aS'than\tthan\tIN\tI-NP\tO' -p68848 -aS'350\t350\tCD\tI-NP\tB-DNA' -p68849 -aS'equals\tequal\tNNS\tI-NP\tI-DNA' -p68850 -aS'15\t15\tCD\tB-NP\tI-DNA' -p68851 -aS'units\tunit\tNNS\tI-NP\tI-DNA' -p68852 -aS'.\t.\t.\tO\tO' -p68853 -asS'No edema bilaterally .' -p68854 -(lp68855 -S'No\tNo\tDT\tB-NP\tO' -p68856 -aS'edema\tedema\tNN\tI-NP\tO' -p68857 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p68858 -aS'.\t.\t.\tO\tO' -p68859 -asS'10. Pilocarpine gel qhs to both eyes .' -p68860 -(lp68861 -S'10.\t10.\tLS\tB-NP\tO' -p68862 -aS'Pilocarpine\tPilocarpine\tNN\tI-NP\tO' -p68863 -aS'gel\tgel\tNN\tI-NP\tO' -p68864 -aS'qhs\tqh\tNNS\tI-NP\tO' -p68865 -aS'to\tto\tTO\tB-PP\tO' -p68866 -aS'both\tboth\tDT\tB-NP\tO' -p68867 -aS'eyes\teye\tNNS\tI-NP\tO' -p68868 -aS'.\t.\t.\tO\tO' -p68869 -asS'The nasogastric tube terminates within the stomach .' -p68870 -(lp68871 -S'The\tThe\tDT\tB-NP\tO' -p68872 -aS'nasogastric\tnasogastric\tJJ\tI-NP\tO' -p68873 -aS'tube\ttube\tNN\tI-NP\tO' -p68874 -aS'terminates\tterminate\tVBZ\tB-VP\tO' -p68875 -aS'within\twithin\tIN\tB-PP\tO' -p68876 -aS'the\tthe\tDT\tB-NP\tO' -p68877 -aS'stomach\tstomach\tNN\tI-NP\tO' -p68878 -aS'.\t.\t.\tO\tO' -p68879 -asS'--- Protonix , Lovenox , R boot as per CMED CCU' -p68880 -(lp68881 -S'---\t---\tSYM\tO\tO' -p68882 -aS'Protonix\tProtonix\tNNP\tB-NP\tO' -p68883 -aS',\t,\t,\tO\tO' -p68884 -aS'Lovenox\tLovenox\tNNP\tB-NP\tO' -p68885 -aS',\t,\t,\tO\tO' -p68886 -aS'R\tR\tNN\tB-NP\tO' -p68887 -aS'boot\tboot\tNN\tI-NP\tO' -p68888 -aS'as\tas\tIN\tB-PP\tO' -p68889 -aS'per\tper\tIN\tB-PP\tO' -p68890 -aS'CMED\tCMED\tNN\tB-NP\tO' -p68891 -aS'CCU\tCCU\tNN\tB-NP\tO' -p68892 -asS'4. G tube placement .' -p68893 -(lp68894 -S'4.\t4.\tLS\tB-NP\tO' -p68895 -aS'G\tG\tNN\tI-NP\tO' -p68896 -aS'tube\ttube\tNN\tI-NP\tO' -p68897 -aS'placement\tplacement\tNN\tI-NP\tO' -p68898 -aS'.\t.\t.\tO\tO' -p68899 -asS'The oncology fellows from Venbonlea Health followed her course and recommended holding off on her Hydrea while she is hospitalized , and they will follow her as an outpatient and restart her Hydrea when her hematocrit is over 40% .' -p68900 -(lp68901 -S'The\tThe\tDT\tB-NP\tO' -p68902 -aS'oncology\toncology\tNN\tI-NP\tO' -p68903 -aS'fellows\tfellow\tVBZ\tB-VP\tO' -p68904 -aS'from\tfrom\tIN\tB-PP\tO' -p68905 -aS'Venbonlea\tVenbonlea\tNNP\tB-NP\tO' -p68906 -aS'Health\tHealth\tNNP\tI-NP\tO' -p68907 -aS'followed\tfollow\tVBD\tB-VP\tO' -p68908 -aS'her\ther\tPRP$\tB-NP\tO' -p68909 -aS'course\tcourse\tNN\tI-NP\tO' -p68910 -aS'and\tand\tCC\tO\tO' -p68911 -aS'recommended\trecommend\tVBD\tB-VP\tO' -p68912 -aS'holding\thold\tVBG\tI-VP\tO' -p68913 -aS'off\toff\tRP\tB-PRT\tO' -p68914 -aS'on\ton\tIN\tB-PP\tO' -p68915 -aS'her\ther\tPRP$\tB-NP\tO' -p68916 -aS'Hydrea\tHydrea\tNN\tI-NP\tO' -p68917 -aS'while\twhile\tIN\tB-SBAR\tO' -p68918 -aS'she\tshe\tPRP\tB-NP\tO' -p68919 -aS'is\tbe\tVBZ\tB-VP\tO' -p68920 -aS'hospitalized\thospitalize\tVBN\tI-VP\tO' -p68921 -aS',\t,\t,\tO\tO' -p68922 -aS'and\tand\tCC\tO\tO' -p68923 -aS'they\tthey\tPRP\tB-NP\tO' -p68924 -aS'will\twill\tMD\tB-VP\tO' -p68925 -aS'follow\tfollow\tVB\tI-VP\tO' -p68926 -aS'her\ther\tPRP\tB-NP\tO' -p68927 -aS'as\tas\tIN\tB-PP\tO' -p68928 -aS'an\tan\tDT\tB-NP\tO' -p68929 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p68930 -aS'and\tand\tCC\tO\tO' -p68931 -aS'restart\trestart\tVB\tB-VP\tO' -p68932 -aS'her\ther\tPRP\tB-NP\tO' -p68933 -aS'Hydrea\tHydrea\tNNP\tB-NP\tO' -p68934 -aS'when\twhen\tWRB\tB-ADVP\tO' -p68935 -aS'her\ther\tPRP$\tB-NP\tO' -p68936 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p68937 -aS'is\tbe\tVBZ\tB-VP\tO' -p68938 -aS'over\tover\tIN\tB-PP\tO' -p68939 -aS'40%\t40%\tCD\tB-NP\tO' -p68940 -aS'.\t.\t.\tO\tO' -p68941 -asS'States pain is worst when he sits up or twists his back .' -p68942 -(lp68943 -S'States\tState\tNNS\tB-NP\tB-protein' -p68944 -aS'pain\tpain\tNN\tI-NP\tI-protein' -p68945 -aS'is\tbe\tVBZ\tB-VP\tO' -p68946 -aS'worst\tworst\tJJS\tB-ADJP\tO' -p68947 -aS'when\twhen\tWRB\tB-ADVP\tO' -p68948 -aS'he\the\tPRP\tB-NP\tO' -p68949 -aS'sits\tsit\tVBZ\tB-VP\tO' -p68950 -aS'up\tup\tRP\tB-PRT\tO' -p68951 -aS'or\tor\tCC\tO\tO' -p68952 -aS'twists\ttwist\tVBZ\tB-VP\tO' -p68953 -aS'his\this\tPRP$\tB-NP\tO' -p68954 -aS'back\tback\tNN\tI-NP\tO' -p68955 -aS'.\t.\t.\tO\tO' -p68956 -asS'The patient was thought to have normal dental hygiene and low suspicion for a source of his alpha septicemia from his mouth .' -p68957 -(lp68958 -S'The\tThe\tDT\tB-NP\tO' -p68959 -aS'patient\tpatient\tNN\tI-NP\tO' -p68960 -aS'was\tbe\tVBD\tB-VP\tO' -p68961 -aS'thought\tthink\tVBN\tI-VP\tO' -p68962 -aS'to\tto\tTO\tI-VP\tO' -p68963 -aS'have\thave\tVB\tI-VP\tO' -p68964 -aS'normal\tnormal\tJJ\tB-NP\tO' -p68965 -aS'dental\tdental\tJJ\tI-NP\tO' -p68966 -aS'hygiene\thygiene\tNN\tI-NP\tO' -p68967 -aS'and\tand\tCC\tO\tO' -p68968 -aS'low\tlow\tJJ\tB-NP\tO' -p68969 -aS'suspicion\tsuspicion\tNN\tI-NP\tO' -p68970 -aS'for\tfor\tIN\tB-PP\tO' -p68971 -aS'a\ta\tDT\tB-NP\tO' -p68972 -aS'source\tsource\tNN\tI-NP\tO' -p68973 -aS'of\tof\tIN\tB-PP\tO' -p68974 -aS'his\this\tPRP$\tB-NP\tO' -p68975 -aS'alpha\talpha\tNN\tI-NP\tO' -p68976 -aS'septicemia\tsepticemia\tNN\tI-NP\tO' -p68977 -aS'from\tfrom\tIN\tB-PP\tO' -p68978 -aS'his\this\tPRP$\tB-NP\tO' -p68979 -aS'mouth\tmouth\tNN\tI-NP\tO' -p68980 -aS'.\t.\t.\tO\tO' -p68981 -asS'Stool sent for C.diff and given Flagyl 500 mg PO X 1 dose .' -p68982 -(lp68983 -S'Stool\tStool\tNN\tB-NP\tO' -p68984 -aS'sent\tsend\tVBD\tB-VP\tO' -p68985 -aS'for\tfor\tIN\tB-PP\tO' -p68986 -aS'C.diff\tC.diff\tNNP\tB-NP\tO' -p68987 -aS'and\tand\tCC\tO\tO' -p68988 -aS'given\tgive\tVBN\tB-VP\tO' -p68989 -aS'Flagyl\tFlagyl\tNN\tB-NP\tO' -p68990 -aS'500\t500\tCD\tI-NP\tO' -p68991 -aS'mg\tmg\tNN\tI-NP\tO' -p68992 -aS'PO\tPO\tNN\tI-NP\tO' -p68993 -aS'X\tX\tSYM\tB-NP\tO' -p68994 -aS'1\t1\tCD\tI-NP\tO' -p68995 -aS'dose\tdose\tNN\tI-NP\tO' -p68996 -aS'.\t.\t.\tO\tO' -p68997 -asS'1. Insulin by sliding-scale , NPH insulin 16 units in the morning and 6 units in the evening .' -p68998 -(lp68999 -S'1.\t1.\tLS\tB-NP\tO' -p69000 -aS'Insulin\tInsulin\tNN\tI-NP\tB-protein' -p69001 -aS'by\tby\tIN\tB-PP\tO' -p69002 -aS'sliding-scale\tsliding-scale\tJJ\tB-NP\tO' -p69003 -aS',\t,\t,\tI-NP\tO' -p69004 -aS'NPH\tNPH\tNN\tI-NP\tB-protein' -p69005 -aS'insulin\tinsulin\tNN\tI-NP\tI-protein' -p69006 -aS'16\t16\tCD\tB-NP\tI-protein' -p69007 -aS'units\tunit\tNNS\tI-NP\tI-protein' -p69008 -aS'in\tin\tIN\tB-PP\tO' -p69009 -aS'the\tthe\tDT\tB-NP\tO' -p69010 -aS'morning\tmorning\tNN\tI-NP\tO' -p69011 -aS'and\tand\tCC\tI-NP\tO' -p69012 -aS'6\t6\tCD\tI-NP\tO' -p69013 -aS'units\tunit\tNNS\tI-NP\tO' -p69014 -aS'in\tin\tIN\tB-PP\tO' -p69015 -aS'the\tthe\tDT\tB-NP\tO' -p69016 -aS'evening\tevening\tNN\tI-NP\tO' -p69017 -aS'.\t.\t.\tO\tO' -p69018 -asS'Uric acid 4.7 , cholesterol 150 , triglycerides 74 , HDL 44 , LDL 91 .' -p69019 -(lp69020 -S'Uric\tUric\tJJ\tB-NP\tO' -p69021 -aS'acid\tacid\tNN\tI-NP\tO' -p69022 -aS'4.7\t4.7\tCD\tI-NP\tO' -p69023 -aS',\t,\t,\tO\tO' -p69024 -aS'cholesterol\tcholesterol\tNN\tB-NP\tB-protein' -p69025 -aS'150\t150\tCD\tI-NP\tI-protein' -p69026 -aS',\t,\t,\tO\tO' -p69027 -aS'triglycerides\ttriglyceride\tNNS\tB-NP\tO' -p69028 -aS'74\t74\tCD\tB-NP\tO' -p69029 -aS',\t,\t,\tO\tO' -p69030 -aS'HDL\tHDL\tNN\tB-NP\tB-DNA' -p69031 -aS'44\t44\tCD\tI-NP\tI-DNA' -p69032 -aS',\t,\t,\tO\tO' -p69033 -aS'LDL\tLDL\tNN\tB-NP\tO' -p69034 -aS'91\t91\tCD\tI-NP\tO' -p69035 -aS'.\t.\t.\tO\tO' -p69036 -asS'After that the patient had minimal relief of pain .' -p69037 -(lp69038 -S'After\tAfter\tIN\tB-PP\tO' -p69039 -aS'that\tthat\tIN\tB-NP\tO' -p69040 -aS'the\tthe\tDT\tB-NP\tO' -p69041 -aS'patient\tpatient\tNN\tI-NP\tO' -p69042 -aS'had\thave\tVBD\tB-VP\tO' -p69043 -aS'minimal\tminimal\tJJ\tB-NP\tO' -p69044 -aS'relief\trelief\tNN\tI-NP\tO' -p69045 -aS'of\tof\tIN\tB-PP\tO' -p69046 -aS'pain\tpain\tNN\tB-NP\tO' -p69047 -aS'.\t.\t.\tO\tO' -p69048 -asS"His MS waxed and waned for many days and uremia vs. failure to clear sedatives were considered ( although pt was making urine and LFT 's are wnl )." -p69049 -(lp69050 -S'His\tHis\tPRP$\tB-NP\tO' -p69051 -aS'MS\tMS\tNN\tI-NP\tO' -p69052 -aS'waxed\twax\tVBD\tB-VP\tO' -p69053 -aS'and\tand\tCC\tI-VP\tO' -p69054 -aS'waned\twan\tVBD\tI-VP\tO' -p69055 -aS'for\tfor\tIN\tB-PP\tO' -p69056 -aS'many\tmany\tJJ\tB-NP\tO' -p69057 -aS'days\tday\tNNS\tI-NP\tO' -p69058 -aS'and\tand\tCC\tI-NP\tO' -p69059 -aS'uremia\turemia\tNN\tI-NP\tO' -p69060 -aS'vs.\tvs.\tIN\tB-PP\tO' -p69061 -aS'failure\tfailure\tNN\tB-NP\tO' -p69062 -aS'to\tto\tTO\tB-PP\tO' -p69063 -aS'clear\tclear\tJJ\tB-NP\tO' -p69064 -aS'sedatives\tsedative\tNNS\tI-NP\tO' -p69065 -aS'were\tbe\tVBD\tB-VP\tO' -p69066 -aS'considered\tconsider\tVBN\tI-VP\tO' -p69067 -aS'(\t(\t(\tO\tO' -p69068 -aS'although\talthough\tIN\tB-SBAR\tO' -p69069 -aS'pt\tpt\tNN\tB-NP\tO' -p69070 -aS'was\tbe\tVBD\tB-VP\tO' -p69071 -aS'making\tmake\tVBG\tI-VP\tO' -p69072 -aS'urine\turine\tNN\tB-NP\tO' -p69073 -aS'and\tand\tCC\tO\tO' -p69074 -aS'LFT\tLFT\tNN\tB-NP\tO' -p69075 -aS"'s\t's\tPOS\tB-NP\tO" -p69076 -aS'are\tbe\tVBP\tB-VP\tO' -p69077 -aS'wnl\twnl\tNN\tB-NP\tO' -p69078 -aS').\t).\t.\tO\tO' -p69079 -asS'Lobular density at the right hilum .' -p69080 -(lp69081 -S'Lobular\tLobular\tJJ\tB-NP\tO' -p69082 -aS'density\tdensity\tNN\tI-NP\tO' -p69083 -aS'at\tat\tIN\tB-PP\tO' -p69084 -aS'the\tthe\tDT\tB-NP\tO' -p69085 -aS'right\tright\tJJ\tI-NP\tO' -p69086 -aS'hilum\thilum\tNN\tI-NP\tO' -p69087 -aS'.\t.\t.\tO\tO' -p69088 -asS'He was then treated with radiation therapy from T3 to T9 receiving 2500 cGy from 08/94 to 09/94 .' -p69089 -(lp69090 -S'He\tHe\tPRP\tB-NP\tO' -p69091 -aS'was\tbe\tVBD\tB-VP\tO' -p69092 -aS'then\tthen\tRB\tI-VP\tO' -p69093 -aS'treated\ttreat\tVBN\tI-VP\tO' -p69094 -aS'with\twith\tIN\tB-PP\tO' -p69095 -aS'radiation\tradiation\tNN\tB-NP\tO' -p69096 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p69097 -aS'from\tfrom\tIN\tB-PP\tO' -p69098 -aS'T3\tT3\tNN\tB-NP\tO' -p69099 -aS'to\tto\tTO\tB-PP\tO' -p69100 -aS'T9\tT9\tNN\tB-NP\tB-DNA' -p69101 -aS'receiving\treceive\tVBG\tB-VP\tO' -p69102 -aS'2500\t2500\tCD\tB-NP\tO' -p69103 -aS'cGy\tcGy\tNN\tI-NP\tO' -p69104 -aS'from\tfrom\tIN\tB-PP\tO' -p69105 -aS'08/94\t08/94\tCD\tB-NP\tO' -p69106 -aS'to\tto\tTO\tB-PP\tO' -p69107 -aS'09/94\t09/94\tCD\tB-NP\tO' -p69108 -aS'.\t.\t.\tO\tO' -p69109 -asS'General exam revealed a well-developed , well-nourished gentleman in no acute distress .' -p69110 -(lp69111 -S'General\tGeneral\tJJ\tB-NP\tO' -p69112 -aS'exam\texam\tNN\tI-NP\tO' -p69113 -aS'revealed\treveal\tVBD\tB-VP\tO' -p69114 -aS'a\ta\tDT\tB-NP\tO' -p69115 -aS'well-developed\twell-developed\tJJ\tI-NP\tO' -p69116 -aS',\t,\t,\tI-NP\tO' -p69117 -aS'well-nourished\twell-nourished\tJJ\tI-NP\tO' -p69118 -aS'gentleman\tgentleman\tNN\tI-NP\tO' -p69119 -aS'in\tin\tIN\tB-PP\tO' -p69120 -aS'no\tno\tDT\tB-NP\tO' -p69121 -aS'acute\tacute\tJJ\tI-NP\tO' -p69122 -aS'distress\tdistress\tNN\tI-NP\tO' -p69123 -aS'.\t.\t.\tO\tO' -p69124 -asS'Hematocrit is 37.6 , platelet count is 148,000 .' -p69125 -(lp69126 -S'Hematocrit\tHematocrit\tNNP\tB-NP\tO' -p69127 -aS'is\tbe\tVBZ\tB-VP\tO' -p69128 -aS'37.6\t37.6\tCD\tB-NP\tO' -p69129 -aS',\t,\t,\tO\tO' -p69130 -aS'platelet\tplatelet\tNN\tB-NP\tO' -p69131 -aS'count\tcount\tNN\tI-NP\tO' -p69132 -aS'is\tbe\tVBZ\tB-VP\tO' -p69133 -aS'148,000\t148,000\tCD\tB-NP\tO' -p69134 -aS'.\t.\t.\tO\tO' -p69135 -asS'Her usual is systolic blood pressure in the 120 s , this was despite two liters of intravenous fluids and she was transferred to the Medical Intensive Care Unit for closer monitoring for possible early sepsis .' -p69136 -(lp69137 -S'Her\tHer\tPRP$\tB-NP\tO' -p69138 -aS'usual\tusual\tJJ\tI-NP\tO' -p69139 -aS'is\tbe\tVBZ\tB-VP\tO' -p69140 -aS'systolic\tsystolic\tJJ\tB-NP\tO' -p69141 -aS'blood\tblood\tNN\tI-NP\tO' -p69142 -aS'pressure\tpressure\tNN\tI-NP\tO' -p69143 -aS'in\tin\tIN\tB-PP\tO' -p69144 -aS'the\tthe\tDT\tB-NP\tO' -p69145 -aS'120\t120\tCD\tI-NP\tO' -p69146 -aS's\ts\tNN\tI-NP\tO' -p69147 -aS',\t,\t,\tO\tO' -p69148 -aS'this\tthis\tDT\tB-NP\tO' -p69149 -aS'was\tbe\tVBD\tB-VP\tO' -p69150 -aS'despite\tdespite\tIN\tB-PP\tO' -p69151 -aS'two\ttwo\tCD\tB-NP\tO' -p69152 -aS'liters\tliter\tNNS\tI-NP\tO' -p69153 -aS'of\tof\tIN\tB-PP\tO' -p69154 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p69155 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p69156 -aS'and\tand\tCC\tO\tO' -p69157 -aS'she\tshe\tPRP\tB-NP\tO' -p69158 -aS'was\tbe\tVBD\tB-VP\tO' -p69159 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p69160 -aS'to\tto\tTO\tB-PP\tO' -p69161 -aS'the\tthe\tDT\tB-NP\tO' -p69162 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p69163 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p69164 -aS'Care\tCare\tNNP\tI-NP\tO' -p69165 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p69166 -aS'for\tfor\tIN\tB-PP\tO' -p69167 -aS'closer\tclose\tJJR\tB-NP\tO' -p69168 -aS'monitoring\tmonitoring\tNN\tI-NP\tO' -p69169 -aS'for\tfor\tIN\tB-PP\tO' -p69170 -aS'possible\tpossible\tJJ\tB-NP\tO' -p69171 -aS'early\tearly\tJJ\tI-NP\tO' -p69172 -aS'sepsis\tsepsis\tNN\tI-NP\tO' -p69173 -aS'.\t.\t.\tO\tO' -p69174 -asS'Started on unasyn , in hospital suffered mech. fall with hip fx .' -p69175 -(lp69176 -S'Started\tStart\tVBN\tB-VP\tO' -p69177 -aS'on\ton\tIN\tB-PP\tO' -p69178 -aS'unasyn\tunasyn\tNN\tB-NP\tO' -p69179 -aS',\t,\t,\tO\tO' -p69180 -aS'in\tin\tIN\tB-PP\tO' -p69181 -aS'hospital\thospital\tNN\tB-NP\tO' -p69182 -aS'suffered\tsuffer\tVBD\tB-VP\tO' -p69183 -aS'mech.\tmech.\tNN\tB-NP\tO' -p69184 -aS'fall\tfall\tNN\tI-NP\tO' -p69185 -aS'with\twith\tIN\tB-PP\tO' -p69186 -aS'hip\thip\tNN\tB-NP\tO' -p69187 -aS'fx\tfx\tNN\tI-NP\tO' -p69188 -aS'.\t.\t.\tO\tO' -p69189 -asS'End-stage cirrhosis with refractory ascites .' -p69190 -(lp69191 -S'End-stage\tEnd-stage\tJJ\tB-NP\tO' -p69192 -aS'cirrhosis\tcirrhosis\tNN\tI-NP\tO' -p69193 -aS'with\twith\tIN\tB-PP\tO' -p69194 -aS'refractory\trefractory\tJJ\tB-NP\tO' -p69195 -aS'ascites\tascite\tNNS\tI-NP\tO' -p69196 -aS'.\t.\t.\tO\tO' -p69197 -asS'Patient returns from rehabilitation after discharge on November 11 , with new fever up to 102.0 in DSCI clinic , increasing hepatomegaly as assessed by examination in clinic , and increasing creatinine .' -p69198 -(lp69199 -S'Patient\tPatient\tNN\tB-NP\tO' -p69200 -aS'returns\treturn\tNNS\tI-NP\tO' -p69201 -aS'from\tfrom\tIN\tB-PP\tO' -p69202 -aS'rehabilitation\trehabilitation\tNN\tB-NP\tO' -p69203 -aS'after\tafter\tIN\tB-PP\tO' -p69204 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p69205 -aS'on\ton\tIN\tB-PP\tO' -p69206 -aS'November\tNovember\tNNP\tB-NP\tO' -p69207 -aS'11\t11\tCD\tI-NP\tO' -p69208 -aS',\t,\t,\tO\tO' -p69209 -aS'with\twith\tIN\tB-PP\tO' -p69210 -aS'new\tnew\tJJ\tB-NP\tO' -p69211 -aS'fever\tfever\tNN\tI-NP\tO' -p69212 -aS'up\tup\tIN\tB-PP\tO' -p69213 -aS'to\tto\tTO\tB-PP\tO' -p69214 -aS'102.0\t102.0\tCD\tB-NP\tO' -p69215 -aS'in\tin\tIN\tB-PP\tO' -p69216 -aS'DSCI\tDSCI\tNN\tB-NP\tO' -p69217 -aS'clinic\tclinic\tNN\tI-NP\tO' -p69218 -aS',\t,\t,\tO\tO' -p69219 -aS'increasing\tincrease\tVBG\tB-VP\tO' -p69220 -aS'hepatomegaly\thepatomegaly\tRB\tB-ADVP\tO' -p69221 -aS'as\tas\tIN\tB-SBAR\tO' -p69222 -aS'assessed\tassess\tVBN\tB-VP\tO' -p69223 -aS'by\tby\tIN\tB-PP\tO' -p69224 -aS'examination\texamination\tNN\tB-NP\tO' -p69225 -aS'in\tin\tIN\tB-PP\tO' -p69226 -aS'clinic\tclinic\tNN\tB-NP\tO' -p69227 -aS',\t,\t,\tO\tO' -p69228 -aS'and\tand\tCC\tO\tO' -p69229 -aS'increasing\tincrease\tVBG\tB-NP\tO' -p69230 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p69231 -aS'.\t.\t.\tO\tO' -p69232 -asS'3. Asthma .' -p69233 -(lp69234 -S'3.\t3.\tLS\tB-NP\tO' -p69235 -aS'Asthma\tAsthma\tNN\tI-NP\tO' -p69236 -aS'.\t.\t.\tO\tO' -p69237 -asS'A computerized tomography scan revealed right lower occipital low-density area .' -p69238 -(lp69239 -S'A\tA\tDT\tB-NP\tO' -p69240 -aS'computerized\tcomputerized\tJJ\tI-NP\tO' -p69241 -aS'tomography\ttomography\tNN\tI-NP\tO' -p69242 -aS'scan\tscan\tNN\tI-NP\tO' -p69243 -aS'revealed\treveal\tVBD\tB-VP\tO' -p69244 -aS'right\tright\tRB\tB-NP\tO' -p69245 -aS'lower\tlow\tJJR\tI-NP\tO' -p69246 -aS'occipital\toccipital\tNN\tI-NP\tO' -p69247 -aS'low-density\tlow-density\tJJ\tI-NP\tO' -p69248 -aS'area\tarea\tNN\tI-NP\tO' -p69249 -aS'.\t.\t.\tO\tO' -p69250 -asS'No petechiae .' -p69251 -(lp69252 -S'No\tNo\tDT\tB-NP\tO' -p69253 -aS'petechiae\tpetechiae\tFW\tI-NP\tO' -p69254 -aS'.\t.\t.\tO\tO' -p69255 -asS'56 year old man s/p struck by auto' -p69256 -(lp69257 -S'56\t56\tCD\tB-NP\tO' -p69258 -aS'year\tyear\tNN\tI-NP\tO' -p69259 -aS'old\told\tJJ\tI-NP\tO' -p69260 -aS'man\tman\tNN\tI-NP\tO' -p69261 -aS's/p\ts/p\tNN\tI-NP\tO' -p69262 -aS'struck\tstrike\tVBN\tB-VP\tO' -p69263 -aS'by\tby\tIN\tB-PP\tO' -p69264 -aS'auto\tauto\tNN\tB-NP\tO' -p69265 -asS'RECTAL - Guaiac negative with normal tone .' -p69266 -(lp69267 -S'RECTAL\tRECTAL\tJJ\tB-NP\tO' -p69268 -aS'-\t-\tHYPH\tI-NP\tO' -p69269 -aS'Guaiac\tGuaiac\tNN\tI-NP\tO' -p69270 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p69271 -aS'with\twith\tIN\tB-PP\tO' -p69272 -aS'normal\tnormal\tJJ\tB-NP\tO' -p69273 -aS'tone\ttone\tNN\tI-NP\tO' -p69274 -aS'.\t.\t.\tO\tO' -p69275 -asS'Sulfonamides / Zithromax / Floxin / Penicillins / Neurontin / Demerol / Morphine Sulfate / Ativan' -p69276 -(lp69277 -S'Sulfonamides\tSulfonamide\tNNS\tB-NP\tO' -p69278 -aS'/\t/\tSYM\tO\tO' -p69279 -aS'Zithromax\tZithromax\tNN\tB-NP\tO' -p69280 -aS'/\t/\tSYM\tI-NP\tO' -p69281 -aS'Floxin\tFloxin\tNN\tI-NP\tB-protein' -p69282 -aS'/\t/\tSYM\tB-NP\tO' -p69283 -aS'Penicillins\tPenicillins\tNN\tI-NP\tB-protein' -p69284 -aS'/\t/\tSYM\tI-NP\tO' -p69285 -aS'Neurontin\tNeurontin\tNN\tI-NP\tB-protein' -p69286 -aS'/\t/\tSYM\tB-NP\tO' -p69287 -aS'Demerol\tDemerol\tNN\tI-NP\tO' -p69288 -aS'/\t/\tSYM\tI-NP\tO' -p69289 -aS'Morphine\tMorphine\tNN\tI-NP\tO' -p69290 -aS'Sulfate\tSulfate\tNN\tI-NP\tO' -p69291 -aS'/\t/\tSYM\tB-VP\tO' -p69292 -aS'Ativan\tAtivan\tNN\tB-NP\tO' -p69293 -asS'Albumin was 2.6 .' -p69294 -(lp69295 -S'Albumin\tAlbumin\tNNP\tB-NP\tO' -p69296 -aS'was\tbe\tVBD\tB-VP\tO' -p69297 -aS'2.6\t2.6\tCD\tB-NP\tO' -p69298 -aS'.\t.\t.\tO\tO' -p69299 -asS'An EEG was also considered to rule out non-convulsive status epilepticus , although again this did not seem to be a likely cause .' -p69300 -(lp69301 -S'An\tAn\tDT\tB-NP\tO' -p69302 -aS'EEG\tEEG\tNN\tI-NP\tB-protein' -p69303 -aS'was\tbe\tVBD\tB-VP\tO' -p69304 -aS'also\talso\tRB\tI-VP\tO' -p69305 -aS'considered\tconsider\tVBN\tI-VP\tO' -p69306 -aS'to\tto\tTO\tI-VP\tO' -p69307 -aS'rule\trule\tVB\tI-VP\tO' -p69308 -aS'out\tout\tRP\tB-PRT\tO' -p69309 -aS'non-convulsive\tnon-convulsive\tJJ\tB-NP\tO' -p69310 -aS'status\tstatus\tNN\tI-NP\tO' -p69311 -aS'epilepticus\tepilepticus\tNN\tI-NP\tO' -p69312 -aS',\t,\t,\tO\tO' -p69313 -aS'although\talthough\tIN\tB-SBAR\tO' -p69314 -aS'again\tagain\tRB\tB-ADVP\tO' -p69315 -aS'this\tthis\tDT\tB-NP\tO' -p69316 -aS'did\tdo\tVBD\tB-VP\tO' -p69317 -aS'not\tnot\tRB\tI-VP\tO' -p69318 -aS'seem\tseem\tVB\tI-VP\tO' -p69319 -aS'to\tto\tTO\tI-VP\tO' -p69320 -aS'be\tbe\tVB\tI-VP\tO' -p69321 -aS'a\ta\tDT\tB-NP\tO' -p69322 -aS'likely\tlikely\tJJ\tI-NP\tO' -p69323 -aS'cause\tcause\tNN\tI-NP\tO' -p69324 -aS'.\t.\t.\tO\tO' -p69325 -asS'He was tolerating p.o. and feeling back to his baseline .' -p69326 -(lp69327 -S'He\tHe\tPRP\tB-NP\tO' -p69328 -aS'was\tbe\tVBD\tB-VP\tO' -p69329 -aS'tolerating\ttolerate\tVBG\tI-VP\tO' -p69330 -aS'p.o.\tp.o.\tNN\tB-NP\tO' -p69331 -aS'and\tand\tCC\tO\tO' -p69332 -aS'feeling\tfeel\tVBG\tB-VP\tO' -p69333 -aS'back\tback\tRB\tB-ADVP\tO' -p69334 -aS'to\tto\tTO\tB-PP\tO' -p69335 -aS'his\this\tPRP$\tB-NP\tO' -p69336 -aS'baseline\tbaseline\tNN\tI-NP\tO' -p69337 -aS'.\t.\t.\tO\tO' -p69338 -asS'In the Emergency Department , he received 3.5 amps of D50 and then D5 normal saline and D10 normal saline with blood sugars that were slow to increase leading the ICU team to suspect that the patient had taken more insulin than he admitted .' -p69339 -(lp69340 -S'In\tIn\tIN\tB-PP\tO' -p69341 -aS'the\tthe\tDT\tB-NP\tO' -p69342 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p69343 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p69344 -aS',\t,\t,\tO\tO' -p69345 -aS'he\the\tPRP\tB-NP\tO' -p69346 -aS'received\treceive\tVBD\tB-VP\tO' -p69347 -aS'3.5\t3.5\tCD\tB-NP\tO' -p69348 -aS'amps\tamp\tNNS\tI-NP\tO' -p69349 -aS'of\tof\tIN\tB-PP\tO' -p69350 -aS'D50\tD50\tNN\tB-NP\tB-protein' -p69351 -aS'and\tand\tCC\tB-NP\tO' -p69352 -aS'then\tthen\tRB\tI-NP\tO' -p69353 -aS'D5\tD5\tNN\tB-NP\tO' -p69354 -aS'normal\tnormal\tJJ\tI-NP\tO' -p69355 -aS'saline\tsaline\tNN\tI-NP\tO' -p69356 -aS'and\tand\tCC\tI-NP\tO' -p69357 -aS'D10\tD10\tNN\tI-NP\tB-protein' -p69358 -aS'normal\tnormal\tJJ\tI-NP\tO' -p69359 -aS'saline\tsaline\tNN\tI-NP\tO' -p69360 -aS'with\twith\tIN\tB-PP\tO' -p69361 -aS'blood\tblood\tNN\tB-NP\tO' -p69362 -aS'sugars\tsugar\tNNS\tI-NP\tO' -p69363 -aS'that\tthat\tWDT\tB-NP\tO' -p69364 -aS'were\tbe\tVBD\tB-VP\tO' -p69365 -aS'slow\tslow\tJJ\tB-ADJP\tO' -p69366 -aS'to\tto\tTO\tB-VP\tO' -p69367 -aS'increase\tincrease\tVB\tI-VP\tO' -p69368 -aS'leading\tlead\tVBG\tI-VP\tO' -p69369 -aS'the\tthe\tDT\tB-NP\tO' -p69370 -aS'ICU\tICU\tNN\tI-NP\tO' -p69371 -aS'team\tteam\tNN\tI-NP\tO' -p69372 -aS'to\tto\tTO\tB-VP\tO' -p69373 -aS'suspect\tsuspect\tVB\tI-VP\tO' -p69374 -aS'that\tthat\tIN\tB-SBAR\tO' -p69375 -aS'the\tthe\tDT\tB-NP\tO' -p69376 -aS'patient\tpatient\tNN\tI-NP\tO' -p69377 -aS'had\thave\tVBD\tB-VP\tO' -p69378 -aS'taken\ttake\tVBN\tI-VP\tO' -p69379 -aS'more\tmore\tJJR\tB-NP\tO' -p69380 -aS'insulin\tinsulin\tNN\tI-NP\tB-protein' -p69381 -aS'than\tthan\tIN\tB-SBAR\tO' -p69382 -aS'he\the\tPRP\tB-NP\tO' -p69383 -aS'admitted\tadmit\tVBD\tB-VP\tO' -p69384 -aS'.\t.\t.\tO\tO' -p69385 -asS'The patient denied any oliguria , hematuria , dysuria , foamy urine , flank pain , abdominal pain , or urinary hesitancy .' -p69386 -(lp69387 -S'The\tThe\tDT\tB-NP\tO' -p69388 -aS'patient\tpatient\tNN\tI-NP\tO' -p69389 -aS'denied\tdeny\tVBD\tB-VP\tO' -p69390 -aS'any\tany\tDT\tB-NP\tO' -p69391 -aS'oliguria\toliguria\tNN\tI-NP\tO' -p69392 -aS',\t,\t,\tO\tO' -p69393 -aS'hematuria\thematuria\tNN\tB-NP\tO' -p69394 -aS',\t,\t,\tO\tO' -p69395 -aS'dysuria\tdysuria\tNN\tB-NP\tO' -p69396 -aS',\t,\t,\tO\tO' -p69397 -aS'foamy\tfoamy\tJJ\tB-NP\tO' -p69398 -aS'urine\turine\tNN\tI-NP\tO' -p69399 -aS',\t,\t,\tO\tO' -p69400 -aS'flank\tflank\tNN\tB-NP\tO' -p69401 -aS'pain\tpain\tNN\tI-NP\tO' -p69402 -aS',\t,\t,\tO\tO' -p69403 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p69404 -aS'pain\tpain\tNN\tI-NP\tO' -p69405 -aS',\t,\t,\tO\tO' -p69406 -aS'or\tor\tCC\tO\tO' -p69407 -aS'urinary\turinary\tJJ\tB-NP\tO' -p69408 -aS'hesitancy\thesitancy\tNN\tI-NP\tO' -p69409 -aS'.\t.\t.\tO\tO' -p69410 -asS'Subsequent to this , the patient was transferred to the CRSU for closer monitoring .' -p69411 -(lp69412 -S'Subsequent\tSubsequent\tJJ\tB-ADJP\tO' -p69413 -aS'to\tto\tTO\tB-PP\tO' -p69414 -aS'this\tthis\tDT\tB-NP\tO' -p69415 -aS',\t,\t,\tO\tO' -p69416 -aS'the\tthe\tDT\tB-NP\tO' -p69417 -aS'patient\tpatient\tNN\tI-NP\tO' -p69418 -aS'was\tbe\tVBD\tB-VP\tO' -p69419 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p69420 -aS'to\tto\tTO\tB-PP\tO' -p69421 -aS'the\tthe\tDT\tB-NP\tO' -p69422 -aS'CRSU\tCRSU\tNN\tI-NP\tO' -p69423 -aS'for\tfor\tIN\tB-PP\tO' -p69424 -aS'closer\tclose\tJJR\tB-NP\tO' -p69425 -aS'monitoring\tmonitoring\tNN\tI-NP\tO' -p69426 -aS'.\t.\t.\tO\tO' -p69427 -asS'11. Trimethoprim - Sulfamethoxazole 160-800 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ) .' -p69428 -(lp69429 -S'11.\t11.\tLS\tB-NP\tO' -p69430 -aS'Trimethoprim\tTrimethoprim\tNN\tI-NP\tO' -p69431 -aS'-\t-\tHYPH\tO\tO' -p69432 -aS'Sulfamethoxazole\tSulfamethoxazole\tNN\tB-NP\tO' -p69433 -aS'160-800\t160-800\tCD\tI-NP\tO' -p69434 -aS'mg\tmg\tNN\tI-NP\tO' -p69435 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p69436 -aS'Sig\tSig\tNNP\tI-NP\tO' -p69437 -aS':\t:\t:\tO\tO' -p69438 -aS'One\tOne\tCD\tB-NP\tO' -p69439 -aS'(\t(\t(\tO\tO' -p69440 -aS'1\t1\tCD\tB-NP\tO' -p69441 -aS')\t)\t)\tO\tO' -p69442 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p69443 -aS'PO\tPO\tNN\tI-NP\tO' -p69444 -aS'BID\tBID\tNN\tI-NP\tO' -p69445 -aS'(\t(\t(\tO\tO' -p69446 -aS'2\t2\tCD\tB-NP\tO' -p69447 -aS'times\ttime\tNNS\tI-NP\tO' -p69448 -aS'a\ta\tDT\tB-NP\tO' -p69449 -aS'day\tday\tNN\tI-NP\tO' -p69450 -aS')\t)\t)\tO\tO' -p69451 -aS'.\t.\t.\tO\tO' -p69452 -asS'Tip of the NGT is below the edge of the image .' -p69453 -(lp69454 -S'Tip\tTip\tNN\tB-NP\tB-protein' -p69455 -aS'of\tof\tIN\tB-PP\tO' -p69456 -aS'the\tthe\tDT\tB-NP\tO' -p69457 -aS'NGT\tNGT\tNN\tI-NP\tB-protein' -p69458 -aS'is\tbe\tVBZ\tB-VP\tO' -p69459 -aS'below\tbelow\tIN\tB-PP\tO' -p69460 -aS'the\tthe\tDT\tB-NP\tO' -p69461 -aS'edge\tedge\tNN\tI-NP\tO' -p69462 -aS'of\tof\tIN\tB-PP\tO' -p69463 -aS'the\tthe\tDT\tB-NP\tO' -p69464 -aS'image\timage\tNN\tI-NP\tO' -p69465 -aS'.\t.\t.\tO\tO' -p69466 -asS'Substance abuse in mother and brother .' -p69467 -(lp69468 -S'Substance\tSubstance\tNN\tB-NP\tO' -p69469 -aS'abuse\tabuse\tNN\tI-NP\tO' -p69470 -aS'in\tin\tIN\tB-PP\tO' -p69471 -aS'mother\tmother\tNN\tB-NP\tO' -p69472 -aS'and\tand\tCC\tI-NP\tO' -p69473 -aS'brother\tbrother\tNN\tI-NP\tO' -p69474 -aS'.\t.\t.\tO\tO' -p69475 -asS'Re-staging done in April 1993 showed a decrease in the pretracheal nodes with question of some lymphangitic spread versus some pneumonitis .' -p69476 -(lp69477 -S'Re-staging\tRe-staging\tNN\tB-NP\tO' -p69478 -aS'done\tdo\tVBN\tB-VP\tO' -p69479 -aS'in\tin\tIN\tB-PP\tO' -p69480 -aS'April\tApril\tNNP\tB-NP\tO' -p69481 -aS'1993\t1993\tCD\tI-NP\tO' -p69482 -aS'showed\tshow\tVBD\tB-VP\tO' -p69483 -aS'a\ta\tDT\tB-NP\tO' -p69484 -aS'decrease\tdecrease\tNN\tI-NP\tO' -p69485 -aS'in\tin\tIN\tB-PP\tO' -p69486 -aS'the\tthe\tDT\tB-NP\tO' -p69487 -aS'pretracheal\tpretracheal\tJJ\tI-NP\tO' -p69488 -aS'nodes\tnode\tNNS\tI-NP\tO' -p69489 -aS'with\twith\tIN\tB-PP\tO' -p69490 -aS'question\tquestion\tNN\tB-NP\tO' -p69491 -aS'of\tof\tIN\tB-PP\tO' -p69492 -aS'some\tsome\tDT\tB-NP\tO' -p69493 -aS'lymphangitic\tlymphangitic\tJJ\tI-NP\tO' -p69494 -aS'spread\tspread\tNN\tI-NP\tO' -p69495 -aS'versus\tversus\tIN\tB-PP\tO' -p69496 -aS'some\tsome\tDT\tB-NP\tO' -p69497 -aS'pneumonitis\tpneumonitis\tNN\tI-NP\tO' -p69498 -aS'.\t.\t.\tO\tO' -p69499 -asS'Nevertheless , the patient was adamant about going home .' -p69500 -(lp69501 -S'Nevertheless\tNevertheless\tRB\tB-ADVP\tO' -p69502 -aS',\t,\t,\tO\tO' -p69503 -aS'the\tthe\tDT\tB-NP\tO' -p69504 -aS'patient\tpatient\tNN\tI-NP\tO' -p69505 -aS'was\tbe\tVBD\tB-VP\tO' -p69506 -aS'adamant\tadamant\tJJ\tB-ADJP\tO' -p69507 -aS'about\tabout\tIN\tB-PP\tO' -p69508 -aS'going\tgo\tVBG\tB-VP\tO' -p69509 -aS'home\thome\tNN\tB-NP\tO' -p69510 -aS'.\t.\t.\tO\tO' -p69511 -asS'His hips are stable .' -p69512 -(lp69513 -S'His\tHis\tPRP$\tB-NP\tO' -p69514 -aS'hips\thip\tNNS\tI-NP\tO' -p69515 -aS'are\tbe\tVBP\tB-VP\tO' -p69516 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p69517 -aS'.\t.\t.\tO\tO' -p69518 -asS'The patient had missed his usual monthly change of his suprapubic catheter and felt discomfort and noticed some blood at the site of the catheter .' -p69519 -(lp69520 -S'The\tThe\tDT\tB-NP\tO' -p69521 -aS'patient\tpatient\tNN\tI-NP\tO' -p69522 -aS'had\thave\tVBD\tB-VP\tO' -p69523 -aS'missed\tmiss\tVBN\tI-VP\tO' -p69524 -aS'his\this\tPRP$\tB-NP\tO' -p69525 -aS'usual\tusual\tJJ\tI-NP\tO' -p69526 -aS'monthly\tmonthly\tJJ\tI-NP\tO' -p69527 -aS'change\tchange\tNN\tI-NP\tO' -p69528 -aS'of\tof\tIN\tB-PP\tO' -p69529 -aS'his\this\tPRP$\tB-NP\tO' -p69530 -aS'suprapubic\tsuprapubic\tJJ\tI-NP\tO' -p69531 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p69532 -aS'and\tand\tCC\tO\tO' -p69533 -aS'felt\tfeel\tVBD\tB-VP\tO' -p69534 -aS'discomfort\tdiscomfort\tNN\tB-NP\tO' -p69535 -aS'and\tand\tCC\tO\tO' -p69536 -aS'noticed\tnotice\tVBD\tB-VP\tO' -p69537 -aS'some\tsome\tDT\tB-NP\tO' -p69538 -aS'blood\tblood\tNN\tI-NP\tO' -p69539 -aS'at\tat\tIN\tB-PP\tO' -p69540 -aS'the\tthe\tDT\tB-NP\tO' -p69541 -aS'site\tsite\tNN\tI-NP\tO' -p69542 -aS'of\tof\tIN\tB-PP\tO' -p69543 -aS'the\tthe\tDT\tB-NP\tO' -p69544 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p69545 -aS'.\t.\t.\tO\tO' -p69546 -asS'She required approximately five liters of ultrafiltration fluid removal at each dialysis session due to her significant volume overload .' -p69547 -(lp69548 -S'She\tShe\tPRP\tB-NP\tO' -p69549 -aS'required\trequire\tVBD\tB-VP\tO' -p69550 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p69551 -aS'five\tfive\tCD\tI-NP\tO' -p69552 -aS'liters\tliter\tNNS\tI-NP\tO' -p69553 -aS'of\tof\tIN\tB-PP\tO' -p69554 -aS'ultrafiltration\tultrafiltration\tNN\tB-NP\tO' -p69555 -aS'fluid\tfluid\tNN\tI-NP\tO' -p69556 -aS'removal\tremoval\tNN\tI-NP\tO' -p69557 -aS'at\tat\tIN\tB-PP\tO' -p69558 -aS'each\teach\tDT\tB-NP\tO' -p69559 -aS'dialysis\tdialysis\tNN\tI-NP\tO' -p69560 -aS'session\tsession\tNN\tI-NP\tO' -p69561 -aS'due\tdue\tIN\tB-PP\tO' -p69562 -aS'to\tto\tTO\tB-PP\tO' -p69563 -aS'her\ther\tPRP$\tB-NP\tO' -p69564 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p69565 -aS'volume\tvolume\tNN\tI-NP\tO' -p69566 -aS'overload\toverload\tNN\tI-NP\tO' -p69567 -aS'.\t.\t.\tO\tO' -p69568 -asS'The patient is to return to the follow up care of Dr. Ko Kollciem at the Diy Hospital .' -p69569 -(lp69570 -S'The\tThe\tDT\tB-NP\tO' -p69571 -aS'patient\tpatient\tNN\tI-NP\tO' -p69572 -aS'is\tbe\tVBZ\tB-VP\tO' -p69573 -aS'to\tto\tTO\tB-VP\tO' -p69574 -aS'return\treturn\tVB\tI-VP\tO' -p69575 -aS'to\tto\tTO\tB-PP\tO' -p69576 -aS'the\tthe\tDT\tB-NP\tO' -p69577 -aS'follow\tfollow\tVB\tB-VP\tO' -p69578 -aS'up\tup\tRP\tB-PRT\tO' -p69579 -aS'care\tcare\tNN\tB-NP\tO' -p69580 -aS'of\tof\tIN\tB-PP\tO' -p69581 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p69582 -aS'Ko\tKo\tNNP\tI-NP\tO' -p69583 -aS'Kollciem\tKollciem\tNNP\tI-NP\tO' -p69584 -aS'at\tat\tIN\tB-PP\tO' -p69585 -aS'the\tthe\tDT\tB-NP\tO' -p69586 -aS'Diy\tDiy\tNNP\tI-NP\tO' -p69587 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p69588 -aS'.\t.\t.\tO\tO' -p69589 -asS'He was transferred to the regular neurology floor once it became clear that he was not receiving any significant benefit from hypertensive therapy .' -p69590 -(lp69591 -S'He\tHe\tPRP\tB-NP\tO' -p69592 -aS'was\tbe\tVBD\tB-VP\tO' -p69593 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p69594 -aS'to\tto\tTO\tB-PP\tO' -p69595 -aS'the\tthe\tDT\tB-NP\tO' -p69596 -aS'regular\tregular\tJJ\tI-NP\tO' -p69597 -aS'neurology\tneurology\tNN\tI-NP\tO' -p69598 -aS'floor\tfloor\tNN\tI-NP\tO' -p69599 -aS'once\tonce\tIN\tB-SBAR\tO' -p69600 -aS'it\tit\tPRP\tB-NP\tO' -p69601 -aS'became\tbecome\tVBD\tB-VP\tO' -p69602 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p69603 -aS'that\tthat\tIN\tB-SBAR\tO' -p69604 -aS'he\the\tPRP\tB-NP\tO' -p69605 -aS'was\tbe\tVBD\tB-VP\tO' -p69606 -aS'not\tnot\tRB\tI-VP\tO' -p69607 -aS'receiving\treceive\tVBG\tI-VP\tO' -p69608 -aS'any\tany\tDT\tB-NP\tO' -p69609 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p69610 -aS'benefit\tbenefit\tNN\tI-NP\tO' -p69611 -aS'from\tfrom\tIN\tB-PP\tO' -p69612 -aS'hypertensive\thypertensive\tJJ\tB-NP\tO' -p69613 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p69614 -aS'.\t.\t.\tO\tO' -p69615 -asS'Briefly this is a Hispanic patient with history of advanced lung cancer , small cell in histology .' -p69616 -(lp69617 -S'Briefly\tBriefly\tRB\tB-ADVP\tO' -p69618 -aS'this\tthis\tDT\tB-NP\tO' -p69619 -aS'is\tbe\tVBZ\tB-VP\tO' -p69620 -aS'a\ta\tDT\tB-NP\tO' -p69621 -aS'Hispanic\tHispanic\tJJ\tI-NP\tO' -p69622 -aS'patient\tpatient\tNN\tI-NP\tO' -p69623 -aS'with\twith\tIN\tB-PP\tO' -p69624 -aS'history\thistory\tNN\tB-NP\tO' -p69625 -aS'of\tof\tIN\tB-PP\tO' -p69626 -aS'advanced\tadvance\tVBN\tB-NP\tO' -p69627 -aS'lung\tlung\tNN\tI-NP\tO' -p69628 -aS'cancer\tcancer\tNN\tI-NP\tO' -p69629 -aS',\t,\t,\tO\tO' -p69630 -aS'small\tsmall\tJJ\tB-NP\tO' -p69631 -aS'cell\tcell\tNN\tI-NP\tO' -p69632 -aS'in\tin\tIN\tB-PP\tO' -p69633 -aS'histology\thistology\tNN\tB-NP\tO' -p69634 -aS'.\t.\t.\tO\tO' -p69635 -asS'She has had recurrent syncope since age 6 .' -p69636 -(lp69637 -S'She\tShe\tPRP\tB-NP\tO' -p69638 -aS'has\thave\tVBZ\tB-VP\tO' -p69639 -aS'had\thave\tVBN\tI-VP\tO' -p69640 -aS'recurrent\trecurrent\tJJ\tB-NP\tO' -p69641 -aS'syncope\tsyncope\tNN\tI-NP\tO' -p69642 -aS'since\tsince\tIN\tB-PP\tO' -p69643 -aS'age\tage\tNN\tB-NP\tO' -p69644 -aS'6\t6\tCD\tI-NP\tO' -p69645 -aS'.\t.\t.\tO\tO' -p69646 -asS'On admission , electrocardiogram showed less than 1 mm. of ST depression in V4 to V6 , which is likely the patient 's baseline .' -p69647 -(lp69648 -S'On\tOn\tIN\tB-PP\tO' -p69649 -aS'admission\tadmission\tNN\tB-NP\tO' -p69650 -aS',\t,\t,\tO\tO' -p69651 -aS'electrocardiogram\telectrocardiogram\tNN\tB-NP\tO' -p69652 -aS'showed\tshow\tVBD\tB-VP\tO' -p69653 -aS'less\tless\tJJR\tB-NP\tO' -p69654 -aS'than\tthan\tIN\tI-NP\tO' -p69655 -aS'1\t1\tCD\tI-NP\tO' -p69656 -aS'mm.\tmm.\tNN\tI-NP\tO' -p69657 -aS'of\tof\tIN\tB-PP\tO' -p69658 -aS'ST\tST\tJJ\tB-NP\tO' -p69659 -aS'depression\tdepression\tNN\tI-NP\tO' -p69660 -aS'in\tin\tIN\tB-PP\tO' -p69661 -aS'V4\tV4\tNN\tB-NP\tO' -p69662 -aS'to\tto\tTO\tB-PP\tO' -p69663 -aS'V6\tV6\tNN\tB-NP\tB-protein' -p69664 -aS',\t,\t,\tO\tO' -p69665 -aS'which\twhich\tWDT\tB-NP\tO' -p69666 -aS'is\tbe\tVBZ\tB-VP\tO' -p69667 -aS'likely\tlikely\tRB\tB-ADJP\tO' -p69668 -aS'the\tthe\tDT\tB-NP\tO' -p69669 -aS'patient\tpatient\tNN\tI-NP\tO' -p69670 -aS''s\t'\tNNS\tI-NP\tO' -p69671 -aS'baseline\tbaseline\tNN\tI-NP\tO' -p69672 -aS'.\t.\t.\tO\tO' -p69673 -asS'The patient underwent diagnostic and therapeutic paracentesis on 2013-05-16 , 2013-05-21 , and 2013-05-24 .' -p69674 -(lp69675 -S'The\tThe\tDT\tB-NP\tO' -p69676 -aS'patient\tpatient\tNN\tI-NP\tO' -p69677 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p69678 -aS'diagnostic\tdiagnostic\tJJ\tB-NP\tO' -p69679 -aS'and\tand\tCC\tI-NP\tO' -p69680 -aS'therapeutic\ttherapeutic\tJJ\tI-NP\tO' -p69681 -aS'paracentesis\tparacentesis\tNN\tI-NP\tO' -p69682 -aS'on\ton\tIN\tB-PP\tO' -p69683 -aS'2013-05-16\t2013-05-16\tCD\tB-NP\tO' -p69684 -aS',\t,\t,\tI-NP\tO' -p69685 -aS'2013-05-21\t2013-05-21\tCD\tI-NP\tO' -p69686 -aS',\t,\t,\tO\tO' -p69687 -aS'and\tand\tCC\tO\tO' -p69688 -aS'2013-05-24\t2013-05-24\tCD\tB-NP\tO' -p69689 -aS'.\t.\t.\tO\tO' -p69690 -asS'for H.Pylori .' -p69691 -(lp69692 -S'for\tfor\tIN\tB-PP\tO' -p69693 -aS'H.Pylori\tH.Pylori\tNNP\tB-NP\tO' -p69694 -aS'.\t.\t.\tO\tO' -p69695 -asS'There was no induration .' -p69696 -(lp69697 -S'There\tThere\tEX\tB-NP\tO' -p69698 -aS'was\tbe\tVBD\tB-VP\tO' -p69699 -aS'no\tno\tDT\tB-NP\tO' -p69700 -aS'induration\tinduration\tNN\tI-NP\tO' -p69701 -aS'.\t.\t.\tO\tO' -p69702 -asS'During this admission , the patient was started on Baclofen 10 mg p.o. t.i.d. for spasticity .' -p69703 -(lp69704 -S'During\tDuring\tIN\tB-PP\tO' -p69705 -aS'this\tthis\tDT\tB-NP\tO' -p69706 -aS'admission\tadmission\tNN\tI-NP\tO' -p69707 -aS',\t,\t,\tO\tO' -p69708 -aS'the\tthe\tDT\tB-NP\tO' -p69709 -aS'patient\tpatient\tNN\tI-NP\tO' -p69710 -aS'was\tbe\tVBD\tB-VP\tO' -p69711 -aS'started\tstart\tVBN\tI-VP\tO' -p69712 -aS'on\ton\tIN\tB-PP\tO' -p69713 -aS'Baclofen\tBaclofen\tNN\tB-NP\tO' -p69714 -aS'10\t10\tCD\tI-NP\tO' -p69715 -aS'mg\tmg\tNN\tI-NP\tO' -p69716 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p69717 -aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' -p69718 -aS'for\tfor\tIN\tB-PP\tO' -p69719 -aS'spasticity\tspasticity\tNN\tB-NP\tO' -p69720 -aS'.\t.\t.\tO\tO' -p69721 -asS'6. Labetalol 200 mg Tablet Sig : Four ( 4 ) Tablet PO TID ( 3 times a day ) .' -p69722 -(lp69723 -S'6.\t6.\tCD\tB-NP\tO' -p69724 -aS'Labetalol\tLabetalol\tNN\tI-NP\tO' -p69725 -aS'200\t200\tCD\tB-NP\tO' -p69726 -aS'mg\tmg\tNN\tI-NP\tO' -p69727 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p69728 -aS'Sig\tSig\tNNP\tI-NP\tO' -p69729 -aS':\t:\t:\tO\tO' -p69730 -aS'Four\tFour\tCD\tB-NP\tO' -p69731 -aS'(\t(\t(\tO\tO' -p69732 -aS'4\t4\tCD\tB-NP\tO' -p69733 -aS')\t)\t)\tO\tO' -p69734 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p69735 -aS'PO\tPO\tNN\tI-NP\tO' -p69736 -aS'TID\tTID\tNN\tI-NP\tO' -p69737 -aS'(\t(\t(\tO\tO' -p69738 -aS'3\t3\tCD\tB-NP\tO' -p69739 -aS'times\ttime\tNNS\tI-NP\tO' -p69740 -aS'a\ta\tDT\tB-NP\tO' -p69741 -aS'day\tday\tNN\tI-NP\tO' -p69742 -aS')\t)\t)\tO\tO' -p69743 -aS'.\t.\t.\tO\tO' -p69744 -asS'Endocrine was also consulted .' -p69745 -(lp69746 -S'Endocrine\tEndocrine\tNN\tB-NP\tO' -p69747 -aS'was\tbe\tVBD\tB-VP\tO' -p69748 -aS'also\talso\tRB\tI-VP\tO' -p69749 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p69750 -aS'.\t.\t.\tO\tO' -p69751 -asS'16. Ibuprofen 400 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ) .' -p69752 -(lp69753 -S'16.\t16.\tCD\tB-NP\tO' -p69754 -aS'Ibuprofen\tIbuprofen\tNN\tI-NP\tO' -p69755 -aS'400\t400\tCD\tB-NP\tO' -p69756 -aS'mg\tmg\tNN\tI-NP\tO' -p69757 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p69758 -aS'Sig\tSig\tNNP\tI-NP\tO' -p69759 -aS':\t:\t:\tO\tO' -p69760 -aS'One\tOne\tCD\tB-NP\tO' -p69761 -aS'(\t(\t(\tO\tO' -p69762 -aS'1\t1\tCD\tB-NP\tO' -p69763 -aS')\t)\t)\tO\tO' -p69764 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p69765 -aS'PO\tPO\tNN\tI-NP\tO' -p69766 -aS'BID\tBID\tNN\tI-NP\tO' -p69767 -aS'(\t(\t(\tO\tO' -p69768 -aS'2\t2\tCD\tB-NP\tO' -p69769 -aS'times\ttime\tNNS\tI-NP\tO' -p69770 -aS'a\ta\tDT\tB-NP\tO' -p69771 -aS'day\tday\tNN\tI-NP\tO' -p69772 -aS')\t)\t)\tO\tO' -p69773 -aS'.\t.\t.\tO\tO' -p69774 -asS'Attending : Terry U Cheatom , M.D.' -p69775 -(lp69776 -S'Attending\tAttend\tVBG\tB-VP\tO' -p69777 -aS':\t:\t:\tO\tO' -p69778 -aS'Terry\tTerry\tNNP\tB-NP\tO' -p69779 -aS'U\tU\tNNP\tI-NP\tO' -p69780 -aS'Cheatom\tCheatom\tNNP\tI-NP\tO' -p69781 -aS',\t,\t,\tO\tO' -p69782 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p69783 -asS'After the wound was further opened , he was started on ampicillin , Gentamicin , and Flagyl antibiotics and he was placed on a bid dressing change and packing .' -p69784 -(lp69785 -S'After\tAfter\tIN\tB-PP\tO' -p69786 -aS'the\tthe\tDT\tB-NP\tO' -p69787 -aS'wound\twound\tNN\tI-NP\tO' -p69788 -aS'was\tbe\tVBD\tB-VP\tO' -p69789 -aS'further\tfurther\tRBR\tI-VP\tO' -p69790 -aS'opened\topen\tVBN\tI-VP\tO' -p69791 -aS',\t,\t,\tO\tO' -p69792 -aS'he\the\tPRP\tB-NP\tO' -p69793 -aS'was\tbe\tVBD\tB-VP\tO' -p69794 -aS'started\tstart\tVBN\tI-VP\tO' -p69795 -aS'on\ton\tIN\tB-PP\tO' -p69796 -aS'ampicillin\tampicillin\tNN\tB-NP\tO' -p69797 -aS',\t,\t,\tO\tO' -p69798 -aS'Gentamicin\tGentamicin\tNN\tB-NP\tO' -p69799 -aS',\t,\t,\tO\tO' -p69800 -aS'and\tand\tCC\tO\tO' -p69801 -aS'Flagyl\tFlagyl\tNN\tB-NP\tO' -p69802 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p69803 -aS'and\tand\tCC\tO\tO' -p69804 -aS'he\the\tPRP\tB-NP\tO' -p69805 -aS'was\tbe\tVBD\tB-VP\tO' -p69806 -aS'placed\tplace\tVBN\tI-VP\tO' -p69807 -aS'on\ton\tIN\tB-PP\tO' -p69808 -aS'a\ta\tDT\tB-NP\tO' -p69809 -aS'bid\tbid\tNN\tI-NP\tO' -p69810 -aS'dressing\tdress\tVBG\tB-VP\tO' -p69811 -aS'change\tchange\tNN\tB-NP\tO' -p69812 -aS'and\tand\tCC\tI-NP\tO' -p69813 -aS'packing\tpacking\tNN\tI-NP\tO' -p69814 -aS'.\t.\t.\tO\tO' -p69815 -asS'Percocet 1-2 tablets PO q3-4 prn .' -p69816 -(lp69817 -S'Percocet\tPercocet\tIN\tB-PP\tO' -p69818 -aS'1-2\t1-2\tCD\tB-NP\tO' -p69819 -aS'tablets\ttablet\tNNS\tI-NP\tO' -p69820 -aS'PO\tPO\tNN\tI-NP\tO' -p69821 -aS'q3-4\tq3-4\tNN\tI-NP\tO' -p69822 -aS'prn\tprn\tNN\tI-NP\tO' -p69823 -aS'.\t.\t.\tO\tO' -p69824 -asS'Other vital signs were within normal limits .' -p69825 -(lp69826 -S'Other\tOther\tJJ\tB-NP\tO' -p69827 -aS'vital\tvital\tJJ\tI-NP\tO' -p69828 -aS'signs\tsign\tNNS\tI-NP\tO' -p69829 -aS'were\tbe\tVBD\tB-VP\tO' -p69830 -aS'within\twithin\tIN\tB-PP\tO' -p69831 -aS'normal\tnormal\tJJ\tB-NP\tO' -p69832 -aS'limits\tlimit\tNNS\tI-NP\tO' -p69833 -aS'.\t.\t.\tO\tO' -p69834 -asS'Colace stool softener .' -p69835 -(lp69836 -S'Colace\tColace\tNN\tB-NP\tO' -p69837 -aS'stool\tstool\tNN\tI-NP\tO' -p69838 -aS'softener\tsoftener\tNN\tI-NP\tO' -p69839 -aS'.\t.\t.\tO\tO' -p69840 -asS'He was started on finsateride on the day prior to admission .' -p69841 -(lp69842 -S'He\tHe\tPRP\tB-NP\tO' -p69843 -aS'was\tbe\tVBD\tB-VP\tO' -p69844 -aS'started\tstart\tVBN\tI-VP\tO' -p69845 -aS'on\ton\tIN\tB-PP\tO' -p69846 -aS'finsateride\tfinsateride\tNN\tB-NP\tO' -p69847 -aS'on\ton\tIN\tB-PP\tO' -p69848 -aS'the\tthe\tDT\tB-NP\tO' -p69849 -aS'day\tday\tNN\tI-NP\tO' -p69850 -aS'prior\tprior\tRB\tB-ADVP\tO' -p69851 -aS'to\tto\tTO\tB-PP\tO' -p69852 -aS'admission\tadmission\tNN\tB-NP\tO' -p69853 -aS'.\t.\t.\tO\tO' -p69854 -asS'In general , well-appearing man , lying on a stretcher in no acute distress .' -p69855 -(lp69856 -S'In\tIn\tIN\tB-PP\tO' -p69857 -aS'general\tgeneral\tJJ\tB-NP\tO' -p69858 -aS',\t,\t,\tI-NP\tO' -p69859 -aS'well-appearing\twell-appearing\tJJ\tI-NP\tO' -p69860 -aS'man\tman\tNN\tI-NP\tO' -p69861 -aS',\t,\t,\tO\tO' -p69862 -aS'lying\tlie\tVBG\tB-VP\tO' -p69863 -aS'on\ton\tIN\tB-PP\tO' -p69864 -aS'a\ta\tDT\tB-NP\tO' -p69865 -aS'stretcher\tstretcher\tNN\tI-NP\tO' -p69866 -aS'in\tin\tIN\tB-PP\tO' -p69867 -aS'no\tno\tDT\tB-NP\tO' -p69868 -aS'acute\tacute\tJJ\tI-NP\tO' -p69869 -aS'distress\tdistress\tNN\tI-NP\tO' -p69870 -aS'.\t.\t.\tO\tO' -p69871 -asS'Pleasant obese female in NAD , in wrist restraints' -p69872 -(lp69873 -S'Pleasant\tPleasant\tJJ\tB-NP\tO' -p69874 -aS'obese\tobese\tJJ\tI-NP\tO' -p69875 -aS'female\tfemale\tNN\tI-NP\tO' -p69876 -aS'in\tin\tIN\tB-PP\tO' -p69877 -aS'NAD\tNAD\tNN\tB-NP\tO' -p69878 -aS',\t,\t,\tO\tO' -p69879 -aS'in\tin\tIN\tB-PP\tO' -p69880 -aS'wrist\twrist\tNN\tB-NP\tO' -p69881 -aS'restraints\trestraint\tNNS\tI-NP\tO' -p69882 -asS'He is being maintained on glipizide and sliding scale insulin .' -p69883 -(lp69884 -S'He\tHe\tPRP\tB-NP\tO' -p69885 -aS'is\tbe\tVBZ\tB-VP\tO' -p69886 -aS'being\tbe\tVBG\tI-VP\tO' -p69887 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p69888 -aS'on\ton\tIN\tB-PP\tO' -p69889 -aS'glipizide\tglipizide\tNN\tB-NP\tO' -p69890 -aS'and\tand\tCC\tO\tO' -p69891 -aS'sliding\tslide\tVBG\tB-VP\tO' -p69892 -aS'scale\tscale\tNN\tB-NP\tB-protein' -p69893 -aS'insulin\tinsulin\tNN\tI-NP\tI-protein' -p69894 -aS'.\t.\t.\tO\tO' -p69895 -asS'The patient presented with a serum calcium of 11.8 and an albumin of 2.3 on admission .' -p69896 -(lp69897 -S'The\tThe\tDT\tB-NP\tO' -p69898 -aS'patient\tpatient\tNN\tI-NP\tO' -p69899 -aS'presented\tpresent\tVBD\tB-VP\tO' -p69900 -aS'with\twith\tIN\tB-PP\tO' -p69901 -aS'a\ta\tDT\tB-NP\tO' -p69902 -aS'serum\tserum\tNN\tI-NP\tO' -p69903 -aS'calcium\tcalcium\tNN\tI-NP\tO' -p69904 -aS'of\tof\tIN\tB-PP\tO' -p69905 -aS'11.8\t11.8\tCD\tB-NP\tO' -p69906 -aS'and\tand\tCC\tO\tO' -p69907 -aS'an\tan\tDT\tB-NP\tO' -p69908 -aS'albumin\talbumin\tNN\tI-NP\tO' -p69909 -aS'of\tof\tIN\tB-PP\tO' -p69910 -aS'2.3\t2.3\tCD\tB-NP\tO' -p69911 -aS'on\ton\tIN\tB-PP\tO' -p69912 -aS'admission\tadmission\tNN\tB-NP\tO' -p69913 -aS'.\t.\t.\tO\tO' -p69914 -asS'Metastatic breast CA - Large brain mets with midline shift .' -p69915 -(lp69916 -S'Metastatic\tMetastatic\tJJ\tB-NP\tO' -p69917 -aS'breast\tbreast\tNN\tI-NP\tO' -p69918 -aS'CA\tCA\tNN\tI-NP\tO' -p69919 -aS'-\t-\tHYPH\tB-NP\tO' -p69920 -aS'Large\tLarge\tJJ\tI-NP\tO' -p69921 -aS'brain\tbrain\tNN\tI-NP\tO' -p69922 -aS'mets\tmet\tNNS\tI-NP\tO' -p69923 -aS'with\twith\tIN\tB-PP\tO' -p69924 -aS'midline\tmidline\tNN\tB-NP\tO' -p69925 -aS'shift\tshift\tNN\tI-NP\tO' -p69926 -aS'.\t.\t.\tO\tO' -p69927 -asS'According to his wife he had a small abrasion on the top of his head , but nothing major .' -p69928 -(lp69929 -S'According\tAccord\tVBG\tB-PP\tO' -p69930 -aS'to\tto\tTO\tB-PP\tO' -p69931 -aS'his\this\tPRP$\tB-NP\tO' -p69932 -aS'wife\twife\tNN\tI-NP\tO' -p69933 -aS'he\the\tPRP\tB-NP\tO' -p69934 -aS'had\thave\tVBD\tB-VP\tO' -p69935 -aS'a\ta\tDT\tB-NP\tO' -p69936 -aS'small\tsmall\tJJ\tI-NP\tO' -p69937 -aS'abrasion\tabrasion\tNN\tI-NP\tO' -p69938 -aS'on\ton\tIN\tB-PP\tO' -p69939 -aS'the\tthe\tDT\tB-NP\tO' -p69940 -aS'top\ttop\tNN\tI-NP\tO' -p69941 -aS'of\tof\tIN\tB-PP\tO' -p69942 -aS'his\this\tPRP$\tB-NP\tO' -p69943 -aS'head\thead\tNN\tI-NP\tO' -p69944 -aS',\t,\t,\tO\tO' -p69945 -aS'but\tbut\tCC\tO\tO' -p69946 -aS'nothing\tnothing\tNN\tB-NP\tO' -p69947 -aS'major\tmajor\tJJ\tB-ADJP\tO' -p69948 -aS'.\t.\t.\tO\tO' -p69949 -asS'2. Enoxaparin 30 mg / 0.3 mL Syringe Sig : One ( 1 ) 30 mg syringe Subcutaneous Q12H ( every 12 hours ) for 4 weeks .' -p69950 -(lp69951 -S'2.\t2.\tLS\tB-LST\tO' -p69952 -aS'Enoxaparin\tEnoxaparin\tNNP\tB-NP\tO' -p69953 -aS'30\t30\tCD\tI-NP\tO' -p69954 -aS'mg\tmg\tNN\tI-NP\tO' -p69955 -aS'/\t/\tSYM\tB-NP\tO' -p69956 -aS'0.3\t0.3\tCD\tB-NP\tO' -p69957 -aS'mL\tmL\tNN\tI-NP\tO' -p69958 -aS'Syringe\tSyringe\tNNP\tI-NP\tO' -p69959 -aS'Sig\tSig\tNNP\tI-NP\tO' -p69960 -aS':\t:\t:\tO\tO' -p69961 -aS'One\tOne\tCD\tB-NP\tO' -p69962 -aS'(\t(\t(\tO\tO' -p69963 -aS'1\t1\tCD\tB-NP\tO' -p69964 -aS')\t)\t)\tO\tO' -p69965 -aS'30\t30\tCD\tB-NP\tO' -p69966 -aS'mg\tmg\tNN\tI-NP\tO' -p69967 -aS'syringe\tsyringe\tNN\tI-NP\tO' -p69968 -aS'Subcutaneous\tSubcutaneous\tJJ\tI-NP\tO' -p69969 -aS'Q12H\tQ12H\tNN\tI-NP\tO' -p69970 -aS'(\t(\t(\tO\tO' -p69971 -aS'every\tevery\tDT\tB-NP\tO' -p69972 -aS'12\t12\tCD\tI-NP\tO' -p69973 -aS'hours\thour\tNNS\tI-NP\tO' -p69974 -aS')\t)\t)\tO\tO' -p69975 -aS'for\tfor\tIN\tB-PP\tO' -p69976 -aS'4\t4\tCD\tB-NP\tO' -p69977 -aS'weeks\tweek\tNNS\tI-NP\tO' -p69978 -aS'.\t.\t.\tO\tO' -p69979 -asS'In 1992 he underwent redo surgery and aortic valve replacement .' -p69980 -(lp69981 -S'In\tIn\tIN\tB-PP\tO' -p69982 -aS'1992\t1992\tCD\tB-NP\tO' -p69983 -aS'he\the\tPRP\tB-NP\tO' -p69984 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p69985 -aS'redo\tredo\tNN\tB-NP\tO' -p69986 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p69987 -aS'and\tand\tCC\tO\tO' -p69988 -aS'aortic\taortic\tJJ\tB-NP\tO' -p69989 -aS'valve\tvalve\tNN\tI-NP\tO' -p69990 -aS'replacement\treplacement\tNN\tI-NP\tO' -p69991 -aS'.\t.\t.\tO\tO' -p69992 -asS'There was also evidence of an old right frontal infarction .' -p69993 -(lp69994 -S'There\tThere\tEX\tB-NP\tO' -p69995 -aS'was\tbe\tVBD\tB-VP\tO' -p69996 -aS'also\talso\tRB\tB-ADVP\tO' -p69997 -aS'evidence\tevidence\tNN\tB-NP\tO' -p69998 -aS'of\tof\tIN\tB-PP\tO' -p69999 -aS'an\tan\tDT\tB-NP\tO' -p70000 -aS'old\told\tJJ\tI-NP\tO' -p70001 -aS'right\tright\tJJ\tI-NP\tO' -p70002 -aS'frontal\tfrontal\tJJ\tI-NP\tO' -p70003 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p70004 -aS'.\t.\t.\tO\tO' -p70005 -asS'Follow up with Dr. Melendez , Neurosurgery in 4 weeks ; call 745 8256 ext - 6468 for an appointment .' -p70006 -(lp70007 -S'Follow\tFollow\tVB\tB-VP\tO' -p70008 -aS'up\tup\tRP\tB-PRT\tO' -p70009 -aS'with\twith\tIN\tB-PP\tO' -p70010 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p70011 -aS'Melendez\tMelendez\tNNP\tI-NP\tO' -p70012 -aS',\t,\t,\tO\tO' -p70013 -aS'Neurosurgery\tNeurosurgery\tNNP\tB-NP\tO' -p70014 -aS'in\tin\tIN\tB-PP\tO' -p70015 -aS'4\t4\tCD\tB-NP\tO' -p70016 -aS'weeks\tweek\tNNS\tI-NP\tO' -p70017 -aS';\t;\t:\tO\tO' -p70018 -aS'call\tcall\tVB\tB-VP\tO' -p70019 -aS'745\t745\tCD\tB-NP\tO' -p70020 -aS'8256\t8256\tCD\tI-NP\tO' -p70021 -aS'ext\text\tJJ\tI-NP\tO' -p70022 -aS'-\t-\tHYPH\tI-NP\tO' -p70023 -aS'6468\t6468\tCD\tI-NP\tO' -p70024 -aS'for\tfor\tIN\tB-PP\tO' -p70025 -aS'an\tan\tDT\tB-NP\tO' -p70026 -aS'appointment\tappointment\tNN\tI-NP\tO' -p70027 -aS'.\t.\t.\tO\tO' -p70028 -asS'Impression on the anterior aspect of the lower spinal cord at T11-12 by disc bulge .' -p70029 -(lp70030 -S'Impression\tImpression\tNN\tB-NP\tO' -p70031 -aS'on\ton\tIN\tB-PP\tO' -p70032 -aS'the\tthe\tDT\tB-NP\tO' -p70033 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p70034 -aS'aspect\taspect\tNN\tI-NP\tO' -p70035 -aS'of\tof\tIN\tB-PP\tO' -p70036 -aS'the\tthe\tDT\tB-NP\tO' -p70037 -aS'lower\tlow\tJJR\tI-NP\tO' -p70038 -aS'spinal\tspinal\tJJ\tI-NP\tO' -p70039 -aS'cord\tcord\tNN\tI-NP\tO' -p70040 -aS'at\tat\tIN\tB-PP\tO' -p70041 -aS'T11-12\tT11-12\tNN\tB-NP\tO' -p70042 -aS'by\tby\tIN\tB-PP\tO' -p70043 -aS'disc\tdisc\tNN\tB-NP\tO' -p70044 -aS'bulge\tbulge\tNN\tI-NP\tO' -p70045 -aS'.\t.\t.\tO\tO' -p70046 -asS'Due to atherosclerosis , assessment of the intraluminal process of these branches is limited .' -p70047 -(lp70048 -S'Due\tDue\tJJ\tB-PP\tO' -p70049 -aS'to\tto\tTO\tI-PP\tO' -p70050 -aS'atherosclerosis\tatherosclerosis\tNN\tB-NP\tO' -p70051 -aS',\t,\t,\tO\tO' -p70052 -aS'assessment\tassessment\tNN\tB-NP\tO' -p70053 -aS'of\tof\tIN\tB-PP\tO' -p70054 -aS'the\tthe\tDT\tB-NP\tO' -p70055 -aS'intraluminal\tintraluminal\tJJ\tI-NP\tO' -p70056 -aS'process\tprocess\tNN\tI-NP\tO' -p70057 -aS'of\tof\tIN\tB-PP\tO' -p70058 -aS'these\tthese\tDT\tB-NP\tO' -p70059 -aS'branches\tbranch\tNNS\tI-NP\tO' -p70060 -aS'is\tbe\tVBZ\tB-VP\tO' -p70061 -aS'limited\tlimit\tVBN\tB-ADJP\tO' -p70062 -aS'.\t.\t.\tO\tO' -p70063 -asS'The patient is widowed .' -p70064 -(lp70065 -S'The\tThe\tDT\tB-NP\tO' -p70066 -aS'patient\tpatient\tNN\tI-NP\tO' -p70067 -aS'is\tbe\tVBZ\tB-VP\tO' -p70068 -aS'widowed\twidow\tVBN\tI-VP\tO' -p70069 -aS'.\t.\t.\tO\tO' -p70070 -asS'Dictated By : Troy X. Hall , M.D.' -p70071 -(lp70072 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p70073 -aS'By\tBy\tIN\tB-PP\tO' -p70074 -aS':\t:\t:\tO\tO' -p70075 -aS'Troy\tTroy\tNNP\tB-NP\tO' -p70076 -aS'X.\tX.\tNNP\tI-NP\tO' -p70077 -aS'Hall\tHall\tNNP\tI-NP\tO' -p70078 -aS',\t,\t,\tO\tO' -p70079 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p70080 -asS'Abdomen soft , nontender , nondistended , active bowel sounds .' -p70081 -(lp70082 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p70083 -aS'soft\tsoft\tJJ\tI-NP\tO' -p70084 -aS',\t,\t,\tI-NP\tO' -p70085 -aS'nontender\tnontender\tJJ\tI-NP\tO' -p70086 -aS',\t,\t,\tI-NP\tO' -p70087 -aS'nondistended\tnondistended\tJJ\tI-NP\tO' -p70088 -aS',\t,\t,\tI-NP\tO' -p70089 -aS'active\tactive\tJJ\tI-NP\tO' -p70090 -aS'bowel\tbowel\tNN\tI-NP\tO' -p70091 -aS'sounds\tsound\tNNS\tI-NP\tO' -p70092 -aS'.\t.\t.\tO\tO' -p70093 -asS'He will have outpt fitting at the sleep center in Sabo .' -p70094 -(lp70095 -S'He\tHe\tPRP\tB-NP\tO' -p70096 -aS'will\twill\tMD\tB-VP\tO' -p70097 -aS'have\thave\tVB\tI-VP\tO' -p70098 -aS'outpt\toutpt\tJJ\tB-NP\tO' -p70099 -aS'fitting\tfitting\tNN\tI-NP\tO' -p70100 -aS'at\tat\tIN\tB-PP\tO' -p70101 -aS'the\tthe\tDT\tB-NP\tO' -p70102 -aS'sleep\tsleep\tJJ\tI-NP\tO' -p70103 -aS'center\tcenter\tNN\tI-NP\tO' -p70104 -aS'in\tin\tIN\tB-PP\tO' -p70105 -aS'Sabo\tSabo\tNNP\tB-NP\tO' -p70106 -aS'.\t.\t.\tO\tO' -p70107 -asS'15. Metoprolol Succinate 25 mg Tablet Sustained Release 24HR Sig : One ( 1 ) Tablet Sustained Release 24HR PO DAILY ( Daily ).' -p70108 -(lp70109 -S'15.\t15.\tLS\tB-NP\tO' -p70110 -aS'Metoprolol\tMetoprolol\tNN\tI-NP\tO' -p70111 -aS'Succinate\tSuccinate\tNN\tI-NP\tO' -p70112 -aS'25\t25\tCD\tI-NP\tO' -p70113 -aS'mg\tmg\tNN\tI-NP\tO' -p70114 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p70115 -aS'Sustained\tSustained\tNNP\tI-NP\tO' -p70116 -aS'Release\tRelease\tNNP\tI-NP\tO' -p70117 -aS'24HR\t24HR\tNN\tI-NP\tO' -p70118 -aS'Sig\tSig\tNNP\tI-NP\tO' -p70119 -aS':\t:\t:\tO\tO' -p70120 -aS'One\tOne\tCD\tB-NP\tO' -p70121 -aS'(\t(\t(\tO\tO' -p70122 -aS'1\t1\tCD\tB-NP\tO' -p70123 -aS')\t)\t)\tO\tO' -p70124 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p70125 -aS'Sustained\tSustain\tVBD\tB-VP\tO' -p70126 -aS'Release\tRelease\tNN\tB-NP\tO' -p70127 -aS'24HR\t24HR\tNN\tI-NP\tO' -p70128 -aS'PO\tPO\tNN\tI-NP\tO' -p70129 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p70130 -aS'(\t(\t(\tO\tO' -p70131 -aS'Daily\tDaily\tNNP\tB-NP\tO' -p70132 -aS').\t).\t)\tO\tO' -p70133 -asS'8. Isosorbide Mononitrate 30 mg Tablet Sustained Release 24 hr Sig : One ( 1 ) Tablet Sustained Release 24 hr PO DAILY ( Daily ).' -p70134 -(lp70135 -S'8.\t8.\tCD\tB-NP\tO' -p70136 -aS'Isosorbide\tIsosorbide\tNNP\tI-NP\tO' -p70137 -aS'Mononitrate\tMononitrate\tNNP\tI-NP\tO' -p70138 -aS'30\t30\tCD\tI-NP\tO' -p70139 -aS'mg\tmg\tNN\tI-NP\tO' -p70140 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p70141 -aS'Sustained\tSustain\tVBD\tB-VP\tO' -p70142 -aS'Release\tRelease\tNNP\tB-NP\tO' -p70143 -aS'24\t24\tCD\tI-NP\tO' -p70144 -aS'hr\thr\tNN\tI-NP\tO' -p70145 -aS'Sig\tSig\tNNP\tI-NP\tO' -p70146 -aS':\t:\t:\tO\tO' -p70147 -aS'One\tOne\tCD\tB-NP\tO' -p70148 -aS'(\t(\t(\tO\tO' -p70149 -aS'1\t1\tCD\tB-NP\tO' -p70150 -aS')\t)\t)\tO\tO' -p70151 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p70152 -aS'Sustained\tSustain\tVBD\tB-VP\tO' -p70153 -aS'Release\tRelease\tNNP\tB-NP\tO' -p70154 -aS'24\t24\tCD\tI-NP\tO' -p70155 -aS'hr\thr\tNN\tI-NP\tO' -p70156 -aS'PO\tPO\tNN\tI-NP\tO' -p70157 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p70158 -aS'(\t(\t(\tO\tO' -p70159 -aS'Daily\tDaily\tNNP\tB-NP\tO' -p70160 -aS').\t).\t)\tO\tO' -p70161 -asS'The abdomen was soft and nontender with a palpable liver edge and the pulses were diminished .' -p70162 -(lp70163 -S'The\tThe\tDT\tB-NP\tO' -p70164 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p70165 -aS'was\tbe\tVBD\tB-VP\tO' -p70166 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p70167 -aS'and\tand\tCC\tI-ADJP\tO' -p70168 -aS'nontender\tnontender\tJJ\tI-ADJP\tO' -p70169 -aS'with\twith\tIN\tB-PP\tO' -p70170 -aS'a\ta\tDT\tB-NP\tO' -p70171 -aS'palpable\tpalpable\tJJ\tI-NP\tO' -p70172 -aS'liver\tliver\tNN\tI-NP\tO' -p70173 -aS'edge\tedge\tNN\tI-NP\tO' -p70174 -aS'and\tand\tCC\tO\tO' -p70175 -aS'the\tthe\tDT\tB-NP\tO' -p70176 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p70177 -aS'were\tbe\tVBD\tB-VP\tO' -p70178 -aS'diminished\tdiminish\tVBN\tI-VP\tO' -p70179 -aS'.\t.\t.\tO\tO' -p70180 -asS'No family history of heart disease or cancer' -p70181 -(lp70182 -S'No\tNo\tDT\tB-NP\tO' -p70183 -aS'family\tfamily\tNN\tI-NP\tO' -p70184 -aS'history\thistory\tNN\tI-NP\tO' -p70185 -aS'of\tof\tIN\tB-PP\tO' -p70186 -aS'heart\theart\tNN\tB-NP\tO' -p70187 -aS'disease\tdisease\tNN\tI-NP\tO' -p70188 -aS'or\tor\tCC\tO\tO' -p70189 -aS'cancer\tcancer\tNN\tB-NP\tO' -p70190 -asS'Electrocardiogram revealed Q-waves in leads II , III and AVF .' -p70191 -(lp70192 -S'Electrocardiogram\tElectrocardiogram\tNNP\tB-NP\tO' -p70193 -aS'revealed\treveal\tVBD\tB-VP\tO' -p70194 -aS'Q-waves\tQ-wave\tNNS\tB-NP\tO' -p70195 -aS'in\tin\tIN\tB-PP\tO' -p70196 -aS'leads\tlead\tNNS\tB-NP\tO' -p70197 -aS'II\tII\tCD\tI-NP\tO' -p70198 -aS',\t,\t,\tI-NP\tO' -p70199 -aS'III\tIII\tCD\tI-NP\tO' -p70200 -aS'and\tand\tCC\tO\tO' -p70201 -aS'AVF\tAVF\tNN\tB-NP\tB-protein' -p70202 -aS'.\t.\t.\tO\tO' -p70203 -asS'Dilaudid 2 to 4 mg po q3h prn pain , Ativan 1 mg po q12h prn anxiety , Zofran 8 mg po q8h prn nausea , Compazine 10 mg po q6h prn nausea , Decadron 20 mg po q6h x 2 doses .' -p70204 -(lp70205 -S'Dilaudid\tDilaudid\tVBD\tB-VP\tO' -p70206 -aS'2\t2\tCD\tB-NP\tO' -p70207 -aS'to\tto\tTO\tI-NP\tO' -p70208 -aS'4\t4\tCD\tI-NP\tO' -p70209 -aS'mg\tmg\tNN\tI-NP\tO' -p70210 -aS'po\tpo\tNN\tI-NP\tO' -p70211 -aS'q3h\tq3h\tNN\tI-NP\tO' -p70212 -aS'prn\tprn\tNN\tI-NP\tO' -p70213 -aS'pain\tpain\tNN\tI-NP\tO' -p70214 -aS',\t,\t,\tO\tO' -p70215 -aS'Ativan\tAtivan\tNNP\tB-NP\tO' -p70216 -aS'1\t1\tCD\tI-NP\tO' -p70217 -aS'mg\tmg\tNN\tI-NP\tO' -p70218 -aS'po\tpo\tNN\tI-NP\tO' -p70219 -aS'q12h\tq12h\tNN\tI-NP\tO' -p70220 -aS'prn\tprn\tNN\tI-NP\tO' -p70221 -aS'anxiety\tanxiety\tNN\tI-NP\tO' -p70222 -aS',\t,\t,\tO\tO' -p70223 -aS'Zofran\tZofran\tNN\tB-NP\tB-protein' -p70224 -aS'8\t8\tCD\tI-NP\tI-protein' -p70225 -aS'mg\tmg\tNN\tI-NP\tI-protein' -p70226 -aS'po\tpo\tNN\tI-NP\tI-protein' -p70227 -aS'q8h\tq8h\tNN\tI-NP\tI-protein' -p70228 -aS'prn\tprn\tNN\tI-NP\tI-protein' -p70229 -aS'nausea\tnausea\tNN\tI-NP\tI-protein' -p70230 -aS',\t,\t,\tO\tO' -p70231 -aS'Compazine\tCompazine\tNN\tB-NP\tO' -p70232 -aS'10\t10\tCD\tI-NP\tO' -p70233 -aS'mg\tmg\tNN\tI-NP\tO' -p70234 -aS'po\tpo\tNN\tI-NP\tO' -p70235 -aS'q6h\tq6h\tNN\tI-NP\tO' -p70236 -aS'prn\tprn\tNN\tI-NP\tO' -p70237 -aS'nausea\tnausea\tNN\tI-NP\tO' -p70238 -aS',\t,\t,\tO\tO' -p70239 -aS'Decadron\tDecadron\tNNP\tB-NP\tO' -p70240 -aS'20\t20\tCD\tI-NP\tO' -p70241 -aS'mg\tmg\tNN\tI-NP\tO' -p70242 -aS'po\tpo\tNN\tI-NP\tO' -p70243 -aS'q6h\tq6h\tNN\tI-NP\tO' -p70244 -aS'x\tx\tSYM\tB-VP\tO' -p70245 -aS'2\t2\tCD\tB-NP\tO' -p70246 -aS'doses\tdose\tNNS\tI-NP\tO' -p70247 -aS'.\t.\t.\tO\tO' -p70248 -asS'Demerol for pain .' -p70249 -(lp70250 -S'Demerol\tDemerol\tNN\tB-NP\tO' -p70251 -aS'for\tfor\tIN\tB-PP\tO' -p70252 -aS'pain\tpain\tNN\tB-NP\tO' -p70253 -aS'.\t.\t.\tO\tO' -p70254 -asS'Since that time , she has used a cane and she was referred to Dr. Koors .' -p70255 -(lp70256 -S'Since\tSince\tIN\tB-PP\tO' -p70257 -aS'that\tthat\tDT\tB-NP\tO' -p70258 -aS'time\ttime\tNN\tI-NP\tO' -p70259 -aS',\t,\t,\tO\tO' -p70260 -aS'she\tshe\tPRP\tB-NP\tO' -p70261 -aS'has\thave\tVBZ\tB-VP\tO' -p70262 -aS'used\tuse\tVBN\tI-VP\tO' -p70263 -aS'a\ta\tDT\tB-NP\tO' -p70264 -aS'cane\tcane\tNN\tI-NP\tO' -p70265 -aS'and\tand\tCC\tO\tO' -p70266 -aS'she\tshe\tPRP\tB-NP\tO' -p70267 -aS'was\tbe\tVBD\tB-VP\tO' -p70268 -aS'referred\trefer\tVBN\tI-VP\tO' -p70269 -aS'to\tto\tTO\tB-PP\tO' -p70270 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p70271 -aS'Koors\tKoors\tNNP\tI-NP\tO' -p70272 -aS'.\t.\t.\tO\tO' -p70273 -asS'Several loose bowel movements were induced with above regimen .' -p70274 -(lp70275 -S'Several\tSeveral\tJJ\tB-NP\tO' -p70276 -aS'loose\tloose\tJJ\tI-NP\tO' -p70277 -aS'bowel\tbowel\tNN\tI-NP\tO' -p70278 -aS'movements\tmovement\tNNS\tI-NP\tO' -p70279 -aS'were\tbe\tVBD\tB-VP\tO' -p70280 -aS'induced\tinduce\tVBN\tI-VP\tO' -p70281 -aS'with\twith\tIN\tB-PP\tO' -p70282 -aS'above\tabove\tJJ\tB-NP\tO' -p70283 -aS'regimen\tregimen\tNN\tI-NP\tO' -p70284 -aS'.\t.\t.\tO\tO' -p70285 -asS'In the ICU the pt remained stuporous , responsive to painful stimuli .' -p70286 -(lp70287 -S'In\tIn\tIN\tB-PP\tO' -p70288 -aS'the\tthe\tDT\tB-NP\tO' -p70289 -aS'ICU\tICU\tNN\tI-NP\tO' -p70290 -aS'the\tthe\tDT\tB-NP\tO' -p70291 -aS'pt\tpt\tNN\tI-NP\tO' -p70292 -aS'remained\tremain\tVBD\tB-VP\tO' -p70293 -aS'stuporous\tstuporous\tJJ\tB-ADJP\tO' -p70294 -aS',\t,\t,\tO\tO' -p70295 -aS'responsive\tresponsive\tJJ\tB-ADJP\tO' -p70296 -aS'to\tto\tTO\tB-PP\tO' -p70297 -aS'painful\tpainful\tJJ\tB-NP\tO' -p70298 -aS'stimuli\tstimulus\tNNS\tI-NP\tO' -p70299 -aS'.\t.\t.\tO\tO' -p70300 -asS'EKG and LFTs should be monitored by his PCP , William given the high dose of amiodarone he will receive .' -p70301 -(lp70302 -S'EKG\tEKG\tNN\tB-NP\tB-protein' -p70303 -aS'and\tand\tCC\tI-NP\tO' -p70304 -aS'LFTs\tLFT\tNNS\tI-NP\tB-protein' -p70305 -aS'should\tshould\tMD\tB-VP\tO' -p70306 -aS'be\tbe\tVB\tI-VP\tO' -p70307 -aS'monitored\tmonitor\tVBN\tI-VP\tO' -p70308 -aS'by\tby\tIN\tB-PP\tO' -p70309 -aS'his\this\tPRP$\tB-NP\tO' -p70310 -aS'PCP\tPCP\tNN\tI-NP\tB-DNA' -p70311 -aS',\t,\t,\tO\tO' -p70312 -aS'William\tWilliam\tNNP\tB-NP\tO' -p70313 -aS'given\tgive\tVBN\tB-PP\tO' -p70314 -aS'the\tthe\tDT\tB-NP\tO' -p70315 -aS'high\thigh\tJJ\tI-NP\tO' -p70316 -aS'dose\tdose\tNN\tI-NP\tO' -p70317 -aS'of\tof\tIN\tB-PP\tO' -p70318 -aS'amiodarone\tamiodarone\tNN\tB-NP\tO' -p70319 -aS'he\the\tPRP\tB-NP\tO' -p70320 -aS'will\twill\tMD\tB-VP\tO' -p70321 -aS'receive\treceive\tVB\tI-VP\tO' -p70322 -aS'.\t.\t.\tO\tO' -p70323 -asS'3. Sepsis presumed pulmonary source .' -p70324 -(lp70325 -S'3.\t3.\tLS\tB-NP\tO' -p70326 -aS'Sepsis\tSepsis\tNN\tI-NP\tO' -p70327 -aS'presumed\tpresumed\tJJ\tI-NP\tO' -p70328 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p70329 -aS'source\tsource\tNN\tI-NP\tO' -p70330 -aS'.\t.\t.\tO\tO' -p70331 -asS'carcinoma of the kidney , hypovolemia , metastatic liver disease and intrathoracic lymphadenopathy .' -p70332 -(lp70333 -S'carcinoma\tcarcinoma\tNN\tB-NP\tO' -p70334 -aS'of\tof\tIN\tB-PP\tO' -p70335 -aS'the\tthe\tDT\tB-NP\tO' -p70336 -aS'kidney\tkidney\tNN\tI-NP\tO' -p70337 -aS',\t,\t,\tO\tO' -p70338 -aS'hypovolemia\thypovolemia\tNN\tB-NP\tO' -p70339 -aS',\t,\t,\tO\tO' -p70340 -aS'metastatic\tmetastatic\tJJ\tB-NP\tO' -p70341 -aS'liver\tliver\tNN\tI-NP\tO' -p70342 -aS'disease\tdisease\tNN\tI-NP\tO' -p70343 -aS'and\tand\tCC\tO\tO' -p70344 -aS'intrathoracic\tintrathoracic\tJJ\tB-NP\tO' -p70345 -aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' -p70346 -aS'.\t.\t.\tO\tO' -p70347 -asS'2. Thrush : This is likely secondary to her steroid inhalers and PO prednisone for COPD exacerbation .' -p70348 -(lp70349 -S'2.\t2.\tCD\tB-NP\tO' -p70350 -aS'Thrush\tThrush\tNNP\tI-NP\tO' -p70351 -aS':\t:\t:\tO\tO' -p70352 -aS'This\tThis\tDT\tB-NP\tO' -p70353 -aS'is\tbe\tVBZ\tB-VP\tO' -p70354 -aS'likely\tlikely\tRB\tB-ADJP\tO' -p70355 -aS'secondary\tsecondary\tJJ\tI-ADJP\tO' -p70356 -aS'to\tto\tTO\tB-PP\tO' -p70357 -aS'her\ther\tPRP$\tB-NP\tO' -p70358 -aS'steroid\tsteroid\tJJ\tI-NP\tO' -p70359 -aS'inhalers\tinhaler\tNNS\tI-NP\tO' -p70360 -aS'and\tand\tCC\tO\tO' -p70361 -aS'PO\tPO\tNN\tB-NP\tO' -p70362 -aS'prednisone\tprednisone\tNN\tI-NP\tO' -p70363 -aS'for\tfor\tIN\tB-PP\tO' -p70364 -aS'COPD\tCOPD\tNN\tB-NP\tO' -p70365 -aS'exacerbation\texacerbation\tNN\tI-NP\tO' -p70366 -aS'.\t.\t.\tO\tO' -p70367 -asS'The patient is on no specific medications for his cardiac condition .' -p70368 -(lp70369 -S'The\tThe\tDT\tB-NP\tO' -p70370 -aS'patient\tpatient\tNN\tI-NP\tO' -p70371 -aS'is\tbe\tVBZ\tB-VP\tO' -p70372 -aS'on\ton\tIN\tB-PP\tO' -p70373 -aS'no\tno\tDT\tB-NP\tO' -p70374 -aS'specific\tspecific\tJJ\tI-NP\tO' -p70375 -aS'medications\tmedication\tNNS\tI-NP\tO' -p70376 -aS'for\tfor\tIN\tB-PP\tO' -p70377 -aS'his\this\tPRP$\tB-NP\tO' -p70378 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p70379 -aS'condition\tcondition\tNN\tI-NP\tO' -p70380 -aS'.\t.\t.\tO\tO' -p70381 -asS'4. Recent pancreatitis ; prior history for recurrent pancreatitis 30 years ago from alcohol .' -p70382 -(lp70383 -S'4.\t4.\tLS\tB-NP\tO' -p70384 -aS'Recent\tRecent\tJJ\tI-NP\tO' -p70385 -aS'pancreatitis\tpancreatitis\tNN\tI-NP\tO' -p70386 -aS';\t;\t:\tO\tO' -p70387 -aS'prior\tprior\tJJ\tB-NP\tO' -p70388 -aS'history\thistory\tNN\tI-NP\tO' -p70389 -aS'for\tfor\tIN\tB-PP\tO' -p70390 -aS'recurrent\trecurrent\tJJ\tB-NP\tO' -p70391 -aS'pancreatitis\tpancreatitis\tNN\tI-NP\tO' -p70392 -aS'30\t30\tCD\tB-NP\tO' -p70393 -aS'years\tyear\tNNS\tI-NP\tO' -p70394 -aS'ago\tago\tRB\tB-ADVP\tO' -p70395 -aS'from\tfrom\tIN\tB-PP\tO' -p70396 -aS'alcohol\talcohol\tNN\tB-NP\tO' -p70397 -aS'.\t.\t.\tO\tO' -p70398 -asS'On admission , a CT scan of the head with and without contrast was performed , showing a missing posterior arch at C-1 and metallic clips at the craniocervical junction consistent with prior surgical intervention .' -p70399 -(lp70400 -S'On\tOn\tIN\tB-PP\tO' -p70401 -aS'admission\tadmission\tNN\tB-NP\tO' -p70402 -aS',\t,\t,\tO\tO' -p70403 -aS'a\ta\tDT\tB-NP\tO' -p70404 -aS'CT\tCT\tNN\tI-NP\tO' -p70405 -aS'scan\tscan\tNN\tI-NP\tO' -p70406 -aS'of\tof\tIN\tB-PP\tO' -p70407 -aS'the\tthe\tDT\tB-NP\tO' -p70408 -aS'head\thead\tNN\tI-NP\tO' -p70409 -aS'with\twith\tIN\tB-PP\tO' -p70410 -aS'and\tand\tCC\tO\tO' -p70411 -aS'without\twithout\tIN\tB-PP\tO' -p70412 -aS'contrast\tcontrast\tNN\tB-NP\tO' -p70413 -aS'was\tbe\tVBD\tB-VP\tO' -p70414 -aS'performed\tperform\tVBN\tI-VP\tO' -p70415 -aS',\t,\t,\tO\tO' -p70416 -aS'showing\tshow\tVBG\tB-VP\tO' -p70417 -aS'a\ta\tDT\tB-NP\tO' -p70418 -aS'missing\tmiss\tVBG\tI-NP\tO' -p70419 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p70420 -aS'arch\tarch\tNN\tI-NP\tO' -p70421 -aS'at\tat\tIN\tB-PP\tO' -p70422 -aS'C-1\tC-1\tNN\tB-NP\tB-protein' -p70423 -aS'and\tand\tCC\tO\tO' -p70424 -aS'metallic\tmetallic\tJJ\tB-NP\tO' -p70425 -aS'clips\tclip\tNNS\tI-NP\tO' -p70426 -aS'at\tat\tIN\tB-PP\tO' -p70427 -aS'the\tthe\tDT\tB-NP\tO' -p70428 -aS'craniocervical\tcraniocervical\tJJ\tI-NP\tO' -p70429 -aS'junction\tjunction\tNN\tI-NP\tO' -p70430 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p70431 -aS'with\twith\tIN\tB-PP\tO' -p70432 -aS'prior\tprior\tJJ\tB-NP\tO' -p70433 -aS'surgical\tsurgical\tJJ\tI-NP\tO' -p70434 -aS'intervention\tintervention\tNN\tI-NP\tO' -p70435 -aS'.\t.\t.\tO\tO' -p70436 -asS'Her sputum then grew out Klebsiella and she was treated with amikacin and imipenem .' -p70437 -(lp70438 -S'Her\tHer\tPRP$\tB-NP\tO' -p70439 -aS'sputum\tsputum\tNN\tI-NP\tO' -p70440 -aS'then\tthen\tRB\tB-ADVP\tO' -p70441 -aS'grew\tgrow\tVBD\tB-VP\tO' -p70442 -aS'out\tout\tRP\tB-PRT\tO' -p70443 -aS'Klebsiella\tKlebsiella\tNNP\tB-NP\tO' -p70444 -aS'and\tand\tCC\tO\tO' -p70445 -aS'she\tshe\tPRP\tB-NP\tO' -p70446 -aS'was\tbe\tVBD\tB-VP\tO' -p70447 -aS'treated\ttreat\tVBN\tI-VP\tO' -p70448 -aS'with\twith\tIN\tB-PP\tO' -p70449 -aS'amikacin\tamikacin\tNN\tB-NP\tO' -p70450 -aS'and\tand\tCC\tI-NP\tO' -p70451 -aS'imipenem\timipenem\tNN\tI-NP\tO' -p70452 -aS'.\t.\t.\tO\tO' -p70453 -asS'The patient describes whole body numbness .' -p70454 -(lp70455 -S'The\tThe\tDT\tB-NP\tO' -p70456 -aS'patient\tpatient\tNN\tI-NP\tO' -p70457 -aS'describes\tdescribe\tVBZ\tB-VP\tO' -p70458 -aS'whole\twhole\tJJ\tB-NP\tO' -p70459 -aS'body\tbody\tNN\tI-NP\tO' -p70460 -aS'numbness\tnumbness\tNN\tI-NP\tO' -p70461 -aS'.\t.\t.\tO\tO' -p70462 -asS'Make an appointment with Dr. Mclaughlin in neurology clinic for 4 weeks .' -p70463 -(lp70464 -S'Make\tMake\tVB\tB-VP\tO' -p70465 -aS'an\tan\tDT\tB-NP\tO' -p70466 -aS'appointment\tappointment\tNN\tI-NP\tO' -p70467 -aS'with\twith\tIN\tB-PP\tO' -p70468 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p70469 -aS'Mclaughlin\tMclaughlin\tNNP\tI-NP\tO' -p70470 -aS'in\tin\tIN\tB-PP\tO' -p70471 -aS'neurology\tneurology\tNN\tB-NP\tO' -p70472 -aS'clinic\tclinic\tNN\tI-NP\tO' -p70473 -aS'for\tfor\tIN\tB-PP\tO' -p70474 -aS'4\t4\tCD\tB-NP\tO' -p70475 -aS'weeks\tweek\tNNS\tI-NP\tO' -p70476 -aS'.\t.\t.\tO\tO' -p70477 -asS'Cardiovascular has been hemodynamically stable throughout hospital stay .' -p70478 -(lp70479 -S'Cardiovascular\tCardiovascular\tNNP\tB-NP\tO' -p70480 -aS'has\thave\tVBZ\tB-VP\tO' -p70481 -aS'been\tbe\tVBN\tI-VP\tO' -p70482 -aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' -p70483 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p70484 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p70485 -aS'hospital\thospital\tNN\tB-NP\tO' -p70486 -aS'stay\tstay\tNN\tI-NP\tO' -p70487 -aS'.\t.\t.\tO\tO' -p70488 -asS'The patient , at this time , was started on Statin and developed in arthritis approximately one month later with joint pain , myalgia and fatigue .' -p70489 -(lp70490 -S'The\tThe\tDT\tB-NP\tO' -p70491 -aS'patient\tpatient\tNN\tI-NP\tO' -p70492 -aS',\t,\t,\tO\tO' -p70493 -aS'at\tat\tIN\tB-PP\tO' -p70494 -aS'this\tthis\tDT\tB-NP\tO' -p70495 -aS'time\ttime\tNN\tI-NP\tO' -p70496 -aS',\t,\t,\tO\tO' -p70497 -aS'was\tbe\tVBD\tB-VP\tO' -p70498 -aS'started\tstart\tVBN\tI-VP\tO' -p70499 -aS'on\ton\tIN\tB-PP\tO' -p70500 -aS'Statin\tStatin\tNN\tB-NP\tB-protein' -p70501 -aS'and\tand\tCC\tO\tO' -p70502 -aS'developed\tdevelop\tVBN\tB-VP\tO' -p70503 -aS'in\tin\tIN\tB-PP\tO' -p70504 -aS'arthritis\tarthritis\tNN\tB-NP\tO' -p70505 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p70506 -aS'one\tone\tCD\tI-NP\tO' -p70507 -aS'month\tmonth\tNN\tI-NP\tO' -p70508 -aS'later\tlater\tRB\tB-ADVP\tO' -p70509 -aS'with\twith\tIN\tB-PP\tO' -p70510 -aS'joint\tjoint\tJJ\tB-NP\tO' -p70511 -aS'pain\tpain\tNN\tI-NP\tO' -p70512 -aS',\t,\t,\tI-NP\tO' -p70513 -aS'myalgia\tmyalgia\tNN\tI-NP\tO' -p70514 -aS'and\tand\tCC\tI-NP\tO' -p70515 -aS'fatigue\tfatigue\tNN\tI-NP\tO' -p70516 -aS'.\t.\t.\tO\tO' -p70517 -asS'The patient is to follow-up with Dr. Herrick in four weeks time .' -p70518 -(lp70519 -S'The\tThe\tDT\tB-NP\tO' -p70520 -aS'patient\tpatient\tNN\tI-NP\tO' -p70521 -aS'is\tbe\tVBZ\tB-VP\tO' -p70522 -aS'to\tto\tTO\tB-VP\tO' -p70523 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p70524 -aS'with\twith\tIN\tB-PP\tO' -p70525 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p70526 -aS'Herrick\tHerrick\tNNP\tI-NP\tO' -p70527 -aS'in\tin\tIN\tB-PP\tO' -p70528 -aS'four\tfour\tCD\tB-NP\tO' -p70529 -aS'weeks\tweek\tNNS\tI-NP\tO' -p70530 -aS'time\ttime\tNN\tI-NP\tO' -p70531 -aS'.\t.\t.\tO\tO' -p70532 -asS'She had an upper endoscopy at Va Sit Namar Healthcare showing an esophagus filled with clots and small amount of bleeding varices , clot in the stomach with antral gastritis , and a normal duodenum .' -p70533 -(lp70534 -S'She\tShe\tPRP\tB-NP\tO' -p70535 -aS'had\thave\tVBD\tB-VP\tO' -p70536 -aS'an\tan\tDT\tB-NP\tO' -p70537 -aS'upper\tupper\tJJ\tI-NP\tO' -p70538 -aS'endoscopy\tendoscopy\tNN\tI-NP\tO' -p70539 -aS'at\tat\tIN\tB-PP\tO' -p70540 -aS'Va\tVa\tNNP\tB-NP\tO' -p70541 -aS'Sit\tSit\tNNP\tI-NP\tO' -p70542 -aS'Namar\tNamar\tNNP\tI-NP\tO' -p70543 -aS'Healthcare\tHealthcare\tNNP\tI-NP\tO' -p70544 -aS'showing\tshow\tVBG\tB-VP\tO' -p70545 -aS'an\tan\tDT\tB-NP\tO' -p70546 -aS'esophagus\tesophagus\tNN\tI-NP\tO' -p70547 -aS'filled\tfill\tVBN\tB-VP\tO' -p70548 -aS'with\twith\tIN\tB-PP\tO' -p70549 -aS'clots\tclot\tNNS\tB-NP\tO' -p70550 -aS'and\tand\tCC\tO\tO' -p70551 -aS'small\tsmall\tJJ\tB-NP\tO' -p70552 -aS'amount\tamount\tNN\tI-NP\tO' -p70553 -aS'of\tof\tIN\tB-PP\tO' -p70554 -aS'bleeding\tbleed\tVBG\tB-NP\tO' -p70555 -aS'varices\tvarix\tNNS\tI-NP\tO' -p70556 -aS',\t,\t,\tO\tO' -p70557 -aS'clot\tclot\tNN\tB-NP\tO' -p70558 -aS'in\tin\tIN\tB-PP\tO' -p70559 -aS'the\tthe\tDT\tB-NP\tO' -p70560 -aS'stomach\tstomach\tNN\tI-NP\tO' -p70561 -aS'with\twith\tIN\tB-PP\tO' -p70562 -aS'antral\tantral\tJJ\tB-NP\tO' -p70563 -aS'gastritis\tgastritis\tNN\tI-NP\tO' -p70564 -aS',\t,\t,\tO\tO' -p70565 -aS'and\tand\tCC\tO\tO' -p70566 -aS'a\ta\tDT\tB-NP\tO' -p70567 -aS'normal\tnormal\tJJ\tI-NP\tO' -p70568 -aS'duodenum\tduodenum\tNN\tI-NP\tO' -p70569 -aS'.\t.\t.\tO\tO' -p70570 -asS'On postoperative check , he was doing well .' -p70571 -(lp70572 -S'On\tOn\tIN\tB-PP\tO' -p70573 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p70574 -aS'check\tcheck\tNN\tI-NP\tO' -p70575 -aS',\t,\t,\tO\tO' -p70576 -aS'he\the\tPRP\tB-NP\tO' -p70577 -aS'was\tbe\tVBD\tB-VP\tO' -p70578 -aS'doing\tdo\tVBG\tI-VP\tO' -p70579 -aS'well\twell\tRB\tB-ADVP\tO' -p70580 -aS'.\t.\t.\tO\tO' -p70581 -asS'On 2019-04-12 he was transfused with 2 units of packed red blood cells due to post-operative anemia .' -p70582 -(lp70583 -S'On\tOn\tIN\tB-PP\tO' -p70584 -aS'2019-04-12\t2019-04-12\tCD\tB-NP\tO' -p70585 -aS'he\the\tPRP\tB-NP\tO' -p70586 -aS'was\tbe\tVBD\tB-VP\tO' -p70587 -aS'transfused\ttransfuse\tVBN\tI-VP\tO' -p70588 -aS'with\twith\tIN\tB-PP\tO' -p70589 -aS'2\t2\tCD\tB-NP\tO' -p70590 -aS'units\tunit\tNNS\tI-NP\tO' -p70591 -aS'of\tof\tIN\tB-PP\tO' -p70592 -aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' -p70593 -aS'red\tred\tJJ\tI-NP\tI-cell_type' -p70594 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p70595 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p70596 -aS'due\tdue\tJJ\tB-ADJP\tO' -p70597 -aS'to\tto\tTO\tB-PP\tO' -p70598 -aS'post-operative\tpost-operative\tJJ\tB-NP\tO' -p70599 -aS'anemia\tanemia\tNN\tI-NP\tO' -p70600 -aS'.\t.\t.\tO\tO' -p70601 -asS'2. Humalog sliding scale insulin for fingerstick blood glucose 151-200 2 units ; 201-250 4 units ; 251-300 6 units ; 301-350 8 units ; 351-400 10 units ; greater than 400 12 units .' -p70602 -(lp70603 -S'2.\t2.\tLS\tB-LST\tO' -p70604 -aS'Humalog\tHumalog\tNN\tB-NP\tB-protein' -p70605 -aS'sliding\tslide\tVBG\tB-VP\tI-protein' -p70606 -aS'scale\tscale\tNN\tB-NP\tI-protein' -p70607 -aS'insulin\tinsulin\tNN\tI-NP\tI-protein' -p70608 -aS'for\tfor\tIN\tB-PP\tO' -p70609 -aS'fingerstick\tfingerstick\tNN\tB-NP\tB-protein' -p70610 -aS'blood\tblood\tNN\tI-NP\tI-protein' -p70611 -aS'glucose\tglucose\tNN\tI-NP\tI-protein' -p70612 -aS'151-200\t151-200\tCD\tI-NP\tI-protein' -p70613 -aS'2\t2\tCD\tI-NP\tI-protein' -p70614 -aS'units\tunit\tNNS\tI-NP\tI-protein' -p70615 -aS';\t;\t:\tO\tO' -p70616 -aS'201-250\t201-250\tCD\tB-NP\tO' -p70617 -aS'4\t4\tCD\tI-NP\tO' -p70618 -aS'units\tunit\tNNS\tI-NP\tO' -p70619 -aS';\t;\t:\tO\tO' -p70620 -aS'251-300\t251-300\tCD\tB-NP\tO' -p70621 -aS'6\t6\tCD\tI-NP\tO' -p70622 -aS'units\tunit\tNNS\tI-NP\tO' -p70623 -aS';\t;\t:\tO\tO' -p70624 -aS'301-350\t301-350\tCD\tB-NP\tO' -p70625 -aS'8\t8\tCD\tI-NP\tO' -p70626 -aS'units\tunit\tNNS\tI-NP\tO' -p70627 -aS';\t;\t:\tO\tO' -p70628 -aS'351-400\t351-400\tCD\tB-NP\tO' -p70629 -aS'10\t10\tCD\tI-NP\tO' -p70630 -aS'units\tunit\tNNS\tI-NP\tO' -p70631 -aS';\t;\t:\tO\tO' -p70632 -aS'greater\tgreat\tJJR\tB-NP\tO' -p70633 -aS'than\tthan\tIN\tI-NP\tO' -p70634 -aS'400\t400\tCD\tI-NP\tB-DNA' -p70635 -aS'12\t12\tCD\tI-NP\tI-DNA' -p70636 -aS'units\tunit\tNNS\tI-NP\tI-DNA' -p70637 -aS'.\t.\t.\tO\tO' -p70638 -asS'Urinary tract infection , E. Coli .' -p70639 -(lp70640 -S'Urinary\tUrinary\tJJ\tB-NP\tO' -p70641 -aS'tract\ttract\tNN\tI-NP\tO' -p70642 -aS'infection\tinfection\tNN\tI-NP\tO' -p70643 -aS',\t,\t,\tO\tO' -p70644 -aS'E.\tE.\tNNP\tB-NP\tO' -p70645 -aS'Coli\tColi\tNNP\tI-NP\tO' -p70646 -aS'.\t.\t.\tO\tO' -p70647 -asS'9-Catheter tip infections .' -p70648 -(lp70649 -S'9-Catheter\t9-Catheter\tJJ\tB-NP\tO' -p70650 -aS'tip\ttip\tNN\tI-NP\tO' -p70651 -aS'infections\tinfection\tNNS\tI-NP\tO' -p70652 -aS'.\t.\t.\tO\tO' -p70653 -asS'Given the presence of consolidation on chest x-ray , however , and previous history of pneumonia , the patient was maintained on antibiotics of Zithromax 500 mg daily and ceftriaxone .' -p70654 -(lp70655 -S'Given\tGive\tVBN\tB-PP\tO' -p70656 -aS'the\tthe\tDT\tB-NP\tO' -p70657 -aS'presence\tpresence\tNN\tI-NP\tO' -p70658 -aS'of\tof\tIN\tB-PP\tO' -p70659 -aS'consolidation\tconsolidation\tNN\tB-NP\tO' -p70660 -aS'on\ton\tIN\tB-PP\tO' -p70661 -aS'chest\tchest\tNN\tB-NP\tO' -p70662 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p70663 -aS',\t,\t,\tO\tO' -p70664 -aS'however\thowever\tRB\tB-ADVP\tO' -p70665 -aS',\t,\t,\tO\tO' -p70666 -aS'and\tand\tCC\tO\tO' -p70667 -aS'previous\tprevious\tJJ\tB-NP\tO' -p70668 -aS'history\thistory\tNN\tI-NP\tO' -p70669 -aS'of\tof\tIN\tB-PP\tO' -p70670 -aS'pneumonia\tpneumonia\tNN\tB-NP\tO' -p70671 -aS',\t,\t,\tO\tO' -p70672 -aS'the\tthe\tDT\tB-NP\tO' -p70673 -aS'patient\tpatient\tNN\tI-NP\tO' -p70674 -aS'was\tbe\tVBD\tB-VP\tO' -p70675 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p70676 -aS'on\ton\tIN\tB-PP\tO' -p70677 -aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' -p70678 -aS'of\tof\tIN\tB-PP\tO' -p70679 -aS'Zithromax\tZithromax\tNN\tB-NP\tO' -p70680 -aS'500\t500\tCD\tI-NP\tO' -p70681 -aS'mg\tmg\tNN\tI-NP\tO' -p70682 -aS'daily\tdaily\tJJ\tI-NP\tO' -p70683 -aS'and\tand\tCC\tI-NP\tO' -p70684 -aS'ceftriaxone\tceftriaxone\tNN\tI-NP\tO' -p70685 -aS'.\t.\t.\tO\tO' -p70686 -asS'She was noted , on 06/16 , to have numerous erythematous maculopapules on her back and chest .' -p70687 -(lp70688 -S'She\tShe\tPRP\tB-NP\tO' -p70689 -aS'was\tbe\tVBD\tB-VP\tO' -p70690 -aS'noted\tnote\tVBN\tI-VP\tO' -p70691 -aS',\t,\t,\tO\tO' -p70692 -aS'on\ton\tIN\tB-PP\tO' -p70693 -aS'06/16\t06/16\tCD\tB-NP\tO' -p70694 -aS',\t,\t,\tO\tO' -p70695 -aS'to\tto\tTO\tB-VP\tO' -p70696 -aS'have\thave\tVB\tI-VP\tO' -p70697 -aS'numerous\tnumerous\tJJ\tB-NP\tO' -p70698 -aS'erythematous\terythematous\tJJ\tI-NP\tO' -p70699 -aS'maculopapules\tmaculopapule\tNNS\tI-NP\tO' -p70700 -aS'on\ton\tIN\tB-PP\tO' -p70701 -aS'her\ther\tPRP$\tB-NP\tO' -p70702 -aS'back\tback\tNN\tI-NP\tO' -p70703 -aS'and\tand\tCC\tI-NP\tO' -p70704 -aS'chest\tchest\tNN\tI-NP\tO' -p70705 -aS'.\t.\t.\tO\tO' -p70706 -asS'Baby Boy Timberlake was born to a 25 - year-old G-8 , P-4 to 5 mom with Julie type B positive , antibody negative , hepatitis B surface antigen negative , rubella immune , RPR nonreactive , GBS positive with a history of infrequent prenatal care since 28 weeks time and preterm labor .' -p70707 -(lp70708 -S'Baby\tBaby\tNNP\tB-NP\tO' -p70709 -aS'Boy\tBoy\tNNP\tI-NP\tO' -p70710 -aS'Timberlake\tTimberlake\tNNP\tI-NP\tO' -p70711 -aS'was\tbe\tVBD\tB-VP\tO' -p70712 -aS'born\tbear\tVBN\tI-VP\tO' -p70713 -aS'to\tto\tTO\tB-PP\tO' -p70714 -aS'a\ta\tDT\tB-NP\tO' -p70715 -aS'25\t25\tCD\tI-NP\tO' -p70716 -aS'-\t-\tHYPH\tI-NP\tO' -p70717 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p70718 -aS'G-8\tG-8\tNN\tI-NP\tO' -p70719 -aS',\t,\t,\tO\tO' -p70720 -aS'P-4\tP-4\tNN\tB-NP\tO' -p70721 -aS'to\tto\tTO\tB-PP\tO' -p70722 -aS'5\t5\tCD\tB-NP\tO' -p70723 -aS'mom\tmom\tNN\tI-NP\tO' -p70724 -aS'with\twith\tIN\tB-PP\tO' -p70725 -aS'Julie\tJulie\tNNP\tB-NP\tO' -p70726 -aS'type\ttype\tNN\tI-NP\tO' -p70727 -aS'B\tB\tNN\tI-NP\tO' -p70728 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p70729 -aS',\t,\t,\tO\tO' -p70730 -aS'antibody\tantibody\tNN\tB-NP\tO' -p70731 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p70732 -aS',\t,\t,\tO\tO' -p70733 -aS'hepatitis\thepatitis\tNN\tB-NP\tB-protein' -p70734 -aS'B\tB\tNN\tI-NP\tI-protein' -p70735 -aS'surface\tsurface\tNN\tI-NP\tI-protein' -p70736 -aS'antigen\tantigen\tNN\tI-NP\tI-protein' -p70737 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p70738 -aS',\t,\t,\tO\tO' -p70739 -aS'rubella\trubella\tNN\tB-NP\tO' -p70740 -aS'immune\timmune\tJJ\tB-ADJP\tO' -p70741 -aS',\t,\t,\tO\tO' -p70742 -aS'RPR\tRPR\tNN\tB-NP\tB-protein' -p70743 -aS'nonreactive\tnonreactive\tJJ\tI-NP\tO' -p70744 -aS',\t,\t,\tO\tO' -p70745 -aS'GBS\tGBS\tNNP\tB-NP\tO' -p70746 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p70747 -aS'with\twith\tIN\tB-PP\tO' -p70748 -aS'a\ta\tDT\tB-NP\tO' -p70749 -aS'history\thistory\tNN\tI-NP\tO' -p70750 -aS'of\tof\tIN\tB-PP\tO' -p70751 -aS'infrequent\tinfrequent\tJJ\tB-NP\tO' -p70752 -aS'prenatal\tprenatal\tJJ\tI-NP\tO' -p70753 -aS'care\tcare\tNN\tI-NP\tO' -p70754 -aS'since\tsince\tIN\tB-PP\tO' -p70755 -aS'28\t28\tCD\tB-NP\tO' -p70756 -aS'weeks\tweek\tNNS\tI-NP\tO' -p70757 -aS'time\ttime\tNN\tB-NP\tO' -p70758 -aS'and\tand\tCC\tO\tO' -p70759 -aS'preterm\tpreterm\tJJ\tB-NP\tO' -p70760 -aS'labor\tlabor\tNN\tI-NP\tO' -p70761 -aS'.\t.\t.\tO\tO' -p70762 -asS'She will follow-up with Dr. Koors in approximately five weeks .' -p70763 -(lp70764 -S'She\tShe\tPRP\tB-NP\tO' -p70765 -aS'will\twill\tMD\tB-VP\tO' -p70766 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p70767 -aS'with\twith\tIN\tB-PP\tO' -p70768 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p70769 -aS'Koors\tKoors\tNNP\tI-NP\tO' -p70770 -aS'in\tin\tIN\tB-PP\tO' -p70771 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p70772 -aS'five\tfive\tCD\tI-NP\tO' -p70773 -aS'weeks\tweek\tNNS\tI-NP\tO' -p70774 -aS'.\t.\t.\tO\tO' -p70775 -asS'In addition , the patient received the above-described diagnostic procedures , which demonstrated injuries limited to a posterior scalp laceration , left fractured clavicle , left fractured radius , right thigh hematoma , and right leg laceration .' -p70776 -(lp70777 -S'In\tIn\tIN\tB-PP\tO' -p70778 -aS'addition\taddition\tNN\tB-NP\tO' -p70779 -aS',\t,\t,\tO\tO' -p70780 -aS'the\tthe\tDT\tB-NP\tO' -p70781 -aS'patient\tpatient\tNN\tI-NP\tO' -p70782 -aS'received\treceive\tVBD\tB-VP\tO' -p70783 -aS'the\tthe\tDT\tB-NP\tO' -p70784 -aS'above-described\tabove-described\tJJ\tI-NP\tO' -p70785 -aS'diagnostic\tdiagnostic\tJJ\tI-NP\tO' -p70786 -aS'procedures\tprocedure\tNNS\tI-NP\tO' -p70787 -aS',\t,\t,\tO\tO' -p70788 -aS'which\twhich\tWDT\tB-NP\tO' -p70789 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p70790 -aS'injuries\tinjury\tNNS\tB-NP\tO' -p70791 -aS'limited\tlimit\tVBN\tB-VP\tO' -p70792 -aS'to\tto\tTO\tB-PP\tO' -p70793 -aS'a\ta\tDT\tB-NP\tO' -p70794 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p70795 -aS'scalp\tscalp\tNN\tI-NP\tO' -p70796 -aS'laceration\tlaceration\tNN\tI-NP\tO' -p70797 -aS',\t,\t,\tO\tO' -p70798 -aS'left\tleave\tVBD\tB-VP\tO' -p70799 -aS'fractured\tfractured\tJJ\tB-NP\tO' -p70800 -aS'clavicle\tclavicle\tNN\tI-NP\tO' -p70801 -aS',\t,\t,\tO\tO' -p70802 -aS'left\tleave\tVBD\tB-VP\tO' -p70803 -aS'fractured\tfractured\tJJ\tB-NP\tO' -p70804 -aS'radius\tradius\tNN\tI-NP\tO' -p70805 -aS',\t,\t,\tO\tO' -p70806 -aS'right\tright\tJJ\tB-NP\tO' -p70807 -aS'thigh\tthigh\tNN\tI-NP\tO' -p70808 -aS'hematoma\thematoma\tNN\tI-NP\tO' -p70809 -aS',\t,\t,\tO\tO' -p70810 -aS'and\tand\tCC\tO\tO' -p70811 -aS'right\tright\tJJ\tB-NP\tO' -p70812 -aS'leg\tleg\tNN\tI-NP\tO' -p70813 -aS'laceration\tlaceration\tNN\tI-NP\tO' -p70814 -aS'.\t.\t.\tO\tO' -p70815 -asS'Clips in the left axilla demonstrate prior lymph node dissection .' -p70816 -(lp70817 -S'Clips\tClip\tNNS\tB-NP\tO' -p70818 -aS'in\tin\tIN\tB-PP\tO' -p70819 -aS'the\tthe\tDT\tB-NP\tO' -p70820 -aS'left\tleft\tJJ\tI-NP\tO' -p70821 -aS'axilla\taxilla\tNN\tI-NP\tO' -p70822 -aS'demonstrate\tdemonstrate\tVBP\tB-VP\tO' -p70823 -aS'prior\tprior\tJJ\tB-NP\tO' -p70824 -aS'lymph\tlymph\tNN\tI-NP\tO' -p70825 -aS'node\tnode\tNN\tI-NP\tO' -p70826 -aS'dissection\tdissection\tNN\tI-NP\tO' -p70827 -aS'.\t.\t.\tO\tO' -p70828 -asS'8. Status post acute renal failure .' -p70829 -(lp70830 -S'8.\t8.\tCD\tB-NP\tO' -p70831 -aS'Status\tStatus\tNNP\tI-NP\tO' -p70832 -aS'post\tpost\tIN\tB-PP\tO' -p70833 -aS'acute\tacute\tJJ\tB-NP\tO' -p70834 -aS'renal\trenal\tJJ\tI-NP\tO' -p70835 -aS'failure\tfailure\tNN\tI-NP\tO' -p70836 -aS'.\t.\t.\tO\tO' -p70837 -asS'3. SubQ Heparin 5,000 units t.i.d.' -p70838 -(lp70839 -S'3.\t3.\tLS\tB-NP\tO' -p70840 -aS'SubQ\tSubQ\tNN\tI-NP\tO' -p70841 -aS'Heparin\tHeparin\tNN\tI-NP\tO' -p70842 -aS'5,000\t5,000\tCD\tB-NP\tO' -p70843 -aS'units\tunit\tNNS\tI-NP\tO' -p70844 -aS't.i.d.\tt.i.d.\tRB\tB-ADVP\tO' -p70845 -asS'An MRI was performed upon admission and showed an epidural mass at the right posterior lateral T9 to T12 area invading the neural foramina .' -p70846 -(lp70847 -S'An\tAn\tDT\tB-NP\tO' -p70848 -aS'MRI\tMRI\tNN\tI-NP\tB-protein' -p70849 -aS'was\tbe\tVBD\tB-VP\tO' -p70850 -aS'performed\tperform\tVBN\tI-VP\tO' -p70851 -aS'upon\tupon\tIN\tB-PP\tO' -p70852 -aS'admission\tadmission\tNN\tB-NP\tO' -p70853 -aS'and\tand\tCC\tO\tO' -p70854 -aS'showed\tshow\tVBD\tB-VP\tO' -p70855 -aS'an\tan\tDT\tB-NP\tO' -p70856 -aS'epidural\tepidural\tJJ\tI-NP\tO' -p70857 -aS'mass\tmass\tNN\tI-NP\tO' -p70858 -aS'at\tat\tIN\tB-PP\tO' -p70859 -aS'the\tthe\tDT\tB-NP\tO' -p70860 -aS'right\tright\tJJ\tI-NP\tO' -p70861 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p70862 -aS'lateral\tlateral\tJJ\tI-NP\tO' -p70863 -aS'T9\tT9\tNN\tI-NP\tO' -p70864 -aS'to\tto\tTO\tB-PP\tO' -p70865 -aS'T12\tT12\tNN\tB-NP\tO' -p70866 -aS'area\tarea\tNN\tI-NP\tO' -p70867 -aS'invading\tinvade\tVBG\tB-VP\tO' -p70868 -aS'the\tthe\tDT\tB-NP\tO' -p70869 -aS'neural\tneural\tJJ\tI-NP\tO' -p70870 -aS'foramina\tforamina\tNN\tI-NP\tO' -p70871 -aS'.\t.\t.\tO\tO' -p70872 -asS'These include Diabeta 10 mg. po. bid .' -p70873 -(lp70874 -S'These\tThese\tDT\tB-NP\tO' -p70875 -aS'include\tinclude\tVBP\tB-VP\tO' -p70876 -aS'Diabeta\tDiabeta\tNN\tB-NP\tO' -p70877 -aS'10\t10\tCD\tI-NP\tO' -p70878 -aS'mg.\tmg.\tNN\tI-NP\tO' -p70879 -aS'po.\tpo.\tNN\tI-NP\tO' -p70880 -aS'bid\tbid\tNN\tI-NP\tO' -p70881 -aS'.\t.\t.\tO\tO' -p70882 -asS'Left leg could flex 2/5 and wiggle toes .' -p70883 -(lp70884 -S'Left\tLeft\tJJ\tB-NP\tO' -p70885 -aS'leg\tleg\tNN\tI-NP\tO' -p70886 -aS'could\tcould\tMD\tB-VP\tO' -p70887 -aS'flex\tflex\tVB\tI-VP\tO' -p70888 -aS'2/5\t2/5\tCD\tB-NP\tO' -p70889 -aS'and\tand\tCC\tO\tO' -p70890 -aS'wiggle\twiggle\tNN\tB-NP\tO' -p70891 -aS'toes\ttoe\tNNS\tI-NP\tO' -p70892 -aS'.\t.\t.\tO\tO' -p70893 -asS'The left arm was in a cast .' -p70894 -(lp70895 -S'The\tThe\tDT\tB-NP\tO' -p70896 -aS'left\tleft\tJJ\tI-NP\tO' -p70897 -aS'arm\tarm\tNN\tI-NP\tO' -p70898 -aS'was\tbe\tVBD\tB-VP\tO' -p70899 -aS'in\tin\tIN\tB-PP\tO' -p70900 -aS'a\ta\tDT\tB-NP\tO' -p70901 -aS'cast\tcast\tNN\tI-NP\tO' -p70902 -aS'.\t.\t.\tO\tO' -p70903 -asS'Her chest and cardiovascular examinations are unremarkable .' -p70904 -(lp70905 -S'Her\tHer\tPRP$\tB-NP\tO' -p70906 -aS'chest\tchest\tNN\tI-NP\tO' -p70907 -aS'and\tand\tCC\tI-NP\tO' -p70908 -aS'cardiovascular\tcardiovascular\tJJ\tI-NP\tO' -p70909 -aS'examinations\texamination\tNNS\tI-NP\tO' -p70910 -aS'are\tbe\tVBP\tB-VP\tO' -p70911 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p70912 -aS'.\t.\t.\tO\tO' -p70913 -asS'Mr. Mackey also had signs and symptoms consistent with cervical myelopathy ; a cervical MRI scan showed very impressive disc herniations at C5-C6 , less so at C4-C5 , with clear cut cord compression , particularly on the right side C5-C6 .' -p70914 -(lp70915 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p70916 -aS'Mackey\tMackey\tNNP\tI-NP\tO' -p70917 -aS'also\talso\tRB\tB-ADVP\tO' -p70918 -aS'had\thave\tVBD\tB-VP\tO' -p70919 -aS'signs\tsign\tNNS\tB-NP\tO' -p70920 -aS'and\tand\tCC\tI-NP\tO' -p70921 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p70922 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p70923 -aS'with\twith\tIN\tB-PP\tO' -p70924 -aS'cervical\tcervical\tJJ\tB-NP\tO' -p70925 -aS'myelopathy\tmyelopathy\tNN\tI-NP\tO' -p70926 -aS';\t;\t:\tO\tO' -p70927 -aS'a\ta\tDT\tB-NP\tO' -p70928 -aS'cervical\tcervical\tJJ\tI-NP\tO' -p70929 -aS'MRI\tMRI\tNN\tI-NP\tO' -p70930 -aS'scan\tscan\tNN\tI-NP\tO' -p70931 -aS'showed\tshow\tVBD\tB-VP\tO' -p70932 -aS'very\tvery\tRB\tB-NP\tO' -p70933 -aS'impressive\timpressive\tJJ\tI-NP\tO' -p70934 -aS'disc\tdisc\tNN\tI-NP\tO' -p70935 -aS'herniations\therniation\tNNS\tI-NP\tO' -p70936 -aS'at\tat\tIN\tB-PP\tO' -p70937 -aS'C5-C6\tC5-C6\tNN\tB-NP\tB-DNA' -p70938 -aS',\t,\t,\tO\tO' -p70939 -aS'less\tless\tRBR\tB-ADVP\tO' -p70940 -aS'so\tso\tRB\tI-ADVP\tO' -p70941 -aS'at\tat\tIN\tB-PP\tO' -p70942 -aS'C4-C5\tC4-C5\tNN\tB-NP\tB-DNA' -p70943 -aS',\t,\t,\tO\tO' -p70944 -aS'with\twith\tIN\tB-PP\tO' -p70945 -aS'clear\tclear\tJJ\tB-NP\tO' -p70946 -aS'cut\tcut\tNN\tI-NP\tO' -p70947 -aS'cord\tcord\tNN\tI-NP\tO' -p70948 -aS'compression\tcompression\tNN\tI-NP\tO' -p70949 -aS',\t,\t,\tO\tO' -p70950 -aS'particularly\tparticularly\tRB\tB-ADVP\tO' -p70951 -aS'on\ton\tIN\tB-PP\tO' -p70952 -aS'the\tthe\tDT\tB-NP\tO' -p70953 -aS'right\tright\tJJ\tI-NP\tB-protein' -p70954 -aS'side\tside\tNN\tI-NP\tI-protein' -p70955 -aS'C5-C6\tC5-C6\tNN\tI-NP\tI-protein' -p70956 -aS'.\t.\t.\tO\tO' -p70957 -asS'Signed electronically by : DR. Mark Nibbe on : TUE 2015-10-06 9:46 PM' -p70958 -(lp70959 -S'Signed\tSign\tVBN\tB-VP\tO' -p70960 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p70961 -aS'by\tby\tIN\tB-PP\tO' -p70962 -aS':\t:\t:\tO\tO' -p70963 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p70964 -aS'Mark\tMark\tNNP\tI-NP\tO' -p70965 -aS'Nibbe\tNibbe\tNNP\tI-NP\tO' -p70966 -aS'on\ton\tIN\tB-PP\tO' -p70967 -aS':\t:\t:\tO\tO' -p70968 -aS'TUE\tTUE\tNN\tB-NP\tO' -p70969 -aS'2015-10-06\t2015-10-06\tCD\tI-NP\tO' -p70970 -aS'9:46\t9:46\tCD\tI-NP\tO' -p70971 -aS'PM\tPM\tNN\tI-NP\tO' -p70972 -asS'Dr. Alejandro (( 211 ) 394-5801 ) on 2015-10-20 at 145 pm .' -p70973 -(lp70974 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p70975 -aS'Alejandro\tAlejandro\tNNP\tI-NP\tO' -p70976 -aS'((\t((\t(\tO\tO' -p70977 -aS'211\t211\tCD\tB-NP\tO' -p70978 -aS')\t)\t)\tO\tO' -p70979 -aS'394-5801\t394-5801\tCD\tB-NP\tO' -p70980 -aS')\t)\t)\tO\tO' -p70981 -aS'on\ton\tIN\tB-PP\tO' -p70982 -aS'2015-10-20\t2015-10-20\tCD\tB-NP\tO' -p70983 -aS'at\tat\tIN\tB-PP\tO' -p70984 -aS'145\t145\tCD\tB-NP\tO' -p70985 -aS'pm\tpm\tNN\tI-NP\tO' -p70986 -aS'.\t.\t.\tO\tO' -p70987 -asS'His Boston Coma Scale was 16 .' -p70988 -(lp70989 -S'His\tHis\tPRP$\tB-NP\tB-protein' -p70990 -aS'Boston\tBoston\tNNP\tI-NP\tO' -p70991 -aS'Coma\tComa\tNNP\tI-NP\tO' -p70992 -aS'Scale\tScale\tNNP\tI-NP\tO' -p70993 -aS'was\tbe\tVBD\tB-VP\tO' -p70994 -aS'16\t16\tCD\tB-NP\tO' -p70995 -aS'.\t.\t.\tO\tO' -p70996 -asS'He is currently flying on Hwy routes .' -p70997 -(lp70998 -S'He\tHe\tPRP\tB-NP\tO' -p70999 -aS'is\tbe\tVBZ\tB-VP\tO' -p71000 -aS'currently\tcurrently\tRB\tI-VP\tO' -p71001 -aS'flying\tfly\tVBG\tI-VP\tO' -p71002 -aS'on\ton\tIN\tB-PP\tO' -p71003 -aS'Hwy\tHwy\tNNP\tB-NP\tO' -p71004 -aS'routes\troute\tNNS\tI-NP\tO' -p71005 -aS'.\t.\t.\tO\tO' -p71006 -asS'This is to notify you that your patient , AKOTEBONTKAYS , JUANQUINTLEO arrived in the Emergency Department at Ph University Of Medical Center on 07/31/2000 07:36 PM .' -p71007 -(lp71008 -S'This\tThis\tDT\tB-NP\tO' -p71009 -aS'is\tbe\tVBZ\tB-VP\tO' -p71010 -aS'to\tto\tTO\tB-VP\tO' -p71011 -aS'notify\tnotify\tVB\tI-VP\tO' -p71012 -aS'you\tyou\tPRP\tB-NP\tO' -p71013 -aS'that\tthat\tIN\tB-SBAR\tO' -p71014 -aS'your\tyour\tPRP$\tB-NP\tO' -p71015 -aS'patient\tpatient\tNN\tI-NP\tO' -p71016 -aS',\t,\t,\tO\tO' -p71017 -aS'AKOTEBONTKAYS\tAKOTEBONTKAYS\tNN\tB-NP\tO' -p71018 -aS',\t,\t,\tO\tO' -p71019 -aS'JUANQUINTLEO\tJUANQUINTLEO\tNNP\tB-NP\tO' -p71020 -aS'arrived\tarrive\tVBD\tB-VP\tO' -p71021 -aS'in\tin\tIN\tB-PP\tO' -p71022 -aS'the\tthe\tDT\tB-NP\tO' -p71023 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p71024 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p71025 -aS'at\tat\tIN\tB-PP\tO' -p71026 -aS'Ph\tPh\tNNP\tB-NP\tO' -p71027 -aS'University\tUniversity\tNNP\tI-NP\tO' -p71028 -aS'Of\tOf\tNNP\tI-NP\tO' -p71029 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p71030 -aS'Center\tCenter\tNNP\tI-NP\tO' -p71031 -aS'on\ton\tIN\tB-PP\tO' -p71032 -aS'07/31/2000\t07/31/2000\tCD\tB-NP\tO' -p71033 -aS'07:36\t07:36\tCD\tI-NP\tO' -p71034 -aS'PM\tPM\tNN\tI-NP\tO' -p71035 -aS'.\t.\t.\tO\tO' -p71036 -asS'Sodium of 140 , potassium of 3.5 , BUN of 4 , creatinine of 0.6 , glucose of 137 .' -p71037 -(lp71038 -S'Sodium\tSodium\tNN\tB-NP\tO' -p71039 -aS'of\tof\tIN\tB-PP\tO' -p71040 -aS'140\t140\tCD\tB-NP\tO' -p71041 -aS',\t,\t,\tO\tO' -p71042 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p71043 -aS'of\tof\tIN\tB-PP\tO' -p71044 -aS'3.5\t3.5\tCD\tB-NP\tO' -p71045 -aS',\t,\t,\tO\tO' -p71046 -aS'BUN\tBUN\tNN\tB-NP\tO' -p71047 -aS'of\tof\tIN\tB-PP\tO' -p71048 -aS'4\t4\tCD\tB-NP\tO' -p71049 -aS',\t,\t,\tO\tO' -p71050 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p71051 -aS'of\tof\tIN\tB-PP\tO' -p71052 -aS'0.6\t0.6\tCD\tB-NP\tO' -p71053 -aS',\t,\t,\tO\tO' -p71054 -aS'glucose\tglucose\tNN\tB-NP\tO' -p71055 -aS'of\tof\tIN\tB-PP\tO' -p71056 -aS'137\t137\tCD\tB-NP\tO' -p71057 -aS'.\t.\t.\tO\tO' -p71058 -asS'She has had a total abdominal hysterectomy .' -p71059 -(lp71060 -S'She\tShe\tPRP\tB-NP\tO' -p71061 -aS'has\thave\tVBZ\tB-VP\tO' -p71062 -aS'had\thave\tVBN\tI-VP\tO' -p71063 -aS'a\ta\tDT\tB-NP\tO' -p71064 -aS'total\ttotal\tJJ\tI-NP\tO' -p71065 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p71066 -aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' -p71067 -aS'.\t.\t.\tO\tO' -p71068 -asS'He has also been working with Physical Therapy to regain his strength .' -p71069 -(lp71070 -S'He\tHe\tPRP\tB-NP\tO' -p71071 -aS'has\thave\tVBZ\tB-VP\tO' -p71072 -aS'also\talso\tRB\tI-VP\tO' -p71073 -aS'been\tbe\tVBN\tI-VP\tO' -p71074 -aS'working\twork\tVBG\tI-VP\tO' -p71075 -aS'with\twith\tIN\tB-PP\tO' -p71076 -aS'Physical\tPhysical\tJJ\tB-NP\tO' -p71077 -aS'Therapy\tTherapy\tNN\tI-NP\tO' -p71078 -aS'to\tto\tTO\tB-VP\tO' -p71079 -aS'regain\tregain\tVB\tI-VP\tO' -p71080 -aS'his\this\tPRP$\tB-NP\tO' -p71081 -aS'strength\tstrength\tNN\tI-NP\tO' -p71082 -aS'.\t.\t.\tO\tO' -p71083 -asS'There he recalls having pizza and two glasses of red wine .' -p71084 -(lp71085 -S'There\tThere\tEX\tB-NP\tO' -p71086 -aS'he\the\tPRP\tB-NP\tO' -p71087 -aS'recalls\trecall\tVBZ\tB-VP\tO' -p71088 -aS'having\thave\tVBG\tI-VP\tO' -p71089 -aS'pizza\tpizza\tNN\tB-NP\tO' -p71090 -aS'and\tand\tCC\tO\tO' -p71091 -aS'two\ttwo\tCD\tB-NP\tO' -p71092 -aS'glasses\tglass\tNNS\tI-NP\tO' -p71093 -aS'of\tof\tIN\tB-PP\tO' -p71094 -aS'red\tred\tJJ\tB-NP\tO' -p71095 -aS'wine\twine\tNN\tI-NP\tO' -p71096 -aS'.\t.\t.\tO\tO' -p71097 -asS'The patient 's urine output was further augmented by adding Dopamine .' -p71098 -(lp71099 -S'The\tThe\tDT\tB-NP\tO' -p71100 -aS'patient\tpatient\tNN\tI-NP\tO' -p71101 -aS''s\t'\tNNS\tI-NP\tO' -p71102 -aS'urine\turine\tNN\tI-NP\tO' -p71103 -aS'output\toutput\tNN\tI-NP\tO' -p71104 -aS'was\tbe\tVBD\tB-VP\tO' -p71105 -aS'further\tfurther\tRBR\tI-VP\tO' -p71106 -aS'augmented\taugment\tVBN\tI-VP\tO' -p71107 -aS'by\tby\tIN\tB-PP\tO' -p71108 -aS'adding\tadd\tVBG\tB-VP\tO' -p71109 -aS'Dopamine\tDopamine\tNN\tB-NP\tO' -p71110 -aS'.\t.\t.\tO\tO' -p71111 -asS'4. Mild dementia .' -p71112 -(lp71113 -S'4.\t4.\tLS\tB-NP\tO' -p71114 -aS'Mild\tMild\tNNP\tI-NP\tO' -p71115 -aS'dementia\tdementia\tNN\tI-NP\tO' -p71116 -aS'.\t.\t.\tO\tO' -p71117 -asS'Cardiac .' -p71118 -(lp71119 -S'Cardiac\tCardiac\tJJ\tB-ADJP\tO' -p71120 -aS'.\t.\t.\tO\tO' -p71121 -asS'Hct remained stable .' -p71122 -(lp71123 -S'Hct\tHct\tNN\tB-NP\tB-protein' -p71124 -aS'remained\tremain\tVBD\tB-VP\tO' -p71125 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p71126 -aS'.\t.\t.\tO\tO' -p71127 -asS'Disp :* 60 Tablet (s)* Refills :* 0 *' -p71128 -(lp71129 -S'Disp\tDisp\tNN\tB-NP\tO' -p71130 -aS':*\t:*\tSYM\tI-NP\tO' -p71131 -aS'60\t60\tCD\tI-NP\tO' -p71132 -aS'Tablet\tTablet\tNN\tI-NP\tO' -p71133 -aS'(s)*\t(s)*\tSYM\tB-NP\tO' -p71134 -aS'Refills\tRefill\tNNPS\tI-NP\tO' -p71135 -aS':*\t:*\tSYM\tB-NP\tO' -p71136 -aS'0\t0\tCD\tI-NP\tO' -p71137 -aS'*\t*\tSYM\tB-NP\tO' -p71138 -asS'Left chest radiation , on Tamoxifen therapy .' -p71139 -(lp71140 -S'Left\tLeave\tVBN\tB-NP\tO' -p71141 -aS'chest\tchest\tNN\tI-NP\tO' -p71142 -aS'radiation\tradiation\tNN\tI-NP\tO' -p71143 -aS',\t,\t,\tO\tO' -p71144 -aS'on\ton\tIN\tB-PP\tO' -p71145 -aS'Tamoxifen\tTamoxifen\tNN\tB-NP\tO' -p71146 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p71147 -aS'.\t.\t.\tO\tO' -p71148 -asS'6. Renal .' -p71149 -(lp71150 -S'6.\t6.\tLS\tB-LST\tO' -p71151 -aS'Renal\tRenal\tNNP\tB-NP\tO' -p71152 -aS'.\t.\t.\tO\tO' -p71153 -asS'He was anicteric with moist mucous membranes .' -p71154 -(lp71155 -S'He\tHe\tPRP\tB-NP\tO' -p71156 -aS'was\tbe\tVBD\tB-VP\tO' -p71157 -aS'anicteric\tanicteric\tJJ\tB-ADJP\tO' -p71158 -aS'with\twith\tIN\tB-PP\tO' -p71159 -aS'moist\tmoist\tJJ\tB-NP\tO' -p71160 -aS'mucous\tmucous\tJJ\tI-NP\tO' -p71161 -aS'membranes\tmembrane\tNNS\tI-NP\tO' -p71162 -aS'.\t.\t.\tO\tO' -p71163 -asS'There was tan guaiac positive stool with no masses .' -p71164 -(lp71165 -S'There\tThere\tEX\tB-NP\tO' -p71166 -aS'was\tbe\tVBD\tB-VP\tO' -p71167 -aS'tan\ttan\tNN\tB-NP\tO' -p71168 -aS'guaiac\tguaiac\tJJ\tI-NP\tO' -p71169 -aS'positive\tpositive\tJJ\tI-NP\tO' -p71170 -aS'stool\tstool\tNN\tI-NP\tO' -p71171 -aS'with\twith\tIN\tB-PP\tO' -p71172 -aS'no\tno\tDT\tB-NP\tO' -p71173 -aS'masses\tmass\tNNS\tI-NP\tO' -p71174 -aS'.\t.\t.\tO\tO' -p71175 -asS'His genitourinary exam showed an uncircumcised male with normal scrotal contents .' -p71176 -(lp71177 -S'His\tHis\tPRP$\tB-NP\tO' -p71178 -aS'genitourinary\tgenitourinary\tJJ\tI-NP\tO' -p71179 -aS'exam\texam\tNN\tI-NP\tO' -p71180 -aS'showed\tshow\tVBD\tB-VP\tO' -p71181 -aS'an\tan\tDT\tB-NP\tO' -p71182 -aS'uncircumcised\tuncircumcised\tJJ\tI-NP\tO' -p71183 -aS'male\tmale\tNN\tI-NP\tO' -p71184 -aS'with\twith\tIN\tB-PP\tO' -p71185 -aS'normal\tnormal\tJJ\tB-NP\tO' -p71186 -aS'scrotal\tscrotal\tJJ\tI-NP\tO' -p71187 -aS'contents\tcontent\tNNS\tI-NP\tO' -p71188 -aS'.\t.\t.\tO\tO' -p71189 -asS'Her creatinine , which was 5 initially postoperatively , slowly dropped over the next few days until eventually reaching a low of 1 .' -p71190 -(lp71191 -S'Her\tHer\tPRP$\tB-NP\tO' -p71192 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p71193 -aS',\t,\t,\tO\tO' -p71194 -aS'which\twhich\tWDT\tB-NP\tO' -p71195 -aS'was\tbe\tVBD\tB-VP\tO' -p71196 -aS'5\t5\tCD\tB-NP\tO' -p71197 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p71198 -aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' -p71199 -aS',\t,\t,\tO\tO' -p71200 -aS'slowly\tslowly\tRB\tB-VP\tO' -p71201 -aS'dropped\tdrop\tVBD\tI-VP\tO' -p71202 -aS'over\tover\tIN\tB-PP\tO' -p71203 -aS'the\tthe\tDT\tB-NP\tO' -p71204 -aS'next\tnext\tJJ\tI-NP\tO' -p71205 -aS'few\tfew\tJJ\tI-NP\tO' -p71206 -aS'days\tday\tNNS\tI-NP\tO' -p71207 -aS'until\tuntil\tIN\tB-PP\tO' -p71208 -aS'eventually\teventually\tRB\tB-ADVP\tO' -p71209 -aS'reaching\treach\tVBG\tB-VP\tO' -p71210 -aS'a\ta\tDT\tB-NP\tO' -p71211 -aS'low\tlow\tJJ\tI-NP\tO' -p71212 -aS'of\tof\tIN\tB-PP\tO' -p71213 -aS'1\t1\tCD\tB-NP\tO' -p71214 -aS'.\t.\t.\tO\tO' -p71215 -asS'He occasionally had extinction in his left upper , greater than lower extremity , but this was fluctuating .' -p71216 -(lp71217 -S'He\tHe\tPRP\tB-NP\tO' -p71218 -aS'occasionally\toccasionally\tRB\tB-ADVP\tO' -p71219 -aS'had\thave\tVBD\tB-VP\tO' -p71220 -aS'extinction\textinction\tNN\tB-NP\tO' -p71221 -aS'in\tin\tIN\tB-PP\tO' -p71222 -aS'his\this\tPRP$\tB-NP\tO' -p71223 -aS'left\tleft\tJJ\tI-NP\tO' -p71224 -aS'upper\tupper\tJJ\tI-NP\tO' -p71225 -aS',\t,\t,\tO\tO' -p71226 -aS'greater\tgreat\tJJR\tB-ADJP\tO' -p71227 -aS'than\tthan\tIN\tB-PP\tO' -p71228 -aS'lower\tlow\tJJR\tB-NP\tO' -p71229 -aS'extremity\textremity\tNN\tI-NP\tO' -p71230 -aS',\t,\t,\tO\tO' -p71231 -aS'but\tbut\tCC\tO\tO' -p71232 -aS'this\tthis\tDT\tB-NP\tO' -p71233 -aS'was\tbe\tVBD\tB-VP\tO' -p71234 -aS'fluctuating\tfluctuate\tVBG\tI-VP\tO' -p71235 -aS'.\t.\t.\tO\tO' -p71236 -asS'There was also a right leg fluid collection that was incised and drained on August 1 , 1998 .' -p71237 -(lp71238 -S'There\tThere\tEX\tB-NP\tO' -p71239 -aS'was\tbe\tVBD\tB-VP\tO' -p71240 -aS'also\talso\tRB\tB-ADVP\tO' -p71241 -aS'a\ta\tDT\tB-NP\tO' -p71242 -aS'right\tright\tJJ\tI-NP\tO' -p71243 -aS'leg\tleg\tNN\tI-NP\tO' -p71244 -aS'fluid\tfluid\tNN\tI-NP\tO' -p71245 -aS'collection\tcollection\tNN\tI-NP\tO' -p71246 -aS'that\tthat\tWDT\tB-NP\tO' -p71247 -aS'was\tbe\tVBD\tB-VP\tO' -p71248 -aS'incised\tincise\tVBN\tI-VP\tO' -p71249 -aS'and\tand\tCC\tO\tO' -p71250 -aS'drained\tdrain\tVBN\tB-VP\tO' -p71251 -aS'on\ton\tIN\tB-PP\tO' -p71252 -aS'August\tAugust\tNNP\tB-NP\tO' -p71253 -aS'1\t1\tCD\tI-NP\tO' -p71254 -aS',\t,\t,\tI-NP\tO' -p71255 -aS'1998\t1998\tCD\tI-NP\tO' -p71256 -aS'.\t.\t.\tO\tO' -p71257 -asS'Obese , non-distended , positive bowel sounds , mild diffuse tenderness .' -p71258 -(lp71259 -S'Obese\tObese\tJJ\tB-NP\tO' -p71260 -aS',\t,\t,\tI-NP\tO' -p71261 -aS'non-distended\tnon-distended\tJJ\tI-NP\tO' -p71262 -aS',\t,\t,\tI-NP\tO' -p71263 -aS'positive\tpositive\tJJ\tI-NP\tO' -p71264 -aS'bowel\tbowel\tNN\tI-NP\tO' -p71265 -aS'sounds\tsound\tNNS\tI-NP\tO' -p71266 -aS',\t,\t,\tO\tO' -p71267 -aS'mild\tmild\tJJ\tB-NP\tO' -p71268 -aS'diffuse\tdiffuse\tJJ\tI-NP\tO' -p71269 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p71270 -aS'.\t.\t.\tO\tO' -p71271 -asS'One son , in area .' -p71272 -(lp71273 -S'One\tOne\tCD\tB-NP\tO' -p71274 -aS'son\tson\tNN\tI-NP\tO' -p71275 -aS',\t,\t,\tO\tO' -p71276 -aS'in\tin\tIN\tB-PP\tO' -p71277 -aS'area\tarea\tNN\tB-NP\tO' -p71278 -aS'.\t.\t.\tO\tO' -p71279 -asS'He also felt that lung biopsy at this time was rather risky .' -p71280 -(lp71281 -S'He\tHe\tPRP\tB-NP\tO' -p71282 -aS'also\talso\tRB\tB-ADVP\tO' -p71283 -aS'felt\tfeel\tVBD\tB-VP\tO' -p71284 -aS'that\tthat\tIN\tB-SBAR\tO' -p71285 -aS'lung\tlung\tNN\tB-NP\tO' -p71286 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p71287 -aS'at\tat\tIN\tB-PP\tO' -p71288 -aS'this\tthis\tDT\tB-NP\tO' -p71289 -aS'time\ttime\tNN\tI-NP\tO' -p71290 -aS'was\tbe\tVBD\tB-VP\tO' -p71291 -aS'rather\trather\tRB\tB-ADJP\tO' -p71292 -aS'risky\trisky\tJJ\tI-ADJP\tO' -p71293 -aS'.\t.\t.\tO\tO' -p71294 -asS'11 ) Amlodipine 10 mg p.o. q. day .' -p71295 -(lp71296 -S'11\t11\tCD\tB-NP\tO' -p71297 -aS')\t)\t)\tO\tO' -p71298 -aS'Amlodipine\tAmlodipine\tVBP\tB-VP\tO' -p71299 -aS'10\t10\tCD\tB-NP\tO' -p71300 -aS'mg\tmg\tNN\tI-NP\tO' -p71301 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p71302 -aS'q.\tq.\tNN\tI-NP\tO' -p71303 -aS'day\tday\tNN\tI-NP\tO' -p71304 -aS'.\t.\t.\tO\tO' -p71305 -asS'13. Aspirin 81 mg Tablet Sig : One ( 1 ) Tablet PO once a day .' -p71306 -(lp71307 -S'13.\t13.\tLS\tB-NP\tO' -p71308 -aS'Aspirin\tAspirin\tNN\tI-NP\tO' -p71309 -aS'81\t81\tCD\tI-NP\tO' -p71310 -aS'mg\tmg\tNN\tI-NP\tO' -p71311 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p71312 -aS'Sig\tSig\tNNP\tI-NP\tO' -p71313 -aS':\t:\t:\tO\tO' -p71314 -aS'One\tOne\tCD\tB-NP\tO' -p71315 -aS'(\t(\t(\tO\tO' -p71316 -aS'1\t1\tCD\tB-NP\tO' -p71317 -aS')\t)\t)\tO\tO' -p71318 -aS'Tablet\tTablet\tNN\tB-NP\tB-protein' -p71319 -aS'PO\tPO\tNN\tI-NP\tI-protein' -p71320 -aS'once\tonce\tRB\tO\tO' -p71321 -aS'a\ta\tDT\tB-NP\tO' -p71322 -aS'day\tday\tNN\tI-NP\tO' -p71323 -aS'.\t.\t.\tO\tO' -p71324 -asS'Patient denies night sweats in the past month .' -p71325 -(lp71326 -S'Patient\tPatient\tNN\tB-NP\tO' -p71327 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p71328 -aS'night\tnight\tNN\tB-NP\tO' -p71329 -aS'sweats\tsweat\tNNS\tI-NP\tO' -p71330 -aS'in\tin\tIN\tB-PP\tO' -p71331 -aS'the\tthe\tDT\tB-NP\tO' -p71332 -aS'past\tpast\tJJ\tI-NP\tO' -p71333 -aS'month\tmonth\tNN\tI-NP\tO' -p71334 -aS'.\t.\t.\tO\tO' -p71335 -asS'The patient had mild errors in sequential substracting sevens from 100 test .' -p71336 -(lp71337 -S'The\tThe\tDT\tB-NP\tO' -p71338 -aS'patient\tpatient\tNN\tI-NP\tO' -p71339 -aS'had\thave\tVBD\tB-VP\tO' -p71340 -aS'mild\tmild\tJJ\tB-NP\tO' -p71341 -aS'errors\terror\tNNS\tI-NP\tO' -p71342 -aS'in\tin\tIN\tB-PP\tO' -p71343 -aS'sequential\tsequential\tJJ\tB-NP\tO' -p71344 -aS'substracting\tsubstracte\tVBG\tI-NP\tO' -p71345 -aS'sevens\tseven\tNNS\tI-NP\tO' -p71346 -aS'from\tfrom\tIN\tB-PP\tO' -p71347 -aS'100\t100\tCD\tB-NP\tO' -p71348 -aS'test\ttest\tNN\tI-NP\tO' -p71349 -aS'.\t.\t.\tO\tO' -p71350 -asS'At 1645 12-04 , the patient was noted to be hypotensive to 70/40' -p71351 -(lp71352 -S'At\tAt\tIN\tB-PP\tO' -p71353 -aS'1645\t1645\tCD\tB-NP\tO' -p71354 -aS'12-04\t12-04\tCD\tI-NP\tO' -p71355 -aS',\t,\t,\tO\tO' -p71356 -aS'the\tthe\tDT\tB-NP\tO' -p71357 -aS'patient\tpatient\tNN\tI-NP\tO' -p71358 -aS'was\tbe\tVBD\tB-VP\tO' -p71359 -aS'noted\tnote\tVBN\tI-VP\tO' -p71360 -aS'to\tto\tTO\tI-VP\tO' -p71361 -aS'be\tbe\tVB\tI-VP\tO' -p71362 -aS'hypotensive\thypotensive\tJJ\tB-ADJP\tO' -p71363 -aS'to\tto\tTO\tB-PP\tO' -p71364 -aS'70/40\t70/40\tCD\tB-NP\tO' -p71365 -asS'This episode was also accompanied by gagging motions noted of the infant .' -p71366 -(lp71367 -S'This\tThis\tDT\tB-NP\tO' -p71368 -aS'episode\tepisode\tNN\tI-NP\tO' -p71369 -aS'was\tbe\tVBD\tB-VP\tO' -p71370 -aS'also\talso\tRB\tI-VP\tO' -p71371 -aS'accompanied\taccompany\tVBN\tI-VP\tO' -p71372 -aS'by\tby\tIN\tB-PP\tO' -p71373 -aS'gagging\tgag\tVBG\tB-VP\tO' -p71374 -aS'motions\tmotion\tNNS\tB-NP\tO' -p71375 -aS'noted\tnote\tVBN\tB-VP\tO' -p71376 -aS'of\tof\tIN\tB-PP\tO' -p71377 -aS'the\tthe\tDT\tB-NP\tO' -p71378 -aS'infant\tinfant\tNN\tI-NP\tO' -p71379 -aS'.\t.\t.\tO\tO' -p71380 -asS'crystalloid and four units packed red blood cells with good response .' -p71381 -(lp71382 -S'crystalloid\tcrystalloid\tJJ\tB-NP\tO' -p71383 -aS'and\tand\tCC\tI-NP\tO' -p71384 -aS'four\tfour\tCD\tI-NP\tO' -p71385 -aS'units\tunit\tNNS\tI-NP\tO' -p71386 -aS'packed\tpack\tVBD\tB-VP\tO' -p71387 -aS'red\tred\tJJ\tB-NP\tB-cell_type' -p71388 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p71389 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p71390 -aS'with\twith\tIN\tB-PP\tO' -p71391 -aS'good\tgood\tJJ\tB-NP\tO' -p71392 -aS'response\tresponse\tNN\tI-NP\tO' -p71393 -aS'.\t.\t.\tO\tO' -p71394 -asS'7) Peripheral neuropathy .' -p71395 -(lp71396 -S'7)\t7)\tLS\tB-NP\tO' -p71397 -aS'Peripheral\tPeripheral\tJJ\tI-NP\tO' -p71398 -aS'neuropathy\tneuropathy\tNN\tI-NP\tO' -p71399 -aS'.\t.\t.\tO\tO' -p71400 -asS'End-stage renal disease .' -p71401 -(lp71402 -S'End-stage\tEnd-stage\tJJ\tB-NP\tO' -p71403 -aS'renal\trenal\tJJ\tI-NP\tO' -p71404 -aS'disease\tdisease\tNN\tI-NP\tO' -p71405 -aS'.\t.\t.\tO\tO' -p71406 -asS'3. Humulin insulin 2 units QAM' -p71407 -(lp71408 -S'3.\t3.\tLS\tB-NP\tO' -p71409 -aS'Humulin\tHumulin\tNN\tI-NP\tO' -p71410 -aS'insulin\tinsulin\tNN\tI-NP\tO' -p71411 -aS'2\t2\tCD\tB-NP\tO' -p71412 -aS'units\tunit\tNNS\tI-NP\tO' -p71413 -aS'QAM\tQAM\tNN\tB-NP\tO' -p71414 -asS'On the day after admission to the CMED , the patient was noted to have small oxygen requirement with 2L NC .' -p71415 -(lp71416 -S'On\tOn\tIN\tB-PP\tO' -p71417 -aS'the\tthe\tDT\tB-NP\tO' -p71418 -aS'day\tday\tNN\tI-NP\tO' -p71419 -aS'after\tafter\tIN\tB-SBAR\tO' -p71420 -aS'admission\tadmission\tNN\tB-NP\tO' -p71421 -aS'to\tto\tTO\tB-PP\tO' -p71422 -aS'the\tthe\tDT\tB-NP\tO' -p71423 -aS'CMED\tCMED\tNN\tI-NP\tO' -p71424 -aS',\t,\t,\tO\tO' -p71425 -aS'the\tthe\tDT\tB-NP\tO' -p71426 -aS'patient\tpatient\tNN\tI-NP\tO' -p71427 -aS'was\tbe\tVBD\tB-VP\tO' -p71428 -aS'noted\tnote\tVBN\tI-VP\tO' -p71429 -aS'to\tto\tTO\tI-VP\tO' -p71430 -aS'have\thave\tVB\tI-VP\tO' -p71431 -aS'small\tsmall\tJJ\tB-NP\tO' -p71432 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p71433 -aS'requirement\trequirement\tNN\tI-NP\tO' -p71434 -aS'with\twith\tIN\tB-PP\tO' -p71435 -aS'2L\t2L\tNN\tB-NP\tO' -p71436 -aS'NC\tNC\tNN\tI-NP\tO' -p71437 -aS'.\t.\t.\tO\tO' -p71438 -asS'His right arm muscles were also in the range of 4/5.' -p71439 -(lp71440 -S'His\tHis\tPRP$\tB-NP\tO' -p71441 -aS'right\tright\tJJ\tI-NP\tO' -p71442 -aS'arm\tarm\tNN\tI-NP\tO' -p71443 -aS'muscles\tmuscle\tNNS\tI-NP\tO' -p71444 -aS'were\tbe\tVBD\tB-VP\tO' -p71445 -aS'also\talso\tRB\tB-ADVP\tO' -p71446 -aS'in\tin\tIN\tB-PP\tO' -p71447 -aS'the\tthe\tDT\tB-NP\tO' -p71448 -aS'range\trange\tNN\tI-NP\tO' -p71449 -aS'of\tof\tIN\tB-PP\tO' -p71450 -aS'4/5.\t4/5.\tCD\tB-NP\tO' -p71451 -asS'Marked improvement .' -p71452 -(lp71453 -S'Marked\tMarked\tJJ\tB-NP\tO' -p71454 -aS'improvement\timprovement\tNN\tI-NP\tO' -p71455 -aS'.\t.\t.\tO\tO' -p71456 -asS'During her hospitalization , the patient was also seen by the Plastic Service .' -p71457 -(lp71458 -S'During\tDuring\tIN\tB-PP\tO' -p71459 -aS'her\ther\tPRP$\tB-NP\tO' -p71460 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p71461 -aS',\t,\t,\tO\tO' -p71462 -aS'the\tthe\tDT\tB-NP\tO' -p71463 -aS'patient\tpatient\tNN\tI-NP\tO' -p71464 -aS'was\tbe\tVBD\tB-VP\tO' -p71465 -aS'also\talso\tRB\tI-VP\tO' -p71466 -aS'seen\tsee\tVBN\tI-VP\tO' -p71467 -aS'by\tby\tIN\tB-PP\tO' -p71468 -aS'the\tthe\tDT\tB-NP\tO' -p71469 -aS'Plastic\tPlastic\tNNP\tI-NP\tO' -p71470 -aS'Service\tService\tNNP\tI-NP\tO' -p71471 -aS'.\t.\t.\tO\tO' -p71472 -asS'The patient prior to discharge was fitted with an orthoplast finger splint as manufactured by Occupational Therapy Services Fairm of Ijordcompmac Hospital .' -p71473 -(lp71474 -S'The\tThe\tDT\tB-NP\tO' -p71475 -aS'patient\tpatient\tNN\tI-NP\tO' -p71476 -aS'prior\tprior\tRB\tB-ADVP\tO' -p71477 -aS'to\tto\tTO\tB-VP\tO' -p71478 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p71479 -aS'was\tbe\tVBD\tB-VP\tO' -p71480 -aS'fitted\tfit\tVBN\tI-VP\tO' -p71481 -aS'with\twith\tIN\tB-PP\tO' -p71482 -aS'an\tan\tDT\tB-NP\tO' -p71483 -aS'orthoplast\torthoplast\tJJ\tI-NP\tO' -p71484 -aS'finger\tfinger\tNN\tI-NP\tO' -p71485 -aS'splint\tsplint\tNN\tI-NP\tO' -p71486 -aS'as\tas\tIN\tB-SBAR\tO' -p71487 -aS'manufactured\tmanufacture\tVBN\tB-VP\tO' -p71488 -aS'by\tby\tIN\tB-PP\tO' -p71489 -aS'Occupational\tOccupational\tNNP\tB-NP\tO' -p71490 -aS'Therapy\tTherapy\tNNP\tI-NP\tO' -p71491 -aS'Services\tServices\tNNP\tI-NP\tO' -p71492 -aS'Fairm\tFairm\tNNP\tI-NP\tO' -p71493 -aS'of\tof\tIN\tB-PP\tO' -p71494 -aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' -p71495 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p71496 -aS'.\t.\t.\tO\tO' -p71497 -asS'She was clinically euvolemic after that .' -p71498 -(lp71499 -S'She\tShe\tPRP\tB-NP\tO' -p71500 -aS'was\tbe\tVBD\tB-VP\tO' -p71501 -aS'clinically\tclinically\tRB\tB-ADJP\tO' -p71502 -aS'euvolemic\teuvolemic\tJJ\tI-ADJP\tO' -p71503 -aS'after\tafter\tIN\tB-PP\tO' -p71504 -aS'that\tthat\tDT\tB-NP\tO' -p71505 -aS'.\t.\t.\tO\tO' -p71506 -asS'Please return to the ED if you develop any worsening pain , vomiting or fevers > 101 .' -p71507 -(lp71508 -S'Please\tPlease\tVB\tB-VP\tO' -p71509 -aS'return\treturn\tVB\tI-VP\tO' -p71510 -aS'to\tto\tTO\tB-PP\tO' -p71511 -aS'the\tthe\tDT\tB-NP\tO' -p71512 -aS'ED\tED\tNNP\tI-NP\tO' -p71513 -aS'if\tif\tIN\tB-SBAR\tO' -p71514 -aS'you\tyou\tPRP\tB-NP\tO' -p71515 -aS'develop\tdevelop\tVBP\tB-VP\tO' -p71516 -aS'any\tany\tDT\tB-NP\tO' -p71517 -aS'worsening\tworsen\tVBG\tI-NP\tO' -p71518 -aS'pain\tpain\tNN\tI-NP\tO' -p71519 -aS',\t,\t,\tI-NP\tO' -p71520 -aS'vomiting\tvomiting\tNN\tI-NP\tO' -p71521 -aS'or\tor\tCC\tI-NP\tO' -p71522 -aS'fevers\tfever\tNNS\tI-NP\tO' -p71523 -aS'>\t>\t:\tO\tO' -p71524 -aS'101\t101\tCD\tB-NP\tO' -p71525 -aS'.\t.\t.\tO\tO' -p71526 -asS'RA pressure was 13 , RV pressure 45/7 , wedge 27 and PA pressures of 42/21 .' -p71527 -(lp71528 -S'RA\tRA\tNN\tB-NP\tB-protein' -p71529 -aS'pressure\tpressure\tNN\tI-NP\tI-protein' -p71530 -aS'was\tbe\tVBD\tB-VP\tI-protein' -p71531 -aS'13\t13\tCD\tB-NP\tI-protein' -p71532 -aS',\t,\t,\tO\tO' -p71533 -aS'RV\tRV\tNN\tB-NP\tB-protein' -p71534 -aS'pressure\tpressure\tNN\tI-NP\tI-protein' -p71535 -aS'45/7\t45/7\tCD\tI-NP\tI-protein' -p71536 -aS',\t,\t,\tO\tO' -p71537 -aS'wedge\twedge\tNN\tB-NP\tO' -p71538 -aS'27\t27\tCD\tI-NP\tO' -p71539 -aS'and\tand\tCC\tO\tO' -p71540 -aS'PA\tPA\tNN\tB-NP\tO' -p71541 -aS'pressures\tpressure\tNNS\tI-NP\tO' -p71542 -aS'of\tof\tIN\tB-PP\tO' -p71543 -aS'42/21\t42/21\tCD\tB-NP\tO' -p71544 -aS'.\t.\t.\tO\tO' -p71545 -asS'She was monitored overnight .' -p71546 -(lp71547 -S'She\tShe\tPRP\tB-NP\tO' -p71548 -aS'was\tbe\tVBD\tB-VP\tO' -p71549 -aS'monitored\tmonitor\tVBN\tI-VP\tO' -p71550 -aS'overnight\tovernight\tRB\tB-ADVP\tO' -p71551 -aS'.\t.\t.\tO\tO' -p71552 -asS'On admission , heart is regular rate and rhythm without murmur .' -p71553 -(lp71554 -S'On\tOn\tIN\tB-PP\tO' -p71555 -aS'admission\tadmission\tNN\tB-NP\tO' -p71556 -aS',\t,\t,\tO\tO' -p71557 -aS'heart\theart\tNN\tB-NP\tO' -p71558 -aS'is\tbe\tVBZ\tB-VP\tO' -p71559 -aS'regular\tregular\tJJ\tB-NP\tO' -p71560 -aS'rate\trate\tNN\tI-NP\tO' -p71561 -aS'and\tand\tCC\tI-NP\tO' -p71562 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p71563 -aS'without\twithout\tIN\tB-PP\tO' -p71564 -aS'murmur\tmurmur\tNN\tB-NP\tO' -p71565 -aS'.\t.\t.\tO\tO' -p71566 -asS'Continued on valsartan , BB continued , statin' -p71567 -(lp71568 -S'Continued\tContinue\tVBN\tB-VP\tO' -p71569 -aS'on\ton\tIN\tB-PP\tO' -p71570 -aS'valsartan\tvalsartan\tNN\tB-NP\tO' -p71571 -aS',\t,\t,\tO\tO' -p71572 -aS'BB\tBB\tNNP\tB-NP\tO' -p71573 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p71574 -aS',\t,\t,\tO\tO' -p71575 -aS'statin\tstatin\tNN\tB-NP\tO' -p71576 -asS'4. Ipratropium Bromide 0.02 % Solution Sig : One ( 1 ) Inhalation Q6H ( every 6 hours ) .' -p71577 -(lp71578 -S'4.\t4.\tLS\tB-NP\tO' -p71579 -aS'Ipratropium\tIpratropium\tNN\tI-NP\tO' -p71580 -aS'Bromide\tBromide\tNN\tI-NP\tO' -p71581 -aS'0.02\t0.02\tCD\tB-NP\tO' -p71582 -aS'%\t%\tNN\tI-NP\tO' -p71583 -aS'Solution\tSolution\tNNP\tI-NP\tO' -p71584 -aS'Sig\tSig\tNNP\tI-NP\tO' -p71585 -aS':\t:\t:\tO\tO' -p71586 -aS'One\tOne\tCD\tB-NP\tO' -p71587 -aS'(\t(\t(\tO\tO' -p71588 -aS'1\t1\tCD\tB-NP\tO' -p71589 -aS')\t)\t)\tO\tO' -p71590 -aS'Inhalation\tInhalation\tNN\tB-NP\tO' -p71591 -aS'Q6H\tQ6H\tNN\tI-NP\tO' -p71592 -aS'(\t(\t(\tO\tO' -p71593 -aS'every\tevery\tDT\tB-NP\tO' -p71594 -aS'6\t6\tCD\tI-NP\tO' -p71595 -aS'hours\thour\tNNS\tI-NP\tO' -p71596 -aS')\t)\t)\tO\tO' -p71597 -aS'.\t.\t.\tO\tO' -p71598 -asS'CMED CSRU and Plastic Surgery flap checks , tracheostomy care , and Westwood-Pocasset management.' -p71599 -(lp71600 -S'CMED\tCMED\tNNP\tB-NP\tO' -p71601 -aS'CSRU\tCSRU\tNNP\tI-NP\tO' -p71602 -aS'and\tand\tCC\tO\tO' -p71603 -aS'Plastic\tPlastic\tNNP\tB-NP\tO' -p71604 -aS'Surgery\tSurgery\tNNP\tI-NP\tO' -p71605 -aS'flap\tflap\tNN\tI-NP\tO' -p71606 -aS'checks\tcheck\tNNS\tI-NP\tO' -p71607 -aS',\t,\t,\tO\tO' -p71608 -aS'tracheostomy\ttracheostomy\tNN\tB-NP\tO' -p71609 -aS'care\tcare\tNN\tI-NP\tO' -p71610 -aS',\t,\t,\tO\tO' -p71611 -aS'and\tand\tCC\tO\tO' -p71612 -aS'Westwood-Pocasset\tWestwood-Pocasset\tNN\tB-NP\tO' -p71613 -aS'management.\tmanagement.\tNN\tI-NP\tO' -p71614 -asS'He had progressive symptoms of congestive heart failure which led to his evaluation of his cardiac transplant in March of 1991 .' -p71615 -(lp71616 -S'He\tHe\tPRP\tB-NP\tO' -p71617 -aS'had\thave\tVBD\tB-VP\tO' -p71618 -aS'progressive\tprogressive\tJJ\tB-NP\tO' -p71619 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p71620 -aS'of\tof\tIN\tB-PP\tO' -p71621 -aS'congestive\tcongestive\tJJ\tB-NP\tO' -p71622 -aS'heart\theart\tNN\tI-NP\tO' -p71623 -aS'failure\tfailure\tNN\tI-NP\tO' -p71624 -aS'which\twhich\tWDT\tB-NP\tO' -p71625 -aS'led\tlead\tVBD\tB-VP\tO' -p71626 -aS'to\tto\tTO\tB-PP\tO' -p71627 -aS'his\this\tPRP$\tB-NP\tO' -p71628 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p71629 -aS'of\tof\tIN\tB-PP\tO' -p71630 -aS'his\this\tPRP$\tB-NP\tO' -p71631 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p71632 -aS'transplant\ttransplant\tNN\tI-NP\tO' -p71633 -aS'in\tin\tIN\tB-PP\tO' -p71634 -aS'March\tMarch\tNNP\tB-NP\tO' -p71635 -aS'of\tof\tIN\tB-PP\tO' -p71636 -aS'1991\t1991\tCD\tB-NP\tO' -p71637 -aS'.\t.\t.\tO\tO' -p71638 -asS'6. Morphine 15 mg Tablet Sustained Release Sig : Three ( 3 ) Tablet Sustained Release PO Q12H ( every 12 hours ).' -p71639 -(lp71640 -S'6.\t6.\tCD\tB-NP\tO' -p71641 -aS'Morphine\tMorphine\tNNP\tI-NP\tO' -p71642 -aS'15\t15\tCD\tI-NP\tO' -p71643 -aS'mg\tmg\tNN\tI-NP\tO' -p71644 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p71645 -aS'Sustained\tSustained\tNNP\tI-NP\tO' -p71646 -aS'Release\tRelease\tNNP\tI-NP\tO' -p71647 -aS'Sig\tSig\tNNP\tI-NP\tB-protein' -p71648 -aS':\t:\t:\tO\tO' -p71649 -aS'Three\tThree\tCD\tB-NP\tO' -p71650 -aS'(\t(\t(\tO\tO' -p71651 -aS'3\t3\tCD\tB-NP\tO' -p71652 -aS')\t)\t)\tO\tO' -p71653 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p71654 -aS'Sustained\tSustain\tVBD\tB-VP\tO' -p71655 -aS'Release\tRelease\tNN\tB-NP\tO' -p71656 -aS'PO\tPO\tNN\tI-NP\tO' -p71657 -aS'Q12H\tQ12H\tNN\tI-NP\tO' -p71658 -aS'(\t(\t(\tO\tO' -p71659 -aS'every\tevery\tDT\tB-NP\tO' -p71660 -aS'12\t12\tCD\tI-NP\tO' -p71661 -aS'hours\thour\tNNS\tI-NP\tO' -p71662 -aS').\t).\t)\tO\tO' -p71663 -asS'Dorsalis pedis pulses were 2+ bilaterally .' -p71664 -(lp71665 -S'Dorsalis\tDorsalis\tNNP\tB-NP\tO' -p71666 -aS'pedis\tpedis\tNN\tI-NP\tO' -p71667 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p71668 -aS'were\tbe\tVBD\tB-VP\tO' -p71669 -aS'2+\t2+\tJJ\tB-ADJP\tO' -p71670 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p71671 -aS'.\t.\t.\tO\tO' -p71672 -asS'They wanted the patient to return to his home after a stay at a rehab facility .' -p71673 -(lp71674 -S'They\tThey\tPRP\tB-NP\tO' -p71675 -aS'wanted\twant\tVBD\tB-VP\tO' -p71676 -aS'the\tthe\tDT\tB-NP\tO' -p71677 -aS'patient\tpatient\tNN\tI-NP\tO' -p71678 -aS'to\tto\tTO\tB-VP\tO' -p71679 -aS'return\treturn\tVB\tI-VP\tO' -p71680 -aS'to\tto\tTO\tB-PP\tO' -p71681 -aS'his\this\tPRP$\tB-NP\tO' -p71682 -aS'home\thome\tNN\tI-NP\tO' -p71683 -aS'after\tafter\tIN\tB-PP\tO' -p71684 -aS'a\ta\tDT\tB-NP\tO' -p71685 -aS'stay\tstay\tNN\tI-NP\tO' -p71686 -aS'at\tat\tIN\tB-PP\tO' -p71687 -aS'a\ta\tDT\tB-NP\tO' -p71688 -aS'rehab\trehab\tNN\tI-NP\tO' -p71689 -aS'facility\tfacility\tNN\tI-NP\tO' -p71690 -aS'.\t.\t.\tO\tO' -p71691 -asS'Reflexes were 2+ throughout in the upper and lower extremities , and toes were downgoing .' -p71692 -(lp71693 -S'Reflexes\tReflex\tNNS\tB-NP\tO' -p71694 -aS'were\tbe\tVBD\tB-VP\tO' -p71695 -aS'2+\t2+\tJJ\tB-ADJP\tO' -p71696 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p71697 -aS'in\tin\tIN\tB-PP\tO' -p71698 -aS'the\tthe\tDT\tB-NP\tO' -p71699 -aS'upper\tupper\tJJ\tI-NP\tO' -p71700 -aS'and\tand\tCC\tI-NP\tO' -p71701 -aS'lower\tlow\tJJR\tI-NP\tO' -p71702 -aS'extremities\textremity\tNNS\tI-NP\tO' -p71703 -aS',\t,\t,\tO\tO' -p71704 -aS'and\tand\tCC\tO\tO' -p71705 -aS'toes\ttoe\tNNS\tB-NP\tO' -p71706 -aS'were\tbe\tVBD\tB-VP\tO' -p71707 -aS'downgoing\tdowngoe\tVBG\tI-VP\tO' -p71708 -aS'.\t.\t.\tO\tO' -p71709 -asS'The patient the next two days did not notice any significant change in her pain pattern .' -p71710 -(lp71711 -S'The\tThe\tDT\tB-NP\tO' -p71712 -aS'patient\tpatient\tNN\tI-NP\tO' -p71713 -aS'the\tthe\tDT\tB-NP\tO' -p71714 -aS'next\tnext\tJJ\tI-NP\tO' -p71715 -aS'two\ttwo\tCD\tI-NP\tO' -p71716 -aS'days\tday\tNNS\tI-NP\tO' -p71717 -aS'did\tdo\tVBD\tB-VP\tO' -p71718 -aS'not\tnot\tRB\tI-VP\tO' -p71719 -aS'notice\tnotice\tVB\tI-VP\tO' -p71720 -aS'any\tany\tDT\tB-NP\tO' -p71721 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p71722 -aS'change\tchange\tNN\tI-NP\tO' -p71723 -aS'in\tin\tIN\tB-PP\tO' -p71724 -aS'her\ther\tPRP$\tB-NP\tO' -p71725 -aS'pain\tpain\tNN\tI-NP\tO' -p71726 -aS'pattern\tpattern\tNN\tI-NP\tO' -p71727 -aS'.\t.\t.\tO\tO' -p71728 -asS'Responsible After Study for Causing Admission ) erosive esophagitis' -p71729 -(lp71730 -S'Responsible\tResponsible\tJJ\tB-ADJP\tO' -p71731 -aS'After\tAfter\tIN\tB-PP\tO' -p71732 -aS'Study\tStudy\tNN\tB-NP\tO' -p71733 -aS'for\tfor\tIN\tB-PP\tO' -p71734 -aS'Causing\tCause\tVBG\tB-NP\tO' -p71735 -aS'Admission\tAdmission\tNN\tI-NP\tO' -p71736 -aS')\t)\t)\tI-NP\tO' -p71737 -aS'erosive\terosive\tJJ\tI-NP\tO' -p71738 -aS'esophagitis\tesophagitis\tNN\tI-NP\tO' -p71739 -asS'Extremities reveal no edema , no swelling .' -p71740 -(lp71741 -S'Extremities\tExtremity\tNNS\tB-NP\tO' -p71742 -aS'reveal\treveal\tVBP\tB-VP\tO' -p71743 -aS'no\tno\tDT\tB-NP\tO' -p71744 -aS'edema\tedema\tNN\tI-NP\tO' -p71745 -aS',\t,\t,\tO\tO' -p71746 -aS'no\tno\tDT\tB-NP\tO' -p71747 -aS'swelling\tswelling\tNN\tI-NP\tO' -p71748 -aS'.\t.\t.\tO\tO' -p71749 -asS'2. IVF with diamniotic , dichorionic twins .' -p71750 -(lp71751 -S'2.\t2.\tLS\tB-NP\tO' -p71752 -aS'IVF\tIVF\tNN\tI-NP\tB-protein' -p71753 -aS'with\twith\tIN\tB-PP\tO' -p71754 -aS'diamniotic\tdiamniotic\tJJ\tB-NP\tO' -p71755 -aS',\t,\t,\tI-NP\tO' -p71756 -aS'dichorionic\tdichorionic\tJJ\tI-NP\tO' -p71757 -aS'twins\ttwin\tNNS\tI-NP\tO' -p71758 -aS'.\t.\t.\tO\tO' -p71759 -asS'Family and primary carephysician informed .' -p71760 -(lp71761 -S'Family\tFamily\tRB\tB-ADVP\tO' -p71762 -aS'and\tand\tCC\tO\tO' -p71763 -aS'primary\tprimary\tJJ\tB-NP\tO' -p71764 -aS'carephysician\tcarephysician\tNN\tI-NP\tO' -p71765 -aS'informed\tinform\tVBN\tB-VP\tO' -p71766 -aS'.\t.\t.\tO\tO' -p71767 -asS'Discussion with the family regarding the possibility of sending him to a nursing home was entertained however the family strongly refused to allow him to go a nursing home .' -p71768 -(lp71769 -S'Discussion\tDiscussion\tNN\tB-NP\tO' -p71770 -aS'with\twith\tIN\tB-PP\tO' -p71771 -aS'the\tthe\tDT\tB-NP\tO' -p71772 -aS'family\tfamily\tNN\tI-NP\tO' -p71773 -aS'regarding\tregard\tVBG\tB-VP\tO' -p71774 -aS'the\tthe\tDT\tB-NP\tO' -p71775 -aS'possibility\tpossibility\tNN\tI-NP\tO' -p71776 -aS'of\tof\tIN\tB-PP\tO' -p71777 -aS'sending\tsend\tVBG\tB-VP\tO' -p71778 -aS'him\thim\tPRP\tB-NP\tO' -p71779 -aS'to\tto\tTO\tB-PP\tO' -p71780 -aS'a\ta\tDT\tB-NP\tO' -p71781 -aS'nursing\tnursing\tNN\tI-NP\tO' -p71782 -aS'home\thome\tNN\tI-NP\tO' -p71783 -aS'was\tbe\tVBD\tB-VP\tO' -p71784 -aS'entertained\tentertain\tVBN\tI-VP\tO' -p71785 -aS'however\thowever\tRB\tB-ADVP\tO' -p71786 -aS'the\tthe\tDT\tB-NP\tO' -p71787 -aS'family\tfamily\tNN\tI-NP\tO' -p71788 -aS'strongly\tstrongly\tRB\tB-ADVP\tO' -p71789 -aS'refused\trefuse\tVBD\tB-VP\tO' -p71790 -aS'to\tto\tTO\tI-VP\tO' -p71791 -aS'allow\tallow\tVB\tI-VP\tO' -p71792 -aS'him\thim\tPRP\tB-NP\tO' -p71793 -aS'to\tto\tTO\tB-VP\tO' -p71794 -aS'go\tgo\tVB\tI-VP\tO' -p71795 -aS'a\ta\tDT\tB-NP\tO' -p71796 -aS'nursing\tnursing\tNN\tI-NP\tO' -p71797 -aS'home\thome\tNN\tI-NP\tO' -p71798 -aS'.\t.\t.\tO\tO' -p71799 -asS'The patient is a 51 year-old female , with a non-toxic multinodular goiter .' -p71800 -(lp71801 -S'The\tThe\tDT\tB-NP\tO' -p71802 -aS'patient\tpatient\tNN\tI-NP\tO' -p71803 -aS'is\tbe\tVBZ\tB-VP\tO' -p71804 -aS'a\ta\tDT\tB-NP\tO' -p71805 -aS'51\t51\tCD\tI-NP\tO' -p71806 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p71807 -aS'female\tfemale\tNN\tI-NP\tO' -p71808 -aS',\t,\t,\tO\tO' -p71809 -aS'with\twith\tIN\tB-PP\tO' -p71810 -aS'a\ta\tDT\tB-NP\tO' -p71811 -aS'non-toxic\tnon-toxic\tJJ\tI-NP\tO' -p71812 -aS'multinodular\tmultinodular\tJJ\tI-NP\tO' -p71813 -aS'goiter\tgoiter\tNN\tI-NP\tO' -p71814 -aS'.\t.\t.\tO\tO' -p71815 -asS'15. syringes for epogen q week' -p71816 -(lp71817 -S'15.\t15.\tLS\tB-NP\tO' -p71818 -aS'syringes\tsyrinx\tNNS\tI-NP\tO' -p71819 -aS'for\tfor\tIN\tB-PP\tO' -p71820 -aS'epogen\tepogen\tNN\tB-NP\tO' -p71821 -aS'q\tq\tNN\tI-NP\tO' -p71822 -aS'week\tweek\tNN\tI-NP\tO' -p71823 -asS'Dictated By : Lloyd U. King , M.D.' -p71824 -(lp71825 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p71826 -aS'By\tBy\tIN\tB-PP\tO' -p71827 -aS':\t:\t:\tO\tO' -p71828 -aS'Lloyd\tLloyd\tNNP\tB-NP\tO' -p71829 -aS'U.\tU.\tNNP\tI-NP\tO' -p71830 -aS'King\tKing\tNNP\tI-NP\tO' -p71831 -aS',\t,\t,\tO\tO' -p71832 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p71833 -asS'2. Small bilateral pleural effusions .' -p71834 -(lp71835 -S'2.\t2.\tLS\tB-NP\tO' -p71836 -aS'Small\tSmall\tJJ\tI-NP\tO' -p71837 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p71838 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p71839 -aS'effusions\teffusion\tNNS\tI-NP\tO' -p71840 -aS'.\t.\t.\tO\tO' -p71841 -asS'Please follow up with your PCP C. Lettinga ( 572 8343 ) on 10-10 at 1:00 PM' -p71842 -(lp71843 -S'Please\tPlease\tVB\tB-VP\tO' -p71844 -aS'follow\tfollow\tVB\tI-VP\tO' -p71845 -aS'up\tup\tRP\tB-PRT\tO' -p71846 -aS'with\twith\tIN\tB-PP\tO' -p71847 -aS'your\tyour\tPRP$\tB-NP\tO' -p71848 -aS'PCP\tPCP\tNN\tI-NP\tO' -p71849 -aS'C.\tC.\tNNP\tI-NP\tO' -p71850 -aS'Lettinga\tLettinga\tNNP\tI-NP\tO' -p71851 -aS'(\t(\t(\tO\tO' -p71852 -aS'572\t572\tCD\tB-NP\tO' -p71853 -aS'8343\t8343\tCD\tI-NP\tO' -p71854 -aS')\t)\t)\tO\tO' -p71855 -aS'on\ton\tIN\tB-PP\tO' -p71856 -aS'10-10\t10-10\tCD\tB-NP\tO' -p71857 -aS'at\tat\tIN\tB-PP\tO' -p71858 -aS'1:00\t1:00\tCD\tB-NP\tO' -p71859 -aS'PM\tPM\tNN\tI-NP\tO' -p71860 -asS'Follow up as below .' -p71861 -(lp71862 -S'Follow\tFollow\tVB\tB-VP\tO' -p71863 -aS'up\tup\tRP\tB-PRT\tO' -p71864 -aS'as\tas\tRB\tB-ADVP\tO' -p71865 -aS'below\tbelow\tRB\tI-ADVP\tO' -p71866 -aS'.\t.\t.\tO\tO' -p71867 -asS'Tai Pamela Wendell , Oklahoma 05158' -p71868 -(lp71869 -S'Tai\tTai\tNNP\tB-NP\tO' -p71870 -aS'Pamela\tPamela\tNNP\tI-NP\tO' -p71871 -aS'Wendell\tWendell\tNNP\tI-NP\tO' -p71872 -aS',\t,\t,\tO\tO' -p71873 -aS'Oklahoma\tOklahoma\tNNP\tB-NP\tO' -p71874 -aS'05158\t05158\tCD\tI-NP\tO' -p71875 -asS'Agitated in emergency room requiring 4 leather restraints , received 5 mg of Haldol , 2 mg of Ativan .' -p71876 -(lp71877 -S'Agitated\tAgitate\tVBN\tB-VP\tO' -p71878 -aS'in\tin\tIN\tB-PP\tO' -p71879 -aS'emergency\temergency\tNN\tB-NP\tO' -p71880 -aS'room\troom\tNN\tI-NP\tO' -p71881 -aS'requiring\trequire\tVBG\tB-VP\tO' -p71882 -aS'4\t4\tCD\tB-NP\tO' -p71883 -aS'leather\tleather\tNN\tI-NP\tO' -p71884 -aS'restraints\trestraint\tNNS\tI-NP\tO' -p71885 -aS',\t,\t,\tO\tO' -p71886 -aS'received\treceive\tVBD\tB-VP\tO' -p71887 -aS'5\t5\tCD\tB-NP\tO' -p71888 -aS'mg\tmg\tNN\tI-NP\tO' -p71889 -aS'of\tof\tIN\tB-PP\tO' -p71890 -aS'Haldol\tHaldol\tNN\tB-NP\tO' -p71891 -aS',\t,\t,\tO\tO' -p71892 -aS'2\t2\tCD\tB-NP\tO' -p71893 -aS'mg\tmg\tNN\tI-NP\tO' -p71894 -aS'of\tof\tIN\tB-PP\tO' -p71895 -aS'Ativan\tAtivan\tNNP\tB-NP\tO' -p71896 -aS'.\t.\t.\tO\tO' -p71897 -asS'Patient was ruled out by enzymes .' -p71898 -(lp71899 -S'Patient\tPatient\tNN\tB-NP\tO' -p71900 -aS'was\tbe\tVBD\tB-VP\tO' -p71901 -aS'ruled\trule\tVBN\tI-VP\tO' -p71902 -aS'out\tout\tRP\tB-PRT\tO' -p71903 -aS'by\tby\tIN\tB-PP\tO' -p71904 -aS'enzymes\tenzyme\tNNS\tB-NP\tB-protein' -p71905 -aS'.\t.\t.\tO\tO' -p71906 -asS'He had several repeat imaging studies during his Intensive Care Unit stay which showed further demarcation , but not extension of his prior infarct , both on computerized tomography scan and DWI images .' -p71907 -(lp71908 -S'He\tHe\tPRP\tB-NP\tO' -p71909 -aS'had\thave\tVBD\tB-VP\tO' -p71910 -aS'several\tseveral\tJJ\tB-NP\tO' -p71911 -aS'repeat\trepeat\tNN\tI-NP\tO' -p71912 -aS'imaging\timaging\tNN\tI-NP\tO' -p71913 -aS'studies\tstudy\tNNS\tI-NP\tO' -p71914 -aS'during\tduring\tIN\tB-PP\tO' -p71915 -aS'his\this\tPRP$\tB-NP\tO' -p71916 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p71917 -aS'Care\tCare\tNNP\tI-NP\tO' -p71918 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p71919 -aS'stay\tstay\tNN\tI-NP\tO' -p71920 -aS'which\twhich\tWDT\tB-NP\tO' -p71921 -aS'showed\tshow\tVBD\tB-VP\tO' -p71922 -aS'further\tfurther\tJJ\tB-NP\tO' -p71923 -aS'demarcation\tdemarcation\tNN\tI-NP\tO' -p71924 -aS',\t,\t,\tO\tO' -p71925 -aS'but\tbut\tCC\tO\tO' -p71926 -aS'not\tnot\tRB\tO\tO' -p71927 -aS'extension\textension\tNN\tB-NP\tO' -p71928 -aS'of\tof\tIN\tB-PP\tO' -p71929 -aS'his\this\tPRP$\tB-NP\tO' -p71930 -aS'prior\tprior\tJJ\tI-NP\tO' -p71931 -aS'infarct\tinfarct\tNN\tI-NP\tO' -p71932 -aS',\t,\t,\tO\tO' -p71933 -aS'both\tboth\tDT\tO\tO' -p71934 -aS'on\ton\tIN\tB-PP\tO' -p71935 -aS'computerized\tcomputerize\tVBN\tB-NP\tO' -p71936 -aS'tomography\ttomography\tNN\tI-NP\tO' -p71937 -aS'scan\tscan\tNN\tI-NP\tO' -p71938 -aS'and\tand\tCC\tI-NP\tO' -p71939 -aS'DWI\tDWI\tNN\tI-NP\tO' -p71940 -aS'images\timage\tNNS\tI-NP\tO' -p71941 -aS'.\t.\t.\tO\tO' -p71942 -asS'The plan was to start her on heparin and Coumadin and discontinue her heparin when her Coumadin levels became therapeutic as judged by the prothrombin time / INR .' -p71943 -(lp71944 -S'The\tThe\tDT\tB-NP\tO' -p71945 -aS'plan\tplan\tNN\tI-NP\tO' -p71946 -aS'was\tbe\tVBD\tB-VP\tO' -p71947 -aS'to\tto\tTO\tI-VP\tO' -p71948 -aS'start\tstart\tVB\tI-VP\tO' -p71949 -aS'her\ther\tPRP\tB-NP\tO' -p71950 -aS'on\ton\tIN\tB-PP\tO' -p71951 -aS'heparin\theparin\tNN\tB-NP\tO' -p71952 -aS'and\tand\tCC\tI-NP\tO' -p71953 -aS'Coumadin\tCoumadin\tNN\tI-NP\tO' -p71954 -aS'and\tand\tCC\tO\tO' -p71955 -aS'discontinue\tdiscontinue\tVB\tB-VP\tO' -p71956 -aS'her\ther\tPRP$\tB-NP\tO' -p71957 -aS'heparin\theparin\tNN\tI-NP\tO' -p71958 -aS'when\twhen\tWRB\tB-ADVP\tO' -p71959 -aS'her\ther\tPRP$\tB-NP\tO' -p71960 -aS'Coumadin\tCoumadin\tNN\tI-NP\tO' -p71961 -aS'levels\tlevel\tNNS\tI-NP\tO' -p71962 -aS'became\tbecome\tVBD\tB-VP\tO' -p71963 -aS'therapeutic\ttherapeutic\tJJ\tB-ADJP\tO' -p71964 -aS'as\tas\tIN\tB-SBAR\tO' -p71965 -aS'judged\tjudge\tVBN\tB-VP\tO' -p71966 -aS'by\tby\tIN\tB-PP\tO' -p71967 -aS'the\tthe\tDT\tB-NP\tO' -p71968 -aS'prothrombin\tprothrombin\tNN\tI-NP\tO' -p71969 -aS'time\ttime\tNN\tI-NP\tO' -p71970 -aS'/\t/\tSYM\tB-NP\tO' -p71971 -aS'INR\tINR\tNN\tI-NP\tB-protein' -p71972 -aS'.\t.\t.\tO\tO' -p71973 -asS'1. Miconazole Nitrate 2 % Powder Sig : One ( 1 ) Appl Topical QID ( 4 times a day ) .' -p71974 -(lp71975 -S'1.\t1.\tLS\tB-NP\tO' -p71976 -aS'Miconazole\tMiconazole\tNN\tI-NP\tO' -p71977 -aS'Nitrate\tNitrate\tNN\tI-NP\tO' -p71978 -aS'2\t2\tCD\tB-NP\tO' -p71979 -aS'%\t%\tNN\tI-NP\tO' -p71980 -aS'Powder\tPowder\tNNP\tI-NP\tO' -p71981 -aS'Sig\tSig\tNNP\tI-NP\tO' -p71982 -aS':\t:\t:\tO\tO' -p71983 -aS'One\tOne\tCD\tB-NP\tO' -p71984 -aS'(\t(\t(\tO\tO' -p71985 -aS'1\t1\tCD\tB-NP\tO' -p71986 -aS')\t)\t)\tO\tO' -p71987 -aS'Appl\tAppl\tNNP\tB-NP\tO' -p71988 -aS'Topical\tTopical\tJJ\tI-NP\tO' -p71989 -aS'QID\tQID\tNN\tI-NP\tO' -p71990 -aS'(\t(\t(\tO\tO' -p71991 -aS'4\t4\tCD\tB-NP\tO' -p71992 -aS'times\ttime\tNNS\tI-NP\tO' -p71993 -aS'a\ta\tDT\tB-NP\tO' -p71994 -aS'day\tday\tNN\tI-NP\tO' -p71995 -aS')\t)\t)\tO\tO' -p71996 -aS'.\t.\t.\tO\tO' -p71997 -asS'She denies any pain with urination or incontinence .' -p71998 -(lp71999 -S'She\tShe\tPRP\tB-NP\tO' -p72000 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p72001 -aS'any\tany\tDT\tB-NP\tO' -p72002 -aS'pain\tpain\tNN\tI-NP\tO' -p72003 -aS'with\twith\tIN\tB-PP\tO' -p72004 -aS'urination\turination\tNN\tB-NP\tO' -p72005 -aS'or\tor\tCC\tI-NP\tO' -p72006 -aS'incontinence\tincontinence\tNN\tI-NP\tO' -p72007 -aS'.\t.\t.\tO\tO' -p72008 -asS'1. Coronary artery disease .' -p72009 -(lp72010 -S'1.\t1.\tLS\tB-NP\tO' -p72011 -aS'Coronary\tCoronary\tJJ\tI-NP\tO' -p72012 -aS'artery\tartery\tNN\tI-NP\tO' -p72013 -aS'disease\tdisease\tNN\tI-NP\tO' -p72014 -aS'.\t.\t.\tO\tO' -p72015 -asS'In the ICU , the patient was on enalapril , hydralazine and labetalol .' -p72016 -(lp72017 -S'In\tIn\tIN\tB-PP\tO' -p72018 -aS'the\tthe\tDT\tB-NP\tO' -p72019 -aS'ICU\tICU\tNN\tI-NP\tB-DNA' -p72020 -aS',\t,\t,\tO\tO' -p72021 -aS'the\tthe\tDT\tB-NP\tO' -p72022 -aS'patient\tpatient\tNN\tI-NP\tO' -p72023 -aS'was\tbe\tVBD\tB-VP\tO' -p72024 -aS'on\ton\tIN\tB-PP\tO' -p72025 -aS'enalapril\tenalapril\tNN\tB-NP\tO' -p72026 -aS',\t,\t,\tI-NP\tO' -p72027 -aS'hydralazine\thydralazine\tNN\tI-NP\tO' -p72028 -aS'and\tand\tCC\tI-NP\tO' -p72029 -aS'labetalol\tlabetalol\tNN\tI-NP\tO' -p72030 -aS'.\t.\t.\tO\tO' -p72031 -asS'Reported occassional glass of wine , no illicit drugs' -p72032 -(lp72033 -S'Reported\tReport\tVBN\tB-NP\tO' -p72034 -aS'occassional\toccassional\tJJ\tI-NP\tO' -p72035 -aS'glass\tglass\tNN\tI-NP\tO' -p72036 -aS'of\tof\tIN\tB-PP\tO' -p72037 -aS'wine\twine\tNN\tB-NP\tO' -p72038 -aS',\t,\t,\tO\tO' -p72039 -aS'no\tno\tDT\tB-NP\tO' -p72040 -aS'illicit\tillicit\tJJ\tI-NP\tO' -p72041 -aS'drugs\tdrug\tNNS\tI-NP\tO' -p72042 -asS'Also at the time of admission we were also considering palliative Taxol chemotherapy , which the patient declined .' -p72043 -(lp72044 -S'Also\tAlso\tRB\tB-ADVP\tO' -p72045 -aS'at\tat\tIN\tB-PP\tO' -p72046 -aS'the\tthe\tDT\tB-NP\tO' -p72047 -aS'time\ttime\tNN\tI-NP\tO' -p72048 -aS'of\tof\tIN\tB-PP\tO' -p72049 -aS'admission\tadmission\tNN\tB-NP\tO' -p72050 -aS'we\twe\tPRP\tB-NP\tO' -p72051 -aS'were\tbe\tVBD\tB-VP\tO' -p72052 -aS'also\talso\tRB\tI-VP\tO' -p72053 -aS'considering\tconsider\tVBG\tI-VP\tO' -p72054 -aS'palliative\tpalliative\tJJ\tB-NP\tO' -p72055 -aS'Taxol\tTaxol\tNN\tI-NP\tO' -p72056 -aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' -p72057 -aS',\t,\t,\tO\tO' -p72058 -aS'which\twhich\tWDT\tB-NP\tO' -p72059 -aS'the\tthe\tDT\tB-NP\tO' -p72060 -aS'patient\tpatient\tNN\tI-NP\tO' -p72061 -aS'declined\tdecline\tVBD\tB-VP\tO' -p72062 -aS'.\t.\t.\tO\tO' -p72063 -asS'No history of head trauma or seizure disorder' -p72064 -(lp72065 -S'No\tNo\tDT\tB-NP\tO' -p72066 -aS'history\thistory\tNN\tI-NP\tO' -p72067 -aS'of\tof\tIN\tB-PP\tO' -p72068 -aS'head\thead\tNN\tB-NP\tO' -p72069 -aS'trauma\ttrauma\tNN\tI-NP\tO' -p72070 -aS'or\tor\tCC\tO\tO' -p72071 -aS'seizure\tseizure\tNN\tB-NP\tO' -p72072 -aS'disorder\tdisorder\tNN\tI-NP\tO' -p72073 -asS"A repeat straight cath was negative for RBC 's ." -p72074 -(lp72075 -S'A\tA\tDT\tB-NP\tO' -p72076 -aS'repeat\trepeat\tNN\tI-NP\tO' -p72077 -aS'straight\tstraight\tJJ\tI-NP\tO' -p72078 -aS'cath\tcath\tNN\tI-NP\tO' -p72079 -aS'was\tbe\tVBD\tB-VP\tO' -p72080 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p72081 -aS'for\tfor\tIN\tB-PP\tO' -p72082 -aS'RBC\tRBC\tNNP\tB-NP\tB-cell_type' -p72083 -aS"'s\t's\tPOS\tB-NP\tO" -p72084 -aS'.\t.\t.\tO\tO' -p72085 -asS'There were post laparoscopic incisions without erythema with Steri-Strips in place .' -p72086 -(lp72087 -S'There\tThere\tEX\tB-NP\tO' -p72088 -aS'were\tbe\tVBD\tB-VP\tO' -p72089 -aS'post\tpost\tJJ\tB-NP\tO' -p72090 -aS'laparoscopic\tlaparoscopic\tJJ\tI-NP\tO' -p72091 -aS'incisions\tincision\tNNS\tI-NP\tO' -p72092 -aS'without\twithout\tIN\tB-PP\tO' -p72093 -aS'erythema\terythema\tNN\tB-NP\tO' -p72094 -aS'with\twith\tIN\tB-PP\tO' -p72095 -aS'Steri-Strips\tSteri-Strip\tNNS\tB-NP\tB-protein' -p72096 -aS'in\tin\tIN\tB-PP\tO' -p72097 -aS'place\tplace\tNN\tB-NP\tO' -p72098 -aS'.\t.\t.\tO\tO' -p72099 -asS'The patient was transferred for cardiac catheterization .' -p72100 -(lp72101 -S'The\tThe\tDT\tB-NP\tO' -p72102 -aS'patient\tpatient\tNN\tI-NP\tO' -p72103 -aS'was\tbe\tVBD\tB-VP\tO' -p72104 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p72105 -aS'for\tfor\tIN\tB-PP\tO' -p72106 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p72107 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p72108 -aS'.\t.\t.\tO\tO' -p72109 -asS'Abdomen was soft , nontender , nondistended , with normal active bowel sounds .' -p72110 -(lp72111 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p72112 -aS'was\tbe\tVBD\tB-VP\tO' -p72113 -aS'soft\tsoft\tJJ\tB-NP\tO' -p72114 -aS',\t,\t,\tI-NP\tO' -p72115 -aS'nontender\tnontender\tJJ\tI-NP\tO' -p72116 -aS',\t,\t,\tI-NP\tO' -p72117 -aS'nondistended\tnondistended\tJJ\tI-NP\tO' -p72118 -aS',\t,\t,\tO\tO' -p72119 -aS'with\twith\tIN\tB-PP\tO' -p72120 -aS'normal\tnormal\tJJ\tB-NP\tO' -p72121 -aS'active\tactive\tJJ\tI-NP\tO' -p72122 -aS'bowel\tbowel\tNN\tI-NP\tO' -p72123 -aS'sounds\tsound\tNNS\tI-NP\tO' -p72124 -aS'.\t.\t.\tO\tO' -p72125 -asS'Echo did not reveal potential source of emboli , but showed striking left ventricle akinesis and hypokinesis presumbly due to past MI x 2 .' -p72126 -(lp72127 -S'Echo\tEcho\tNNP\tB-NP\tO' -p72128 -aS'did\tdo\tVBD\tB-VP\tO' -p72129 -aS'not\tnot\tRB\tI-VP\tO' -p72130 -aS'reveal\treveal\tVB\tI-VP\tO' -p72131 -aS'potential\tpotential\tJJ\tB-NP\tO' -p72132 -aS'source\tsource\tNN\tI-NP\tO' -p72133 -aS'of\tof\tIN\tB-PP\tO' -p72134 -aS'emboli\tembolus\tNNS\tB-NP\tO' -p72135 -aS',\t,\t,\tO\tO' -p72136 -aS'but\tbut\tCC\tO\tO' -p72137 -aS'showed\tshow\tVBD\tB-VP\tO' -p72138 -aS'striking\tstriking\tJJ\tB-NP\tO' -p72139 -aS'left\tleft\tJJ\tI-NP\tO' -p72140 -aS'ventricle\tventricle\tNN\tI-NP\tO' -p72141 -aS'akinesis\takinesis\tNN\tI-NP\tO' -p72142 -aS'and\tand\tCC\tI-NP\tO' -p72143 -aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' -p72144 -aS'presumbly\tpresumbly\tRB\tB-ADJP\tO' -p72145 -aS'due\tdue\tJJ\tI-ADJP\tO' -p72146 -aS'to\tto\tTO\tB-PP\tO' -p72147 -aS'past\tpast\tJJ\tB-NP\tB-protein' -p72148 -aS'MI\tMI\tNN\tI-NP\tI-protein' -p72149 -aS'x\tx\tNN\tI-NP\tI-protein' -p72150 -aS'2\t2\tCD\tI-NP\tI-protein' -p72151 -aS'.\t.\t.\tO\tO' -p72152 -asS'Straight leg raise test was difficult to perform due to pain but seemed to be positive on the right .' -p72153 -(lp72154 -S'Straight\tStraight\tJJ\tB-NP\tO' -p72155 -aS'leg\tleg\tNN\tI-NP\tO' -p72156 -aS'raise\traise\tNN\tI-NP\tO' -p72157 -aS'test\ttest\tNN\tI-NP\tO' -p72158 -aS'was\tbe\tVBD\tB-VP\tO' -p72159 -aS'difficult\tdifficult\tJJ\tB-ADJP\tO' -p72160 -aS'to\tto\tTO\tB-VP\tO' -p72161 -aS'perform\tperform\tVB\tI-VP\tO' -p72162 -aS'due\tdue\tIN\tB-PP\tO' -p72163 -aS'to\tto\tTO\tB-PP\tO' -p72164 -aS'pain\tpain\tNN\tB-NP\tO' -p72165 -aS'but\tbut\tCC\tO\tO' -p72166 -aS'seemed\tseem\tVBD\tB-VP\tO' -p72167 -aS'to\tto\tTO\tI-VP\tO' -p72168 -aS'be\tbe\tVB\tI-VP\tO' -p72169 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p72170 -aS'on\ton\tIN\tB-PP\tO' -p72171 -aS'the\tthe\tDT\tB-NP\tO' -p72172 -aS'right\tright\tNN\tI-NP\tO' -p72173 -aS'.\t.\t.\tO\tO' -p72174 -asS'He is to follow up with Dr. East here at the Heart Failure Clinic to continue follow up with cardiac rehabilitation and heart failure management .' -p72175 -(lp72176 -S'He\tHe\tPRP\tB-NP\tO' -p72177 -aS'is\tbe\tVBZ\tB-VP\tO' -p72178 -aS'to\tto\tTO\tB-VP\tO' -p72179 -aS'follow\tfollow\tVB\tI-VP\tO' -p72180 -aS'up\tup\tRP\tB-PRT\tO' -p72181 -aS'with\twith\tIN\tB-PP\tO' -p72182 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p72183 -aS'East\tEast\tNNP\tI-NP\tO' -p72184 -aS'here\there\tRB\tB-ADVP\tO' -p72185 -aS'at\tat\tIN\tB-PP\tO' -p72186 -aS'the\tthe\tDT\tB-NP\tO' -p72187 -aS'Heart\tHeart\tNNP\tI-NP\tO' -p72188 -aS'Failure\tFailure\tNNP\tI-NP\tO' -p72189 -aS'Clinic\tClinic\tNNP\tI-NP\tO' -p72190 -aS'to\tto\tTO\tB-VP\tO' -p72191 -aS'continue\tcontinue\tVB\tI-VP\tO' -p72192 -aS'follow\tfollow\tVB\tI-VP\tO' -p72193 -aS'up\tup\tRP\tB-PRT\tO' -p72194 -aS'with\twith\tIN\tB-PP\tO' -p72195 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p72196 -aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' -p72197 -aS'and\tand\tCC\tI-NP\tO' -p72198 -aS'heart\theart\tNN\tI-NP\tO' -p72199 -aS'failure\tfailure\tNN\tI-NP\tO' -p72200 -aS'management\tmanagement\tNN\tI-NP\tO' -p72201 -aS'.\t.\t.\tO\tO' -p72202 -asS'He had guaiac positive stools .' -p72203 -(lp72204 -S'He\tHe\tPRP\tB-NP\tO' -p72205 -aS'had\thave\tVBD\tB-VP\tO' -p72206 -aS'guaiac\tguaiac\tJJ\tB-NP\tO' -p72207 -aS'positive\tpositive\tJJ\tI-NP\tO' -p72208 -aS'stools\tstool\tNNS\tI-NP\tO' -p72209 -aS'.\t.\t.\tO\tO' -p72210 -asS'In 1992 , the patient has been diagnosed with bladder papilloma and has been cystoscoped seven times .' -p72211 -(lp72212 -S'In\tIn\tIN\tB-PP\tO' -p72213 -aS'1992\t1992\tCD\tB-NP\tO' -p72214 -aS',\t,\t,\tO\tO' -p72215 -aS'the\tthe\tDT\tB-NP\tO' -p72216 -aS'patient\tpatient\tNN\tI-NP\tO' -p72217 -aS'has\thave\tVBZ\tB-VP\tO' -p72218 -aS'been\tbe\tVBN\tI-VP\tO' -p72219 -aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' -p72220 -aS'with\twith\tIN\tB-PP\tO' -p72221 -aS'bladder\tbladder\tNN\tB-NP\tO' -p72222 -aS'papilloma\tpapilloma\tNN\tI-NP\tO' -p72223 -aS'and\tand\tCC\tO\tO' -p72224 -aS'has\thave\tVBZ\tB-VP\tO' -p72225 -aS'been\tbe\tVBN\tI-VP\tO' -p72226 -aS'cystoscoped\tcystoscope\tVBN\tI-VP\tO' -p72227 -aS'seven\tseven\tCD\tB-NP\tO' -p72228 -aS'times\ttime\tNNS\tI-NP\tO' -p72229 -aS'.\t.\t.\tO\tO' -p72230 -asS'3. Digoxin .' -p72231 -(lp72232 -S'3.\t3.\tLS\tB-NP\tO' -p72233 -aS'Digoxin\tDigoxin\tNN\tI-NP\tO' -p72234 -aS'.\t.\t.\tO\tO' -p72235 -asS'3. Tylenol prn .' -p72236 -(lp72237 -S'3.\t3.\tLS\tB-NP\tO' -p72238 -aS'Tylenol\tTylenol\tNN\tI-NP\tO' -p72239 -aS'prn\tprn\tNN\tI-NP\tO' -p72240 -aS'.\t.\t.\tO\tO' -p72241 -asS'Patient is a 53 - year-old female found down in hotel room by EMS with change in mental status and lethargy .' -p72242 -(lp72243 -S'Patient\tPatient\tNN\tB-NP\tO' -p72244 -aS'is\tbe\tVBZ\tB-VP\tO' -p72245 -aS'a\ta\tDT\tB-NP\tO' -p72246 -aS'53\t53\tCD\tI-NP\tO' -p72247 -aS'-\t-\tHYPH\tI-NP\tO' -p72248 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p72249 -aS'female\tfemale\tJJ\tI-NP\tO' -p72250 -aS'found\tfind\tVBN\tB-VP\tO' -p72251 -aS'down\tdown\tRB\tB-ADVP\tO' -p72252 -aS'in\tin\tIN\tB-PP\tO' -p72253 -aS'hotel\thotel\tNN\tB-NP\tO' -p72254 -aS'room\troom\tNN\tI-NP\tO' -p72255 -aS'by\tby\tIN\tB-PP\tO' -p72256 -aS'EMS\tEMS\tNN\tB-NP\tO' -p72257 -aS'with\twith\tIN\tB-PP\tO' -p72258 -aS'change\tchange\tNN\tB-NP\tO' -p72259 -aS'in\tin\tIN\tB-PP\tO' -p72260 -aS'mental\tmental\tJJ\tB-NP\tO' -p72261 -aS'status\tstatus\tNN\tI-NP\tO' -p72262 -aS'and\tand\tCC\tO\tO' -p72263 -aS'lethargy\tlethargy\tNN\tB-NP\tO' -p72264 -aS'.\t.\t.\tO\tO' -p72265 -asS'Attending : George XL Patrick , M.D.' -p72266 -(lp72267 -S'Attending\tAttend\tVBG\tB-VP\tO' -p72268 -aS':\t:\t:\tO\tO' -p72269 -aS'George\tGeorge\tNNP\tB-NP\tO' -p72270 -aS'XL\tXL\tNNP\tI-NP\tO' -p72271 -aS'Patrick\tPatrick\tNNP\tI-NP\tO' -p72272 -aS',\t,\t,\tO\tO' -p72273 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p72274 -asS'CP / burning lasted several hours and was relieved after she received Maalox , lidocaine , and NTG in the ED .' -p72275 -(lp72276 -S'CP\tCP\tNN\tB-NP\tB-DNA' -p72277 -aS'/\t/\tSYM\tI-NP\tO' -p72278 -aS'burning\tburning\tNN\tI-NP\tO' -p72279 -aS'lasted\tlast\tVBD\tB-VP\tO' -p72280 -aS'several\tseveral\tJJ\tB-NP\tO' -p72281 -aS'hours\thour\tNNS\tI-NP\tO' -p72282 -aS'and\tand\tCC\tO\tO' -p72283 -aS'was\tbe\tVBD\tB-VP\tO' -p72284 -aS'relieved\trelieve\tVBN\tI-VP\tO' -p72285 -aS'after\tafter\tIN\tB-SBAR\tO' -p72286 -aS'she\tshe\tPRP\tB-NP\tO' -p72287 -aS'received\treceive\tVBD\tB-VP\tO' -p72288 -aS'Maalox\tMaalox\tNNP\tB-NP\tO' -p72289 -aS',\t,\t,\tO\tO' -p72290 -aS'lidocaine\tlidocaine\tNN\tB-NP\tO' -p72291 -aS',\t,\t,\tO\tO' -p72292 -aS'and\tand\tCC\tO\tO' -p72293 -aS'NTG\tNTG\tNN\tB-NP\tB-protein' -p72294 -aS'in\tin\tIN\tB-PP\tO' -p72295 -aS'the\tthe\tDT\tB-NP\tO' -p72296 -aS'ED\tED\tNN\tI-NP\tO' -p72297 -aS'.\t.\t.\tO\tO' -p72298 -asS'The patient was taken to the operating room on March 11 , 2002 , and underwent an uncomplicated right total hip replacement .' -p72299 -(lp72300 -S'The\tThe\tDT\tB-NP\tO' -p72301 -aS'patient\tpatient\tNN\tI-NP\tO' -p72302 -aS'was\tbe\tVBD\tB-VP\tO' -p72303 -aS'taken\ttake\tVBN\tI-VP\tO' -p72304 -aS'to\tto\tTO\tB-PP\tO' -p72305 -aS'the\tthe\tDT\tB-NP\tO' -p72306 -aS'operating\toperating\tNN\tI-NP\tO' -p72307 -aS'room\troom\tNN\tI-NP\tO' -p72308 -aS'on\ton\tIN\tB-PP\tO' -p72309 -aS'March\tMarch\tNNP\tB-NP\tO' -p72310 -aS'11\t11\tCD\tI-NP\tO' -p72311 -aS',\t,\t,\tI-NP\tO' -p72312 -aS'2002\t2002\tCD\tI-NP\tO' -p72313 -aS',\t,\t,\tO\tO' -p72314 -aS'and\tand\tCC\tO\tO' -p72315 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p72316 -aS'an\tan\tDT\tB-NP\tO' -p72317 -aS'uncomplicated\tuncomplicated\tJJ\tI-NP\tO' -p72318 -aS'right\tright\tJJ\tI-NP\tO' -p72319 -aS'total\ttotal\tJJ\tI-NP\tO' -p72320 -aS'hip\thip\tNN\tI-NP\tO' -p72321 -aS'replacement\treplacement\tNN\tI-NP\tO' -p72322 -aS'.\t.\t.\tO\tO' -p72323 -asS'Lung sounds clear bilaterally .' -p72324 -(lp72325 -S'Lung\tLung\tNN\tB-NP\tO' -p72326 -aS'sounds\tsound\tVBZ\tB-VP\tO' -p72327 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p72328 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p72329 -aS'.\t.\t.\tO\tO' -p72330 -asS'Carotids were 1+ bilaterally .' -p72331 -(lp72332 -S'Carotids\tCarotid\tNNS\tB-NP\tO' -p72333 -aS'were\tbe\tVBD\tB-VP\tO' -p72334 -aS'1+\t1+\tJJ\tB-ADJP\tO' -p72335 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p72336 -aS'.\t.\t.\tO\tO' -p72337 -asS'Neurological exam on admission revealed he was drowsy but easily arousable to voice , oriented to person , Retelk County Medical Center , and date , able to say no but mildly inattentive during examination .' -p72338 -(lp72339 -S'Neurological\tNeurological\tJJ\tB-NP\tO' -p72340 -aS'exam\texam\tNN\tI-NP\tO' -p72341 -aS'on\ton\tIN\tB-PP\tO' -p72342 -aS'admission\tadmission\tNN\tB-NP\tO' -p72343 -aS'revealed\treveal\tVBD\tB-VP\tO' -p72344 -aS'he\the\tPRP\tB-NP\tO' -p72345 -aS'was\tbe\tVBD\tB-VP\tO' -p72346 -aS'drowsy\tdrowsy\tJJ\tB-ADJP\tO' -p72347 -aS'but\tbut\tCC\tO\tO' -p72348 -aS'easily\teasily\tRB\tB-ADJP\tO' -p72349 -aS'arousable\tarousable\tJJ\tI-ADJP\tO' -p72350 -aS'to\tto\tTO\tB-PP\tO' -p72351 -aS'voice\tvoice\tNN\tB-NP\tO' -p72352 -aS',\t,\t,\tO\tO' -p72353 -aS'oriented\torient\tVBN\tB-VP\tO' -p72354 -aS'to\tto\tTO\tB-PP\tO' -p72355 -aS'person\tperson\tNN\tB-NP\tO' -p72356 -aS',\t,\t,\tO\tO' -p72357 -aS'Retelk\tRetelk\tNNP\tB-NP\tO' -p72358 -aS'County\tCounty\tNNP\tI-NP\tO' -p72359 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p72360 -aS'Center\tCenter\tNNP\tI-NP\tO' -p72361 -aS',\t,\t,\tO\tO' -p72362 -aS'and\tand\tCC\tO\tO' -p72363 -aS'date\tdate\tNN\tB-NP\tO' -p72364 -aS',\t,\t,\tO\tO' -p72365 -aS'able\table\tJJ\tB-ADJP\tO' -p72366 -aS'to\tto\tTO\tB-VP\tO' -p72367 -aS'say\tsay\tVB\tI-VP\tO' -p72368 -aS'no\tno\tDT\tB-NP\tO' -p72369 -aS'but\tbut\tCC\tO\tO' -p72370 -aS'mildly\tmildly\tRB\tB-ADJP\tO' -p72371 -aS'inattentive\tinattentive\tJJ\tI-ADJP\tO' -p72372 -aS'during\tduring\tIN\tB-PP\tO' -p72373 -aS'examination\texamination\tNN\tB-NP\tO' -p72374 -aS'.\t.\t.\tO\tO' -p72375 -asS"54 yo F with Crohn 's s/p ileostomy and subsequent short gut syndrome with port-a-cath placement for TPN who presents with progressive right sided chest pain that comes in waves ." -p72376 -(lp72377 -S'54\t54\tCD\tB-NP\tO' -p72378 -aS'yo\tyo\tNN\tI-NP\tO' -p72379 -aS'F\tF\tNN\tI-NP\tO' -p72380 -aS'with\twith\tIN\tB-PP\tO' -p72381 -aS'Crohn\tCrohn\tNN\tB-NP\tO' -p72382 -aS"'s\t's\tPOS\tB-NP\tO" -p72383 -aS's/p\ts/p\tNN\tI-NP\tO' -p72384 -aS'ileostomy\tileostomy\tNN\tI-NP\tO' -p72385 -aS'and\tand\tCC\tO\tO' -p72386 -aS'subsequent\tsubsequent\tJJ\tB-NP\tO' -p72387 -aS'short\tshort\tJJ\tI-NP\tO' -p72388 -aS'gut\tgut\tNN\tI-NP\tO' -p72389 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p72390 -aS'with\twith\tIN\tB-PP\tO' -p72391 -aS'port-a-cath\tport-a-cath\tJJ\tB-NP\tO' -p72392 -aS'placement\tplacement\tNN\tI-NP\tO' -p72393 -aS'for\tfor\tIN\tB-PP\tO' -p72394 -aS'TPN\tTPN\tNN\tB-NP\tB-protein' -p72395 -aS'who\twho\tWP\tB-NP\tO' -p72396 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p72397 -aS'with\twith\tIN\tB-PP\tO' -p72398 -aS'progressive\tprogressive\tJJ\tB-NP\tO' -p72399 -aS'right\tright\tJJ\tI-NP\tO' -p72400 -aS'sided\tsided\tJJ\tI-NP\tO' -p72401 -aS'chest\tchest\tNN\tI-NP\tO' -p72402 -aS'pain\tpain\tNN\tI-NP\tO' -p72403 -aS'that\tthat\tWDT\tB-NP\tO' -p72404 -aS'comes\tcome\tVBZ\tB-VP\tO' -p72405 -aS'in\tin\tIN\tB-PP\tO' -p72406 -aS'waves\twave\tNNS\tB-NP\tO' -p72407 -aS'.\t.\t.\tO\tO' -p72408 -asS'Addendum : Findings are c/w paraspinous extension of infection anteriorly and laterally into the medial aspects of the psoas muscles bilaterally at the L3 and L4 levels .' -p72409 -(lp72410 -S'Addendum\tAddendum\tNN\tB-NP\tO' -p72411 -aS':\t:\t:\tO\tO' -p72412 -aS'Findings\tFinding\tNNS\tB-NP\tO' -p72413 -aS'are\tbe\tVBP\tB-VP\tO' -p72414 -aS'c/w\tc/w\tJJ\tB-NP\tO' -p72415 -aS'paraspinous\tparaspinous\tJJ\tI-NP\tO' -p72416 -aS'extension\textension\tNN\tI-NP\tO' -p72417 -aS'of\tof\tIN\tB-PP\tO' -p72418 -aS'infection\tinfection\tNN\tB-NP\tO' -p72419 -aS'anteriorly\tanteriorly\tRB\tB-ADVP\tO' -p72420 -aS'and\tand\tCC\tI-ADVP\tO' -p72421 -aS'laterally\tlaterally\tRB\tI-ADVP\tO' -p72422 -aS'into\tinto\tIN\tB-PP\tO' -p72423 -aS'the\tthe\tDT\tB-NP\tO' -p72424 -aS'medial\tmedial\tJJ\tI-NP\tO' -p72425 -aS'aspects\taspect\tNNS\tI-NP\tO' -p72426 -aS'of\tof\tIN\tB-PP\tO' -p72427 -aS'the\tthe\tDT\tB-NP\tO' -p72428 -aS'psoas\tpsoas\tNN\tI-NP\tO' -p72429 -aS'muscles\tmuscle\tNNS\tI-NP\tO' -p72430 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p72431 -aS'at\tat\tIN\tB-PP\tO' -p72432 -aS'the\tthe\tDT\tB-NP\tO' -p72433 -aS'L3\tL3\tNN\tI-NP\tB-DNA' -p72434 -aS'and\tand\tCC\tI-NP\tO' -p72435 -aS'L4\tL4\tNN\tI-NP\tB-protein' -p72436 -aS'levels\tlevel\tNNS\tI-NP\tO' -p72437 -aS'.\t.\t.\tO\tO' -p72438 -asS'Upon arrival to the CCU , he was hemodynamically stable .' -p72439 -(lp72440 -S'Upon\tUpon\tIN\tB-PP\tO' -p72441 -aS'arrival\tarrival\tNN\tB-NP\tO' -p72442 -aS'to\tto\tTO\tB-PP\tO' -p72443 -aS'the\tthe\tDT\tB-NP\tO' -p72444 -aS'CCU\tCCU\tNN\tI-NP\tB-DNA' -p72445 -aS',\t,\t,\tO\tO' -p72446 -aS'he\the\tPRP\tB-NP\tO' -p72447 -aS'was\tbe\tVBD\tB-VP\tO' -p72448 -aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' -p72449 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p72450 -aS'.\t.\t.\tO\tO' -p72451 -asS'As of the beginning of September , 1999 , she was able to swallow without difficulty , urinate without difficulty ( although bowel movements have been problematic ) .' -p72452 -(lp72453 -S'As\tAs\tIN\tB-PP\tO' -p72454 -aS'of\tof\tIN\tB-PP\tO' -p72455 -aS'the\tthe\tDT\tB-NP\tO' -p72456 -aS'beginning\tbeginning\tNN\tI-NP\tO' -p72457 -aS'of\tof\tIN\tB-PP\tO' -p72458 -aS'September\tSeptember\tNNP\tB-NP\tO' -p72459 -aS',\t,\t,\tO\tO' -p72460 -aS'1999\t1999\tCD\tB-NP\tO' -p72461 -aS',\t,\t,\tO\tO' -p72462 -aS'she\tshe\tPRP\tB-NP\tO' -p72463 -aS'was\tbe\tVBD\tB-VP\tO' -p72464 -aS'able\table\tJJ\tB-ADJP\tO' -p72465 -aS'to\tto\tTO\tB-VP\tO' -p72466 -aS'swallow\tswallow\tVB\tI-VP\tO' -p72467 -aS'without\twithout\tIN\tB-PP\tO' -p72468 -aS'difficulty\tdifficulty\tNN\tB-NP\tO' -p72469 -aS',\t,\t,\tO\tO' -p72470 -aS'urinate\turinate\tVBP\tB-VP\tO' -p72471 -aS'without\twithout\tIN\tB-PP\tO' -p72472 -aS'difficulty\tdifficulty\tNN\tB-NP\tO' -p72473 -aS'(\t(\t(\tO\tO' -p72474 -aS'although\talthough\tIN\tB-SBAR\tO' -p72475 -aS'bowel\tbowel\tNN\tB-NP\tO' -p72476 -aS'movements\tmovement\tNNS\tI-NP\tO' -p72477 -aS'have\thave\tVBP\tB-VP\tO' -p72478 -aS'been\tbe\tVBN\tI-VP\tO' -p72479 -aS'problematic\tproblematic\tJJ\tB-ADJP\tO' -p72480 -aS')\t)\t)\tO\tO' -p72481 -aS'.\t.\t.\tO\tO' -p72482 -asS'The patient has a long-standing history of spontaneous emesis due to overwhelming stress or excitement .' -p72483 -(lp72484 -S'The\tThe\tDT\tB-NP\tO' -p72485 -aS'patient\tpatient\tNN\tI-NP\tO' -p72486 -aS'has\thave\tVBZ\tB-VP\tO' -p72487 -aS'a\ta\tDT\tB-NP\tO' -p72488 -aS'long-standing\tlong-standing\tJJ\tI-NP\tO' -p72489 -aS'history\thistory\tNN\tI-NP\tO' -p72490 -aS'of\tof\tIN\tB-PP\tO' -p72491 -aS'spontaneous\tspontaneous\tJJ\tB-NP\tO' -p72492 -aS'emesis\temesis\tNN\tI-NP\tO' -p72493 -aS'due\tdue\tJJ\tB-PP\tO' -p72494 -aS'to\tto\tTO\tB-PP\tO' -p72495 -aS'overwhelming\toverwhelming\tJJ\tB-NP\tO' -p72496 -aS'stress\tstress\tNN\tI-NP\tO' -p72497 -aS'or\tor\tCC\tI-NP\tO' -p72498 -aS'excitement\texcitement\tNN\tI-NP\tO' -p72499 -aS'.\t.\t.\tO\tO' -p72500 -asS'This is a 55 - year-old Caucasian speaking male who is a smoker and has a family history of coronary artery disease , as well as a personal history of hypertension , who experienced multiple episodes of 10/10 substernal chest pain radiating down his left arm last night with his daily activities .' -p72501 -(lp72502 -S'This\tThis\tDT\tB-NP\tO' -p72503 -aS'is\tbe\tVBZ\tB-VP\tO' -p72504 -aS'a\ta\tDT\tB-NP\tO' -p72505 -aS'55\t55\tCD\tI-NP\tO' -p72506 -aS'-\t-\tHYPH\tI-NP\tO' -p72507 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p72508 -aS'Caucasian\tCaucasian\tJJ\tI-NP\tO' -p72509 -aS'speaking\tspeaking\tNN\tI-NP\tO' -p72510 -aS'male\tmale\tNN\tI-NP\tO' -p72511 -aS'who\twho\tWP\tB-NP\tO' -p72512 -aS'is\tbe\tVBZ\tB-VP\tO' -p72513 -aS'a\ta\tDT\tB-NP\tO' -p72514 -aS'smoker\tsmoker\tNN\tI-NP\tO' -p72515 -aS'and\tand\tCC\tO\tO' -p72516 -aS'has\thave\tVBZ\tB-VP\tO' -p72517 -aS'a\ta\tDT\tB-NP\tO' -p72518 -aS'family\tfamily\tNN\tI-NP\tO' -p72519 -aS'history\thistory\tNN\tI-NP\tO' -p72520 -aS'of\tof\tIN\tB-PP\tO' -p72521 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p72522 -aS'artery\tartery\tNN\tI-NP\tO' -p72523 -aS'disease\tdisease\tNN\tI-NP\tO' -p72524 -aS',\t,\t,\tO\tO' -p72525 -aS'as\tas\tRB\tB-CONJP\tO' -p72526 -aS'well\twell\tRB\tI-CONJP\tO' -p72527 -aS'as\tas\tIN\tI-CONJP\tO' -p72528 -aS'a\ta\tDT\tB-NP\tO' -p72529 -aS'personal\tpersonal\tJJ\tI-NP\tO' -p72530 -aS'history\thistory\tNN\tI-NP\tO' -p72531 -aS'of\tof\tIN\tB-PP\tO' -p72532 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p72533 -aS',\t,\t,\tO\tO' -p72534 -aS'who\twho\tWP\tB-NP\tO' -p72535 -aS'experienced\texperience\tVBD\tB-VP\tO' -p72536 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p72537 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p72538 -aS'of\tof\tIN\tB-PP\tO' -p72539 -aS'10/10\t10/10\tCD\tB-NP\tO' -p72540 -aS'substernal\tsubsternal\tJJ\tI-NP\tO' -p72541 -aS'chest\tchest\tNN\tI-NP\tO' -p72542 -aS'pain\tpain\tNN\tI-NP\tO' -p72543 -aS'radiating\tradiate\tVBG\tB-VP\tO' -p72544 -aS'down\tdown\tRP\tB-PRT\tO' -p72545 -aS'his\this\tPRP$\tB-NP\tO' -p72546 -aS'left\tleft\tJJ\tI-NP\tO' -p72547 -aS'arm\tarm\tNN\tI-NP\tO' -p72548 -aS'last\tlast\tJJ\tB-NP\tO' -p72549 -aS'night\tnight\tNN\tI-NP\tO' -p72550 -aS'with\twith\tIN\tB-PP\tO' -p72551 -aS'his\this\tPRP$\tB-NP\tO' -p72552 -aS'daily\tdaily\tJJ\tI-NP\tO' -p72553 -aS'activities\tactivity\tNNS\tI-NP\tO' -p72554 -aS'.\t.\t.\tO\tO' -p72555 -asS'Her discharge weight is 1477 gm .' -p72556 -(lp72557 -S'Her\tHer\tPRP$\tB-NP\tO' -p72558 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p72559 -aS'weight\tweight\tNN\tI-NP\tO' -p72560 -aS'is\tbe\tVBZ\tB-VP\tO' -p72561 -aS'1477\t1477\tCD\tB-NP\tO' -p72562 -aS'gm\tgm\tNN\tI-NP\tO' -p72563 -aS'.\t.\t.\tO\tO' -p72564 -asS'Question peripheral vertigo , takes Meclizine p.r.n.' -p72565 -(lp72566 -S'Question\tQuestion\tNN\tB-NP\tO' -p72567 -aS'peripheral\tperipheral\tJJ\tI-NP\tO' -p72568 -aS'vertigo\tvertigo\tNN\tI-NP\tO' -p72569 -aS',\t,\t,\tO\tO' -p72570 -aS'takes\ttake\tVBZ\tB-VP\tO' -p72571 -aS'Meclizine\tMeclizine\tNN\tB-NP\tO' -p72572 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p72573 -asS'Major Surgical or Invasive Procedure : s/p right hip ORIF' -p72574 -(lp72575 -S'Major\tMajor\tJJ\tB-NP\tO' -p72576 -aS'Surgical\tSurgical\tJJ\tI-NP\tO' -p72577 -aS'or\tor\tCC\tI-NP\tO' -p72578 -aS'Invasive\tInvasive\tJJ\tI-NP\tO' -p72579 -aS'Procedure\tProcedure\tNN\tI-NP\tO' -p72580 -aS':\t:\t:\tO\tO' -p72581 -aS's/p\ts/p\tVB\tB-VP\tO' -p72582 -aS'right\tright\tJJ\tB-NP\tB-protein' -p72583 -aS'hip\thip\tNN\tI-NP\tI-protein' -p72584 -aS'ORIF\tORIF\tNN\tI-NP\tI-protein' -p72585 -asS'Lives with wife .' -p72586 -(lp72587 -S'Lives\tLife\tNNS\tB-NP\tO' -p72588 -aS'with\twith\tIN\tB-PP\tO' -p72589 -aS'wife\twife\tNN\tB-NP\tO' -p72590 -aS'.\t.\t.\tO\tO' -p72591 -asS'The patient was to follow up in several days time with Dr. Chain of the Plastics Clinic .' -p72592 -(lp72593 -S'The\tThe\tDT\tB-NP\tO' -p72594 -aS'patient\tpatient\tNN\tI-NP\tO' -p72595 -aS'was\tbe\tVBD\tB-VP\tO' -p72596 -aS'to\tto\tTO\tB-VP\tO' -p72597 -aS'follow\tfollow\tVB\tI-VP\tO' -p72598 -aS'up\tup\tRP\tB-PRT\tO' -p72599 -aS'in\tin\tIN\tB-PP\tO' -p72600 -aS'several\tseveral\tJJ\tB-NP\tO' -p72601 -aS'days\tday\tNNS\tI-NP\tO' -p72602 -aS'time\ttime\tNN\tI-NP\tO' -p72603 -aS'with\twith\tIN\tB-PP\tO' -p72604 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p72605 -aS'Chain\tChain\tNNP\tI-NP\tO' -p72606 -aS'of\tof\tIN\tB-PP\tO' -p72607 -aS'the\tthe\tDT\tB-NP\tO' -p72608 -aS'Plastics\tPlastic\tNNPS\tI-NP\tO' -p72609 -aS'Clinic\tClinic\tNNP\tI-NP\tO' -p72610 -aS'.\t.\t.\tO\tO' -p72611 -asS'VT s/p cardiac cath , stent and amp ; amio loading' -p72612 -(lp72613 -S'VT\tVT\tNN\tB-NP\tO' -p72614 -aS's/p\ts/p\tNN\tI-NP\tO' -p72615 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p72616 -aS'cath\tcath\tNN\tI-NP\tO' -p72617 -aS',\t,\t,\tI-NP\tO' -p72618 -aS'stent\tstent\tNN\tI-NP\tO' -p72619 -aS'and\tand\tCC\tI-NP\tO' -p72620 -aS'amp\tamp\tNN\tI-NP\tO' -p72621 -aS';\t;\t:\tO\tO' -p72622 -aS'amio\tamio\tNN\tB-NP\tO' -p72623 -aS'loading\tloading\tNN\tI-NP\tO' -p72624 -asS'She has pleuritic chest pain which she has had since she arrested during her admission here and had CPR .' -p72625 -(lp72626 -S'She\tShe\tPRP\tB-NP\tO' -p72627 -aS'has\thave\tVBZ\tB-VP\tO' -p72628 -aS'pleuritic\tpleuritic\tJJ\tB-NP\tB-protein' -p72629 -aS'chest\tchest\tNN\tI-NP\tI-protein' -p72630 -aS'pain\tpain\tNN\tI-NP\tI-protein' -p72631 -aS'which\twhich\tWDT\tB-NP\tO' -p72632 -aS'she\tshe\tPRP\tB-NP\tO' -p72633 -aS'has\thave\tVBZ\tB-VP\tO' -p72634 -aS'had\thave\tVBN\tI-VP\tO' -p72635 -aS'since\tsince\tIN\tB-SBAR\tO' -p72636 -aS'she\tshe\tPRP\tB-NP\tO' -p72637 -aS'arrested\tarrest\tVBD\tB-VP\tO' -p72638 -aS'during\tduring\tIN\tB-PP\tO' -p72639 -aS'her\ther\tPRP$\tB-NP\tO' -p72640 -aS'admission\tadmission\tNN\tI-NP\tO' -p72641 -aS'here\there\tRB\tB-ADVP\tO' -p72642 -aS'and\tand\tCC\tO\tO' -p72643 -aS'had\thave\tVBD\tB-VP\tO' -p72644 -aS'CPR\tCPR\tNN\tB-NP\tB-protein' -p72645 -aS'.\t.\t.\tO\tO' -p72646 -asS'She was discharged on 10/15/2004 at 01:52 pm in good condition .' -p72647 -(lp72648 -S'She\tShe\tPRP\tB-NP\tO' -p72649 -aS'was\tbe\tVBD\tB-VP\tO' -p72650 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p72651 -aS'on\ton\tIN\tB-PP\tO' -p72652 -aS'10/15/2004\t10/15/2004\tCD\tB-NP\tO' -p72653 -aS'at\tat\tIN\tB-PP\tO' -p72654 -aS'01:52\t01:52\tCD\tB-NP\tO' -p72655 -aS'pm\tpm\tNN\tI-NP\tO' -p72656 -aS'in\tin\tIN\tB-PP\tO' -p72657 -aS'good\tgood\tJJ\tB-NP\tO' -p72658 -aS'condition\tcondition\tNN\tI-NP\tO' -p72659 -aS'.\t.\t.\tO\tO' -p72660 -asS'He lives with his wife who is his primary care giver .' -p72661 -(lp72662 -S'He\tHe\tPRP\tB-NP\tO' -p72663 -aS'lives\tlive\tVBZ\tB-VP\tO' -p72664 -aS'with\twith\tIN\tB-PP\tO' -p72665 -aS'his\this\tPRP$\tB-NP\tO' -p72666 -aS'wife\twife\tNN\tI-NP\tO' -p72667 -aS'who\twho\tWP\tB-NP\tO' -p72668 -aS'is\tbe\tVBZ\tB-VP\tO' -p72669 -aS'his\this\tPRP$\tB-NP\tO' -p72670 -aS'primary\tprimary\tJJ\tI-NP\tO' -p72671 -aS'care\tcare\tNN\tI-NP\tO' -p72672 -aS'giver\tgiver\tNN\tI-NP\tO' -p72673 -aS'.\t.\t.\tO\tO' -p72674 -asS'The pain was intermittent through the day and then at 4:00 p.m. increased and was also associated with nausea and diaphoresis .' -p72675 -(lp72676 -S'The\tThe\tDT\tB-NP\tO' -p72677 -aS'pain\tpain\tNN\tI-NP\tO' -p72678 -aS'was\tbe\tVBD\tB-VP\tO' -p72679 -aS'intermittent\tintermittent\tJJ\tB-ADJP\tO' -p72680 -aS'through\tthrough\tIN\tB-PP\tO' -p72681 -aS'the\tthe\tDT\tB-NP\tO' -p72682 -aS'day\tday\tNN\tI-NP\tO' -p72683 -aS'and\tand\tCC\tO\tO' -p72684 -aS'then\tthen\tRB\tB-ADVP\tO' -p72685 -aS'at\tat\tIN\tB-PP\tO' -p72686 -aS'4:00\t4:00\tCD\tB-NP\tO' -p72687 -aS'p.m.\tp.m.\tNN\tI-NP\tO' -p72688 -aS'increased\tincrease\tVBD\tB-VP\tO' -p72689 -aS'and\tand\tCC\tO\tO' -p72690 -aS'was\tbe\tVBD\tB-VP\tO' -p72691 -aS'also\talso\tRB\tI-VP\tO' -p72692 -aS'associated\tassociate\tVBN\tI-VP\tO' -p72693 -aS'with\twith\tIN\tB-PP\tO' -p72694 -aS'nausea\tnausea\tNN\tB-NP\tO' -p72695 -aS'and\tand\tCC\tI-NP\tO' -p72696 -aS'diaphoresis\tdiaphoresis\tNN\tI-NP\tO' -p72697 -aS'.\t.\t.\tO\tO' -p72698 -asS'9) Spontaneous dislocation of left hip in 2014' -p72699 -(lp72700 -S'9)\t9)\tLS\tB-NP\tO' -p72701 -aS'Spontaneous\tSpontaneous\tJJ\tI-NP\tO' -p72702 -aS'dislocation\tdislocation\tNN\tI-NP\tO' -p72703 -aS'of\tof\tIN\tB-PP\tO' -p72704 -aS'left\tleft\tJJ\tB-NP\tO' -p72705 -aS'hip\thip\tNN\tI-NP\tO' -p72706 -aS'in\tin\tIN\tB-PP\tO' -p72707 -aS'2014\t2014\tCD\tB-NP\tO' -p72708 -asS'Augmentin 875 mg twice a day for 10 days .' -p72709 -(lp72710 -S'Augmentin\tAugmentin\tIN\tB-PP\tO' -p72711 -aS'875\t875\tCD\tB-NP\tO' -p72712 -aS'mg\tmg\tNN\tI-NP\tO' -p72713 -aS'twice\ttwice\tRB\tB-NP\tO' -p72714 -aS'a\ta\tDT\tI-NP\tO' -p72715 -aS'day\tday\tNN\tI-NP\tO' -p72716 -aS'for\tfor\tIN\tB-PP\tO' -p72717 -aS'10\t10\tCD\tB-NP\tO' -p72718 -aS'days\tday\tNNS\tI-NP\tO' -p72719 -aS'.\t.\t.\tO\tO' -p72720 -asS'Mr. Knueppel had an emergent cricothyroidotomy followed by a formal tracheostomy at the outside hospital .' -p72721 -(lp72722 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p72723 -aS'Knueppel\tKnueppel\tNNP\tI-NP\tO' -p72724 -aS'had\thave\tVBD\tB-VP\tO' -p72725 -aS'an\tan\tDT\tB-NP\tO' -p72726 -aS'emergent\temergent\tJJ\tI-NP\tO' -p72727 -aS'cricothyroidotomy\tcricothyroidotomy\tNN\tI-NP\tO' -p72728 -aS'followed\tfollow\tVBN\tB-VP\tO' -p72729 -aS'by\tby\tIN\tB-PP\tO' -p72730 -aS'a\ta\tDT\tB-NP\tO' -p72731 -aS'formal\tformal\tJJ\tI-NP\tO' -p72732 -aS'tracheostomy\ttracheostomy\tNN\tI-NP\tO' -p72733 -aS'at\tat\tIN\tB-PP\tO' -p72734 -aS'the\tthe\tDT\tB-NP\tO' -p72735 -aS'outside\toutside\tJJ\tI-NP\tO' -p72736 -aS'hospital\thospital\tNN\tI-NP\tO' -p72737 -aS'.\t.\t.\tO\tO' -p72738 -asS'She has had multiple hospitalizations and has never been intubated .' -p72739 -(lp72740 -S'She\tShe\tPRP\tB-NP\tO' -p72741 -aS'has\thave\tVBZ\tB-VP\tO' -p72742 -aS'had\thave\tVBN\tI-VP\tO' -p72743 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p72744 -aS'hospitalizations\thospitalization\tNNS\tI-NP\tO' -p72745 -aS'and\tand\tCC\tO\tO' -p72746 -aS'has\thave\tVBZ\tB-VP\tO' -p72747 -aS'never\tnever\tRB\tI-VP\tO' -p72748 -aS'been\tbe\tVBN\tI-VP\tO' -p72749 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p72750 -aS'.\t.\t.\tO\tO' -p72751 -asS'EKG showed sinus brady at 16 , normal axis , normal intervals , no STT wave abnormalities .' -p72752 -(lp72753 -S'EKG\tEKG\tNN\tB-NP\tB-protein' -p72754 -aS'showed\tshow\tVBD\tB-VP\tO' -p72755 -aS'sinus\tsinus\tNN\tB-NP\tO' -p72756 -aS'brady\tbrady\tNN\tI-NP\tO' -p72757 -aS'at\tat\tIN\tB-PP\tO' -p72758 -aS'16\t16\tCD\tB-NP\tO' -p72759 -aS',\t,\t,\tO\tO' -p72760 -aS'normal\tnormal\tJJ\tB-NP\tO' -p72761 -aS'axis\taxis\tNN\tI-NP\tO' -p72762 -aS',\t,\t,\tO\tO' -p72763 -aS'normal\tnormal\tJJ\tB-NP\tO' -p72764 -aS'intervals\tinterval\tNNS\tI-NP\tO' -p72765 -aS',\t,\t,\tO\tO' -p72766 -aS'no\tno\tDT\tB-NP\tO' -p72767 -aS'STT\tSTT\tNN\tI-NP\tO' -p72768 -aS'wave\twave\tNN\tI-NP\tO' -p72769 -aS'abnormalities\tabnormality\tNNS\tI-NP\tO' -p72770 -aS'.\t.\t.\tO\tO' -p72771 -asS'Valium was given at 9/7/93 , 00:02 .' -p72772 -(lp72773 -S'Valium\tValium\tNN\tB-NP\tO' -p72774 -aS'was\tbe\tVBD\tB-VP\tO' -p72775 -aS'given\tgive\tVBN\tI-VP\tO' -p72776 -aS'at\tat\tIN\tB-PP\tO' -p72777 -aS'9/7/93\t9/7/93\tCD\tB-NP\tO' -p72778 -aS',\t,\t,\tI-NP\tO' -p72779 -aS'00:02\t00:02\tCD\tI-NP\tO' -p72780 -aS'.\t.\t.\tO\tO' -p72781 -asS'cervical spondylosis , tylenol for pain .' -p72782 -(lp72783 -S'cervical\tcervical\tJJ\tB-NP\tO' -p72784 -aS'spondylosis\tspondylosis\tNN\tI-NP\tO' -p72785 -aS',\t,\t,\tO\tO' -p72786 -aS'tylenol\ttylenol\tNN\tB-NP\tO' -p72787 -aS'for\tfor\tIN\tB-PP\tO' -p72788 -aS'pain\tpain\tNN\tB-NP\tO' -p72789 -aS'.\t.\t.\tO\tO' -p72790 -asS'Dr. Iola Alexander in 2 to 3 weeks .' -p72791 -(lp72792 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p72793 -aS'Iola\tIola\tNNP\tI-NP\tO' -p72794 -aS'Alexander\tAlexander\tNNP\tI-NP\tO' -p72795 -aS'in\tin\tIN\tB-PP\tO' -p72796 -aS'2\t2\tCD\tB-NP\tO' -p72797 -aS'to\tto\tTO\tI-NP\tO' -p72798 -aS'3\t3\tCD\tI-NP\tO' -p72799 -aS'weeks\tweek\tNNS\tI-NP\tO' -p72800 -aS'.\t.\t.\tO\tO' -p72801 -asS'Nose-no sinus discharge , no hemorrhage .' -p72802 -(lp72803 -S'Nose-no\tNose-no\tJJ\tB-NP\tO' -p72804 -aS'sinus\tsinus\tNN\tI-NP\tO' -p72805 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p72806 -aS',\t,\t,\tO\tO' -p72807 -aS'no\tno\tDT\tB-NP\tO' -p72808 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p72809 -aS'.\t.\t.\tO\tO' -p72810 -asS'He had normal cervical vertebral arteries .' -p72811 -(lp72812 -S'He\tHe\tPRP\tB-NP\tO' -p72813 -aS'had\thave\tVBD\tB-VP\tO' -p72814 -aS'normal\tnormal\tJJ\tB-NP\tO' -p72815 -aS'cervical\tcervical\tJJ\tI-NP\tO' -p72816 -aS'vertebral\tvertebral\tJJ\tI-NP\tO' -p72817 -aS'arteries\tartery\tNNS\tI-NP\tO' -p72818 -aS'.\t.\t.\tO\tO' -p72819 -asS'Abnormal Pap Test , history of' -p72820 -(lp72821 -S'Abnormal\tAbnormal\tJJ\tB-NP\tO' -p72822 -aS'Pap\tPap\tNN\tI-NP\tO' -p72823 -aS'Test\tTest\tNN\tI-NP\tO' -p72824 -aS',\t,\t,\tO\tO' -p72825 -aS'history\thistory\tNN\tB-NP\tO' -p72826 -aS'of\tof\tIN\tB-PP\tO' -p72827 -asS'There was an S4 .' -p72828 -(lp72829 -S'There\tThere\tEX\tB-NP\tO' -p72830 -aS'was\tbe\tVBD\tB-VP\tO' -p72831 -aS'an\tan\tDT\tB-NP\tO' -p72832 -aS'S4\tS4\tNN\tI-NP\tB-protein' -p72833 -aS'.\t.\t.\tO\tO' -p72834 -asS'The liver laceration was stable , no sign of rupture or further complication , did not required surgical managment .' -p72835 -(lp72836 -S'The\tThe\tDT\tB-NP\tO' -p72837 -aS'liver\tliver\tNN\tI-NP\tO' -p72838 -aS'laceration\tlaceration\tNN\tI-NP\tO' -p72839 -aS'was\tbe\tVBD\tB-VP\tO' -p72840 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p72841 -aS',\t,\t,\tO\tO' -p72842 -aS'no\tno\tDT\tB-NP\tO' -p72843 -aS'sign\tsign\tNN\tI-NP\tO' -p72844 -aS'of\tof\tIN\tB-PP\tO' -p72845 -aS'rupture\trupture\tNN\tB-NP\tO' -p72846 -aS'or\tor\tCC\tO\tO' -p72847 -aS'further\tfurther\tJJ\tB-NP\tO' -p72848 -aS'complication\tcomplication\tNN\tI-NP\tO' -p72849 -aS',\t,\t,\tO\tO' -p72850 -aS'did\tdo\tVBD\tB-VP\tO' -p72851 -aS'not\tnot\tRB\tI-VP\tO' -p72852 -aS'required\trequire\tVBN\tI-VP\tO' -p72853 -aS'surgical\tsurgical\tJJ\tB-NP\tO' -p72854 -aS'managment\tmanagment\tNN\tI-NP\tO' -p72855 -aS'.\t.\t.\tO\tO' -p72856 -asS'He was eventually transferred to the floor , where he remained meta-stable .' -p72857 -(lp72858 -S'He\tHe\tPRP\tB-NP\tO' -p72859 -aS'was\tbe\tVBD\tB-VP\tO' -p72860 -aS'eventually\teventually\tRB\tI-VP\tO' -p72861 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p72862 -aS'to\tto\tTO\tB-PP\tO' -p72863 -aS'the\tthe\tDT\tB-NP\tO' -p72864 -aS'floor\tfloor\tNN\tI-NP\tO' -p72865 -aS',\t,\t,\tO\tO' -p72866 -aS'where\twhere\tWRB\tB-ADVP\tO' -p72867 -aS'he\the\tPRP\tB-NP\tO' -p72868 -aS'remained\tremain\tVBD\tB-VP\tO' -p72869 -aS'meta-stable\tmeta-stable\tJJ\tB-ADJP\tO' -p72870 -aS'.\t.\t.\tO\tO' -p72871 -asS'2. He is on peripheral IV of total fluids 150 ml / kg / day of 10% dextrose with 2 mEq of sodium chloride per 100 ml and 1 mEq of potassium chloride per 100 ml .' -p72872 -(lp72873 -S'2.\t2.\tLS\tB-LST\tO' -p72874 -aS'He\tHe\tPRP\tB-NP\tO' -p72875 -aS'is\tbe\tVBZ\tB-VP\tO' -p72876 -aS'on\ton\tIN\tB-PP\tO' -p72877 -aS'peripheral\tperipheral\tJJ\tB-NP\tO' -p72878 -aS'IV\tIV\tCD\tI-NP\tO' -p72879 -aS'of\tof\tIN\tB-PP\tO' -p72880 -aS'total\ttotal\tJJ\tB-NP\tO' -p72881 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p72882 -aS'150\t150\tCD\tB-NP\tO' -p72883 -aS'ml\tml\tNN\tI-NP\tO' -p72884 -aS'/\t/\tSYM\tB-NP\tO' -p72885 -aS'kg\tkg\tNN\tI-NP\tO' -p72886 -aS'/\t/\tSYM\tB-NP\tO' -p72887 -aS'day\tday\tNN\tI-NP\tO' -p72888 -aS'of\tof\tIN\tB-PP\tO' -p72889 -aS'10%\t10%\tCD\tB-NP\tO' -p72890 -aS'dextrose\tdextrose\tNN\tI-NP\tO' -p72891 -aS'with\twith\tIN\tB-PP\tO' -p72892 -aS'2\t2\tCD\tB-NP\tO' -p72893 -aS'mEq\tmEq\tNN\tI-NP\tO' -p72894 -aS'of\tof\tIN\tB-PP\tO' -p72895 -aS'sodium\tsodium\tNN\tB-NP\tO' -p72896 -aS'chloride\tchloride\tNN\tI-NP\tO' -p72897 -aS'per\tper\tIN\tB-PP\tO' -p72898 -aS'100\t100\tCD\tB-NP\tO' -p72899 -aS'ml\tml\tNN\tI-NP\tO' -p72900 -aS'and\tand\tCC\tO\tO' -p72901 -aS'1\t1\tCD\tB-NP\tO' -p72902 -aS'mEq\tmEq\tNN\tI-NP\tO' -p72903 -aS'of\tof\tIN\tB-PP\tO' -p72904 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p72905 -aS'chloride\tchloride\tNN\tI-NP\tO' -p72906 -aS'per\tper\tIN\tB-PP\tO' -p72907 -aS'100\t100\tCD\tB-NP\tO' -p72908 -aS'ml\tml\tNN\tI-NP\tO' -p72909 -aS'.\t.\t.\tO\tO' -p72910 -asS'Overall left ventricular systolic function is normal ( LVEF > 55% ).' -p72911 -(lp72912 -S'Overall\tOverall\tRB\tB-ADVP\tO' -p72913 -aS'left\tleave\tVBD\tB-VP\tO' -p72914 -aS'ventricular\tventricular\tJJ\tB-NP\tO' -p72915 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p72916 -aS'function\tfunction\tNN\tI-NP\tO' -p72917 -aS'is\tbe\tVBZ\tB-VP\tO' -p72918 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p72919 -aS'(\t(\t(\tO\tO' -p72920 -aS'LVEF\tLVEF\tNN\tB-NP\tB-protein' -p72921 -aS'>\t>\tSYM\tB-NP\tO' -p72922 -aS'55%\t55%\tCD\tI-NP\tO' -p72923 -aS').\t).\t)\tO\tO' -p72924 -asS'Followup will be with Dr. Guabenfranda Day in his office .' -p72925 -(lp72926 -S'Followup\tFollowup\tNNP\tB-NP\tO' -p72927 -aS'will\twill\tMD\tB-VP\tO' -p72928 -aS'be\tbe\tVB\tI-VP\tO' -p72929 -aS'with\twith\tIN\tB-PP\tO' -p72930 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p72931 -aS'Guabenfranda\tGuabenfranda\tNNP\tI-NP\tO' -p72932 -aS'Day\tDay\tNNP\tI-NP\tO' -p72933 -aS'in\tin\tIN\tB-PP\tO' -p72934 -aS'his\this\tPRP$\tB-NP\tO' -p72935 -aS'office\toffice\tNN\tI-NP\tO' -p72936 -aS'.\t.\t.\tO\tO' -p72937 -asS'#. FEN : check lytes , most recently normal .' -p72938 -(lp72939 -S'#.\t#.\tRB\tB-ADVP\tO' -p72940 -aS'FEN\tFEN\tNNP\tB-NP\tO' -p72941 -aS':\t:\t:\tO\tO' -p72942 -aS'check\tcheck\tVB\tB-VP\tO' -p72943 -aS'lytes\tlyte\tNNS\tB-NP\tO' -p72944 -aS',\t,\t,\tO\tO' -p72945 -aS'most\tmost\tRBS\tB-ADVP\tO' -p72946 -aS'recently\trecently\tRB\tI-ADVP\tO' -p72947 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p72948 -aS'.\t.\t.\tO\tO' -p72949 -asS'Assumed to be secondary to trauma when moving patient into ambulance .' -p72950 -(lp72951 -S'Assumed\tAssume\tVBN\tB-VP\tO' -p72952 -aS'to\tto\tTO\tI-VP\tO' -p72953 -aS'be\tbe\tVB\tI-VP\tO' -p72954 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p72955 -aS'to\tto\tTO\tB-PP\tO' -p72956 -aS'trauma\ttrauma\tNN\tB-NP\tO' -p72957 -aS'when\twhen\tWRB\tB-ADVP\tO' -p72958 -aS'moving\tmove\tVBG\tB-VP\tO' -p72959 -aS'patient\tpatient\tNN\tB-NP\tO' -p72960 -aS'into\tinto\tIN\tB-PP\tO' -p72961 -aS'ambulance\tambulance\tNN\tB-NP\tO' -p72962 -aS'.\t.\t.\tO\tO' -p72963 -asS'You were admitted to the hospital for a pulmonary embolism .' -p72964 -(lp72965 -S'You\tYou\tPRP\tB-NP\tO' -p72966 -aS'were\tbe\tVBD\tB-VP\tO' -p72967 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p72968 -aS'to\tto\tTO\tB-PP\tO' -p72969 -aS'the\tthe\tDT\tB-NP\tO' -p72970 -aS'hospital\thospital\tNN\tI-NP\tO' -p72971 -aS'for\tfor\tIN\tB-PP\tO' -p72972 -aS'a\ta\tDT\tB-NP\tO' -p72973 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p72974 -aS'embolism\tembolism\tNN\tI-NP\tO' -p72975 -aS'.\t.\t.\tO\tO' -p72976 -asS'Given the significant amount of bleeding , baby was started prophylactically on phototherapy .' -p72977 -(lp72978 -S'Given\tGive\tVBN\tB-PP\tO' -p72979 -aS'the\tthe\tDT\tB-NP\tO' -p72980 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p72981 -aS'amount\tamount\tNN\tI-NP\tO' -p72982 -aS'of\tof\tIN\tB-PP\tO' -p72983 -aS'bleeding\tbleeding\tNN\tB-NP\tO' -p72984 -aS',\t,\t,\tO\tO' -p72985 -aS'baby\tbaby\tNN\tB-NP\tO' -p72986 -aS'was\tbe\tVBD\tB-VP\tO' -p72987 -aS'started\tstart\tVBN\tI-VP\tO' -p72988 -aS'prophylactically\tprophylactically\tRB\tB-ADVP\tO' -p72989 -aS'on\ton\tIN\tB-PP\tO' -p72990 -aS'phototherapy\tphototherapy\tNN\tB-NP\tO' -p72991 -aS'.\t.\t.\tO\tO' -p72992 -asS'She has reported that she has had upper respiratory symptoms times several days with increasing dyspnea on exertion and shortness of breath , eventually at rest with marked wheezing .' -p72993 -(lp72994 -S'She\tShe\tPRP\tB-NP\tO' -p72995 -aS'has\thave\tVBZ\tB-VP\tO' -p72996 -aS'reported\treport\tVBN\tI-VP\tO' -p72997 -aS'that\tthat\tIN\tB-SBAR\tO' -p72998 -aS'she\tshe\tPRP\tB-NP\tO' -p72999 -aS'has\thave\tVBZ\tB-VP\tO' -p73000 -aS'had\thave\tVBN\tI-VP\tO' -p73001 -aS'upper\tupper\tJJ\tB-NP\tO' -p73002 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p73003 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p73004 -aS'times\ttime\tNNS\tI-NP\tO' -p73005 -aS'several\tseveral\tJJ\tB-NP\tO' -p73006 -aS'days\tday\tNNS\tI-NP\tO' -p73007 -aS'with\twith\tIN\tB-PP\tO' -p73008 -aS'increasing\tincrease\tVBG\tB-NP\tO' -p73009 -aS'dyspnea\tdyspnea\tNN\tI-NP\tO' -p73010 -aS'on\ton\tIN\tB-PP\tO' -p73011 -aS'exertion\texertion\tNN\tB-NP\tO' -p73012 -aS'and\tand\tCC\tI-NP\tO' -p73013 -aS'shortness\tshortness\tNN\tI-NP\tO' -p73014 -aS'of\tof\tIN\tB-PP\tO' -p73015 -aS'breath\tbreath\tNN\tB-NP\tO' -p73016 -aS',\t,\t,\tO\tO' -p73017 -aS'eventually\teventually\tRB\tB-ADVP\tO' -p73018 -aS'at\tat\tIN\tB-PP\tO' -p73019 -aS'rest\trest\tNN\tB-NP\tO' -p73020 -aS'with\twith\tIN\tB-PP\tO' -p73021 -aS'marked\tmarked\tJJ\tB-NP\tO' -p73022 -aS'wheezing\twheezing\tNN\tI-NP\tO' -p73023 -aS'.\t.\t.\tO\tO' -p73024 -asS'On postop day number four she had passed flatus and was feeling much better .' -p73025 -(lp73026 -S'On\tOn\tIN\tB-PP\tO' -p73027 -aS'postop\tpostop\tJJ\tB-NP\tO' -p73028 -aS'day\tday\tNN\tI-NP\tO' -p73029 -aS'number\tnumber\tNN\tI-NP\tO' -p73030 -aS'four\tfour\tCD\tB-NP\tO' -p73031 -aS'she\tshe\tPRP\tB-NP\tO' -p73032 -aS'had\thave\tVBD\tB-VP\tO' -p73033 -aS'passed\tpass\tVBN\tI-VP\tO' -p73034 -aS'flatus\tflatus\tNN\tB-NP\tO' -p73035 -aS'and\tand\tCC\tO\tO' -p73036 -aS'was\tbe\tVBD\tB-VP\tO' -p73037 -aS'feeling\tfeel\tVBG\tI-VP\tO' -p73038 -aS'much\tmuch\tRB\tB-ADVP\tO' -p73039 -aS'better\twell\tRBR\tI-ADVP\tO' -p73040 -aS'.\t.\t.\tO\tO' -p73041 -asS'Previously he had not taken any of his medicines and smoked heavily on the outside and not kept any of his appointments .' -p73042 -(lp73043 -S'Previously\tPreviously\tRB\tB-ADVP\tO' -p73044 -aS'he\the\tPRP\tB-NP\tO' -p73045 -aS'had\thave\tVBD\tB-VP\tO' -p73046 -aS'not\tnot\tRB\tI-VP\tO' -p73047 -aS'taken\ttake\tVBN\tI-VP\tO' -p73048 -aS'any\tany\tDT\tB-NP\tO' -p73049 -aS'of\tof\tIN\tB-PP\tO' -p73050 -aS'his\this\tPRP$\tB-NP\tO' -p73051 -aS'medicines\tmedicine\tNNS\tI-NP\tO' -p73052 -aS'and\tand\tCC\tO\tO' -p73053 -aS'smoked\tsmoke\tVBD\tB-VP\tO' -p73054 -aS'heavily\theavily\tRB\tB-ADVP\tO' -p73055 -aS'on\ton\tIN\tB-PP\tO' -p73056 -aS'the\tthe\tDT\tB-NP\tO' -p73057 -aS'outside\toutside\tJJ\tI-NP\tO' -p73058 -aS'and\tand\tCC\tO\tO' -p73059 -aS'not\tnot\tRB\tB-VP\tO' -p73060 -aS'kept\tkept\tVB\tI-VP\tO' -p73061 -aS'any\tany\tDT\tB-NP\tO' -p73062 -aS'of\tof\tIN\tB-PP\tO' -p73063 -aS'his\this\tPRP$\tB-NP\tO' -p73064 -aS'appointments\tappointment\tNNS\tI-NP\tO' -p73065 -aS'.\t.\t.\tO\tO' -p73066 -asS'This is a 55 - year-old male with critical aortic stenosis who was referred to Dr. Brenda Hummer for discussion for surgical options to free this condition .' -p73067 -(lp73068 -S'This\tThis\tDT\tB-NP\tO' -p73069 -aS'is\tbe\tVBZ\tB-VP\tO' -p73070 -aS'a\ta\tDT\tB-NP\tO' -p73071 -aS'55\t55\tCD\tI-NP\tO' -p73072 -aS'-\t-\tHYPH\tI-NP\tO' -p73073 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p73074 -aS'male\tmale\tNN\tI-NP\tO' -p73075 -aS'with\twith\tIN\tB-PP\tO' -p73076 -aS'critical\tcritical\tJJ\tB-NP\tO' -p73077 -aS'aortic\taortic\tJJ\tI-NP\tO' -p73078 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p73079 -aS'who\twho\tWP\tB-NP\tO' -p73080 -aS'was\tbe\tVBD\tB-VP\tO' -p73081 -aS'referred\trefer\tVBN\tI-VP\tO' -p73082 -aS'to\tto\tTO\tB-PP\tO' -p73083 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p73084 -aS'Brenda\tBrenda\tNNP\tI-NP\tO' -p73085 -aS'Hummer\tHummer\tNNP\tI-NP\tO' -p73086 -aS'for\tfor\tIN\tB-PP\tO' -p73087 -aS'discussion\tdiscussion\tNN\tB-NP\tO' -p73088 -aS'for\tfor\tIN\tB-PP\tO' -p73089 -aS'surgical\tsurgical\tJJ\tB-NP\tO' -p73090 -aS'options\toption\tNNS\tI-NP\tO' -p73091 -aS'to\tto\tTO\tB-VP\tO' -p73092 -aS'free\tfree\tVB\tI-VP\tO' -p73093 -aS'this\tthis\tDT\tB-NP\tO' -p73094 -aS'condition\tcondition\tNN\tI-NP\tO' -p73095 -aS'.\t.\t.\tO\tO' -p73096 -asS'The rhythm revealed sinus tachycardia with no palpable or measurable blood pressure .' -p73097 -(lp73098 -S'The\tThe\tDT\tB-NP\tO' -p73099 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p73100 -aS'revealed\treveal\tVBD\tB-VP\tO' -p73101 -aS'sinus\tsinus\tNN\tB-NP\tO' -p73102 -aS'tachycardia\ttachycardia\tNN\tI-NP\tO' -p73103 -aS'with\twith\tIN\tB-PP\tO' -p73104 -aS'no\tno\tDT\tB-NP\tO' -p73105 -aS'palpable\tpalpable\tJJ\tI-NP\tO' -p73106 -aS'or\tor\tCC\tI-NP\tO' -p73107 -aS'measurable\tmeasurable\tJJ\tI-NP\tO' -p73108 -aS'blood\tblood\tNN\tI-NP\tO' -p73109 -aS'pressure\tpressure\tNN\tI-NP\tO' -p73110 -aS'.\t.\t.\tO\tO' -p73111 -asS'He was pan-cultured on 06-26 for continued fevers .' -p73112 -(lp73113 -S'He\tHe\tPRP\tB-NP\tO' -p73114 -aS'was\tbe\tVBD\tB-VP\tO' -p73115 -aS'pan-cultured\tpan-culture\tVBN\tI-VP\tO' -p73116 -aS'on\ton\tIN\tB-PP\tO' -p73117 -aS'06-26\t06-26\tCD\tB-NP\tO' -p73118 -aS'for\tfor\tIN\tB-PP\tO' -p73119 -aS'continued\tcontinue\tVBN\tB-NP\tO' -p73120 -aS'fevers\tfever\tNNS\tI-NP\tO' -p73121 -aS'.\t.\t.\tO\tO' -p73122 -asS'12-20 satting initially ~ 90% on 40% face mask .' -p73123 -(lp73124 -S'12-20\t12-20\tCD\tB-NP\tO' -p73125 -aS'satting\tsatte\tVBG\tB-VP\tO' -p73126 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p73127 -aS'~\t~\tIN\tB-PP\tO' -p73128 -aS'90%\t90%\tCD\tB-NP\tO' -p73129 -aS'on\ton\tIN\tB-PP\tO' -p73130 -aS'40%\t40%\tCD\tB-NP\tO' -p73131 -aS'face\tface\tNN\tI-NP\tO' -p73132 -aS'mask\tmask\tNN\tI-NP\tO' -p73133 -aS'.\t.\t.\tO\tO' -p73134 -asS'Evidence of anemia with being pale , but anicteric , no oral lesions .' -p73135 -(lp73136 -S'Evidence\tEvidence\tNN\tB-NP\tO' -p73137 -aS'of\tof\tIN\tB-PP\tO' -p73138 -aS'anemia\tanemia\tNN\tB-NP\tO' -p73139 -aS'with\twith\tIN\tB-PP\tO' -p73140 -aS'being\tbe\tVBG\tB-VP\tO' -p73141 -aS'pale\tpale\tJJ\tB-ADJP\tO' -p73142 -aS',\t,\t,\tO\tO' -p73143 -aS'but\tbut\tCC\tO\tO' -p73144 -aS'anicteric\tanicteric\tJJ\tB-ADJP\tO' -p73145 -aS',\t,\t,\tO\tO' -p73146 -aS'no\tno\tDT\tB-NP\tO' -p73147 -aS'oral\toral\tJJ\tI-NP\tO' -p73148 -aS'lesions\tlesion\tNNS\tI-NP\tO' -p73149 -aS'.\t.\t.\tO\tO' -p73150 -asS'6 ) Glucophage 500 mg p.o. q. day .' -p73151 -(lp73152 -S'6\t6\tCD\tB-NP\tO' -p73153 -aS')\t)\t)\tO\tO' -p73154 -aS'Glucophage\tGlucophage\tNN\tB-NP\tO' -p73155 -aS'500\t500\tCD\tI-NP\tO' -p73156 -aS'mg\tmg\tNN\tI-NP\tO' -p73157 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p73158 -aS'q.\tq.\tNN\tI-NP\tO' -p73159 -aS'day\tday\tNN\tI-NP\tO' -p73160 -aS'.\t.\t.\tO\tO' -p73161 -asS'normal pulses , no clubbing , cyanosis or edema .' -p73162 -(lp73163 -S'normal\tnormal\tJJ\tB-NP\tO' -p73164 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p73165 -aS',\t,\t,\tO\tO' -p73166 -aS'no\tno\tDT\tB-NP\tO' -p73167 -aS'clubbing\tclubbing\tNN\tI-NP\tO' -p73168 -aS',\t,\t,\tI-NP\tO' -p73169 -aS'cyanosis\tcyanosis\tNN\tI-NP\tO' -p73170 -aS'or\tor\tCC\tI-NP\tO' -p73171 -aS'edema\tedema\tNN\tI-NP\tO' -p73172 -aS'.\t.\t.\tO\tO' -p73173 -asS'The pericardial fluid bag was removed without any difficulty with the decision to monitor the patient overnight and repeat the echocardiogram prior to discharge .' -p73174 -(lp73175 -S'The\tThe\tDT\tB-NP\tO' -p73176 -aS'pericardial\tpericardial\tJJ\tI-NP\tO' -p73177 -aS'fluid\tfluid\tNN\tI-NP\tO' -p73178 -aS'bag\tbag\tNN\tI-NP\tO' -p73179 -aS'was\tbe\tVBD\tB-VP\tO' -p73180 -aS'removed\tremove\tVBN\tI-VP\tO' -p73181 -aS'without\twithout\tIN\tB-PP\tO' -p73182 -aS'any\tany\tDT\tB-NP\tO' -p73183 -aS'difficulty\tdifficulty\tNN\tI-NP\tO' -p73184 -aS'with\twith\tIN\tB-PP\tO' -p73185 -aS'the\tthe\tDT\tB-NP\tO' -p73186 -aS'decision\tdecision\tNN\tI-NP\tO' -p73187 -aS'to\tto\tTO\tB-VP\tO' -p73188 -aS'monitor\tmonitor\tVB\tI-VP\tO' -p73189 -aS'the\tthe\tDT\tB-NP\tO' -p73190 -aS'patient\tpatient\tNN\tI-NP\tO' -p73191 -aS'overnight\tovernight\tRB\tB-ADVP\tO' -p73192 -aS'and\tand\tCC\tO\tO' -p73193 -aS'repeat\trepeat\tVB\tB-VP\tO' -p73194 -aS'the\tthe\tDT\tB-NP\tO' -p73195 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p73196 -aS'prior\tprior\tRB\tB-ADVP\tO' -p73197 -aS'to\tto\tTO\tB-VP\tO' -p73198 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p73199 -aS'.\t.\t.\tO\tO' -p73200 -asS'Ophthalmology , eyes examined most recently on 05-30 revealing immaturity of the retinal vessels , but no ROP as of yet .' -p73201 -(lp73202 -S'Ophthalmology\tOphthalmology\tNN\tB-NP\tO' -p73203 -aS',\t,\t,\tO\tO' -p73204 -aS'eyes\teye\tNNS\tB-NP\tO' -p73205 -aS'examined\texamine\tVBN\tB-VP\tO' -p73206 -aS'most\tmost\tRBS\tB-ADVP\tO' -p73207 -aS'recently\trecently\tRB\tI-ADVP\tO' -p73208 -aS'on\ton\tIN\tB-PP\tO' -p73209 -aS'05-30\t05-30\tCD\tB-NP\tO' -p73210 -aS'revealing\treveal\tVBG\tI-NP\tO' -p73211 -aS'immaturity\timmaturity\tNN\tI-NP\tO' -p73212 -aS'of\tof\tIN\tB-PP\tO' -p73213 -aS'the\tthe\tDT\tB-NP\tO' -p73214 -aS'retinal\tretinal\tJJ\tI-NP\tO' -p73215 -aS'vessels\tvessel\tNNS\tI-NP\tO' -p73216 -aS',\t,\t,\tO\tO' -p73217 -aS'but\tbut\tCC\tO\tO' -p73218 -aS'no\tno\tDT\tB-NP\tO' -p73219 -aS'ROP\tROP\tNN\tI-NP\tB-protein' -p73220 -aS'as\tas\tIN\tB-PP\tO' -p73221 -aS'of\tof\tIN\tB-PP\tO' -p73222 -aS'yet\tyet\tRB\tB-NP\tO' -p73223 -aS'.\t.\t.\tO\tO' -p73224 -asS'The fluid was sent for amylase , which came back 53,230 .' -p73225 -(lp73226 -S'The\tThe\tDT\tB-NP\tO' -p73227 -aS'fluid\tfluid\tNN\tI-NP\tO' -p73228 -aS'was\tbe\tVBD\tB-VP\tO' -p73229 -aS'sent\tsend\tVBN\tI-VP\tO' -p73230 -aS'for\tfor\tIN\tB-PP\tO' -p73231 -aS'amylase\tamylase\tNN\tB-NP\tB-protein' -p73232 -aS',\t,\t,\tO\tO' -p73233 -aS'which\twhich\tWDT\tB-NP\tO' -p73234 -aS'came\tcome\tVBD\tB-VP\tO' -p73235 -aS'back\tback\tRB\tB-ADVP\tO' -p73236 -aS'53,230\t53,230\tCD\tB-NP\tO' -p73237 -aS'.\t.\t.\tO\tO' -p73238 -asS'She was initially started on Bactrim , but this was stopped as she was afebrile .' -p73239 -(lp73240 -S'She\tShe\tPRP\tB-NP\tO' -p73241 -aS'was\tbe\tVBD\tB-VP\tO' -p73242 -aS'initially\tinitially\tRB\tI-VP\tO' -p73243 -aS'started\tstart\tVBN\tI-VP\tO' -p73244 -aS'on\ton\tIN\tB-PP\tO' -p73245 -aS'Bactrim\tBactrim\tNNP\tB-NP\tO' -p73246 -aS',\t,\t,\tO\tO' -p73247 -aS'but\tbut\tCC\tO\tO' -p73248 -aS'this\tthis\tDT\tB-NP\tO' -p73249 -aS'was\tbe\tVBD\tB-VP\tO' -p73250 -aS'stopped\tstop\tVBN\tI-VP\tO' -p73251 -aS'as\tas\tIN\tB-SBAR\tO' -p73252 -aS'she\tshe\tPRP\tB-NP\tO' -p73253 -aS'was\tbe\tVBD\tB-VP\tO' -p73254 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p73255 -aS'.\t.\t.\tO\tO' -p73256 -asS'Her hematocrit was 31.4 on 6/29 with a PT of 18.2' -p73257 -(lp73258 -S'Her\tHer\tPRP$\tB-NP\tO' -p73259 -aS'hematocrit\thematocrit\tNN\tI-NP\tB-protein' -p73260 -aS'was\tbe\tVBD\tB-VP\tI-protein' -p73261 -aS'31.4\t31.4\tCD\tB-NP\tI-protein' -p73262 -aS'on\ton\tIN\tB-PP\tO' -p73263 -aS'6/29\t6/29\tCD\tB-NP\tO' -p73264 -aS'with\twith\tIN\tB-PP\tO' -p73265 -aS'a\ta\tDT\tB-NP\tO' -p73266 -aS'PT\tPT\tNN\tI-NP\tO' -p73267 -aS'of\tof\tIN\tB-PP\tO' -p73268 -aS'18.2\t18.2\tCD\tB-NP\tO' -p73269 -asS"The patient was to follow up with his PCP A. L. . Taylor in 7 to 10 days , and the patient was to call Dr. Thibodeau , CMED CSRU doctor to follow up in 2 weeks ' time ." -p73270 -(lp73271 -S'The\tThe\tDT\tB-NP\tO' -p73272 -aS'patient\tpatient\tNN\tI-NP\tO' -p73273 -aS'was\tbe\tVBD\tB-VP\tO' -p73274 -aS'to\tto\tTO\tB-VP\tO' -p73275 -aS'follow\tfollow\tVB\tI-VP\tO' -p73276 -aS'up\tup\tRP\tB-PRT\tO' -p73277 -aS'with\twith\tIN\tB-PP\tO' -p73278 -aS'his\this\tPRP$\tB-NP\tO' -p73279 -aS'PCP\tPCP\tNN\tI-NP\tB-protein' -p73280 -aS'A.\tA.\tNNP\tI-NP\tI-protein' -p73281 -aS'L.\tL.\tNNP\tI-NP\tI-protein' -p73282 -aS'.\t.\t.\tI-NP\tO' -p73283 -aS'Taylor\tTaylor\tNNP\tI-NP\tO' -p73284 -aS'in\tin\tIN\tB-PP\tO' -p73285 -aS'7\t7\tCD\tB-NP\tO' -p73286 -aS'to\tto\tTO\tI-NP\tO' -p73287 -aS'10\t10\tCD\tI-NP\tO' -p73288 -aS'days\tday\tNNS\tI-NP\tO' -p73289 -aS',\t,\t,\tO\tO' -p73290 -aS'and\tand\tCC\tO\tO' -p73291 -aS'the\tthe\tDT\tB-NP\tO' -p73292 -aS'patient\tpatient\tNN\tI-NP\tO' -p73293 -aS'was\tbe\tVBD\tB-VP\tO' -p73294 -aS'to\tto\tTO\tB-VP\tO' -p73295 -aS'call\tcall\tVB\tI-VP\tO' -p73296 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p73297 -aS'Thibodeau\tThibodeau\tNNP\tI-NP\tO' -p73298 -aS',\t,\t,\tO\tO' -p73299 -aS'CMED\tCMED\tNNP\tB-NP\tO' -p73300 -aS'CSRU\tCSRU\tNNP\tI-NP\tO' -p73301 -aS'doctor\tdoctor\tNN\tI-NP\tO' -p73302 -aS'to\tto\tTO\tB-VP\tO' -p73303 -aS'follow\tfollow\tVB\tI-VP\tO' -p73304 -aS'up\tup\tRP\tB-PRT\tO' -p73305 -aS'in\tin\tIN\tB-PP\tO' -p73306 -aS'2\t2\tCD\tB-NP\tO' -p73307 -aS'weeks\tweek\tNNS\tI-NP\tO' -p73308 -aS"'\t'\tPOS\tB-NP\tO" -p73309 -aS'time\ttime\tNN\tI-NP\tO' -p73310 -aS'.\t.\t.\tO\tO' -p73311 -asS'The patient was admitted to Team Four for cardiac monitoring and ruling out for MI .' -p73312 -(lp73313 -S'The\tThe\tDT\tB-NP\tO' -p73314 -aS'patient\tpatient\tNN\tI-NP\tO' -p73315 -aS'was\tbe\tVBD\tB-VP\tO' -p73316 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p73317 -aS'to\tto\tTO\tB-PP\tO' -p73318 -aS'Team\tTeam\tNN\tB-NP\tO' -p73319 -aS'Four\tFour\tCD\tI-NP\tO' -p73320 -aS'for\tfor\tIN\tB-PP\tO' -p73321 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p73322 -aS'monitoring\tmonitoring\tNN\tI-NP\tO' -p73323 -aS'and\tand\tCC\tO\tO' -p73324 -aS'ruling\trule\tVBG\tB-VP\tO' -p73325 -aS'out\tout\tRP\tB-PRT\tO' -p73326 -aS'for\tfor\tIN\tB-PP\tO' -p73327 -aS'MI\tMI\tNN\tB-NP\tO' -p73328 -aS'.\t.\t.\tO\tO' -p73329 -asS'On admission revealed a middle aged man in no distress .' -p73330 -(lp73331 -S'On\tOn\tIN\tB-PP\tO' -p73332 -aS'admission\tadmission\tNN\tB-NP\tO' -p73333 -aS'revealed\treveal\tVBD\tB-VP\tO' -p73334 -aS'a\ta\tDT\tB-NP\tO' -p73335 -aS'middle\tmiddle\tJJ\tI-NP\tO' -p73336 -aS'aged\taged\tJJ\tI-NP\tO' -p73337 -aS'man\tman\tNN\tI-NP\tO' -p73338 -aS'in\tin\tIN\tB-PP\tO' -p73339 -aS'no\tno\tDT\tB-NP\tO' -p73340 -aS'distress\tdistress\tNN\tI-NP\tO' -p73341 -aS'.\t.\t.\tO\tO' -p73342 -asS'He was given IVF without an adequate response in his pressures .' -p73343 -(lp73344 -S'He\tHe\tPRP\tB-NP\tO' -p73345 -aS'was\tbe\tVBD\tB-VP\tO' -p73346 -aS'given\tgive\tVBN\tI-VP\tO' -p73347 -aS'IVF\tIVF\tNN\tB-NP\tB-protein' -p73348 -aS'without\twithout\tIN\tB-PP\tO' -p73349 -aS'an\tan\tDT\tB-NP\tO' -p73350 -aS'adequate\tadequate\tJJ\tI-NP\tO' -p73351 -aS'response\tresponse\tNN\tI-NP\tO' -p73352 -aS'in\tin\tIN\tB-PP\tO' -p73353 -aS'his\this\tPRP$\tB-NP\tO' -p73354 -aS'pressures\tpressure\tNNS\tI-NP\tO' -p73355 -aS'.\t.\t.\tO\tO' -p73356 -asS'Return to the ER for high fevers , vomiting , uncontrolled pains or other concerns as needed .' -p73357 -(lp73358 -S'Return\tReturn\tNN\tB-NP\tO' -p73359 -aS'to\tto\tTO\tB-PP\tO' -p73360 -aS'the\tthe\tDT\tB-NP\tO' -p73361 -aS'ER\tER\tNN\tI-NP\tB-protein' -p73362 -aS'for\tfor\tIN\tB-PP\tO' -p73363 -aS'high\thigh\tJJ\tB-NP\tO' -p73364 -aS'fevers\tfever\tNNS\tI-NP\tO' -p73365 -aS',\t,\t,\tO\tO' -p73366 -aS'vomiting\tvomit\tVBG\tB-VP\tO' -p73367 -aS',\t,\t,\tO\tO' -p73368 -aS'uncontrolled\tuncontrolled\tJJ\tB-NP\tO' -p73369 -aS'pains\tpain\tNNS\tI-NP\tO' -p73370 -aS'or\tor\tCC\tO\tO' -p73371 -aS'other\tother\tJJ\tB-NP\tO' -p73372 -aS'concerns\tconcern\tNNS\tI-NP\tO' -p73373 -aS'as\tas\tIN\tB-SBAR\tO' -p73374 -aS'needed\tneed\tVBN\tB-VP\tO' -p73375 -aS'.\t.\t.\tO\tO' -p73376 -asS'Anal tone is reduced .' -p73377 -(lp73378 -S'Anal\tAnal\tJJ\tB-NP\tO' -p73379 -aS'tone\ttone\tNN\tI-NP\tO' -p73380 -aS'is\tbe\tVBZ\tB-VP\tO' -p73381 -aS'reduced\treduce\tVBN\tI-VP\tO' -p73382 -aS'.\t.\t.\tO\tO' -p73383 -asS'On the night of admission , the patient experienced post catheterization hypotension which required intravenous fluids and dopamine .' -p73384 -(lp73385 -S'On\tOn\tIN\tB-PP\tO' -p73386 -aS'the\tthe\tDT\tB-NP\tO' -p73387 -aS'night\tnight\tNN\tI-NP\tO' -p73388 -aS'of\tof\tIN\tB-PP\tO' -p73389 -aS'admission\tadmission\tNN\tB-NP\tO' -p73390 -aS',\t,\t,\tO\tO' -p73391 -aS'the\tthe\tDT\tB-NP\tO' -p73392 -aS'patient\tpatient\tNN\tI-NP\tO' -p73393 -aS'experienced\texperience\tVBD\tB-VP\tO' -p73394 -aS'post\tpost\tNN\tB-NP\tO' -p73395 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p73396 -aS'hypotension\thypotension\tNN\tI-NP\tO' -p73397 -aS'which\twhich\tWDT\tB-NP\tO' -p73398 -aS'required\trequire\tVBD\tB-VP\tO' -p73399 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p73400 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p73401 -aS'and\tand\tCC\tI-NP\tO' -p73402 -aS'dopamine\tdopamine\tNN\tI-NP\tO' -p73403 -aS'.\t.\t.\tO\tO' -p73404 -asS"Since then the patient 's oxygenation has been improving and today , 10-17 , she is requiring .5 liters of keep her saturations above 94 ." -p73405 -(lp73406 -S'Since\tSince\tIN\tB-PP\tO' -p73407 -aS'then\tthen\tRB\tB-ADVP\tO' -p73408 -aS'the\tthe\tDT\tB-NP\tO' -p73409 -aS'patient\tpatient\tNN\tI-NP\tO' -p73410 -aS"'s\t's\tPOS\tB-NP\tO" -p73411 -aS'oxygenation\toxygenation\tNN\tI-NP\tO' -p73412 -aS'has\thave\tVBZ\tB-VP\tO' -p73413 -aS'been\tbe\tVBN\tI-VP\tO' -p73414 -aS'improving\timprove\tVBG\tI-VP\tO' -p73415 -aS'and\tand\tCC\tO\tO' -p73416 -aS'today\ttoday\tNN\tB-NP\tO' -p73417 -aS',\t,\t,\tO\tO' -p73418 -aS'10-17\t10-17\tCD\tB-NP\tO' -p73419 -aS',\t,\t,\tO\tO' -p73420 -aS'she\tshe\tPRP\tB-NP\tO' -p73421 -aS'is\tbe\tVBZ\tB-VP\tO' -p73422 -aS'requiring\trequire\tVBG\tI-VP\tO' -p73423 -aS'.5\t.5\tCD\tB-NP\tO' -p73424 -aS'liters\tliter\tNNS\tI-NP\tO' -p73425 -aS'of\tof\tIN\tB-PP\tO' -p73426 -aS'keep\tkeep\tVB\tB-VP\tO' -p73427 -aS'her\ther\tPRP$\tB-NP\tO' -p73428 -aS'saturations\tsaturation\tNNS\tI-NP\tO' -p73429 -aS'above\tabove\tIN\tB-PP\tO' -p73430 -aS'94\t94\tCD\tB-NP\tO' -p73431 -aS'.\t.\t.\tO\tO' -p73432 -asS'Unable to assess .' -p73433 -(lp73434 -S'Unable\tUnable\tJJ\tB-ADJP\tO' -p73435 -aS'to\tto\tTO\tB-VP\tO' -p73436 -aS'assess\tassess\tVB\tI-VP\tO' -p73437 -aS'.\t.\t.\tO\tO' -p73438 -asS'Signed electronically by : DR. Evelyn Paulk on : Flora 2016-06-16 2:06 PM' -p73439 -(lp73440 -S'Signed\tSign\tVBN\tB-VP\tO' -p73441 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p73442 -aS'by\tby\tIN\tB-PP\tO' -p73443 -aS':\t:\t:\tO\tO' -p73444 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p73445 -aS'Evelyn\tEvelyn\tNNP\tI-NP\tO' -p73446 -aS'Paulk\tPaulk\tNNP\tI-NP\tO' -p73447 -aS'on\ton\tIN\tB-PP\tO' -p73448 -aS':\t:\t:\tO\tO' -p73449 -aS'Flora\tFlora\tNNP\tB-NP\tO' -p73450 -aS'2016-06-16\t2016-06-16\tCD\tB-NP\tO' -p73451 -aS'2:06\t2:06\tCD\tI-NP\tO' -p73452 -aS'PM\tPM\tNN\tI-NP\tO' -p73453 -asS'SSE and digital exam deferred CERVIX digital exam deferred at time of admission OS NORMAL see above ADNEXAE NORMAL non-palp d / t advanced gest UTERUS Gravid , vtx .' -p73454 -(lp73455 -S'SSE\tSSE\tNN\tB-NP\tO' -p73456 -aS'and\tand\tCC\tI-NP\tO' -p73457 -aS'digital\tdigital\tJJ\tI-NP\tO' -p73458 -aS'exam\texam\tNN\tI-NP\tO' -p73459 -aS'deferred\tdefer\tVBD\tB-VP\tO' -p73460 -aS'CERVIX\tCERVIX\tNN\tB-NP\tO' -p73461 -aS'digital\tdigital\tJJ\tI-NP\tO' -p73462 -aS'exam\texam\tNN\tI-NP\tO' -p73463 -aS'deferred\tdefer\tVBN\tB-VP\tO' -p73464 -aS'at\tat\tIN\tB-PP\tO' -p73465 -aS'time\ttime\tNN\tB-NP\tO' -p73466 -aS'of\tof\tIN\tB-PP\tO' -p73467 -aS'admission\tadmission\tNN\tB-NP\tO' -p73468 -aS'OS\tOS\tNN\tI-NP\tO' -p73469 -aS'NORMAL\tNORMAL\tNN\tI-NP\tO' -p73470 -aS'see\tsee\tVBP\tB-VP\tO' -p73471 -aS'above\tabove\tIN\tB-PP\tO' -p73472 -aS'ADNEXAE\tADNEXAE\tNN\tB-NP\tO' -p73473 -aS'NORMAL\tNORMAL\tNN\tI-NP\tO' -p73474 -aS'non-palp\tnon-palp\tJJ\tI-NP\tO' -p73475 -aS'd\td\tNN\tI-NP\tO' -p73476 -aS'/\t/\tSYM\tB-NP\tO' -p73477 -aS't\tt\tNN\tI-NP\tO' -p73478 -aS'advanced\tadvance\tVBD\tB-VP\tO' -p73479 -aS'gest\tg\tJJS\tB-NP\tO' -p73480 -aS'UTERUS\tUTERUS\tNNP\tI-NP\tO' -p73481 -aS'Gravid\tGravid\tNNP\tI-NP\tO' -p73482 -aS',\t,\t,\tO\tO' -p73483 -aS'vtx\tvtx\tNN\tB-NP\tO' -p73484 -aS'.\t.\t.\tO\tO' -p73485 -asS'He was noted to have an episode of desaturation related to feeding with desaturations in the 70 percent .' -p73486 -(lp73487 -S'He\tHe\tPRP\tB-NP\tO' -p73488 -aS'was\tbe\tVBD\tB-VP\tO' -p73489 -aS'noted\tnote\tVBN\tI-VP\tO' -p73490 -aS'to\tto\tTO\tI-VP\tO' -p73491 -aS'have\thave\tVB\tI-VP\tO' -p73492 -aS'an\tan\tDT\tB-NP\tO' -p73493 -aS'episode\tepisode\tNN\tI-NP\tO' -p73494 -aS'of\tof\tIN\tB-PP\tO' -p73495 -aS'desaturation\tdesaturation\tNN\tB-NP\tO' -p73496 -aS'related\trelate\tVBN\tB-VP\tO' -p73497 -aS'to\tto\tTO\tB-PP\tO' -p73498 -aS'feeding\tfeeding\tNN\tB-NP\tO' -p73499 -aS'with\twith\tIN\tB-PP\tO' -p73500 -aS'desaturations\tdesaturation\tNNS\tB-NP\tO' -p73501 -aS'in\tin\tIN\tB-PP\tO' -p73502 -aS'the\tthe\tDT\tB-NP\tO' -p73503 -aS'70\t70\tCD\tI-NP\tO' -p73504 -aS'percent\tpercent\tNN\tI-NP\tO' -p73505 -aS'.\t.\t.\tO\tO' -p73506 -asS'5) Chronically low platelet count .' -p73507 -(lp73508 -S'5)\t5)\tLS\tB-NP\tO' -p73509 -aS'Chronically\tChronically\tRB\tI-NP\tO' -p73510 -aS'low\tlow\tJJ\tI-NP\tO' -p73511 -aS'platelet\tplatelet\tNN\tI-NP\tO' -p73512 -aS'count\tcount\tNN\tI-NP\tO' -p73513 -aS'.\t.\t.\tO\tO' -p73514 -asS'Quit smoking 30 years ago after smoking 1ppd .' -p73515 -(lp73516 -S'Quit\tQuit\tNNP\tB-NP\tO' -p73517 -aS'smoking\tsmoke\tVBG\tB-VP\tO' -p73518 -aS'30\t30\tCD\tB-NP\tO' -p73519 -aS'years\tyear\tNNS\tI-NP\tO' -p73520 -aS'ago\tago\tRB\tB-ADVP\tO' -p73521 -aS'after\tafter\tIN\tB-PP\tO' -p73522 -aS'smoking\tsmoke\tVBG\tB-VP\tO' -p73523 -aS'1ppd\t1ppd\tNN\tB-NP\tO' -p73524 -aS'.\t.\t.\tO\tO' -p73525 -asS'History of congestive heart failure , diagnosed approximately eight years ago .' -p73526 -(lp73527 -S'History\tHistory\tNN\tB-NP\tO' -p73528 -aS'of\tof\tIN\tB-PP\tO' -p73529 -aS'congestive\tcongestive\tJJ\tB-NP\tO' -p73530 -aS'heart\theart\tNN\tI-NP\tO' -p73531 -aS'failure\tfailure\tNN\tI-NP\tO' -p73532 -aS',\t,\t,\tO\tO' -p73533 -aS'diagnosed\tdiagnose\tVBD\tB-VP\tO' -p73534 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p73535 -aS'eight\teight\tCD\tI-NP\tO' -p73536 -aS'years\tyear\tNNS\tI-NP\tO' -p73537 -aS'ago\tago\tRB\tB-ADVP\tO' -p73538 -aS'.\t.\t.\tO\tO' -p73539 -asS'She had no Lachmann or anterior drawer , she did have a mild effusion .' -p73540 -(lp73541 -S'She\tShe\tPRP\tB-NP\tO' -p73542 -aS'had\thave\tVBD\tB-VP\tO' -p73543 -aS'no\tno\tDT\tB-NP\tO' -p73544 -aS'Lachmann\tLachmann\tNN\tI-NP\tO' -p73545 -aS'or\tor\tCC\tO\tO' -p73546 -aS'anterior\tanterior\tJJ\tB-NP\tO' -p73547 -aS'drawer\tdrawer\tNN\tI-NP\tO' -p73548 -aS',\t,\t,\tO\tO' -p73549 -aS'she\tshe\tPRP\tB-NP\tO' -p73550 -aS'did\tdo\tVBD\tB-VP\tO' -p73551 -aS'have\thave\tVB\tI-VP\tO' -p73552 -aS'a\ta\tDT\tB-NP\tO' -p73553 -aS'mild\tmild\tJJ\tI-NP\tO' -p73554 -aS'effusion\teffusion\tNN\tI-NP\tO' -p73555 -aS'.\t.\t.\tO\tO' -p73556 -asS'Extremities reveals a 2+ femoral and pedal pulses bilaterally .' -p73557 -(lp73558 -S'Extremities\tExtremity\tNNS\tB-NP\tO' -p73559 -aS'reveals\treveal\tVBZ\tB-VP\tO' -p73560 -aS'a\ta\tDT\tB-NP\tO' -p73561 -aS'2+\t2+\tJJ\tI-NP\tO' -p73562 -aS'femoral\tfemoral\tJJ\tI-NP\tO' -p73563 -aS'and\tand\tCC\tI-NP\tO' -p73564 -aS'pedal\tpedal\tJJ\tI-NP\tO' -p73565 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p73566 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p73567 -aS'.\t.\t.\tO\tO' -p73568 -asS'While walking , she kept bumping into object on her left side .' -p73569 -(lp73570 -S'While\tWhile\tIN\tB-SBAR\tO' -p73571 -aS'walking\twalk\tVBG\tB-VP\tO' -p73572 -aS',\t,\t,\tO\tO' -p73573 -aS'she\tshe\tPRP\tB-NP\tO' -p73574 -aS'kept\tkeep\tVBD\tB-VP\tO' -p73575 -aS'bumping\tbump\tVBG\tI-VP\tO' -p73576 -aS'into\tinto\tIN\tB-PP\tO' -p73577 -aS'object\tobject\tNN\tB-NP\tO' -p73578 -aS'on\ton\tIN\tB-PP\tO' -p73579 -aS'her\ther\tPRP$\tB-NP\tO' -p73580 -aS'left\tleft\tJJ\tI-NP\tO' -p73581 -aS'side\tside\tNN\tI-NP\tO' -p73582 -aS'.\t.\t.\tO\tO' -p73583 -asS'69yoM with OA having workup for knee replacements found to be in Afib , had stress test that was positive followed by cardiac catheterization which revealed severe 3VD .' -p73584 -(lp73585 -S'69yoM\t69yoM\tNN\tB-NP\tO' -p73586 -aS'with\twith\tIN\tB-PP\tO' -p73587 -aS'OA\tOA\tNN\tB-NP\tO' -p73588 -aS'having\thave\tVBG\tB-VP\tO' -p73589 -aS'workup\tworkup\tNN\tB-NP\tO' -p73590 -aS'for\tfor\tIN\tB-PP\tO' -p73591 -aS'knee\tknee\tNN\tB-NP\tO' -p73592 -aS'replacements\treplacement\tNNS\tI-NP\tO' -p73593 -aS'found\tfind\tVBN\tB-VP\tO' -p73594 -aS'to\tto\tTO\tI-VP\tO' -p73595 -aS'be\tbe\tVB\tI-VP\tO' -p73596 -aS'in\tin\tIN\tB-PP\tO' -p73597 -aS'Afib\tAfib\tNNP\tB-NP\tO' -p73598 -aS',\t,\t,\tO\tO' -p73599 -aS'had\thave\tVBD\tB-VP\tO' -p73600 -aS'stress\tstress\tNN\tB-NP\tO' -p73601 -aS'test\ttest\tNN\tI-NP\tO' -p73602 -aS'that\tthat\tWDT\tB-NP\tO' -p73603 -aS'was\tbe\tVBD\tB-VP\tO' -p73604 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p73605 -aS'followed\tfollow\tVBN\tB-VP\tO' -p73606 -aS'by\tby\tIN\tB-PP\tO' -p73607 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p73608 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p73609 -aS'which\twhich\tWDT\tB-NP\tO' -p73610 -aS'revealed\treveal\tVBD\tB-VP\tO' -p73611 -aS'severe\tsevere\tJJ\tB-NP\tO' -p73612 -aS'3VD\t3VD\tNN\tI-NP\tO' -p73613 -aS'.\t.\t.\tO\tO' -p73614 -asS'Cardiovascular exam has a normal S1 and S2 without murmurs .' -p73615 -(lp73616 -S'Cardiovascular\tCardiovascular\tJJ\tB-NP\tO' -p73617 -aS'exam\texam\tNN\tI-NP\tO' -p73618 -aS'has\thave\tVBZ\tB-VP\tO' -p73619 -aS'a\ta\tDT\tB-NP\tO' -p73620 -aS'normal\tnormal\tJJ\tI-NP\tO' -p73621 -aS'S1\tS1\tNN\tI-NP\tB-protein' -p73622 -aS'and\tand\tCC\tO\tO' -p73623 -aS'S2\tS2\tNN\tB-NP\tB-protein' -p73624 -aS'without\twithout\tIN\tB-PP\tO' -p73625 -aS'murmurs\tmurmur\tNNS\tB-NP\tO' -p73626 -aS'.\t.\t.\tO\tO' -p73627 -asS'10. Pantoprazole Sodium 40 mg Tablet , Delayed Release ( E.C. ) Sig : One ( 1 ) Tablet , Delayed Release ( E.C. ) PO Q24H ( every 24 hours ) .' -p73628 -(lp73629 -S'10.\t10.\tLS\tB-NP\tO' -p73630 -aS'Pantoprazole\tPantoprazole\tNN\tI-NP\tO' -p73631 -aS'Sodium\tSodium\tNN\tI-NP\tO' -p73632 -aS'40\t40\tCD\tI-NP\tO' -p73633 -aS'mg\tmg\tNN\tI-NP\tO' -p73634 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p73635 -aS',\t,\t,\tO\tO' -p73636 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p73637 -aS'Release\tRelease\tNNP\tI-NP\tO' -p73638 -aS'(\t(\t(\tO\tO' -p73639 -aS'E.C.\tE.C.\tNNP\tB-NP\tO' -p73640 -aS')\t)\t)\tO\tO' -p73641 -aS'Sig\tSig\tNNP\tB-NP\tO' -p73642 -aS':\t:\t:\tO\tO' -p73643 -aS'One\tOne\tCD\tB-NP\tO' -p73644 -aS'(\t(\t(\tO\tO' -p73645 -aS'1\t1\tCD\tB-NP\tO' -p73646 -aS')\t)\t)\tO\tO' -p73647 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p73648 -aS',\t,\t,\tO\tO' -p73649 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p73650 -aS'Release\tRelease\tNNP\tI-NP\tO' -p73651 -aS'(\t(\t(\tO\tO' -p73652 -aS'E.C.\tE.C.\tNNP\tO\tO' -p73653 -aS')\t)\t)\tO\tO' -p73654 -aS'PO\tPO\tNN\tB-NP\tO' -p73655 -aS'Q24H\tQ24H\tNN\tI-NP\tO' -p73656 -aS'(\t(\t(\tO\tO' -p73657 -aS'every\tevery\tDT\tB-NP\tO' -p73658 -aS'24\t24\tCD\tI-NP\tO' -p73659 -aS'hours\thour\tNNS\tI-NP\tO' -p73660 -aS')\t)\t)\tO\tO' -p73661 -aS'.\t.\t.\tO\tO' -p73662 -asS'1. Mild pulmonary edema .' -p73663 -(lp73664 -S'1.\t1.\tLS\tB-NP\tO' -p73665 -aS'Mild\tMild\tNNP\tI-NP\tO' -p73666 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p73667 -aS'edema\tedema\tNN\tI-NP\tO' -p73668 -aS'.\t.\t.\tO\tO' -p73669 -asS'The patient has had hypernatremia .' -p73670 -(lp73671 -S'The\tThe\tDT\tB-NP\tO' -p73672 -aS'patient\tpatient\tNN\tI-NP\tO' -p73673 -aS'has\thave\tVBZ\tB-VP\tO' -p73674 -aS'had\thave\tVBN\tI-VP\tO' -p73675 -aS'hypernatremia\thypernatremia\tNN\tB-NP\tO' -p73676 -aS'.\t.\t.\tO\tO' -p73677 -asS"The patient 's right anterior tibial wound was noted to be clean , dry , and intact with sutures intact and no erythema or purulence noted ." -p73678 -(lp73679 -S'The\tThe\tDT\tB-NP\tO' -p73680 -aS'patient\tpatient\tNN\tI-NP\tO' -p73681 -aS"'s\t's\tPOS\tB-NP\tO" -p73682 -aS'right\tright\tJJ\tI-NP\tO' -p73683 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p73684 -aS'tibial\ttibial\tJJ\tI-NP\tO' -p73685 -aS'wound\twound\tNN\tI-NP\tO' -p73686 -aS'was\tbe\tVBD\tB-VP\tO' -p73687 -aS'noted\tnote\tVBN\tI-VP\tO' -p73688 -aS'to\tto\tTO\tI-VP\tO' -p73689 -aS'be\tbe\tVB\tI-VP\tO' -p73690 -aS'clean\tclean\tJJ\tB-ADJP\tO' -p73691 -aS',\t,\t,\tO\tO' -p73692 -aS'dry\tdry\tJJ\tB-ADJP\tO' -p73693 -aS',\t,\t,\tO\tO' -p73694 -aS'and\tand\tCC\tO\tO' -p73695 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p73696 -aS'with\twith\tIN\tB-PP\tO' -p73697 -aS'sutures\tsuture\tNNS\tB-NP\tO' -p73698 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p73699 -aS'and\tand\tCC\tO\tO' -p73700 -aS'no\tno\tDT\tB-NP\tO' -p73701 -aS'erythema\terythema\tNN\tI-NP\tO' -p73702 -aS'or\tor\tCC\tI-NP\tO' -p73703 -aS'purulence\tpurulence\tNN\tI-NP\tO' -p73704 -aS'noted\tnote\tVBD\tB-VP\tO' -p73705 -aS'.\t.\t.\tO\tO' -p73706 -asS'This report was created by Vengloan , Asha 12/19/2000 06:15 PM' -p73707 -(lp73708 -S'This\tThis\tDT\tB-NP\tO' -p73709 -aS'report\treport\tNN\tI-NP\tO' -p73710 -aS'was\tbe\tVBD\tB-VP\tO' -p73711 -aS'created\tcreate\tVBN\tI-VP\tO' -p73712 -aS'by\tby\tIN\tB-PP\tO' -p73713 -aS'Vengloan\tVengloan\tNNP\tB-NP\tO' -p73714 -aS',\t,\t,\tO\tO' -p73715 -aS'Asha\tAsha\tNNP\tB-NP\tO' -p73716 -aS'12/19/2000\t12/19/2000\tCD\tB-NP\tO' -p73717 -aS'06:15\t06:15\tCD\tI-NP\tO' -p73718 -aS'PM\tPM\tNN\tI-NP\tO' -p73719 -asS'Neck was supple with full range of motion .' -p73720 -(lp73721 -S'Neck\tNeck\tNN\tB-NP\tO' -p73722 -aS'was\tbe\tVBD\tB-VP\tO' -p73723 -aS'supple\tsupple\tNN\tB-NP\tO' -p73724 -aS'with\twith\tIN\tB-PP\tO' -p73725 -aS'full\tfull\tJJ\tB-NP\tO' -p73726 -aS'range\trange\tNN\tI-NP\tO' -p73727 -aS'of\tof\tIN\tB-PP\tO' -p73728 -aS'motion\tmotion\tNN\tB-NP\tO' -p73729 -aS'.\t.\t.\tO\tO' -p73730 -asS'Hematocrit on admission was 53.7 .' -p73731 -(lp73732 -S'Hematocrit\tHematocrit\tNN\tB-NP\tO' -p73733 -aS'on\ton\tIN\tB-PP\tO' -p73734 -aS'admission\tadmission\tNN\tB-NP\tO' -p73735 -aS'was\tbe\tVBD\tB-VP\tO' -p73736 -aS'53.7\t53.7\tCD\tB-NP\tO' -p73737 -aS'.\t.\t.\tO\tO' -p73738 -asS'Currently she is comfortable with morphine and Ativan prn.' -p73739 -(lp73740 -S'Currently\tCurrently\tRB\tB-ADVP\tO' -p73741 -aS'she\tshe\tPRP\tB-NP\tO' -p73742 -aS'is\tbe\tVBZ\tB-VP\tO' -p73743 -aS'comfortable\tcomfortable\tJJ\tB-ADJP\tO' -p73744 -aS'with\twith\tIN\tB-PP\tO' -p73745 -aS'morphine\tmorphine\tNN\tB-NP\tO' -p73746 -aS'and\tand\tCC\tO\tO' -p73747 -aS'Ativan\tAtivan\tNNP\tB-NP\tO' -p73748 -aS'prn.\tprn.\tNN\tI-NP\tO' -p73749 -asS'NAD skin/HEENT unremarkable neck supple , murmur radiates bilat. to carotids' -p73750 -(lp73751 -S'NAD\tNAD\tNN\tB-NP\tO' -p73752 -aS'skin/HEENT\tskin/HEENT\tNN\tI-NP\tO' -p73753 -aS'unremarkable\tunremarkable\tJJ\tI-NP\tO' -p73754 -aS'neck\tneck\tNN\tI-NP\tO' -p73755 -aS'supple\tsupple\tNN\tI-NP\tO' -p73756 -aS',\t,\t,\tO\tO' -p73757 -aS'murmur\tmurmur\tNN\tB-NP\tO' -p73758 -aS'radiates\tradiate\tVBZ\tB-VP\tO' -p73759 -aS'bilat.\tbilat.\tNN\tB-NP\tO' -p73760 -aS'to\tto\tTO\tB-PP\tO' -p73761 -aS'carotids\tcarotid\tNNS\tB-NP\tO' -p73762 -asS'On admission , showed a gentleman in no acute distress ; afebrile .' -p73763 -(lp73764 -S'On\tOn\tIN\tB-PP\tO' -p73765 -aS'admission\tadmission\tNN\tB-NP\tO' -p73766 -aS',\t,\t,\tO\tO' -p73767 -aS'showed\tshow\tVBD\tB-VP\tO' -p73768 -aS'a\ta\tDT\tB-NP\tO' -p73769 -aS'gentleman\tgentleman\tNN\tI-NP\tO' -p73770 -aS'in\tin\tIN\tB-PP\tO' -p73771 -aS'no\tno\tDT\tB-NP\tO' -p73772 -aS'acute\tacute\tJJ\tI-NP\tO' -p73773 -aS'distress\tdistress\tNN\tI-NP\tO' -p73774 -aS';\t;\t:\tO\tO' -p73775 -aS'afebrile\tafebrile\tRB\tB-ADVP\tO' -p73776 -aS'.\t.\t.\tO\tO' -p73777 -asS'In addition , the patient received a five day course of intravenous IgG to improve infection control .' -p73778 -(lp73779 -S'In\tIn\tIN\tB-PP\tO' -p73780 -aS'addition\taddition\tNN\tB-NP\tO' -p73781 -aS',\t,\t,\tO\tO' -p73782 -aS'the\tthe\tDT\tB-NP\tO' -p73783 -aS'patient\tpatient\tNN\tI-NP\tO' -p73784 -aS'received\treceive\tVBD\tB-VP\tO' -p73785 -aS'a\ta\tDT\tB-NP\tO' -p73786 -aS'five\tfive\tCD\tI-NP\tO' -p73787 -aS'day\tday\tNN\tI-NP\tO' -p73788 -aS'course\tcourse\tNN\tI-NP\tO' -p73789 -aS'of\tof\tIN\tB-PP\tO' -p73790 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p73791 -aS'IgG\tIgG\tNN\tI-NP\tB-protein' -p73792 -aS'to\tto\tTO\tB-VP\tO' -p73793 -aS'improve\timprove\tVB\tI-VP\tO' -p73794 -aS'infection\tinfection\tNN\tB-NP\tO' -p73795 -aS'control\tcontrol\tNN\tI-NP\tO' -p73796 -aS'.\t.\t.\tO\tO' -p73797 -asS'Patient states she was unable to take her usual insulin regimen because she was vomiting .' -p73798 -(lp73799 -S'Patient\tPatient\tNN\tB-NP\tO' -p73800 -aS'states\tstate\tNNS\tI-NP\tO' -p73801 -aS'she\tshe\tPRP\tB-NP\tO' -p73802 -aS'was\tbe\tVBD\tB-VP\tO' -p73803 -aS'unable\tunable\tJJ\tB-ADJP\tO' -p73804 -aS'to\tto\tTO\tB-VP\tO' -p73805 -aS'take\ttake\tVB\tI-VP\tO' -p73806 -aS'her\ther\tPRP$\tB-NP\tO' -p73807 -aS'usual\tusual\tJJ\tI-NP\tO' -p73808 -aS'insulin\tinsulin\tNN\tI-NP\tO' -p73809 -aS'regimen\tregimen\tNN\tI-NP\tO' -p73810 -aS'because\tbecause\tIN\tB-SBAR\tO' -p73811 -aS'she\tshe\tPRP\tB-NP\tO' -p73812 -aS'was\tbe\tVBD\tB-VP\tO' -p73813 -aS'vomiting\tvomit\tVBG\tI-VP\tO' -p73814 -aS'.\t.\t.\tO\tO' -p73815 -asS'She is status post myocardial infarction in April of this year and subsequently underwent coronary artery bypass surgery .' -p73816 -(lp73817 -S'She\tShe\tPRP\tB-NP\tO' -p73818 -aS'is\tbe\tVBZ\tB-VP\tO' -p73819 -aS'status\tstatus\tJJ\tB-ADJP\tO' -p73820 -aS'post\tpost\tIN\tB-PP\tO' -p73821 -aS'myocardial\tmyocardial\tJJ\tB-NP\tO' -p73822 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p73823 -aS'in\tin\tIN\tB-PP\tO' -p73824 -aS'April\tApril\tNNP\tB-NP\tO' -p73825 -aS'of\tof\tIN\tB-PP\tO' -p73826 -aS'this\tthis\tDT\tB-NP\tO' -p73827 -aS'year\tyear\tNN\tI-NP\tO' -p73828 -aS'and\tand\tCC\tO\tO' -p73829 -aS'subsequently\tsubsequently\tRB\tB-VP\tO' -p73830 -aS'underwent\tundergo\tVBD\tI-VP\tO' -p73831 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p73832 -aS'artery\tartery\tNN\tI-NP\tO' -p73833 -aS'bypass\tbypass\tIN\tB-PP\tO' -p73834 -aS'surgery\tsurgery\tNN\tB-NP\tO' -p73835 -aS'.\t.\t.\tO\tO' -p73836 -asS'His primary pediatric care provider will be Dr. Schrader at Deaconess-Nashoba Hospital .' -p73837 -(lp73838 -S'His\tHis\tPRP$\tB-NP\tO' -p73839 -aS'primary\tprimary\tJJ\tI-NP\tO' -p73840 -aS'pediatric\tpediatric\tJJ\tI-NP\tO' -p73841 -aS'care\tcare\tNN\tI-NP\tO' -p73842 -aS'provider\tprovider\tNN\tI-NP\tO' -p73843 -aS'will\twill\tMD\tB-VP\tO' -p73844 -aS'be\tbe\tVB\tI-VP\tO' -p73845 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p73846 -aS'Schrader\tSchrader\tNNP\tI-NP\tO' -p73847 -aS'at\tat\tIN\tB-PP\tO' -p73848 -aS'Deaconess-Nashoba\tDeaconess-Nashoba\tNNP\tB-NP\tO' -p73849 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p73850 -aS'.\t.\t.\tO\tO' -p73851 -asS'He presented on 2016-11-21 for resection .' -p73852 -(lp73853 -S'He\tHe\tPRP\tB-NP\tO' -p73854 -aS'presented\tpresent\tVBD\tB-VP\tO' -p73855 -aS'on\ton\tIN\tB-PP\tO' -p73856 -aS'2016-11-21\t2016-11-21\tCD\tB-NP\tO' -p73857 -aS'for\tfor\tIN\tB-PP\tO' -p73858 -aS'resection\tresection\tNN\tB-NP\tO' -p73859 -aS'.\t.\t.\tO\tO' -p73860 -asS'Dermatology and plastic surgery were consulted who felt that symptoms were due to trauma ; it was not felt that patient had compartment syndrome .' -p73861 -(lp73862 -S'Dermatology\tDermatology\tNN\tB-NP\tO' -p73863 -aS'and\tand\tCC\tI-NP\tO' -p73864 -aS'plastic\tplastic\tNN\tI-NP\tO' -p73865 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p73866 -aS'were\tbe\tVBD\tB-VP\tO' -p73867 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p73868 -aS'who\twho\tWP\tB-NP\tO' -p73869 -aS'felt\tfeel\tVBD\tB-VP\tO' -p73870 -aS'that\tthat\tIN\tB-SBAR\tO' -p73871 -aS'symptoms\tsymptom\tNNS\tB-NP\tO' -p73872 -aS'were\tbe\tVBD\tB-VP\tO' -p73873 -aS'due\tdue\tIN\tB-PP\tO' -p73874 -aS'to\tto\tTO\tB-PP\tO' -p73875 -aS'trauma\ttrauma\tNN\tB-NP\tO' -p73876 -aS';\t;\t:\tO\tO' -p73877 -aS'it\tit\tPRP\tB-NP\tO' -p73878 -aS'was\tbe\tVBD\tB-VP\tO' -p73879 -aS'not\tnot\tRB\tI-VP\tO' -p73880 -aS'felt\tfeel\tVBN\tI-VP\tO' -p73881 -aS'that\tthat\tIN\tB-SBAR\tO' -p73882 -aS'patient\tpatient\tNN\tB-NP\tO' -p73883 -aS'had\thave\tVBD\tB-VP\tO' -p73884 -aS'compartment\tcompartment\tNN\tB-NP\tO' -p73885 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p73886 -aS'.\t.\t.\tO\tO' -p73887 -asS'Her lungs were clear to auscultation anteriorly .' -p73888 -(lp73889 -S'Her\tHer\tPRP$\tB-NP\tO' -p73890 -aS'lungs\tlung\tNNS\tI-NP\tO' -p73891 -aS'were\tbe\tVBD\tB-VP\tO' -p73892 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p73893 -aS'to\tto\tTO\tB-PP\tO' -p73894 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p73895 -aS'anteriorly\tanteriorly\tRB\tB-ADVP\tO' -p73896 -aS'.\t.\t.\tO\tO' -p73897 -asS'Occasionally required Haldol / ativan at night for agitation .' -p73898 -(lp73899 -S'Occasionally\tOccasionally\tRB\tB-NP\tO' -p73900 -aS'required\trequire\tVBN\tI-NP\tO' -p73901 -aS'Haldol\tHaldol\tNN\tI-NP\tO' -p73902 -aS'/\t/\tSYM\tO\tO' -p73903 -aS'ativan\tativan\tNN\tB-NP\tO' -p73904 -aS'at\tat\tIN\tB-PP\tO' -p73905 -aS'night\tnight\tNN\tB-NP\tO' -p73906 -aS'for\tfor\tIN\tB-PP\tO' -p73907 -aS'agitation\tagitation\tNN\tB-NP\tO' -p73908 -aS'.\t.\t.\tO\tO' -p73909 -asS'This tube drained only a small amount of fluid and it was likely that the effusion was made to look more severe in the presence of left hemidiaphragm elevation .' -p73910 -(lp73911 -S'This\tThis\tDT\tB-NP\tO' -p73912 -aS'tube\ttube\tNN\tI-NP\tO' -p73913 -aS'drained\tdrain\tVBD\tB-VP\tO' -p73914 -aS'only\tonly\tRB\tB-NP\tO' -p73915 -aS'a\ta\tDT\tI-NP\tO' -p73916 -aS'small\tsmall\tJJ\tI-NP\tO' -p73917 -aS'amount\tamount\tNN\tI-NP\tO' -p73918 -aS'of\tof\tIN\tB-PP\tO' -p73919 -aS'fluid\tfluid\tNN\tB-NP\tO' -p73920 -aS'and\tand\tCC\tO\tO' -p73921 -aS'it\tit\tPRP\tB-NP\tO' -p73922 -aS'was\tbe\tVBD\tB-VP\tO' -p73923 -aS'likely\tlikely\tJJ\tB-ADJP\tO' -p73924 -aS'that\tthat\tIN\tB-SBAR\tO' -p73925 -aS'the\tthe\tDT\tB-NP\tO' -p73926 -aS'effusion\teffusion\tNN\tI-NP\tO' -p73927 -aS'was\tbe\tVBD\tB-VP\tO' -p73928 -aS'made\tmake\tVBN\tI-VP\tO' -p73929 -aS'to\tto\tTO\tB-VP\tO' -p73930 -aS'look\tlook\tVB\tI-VP\tO' -p73931 -aS'more\tmore\tRBR\tB-ADJP\tO' -p73932 -aS'severe\tsevere\tJJ\tI-ADJP\tO' -p73933 -aS'in\tin\tIN\tB-PP\tO' -p73934 -aS'the\tthe\tDT\tB-NP\tO' -p73935 -aS'presence\tpresence\tNN\tI-NP\tO' -p73936 -aS'of\tof\tIN\tB-PP\tO' -p73937 -aS'left\tleft\tJJ\tB-NP\tO' -p73938 -aS'hemidiaphragm\themidiaphragm\tNN\tI-NP\tO' -p73939 -aS'elevation\televation\tNN\tI-NP\tO' -p73940 -aS'.\t.\t.\tO\tO' -p73941 -asS'The patient had no home medications .' -p73942 -(lp73943 -S'The\tThe\tDT\tB-NP\tO' -p73944 -aS'patient\tpatient\tNN\tI-NP\tO' -p73945 -aS'had\thave\tVBD\tB-VP\tO' -p73946 -aS'no\tno\tDT\tB-NP\tO' -p73947 -aS'home\thome\tNN\tI-NP\tO' -p73948 -aS'medications\tmedication\tNNS\tI-NP\tO' -p73949 -aS'.\t.\t.\tO\tO' -p73950 -asS'Extraocular movements were full with normal smooth pursuit to the left .' -p73951 -(lp73952 -S'Extraocular\tExtraocular\tJJ\tB-NP\tO' -p73953 -aS'movements\tmovement\tNNS\tI-NP\tO' -p73954 -aS'were\tbe\tVBD\tB-VP\tO' -p73955 -aS'full\tfull\tJJ\tB-ADJP\tO' -p73956 -aS'with\twith\tIN\tB-PP\tO' -p73957 -aS'normal\tnormal\tJJ\tB-NP\tO' -p73958 -aS'smooth\tsmooth\tJJ\tI-NP\tO' -p73959 -aS'pursuit\tpursuit\tNN\tI-NP\tO' -p73960 -aS'to\tto\tTO\tB-PP\tO' -p73961 -aS'the\tthe\tDT\tB-NP\tO' -p73962 -aS'left\tleft\tNN\tI-NP\tO' -p73963 -aS'.\t.\t.\tO\tO' -p73964 -asS'He remained hemodynmically stable throughout his hospitalization and did not have an oxygen requirement upon discharge .' -p73965 -(lp73966 -S'He\tHe\tPRP\tB-NP\tO' -p73967 -aS'remained\tremain\tVBD\tB-VP\tO' -p73968 -aS'hemodynmically\themodynmically\tRB\tB-ADJP\tO' -p73969 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p73970 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p73971 -aS'his\this\tPRP$\tB-NP\tO' -p73972 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p73973 -aS'and\tand\tCC\tO\tO' -p73974 -aS'did\tdo\tVBD\tB-VP\tO' -p73975 -aS'not\tnot\tRB\tI-VP\tO' -p73976 -aS'have\thave\tVB\tI-VP\tO' -p73977 -aS'an\tan\tDT\tB-NP\tO' -p73978 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p73979 -aS'requirement\trequirement\tNN\tI-NP\tO' -p73980 -aS'upon\tupon\tIN\tB-PP\tO' -p73981 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p73982 -aS'.\t.\t.\tO\tO' -p73983 -asS'Post thoracotomy syndrome .' -p73984 -(lp73985 -S'Post\tPost\tJJ\tB-NP\tO' -p73986 -aS'thoracotomy\tthoracotomy\tNN\tI-NP\tO' -p73987 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p73988 -aS'.\t.\t.\tO\tO' -p73989 -asS'She received an amiodarone bolus of 150 mg intravenously and was continued on an amiodarone drip while CMED CSRU-flighted to Boston Regional Medical Centerr where she underwent a catheterization .' -p73990 -(lp73991 -S'She\tShe\tPRP\tB-NP\tO' -p73992 -aS'received\treceive\tVBD\tB-VP\tO' -p73993 -aS'an\tan\tDT\tB-NP\tO' -p73994 -aS'amiodarone\tamiodarone\tNN\tI-NP\tO' -p73995 -aS'bolus\tbolus\tNN\tI-NP\tO' -p73996 -aS'of\tof\tIN\tB-PP\tO' -p73997 -aS'150\t150\tCD\tB-NP\tO' -p73998 -aS'mg\tmg\tNN\tI-NP\tO' -p73999 -aS'intravenously\tintravenously\tRB\tB-ADVP\tO' -p74000 -aS'and\tand\tCC\tO\tO' -p74001 -aS'was\tbe\tVBD\tB-VP\tO' -p74002 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p74003 -aS'on\ton\tIN\tB-PP\tO' -p74004 -aS'an\tan\tDT\tB-NP\tO' -p74005 -aS'amiodarone\tamiodarone\tNN\tI-NP\tO' -p74006 -aS'drip\tdrip\tNN\tI-NP\tO' -p74007 -aS'while\twhile\tIN\tB-SBAR\tO' -p74008 -aS'CMED\tCMED\tVBN\tB-VP\tO' -p74009 -aS'CSRU-flighted\tCSRU-flighted\tJJ\tB-ADJP\tO' -p74010 -aS'to\tto\tTO\tB-PP\tO' -p74011 -aS'Boston\tBoston\tNNP\tB-NP\tO' -p74012 -aS'Regional\tRegional\tNNP\tI-NP\tO' -p74013 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p74014 -aS'Centerr\tCenterr\tNNP\tI-NP\tO' -p74015 -aS'where\twhere\tWRB\tB-ADVP\tO' -p74016 -aS'she\tshe\tPRP\tB-NP\tO' -p74017 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p74018 -aS'a\ta\tDT\tB-NP\tO' -p74019 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p74020 -aS'.\t.\t.\tO\tO' -p74021 -asS'The tap was negative for malignant cells .' -p74022 -(lp74023 -S'The\tThe\tDT\tB-NP\tO' -p74024 -aS'tap\ttap\tNN\tI-NP\tB-protein' -p74025 -aS'was\tbe\tVBD\tB-VP\tO' -p74026 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p74027 -aS'for\tfor\tIN\tB-PP\tO' -p74028 -aS'malignant\tmalignant\tJJ\tB-NP\tB-cell_type' -p74029 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p74030 -aS'.\t.\t.\tO\tO' -p74031 -asS'Moderate pulmonary hypertension , PA pressure 48/24 , 1+ mitral regurgitation , severe aortic stenosis with an LVEDP of 19 and an ejection fraction of 43% .' -p74032 -(lp74033 -S'Moderate\tModerate\tJJ\tB-NP\tO' -p74034 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p74035 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p74036 -aS',\t,\t,\tO\tO' -p74037 -aS'PA\tPA\tNN\tB-NP\tB-protein' -p74038 -aS'pressure\tpressure\tNN\tI-NP\tI-protein' -p74039 -aS'48/24\t48/24\tCD\tI-NP\tI-protein' -p74040 -aS',\t,\t,\tO\tO' -p74041 -aS'1+\t1+\tJJ\tB-NP\tO' -p74042 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p74043 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p74044 -aS',\t,\t,\tO\tO' -p74045 -aS'severe\tsevere\tJJ\tB-NP\tO' -p74046 -aS'aortic\taortic\tJJ\tI-NP\tO' -p74047 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p74048 -aS'with\twith\tIN\tB-PP\tO' -p74049 -aS'an\tan\tDT\tB-NP\tO' -p74050 -aS'LVEDP\tLVEDP\tNN\tI-NP\tB-protein' -p74051 -aS'of\tof\tIN\tB-PP\tO' -p74052 -aS'19\t19\tCD\tB-NP\tO' -p74053 -aS'and\tand\tCC\tO\tO' -p74054 -aS'an\tan\tDT\tB-NP\tO' -p74055 -aS'ejection\tejection\tNN\tI-NP\tO' -p74056 -aS'fraction\tfraction\tNN\tI-NP\tO' -p74057 -aS'of\tof\tIN\tB-PP\tO' -p74058 -aS'43%\t43%\tCD\tB-NP\tO' -p74059 -aS'.\t.\t.\tO\tO' -p74060 -asS'D1 was mildly diseased diffusely .' -p74061 -(lp74062 -S'D1\tD1\tNN\tB-NP\tO' -p74063 -aS'was\tbe\tVBD\tB-VP\tO' -p74064 -aS'mildly\tmildly\tRB\tI-VP\tO' -p74065 -aS'diseased\tdisease\tVBN\tI-VP\tO' -p74066 -aS'diffusely\tdiffusely\tRB\tB-ADVP\tO' -p74067 -aS'.\t.\t.\tO\tO' -p74068 -asS'4. K-Dur 10 milliequivalents po qd' -p74069 -(lp74070 -S'4.\t4.\tLS\tB-LST\tO' -p74071 -aS'K-Dur\tK-Dur\tNNP\tB-NP\tO' -p74072 -aS'10\t10\tCD\tI-NP\tO' -p74073 -aS'milliequivalents\tmilliequivalent\tNNS\tI-NP\tO' -p74074 -aS'po\tpo\tVBP\tB-VP\tO' -p74075 -aS'qd\tqd\tNN\tB-NP\tO' -p74076 -asS'He is a retired school teacher by profession .' -p74077 -(lp74078 -S'He\tHe\tPRP\tB-NP\tB-DNA' -p74079 -aS'is\tbe\tVBZ\tB-VP\tO' -p74080 -aS'a\ta\tDT\tB-NP\tO' -p74081 -aS'retired\tretired\tJJ\tI-NP\tO' -p74082 -aS'school\tschool\tNN\tI-NP\tO' -p74083 -aS'teacher\tteacher\tNN\tI-NP\tO' -p74084 -aS'by\tby\tIN\tB-PP\tO' -p74085 -aS'profession\tprofession\tNN\tB-NP\tO' -p74086 -aS'.\t.\t.\tO\tO' -p74087 -asS'She was taken to the The Hospital for Orthopedics Emergency Room where she was assessed as having asthma .' -p74088 -(lp74089 -S'She\tShe\tPRP\tB-NP\tO' -p74090 -aS'was\tbe\tVBD\tB-VP\tO' -p74091 -aS'taken\ttake\tVBN\tI-VP\tO' -p74092 -aS'to\tto\tTO\tB-PP\tO' -p74093 -aS'the\tthe\tDT\tB-NP\tO' -p74094 -aS'The\tThe\tNNP\tI-NP\tO' -p74095 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p74096 -aS'for\tfor\tIN\tB-PP\tO' -p74097 -aS'Orthopedics\tOrthopedics\tNNP\tB-NP\tO' -p74098 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p74099 -aS'Room\tRoom\tNNP\tI-NP\tO' -p74100 -aS'where\twhere\tWRB\tB-ADVP\tO' -p74101 -aS'she\tshe\tPRP\tB-NP\tO' -p74102 -aS'was\tbe\tVBD\tB-VP\tO' -p74103 -aS'assessed\tassess\tVBN\tI-VP\tO' -p74104 -aS'as\tas\tIN\tB-PP\tO' -p74105 -aS'having\thave\tVBG\tB-VP\tO' -p74106 -aS'asthma\tasthma\tNN\tB-NP\tO' -p74107 -aS'.\t.\t.\tO\tO' -p74108 -asS'Plans to follow up with outpatient MRA to rule out ischemic causes of post prandial pain , as well as HIDA with CK challenge to evaluate for biliary dyskinesia without stasis .' -p74109 -(lp74110 -S'Plans\tPlan\tNNS\tB-NP\tO' -p74111 -aS'to\tto\tTO\tB-VP\tO' -p74112 -aS'follow\tfollow\tVB\tI-VP\tO' -p74113 -aS'up\tup\tRP\tB-PRT\tO' -p74114 -aS'with\twith\tIN\tB-PP\tO' -p74115 -aS'outpatient\toutpatient\tNN\tB-NP\tO' -p74116 -aS'MRA\tMRA\tNN\tI-NP\tO' -p74117 -aS'to\tto\tTO\tB-VP\tO' -p74118 -aS'rule\trule\tVB\tI-VP\tO' -p74119 -aS'out\tout\tRP\tB-PRT\tO' -p74120 -aS'ischemic\tischemic\tJJ\tB-NP\tO' -p74121 -aS'causes\tcause\tNNS\tI-NP\tO' -p74122 -aS'of\tof\tIN\tB-PP\tO' -p74123 -aS'post\tpost\tNN\tB-NP\tB-protein' -p74124 -aS'prandial\tprandial\tJJ\tI-NP\tI-protein' -p74125 -aS'pain\tpain\tNN\tI-NP\tI-protein' -p74126 -aS',\t,\t,\tO\tO' -p74127 -aS'as\tas\tRB\tB-CONJP\tO' -p74128 -aS'well\twell\tRB\tI-CONJP\tO' -p74129 -aS'as\tas\tIN\tI-CONJP\tO' -p74130 -aS'HIDA\tHIDA\tNN\tB-NP\tB-protein' -p74131 -aS'with\twith\tIN\tB-PP\tO' -p74132 -aS'CK\tCK\tNN\tB-NP\tO' -p74133 -aS'challenge\tchallenge\tNN\tI-NP\tO' -p74134 -aS'to\tto\tTO\tB-VP\tO' -p74135 -aS'evaluate\tevaluate\tVB\tI-VP\tO' -p74136 -aS'for\tfor\tIN\tB-PP\tO' -p74137 -aS'biliary\tbiliary\tJJ\tB-NP\tO' -p74138 -aS'dyskinesia\tdyskinesia\tNN\tI-NP\tO' -p74139 -aS'without\twithout\tIN\tB-PP\tO' -p74140 -aS'stasis\tstasis\tNN\tB-NP\tO' -p74141 -aS'.\t.\t.\tO\tO' -p74142 -asS'Significant for recently diagnosed pancreatic cancer .' -p74143 -(lp74144 -S'Significant\tSignificant\tJJ\tB-ADJP\tO' -p74145 -aS'for\tfor\tIN\tB-PP\tO' -p74146 -aS'recently\trecently\tRB\tB-NP\tO' -p74147 -aS'diagnosed\tdiagnose\tVBN\tI-NP\tO' -p74148 -aS'pancreatic\tpancreatic\tJJ\tI-NP\tO' -p74149 -aS'cancer\tcancer\tNN\tI-NP\tO' -p74150 -aS'.\t.\t.\tO\tO' -p74151 -asS'3. Status post right cerebrovascular accident in 2009 with residual left-sided weakness .' -p74152 -(lp74153 -S'3.\t3.\tLS\tB-LST\tO' -p74154 -aS'Status\tStatus\tNNP\tB-NP\tO' -p74155 -aS'post\tpost\tIN\tB-PP\tO' -p74156 -aS'right\tright\tJJ\tB-NP\tO' -p74157 -aS'cerebrovascular\tcerebrovascular\tJJ\tI-NP\tO' -p74158 -aS'accident\taccident\tNN\tI-NP\tO' -p74159 -aS'in\tin\tIN\tB-PP\tO' -p74160 -aS'2009\t2009\tCD\tB-NP\tO' -p74161 -aS'with\twith\tIN\tB-PP\tO' -p74162 -aS'residual\tresidual\tJJ\tB-NP\tO' -p74163 -aS'left-sided\tleft-sided\tJJ\tI-NP\tO' -p74164 -aS'weakness\tweakness\tNN\tI-NP\tO' -p74165 -aS'.\t.\t.\tO\tO' -p74166 -asS'Works as a police oficer , married , denies smoking , etoh .' -p74167 -(lp74168 -S'Works\tWork\tNNS\tB-NP\tO' -p74169 -aS'as\tas\tIN\tB-PP\tO' -p74170 -aS'a\ta\tDT\tB-NP\tO' -p74171 -aS'police\tpolice\tNN\tI-NP\tO' -p74172 -aS'oficer\toficer\tNN\tI-NP\tO' -p74173 -aS',\t,\t,\tO\tO' -p74174 -aS'married\tmarry\tVBN\tB-VP\tO' -p74175 -aS',\t,\t,\tO\tO' -p74176 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p74177 -aS'smoking\tsmoking\tNN\tB-NP\tO' -p74178 -aS',\t,\t,\tO\tO' -p74179 -aS'etoh\tetoh\tNN\tB-NP\tO' -p74180 -aS'.\t.\t.\tO\tO' -p74181 -asS'The patient has multiple AIDS illnesses including MAI who has multiple admissions for pseudomonas pneumonia .' -p74182 -(lp74183 -S'The\tThe\tDT\tB-NP\tO' -p74184 -aS'patient\tpatient\tNN\tI-NP\tO' -p74185 -aS'has\thave\tVBZ\tB-VP\tO' -p74186 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p74187 -aS'AIDS\tAIDS\tNN\tI-NP\tO' -p74188 -aS'illnesses\tillness\tNNS\tI-NP\tO' -p74189 -aS'including\tinclude\tVBG\tB-PP\tO' -p74190 -aS'MAI\tMAI\tNN\tB-NP\tB-protein' -p74191 -aS'who\twho\tWP\tB-NP\tO' -p74192 -aS'has\thave\tVBZ\tB-VP\tO' -p74193 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p74194 -aS'admissions\tadmission\tNNS\tI-NP\tO' -p74195 -aS'for\tfor\tIN\tB-PP\tO' -p74196 -aS'pseudomonas\tpseudomonas\tNN\tB-NP\tO' -p74197 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p74198 -aS'.\t.\t.\tO\tO' -p74199 -asS'Her levofloxacin was continued .' -p74200 -(lp74201 -S'Her\tHer\tPRP$\tB-NP\tO' -p74202 -aS'levofloxacin\tlevofloxacin\tNN\tI-NP\tO' -p74203 -aS'was\tbe\tVBD\tB-VP\tO' -p74204 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p74205 -aS'.\t.\t.\tO\tO' -p74206 -asS'Mild stenosis of the proximal right internal carotid artery .' -p74207 -(lp74208 -S'Mild\tMild\tJJ\tB-NP\tO' -p74209 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p74210 -aS'of\tof\tIN\tB-PP\tO' -p74211 -aS'the\tthe\tDT\tB-NP\tO' -p74212 -aS'proximal\tproximal\tJJ\tI-NP\tO' -p74213 -aS'right\tright\tJJ\tI-NP\tO' -p74214 -aS'internal\tinternal\tJJ\tI-NP\tO' -p74215 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p74216 -aS'artery\tartery\tNN\tI-NP\tO' -p74217 -aS'.\t.\t.\tO\tO' -p74218 -asS'Postoperatively , the patient continued to have a coagulopathy requiring re-exploration on postoperatively day 2 , with findings only of hematoma and no active bleeding .' -p74219 -(lp74220 -S'Postoperatively\tPostoperatively\tRB\tB-ADVP\tO' -p74221 -aS',\t,\t,\tO\tO' -p74222 -aS'the\tthe\tDT\tB-NP\tO' -p74223 -aS'patient\tpatient\tNN\tI-NP\tO' -p74224 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p74225 -aS'to\tto\tTO\tI-VP\tO' -p74226 -aS'have\thave\tVB\tI-VP\tO' -p74227 -aS'a\ta\tDT\tB-NP\tO' -p74228 -aS'coagulopathy\tcoagulopathy\tNN\tI-NP\tO' -p74229 -aS'requiring\trequire\tVBG\tB-VP\tO' -p74230 -aS're-exploration\tre-exploration\tNN\tB-NP\tO' -p74231 -aS'on\ton\tIN\tB-PP\tO' -p74232 -aS'postoperatively\tpostoperatively\tRB\tB-NP\tO' -p74233 -aS'day\tday\tNN\tI-NP\tO' -p74234 -aS'2\t2\tCD\tI-NP\tO' -p74235 -aS',\t,\t,\tO\tO' -p74236 -aS'with\twith\tIN\tB-PP\tO' -p74237 -aS'findings\tfinding\tNNS\tB-NP\tO' -p74238 -aS'only\tonly\tRB\tB-ADVP\tO' -p74239 -aS'of\tof\tIN\tB-PP\tO' -p74240 -aS'hematoma\thematoma\tNN\tB-NP\tO' -p74241 -aS'and\tand\tCC\tO\tO' -p74242 -aS'no\tno\tDT\tB-NP\tO' -p74243 -aS'active\tactive\tJJ\tI-NP\tO' -p74244 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p74245 -aS'.\t.\t.\tO\tO' -p74246 -asS'Mother thought the baby just did not look right .' -p74247 -(lp74248 -S'Mother\tMother\tNNP\tB-NP\tO' -p74249 -aS'thought\tthink\tVBD\tB-VP\tO' -p74250 -aS'the\tthe\tDT\tB-NP\tO' -p74251 -aS'baby\tbaby\tNN\tI-NP\tO' -p74252 -aS'just\tjust\tRB\tB-ADVP\tO' -p74253 -aS'did\tdo\tVBD\tB-VP\tO' -p74254 -aS'not\tnot\tRB\tI-VP\tO' -p74255 -aS'look\tlook\tVB\tI-VP\tO' -p74256 -aS'right\tright\tRB\tB-ADVP\tO' -p74257 -aS'.\t.\t.\tO\tO' -p74258 -asS'OP clear .' -p74259 -(lp74260 -S'OP\tOP\tNN\tB-NP\tO' -p74261 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p74262 -aS'.\t.\t.\tO\tO' -p74263 -asS'Influenza A .' -p74264 -(lp74265 -S'Influenza\tInfluenza\tNNP\tB-NP\tO' -p74266 -aS'A\tA\tNNP\tI-NP\tO' -p74267 -aS'.\t.\t.\tO\tO' -p74268 -asS'Motor exam showed greater than 4+ strength bilateral upper extremities and psoas unable to lift off bed .' -p74269 -(lp74270 -S'Motor\tMotor\tNN\tB-NP\tO' -p74271 -aS'exam\texam\tNN\tI-NP\tO' -p74272 -aS'showed\tshow\tVBD\tB-VP\tO' -p74273 -aS'greater\tgreat\tJJR\tB-ADJP\tO' -p74274 -aS'than\tthan\tIN\tB-PP\tO' -p74275 -aS'4+\t4+\tJJ\tB-NP\tO' -p74276 -aS'strength\tstrength\tNN\tI-NP\tO' -p74277 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p74278 -aS'upper\tupper\tJJ\tI-NP\tO' -p74279 -aS'extremities\textremity\tNNS\tI-NP\tO' -p74280 -aS'and\tand\tCC\tI-NP\tO' -p74281 -aS'psoas\tpsoa\tNNS\tI-NP\tO' -p74282 -aS'unable\tunable\tJJ\tB-ADJP\tO' -p74283 -aS'to\tto\tTO\tB-VP\tO' -p74284 -aS'lift\tlift\tVB\tI-VP\tO' -p74285 -aS'off\toff\tRP\tB-PRT\tO' -p74286 -aS'bed\tbed\tNN\tB-NP\tO' -p74287 -aS'.\t.\t.\tO\tO' -p74288 -asS'MRI of the head demonstrated a small vessel disease and was likely an old right cerebellar infarct .' -p74289 -(lp74290 -S'MRI\tMRI\tNN\tB-NP\tO' -p74291 -aS'of\tof\tIN\tB-PP\tO' -p74292 -aS'the\tthe\tDT\tB-NP\tO' -p74293 -aS'head\thead\tNN\tI-NP\tO' -p74294 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p74295 -aS'a\ta\tDT\tB-NP\tO' -p74296 -aS'small\tsmall\tJJ\tI-NP\tO' -p74297 -aS'vessel\tvessel\tNN\tI-NP\tO' -p74298 -aS'disease\tdisease\tNN\tI-NP\tO' -p74299 -aS'and\tand\tCC\tO\tO' -p74300 -aS'was\tbe\tVBD\tB-VP\tO' -p74301 -aS'likely\tlikely\tRB\tB-ADJP\tO' -p74302 -aS'an\tan\tDT\tB-NP\tO' -p74303 -aS'old\told\tJJ\tI-NP\tO' -p74304 -aS'right\tright\tJJ\tI-NP\tO' -p74305 -aS'cerebellar\tcerebellar\tJJ\tI-NP\tO' -p74306 -aS'infarct\tinfarct\tNN\tI-NP\tO' -p74307 -aS'.\t.\t.\tO\tO' -p74308 -asS'Fortunately , no evidence of baratroma was ever discerned .' -p74309 -(lp74310 -S'Fortunately\tFortunately\tRB\tB-ADVP\tO' -p74311 -aS',\t,\t,\tO\tO' -p74312 -aS'no\tno\tDT\tB-NP\tO' -p74313 -aS'evidence\tevidence\tNN\tI-NP\tO' -p74314 -aS'of\tof\tIN\tB-PP\tO' -p74315 -aS'baratroma\tbaratroma\tNN\tB-NP\tO' -p74316 -aS'was\tbe\tVBD\tB-VP\tO' -p74317 -aS'ever\tever\tRB\tI-VP\tO' -p74318 -aS'discerned\tdiscern\tVBN\tI-VP\tO' -p74319 -aS'.\t.\t.\tO\tO' -p74320 -asS'Throughout this time , she had normal vital signs with a normal O2 saturation .' -p74321 -(lp74322 -S'Throughout\tThroughout\tIN\tB-PP\tO' -p74323 -aS'this\tthis\tDT\tB-NP\tO' -p74324 -aS'time\ttime\tNN\tI-NP\tO' -p74325 -aS',\t,\t,\tO\tO' -p74326 -aS'she\tshe\tPRP\tB-NP\tO' -p74327 -aS'had\thave\tVBD\tB-VP\tO' -p74328 -aS'normal\tnormal\tJJ\tB-NP\tO' -p74329 -aS'vital\tvital\tJJ\tI-NP\tO' -p74330 -aS'signs\tsign\tNNS\tI-NP\tO' -p74331 -aS'with\twith\tIN\tB-PP\tO' -p74332 -aS'a\ta\tDT\tB-NP\tO' -p74333 -aS'normal\tnormal\tJJ\tI-NP\tO' -p74334 -aS'O2\tO2\tNN\tI-NP\tO' -p74335 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p74336 -aS'.\t.\t.\tO\tO' -p74337 -asS'bowel sounds present , soft , nontender , nondistended , guaiac negative , no hepatosplenomegaly .' -p74338 -(lp74339 -S'bowel\tbowel\tNN\tB-NP\tO' -p74340 -aS'sounds\tsound\tVBZ\tB-VP\tO' -p74341 -aS'present\tpresent\tJJ\tB-NP\tO' -p74342 -aS',\t,\t,\tI-NP\tO' -p74343 -aS'soft\tsoft\tJJ\tI-NP\tO' -p74344 -aS',\t,\t,\tI-NP\tO' -p74345 -aS'nontender\tnontender\tJJ\tI-NP\tO' -p74346 -aS',\t,\t,\tI-NP\tO' -p74347 -aS'nondistended\tnondistended\tJJ\tI-NP\tO' -p74348 -aS',\t,\t,\tI-NP\tO' -p74349 -aS'guaiac\tguaiac\tJJ\tI-NP\tO' -p74350 -aS'negative\tnegative\tJJ\tI-NP\tO' -p74351 -aS',\t,\t,\tO\tO' -p74352 -aS'no\tno\tDT\tB-NP\tO' -p74353 -aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tI-NP\tO' -p74354 -aS'.\t.\t.\tO\tO' -p74355 -asS'Abdominal CT was negative except for right hydronephrosis with mild right hydroureter .' -p74356 -(lp74357 -S'Abdominal\tAbdominal\tJJ\tB-NP\tO' -p74358 -aS'CT\tCT\tNN\tI-NP\tO' -p74359 -aS'was\tbe\tVBD\tB-VP\tO' -p74360 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p74361 -aS'except\texcept\tIN\tB-PP\tO' -p74362 -aS'for\tfor\tIN\tB-PP\tO' -p74363 -aS'right\tright\tJJ\tB-NP\tO' -p74364 -aS'hydronephrosis\thydronephrosis\tNN\tI-NP\tO' -p74365 -aS'with\twith\tIN\tB-PP\tO' -p74366 -aS'mild\tmild\tJJ\tB-NP\tO' -p74367 -aS'right\tright\tJJ\tI-NP\tO' -p74368 -aS'hydroureter\thydroureter\tNN\tI-NP\tO' -p74369 -aS'.\t.\t.\tO\tO' -p74370 -asS'No history of cigarette smoking .' -p74371 -(lp74372 -S'No\tNo\tDT\tB-NP\tO' -p74373 -aS'history\thistory\tNN\tI-NP\tO' -p74374 -aS'of\tof\tIN\tB-PP\tO' -p74375 -aS'cigarette\tcigarette\tNN\tB-NP\tO' -p74376 -aS'smoking\tsmoking\tNN\tI-NP\tO' -p74377 -aS'.\t.\t.\tO\tO' -p74378 -asS'3. Zolpidem Tartrate 5 mg Tablet Sig : 1-2 Tablets PO HS ( at bedtime ).' -p74379 -(lp74380 -S'3.\t3.\tLS\tB-LST\tO' -p74381 -aS'Zolpidem\tZolpidem\tNN\tB-NP\tO' -p74382 -aS'Tartrate\tTartrate\tVB\tB-VP\tO' -p74383 -aS'5\t5\tCD\tB-NP\tO' -p74384 -aS'mg\tmg\tNN\tI-NP\tO' -p74385 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p74386 -aS'Sig\tSig\tNNP\tI-NP\tO' -p74387 -aS':\t:\t:\tO\tO' -p74388 -aS'1-2\t1-2\tCD\tB-NP\tO' -p74389 -aS'Tablets\tTablet\tNNS\tI-NP\tO' -p74390 -aS'PO\tPO\tNN\tI-NP\tO' -p74391 -aS'HS\tHS\tNN\tI-NP\tO' -p74392 -aS'(\t(\t(\tO\tO' -p74393 -aS'at\tat\tIN\tB-PP\tO' -p74394 -aS'bedtime\tbedtime\tNN\tB-NP\tO' -p74395 -aS').\t).\t.\tO\tO' -p74396 -asS'Hematocrit was 40 , white count was 21 , and platelet count of 723,000 .' -p74397 -(lp74398 -S'Hematocrit\tHematocrit\tNN\tB-NP\tO' -p74399 -aS'was\tbe\tVBD\tB-VP\tO' -p74400 -aS'40\t40\tCD\tB-NP\tO' -p74401 -aS',\t,\t,\tO\tO' -p74402 -aS'white\twhite\tJJ\tB-NP\tO' -p74403 -aS'count\tcount\tNN\tI-NP\tO' -p74404 -aS'was\tbe\tVBD\tB-VP\tO' -p74405 -aS'21\t21\tCD\tB-NP\tO' -p74406 -aS',\t,\t,\tO\tO' -p74407 -aS'and\tand\tCC\tO\tO' -p74408 -aS'platelet\tplatelet\tNN\tB-NP\tO' -p74409 -aS'count\tcount\tNN\tI-NP\tO' -p74410 -aS'of\tof\tIN\tB-PP\tO' -p74411 -aS'723,000\t723,000\tCD\tB-NP\tO' -p74412 -aS'.\t.\t.\tO\tO' -p74413 -asS'Her alkaline phosphatase is 77 , white blood count 12.5 , hematocrit 42.6 , platelet count 268 .' -p74414 -(lp74415 -S'Her\tHer\tPRP$\tB-NP\tO' -p74416 -aS'alkaline\talkaline\tNN\tI-NP\tB-protein' -p74417 -aS'phosphatase\tphosphatase\tNN\tI-NP\tI-protein' -p74418 -aS'is\tbe\tVBZ\tB-VP\tO' -p74419 -aS'77\t77\tCD\tB-NP\tO' -p74420 -aS',\t,\t,\tO\tO' -p74421 -aS'white\twhite\tJJ\tB-NP\tO' -p74422 -aS'blood\tblood\tNN\tI-NP\tO' -p74423 -aS'count\tcount\tNN\tI-NP\tO' -p74424 -aS'12.5\t12.5\tCD\tI-NP\tO' -p74425 -aS',\t,\t,\tO\tO' -p74426 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p74427 -aS'42.6\t42.6\tCD\tI-NP\tI-protein' -p74428 -aS',\t,\t,\tO\tO' -p74429 -aS'platelet\tplatelet\tNN\tB-NP\tB-protein' -p74430 -aS'count\tcount\tNN\tI-NP\tI-protein' -p74431 -aS'268\t268\tCD\tI-NP\tI-protein' -p74432 -aS'.\t.\t.\tO\tO' -p74433 -asS'Pupils were 4 mm reactive to 2 mm bilaterally .' -p74434 -(lp74435 -S'Pupils\tPupil\tNNS\tB-NP\tO' -p74436 -aS'were\tbe\tVBD\tB-VP\tO' -p74437 -aS'4\t4\tCD\tB-NP\tO' -p74438 -aS'mm\tmm\tNN\tI-NP\tO' -p74439 -aS'reactive\treactive\tJJ\tB-ADJP\tO' -p74440 -aS'to\tto\tTO\tB-PP\tO' -p74441 -aS'2\t2\tCD\tB-NP\tO' -p74442 -aS'mm\tmm\tNN\tI-NP\tO' -p74443 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p74444 -aS'.\t.\t.\tO\tO' -p74445 -asS'1. A 35-1/7 week gestation .' -p74446 -(lp74447 -S'1.\t1.\tLS\tB-LST\tO' -p74448 -aS'A\tA\tDT\tB-NP\tO' -p74449 -aS'35-1/7\t35-1/7\tCD\tI-NP\tO' -p74450 -aS'week\tweek\tNN\tI-NP\tO' -p74451 -aS'gestation\tgestation\tNN\tI-NP\tO' -p74452 -aS'.\t.\t.\tO\tO' -p74453 -asS'The patient 's past surgical history is notable for the removal of a thyroid nodule in February 1989 .' -p74454 -(lp74455 -S'The\tThe\tDT\tB-NP\tO' -p74456 -aS'patient\tpatient\tNN\tI-NP\tO' -p74457 -aS''s\t'\tNNS\tI-NP\tO' -p74458 -aS'past\tpast\tIN\tB-PP\tO' -p74459 -aS'surgical\tsurgical\tJJ\tB-NP\tO' -p74460 -aS'history\thistory\tNN\tI-NP\tO' -p74461 -aS'is\tbe\tVBZ\tB-VP\tO' -p74462 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p74463 -aS'for\tfor\tIN\tB-PP\tO' -p74464 -aS'the\tthe\tDT\tB-NP\tO' -p74465 -aS'removal\tremoval\tNN\tI-NP\tO' -p74466 -aS'of\tof\tIN\tB-PP\tO' -p74467 -aS'a\ta\tDT\tB-NP\tO' -p74468 -aS'thyroid\tthyroid\tJJ\tI-NP\tO' -p74469 -aS'nodule\tnodule\tNN\tI-NP\tO' -p74470 -aS'in\tin\tIN\tB-PP\tO' -p74471 -aS'February\tFebruary\tNNP\tB-NP\tO' -p74472 -aS'1989\t1989\tCD\tI-NP\tO' -p74473 -aS'.\t.\t.\tO\tO' -p74474 -asS'Three days ago began to develop black stools .' -p74475 -(lp74476 -S'Three\tThree\tCD\tB-NP\tO' -p74477 -aS'days\tday\tNNS\tI-NP\tO' -p74478 -aS'ago\tago\tRB\tB-ADVP\tO' -p74479 -aS'began\tbegin\tVBD\tB-VP\tO' -p74480 -aS'to\tto\tTO\tI-VP\tO' -p74481 -aS'develop\tdevelop\tVB\tI-VP\tO' -p74482 -aS'black\tblack\tJJ\tB-NP\tO' -p74483 -aS'stools\tstool\tNNS\tI-NP\tO' -p74484 -aS'.\t.\t.\tO\tO' -p74485 -asS'1. Coumadin 2 mg once daily ( stopped recently due to risk of GI bleed )' -p74486 -(lp74487 -S'1.\t1.\tLS\tB-NP\tO' -p74488 -aS'Coumadin\tCoumadin\tNN\tI-NP\tO' -p74489 -aS'2\t2\tCD\tI-NP\tO' -p74490 -aS'mg\tmg\tNN\tI-NP\tO' -p74491 -aS'once\tonce\tRB\tO\tO' -p74492 -aS'daily\tdaily\tRB\tB-ADVP\tO' -p74493 -aS'(\t(\t(\tO\tO' -p74494 -aS'stopped\tstop\tVBD\tB-VP\tO' -p74495 -aS'recently\trecently\tRB\tB-ADVP\tO' -p74496 -aS'due\tdue\tJJ\tB-ADJP\tO' -p74497 -aS'to\tto\tTO\tB-PP\tO' -p74498 -aS'risk\trisk\tNN\tB-NP\tO' -p74499 -aS'of\tof\tIN\tB-PP\tO' -p74500 -aS'GI\tGI\tNN\tB-NP\tO' -p74501 -aS'bleed\tbleed\tNN\tI-NP\tO' -p74502 -aS')\t)\t)\tO\tO' -p74503 -asS'Documentation is in her medical chart .' -p74504 -(lp74505 -S'Documentation\tDocumentation\tNN\tB-NP\tO' -p74506 -aS'is\tbe\tVBZ\tB-VP\tO' -p74507 -aS'in\tin\tIN\tB-PP\tO' -p74508 -aS'her\ther\tPRP$\tB-NP\tO' -p74509 -aS'medical\tmedical\tJJ\tI-NP\tO' -p74510 -aS'chart\tchart\tNN\tI-NP\tO' -p74511 -aS'.\t.\t.\tO\tO' -p74512 -asS'Chest CT .' -p74513 -(lp74514 -S'Chest\tCh\tJJS\tB-NP\tO' -p74515 -aS'CT\tCT\tNN\tI-NP\tB-protein' -p74516 -aS'.\t.\t.\tO\tO' -p74517 -asS'FAMILY HISTORY : Not significant for coronary artery disease .' -p74518 -(lp74519 -S'FAMILY\tFAMILY\tNN\tB-NP\tO' -p74520 -aS'HISTORY\tHISTORY\tNN\tI-NP\tO' -p74521 -aS':\t:\t:\tO\tO' -p74522 -aS'Not\tNot\tRB\tB-ADJP\tO' -p74523 -aS'significant\tsignificant\tJJ\tI-ADJP\tO' -p74524 -aS'for\tfor\tIN\tB-PP\tO' -p74525 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p74526 -aS'artery\tartery\tNN\tI-NP\tO' -p74527 -aS'disease\tdisease\tNN\tI-NP\tO' -p74528 -aS'.\t.\t.\tO\tO' -p74529 -asS'He was extubated by POD #1 .' -p74530 -(lp74531 -S'He\tHe\tPRP\tB-NP\tO' -p74532 -aS'was\tbe\tVBD\tB-VP\tO' -p74533 -aS'extubated\textubate\tVBN\tI-VP\tO' -p74534 -aS'by\tby\tIN\tB-PP\tO' -p74535 -aS'POD\tPOD\tNN\tB-NP\tB-protein' -p74536 -aS'#1\t#1\tNN\tI-NP\tI-protein' -p74537 -aS'.\t.\t.\tO\tO' -p74538 -asS'With the pressure support at 7 , she became tachypneic and had to be brought back up to 10 .' -p74539 -(lp74540 -S'With\tWith\tIN\tB-PP\tO' -p74541 -aS'the\tthe\tDT\tB-NP\tO' -p74542 -aS'pressure\tpressure\tNN\tI-NP\tO' -p74543 -aS'support\tsupport\tNN\tI-NP\tO' -p74544 -aS'at\tat\tIN\tB-PP\tO' -p74545 -aS'7\t7\tCD\tB-NP\tO' -p74546 -aS',\t,\t,\tO\tO' -p74547 -aS'she\tshe\tPRP\tB-NP\tO' -p74548 -aS'became\tbecome\tVBD\tB-VP\tO' -p74549 -aS'tachypneic\ttachypneic\tJJ\tB-ADJP\tO' -p74550 -aS'and\tand\tCC\tO\tO' -p74551 -aS'had\thave\tVBD\tB-VP\tO' -p74552 -aS'to\tto\tTO\tI-VP\tO' -p74553 -aS'be\tbe\tVB\tI-VP\tO' -p74554 -aS'brought\tbring\tVBN\tI-VP\tO' -p74555 -aS'back\tback\tRB\tB-ADVP\tO' -p74556 -aS'up\tup\tIN\tB-PP\tO' -p74557 -aS'to\tto\tTO\tB-PP\tO' -p74558 -aS'10\t10\tCD\tB-NP\tO' -p74559 -aS'.\t.\t.\tO\tO' -p74560 -asS'She tolerated these meds with SBP s in the high 90 s to 100 s and was therefore discharged on this regimen .' -p74561 -(lp74562 -S'She\tShe\tPRP\tB-NP\tO' -p74563 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p74564 -aS'these\tthese\tDT\tB-NP\tO' -p74565 -aS'meds\tmed\tNNS\tI-NP\tO' -p74566 -aS'with\twith\tIN\tB-PP\tO' -p74567 -aS'SBP\tSBP\tNN\tB-NP\tB-protein' -p74568 -aS's\ts\tNNS\tI-NP\tI-protein' -p74569 -aS'in\tin\tIN\tB-PP\tO' -p74570 -aS'the\tthe\tDT\tB-NP\tO' -p74571 -aS'high\thigh\tJJ\tI-NP\tO' -p74572 -aS'90\t90\tCD\tI-NP\tO' -p74573 -aS's\ts\tNN\tI-NP\tO' -p74574 -aS'to\tto\tTO\tB-PP\tO' -p74575 -aS'100\t100\tCD\tB-NP\tO' -p74576 -aS's\ts\tNN\tI-NP\tO' -p74577 -aS'and\tand\tCC\tO\tO' -p74578 -aS'was\tbe\tVBD\tB-VP\tO' -p74579 -aS'therefore\ttherefore\tRB\tI-VP\tO' -p74580 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p74581 -aS'on\ton\tIN\tB-PP\tO' -p74582 -aS'this\tthis\tDT\tB-NP\tO' -p74583 -aS'regimen\tregimen\tNN\tI-NP\tO' -p74584 -aS'.\t.\t.\tO\tO' -p74585 -asS'Erica and basic cystic protein stains are still pending .' -p74586 -(lp74587 -S'Erica\tErica\tNNP\tB-NP\tO' -p74588 -aS'and\tand\tCC\tO\tO' -p74589 -aS'basic\tbasic\tJJ\tB-NP\tO' -p74590 -aS'cystic\tcystic\tJJ\tI-NP\tO' -p74591 -aS'protein\tprotein\tNN\tI-NP\tO' -p74592 -aS'stains\tstain\tNNS\tI-NP\tO' -p74593 -aS'are\tbe\tVBP\tB-VP\tO' -p74594 -aS'still\tstill\tRB\tI-VP\tO' -p74595 -aS'pending\tpende\tVBG\tI-VP\tO' -p74596 -aS'.\t.\t.\tO\tO' -p74597 -asS'The patient is discharged to the Encharlea Il Medical Center .' -p74598 -(lp74599 -S'The\tThe\tDT\tB-NP\tO' -p74600 -aS'patient\tpatient\tNN\tI-NP\tO' -p74601 -aS'is\tbe\tVBZ\tB-VP\tO' -p74602 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p74603 -aS'to\tto\tTO\tB-PP\tO' -p74604 -aS'the\tthe\tDT\tB-NP\tO' -p74605 -aS'Encharlea\tEncharlea\tNNP\tI-NP\tO' -p74606 -aS'Il\tIl\tNNP\tI-NP\tO' -p74607 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p74608 -aS'Center\tCenter\tNNP\tI-NP\tO' -p74609 -aS'.\t.\t.\tO\tO' -p74610 -asS"The patient 's INR was noted to be 2.3 ." -p74611 -(lp74612 -S'The\tThe\tDT\tB-NP\tO' -p74613 -aS'patient\tpatient\tNN\tI-NP\tO' -p74614 -aS"'s\t's\tPOS\tB-NP\tO" -p74615 -aS'INR\tINR\tNN\tI-NP\tB-protein' -p74616 -aS'was\tbe\tVBD\tB-VP\tO' -p74617 -aS'noted\tnote\tVBN\tI-VP\tO' -p74618 -aS'to\tto\tTO\tI-VP\tO' -p74619 -aS'be\tbe\tVB\tI-VP\tO' -p74620 -aS'2.3\t2.3\tCD\tB-NP\tO' -p74621 -aS'.\t.\t.\tO\tO' -p74622 -asS'Urology was notified about the clots and occasional blood tinged urine but they did not make any further recommendations .' -p74623 -(lp74624 -S'Urology\tUrology\tNN\tB-NP\tO' -p74625 -aS'was\tbe\tVBD\tB-VP\tO' -p74626 -aS'notified\tnotify\tVBN\tI-VP\tO' -p74627 -aS'about\tabout\tIN\tB-PP\tO' -p74628 -aS'the\tthe\tDT\tB-NP\tO' -p74629 -aS'clots\tclot\tNNS\tI-NP\tO' -p74630 -aS'and\tand\tCC\tO\tO' -p74631 -aS'occasional\toccasional\tJJ\tB-NP\tO' -p74632 -aS'blood\tblood\tNN\tI-NP\tO' -p74633 -aS'tinged\ttinge\tVBD\tB-VP\tO' -p74634 -aS'urine\turine\tNN\tB-NP\tO' -p74635 -aS'but\tbut\tCC\tO\tO' -p74636 -aS'they\tthey\tPRP\tB-NP\tO' -p74637 -aS'did\tdo\tVBD\tB-VP\tO' -p74638 -aS'not\tnot\tRB\tI-VP\tO' -p74639 -aS'make\tmake\tVB\tI-VP\tO' -p74640 -aS'any\tany\tDT\tB-NP\tO' -p74641 -aS'further\tfurther\tJJ\tI-NP\tO' -p74642 -aS'recommendations\trecommendation\tNNS\tI-NP\tO' -p74643 -aS'.\t.\t.\tO\tO' -p74644 -asS'10 ) Metamucil one packet p.o. q. day .' -p74645 -(lp74646 -S'10\t10\tCD\tB-NP\tO' -p74647 -aS')\t)\t)\tO\tO' -p74648 -aS'Metamucil\tMetamucil\tNNP\tB-NP\tO' -p74649 -aS'one\tone\tCD\tI-NP\tO' -p74650 -aS'packet\tpacket\tNN\tI-NP\tO' -p74651 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p74652 -aS'q.\tq.\tNN\tI-NP\tO' -p74653 -aS'day\tday\tNN\tI-NP\tO' -p74654 -aS'.\t.\t.\tO\tO' -p74655 -asS'REturn to the ER or call your doctor if you develop fevers , notice pus from the incision , develop surrounding redness , have abdominal pain , have vomiting where you can 't keep anything down or develop any symptoms that concern you .' -p74656 -(lp74657 -S'REturn\tREturn\tNN\tB-NP\tO' -p74658 -aS'to\tto\tTO\tB-PP\tO' -p74659 -aS'the\tthe\tDT\tB-NP\tO' -p74660 -aS'ER\tER\tNN\tI-NP\tB-protein' -p74661 -aS'or\tor\tCC\tO\tO' -p74662 -aS'call\tcall\tVB\tB-VP\tO' -p74663 -aS'your\tyour\tPRP$\tB-NP\tO' -p74664 -aS'doctor\tdoctor\tNN\tI-NP\tO' -p74665 -aS'if\tif\tIN\tB-SBAR\tO' -p74666 -aS'you\tyou\tPRP\tB-NP\tO' -p74667 -aS'develop\tdevelop\tVBP\tB-VP\tO' -p74668 -aS'fevers\tfever\tNNS\tB-NP\tO' -p74669 -aS',\t,\t,\tO\tO' -p74670 -aS'notice\tnotice\tNN\tB-NP\tO' -p74671 -aS'pus\tpus\tNN\tI-NP\tO' -p74672 -aS'from\tfrom\tIN\tB-PP\tO' -p74673 -aS'the\tthe\tDT\tB-NP\tO' -p74674 -aS'incision\tincision\tNN\tI-NP\tO' -p74675 -aS',\t,\t,\tO\tO' -p74676 -aS'develop\tdevelop\tVBP\tB-VP\tO' -p74677 -aS'surrounding\tsurround\tVBG\tI-VP\tO' -p74678 -aS'redness\tredness\tNN\tB-NP\tO' -p74679 -aS',\t,\t,\tO\tO' -p74680 -aS'have\thave\tVBP\tB-VP\tO' -p74681 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p74682 -aS'pain\tpain\tNN\tI-NP\tO' -p74683 -aS',\t,\t,\tO\tO' -p74684 -aS'have\thave\tVBP\tB-VP\tO' -p74685 -aS'vomiting\tvomit\tVBG\tI-VP\tO' -p74686 -aS'where\twhere\tWRB\tB-ADVP\tO' -p74687 -aS'you\tyou\tPRP\tB-NP\tO' -p74688 -aS'can\tcan\tMD\tB-VP\tO' -p74689 -aS''t\t't\tVB\tI-VP\tO' -p74690 -aS'keep\tkeep\tVB\tI-VP\tO' -p74691 -aS'anything\tanything\tNN\tB-NP\tO' -p74692 -aS'down\tdown\tRB\tB-ADVP\tO' -p74693 -aS'or\tor\tCC\tO\tO' -p74694 -aS'develop\tdevelop\tVB\tB-VP\tO' -p74695 -aS'any\tany\tDT\tB-NP\tO' -p74696 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p74697 -aS'that\tthat\tWDT\tB-NP\tO' -p74698 -aS'concern\tconcern\tVBP\tB-VP\tO' -p74699 -aS'you\tyou\tPRP\tB-NP\tO' -p74700 -aS'.\t.\t.\tO\tO' -p74701 -asS'7. Question tendonitis with left biceps pain .' -p74702 -(lp74703 -S'7.\t7.\tLS\tB-NP\tO' -p74704 -aS'Question\tQuestion\tNN\tI-NP\tO' -p74705 -aS'tendonitis\ttendonitis\tNN\tI-NP\tO' -p74706 -aS'with\twith\tIN\tB-PP\tO' -p74707 -aS'left\tleft\tJJ\tB-NP\tB-protein' -p74708 -aS'biceps\tbicep\tNNS\tI-NP\tI-protein' -p74709 -aS'pain\tpain\tNN\tI-NP\tI-protein' -p74710 -aS'.\t.\t.\tO\tO' -p74711 -asS'Mother presented on day of delivery with preterm labor , cervical dilation , therefore delivered by repeat cesarean section .' -p74712 -(lp74713 -S'Mother\tMother\tNNP\tB-NP\tO' -p74714 -aS'presented\tpresent\tVBD\tB-VP\tO' -p74715 -aS'on\ton\tIN\tB-PP\tO' -p74716 -aS'day\tday\tNN\tB-NP\tO' -p74717 -aS'of\tof\tIN\tB-PP\tO' -p74718 -aS'delivery\tdelivery\tNN\tB-NP\tO' -p74719 -aS'with\twith\tIN\tB-PP\tO' -p74720 -aS'preterm\tpreterm\tJJ\tB-NP\tO' -p74721 -aS'labor\tlabor\tNN\tI-NP\tO' -p74722 -aS',\t,\t,\tO\tO' -p74723 -aS'cervical\tcervical\tJJ\tB-NP\tO' -p74724 -aS'dilation\tdilation\tNN\tI-NP\tO' -p74725 -aS',\t,\t,\tO\tO' -p74726 -aS'therefore\ttherefore\tRB\tB-VP\tO' -p74727 -aS'delivered\tdeliver\tVBN\tI-VP\tO' -p74728 -aS'by\tby\tIN\tB-PP\tO' -p74729 -aS'repeat\trepeat\tNN\tB-NP\tO' -p74730 -aS'cesarean\tcesarean\tJJ\tI-NP\tO' -p74731 -aS'section\tsection\tNN\tI-NP\tO' -p74732 -aS'.\t.\t.\tO\tO' -p74733 -asS'Signed electronically by : DR. Margarita Martin on : TUE 2012-06-05 8:08 AM' -p74734 -(lp74735 -S'Signed\tSign\tVBN\tB-VP\tO' -p74736 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p74737 -aS'by\tby\tIN\tB-PP\tO' -p74738 -aS':\t:\t:\tO\tO' -p74739 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p74740 -aS'Margarita\tMargarita\tNNP\tI-NP\tO' -p74741 -aS'Martin\tMartin\tNNP\tI-NP\tO' -p74742 -aS'on\ton\tIN\tB-PP\tO' -p74743 -aS':\t:\t:\tO\tO' -p74744 -aS'TUE\tTUE\tNN\tB-NP\tO' -p74745 -aS'2012-06-05\t2012-06-05\tCD\tI-NP\tO' -p74746 -aS'8:08\t8:08\tCD\tI-NP\tO' -p74747 -aS'AM\tAM\tNN\tI-NP\tO' -p74748 -asS'He has been somewhat noncompliant with his diet ( eating Pringle 's in the room ) .' -p74749 -(lp74750 -S'He\tHe\tPRP\tB-NP\tO' -p74751 -aS'has\thave\tVBZ\tB-VP\tO' -p74752 -aS'been\tbe\tVBN\tI-VP\tO' -p74753 -aS'somewhat\tsomewhat\tRB\tB-ADJP\tO' -p74754 -aS'noncompliant\tnoncompliant\tJJ\tI-ADJP\tO' -p74755 -aS'with\twith\tIN\tB-PP\tO' -p74756 -aS'his\this\tPRP$\tB-NP\tO' -p74757 -aS'diet\tdiet\tNN\tI-NP\tO' -p74758 -aS'(\t(\t(\tO\tO' -p74759 -aS'eating\teat\tVBG\tB-VP\tO' -p74760 -aS'Pringle\tPringle\tNNP\tB-NP\tO' -p74761 -aS''s\t'\tNNS\tI-NP\tO' -p74762 -aS'in\tin\tIN\tB-PP\tO' -p74763 -aS'the\tthe\tDT\tB-NP\tO' -p74764 -aS'room\troom\tNN\tI-NP\tO' -p74765 -aS')\t)\t)\tO\tO' -p74766 -aS'.\t.\t.\tO\tO' -p74767 -asS'Her ophthalmologist is aware of transfer .' -p74768 -(lp74769 -S'Her\tHer\tPRP$\tB-NP\tO' -p74770 -aS'ophthalmologist\tophthalmologist\tNN\tI-NP\tO' -p74771 -aS'is\tbe\tVBZ\tB-VP\tO' -p74772 -aS'aware\taware\tJJ\tB-ADJP\tO' -p74773 -aS'of\tof\tIN\tB-PP\tO' -p74774 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p74775 -aS'.\t.\t.\tO\tO' -p74776 -asS'Percocet and morphine sulfate for pain .' -p74777 -(lp74778 -S'Percocet\tPercocet\tNN\tB-NP\tO' -p74779 -aS'and\tand\tCC\tI-NP\tO' -p74780 -aS'morphine\tmorphine\tNN\tI-NP\tO' -p74781 -aS'sulfate\tsulfate\tNN\tI-NP\tO' -p74782 -aS'for\tfor\tIN\tB-PP\tO' -p74783 -aS'pain\tpain\tNN\tB-NP\tO' -p74784 -aS'.\t.\t.\tO\tO' -p74785 -asS'She had a pneumonia of 31 , calcium was 7.5 , phosphorous 3.0 , magnesium 1.3 .' -p74786 -(lp74787 -S'She\tShe\tPRP\tB-NP\tO' -p74788 -aS'had\thave\tVBD\tB-VP\tO' -p74789 -aS'a\ta\tDT\tB-NP\tO' -p74790 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p74791 -aS'of\tof\tIN\tB-PP\tO' -p74792 -aS'31\t31\tCD\tB-NP\tO' -p74793 -aS',\t,\t,\tO\tO' -p74794 -aS'calcium\tcalcium\tNN\tB-NP\tO' -p74795 -aS'was\tbe\tVBD\tB-VP\tO' -p74796 -aS'7.5\t7.5\tCD\tB-NP\tO' -p74797 -aS',\t,\t,\tO\tO' -p74798 -aS'phosphorous\tphosphorous\tJJ\tB-NP\tO' -p74799 -aS'3.0\t3.0\tCD\tI-NP\tO' -p74800 -aS',\t,\t,\tO\tO' -p74801 -aS'magnesium\tmagnesium\tNN\tB-NP\tO' -p74802 -aS'1.3\t1.3\tCD\tI-NP\tO' -p74803 -aS'.\t.\t.\tO\tO' -p74804 -asS'gas , upset stomach .' -p74805 -(lp74806 -S'gas\tgas\tNN\tB-NP\tB-DNA' -p74807 -aS',\t,\t,\tO\tO' -p74808 -aS'upset\tupset\tJJ\tB-NP\tO' -p74809 -aS'stomach\tstomach\tNN\tI-NP\tO' -p74810 -aS'.\t.\t.\tO\tO' -p74811 -asS'The pericardial drain was removed without any difficulty .' -p74812 -(lp74813 -S'The\tThe\tDT\tB-NP\tO' -p74814 -aS'pericardial\tpericardial\tJJ\tI-NP\tO' -p74815 -aS'drain\tdrain\tNN\tI-NP\tO' -p74816 -aS'was\tbe\tVBD\tB-VP\tO' -p74817 -aS'removed\tremove\tVBN\tI-VP\tO' -p74818 -aS'without\twithout\tIN\tB-PP\tO' -p74819 -aS'any\tany\tDT\tB-NP\tO' -p74820 -aS'difficulty\tdifficulty\tNN\tI-NP\tO' -p74821 -aS'.\t.\t.\tO\tO' -p74822 -asS'Should there be any wound erythema or drainage , please contact Dr. Uph 's office immediately .' -p74823 -(lp74824 -S'Should\tShould\tMD\tB-VP\tO' -p74825 -aS'there\tthere\tRB\tI-VP\tO' -p74826 -aS'be\tbe\tVB\tI-VP\tO' -p74827 -aS'any\tany\tDT\tB-NP\tO' -p74828 -aS'wound\twound\tNN\tI-NP\tO' -p74829 -aS'erythema\terythema\tNN\tI-NP\tO' -p74830 -aS'or\tor\tCC\tI-NP\tO' -p74831 -aS'drainage\tdrainage\tNN\tI-NP\tO' -p74832 -aS',\t,\t,\tO\tO' -p74833 -aS'please\tplease\tNN\tB-NP\tO' -p74834 -aS'contact\tcontact\tNN\tI-NP\tO' -p74835 -aS'Dr.\tDr.\tNNP\tI-NP\tO' -p74836 -aS'Uph\tUph\tNNP\tI-NP\tO' -p74837 -aS''s\t'\tNNS\tI-NP\tO' -p74838 -aS'office\toffice\tNN\tI-NP\tO' -p74839 -aS'immediately\timmediately\tRB\tB-ADVP\tO' -p74840 -aS'.\t.\t.\tO\tO' -p74841 -asS'Her hematocrit at the time of admission was 45.4 , platelets were 360,000 .' -p74842 -(lp74843 -S'Her\tHer\tPRP$\tB-NP\tO' -p74844 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p74845 -aS'at\tat\tIN\tB-PP\tO' -p74846 -aS'the\tthe\tDT\tB-NP\tO' -p74847 -aS'time\ttime\tNN\tI-NP\tO' -p74848 -aS'of\tof\tIN\tB-PP\tO' -p74849 -aS'admission\tadmission\tNN\tB-NP\tO' -p74850 -aS'was\tbe\tVBD\tB-VP\tO' -p74851 -aS'45.4\t45.4\tCD\tB-NP\tO' -p74852 -aS',\t,\t,\tO\tO' -p74853 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p74854 -aS'were\tbe\tVBD\tB-VP\tO' -p74855 -aS'360,000\t360,000\tCD\tB-NP\tO' -p74856 -aS'.\t.\t.\tO\tO' -p74857 -asS'GI was consulted for an EGD , however , while she was in the Endoscopy Suite , as mentioned above , she had a hypotensive episode , which responded to some fluid boluses .' -p74858 -(lp74859 -S'GI\tGI\tNN\tB-NP\tO' -p74860 -aS'was\tbe\tVBD\tB-VP\tO' -p74861 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p74862 -aS'for\tfor\tIN\tB-PP\tO' -p74863 -aS'an\tan\tDT\tB-NP\tO' -p74864 -aS'EGD\tEGD\tNN\tI-NP\tB-protein' -p74865 -aS',\t,\t,\tO\tO' -p74866 -aS'however\thowever\tRB\tB-ADVP\tO' -p74867 -aS',\t,\t,\tO\tO' -p74868 -aS'while\twhile\tIN\tB-SBAR\tO' -p74869 -aS'she\tshe\tPRP\tB-NP\tO' -p74870 -aS'was\tbe\tVBD\tB-VP\tO' -p74871 -aS'in\tin\tIN\tB-PP\tO' -p74872 -aS'the\tthe\tDT\tB-NP\tO' -p74873 -aS'Endoscopy\tEndoscopy\tNNP\tI-NP\tO' -p74874 -aS'Suite\tSuite\tNNP\tI-NP\tO' -p74875 -aS',\t,\t,\tO\tO' -p74876 -aS'as\tas\tIN\tB-SBAR\tO' -p74877 -aS'mentioned\tmention\tVBN\tB-VP\tO' -p74878 -aS'above\tabove\tRB\tB-ADVP\tO' -p74879 -aS',\t,\t,\tO\tO' -p74880 -aS'she\tshe\tPRP\tB-NP\tO' -p74881 -aS'had\thave\tVBD\tB-VP\tO' -p74882 -aS'a\ta\tDT\tB-NP\tO' -p74883 -aS'hypotensive\thypotensive\tJJ\tI-NP\tO' -p74884 -aS'episode\tepisode\tNN\tI-NP\tO' -p74885 -aS',\t,\t,\tO\tO' -p74886 -aS'which\twhich\tWDT\tB-NP\tO' -p74887 -aS'responded\trespond\tVBD\tB-VP\tO' -p74888 -aS'to\tto\tTO\tB-PP\tO' -p74889 -aS'some\tsome\tDT\tB-NP\tO' -p74890 -aS'fluid\tfluid\tNN\tI-NP\tO' -p74891 -aS'boluses\tbolus\tNNS\tI-NP\tO' -p74892 -aS'.\t.\t.\tO\tO' -p74893 -asS'Cesarean section was performed under spinal anesthesia .' -p74894 -(lp74895 -S'Cesarean\tCesarean\tJJ\tB-NP\tO' -p74896 -aS'section\tsection\tNN\tI-NP\tO' -p74897 -aS'was\tbe\tVBD\tB-VP\tO' -p74898 -aS'performed\tperform\tVBN\tI-VP\tO' -p74899 -aS'under\tunder\tIN\tB-PP\tO' -p74900 -aS'spinal\tspinal\tJJ\tB-NP\tO' -p74901 -aS'anesthesia\tanesthesia\tNN\tI-NP\tO' -p74902 -aS'.\t.\t.\tO\tO' -p74903 -asS'In addition , Mr. Douglass is given Trazodone to help him sleep at night .' -p74904 -(lp74905 -S'In\tIn\tIN\tB-PP\tO' -p74906 -aS'addition\taddition\tNN\tB-NP\tO' -p74907 -aS',\t,\t,\tO\tO' -p74908 -aS'Mr.\tMr.\tNNP\tB-NP\tO' -p74909 -aS'Douglass\tDouglass\tNNP\tI-NP\tO' -p74910 -aS'is\tbe\tVBZ\tB-VP\tO' -p74911 -aS'given\tgive\tVBN\tI-VP\tO' -p74912 -aS'Trazodone\tTrazodone\tNN\tB-NP\tO' -p74913 -aS'to\tto\tTO\tB-VP\tO' -p74914 -aS'help\thelp\tVB\tI-VP\tO' -p74915 -aS'him\thim\tPRP\tB-NP\tO' -p74916 -aS'sleep\tsleep\tVB\tB-VP\tO' -p74917 -aS'at\tat\tIN\tB-PP\tO' -p74918 -aS'night\tnight\tNN\tB-NP\tO' -p74919 -aS'.\t.\t.\tO\tO' -p74920 -asS'Cranial nerves II - XII were intact .' -p74921 -(lp74922 -S'Cranial\tCranial\tNNP\tB-NP\tO' -p74923 -aS'nerves\tnerve\tVBZ\tB-VP\tO' -p74924 -aS'II\tII\tCD\tB-NP\tO' -p74925 -aS'-\t-\tHYPH\tI-NP\tO' -p74926 -aS'XII\tXII\tCD\tI-NP\tB-DNA' -p74927 -aS'were\tbe\tVBD\tB-VP\tO' -p74928 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p74929 -aS'.\t.\t.\tO\tO' -p74930 -asS'He underwent neurovascular doppler studies which showed no significant change in either common carotid or in the left common internal ophthalmic system .' -p74931 -(lp74932 -S'He\tHe\tPRP\tB-NP\tO' -p74933 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p74934 -aS'neurovascular\tneurovascular\tJJ\tB-NP\tO' -p74935 -aS'doppler\tdoppler\tNN\tI-NP\tO' -p74936 -aS'studies\tstudy\tNNS\tI-NP\tO' -p74937 -aS'which\twhich\tWDT\tB-NP\tO' -p74938 -aS'showed\tshow\tVBD\tB-VP\tO' -p74939 -aS'no\tno\tDT\tB-NP\tO' -p74940 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p74941 -aS'change\tchange\tNN\tI-NP\tO' -p74942 -aS'in\tin\tIN\tB-PP\tO' -p74943 -aS'either\teither\tCC\tB-NP\tO' -p74944 -aS'common\tcommon\tJJ\tI-NP\tO' -p74945 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p74946 -aS'or\tor\tCC\tB-PP\tO' -p74947 -aS'in\tin\tIN\tB-PP\tO' -p74948 -aS'the\tthe\tDT\tB-NP\tO' -p74949 -aS'left\tleft\tJJ\tI-NP\tO' -p74950 -aS'common\tcommon\tJJ\tI-NP\tO' -p74951 -aS'internal\tinternal\tJJ\tI-NP\tO' -p74952 -aS'ophthalmic\tophthalmic\tJJ\tI-NP\tO' -p74953 -aS'system\tsystem\tNN\tI-NP\tO' -p74954 -aS'.\t.\t.\tO\tO' -p74955 -asS'9. Degenerative joint disease .' -p74956 -(lp74957 -S'9.\t9.\tLS\tB-NP\tO' -p74958 -aS'Degenerative\tDegenerative\tJJ\tI-NP\tO' -p74959 -aS'joint\tjoint\tNN\tI-NP\tO' -p74960 -aS'disease\tdisease\tNN\tI-NP\tO' -p74961 -aS'.\t.\t.\tO\tO' -p74962 -asS'He had occasional ventricular extopyon telemetry but no further recurrence of ventricular tachycardia .' -p74963 -(lp74964 -S'He\tHe\tPRP\tB-NP\tO' -p74965 -aS'had\thave\tVBD\tB-VP\tO' -p74966 -aS'occasional\toccasional\tJJ\tB-NP\tO' -p74967 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p74968 -aS'extopyon\textopyon\tNN\tI-NP\tO' -p74969 -aS'telemetry\ttelemetry\tNN\tI-NP\tO' -p74970 -aS'but\tbut\tCC\tO\tO' -p74971 -aS'no\tno\tDT\tB-NP\tO' -p74972 -aS'further\tfurther\tJJ\tI-NP\tO' -p74973 -aS'recurrence\trecurrence\tNN\tI-NP\tO' -p74974 -aS'of\tof\tIN\tB-PP\tO' -p74975 -aS'ventricular\tventricular\tJJ\tB-NP\tO' -p74976 -aS'tachycardia\ttachycardia\tNN\tI-NP\tO' -p74977 -aS'.\t.\t.\tO\tO' -p74978 -asS'They were minimally reactive .' -p74979 -(lp74980 -S'They\tThey\tPRP\tB-NP\tO' -p74981 -aS'were\tbe\tVBD\tB-VP\tO' -p74982 -aS'minimally\tminimally\tRB\tB-ADJP\tO' -p74983 -aS'reactive\treactive\tJJ\tI-ADJP\tO' -p74984 -aS'.\t.\t.\tO\tO' -p74985 -asS'His anticoagulation status had to be monitored very closely due to his history of deep venous thrombosis and pulmonary embolus as well as atrial fibrillation , but he could not be placed on a high amount of anticoagulation because of the new intraparenchymal bleed .' -p74986 -(lp74987 -S'His\tHis\tPRP$\tB-NP\tO' -p74988 -aS'anticoagulation\tanticoagulation\tNN\tI-NP\tO' -p74989 -aS'status\tstatus\tNN\tI-NP\tO' -p74990 -aS'had\thave\tVBD\tB-VP\tO' -p74991 -aS'to\tto\tTO\tI-VP\tO' -p74992 -aS'be\tbe\tVB\tI-VP\tO' -p74993 -aS'monitored\tmonitor\tVBN\tI-VP\tO' -p74994 -aS'very\tvery\tRB\tB-ADJP\tO' -p74995 -aS'closely\tclosely\tRB\tI-ADJP\tO' -p74996 -aS'due\tdue\tJJ\tI-ADJP\tO' -p74997 -aS'to\tto\tTO\tB-PP\tO' -p74998 -aS'his\this\tPRP$\tB-NP\tO' -p74999 -aS'history\thistory\tNN\tI-NP\tO' -p75000 -aS'of\tof\tIN\tB-PP\tO' -p75001 -aS'deep\tdeep\tJJ\tB-NP\tO' -p75002 -aS'venous\tvenous\tJJ\tI-NP\tO' -p75003 -aS'thrombosis\tthrombosis\tNN\tI-NP\tO' -p75004 -aS'and\tand\tCC\tO\tO' -p75005 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p75006 -aS'embolus\tembolus\tNN\tI-NP\tO' -p75007 -aS'as\tas\tRB\tB-CONJP\tO' -p75008 -aS'well\twell\tRB\tI-CONJP\tO' -p75009 -aS'as\tas\tIN\tI-CONJP\tO' -p75010 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p75011 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p75012 -aS',\t,\t,\tO\tO' -p75013 -aS'but\tbut\tCC\tO\tO' -p75014 -aS'he\the\tPRP\tB-NP\tO' -p75015 -aS'could\tcould\tMD\tB-VP\tO' -p75016 -aS'not\tnot\tRB\tI-VP\tO' -p75017 -aS'be\tbe\tVB\tI-VP\tO' -p75018 -aS'placed\tplace\tVBN\tI-VP\tO' -p75019 -aS'on\ton\tIN\tB-PP\tO' -p75020 -aS'a\ta\tDT\tB-NP\tO' -p75021 -aS'high\thigh\tJJ\tI-NP\tO' -p75022 -aS'amount\tamount\tNN\tI-NP\tO' -p75023 -aS'of\tof\tIN\tB-PP\tO' -p75024 -aS'anticoagulation\tanticoagulation\tNN\tB-NP\tO' -p75025 -aS'because\tbecause\tIN\tB-PP\tO' -p75026 -aS'of\tof\tIN\tI-PP\tO' -p75027 -aS'the\tthe\tDT\tB-NP\tO' -p75028 -aS'new\tnew\tJJ\tI-NP\tO' -p75029 -aS'intraparenchymal\tintraparenchymal\tJJ\tI-NP\tO' -p75030 -aS'bleed\tbleed\tNN\tI-NP\tO' -p75031 -aS'.\t.\t.\tO\tO' -p75032 -asS'Of note , a NGT by Xray was not in correct position ? lungs -> possibly used for medication administration this AM .' -p75033 -(lp75034 -S'Of\tOf\tIN\tB-PP\tO' -p75035 -aS'note\tnote\tNN\tB-NP\tO' -p75036 -aS',\t,\t,\tO\tO' -p75037 -aS'a\ta\tDT\tB-NP\tO' -p75038 -aS'NGT\tNGT\tNN\tI-NP\tB-protein' -p75039 -aS'by\tby\tIN\tB-PP\tO' -p75040 -aS'Xray\tXray\tNN\tB-NP\tO' -p75041 -aS'was\tbe\tVBD\tB-VP\tO' -p75042 -aS'not\tnot\tRB\tO\tO' -p75043 -aS'in\tin\tIN\tB-PP\tO' -p75044 -aS'correct\tcorrect\tJJ\tB-NP\tO' -p75045 -aS'position\tposition\tNN\tI-NP\tO' -p75046 -aS'?\t?\t.\tO\tO' -p75047 -aS'lungs\tlung\tNNS\tB-NP\tO' -p75048 -aS'->\t->\tSYM\tO\tO' -p75049 -aS'possibly\tpossibly\tRB\tB-VP\tO' -p75050 -aS'used\tuse\tVBN\tI-VP\tO' -p75051 -aS'for\tfor\tIN\tB-PP\tO' -p75052 -aS'medication\tmedication\tNN\tB-NP\tO' -p75053 -aS'administration\tadministration\tNN\tI-NP\tO' -p75054 -aS'this\tthis\tDT\tB-NP\tO' -p75055 -aS'AM\tAM\tNN\tI-NP\tO' -p75056 -aS'.\t.\t.\tO\tO' -p75057 -asS'The patient was referred from an outside hospital with a chief complaint of increasing shortness of breath and tires easily with exertion .' -p75058 -(lp75059 -S'The\tThe\tDT\tB-NP\tO' -p75060 -aS'patient\tpatient\tNN\tI-NP\tO' -p75061 -aS'was\tbe\tVBD\tB-VP\tO' -p75062 -aS'referred\trefer\tVBN\tI-VP\tO' -p75063 -aS'from\tfrom\tIN\tB-PP\tO' -p75064 -aS'an\tan\tDT\tB-NP\tO' -p75065 -aS'outside\toutside\tJJ\tI-NP\tO' -p75066 -aS'hospital\thospital\tNN\tI-NP\tO' -p75067 -aS'with\twith\tIN\tB-PP\tO' -p75068 -aS'a\ta\tDT\tB-NP\tO' -p75069 -aS'chief\tchief\tJJ\tI-NP\tO' -p75070 -aS'complaint\tcomplaint\tNN\tI-NP\tO' -p75071 -aS'of\tof\tIN\tB-PP\tO' -p75072 -aS'increasing\tincrease\tVBG\tB-VP\tO' -p75073 -aS'shortness\tshortness\tNN\tB-NP\tO' -p75074 -aS'of\tof\tIN\tB-PP\tO' -p75075 -aS'breath\tbreath\tNN\tB-NP\tO' -p75076 -aS'and\tand\tCC\tO\tO' -p75077 -aS'tires\ttire\tVBZ\tB-VP\tO' -p75078 -aS'easily\teasily\tRB\tB-ADVP\tO' -p75079 -aS'with\twith\tIN\tB-PP\tO' -p75080 -aS'exertion\texertion\tNN\tB-NP\tO' -p75081 -aS'.\t.\t.\tO\tO' -p75082 -asS'Had Chest CT to r / o dissection ( due to back pain ) which was neg.' -p75083 -(lp75084 -S'Had\tHad\tNNP\tB-NP\tO' -p75085 -aS'Chest\tChest\tNNP\tI-NP\tO' -p75086 -aS'CT\tCT\tNN\tI-NP\tO' -p75087 -aS'to\tto\tTO\tB-PP\tO' -p75088 -aS'r\tr\tNN\tB-NP\tO' -p75089 -aS'/\t/\tSYM\tO\tO' -p75090 -aS'o\to\tNN\tB-NP\tO' -p75091 -aS'dissection\tdissection\tNN\tI-NP\tO' -p75092 -aS'(\t(\t(\tO\tO' -p75093 -aS'due\tdue\tJJ\tB-ADJP\tO' -p75094 -aS'to\tto\tTO\tB-VP\tO' -p75095 -aS'back\tback\tVB\tI-VP\tO' -p75096 -aS'pain\tpain\tNN\tB-NP\tO' -p75097 -aS')\t)\t)\tO\tO' -p75098 -aS'which\twhich\tWDT\tB-NP\tO' -p75099 -aS'was\tbe\tVBD\tB-VP\tO' -p75100 -aS'neg.\tneg.\tRB\tB-ADVP\tO' -p75101 -asS'The patient 's extremity examination was notable for erythema of the right calf with a small ulcer with a relatively clean base .' -p75102 -(lp75103 -S'The\tThe\tDT\tB-NP\tO' -p75104 -aS'patient\tpatient\tNN\tI-NP\tO' -p75105 -aS''s\t'\tNNS\tI-NP\tO' -p75106 -aS'extremity\textremity\tNN\tI-NP\tO' -p75107 -aS'examination\texamination\tNN\tI-NP\tO' -p75108 -aS'was\tbe\tVBD\tB-VP\tO' -p75109 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p75110 -aS'for\tfor\tIN\tB-PP\tO' -p75111 -aS'erythema\terythema\tNN\tB-NP\tO' -p75112 -aS'of\tof\tIN\tB-PP\tO' -p75113 -aS'the\tthe\tDT\tB-NP\tO' -p75114 -aS'right\tright\tJJ\tI-NP\tO' -p75115 -aS'calf\tcalf\tNN\tI-NP\tO' -p75116 -aS'with\twith\tIN\tB-PP\tO' -p75117 -aS'a\ta\tDT\tB-NP\tO' -p75118 -aS'small\tsmall\tJJ\tI-NP\tO' -p75119 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p75120 -aS'with\twith\tIN\tB-PP\tO' -p75121 -aS'a\ta\tDT\tB-NP\tO' -p75122 -aS'relatively\trelatively\tRB\tI-NP\tO' -p75123 -aS'clean\tclean\tJJ\tI-NP\tO' -p75124 -aS'base\tbase\tNN\tI-NP\tO' -p75125 -aS'.\t.\t.\tO\tO' -p75126 -asS'Dilaudid 2mg PO x 1 Flexeril 10 mg x 1' -p75127 -(lp75128 -S'Dilaudid\tDilaudid\tNNP\tB-NP\tO' -p75129 -aS'2mg\t2mg\tCD\tI-NP\tO' -p75130 -aS'PO\tPO\tNNP\tI-NP\tO' -p75131 -aS'x\tx\tCC\tO\tO' -p75132 -aS'1\t1\tCD\tB-NP\tO' -p75133 -aS'Flexeril\tFlexeril\tNNP\tI-NP\tO' -p75134 -aS'10\t10\tCD\tI-NP\tO' -p75135 -aS'mg\tmg\tNN\tI-NP\tO' -p75136 -aS'x\tx\tSYM\tI-NP\tO' -p75137 -aS'1\t1\tCD\tI-NP\tO' -p75138 -asS'Sensory - intact light touch , temperature , and vibration overall .' -p75139 -(lp75140 -S'Sensory\tSensory\tJJ\tB-NP\tO' -p75141 -aS'-\t-\tHYPH\tI-NP\tO' -p75142 -aS'intact\tintact\tJJ\tI-NP\tO' -p75143 -aS'light\tlight\tNN\tI-NP\tO' -p75144 -aS'touch\ttouch\tNN\tI-NP\tO' -p75145 -aS',\t,\t,\tO\tO' -p75146 -aS'temperature\ttemperature\tNN\tB-NP\tO' -p75147 -aS',\t,\t,\tO\tO' -p75148 -aS'and\tand\tCC\tO\tO' -p75149 -aS'vibration\tvibration\tNN\tB-NP\tO' -p75150 -aS'overall\toverall\tRB\tB-ADVP\tO' -p75151 -aS'.\t.\t.\tO\tO' -p75152 -asS'Diverticular bleed requiring colostomy on May 96 .' -p75153 -(lp75154 -S'Diverticular\tDiverticular\tJJ\tB-NP\tO' -p75155 -aS'bleed\tbleed\tNN\tI-NP\tO' -p75156 -aS'requiring\trequire\tVBG\tB-VP\tO' -p75157 -aS'colostomy\tcolostomy\tNN\tB-NP\tO' -p75158 -aS'on\ton\tIN\tB-PP\tO' -p75159 -aS'May\tMay\tNNP\tB-NP\tO' -p75160 -aS'96\t96\tCD\tI-NP\tO' -p75161 -aS'.\t.\t.\tO\tO' -p75162 -asS'She lives in Tobey Hospital with her mom .' -p75163 -(lp75164 -S'She\tShe\tPRP\tB-NP\tO' -p75165 -aS'lives\tlive\tVBZ\tB-VP\tO' -p75166 -aS'in\tin\tIN\tB-PP\tO' -p75167 -aS'Tobey\tTobey\tNNP\tB-NP\tO' -p75168 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p75169 -aS'with\twith\tIN\tB-PP\tO' -p75170 -aS'her\ther\tPRP$\tB-NP\tO' -p75171 -aS'mom\tmom\tNN\tI-NP\tO' -p75172 -aS'.\t.\t.\tO\tO' -p75173 -asS'HE is a lifelong non-smoker .' -p75174 -(lp75175 -S'HE\tHE\tNN\tB-NP\tO' -p75176 -aS'is\tbe\tVBZ\tB-VP\tO' -p75177 -aS'a\ta\tDT\tB-NP\tO' -p75178 -aS'lifelong\tlifelong\tNN\tI-NP\tO' -p75179 -aS'non-smoker\tnon-smoker\tJJ\tB-ADJP\tO' -p75180 -aS'.\t.\t.\tO\tO' -p75181 -asS"1. Metastatic renal cell carcinoma , diagnosed in 2018-03-21 , status post left radical nephrectomy at St. Margaret's Center for Women & Infants in 03/2006 ." -p75182 -(lp75183 -S'1.\t1.\tLS\tB-NP\tO' -p75184 -aS'Metastatic\tMetastatic\tJJ\tI-NP\tO' -p75185 -aS'renal\trenal\tJJ\tI-NP\tO' -p75186 -aS'cell\tcell\tNN\tI-NP\tO' -p75187 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p75188 -aS',\t,\t,\tO\tO' -p75189 -aS'diagnosed\tdiagnose\tVBN\tB-VP\tO' -p75190 -aS'in\tin\tIN\tB-PP\tO' -p75191 -aS'2018-03-21\t2018-03-21\tCD\tB-NP\tO' -p75192 -aS',\t,\t,\tO\tO' -p75193 -aS'status\tstatus\tNN\tB-NP\tO' -p75194 -aS'post\tpost\tNN\tI-NP\tO' -p75195 -aS'left\tleave\tVBD\tB-VP\tO' -p75196 -aS'radical\tradical\tJJ\tB-NP\tO' -p75197 -aS'nephrectomy\tnephrectomy\tNN\tI-NP\tO' -p75198 -aS'at\tat\tIN\tB-PP\tO' -p75199 -aS'St.\tSt.\tNNP\tB-NP\tO' -p75200 -aS"Margaret's\tMargaret's\tNNP\tI-NP\tO" -p75201 -aS'Center\tCenter\tNNP\tI-NP\tO' -p75202 -aS'for\tfor\tIN\tB-PP\tO' -p75203 -aS'Women\tWomen\tNNP\tB-NP\tO' -p75204 -aS'&\t&\tCC\tI-NP\tO' -p75205 -aS'Infants\tInfant\tNNPS\tI-NP\tO' -p75206 -aS'in\tin\tIN\tB-PP\tO' -p75207 -aS'03/2006\t03/2006\tCD\tB-NP\tO' -p75208 -aS'.\t.\t.\tO\tO' -p75209 -asS'Right sided chest pain by several hours .' -p75210 -(lp75211 -S'Right\tRight\tRB\tB-ADVP\tO' -p75212 -aS'sided\tside\tVBD\tB-VP\tO' -p75213 -aS'chest\tchest\tNN\tB-NP\tO' -p75214 -aS'pain\tpain\tNN\tI-NP\tO' -p75215 -aS'by\tby\tIN\tB-PP\tO' -p75216 -aS'several\tseveral\tJJ\tB-NP\tO' -p75217 -aS'hours\thour\tNNS\tI-NP\tO' -p75218 -aS'.\t.\t.\tO\tO' -p75219 -asS'She has also been having diarrhea since November and her other complaints of admission include confusion , nausea and vomiting .' -p75220 -(lp75221 -S'She\tShe\tPRP\tB-NP\tO' -p75222 -aS'has\thave\tVBZ\tB-VP\tO' -p75223 -aS'also\talso\tRB\tI-VP\tO' -p75224 -aS'been\tbe\tVBN\tI-VP\tO' -p75225 -aS'having\thave\tVBG\tI-VP\tO' -p75226 -aS'diarrhea\tdiarrhea\tNN\tB-NP\tO' -p75227 -aS'since\tsince\tIN\tB-PP\tO' -p75228 -aS'November\tNovember\tNNP\tB-NP\tO' -p75229 -aS'and\tand\tCC\tO\tO' -p75230 -aS'her\ther\tPRP$\tB-NP\tO' -p75231 -aS'other\tother\tJJ\tI-NP\tO' -p75232 -aS'complaints\tcomplaint\tNNS\tI-NP\tO' -p75233 -aS'of\tof\tIN\tB-PP\tO' -p75234 -aS'admission\tadmission\tNN\tB-NP\tO' -p75235 -aS'include\tinclude\tVBP\tB-VP\tO' -p75236 -aS'confusion\tconfusion\tNN\tB-NP\tO' -p75237 -aS',\t,\t,\tI-NP\tO' -p75238 -aS'nausea\tnausea\tNN\tI-NP\tO' -p75239 -aS'and\tand\tCC\tI-NP\tO' -p75240 -aS'vomiting\tvomiting\tNN\tI-NP\tO' -p75241 -aS'.\t.\t.\tO\tO' -p75242 -asS'There is no murmurs .' -p75243 -(lp75244 -S'There\tThere\tEX\tB-NP\tO' -p75245 -aS'is\tbe\tVBZ\tB-VP\tO' -p75246 -aS'no\tno\tDT\tB-NP\tO' -p75247 -aS'murmurs\tmurmur\tNNS\tI-NP\tO' -p75248 -aS'.\t.\t.\tO\tO' -p75249 -asS'He was admitted to the Short Stay Unit , given Ancef and Gentamicin per the team for antibiotic prophylaxis and observed overnight .' -p75250 -(lp75251 -S'He\tHe\tPRP\tB-NP\tO' -p75252 -aS'was\tbe\tVBD\tB-VP\tO' -p75253 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p75254 -aS'to\tto\tTO\tB-PP\tO' -p75255 -aS'the\tthe\tDT\tB-NP\tO' -p75256 -aS'Short\tShort\tNNP\tI-NP\tO' -p75257 -aS'Stay\tStay\tNNP\tI-NP\tO' -p75258 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p75259 -aS',\t,\t,\tO\tO' -p75260 -aS'given\tgive\tVBN\tB-PP\tO' -p75261 -aS'Ancef\tAncef\tNN\tB-NP\tO' -p75262 -aS'and\tand\tCC\tI-NP\tO' -p75263 -aS'Gentamicin\tGentamicin\tNN\tI-NP\tO' -p75264 -aS'per\tper\tIN\tB-PP\tO' -p75265 -aS'the\tthe\tDT\tB-NP\tO' -p75266 -aS'team\tteam\tNN\tI-NP\tO' -p75267 -aS'for\tfor\tIN\tB-PP\tO' -p75268 -aS'antibiotic\tantibiotic\tJJ\tB-NP\tO' -p75269 -aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' -p75270 -aS'and\tand\tCC\tO\tO' -p75271 -aS'observed\tobserve\tVBN\tB-VP\tO' -p75272 -aS'overnight\tovernight\tRB\tB-ADVP\tO' -p75273 -aS'.\t.\t.\tO\tO' -p75274 -asS'The patient lives with her husband , and they have no children .' -p75275 -(lp75276 -S'The\tThe\tDT\tB-NP\tO' -p75277 -aS'patient\tpatient\tNN\tI-NP\tO' -p75278 -aS'lives\tlive\tVBZ\tB-VP\tO' -p75279 -aS'with\twith\tIN\tB-PP\tO' -p75280 -aS'her\ther\tPRP$\tB-NP\tO' -p75281 -aS'husband\thusband\tNN\tI-NP\tO' -p75282 -aS',\t,\t,\tO\tO' -p75283 -aS'and\tand\tCC\tO\tO' -p75284 -aS'they\tthey\tPRP\tB-NP\tO' -p75285 -aS'have\thave\tVBP\tB-VP\tO' -p75286 -aS'no\tno\tDT\tB-NP\tO' -p75287 -aS'children\tchild\tNNS\tI-NP\tO' -p75288 -aS'.\t.\t.\tO\tO' -p75289 -asS'However , much more likely explanation is progressive infection of Acanthamoeba with new neurologic involvement .' -p75290 -(lp75291 -S'However\tHowever\tRB\tB-ADVP\tO' -p75292 -aS',\t,\t,\tO\tO' -p75293 -aS'much\tmuch\tRB\tB-NP\tO' -p75294 -aS'more\tmore\tRBR\tI-NP\tO' -p75295 -aS'likely\tlikely\tJJ\tI-NP\tO' -p75296 -aS'explanation\texplanation\tNN\tI-NP\tO' -p75297 -aS'is\tbe\tVBZ\tB-VP\tO' -p75298 -aS'progressive\tprogressive\tJJ\tB-NP\tO' -p75299 -aS'infection\tinfection\tNN\tI-NP\tO' -p75300 -aS'of\tof\tIN\tB-PP\tO' -p75301 -aS'Acanthamoeba\tAcanthamoeba\tNN\tB-NP\tO' -p75302 -aS'with\twith\tIN\tB-PP\tO' -p75303 -aS'new\tnew\tJJ\tB-NP\tO' -p75304 -aS'neurologic\tneurologic\tJJ\tI-NP\tO' -p75305 -aS'involvement\tinvolvement\tNN\tI-NP\tO' -p75306 -aS'.\t.\t.\tO\tO' -p75307 -asS'He underwent a left bronchoscopy and lower lobectomy of the left side .' -p75308 -(lp75309 -S'He\tHe\tPRP\tB-NP\tO' -p75310 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p75311 -aS'a\ta\tDT\tB-NP\tO' -p75312 -aS'left\tleft\tJJ\tI-NP\tO' -p75313 -aS'bronchoscopy\tbronchoscopy\tNN\tI-NP\tO' -p75314 -aS'and\tand\tCC\tO\tO' -p75315 -aS'lower\tlow\tJJR\tB-NP\tO' -p75316 -aS'lobectomy\tlobectomy\tNN\tI-NP\tO' -p75317 -aS'of\tof\tIN\tB-PP\tO' -p75318 -aS'the\tthe\tDT\tB-NP\tO' -p75319 -aS'left\tleft\tJJ\tI-NP\tO' -p75320 -aS'side\tside\tNN\tI-NP\tO' -p75321 -aS'.\t.\t.\tO\tO' -p75322 -asS'Back pain .' -p75323 -(lp75324 -S'Back\tBack\tRB\tB-NP\tO' -p75325 -aS'pain\tpain\tNN\tI-NP\tO' -p75326 -aS'.\t.\t.\tO\tO' -p75327 -asS'Other medical problems include hypothyroidism , hypercholesterolemia , hypertension and neuropathy from Taxol .' -p75328 -(lp75329 -S'Other\tOther\tJJ\tB-NP\tO' -p75330 -aS'medical\tmedical\tJJ\tI-NP\tO' -p75331 -aS'problems\tproblem\tNNS\tI-NP\tO' -p75332 -aS'include\tinclude\tVBP\tB-VP\tO' -p75333 -aS'hypothyroidism\thypothyroidism\tNN\tB-NP\tO' -p75334 -aS',\t,\t,\tO\tO' -p75335 -aS'hypercholesterolemia\thypercholesterolemia\tNN\tB-NP\tO' -p75336 -aS',\t,\t,\tO\tO' -p75337 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p75338 -aS'and\tand\tCC\tO\tO' -p75339 -aS'neuropathy\tneuropathy\tNN\tB-NP\tO' -p75340 -aS'from\tfrom\tIN\tB-PP\tO' -p75341 -aS'Taxol\tTaxol\tNN\tB-NP\tO' -p75342 -aS'.\t.\t.\tO\tO' -p75343 -asS'loratidine 10 mg daily .' -p75344 -(lp75345 -S'loratidine\tloratidine\tNN\tB-NP\tO' -p75346 -aS'10\t10\tCD\tI-NP\tO' -p75347 -aS'mg\tmg\tNN\tI-NP\tO' -p75348 -aS'daily\tdaily\tRB\tB-ADVP\tO' -p75349 -aS'.\t.\t.\tO\tO' -p75350 -asS'Scalp laceration should be kept clean and dry for five days following discharge after which point the patient may once wash her hair .' -p75351 -(lp75352 -S'Scalp\tScalp\tNN\tB-NP\tO' -p75353 -aS'laceration\tlaceration\tNN\tI-NP\tO' -p75354 -aS'should\tshould\tMD\tB-VP\tO' -p75355 -aS'be\tbe\tVB\tI-VP\tO' -p75356 -aS'kept\tkeep\tVBN\tI-VP\tO' -p75357 -aS'clean\tclean\tJJ\tB-ADJP\tO' -p75358 -aS'and\tand\tCC\tI-ADJP\tO' -p75359 -aS'dry\tdry\tJJ\tI-ADJP\tO' -p75360 -aS'for\tfor\tIN\tB-PP\tO' -p75361 -aS'five\tfive\tCD\tB-NP\tO' -p75362 -aS'days\tday\tNNS\tI-NP\tO' -p75363 -aS'following\tfollow\tVBG\tB-PP\tO' -p75364 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p75365 -aS'after\tafter\tIN\tB-PP\tO' -p75366 -aS'which\twhich\tWDT\tB-NP\tO' -p75367 -aS'point\tpoint\tNN\tB-VP\tO' -p75368 -aS'the\tthe\tDT\tB-NP\tO' -p75369 -aS'patient\tpatient\tNN\tI-NP\tO' -p75370 -aS'may\tmay\tMD\tB-VP\tO' -p75371 -aS'once\tonce\tRB\tI-VP\tO' -p75372 -aS'wash\twash\tVB\tI-VP\tO' -p75373 -aS'her\ther\tPRP$\tB-NP\tO' -p75374 -aS'hair\thair\tNN\tI-NP\tO' -p75375 -aS'.\t.\t.\tO\tO' -p75376 -asS'Abdomen was gravid .' -p75377 -(lp75378 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p75379 -aS'was\tbe\tVBD\tB-VP\tO' -p75380 -aS'gravid\tgravid\tNN\tB-NP\tO' -p75381 -aS'.\t.\t.\tO\tO' -p75382 -asS'include a blood pressure of 174/84 , respirations 14 , pulse 89 , temperature 98.9 , O2 sat 98% .' -p75383 -(lp75384 -S'include\tinclude\tVBP\tB-VP\tO' -p75385 -aS'a\ta\tDT\tB-NP\tO' -p75386 -aS'blood\tblood\tNN\tI-NP\tO' -p75387 -aS'pressure\tpressure\tNN\tI-NP\tO' -p75388 -aS'of\tof\tIN\tB-PP\tO' -p75389 -aS'174/84\t174/84\tCD\tB-NP\tO' -p75390 -aS',\t,\t,\tO\tO' -p75391 -aS'respirations\trespiration\tNNS\tB-NP\tO' -p75392 -aS'14\t14\tCD\tB-NP\tO' -p75393 -aS',\t,\t,\tO\tO' -p75394 -aS'pulse\tpulse\tNN\tB-NP\tO' -p75395 -aS'89\t89\tCD\tI-NP\tO' -p75396 -aS',\t,\t,\tO\tO' -p75397 -aS'temperature\ttemperature\tNN\tB-NP\tO' -p75398 -aS'98.9\t98.9\tCD\tI-NP\tO' -p75399 -aS',\t,\t,\tO\tO' -p75400 -aS'O2\tO2\tNN\tB-NP\tO' -p75401 -aS'sat\tsit\tVBD\tB-VP\tO' -p75402 -aS'98%\t98%\tCD\tB-NP\tO' -p75403 -aS'.\t.\t.\tO\tO' -p75404 -asS'The patient is married with no children .' -p75405 -(lp75406 -S'The\tThe\tDT\tB-NP\tO' -p75407 -aS'patient\tpatient\tNN\tI-NP\tO' -p75408 -aS'is\tbe\tVBZ\tB-VP\tO' -p75409 -aS'married\tmarry\tVBN\tI-VP\tO' -p75410 -aS'with\twith\tIN\tB-PP\tO' -p75411 -aS'no\tno\tDT\tB-NP\tO' -p75412 -aS'children\tchild\tNNS\tI-NP\tO' -p75413 -aS'.\t.\t.\tO\tO' -p75414 -asS'Bronchodilators as needed .' -p75415 -(lp75416 -S'Bronchodilators\tBronchodilator\tNNS\tB-NP\tO' -p75417 -aS'as\tas\tIN\tB-PP\tO' -p75418 -aS'needed\tneed\tVBN\tB-VP\tO' -p75419 -aS'.\t.\t.\tO\tO' -p75420 -asS'There were also runs of ventricular tachycardia which generated into ventricular fibrillation that was refractory to multiple cardioversions .' -p75421 -(lp75422 -S'There\tThere\tEX\tB-NP\tO' -p75423 -aS'were\tbe\tVBD\tB-VP\tO' -p75424 -aS'also\talso\tRB\tB-ADVP\tO' -p75425 -aS'runs\trun\tNNS\tB-NP\tO' -p75426 -aS'of\tof\tIN\tB-PP\tO' -p75427 -aS'ventricular\tventricular\tJJ\tB-NP\tO' -p75428 -aS'tachycardia\ttachycardia\tNN\tI-NP\tO' -p75429 -aS'which\twhich\tWDT\tB-NP\tO' -p75430 -aS'generated\tgenerate\tVBD\tB-VP\tO' -p75431 -aS'into\tinto\tIN\tB-PP\tO' -p75432 -aS'ventricular\tventricular\tJJ\tB-NP\tO' -p75433 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p75434 -aS'that\tthat\tWDT\tB-NP\tO' -p75435 -aS'was\tbe\tVBD\tB-VP\tO' -p75436 -aS'refractory\trefractory\tJJ\tB-ADJP\tO' -p75437 -aS'to\tto\tTO\tB-PP\tO' -p75438 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p75439 -aS'cardioversions\tcardioversion\tNNS\tI-NP\tO' -p75440 -aS'.\t.\t.\tO\tO' -p75441 -asS'Her ABG at the time was 7.24 , 91 , and 38 .' -p75442 -(lp75443 -S'Her\tHer\tPRP$\tB-NP\tO' -p75444 -aS'ABG\tABG\tNN\tI-NP\tO' -p75445 -aS'at\tat\tIN\tB-PP\tO' -p75446 -aS'the\tthe\tDT\tB-NP\tO' -p75447 -aS'time\ttime\tNN\tI-NP\tO' -p75448 -aS'was\tbe\tVBD\tB-VP\tO' -p75449 -aS'7.24\t7.24\tCD\tB-NP\tO' -p75450 -aS',\t,\t,\tI-NP\tO' -p75451 -aS'91\t91\tCD\tI-NP\tO' -p75452 -aS',\t,\t,\tO\tO' -p75453 -aS'and\tand\tCC\tO\tO' -p75454 -aS'38\t38\tCD\tB-NP\tO' -p75455 -aS'.\t.\t.\tO\tO' -p75456 -asS'The patient had an ileostomy performed and had had her first course of chemotherapy and later debulking operation by Dr. Median .' -p75457 -(lp75458 -S'The\tThe\tDT\tB-NP\tO' -p75459 -aS'patient\tpatient\tNN\tI-NP\tO' -p75460 -aS'had\thave\tVBD\tB-VP\tO' -p75461 -aS'an\tan\tDT\tB-NP\tO' -p75462 -aS'ileostomy\tileostomy\tNN\tI-NP\tO' -p75463 -aS'performed\tperform\tVBD\tB-VP\tO' -p75464 -aS'and\tand\tCC\tO\tO' -p75465 -aS'had\thave\tVBD\tB-VP\tO' -p75466 -aS'had\thave\tVBN\tI-VP\tO' -p75467 -aS'her\ther\tPRP$\tB-NP\tO' -p75468 -aS'first\tfirst\tJJ\tI-NP\tO' -p75469 -aS'course\tcourse\tNN\tI-NP\tO' -p75470 -aS'of\tof\tIN\tB-PP\tO' -p75471 -aS'chemotherapy\tchemotherapy\tNN\tB-NP\tO' -p75472 -aS'and\tand\tCC\tO\tO' -p75473 -aS'later\tlater\tRB\tB-VP\tO' -p75474 -aS'debulking\tdebulke\tVBG\tI-VP\tO' -p75475 -aS'operation\toperation\tNN\tB-NP\tO' -p75476 -aS'by\tby\tIN\tB-PP\tO' -p75477 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p75478 -aS'Median\tMedian\tNNP\tI-NP\tO' -p75479 -aS'.\t.\t.\tO\tO' -p75480 -asS'On physical examination on admission , the blood pressure was 146/80 , weight 146 , temperature 98.6 , and pulse of 92 .' -p75481 -(lp75482 -S'On\tOn\tIN\tB-PP\tO' -p75483 -aS'physical\tphysical\tJJ\tB-NP\tO' -p75484 -aS'examination\texamination\tNN\tI-NP\tO' -p75485 -aS'on\ton\tIN\tB-PP\tO' -p75486 -aS'admission\tadmission\tNN\tB-NP\tO' -p75487 -aS',\t,\t,\tO\tO' -p75488 -aS'the\tthe\tDT\tB-NP\tO' -p75489 -aS'blood\tblood\tNN\tI-NP\tO' -p75490 -aS'pressure\tpressure\tNN\tI-NP\tO' -p75491 -aS'was\tbe\tVBD\tB-VP\tO' -p75492 -aS'146/80\t146/80\tCD\tB-NP\tO' -p75493 -aS',\t,\t,\tO\tO' -p75494 -aS'weight\tweight\tNN\tB-NP\tO' -p75495 -aS'146\t146\tCD\tI-NP\tO' -p75496 -aS',\t,\t,\tO\tO' -p75497 -aS'temperature\ttemperature\tNN\tB-NP\tB-protein' -p75498 -aS'98.6\t98.6\tCD\tI-NP\tI-protein' -p75499 -aS',\t,\t,\tO\tO' -p75500 -aS'and\tand\tCC\tO\tO' -p75501 -aS'pulse\tpulse\tNN\tB-NP\tO' -p75502 -aS'of\tof\tIN\tB-PP\tO' -p75503 -aS'92\t92\tCD\tB-NP\tO' -p75504 -aS'.\t.\t.\tO\tO' -p75505 -asS'F / U with Neurology , pain service to schedule an appt .' -p75506 -(lp75507 -S'F\tF\tNN\tB-NP\tO' -p75508 -aS'/\t/\tSYM\tI-NP\tO' -p75509 -aS'U\tU\tNN\tI-NP\tO' -p75510 -aS'with\twith\tIN\tB-PP\tO' -p75511 -aS'Neurology\tNeurology\tNNP\tB-NP\tO' -p75512 -aS',\t,\t,\tO\tO' -p75513 -aS'pain\tpain\tNN\tB-NP\tO' -p75514 -aS'service\tservice\tNN\tI-NP\tO' -p75515 -aS'to\tto\tTO\tB-VP\tO' -p75516 -aS'schedule\tschedule\tVB\tI-VP\tO' -p75517 -aS'an\tan\tDT\tB-NP\tO' -p75518 -aS'appt\tappt\tNN\tI-NP\tO' -p75519 -aS'.\t.\t.\tO\tO' -p75520 -asS'A lucency and irregularity of the glenoid , possibly representing a fracture , was also seen , and a CT scan was therefore obtained in order to evaluate this area .' -p75521 -(lp75522 -S'A\tA\tDT\tB-NP\tO' -p75523 -aS'lucency\tlucency\tNN\tI-NP\tO' -p75524 -aS'and\tand\tCC\tI-NP\tO' -p75525 -aS'irregularity\tirregularity\tNN\tI-NP\tO' -p75526 -aS'of\tof\tIN\tB-PP\tO' -p75527 -aS'the\tthe\tDT\tB-NP\tO' -p75528 -aS'glenoid\tglenoid\tNN\tI-NP\tO' -p75529 -aS',\t,\t,\tO\tO' -p75530 -aS'possibly\tpossibly\tRB\tB-ADVP\tO' -p75531 -aS'representing\trepresent\tVBG\tB-VP\tO' -p75532 -aS'a\ta\tDT\tB-NP\tO' -p75533 -aS'fracture\tfracture\tNN\tI-NP\tO' -p75534 -aS',\t,\t,\tO\tO' -p75535 -aS'was\tbe\tVBD\tB-VP\tO' -p75536 -aS'also\talso\tRB\tI-VP\tO' -p75537 -aS'seen\tsee\tVBN\tI-VP\tO' -p75538 -aS',\t,\t,\tO\tO' -p75539 -aS'and\tand\tCC\tO\tO' -p75540 -aS'a\ta\tDT\tB-NP\tO' -p75541 -aS'CT\tCT\tNN\tI-NP\tO' -p75542 -aS'scan\tscan\tNN\tI-NP\tO' -p75543 -aS'was\tbe\tVBD\tB-VP\tO' -p75544 -aS'therefore\ttherefore\tRB\tI-VP\tO' -p75545 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p75546 -aS'in\tin\tIN\tB-SBAR\tO' -p75547 -aS'order\torder\tNN\tO\tO' -p75548 -aS'to\tto\tTO\tB-VP\tO' -p75549 -aS'evaluate\tevaluate\tVB\tI-VP\tO' -p75550 -aS'this\tthis\tDT\tB-NP\tO' -p75551 -aS'area\tarea\tNN\tI-NP\tO' -p75552 -aS'.\t.\t.\tO\tO' -p75553 -asS'7. Iron supplementation 150 mg p.o. q.d.' -p75554 -(lp75555 -S'7.\t7.\tLS\tB-NP\tO' -p75556 -aS'Iron\tIron\tNN\tI-NP\tO' -p75557 -aS'supplementation\tsupplementation\tNN\tI-NP\tO' -p75558 -aS'150\t150\tCD\tI-NP\tO' -p75559 -aS'mg\tmg\tNN\tI-NP\tO' -p75560 -aS'p.o.\tp.o.\tFW\tB-ADVP\tO' -p75561 -aS'q.d.\tq.d.\tFW\tI-ADVP\tO' -p75562 -asS'Cardiothoracic Surgery consultation was obtained and the patient was taken to the Operating Room on 2010-03-12 for coronary artery bypass grafting times two ; LIMA to the LAD , saphenous vein graft to the diagonal artery .' -p75563 -(lp75564 -S'Cardiothoracic\tCardiothoracic\tNNP\tB-NP\tO' -p75565 -aS'Surgery\tSurgery\tNNP\tI-NP\tO' -p75566 -aS'consultation\tconsultation\tNN\tI-NP\tO' -p75567 -aS'was\tbe\tVBD\tB-VP\tO' -p75568 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p75569 -aS'and\tand\tCC\tO\tO' -p75570 -aS'the\tthe\tDT\tB-NP\tO' -p75571 -aS'patient\tpatient\tNN\tI-NP\tO' -p75572 -aS'was\tbe\tVBD\tB-VP\tO' -p75573 -aS'taken\ttake\tVBN\tI-VP\tO' -p75574 -aS'to\tto\tTO\tB-PP\tO' -p75575 -aS'the\tthe\tDT\tB-NP\tO' -p75576 -aS'Operating\tOperating\tNNP\tI-NP\tO' -p75577 -aS'Room\tRoom\tNNP\tI-NP\tO' -p75578 -aS'on\ton\tIN\tB-PP\tO' -p75579 -aS'2010-03-12\t2010-03-12\tCD\tB-NP\tO' -p75580 -aS'for\tfor\tIN\tB-PP\tO' -p75581 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p75582 -aS'artery\tartery\tNN\tI-NP\tO' -p75583 -aS'bypass\tbypass\tIN\tB-PP\tO' -p75584 -aS'grafting\tgraft\tVBG\tB-VP\tO' -p75585 -aS'times\ttime\tNNS\tB-NP\tO' -p75586 -aS'two\ttwo\tCD\tB-NP\tO' -p75587 -aS';\t;\t:\tO\tO' -p75588 -aS'LIMA\tLIMA\tNN\tB-NP\tO' -p75589 -aS'to\tto\tTO\tB-PP\tO' -p75590 -aS'the\tthe\tDT\tB-NP\tO' -p75591 -aS'LAD\tLAD\tNN\tI-NP\tO' -p75592 -aS',\t,\t,\tO\tO' -p75593 -aS'saphenous\tsaphenous\tJJ\tB-NP\tO' -p75594 -aS'vein\tvein\tNN\tI-NP\tO' -p75595 -aS'graft\tgraft\tNN\tI-NP\tO' -p75596 -aS'to\tto\tTO\tB-PP\tO' -p75597 -aS'the\tthe\tDT\tB-NP\tO' -p75598 -aS'diagonal\tdiagonal\tJJ\tI-NP\tO' -p75599 -aS'artery\tartery\tNN\tI-NP\tO' -p75600 -aS'.\t.\t.\tO\tO' -p75601 -asS'His pupils were equal , round , and reactive .' -p75602 -(lp75603 -S'His\tHis\tPRP$\tB-NP\tO' -p75604 -aS'pupils\tpupil\tNNS\tI-NP\tO' -p75605 -aS'were\tbe\tVBD\tB-VP\tO' -p75606 -aS'equal\tequal\tJJ\tB-ADJP\tO' -p75607 -aS',\t,\t,\tO\tO' -p75608 -aS'round\tround\tJJ\tB-ADJP\tO' -p75609 -aS',\t,\t,\tO\tO' -p75610 -aS'and\tand\tCC\tO\tO' -p75611 -aS'reactive\treactive\tJJ\tB-ADJP\tO' -p75612 -aS'.\t.\t.\tO\tO' -p75613 -asS'Hepatitis C cirrhosis .' -p75614 -(lp75615 -S'Hepatitis\tHepatitis\tNN\tB-NP\tO' -p75616 -aS'C\tC\tNN\tI-NP\tO' -p75617 -aS'cirrhosis\tcirrhosis\tNN\tI-NP\tO' -p75618 -aS'.\t.\t.\tO\tO' -p75619 -asS'The abdomen was soft and nontender with no hepatosplenomegaly .' -p75620 -(lp75621 -S'The\tThe\tDT\tB-NP\tO' -p75622 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p75623 -aS'was\tbe\tVBD\tB-VP\tO' -p75624 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p75625 -aS'and\tand\tCC\tI-ADJP\tO' -p75626 -aS'nontender\tnontender\tJJ\tI-ADJP\tO' -p75627 -aS'with\twith\tIN\tB-PP\tO' -p75628 -aS'no\tno\tDT\tB-NP\tO' -p75629 -aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tI-NP\tO' -p75630 -aS'.\t.\t.\tO\tO' -p75631 -asS'Sodium 134 , ALT 18 , AST 27 , LDH 221 , white count 2.05 , hematocrit 23 , platelet count 137,000 .' -p75632 -(lp75633 -S'Sodium\tSodium\tNN\tB-NP\tB-protein' -p75634 -aS'134\t134\tCD\tI-NP\tI-protein' -p75635 -aS',\t,\t,\tO\tO' -p75636 -aS'ALT\tALT\tNN\tB-NP\tB-DNA' -p75637 -aS'18\t18\tCD\tI-NP\tI-DNA' -p75638 -aS',\t,\t,\tO\tO' -p75639 -aS'AST\tAST\tNN\tB-NP\tO' -p75640 -aS'27\t27\tCD\tI-NP\tO' -p75641 -aS',\t,\t,\tO\tO' -p75642 -aS'LDH\tLDH\tNN\tB-NP\tB-protein' -p75643 -aS'221\t221\tCD\tI-NP\tI-protein' -p75644 -aS',\t,\t,\tO\tO' -p75645 -aS'white\twhite\tJJ\tB-NP\tO' -p75646 -aS'count\tcount\tNN\tI-NP\tO' -p75647 -aS'2.05\t2.05\tCD\tI-NP\tO' -p75648 -aS',\t,\t,\tO\tO' -p75649 -aS'hematocrit\thematocrit\tNN\tB-NP\tO' -p75650 -aS'23\t23\tCD\tI-NP\tO' -p75651 -aS',\t,\t,\tO\tO' -p75652 -aS'platelet\tplatelet\tNN\tB-NP\tO' -p75653 -aS'count\tcount\tNN\tI-NP\tO' -p75654 -aS'137,000\t137,000\tCD\tI-NP\tO' -p75655 -aS'.\t.\t.\tO\tO' -p75656 -asS'She had a double lumen PICC place .' -p75657 -(lp75658 -S'She\tShe\tPRP\tB-NP\tO' -p75659 -aS'had\thave\tVBD\tB-VP\tO' -p75660 -aS'a\ta\tDT\tB-NP\tO' -p75661 -aS'double\tdouble\tJJ\tI-NP\tO' -p75662 -aS'lumen\tlumen\tNN\tI-NP\tO' -p75663 -aS'PICC\tPICC\tNN\tI-NP\tO' -p75664 -aS'place\tplace\tNN\tI-NP\tO' -p75665 -aS'.\t.\t.\tO\tO' -p75666 -asS'She progressed beautifully with physical therapy and occupational therapy and was able to ambulate with assistance .' -p75667 -(lp75668 -S'She\tShe\tPRP\tB-NP\tO' -p75669 -aS'progressed\tprogress\tVBD\tB-VP\tO' -p75670 -aS'beautifully\tbeautifully\tRB\tB-ADVP\tO' -p75671 -aS'with\twith\tIN\tB-PP\tO' -p75672 -aS'physical\tphysical\tJJ\tB-NP\tO' -p75673 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p75674 -aS'and\tand\tCC\tO\tO' -p75675 -aS'occupational\toccupational\tJJ\tB-NP\tO' -p75676 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p75677 -aS'and\tand\tCC\tO\tO' -p75678 -aS'was\tbe\tVBD\tB-VP\tO' -p75679 -aS'able\table\tJJ\tB-ADJP\tO' -p75680 -aS'to\tto\tTO\tB-VP\tO' -p75681 -aS'ambulate\tambulate\tVB\tI-VP\tO' -p75682 -aS'with\twith\tIN\tB-PP\tO' -p75683 -aS'assistance\tassistance\tNN\tB-NP\tO' -p75684 -aS'.\t.\t.\tO\tO' -p75685 -asS'1. HIV .' -p75686 -(lp75687 -S'1.\t1.\tLS\tB-NP\tO' -p75688 -aS'HIV\tHIV\tNN\tI-NP\tO' -p75689 -aS'.\t.\t.\tO\tO' -p75690 -asS'He also tried Amicar and continued on low dose Prednisone .' -p75691 -(lp75692 -S'He\tHe\tPRP\tB-NP\tO' -p75693 -aS'also\talso\tRB\tB-ADVP\tO' -p75694 -aS'tried\ttry\tVBD\tB-VP\tO' -p75695 -aS'Amicar\tAmicar\tNN\tB-NP\tO' -p75696 -aS'and\tand\tCC\tO\tO' -p75697 -aS'continued\tcontinue\tVBN\tB-VP\tO' -p75698 -aS'on\ton\tIN\tB-PP\tO' -p75699 -aS'low\tlow\tJJ\tB-NP\tO' -p75700 -aS'dose\tdose\tNN\tI-NP\tO' -p75701 -aS'Prednisone\tPrednisone\tNN\tI-NP\tO' -p75702 -aS'.\t.\t.\tO\tO' -p75703 -asS'2. Anemia .' -p75704 -(lp75705 -S'2.\t2.\tLS\tB-LST\tO' -p75706 -aS'Anemia\tAnemia\tNNP\tB-NP\tO' -p75707 -aS'.\t.\t.\tO\tO' -p75708 -asS'Rare crackles on the right base , otherwise clear to auscultation bilaterally .' -p75709 -(lp75710 -S'Rare\tRare\tNN\tB-NP\tO' -p75711 -aS'crackles\tcrackle\tNNS\tI-NP\tO' -p75712 -aS'on\ton\tIN\tB-PP\tO' -p75713 -aS'the\tthe\tDT\tB-NP\tO' -p75714 -aS'right\tright\tJJ\tI-NP\tO' -p75715 -aS'base\tbase\tNN\tI-NP\tO' -p75716 -aS',\t,\t,\tO\tO' -p75717 -aS'otherwise\totherwise\tRB\tB-ADJP\tO' -p75718 -aS'clear\tclear\tJJ\tI-ADJP\tO' -p75719 -aS'to\tto\tTO\tB-PP\tO' -p75720 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p75721 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p75722 -aS'.\t.\t.\tO\tO' -p75723 -asS'The patient transitioned to Lovenox on 12/09/03 after a Cardiology consult indicated increased survival with Lovenox therapy .' -p75724 -(lp75725 -S'The\tThe\tDT\tB-NP\tO' -p75726 -aS'patient\tpatient\tNN\tI-NP\tO' -p75727 -aS'transitioned\ttransitione\tVBN\tB-VP\tO' -p75728 -aS'to\tto\tTO\tB-PP\tO' -p75729 -aS'Lovenox\tLovenox\tNNP\tB-NP\tO' -p75730 -aS'on\ton\tIN\tB-PP\tO' -p75731 -aS'12/09/03\t12/09/03\tCD\tB-NP\tO' -p75732 -aS'after\tafter\tIN\tB-PP\tO' -p75733 -aS'a\ta\tDT\tB-NP\tO' -p75734 -aS'Cardiology\tCardiology\tNNP\tI-NP\tO' -p75735 -aS'consult\tconsult\tNN\tI-NP\tO' -p75736 -aS'indicated\tindicate\tVBD\tB-VP\tO' -p75737 -aS'increased\tincrease\tVBN\tB-NP\tO' -p75738 -aS'survival\tsurvival\tNN\tI-NP\tO' -p75739 -aS'with\twith\tIN\tB-PP\tO' -p75740 -aS'Lovenox\tLovenox\tNN\tB-NP\tO' -p75741 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p75742 -aS'.\t.\t.\tO\tO' -p75743 -asS'Progressed adequately with physical / occupational therapy , however was noted to develop an early bilateral upper extermity contracture at the elbows and wrists .' -p75744 -(lp75745 -S'Progressed\tProgress\tVBN\tB-VP\tO' -p75746 -aS'adequately\tadequately\tRB\tB-ADVP\tO' -p75747 -aS'with\twith\tIN\tB-PP\tO' -p75748 -aS'physical\tphysical\tJJ\tB-NP\tO' -p75749 -aS'/\t/\tSYM\tI-NP\tO' -p75750 -aS'occupational\toccupational\tJJ\tI-NP\tO' -p75751 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p75752 -aS',\t,\t,\tO\tO' -p75753 -aS'however\thowever\tRB\tB-ADVP\tO' -p75754 -aS'was\tbe\tVBD\tB-VP\tO' -p75755 -aS'noted\tnote\tVBN\tI-VP\tO' -p75756 -aS'to\tto\tTO\tI-VP\tO' -p75757 -aS'develop\tdevelop\tVB\tI-VP\tO' -p75758 -aS'an\tan\tDT\tB-NP\tO' -p75759 -aS'early\tearly\tJJ\tI-NP\tO' -p75760 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p75761 -aS'upper\tupper\tJJ\tI-NP\tO' -p75762 -aS'extermity\textermity\tNN\tI-NP\tO' -p75763 -aS'contracture\tcontracture\tNN\tI-NP\tO' -p75764 -aS'at\tat\tIN\tB-PP\tO' -p75765 -aS'the\tthe\tDT\tB-NP\tO' -p75766 -aS'elbows\telbow\tNNS\tI-NP\tO' -p75767 -aS'and\tand\tCC\tI-NP\tO' -p75768 -aS'wrists\twrist\tNNS\tI-NP\tO' -p75769 -aS'.\t.\t.\tO\tO' -p75770 -asS'Breunlinke is a 70-year-old patient of Dr. Brendniungand Asilbekote in California .' -p75771 -(lp75772 -S'Breunlinke\tBreunlinke\tNNP\tB-NP\tO' -p75773 -aS'is\tbe\tVBZ\tB-VP\tO' -p75774 -aS'a\ta\tDT\tB-NP\tO' -p75775 -aS'70-year-old\t70-year-old\tJJ\tI-NP\tO' -p75776 -aS'patient\tpatient\tNN\tI-NP\tO' -p75777 -aS'of\tof\tIN\tB-PP\tO' -p75778 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p75779 -aS'Brendniungand\tBrendniungand\tNNP\tI-NP\tO' -p75780 -aS'Asilbekote\tAsilbekote\tNNP\tI-NP\tO' -p75781 -aS'in\tin\tIN\tB-PP\tO' -p75782 -aS'California\tCalifornia\tNNP\tB-NP\tO' -p75783 -aS'.\t.\t.\tO\tO' -p75784 -asS'He had a coronary artery bypass graft times three as mentioned above .' -p75785 -(lp75786 -S'He\tHe\tPRP\tB-NP\tO' -p75787 -aS'had\thave\tVBD\tB-VP\tO' -p75788 -aS'a\ta\tDT\tB-NP\tO' -p75789 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p75790 -aS'artery\tartery\tNN\tI-NP\tO' -p75791 -aS'bypass\tbypass\tIN\tB-PP\tO' -p75792 -aS'graft\tgraft\tNN\tB-NP\tO' -p75793 -aS'times\ttime\tNNS\tI-NP\tO' -p75794 -aS'three\tthree\tCD\tB-NP\tO' -p75795 -aS'as\tas\tIN\tB-SBAR\tO' -p75796 -aS'mentioned\tmention\tVBN\tB-VP\tO' -p75797 -aS'above\tabove\tRB\tB-ADVP\tO' -p75798 -aS'.\t.\t.\tO\tO' -p75799 -asS'Your patient was admitted under the care of SHUFFCUCH , SEYSHARMSE N with a preliminary diagnosis of VERTEBRAL FRACTURES .' -p75800 -(lp75801 -S'Your\tYour\tPRP$\tB-NP\tO' -p75802 -aS'patient\tpatient\tNN\tI-NP\tO' -p75803 -aS'was\tbe\tVBD\tB-VP\tO' -p75804 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p75805 -aS'under\tunder\tIN\tB-PP\tO' -p75806 -aS'the\tthe\tDT\tB-NP\tO' -p75807 -aS'care\tcare\tNN\tI-NP\tO' -p75808 -aS'of\tof\tIN\tB-PP\tO' -p75809 -aS'SHUFFCUCH\tSHUFFCUCH\tNNP\tB-NP\tO' -p75810 -aS',\t,\t,\tO\tO' -p75811 -aS'SEYSHARMSE\tSEYSHARMSE\tNNP\tB-NP\tO' -p75812 -aS'N\tN\tNNP\tI-NP\tO' -p75813 -aS'with\twith\tIN\tB-PP\tO' -p75814 -aS'a\ta\tDT\tB-NP\tO' -p75815 -aS'preliminary\tpreliminary\tJJ\tI-NP\tO' -p75816 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p75817 -aS'of\tof\tIN\tB-PP\tO' -p75818 -aS'VERTEBRAL\tVERTEBRAL\tNNP\tB-NP\tO' -p75819 -aS'FRACTURES\tFRACTURES\tNNP\tI-NP\tO' -p75820 -aS'.\t.\t.\tO\tO' -p75821 -asS'The patient has had multiple previous admissions for cardiac and pulmonary disease .' -p75822 -(lp75823 -S'The\tThe\tDT\tB-NP\tO' -p75824 -aS'patient\tpatient\tNN\tI-NP\tO' -p75825 -aS'has\thave\tVBZ\tB-VP\tO' -p75826 -aS'had\thave\tVBN\tI-VP\tO' -p75827 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p75828 -aS'previous\tprevious\tJJ\tI-NP\tO' -p75829 -aS'admissions\tadmission\tNNS\tI-NP\tO' -p75830 -aS'for\tfor\tIN\tB-PP\tO' -p75831 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p75832 -aS'and\tand\tCC\tI-NP\tO' -p75833 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p75834 -aS'disease\tdisease\tNN\tI-NP\tO' -p75835 -aS'.\t.\t.\tO\tO' -p75836 -asS'He recently came out as bisexual to his wife .' -p75837 -(lp75838 -S'He\tHe\tPRP\tB-NP\tO' -p75839 -aS'recently\trecently\tRB\tB-ADVP\tO' -p75840 -aS'came\tcome\tVBD\tB-VP\tO' -p75841 -aS'out\tout\tIN\tB-PP\tO' -p75842 -aS'as\tas\tRB\tB-ADJP\tO' -p75843 -aS'bisexual\tbisexual\tJJ\tI-ADJP\tO' -p75844 -aS'to\tto\tTO\tB-PP\tO' -p75845 -aS'his\this\tPRP$\tB-NP\tO' -p75846 -aS'wife\twife\tNN\tI-NP\tO' -p75847 -aS'.\t.\t.\tO\tO' -p75848 -asS'The patient has a Foley catheter in and when the penile skin is very well healed his Foley catheter may be removed .' -p75849 -(lp75850 -S'The\tThe\tDT\tB-NP\tO' -p75851 -aS'patient\tpatient\tNN\tI-NP\tO' -p75852 -aS'has\thave\tVBZ\tB-VP\tO' -p75853 -aS'a\ta\tDT\tB-NP\tO' -p75854 -aS'Foley\tFoley\tNNP\tI-NP\tO' -p75855 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p75856 -aS'in\tin\tIN\tB-PP\tO' -p75857 -aS'and\tand\tCC\tO\tO' -p75858 -aS'when\twhen\tWRB\tB-ADVP\tO' -p75859 -aS'the\tthe\tDT\tB-NP\tO' -p75860 -aS'penile\tpenile\tJJ\tI-NP\tO' -p75861 -aS'skin\tskin\tNN\tI-NP\tO' -p75862 -aS'is\tbe\tVBZ\tB-VP\tO' -p75863 -aS'very\tvery\tRB\tB-ADVP\tO' -p75864 -aS'well\twell\tRB\tI-ADVP\tO' -p75865 -aS'healed\theal\tVBD\tB-VP\tO' -p75866 -aS'his\this\tPRP$\tB-NP\tO' -p75867 -aS'Foley\tFoley\tNNP\tI-NP\tO' -p75868 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p75869 -aS'may\tmay\tMD\tB-VP\tO' -p75870 -aS'be\tbe\tVB\tI-VP\tO' -p75871 -aS'removed\tremove\tVBN\tI-VP\tO' -p75872 -aS'.\t.\t.\tO\tO' -p75873 -asS'4. Oxycodone - Acetaminophen 5-325 mg Tablet Sig : 1-2 Tablets PO every 4-6 hours as needed for pain .' -p75874 -(lp75875 -S'4.\t4.\tLS\tB-NP\tO' -p75876 -aS'Oxycodone\tOxycodone\tNN\tI-NP\tO' -p75877 -aS'-\t-\tHYPH\tO\tO' -p75878 -aS'Acetaminophen\tAcetaminophen\tNN\tB-NP\tO' -p75879 -aS'5-325\t5-325\tCD\tI-NP\tO' -p75880 -aS'mg\tmg\tNN\tI-NP\tO' -p75881 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p75882 -aS'Sig\tSig\tNNP\tI-NP\tO' -p75883 -aS':\t:\t:\tO\tO' -p75884 -aS'1-2\t1-2\tCD\tB-NP\tO' -p75885 -aS'Tablets\tTablet\tNNS\tI-NP\tO' -p75886 -aS'PO\tPO\tNN\tI-NP\tO' -p75887 -aS'every\tevery\tDT\tB-NP\tO' -p75888 -aS'4-6\t4-6\tCD\tI-NP\tO' -p75889 -aS'hours\thour\tNNS\tI-NP\tO' -p75890 -aS'as\tas\tIN\tB-SBAR\tO' -p75891 -aS'needed\tneed\tVBN\tB-VP\tO' -p75892 -aS'for\tfor\tIN\tB-PP\tO' -p75893 -aS'pain\tpain\tNN\tB-NP\tO' -p75894 -aS'.\t.\t.\tO\tO' -p75895 -asS'She denies any recent nausea , but had an episode of vomiting last week .' -p75896 -(lp75897 -S'She\tShe\tPRP\tB-NP\tO' -p75898 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p75899 -aS'any\tany\tDT\tB-NP\tO' -p75900 -aS'recent\trecent\tJJ\tI-NP\tO' -p75901 -aS'nausea\tnausea\tNN\tI-NP\tO' -p75902 -aS',\t,\t,\tO\tO' -p75903 -aS'but\tbut\tCC\tO\tO' -p75904 -aS'had\thave\tVBD\tB-VP\tO' -p75905 -aS'an\tan\tDT\tB-NP\tO' -p75906 -aS'episode\tepisode\tNN\tI-NP\tO' -p75907 -aS'of\tof\tIN\tB-PP\tO' -p75908 -aS'vomiting\tvomit\tVBG\tB-VP\tO' -p75909 -aS'last\tlast\tJJ\tB-NP\tO' -p75910 -aS'week\tweek\tNN\tI-NP\tO' -p75911 -aS'.\t.\t.\tO\tO' -p75912 -asS'Docusate Sodium 100 mg Capsule Sig : One ( 1 ) Capsule PO BID ( 2 times a day ) .' -p75913 -(lp75914 -S'Docusate\tDocusate\tNNP\tB-NP\tO' -p75915 -aS'Sodium\tSodium\tNNP\tI-NP\tO' -p75916 -aS'100\t100\tCD\tI-NP\tO' -p75917 -aS'mg\tmg\tNN\tI-NP\tO' -p75918 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p75919 -aS'Sig\tSig\tNNP\tI-NP\tO' -p75920 -aS':\t:\t:\tO\tO' -p75921 -aS'One\tOne\tCD\tB-NP\tO' -p75922 -aS'(\t(\t(\tO\tO' -p75923 -aS'1\t1\tCD\tB-NP\tO' -p75924 -aS')\t)\t)\tO\tO' -p75925 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p75926 -aS'PO\tPO\tNNP\tI-NP\tO' -p75927 -aS'BID\tBID\tNNP\tI-NP\tO' -p75928 -aS'(\t(\t(\tO\tO' -p75929 -aS'2\t2\tCD\tB-NP\tO' -p75930 -aS'times\ttime\tNNS\tI-NP\tO' -p75931 -aS'a\ta\tDT\tB-NP\tO' -p75932 -aS'day\tday\tNN\tI-NP\tO' -p75933 -aS')\t)\t)\tO\tO' -p75934 -aS'.\t.\t.\tO\tO' -p75935 -asS'Despite aggressive blood product repletion patient poorly responsive 02-12 alloimmunization .' -p75936 -(lp75937 -S'Despite\tDespite\tIN\tB-PP\tO' -p75938 -aS'aggressive\taggressive\tJJ\tB-NP\tO' -p75939 -aS'blood\tblood\tNN\tI-NP\tO' -p75940 -aS'product\tproduct\tNN\tI-NP\tO' -p75941 -aS'repletion\trepletion\tNN\tI-NP\tO' -p75942 -aS'patient\tpatient\tNN\tI-NP\tO' -p75943 -aS'poorly\tpoorly\tRB\tB-NP\tO' -p75944 -aS'responsive\tresponsive\tJJ\tI-NP\tO' -p75945 -aS'02-12\t02-12\tCD\tI-NP\tO' -p75946 -aS'alloimmunization\talloimmunization\tNN\tI-NP\tO' -p75947 -aS'.\t.\t.\tO\tO' -p75948 -asS'If so , he considers the possibility that this could be opened .' -p75949 -(lp75950 -S'If\tIf\tIN\tB-SBAR\tO' -p75951 -aS'so\tso\tRB\tB-ADVP\tO' -p75952 -aS',\t,\t,\tO\tO' -p75953 -aS'he\the\tPRP\tB-NP\tO' -p75954 -aS'considers\tconsider\tVBZ\tB-VP\tO' -p75955 -aS'the\tthe\tDT\tB-NP\tO' -p75956 -aS'possibility\tpossibility\tNN\tI-NP\tO' -p75957 -aS'that\tthat\tIN\tB-SBAR\tO' -p75958 -aS'this\tthis\tDT\tB-NP\tO' -p75959 -aS'could\tcould\tMD\tB-VP\tO' -p75960 -aS'be\tbe\tVB\tI-VP\tO' -p75961 -aS'opened\topen\tVBN\tI-VP\tO' -p75962 -aS'.\t.\t.\tO\tO' -p75963 -asS'3) Tylenol # 3 tablets rather than Percocet , 1-2 tablets p.o. q.4-6h. p.r.n. pain .' -p75964 -(lp75965 -S'3)\t3)\tLS\tB-NP\tO' -p75966 -aS'Tylenol\tTylenol\tNN\tI-NP\tO' -p75967 -aS'#\t#\t#\tB-NP\tO' -p75968 -aS'3\t3\tCD\tI-NP\tO' -p75969 -aS'tablets\ttablet\tNNS\tI-NP\tO' -p75970 -aS'rather\trather\tRB\tB-PP\tO' -p75971 -aS'than\tthan\tIN\tI-PP\tO' -p75972 -aS'Percocet\tPercocet\tNNP\tB-NP\tO' -p75973 -aS',\t,\t,\tO\tO' -p75974 -aS'1-2\t1-2\tCD\tB-NP\tO' -p75975 -aS'tablets\ttablet\tNNS\tI-NP\tO' -p75976 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p75977 -aS'q.4-6h.\tq.4-6h.\tNN\tI-NP\tO' -p75978 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p75979 -aS'pain\tpain\tNN\tI-NP\tO' -p75980 -aS'.\t.\t.\tO\tO' -p75981 -asS'5. Triamcinolone Acetonide 0.1 % Cream Sig : One ( 1 ) Appl Topical BID ( 2 times a day ).' -p75982 -(lp75983 -S'5.\t5.\tLS\tB-NP\tO' -p75984 -aS'Triamcinolone\tTriamcinolone\tNN\tI-NP\tO' -p75985 -aS'Acetonide\tAcetonide\tNN\tI-NP\tO' -p75986 -aS'0.1\t0.1\tCD\tB-NP\tO' -p75987 -aS'%\t%\tNN\tI-NP\tO' -p75988 -aS'Cream\tCream\tNNP\tI-NP\tO' -p75989 -aS'Sig\tSig\tNNP\tI-NP\tO' -p75990 -aS':\t:\t:\tO\tO' -p75991 -aS'One\tOne\tCD\tB-NP\tO' -p75992 -aS'(\t(\t(\tO\tO' -p75993 -aS'1\t1\tCD\tB-NP\tO' -p75994 -aS')\t)\t)\tO\tO' -p75995 -aS'Appl\tAppl\tNNP\tB-NP\tO' -p75996 -aS'Topical\tTopical\tJJ\tI-NP\tO' -p75997 -aS'BID\tBID\tNN\tI-NP\tO' -p75998 -aS'(\t(\t(\tO\tO' -p75999 -aS'2\t2\tCD\tB-NP\tO' -p76000 -aS'times\ttime\tNNS\tI-NP\tO' -p76001 -aS'a\ta\tDT\tB-NP\tO' -p76002 -aS'day\tday\tNN\tI-NP\tO' -p76003 -aS').\t).\t.\tO\tO' -p76004 -asS'Urinalysis was unremarkable .' -p76005 -(lp76006 -S'Urinalysis\tUrinalysis\tNN\tB-NP\tO' -p76007 -aS'was\tbe\tVBD\tB-VP\tO' -p76008 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p76009 -aS'.\t.\t.\tO\tO' -p76010 -asS'Zoloft 100 mg 1 per day , 2 TABS' -p76011 -(lp76012 -S'Zoloft\tZoloft\tNNP\tB-NP\tO' -p76013 -aS'100\t100\tCD\tI-NP\tO' -p76014 -aS'mg\tmg\tNN\tI-NP\tO' -p76015 -aS'1\t1\tCD\tI-NP\tO' -p76016 -aS'per\tper\tIN\tB-PP\tO' -p76017 -aS'day\tday\tNN\tB-NP\tO' -p76018 -aS',\t,\t,\tO\tO' -p76019 -aS'2\t2\tCD\tB-NP\tO' -p76020 -aS'TABS\tTABS\tNN\tI-NP\tB-protein' -p76021 -asS'Per the patient 's wishes , she was transferred to the Windgo Hospital for chemotherapy .' -p76022 -(lp76023 -S'Per\tPer\tIN\tB-PP\tO' -p76024 -aS'the\tthe\tDT\tB-NP\tO' -p76025 -aS'patient\tpatient\tNN\tI-NP\tO' -p76026 -aS''s\t'\tNNS\tI-NP\tO' -p76027 -aS'wishes\twish\tVBZ\tB-VP\tO' -p76028 -aS',\t,\t,\tO\tO' -p76029 -aS'she\tshe\tPRP\tB-NP\tO' -p76030 -aS'was\tbe\tVBD\tB-VP\tO' -p76031 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p76032 -aS'to\tto\tTO\tB-PP\tO' -p76033 -aS'the\tthe\tDT\tB-NP\tO' -p76034 -aS'Windgo\tWindgo\tNNP\tI-NP\tO' -p76035 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p76036 -aS'for\tfor\tIN\tB-PP\tO' -p76037 -aS'chemotherapy\tchemotherapy\tNN\tB-NP\tO' -p76038 -aS'.\t.\t.\tO\tO' -p76039 -asS'BP 230/170 on presentation , most likely from chronic HTN exacerbated by cocaine use .' -p76040 -(lp76041 -S'BP\tBP\tNN\tB-NP\tO' -p76042 -aS'230/170\t230/170\tCD\tI-NP\tO' -p76043 -aS'on\ton\tIN\tB-PP\tO' -p76044 -aS'presentation\tpresentation\tNN\tB-NP\tO' -p76045 -aS',\t,\t,\tO\tO' -p76046 -aS'most\tmost\tRBS\tB-ADVP\tO' -p76047 -aS'likely\tlikely\tRB\tI-ADVP\tO' -p76048 -aS'from\tfrom\tIN\tB-PP\tO' -p76049 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p76050 -aS'HTN\tHTN\tNN\tI-NP\tO' -p76051 -aS'exacerbated\texacerbate\tVBN\tB-VP\tO' -p76052 -aS'by\tby\tIN\tB-PP\tO' -p76053 -aS'cocaine\tcocaine\tNN\tB-NP\tO' -p76054 -aS'use\tuse\tNN\tI-NP\tO' -p76055 -aS'.\t.\t.\tO\tO' -p76056 -asS'Currently his only yeast source is urine .' -p76057 -(lp76058 -S'Currently\tCurrently\tRB\tB-ADVP\tO' -p76059 -aS'his\this\tPRP$\tB-NP\tO' -p76060 -aS'only\tonly\tJJ\tI-NP\tO' -p76061 -aS'yeast\tyeast\tNN\tI-NP\tO' -p76062 -aS'source\tsource\tNN\tI-NP\tO' -p76063 -aS'is\tbe\tVBZ\tB-VP\tO' -p76064 -aS'urine\turine\tNN\tB-NP\tO' -p76065 -aS'.\t.\t.\tO\tO' -p76066 -asS"The patient 's pediatrician is Wellesley House and is Dr . Shaw ." -p76067 -(lp76068 -S'The\tThe\tDT\tB-NP\tO' -p76069 -aS'patient\tpatient\tNN\tI-NP\tO' -p76070 -aS"'s\t's\tPOS\tB-NP\tO" -p76071 -aS'pediatrician\tpediatrician\tNN\tI-NP\tO' -p76072 -aS'is\tbe\tVBZ\tB-VP\tO' -p76073 -aS'Wellesley\tWellesley\tNNP\tB-NP\tO' -p76074 -aS'House\tHouse\tNNP\tI-NP\tO' -p76075 -aS'and\tand\tCC\tO\tO' -p76076 -aS'is\tbe\tVBZ\tB-VP\tO' -p76077 -aS'Dr\tDr\tNNP\tB-NP\tO' -p76078 -aS'.\t.\t.\tI-NP\tO' -p76079 -aS'Shaw\tShaw\tNNP\tI-NP\tO' -p76080 -aS'.\t.\t.\tO\tO' -p76081 -asS'The patient was discharged to home with instructions to return to the hospital on Monday , 2012-03-12 , for follow-up and laboratory checks .' -p76082 -(lp76083 -S'The\tThe\tDT\tB-NP\tO' -p76084 -aS'patient\tpatient\tNN\tI-NP\tO' -p76085 -aS'was\tbe\tVBD\tB-VP\tO' -p76086 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p76087 -aS'to\tto\tTO\tB-PP\tO' -p76088 -aS'home\thome\tNN\tB-NP\tO' -p76089 -aS'with\twith\tIN\tB-PP\tO' -p76090 -aS'instructions\tinstruction\tNNS\tB-NP\tO' -p76091 -aS'to\tto\tTO\tB-VP\tO' -p76092 -aS'return\treturn\tVB\tI-VP\tO' -p76093 -aS'to\tto\tTO\tB-PP\tO' -p76094 -aS'the\tthe\tDT\tB-NP\tO' -p76095 -aS'hospital\thospital\tNN\tI-NP\tO' -p76096 -aS'on\ton\tIN\tB-PP\tO' -p76097 -aS'Monday\tMonday\tNNP\tB-NP\tO' -p76098 -aS',\t,\t,\tO\tO' -p76099 -aS'2012-03-12\t2012-03-12\tCD\tB-NP\tO' -p76100 -aS',\t,\t,\tO\tO' -p76101 -aS'for\tfor\tIN\tB-PP\tO' -p76102 -aS'follow-up\tfollow-up\tNN\tB-NP\tO' -p76103 -aS'and\tand\tCC\tI-NP\tO' -p76104 -aS'laboratory\tlaboratory\tNN\tI-NP\tO' -p76105 -aS'checks\tcheck\tNNS\tI-NP\tO' -p76106 -aS'.\t.\t.\tO\tO' -p76107 -asS'REPEAT HEAD CT 03-30 : no significant change from above .' -p76108 -(lp76109 -S'REPEAT\tREPEAT\tNN\tB-NP\tO' -p76110 -aS'HEAD\tHEAD\tNN\tI-NP\tO' -p76111 -aS'CT\tCT\tNN\tI-NP\tO' -p76112 -aS'03-30\t03-30\tCD\tI-NP\tO' -p76113 -aS':\t:\t:\tO\tO' -p76114 -aS'no\tno\tDT\tB-NP\tO' -p76115 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p76116 -aS'change\tchange\tNN\tI-NP\tO' -p76117 -aS'from\tfrom\tIN\tB-PP\tO' -p76118 -aS'above\tabove\tRB\tB-ADVP\tO' -p76119 -aS'.\t.\t.\tO\tO' -p76120 -asS'She was evaluated .' -p76121 -(lp76122 -S'She\tShe\tPRP\tB-NP\tO' -p76123 -aS'was\tbe\tVBD\tB-VP\tO' -p76124 -aS'evaluated\tevaluate\tVBN\tI-VP\tO' -p76125 -aS'.\t.\t.\tO\tO' -p76126 -asS'His discharge weight is 3025 gm , and has been stable for past 2 days .' -p76127 -(lp76128 -S'His\tHis\tPRP$\tB-NP\tO' -p76129 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p76130 -aS'weight\tweight\tNN\tI-NP\tO' -p76131 -aS'is\tbe\tVBZ\tB-VP\tO' -p76132 -aS'3025\t3025\tCD\tB-NP\tO' -p76133 -aS'gm\tgm\tNN\tI-NP\tO' -p76134 -aS',\t,\t,\tO\tO' -p76135 -aS'and\tand\tCC\tO\tO' -p76136 -aS'has\thave\tVBZ\tB-VP\tO' -p76137 -aS'been\tbe\tVBN\tI-VP\tO' -p76138 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p76139 -aS'for\tfor\tIN\tB-PP\tO' -p76140 -aS'past\tpast\tJJ\tB-NP\tO' -p76141 -aS'2\t2\tCD\tI-NP\tO' -p76142 -aS'days\tday\tNNS\tI-NP\tO' -p76143 -aS'.\t.\t.\tO\tO' -p76144 -asS'Hearing screen was performed with automated auditory brainstem responses and was normal on 2014-11-24 .' -p76145 -(lp76146 -S'Hearing\tHear\tVBG\tB-NP\tO' -p76147 -aS'screen\tscreen\tNN\tI-NP\tO' -p76148 -aS'was\tbe\tVBD\tB-VP\tO' -p76149 -aS'performed\tperform\tVBN\tI-VP\tO' -p76150 -aS'with\twith\tIN\tB-PP\tO' -p76151 -aS'automated\tautomate\tVBN\tB-NP\tO' -p76152 -aS'auditory\tauditory\tJJ\tI-NP\tO' -p76153 -aS'brainstem\tbrainstem\tNN\tI-NP\tO' -p76154 -aS'responses\tresponse\tNNS\tI-NP\tO' -p76155 -aS'and\tand\tCC\tO\tO' -p76156 -aS'was\tbe\tVBD\tB-VP\tO' -p76157 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p76158 -aS'on\ton\tIN\tB-PP\tO' -p76159 -aS'2014-11-24\t2014-11-24\tCD\tB-NP\tO' -p76160 -aS'.\t.\t.\tO\tO' -p76161 -asS'RIGHT MIDDLE CEREBRAL ARTERY INFARCT .' -p76162 -(lp76163 -S'RIGHT\tRIGHT\tNN\tB-NP\tO' -p76164 -aS'MIDDLE\tMIDDLE\tNN\tI-NP\tO' -p76165 -aS'CEREBRAL\tCEREBRAL\tNN\tI-NP\tO' -p76166 -aS'ARTERY\tARTERY\tNN\tI-NP\tO' -p76167 -aS'INFARCT\tINFARCT\tNN\tI-NP\tO' -p76168 -aS'.\t.\t.\tO\tO' -p76169 -asS'It was also planned to undergo a right heart catheterization with a vasodilation trial by the catheterization laboratory .' -p76170 -(lp76171 -S'It\tIt\tPRP\tB-NP\tO' -p76172 -aS'was\tbe\tVBD\tB-VP\tO' -p76173 -aS'also\talso\tRB\tI-VP\tO' -p76174 -aS'planned\tplan\tVBN\tI-VP\tO' -p76175 -aS'to\tto\tTO\tI-VP\tO' -p76176 -aS'undergo\tundergo\tVB\tI-VP\tO' -p76177 -aS'a\ta\tDT\tB-NP\tO' -p76178 -aS'right\tright\tJJ\tI-NP\tO' -p76179 -aS'heart\theart\tNN\tI-NP\tO' -p76180 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p76181 -aS'with\twith\tIN\tB-PP\tO' -p76182 -aS'a\ta\tDT\tB-NP\tO' -p76183 -aS'vasodilation\tvasodilation\tNN\tI-NP\tO' -p76184 -aS'trial\ttrial\tNN\tI-NP\tO' -p76185 -aS'by\tby\tIN\tB-PP\tO' -p76186 -aS'the\tthe\tDT\tB-NP\tO' -p76187 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p76188 -aS'laboratory\tlaboratory\tNN\tI-NP\tO' -p76189 -aS'.\t.\t.\tO\tO' -p76190 -asS'He was transferred to Gobay Hos Memorial Hospital where chest x-ray showed left lower lobe infiltrate and cardiac enzymes were elevated with a CK of 297 , MB fraction of 38 and troponin of 12 .' -p76191 -(lp76192 -S'He\tHe\tPRP\tB-NP\tO' -p76193 -aS'was\tbe\tVBD\tB-VP\tO' -p76194 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p76195 -aS'to\tto\tTO\tB-PP\tO' -p76196 -aS'Gobay\tGobay\tNNP\tB-NP\tO' -p76197 -aS'Hos\tHos\tNNP\tI-NP\tO' -p76198 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p76199 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p76200 -aS'where\twhere\tWRB\tB-ADVP\tO' -p76201 -aS'chest\tchest\tNN\tB-NP\tO' -p76202 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p76203 -aS'showed\tshow\tVBD\tB-VP\tO' -p76204 -aS'left\tleft\tRB\tB-NP\tO' -p76205 -aS'lower\tlow\tJJR\tI-NP\tO' -p76206 -aS'lobe\tlobe\tNN\tI-NP\tO' -p76207 -aS'infiltrate\tinfiltrate\tNN\tI-NP\tO' -p76208 -aS'and\tand\tCC\tO\tO' -p76209 -aS'cardiac\tcardiac\tJJ\tB-NP\tB-protein' -p76210 -aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' -p76211 -aS'were\tbe\tVBD\tB-VP\tO' -p76212 -aS'elevated\televate\tVBN\tI-VP\tO' -p76213 -aS'with\twith\tIN\tB-PP\tO' -p76214 -aS'a\ta\tDT\tB-NP\tO' -p76215 -aS'CK\tCK\tNN\tI-NP\tO' -p76216 -aS'of\tof\tIN\tB-PP\tO' -p76217 -aS'297\t297\tCD\tB-NP\tO' -p76218 -aS',\t,\t,\tO\tO' -p76219 -aS'MB\tMB\tNN\tB-NP\tO' -p76220 -aS'fraction\tfraction\tNN\tI-NP\tO' -p76221 -aS'of\tof\tIN\tB-PP\tO' -p76222 -aS'38\t38\tCD\tB-NP\tO' -p76223 -aS'and\tand\tCC\tO\tO' -p76224 -aS'troponin\ttroponin\tNN\tB-NP\tO' -p76225 -aS'of\tof\tIN\tB-PP\tO' -p76226 -aS'12\t12\tCD\tB-NP\tO' -p76227 -aS'.\t.\t.\tO\tO' -p76228 -asS'The pt. is married , independent in ADLS , lives with wife in a retirement community .' -p76229 -(lp76230 -S'The\tThe\tDT\tB-NP\tO' -p76231 -aS'pt.\tpt.\tNN\tI-NP\tO' -p76232 -aS'is\tbe\tVBZ\tB-VP\tO' -p76233 -aS'married\tmarried\tJJ\tB-ADJP\tO' -p76234 -aS',\t,\t,\tO\tO' -p76235 -aS'independent\tindependent\tJJ\tB-ADJP\tO' -p76236 -aS'in\tin\tIN\tB-PP\tO' -p76237 -aS'ADLS\tADLS\tNN\tB-NP\tO' -p76238 -aS',\t,\t,\tO\tO' -p76239 -aS'lives\tlive\tVBZ\tB-VP\tO' -p76240 -aS'with\twith\tIN\tB-PP\tO' -p76241 -aS'wife\twife\tNN\tB-NP\tO' -p76242 -aS'in\tin\tIN\tB-PP\tO' -p76243 -aS'a\ta\tDT\tB-NP\tO' -p76244 -aS'retirement\tretirement\tNN\tI-NP\tO' -p76245 -aS'community\tcommunity\tNN\tI-NP\tO' -p76246 -aS'.\t.\t.\tO\tO' -p76247 -asS'HEENT exam atraumatic , no oral lesions .' -p76248 -(lp76249 -S'HEENT\tHEENT\tNN\tB-NP\tO' -p76250 -aS'exam\texam\tNN\tI-NP\tO' -p76251 -aS'atraumatic\tatraumatic\tJJ\tB-ADJP\tO' -p76252 -aS',\t,\t,\tO\tO' -p76253 -aS'no\tno\tDT\tB-NP\tO' -p76254 -aS'oral\toral\tJJ\tI-NP\tO' -p76255 -aS'lesions\tlesion\tNNS\tI-NP\tO' -p76256 -aS'.\t.\t.\tO\tO' -p76257 -asS'The patient woke up as usual on May 8 , 1995 .' -p76258 -(lp76259 -S'The\tThe\tDT\tB-NP\tO' -p76260 -aS'patient\tpatient\tNN\tI-NP\tO' -p76261 -aS'woke\twake\tVBD\tB-VP\tO' -p76262 -aS'up\tup\tRP\tB-PRT\tO' -p76263 -aS'as\tas\tRB\tB-PP\tO' -p76264 -aS'usual\tusual\tJJ\tB-ADJP\tO' -p76265 -aS'on\ton\tIN\tB-PP\tO' -p76266 -aS'May\tMay\tNNP\tB-NP\tO' -p76267 -aS'8\t8\tCD\tI-NP\tO' -p76268 -aS',\t,\t,\tI-NP\tO' -p76269 -aS'1995\t1995\tCD\tI-NP\tO' -p76270 -aS'.\t.\t.\tO\tO' -p76271 -asS'Tonsillectomy in 1947 , removal of a renal calculus in 1979 , cholecystectomy in 1986 .' -p76272 -(lp76273 -S'Tonsillectomy\tTonsillectomy\tNN\tB-NP\tO' -p76274 -aS'in\tin\tIN\tB-PP\tO' -p76275 -aS'1947\t1947\tCD\tB-NP\tO' -p76276 -aS',\t,\t,\tO\tO' -p76277 -aS'removal\tremoval\tNN\tB-NP\tO' -p76278 -aS'of\tof\tIN\tB-PP\tO' -p76279 -aS'a\ta\tDT\tB-NP\tO' -p76280 -aS'renal\trenal\tJJ\tI-NP\tO' -p76281 -aS'calculus\tcalculus\tNN\tI-NP\tO' -p76282 -aS'in\tin\tIN\tB-PP\tO' -p76283 -aS'1979\t1979\tCD\tB-NP\tO' -p76284 -aS',\t,\t,\tO\tO' -p76285 -aS'cholecystectomy\tcholecystectomy\tNN\tB-NP\tO' -p76286 -aS'in\tin\tIN\tB-PP\tO' -p76287 -aS'1986\t1986\tCD\tB-NP\tO' -p76288 -aS'.\t.\t.\tO\tO' -p76289 -asS'On December 12 the patient underwent surgery , including a re-do aortic valve replacement with # 25 St. Jude and re-do coronary artery bypass grafting times one ; saphenous vein graft to the posterior descending artery as a veno-venous jump graft .' -p76290 -(lp76291 -S'On\tOn\tIN\tB-PP\tO' -p76292 -aS'December\tDecember\tNNP\tB-NP\tO' -p76293 -aS'12\t12\tCD\tI-NP\tO' -p76294 -aS'the\tthe\tDT\tB-NP\tO' -p76295 -aS'patient\tpatient\tNN\tI-NP\tO' -p76296 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p76297 -aS'surgery\tsurgery\tNN\tB-NP\tO' -p76298 -aS',\t,\t,\tO\tO' -p76299 -aS'including\tinclude\tVBG\tB-PP\tO' -p76300 -aS'a\ta\tDT\tB-NP\tO' -p76301 -aS're-do\tre-do\tJJ\tI-NP\tO' -p76302 -aS'aortic\taortic\tJJ\tI-NP\tO' -p76303 -aS'valve\tvalve\tNN\tI-NP\tO' -p76304 -aS'replacement\treplacement\tNN\tI-NP\tO' -p76305 -aS'with\twith\tIN\tB-PP\tO' -p76306 -aS'#\t#\t#\tB-NP\tO' -p76307 -aS'25\t25\tCD\tI-NP\tO' -p76308 -aS'St.\tSt.\tNNP\tI-NP\tO' -p76309 -aS'Jude\tJude\tNNP\tI-NP\tO' -p76310 -aS'and\tand\tCC\tO\tO' -p76311 -aS're-do\tre-do\tJJ\tB-NP\tO' -p76312 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p76313 -aS'artery\tartery\tNN\tI-NP\tO' -p76314 -aS'bypass\tbypass\tIN\tB-PP\tO' -p76315 -aS'grafting\tgraft\tVBG\tB-VP\tO' -p76316 -aS'times\ttime\tNNS\tB-NP\tO' -p76317 -aS'one\tone\tCD\tB-NP\tO' -p76318 -aS';\t;\t:\tO\tO' -p76319 -aS'saphenous\tsaphenous\tJJ\tB-NP\tO' -p76320 -aS'vein\tvein\tNN\tI-NP\tO' -p76321 -aS'graft\tgraft\tNN\tI-NP\tO' -p76322 -aS'to\tto\tTO\tB-PP\tO' -p76323 -aS'the\tthe\tDT\tB-NP\tO' -p76324 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p76325 -aS'descending\tdescend\tVBG\tI-NP\tO' -p76326 -aS'artery\tartery\tNN\tI-NP\tO' -p76327 -aS'as\tas\tIN\tB-PP\tO' -p76328 -aS'a\ta\tDT\tB-NP\tO' -p76329 -aS'veno-venous\tveno-venous\tJJ\tI-NP\tO' -p76330 -aS'jump\tjump\tNN\tI-NP\tO' -p76331 -aS'graft\tgraft\tNN\tI-NP\tO' -p76332 -aS'.\t.\t.\tO\tO' -p76333 -asS"The patient 's initial postoperative course was relatively uneventful ." -p76334 -(lp76335 -S'The\tThe\tDT\tB-NP\tO' -p76336 -aS'patient\tpatient\tNN\tI-NP\tO' -p76337 -aS"'s\t's\tPOS\tB-NP\tO" -p76338 -aS'initial\tinitial\tJJ\tI-NP\tO' -p76339 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p76340 -aS'course\tcourse\tNN\tI-NP\tO' -p76341 -aS'was\tbe\tVBD\tB-VP\tO' -p76342 -aS'relatively\trelatively\tRB\tB-ADJP\tO' -p76343 -aS'uneventful\tuneventful\tJJ\tI-ADJP\tO' -p76344 -aS'.\t.\t.\tO\tO' -p76345 -asS'Mr. Mass was initially anticoagulated for his left ventricular aneurysm .' -p76346 -(lp76347 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p76348 -aS'Mass\tMass\tNNP\tI-NP\tO' -p76349 -aS'was\tbe\tVBD\tB-VP\tO' -p76350 -aS'initially\tinitially\tRB\tI-VP\tO' -p76351 -aS'anticoagulated\tanticoagulate\tVBN\tI-VP\tO' -p76352 -aS'for\tfor\tIN\tB-PP\tO' -p76353 -aS'his\this\tPRP$\tB-NP\tO' -p76354 -aS'left\tleft\tJJ\tI-NP\tO' -p76355 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p76356 -aS'aneurysm\taneurysm\tNN\tI-NP\tO' -p76357 -aS'.\t.\t.\tO\tO' -p76358 -asS'The postoperative course was complicated by atrial fibrillation with transfer to the Cardiac Step-Down Unit .' -p76359 -(lp76360 -S'The\tThe\tDT\tB-NP\tO' -p76361 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p76362 -aS'course\tcourse\tNN\tI-NP\tO' -p76363 -aS'was\tbe\tVBD\tB-VP\tO' -p76364 -aS'complicated\tcomplicate\tVBN\tI-VP\tO' -p76365 -aS'by\tby\tIN\tB-PP\tO' -p76366 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p76367 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p76368 -aS'with\twith\tIN\tB-PP\tO' -p76369 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p76370 -aS'to\tto\tTO\tB-PP\tO' -p76371 -aS'the\tthe\tDT\tB-NP\tO' -p76372 -aS'Cardiac\tCardiac\tNNP\tI-NP\tO' -p76373 -aS'Step-Down\tStep-Down\tNNP\tI-NP\tO' -p76374 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p76375 -aS'.\t.\t.\tO\tO' -p76376 -asS'She also reports positional chest pain , which is worse with lying down and relieved with sitting up .' -p76377 -(lp76378 -S'She\tShe\tPRP\tB-NP\tO' -p76379 -aS'also\talso\tRB\tB-ADVP\tO' -p76380 -aS'reports\treport\tVBZ\tB-VP\tO' -p76381 -aS'positional\tpositional\tJJ\tB-NP\tO' -p76382 -aS'chest\tchest\tNN\tI-NP\tO' -p76383 -aS'pain\tpain\tNN\tI-NP\tO' -p76384 -aS',\t,\t,\tO\tO' -p76385 -aS'which\twhich\tWDT\tB-NP\tO' -p76386 -aS'is\tbe\tVBZ\tB-VP\tO' -p76387 -aS'worse\tworse\tJJR\tB-ADJP\tO' -p76388 -aS'with\twith\tIN\tB-PP\tO' -p76389 -aS'lying\tlie\tVBG\tB-VP\tO' -p76390 -aS'down\tdown\tRP\tB-PRT\tO' -p76391 -aS'and\tand\tCC\tO\tO' -p76392 -aS'relieved\trelieve\tVBN\tB-VP\tO' -p76393 -aS'with\twith\tIN\tB-PP\tO' -p76394 -aS'sitting\tsit\tVBG\tB-VP\tO' -p76395 -aS'up\tup\tRP\tB-PRT\tO' -p76396 -aS'.\t.\t.\tO\tO' -p76397 -asS'6. Lipitor .' -p76398 -(lp76399 -S'6.\t6.\tLS\tB-LST\tO' -p76400 -aS'Lipitor\tLipitor\tNNP\tB-NP\tO' -p76401 -aS'.\t.\t.\tO\tO' -p76402 -asS'She reports an occasional nonproductive cough that she has had "for years" and feels that she has been experiencing alternating chills and feeling hot .' -p76403 -(lp76404 -S'She\tShe\tPRP\tB-NP\tO' -p76405 -aS'reports\treport\tVBZ\tB-VP\tO' -p76406 -aS'an\tan\tDT\tB-NP\tO' -p76407 -aS'occasional\toccasional\tJJ\tI-NP\tO' -p76408 -aS'nonproductive\tnonproductive\tJJ\tI-NP\tO' -p76409 -aS'cough\tcough\tNN\tI-NP\tO' -p76410 -aS'that\tthat\tIN\tB-NP\tO' -p76411 -aS'she\tshe\tPRP\tB-NP\tO' -p76412 -aS'has\thave\tVBZ\tB-VP\tO' -p76413 -aS'had\thave\tVBN\tI-VP\tO' -p76414 -aS'"for\t"for\tIN\tB-PP\tO' -p76415 -aS'years"\tyears"\tNN\tB-NP\tO' -p76416 -aS'and\tand\tCC\tI-NP\tO' -p76417 -aS'feels\tfeel\tNNS\tI-NP\tO' -p76418 -aS'that\tthat\tIN\tB-SBAR\tO' -p76419 -aS'she\tshe\tPRP\tB-NP\tO' -p76420 -aS'has\thave\tVBZ\tB-VP\tO' -p76421 -aS'been\tbe\tVBN\tI-VP\tO' -p76422 -aS'experiencing\texperience\tVBG\tI-VP\tO' -p76423 -aS'alternating\talternate\tVBG\tB-NP\tO' -p76424 -aS'chills\tchill\tNNS\tI-NP\tO' -p76425 -aS'and\tand\tCC\tO\tO' -p76426 -aS'feeling\tfeel\tVBG\tB-VP\tO' -p76427 -aS'hot\thot\tJJ\tB-ADJP\tO' -p76428 -aS'.\t.\t.\tO\tO' -p76429 -asS'He had his prothrombin time reversed with Vitamin K 2 mgs on admission subcutaneously as well as two units of fresh frozen plasma given in the emergency room .' -p76430 -(lp76431 -S'He\tHe\tPRP\tB-NP\tO' -p76432 -aS'had\thave\tVBD\tB-VP\tO' -p76433 -aS'his\this\tPRP$\tB-NP\tO' -p76434 -aS'prothrombin\tprothrombin\tNN\tI-NP\tO' -p76435 -aS'time\ttime\tNN\tI-NP\tO' -p76436 -aS'reversed\treverse\tVBN\tB-VP\tO' -p76437 -aS'with\twith\tIN\tB-PP\tO' -p76438 -aS'Vitamin\tVitamin\tNN\tB-NP\tO' -p76439 -aS'K\tK\tNN\tI-NP\tO' -p76440 -aS'2\t2\tCD\tB-NP\tO' -p76441 -aS'mgs\tmg\tNNS\tI-NP\tO' -p76442 -aS'on\ton\tIN\tB-PP\tO' -p76443 -aS'admission\tadmission\tNN\tB-NP\tO' -p76444 -aS'subcutaneously\tsubcutaneously\tRB\tO\tO' -p76445 -aS'as\tas\tRB\tB-CONJP\tO' -p76446 -aS'well\twell\tRB\tI-CONJP\tO' -p76447 -aS'as\tas\tIN\tI-CONJP\tO' -p76448 -aS'two\ttwo\tCD\tB-NP\tO' -p76449 -aS'units\tunit\tNNS\tI-NP\tO' -p76450 -aS'of\tof\tIN\tB-PP\tO' -p76451 -aS'fresh\tfresh\tJJ\tB-NP\tO' -p76452 -aS'frozen\tfrozen\tJJ\tI-NP\tO' -p76453 -aS'plasma\tplasma\tNN\tI-NP\tO' -p76454 -aS'given\tgive\tVBN\tB-VP\tO' -p76455 -aS'in\tin\tIN\tB-PP\tO' -p76456 -aS'the\tthe\tDT\tB-NP\tO' -p76457 -aS'emergency\temergency\tNN\tI-NP\tO' -p76458 -aS'room\troom\tNN\tI-NP\tO' -p76459 -aS'.\t.\t.\tO\tO' -p76460 -asS'Os trigonum is visualized .' -p76461 -(lp76462 -S'Os\tO\tNNS\tB-NP\tO' -p76463 -aS'trigonum\ttrigonum\tNN\tI-NP\tO' -p76464 -aS'is\tbe\tVBZ\tB-VP\tO' -p76465 -aS'visualized\tvisualize\tVBN\tI-VP\tO' -p76466 -aS'.\t.\t.\tO\tO' -p76467 -asS'4. Protonix 40 milligrams po q day .' -p76468 -(lp76469 -S'4.\t4.\tLS\tB-LST\tO' -p76470 -aS'Protonix\tProtonix\tNNP\tB-NP\tO' -p76471 -aS'40\t40\tCD\tI-NP\tO' -p76472 -aS'milligrams\tmilligram\tNNS\tI-NP\tO' -p76473 -aS'po\tpo\tVBP\tB-VP\tO' -p76474 -aS'q\tq\tNN\tB-NP\tO' -p76475 -aS'day\tday\tNN\tI-NP\tO' -p76476 -aS'.\t.\t.\tO\tO' -p76477 -asS'He lives with his wife and works as a drug representative for Carvedilol .' -p76478 -(lp76479 -S'He\tHe\tPRP\tB-NP\tO' -p76480 -aS'lives\tlive\tVBZ\tB-VP\tO' -p76481 -aS'with\twith\tIN\tB-PP\tO' -p76482 -aS'his\this\tPRP$\tB-NP\tO' -p76483 -aS'wife\twife\tNN\tI-NP\tO' -p76484 -aS'and\tand\tCC\tO\tO' -p76485 -aS'works\twork\tVBZ\tB-VP\tO' -p76486 -aS'as\tas\tIN\tB-PP\tO' -p76487 -aS'a\ta\tDT\tB-NP\tO' -p76488 -aS'drug\tdrug\tNN\tI-NP\tO' -p76489 -aS'representative\trepresentative\tNN\tI-NP\tO' -p76490 -aS'for\tfor\tIN\tB-PP\tO' -p76491 -aS'Carvedilol\tCarvedilol\tNN\tB-NP\tO' -p76492 -aS'.\t.\t.\tO\tO' -p76493 -asS'Abdomen soft , no hepatosplenomegaly , quiet bowel sounds , 3 vessel cord .' -p76494 -(lp76495 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p76496 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p76497 -aS',\t,\t,\tO\tO' -p76498 -aS'no\tno\tDT\tB-NP\tO' -p76499 -aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tI-NP\tO' -p76500 -aS',\t,\t,\tO\tO' -p76501 -aS'quiet\tquiet\tJJ\tB-NP\tO' -p76502 -aS'bowel\tbowel\tNN\tI-NP\tO' -p76503 -aS'sounds\tsound\tNNS\tI-NP\tO' -p76504 -aS',\t,\t,\tO\tO' -p76505 -aS'3\t3\tCD\tB-NP\tO' -p76506 -aS'vessel\tvessel\tNN\tI-NP\tO' -p76507 -aS'cord\tcord\tNN\tI-NP\tO' -p76508 -aS'.\t.\t.\tO\tO' -p76509 -asS'Mild ( 1+ ) mitral regurgitation is seen .' -p76510 -(lp76511 -S'Mild\tMild\tNNP\tB-NP\tO' -p76512 -aS'(\t(\t(\tO\tO' -p76513 -aS'1+\t1+\tJJ\tB-ADJP\tO' -p76514 -aS')\t)\t)\tO\tO' -p76515 -aS'mitral\tmitral\tJJ\tB-NP\tO' -p76516 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p76517 -aS'is\tbe\tVBZ\tB-VP\tO' -p76518 -aS'seen\tsee\tVBN\tI-VP\tO' -p76519 -aS'.\t.\t.\tO\tO' -p76520 -asS'Likely due to CHF exacerbation , with diuresis of over 36 L during his admission .' -p76521 -(lp76522 -S'Likely\tLikely\tRB\tB-ADVP\tO' -p76523 -aS'due\tdue\tIN\tB-PP\tO' -p76524 -aS'to\tto\tTO\tB-PP\tO' -p76525 -aS'CHF\tCHF\tNN\tB-NP\tO' -p76526 -aS'exacerbation\texacerbation\tNN\tI-NP\tO' -p76527 -aS',\t,\t,\tO\tO' -p76528 -aS'with\twith\tIN\tB-PP\tO' -p76529 -aS'diuresis\tdiuresis\tNN\tB-NP\tO' -p76530 -aS'of\tof\tIN\tB-PP\tO' -p76531 -aS'over\tover\tIN\tB-NP\tO' -p76532 -aS'36\t36\tCD\tI-NP\tO' -p76533 -aS'L\tL\tNN\tI-NP\tO' -p76534 -aS'during\tduring\tIN\tB-PP\tO' -p76535 -aS'his\this\tPRP$\tB-NP\tO' -p76536 -aS'admission\tadmission\tNN\tI-NP\tO' -p76537 -aS'.\t.\t.\tO\tO' -p76538 -asS'After this he was anticoagulated with heparin drip .' -p76539 -(lp76540 -S'After\tAfter\tIN\tB-PP\tO' -p76541 -aS'this\tthis\tDT\tB-NP\tO' -p76542 -aS'he\the\tPRP\tB-NP\tO' -p76543 -aS'was\tbe\tVBD\tB-VP\tO' -p76544 -aS'anticoagulated\tanticoagulate\tVBN\tI-VP\tO' -p76545 -aS'with\twith\tIN\tB-PP\tO' -p76546 -aS'heparin\theparin\tNN\tB-NP\tO' -p76547 -aS'drip\tdrip\tNN\tI-NP\tO' -p76548 -aS'.\t.\t.\tO\tO' -p76549 -asS'small wedge-shaped visual field defect in right eye , suggesting retinal lesion .' -p76550 -(lp76551 -S'small\tsmall\tJJ\tB-NP\tO' -p76552 -aS'wedge-shaped\twedge-shaped\tJJ\tI-NP\tO' -p76553 -aS'visual\tvisual\tJJ\tI-NP\tO' -p76554 -aS'field\tfield\tNN\tI-NP\tO' -p76555 -aS'defect\tdefect\tNN\tI-NP\tO' -p76556 -aS'in\tin\tIN\tB-PP\tO' -p76557 -aS'right\tright\tJJ\tB-NP\tO' -p76558 -aS'eye\teye\tNN\tI-NP\tO' -p76559 -aS',\t,\t,\tO\tO' -p76560 -aS'suggesting\tsuggest\tVBG\tB-VP\tO' -p76561 -aS'retinal\tretinal\tJJ\tB-NP\tO' -p76562 -aS'lesion\tlesion\tNN\tI-NP\tO' -p76563 -aS'.\t.\t.\tO\tO' -p76564 -asS'A cardiac catheterization was deferred until the renal issue could be resolved .' -p76565 -(lp76566 -S'A\tA\tDT\tB-NP\tO' -p76567 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p76568 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p76569 -aS'was\tbe\tVBD\tB-VP\tO' -p76570 -aS'deferred\tdefer\tVBN\tI-VP\tO' -p76571 -aS'until\tuntil\tIN\tB-PP\tO' -p76572 -aS'the\tthe\tDT\tB-NP\tO' -p76573 -aS'renal\trenal\tJJ\tI-NP\tO' -p76574 -aS'issue\tissue\tNN\tI-NP\tO' -p76575 -aS'could\tcould\tMD\tB-VP\tO' -p76576 -aS'be\tbe\tVB\tI-VP\tO' -p76577 -aS'resolved\tresolve\tVBN\tI-VP\tO' -p76578 -aS'.\t.\t.\tO\tO' -p76579 -asS'He has no h/o ETOH/IVDA but quit tob 15 years ago .' -p76580 -(lp76581 -S'He\tHe\tPRP\tB-NP\tO' -p76582 -aS'has\thave\tVBZ\tB-VP\tO' -p76583 -aS'no\tno\tDT\tB-NP\tO' -p76584 -aS'h/o\th/o\tNN\tI-NP\tO' -p76585 -aS'ETOH/IVDA\tETOH/IVDA\tNN\tI-NP\tO' -p76586 -aS'but\tbut\tCC\tO\tO' -p76587 -aS'quit\tquit\tVBD\tB-VP\tO' -p76588 -aS'tob\ttob\tNN\tB-NP\tO' -p76589 -aS'15\t15\tCD\tB-NP\tO' -p76590 -aS'years\tyear\tNNS\tI-NP\tO' -p76591 -aS'ago\tago\tRB\tB-ADVP\tO' -p76592 -aS'.\t.\t.\tO\tO' -p76593 -asS'6. right cheek basal cell carcinoma ,' -p76594 -(lp76595 -S'6.\t6.\tLS\tB-NP\tO' -p76596 -aS'right\tright\tJJ\tI-NP\tO' -p76597 -aS'cheek\tcheek\tNN\tI-NP\tO' -p76598 -aS'basal\tbasal\tJJ\tI-NP\tO' -p76599 -aS'cell\tcell\tNN\tI-NP\tO' -p76600 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p76601 -aS',\t,\t,\tO\tO' -p76602 -asS'She was discharged to home .' -p76603 -(lp76604 -S'She\tShe\tPRP\tB-NP\tO' -p76605 -aS'was\tbe\tVBD\tB-VP\tO' -p76606 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p76607 -aS'to\tto\tTO\tB-PP\tO' -p76608 -aS'home\thome\tNN\tB-NP\tO' -p76609 -aS'.\t.\t.\tO\tO' -p76610 -asS'- If any abdominal pain , fever or dizziness , go to the Emergency Room' -p76611 -(lp76612 -S'-\t-\tHYPH\tO\tB-protein' -p76613 -aS'If\tIf\tIN\tB-SBAR\tI-protein' -p76614 -aS'any\tany\tDT\tB-NP\tI-protein' -p76615 -aS'abdominal\tabdominal\tJJ\tI-NP\tI-protein' -p76616 -aS'pain\tpain\tNN\tI-NP\tI-protein' -p76617 -aS',\t,\t,\tI-NP\tO' -p76618 -aS'fever\tfever\tNN\tI-NP\tO' -p76619 -aS'or\tor\tCC\tI-NP\tO' -p76620 -aS'dizziness\tdizziness\tNN\tI-NP\tO' -p76621 -aS',\t,\t,\tO\tO' -p76622 -aS'go\tgo\tVB\tB-VP\tO' -p76623 -aS'to\tto\tTO\tB-PP\tO' -p76624 -aS'the\tthe\tDT\tB-NP\tO' -p76625 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p76626 -aS'Room\tRoom\tNNP\tI-NP\tO' -p76627 -asS'PORTIONS OF THE SMALL BOWEL WERE RESECTED .' -p76628 -(lp76629 -S'PORTIONS\tPORTIONS\tNNS\tB-NP\tO' -p76630 -aS'OF\tOF\tIN\tB-PP\tO' -p76631 -aS'THE\tTHE\tDT\tB-NP\tO' -p76632 -aS'SMALL\tSMALL\tNNP\tI-NP\tO' -p76633 -aS'BOWEL\tBOWEL\tNNP\tI-NP\tO' -p76634 -aS'WERE\tWERE\tNNP\tI-NP\tO' -p76635 -aS'RESECTED\tRESECTED\tNNP\tI-NP\tO' -p76636 -aS'.\t.\t.\tO\tO' -p76637 -asS'ETT - MIBI 5/27/05 - normal , no e / o ischemia .' -p76638 -(lp76639 -S'ETT\tETT\tNN\tB-NP\tB-protein' -p76640 -aS'-\t-\tHYPH\tO\tO' -p76641 -aS'MIBI\tMIBI\tNN\tB-NP\tB-DNA' -p76642 -aS'5/27/05\t5/27/05\tCD\tI-NP\tI-DNA' -p76643 -aS'-\t-\tHYPH\tB-VP\tO' -p76644 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p76645 -aS',\t,\t,\tO\tO' -p76646 -aS'no\tno\tDT\tB-NP\tO' -p76647 -aS'e\te\tNN\tI-NP\tO' -p76648 -aS'/\t/\tSYM\tB-NP\tO' -p76649 -aS'o\to\tNN\tI-NP\tO' -p76650 -aS'ischemia\tischemia\tNN\tI-NP\tO' -p76651 -aS'.\t.\t.\tO\tO' -p76652 -asS'The patient had a PCA and several other medications have been discontinued .' -p76653 -(lp76654 -S'The\tThe\tDT\tB-NP\tO' -p76655 -aS'patient\tpatient\tNN\tI-NP\tO' -p76656 -aS'had\thave\tVBD\tB-VP\tO' -p76657 -aS'a\ta\tDT\tB-NP\tO' -p76658 -aS'PCA\tPCA\tNN\tI-NP\tB-protein' -p76659 -aS'and\tand\tCC\tO\tO' -p76660 -aS'several\tseveral\tJJ\tB-NP\tO' -p76661 -aS'other\tother\tJJ\tI-NP\tO' -p76662 -aS'medications\tmedication\tNNS\tI-NP\tO' -p76663 -aS'have\thave\tVBP\tB-VP\tO' -p76664 -aS'been\tbe\tVBN\tI-VP\tO' -p76665 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p76666 -aS'.\t.\t.\tO\tO' -p76667 -asS'EXTREM NORMAL SKIN NORMAL NODES NORMAL VULVA NORMAL VAGINA Leaking copious amounts clear fluid .' -p76668 -(lp76669 -S'EXTREM\tEXTREM\tNNP\tB-NP\tO' -p76670 -aS'NORMAL\tNORMAL\tNNP\tI-NP\tO' -p76671 -aS'SKIN\tSKIN\tNNP\tI-NP\tO' -p76672 -aS'NORMAL\tNORMAL\tNNP\tI-NP\tO' -p76673 -aS'NODES\tNODES\tNNP\tI-NP\tO' -p76674 -aS'NORMAL\tNORMAL\tNNP\tI-NP\tO' -p76675 -aS'VULVA\tVULVA\tNNP\tI-NP\tO' -p76676 -aS'NORMAL\tNORMAL\tNNP\tI-NP\tO' -p76677 -aS'VAGINA\tVAGINA\tNNP\tI-NP\tO' -p76678 -aS'Leaking\tLeak\tVBG\tB-VP\tO' -p76679 -aS'copious\tcopious\tJJ\tB-NP\tO' -p76680 -aS'amounts\tamount\tNNS\tI-NP\tO' -p76681 -aS'clear\tclear\tJJ\tB-NP\tO' -p76682 -aS'fluid\tfluid\tNN\tI-NP\tO' -p76683 -aS'.\t.\t.\tO\tO' -p76684 -asS'EGD , colonoscopy and tagged scan results as above .' -p76685 -(lp76686 -S'EGD\tEGD\tNN\tB-NP\tB-protein' -p76687 -aS',\t,\t,\tI-NP\tO' -p76688 -aS'colonoscopy\tcolonoscopy\tNN\tI-NP\tO' -p76689 -aS'and\tand\tCC\tO\tO' -p76690 -aS'tagged\ttag\tVBN\tB-NP\tO' -p76691 -aS'scan\tscan\tNN\tI-NP\tO' -p76692 -aS'results\tresult\tNNS\tI-NP\tO' -p76693 -aS'as\tas\tIN\tB-PP\tO' -p76694 -aS'above\tabove\tRB\tI-PP\tO' -p76695 -aS'.\t.\t.\tO\tO' -p76696 -asS'Change in mental status .' -p76697 -(lp76698 -S'Change\tChange\tNN\tB-NP\tO' -p76699 -aS'in\tin\tIN\tB-PP\tO' -p76700 -aS'mental\tmental\tJJ\tB-NP\tO' -p76701 -aS'status\tstatus\tNN\tI-NP\tO' -p76702 -aS'.\t.\t.\tO\tO' -p76703 -asS'The LV contractile function was normal .' -p76704 -(lp76705 -S'The\tThe\tDT\tB-NP\tO' -p76706 -aS'LV\tLV\tNN\tI-NP\tO' -p76707 -aS'contractile\tcontractile\tJJ\tI-NP\tO' -p76708 -aS'function\tfunction\tNN\tI-NP\tO' -p76709 -aS'was\tbe\tVBD\tB-VP\tO' -p76710 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p76711 -aS'.\t.\t.\tO\tO' -p76712 -asS'I will give doses and administration information in his list of discharge medications .' -p76713 -(lp76714 -S'I\tI\tPRP\tB-NP\tO' -p76715 -aS'will\twill\tMD\tB-VP\tO' -p76716 -aS'give\tgive\tVB\tI-VP\tO' -p76717 -aS'doses\tdose\tNNS\tB-NP\tO' -p76718 -aS'and\tand\tCC\tO\tO' -p76719 -aS'administration\tadministration\tNN\tB-NP\tO' -p76720 -aS'information\tinformation\tNN\tI-NP\tO' -p76721 -aS'in\tin\tIN\tB-PP\tO' -p76722 -aS'his\this\tPRP$\tB-NP\tO' -p76723 -aS'list\tlist\tNN\tI-NP\tO' -p76724 -aS'of\tof\tIN\tB-PP\tO' -p76725 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p76726 -aS'medications\tmedication\tNNS\tI-NP\tO' -p76727 -aS'.\t.\t.\tO\tO' -p76728 -asS'History of anal warts and rectal abscesses and fistula .' -p76729 -(lp76730 -S'History\tHistory\tNN\tB-NP\tO' -p76731 -aS'of\tof\tIN\tB-PP\tO' -p76732 -aS'anal\tanal\tJJ\tB-NP\tO' -p76733 -aS'warts\twart\tNNS\tI-NP\tO' -p76734 -aS'and\tand\tCC\tO\tO' -p76735 -aS'rectal\trectal\tJJ\tB-NP\tO' -p76736 -aS'abscesses\tabscess\tNNS\tI-NP\tO' -p76737 -aS'and\tand\tCC\tI-NP\tO' -p76738 -aS'fistula\tfistula\tNN\tI-NP\tO' -p76739 -aS'.\t.\t.\tO\tO' -p76740 -asS'The cardiac examination was unremarkable without murmurs .' -p76741 -(lp76742 -S'The\tThe\tDT\tB-NP\tO' -p76743 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p76744 -aS'examination\texamination\tNN\tI-NP\tO' -p76745 -aS'was\tbe\tVBD\tB-VP\tO' -p76746 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p76747 -aS'without\twithout\tIN\tB-PP\tO' -p76748 -aS'murmurs\tmurmur\tNNS\tB-NP\tO' -p76749 -aS'.\t.\t.\tO\tO' -p76750 -asS'She underwent cadaveric pancreas transplantation without complication .' -p76751 -(lp76752 -S'She\tShe\tPRP\tB-NP\tO' -p76753 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p76754 -aS'cadaveric\tcadaveric\tJJ\tB-NP\tO' -p76755 -aS'pancreas\tpancreas\tNN\tI-NP\tO' -p76756 -aS'transplantation\ttransplantation\tNN\tI-NP\tO' -p76757 -aS'without\twithout\tIN\tB-PP\tO' -p76758 -aS'complication\tcomplication\tNN\tB-NP\tO' -p76759 -aS'.\t.\t.\tO\tO' -p76760 -asS'insulin dependent gestational diabetic , prior C / S , RSAP' -p76761 -(lp76762 -S'insulin\tinsulin\tNN\tB-NP\tB-protein' -p76763 -aS'dependent\tdependent\tJJ\tI-NP\tO' -p76764 -aS'gestational\tgestational\tJJ\tI-NP\tO' -p76765 -aS'diabetic\tdiabetic\tJJ\tI-NP\tO' -p76766 -aS',\t,\t,\tI-NP\tO' -p76767 -aS'prior\tprior\tJJ\tI-NP\tO' -p76768 -aS'C\tC\tNN\tI-NP\tO' -p76769 -aS'/\t/\tSYM\tB-VP\tO' -p76770 -aS'S\tS\tNN\tB-NP\tO' -p76771 -aS',\t,\t,\tO\tO' -p76772 -aS'RSAP\tRSAP\tNN\tB-NP\tB-protein' -p76773 -asS'Further work-up of his neurologic conditions were planned as an outpatient .' -p76774 -(lp76775 -S'Further\tFurther\tJJ\tB-NP\tO' -p76776 -aS'work-up\twork-up\tNN\tI-NP\tO' -p76777 -aS'of\tof\tIN\tB-PP\tO' -p76778 -aS'his\this\tPRP$\tB-NP\tO' -p76779 -aS'neurologic\tneurologic\tJJ\tI-NP\tO' -p76780 -aS'conditions\tcondition\tNNS\tI-NP\tO' -p76781 -aS'were\tbe\tVBD\tB-VP\tO' -p76782 -aS'planned\tplan\tVBN\tI-VP\tO' -p76783 -aS'as\tas\tIN\tB-PP\tO' -p76784 -aS'an\tan\tDT\tB-NP\tO' -p76785 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p76786 -aS'.\t.\t.\tO\tO' -p76787 -asS'Pregnancy complicated by gestational diabetes mellitus , then possible preterm labor .' -p76788 -(lp76789 -S'Pregnancy\tPregnancy\tNN\tB-NP\tO' -p76790 -aS'complicated\tcomplicate\tVBN\tB-VP\tO' -p76791 -aS'by\tby\tIN\tB-PP\tO' -p76792 -aS'gestational\tgestational\tJJ\tB-NP\tO' -p76793 -aS'diabetes\tdiabetes\tNN\tI-NP\tO' -p76794 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p76795 -aS',\t,\t,\tO\tO' -p76796 -aS'then\tthen\tRB\tB-ADVP\tO' -p76797 -aS'possible\tpossible\tJJ\tB-NP\tO' -p76798 -aS'preterm\tpreterm\tJJ\tI-NP\tO' -p76799 -aS'labor\tlabor\tNN\tI-NP\tO' -p76800 -aS'.\t.\t.\tO\tO' -p76801 -asS"POD# 15/6 , she resumed TF 's and TPN was tapered again ." -p76802 -(lp76803 -S'POD#\tPOD#\tNN\tB-NP\tB-protein' -p76804 -aS'15/6\t15/6\tCD\tI-NP\tI-protein' -p76805 -aS',\t,\t,\tO\tO' -p76806 -aS'she\tshe\tPRP\tB-NP\tO' -p76807 -aS'resumed\tresume\tVBD\tB-VP\tO' -p76808 -aS'TF\tTF\tNN\tB-NP\tB-protein' -p76809 -aS"'s\t's\tPOS\tB-NP\tO" -p76810 -aS'and\tand\tCC\tO\tO' -p76811 -aS'TPN\tTPN\tNN\tB-NP\tB-protein' -p76812 -aS'was\tbe\tVBD\tB-VP\tO' -p76813 -aS'tapered\ttaper\tVBN\tI-VP\tO' -p76814 -aS'again\tagain\tRB\tB-ADVP\tO' -p76815 -aS'.\t.\t.\tO\tO' -p76816 -asS'On 04/07 they took the patient back to the IR suite and placed a second catheter .' -p76817 -(lp76818 -S'On\tOn\tIN\tB-PP\tO' -p76819 -aS'04/07\t04/07\tCD\tB-NP\tO' -p76820 -aS'they\tthey\tPRP\tB-NP\tO' -p76821 -aS'took\ttake\tVBD\tB-VP\tO' -p76822 -aS'the\tthe\tDT\tB-NP\tO' -p76823 -aS'patient\tpatient\tNN\tI-NP\tO' -p76824 -aS'back\tback\tRB\tB-ADVP\tO' -p76825 -aS'to\tto\tTO\tB-PP\tO' -p76826 -aS'the\tthe\tDT\tB-NP\tO' -p76827 -aS'IR\tIR\tNN\tI-NP\tO' -p76828 -aS'suite\tsuite\tNN\tI-NP\tO' -p76829 -aS'and\tand\tCC\tO\tO' -p76830 -aS'placed\tplace\tVBD\tB-VP\tO' -p76831 -aS'a\ta\tDT\tB-NP\tO' -p76832 -aS'second\tsecond\tJJ\tI-NP\tO' -p76833 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p76834 -aS'.\t.\t.\tO\tO' -p76835 -asS'At the rehabilitation center the patient developed shortness of breath .' -p76836 -(lp76837 -S'At\tAt\tIN\tB-PP\tO' -p76838 -aS'the\tthe\tDT\tB-NP\tO' -p76839 -aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' -p76840 -aS'center\tcenter\tNN\tI-NP\tO' -p76841 -aS'the\tthe\tDT\tB-NP\tO' -p76842 -aS'patient\tpatient\tNN\tI-NP\tO' -p76843 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p76844 -aS'shortness\tshortness\tNN\tB-NP\tO' -p76845 -aS'of\tof\tIN\tB-PP\tO' -p76846 -aS'breath\tbreath\tNN\tB-NP\tO' -p76847 -aS'.\t.\t.\tO\tO' -p76848 -asS'Patient was stable without evidence of CHF on chest x-ray .' -p76849 -(lp76850 -S'Patient\tPatient\tNN\tB-NP\tO' -p76851 -aS'was\tbe\tVBD\tB-VP\tO' -p76852 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p76853 -aS'without\twithout\tIN\tB-PP\tO' -p76854 -aS'evidence\tevidence\tNN\tB-NP\tO' -p76855 -aS'of\tof\tIN\tB-PP\tO' -p76856 -aS'CHF\tCHF\tNN\tB-NP\tB-protein' -p76857 -aS'on\ton\tIN\tB-PP\tO' -p76858 -aS'chest\tchest\tNN\tB-NP\tO' -p76859 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p76860 -aS'.\t.\t.\tO\tO' -p76861 -asS'The patient presented with a chief complaint of SOB , FEVER .' -p76862 -(lp76863 -S'The\tThe\tDT\tB-NP\tO' -p76864 -aS'patient\tpatient\tNN\tI-NP\tO' -p76865 -aS'presented\tpresent\tVBD\tB-VP\tO' -p76866 -aS'with\twith\tIN\tB-PP\tO' -p76867 -aS'a\ta\tDT\tB-NP\tO' -p76868 -aS'chief\tchief\tJJ\tI-NP\tO' -p76869 -aS'complaint\tcomplaint\tNN\tI-NP\tO' -p76870 -aS'of\tof\tIN\tB-PP\tO' -p76871 -aS'SOB\tSOB\tNN\tB-NP\tB-protein' -p76872 -aS',\t,\t,\tO\tO' -p76873 -aS'FEVER\tFEVER\tNN\tB-NP\tO' -p76874 -aS'.\t.\t.\tO\tO' -p76875 -asS'The light reflex was slightly slow but equal and intact direct and indirectly .' -p76876 -(lp76877 -S'The\tThe\tDT\tB-NP\tO' -p76878 -aS'light\tlight\tJJ\tI-NP\tO' -p76879 -aS'reflex\treflex\tNN\tI-NP\tO' -p76880 -aS'was\tbe\tVBD\tB-VP\tO' -p76881 -aS'slightly\tslightly\tRB\tB-ADJP\tO' -p76882 -aS'slow\tslow\tJJ\tB-NP\tO' -p76883 -aS'but\tbut\tCC\tI-NP\tO' -p76884 -aS'equal\tequal\tJJ\tI-NP\tO' -p76885 -aS'and\tand\tCC\tI-NP\tO' -p76886 -aS'intact\tintact\tJJ\tI-NP\tO' -p76887 -aS'direct\tdirect\tJJ\tI-NP\tO' -p76888 -aS'and\tand\tCC\tI-NP\tO' -p76889 -aS'indirectly\tindirectly\tRB\tI-NP\tO' -p76890 -aS'.\t.\t.\tO\tO' -p76891 -asS'On the day of discharge the patient 's dressing was taken down completely and evaluation of the derma graft was made .' -p76892 -(lp76893 -S'On\tOn\tIN\tB-PP\tO' -p76894 -aS'the\tthe\tDT\tB-NP\tO' -p76895 -aS'day\tday\tNN\tI-NP\tO' -p76896 -aS'of\tof\tIN\tB-PP\tO' -p76897 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p76898 -aS'the\tthe\tDT\tB-NP\tO' -p76899 -aS'patient\tpatient\tNN\tI-NP\tO' -p76900 -aS''s\t'\tNNS\tI-NP\tO' -p76901 -aS'dressing\tdress\tVBG\tB-VP\tO' -p76902 -aS'was\tbe\tVBD\tB-VP\tO' -p76903 -aS'taken\ttake\tVBN\tI-VP\tO' -p76904 -aS'down\tdown\tRP\tB-PRT\tO' -p76905 -aS'completely\tcompletely\tRB\tB-ADVP\tO' -p76906 -aS'and\tand\tCC\tO\tO' -p76907 -aS'evaluation\tevaluation\tNN\tB-NP\tO' -p76908 -aS'of\tof\tIN\tB-PP\tO' -p76909 -aS'the\tthe\tDT\tB-NP\tO' -p76910 -aS'derma\tderma\tNN\tI-NP\tO' -p76911 -aS'graft\tgraft\tNN\tI-NP\tO' -p76912 -aS'was\tbe\tVBD\tB-VP\tO' -p76913 -aS'made\tmake\tVBN\tI-VP\tO' -p76914 -aS'.\t.\t.\tO\tO' -p76915 -asS'She was therefore transferred to the Retelk County Medical Center for further care .' -p76916 -(lp76917 -S'She\tShe\tPRP\tB-NP\tO' -p76918 -aS'was\tbe\tVBD\tB-VP\tO' -p76919 -aS'therefore\ttherefore\tRB\tI-VP\tO' -p76920 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p76921 -aS'to\tto\tTO\tB-PP\tO' -p76922 -aS'the\tthe\tDT\tB-NP\tO' -p76923 -aS'Retelk\tRetelk\tNNP\tI-NP\tO' -p76924 -aS'County\tCounty\tNNP\tI-NP\tO' -p76925 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p76926 -aS'Center\tCenter\tNNP\tI-NP\tO' -p76927 -aS'for\tfor\tIN\tB-PP\tO' -p76928 -aS'further\tfurther\tJJ\tB-NP\tO' -p76929 -aS'care\tcare\tNN\tI-NP\tO' -p76930 -aS'.\t.\t.\tO\tO' -p76931 -asS'This is a 64-year-old female with a history of hypertension , hypercholesterolemia , diabetes mellitus , and dilated cardiomyopathy ( with a transthoracic echocardiogram in 2016-01-13 showing an ejection fraction of 40% , posterior and inferior apical akinesis , and large left ventricular thrombus ).' -p76932 -(lp76933 -S'This\tThis\tDT\tB-NP\tO' -p76934 -aS'is\tbe\tVBZ\tB-VP\tO' -p76935 -aS'a\ta\tDT\tB-NP\tO' -p76936 -aS'64-year-old\t64-year-old\tJJ\tI-NP\tO' -p76937 -aS'female\tfemale\tNN\tI-NP\tO' -p76938 -aS'with\twith\tIN\tB-PP\tO' -p76939 -aS'a\ta\tDT\tB-NP\tO' -p76940 -aS'history\thistory\tNN\tI-NP\tO' -p76941 -aS'of\tof\tIN\tB-PP\tO' -p76942 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p76943 -aS',\t,\t,\tO\tO' -p76944 -aS'hypercholesterolemia\thypercholesterolemia\tNN\tB-NP\tO' -p76945 -aS',\t,\t,\tO\tO' -p76946 -aS'diabetes\tdiabetes\tNN\tB-NP\tO' -p76947 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p76948 -aS',\t,\t,\tO\tO' -p76949 -aS'and\tand\tCC\tO\tO' -p76950 -aS'dilated\tdilate\tVBN\tB-NP\tO' -p76951 -aS'cardiomyopathy\tcardiomyopathy\tNN\tI-NP\tO' -p76952 -aS'(\t(\t(\tO\tO' -p76953 -aS'with\twith\tIN\tB-PP\tO' -p76954 -aS'a\ta\tDT\tB-NP\tO' -p76955 -aS'transthoracic\ttransthoracic\tJJ\tI-NP\tO' -p76956 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p76957 -aS'in\tin\tIN\tB-PP\tO' -p76958 -aS'2016-01-13\t2016-01-13\tCD\tB-NP\tO' -p76959 -aS'showing\tshow\tVBG\tB-VP\tO' -p76960 -aS'an\tan\tDT\tB-NP\tO' -p76961 -aS'ejection\tejection\tNN\tI-NP\tO' -p76962 -aS'fraction\tfraction\tNN\tI-NP\tO' -p76963 -aS'of\tof\tIN\tB-PP\tO' -p76964 -aS'40%\t40%\tJJ\tB-NP\tO' -p76965 -aS',\t,\t,\tI-NP\tO' -p76966 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p76967 -aS'and\tand\tCC\tI-NP\tO' -p76968 -aS'inferior\tinferior\tJJ\tI-NP\tO' -p76969 -aS'apical\tapical\tJJ\tI-NP\tO' -p76970 -aS'akinesis\takinesis\tNN\tI-NP\tO' -p76971 -aS',\t,\t,\tO\tO' -p76972 -aS'and\tand\tCC\tO\tO' -p76973 -aS'large\tlarge\tJJ\tB-NP\tO' -p76974 -aS'left\tleft\tJJ\tI-NP\tO' -p76975 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p76976 -aS'thrombus\tthrombus\tNN\tI-NP\tO' -p76977 -aS').\t).\t.\tO\tO' -p76978 -asS'The patient lives with her husband and she has three children .' -p76979 -(lp76980 -S'The\tThe\tDT\tB-NP\tO' -p76981 -aS'patient\tpatient\tNN\tI-NP\tO' -p76982 -aS'lives\tlive\tVBZ\tB-VP\tO' -p76983 -aS'with\twith\tIN\tB-PP\tO' -p76984 -aS'her\ther\tPRP$\tB-NP\tO' -p76985 -aS'husband\thusband\tNN\tI-NP\tO' -p76986 -aS'and\tand\tCC\tO\tO' -p76987 -aS'she\tshe\tPRP\tB-NP\tO' -p76988 -aS'has\thave\tVBZ\tB-VP\tO' -p76989 -aS'three\tthree\tCD\tB-NP\tO' -p76990 -aS'children\tchild\tNNS\tI-NP\tO' -p76991 -aS'.\t.\t.\tO\tO' -p76992 -asS'Right parietal occipital temporal tumor .' -p76993 -(lp76994 -S'Right\tRight\tRB\tB-NP\tO' -p76995 -aS'parietal\tparietal\tJJ\tI-NP\tO' -p76996 -aS'occipital\toccipital\tNN\tI-NP\tO' -p76997 -aS'temporal\ttemporal\tJJ\tI-NP\tO' -p76998 -aS'tumor\ttumor\tNN\tI-NP\tO' -p76999 -aS'.\t.\t.\tO\tO' -p77000 -asS'She will have AH for support .' -p77001 -(lp77002 -S'She\tShe\tPRP\tB-NP\tO' -p77003 -aS'will\twill\tMD\tB-VP\tO' -p77004 -aS'have\thave\tVB\tI-VP\tO' -p77005 -aS'AH\tAH\tNN\tB-NP\tO' -p77006 -aS'for\tfor\tIN\tB-PP\tO' -p77007 -aS'support\tsupport\tNN\tB-NP\tO' -p77008 -aS'.\t.\t.\tO\tO' -p77009 -asS'1. Ascorbic Acid 500 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ) .' -p77010 -(lp77011 -S'1.\t1.\tLS\tB-NP\tO' -p77012 -aS'Ascorbic\tAscorbic\tNNP\tI-NP\tO' -p77013 -aS'Acid\tAcid\tNNP\tI-NP\tO' -p77014 -aS'500\t500\tCD\tI-NP\tO' -p77015 -aS'mg\tmg\tNN\tI-NP\tO' -p77016 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p77017 -aS'Sig\tSig\tNNP\tI-NP\tO' -p77018 -aS':\t:\t:\tO\tO' -p77019 -aS'One\tOne\tCD\tB-NP\tO' -p77020 -aS'(\t(\t(\tO\tO' -p77021 -aS'1\t1\tCD\tB-NP\tO' -p77022 -aS')\t)\t)\tO\tO' -p77023 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p77024 -aS'PO\tPO\tNN\tI-NP\tO' -p77025 -aS'BID\tBID\tNN\tI-NP\tO' -p77026 -aS'(\t(\t(\tO\tO' -p77027 -aS'2\t2\tCD\tB-NP\tO' -p77028 -aS'times\ttime\tNNS\tI-NP\tO' -p77029 -aS'a\ta\tDT\tB-NP\tO' -p77030 -aS'day\tday\tNN\tI-NP\tO' -p77031 -aS')\t)\t)\tO\tO' -p77032 -aS'.\t.\t.\tO\tO' -p77033 -asS'Pt had HIDA scan which was negative for obstruction , and CT was unremarkable .' -p77034 -(lp77035 -S'Pt\tPt\tNN\tB-NP\tO' -p77036 -aS'had\thave\tVBD\tB-VP\tO' -p77037 -aS'HIDA\tHIDA\tNN\tB-NP\tO' -p77038 -aS'scan\tscan\tNN\tI-NP\tO' -p77039 -aS'which\twhich\tWDT\tB-NP\tO' -p77040 -aS'was\tbe\tVBD\tB-VP\tO' -p77041 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p77042 -aS'for\tfor\tIN\tB-PP\tO' -p77043 -aS'obstruction\tobstruction\tNN\tB-NP\tO' -p77044 -aS',\t,\t,\tO\tO' -p77045 -aS'and\tand\tCC\tO\tO' -p77046 -aS'CT\tCT\tNN\tB-NP\tB-protein' -p77047 -aS'was\tbe\tVBD\tB-VP\tO' -p77048 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p77049 -aS'.\t.\t.\tO\tO' -p77050 -asS'Transferred to Mediplex Rehab Hospital for further work up .' -p77051 -(lp77052 -S'Transferred\tTransfer\tVBN\tB-VP\tO' -p77053 -aS'to\tto\tTO\tB-PP\tO' -p77054 -aS'Mediplex\tMediplex\tNNP\tB-NP\tO' -p77055 -aS'Rehab\tRehab\tNNP\tI-NP\tO' -p77056 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p77057 -aS'for\tfor\tIN\tB-PP\tO' -p77058 -aS'further\tfurther\tJJ\tB-NP\tO' -p77059 -aS'work\twork\tNN\tI-NP\tO' -p77060 -aS'up\tup\tRP\tB-PRT\tO' -p77061 -aS'.\t.\t.\tO\tO' -p77062 -asS'crackles at both bases , kyphotic , no costovertebral angle tenderness .' -p77063 -(lp77064 -S'crackles\tcrackle\tNNS\tB-NP\tO' -p77065 -aS'at\tat\tIN\tB-PP\tO' -p77066 -aS'both\tboth\tDT\tB-NP\tO' -p77067 -aS'bases\tbase\tNNS\tI-NP\tO' -p77068 -aS',\t,\t,\tO\tO' -p77069 -aS'kyphotic\tkyphotic\tJJ\tB-ADJP\tO' -p77070 -aS',\t,\t,\tO\tO' -p77071 -aS'no\tno\tDT\tB-NP\tO' -p77072 -aS'costovertebral\tcostovertebral\tJJ\tI-NP\tO' -p77073 -aS'angle\tangle\tNN\tI-NP\tO' -p77074 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p77075 -aS'.\t.\t.\tO\tO' -p77076 -asS'The procedure was performed by Dr. Streeter and assisted by Dr . .....................' -p77077 -(lp77078 -S'The\tThe\tDT\tB-NP\tO' -p77079 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p77080 -aS'was\tbe\tVBD\tB-VP\tO' -p77081 -aS'performed\tperform\tVBN\tI-VP\tO' -p77082 -aS'by\tby\tIN\tB-PP\tO' -p77083 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p77084 -aS'Streeter\tStreeter\tNNP\tI-NP\tO' -p77085 -aS'and\tand\tCC\tO\tO' -p77086 -aS'assisted\tassist\tVBN\tB-VP\tO' -p77087 -aS'by\tby\tIN\tB-PP\tO' -p77088 -aS'Dr\tDr\tNNP\tB-NP\tO' -p77089 -aS'.\t.\t.\tO\tO' -p77090 -aS'.....................\t.....................\t:\tO\tO' -p77091 -asS'A patent right internal mammary artery to the left anterior descending artery and diagonal was noted , and a patent saphenous vein graft to the posterior descending artery was present .' -p77092 -(lp77093 -S'A\tA\tDT\tB-NP\tO' -p77094 -aS'patent\tpatent\tNN\tI-NP\tO' -p77095 -aS'right\tright\tJJ\tI-NP\tO' -p77096 -aS'internal\tinternal\tJJ\tI-NP\tO' -p77097 -aS'mammary\tmammary\tJJ\tI-NP\tO' -p77098 -aS'artery\tartery\tNN\tI-NP\tO' -p77099 -aS'to\tto\tTO\tB-PP\tO' -p77100 -aS'the\tthe\tDT\tB-NP\tO' -p77101 -aS'left\tleft\tJJ\tI-NP\tO' -p77102 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p77103 -aS'descending\tdescend\tVBG\tI-NP\tO' -p77104 -aS'artery\tartery\tNN\tI-NP\tO' -p77105 -aS'and\tand\tCC\tI-NP\tO' -p77106 -aS'diagonal\tdiagonal\tNN\tI-NP\tO' -p77107 -aS'was\tbe\tVBD\tB-VP\tO' -p77108 -aS'noted\tnote\tVBN\tI-VP\tO' -p77109 -aS',\t,\t,\tO\tO' -p77110 -aS'and\tand\tCC\tO\tO' -p77111 -aS'a\ta\tDT\tB-NP\tO' -p77112 -aS'patent\tpatent\tNN\tI-NP\tO' -p77113 -aS'saphenous\tsaphenous\tJJ\tI-NP\tO' -p77114 -aS'vein\tvein\tNN\tI-NP\tO' -p77115 -aS'graft\tgraft\tNN\tI-NP\tO' -p77116 -aS'to\tto\tTO\tB-PP\tO' -p77117 -aS'the\tthe\tDT\tB-NP\tO' -p77118 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p77119 -aS'descending\tdescend\tVBG\tI-NP\tO' -p77120 -aS'artery\tartery\tNN\tI-NP\tO' -p77121 -aS'was\tbe\tVBD\tB-VP\tO' -p77122 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p77123 -aS'.\t.\t.\tO\tO' -p77124 -asS'Right lower extremity necrosing fascitis history of prostate cancer s/p TURP glaucoma' -p77125 -(lp77126 -S'Right\tRight\tRB\tB-NP\tO' -p77127 -aS'lower\tlow\tJJR\tI-NP\tO' -p77128 -aS'extremity\textremity\tNN\tI-NP\tO' -p77129 -aS'necrosing\tnecrose\tVBG\tB-VP\tO' -p77130 -aS'fascitis\tfascitis\tNN\tB-NP\tO' -p77131 -aS'history\thistory\tNN\tI-NP\tO' -p77132 -aS'of\tof\tIN\tB-PP\tO' -p77133 -aS'prostate\tprostate\tNN\tB-NP\tO' -p77134 -aS'cancer\tcancer\tNN\tI-NP\tO' -p77135 -aS's/p\ts/p\tNN\tI-NP\tO' -p77136 -aS'TURP\tTURP\tNN\tI-NP\tO' -p77137 -aS'glaucoma\tglaucoma\tNN\tI-NP\tO' -p77138 -asS'She was discharged to the PACU in stable condition .' -p77139 -(lp77140 -S'She\tShe\tPRP\tB-NP\tO' -p77141 -aS'was\tbe\tVBD\tB-VP\tO' -p77142 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p77143 -aS'to\tto\tTO\tB-PP\tO' -p77144 -aS'the\tthe\tDT\tB-NP\tO' -p77145 -aS'PACU\tPACU\tNN\tI-NP\tB-DNA' -p77146 -aS'in\tin\tIN\tB-PP\tO' -p77147 -aS'stable\tstable\tJJ\tB-NP\tO' -p77148 -aS'condition\tcondition\tNN\tI-NP\tO' -p77149 -aS'.\t.\t.\tO\tO' -p77150 -asS'Increased flow again .' -p77151 -(lp77152 -S'Increased\tIncrease\tVBN\tB-NP\tO' -p77153 -aS'flow\tflow\tNN\tI-NP\tO' -p77154 -aS'again\tagain\tRB\tB-ADVP\tO' -p77155 -aS'.\t.\t.\tO\tO' -p77156 -asS'14. Epogen 40,000 unit / mL Solution Sig : One ( 1 ) ml Injection once a week .' -p77157 -(lp77158 -S'14.\t14.\tLS\tB-NP\tO' -p77159 -aS'Epogen\tEpogen\tNN\tI-NP\tB-protein' -p77160 -aS'40,000\t40,000\tCD\tI-NP\tI-protein' -p77161 -aS'unit\tunit\tNN\tI-NP\tI-protein' -p77162 -aS'/\t/\tSYM\tB-NP\tO' -p77163 -aS'mL\tmL\tNN\tI-NP\tO' -p77164 -aS'Solution\tSolution\tNNP\tI-NP\tO' -p77165 -aS'Sig\tSig\tNNP\tI-NP\tO' -p77166 -aS':\t:\t:\tO\tO' -p77167 -aS'One\tOne\tCD\tB-NP\tO' -p77168 -aS'(\t(\t(\tO\tO' -p77169 -aS'1\t1\tCD\tB-NP\tO' -p77170 -aS')\t)\t)\tO\tO' -p77171 -aS'ml\tml\tNN\tB-NP\tO' -p77172 -aS'Injection\tInjection\tNN\tI-NP\tO' -p77173 -aS'once\tonce\tRB\tO\tO' -p77174 -aS'a\ta\tDT\tB-NP\tO' -p77175 -aS'week\tweek\tNN\tI-NP\tO' -p77176 -aS'.\t.\t.\tO\tO' -p77177 -asS'She did receive intravenous K-Phos for a low phosphorous of 1.5 .' -p77178 -(lp77179 -S'She\tShe\tPRP\tB-NP\tO' -p77180 -aS'did\tdo\tVBD\tB-VP\tO' -p77181 -aS'receive\treceive\tVB\tI-VP\tO' -p77182 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p77183 -aS'K-Phos\tK-Phos\tNNP\tI-NP\tO' -p77184 -aS'for\tfor\tIN\tB-PP\tO' -p77185 -aS'a\ta\tDT\tB-NP\tO' -p77186 -aS'low\tlow\tJJ\tI-NP\tO' -p77187 -aS'phosphorous\tphosphorous\tNN\tI-NP\tO' -p77188 -aS'of\tof\tIN\tB-PP\tO' -p77189 -aS'1.5\t1.5\tCD\tB-NP\tO' -p77190 -aS'.\t.\t.\tO\tO' -p77191 -asS'SENSORY : Hearing screen has not yet been performed but should be done prior to discharge .' -p77192 -(lp77193 -S'SENSORY\tSENSORY\tNN\tB-NP\tO' -p77194 -aS':\t:\t:\tO\tO' -p77195 -aS'Hearing\tHear\tVBG\tB-VP\tO' -p77196 -aS'screen\tscreen\tNN\tB-NP\tO' -p77197 -aS'has\thave\tVBZ\tB-VP\tO' -p77198 -aS'not\tnot\tRB\tI-VP\tO' -p77199 -aS'yet\tyet\tRB\tI-VP\tO' -p77200 -aS'been\tbe\tVBN\tI-VP\tO' -p77201 -aS'performed\tperform\tVBN\tI-VP\tO' -p77202 -aS'but\tbut\tCC\tO\tO' -p77203 -aS'should\tshould\tMD\tB-VP\tO' -p77204 -aS'be\tbe\tVB\tI-VP\tO' -p77205 -aS'done\tdo\tVBN\tI-VP\tO' -p77206 -aS'prior\tprior\tRB\tB-ADVP\tO' -p77207 -aS'to\tto\tTO\tB-VP\tO' -p77208 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p77209 -aS'.\t.\t.\tO\tO' -p77210 -asS'Raymond required some intermittent blow-by oxygen for the first two hours of birth .' -p77211 -(lp77212 -S'Raymond\tRaymond\tNN\tB-NP\tO' -p77213 -aS'required\trequire\tVBD\tB-VP\tO' -p77214 -aS'some\tsome\tDT\tB-NP\tO' -p77215 -aS'intermittent\tintermittent\tJJ\tI-NP\tO' -p77216 -aS'blow-by\tblow-by\tJJ\tI-NP\tO' -p77217 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p77218 -aS'for\tfor\tIN\tB-PP\tO' -p77219 -aS'the\tthe\tDT\tB-NP\tO' -p77220 -aS'first\tfirst\tJJ\tI-NP\tO' -p77221 -aS'two\ttwo\tCD\tI-NP\tO' -p77222 -aS'hours\thour\tNNS\tI-NP\tO' -p77223 -aS'of\tof\tIN\tB-PP\tO' -p77224 -aS'birth\tbirth\tNN\tB-NP\tO' -p77225 -aS'.\t.\t.\tO\tO' -p77226 -asS'A lumbar puncture was obtained which showed normal pressure and no cells .' -p77227 -(lp77228 -S'A\tA\tDT\tB-NP\tO' -p77229 -aS'lumbar\tlumbar\tNN\tI-NP\tO' -p77230 -aS'puncture\tpuncture\tNN\tI-NP\tO' -p77231 -aS'was\tbe\tVBD\tB-VP\tO' -p77232 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p77233 -aS'which\twhich\tWDT\tB-NP\tO' -p77234 -aS'showed\tshow\tVBD\tB-VP\tO' -p77235 -aS'normal\tnormal\tJJ\tB-NP\tO' -p77236 -aS'pressure\tpressure\tNN\tI-NP\tO' -p77237 -aS'and\tand\tCC\tO\tO' -p77238 -aS'no\tno\tDT\tB-NP\tO' -p77239 -aS'cells\tcell\tNNS\tI-NP\tO' -p77240 -aS'.\t.\t.\tO\tO' -p77241 -asS'2016-09-30 non-ST-elevation myocardial infarction , 100% RCA , three stents , 50% mid LAD .' -p77242 -(lp77243 -S'2016-09-30\t2016-09-30\tCD\tB-NP\tO' -p77244 -aS'non-ST-elevation\tnon-ST-elevation\tJJ\tI-NP\tO' -p77245 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p77246 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p77247 -aS',\t,\t,\tO\tO' -p77248 -aS'100%\t100%\tCD\tB-NP\tO' -p77249 -aS'RCA\tRCA\tNNP\tI-NP\tO' -p77250 -aS',\t,\t,\tO\tO' -p77251 -aS'three\tthree\tCD\tB-NP\tO' -p77252 -aS'stents\tstent\tNNS\tI-NP\tO' -p77253 -aS',\t,\t,\tO\tO' -p77254 -aS'50%\t50%\tCD\tB-NP\tO' -p77255 -aS'mid\tmid\tJJ\tI-NP\tO' -p77256 -aS'LAD\tLAD\tNN\tI-NP\tO' -p77257 -aS'.\t.\t.\tO\tO' -p77258 -asS'No left ventricular thrombus is seen .' -p77259 -(lp77260 -S'No\tNo\tDT\tB-NP\tO' -p77261 -aS'left\tleft\tJJ\tI-NP\tO' -p77262 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p77263 -aS'thrombus\tthrombus\tNN\tI-NP\tO' -p77264 -aS'is\tbe\tVBZ\tB-VP\tO' -p77265 -aS'seen\tsee\tVBN\tI-VP\tO' -p77266 -aS'.\t.\t.\tO\tO' -p77267 -asS'The patient is completely pacer-dependent , being epicardially paced at 70 .' -p77268 -(lp77269 -S'The\tThe\tDT\tB-NP\tO' -p77270 -aS'patient\tpatient\tNN\tI-NP\tO' -p77271 -aS'is\tbe\tVBZ\tB-VP\tO' -p77272 -aS'completely\tcompletely\tRB\tB-ADJP\tO' -p77273 -aS'pacer-dependent\tpacer-dependent\tJJ\tI-ADJP\tO' -p77274 -aS',\t,\t,\tO\tO' -p77275 -aS'being\tbe\tVBG\tB-VP\tO' -p77276 -aS'epicardially\tepicardially\tRB\tI-VP\tO' -p77277 -aS'paced\tpace\tVBN\tI-VP\tO' -p77278 -aS'at\tat\tIN\tB-PP\tO' -p77279 -aS'70\t70\tCD\tB-NP\tO' -p77280 -aS'.\t.\t.\tO\tO' -p77281 -asS'She complained of a sore throat which was likely the etiology of her atypical chest complaints .' -p77282 -(lp77283 -S'She\tShe\tPRP\tB-NP\tO' -p77284 -aS'complained\tcomplain\tVBD\tB-VP\tO' -p77285 -aS'of\tof\tIN\tB-PP\tO' -p77286 -aS'a\ta\tDT\tB-NP\tO' -p77287 -aS'sore\tsore\tJJ\tI-NP\tO' -p77288 -aS'throat\tthroat\tNN\tI-NP\tO' -p77289 -aS'which\twhich\tWDT\tB-NP\tO' -p77290 -aS'was\tbe\tVBD\tB-VP\tO' -p77291 -aS'likely\tlikely\tRB\tB-ADJP\tO' -p77292 -aS'the\tthe\tDT\tB-NP\tO' -p77293 -aS'etiology\tetiology\tNN\tI-NP\tO' -p77294 -aS'of\tof\tIN\tB-PP\tO' -p77295 -aS'her\ther\tPRP$\tB-NP\tO' -p77296 -aS'atypical\tatypical\tJJ\tI-NP\tO' -p77297 -aS'chest\tchest\tNN\tI-NP\tO' -p77298 -aS'complaints\tcomplaint\tNNS\tI-NP\tO' -p77299 -aS'.\t.\t.\tO\tO' -p77300 -asS'4. Humalog and Regular insulin subcutaneously .' -p77301 -(lp77302 -S'4.\t4.\tLS\tB-NP\tO' -p77303 -aS'Humalog\tHumalog\tNN\tI-NP\tO' -p77304 -aS'and\tand\tCC\tO\tO' -p77305 -aS'Regular\tRegular\tJJ\tB-NP\tB-protein' -p77306 -aS'insulin\tinsulin\tNN\tI-NP\tI-protein' -p77307 -aS'subcutaneously\tsubcutaneously\tRB\tB-ADVP\tO' -p77308 -aS'.\t.\t.\tO\tO' -p77309 -asS"The patient 's wife was notified ." -p77310 -(lp77311 -S'The\tThe\tDT\tB-NP\tO' -p77312 -aS'patient\tpatient\tNN\tI-NP\tO' -p77313 -aS"'s\t's\tPOS\tB-NP\tO" -p77314 -aS'wife\twife\tNN\tI-NP\tO' -p77315 -aS'was\tbe\tVBD\tB-VP\tO' -p77316 -aS'notified\tnotify\tVBN\tI-VP\tO' -p77317 -aS'.\t.\t.\tO\tO' -p77318 -asS'1. 7-cm diameter right neck mass , with direct invasion of the subglottic , cervical and proximal thoracic trachea .' -p77319 -(lp77320 -S'1.\t1.\tLS\tB-NP\tO' -p77321 -aS'7-cm\t7-cm\tNN\tI-NP\tO' -p77322 -aS'diameter\tdiameter\tNN\tI-NP\tO' -p77323 -aS'right\tright\tJJ\tI-NP\tO' -p77324 -aS'neck\tneck\tNN\tI-NP\tO' -p77325 -aS'mass\tmass\tNN\tI-NP\tO' -p77326 -aS',\t,\t,\tO\tO' -p77327 -aS'with\twith\tIN\tB-PP\tO' -p77328 -aS'direct\tdirect\tJJ\tB-NP\tO' -p77329 -aS'invasion\tinvasion\tNN\tI-NP\tO' -p77330 -aS'of\tof\tIN\tB-PP\tO' -p77331 -aS'the\tthe\tDT\tB-NP\tO' -p77332 -aS'subglottic\tsubglottic\tJJ\tI-NP\tO' -p77333 -aS',\t,\t,\tI-NP\tO' -p77334 -aS'cervical\tcervical\tJJ\tI-NP\tO' -p77335 -aS'and\tand\tCC\tI-NP\tO' -p77336 -aS'proximal\tproximal\tJJ\tI-NP\tO' -p77337 -aS'thoracic\tthoracic\tJJ\tI-NP\tO' -p77338 -aS'trachea\ttrachea\tNN\tI-NP\tO' -p77339 -aS'.\t.\t.\tO\tO' -p77340 -asS'The infant has had two spontaneous desaturations which quickly self-resolved on day of life one .' -p77341 -(lp77342 -S'The\tThe\tDT\tB-NP\tO' -p77343 -aS'infant\tinfant\tNN\tI-NP\tO' -p77344 -aS'has\thave\tVBZ\tB-VP\tO' -p77345 -aS'had\thave\tVBD\tI-VP\tO' -p77346 -aS'two\ttwo\tCD\tB-NP\tO' -p77347 -aS'spontaneous\tspontaneous\tJJ\tI-NP\tO' -p77348 -aS'desaturations\tdesaturation\tNNS\tI-NP\tO' -p77349 -aS'which\twhich\tWDT\tB-NP\tO' -p77350 -aS'quickly\tquickly\tRB\tB-ADVP\tO' -p77351 -aS'self-resolved\tself-resolve\tVBD\tB-VP\tO' -p77352 -aS'on\ton\tIN\tB-PP\tO' -p77353 -aS'day\tday\tNN\tB-NP\tO' -p77354 -aS'of\tof\tIN\tB-PP\tO' -p77355 -aS'life\tlife\tNN\tB-NP\tO' -p77356 -aS'one\tone\tCD\tI-NP\tO' -p77357 -aS'.\t.\t.\tO\tO' -p77358 -asS'When she was taking clear liquids , her pain medication was switched to p.o. pain regimen with good affect .' -p77359 -(lp77360 -S'When\tWhen\tWRB\tB-ADVP\tO' -p77361 -aS'she\tshe\tPRP\tB-NP\tO' -p77362 -aS'was\tbe\tVBD\tB-VP\tO' -p77363 -aS'taking\ttake\tVBG\tI-VP\tO' -p77364 -aS'clear\tclear\tJJ\tB-NP\tO' -p77365 -aS'liquids\tliquid\tNNS\tI-NP\tO' -p77366 -aS',\t,\t,\tO\tO' -p77367 -aS'her\ther\tPRP$\tB-NP\tO' -p77368 -aS'pain\tpain\tNN\tI-NP\tO' -p77369 -aS'medication\tmedication\tNN\tI-NP\tO' -p77370 -aS'was\tbe\tVBD\tB-VP\tO' -p77371 -aS'switched\tswitch\tVBN\tI-VP\tO' -p77372 -aS'to\tto\tTO\tI-VP\tO' -p77373 -aS'p.o.\tp.o.\tVB\tI-VP\tO' -p77374 -aS'pain\tpain\tNN\tB-NP\tO' -p77375 -aS'regimen\tregimen\tNN\tI-NP\tO' -p77376 -aS'with\twith\tIN\tB-PP\tO' -p77377 -aS'good\tgood\tJJ\tB-NP\tO' -p77378 -aS'affect\taffect\tNN\tI-NP\tO' -p77379 -aS'.\t.\t.\tO\tO' -p77380 -asS'Pulmonary clear to auscultation anteriorly .' -p77381 -(lp77382 -S'Pulmonary\tPulmonary\tJJ\tB-NP\tO' -p77383 -aS'clear\tclear\tJJ\tI-NP\tO' -p77384 -aS'to\tto\tTO\tB-PP\tO' -p77385 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p77386 -aS'anteriorly\tanteriorly\tRB\tB-ADVP\tO' -p77387 -aS'.\t.\t.\tO\tO' -p77388 -asS'He was continued on a proton pump inhibitor and on iron sulfate and vitamin C .' -p77389 -(lp77390 -S'He\tHe\tPRP\tB-NP\tO' -p77391 -aS'was\tbe\tVBD\tB-VP\tO' -p77392 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p77393 -aS'on\ton\tIN\tB-PP\tO' -p77394 -aS'a\ta\tDT\tB-NP\tO' -p77395 -aS'proton\tproton\tNN\tI-NP\tO' -p77396 -aS'pump\tpump\tNN\tI-NP\tO' -p77397 -aS'inhibitor\tinhibitor\tNN\tI-NP\tO' -p77398 -aS'and\tand\tCC\tB-PP\tO' -p77399 -aS'on\ton\tIN\tB-PP\tO' -p77400 -aS'iron\tiron\tNN\tB-NP\tO' -p77401 -aS'sulfate\tsulfate\tNN\tI-NP\tO' -p77402 -aS'and\tand\tCC\tO\tO' -p77403 -aS'vitamin\tvitamin\tNN\tB-NP\tO' -p77404 -aS'C\tC\tNN\tI-NP\tO' -p77405 -aS'.\t.\t.\tO\tO' -p77406 -asS'Atrial fibrillation , occasional V-paced , rate 74 .' -p77407 -(lp77408 -S'Atrial\tAtrial\tJJ\tB-NP\tO' -p77409 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p77410 -aS',\t,\t,\tO\tO' -p77411 -aS'occasional\toccasional\tJJ\tB-NP\tO' -p77412 -aS'V-paced\tV-paced\tJJ\tI-NP\tO' -p77413 -aS',\t,\t,\tI-NP\tO' -p77414 -aS'rate\trate\tNN\tI-NP\tO' -p77415 -aS'74\t74\tCD\tI-NP\tO' -p77416 -aS'.\t.\t.\tO\tO' -p77417 -asS'Head CT negative .' -p77418 -(lp77419 -S'Head\tHead\tJJ\tB-NP\tO' -p77420 -aS'CT\tCT\tNN\tI-NP\tO' -p77421 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p77422 -aS'.\t.\t.\tO\tO' -p77423 -asS'CN - Pupil 3 to 2 mm reactive bilaterally .' -p77424 -(lp77425 -S'CN\tCN\tNN\tB-NP\tB-protein' -p77426 -aS'-\t-\tHYPH\tO\tO' -p77427 -aS'Pupil\tPupil\tNN\tB-NP\tB-protein' -p77428 -aS'3\t3\tCD\tI-NP\tI-protein' -p77429 -aS'to\tto\tTO\tI-NP\tO' -p77430 -aS'2\t2\tCD\tI-NP\tO' -p77431 -aS'mm\tmm\tNN\tI-NP\tO' -p77432 -aS'reactive\treactive\tJJ\tB-ADJP\tO' -p77433 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p77434 -aS'.\t.\t.\tO\tO' -p77435 -asS'SON RHALT , SUBINTERN .' -p77436 -(lp77437 -S'SON\tSON\tNNP\tB-NP\tO' -p77438 -aS'RHALT\tRHALT\tNNP\tI-NP\tO' -p77439 -aS',\t,\t,\tO\tO' -p77440 -aS'SUBINTERN\tSUBINTERN\tNNP\tB-NP\tO' -p77441 -aS'.\t.\t.\tO\tO' -p77442 -asS'The patient was admitted and underwent celiac and superior mesenteric artery angiography which demonstrated a patent celiac and superior mesenteric artery with normal branching pattern .' -p77443 -(lp77444 -S'The\tThe\tDT\tB-NP\tO' -p77445 -aS'patient\tpatient\tNN\tI-NP\tO' -p77446 -aS'was\tbe\tVBD\tB-VP\tO' -p77447 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p77448 -aS'and\tand\tCC\tO\tO' -p77449 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p77450 -aS'celiac\tceliac\tJJ\tB-NP\tO' -p77451 -aS'and\tand\tCC\tI-NP\tO' -p77452 -aS'superior\tsuperior\tJJ\tI-NP\tO' -p77453 -aS'mesenteric\tmesenteric\tJJ\tI-NP\tO' -p77454 -aS'artery\tartery\tNN\tI-NP\tO' -p77455 -aS'angiography\tangiography\tNN\tI-NP\tO' -p77456 -aS'which\twhich\tWDT\tB-NP\tO' -p77457 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p77458 -aS'a\ta\tDT\tB-NP\tO' -p77459 -aS'patent\tpatent\tNN\tI-NP\tO' -p77460 -aS'celiac\tceliac\tNN\tI-NP\tO' -p77461 -aS'and\tand\tCC\tO\tO' -p77462 -aS'superior\tsuperior\tJJ\tB-NP\tO' -p77463 -aS'mesenteric\tmesenteric\tJJ\tI-NP\tO' -p77464 -aS'artery\tartery\tNN\tI-NP\tO' -p77465 -aS'with\twith\tIN\tB-PP\tO' -p77466 -aS'normal\tnormal\tJJ\tB-NP\tO' -p77467 -aS'branching\tbranching\tNN\tI-NP\tO' -p77468 -aS'pattern\tpattern\tNN\tI-NP\tO' -p77469 -aS'.\t.\t.\tO\tO' -p77470 -asS'He has a remote tobacco history and reports occasional alcohol use .' -p77471 -(lp77472 -S'He\tHe\tPRP\tB-NP\tO' -p77473 -aS'has\thave\tVBZ\tB-VP\tO' -p77474 -aS'a\ta\tDT\tB-NP\tO' -p77475 -aS'remote\tremote\tJJ\tI-NP\tO' -p77476 -aS'tobacco\ttobacco\tNN\tI-NP\tO' -p77477 -aS'history\thistory\tNN\tI-NP\tO' -p77478 -aS'and\tand\tCC\tO\tO' -p77479 -aS'reports\treport\tVBZ\tB-VP\tO' -p77480 -aS'occasional\toccasional\tJJ\tB-NP\tO' -p77481 -aS'alcohol\talcohol\tNN\tI-NP\tO' -p77482 -aS'use\tuse\tNN\tI-NP\tO' -p77483 -aS'.\t.\t.\tO\tO' -p77484 -asS'Bone marrow biopsy was not attempted .' -p77485 -(lp77486 -S'Bone\tBone\tNN\tB-NP\tO' -p77487 -aS'marrow\tmarrow\tNN\tI-NP\tO' -p77488 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p77489 -aS'was\tbe\tVBD\tB-VP\tO' -p77490 -aS'not\tnot\tRB\tI-VP\tO' -p77491 -aS'attempted\tattempt\tVBN\tI-VP\tO' -p77492 -aS'.\t.\t.\tO\tO' -p77493 -asS'Appointment to be scheduled by mom .' -p77494 -(lp77495 -S'Appointment\tAppointment\tNN\tB-NP\tO' -p77496 -aS'to\tto\tTO\tB-VP\tO' -p77497 -aS'be\tbe\tVB\tI-VP\tO' -p77498 -aS'scheduled\tschedule\tVBN\tI-VP\tO' -p77499 -aS'by\tby\tIN\tB-PP\tO' -p77500 -aS'mom\tmom\tNN\tB-NP\tO' -p77501 -aS'.\t.\t.\tO\tO' -p77502 -asS'She was discharged from there on Coumadin therapy .' -p77503 -(lp77504 -S'She\tShe\tPRP\tB-NP\tO' -p77505 -aS'was\tbe\tVBD\tB-VP\tO' -p77506 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p77507 -aS'from\tfrom\tIN\tB-PP\tO' -p77508 -aS'there\tthere\tRB\tB-NP\tO' -p77509 -aS'on\ton\tIN\tB-PP\tO' -p77510 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p77511 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p77512 -aS'.\t.\t.\tO\tO' -p77513 -asS'Do not drive for 4 weeks .' -p77514 -(lp77515 -S'Do\tDo\tVBP\tB-VP\tO' -p77516 -aS'not\tnot\tRB\tI-VP\tO' -p77517 -aS'drive\tdrive\tVB\tI-VP\tO' -p77518 -aS'for\tfor\tIN\tB-PP\tO' -p77519 -aS'4\t4\tCD\tB-NP\tO' -p77520 -aS'weeks\tweek\tNNS\tI-NP\tO' -p77521 -aS'.\t.\t.\tO\tO' -p77522 -asS'7. No vegetation / mass is seen on the pulmonic valve .' -p77523 -(lp77524 -S'7.\t7.\tLS\tB-LST\tO' -p77525 -aS'No\tNo\tDT\tB-NP\tO' -p77526 -aS'vegetation\tvegetation\tNN\tI-NP\tO' -p77527 -aS'/\t/\tSYM\tB-NP\tO' -p77528 -aS'mass\tmass\tNN\tI-NP\tO' -p77529 -aS'is\tbe\tVBZ\tB-VP\tO' -p77530 -aS'seen\tsee\tVBN\tI-VP\tO' -p77531 -aS'on\ton\tIN\tB-PP\tO' -p77532 -aS'the\tthe\tDT\tB-NP\tO' -p77533 -aS'pulmonic\tpulmonic\tJJ\tI-NP\tO' -p77534 -aS'valve\tvalve\tNN\tI-NP\tO' -p77535 -aS'.\t.\t.\tO\tO' -p77536 -asS'She started on iron and vitamin E supplements on day of life 25 and continues on that at this time of transfer .' -p77537 -(lp77538 -S'She\tShe\tPRP\tB-NP\tO' -p77539 -aS'started\tstart\tVBD\tB-VP\tO' -p77540 -aS'on\ton\tIN\tB-PP\tO' -p77541 -aS'iron\tiron\tNN\tB-NP\tO' -p77542 -aS'and\tand\tCC\tI-NP\tO' -p77543 -aS'vitamin\tvitamin\tNN\tI-NP\tO' -p77544 -aS'E\tE\tNN\tI-NP\tO' -p77545 -aS'supplements\tsupplement\tNNS\tI-NP\tO' -p77546 -aS'on\ton\tIN\tB-PP\tO' -p77547 -aS'day\tday\tNN\tB-NP\tO' -p77548 -aS'of\tof\tIN\tB-PP\tO' -p77549 -aS'life\tlife\tNN\tB-NP\tO' -p77550 -aS'25\t25\tCD\tI-NP\tO' -p77551 -aS'and\tand\tCC\tO\tO' -p77552 -aS'continues\tcontinue\tVBZ\tB-VP\tO' -p77553 -aS'on\ton\tIN\tB-PP\tO' -p77554 -aS'that\tthat\tDT\tB-NP\tO' -p77555 -aS'at\tat\tIN\tB-PP\tO' -p77556 -aS'this\tthis\tDT\tB-NP\tO' -p77557 -aS'time\ttime\tNN\tI-NP\tO' -p77558 -aS'of\tof\tIN\tB-PP\tO' -p77559 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p77560 -aS'.\t.\t.\tO\tO' -p77561 -asS'The patient is an 87-year-old male with stage D prostate was cancer , was admitted for fluid hydration on the 10th of March .' -p77562 -(lp77563 -S'The\tThe\tDT\tB-NP\tO' -p77564 -aS'patient\tpatient\tNN\tI-NP\tO' -p77565 -aS'is\tbe\tVBZ\tB-VP\tO' -p77566 -aS'an\tan\tDT\tB-NP\tO' -p77567 -aS'87-year-old\t87-year-old\tJJ\tI-NP\tO' -p77568 -aS'male\tmale\tNN\tI-NP\tO' -p77569 -aS'with\twith\tIN\tB-PP\tO' -p77570 -aS'stage\tstage\tNN\tB-NP\tO' -p77571 -aS'D\tD\tNN\tI-NP\tO' -p77572 -aS'prostate\tprostate\tNN\tI-NP\tO' -p77573 -aS'was\tbe\tVBD\tB-VP\tO' -p77574 -aS'cancer\tcancer\tNN\tB-NP\tO' -p77575 -aS',\t,\t,\tO\tO' -p77576 -aS'was\tbe\tVBD\tB-VP\tO' -p77577 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p77578 -aS'for\tfor\tIN\tB-PP\tO' -p77579 -aS'fluid\tfluid\tNN\tB-NP\tO' -p77580 -aS'hydration\thydration\tNN\tI-NP\tO' -p77581 -aS'on\ton\tIN\tB-PP\tO' -p77582 -aS'the\tthe\tDT\tB-NP\tO' -p77583 -aS'10th\t10th\tCD\tI-NP\tO' -p77584 -aS'of\tof\tIN\tB-PP\tO' -p77585 -aS'March\tMarch\tNNP\tB-NP\tO' -p77586 -aS'.\t.\t.\tO\tO' -p77587 -asS'The patient has a 50 pack year history of tobacco and quit 10 years ago ; also , a history of ethanol abuse .' -p77588 -(lp77589 -S'The\tThe\tDT\tB-NP\tO' -p77590 -aS'patient\tpatient\tNN\tI-NP\tO' -p77591 -aS'has\thave\tVBZ\tB-VP\tO' -p77592 -aS'a\ta\tDT\tB-NP\tO' -p77593 -aS'50\t50\tCD\tI-NP\tO' -p77594 -aS'pack\tpack\tNN\tI-NP\tO' -p77595 -aS'year\tyear\tNN\tI-NP\tO' -p77596 -aS'history\thistory\tNN\tI-NP\tO' -p77597 -aS'of\tof\tIN\tB-PP\tO' -p77598 -aS'tobacco\ttobacco\tNN\tB-NP\tO' -p77599 -aS'and\tand\tCC\tO\tO' -p77600 -aS'quit\tquit\tVB\tB-VP\tO' -p77601 -aS'10\t10\tCD\tB-NP\tO' -p77602 -aS'years\tyear\tNNS\tI-NP\tO' -p77603 -aS'ago\tago\tRB\tB-ADVP\tO' -p77604 -aS';\t;\t:\tO\tO' -p77605 -aS'also\talso\tRB\tB-ADVP\tO' -p77606 -aS',\t,\t,\tO\tO' -p77607 -aS'a\ta\tDT\tB-NP\tO' -p77608 -aS'history\thistory\tNN\tI-NP\tO' -p77609 -aS'of\tof\tIN\tB-PP\tO' -p77610 -aS'ethanol\tethanol\tNN\tB-NP\tO' -p77611 -aS'abuse\tabuse\tNN\tI-NP\tO' -p77612 -aS'.\t.\t.\tO\tO' -p77613 -asS'Follow up as scheduled with Dr. Fyfechird .' -p77614 -(lp77615 -S'Follow\tFollow\tVB\tB-VP\tO' -p77616 -aS'up\tup\tRP\tB-PRT\tO' -p77617 -aS'as\tas\tIN\tB-SBAR\tO' -p77618 -aS'scheduled\tschedule\tVBN\tB-VP\tO' -p77619 -aS'with\twith\tIN\tB-PP\tO' -p77620 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p77621 -aS'Fyfechird\tFyfechird\tNNP\tI-NP\tO' -p77622 -aS'.\t.\t.\tO\tO' -p77623 -asS'Denies cough , shortness of breath , chest pain , nausea , vomiting , diarrhea , dysuria , neck stiffness , new skin lesions , worsening red petechiae , or increasing sinus symptoms .' -p77624 -(lp77625 -S'Denies\tDeny\tNNS\tB-NP\tO' -p77626 -aS'cough\tcough\tNN\tI-NP\tO' -p77627 -aS',\t,\t,\tO\tO' -p77628 -aS'shortness\tshortness\tNN\tB-NP\tO' -p77629 -aS'of\tof\tIN\tB-PP\tO' -p77630 -aS'breath\tbreath\tNN\tB-NP\tO' -p77631 -aS',\t,\t,\tO\tO' -p77632 -aS'chest\tchest\tNN\tB-NP\tO' -p77633 -aS'pain\tpain\tNN\tI-NP\tO' -p77634 -aS',\t,\t,\tO\tO' -p77635 -aS'nausea\tnausea\tNN\tB-NP\tO' -p77636 -aS',\t,\t,\tO\tO' -p77637 -aS'vomiting\tvomiting\tNN\tB-NP\tO' -p77638 -aS',\t,\t,\tO\tO' -p77639 -aS'diarrhea\tdiarrhea\tNN\tB-NP\tO' -p77640 -aS',\t,\t,\tO\tO' -p77641 -aS'dysuria\tdysuria\tNN\tB-NP\tO' -p77642 -aS',\t,\t,\tO\tO' -p77643 -aS'neck\tneck\tNN\tB-NP\tO' -p77644 -aS'stiffness\tstiffness\tNN\tI-NP\tO' -p77645 -aS',\t,\t,\tO\tO' -p77646 -aS'new\tnew\tJJ\tB-NP\tO' -p77647 -aS'skin\tskin\tNN\tI-NP\tO' -p77648 -aS'lesions\tlesion\tNNS\tI-NP\tO' -p77649 -aS',\t,\t,\tO\tO' -p77650 -aS'worsening\tworsen\tVBG\tB-VP\tO' -p77651 -aS'red\tred\tJJ\tB-NP\tO' -p77652 -aS'petechiae\tpetechiae\tNNS\tI-NP\tO' -p77653 -aS',\t,\t,\tO\tO' -p77654 -aS'or\tor\tCC\tO\tO' -p77655 -aS'increasing\tincrease\tVBG\tB-VP\tO' -p77656 -aS'sinus\tsinus\tNN\tB-NP\tO' -p77657 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p77658 -aS'.\t.\t.\tO\tO' -p77659 -asS'Signed electronically by : DR. Carlos Warner on : TUE 2011-09-27 3:42 PM' -p77660 -(lp77661 -S'Signed\tSign\tVBN\tB-VP\tO' -p77662 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p77663 -aS'by\tby\tIN\tB-PP\tO' -p77664 -aS':\t:\t:\tO\tO' -p77665 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p77666 -aS'Carlos\tCarlos\tNNP\tI-NP\tO' -p77667 -aS'Warner\tWarner\tNNP\tI-NP\tO' -p77668 -aS'on\ton\tIN\tB-PP\tO' -p77669 -aS':\t:\t:\tO\tO' -p77670 -aS'TUE\tTUE\tNN\tB-NP\tO' -p77671 -aS'2011-09-27\t2011-09-27\tCD\tI-NP\tO' -p77672 -aS'3:42\t3:42\tCD\tI-NP\tO' -p77673 -aS'PM\tPM\tNN\tI-NP\tO' -p77674 -asS'3. Zinc Sulfate 220 mg Capsule Sig : One ( 1 ) Capsule PO DAILY ( Daily ) .' -p77675 -(lp77676 -S'3.\t3.\tLS\tB-NP\tO' -p77677 -aS'Zinc\tZinc\tNN\tI-NP\tO' -p77678 -aS'Sulfate\tSulfate\tNN\tI-NP\tO' -p77679 -aS'220\t220\tCD\tI-NP\tO' -p77680 -aS'mg\tmg\tNN\tI-NP\tO' -p77681 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p77682 -aS'Sig\tSig\tNNP\tI-NP\tO' -p77683 -aS':\t:\t:\tO\tO' -p77684 -aS'One\tOne\tCD\tB-NP\tO' -p77685 -aS'(\t(\t(\tO\tO' -p77686 -aS'1\t1\tCD\tB-NP\tO' -p77687 -aS')\t)\t)\tO\tO' -p77688 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p77689 -aS'PO\tPO\tNNP\tI-NP\tO' -p77690 -aS'DAILY\tDAILY\tNNP\tI-NP\tO' -p77691 -aS'(\t(\t(\tO\tO' -p77692 -aS'Daily\tDaily\tNNP\tB-NP\tO' -p77693 -aS')\t)\t)\tO\tO' -p77694 -aS'.\t.\t.\tO\tO' -p77695 -asS'1. Atrial fibrillation secondary to hyperthyroidism , initially diagnosed in 2005 .' -p77696 -(lp77697 -S'1.\t1.\tLS\tB-NP\tO' -p77698 -aS'Atrial\tAtrial\tJJ\tI-NP\tO' -p77699 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p77700 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p77701 -aS'to\tto\tTO\tB-PP\tO' -p77702 -aS'hyperthyroidism\thyperthyroidism\tNN\tB-NP\tO' -p77703 -aS',\t,\t,\tO\tO' -p77704 -aS'initially\tinitially\tRB\tB-VP\tO' -p77705 -aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' -p77706 -aS'in\tin\tIN\tB-PP\tO' -p77707 -aS'2005\t2005\tCD\tB-NP\tO' -p77708 -aS'.\t.\t.\tO\tO' -p77709 -asS'EKG - technically poor tracing with what appears to be normal sinus rhythm with very small P waves , there are Q-waves in leads V1 and V2 , as well as in V3 .' -p77710 -(lp77711 -S'EKG\tEKG\tNN\tB-NP\tB-protein' -p77712 -aS'-\t-\tHYPH\tB-ADJP\tO' -p77713 -aS'technically\ttechnically\tRB\tB-NP\tO' -p77714 -aS'poor\tpoor\tJJ\tI-NP\tO' -p77715 -aS'tracing\ttracing\tNN\tI-NP\tO' -p77716 -aS'with\twith\tIN\tB-PP\tO' -p77717 -aS'what\twhat\tWP\tB-NP\tO' -p77718 -aS'appears\tappear\tVBZ\tB-VP\tO' -p77719 -aS'to\tto\tTO\tI-VP\tO' -p77720 -aS'be\tbe\tVB\tI-VP\tO' -p77721 -aS'normal\tnormal\tJJ\tB-NP\tO' -p77722 -aS'sinus\tsinus\tNN\tI-NP\tO' -p77723 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p77724 -aS'with\twith\tIN\tB-PP\tO' -p77725 -aS'very\tvery\tRB\tB-NP\tO' -p77726 -aS'small\tsmall\tJJ\tI-NP\tO' -p77727 -aS'P\tP\tNN\tI-NP\tO' -p77728 -aS'waves\twave\tNNS\tI-NP\tO' -p77729 -aS',\t,\t,\tO\tO' -p77730 -aS'there\tthere\tEX\tB-NP\tO' -p77731 -aS'are\tbe\tVBP\tB-VP\tO' -p77732 -aS'Q-waves\tQ-wave\tNNS\tB-NP\tO' -p77733 -aS'in\tin\tIN\tB-PP\tO' -p77734 -aS'leads\tlead\tNNS\tB-NP\tO' -p77735 -aS'V1\tV1\tNN\tI-NP\tO' -p77736 -aS'and\tand\tCC\tI-NP\tO' -p77737 -aS'V2\tV2\tNN\tI-NP\tB-protein' -p77738 -aS',\t,\t,\tO\tO' -p77739 -aS'as\tas\tRB\tB-CONJP\tO' -p77740 -aS'well\twell\tRB\tI-CONJP\tO' -p77741 -aS'as\tas\tIN\tI-CONJP\tO' -p77742 -aS'in\tin\tIN\tB-PP\tO' -p77743 -aS'V3\tV3\tNN\tB-NP\tO' -p77744 -aS'.\t.\t.\tO\tO' -p77745 -asS'6. Tylenol .' -p77746 -(lp77747 -S'6.\t6.\tLS\tB-NP\tO' -p77748 -aS'Tylenol\tTylenol\tNN\tI-NP\tO' -p77749 -aS'.\t.\t.\tO\tO' -p77750 -asS'7. Albuterol nebulizer solution one nebulizer q. four hours .' -p77751 -(lp77752 -S'7.\t7.\tLS\tB-NP\tO' -p77753 -aS'Albuterol\tAlbuterol\tNN\tI-NP\tO' -p77754 -aS'nebulizer\tnebulizer\tNN\tI-NP\tO' -p77755 -aS'solution\tsolution\tNN\tI-NP\tO' -p77756 -aS'one\tone\tCD\tB-NP\tO' -p77757 -aS'nebulizer\tnebulizer\tNN\tI-NP\tO' -p77758 -aS'q.\tq.\tNN\tI-NP\tO' -p77759 -aS'four\tfour\tCD\tB-NP\tO' -p77760 -aS'hours\thour\tNNS\tI-NP\tO' -p77761 -aS'.\t.\t.\tO\tO' -p77762 -asS'3 ) RENAL FAILURE REQUIRING CHRONIC DIALYSIS .' -p77763 -(lp77764 -S'3\t3\tLS\tB-LST\tO' -p77765 -aS')\t)\t)\tO\tO' -p77766 -aS'RENAL\tRENAL\tNN\tB-NP\tO' -p77767 -aS'FAILURE\tFAILURE\tNN\tI-NP\tO' -p77768 -aS'REQUIRING\tREQUIRING\tNN\tI-NP\tO' -p77769 -aS'CHRONIC\tCHRONIC\tNN\tI-NP\tO' -p77770 -aS'DIALYSIS\tDIALYSIS\tNN\tI-NP\tO' -p77771 -aS'.\t.\t.\tO\tO' -p77772 -asS'The lumbar drain was d/ced on 06-14 .' -p77773 -(lp77774 -S'The\tThe\tDT\tB-NP\tO' -p77775 -aS'lumbar\tlumbar\tNN\tI-NP\tO' -p77776 -aS'drain\tdrain\tNN\tI-NP\tO' -p77777 -aS'was\tbe\tVBD\tB-VP\tO' -p77778 -aS'd/ced\td/ce\tVBN\tI-VP\tO' -p77779 -aS'on\ton\tIN\tB-PP\tO' -p77780 -aS'06-14\t06-14\tCD\tB-NP\tO' -p77781 -aS'.\t.\t.\tO\tO' -p77782 -asS'2. Follow up with pediatrician at SCCHC on Tuesday 2018-05-15 .' -p77783 -(lp77784 -S'2.\t2.\tLS\tB-LST\tO' -p77785 -aS'Follow\tFollow\tNNP\tB-NP\tO' -p77786 -aS'up\tup\tRP\tB-PRT\tO' -p77787 -aS'with\twith\tIN\tB-PP\tO' -p77788 -aS'pediatrician\tpediatrician\tNN\tB-NP\tO' -p77789 -aS'at\tat\tIN\tB-PP\tO' -p77790 -aS'SCCHC\tSCCHC\tNN\tB-NP\tB-protein' -p77791 -aS'on\ton\tIN\tB-PP\tO' -p77792 -aS'Tuesday\tTuesday\tNNP\tB-NP\tO' -p77793 -aS'2018-05-15\t2018-05-15\tCD\tI-NP\tO' -p77794 -aS'.\t.\t.\tO\tO' -p77795 -asS'The patient quit smoking 30 years ago .' -p77796 -(lp77797 -S'The\tThe\tDT\tB-NP\tO' -p77798 -aS'patient\tpatient\tNN\tI-NP\tO' -p77799 -aS'quit\tquit\tVBD\tB-VP\tO' -p77800 -aS'smoking\tsmoke\tVBG\tI-VP\tO' -p77801 -aS'30\t30\tCD\tB-NP\tO' -p77802 -aS'years\tyear\tNNS\tI-NP\tO' -p77803 -aS'ago\tago\tRB\tB-ADVP\tO' -p77804 -aS'.\t.\t.\tO\tO' -p77805 -asS'His reflexes were brisk in his patellas bilaterally , and he had upgoing toes bilaterally .' -p77806 -(lp77807 -S'His\tHis\tPRP$\tB-NP\tO' -p77808 -aS'reflexes\treflex\tNNS\tI-NP\tO' -p77809 -aS'were\tbe\tVBD\tB-VP\tO' -p77810 -aS'brisk\tbrisk\tJJ\tB-ADJP\tO' -p77811 -aS'in\tin\tIN\tB-PP\tO' -p77812 -aS'his\this\tPRP$\tB-NP\tO' -p77813 -aS'patellas\tpatella\tNNS\tI-NP\tO' -p77814 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p77815 -aS',\t,\t,\tO\tO' -p77816 -aS'and\tand\tCC\tO\tO' -p77817 -aS'he\the\tPRP\tB-NP\tO' -p77818 -aS'had\thave\tVBD\tB-VP\tO' -p77819 -aS'upgoing\tupgoe\tVBG\tI-VP\tO' -p77820 -aS'toes\ttoe\tNNS\tB-NP\tO' -p77821 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p77822 -aS'.\t.\t.\tO\tO' -p77823 -asS'I have instructed him to see his PCP if it does not improve in a few days or if he develops fevers .' -p77824 -(lp77825 -S'I\tI\tPRP\tB-NP\tO' -p77826 -aS'have\thave\tVBP\tB-VP\tO' -p77827 -aS'instructed\tinstruct\tVBN\tI-VP\tO' -p77828 -aS'him\thim\tPRP\tB-NP\tO' -p77829 -aS'to\tto\tTO\tB-VP\tO' -p77830 -aS'see\tsee\tVB\tI-VP\tO' -p77831 -aS'his\this\tPRP$\tB-NP\tO' -p77832 -aS'PCP\tPCP\tNN\tI-NP\tB-protein' -p77833 -aS'if\tif\tIN\tB-SBAR\tO' -p77834 -aS'it\tit\tPRP\tB-NP\tO' -p77835 -aS'does\tdo\tVBZ\tB-VP\tO' -p77836 -aS'not\tnot\tRB\tI-VP\tO' -p77837 -aS'improve\timprove\tVB\tI-VP\tO' -p77838 -aS'in\tin\tIN\tB-PP\tO' -p77839 -aS'a\ta\tDT\tB-NP\tO' -p77840 -aS'few\tfew\tJJ\tI-NP\tO' -p77841 -aS'days\tday\tNNS\tI-NP\tO' -p77842 -aS'or\tor\tCC\tO\tO' -p77843 -aS'if\tif\tIN\tB-SBAR\tO' -p77844 -aS'he\the\tPRP\tB-NP\tO' -p77845 -aS'develops\tdevelop\tVBZ\tB-VP\tO' -p77846 -aS'fevers\tfever\tNNS\tB-NP\tO' -p77847 -aS'.\t.\t.\tO\tO' -p77848 -asS'A repeat head ultrasound is recommended in one month .' -p77849 -(lp77850 -S'A\tA\tDT\tB-NP\tO' -p77851 -aS'repeat\trepeat\tNN\tI-NP\tO' -p77852 -aS'head\thead\tNN\tI-NP\tO' -p77853 -aS'ultrasound\tultrasound\tNN\tI-NP\tO' -p77854 -aS'is\tbe\tVBZ\tB-VP\tO' -p77855 -aS'recommended\trecommend\tVBN\tI-VP\tO' -p77856 -aS'in\tin\tIN\tB-PP\tO' -p77857 -aS'one\tone\tCD\tB-NP\tO' -p77858 -aS'month\tmonth\tNN\tI-NP\tO' -p77859 -aS'.\t.\t.\tO\tO' -p77860 -asS'Anterior apex akinesis , inferior apex akinesis , and apex akinesis .' -p77861 -(lp77862 -S'Anterior\tAnterior\tJJ\tB-NP\tO' -p77863 -aS'apex\tapex\tNN\tI-NP\tO' -p77864 -aS'akinesis\takinesis\tNN\tI-NP\tO' -p77865 -aS',\t,\t,\tO\tO' -p77866 -aS'inferior\tinferior\tJJ\tB-NP\tO' -p77867 -aS'apex\tapex\tNN\tI-NP\tO' -p77868 -aS'akinesis\takinesis\tNN\tI-NP\tO' -p77869 -aS',\t,\t,\tO\tO' -p77870 -aS'and\tand\tCC\tO\tO' -p77871 -aS'apex\tapex\tNN\tB-NP\tO' -p77872 -aS'akinesis\takinesis\tNN\tI-NP\tO' -p77873 -aS'.\t.\t.\tO\tO' -p77874 -asS'She was continued on salmeterol and Flovent .' -p77875 -(lp77876 -S'She\tShe\tPRP\tB-NP\tO' -p77877 -aS'was\tbe\tVBD\tB-VP\tO' -p77878 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p77879 -aS'on\ton\tIN\tB-PP\tO' -p77880 -aS'salmeterol\tsalmeterol\tNN\tB-NP\tO' -p77881 -aS'and\tand\tCC\tI-NP\tO' -p77882 -aS'Flovent\tFlovent\tNN\tI-NP\tO' -p77883 -aS'.\t.\t.\tO\tO' -p77884 -asS'His B12 level was 418 and normal .' -p77885 -(lp77886 -S'His\tHis\tPRP$\tB-NP\tO' -p77887 -aS'B12\tB12\tNN\tI-NP\tB-protein' -p77888 -aS'level\tlevel\tNN\tI-NP\tO' -p77889 -aS'was\tbe\tVBD\tB-VP\tO' -p77890 -aS'418\t418\tCD\tB-NP\tO' -p77891 -aS'and\tand\tCC\tO\tO' -p77892 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p77893 -aS'.\t.\t.\tO\tO' -p77894 -asS'She noted increasing abdominal pain two days prior to admission , which became more severe on the day prior to admission .' -p77895 -(lp77896 -S'She\tShe\tPRP\tB-NP\tO' -p77897 -aS'noted\tnote\tVBD\tB-VP\tO' -p77898 -aS'increasing\tincrease\tVBG\tI-VP\tO' -p77899 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p77900 -aS'pain\tpain\tNN\tI-NP\tO' -p77901 -aS'two\ttwo\tCD\tB-NP\tO' -p77902 -aS'days\tday\tNNS\tI-NP\tO' -p77903 -aS'prior\tprior\tRB\tB-ADVP\tO' -p77904 -aS'to\tto\tTO\tB-PP\tO' -p77905 -aS'admission\tadmission\tNN\tB-NP\tO' -p77906 -aS',\t,\t,\tO\tO' -p77907 -aS'which\twhich\tWDT\tB-NP\tO' -p77908 -aS'became\tbecome\tVBD\tB-VP\tO' -p77909 -aS'more\tmore\tRBR\tB-ADJP\tO' -p77910 -aS'severe\tsevere\tJJ\tI-ADJP\tO' -p77911 -aS'on\ton\tIN\tB-PP\tO' -p77912 -aS'the\tthe\tDT\tB-NP\tO' -p77913 -aS'day\tday\tNN\tI-NP\tO' -p77914 -aS'prior\tprior\tRB\tB-ADVP\tO' -p77915 -aS'to\tto\tTO\tB-PP\tO' -p77916 -aS'admission\tadmission\tNN\tB-NP\tO' -p77917 -aS'.\t.\t.\tO\tO' -p77918 -asS'No intracranial hemorrhage or CT evidence of acute infarction .' -p77919 -(lp77920 -S'No\tNo\tDT\tB-NP\tO' -p77921 -aS'intracranial\tintracranial\tJJ\tI-NP\tO' -p77922 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p77923 -aS'or\tor\tCC\tI-NP\tO' -p77924 -aS'CT\tCT\tNN\tI-NP\tO' -p77925 -aS'evidence\tevidence\tNN\tI-NP\tO' -p77926 -aS'of\tof\tIN\tB-PP\tO' -p77927 -aS'acute\tacute\tJJ\tB-NP\tO' -p77928 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p77929 -aS'.\t.\t.\tO\tO' -p77930 -asS'She had a calcium of 10.3 , a phosphorus of 4.8 and alkaline phosphatase of 440 .' -p77931 -(lp77932 -S'She\tShe\tPRP\tB-NP\tO' -p77933 -aS'had\thave\tVBD\tB-VP\tO' -p77934 -aS'a\ta\tDT\tB-NP\tO' -p77935 -aS'calcium\tcalcium\tNN\tI-NP\tO' -p77936 -aS'of\tof\tIN\tB-PP\tO' -p77937 -aS'10.3\t10.3\tCD\tB-NP\tO' -p77938 -aS',\t,\t,\tO\tO' -p77939 -aS'a\ta\tDT\tB-NP\tO' -p77940 -aS'phosphorus\tphosphorus\tNN\tI-NP\tO' -p77941 -aS'of\tof\tIN\tB-PP\tO' -p77942 -aS'4.8\t4.8\tCD\tB-NP\tO' -p77943 -aS'and\tand\tCC\tO\tO' -p77944 -aS'alkaline\talkaline\tNN\tB-NP\tB-protein' -p77945 -aS'phosphatase\tphosphatase\tNN\tI-NP\tI-protein' -p77946 -aS'of\tof\tIN\tB-PP\tO' -p77947 -aS'440\t440\tCD\tB-NP\tO' -p77948 -aS'.\t.\t.\tO\tO' -p77949 -asS'The family reported one episode of vomiting at home .' -p77950 -(lp77951 -S'The\tThe\tDT\tB-NP\tO' -p77952 -aS'family\tfamily\tNN\tI-NP\tO' -p77953 -aS'reported\treport\tVBD\tB-VP\tO' -p77954 -aS'one\tone\tCD\tB-NP\tO' -p77955 -aS'episode\tepisode\tNN\tI-NP\tO' -p77956 -aS'of\tof\tIN\tB-PP\tO' -p77957 -aS'vomiting\tvomit\tVBG\tB-VP\tO' -p77958 -aS'at\tat\tIN\tB-PP\tO' -p77959 -aS'home\thome\tNN\tB-NP\tO' -p77960 -aS'.\t.\t.\tO\tO' -p77961 -asS'She did complain of a left frontal headache .' -p77962 -(lp77963 -S'She\tShe\tPRP\tB-NP\tO' -p77964 -aS'did\tdo\tVBD\tB-VP\tO' -p77965 -aS'complain\tcomplain\tNN\tB-NP\tO' -p77966 -aS'of\tof\tIN\tB-PP\tO' -p77967 -aS'a\ta\tDT\tB-NP\tO' -p77968 -aS'left\tleft\tJJ\tI-NP\tO' -p77969 -aS'frontal\tfrontal\tJJ\tI-NP\tO' -p77970 -aS'headache\theadache\tNN\tI-NP\tO' -p77971 -aS'.\t.\t.\tO\tO' -p77972 -asS'Please see your PCP in follow up .' -p77973 -(lp77974 -S'Please\tPlease\tVB\tB-VP\tO' -p77975 -aS'see\tsee\tVB\tI-VP\tO' -p77976 -aS'your\tyour\tPRP$\tB-NP\tO' -p77977 -aS'PCP\tPCP\tNN\tI-NP\tB-protein' -p77978 -aS'in\tin\tIN\tB-PP\tO' -p77979 -aS'follow\tfollow\tVB\tB-VP\tO' -p77980 -aS'up\tup\tIN\tB-PRT\tO' -p77981 -aS'.\t.\t.\tO\tO' -p77982 -asS'7. Colace 100 mg po bid' -p77983 -(lp77984 -S'7.\t7.\tCD\tB-NP\tO' -p77985 -aS'Colace\tColace\tNNP\tI-NP\tO' -p77986 -aS'100\t100\tCD\tI-NP\tO' -p77987 -aS'mg\tmg\tNN\tI-NP\tO' -p77988 -aS'po\tpo\tNN\tI-NP\tO' -p77989 -aS'bid\tbid\tNN\tI-NP\tO' -p77990 -asS'Within the past year , these symptoms have progressively gotten worse , to encompass also her feet .' -p77991 -(lp77992 -S'Within\tWithin\tIN\tB-PP\tO' -p77993 -aS'the\tthe\tDT\tB-NP\tO' -p77994 -aS'past\tpast\tJJ\tI-NP\tO' -p77995 -aS'year\tyear\tNN\tI-NP\tO' -p77996 -aS',\t,\t,\tO\tO' -p77997 -aS'these\tthese\tDT\tB-NP\tO' -p77998 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p77999 -aS'have\thave\tVBP\tB-VP\tO' -p78000 -aS'progressively\tprogressively\tRB\tI-VP\tO' -p78001 -aS'gotten\tget\tVBN\tI-VP\tO' -p78002 -aS'worse\tworse\tJJR\tB-ADJP\tO' -p78003 -aS',\t,\t,\tO\tO' -p78004 -aS'to\tto\tTO\tB-VP\tO' -p78005 -aS'encompass\tencompass\tVB\tI-VP\tO' -p78006 -aS'also\talso\tRB\tB-ADVP\tO' -p78007 -aS'her\ther\tPRP$\tB-NP\tO' -p78008 -aS'feet\tfoot\tNNS\tI-NP\tO' -p78009 -aS'.\t.\t.\tO\tO' -p78010 -asS'His nasogastric tube was discontinued and he was begun on clear liquids and subsequently advanced to a regular diet without difficulty .' -p78011 -(lp78012 -S'His\tHis\tPRP$\tB-NP\tO' -p78013 -aS'nasogastric\tnasogastric\tJJ\tI-NP\tO' -p78014 -aS'tube\ttube\tNN\tI-NP\tO' -p78015 -aS'was\tbe\tVBD\tB-VP\tO' -p78016 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p78017 -aS'and\tand\tCC\tO\tO' -p78018 -aS'he\the\tPRP\tB-NP\tO' -p78019 -aS'was\tbe\tVBD\tB-VP\tO' -p78020 -aS'begun\tbegin\tVBN\tI-VP\tO' -p78021 -aS'on\ton\tIN\tB-PP\tO' -p78022 -aS'clear\tclear\tJJ\tB-NP\tO' -p78023 -aS'liquids\tliquid\tNNS\tI-NP\tO' -p78024 -aS'and\tand\tCC\tO\tO' -p78025 -aS'subsequently\tsubsequently\tRB\tB-VP\tO' -p78026 -aS'advanced\tadvance\tVBN\tI-VP\tO' -p78027 -aS'to\tto\tTO\tB-PP\tO' -p78028 -aS'a\ta\tDT\tB-NP\tO' -p78029 -aS'regular\tregular\tJJ\tI-NP\tO' -p78030 -aS'diet\tdiet\tNN\tI-NP\tO' -p78031 -aS'without\twithout\tIN\tB-PP\tO' -p78032 -aS'difficulty\tdifficulty\tNN\tB-NP\tO' -p78033 -aS'.\t.\t.\tO\tO' -p78034 -asS'This lowered with IV nitroglycerin .' -p78035 -(lp78036 -S'This\tThis\tDT\tB-NP\tO' -p78037 -aS'lowered\tlower\tVBD\tB-VP\tO' -p78038 -aS'with\twith\tIN\tB-PP\tO' -p78039 -aS'IV\tIV\tCD\tB-NP\tO' -p78040 -aS'nitroglycerin\tnitroglycerin\tNN\tI-NP\tO' -p78041 -aS'.\t.\t.\tO\tO' -p78042 -asS'Primary c / s for breech' -p78043 -(lp78044 -S'Primary\tPrimary\tJJ\tB-NP\tO' -p78045 -aS'c\tc\tNN\tI-NP\tO' -p78046 -aS'/\t/\tSYM\tI-NP\tO' -p78047 -aS's\ts\tNN\tI-NP\tO' -p78048 -aS'for\tfor\tIN\tB-PP\tO' -p78049 -aS'breech\tbreech\tNN\tB-NP\tO' -p78050 -asS'4) h/o DVT - cont heparin , previously on enoxaparin x10 days at treatment dose , followed by prophylactic dose .' -p78051 -(lp78052 -S'4)\t4)\tLS\tB-NP\tO' -p78053 -aS'h/o\th/o\tNN\tI-NP\tO' -p78054 -aS'DVT\tDVT\tNN\tI-NP\tO' -p78055 -aS'-\t-\tHYPH\tB-NP\tO' -p78056 -aS'cont\tcont\tNN\tI-NP\tO' -p78057 -aS'heparin\theparin\tNN\tI-NP\tO' -p78058 -aS',\t,\t,\tO\tO' -p78059 -aS'previously\tpreviously\tRB\tB-ADVP\tO' -p78060 -aS'on\ton\tIN\tB-PP\tO' -p78061 -aS'enoxaparin\tenoxaparin\tNN\tB-NP\tO' -p78062 -aS'x10\tx10\tCD\tB-NP\tO' -p78063 -aS'days\tday\tNNS\tI-NP\tO' -p78064 -aS'at\tat\tIN\tB-PP\tO' -p78065 -aS'treatment\ttreatment\tNN\tB-NP\tO' -p78066 -aS'dose\tdose\tNN\tI-NP\tO' -p78067 -aS',\t,\t,\tO\tO' -p78068 -aS'followed\tfollow\tVBN\tB-VP\tO' -p78069 -aS'by\tby\tIN\tB-PP\tO' -p78070 -aS'prophylactic\tprophylactic\tJJ\tB-NP\tO' -p78071 -aS'dose\tdose\tNN\tI-NP\tO' -p78072 -aS'.\t.\t.\tO\tO' -p78073 -asS'There is no fistula seen .' -p78074 -(lp78075 -S'There\tThere\tEX\tB-NP\tO' -p78076 -aS'is\tbe\tVBZ\tB-VP\tO' -p78077 -aS'no\tno\tDT\tB-NP\tO' -p78078 -aS'fistula\tfistula\tNN\tI-NP\tO' -p78079 -aS'seen\tsee\tVBN\tB-VP\tO' -p78080 -aS'.\t.\t.\tO\tO' -p78081 -asS'She has mild swelling in both lower extremities .' -p78082 -(lp78083 -S'She\tShe\tPRP\tB-NP\tO' -p78084 -aS'has\thave\tVBZ\tB-VP\tO' -p78085 -aS'mild\tmild\tJJ\tB-NP\tO' -p78086 -aS'swelling\tswelling\tNN\tI-NP\tO' -p78087 -aS'in\tin\tIN\tB-PP\tO' -p78088 -aS'both\tboth\tCC\tB-NP\tO' -p78089 -aS'lower\tlow\tJJR\tI-NP\tO' -p78090 -aS'extremities\textremity\tNNS\tI-NP\tO' -p78091 -aS'.\t.\t.\tO\tO' -p78092 -asS'Since the hematocrit of the patient was stable and outside records from 2015-03-28 mentioned a mass in the right pelvis , the patient was discharged .' -p78093 -(lp78094 -S'Since\tSince\tIN\tB-SBAR\tO' -p78095 -aS'the\tthe\tDT\tB-NP\tO' -p78096 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p78097 -aS'of\tof\tIN\tB-PP\tO' -p78098 -aS'the\tthe\tDT\tB-NP\tO' -p78099 -aS'patient\tpatient\tNN\tI-NP\tO' -p78100 -aS'was\tbe\tVBD\tB-VP\tO' -p78101 -aS'stable\tstable\tJJ\tB-NP\tO' -p78102 -aS'and\tand\tCC\tI-NP\tO' -p78103 -aS'outside\toutside\tJJ\tI-NP\tO' -p78104 -aS'records\trecord\tNNS\tI-NP\tO' -p78105 -aS'from\tfrom\tIN\tB-PP\tO' -p78106 -aS'2015-03-28\t2015-03-28\tCD\tB-NP\tO' -p78107 -aS'mentioned\tmention\tVBD\tB-VP\tO' -p78108 -aS'a\ta\tDT\tB-NP\tO' -p78109 -aS'mass\tmass\tNN\tI-NP\tO' -p78110 -aS'in\tin\tIN\tB-PP\tO' -p78111 -aS'the\tthe\tDT\tB-NP\tO' -p78112 -aS'right\tright\tJJ\tI-NP\tO' -p78113 -aS'pelvis\tpelvis\tNN\tI-NP\tO' -p78114 -aS',\t,\t,\tO\tO' -p78115 -aS'the\tthe\tDT\tB-NP\tO' -p78116 -aS'patient\tpatient\tNN\tI-NP\tO' -p78117 -aS'was\tbe\tVBD\tB-VP\tO' -p78118 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p78119 -aS'.\t.\t.\tO\tO' -p78120 -asS'Unclear if hazy lesions significant or if this was cocaine induced vasospasm .' -p78121 -(lp78122 -S'Unclear\tUnclear\tJJ\tB-ADJP\tO' -p78123 -aS'if\tif\tIN\tB-SBAR\tO' -p78124 -aS'hazy\thazy\tJJ\tB-NP\tO' -p78125 -aS'lesions\tlesion\tNNS\tI-NP\tO' -p78126 -aS'significant\tsignificant\tJJ\tB-ADJP\tO' -p78127 -aS'or\tor\tCC\tO\tO' -p78128 -aS'if\tif\tIN\tB-SBAR\tO' -p78129 -aS'this\tthis\tDT\tB-NP\tO' -p78130 -aS'was\tbe\tVBD\tB-VP\tO' -p78131 -aS'cocaine\tcocaine\tNN\tB-NP\tO' -p78132 -aS'induced\tinduced\tJJ\tI-NP\tO' -p78133 -aS'vasospasm\tvasospasm\tNN\tI-NP\tO' -p78134 -aS'.\t.\t.\tO\tO' -p78135 -asS'On 9/22/00 , she underwent a cervical mediastinoscopy .' -p78136 -(lp78137 -S'On\tOn\tIN\tB-PP\tO' -p78138 -aS'9/22/00\t9/22/00\tCD\tB-NP\tO' -p78139 -aS',\t,\t,\tO\tO' -p78140 -aS'she\tshe\tPRP\tB-NP\tO' -p78141 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p78142 -aS'a\ta\tDT\tB-NP\tO' -p78143 -aS'cervical\tcervical\tJJ\tI-NP\tO' -p78144 -aS'mediastinoscopy\tmediastinoscopy\tNN\tI-NP\tO' -p78145 -aS'.\t.\t.\tO\tO' -p78146 -asS'CV : RRR , nl s1 s2 , no m/g/r' -p78147 -(lp78148 -S'CV\tCV\tNN\tB-NP\tO' -p78149 -aS':\t:\t:\tO\tO' -p78150 -aS'RRR\tRRR\tNN\tB-NP\tB-protein' -p78151 -aS',\t,\t,\tO\tO' -p78152 -aS'nl\tnl\tNN\tB-NP\tB-protein' -p78153 -aS's1\ts1\tNN\tI-NP\tI-protein' -p78154 -aS's2\ts2\tNN\tI-NP\tI-protein' -p78155 -aS',\t,\t,\tO\tO' -p78156 -aS'no\tno\tDT\tB-NP\tO' -p78157 -aS'm/g/r\tm/g/r\tNN\tI-NP\tO' -p78158 -asS'Given his recent MRSA pneumonia , he will be treated with 2 week course of Vanc / Levo / Flagyl .' -p78159 -(lp78160 -S'Given\tGive\tVBN\tB-VP\tO' -p78161 -aS'his\this\tPRP$\tB-NP\tO' -p78162 -aS'recent\trecent\tJJ\tI-NP\tO' -p78163 -aS'MRSA\tMRSA\tNN\tI-NP\tO' -p78164 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p78165 -aS',\t,\t,\tO\tO' -p78166 -aS'he\the\tPRP\tB-NP\tO' -p78167 -aS'will\twill\tMD\tB-VP\tO' -p78168 -aS'be\tbe\tVB\tI-VP\tO' -p78169 -aS'treated\ttreat\tVBN\tI-VP\tO' -p78170 -aS'with\twith\tIN\tB-PP\tO' -p78171 -aS'2\t2\tCD\tB-NP\tO' -p78172 -aS'week\tweek\tNN\tI-NP\tO' -p78173 -aS'course\tcourse\tNN\tI-NP\tO' -p78174 -aS'of\tof\tIN\tB-PP\tO' -p78175 -aS'Vanc\tVanc\tNN\tB-NP\tO' -p78176 -aS'/\t/\tSYM\tI-NP\tO' -p78177 -aS'Levo\tLevo\tNN\tI-NP\tB-protein' -p78178 -aS'/\t/\tSYM\tB-NP\tO' -p78179 -aS'Flagyl\tFlagyl\tNN\tI-NP\tO' -p78180 -aS'.\t.\t.\tO\tO' -p78181 -asS'4. Multivitamin Capsule Sig : One ( 1 ) Cap PO DAILY ( Daily ) .' -p78182 -(lp78183 -S'4.\t4.\tLS\tB-LST\tO' -p78184 -aS'Multivitamin\tMultivitamin\tNNP\tB-NP\tO' -p78185 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p78186 -aS'Sig\tSig\tNNP\tI-NP\tO' -p78187 -aS':\t:\t:\tO\tO' -p78188 -aS'One\tOne\tCD\tB-NP\tO' -p78189 -aS'(\t(\t(\tO\tO' -p78190 -aS'1\t1\tCD\tB-NP\tO' -p78191 -aS')\t)\t)\tO\tO' -p78192 -aS'Cap\tCap\tNN\tB-NP\tO' -p78193 -aS'PO\tPO\tNN\tI-NP\tO' -p78194 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p78195 -aS'(\t(\t(\tO\tO' -p78196 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p78197 -aS')\t)\t)\tO\tO' -p78198 -aS'.\t.\t.\tO\tO' -p78199 -asS'General : well developed male in no acute distress' -p78200 -(lp78201 -S'General\tGeneral\tNNP\tB-NP\tO' -p78202 -aS':\t:\t:\tO\tO' -p78203 -aS'well\twell\tRB\tB-NP\tO' -p78204 -aS'developed\tdevelop\tVBN\tI-NP\tO' -p78205 -aS'male\tmale\tNN\tI-NP\tO' -p78206 -aS'in\tin\tIN\tB-PP\tO' -p78207 -aS'no\tno\tDT\tB-NP\tO' -p78208 -aS'acute\tacute\tJJ\tI-NP\tO' -p78209 -aS'distress\tdistress\tNN\tI-NP\tO' -p78210 -asS'She had a recent pregnancy with a five month stay at Erich Lindemann Mental Health Center .' -p78211 -(lp78212 -S'She\tShe\tPRP\tB-NP\tO' -p78213 -aS'had\thave\tVBD\tB-VP\tO' -p78214 -aS'a\ta\tDT\tB-NP\tO' -p78215 -aS'recent\trecent\tJJ\tI-NP\tO' -p78216 -aS'pregnancy\tpregnancy\tNN\tI-NP\tO' -p78217 -aS'with\twith\tIN\tB-PP\tO' -p78218 -aS'a\ta\tDT\tB-NP\tO' -p78219 -aS'five\tfive\tCD\tI-NP\tO' -p78220 -aS'month\tmonth\tNN\tI-NP\tO' -p78221 -aS'stay\tstay\tNN\tI-NP\tO' -p78222 -aS'at\tat\tIN\tB-PP\tO' -p78223 -aS'Erich\tErich\tNNP\tB-NP\tO' -p78224 -aS'Lindemann\tLindemann\tNNP\tI-NP\tO' -p78225 -aS'Mental\tMental\tNNP\tI-NP\tO' -p78226 -aS'Health\tHealth\tNNP\tI-NP\tO' -p78227 -aS'Center\tCenter\tNNP\tI-NP\tO' -p78228 -aS'.\t.\t.\tO\tO' -p78229 -asS'A hearing screening has not been performed , will need prior to discharge home .' -p78230 -(lp78231 -S'A\tA\tDT\tB-NP\tO' -p78232 -aS'hearing\thearing\tNN\tI-NP\tO' -p78233 -aS'screening\tscreening\tNN\tI-NP\tO' -p78234 -aS'has\thave\tVBZ\tB-VP\tO' -p78235 -aS'not\tnot\tRB\tI-VP\tO' -p78236 -aS'been\tbe\tVBN\tI-VP\tO' -p78237 -aS'performed\tperform\tVBN\tI-VP\tO' -p78238 -aS',\t,\t,\tO\tO' -p78239 -aS'will\twill\tMD\tB-VP\tO' -p78240 -aS'need\tneed\tVB\tI-VP\tO' -p78241 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p78242 -aS'to\tto\tTO\tB-VP\tO' -p78243 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p78244 -aS'home\thome\tNN\tB-NP\tO' -p78245 -aS'.\t.\t.\tO\tO' -p78246 -asS'Anxiety neurosis for which she has received shock therapy in the past .' -p78247 -(lp78248 -S'Anxiety\tAnxiety\tNN\tB-NP\tO' -p78249 -aS'neurosis\tneurosis\tNN\tI-NP\tO' -p78250 -aS'for\tfor\tIN\tB-PP\tO' -p78251 -aS'which\twhich\tWDT\tB-NP\tO' -p78252 -aS'she\tshe\tPRP\tB-NP\tO' -p78253 -aS'has\thave\tVBZ\tB-VP\tO' -p78254 -aS'received\treceive\tVBN\tI-VP\tO' -p78255 -aS'shock\tshock\tNN\tB-NP\tO' -p78256 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p78257 -aS'in\tin\tIN\tB-PP\tO' -p78258 -aS'the\tthe\tDT\tB-NP\tO' -p78259 -aS'past\tpast\tNN\tI-NP\tO' -p78260 -aS'.\t.\t.\tO\tO' -p78261 -asS'On 4-24 , the patient was seen again at Sondi Memorial when he experienced at home a fall , no loss of consciousness , positive substernal chest pain , pleuritic pain , shortness of breath and cough .' -p78262 -(lp78263 -S'On\tOn\tIN\tB-PP\tO' -p78264 -aS'4-24\t4-24\tCD\tB-NP\tO' -p78265 -aS',\t,\t,\tO\tO' -p78266 -aS'the\tthe\tDT\tB-NP\tO' -p78267 -aS'patient\tpatient\tNN\tI-NP\tO' -p78268 -aS'was\tbe\tVBD\tB-VP\tO' -p78269 -aS'seen\tsee\tVBN\tI-VP\tO' -p78270 -aS'again\tagain\tRB\tB-ADVP\tO' -p78271 -aS'at\tat\tIN\tB-PP\tO' -p78272 -aS'Sondi\tSondi\tNNP\tB-NP\tO' -p78273 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p78274 -aS'when\twhen\tWRB\tB-ADVP\tO' -p78275 -aS'he\the\tPRP\tB-NP\tO' -p78276 -aS'experienced\texperience\tVBD\tB-VP\tO' -p78277 -aS'at\tat\tIN\tB-PP\tO' -p78278 -aS'home\thome\tNN\tB-NP\tO' -p78279 -aS'a\ta\tDT\tB-NP\tO' -p78280 -aS'fall\tfall\tNN\tI-NP\tO' -p78281 -aS',\t,\t,\tO\tO' -p78282 -aS'no\tno\tDT\tB-NP\tO' -p78283 -aS'loss\tloss\tNN\tI-NP\tO' -p78284 -aS'of\tof\tIN\tB-PP\tO' -p78285 -aS'consciousness\tconsciousness\tNN\tB-NP\tO' -p78286 -aS',\t,\t,\tO\tO' -p78287 -aS'positive\tpositive\tJJ\tB-NP\tB-protein' -p78288 -aS'substernal\tsubsternal\tJJ\tI-NP\tI-protein' -p78289 -aS'chest\tchest\tNN\tI-NP\tI-protein' -p78290 -aS'pain\tpain\tNN\tI-NP\tI-protein' -p78291 -aS',\t,\t,\tO\tO' -p78292 -aS'pleuritic\tpleuritic\tJJ\tB-NP\tO' -p78293 -aS'pain\tpain\tNN\tI-NP\tO' -p78294 -aS',\t,\t,\tO\tO' -p78295 -aS'shortness\tshortness\tNN\tB-NP\tO' -p78296 -aS'of\tof\tIN\tB-PP\tO' -p78297 -aS'breath\tbreath\tNN\tB-NP\tO' -p78298 -aS'and\tand\tCC\tI-NP\tO' -p78299 -aS'cough\tcough\tNN\tI-NP\tO' -p78300 -aS'.\t.\t.\tO\tO' -p78301 -asS'The aortic valve leaflets were mildly thickened .' -p78302 -(lp78303 -S'The\tThe\tDT\tB-NP\tO' -p78304 -aS'aortic\taortic\tJJ\tI-NP\tB-cell_type' -p78305 -aS'valve\tvalve\tNN\tI-NP\tI-cell_type' -p78306 -aS'leaflets\tleaflet\tNNS\tI-NP\tI-cell_type' -p78307 -aS'were\tbe\tVBD\tB-VP\tO' -p78308 -aS'mildly\tmildly\tRB\tI-VP\tO' -p78309 -aS'thickened\tthicken\tVBN\tI-VP\tO' -p78310 -aS'.\t.\t.\tO\tO' -p78311 -asS'4. Status post apnea of prematurity .' -p78312 -(lp78313 -S'4.\t4.\tLS\tB-NP\tO' -p78314 -aS'Status\tStatus\tNNP\tI-NP\tO' -p78315 -aS'post\tpost\tNN\tI-NP\tO' -p78316 -aS'apnea\tapnea\tNN\tI-NP\tO' -p78317 -aS'of\tof\tIN\tB-PP\tO' -p78318 -aS'prematurity\tprematurity\tNN\tB-NP\tO' -p78319 -aS'.\t.\t.\tO\tO' -p78320 -asS'He was moving the right arm and leg spontaneously , though less than before .' -p78321 -(lp78322 -S'He\tHe\tPRP\tB-NP\tO' -p78323 -aS'was\tbe\tVBD\tB-VP\tO' -p78324 -aS'moving\tmove\tVBG\tI-VP\tO' -p78325 -aS'the\tthe\tDT\tB-NP\tO' -p78326 -aS'right\tright\tJJ\tI-NP\tO' -p78327 -aS'arm\tarm\tNN\tI-NP\tO' -p78328 -aS'and\tand\tCC\tI-NP\tO' -p78329 -aS'leg\tleg\tNN\tI-NP\tO' -p78330 -aS'spontaneously\tspontaneously\tRB\tB-ADVP\tO' -p78331 -aS',\t,\t,\tO\tO' -p78332 -aS'though\tthough\tIN\tB-SBAR\tO' -p78333 -aS'less\tless\tJJR\tB-ADJP\tO' -p78334 -aS'than\tthan\tIN\tB-PP\tO' -p78335 -aS'before\tbefore\tRB\tB-ADVP\tO' -p78336 -aS'.\t.\t.\tO\tO' -p78337 -asS'1. Inferior myocardial infarction and right ventricular infarction .' -p78338 -(lp78339 -S'1.\t1.\tLS\tB-NP\tO' -p78340 -aS'Inferior\tInferior\tJJ\tI-NP\tO' -p78341 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p78342 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p78343 -aS'and\tand\tCC\tO\tO' -p78344 -aS'right\tright\tJJ\tB-NP\tO' -p78345 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p78346 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p78347 -aS'.\t.\t.\tO\tO' -p78348 -asS'OB history notable for infertility treated with Clomid .' -p78349 -(lp78350 -S'OB\tOB\tNN\tB-NP\tO' -p78351 -aS'history\thistory\tNN\tI-NP\tO' -p78352 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p78353 -aS'for\tfor\tIN\tB-PP\tO' -p78354 -aS'infertility\tinfertility\tNN\tB-NP\tO' -p78355 -aS'treated\ttreat\tVBN\tB-VP\tO' -p78356 -aS'with\twith\tIN\tB-PP\tO' -p78357 -aS'Clomid\tClomid\tNN\tB-NP\tO' -p78358 -aS'.\t.\t.\tO\tO' -p78359 -asS'If problems with speech or weakness worsen , go immediately to an emergency room for evaluation .' -p78360 -(lp78361 -S'If\tIf\tIN\tB-SBAR\tO' -p78362 -aS'problems\tproblem\tNNS\tB-NP\tO' -p78363 -aS'with\twith\tIN\tB-PP\tO' -p78364 -aS'speech\tspeech\tNN\tB-NP\tO' -p78365 -aS'or\tor\tCC\tI-NP\tO' -p78366 -aS'weakness\tweakness\tNN\tI-NP\tO' -p78367 -aS'worsen\tworsen\tNNS\tI-NP\tO' -p78368 -aS',\t,\t,\tO\tO' -p78369 -aS'go\tgo\tVB\tB-VP\tO' -p78370 -aS'immediately\timmediately\tRB\tB-ADVP\tO' -p78371 -aS'to\tto\tTO\tB-PP\tO' -p78372 -aS'an\tan\tDT\tB-NP\tO' -p78373 -aS'emergency\temergency\tNN\tI-NP\tO' -p78374 -aS'room\troom\tNN\tI-NP\tO' -p78375 -aS'for\tfor\tIN\tB-PP\tO' -p78376 -aS'evaluation\tevaluation\tNN\tB-NP\tO' -p78377 -aS'.\t.\t.\tO\tO' -p78378 -asS'21. Metoprolol Succinate 25 mg Tablet Sustained Release 24HR Sig : One ( 1 ) Tablet Sustained Release 24HR PO DAILY ( Daily ) .' -p78379 -(lp78380 -S'21.\t21.\tLS\tB-NP\tO' -p78381 -aS'Metoprolol\tMetoprolol\tNN\tI-NP\tO' -p78382 -aS'Succinate\tSuccinate\tNN\tI-NP\tO' -p78383 -aS'25\t25\tCD\tI-NP\tO' -p78384 -aS'mg\tmg\tNN\tI-NP\tO' -p78385 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p78386 -aS'Sustained\tSustained\tNNP\tI-NP\tO' -p78387 -aS'Release\tRelease\tNNP\tI-NP\tO' -p78388 -aS'24HR\t24HR\tNN\tI-NP\tO' -p78389 -aS'Sig\tSig\tNNP\tI-NP\tO' -p78390 -aS':\t:\t:\tO\tO' -p78391 -aS'One\tOne\tCD\tB-NP\tO' -p78392 -aS'(\t(\t(\tO\tO' -p78393 -aS'1\t1\tCD\tB-NP\tO' -p78394 -aS')\t)\t)\tO\tO' -p78395 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p78396 -aS'Sustained\tSustain\tVBD\tB-VP\tO' -p78397 -aS'Release\tRelease\tNN\tB-NP\tO' -p78398 -aS'24HR\t24HR\tNN\tI-NP\tO' -p78399 -aS'PO\tPO\tNN\tI-NP\tO' -p78400 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p78401 -aS'(\t(\t(\tO\tO' -p78402 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p78403 -aS')\t)\t)\tO\tO' -p78404 -aS'.\t.\t.\tO\tO' -p78405 -asS'Trivial mitral regurgitation is present .' -p78406 -(lp78407 -S'Trivial\tTrivial\tJJ\tB-NP\tO' -p78408 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p78409 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p78410 -aS'is\tbe\tVBZ\tB-VP\tO' -p78411 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p78412 -aS'.\t.\t.\tO\tO' -p78413 -asS'The patient 's attending physician , Dr. Erm Neidwierst , was notified as well .' -p78414 -(lp78415 -S'The\tThe\tDT\tB-NP\tO' -p78416 -aS'patient\tpatient\tNN\tI-NP\tO' -p78417 -aS''s\t'\tNNS\tI-NP\tO' -p78418 -aS'attending\tattend\tVBG\tB-VP\tO' -p78419 -aS'physician\tphysician\tNN\tB-NP\tO' -p78420 -aS',\t,\t,\tO\tO' -p78421 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p78422 -aS'Erm\tErm\tNNP\tI-NP\tO' -p78423 -aS'Neidwierst\tNeidwierst\tNNP\tI-NP\tO' -p78424 -aS',\t,\t,\tO\tO' -p78425 -aS'was\tbe\tVBD\tB-VP\tO' -p78426 -aS'notified\tnotify\tVBN\tI-VP\tO' -p78427 -aS'as\tas\tRB\tB-ADVP\tO' -p78428 -aS'well\twell\tRB\tI-ADVP\tO' -p78429 -aS'.\t.\t.\tO\tO' -p78430 -asS'Abdomen was soft and nontender , nondistended , with positive bowel sounds .' -p78431 -(lp78432 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p78433 -aS'was\tbe\tVBD\tB-VP\tO' -p78434 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p78435 -aS'and\tand\tCC\tI-ADJP\tO' -p78436 -aS'nontender\tnontender\tJJ\tI-ADJP\tO' -p78437 -aS',\t,\t,\tO\tO' -p78438 -aS'nondistended\tnondistended\tJJ\tB-ADJP\tO' -p78439 -aS',\t,\t,\tO\tO' -p78440 -aS'with\twith\tIN\tB-PP\tO' -p78441 -aS'positive\tpositive\tJJ\tB-NP\tO' -p78442 -aS'bowel\tbowel\tNN\tI-NP\tO' -p78443 -aS'sounds\tsound\tNNS\tI-NP\tO' -p78444 -aS'.\t.\t.\tO\tO' -p78445 -asS'After that , the patient had no major problems with his lungs .' -p78446 -(lp78447 -S'After\tAfter\tIN\tB-PP\tO' -p78448 -aS'that\tthat\tDT\tB-NP\tO' -p78449 -aS',\t,\t,\tO\tO' -p78450 -aS'the\tthe\tDT\tB-NP\tO' -p78451 -aS'patient\tpatient\tNN\tI-NP\tO' -p78452 -aS'had\thave\tVBD\tB-VP\tO' -p78453 -aS'no\tno\tDT\tB-NP\tO' -p78454 -aS'major\tmajor\tJJ\tI-NP\tO' -p78455 -aS'problems\tproblem\tNNS\tI-NP\tO' -p78456 -aS'with\twith\tIN\tB-PP\tO' -p78457 -aS'his\this\tPRP$\tB-NP\tO' -p78458 -aS'lungs\tlung\tNNS\tI-NP\tO' -p78459 -aS'.\t.\t.\tO\tO' -p78460 -asS'68 yo female trasnferred in from Catholic CMED CSRU. Ctr. with periprosthetic aortic valve stenosis and aortic valve thrombus .' -p78461 -(lp78462 -S'68\t68\tCD\tB-NP\tO' -p78463 -aS'yo\tyo\tNN\tI-NP\tO' -p78464 -aS'female\tfemale\tJJ\tI-NP\tO' -p78465 -aS'trasnferred\ttrasnferre\tVBN\tB-VP\tO' -p78466 -aS'in\tin\tIN\tB-PP\tO' -p78467 -aS'from\tfrom\tIN\tB-PP\tO' -p78468 -aS'Catholic\tCatholic\tNNP\tB-NP\tO' -p78469 -aS'CMED\tCMED\tNNP\tI-NP\tO' -p78470 -aS'CSRU.\tCSRU.\tNNP\tI-NP\tO' -p78471 -aS'Ctr.\tCtr.\tNNP\tI-NP\tO' -p78472 -aS'with\twith\tIN\tB-PP\tO' -p78473 -aS'periprosthetic\tperiprosthetic\tJJ\tB-NP\tO' -p78474 -aS'aortic\taortic\tJJ\tI-NP\tO' -p78475 -aS'valve\tvalve\tNN\tI-NP\tO' -p78476 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p78477 -aS'and\tand\tCC\tO\tO' -p78478 -aS'aortic\taortic\tJJ\tB-NP\tO' -p78479 -aS'valve\tvalve\tNN\tI-NP\tO' -p78480 -aS'thrombus\tthrombus\tNN\tI-NP\tO' -p78481 -aS'.\t.\t.\tO\tO' -p78482 -asS'She tolerated the surgery well .' -p78483 -(lp78484 -S'She\tShe\tPRP\tB-NP\tO' -p78485 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p78486 -aS'the\tthe\tDT\tB-NP\tO' -p78487 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p78488 -aS'well\twell\tRB\tB-ADVP\tO' -p78489 -aS'.\t.\t.\tO\tO' -p78490 -asS'The rectal examination was trace guaiac positive .' -p78491 -(lp78492 -S'The\tThe\tDT\tB-NP\tO' -p78493 -aS'rectal\trectal\tJJ\tI-NP\tO' -p78494 -aS'examination\texamination\tNN\tI-NP\tO' -p78495 -aS'was\tbe\tVBD\tB-VP\tO' -p78496 -aS'trace\ttrace\tNN\tB-NP\tO' -p78497 -aS'guaiac\tguaiac\tNN\tI-NP\tO' -p78498 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p78499 -aS'.\t.\t.\tO\tO' -p78500 -asS'A sphincterotomy wss done to drain the sludge from the central common duct .' -p78501 -(lp78502 -S'A\tA\tDT\tB-NP\tO' -p78503 -aS'sphincterotomy\tsphincterotomy\tNN\tI-NP\tO' -p78504 -aS'wss\twss\tNN\tI-NP\tO' -p78505 -aS'done\tdo\tVBN\tB-VP\tO' -p78506 -aS'to\tto\tTO\tI-VP\tO' -p78507 -aS'drain\tdrain\tVB\tI-VP\tO' -p78508 -aS'the\tthe\tDT\tB-NP\tO' -p78509 -aS'sludge\tsludge\tNN\tI-NP\tO' -p78510 -aS'from\tfrom\tIN\tB-PP\tO' -p78511 -aS'the\tthe\tDT\tB-NP\tO' -p78512 -aS'central\tcentral\tJJ\tI-NP\tO' -p78513 -aS'common\tcommon\tJJ\tI-NP\tO' -p78514 -aS'duct\tduct\tNN\tI-NP\tO' -p78515 -aS'.\t.\t.\tO\tO' -p78516 -asS'Amiodarone 400 mg tid was continued as well .' -p78517 -(lp78518 -S'Amiodarone\tAmiodarone\tNN\tB-NP\tO' -p78519 -aS'400\t400\tCD\tI-NP\tO' -p78520 -aS'mg\tmg\tNN\tI-NP\tO' -p78521 -aS'tid\ttid\tNN\tI-NP\tO' -p78522 -aS'was\tbe\tVBD\tB-VP\tO' -p78523 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p78524 -aS'as\tas\tRB\tB-ADVP\tO' -p78525 -aS'well\twell\tRB\tI-ADVP\tO' -p78526 -aS'.\t.\t.\tO\tO' -p78527 -asS'The procedure team was called to consider doing a left thoracentesis , but she was declined because it was felt that her effusions were transudative , secondary to CHF , and it was recommended to treat CHF .' -p78528 -(lp78529 -S'The\tThe\tDT\tB-NP\tO' -p78530 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p78531 -aS'team\tteam\tNN\tI-NP\tO' -p78532 -aS'was\tbe\tVBD\tB-VP\tO' -p78533 -aS'called\tcall\tVBN\tI-VP\tO' -p78534 -aS'to\tto\tTO\tB-VP\tO' -p78535 -aS'consider\tconsider\tVB\tI-VP\tO' -p78536 -aS'doing\tdo\tVBG\tI-VP\tO' -p78537 -aS'a\ta\tDT\tB-NP\tO' -p78538 -aS'left\tleft\tJJ\tI-NP\tO' -p78539 -aS'thoracentesis\tthoracentesis\tNN\tI-NP\tO' -p78540 -aS',\t,\t,\tO\tO' -p78541 -aS'but\tbut\tCC\tO\tO' -p78542 -aS'she\tshe\tPRP\tB-NP\tO' -p78543 -aS'was\tbe\tVBD\tB-VP\tO' -p78544 -aS'declined\tdecline\tVBN\tI-VP\tO' -p78545 -aS'because\tbecause\tIN\tB-SBAR\tO' -p78546 -aS'it\tit\tPRP\tB-NP\tO' -p78547 -aS'was\tbe\tVBD\tB-VP\tO' -p78548 -aS'felt\tfeel\tVBN\tI-VP\tO' -p78549 -aS'that\tthat\tIN\tB-SBAR\tO' -p78550 -aS'her\ther\tPRP$\tB-NP\tO' -p78551 -aS'effusions\teffusion\tNNS\tI-NP\tO' -p78552 -aS'were\tbe\tVBD\tB-VP\tO' -p78553 -aS'transudative\ttransudative\tJJ\tB-ADJP\tO' -p78554 -aS',\t,\t,\tO\tO' -p78555 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p78556 -aS'to\tto\tTO\tB-PP\tO' -p78557 -aS'CHF\tCHF\tNN\tB-NP\tB-protein' -p78558 -aS',\t,\t,\tO\tO' -p78559 -aS'and\tand\tCC\tO\tO' -p78560 -aS'it\tit\tPRP\tB-NP\tO' -p78561 -aS'was\tbe\tVBD\tB-VP\tO' -p78562 -aS'recommended\trecommend\tVBN\tI-VP\tO' -p78563 -aS'to\tto\tTO\tI-VP\tO' -p78564 -aS'treat\ttreat\tVB\tI-VP\tO' -p78565 -aS'CHF\tCHF\tNN\tB-NP\tB-protein' -p78566 -aS'.\t.\t.\tO\tO' -p78567 -asS'Abdomen is soft , non-tender , with no organomegaly or masses .' -p78568 -(lp78569 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p78570 -aS'is\tbe\tVBZ\tB-VP\tO' -p78571 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p78572 -aS',\t,\t,\tO\tO' -p78573 -aS'non-tender\tnon-tender\tJJ\tB-ADJP\tO' -p78574 -aS',\t,\t,\tO\tO' -p78575 -aS'with\twith\tIN\tB-PP\tO' -p78576 -aS'no\tno\tDT\tB-NP\tO' -p78577 -aS'organomegaly\torganomegaly\tNN\tI-NP\tO' -p78578 -aS'or\tor\tCC\tI-NP\tO' -p78579 -aS'masses\tmass\tNNS\tI-NP\tO' -p78580 -aS'.\t.\t.\tO\tO' -p78581 -asS"## Hx of DVT in RLE '93 - on coumadin for a couple years and then ASA until a couple months ago" -p78582 -(lp78583 -S'##\t##\t#\tB-NP\tO' -p78584 -aS'Hx\tHx\tNN\tI-NP\tO' -p78585 -aS'of\tof\tIN\tB-PP\tO' -p78586 -aS'DVT\tDVT\tNN\tB-NP\tB-protein' -p78587 -aS'in\tin\tIN\tB-PP\tO' -p78588 -aS'RLE\tRLE\tNN\tB-NP\tB-protein' -p78589 -aS"'93\t'93\tCD\tI-NP\tI-protein" -p78590 -aS'-\t-\tHYPH\tB-ADVP\tO' -p78591 -aS'on\ton\tIN\tB-PP\tO' -p78592 -aS'coumadin\tcoumadin\tNN\tB-NP\tO' -p78593 -aS'for\tfor\tIN\tB-PP\tO' -p78594 -aS'a\ta\tDT\tB-NP\tO' -p78595 -aS'couple\tcouple\tNN\tI-NP\tO' -p78596 -aS'years\tyear\tNNS\tI-NP\tO' -p78597 -aS'and\tand\tCC\tO\tO' -p78598 -aS'then\tthen\tRB\tB-ADVP\tO' -p78599 -aS'ASA\tASA\tNN\tB-NP\tO' -p78600 -aS'until\tuntil\tIN\tB-SBAR\tO' -p78601 -aS'a\ta\tDT\tB-NP\tO' -p78602 -aS'couple\tcouple\tNN\tI-NP\tO' -p78603 -aS'months\tmonth\tNNS\tI-NP\tO' -p78604 -aS'ago\tago\tIN\tB-ADVP\tO' -p78605 -asS'No tobacco , alcohol or drugs .' -p78606 -(lp78607 -S'No\tNo\tDT\tB-NP\tO' -p78608 -aS'tobacco\ttobacco\tNN\tI-NP\tO' -p78609 -aS',\t,\t,\tI-NP\tO' -p78610 -aS'alcohol\talcohol\tNN\tI-NP\tO' -p78611 -aS'or\tor\tCC\tI-NP\tO' -p78612 -aS'drugs\tdrug\tNNS\tI-NP\tO' -p78613 -aS'.\t.\t.\tO\tO' -p78614 -asS'Cardiac size is unchanged .' -p78615 -(lp78616 -S'Cardiac\tCardiac\tJJ\tB-NP\tO' -p78617 -aS'size\tsize\tNN\tI-NP\tO' -p78618 -aS'is\tbe\tVBZ\tB-VP\tO' -p78619 -aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' -p78620 -aS'.\t.\t.\tO\tO' -p78621 -asS'Decreased vibration in feet and ankles bilaterally , some in knees ; proprioception decreased in his feet bilaterally .' -p78622 -(lp78623 -S'Decreased\tDecrease\tVBN\tB-NP\tO' -p78624 -aS'vibration\tvibration\tNN\tI-NP\tO' -p78625 -aS'in\tin\tIN\tB-PP\tO' -p78626 -aS'feet\tfoot\tNNS\tB-NP\tO' -p78627 -aS'and\tand\tCC\tI-NP\tO' -p78628 -aS'ankles\tankle\tNNS\tI-NP\tO' -p78629 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p78630 -aS',\t,\t,\tO\tO' -p78631 -aS'some\tsome\tDT\tB-NP\tO' -p78632 -aS'in\tin\tIN\tB-PP\tO' -p78633 -aS'knees\tknee\tNNS\tB-NP\tO' -p78634 -aS';\t;\t:\tO\tO' -p78635 -aS'proprioception\tproprioception\tNN\tB-NP\tO' -p78636 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p78637 -aS'in\tin\tIN\tB-PP\tO' -p78638 -aS'his\this\tPRP$\tB-NP\tO' -p78639 -aS'feet\tfoot\tNNS\tI-NP\tO' -p78640 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p78641 -aS'.\t.\t.\tO\tO' -p78642 -asS'Oriented to place and person , not date 1996 .' -p78643 -(lp78644 -S'Oriented\tOrient\tVBN\tB-VP\tO' -p78645 -aS'to\tto\tTO\tB-PP\tO' -p78646 -aS'place\tplace\tNN\tB-NP\tO' -p78647 -aS'and\tand\tCC\tI-NP\tO' -p78648 -aS'person\tperson\tNN\tI-NP\tO' -p78649 -aS',\t,\t,\tB-NP\tO' -p78650 -aS'not\tnot\tRB\tI-NP\tO' -p78651 -aS'date\tdate\tNN\tB-NP\tO' -p78652 -aS'1996\t1996\tCD\tI-NP\tO' -p78653 -aS'.\t.\t.\tO\tO' -p78654 -asS'On 12-08 , the Hickman catheter was placed in preparation of Flolan administration .' -p78655 -(lp78656 -S'On\tOn\tIN\tB-PP\tO' -p78657 -aS'12-08\t12-08\tCD\tB-NP\tO' -p78658 -aS',\t,\t,\tO\tO' -p78659 -aS'the\tthe\tDT\tB-NP\tO' -p78660 -aS'Hickman\tHickman\tNNP\tI-NP\tO' -p78661 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p78662 -aS'was\tbe\tVBD\tB-VP\tO' -p78663 -aS'placed\tplace\tVBN\tI-VP\tO' -p78664 -aS'in\tin\tIN\tB-PP\tO' -p78665 -aS'preparation\tpreparation\tNN\tB-NP\tO' -p78666 -aS'of\tof\tIN\tB-PP\tO' -p78667 -aS'Flolan\tFlolan\tNNP\tB-NP\tO' -p78668 -aS'administration\tadministration\tNN\tI-NP\tO' -p78669 -aS'.\t.\t.\tO\tO' -p78670 -asS'At the same time the patient continued to be stable on his antihypertensive regimen .' -p78671 -(lp78672 -S'At\tAt\tIN\tB-PP\tO' -p78673 -aS'the\tthe\tDT\tB-NP\tO' -p78674 -aS'same\tsame\tJJ\tI-NP\tO' -p78675 -aS'time\ttime\tNN\tI-NP\tO' -p78676 -aS'the\tthe\tDT\tB-NP\tO' -p78677 -aS'patient\tpatient\tNN\tI-NP\tO' -p78678 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p78679 -aS'to\tto\tTO\tI-VP\tO' -p78680 -aS'be\tbe\tVB\tI-VP\tO' -p78681 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p78682 -aS'on\ton\tIN\tB-PP\tO' -p78683 -aS'his\this\tPRP$\tB-NP\tO' -p78684 -aS'antihypertensive\tantihypertensive\tJJ\tI-NP\tO' -p78685 -aS'regimen\tregimen\tNN\tI-NP\tO' -p78686 -aS'.\t.\t.\tO\tO' -p78687 -asS'1. Vascular catheter tip terminates in proximal right atrium .' -p78688 -(lp78689 -S'1.\t1.\tLS\tB-NP\tO' -p78690 -aS'Vascular\tVascular\tJJ\tI-NP\tB-protein' -p78691 -aS'catheter\tcatheter\tNN\tI-NP\tI-protein' -p78692 -aS'tip\ttip\tNN\tI-NP\tI-protein' -p78693 -aS'terminates\tterminate\tVBZ\tB-VP\tO' -p78694 -aS'in\tin\tIN\tB-PP\tO' -p78695 -aS'proximal\tproximal\tJJ\tB-NP\tO' -p78696 -aS'right\tright\tJJ\tI-NP\tO' -p78697 -aS'atrium\tatrium\tNN\tI-NP\tO' -p78698 -aS'.\t.\t.\tO\tO' -p78699 -asS'You may resume your regular diet as tolerated .' -p78700 -(lp78701 -S'You\tYou\tPRP\tB-NP\tB-protein' -p78702 -aS'may\tmay\tMD\tB-VP\tO' -p78703 -aS'resume\tresume\tVB\tI-VP\tO' -p78704 -aS'your\tyour\tPRP$\tB-NP\tO' -p78705 -aS'regular\tregular\tJJ\tI-NP\tO' -p78706 -aS'diet\tdiet\tNN\tI-NP\tO' -p78707 -aS'as\tas\tIN\tB-SBAR\tO' -p78708 -aS'tolerated\ttolerate\tVBN\tB-VP\tO' -p78709 -aS'.\t.\t.\tO\tO' -p78710 -asS'Her steroids were tapered and Pulmonary was consulted who recommended a CT scan of the chest to evaluate the lung parenchyma , induce sputum for CBC , arterial blood gas , continuing of the beta agonist inhalers , and trial of steroid inhalers .' -p78711 -(lp78712 -S'Her\tHer\tPRP$\tB-NP\tO' -p78713 -aS'steroids\tsteroid\tNNS\tI-NP\tO' -p78714 -aS'were\tbe\tVBD\tB-VP\tO' -p78715 -aS'tapered\ttaper\tVBN\tI-VP\tO' -p78716 -aS'and\tand\tCC\tO\tO' -p78717 -aS'Pulmonary\tPulmonary\tNNP\tB-NP\tO' -p78718 -aS'was\tbe\tVBD\tB-VP\tO' -p78719 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p78720 -aS'who\twho\tWP\tB-NP\tO' -p78721 -aS'recommended\trecommend\tVBD\tB-VP\tO' -p78722 -aS'a\ta\tDT\tB-NP\tO' -p78723 -aS'CT\tCT\tNN\tI-NP\tO' -p78724 -aS'scan\tscan\tNN\tI-NP\tO' -p78725 -aS'of\tof\tIN\tB-PP\tO' -p78726 -aS'the\tthe\tDT\tB-NP\tO' -p78727 -aS'chest\tchest\tNN\tI-NP\tO' -p78728 -aS'to\tto\tTO\tB-VP\tO' -p78729 -aS'evaluate\tevaluate\tVB\tI-VP\tO' -p78730 -aS'the\tthe\tDT\tB-NP\tO' -p78731 -aS'lung\tlung\tNN\tI-NP\tO' -p78732 -aS'parenchyma\tparenchyma\tNN\tI-NP\tO' -p78733 -aS',\t,\t,\tO\tO' -p78734 -aS'induce\tinduce\tVBP\tB-VP\tO' -p78735 -aS'sputum\tsputum\tNN\tB-NP\tO' -p78736 -aS'for\tfor\tIN\tB-PP\tO' -p78737 -aS'CBC\tCBC\tNN\tB-NP\tB-protein' -p78738 -aS',\t,\t,\tO\tO' -p78739 -aS'arterial\tarterial\tJJ\tB-NP\tO' -p78740 -aS'blood\tblood\tNN\tI-NP\tO' -p78741 -aS'gas\tgas\tNN\tI-NP\tO' -p78742 -aS',\t,\t,\tO\tO' -p78743 -aS'continuing\tcontinue\tVBG\tB-VP\tO' -p78744 -aS'of\tof\tIN\tB-PP\tO' -p78745 -aS'the\tthe\tDT\tB-NP\tO' -p78746 -aS'beta\tbeta\tNN\tI-NP\tO' -p78747 -aS'agonist\tagonist\tNN\tI-NP\tO' -p78748 -aS'inhalers\tinhaler\tNNS\tI-NP\tO' -p78749 -aS',\t,\t,\tO\tO' -p78750 -aS'and\tand\tCC\tO\tO' -p78751 -aS'trial\ttrial\tNN\tB-NP\tO' -p78752 -aS'of\tof\tIN\tB-PP\tO' -p78753 -aS'steroid\tsteroid\tNN\tB-NP\tO' -p78754 -aS'inhalers\tinhaler\tNNS\tI-NP\tO' -p78755 -aS'.\t.\t.\tO\tO' -p78756 -asS'Albuterol .' -p78757 -(lp78758 -S'Albuterol\tAlbuterol\tNN\tB-NP\tO' -p78759 -aS'.\t.\t.\tO\tO' -p78760 -asS'He was reported to have had a myocardial infarction in the past ( EKG positive for ischemia , exercise tolerance test positive , cardiac catheterization positive , the patient is now status posta three-vessel coronary artery bypass graft in 1987 ) .' -p78761 -(lp78762 -S'He\tHe\tPRP\tB-NP\tO' -p78763 -aS'was\tbe\tVBD\tB-VP\tO' -p78764 -aS'reported\treport\tVBN\tI-VP\tO' -p78765 -aS'to\tto\tTO\tI-VP\tO' -p78766 -aS'have\thave\tVB\tI-VP\tO' -p78767 -aS'had\thave\tVBN\tI-VP\tO' -p78768 -aS'a\ta\tDT\tB-NP\tO' -p78769 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p78770 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p78771 -aS'in\tin\tIN\tB-PP\tO' -p78772 -aS'the\tthe\tDT\tB-NP\tO' -p78773 -aS'past\tpast\tNN\tI-NP\tO' -p78774 -aS'(\t(\t(\tO\tO' -p78775 -aS'EKG\tEKG\tNN\tB-NP\tO' -p78776 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p78777 -aS'for\tfor\tIN\tB-PP\tO' -p78778 -aS'ischemia\tischemia\tNN\tB-NP\tO' -p78779 -aS',\t,\t,\tO\tO' -p78780 -aS'exercise\texercise\tNN\tB-NP\tO' -p78781 -aS'tolerance\ttolerance\tNN\tI-NP\tO' -p78782 -aS'test\ttest\tNN\tI-NP\tO' -p78783 -aS'positive\tpositive\tJJ\tB-NP\tO' -p78784 -aS',\t,\t,\tI-NP\tO' -p78785 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p78786 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p78787 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p78788 -aS',\t,\t,\tO\tO' -p78789 -aS'the\tthe\tDT\tB-NP\tO' -p78790 -aS'patient\tpatient\tNN\tI-NP\tO' -p78791 -aS'is\tbe\tVBZ\tB-VP\tO' -p78792 -aS'now\tnow\tRB\tB-ADVP\tO' -p78793 -aS'status\tstatus\tNN\tB-NP\tO' -p78794 -aS'posta\tposta\tJJ\tI-NP\tO' -p78795 -aS'three-vessel\tthree-vessel\tJJ\tI-NP\tO' -p78796 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p78797 -aS'artery\tartery\tNN\tI-NP\tO' -p78798 -aS'bypass\tbypass\tIN\tB-PP\tO' -p78799 -aS'graft\tgraft\tNN\tB-NP\tO' -p78800 -aS'in\tin\tIN\tB-PP\tO' -p78801 -aS'1987\t1987\tCD\tB-NP\tO' -p78802 -aS')\t)\t)\tO\tO' -p78803 -aS'.\t.\t.\tO\tO' -p78804 -asS'Return to the emergency room if you develop fevers , chills , severe headaches , visual disturbances , nause , vomiting and / or any other symptoms that are concerning to you .' -p78805 -(lp78806 -S'Return\tReturn\tNN\tB-NP\tO' -p78807 -aS'to\tto\tTO\tB-PP\tO' -p78808 -aS'the\tthe\tDT\tB-NP\tO' -p78809 -aS'emergency\temergency\tNN\tI-NP\tO' -p78810 -aS'room\troom\tNN\tI-NP\tO' -p78811 -aS'if\tif\tIN\tB-SBAR\tO' -p78812 -aS'you\tyou\tPRP\tB-NP\tO' -p78813 -aS'develop\tdevelop\tVBP\tB-VP\tO' -p78814 -aS'fevers\tfever\tNNS\tB-NP\tO' -p78815 -aS',\t,\t,\tO\tO' -p78816 -aS'chills\tchill\tNNS\tB-NP\tO' -p78817 -aS',\t,\t,\tO\tO' -p78818 -aS'severe\tsevere\tJJ\tB-NP\tO' -p78819 -aS'headaches\theadache\tNNS\tI-NP\tO' -p78820 -aS',\t,\t,\tO\tO' -p78821 -aS'visual\tvisual\tJJ\tB-NP\tO' -p78822 -aS'disturbances\tdisturbance\tNNS\tI-NP\tO' -p78823 -aS',\t,\t,\tO\tO' -p78824 -aS'nause\tnause\tNN\tB-NP\tO' -p78825 -aS',\t,\t,\tO\tO' -p78826 -aS'vomiting\tvomit\tVBG\tB-VP\tO' -p78827 -aS'and\tand\tCC\tO\tO' -p78828 -aS'/\t/\tSYM\tB-NP\tO' -p78829 -aS'or\tor\tCC\tO\tO' -p78830 -aS'any\tany\tDT\tB-NP\tO' -p78831 -aS'other\tother\tJJ\tI-NP\tO' -p78832 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p78833 -aS'that\tthat\tWDT\tB-NP\tO' -p78834 -aS'are\tbe\tVBP\tB-VP\tO' -p78835 -aS'concerning\tconcern\tVBG\tI-VP\tO' -p78836 -aS'to\tto\tTO\tB-PP\tO' -p78837 -aS'you\tyou\tPRP\tB-NP\tO' -p78838 -aS'.\t.\t.\tO\tO' -p78839 -asS'ESR was greater than 140 .' -p78840 -(lp78841 -S'ESR\tESR\tNN\tB-NP\tB-protein' -p78842 -aS'was\tbe\tVBD\tB-VP\tO' -p78843 -aS'greater\tgreat\tJJR\tB-ADJP\tO' -p78844 -aS'than\tthan\tIN\tB-PP\tO' -p78845 -aS'140\t140\tCD\tB-NP\tO' -p78846 -aS'.\t.\t.\tO\tO' -p78847 -asS'oropharynx benign , poor dental health' -p78848 -(lp78849 -S'oropharynx\toropharynx\tNN\tB-NP\tO' -p78850 -aS'benign\tbenign\tJJ\tI-NP\tO' -p78851 -aS',\t,\t,\tI-NP\tO' -p78852 -aS'poor\tpoor\tJJ\tI-NP\tO' -p78853 -aS'dental\tdental\tJJ\tI-NP\tO' -p78854 -aS'health\thealth\tNN\tI-NP\tO' -p78855 -asS'The patient was initially admitted to the medical service for optimization prior to his coronary artery bypass graft .' -p78856 -(lp78857 -S'The\tThe\tDT\tB-NP\tO' -p78858 -aS'patient\tpatient\tNN\tI-NP\tO' -p78859 -aS'was\tbe\tVBD\tB-VP\tO' -p78860 -aS'initially\tinitially\tRB\tI-VP\tO' -p78861 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p78862 -aS'to\tto\tTO\tB-PP\tO' -p78863 -aS'the\tthe\tDT\tB-NP\tO' -p78864 -aS'medical\tmedical\tJJ\tI-NP\tO' -p78865 -aS'service\tservice\tNN\tI-NP\tO' -p78866 -aS'for\tfor\tIN\tB-PP\tO' -p78867 -aS'optimization\toptimization\tNN\tB-NP\tO' -p78868 -aS'prior\tprior\tJJ\tB-ADVP\tO' -p78869 -aS'to\tto\tTO\tB-PP\tO' -p78870 -aS'his\this\tPRP$\tB-NP\tO' -p78871 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p78872 -aS'artery\tartery\tNN\tI-NP\tO' -p78873 -aS'bypass\tbypass\tIN\tB-PP\tO' -p78874 -aS'graft\tgraft\tNN\tB-NP\tO' -p78875 -aS'.\t.\t.\tO\tO' -p78876 -asS'They have declined a post-mortem examination .' -p78877 -(lp78878 -S'They\tThey\tPRP\tB-NP\tO' -p78879 -aS'have\thave\tVBP\tB-VP\tO' -p78880 -aS'declined\tdecline\tVBN\tI-VP\tO' -p78881 -aS'a\ta\tDT\tB-NP\tO' -p78882 -aS'post-mortem\tpost-mortem\tJJ\tI-NP\tO' -p78883 -aS'examination\texamination\tNN\tI-NP\tO' -p78884 -aS'.\t.\t.\tO\tO' -p78885 -asS'He has passed meconium stool and is voiding with each diaper change .' -p78886 -(lp78887 -S'He\tHe\tPRP\tB-NP\tO' -p78888 -aS'has\thave\tVBZ\tB-VP\tO' -p78889 -aS'passed\tpass\tVBN\tI-VP\tO' -p78890 -aS'meconium\tmeconium\tNN\tB-NP\tO' -p78891 -aS'stool\tstool\tNN\tI-NP\tO' -p78892 -aS'and\tand\tCC\tO\tO' -p78893 -aS'is\tbe\tVBZ\tB-VP\tO' -p78894 -aS'voiding\tvoid\tVBG\tI-VP\tO' -p78895 -aS'with\twith\tIN\tB-PP\tO' -p78896 -aS'each\teach\tDT\tB-NP\tO' -p78897 -aS'diaper\tdiaper\tNN\tI-NP\tO' -p78898 -aS'change\tchange\tNN\tI-NP\tO' -p78899 -aS'.\t.\t.\tO\tO' -p78900 -asS'The rest of her labs were unremarkable .' -p78901 -(lp78902 -S'The\tThe\tDT\tB-NP\tO' -p78903 -aS'rest\trest\tNN\tI-NP\tO' -p78904 -aS'of\tof\tIN\tB-PP\tO' -p78905 -aS'her\ther\tPRP$\tB-NP\tO' -p78906 -aS'labs\tlab\tNNS\tI-NP\tO' -p78907 -aS'were\tbe\tVBD\tB-VP\tO' -p78908 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p78909 -aS'.\t.\t.\tO\tO' -p78910 -asS'Right lower extremity vein harvest site has a moderate amount of ecchymosis at the very distal portion of the incision at the ankle .' -p78911 -(lp78912 -S'Right\tRight\tRB\tB-NP\tO' -p78913 -aS'lower\tlow\tJJR\tI-NP\tO' -p78914 -aS'extremity\textremity\tNN\tI-NP\tB-DNA' -p78915 -aS'vein\tvein\tNN\tI-NP\tI-DNA' -p78916 -aS'harvest\tharvest\tNN\tI-NP\tI-DNA' -p78917 -aS'site\tsite\tNN\tI-NP\tI-DNA' -p78918 -aS'has\thave\tVBZ\tB-VP\tO' -p78919 -aS'a\ta\tDT\tB-NP\tO' -p78920 -aS'moderate\tmoderate\tJJ\tI-NP\tO' -p78921 -aS'amount\tamount\tNN\tI-NP\tO' -p78922 -aS'of\tof\tIN\tB-PP\tO' -p78923 -aS'ecchymosis\tecchymosis\tNN\tB-NP\tO' -p78924 -aS'at\tat\tIN\tB-PP\tO' -p78925 -aS'the\tthe\tDT\tB-NP\tO' -p78926 -aS'very\tvery\tRB\tI-NP\tO' -p78927 -aS'distal\tdistal\tJJ\tI-NP\tO' -p78928 -aS'portion\tportion\tNN\tI-NP\tO' -p78929 -aS'of\tof\tIN\tB-PP\tO' -p78930 -aS'the\tthe\tDT\tB-NP\tO' -p78931 -aS'incision\tincision\tNN\tI-NP\tO' -p78932 -aS'at\tat\tIN\tB-PP\tO' -p78933 -aS'the\tthe\tDT\tB-NP\tO' -p78934 -aS'ankle\tankle\tNN\tI-NP\tO' -p78935 -aS'.\t.\t.\tO\tO' -p78936 -asS'Slightly cool , 3-4+ edema bilaterally .' -p78937 -(lp78938 -S'Slightly\tSlightly\tRB\tB-NP\tO' -p78939 -aS'cool\tcool\tJJ\tI-NP\tO' -p78940 -aS',\t,\t,\tI-NP\tO' -p78941 -aS'3-4+\t3-4+\tJJ\tI-NP\tO' -p78942 -aS'edema\tedema\tNN\tI-NP\tO' -p78943 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p78944 -aS'.\t.\t.\tO\tO' -p78945 -asS'7. Chronic anemia .' -p78946 -(lp78947 -S'7.\t7.\tLS\tB-NP\tO' -p78948 -aS'Chronic\tChronic\tJJ\tI-NP\tO' -p78949 -aS'anemia\tanemia\tNN\tI-NP\tO' -p78950 -aS'.\t.\t.\tO\tO' -p78951 -asS'Lungs clear .' -p78952 -(lp78953 -S'Lungs\tLung\tNNS\tB-NP\tO' -p78954 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p78955 -aS'.\t.\t.\tO\tO' -p78956 -asS'Rupture of membranes at time of delivery .' -p78957 -(lp78958 -S'Rupture\tRupture\tNN\tB-NP\tO' -p78959 -aS'of\tof\tIN\tB-PP\tO' -p78960 -aS'membranes\tmembrane\tNNS\tB-NP\tO' -p78961 -aS'at\tat\tIN\tB-PP\tO' -p78962 -aS'time\ttime\tNN\tB-NP\tO' -p78963 -aS'of\tof\tIN\tB-PP\tO' -p78964 -aS'delivery\tdelivery\tNN\tB-NP\tO' -p78965 -aS'.\t.\t.\tO\tO' -p78966 -asS'Hyponatremia .' -p78967 -(lp78968 -S'Hyponatremia\tHyponatremia\tNN\tB-NP\tO' -p78969 -aS'.\t.\t.\tO\tO' -p78970 -asS'She also developed Klebsiella UTI after the second cycle of high dose chemotherapy .' -p78971 -(lp78972 -S'She\tShe\tPRP\tB-NP\tO' -p78973 -aS'also\talso\tRB\tB-ADVP\tO' -p78974 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p78975 -aS'Klebsiella\tKlebsiella\tNNP\tB-NP\tO' -p78976 -aS'UTI\tUTI\tNNP\tI-NP\tO' -p78977 -aS'after\tafter\tIN\tB-PP\tO' -p78978 -aS'the\tthe\tDT\tB-NP\tO' -p78979 -aS'second\tsecond\tJJ\tI-NP\tO' -p78980 -aS'cycle\tcycle\tNN\tI-NP\tO' -p78981 -aS'of\tof\tIN\tB-PP\tO' -p78982 -aS'high\thigh\tJJ\tB-NP\tO' -p78983 -aS'dose\tdose\tNN\tI-NP\tO' -p78984 -aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' -p78985 -aS'.\t.\t.\tO\tO' -p78986 -asS'This was sensitive to Clindamycin , Erythromycin , penicillin S and Vancomycin .' -p78987 -(lp78988 -S'This\tThis\tDT\tB-NP\tO' -p78989 -aS'was\tbe\tVBD\tB-VP\tO' -p78990 -aS'sensitive\tsensitive\tJJ\tB-ADJP\tO' -p78991 -aS'to\tto\tTO\tB-PP\tO' -p78992 -aS'Clindamycin\tClindamycin\tNN\tB-NP\tO' -p78993 -aS',\t,\t,\tO\tO' -p78994 -aS'Erythromycin\tErythromycin\tNN\tB-NP\tO' -p78995 -aS',\t,\t,\tO\tO' -p78996 -aS'penicillin\tpenicillin\tNN\tB-NP\tO' -p78997 -aS'S\tS\tNN\tI-NP\tO' -p78998 -aS'and\tand\tCC\tI-NP\tO' -p78999 -aS'Vancomycin\tVancomycin\tNN\tI-NP\tO' -p79000 -aS'.\t.\t.\tO\tO' -p79001 -asS'Extremities revealed trace lower extremity edema , right greater than left , 2+ dorsalis pedis and posterior tibialis pulses .' -p79002 -(lp79003 -S'Extremities\tExtremity\tNNS\tB-NP\tO' -p79004 -aS'revealed\treveal\tVBD\tB-VP\tO' -p79005 -aS'trace\ttrace\tNN\tB-NP\tO' -p79006 -aS'lower\tlow\tJJR\tI-NP\tO' -p79007 -aS'extremity\textremity\tNN\tI-NP\tO' -p79008 -aS'edema\tedema\tNN\tI-NP\tO' -p79009 -aS',\t,\t,\tO\tO' -p79010 -aS'right\tright\tRB\tB-ADVP\tO' -p79011 -aS'greater\tgreat\tJJR\tI-ADVP\tO' -p79012 -aS'than\tthan\tIN\tB-PP\tO' -p79013 -aS'left\tleft\tJJ\tB-NP\tO' -p79014 -aS',\t,\t,\tI-NP\tO' -p79015 -aS'2+\t2+\tJJ\tI-NP\tO' -p79016 -aS'dorsalis\tdorsalis\tNN\tI-NP\tO' -p79017 -aS'pedis\tpedis\tNN\tI-NP\tO' -p79018 -aS'and\tand\tCC\tO\tO' -p79019 -aS'posterior\tposterior\tJJ\tB-NP\tO' -p79020 -aS'tibialis\ttibialis\tNN\tI-NP\tO' -p79021 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p79022 -aS'.\t.\t.\tO\tO' -p79023 -asS'She had no prior significant cardiac history and presented to her local medical doctor 's office with an episode of severe retrosternal chest pain .' -p79024 -(lp79025 -S'She\tShe\tPRP\tB-NP\tO' -p79026 -aS'had\thave\tVBD\tB-VP\tO' -p79027 -aS'no\tno\tDT\tB-NP\tO' -p79028 -aS'prior\tprior\tJJ\tI-NP\tO' -p79029 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p79030 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p79031 -aS'history\thistory\tNN\tI-NP\tO' -p79032 -aS'and\tand\tCC\tO\tO' -p79033 -aS'presented\tpresent\tVBN\tB-VP\tO' -p79034 -aS'to\tto\tTO\tB-PP\tO' -p79035 -aS'her\ther\tPRP$\tB-NP\tO' -p79036 -aS'local\tlocal\tJJ\tI-NP\tO' -p79037 -aS'medical\tmedical\tJJ\tI-NP\tO' -p79038 -aS'doctor\tdoctor\tNN\tI-NP\tO' -p79039 -aS''s\t'\tNNS\tI-NP\tO' -p79040 -aS'office\toffice\tNN\tI-NP\tO' -p79041 -aS'with\twith\tIN\tB-PP\tO' -p79042 -aS'an\tan\tDT\tB-NP\tO' -p79043 -aS'episode\tepisode\tNN\tI-NP\tO' -p79044 -aS'of\tof\tIN\tB-PP\tO' -p79045 -aS'severe\tsevere\tJJ\tB-NP\tO' -p79046 -aS'retrosternal\tretrosternal\tJJ\tI-NP\tO' -p79047 -aS'chest\tchest\tNN\tI-NP\tO' -p79048 -aS'pain\tpain\tNN\tI-NP\tO' -p79049 -aS'.\t.\t.\tO\tO' -p79050 -asS'standing pre-meal novolog .' -p79051 -(lp79052 -S'standing\tstand\tVBG\tB-VP\tO' -p79053 -aS'pre-meal\tpre-meal\tJJ\tB-NP\tO' -p79054 -aS'novolog\tnovolog\tNN\tI-NP\tO' -p79055 -aS'.\t.\t.\tO\tO' -p79056 -asS'White blood cell count was 40,000 with left shift .' -p79057 -(lp79058 -S'White\tWhite\tJJ\tB-NP\tO' -p79059 -aS'blood\tblood\tNN\tI-NP\tO' -p79060 -aS'cell\tcell\tNN\tI-NP\tO' -p79061 -aS'count\tcount\tNN\tI-NP\tO' -p79062 -aS'was\tbe\tVBD\tB-VP\tO' -p79063 -aS'40,000\t40,000\tCD\tB-NP\tO' -p79064 -aS'with\twith\tIN\tB-PP\tO' -p79065 -aS'left\tleft\tJJ\tB-NP\tO' -p79066 -aS'shift\tshift\tNN\tI-NP\tO' -p79067 -aS'.\t.\t.\tO\tO' -p79068 -asS'her O2 requirement by discharge was 96% on room air with no SOB .' -p79069 -(lp79070 -S'her\ther\tPRP$\tB-NP\tO' -p79071 -aS'O2\tO2\tNN\tI-NP\tO' -p79072 -aS'requirement\trequirement\tNN\tI-NP\tO' -p79073 -aS'by\tby\tIN\tB-PP\tO' -p79074 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p79075 -aS'was\tbe\tVBD\tB-VP\tO' -p79076 -aS'96%\t96%\tCD\tB-NP\tO' -p79077 -aS'on\ton\tIN\tB-PP\tO' -p79078 -aS'room\troom\tNN\tB-NP\tO' -p79079 -aS'air\tair\tNN\tI-NP\tO' -p79080 -aS'with\twith\tIN\tB-PP\tO' -p79081 -aS'no\tno\tDT\tB-NP\tO' -p79082 -aS'SOB\tSOB\tNN\tI-NP\tB-protein' -p79083 -aS'.\t.\t.\tO\tO' -p79084 -asS'5. Chronic constipation from laxative abuse .' -p79085 -(lp79086 -S'5.\t5.\tLS\tB-NP\tO' -p79087 -aS'Chronic\tChronic\tJJ\tI-NP\tO' -p79088 -aS'constipation\tconstipation\tNN\tI-NP\tO' -p79089 -aS'from\tfrom\tIN\tB-PP\tO' -p79090 -aS'laxative\tlaxative\tJJ\tB-NP\tO' -p79091 -aS'abuse\tabuse\tNN\tI-NP\tO' -p79092 -aS'.\t.\t.\tO\tO' -p79093 -asS'The aortic root is mildly dilated .' -p79094 -(lp79095 -S'The\tThe\tDT\tB-NP\tO' -p79096 -aS'aortic\taortic\tJJ\tI-NP\tO' -p79097 -aS'root\troot\tNN\tI-NP\tO' -p79098 -aS'is\tbe\tVBZ\tB-VP\tO' -p79099 -aS'mildly\tmildly\tRB\tI-VP\tO' -p79100 -aS'dilated\tdilate\tVBN\tI-VP\tO' -p79101 -aS'.\t.\t.\tO\tO' -p79102 -asS'9. Minoxidil 10 mg twice a day .' -p79103 -(lp79104 -S'9.\t9.\tCD\tB-NP\tO' -p79105 -aS'Minoxidil\tMinoxidil\tNN\tI-NP\tO' -p79106 -aS'10\t10\tCD\tB-NP\tO' -p79107 -aS'mg\tmg\tNN\tI-NP\tO' -p79108 -aS'twice\ttwice\tRB\tB-NP\tO' -p79109 -aS'a\ta\tDT\tI-NP\tO' -p79110 -aS'day\tday\tNN\tI-NP\tO' -p79111 -aS'.\t.\t.\tO\tO' -p79112 -asS'regular rate and rhythm , jugular venous pressure was normal , no carotid bruit was noted ; murmur , rub , gallop , click and ectopy were absent .' -p79113 -(lp79114 -S'regular\tregular\tJJ\tB-NP\tO' -p79115 -aS'rate\trate\tNN\tI-NP\tO' -p79116 -aS'and\tand\tCC\tI-NP\tO' -p79117 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p79118 -aS',\t,\t,\tO\tO' -p79119 -aS'jugular\tjugular\tJJ\tB-NP\tO' -p79120 -aS'venous\tvenous\tJJ\tI-NP\tO' -p79121 -aS'pressure\tpressure\tNN\tI-NP\tO' -p79122 -aS'was\tbe\tVBD\tB-VP\tO' -p79123 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p79124 -aS',\t,\t,\tO\tO' -p79125 -aS'no\tno\tDT\tB-NP\tO' -p79126 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p79127 -aS'bruit\tbruit\tNN\tI-NP\tO' -p79128 -aS'was\tbe\tVBD\tB-VP\tO' -p79129 -aS'noted\tnote\tVBN\tI-VP\tO' -p79130 -aS';\t;\t:\tO\tO' -p79131 -aS'murmur\tmurmur\tNN\tB-NP\tO' -p79132 -aS',\t,\t,\tI-NP\tO' -p79133 -aS'rub\trub\tNN\tI-NP\tB-protein' -p79134 -aS',\t,\t,\tI-NP\tO' -p79135 -aS'gallop\tgallop\tNN\tI-NP\tO' -p79136 -aS',\t,\t,\tI-NP\tO' -p79137 -aS'click\tclick\tNN\tI-NP\tO' -p79138 -aS'and\tand\tCC\tI-NP\tO' -p79139 -aS'ectopy\tectopy\tNN\tI-NP\tO' -p79140 -aS'were\tbe\tVBD\tB-VP\tO' -p79141 -aS'absent\tabsent\tJJ\tB-ADJP\tO' -p79142 -aS'.\t.\t.\tO\tO' -p79143 -asS'Mild degree of instability at level C3-C4 as described .' -p79144 -(lp79145 -S'Mild\tMild\tJJ\tB-NP\tO' -p79146 -aS'degree\tdegree\tNN\tI-NP\tO' -p79147 -aS'of\tof\tIN\tB-PP\tO' -p79148 -aS'instability\tinstability\tNN\tB-NP\tO' -p79149 -aS'at\tat\tIN\tB-PP\tO' -p79150 -aS'level\tlevel\tNN\tB-NP\tO' -p79151 -aS'C3-C4\tC3-C4\tNN\tI-NP\tO' -p79152 -aS'as\tas\tIN\tB-SBAR\tO' -p79153 -aS'described\tdescribe\tVBN\tB-VP\tO' -p79154 -aS'.\t.\t.\tO\tO' -p79155 -asS'The patient was referred to for Vascular consultation because of the ulcerations and pain and scheduled for a lower' -p79156 -(lp79157 -S'The\tThe\tDT\tB-NP\tO' -p79158 -aS'patient\tpatient\tNN\tI-NP\tO' -p79159 -aS'was\tbe\tVBD\tB-VP\tO' -p79160 -aS'referred\trefer\tVBN\tI-VP\tO' -p79161 -aS'to\tto\tTO\tB-PP\tO' -p79162 -aS'for\tfor\tIN\tB-PP\tO' -p79163 -aS'Vascular\tVascular\tJJ\tB-NP\tO' -p79164 -aS'consultation\tconsultation\tNN\tI-NP\tO' -p79165 -aS'because\tbecause\tIN\tB-PP\tO' -p79166 -aS'of\tof\tIN\tI-PP\tO' -p79167 -aS'the\tthe\tDT\tB-NP\tO' -p79168 -aS'ulcerations\tulceration\tNNS\tI-NP\tO' -p79169 -aS'and\tand\tCC\tI-NP\tO' -p79170 -aS'pain\tpain\tNN\tI-NP\tO' -p79171 -aS'and\tand\tCC\tO\tO' -p79172 -aS'scheduled\tschedule\tVBN\tB-VP\tO' -p79173 -aS'for\tfor\tIN\tB-PP\tO' -p79174 -aS'a\ta\tDT\tB-NP\tO' -p79175 -aS'lower\tlow\tJJR\tI-NP\tO' -p79176 -asS'A cachectic white female .' -p79177 -(lp79178 -S'A\tA\tDT\tB-NP\tO' -p79179 -aS'cachectic\tcachectic\tJJ\tI-NP\tO' -p79180 -aS'white\twhite\tJJ\tI-NP\tO' -p79181 -aS'female\tfemale\tNN\tI-NP\tO' -p79182 -aS'.\t.\t.\tO\tO' -p79183 -asS'normocephalic , atraumatic , anicteric .' -p79184 -(lp79185 -S'normocephalic\tnormocephalic\tJJ\tB-NP\tO' -p79186 -aS',\t,\t,\tI-NP\tO' -p79187 -aS'atraumatic\tatraumatic\tJJ\tI-NP\tO' -p79188 -aS',\t,\t,\tI-NP\tO' -p79189 -aS'anicteric\tanicteric\tJJ\tI-NP\tO' -p79190 -aS'.\t.\t.\tO\tO' -p79191 -asS'Doppler : Full doppler and color doppler' -p79192 -(lp79193 -S'Doppler\tDoppler\tNNP\tB-NP\tO' -p79194 -aS':\t:\t:\tO\tO' -p79195 -aS'Full\tFull\tJJ\tB-NP\tO' -p79196 -aS'doppler\tdoppler\tNN\tI-NP\tO' -p79197 -aS'and\tand\tCC\tI-NP\tO' -p79198 -aS'color\tcolor\tNN\tI-NP\tO' -p79199 -aS'doppler\tdoppler\tNN\tI-NP\tO' -p79200 -asS'nuchal cord , x 1- reduced prior to delivery .' -p79201 -(lp79202 -S'nuchal\tnuchal\tJJ\tB-NP\tO' -p79203 -aS'cord\tcord\tNN\tI-NP\tO' -p79204 -aS',\t,\t,\tO\tO' -p79205 -aS'x\tx\tNN\tB-NP\tO' -p79206 -aS'1-\t1-\tNN\tI-NP\tO' -p79207 -aS'reduced\treduce\tVBD\tB-VP\tO' -p79208 -aS'prior\tprior\tRB\tB-ADVP\tO' -p79209 -aS'to\tto\tTO\tB-PP\tO' -p79210 -aS'delivery\tdelivery\tNN\tB-NP\tO' -p79211 -aS'.\t.\t.\tO\tO' -p79212 -asS'There was severe diffuse peritonitis with intense inflammation , infection , and patchy necrosis of peritoneal surfaces and of the distal pancreas .' -p79213 -(lp79214 -S'There\tThere\tEX\tB-NP\tO' -p79215 -aS'was\tbe\tVBD\tB-VP\tO' -p79216 -aS'severe\tsevere\tJJ\tB-NP\tO' -p79217 -aS'diffuse\tdiffuse\tJJ\tI-NP\tO' -p79218 -aS'peritonitis\tperitonitis\tNN\tI-NP\tO' -p79219 -aS'with\twith\tIN\tB-PP\tO' -p79220 -aS'intense\tintense\tJJ\tB-NP\tO' -p79221 -aS'inflammation\tinflammation\tNN\tI-NP\tO' -p79222 -aS',\t,\t,\tO\tO' -p79223 -aS'infection\tinfection\tNN\tB-NP\tO' -p79224 -aS',\t,\t,\tO\tO' -p79225 -aS'and\tand\tCC\tO\tO' -p79226 -aS'patchy\tpatchy\tJJ\tB-NP\tO' -p79227 -aS'necrosis\tnecrosis\tNN\tI-NP\tO' -p79228 -aS'of\tof\tIN\tB-PP\tO' -p79229 -aS'peritoneal\tperitoneal\tJJ\tB-NP\tO' -p79230 -aS'surfaces\tsurface\tNNS\tI-NP\tO' -p79231 -aS'and\tand\tCC\tB-PP\tO' -p79232 -aS'of\tof\tIN\tB-PP\tO' -p79233 -aS'the\tthe\tDT\tB-NP\tO' -p79234 -aS'distal\tdistal\tJJ\tI-NP\tO' -p79235 -aS'pancreas\tpancreas\tNN\tI-NP\tO' -p79236 -aS'.\t.\t.\tO\tO' -p79237 -asS'Temperature 99.2 .' -p79238 -(lp79239 -S'Temperature\tTemperature\tNN\tB-NP\tO' -p79240 -aS'99.2\t99.2\tCD\tI-NP\tO' -p79241 -aS'.\t.\t.\tO\tO' -p79242 -asS'No further infectious course was identified and the fevers may have been due to underlying malignant process .' -p79243 -(lp79244 -S'No\tNo\tDT\tB-NP\tO' -p79245 -aS'further\tfurther\tJJ\tI-NP\tO' -p79246 -aS'infectious\tinfectious\tJJ\tI-NP\tO' -p79247 -aS'course\tcourse\tNN\tI-NP\tO' -p79248 -aS'was\tbe\tVBD\tB-VP\tO' -p79249 -aS'identified\tidentify\tVBN\tI-VP\tO' -p79250 -aS'and\tand\tCC\tO\tO' -p79251 -aS'the\tthe\tDT\tB-NP\tO' -p79252 -aS'fevers\tfever\tNNS\tI-NP\tO' -p79253 -aS'may\tmay\tMD\tB-VP\tO' -p79254 -aS'have\thave\tVB\tI-VP\tO' -p79255 -aS'been\tbe\tVBN\tI-VP\tO' -p79256 -aS'due\tdue\tJJ\tB-ADJP\tO' -p79257 -aS'to\tto\tTO\tB-PP\tO' -p79258 -aS'underlying\tunderlie\tVBG\tB-VP\tO' -p79259 -aS'malignant\tmalignant\tJJ\tB-NP\tO' -p79260 -aS'process\tprocess\tNN\tI-NP\tO' -p79261 -aS'.\t.\t.\tO\tO' -p79262 -asS'She is active at baseline , participating in cardiac rehab for 2 hrs / week and running up and down stairs at home without CP / SOB .' -p79263 -(lp79264 -S'She\tShe\tPRP\tB-NP\tO' -p79265 -aS'is\tbe\tVBZ\tB-VP\tO' -p79266 -aS'active\tactive\tJJ\tB-ADJP\tO' -p79267 -aS'at\tat\tIN\tB-PP\tO' -p79268 -aS'baseline\tbaseline\tNN\tB-NP\tO' -p79269 -aS',\t,\t,\tO\tO' -p79270 -aS'participating\tparticipate\tVBG\tB-VP\tO' -p79271 -aS'in\tin\tIN\tB-PP\tO' -p79272 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p79273 -aS'rehab\trehab\tNN\tI-NP\tO' -p79274 -aS'for\tfor\tIN\tB-PP\tO' -p79275 -aS'2\t2\tCD\tB-NP\tO' -p79276 -aS'hrs\thr\tNNS\tI-NP\tO' -p79277 -aS'/\t/\tSYM\tB-NP\tO' -p79278 -aS'week\tweek\tNN\tI-NP\tO' -p79279 -aS'and\tand\tCC\tO\tO' -p79280 -aS'running\trun\tVBG\tB-VP\tO' -p79281 -aS'up\tup\tRB\tB-ADVP\tO' -p79282 -aS'and\tand\tCC\tI-ADVP\tO' -p79283 -aS'down\tdown\tRB\tI-ADVP\tO' -p79284 -aS'stairs\tstair\tNNS\tB-NP\tO' -p79285 -aS'at\tat\tIN\tB-PP\tO' -p79286 -aS'home\thome\tNN\tB-NP\tO' -p79287 -aS'without\twithout\tIN\tB-PP\tO' -p79288 -aS'CP\tCP\tNN\tB-NP\tB-protein' -p79289 -aS'/\t/\tSYM\tB-NP\tI-protein' -p79290 -aS'SOB\tSOB\tNN\tI-NP\tI-protein' -p79291 -aS'.\t.\t.\tO\tO' -p79292 -asS'Continue Sliding scale insulin as needed .' -p79293 -(lp79294 -S'Continue\tContinue\tIN\tB-PP\tO' -p79295 -aS'Sliding\tSlide\tVBG\tB-VP\tO' -p79296 -aS'scale\tscale\tNN\tB-NP\tO' -p79297 -aS'insulin\tinsulin\tNN\tI-NP\tO' -p79298 -aS'as\tas\tIN\tB-SBAR\tO' -p79299 -aS'needed\tneed\tVBN\tB-VP\tO' -p79300 -aS'.\t.\t.\tO\tO' -p79301 -asS'Residual deficits include right side facial droop from previous stroke and moderately severe dysarthria and anterior aphasia with word finding difficulties .' -p79302 -(lp79303 -S'Residual\tResidual\tJJ\tB-NP\tO' -p79304 -aS'deficits\tdeficit\tNNS\tI-NP\tO' -p79305 -aS'include\tinclude\tVBP\tB-VP\tO' -p79306 -aS'right\tright\tJJ\tB-NP\tO' -p79307 -aS'side\tside\tNN\tI-NP\tO' -p79308 -aS'facial\tfacial\tJJ\tI-NP\tO' -p79309 -aS'droop\tdroop\tNN\tI-NP\tO' -p79310 -aS'from\tfrom\tIN\tB-PP\tO' -p79311 -aS'previous\tprevious\tJJ\tB-NP\tO' -p79312 -aS'stroke\tstroke\tNN\tI-NP\tO' -p79313 -aS'and\tand\tCC\tO\tO' -p79314 -aS'moderately\tmoderately\tRB\tB-NP\tO' -p79315 -aS'severe\tsevere\tJJ\tI-NP\tO' -p79316 -aS'dysarthria\tdysarthria\tNN\tI-NP\tO' -p79317 -aS'and\tand\tCC\tO\tO' -p79318 -aS'anterior\tanterior\tJJ\tB-NP\tO' -p79319 -aS'aphasia\taphasia\tNN\tI-NP\tO' -p79320 -aS'with\twith\tIN\tB-PP\tO' -p79321 -aS'word\tword\tNN\tB-NP\tO' -p79322 -aS'finding\tfind\tVBG\tB-VP\tO' -p79323 -aS'difficulties\tdifficulty\tNNS\tB-NP\tO' -p79324 -aS'.\t.\t.\tO\tO' -p79325 -asS'SHE WILL FOLLOW UP WITH DR. Karen IN 1 WEEK .' -p79326 -(lp79327 -S'SHE\tSHE\tNNP\tB-NP\tO' -p79328 -aS'WILL\tWILL\tNNP\tI-NP\tO' -p79329 -aS'FOLLOW\tFOLLOW\tNNP\tI-NP\tO' -p79330 -aS'UP\tUP\tNNP\tI-NP\tO' -p79331 -aS'WITH\tWITH\tNNP\tI-NP\tO' -p79332 -aS'DR.\tDR.\tNNP\tI-NP\tO' -p79333 -aS'Karen\tKaren\tNNP\tI-NP\tO' -p79334 -aS'IN\tIN\tNNP\tI-NP\tO' -p79335 -aS'1\t1\tCD\tI-NP\tO' -p79336 -aS'WEEK\tWEEK\tNN\tI-NP\tO' -p79337 -aS'.\t.\t.\tO\tO' -p79338 -asS"The patient 's epicardial pacing wires were removed without incident and the patient was cleared for discharge to home ." -p79339 -(lp79340 -S'The\tThe\tDT\tB-NP\tO' -p79341 -aS'patient\tpatient\tNN\tI-NP\tO' -p79342 -aS"'s\t's\tPOS\tB-NP\tO" -p79343 -aS'epicardial\tepicardial\tJJ\tI-NP\tO' -p79344 -aS'pacing\tpacing\tNN\tI-NP\tO' -p79345 -aS'wires\twire\tNNS\tI-NP\tO' -p79346 -aS'were\tbe\tVBD\tB-VP\tO' -p79347 -aS'removed\tremove\tVBN\tI-VP\tO' -p79348 -aS'without\twithout\tIN\tB-PP\tO' -p79349 -aS'incident\tincident\tNN\tB-NP\tO' -p79350 -aS'and\tand\tCC\tO\tO' -p79351 -aS'the\tthe\tDT\tB-NP\tO' -p79352 -aS'patient\tpatient\tNN\tI-NP\tO' -p79353 -aS'was\tbe\tVBD\tB-VP\tO' -p79354 -aS'cleared\tclear\tVBN\tI-VP\tO' -p79355 -aS'for\tfor\tIN\tB-PP\tO' -p79356 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p79357 -aS'to\tto\tTO\tB-PP\tO' -p79358 -aS'home\thome\tNN\tB-NP\tO' -p79359 -aS'.\t.\t.\tO\tO' -p79360 -asS'Abdomen : soft , nontender , normoactive bowel sounds' -p79361 -(lp79362 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p79363 -aS':\t:\t:\tO\tO' -p79364 -aS'soft\tsoft\tJJ\tB-NP\tO' -p79365 -aS',\t,\t,\tI-NP\tO' -p79366 -aS'nontender\tnontender\tJJ\tI-NP\tO' -p79367 -aS',\t,\t,\tI-NP\tO' -p79368 -aS'normoactive\tnormoactive\tJJ\tI-NP\tO' -p79369 -aS'bowel\tbowel\tNN\tI-NP\tO' -p79370 -aS'sounds\tsound\tNNS\tI-NP\tO' -p79371 -asS'Medications : Resume your home medications .' -p79372 -(lp79373 -S'Medications\tMedication\tNNS\tB-NP\tO' -p79374 -aS':\t:\t:\tO\tO' -p79375 -aS'Resume\tResume\tVB\tB-VP\tO' -p79376 -aS'your\tyour\tPRP$\tB-NP\tO' -p79377 -aS'home\thome\tNN\tI-NP\tO' -p79378 -aS'medications\tmedication\tNNS\tI-NP\tO' -p79379 -aS'.\t.\t.\tO\tO' -p79380 -asS'01-23 PORT line removal .' -p79381 -(lp79382 -S'01-23\t01-23\tCD\tB-NP\tO' -p79383 -aS'PORT\tPORT\tNN\tI-NP\tO' -p79384 -aS'line\tline\tNN\tI-NP\tO' -p79385 -aS'removal\tremoval\tNN\tI-NP\tO' -p79386 -aS'.\t.\t.\tO\tO' -p79387 -asS'Last nutrition labs were on 06-20 with AP of 208 , Ca 10.8 , and Phos 7.4.' -p79388 -(lp79389 -S'Last\tLast\tJJ\tB-NP\tB-protein' -p79390 -aS'nutrition\tnutrition\tNN\tI-NP\tI-protein' -p79391 -aS'labs\tlab\tNNS\tI-NP\tI-protein' -p79392 -aS'were\tbe\tVBD\tB-VP\tO' -p79393 -aS'on\ton\tIN\tB-PP\tO' -p79394 -aS'06-20\t06-20\tCD\tB-NP\tO' -p79395 -aS'with\twith\tIN\tB-PP\tO' -p79396 -aS'AP\tAP\tNN\tB-NP\tO' -p79397 -aS'of\tof\tIN\tB-PP\tO' -p79398 -aS'208\t208\tCD\tB-NP\tO' -p79399 -aS',\t,\t,\tO\tO' -p79400 -aS'Ca\tCa\tNNP\tB-NP\tO' -p79401 -aS'10.8\t10.8\tCD\tI-NP\tO' -p79402 -aS',\t,\t,\tO\tO' -p79403 -aS'and\tand\tCC\tO\tO' -p79404 -aS'Phos\tPhos\tNNP\tB-NP\tO' -p79405 -aS'7.4.\t7.4.\tCD\tI-NP\tO' -p79406 -asS'He had plasmapheresis on 08-11 , followed by 10 mg IVIG .' -p79407 -(lp79408 -S'He\tHe\tPRP\tB-NP\tO' -p79409 -aS'had\thave\tVBD\tB-VP\tO' -p79410 -aS'plasmapheresis\tplasmapheresis\tNN\tB-NP\tO' -p79411 -aS'on\ton\tIN\tB-PP\tO' -p79412 -aS'08-11\t08-11\tNN\tB-NP\tO' -p79413 -aS',\t,\t,\tO\tO' -p79414 -aS'followed\tfollow\tVBN\tB-VP\tO' -p79415 -aS'by\tby\tIN\tB-PP\tO' -p79416 -aS'10\t10\tCD\tB-NP\tO' -p79417 -aS'mg\tmg\tNN\tI-NP\tO' -p79418 -aS'IVIG\tIVIG\tNN\tI-NP\tO' -p79419 -aS'.\t.\t.\tO\tO' -p79420 -asS'He has two sisters , one with diabetes , and six brothers , one with diabetes .' -p79421 -(lp79422 -S'He\tHe\tPRP\tB-NP\tO' -p79423 -aS'has\thave\tVBZ\tB-VP\tO' -p79424 -aS'two\ttwo\tCD\tB-NP\tO' -p79425 -aS'sisters\tsister\tNNS\tI-NP\tO' -p79426 -aS',\t,\t,\tO\tO' -p79427 -aS'one\tone\tCD\tB-NP\tO' -p79428 -aS'with\twith\tIN\tB-PP\tO' -p79429 -aS'diabetes\tdiabetes\tNN\tB-NP\tO' -p79430 -aS',\t,\t,\tO\tO' -p79431 -aS'and\tand\tCC\tO\tO' -p79432 -aS'six\tsix\tCD\tB-NP\tO' -p79433 -aS'brothers\tbrother\tNNS\tI-NP\tO' -p79434 -aS',\t,\t,\tO\tO' -p79435 -aS'one\tone\tCD\tB-NP\tO' -p79436 -aS'with\twith\tIN\tB-PP\tO' -p79437 -aS'diabetes\tdiabetes\tNN\tB-NP\tO' -p79438 -aS'.\t.\t.\tO\tO' -p79439 -asS'She is also a little dry .' -p79440 -(lp79441 -S'She\tShe\tPRP\tB-NP\tO' -p79442 -aS'is\tbe\tVBZ\tB-VP\tO' -p79443 -aS'also\talso\tRB\tB-ADVP\tO' -p79444 -aS'a\ta\tDT\tB-NP\tO' -p79445 -aS'little\tlittle\tJJ\tI-NP\tO' -p79446 -aS'dry\tdry\tNN\tI-NP\tO' -p79447 -aS'.\t.\t.\tO\tO' -p79448 -asS'2. Left renal stones without evidence of hydronephrosis .' -p79449 -(lp79450 -S'2.\t2.\tLS\tB-LST\tO' -p79451 -aS'Left\tLeave\tVBD\tB-VP\tO' -p79452 -aS'renal\trenal\tJJ\tB-NP\tO' -p79453 -aS'stones\tstone\tNNS\tI-NP\tO' -p79454 -aS'without\twithout\tIN\tB-PP\tO' -p79455 -aS'evidence\tevidence\tNN\tB-NP\tO' -p79456 -aS'of\tof\tIN\tB-PP\tO' -p79457 -aS'hydronephrosis\thydronephrosis\tNN\tB-NP\tO' -p79458 -aS'.\t.\t.\tO\tO' -p79459 -asS'Her husband died of lung cancer .' -p79460 -(lp79461 -S'Her\tHer\tPRP$\tB-NP\tO' -p79462 -aS'husband\thusband\tNN\tI-NP\tO' -p79463 -aS'died\tdie\tVBD\tB-VP\tO' -p79464 -aS'of\tof\tIN\tB-PP\tO' -p79465 -aS'lung\tlung\tNN\tB-NP\tO' -p79466 -aS'cancer\tcancer\tNN\tI-NP\tO' -p79467 -aS'.\t.\t.\tO\tO' -p79468 -asS'Soft , nondistended , nontender .' -p79469 -(lp79470 -S'Soft\tSoft\tRB\tB-ADVP\tO' -p79471 -aS',\t,\t,\tO\tO' -p79472 -aS'nondistended\tnondistended\tJJ\tB-NP\tO' -p79473 -aS',\t,\t,\tI-NP\tO' -p79474 -aS'nontender\tnontender\tJJ\tI-NP\tO' -p79475 -aS'.\t.\t.\tO\tO' -p79476 -asS'On 03-27 , pt was noted to have depressed mental status off all sedating medications ; mental status improved over the course of the day .' -p79477 -(lp79478 -S'On\tOn\tIN\tB-PP\tO' -p79479 -aS'03-27\t03-27\tCD\tB-NP\tO' -p79480 -aS',\t,\t,\tO\tO' -p79481 -aS'pt\tpt\tNN\tB-NP\tO' -p79482 -aS'was\tbe\tVBD\tB-VP\tO' -p79483 -aS'noted\tnote\tVBN\tI-VP\tO' -p79484 -aS'to\tto\tTO\tI-VP\tO' -p79485 -aS'have\thave\tVB\tI-VP\tO' -p79486 -aS'depressed\tdepress\tVBN\tI-VP\tO' -p79487 -aS'mental\tmental\tJJ\tB-NP\tO' -p79488 -aS'status\tstatus\tNN\tI-NP\tO' -p79489 -aS'off\toff\tIN\tB-PP\tO' -p79490 -aS'all\tall\tDT\tB-NP\tO' -p79491 -aS'sedating\tsedate\tVBG\tI-NP\tO' -p79492 -aS'medications\tmedication\tNNS\tI-NP\tO' -p79493 -aS';\t;\t:\tO\tO' -p79494 -aS'mental\tmental\tJJ\tB-NP\tO' -p79495 -aS'status\tstatus\tNN\tI-NP\tO' -p79496 -aS'improved\timprove\tVBD\tB-VP\tO' -p79497 -aS'over\tover\tIN\tB-PP\tO' -p79498 -aS'the\tthe\tDT\tB-NP\tO' -p79499 -aS'course\tcourse\tNN\tI-NP\tO' -p79500 -aS'of\tof\tIN\tB-PP\tO' -p79501 -aS'the\tthe\tDT\tB-NP\tO' -p79502 -aS'day\tday\tNN\tI-NP\tO' -p79503 -aS'.\t.\t.\tO\tO' -p79504 -asS'Pt now breathing more comfortably .' -p79505 -(lp79506 -S'Pt\tPt\tNN\tB-NP\tO' -p79507 -aS'now\tnow\tRB\tB-VP\tO' -p79508 -aS'breathing\tbreathe\tVBG\tI-VP\tO' -p79509 -aS'more\tmore\tRBR\tB-ADVP\tO' -p79510 -aS'comfortably\tcomfortably\tRB\tI-ADVP\tO' -p79511 -aS'.\t.\t.\tO\tO' -p79512 -asS'CT scan of the head showed no hemorrhage or edema .' -p79513 -(lp79514 -S'CT\tCT\tNN\tB-NP\tO' -p79515 -aS'scan\tscan\tNN\tI-NP\tO' -p79516 -aS'of\tof\tIN\tB-PP\tO' -p79517 -aS'the\tthe\tDT\tB-NP\tO' -p79518 -aS'head\thead\tNN\tI-NP\tO' -p79519 -aS'showed\tshow\tVBD\tB-VP\tO' -p79520 -aS'no\tno\tDT\tB-NP\tO' -p79521 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p79522 -aS'or\tor\tCC\tI-NP\tO' -p79523 -aS'edema\tedema\tNN\tI-NP\tO' -p79524 -aS'.\t.\t.\tO\tO' -p79525 -asS'After catheter placement , the patient was started on sips .' -p79526 -(lp79527 -S'After\tAfter\tIN\tB-PP\tO' -p79528 -aS'catheter\tcatheter\tNN\tB-NP\tO' -p79529 -aS'placement\tplacement\tNN\tI-NP\tO' -p79530 -aS',\t,\t,\tO\tO' -p79531 -aS'the\tthe\tDT\tB-NP\tO' -p79532 -aS'patient\tpatient\tNN\tI-NP\tO' -p79533 -aS'was\tbe\tVBD\tB-VP\tO' -p79534 -aS'started\tstart\tVBN\tI-VP\tO' -p79535 -aS'on\ton\tIN\tB-PP\tO' -p79536 -aS'sips\tsip\tNNS\tB-NP\tO' -p79537 -aS'.\t.\t.\tO\tO' -p79538 -asS'The patient had INR of 3.2 that came back on date of discharge .' -p79539 -(lp79540 -S'The\tThe\tDT\tB-NP\tO' -p79541 -aS'patient\tpatient\tNN\tI-NP\tO' -p79542 -aS'had\thave\tVBD\tB-VP\tO' -p79543 -aS'INR\tINR\tNN\tB-NP\tB-protein' -p79544 -aS'of\tof\tIN\tB-PP\tO' -p79545 -aS'3.2\t3.2\tCD\tB-NP\tO' -p79546 -aS'that\tthat\tWDT\tB-NP\tO' -p79547 -aS'came\tcome\tVBD\tB-VP\tO' -p79548 -aS'back\tback\tRB\tB-ADVP\tO' -p79549 -aS'on\ton\tIN\tB-PP\tO' -p79550 -aS'date\tdate\tNN\tB-NP\tO' -p79551 -aS'of\tof\tIN\tB-PP\tO' -p79552 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p79553 -aS'.\t.\t.\tO\tO' -p79554 -asS'Blood pressure 132/48 .' -p79555 -(lp79556 -S'Blood\tBlood\tNN\tB-NP\tO' -p79557 -aS'pressure\tpressure\tNN\tI-NP\tO' -p79558 -aS'132/48\t132/48\tCD\tI-NP\tO' -p79559 -aS'.\t.\t.\tO\tO' -p79560 -asS'The aortic prosthesis leaflets appear to move normally .' -p79561 -(lp79562 -S'The\tThe\tDT\tB-NP\tO' -p79563 -aS'aortic\taortic\tJJ\tI-NP\tO' -p79564 -aS'prosthesis\tprosthesis\tNN\tI-NP\tO' -p79565 -aS'leaflets\tleaflet\tNNS\tI-NP\tO' -p79566 -aS'appear\tappear\tVBP\tB-VP\tO' -p79567 -aS'to\tto\tTO\tI-VP\tO' -p79568 -aS'move\tmove\tVB\tI-VP\tO' -p79569 -aS'normally\tnormally\tRB\tB-ADVP\tO' -p79570 -aS'.\t.\t.\tO\tO' -p79571 -asS'She was eventually extubated without incident .' -p79572 -(lp79573 -S'She\tShe\tPRP\tB-NP\tO' -p79574 -aS'was\tbe\tVBD\tB-VP\tO' -p79575 -aS'eventually\teventually\tRB\tI-VP\tO' -p79576 -aS'extubated\textubate\tVBN\tI-VP\tO' -p79577 -aS'without\twithout\tIN\tB-PP\tO' -p79578 -aS'incident\tincident\tNN\tB-NP\tO' -p79579 -aS'.\t.\t.\tO\tO' -p79580 -asS'Otherwise , her postoperative course was uneventful with gradual resolution of the passage of blood per rectum .' -p79581 -(lp79582 -S'Otherwise\tOtherwise\tRB\tB-ADVP\tO' -p79583 -aS',\t,\t,\tO\tO' -p79584 -aS'her\ther\tPRP$\tB-NP\tO' -p79585 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p79586 -aS'course\tcourse\tNN\tI-NP\tO' -p79587 -aS'was\tbe\tVBD\tB-VP\tO' -p79588 -aS'uneventful\tuneventful\tJJ\tB-ADJP\tO' -p79589 -aS'with\twith\tIN\tB-PP\tO' -p79590 -aS'gradual\tgradual\tJJ\tB-NP\tO' -p79591 -aS'resolution\tresolution\tNN\tI-NP\tO' -p79592 -aS'of\tof\tIN\tB-PP\tO' -p79593 -aS'the\tthe\tDT\tB-NP\tO' -p79594 -aS'passage\tpassage\tNN\tI-NP\tO' -p79595 -aS'of\tof\tIN\tB-PP\tO' -p79596 -aS'blood\tblood\tNN\tB-NP\tO' -p79597 -aS'per\tper\tIN\tB-PP\tO' -p79598 -aS'rectum\trectum\tNN\tB-NP\tO' -p79599 -aS'.\t.\t.\tO\tO' -p79600 -asS'Positive suck , positive grasp .' -p79601 -(lp79602 -S'Positive\tPositive\tJJ\tB-NP\tO' -p79603 -aS'suck\tsuck\tNN\tI-NP\tO' -p79604 -aS',\t,\t,\tO\tO' -p79605 -aS'positive\tpositive\tJJ\tB-NP\tO' -p79606 -aS'grasp\tgrasp\tNN\tI-NP\tO' -p79607 -aS'.\t.\t.\tO\tO' -p79608 -asS'Return to the hospital if you notice bleeding or any other symptoms of concern to you .' -p79609 -(lp79610 -S'Return\tReturn\tNN\tB-NP\tO' -p79611 -aS'to\tto\tTO\tB-PP\tO' -p79612 -aS'the\tthe\tDT\tB-NP\tO' -p79613 -aS'hospital\thospital\tNN\tI-NP\tO' -p79614 -aS'if\tif\tIN\tB-SBAR\tO' -p79615 -aS'you\tyou\tPRP\tB-NP\tO' -p79616 -aS'notice\tnotice\tVBP\tB-VP\tO' -p79617 -aS'bleeding\tbleed\tVBG\tI-VP\tO' -p79618 -aS'or\tor\tCC\tO\tO' -p79619 -aS'any\tany\tDT\tB-NP\tO' -p79620 -aS'other\tother\tJJ\tI-NP\tO' -p79621 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p79622 -aS'of\tof\tIN\tB-PP\tO' -p79623 -aS'concern\tconcern\tNN\tB-NP\tO' -p79624 -aS'to\tto\tTO\tB-PP\tO' -p79625 -aS'you\tyou\tPRP\tB-NP\tO' -p79626 -aS'.\t.\t.\tO\tO' -p79627 -asS'Her outside course in more detail:' -p79628 -(lp79629 -S'Her\tHer\tPRP$\tB-NP\tO' -p79630 -aS'outside\toutside\tJJ\tI-NP\tO' -p79631 -aS'course\tcourse\tNN\tI-NP\tO' -p79632 -aS'in\tin\tIN\tB-PP\tO' -p79633 -aS'more\tmore\tRBR\tB-ADJP\tO' -p79634 -aS'detail:\tdetail:\tJJ\tI-ADJP\tO' -p79635 -asS'5. Salmeterol one to two puffs b.i.d.' -p79636 -(lp79637 -S'5.\t5.\tLS\tB-LST\tO' -p79638 -aS'Salmeterol\tSalmeterol\tNNP\tB-NP\tO' -p79639 -aS'one\tone\tCD\tI-NP\tO' -p79640 -aS'to\tto\tTO\tB-PP\tO' -p79641 -aS'two\ttwo\tCD\tB-NP\tO' -p79642 -aS'puffs\tpuff\tNNS\tI-NP\tO' -p79643 -aS'b.i.d.\tb.i.d.\tRB\tB-ADVP\tO' -p79644 -asS'This is her goal .' -p79645 -(lp79646 -S'This\tThis\tDT\tB-NP\tO' -p79647 -aS'is\tbe\tVBZ\tB-VP\tO' -p79648 -aS'her\ther\tPRP$\tB-NP\tO' -p79649 -aS'goal\tgoal\tNN\tI-NP\tO' -p79650 -aS'.\t.\t.\tO\tO' -p79651 -asS'Ambulates at baseline .' -p79652 -(lp79653 -S'Ambulates\tAmbulate\tNNS\tB-NP\tO' -p79654 -aS'at\tat\tIN\tB-PP\tO' -p79655 -aS'baseline\tbaseline\tNN\tB-NP\tO' -p79656 -aS'.\t.\t.\tO\tO' -p79657 -asS'call your PCP to schedule your GI follow up date' -p79658 -(lp79659 -S'call\tcall\tVB\tB-VP\tO' -p79660 -aS'your\tyour\tPRP$\tB-NP\tO' -p79661 -aS'PCP\tPCP\tNN\tI-NP\tO' -p79662 -aS'to\tto\tTO\tB-VP\tO' -p79663 -aS'schedule\tschedule\tVB\tI-VP\tO' -p79664 -aS'your\tyour\tPRP$\tB-NP\tO' -p79665 -aS'GI\tGI\tNN\tI-NP\tO' -p79666 -aS'follow\tfollow\tVB\tB-VP\tO' -p79667 -aS'up\tup\tRP\tB-PRT\tO' -p79668 -aS'date\tdate\tNN\tB-NP\tO' -p79669 -asS'Thus they were discontinued .' -p79670 -(lp79671 -S'Thus\tThus\tRB\tB-ADVP\tO' -p79672 -aS'they\tthey\tPRP\tB-NP\tO' -p79673 -aS'were\tbe\tVBD\tB-VP\tO' -p79674 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p79675 -aS'.\t.\t.\tO\tO' -p79676 -asS'Her electrolytes were within normal limits .' -p79677 -(lp79678 -S'Her\tHer\tPRP$\tB-NP\tO' -p79679 -aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' -p79680 -aS'were\tbe\tVBD\tB-VP\tO' -p79681 -aS'within\twithin\tIN\tB-PP\tO' -p79682 -aS'normal\tnormal\tJJ\tB-NP\tO' -p79683 -aS'limits\tlimit\tNNS\tI-NP\tO' -p79684 -aS'.\t.\t.\tO\tO' -p79685 -asS'He was found awake at the scene , complaining of abdominal pain .' -p79686 -(lp79687 -S'He\tHe\tPRP\tB-NP\tO' -p79688 -aS'was\tbe\tVBD\tB-VP\tO' -p79689 -aS'found\tfind\tVBN\tI-VP\tO' -p79690 -aS'awake\tawake\tRB\tB-ADVP\tO' -p79691 -aS'at\tat\tIN\tB-PP\tO' -p79692 -aS'the\tthe\tDT\tB-NP\tO' -p79693 -aS'scene\tscene\tNN\tI-NP\tO' -p79694 -aS',\t,\t,\tO\tO' -p79695 -aS'complaining\tcomplain\tVBG\tB-VP\tO' -p79696 -aS'of\tof\tIN\tB-PP\tO' -p79697 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p79698 -aS'pain\tpain\tNN\tI-NP\tO' -p79699 -aS'.\t.\t.\tO\tO' -p79700 -asS'Ear/Nose/Throat recommended not considering this an airway problem unless she was stridorous while awake .' -p79701 -(lp79702 -S'Ear/Nose/Throat\tEar/Nose/Throat\tNNP\tB-NP\tO' -p79703 -aS'recommended\trecommend\tVBD\tB-VP\tO' -p79704 -aS'not\tnot\tRB\tI-VP\tO' -p79705 -aS'considering\tconsider\tVBG\tI-VP\tO' -p79706 -aS'this\tthis\tDT\tB-NP\tO' -p79707 -aS'an\tan\tDT\tI-NP\tO' -p79708 -aS'airway\tairway\tNN\tI-NP\tO' -p79709 -aS'problem\tproblem\tNN\tI-NP\tO' -p79710 -aS'unless\tunless\tIN\tB-SBAR\tO' -p79711 -aS'she\tshe\tPRP\tB-NP\tO' -p79712 -aS'was\tbe\tVBD\tB-VP\tO' -p79713 -aS'stridorous\tstridorous\tJJ\tB-ADJP\tO' -p79714 -aS'while\twhile\tIN\tB-SBAR\tO' -p79715 -aS'awake\tawake\tNN\tB-NP\tO' -p79716 -aS'.\t.\t.\tO\tO' -p79717 -asS'Pupils 3 mm reactive .' -p79718 -(lp79719 -S'Pupils\tPupil\tNNS\tB-NP\tO' -p79720 -aS'3\t3\tCD\tB-NP\tO' -p79721 -aS'mm\tmm\tNN\tI-NP\tO' -p79722 -aS'reactive\treactive\tJJ\tB-ADJP\tO' -p79723 -aS'.\t.\t.\tO\tO' -p79724 -asS'He was sent home with LDAMC services to help with his medications as well as oxygen education .' -p79725 -(lp79726 -S'He\tHe\tPRP\tB-NP\tO' -p79727 -aS'was\tbe\tVBD\tB-VP\tO' -p79728 -aS'sent\tsend\tVBN\tI-VP\tO' -p79729 -aS'home\thome\tNN\tB-ADVP\tO' -p79730 -aS'with\twith\tIN\tB-PP\tO' -p79731 -aS'LDAMC\tLDAMC\tNN\tB-NP\tO' -p79732 -aS'services\tservice\tNNS\tI-NP\tO' -p79733 -aS'to\tto\tTO\tB-VP\tO' -p79734 -aS'help\thelp\tVB\tI-VP\tO' -p79735 -aS'with\twith\tIN\tB-PP\tO' -p79736 -aS'his\this\tPRP$\tB-NP\tO' -p79737 -aS'medications\tmedication\tNNS\tI-NP\tO' -p79738 -aS'as\tas\tRB\tB-CONJP\tO' -p79739 -aS'well\twell\tRB\tI-CONJP\tO' -p79740 -aS'as\tas\tIN\tI-CONJP\tO' -p79741 -aS'oxygen\toxygen\tNN\tB-NP\tO' -p79742 -aS'education\teducation\tNN\tI-NP\tO' -p79743 -aS'.\t.\t.\tO\tO' -p79744 -asS'The patient also reports no known drug allergy .' -p79745 -(lp79746 -S'The\tThe\tDT\tB-NP\tO' -p79747 -aS'patient\tpatient\tNN\tI-NP\tO' -p79748 -aS'also\talso\tRB\tB-ADVP\tO' -p79749 -aS'reports\treport\tVBZ\tB-VP\tO' -p79750 -aS'no\tno\tDT\tB-NP\tO' -p79751 -aS'known\tknow\tVBN\tI-NP\tO' -p79752 -aS'drug\tdrug\tNN\tI-NP\tO' -p79753 -aS'allergy\tallergy\tNN\tI-NP\tO' -p79754 -aS'.\t.\t.\tO\tO' -p79755 -asS'HEENT : Neck Supple , right CMED CCU ecchymotic and edematous , c-collor in place .' -p79756 -(lp79757 -S'HEENT\tHEENT\tNN\tB-NP\tO' -p79758 -aS':\t:\t:\tO\tO' -p79759 -aS'Neck\tNeck\tNNP\tB-NP\tO' -p79760 -aS'Supple\tSupple\tNNP\tI-NP\tO' -p79761 -aS',\t,\t,\tO\tO' -p79762 -aS'right\tright\tJJ\tB-NP\tO' -p79763 -aS'CMED\tCMED\tNN\tI-NP\tO' -p79764 -aS'CCU\tCCU\tNN\tI-NP\tO' -p79765 -aS'ecchymotic\tecchymotic\tJJ\tB-ADJP\tO' -p79766 -aS'and\tand\tCC\tI-ADJP\tO' -p79767 -aS'edematous\tedematous\tJJ\tI-ADJP\tO' -p79768 -aS',\t,\t,\tO\tO' -p79769 -aS'c-collor\tc-collor\tNN\tB-NP\tO' -p79770 -aS'in\tin\tIN\tB-PP\tO' -p79771 -aS'place\tplace\tNN\tB-NP\tO' -p79772 -aS'.\t.\t.\tO\tO' -p79773 -asS'We would like for her to remain on the oxygen as well .' -p79774 -(lp79775 -S'We\tWe\tPRP\tB-NP\tO' -p79776 -aS'would\twould\tMD\tB-VP\tO' -p79777 -aS'like\tlike\tVB\tI-VP\tO' -p79778 -aS'for\tfor\tIN\tB-SBAR\tO' -p79779 -aS'her\ther\tPRP\tB-NP\tO' -p79780 -aS'to\tto\tTO\tB-VP\tO' -p79781 -aS'remain\tremain\tVB\tI-VP\tO' -p79782 -aS'on\ton\tIN\tB-PP\tO' -p79783 -aS'the\tthe\tDT\tB-NP\tO' -p79784 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p79785 -aS'as\tas\tRB\tB-ADVP\tO' -p79786 -aS'well\twell\tRB\tI-ADVP\tO' -p79787 -aS'.\t.\t.\tO\tO' -p79788 -asS'Tranferred to CMED CCU for further management while on labetolol gtt .' -p79789 -(lp79790 -S'Tranferred\tTranferre\tVBN\tB-VP\tO' -p79791 -aS'to\tto\tTO\tB-PP\tO' -p79792 -aS'CMED\tCMED\tVBN\tB-NP\tO' -p79793 -aS'CCU\tCCU\tNN\tI-NP\tO' -p79794 -aS'for\tfor\tIN\tB-PP\tO' -p79795 -aS'further\tfurther\tJJ\tB-NP\tO' -p79796 -aS'management\tmanagement\tNN\tI-NP\tO' -p79797 -aS'while\twhile\tIN\tB-SBAR\tO' -p79798 -aS'on\ton\tIN\tB-PP\tO' -p79799 -aS'labetolol\tlabetolol\tNN\tB-NP\tO' -p79800 -aS'gtt\tgtt\tNN\tI-NP\tO' -p79801 -aS'.\t.\t.\tO\tO' -p79802 -asS'The head , eyes , ears , nose , throat examination shows that she is normocephalic , atraumatic , extra ocular movements are intact , pupils equal , round , reactive to light and accommodation , and the oropharynx was clear , neck was supple without lymphadenopathy , either axillary or supraclavicular .' -p79803 -(lp79804 -S'The\tThe\tDT\tB-NP\tO' -p79805 -aS'head\thead\tNN\tI-NP\tO' -p79806 -aS',\t,\t,\tO\tO' -p79807 -aS'eyes\teye\tNNS\tB-NP\tO' -p79808 -aS',\t,\t,\tO\tO' -p79809 -aS'ears\tear\tNNS\tB-NP\tO' -p79810 -aS',\t,\t,\tO\tO' -p79811 -aS'nose\tnose\tNN\tB-NP\tO' -p79812 -aS',\t,\t,\tO\tO' -p79813 -aS'throat\tthroat\tNN\tB-NP\tO' -p79814 -aS'examination\texamination\tNN\tI-NP\tO' -p79815 -aS'shows\tshow\tVBZ\tB-VP\tO' -p79816 -aS'that\tthat\tIN\tB-SBAR\tO' -p79817 -aS'she\tshe\tPRP\tB-NP\tO' -p79818 -aS'is\tbe\tVBZ\tB-VP\tO' -p79819 -aS'normocephalic\tnormocephalic\tJJ\tB-NP\tO' -p79820 -aS',\t,\t,\tI-NP\tO' -p79821 -aS'atraumatic\tatraumatic\tJJ\tI-NP\tO' -p79822 -aS',\t,\t,\tI-NP\tO' -p79823 -aS'extra\textra\tJJ\tI-NP\tO' -p79824 -aS'ocular\tocular\tJJ\tI-NP\tO' -p79825 -aS'movements\tmovement\tNNS\tI-NP\tO' -p79826 -aS'are\tbe\tVBP\tB-VP\tO' -p79827 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p79828 -aS',\t,\t,\tO\tO' -p79829 -aS'pupils\tpupil\tNNS\tB-NP\tO' -p79830 -aS'equal\tequal\tJJ\tB-NP\tO' -p79831 -aS',\t,\t,\tI-NP\tO' -p79832 -aS'round\tround\tJJ\tI-NP\tO' -p79833 -aS',\t,\t,\tI-NP\tO' -p79834 -aS'reactive\treactive\tJJ\tI-NP\tO' -p79835 -aS'to\tto\tTO\tB-PP\tO' -p79836 -aS'light\tlight\tNN\tB-NP\tO' -p79837 -aS'and\tand\tCC\tI-NP\tO' -p79838 -aS'accommodation\taccommodation\tNN\tI-NP\tO' -p79839 -aS',\t,\t,\tO\tO' -p79840 -aS'and\tand\tCC\tO\tO' -p79841 -aS'the\tthe\tDT\tB-NP\tO' -p79842 -aS'oropharynx\toropharynx\tNN\tI-NP\tO' -p79843 -aS'was\tbe\tVBD\tB-VP\tO' -p79844 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p79845 -aS',\t,\t,\tO\tO' -p79846 -aS'neck\tneck\tNN\tB-NP\tO' -p79847 -aS'was\tbe\tVBD\tB-VP\tO' -p79848 -aS'supple\tsupple\tNN\tB-NP\tO' -p79849 -aS'without\twithout\tIN\tB-PP\tO' -p79850 -aS'lymphadenopathy\tlymphadenopathy\tNN\tB-NP\tO' -p79851 -aS',\t,\t,\tO\tO' -p79852 -aS'either\teither\tCC\tO\tO' -p79853 -aS'axillary\taxillary\tJJ\tB-ADJP\tO' -p79854 -aS'or\tor\tCC\tI-ADJP\tO' -p79855 -aS'supraclavicular\tsupraclavicular\tJJ\tI-ADJP\tO' -p79856 -aS'.\t.\t.\tO\tO' -p79857 -asS'During the course of his hospitalization , he became increasingly lethargic .' -p79858 -(lp79859 -S'During\tDuring\tIN\tB-PP\tO' -p79860 -aS'the\tthe\tDT\tB-NP\tO' -p79861 -aS'course\tcourse\tNN\tI-NP\tO' -p79862 -aS'of\tof\tIN\tB-PP\tO' -p79863 -aS'his\this\tPRP$\tB-NP\tO' -p79864 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p79865 -aS',\t,\t,\tO\tO' -p79866 -aS'he\the\tPRP\tB-NP\tO' -p79867 -aS'became\tbecome\tVBD\tB-VP\tO' -p79868 -aS'increasingly\tincreasingly\tRB\tB-ADJP\tO' -p79869 -aS'lethargic\tlethargic\tJJ\tI-ADJP\tO' -p79870 -aS'.\t.\t.\tO\tO' -p79871 -asS'Heparin and nitroglycerin drip were started with 10 mg of IV Retavase half dose .' -p79872 -(lp79873 -S'Heparin\tHeparin\tNN\tB-NP\tO' -p79874 -aS'and\tand\tCC\tI-NP\tO' -p79875 -aS'nitroglycerin\tnitroglycerin\tNN\tI-NP\tO' -p79876 -aS'drip\tdrip\tNN\tI-NP\tO' -p79877 -aS'were\tbe\tVBD\tB-VP\tO' -p79878 -aS'started\tstart\tVBN\tI-VP\tO' -p79879 -aS'with\twith\tIN\tB-PP\tO' -p79880 -aS'10\t10\tCD\tB-NP\tO' -p79881 -aS'mg\tmg\tNN\tI-NP\tO' -p79882 -aS'of\tof\tIN\tB-PP\tO' -p79883 -aS'IV\tIV\tCD\tB-NP\tO' -p79884 -aS'Retavase\tRetavase\tNN\tI-NP\tO' -p79885 -aS'half\thalf\tNN\tI-NP\tO' -p79886 -aS'dose\tdose\tNN\tI-NP\tO' -p79887 -aS'.\t.\t.\tO\tO' -p79888 -asS'No cervical , supraclavicular or axillary adenopathy .' -p79889 -(lp79890 -S'No\tNo\tDT\tB-NP\tO' -p79891 -aS'cervical\tcervical\tJJ\tI-NP\tO' -p79892 -aS',\t,\t,\tI-NP\tO' -p79893 -aS'supraclavicular\tsupraclavicular\tJJ\tI-NP\tO' -p79894 -aS'or\tor\tCC\tI-NP\tO' -p79895 -aS'axillary\taxillary\tJJ\tI-NP\tO' -p79896 -aS'adenopathy\tadenopathy\tNN\tI-NP\tO' -p79897 -aS'.\t.\t.\tO\tO' -p79898 -asS'On July 15 , 1992 , a liver became available , and the patient underwent hepatectomy and orthotopic liver transplant .' -p79899 -(lp79900 -S'On\tOn\tIN\tB-PP\tO' -p79901 -aS'July\tJuly\tNNP\tB-NP\tO' -p79902 -aS'15\t15\tCD\tI-NP\tO' -p79903 -aS',\t,\t,\tI-NP\tO' -p79904 -aS'1992\t1992\tCD\tI-NP\tO' -p79905 -aS',\t,\t,\tO\tO' -p79906 -aS'a\ta\tDT\tB-NP\tO' -p79907 -aS'liver\tliver\tNN\tI-NP\tO' -p79908 -aS'became\tbecome\tVBD\tB-VP\tO' -p79909 -aS'available\tavailable\tJJ\tB-ADJP\tO' -p79910 -aS',\t,\t,\tO\tO' -p79911 -aS'and\tand\tCC\tO\tO' -p79912 -aS'the\tthe\tDT\tB-NP\tO' -p79913 -aS'patient\tpatient\tNN\tI-NP\tO' -p79914 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p79915 -aS'hepatectomy\thepatectomy\tNN\tB-NP\tO' -p79916 -aS'and\tand\tCC\tO\tO' -p79917 -aS'orthotopic\torthotopic\tJJ\tB-NP\tO' -p79918 -aS'liver\tliver\tNN\tI-NP\tO' -p79919 -aS'transplant\ttransplant\tNN\tI-NP\tO' -p79920 -aS'.\t.\t.\tO\tO' -p79921 -asS'An ultrasound of the right upper quadrant did not reveal any cholelithiasis or cholecystitis , however , an irregular hepatic contour was seen which is suggestive of underlying chronic liver disease .' -p79922 -(lp79923 -S'An\tAn\tDT\tB-NP\tO' -p79924 -aS'ultrasound\tultrasound\tNN\tI-NP\tO' -p79925 -aS'of\tof\tIN\tB-PP\tO' -p79926 -aS'the\tthe\tDT\tB-NP\tO' -p79927 -aS'right\tright\tJJ\tI-NP\tO' -p79928 -aS'upper\tupper\tJJ\tI-NP\tO' -p79929 -aS'quadrant\tquadrant\tNN\tI-NP\tO' -p79930 -aS'did\tdo\tVBD\tB-VP\tO' -p79931 -aS'not\tnot\tRB\tI-VP\tO' -p79932 -aS'reveal\treveal\tVB\tI-VP\tO' -p79933 -aS'any\tany\tDT\tB-NP\tO' -p79934 -aS'cholelithiasis\tcholelithiasis\tNN\tI-NP\tO' -p79935 -aS'or\tor\tCC\tI-NP\tO' -p79936 -aS'cholecystitis\tcholecystitis\tNN\tI-NP\tO' -p79937 -aS',\t,\t,\tO\tO' -p79938 -aS'however\thowever\tRB\tB-ADVP\tO' -p79939 -aS',\t,\t,\tO\tO' -p79940 -aS'an\tan\tDT\tB-NP\tO' -p79941 -aS'irregular\tirregular\tJJ\tI-NP\tO' -p79942 -aS'hepatic\thepatic\tJJ\tI-NP\tO' -p79943 -aS'contour\tcontour\tNN\tI-NP\tO' -p79944 -aS'was\tbe\tVBD\tB-VP\tO' -p79945 -aS'seen\tsee\tVBN\tI-VP\tO' -p79946 -aS'which\twhich\tWDT\tB-NP\tO' -p79947 -aS'is\tbe\tVBZ\tB-VP\tO' -p79948 -aS'suggestive\tsuggestive\tJJ\tB-ADJP\tO' -p79949 -aS'of\tof\tIN\tB-PP\tO' -p79950 -aS'underlying\tunderlie\tVBG\tB-VP\tO' -p79951 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p79952 -aS'liver\tliver\tNN\tI-NP\tO' -p79953 -aS'disease\tdisease\tNN\tI-NP\tO' -p79954 -aS'.\t.\t.\tO\tO' -p79955 -asS'Patient spontaneously stablized and output of CT became more serous .' -p79956 -(lp79957 -S'Patient\tPatient\tNN\tB-NP\tO' -p79958 -aS'spontaneously\tspontaneously\tRB\tB-VP\tO' -p79959 -aS'stablized\tstablize\tVBN\tI-VP\tO' -p79960 -aS'and\tand\tCC\tO\tO' -p79961 -aS'output\toutput\tNN\tB-NP\tO' -p79962 -aS'of\tof\tIN\tB-PP\tO' -p79963 -aS'CT\tCT\tNN\tB-NP\tB-protein' -p79964 -aS'became\tbecome\tVBD\tB-VP\tO' -p79965 -aS'more\tmore\tRBR\tB-ADJP\tO' -p79966 -aS'serous\tserous\tJJ\tI-ADJP\tO' -p79967 -aS'.\t.\t.\tO\tO' -p79968 -asS'Dr. Janetta Burmaster , phone number ( 262 ) 892 0330 , fax 491-6171 .' -p79969 -(lp79970 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p79971 -aS'Janetta\tJanetta\tNNP\tI-NP\tO' -p79972 -aS'Burmaster\tBurmaster\tNNP\tI-NP\tO' -p79973 -aS',\t,\t,\tO\tO' -p79974 -aS'phone\tphone\tNN\tB-NP\tB-protein' -p79975 -aS'number\tnumber\tNN\tI-NP\tI-protein' -p79976 -aS'(\t(\t(\tO\tI-protein' -p79977 -aS'262\t262\tCD\tB-NP\tI-protein' -p79978 -aS')\t)\t)\tO\tI-protein' -p79979 -aS'892\t892\tCD\tB-NP\tI-protein' -p79980 -aS'0330\t0330\tCD\tI-NP\tI-protein' -p79981 -aS',\t,\t,\tO\tO' -p79982 -aS'fax\tfax\tNN\tB-NP\tO' -p79983 -aS'491-6171\t491-6171\tCD\tI-NP\tO' -p79984 -aS'.\t.\t.\tO\tO' -p79985 -asS'The pregnancy was complicated by twin gestation and by polyhydramnios with apparent duodenal atresia and nuchal' -p79986 -(lp79987 -S'The\tThe\tDT\tB-NP\tO' -p79988 -aS'pregnancy\tpregnancy\tNN\tI-NP\tO' -p79989 -aS'was\tbe\tVBD\tB-VP\tO' -p79990 -aS'complicated\tcomplicate\tVBN\tI-VP\tO' -p79991 -aS'by\tby\tIN\tB-PP\tO' -p79992 -aS'twin\ttwin\tNN\tB-NP\tO' -p79993 -aS'gestation\tgestation\tNN\tI-NP\tO' -p79994 -aS'and\tand\tCC\tB-PP\tO' -p79995 -aS'by\tby\tIN\tB-PP\tO' -p79996 -aS'polyhydramnios\tpolyhydramnio\tNNS\tB-NP\tO' -p79997 -aS'with\twith\tIN\tB-PP\tO' -p79998 -aS'apparent\tapparent\tJJ\tB-NP\tO' -p79999 -aS'duodenal\tduodenal\tJJ\tI-NP\tO' -p80000 -aS'atresia\tatresia\tNN\tI-NP\tO' -p80001 -aS'and\tand\tCC\tO\tO' -p80002 -aS'nuchal\tnuchal\tJJ\tB-ADJP\tO' -p80003 -asS'Tumor invasive of pleura and rib .' -p80004 -(lp80005 -S'Tumor\tTumor\tNN\tB-NP\tO' -p80006 -aS'invasive\tinvasive\tJJ\tB-ADJP\tO' -p80007 -aS'of\tof\tIN\tB-PP\tO' -p80008 -aS'pleura\tpleura\tNN\tB-NP\tO' -p80009 -aS'and\tand\tCC\tI-NP\tO' -p80010 -aS'rib\trib\tNN\tI-NP\tB-protein' -p80011 -aS'.\t.\t.\tO\tO' -p80012 -asS'On Thursday - 2014-02-06 - the patient did have two episodes of chest discomfort ; for which he was given nitroglycerin and those resolved .' -p80013 -(lp80014 -S'On\tOn\tIN\tB-PP\tO' -p80015 -aS'Thursday\tThursday\tNNP\tB-NP\tO' -p80016 -aS'-\t-\tHYPH\tB-NP\tO' -p80017 -aS'2014-02-06\t2014-02-06\tCD\tI-NP\tO' -p80018 -aS'-\t-\tHYPH\tO\tO' -p80019 -aS'the\tthe\tDT\tB-NP\tO' -p80020 -aS'patient\tpatient\tNN\tI-NP\tO' -p80021 -aS'did\tdo\tVBD\tB-VP\tO' -p80022 -aS'have\thave\tVB\tI-VP\tO' -p80023 -aS'two\ttwo\tCD\tB-NP\tO' -p80024 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p80025 -aS'of\tof\tIN\tB-PP\tO' -p80026 -aS'chest\tchest\tNN\tB-NP\tO' -p80027 -aS'discomfort\tdiscomfort\tNN\tI-NP\tO' -p80028 -aS';\t;\t:\tO\tO' -p80029 -aS'for\tfor\tIN\tB-PP\tO' -p80030 -aS'which\twhich\tWDT\tB-NP\tO' -p80031 -aS'he\the\tPRP\tB-NP\tO' -p80032 -aS'was\tbe\tVBD\tB-VP\tO' -p80033 -aS'given\tgive\tVBN\tI-VP\tO' -p80034 -aS'nitroglycerin\tnitroglycerin\tNN\tB-NP\tO' -p80035 -aS'and\tand\tCC\tO\tO' -p80036 -aS'those\tthose\tDT\tB-NP\tO' -p80037 -aS'resolved\tresolve\tVBN\tB-VP\tO' -p80038 -aS'.\t.\t.\tO\tO' -p80039 -asS'He was kept on antibiotics until 06-17 .' -p80040 -(lp80041 -S'He\tHe\tPRP\tB-NP\tO' -p80042 -aS'was\tbe\tVBD\tB-VP\tO' -p80043 -aS'kept\tkeep\tVBN\tI-VP\tO' -p80044 -aS'on\ton\tIN\tB-PP\tO' -p80045 -aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' -p80046 -aS'until\tuntil\tIN\tB-PP\tO' -p80047 -aS'06-17\t06-17\tCD\tB-NP\tO' -p80048 -aS'.\t.\t.\tO\tO' -p80049 -asS'Neck : supple , no LAD , no JVD' -p80050 -(lp80051 -S'Neck\tNeck\tNN\tB-NP\tO' -p80052 -aS':\t:\t:\tO\tO' -p80053 -aS'supple\tsupple\tNN\tB-NP\tO' -p80054 -aS',\t,\t,\tO\tO' -p80055 -aS'no\tno\tDT\tB-NP\tO' -p80056 -aS'LAD\tLAD\tNN\tI-NP\tB-protein' -p80057 -aS',\t,\t,\tO\tO' -p80058 -aS'no\tno\tDT\tB-NP\tO' -p80059 -aS'JVD\tJVD\tNN\tI-NP\tB-protein' -p80060 -asS'The patient was continued on an insulin drip for his diabetes mellitus but continued to improve .' -p80061 -(lp80062 -S'The\tThe\tDT\tB-NP\tO' -p80063 -aS'patient\tpatient\tNN\tI-NP\tO' -p80064 -aS'was\tbe\tVBD\tB-VP\tO' -p80065 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p80066 -aS'on\ton\tIN\tB-PP\tO' -p80067 -aS'an\tan\tDT\tB-NP\tO' -p80068 -aS'insulin\tinsulin\tNN\tI-NP\tO' -p80069 -aS'drip\tdrip\tNN\tI-NP\tO' -p80070 -aS'for\tfor\tIN\tB-PP\tO' -p80071 -aS'his\this\tPRP$\tB-NP\tO' -p80072 -aS'diabetes\tdiabetes\tNN\tI-NP\tO' -p80073 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p80074 -aS'but\tbut\tCC\tO\tO' -p80075 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p80076 -aS'to\tto\tTO\tI-VP\tO' -p80077 -aS'improve\timprove\tVB\tI-VP\tO' -p80078 -aS'.\t.\t.\tO\tO' -p80079 -asS'RIGHT OCCIPITAL HEMORRHAGIC STROKE .' -p80080 -(lp80081 -S'RIGHT\tRIGHT\tNN\tB-NP\tO' -p80082 -aS'OCCIPITAL\tOCCIPITAL\tNN\tI-NP\tO' -p80083 -aS'HEMORRHAGIC\tHEMORRHAGIC\tNN\tI-NP\tO' -p80084 -aS'STROKE\tSTROKE\tNN\tI-NP\tO' -p80085 -aS'.\t.\t.\tO\tO' -p80086 -asS'This was held in the ICU and she was given diluadid prn for pain control .' -p80087 -(lp80088 -S'This\tThis\tDT\tB-NP\tO' -p80089 -aS'was\tbe\tVBD\tB-VP\tO' -p80090 -aS'held\thold\tVBN\tI-VP\tO' -p80091 -aS'in\tin\tIN\tB-PP\tO' -p80092 -aS'the\tthe\tDT\tB-NP\tO' -p80093 -aS'ICU\tICU\tNN\tI-NP\tB-DNA' -p80094 -aS'and\tand\tCC\tO\tO' -p80095 -aS'she\tshe\tPRP\tB-NP\tO' -p80096 -aS'was\tbe\tVBD\tB-VP\tO' -p80097 -aS'given\tgive\tVBN\tI-VP\tO' -p80098 -aS'diluadid\tdiluadid\tJJ\tB-NP\tO' -p80099 -aS'prn\tprn\tNN\tI-NP\tO' -p80100 -aS'for\tfor\tIN\tB-PP\tO' -p80101 -aS'pain\tpain\tNN\tB-NP\tO' -p80102 -aS'control\tcontrol\tNN\tI-NP\tO' -p80103 -aS'.\t.\t.\tO\tO' -p80104 -asS'He was seen by physical therapy and cleared .' -p80105 -(lp80106 -S'He\tHe\tPRP\tB-NP\tO' -p80107 -aS'was\tbe\tVBD\tB-VP\tO' -p80108 -aS'seen\tsee\tVBN\tI-VP\tO' -p80109 -aS'by\tby\tIN\tB-PP\tO' -p80110 -aS'physical\tphysical\tJJ\tB-NP\tO' -p80111 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p80112 -aS'and\tand\tCC\tO\tO' -p80113 -aS'cleared\tclear\tVBN\tB-VP\tO' -p80114 -aS'.\t.\t.\tO\tO' -p80115 -asS'She had good pulses bilaterally .' -p80116 -(lp80117 -S'She\tShe\tPRP\tB-NP\tO' -p80118 -aS'had\thave\tVBD\tB-VP\tO' -p80119 -aS'good\tgood\tJJ\tB-NP\tO' -p80120 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p80121 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p80122 -aS'.\t.\t.\tO\tO' -p80123 -asS'Serax 20 mg. po. qhs .' -p80124 -(lp80125 -S'Serax\tSerax\tNN\tB-NP\tO' -p80126 -aS'20\t20\tCD\tI-NP\tO' -p80127 -aS'mg.\tmg.\tNN\tI-NP\tO' -p80128 -aS'po.\tpo.\tNN\tI-NP\tO' -p80129 -aS'qhs\tqh\tNNS\tI-NP\tO' -p80130 -aS'.\t.\t.\tO\tO' -p80131 -asS'On admission , white blood cell count 7.3 , 73 percent neutrophils , 15 percent bands , 6 percent lymphocytes , hematocrit 30.4 , platelet count 228,000 .' -p80132 -(lp80133 -S'On\tOn\tIN\tB-PP\tO' -p80134 -aS'admission\tadmission\tNN\tB-NP\tO' -p80135 -aS',\t,\t,\tO\tO' -p80136 -aS'white\twhite\tJJ\tB-NP\tO' -p80137 -aS'blood\tblood\tNN\tI-NP\tO' -p80138 -aS'cell\tcell\tNN\tI-NP\tO' -p80139 -aS'count\tcount\tNN\tI-NP\tO' -p80140 -aS'7.3\t7.3\tCD\tI-NP\tO' -p80141 -aS',\t,\t,\tI-NP\tO' -p80142 -aS'73\t73\tCD\tI-NP\tO' -p80143 -aS'percent\tpercent\tNN\tI-NP\tO' -p80144 -aS'neutrophils\tneutrophil\tNNS\tI-NP\tO' -p80145 -aS',\t,\t,\tO\tO' -p80146 -aS'15\t15\tCD\tB-NP\tO' -p80147 -aS'percent\tpercent\tNN\tI-NP\tO' -p80148 -aS'bands\tband\tNNS\tI-NP\tO' -p80149 -aS',\t,\t,\tO\tO' -p80150 -aS'6\t6\tCD\tB-NP\tO' -p80151 -aS'percent\tpercent\tNN\tI-NP\tO' -p80152 -aS'lymphocytes\tlymphocyte\tNNS\tI-NP\tO' -p80153 -aS',\t,\t,\tO\tO' -p80154 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p80155 -aS'30.4\t30.4\tCD\tI-NP\tI-protein' -p80156 -aS',\t,\t,\tO\tO' -p80157 -aS'platelet\tplatelet\tNN\tB-NP\tB-protein' -p80158 -aS'count\tcount\tNN\tI-NP\tI-protein' -p80159 -aS'228,000\t228,000\tCD\tI-NP\tI-protein' -p80160 -aS'.\t.\t.\tO\tO' -p80161 -asS"Patient 's mother died of stroke at the age of 54 ." -p80162 -(lp80163 -S'Patient\tPatient\tNN\tB-NP\tO' -p80164 -aS"'s\t's\tPOS\tB-NP\tO" -p80165 -aS'mother\tmother\tNN\tI-NP\tO' -p80166 -aS'died\tdie\tVBD\tB-VP\tO' -p80167 -aS'of\tof\tIN\tB-PP\tO' -p80168 -aS'stroke\tstroke\tNN\tB-NP\tO' -p80169 -aS'at\tat\tIN\tB-PP\tO' -p80170 -aS'the\tthe\tDT\tB-NP\tO' -p80171 -aS'age\tage\tNN\tI-NP\tO' -p80172 -aS'of\tof\tIN\tB-PP\tO' -p80173 -aS'54\t54\tCD\tB-NP\tO' -p80174 -aS'.\t.\t.\tO\tO' -p80175 -asS'Water Deficit 2.5 L .' -p80176 -(lp80177 -S'Water\tWater\tNNP\tB-NP\tO' -p80178 -aS'Deficit\tDeficit\tNNP\tI-NP\tO' -p80179 -aS'2.5\t2.5\tCD\tI-NP\tO' -p80180 -aS'L\tL\tNN\tI-NP\tO' -p80181 -aS'.\t.\t.\tO\tO' -p80182 -asS'PAIN IS DIFFUSED , 06-05 OUT OF 10 IN INTENSITY , AND HAS NOT IMPROVED OVERNIGHT .' -p80183 -(lp80184 -S'PAIN\tPAIN\tNN\tB-NP\tB-protein' -p80185 -aS'IS\tIS\tNN\tI-NP\tO' -p80186 -aS'DIFFUSED\tDIFFUSED\tNN\tI-NP\tO' -p80187 -aS',\t,\t,\tO\tO' -p80188 -aS'06-05\t06-05\tCD\tB-NP\tO' -p80189 -aS'OUT\tOUT\tNN\tI-NP\tO' -p80190 -aS'OF\tOF\tIN\tB-PP\tO' -p80191 -aS'10\t10\tCD\tB-NP\tO' -p80192 -aS'IN\tIN\tIN\tB-PP\tO' -p80193 -aS'INTENSITY\tINTENSITY\tNNP\tB-NP\tO' -p80194 -aS',\t,\t,\tO\tO' -p80195 -aS'AND\tAND\tCC\tO\tO' -p80196 -aS'HAS\tHAS\tVBZ\tB-VP\tO' -p80197 -aS'NOT\tNOT\tNN\tB-NP\tO' -p80198 -aS'IMPROVED\tIMPROVED\tNN\tI-NP\tO' -p80199 -aS'OVERNIGHT\tOVERNIGHT\tNN\tI-NP\tO' -p80200 -aS'.\t.\t.\tO\tO' -p80201 -asS'She denies any pleural chest pain .' -p80202 -(lp80203 -S'She\tShe\tPRP\tB-NP\tO' -p80204 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p80205 -aS'any\tany\tDT\tB-NP\tO' -p80206 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p80207 -aS'chest\tchest\tNN\tI-NP\tO' -p80208 -aS'pain\tpain\tNN\tI-NP\tO' -p80209 -aS'.\t.\t.\tO\tO' -p80210 -asS'ABGs showed a pO2 of 79 , pH 7.44 , pO2 33 .' -p80211 -(lp80212 -S'ABGs\tABG\tNNS\tB-NP\tO' -p80213 -aS'showed\tshow\tVBD\tB-VP\tO' -p80214 -aS'a\ta\tDT\tB-NP\tO' -p80215 -aS'pO2\tpO2\tNN\tI-NP\tO' -p80216 -aS'of\tof\tIN\tB-PP\tO' -p80217 -aS'79\t79\tCD\tB-NP\tO' -p80218 -aS',\t,\t,\tO\tO' -p80219 -aS'pH\tpH\tNN\tB-NP\tO' -p80220 -aS'7.44\t7.44\tCD\tI-NP\tO' -p80221 -aS',\t,\t,\tO\tO' -p80222 -aS'pO2\tpO2\tNN\tB-NP\tO' -p80223 -aS'33\t33\tCD\tI-NP\tO' -p80224 -aS'.\t.\t.\tO\tO' -p80225 -asS'The patient was admitted to the Neurology Intensive Care Unit for intensive monitoring due to his frail condition .' -p80226 -(lp80227 -S'The\tThe\tDT\tB-NP\tO' -p80228 -aS'patient\tpatient\tNN\tI-NP\tO' -p80229 -aS'was\tbe\tVBD\tB-VP\tO' -p80230 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p80231 -aS'to\tto\tTO\tB-PP\tO' -p80232 -aS'the\tthe\tDT\tB-NP\tO' -p80233 -aS'Neurology\tNeurology\tNNP\tI-NP\tO' -p80234 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p80235 -aS'Care\tCare\tNNP\tI-NP\tO' -p80236 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p80237 -aS'for\tfor\tIN\tB-PP\tO' -p80238 -aS'intensive\tintensive\tJJ\tB-NP\tO' -p80239 -aS'monitoring\tmonitoring\tNN\tI-NP\tO' -p80240 -aS'due\tdue\tIN\tB-PP\tO' -p80241 -aS'to\tto\tTO\tB-PP\tO' -p80242 -aS'his\this\tPRP$\tB-NP\tO' -p80243 -aS'frail\tfrail\tNN\tI-NP\tO' -p80244 -aS'condition\tcondition\tNN\tI-NP\tO' -p80245 -aS'.\t.\t.\tO\tO' -p80246 -asS'After being transferred from the interventional radiology table to the stretcher , one of his lateral percutaneous drains had been pulled out inadvertently .' -p80247 -(lp80248 -S'After\tAfter\tIN\tB-PP\tO' -p80249 -aS'being\tbe\tVBG\tB-VP\tO' -p80250 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p80251 -aS'from\tfrom\tIN\tB-PP\tO' -p80252 -aS'the\tthe\tDT\tB-NP\tO' -p80253 -aS'interventional\tinterventional\tJJ\tI-NP\tO' -p80254 -aS'radiology\tradiology\tNN\tI-NP\tO' -p80255 -aS'table\ttable\tNN\tI-NP\tO' -p80256 -aS'to\tto\tTO\tB-PP\tO' -p80257 -aS'the\tthe\tDT\tB-NP\tO' -p80258 -aS'stretcher\tstretcher\tNN\tI-NP\tO' -p80259 -aS',\t,\t,\tO\tO' -p80260 -aS'one\tone\tCD\tB-NP\tO' -p80261 -aS'of\tof\tIN\tB-PP\tO' -p80262 -aS'his\this\tPRP$\tB-NP\tO' -p80263 -aS'lateral\tlateral\tJJ\tI-NP\tO' -p80264 -aS'percutaneous\tpercutaneous\tJJ\tI-NP\tO' -p80265 -aS'drains\tdrain\tNNS\tI-NP\tO' -p80266 -aS'had\thave\tVBD\tB-VP\tO' -p80267 -aS'been\tbe\tVBN\tI-VP\tO' -p80268 -aS'pulled\tpull\tVBN\tI-VP\tO' -p80269 -aS'out\tout\tRP\tB-PRT\tO' -p80270 -aS'inadvertently\tinadvertently\tRB\tB-ADVP\tO' -p80271 -aS'.\t.\t.\tO\tO' -p80272 -asS'Examination of the sternal wound showed an opened area in the mid region of the wound with serosanguineous drainage and a scant amount of thick , yellow pus .' -p80273 -(lp80274 -S'Examination\tExamination\tNN\tB-NP\tO' -p80275 -aS'of\tof\tIN\tB-PP\tO' -p80276 -aS'the\tthe\tDT\tB-NP\tO' -p80277 -aS'sternal\tsternal\tJJ\tI-NP\tO' -p80278 -aS'wound\twound\tNN\tI-NP\tO' -p80279 -aS'showed\tshow\tVBD\tB-VP\tO' -p80280 -aS'an\tan\tDT\tB-NP\tO' -p80281 -aS'opened\topened\tJJ\tI-NP\tO' -p80282 -aS'area\tarea\tNN\tI-NP\tO' -p80283 -aS'in\tin\tIN\tB-PP\tO' -p80284 -aS'the\tthe\tDT\tB-NP\tO' -p80285 -aS'mid\tmid\tJJ\tI-NP\tB-DNA' -p80286 -aS'region\tregion\tNN\tI-NP\tI-DNA' -p80287 -aS'of\tof\tIN\tB-PP\tO' -p80288 -aS'the\tthe\tDT\tB-NP\tO' -p80289 -aS'wound\twound\tNN\tI-NP\tO' -p80290 -aS'with\twith\tIN\tB-PP\tO' -p80291 -aS'serosanguineous\tserosanguineous\tJJ\tB-NP\tO' -p80292 -aS'drainage\tdrainage\tNN\tI-NP\tO' -p80293 -aS'and\tand\tCC\tO\tO' -p80294 -aS'a\ta\tDT\tB-NP\tO' -p80295 -aS'scant\tscant\tJJ\tI-NP\tO' -p80296 -aS'amount\tamount\tNN\tI-NP\tO' -p80297 -aS'of\tof\tIN\tB-PP\tO' -p80298 -aS'thick\tthick\tJJ\tB-NP\tO' -p80299 -aS',\t,\t,\tI-NP\tO' -p80300 -aS'yellow\tyellow\tJJ\tI-NP\tO' -p80301 -aS'pus\tpus\tNN\tI-NP\tO' -p80302 -aS'.\t.\t.\tO\tO' -p80303 -asS'The patient had an episode of nausea on the morning of 11/16/04 associated with some cough , apparent emesis .' -p80304 -(lp80305 -S'The\tThe\tDT\tB-NP\tO' -p80306 -aS'patient\tpatient\tNN\tI-NP\tO' -p80307 -aS'had\thave\tVBD\tB-VP\tO' -p80308 -aS'an\tan\tDT\tB-NP\tO' -p80309 -aS'episode\tepisode\tNN\tI-NP\tO' -p80310 -aS'of\tof\tIN\tB-PP\tO' -p80311 -aS'nausea\tnausea\tNN\tB-NP\tO' -p80312 -aS'on\ton\tIN\tB-PP\tO' -p80313 -aS'the\tthe\tDT\tB-NP\tO' -p80314 -aS'morning\tmorning\tNN\tI-NP\tO' -p80315 -aS'of\tof\tIN\tB-PP\tO' -p80316 -aS'11/16/04\t11/16/04\tCD\tB-NP\tO' -p80317 -aS'associated\tassociate\tVBN\tB-VP\tO' -p80318 -aS'with\twith\tIN\tB-PP\tO' -p80319 -aS'some\tsome\tDT\tB-NP\tO' -p80320 -aS'cough\tcough\tNN\tI-NP\tO' -p80321 -aS',\t,\t,\tO\tO' -p80322 -aS'apparent\tapparent\tJJ\tB-NP\tO' -p80323 -aS'emesis\temesis\tNN\tI-NP\tO' -p80324 -aS'.\t.\t.\tO\tO' -p80325 -asS'Has a h/o HIT .' -p80326 -(lp80327 -S'Has\tHas\tIN\tB-PP\tO' -p80328 -aS'a\ta\tDT\tB-NP\tO' -p80329 -aS'h/o\th/o\tNN\tI-NP\tB-DNA' -p80330 -aS'HIT\tHIT\tNN\tI-NP\tI-DNA' -p80331 -aS'.\t.\t.\tO\tO' -p80332 -asS'Quit smoking 23 years ago , occasional ETOH , denies illicit drug use .' -p80333 -(lp80334 -S'Quit\tQuit\tNNP\tB-NP\tO' -p80335 -aS'smoking\tsmoke\tVBG\tB-VP\tO' -p80336 -aS'23\t23\tCD\tB-NP\tO' -p80337 -aS'years\tyear\tNNS\tI-NP\tO' -p80338 -aS'ago\tago\tRB\tB-ADVP\tO' -p80339 -aS',\t,\t,\tO\tO' -p80340 -aS'occasional\toccasional\tJJ\tB-NP\tO' -p80341 -aS'ETOH\tETOH\tNN\tI-NP\tO' -p80342 -aS',\t,\t,\tO\tO' -p80343 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p80344 -aS'illicit\tillicit\tJJ\tB-NP\tO' -p80345 -aS'drug\tdrug\tNN\tI-NP\tO' -p80346 -aS'use\tuse\tNN\tI-NP\tO' -p80347 -aS'.\t.\t.\tO\tO' -p80348 -asS'2) Patchy left retrocardiac opacity which may be due to patchy atelectasis , aspiration , or early pneumonia .' -p80349 -(lp80350 -S'2)\t2)\tLS\tB-LST\tO' -p80351 -aS'Patchy\tPatchy\tNNP\tB-NP\tO' -p80352 -aS'left\tleave\tVBD\tB-VP\tO' -p80353 -aS'retrocardiac\tretrocardiac\tJJ\tB-NP\tO' -p80354 -aS'opacity\topacity\tNN\tI-NP\tO' -p80355 -aS'which\twhich\tWDT\tB-NP\tO' -p80356 -aS'may\tmay\tMD\tB-VP\tO' -p80357 -aS'be\tbe\tVB\tI-VP\tO' -p80358 -aS'due\tdue\tJJ\tB-ADVP\tO' -p80359 -aS'to\tto\tTO\tB-PP\tO' -p80360 -aS'patchy\tpatchy\tJJ\tB-NP\tO' -p80361 -aS'atelectasis\tatelectasis\tNN\tI-NP\tO' -p80362 -aS',\t,\t,\tO\tO' -p80363 -aS'aspiration\taspiration\tNN\tB-NP\tO' -p80364 -aS',\t,\t,\tO\tO' -p80365 -aS'or\tor\tCC\tO\tO' -p80366 -aS'early\tearly\tJJ\tB-NP\tO' -p80367 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p80368 -aS'.\t.\t.\tO\tO' -p80369 -asS'She was ambulating without difficulties .' -p80370 -(lp80371 -S'She\tShe\tPRP\tB-NP\tO' -p80372 -aS'was\tbe\tVBD\tB-VP\tO' -p80373 -aS'ambulating\tambulate\tVBG\tI-VP\tO' -p80374 -aS'without\twithout\tIN\tB-PP\tO' -p80375 -aS'difficulties\tdifficulty\tNNS\tB-NP\tO' -p80376 -aS'.\t.\t.\tO\tO' -p80377 -asS'1. Lisinopril 5 mg p.o. q. day .' -p80378 -(lp80379 -S'1.\t1.\tLS\tB-LST\tO' -p80380 -aS'Lisinopril\tLisinopril\tNNP\tB-NP\tO' -p80381 -aS'5\t5\tCD\tI-NP\tO' -p80382 -aS'mg\tmg\tNN\tI-NP\tO' -p80383 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p80384 -aS'q.\tq.\tNN\tI-NP\tO' -p80385 -aS'day\tday\tNN\tI-NP\tO' -p80386 -aS'.\t.\t.\tO\tO' -p80387 -asS'House diet .' -p80388 -(lp80389 -S'House\tHouse\tNNP\tB-NP\tO' -p80390 -aS'diet\tdiet\tNN\tI-NP\tO' -p80391 -aS'.\t.\t.\tO\tO' -p80392 -asS'Slight irregularity of the origin of the right vertebral artery may be atherosclerotic in nature .' -p80393 -(lp80394 -S'Slight\tSlight\tJJ\tB-NP\tO' -p80395 -aS'irregularity\tirregularity\tNN\tI-NP\tO' -p80396 -aS'of\tof\tIN\tB-PP\tO' -p80397 -aS'the\tthe\tDT\tB-NP\tO' -p80398 -aS'origin\torigin\tNN\tI-NP\tO' -p80399 -aS'of\tof\tIN\tB-PP\tO' -p80400 -aS'the\tthe\tDT\tB-NP\tO' -p80401 -aS'right\tright\tJJ\tI-NP\tO' -p80402 -aS'vertebral\tvertebral\tJJ\tI-NP\tO' -p80403 -aS'artery\tartery\tNN\tI-NP\tO' -p80404 -aS'may\tmay\tMD\tB-VP\tO' -p80405 -aS'be\tbe\tVB\tI-VP\tO' -p80406 -aS'atherosclerotic\tatherosclerotic\tJJ\tB-ADJP\tO' -p80407 -aS'in\tin\tIN\tB-PP\tO' -p80408 -aS'nature\tnature\tNN\tB-NP\tO' -p80409 -aS'.\t.\t.\tO\tO' -p80410 -asS'Of note , he had a negative stress test in 2012-07-03 .' -p80411 -(lp80412 -S'Of\tOf\tIN\tB-PP\tO' -p80413 -aS'note\tnote\tNN\tB-NP\tO' -p80414 -aS',\t,\t,\tO\tO' -p80415 -aS'he\the\tPRP\tB-NP\tO' -p80416 -aS'had\thave\tVBD\tB-VP\tO' -p80417 -aS'a\ta\tDT\tB-NP\tO' -p80418 -aS'negative\tnegative\tJJ\tI-NP\tO' -p80419 -aS'stress\tstress\tNN\tI-NP\tO' -p80420 -aS'test\ttest\tNN\tI-NP\tO' -p80421 -aS'in\tin\tIN\tB-PP\tO' -p80422 -aS'2012-07-03\t2012-07-03\tCD\tB-NP\tO' -p80423 -aS'.\t.\t.\tO\tO' -p80424 -asS'The patient did not tolerate antiemetics well and it was subsequently decided to avoid phenothiazides secondary to jitteryness and restless legs .' -p80425 -(lp80426 -S'The\tThe\tDT\tB-NP\tO' -p80427 -aS'patient\tpatient\tNN\tI-NP\tO' -p80428 -aS'did\tdo\tVBD\tB-VP\tO' -p80429 -aS'not\tnot\tRB\tI-VP\tO' -p80430 -aS'tolerate\ttolerate\tVB\tI-VP\tO' -p80431 -aS'antiemetics\tantiemetic\tNNS\tB-NP\tO' -p80432 -aS'well\twell\tRB\tB-ADVP\tO' -p80433 -aS'and\tand\tCC\tO\tO' -p80434 -aS'it\tit\tPRP\tB-NP\tO' -p80435 -aS'was\tbe\tVBD\tB-VP\tO' -p80436 -aS'subsequently\tsubsequently\tRB\tI-VP\tO' -p80437 -aS'decided\tdecide\tVBN\tI-VP\tO' -p80438 -aS'to\tto\tTO\tI-VP\tO' -p80439 -aS'avoid\tavoid\tVB\tI-VP\tO' -p80440 -aS'phenothiazides\tphenothiazide\tNNS\tB-NP\tO' -p80441 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p80442 -aS'to\tto\tTO\tB-PP\tO' -p80443 -aS'jitteryness\tjitteryness\tNN\tB-NP\tO' -p80444 -aS'and\tand\tCC\tO\tO' -p80445 -aS'restless\trestless\tJJ\tB-NP\tO' -p80446 -aS'legs\tleg\tNNS\tI-NP\tO' -p80447 -aS'.\t.\t.\tO\tO' -p80448 -asS'Echocardiogram showed moderate anterior pericardial effusion of approximately 600 cc with diastolic indications of the right ventricle and low velocity paradox .' -p80449 -(lp80450 -S'Echocardiogram\tEchocardiogram\tNN\tB-NP\tO' -p80451 -aS'showed\tshow\tVBD\tB-VP\tO' -p80452 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p80453 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p80454 -aS'pericardial\tpericardial\tJJ\tI-NP\tO' -p80455 -aS'effusion\teffusion\tNN\tI-NP\tO' -p80456 -aS'of\tof\tIN\tB-PP\tO' -p80457 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p80458 -aS'600\t600\tCD\tI-NP\tO' -p80459 -aS'cc\tcc\tNN\tI-NP\tO' -p80460 -aS'with\twith\tIN\tB-PP\tO' -p80461 -aS'diastolic\tdiastolic\tJJ\tB-NP\tO' -p80462 -aS'indications\tindication\tNNS\tI-NP\tO' -p80463 -aS'of\tof\tIN\tB-PP\tO' -p80464 -aS'the\tthe\tDT\tB-NP\tO' -p80465 -aS'right\tright\tJJ\tI-NP\tO' -p80466 -aS'ventricle\tventricle\tNN\tI-NP\tO' -p80467 -aS'and\tand\tCC\tO\tO' -p80468 -aS'low\tlow\tJJ\tB-NP\tO' -p80469 -aS'velocity\tvelocity\tNN\tI-NP\tO' -p80470 -aS'paradox\tparadox\tNN\tI-NP\tO' -p80471 -aS'.\t.\t.\tO\tO' -p80472 -asS'3. Fluticasone 2 puffs inhaled twice per day .' -p80473 -(lp80474 -S'3.\t3.\tLS\tB-NP\tO' -p80475 -aS'Fluticasone\tFluticasone\tNN\tI-NP\tB-protein' -p80476 -aS'2\t2\tCD\tB-NP\tI-protein' -p80477 -aS'puffs\tpuff\tNNS\tI-NP\tI-protein' -p80478 -aS'inhaled\tinhale\tVBD\tB-VP\tO' -p80479 -aS'twice\ttwice\tRB\tB-ADVP\tO' -p80480 -aS'per\tper\tIN\tB-PP\tO' -p80481 -aS'day\tday\tNN\tB-NP\tO' -p80482 -aS'.\t.\t.\tO\tO' -p80483 -asS'Distal neurovascular status was intact .' -p80484 -(lp80485 -S'Distal\tDistal\tJJ\tB-NP\tO' -p80486 -aS'neurovascular\tneurovascular\tJJ\tI-NP\tO' -p80487 -aS'status\tstatus\tNN\tI-NP\tO' -p80488 -aS'was\tbe\tVBD\tB-VP\tO' -p80489 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p80490 -aS'.\t.\t.\tO\tO' -p80491 -asS'1. Digoxin .125 mg qod , .25 mg qod .' -p80492 -(lp80493 -S'1.\t1.\tLS\tB-LST\tO' -p80494 -aS'Digoxin\tDigoxin\tNN\tB-NP\tO' -p80495 -aS'.125\t.125\tCD\tI-NP\tO' -p80496 -aS'mg\tmg\tNN\tI-NP\tO' -p80497 -aS'qod\tqod\tNN\tI-NP\tO' -p80498 -aS',\t,\t,\tO\tO' -p80499 -aS'.25\t.25\tCD\tB-NP\tO' -p80500 -aS'mg\tmg\tNN\tI-NP\tO' -p80501 -aS'qod\tqod\tNN\tI-NP\tO' -p80502 -aS'.\t.\t.\tO\tO' -p80503 -asS'Tone is normal , moving all limbs symmetrically , irritable with palpation of the scalp .' -p80504 -(lp80505 -S'Tone\tTone\tNN\tB-NP\tO' -p80506 -aS'is\tbe\tVBZ\tB-VP\tO' -p80507 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p80508 -aS',\t,\t,\tO\tO' -p80509 -aS'moving\tmove\tVBG\tB-VP\tO' -p80510 -aS'all\tall\tDT\tB-NP\tO' -p80511 -aS'limbs\tlimb\tNNS\tI-NP\tO' -p80512 -aS'symmetrically\tsymmetrically\tRB\tB-ADVP\tO' -p80513 -aS',\t,\t,\tO\tO' -p80514 -aS'irritable\tirritable\tJJ\tB-ADJP\tO' -p80515 -aS'with\twith\tIN\tB-PP\tO' -p80516 -aS'palpation\tpalpation\tNN\tB-NP\tO' -p80517 -aS'of\tof\tIN\tB-PP\tO' -p80518 -aS'the\tthe\tDT\tB-NP\tO' -p80519 -aS'scalp\tscalp\tNN\tI-NP\tO' -p80520 -aS'.\t.\t.\tO\tO' -p80521 -asS'The patient was transferred back from the Intensive Care Unit on 2013-09-13 , and upon arriving on the floor , he continued to do well .' -p80522 -(lp80523 -S'The\tThe\tDT\tB-NP\tO' -p80524 -aS'patient\tpatient\tNN\tI-NP\tO' -p80525 -aS'was\tbe\tVBD\tB-VP\tO' -p80526 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p80527 -aS'back\tback\tRB\tB-ADVP\tO' -p80528 -aS'from\tfrom\tIN\tB-PP\tO' -p80529 -aS'the\tthe\tDT\tB-NP\tO' -p80530 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p80531 -aS'Care\tCare\tNNP\tI-NP\tO' -p80532 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p80533 -aS'on\ton\tIN\tB-PP\tO' -p80534 -aS'2013-09-13\t2013-09-13\tCD\tB-NP\tO' -p80535 -aS',\t,\t,\tO\tO' -p80536 -aS'and\tand\tCC\tO\tO' -p80537 -aS'upon\tupon\tIN\tB-PP\tO' -p80538 -aS'arriving\tarrive\tVBG\tB-VP\tO' -p80539 -aS'on\ton\tIN\tB-PP\tO' -p80540 -aS'the\tthe\tDT\tB-NP\tO' -p80541 -aS'floor\tfloor\tNN\tI-NP\tO' -p80542 -aS',\t,\t,\tO\tO' -p80543 -aS'he\the\tPRP\tB-NP\tO' -p80544 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p80545 -aS'to\tto\tTO\tI-VP\tO' -p80546 -aS'do\tdo\tVB\tI-VP\tO' -p80547 -aS'well\twell\tRB\tB-ADVP\tO' -p80548 -aS'.\t.\t.\tO\tO' -p80549 -asS'Dictated By : Tracy C Rea , M.D.' -p80550 -(lp80551 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p80552 -aS'By\tBy\tIN\tB-PP\tO' -p80553 -aS':\t:\t:\tO\tO' -p80554 -aS'Tracy\tTracy\tNNP\tB-NP\tO' -p80555 -aS'C\tC\tNNP\tI-NP\tO' -p80556 -aS'Rea\tRea\tNNP\tI-NP\tO' -p80557 -aS',\t,\t,\tO\tO' -p80558 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p80559 -asS'Sedated .' -p80560 -(lp80561 -S'Sedated\tSedate\tVBN\tB-VP\tO' -p80562 -aS'.\t.\t.\tO\tO' -p80563 -asS'TLC , TIB and blood culture were all negative .' -p80564 -(lp80565 -S'TLC\tTLC\tNN\tB-NP\tO' -p80566 -aS',\t,\t,\tI-NP\tO' -p80567 -aS'TIB\tTIB\tNN\tI-NP\tB-protein' -p80568 -aS'and\tand\tCC\tI-NP\tO' -p80569 -aS'blood\tblood\tNN\tI-NP\tO' -p80570 -aS'culture\tculture\tNN\tI-NP\tO' -p80571 -aS'were\tbe\tVBD\tB-VP\tO' -p80572 -aS'all\tall\tDT\tO\tO' -p80573 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p80574 -aS'.\t.\t.\tO\tO' -p80575 -asS'The patient lives in Hou with wife and daughter .' -p80576 -(lp80577 -S'The\tThe\tDT\tB-NP\tO' -p80578 -aS'patient\tpatient\tNN\tI-NP\tO' -p80579 -aS'lives\tlive\tVBZ\tB-VP\tO' -p80580 -aS'in\tin\tIN\tB-PP\tO' -p80581 -aS'Hou\tHou\tNN\tB-NP\tO' -p80582 -aS'with\twith\tIN\tB-PP\tO' -p80583 -aS'wife\twife\tNN\tB-NP\tO' -p80584 -aS'and\tand\tCC\tI-NP\tO' -p80585 -aS'daughter\tdaughter\tNN\tI-NP\tO' -p80586 -aS'.\t.\t.\tO\tO' -p80587 -asS'He underwent an uncomplicated laparoscopic cholecystectomy .' -p80588 -(lp80589 -S'He\tHe\tPRP\tB-NP\tO' -p80590 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p80591 -aS'an\tan\tDT\tB-NP\tO' -p80592 -aS'uncomplicated\tuncomplicated\tJJ\tI-NP\tO' -p80593 -aS'laparoscopic\tlaparoscopic\tJJ\tI-NP\tO' -p80594 -aS'cholecystectomy\tcholecystectomy\tNN\tI-NP\tO' -p80595 -aS'.\t.\t.\tO\tO' -p80596 -asS'The patient was advised to follow-up with Dr. Edwards in clinic in one week .' -p80597 -(lp80598 -S'The\tThe\tDT\tB-NP\tO' -p80599 -aS'patient\tpatient\tNN\tI-NP\tO' -p80600 -aS'was\tbe\tVBD\tB-VP\tO' -p80601 -aS'advised\tadvise\tVBN\tI-VP\tO' -p80602 -aS'to\tto\tTO\tI-VP\tO' -p80603 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p80604 -aS'with\twith\tIN\tB-PP\tO' -p80605 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p80606 -aS'Edwards\tEdwards\tNNP\tI-NP\tO' -p80607 -aS'in\tin\tIN\tB-PP\tO' -p80608 -aS'clinic\tclinic\tNN\tB-NP\tO' -p80609 -aS'in\tin\tIN\tB-PP\tO' -p80610 -aS'one\tone\tCD\tB-NP\tO' -p80611 -aS'week\tweek\tNN\tI-NP\tO' -p80612 -aS'.\t.\t.\tO\tO' -p80613 -asS'He had radiation following the resection and was doing well on monthly Temodar until 2012-04-23 when he had a marked change in behavior , his balance was off , speech slurred , and he had difficulty using the computer .' -p80614 -(lp80615 -S'He\tHe\tPRP\tB-NP\tO' -p80616 -aS'had\thave\tVBD\tB-VP\tO' -p80617 -aS'radiation\tradiation\tNN\tB-NP\tO' -p80618 -aS'following\tfollow\tVBG\tB-PP\tO' -p80619 -aS'the\tthe\tDT\tB-NP\tO' -p80620 -aS'resection\tresection\tNN\tI-NP\tO' -p80621 -aS'and\tand\tCC\tO\tO' -p80622 -aS'was\tbe\tVBD\tB-VP\tO' -p80623 -aS'doing\tdo\tVBG\tI-VP\tO' -p80624 -aS'well\twell\tRB\tB-ADVP\tO' -p80625 -aS'on\ton\tIN\tB-PP\tO' -p80626 -aS'monthly\tmonthly\tJJ\tB-NP\tO' -p80627 -aS'Temodar\tTemodar\tNN\tI-NP\tO' -p80628 -aS'until\tuntil\tIN\tB-PP\tO' -p80629 -aS'2012-04-23\t2012-04-23\tCD\tB-NP\tO' -p80630 -aS'when\twhen\tWRB\tB-ADVP\tO' -p80631 -aS'he\the\tPRP\tB-NP\tO' -p80632 -aS'had\thave\tVBD\tB-VP\tO' -p80633 -aS'a\ta\tDT\tB-NP\tO' -p80634 -aS'marked\tmarked\tJJ\tI-NP\tO' -p80635 -aS'change\tchange\tNN\tI-NP\tO' -p80636 -aS'in\tin\tIN\tB-PP\tO' -p80637 -aS'behavior\tbehavior\tNN\tB-NP\tO' -p80638 -aS',\t,\t,\tO\tO' -p80639 -aS'his\this\tPRP$\tB-NP\tO' -p80640 -aS'balance\tbalance\tNN\tI-NP\tO' -p80641 -aS'was\tbe\tVBD\tB-VP\tO' -p80642 -aS'off\toff\tRB\tB-ADVP\tO' -p80643 -aS',\t,\t,\tO\tO' -p80644 -aS'speech\tspeech\tNN\tB-NP\tO' -p80645 -aS'slurred\tslur\tVBD\tB-VP\tO' -p80646 -aS',\t,\t,\tO\tO' -p80647 -aS'and\tand\tCC\tO\tO' -p80648 -aS'he\the\tPRP\tB-NP\tO' -p80649 -aS'had\thave\tVBD\tB-VP\tO' -p80650 -aS'difficulty\tdifficulty\tNN\tB-NP\tO' -p80651 -aS'using\tuse\tVBG\tB-VP\tO' -p80652 -aS'the\tthe\tDT\tB-NP\tO' -p80653 -aS'computer\tcomputer\tNN\tI-NP\tO' -p80654 -aS'.\t.\t.\tO\tO' -p80655 -asS'14. Amiodarone 200 mg Tablet Sig : Two ( 2 ) Tablet PO BID ( 2 times a day ) for 7 days .' -p80656 -(lp80657 -S'14.\t14.\tCD\tB-NP\tO' -p80658 -aS'Amiodarone\tAmiodarone\tNN\tI-NP\tO' -p80659 -aS'200\t200\tCD\tB-NP\tO' -p80660 -aS'mg\tmg\tNN\tI-NP\tO' -p80661 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p80662 -aS'Sig\tSig\tNNP\tI-NP\tO' -p80663 -aS':\t:\t:\tO\tO' -p80664 -aS'Two\tTwo\tCD\tB-NP\tO' -p80665 -aS'(\t(\t(\tO\tO' -p80666 -aS'2\t2\tCD\tO\tO' -p80667 -aS')\t)\t)\tO\tO' -p80668 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p80669 -aS'PO\tPO\tNN\tI-NP\tO' -p80670 -aS'BID\tBID\tNN\tI-NP\tO' -p80671 -aS'(\t(\t(\tO\tO' -p80672 -aS'2\t2\tCD\tB-NP\tO' -p80673 -aS'times\ttime\tNNS\tI-NP\tO' -p80674 -aS'a\ta\tDT\tB-NP\tO' -p80675 -aS'day\tday\tNN\tI-NP\tO' -p80676 -aS')\t)\t)\tO\tO' -p80677 -aS'for\tfor\tIN\tB-PP\tO' -p80678 -aS'7\t7\tCD\tB-NP\tO' -p80679 -aS'days\tday\tNNS\tI-NP\tO' -p80680 -aS'.\t.\t.\tO\tO' -p80681 -asS'At the time of discharge , the patient 's mental status is back to its baseline .' -p80682 -(lp80683 -S'At\tAt\tIN\tB-PP\tO' -p80684 -aS'the\tthe\tDT\tB-NP\tO' -p80685 -aS'time\ttime\tNN\tI-NP\tO' -p80686 -aS'of\tof\tIN\tB-PP\tO' -p80687 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p80688 -aS',\t,\t,\tO\tO' -p80689 -aS'the\tthe\tDT\tB-NP\tO' -p80690 -aS'patient\tpatient\tNN\tI-NP\tO' -p80691 -aS''s\t'\tNNS\tI-NP\tO' -p80692 -aS'mental\tmental\tJJ\tB-NP\tO' -p80693 -aS'status\tstatus\tNN\tI-NP\tO' -p80694 -aS'is\tbe\tVBZ\tB-VP\tO' -p80695 -aS'back\tback\tRB\tB-ADVP\tO' -p80696 -aS'to\tto\tTO\tB-PP\tO' -p80697 -aS'its\tits\tPRP$\tB-NP\tO' -p80698 -aS'baseline\tbaseline\tNN\tI-NP\tO' -p80699 -aS'.\t.\t.\tO\tO' -p80700 -asS'Throat is clear .' -p80701 -(lp80702 -S'Throat\tThroat\tNN\tB-NP\tO' -p80703 -aS'is\tbe\tVBZ\tB-VP\tO' -p80704 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p80705 -aS'.\t.\t.\tO\tO' -p80706 -asS'Past Medical History : diabetes type 1 since age 24 after pancreatic trauma' -p80707 -(lp80708 -S'Past\tPast\tNNP\tB-NP\tO' -p80709 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p80710 -aS'History\tHistory\tNNP\tI-NP\tO' -p80711 -aS':\t:\t:\tO\tO' -p80712 -aS'diabetes\tdiabetes\tNN\tB-NP\tO' -p80713 -aS'type\ttype\tNN\tI-NP\tO' -p80714 -aS'1\t1\tCD\tI-NP\tO' -p80715 -aS'since\tsince\tIN\tB-SBAR\tO' -p80716 -aS'age\tage\tNN\tB-NP\tO' -p80717 -aS'24\t24\tCD\tI-NP\tO' -p80718 -aS'after\tafter\tIN\tB-PP\tO' -p80719 -aS'pancreatic\tpancreatic\tJJ\tB-NP\tO' -p80720 -aS'trauma\ttrauma\tNN\tI-NP\tO' -p80721 -asS'Metastatic carcinoma was present in 3 of 3 lymph nodes .' -p80722 -(lp80723 -S'Metastatic\tMetastatic\tJJ\tB-NP\tO' -p80724 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p80725 -aS'was\tbe\tVBD\tB-VP\tO' -p80726 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p80727 -aS'in\tin\tIN\tB-PP\tO' -p80728 -aS'3\t3\tCD\tB-NP\tO' -p80729 -aS'of\tof\tIN\tB-PP\tO' -p80730 -aS'3\t3\tCD\tB-NP\tO' -p80731 -aS'lymph\tlymph\tNN\tI-NP\tO' -p80732 -aS'nodes\tnode\tNNS\tI-NP\tO' -p80733 -aS'.\t.\t.\tO\tO' -p80734 -asS'There is no evidence of abscess .' -p80735 -(lp80736 -S'There\tThere\tEX\tB-NP\tO' -p80737 -aS'is\tbe\tVBZ\tB-VP\tO' -p80738 -aS'no\tno\tDT\tB-NP\tO' -p80739 -aS'evidence\tevidence\tNN\tI-NP\tO' -p80740 -aS'of\tof\tIN\tB-PP\tO' -p80741 -aS'abscess\tabscess\tNN\tB-NP\tO' -p80742 -aS'.\t.\t.\tO\tO' -p80743 -asS'She is not a smoker .' -p80744 -(lp80745 -S'She\tShe\tPRP\tB-NP\tO' -p80746 -aS'is\tbe\tVBZ\tB-VP\tO' -p80747 -aS'not\tnot\tRB\tO\tO' -p80748 -aS'a\ta\tDT\tB-NP\tO' -p80749 -aS'smoker\tsmoker\tNN\tI-NP\tO' -p80750 -aS'.\t.\t.\tO\tO' -p80751 -asS'In the Deborah VS on arrival were T : 97.5 ; BP : 90/65 ; HR : 82 ; RR : 16 ; 94 on RA .' -p80752 -(lp80753 -S'In\tIn\tIN\tB-PP\tO' -p80754 -aS'the\tthe\tDT\tB-NP\tO' -p80755 -aS'Deborah\tDeborah\tNNP\tI-NP\tO' -p80756 -aS'VS\tVS\tNNP\tI-NP\tO' -p80757 -aS'on\ton\tIN\tB-PP\tO' -p80758 -aS'arrival\tarrival\tNN\tB-NP\tO' -p80759 -aS'were\tbe\tVBD\tB-VP\tO' -p80760 -aS'T\tT\tNN\tB-NP\tO' -p80761 -aS':\t:\t:\tO\tO' -p80762 -aS'97.5\t97.5\tCD\tB-NP\tO' -p80763 -aS';\t;\t:\tO\tO' -p80764 -aS'BP\tBP\tNN\tB-NP\tO' -p80765 -aS':\t:\t:\tO\tO' -p80766 -aS'90/65\t90/65\tCD\tB-NP\tO' -p80767 -aS';\t;\t:\tO\tO' -p80768 -aS'HR\tHR\tNN\tB-NP\tO' -p80769 -aS':\t:\t:\tO\tO' -p80770 -aS'82\t82\tCD\tB-NP\tO' -p80771 -aS';\t;\t:\tO\tO' -p80772 -aS'RR\tRR\tNN\tB-NP\tO' -p80773 -aS':\t:\t:\tO\tO' -p80774 -aS'16\t16\tCD\tB-NP\tO' -p80775 -aS';\t;\t:\tO\tO' -p80776 -aS'94\t94\tCD\tB-NP\tO' -p80777 -aS'on\ton\tIN\tB-PP\tO' -p80778 -aS'RA\tRA\tNN\tB-NP\tB-protein' -p80779 -aS'.\t.\t.\tO\tO' -p80780 -asS'# h/o DVT - patient with head bleed which is contraindication to anti-coagulation .' -p80781 -(lp80782 -S'#\t#\t#\tB-NP\tO' -p80783 -aS'h/o\th/o\tNN\tI-NP\tO' -p80784 -aS'DVT\tDVT\tNN\tI-NP\tO' -p80785 -aS'-\t-\tHYPH\tB-NP\tO' -p80786 -aS'patient\tpatient\tNN\tI-NP\tO' -p80787 -aS'with\twith\tIN\tB-PP\tO' -p80788 -aS'head\thead\tNN\tB-NP\tO' -p80789 -aS'bleed\tbleed\tNN\tI-NP\tO' -p80790 -aS'which\twhich\tWDT\tB-NP\tO' -p80791 -aS'is\tbe\tVBZ\tB-VP\tO' -p80792 -aS'contraindication\tcontraindication\tNN\tB-NP\tO' -p80793 -aS'to\tto\tTO\tB-PP\tO' -p80794 -aS'anti-coagulation\tanti-coagulation\tNN\tB-NP\tO' -p80795 -aS'.\t.\t.\tO\tO' -p80796 -asS'At the time of transfer the patient was stable and needed only physical and occupational therapy .' -p80797 -(lp80798 -S'At\tAt\tIN\tB-PP\tO' -p80799 -aS'the\tthe\tDT\tB-NP\tO' -p80800 -aS'time\ttime\tNN\tI-NP\tO' -p80801 -aS'of\tof\tIN\tB-PP\tO' -p80802 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p80803 -aS'the\tthe\tDT\tB-NP\tO' -p80804 -aS'patient\tpatient\tNN\tI-NP\tO' -p80805 -aS'was\tbe\tVBD\tB-VP\tO' -p80806 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p80807 -aS'and\tand\tCC\tO\tO' -p80808 -aS'needed\tneed\tVBN\tB-VP\tO' -p80809 -aS'only\tonly\tRB\tB-NP\tO' -p80810 -aS'physical\tphysical\tJJ\tI-NP\tO' -p80811 -aS'and\tand\tCC\tI-NP\tO' -p80812 -aS'occupational\toccupational\tJJ\tI-NP\tO' -p80813 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p80814 -aS'.\t.\t.\tO\tO' -p80815 -asS'Flovent inhaler , 220 mcg bid .' -p80816 -(lp80817 -S'Flovent\tFlovent\tNNP\tB-NP\tO' -p80818 -aS'inhaler\tinhaler\tNN\tI-NP\tO' -p80819 -aS',\t,\t,\tO\tO' -p80820 -aS'220\t220\tCD\tB-NP\tO' -p80821 -aS'mcg\tmcg\tNN\tI-NP\tO' -p80822 -aS'bid\tbid\tNN\tI-NP\tO' -p80823 -aS'.\t.\t.\tO\tO' -p80824 -asS'11 year old brother,6 year old sister , healthy .' -p80825 -(lp80826 -S'11\t11\tCD\tB-NP\tO' -p80827 -aS'year\tyear\tNN\tI-NP\tO' -p80828 -aS'old\told\tJJ\tI-NP\tO' -p80829 -aS'brother,6\tbrother,6\tNN\tI-NP\tO' -p80830 -aS'year\tyear\tNN\tI-NP\tO' -p80831 -aS'old\told\tJJ\tI-NP\tO' -p80832 -aS'sister\tsister\tNN\tI-NP\tO' -p80833 -aS',\t,\t,\tO\tO' -p80834 -aS'healthy\thealthy\tJJ\tB-ADJP\tO' -p80835 -aS'.\t.\t.\tO\tO' -p80836 -asS'Approximately one week ago , he was admitted to the Fairm of Ijordcompmac Hospital for chemotherapy with DTIC and Tamoxifen .' -p80837 -(lp80838 -S'Approximately\tApproximately\tRB\tB-NP\tO' -p80839 -aS'one\tone\tCD\tI-NP\tO' -p80840 -aS'week\tweek\tNN\tI-NP\tO' -p80841 -aS'ago\tago\tRB\tB-ADVP\tO' -p80842 -aS',\t,\t,\tO\tO' -p80843 -aS'he\the\tPRP\tB-NP\tO' -p80844 -aS'was\tbe\tVBD\tB-VP\tO' -p80845 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p80846 -aS'to\tto\tTO\tB-PP\tO' -p80847 -aS'the\tthe\tDT\tB-NP\tO' -p80848 -aS'Fairm\tFairm\tNNP\tI-NP\tO' -p80849 -aS'of\tof\tIN\tB-PP\tO' -p80850 -aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' -p80851 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p80852 -aS'for\tfor\tIN\tB-PP\tO' -p80853 -aS'chemotherapy\tchemotherapy\tNN\tB-NP\tO' -p80854 -aS'with\twith\tIN\tB-PP\tO' -p80855 -aS'DTIC\tDTIC\tNN\tB-NP\tO' -p80856 -aS'and\tand\tCC\tI-NP\tO' -p80857 -aS'Tamoxifen\tTamoxifen\tNN\tI-NP\tO' -p80858 -aS'.\t.\t.\tO\tO' -p80859 -asS'2) Please do not take coumadin .' -p80860 -(lp80861 -S'2)\t2)\tLS\tB-NP\tO' -p80862 -aS'Please\tPlease\tNN\tI-NP\tB-protein' -p80863 -aS'do\tdo\tVB\tB-VP\tO' -p80864 -aS'not\tnot\tRB\tI-VP\tO' -p80865 -aS'take\ttake\tVB\tI-VP\tO' -p80866 -aS'coumadin\tcoumadin\tNN\tB-NP\tO' -p80867 -aS'.\t.\t.\tO\tO' -p80868 -asS'He is a retired elementary school principal and now works in Johnson management .' -p80869 -(lp80870 -S'He\tHe\tPRP\tB-NP\tB-DNA' -p80871 -aS'is\tbe\tVBZ\tB-VP\tO' -p80872 -aS'a\ta\tDT\tB-NP\tO' -p80873 -aS'retired\tretired\tJJ\tI-NP\tO' -p80874 -aS'elementary\telementary\tJJ\tI-NP\tO' -p80875 -aS'school\tschool\tNN\tI-NP\tO' -p80876 -aS'principal\tprincipal\tNN\tI-NP\tO' -p80877 -aS'and\tand\tCC\tO\tO' -p80878 -aS'now\tnow\tRB\tB-VP\tO' -p80879 -aS'works\twork\tVBZ\tI-VP\tO' -p80880 -aS'in\tin\tIN\tB-PP\tO' -p80881 -aS'Johnson\tJohnson\tNNP\tB-NP\tO' -p80882 -aS'management\tmanagement\tNN\tI-NP\tO' -p80883 -aS'.\t.\t.\tO\tO' -p80884 -asS'His GCS was reported as 3 on arrival to the Emergency Department .' -p80885 -(lp80886 -S'His\tHis\tPRP$\tB-NP\tO' -p80887 -aS'GCS\tGCS\tNNS\tI-NP\tO' -p80888 -aS'was\tbe\tVBD\tB-VP\tO' -p80889 -aS'reported\treport\tVBN\tI-VP\tO' -p80890 -aS'as\tas\tIN\tB-PP\tO' -p80891 -aS'3\t3\tCD\tB-NP\tO' -p80892 -aS'on\ton\tIN\tB-PP\tO' -p80893 -aS'arrival\tarrival\tNN\tB-NP\tO' -p80894 -aS'to\tto\tTO\tB-PP\tO' -p80895 -aS'the\tthe\tDT\tB-NP\tO' -p80896 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p80897 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p80898 -aS'.\t.\t.\tO\tO' -p80899 -asS'The patient had a bypass time of one hour and fifty minutes with good urine output and pre-bypass cardiac output of 4.0 , post-chest closure 5.3 , arrived to the Surgical Intensive Care Unit on Nipride , Lidocaine of 1 and Fentanyl/ Versed of 10 .' -p80900 -(lp80901 -S'The\tThe\tDT\tB-NP\tO' -p80902 -aS'patient\tpatient\tNN\tI-NP\tO' -p80903 -aS'had\thave\tVBD\tB-VP\tO' -p80904 -aS'a\ta\tDT\tB-NP\tO' -p80905 -aS'bypass\tbypass\tNN\tI-NP\tO' -p80906 -aS'time\ttime\tNN\tI-NP\tO' -p80907 -aS'of\tof\tIN\tB-PP\tO' -p80908 -aS'one\tone\tCD\tB-NP\tO' -p80909 -aS'hour\thour\tNN\tI-NP\tO' -p80910 -aS'and\tand\tCC\tO\tO' -p80911 -aS'fifty\tfifty\tJJ\tB-NP\tO' -p80912 -aS'minutes\tminute\tNNS\tI-NP\tO' -p80913 -aS'with\twith\tIN\tB-PP\tO' -p80914 -aS'good\tgood\tJJ\tB-NP\tO' -p80915 -aS'urine\turine\tNN\tI-NP\tO' -p80916 -aS'output\toutput\tNN\tI-NP\tO' -p80917 -aS'and\tand\tCC\tO\tO' -p80918 -aS'pre-bypass\tpre-bypass\tJJ\tB-NP\tO' -p80919 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p80920 -aS'output\toutput\tNN\tI-NP\tO' -p80921 -aS'of\tof\tIN\tB-PP\tO' -p80922 -aS'4.0\t4.0\tCD\tB-NP\tO' -p80923 -aS',\t,\t,\tO\tO' -p80924 -aS'post-chest\tpost-chest\tJJ\tB-NP\tO' -p80925 -aS'closure\tclosure\tNN\tI-NP\tO' -p80926 -aS'5.3\t5.3\tCD\tI-NP\tO' -p80927 -aS',\t,\t,\tO\tO' -p80928 -aS'arrived\tarrive\tVBD\tB-VP\tO' -p80929 -aS'to\tto\tTO\tB-PP\tO' -p80930 -aS'the\tthe\tDT\tB-NP\tO' -p80931 -aS'Surgical\tSurgical\tNNP\tI-NP\tO' -p80932 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p80933 -aS'Care\tCare\tNNP\tI-NP\tO' -p80934 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p80935 -aS'on\ton\tIN\tB-PP\tO' -p80936 -aS'Nipride\tNipride\tNNP\tB-NP\tO' -p80937 -aS',\t,\t,\tO\tO' -p80938 -aS'Lidocaine\tLidocaine\tNNP\tB-NP\tO' -p80939 -aS'of\tof\tIN\tB-PP\tO' -p80940 -aS'1\t1\tCD\tB-NP\tO' -p80941 -aS'and\tand\tCC\tO\tO' -p80942 -aS'Fentanyl/\tFentanyl/\tNNP\tB-NP\tO' -p80943 -aS'Versed\tVersed\tNNP\tI-NP\tO' -p80944 -aS'of\tof\tIN\tB-PP\tO' -p80945 -aS'10\t10\tCD\tB-NP\tO' -p80946 -aS'.\t.\t.\tO\tO' -p80947 -asS'GBS negative .' -p80948 -(lp80949 -S'GBS\tGBS\tNN\tB-NP\tB-protein' -p80950 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p80951 -aS'.\t.\t.\tO\tO' -p80952 -asS'Please take all medications as instructed .' -p80953 -(lp80954 -S'Please\tPlease\tVB\tB-VP\tO' -p80955 -aS'take\ttake\tVB\tI-VP\tO' -p80956 -aS'all\tall\tDT\tB-NP\tO' -p80957 -aS'medications\tmedication\tNNS\tI-NP\tO' -p80958 -aS'as\tas\tIN\tB-SBAR\tO' -p80959 -aS'instructed\tinstruct\tVBN\tB-VP\tO' -p80960 -aS'.\t.\t.\tO\tO' -p80961 -asS'The results of this study indicated that this structure at the head of his pancreas is most likely a forming pseudocyst ; however , the suspicion of malignancy is still possible and the patient underwent an ultrasound guided biopsy of this mass on 2011-01-20 .' -p80962 -(lp80963 -S'The\tThe\tDT\tB-NP\tO' -p80964 -aS'results\tresult\tNNS\tI-NP\tO' -p80965 -aS'of\tof\tIN\tB-PP\tO' -p80966 -aS'this\tthis\tDT\tB-NP\tO' -p80967 -aS'study\tstudy\tNN\tI-NP\tO' -p80968 -aS'indicated\tindicate\tVBD\tB-VP\tO' -p80969 -aS'that\tthat\tIN\tB-SBAR\tO' -p80970 -aS'this\tthis\tDT\tB-NP\tO' -p80971 -aS'structure\tstructure\tNN\tI-NP\tO' -p80972 -aS'at\tat\tIN\tB-PP\tO' -p80973 -aS'the\tthe\tDT\tB-NP\tO' -p80974 -aS'head\thead\tNN\tI-NP\tO' -p80975 -aS'of\tof\tIN\tB-PP\tO' -p80976 -aS'his\this\tPRP$\tB-NP\tO' -p80977 -aS'pancreas\tpancreas\tNN\tI-NP\tO' -p80978 -aS'is\tbe\tVBZ\tB-VP\tO' -p80979 -aS'most\tmost\tRBS\tB-ADVP\tO' -p80980 -aS'likely\tlikely\tRB\tI-ADVP\tO' -p80981 -aS'a\ta\tDT\tB-NP\tO' -p80982 -aS'forming\tform\tVBG\tI-NP\tO' -p80983 -aS'pseudocyst\tpseudocyst\tNN\tI-NP\tO' -p80984 -aS';\t;\t:\tO\tO' -p80985 -aS'however\thowever\tRB\tB-ADVP\tO' -p80986 -aS',\t,\t,\tO\tO' -p80987 -aS'the\tthe\tDT\tB-NP\tO' -p80988 -aS'suspicion\tsuspicion\tNN\tI-NP\tO' -p80989 -aS'of\tof\tIN\tB-PP\tO' -p80990 -aS'malignancy\tmalignancy\tNN\tB-NP\tO' -p80991 -aS'is\tbe\tVBZ\tB-VP\tO' -p80992 -aS'still\tstill\tRB\tB-ADVP\tO' -p80993 -aS'possible\tpossible\tJJ\tB-ADJP\tO' -p80994 -aS'and\tand\tCC\tO\tO' -p80995 -aS'the\tthe\tDT\tB-NP\tO' -p80996 -aS'patient\tpatient\tNN\tI-NP\tO' -p80997 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p80998 -aS'an\tan\tDT\tB-NP\tO' -p80999 -aS'ultrasound\tultrasound\tJJ\tI-NP\tO' -p81000 -aS'guided\tguide\tVBN\tI-NP\tO' -p81001 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p81002 -aS'of\tof\tIN\tB-PP\tO' -p81003 -aS'this\tthis\tDT\tB-NP\tO' -p81004 -aS'mass\tmass\tNN\tI-NP\tO' -p81005 -aS'on\ton\tIN\tB-PP\tO' -p81006 -aS'2011-01-20\t2011-01-20\tCD\tB-NP\tO' -p81007 -aS'.\t.\t.\tO\tO' -p81008 -asS'Immediately prior to transfer to Worcester State Hospital , she went into ventricular fibrillation arrest at 12:30 p.m. , at which time she was intubated and defibrillated back to sinus rhythm after five shocks .' -p81009 -(lp81010 -S'Immediately\tImmediately\tRB\tB-ADJP\tO' -p81011 -aS'prior\tprior\tJJ\tI-ADJP\tO' -p81012 -aS'to\tto\tTO\tB-VP\tO' -p81013 -aS'transfer\ttransfer\tVB\tI-VP\tO' -p81014 -aS'to\tto\tTO\tB-PP\tO' -p81015 -aS'Worcester\tWorcester\tNNP\tB-NP\tO' -p81016 -aS'State\tState\tNNP\tI-NP\tO' -p81017 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p81018 -aS',\t,\t,\tO\tO' -p81019 -aS'she\tshe\tPRP\tB-NP\tO' -p81020 -aS'went\tgo\tVBD\tB-VP\tO' -p81021 -aS'into\tinto\tIN\tB-PP\tO' -p81022 -aS'ventricular\tventricular\tJJ\tB-NP\tO' -p81023 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p81024 -aS'arrest\tarrest\tNN\tI-NP\tO' -p81025 -aS'at\tat\tIN\tB-PP\tO' -p81026 -aS'12:30\t12:30\tCD\tB-NP\tO' -p81027 -aS'p.m.\tp.m.\tNN\tI-NP\tO' -p81028 -aS',\t,\t,\tO\tO' -p81029 -aS'at\tat\tIN\tB-PP\tO' -p81030 -aS'which\twhich\tWDT\tB-NP\tO' -p81031 -aS'time\ttime\tNN\tI-NP\tO' -p81032 -aS'she\tshe\tPRP\tB-NP\tO' -p81033 -aS'was\tbe\tVBD\tB-VP\tO' -p81034 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p81035 -aS'and\tand\tCC\tO\tO' -p81036 -aS'defibrillated\tdefibrillate\tVBN\tB-VP\tO' -p81037 -aS'back\tback\tRB\tB-ADVP\tO' -p81038 -aS'to\tto\tTO\tB-PP\tO' -p81039 -aS'sinus\tsinus\tNN\tB-NP\tO' -p81040 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p81041 -aS'after\tafter\tIN\tB-PP\tO' -p81042 -aS'five\tfive\tCD\tB-NP\tO' -p81043 -aS'shocks\tshock\tNNS\tI-NP\tO' -p81044 -aS'.\t.\t.\tO\tO' -p81045 -asS'Neck - no lymphadenopathy ; no carotid bruits ; jugular venous pressure not elevated ; no goiter .' -p81046 -(lp81047 -S'Neck\tNeck\tNN\tB-NP\tO' -p81048 -aS'-\t-\tHYPH\tB-VP\tO' -p81049 -aS'no\tno\tDT\tB-NP\tO' -p81050 -aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' -p81051 -aS';\t;\t:\tO\tO' -p81052 -aS'no\tno\tDT\tB-NP\tO' -p81053 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p81054 -aS'bruits\tbruit\tNNS\tI-NP\tO' -p81055 -aS';\t;\t:\tO\tO' -p81056 -aS'jugular\tjugular\tJJ\tB-NP\tO' -p81057 -aS'venous\tvenous\tJJ\tI-NP\tO' -p81058 -aS'pressure\tpressure\tNN\tI-NP\tO' -p81059 -aS'not\tnot\tRB\tB-VP\tO' -p81060 -aS'elevated\televate\tVBN\tI-VP\tO' -p81061 -aS';\t;\t:\tO\tO' -p81062 -aS'no\tno\tDT\tB-NP\tO' -p81063 -aS'goiter\tgoiter\tNN\tI-NP\tO' -p81064 -aS'.\t.\t.\tO\tO' -p81065 -asS'The patient had a routine postoperative course in the Surgical Intensive Care Unit with a postoperative BUN and creatinine of 11 and 1.2 with good urine output of over 100 an hour and patient received two units of packed red blood cells , fresh frozen plasma and platelets for increasing chest tube drainage .' -p81066 -(lp81067 -S'The\tThe\tDT\tB-NP\tO' -p81068 -aS'patient\tpatient\tNN\tI-NP\tO' -p81069 -aS'had\thave\tVBD\tB-VP\tO' -p81070 -aS'a\ta\tDT\tB-NP\tO' -p81071 -aS'routine\troutine\tJJ\tI-NP\tO' -p81072 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p81073 -aS'course\tcourse\tNN\tI-NP\tO' -p81074 -aS'in\tin\tIN\tB-PP\tO' -p81075 -aS'the\tthe\tDT\tB-NP\tO' -p81076 -aS'Surgical\tSurgical\tNNP\tI-NP\tO' -p81077 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p81078 -aS'Care\tCare\tNNP\tI-NP\tO' -p81079 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p81080 -aS'with\twith\tIN\tB-PP\tO' -p81081 -aS'a\ta\tDT\tB-NP\tO' -p81082 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p81083 -aS'BUN\tBUN\tNN\tI-NP\tO' -p81084 -aS'and\tand\tCC\tI-NP\tO' -p81085 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p81086 -aS'of\tof\tIN\tB-PP\tO' -p81087 -aS'11\t11\tCD\tB-NP\tO' -p81088 -aS'and\tand\tCC\tI-NP\tO' -p81089 -aS'1.2\t1.2\tCD\tI-NP\tO' -p81090 -aS'with\twith\tIN\tB-PP\tO' -p81091 -aS'good\tgood\tJJ\tB-NP\tO' -p81092 -aS'urine\turine\tNN\tI-NP\tO' -p81093 -aS'output\toutput\tNN\tI-NP\tO' -p81094 -aS'of\tof\tIN\tB-PP\tO' -p81095 -aS'over\tover\tIN\tB-NP\tO' -p81096 -aS'100\t100\tCD\tI-NP\tO' -p81097 -aS'an\tan\tDT\tB-NP\tO' -p81098 -aS'hour\thour\tNN\tI-NP\tO' -p81099 -aS'and\tand\tCC\tI-NP\tO' -p81100 -aS'patient\tpatient\tNN\tI-NP\tO' -p81101 -aS'received\treceive\tVBD\tB-VP\tO' -p81102 -aS'two\ttwo\tCD\tB-NP\tO' -p81103 -aS'units\tunit\tNNS\tI-NP\tO' -p81104 -aS'of\tof\tIN\tB-PP\tO' -p81105 -aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' -p81106 -aS'red\tred\tJJ\tI-NP\tI-cell_type' -p81107 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p81108 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p81109 -aS',\t,\t,\tO\tO' -p81110 -aS'fresh\tfresh\tJJ\tB-NP\tO' -p81111 -aS'frozen\tfreeze\tVBN\tI-NP\tO' -p81112 -aS'plasma\tplasma\tNN\tI-NP\tO' -p81113 -aS'and\tand\tCC\tI-NP\tO' -p81114 -aS'platelets\tplatelet\tNNS\tI-NP\tB-cell_type' -p81115 -aS'for\tfor\tIN\tB-PP\tO' -p81116 -aS'increasing\tincrease\tVBG\tB-VP\tO' -p81117 -aS'chest\tchest\tNN\tB-NP\tO' -p81118 -aS'tube\ttube\tNN\tI-NP\tO' -p81119 -aS'drainage\tdrainage\tNN\tI-NP\tO' -p81120 -aS'.\t.\t.\tO\tO' -p81121 -asS'The patient was then started on 40 mg of Prednisone q. day .' -p81122 -(lp81123 -S'The\tThe\tDT\tB-NP\tO' -p81124 -aS'patient\tpatient\tNN\tI-NP\tO' -p81125 -aS'was\tbe\tVBD\tB-VP\tO' -p81126 -aS'then\tthen\tRB\tI-VP\tO' -p81127 -aS'started\tstart\tVBN\tI-VP\tO' -p81128 -aS'on\ton\tIN\tB-PP\tO' -p81129 -aS'40\t40\tCD\tB-NP\tO' -p81130 -aS'mg\tmg\tNN\tI-NP\tO' -p81131 -aS'of\tof\tIN\tB-PP\tO' -p81132 -aS'Prednisone\tPrednisone\tNN\tB-NP\tO' -p81133 -aS'q.\tq.\tNN\tI-NP\tO' -p81134 -aS'day\tday\tNN\tI-NP\tO' -p81135 -aS'.\t.\t.\tO\tO' -p81136 -asS'His birth weight was 3285 gm .' -p81137 -(lp81138 -S'His\tHis\tPRP$\tB-NP\tO' -p81139 -aS'birth\tbirth\tNN\tI-NP\tO' -p81140 -aS'weight\tweight\tNN\tI-NP\tO' -p81141 -aS'was\tbe\tVBD\tB-VP\tO' -p81142 -aS'3285\t3285\tCD\tB-NP\tO' -p81143 -aS'gm\tgm\tNN\tI-NP\tO' -p81144 -aS'.\t.\t.\tO\tO' -p81145 -asS'Femoral pulses present .' -p81146 -(lp81147 -S'Femoral\tFemoral\tJJ\tB-NP\tO' -p81148 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p81149 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p81150 -aS'.\t.\t.\tO\tO' -p81151 -asS'Patient has follow-up with Dr. Merkel and with his private medical doctor .' -p81152 -(lp81153 -S'Patient\tPatient\tNN\tB-NP\tO' -p81154 -aS'has\thave\tVBZ\tB-VP\tO' -p81155 -aS'follow-up\tfollow-up\tNN\tB-NP\tO' -p81156 -aS'with\twith\tIN\tB-PP\tO' -p81157 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p81158 -aS'Merkel\tMerkel\tNNP\tI-NP\tO' -p81159 -aS'and\tand\tCC\tB-PP\tO' -p81160 -aS'with\twith\tIN\tB-PP\tO' -p81161 -aS'his\this\tPRP$\tB-NP\tO' -p81162 -aS'private\tprivate\tJJ\tI-NP\tO' -p81163 -aS'medical\tmedical\tJJ\tI-NP\tO' -p81164 -aS'doctor\tdoctor\tNN\tI-NP\tO' -p81165 -aS'.\t.\t.\tO\tO' -p81166 -asS'4. Tetracycline which she was taking for her acne .' -p81167 -(lp81168 -S'4.\t4.\tLS\tB-NP\tO' -p81169 -aS'Tetracycline\tTetracycline\tNN\tI-NP\tO' -p81170 -aS'which\twhich\tWDT\tB-NP\tO' -p81171 -aS'she\tshe\tPRP\tB-NP\tO' -p81172 -aS'was\tbe\tVBD\tB-VP\tO' -p81173 -aS'taking\ttake\tVBG\tI-VP\tO' -p81174 -aS'for\tfor\tIN\tB-PP\tO' -p81175 -aS'her\ther\tPRP$\tB-NP\tO' -p81176 -aS'acne\tacne\tNN\tI-NP\tO' -p81177 -aS'.\t.\t.\tO\tO' -p81178 -asS'15. Florinef Acetate 0.1 mg p.o. q.d.' -p81179 -(lp81180 -S'15.\t15.\tLS\tB-NP\tO' -p81181 -aS'Florinef\tFlorinef\tNN\tI-NP\tO' -p81182 -aS'Acetate\tAcetate\tNN\tI-NP\tO' -p81183 -aS'0.1\t0.1\tCD\tI-NP\tO' -p81184 -aS'mg\tmg\tNN\tI-NP\tO' -p81185 -aS'p.o.\tp.o.\tFW\tB-ADVP\tO' -p81186 -aS'q.d.\tq.d.\tFW\tI-ADVP\tO' -p81187 -asS'In September of 1993 , an abdominal and pelvic computerized tomography scan was negative and in June of 1993 , she had a negative bone scan .' -p81188 -(lp81189 -S'In\tIn\tIN\tB-PP\tO' -p81190 -aS'September\tSeptember\tNNP\tB-NP\tO' -p81191 -aS'of\tof\tIN\tB-PP\tO' -p81192 -aS'1993\t1993\tCD\tB-NP\tO' -p81193 -aS',\t,\t,\tO\tO' -p81194 -aS'an\tan\tDT\tB-NP\tO' -p81195 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p81196 -aS'and\tand\tCC\tI-NP\tO' -p81197 -aS'pelvic\tpelvic\tJJ\tI-NP\tO' -p81198 -aS'computerized\tcomputerized\tJJ\tI-NP\tO' -p81199 -aS'tomography\ttomography\tNN\tI-NP\tO' -p81200 -aS'scan\tscan\tNN\tI-NP\tO' -p81201 -aS'was\tbe\tVBD\tB-VP\tO' -p81202 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p81203 -aS'and\tand\tCC\tO\tO' -p81204 -aS'in\tin\tIN\tB-PP\tO' -p81205 -aS'June\tJune\tNNP\tB-NP\tO' -p81206 -aS'of\tof\tIN\tB-PP\tO' -p81207 -aS'1993\t1993\tCD\tB-NP\tO' -p81208 -aS',\t,\t,\tO\tO' -p81209 -aS'she\tshe\tPRP\tB-NP\tO' -p81210 -aS'had\thave\tVBD\tB-VP\tO' -p81211 -aS'a\ta\tDT\tB-NP\tO' -p81212 -aS'negative\tnegative\tJJ\tI-NP\tO' -p81213 -aS'bone\tbone\tNN\tI-NP\tO' -p81214 -aS'scan\tscan\tNN\tI-NP\tO' -p81215 -aS'.\t.\t.\tO\tO' -p81216 -asS'4. Colace 100 mg po bid .' -p81217 -(lp81218 -S'4.\t4.\tLS\tB-NP\tO' -p81219 -aS'Colace\tColace\tNNP\tI-NP\tO' -p81220 -aS'100\t100\tCD\tI-NP\tO' -p81221 -aS'mg\tmg\tNN\tI-NP\tO' -p81222 -aS'po\tpo\tNN\tI-NP\tO' -p81223 -aS'bid\tbid\tNN\tI-NP\tO' -p81224 -aS'.\t.\t.\tO\tO' -p81225 -asS'Pulmonary felt this was consistent also with lymphangitic spread and they did not feel that a bronchoscopy would be of any assistance at this time .' -p81226 -(lp81227 -S'Pulmonary\tPulmonary\tNNP\tB-NP\tO' -p81228 -aS'felt\tfeel\tVBD\tB-VP\tO' -p81229 -aS'this\tthis\tDT\tB-NP\tO' -p81230 -aS'was\tbe\tVBD\tB-VP\tO' -p81231 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p81232 -aS'also\talso\tRB\tB-ADVP\tO' -p81233 -aS'with\twith\tIN\tB-PP\tO' -p81234 -aS'lymphangitic\tlymphangitic\tJJ\tB-NP\tO' -p81235 -aS'spread\tspread\tNN\tI-NP\tO' -p81236 -aS'and\tand\tCC\tO\tO' -p81237 -aS'they\tthey\tPRP\tB-NP\tO' -p81238 -aS'did\tdo\tVBD\tB-VP\tO' -p81239 -aS'not\tnot\tRB\tI-VP\tO' -p81240 -aS'feel\tfeel\tVB\tI-VP\tO' -p81241 -aS'that\tthat\tIN\tB-SBAR\tO' -p81242 -aS'a\ta\tDT\tB-NP\tO' -p81243 -aS'bronchoscopy\tbronchoscopy\tNN\tI-NP\tO' -p81244 -aS'would\twould\tMD\tB-VP\tO' -p81245 -aS'be\tbe\tVB\tI-VP\tO' -p81246 -aS'of\tof\tIN\tB-PP\tO' -p81247 -aS'any\tany\tDT\tB-NP\tO' -p81248 -aS'assistance\tassistance\tNN\tI-NP\tO' -p81249 -aS'at\tat\tIN\tB-PP\tO' -p81250 -aS'this\tthis\tDT\tB-NP\tO' -p81251 -aS'time\ttime\tNN\tI-NP\tO' -p81252 -aS'.\t.\t.\tO\tO' -p81253 -asS"1 ) aortic insufficiency ; 2 ) Parkinson 's Disease ; 3 ) a history of colon carcinoma ; 4 ) congestive heart failure ." -p81254 -(lp81255 -S'1\t1\tLS\tB-LST\tO' -p81256 -aS')\t)\t)\tO\tO' -p81257 -aS'aortic\taortic\tJJ\tB-NP\tO' -p81258 -aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' -p81259 -aS';\t;\t:\tO\tO' -p81260 -aS'2\t2\tLS\tB-LST\tO' -p81261 -aS')\t)\t)\tO\tO' -p81262 -aS'Parkinson\tParkinson\tNNP\tB-NP\tO' -p81263 -aS"'s\t's\tPOS\tB-NP\tO" -p81264 -aS'Disease\tDisease\tNN\tI-NP\tO' -p81265 -aS';\t;\t:\tO\tO' -p81266 -aS'3\t3\tLS\tB-LST\tO' -p81267 -aS')\t)\t)\tO\tO' -p81268 -aS'a\ta\tDT\tB-NP\tO' -p81269 -aS'history\thistory\tNN\tI-NP\tO' -p81270 -aS'of\tof\tIN\tB-PP\tO' -p81271 -aS'colon\tcolon\tNN\tB-NP\tO' -p81272 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p81273 -aS';\t;\t:\tO\tO' -p81274 -aS'4\t4\tLS\tB-LST\tO' -p81275 -aS')\t)\t)\tO\tO' -p81276 -aS'congestive\tcongestive\tJJ\tB-NP\tO' -p81277 -aS'heart\theart\tNN\tI-NP\tO' -p81278 -aS'failure\tfailure\tNN\tI-NP\tO' -p81279 -aS'.\t.\t.\tO\tO' -p81280 -asS"Per pt 's son , she is bedbound at baseline due to her multiple LE femur fractures ." -p81281 -(lp81282 -S'Per\tPer\tNNP\tB-NP\tO' -p81283 -aS'pt\tpt\tNN\tI-NP\tO' -p81284 -aS"'s\t's\tPOS\tB-NP\tO" -p81285 -aS'son\tson\tNN\tI-NP\tO' -p81286 -aS',\t,\t,\tO\tO' -p81287 -aS'she\tshe\tPRP\tB-NP\tO' -p81288 -aS'is\tbe\tVBZ\tB-VP\tO' -p81289 -aS'bedbound\tbedbound\tVBN\tI-VP\tO' -p81290 -aS'at\tat\tIN\tB-PP\tO' -p81291 -aS'baseline\tbaseline\tNN\tB-NP\tO' -p81292 -aS'due\tdue\tJJ\tB-ADJP\tO' -p81293 -aS'to\tto\tTO\tB-PP\tO' -p81294 -aS'her\ther\tPRP$\tB-NP\tO' -p81295 -aS'multiple\tmultiple\tJJ\tI-NP\tO' -p81296 -aS'LE\tLE\tNN\tI-NP\tO' -p81297 -aS'femur\tfemur\tNN\tI-NP\tO' -p81298 -aS'fractures\tfracture\tNNS\tI-NP\tO' -p81299 -aS'.\t.\t.\tO\tO' -p81300 -asS'No murmur .' -p81301 -(lp81302 -S'No\tNo\tDT\tB-NP\tO' -p81303 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p81304 -aS'.\t.\t.\tO\tO' -p81305 -asS'He has one sister and one brother who are alive and well .' -p81306 -(lp81307 -S'He\tHe\tPRP\tB-NP\tO' -p81308 -aS'has\thave\tVBZ\tB-VP\tO' -p81309 -aS'one\tone\tCD\tB-NP\tO' -p81310 -aS'sister\tsister\tNN\tI-NP\tO' -p81311 -aS'and\tand\tCC\tO\tO' -p81312 -aS'one\tone\tCD\tB-NP\tO' -p81313 -aS'brother\tbrother\tNN\tI-NP\tO' -p81314 -aS'who\twho\tWP\tB-NP\tO' -p81315 -aS'are\tbe\tVBP\tB-VP\tO' -p81316 -aS'alive\talive\tJJ\tB-ADJP\tO' -p81317 -aS'and\tand\tCC\tO\tO' -p81318 -aS'well\twell\tRB\tB-ADVP\tO' -p81319 -aS'.\t.\t.\tO\tO' -p81320 -asS'Lyme capture was pending and at the time of discharge .' -p81321 -(lp81322 -S'Lyme\tLyme\tNN\tB-NP\tO' -p81323 -aS'capture\tcapture\tNN\tI-NP\tO' -p81324 -aS'was\tbe\tVBD\tB-VP\tO' -p81325 -aS'pending\tpende\tVBG\tB-ADJP\tO' -p81326 -aS'and\tand\tCC\tO\tO' -p81327 -aS'at\tat\tIN\tB-PP\tO' -p81328 -aS'the\tthe\tDT\tB-NP\tO' -p81329 -aS'time\ttime\tNN\tI-NP\tO' -p81330 -aS'of\tof\tIN\tB-PP\tO' -p81331 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p81332 -aS'.\t.\t.\tO\tO' -p81333 -asS'The remainder of the bowel loops are fluid filled , and nondilated .' -p81334 -(lp81335 -S'The\tThe\tDT\tB-NP\tO' -p81336 -aS'remainder\tremainder\tNN\tI-NP\tO' -p81337 -aS'of\tof\tIN\tB-PP\tO' -p81338 -aS'the\tthe\tDT\tB-NP\tO' -p81339 -aS'bowel\tbowel\tNN\tI-NP\tO' -p81340 -aS'loops\tloop\tNNS\tI-NP\tO' -p81341 -aS'are\tbe\tVBP\tB-VP\tO' -p81342 -aS'fluid\tfluid\tNN\tB-NP\tO' -p81343 -aS'filled\tfill\tVBN\tB-VP\tO' -p81344 -aS',\t,\t,\tO\tO' -p81345 -aS'and\tand\tCC\tO\tO' -p81346 -aS'nondilated\tnondilated\tJJ\tB-ADJP\tO' -p81347 -aS'.\t.\t.\tO\tO' -p81348 -asS'Cardiac enzymes were cycled in setting of rapid AF and were flat .' -p81349 -(lp81350 -S'Cardiac\tCardiac\tJJ\tB-NP\tB-protein' -p81351 -aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' -p81352 -aS'were\tbe\tVBD\tB-VP\tO' -p81353 -aS'cycled\tcycle\tVBN\tI-VP\tO' -p81354 -aS'in\tin\tIN\tB-PP\tO' -p81355 -aS'setting\tsetting\tNN\tB-NP\tO' -p81356 -aS'of\tof\tIN\tB-PP\tO' -p81357 -aS'rapid\trapid\tJJ\tB-NP\tO' -p81358 -aS'AF\tAF\tNN\tI-NP\tO' -p81359 -aS'and\tand\tCC\tO\tO' -p81360 -aS'were\tbe\tVBD\tB-VP\tO' -p81361 -aS'flat\tflat\tJJ\tB-ADJP\tO' -p81362 -aS'.\t.\t.\tO\tO' -p81363 -asS'Calcium 9.2 , magnesium 1.8 , and phosphorus 4.2 .' -p81364 -(lp81365 -S'Calcium\tCalcium\tNN\tB-NP\tO' -p81366 -aS'9.2\t9.2\tCD\tI-NP\tO' -p81367 -aS',\t,\t,\tO\tO' -p81368 -aS'magnesium\tmagnesium\tNN\tB-NP\tO' -p81369 -aS'1.8\t1.8\tCD\tI-NP\tO' -p81370 -aS',\t,\t,\tO\tO' -p81371 -aS'and\tand\tCC\tO\tO' -p81372 -aS'phosphorus\tphosphorus\tNN\tB-NP\tB-protein' -p81373 -aS'4.2\t4.2\tCD\tI-NP\tI-protein' -p81374 -aS'.\t.\t.\tO\tO' -p81375 -asS'Of note , he underwent radiofrequency ablation of two small liver nodules , one in segment VI and the other in the caudate lobe .' -p81376 -(lp81377 -S'Of\tOf\tIN\tB-PP\tO' -p81378 -aS'note\tnote\tNN\tB-NP\tO' -p81379 -aS',\t,\t,\tO\tO' -p81380 -aS'he\the\tPRP\tB-NP\tO' -p81381 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p81382 -aS'radiofrequency\tradiofrequency\tNN\tB-NP\tO' -p81383 -aS'ablation\tablation\tNN\tI-NP\tO' -p81384 -aS'of\tof\tIN\tB-PP\tO' -p81385 -aS'two\ttwo\tCD\tB-NP\tO' -p81386 -aS'small\tsmall\tJJ\tI-NP\tO' -p81387 -aS'liver\tliver\tNN\tI-NP\tO' -p81388 -aS'nodules\tnodule\tNNS\tI-NP\tO' -p81389 -aS',\t,\t,\tO\tO' -p81390 -aS'one\tone\tCD\tB-NP\tO' -p81391 -aS'in\tin\tIN\tB-PP\tO' -p81392 -aS'segment\tsegment\tNN\tB-NP\tO' -p81393 -aS'VI\tVI\tNN\tI-NP\tO' -p81394 -aS'and\tand\tCC\tO\tO' -p81395 -aS'the\tthe\tDT\tB-NP\tO' -p81396 -aS'other\tother\tJJ\tI-NP\tO' -p81397 -aS'in\tin\tIN\tB-PP\tO' -p81398 -aS'the\tthe\tDT\tB-NP\tO' -p81399 -aS'caudate\tcaudate\tJJ\tI-NP\tO' -p81400 -aS'lobe\tlobe\tNN\tI-NP\tO' -p81401 -aS'.\t.\t.\tO\tO' -p81402 -asS'Home with parents .' -p81403 -(lp81404 -S'Home\tHome\tNN\tB-NP\tO' -p81405 -aS'with\twith\tIN\tB-PP\tO' -p81406 -aS'parents\tparent\tNNS\tB-NP\tO' -p81407 -aS'.\t.\t.\tO\tO' -p81408 -asS'NEGATIVE BY EIA .' -p81409 -(lp81410 -S'NEGATIVE\tNEGATIVE\tNNP\tB-NP\tO' -p81411 -aS'BY\tBY\tNNP\tI-NP\tO' -p81412 -aS'EIA\tEIA\tNNP\tI-NP\tO' -p81413 -aS'.\t.\t.\tO\tO' -p81414 -asS'She recalled the entire event .' -p81415 -(lp81416 -S'She\tShe\tPRP\tB-NP\tO' -p81417 -aS'recalled\trecall\tVBD\tB-VP\tO' -p81418 -aS'the\tthe\tDT\tB-NP\tO' -p81419 -aS'entire\tentire\tJJ\tI-NP\tO' -p81420 -aS'event\tevent\tNN\tI-NP\tO' -p81421 -aS'.\t.\t.\tO\tO' -p81422 -asS'Plavix 75mg daily aspirin 81mg daily' -p81423 -(lp81424 -S'Plavix\tPlavix\tNNP\tB-NP\tO' -p81425 -aS'75mg\t75mg\tPOS\tB-NP\tO' -p81426 -aS'daily\tdaily\tJJ\tI-NP\tO' -p81427 -aS'aspirin\taspirin\tNN\tI-NP\tO' -p81428 -aS'81mg\t81mg\tNN\tI-NP\tO' -p81429 -aS'daily\tdaily\tJJ\tB-ADJP\tO' -p81430 -asS'1) HIV positive with a CD4 count of 74 .' -p81431 -(lp81432 -S'1)\t1)\tLS\tB-NP\tO' -p81433 -aS'HIV\tHIV\tNN\tI-NP\tO' -p81434 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p81435 -aS'with\twith\tIN\tB-PP\tO' -p81436 -aS'a\ta\tDT\tB-NP\tO' -p81437 -aS'CD4\tCD4\tNN\tI-NP\tB-protein' -p81438 -aS'count\tcount\tNN\tI-NP\tO' -p81439 -aS'of\tof\tIN\tB-PP\tO' -p81440 -aS'74\t74\tCD\tB-NP\tO' -p81441 -aS'.\t.\t.\tO\tO' -p81442 -asS'Currently AAOx3 .' -p81443 -(lp81444 -S'Currently\tCurrently\tRB\tB-NP\tO' -p81445 -aS'AAOx3\tAAOx3\tNN\tI-NP\tO' -p81446 -aS'.\t.\t.\tO\tO' -p81447 -asS'He had three days of antibiotics remaining at the time of discharge .' -p81448 -(lp81449 -S'He\tHe\tPRP\tB-NP\tO' -p81450 -aS'had\thave\tVBD\tB-VP\tO' -p81451 -aS'three\tthree\tCD\tB-NP\tO' -p81452 -aS'days\tday\tNNS\tI-NP\tO' -p81453 -aS'of\tof\tIN\tB-PP\tO' -p81454 -aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' -p81455 -aS'remaining\tremain\tVBG\tB-VP\tO' -p81456 -aS'at\tat\tIN\tB-PP\tO' -p81457 -aS'the\tthe\tDT\tB-NP\tO' -p81458 -aS'time\ttime\tNN\tI-NP\tO' -p81459 -aS'of\tof\tIN\tB-PP\tO' -p81460 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p81461 -aS'.\t.\t.\tO\tO' -p81462 -asS'Her foley was removed and she voided without problems .' -p81463 -(lp81464 -S'Her\tHer\tPRP$\tB-NP\tO' -p81465 -aS'foley\tfoley\tNN\tI-NP\tO' -p81466 -aS'was\tbe\tVBD\tB-VP\tO' -p81467 -aS'removed\tremove\tVBN\tI-VP\tO' -p81468 -aS'and\tand\tCC\tO\tO' -p81469 -aS'she\tshe\tPRP\tB-NP\tO' -p81470 -aS'voided\tvoid\tVBD\tB-VP\tO' -p81471 -aS'without\twithout\tIN\tB-PP\tO' -p81472 -aS'problems\tproblem\tNNS\tB-NP\tO' -p81473 -aS'.\t.\t.\tO\tO' -p81474 -asS'If you have fevers > 101.5 F , vomiting , or increased redness , swelling , or discharge from your incision , call your MD or go to the nearest ER .' -p81475 -(lp81476 -S'If\tIf\tIN\tB-SBAR\tO' -p81477 -aS'you\tyou\tPRP\tB-NP\tO' -p81478 -aS'have\thave\tVBP\tB-VP\tO' -p81479 -aS'fevers\tfever\tNNS\tB-NP\tO' -p81480 -aS'>\t>\tCC\tO\tO' -p81481 -aS'101.5\t101.5\tCD\tB-NP\tO' -p81482 -aS'F\tF\tNN\tI-NP\tO' -p81483 -aS',\t,\t,\tO\tO' -p81484 -aS'vomiting\tvomiting\tNN\tB-NP\tO' -p81485 -aS',\t,\t,\tO\tO' -p81486 -aS'or\tor\tCC\tO\tO' -p81487 -aS'increased\tincrease\tVBN\tB-NP\tO' -p81488 -aS'redness\tredness\tNN\tI-NP\tO' -p81489 -aS',\t,\t,\tO\tO' -p81490 -aS'swelling\tswelling\tNN\tB-NP\tO' -p81491 -aS',\t,\t,\tO\tO' -p81492 -aS'or\tor\tCC\tO\tO' -p81493 -aS'discharge\tdischarge\tVB\tB-VP\tO' -p81494 -aS'from\tfrom\tIN\tB-PP\tO' -p81495 -aS'your\tyour\tPRP$\tB-NP\tO' -p81496 -aS'incision\tincision\tNN\tI-NP\tO' -p81497 -aS',\t,\t,\tO\tO' -p81498 -aS'call\tcall\tVB\tB-VP\tO' -p81499 -aS'your\tyour\tPRP$\tB-NP\tO' -p81500 -aS'MD\tMD\tNN\tI-NP\tO' -p81501 -aS'or\tor\tCC\tO\tO' -p81502 -aS'go\tgo\tVB\tB-VP\tO' -p81503 -aS'to\tto\tTO\tB-PP\tO' -p81504 -aS'the\tthe\tDT\tB-NP\tO' -p81505 -aS'nearest\tnear\tJJS\tI-NP\tO' -p81506 -aS'ER\tER\tNN\tI-NP\tB-protein' -p81507 -aS'.\t.\t.\tO\tO' -p81508 -asS'The patient was aggressively treated with fluid resuscitation and pressors for his septic physiology .' -p81509 -(lp81510 -S'The\tThe\tDT\tB-NP\tO' -p81511 -aS'patient\tpatient\tNN\tI-NP\tO' -p81512 -aS'was\tbe\tVBD\tB-VP\tO' -p81513 -aS'aggressively\taggressively\tRB\tI-VP\tO' -p81514 -aS'treated\ttreat\tVBN\tI-VP\tO' -p81515 -aS'with\twith\tIN\tB-PP\tO' -p81516 -aS'fluid\tfluid\tNN\tB-NP\tO' -p81517 -aS'resuscitation\tresuscitation\tNN\tI-NP\tO' -p81518 -aS'and\tand\tCC\tO\tO' -p81519 -aS'pressors\tpressor\tNNS\tB-NP\tO' -p81520 -aS'for\tfor\tIN\tB-PP\tO' -p81521 -aS'his\this\tPRP$\tB-NP\tO' -p81522 -aS'septic\tseptic\tJJ\tI-NP\tO' -p81523 -aS'physiology\tphysiology\tNN\tI-NP\tO' -p81524 -aS'.\t.\t.\tO\tO' -p81525 -asS'Birth weight 1455 grams ( 50th percentile ), head circumference 29.25 cm ( 50th percentile ), length 41.5 cm ( 50th percentile ).' -p81526 -(lp81527 -S'Birth\tBirth\tNN\tB-NP\tO' -p81528 -aS'weight\tweight\tNN\tI-NP\tO' -p81529 -aS'1455\t1455\tCD\tB-NP\tO' -p81530 -aS'grams\tgram\tNNS\tI-NP\tO' -p81531 -aS'(\t(\t(\tO\tO' -p81532 -aS'50th\t50th\tJJ\tB-NP\tO' -p81533 -aS'percentile\tpercentile\tNN\tI-NP\tO' -p81534 -aS'),\t),\tVBD\tB-VP\tO' -p81535 -aS'head\thead\tNN\tB-NP\tO' -p81536 -aS'circumference\tcircumference\tNN\tI-NP\tO' -p81537 -aS'29.25\t29.25\tCD\tB-NP\tO' -p81538 -aS'cm\tcm\tNN\tI-NP\tO' -p81539 -aS'(\t(\t(\tO\tO' -p81540 -aS'50th\t50th\tJJ\tB-NP\tO' -p81541 -aS'percentile\tpercentile\tNN\tI-NP\tO' -p81542 -aS'),\t),\tIN\tB-PP\tO' -p81543 -aS'length\tlength\tNN\tB-NP\tO' -p81544 -aS'41.5\t41.5\tCD\tI-NP\tO' -p81545 -aS'cm\tcm\tNN\tI-NP\tO' -p81546 -aS'(\t(\t(\tO\tO' -p81547 -aS'50th\t50th\tJJ\tB-NP\tO' -p81548 -aS'percentile\tpercentile\tNN\tI-NP\tO' -p81549 -aS').\t).\t.\tO\tO' -p81550 -asS'Cardiovascular regular rate and rhythm with a 1-2/6 holosystolic murmur .' -p81551 -(lp81552 -S'Cardiovascular\tCardiovascular\tJJ\tB-NP\tO' -p81553 -aS'regular\tregular\tJJ\tI-NP\tO' -p81554 -aS'rate\trate\tNN\tI-NP\tO' -p81555 -aS'and\tand\tCC\tI-NP\tO' -p81556 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p81557 -aS'with\twith\tIN\tB-PP\tO' -p81558 -aS'a\ta\tDT\tB-NP\tO' -p81559 -aS'1-2/6\t1-2/6\tCD\tI-NP\tO' -p81560 -aS'holosystolic\tholosystolic\tJJ\tI-NP\tO' -p81561 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p81562 -aS'.\t.\t.\tO\tO' -p81563 -asS'He has been on Decadron since 08/94 .' -p81564 -(lp81565 -S'He\tHe\tPRP\tB-NP\tO' -p81566 -aS'has\thave\tVBZ\tB-VP\tO' -p81567 -aS'been\tbe\tVBN\tI-VP\tO' -p81568 -aS'on\ton\tIN\tB-PP\tO' -p81569 -aS'Decadron\tDecadron\tNNP\tB-NP\tO' -p81570 -aS'since\tsince\tIN\tB-PP\tO' -p81571 -aS'08/94\t08/94\tCD\tB-NP\tO' -p81572 -aS'.\t.\t.\tO\tO' -p81573 -asS'There was spontaneous onset of labor progressing through vacuum assisted vaginal delivery under epidural anesthesia .' -p81574 -(lp81575 -S'There\tThere\tEX\tB-NP\tO' -p81576 -aS'was\tbe\tVBD\tB-VP\tO' -p81577 -aS'spontaneous\tspontaneous\tJJ\tB-NP\tO' -p81578 -aS'onset\tonset\tNN\tI-NP\tO' -p81579 -aS'of\tof\tIN\tB-PP\tO' -p81580 -aS'labor\tlabor\tNN\tB-NP\tO' -p81581 -aS'progressing\tprogress\tVBG\tB-VP\tO' -p81582 -aS'through\tthrough\tIN\tB-PP\tO' -p81583 -aS'vacuum\tvacuum\tNN\tB-NP\tO' -p81584 -aS'assisted\tassist\tVBD\tB-VP\tO' -p81585 -aS'vaginal\tvaginal\tJJ\tB-NP\tO' -p81586 -aS'delivery\tdelivery\tNN\tI-NP\tO' -p81587 -aS'under\tunder\tIN\tB-PP\tO' -p81588 -aS'epidural\tepidural\tJJ\tB-NP\tO' -p81589 -aS'anesthesia\tanesthesia\tNN\tI-NP\tO' -p81590 -aS'.\t.\t.\tO\tO' -p81591 -asS"Dr. Valerio office was notified about the patient 's discharge plans and status ." -p81592 -(lp81593 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p81594 -aS'Valerio\tValerio\tNNP\tI-NP\tO' -p81595 -aS'office\toffice\tNN\tI-NP\tO' -p81596 -aS'was\tbe\tVBD\tB-VP\tO' -p81597 -aS'notified\tnotify\tVBN\tI-VP\tO' -p81598 -aS'about\tabout\tIN\tB-PP\tO' -p81599 -aS'the\tthe\tDT\tB-NP\tO' -p81600 -aS'patient\tpatient\tNN\tI-NP\tO' -p81601 -aS"'s\t's\tPOS\tB-NP\tO" -p81602 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p81603 -aS'plans\tplan\tNNS\tI-NP\tO' -p81604 -aS'and\tand\tCC\tI-NP\tO' -p81605 -aS'status\tstatus\tNN\tI-NP\tO' -p81606 -aS'.\t.\t.\tO\tO' -p81607 -asS'On discussion with Dr Leigh and Dr White from GI - they recommended that she follow with Dr. Taylor for consideration of argon photocoagulation as out-patient .' -p81608 -(lp81609 -S'On\tOn\tIN\tB-PP\tO' -p81610 -aS'discussion\tdiscussion\tNN\tB-NP\tO' -p81611 -aS'with\twith\tIN\tB-PP\tO' -p81612 -aS'Dr\tDr\tNNP\tB-NP\tO' -p81613 -aS'Leigh\tLeigh\tNNP\tI-NP\tO' -p81614 -aS'and\tand\tCC\tO\tO' -p81615 -aS'Dr\tDr\tNNP\tB-NP\tO' -p81616 -aS'White\tWhite\tNNP\tI-NP\tO' -p81617 -aS'from\tfrom\tIN\tB-PP\tO' -p81618 -aS'GI\tGI\tNNP\tB-NP\tO' -p81619 -aS'-\t-\tHYPH\tB-ADVP\tO' -p81620 -aS'they\tthey\tPRP\tB-NP\tO' -p81621 -aS'recommended\trecommend\tVBD\tB-VP\tO' -p81622 -aS'that\tthat\tIN\tB-SBAR\tO' -p81623 -aS'she\tshe\tPRP\tB-NP\tO' -p81624 -aS'follow\tfollow\tVBP\tB-VP\tO' -p81625 -aS'with\twith\tIN\tB-PP\tO' -p81626 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p81627 -aS'Taylor\tTaylor\tNNP\tI-NP\tO' -p81628 -aS'for\tfor\tIN\tB-PP\tO' -p81629 -aS'consideration\tconsideration\tNN\tB-NP\tO' -p81630 -aS'of\tof\tIN\tB-PP\tO' -p81631 -aS'argon\targon\tNN\tB-NP\tO' -p81632 -aS'photocoagulation\tphotocoagulation\tNN\tI-NP\tO' -p81633 -aS'as\tas\tIN\tB-PP\tO' -p81634 -aS'out-patient\tout-patient\tJJ\tB-ADJP\tO' -p81635 -aS'.\t.\t.\tO\tO' -p81636 -asS'On 05-25 she underwent catheterization and subsequent stenting of the left renal artery .' -p81637 -(lp81638 -S'On\tOn\tIN\tB-PP\tO' -p81639 -aS'05-25\t05-25\tCD\tB-NP\tO' -p81640 -aS'she\tshe\tPRP\tB-NP\tO' -p81641 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p81642 -aS'catheterization\tcatheterization\tNN\tB-NP\tO' -p81643 -aS'and\tand\tCC\tO\tO' -p81644 -aS'subsequent\tsubsequent\tJJ\tB-NP\tO' -p81645 -aS'stenting\tstenting\tNN\tI-NP\tO' -p81646 -aS'of\tof\tIN\tB-PP\tO' -p81647 -aS'the\tthe\tDT\tB-NP\tO' -p81648 -aS'left\tleft\tJJ\tI-NP\tO' -p81649 -aS'renal\trenal\tJJ\tI-NP\tO' -p81650 -aS'artery\tartery\tNN\tI-NP\tO' -p81651 -aS'.\t.\t.\tO\tO' -p81652 -asS'A chest X-ray was performed secondary to the patient 's coarse breath sounds , however , the chest X-ray was clear except for a small amount of atelectasis .' -p81653 -(lp81654 -S'A\tA\tDT\tB-NP\tO' -p81655 -aS'chest\tchest\tNN\tI-NP\tO' -p81656 -aS'X-ray\tX-ray\tNN\tI-NP\tO' -p81657 -aS'was\tbe\tVBD\tB-VP\tO' -p81658 -aS'performed\tperform\tVBN\tI-VP\tO' -p81659 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p81660 -aS'to\tto\tTO\tB-PP\tO' -p81661 -aS'the\tthe\tDT\tB-NP\tO' -p81662 -aS'patient\tpatient\tNN\tI-NP\tO' -p81663 -aS''s\t'\tNNS\tI-NP\tO' -p81664 -aS'coarse\tcoarse\tNN\tI-NP\tO' -p81665 -aS'breath\tbreath\tNN\tI-NP\tO' -p81666 -aS'sounds\tsound\tNNS\tI-NP\tO' -p81667 -aS',\t,\t,\tO\tO' -p81668 -aS'however\thowever\tRB\tB-ADVP\tO' -p81669 -aS',\t,\t,\tO\tO' -p81670 -aS'the\tthe\tDT\tB-NP\tO' -p81671 -aS'chest\tchest\tNN\tI-NP\tO' -p81672 -aS'X-ray\tX-ray\tNN\tI-NP\tO' -p81673 -aS'was\tbe\tVBD\tB-VP\tO' -p81674 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p81675 -aS'except\texcept\tIN\tB-PP\tO' -p81676 -aS'for\tfor\tIN\tB-PP\tO' -p81677 -aS'a\ta\tDT\tB-NP\tO' -p81678 -aS'small\tsmall\tJJ\tI-NP\tO' -p81679 -aS'amount\tamount\tNN\tI-NP\tO' -p81680 -aS'of\tof\tIN\tB-PP\tO' -p81681 -aS'atelectasis\tatelectasis\tNN\tB-NP\tO' -p81682 -aS'.\t.\t.\tO\tO' -p81683 -asS'8. Tofranil .' -p81684 -(lp81685 -S'8.\t8.\tCD\tB-NP\tO' -p81686 -aS'Tofranil\tTofranil\tNNP\tI-NP\tO' -p81687 -aS'.\t.\t.\tO\tO' -p81688 -asS'Adrenal insufficiency .' -p81689 -(lp81690 -S'Adrenal\tAdrenal\tJJ\tB-NP\tO' -p81691 -aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' -p81692 -aS'.\t.\t.\tO\tO' -p81693 -asS'in general , the patient is minimally responsive woman in no acute distress .' -p81694 -(lp81695 -S'in\tin\tIN\tB-PP\tO' -p81696 -aS'general\tgeneral\tJJ\tB-ADJP\tO' -p81697 -aS',\t,\t,\tO\tO' -p81698 -aS'the\tthe\tDT\tB-NP\tO' -p81699 -aS'patient\tpatient\tNN\tI-NP\tO' -p81700 -aS'is\tbe\tVBZ\tB-VP\tO' -p81701 -aS'minimally\tminimally\tRB\tB-NP\tO' -p81702 -aS'responsive\tresponsive\tJJ\tI-NP\tO' -p81703 -aS'woman\twoman\tNN\tI-NP\tO' -p81704 -aS'in\tin\tIN\tB-PP\tO' -p81705 -aS'no\tno\tDT\tB-NP\tO' -p81706 -aS'acute\tacute\tJJ\tI-NP\tO' -p81707 -aS'distress\tdistress\tNN\tI-NP\tO' -p81708 -aS'.\t.\t.\tO\tO' -p81709 -asS'He was placed on posterior hip dislocation precautions and was out of bed with physical therapy and occupational therapy .' -p81710 -(lp81711 -S'He\tHe\tPRP\tB-NP\tO' -p81712 -aS'was\tbe\tVBD\tB-VP\tO' -p81713 -aS'placed\tplace\tVBN\tI-VP\tO' -p81714 -aS'on\ton\tIN\tB-PP\tO' -p81715 -aS'posterior\tposterior\tJJ\tB-NP\tO' -p81716 -aS'hip\thip\tNN\tI-NP\tO' -p81717 -aS'dislocation\tdislocation\tNN\tI-NP\tO' -p81718 -aS'precautions\tprecaution\tNNS\tI-NP\tO' -p81719 -aS'and\tand\tCC\tO\tO' -p81720 -aS'was\tbe\tVBD\tB-VP\tO' -p81721 -aS'out\tout\tIN\tB-PP\tO' -p81722 -aS'of\tof\tIN\tB-PP\tO' -p81723 -aS'bed\tbed\tNN\tB-NP\tO' -p81724 -aS'with\twith\tIN\tB-PP\tO' -p81725 -aS'physical\tphysical\tJJ\tB-NP\tO' -p81726 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p81727 -aS'and\tand\tCC\tO\tO' -p81728 -aS'occupational\toccupational\tJJ\tB-NP\tO' -p81729 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p81730 -aS'.\t.\t.\tO\tO' -p81731 -asS'Intermitent delirium throughout admission .' -p81732 -(lp81733 -S'Intermitent\tIntermitent\tJJ\tB-NP\tO' -p81734 -aS'delirium\tdelirium\tNN\tI-NP\tO' -p81735 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p81736 -aS'admission\tadmission\tNN\tB-NP\tO' -p81737 -aS'.\t.\t.\tO\tO' -p81738 -asS'These were supported with blood products and Hematology was consulted .' -p81739 -(lp81740 -S'These\tThese\tDT\tB-NP\tO' -p81741 -aS'were\tbe\tVBD\tB-VP\tO' -p81742 -aS'supported\tsupport\tVBN\tI-VP\tO' -p81743 -aS'with\twith\tIN\tB-PP\tO' -p81744 -aS'blood\tblood\tNN\tB-NP\tO' -p81745 -aS'products\tproduct\tNNS\tI-NP\tO' -p81746 -aS'and\tand\tCC\tI-NP\tO' -p81747 -aS'Hematology\tHematology\tNN\tI-NP\tO' -p81748 -aS'was\tbe\tVBD\tB-VP\tO' -p81749 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p81750 -aS'.\t.\t.\tO\tO' -p81751 -asS'Fractional excretion of sodium was less than 1% suggesting a prerenal etiology .' -p81752 -(lp81753 -S'Fractional\tFractional\tJJ\tB-NP\tO' -p81754 -aS'excretion\texcretion\tNN\tI-NP\tO' -p81755 -aS'of\tof\tIN\tB-PP\tO' -p81756 -aS'sodium\tsodium\tNN\tB-NP\tO' -p81757 -aS'was\tbe\tVBD\tB-VP\tO' -p81758 -aS'less\tless\tJJR\tB-ADJP\tO' -p81759 -aS'than\tthan\tIN\tB-PP\tO' -p81760 -aS'1%\t1%\tCD\tB-NP\tO' -p81761 -aS'suggesting\tsuggest\tVBG\tB-VP\tO' -p81762 -aS'a\ta\tDT\tB-NP\tO' -p81763 -aS'prerenal\tprerenal\tJJ\tI-NP\tO' -p81764 -aS'etiology\tetiology\tNN\tI-NP\tO' -p81765 -aS'.\t.\t.\tO\tO' -p81766 -asS'Significant for vaginal deliveries times four .' -p81767 -(lp81768 -S'Significant\tSignificant\tJJ\tB-ADJP\tO' -p81769 -aS'for\tfor\tIN\tB-PP\tO' -p81770 -aS'vaginal\tvaginal\tJJ\tB-NP\tO' -p81771 -aS'deliveries\tdelivery\tNNS\tI-NP\tO' -p81772 -aS'times\ttime\tNNS\tI-NP\tO' -p81773 -aS'four\tfour\tCD\tI-NP\tO' -p81774 -aS'.\t.\t.\tO\tO' -p81775 -asS'Irene FIELD SCREENING Where : Pembroke Hospital' -p81776 -(lp81777 -S'Irene\tIrene\tNN\tB-NP\tO' -p81778 -aS'FIELD\tFIELD\tNN\tI-NP\tO' -p81779 -aS'SCREENING\tSCREENING\tNN\tI-NP\tO' -p81780 -aS'Where\tWhere\tWRB\tB-ADVP\tO' -p81781 -aS':\t:\t:\tO\tO' -p81782 -aS'Pembroke\tPembroke\tNNP\tB-NP\tO' -p81783 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p81784 -asS'She was extubated to room air at 13 hours of age .' -p81785 -(lp81786 -S'She\tShe\tPRP\tB-NP\tO' -p81787 -aS'was\tbe\tVBD\tB-VP\tO' -p81788 -aS'extubated\textubate\tVBN\tI-VP\tO' -p81789 -aS'to\tto\tTO\tB-PP\tO' -p81790 -aS'room\troom\tNN\tB-NP\tO' -p81791 -aS'air\tair\tNN\tI-NP\tO' -p81792 -aS'at\tat\tIN\tB-PP\tO' -p81793 -aS'13\t13\tCD\tB-NP\tO' -p81794 -aS'hours\thour\tNNS\tI-NP\tO' -p81795 -aS'of\tof\tIN\tB-PP\tO' -p81796 -aS'age\tage\tNN\tB-NP\tO' -p81797 -aS'.\t.\t.\tO\tO' -p81798 -asS'Advanced Maternal Age ; Depression , history of ; Hepatitis C Antibody Positive ; Polyneuropathy , history of ; Problems With Abuse , history of ; Rh Nonsensitization ; Stopped Smoking This Pregnancy , history of' -p81799 -(lp81800 -S'Advanced\tAdvanced\tNNP\tB-NP\tO' -p81801 -aS'Maternal\tMaternal\tNNP\tI-NP\tO' -p81802 -aS'Age\tAge\tNNP\tI-NP\tO' -p81803 -aS';\t;\t:\tO\tO' -p81804 -aS'Depression\tDepression\tNN\tB-NP\tO' -p81805 -aS',\t,\t,\tO\tO' -p81806 -aS'history\thistory\tNN\tB-NP\tO' -p81807 -aS'of\tof\tIN\tB-PP\tO' -p81808 -aS';\t;\t:\tO\tO' -p81809 -aS'Hepatitis\tHepatitis\tNN\tB-NP\tB-protein' -p81810 -aS'C\tC\tNN\tI-NP\tI-protein' -p81811 -aS'Antibody\tAntibody\tNN\tI-NP\tI-protein' -p81812 -aS'Positive\tPositive\tJJ\tB-ADJP\tO' -p81813 -aS';\t;\t:\tO\tO' -p81814 -aS'Polyneuropathy\tPolyneuropathy\tNN\tB-NP\tO' -p81815 -aS',\t,\t,\tO\tO' -p81816 -aS'history\thistory\tNN\tB-NP\tO' -p81817 -aS'of\tof\tIN\tB-PP\tO' -p81818 -aS';\t;\t:\tO\tO' -p81819 -aS'Problems\tProblem\tNNS\tB-NP\tO' -p81820 -aS'With\tWith\tIN\tB-PP\tO' -p81821 -aS'Abuse\tAbuse\tNN\tB-NP\tO' -p81822 -aS',\t,\t,\tO\tO' -p81823 -aS'history\thistory\tNN\tB-NP\tO' -p81824 -aS'of\tof\tIN\tB-PP\tO' -p81825 -aS';\t;\t:\tO\tO' -p81826 -aS'Rh\tRh\tNN\tB-NP\tO' -p81827 -aS'Nonsensitization\tNonsensitization\tNN\tI-NP\tO' -p81828 -aS';\t;\t:\tO\tO' -p81829 -aS'Stopped\tStop\tVBD\tB-VP\tO' -p81830 -aS'Smoking\tSmoke\tVBG\tI-VP\tO' -p81831 -aS'This\tThis\tDT\tB-NP\tO' -p81832 -aS'Pregnancy\tPregnancy\tNN\tI-NP\tO' -p81833 -aS',\t,\t,\tO\tO' -p81834 -aS'history\thistory\tNN\tB-NP\tO' -p81835 -aS'of\tof\tIN\tB-PP\tO' -p81836 -asS'There is also critical anemia secondary to the subgaleal hemorrhage .' -p81837 -(lp81838 -S'There\tThere\tEX\tB-NP\tO' -p81839 -aS'is\tbe\tVBZ\tB-VP\tO' -p81840 -aS'also\talso\tRB\tB-ADVP\tO' -p81841 -aS'critical\tcritical\tJJ\tB-NP\tO' -p81842 -aS'anemia\tanemia\tNN\tI-NP\tO' -p81843 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p81844 -aS'to\tto\tTO\tB-PP\tO' -p81845 -aS'the\tthe\tDT\tB-NP\tO' -p81846 -aS'subgaleal\tsubgaleal\tJJ\tI-NP\tO' -p81847 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p81848 -aS'.\t.\t.\tO\tO' -p81849 -asS'In summary , the patient is a 49 year old woman with metastatic breast cell CA , status post chemotherapy with CMSAP and PVSC and XRT who presented with fever , four days of diarrhea , nausea and vomiting and had been on Keflex for an erythema on her left chest wall .' -p81850 -(lp81851 -S'In\tIn\tIN\tB-PP\tO' -p81852 -aS'summary\tsummary\tNN\tB-NP\tO' -p81853 -aS',\t,\t,\tO\tO' -p81854 -aS'the\tthe\tDT\tB-NP\tO' -p81855 -aS'patient\tpatient\tNN\tI-NP\tO' -p81856 -aS'is\tbe\tVBZ\tB-VP\tO' -p81857 -aS'a\ta\tDT\tB-NP\tO' -p81858 -aS'49\t49\tCD\tI-NP\tO' -p81859 -aS'year\tyear\tNN\tI-NP\tO' -p81860 -aS'old\told\tJJ\tI-NP\tO' -p81861 -aS'woman\twoman\tNN\tI-NP\tO' -p81862 -aS'with\twith\tIN\tB-PP\tO' -p81863 -aS'metastatic\tmetastatic\tJJ\tB-NP\tO' -p81864 -aS'breast\tbreast\tNN\tI-NP\tO' -p81865 -aS'cell\tcell\tNN\tI-NP\tO' -p81866 -aS'CA\tCA\tNN\tI-NP\tO' -p81867 -aS',\t,\t,\tO\tO' -p81868 -aS'status\tstatus\tNN\tB-NP\tO' -p81869 -aS'post\tpost\tNN\tI-NP\tO' -p81870 -aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' -p81871 -aS'with\twith\tIN\tB-PP\tO' -p81872 -aS'CMSAP\tCMSAP\tNN\tB-NP\tB-protein' -p81873 -aS'and\tand\tCC\tI-NP\tO' -p81874 -aS'PVSC\tPVSC\tNN\tI-NP\tB-protein' -p81875 -aS'and\tand\tCC\tI-NP\tO' -p81876 -aS'XRT\tXRT\tNN\tI-NP\tB-protein' -p81877 -aS'who\twho\tWP\tB-NP\tO' -p81878 -aS'presented\tpresent\tVBD\tB-VP\tO' -p81879 -aS'with\twith\tIN\tB-PP\tO' -p81880 -aS'fever\tfever\tNN\tB-NP\tO' -p81881 -aS',\t,\t,\tO\tO' -p81882 -aS'four\tfour\tCD\tB-NP\tO' -p81883 -aS'days\tday\tNNS\tI-NP\tO' -p81884 -aS'of\tof\tIN\tB-PP\tO' -p81885 -aS'diarrhea\tdiarrhea\tNN\tB-NP\tO' -p81886 -aS',\t,\t,\tI-NP\tO' -p81887 -aS'nausea\tnausea\tNN\tI-NP\tO' -p81888 -aS'and\tand\tCC\tI-NP\tO' -p81889 -aS'vomiting\tvomiting\tNN\tI-NP\tO' -p81890 -aS'and\tand\tCC\tO\tO' -p81891 -aS'had\thave\tVBD\tB-VP\tO' -p81892 -aS'been\tbe\tVBN\tI-VP\tO' -p81893 -aS'on\ton\tIN\tB-PP\tO' -p81894 -aS'Keflex\tKeflex\tNNP\tB-NP\tO' -p81895 -aS'for\tfor\tIN\tB-PP\tO' -p81896 -aS'an\tan\tDT\tB-NP\tO' -p81897 -aS'erythema\terythema\tNN\tI-NP\tO' -p81898 -aS'on\ton\tIN\tB-PP\tO' -p81899 -aS'her\ther\tPRP$\tB-NP\tO' -p81900 -aS'left\tleft\tJJ\tI-NP\tO' -p81901 -aS'chest\tchest\tNN\tI-NP\tO' -p81902 -aS'wall\twall\tNN\tI-NP\tO' -p81903 -aS'.\t.\t.\tO\tO' -p81904 -asS'No respiratory distress .' -p81905 -(lp81906 -S'No\tNo\tDT\tB-NP\tO' -p81907 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p81908 -aS'distress\tdistress\tNN\tI-NP\tO' -p81909 -aS'.\t.\t.\tO\tO' -p81910 -asS'The patient is a 47 year old white male with a history of emphysema who presents for admission with a diagnosis of broncho-alveolar carcinoma and is scheduled for flexible bronchoscopy , mediastinoscopy and thoracotomy with questionable pneumonectomy by Dr. An on 12-4-93 .' -p81911 -(lp81912 -S'The\tThe\tDT\tB-NP\tO' -p81913 -aS'patient\tpatient\tNN\tI-NP\tO' -p81914 -aS'is\tbe\tVBZ\tB-VP\tO' -p81915 -aS'a\ta\tDT\tB-NP\tO' -p81916 -aS'47\t47\tCD\tI-NP\tO' -p81917 -aS'year\tyear\tNN\tI-NP\tO' -p81918 -aS'old\told\tJJ\tI-NP\tO' -p81919 -aS'white\twhite\tJJ\tI-NP\tO' -p81920 -aS'male\tmale\tNN\tI-NP\tO' -p81921 -aS'with\twith\tIN\tB-PP\tO' -p81922 -aS'a\ta\tDT\tB-NP\tO' -p81923 -aS'history\thistory\tNN\tI-NP\tO' -p81924 -aS'of\tof\tIN\tB-PP\tO' -p81925 -aS'emphysema\temphysema\tNN\tB-NP\tO' -p81926 -aS'who\twho\tWP\tB-NP\tO' -p81927 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p81928 -aS'for\tfor\tIN\tB-PP\tO' -p81929 -aS'admission\tadmission\tNN\tB-NP\tO' -p81930 -aS'with\twith\tIN\tB-PP\tO' -p81931 -aS'a\ta\tDT\tB-NP\tO' -p81932 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p81933 -aS'of\tof\tIN\tB-PP\tO' -p81934 -aS'broncho-alveolar\tbroncho-alveolar\tJJ\tB-NP\tO' -p81935 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p81936 -aS'and\tand\tCC\tO\tO' -p81937 -aS'is\tbe\tVBZ\tB-VP\tO' -p81938 -aS'scheduled\tschedule\tVBN\tI-VP\tO' -p81939 -aS'for\tfor\tIN\tB-PP\tO' -p81940 -aS'flexible\tflexible\tJJ\tB-NP\tO' -p81941 -aS'bronchoscopy\tbronchoscopy\tNN\tI-NP\tO' -p81942 -aS',\t,\t,\tO\tO' -p81943 -aS'mediastinoscopy\tmediastinoscopy\tNN\tB-NP\tO' -p81944 -aS'and\tand\tCC\tO\tO' -p81945 -aS'thoracotomy\tthoracotomy\tNN\tB-NP\tO' -p81946 -aS'with\twith\tIN\tB-PP\tO' -p81947 -aS'questionable\tquestionable\tJJ\tB-NP\tO' -p81948 -aS'pneumonectomy\tpneumonectomy\tNN\tI-NP\tO' -p81949 -aS'by\tby\tIN\tB-PP\tO' -p81950 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p81951 -aS'An\tAn\tNNP\tI-NP\tO' -p81952 -aS'on\ton\tIN\tB-PP\tO' -p81953 -aS'12-4-93\t12-4-93\tCD\tB-NP\tO' -p81954 -aS'.\t.\t.\tO\tO' -p81955 -asS'This took place in 1983 .' -p81956 -(lp81957 -S'This\tThis\tDT\tB-NP\tO' -p81958 -aS'took\ttake\tVBD\tB-VP\tO' -p81959 -aS'place\tplace\tNN\tB-NP\tO' -p81960 -aS'in\tin\tIN\tB-PP\tO' -p81961 -aS'1983\t1983\tCD\tB-NP\tO' -p81962 -aS'.\t.\t.\tO\tO' -p81963 -asS'The patient walked with her feet externally rotated with a wide based gait with shuffling short steps with a tendency to fall back and she was unable to walk without assist .' -p81964 -(lp81965 -S'The\tThe\tDT\tB-NP\tO' -p81966 -aS'patient\tpatient\tNN\tI-NP\tO' -p81967 -aS'walked\twalk\tVBD\tB-VP\tO' -p81968 -aS'with\twith\tIN\tB-PP\tO' -p81969 -aS'her\ther\tPRP$\tB-NP\tO' -p81970 -aS'feet\tfoot\tNNS\tI-NP\tO' -p81971 -aS'externally\texternally\tRB\tB-VP\tO' -p81972 -aS'rotated\trotate\tVBN\tI-VP\tO' -p81973 -aS'with\twith\tIN\tB-PP\tO' -p81974 -aS'a\ta\tDT\tB-NP\tO' -p81975 -aS'wide\twide\tJJ\tI-NP\tO' -p81976 -aS'based\tbase\tVBN\tI-NP\tO' -p81977 -aS'gait\tgait\tNN\tI-NP\tO' -p81978 -aS'with\twith\tIN\tB-PP\tO' -p81979 -aS'shuffling\tshuffle\tVBG\tB-VP\tO' -p81980 -aS'short\tshort\tJJ\tB-NP\tO' -p81981 -aS'steps\tstep\tNNS\tI-NP\tO' -p81982 -aS'with\twith\tIN\tB-PP\tO' -p81983 -aS'a\ta\tDT\tB-NP\tO' -p81984 -aS'tendency\ttendency\tNN\tI-NP\tO' -p81985 -aS'to\tto\tTO\tB-VP\tO' -p81986 -aS'fall\tfall\tVB\tI-VP\tO' -p81987 -aS'back\tback\tRB\tB-ADVP\tO' -p81988 -aS'and\tand\tCC\tO\tO' -p81989 -aS'she\tshe\tPRP\tB-NP\tO' -p81990 -aS'was\tbe\tVBD\tB-VP\tO' -p81991 -aS'unable\tunable\tJJ\tB-ADJP\tO' -p81992 -aS'to\tto\tTO\tB-VP\tO' -p81993 -aS'walk\twalk\tVB\tI-VP\tO' -p81994 -aS'without\twithout\tIN\tB-PP\tO' -p81995 -aS'assist\tassist\tNN\tB-NP\tO' -p81996 -aS'.\t.\t.\tO\tO' -p81997 -asS'We are scheduling you for a needle biopsy by interventional radiology for some time in the next week .' -p81998 -(lp81999 -S'We\tWe\tPRP\tB-NP\tO' -p82000 -aS'are\tbe\tVBP\tB-VP\tO' -p82001 -aS'scheduling\tschedule\tVBG\tI-VP\tO' -p82002 -aS'you\tyou\tPRP\tB-NP\tO' -p82003 -aS'for\tfor\tIN\tB-PP\tO' -p82004 -aS'a\ta\tDT\tB-NP\tO' -p82005 -aS'needle\tneedle\tNN\tI-NP\tO' -p82006 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p82007 -aS'by\tby\tIN\tB-PP\tO' -p82008 -aS'interventional\tinterventional\tJJ\tB-NP\tO' -p82009 -aS'radiology\tradiology\tNN\tI-NP\tO' -p82010 -aS'for\tfor\tIN\tB-PP\tO' -p82011 -aS'some\tsome\tDT\tB-NP\tO' -p82012 -aS'time\ttime\tNN\tI-NP\tO' -p82013 -aS'in\tin\tIN\tB-PP\tO' -p82014 -aS'the\tthe\tDT\tB-NP\tO' -p82015 -aS'next\tnext\tJJ\tI-NP\tO' -p82016 -aS'week\tweek\tNN\tI-NP\tO' -p82017 -aS'.\t.\t.\tO\tO' -p82018 -asS'Examination was guaiac negative with good rectal tone .' -p82019 -(lp82020 -S'Examination\tExamination\tNN\tB-NP\tO' -p82021 -aS'was\tbe\tVBD\tB-VP\tO' -p82022 -aS'guaiac\tguaiac\tJJ\tB-ADJP\tO' -p82023 -aS'negative\tnegative\tJJ\tI-ADJP\tO' -p82024 -aS'with\twith\tIN\tB-PP\tO' -p82025 -aS'good\tgood\tJJ\tB-NP\tO' -p82026 -aS'rectal\trectal\tJJ\tI-NP\tO' -p82027 -aS'tone\ttone\tNN\tI-NP\tO' -p82028 -aS'.\t.\t.\tO\tO' -p82029 -asS'2. Breech presentation .' -p82030 -(lp82031 -S'2.\t2.\tLS\tB-LST\tO' -p82032 -aS'Breech\tBreech\tNNP\tB-NP\tO' -p82033 -aS'presentation\tpresentation\tNN\tI-NP\tO' -p82034 -aS'.\t.\t.\tO\tO' -p82035 -asS'There was no free air and no bowel wall thickening .' -p82036 -(lp82037 -S'There\tThere\tEX\tB-NP\tO' -p82038 -aS'was\tbe\tVBD\tB-VP\tO' -p82039 -aS'no\tno\tDT\tB-NP\tO' -p82040 -aS'free\tfree\tJJ\tI-NP\tO' -p82041 -aS'air\tair\tNN\tI-NP\tO' -p82042 -aS'and\tand\tCC\tO\tO' -p82043 -aS'no\tno\tDT\tB-NP\tO' -p82044 -aS'bowel\tbowel\tNN\tI-NP\tO' -p82045 -aS'wall\twall\tNN\tI-NP\tO' -p82046 -aS'thickening\tthickening\tNN\tI-NP\tO' -p82047 -aS'.\t.\t.\tO\tO' -p82048 -asS'Upper extremities are very brisk bilaterally and symmetrical 3+. There is positive tremor reflex on the left and absent on the right .' -p82049 -(lp82050 -S'Upper\tUpper\tNNP\tB-NP\tO' -p82051 -aS'extremities\textremity\tNNS\tI-NP\tO' -p82052 -aS'are\tbe\tVBP\tB-VP\tO' -p82053 -aS'very\tvery\tRB\tB-ADJP\tO' -p82054 -aS'brisk\tbrisk\tJJ\tI-ADJP\tO' -p82055 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p82056 -aS'and\tand\tCC\tO\tO' -p82057 -aS'symmetrical\tsymmetrical\tJJ\tB-NP\tO' -p82058 -aS'3+.\t3+.\tCD\tI-NP\tO' -p82059 -aS'There\tThere\tEX\tB-NP\tO' -p82060 -aS'is\tbe\tVBZ\tB-VP\tO' -p82061 -aS'positive\tpositive\tJJ\tB-NP\tO' -p82062 -aS'tremor\ttremor\tNN\tI-NP\tO' -p82063 -aS'reflex\treflex\tNN\tI-NP\tO' -p82064 -aS'on\ton\tIN\tB-PP\tO' -p82065 -aS'the\tthe\tDT\tB-NP\tO' -p82066 -aS'left\tleft\tJJ\tI-NP\tO' -p82067 -aS'and\tand\tCC\tI-NP\tO' -p82068 -aS'absent\tabsent\tJJ\tI-NP\tO' -p82069 -aS'on\ton\tIN\tB-PP\tO' -p82070 -aS'the\tthe\tDT\tB-NP\tO' -p82071 -aS'right\tright\tNN\tI-NP\tO' -p82072 -aS'.\t.\t.\tO\tO' -p82073 -asS'He has a half-pack per day smoking history and drinks approximately three to four alcoholic beverages per day .' -p82074 -(lp82075 -S'He\tHe\tPRP\tB-NP\tO' -p82076 -aS'has\thave\tVBZ\tB-VP\tO' -p82077 -aS'a\ta\tDT\tB-NP\tO' -p82078 -aS'half-pack\thalf-pack\tNN\tI-NP\tO' -p82079 -aS'per\tper\tIN\tB-PP\tO' -p82080 -aS'day\tday\tNN\tB-NP\tO' -p82081 -aS'smoking\tsmoking\tNN\tI-NP\tO' -p82082 -aS'history\thistory\tNN\tI-NP\tO' -p82083 -aS'and\tand\tCC\tO\tO' -p82084 -aS'drinks\tdrink\tVBZ\tB-VP\tO' -p82085 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p82086 -aS'three\tthree\tCD\tI-NP\tO' -p82087 -aS'to\tto\tTO\tI-NP\tO' -p82088 -aS'four\tfour\tCD\tI-NP\tO' -p82089 -aS'alcoholic\talcoholic\tJJ\tI-NP\tO' -p82090 -aS'beverages\tbeverage\tNNS\tI-NP\tO' -p82091 -aS'per\tper\tIN\tB-PP\tO' -p82092 -aS'day\tday\tNN\tB-NP\tO' -p82093 -aS'.\t.\t.\tO\tO' -p82094 -asS'Pupils fixed at 7 mm bilaterally .' -p82095 -(lp82096 -S'Pupils\tPupil\tNNS\tB-NP\tO' -p82097 -aS'fixed\tfix\tVBN\tB-VP\tO' -p82098 -aS'at\tat\tIN\tB-PP\tO' -p82099 -aS'7\t7\tCD\tB-NP\tO' -p82100 -aS'mm\tmm\tNN\tI-NP\tO' -p82101 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p82102 -aS'.\t.\t.\tO\tO' -p82103 -asS'Patient was last admitted to Padrugmoff Hospital with a hematocrit of 24.5 , and was asymptomatic prior to admission .' -p82104 -(lp82105 -S'Patient\tPatient\tNN\tB-NP\tO' -p82106 -aS'was\tbe\tVBD\tB-VP\tO' -p82107 -aS'last\tlast\tJJ\tB-ADJP\tO' -p82108 -aS'admitted\tadmit\tVBN\tB-VP\tO' -p82109 -aS'to\tto\tTO\tB-PP\tO' -p82110 -aS'Padrugmoff\tPadrugmoff\tNNP\tB-NP\tO' -p82111 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p82112 -aS'with\twith\tIN\tB-PP\tO' -p82113 -aS'a\ta\tDT\tB-NP\tO' -p82114 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p82115 -aS'of\tof\tIN\tB-PP\tO' -p82116 -aS'24.5\t24.5\tCD\tB-NP\tO' -p82117 -aS',\t,\t,\tO\tO' -p82118 -aS'and\tand\tCC\tO\tO' -p82119 -aS'was\tbe\tVBD\tB-VP\tO' -p82120 -aS'asymptomatic\tasymptomatic\tJJ\tB-ADJP\tO' -p82121 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p82122 -aS'to\tto\tTO\tB-PP\tO' -p82123 -aS'admission\tadmission\tNN\tB-NP\tO' -p82124 -aS'.\t.\t.\tO\tO' -p82125 -asS'Cervical carcinoma ; bilateral ureteral obstruction secondary to the cancer .' -p82126 -(lp82127 -S'Cervical\tCervical\tJJ\tB-NP\tO' -p82128 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p82129 -aS';\t;\t:\tO\tO' -p82130 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p82131 -aS'ureteral\tureteral\tJJ\tI-NP\tO' -p82132 -aS'obstruction\tobstruction\tNN\tI-NP\tO' -p82133 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p82134 -aS'to\tto\tTO\tB-PP\tO' -p82135 -aS'the\tthe\tDT\tB-NP\tO' -p82136 -aS'cancer\tcancer\tNN\tI-NP\tO' -p82137 -aS'.\t.\t.\tO\tO' -p82138 -asS'Mr. Lockley was admitted with respiratory failure , thought to be related to mucus plugging as well as a pseudomonal pneumonia .' -p82139 -(lp82140 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p82141 -aS'Lockley\tLockley\tNNP\tI-NP\tO' -p82142 -aS'was\tbe\tVBD\tB-VP\tO' -p82143 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p82144 -aS'with\twith\tIN\tB-PP\tO' -p82145 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p82146 -aS'failure\tfailure\tNN\tI-NP\tO' -p82147 -aS',\t,\t,\tO\tO' -p82148 -aS'thought\tthink\tVBN\tB-VP\tO' -p82149 -aS'to\tto\tTO\tI-VP\tO' -p82150 -aS'be\tbe\tVB\tI-VP\tO' -p82151 -aS'related\trelate\tVBN\tI-VP\tO' -p82152 -aS'to\tto\tTO\tB-PP\tO' -p82153 -aS'mucus\tmucus\tNN\tB-NP\tO' -p82154 -aS'plugging\tplug\tVBG\tB-VP\tO' -p82155 -aS'as\tas\tRB\tB-CONJP\tO' -p82156 -aS'well\twell\tRB\tI-CONJP\tO' -p82157 -aS'as\tas\tIN\tI-CONJP\tO' -p82158 -aS'a\ta\tDT\tB-NP\tO' -p82159 -aS'pseudomonal\tpseudomonal\tJJ\tI-NP\tO' -p82160 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p82161 -aS'.\t.\t.\tO\tO' -p82162 -asS'The following day , she remained in bed through essentially all of the day due to malaise with no specific deficits being noted .' -p82163 -(lp82164 -S'The\tThe\tDT\tB-NP\tO' -p82165 -aS'following\tfollow\tVBG\tI-NP\tO' -p82166 -aS'day\tday\tNN\tI-NP\tO' -p82167 -aS',\t,\t,\tO\tO' -p82168 -aS'she\tshe\tPRP\tB-NP\tO' -p82169 -aS'remained\tremain\tVBD\tB-VP\tO' -p82170 -aS'in\tin\tIN\tB-PP\tO' -p82171 -aS'bed\tbed\tNN\tB-NP\tO' -p82172 -aS'through\tthrough\tIN\tB-PP\tO' -p82173 -aS'essentially\tessentially\tRB\tB-NP\tO' -p82174 -aS'all\tall\tDT\tI-NP\tO' -p82175 -aS'of\tof\tIN\tB-PP\tO' -p82176 -aS'the\tthe\tDT\tB-NP\tO' -p82177 -aS'day\tday\tNN\tI-NP\tO' -p82178 -aS'due\tdue\tJJ\tB-ADJP\tO' -p82179 -aS'to\tto\tTO\tB-VP\tO' -p82180 -aS'malaise\tmalaise\tVB\tI-VP\tO' -p82181 -aS'with\twith\tIN\tB-PP\tO' -p82182 -aS'no\tno\tDT\tB-NP\tO' -p82183 -aS'specific\tspecific\tJJ\tI-NP\tO' -p82184 -aS'deficits\tdeficit\tNNS\tI-NP\tO' -p82185 -aS'being\tbe\tVBG\tB-VP\tO' -p82186 -aS'noted\tnote\tVBN\tI-VP\tO' -p82187 -aS'.\t.\t.\tO\tO' -p82188 -asS'Denies use of AA/NA . Smokes 1ppd .' -p82189 -(lp82190 -S'Denies\tDeny\tNNS\tB-NP\tO' -p82191 -aS'use\tuse\tNN\tI-NP\tO' -p82192 -aS'of\tof\tIN\tB-PP\tO' -p82193 -aS'AA/NA\tAA/NA\tNN\tB-NP\tB-protein' -p82194 -aS'.\t.\t.\tO\tO' -p82195 -aS'Smokes\tSmokes\tNNP\tB-NP\tO' -p82196 -aS'1ppd\t1ppd\tNN\tI-NP\tO' -p82197 -aS'.\t.\t.\tO\tO' -p82198 -asS'That night he reportedly stopped breathing and was unresponsive .' -p82199 -(lp82200 -S'That\tThat\tDT\tB-NP\tO' -p82201 -aS'night\tnight\tNN\tI-NP\tO' -p82202 -aS'he\the\tPRP\tB-NP\tO' -p82203 -aS'reportedly\treportedly\tRB\tB-ADVP\tO' -p82204 -aS'stopped\tstop\tVBD\tB-VP\tO' -p82205 -aS'breathing\tbreathing\tNN\tB-NP\tO' -p82206 -aS'and\tand\tCC\tO\tO' -p82207 -aS'was\tbe\tVBD\tB-VP\tO' -p82208 -aS'unresponsive\tunresponsive\tJJ\tB-ADJP\tO' -p82209 -aS'.\t.\t.\tO\tO' -p82210 -asS'Was most likely due to multiple drugs administered during the episode including Demerol .' -p82211 -(lp82212 -S'Was\tBe\tVBD\tB-VP\tO' -p82213 -aS'most\tmost\tRBS\tB-ADVP\tO' -p82214 -aS'likely\tlikely\tRB\tI-ADVP\tO' -p82215 -aS'due\tdue\tJJ\tB-PP\tO' -p82216 -aS'to\tto\tTO\tB-PP\tO' -p82217 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p82218 -aS'drugs\tdrug\tNNS\tI-NP\tO' -p82219 -aS'administered\tadminister\tVBN\tB-VP\tO' -p82220 -aS'during\tduring\tIN\tB-PP\tO' -p82221 -aS'the\tthe\tDT\tB-NP\tO' -p82222 -aS'episode\tepisode\tNN\tI-NP\tO' -p82223 -aS'including\tinclude\tVBG\tB-PP\tO' -p82224 -aS'Demerol\tDemerol\tNN\tB-NP\tO' -p82225 -aS'.\t.\t.\tO\tO' -p82226 -asS'soft , obese with mild epigastric and right upper quadrant tenderness .' -p82227 -(lp82228 -S'soft\tsoft\tJJ\tB-ADVP\tO' -p82229 -aS',\t,\t,\tO\tO' -p82230 -aS'obese\tobese\tJJ\tB-ADJP\tO' -p82231 -aS'with\twith\tIN\tB-PP\tO' -p82232 -aS'mild\tmild\tJJ\tB-NP\tO' -p82233 -aS'epigastric\tepigastric\tJJ\tI-NP\tO' -p82234 -aS'and\tand\tCC\tI-NP\tO' -p82235 -aS'right\tright\tJJ\tI-NP\tO' -p82236 -aS'upper\tupper\tJJ\tI-NP\tO' -p82237 -aS'quadrant\tquadrant\tJJ\tI-NP\tO' -p82238 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p82239 -aS'.\t.\t.\tO\tO' -p82240 -asS'Per refferal notes , he went to hemodyalisis today in the morning .' -p82241 -(lp82242 -S'Per\tPer\tIN\tB-PP\tO' -p82243 -aS'refferal\trefferal\tJJ\tB-NP\tO' -p82244 -aS'notes\tnote\tNNS\tI-NP\tO' -p82245 -aS',\t,\t,\tO\tO' -p82246 -aS'he\the\tPRP\tB-NP\tO' -p82247 -aS'went\tgo\tVBD\tB-VP\tO' -p82248 -aS'to\tto\tTO\tB-PP\tO' -p82249 -aS'hemodyalisis\themodyalisis\tNN\tB-NP\tO' -p82250 -aS'today\ttoday\tNN\tB-NP\tO' -p82251 -aS'in\tin\tIN\tB-PP\tO' -p82252 -aS'the\tthe\tDT\tB-NP\tO' -p82253 -aS'morning\tmorning\tNN\tI-NP\tO' -p82254 -aS'.\t.\t.\tO\tO' -p82255 -asS'She was voiding without difficulty .' -p82256 -(lp82257 -S'She\tShe\tPRP\tB-NP\tO' -p82258 -aS'was\tbe\tVBD\tB-VP\tO' -p82259 -aS'voiding\tvoid\tVBG\tI-VP\tO' -p82260 -aS'without\twithout\tIN\tB-PP\tO' -p82261 -aS'difficulty\tdifficulty\tNN\tB-NP\tO' -p82262 -aS'.\t.\t.\tO\tO' -p82263 -asS'Disp :* 40 Tablet (s)* Refills :* 0 *' -p82264 -(lp82265 -S'Disp\tDisp\tNN\tB-NP\tO' -p82266 -aS':*\t:*\tSYM\tI-NP\tO' -p82267 -aS'40\t40\tCD\tI-NP\tO' -p82268 -aS'Tablet\tTablet\tNN\tI-NP\tO' -p82269 -aS'(s)*\t(s)*\tSYM\tB-NP\tO' -p82270 -aS'Refills\tRefill\tNNPS\tI-NP\tO' -p82271 -aS':*\t:*\tSYM\tI-NP\tO' -p82272 -aS'0\t0\tCD\tI-NP\tO' -p82273 -aS'*\t*\tSYM\tB-NP\tO' -p82274 -asS'3.2 on 2013-05-08 , and was further elevated to 3.6 on 2013-05-09 .' -p82275 -(lp82276 -S'3.2\t3.2\tCD\tB-NP\tO' -p82277 -aS'on\ton\tIN\tB-PP\tO' -p82278 -aS'2013-05-08\t2013-05-08\tCD\tB-NP\tO' -p82279 -aS',\t,\t,\tO\tO' -p82280 -aS'and\tand\tCC\tO\tO' -p82281 -aS'was\tbe\tVBD\tB-VP\tO' -p82282 -aS'further\tfurther\tRBR\tI-VP\tO' -p82283 -aS'elevated\televate\tVBN\tI-VP\tO' -p82284 -aS'to\tto\tTO\tB-PP\tO' -p82285 -aS'3.6\t3.6\tCD\tB-NP\tO' -p82286 -aS'on\ton\tIN\tB-PP\tO' -p82287 -aS'2013-05-09\t2013-05-09\tCD\tB-NP\tO' -p82288 -aS'.\t.\t.\tO\tO' -p82289 -asS'The patient is a 42 year old with recurrent biliary colic .' -p82290 -(lp82291 -S'The\tThe\tDT\tB-NP\tO' -p82292 -aS'patient\tpatient\tNN\tI-NP\tO' -p82293 -aS'is\tbe\tVBZ\tB-VP\tO' -p82294 -aS'a\ta\tDT\tB-NP\tO' -p82295 -aS'42\t42\tCD\tI-NP\tO' -p82296 -aS'year\tyear\tNN\tI-NP\tO' -p82297 -aS'old\told\tJJ\tB-ADJP\tO' -p82298 -aS'with\twith\tIN\tB-PP\tO' -p82299 -aS'recurrent\trecurrent\tJJ\tB-NP\tO' -p82300 -aS'biliary\tbiliary\tJJ\tI-NP\tO' -p82301 -aS'colic\tcolic\tNN\tI-NP\tO' -p82302 -aS'.\t.\t.\tO\tO' -p82303 -asS'Wound cultures remained negative at that time .' -p82304 -(lp82305 -S'Wound\tWound\tJJ\tB-NP\tB-cell_line' -p82306 -aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' -p82307 -aS'remained\tremain\tVBD\tB-VP\tO' -p82308 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p82309 -aS'at\tat\tIN\tB-PP\tO' -p82310 -aS'that\tthat\tDT\tB-NP\tO' -p82311 -aS'time\ttime\tNN\tI-NP\tO' -p82312 -aS'.\t.\t.\tO\tO' -p82313 -asS'Mr. Morton was admitted to the TSICU .' -p82314 -(lp82315 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p82316 -aS'Morton\tMorton\tNNP\tI-NP\tO' -p82317 -aS'was\tbe\tVBD\tB-VP\tO' -p82318 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p82319 -aS'to\tto\tTO\tB-PP\tO' -p82320 -aS'the\tthe\tDT\tB-NP\tO' -p82321 -aS'TSICU\tTSICU\tNN\tI-NP\tB-DNA' -p82322 -aS'.\t.\t.\tO\tO' -p82323 -asS'The patient 's past cardiac history is significant for an anterior myocardial infarction in September of 1993 and a non-Q wave myocardial infarction in February of 1993 .' -p82324 -(lp82325 -S'The\tThe\tDT\tB-NP\tO' -p82326 -aS'patient\tpatient\tNN\tI-NP\tO' -p82327 -aS''s\t'\tNNS\tI-NP\tO' -p82328 -aS'past\tpast\tIN\tB-PP\tO' -p82329 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p82330 -aS'history\thistory\tNN\tI-NP\tO' -p82331 -aS'is\tbe\tVBZ\tB-VP\tO' -p82332 -aS'significant\tsignificant\tJJ\tB-ADJP\tO' -p82333 -aS'for\tfor\tIN\tB-PP\tO' -p82334 -aS'an\tan\tDT\tB-NP\tO' -p82335 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p82336 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p82337 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p82338 -aS'in\tin\tIN\tB-PP\tO' -p82339 -aS'September\tSeptember\tNNP\tB-NP\tO' -p82340 -aS'of\tof\tIN\tB-PP\tO' -p82341 -aS'1993\t1993\tCD\tB-NP\tO' -p82342 -aS'and\tand\tCC\tO\tO' -p82343 -aS'a\ta\tDT\tB-NP\tO' -p82344 -aS'non-Q\tnon-Q\tJJ\tI-NP\tO' -p82345 -aS'wave\twave\tNN\tI-NP\tO' -p82346 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p82347 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p82348 -aS'in\tin\tIN\tB-PP\tO' -p82349 -aS'February\tFebruary\tNNP\tB-NP\tO' -p82350 -aS'of\tof\tIN\tB-PP\tO' -p82351 -aS'1993\t1993\tCD\tB-NP\tO' -p82352 -aS'.\t.\t.\tO\tO' -p82353 -asS'Dr. Navarrete has been e-mailed and his secretary contacted for as soon as possible appointment for XRT follow up .' -p82354 -(lp82355 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p82356 -aS'Navarrete\tNavarrete\tNNP\tI-NP\tO' -p82357 -aS'has\thave\tVBZ\tB-VP\tO' -p82358 -aS'been\tbe\tVBN\tI-VP\tO' -p82359 -aS'e-mailed\te-mailed\tJJ\tB-ADJP\tO' -p82360 -aS'and\tand\tCC\tO\tO' -p82361 -aS'his\this\tPRP$\tB-NP\tO' -p82362 -aS'secretary\tsecretary\tNN\tI-NP\tO' -p82363 -aS'contacted\tcontact\tVBD\tB-VP\tO' -p82364 -aS'for\tfor\tIN\tB-PP\tO' -p82365 -aS'as\tas\tRB\tB-ADVP\tO' -p82366 -aS'soon\tsoon\tRB\tI-ADVP\tO' -p82367 -aS'as\tas\tIN\tB-PP\tO' -p82368 -aS'possible\tpossible\tJJ\tB-NP\tO' -p82369 -aS'appointment\tappointment\tNN\tI-NP\tO' -p82370 -aS'for\tfor\tIN\tB-PP\tO' -p82371 -aS'XRT\tXRT\tNN\tB-NP\tB-protein' -p82372 -aS'follow\tfollow\tVBP\tB-VP\tO' -p82373 -aS'up\tup\tRP\tB-PRT\tO' -p82374 -aS'.\t.\t.\tO\tO' -p82375 -asS'Given guaiac positive stools and her history of gastrointestinal bleed in addition to use of steroids for chronic obstructive pulmonary disease exacerbation , the gastroenterology consult service was contacted .' -p82376 -(lp82377 -S'Given\tGive\tVBN\tB-PP\tO' -p82378 -aS'guaiac\tguaiac\tJJ\tB-NP\tO' -p82379 -aS'positive\tpositive\tJJ\tI-NP\tO' -p82380 -aS'stools\tstool\tNNS\tI-NP\tO' -p82381 -aS'and\tand\tCC\tO\tO' -p82382 -aS'her\ther\tPRP$\tB-NP\tO' -p82383 -aS'history\thistory\tNN\tI-NP\tO' -p82384 -aS'of\tof\tIN\tB-PP\tO' -p82385 -aS'gastrointestinal\tgastrointestinal\tJJ\tB-NP\tO' -p82386 -aS'bleed\tbleed\tNN\tI-NP\tO' -p82387 -aS'in\tin\tIN\tB-PP\tO' -p82388 -aS'addition\taddition\tNN\tB-NP\tO' -p82389 -aS'to\tto\tTO\tB-PP\tO' -p82390 -aS'use\tuse\tNN\tB-NP\tO' -p82391 -aS'of\tof\tIN\tB-PP\tO' -p82392 -aS'steroids\tsteroid\tNNS\tB-NP\tO' -p82393 -aS'for\tfor\tIN\tB-PP\tO' -p82394 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p82395 -aS'obstructive\tobstructive\tJJ\tI-NP\tO' -p82396 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p82397 -aS'disease\tdisease\tNN\tI-NP\tO' -p82398 -aS'exacerbation\texacerbation\tNN\tI-NP\tO' -p82399 -aS',\t,\t,\tO\tO' -p82400 -aS'the\tthe\tDT\tB-NP\tO' -p82401 -aS'gastroenterology\tgastroenterology\tNN\tI-NP\tO' -p82402 -aS'consult\tconsult\tNN\tI-NP\tO' -p82403 -aS'service\tservice\tNN\tI-NP\tO' -p82404 -aS'was\tbe\tVBD\tB-VP\tO' -p82405 -aS'contacted\tcontact\tVBN\tI-VP\tO' -p82406 -aS'.\t.\t.\tO\tO' -p82407 -asS'Mitral Valve - E/A Ratio : 1.10' -p82408 -(lp82409 -S'Mitral\tMitral\tNNP\tB-NP\tO' -p82410 -aS'Valve\tValve\tNNP\tI-NP\tO' -p82411 -aS'-\t-\tHYPH\tB-NP\tO' -p82412 -aS'E/A\tE/A\tNNP\tI-NP\tO' -p82413 -aS'Ratio\tRatio\tNNP\tI-NP\tO' -p82414 -aS':\t:\t:\tO\tO' -p82415 -aS'1.10\t1.10\tCD\tB-NP\tO' -p82416 -asS'His Intensive Care Unit stay was unremarkable .' -p82417 -(lp82418 -S'His\tHis\tPRP$\tB-NP\tO' -p82419 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p82420 -aS'Care\tCare\tNNP\tI-NP\tO' -p82421 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p82422 -aS'stay\tstay\tNN\tI-NP\tO' -p82423 -aS'was\tbe\tVBD\tB-VP\tO' -p82424 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p82425 -aS'.\t.\t.\tO\tO' -p82426 -asS'He was also put on Lopressor 150 mg twice a day .' -p82427 -(lp82428 -S'He\tHe\tPRP\tB-NP\tO' -p82429 -aS'was\tbe\tVBD\tB-VP\tO' -p82430 -aS'also\talso\tRB\tI-VP\tO' -p82431 -aS'put\tput\tVBN\tI-VP\tO' -p82432 -aS'on\ton\tIN\tB-PP\tO' -p82433 -aS'Lopressor\tLopressor\tNN\tB-NP\tO' -p82434 -aS'150\t150\tCD\tI-NP\tO' -p82435 -aS'mg\tmg\tNN\tI-NP\tO' -p82436 -aS'twice\ttwice\tRB\tB-NP\tO' -p82437 -aS'a\ta\tDT\tI-NP\tO' -p82438 -aS'day\tday\tNN\tI-NP\tO' -p82439 -aS'.\t.\t.\tO\tO' -p82440 -asS'Dr. Trial was subsequently consulted on 5/5 for surgical intervention .' -p82441 -(lp82442 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p82443 -aS'Trial\tTrial\tNNP\tI-NP\tO' -p82444 -aS'was\tbe\tVBD\tB-VP\tO' -p82445 -aS'subsequently\tsubsequently\tRB\tI-VP\tO' -p82446 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p82447 -aS'on\ton\tIN\tB-PP\tO' -p82448 -aS'5/5\t5/5\tCD\tB-NP\tO' -p82449 -aS'for\tfor\tIN\tB-PP\tO' -p82450 -aS'surgical\tsurgical\tJJ\tB-NP\tO' -p82451 -aS'intervention\tintervention\tNN\tI-NP\tO' -p82452 -aS'.\t.\t.\tO\tO' -p82453 -asS'Status post cholecystectomy and appendectomy .' -p82454 -(lp82455 -S'Status\tStatus\tNNP\tB-NP\tO' -p82456 -aS'post\tpost\tNN\tI-NP\tO' -p82457 -aS'cholecystectomy\tcholecystectomy\tNN\tI-NP\tO' -p82458 -aS'and\tand\tCC\tI-NP\tO' -p82459 -aS'appendectomy\tappendectomy\tNN\tI-NP\tO' -p82460 -aS'.\t.\t.\tO\tO' -p82461 -asS'7.43/24/69 w/ lactate 1.3 ( down from 1.4 on the prior day ) .' -p82462 -(lp82463 -S'7.43/24/69\t7.43/24/69\tCD\tB-NP\tO' -p82464 -aS'w/\tw/\tSYM\tI-NP\tO' -p82465 -aS'lactate\tlactate\tNN\tI-NP\tO' -p82466 -aS'1.3\t1.3\tCD\tI-NP\tO' -p82467 -aS'(\t(\t(\tO\tO' -p82468 -aS'down\tdown\tRB\tB-ADVP\tO' -p82469 -aS'from\tfrom\tIN\tB-PP\tO' -p82470 -aS'1.4\t1.4\tCD\tB-NP\tO' -p82471 -aS'on\ton\tIN\tB-PP\tO' -p82472 -aS'the\tthe\tDT\tB-NP\tO' -p82473 -aS'prior\tprior\tJJ\tI-NP\tO' -p82474 -aS'day\tday\tNN\tI-NP\tO' -p82475 -aS')\t)\t)\tO\tO' -p82476 -aS'.\t.\t.\tO\tO' -p82477 -asS'Stable vitals , depressed .' -p82478 -(lp82479 -S'Stable\tStable\tJJ\tB-NP\tO' -p82480 -aS'vitals\tvital\tNNS\tI-NP\tO' -p82481 -aS',\t,\t,\tO\tO' -p82482 -aS'depressed\tdepress\tVBD\tB-VP\tO' -p82483 -aS'.\t.\t.\tO\tO' -p82484 -asS'Over the next several days his sodium levels were followed and by 5/12/05 his plasma sodium was back to 136 .' -p82485 -(lp82486 -S'Over\tOver\tIN\tB-PP\tO' -p82487 -aS'the\tthe\tDT\tB-NP\tO' -p82488 -aS'next\tnext\tJJ\tI-NP\tO' -p82489 -aS'several\tseveral\tJJ\tI-NP\tO' -p82490 -aS'days\tday\tNNS\tI-NP\tO' -p82491 -aS'his\this\tPRP$\tB-NP\tO' -p82492 -aS'sodium\tsodium\tNN\tI-NP\tO' -p82493 -aS'levels\tlevel\tNNS\tI-NP\tO' -p82494 -aS'were\tbe\tVBD\tB-VP\tO' -p82495 -aS'followed\tfollow\tVBN\tI-VP\tO' -p82496 -aS'and\tand\tCC\tO\tO' -p82497 -aS'by\tby\tIN\tB-PP\tO' -p82498 -aS'5/12/05\t5/12/05\tCD\tB-NP\tO' -p82499 -aS'his\this\tPRP$\tB-NP\tO' -p82500 -aS'plasma\tplasma\tNN\tI-NP\tO' -p82501 -aS'sodium\tsodium\tNN\tI-NP\tO' -p82502 -aS'was\tbe\tVBD\tB-VP\tO' -p82503 -aS'back\tback\tRB\tB-ADVP\tO' -p82504 -aS'to\tto\tTO\tB-PP\tO' -p82505 -aS'136\t136\tCD\tB-NP\tO' -p82506 -aS'.\t.\t.\tO\tO' -p82507 -asS'This was documented in the computer , confirmed with Cardiology attending and fellow , and conveyed to the CCU staff , who were informed she may need to go for transfer ( which was subsequently cancelled ).' -p82508 -(lp82509 -S'This\tThis\tDT\tB-NP\tO' -p82510 -aS'was\tbe\tVBD\tB-VP\tO' -p82511 -aS'documented\tdocument\tVBN\tI-VP\tO' -p82512 -aS'in\tin\tIN\tB-PP\tO' -p82513 -aS'the\tthe\tDT\tB-NP\tO' -p82514 -aS'computer\tcomputer\tNN\tI-NP\tO' -p82515 -aS',\t,\t,\tO\tO' -p82516 -aS'confirmed\tconfirm\tVBN\tB-VP\tO' -p82517 -aS'with\twith\tIN\tB-PP\tO' -p82518 -aS'Cardiology\tCardiology\tNNP\tB-NP\tO' -p82519 -aS'attending\tattend\tVBG\tB-VP\tO' -p82520 -aS'and\tand\tCC\tO\tO' -p82521 -aS'fellow\tfellow\tNN\tB-NP\tO' -p82522 -aS',\t,\t,\tO\tO' -p82523 -aS'and\tand\tCC\tO\tO' -p82524 -aS'conveyed\tconvey\tVBD\tB-VP\tO' -p82525 -aS'to\tto\tTO\tB-PP\tO' -p82526 -aS'the\tthe\tDT\tB-NP\tO' -p82527 -aS'CCU\tCCU\tNN\tI-NP\tB-protein' -p82528 -aS'staff\tstaff\tNN\tI-NP\tI-protein' -p82529 -aS',\t,\t,\tO\tO' -p82530 -aS'who\twho\tWP\tB-NP\tO' -p82531 -aS'were\tbe\tVBD\tB-VP\tO' -p82532 -aS'informed\tinform\tVBN\tI-VP\tO' -p82533 -aS'she\tshe\tPRP\tB-NP\tO' -p82534 -aS'may\tmay\tMD\tB-VP\tO' -p82535 -aS'need\tneed\tVB\tI-VP\tO' -p82536 -aS'to\tto\tTO\tI-VP\tO' -p82537 -aS'go\tgo\tVB\tI-VP\tO' -p82538 -aS'for\tfor\tIN\tB-PP\tO' -p82539 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p82540 -aS'(\t(\t(\tO\tO' -p82541 -aS'which\twhich\tWDT\tB-NP\tO' -p82542 -aS'was\tbe\tVBD\tB-VP\tO' -p82543 -aS'subsequently\tsubsequently\tRB\tI-VP\tO' -p82544 -aS'cancelled\tcancel\tVBN\tI-VP\tO' -p82545 -aS').\t).\t.\tO\tO' -p82546 -asS'CVP on admission was 1 cm of water .' -p82547 -(lp82548 -S'CVP\tCVP\tNN\tB-NP\tB-protein' -p82549 -aS'on\ton\tIN\tB-PP\tO' -p82550 -aS'admission\tadmission\tNN\tB-NP\tO' -p82551 -aS'was\tbe\tVBD\tB-VP\tO' -p82552 -aS'1\t1\tCD\tB-NP\tO' -p82553 -aS'cm\tcm\tNN\tI-NP\tO' -p82554 -aS'of\tof\tIN\tB-PP\tO' -p82555 -aS'water\twater\tNN\tB-NP\tO' -p82556 -aS'.\t.\t.\tO\tO' -p82557 -asS'The patient received Coumadin , 10 mg. , on the evening following the procedure , and is discharged the next day .' -p82558 -(lp82559 -S'The\tThe\tDT\tB-NP\tO' -p82560 -aS'patient\tpatient\tNN\tI-NP\tO' -p82561 -aS'received\treceive\tVBD\tB-VP\tO' -p82562 -aS'Coumadin\tCoumadin\tNNP\tB-NP\tO' -p82563 -aS',\t,\t,\tO\tO' -p82564 -aS'10\t10\tCD\tB-NP\tO' -p82565 -aS'mg.\tmg.\tNN\tI-NP\tO' -p82566 -aS',\t,\t,\tO\tO' -p82567 -aS'on\ton\tIN\tB-PP\tO' -p82568 -aS'the\tthe\tDT\tB-NP\tO' -p82569 -aS'evening\tevening\tNN\tI-NP\tO' -p82570 -aS'following\tfollow\tVBG\tB-PP\tO' -p82571 -aS'the\tthe\tDT\tB-NP\tO' -p82572 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p82573 -aS',\t,\t,\tO\tO' -p82574 -aS'and\tand\tCC\tO\tO' -p82575 -aS'is\tbe\tVBZ\tB-VP\tO' -p82576 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p82577 -aS'the\tthe\tDT\tB-NP\tO' -p82578 -aS'next\tnext\tJJ\tI-NP\tO' -p82579 -aS'day\tday\tNN\tI-NP\tO' -p82580 -aS'.\t.\t.\tO\tO' -p82581 -asS'The patient was treated with CMSAP , which is Cytoxan , Methotrexate , Leukovoranrescue , 5-FU , Adriamycin and Prednisone for four cycles .' -p82582 -(lp82583 -S'The\tThe\tDT\tB-NP\tO' -p82584 -aS'patient\tpatient\tNN\tI-NP\tO' -p82585 -aS'was\tbe\tVBD\tB-VP\tO' -p82586 -aS'treated\ttreat\tVBN\tI-VP\tO' -p82587 -aS'with\twith\tIN\tB-PP\tO' -p82588 -aS'CMSAP\tCMSAP\tNN\tB-NP\tB-protein' -p82589 -aS',\t,\t,\tO\tO' -p82590 -aS'which\twhich\tWDT\tB-NP\tO' -p82591 -aS'is\tbe\tVBZ\tB-VP\tO' -p82592 -aS'Cytoxan\tCytoxan\tNN\tB-NP\tO' -p82593 -aS',\t,\t,\tO\tO' -p82594 -aS'Methotrexate\tMethotrexate\tNN\tB-NP\tO' -p82595 -aS',\t,\t,\tO\tO' -p82596 -aS'Leukovoranrescue\tLeukovoranrescue\tNN\tB-NP\tO' -p82597 -aS',\t,\t,\tO\tO' -p82598 -aS'5-FU\t5-FU\tNN\tB-NP\tO' -p82599 -aS',\t,\t,\tO\tO' -p82600 -aS'Adriamycin\tAdriamycin\tNN\tB-NP\tO' -p82601 -aS'and\tand\tCC\tI-NP\tO' -p82602 -aS'Prednisone\tPrednisone\tNN\tI-NP\tO' -p82603 -aS'for\tfor\tIN\tB-PP\tO' -p82604 -aS'four\tfour\tCD\tB-NP\tO' -p82605 -aS'cycles\tcycle\tNNS\tI-NP\tO' -p82606 -aS'.\t.\t.\tO\tO' -p82607 -asS'The patient is an 82 year-old right handed gentleman who has a past medical history of hypertension and tobacco use presented to the emergency room with acute change in mental status .' -p82608 -(lp82609 -S'The\tThe\tDT\tB-NP\tO' -p82610 -aS'patient\tpatient\tNN\tI-NP\tO' -p82611 -aS'is\tbe\tVBZ\tB-VP\tO' -p82612 -aS'an\tan\tDT\tB-NP\tO' -p82613 -aS'82\t82\tCD\tI-NP\tO' -p82614 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p82615 -aS'right\tright\tJJ\tI-NP\tO' -p82616 -aS'handed\thanded\tJJ\tI-NP\tO' -p82617 -aS'gentleman\tgentleman\tNN\tI-NP\tO' -p82618 -aS'who\twho\tWP\tB-NP\tO' -p82619 -aS'has\thave\tVBZ\tB-VP\tO' -p82620 -aS'a\ta\tDT\tB-NP\tO' -p82621 -aS'past\tpast\tJJ\tI-NP\tO' -p82622 -aS'medical\tmedical\tJJ\tI-NP\tO' -p82623 -aS'history\thistory\tNN\tI-NP\tO' -p82624 -aS'of\tof\tIN\tB-PP\tO' -p82625 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p82626 -aS'and\tand\tCC\tI-NP\tO' -p82627 -aS'tobacco\ttobacco\tNN\tI-NP\tO' -p82628 -aS'use\tuse\tNN\tI-NP\tO' -p82629 -aS'presented\tpresent\tVBN\tB-VP\tO' -p82630 -aS'to\tto\tTO\tB-PP\tO' -p82631 -aS'the\tthe\tDT\tB-NP\tO' -p82632 -aS'emergency\temergency\tNN\tI-NP\tO' -p82633 -aS'room\troom\tNN\tI-NP\tO' -p82634 -aS'with\twith\tIN\tB-PP\tO' -p82635 -aS'acute\tacute\tJJ\tB-NP\tO' -p82636 -aS'change\tchange\tNN\tI-NP\tO' -p82637 -aS'in\tin\tIN\tB-PP\tO' -p82638 -aS'mental\tmental\tJJ\tB-NP\tO' -p82639 -aS'status\tstatus\tNN\tI-NP\tO' -p82640 -aS'.\t.\t.\tO\tO' -p82641 -asS'There were new air space opacifications in the left apex and the right lower lobe .' -p82642 -(lp82643 -S'There\tThere\tEX\tB-NP\tO' -p82644 -aS'were\tbe\tVBD\tB-VP\tO' -p82645 -aS'new\tnew\tJJ\tB-NP\tO' -p82646 -aS'air\tair\tNN\tI-NP\tO' -p82647 -aS'space\tspace\tNN\tI-NP\tO' -p82648 -aS'opacifications\topacification\tNNS\tI-NP\tO' -p82649 -aS'in\tin\tIN\tB-PP\tO' -p82650 -aS'the\tthe\tDT\tB-NP\tO' -p82651 -aS'left\tleft\tJJ\tI-NP\tO' -p82652 -aS'apex\tapex\tNN\tI-NP\tO' -p82653 -aS'and\tand\tCC\tO\tO' -p82654 -aS'the\tthe\tDT\tB-NP\tO' -p82655 -aS'right\tright\tRB\tI-NP\tO' -p82656 -aS'lower\tlow\tJJR\tI-NP\tO' -p82657 -aS'lobe\tlobe\tNN\tI-NP\tO' -p82658 -aS'.\t.\t.\tO\tO' -p82659 -asS'No lymphadenopathy was noted in the neck , there was a question of right axillary lymphadenopathy .' -p82660 -(lp82661 -S'No\tNo\tDT\tB-NP\tO' -p82662 -aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' -p82663 -aS'was\tbe\tVBD\tB-VP\tO' -p82664 -aS'noted\tnote\tVBN\tI-VP\tO' -p82665 -aS'in\tin\tIN\tB-PP\tO' -p82666 -aS'the\tthe\tDT\tB-NP\tO' -p82667 -aS'neck\tneck\tNN\tI-NP\tO' -p82668 -aS',\t,\t,\tO\tO' -p82669 -aS'there\tthere\tEX\tB-NP\tO' -p82670 -aS'was\tbe\tVBD\tB-VP\tO' -p82671 -aS'a\ta\tDT\tB-NP\tO' -p82672 -aS'question\tquestion\tNN\tI-NP\tO' -p82673 -aS'of\tof\tIN\tB-PP\tO' -p82674 -aS'right\tright\tJJ\tB-NP\tO' -p82675 -aS'axillary\taxillary\tJJ\tI-NP\tO' -p82676 -aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' -p82677 -aS'.\t.\t.\tO\tO' -p82678 -asS'Bibasilar atelectasis is unchanged .' -p82679 -(lp82680 -S'Bibasilar\tBibasilar\tJJ\tB-NP\tO' -p82681 -aS'atelectasis\tatelectasis\tNN\tI-NP\tO' -p82682 -aS'is\tbe\tVBZ\tB-VP\tO' -p82683 -aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' -p82684 -aS'.\t.\t.\tO\tO' -p82685 -asS'Pt was treated with labetalol gtt in CMED CCU which was weaned off on 01-20 .' -p82686 -(lp82687 -S'Pt\tPt\tNN\tB-NP\tO' -p82688 -aS'was\tbe\tVBD\tB-VP\tO' -p82689 -aS'treated\ttreat\tVBN\tI-VP\tO' -p82690 -aS'with\twith\tIN\tB-PP\tO' -p82691 -aS'labetalol\tlabetalol\tNN\tB-NP\tO' -p82692 -aS'gtt\tgtt\tNN\tI-NP\tO' -p82693 -aS'in\tin\tIN\tB-PP\tO' -p82694 -aS'CMED\tCMED\tVBN\tB-NP\tO' -p82695 -aS'CCU\tCCU\tNN\tI-NP\tO' -p82696 -aS'which\twhich\tWDT\tB-NP\tO' -p82697 -aS'was\tbe\tVBD\tB-VP\tO' -p82698 -aS'weaned\twean\tVBN\tI-VP\tO' -p82699 -aS'off\toff\tRP\tB-PRT\tO' -p82700 -aS'on\ton\tIN\tB-PP\tO' -p82701 -aS'01-20\t01-20\tCD\tB-NP\tO' -p82702 -aS'.\t.\t.\tO\tO' -p82703 -asS'15. Benadryl as needed .' -p82704 -(lp82705 -S'15.\t15.\tLS\tB-NP\tO' -p82706 -aS'Benadryl\tBenadryl\tNN\tI-NP\tO' -p82707 -aS'as\tas\tIN\tB-SBAR\tO' -p82708 -aS'needed\tneed\tVBN\tB-VP\tO' -p82709 -aS'.\t.\t.\tO\tO' -p82710 -asS'The patient was subsequently scheduled for a mechanical aortic valve replacement procedure with aortic replacement on 2010-06-07 .' -p82711 -(lp82712 -S'The\tThe\tDT\tB-NP\tO' -p82713 -aS'patient\tpatient\tNN\tI-NP\tO' -p82714 -aS'was\tbe\tVBD\tB-VP\tO' -p82715 -aS'subsequently\tsubsequently\tRB\tI-VP\tO' -p82716 -aS'scheduled\tschedule\tVBN\tI-VP\tO' -p82717 -aS'for\tfor\tIN\tB-PP\tO' -p82718 -aS'a\ta\tDT\tB-NP\tO' -p82719 -aS'mechanical\tmechanical\tJJ\tI-NP\tO' -p82720 -aS'aortic\taortic\tJJ\tI-NP\tO' -p82721 -aS'valve\tvalve\tNN\tI-NP\tO' -p82722 -aS'replacement\treplacement\tNN\tI-NP\tO' -p82723 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p82724 -aS'with\twith\tIN\tB-PP\tO' -p82725 -aS'aortic\taortic\tJJ\tB-NP\tO' -p82726 -aS'replacement\treplacement\tNN\tI-NP\tO' -p82727 -aS'on\ton\tIN\tB-PP\tO' -p82728 -aS'2010-06-07\t2010-06-07\tCD\tB-NP\tO' -p82729 -aS'.\t.\t.\tO\tO' -p82730 -asS'Abdominal examination was soft , non-tender , non-distended , positive bowel sounds , no hepatosplenomegaly , no abdominal tenderness .' -p82731 -(lp82732 -S'Abdominal\tAbdominal\tJJ\tB-NP\tO' -p82733 -aS'examination\texamination\tNN\tI-NP\tO' -p82734 -aS'was\tbe\tVBD\tB-VP\tO' -p82735 -aS'soft\tsoft\tJJ\tB-NP\tO' -p82736 -aS',\t,\t,\tI-NP\tO' -p82737 -aS'non-tender\tnon-tender\tJJ\tI-NP\tO' -p82738 -aS',\t,\t,\tI-NP\tO' -p82739 -aS'non-distended\tnon-distended\tJJ\tI-NP\tO' -p82740 -aS',\t,\t,\tI-NP\tO' -p82741 -aS'positive\tpositive\tJJ\tI-NP\tO' -p82742 -aS'bowel\tbowel\tNN\tI-NP\tO' -p82743 -aS'sounds\tsound\tNNS\tI-NP\tO' -p82744 -aS',\t,\t,\tO\tO' -p82745 -aS'no\tno\tDT\tB-NP\tO' -p82746 -aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tI-NP\tO' -p82747 -aS',\t,\t,\tO\tO' -p82748 -aS'no\tno\tDT\tB-NP\tO' -p82749 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p82750 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p82751 -aS'.\t.\t.\tO\tO' -p82752 -asS'A needle biopsy of the right thyroid nodule showed papillary thyroid carcinoma .' -p82753 -(lp82754 -S'A\tA\tDT\tB-NP\tO' -p82755 -aS'needle\tneedle\tNN\tI-NP\tO' -p82756 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p82757 -aS'of\tof\tIN\tB-PP\tO' -p82758 -aS'the\tthe\tDT\tB-NP\tO' -p82759 -aS'right\tright\tJJ\tI-NP\tO' -p82760 -aS'thyroid\tthyroid\tNN\tI-NP\tO' -p82761 -aS'nodule\tnodule\tNN\tI-NP\tO' -p82762 -aS'showed\tshow\tVBD\tB-VP\tO' -p82763 -aS'papillary\tpapillary\tJJ\tB-NP\tO' -p82764 -aS'thyroid\tthyroid\tNN\tI-NP\tO' -p82765 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p82766 -aS'.\t.\t.\tO\tO' -p82767 -asS'The patient responded to aggressive resuscitation and was hemodynamically stable .' -p82768 -(lp82769 -S'The\tThe\tDT\tB-NP\tO' -p82770 -aS'patient\tpatient\tNN\tI-NP\tO' -p82771 -aS'responded\trespond\tVBD\tB-VP\tO' -p82772 -aS'to\tto\tTO\tB-PP\tO' -p82773 -aS'aggressive\taggressive\tJJ\tB-NP\tO' -p82774 -aS'resuscitation\tresuscitation\tNN\tI-NP\tO' -p82775 -aS'and\tand\tCC\tO\tO' -p82776 -aS'was\tbe\tVBD\tB-VP\tO' -p82777 -aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' -p82778 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p82779 -aS'.\t.\t.\tO\tO' -p82780 -asS'She originally had hypotension and a leukocytosis in the ER and was admitted to the CMED CCU .' -p82781 -(lp82782 -S'She\tShe\tPRP\tB-NP\tO' -p82783 -aS'originally\toriginally\tRB\tB-ADVP\tO' -p82784 -aS'had\thave\tVBD\tB-VP\tO' -p82785 -aS'hypotension\thypotension\tNN\tB-NP\tO' -p82786 -aS'and\tand\tCC\tO\tO' -p82787 -aS'a\ta\tDT\tB-NP\tO' -p82788 -aS'leukocytosis\tleukocytosis\tNN\tI-NP\tO' -p82789 -aS'in\tin\tIN\tB-PP\tO' -p82790 -aS'the\tthe\tDT\tB-NP\tO' -p82791 -aS'ER\tER\tNN\tI-NP\tB-protein' -p82792 -aS'and\tand\tCC\tO\tO' -p82793 -aS'was\tbe\tVBD\tB-VP\tO' -p82794 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p82795 -aS'to\tto\tTO\tB-PP\tO' -p82796 -aS'the\tthe\tDT\tB-NP\tO' -p82797 -aS'CMED\tCMED\tVBN\tI-NP\tO' -p82798 -aS'CCU\tCCU\tNN\tI-NP\tO' -p82799 -aS'.\t.\t.\tO\tO' -p82800 -asS'In general the patient is in no apparent distress .' -p82801 -(lp82802 -S'In\tIn\tIN\tB-PP\tO' -p82803 -aS'general\tgeneral\tJJ\tB-ADJP\tO' -p82804 -aS'the\tthe\tDT\tB-NP\tO' -p82805 -aS'patient\tpatient\tNN\tI-NP\tO' -p82806 -aS'is\tbe\tVBZ\tB-VP\tO' -p82807 -aS'in\tin\tIN\tB-PP\tO' -p82808 -aS'no\tno\tDT\tB-NP\tO' -p82809 -aS'apparent\tapparent\tJJ\tI-NP\tO' -p82810 -aS'distress\tdistress\tNN\tI-NP\tO' -p82811 -aS'.\t.\t.\tO\tO' -p82812 -asS'ASHEE SHOULTSNER , M.D. Dr. Lenni Factor No Verlmerver Medical Center Dr. Tomedankell Flowayles No Verlmerver Medical Center STAT' -p82813 -(lp82814 -S'ASHEE\tASHEE\tNNP\tB-NP\tO' -p82815 -aS'SHOULTSNER\tSHOULTSNER\tNNP\tI-NP\tO' -p82816 -aS',\t,\t,\tO\tO' -p82817 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p82818 -aS'Dr.\tDr.\tNNP\tI-NP\tO' -p82819 -aS'Lenni\tLenni\tNNP\tI-NP\tO' -p82820 -aS'Factor\tFactor\tNNP\tI-NP\tO' -p82821 -aS'No\tNo\tNNP\tI-NP\tO' -p82822 -aS'Verlmerver\tVerlmerver\tNNP\tI-NP\tO' -p82823 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p82824 -aS'Center\tCenter\tNNP\tI-NP\tO' -p82825 -aS'Dr.\tDr.\tNNP\tI-NP\tO' -p82826 -aS'Tomedankell\tTomedankell\tNNP\tI-NP\tO' -p82827 -aS'Flowayles\tFlowayles\tNNP\tI-NP\tO' -p82828 -aS'No\tNo\tNNP\tI-NP\tO' -p82829 -aS'Verlmerver\tVerlmerver\tNNP\tI-NP\tO' -p82830 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p82831 -aS'Center\tCenter\tNNP\tI-NP\tO' -p82832 -aS'STAT\tSTAT\tNN\tI-NP\tB-protein' -p82833 -asS"Per the pt 's daughter , the patient has had 2-3 episodes of asp pna in the last 2 months , for which he has received IV abx at the NH with apparent resolution of symptoms ." -p82834 -(lp82835 -S'Per\tPer\tIN\tB-PP\tO' -p82836 -aS'the\tthe\tDT\tB-NP\tO' -p82837 -aS'pt\tpt\tNN\tI-NP\tO' -p82838 -aS"'s\t's\tPOS\tB-NP\tO" -p82839 -aS'daughter\tdaughter\tNN\tI-NP\tO' -p82840 -aS',\t,\t,\tO\tO' -p82841 -aS'the\tthe\tDT\tB-NP\tO' -p82842 -aS'patient\tpatient\tNN\tI-NP\tO' -p82843 -aS'has\thave\tVBZ\tB-VP\tO' -p82844 -aS'had\thave\tVBN\tI-VP\tO' -p82845 -aS'2-3\t2-3\tCD\tB-NP\tO' -p82846 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p82847 -aS'of\tof\tIN\tB-PP\tO' -p82848 -aS'asp\tasp\tNN\tB-NP\tO' -p82849 -aS'pna\tpna\tNN\tI-NP\tO' -p82850 -aS'in\tin\tIN\tB-PP\tO' -p82851 -aS'the\tthe\tDT\tB-NP\tO' -p82852 -aS'last\tlast\tJJ\tI-NP\tO' -p82853 -aS'2\t2\tCD\tI-NP\tO' -p82854 -aS'months\tmonth\tNNS\tI-NP\tO' -p82855 -aS',\t,\t,\tO\tO' -p82856 -aS'for\tfor\tIN\tB-PP\tO' -p82857 -aS'which\twhich\tWDT\tB-NP\tO' -p82858 -aS'he\the\tPRP\tB-NP\tO' -p82859 -aS'has\thave\tVBZ\tB-VP\tO' -p82860 -aS'received\treceive\tVBN\tI-VP\tO' -p82861 -aS'IV\tIV\tCD\tB-NP\tO' -p82862 -aS'abx\tabx\tNN\tI-NP\tO' -p82863 -aS'at\tat\tIN\tB-PP\tO' -p82864 -aS'the\tthe\tDT\tB-NP\tO' -p82865 -aS'NH\tNH\tNN\tI-NP\tO' -p82866 -aS'with\twith\tIN\tB-PP\tO' -p82867 -aS'apparent\tapparent\tJJ\tB-NP\tO' -p82868 -aS'resolution\tresolution\tNN\tI-NP\tO' -p82869 -aS'of\tof\tIN\tB-PP\tO' -p82870 -aS'symptoms\tsymptom\tNNS\tB-NP\tO' -p82871 -aS'.\t.\t.\tO\tO' -p82872 -asS'He is on Amiodarone for post-op afib and this was continued this entire admission .' -p82873 -(lp82874 -S'He\tHe\tPRP\tB-NP\tO' -p82875 -aS'is\tbe\tVBZ\tB-VP\tO' -p82876 -aS'on\ton\tIN\tB-PP\tO' -p82877 -aS'Amiodarone\tAmiodarone\tNN\tB-NP\tO' -p82878 -aS'for\tfor\tIN\tB-PP\tO' -p82879 -aS'post-op\tpost-op\tJJ\tB-NP\tB-protein' -p82880 -aS'afib\tafib\tNN\tI-NP\tI-protein' -p82881 -aS'and\tand\tCC\tO\tO' -p82882 -aS'this\tthis\tDT\tB-NP\tO' -p82883 -aS'was\tbe\tVBD\tB-VP\tO' -p82884 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p82885 -aS'this\tthis\tDT\tB-NP\tO' -p82886 -aS'entire\tentire\tJJ\tI-NP\tO' -p82887 -aS'admission\tadmission\tNN\tI-NP\tO' -p82888 -aS'.\t.\t.\tO\tO' -p82889 -asS'Urine output was about 5 to 8 cc's per kilo per hour .' -p82890 -(lp82891 -S'Urine\tUrine\tNN\tB-NP\tO' -p82892 -aS'output\toutput\tNN\tI-NP\tO' -p82893 -aS'was\tbe\tVBD\tB-VP\tO' -p82894 -aS'about\tabout\tRB\tB-NP\tO' -p82895 -aS'5\t5\tCD\tI-NP\tO' -p82896 -aS'to\tto\tTO\tI-NP\tO' -p82897 -aS'8\t8\tCD\tI-NP\tO' -p82898 -aS'cc's\tcc'\tNNS\tI-NP\tO' -p82899 -aS'per\tper\tIN\tB-PP\tO' -p82900 -aS'kilo\tkilo\tNN\tB-NP\tO' -p82901 -aS'per\tper\tIN\tB-PP\tO' -p82902 -aS'hour\thour\tNN\tB-NP\tO' -p82903 -aS'.\t.\t.\tO\tO' -p82904 -asS'1. Breast cancer , status post lumpectomy .' -p82905 -(lp82906 -S'1.\t1.\tLS\tB-NP\tO' -p82907 -aS'Breast\tBreast\tNN\tI-NP\tO' -p82908 -aS'cancer\tcancer\tNN\tI-NP\tO' -p82909 -aS',\t,\t,\tO\tO' -p82910 -aS'status\tstatus\tNN\tB-NP\tO' -p82911 -aS'post\tpost\tNN\tI-NP\tO' -p82912 -aS'lumpectomy\tlumpectomy\tNN\tI-NP\tO' -p82913 -aS'.\t.\t.\tO\tO' -p82914 -asS'Significant for sodium 140 , potassium 3 , BUN 35 , creatinine 3.6 , liver function tests within normal limits , calcium 6.6 , albumin 2 , magnesium1.4 , PT 14 , white count 30.1 with 77 polys , 13 bands , 5 lymphs , and 5 monos .' -p82915 -(lp82916 -S'Significant\tSignificant\tJJ\tB-ADJP\tO' -p82917 -aS'for\tfor\tIN\tB-PP\tO' -p82918 -aS'sodium\tsodium\tNN\tB-NP\tO' -p82919 -aS'140\t140\tCD\tI-NP\tO' -p82920 -aS',\t,\t,\tO\tO' -p82921 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p82922 -aS'3\t3\tCD\tI-NP\tO' -p82923 -aS',\t,\t,\tO\tO' -p82924 -aS'BUN\tBUN\tNN\tB-NP\tB-DNA' -p82925 -aS'35\t35\tCD\tI-NP\tI-DNA' -p82926 -aS',\t,\t,\tO\tO' -p82927 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p82928 -aS'3.6\t3.6\tCD\tI-NP\tO' -p82929 -aS',\t,\t,\tO\tO' -p82930 -aS'liver\tliver\tNN\tB-NP\tO' -p82931 -aS'function\tfunction\tNN\tI-NP\tO' -p82932 -aS'tests\ttest\tNNS\tI-NP\tO' -p82933 -aS'within\twithin\tIN\tB-PP\tO' -p82934 -aS'normal\tnormal\tJJ\tB-NP\tO' -p82935 -aS'limits\tlimit\tNNS\tI-NP\tO' -p82936 -aS',\t,\t,\tO\tO' -p82937 -aS'calcium\tcalcium\tNN\tB-NP\tO' -p82938 -aS'6.6\t6.6\tCD\tI-NP\tO' -p82939 -aS',\t,\t,\tO\tO' -p82940 -aS'albumin\talbumin\tNN\tB-NP\tB-protein' -p82941 -aS'2\t2\tCD\tI-NP\tI-protein' -p82942 -aS',\t,\t,\tO\tO' -p82943 -aS'magnesium1.4\tmagnesium1.4\tNN\tB-NP\tO' -p82944 -aS',\t,\t,\tO\tO' -p82945 -aS'PT\tPT\tNN\tB-NP\tB-protein' -p82946 -aS'14\t14\tCD\tI-NP\tI-protein' -p82947 -aS',\t,\t,\tO\tO' -p82948 -aS'white\twhite\tJJ\tB-NP\tO' -p82949 -aS'count\tcount\tNN\tI-NP\tO' -p82950 -aS'30.1\t30.1\tCD\tI-NP\tO' -p82951 -aS'with\twith\tIN\tB-PP\tO' -p82952 -aS'77\t77\tCD\tB-NP\tO' -p82953 -aS'polys\tpoly\tNNS\tI-NP\tO' -p82954 -aS',\t,\t,\tO\tO' -p82955 -aS'13\t13\tCD\tB-NP\tO' -p82956 -aS'bands\tband\tNNS\tI-NP\tO' -p82957 -aS',\t,\t,\tO\tO' -p82958 -aS'5\t5\tCD\tB-NP\tO' -p82959 -aS'lymphs\tlymph\tNNS\tI-NP\tO' -p82960 -aS',\t,\t,\tO\tO' -p82961 -aS'and\tand\tCC\tO\tO' -p82962 -aS'5\t5\tCD\tB-NP\tO' -p82963 -aS'monos\tmono\tNNS\tI-NP\tO' -p82964 -aS'.\t.\t.\tO\tO' -p82965 -asS'He was given 4 units FFP in anticipation of ERCP the following day .' -p82966 -(lp82967 -S'He\tHe\tPRP\tB-NP\tO' -p82968 -aS'was\tbe\tVBD\tB-VP\tO' -p82969 -aS'given\tgive\tVBN\tI-VP\tO' -p82970 -aS'4\t4\tCD\tB-NP\tO' -p82971 -aS'units\tunit\tNNS\tI-NP\tO' -p82972 -aS'FFP\tFFP\tNN\tI-NP\tO' -p82973 -aS'in\tin\tIN\tB-PP\tO' -p82974 -aS'anticipation\tanticipation\tNN\tB-NP\tO' -p82975 -aS'of\tof\tIN\tB-PP\tO' -p82976 -aS'ERCP\tERCP\tNN\tB-NP\tO' -p82977 -aS'the\tthe\tDT\tB-NP\tO' -p82978 -aS'following\tfollow\tVBG\tI-NP\tO' -p82979 -aS'day\tday\tNN\tI-NP\tO' -p82980 -aS'.\t.\t.\tO\tO' -p82981 -asS'Exam was notable for a term infant with flat anterior fontanelle , pink color , normal facies , intact palate , mild retractions , good air entry , no murmurs .' -p82982 -(lp82983 -S'Exam\tExam\tNNP\tB-NP\tO' -p82984 -aS'was\tbe\tVBD\tB-VP\tO' -p82985 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p82986 -aS'for\tfor\tIN\tB-PP\tO' -p82987 -aS'a\ta\tDT\tB-NP\tO' -p82988 -aS'term\tterm\tNN\tI-NP\tO' -p82989 -aS'infant\tinfant\tNN\tI-NP\tO' -p82990 -aS'with\twith\tIN\tB-PP\tO' -p82991 -aS'flat\tflat\tJJ\tB-NP\tO' -p82992 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p82993 -aS'fontanelle\tfontanelle\tNN\tI-NP\tO' -p82994 -aS',\t,\t,\tO\tO' -p82995 -aS'pink\tpink\tJJ\tB-NP\tO' -p82996 -aS'color\tcolor\tNN\tI-NP\tO' -p82997 -aS',\t,\t,\tO\tO' -p82998 -aS'normal\tnormal\tJJ\tB-NP\tO' -p82999 -aS'facies\tfacy\tNNS\tI-NP\tO' -p83000 -aS',\t,\t,\tO\tO' -p83001 -aS'intact\tintact\tJJ\tB-NP\tO' -p83002 -aS'palate\tpalate\tNN\tI-NP\tO' -p83003 -aS',\t,\t,\tO\tO' -p83004 -aS'mild\tmild\tJJ\tB-NP\tO' -p83005 -aS'retractions\tretraction\tNNS\tI-NP\tO' -p83006 -aS',\t,\t,\tO\tO' -p83007 -aS'good\tgood\tJJ\tB-NP\tO' -p83008 -aS'air\tair\tNN\tI-NP\tO' -p83009 -aS'entry\tentry\tNN\tI-NP\tO' -p83010 -aS',\t,\t,\tO\tO' -p83011 -aS'no\tno\tDT\tB-NP\tO' -p83012 -aS'murmurs\tmurmur\tNNS\tI-NP\tO' -p83013 -aS'.\t.\t.\tO\tO' -p83014 -asS'normal sinus rhythm at 73 beats per minute .' -p83015 -(lp83016 -S'normal\tnormal\tJJ\tB-NP\tO' -p83017 -aS'sinus\tsinus\tNN\tI-NP\tO' -p83018 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p83019 -aS'at\tat\tIN\tB-PP\tO' -p83020 -aS'73\t73\tCD\tB-NP\tO' -p83021 -aS'beats\tbeat\tNNS\tI-NP\tO' -p83022 -aS'per\tper\tIN\tB-PP\tO' -p83023 -aS'minute\tminute\tNN\tB-NP\tO' -p83024 -aS'.\t.\t.\tO\tO' -p83025 -asS'The parents were updated throughout the admission and a family meeting was held on 2015-06-09 .' -p83026 -(lp83027 -S'The\tThe\tDT\tB-NP\tO' -p83028 -aS'parents\tparent\tNNS\tI-NP\tO' -p83029 -aS'were\tbe\tVBD\tB-VP\tO' -p83030 -aS'updated\tupdate\tVBN\tI-VP\tO' -p83031 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p83032 -aS'the\tthe\tDT\tB-NP\tO' -p83033 -aS'admission\tadmission\tNN\tI-NP\tO' -p83034 -aS'and\tand\tCC\tO\tO' -p83035 -aS'a\ta\tDT\tB-NP\tO' -p83036 -aS'family\tfamily\tNN\tI-NP\tO' -p83037 -aS'meeting\tmeeting\tNN\tI-NP\tO' -p83038 -aS'was\tbe\tVBD\tB-VP\tO' -p83039 -aS'held\thold\tVBN\tI-VP\tO' -p83040 -aS'on\ton\tIN\tB-PP\tO' -p83041 -aS'2015-06-09\t2015-06-09\tCD\tB-NP\tO' -p83042 -aS'.\t.\t.\tO\tO' -p83043 -asS'However , her creatinine has worsened up to 4.2 .' -p83044 -(lp83045 -S'However\tHowever\tRB\tB-ADVP\tO' -p83046 -aS',\t,\t,\tO\tO' -p83047 -aS'her\ther\tPRP$\tB-NP\tO' -p83048 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p83049 -aS'has\thave\tVBZ\tB-VP\tO' -p83050 -aS'worsened\tworsen\tVBN\tI-VP\tO' -p83051 -aS'up\tup\tIN\tB-NP\tO' -p83052 -aS'to\tto\tTO\tI-NP\tO' -p83053 -aS'4.2\t4.2\tCD\tB-NP\tO' -p83054 -aS'.\t.\t.\tO\tO' -p83055 -asS'She describes the pain as band-like / radiating to both sides but not the back .' -p83056 -(lp83057 -S'She\tShe\tPRP\tB-NP\tO' -p83058 -aS'describes\tdescribe\tVBZ\tB-VP\tO' -p83059 -aS'the\tthe\tDT\tB-NP\tO' -p83060 -aS'pain\tpain\tNN\tI-NP\tO' -p83061 -aS'as\tas\tIN\tB-PP\tO' -p83062 -aS'band-like\tband-like\tJJ\tB-NP\tO' -p83063 -aS'/\t/\tSYM\tI-NP\tO' -p83064 -aS'radiating\tradiating\tNN\tI-NP\tO' -p83065 -aS'to\tto\tTO\tB-PP\tO' -p83066 -aS'both\tboth\tDT\tB-NP\tO' -p83067 -aS'sides\tside\tNNS\tB-NP\tO' -p83068 -aS'but\tbut\tCC\tB-NP\tO' -p83069 -aS'not\tnot\tRB\tI-NP\tO' -p83070 -aS'the\tthe\tDT\tB-NP\tO' -p83071 -aS'back\tback\tNN\tI-NP\tO' -p83072 -aS'.\t.\t.\tO\tO' -p83073 -asS'Pulses were 2+ bilaterally .' -p83074 -(lp83075 -S'Pulses\tPulse\tNNS\tB-NP\tO' -p83076 -aS'were\tbe\tVBD\tB-VP\tO' -p83077 -aS'2+\t2+\tJJ\tB-ADJP\tO' -p83078 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p83079 -aS'.\t.\t.\tO\tO' -p83080 -asS'He had normal bowel movements and had GI prophylaxis throughout his stay .' -p83081 -(lp83082 -S'He\tHe\tPRP\tB-NP\tO' -p83083 -aS'had\thave\tVBD\tB-VP\tO' -p83084 -aS'normal\tnormal\tJJ\tB-NP\tO' -p83085 -aS'bowel\tbowel\tNN\tI-NP\tO' -p83086 -aS'movements\tmovement\tNNS\tI-NP\tO' -p83087 -aS'and\tand\tCC\tO\tO' -p83088 -aS'had\thave\tVBD\tB-VP\tO' -p83089 -aS'GI\tGI\tNN\tB-NP\tO' -p83090 -aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' -p83091 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p83092 -aS'his\this\tPRP$\tB-NP\tO' -p83093 -aS'stay\tstay\tNN\tI-NP\tO' -p83094 -aS'.\t.\t.\tO\tO' -p83095 -asS'The patient was in no acute distress , well developed .' -p83096 -(lp83097 -S'The\tThe\tDT\tB-NP\tO' -p83098 -aS'patient\tpatient\tNN\tI-NP\tO' -p83099 -aS'was\tbe\tVBD\tB-VP\tO' -p83100 -aS'in\tin\tIN\tB-PP\tO' -p83101 -aS'no\tno\tDT\tB-NP\tO' -p83102 -aS'acute\tacute\tJJ\tI-NP\tO' -p83103 -aS'distress\tdistress\tNN\tI-NP\tO' -p83104 -aS',\t,\t,\tO\tO' -p83105 -aS'well\twell\tRB\tB-VP\tO' -p83106 -aS'developed\tdevelop\tVBN\tI-VP\tO' -p83107 -aS'.\t.\t.\tO\tO' -p83108 -asS'A radical retropubic prostatectomy with bilateral lymph node dissection was done .' -p83109 -(lp83110 -S'A\tA\tDT\tB-NP\tO' -p83111 -aS'radical\tradical\tJJ\tI-NP\tO' -p83112 -aS'retropubic\tretropubic\tJJ\tI-NP\tO' -p83113 -aS'prostatectomy\tprostatectomy\tNN\tI-NP\tO' -p83114 -aS'with\twith\tIN\tB-PP\tO' -p83115 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p83116 -aS'lymph\tlymph\tNN\tI-NP\tO' -p83117 -aS'node\tnode\tNN\tI-NP\tO' -p83118 -aS'dissection\tdissection\tNN\tI-NP\tO' -p83119 -aS'was\tbe\tVBD\tB-VP\tO' -p83120 -aS'done\tdo\tVBN\tI-VP\tO' -p83121 -aS'.\t.\t.\tO\tO' -p83122 -asS'Louis follow up scheduled with psychiatry .' -p83123 -(lp83124 -S'Louis\tLouis\tNNP\tB-NP\tO' -p83125 -aS'follow\tfollow\tVB\tB-VP\tO' -p83126 -aS'up\tup\tRP\tB-PRT\tO' -p83127 -aS'scheduled\tschedule\tVBN\tB-VP\tO' -p83128 -aS'with\twith\tIN\tB-PP\tO' -p83129 -aS'psychiatry\tpsychiatry\tNN\tB-NP\tO' -p83130 -aS'.\t.\t.\tO\tO' -p83131 -asS'Peripheral smear revealed blasts of 62% .' -p83132 -(lp83133 -S'Peripheral\tPeripheral\tJJ\tB-NP\tB-cell_type' -p83134 -aS'smear\tsmear\tNN\tI-NP\tI-cell_type' -p83135 -aS'revealed\treveal\tVBD\tB-VP\tI-cell_type' -p83136 -aS'blasts\tblast\tNNS\tB-NP\tI-cell_type' -p83137 -aS'of\tof\tIN\tB-PP\tO' -p83138 -aS'62%\t62%\tCD\tB-NP\tO' -p83139 -aS'.\t.\t.\tO\tO' -p83140 -asS'Creatine kinase was 243 , with a MB of 9 , and a troponin of less than 0.3.' -p83141 -(lp83142 -S'Creatine\tCreatine\tNN\tB-NP\tB-protein' -p83143 -aS'kinase\tkinase\tNN\tI-NP\tI-protein' -p83144 -aS'was\tbe\tVBD\tB-VP\tO' -p83145 -aS'243\t243\tCD\tB-NP\tO' -p83146 -aS',\t,\t,\tO\tO' -p83147 -aS'with\twith\tIN\tB-PP\tO' -p83148 -aS'a\ta\tDT\tB-NP\tO' -p83149 -aS'MB\tMB\tNN\tI-NP\tO' -p83150 -aS'of\tof\tIN\tB-PP\tO' -p83151 -aS'9\t9\tCD\tB-NP\tO' -p83152 -aS',\t,\t,\tO\tO' -p83153 -aS'and\tand\tCC\tO\tO' -p83154 -aS'a\ta\tDT\tB-NP\tO' -p83155 -aS'troponin\ttroponin\tNN\tI-NP\tO' -p83156 -aS'of\tof\tIN\tB-PP\tO' -p83157 -aS'less\tless\tJJR\tB-NP\tO' -p83158 -aS'than\tthan\tIN\tI-NP\tO' -p83159 -aS'0.3.\t0.3.\tCD\tI-NP\tO' -p83160 -asS'There were no meatal blood .' -p83161 -(lp83162 -S'There\tThere\tEX\tB-NP\tO' -p83163 -aS'were\tbe\tVBD\tB-VP\tO' -p83164 -aS'no\tno\tDT\tB-NP\tO' -p83165 -aS'meatal\tmeatal\tJJ\tI-NP\tO' -p83166 -aS'blood\tblood\tNN\tI-NP\tO' -p83167 -aS'.\t.\t.\tO\tO' -p83168 -asS'Hyperbilirubinemia resolving .' -p83169 -(lp83170 -S'Hyperbilirubinemia\tHyperbilirubinemia\tNN\tB-NP\tO' -p83171 -aS'resolving\tresolve\tVBG\tB-VP\tO' -p83172 -aS'.\t.\t.\tO\tO' -p83173 -asS'His only cardiac risk factor includes hypertension .' -p83174 -(lp83175 -S'His\tHis\tPRP$\tB-NP\tO' -p83176 -aS'only\tonly\tJJ\tI-NP\tO' -p83177 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p83178 -aS'risk\trisk\tNN\tI-NP\tO' -p83179 -aS'factor\tfactor\tNN\tI-NP\tO' -p83180 -aS'includes\tinclude\tVBZ\tB-VP\tO' -p83181 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p83182 -aS'.\t.\t.\tO\tO' -p83183 -asS'Latest arterial blood gas with pH of 7.45 , pCO2 43 and pO2 155 on 100 percent oxygen via ventilator .' -p83184 -(lp83185 -S'Latest\tLate\tJJS\tB-NP\tO' -p83186 -aS'arterial\tarterial\tJJ\tI-NP\tO' -p83187 -aS'blood\tblood\tNN\tI-NP\tO' -p83188 -aS'gas\tgas\tNN\tI-NP\tO' -p83189 -aS'with\twith\tIN\tB-PP\tO' -p83190 -aS'pH\tpH\tNN\tB-NP\tO' -p83191 -aS'of\tof\tIN\tB-PP\tO' -p83192 -aS'7.45\t7.45\tCD\tB-NP\tO' -p83193 -aS',\t,\t,\tO\tO' -p83194 -aS'pCO2\tpCO2\tNN\tB-NP\tO' -p83195 -aS'43\t43\tCD\tI-NP\tO' -p83196 -aS'and\tand\tCC\tO\tO' -p83197 -aS'pO2\tpO2\tNN\tB-NP\tO' -p83198 -aS'155\t155\tCD\tI-NP\tO' -p83199 -aS'on\ton\tIN\tB-PP\tO' -p83200 -aS'100\t100\tCD\tB-NP\tO' -p83201 -aS'percent\tpercent\tNN\tI-NP\tO' -p83202 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p83203 -aS'via\tvia\tIN\tB-PP\tO' -p83204 -aS'ventilator\tventilator\tNN\tB-NP\tO' -p83205 -aS'.\t.\t.\tO\tO' -p83206 -asS'3. Potassium chloride 20 mEq p.o. q. day times seven days .' -p83207 -(lp83208 -S'3.\t3.\tLS\tB-NP\tO' -p83209 -aS'Potassium\tPotassium\tNN\tI-NP\tO' -p83210 -aS'chloride\tchloride\tNN\tI-NP\tO' -p83211 -aS'20\t20\tCD\tI-NP\tO' -p83212 -aS'mEq\tmEq\tNN\tI-NP\tO' -p83213 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p83214 -aS'q.\tq.\tNN\tI-NP\tO' -p83215 -aS'day\tday\tNN\tI-NP\tO' -p83216 -aS'times\ttime\tNNS\tI-NP\tO' -p83217 -aS'seven\tseven\tCD\tB-NP\tO' -p83218 -aS'days\tday\tNNS\tI-NP\tO' -p83219 -aS'.\t.\t.\tO\tO' -p83220 -asS'CORYNEBACTERIUM SPECIES ( DIPHTHEROIDS ) .' -p83221 -(lp83222 -S'CORYNEBACTERIUM\tCORYNEBACTERIUM\tNN\tB-NP\tO' -p83223 -aS'SPECIES\tSPECIES\tNN\tI-NP\tO' -p83224 -aS'(\t(\t(\tO\tO' -p83225 -aS'DIPHTHEROIDS\tDIPHTHEROIDS\tNN\tB-NP\tO' -p83226 -aS')\t)\t)\tO\tO' -p83227 -aS'.\t.\t.\tO\tO' -p83228 -asS'Arrangements will be made for radiation therapy to the right neck and right iliac crest .' -p83229 -(lp83230 -S'Arrangements\tArrangement\tNNS\tB-NP\tO' -p83231 -aS'will\twill\tMD\tB-VP\tO' -p83232 -aS'be\tbe\tVB\tI-VP\tO' -p83233 -aS'made\tmake\tVBN\tI-VP\tO' -p83234 -aS'for\tfor\tIN\tB-PP\tO' -p83235 -aS'radiation\tradiation\tNN\tB-NP\tO' -p83236 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p83237 -aS'to\tto\tTO\tB-PP\tO' -p83238 -aS'the\tthe\tDT\tB-NP\tO' -p83239 -aS'right\tright\tJJ\tI-NP\tO' -p83240 -aS'neck\tneck\tNN\tI-NP\tO' -p83241 -aS'and\tand\tCC\tI-NP\tO' -p83242 -aS'right\tright\tJJ\tI-NP\tO' -p83243 -aS'iliac\tiliac\tJJ\tI-NP\tO' -p83244 -aS'crest\tcrest\tNN\tI-NP\tO' -p83245 -aS'.\t.\t.\tO\tO' -p83246 -asS'He had multiple sources of infection including his sinuses , lungs , and multiple lines .' -p83247 -(lp83248 -S'He\tHe\tPRP\tB-NP\tO' -p83249 -aS'had\thave\tVBD\tB-VP\tO' -p83250 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p83251 -aS'sources\tsource\tNNS\tI-NP\tO' -p83252 -aS'of\tof\tIN\tB-PP\tO' -p83253 -aS'infection\tinfection\tNN\tB-NP\tO' -p83254 -aS'including\tinclude\tVBG\tB-PP\tO' -p83255 -aS'his\this\tPRP$\tB-NP\tO' -p83256 -aS'sinuses\tsinus\tNNS\tI-NP\tO' -p83257 -aS',\t,\t,\tO\tO' -p83258 -aS'lungs\tlung\tNNS\tB-NP\tO' -p83259 -aS',\t,\t,\tO\tO' -p83260 -aS'and\tand\tCC\tO\tO' -p83261 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p83262 -aS'lines\tline\tNNS\tI-NP\tO' -p83263 -aS'.\t.\t.\tO\tO' -p83264 -asS'His family was notified that he was doing worse and came in to visit him .' -p83265 -(lp83266 -S'His\tHis\tPRP$\tB-NP\tO' -p83267 -aS'family\tfamily\tNN\tI-NP\tO' -p83268 -aS'was\tbe\tVBD\tB-VP\tO' -p83269 -aS'notified\tnotify\tVBN\tI-VP\tO' -p83270 -aS'that\tthat\tIN\tB-SBAR\tO' -p83271 -aS'he\the\tPRP\tB-NP\tO' -p83272 -aS'was\tbe\tVBD\tB-VP\tO' -p83273 -aS'doing\tdo\tVBG\tI-VP\tO' -p83274 -aS'worse\tworse\tJJR\tB-ADJP\tO' -p83275 -aS'and\tand\tCC\tO\tO' -p83276 -aS'came\tcome\tVBD\tB-VP\tO' -p83277 -aS'in\tin\tRP\tB-PRT\tO' -p83278 -aS'to\tto\tTO\tB-VP\tO' -p83279 -aS'visit\tvisit\tVB\tI-VP\tO' -p83280 -aS'him\thim\tPRP\tB-NP\tO' -p83281 -aS'.\t.\t.\tO\tO' -p83282 -asS'Chest x-ray revealed early interstitial edema .' -p83283 -(lp83284 -S'Chest\tCh\tJJS\tB-NP\tO' -p83285 -aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' -p83286 -aS'revealed\treveal\tVBD\tB-VP\tO' -p83287 -aS'early\tearly\tJJ\tB-NP\tO' -p83288 -aS'interstitial\tinterstitial\tJJ\tI-NP\tO' -p83289 -aS'edema\tedema\tNN\tI-NP\tO' -p83290 -aS'.\t.\t.\tO\tO' -p83291 -asS'Flagyl .' -p83292 -(lp83293 -S'Flagyl\tFlagyl\tNN\tB-NP\tO' -p83294 -aS'.\t.\t.\tO\tO' -p83295 -asS'His mental status gradually improved from 03-23 to 03-24 .' -p83296 -(lp83297 -S'His\tHis\tPRP$\tB-NP\tO' -p83298 -aS'mental\tmental\tJJ\tI-NP\tO' -p83299 -aS'status\tstatus\tNN\tI-NP\tO' -p83300 -aS'gradually\tgradually\tRB\tB-ADVP\tO' -p83301 -aS'improved\timprove\tVBD\tB-VP\tO' -p83302 -aS'from\tfrom\tIN\tB-PP\tO' -p83303 -aS'03-23\t03-23\tCD\tB-NP\tO' -p83304 -aS'to\tto\tTO\tB-PP\tO' -p83305 -aS'03-24\t03-24\tCD\tB-NP\tO' -p83306 -aS'.\t.\t.\tO\tO' -p83307 -asS'Given the rapid extension of the subgaleal bleed , coagulopathy workup was initiated revealing an elevated PTT level of 77 as well as factor 8 level that was below detection in the presence of normal factors 5 , 9 , 10 , and 11 .' -p83308 -(lp83309 -S'Given\tGive\tVBN\tB-PP\tO' -p83310 -aS'the\tthe\tDT\tB-NP\tO' -p83311 -aS'rapid\trapid\tJJ\tI-NP\tO' -p83312 -aS'extension\textension\tNN\tI-NP\tO' -p83313 -aS'of\tof\tIN\tB-PP\tO' -p83314 -aS'the\tthe\tDT\tB-NP\tO' -p83315 -aS'subgaleal\tsubgaleal\tJJ\tI-NP\tO' -p83316 -aS'bleed\tbleed\tNN\tI-NP\tO' -p83317 -aS',\t,\t,\tO\tO' -p83318 -aS'coagulopathy\tcoagulopathy\tNN\tB-NP\tO' -p83319 -aS'workup\tworkup\tNN\tI-NP\tO' -p83320 -aS'was\tbe\tVBD\tB-VP\tO' -p83321 -aS'initiated\tinitiate\tVBN\tI-VP\tO' -p83322 -aS'revealing\treveal\tVBG\tI-VP\tO' -p83323 -aS'an\tan\tDT\tB-NP\tO' -p83324 -aS'elevated\televate\tVBN\tI-NP\tO' -p83325 -aS'PTT\tPTT\tNN\tI-NP\tO' -p83326 -aS'level\tlevel\tNN\tI-NP\tO' -p83327 -aS'of\tof\tIN\tB-PP\tO' -p83328 -aS'77\t77\tCD\tB-NP\tO' -p83329 -aS'as\tas\tRB\tI-NP\tO' -p83330 -aS'well\twell\tRB\tI-CONJP\tO' -p83331 -aS'as\tas\tIN\tI-CONJP\tO' -p83332 -aS'factor\tfactor\tNN\tB-NP\tO' -p83333 -aS'8\t8\tCD\tI-NP\tO' -p83334 -aS'level\tlevel\tNN\tI-NP\tO' -p83335 -aS'that\tthat\tWDT\tB-NP\tO' -p83336 -aS'was\tbe\tVBD\tB-VP\tO' -p83337 -aS'below\tbelow\tIN\tB-PP\tO' -p83338 -aS'detection\tdetection\tNN\tB-NP\tO' -p83339 -aS'in\tin\tIN\tB-PP\tO' -p83340 -aS'the\tthe\tDT\tB-NP\tO' -p83341 -aS'presence\tpresence\tNN\tI-NP\tO' -p83342 -aS'of\tof\tIN\tB-PP\tO' -p83343 -aS'normal\tnormal\tJJ\tB-NP\tO' -p83344 -aS'factors\tfactor\tNNS\tI-NP\tO' -p83345 -aS'5\t5\tCD\tB-NP\tO' -p83346 -aS',\t,\t,\tI-NP\tO' -p83347 -aS'9\t9\tCD\tI-NP\tO' -p83348 -aS',\t,\t,\tI-NP\tO' -p83349 -aS'10\t10\tCD\tI-NP\tO' -p83350 -aS',\t,\t,\tO\tO' -p83351 -aS'and\tand\tCC\tO\tO' -p83352 -aS'11\t11\tCD\tB-NP\tO' -p83353 -aS'.\t.\t.\tO\tO' -p83354 -asS'Per notes , pt denied SOB , CP , and abdominal pain prior to intubation .' -p83355 -(lp83356 -S'Per\tPer\tNNP\tB-NP\tO' -p83357 -aS'notes\tnote\tNNS\tI-NP\tO' -p83358 -aS',\t,\t,\tO\tO' -p83359 -aS'pt\tpt\tNN\tB-NP\tO' -p83360 -aS'denied\tdeny\tVBD\tB-VP\tO' -p83361 -aS'SOB\tSOB\tNN\tB-NP\tB-protein' -p83362 -aS',\t,\t,\tO\tO' -p83363 -aS'CP\tCP\tNN\tB-NP\tB-DNA' -p83364 -aS',\t,\t,\tO\tO' -p83365 -aS'and\tand\tCC\tO\tO' -p83366 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p83367 -aS'pain\tpain\tNN\tI-NP\tO' -p83368 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p83369 -aS'to\tto\tTO\tB-PP\tO' -p83370 -aS'intubation\tintubation\tNN\tB-NP\tO' -p83371 -aS'.\t.\t.\tO\tO' -p83372 -asS'Calcium was 7.6 .' -p83373 -(lp83374 -S'Calcium\tCalcium\tNN\tB-NP\tO' -p83375 -aS'was\tbe\tVBD\tB-VP\tO' -p83376 -aS'7.6\t7.6\tCD\tB-NP\tO' -p83377 -aS'.\t.\t.\tO\tO' -p83378 -asS'No lifting more than 10 lbs for at least 10 weeks from the date of surgery .' -p83379 -(lp83380 -S'No\tNo\tDT\tB-NP\tO' -p83381 -aS'lifting\tlift\tVBG\tB-VP\tO' -p83382 -aS'more\tmore\tJJR\tB-NP\tO' -p83383 -aS'than\tthan\tIN\tI-NP\tO' -p83384 -aS'10\t10\tCD\tI-NP\tO' -p83385 -aS'lbs\tlb\tNNS\tI-NP\tO' -p83386 -aS'for\tfor\tIN\tB-PP\tO' -p83387 -aS'at\tat\tIN\tB-NP\tO' -p83388 -aS'least\tleast\tJJS\tI-NP\tO' -p83389 -aS'10\t10\tCD\tI-NP\tO' -p83390 -aS'weeks\tweek\tNNS\tI-NP\tO' -p83391 -aS'from\tfrom\tIN\tB-PP\tO' -p83392 -aS'the\tthe\tDT\tB-NP\tO' -p83393 -aS'date\tdate\tNN\tI-NP\tO' -p83394 -aS'of\tof\tIN\tB-PP\tO' -p83395 -aS'surgery\tsurgery\tNN\tB-NP\tO' -p83396 -aS'.\t.\t.\tO\tO' -p83397 -asS'This former lesion was evident on MR dating back to 2014-08-15 , though is more prominent at this time , likely due to less motion degradation of the current scan .' -p83398 -(lp83399 -S'This\tThis\tDT\tB-NP\tO' -p83400 -aS'former\tformer\tJJ\tI-NP\tO' -p83401 -aS'lesion\tlesion\tNN\tI-NP\tO' -p83402 -aS'was\tbe\tVBD\tB-VP\tO' -p83403 -aS'evident\tevident\tJJ\tB-ADJP\tO' -p83404 -aS'on\ton\tIN\tB-PP\tO' -p83405 -aS'MR\tMR\tNN\tB-NP\tB-protein' -p83406 -aS'dating\tdate\tVBG\tB-VP\tO' -p83407 -aS'back\tback\tRB\tB-ADVP\tO' -p83408 -aS'to\tto\tTO\tB-PP\tO' -p83409 -aS'2014-08-15\t2014-08-15\tCD\tB-NP\tO' -p83410 -aS',\t,\t,\tO\tO' -p83411 -aS'though\tthough\tIN\tB-SBAR\tO' -p83412 -aS'is\tbe\tVBZ\tB-VP\tO' -p83413 -aS'more\tmore\tRBR\tB-ADJP\tO' -p83414 -aS'prominent\tprominent\tJJ\tI-ADJP\tO' -p83415 -aS'at\tat\tIN\tB-PP\tO' -p83416 -aS'this\tthis\tDT\tB-NP\tO' -p83417 -aS'time\ttime\tNN\tI-NP\tO' -p83418 -aS',\t,\t,\tO\tO' -p83419 -aS'likely\tlikely\tRB\tB-ADVP\tO' -p83420 -aS'due\tdue\tIN\tB-PP\tO' -p83421 -aS'to\tto\tTO\tB-PP\tO' -p83422 -aS'less\tless\tJJR\tB-NP\tO' -p83423 -aS'motion\tmotion\tNN\tI-NP\tO' -p83424 -aS'degradation\tdegradation\tNN\tI-NP\tO' -p83425 -aS'of\tof\tIN\tB-PP\tO' -p83426 -aS'the\tthe\tDT\tB-NP\tO' -p83427 -aS'current\tcurrent\tJJ\tI-NP\tO' -p83428 -aS'scan\tscan\tNN\tI-NP\tO' -p83429 -aS'.\t.\t.\tO\tO' -p83430 -asS'She reported nausea on pain medications .' -p83431 -(lp83432 -S'She\tShe\tPRP\tB-NP\tO' -p83433 -aS'reported\treport\tVBD\tB-VP\tO' -p83434 -aS'nausea\tnausea\tNN\tB-NP\tO' -p83435 -aS'on\ton\tIN\tB-PP\tO' -p83436 -aS'pain\tpain\tNN\tB-NP\tO' -p83437 -aS'medications\tmedication\tNNS\tI-NP\tO' -p83438 -aS'.\t.\t.\tO\tO' -p83439 -asS'1. Lopressor 25 mg po bid' -p83440 -(lp83441 -S'1.\t1.\tLS\tB-NP\tO' -p83442 -aS'Lopressor\tLopressor\tNN\tI-NP\tO' -p83443 -aS'25\t25\tCD\tI-NP\tO' -p83444 -aS'mg\tmg\tNN\tI-NP\tO' -p83445 -aS'po\tpo\tNN\tI-NP\tO' -p83446 -aS'bid\tbid\tNN\tI-NP\tO' -p83447 -asS'Ms. Shuffa is a 73-year-old Portuguese speaking woman who was transferred via Med Flight to Verg Medical Center .' -p83448 -(lp83449 -S'Ms.\tMs.\tNNP\tB-NP\tO' -p83450 -aS'Shuffa\tShuffa\tNNP\tI-NP\tO' -p83451 -aS'is\tbe\tVBZ\tB-VP\tO' -p83452 -aS'a\ta\tDT\tB-NP\tO' -p83453 -aS'73-year-old\t73-year-old\tJJ\tI-NP\tO' -p83454 -aS'Portuguese\tPortuguese\tNN\tI-NP\tO' -p83455 -aS'speaking\tspeak\tVBG\tB-VP\tO' -p83456 -aS'woman\twoman\tNN\tB-NP\tO' -p83457 -aS'who\twho\tWP\tB-NP\tO' -p83458 -aS'was\tbe\tVBD\tB-VP\tO' -p83459 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p83460 -aS'via\tvia\tIN\tB-PP\tO' -p83461 -aS'Med\tMed\tNNP\tB-NP\tO' -p83462 -aS'Flight\tFlight\tNNP\tI-NP\tO' -p83463 -aS'to\tto\tTO\tB-PP\tO' -p83464 -aS'Verg\tVerg\tNNP\tB-NP\tO' -p83465 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p83466 -aS'Center\tCenter\tNNP\tI-NP\tO' -p83467 -aS'.\t.\t.\tO\tO' -p83468 -asS'There was pitting edema of both lower extremities but no evidence of cellulitis of the left lower extremity .' -p83469 -(lp83470 -S'There\tThere\tEX\tB-NP\tO' -p83471 -aS'was\tbe\tVBD\tB-VP\tO' -p83472 -aS'pitting\tpit\tVBG\tI-VP\tO' -p83473 -aS'edema\tedema\tNN\tB-NP\tO' -p83474 -aS'of\tof\tIN\tB-PP\tO' -p83475 -aS'both\tboth\tDT\tB-NP\tO' -p83476 -aS'lower\tlow\tJJR\tI-NP\tO' -p83477 -aS'extremities\textremity\tNNS\tI-NP\tO' -p83478 -aS'but\tbut\tCC\tO\tO' -p83479 -aS'no\tno\tDT\tB-NP\tO' -p83480 -aS'evidence\tevidence\tNN\tI-NP\tO' -p83481 -aS'of\tof\tIN\tB-PP\tO' -p83482 -aS'cellulitis\tcellulitis\tNN\tB-NP\tO' -p83483 -aS'of\tof\tIN\tB-PP\tO' -p83484 -aS'the\tthe\tDT\tB-NP\tO' -p83485 -aS'left\tleft\tJJ\tI-NP\tO' -p83486 -aS'lower\tlow\tJJR\tI-NP\tO' -p83487 -aS'extremity\textremity\tNN\tI-NP\tO' -p83488 -aS'.\t.\t.\tO\tO' -p83489 -asS'Although the pt was w/o fever , he had chills .' -p83490 -(lp83491 -S'Although\tAlthough\tIN\tB-SBAR\tO' -p83492 -aS'the\tthe\tDT\tB-NP\tO' -p83493 -aS'pt\tpt\tNN\tI-NP\tO' -p83494 -aS'was\tbe\tVBD\tB-VP\tO' -p83495 -aS'w/o\tw/o\tNN\tB-NP\tO' -p83496 -aS'fever\tfever\tNN\tI-NP\tO' -p83497 -aS',\t,\t,\tO\tO' -p83498 -aS'he\the\tPRP\tB-NP\tO' -p83499 -aS'had\thave\tVBD\tB-VP\tO' -p83500 -aS'chills\tchill\tNNS\tB-NP\tO' -p83501 -aS'.\t.\t.\tO\tO' -p83502 -asS'Aspirin 325 mg PO q.day .' -p83503 -(lp83504 -S'Aspirin\tAspirin\tNN\tB-NP\tO' -p83505 -aS'325\t325\tCD\tI-NP\tO' -p83506 -aS'mg\tmg\tNN\tI-NP\tO' -p83507 -aS'PO\tPO\tNN\tI-NP\tO' -p83508 -aS'q.day\tq.day\tNN\tI-NP\tO' -p83509 -aS'.\t.\t.\tO\tO' -p83510 -asS'10. Metoprolol Tartrate 25 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ).' -p83511 -(lp83512 -S'10.\t10.\tLS\tB-NP\tO' -p83513 -aS'Metoprolol\tMetoprolol\tNN\tI-NP\tO' -p83514 -aS'Tartrate\tTartrate\tNN\tI-NP\tO' -p83515 -aS'25\t25\tCD\tI-NP\tO' -p83516 -aS'mg\tmg\tNN\tI-NP\tO' -p83517 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p83518 -aS'Sig\tSig\tNNP\tI-NP\tO' -p83519 -aS':\t:\t:\tO\tO' -p83520 -aS'One\tOne\tCD\tB-NP\tO' -p83521 -aS'(\t(\t(\tO\tO' -p83522 -aS'1\t1\tCD\tB-NP\tO' -p83523 -aS')\t)\t)\tO\tO' -p83524 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p83525 -aS'PO\tPO\tNN\tI-NP\tO' -p83526 -aS'BID\tBID\tNN\tI-NP\tO' -p83527 -aS'(\t(\t(\tO\tO' -p83528 -aS'2\t2\tCD\tB-NP\tO' -p83529 -aS'times\ttime\tNNS\tI-NP\tO' -p83530 -aS'a\ta\tDT\tB-NP\tO' -p83531 -aS'day\tday\tNN\tI-NP\tO' -p83532 -aS').\t).\t.\tO\tO' -p83533 -asS'Patient was started on heparin drip and bilateral lower extremeties were done which were negative for DVT .' -p83534 -(lp83535 -S'Patient\tPatient\tNN\tB-NP\tO' -p83536 -aS'was\tbe\tVBD\tB-VP\tO' -p83537 -aS'started\tstart\tVBN\tI-VP\tO' -p83538 -aS'on\ton\tIN\tB-PP\tO' -p83539 -aS'heparin\theparin\tNN\tB-NP\tO' -p83540 -aS'drip\tdrip\tNN\tI-NP\tO' -p83541 -aS'and\tand\tCC\tO\tO' -p83542 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p83543 -aS'lower\tlow\tJJR\tI-NP\tO' -p83544 -aS'extremeties\textremety\tNNS\tI-NP\tO' -p83545 -aS'were\tbe\tVBD\tB-VP\tO' -p83546 -aS'done\tdo\tVBN\tI-VP\tO' -p83547 -aS'which\twhich\tWDT\tB-NP\tO' -p83548 -aS'were\tbe\tVBD\tB-VP\tO' -p83549 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p83550 -aS'for\tfor\tIN\tB-PP\tO' -p83551 -aS'DVT\tDVT\tNN\tB-NP\tO' -p83552 -aS'.\t.\t.\tO\tO' -p83553 -asS'bilaterally .' -p83554 -(lp83555 -S'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p83556 -aS'.\t.\t.\tO\tO' -p83557 -asS'It was not associated with any nausea or vomiting .' -p83558 -(lp83559 -S'It\tIt\tPRP\tB-NP\tO' -p83560 -aS'was\tbe\tVBD\tB-VP\tO' -p83561 -aS'not\tnot\tRB\tI-VP\tO' -p83562 -aS'associated\tassociate\tVBN\tI-VP\tO' -p83563 -aS'with\twith\tIN\tB-PP\tO' -p83564 -aS'any\tany\tDT\tB-NP\tO' -p83565 -aS'nausea\tnausea\tNN\tI-NP\tO' -p83566 -aS'or\tor\tCC\tI-NP\tO' -p83567 -aS'vomiting\tvomiting\tNN\tI-NP\tO' -p83568 -aS'.\t.\t.\tO\tO' -p83569 -asS'As a result , she was maintained on her ativan , mirtazapine , risperidone , duloxetine .' -p83570 -(lp83571 -S'As\tAs\tIN\tB-PP\tO' -p83572 -aS'a\ta\tDT\tB-NP\tO' -p83573 -aS'result\tresult\tNN\tI-NP\tO' -p83574 -aS',\t,\t,\tO\tO' -p83575 -aS'she\tshe\tPRP\tB-NP\tO' -p83576 -aS'was\tbe\tVBD\tB-VP\tO' -p83577 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p83578 -aS'on\ton\tIN\tB-PP\tO' -p83579 -aS'her\ther\tPRP$\tB-NP\tO' -p83580 -aS'ativan\tativan\tNN\tI-NP\tO' -p83581 -aS',\t,\t,\tO\tO' -p83582 -aS'mirtazapine\tmirtazapine\tNN\tB-NP\tO' -p83583 -aS',\t,\t,\tO\tO' -p83584 -aS'risperidone\trisperidone\tNN\tB-NP\tO' -p83585 -aS',\t,\t,\tO\tO' -p83586 -aS'duloxetine\tduloxetine\tNN\tB-NP\tO' -p83587 -aS'.\t.\t.\tO\tO' -p83588 -asS'Seasonal allergies .' -p83589 -(lp83590 -S'Seasonal\tSeasonal\tJJ\tB-NP\tO' -p83591 -aS'allergies\tallergy\tNNS\tI-NP\tO' -p83592 -aS'.\t.\t.\tO\tO' -p83593 -asS'She recently retired as a clerical worker .' -p83594 -(lp83595 -S'She\tShe\tPRP\tB-NP\tO' -p83596 -aS'recently\trecently\tRB\tB-ADVP\tO' -p83597 -aS'retired\tretire\tVBD\tB-VP\tO' -p83598 -aS'as\tas\tIN\tB-PP\tO' -p83599 -aS'a\ta\tDT\tB-NP\tO' -p83600 -aS'clerical\tclerical\tJJ\tI-NP\tO' -p83601 -aS'worker\tworker\tNN\tI-NP\tO' -p83602 -aS'.\t.\t.\tO\tO' -p83603 -asS'Compared with the report of the prior study ( images unavailable for review ) of 2017-06-13 , there is no significant change .' -p83604 -(lp83605 -S'Compared\tCompare\tVBN\tB-PP\tO' -p83606 -aS'with\twith\tIN\tB-PP\tO' -p83607 -aS'the\tthe\tDT\tB-NP\tO' -p83608 -aS'report\treport\tNN\tI-NP\tO' -p83609 -aS'of\tof\tIN\tB-PP\tO' -p83610 -aS'the\tthe\tDT\tB-NP\tO' -p83611 -aS'prior\tprior\tJJ\tI-NP\tO' -p83612 -aS'study\tstudy\tNN\tI-NP\tO' -p83613 -aS'(\t(\t(\tO\tO' -p83614 -aS'images\timage\tNNS\tB-NP\tO' -p83615 -aS'unavailable\tunavailable\tJJ\tB-ADJP\tO' -p83616 -aS'for\tfor\tIN\tB-PP\tO' -p83617 -aS'review\treview\tNN\tB-NP\tO' -p83618 -aS')\t)\t)\tO\tO' -p83619 -aS'of\tof\tIN\tB-PP\tO' -p83620 -aS'2017-06-13\t2017-06-13\tCD\tB-NP\tO' -p83621 -aS',\t,\t,\tO\tO' -p83622 -aS'there\tthere\tEX\tB-NP\tO' -p83623 -aS'is\tbe\tVBZ\tB-VP\tO' -p83624 -aS'no\tno\tDT\tB-NP\tO' -p83625 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p83626 -aS'change\tchange\tNN\tI-NP\tO' -p83627 -aS'.\t.\t.\tO\tO' -p83628 -asS'Dr. Trial , Ertca Dirk , Dr. Lenni Brain' -p83629 -(lp83630 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p83631 -aS'Trial\tTrial\tNNP\tI-NP\tO' -p83632 -aS',\t,\t,\tO\tO' -p83633 -aS'Ertca\tErtca\tNNP\tB-NP\tO' -p83634 -aS'Dirk\tDirk\tNNP\tI-NP\tO' -p83635 -aS',\t,\t,\tO\tO' -p83636 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p83637 -aS'Lenni\tLenni\tNNP\tI-NP\tO' -p83638 -aS'Brain\tBrain\tNNP\tI-NP\tO' -p83639 -asS'Apparently , patient was in his usual state of health until two days prior to admission when he noted new onset of chest pain and arm pain , confined to his left side .' -p83640 -(lp83641 -S'Apparently\tApparently\tRB\tB-ADVP\tO' -p83642 -aS',\t,\t,\tO\tO' -p83643 -aS'patient\tpatient\tNN\tB-NP\tO' -p83644 -aS'was\tbe\tVBD\tB-VP\tO' -p83645 -aS'in\tin\tIN\tB-PP\tO' -p83646 -aS'his\this\tPRP$\tB-NP\tO' -p83647 -aS'usual\tusual\tJJ\tI-NP\tO' -p83648 -aS'state\tstate\tNN\tI-NP\tO' -p83649 -aS'of\tof\tIN\tB-PP\tO' -p83650 -aS'health\thealth\tNN\tB-NP\tO' -p83651 -aS'until\tuntil\tIN\tB-PP\tO' -p83652 -aS'two\ttwo\tCD\tB-NP\tO' -p83653 -aS'days\tday\tNNS\tI-NP\tO' -p83654 -aS'prior\tprior\tRB\tB-ADVP\tO' -p83655 -aS'to\tto\tTO\tB-PP\tO' -p83656 -aS'admission\tadmission\tNN\tB-NP\tO' -p83657 -aS'when\twhen\tWRB\tB-ADVP\tO' -p83658 -aS'he\the\tPRP\tB-NP\tO' -p83659 -aS'noted\tnote\tVBD\tB-VP\tO' -p83660 -aS'new\tnew\tJJ\tB-NP\tO' -p83661 -aS'onset\tonset\tNN\tI-NP\tO' -p83662 -aS'of\tof\tIN\tB-PP\tO' -p83663 -aS'chest\tchest\tNN\tB-NP\tO' -p83664 -aS'pain\tpain\tNN\tI-NP\tO' -p83665 -aS'and\tand\tCC\tO\tO' -p83666 -aS'arm\tarm\tNN\tB-NP\tO' -p83667 -aS'pain\tpain\tNN\tI-NP\tO' -p83668 -aS',\t,\t,\tO\tO' -p83669 -aS'confined\tconfine\tVBN\tB-VP\tO' -p83670 -aS'to\tto\tTO\tB-PP\tO' -p83671 -aS'his\this\tPRP$\tB-NP\tO' -p83672 -aS'left\tleft\tJJ\tI-NP\tO' -p83673 -aS'side\tside\tNN\tI-NP\tO' -p83674 -aS'.\t.\t.\tO\tO' -p83675 -asS'Rectal examination was notable for guiaiac positive maroon stool .' -p83676 -(lp83677 -S'Rectal\tRectal\tJJ\tB-NP\tO' -p83678 -aS'examination\texamination\tNN\tI-NP\tO' -p83679 -aS'was\tbe\tVBD\tB-VP\tO' -p83680 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p83681 -aS'for\tfor\tIN\tB-PP\tO' -p83682 -aS'guiaiac\tguiaiac\tJJ\tB-NP\tO' -p83683 -aS'positive\tpositive\tJJ\tI-NP\tO' -p83684 -aS'maroon\tmaroon\tNN\tI-NP\tO' -p83685 -aS'stool\tstool\tNN\tI-NP\tO' -p83686 -aS'.\t.\t.\tO\tO' -p83687 -asS'2017-02-04 and 2017-02-07 and 2017-02-11 : yeast' -p83688 -(lp83689 -S'2017-02-04\t2017-02-04\tCD\tB-NP\tO' -p83690 -aS'and\tand\tCC\tI-NP\tO' -p83691 -aS'2017-02-07\t2017-02-07\tCD\tI-NP\tO' -p83692 -aS'and\tand\tCC\tI-NP\tO' -p83693 -aS'2017-02-11\t2017-02-11\tCD\tI-NP\tO' -p83694 -aS':\t:\t:\tO\tO' -p83695 -aS'yeast\tyeast\tNN\tB-NP\tO' -p83696 -asS'Significant for vertebrobasilar insufficiency , bipolar mood disorder , and hypercholesterolemia , as well as some baseline renal insufficiency .' -p83697 -(lp83698 -S'Significant\tSignificant\tJJ\tB-ADJP\tO' -p83699 -aS'for\tfor\tIN\tB-PP\tO' -p83700 -aS'vertebrobasilar\tvertebrobasilar\tJJ\tB-NP\tO' -p83701 -aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' -p83702 -aS',\t,\t,\tO\tO' -p83703 -aS'bipolar\tbipolar\tJJ\tB-NP\tO' -p83704 -aS'mood\tmood\tNN\tI-NP\tO' -p83705 -aS'disorder\tdisorder\tNN\tI-NP\tO' -p83706 -aS',\t,\t,\tO\tO' -p83707 -aS'and\tand\tCC\tO\tO' -p83708 -aS'hypercholesterolemia\thypercholesterolemia\tNN\tB-NP\tO' -p83709 -aS',\t,\t,\tO\tO' -p83710 -aS'as\tas\tRB\tB-CONJP\tO' -p83711 -aS'well\twell\tRB\tI-CONJP\tO' -p83712 -aS'as\tas\tIN\tI-CONJP\tO' -p83713 -aS'some\tsome\tDT\tB-NP\tO' -p83714 -aS'baseline\tbaseline\tNN\tI-NP\tO' -p83715 -aS'renal\trenal\tJJ\tI-NP\tO' -p83716 -aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' -p83717 -aS'.\t.\t.\tO\tO' -p83718 -asS'He has remained normotensive throughout his CMED stay .' -p83719 -(lp83720 -S'He\tHe\tPRP\tB-NP\tO' -p83721 -aS'has\thave\tVBZ\tB-VP\tO' -p83722 -aS'remained\tremain\tVBN\tI-VP\tO' -p83723 -aS'normotensive\tnormotensive\tJJ\tB-ADJP\tO' -p83724 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p83725 -aS'his\this\tPRP$\tB-NP\tO' -p83726 -aS'CMED\tCMED\tJJ\tI-NP\tO' -p83727 -aS'stay\tstay\tNN\tI-NP\tO' -p83728 -aS'.\t.\t.\tO\tO' -p83729 -asS'Dictated By : Alice T. Mahoney , M.D.' -p83730 -(lp83731 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p83732 -aS'By\tBy\tIN\tB-PP\tO' -p83733 -aS':\t:\t:\tO\tO' -p83734 -aS'Alice\tAlice\tNNP\tB-NP\tO' -p83735 -aS'T.\tT.\tNNP\tI-NP\tO' -p83736 -aS'Mahoney\tMahoney\tNNP\tI-NP\tO' -p83737 -aS',\t,\t,\tO\tO' -p83738 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p83739 -asS'Telephone number is ( 261 ) 564-6894 .' -p83740 -(lp83741 -S'Telephone\tTelephone\tNN\tB-NP\tO' -p83742 -aS'number\tnumber\tNN\tI-NP\tO' -p83743 -aS'is\tbe\tVBZ\tB-VP\tO' -p83744 -aS'(\t(\t(\tO\tO' -p83745 -aS'261\t261\tCD\tB-NP\tO' -p83746 -aS')\t)\t)\tO\tO' -p83747 -aS'564-6894\t564-6894\tCD\tB-NP\tO' -p83748 -aS'.\t.\t.\tO\tO' -p83749 -asS'Eyes were closed .' -p83750 -(lp83751 -S'Eyes\tEye\tNNS\tB-NP\tO' -p83752 -aS'were\tbe\tVBD\tB-VP\tO' -p83753 -aS'closed\tclose\tVBN\tI-VP\tO' -p83754 -aS'.\t.\t.\tO\tO' -p83755 -asS'EMS was called and reported to arrive on scene within three minutes .' -p83756 -(lp83757 -S'EMS\tEMS\tNNS\tB-NP\tO' -p83758 -aS'was\tbe\tVBD\tB-VP\tO' -p83759 -aS'called\tcall\tVBN\tI-VP\tO' -p83760 -aS'and\tand\tCC\tO\tO' -p83761 -aS'reported\treport\tVBN\tB-VP\tO' -p83762 -aS'to\tto\tTO\tB-VP\tO' -p83763 -aS'arrive\tarrive\tVB\tI-VP\tO' -p83764 -aS'on\ton\tIN\tB-PP\tO' -p83765 -aS'scene\tscene\tNN\tB-NP\tO' -p83766 -aS'within\twithin\tIN\tB-PP\tO' -p83767 -aS'three\tthree\tCD\tB-NP\tO' -p83768 -aS'minutes\tminute\tNNS\tI-NP\tO' -p83769 -aS'.\t.\t.\tO\tO' -p83770 -asS'Patient was also seen by the Pulmonary service here and had pulmonary function tests done as part of a pretransplant workup .' -p83771 -(lp83772 -S'Patient\tPatient\tNN\tB-NP\tO' -p83773 -aS'was\tbe\tVBD\tB-VP\tO' -p83774 -aS'also\talso\tRB\tI-VP\tO' -p83775 -aS'seen\tsee\tVBN\tI-VP\tO' -p83776 -aS'by\tby\tIN\tB-PP\tO' -p83777 -aS'the\tthe\tDT\tB-NP\tO' -p83778 -aS'Pulmonary\tPulmonary\tJJ\tI-NP\tO' -p83779 -aS'service\tservice\tNN\tI-NP\tO' -p83780 -aS'here\there\tRB\tB-ADVP\tO' -p83781 -aS'and\tand\tCC\tO\tO' -p83782 -aS'had\thave\tVBD\tB-VP\tO' -p83783 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p83784 -aS'function\tfunction\tNN\tI-NP\tO' -p83785 -aS'tests\ttest\tNNS\tI-NP\tO' -p83786 -aS'done\tdo\tVBN\tB-VP\tO' -p83787 -aS'as\tas\tIN\tB-PP\tO' -p83788 -aS'part\tpart\tNN\tB-NP\tO' -p83789 -aS'of\tof\tIN\tB-PP\tO' -p83790 -aS'a\ta\tDT\tB-NP\tO' -p83791 -aS'pretransplant\tpretransplant\tNN\tI-NP\tO' -p83792 -aS'workup\tworkup\tNN\tI-NP\tO' -p83793 -aS'.\t.\t.\tO\tO' -p83794 -asS'The electrocardiogram demonstrated normal sinus rhythm with poor R wave progression , left atrial enlargement and T wave inversion in leads V 4 , 5 , and' -p83795 -(lp83796 -S'The\tThe\tDT\tB-NP\tO' -p83797 -aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' -p83798 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p83799 -aS'normal\tnormal\tJJ\tB-NP\tO' -p83800 -aS'sinus\tsinus\tNN\tI-NP\tO' -p83801 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p83802 -aS'with\twith\tIN\tB-PP\tO' -p83803 -aS'poor\tpoor\tJJ\tB-NP\tO' -p83804 -aS'R\tR\tNN\tI-NP\tO' -p83805 -aS'wave\twave\tNN\tI-NP\tO' -p83806 -aS'progression\tprogression\tNN\tI-NP\tO' -p83807 -aS',\t,\t,\tO\tO' -p83808 -aS'left\tleave\tVBD\tB-VP\tO' -p83809 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p83810 -aS'enlargement\tenlargement\tNN\tI-NP\tO' -p83811 -aS'and\tand\tCC\tO\tO' -p83812 -aS'T\tT\tNN\tB-NP\tO' -p83813 -aS'wave\twave\tVBP\tB-VP\tO' -p83814 -aS'inversion\tinversion\tNN\tB-NP\tO' -p83815 -aS'in\tin\tIN\tB-PP\tO' -p83816 -aS'leads\tlead\tNNS\tB-NP\tO' -p83817 -aS'V\tV\tNN\tI-NP\tO' -p83818 -aS'4\t4\tCD\tI-NP\tO' -p83819 -aS',\t,\t,\tI-NP\tO' -p83820 -aS'5\t5\tCD\tI-NP\tO' -p83821 -aS',\t,\t,\tO\tO' -p83822 -aS'and\tand\tCC\tO\tO' -p83823 -asS'Lanoxin , 0.25 mg po qd ; Lasix , 20 mg po qd .' -p83824 -(lp83825 -S'Lanoxin\tLanoxin\tNN\tB-NP\tO' -p83826 -aS',\t,\t,\tO\tO' -p83827 -aS'0.25\t0.25\tCD\tB-NP\tO' -p83828 -aS'mg\tmg\tNN\tI-NP\tO' -p83829 -aS'po\tpo\tNN\tI-NP\tO' -p83830 -aS'qd\tqd\tNN\tI-NP\tO' -p83831 -aS';\t;\t:\tO\tO' -p83832 -aS'Lasix\tLasix\tNN\tB-NP\tO' -p83833 -aS',\t,\t,\tO\tO' -p83834 -aS'20\t20\tCD\tB-NP\tO' -p83835 -aS'mg\tmg\tNN\tI-NP\tO' -p83836 -aS'po\tpo\tNN\tI-NP\tO' -p83837 -aS'qd\tqd\tNN\tI-NP\tO' -p83838 -aS'.\t.\t.\tO\tO' -p83839 -asS'The patient lives with two people in Cinglendda .' -p83840 -(lp83841 -S'The\tThe\tDT\tB-NP\tO' -p83842 -aS'patient\tpatient\tNN\tI-NP\tO' -p83843 -aS'lives\tlive\tVBZ\tB-VP\tO' -p83844 -aS'with\twith\tIN\tB-PP\tO' -p83845 -aS'two\ttwo\tCD\tB-NP\tO' -p83846 -aS'people\tpeople\tNNS\tI-NP\tO' -p83847 -aS'in\tin\tIN\tB-PP\tO' -p83848 -aS'Cinglendda\tCinglendda\tNNP\tB-NP\tO' -p83849 -aS'.\t.\t.\tO\tO' -p83850 -asS'The left lateral gaze , the left eye had 1 mm. of lateral sclera showing .' -p83851 -(lp83852 -S'The\tThe\tDT\tB-NP\tO' -p83853 -aS'left\tleft\tJJ\tI-NP\tO' -p83854 -aS'lateral\tlateral\tJJ\tI-NP\tO' -p83855 -aS'gaze\tgaze\tNN\tI-NP\tO' -p83856 -aS',\t,\t,\tO\tO' -p83857 -aS'the\tthe\tDT\tB-NP\tO' -p83858 -aS'left\tleft\tJJ\tI-NP\tO' -p83859 -aS'eye\teye\tNN\tI-NP\tO' -p83860 -aS'had\thave\tVBD\tB-VP\tO' -p83861 -aS'1\t1\tCD\tB-NP\tO' -p83862 -aS'mm.\tmm.\tNN\tI-NP\tO' -p83863 -aS'of\tof\tIN\tB-PP\tO' -p83864 -aS'lateral\tlateral\tJJ\tB-NP\tO' -p83865 -aS'sclera\tsclera\tNN\tI-NP\tO' -p83866 -aS'showing\tshow\tVBG\tB-VP\tO' -p83867 -aS'.\t.\t.\tO\tO' -p83868 -asS'He had gynecomastia .' -p83869 -(lp83870 -S'He\tHe\tPRP\tB-NP\tO' -p83871 -aS'had\thave\tVBD\tB-VP\tO' -p83872 -aS'gynecomastia\tgynecomastia\tNN\tB-NP\tO' -p83873 -aS'.\t.\t.\tO\tO' -p83874 -asS'On presentation , the patient was a young appearing Hispanic male in mild respiratory distress with a blood pressure of 140/90 , heart rate 120 , respirations 32 , and temperature 101 .' -p83875 -(lp83876 -S'On\tOn\tIN\tB-PP\tO' -p83877 -aS'presentation\tpresentation\tNN\tB-NP\tO' -p83878 -aS',\t,\t,\tO\tO' -p83879 -aS'the\tthe\tDT\tB-NP\tO' -p83880 -aS'patient\tpatient\tNN\tI-NP\tO' -p83881 -aS'was\tbe\tVBD\tB-VP\tO' -p83882 -aS'a\ta\tDT\tB-NP\tO' -p83883 -aS'young\tyoung\tJJ\tI-NP\tO' -p83884 -aS'appearing\tappear\tVBG\tI-NP\tO' -p83885 -aS'Hispanic\tHispanic\tJJ\tI-NP\tO' -p83886 -aS'male\tmale\tNN\tI-NP\tO' -p83887 -aS'in\tin\tIN\tB-PP\tO' -p83888 -aS'mild\tmild\tJJ\tB-NP\tO' -p83889 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p83890 -aS'distress\tdistress\tNN\tI-NP\tO' -p83891 -aS'with\twith\tIN\tB-PP\tO' -p83892 -aS'a\ta\tDT\tB-NP\tO' -p83893 -aS'blood\tblood\tNN\tI-NP\tO' -p83894 -aS'pressure\tpressure\tNN\tI-NP\tO' -p83895 -aS'of\tof\tIN\tB-PP\tO' -p83896 -aS'140/90\t140/90\tCD\tB-NP\tO' -p83897 -aS',\t,\t,\tO\tO' -p83898 -aS'heart\theart\tNN\tB-NP\tO' -p83899 -aS'rate\trate\tNN\tI-NP\tO' -p83900 -aS'120\t120\tCD\tI-NP\tO' -p83901 -aS',\t,\t,\tO\tO' -p83902 -aS'respirations\trespiration\tNNS\tB-NP\tO' -p83903 -aS'32\t32\tCD\tB-NP\tO' -p83904 -aS',\t,\t,\tO\tO' -p83905 -aS'and\tand\tCC\tO\tO' -p83906 -aS'temperature\ttemperature\tNN\tB-NP\tO' -p83907 -aS'101\t101\tCD\tI-NP\tO' -p83908 -aS'.\t.\t.\tO\tO' -p83909 -asS'BACK : No CVA tenderness .' -p83910 -(lp83911 -S'BACK\tBACK\tNN\tB-NP\tO' -p83912 -aS':\t:\t:\tO\tO' -p83913 -aS'No\tNo\tDT\tB-NP\tO' -p83914 -aS'CVA\tCVA\tNN\tI-NP\tO' -p83915 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p83916 -aS'.\t.\t.\tO\tO' -p83917 -asS'The patient is an 84 year old male , with a history of hypertension , who was discovered to have an asymptomatic 7 cm abdominal aortic aneurysm on CT scan obtained in the emergency room back in May .' -p83918 -(lp83919 -S'The\tThe\tDT\tB-NP\tO' -p83920 -aS'patient\tpatient\tNN\tI-NP\tO' -p83921 -aS'is\tbe\tVBZ\tB-VP\tO' -p83922 -aS'an\tan\tDT\tB-NP\tO' -p83923 -aS'84\t84\tCD\tI-NP\tO' -p83924 -aS'year\tyear\tNN\tI-NP\tO' -p83925 -aS'old\told\tJJ\tI-NP\tO' -p83926 -aS'male\tmale\tNN\tI-NP\tO' -p83927 -aS',\t,\t,\tO\tO' -p83928 -aS'with\twith\tIN\tB-PP\tO' -p83929 -aS'a\ta\tDT\tB-NP\tO' -p83930 -aS'history\thistory\tNN\tI-NP\tO' -p83931 -aS'of\tof\tIN\tB-PP\tO' -p83932 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p83933 -aS',\t,\t,\tO\tO' -p83934 -aS'who\twho\tWP\tB-NP\tO' -p83935 -aS'was\tbe\tVBD\tB-VP\tO' -p83936 -aS'discovered\tdiscover\tVBN\tI-VP\tO' -p83937 -aS'to\tto\tTO\tI-VP\tO' -p83938 -aS'have\thave\tVB\tI-VP\tO' -p83939 -aS'an\tan\tDT\tB-NP\tO' -p83940 -aS'asymptomatic\tasymptomatic\tJJ\tI-NP\tO' -p83941 -aS'7\t7\tCD\tI-NP\tO' -p83942 -aS'cm\tcm\tNN\tI-NP\tO' -p83943 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p83944 -aS'aortic\taortic\tJJ\tI-NP\tO' -p83945 -aS'aneurysm\taneurysm\tNN\tI-NP\tO' -p83946 -aS'on\ton\tIN\tB-PP\tO' -p83947 -aS'CT\tCT\tNN\tB-NP\tO' -p83948 -aS'scan\tscan\tNN\tI-NP\tO' -p83949 -aS'obtained\tobtain\tVBN\tB-VP\tO' -p83950 -aS'in\tin\tIN\tB-PP\tO' -p83951 -aS'the\tthe\tDT\tB-NP\tO' -p83952 -aS'emergency\temergency\tNN\tI-NP\tO' -p83953 -aS'room\troom\tNN\tI-NP\tO' -p83954 -aS'back\tback\tRB\tB-ADVP\tO' -p83955 -aS'in\tin\tIN\tB-PP\tO' -p83956 -aS'May\tMay\tNNP\tB-NP\tO' -p83957 -aS'.\t.\t.\tO\tO' -p83958 -asS'Mr. Liley was discharged in stable condition , ambulating and voiding independently , and with adequate pain control .' -p83959 -(lp83960 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p83961 -aS'Liley\tLiley\tNNP\tI-NP\tO' -p83962 -aS'was\tbe\tVBD\tB-VP\tO' -p83963 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p83964 -aS'in\tin\tIN\tB-PP\tO' -p83965 -aS'stable\tstable\tJJ\tB-NP\tO' -p83966 -aS'condition\tcondition\tNN\tI-NP\tO' -p83967 -aS',\t,\t,\tO\tO' -p83968 -aS'ambulating\tambulate\tVBG\tB-VP\tO' -p83969 -aS'and\tand\tCC\tI-VP\tO' -p83970 -aS'voiding\tvoid\tVBG\tI-VP\tO' -p83971 -aS'independently\tindependently\tRB\tB-ADVP\tO' -p83972 -aS',\t,\t,\tO\tO' -p83973 -aS'and\tand\tCC\tO\tO' -p83974 -aS'with\twith\tIN\tB-PP\tO' -p83975 -aS'adequate\tadequate\tJJ\tB-NP\tO' -p83976 -aS'pain\tpain\tNN\tI-NP\tO' -p83977 -aS'control\tcontrol\tNN\tI-NP\tO' -p83978 -aS'.\t.\t.\tO\tO' -p83979 -asS'His blood cultures and chest X-ray were negative .' -p83980 -(lp83981 -S'His\tHis\tPRP$\tB-NP\tO' -p83982 -aS'blood\tblood\tNN\tI-NP\tO' -p83983 -aS'cultures\tculture\tNNS\tI-NP\tO' -p83984 -aS'and\tand\tCC\tO\tO' -p83985 -aS'chest\tchest\tNN\tB-NP\tO' -p83986 -aS'X-ray\tX-ray\tNN\tI-NP\tO' -p83987 -aS'were\tbe\tVBD\tB-VP\tO' -p83988 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p83989 -aS'.\t.\t.\tO\tO' -p83990 -asS'Cardiology was aware of the patient .' -p83991 -(lp83992 -S'Cardiology\tCardiology\tNNP\tB-NP\tO' -p83993 -aS'was\tbe\tVBD\tB-VP\tO' -p83994 -aS'aware\taware\tJJ\tB-ADJP\tO' -p83995 -aS'of\tof\tIN\tB-PP\tO' -p83996 -aS'the\tthe\tDT\tB-NP\tO' -p83997 -aS'patient\tpatient\tNN\tI-NP\tO' -p83998 -aS'.\t.\t.\tO\tO' -p83999 -asS'The patient tolerated the procedure well and was transferred to the Post Anesthesia Care Unit and then to the floor in stable condition .' -p84000 -(lp84001 -S'The\tThe\tDT\tB-NP\tO' -p84002 -aS'patient\tpatient\tNN\tI-NP\tO' -p84003 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p84004 -aS'the\tthe\tDT\tB-NP\tO' -p84005 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p84006 -aS'well\twell\tRB\tB-ADVP\tO' -p84007 -aS'and\tand\tCC\tO\tO' -p84008 -aS'was\tbe\tVBD\tB-VP\tO' -p84009 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p84010 -aS'to\tto\tTO\tB-PP\tO' -p84011 -aS'the\tthe\tDT\tB-NP\tO' -p84012 -aS'Post\tPost\tNNP\tI-NP\tO' -p84013 -aS'Anesthesia\tAnesthesia\tNNP\tI-NP\tO' -p84014 -aS'Care\tCare\tNNP\tI-NP\tO' -p84015 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p84016 -aS'and\tand\tCC\tO\tO' -p84017 -aS'then\tthen\tRB\tB-ADVP\tO' -p84018 -aS'to\tto\tTO\tB-PP\tO' -p84019 -aS'the\tthe\tDT\tB-NP\tO' -p84020 -aS'floor\tfloor\tNN\tI-NP\tO' -p84021 -aS'in\tin\tIN\tB-PP\tO' -p84022 -aS'stable\tstable\tJJ\tB-NP\tO' -p84023 -aS'condition\tcondition\tNN\tI-NP\tO' -p84024 -aS'.\t.\t.\tO\tO' -p84025 -asS'The patient was started on total parenteral nutrition .' -p84026 -(lp84027 -S'The\tThe\tDT\tB-NP\tO' -p84028 -aS'patient\tpatient\tNN\tI-NP\tO' -p84029 -aS'was\tbe\tVBD\tB-VP\tO' -p84030 -aS'started\tstart\tVBN\tI-VP\tO' -p84031 -aS'on\ton\tIN\tB-PP\tO' -p84032 -aS'total\ttotal\tJJ\tB-NP\tO' -p84033 -aS'parenteral\tparenteral\tJJ\tI-NP\tO' -p84034 -aS'nutrition\tnutrition\tNN\tI-NP\tO' -p84035 -aS'.\t.\t.\tO\tO' -p84036 -asS'Abdominal exam revealed soft , nontender , and nondistended abdomen .' -p84037 -(lp84038 -S'Abdominal\tAbdominal\tJJ\tB-NP\tO' -p84039 -aS'exam\texam\tNN\tI-NP\tO' -p84040 -aS'revealed\treveal\tVBD\tB-VP\tO' -p84041 -aS'soft\tsoft\tJJ\tB-NP\tO' -p84042 -aS',\t,\t,\tI-NP\tO' -p84043 -aS'nontender\tnontender\tJJ\tI-NP\tO' -p84044 -aS',\t,\t,\tO\tO' -p84045 -aS'and\tand\tCC\tO\tO' -p84046 -aS'nondistended\tnondistended\tJJ\tB-NP\tO' -p84047 -aS'abdomen\tabdoman\tNNS\tI-NP\tO' -p84048 -aS'.\t.\t.\tO\tO' -p84049 -asS'The head , eyes , ears , nose and throat examination revealed no ocular abnormalities .' -p84050 -(lp84051 -S'The\tThe\tDT\tB-NP\tO' -p84052 -aS'head\thead\tNN\tI-NP\tO' -p84053 -aS',\t,\t,\tO\tO' -p84054 -aS'eyes\teye\tNNS\tB-NP\tO' -p84055 -aS',\t,\t,\tO\tO' -p84056 -aS'ears\tear\tNNS\tB-NP\tO' -p84057 -aS',\t,\t,\tO\tO' -p84058 -aS'nose\tnose\tNN\tB-NP\tO' -p84059 -aS'and\tand\tCC\tI-NP\tO' -p84060 -aS'throat\tthroat\tNN\tI-NP\tO' -p84061 -aS'examination\texamination\tNN\tI-NP\tO' -p84062 -aS'revealed\treveal\tVBD\tB-VP\tO' -p84063 -aS'no\tno\tDT\tB-NP\tO' -p84064 -aS'ocular\tocular\tJJ\tI-NP\tO' -p84065 -aS'abnormalities\tabnormality\tNNS\tI-NP\tO' -p84066 -aS'.\t.\t.\tO\tO' -p84067 -asS'Due to seizure activity , Dilantin was started .' -p84068 -(lp84069 -S'Due\tDue\tJJ\tB-ADJP\tO' -p84070 -aS'to\tto\tTO\tB-PP\tO' -p84071 -aS'seizure\tseizure\tNN\tB-NP\tO' -p84072 -aS'activity\tactivity\tNN\tI-NP\tO' -p84073 -aS',\t,\t,\tO\tO' -p84074 -aS'Dilantin\tDilantin\tNN\tB-NP\tB-protein' -p84075 -aS'was\tbe\tVBD\tB-VP\tO' -p84076 -aS'started\tstart\tVBN\tI-VP\tO' -p84077 -aS'.\t.\t.\tO\tO' -p84078 -asS'She had a 3 cm mobile gelatinous well-circumscribed mass in the right supraclavicular region .' -p84079 -(lp84080 -S'She\tShe\tPRP\tB-NP\tO' -p84081 -aS'had\thave\tVBD\tB-VP\tO' -p84082 -aS'a\ta\tDT\tB-NP\tO' -p84083 -aS'3\t3\tCD\tI-NP\tO' -p84084 -aS'cm\tcm\tNN\tI-NP\tO' -p84085 -aS'mobile\tmobile\tJJ\tI-NP\tO' -p84086 -aS'gelatinous\tgelatinous\tJJ\tI-NP\tO' -p84087 -aS'well-circumscribed\twell-circumscribed\tJJ\tI-NP\tO' -p84088 -aS'mass\tmass\tNN\tI-NP\tO' -p84089 -aS'in\tin\tIN\tB-PP\tO' -p84090 -aS'the\tthe\tDT\tB-NP\tO' -p84091 -aS'right\tright\tJJ\tI-NP\tB-DNA' -p84092 -aS'supraclavicular\tsupraclavicular\tJJ\tI-NP\tI-DNA' -p84093 -aS'region\tregion\tNN\tI-NP\tI-DNA' -p84094 -aS'.\t.\t.\tO\tO' -p84095 -asS'walk with assist per PT eval' -p84096 -(lp84097 -S'walk\twalk\tNN\tB-NP\tO' -p84098 -aS'with\twith\tIN\tB-PP\tO' -p84099 -aS'assist\tassist\tNN\tB-NP\tO' -p84100 -aS'per\tper\tIN\tB-PP\tO' -p84101 -aS'PT\tPT\tNN\tB-NP\tO' -p84102 -aS'eval\teval\tNN\tI-NP\tO' -p84103 -asS'The patient may be discharge Harry 02-08 pending observations for delirium tremens after discussion with primary care physician , Dr. Blue who knows the patient well .' -p84104 -(lp84105 -S'The\tThe\tDT\tB-NP\tO' -p84106 -aS'patient\tpatient\tNN\tI-NP\tO' -p84107 -aS'may\tmay\tMD\tB-VP\tO' -p84108 -aS'be\tbe\tVB\tI-VP\tO' -p84109 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p84110 -aS'Harry\tHarry\tNNP\tB-NP\tO' -p84111 -aS'02-08\t02-08\tCD\tI-NP\tO' -p84112 -aS'pending\tpende\tVBG\tI-NP\tO' -p84113 -aS'observations\tobservation\tNNS\tI-NP\tO' -p84114 -aS'for\tfor\tIN\tB-PP\tO' -p84115 -aS'delirium\tdelirium\tNN\tB-NP\tO' -p84116 -aS'tremens\ttremen\tNNS\tI-NP\tO' -p84117 -aS'after\tafter\tIN\tB-PP\tO' -p84118 -aS'discussion\tdiscussion\tNN\tB-NP\tO' -p84119 -aS'with\twith\tIN\tB-PP\tO' -p84120 -aS'primary\tprimary\tJJ\tB-NP\tO' -p84121 -aS'care\tcare\tNN\tI-NP\tO' -p84122 -aS'physician\tphysician\tNN\tI-NP\tO' -p84123 -aS',\t,\t,\tO\tO' -p84124 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p84125 -aS'Blue\tBlue\tNNP\tI-NP\tO' -p84126 -aS'who\twho\tWP\tB-NP\tO' -p84127 -aS'knows\tknow\tVBZ\tB-VP\tO' -p84128 -aS'the\tthe\tDT\tB-NP\tO' -p84129 -aS'patient\tpatient\tNN\tI-NP\tO' -p84130 -aS'well\twell\tRB\tB-ADVP\tO' -p84131 -aS'.\t.\t.\tO\tO' -p84132 -asS'He was a well-developed , well-nourished man who was breathing comfortably .' -p84133 -(lp84134 -S'He\tHe\tPRP\tB-NP\tO' -p84135 -aS'was\tbe\tVBD\tB-VP\tO' -p84136 -aS'a\ta\tDT\tB-NP\tO' -p84137 -aS'well-developed\twell-developed\tJJ\tI-NP\tO' -p84138 -aS',\t,\t,\tI-NP\tO' -p84139 -aS'well-nourished\twell-nourished\tJJ\tI-NP\tO' -p84140 -aS'man\tman\tNN\tI-NP\tO' -p84141 -aS'who\twho\tWP\tB-NP\tO' -p84142 -aS'was\tbe\tVBD\tB-VP\tO' -p84143 -aS'breathing\tbreathe\tVBG\tI-VP\tO' -p84144 -aS'comfortably\tcomfortably\tRB\tB-ADVP\tO' -p84145 -aS'.\t.\t.\tO\tO' -p84146 -asS'He is able to flex his right hip to 100 degrees .' -p84147 -(lp84148 -S'He\tHe\tPRP\tB-NP\tO' -p84149 -aS'is\tbe\tVBZ\tB-VP\tO' -p84150 -aS'able\table\tJJ\tB-ADJP\tO' -p84151 -aS'to\tto\tTO\tB-VP\tO' -p84152 -aS'flex\tflex\tVB\tI-VP\tO' -p84153 -aS'his\this\tPRP$\tB-NP\tO' -p84154 -aS'right\tright\tJJ\tI-NP\tO' -p84155 -aS'hip\thip\tNN\tI-NP\tO' -p84156 -aS'to\tto\tTO\tB-PP\tO' -p84157 -aS'100\t100\tCD\tB-NP\tO' -p84158 -aS'degrees\tdegree\tNNS\tI-NP\tO' -p84159 -aS'.\t.\t.\tO\tO' -p84160 -asS'No atrial septal defect is seen by 2D or color Doppler .' -p84161 -(lp84162 -S'No\tNo\tDT\tB-NP\tO' -p84163 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p84164 -aS'septal\tseptal\tJJ\tI-NP\tO' -p84165 -aS'defect\tdefect\tNN\tI-NP\tO' -p84166 -aS'is\tbe\tVBZ\tB-VP\tO' -p84167 -aS'seen\tsee\tVBN\tI-VP\tO' -p84168 -aS'by\tby\tIN\tB-PP\tO' -p84169 -aS'2D\t2D\tNN\tB-NP\tO' -p84170 -aS'or\tor\tCC\tI-NP\tO' -p84171 -aS'color\tcolor\tNN\tI-NP\tO' -p84172 -aS'Doppler\tDoppler\tNNP\tI-NP\tO' -p84173 -aS'.\t.\t.\tO\tO' -p84174 -asS'3. Coronary artery bypass grafting times two .' -p84175 -(lp84176 -S'3.\t3.\tLS\tB-NP\tO' -p84177 -aS'Coronary\tCoronary\tJJ\tI-NP\tO' -p84178 -aS'artery\tartery\tNN\tI-NP\tO' -p84179 -aS'bypass\tbypass\tIN\tB-PP\tO' -p84180 -aS'grafting\tgraft\tVBG\tB-VP\tO' -p84181 -aS'times\ttime\tNNS\tB-NP\tO' -p84182 -aS'two\ttwo\tCD\tB-NP\tO' -p84183 -aS'.\t.\t.\tO\tO' -p84184 -asS'The patient is now admitted for exploratory laparotomy .' -p84185 -(lp84186 -S'The\tThe\tDT\tB-NP\tO' -p84187 -aS'patient\tpatient\tNN\tI-NP\tO' -p84188 -aS'is\tbe\tVBZ\tB-VP\tO' -p84189 -aS'now\tnow\tRB\tI-VP\tO' -p84190 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p84191 -aS'for\tfor\tIN\tB-PP\tO' -p84192 -aS'exploratory\texploratory\tJJ\tB-NP\tO' -p84193 -aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' -p84194 -aS'.\t.\t.\tO\tO' -p84195 -asS'A trauma evaluation was negative and thus he was transferred to the Neurology Service .' -p84196 -(lp84197 -S'A\tA\tDT\tB-NP\tO' -p84198 -aS'trauma\ttrauma\tNN\tI-NP\tO' -p84199 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p84200 -aS'was\tbe\tVBD\tB-VP\tO' -p84201 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p84202 -aS'and\tand\tCC\tO\tO' -p84203 -aS'thus\tthus\tRB\tB-ADVP\tO' -p84204 -aS'he\the\tPRP\tB-NP\tO' -p84205 -aS'was\tbe\tVBD\tB-VP\tO' -p84206 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p84207 -aS'to\tto\tTO\tB-PP\tO' -p84208 -aS'the\tthe\tDT\tB-NP\tO' -p84209 -aS'Neurology\tNeurology\tNNP\tI-NP\tO' -p84210 -aS'Service\tService\tNNP\tI-NP\tO' -p84211 -aS'.\t.\t.\tO\tO' -p84212 -asS'Ejection fraction was noted to be 20% .' -p84213 -(lp84214 -S'Ejection\tEjection\tNN\tB-NP\tO' -p84215 -aS'fraction\tfraction\tNN\tI-NP\tO' -p84216 -aS'was\tbe\tVBD\tB-VP\tO' -p84217 -aS'noted\tnote\tVBN\tI-VP\tO' -p84218 -aS'to\tto\tTO\tI-VP\tO' -p84219 -aS'be\tbe\tVB\tI-VP\tO' -p84220 -aS'20%\t20%\tCD\tB-NP\tO' -p84221 -aS'.\t.\t.\tO\tO' -p84222 -asS'Chief Complaint: recent mild angina with exertion' -p84223 -(lp84224 -S'Chief\tChief\tJJ\tB-NP\tO' -p84225 -aS'Complaint:\tComplaint:\tNNP\tI-NP\tO' -p84226 -aS'recent\trecent\tJJ\tI-NP\tO' -p84227 -aS'mild\tmild\tJJ\tI-NP\tO' -p84228 -aS'angina\tangina\tNN\tI-NP\tO' -p84229 -aS'with\twith\tIN\tB-PP\tO' -p84230 -aS'exertion\texertion\tNN\tB-NP\tO' -p84231 -asS'8. Atorvastatin 10 mg po q day .' -p84232 -(lp84233 -S'8.\t8.\tCD\tB-NP\tO' -p84234 -aS'Atorvastatin\tAtorvastatin\tNN\tI-NP\tO' -p84235 -aS'10\t10\tCD\tB-NP\tO' -p84236 -aS'mg\tmg\tNN\tI-NP\tO' -p84237 -aS'po\tpo\tNN\tI-NP\tO' -p84238 -aS'q\tq\tNN\tI-NP\tO' -p84239 -aS'day\tday\tNN\tI-NP\tO' -p84240 -aS'.\t.\t.\tO\tO' -p84241 -asS'Ext : brace on L wrist , 2+ LE edema' -p84242 -(lp84243 -S'Ext\tExt\tNN\tB-NP\tO' -p84244 -aS':\t:\t:\tO\tO' -p84245 -aS'brace\tbrace\tNN\tB-NP\tO' -p84246 -aS'on\ton\tIN\tB-PP\tO' -p84247 -aS'L\tL\tNN\tB-NP\tO' -p84248 -aS'wrist\twrist\tNN\tI-NP\tO' -p84249 -aS',\t,\t,\tO\tO' -p84250 -aS'2+\t2+\tJJ\tB-NP\tO' -p84251 -aS'LE\tLE\tNN\tI-NP\tO' -p84252 -aS'edema\tedema\tNN\tI-NP\tO' -p84253 -asS'The lungs were clear , except for a few dry crackles bibasilarly .' -p84254 -(lp84255 -S'The\tThe\tDT\tB-NP\tO' -p84256 -aS'lungs\tlung\tNNS\tI-NP\tO' -p84257 -aS'were\tbe\tVBD\tB-VP\tO' -p84258 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p84259 -aS',\t,\t,\tO\tO' -p84260 -aS'except\texcept\tIN\tB-PP\tO' -p84261 -aS'for\tfor\tIN\tB-PP\tO' -p84262 -aS'a\ta\tDT\tB-NP\tO' -p84263 -aS'few\tfew\tJJ\tI-NP\tO' -p84264 -aS'dry\tdry\tJJ\tI-NP\tO' -p84265 -aS'crackles\tcrackle\tNNS\tI-NP\tO' -p84266 -aS'bibasilarly\tbibasilarly\tRB\tB-ADVP\tO' -p84267 -aS'.\t.\t.\tO\tO' -p84268 -asS'No changes on EKG but not in pain at time of EKG .' -p84269 -(lp84270 -S'No\tNo\tDT\tB-NP\tO' -p84271 -aS'changes\tchange\tNNS\tI-NP\tO' -p84272 -aS'on\ton\tIN\tB-PP\tO' -p84273 -aS'EKG\tEKG\tNN\tB-NP\tB-protein' -p84274 -aS'but\tbut\tCC\tB-PP\tO' -p84275 -aS'not\tnot\tRB\tB-PP\tO' -p84276 -aS'in\tin\tIN\tI-PP\tO' -p84277 -aS'pain\tpain\tNN\tB-NP\tO' -p84278 -aS'at\tat\tIN\tB-PP\tO' -p84279 -aS'time\ttime\tNN\tB-NP\tO' -p84280 -aS'of\tof\tIN\tB-PP\tO' -p84281 -aS'EKG\tEKG\tNN\tB-NP\tB-protein' -p84282 -aS'.\t.\t.\tO\tO' -p84283 -asS'Her echocardiogram curiously showed a normal left ventricular size and systolic function , a patent foramen ovale , with a trace right to left shunt , as determined by bubble study , trace MR was present .' -p84284 -(lp84285 -S'Her\tHer\tPRP$\tB-NP\tO' -p84286 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p84287 -aS'curiously\tcuriously\tRB\tB-VP\tO' -p84288 -aS'showed\tshow\tVBD\tI-VP\tO' -p84289 -aS'a\ta\tDT\tB-NP\tO' -p84290 -aS'normal\tnormal\tJJ\tI-NP\tO' -p84291 -aS'left\tleft\tJJ\tI-NP\tO' -p84292 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p84293 -aS'size\tsize\tNN\tI-NP\tO' -p84294 -aS'and\tand\tCC\tO\tO' -p84295 -aS'systolic\tsystolic\tJJ\tB-NP\tO' -p84296 -aS'function\tfunction\tNN\tI-NP\tO' -p84297 -aS',\t,\t,\tO\tO' -p84298 -aS'a\ta\tDT\tB-NP\tO' -p84299 -aS'patent\tpatent\tNN\tI-NP\tO' -p84300 -aS'foramen\tforaman\tNNS\tI-NP\tO' -p84301 -aS'ovale\tovale\tNN\tI-NP\tO' -p84302 -aS',\t,\t,\tO\tO' -p84303 -aS'with\twith\tIN\tB-PP\tO' -p84304 -aS'a\ta\tDT\tB-NP\tO' -p84305 -aS'trace\ttrace\tNN\tI-NP\tO' -p84306 -aS'right\tright\tNN\tI-NP\tO' -p84307 -aS'to\tto\tTO\tB-PP\tO' -p84308 -aS'left\tleft\tJJ\tB-NP\tO' -p84309 -aS'shunt\tshunt\tNN\tI-NP\tO' -p84310 -aS',\t,\t,\tO\tO' -p84311 -aS'as\tas\tIN\tB-SBAR\tO' -p84312 -aS'determined\tdetermine\tVBN\tB-VP\tO' -p84313 -aS'by\tby\tIN\tB-PP\tO' -p84314 -aS'bubble\tbubble\tNN\tB-NP\tO' -p84315 -aS'study\tstudy\tNN\tI-NP\tO' -p84316 -aS',\t,\t,\tO\tO' -p84317 -aS'trace\ttrace\tNN\tB-NP\tB-protein' -p84318 -aS'MR\tMR\tNN\tI-NP\tI-protein' -p84319 -aS'was\tbe\tVBD\tB-VP\tO' -p84320 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p84321 -aS'.\t.\t.\tO\tO' -p84322 -asS'1) s/p Fall - unlikely to be mechanical in nature .' -p84323 -(lp84324 -S'1)\t1)\tLS\tB-NP\tO' -p84325 -aS's/p\ts/p\tNN\tI-NP\tO' -p84326 -aS'Fall\tFall\tNN\tI-NP\tO' -p84327 -aS'-\t-\tHYPH\tB-VP\tO' -p84328 -aS'unlikely\tunlikely\tJJ\tB-ADJP\tO' -p84329 -aS'to\tto\tTO\tB-VP\tO' -p84330 -aS'be\tbe\tVB\tI-VP\tO' -p84331 -aS'mechanical\tmechanical\tJJ\tB-ADJP\tO' -p84332 -aS'in\tin\tIN\tB-PP\tO' -p84333 -aS'nature\tnature\tNN\tB-NP\tO' -p84334 -aS'.\t.\t.\tO\tO' -p84335 -asS'He underwent abdominal paracentesis approximately two times a week for therapeutic .' -p84336 -(lp84337 -S'He\tHe\tPRP\tB-NP\tO' -p84338 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p84339 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p84340 -aS'paracentesis\tparacentesis\tNN\tI-NP\tO' -p84341 -aS'approximately\tapproximately\tRB\tB-ADVP\tO' -p84342 -aS'two\ttwo\tCD\tB-NP\tO' -p84343 -aS'times\ttime\tNNS\tI-NP\tO' -p84344 -aS'a\ta\tDT\tB-NP\tO' -p84345 -aS'week\tweek\tNN\tI-NP\tO' -p84346 -aS'for\tfor\tIN\tB-PP\tO' -p84347 -aS'therapeutic\ttherapeutic\tJJ\tB-ADJP\tO' -p84348 -aS'.\t.\t.\tO\tO' -p84349 -asS'Extremities with no evidence of step-off , palpable pulses peripherally .' -p84350 -(lp84351 -S'Extremities\tExtremity\tNNS\tB-NP\tO' -p84352 -aS'with\twith\tIN\tB-PP\tO' -p84353 -aS'no\tno\tDT\tB-NP\tO' -p84354 -aS'evidence\tevidence\tNN\tI-NP\tO' -p84355 -aS'of\tof\tIN\tB-PP\tO' -p84356 -aS'step-off\tstep-off\tJJ\tB-NP\tO' -p84357 -aS',\t,\t,\tI-NP\tO' -p84358 -aS'palpable\tpalpable\tJJ\tI-NP\tO' -p84359 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p84360 -aS'peripherally\tperipherally\tRB\tB-ADVP\tO' -p84361 -aS'.\t.\t.\tO\tO' -p84362 -asS'This is a 59-year-old white male .' -p84363 -(lp84364 -S'This\tThis\tDT\tB-NP\tO' -p84365 -aS'is\tbe\tVBZ\tB-VP\tO' -p84366 -aS'a\ta\tDT\tB-NP\tO' -p84367 -aS'59-year-old\t59-year-old\tJJ\tI-NP\tO' -p84368 -aS'white\twhite\tJJ\tI-NP\tO' -p84369 -aS'male\tmale\tNN\tI-NP\tO' -p84370 -aS'.\t.\t.\tO\tO' -p84371 -asS'Abd - Mass in LLQ , nephrostomy with yellow clear output' -p84372 -(lp84373 -S'Abd\tAbd\tNNP\tB-NP\tO' -p84374 -aS'-\t-\tHYPH\tI-NP\tO' -p84375 -aS'Mass\tMass\tNNP\tI-NP\tO' -p84376 -aS'in\tin\tIN\tB-PP\tO' -p84377 -aS'LLQ\tLLQ\tNNP\tB-NP\tO' -p84378 -aS',\t,\t,\tO\tO' -p84379 -aS'nephrostomy\tnephrostomy\tNN\tB-NP\tO' -p84380 -aS'with\twith\tIN\tB-PP\tO' -p84381 -aS'yellow\tyellow\tJJ\tB-NP\tO' -p84382 -aS'clear\tclear\tJJ\tI-NP\tO' -p84383 -aS'output\toutput\tNN\tI-NP\tO' -p84384 -asS'Prior to transfer , patient dropped bp to 68/40s .' -p84385 -(lp84386 -S'Prior\tPrior\tRB\tB-ADVP\tO' -p84387 -aS'to\tto\tTO\tB-VP\tO' -p84388 -aS'transfer\ttransfer\tVB\tI-VP\tO' -p84389 -aS',\t,\t,\tO\tO' -p84390 -aS'patient\tpatient\tNN\tB-NP\tO' -p84391 -aS'dropped\tdrop\tVBD\tB-VP\tO' -p84392 -aS'bp\tbp\tNN\tB-NP\tO' -p84393 -aS'to\tto\tTO\tB-PP\tO' -p84394 -aS'68/40s\t68/40\tNNS\tB-NP\tO' -p84395 -aS'.\t.\t.\tO\tO' -p84396 -asS'3. Parkinson 's disease .' -p84397 -(lp84398 -S'3.\t3.\tLS\tB-NP\tO' -p84399 -aS'Parkinson\tParkinson\tNNP\tI-NP\tO' -p84400 -aS''s\t'\tNNS\tI-NP\tO' -p84401 -aS'disease\tdisease\tNN\tI-NP\tO' -p84402 -aS'.\t.\t.\tO\tO' -p84403 -asS'Normal .' -p84404 -(lp84405 -S'Normal\tNormal\tJJ\tB-ADJP\tO' -p84406 -aS'.\t.\t.\tO\tO' -p84407 -asS'MRI : There is a similar configuration of increased T2 signal in the periventricular white matter of both cerebral hemispheres , suggesting demyelinating disease .' -p84408 -(lp84409 -S'MRI\tMRI\tLS\tB-LST\tO' -p84410 -aS':\t:\t:\tO\tO' -p84411 -aS'There\tThere\tEX\tB-NP\tO' -p84412 -aS'is\tbe\tVBZ\tB-VP\tO' -p84413 -aS'a\ta\tDT\tB-NP\tO' -p84414 -aS'similar\tsimilar\tJJ\tI-NP\tO' -p84415 -aS'configuration\tconfiguration\tNN\tI-NP\tO' -p84416 -aS'of\tof\tIN\tB-PP\tO' -p84417 -aS'increased\tincrease\tVBN\tB-NP\tO' -p84418 -aS'T2\tT2\tNN\tI-NP\tO' -p84419 -aS'signal\tsignal\tNN\tI-NP\tO' -p84420 -aS'in\tin\tIN\tB-PP\tO' -p84421 -aS'the\tthe\tDT\tB-NP\tO' -p84422 -aS'periventricular\tperiventricular\tJJ\tI-NP\tO' -p84423 -aS'white\twhite\tJJ\tI-NP\tO' -p84424 -aS'matter\tmatter\tNN\tI-NP\tO' -p84425 -aS'of\tof\tIN\tB-PP\tO' -p84426 -aS'both\tboth\tDT\tB-NP\tO' -p84427 -aS'cerebral\tcerebral\tJJ\tI-NP\tO' -p84428 -aS'hemispheres\themisphere\tNNS\tI-NP\tO' -p84429 -aS',\t,\t,\tO\tO' -p84430 -aS'suggesting\tsuggest\tVBG\tB-VP\tO' -p84431 -aS'demyelinating\tdemyelinate\tVBG\tB-NP\tO' -p84432 -aS'disease\tdisease\tNN\tI-NP\tO' -p84433 -aS'.\t.\t.\tO\tO' -p84434 -asS'He also had a high CO and low SVR suggestive of sepsis , but he never had an elevated WBC and was afebrile during his entire hospital admission with negative blood , urine , wound , and pleural fluid cultures .' -p84435 -(lp84436 -S'He\tHe\tPRP\tB-NP\tO' -p84437 -aS'also\talso\tRB\tB-ADVP\tO' -p84438 -aS'had\thave\tVBD\tB-VP\tO' -p84439 -aS'a\ta\tDT\tB-NP\tO' -p84440 -aS'high\thigh\tJJ\tI-NP\tO' -p84441 -aS'CO\tCO\tNN\tI-NP\tO' -p84442 -aS'and\tand\tCC\tO\tO' -p84443 -aS'low\tlow\tJJ\tB-NP\tO' -p84444 -aS'SVR\tSVR\tNN\tI-NP\tO' -p84445 -aS'suggestive\tsuggestive\tJJ\tB-ADJP\tO' -p84446 -aS'of\tof\tIN\tB-PP\tO' -p84447 -aS'sepsis\tsepsis\tNN\tB-NP\tO' -p84448 -aS',\t,\t,\tO\tO' -p84449 -aS'but\tbut\tCC\tO\tO' -p84450 -aS'he\the\tPRP\tB-NP\tO' -p84451 -aS'never\tnever\tRB\tB-ADVP\tO' -p84452 -aS'had\thave\tVBD\tB-VP\tO' -p84453 -aS'an\tan\tDT\tB-NP\tO' -p84454 -aS'elevated\televated\tJJ\tI-NP\tO' -p84455 -aS'WBC\tWBC\tNNP\tI-NP\tO' -p84456 -aS'and\tand\tCC\tO\tO' -p84457 -aS'was\tbe\tVBD\tB-VP\tO' -p84458 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p84459 -aS'during\tduring\tIN\tB-PP\tO' -p84460 -aS'his\this\tPRP$\tB-NP\tO' -p84461 -aS'entire\tentire\tJJ\tI-NP\tO' -p84462 -aS'hospital\thospital\tNN\tI-NP\tO' -p84463 -aS'admission\tadmission\tNN\tI-NP\tO' -p84464 -aS'with\twith\tIN\tB-PP\tO' -p84465 -aS'negative\tnegative\tJJ\tB-NP\tO' -p84466 -aS'blood\tblood\tNN\tI-NP\tO' -p84467 -aS',\t,\t,\tO\tO' -p84468 -aS'urine\turine\tNN\tB-NP\tO' -p84469 -aS',\t,\t,\tO\tO' -p84470 -aS'wound\twound\tNN\tB-NP\tO' -p84471 -aS',\t,\t,\tO\tO' -p84472 -aS'and\tand\tCC\tO\tO' -p84473 -aS'pleural\tpleural\tJJ\tB-NP\tB-cell_line' -p84474 -aS'fluid\tfluid\tNN\tI-NP\tI-cell_line' -p84475 -aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' -p84476 -aS'.\t.\t.\tO\tO' -p84477 -asS'Electrolytes before departure for Fairm of Ijordcompmac Hospital was a sodium of 176 , potassium 2.5 , chloride 140 , bicarbonate 14 , calcium 7.2 , magnesium 2.7 .' -p84478 -(lp84479 -S'Electrolytes\tElectrolyte\tNNS\tB-NP\tO' -p84480 -aS'before\tbefore\tIN\tB-PP\tO' -p84481 -aS'departure\tdeparture\tNN\tB-NP\tO' -p84482 -aS'for\tfor\tIN\tB-PP\tO' -p84483 -aS'Fairm\tFairm\tNNP\tB-NP\tO' -p84484 -aS'of\tof\tIN\tB-PP\tO' -p84485 -aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' -p84486 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p84487 -aS'was\tbe\tVBD\tB-VP\tO' -p84488 -aS'a\ta\tDT\tB-NP\tO' -p84489 -aS'sodium\tsodium\tNN\tI-NP\tO' -p84490 -aS'of\tof\tIN\tB-PP\tO' -p84491 -aS'176\t176\tCD\tB-NP\tO' -p84492 -aS',\t,\t,\tO\tO' -p84493 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p84494 -aS'2.5\t2.5\tCD\tI-NP\tO' -p84495 -aS',\t,\t,\tO\tO' -p84496 -aS'chloride\tchloride\tNN\tB-NP\tO' -p84497 -aS'140\t140\tCD\tI-NP\tO' -p84498 -aS',\t,\t,\tO\tO' -p84499 -aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' -p84500 -aS'14\t14\tCD\tI-NP\tO' -p84501 -aS',\t,\t,\tO\tO' -p84502 -aS'calcium\tcalcium\tNN\tB-NP\tO' -p84503 -aS'7.2\t7.2\tCD\tI-NP\tO' -p84504 -aS',\t,\t,\tO\tO' -p84505 -aS'magnesium\tmagnesium\tNN\tB-NP\tO' -p84506 -aS'2.7\t2.7\tCD\tI-NP\tO' -p84507 -aS'.\t.\t.\tO\tO' -p84508 -asS'She has been under the care of Dr. Aalv Manual and was referred here for further therapy .' -p84509 -(lp84510 -S'She\tShe\tPRP\tB-NP\tO' -p84511 -aS'has\thave\tVBZ\tB-VP\tO' -p84512 -aS'been\tbe\tVBN\tI-VP\tO' -p84513 -aS'under\tunder\tIN\tB-PP\tO' -p84514 -aS'the\tthe\tDT\tB-NP\tO' -p84515 -aS'care\tcare\tNN\tI-NP\tO' -p84516 -aS'of\tof\tIN\tB-PP\tO' -p84517 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p84518 -aS'Aalv\tAalv\tNNP\tI-NP\tO' -p84519 -aS'Manual\tManual\tNNP\tI-NP\tO' -p84520 -aS'and\tand\tCC\tO\tO' -p84521 -aS'was\tbe\tVBD\tB-VP\tO' -p84522 -aS'referred\trefer\tVBN\tI-VP\tO' -p84523 -aS'here\there\tRB\tB-ADVP\tO' -p84524 -aS'for\tfor\tIN\tB-PP\tO' -p84525 -aS'further\tfurther\tJJ\tB-NP\tO' -p84526 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p84527 -aS'.\t.\t.\tO\tO' -p84528 -asS'Left proximal humerus fracture .' -p84529 -(lp84530 -S'Left\tLeave\tVBN\tB-NP\tO' -p84531 -aS'proximal\tproximal\tJJ\tI-NP\tO' -p84532 -aS'humerus\thumerus\tJJ\tI-NP\tO' -p84533 -aS'fracture\tfracture\tNN\tI-NP\tO' -p84534 -aS'.\t.\t.\tO\tO' -p84535 -asS'On postoperative day 1 , the patient was alert and oriented times 3 .' -p84536 -(lp84537 -S'On\tOn\tIN\tB-PP\tO' -p84538 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p84539 -aS'day\tday\tNN\tI-NP\tO' -p84540 -aS'1\t1\tCD\tI-NP\tO' -p84541 -aS',\t,\t,\tO\tO' -p84542 -aS'the\tthe\tDT\tB-NP\tO' -p84543 -aS'patient\tpatient\tNN\tI-NP\tO' -p84544 -aS'was\tbe\tVBD\tB-VP\tO' -p84545 -aS'alert\talert\tJJ\tB-ADJP\tO' -p84546 -aS'and\tand\tCC\tO\tO' -p84547 -aS'oriented\torient\tVBN\tB-VP\tO' -p84548 -aS'times\ttime\tNNS\tB-NP\tO' -p84549 -aS'3\t3\tCD\tI-NP\tO' -p84550 -aS'.\t.\t.\tO\tO' -p84551 -asS'Nonfluent speech with inability to repeat .' -p84552 -(lp84553 -S'Nonfluent\tNonfluent\tJJ\tB-NP\tO' -p84554 -aS'speech\tspeech\tNN\tI-NP\tO' -p84555 -aS'with\twith\tIN\tB-PP\tO' -p84556 -aS'inability\tinability\tNN\tB-NP\tO' -p84557 -aS'to\tto\tTO\tB-VP\tO' -p84558 -aS'repeat\trepeat\tVB\tI-VP\tO' -p84559 -aS'.\t.\t.\tO\tO' -p84560 -asS'Extremities were well perfused and warm .' -p84561 -(lp84562 -S'Extremities\tExtremity\tNNS\tB-NP\tO' -p84563 -aS'were\tbe\tVBD\tB-VP\tO' -p84564 -aS'well\twell\tRB\tI-VP\tO' -p84565 -aS'perfused\tperfuse\tVBN\tI-VP\tO' -p84566 -aS'and\tand\tCC\tO\tO' -p84567 -aS'warm\twarm\tJJ\tB-ADJP\tO' -p84568 -aS'.\t.\t.\tO\tO' -p84569 -asS'His examination was completely unremarkable .' -p84570 -(lp84571 -S'His\tHis\tPRP$\tB-NP\tO' -p84572 -aS'examination\texamination\tNN\tI-NP\tO' -p84573 -aS'was\tbe\tVBD\tB-VP\tO' -p84574 -aS'completely\tcompletely\tRB\tB-ADJP\tO' -p84575 -aS'unremarkable\tunremarkable\tJJ\tI-ADJP\tO' -p84576 -aS'.\t.\t.\tO\tO' -p84577 -asS'Neck is supple , full range of motion , no jugular venous distension or lymphadenopathy .' -p84578 -(lp84579 -S'Neck\tNeck\tNNP\tB-NP\tO' -p84580 -aS'is\tbe\tVBZ\tB-VP\tO' -p84581 -aS'supple\tsupple\tJJ\tB-NP\tO' -p84582 -aS',\t,\t,\tI-NP\tO' -p84583 -aS'full\tfull\tJJ\tI-NP\tO' -p84584 -aS'range\trange\tNN\tI-NP\tO' -p84585 -aS'of\tof\tIN\tB-PP\tO' -p84586 -aS'motion\tmotion\tNN\tB-NP\tO' -p84587 -aS',\t,\t,\tO\tO' -p84588 -aS'no\tno\tDT\tB-NP\tO' -p84589 -aS'jugular\tjugular\tJJ\tI-NP\tO' -p84590 -aS'venous\tvenous\tJJ\tI-NP\tO' -p84591 -aS'distension\tdistension\tNN\tI-NP\tO' -p84592 -aS'or\tor\tCC\tI-NP\tO' -p84593 -aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' -p84594 -aS'.\t.\t.\tO\tO' -p84595 -asS'The patient was pain free and doing well .' -p84596 -(lp84597 -S'The\tThe\tDT\tB-NP\tO' -p84598 -aS'patient\tpatient\tNN\tI-NP\tO' -p84599 -aS'was\tbe\tVBD\tB-VP\tO' -p84600 -aS'pain\tpain\tNN\tB-NP\tO' -p84601 -aS'free\tfree\tJJ\tB-ADJP\tO' -p84602 -aS'and\tand\tCC\tO\tO' -p84603 -aS'doing\tdo\tVBG\tB-VP\tO' -p84604 -aS'well\twell\tRB\tB-ADVP\tO' -p84605 -aS'.\t.\t.\tO\tO' -p84606 -asS'Tubal ligation .' -p84607 -(lp84608 -S'Tubal\tTubal\tJJ\tB-NP\tO' -p84609 -aS'ligation\tligation\tNN\tI-NP\tO' -p84610 -aS'.\t.\t.\tO\tO' -p84611 -asS'The fundi Belmont difficult to visualize but there is no evidence of papilledema .' -p84612 -(lp84613 -S'The\tThe\tDT\tB-NP\tO' -p84614 -aS'fundi\tfundi\tNN\tI-NP\tO' -p84615 -aS'Belmont\tBelmont\tNNP\tI-NP\tO' -p84616 -aS'difficult\tdifficult\tJJ\tB-ADJP\tO' -p84617 -aS'to\tto\tTO\tB-VP\tO' -p84618 -aS'visualize\tvisualize\tVB\tI-VP\tO' -p84619 -aS'but\tbut\tCC\tO\tO' -p84620 -aS'there\tthere\tEX\tB-NP\tO' -p84621 -aS'is\tbe\tVBZ\tB-VP\tO' -p84622 -aS'no\tno\tDT\tB-NP\tO' -p84623 -aS'evidence\tevidence\tNN\tI-NP\tO' -p84624 -aS'of\tof\tIN\tB-PP\tO' -p84625 -aS'papilledema\tpapilledema\tNN\tB-NP\tO' -p84626 -aS'.\t.\t.\tO\tO' -p84627 -asS'She was set up with a primary pulmonary hypertension support group , and home services were arranged to help her in the initiation of Flolan therapy .' -p84628 -(lp84629 -S'She\tShe\tPRP\tB-NP\tO' -p84630 -aS'was\tbe\tVBD\tB-VP\tO' -p84631 -aS'set\tset\tVBN\tI-VP\tO' -p84632 -aS'up\tup\tRP\tB-PRT\tO' -p84633 -aS'with\twith\tIN\tB-PP\tO' -p84634 -aS'a\ta\tDT\tB-NP\tO' -p84635 -aS'primary\tprimary\tJJ\tI-NP\tO' -p84636 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p84637 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p84638 -aS'support\tsupport\tNN\tI-NP\tO' -p84639 -aS'group\tgroup\tNN\tI-NP\tO' -p84640 -aS',\t,\t,\tO\tO' -p84641 -aS'and\tand\tCC\tO\tO' -p84642 -aS'home\thome\tNN\tB-NP\tO' -p84643 -aS'services\tservice\tNNS\tI-NP\tO' -p84644 -aS'were\tbe\tVBD\tB-VP\tO' -p84645 -aS'arranged\tarrange\tVBN\tI-VP\tO' -p84646 -aS'to\tto\tTO\tB-VP\tO' -p84647 -aS'help\thelp\tVB\tI-VP\tO' -p84648 -aS'her\ther\tPRP\tB-NP\tO' -p84649 -aS'in\tin\tIN\tB-PP\tO' -p84650 -aS'the\tthe\tDT\tB-NP\tO' -p84651 -aS'initiation\tinitiation\tNN\tI-NP\tO' -p84652 -aS'of\tof\tIN\tB-PP\tO' -p84653 -aS'Flolan\tFlolan\tNN\tB-NP\tO' -p84654 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p84655 -aS'.\t.\t.\tO\tO' -p84656 -asS'He was admitted to the trauma intensive care unit due to his tachycardia which was not resolved with pain medication .' -p84657 -(lp84658 -S'He\tHe\tPRP\tB-NP\tO' -p84659 -aS'was\tbe\tVBD\tB-VP\tO' -p84660 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p84661 -aS'to\tto\tTO\tB-PP\tO' -p84662 -aS'the\tthe\tDT\tB-NP\tO' -p84663 -aS'trauma\ttrauma\tNN\tI-NP\tB-DNA' -p84664 -aS'intensive\tintensive\tJJ\tI-NP\tI-DNA' -p84665 -aS'care\tcare\tNN\tI-NP\tI-DNA' -p84666 -aS'unit\tunit\tNN\tI-NP\tI-DNA' -p84667 -aS'due\tdue\tIN\tB-PP\tO' -p84668 -aS'to\tto\tTO\tB-PP\tO' -p84669 -aS'his\this\tPRP$\tB-NP\tO' -p84670 -aS'tachycardia\ttachycardia\tNN\tI-NP\tO' -p84671 -aS'which\twhich\tWDT\tB-NP\tO' -p84672 -aS'was\tbe\tVBD\tB-VP\tO' -p84673 -aS'not\tnot\tRB\tI-VP\tO' -p84674 -aS'resolved\tresolve\tVBN\tI-VP\tO' -p84675 -aS'with\twith\tIN\tB-PP\tO' -p84676 -aS'pain\tpain\tNN\tB-NP\tO' -p84677 -aS'medication\tmedication\tNN\tI-NP\tO' -p84678 -aS'.\t.\t.\tO\tO' -p84679 -asS'The patient was hyperphosphatemic secondary to overadministration of Neutra-Phos during his ICU stay .' -p84680 -(lp84681 -S'The\tThe\tDT\tB-NP\tO' -p84682 -aS'patient\tpatient\tNN\tI-NP\tO' -p84683 -aS'was\tbe\tVBD\tB-VP\tO' -p84684 -aS'hyperphosphatemic\thyperphosphatemic\tJJ\tB-ADJP\tO' -p84685 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p84686 -aS'to\tto\tTO\tB-PP\tO' -p84687 -aS'overadministration\toveradministration\tNN\tB-NP\tO' -p84688 -aS'of\tof\tIN\tB-PP\tO' -p84689 -aS'Neutra-Phos\tNeutra-Phos\tNNP\tB-NP\tO' -p84690 -aS'during\tduring\tIN\tB-PP\tO' -p84691 -aS'his\this\tPRP$\tB-NP\tO' -p84692 -aS'ICU\tICU\tNN\tI-NP\tO' -p84693 -aS'stay\tstay\tNN\tI-NP\tO' -p84694 -aS'.\t.\t.\tO\tO' -p84695 -asS'Chest x-ray on admission revealed a large left pleural effusion .' -p84696 -(lp84697 -S'Chest\tCh\tJJS\tB-NP\tO' -p84698 -aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' -p84699 -aS'on\ton\tIN\tB-PP\tO' -p84700 -aS'admission\tadmission\tNN\tB-NP\tO' -p84701 -aS'revealed\treveal\tVBD\tB-VP\tO' -p84702 -aS'a\ta\tDT\tB-NP\tO' -p84703 -aS'large\tlarge\tJJ\tI-NP\tO' -p84704 -aS'left\tleft\tJJ\tI-NP\tO' -p84705 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p84706 -aS'effusion\teffusion\tNN\tI-NP\tO' -p84707 -aS'.\t.\t.\tO\tO' -p84708 -asS'On 08/02/93 , an intra-aortic balloon pump was placed ; then , Dr. Thorebreutz took him to the operating room , where he had quadruple coronary artery bypass grafting .' -p84709 -(lp84710 -S'On\tOn\tIN\tB-PP\tO' -p84711 -aS'08/02/93\t08/02/93\tCD\tB-NP\tO' -p84712 -aS',\t,\t,\tO\tO' -p84713 -aS'an\tan\tDT\tB-NP\tO' -p84714 -aS'intra-aortic\tintra-aortic\tJJ\tI-NP\tO' -p84715 -aS'balloon\tballoon\tNN\tI-NP\tO' -p84716 -aS'pump\tpump\tNN\tI-NP\tO' -p84717 -aS'was\tbe\tVBD\tB-VP\tO' -p84718 -aS'placed\tplace\tVBN\tI-VP\tO' -p84719 -aS';\t;\t:\tO\tO' -p84720 -aS'then\tthen\tRB\tB-ADVP\tO' -p84721 -aS',\t,\t,\tO\tO' -p84722 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p84723 -aS'Thorebreutz\tThorebreutz\tNNP\tI-NP\tO' -p84724 -aS'took\ttake\tVBD\tB-VP\tO' -p84725 -aS'him\thim\tPRP\tB-NP\tO' -p84726 -aS'to\tto\tTO\tB-PP\tO' -p84727 -aS'the\tthe\tDT\tB-NP\tO' -p84728 -aS'operating\toperating\tNN\tI-NP\tO' -p84729 -aS'room\troom\tNN\tI-NP\tO' -p84730 -aS',\t,\t,\tO\tO' -p84731 -aS'where\twhere\tWRB\tB-ADVP\tO' -p84732 -aS'he\the\tPRP\tB-NP\tO' -p84733 -aS'had\thave\tVBD\tB-VP\tO' -p84734 -aS'quadruple\tquadruple\tJJ\tB-NP\tO' -p84735 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p84736 -aS'artery\tartery\tNN\tI-NP\tO' -p84737 -aS'bypass\tbypass\tIN\tB-PP\tO' -p84738 -aS'grafting\tgrafting\tNN\tB-NP\tO' -p84739 -aS'.\t.\t.\tO\tO' -p84740 -asS'Lower extremity pulses were intact without any edema .' -p84741 -(lp84742 -S'Lower\tLow\tJJR\tB-NP\tO' -p84743 -aS'extremity\textremity\tNN\tI-NP\tO' -p84744 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p84745 -aS'were\tbe\tVBD\tB-VP\tO' -p84746 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p84747 -aS'without\twithout\tIN\tB-PP\tO' -p84748 -aS'any\tany\tDT\tB-NP\tO' -p84749 -aS'edema\tedema\tNN\tI-NP\tO' -p84750 -aS'.\t.\t.\tO\tO' -p84751 -asS'Dictated By : Keith E. Shafer , M.D.' -p84752 -(lp84753 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p84754 -aS'By\tBy\tIN\tB-PP\tO' -p84755 -aS':\t:\t:\tO\tO' -p84756 -aS'Keith\tKeith\tNNP\tB-NP\tO' -p84757 -aS'E.\tE.\tNNP\tI-NP\tO' -p84758 -aS'Shafer\tShafer\tNNP\tI-NP\tO' -p84759 -aS',\t,\t,\tO\tO' -p84760 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p84761 -asS'Right-sided PICC line with its tip in the distal SVC .' -p84762 -(lp84763 -S'Right-sided\tRight-sided\tJJ\tB-NP\tO' -p84764 -aS'PICC\tPICC\tNN\tI-NP\tO' -p84765 -aS'line\tline\tNN\tI-NP\tO' -p84766 -aS'with\twith\tIN\tB-PP\tO' -p84767 -aS'its\tits\tPRP$\tB-NP\tO' -p84768 -aS'tip\ttip\tNN\tI-NP\tO' -p84769 -aS'in\tin\tIN\tB-PP\tO' -p84770 -aS'the\tthe\tDT\tB-NP\tO' -p84771 -aS'distal\tdistal\tJJ\tI-NP\tO' -p84772 -aS'SVC\tSVC\tNN\tI-NP\tO' -p84773 -aS'.\t.\t.\tO\tO' -p84774 -asS'3. Successful stenting of the proximal LAD .' -p84775 -(lp84776 -S'3.\t3.\tLS\tB-NP\tO' -p84777 -aS'Successful\tSuccessful\tJJ\tI-NP\tO' -p84778 -aS'stenting\tstenting\tNN\tI-NP\tO' -p84779 -aS'of\tof\tIN\tB-PP\tO' -p84780 -aS'the\tthe\tDT\tB-NP\tO' -p84781 -aS'proximal\tproximal\tJJ\tI-NP\tO' -p84782 -aS'LAD\tLAD\tNN\tI-NP\tO' -p84783 -aS'.\t.\t.\tO\tO' -p84784 -asS'Coronary artery disease status post myocardial infarction in 1990 , peptic ulcer disease and hypertension .' -p84785 -(lp84786 -S'Coronary\tCoronary\tJJ\tB-NP\tO' -p84787 -aS'artery\tartery\tNN\tI-NP\tO' -p84788 -aS'disease\tdisease\tNN\tI-NP\tO' -p84789 -aS'status\tstatus\tNN\tI-NP\tO' -p84790 -aS'post\tpost\tNN\tI-NP\tO' -p84791 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p84792 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p84793 -aS'in\tin\tIN\tB-PP\tO' -p84794 -aS'1990\t1990\tCD\tB-NP\tO' -p84795 -aS',\t,\t,\tO\tO' -p84796 -aS'peptic\tpeptic\tJJ\tB-NP\tO' -p84797 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p84798 -aS'disease\tdisease\tNN\tI-NP\tO' -p84799 -aS'and\tand\tCC\tO\tO' -p84800 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p84801 -aS'.\t.\t.\tO\tO' -p84802 -asS'He was admitted to the cardiac surgery service for an elected Bental procedure with homograft and coronary artery bypass graft .' -p84803 -(lp84804 -S'He\tHe\tPRP\tB-NP\tO' -p84805 -aS'was\tbe\tVBD\tB-VP\tO' -p84806 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p84807 -aS'to\tto\tTO\tB-PP\tO' -p84808 -aS'the\tthe\tDT\tB-NP\tO' -p84809 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p84810 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p84811 -aS'service\tservice\tNN\tI-NP\tO' -p84812 -aS'for\tfor\tIN\tB-PP\tO' -p84813 -aS'an\tan\tDT\tB-NP\tO' -p84814 -aS'elected\telect\tVBN\tI-NP\tO' -p84815 -aS'Bental\tBental\tJJ\tI-NP\tO' -p84816 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p84817 -aS'with\twith\tIN\tB-PP\tO' -p84818 -aS'homograft\thomograft\tNN\tB-NP\tO' -p84819 -aS'and\tand\tCC\tO\tO' -p84820 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p84821 -aS'artery\tartery\tNN\tI-NP\tO' -p84822 -aS'bypass\tbypass\tIN\tB-PP\tO' -p84823 -aS'graft\tgraft\tNN\tB-NP\tO' -p84824 -aS'.\t.\t.\tO\tO' -p84825 -asS'A workup done in DE is not available at the time of this dictation .' -p84826 -(lp84827 -S'A\tA\tDT\tB-NP\tO' -p84828 -aS'workup\tworkup\tNN\tI-NP\tO' -p84829 -aS'done\tdo\tVBN\tB-VP\tO' -p84830 -aS'in\tin\tIN\tB-PP\tO' -p84831 -aS'DE\tDE\tNN\tB-NP\tO' -p84832 -aS'is\tbe\tVBZ\tB-VP\tO' -p84833 -aS'not\tnot\tRB\tO\tO' -p84834 -aS'available\tavailable\tJJ\tB-ADJP\tO' -p84835 -aS'at\tat\tIN\tB-PP\tO' -p84836 -aS'the\tthe\tDT\tB-NP\tO' -p84837 -aS'time\ttime\tNN\tI-NP\tO' -p84838 -aS'of\tof\tIN\tB-PP\tO' -p84839 -aS'this\tthis\tDT\tB-NP\tO' -p84840 -aS'dictation\tdictation\tNN\tI-NP\tO' -p84841 -aS'.\t.\t.\tO\tO' -p84842 -asS'She did receive two units of packed red blood cells .' -p84843 -(lp84844 -S'She\tShe\tPRP\tB-NP\tO' -p84845 -aS'did\tdo\tVBD\tB-VP\tO' -p84846 -aS'receive\treceive\tVB\tI-VP\tO' -p84847 -aS'two\ttwo\tCD\tB-NP\tO' -p84848 -aS'units\tunit\tNNS\tI-NP\tO' -p84849 -aS'of\tof\tIN\tB-PP\tO' -p84850 -aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' -p84851 -aS'red\tred\tJJ\tI-NP\tI-cell_type' -p84852 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p84853 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p84854 -aS'.\t.\t.\tO\tO' -p84855 -asS'Patient is now discharged to Harl Wa Healthcare Network on April 29 , 1994 in stable condition .' -p84856 -(lp84857 -S'Patient\tPatient\tNN\tB-NP\tO' -p84858 -aS'is\tbe\tVBZ\tB-VP\tO' -p84859 -aS'now\tnow\tRB\tI-VP\tO' -p84860 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p84861 -aS'to\tto\tTO\tB-PP\tO' -p84862 -aS'Harl\tHarl\tNNP\tB-NP\tO' -p84863 -aS'Wa\tWa\tNNP\tI-NP\tO' -p84864 -aS'Healthcare\tHealthcare\tNNP\tI-NP\tO' -p84865 -aS'Network\tNetwork\tNNP\tI-NP\tO' -p84866 -aS'on\ton\tIN\tB-PP\tO' -p84867 -aS'April\tApril\tNNP\tB-NP\tO' -p84868 -aS'29\t29\tCD\tI-NP\tO' -p84869 -aS',\t,\t,\tI-NP\tO' -p84870 -aS'1994\t1994\tCD\tI-NP\tO' -p84871 -aS'in\tin\tIN\tB-PP\tO' -p84872 -aS'stable\tstable\tJJ\tB-NP\tO' -p84873 -aS'condition\tcondition\tNN\tI-NP\tO' -p84874 -aS'.\t.\t.\tO\tO' -p84875 -asS"Occupational Therapy was also in agreement with the patient 's disposition home with services ." -p84876 -(lp84877 -S'Occupational\tOccupational\tJJ\tB-NP\tO' -p84878 -aS'Therapy\tTherapy\tNN\tI-NP\tO' -p84879 -aS'was\tbe\tVBD\tB-VP\tO' -p84880 -aS'also\talso\tRB\tB-ADVP\tO' -p84881 -aS'in\tin\tIN\tB-PP\tO' -p84882 -aS'agreement\tagreement\tNN\tB-NP\tO' -p84883 -aS'with\twith\tIN\tB-PP\tO' -p84884 -aS'the\tthe\tDT\tB-NP\tO' -p84885 -aS'patient\tpatient\tNN\tI-NP\tO' -p84886 -aS"'s\t's\tPOS\tB-NP\tO" -p84887 -aS'disposition\tdisposition\tNN\tI-NP\tO' -p84888 -aS'home\thome\tNN\tI-NP\tO' -p84889 -aS'with\twith\tIN\tB-PP\tO' -p84890 -aS'services\tservice\tNNS\tB-NP\tO' -p84891 -aS'.\t.\t.\tO\tO' -p84892 -asS'His sclerae were anicteric .' -p84893 -(lp84894 -S'His\tHis\tPRP$\tB-NP\tO' -p84895 -aS'sclerae\tsclerae\tNNS\tI-NP\tO' -p84896 -aS'were\tbe\tVBD\tB-VP\tO' -p84897 -aS'anicteric\tanicteric\tJJ\tB-ADJP\tO' -p84898 -aS'.\t.\t.\tO\tO' -p84899 -asS'On 4-2-93 , she underwent a Persantine Thallium study .' -p84900 -(lp84901 -S'On\tOn\tIN\tB-PP\tO' -p84902 -aS'4-2-93\t4-2-93\tCD\tB-NP\tO' -p84903 -aS',\t,\t,\tO\tO' -p84904 -aS'she\tshe\tPRP\tB-NP\tO' -p84905 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p84906 -aS'a\ta\tDT\tB-NP\tO' -p84907 -aS'Persantine\tPersantine\tNNP\tI-NP\tO' -p84908 -aS'Thallium\tThallium\tNNP\tI-NP\tO' -p84909 -aS'study\tstudy\tNN\tI-NP\tO' -p84910 -aS'.\t.\t.\tO\tO' -p84911 -asS'White count was 14.4 , hematocrit was 36.2 , platelet count was 217 , sodium was 135 , potassium was 3.3 , chloride was 99 , bicarbonate was 25 , BUN was 40 , creatinine was 1.9 , glucose was 124 , urinalysis was negative , PT was 12.2 , PTT was 24.5 , calcium was 7.8 , phosphorus was 3.7 , albumin was 2.3 , total bilirubin was 1.3 , alkaline phosphatase was 202 , SGPT was 32 , SGOT was 64 , LDH was 998 , amylase was 150 .' -p84912 -(lp84913 -S'White\tWhite\tJJ\tB-NP\tO' -p84914 -aS'count\tcount\tNN\tI-NP\tO' -p84915 -aS'was\tbe\tVBD\tB-VP\tO' -p84916 -aS'14.4\t14.4\tCD\tB-NP\tO' -p84917 -aS',\t,\t,\tO\tO' -p84918 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p84919 -aS'was\tbe\tVBD\tB-VP\tI-protein' -p84920 -aS'36.2\t36.2\tCD\tB-NP\tI-protein' -p84921 -aS',\t,\t,\tO\tO' -p84922 -aS'platelet\tplatelet\tNN\tB-NP\tB-protein' -p84923 -aS'count\tcount\tNN\tI-NP\tI-protein' -p84924 -aS'was\tbe\tVBD\tB-VP\tI-protein' -p84925 -aS'217\t217\tCD\tB-NP\tI-protein' -p84926 -aS',\t,\t,\tO\tO' -p84927 -aS'sodium\tsodium\tNN\tB-NP\tO' -p84928 -aS'was\tbe\tVBD\tB-VP\tO' -p84929 -aS'135\t135\tCD\tB-NP\tO' -p84930 -aS',\t,\t,\tO\tO' -p84931 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p84932 -aS'was\tbe\tVBD\tB-VP\tO' -p84933 -aS'3.3\t3.3\tCD\tB-NP\tO' -p84934 -aS',\t,\t,\tO\tO' -p84935 -aS'chloride\tchloride\tNN\tB-NP\tO' -p84936 -aS'was\tbe\tVBD\tB-VP\tO' -p84937 -aS'99\t99\tCD\tB-NP\tO' -p84938 -aS',\t,\t,\tO\tO' -p84939 -aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' -p84940 -aS'was\tbe\tVBD\tB-VP\tO' -p84941 -aS'25\t25\tCD\tB-NP\tO' -p84942 -aS',\t,\t,\tO\tO' -p84943 -aS'BUN\tBUN\tNN\tB-NP\tB-protein' -p84944 -aS'was\tbe\tVBD\tB-VP\tO' -p84945 -aS'40\t40\tCD\tB-NP\tO' -p84946 -aS',\t,\t,\tO\tO' -p84947 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p84948 -aS'was\tbe\tVBD\tB-VP\tO' -p84949 -aS'1.9\t1.9\tCD\tB-NP\tO' -p84950 -aS',\t,\t,\tO\tO' -p84951 -aS'glucose\tglucose\tNN\tB-NP\tO' -p84952 -aS'was\tbe\tVBD\tB-VP\tO' -p84953 -aS'124\t124\tCD\tB-NP\tO' -p84954 -aS',\t,\t,\tO\tO' -p84955 -aS'urinalysis\turinalysis\tNN\tB-NP\tO' -p84956 -aS'was\tbe\tVBD\tB-VP\tO' -p84957 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p84958 -aS',\t,\t,\tO\tO' -p84959 -aS'PT\tPT\tNN\tB-NP\tB-protein' -p84960 -aS'was\tbe\tVBD\tB-VP\tI-protein' -p84961 -aS'12.2\t12.2\tCD\tB-NP\tI-protein' -p84962 -aS',\t,\t,\tO\tO' -p84963 -aS'PTT\tPTT\tNN\tB-NP\tB-protein' -p84964 -aS'was\tbe\tVBD\tB-VP\tI-protein' -p84965 -aS'24.5\t24.5\tCD\tB-NP\tI-protein' -p84966 -aS',\t,\t,\tO\tO' -p84967 -aS'calcium\tcalcium\tNN\tB-NP\tO' -p84968 -aS'was\tbe\tVBD\tB-VP\tO' -p84969 -aS'7.8\t7.8\tCD\tB-NP\tO' -p84970 -aS',\t,\t,\tO\tO' -p84971 -aS'phosphorus\tphosphorus\tNN\tB-NP\tO' -p84972 -aS'was\tbe\tVBD\tB-VP\tO' -p84973 -aS'3.7\t3.7\tCD\tB-NP\tO' -p84974 -aS',\t,\t,\tO\tO' -p84975 -aS'albumin\talbumin\tNN\tB-NP\tB-protein' -p84976 -aS'was\tbe\tVBD\tB-VP\tO' -p84977 -aS'2.3\t2.3\tCD\tB-NP\tO' -p84978 -aS',\t,\t,\tO\tO' -p84979 -aS'total\ttotal\tJJ\tB-NP\tO' -p84980 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p84981 -aS'was\tbe\tVBD\tB-VP\tO' -p84982 -aS'1.3\t1.3\tCD\tB-NP\tO' -p84983 -aS',\t,\t,\tO\tO' -p84984 -aS'alkaline\talkaline\tNN\tB-NP\tB-protein' -p84985 -aS'phosphatase\tphosphatase\tNN\tI-NP\tI-protein' -p84986 -aS'was\tbe\tVBD\tB-VP\tO' -p84987 -aS'202\t202\tCD\tB-NP\tO' -p84988 -aS',\t,\t,\tO\tO' -p84989 -aS'SGPT\tSGPT\tNN\tB-NP\tB-protein' -p84990 -aS'was\tbe\tVBD\tB-VP\tO' -p84991 -aS'32\t32\tCD\tB-NP\tO' -p84992 -aS',\t,\t,\tO\tO' -p84993 -aS'SGOT\tSGOT\tNN\tB-NP\tO' -p84994 -aS'was\tbe\tVBD\tB-VP\tO' -p84995 -aS'64\t64\tCD\tB-NP\tO' -p84996 -aS',\t,\t,\tO\tO' -p84997 -aS'LDH\tLDH\tNN\tB-NP\tB-protein' -p84998 -aS'was\tbe\tVBD\tB-VP\tO' -p84999 -aS'998\t998\tCD\tB-NP\tO' -p85000 -aS',\t,\t,\tO\tO' -p85001 -aS'amylase\tamylase\tNN\tB-NP\tB-protein' -p85002 -aS'was\tbe\tVBD\tB-VP\tO' -p85003 -aS'150\t150\tCD\tB-NP\tO' -p85004 -aS'.\t.\t.\tO\tO' -p85005 -asS'There is no need to followup these transaminases .' -p85006 -(lp85007 -S'There\tThere\tEX\tB-NP\tO' -p85008 -aS'is\tbe\tVBZ\tB-VP\tO' -p85009 -aS'no\tno\tDT\tB-NP\tO' -p85010 -aS'need\tneed\tNN\tI-NP\tO' -p85011 -aS'to\tto\tTO\tB-VP\tO' -p85012 -aS'followup\tfollowup\tVB\tI-VP\tO' -p85013 -aS'these\tthese\tDT\tB-NP\tO' -p85014 -aS'transaminases\ttransaminase\tNNS\tI-NP\tB-protein' -p85015 -aS'.\t.\t.\tO\tO' -p85016 -asS'He states that he only uses one pillow to sleep but admits to sleeping at about 30 degrees at rehab .' -p85017 -(lp85018 -S'He\tHe\tPRP\tB-NP\tO' -p85019 -aS'states\tstate\tVBZ\tB-VP\tO' -p85020 -aS'that\tthat\tIN\tB-SBAR\tO' -p85021 -aS'he\the\tPRP\tB-NP\tO' -p85022 -aS'only\tonly\tRB\tB-ADVP\tO' -p85023 -aS'uses\tuse\tVBZ\tB-VP\tO' -p85024 -aS'one\tone\tCD\tB-NP\tO' -p85025 -aS'pillow\tpillow\tNN\tI-NP\tO' -p85026 -aS'to\tto\tTO\tB-VP\tO' -p85027 -aS'sleep\tsleep\tVB\tI-VP\tO' -p85028 -aS'but\tbut\tCC\tO\tO' -p85029 -aS'admits\tadmit\tVBZ\tB-VP\tO' -p85030 -aS'to\tto\tTO\tB-PP\tO' -p85031 -aS'sleeping\tsleep\tVBG\tB-VP\tO' -p85032 -aS'at\tat\tIN\tB-PP\tO' -p85033 -aS'about\tabout\tIN\tB-NP\tO' -p85034 -aS'30\t30\tCD\tI-NP\tO' -p85035 -aS'degrees\tdegree\tNNS\tI-NP\tO' -p85036 -aS'at\tat\tIN\tB-PP\tO' -p85037 -aS'rehab\trehab\tNN\tB-NP\tO' -p85038 -aS'.\t.\t.\tO\tO' -p85039 -asS'His sputum showed many GPC which later grew Staph aureus .' -p85040 -(lp85041 -S'His\tHis\tPRP$\tB-NP\tO' -p85042 -aS'sputum\tsputum\tNN\tI-NP\tO' -p85043 -aS'showed\tshow\tVBD\tB-VP\tO' -p85044 -aS'many\tmany\tJJ\tB-NP\tO' -p85045 -aS'GPC\tGPC\tNN\tI-NP\tB-protein' -p85046 -aS'which\twhich\tWDT\tB-NP\tO' -p85047 -aS'later\tlater\tRB\tB-ADVP\tO' -p85048 -aS'grew\tgrow\tVBD\tB-VP\tO' -p85049 -aS'Staph\tStaph\tNNP\tB-NP\tO' -p85050 -aS'aureus\taureus\tNN\tI-NP\tO' -p85051 -aS'.\t.\t.\tO\tO' -p85052 -asS'5) Take Vitamin C with iron for one month then stop .' -p85053 -(lp85054 -S'5)\t5)\tLS\tB-NP\tO' -p85055 -aS'Take\tTake\tNN\tI-NP\tO' -p85056 -aS'Vitamin\tVitamin\tNN\tI-NP\tO' -p85057 -aS'C\tC\tNN\tI-NP\tO' -p85058 -aS'with\twith\tIN\tB-PP\tO' -p85059 -aS'iron\tiron\tNN\tB-NP\tO' -p85060 -aS'for\tfor\tIN\tB-PP\tO' -p85061 -aS'one\tone\tCD\tB-NP\tO' -p85062 -aS'month\tmonth\tNN\tI-NP\tO' -p85063 -aS'then\tthen\tRB\tB-ADVP\tO' -p85064 -aS'stop\tstop\tVB\tB-VP\tO' -p85065 -aS'.\t.\t.\tO\tO' -p85066 -asS'A chest x-ray shows left lower lobe consolidation .' -p85067 -(lp85068 -S'A\tA\tDT\tB-NP\tO' -p85069 -aS'chest\tch\tJJS\tI-NP\tO' -p85070 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p85071 -aS'shows\tshow\tNNS\tI-NP\tO' -p85072 -aS'left\tleave\tVBD\tB-VP\tO' -p85073 -aS'lower\tlow\tJJR\tB-NP\tO' -p85074 -aS'lobe\tlobe\tNN\tI-NP\tO' -p85075 -aS'consolidation\tconsolidation\tNN\tI-NP\tO' -p85076 -aS'.\t.\t.\tO\tO' -p85077 -asS'Supple , no lymphadenopathy , no jugular venous distention , no thyromegaly .' -p85078 -(lp85079 -S'Supple\tSupple\tNNP\tB-NP\tO' -p85080 -aS',\t,\t,\tO\tO' -p85081 -aS'no\tno\tDT\tB-NP\tO' -p85082 -aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' -p85083 -aS',\t,\t,\tO\tO' -p85084 -aS'no\tno\tDT\tB-NP\tO' -p85085 -aS'jugular\tjugular\tJJ\tI-NP\tO' -p85086 -aS'venous\tvenous\tJJ\tI-NP\tO' -p85087 -aS'distention\tdistention\tNN\tI-NP\tO' -p85088 -aS',\t,\t,\tO\tO' -p85089 -aS'no\tno\tDT\tB-NP\tO' -p85090 -aS'thyromegaly\tthyromegaly\tRB\tI-NP\tO' -p85091 -aS'.\t.\t.\tO\tO' -p85092 -asS'Mucomyst was also considered as a mucolytic component towards secretions .' -p85093 -(lp85094 -S'Mucomyst\tMucomyst\tNN\tB-NP\tO' -p85095 -aS'was\tbe\tVBD\tB-VP\tO' -p85096 -aS'also\talso\tRB\tI-VP\tO' -p85097 -aS'considered\tconsider\tVBN\tI-VP\tO' -p85098 -aS'as\tas\tIN\tB-PP\tO' -p85099 -aS'a\ta\tDT\tB-NP\tO' -p85100 -aS'mucolytic\tmucolytic\tJJ\tI-NP\tO' -p85101 -aS'component\tcomponent\tNN\tI-NP\tO' -p85102 -aS'towards\ttowards\tIN\tB-PP\tO' -p85103 -aS'secretions\tsecretion\tNNS\tB-NP\tO' -p85104 -aS'.\t.\t.\tO\tO' -p85105 -asS'Troponin I was 0.05 .' -p85106 -(lp85107 -S'Troponin\tTroponin\tNN\tB-NP\tB-protein' -p85108 -aS'I\tI\tPRP\tB-NP\tO' -p85109 -aS'was\tbe\tVBD\tB-VP\tO' -p85110 -aS'0.05\t0.05\tCD\tB-NP\tO' -p85111 -aS'.\t.\t.\tO\tO' -p85112 -asS'Radiation Oncology saw the patient while in the hospital and is to follow her over at Colning .' -p85113 -(lp85114 -S'Radiation\tRadiation\tNNP\tB-NP\tO' -p85115 -aS'Oncology\tOncology\tNNP\tI-NP\tO' -p85116 -aS'saw\tsee\tVBD\tB-VP\tO' -p85117 -aS'the\tthe\tDT\tB-NP\tO' -p85118 -aS'patient\tpatient\tNN\tI-NP\tO' -p85119 -aS'while\twhile\tIN\tB-SBAR\tO' -p85120 -aS'in\tin\tIN\tB-PP\tO' -p85121 -aS'the\tthe\tDT\tB-NP\tO' -p85122 -aS'hospital\thospital\tNN\tI-NP\tO' -p85123 -aS'and\tand\tCC\tO\tO' -p85124 -aS'is\tbe\tVBZ\tB-VP\tO' -p85125 -aS'to\tto\tTO\tI-VP\tO' -p85126 -aS'follow\tfollow\tVB\tI-VP\tO' -p85127 -aS'her\ther\tPRP$\tB-NP\tO' -p85128 -aS'over\tover\tNN\tI-NP\tO' -p85129 -aS'at\tat\tIN\tB-PP\tO' -p85130 -aS'Colning\tColning\tNNP\tB-NP\tO' -p85131 -aS'.\t.\t.\tO\tO' -p85132 -asS'Obese , unable to assess lymphadenopathy or jugular venous distention .' -p85133 -(lp85134 -S'Obese\tObese\tJJ\tB-ADVP\tO' -p85135 -aS',\t,\t,\tO\tO' -p85136 -aS'unable\tunable\tJJ\tB-ADJP\tO' -p85137 -aS'to\tto\tTO\tB-VP\tO' -p85138 -aS'assess\tassess\tVB\tI-VP\tO' -p85139 -aS'lymphadenopathy\tlymphadenopathy\tNN\tB-NP\tO' -p85140 -aS'or\tor\tCC\tO\tO' -p85141 -aS'jugular\tjugular\tJJ\tB-NP\tO' -p85142 -aS'venous\tvenous\tJJ\tI-NP\tO' -p85143 -aS'distention\tdistention\tNN\tI-NP\tO' -p85144 -aS'.\t.\t.\tO\tO' -p85145 -asS'Right coronary artery 100% mid-stenosis .' -p85146 -(lp85147 -S'Right\tRight\tRB\tB-NP\tO' -p85148 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p85149 -aS'artery\tartery\tNN\tI-NP\tO' -p85150 -aS'100%\t100%\tCD\tI-NP\tO' -p85151 -aS'mid-stenosis\tmid-stenosis\tNN\tI-NP\tO' -p85152 -aS'.\t.\t.\tO\tO' -p85153 -asS'Quadraceps 2+ on the left and 3+ on the right .' -p85154 -(lp85155 -S'Quadraceps\tQuadracep\tNNS\tB-NP\tO' -p85156 -aS'2+\t2+\tJJ\tB-ADJP\tO' -p85157 -aS'on\ton\tIN\tB-PP\tO' -p85158 -aS'the\tthe\tDT\tB-NP\tO' -p85159 -aS'left\tleft\tJJ\tI-NP\tO' -p85160 -aS'and\tand\tCC\tI-NP\tO' -p85161 -aS'3+\t3+\tJJ\tI-NP\tO' -p85162 -aS'on\ton\tIN\tB-PP\tO' -p85163 -aS'the\tthe\tDT\tB-NP\tO' -p85164 -aS'right\tright\tNN\tI-NP\tO' -p85165 -aS'.\t.\t.\tO\tO' -p85166 -asS'The case was discussed with Dr. Harold from the Falmouth Hospital .' -p85167 -(lp85168 -S'The\tThe\tDT\tB-NP\tO' -p85169 -aS'case\tcase\tNN\tI-NP\tO' -p85170 -aS'was\tbe\tVBD\tB-VP\tO' -p85171 -aS'discussed\tdiscuss\tVBN\tI-VP\tO' -p85172 -aS'with\twith\tIN\tB-PP\tO' -p85173 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p85174 -aS'Harold\tHarold\tNNP\tI-NP\tO' -p85175 -aS'from\tfrom\tIN\tB-PP\tO' -p85176 -aS'the\tthe\tDT\tB-NP\tO' -p85177 -aS'Falmouth\tFalmouth\tNNP\tI-NP\tO' -p85178 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p85179 -aS'.\t.\t.\tO\tO' -p85180 -asS'16. Nystatin 100,000 unit / mL Suspension Sig : Ten ( 10 ) ML PO QID ( 4 times a day ) for 7 days .' -p85181 -(lp85182 -S'16.\t16.\tLS\tB-NP\tO' -p85183 -aS'Nystatin\tNystatin\tNN\tI-NP\tB-protein' -p85184 -aS'100,000\t100,000\tCD\tI-NP\tI-protein' -p85185 -aS'unit\tunit\tNN\tI-NP\tI-protein' -p85186 -aS'/\t/\tSYM\tB-NP\tO' -p85187 -aS'mL\tmL\tNN\tI-NP\tO' -p85188 -aS'Suspension\tSuspension\tNNP\tI-NP\tO' -p85189 -aS'Sig\tSig\tNNP\tI-NP\tO' -p85190 -aS':\t:\t:\tO\tO' -p85191 -aS'Ten\tTen\tCD\tB-NP\tO' -p85192 -aS'(\t(\t(\tO\tO' -p85193 -aS'10\t10\tCD\tB-NP\tO' -p85194 -aS')\t)\t)\tO\tO' -p85195 -aS'ML\tML\tNN\tB-NP\tO' -p85196 -aS'PO\tPO\tNN\tI-NP\tO' -p85197 -aS'QID\tQID\tNN\tI-NP\tO' -p85198 -aS'(\t(\t(\tO\tO' -p85199 -aS'4\t4\tCD\tB-NP\tO' -p85200 -aS'times\ttime\tNNS\tI-NP\tO' -p85201 -aS'a\ta\tDT\tB-NP\tO' -p85202 -aS'day\tday\tNN\tI-NP\tO' -p85203 -aS')\t)\t)\tO\tO' -p85204 -aS'for\tfor\tIN\tB-PP\tO' -p85205 -aS'7\t7\tCD\tB-NP\tO' -p85206 -aS'days\tday\tNNS\tI-NP\tO' -p85207 -aS'.\t.\t.\tO\tO' -p85208 -asS'He was re-started on tube feeds .' -p85209 -(lp85210 -S'He\tHe\tPRP\tB-NP\tO' -p85211 -aS'was\tbe\tVBD\tB-VP\tO' -p85212 -aS're-started\tre-starte\tVBN\tI-VP\tO' -p85213 -aS'on\ton\tIN\tB-PP\tO' -p85214 -aS'tube\ttube\tNN\tB-NP\tO' -p85215 -aS'feeds\tfeed\tNNS\tI-NP\tO' -p85216 -aS'.\t.\t.\tO\tO' -p85217 -asS'Therefore we will continue rate control with metoprolol this can be titrated if needed , and aspirin and plavix for anti-coagulation .' -p85218 -(lp85219 -S'Therefore\tTherefore\tRB\tB-ADVP\tO' -p85220 -aS'we\twe\tPRP\tB-NP\tO' -p85221 -aS'will\twill\tMD\tB-VP\tO' -p85222 -aS'continue\tcontinue\tVB\tI-VP\tO' -p85223 -aS'rate\trate\tNN\tB-NP\tO' -p85224 -aS'control\tcontrol\tNN\tI-NP\tO' -p85225 -aS'with\twith\tIN\tB-PP\tO' -p85226 -aS'metoprolol\tmetoprolol\tNN\tB-NP\tO' -p85227 -aS'this\tthis\tDT\tB-NP\tO' -p85228 -aS'can\tcan\tMD\tB-VP\tO' -p85229 -aS'be\tbe\tVB\tI-VP\tO' -p85230 -aS'titrated\ttitrate\tVBN\tI-VP\tO' -p85231 -aS'if\tif\tIN\tB-SBAR\tO' -p85232 -aS'needed\tneed\tVBN\tB-VP\tO' -p85233 -aS',\t,\t,\tO\tO' -p85234 -aS'and\tand\tCC\tO\tO' -p85235 -aS'aspirin\taspirin\tNN\tB-NP\tO' -p85236 -aS'and\tand\tCC\tI-NP\tO' -p85237 -aS'plavix\tplavix\tNN\tI-NP\tO' -p85238 -aS'for\tfor\tIN\tB-PP\tO' -p85239 -aS'anti-coagulation\tanti-coagulation\tNN\tB-NP\tO' -p85240 -aS'.\t.\t.\tO\tO' -p85241 -asS'Her MEDICATIONS ON DISCHARGE included Lasix , 40 , b.i.d. , potassium , 20 mEq. , b.i.d. , iron , and folic acid replacement , and Coumadin .' -p85242 -(lp85243 -S'Her\tHer\tPRP$\tB-NP\tO' -p85244 -aS'MEDICATIONS\tMEDICATIONS\tNNS\tI-NP\tO' -p85245 -aS'ON\tON\tNN\tI-NP\tO' -p85246 -aS'DISCHARGE\tDISCHARGE\tNN\tI-NP\tO' -p85247 -aS'included\tinclude\tVBD\tB-VP\tO' -p85248 -aS'Lasix\tLasix\tNNP\tB-NP\tO' -p85249 -aS',\t,\t,\tO\tO' -p85250 -aS'40\t40\tCD\tB-NP\tO' -p85251 -aS',\t,\t,\tO\tO' -p85252 -aS'b.i.d.\tb.i.d.\tNN\tB-NP\tO' -p85253 -aS',\t,\t,\tO\tO' -p85254 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p85255 -aS',\t,\t,\tO\tO' -p85256 -aS'20\t20\tCD\tB-NP\tO' -p85257 -aS'mEq.\tmEq.\tNN\tI-NP\tO' -p85258 -aS',\t,\t,\tO\tO' -p85259 -aS'b.i.d.\tb.i.d.\tNN\tB-NP\tO' -p85260 -aS',\t,\t,\tO\tO' -p85261 -aS'iron\tiron\tNN\tB-NP\tO' -p85262 -aS',\t,\t,\tO\tO' -p85263 -aS'and\tand\tCC\tO\tO' -p85264 -aS'folic\tfolic\tJJ\tB-NP\tO' -p85265 -aS'acid\tacid\tNN\tI-NP\tO' -p85266 -aS'replacement\treplacement\tNN\tI-NP\tO' -p85267 -aS',\t,\t,\tO\tO' -p85268 -aS'and\tand\tCC\tO\tO' -p85269 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p85270 -aS'.\t.\t.\tO\tO' -p85271 -asS'>100,000 ORGANISMS/ML. .' -p85272 -(lp85273 -S'>100,000\t>100,000\tCD\tB-NP\tO' -p85274 -aS'ORGANISMS/ML.\tORGANISMS/ML.\tNNP\tI-NP\tO' -p85275 -aS'.\t.\t.\tO\tO' -p85276 -asS'2017-07-12 NSR , normal axis , likely V1 and V2 reversal , TWI in V2 , ? ST depr < 0.5 mm in II and V5/6 - repeat EKG without these changes .' -p85277 -(lp85278 -S'2017-07-12\t2017-07-12\tCD\tB-NP\tO' -p85279 -aS'NSR\tNSR\tNN\tI-NP\tB-protein' -p85280 -aS',\t,\t,\tO\tO' -p85281 -aS'normal\tnormal\tJJ\tB-NP\tO' -p85282 -aS'axis\taxis\tNN\tI-NP\tO' -p85283 -aS',\t,\t,\tO\tO' -p85284 -aS'likely\tlikely\tRB\tB-NP\tO' -p85285 -aS'V1\tV1\tNN\tI-NP\tO' -p85286 -aS'and\tand\tCC\tI-NP\tO' -p85287 -aS'V2\tV2\tNN\tI-NP\tB-protein' -p85288 -aS'reversal\treversal\tNN\tI-NP\tI-protein' -p85289 -aS',\t,\t,\tO\tO' -p85290 -aS'TWI\tTWI\tNN\tB-NP\tO' -p85291 -aS'in\tin\tIN\tB-PP\tO' -p85292 -aS'V2\tV2\tNN\tB-NP\tO' -p85293 -aS',\t,\t,\tO\tO' -p85294 -aS'?\t?\t.\tO\tO' -p85295 -aS'ST\tST\tJJ\tB-NP\tB-protein' -p85296 -aS'depr\tdepr\tNN\tI-NP\tI-protein' -p85297 -aS'<\t<\tSYM\tO\tO' -p85298 -aS'0.5\t0.5\tCD\tB-NP\tO' -p85299 -aS'mm\tmm\tNN\tI-NP\tO' -p85300 -aS'in\tin\tIN\tB-PP\tO' -p85301 -aS'II\tII\tCD\tB-NP\tO' -p85302 -aS'and\tand\tCC\tO\tO' -p85303 -aS'V5/6\tV5/6\tNN\tB-NP\tB-protein' -p85304 -aS'-\t-\tHYPH\tI-NP\tO' -p85305 -aS'repeat\trepeat\tNN\tI-NP\tO' -p85306 -aS'EKG\tEKG\tNN\tI-NP\tO' -p85307 -aS'without\twithout\tIN\tB-PP\tO' -p85308 -aS'these\tthese\tDT\tB-NP\tO' -p85309 -aS'changes\tchange\tNNS\tI-NP\tO' -p85310 -aS'.\t.\t.\tO\tO' -p85311 -asS'4. Osteoarthritis .' -p85312 -(lp85313 -S'4.\t4.\tLS\tB-NP\tO' -p85314 -aS'Osteoarthritis\tOsteoarthritis\tNN\tI-NP\tO' -p85315 -aS'.\t.\t.\tO\tO' -p85316 -asS'2. Viral gastroenteritis .' -p85317 -(lp85318 -S'2.\t2.\tLS\tB-NP\tO' -p85319 -aS'Viral\tViral\tJJ\tI-NP\tO' -p85320 -aS'gastroenteritis\tgastroenteritis\tNN\tI-NP\tO' -p85321 -aS'.\t.\t.\tO\tO' -p85322 -asS'He was draining pus from the wound site with subsequent relief of discomfort at the site .' -p85323 -(lp85324 -S'He\tHe\tPRP\tB-NP\tO' -p85325 -aS'was\tbe\tVBD\tB-VP\tO' -p85326 -aS'draining\tdrain\tVBG\tI-VP\tO' -p85327 -aS'pus\tpus\tNN\tB-NP\tO' -p85328 -aS'from\tfrom\tIN\tB-PP\tO' -p85329 -aS'the\tthe\tDT\tB-NP\tO' -p85330 -aS'wound\twound\tNN\tI-NP\tB-DNA' -p85331 -aS'site\tsite\tNN\tI-NP\tI-DNA' -p85332 -aS'with\twith\tIN\tB-PP\tO' -p85333 -aS'subsequent\tsubsequent\tJJ\tB-NP\tO' -p85334 -aS'relief\trelief\tNN\tI-NP\tO' -p85335 -aS'of\tof\tIN\tB-PP\tO' -p85336 -aS'discomfort\tdiscomfort\tNN\tB-NP\tO' -p85337 -aS'at\tat\tIN\tB-PP\tO' -p85338 -aS'the\tthe\tDT\tB-NP\tO' -p85339 -aS'site\tsite\tNN\tI-NP\tO' -p85340 -aS'.\t.\t.\tO\tO' -p85341 -asS'He did spike a fever and began Ancef and Gentamicin , although cultures never revealed a source for this .' -p85342 -(lp85343 -S'He\tHe\tPRP\tB-NP\tO' -p85344 -aS'did\tdo\tVBD\tB-VP\tO' -p85345 -aS'spike\tspike\tVB\tI-VP\tO' -p85346 -aS'a\ta\tDT\tB-NP\tO' -p85347 -aS'fever\tfever\tNN\tI-NP\tO' -p85348 -aS'and\tand\tCC\tO\tO' -p85349 -aS'began\tbegin\tVBD\tB-VP\tO' -p85350 -aS'Ancef\tAncef\tNN\tB-NP\tO' -p85351 -aS'and\tand\tCC\tI-NP\tO' -p85352 -aS'Gentamicin\tGentamicin\tNN\tI-NP\tO' -p85353 -aS',\t,\t,\tO\tO' -p85354 -aS'although\talthough\tIN\tB-SBAR\tO' -p85355 -aS'cultures\tculture\tNNS\tB-NP\tO' -p85356 -aS'never\tnever\tRB\tB-ADVP\tO' -p85357 -aS'revealed\treveal\tVBD\tB-VP\tO' -p85358 -aS'a\ta\tDT\tB-NP\tO' -p85359 -aS'source\tsource\tNN\tI-NP\tO' -p85360 -aS'for\tfor\tIN\tB-PP\tO' -p85361 -aS'this\tthis\tDT\tB-NP\tO' -p85362 -aS'.\t.\t.\tO\tO' -p85363 -asS'There were no complications during the procedure .' -p85364 -(lp85365 -S'There\tThere\tEX\tB-NP\tO' -p85366 -aS'were\tbe\tVBD\tB-VP\tO' -p85367 -aS'no\tno\tDT\tB-NP\tO' -p85368 -aS'complications\tcomplication\tNNS\tI-NP\tO' -p85369 -aS'during\tduring\tIN\tB-PP\tO' -p85370 -aS'the\tthe\tDT\tB-NP\tO' -p85371 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p85372 -aS'.\t.\t.\tO\tO' -p85373 -asS'The patient had a temperature of 98.4 , heart rate 72 , blood pressure 154/89 , respiratory rate 18 and oxygen saturation 90% in room air .' -p85374 -(lp85375 -S'The\tThe\tDT\tB-NP\tO' -p85376 -aS'patient\tpatient\tNN\tI-NP\tO' -p85377 -aS'had\thave\tVBD\tB-VP\tO' -p85378 -aS'a\ta\tDT\tB-NP\tO' -p85379 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p85380 -aS'of\tof\tIN\tB-PP\tO' -p85381 -aS'98.4\t98.4\tCD\tB-NP\tO' -p85382 -aS',\t,\t,\tO\tO' -p85383 -aS'heart\theart\tNN\tB-NP\tO' -p85384 -aS'rate\trate\tNN\tI-NP\tO' -p85385 -aS'72\t72\tCD\tI-NP\tO' -p85386 -aS',\t,\t,\tO\tO' -p85387 -aS'blood\tblood\tNN\tB-NP\tO' -p85388 -aS'pressure\tpressure\tNN\tI-NP\tO' -p85389 -aS'154/89\t154/89\tCD\tI-NP\tO' -p85390 -aS',\t,\t,\tO\tO' -p85391 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p85392 -aS'rate\trate\tNN\tI-NP\tO' -p85393 -aS'18\t18\tCD\tB-NP\tO' -p85394 -aS'and\tand\tCC\tI-NP\tO' -p85395 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p85396 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p85397 -aS'90%\t90%\tNN\tI-NP\tO' -p85398 -aS'in\tin\tIN\tB-PP\tO' -p85399 -aS'room\troom\tNN\tB-NP\tO' -p85400 -aS'air\tair\tNN\tI-NP\tO' -p85401 -aS'.\t.\t.\tO\tO' -p85402 -asS'There was no active bleeding noted at the surgical site on examination .' -p85403 -(lp85404 -S'There\tThere\tEX\tB-NP\tO' -p85405 -aS'was\tbe\tVBD\tB-VP\tO' -p85406 -aS'no\tno\tDT\tB-NP\tO' -p85407 -aS'active\tactive\tJJ\tI-NP\tO' -p85408 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p85409 -aS'noted\tnote\tVBN\tB-VP\tO' -p85410 -aS'at\tat\tIN\tB-PP\tO' -p85411 -aS'the\tthe\tDT\tB-NP\tO' -p85412 -aS'surgical\tsurgical\tJJ\tI-NP\tO' -p85413 -aS'site\tsite\tNN\tI-NP\tO' -p85414 -aS'on\ton\tIN\tB-PP\tO' -p85415 -aS'examination\texamination\tNN\tB-NP\tO' -p85416 -aS'.\t.\t.\tO\tO' -p85417 -asS'His chest tube had been discontinued .' -p85418 -(lp85419 -S'His\tHis\tPRP$\tB-NP\tO' -p85420 -aS'chest\tchest\tNN\tI-NP\tO' -p85421 -aS'tube\ttube\tNN\tI-NP\tO' -p85422 -aS'had\thave\tVBD\tB-VP\tO' -p85423 -aS'been\tbe\tVBN\tI-VP\tO' -p85424 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p85425 -aS'.\t.\t.\tO\tO' -p85426 -asS'9. Humalog sliding-scale q.a.m. and q.p.m.' -p85427 -(lp85428 -S'9.\t9.\tLS\tB-NP\tO' -p85429 -aS'Humalog\tHumalog\tNNP\tI-NP\tO' -p85430 -aS'sliding-scale\tsliding-scale\tJJ\tI-NP\tO' -p85431 -aS'q.a.m.\tq.a.m.\tNN\tI-NP\tO' -p85432 -aS'and\tand\tCC\tI-NP\tO' -p85433 -aS'q.p.m.\tq.p.m.\tNN\tI-NP\tO' -p85434 -asS'Positive gynecomastia .' -p85435 -(lp85436 -S'Positive\tPositive\tJJ\tB-NP\tO' -p85437 -aS'gynecomastia\tgynecomastia\tNN\tI-NP\tO' -p85438 -aS'.\t.\t.\tO\tO' -p85439 -asS'- moderate R sided macular degeneration' -p85440 -(lp85441 -S'-\t-\tHYPH\tB-NP\tO' -p85442 -aS'moderate\tmoderate\tJJ\tI-NP\tO' -p85443 -aS'R\tR\tNN\tI-NP\tO' -p85444 -aS'sided\tside\tVBD\tB-VP\tO' -p85445 -aS'macular\tmacular\tJJ\tB-NP\tO' -p85446 -aS'degeneration\tdegeneration\tNN\tI-NP\tO' -p85447 -asS'On 08-10 class I and II antibody levels were sent .' -p85448 -(lp85449 -S'On\tOn\tIN\tB-PP\tO' -p85450 -aS'08-10\t08-10\tCD\tB-NP\tO' -p85451 -aS'class\tclass\tNN\tI-NP\tO' -p85452 -aS'I\tI\tCD\tB-NP\tO' -p85453 -aS'and\tand\tCC\tI-NP\tO' -p85454 -aS'II\tII\tCD\tI-NP\tO' -p85455 -aS'antibody\tantibody\tNN\tI-NP\tO' -p85456 -aS'levels\tlevel\tNNS\tI-NP\tO' -p85457 -aS'were\tbe\tVBD\tB-VP\tO' -p85458 -aS'sent\tsend\tVBN\tI-VP\tO' -p85459 -aS'.\t.\t.\tO\tO' -p85460 -asS'He had a right bundle branch block .' -p85461 -(lp85462 -S'He\tHe\tPRP\tB-NP\tO' -p85463 -aS'had\thave\tVBD\tB-VP\tO' -p85464 -aS'a\ta\tDT\tB-NP\tO' -p85465 -aS'right\tright\tJJ\tI-NP\tO' -p85466 -aS'bundle\tbundle\tNN\tI-NP\tO' -p85467 -aS'branch\tbranch\tNN\tI-NP\tO' -p85468 -aS'block\tblock\tNN\tI-NP\tO' -p85469 -aS'.\t.\t.\tO\tO' -p85470 -asS'Specifically , there is no pneumothorax and no interval development of effusion .' -p85471 -(lp85472 -S'Specifically\tSpecifically\tRB\tB-ADVP\tO' -p85473 -aS',\t,\t,\tO\tO' -p85474 -aS'there\tthere\tEX\tB-NP\tO' -p85475 -aS'is\tbe\tVBZ\tB-VP\tO' -p85476 -aS'no\tno\tDT\tB-NP\tO' -p85477 -aS'pneumothorax\tpneumothorax\tNN\tI-NP\tO' -p85478 -aS'and\tand\tCC\tO\tO' -p85479 -aS'no\tno\tDT\tB-NP\tO' -p85480 -aS'interval\tinterval\tJJ\tI-NP\tO' -p85481 -aS'development\tdevelopment\tNN\tI-NP\tO' -p85482 -aS'of\tof\tIN\tB-PP\tO' -p85483 -aS'effusion\teffusion\tNN\tB-NP\tO' -p85484 -aS'.\t.\t.\tO\tO' -p85485 -asS'Sodium 140 , potassium 4.2 , chloride 105 , carbon dioxide 30 , BUN 24 , creatinine 1.0 .' -p85486 -(lp85487 -S'Sodium\tSodium\tNN\tB-NP\tB-protein' -p85488 -aS'140\t140\tCD\tI-NP\tI-protein' -p85489 -aS',\t,\t,\tO\tO' -p85490 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p85491 -aS'4.2\t4.2\tCD\tI-NP\tO' -p85492 -aS',\t,\t,\tO\tO' -p85493 -aS'chloride\tchloride\tNN\tB-NP\tO' -p85494 -aS'105\t105\tCD\tI-NP\tO' -p85495 -aS',\t,\t,\tO\tO' -p85496 -aS'carbon\tcarbon\tNN\tB-NP\tO' -p85497 -aS'dioxide\tdioxide\tNN\tI-NP\tO' -p85498 -aS'30\t30\tCD\tI-NP\tO' -p85499 -aS',\t,\t,\tO\tO' -p85500 -aS'BUN\tBUN\tNN\tB-NP\tB-DNA' -p85501 -aS'24\t24\tCD\tI-NP\tI-DNA' -p85502 -aS',\t,\t,\tO\tO' -p85503 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p85504 -aS'1.0\t1.0\tCD\tI-NP\tO' -p85505 -aS'.\t.\t.\tO\tO' -p85506 -asS'On arrival to the floor the patient was noted to have a lacy reticular rash of upper arms , which resolved over the next 48h .' -p85507 -(lp85508 -S'On\tOn\tIN\tB-PP\tO' -p85509 -aS'arrival\tarrival\tNN\tB-NP\tO' -p85510 -aS'to\tto\tTO\tB-PP\tO' -p85511 -aS'the\tthe\tDT\tB-NP\tO' -p85512 -aS'floor\tfloor\tNN\tI-NP\tO' -p85513 -aS'the\tthe\tDT\tB-NP\tO' -p85514 -aS'patient\tpatient\tNN\tI-NP\tO' -p85515 -aS'was\tbe\tVBD\tB-VP\tO' -p85516 -aS'noted\tnote\tVBN\tI-VP\tO' -p85517 -aS'to\tto\tTO\tI-VP\tO' -p85518 -aS'have\thave\tVB\tI-VP\tO' -p85519 -aS'a\ta\tDT\tB-NP\tO' -p85520 -aS'lacy\tlacy\tNN\tI-NP\tO' -p85521 -aS'reticular\treticular\tJJ\tI-NP\tO' -p85522 -aS'rash\trash\tNN\tI-NP\tO' -p85523 -aS'of\tof\tIN\tB-PP\tO' -p85524 -aS'upper\tupper\tJJ\tB-NP\tO' -p85525 -aS'arms\tarm\tNNS\tI-NP\tO' -p85526 -aS',\t,\t,\tO\tO' -p85527 -aS'which\twhich\tWDT\tB-NP\tO' -p85528 -aS'resolved\tresolve\tVBD\tB-VP\tO' -p85529 -aS'over\tover\tIN\tB-PP\tO' -p85530 -aS'the\tthe\tDT\tB-NP\tO' -p85531 -aS'next\tnext\tJJ\tI-NP\tO' -p85532 -aS'48h\t48h\tNN\tI-NP\tO' -p85533 -aS'.\t.\t.\tO\tO' -p85534 -asS'Invasive mucinous carcinoma with estrogen receptor positivity and HER2/NEU negative .' -p85535 -(lp85536 -S'Invasive\tInvasive\tJJ\tB-NP\tO' -p85537 -aS'mucinous\tmucinous\tJJ\tI-NP\tO' -p85538 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p85539 -aS'with\twith\tIN\tB-PP\tO' -p85540 -aS'estrogen\testrogen\tNN\tB-NP\tB-protein' -p85541 -aS'receptor\treceptor\tNN\tI-NP\tI-protein' -p85542 -aS'positivity\tpositivity\tNN\tI-NP\tO' -p85543 -aS'and\tand\tCC\tO\tO' -p85544 -aS'HER2/NEU\tHER2/NEU\tNN\tB-NP\tB-protein' -p85545 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p85546 -aS'.\t.\t.\tO\tO' -p85547 -asS'This report was created by MEEDHUANG , PADA 07/31/2004 12:59 PM' -p85548 -(lp85549 -S'This\tThis\tDT\tB-NP\tO' -p85550 -aS'report\treport\tNN\tI-NP\tO' -p85551 -aS'was\tbe\tVBD\tB-VP\tO' -p85552 -aS'created\tcreate\tVBN\tI-VP\tO' -p85553 -aS'by\tby\tIN\tB-PP\tO' -p85554 -aS'MEEDHUANG\tMEEDHUANG\tNNP\tB-NP\tO' -p85555 -aS',\t,\t,\tO\tO' -p85556 -aS'PADA\tPADA\tNNP\tB-NP\tO' -p85557 -aS'07/31/2004\t07/31/2004\tCD\tB-NP\tO' -p85558 -aS'12:59\t12:59\tCD\tI-NP\tO' -p85559 -aS'PM\tPM\tNN\tI-NP\tO' -p85560 -asS'Positive anterior cervical lymphadenopathy .' -p85561 -(lp85562 -S'Positive\tPositive\tJJ\tB-NP\tO' -p85563 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p85564 -aS'cervical\tcervical\tJJ\tI-NP\tO' -p85565 -aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' -p85566 -aS'.\t.\t.\tO\tO' -p85567 -asS'Her electrocardiogram showed a new right bundle branch block and left anterior hemiblock .' -p85568 -(lp85569 -S'Her\tHer\tPRP$\tB-NP\tO' -p85570 -aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' -p85571 -aS'showed\tshow\tVBD\tB-VP\tO' -p85572 -aS'a\ta\tDT\tB-NP\tO' -p85573 -aS'new\tnew\tJJ\tI-NP\tO' -p85574 -aS'right\tright\tJJ\tI-NP\tO' -p85575 -aS'bundle\tbundle\tNN\tI-NP\tO' -p85576 -aS'branch\tbranch\tNN\tI-NP\tO' -p85577 -aS'block\tblock\tNN\tI-NP\tO' -p85578 -aS'and\tand\tCC\tO\tO' -p85579 -aS'left\tleave\tVBD\tB-VP\tO' -p85580 -aS'anterior\tanterior\tJJ\tB-NP\tO' -p85581 -aS'hemiblock\themiblock\tNN\tI-NP\tO' -p85582 -aS'.\t.\t.\tO\tO' -p85583 -asS'Saujule Study is a 77-year-old woman with a history of obesity and hypertension who presents with increased shortness of breath x 5 days .' -p85584 -(lp85585 -S'Saujule\tSaujule\tNNP\tB-NP\tO' -p85586 -aS'Study\tStudy\tNNP\tI-NP\tO' -p85587 -aS'is\tbe\tVBZ\tB-VP\tO' -p85588 -aS'a\ta\tDT\tB-NP\tO' -p85589 -aS'77-year-old\t77-year-old\tJJ\tI-NP\tO' -p85590 -aS'woman\twoman\tNN\tI-NP\tO' -p85591 -aS'with\twith\tIN\tB-PP\tO' -p85592 -aS'a\ta\tDT\tB-NP\tO' -p85593 -aS'history\thistory\tNN\tI-NP\tO' -p85594 -aS'of\tof\tIN\tB-PP\tO' -p85595 -aS'obesity\tobesity\tNN\tB-NP\tO' -p85596 -aS'and\tand\tCC\tI-NP\tO' -p85597 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p85598 -aS'who\twho\tWP\tB-NP\tO' -p85599 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p85600 -aS'with\twith\tIN\tB-PP\tO' -p85601 -aS'increased\tincrease\tVBN\tB-NP\tO' -p85602 -aS'shortness\tshortness\tNN\tI-NP\tO' -p85603 -aS'of\tof\tIN\tB-PP\tO' -p85604 -aS'breath\tbreath\tNN\tB-NP\tO' -p85605 -aS'x\tx\tSYM\tO\tO' -p85606 -aS'5\t5\tCD\tB-NP\tO' -p85607 -aS'days\tday\tNNS\tI-NP\tO' -p85608 -aS'.\t.\t.\tO\tO' -p85609 -asS'32 y / o woman with h / o anxiety and depression and prior suicide attempt presents with TCA and celexa overdose , tremulous / light-headed , felt better post charcoal .' -p85610 -(lp85611 -S'32\t32\tCD\tB-NP\tO' -p85612 -aS'y\ty\tNN\tI-NP\tO' -p85613 -aS'/\t/\tSYM\tO\tO' -p85614 -aS'o\to\tNN\tB-NP\tO' -p85615 -aS'woman\twoman\tNN\tI-NP\tO' -p85616 -aS'with\twith\tIN\tB-PP\tO' -p85617 -aS'h\th\tNN\tB-NP\tO' -p85618 -aS'/\t/\tSYM\tO\tO' -p85619 -aS'o\to\tNN\tB-NP\tO' -p85620 -aS'anxiety\tanxiety\tNN\tI-NP\tO' -p85621 -aS'and\tand\tCC\tO\tO' -p85622 -aS'depression\tdepression\tNN\tB-NP\tO' -p85623 -aS'and\tand\tCC\tO\tO' -p85624 -aS'prior\tprior\tJJ\tB-NP\tO' -p85625 -aS'suicide\tsuicide\tNN\tI-NP\tO' -p85626 -aS'attempt\tattempt\tNN\tI-NP\tO' -p85627 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p85628 -aS'with\twith\tIN\tB-PP\tO' -p85629 -aS'TCA\tTCA\tNN\tB-NP\tB-protein' -p85630 -aS'and\tand\tCC\tI-NP\tO' -p85631 -aS'celexa\tcelexa\tNN\tI-NP\tO' -p85632 -aS'overdose\toverdose\tNN\tI-NP\tO' -p85633 -aS',\t,\t,\tO\tO' -p85634 -aS'tremulous\ttremulous\tJJ\tB-ADJP\tO' -p85635 -aS'/\t/\tSYM\tB-NP\tO' -p85636 -aS'light-headed\tlight-headed\tJJ\tB-ADJP\tO' -p85637 -aS',\t,\t,\tO\tO' -p85638 -aS'felt\tfeel\tVBD\tB-VP\tO' -p85639 -aS'better\tgood\tJJR\tB-NP\tO' -p85640 -aS'post\tpost\tNN\tI-NP\tO' -p85641 -aS'charcoal\tcharcoal\tNN\tI-NP\tO' -p85642 -aS'.\t.\t.\tO\tO' -p85643 -asS'There is some fluid or mucosal thickening in the ethmoid and sphenoid sinuses .' -p85644 -(lp85645 -S'There\tThere\tEX\tB-NP\tO' -p85646 -aS'is\tbe\tVBZ\tB-VP\tO' -p85647 -aS'some\tsome\tDT\tB-NP\tO' -p85648 -aS'fluid\tfluid\tJJ\tI-NP\tO' -p85649 -aS'or\tor\tCC\tI-NP\tO' -p85650 -aS'mucosal\tmucosal\tJJ\tI-NP\tO' -p85651 -aS'thickening\tthickening\tNN\tI-NP\tO' -p85652 -aS'in\tin\tIN\tB-PP\tO' -p85653 -aS'the\tthe\tDT\tB-NP\tO' -p85654 -aS'ethmoid\tethmoid\tJJ\tI-NP\tO' -p85655 -aS'and\tand\tCC\tI-NP\tO' -p85656 -aS'sphenoid\tsphenoid\tJJ\tI-NP\tO' -p85657 -aS'sinuses\tsinus\tNNS\tI-NP\tO' -p85658 -aS'.\t.\t.\tO\tO' -p85659 -asS'6. Immunizations received : Hepatitis B vaccine on 12-31 , 2006 .' -p85660 -(lp85661 -S'6.\t6.\tLS\tB-NP\tO' -p85662 -aS'Immunizations\tImmunization\tNNS\tI-NP\tO' -p85663 -aS'received\treceive\tVBD\tB-VP\tO' -p85664 -aS':\t:\t:\tO\tO' -p85665 -aS'Hepatitis\tHepatitis\tNN\tB-NP\tO' -p85666 -aS'B\tB\tNN\tI-NP\tO' -p85667 -aS'vaccine\tvaccine\tNN\tI-NP\tO' -p85668 -aS'on\ton\tIN\tB-PP\tO' -p85669 -aS'12-31\t12-31\tCD\tB-NP\tO' -p85670 -aS',\t,\t,\tI-NP\tO' -p85671 -aS'2006\t2006\tCD\tI-NP\tO' -p85672 -aS'.\t.\t.\tO\tO' -p85673 -asS'No intervention was done at that point .' -p85674 -(lp85675 -S'No\tNo\tDT\tB-NP\tO' -p85676 -aS'intervention\tintervention\tNN\tI-NP\tO' -p85677 -aS'was\tbe\tVBD\tB-VP\tO' -p85678 -aS'done\tdo\tVBN\tI-VP\tO' -p85679 -aS'at\tat\tIN\tB-PP\tO' -p85680 -aS'that\tthat\tDT\tB-NP\tO' -p85681 -aS'point\tpoint\tNN\tI-NP\tO' -p85682 -aS'.\t.\t.\tO\tO' -p85683 -asS'There were no major issues and he was discharged home on 5/20/00 .' -p85684 -(lp85685 -S'There\tThere\tEX\tB-NP\tO' -p85686 -aS'were\tbe\tVBD\tB-VP\tO' -p85687 -aS'no\tno\tDT\tB-NP\tO' -p85688 -aS'major\tmajor\tJJ\tI-NP\tO' -p85689 -aS'issues\tissue\tNNS\tI-NP\tO' -p85690 -aS'and\tand\tCC\tO\tO' -p85691 -aS'he\the\tPRP\tB-NP\tO' -p85692 -aS'was\tbe\tVBD\tB-VP\tO' -p85693 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p85694 -aS'home\thome\tNN\tB-ADVP\tO' -p85695 -aS'on\ton\tIN\tB-PP\tO' -p85696 -aS'5/20/00\t5/20/00\tCD\tB-NP\tO' -p85697 -aS'.\t.\t.\tO\tO' -p85698 -asS'No evidence for pulmonary embolism .' -p85699 -(lp85700 -S'No\tNo\tDT\tB-NP\tO' -p85701 -aS'evidence\tevidence\tNN\tI-NP\tO' -p85702 -aS'for\tfor\tIN\tB-PP\tO' -p85703 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p85704 -aS'embolism\tembolism\tNN\tI-NP\tO' -p85705 -aS'.\t.\t.\tO\tO' -p85706 -asS'Thrombocytopenic inducing drugs should be avoided if possible on this patient .' -p85707 -(lp85708 -S'Thrombocytopenic\tThrombocytopenic\tJJ\tB-NP\tO' -p85709 -aS'inducing\tinduce\tVBG\tI-NP\tO' -p85710 -aS'drugs\tdrug\tNNS\tI-NP\tO' -p85711 -aS'should\tshould\tMD\tB-VP\tO' -p85712 -aS'be\tbe\tVB\tI-VP\tO' -p85713 -aS'avoided\tavoid\tVBN\tI-VP\tO' -p85714 -aS'if\tif\tIN\tB-SBAR\tO' -p85715 -aS'possible\tpossible\tJJ\tB-ADJP\tO' -p85716 -aS'on\ton\tIN\tB-PP\tO' -p85717 -aS'this\tthis\tDT\tB-NP\tO' -p85718 -aS'patient\tpatient\tNN\tI-NP\tO' -p85719 -aS'.\t.\t.\tO\tO' -p85720 -asS'Neck was supple , no lymphadenopathy , no thyromegaly , no jugular venous distention , and no bruits .' -p85721 -(lp85722 -S'Neck\tNeck\tNN\tB-NP\tO' -p85723 -aS'was\tbe\tVBD\tB-VP\tO' -p85724 -aS'supple\tsupple\tNN\tB-NP\tO' -p85725 -aS',\t,\t,\tO\tO' -p85726 -aS'no\tno\tDT\tB-NP\tO' -p85727 -aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' -p85728 -aS',\t,\t,\tO\tO' -p85729 -aS'no\tno\tDT\tB-ADVP\tO' -p85730 -aS'thyromegaly\tthyromegaly\tRB\tI-ADVP\tO' -p85731 -aS',\t,\t,\tO\tO' -p85732 -aS'no\tno\tDT\tB-NP\tO' -p85733 -aS'jugular\tjugular\tJJ\tI-NP\tO' -p85734 -aS'venous\tvenous\tJJ\tI-NP\tO' -p85735 -aS'distention\tdistention\tNN\tI-NP\tO' -p85736 -aS',\t,\t,\tO\tO' -p85737 -aS'and\tand\tCC\tO\tO' -p85738 -aS'no\tno\tDT\tB-NP\tO' -p85739 -aS'bruits\tbruit\tNNS\tI-NP\tO' -p85740 -aS'.\t.\t.\tO\tO' -p85741 -asS'He was followed by the nutrition team throughout his admission and their recommendations were followed .' -p85742 -(lp85743 -S'He\tHe\tPRP\tB-NP\tO' -p85744 -aS'was\tbe\tVBD\tB-VP\tO' -p85745 -aS'followed\tfollow\tVBN\tI-VP\tO' -p85746 -aS'by\tby\tIN\tB-PP\tO' -p85747 -aS'the\tthe\tDT\tB-NP\tO' -p85748 -aS'nutrition\tnutrition\tNN\tI-NP\tO' -p85749 -aS'team\tteam\tNN\tI-NP\tO' -p85750 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p85751 -aS'his\this\tPRP$\tB-NP\tO' -p85752 -aS'admission\tadmission\tNN\tI-NP\tO' -p85753 -aS'and\tand\tCC\tO\tO' -p85754 -aS'their\ttheir\tPRP$\tB-NP\tO' -p85755 -aS'recommendations\trecommendation\tNNS\tI-NP\tO' -p85756 -aS'were\tbe\tVBD\tB-VP\tO' -p85757 -aS'followed\tfollow\tVBN\tI-VP\tO' -p85758 -aS'.\t.\t.\tO\tO' -p85759 -asS'On day # 2 the patient continued to diurese and this was maintained with the Lasix/ Mannitol infusion .' -p85760 -(lp85761 -S'On\tOn\tIN\tB-PP\tO' -p85762 -aS'day\tday\tNN\tB-NP\tO' -p85763 -aS'#\t#\t#\tB-NP\tO' -p85764 -aS'2\t2\tCD\tI-NP\tO' -p85765 -aS'the\tthe\tDT\tB-NP\tO' -p85766 -aS'patient\tpatient\tNN\tI-NP\tO' -p85767 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p85768 -aS'to\tto\tTO\tI-VP\tO' -p85769 -aS'diurese\tdiurese\tVB\tI-VP\tO' -p85770 -aS'and\tand\tCC\tO\tO' -p85771 -aS'this\tthis\tDT\tB-NP\tO' -p85772 -aS'was\tbe\tVBD\tB-VP\tO' -p85773 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p85774 -aS'with\twith\tIN\tB-PP\tO' -p85775 -aS'the\tthe\tDT\tB-NP\tO' -p85776 -aS'Lasix/\tLasix/\tNNP\tI-NP\tO' -p85777 -aS'Mannitol\tMannitol\tNNP\tI-NP\tO' -p85778 -aS'infusion\tinfusion\tNN\tI-NP\tO' -p85779 -aS'.\t.\t.\tO\tO' -p85780 -asS'23. Morphine Sulfate 2 mg / mL Syringe Sig : 02-19 Injection Q12H ( every 12 hours ) as needed .' -p85781 -(lp85782 -S'23.\t23.\tLS\tB-NP\tO' -p85783 -aS'Morphine\tMorphine\tNN\tI-NP\tO' -p85784 -aS'Sulfate\tSulfate\tNN\tI-NP\tO' -p85785 -aS'2\t2\tCD\tI-NP\tO' -p85786 -aS'mg\tmg\tNN\tI-NP\tO' -p85787 -aS'/\t/\tSYM\tB-NP\tO' -p85788 -aS'mL\tmL\tNN\tI-NP\tO' -p85789 -aS'Syringe\tSyringe\tNNP\tI-NP\tO' -p85790 -aS'Sig\tSig\tNNP\tI-NP\tO' -p85791 -aS':\t:\t:\tO\tO' -p85792 -aS'02-19\t02-19\tCD\tB-NP\tO' -p85793 -aS'Injection\tInjection\tNN\tI-NP\tO' -p85794 -aS'Q12H\tQ12H\tNN\tI-NP\tO' -p85795 -aS'(\t(\t(\tO\tO' -p85796 -aS'every\tevery\tDT\tB-NP\tO' -p85797 -aS'12\t12\tCD\tI-NP\tO' -p85798 -aS'hours\thour\tNNS\tI-NP\tO' -p85799 -aS')\t)\t)\tO\tO' -p85800 -aS'as\tas\tIN\tB-SBAR\tO' -p85801 -aS'needed\tneed\tVBN\tB-VP\tO' -p85802 -aS'.\t.\t.\tO\tO' -p85803 -asS'One aspirin a day .' -p85804 -(lp85805 -S'One\tOne\tCD\tB-NP\tO' -p85806 -aS'aspirin\taspirin\tNN\tI-NP\tO' -p85807 -aS'a\ta\tDT\tB-NP\tO' -p85808 -aS'day\tday\tNN\tI-NP\tO' -p85809 -aS'.\t.\t.\tO\tO' -p85810 -asS'Decrease tone , ruddy , warm , well perfused with peripheral IV in left hand .' -p85811 -(lp85812 -S'Decrease\tDecrease\tNNP\tB-NP\tO' -p85813 -aS'tone\ttone\tNN\tI-NP\tO' -p85814 -aS',\t,\t,\tO\tO' -p85815 -aS'ruddy\truddy\tNN\tB-NP\tO' -p85816 -aS',\t,\t,\tO\tO' -p85817 -aS'warm\twarm\tNN\tB-NP\tO' -p85818 -aS',\t,\t,\tO\tO' -p85819 -aS'well\twell\tRB\tB-VP\tO' -p85820 -aS'perfused\tperfuse\tVBN\tI-VP\tO' -p85821 -aS'with\twith\tIN\tB-PP\tO' -p85822 -aS'peripheral\tperipheral\tJJ\tB-NP\tO' -p85823 -aS'IV\tIV\tCD\tI-NP\tO' -p85824 -aS'in\tin\tIN\tB-PP\tO' -p85825 -aS'left\tleft\tJJ\tB-NP\tO' -p85826 -aS'hand\thand\tNN\tI-NP\tO' -p85827 -aS'.\t.\t.\tO\tO' -p85828 -asS"The patient 's mental status remained essentially clear throughout the entire postoperative period ." -p85829 -(lp85830 -S'The\tThe\tDT\tB-NP\tO' -p85831 -aS'patient\tpatient\tNN\tI-NP\tO' -p85832 -aS"'s\t's\tPOS\tB-NP\tO" -p85833 -aS'mental\tmental\tJJ\tI-NP\tO' -p85834 -aS'status\tstatus\tNN\tI-NP\tO' -p85835 -aS'remained\tremain\tVBD\tB-VP\tO' -p85836 -aS'essentially\tessentially\tRB\tB-ADJP\tO' -p85837 -aS'clear\tclear\tJJ\tI-ADJP\tO' -p85838 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p85839 -aS'the\tthe\tDT\tB-NP\tO' -p85840 -aS'entire\tentire\tJJ\tI-NP\tO' -p85841 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p85842 -aS'period\tperiod\tNN\tI-NP\tO' -p85843 -aS'.\t.\t.\tO\tO' -p85844 -asS'Take the pain medication as prescribed .' -p85845 -(lp85846 -S'Take\tTake\tVB\tB-VP\tO' -p85847 -aS'the\tthe\tDT\tB-NP\tO' -p85848 -aS'pain\tpain\tNN\tI-NP\tO' -p85849 -aS'medication\tmedication\tNN\tI-NP\tO' -p85850 -aS'as\tas\tIN\tB-SBAR\tO' -p85851 -aS'prescribed\tprescribe\tVBN\tB-VP\tO' -p85852 -aS'.\t.\t.\tO\tO' -p85853 -asS'Signed electronically by : DR. Victoria Cox on : FRI 2019-01-04 11:25 AM' -p85854 -(lp85855 -S'Signed\tSign\tVBN\tB-VP\tO' -p85856 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p85857 -aS'by\tby\tIN\tB-PP\tO' -p85858 -aS':\t:\t:\tO\tO' -p85859 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p85860 -aS'Victoria\tVictoria\tNNP\tI-NP\tO' -p85861 -aS'Cox\tCox\tNNP\tI-NP\tO' -p85862 -aS'on\ton\tIN\tB-PP\tO' -p85863 -aS':\t:\t:\tO\tO' -p85864 -aS'FRI\tFRI\tCD\tB-NP\tO' -p85865 -aS'2019-01-04\t2019-01-04\tCD\tI-NP\tO' -p85866 -aS'11:25\t11:25\tCD\tI-NP\tO' -p85867 -aS'AM\tAM\tNN\tI-NP\tO' -p85868 -asS'Patient was admitted for diagnosis and treatment of new fever .' -p85869 -(lp85870 -S'Patient\tPatient\tNN\tB-NP\tO' -p85871 -aS'was\tbe\tVBD\tB-VP\tO' -p85872 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p85873 -aS'for\tfor\tIN\tB-PP\tO' -p85874 -aS'diagnosis\tdiagnosis\tNN\tB-NP\tO' -p85875 -aS'and\tand\tCC\tI-NP\tO' -p85876 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p85877 -aS'of\tof\tIN\tB-PP\tO' -p85878 -aS'new\tnew\tJJ\tB-NP\tO' -p85879 -aS'fever\tfever\tNN\tI-NP\tO' -p85880 -aS'.\t.\t.\tO\tO' -p85881 -asS'2. Undesired adiposity .' -p85882 -(lp85883 -S'2.\t2.\tLS\tB-NP\tO' -p85884 -aS'Undesired\tUndesired\tJJ\tI-NP\tO' -p85885 -aS'adiposity\tadiposity\tNN\tI-NP\tO' -p85886 -aS'.\t.\t.\tO\tO' -p85887 -asS'Mr. Roach was kept sedated with propofol and was given Fentanyl and / or morphine boluses for pain .' -p85888 -(lp85889 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p85890 -aS'Roach\tRoach\tNNP\tI-NP\tO' -p85891 -aS'was\tbe\tVBD\tB-VP\tO' -p85892 -aS'kept\tkeep\tVBN\tI-VP\tO' -p85893 -aS'sedated\tsedate\tVBN\tI-VP\tO' -p85894 -aS'with\twith\tIN\tB-PP\tO' -p85895 -aS'propofol\tpropofol\tNN\tB-NP\tO' -p85896 -aS'and\tand\tCC\tO\tO' -p85897 -aS'was\tbe\tVBD\tB-VP\tO' -p85898 -aS'given\tgive\tVBN\tI-VP\tO' -p85899 -aS'Fentanyl\tFentanyl\tNN\tB-NP\tO' -p85900 -aS'and\tand\tCC\tO\tO' -p85901 -aS'/\t/\tSYM\tB-NP\tO' -p85902 -aS'or\tor\tCC\tO\tO' -p85903 -aS'morphine\tmorphine\tNN\tB-NP\tO' -p85904 -aS'boluses\tbolus\tNNS\tI-NP\tO' -p85905 -aS'for\tfor\tIN\tB-PP\tO' -p85906 -aS'pain\tpain\tNN\tB-NP\tO' -p85907 -aS'.\t.\t.\tO\tO' -p85908 -asS'Mr. State was dyspneic speaking in short sentences initially on high flow oxygen .' -p85909 -(lp85910 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p85911 -aS'State\tState\tNNP\tI-NP\tO' -p85912 -aS'was\tbe\tVBD\tB-VP\tO' -p85913 -aS'dyspneic\tdyspneic\tJJ\tB-NP\tO' -p85914 -aS'speaking\tspeaking\tNN\tI-NP\tO' -p85915 -aS'in\tin\tIN\tB-PP\tO' -p85916 -aS'short\tshort\tJJ\tB-NP\tO' -p85917 -aS'sentences\tsentence\tNNS\tI-NP\tO' -p85918 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p85919 -aS'on\ton\tIN\tB-PP\tO' -p85920 -aS'high\thigh\tJJ\tB-NP\tO' -p85921 -aS'flow\tflow\tNN\tI-NP\tO' -p85922 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p85923 -aS'.\t.\t.\tO\tO' -p85924 -asS'an magnetic resonance imaging study demonstrated calcification densities in the suprapatellar bursa region , also with hypertrophia of the synovium .' -p85925 -(lp85926 -S'an\tan\tDT\tB-NP\tO' -p85927 -aS'magnetic\tmagnetic\tJJ\tI-NP\tO' -p85928 -aS'resonance\tresonance\tNN\tI-NP\tO' -p85929 -aS'imaging\timaging\tNN\tI-NP\tO' -p85930 -aS'study\tstudy\tNN\tI-NP\tO' -p85931 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p85932 -aS'calcification\tcalcification\tNN\tB-NP\tO' -p85933 -aS'densities\tdensity\tNNS\tI-NP\tO' -p85934 -aS'in\tin\tIN\tB-PP\tO' -p85935 -aS'the\tthe\tDT\tB-NP\tO' -p85936 -aS'suprapatellar\tsuprapatellar\tJJ\tI-NP\tB-DNA' -p85937 -aS'bursa\tbursa\tNN\tI-NP\tI-DNA' -p85938 -aS'region\tregion\tNN\tI-NP\tI-DNA' -p85939 -aS',\t,\t,\tO\tO' -p85940 -aS'also\talso\tRB\tB-ADVP\tO' -p85941 -aS'with\twith\tIN\tB-PP\tO' -p85942 -aS'hypertrophia\thypertrophia\tNN\tB-NP\tO' -p85943 -aS'of\tof\tIN\tB-PP\tO' -p85944 -aS'the\tthe\tDT\tB-NP\tO' -p85945 -aS'synovium\tsynovium\tNN\tI-NP\tO' -p85946 -aS'.\t.\t.\tO\tO' -p85947 -asS'No heavy lifting or driving until follow up with Dr. Mullins .' -p85948 -(lp85949 -S'No\tNo\tDT\tB-NP\tO' -p85950 -aS'heavy\theavy\tJJ\tI-NP\tO' -p85951 -aS'lifting\tlifting\tNN\tI-NP\tO' -p85952 -aS'or\tor\tCC\tO\tO' -p85953 -aS'driving\tdrive\tVBG\tB-VP\tO' -p85954 -aS'until\tuntil\tIN\tB-SBAR\tO' -p85955 -aS'follow\tfollow\tVB\tB-VP\tO' -p85956 -aS'up\tup\tRP\tB-PRT\tO' -p85957 -aS'with\twith\tIN\tB-PP\tO' -p85958 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p85959 -aS'Mullins\tMullins\tNNP\tI-NP\tO' -p85960 -aS'.\t.\t.\tO\tO' -p85961 -asS'He was therefore treated with three cycles of fludarabine in combination with cytoxan .' -p85962 -(lp85963 -S'He\tHe\tPRP\tB-NP\tO' -p85964 -aS'was\tbe\tVBD\tB-VP\tO' -p85965 -aS'therefore\ttherefore\tRB\tI-VP\tO' -p85966 -aS'treated\ttreat\tVBN\tI-VP\tO' -p85967 -aS'with\twith\tIN\tB-PP\tO' -p85968 -aS'three\tthree\tCD\tB-NP\tO' -p85969 -aS'cycles\tcycle\tNNS\tI-NP\tO' -p85970 -aS'of\tof\tIN\tB-PP\tO' -p85971 -aS'fludarabine\tfludarabine\tNN\tB-NP\tO' -p85972 -aS'in\tin\tIN\tB-PP\tO' -p85973 -aS'combination\tcombination\tNN\tB-NP\tO' -p85974 -aS'with\twith\tIN\tB-PP\tO' -p85975 -aS'cytoxan\tcytoxan\tNN\tB-NP\tO' -p85976 -aS'.\t.\t.\tO\tO' -p85977 -asS'His companion states that they have been trying to wean him down at rehab .' -p85978 -(lp85979 -S'His\tHis\tPRP$\tB-NP\tO' -p85980 -aS'companion\tcompanion\tNN\tI-NP\tO' -p85981 -aS'states\tstate\tVBZ\tB-VP\tO' -p85982 -aS'that\tthat\tIN\tB-SBAR\tO' -p85983 -aS'they\tthey\tPRP\tB-NP\tO' -p85984 -aS'have\thave\tVBP\tB-VP\tO' -p85985 -aS'been\tbe\tVBN\tI-VP\tO' -p85986 -aS'trying\ttry\tVBG\tI-VP\tO' -p85987 -aS'to\tto\tTO\tI-VP\tO' -p85988 -aS'wean\twean\tVB\tI-VP\tO' -p85989 -aS'him\thim\tPRP\tB-NP\tO' -p85990 -aS'down\tdown\tRP\tB-PRT\tO' -p85991 -aS'at\tat\tIN\tB-PP\tO' -p85992 -aS'rehab\trehab\tNN\tB-NP\tO' -p85993 -aS'.\t.\t.\tO\tO' -p85994 -asS'The patient denies any nausea , vomiting , ataxia , motor deficits , speech deficits or sensory deficits .' -p85995 -(lp85996 -S'The\tThe\tDT\tB-NP\tO' -p85997 -aS'patient\tpatient\tNN\tI-NP\tO' -p85998 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p85999 -aS'any\tany\tDT\tB-NP\tO' -p86000 -aS'nausea\tnausea\tNN\tI-NP\tO' -p86001 -aS',\t,\t,\tO\tO' -p86002 -aS'vomiting\tvomiting\tNN\tB-NP\tO' -p86003 -aS',\t,\t,\tO\tO' -p86004 -aS'ataxia\tataxia\tNN\tB-NP\tO' -p86005 -aS',\t,\t,\tO\tO' -p86006 -aS'motor\tmotor\tNN\tB-NP\tO' -p86007 -aS'deficits\tdeficit\tNNS\tI-NP\tO' -p86008 -aS',\t,\t,\tO\tO' -p86009 -aS'speech\tspeech\tNN\tB-NP\tO' -p86010 -aS'deficits\tdeficit\tNNS\tI-NP\tO' -p86011 -aS'or\tor\tCC\tO\tO' -p86012 -aS'sensory\tsensory\tJJ\tB-NP\tO' -p86013 -aS'deficits\tdeficit\tNNS\tI-NP\tO' -p86014 -aS'.\t.\t.\tO\tO' -p86015 -asS'The patient has no history of chest pain; no history of myocardial infarction .' -p86016 -(lp86017 -S'The\tThe\tDT\tB-NP\tO' -p86018 -aS'patient\tpatient\tNN\tI-NP\tO' -p86019 -aS'has\thave\tVBZ\tB-VP\tO' -p86020 -aS'no\tno\tDT\tB-NP\tO' -p86021 -aS'history\thistory\tNN\tI-NP\tO' -p86022 -aS'of\tof\tIN\tB-PP\tO' -p86023 -aS'chest\tchest\tNN\tB-NP\tO' -p86024 -aS'pain;\tpain;\tNN\tI-NP\tO' -p86025 -aS'no\tno\tDT\tB-NP\tO' -p86026 -aS'history\thistory\tNN\tI-NP\tO' -p86027 -aS'of\tof\tIN\tB-PP\tO' -p86028 -aS'myocardial\tmyocardial\tJJ\tB-NP\tO' -p86029 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p86030 -aS'.\t.\t.\tO\tO' -p86031 -asS'There were no dose reductions for mucositis or myelosuppression .' -p86032 -(lp86033 -S'There\tThere\tEX\tB-NP\tO' -p86034 -aS'were\tbe\tVBD\tB-VP\tO' -p86035 -aS'no\tno\tDT\tB-NP\tO' -p86036 -aS'dose\tdose\tNN\tI-NP\tO' -p86037 -aS'reductions\treduction\tNNS\tI-NP\tO' -p86038 -aS'for\tfor\tIN\tB-PP\tO' -p86039 -aS'mucositis\tmucositis\tNN\tB-NP\tO' -p86040 -aS'or\tor\tCC\tI-NP\tO' -p86041 -aS'myelosuppression\tmyelosuppression\tNN\tI-NP\tO' -p86042 -aS'.\t.\t.\tO\tO' -p86043 -asS'When her pacemaker was in a sinus rhythm without a beta blocker , she had significant angina .' -p86044 -(lp86045 -S'When\tWhen\tWRB\tB-ADVP\tO' -p86046 -aS'her\ther\tPRP$\tB-NP\tO' -p86047 -aS'pacemaker\tpacemaker\tNN\tI-NP\tO' -p86048 -aS'was\tbe\tVBD\tB-VP\tO' -p86049 -aS'in\tin\tIN\tB-PP\tO' -p86050 -aS'a\ta\tDT\tB-NP\tO' -p86051 -aS'sinus\tsinus\tNN\tI-NP\tO' -p86052 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p86053 -aS'without\twithout\tIN\tB-PP\tO' -p86054 -aS'a\ta\tDT\tB-NP\tO' -p86055 -aS'beta\tbeta\tNN\tI-NP\tO' -p86056 -aS'blocker\tblocker\tNN\tI-NP\tO' -p86057 -aS',\t,\t,\tO\tO' -p86058 -aS'she\tshe\tPRP\tB-NP\tO' -p86059 -aS'had\thave\tVBD\tB-VP\tO' -p86060 -aS'significant\tsignificant\tJJ\tB-NP\tO' -p86061 -aS'angina\tangina\tNN\tI-NP\tO' -p86062 -aS'.\t.\t.\tO\tO' -p86063 -asS'Family declined valvuloplasty .' -p86064 -(lp86065 -S'Family\tFamily\tRB\tB-ADVP\tO' -p86066 -aS'declined\tdecline\tVBD\tB-VP\tO' -p86067 -aS'valvuloplasty\tvalvuloplasty\tJJ\tB-ADJP\tO' -p86068 -aS'.\t.\t.\tO\tO' -p86069 -asS'She was well at home until 8:30 p.m. on the day of admission , when she developed acute onset of right foot pain , which was worse with walking .' -p86070 -(lp86071 -S'She\tShe\tPRP\tB-NP\tO' -p86072 -aS'was\tbe\tVBD\tB-VP\tO' -p86073 -aS'well\twell\tRB\tB-ADVP\tO' -p86074 -aS'at\tat\tIN\tB-PP\tO' -p86075 -aS'home\thome\tNN\tB-NP\tO' -p86076 -aS'until\tuntil\tIN\tB-PP\tO' -p86077 -aS'8:30\t8:30\tCD\tB-NP\tO' -p86078 -aS'p.m.\tp.m.\tNN\tI-NP\tO' -p86079 -aS'on\ton\tIN\tB-PP\tO' -p86080 -aS'the\tthe\tDT\tB-NP\tO' -p86081 -aS'day\tday\tNN\tI-NP\tO' -p86082 -aS'of\tof\tIN\tB-PP\tO' -p86083 -aS'admission\tadmission\tNN\tB-NP\tO' -p86084 -aS',\t,\t,\tO\tO' -p86085 -aS'when\twhen\tWRB\tB-ADVP\tO' -p86086 -aS'she\tshe\tPRP\tB-NP\tO' -p86087 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p86088 -aS'acute\tacute\tJJ\tB-NP\tO' -p86089 -aS'onset\tonset\tNN\tI-NP\tO' -p86090 -aS'of\tof\tIN\tB-PP\tO' -p86091 -aS'right\tright\tJJ\tB-NP\tO' -p86092 -aS'foot\tfoot\tNN\tI-NP\tO' -p86093 -aS'pain\tpain\tNN\tI-NP\tO' -p86094 -aS',\t,\t,\tO\tO' -p86095 -aS'which\twhich\tWDT\tB-NP\tO' -p86096 -aS'was\tbe\tVBD\tB-VP\tO' -p86097 -aS'worse\tworse\tJJR\tB-ADJP\tO' -p86098 -aS'with\twith\tIN\tB-PP\tO' -p86099 -aS'walking\twalk\tVBG\tB-NP\tO' -p86100 -aS'.\t.\t.\tO\tO' -p86101 -asS'So , an epidural catheter was placed on 07/23/99 .' -p86102 -(lp86103 -S'So\tSo\tRB\tB-ADVP\tO' -p86104 -aS',\t,\t,\tO\tO' -p86105 -aS'an\tan\tDT\tB-NP\tO' -p86106 -aS'epidural\tepidural\tJJ\tI-NP\tO' -p86107 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p86108 -aS'was\tbe\tVBD\tB-VP\tO' -p86109 -aS'placed\tplace\tVBN\tI-VP\tO' -p86110 -aS'on\ton\tIN\tB-PP\tO' -p86111 -aS'07/23/99\t07/23/99\tCD\tB-NP\tO' -p86112 -aS'.\t.\t.\tO\tO' -p86113 -asS'No changes in the overall morphology of the brain are identified .' -p86114 -(lp86115 -S'No\tNo\tDT\tB-NP\tO' -p86116 -aS'changes\tchange\tNNS\tI-NP\tO' -p86117 -aS'in\tin\tIN\tB-PP\tO' -p86118 -aS'the\tthe\tDT\tB-NP\tO' -p86119 -aS'overall\toverall\tJJ\tI-NP\tO' -p86120 -aS'morphology\tmorphology\tNN\tI-NP\tO' -p86121 -aS'of\tof\tIN\tB-PP\tO' -p86122 -aS'the\tthe\tDT\tB-NP\tO' -p86123 -aS'brain\tbrain\tNN\tI-NP\tO' -p86124 -aS'are\tbe\tVBP\tB-VP\tO' -p86125 -aS'identified\tidentify\tVBN\tI-VP\tO' -p86126 -aS'.\t.\t.\tO\tO' -p86127 -asS'Cardiovascular revealed jugular venous distention not appreciated .' -p86128 -(lp86129 -S'Cardiovascular\tCardiovascular\tNNP\tB-NP\tO' -p86130 -aS'revealed\treveal\tVBD\tB-VP\tO' -p86131 -aS'jugular\tjugular\tJJ\tB-NP\tO' -p86132 -aS'venous\tvenous\tJJ\tI-NP\tO' -p86133 -aS'distention\tdistention\tNN\tI-NP\tO' -p86134 -aS'not\tnot\tRB\tB-VP\tO' -p86135 -aS'appreciated\tappreciate\tVBN\tI-VP\tO' -p86136 -aS'.\t.\t.\tO\tO' -p86137 -asS'In addition , he had slight shortness of breath but denies headache , change in vision , dizziness , nausea , vomiting , abdominal pain , change in bowel or urinary habits , or fevers , chills , and sweats .' -p86138 -(lp86139 -S'In\tIn\tIN\tB-PP\tO' -p86140 -aS'addition\taddition\tNN\tB-NP\tO' -p86141 -aS',\t,\t,\tO\tO' -p86142 -aS'he\the\tPRP\tB-NP\tO' -p86143 -aS'had\thave\tVBD\tB-VP\tO' -p86144 -aS'slight\tslight\tJJ\tB-NP\tO' -p86145 -aS'shortness\tshortness\tNN\tI-NP\tO' -p86146 -aS'of\tof\tIN\tB-PP\tO' -p86147 -aS'breath\tbreath\tNN\tB-NP\tO' -p86148 -aS'but\tbut\tCC\tO\tO' -p86149 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p86150 -aS'headache\theadache\tNN\tB-NP\tO' -p86151 -aS',\t,\t,\tO\tO' -p86152 -aS'change\tchange\tNN\tB-NP\tO' -p86153 -aS'in\tin\tIN\tB-PP\tO' -p86154 -aS'vision\tvision\tNN\tB-NP\tO' -p86155 -aS',\t,\t,\tO\tO' -p86156 -aS'dizziness\tdizziness\tNN\tB-NP\tO' -p86157 -aS',\t,\t,\tO\tO' -p86158 -aS'nausea\tnausea\tNN\tB-NP\tO' -p86159 -aS',\t,\t,\tO\tO' -p86160 -aS'vomiting\tvomit\tVBG\tB-VP\tO' -p86161 -aS',\t,\t,\tO\tO' -p86162 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p86163 -aS'pain\tpain\tNN\tI-NP\tO' -p86164 -aS',\t,\t,\tO\tO' -p86165 -aS'change\tchange\tNN\tB-NP\tO' -p86166 -aS'in\tin\tIN\tB-PP\tO' -p86167 -aS'bowel\tbowel\tNN\tB-NP\tO' -p86168 -aS'or\tor\tCC\tO\tO' -p86169 -aS'urinary\turinary\tJJ\tB-NP\tO' -p86170 -aS'habits\thabit\tNNS\tI-NP\tO' -p86171 -aS',\t,\t,\tO\tO' -p86172 -aS'or\tor\tCC\tO\tO' -p86173 -aS'fevers\tfever\tNNS\tB-NP\tO' -p86174 -aS',\t,\t,\tO\tO' -p86175 -aS'chills\tchill\tNNS\tB-NP\tO' -p86176 -aS',\t,\t,\tO\tO' -p86177 -aS'and\tand\tCC\tO\tO' -p86178 -aS'sweats\tsweat\tNNS\tB-NP\tO' -p86179 -aS'.\t.\t.\tO\tO' -p86180 -asS'The patient was told nothing could be done until he was referred to Dr. An .' -p86181 -(lp86182 -S'The\tThe\tDT\tB-NP\tO' -p86183 -aS'patient\tpatient\tNN\tI-NP\tO' -p86184 -aS'was\tbe\tVBD\tB-VP\tO' -p86185 -aS'told\ttell\tVBN\tI-VP\tO' -p86186 -aS'nothing\tnothing\tNN\tB-NP\tO' -p86187 -aS'could\tcould\tMD\tB-VP\tO' -p86188 -aS'be\tbe\tVB\tI-VP\tO' -p86189 -aS'done\tdo\tVBN\tI-VP\tO' -p86190 -aS'until\tuntil\tIN\tB-SBAR\tO' -p86191 -aS'he\the\tPRP\tB-NP\tO' -p86192 -aS'was\tbe\tVBD\tB-VP\tO' -p86193 -aS'referred\trefer\tVBN\tI-VP\tO' -p86194 -aS'to\tto\tTO\tB-PP\tO' -p86195 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p86196 -aS'An\tAn\tNNP\tI-NP\tO' -p86197 -aS'.\t.\t.\tO\tO' -p86198 -asS'The patient underwent TAH / BSO , partial omentectomy at CTMC in 10-90 .' -p86199 -(lp86200 -S'The\tThe\tDT\tB-NP\tO' -p86201 -aS'patient\tpatient\tNN\tI-NP\tO' -p86202 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p86203 -aS'TAH\tTAH\tNN\tB-NP\tB-protein' -p86204 -aS'/\t/\tSYM\tB-NP\tO' -p86205 -aS'BSO\tBSO\tNN\tI-NP\tO' -p86206 -aS',\t,\t,\tO\tO' -p86207 -aS'partial\tpartial\tJJ\tB-NP\tO' -p86208 -aS'omentectomy\tomentectomy\tNN\tI-NP\tO' -p86209 -aS'at\tat\tIN\tB-PP\tO' -p86210 -aS'CTMC\tCTMC\tNN\tB-NP\tB-protein' -p86211 -aS'in\tin\tIN\tB-PP\tO' -p86212 -aS'10-90\t10-90\tCD\tB-NP\tO' -p86213 -aS'.\t.\t.\tO\tO' -p86214 -asS'Mr. Pizano is a 75 y/o man who has a PMHx significant for Enterococcus mitral valve endocarditis which has been treated since 09-19 .' -p86215 -(lp86216 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p86217 -aS'Pizano\tPizano\tNNP\tI-NP\tO' -p86218 -aS'is\tbe\tVBZ\tB-VP\tO' -p86219 -aS'a\ta\tDT\tB-NP\tO' -p86220 -aS'75\t75\tCD\tI-NP\tO' -p86221 -aS'y/o\ty/o\tNN\tI-NP\tO' -p86222 -aS'man\tman\tNN\tI-NP\tO' -p86223 -aS'who\twho\tWP\tB-NP\tO' -p86224 -aS'has\thave\tVBZ\tB-VP\tO' -p86225 -aS'a\ta\tDT\tB-NP\tO' -p86226 -aS'PMHx\tPMHx\tNN\tI-NP\tO' -p86227 -aS'significant\tsignificant\tJJ\tB-ADJP\tO' -p86228 -aS'for\tfor\tIN\tB-PP\tO' -p86229 -aS'Enterococcus\tEnterococcus\tNNP\tB-NP\tO' -p86230 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p86231 -aS'valve\tvalve\tNN\tI-NP\tO' -p86232 -aS'endocarditis\tendocarditis\tNN\tI-NP\tO' -p86233 -aS'which\twhich\tWDT\tB-NP\tO' -p86234 -aS'has\thave\tVBZ\tB-VP\tO' -p86235 -aS'been\tbe\tVBN\tI-VP\tO' -p86236 -aS'treated\ttreat\tVBN\tI-VP\tO' -p86237 -aS'since\tsince\tIN\tB-PP\tO' -p86238 -aS'09-19\t09-19\tCD\tB-NP\tO' -p86239 -aS'.\t.\t.\tO\tO' -p86240 -asS'The patient was given printed instructions for dizziness ( English ) .' -p86241 -(lp86242 -S'The\tThe\tDT\tB-NP\tO' -p86243 -aS'patient\tpatient\tNN\tI-NP\tO' -p86244 -aS'was\tbe\tVBD\tB-VP\tO' -p86245 -aS'given\tgive\tVBN\tI-VP\tO' -p86246 -aS'printed\tprint\tVBN\tB-NP\tO' -p86247 -aS'instructions\tinstruction\tNNS\tI-NP\tO' -p86248 -aS'for\tfor\tIN\tB-PP\tO' -p86249 -aS'dizziness\tdizziness\tNN\tB-NP\tO' -p86250 -aS'(\t(\t(\tO\tO' -p86251 -aS'English\tEnglish\tNN\tB-NP\tO' -p86252 -aS')\t)\t)\tO\tO' -p86253 -aS'.\t.\t.\tO\tO' -p86254 -asS'14 ) Epogen 1,000 units subcutaneously three times per week .' -p86255 -(lp86256 -S'14\t14\tCD\tB-NP\tO' -p86257 -aS')\t)\t)\tO\tO' -p86258 -aS'Epogen\tEpogen\tNN\tB-NP\tO' -p86259 -aS'1,000\t1,000\tCD\tB-NP\tO' -p86260 -aS'units\tunit\tNNS\tI-NP\tO' -p86261 -aS'subcutaneously\tsubcutaneously\tRB\tB-ADVP\tO' -p86262 -aS'three\tthree\tCD\tB-NP\tO' -p86263 -aS'times\ttime\tNNS\tI-NP\tO' -p86264 -aS'per\tper\tIN\tB-PP\tO' -p86265 -aS'week\tweek\tNN\tB-NP\tO' -p86266 -aS'.\t.\t.\tO\tO' -p86267 -asS'She was saturating 100% on room air .' -p86268 -(lp86269 -S'She\tShe\tPRP\tB-NP\tO' -p86270 -aS'was\tbe\tVBD\tB-VP\tO' -p86271 -aS'saturating\tsaturate\tVBG\tI-VP\tO' -p86272 -aS'100%\t100%\tCD\tB-NP\tO' -p86273 -aS'on\ton\tIN\tB-PP\tO' -p86274 -aS'room\troom\tNN\tB-NP\tO' -p86275 -aS'air\tair\tNN\tI-NP\tO' -p86276 -aS'.\t.\t.\tO\tO' -p86277 -asS'The infant has not received any blood transfusions this hospitalization .' -p86278 -(lp86279 -S'The\tThe\tDT\tB-NP\tO' -p86280 -aS'infant\tinfant\tNN\tI-NP\tO' -p86281 -aS'has\thave\tVBZ\tB-VP\tO' -p86282 -aS'not\tnot\tRB\tI-VP\tO' -p86283 -aS'received\treceive\tVBN\tI-VP\tO' -p86284 -aS'any\tany\tDT\tB-NP\tO' -p86285 -aS'blood\tblood\tNN\tI-NP\tO' -p86286 -aS'transfusions\ttransfusion\tNNS\tI-NP\tO' -p86287 -aS'this\tthis\tDT\tB-NP\tO' -p86288 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p86289 -aS'.\t.\t.\tO\tO' -p86290 -asS'2 ) DIZZINESS .' -p86291 -(lp86292 -S'2\t2\tLS\tB-LST\tO' -p86293 -aS')\t)\t)\tO\tO' -p86294 -aS'DIZZINESS\tDIZZINESS\tNN\tB-NP\tO' -p86295 -aS'.\t.\t.\tO\tO' -p86296 -asS'Of note , this was at a decreased dose compared to that which he came in on , Coumadin 7.5 , mg , torsemide 100 q.d. , sucralfate , simvastatin , Diovan .' -p86297 -(lp86298 -S'Of\tOf\tIN\tB-PP\tO' -p86299 -aS'note\tnote\tNN\tB-NP\tO' -p86300 -aS',\t,\t,\tO\tO' -p86301 -aS'this\tthis\tDT\tB-NP\tO' -p86302 -aS'was\tbe\tVBD\tB-VP\tO' -p86303 -aS'at\tat\tIN\tB-PP\tO' -p86304 -aS'a\ta\tDT\tB-NP\tO' -p86305 -aS'decreased\tdecrease\tVBN\tI-NP\tO' -p86306 -aS'dose\tdose\tNN\tI-NP\tO' -p86307 -aS'compared\tcompare\tVBN\tB-VP\tO' -p86308 -aS'to\tto\tTO\tB-PP\tO' -p86309 -aS'that\tthat\tDT\tB-NP\tO' -p86310 -aS'which\twhich\tWDT\tB-NP\tO' -p86311 -aS'he\the\tPRP\tB-NP\tO' -p86312 -aS'came\tcome\tVBD\tB-VP\tO' -p86313 -aS'in\tin\tRP\tB-PRT\tO' -p86314 -aS'on\ton\tIN\tB-PP\tO' -p86315 -aS',\t,\t,\tO\tO' -p86316 -aS'Coumadin\tCoumadin\tNNP\tB-NP\tO' -p86317 -aS'7.5\t7.5\tCD\tI-NP\tO' -p86318 -aS',\t,\t,\tO\tO' -p86319 -aS'mg\tmg\tNN\tB-NP\tO' -p86320 -aS',\t,\t,\tO\tO' -p86321 -aS'torsemide\ttorsemide\tNN\tB-NP\tO' -p86322 -aS'100\t100\tCD\tI-NP\tO' -p86323 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p86324 -aS',\t,\t,\tO\tO' -p86325 -aS'sucralfate\tsucralfate\tNN\tB-NP\tO' -p86326 -aS',\t,\t,\tO\tO' -p86327 -aS'simvastatin\tsimvastatin\tNN\tB-NP\tO' -p86328 -aS',\t,\t,\tO\tO' -p86329 -aS'Diovan\tDiovan\tNNP\tB-NP\tO' -p86330 -aS'.\t.\t.\tO\tO' -p86331 -asS'5. Bile leak .' -p86332 -(lp86333 -S'5.\t5.\tLS\tB-NP\tO' -p86334 -aS'Bile\tBile\tNN\tI-NP\tO' -p86335 -aS'leak\tleak\tNN\tI-NP\tO' -p86336 -aS'.\t.\t.\tO\tO' -p86337 -asS"She began enteral feeds on day of life #2 advancing to mother 's breastmilk 30 with ProMod at 150 cc / kg / day ." -p86338 -(lp86339 -S'She\tShe\tPRP\tB-NP\tO' -p86340 -aS'began\tbegin\tVBD\tB-VP\tO' -p86341 -aS'enteral\tenteral\tJJ\tB-NP\tO' -p86342 -aS'feeds\tfeed\tNNS\tI-NP\tO' -p86343 -aS'on\ton\tIN\tB-PP\tO' -p86344 -aS'day\tday\tNN\tB-NP\tO' -p86345 -aS'of\tof\tIN\tB-PP\tO' -p86346 -aS'life\tlife\tNN\tB-NP\tO' -p86347 -aS'#2\t#2\tNN\tI-NP\tO' -p86348 -aS'advancing\tadvance\tVBG\tB-VP\tO' -p86349 -aS'to\tto\tTO\tB-PP\tO' -p86350 -aS'mother\tmother\tNN\tB-NP\tO' -p86351 -aS"'s\t's\tPOS\tB-NP\tO" -p86352 -aS'breastmilk\tbreastmilk\tNN\tI-NP\tO' -p86353 -aS'30\t30\tCD\tI-NP\tO' -p86354 -aS'with\twith\tIN\tB-PP\tO' -p86355 -aS'ProMod\tProMod\tNN\tB-NP\tO' -p86356 -aS'at\tat\tIN\tB-PP\tO' -p86357 -aS'150\t150\tCD\tB-NP\tO' -p86358 -aS'cc\tcc\tNN\tI-NP\tO' -p86359 -aS'/\t/\tSYM\tB-NP\tO' -p86360 -aS'kg\tkg\tNN\tI-NP\tO' -p86361 -aS'/\t/\tSYM\tB-NP\tO' -p86362 -aS'day\tday\tNN\tI-NP\tO' -p86363 -aS'.\t.\t.\tO\tO' -p86364 -asS'However he is able to swallow and tolerate po's .' -p86365 -(lp86366 -S'However\tHowever\tRB\tB-ADVP\tO' -p86367 -aS'he\the\tPRP\tB-NP\tO' -p86368 -aS'is\tbe\tVBZ\tB-VP\tO' -p86369 -aS'able\table\tJJ\tB-ADJP\tO' -p86370 -aS'to\tto\tTO\tB-VP\tO' -p86371 -aS'swallow\tswallow\tVB\tI-VP\tO' -p86372 -aS'and\tand\tCC\tI-VP\tO' -p86373 -aS'tolerate\ttolerate\tVB\tI-VP\tO' -p86374 -aS'po's\tpo'\tNNS\tB-NP\tO' -p86375 -aS'.\t.\t.\tO\tO' -p86376 -asS'This triplet #3 emerged with spontaneous respirations , and required blow-by oxygen in the delivery room .' -p86377 -(lp86378 -S'This\tThis\tDT\tB-NP\tO' -p86379 -aS'triplet\ttriplet\tJJ\tI-NP\tO' -p86380 -aS'#3\t#3\tNN\tI-NP\tO' -p86381 -aS'emerged\temerge\tVBD\tB-VP\tO' -p86382 -aS'with\twith\tIN\tB-PP\tO' -p86383 -aS'spontaneous\tspontaneous\tJJ\tB-NP\tO' -p86384 -aS'respirations\trespiration\tNNS\tI-NP\tO' -p86385 -aS',\t,\t,\tO\tO' -p86386 -aS'and\tand\tCC\tO\tO' -p86387 -aS'required\trequire\tVBD\tB-VP\tO' -p86388 -aS'blow-by\tblow-by\tJJ\tB-NP\tO' -p86389 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p86390 -aS'in\tin\tIN\tB-PP\tO' -p86391 -aS'the\tthe\tDT\tB-NP\tO' -p86392 -aS'delivery\tdelivery\tNN\tI-NP\tO' -p86393 -aS'room\troom\tNN\tI-NP\tO' -p86394 -aS'.\t.\t.\tO\tO' -p86395 -asS'It was a very high risk in very poor condition and a cachectic malnourished edematous individuals who have very high venous pressures and shortness of breath .' -p86396 -(lp86397 -S'It\tIt\tPRP\tB-NP\tO' -p86398 -aS'was\tbe\tVBD\tB-VP\tO' -p86399 -aS'a\ta\tDT\tB-NP\tO' -p86400 -aS'very\tvery\tRB\tI-NP\tO' -p86401 -aS'high\thigh\tJJ\tI-NP\tO' -p86402 -aS'risk\trisk\tNN\tI-NP\tO' -p86403 -aS'in\tin\tIN\tB-PP\tO' -p86404 -aS'very\tvery\tRB\tB-NP\tO' -p86405 -aS'poor\tpoor\tJJ\tI-NP\tO' -p86406 -aS'condition\tcondition\tNN\tI-NP\tO' -p86407 -aS'and\tand\tCC\tO\tO' -p86408 -aS'a\ta\tDT\tB-NP\tO' -p86409 -aS'cachectic\tcachectic\tJJ\tI-NP\tO' -p86410 -aS'malnourished\tmalnourished\tJJ\tI-NP\tO' -p86411 -aS'edematous\tedematous\tJJ\tI-NP\tO' -p86412 -aS'individuals\tindividual\tNNS\tI-NP\tO' -p86413 -aS'who\twho\tWP\tB-NP\tO' -p86414 -aS'have\thave\tVBP\tB-VP\tO' -p86415 -aS'very\tvery\tRB\tB-NP\tO' -p86416 -aS'high\thigh\tJJ\tI-NP\tO' -p86417 -aS'venous\tvenous\tJJ\tI-NP\tO' -p86418 -aS'pressures\tpressure\tNNS\tI-NP\tO' -p86419 -aS'and\tand\tCC\tO\tO' -p86420 -aS'shortness\tshortness\tNN\tB-NP\tO' -p86421 -aS'of\tof\tIN\tB-PP\tO' -p86422 -aS'breath\tbreath\tNN\tB-NP\tO' -p86423 -aS'.\t.\t.\tO\tO' -p86424 -asS'significant for a white blood count of 6.0 , hematocrit 35.9 , electrolytes within normal limits , BUN and creatinine of 13 and 0.8 , amylase of 56 .' -p86425 -(lp86426 -S'significant\tsignificant\tJJ\tB-ADJP\tO' -p86427 -aS'for\tfor\tIN\tB-PP\tO' -p86428 -aS'a\ta\tDT\tB-NP\tO' -p86429 -aS'white\twhite\tJJ\tI-NP\tO' -p86430 -aS'blood\tblood\tNN\tI-NP\tO' -p86431 -aS'count\tcount\tNN\tI-NP\tO' -p86432 -aS'of\tof\tIN\tB-PP\tO' -p86433 -aS'6.0\t6.0\tCD\tB-NP\tO' -p86434 -aS',\t,\t,\tO\tO' -p86435 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p86436 -aS'35.9\t35.9\tCD\tI-NP\tI-protein' -p86437 -aS',\t,\t,\tO\tO' -p86438 -aS'electrolytes\telectrolyte\tNNS\tB-NP\tO' -p86439 -aS'within\twithin\tIN\tB-PP\tO' -p86440 -aS'normal\tnormal\tJJ\tB-NP\tO' -p86441 -aS'limits\tlimit\tNNS\tI-NP\tO' -p86442 -aS',\t,\t,\tO\tO' -p86443 -aS'BUN\tBUN\tNN\tB-NP\tB-protein' -p86444 -aS'and\tand\tCC\tI-NP\tO' -p86445 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p86446 -aS'of\tof\tIN\tB-PP\tO' -p86447 -aS'13\t13\tCD\tB-NP\tO' -p86448 -aS'and\tand\tCC\tI-NP\tO' -p86449 -aS'0.8\t0.8\tCD\tI-NP\tO' -p86450 -aS',\t,\t,\tO\tO' -p86451 -aS'amylase\tamylase\tNN\tB-NP\tB-protein' -p86452 -aS'of\tof\tIN\tB-PP\tO' -p86453 -aS'56\t56\tCD\tB-NP\tO' -p86454 -aS'.\t.\t.\tO\tO' -p86455 -asS'They attributed it to polypharmacy , recent infection ( pneumonia ) and insomnia .' -p86456 -(lp86457 -S'They\tThey\tPRP\tB-NP\tO' -p86458 -aS'attributed\tattribute\tVBD\tB-VP\tO' -p86459 -aS'it\tit\tPRP\tB-NP\tO' -p86460 -aS'to\tto\tTO\tB-PP\tO' -p86461 -aS'polypharmacy\tpolypharmacy\tNN\tB-NP\tO' -p86462 -aS',\t,\t,\tO\tO' -p86463 -aS'recent\trecent\tJJ\tB-NP\tO' -p86464 -aS'infection\tinfection\tNN\tI-NP\tO' -p86465 -aS'(\t(\t(\tO\tO' -p86466 -aS'pneumonia\tpneumonia\tNN\tB-NP\tO' -p86467 -aS')\t)\t)\tO\tO' -p86468 -aS'and\tand\tCC\tO\tO' -p86469 -aS'insomnia\tinsomnia\tNN\tB-NP\tO' -p86470 -aS'.\t.\t.\tO\tO' -p86471 -asS'Call 415 9374 to schedule an appointment .' -p86472 -(lp86473 -S'Call\tCall\tVB\tB-NP\tO' -p86474 -aS'415\t415\tCD\tB-NP\tO' -p86475 -aS'9374\t9374\tCD\tI-NP\tO' -p86476 -aS'to\tto\tTO\tB-VP\tO' -p86477 -aS'schedule\tschedule\tVB\tI-VP\tO' -p86478 -aS'an\tan\tDT\tB-NP\tO' -p86479 -aS'appointment\tappointment\tNN\tI-NP\tO' -p86480 -aS'.\t.\t.\tO\tO' -p86481 -asS'Hematology / Infectious Disease .' -p86482 -(lp86483 -S'Hematology\tHematology\tNN\tB-NP\tO' -p86484 -aS'/\t/\tSYM\tI-NP\tO' -p86485 -aS'Infectious\tInfectious\tJJ\tI-NP\tO' -p86486 -aS'Disease\tDisease\tNN\tI-NP\tO' -p86487 -aS'.\t.\t.\tO\tO' -p86488 -asS'cont asa , statin , plavix , bblkr .' -p86489 -(lp86490 -S'cont\tcont\tJJ\tB-NP\tO' -p86491 -aS'asa\tasa\tNN\tI-NP\tO' -p86492 -aS',\t,\t,\tO\tO' -p86493 -aS'statin\tstatin\tNN\tB-NP\tO' -p86494 -aS',\t,\t,\tO\tO' -p86495 -aS'plavix\tplavix\tNN\tB-NP\tO' -p86496 -aS',\t,\t,\tO\tO' -p86497 -aS'bblkr\tbblkr\tNN\tB-NP\tO' -p86498 -aS'.\t.\t.\tO\tO' -p86499 -asS'The right arm shows moderate increased tone .' -p86500 -(lp86501 -S'The\tThe\tDT\tB-NP\tO' -p86502 -aS'right\tright\tJJ\tI-NP\tO' -p86503 -aS'arm\tarm\tNN\tI-NP\tO' -p86504 -aS'shows\tshow\tVBZ\tB-VP\tO' -p86505 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p86506 -aS'increased\tincrease\tVBN\tI-NP\tO' -p86507 -aS'tone\ttone\tNN\tI-NP\tO' -p86508 -aS'.\t.\t.\tO\tO' -p86509 -asS'Infant decreased to single phototherapy and phototherapy was discontinued on day of life six .' -p86510 -(lp86511 -S'Infant\tInfant\tNNP\tB-NP\tO' -p86512 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p86513 -aS'to\tto\tTO\tB-PP\tO' -p86514 -aS'single\tsingle\tJJ\tB-NP\tO' -p86515 -aS'phototherapy\tphototherapy\tNN\tI-NP\tO' -p86516 -aS'and\tand\tCC\tI-NP\tO' -p86517 -aS'phototherapy\tphototherapy\tNN\tI-NP\tO' -p86518 -aS'was\tbe\tVBD\tB-VP\tO' -p86519 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p86520 -aS'on\ton\tIN\tB-PP\tO' -p86521 -aS'day\tday\tNN\tB-NP\tO' -p86522 -aS'of\tof\tIN\tB-PP\tO' -p86523 -aS'life\tlife\tNN\tB-NP\tO' -p86524 -aS'six\tsix\tCD\tI-NP\tO' -p86525 -aS'.\t.\t.\tO\tO' -p86526 -asS'Neuro : Developed confusion during her first 5 days in the ICU .' -p86527 -(lp86528 -S'Neuro\tNeuro\tNNP\tB-NP\tO' -p86529 -aS':\t:\t:\tO\tO' -p86530 -aS'Developed\tDevelop\tVBN\tB-NP\tO' -p86531 -aS'confusion\tconfusion\tNN\tI-NP\tO' -p86532 -aS'during\tduring\tIN\tB-PP\tO' -p86533 -aS'her\ther\tPRP$\tB-NP\tO' -p86534 -aS'first\tfirst\tJJ\tI-NP\tO' -p86535 -aS'5\t5\tCD\tI-NP\tO' -p86536 -aS'days\tday\tNNS\tI-NP\tO' -p86537 -aS'in\tin\tIN\tB-PP\tO' -p86538 -aS'the\tthe\tDT\tB-NP\tO' -p86539 -aS'ICU\tICU\tNN\tI-NP\tB-DNA' -p86540 -aS'.\t.\t.\tO\tO' -p86541 -asS'Per OMR , h/o sporadic marijuana use .' -p86542 -(lp86543 -S'Per\tPer\tNNP\tB-NP\tO' -p86544 -aS'OMR\tOMR\tNNP\tI-NP\tO' -p86545 -aS',\t,\t,\tO\tO' -p86546 -aS'h/o\th/o\tJJ\tB-NP\tO' -p86547 -aS'sporadic\tsporadic\tJJ\tI-NP\tO' -p86548 -aS'marijuana\tmarijuana\tNN\tI-NP\tO' -p86549 -aS'use\tuse\tNN\tI-NP\tO' -p86550 -aS'.\t.\t.\tO\tO' -p86551 -asS'From a heme standpoint , he presented anemic and with an elevated PT INR .' -p86552 -(lp86553 -S'From\tFrom\tIN\tB-PP\tO' -p86554 -aS'a\ta\tDT\tB-NP\tO' -p86555 -aS'heme\theme\tNN\tI-NP\tO' -p86556 -aS'standpoint\tstandpoint\tNN\tI-NP\tO' -p86557 -aS',\t,\t,\tO\tO' -p86558 -aS'he\the\tPRP\tB-NP\tO' -p86559 -aS'presented\tpresent\tVBD\tB-VP\tO' -p86560 -aS'anemic\tanemic\tJJ\tB-ADJP\tO' -p86561 -aS'and\tand\tCC\tO\tO' -p86562 -aS'with\twith\tIN\tB-PP\tO' -p86563 -aS'an\tan\tDT\tB-NP\tO' -p86564 -aS'elevated\televated\tJJ\tI-NP\tO' -p86565 -aS'PT\tPT\tNN\tI-NP\tB-protein' -p86566 -aS'INR\tINR\tNN\tI-NP\tI-protein' -p86567 -aS'.\t.\t.\tO\tO' -p86568 -asS'She had no murmurs and no gallops .' -p86569 -(lp86570 -S'She\tShe\tPRP\tB-NP\tO' -p86571 -aS'had\thave\tVBD\tB-VP\tO' -p86572 -aS'no\tno\tDT\tB-NP\tO' -p86573 -aS'murmurs\tmurmur\tNNS\tI-NP\tO' -p86574 -aS'and\tand\tCC\tO\tO' -p86575 -aS'no\tno\tDT\tB-NP\tO' -p86576 -aS'gallops\tgallop\tNNS\tI-NP\tO' -p86577 -aS'.\t.\t.\tO\tO' -p86578 -asS'He went to Sondi Memorial where he ruled out for myocardial infarction and was found to have a left lower lobe infiltrate / pneumonia , started on cefuroxime .' -p86579 -(lp86580 -S'He\tHe\tPRP\tB-NP\tO' -p86581 -aS'went\tgo\tVBD\tB-VP\tO' -p86582 -aS'to\tto\tTO\tB-PP\tO' -p86583 -aS'Sondi\tSondi\tNNP\tB-NP\tO' -p86584 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p86585 -aS'where\twhere\tWRB\tB-ADVP\tO' -p86586 -aS'he\the\tPRP\tB-NP\tO' -p86587 -aS'ruled\trule\tVBD\tB-VP\tO' -p86588 -aS'out\tout\tRP\tB-PRT\tO' -p86589 -aS'for\tfor\tIN\tB-PP\tO' -p86590 -aS'myocardial\tmyocardial\tJJ\tB-NP\tO' -p86591 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p86592 -aS'and\tand\tCC\tO\tO' -p86593 -aS'was\tbe\tVBD\tB-VP\tO' -p86594 -aS'found\tfind\tVBN\tI-VP\tO' -p86595 -aS'to\tto\tTO\tI-VP\tO' -p86596 -aS'have\thave\tVB\tI-VP\tO' -p86597 -aS'a\ta\tDT\tB-NP\tO' -p86598 -aS'left\tleft\tJJ\tI-NP\tO' -p86599 -aS'lower\tlow\tJJR\tI-NP\tO' -p86600 -aS'lobe\tlobe\tNN\tI-NP\tO' -p86601 -aS'infiltrate\tinfiltrate\tNN\tI-NP\tO' -p86602 -aS'/\t/\tSYM\tB-NP\tO' -p86603 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p86604 -aS',\t,\t,\tO\tO' -p86605 -aS'started\tstart\tVBN\tB-VP\tO' -p86606 -aS'on\ton\tIN\tB-PP\tO' -p86607 -aS'cefuroxime\tcefuroxime\tNN\tB-NP\tO' -p86608 -aS'.\t.\t.\tO\tO' -p86609 -asS'LVEF >70% , LA 6.1 cm , no regional wall motion abnormality .' -p86610 -(lp86611 -S'LVEF\tLVEF\tNN\tB-NP\tB-protein' -p86612 -aS'>70%\t>70%\tNN\tI-NP\tI-protein' -p86613 -aS',\t,\t,\tO\tO' -p86614 -aS'LA\tLA\tNN\tB-NP\tO' -p86615 -aS'6.1\t6.1\tCD\tI-NP\tO' -p86616 -aS'cm\tcm\tNN\tI-NP\tO' -p86617 -aS',\t,\t,\tO\tO' -p86618 -aS'no\tno\tDT\tB-NP\tO' -p86619 -aS'regional\tregional\tJJ\tI-NP\tO' -p86620 -aS'wall\twall\tNN\tI-NP\tO' -p86621 -aS'motion\tmotion\tNN\tI-NP\tO' -p86622 -aS'abnormality\tabnormality\tNN\tI-NP\tO' -p86623 -aS'.\t.\t.\tO\tO' -p86624 -asS'He fell 15-20 feet onto concrete , denies any loss of consiousness .' -p86625 -(lp86626 -S'He\tHe\tPRP\tB-NP\tO' -p86627 -aS'fell\tfall\tVBD\tB-VP\tO' -p86628 -aS'15-20\t15-20\tCD\tB-NP\tO' -p86629 -aS'feet\tfoot\tNNS\tI-NP\tO' -p86630 -aS'onto\tonto\tIN\tB-PP\tO' -p86631 -aS'concrete\tconcrete\tNN\tB-NP\tO' -p86632 -aS',\t,\t,\tO\tO' -p86633 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p86634 -aS'any\tany\tDT\tB-NP\tO' -p86635 -aS'loss\tloss\tNN\tI-NP\tO' -p86636 -aS'of\tof\tIN\tB-PP\tO' -p86637 -aS'consiousness\tconsiousness\tNN\tB-NP\tO' -p86638 -aS'.\t.\t.\tO\tO' -p86639 -asS'She had no temperature spikes in greater then 24 hours at the time of discharge .' -p86640 -(lp86641 -S'She\tShe\tPRP\tB-NP\tO' -p86642 -aS'had\thave\tVBD\tB-VP\tO' -p86643 -aS'no\tno\tDT\tB-NP\tO' -p86644 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p86645 -aS'spikes\tspike\tVBZ\tB-VP\tO' -p86646 -aS'in\tin\tIN\tB-PP\tO' -p86647 -aS'greater\tgreat\tJJR\tB-NP\tO' -p86648 -aS'then\tthen\tRB\tI-NP\tO' -p86649 -aS'24\t24\tCD\tI-NP\tO' -p86650 -aS'hours\thour\tNNS\tI-NP\tO' -p86651 -aS'at\tat\tIN\tB-PP\tO' -p86652 -aS'the\tthe\tDT\tB-NP\tO' -p86653 -aS'time\ttime\tNN\tI-NP\tO' -p86654 -aS'of\tof\tIN\tB-PP\tO' -p86655 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p86656 -aS'.\t.\t.\tO\tO' -p86657 -asS'At this point she had an elevated CA 125 at 440 and came to Dr. Chabechird for further consultation .' -p86658 -(lp86659 -S'At\tAt\tIN\tB-PP\tO' -p86660 -aS'this\tthis\tDT\tB-NP\tO' -p86661 -aS'point\tpoint\tNN\tI-NP\tO' -p86662 -aS'she\tshe\tPRP\tB-NP\tO' -p86663 -aS'had\thave\tVBD\tB-VP\tO' -p86664 -aS'an\tan\tDT\tB-NP\tO' -p86665 -aS'elevated\televated\tJJ\tI-NP\tO' -p86666 -aS'CA\tCA\tNN\tI-NP\tO' -p86667 -aS'125\t125\tCD\tI-NP\tO' -p86668 -aS'at\tat\tIN\tB-PP\tO' -p86669 -aS'440\t440\tCD\tB-NP\tO' -p86670 -aS'and\tand\tCC\tO\tO' -p86671 -aS'came\tcome\tVBD\tB-VP\tO' -p86672 -aS'to\tto\tTO\tB-PP\tO' -p86673 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p86674 -aS'Chabechird\tChabechird\tNNP\tI-NP\tO' -p86675 -aS'for\tfor\tIN\tB-PP\tO' -p86676 -aS'further\tfurther\tJJ\tB-NP\tO' -p86677 -aS'consultation\tconsultation\tNN\tI-NP\tO' -p86678 -aS'.\t.\t.\tO\tO' -p86679 -asS'This is a gentleman who is intubated , comfortable , with minimal sedation .' -p86680 -(lp86681 -S'This\tThis\tDT\tB-NP\tO' -p86682 -aS'is\tbe\tVBZ\tB-VP\tO' -p86683 -aS'a\ta\tDT\tB-NP\tO' -p86684 -aS'gentleman\tgentleman\tNN\tI-NP\tO' -p86685 -aS'who\twho\tWP\tB-NP\tO' -p86686 -aS'is\tbe\tVBZ\tB-VP\tO' -p86687 -aS'intubated\tintubated\tJJ\tB-ADJP\tO' -p86688 -aS',\t,\t,\tO\tO' -p86689 -aS'comfortable\tcomfortable\tJJ\tB-ADJP\tO' -p86690 -aS',\t,\t,\tO\tO' -p86691 -aS'with\twith\tIN\tB-PP\tO' -p86692 -aS'minimal\tminimal\tJJ\tB-NP\tO' -p86693 -aS'sedation\tsedation\tNN\tI-NP\tO' -p86694 -aS'.\t.\t.\tO\tO' -p86695 -asS'1. Menthol - Cetylpyridinium lozenges 1 as needed .' -p86696 -(lp86697 -S'1.\t1.\tLS\tB-NP\tO' -p86698 -aS'Menthol\tMenthol\tNN\tI-NP\tO' -p86699 -aS'-\t-\tHYPH\tO\tO' -p86700 -aS'Cetylpyridinium\tCetylpyridinium\tNN\tB-NP\tO' -p86701 -aS'lozenges\tlozenge\tNNS\tI-NP\tO' -p86702 -aS'1\t1\tCD\tB-NP\tO' -p86703 -aS'as\tas\tIN\tB-SBAR\tO' -p86704 -aS'needed\tneed\tVBN\tB-VP\tO' -p86705 -aS'.\t.\t.\tO\tO' -p86706 -asS'Hypothyroidism .' -p86707 -(lp86708 -S'Hypothyroidism\tHypothyroidism\tNN\tB-NP\tO' -p86709 -aS'.\t.\t.\tO\tO' -p86710 -asS'5. ID .' -p86711 -(lp86712 -S'5.\t5.\tLS\tB-NP\tO' -p86713 -aS'ID\tID\tNN\tI-NP\tO' -p86714 -aS'.\t.\t.\tO\tO' -p86715 -asS'The bleeding has stopped and you have remained hemodynamically stable and your hematocrit is stable , but you are at risk of bleeding from this source again with anticoagulation .' -p86716 -(lp86717 -S'The\tThe\tDT\tB-NP\tO' -p86718 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p86719 -aS'has\thave\tVBZ\tB-VP\tO' -p86720 -aS'stopped\tstop\tVBN\tI-VP\tO' -p86721 -aS'and\tand\tCC\tO\tO' -p86722 -aS'you\tyou\tPRP\tB-NP\tO' -p86723 -aS'have\thave\tVBP\tB-VP\tO' -p86724 -aS'remained\tremain\tVBN\tI-VP\tO' -p86725 -aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' -p86726 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p86727 -aS'and\tand\tCC\tO\tO' -p86728 -aS'your\tyour\tPRP$\tB-NP\tO' -p86729 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p86730 -aS'is\tbe\tVBZ\tB-VP\tO' -p86731 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p86732 -aS',\t,\t,\tO\tO' -p86733 -aS'but\tbut\tCC\tO\tO' -p86734 -aS'you\tyou\tPRP\tB-NP\tO' -p86735 -aS'are\tbe\tVBP\tB-VP\tO' -p86736 -aS'at\tat\tIN\tB-PP\tO' -p86737 -aS'risk\trisk\tNN\tB-NP\tO' -p86738 -aS'of\tof\tIN\tB-PP\tO' -p86739 -aS'bleeding\tbleed\tVBG\tB-VP\tO' -p86740 -aS'from\tfrom\tIN\tB-PP\tO' -p86741 -aS'this\tthis\tDT\tB-NP\tO' -p86742 -aS'source\tsource\tNN\tI-NP\tO' -p86743 -aS'again\tagain\tRB\tB-ADVP\tO' -p86744 -aS'with\twith\tIN\tB-PP\tO' -p86745 -aS'anticoagulation\tanticoagulation\tNN\tB-NP\tO' -p86746 -aS'.\t.\t.\tO\tO' -p86747 -asS'4. Lasix 20 mg q.d. times two weeks .' -p86748 -(lp86749 -S'4.\t4.\tLS\tB-NP\tO' -p86750 -aS'Lasix\tLasix\tNNP\tI-NP\tO' -p86751 -aS'20\t20\tCD\tI-NP\tO' -p86752 -aS'mg\tmg\tNN\tI-NP\tO' -p86753 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p86754 -aS'times\ttime\tNNS\tI-NP\tO' -p86755 -aS'two\ttwo\tCD\tB-NP\tO' -p86756 -aS'weeks\tweek\tNNS\tI-NP\tO' -p86757 -aS'.\t.\t.\tO\tO' -p86758 -asS'Mitral stenosis , tricuspid regurgitation , heart failure , chronic atrial fibrillation , chronic ventricular ectopy , chronic obstructive pulmonary disease .' -p86759 -(lp86760 -S'Mitral\tMitral\tJJ\tB-NP\tO' -p86761 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p86762 -aS',\t,\t,\tO\tO' -p86763 -aS'tricuspid\ttricuspid\tJJ\tB-NP\tO' -p86764 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p86765 -aS',\t,\t,\tO\tO' -p86766 -aS'heart\theart\tNN\tB-NP\tO' -p86767 -aS'failure\tfailure\tNN\tI-NP\tO' -p86768 -aS',\t,\t,\tO\tO' -p86769 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p86770 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p86771 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p86772 -aS',\t,\t,\tO\tO' -p86773 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p86774 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p86775 -aS'ectopy\tectopy\tNN\tI-NP\tO' -p86776 -aS',\t,\t,\tO\tO' -p86777 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p86778 -aS'obstructive\tobstructive\tJJ\tI-NP\tO' -p86779 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p86780 -aS'disease\tdisease\tNN\tI-NP\tO' -p86781 -aS'.\t.\t.\tO\tO' -p86782 -asS'The patient could not undergo an MRI due to his pacer .' -p86783 -(lp86784 -S'The\tThe\tDT\tB-NP\tO' -p86785 -aS'patient\tpatient\tNN\tI-NP\tO' -p86786 -aS'could\tcould\tMD\tB-VP\tO' -p86787 -aS'not\tnot\tRB\tI-VP\tO' -p86788 -aS'undergo\tundergo\tVB\tI-VP\tO' -p86789 -aS'an\tan\tDT\tB-NP\tO' -p86790 -aS'MRI\tMRI\tNN\tI-NP\tO' -p86791 -aS'due\tdue\tJJ\tB-ADJP\tO' -p86792 -aS'to\tto\tTO\tB-PP\tO' -p86793 -aS'his\this\tPRP$\tB-NP\tO' -p86794 -aS'pacer\tpacer\tNN\tI-NP\tO' -p86795 -aS'.\t.\t.\tO\tO' -p86796 -asS'The electrocardiogram is otherwise , unchanged and continues to Weymouth voltage in the limb leads and non-specific ST-T wave abnormalities .' -p86797 -(lp86798 -S'The\tThe\tDT\tB-NP\tO' -p86799 -aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' -p86800 -aS'is\tbe\tVBZ\tB-VP\tO' -p86801 -aS'otherwise\totherwise\tRB\tB-ADVP\tO' -p86802 -aS',\t,\t,\tO\tO' -p86803 -aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' -p86804 -aS'and\tand\tCC\tO\tO' -p86805 -aS'continues\tcontinue\tVBZ\tB-VP\tO' -p86806 -aS'to\tto\tTO\tB-PP\tO' -p86807 -aS'Weymouth\tWeymouth\tNNP\tB-NP\tO' -p86808 -aS'voltage\tvoltage\tNN\tI-NP\tO' -p86809 -aS'in\tin\tIN\tB-PP\tO' -p86810 -aS'the\tthe\tDT\tB-NP\tO' -p86811 -aS'limb\tlimb\tNN\tI-NP\tO' -p86812 -aS'leads\tlead\tVBZ\tB-VP\tO' -p86813 -aS'and\tand\tCC\tO\tO' -p86814 -aS'non-specific\tnon-specific\tJJ\tB-NP\tO' -p86815 -aS'ST-T\tST-T\tNN\tI-NP\tO' -p86816 -aS'wave\twave\tNN\tI-NP\tO' -p86817 -aS'abnormalities\tabnormality\tNNS\tI-NP\tO' -p86818 -aS'.\t.\t.\tO\tO' -p86819 -asS'The patient was in her usual state of health until about three weeks prior to admission when she began to notice increased weakness and bruising .' -p86820 -(lp86821 -S'The\tThe\tDT\tB-NP\tO' -p86822 -aS'patient\tpatient\tNN\tI-NP\tO' -p86823 -aS'was\tbe\tVBD\tB-VP\tO' -p86824 -aS'in\tin\tIN\tB-PP\tO' -p86825 -aS'her\ther\tPRP$\tB-NP\tO' -p86826 -aS'usual\tusual\tJJ\tI-NP\tO' -p86827 -aS'state\tstate\tNN\tI-NP\tO' -p86828 -aS'of\tof\tIN\tB-PP\tO' -p86829 -aS'health\thealth\tNN\tB-NP\tO' -p86830 -aS'until\tuntil\tIN\tB-SBAR\tO' -p86831 -aS'about\tabout\tIN\tB-NP\tO' -p86832 -aS'three\tthree\tCD\tI-NP\tO' -p86833 -aS'weeks\tweek\tNNS\tI-NP\tO' -p86834 -aS'prior\tprior\tRB\tB-ADVP\tO' -p86835 -aS'to\tto\tTO\tB-PP\tO' -p86836 -aS'admission\tadmission\tNN\tB-NP\tO' -p86837 -aS'when\twhen\tWRB\tB-ADVP\tO' -p86838 -aS'she\tshe\tPRP\tB-NP\tO' -p86839 -aS'began\tbegin\tVBD\tB-VP\tO' -p86840 -aS'to\tto\tTO\tI-VP\tO' -p86841 -aS'notice\tnotice\tVB\tI-VP\tO' -p86842 -aS'increased\tincrease\tVBN\tB-NP\tO' -p86843 -aS'weakness\tweakness\tNN\tI-NP\tO' -p86844 -aS'and\tand\tCC\tI-NP\tO' -p86845 -aS'bruising\tbruising\tNN\tI-NP\tO' -p86846 -aS'.\t.\t.\tO\tO' -p86847 -asS'Hypotension - On the night of 10-16 , the patient was diuresed with 20 mg of intravenous Lasix .' -p86848 -(lp86849 -S'Hypotension\tHypotension\tNN\tB-NP\tO' -p86850 -aS'-\t-\tHYPH\tB-ADJP\tO' -p86851 -aS'On\tOn\tIN\tB-PP\tO' -p86852 -aS'the\tthe\tDT\tB-NP\tO' -p86853 -aS'night\tnight\tNN\tI-NP\tO' -p86854 -aS'of\tof\tIN\tB-PP\tO' -p86855 -aS'10-16\t10-16\tCD\tB-NP\tO' -p86856 -aS',\t,\t,\tO\tO' -p86857 -aS'the\tthe\tDT\tB-NP\tO' -p86858 -aS'patient\tpatient\tNN\tI-NP\tO' -p86859 -aS'was\tbe\tVBD\tB-VP\tO' -p86860 -aS'diuresed\tdiurese\tVBN\tI-VP\tO' -p86861 -aS'with\twith\tIN\tB-PP\tO' -p86862 -aS'20\t20\tCD\tB-NP\tO' -p86863 -aS'mg\tmg\tNN\tI-NP\tO' -p86864 -aS'of\tof\tIN\tB-PP\tO' -p86865 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p86866 -aS'Lasix\tLasix\tNNP\tI-NP\tO' -p86867 -aS'.\t.\t.\tO\tO' -p86868 -asS'15-20 pky h/o smoking , quit 15 yrs ago' -p86869 -(lp86870 -S'15-20\t15-20\tCD\tB-NP\tO' -p86871 -aS'pky\tpky\tJJ\tI-NP\tO' -p86872 -aS'h/o\th/o\tNN\tI-NP\tO' -p86873 -aS'smoking\tsmoking\tNN\tI-NP\tO' -p86874 -aS',\t,\t,\tO\tO' -p86875 -aS'quit\tquit\tVBD\tB-VP\tO' -p86876 -aS'15\t15\tCD\tB-NP\tO' -p86877 -aS'yrs\tyr\tNNS\tI-NP\tO' -p86878 -aS'ago\tago\tIN\tB-ADVP\tO' -p86879 -asS'The abdomen is soft , nontender , nondistended .' -p86880 -(lp86881 -S'The\tThe\tDT\tB-NP\tO' -p86882 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p86883 -aS'is\tbe\tVBZ\tB-VP\tO' -p86884 -aS'soft\tsoft\tJJ\tB-NP\tO' -p86885 -aS',\t,\t,\tI-NP\tO' -p86886 -aS'nontender\tnontender\tJJ\tI-NP\tO' -p86887 -aS',\t,\t,\tI-NP\tO' -p86888 -aS'nondistended\tnondistended\tJJ\tI-NP\tO' -p86889 -aS'.\t.\t.\tO\tO' -p86890 -asS'The cardiopulmonary bypass time was one hour and 49 minutes .' -p86891 -(lp86892 -S'The\tThe\tDT\tB-NP\tO' -p86893 -aS'cardiopulmonary\tcardiopulmonary\tJJ\tI-NP\tO' -p86894 -aS'bypass\tbypass\tNN\tI-NP\tO' -p86895 -aS'time\ttime\tNN\tI-NP\tO' -p86896 -aS'was\tbe\tVBD\tB-VP\tO' -p86897 -aS'one\tone\tCD\tB-NP\tO' -p86898 -aS'hour\thour\tNN\tI-NP\tO' -p86899 -aS'and\tand\tCC\tO\tO' -p86900 -aS'49\t49\tCD\tB-NP\tO' -p86901 -aS'minutes\tminute\tNNS\tI-NP\tO' -p86902 -aS'.\t.\t.\tO\tO' -p86903 -asS'Urachal duct remnant .' -p86904 -(lp86905 -S'Urachal\tUrachal\tJJ\tB-NP\tO' -p86906 -aS'duct\tduct\tNN\tI-NP\tO' -p86907 -aS'remnant\tremnant\tNN\tI-NP\tO' -p86908 -aS'.\t.\t.\tO\tO' -p86909 -asS'She visits her daughter once a week .' -p86910 -(lp86911 -S'She\tShe\tPRP\tB-NP\tO' -p86912 -aS'visits\tvisit\tVBZ\tB-VP\tO' -p86913 -aS'her\ther\tPRP$\tB-NP\tO' -p86914 -aS'daughter\tdaughter\tNN\tI-NP\tO' -p86915 -aS'once\tonce\tIN\tB-SBAR\tO' -p86916 -aS'a\ta\tDT\tB-NP\tO' -p86917 -aS'week\tweek\tNN\tI-NP\tO' -p86918 -aS'.\t.\t.\tO\tO' -p86919 -asS'Examination showed regular rate and rhythm with no S3 or S4 heard and a grade II/VI holosystolic murmur loudest at the left sternal border .' -p86920 -(lp86921 -S'Examination\tExamination\tNN\tB-NP\tO' -p86922 -aS'showed\tshow\tVBD\tB-VP\tO' -p86923 -aS'regular\tregular\tJJ\tB-NP\tO' -p86924 -aS'rate\trate\tNN\tI-NP\tO' -p86925 -aS'and\tand\tCC\tO\tO' -p86926 -aS'rhythm\trhythm\tNN\tB-NP\tO' -p86927 -aS'with\twith\tIN\tB-PP\tO' -p86928 -aS'no\tno\tDT\tB-NP\tO' -p86929 -aS'S3\tS3\tNN\tI-NP\tB-protein' -p86930 -aS'or\tor\tCC\tI-NP\tO' -p86931 -aS'S4\tS4\tNN\tI-NP\tO' -p86932 -aS'heard\theard\tNN\tI-NP\tO' -p86933 -aS'and\tand\tCC\tO\tO' -p86934 -aS'a\ta\tDT\tB-NP\tO' -p86935 -aS'grade\tgrade\tNN\tI-NP\tO' -p86936 -aS'II/VI\tII/VI\tNN\tI-NP\tO' -p86937 -aS'holosystolic\tholosystolic\tJJ\tI-NP\tO' -p86938 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p86939 -aS'loudest\tloud\tJJS\tB-ADJP\tO' -p86940 -aS'at\tat\tIN\tB-PP\tO' -p86941 -aS'the\tthe\tDT\tB-NP\tO' -p86942 -aS'left\tleft\tJJ\tI-NP\tO' -p86943 -aS'sternal\tsternal\tJJ\tI-NP\tO' -p86944 -aS'border\tborder\tNN\tI-NP\tO' -p86945 -aS'.\t.\t.\tO\tO' -p86946 -asS'The patient is fully paced .' -p86947 -(lp86948 -S'The\tThe\tDT\tB-NP\tO' -p86949 -aS'patient\tpatient\tNN\tI-NP\tO' -p86950 -aS'is\tbe\tVBZ\tB-VP\tO' -p86951 -aS'fully\tfully\tRB\tI-VP\tO' -p86952 -aS'paced\tpace\tVBN\tI-VP\tO' -p86953 -aS'.\t.\t.\tO\tO' -p86954 -asS'Specifically , there was no decrease in the initial gain that she achieved after directional atherectomy .' -p86955 -(lp86956 -S'Specifically\tSpecifically\tRB\tB-ADVP\tO' -p86957 -aS',\t,\t,\tO\tO' -p86958 -aS'there\tthere\tEX\tB-NP\tO' -p86959 -aS'was\tbe\tVBD\tB-VP\tO' -p86960 -aS'no\tno\tDT\tB-NP\tO' -p86961 -aS'decrease\tdecrease\tNN\tI-NP\tO' -p86962 -aS'in\tin\tIN\tB-PP\tO' -p86963 -aS'the\tthe\tDT\tB-NP\tO' -p86964 -aS'initial\tinitial\tJJ\tI-NP\tO' -p86965 -aS'gain\tgain\tNN\tI-NP\tO' -p86966 -aS'that\tthat\tIN\tB-SBAR\tO' -p86967 -aS'she\tshe\tPRP\tB-NP\tO' -p86968 -aS'achieved\tachieve\tVBD\tB-VP\tO' -p86969 -aS'after\tafter\tIN\tB-PP\tO' -p86970 -aS'directional\tdirectional\tJJ\tB-NP\tO' -p86971 -aS'atherectomy\tatherectomy\tNN\tI-NP\tO' -p86972 -aS'.\t.\t.\tO\tO' -p86973 -asS'The patient was continued on antibiotics for possible pneumonia .' -p86974 -(lp86975 -S'The\tThe\tDT\tB-NP\tO' -p86976 -aS'patient\tpatient\tNN\tI-NP\tO' -p86977 -aS'was\tbe\tVBD\tB-VP\tO' -p86978 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p86979 -aS'on\ton\tIN\tB-PP\tO' -p86980 -aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' -p86981 -aS'for\tfor\tIN\tB-PP\tO' -p86982 -aS'possible\tpossible\tJJ\tB-NP\tO' -p86983 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p86984 -aS'.\t.\t.\tO\tO' -p86985 -asS'The patient 's course was subsequently characterized by recurrent pneumonias , possibly due to aspiration , and by hemodynamic instability .' -p86986 -(lp86987 -S'The\tThe\tDT\tB-NP\tO' -p86988 -aS'patient\tpatient\tNN\tI-NP\tO' -p86989 -aS''s\t'\tNNS\tI-NP\tO' -p86990 -aS'course\tcourse\tNN\tI-NP\tO' -p86991 -aS'was\tbe\tVBD\tB-VP\tO' -p86992 -aS'subsequently\tsubsequently\tRB\tI-VP\tO' -p86993 -aS'characterized\tcharacterize\tVBN\tI-VP\tO' -p86994 -aS'by\tby\tIN\tB-PP\tO' -p86995 -aS'recurrent\trecurrent\tJJ\tB-NP\tO' -p86996 -aS'pneumonias\tpneumonia\tNNS\tI-NP\tO' -p86997 -aS',\t,\t,\tO\tO' -p86998 -aS'possibly\tpossibly\tRB\tB-ADVP\tO' -p86999 -aS'due\tdue\tIN\tB-PP\tO' -p87000 -aS'to\tto\tTO\tB-PP\tO' -p87001 -aS'aspiration\taspiration\tNN\tB-NP\tO' -p87002 -aS',\t,\t,\tO\tO' -p87003 -aS'and\tand\tCC\tO\tO' -p87004 -aS'by\tby\tIN\tB-PP\tO' -p87005 -aS'hemodynamic\themodynamic\tJJ\tB-NP\tO' -p87006 -aS'instability\tinstability\tNN\tI-NP\tO' -p87007 -aS'.\t.\t.\tO\tO' -p87008 -asS'Evaluated by orthopedic spine surgeons with recommendations for soft c-collar for comfort .' -p87009 -(lp87010 -S'Evaluated\tEvaluate\tVBN\tB-VP\tO' -p87011 -aS'by\tby\tIN\tB-PP\tO' -p87012 -aS'orthopedic\torthopedic\tJJ\tB-NP\tO' -p87013 -aS'spine\tspine\tNN\tI-NP\tO' -p87014 -aS'surgeons\tsurgeon\tNNS\tI-NP\tO' -p87015 -aS'with\twith\tIN\tB-PP\tO' -p87016 -aS'recommendations\trecommendation\tNNS\tB-NP\tO' -p87017 -aS'for\tfor\tIN\tB-PP\tO' -p87018 -aS'soft\tsoft\tJJ\tB-NP\tO' -p87019 -aS'c-collar\tc-collar\tNN\tI-NP\tO' -p87020 -aS'for\tfor\tIN\tB-PP\tO' -p87021 -aS'comfort\tcomfort\tNN\tB-NP\tO' -p87022 -aS'.\t.\t.\tO\tO' -p87023 -asS'The upper ribs are intact .' -p87024 -(lp87025 -S'The\tThe\tDT\tB-NP\tO' -p87026 -aS'upper\tupper\tJJ\tI-NP\tO' -p87027 -aS'ribs\trib\tNNS\tI-NP\tO' -p87028 -aS'are\tbe\tVBP\tB-VP\tO' -p87029 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p87030 -aS'.\t.\t.\tO\tO' -p87031 -asS'primary AV block .' -p87032 -(lp87033 -S'primary\tprimary\tJJ\tB-NP\tO' -p87034 -aS'AV\tAV\tNN\tI-NP\tO' -p87035 -aS'block\tblock\tNN\tI-NP\tO' -p87036 -aS'.\t.\t.\tO\tO' -p87037 -asS'Colace 100 mg po bid , Albuterol inhalers two puffs inhaled qid prn wheezing and asthma symptoms .' -p87038 -(lp87039 -S'Colace\tColace\tNNP\tB-NP\tO' -p87040 -aS'100\t100\tCD\tI-NP\tO' -p87041 -aS'mg\tmg\tNN\tI-NP\tO' -p87042 -aS'po\tpo\tNN\tI-NP\tO' -p87043 -aS'bid\tbid\tNN\tI-NP\tO' -p87044 -aS',\t,\t,\tO\tO' -p87045 -aS'Albuterol\tAlbuterol\tNNP\tB-NP\tO' -p87046 -aS'inhalers\tinhaler\tVBZ\tB-VP\tO' -p87047 -aS'two\ttwo\tCD\tB-NP\tO' -p87048 -aS'puffs\tpuff\tNNS\tI-NP\tO' -p87049 -aS'inhaled\tinhale\tVBD\tB-VP\tO' -p87050 -aS'qid\tqid\tNN\tB-NP\tO' -p87051 -aS'prn\tprn\tNN\tI-NP\tO' -p87052 -aS'wheezing\twheezing\tNN\tI-NP\tO' -p87053 -aS'and\tand\tCC\tI-NP\tO' -p87054 -aS'asthma\tasthma\tNN\tI-NP\tO' -p87055 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p87056 -aS'.\t.\t.\tO\tO' -p87057 -asS'The fundal AVMs are a potential site of bleeding although do not explain the extent of bleeding .' -p87058 -(lp87059 -S'The\tThe\tDT\tB-NP\tO' -p87060 -aS'fundal\tfundal\tJJ\tI-NP\tO' -p87061 -aS'AVMs\tAVM\tNNS\tI-NP\tO' -p87062 -aS'are\tbe\tVBP\tB-VP\tO' -p87063 -aS'a\ta\tDT\tB-NP\tO' -p87064 -aS'potential\tpotential\tJJ\tI-NP\tO' -p87065 -aS'site\tsite\tNN\tI-NP\tO' -p87066 -aS'of\tof\tIN\tB-PP\tO' -p87067 -aS'bleeding\tbleed\tVBG\tB-NP\tO' -p87068 -aS'although\talthough\tIN\tB-SBAR\tO' -p87069 -aS'do\tdo\tVBP\tB-VP\tO' -p87070 -aS'not\tnot\tRB\tI-VP\tO' -p87071 -aS'explain\texplain\tVB\tI-VP\tO' -p87072 -aS'the\tthe\tDT\tB-NP\tO' -p87073 -aS'extent\textent\tNN\tI-NP\tO' -p87074 -aS'of\tof\tIN\tB-PP\tO' -p87075 -aS'bleeding\tbleed\tVBG\tB-NP\tO' -p87076 -aS'.\t.\t.\tO\tO' -p87077 -asS'He was quickly weaned to 3L O2 via NC , O2 sats 100% .' -p87078 -(lp87079 -S'He\tHe\tPRP\tB-NP\tO' -p87080 -aS'was\tbe\tVBD\tB-VP\tO' -p87081 -aS'quickly\tquickly\tRB\tI-VP\tO' -p87082 -aS'weaned\twean\tVBN\tI-VP\tO' -p87083 -aS'to\tto\tTO\tB-PP\tO' -p87084 -aS'3L\t3L\tNN\tB-NP\tB-protein' -p87085 -aS'O2\tO2\tNN\tI-NP\tI-protein' -p87086 -aS'via\tvia\tIN\tB-PP\tO' -p87087 -aS'NC\tNC\tNN\tB-NP\tO' -p87088 -aS',\t,\t,\tO\tO' -p87089 -aS'O2\tO2\tNN\tB-NP\tO' -p87090 -aS'sats\tsat\tNNS\tI-NP\tO' -p87091 -aS'100%\t100%\tCD\tB-NP\tO' -p87092 -aS'.\t.\t.\tO\tO' -p87093 -asS'X-ray revealed mild respiratory distress syndrome .' -p87094 -(lp87095 -S'X-ray\tX-ray\tNN\tB-NP\tO' -p87096 -aS'revealed\treveal\tVBD\tB-VP\tO' -p87097 -aS'mild\tmild\tJJ\tB-NP\tO' -p87098 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p87099 -aS'distress\tdistress\tNN\tI-NP\tO' -p87100 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p87101 -aS'.\t.\t.\tO\tO' -p87102 -asS'Subsequently extubated and his respiratory Sx are now improved .' -p87103 -(lp87104 -S'Subsequently\tSubsequently\tRB\tB-ADJP\tO' -p87105 -aS'extubated\textubate\tVBN\tI-ADJP\tO' -p87106 -aS'and\tand\tCC\tO\tO' -p87107 -aS'his\this\tPRP$\tB-NP\tO' -p87108 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p87109 -aS'Sx\tSx\tNN\tI-NP\tO' -p87110 -aS'are\tbe\tVBP\tB-VP\tO' -p87111 -aS'now\tnow\tRB\tI-VP\tO' -p87112 -aS'improved\timprove\tVBN\tI-VP\tO' -p87113 -aS'.\t.\t.\tO\tO' -p87114 -asS'Mr. Reese Jones the procedure well .' -p87115 -(lp87116 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p87117 -aS'Reese\tReese\tNNP\tI-NP\tO' -p87118 -aS'Jones\tJones\tNNP\tI-NP\tO' -p87119 -aS'the\tthe\tDT\tB-NP\tO' -p87120 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p87121 -aS'well\twell\tRB\tB-ADVP\tO' -p87122 -aS'.\t.\t.\tO\tO' -p87123 -asS'She used the pill for five years in the past .' -p87124 -(lp87125 -S'She\tShe\tPRP\tB-NP\tO' -p87126 -aS'used\tuse\tVBD\tB-VP\tO' -p87127 -aS'the\tthe\tDT\tB-NP\tO' -p87128 -aS'pill\tpill\tNN\tI-NP\tO' -p87129 -aS'for\tfor\tIN\tB-PP\tO' -p87130 -aS'five\tfive\tCD\tB-NP\tO' -p87131 -aS'years\tyear\tNNS\tI-NP\tO' -p87132 -aS'in\tin\tIN\tB-PP\tO' -p87133 -aS'the\tthe\tDT\tB-NP\tO' -p87134 -aS'past\tpast\tNN\tI-NP\tO' -p87135 -aS'.\t.\t.\tO\tO' -p87136 -asS'Penicillin for which she reports a rash and dyspepsia when taking uncoated aspirin .' -p87137 -(lp87138 -S'Penicillin\tPenicillin\tNN\tB-NP\tO' -p87139 -aS'for\tfor\tIN\tB-PP\tO' -p87140 -aS'which\twhich\tWDT\tB-NP\tO' -p87141 -aS'she\tshe\tPRP\tB-NP\tO' -p87142 -aS'reports\treport\tVBZ\tB-VP\tO' -p87143 -aS'a\ta\tDT\tB-NP\tO' -p87144 -aS'rash\trash\tNN\tI-NP\tO' -p87145 -aS'and\tand\tCC\tI-NP\tO' -p87146 -aS'dyspepsia\tdyspepsia\tNN\tI-NP\tO' -p87147 -aS'when\twhen\tWRB\tB-ADVP\tO' -p87148 -aS'taking\ttake\tVBG\tB-VP\tO' -p87149 -aS'uncoated\tuncoated\tJJ\tB-NP\tO' -p87150 -aS'aspirin\taspirin\tNN\tI-NP\tO' -p87151 -aS'.\t.\t.\tO\tO' -p87152 -asS'This is a term infant with significant subgaleal hematoma with apparent extension over the past six hours .' -p87153 -(lp87154 -S'This\tThis\tDT\tB-NP\tO' -p87155 -aS'is\tbe\tVBZ\tB-VP\tO' -p87156 -aS'a\ta\tDT\tB-NP\tO' -p87157 -aS'term\tterm\tNN\tI-NP\tO' -p87158 -aS'infant\tinfant\tNN\tI-NP\tO' -p87159 -aS'with\twith\tIN\tB-PP\tO' -p87160 -aS'significant\tsignificant\tJJ\tB-NP\tO' -p87161 -aS'subgaleal\tsubgaleal\tJJ\tI-NP\tO' -p87162 -aS'hematoma\thematoma\tNN\tI-NP\tO' -p87163 -aS'with\twith\tIN\tB-PP\tO' -p87164 -aS'apparent\tapparent\tJJ\tB-NP\tO' -p87165 -aS'extension\textension\tNN\tI-NP\tO' -p87166 -aS'over\tover\tIN\tB-PP\tO' -p87167 -aS'the\tthe\tDT\tB-NP\tO' -p87168 -aS'past\tpast\tJJ\tI-NP\tO' -p87169 -aS'six\tsix\tCD\tI-NP\tO' -p87170 -aS'hours\thour\tNNS\tI-NP\tO' -p87171 -aS'.\t.\t.\tO\tO' -p87172 -asS'11-Coma .' -p87173 -(lp87174 -S'11-Coma\t11-Coma\tNN\tB-NP\tO' -p87175 -aS'.\t.\t.\tO\tO' -p87176 -asS'Delivery by cesarean section secondary to twin B breech presentation .' -p87177 -(lp87178 -S'Delivery\tDelivery\tNN\tB-NP\tO' -p87179 -aS'by\tby\tIN\tB-PP\tO' -p87180 -aS'cesarean\tcesarean\tJJ\tB-NP\tO' -p87181 -aS'section\tsection\tNN\tI-NP\tO' -p87182 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p87183 -aS'to\tto\tTO\tB-VP\tO' -p87184 -aS'twin\ttwin\tVB\tI-VP\tO' -p87185 -aS'B\tB\tNN\tB-NP\tO' -p87186 -aS'breech\tbreech\tNN\tI-NP\tO' -p87187 -aS'presentation\tpresentation\tNN\tI-NP\tO' -p87188 -aS'.\t.\t.\tO\tO' -p87189 -asS'14. Isosorbide Dinitrate 20 mg Tablet Sig : One ( 1 ) Tablet PO TID ( 3 times a day ).' -p87190 -(lp87191 -S'14.\t14.\tLS\tB-NP\tO' -p87192 -aS'Isosorbide\tIsosorbide\tNN\tI-NP\tO' -p87193 -aS'Dinitrate\tDinitrate\tVBP\tB-VP\tO' -p87194 -aS'20\t20\tCD\tB-NP\tO' -p87195 -aS'mg\tmg\tNN\tI-NP\tO' -p87196 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p87197 -aS'Sig\tSig\tNNP\tI-NP\tO' -p87198 -aS':\t:\t:\tO\tO' -p87199 -aS'One\tOne\tCD\tB-NP\tO' -p87200 -aS'(\t(\t(\tO\tO' -p87201 -aS'1\t1\tCD\tB-NP\tO' -p87202 -aS')\t)\t)\tO\tO' -p87203 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p87204 -aS'PO\tPO\tNN\tI-NP\tO' -p87205 -aS'TID\tTID\tNN\tI-NP\tO' -p87206 -aS'(\t(\t(\tO\tO' -p87207 -aS'3\t3\tCD\tB-NP\tO' -p87208 -aS'times\ttime\tNNS\tI-NP\tO' -p87209 -aS'a\ta\tDT\tB-NP\tO' -p87210 -aS'day\tday\tNN\tI-NP\tO' -p87211 -aS').\t).\t.\tO\tO' -p87212 -asS'3. Tendinosis of the posterior tibialis and peroneus brevis tendons .' -p87213 -(lp87214 -S'3.\t3.\tLS\tB-NP\tO' -p87215 -aS'Tendinosis\tTendinosis\tNN\tI-NP\tO' -p87216 -aS'of\tof\tIN\tB-PP\tO' -p87217 -aS'the\tthe\tDT\tB-NP\tO' -p87218 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p87219 -aS'tibialis\ttibialis\tNN\tI-NP\tO' -p87220 -aS'and\tand\tCC\tI-NP\tO' -p87221 -aS'peroneus\tperoneus\tNN\tI-NP\tO' -p87222 -aS'brevis\tbrevis\tNN\tI-NP\tO' -p87223 -aS'tendons\ttendon\tNNS\tI-NP\tO' -p87224 -aS'.\t.\t.\tO\tO' -p87225 -asS'Over the last several days , we have been giving her approximately 500 cc to 1000 cc of free water through her NG tube .' -p87226 -(lp87227 -S'Over\tOver\tIN\tB-PP\tO' -p87228 -aS'the\tthe\tDT\tB-NP\tO' -p87229 -aS'last\tlast\tJJ\tI-NP\tO' -p87230 -aS'several\tseveral\tJJ\tI-NP\tO' -p87231 -aS'days\tday\tNNS\tI-NP\tO' -p87232 -aS',\t,\t,\tO\tO' -p87233 -aS'we\twe\tPRP\tB-NP\tO' -p87234 -aS'have\thave\tVBP\tB-VP\tO' -p87235 -aS'been\tbe\tVBN\tI-VP\tO' -p87236 -aS'giving\tgive\tVBG\tI-VP\tO' -p87237 -aS'her\ther\tPRP\tB-NP\tO' -p87238 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p87239 -aS'500\t500\tCD\tI-NP\tO' -p87240 -aS'cc\tcc\tNN\tI-NP\tO' -p87241 -aS'to\tto\tTO\tB-PP\tO' -p87242 -aS'1000\t1000\tCD\tB-NP\tO' -p87243 -aS'cc\tcc\tNN\tI-NP\tO' -p87244 -aS'of\tof\tIN\tB-PP\tO' -p87245 -aS'free\tfree\tJJ\tB-NP\tO' -p87246 -aS'water\twater\tNN\tI-NP\tO' -p87247 -aS'through\tthrough\tIN\tB-PP\tO' -p87248 -aS'her\ther\tPRP$\tB-NP\tO' -p87249 -aS'NG\tNG\tNN\tI-NP\tO' -p87250 -aS'tube\ttube\tNN\tI-NP\tO' -p87251 -aS'.\t.\t.\tO\tO' -p87252 -asS'Back revealed no costovertebral angle tenderness .' -p87253 -(lp87254 -S'Back\tBack\tRB\tB-ADVP\tO' -p87255 -aS'revealed\treveal\tVBD\tB-VP\tO' -p87256 -aS'no\tno\tDT\tB-NP\tO' -p87257 -aS'costovertebral\tcostovertebral\tJJ\tI-NP\tO' -p87258 -aS'angle\tangle\tNN\tI-NP\tO' -p87259 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p87260 -aS'.\t.\t.\tO\tO' -p87261 -asS'Abdomen is soft , nontender , nondistended , no masses , positive bowel sounds .' -p87262 -(lp87263 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p87264 -aS'is\tbe\tVBZ\tB-VP\tO' -p87265 -aS'soft\tsoft\tJJ\tB-NP\tO' -p87266 -aS',\t,\t,\tI-NP\tO' -p87267 -aS'nontender\tnontender\tJJ\tI-NP\tO' -p87268 -aS',\t,\t,\tI-NP\tO' -p87269 -aS'nondistended\tnondistended\tJJ\tI-NP\tO' -p87270 -aS',\t,\t,\tO\tO' -p87271 -aS'no\tno\tDT\tB-NP\tO' -p87272 -aS'masses\tmass\tNNS\tI-NP\tO' -p87273 -aS',\t,\t,\tO\tO' -p87274 -aS'positive\tpositive\tJJ\tB-NP\tO' -p87275 -aS'bowel\tbowel\tNN\tI-NP\tO' -p87276 -aS'sounds\tsound\tNNS\tI-NP\tO' -p87277 -aS'.\t.\t.\tO\tO' -p87278 -asS'The patient continued to do well and the decision was made to discharge him .' -p87279 -(lp87280 -S'The\tThe\tDT\tB-NP\tO' -p87281 -aS'patient\tpatient\tNN\tI-NP\tO' -p87282 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p87283 -aS'to\tto\tTO\tI-VP\tO' -p87284 -aS'do\tdo\tVB\tI-VP\tO' -p87285 -aS'well\twell\tRB\tB-ADVP\tO' -p87286 -aS'and\tand\tCC\tO\tO' -p87287 -aS'the\tthe\tDT\tB-NP\tO' -p87288 -aS'decision\tdecision\tNN\tI-NP\tO' -p87289 -aS'was\tbe\tVBD\tB-VP\tO' -p87290 -aS'made\tmake\tVBN\tI-VP\tO' -p87291 -aS'to\tto\tTO\tB-VP\tO' -p87292 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p87293 -aS'him\thim\tPRP\tB-NP\tO' -p87294 -aS'.\t.\t.\tO\tO' -p87295 -asS'Humalog 100 U / ml 1 as directed pump' -p87296 -(lp87297 -S'Humalog\tHumalog\tNN\tB-NP\tO' -p87298 -aS'100\t100\tCD\tI-NP\tO' -p87299 -aS'U\tU\tNN\tI-NP\tO' -p87300 -aS'/\t/\tSYM\tB-NP\tO' -p87301 -aS'ml\tml\tNN\tB-NP\tO' -p87302 -aS'1\t1\tCD\tI-NP\tO' -p87303 -aS'as\tas\tIN\tB-PP\tO' -p87304 -aS'directed\tdirect\tVBN\tB-NP\tO' -p87305 -aS'pump\tpump\tNN\tI-NP\tO' -p87306 -asS'Because of expected long term antibiotic administration , a PICC line was placed and the patient was prepared for transfer back to Fo Hospital .' -p87307 -(lp87308 -S'Because\tBecause\tIN\tB-PP\tO' -p87309 -aS'of\tof\tIN\tI-PP\tO' -p87310 -aS'expected\texpect\tVBN\tB-NP\tO' -p87311 -aS'long\tlong\tJJ\tI-NP\tO' -p87312 -aS'term\tterm\tNN\tI-NP\tO' -p87313 -aS'antibiotic\tantibiotic\tJJ\tI-NP\tO' -p87314 -aS'administration\tadministration\tNN\tI-NP\tO' -p87315 -aS',\t,\t,\tO\tO' -p87316 -aS'a\ta\tDT\tB-NP\tO' -p87317 -aS'PICC\tPICC\tNN\tI-NP\tB-cell_line' -p87318 -aS'line\tline\tNN\tI-NP\tI-cell_line' -p87319 -aS'was\tbe\tVBD\tB-VP\tO' -p87320 -aS'placed\tplace\tVBN\tI-VP\tO' -p87321 -aS'and\tand\tCC\tO\tO' -p87322 -aS'the\tthe\tDT\tB-NP\tO' -p87323 -aS'patient\tpatient\tNN\tI-NP\tO' -p87324 -aS'was\tbe\tVBD\tB-VP\tO' -p87325 -aS'prepared\tprepare\tVBN\tI-VP\tO' -p87326 -aS'for\tfor\tIN\tB-PP\tO' -p87327 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p87328 -aS'back\tback\tRB\tB-ADVP\tO' -p87329 -aS'to\tto\tTO\tB-PP\tO' -p87330 -aS'Fo\tFo\tNNP\tB-NP\tO' -p87331 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p87332 -aS'.\t.\t.\tO\tO' -p87333 -asS'The patient 's prednisone was increased to 60 mg q.d. as the patient was diagnosed with an arthritis flare .' -p87334 -(lp87335 -S'The\tThe\tDT\tB-NP\tO' -p87336 -aS'patient\tpatient\tNN\tI-NP\tO' -p87337 -aS''s\t'\tNNS\tI-NP\tO' -p87338 -aS'prednisone\tprednisone\tNN\tI-NP\tO' -p87339 -aS'was\tbe\tVBD\tB-VP\tO' -p87340 -aS'increased\tincrease\tVBN\tI-VP\tO' -p87341 -aS'to\tto\tTO\tB-PP\tO' -p87342 -aS'60\t60\tCD\tB-NP\tO' -p87343 -aS'mg\tmg\tNN\tI-NP\tO' -p87344 -aS'q.d.\tq.d.\tRB\tB-ADVP\tO' -p87345 -aS'as\tas\tIN\tB-PP\tO' -p87346 -aS'the\tthe\tDT\tB-NP\tO' -p87347 -aS'patient\tpatient\tNN\tI-NP\tO' -p87348 -aS'was\tbe\tVBD\tB-VP\tO' -p87349 -aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' -p87350 -aS'with\twith\tIN\tB-PP\tO' -p87351 -aS'an\tan\tDT\tB-NP\tO' -p87352 -aS'arthritis\tarthritis\tNN\tI-NP\tB-DNA' -p87353 -aS'flare\tflare\tNN\tI-NP\tI-DNA' -p87354 -aS'.\t.\t.\tO\tO' -p87355 -asS'Dictated By : Maria A Singler , M.D.' -p87356 -(lp87357 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p87358 -aS'By\tBy\tIN\tB-PP\tO' -p87359 -aS':\t:\t:\tO\tO' -p87360 -aS'Maria\tMaria\tNNP\tB-NP\tO' -p87361 -aS'A\tA\tNNP\tI-NP\tO' -p87362 -aS'Singler\tSingler\tNNP\tI-NP\tO' -p87363 -aS',\t,\t,\tO\tO' -p87364 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p87365 -asS'Pupils minimally reactive .' -p87366 -(lp87367 -S'Pupils\tPupil\tNNS\tB-NP\tO' -p87368 -aS'minimally\tminimally\tRB\tB-ADJP\tO' -p87369 -aS'reactive\treactive\tJJ\tI-ADJP\tO' -p87370 -aS'.\t.\t.\tO\tO' -p87371 -asS'arterial catheterization on 10/14/96 , head CT scan on 10/14/96' -p87372 -(lp87373 -S'arterial\tarterial\tJJ\tB-NP\tO' -p87374 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p87375 -aS'on\ton\tIN\tB-PP\tO' -p87376 -aS'10/14/96\t10/14/96\tCD\tB-NP\tO' -p87377 -aS',\t,\t,\tO\tO' -p87378 -aS'head\thead\tNN\tB-NP\tO' -p87379 -aS'CT\tCT\tNN\tI-NP\tO' -p87380 -aS'scan\tscan\tNN\tI-NP\tO' -p87381 -aS'on\ton\tIN\tB-PP\tO' -p87382 -aS'10/14/96\t10/14/96\tCD\tB-NP\tO' -p87383 -asS'The infant is now receiving breast milk with Nutramigen powder concentrate to 24 calorie .' -p87384 -(lp87385 -S'The\tThe\tDT\tB-NP\tO' -p87386 -aS'infant\tinfant\tNN\tI-NP\tO' -p87387 -aS'is\tbe\tVBZ\tB-VP\tO' -p87388 -aS'now\tnow\tRB\tI-VP\tO' -p87389 -aS'receiving\treceive\tVBG\tI-VP\tO' -p87390 -aS'breast\tbreast\tNN\tB-NP\tO' -p87391 -aS'milk\tmilk\tNN\tI-NP\tO' -p87392 -aS'with\twith\tIN\tB-PP\tO' -p87393 -aS'Nutramigen\tNutramigen\tNN\tB-NP\tO' -p87394 -aS'powder\tpowder\tNN\tI-NP\tO' -p87395 -aS'concentrate\tconcentrate\tNN\tI-NP\tO' -p87396 -aS'to\tto\tTO\tB-PP\tO' -p87397 -aS'24\t24\tCD\tB-NP\tO' -p87398 -aS'calorie\tcalorie\tNN\tI-NP\tO' -p87399 -aS'.\t.\t.\tO\tO' -p87400 -asS'He experienced low grade fevers .' -p87401 -(lp87402 -S'He\tHe\tPRP\tB-NP\tO' -p87403 -aS'experienced\texperience\tVBD\tB-VP\tO' -p87404 -aS'low\tlow\tJJ\tB-NP\tO' -p87405 -aS'grade\tgrade\tNN\tI-NP\tO' -p87406 -aS'fevers\tfever\tNNS\tI-NP\tO' -p87407 -aS'.\t.\t.\tO\tO' -p87408 -asS'Digoxin 0.125 mg q.d. , Lasix 80 mg q.a.m. and 40 mg q.p.m. aspirin 1 q.d. , and Vanceril three puffs b.i.d.' -p87409 -(lp87410 -S'Digoxin\tDigoxin\tNN\tB-NP\tO' -p87411 -aS'0.125\t0.125\tCD\tI-NP\tO' -p87412 -aS'mg\tmg\tNN\tI-NP\tO' -p87413 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p87414 -aS',\t,\t,\tO\tO' -p87415 -aS'Lasix\tLasix\tNNP\tB-NP\tO' -p87416 -aS'80\t80\tCD\tI-NP\tO' -p87417 -aS'mg\tmg\tNN\tI-NP\tO' -p87418 -aS'q.a.m.\tq.a.m.\tNN\tI-NP\tO' -p87419 -aS'and\tand\tCC\tI-NP\tO' -p87420 -aS'40\t40\tCD\tI-NP\tO' -p87421 -aS'mg\tmg\tNN\tI-NP\tO' -p87422 -aS'q.p.m.\tq.p.m.\tNN\tI-NP\tO' -p87423 -aS'aspirin\taspirin\tNN\tI-NP\tO' -p87424 -aS'1\t1\tCD\tI-NP\tO' -p87425 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p87426 -aS',\t,\t,\tO\tO' -p87427 -aS'and\tand\tCC\tO\tO' -p87428 -aS'Vanceril\tVanceril\tNNP\tB-NP\tO' -p87429 -aS'three\tthree\tCD\tB-NP\tO' -p87430 -aS'puffs\tpuff\tNNS\tI-NP\tO' -p87431 -aS'b.i.d.\tb.i.d.\tRB\tB-ADVP\tO' -p87432 -asS'The possibility of a cardiac origin was evaluated by echocardiogram and Holter monitor .' -p87433 -(lp87434 -S'The\tThe\tDT\tB-NP\tO' -p87435 -aS'possibility\tpossibility\tNN\tI-NP\tO' -p87436 -aS'of\tof\tIN\tB-PP\tO' -p87437 -aS'a\ta\tDT\tB-NP\tO' -p87438 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p87439 -aS'origin\torigin\tNN\tI-NP\tO' -p87440 -aS'was\tbe\tVBD\tB-VP\tO' -p87441 -aS'evaluated\tevaluate\tVBN\tI-VP\tO' -p87442 -aS'by\tby\tIN\tB-PP\tO' -p87443 -aS'echocardiogram\techocardiogram\tNN\tB-NP\tO' -p87444 -aS'and\tand\tCC\tI-NP\tO' -p87445 -aS'Holter\tHolter\tNN\tI-NP\tO' -p87446 -aS'monitor\tmonitor\tNN\tI-NP\tO' -p87447 -aS'.\t.\t.\tO\tO' -p87448 -asS'On 02/11/91 , the patient again appeared more comfortable this time with 50% facemask but then required more oxygen , dropped his O2 saturations , and was intubated on 02/11/91 .' -p87449 -(lp87450 -S'On\tOn\tIN\tB-PP\tO' -p87451 -aS'02/11/91\t02/11/91\tCD\tB-NP\tO' -p87452 -aS',\t,\t,\tO\tO' -p87453 -aS'the\tthe\tDT\tB-NP\tO' -p87454 -aS'patient\tpatient\tNN\tI-NP\tO' -p87455 -aS'again\tagain\tRB\tB-ADVP\tO' -p87456 -aS'appeared\tappear\tVBD\tB-VP\tO' -p87457 -aS'more\tmore\tRBR\tB-ADJP\tO' -p87458 -aS'comfortable\tcomfortable\tJJ\tI-ADJP\tO' -p87459 -aS'this\tthis\tDT\tB-NP\tO' -p87460 -aS'time\ttime\tNN\tI-NP\tO' -p87461 -aS'with\twith\tIN\tB-PP\tO' -p87462 -aS'50%\t50%\tCD\tB-NP\tO' -p87463 -aS'facemask\tfacemask\tNN\tI-NP\tO' -p87464 -aS'but\tbut\tCC\tO\tO' -p87465 -aS'then\tthen\tRB\tB-ADVP\tO' -p87466 -aS'required\trequire\tVBD\tB-VP\tO' -p87467 -aS'more\tmore\tJJR\tB-NP\tO' -p87468 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p87469 -aS',\t,\t,\tO\tO' -p87470 -aS'dropped\tdrop\tVBD\tB-VP\tO' -p87471 -aS'his\this\tPRP$\tB-NP\tO' -p87472 -aS'O2\tO2\tNN\tI-NP\tO' -p87473 -aS'saturations\tsaturation\tNNS\tI-NP\tO' -p87474 -aS',\t,\t,\tO\tO' -p87475 -aS'and\tand\tCC\tO\tO' -p87476 -aS'was\tbe\tVBD\tB-VP\tO' -p87477 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p87478 -aS'on\ton\tIN\tB-PP\tO' -p87479 -aS'02/11/91\t02/11/91\tCD\tB-NP\tO' -p87480 -aS'.\t.\t.\tO\tO' -p87481 -asS'This had to be performed by IR because the pocket was too deep to access from the bedside .' -p87482 -(lp87483 -S'This\tThis\tDT\tB-NP\tO' -p87484 -aS'had\thave\tVBD\tB-VP\tO' -p87485 -aS'to\tto\tTO\tI-VP\tO' -p87486 -aS'be\tbe\tVB\tI-VP\tO' -p87487 -aS'performed\tperform\tVBN\tI-VP\tO' -p87488 -aS'by\tby\tIN\tB-PP\tO' -p87489 -aS'IR\tIR\tNN\tB-NP\tB-protein' -p87490 -aS'because\tbecause\tIN\tB-SBAR\tO' -p87491 -aS'the\tthe\tDT\tB-NP\tO' -p87492 -aS'pocket\tpocket\tNN\tI-NP\tO' -p87493 -aS'was\tbe\tVBD\tB-VP\tO' -p87494 -aS'too\ttoo\tRB\tB-ADJP\tO' -p87495 -aS'deep\tdeep\tJJ\tI-ADJP\tO' -p87496 -aS'to\tto\tTO\tB-VP\tO' -p87497 -aS'access\taccess\tVB\tI-VP\tO' -p87498 -aS'from\tfrom\tIN\tB-PP\tO' -p87499 -aS'the\tthe\tDT\tB-NP\tO' -p87500 -aS'bedside\tbedside\tNN\tI-NP\tO' -p87501 -aS'.\t.\t.\tO\tO' -p87502 -asS'She denied having any weakness , numbness , or pain .' -p87503 -(lp87504 -S'She\tShe\tPRP\tB-NP\tO' -p87505 -aS'denied\tdeny\tVBD\tB-VP\tO' -p87506 -aS'having\thave\tVBG\tI-VP\tO' -p87507 -aS'any\tany\tDT\tB-NP\tO' -p87508 -aS'weakness\tweakness\tNN\tI-NP\tO' -p87509 -aS',\t,\t,\tO\tO' -p87510 -aS'numbness\tnumbness\tNN\tB-NP\tO' -p87511 -aS',\t,\t,\tO\tO' -p87512 -aS'or\tor\tCC\tO\tO' -p87513 -aS'pain\tpain\tNN\tB-NP\tO' -p87514 -aS'.\t.\t.\tO\tO' -p87515 -asS'Then during the Intensive Care Unit stay , the CVP remained between 7 to 8 after volume resuscitation .' -p87516 -(lp87517 -S'Then\tThen\tRB\tB-ADVP\tO' -p87518 -aS'during\tduring\tIN\tB-PP\tO' -p87519 -aS'the\tthe\tDT\tB-NP\tO' -p87520 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p87521 -aS'Care\tCare\tNNP\tI-NP\tO' -p87522 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p87523 -aS'stay\tstay\tNN\tI-NP\tO' -p87524 -aS',\t,\t,\tO\tO' -p87525 -aS'the\tthe\tDT\tB-NP\tO' -p87526 -aS'CVP\tCVP\tNN\tI-NP\tB-protein' -p87527 -aS'remained\tremain\tVBD\tB-VP\tO' -p87528 -aS'between\tbetween\tIN\tB-PP\tO' -p87529 -aS'7\t7\tCD\tB-NP\tO' -p87530 -aS'to\tto\tTO\tB-PP\tO' -p87531 -aS'8\t8\tCD\tB-NP\tO' -p87532 -aS'after\tafter\tIN\tB-SBAR\tO' -p87533 -aS'volume\tvolume\tNN\tB-NP\tO' -p87534 -aS'resuscitation\tresuscitation\tNN\tI-NP\tO' -p87535 -aS'.\t.\t.\tO\tO' -p87536 -asS'3. Lymphedema .' -p87537 -(lp87538 -S'3.\t3.\tLS\tB-LST\tO' -p87539 -aS'Lymphedema\tLymphedema\tNNP\tB-NP\tO' -p87540 -aS'.\t.\t.\tO\tO' -p87541 -asS'Neurontin , Keppra , Lamictal , decadron , multivitamin , Murray , Calcium' -p87542 -(lp87543 -S'Neurontin\tNeurontin\tNNP\tB-NP\tO' -p87544 -aS',\t,\t,\tO\tO' -p87545 -aS'Keppra\tKeppra\tNNP\tB-NP\tO' -p87546 -aS',\t,\t,\tO\tO' -p87547 -aS'Lamictal\tLamictal\tNNP\tB-NP\tO' -p87548 -aS',\t,\t,\tO\tO' -p87549 -aS'decadron\tdecadron\tNN\tB-NP\tO' -p87550 -aS',\t,\t,\tO\tO' -p87551 -aS'multivitamin\tmultivitamin\tNN\tB-NP\tO' -p87552 -aS',\t,\t,\tO\tO' -p87553 -aS'Murray\tMurray\tNNP\tB-NP\tO' -p87554 -aS',\t,\t,\tO\tO' -p87555 -aS'Calcium\tCalcium\tNNP\tB-NP\tO' -p87556 -asS'The patient presented with a chief complaint of RLQ PAIN .' -p87557 -(lp87558 -S'The\tThe\tDT\tB-NP\tO' -p87559 -aS'patient\tpatient\tNN\tI-NP\tO' -p87560 -aS'presented\tpresent\tVBD\tB-VP\tO' -p87561 -aS'with\twith\tIN\tB-PP\tO' -p87562 -aS'a\ta\tDT\tB-NP\tO' -p87563 -aS'chief\tchief\tJJ\tI-NP\tO' -p87564 -aS'complaint\tcomplaint\tNN\tI-NP\tO' -p87565 -aS'of\tof\tIN\tB-PP\tO' -p87566 -aS'RLQ\tRLQ\tNN\tB-NP\tB-protein' -p87567 -aS'PAIN\tPAIN\tNN\tI-NP\tI-protein' -p87568 -aS'.\t.\t.\tO\tO' -p87569 -asS'Sensation is intact bilaterally .' -p87570 -(lp87571 -S'Sensation\tSensation\tNN\tB-NP\tO' -p87572 -aS'is\tbe\tVBZ\tB-VP\tO' -p87573 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p87574 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p87575 -aS'.\t.\t.\tO\tO' -p87576 -asS'It was thought to be induced by frequent flying to California .' -p87577 -(lp87578 -S'It\tIt\tPRP\tB-NP\tO' -p87579 -aS'was\tbe\tVBD\tB-VP\tO' -p87580 -aS'thought\tthink\tVBN\tI-VP\tO' -p87581 -aS'to\tto\tTO\tI-VP\tO' -p87582 -aS'be\tbe\tVB\tI-VP\tO' -p87583 -aS'induced\tinduce\tVBN\tI-VP\tO' -p87584 -aS'by\tby\tIN\tB-PP\tO' -p87585 -aS'frequent\tfrequent\tJJ\tB-NP\tO' -p87586 -aS'flying\tfly\tVBG\tB-VP\tO' -p87587 -aS'to\tto\tTO\tB-PP\tO' -p87588 -aS'California\tCalifornia\tNNP\tB-NP\tO' -p87589 -aS'.\t.\t.\tO\tO' -p87590 -asS'Call 449-059-6882 if you have any questions .' -p87591 -(lp87592 -S'Call\tCall\tVB\tB-NP\tO' -p87593 -aS'449-059-6882\t449-059-6882\tCD\tB-NP\tO' -p87594 -aS'if\tif\tIN\tB-SBAR\tO' -p87595 -aS'you\tyou\tPRP\tB-NP\tO' -p87596 -aS'have\thave\tVBP\tB-VP\tO' -p87597 -aS'any\tany\tDT\tB-NP\tO' -p87598 -aS'questions\tquestion\tNNS\tI-NP\tO' -p87599 -aS'.\t.\t.\tO\tO' -p87600 -asS'Head and neck examination was benign .' -p87601 -(lp87602 -S'Head\tHead\tNN\tB-NP\tO' -p87603 -aS'and\tand\tCC\tI-NP\tO' -p87604 -aS'neck\tneck\tNN\tI-NP\tO' -p87605 -aS'examination\texamination\tNN\tI-NP\tO' -p87606 -aS'was\tbe\tVBD\tB-VP\tO' -p87607 -aS'benign\tbenign\tJJ\tB-ADJP\tO' -p87608 -aS'.\t.\t.\tO\tO' -p87609 -asS'She was discharged on 11/01/2004 at 12:00 pm in good condition .' -p87610 -(lp87611 -S'She\tShe\tPRP\tB-NP\tO' -p87612 -aS'was\tbe\tVBD\tB-VP\tO' -p87613 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p87614 -aS'on\ton\tIN\tB-PP\tO' -p87615 -aS'11/01/2004\t11/01/2004\tCD\tB-NP\tO' -p87616 -aS'at\tat\tIN\tB-PP\tO' -p87617 -aS'12:00\t12:00\tCD\tB-NP\tO' -p87618 -aS'pm\tpm\tNN\tI-NP\tO' -p87619 -aS'in\tin\tIN\tB-PP\tO' -p87620 -aS'good\tgood\tJJ\tB-NP\tO' -p87621 -aS'condition\tcondition\tNN\tI-NP\tO' -p87622 -aS'.\t.\t.\tO\tO' -p87623 -asS'SGOT of 80 .' -p87624 -(lp87625 -S'SGOT\tSGOT\tNN\tB-NP\tO' -p87626 -aS'of\tof\tIN\tB-PP\tO' -p87627 -aS'80\t80\tCD\tB-NP\tO' -p87628 -aS'.\t.\t.\tO\tO' -p87629 -asS'He is a former professor at Montana .' -p87630 -(lp87631 -S'He\tHe\tPRP\tB-NP\tB-DNA' -p87632 -aS'is\tbe\tVBZ\tB-VP\tO' -p87633 -aS'a\ta\tDT\tB-NP\tO' -p87634 -aS'former\tformer\tJJ\tI-NP\tO' -p87635 -aS'professor\tprofessor\tNN\tI-NP\tO' -p87636 -aS'at\tat\tIN\tB-PP\tO' -p87637 -aS'Montana\tMontana\tNNP\tB-NP\tO' -p87638 -aS'.\t.\t.\tO\tO' -p87639 -asS'There was no evidence of edema .' -p87640 -(lp87641 -S'There\tThere\tEX\tB-NP\tO' -p87642 -aS'was\tbe\tVBD\tB-VP\tO' -p87643 -aS'no\tno\tDT\tB-NP\tO' -p87644 -aS'evidence\tevidence\tNN\tI-NP\tO' -p87645 -aS'of\tof\tIN\tB-PP\tO' -p87646 -aS'edema\tedema\tNN\tB-NP\tO' -p87647 -aS'.\t.\t.\tO\tO' -p87648 -asS'This operation was performed for two months of increased rest pain .' -p87649 -(lp87650 -S'This\tThis\tDT\tB-NP\tO' -p87651 -aS'operation\toperation\tNN\tI-NP\tO' -p87652 -aS'was\tbe\tVBD\tB-VP\tO' -p87653 -aS'performed\tperform\tVBN\tI-VP\tO' -p87654 -aS'for\tfor\tIN\tB-PP\tO' -p87655 -aS'two\ttwo\tCD\tB-NP\tO' -p87656 -aS'months\tmonth\tNNS\tI-NP\tO' -p87657 -aS'of\tof\tIN\tB-PP\tO' -p87658 -aS'increased\tincrease\tVBN\tB-NP\tO' -p87659 -aS'rest\trest\tNN\tI-NP\tO' -p87660 -aS'pain\tpain\tNN\tI-NP\tO' -p87661 -aS'.\t.\t.\tO\tO' -p87662 -asS'1. Familial cavernous hemangiomas , status post a subacute pontine hemorrhage .' -p87663 -(lp87664 -S'1.\t1.\tLS\tB-NP\tO' -p87665 -aS'Familial\tFamilial\tJJ\tI-NP\tO' -p87666 -aS'cavernous\tcavernous\tJJ\tI-NP\tO' -p87667 -aS'hemangiomas\themangioma\tNNS\tI-NP\tO' -p87668 -aS',\t,\t,\tO\tO' -p87669 -aS'status\tstatus\tNN\tB-NP\tO' -p87670 -aS'post\tpost\tVBD\tB-VP\tO' -p87671 -aS'a\ta\tDT\tB-NP\tO' -p87672 -aS'subacute\tsubacute\tJJ\tI-NP\tO' -p87673 -aS'pontine\tpontine\tNN\tI-NP\tO' -p87674 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p87675 -aS'.\t.\t.\tO\tO' -p87676 -asS'absomen soft , tender to palpation over RUQ , but no guarding or rebound' -p87677 -(lp87678 -S'absomen\tabsoman\tNNS\tB-NP\tO' -p87679 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p87680 -aS',\t,\t,\tO\tO' -p87681 -aS'tender\ttender\tNN\tB-NP\tO' -p87682 -aS'to\tto\tTO\tB-PP\tO' -p87683 -aS'palpation\tpalpation\tNN\tB-NP\tO' -p87684 -aS'over\tover\tIN\tB-PP\tO' -p87685 -aS'RUQ\tRUQ\tNN\tB-NP\tB-protein' -p87686 -aS',\t,\t,\tO\tO' -p87687 -aS'but\tbut\tCC\tO\tO' -p87688 -aS'no\tno\tDT\tB-NP\tO' -p87689 -aS'guarding\tguarding\tNN\tI-NP\tO' -p87690 -aS'or\tor\tCC\tO\tO' -p87691 -aS'rebound\trebound\tVB\tB-VP\tO' -p87692 -asS'sodium 141 , potassium 3.5 , chloride 107 , bicarbonates 23.8 , BUN 23 , creatinine 1.1 , glucose 165 , PO2 377 , PCO2 32 , PH 7.50 , asomus 298 , toxic screen negative , white blood cell count 11.1 , hematocrit 39.6 , platelet count 137 , prothrombin time 25.2 , INR 4.3 , partial thromboplastin time 34.7 , urinalysis 1+ albumin, 0-5 high link caths , cervical spine negative , pelvis negative , lumbar spine ; negative , thoracic spine negative .' -p87693 -(lp87694 -S'sodium\tsodium\tNN\tB-NP\tO' -p87695 -aS'141\t141\tCD\tI-NP\tO' -p87696 -aS',\t,\t,\tO\tO' -p87697 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p87698 -aS'3.5\t3.5\tCD\tI-NP\tO' -p87699 -aS',\t,\t,\tO\tO' -p87700 -aS'chloride\tchloride\tNN\tB-NP\tO' -p87701 -aS'107\t107\tCD\tI-NP\tO' -p87702 -aS',\t,\t,\tO\tO' -p87703 -aS'bicarbonates\tbicarbonate\tVBZ\tB-VP\tO' -p87704 -aS'23.8\t23.8\tCD\tB-NP\tO' -p87705 -aS',\t,\t,\tO\tO' -p87706 -aS'BUN\tBUN\tNN\tB-NP\tB-DNA' -p87707 -aS'23\t23\tCD\tI-NP\tI-DNA' -p87708 -aS',\t,\t,\tO\tO' -p87709 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p87710 -aS'1.1\t1.1\tCD\tI-NP\tO' -p87711 -aS',\t,\t,\tO\tO' -p87712 -aS'glucose\tglucose\tNN\tB-NP\tO' -p87713 -aS'165\t165\tCD\tI-NP\tO' -p87714 -aS',\t,\t,\tO\tO' -p87715 -aS'PO2\tPO2\tNN\tB-NP\tO' -p87716 -aS'377\t377\tCD\tI-NP\tO' -p87717 -aS',\t,\t,\tO\tO' -p87718 -aS'PCO2\tPCO2\tNN\tB-NP\tB-DNA' -p87719 -aS'32\t32\tCD\tI-NP\tI-DNA' -p87720 -aS',\t,\t,\tO\tO' -p87721 -aS'PH\tPH\tNN\tB-NP\tO' -p87722 -aS'7.50\t7.50\tCD\tI-NP\tO' -p87723 -aS',\t,\t,\tO\tO' -p87724 -aS'asomus\tasomus\tNN\tB-NP\tO' -p87725 -aS'298\t298\tCD\tI-NP\tO' -p87726 -aS',\t,\t,\tO\tO' -p87727 -aS'toxic\ttoxic\tJJ\tB-NP\tO' -p87728 -aS'screen\tscreen\tNN\tI-NP\tO' -p87729 -aS'negative\tnegative\tJJ\tB-NP\tO' -p87730 -aS',\t,\t,\tI-NP\tO' -p87731 -aS'white\twhite\tJJ\tI-NP\tO' -p87732 -aS'blood\tblood\tNN\tI-NP\tO' -p87733 -aS'cell\tcell\tNN\tI-NP\tO' -p87734 -aS'count\tcount\tNN\tI-NP\tO' -p87735 -aS'11.1\t11.1\tNN\tI-NP\tO' -p87736 -aS',\t,\t,\tO\tO' -p87737 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p87738 -aS'39.6\t39.6\tCD\tI-NP\tI-protein' -p87739 -aS',\t,\t,\tO\tO' -p87740 -aS'platelet\tplatelet\tNN\tB-NP\tB-protein' -p87741 -aS'count\tcount\tNN\tI-NP\tI-protein' -p87742 -aS'137\t137\tCD\tI-NP\tI-protein' -p87743 -aS',\t,\t,\tO\tO' -p87744 -aS'prothrombin\tprothrombin\tNN\tB-NP\tB-protein' -p87745 -aS'time\ttime\tNN\tI-NP\tI-protein' -p87746 -aS'25.2\t25.2\tCD\tB-NP\tI-protein' -p87747 -aS',\t,\t,\tO\tO' -p87748 -aS'INR\tINR\tNN\tB-NP\tB-protein' -p87749 -aS'4.3\t4.3\tCD\tI-NP\tI-protein' -p87750 -aS',\t,\t,\tO\tO' -p87751 -aS'partial\tpartial\tJJ\tB-NP\tO' -p87752 -aS'thromboplastin\tthromboplastin\tNN\tI-NP\tO' -p87753 -aS'time\ttime\tNN\tI-NP\tO' -p87754 -aS'34.7\t34.7\tCD\tB-NP\tO' -p87755 -aS',\t,\t,\tO\tO' -p87756 -aS'urinalysis\turinalysis\tNN\tB-NP\tO' -p87757 -aS'1+\t1+\tCD\tI-NP\tO' -p87758 -aS'albumin,\talbumin,\tIN\tB-NP\tO' -p87759 -aS'0-5\t0-5\tCD\tI-NP\tO' -p87760 -aS'high\thigh\tJJ\tI-NP\tO' -p87761 -aS'link\tlink\tNN\tI-NP\tO' -p87762 -aS'caths\tcath\tNNS\tI-NP\tO' -p87763 -aS',\t,\t,\tO\tO' -p87764 -aS'cervical\tcervical\tJJ\tB-NP\tO' -p87765 -aS'spine\tspine\tNN\tI-NP\tO' -p87766 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p87767 -aS',\t,\t,\tO\tO' -p87768 -aS'pelvis\tpelvis\tNN\tB-NP\tO' -p87769 -aS'negative\tnegative\tJJ\tI-NP\tO' -p87770 -aS',\t,\t,\tI-NP\tO' -p87771 -aS'lumbar\tlumbar\tJJ\tI-NP\tO' -p87772 -aS'spine\tspine\tNN\tI-NP\tO' -p87773 -aS';\t;\t:\tO\tO' -p87774 -aS'negative\tnegative\tJJ\tB-NP\tO' -p87775 -aS',\t,\t,\tI-NP\tO' -p87776 -aS'thoracic\tthoracic\tJJ\tI-NP\tO' -p87777 -aS'spine\tspine\tNN\tI-NP\tO' -p87778 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p87779 -aS'.\t.\t.\tO\tO' -p87780 -asS'She responded well to fluid bolusing .' -p87781 -(lp87782 -S'She\tShe\tPRP\tB-NP\tO' -p87783 -aS'responded\trespond\tVBD\tB-VP\tO' -p87784 -aS'well\twell\tRB\tB-ADVP\tO' -p87785 -aS'to\tto\tTO\tB-PP\tO' -p87786 -aS'fluid\tfluid\tNN\tB-NP\tO' -p87787 -aS'bolusing\tbolusing\tNN\tI-NP\tO' -p87788 -aS'.\t.\t.\tO\tO' -p87789 -asS'His pleural chest tubes were removed .' -p87790 -(lp87791 -S'His\tHis\tPRP$\tB-NP\tO' -p87792 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p87793 -aS'chest\tchest\tNN\tI-NP\tO' -p87794 -aS'tubes\ttube\tNNS\tI-NP\tO' -p87795 -aS'were\tbe\tVBD\tB-VP\tO' -p87796 -aS'removed\tremove\tVBN\tI-VP\tO' -p87797 -aS'.\t.\t.\tO\tO' -p87798 -asS'Lives in Danvers with wife , denies Timothy or alcohol .' -p87799 -(lp87800 -S'Lives\tLife\tNNS\tB-NP\tO' -p87801 -aS'in\tin\tIN\tB-PP\tO' -p87802 -aS'Danvers\tDanver\tNNS\tB-NP\tO' -p87803 -aS'with\twith\tIN\tB-PP\tO' -p87804 -aS'wife\twife\tNN\tB-NP\tO' -p87805 -aS',\t,\t,\tO\tO' -p87806 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p87807 -aS'Timothy\tTimothy\tNNP\tB-NP\tO' -p87808 -aS'or\tor\tCC\tO\tO' -p87809 -aS'alcohol\talcohol\tNN\tB-NP\tO' -p87810 -aS'.\t.\t.\tO\tO' -p87811 -asS'Intubated for airway protection ( ABG 7.39/26.5/73.6 ) and placed on levophed .' -p87812 -(lp87813 -S'Intubated\tIntubate\tVBN\tB-VP\tO' -p87814 -aS'for\tfor\tIN\tB-PP\tO' -p87815 -aS'airway\tairway\tNN\tB-NP\tO' -p87816 -aS'protection\tprotection\tNN\tI-NP\tO' -p87817 -aS'(\t(\t(\tO\tO' -p87818 -aS'ABG\tABG\tNN\tB-NP\tO' -p87819 -aS'7.39/26.5/73.6\t7.39/26.5/73.6\tCD\tI-NP\tO' -p87820 -aS')\t)\t)\tO\tO' -p87821 -aS'and\tand\tCC\tO\tO' -p87822 -aS'placed\tplace\tVBN\tB-VP\tO' -p87823 -aS'on\ton\tIN\tB-PP\tO' -p87824 -aS'levophed\tlevophe\tVBN\tB-VP\tO' -p87825 -aS'.\t.\t.\tO\tO' -p87826 -asS'No history of smoking and ethanol use .' -p87827 -(lp87828 -S'No\tNo\tDT\tB-NP\tO' -p87829 -aS'history\thistory\tNN\tI-NP\tO' -p87830 -aS'of\tof\tIN\tB-PP\tO' -p87831 -aS'smoking\tsmoking\tNN\tB-NP\tO' -p87832 -aS'and\tand\tCC\tI-NP\tO' -p87833 -aS'ethanol\tethanol\tNN\tI-NP\tO' -p87834 -aS'use\tuse\tNN\tI-NP\tO' -p87835 -aS'.\t.\t.\tO\tO' -p87836 -asS'Infant has not had any issues with sepsis this hospitalization .' -p87837 -(lp87838 -S'Infant\tInfant\tNNP\tB-NP\tO' -p87839 -aS'has\thave\tVBZ\tB-VP\tO' -p87840 -aS'not\tnot\tRB\tI-VP\tO' -p87841 -aS'had\thave\tVBN\tI-VP\tO' -p87842 -aS'any\tany\tDT\tB-NP\tO' -p87843 -aS'issues\tissue\tNNS\tI-NP\tO' -p87844 -aS'with\twith\tIN\tB-PP\tO' -p87845 -aS'sepsis\tsepsis\tNN\tB-NP\tO' -p87846 -aS'this\tthis\tDT\tB-NP\tO' -p87847 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p87848 -aS'.\t.\t.\tO\tO' -p87849 -asS'Pt is currently satting 90s on 1 L NC while sitting in a chair but needs more O2 when supine .' -p87850 -(lp87851 -S'Pt\tPt\tNN\tB-NP\tO' -p87852 -aS'is\tbe\tVBZ\tB-VP\tO' -p87853 -aS'currently\tcurrently\tRB\tI-VP\tO' -p87854 -aS'satting\tsatte\tVBG\tI-VP\tO' -p87855 -aS'90s\t90\tNNS\tB-NP\tO' -p87856 -aS'on\ton\tIN\tB-PP\tO' -p87857 -aS'1\t1\tCD\tB-NP\tO' -p87858 -aS'L\tL\tNN\tI-NP\tO' -p87859 -aS'NC\tNC\tNN\tI-NP\tO' -p87860 -aS'while\twhile\tIN\tB-SBAR\tO' -p87861 -aS'sitting\tsit\tVBG\tB-VP\tO' -p87862 -aS'in\tin\tIN\tB-PP\tO' -p87863 -aS'a\ta\tDT\tB-NP\tO' -p87864 -aS'chair\tchair\tNN\tI-NP\tO' -p87865 -aS'but\tbut\tCC\tO\tO' -p87866 -aS'needs\tneed\tVBZ\tB-VP\tO' -p87867 -aS'more\tmore\tJJR\tB-NP\tO' -p87868 -aS'O2\tO2\tNN\tI-NP\tB-protein' -p87869 -aS'when\twhen\tWRB\tB-ADVP\tO' -p87870 -aS'supine\tsupine\tNN\tB-NP\tO' -p87871 -aS'.\t.\t.\tO\tO' -p87872 -asS'Upon extrication from the vehicle , he was intubated and transported to the Emergency Room .' -p87873 -(lp87874 -S'Upon\tUpon\tIN\tB-PP\tO' -p87875 -aS'extrication\textrication\tNN\tB-NP\tO' -p87876 -aS'from\tfrom\tIN\tB-PP\tO' -p87877 -aS'the\tthe\tDT\tB-NP\tO' -p87878 -aS'vehicle\tvehicle\tNN\tI-NP\tO' -p87879 -aS',\t,\t,\tO\tO' -p87880 -aS'he\the\tPRP\tB-NP\tO' -p87881 -aS'was\tbe\tVBD\tB-VP\tO' -p87882 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p87883 -aS'and\tand\tCC\tO\tO' -p87884 -aS'transported\ttransport\tVBN\tB-VP\tO' -p87885 -aS'to\tto\tTO\tB-PP\tO' -p87886 -aS'the\tthe\tDT\tB-NP\tO' -p87887 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p87888 -aS'Room\tRoom\tNNP\tI-NP\tO' -p87889 -aS'.\t.\t.\tO\tO' -p87890 -asS'This report was created by Meedner , Shaza 12/07/2004 10:59 PM' -p87891 -(lp87892 -S'This\tThis\tDT\tB-NP\tO' -p87893 -aS'report\treport\tNN\tI-NP\tO' -p87894 -aS'was\tbe\tVBD\tB-VP\tO' -p87895 -aS'created\tcreate\tVBN\tI-VP\tO' -p87896 -aS'by\tby\tIN\tB-PP\tO' -p87897 -aS'Meedner\tMeedner\tNNP\tB-NP\tO' -p87898 -aS',\t,\t,\tO\tO' -p87899 -aS'Shaza\tShaza\tNNP\tB-NP\tO' -p87900 -aS'12/07/2004\t12/07/2004\tCD\tB-NP\tO' -p87901 -aS'10:59\t10:59\tCD\tI-NP\tO' -p87902 -aS'PM\tPM\tNN\tI-NP\tO' -p87903 -asS'Hypercarbia would result and increase in cerebral perfusion , paralysis was initiated to decrease genesis of carbon dioxide secreted during shivering .' -p87904 -(lp87905 -S'Hypercarbia\tHypercarbia\tNNP\tB-NP\tO' -p87906 -aS'would\twould\tMD\tB-VP\tO' -p87907 -aS'result\tresult\tVB\tI-VP\tO' -p87908 -aS'and\tand\tCC\tO\tO' -p87909 -aS'increase\tincrease\tVB\tB-VP\tO' -p87910 -aS'in\tin\tIN\tB-PP\tO' -p87911 -aS'cerebral\tcerebral\tJJ\tB-NP\tO' -p87912 -aS'perfusion\tperfusion\tNN\tI-NP\tO' -p87913 -aS',\t,\t,\tO\tO' -p87914 -aS'paralysis\tparalysis\tNN\tB-NP\tO' -p87915 -aS'was\tbe\tVBD\tB-VP\tO' -p87916 -aS'initiated\tinitiate\tVBN\tI-VP\tO' -p87917 -aS'to\tto\tTO\tI-VP\tO' -p87918 -aS'decrease\tdecrease\tVB\tI-VP\tO' -p87919 -aS'genesis\tgenesis\tNN\tB-NP\tO' -p87920 -aS'of\tof\tIN\tB-PP\tO' -p87921 -aS'carbon\tcarbon\tNN\tB-NP\tO' -p87922 -aS'dioxide\tdioxide\tNN\tI-NP\tO' -p87923 -aS'secreted\tsecrete\tVBN\tB-VP\tO' -p87924 -aS'during\tduring\tIN\tB-PP\tO' -p87925 -aS'shivering\tshivering\tNN\tB-NP\tO' -p87926 -aS'.\t.\t.\tO\tO' -p87927 -asS'She was thus started on a Protocol of high dose chemotherapy with GCSF and peripheral stem cell support .' -p87928 -(lp87929 -S'She\tShe\tPRP\tB-NP\tO' -p87930 -aS'was\tbe\tVBD\tB-VP\tO' -p87931 -aS'thus\tthus\tRB\tI-VP\tO' -p87932 -aS'started\tstart\tVBN\tI-VP\tO' -p87933 -aS'on\ton\tIN\tB-PP\tO' -p87934 -aS'a\ta\tDT\tB-NP\tO' -p87935 -aS'Protocol\tProtocol\tNN\tI-NP\tO' -p87936 -aS'of\tof\tIN\tB-PP\tO' -p87937 -aS'high\thigh\tJJ\tB-NP\tO' -p87938 -aS'dose\tdose\tNN\tI-NP\tO' -p87939 -aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' -p87940 -aS'with\twith\tIN\tB-PP\tO' -p87941 -aS'GCSF\tGCSF\tNN\tB-NP\tB-protein' -p87942 -aS'and\tand\tCC\tI-NP\tO' -p87943 -aS'peripheral\tperipheral\tJJ\tI-NP\tO' -p87944 -aS'stem\tstem\tNN\tI-NP\tO' -p87945 -aS'cell\tcell\tNN\tI-NP\tO' -p87946 -aS'support\tsupport\tNN\tI-NP\tO' -p87947 -aS'.\t.\t.\tO\tO' -p87948 -asS'She was also given morphine 2 mg x3 , 4 mg IV x2 , dolasetron 12.5 mg x2 and ativan 1 mg IV x1 .' -p87949 -(lp87950 -S'She\tShe\tPRP\tB-NP\tO' -p87951 -aS'was\tbe\tVBD\tB-VP\tO' -p87952 -aS'also\talso\tRB\tI-VP\tO' -p87953 -aS'given\tgive\tVBN\tI-VP\tO' -p87954 -aS'morphine\tmorphine\tNN\tB-NP\tO' -p87955 -aS'2\t2\tCD\tI-NP\tO' -p87956 -aS'mg\tmg\tNN\tI-NP\tO' -p87957 -aS'x3\tx3\tCD\tB-NP\tO' -p87958 -aS',\t,\t,\tI-NP\tO' -p87959 -aS'4\t4\tCD\tI-NP\tO' -p87960 -aS'mg\tmg\tNN\tI-NP\tO' -p87961 -aS'IV\tIV\tCD\tB-NP\tO' -p87962 -aS'x2\tx2\tNN\tI-NP\tO' -p87963 -aS',\t,\t,\tO\tO' -p87964 -aS'dolasetron\tdolasetron\tNN\tB-NP\tO' -p87965 -aS'12.5\t12.5\tCD\tI-NP\tO' -p87966 -aS'mg\tmg\tNN\tI-NP\tO' -p87967 -aS'x2\tx2\tNN\tI-NP\tO' -p87968 -aS'and\tand\tCC\tO\tO' -p87969 -aS'ativan\tativan\tNN\tB-NP\tO' -p87970 -aS'1\t1\tCD\tI-NP\tO' -p87971 -aS'mg\tmg\tNN\tI-NP\tO' -p87972 -aS'IV\tIV\tCD\tB-NP\tO' -p87973 -aS'x1\tx1\tNN\tI-NP\tO' -p87974 -aS'.\t.\t.\tO\tO' -p87975 -asS'It was found that he had elevated troponins and likely an ischemic event on the 07-02 .' -p87976 -(lp87977 -S'It\tIt\tPRP\tB-NP\tO' -p87978 -aS'was\tbe\tVBD\tB-VP\tO' -p87979 -aS'found\tfind\tVBN\tI-VP\tO' -p87980 -aS'that\tthat\tIN\tB-SBAR\tO' -p87981 -aS'he\the\tPRP\tB-NP\tO' -p87982 -aS'had\thave\tVBD\tB-VP\tO' -p87983 -aS'elevated\televate\tVBN\tI-VP\tO' -p87984 -aS'troponins\ttroponin\tNNS\tB-NP\tO' -p87985 -aS'and\tand\tCC\tO\tO' -p87986 -aS'likely\tlikely\tRB\tB-NP\tO' -p87987 -aS'an\tan\tDT\tI-NP\tO' -p87988 -aS'ischemic\tischemic\tJJ\tI-NP\tO' -p87989 -aS'event\tevent\tNN\tI-NP\tO' -p87990 -aS'on\ton\tIN\tB-PP\tO' -p87991 -aS'the\tthe\tDT\tB-NP\tO' -p87992 -aS'07-02\t07-02\tCD\tI-NP\tO' -p87993 -aS'.\t.\t.\tO\tO' -p87994 -asS'Denied suicidal ideation .' -p87995 -(lp87996 -S'Denied\tDeny\tVBN\tB-NP\tO' -p87997 -aS'suicidal\tsuicidal\tJJ\tI-NP\tO' -p87998 -aS'ideation\tideation\tNN\tI-NP\tO' -p87999 -aS'.\t.\t.\tO\tO' -p88000 -asS'The patient had an echo on 2017-09-04 with the results above in detail .' -p88001 -(lp88002 -S'The\tThe\tDT\tB-NP\tO' -p88003 -aS'patient\tpatient\tNN\tI-NP\tO' -p88004 -aS'had\thave\tVBD\tB-VP\tO' -p88005 -aS'an\tan\tDT\tB-NP\tO' -p88006 -aS'echo\techo\tNN\tI-NP\tO' -p88007 -aS'on\ton\tIN\tB-PP\tO' -p88008 -aS'2017-09-04\t2017-09-04\tCD\tB-NP\tO' -p88009 -aS'with\twith\tIN\tB-PP\tO' -p88010 -aS'the\tthe\tDT\tB-NP\tO' -p88011 -aS'results\tresult\tNNS\tI-NP\tO' -p88012 -aS'above\tabove\tIN\tB-PP\tO' -p88013 -aS'in\tin\tIN\tB-PP\tO' -p88014 -aS'detail\tdetail\tNN\tB-NP\tO' -p88015 -aS'.\t.\t.\tO\tO' -p88016 -asS'On 9/7/93 at 4:00 a.m. , albumin bolus 5% 10 cc's per kilo was given , a total of 120 cc's , electrolytes were sodium 155 , potassium 3.1 .' -p88017 -(lp88018 -S'On\tOn\tIN\tB-PP\tO' -p88019 -aS'9/7/93\t9/7/93\tCD\tB-NP\tO' -p88020 -aS'at\tat\tIN\tB-PP\tO' -p88021 -aS'4:00\t4:00\tCD\tB-NP\tO' -p88022 -aS'a.m.\ta.m.\tNN\tI-NP\tO' -p88023 -aS',\t,\t,\tO\tO' -p88024 -aS'albumin\talbumin\tNN\tB-NP\tB-protein' -p88025 -aS'bolus\tbolus\tNN\tI-NP\tI-protein' -p88026 -aS'5%\t5%\tNN\tI-NP\tI-protein' -p88027 -aS'10\t10\tCD\tB-NP\tI-protein' -p88028 -aS'cc's\tcc'\tNNS\tI-NP\tI-protein' -p88029 -aS'per\tper\tIN\tB-PP\tI-protein' -p88030 -aS'kilo\tkilo\tNN\tB-NP\tI-protein' -p88031 -aS'was\tbe\tVBD\tB-VP\tO' -p88032 -aS'given\tgive\tVBN\tI-VP\tO' -p88033 -aS',\t,\t,\tO\tO' -p88034 -aS'a\ta\tDT\tB-NP\tO' -p88035 -aS'total\ttotal\tNN\tI-NP\tO' -p88036 -aS'of\tof\tIN\tB-PP\tO' -p88037 -aS'120\t120\tCD\tB-NP\tO' -p88038 -aS'cc's\tcc'\tNNS\tI-NP\tO' -p88039 -aS',\t,\t,\tO\tO' -p88040 -aS'electrolytes\telectrolyte\tNNS\tB-NP\tO' -p88041 -aS'were\tbe\tVBD\tB-VP\tO' -p88042 -aS'sodium\tsodium\tNN\tB-NP\tO' -p88043 -aS'155\t155\tCD\tI-NP\tO' -p88044 -aS',\t,\t,\tO\tO' -p88045 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p88046 -aS'3.1\t3.1\tCD\tI-NP\tO' -p88047 -aS'.\t.\t.\tO\tO' -p88048 -asS'In early November he started dialysis after a PermCath was placed .' -p88049 -(lp88050 -S'In\tIn\tIN\tB-PP\tO' -p88051 -aS'early\tearly\tJJ\tB-NP\tO' -p88052 -aS'November\tNovember\tNNP\tI-NP\tO' -p88053 -aS'he\the\tPRP\tB-NP\tO' -p88054 -aS'started\tstart\tVBD\tB-VP\tO' -p88055 -aS'dialysis\tdialysis\tNN\tB-NP\tO' -p88056 -aS'after\tafter\tIN\tB-PP\tO' -p88057 -aS'a\ta\tDT\tB-NP\tO' -p88058 -aS'PermCath\tPermCath\tNN\tI-NP\tO' -p88059 -aS'was\tbe\tVBD\tB-VP\tO' -p88060 -aS'placed\tplace\tVBN\tI-VP\tO' -p88061 -aS'.\t.\t.\tO\tO' -p88062 -asS'14. Metronidazole 500 mg Tablet Sig : One ( 1 ) Tablet PO TID ( 3 times a day ) for 6 days : Last day 2017-07-25 .' -p88063 -(lp88064 -S'14.\t14.\tLS\tB-NP\tO' -p88065 -aS'Metronidazole\tMetronidazole\tNN\tI-NP\tO' -p88066 -aS'500\t500\tCD\tI-NP\tO' -p88067 -aS'mg\tmg\tNN\tI-NP\tO' -p88068 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p88069 -aS'Sig\tSig\tNNP\tI-NP\tO' -p88070 -aS':\t:\t:\tO\tO' -p88071 -aS'One\tOne\tCD\tB-NP\tO' -p88072 -aS'(\t(\t(\tO\tO' -p88073 -aS'1\t1\tCD\tB-NP\tO' -p88074 -aS')\t)\t)\tO\tO' -p88075 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p88076 -aS'PO\tPO\tNN\tI-NP\tO' -p88077 -aS'TID\tTID\tNN\tI-NP\tO' -p88078 -aS'(\t(\t(\tO\tO' -p88079 -aS'3\t3\tCD\tB-NP\tO' -p88080 -aS'times\ttime\tNNS\tI-NP\tO' -p88081 -aS'a\ta\tDT\tB-NP\tO' -p88082 -aS'day\tday\tNN\tI-NP\tO' -p88083 -aS')\t)\t)\tO\tO' -p88084 -aS'for\tfor\tIN\tB-PP\tO' -p88085 -aS'6\t6\tCD\tB-NP\tO' -p88086 -aS'days\tday\tNNS\tI-NP\tO' -p88087 -aS':\t:\t:\tO\tO' -p88088 -aS'Last\tLast\tJJ\tB-NP\tO' -p88089 -aS'day\tday\tNN\tI-NP\tO' -p88090 -aS'2017-07-25\t2017-07-25\tCD\tI-NP\tO' -p88091 -aS'.\t.\t.\tO\tO' -p88092 -asS'Sodium 139 , K 4.8 , chloride 109 , CO2 31 , BUN 33 , creatinine 2.2 , blood sugar 164 .' -p88093 -(lp88094 -S'Sodium\tSodium\tNN\tB-NP\tB-protein' -p88095 -aS'139\t139\tCD\tI-NP\tI-protein' -p88096 -aS',\t,\t,\tO\tO' -p88097 -aS'K\tK\tNN\tB-NP\tB-cell_line' -p88098 -aS'4.8\t4.8\tNN\tI-NP\tI-cell_line' -p88099 -aS',\t,\t,\tO\tO' -p88100 -aS'chloride\tchloride\tNN\tB-NP\tO' -p88101 -aS'109\t109\tCD\tI-NP\tO' -p88102 -aS',\t,\t,\tO\tO' -p88103 -aS'CO2\tCO2\tNN\tB-NP\tO' -p88104 -aS'31\t31\tCD\tI-NP\tO' -p88105 -aS',\t,\t,\tO\tO' -p88106 -aS'BUN\tBUN\tNN\tB-NP\tB-DNA' -p88107 -aS'33\t33\tCD\tI-NP\tI-DNA' -p88108 -aS',\t,\t,\tO\tO' -p88109 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p88110 -aS'2.2\t2.2\tCD\tI-NP\tO' -p88111 -aS',\t,\t,\tO\tO' -p88112 -aS'blood\tblood\tNN\tB-NP\tO' -p88113 -aS'sugar\tsugar\tNN\tI-NP\tO' -p88114 -aS'164\t164\tCD\tI-NP\tO' -p88115 -aS'.\t.\t.\tO\tO' -p88116 -asS'PT was consulted .' -p88117 -(lp88118 -S'PT\tPT\tNN\tB-NP\tO' -p88119 -aS'was\tbe\tVBD\tB-VP\tO' -p88120 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p88121 -aS'.\t.\t.\tO\tO' -p88122 -asS'2. CHOLECYSTITIS .' -p88123 -(lp88124 -S'2.\t2.\tLS\tB-NP\tO' -p88125 -aS'CHOLECYSTITIS\tCHOLECYSTITIS\tNN\tI-NP\tO' -p88126 -aS'.\t.\t.\tO\tO' -p88127 -asS'He was alert and oriented times 3 and with slightly pressured speech .' -p88128 -(lp88129 -S'He\tHe\tPRP\tB-NP\tO' -p88130 -aS'was\tbe\tVBD\tB-VP\tO' -p88131 -aS'alert\talert\tJJ\tB-ADJP\tO' -p88132 -aS'and\tand\tCC\tO\tO' -p88133 -aS'oriented\torient\tVBN\tB-VP\tO' -p88134 -aS'times\ttime\tNNS\tB-NP\tO' -p88135 -aS'3\t3\tCD\tI-NP\tO' -p88136 -aS'and\tand\tCC\tO\tO' -p88137 -aS'with\twith\tIN\tB-PP\tO' -p88138 -aS'slightly\tslightly\tRB\tB-NP\tO' -p88139 -aS'pressured\tpressured\tJJ\tI-NP\tO' -p88140 -aS'speech\tspeech\tNN\tI-NP\tO' -p88141 -aS'.\t.\t.\tO\tO' -p88142 -asS'Continue inhalers as prescribed .' -p88143 -(lp88144 -S'Continue\tContinue\tJJ\tB-NP\tO' -p88145 -aS'inhalers\tinhaler\tNNS\tI-NP\tO' -p88146 -aS'as\tas\tIN\tB-SBAR\tO' -p88147 -aS'prescribed\tprescribe\tVBN\tB-VP\tO' -p88148 -aS'.\t.\t.\tO\tO' -p88149 -asS'The pain is often severely and increasing at night especially when he is lying on the right side .' -p88150 -(lp88151 -S'The\tThe\tDT\tB-NP\tO' -p88152 -aS'pain\tpain\tNN\tI-NP\tO' -p88153 -aS'is\tbe\tVBZ\tB-VP\tO' -p88154 -aS'often\toften\tRB\tB-ADVP\tO' -p88155 -aS'severely\tseverely\tRB\tB-ADVP\tO' -p88156 -aS'and\tand\tCC\tO\tO' -p88157 -aS'increasing\tincrease\tVBG\tB-VP\tO' -p88158 -aS'at\tat\tIN\tB-PP\tO' -p88159 -aS'night\tnight\tNN\tB-NP\tO' -p88160 -aS'especially\tespecially\tRB\tB-ADVP\tO' -p88161 -aS'when\twhen\tWRB\tB-ADVP\tO' -p88162 -aS'he\the\tPRP\tB-NP\tO' -p88163 -aS'is\tbe\tVBZ\tB-VP\tO' -p88164 -aS'lying\tlie\tVBG\tI-VP\tO' -p88165 -aS'on\ton\tIN\tB-PP\tO' -p88166 -aS'the\tthe\tDT\tB-NP\tO' -p88167 -aS'right\tright\tJJ\tI-NP\tO' -p88168 -aS'side\tside\tNN\tI-NP\tO' -p88169 -aS'.\t.\t.\tO\tO' -p88170 -asS'There is no family history of coronary artery disease .' -p88171 -(lp88172 -S'There\tThere\tEX\tB-NP\tO' -p88173 -aS'is\tbe\tVBZ\tB-VP\tO' -p88174 -aS'no\tno\tDT\tB-NP\tO' -p88175 -aS'family\tfamily\tNN\tI-NP\tO' -p88176 -aS'history\thistory\tNN\tI-NP\tO' -p88177 -aS'of\tof\tIN\tB-PP\tO' -p88178 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p88179 -aS'artery\tartery\tNN\tI-NP\tO' -p88180 -aS'disease\tdisease\tNN\tI-NP\tO' -p88181 -aS'.\t.\t.\tO\tO' -p88182 -asS'10. Hypertension .' -p88183 -(lp88184 -S'10.\t10.\tLS\tB-NP\tO' -p88185 -aS'Hypertension\tHypertension\tNN\tI-NP\tO' -p88186 -aS'.\t.\t.\tO\tO' -p88187 -asS'He has been maintained on single Timlin therapy with Sutent 50 mg daily as of 2018-12-21 and has completed nearly 6 cycles .' -p88188 -(lp88189 -S'He\tHe\tPRP\tB-NP\tO' -p88190 -aS'has\thave\tVBZ\tB-VP\tO' -p88191 -aS'been\tbe\tVBN\tI-VP\tO' -p88192 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p88193 -aS'on\ton\tIN\tB-PP\tO' -p88194 -aS'single\tsingle\tJJ\tB-NP\tO' -p88195 -aS'Timlin\tTimlin\tNN\tI-NP\tO' -p88196 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p88197 -aS'with\twith\tIN\tB-PP\tO' -p88198 -aS'Sutent\tSutent\tJJ\tB-NP\tO' -p88199 -aS'50\t50\tCD\tI-NP\tO' -p88200 -aS'mg\tmg\tNN\tI-NP\tO' -p88201 -aS'daily\tdaily\tRB\tB-ADVP\tO' -p88202 -aS'as\tas\tIN\tB-PP\tO' -p88203 -aS'of\tof\tIN\tB-PP\tO' -p88204 -aS'2018-12-21\t2018-12-21\tCD\tB-NP\tO' -p88205 -aS'and\tand\tCC\tO\tO' -p88206 -aS'has\thave\tVBZ\tB-VP\tO' -p88207 -aS'completed\tcomplete\tVBN\tI-VP\tO' -p88208 -aS'nearly\tnearly\tRB\tB-NP\tO' -p88209 -aS'6\t6\tCD\tI-NP\tO' -p88210 -aS'cycles\tcycle\tNNS\tI-NP\tO' -p88211 -aS'.\t.\t.\tO\tO' -p88212 -asS'1 - Fill Rx for antibiotics today and take until finished even if neck pain subsides x 14 days' -p88213 -(lp88214 -S'1\t1\tCD\tB-NP\tO' -p88215 -aS'-\t-\tHYPH\tI-NP\tO' -p88216 -aS'Fill\tFill\tNN\tI-NP\tO' -p88217 -aS'Rx\tRx\tNN\tI-NP\tO' -p88218 -aS'for\tfor\tIN\tB-PP\tO' -p88219 -aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' -p88220 -aS'today\ttoday\tNN\tB-NP\tO' -p88221 -aS'and\tand\tCC\tO\tO' -p88222 -aS'take\ttake\tVB\tB-VP\tO' -p88223 -aS'until\tuntil\tIN\tB-SBAR\tO' -p88224 -aS'finished\tfinish\tVBN\tB-VP\tO' -p88225 -aS'even\teven\tRB\tB-SBAR\tO' -p88226 -aS'if\tif\tIN\tI-SBAR\tO' -p88227 -aS'neck\tneck\tNN\tB-NP\tO' -p88228 -aS'pain\tpain\tNN\tI-NP\tO' -p88229 -aS'subsides\tsubside\tNNS\tI-NP\tO' -p88230 -aS'x\tx\tSYM\tO\tO' -p88231 -aS'14\t14\tCD\tB-NP\tO' -p88232 -aS'days\tday\tNNS\tI-NP\tO' -p88233 -asS'His hemoglobin A1C levels actually came back within normal limits , however , the wide excursions of his sugars were consistent with possible diabetes .' -p88234 -(lp88235 -S'His\tHis\tPRP$\tB-NP\tO' -p88236 -aS'hemoglobin\themoglobin\tNN\tI-NP\tB-protein' -p88237 -aS'A1C\tA1C\tNN\tI-NP\tO' -p88238 -aS'levels\tlevel\tNNS\tI-NP\tO' -p88239 -aS'actually\tactually\tRB\tB-ADVP\tO' -p88240 -aS'came\tcome\tVBD\tB-VP\tO' -p88241 -aS'back\tback\tRB\tB-ADVP\tO' -p88242 -aS'within\twithin\tIN\tB-PP\tO' -p88243 -aS'normal\tnormal\tJJ\tB-NP\tO' -p88244 -aS'limits\tlimit\tNNS\tI-NP\tO' -p88245 -aS',\t,\t,\tO\tO' -p88246 -aS'however\thowever\tRB\tB-ADVP\tO' -p88247 -aS',\t,\t,\tO\tO' -p88248 -aS'the\tthe\tDT\tB-NP\tO' -p88249 -aS'wide\twide\tJJ\tI-NP\tO' -p88250 -aS'excursions\texcursion\tNNS\tI-NP\tO' -p88251 -aS'of\tof\tIN\tB-PP\tO' -p88252 -aS'his\this\tPRP$\tB-NP\tO' -p88253 -aS'sugars\tsugar\tNNS\tI-NP\tO' -p88254 -aS'were\tbe\tVBD\tB-VP\tO' -p88255 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p88256 -aS'with\twith\tIN\tB-PP\tO' -p88257 -aS'possible\tpossible\tJJ\tB-NP\tO' -p88258 -aS'diabetes\tdiabete\tNNS\tI-NP\tO' -p88259 -aS'.\t.\t.\tO\tO' -p88260 -asS'1. Partial vertebrectomy of L3 and L4 .' -p88261 -(lp88262 -S'1.\t1.\tLS\tB-NP\tO' -p88263 -aS'Partial\tPartial\tJJ\tI-NP\tO' -p88264 -aS'vertebrectomy\tvertebrectomy\tNN\tI-NP\tO' -p88265 -aS'of\tof\tIN\tB-PP\tO' -p88266 -aS'L3\tL3\tNN\tB-NP\tB-DNA' -p88267 -aS'and\tand\tCC\tI-NP\tO' -p88268 -aS'L4\tL4\tNN\tI-NP\tB-DNA' -p88269 -aS'.\t.\t.\tO\tO' -p88270 -asS'Lasix 40 mg q. Day .' -p88271 -(lp88272 -S'Lasix\tLasix\tNNP\tB-NP\tO' -p88273 -aS'40\t40\tCD\tI-NP\tO' -p88274 -aS'mg\tmg\tNN\tI-NP\tO' -p88275 -aS'q.\tq.\tNNP\tI-NP\tO' -p88276 -aS'Day\tDay\tNNP\tI-NP\tO' -p88277 -aS'.\t.\t.\tO\tO' -p88278 -asS'A 2/6 systolic murmur at the upper sternal border .' -p88279 -(lp88280 -S'A\tA\tDT\tB-NP\tO' -p88281 -aS'2/6\t2/6\tCD\tI-NP\tO' -p88282 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p88283 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p88284 -aS'at\tat\tIN\tB-PP\tO' -p88285 -aS'the\tthe\tDT\tB-NP\tO' -p88286 -aS'upper\tupper\tJJ\tI-NP\tO' -p88287 -aS'sternal\tsternal\tJJ\tI-NP\tO' -p88288 -aS'border\tborder\tNN\tI-NP\tO' -p88289 -aS'.\t.\t.\tO\tO' -p88290 -asS'3. Car seat screening - Passed .' -p88291 -(lp88292 -S'3.\t3.\tLS\tB-NP\tO' -p88293 -aS'Car\tCar\tNN\tI-NP\tB-protein' -p88294 -aS'seat\tseat\tNN\tI-NP\tO' -p88295 -aS'screening\tscreening\tNN\tI-NP\tO' -p88296 -aS'-\t-\tHYPH\tO\tO' -p88297 -aS'Passed\tPass\tVBN\tB-VP\tO' -p88298 -aS'.\t.\t.\tO\tO' -p88299 -asS'The patient 's shortness of breath and wheezing continued but without change .' -p88300 -(lp88301 -S'The\tThe\tDT\tB-NP\tO' -p88302 -aS'patient\tpatient\tNN\tI-NP\tO' -p88303 -aS''s\t'\tNNS\tI-NP\tO' -p88304 -aS'shortness\tshortness\tNN\tI-NP\tO' -p88305 -aS'of\tof\tIN\tB-PP\tO' -p88306 -aS'breath\tbreath\tNN\tB-NP\tO' -p88307 -aS'and\tand\tCC\tO\tO' -p88308 -aS'wheezing\twheeze\tVBG\tB-VP\tO' -p88309 -aS'continued\tcontinue\tVBN\tB-VP\tO' -p88310 -aS'but\tbut\tCC\tB-PP\tO' -p88311 -aS'without\twithout\tIN\tB-PP\tO' -p88312 -aS'change\tchange\tNN\tB-NP\tO' -p88313 -aS'.\t.\t.\tO\tO' -p88314 -asS'Metoprolol 50 mg PO bid , Isordil 20 mg PO tid , enteric coated aspirin 1 PO qd .' -p88315 -(lp88316 -S'Metoprolol\tMetoprolol\tNN\tB-NP\tO' -p88317 -aS'50\t50\tCD\tI-NP\tO' -p88318 -aS'mg\tmg\tNN\tI-NP\tO' -p88319 -aS'PO\tPO\tNN\tI-NP\tO' -p88320 -aS'bid\tbid\tNN\tI-NP\tO' -p88321 -aS',\t,\t,\tO\tO' -p88322 -aS'Isordil\tIsordil\tNN\tB-NP\tO' -p88323 -aS'20\t20\tCD\tI-NP\tO' -p88324 -aS'mg\tmg\tNN\tI-NP\tO' -p88325 -aS'PO\tPO\tNN\tI-NP\tO' -p88326 -aS'tid\ttid\tNN\tI-NP\tO' -p88327 -aS',\t,\t,\tO\tO' -p88328 -aS'enteric\tenteric\tJJ\tB-NP\tO' -p88329 -aS'coated\tcoated\tJJ\tI-NP\tO' -p88330 -aS'aspirin\taspirin\tNN\tI-NP\tO' -p88331 -aS'1\t1\tCD\tI-NP\tO' -p88332 -aS'PO\tPO\tNN\tI-NP\tO' -p88333 -aS'qd\tqd\tNN\tI-NP\tO' -p88334 -aS'.\t.\t.\tO\tO' -p88335 -asS'Patient should be kept euvolemic once peripheral edema resolves ( may use lasix to decrease edema ).' -p88336 -(lp88337 -S'Patient\tPatient\tNN\tB-NP\tO' -p88338 -aS'should\tshould\tMD\tB-VP\tO' -p88339 -aS'be\tbe\tVB\tI-VP\tO' -p88340 -aS'kept\tkeep\tVBN\tI-VP\tO' -p88341 -aS'euvolemic\teuvolemic\tJJ\tB-NP\tO' -p88342 -aS'once\tonce\tRB\tI-NP\tO' -p88343 -aS'peripheral\tperipheral\tJJ\tI-NP\tO' -p88344 -aS'edema\tedema\tNN\tI-NP\tO' -p88345 -aS'resolves\tresolve\tNNS\tI-NP\tO' -p88346 -aS'(\t(\t(\tO\tO' -p88347 -aS'may\tmay\tMD\tB-VP\tO' -p88348 -aS'use\tuse\tVB\tI-VP\tO' -p88349 -aS'lasix\tlasix\tNN\tB-NP\tO' -p88350 -aS'to\tto\tTO\tB-VP\tO' -p88351 -aS'decrease\tdecrease\tVB\tI-VP\tO' -p88352 -aS'edema\tedema\tNN\tB-NP\tO' -p88353 -aS').\t).\t.\tO\tO' -p88354 -asS'Heart exam was regular rate and rhythm , tachycardic , with a flat jugular venous pressure .' -p88355 -(lp88356 -S'Heart\tHeart\tNN\tB-NP\tO' -p88357 -aS'exam\texam\tNN\tI-NP\tO' -p88358 -aS'was\tbe\tVBD\tB-VP\tO' -p88359 -aS'regular\tregular\tJJ\tB-NP\tO' -p88360 -aS'rate\trate\tNN\tI-NP\tO' -p88361 -aS'and\tand\tCC\tI-NP\tO' -p88362 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p88363 -aS',\t,\t,\tO\tO' -p88364 -aS'tachycardic\ttachycardic\tJJ\tB-ADJP\tO' -p88365 -aS',\t,\t,\tO\tO' -p88366 -aS'with\twith\tIN\tB-PP\tO' -p88367 -aS'a\ta\tDT\tB-NP\tO' -p88368 -aS'flat\tflat\tJJ\tI-NP\tO' -p88369 -aS'jugular\tjugular\tJJ\tI-NP\tO' -p88370 -aS'venous\tvenous\tJJ\tI-NP\tO' -p88371 -aS'pressure\tpressure\tNN\tI-NP\tO' -p88372 -aS'.\t.\t.\tO\tO' -p88373 -asS'14. Glargine Sig : Twenty Two ( 22 ) units at bedtime .' -p88374 -(lp88375 -S'14.\t14.\tLS\tB-NP\tO' -p88376 -aS'Glargine\tGlargine\tNNP\tI-NP\tO' -p88377 -aS'Sig\tSig\tNNP\tI-NP\tO' -p88378 -aS':\t:\t:\tO\tO' -p88379 -aS'Twenty\tTwenty\tCD\tB-NP\tO' -p88380 -aS'Two\tTwo\tCD\tI-NP\tO' -p88381 -aS'(\t(\t(\tO\tO' -p88382 -aS'22\t22\tCD\tB-NP\tO' -p88383 -aS')\t)\t)\tO\tO' -p88384 -aS'units\tunit\tNNS\tB-NP\tO' -p88385 -aS'at\tat\tIN\tB-PP\tO' -p88386 -aS'bedtime\tbedtime\tNN\tB-NP\tO' -p88387 -aS'.\t.\t.\tO\tO' -p88388 -asS'White count 6 and hematocrit 41.5 .' -p88389 -(lp88390 -S'White\tWhite\tJJ\tB-NP\tO' -p88391 -aS'count\tcount\tNN\tI-NP\tO' -p88392 -aS'6\t6\tCD\tI-NP\tO' -p88393 -aS'and\tand\tCC\tO\tO' -p88394 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p88395 -aS'41.5\t41.5\tCD\tI-NP\tI-protein' -p88396 -aS'.\t.\t.\tO\tO' -p88397 -asS'There is no evidence of obstruction on AXR .' -p88398 -(lp88399 -S'There\tThere\tEX\tB-NP\tO' -p88400 -aS'is\tbe\tVBZ\tB-VP\tO' -p88401 -aS'no\tno\tDT\tB-NP\tO' -p88402 -aS'evidence\tevidence\tNN\tI-NP\tO' -p88403 -aS'of\tof\tIN\tB-PP\tO' -p88404 -aS'obstruction\tobstruction\tNN\tB-NP\tO' -p88405 -aS'on\ton\tIN\tB-PP\tO' -p88406 -aS'AXR\tAXR\tNN\tB-NP\tB-protein' -p88407 -aS'.\t.\t.\tO\tO' -p88408 -asS'After discussion with her private physician , Dr. Joasscchird , tel. 090-249-6079 , at Va Sit Namar Healthcare and Dr. Acrookesjo at Do Of Hospital , the patient was judged to be fit for discharge and she was sent home with AH and physical therapy .' -p88409 -(lp88410 -S'After\tAfter\tIN\tB-PP\tO' -p88411 -aS'discussion\tdiscussion\tNN\tB-NP\tO' -p88412 -aS'with\twith\tIN\tB-PP\tO' -p88413 -aS'her\ther\tPRP$\tB-NP\tO' -p88414 -aS'private\tprivate\tJJ\tI-NP\tO' -p88415 -aS'physician\tphysician\tNN\tI-NP\tO' -p88416 -aS',\t,\t,\tO\tO' -p88417 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p88418 -aS'Joasscchird\tJoasscchird\tNNP\tI-NP\tO' -p88419 -aS',\t,\t,\tO\tO' -p88420 -aS'tel.\ttel.\tNN\tB-NP\tO' -p88421 -aS'090-249-6079\t090-249-6079\tCD\tI-NP\tO' -p88422 -aS',\t,\t,\tO\tO' -p88423 -aS'at\tat\tIN\tB-PP\tO' -p88424 -aS'Va\tVa\tNNP\tB-NP\tO' -p88425 -aS'Sit\tSit\tNNP\tI-NP\tO' -p88426 -aS'Namar\tNamar\tNNP\tI-NP\tO' -p88427 -aS'Healthcare\tHealthcare\tNNP\tI-NP\tO' -p88428 -aS'and\tand\tCC\tO\tO' -p88429 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p88430 -aS'Acrookesjo\tAcrookesjo\tNNP\tI-NP\tO' -p88431 -aS'at\tat\tIN\tB-PP\tO' -p88432 -aS'Do\tDo\tNNP\tB-NP\tO' -p88433 -aS'Of\tOf\tNNP\tI-NP\tO' -p88434 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p88435 -aS',\t,\t,\tO\tO' -p88436 -aS'the\tthe\tDT\tB-NP\tO' -p88437 -aS'patient\tpatient\tNN\tI-NP\tO' -p88438 -aS'was\tbe\tVBD\tB-VP\tO' -p88439 -aS'judged\tjudge\tVBN\tI-VP\tO' -p88440 -aS'to\tto\tTO\tI-VP\tO' -p88441 -aS'be\tbe\tVB\tI-VP\tO' -p88442 -aS'fit\tfit\tVBN\tI-VP\tO' -p88443 -aS'for\tfor\tIN\tB-PP\tO' -p88444 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p88445 -aS'and\tand\tCC\tO\tO' -p88446 -aS'she\tshe\tPRP\tB-NP\tO' -p88447 -aS'was\tbe\tVBD\tB-VP\tO' -p88448 -aS'sent\tsend\tVBN\tI-VP\tO' -p88449 -aS'home\thome\tNN\tB-ADVP\tO' -p88450 -aS'with\twith\tIN\tB-PP\tO' -p88451 -aS'AH\tAH\tNN\tB-NP\tO' -p88452 -aS'and\tand\tCC\tO\tO' -p88453 -aS'physical\tphysical\tJJ\tB-NP\tO' -p88454 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p88455 -aS'.\t.\t.\tO\tO' -p88456 -asS'Bilirubin 0.4 .' -p88457 -(lp88458 -S'Bilirubin\tBilirubin\tNN\tB-NP\tO' -p88459 -aS'0.4\t0.4\tCD\tI-NP\tO' -p88460 -aS'.\t.\t.\tO\tO' -p88461 -asS'Mannitol and Dilantin were continued .' -p88462 -(lp88463 -S'Mannitol\tMannitol\tNN\tB-NP\tO' -p88464 -aS'and\tand\tCC\tI-NP\tO' -p88465 -aS'Dilantin\tDilantin\tNN\tI-NP\tB-protein' -p88466 -aS'were\tbe\tVBD\tB-VP\tO' -p88467 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p88468 -aS'.\t.\t.\tO\tO' -p88469 -asS'The patient is a 52 - year-old female with no known history of cardiac disease presenting with dyspnea on exertion and chest tightness , who was admitted for evaluation and management of her symptoms .' -p88470 -(lp88471 -S'The\tThe\tDT\tB-NP\tO' -p88472 -aS'patient\tpatient\tNN\tI-NP\tO' -p88473 -aS'is\tbe\tVBZ\tB-VP\tO' -p88474 -aS'a\ta\tDT\tB-NP\tO' -p88475 -aS'52\t52\tCD\tI-NP\tO' -p88476 -aS'-\t-\tHYPH\tI-NP\tO' -p88477 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p88478 -aS'female\tfemale\tNN\tI-NP\tO' -p88479 -aS'with\twith\tIN\tB-PP\tO' -p88480 -aS'no\tno\tDT\tB-NP\tO' -p88481 -aS'known\tknow\tVBN\tI-NP\tO' -p88482 -aS'history\thistory\tNN\tI-NP\tO' -p88483 -aS'of\tof\tIN\tB-PP\tO' -p88484 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p88485 -aS'disease\tdisease\tNN\tI-NP\tO' -p88486 -aS'presenting\tpresent\tVBG\tB-VP\tO' -p88487 -aS'with\twith\tIN\tB-PP\tO' -p88488 -aS'dyspnea\tdyspnea\tNN\tB-NP\tO' -p88489 -aS'on\ton\tIN\tB-PP\tO' -p88490 -aS'exertion\texertion\tNN\tB-NP\tO' -p88491 -aS'and\tand\tCC\tI-NP\tO' -p88492 -aS'chest\tchest\tNN\tI-NP\tO' -p88493 -aS'tightness\ttightness\tNN\tI-NP\tO' -p88494 -aS',\t,\t,\tO\tO' -p88495 -aS'who\twho\tWP\tB-NP\tO' -p88496 -aS'was\tbe\tVBD\tB-VP\tO' -p88497 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p88498 -aS'for\tfor\tIN\tB-PP\tO' -p88499 -aS'evaluation\tevaluation\tNN\tB-NP\tO' -p88500 -aS'and\tand\tCC\tI-NP\tO' -p88501 -aS'management\tmanagement\tNN\tI-NP\tO' -p88502 -aS'of\tof\tIN\tB-PP\tO' -p88503 -aS'her\ther\tPRP$\tB-NP\tO' -p88504 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p88505 -aS'.\t.\t.\tO\tO' -p88506 -asS'Trace movement of the right elbow and 4-strength of the right wrist and hand .' -p88507 -(lp88508 -S'Trace\tTrace\tNN\tB-NP\tO' -p88509 -aS'movement\tmovement\tNN\tI-NP\tO' -p88510 -aS'of\tof\tIN\tB-PP\tO' -p88511 -aS'the\tthe\tDT\tB-NP\tO' -p88512 -aS'right\tright\tJJ\tI-NP\tO' -p88513 -aS'elbow\telbow\tNN\tI-NP\tO' -p88514 -aS'and\tand\tCC\tI-NP\tO' -p88515 -aS'4-strength\t4-strength\tNN\tI-NP\tO' -p88516 -aS'of\tof\tIN\tB-PP\tO' -p88517 -aS'the\tthe\tDT\tB-NP\tO' -p88518 -aS'right\tright\tJJ\tI-NP\tO' -p88519 -aS'wrist\twrist\tNN\tI-NP\tO' -p88520 -aS'and\tand\tCC\tI-NP\tO' -p88521 -aS'hand\thand\tNN\tI-NP\tO' -p88522 -aS'.\t.\t.\tO\tO' -p88523 -asS'1+ TR .' -p88524 -(lp88525 -S'1+\t1+\tJJ\tB-NP\tO' -p88526 -aS'TR\tTR\tNN\tI-NP\tO' -p88527 -aS'.\t.\t.\tO\tO' -p88528 -asS'The patient 's urinalysis was normal .' -p88529 -(lp88530 -S'The\tThe\tDT\tB-NP\tO' -p88531 -aS'patient\tpatient\tNN\tI-NP\tO' -p88532 -aS''s\t'\tNNS\tI-NP\tO' -p88533 -aS'urinalysis\turinalysis\tNN\tI-NP\tO' -p88534 -aS'was\tbe\tVBD\tB-VP\tO' -p88535 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p88536 -aS'.\t.\t.\tO\tO' -p88537 -asS'This was further complicated by hypocalcemia which resulted in mild electrocardiographic abnormalities .' -p88538 -(lp88539 -S'This\tThis\tDT\tB-NP\tO' -p88540 -aS'was\tbe\tVBD\tB-VP\tO' -p88541 -aS'further\tfurther\tRB\tI-VP\tO' -p88542 -aS'complicated\tcomplicate\tVBN\tI-VP\tO' -p88543 -aS'by\tby\tIN\tB-PP\tO' -p88544 -aS'hypocalcemia\thypocalcemia\tNN\tB-NP\tO' -p88545 -aS'which\twhich\tWDT\tB-NP\tO' -p88546 -aS'resulted\tresult\tVBD\tB-VP\tO' -p88547 -aS'in\tin\tIN\tB-PP\tO' -p88548 -aS'mild\tmild\tJJ\tB-NP\tO' -p88549 -aS'electrocardiographic\telectrocardiographic\tJJ\tI-NP\tO' -p88550 -aS'abnormalities\tabnormality\tNNS\tI-NP\tO' -p88551 -aS'.\t.\t.\tO\tO' -p88552 -asS'LP was done and had no changes to suggest a different etiology ( ie negative cytology and negative immunophenotyping ).' -p88553 -(lp88554 -S'LP\tLP\tNN\tB-NP\tO' -p88555 -aS'was\tbe\tVBD\tB-VP\tO' -p88556 -aS'done\tdo\tVBN\tI-VP\tO' -p88557 -aS'and\tand\tCC\tO\tO' -p88558 -aS'had\thave\tVBD\tB-VP\tO' -p88559 -aS'no\tno\tDT\tB-NP\tO' -p88560 -aS'changes\tchange\tNNS\tI-NP\tO' -p88561 -aS'to\tto\tTO\tB-VP\tO' -p88562 -aS'suggest\tsuggest\tVB\tI-VP\tO' -p88563 -aS'a\ta\tDT\tB-NP\tO' -p88564 -aS'different\tdifferent\tJJ\tI-NP\tO' -p88565 -aS'etiology\tetiology\tNN\tI-NP\tO' -p88566 -aS'(\t(\t(\tO\tO' -p88567 -aS'ie\tie\tNN\tB-NP\tO' -p88568 -aS'negative\tnegative\tJJ\tI-NP\tO' -p88569 -aS'cytology\tcytology\tNN\tI-NP\tO' -p88570 -aS'and\tand\tCC\tI-NP\tO' -p88571 -aS'negative\tnegative\tJJ\tI-NP\tO' -p88572 -aS'immunophenotyping\timmunophenotyping\tNN\tI-NP\tO' -p88573 -aS').\t).\t.\tO\tO' -p88574 -asS'2015-10-27 Open reduction and internal fixation of right tib/fib fractures' -p88575 -(lp88576 -S'2015-10-27\t2015-10-27\tCD\tB-NP\tO' -p88577 -aS'Open\tOpen\tJJ\tI-NP\tO' -p88578 -aS'reduction\treduction\tNN\tI-NP\tO' -p88579 -aS'and\tand\tCC\tO\tO' -p88580 -aS'internal\tinternal\tJJ\tB-NP\tO' -p88581 -aS'fixation\tfixation\tNN\tI-NP\tO' -p88582 -aS'of\tof\tIN\tB-PP\tO' -p88583 -aS'right\tright\tJJ\tB-NP\tO' -p88584 -aS'tib/fib\ttib/fib\tNN\tI-NP\tO' -p88585 -aS'fractures\tfracture\tNNS\tI-NP\tO' -p88586 -asS'While in the PACU , Anesthesia was called because the patient became dyspneic and tachypneic and his SAO2 dropped to 89% .' -p88587 -(lp88588 -S'While\tWhile\tIN\tB-SBAR\tO' -p88589 -aS'in\tin\tIN\tB-PP\tO' -p88590 -aS'the\tthe\tDT\tB-NP\tO' -p88591 -aS'PACU\tPACU\tNNP\tI-NP\tO' -p88592 -aS',\t,\t,\tO\tO' -p88593 -aS'Anesthesia\tAnesthesia\tNNP\tB-NP\tO' -p88594 -aS'was\tbe\tVBD\tB-VP\tO' -p88595 -aS'called\tcall\tVBN\tI-VP\tO' -p88596 -aS'because\tbecause\tIN\tB-SBAR\tO' -p88597 -aS'the\tthe\tDT\tB-NP\tO' -p88598 -aS'patient\tpatient\tNN\tI-NP\tO' -p88599 -aS'became\tbecome\tVBD\tB-VP\tO' -p88600 -aS'dyspneic\tdyspneic\tJJ\tB-ADJP\tO' -p88601 -aS'and\tand\tCC\tI-ADJP\tO' -p88602 -aS'tachypneic\ttachypneic\tJJ\tI-ADJP\tO' -p88603 -aS'and\tand\tCC\tO\tO' -p88604 -aS'his\this\tPRP$\tB-NP\tO' -p88605 -aS'SAO2\tSAO2\tNN\tI-NP\tB-protein' -p88606 -aS'dropped\tdrop\tVBD\tB-VP\tO' -p88607 -aS'to\tto\tTO\tB-PP\tO' -p88608 -aS'89%\t89%\tCD\tB-NP\tO' -p88609 -aS'.\t.\t.\tO\tO' -p88610 -asS'The plan is to give her folic acid , but not iron .' -p88611 -(lp88612 -S'The\tThe\tDT\tB-NP\tO' -p88613 -aS'plan\tplan\tNN\tI-NP\tO' -p88614 -aS'is\tbe\tVBZ\tB-VP\tO' -p88615 -aS'to\tto\tTO\tB-VP\tO' -p88616 -aS'give\tgive\tVB\tI-VP\tO' -p88617 -aS'her\ther\tPRP$\tB-NP\tO' -p88618 -aS'folic\tfolic\tJJ\tI-NP\tO' -p88619 -aS'acid\tacid\tNN\tI-NP\tO' -p88620 -aS',\t,\t,\tB-NP\tO' -p88621 -aS'but\tbut\tCC\tI-NP\tO' -p88622 -aS'not\tnot\tRB\tI-NP\tO' -p88623 -aS'iron\tiron\tNN\tB-NP\tO' -p88624 -aS'.\t.\t.\tO\tO' -p88625 -asS'Patient developed chest pain the night prior to admission .' -p88626 -(lp88627 -S'Patient\tPatient\tNN\tB-NP\tO' -p88628 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p88629 -aS'chest\tchest\tNN\tB-NP\tO' -p88630 -aS'pain\tpain\tNN\tI-NP\tO' -p88631 -aS'the\tthe\tDT\tB-NP\tO' -p88632 -aS'night\tnight\tNN\tI-NP\tO' -p88633 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p88634 -aS'to\tto\tTO\tB-PP\tO' -p88635 -aS'admission\tadmission\tNN\tB-NP\tO' -p88636 -aS'.\t.\t.\tO\tO' -p88637 -asS'The contact may be reached at ( 754 ) 791 7976 .' -p88638 -(lp88639 -S'The\tThe\tDT\tB-NP\tO' -p88640 -aS'contact\tcontact\tNN\tI-NP\tO' -p88641 -aS'may\tmay\tMD\tB-VP\tO' -p88642 -aS'be\tbe\tVB\tI-VP\tO' -p88643 -aS'reached\treach\tVBN\tI-VP\tO' -p88644 -aS'at\tat\tIN\tB-PP\tO' -p88645 -aS'(\t(\t(\tO\tO' -p88646 -aS'754\t754\tCD\tB-NP\tO' -p88647 -aS')\t)\t)\tO\tO' -p88648 -aS'791\t791\tCD\tB-NP\tO' -p88649 -aS'7976\t7976\tCD\tI-NP\tO' -p88650 -aS'.\t.\t.\tO\tO' -p88651 -asS'Your atenolol has increased to 50 mg a day .' -p88652 -(lp88653 -S'Your\tYour\tPRP$\tB-NP\tO' -p88654 -aS'atenolol\tatenolol\tNN\tI-NP\tO' -p88655 -aS'has\thave\tVBZ\tB-VP\tO' -p88656 -aS'increased\tincrease\tVBN\tI-VP\tO' -p88657 -aS'to\tto\tTO\tB-PP\tO' -p88658 -aS'50\t50\tCD\tB-NP\tO' -p88659 -aS'mg\tmg\tNN\tI-NP\tO' -p88660 -aS'a\ta\tDT\tB-NP\tO' -p88661 -aS'day\tday\tNN\tI-NP\tO' -p88662 -aS'.\t.\t.\tO\tO' -p88663 -asS'He stated that he had difficulty rising from a chair .' -p88664 -(lp88665 -S'He\tHe\tPRP\tB-NP\tO' -p88666 -aS'stated\tstate\tVBD\tB-VP\tO' -p88667 -aS'that\tthat\tIN\tB-SBAR\tO' -p88668 -aS'he\the\tPRP\tB-NP\tO' -p88669 -aS'had\thave\tVBD\tB-VP\tO' -p88670 -aS'difficulty\tdifficulty\tNN\tB-NP\tO' -p88671 -aS'rising\trise\tVBG\tB-VP\tO' -p88672 -aS'from\tfrom\tIN\tB-PP\tO' -p88673 -aS'a\ta\tDT\tB-NP\tO' -p88674 -aS'chair\tchair\tNN\tI-NP\tO' -p88675 -aS'.\t.\t.\tO\tO' -p88676 -asS'However , the study was limited due to inadequate po contrast intake by the patient ; it did show a question of a cecal cystic lesion verse normal loop of bowel .' -p88677 -(lp88678 -S'However\tHowever\tRB\tB-ADVP\tO' -p88679 -aS',\t,\t,\tO\tO' -p88680 -aS'the\tthe\tDT\tB-NP\tO' -p88681 -aS'study\tstudy\tNN\tI-NP\tO' -p88682 -aS'was\tbe\tVBD\tB-VP\tO' -p88683 -aS'limited\tlimit\tVBN\tI-VP\tO' -p88684 -aS'due\tdue\tJJ\tB-ADJP\tO' -p88685 -aS'to\tto\tTO\tB-PP\tO' -p88686 -aS'inadequate\tinadequate\tJJ\tB-NP\tO' -p88687 -aS'po\tpo\tNN\tI-NP\tO' -p88688 -aS'contrast\tcontrast\tNN\tI-NP\tO' -p88689 -aS'intake\tintake\tNN\tI-NP\tO' -p88690 -aS'by\tby\tIN\tB-PP\tO' -p88691 -aS'the\tthe\tDT\tB-NP\tO' -p88692 -aS'patient\tpatient\tNN\tI-NP\tO' -p88693 -aS';\t;\t:\tO\tO' -p88694 -aS'it\tit\tPRP\tB-NP\tO' -p88695 -aS'did\tdo\tVBD\tB-VP\tO' -p88696 -aS'show\tshow\tVB\tI-VP\tO' -p88697 -aS'a\ta\tDT\tB-NP\tO' -p88698 -aS'question\tquestion\tNN\tI-NP\tO' -p88699 -aS'of\tof\tIN\tB-PP\tO' -p88700 -aS'a\ta\tDT\tB-NP\tO' -p88701 -aS'cecal\tcecal\tJJ\tI-NP\tO' -p88702 -aS'cystic\tcystic\tJJ\tI-NP\tO' -p88703 -aS'lesion\tlesion\tNN\tI-NP\tO' -p88704 -aS'verse\tverse\tJJ\tI-NP\tO' -p88705 -aS'normal\tnormal\tJJ\tI-NP\tO' -p88706 -aS'loop\tloop\tNN\tI-NP\tO' -p88707 -aS'of\tof\tIN\tB-PP\tO' -p88708 -aS'bowel\tbowel\tNN\tB-NP\tO' -p88709 -aS'.\t.\t.\tO\tO' -p88710 -asS'In the ER , he received 3 sublingual nitroglycerins and 1 mg of Dilaudid .' -p88711 -(lp88712 -S'In\tIn\tIN\tB-PP\tO' -p88713 -aS'the\tthe\tDT\tB-NP\tO' -p88714 -aS'ER\tER\tNN\tI-NP\tB-protein' -p88715 -aS',\t,\t,\tO\tO' -p88716 -aS'he\the\tPRP\tB-NP\tO' -p88717 -aS'received\treceive\tVBD\tB-VP\tO' -p88718 -aS'3\t3\tCD\tB-NP\tO' -p88719 -aS'sublingual\tsublingual\tJJ\tI-NP\tO' -p88720 -aS'nitroglycerins\tnitroglycerin\tNNS\tI-NP\tO' -p88721 -aS'and\tand\tCC\tO\tO' -p88722 -aS'1\t1\tCD\tB-NP\tO' -p88723 -aS'mg\tmg\tNN\tI-NP\tO' -p88724 -aS'of\tof\tIN\tB-PP\tO' -p88725 -aS'Dilaudid\tDilaudid\tNNP\tB-NP\tO' -p88726 -aS'.\t.\t.\tO\tO' -p88727 -asS'Within minutes the patient showed decreased right sided weakness and improved from a global aphasia to an anterior aphasia picture .' -p88728 -(lp88729 -S'Within\tWithin\tIN\tB-PP\tO' -p88730 -aS'minutes\tminute\tNNS\tB-NP\tO' -p88731 -aS'the\tthe\tDT\tB-NP\tO' -p88732 -aS'patient\tpatient\tNN\tI-NP\tO' -p88733 -aS'showed\tshow\tVBD\tB-VP\tO' -p88734 -aS'decreased\tdecrease\tVBN\tB-NP\tO' -p88735 -aS'right\tright\tJJ\tI-NP\tO' -p88736 -aS'sided\tsided\tJJ\tI-NP\tO' -p88737 -aS'weakness\tweakness\tNN\tI-NP\tO' -p88738 -aS'and\tand\tCC\tO\tO' -p88739 -aS'improved\timprove\tVBN\tB-VP\tO' -p88740 -aS'from\tfrom\tIN\tB-PP\tO' -p88741 -aS'a\ta\tDT\tB-NP\tO' -p88742 -aS'global\tglobal\tJJ\tI-NP\tO' -p88743 -aS'aphasia\taphasia\tNN\tI-NP\tO' -p88744 -aS'to\tto\tTO\tB-PP\tO' -p88745 -aS'an\tan\tDT\tB-NP\tO' -p88746 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p88747 -aS'aphasia\taphasia\tNN\tI-NP\tO' -p88748 -aS'picture\tpicture\tNN\tI-NP\tO' -p88749 -aS'.\t.\t.\tO\tO' -p88750 -asS'In Monica , pt received charcoal , 500 mg IV levofloxacin , 500 mg IV metronidazole for presumed aspiration pna .' -p88751 -(lp88752 -S'In\tIn\tIN\tB-PP\tO' -p88753 -aS'Monica\tMonica\tNNP\tB-NP\tO' -p88754 -aS',\t,\t,\tO\tO' -p88755 -aS'pt\tpt\tNN\tB-NP\tO' -p88756 -aS'received\treceive\tVBD\tB-VP\tO' -p88757 -aS'charcoal\tcharcoal\tNN\tB-NP\tO' -p88758 -aS',\t,\t,\tO\tO' -p88759 -aS'500\t500\tCD\tB-NP\tO' -p88760 -aS'mg\tmg\tNN\tI-NP\tO' -p88761 -aS'IV\tIV\tCD\tB-NP\tO' -p88762 -aS'levofloxacin\tlevofloxacin\tNN\tI-NP\tO' -p88763 -aS',\t,\t,\tO\tO' -p88764 -aS'500\t500\tCD\tB-NP\tO' -p88765 -aS'mg\tmg\tNN\tI-NP\tO' -p88766 -aS'IV\tIV\tCD\tB-NP\tO' -p88767 -aS'metronidazole\tmetronidazole\tNN\tI-NP\tO' -p88768 -aS'for\tfor\tIN\tB-PP\tO' -p88769 -aS'presumed\tpresume\tVBN\tB-NP\tO' -p88770 -aS'aspiration\taspiration\tNN\tI-NP\tO' -p88771 -aS'pna\tpna\tNN\tI-NP\tO' -p88772 -aS'.\t.\t.\tO\tO' -p88773 -asS'The patient developed two pneumonias with two separate organisms .' -p88774 -(lp88775 -S'The\tThe\tDT\tB-NP\tO' -p88776 -aS'patient\tpatient\tNN\tI-NP\tO' -p88777 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p88778 -aS'two\ttwo\tCD\tB-NP\tO' -p88779 -aS'pneumonias\tpneumonia\tNNS\tI-NP\tO' -p88780 -aS'with\twith\tIN\tB-PP\tO' -p88781 -aS'two\ttwo\tCD\tB-NP\tO' -p88782 -aS'separate\tseparate\tJJ\tI-NP\tO' -p88783 -aS'organisms\torganism\tNNS\tI-NP\tO' -p88784 -aS'.\t.\t.\tO\tO' -p88785 -asS'Notable for Down 's syndrome , Altzheimer 's disease secondary to Down 's syndrome diagnosed in 1998 , status post multiple falls , no heart disease , ankle surgery and an abnormal EEG .' -p88786 -(lp88787 -S'Notable\tNotable\tJJ\tB-ADJP\tO' -p88788 -aS'for\tfor\tIN\tB-PP\tO' -p88789 -aS'Down\tDown\tNN\tB-NP\tO' -p88790 -aS''s\t'\tNNS\tI-NP\tO' -p88791 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p88792 -aS',\t,\t,\tO\tO' -p88793 -aS'Altzheimer\tAltzheimer\tNNP\tB-NP\tO' -p88794 -aS''s\t'\tNNS\tI-NP\tO' -p88795 -aS'disease\tdisease\tNN\tI-NP\tO' -p88796 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p88797 -aS'to\tto\tTO\tB-PP\tO' -p88798 -aS'Down\tDown\tJJ\tB-NP\tO' -p88799 -aS''s\t'\tNNS\tI-NP\tO' -p88800 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p88801 -aS'diagnosed\tdiagnose\tVBN\tB-VP\tO' -p88802 -aS'in\tin\tIN\tB-PP\tO' -p88803 -aS'1998\t1998\tCD\tB-NP\tO' -p88804 -aS',\t,\t,\tO\tO' -p88805 -aS'status\tstatus\tNN\tB-NP\tO' -p88806 -aS'post\tpost\tVBD\tB-VP\tO' -p88807 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p88808 -aS'falls\tfall\tNNS\tI-NP\tO' -p88809 -aS',\t,\t,\tO\tO' -p88810 -aS'no\tno\tDT\tB-NP\tO' -p88811 -aS'heart\theart\tNN\tI-NP\tO' -p88812 -aS'disease\tdisease\tNN\tI-NP\tO' -p88813 -aS',\t,\t,\tO\tO' -p88814 -aS'ankle\tankle\tNN\tB-NP\tO' -p88815 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p88816 -aS'and\tand\tCC\tO\tO' -p88817 -aS'an\tan\tDT\tB-NP\tO' -p88818 -aS'abnormal\tabnormal\tJJ\tI-NP\tO' -p88819 -aS'EEG\tEEG\tNN\tI-NP\tO' -p88820 -aS'.\t.\t.\tO\tO' -p88821 -asS'These results were all negative .' -p88822 -(lp88823 -S'These\tThese\tDT\tB-NP\tO' -p88824 -aS'results\tresult\tNNS\tI-NP\tO' -p88825 -aS'were\tbe\tVBD\tB-VP\tO' -p88826 -aS'all\tall\tDT\tO\tO' -p88827 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p88828 -aS'.\t.\t.\tO\tO' -p88829 -asS'No abdominal or urinary complaints .' -p88830 -(lp88831 -S'No\tNo\tDT\tB-NP\tO' -p88832 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p88833 -aS'or\tor\tCC\tI-NP\tO' -p88834 -aS'urinary\turinary\tJJ\tI-NP\tO' -p88835 -aS'complaints\tcomplaint\tNNS\tI-NP\tO' -p88836 -aS'.\t.\t.\tO\tO' -p88837 -asS'Calcium Acetate 667 mg PO TID' -p88838 -(lp88839 -S'Calcium\tCalcium\tNN\tB-NP\tO' -p88840 -aS'Acetate\tAcetate\tNN\tI-NP\tO' -p88841 -aS'667\t667\tCD\tI-NP\tO' -p88842 -aS'mg\tmg\tNN\tI-NP\tO' -p88843 -aS'PO\tPO\tNN\tI-NP\tO' -p88844 -aS'TID\tTID\tNN\tI-NP\tO' -p88845 -asS'Patient was loaded with Quinidine and then started on a maintenance dose .' -p88846 -(lp88847 -S'Patient\tPatient\tNN\tB-NP\tO' -p88848 -aS'was\tbe\tVBD\tB-VP\tO' -p88849 -aS'loaded\tload\tVBN\tI-VP\tO' -p88850 -aS'with\twith\tIN\tB-PP\tO' -p88851 -aS'Quinidine\tQuinidine\tNN\tB-NP\tO' -p88852 -aS'and\tand\tCC\tO\tO' -p88853 -aS'then\tthen\tRB\tB-VP\tO' -p88854 -aS'started\tstart\tVBD\tI-VP\tO' -p88855 -aS'on\ton\tIN\tB-PP\tO' -p88856 -aS'a\ta\tDT\tB-NP\tO' -p88857 -aS'maintenance\tmaintenance\tNN\tI-NP\tO' -p88858 -aS'dose\tdose\tNN\tI-NP\tO' -p88859 -aS'.\t.\t.\tO\tO' -p88860 -asS'There is Doppler evidence of tricuspid insufficiency and right atrial dilatation .' -p88861 -(lp88862 -S'There\tThere\tEX\tB-NP\tO' -p88863 -aS'is\tbe\tVBZ\tB-VP\tO' -p88864 -aS'Doppler\tDoppler\tNNP\tB-NP\tO' -p88865 -aS'evidence\tevidence\tNN\tI-NP\tO' -p88866 -aS'of\tof\tIN\tB-PP\tO' -p88867 -aS'tricuspid\ttricuspid\tJJ\tB-NP\tO' -p88868 -aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' -p88869 -aS'and\tand\tCC\tO\tO' -p88870 -aS'right\tright\tJJ\tB-NP\tO' -p88871 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p88872 -aS'dilatation\tdilatation\tNN\tI-NP\tO' -p88873 -aS'.\t.\t.\tO\tO' -p88874 -asS'The patient presented with a chief complaint of HEMATURIA .' -p88875 -(lp88876 -S'The\tThe\tDT\tB-NP\tO' -p88877 -aS'patient\tpatient\tNN\tI-NP\tO' -p88878 -aS'presented\tpresent\tVBD\tB-VP\tO' -p88879 -aS'with\twith\tIN\tB-PP\tO' -p88880 -aS'a\ta\tDT\tB-NP\tO' -p88881 -aS'chief\tchief\tJJ\tI-NP\tO' -p88882 -aS'complaint\tcomplaint\tNN\tI-NP\tO' -p88883 -aS'of\tof\tIN\tB-PP\tO' -p88884 -aS'HEMATURIA\tHEMATURIA\tNN\tB-NP\tB-protein' -p88885 -aS'.\t.\t.\tO\tO' -p88886 -asS'Family History : father and mother with CAD' -p88887 -(lp88888 -S'Family\tFamily\tRB\tB-NP\tO' -p88889 -aS'History\tHistory\tNN\tI-NP\tO' -p88890 -aS':\t:\t:\tO\tO' -p88891 -aS'father\tfather\tNN\tB-NP\tO' -p88892 -aS'and\tand\tCC\tI-NP\tO' -p88893 -aS'mother\tmother\tNN\tI-NP\tO' -p88894 -aS'with\twith\tIN\tB-PP\tO' -p88895 -aS'CAD\tCAD\tNN\tB-NP\tO' -p88896 -asS'There was a left arm pronator .' -p88897 -(lp88898 -S'There\tThere\tEX\tB-NP\tO' -p88899 -aS'was\tbe\tVBD\tB-VP\tO' -p88900 -aS'a\ta\tDT\tB-NP\tO' -p88901 -aS'left\tleft\tJJ\tI-NP\tB-protein' -p88902 -aS'arm\tarm\tNN\tI-NP\tI-protein' -p88903 -aS'pronator\tpronator\tNN\tI-NP\tI-protein' -p88904 -aS'.\t.\t.\tO\tO' -p88905 -asS'Ocean Spray q.i.d. to nares prn nasal dryness .' -p88906 -(lp88907 -S'Ocean\tOcean\tNNP\tB-NP\tO' -p88908 -aS'Spray\tSpray\tNNP\tI-NP\tO' -p88909 -aS'q.i.d.\tq.i.d.\tNNP\tI-NP\tO' -p88910 -aS'to\tto\tTO\tB-PP\tO' -p88911 -aS'nares\tnare\tNNS\tB-NP\tO' -p88912 -aS'prn\tprn\tVBP\tB-VP\tO' -p88913 -aS'nasal\tnasal\tJJ\tB-NP\tO' -p88914 -aS'dryness\tdryness\tNN\tI-NP\tO' -p88915 -aS'.\t.\t.\tO\tO' -p88916 -asS'Triamterene/hydrochlorothiazide 37.5/25 mg one tablet by mouth once daily and lorazepam 1 mg three times daily as needed ( for anxiety ) .' -p88917 -(lp88918 -S'Triamterene/hydrochlorothiazide\tTriamterene/hydrochlorothiazide\tNN\tB-NP\tO' -p88919 -aS'37.5/25\t37.5/25\tCD\tI-NP\tO' -p88920 -aS'mg\tmg\tNN\tI-NP\tO' -p88921 -aS'one\tone\tCD\tB-NP\tO' -p88922 -aS'tablet\ttablet\tNN\tI-NP\tO' -p88923 -aS'by\tby\tIN\tB-PP\tO' -p88924 -aS'mouth\tmouth\tNN\tB-NP\tO' -p88925 -aS'once\tonce\tRB\tB-ADVP\tO' -p88926 -aS'daily\tdaily\tRB\tI-ADVP\tO' -p88927 -aS'and\tand\tCC\tO\tO' -p88928 -aS'lorazepam\tlorazepam\tNN\tB-NP\tO' -p88929 -aS'1\t1\tCD\tI-NP\tO' -p88930 -aS'mg\tmg\tNN\tI-NP\tO' -p88931 -aS'three\tthree\tCD\tB-NP\tO' -p88932 -aS'times\ttime\tNNS\tI-NP\tO' -p88933 -aS'daily\tdaily\tRB\tI-NP\tO' -p88934 -aS'as\tas\tIN\tB-SBAR\tO' -p88935 -aS'needed\tneed\tVBN\tB-VP\tO' -p88936 -aS'(\t(\t(\tO\tO' -p88937 -aS'for\tfor\tIN\tB-PP\tO' -p88938 -aS'anxiety\tanxiety\tNN\tB-NP\tO' -p88939 -aS')\t)\t)\tO\tO' -p88940 -aS'.\t.\t.\tO\tO' -p88941 -asS'3. Fluids , electrolytes and nutrition - Birthweight was 1400 gm , 25th percentile .' -p88942 -(lp88943 -S'3.\t3.\tLS\tB-NP\tO' -p88944 -aS'Fluids\tFluid\tNNS\tI-NP\tO' -p88945 -aS',\t,\t,\tO\tO' -p88946 -aS'electrolytes\telectrolyte\tNNS\tB-NP\tO' -p88947 -aS'and\tand\tCC\tO\tO' -p88948 -aS'nutrition\tnutrition\tNN\tB-NP\tO' -p88949 -aS'-\t-\tHYPH\tI-NP\tO' -p88950 -aS'Birthweight\tBirthweight\tNN\tB-NP\tO' -p88951 -aS'was\tbe\tVBD\tB-VP\tO' -p88952 -aS'1400\t1400\tCD\tB-NP\tO' -p88953 -aS'gm\tgm\tNN\tI-NP\tO' -p88954 -aS',\t,\t,\tO\tO' -p88955 -aS'25th\t25th\tJJ\tB-NP\tO' -p88956 -aS'percentile\tpercentile\tNN\tI-NP\tO' -p88957 -aS'.\t.\t.\tO\tO' -p88958 -asS'There is a small amount of blood layering in both lateral ventricles , and this has decreased since the previous study .' -p88959 -(lp88960 -S'There\tThere\tEX\tB-NP\tO' -p88961 -aS'is\tbe\tVBZ\tB-VP\tO' -p88962 -aS'a\ta\tDT\tB-NP\tO' -p88963 -aS'small\tsmall\tJJ\tI-NP\tO' -p88964 -aS'amount\tamount\tNN\tI-NP\tO' -p88965 -aS'of\tof\tIN\tB-PP\tO' -p88966 -aS'blood\tblood\tNN\tB-NP\tO' -p88967 -aS'layering\tlayering\tNN\tI-NP\tO' -p88968 -aS'in\tin\tIN\tB-PP\tO' -p88969 -aS'both\tboth\tCC\tB-NP\tO' -p88970 -aS'lateral\tlateral\tJJ\tI-NP\tO' -p88971 -aS'ventricles\tventricle\tNNS\tI-NP\tO' -p88972 -aS',\t,\t,\tO\tO' -p88973 -aS'and\tand\tCC\tO\tO' -p88974 -aS'this\tthis\tDT\tB-NP\tO' -p88975 -aS'has\thave\tVBZ\tB-VP\tO' -p88976 -aS'decreased\tdecrease\tVBN\tI-VP\tO' -p88977 -aS'since\tsince\tIN\tB-PP\tO' -p88978 -aS'the\tthe\tDT\tB-NP\tO' -p88979 -aS'previous\tprevious\tJJ\tI-NP\tO' -p88980 -aS'study\tstudy\tNN\tI-NP\tO' -p88981 -aS'.\t.\t.\tO\tO' -p88982 -asS'no lesions .' -p88983 -(lp88984 -S'no\tno\tDT\tB-NP\tO' -p88985 -aS'lesions\tlesion\tNNS\tI-NP\tO' -p88986 -aS'.\t.\t.\tO\tO' -p88987 -asS'3. Left ventricular aneurysm .' -p88988 -(lp88989 -S'3.\t3.\tLS\tB-NP\tO' -p88990 -aS'Left\tLeft\tJJ\tI-NP\tO' -p88991 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p88992 -aS'aneurysm\taneurysm\tNN\tI-NP\tO' -p88993 -aS'.\t.\t.\tO\tO' -p88994 -asS'5) Please attend all appointments as listed below .' -p88995 -(lp88996 -S'5)\t5)\tLS\tB-NP\tO' -p88997 -aS'Please\tPlease\tNN\tI-NP\tB-protein' -p88998 -aS'attend\tattend\tVB\tB-VP\tO' -p88999 -aS'all\tall\tDT\tB-NP\tO' -p89000 -aS'appointments\tappointment\tNNS\tI-NP\tO' -p89001 -aS'as\tas\tIN\tB-SBAR\tO' -p89002 -aS'listed\tlist\tVBN\tB-VP\tO' -p89003 -aS'below\tbelow\tIN\tB-PP\tO' -p89004 -aS'.\t.\t.\tO\tO' -p89005 -asS'His chest X-ray ruled out acute cardiopulmonary process .' -p89006 -(lp89007 -S'His\tHis\tPRP$\tB-NP\tO' -p89008 -aS'chest\tchest\tNN\tI-NP\tO' -p89009 -aS'X-ray\tX-ray\tNN\tI-NP\tO' -p89010 -aS'ruled\trule\tVBD\tB-VP\tO' -p89011 -aS'out\tout\tRP\tB-PRT\tO' -p89012 -aS'acute\tacute\tJJ\tB-NP\tO' -p89013 -aS'cardiopulmonary\tcardiopulmonary\tJJ\tI-NP\tO' -p89014 -aS'process\tprocess\tNN\tI-NP\tO' -p89015 -aS'.\t.\t.\tO\tO' -p89016 -asS'Activity : No heavy lifting of items 12-08 pounds until the follow up appointment with your doctor .' -p89017 -(lp89018 -S'Activity\tActivity\tNN\tB-NP\tO' -p89019 -aS':\t:\t:\tO\tO' -p89020 -aS'No\tNo\tDT\tB-NP\tO' -p89021 -aS'heavy\theavy\tJJ\tI-NP\tO' -p89022 -aS'lifting\tlifting\tNN\tI-NP\tO' -p89023 -aS'of\tof\tIN\tB-PP\tO' -p89024 -aS'items\titem\tNNS\tB-NP\tO' -p89025 -aS'12-08\t12-08\tCD\tB-NP\tO' -p89026 -aS'pounds\tpound\tNNS\tI-NP\tO' -p89027 -aS'until\tuntil\tIN\tB-PP\tO' -p89028 -aS'the\tthe\tDT\tB-NP\tO' -p89029 -aS'follow\tfollow\tNN\tI-NP\tO' -p89030 -aS'up\tup\tRP\tB-PRT\tO' -p89031 -aS'appointment\tappointment\tNN\tB-NP\tO' -p89032 -aS'with\twith\tIN\tB-PP\tO' -p89033 -aS'your\tyour\tPRP$\tB-NP\tO' -p89034 -aS'doctor\tdoctor\tNN\tI-NP\tO' -p89035 -aS'.\t.\t.\tO\tO' -p89036 -asS'Extremities show no edema .' -p89037 -(lp89038 -S'Extremities\tExtremity\tNNS\tB-NP\tO' -p89039 -aS'show\tshow\tVBP\tB-VP\tO' -p89040 -aS'no\tno\tDT\tB-NP\tO' -p89041 -aS'edema\tedema\tNN\tI-NP\tO' -p89042 -aS'.\t.\t.\tO\tO' -p89043 -asS'Social History : lives with partner' -p89044 -(lp89045 -S'Social\tSocial\tNNP\tB-NP\tO' -p89046 -aS'History\tHistory\tNNP\tI-NP\tO' -p89047 -aS':\t:\t:\tO\tO' -p89048 -aS'lives\tlife\tNNS\tB-NP\tO' -p89049 -aS'with\twith\tIN\tB-PP\tO' -p89050 -aS'partner\tpartner\tNN\tB-NP\tO' -p89051 -asS'This patient is a 5 year old white female with a history of type I renal tubular acidosis on nephrocalcinosis who was admitted to Noughwell Entanbon Health of Washington on 9/5/93 at 21:16 hours with a 2-3 day history of chills , fevers , cough , vomiting and weakness ( unable to walk ) .' -p89052 -(lp89053 -S'This\tThis\tDT\tB-NP\tO' -p89054 -aS'patient\tpatient\tNN\tI-NP\tO' -p89055 -aS'is\tbe\tVBZ\tB-VP\tO' -p89056 -aS'a\ta\tDT\tB-NP\tO' -p89057 -aS'5\t5\tCD\tI-NP\tO' -p89058 -aS'year\tyear\tNN\tI-NP\tO' -p89059 -aS'old\told\tJJ\tI-NP\tO' -p89060 -aS'white\twhite\tJJ\tI-NP\tO' -p89061 -aS'female\tfemale\tNN\tI-NP\tO' -p89062 -aS'with\twith\tIN\tB-PP\tO' -p89063 -aS'a\ta\tDT\tB-NP\tO' -p89064 -aS'history\thistory\tNN\tI-NP\tO' -p89065 -aS'of\tof\tIN\tB-PP\tO' -p89066 -aS'type\ttype\tNN\tB-NP\tO' -p89067 -aS'I\tI\tCD\tI-NP\tO' -p89068 -aS'renal\trenal\tJJ\tI-NP\tO' -p89069 -aS'tubular\ttubular\tJJ\tI-NP\tO' -p89070 -aS'acidosis\tacidosis\tNN\tI-NP\tO' -p89071 -aS'on\ton\tIN\tB-PP\tO' -p89072 -aS'nephrocalcinosis\tnephrocalcinosis\tNN\tB-NP\tO' -p89073 -aS'who\twho\tWP\tB-NP\tO' -p89074 -aS'was\tbe\tVBD\tB-VP\tO' -p89075 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p89076 -aS'to\tto\tTO\tB-PP\tO' -p89077 -aS'Noughwell\tNoughwell\tNNP\tB-NP\tO' -p89078 -aS'Entanbon\tEntanbon\tNNP\tI-NP\tO' -p89079 -aS'Health\tHealth\tNNP\tI-NP\tO' -p89080 -aS'of\tof\tIN\tB-PP\tO' -p89081 -aS'Washington\tWashington\tNNP\tB-NP\tO' -p89082 -aS'on\ton\tIN\tB-PP\tO' -p89083 -aS'9/5/93\t9/5/93\tCD\tB-NP\tO' -p89084 -aS'at\tat\tIN\tB-PP\tO' -p89085 -aS'21:16\t21:16\tCD\tB-NP\tO' -p89086 -aS'hours\thour\tNNS\tI-NP\tO' -p89087 -aS'with\twith\tIN\tB-PP\tO' -p89088 -aS'a\ta\tDT\tB-NP\tO' -p89089 -aS'2-3\t2-3\tNN\tI-NP\tO' -p89090 -aS'day\tday\tNN\tI-NP\tO' -p89091 -aS'history\thistory\tNN\tI-NP\tO' -p89092 -aS'of\tof\tIN\tB-PP\tO' -p89093 -aS'chills\tchill\tNNS\tB-NP\tO' -p89094 -aS',\t,\t,\tO\tO' -p89095 -aS'fevers\tfever\tNNS\tB-NP\tO' -p89096 -aS',\t,\t,\tO\tO' -p89097 -aS'cough\tcough\tNN\tB-NP\tO' -p89098 -aS',\t,\t,\tO\tO' -p89099 -aS'vomiting\tvomiting\tNN\tB-NP\tO' -p89100 -aS'and\tand\tCC\tO\tO' -p89101 -aS'weakness\tweakness\tNN\tB-NP\tO' -p89102 -aS'(\t(\t(\tO\tO' -p89103 -aS'unable\tunable\tJJ\tB-ADJP\tO' -p89104 -aS'to\tto\tTO\tB-VP\tO' -p89105 -aS'walk\twalk\tVB\tI-VP\tO' -p89106 -aS')\t)\t)\tO\tO' -p89107 -aS'.\t.\t.\tO\tO' -p89108 -asS'She is asked to call with any fevers , chills , increasing weakness or numbness or any bowel and bladder disruption .' -p89109 -(lp89110 -S'She\tShe\tPRP\tB-NP\tO' -p89111 -aS'is\tbe\tVBZ\tB-VP\tO' -p89112 -aS'asked\task\tVBN\tI-VP\tO' -p89113 -aS'to\tto\tTO\tB-VP\tO' -p89114 -aS'call\tcall\tVB\tI-VP\tO' -p89115 -aS'with\twith\tIN\tB-PP\tO' -p89116 -aS'any\tany\tDT\tB-NP\tO' -p89117 -aS'fevers\tfever\tNNS\tI-NP\tO' -p89118 -aS',\t,\t,\tO\tO' -p89119 -aS'chills\tchill\tNNS\tB-NP\tO' -p89120 -aS',\t,\t,\tO\tO' -p89121 -aS'increasing\tincrease\tVBG\tB-VP\tO' -p89122 -aS'weakness\tweakness\tNN\tB-NP\tO' -p89123 -aS'or\tor\tCC\tI-NP\tO' -p89124 -aS'numbness\tnumbness\tNN\tI-NP\tO' -p89125 -aS'or\tor\tCC\tO\tO' -p89126 -aS'any\tany\tDT\tB-NP\tO' -p89127 -aS'bowel\tbowel\tNN\tI-NP\tO' -p89128 -aS'and\tand\tCC\tI-NP\tO' -p89129 -aS'bladder\tbladder\tNN\tI-NP\tO' -p89130 -aS'disruption\tdisruption\tNN\tI-NP\tO' -p89131 -aS'.\t.\t.\tO\tO' -p89132 -asS'Brought in from assisted living facility .' -p89133 -(lp89134 -S'Brought\tBring\tVBN\tB-VP\tO' -p89135 -aS'in\tin\tIN\tB-PP\tO' -p89136 -aS'from\tfrom\tIN\tB-PP\tO' -p89137 -aS'assisted\tassist\tVBN\tB-NP\tO' -p89138 -aS'living\tlive\tVBG\tI-NP\tO' -p89139 -aS'facility\tfacility\tNN\tI-NP\tO' -p89140 -aS'.\t.\t.\tO\tO' -p89141 -asS'She required periodic repletion of her potassium .' -p89142 -(lp89143 -S'She\tShe\tPRP\tB-NP\tO' -p89144 -aS'required\trequire\tVBD\tB-VP\tO' -p89145 -aS'periodic\tperiodic\tJJ\tB-NP\tO' -p89146 -aS'repletion\trepletion\tNN\tI-NP\tO' -p89147 -aS'of\tof\tIN\tB-PP\tO' -p89148 -aS'her\ther\tPRP$\tB-NP\tO' -p89149 -aS'potassium\tpotassium\tNN\tI-NP\tO' -p89150 -aS'.\t.\t.\tO\tO' -p89151 -asS'She will follow up with her psychiatrist , Dr. Freiermchird ( Sone Memorial Hospital ) on a regular basis , and she can follow up with the Neurology Service on a p.r.n. basis if needed .' -p89152 -(lp89153 -S'She\tShe\tPRP\tB-NP\tO' -p89154 -aS'will\twill\tMD\tB-VP\tO' -p89155 -aS'follow\tfollow\tVB\tI-VP\tO' -p89156 -aS'up\tup\tRP\tB-PRT\tO' -p89157 -aS'with\twith\tIN\tB-PP\tO' -p89158 -aS'her\ther\tPRP$\tB-NP\tO' -p89159 -aS'psychiatrist\tpsychiatrist\tNN\tI-NP\tO' -p89160 -aS',\t,\t,\tO\tO' -p89161 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p89162 -aS'Freiermchird\tFreiermchird\tNNP\tI-NP\tO' -p89163 -aS'(\t(\t(\tO\tO' -p89164 -aS'Sone\tSone\tNNP\tB-NP\tO' -p89165 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p89166 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p89167 -aS')\t)\t)\tO\tO' -p89168 -aS'on\ton\tIN\tB-PP\tO' -p89169 -aS'a\ta\tDT\tB-NP\tO' -p89170 -aS'regular\tregular\tJJ\tI-NP\tO' -p89171 -aS'basis\tbasis\tNN\tI-NP\tO' -p89172 -aS',\t,\t,\tO\tO' -p89173 -aS'and\tand\tCC\tO\tO' -p89174 -aS'she\tshe\tPRP\tB-NP\tO' -p89175 -aS'can\tcan\tMD\tB-VP\tO' -p89176 -aS'follow\tfollow\tVB\tI-VP\tO' -p89177 -aS'up\tup\tRP\tB-PRT\tO' -p89178 -aS'with\twith\tIN\tB-PP\tO' -p89179 -aS'the\tthe\tDT\tB-NP\tO' -p89180 -aS'Neurology\tNeurology\tNNP\tI-NP\tO' -p89181 -aS'Service\tService\tNNP\tI-NP\tO' -p89182 -aS'on\ton\tIN\tB-PP\tO' -p89183 -aS'a\ta\tDT\tB-NP\tO' -p89184 -aS'p.r.n.\tp.r.n.\tJJ\tI-NP\tO' -p89185 -aS'basis\tbasis\tNN\tI-NP\tO' -p89186 -aS'if\tif\tIN\tB-SBAR\tO' -p89187 -aS'needed\tneed\tVBN\tB-VP\tO' -p89188 -aS'.\t.\t.\tO\tO' -p89189 -asS"Pt 's hypertensive urgency was resolved upon admission to the medical floor ." -p89190 -(lp89191 -S'Pt\tPt\tNN\tB-NP\tO' -p89192 -aS"'s\t's\tPOS\tB-NP\tO" -p89193 -aS'hypertensive\thypertensive\tJJ\tI-NP\tO' -p89194 -aS'urgency\turgency\tNN\tI-NP\tO' -p89195 -aS'was\tbe\tVBD\tB-VP\tO' -p89196 -aS'resolved\tresolve\tVBN\tI-VP\tO' -p89197 -aS'upon\tupon\tIN\tB-PP\tO' -p89198 -aS'admission\tadmission\tNN\tB-NP\tO' -p89199 -aS'to\tto\tTO\tB-PP\tO' -p89200 -aS'the\tthe\tDT\tB-NP\tO' -p89201 -aS'medical\tmedical\tJJ\tI-NP\tO' -p89202 -aS'floor\tfloor\tNN\tI-NP\tO' -p89203 -aS'.\t.\t.\tO\tO' -p89204 -asS"Phototherapy was discontinued on 2018-05-14 , and a rebound bilirubin will be checked in the pediatrician 's office ." -p89205 -(lp89206 -S'Phototherapy\tPhototherapy\tNN\tB-NP\tO' -p89207 -aS'was\tbe\tVBD\tB-VP\tO' -p89208 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p89209 -aS'on\ton\tIN\tB-PP\tO' -p89210 -aS'2018-05-14\t2018-05-14\tCD\tB-NP\tO' -p89211 -aS',\t,\t,\tO\tO' -p89212 -aS'and\tand\tCC\tO\tO' -p89213 -aS'a\ta\tDT\tB-NP\tO' -p89214 -aS'rebound\trebound\tJJ\tI-NP\tO' -p89215 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p89216 -aS'will\twill\tMD\tB-VP\tO' -p89217 -aS'be\tbe\tVB\tI-VP\tO' -p89218 -aS'checked\tcheck\tVBN\tI-VP\tO' -p89219 -aS'in\tin\tIN\tB-PP\tO' -p89220 -aS'the\tthe\tDT\tB-NP\tO' -p89221 -aS'pediatrician\tpediatrician\tNN\tI-NP\tO' -p89222 -aS"'s\t's\tPOS\tB-NP\tO" -p89223 -aS'office\toffice\tNN\tI-NP\tO' -p89224 -aS'.\t.\t.\tO\tO' -p89225 -asS'Bronchoscopy at that time showed an endobronchial tumor of the right upper lobe bronchus and it was felt to be unresectable .' -p89226 -(lp89227 -S'Bronchoscopy\tBronchoscopy\tNN\tB-NP\tO' -p89228 -aS'at\tat\tIN\tB-PP\tO' -p89229 -aS'that\tthat\tDT\tB-NP\tO' -p89230 -aS'time\ttime\tNN\tI-NP\tO' -p89231 -aS'showed\tshow\tVBD\tB-VP\tO' -p89232 -aS'an\tan\tDT\tB-NP\tO' -p89233 -aS'endobronchial\tendobronchial\tJJ\tI-NP\tO' -p89234 -aS'tumor\ttumor\tNN\tI-NP\tO' -p89235 -aS'of\tof\tIN\tB-PP\tO' -p89236 -aS'the\tthe\tDT\tB-NP\tO' -p89237 -aS'right\tright\tJJ\tI-NP\tO' -p89238 -aS'upper\tupper\tJJ\tI-NP\tO' -p89239 -aS'lobe\tlobe\tNN\tI-NP\tO' -p89240 -aS'bronchus\tbronchus\tNN\tI-NP\tO' -p89241 -aS'and\tand\tCC\tO\tO' -p89242 -aS'it\tit\tPRP\tB-NP\tO' -p89243 -aS'was\tbe\tVBD\tB-VP\tO' -p89244 -aS'felt\tfeel\tVBN\tI-VP\tO' -p89245 -aS'to\tto\tTO\tI-VP\tO' -p89246 -aS'be\tbe\tVB\tI-VP\tO' -p89247 -aS'unresectable\tunresectable\tJJ\tB-ADJP\tO' -p89248 -aS'.\t.\t.\tO\tO' -p89249 -asS'The colonoscopy showed two polyps and also a region in the transverse colon that was biopsied .' -p89250 -(lp89251 -S'The\tThe\tDT\tB-NP\tO' -p89252 -aS'colonoscopy\tcolonoscopy\tNN\tI-NP\tO' -p89253 -aS'showed\tshow\tVBD\tB-VP\tO' -p89254 -aS'two\ttwo\tCD\tB-NP\tO' -p89255 -aS'polyps\tpolyp\tNNS\tI-NP\tO' -p89256 -aS'and\tand\tCC\tO\tO' -p89257 -aS'also\talso\tRB\tB-ADVP\tO' -p89258 -aS'a\ta\tDT\tB-NP\tO' -p89259 -aS'region\tregion\tNN\tI-NP\tO' -p89260 -aS'in\tin\tIN\tB-PP\tO' -p89261 -aS'the\tthe\tDT\tB-NP\tO' -p89262 -aS'transverse\ttransverse\tJJ\tI-NP\tO' -p89263 -aS'colon\tcolon\tNN\tI-NP\tO' -p89264 -aS'that\tthat\tWDT\tB-NP\tO' -p89265 -aS'was\tbe\tVBD\tB-VP\tO' -p89266 -aS'biopsied\tbiopsie\tVBN\tI-VP\tO' -p89267 -aS'.\t.\t.\tO\tO' -p89268 -asS'The patient is discharged home with home rehabilitation .' -p89269 -(lp89270 -S'The\tThe\tDT\tB-NP\tO' -p89271 -aS'patient\tpatient\tNN\tI-NP\tO' -p89272 -aS'is\tbe\tVBZ\tB-VP\tO' -p89273 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p89274 -aS'home\thome\tNN\tB-ADVP\tO' -p89275 -aS'with\twith\tIN\tB-PP\tO' -p89276 -aS'home\thome\tNN\tB-NP\tO' -p89277 -aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' -p89278 -aS'.\t.\t.\tO\tO' -p89279 -asS'Her extraocular motions were full .' -p89280 -(lp89281 -S'Her\tHer\tPRP$\tB-NP\tO' -p89282 -aS'extraocular\textraocular\tJJ\tI-NP\tO' -p89283 -aS'motions\tmotion\tNNS\tI-NP\tO' -p89284 -aS'were\tbe\tVBD\tB-VP\tO' -p89285 -aS'full\tfull\tJJ\tB-ADJP\tO' -p89286 -aS'.\t.\t.\tO\tO' -p89287 -asS'Keep follow-up medical appointments with Dr Trosgaugh .' -p89288 -(lp89289 -S'Keep\tKeep\tVB\tB-VP\tO' -p89290 -aS'follow-up\tfollow-up\tJJ\tB-NP\tO' -p89291 -aS'medical\tmedical\tJJ\tI-NP\tO' -p89292 -aS'appointments\tappointment\tNNS\tI-NP\tO' -p89293 -aS'with\twith\tIN\tB-PP\tO' -p89294 -aS'Dr\tDr\tNNP\tB-NP\tO' -p89295 -aS'Trosgaugh\tTrosgaugh\tNNP\tI-NP\tO' -p89296 -aS'.\t.\t.\tO\tO' -p89297 -asS'he had to have it replaced , however , because his head incision began to leak again .' -p89298 -(lp89299 -S'he\the\tPRP\tB-NP\tO' -p89300 -aS'had\thave\tVBD\tB-VP\tO' -p89301 -aS'to\tto\tTO\tI-VP\tO' -p89302 -aS'have\thave\tVB\tI-VP\tO' -p89303 -aS'it\tit\tPRP\tB-NP\tO' -p89304 -aS'replaced\treplace\tVBN\tB-VP\tO' -p89305 -aS',\t,\t,\tO\tO' -p89306 -aS'however\thowever\tRB\tB-ADVP\tO' -p89307 -aS',\t,\t,\tO\tO' -p89308 -aS'because\tbecause\tIN\tB-SBAR\tO' -p89309 -aS'his\this\tPRP$\tB-NP\tO' -p89310 -aS'head\thead\tNN\tI-NP\tO' -p89311 -aS'incision\tincision\tNN\tI-NP\tO' -p89312 -aS'began\tbegin\tVBD\tB-VP\tO' -p89313 -aS'to\tto\tTO\tI-VP\tO' -p89314 -aS'leak\tleak\tVB\tI-VP\tO' -p89315 -aS'again\tagain\tRB\tB-ADVP\tO' -p89316 -aS'.\t.\t.\tO\tO' -p89317 -asS'He was on pain medication and he was also on Percocet , but now he can manage without the Percocet .' -p89318 -(lp89319 -S'He\tHe\tPRP\tB-NP\tO' -p89320 -aS'was\tbe\tVBD\tB-VP\tO' -p89321 -aS'on\ton\tIN\tB-PP\tO' -p89322 -aS'pain\tpain\tNN\tB-NP\tO' -p89323 -aS'medication\tmedication\tNN\tI-NP\tO' -p89324 -aS'and\tand\tCC\tO\tO' -p89325 -aS'he\the\tPRP\tB-NP\tO' -p89326 -aS'was\tbe\tVBD\tB-VP\tO' -p89327 -aS'also\talso\tRB\tB-ADVP\tO' -p89328 -aS'on\ton\tIN\tB-PP\tO' -p89329 -aS'Percocet\tPercocet\tNNP\tB-NP\tO' -p89330 -aS',\t,\t,\tO\tO' -p89331 -aS'but\tbut\tCC\tO\tO' -p89332 -aS'now\tnow\tRB\tB-ADVP\tO' -p89333 -aS'he\the\tPRP\tB-NP\tO' -p89334 -aS'can\tcan\tMD\tB-VP\tO' -p89335 -aS'manage\tmanage\tVB\tI-VP\tO' -p89336 -aS'without\twithout\tIN\tB-PP\tO' -p89337 -aS'the\tthe\tDT\tB-NP\tO' -p89338 -aS'Percocet\tPercocet\tNNP\tI-NP\tO' -p89339 -aS'.\t.\t.\tO\tO' -p89340 -asS'EGD attempted but pt unable to tolerate .' -p89341 -(lp89342 -S'EGD\tEGD\tNN\tB-NP\tB-protein' -p89343 -aS'attempted\tattempt\tVBD\tB-VP\tO' -p89344 -aS'but\tbut\tCC\tI-VP\tO' -p89345 -aS'pt\tpt\tVBD\tI-VP\tO' -p89346 -aS'unable\tunable\tJJ\tB-ADJP\tO' -p89347 -aS'to\tto\tTO\tB-VP\tO' -p89348 -aS'tolerate\ttolerate\tVB\tI-VP\tO' -p89349 -aS'.\t.\t.\tO\tO' -p89350 -asS'A fluid collection external to the fascia consistent with site of erythema .' -p89351 -(lp89352 -S'A\tA\tDT\tB-NP\tO' -p89353 -aS'fluid\tfluid\tNN\tI-NP\tO' -p89354 -aS'collection\tcollection\tNN\tI-NP\tO' -p89355 -aS'external\texternal\tJJ\tB-ADJP\tO' -p89356 -aS'to\tto\tTO\tB-PP\tO' -p89357 -aS'the\tthe\tDT\tB-NP\tO' -p89358 -aS'fascia\tfascia\tNN\tI-NP\tO' -p89359 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p89360 -aS'with\twith\tIN\tB-PP\tO' -p89361 -aS'site\tsite\tNN\tB-NP\tO' -p89362 -aS'of\tof\tIN\tB-PP\tO' -p89363 -aS'erythema\terythema\tNN\tB-NP\tO' -p89364 -aS'.\t.\t.\tO\tO' -p89365 -asS'The patient did not notice change of vision in the background .' -p89366 -(lp89367 -S'The\tThe\tDT\tB-NP\tO' -p89368 -aS'patient\tpatient\tNN\tI-NP\tO' -p89369 -aS'did\tdo\tVBD\tB-VP\tO' -p89370 -aS'not\tnot\tRB\tI-VP\tO' -p89371 -aS'notice\tnotice\tVB\tI-VP\tO' -p89372 -aS'change\tchange\tNN\tB-NP\tO' -p89373 -aS'of\tof\tIN\tB-PP\tO' -p89374 -aS'vision\tvision\tNN\tB-NP\tO' -p89375 -aS'in\tin\tIN\tB-PP\tO' -p89376 -aS'the\tthe\tDT\tB-NP\tO' -p89377 -aS'background\tbackground\tNN\tI-NP\tO' -p89378 -aS'.\t.\t.\tO\tO' -p89379 -asS'3. Diabetes .' -p89380 -(lp89381 -S'3.\t3.\tLS\tB-NP\tO' -p89382 -aS'Diabetes\tDiabetes\tNN\tI-NP\tO' -p89383 -aS'.\t.\t.\tO\tO' -p89384 -asS'Neck was supple without masses or defects .' -p89385 -(lp89386 -S'Neck\tNeck\tNN\tB-NP\tO' -p89387 -aS'was\tbe\tVBD\tB-VP\tO' -p89388 -aS'supple\tsupple\tNN\tB-NP\tO' -p89389 -aS'without\twithout\tIN\tB-PP\tO' -p89390 -aS'masses\tmass\tNNS\tB-NP\tO' -p89391 -aS'or\tor\tCC\tI-NP\tO' -p89392 -aS'defects\tdefect\tNNS\tI-NP\tO' -p89393 -aS'.\t.\t.\tO\tO' -p89394 -asS'Psychiatry was consulted .' -p89395 -(lp89396 -S'Psychiatry\tPsychiatry\tNN\tB-NP\tO' -p89397 -aS'was\tbe\tVBD\tB-VP\tO' -p89398 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p89399 -aS'.\t.\t.\tO\tO' -p89400 -asS'This CT scan , done also on 10/10/97 , again showed the severely comminuted fracture of the proximal left humerus .' -p89401 -(lp89402 -S'This\tThis\tDT\tB-NP\tO' -p89403 -aS'CT\tCT\tNN\tI-NP\tO' -p89404 -aS'scan\tscan\tNN\tI-NP\tO' -p89405 -aS',\t,\t,\tO\tO' -p89406 -aS'done\tdo\tVBN\tB-VP\tO' -p89407 -aS'also\talso\tRB\tB-ADVP\tO' -p89408 -aS'on\ton\tIN\tB-PP\tO' -p89409 -aS'10/10/97\t10/10/97\tCD\tB-NP\tO' -p89410 -aS',\t,\t,\tO\tO' -p89411 -aS'again\tagain\tRB\tB-ADVP\tO' -p89412 -aS'showed\tshow\tVBD\tB-VP\tO' -p89413 -aS'the\tthe\tDT\tB-NP\tO' -p89414 -aS'severely\tseverely\tRB\tI-NP\tO' -p89415 -aS'comminuted\tcomminute\tVBN\tI-NP\tO' -p89416 -aS'fracture\tfracture\tNN\tI-NP\tO' -p89417 -aS'of\tof\tIN\tB-PP\tO' -p89418 -aS'the\tthe\tDT\tB-NP\tO' -p89419 -aS'proximal\tproximal\tJJ\tI-NP\tO' -p89420 -aS'left\tleft\tJJ\tI-NP\tO' -p89421 -aS'humerus\thumerus\tNN\tI-NP\tO' -p89422 -aS'.\t.\t.\tO\tO' -p89423 -asS'Patient remained afebrile .' -p89424 -(lp89425 -S'Patient\tPatient\tNN\tB-NP\tO' -p89426 -aS'remained\tremain\tVBD\tB-VP\tO' -p89427 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p89428 -aS'.\t.\t.\tO\tO' -p89429 -asS'Despite all these measures , his bleeding was never totally controlled .' -p89430 -(lp89431 -S'Despite\tDespite\tIN\tB-PP\tO' -p89432 -aS'all\tall\tPDT\tB-NP\tO' -p89433 -aS'these\tthese\tDT\tI-NP\tO' -p89434 -aS'measures\tmeasure\tNNS\tI-NP\tO' -p89435 -aS',\t,\t,\tO\tO' -p89436 -aS'his\this\tPRP$\tB-NP\tO' -p89437 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p89438 -aS'was\tbe\tVBD\tB-VP\tO' -p89439 -aS'never\tnever\tRB\tI-VP\tO' -p89440 -aS'totally\ttotally\tRB\tI-VP\tO' -p89441 -aS'controlled\tcontrol\tVBN\tI-VP\tO' -p89442 -aS'.\t.\t.\tO\tO' -p89443 -asS'The abdomen was non-tender , nondistended , no hepatomegaly , normal bowel sounds .' -p89444 -(lp89445 -S'The\tThe\tDT\tB-NP\tO' -p89446 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p89447 -aS'was\tbe\tVBD\tB-VP\tO' -p89448 -aS'non-tender\tnon-tender\tJJ\tB-ADJP\tO' -p89449 -aS',\t,\t,\tO\tO' -p89450 -aS'nondistended\tnondistended\tJJ\tB-ADJP\tO' -p89451 -aS',\t,\t,\tO\tO' -p89452 -aS'no\tno\tDT\tB-NP\tO' -p89453 -aS'hepatomegaly\thepatomegaly\tNN\tI-NP\tO' -p89454 -aS',\t,\t,\tO\tO' -p89455 -aS'normal\tnormal\tJJ\tB-NP\tO' -p89456 -aS'bowel\tbowel\tNN\tI-NP\tO' -p89457 -aS'sounds\tsound\tNNS\tI-NP\tO' -p89458 -aS'.\t.\t.\tO\tO' -p89459 -asS'The patient is a 47 - year-old male with a past medical history of coronary artery disease , status post 2-vessel percutaneous transluminal coronary angioplasty in 2005 , 3-vessel percutaneous transluminal coronary angioplasty in 2009 , hypertension , new onset type 2 diabetes , and hypercholesterolemia who presents with the sudden onset of substernal chest pain status post exercise .' -p89460 -(lp89461 -S'The\tThe\tDT\tB-NP\tO' -p89462 -aS'patient\tpatient\tNN\tI-NP\tO' -p89463 -aS'is\tbe\tVBZ\tB-VP\tO' -p89464 -aS'a\ta\tDT\tB-NP\tO' -p89465 -aS'47\t47\tCD\tI-NP\tO' -p89466 -aS'-\t-\tHYPH\tI-NP\tO' -p89467 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p89468 -aS'male\tmale\tNN\tI-NP\tO' -p89469 -aS'with\twith\tIN\tB-PP\tO' -p89470 -aS'a\ta\tDT\tB-NP\tO' -p89471 -aS'past\tpast\tJJ\tI-NP\tO' -p89472 -aS'medical\tmedical\tJJ\tI-NP\tO' -p89473 -aS'history\thistory\tNN\tI-NP\tO' -p89474 -aS'of\tof\tIN\tB-PP\tO' -p89475 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p89476 -aS'artery\tartery\tNN\tI-NP\tO' -p89477 -aS'disease\tdisease\tNN\tI-NP\tO' -p89478 -aS',\t,\t,\tO\tO' -p89479 -aS'status\tstatus\tNN\tB-NP\tO' -p89480 -aS'post\tpost\tVBD\tB-VP\tO' -p89481 -aS'2-vessel\t2-vessel\tJJ\tB-NP\tO' -p89482 -aS'percutaneous\tpercutaneous\tJJ\tI-NP\tO' -p89483 -aS'transluminal\ttransluminal\tJJ\tI-NP\tO' -p89484 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p89485 -aS'angioplasty\tangioplasty\tNN\tI-NP\tO' -p89486 -aS'in\tin\tIN\tB-PP\tO' -p89487 -aS'2005\t2005\tCD\tB-NP\tO' -p89488 -aS',\t,\t,\tO\tO' -p89489 -aS'3-vessel\t3-vessel\tJJ\tB-NP\tO' -p89490 -aS'percutaneous\tpercutaneous\tJJ\tI-NP\tO' -p89491 -aS'transluminal\ttransluminal\tJJ\tI-NP\tO' -p89492 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p89493 -aS'angioplasty\tangioplasty\tNN\tI-NP\tO' -p89494 -aS'in\tin\tIN\tB-PP\tO' -p89495 -aS'2009\t2009\tCD\tB-NP\tO' -p89496 -aS',\t,\t,\tO\tO' -p89497 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p89498 -aS',\t,\t,\tO\tO' -p89499 -aS'new\tnew\tJJ\tB-NP\tO' -p89500 -aS'onset\tonset\tNN\tI-NP\tO' -p89501 -aS'type\ttype\tNN\tI-NP\tO' -p89502 -aS'2\t2\tCD\tB-NP\tO' -p89503 -aS'diabetes\tdiabete\tNNS\tI-NP\tO' -p89504 -aS',\t,\t,\tO\tO' -p89505 -aS'and\tand\tCC\tO\tO' -p89506 -aS'hypercholesterolemia\thypercholesterolemia\tNN\tB-NP\tO' -p89507 -aS'who\twho\tWP\tB-NP\tO' -p89508 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p89509 -aS'with\twith\tIN\tB-PP\tO' -p89510 -aS'the\tthe\tDT\tB-NP\tO' -p89511 -aS'sudden\tsudden\tJJ\tI-NP\tO' -p89512 -aS'onset\tonset\tNN\tI-NP\tO' -p89513 -aS'of\tof\tIN\tB-PP\tO' -p89514 -aS'substernal\tsubsternal\tJJ\tB-NP\tO' -p89515 -aS'chest\tchest\tNN\tI-NP\tO' -p89516 -aS'pain\tpain\tNN\tI-NP\tO' -p89517 -aS'status\tstatus\tNN\tI-NP\tO' -p89518 -aS'post\tpost\tNN\tI-NP\tO' -p89519 -aS'exercise\texercise\tNN\tI-NP\tO' -p89520 -aS'.\t.\t.\tO\tO' -p89521 -asS'Guaiac all stools , check iron studies .' -p89522 -(lp89523 -S'Guaiac\tGuaiac\tJJ\tB-NP\tO' -p89524 -aS'all\tall\tDT\tI-NP\tO' -p89525 -aS'stools\tstool\tNNS\tI-NP\tO' -p89526 -aS',\t,\t,\tO\tO' -p89527 -aS'check\tcheck\tNN\tB-NP\tO' -p89528 -aS'iron\tiron\tNN\tI-NP\tO' -p89529 -aS'studies\tstudy\tNNS\tI-NP\tO' -p89530 -aS'.\t.\t.\tO\tO' -p89531 -asS'A c.difficile test is negative on prelim read , however very low suspicion given no recent antibiotic use .' -p89532 -(lp89533 -S'A\tA\tDT\tB-NP\tO' -p89534 -aS'c.difficile\tc.difficile\tJJ\tI-NP\tO' -p89535 -aS'test\ttest\tNN\tI-NP\tO' -p89536 -aS'is\tbe\tVBZ\tB-VP\tO' -p89537 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p89538 -aS'on\ton\tIN\tB-PP\tO' -p89539 -aS'prelim\tprelim\tJJ\tB-NP\tO' -p89540 -aS'read\tread\tNN\tI-NP\tO' -p89541 -aS',\t,\t,\tO\tO' -p89542 -aS'however\thowever\tRB\tB-NP\tO' -p89543 -aS'very\tvery\tRB\tI-NP\tO' -p89544 -aS'low\tlow\tJJ\tI-NP\tO' -p89545 -aS'suspicion\tsuspicion\tNN\tI-NP\tO' -p89546 -aS'given\tgive\tVBN\tB-VP\tO' -p89547 -aS'no\tno\tDT\tB-NP\tO' -p89548 -aS'recent\trecent\tJJ\tI-NP\tO' -p89549 -aS'antibiotic\tantibiotic\tJJ\tI-NP\tO' -p89550 -aS'use\tuse\tNN\tI-NP\tO' -p89551 -aS'.\t.\t.\tO\tO' -p89552 -asS'5. Simvastatin 40 mg Tablet Sig : One ( 1 ) Tablet PO once a day .' -p89553 -(lp89554 -S'5.\t5.\tLS\tB-NP\tO' -p89555 -aS'Simvastatin\tSimvastatin\tNN\tI-NP\tO' -p89556 -aS'40\t40\tCD\tI-NP\tO' -p89557 -aS'mg\tmg\tNN\tI-NP\tO' -p89558 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p89559 -aS'Sig\tSig\tNNP\tI-NP\tO' -p89560 -aS':\t:\t:\tO\tO' -p89561 -aS'One\tOne\tCD\tB-NP\tO' -p89562 -aS'(\t(\t(\tO\tO' -p89563 -aS'1\t1\tCD\tB-NP\tO' -p89564 -aS')\t)\t)\tO\tO' -p89565 -aS'Tablet\tTablet\tNN\tB-NP\tB-protein' -p89566 -aS'PO\tPO\tNN\tI-NP\tI-protein' -p89567 -aS'once\tonce\tRB\tO\tO' -p89568 -aS'a\ta\tDT\tB-NP\tO' -p89569 -aS'day\tday\tNN\tI-NP\tO' -p89570 -aS'.\t.\t.\tO\tO' -p89571 -asS'The patient ambulating three to four times per day and able to get out of bed using a walker .' -p89572 -(lp89573 -S'The\tThe\tDT\tB-NP\tO' -p89574 -aS'patient\tpatient\tNN\tI-NP\tO' -p89575 -aS'ambulating\tambulate\tVBG\tB-VP\tO' -p89576 -aS'three\tthree\tCD\tB-NP\tO' -p89577 -aS'to\tto\tTO\tI-NP\tO' -p89578 -aS'four\tfour\tCD\tI-NP\tO' -p89579 -aS'times\ttime\tNNS\tI-NP\tO' -p89580 -aS'per\tper\tIN\tB-PP\tO' -p89581 -aS'day\tday\tNN\tB-NP\tO' -p89582 -aS'and\tand\tCC\tO\tO' -p89583 -aS'able\table\tJJ\tB-ADJP\tO' -p89584 -aS'to\tto\tTO\tB-VP\tO' -p89585 -aS'get\tget\tVB\tI-VP\tO' -p89586 -aS'out\tout\tIN\tB-PP\tO' -p89587 -aS'of\tof\tIN\tB-PP\tO' -p89588 -aS'bed\tbed\tNN\tB-NP\tO' -p89589 -aS'using\tuse\tVBG\tB-VP\tO' -p89590 -aS'a\ta\tDT\tB-NP\tO' -p89591 -aS'walker\twalker\tNN\tI-NP\tO' -p89592 -aS'.\t.\t.\tO\tO' -p89593 -asS'Therefore , she was discharged on 2014-08-09 in good condition .' -p89594 -(lp89595 -S'Therefore\tTherefore\tRB\tB-ADVP\tO' -p89596 -aS',\t,\t,\tO\tO' -p89597 -aS'she\tshe\tPRP\tB-NP\tO' -p89598 -aS'was\tbe\tVBD\tB-VP\tO' -p89599 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p89600 -aS'on\ton\tIN\tB-PP\tO' -p89601 -aS'2014-08-09\t2014-08-09\tCD\tB-NP\tO' -p89602 -aS'in\tin\tIN\tB-PP\tO' -p89603 -aS'good\tgood\tJJ\tB-NP\tO' -p89604 -aS'condition\tcondition\tNN\tI-NP\tO' -p89605 -aS'.\t.\t.\tO\tO' -p89606 -asS'Surgical left pupil .' -p89607 -(lp89608 -S'Surgical\tSurgical\tJJ\tB-NP\tO' -p89609 -aS'left\tleft\tJJ\tI-NP\tO' -p89610 -aS'pupil\tpupil\tNN\tI-NP\tO' -p89611 -aS'.\t.\t.\tO\tO' -p89612 -asS'This 78-year-old woman had stage IIIB carcinoma of the cervix and she has known periaortic and splenic metastases .' -p89613 -(lp89614 -S'This\tThis\tDT\tB-NP\tO' -p89615 -aS'78-year-old\t78-year-old\tJJ\tI-NP\tO' -p89616 -aS'woman\twoman\tNN\tI-NP\tO' -p89617 -aS'had\thave\tVBD\tB-VP\tO' -p89618 -aS'stage\tstage\tNN\tB-NP\tO' -p89619 -aS'IIIB\tIIIB\tNN\tI-NP\tO' -p89620 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p89621 -aS'of\tof\tIN\tB-PP\tO' -p89622 -aS'the\tthe\tDT\tB-NP\tO' -p89623 -aS'cervix\tcervix\tNN\tI-NP\tO' -p89624 -aS'and\tand\tCC\tO\tO' -p89625 -aS'she\tshe\tPRP\tB-NP\tO' -p89626 -aS'has\thave\tVBZ\tB-VP\tO' -p89627 -aS'known\tknow\tVBN\tI-VP\tO' -p89628 -aS'periaortic\tperiaortic\tJJ\tB-NP\tO' -p89629 -aS'and\tand\tCC\tI-NP\tO' -p89630 -aS'splenic\tsplenic\tJJ\tI-NP\tB-protein' -p89631 -aS'metastases\tmetastasis\tNNS\tI-NP\tI-protein' -p89632 -aS'.\t.\t.\tO\tO' -p89633 -asS'8. Acetaminophen 325 mg Tablet Sig : 1-2 Tablets PO Q4-6H ( every 4 to 6 hours ) as needed .' -p89634 -(lp89635 -S'8.\t8.\tCD\tB-NP\tO' -p89636 -aS'Acetaminophen\tAcetaminophen\tNN\tI-NP\tO' -p89637 -aS'325\t325\tCD\tB-NP\tO' -p89638 -aS'mg\tmg\tNN\tI-NP\tO' -p89639 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p89640 -aS'Sig\tSig\tNNP\tI-NP\tO' -p89641 -aS':\t:\t:\tO\tO' -p89642 -aS'1-2\t1-2\tCD\tB-NP\tO' -p89643 -aS'Tablets\tTablet\tNNS\tI-NP\tO' -p89644 -aS'PO\tPO\tNN\tI-NP\tO' -p89645 -aS'Q4-6H\tQ4-6H\tNN\tI-NP\tO' -p89646 -aS'(\t(\t(\tO\tO' -p89647 -aS'every\tevery\tDT\tB-NP\tO' -p89648 -aS'4\t4\tCD\tI-NP\tO' -p89649 -aS'to\tto\tTO\tI-NP\tO' -p89650 -aS'6\t6\tCD\tI-NP\tO' -p89651 -aS'hours\thour\tNNS\tI-NP\tO' -p89652 -aS')\t)\t)\tO\tO' -p89653 -aS'as\tas\tIN\tB-SBAR\tO' -p89654 -aS'needed\tneed\tVBN\tB-VP\tO' -p89655 -aS'.\t.\t.\tO\tO' -p89656 -asS'The family has been notified and autopsy consent has been obtained .' -p89657 -(lp89658 -S'The\tThe\tDT\tB-NP\tO' -p89659 -aS'family\tfamily\tNN\tI-NP\tO' -p89660 -aS'has\thave\tVBZ\tB-VP\tO' -p89661 -aS'been\tbe\tVBN\tI-VP\tO' -p89662 -aS'notified\tnotify\tVBN\tI-VP\tO' -p89663 -aS'and\tand\tCC\tO\tO' -p89664 -aS'autopsy\tautopsy\tNN\tB-NP\tO' -p89665 -aS'consent\tconsent\tNN\tI-NP\tO' -p89666 -aS'has\thave\tVBZ\tB-VP\tO' -p89667 -aS'been\tbe\tVBN\tI-VP\tO' -p89668 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p89669 -aS'.\t.\t.\tO\tO' -p89670 -asS'The electrocardiogram revealed normal sinus rhythm at 85 with a prolonged QT at 0.572 .' -p89671 -(lp89672 -S'The\tThe\tDT\tB-NP\tO' -p89673 -aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' -p89674 -aS'revealed\treveal\tVBD\tB-VP\tO' -p89675 -aS'normal\tnormal\tJJ\tB-NP\tO' -p89676 -aS'sinus\tsinus\tNN\tI-NP\tO' -p89677 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p89678 -aS'at\tat\tIN\tB-PP\tO' -p89679 -aS'85\t85\tCD\tB-NP\tO' -p89680 -aS'with\twith\tIN\tB-PP\tO' -p89681 -aS'a\ta\tDT\tB-NP\tO' -p89682 -aS'prolonged\tprolonged\tJJ\tI-NP\tO' -p89683 -aS'QT\tQT\tNN\tI-NP\tO' -p89684 -aS'at\tat\tIN\tB-PP\tO' -p89685 -aS'0.572\t0.572\tCD\tB-NP\tO' -p89686 -aS'.\t.\t.\tO\tO' -p89687 -asS'Lopressor 25 mg PO b.i.d. , Cardizem 30 mg po q.i.d. , Zantac 150 mg po qd , Isordil 60 mg po q a.m. , 60 mg po q noon , 30 mg po q p.m. and 30 mg po q hs , Glipizide po 5 mg q a.m.' -p89688 -(lp89689 -S'Lopressor\tLopressor\tNN\tB-NP\tO' -p89690 -aS'25\t25\tCD\tI-NP\tO' -p89691 -aS'mg\tmg\tNN\tI-NP\tO' -p89692 -aS'PO\tPO\tNN\tI-NP\tO' -p89693 -aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' -p89694 -aS',\t,\t,\tO\tO' -p89695 -aS'Cardizem\tCardizem\tNNP\tB-NP\tO' -p89696 -aS'30\t30\tCD\tI-NP\tO' -p89697 -aS'mg\tmg\tNN\tI-NP\tO' -p89698 -aS'po\tpo\tNN\tI-NP\tO' -p89699 -aS'q.i.d.\tq.i.d.\tNN\tI-NP\tO' -p89700 -aS',\t,\t,\tO\tO' -p89701 -aS'Zantac\tZantac\tNN\tB-NP\tO' -p89702 -aS'150\t150\tCD\tI-NP\tO' -p89703 -aS'mg\tmg\tNN\tI-NP\tO' -p89704 -aS'po\tpo\tNN\tI-NP\tO' -p89705 -aS'qd\tqd\tNN\tI-NP\tO' -p89706 -aS',\t,\t,\tO\tO' -p89707 -aS'Isordil\tIsordil\tNN\tB-NP\tO' -p89708 -aS'60\t60\tCD\tI-NP\tO' -p89709 -aS'mg\tmg\tNN\tI-NP\tO' -p89710 -aS'po\tpo\tNN\tI-NP\tO' -p89711 -aS'q\tq\tNN\tI-NP\tO' -p89712 -aS'a.m.\ta.m.\tRB\tB-ADVP\tO' -p89713 -aS',\t,\t,\tO\tO' -p89714 -aS'60\t60\tCD\tB-NP\tO' -p89715 -aS'mg\tmg\tNN\tI-NP\tO' -p89716 -aS'po\tpo\tNN\tI-NP\tO' -p89717 -aS'q\tq\tNN\tI-NP\tO' -p89718 -aS'noon\tnoon\tNN\tI-NP\tO' -p89719 -aS',\t,\t,\tO\tO' -p89720 -aS'30\t30\tCD\tB-NP\tO' -p89721 -aS'mg\tmg\tNN\tI-NP\tO' -p89722 -aS'po\tpo\tNN\tI-NP\tO' -p89723 -aS'q\tq\tNN\tI-NP\tO' -p89724 -aS'p.m.\tp.m.\tNN\tI-NP\tO' -p89725 -aS'and\tand\tCC\tO\tO' -p89726 -aS'30\t30\tCD\tB-NP\tO' -p89727 -aS'mg\tmg\tNN\tI-NP\tO' -p89728 -aS'po\tpo\tNN\tI-NP\tO' -p89729 -aS'q\tq\tNN\tI-NP\tO' -p89730 -aS'hs\th\tNNS\tI-NP\tO' -p89731 -aS',\t,\t,\tO\tO' -p89732 -aS'Glipizide\tGlipizide\tNNP\tB-NP\tO' -p89733 -aS'po\tpo\tVBP\tB-VP\tO' -p89734 -aS'5\t5\tCD\tB-NP\tO' -p89735 -aS'mg\tmg\tNN\tI-NP\tO' -p89736 -aS'q\tq\tNN\tI-NP\tO' -p89737 -aS'a.m.\ta.m.\tRB\tB-ADVP\tO' -p89738 -asS'She was noted to have mild cataracts , possibly due to chronic steroids , as well as a subtle temporal disc pallor OD , possibly due to previous episode of optic neuritis .' -p89739 -(lp89740 -S'She\tShe\tPRP\tB-NP\tO' -p89741 -aS'was\tbe\tVBD\tB-VP\tO' -p89742 -aS'noted\tnote\tVBN\tI-VP\tO' -p89743 -aS'to\tto\tTO\tI-VP\tO' -p89744 -aS'have\thave\tVB\tI-VP\tO' -p89745 -aS'mild\tmild\tJJ\tB-NP\tO' -p89746 -aS'cataracts\tcataract\tNNS\tI-NP\tO' -p89747 -aS',\t,\t,\tO\tO' -p89748 -aS'possibly\tpossibly\tRB\tB-ADVP\tO' -p89749 -aS'due\tdue\tJJ\tB-PP\tO' -p89750 -aS'to\tto\tTO\tB-PP\tO' -p89751 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p89752 -aS'steroids\tsteroid\tNNS\tI-NP\tO' -p89753 -aS',\t,\t,\tO\tO' -p89754 -aS'as\tas\tRB\tB-CONJP\tO' -p89755 -aS'well\twell\tRB\tI-CONJP\tO' -p89756 -aS'as\tas\tIN\tI-CONJP\tO' -p89757 -aS'a\ta\tDT\tB-NP\tO' -p89758 -aS'subtle\tsubtle\tJJ\tI-NP\tO' -p89759 -aS'temporal\ttemporal\tJJ\tI-NP\tO' -p89760 -aS'disc\tdisc\tNN\tI-NP\tO' -p89761 -aS'pallor\tpallor\tNN\tI-NP\tO' -p89762 -aS'OD\tOD\tNN\tI-NP\tO' -p89763 -aS',\t,\t,\tO\tO' -p89764 -aS'possibly\tpossibly\tRB\tB-ADVP\tO' -p89765 -aS'due\tdue\tJJ\tB-PP\tO' -p89766 -aS'to\tto\tTO\tB-PP\tO' -p89767 -aS'previous\tprevious\tJJ\tB-NP\tO' -p89768 -aS'episode\tepisode\tNN\tI-NP\tO' -p89769 -aS'of\tof\tIN\tB-PP\tO' -p89770 -aS'optic\toptic\tJJ\tB-NP\tO' -p89771 -aS'neuritis\tneuritis\tNN\tI-NP\tO' -p89772 -aS'.\t.\t.\tO\tO' -p89773 -asS"The patient 's sternal incision had a superior edge that was dehisced with evidence for stay sutures and some superficial closure sutures exposed ." -p89774 -(lp89775 -S'The\tThe\tDT\tB-NP\tO' -p89776 -aS'patient\tpatient\tNN\tI-NP\tO' -p89777 -aS"'s\t's\tPOS\tB-NP\tO" -p89778 -aS'sternal\tsternal\tJJ\tI-NP\tO' -p89779 -aS'incision\tincision\tNN\tI-NP\tO' -p89780 -aS'had\thave\tVBD\tB-VP\tO' -p89781 -aS'a\ta\tDT\tB-NP\tO' -p89782 -aS'superior\tsuperior\tJJ\tI-NP\tO' -p89783 -aS'edge\tedge\tNN\tI-NP\tO' -p89784 -aS'that\tthat\tWDT\tB-NP\tO' -p89785 -aS'was\tbe\tVBD\tB-VP\tO' -p89786 -aS'dehisced\tdehisce\tVBN\tI-VP\tO' -p89787 -aS'with\twith\tIN\tB-PP\tO' -p89788 -aS'evidence\tevidence\tNN\tB-NP\tO' -p89789 -aS'for\tfor\tIN\tB-PP\tO' -p89790 -aS'stay\tstay\tNN\tB-NP\tO' -p89791 -aS'sutures\tsuture\tNNS\tI-NP\tO' -p89792 -aS'and\tand\tCC\tO\tO' -p89793 -aS'some\tsome\tDT\tB-NP\tO' -p89794 -aS'superficial\tsuperficial\tJJ\tI-NP\tO' -p89795 -aS'closure\tclosure\tNN\tI-NP\tO' -p89796 -aS'sutures\tsuture\tNNS\tI-NP\tO' -p89797 -aS'exposed\texpose\tVBN\tB-VP\tO' -p89798 -aS'.\t.\t.\tO\tO' -p89799 -asS'Transferred to CCU for further management and observation .' -p89800 -(lp89801 -S'Transferred\tTransfer\tVBN\tB-VP\tO' -p89802 -aS'to\tto\tTO\tB-PP\tO' -p89803 -aS'CCU\tCCU\tNN\tB-NP\tB-protein' -p89804 -aS'for\tfor\tIN\tB-PP\tO' -p89805 -aS'further\tfurther\tJJ\tB-NP\tO' -p89806 -aS'management\tmanagement\tNN\tI-NP\tO' -p89807 -aS'and\tand\tCC\tI-NP\tO' -p89808 -aS'observation\tobservation\tNN\tI-NP\tO' -p89809 -aS'.\t.\t.\tO\tO' -p89810 -asS'Neuro - Sedated .' -p89811 -(lp89812 -S'Neuro\tNeuro\tNN\tB-NP\tO' -p89813 -aS'-\t-\tHYPH\tO\tO' -p89814 -aS'Sedated\tSedate\tVBN\tB-VP\tO' -p89815 -aS'.\t.\t.\tO\tO' -p89816 -asS'Strength was 5/5 on the right side , 4/5 on the left side .' -p89817 -(lp89818 -S'Strength\tStrength\tNN\tB-NP\tO' -p89819 -aS'was\tbe\tVBD\tB-VP\tO' -p89820 -aS'5/5\t5/5\tCD\tB-NP\tO' -p89821 -aS'on\ton\tIN\tB-PP\tO' -p89822 -aS'the\tthe\tDT\tB-NP\tO' -p89823 -aS'right\tright\tJJ\tI-NP\tO' -p89824 -aS'side\tside\tNN\tI-NP\tO' -p89825 -aS',\t,\t,\tO\tO' -p89826 -aS'4/5\t4/5\tCD\tB-NP\tO' -p89827 -aS'on\ton\tIN\tB-PP\tO' -p89828 -aS'the\tthe\tDT\tB-NP\tO' -p89829 -aS'left\tleft\tJJ\tI-NP\tO' -p89830 -aS'side\tside\tNN\tI-NP\tO' -p89831 -aS'.\t.\t.\tO\tO' -p89832 -asS'Please follow up with Dr. Parker in cardiology ( ( 216 ) 660-0019 ) on 10-17 at 4:45 PM' -p89833 -(lp89834 -S'Please\tPlease\tVB\tB-VP\tO' -p89835 -aS'follow\tfollow\tVB\tI-VP\tO' -p89836 -aS'up\tup\tRP\tB-PRT\tO' -p89837 -aS'with\twith\tIN\tB-PP\tO' -p89838 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p89839 -aS'Parker\tParker\tNNP\tI-NP\tO' -p89840 -aS'in\tin\tIN\tB-PP\tO' -p89841 -aS'cardiology\tcardiology\tNN\tB-NP\tO' -p89842 -aS'(\t(\t(\tO\tO' -p89843 -aS'(\t(\t(\tO\tO' -p89844 -aS'216\t216\tCD\tB-NP\tO' -p89845 -aS')\t)\t)\tO\tO' -p89846 -aS'660-0019\t660-0019\tCD\tB-NP\tO' -p89847 -aS')\t)\t)\tO\tO' -p89848 -aS'on\ton\tIN\tB-PP\tO' -p89849 -aS'10-17\t10-17\tCD\tB-NP\tO' -p89850 -aS'at\tat\tIN\tB-PP\tO' -p89851 -aS'4:45\t4:45\tCD\tB-NP\tO' -p89852 -aS'PM\tPM\tNN\tI-NP\tO' -p89853 -asS'No history of previous episodes was noted .' -p89854 -(lp89855 -S'No\tNo\tDT\tB-NP\tO' -p89856 -aS'history\thistory\tNN\tI-NP\tO' -p89857 -aS'of\tof\tIN\tB-PP\tO' -p89858 -aS'previous\tprevious\tJJ\tB-NP\tO' -p89859 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p89860 -aS'was\tbe\tVBD\tB-VP\tO' -p89861 -aS'noted\tnote\tVBN\tI-VP\tO' -p89862 -aS'.\t.\t.\tO\tO' -p89863 -asS'It was felt that the patient had synovial chondromatosis and would benefit from an open synovectomy and debridement .' -p89864 -(lp89865 -S'It\tIt\tPRP\tB-NP\tO' -p89866 -aS'was\tbe\tVBD\tB-VP\tO' -p89867 -aS'felt\tfeel\tVBN\tI-VP\tO' -p89868 -aS'that\tthat\tIN\tB-SBAR\tO' -p89869 -aS'the\tthe\tDT\tB-NP\tO' -p89870 -aS'patient\tpatient\tNN\tI-NP\tO' -p89871 -aS'had\thave\tVBD\tB-VP\tO' -p89872 -aS'synovial\tsynovial\tJJ\tB-NP\tO' -p89873 -aS'chondromatosis\tchondromatosis\tNN\tI-NP\tO' -p89874 -aS'and\tand\tCC\tO\tO' -p89875 -aS'would\twould\tMD\tB-VP\tO' -p89876 -aS'benefit\tbenefit\tVB\tI-VP\tO' -p89877 -aS'from\tfrom\tIN\tB-PP\tO' -p89878 -aS'an\tan\tDT\tB-NP\tO' -p89879 -aS'open\topen\tJJ\tI-NP\tO' -p89880 -aS'synovectomy\tsynovectomy\tNN\tI-NP\tO' -p89881 -aS'and\tand\tCC\tI-NP\tO' -p89882 -aS'debridement\tdebridement\tNN\tI-NP\tO' -p89883 -aS'.\t.\t.\tO\tO' -p89884 -asS'MS : not following commands , withdraws to noxious stimuli , making incomprehensible vocalizations' -p89885 -(lp89886 -S'MS\tMS\tNN\tB-NP\tO' -p89887 -aS':\t:\t:\tO\tO' -p89888 -aS'not\tnot\tRB\tO\tO' -p89889 -aS'following\tfollow\tVBG\tB-VP\tO' -p89890 -aS'commands\tcommand\tNNS\tB-NP\tO' -p89891 -aS',\t,\t,\tO\tO' -p89892 -aS'withdraws\twithdraw\tNNS\tB-NP\tO' -p89893 -aS'to\tto\tTO\tB-PP\tO' -p89894 -aS'noxious\tnoxious\tJJ\tB-NP\tO' -p89895 -aS'stimuli\tstimulus\tNNS\tI-NP\tO' -p89896 -aS',\t,\t,\tO\tO' -p89897 -aS'making\tmake\tVBG\tB-VP\tO' -p89898 -aS'incomprehensible\tincomprehensible\tJJ\tB-NP\tO' -p89899 -aS'vocalizations\tvocalization\tNNS\tI-NP\tO' -p89900 -asS'The patient denies shortness of breath , chest pain , orthopnea , no dysuria , hematuria , no visual changes , no rashes , no blurry vision .' -p89901 -(lp89902 -S'The\tThe\tDT\tB-NP\tO' -p89903 -aS'patient\tpatient\tNN\tI-NP\tO' -p89904 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p89905 -aS'shortness\tshortness\tNN\tB-NP\tO' -p89906 -aS'of\tof\tIN\tB-PP\tO' -p89907 -aS'breath\tbreath\tNN\tB-NP\tO' -p89908 -aS',\t,\t,\tO\tO' -p89909 -aS'chest\tchest\tNN\tB-NP\tO' -p89910 -aS'pain\tpain\tNN\tI-NP\tO' -p89911 -aS',\t,\t,\tO\tO' -p89912 -aS'orthopnea\torthopnea\tNN\tB-NP\tO' -p89913 -aS',\t,\t,\tO\tO' -p89914 -aS'no\tno\tDT\tB-NP\tO' -p89915 -aS'dysuria\tdysuria\tNN\tI-NP\tO' -p89916 -aS',\t,\t,\tO\tO' -p89917 -aS'hematuria\thematuria\tNN\tB-NP\tO' -p89918 -aS',\t,\t,\tO\tO' -p89919 -aS'no\tno\tDT\tB-NP\tO' -p89920 -aS'visual\tvisual\tJJ\tI-NP\tO' -p89921 -aS'changes\tchange\tNNS\tI-NP\tO' -p89922 -aS',\t,\t,\tO\tO' -p89923 -aS'no\tno\tDT\tB-NP\tO' -p89924 -aS'rashes\trash\tNNS\tI-NP\tO' -p89925 -aS',\t,\t,\tO\tO' -p89926 -aS'no\tno\tDT\tB-NP\tO' -p89927 -aS'blurry\tblurry\tJJ\tI-NP\tO' -p89928 -aS'vision\tvision\tNN\tI-NP\tO' -p89929 -aS'.\t.\t.\tO\tO' -p89930 -asS'8. orthostatic hypotension , on midodrine' -p89931 -(lp89932 -S'8.\t8.\tCD\tB-NP\tO' -p89933 -aS'orthostatic\torthostatic\tJJ\tI-NP\tO' -p89934 -aS'hypotension\thypotension\tNN\tI-NP\tO' -p89935 -aS',\t,\t,\tO\tO' -p89936 -aS'on\ton\tIN\tB-PP\tO' -p89937 -aS'midodrine\tmidodrine\tNN\tB-NP\tO' -p89938 -asS'No focal masses is seen .' -p89939 -(lp89940 -S'No\tNo\tDT\tB-NP\tO' -p89941 -aS'focal\tfocal\tJJ\tI-NP\tO' -p89942 -aS'masses\tmass\tNNS\tI-NP\tO' -p89943 -aS'is\tbe\tVBZ\tB-VP\tO' -p89944 -aS'seen\tsee\tVBN\tI-VP\tO' -p89945 -aS'.\t.\t.\tO\tO' -p89946 -asS'Rhythm was maintained at normal sinus , monitored on telemetry without ectopy .' -p89947 -(lp89948 -S'Rhythm\tRhythm\tNN\tB-NP\tO' -p89949 -aS'was\tbe\tVBD\tB-VP\tO' -p89950 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p89951 -aS'at\tat\tIN\tB-PP\tO' -p89952 -aS'normal\tnormal\tJJ\tB-NP\tO' -p89953 -aS'sinus\tsinus\tNN\tI-NP\tO' -p89954 -aS',\t,\t,\tO\tO' -p89955 -aS'monitored\tmonitor\tVBN\tB-VP\tO' -p89956 -aS'on\ton\tIN\tB-PP\tO' -p89957 -aS'telemetry\ttelemetry\tNN\tB-NP\tO' -p89958 -aS'without\twithout\tIN\tB-PP\tO' -p89959 -aS'ectopy\tectopy\tNN\tB-NP\tO' -p89960 -aS'.\t.\t.\tO\tO' -p89961 -asS'The patient is a 28 - year-old , gravida 3 , para 1 , at approximately 27 weeks gestation , who was admitted on 2014-05-12 due to increasing symptoms of congestive heart failure .' -p89962 -(lp89963 -S'The\tThe\tDT\tB-NP\tO' -p89964 -aS'patient\tpatient\tNN\tI-NP\tO' -p89965 -aS'is\tbe\tVBZ\tB-VP\tO' -p89966 -aS'a\ta\tDT\tB-NP\tO' -p89967 -aS'28\t28\tCD\tI-NP\tO' -p89968 -aS'-\t-\tHYPH\tI-NP\tO' -p89969 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p89970 -aS',\t,\t,\tO\tO' -p89971 -aS'gravida\tgravida\tNN\tB-NP\tB-protein' -p89972 -aS'3\t3\tCD\tI-NP\tI-protein' -p89973 -aS',\t,\t,\tO\tO' -p89974 -aS'para\tpara\tNN\tB-NP\tO' -p89975 -aS'1\t1\tCD\tI-NP\tO' -p89976 -aS',\t,\t,\tO\tO' -p89977 -aS'at\tat\tIN\tB-PP\tO' -p89978 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p89979 -aS'27\t27\tCD\tI-NP\tO' -p89980 -aS'weeks\tweek\tNNS\tI-NP\tO' -p89981 -aS'gestation\tgestation\tNN\tI-NP\tO' -p89982 -aS',\t,\t,\tO\tO' -p89983 -aS'who\twho\tWP\tB-NP\tO' -p89984 -aS'was\tbe\tVBD\tB-VP\tO' -p89985 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p89986 -aS'on\ton\tIN\tB-PP\tO' -p89987 -aS'2014-05-12\t2014-05-12\tCD\tB-NP\tO' -p89988 -aS'due\tdue\tJJ\tB-ADJP\tO' -p89989 -aS'to\tto\tTO\tB-PP\tO' -p89990 -aS'increasing\tincrease\tVBG\tB-NP\tO' -p89991 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p89992 -aS'of\tof\tIN\tB-PP\tO' -p89993 -aS'congestive\tcongestive\tJJ\tB-NP\tO' -p89994 -aS'heart\theart\tNN\tI-NP\tO' -p89995 -aS'failure\tfailure\tNN\tI-NP\tO' -p89996 -aS'.\t.\t.\tO\tO' -p89997 -asS'On 2013-05-25 , a liver became available for transplant to the patient .' -p89998 -(lp89999 -S'On\tOn\tIN\tB-PP\tO' -p90000 -aS'2013-05-25\t2013-05-25\tCD\tB-NP\tO' -p90001 -aS',\t,\t,\tO\tO' -p90002 -aS'a\ta\tDT\tB-NP\tO' -p90003 -aS'liver\tliver\tNN\tI-NP\tO' -p90004 -aS'became\tbecome\tVBD\tB-VP\tO' -p90005 -aS'available\tavailable\tJJ\tB-ADJP\tO' -p90006 -aS'for\tfor\tIN\tB-PP\tO' -p90007 -aS'transplant\ttransplant\tNN\tB-NP\tO' -p90008 -aS'to\tto\tTO\tB-PP\tO' -p90009 -aS'the\tthe\tDT\tB-NP\tO' -p90010 -aS'patient\tpatient\tNN\tI-NP\tO' -p90011 -aS'.\t.\t.\tO\tO' -p90012 -asS'She was extubated on the third postoperative day , and was initially slightly agitated and confused , largely due to an Intensive Care Unit psychosis .' -p90013 -(lp90014 -S'She\tShe\tPRP\tB-NP\tO' -p90015 -aS'was\tbe\tVBD\tB-VP\tO' -p90016 -aS'extubated\textubate\tVBN\tI-VP\tO' -p90017 -aS'on\ton\tIN\tB-PP\tO' -p90018 -aS'the\tthe\tDT\tB-NP\tO' -p90019 -aS'third\tthird\tJJ\tI-NP\tO' -p90020 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p90021 -aS'day\tday\tNN\tI-NP\tO' -p90022 -aS',\t,\t,\tO\tO' -p90023 -aS'and\tand\tCC\tO\tO' -p90024 -aS'was\tbe\tVBD\tB-VP\tO' -p90025 -aS'initially\tinitially\tRB\tI-VP\tO' -p90026 -aS'slightly\tslightly\tRB\tI-VP\tO' -p90027 -aS'agitated\tagitate\tVBN\tI-VP\tO' -p90028 -aS'and\tand\tCC\tI-VP\tO' -p90029 -aS'confused\tconfuse\tVBN\tI-VP\tO' -p90030 -aS',\t,\t,\tO\tO' -p90031 -aS'largely\tlargely\tRB\tB-ADVP\tO' -p90032 -aS'due\tdue\tJJ\tB-PP\tO' -p90033 -aS'to\tto\tTO\tB-PP\tO' -p90034 -aS'an\tan\tDT\tB-NP\tO' -p90035 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p90036 -aS'Care\tCare\tNNP\tI-NP\tO' -p90037 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p90038 -aS'psychosis\tpsychosis\tNN\tI-NP\tO' -p90039 -aS'.\t.\t.\tO\tO' -p90040 -asS'FLUIDS , ELECTROLYTES AND NUTRITION : The infant was started on IV fluids on admission to the CMED .' -p90041 -(lp90042 -S'FLUIDS\tFLUIDS\tNN\tB-NP\tO' -p90043 -aS',\t,\t,\tI-NP\tO' -p90044 -aS'ELECTROLYTES\tELECTROLYTES\tNN\tI-NP\tO' -p90045 -aS'AND\tAND\tCC\tI-NP\tO' -p90046 -aS'NUTRITION\tNUTRITION\tNN\tI-NP\tO' -p90047 -aS':\t:\t:\tO\tO' -p90048 -aS'The\tThe\tDT\tB-NP\tO' -p90049 -aS'infant\tinfant\tNN\tI-NP\tO' -p90050 -aS'was\tbe\tVBD\tB-VP\tO' -p90051 -aS'started\tstart\tVBN\tI-VP\tO' -p90052 -aS'on\ton\tIN\tB-PP\tO' -p90053 -aS'IV\tIV\tCD\tB-NP\tO' -p90054 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p90055 -aS'on\ton\tIN\tB-PP\tO' -p90056 -aS'admission\tadmission\tNN\tB-NP\tO' -p90057 -aS'to\tto\tTO\tB-PP\tO' -p90058 -aS'the\tthe\tDT\tB-NP\tO' -p90059 -aS'CMED\tCMED\tNN\tI-NP\tO' -p90060 -aS'.\t.\t.\tO\tO' -p90061 -asS'Dictated By : Gina C.K. Brantner , M.D.' -p90062 -(lp90063 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p90064 -aS'By\tBy\tIN\tB-PP\tO' -p90065 -aS':\t:\t:\tO\tO' -p90066 -aS'Gina\tGina\tNNP\tB-NP\tO' -p90067 -aS'C.K.\tC.K.\tNNP\tI-NP\tO' -p90068 -aS'Brantner\tBrantner\tNNP\tI-NP\tO' -p90069 -aS',\t,\t,\tO\tO' -p90070 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p90071 -asS"The patient 's development of atrial fibrillation was believed to be secondary to infection and structural heart disease ." -p90072 -(lp90073 -S'The\tThe\tDT\tB-NP\tO' -p90074 -aS'patient\tpatient\tNN\tI-NP\tO' -p90075 -aS"'s\t's\tPOS\tB-NP\tO" -p90076 -aS'development\tdevelopment\tNN\tI-NP\tO' -p90077 -aS'of\tof\tIN\tB-PP\tO' -p90078 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p90079 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p90080 -aS'was\tbe\tVBD\tB-VP\tO' -p90081 -aS'believed\tbelieve\tVBN\tI-VP\tO' -p90082 -aS'to\tto\tTO\tI-VP\tO' -p90083 -aS'be\tbe\tVB\tI-VP\tO' -p90084 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p90085 -aS'to\tto\tTO\tB-PP\tO' -p90086 -aS'infection\tinfection\tNN\tB-NP\tO' -p90087 -aS'and\tand\tCC\tO\tO' -p90088 -aS'structural\tstructural\tJJ\tB-NP\tO' -p90089 -aS'heart\theart\tNN\tI-NP\tO' -p90090 -aS'disease\tdisease\tNN\tI-NP\tO' -p90091 -aS'.\t.\t.\tO\tO' -p90092 -asS'4. Hemorrhoids .' -p90093 -(lp90094 -S'4.\t4.\tLS\tB-NP\tO' -p90095 -aS'Hemorrhoids\tHemorrhoid\tNNS\tI-NP\tO' -p90096 -aS'.\t.\t.\tO\tO' -p90097 -asS'The family was called and came in to see the patient .' -p90098 -(lp90099 -S'The\tThe\tDT\tB-NP\tO' -p90100 -aS'family\tfamily\tNN\tI-NP\tO' -p90101 -aS'was\tbe\tVBD\tB-VP\tO' -p90102 -aS'called\tcall\tVBN\tI-VP\tO' -p90103 -aS'and\tand\tCC\tO\tO' -p90104 -aS'came\tcome\tVBD\tB-VP\tO' -p90105 -aS'in\tin\tRP\tB-PRT\tO' -p90106 -aS'to\tto\tTO\tB-VP\tO' -p90107 -aS'see\tsee\tVB\tI-VP\tO' -p90108 -aS'the\tthe\tDT\tB-NP\tO' -p90109 -aS'patient\tpatient\tNN\tI-NP\tO' -p90110 -aS'.\t.\t.\tO\tO' -p90111 -asS'She ambulates with walker and a cane secondary to osteoarthritis .' -p90112 -(lp90113 -S'She\tShe\tPRP\tB-NP\tO' -p90114 -aS'ambulates\tambulate\tVBZ\tB-VP\tO' -p90115 -aS'with\twith\tIN\tB-PP\tO' -p90116 -aS'walker\twalker\tNN\tB-NP\tO' -p90117 -aS'and\tand\tCC\tO\tO' -p90118 -aS'a\ta\tDT\tB-NP\tO' -p90119 -aS'cane\tcane\tNN\tI-NP\tO' -p90120 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p90121 -aS'to\tto\tTO\tB-PP\tO' -p90122 -aS'osteoarthritis\tosteoarthritis\tNN\tB-NP\tO' -p90123 -aS'.\t.\t.\tO\tO' -p90124 -asS'White blood cell count 8.8 , hematocrit 29.7 , platelets 367 , sodium 139 , potassium 4.7 , chloride 102 , CO2 27 , BUN 17 , creatinine 1.1 , glucose 95 .' -p90125 -(lp90126 -S'White\tWhite\tJJ\tB-NP\tO' -p90127 -aS'blood\tblood\tNN\tI-NP\tO' -p90128 -aS'cell\tcell\tNN\tI-NP\tO' -p90129 -aS'count\tcount\tNN\tI-NP\tO' -p90130 -aS'8.8\t8.8\tCD\tB-NP\tO' -p90131 -aS',\t,\t,\tO\tO' -p90132 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p90133 -aS'29.7\t29.7\tCD\tI-NP\tI-protein' -p90134 -aS',\t,\t,\tO\tO' -p90135 -aS'platelets\tplatelet\tNNS\tB-NP\tB-protein' -p90136 -aS'367\t367\tCD\tB-NP\tI-protein' -p90137 -aS',\t,\t,\tO\tO' -p90138 -aS'sodium\tsodium\tNN\tB-NP\tO' -p90139 -aS'139\t139\tCD\tI-NP\tO' -p90140 -aS',\t,\t,\tO\tO' -p90141 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p90142 -aS'4.7\t4.7\tCD\tI-NP\tO' -p90143 -aS',\t,\t,\tO\tO' -p90144 -aS'chloride\tchloride\tNN\tB-NP\tO' -p90145 -aS'102\t102\tCD\tI-NP\tO' -p90146 -aS',\t,\t,\tO\tO' -p90147 -aS'CO2\tCO2\tNN\tB-NP\tO' -p90148 -aS'27\t27\tCD\tI-NP\tO' -p90149 -aS',\t,\t,\tO\tO' -p90150 -aS'BUN\tBUN\tNN\tB-NP\tB-DNA' -p90151 -aS'17\t17\tCD\tI-NP\tI-DNA' -p90152 -aS',\t,\t,\tO\tO' -p90153 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p90154 -aS'1.1\t1.1\tCD\tI-NP\tO' -p90155 -aS',\t,\t,\tO\tO' -p90156 -aS'glucose\tglucose\tNN\tB-NP\tO' -p90157 -aS'95\t95\tCD\tI-NP\tO' -p90158 -aS'.\t.\t.\tO\tO' -p90159 -asS'The patient also reports that he has had " yellowish eyes , some shaking and his breath smelled more like ammonia over the past 3 days ."' -p90160 -(lp90161 -S'The\tThe\tDT\tB-NP\tO' -p90162 -aS'patient\tpatient\tNN\tI-NP\tO' -p90163 -aS'also\talso\tRB\tB-ADVP\tO' -p90164 -aS'reports\treport\tVBZ\tB-VP\tO' -p90165 -aS'that\tthat\tIN\tB-SBAR\tO' -p90166 -aS'he\the\tPRP\tB-NP\tO' -p90167 -aS'has\thave\tVBZ\tB-VP\tO' -p90168 -aS'had\thave\tVBN\tI-VP\tO' -p90169 -aS'"\t"\t``\tB-NP\tO' -p90170 -aS'yellowish\tyellowish\tJJ\tI-NP\tO' -p90171 -aS'eyes\teye\tNNS\tI-NP\tO' -p90172 -aS',\t,\t,\tO\tO' -p90173 -aS'some\tsome\tDT\tB-NP\tO' -p90174 -aS'shaking\tshaking\tNN\tI-NP\tO' -p90175 -aS'and\tand\tCC\tO\tO' -p90176 -aS'his\this\tPRP$\tB-NP\tO' -p90177 -aS'breath\tbreath\tNN\tI-NP\tO' -p90178 -aS'smelled\tsmell\tVBD\tB-VP\tO' -p90179 -aS'more\tmore\tJJR\tB-ADVP\tO' -p90180 -aS'like\tlike\tIN\tB-PP\tO' -p90181 -aS'ammonia\tammonia\tNN\tB-NP\tO' -p90182 -aS'over\tover\tIN\tB-PP\tO' -p90183 -aS'the\tthe\tDT\tB-NP\tO' -p90184 -aS'past\tpast\tJJ\tI-NP\tO' -p90185 -aS'3\t3\tCD\tI-NP\tO' -p90186 -aS'days\tday\tNNS\tI-NP\tO' -p90187 -aS'."\t."\t.\tO\tO' -p90188 -asS'150 cc / kg / day of breast milk 22 calories or premature Enfamil 22 calories per ounce .' -p90189 -(lp90190 -S'150\t150\tCD\tB-NP\tO' -p90191 -aS'cc\tcc\tNN\tI-NP\tO' -p90192 -aS'/\t/\tSYM\tB-NP\tO' -p90193 -aS'kg\tkg\tNN\tI-NP\tO' -p90194 -aS'/\t/\tSYM\tB-NP\tO' -p90195 -aS'day\tday\tNN\tI-NP\tO' -p90196 -aS'of\tof\tIN\tB-PP\tO' -p90197 -aS'breast\tbreast\tNN\tB-NP\tO' -p90198 -aS'milk\tmilk\tNN\tI-NP\tO' -p90199 -aS'22\t22\tCD\tB-NP\tO' -p90200 -aS'calories\tcalorie\tNNS\tI-NP\tO' -p90201 -aS'or\tor\tCC\tO\tO' -p90202 -aS'premature\tpremature\tJJ\tB-NP\tO' -p90203 -aS'Enfamil\tEnfamil\tNN\tI-NP\tO' -p90204 -aS'22\t22\tCD\tB-NP\tO' -p90205 -aS'calories\tcalorie\tNNS\tI-NP\tO' -p90206 -aS'per\tper\tIN\tB-PP\tO' -p90207 -aS'ounce\tounce\tNN\tB-NP\tO' -p90208 -aS'.\t.\t.\tO\tO' -p90209 -asS'Most likely her waxing and waning mental status and hypercarbia/hypoxia compounded by infection of pneumonia and UTI .' -p90210 -(lp90211 -S'Most\tMost\tRBS\tB-ADVP\tO' -p90212 -aS'likely\tlikely\tRB\tI-ADVP\tO' -p90213 -aS'her\ther\tPRP$\tB-NP\tO' -p90214 -aS'waxing\twax\tVBG\tI-NP\tO' -p90215 -aS'and\tand\tCC\tI-NP\tO' -p90216 -aS'waning\twan\tVBG\tI-NP\tO' -p90217 -aS'mental\tmental\tJJ\tI-NP\tO' -p90218 -aS'status\tstatus\tNN\tI-NP\tO' -p90219 -aS'and\tand\tCC\tI-NP\tO' -p90220 -aS'hypercarbia/hypoxia\thypercarbia/hypoxia\tNN\tI-NP\tO' -p90221 -aS'compounded\tcompound\tVBN\tB-VP\tO' -p90222 -aS'by\tby\tIN\tB-PP\tO' -p90223 -aS'infection\tinfection\tNN\tB-NP\tO' -p90224 -aS'of\tof\tIN\tB-PP\tO' -p90225 -aS'pneumonia\tpneumonia\tNN\tB-NP\tO' -p90226 -aS'and\tand\tCC\tI-NP\tO' -p90227 -aS'UTI\tUTI\tNN\tI-NP\tO' -p90228 -aS'.\t.\t.\tO\tO' -p90229 -asS'Given that the stroke occurred while taking aspirin and plavix , and given the severe akinesis of the left ventricle , we decided to initiate anticoagulation with warfarin to help prevent future strokes .' -p90230 -(lp90231 -S'Given\tGive\tVBN\tB-VP\tO' -p90232 -aS'that\tthat\tIN\tB-SBAR\tO' -p90233 -aS'the\tthe\tDT\tB-NP\tO' -p90234 -aS'stroke\tstroke\tNN\tI-NP\tO' -p90235 -aS'occurred\toccur\tVBD\tB-VP\tO' -p90236 -aS'while\twhile\tIN\tB-SBAR\tO' -p90237 -aS'taking\ttake\tVBG\tB-VP\tO' -p90238 -aS'aspirin\taspirin\tNN\tB-NP\tO' -p90239 -aS'and\tand\tCC\tI-NP\tO' -p90240 -aS'plavix\tplavix\tNN\tI-NP\tO' -p90241 -aS',\t,\t,\tO\tO' -p90242 -aS'and\tand\tCC\tO\tO' -p90243 -aS'given\tgive\tVBN\tB-PP\tO' -p90244 -aS'the\tthe\tDT\tB-NP\tO' -p90245 -aS'severe\tsevere\tJJ\tI-NP\tO' -p90246 -aS'akinesis\takinesis\tNN\tI-NP\tO' -p90247 -aS'of\tof\tIN\tB-PP\tO' -p90248 -aS'the\tthe\tDT\tB-NP\tO' -p90249 -aS'left\tleft\tJJ\tI-NP\tO' -p90250 -aS'ventricle\tventricle\tNN\tI-NP\tO' -p90251 -aS',\t,\t,\tO\tO' -p90252 -aS'we\twe\tPRP\tB-NP\tO' -p90253 -aS'decided\tdecide\tVBD\tB-VP\tO' -p90254 -aS'to\tto\tTO\tI-VP\tO' -p90255 -aS'initiate\tinitiate\tVB\tI-VP\tO' -p90256 -aS'anticoagulation\tanticoagulation\tNN\tB-NP\tO' -p90257 -aS'with\twith\tIN\tB-PP\tO' -p90258 -aS'warfarin\twarfarin\tNN\tB-NP\tO' -p90259 -aS'to\tto\tTO\tB-VP\tO' -p90260 -aS'help\thelp\tVB\tI-VP\tO' -p90261 -aS'prevent\tprevent\tVB\tI-VP\tO' -p90262 -aS'future\tfuture\tJJ\tB-NP\tO' -p90263 -aS'strokes\tstroke\tNNS\tI-NP\tO' -p90264 -aS'.\t.\t.\tO\tO' -p90265 -asS'He was taken to an outside hospital at the time at which time it was found that his hematocrit was 21 , blood pressure 90/60 , and his INR was 3.3 .' -p90266 -(lp90267 -S'He\tHe\tPRP\tB-NP\tO' -p90268 -aS'was\tbe\tVBD\tB-VP\tO' -p90269 -aS'taken\ttake\tVBN\tI-VP\tO' -p90270 -aS'to\tto\tTO\tB-PP\tO' -p90271 -aS'an\tan\tDT\tB-NP\tO' -p90272 -aS'outside\toutside\tJJ\tI-NP\tO' -p90273 -aS'hospital\thospital\tNN\tI-NP\tO' -p90274 -aS'at\tat\tIN\tB-PP\tO' -p90275 -aS'the\tthe\tDT\tB-NP\tO' -p90276 -aS'time\ttime\tNN\tI-NP\tO' -p90277 -aS'at\tat\tIN\tB-PP\tO' -p90278 -aS'which\twhich\tWDT\tB-NP\tO' -p90279 -aS'time\ttime\tNN\tI-NP\tO' -p90280 -aS'it\tit\tPRP\tB-NP\tO' -p90281 -aS'was\tbe\tVBD\tB-VP\tO' -p90282 -aS'found\tfind\tVBN\tI-VP\tO' -p90283 -aS'that\tthat\tIN\tB-SBAR\tO' -p90284 -aS'his\this\tPRP$\tB-NP\tO' -p90285 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p90286 -aS'was\tbe\tVBD\tB-VP\tO' -p90287 -aS'21\t21\tCD\tB-NP\tO' -p90288 -aS',\t,\t,\tO\tO' -p90289 -aS'blood\tblood\tNN\tB-NP\tO' -p90290 -aS'pressure\tpressure\tNN\tI-NP\tO' -p90291 -aS'90/60\t90/60\tCD\tI-NP\tO' -p90292 -aS',\t,\t,\tO\tO' -p90293 -aS'and\tand\tCC\tO\tO' -p90294 -aS'his\this\tPRP$\tB-NP\tO' -p90295 -aS'INR\tINR\tNN\tI-NP\tB-protein' -p90296 -aS'was\tbe\tVBD\tB-VP\tO' -p90297 -aS'3.3\t3.3\tCD\tB-NP\tO' -p90298 -aS'.\t.\t.\tO\tO' -p90299 -asS'9) benign prostatic hypertrophy status post TURP surgery in 1982 .' -p90300 -(lp90301 -S'9)\t9)\tLS\tB-NP\tO' -p90302 -aS'benign\tbenign\tJJ\tI-NP\tO' -p90303 -aS'prostatic\tprostatic\tJJ\tI-NP\tO' -p90304 -aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' -p90305 -aS'status\tstatus\tNN\tI-NP\tO' -p90306 -aS'post\tpost\tNN\tI-NP\tO' -p90307 -aS'TURP\tTURP\tNN\tI-NP\tO' -p90308 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p90309 -aS'in\tin\tIN\tB-PP\tO' -p90310 -aS'1982\t1982\tCD\tB-NP\tO' -p90311 -aS'.\t.\t.\tO\tO' -p90312 -asS'She was treated with bed rest and prn terbutaline .' -p90313 -(lp90314 -S'She\tShe\tPRP\tB-NP\tO' -p90315 -aS'was\tbe\tVBD\tB-VP\tO' -p90316 -aS'treated\ttreat\tVBN\tI-VP\tO' -p90317 -aS'with\twith\tIN\tB-PP\tO' -p90318 -aS'bed\tbed\tNN\tB-NP\tO' -p90319 -aS'rest\trest\tNN\tI-NP\tO' -p90320 -aS'and\tand\tCC\tO\tO' -p90321 -aS'prn\tprn\tNN\tB-NP\tO' -p90322 -aS'terbutaline\tterbutaline\tNN\tI-NP\tO' -p90323 -aS'.\t.\t.\tO\tO' -p90324 -asS'MRI/MRA showed new temporal lesions , but it is unclear if these are the cause or effect of her seizures .' -p90325 -(lp90326 -S'MRI/MRA\tMRI/MRA\tNN\tB-NP\tO' -p90327 -aS'showed\tshow\tVBD\tB-VP\tO' -p90328 -aS'new\tnew\tJJ\tB-NP\tO' -p90329 -aS'temporal\ttemporal\tJJ\tI-NP\tO' -p90330 -aS'lesions\tlesion\tNNS\tI-NP\tO' -p90331 -aS',\t,\t,\tO\tO' -p90332 -aS'but\tbut\tCC\tO\tO' -p90333 -aS'it\tit\tPRP\tB-NP\tO' -p90334 -aS'is\tbe\tVBZ\tB-VP\tO' -p90335 -aS'unclear\tunclear\tJJ\tB-ADJP\tO' -p90336 -aS'if\tif\tIN\tB-SBAR\tO' -p90337 -aS'these\tthese\tDT\tB-NP\tO' -p90338 -aS'are\tbe\tVBP\tB-VP\tO' -p90339 -aS'the\tthe\tDT\tB-NP\tO' -p90340 -aS'cause\tcause\tNN\tI-NP\tO' -p90341 -aS'or\tor\tCC\tI-NP\tO' -p90342 -aS'effect\teffect\tNN\tI-NP\tO' -p90343 -aS'of\tof\tIN\tB-PP\tO' -p90344 -aS'her\ther\tPRP$\tB-NP\tO' -p90345 -aS'seizures\tseizure\tNNS\tI-NP\tO' -p90346 -aS'.\t.\t.\tO\tO' -p90347 -asS'Subsequent chest x-ray showed right main stem intubation with left lung collapse which had corrected with withdrawal of the endotracheal tube .' -p90348 -(lp90349 -S'Subsequent\tSubsequent\tJJ\tB-NP\tO' -p90350 -aS'chest\tchest\tNN\tI-NP\tO' -p90351 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p90352 -aS'showed\tshow\tVBD\tB-VP\tO' -p90353 -aS'right\tright\tJJ\tB-NP\tO' -p90354 -aS'main\tmain\tJJ\tI-NP\tO' -p90355 -aS'stem\tstem\tNN\tI-NP\tO' -p90356 -aS'intubation\tintubation\tNN\tI-NP\tO' -p90357 -aS'with\twith\tIN\tB-PP\tO' -p90358 -aS'left\tleft\tJJ\tB-NP\tO' -p90359 -aS'lung\tlung\tNN\tI-NP\tO' -p90360 -aS'collapse\tcollapse\tNN\tI-NP\tO' -p90361 -aS'which\twhich\tWDT\tB-NP\tO' -p90362 -aS'had\thave\tVBD\tB-VP\tO' -p90363 -aS'corrected\tcorrect\tVBN\tI-VP\tO' -p90364 -aS'with\twith\tIN\tB-PP\tO' -p90365 -aS'withdrawal\twithdrawal\tNN\tB-NP\tO' -p90366 -aS'of\tof\tIN\tB-PP\tO' -p90367 -aS'the\tthe\tDT\tB-NP\tO' -p90368 -aS'endotracheal\tendotracheal\tJJ\tI-NP\tO' -p90369 -aS'tube\ttube\tNN\tI-NP\tO' -p90370 -aS'.\t.\t.\tO\tO' -p90371 -asS'He required medical paralysis for this .' -p90372 -(lp90373 -S'He\tHe\tPRP\tB-NP\tO' -p90374 -aS'required\trequire\tVBD\tB-VP\tO' -p90375 -aS'medical\tmedical\tJJ\tB-NP\tO' -p90376 -aS'paralysis\tparalysis\tNN\tI-NP\tO' -p90377 -aS'for\tfor\tIN\tB-PP\tO' -p90378 -aS'this\tthis\tDT\tB-NP\tO' -p90379 -aS'.\t.\t.\tO\tO' -p90380 -asS'The patient is to follow-up with Dr. Prus and she should call for an appointment .' -p90381 -(lp90382 -S'The\tThe\tDT\tB-NP\tO' -p90383 -aS'patient\tpatient\tNN\tI-NP\tO' -p90384 -aS'is\tbe\tVBZ\tB-VP\tO' -p90385 -aS'to\tto\tTO\tB-VP\tO' -p90386 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p90387 -aS'with\twith\tIN\tB-PP\tO' -p90388 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p90389 -aS'Prus\tPrus\tNNP\tI-NP\tO' -p90390 -aS'and\tand\tCC\tO\tO' -p90391 -aS'she\tshe\tPRP\tB-NP\tO' -p90392 -aS'should\tshould\tMD\tB-VP\tO' -p90393 -aS'call\tcall\tVB\tI-VP\tO' -p90394 -aS'for\tfor\tIN\tB-PP\tO' -p90395 -aS'an\tan\tDT\tB-NP\tO' -p90396 -aS'appointment\tappointment\tNN\tI-NP\tO' -p90397 -aS'.\t.\t.\tO\tO' -p90398 -asS'06-07 after tracheobronchoplasty / tracheostomy and pigtail catheter placement for pleural effusions .' -p90399 -(lp90400 -S'06-07\t06-07\tCD\tB-NP\tO' -p90401 -aS'after\tafter\tIN\tB-PP\tO' -p90402 -aS'tracheobronchoplasty\ttracheobronchoplasty\tNN\tB-NP\tO' -p90403 -aS'/\t/\tSYM\tO\tO' -p90404 -aS'tracheostomy\ttracheostomy\tNN\tB-NP\tO' -p90405 -aS'and\tand\tCC\tI-NP\tO' -p90406 -aS'pigtail\tpigtail\tNN\tI-NP\tO' -p90407 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p90408 -aS'placement\tplacement\tNN\tI-NP\tO' -p90409 -aS'for\tfor\tIN\tB-PP\tO' -p90410 -aS'pleural\tpleural\tJJ\tB-NP\tO' -p90411 -aS'effusions\teffusion\tNNS\tI-NP\tO' -p90412 -aS'.\t.\t.\tO\tO' -p90413 -asS'His weight on discharge was 4055 .' -p90414 -(lp90415 -S'His\tHis\tPRP$\tB-NP\tO' -p90416 -aS'weight\tweight\tNN\tI-NP\tO' -p90417 -aS'on\ton\tIN\tB-PP\tO' -p90418 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p90419 -aS'was\tbe\tVBD\tB-VP\tO' -p90420 -aS'4055\t4055\tCD\tB-NP\tO' -p90421 -aS'.\t.\t.\tO\tO' -p90422 -asS'On physical exam , she is a healthy-appearing female with a normal voice and no exophthalmos .' -p90423 -(lp90424 -S'On\tOn\tIN\tB-PP\tO' -p90425 -aS'physical\tphysical\tJJ\tB-NP\tO' -p90426 -aS'exam\texam\tNN\tI-NP\tO' -p90427 -aS',\t,\t,\tO\tO' -p90428 -aS'she\tshe\tPRP\tB-NP\tO' -p90429 -aS'is\tbe\tVBZ\tB-VP\tO' -p90430 -aS'a\ta\tDT\tB-NP\tO' -p90431 -aS'healthy-appearing\thealthy-appearing\tJJ\tI-NP\tO' -p90432 -aS'female\tfemale\tNN\tI-NP\tO' -p90433 -aS'with\twith\tIN\tB-PP\tO' -p90434 -aS'a\ta\tDT\tB-NP\tO' -p90435 -aS'normal\tnormal\tJJ\tI-NP\tO' -p90436 -aS'voice\tvoice\tNN\tI-NP\tO' -p90437 -aS'and\tand\tCC\tO\tO' -p90438 -aS'no\tno\tDT\tB-NP\tO' -p90439 -aS'exophthalmos\texophthalmo\tNNS\tI-NP\tO' -p90440 -aS'.\t.\t.\tO\tO' -p90441 -asS'MMM .' -p90442 -(lp90443 -S'MMM\tMMM\tNN\tB-NP\tO' -p90444 -aS'.\t.\t.\tO\tO' -p90445 -asS'Expected prolonged extubation course given COPD history , as with colon CA resection surgery .' -p90446 -(lp90447 -S'Expected\tExpect\tVBN\tB-NP\tO' -p90448 -aS'prolonged\tprolonged\tJJ\tI-NP\tO' -p90449 -aS'extubation\textubation\tNN\tI-NP\tO' -p90450 -aS'course\tcourse\tNN\tI-NP\tO' -p90451 -aS'given\tgive\tVBN\tB-VP\tO' -p90452 -aS'COPD\tCOPD\tNN\tB-NP\tO' -p90453 -aS'history\thistory\tNN\tI-NP\tO' -p90454 -aS',\t,\t,\tO\tO' -p90455 -aS'as\tas\tIN\tB-PP\tO' -p90456 -aS'with\twith\tIN\tB-PP\tO' -p90457 -aS'colon\tcolon\tNN\tB-NP\tO' -p90458 -aS'CA\tCA\tNN\tI-NP\tO' -p90459 -aS'resection\tresection\tNN\tI-NP\tO' -p90460 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p90461 -aS'.\t.\t.\tO\tO' -p90462 -asS'Dependent atelectasis is present within the visualized portions of the lung apices .' -p90463 -(lp90464 -S'Dependent\tDependent\tJJ\tB-NP\tO' -p90465 -aS'atelectasis\tatelectasis\tNN\tI-NP\tO' -p90466 -aS'is\tbe\tVBZ\tB-VP\tO' -p90467 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p90468 -aS'within\twithin\tIN\tB-PP\tO' -p90469 -aS'the\tthe\tDT\tB-NP\tO' -p90470 -aS'visualized\tvisualize\tVBN\tI-NP\tO' -p90471 -aS'portions\tportion\tNNS\tI-NP\tO' -p90472 -aS'of\tof\tIN\tB-PP\tO' -p90473 -aS'the\tthe\tDT\tB-NP\tO' -p90474 -aS'lung\tlung\tNN\tI-NP\tO' -p90475 -aS'apices\tapex\tNNS\tI-NP\tO' -p90476 -aS'.\t.\t.\tO\tO' -p90477 -asS'12. Fluconazole 200 mg Tablet Sig : Two ( 2 ) Tablet PO Q24H ( every 24 hours ) for 7 days .' -p90478 -(lp90479 -S'12.\t12.\tCD\tB-NP\tO' -p90480 -aS'Fluconazole\tFluconazole\tNN\tI-NP\tO' -p90481 -aS'200\t200\tCD\tB-NP\tO' -p90482 -aS'mg\tmg\tNN\tI-NP\tO' -p90483 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p90484 -aS'Sig\tSig\tNNP\tI-NP\tO' -p90485 -aS':\t:\t:\tO\tO' -p90486 -aS'Two\tTwo\tCD\tB-NP\tO' -p90487 -aS'(\t(\t(\tO\tO' -p90488 -aS'2\t2\tCD\tO\tO' -p90489 -aS')\t)\t)\tO\tO' -p90490 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p90491 -aS'PO\tPO\tNN\tI-NP\tO' -p90492 -aS'Q24H\tQ24H\tNN\tI-NP\tO' -p90493 -aS'(\t(\t(\tO\tO' -p90494 -aS'every\tevery\tDT\tB-NP\tO' -p90495 -aS'24\t24\tCD\tI-NP\tO' -p90496 -aS'hours\thour\tNNS\tI-NP\tO' -p90497 -aS')\t)\t)\tO\tO' -p90498 -aS'for\tfor\tIN\tB-PP\tO' -p90499 -aS'7\t7\tCD\tB-NP\tO' -p90500 -aS'days\tday\tNNS\tI-NP\tO' -p90501 -aS'.\t.\t.\tO\tO' -p90502 -asS'The patient is a 61 - year-old white male with a history of coronary artery disease , status post 5-vessel coronary artery bypass graft on 2009-09-11 , who presents for elective right heart catheterization and pericardiocentesis .' -p90503 -(lp90504 -S'The\tThe\tDT\tB-NP\tO' -p90505 -aS'patient\tpatient\tNN\tI-NP\tO' -p90506 -aS'is\tbe\tVBZ\tB-VP\tO' -p90507 -aS'a\ta\tDT\tB-NP\tO' -p90508 -aS'61\t61\tCD\tI-NP\tO' -p90509 -aS'-\t-\tHYPH\tI-NP\tO' -p90510 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p90511 -aS'white\twhite\tJJ\tI-NP\tO' -p90512 -aS'male\tmale\tNN\tI-NP\tO' -p90513 -aS'with\twith\tIN\tB-PP\tO' -p90514 -aS'a\ta\tDT\tB-NP\tO' -p90515 -aS'history\thistory\tNN\tI-NP\tO' -p90516 -aS'of\tof\tIN\tB-PP\tO' -p90517 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p90518 -aS'artery\tartery\tNN\tI-NP\tO' -p90519 -aS'disease\tdisease\tNN\tI-NP\tO' -p90520 -aS',\t,\t,\tO\tO' -p90521 -aS'status\tstatus\tNN\tB-NP\tO' -p90522 -aS'post\tpost\tVBD\tB-VP\tO' -p90523 -aS'5-vessel\t5-vessel\tJJ\tB-NP\tO' -p90524 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p90525 -aS'artery\tartery\tNN\tI-NP\tO' -p90526 -aS'bypass\tbypass\tIN\tB-PP\tO' -p90527 -aS'graft\tgraft\tNN\tB-NP\tO' -p90528 -aS'on\ton\tIN\tB-PP\tO' -p90529 -aS'2009-09-11\t2009-09-11\tCD\tB-NP\tO' -p90530 -aS',\t,\t,\tO\tO' -p90531 -aS'who\twho\tWP\tB-NP\tO' -p90532 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p90533 -aS'for\tfor\tIN\tB-PP\tO' -p90534 -aS'elective\telective\tJJ\tB-NP\tO' -p90535 -aS'right\tright\tJJ\tI-NP\tO' -p90536 -aS'heart\theart\tNN\tI-NP\tO' -p90537 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p90538 -aS'and\tand\tCC\tI-NP\tO' -p90539 -aS'pericardiocentesis\tpericardiocentesis\tNN\tI-NP\tO' -p90540 -aS'.\t.\t.\tO\tO' -p90541 -asS'The patient was continued on Lopressor and captopril throughout his hospital course , and changed to' -p90542 -(lp90543 -S'The\tThe\tDT\tB-NP\tO' -p90544 -aS'patient\tpatient\tNN\tI-NP\tO' -p90545 -aS'was\tbe\tVBD\tB-VP\tO' -p90546 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p90547 -aS'on\ton\tIN\tB-PP\tO' -p90548 -aS'Lopressor\tLopressor\tNN\tB-NP\tO' -p90549 -aS'and\tand\tCC\tI-NP\tO' -p90550 -aS'captopril\tcaptopril\tNN\tI-NP\tO' -p90551 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p90552 -aS'his\this\tPRP$\tB-NP\tO' -p90553 -aS'hospital\thospital\tNN\tI-NP\tO' -p90554 -aS'course\tcourse\tNN\tI-NP\tO' -p90555 -aS',\t,\t,\tO\tO' -p90556 -aS'and\tand\tCC\tO\tO' -p90557 -aS'changed\tchange\tVBD\tB-VP\tO' -p90558 -aS'to\tto\tTO\tB-PP\tO' -p90559 -asS'CMED : A+Ox3 , mood " great ," affect approp , speech stuttering , linear TP , no SI or HI' -p90560 -(lp90561 -S'CMED\tCMED\tVBN\tB-VP\tO' -p90562 -aS':\t:\t:\tO\tO' -p90563 -aS'A+Ox3\tA+Ox3\tNN\tB-NP\tB-protein' -p90564 -aS',\t,\t,\tO\tO' -p90565 -aS'mood\tmood\tNN\tB-NP\tO' -p90566 -aS'"\t"\t``\tO\tO' -p90567 -aS'great\tgreat\tJJ\tB-NP\tO' -p90568 -aS',"\t,"\t,\tI-NP\tO' -p90569 -aS'affect\taffect\tJJ\tI-NP\tO' -p90570 -aS'approp\tapprop\tNN\tI-NP\tO' -p90571 -aS',\t,\t,\tO\tO' -p90572 -aS'speech\tspeech\tNN\tB-NP\tO' -p90573 -aS'stuttering\tstuttering\tNN\tI-NP\tO' -p90574 -aS',\t,\t,\tO\tO' -p90575 -aS'linear\tlinear\tJJ\tB-NP\tO' -p90576 -aS'TP\tTP\tNN\tI-NP\tO' -p90577 -aS',\t,\t,\tO\tO' -p90578 -aS'no\tno\tDT\tB-NP\tO' -p90579 -aS'SI\tSI\tNN\tI-NP\tO' -p90580 -aS'or\tor\tCC\tI-NP\tO' -p90581 -aS'HI\tHI\tNN\tI-NP\tO' -p90582 -asS'The patient did have some tachycardia postoperatively ; however , her hematocrit remained stable .' -p90583 -(lp90584 -S'The\tThe\tDT\tB-NP\tO' -p90585 -aS'patient\tpatient\tNN\tI-NP\tO' -p90586 -aS'did\tdo\tVBD\tB-VP\tO' -p90587 -aS'have\thave\tVB\tI-VP\tO' -p90588 -aS'some\tsome\tDT\tB-NP\tO' -p90589 -aS'tachycardia\ttachycardia\tNN\tI-NP\tO' -p90590 -aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' -p90591 -aS';\t;\t:\tO\tO' -p90592 -aS'however\thowever\tRB\tB-ADVP\tO' -p90593 -aS',\t,\t,\tO\tO' -p90594 -aS'her\ther\tPRP$\tB-NP\tO' -p90595 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p90596 -aS'remained\tremain\tVBD\tB-VP\tO' -p90597 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p90598 -aS'.\t.\t.\tO\tO' -p90599 -asS'However , he did not keep any of these appointments .' -p90600 -(lp90601 -S'However\tHowever\tRB\tB-ADVP\tO' -p90602 -aS',\t,\t,\tO\tO' -p90603 -aS'he\the\tPRP\tB-NP\tO' -p90604 -aS'did\tdo\tVBD\tB-VP\tO' -p90605 -aS'not\tnot\tRB\tI-VP\tO' -p90606 -aS'keep\tkeep\tVB\tI-VP\tO' -p90607 -aS'any\tany\tDT\tB-NP\tO' -p90608 -aS'of\tof\tIN\tB-PP\tO' -p90609 -aS'these\tthese\tDT\tB-NP\tO' -p90610 -aS'appointments\tappointment\tNNS\tI-NP\tO' -p90611 -aS'.\t.\t.\tO\tO' -p90612 -asS'Heart ranges 130 s to 160 s.' -p90613 -(lp90614 -S'Heart\tHeart\tNNP\tB-NP\tO' -p90615 -aS'ranges\trange\tVBZ\tB-VP\tO' -p90616 -aS'130\t130\tCD\tB-NP\tO' -p90617 -aS's\ts\tNN\tI-NP\tO' -p90618 -aS'to\tto\tTO\tB-PP\tO' -p90619 -aS'160\t160\tCD\tB-NP\tO' -p90620 -aS's.\ts.\tNNS\tI-NP\tO' -p90621 -asS'The patient is missing many teeth .' -p90622 -(lp90623 -S'The\tThe\tDT\tB-NP\tO' -p90624 -aS'patient\tpatient\tNN\tI-NP\tO' -p90625 -aS'is\tbe\tVBZ\tB-VP\tO' -p90626 -aS'missing\tmiss\tVBG\tI-VP\tO' -p90627 -aS'many\tmany\tJJ\tB-NP\tO' -p90628 -aS'teeth\ttooth\tNNS\tI-NP\tO' -p90629 -aS'.\t.\t.\tO\tO' -p90630 -asS'Coronary angiography revealed left main , left circumflex and RCA normal and left LAD with 99% midstenosis .' -p90631 -(lp90632 -S'Coronary\tCoronary\tJJ\tB-NP\tO' -p90633 -aS'angiography\tangiography\tNN\tI-NP\tO' -p90634 -aS'revealed\treveal\tVBD\tB-VP\tO' -p90635 -aS'left\tleft\tRB\tB-NP\tO' -p90636 -aS'main\tmain\tJJ\tI-NP\tO' -p90637 -aS',\t,\t,\tI-NP\tO' -p90638 -aS'left\tleft\tJJ\tI-NP\tO' -p90639 -aS'circumflex\tcircumflex\tNN\tI-NP\tO' -p90640 -aS'and\tand\tCC\tI-NP\tO' -p90641 -aS'RCA\tRCA\tNN\tI-NP\tO' -p90642 -aS'normal\tnormal\tJJ\tI-NP\tO' -p90643 -aS'and\tand\tCC\tI-NP\tO' -p90644 -aS'left\tleft\tJJ\tI-NP\tO' -p90645 -aS'LAD\tLAD\tNN\tI-NP\tO' -p90646 -aS'with\twith\tIN\tB-PP\tO' -p90647 -aS'99%\t99%\tCD\tB-NP\tO' -p90648 -aS'midstenosis\tmidstenosis\tNN\tI-NP\tO' -p90649 -aS'.\t.\t.\tO\tO' -p90650 -asS'No EEG correlate was established for the facial twitching .' -p90651 -(lp90652 -S'No\tNo\tDT\tB-NP\tO' -p90653 -aS'EEG\tEEG\tNN\tI-NP\tO' -p90654 -aS'correlate\tcorrelate\tNN\tI-NP\tO' -p90655 -aS'was\tbe\tVBD\tB-VP\tO' -p90656 -aS'established\testablish\tVBN\tI-VP\tO' -p90657 -aS'for\tfor\tIN\tB-PP\tO' -p90658 -aS'the\tthe\tDT\tB-NP\tO' -p90659 -aS'facial\tfacial\tJJ\tI-NP\tO' -p90660 -aS'twitching\ttwitching\tNN\tI-NP\tO' -p90661 -aS'.\t.\t.\tO\tO' -p90662 -asS'The patient is to follow-up with Dr. Class six weeks from the date of surgery .' -p90663 -(lp90664 -S'The\tThe\tDT\tB-NP\tO' -p90665 -aS'patient\tpatient\tNN\tI-NP\tO' -p90666 -aS'is\tbe\tVBZ\tB-VP\tO' -p90667 -aS'to\tto\tTO\tB-VP\tO' -p90668 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p90669 -aS'with\twith\tIN\tB-PP\tO' -p90670 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p90671 -aS'Class\tClass\tNNP\tI-NP\tO' -p90672 -aS'six\tsix\tCD\tB-NP\tO' -p90673 -aS'weeks\tweek\tNNS\tI-NP\tO' -p90674 -aS'from\tfrom\tIN\tB-PP\tO' -p90675 -aS'the\tthe\tDT\tB-NP\tO' -p90676 -aS'date\tdate\tNN\tI-NP\tO' -p90677 -aS'of\tof\tIN\tB-PP\tO' -p90678 -aS'surgery\tsurgery\tNN\tB-NP\tO' -p90679 -aS'.\t.\t.\tO\tO' -p90680 -asS'The patient otherwise continued to be hemodynamically stable making good progress .' -p90681 -(lp90682 -S'The\tThe\tDT\tB-NP\tO' -p90683 -aS'patient\tpatient\tNN\tI-NP\tO' -p90684 -aS'otherwise\totherwise\tRB\tB-ADVP\tO' -p90685 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p90686 -aS'to\tto\tTO\tI-VP\tO' -p90687 -aS'be\tbe\tVB\tI-VP\tO' -p90688 -aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' -p90689 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p90690 -aS'making\tmake\tVBG\tB-VP\tO' -p90691 -aS'good\tgood\tJJ\tB-NP\tO' -p90692 -aS'progress\tprogress\tNN\tI-NP\tO' -p90693 -aS'.\t.\t.\tO\tO' -p90694 -asS'The vancomycin and Levaquin were discontinued after approximately four days in the hospital .' -p90695 -(lp90696 -S'The\tThe\tDT\tB-NP\tO' -p90697 -aS'vancomycin\tvancomycin\tNN\tI-NP\tO' -p90698 -aS'and\tand\tCC\tI-NP\tO' -p90699 -aS'Levaquin\tLevaquin\tNN\tI-NP\tO' -p90700 -aS'were\tbe\tVBD\tB-VP\tO' -p90701 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p90702 -aS'after\tafter\tIN\tB-PP\tO' -p90703 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p90704 -aS'four\tfour\tCD\tI-NP\tO' -p90705 -aS'days\tday\tNNS\tI-NP\tO' -p90706 -aS'in\tin\tIN\tB-PP\tO' -p90707 -aS'the\tthe\tDT\tB-NP\tO' -p90708 -aS'hospital\thospital\tNN\tI-NP\tO' -p90709 -aS'.\t.\t.\tO\tO' -p90710 -asS'Also , his white blood cell count was found to rise to 32.0 ; this was most likely due to a secondary infection of his foot and Zosyn was started .' -p90711 -(lp90712 -S'Also\tAlso\tRB\tB-ADVP\tO' -p90713 -aS',\t,\t,\tO\tO' -p90714 -aS'his\this\tPRP$\tB-NP\tO' -p90715 -aS'white\twhite\tJJ\tI-NP\tO' -p90716 -aS'blood\tblood\tNN\tI-NP\tO' -p90717 -aS'cell\tcell\tNN\tI-NP\tO' -p90718 -aS'count\tcount\tNN\tI-NP\tO' -p90719 -aS'was\tbe\tVBD\tB-VP\tO' -p90720 -aS'found\tfind\tVBN\tI-VP\tO' -p90721 -aS'to\tto\tTO\tI-VP\tO' -p90722 -aS'rise\trise\tVB\tI-VP\tO' -p90723 -aS'to\tto\tTO\tB-PP\tO' -p90724 -aS'32.0\t32.0\tCD\tB-NP\tO' -p90725 -aS';\t;\t:\tO\tO' -p90726 -aS'this\tthis\tDT\tB-NP\tO' -p90727 -aS'was\tbe\tVBD\tB-VP\tO' -p90728 -aS'most\tmost\tRBS\tB-ADVP\tO' -p90729 -aS'likely\tlikely\tRB\tI-ADVP\tO' -p90730 -aS'due\tdue\tIN\tB-PP\tO' -p90731 -aS'to\tto\tTO\tB-PP\tO' -p90732 -aS'a\ta\tDT\tB-NP\tO' -p90733 -aS'secondary\tsecondary\tJJ\tI-NP\tO' -p90734 -aS'infection\tinfection\tNN\tI-NP\tO' -p90735 -aS'of\tof\tIN\tB-PP\tO' -p90736 -aS'his\this\tPRP$\tB-NP\tO' -p90737 -aS'foot\tfoot\tNN\tI-NP\tO' -p90738 -aS'and\tand\tCC\tI-NP\tO' -p90739 -aS'Zosyn\tZosyn\tNN\tI-NP\tO' -p90740 -aS'was\tbe\tVBD\tB-VP\tO' -p90741 -aS'started\tstart\tVBN\tI-VP\tO' -p90742 -aS'.\t.\t.\tO\tO' -p90743 -asS'Mucosa dry .' -p90744 -(lp90745 -S'Mucosa\tMucosa\tNNP\tB-NP\tO' -p90746 -aS'dry\tdry\tJJ\tI-NP\tO' -p90747 -aS'.\t.\t.\tO\tO' -p90748 -asS'7 ) Atrovent inhaler 4 puffs q.i.d.' -p90749 -(lp90750 -S'7\t7\tCD\tB-NP\tO' -p90751 -aS')\t)\t)\tO\tO' -p90752 -aS'Atrovent\tAtrovent\tNNP\tB-NP\tO' -p90753 -aS'inhaler\tinhaler\tNN\tI-NP\tO' -p90754 -aS'4\t4\tCD\tB-NP\tO' -p90755 -aS'puffs\tpuff\tNNS\tI-NP\tO' -p90756 -aS'q.i.d.\tq.i.d.\tRB\tB-ADVP\tO' -p90757 -asS'At dialysis on day of admission , she related these symptoms for the first time and had a bloody bowel movement .' -p90758 -(lp90759 -S'At\tAt\tIN\tB-PP\tO' -p90760 -aS'dialysis\tdialysis\tNN\tB-NP\tO' -p90761 -aS'on\ton\tIN\tB-PP\tO' -p90762 -aS'day\tday\tNN\tB-NP\tO' -p90763 -aS'of\tof\tIN\tB-PP\tO' -p90764 -aS'admission\tadmission\tNN\tB-NP\tO' -p90765 -aS',\t,\t,\tO\tO' -p90766 -aS'she\tshe\tPRP\tB-NP\tO' -p90767 -aS'related\trelate\tVBD\tB-VP\tO' -p90768 -aS'these\tthese\tDT\tB-NP\tO' -p90769 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p90770 -aS'for\tfor\tIN\tB-PP\tO' -p90771 -aS'the\tthe\tDT\tB-NP\tO' -p90772 -aS'first\tfirst\tJJ\tI-NP\tO' -p90773 -aS'time\ttime\tNN\tI-NP\tO' -p90774 -aS'and\tand\tCC\tO\tO' -p90775 -aS'had\thave\tVBD\tB-VP\tO' -p90776 -aS'a\ta\tDT\tB-NP\tO' -p90777 -aS'bloody\tbloody\tJJ\tI-NP\tO' -p90778 -aS'bowel\tbowel\tNN\tI-NP\tO' -p90779 -aS'movement\tmovement\tNN\tI-NP\tO' -p90780 -aS'.\t.\t.\tO\tO' -p90781 -asS'Subsequently , she was transfered to the psychiatric Mary Lane Hospital in Boston Medical Center 4 for further psychiatric w/u .' -p90782 -(lp90783 -S'Subsequently\tSubsequently\tRB\tB-ADVP\tO' -p90784 -aS',\t,\t,\tO\tO' -p90785 -aS'she\tshe\tPRP\tB-NP\tO' -p90786 -aS'was\tbe\tVBD\tB-VP\tO' -p90787 -aS'transfered\ttransfer\tVBN\tI-VP\tO' -p90788 -aS'to\tto\tTO\tB-PP\tO' -p90789 -aS'the\tthe\tDT\tB-NP\tO' -p90790 -aS'psychiatric\tpsychiatric\tJJ\tI-NP\tO' -p90791 -aS'Mary\tMary\tNNP\tI-NP\tO' -p90792 -aS'Lane\tLane\tNNP\tI-NP\tO' -p90793 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p90794 -aS'in\tin\tIN\tB-PP\tO' -p90795 -aS'Boston\tBoston\tNNP\tB-NP\tO' -p90796 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p90797 -aS'Center\tCenter\tNNP\tI-NP\tO' -p90798 -aS'4\t4\tCD\tI-NP\tO' -p90799 -aS'for\tfor\tIN\tB-PP\tO' -p90800 -aS'further\tfurther\tJJ\tB-NP\tO' -p90801 -aS'psychiatric\tpsychiatric\tJJ\tI-NP\tO' -p90802 -aS'w/u\tw/u\tNN\tI-NP\tO' -p90803 -aS'.\t.\t.\tO\tO' -p90804 -asS'Opacified and sclerotic left mastoid air cells are noted .' -p90805 -(lp90806 -S'Opacified\tOpacifie\tVBN\tB-NP\tO' -p90807 -aS'and\tand\tCC\tI-NP\tO' -p90808 -aS'sclerotic\tsclerotic\tJJ\tI-NP\tO' -p90809 -aS'left\tleft\tJJ\tI-NP\tO' -p90810 -aS'mastoid\tmastoid\tJJ\tI-NP\tO' -p90811 -aS'air\tair\tNN\tI-NP\tO' -p90812 -aS'cells\tcell\tNNS\tI-NP\tO' -p90813 -aS'are\tbe\tVBP\tB-VP\tO' -p90814 -aS'noted\tnote\tVBN\tI-VP\tO' -p90815 -aS'.\t.\t.\tO\tO' -p90816 -asS'Sent to Hahnemann General Hospital for evaluation emergently .' -p90817 -(lp90818 -S'Sent\tSent\tJJ\tB-ADJP\tO' -p90819 -aS'to\tto\tTO\tB-PP\tO' -p90820 -aS'Hahnemann\tHahnemann\tNNP\tB-NP\tO' -p90821 -aS'General\tGeneral\tNNP\tI-NP\tO' -p90822 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p90823 -aS'for\tfor\tIN\tB-PP\tO' -p90824 -aS'evaluation\tevaluation\tNN\tB-NP\tO' -p90825 -aS'emergently\temergently\tRB\tB-ADVP\tO' -p90826 -aS'.\t.\t.\tO\tO' -p90827 -asS'The patient is a hair stylist .' -p90828 -(lp90829 -S'The\tThe\tDT\tB-NP\tO' -p90830 -aS'patient\tpatient\tNN\tI-NP\tO' -p90831 -aS'is\tbe\tVBZ\tB-VP\tO' -p90832 -aS'a\ta\tDT\tB-NP\tO' -p90833 -aS'hair\thair\tNN\tI-NP\tO' -p90834 -aS'stylist\tstylist\tNN\tI-NP\tO' -p90835 -aS'.\t.\t.\tO\tO' -p90836 -asS'There was no definite clonic activity .' -p90837 -(lp90838 -S'There\tThere\tEX\tB-NP\tO' -p90839 -aS'was\tbe\tVBD\tB-VP\tO' -p90840 -aS'no\tno\tDT\tB-NP\tO' -p90841 -aS'definite\tdefinite\tJJ\tI-NP\tO' -p90842 -aS'clonic\tclonic\tJJ\tI-NP\tO' -p90843 -aS'activity\tactivity\tNN\tI-NP\tO' -p90844 -aS'.\t.\t.\tO\tO' -p90845 -asS'8. Prednisone 10 mg q. day .' -p90846 -(lp90847 -S'8.\t8.\tCD\tB-NP\tO' -p90848 -aS'Prednisone\tPrednisone\tNN\tI-NP\tO' -p90849 -aS'10\t10\tCD\tB-NP\tO' -p90850 -aS'mg\tmg\tNN\tI-NP\tO' -p90851 -aS'q.\tq.\tNN\tI-NP\tO' -p90852 -aS'day\tday\tNN\tI-NP\tO' -p90853 -aS'.\t.\t.\tO\tO' -p90854 -asS'Cardiovascular revealed she was tachycardic with a regular first heart sound and second heart sound .' -p90855 -(lp90856 -S'Cardiovascular\tCardiovascular\tNNP\tB-NP\tO' -p90857 -aS'revealed\treveal\tVBD\tB-VP\tO' -p90858 -aS'she\tshe\tPRP\tB-NP\tO' -p90859 -aS'was\tbe\tVBD\tB-VP\tO' -p90860 -aS'tachycardic\ttachycardic\tJJ\tB-ADJP\tO' -p90861 -aS'with\twith\tIN\tB-PP\tO' -p90862 -aS'a\ta\tDT\tB-NP\tO' -p90863 -aS'regular\tregular\tJJ\tI-NP\tO' -p90864 -aS'first\tfirst\tJJ\tI-NP\tO' -p90865 -aS'heart\theart\tNN\tI-NP\tO' -p90866 -aS'sound\tsound\tNN\tI-NP\tO' -p90867 -aS'and\tand\tCC\tO\tO' -p90868 -aS'second\tsecond\tJJ\tB-NP\tO' -p90869 -aS'heart\theart\tNN\tI-NP\tO' -p90870 -aS'sound\tsound\tNN\tI-NP\tO' -p90871 -aS'.\t.\t.\tO\tO' -p90872 -asS'The patient needs to have his blood drawn the day after discharge to check a potassium and magnesium which he has been wasting secondary to Amphotericine .' -p90873 -(lp90874 -S'The\tThe\tDT\tB-NP\tO' -p90875 -aS'patient\tpatient\tNN\tI-NP\tO' -p90876 -aS'needs\tneed\tVBZ\tB-VP\tO' -p90877 -aS'to\tto\tTO\tI-VP\tO' -p90878 -aS'have\thave\tVB\tI-VP\tO' -p90879 -aS'his\this\tPRP$\tB-NP\tO' -p90880 -aS'blood\tblood\tNN\tI-NP\tO' -p90881 -aS'drawn\tdraw\tVBN\tB-VP\tO' -p90882 -aS'the\tthe\tDT\tB-NP\tO' -p90883 -aS'day\tday\tNN\tI-NP\tO' -p90884 -aS'after\tafter\tIN\tB-SBAR\tO' -p90885 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p90886 -aS'to\tto\tTO\tB-VP\tO' -p90887 -aS'check\tcheck\tVB\tI-VP\tO' -p90888 -aS'a\ta\tDT\tB-NP\tO' -p90889 -aS'potassium\tpotassium\tNN\tI-NP\tO' -p90890 -aS'and\tand\tCC\tI-NP\tO' -p90891 -aS'magnesium\tmagnesium\tNN\tI-NP\tO' -p90892 -aS'which\twhich\tWDT\tB-NP\tO' -p90893 -aS'he\the\tPRP\tB-NP\tO' -p90894 -aS'has\thave\tVBZ\tB-VP\tO' -p90895 -aS'been\tbe\tVBN\tI-VP\tO' -p90896 -aS'wasting\twaste\tVBG\tI-VP\tO' -p90897 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p90898 -aS'to\tto\tTO\tB-PP\tO' -p90899 -aS'Amphotericine\tAmphotericine\tNN\tB-NP\tO' -p90900 -aS'.\t.\t.\tO\tO' -p90901 -asS'She was therefore taken to the Operating Room on 6/26 and underwent a left total knee arthroplasty losing 200 cc of blood in the procedure with two drains left in which were removed on the first postoperative day .' -p90902 -(lp90903 -S'She\tShe\tPRP\tB-NP\tO' -p90904 -aS'was\tbe\tVBD\tB-VP\tO' -p90905 -aS'therefore\ttherefore\tRB\tI-VP\tO' -p90906 -aS'taken\ttake\tVBN\tI-VP\tO' -p90907 -aS'to\tto\tTO\tB-PP\tO' -p90908 -aS'the\tthe\tDT\tB-NP\tO' -p90909 -aS'Operating\tOperating\tNNP\tI-NP\tO' -p90910 -aS'Room\tRoom\tNNP\tI-NP\tO' -p90911 -aS'on\ton\tIN\tB-PP\tO' -p90912 -aS'6/26\t6/26\tCD\tB-NP\tO' -p90913 -aS'and\tand\tCC\tO\tO' -p90914 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p90915 -aS'a\ta\tDT\tB-NP\tO' -p90916 -aS'left\tleft\tJJ\tI-NP\tO' -p90917 -aS'total\ttotal\tJJ\tI-NP\tO' -p90918 -aS'knee\tknee\tNN\tI-NP\tO' -p90919 -aS'arthroplasty\tarthroplasty\tJJ\tB-VP\tO' -p90920 -aS'losing\tlose\tVBG\tI-VP\tO' -p90921 -aS'200\t200\tCD\tB-NP\tO' -p90922 -aS'cc\tcc\tNN\tI-NP\tO' -p90923 -aS'of\tof\tIN\tB-PP\tO' -p90924 -aS'blood\tblood\tNN\tB-NP\tO' -p90925 -aS'in\tin\tIN\tB-PP\tO' -p90926 -aS'the\tthe\tDT\tB-NP\tO' -p90927 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p90928 -aS'with\twith\tIN\tB-PP\tO' -p90929 -aS'two\ttwo\tCD\tB-NP\tO' -p90930 -aS'drains\tdrain\tNNS\tI-NP\tO' -p90931 -aS'left\tleave\tVBN\tB-VP\tO' -p90932 -aS'in\tin\tIN\tB-PP\tO' -p90933 -aS'which\twhich\tWDT\tB-NP\tO' -p90934 -aS'were\tbe\tVBD\tB-VP\tO' -p90935 -aS'removed\tremove\tVBN\tI-VP\tO' -p90936 -aS'on\ton\tIN\tB-PP\tO' -p90937 -aS'the\tthe\tDT\tB-NP\tO' -p90938 -aS'first\tfirst\tJJ\tI-NP\tO' -p90939 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p90940 -aS'day\tday\tNN\tI-NP\tO' -p90941 -aS'.\t.\t.\tO\tO' -p90942 -asS'161-180 mg / dL 7 Units' -p90943 -(lp90944 -S'161-180\t161-180\tCD\tB-NP\tO' -p90945 -aS'mg\tmg\tNN\tI-NP\tO' -p90946 -aS'/\t/\tSYM\tB-NP\tO' -p90947 -aS'dL\tdL\tNN\tI-NP\tO' -p90948 -aS'7\t7\tCD\tB-NP\tO' -p90949 -aS'Units\tUnit\tNNS\tI-NP\tO' -p90950 -asS'This is primarily right-sided , facial movement clinically and did not appear to involve the forehead or CMED CSRU .' -p90951 -(lp90952 -S'This\tThis\tDT\tB-NP\tO' -p90953 -aS'is\tbe\tVBZ\tB-VP\tO' -p90954 -aS'primarily\tprimarily\tRB\tB-NP\tO' -p90955 -aS'right-sided\tright-sided\tJJ\tI-NP\tO' -p90956 -aS',\t,\t,\tI-NP\tO' -p90957 -aS'facial\tfacial\tJJ\tI-NP\tO' -p90958 -aS'movement\tmovement\tNN\tI-NP\tO' -p90959 -aS'clinically\tclinically\tRB\tB-ADVP\tO' -p90960 -aS'and\tand\tCC\tO\tO' -p90961 -aS'did\tdo\tVBD\tB-VP\tO' -p90962 -aS'not\tnot\tRB\tI-VP\tO' -p90963 -aS'appear\tappear\tVB\tI-VP\tO' -p90964 -aS'to\tto\tTO\tI-VP\tO' -p90965 -aS'involve\tinvolve\tVB\tI-VP\tO' -p90966 -aS'the\tthe\tDT\tB-NP\tO' -p90967 -aS'forehead\tforehead\tNN\tI-NP\tO' -p90968 -aS'or\tor\tCC\tO\tO' -p90969 -aS'CMED\tCMED\tNNP\tB-NP\tO' -p90970 -aS'CSRU\tCSRU\tNNP\tI-NP\tO' -p90971 -aS'.\t.\t.\tO\tO' -p90972 -asS'White blood cell count 16.9 , hematocrit 32.2 , platelet count 418 , sodium 131 , potassium 3.4 , chloride 102 , bicarbonate 21.4 , BUN27 , creatinine 1.4 , glucose 150 .' -p90973 -(lp90974 -S'White\tWhite\tJJ\tB-NP\tO' -p90975 -aS'blood\tblood\tNN\tI-NP\tO' -p90976 -aS'cell\tcell\tNN\tI-NP\tO' -p90977 -aS'count\tcount\tNN\tI-NP\tO' -p90978 -aS'16.9\t16.9\tCD\tB-NP\tO' -p90979 -aS',\t,\t,\tO\tO' -p90980 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p90981 -aS'32.2\t32.2\tCD\tI-NP\tI-protein' -p90982 -aS',\t,\t,\tO\tO' -p90983 -aS'platelet\tplatelet\tNN\tB-NP\tB-protein' -p90984 -aS'count\tcount\tNN\tI-NP\tI-protein' -p90985 -aS'418\t418\tCD\tI-NP\tI-protein' -p90986 -aS',\t,\t,\tO\tO' -p90987 -aS'sodium\tsodium\tNN\tB-NP\tO' -p90988 -aS'131\t131\tCD\tI-NP\tO' -p90989 -aS',\t,\t,\tO\tO' -p90990 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p90991 -aS'3.4\t3.4\tCD\tI-NP\tO' -p90992 -aS',\t,\t,\tO\tO' -p90993 -aS'chloride\tchloride\tNN\tB-NP\tO' -p90994 -aS'102\t102\tCD\tI-NP\tO' -p90995 -aS',\t,\t,\tO\tO' -p90996 -aS'bicarbonate\tbicarbonate\tNN\tB-NP\tB-protein' -p90997 -aS'21.4\t21.4\tCD\tI-NP\tI-protein' -p90998 -aS',\t,\t,\tO\tO' -p90999 -aS'BUN27\tBUN27\tNN\tB-NP\tB-protein' -p91000 -aS',\t,\t,\tO\tO' -p91001 -aS'creatinine\tcreatinine\tNN\tB-NP\tB-protein' -p91002 -aS'1.4\t1.4\tCD\tI-NP\tI-protein' -p91003 -aS',\t,\t,\tO\tO' -p91004 -aS'glucose\tglucose\tNN\tB-NP\tO' -p91005 -aS'150\t150\tCD\tI-NP\tO' -p91006 -aS'.\t.\t.\tO\tO' -p91007 -asS'A beta blocker was started with Metoprolol initially at 25 mg PO bid and eventually increased to 50 mg PO bid .' -p91008 -(lp91009 -S'A\tA\tDT\tB-NP\tO' -p91010 -aS'beta\tbeta\tSYM\tI-NP\tO' -p91011 -aS'blocker\tblocker\tNN\tI-NP\tO' -p91012 -aS'was\tbe\tVBD\tB-VP\tO' -p91013 -aS'started\tstart\tVBN\tI-VP\tO' -p91014 -aS'with\twith\tIN\tB-PP\tO' -p91015 -aS'Metoprolol\tMetoprolol\tNN\tB-NP\tO' -p91016 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p91017 -aS'at\tat\tIN\tB-PP\tO' -p91018 -aS'25\t25\tCD\tB-NP\tO' -p91019 -aS'mg\tmg\tNN\tI-NP\tO' -p91020 -aS'PO\tPO\tNN\tI-NP\tO' -p91021 -aS'bid\tbid\tNN\tI-NP\tO' -p91022 -aS'and\tand\tCC\tO\tO' -p91023 -aS'eventually\teventually\tRB\tB-VP\tO' -p91024 -aS'increased\tincrease\tVBD\tI-VP\tO' -p91025 -aS'to\tto\tTO\tB-PP\tO' -p91026 -aS'50\t50\tCD\tB-NP\tO' -p91027 -aS'mg\tmg\tNN\tI-NP\tO' -p91028 -aS'PO\tPO\tNN\tI-NP\tO' -p91029 -aS'bid\tbid\tNN\tI-NP\tO' -p91030 -aS'.\t.\t.\tO\tO' -p91031 -asS'There are bilateral moderate pleural effusions , both of which have increased in size since the previous study .' -p91032 -(lp91033 -S'There\tThere\tEX\tB-NP\tO' -p91034 -aS'are\tbe\tVBP\tB-VP\tO' -p91035 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p91036 -aS'moderate\tmoderate\tJJ\tI-NP\tO' -p91037 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p91038 -aS'effusions\teffusion\tNNS\tI-NP\tO' -p91039 -aS',\t,\t,\tO\tO' -p91040 -aS'both\tboth\tDT\tB-NP\tO' -p91041 -aS'of\tof\tIN\tB-PP\tO' -p91042 -aS'which\twhich\tWDT\tB-NP\tO' -p91043 -aS'have\thave\tVBP\tB-VP\tO' -p91044 -aS'increased\tincrease\tVBN\tI-VP\tO' -p91045 -aS'in\tin\tIN\tB-PP\tO' -p91046 -aS'size\tsize\tNN\tB-NP\tO' -p91047 -aS'since\tsince\tIN\tB-PP\tO' -p91048 -aS'the\tthe\tDT\tB-NP\tO' -p91049 -aS'previous\tprevious\tJJ\tI-NP\tO' -p91050 -aS'study\tstudy\tNN\tI-NP\tO' -p91051 -aS'.\t.\t.\tO\tO' -p91052 -asS'After an extended stay for hemodynamic monitoring and pressor support to maintain his perfusion .' -p91053 -(lp91054 -S'After\tAfter\tIN\tB-PP\tO' -p91055 -aS'an\tan\tDT\tB-NP\tO' -p91056 -aS'extended\textend\tVBN\tI-NP\tO' -p91057 -aS'stay\tstay\tNN\tI-NP\tO' -p91058 -aS'for\tfor\tIN\tB-PP\tO' -p91059 -aS'hemodynamic\themodynamic\tJJ\tB-NP\tO' -p91060 -aS'monitoring\tmonitoring\tNN\tI-NP\tO' -p91061 -aS'and\tand\tCC\tI-NP\tO' -p91062 -aS'pressor\tpressor\tNN\tI-NP\tO' -p91063 -aS'support\tsupport\tVBP\tB-VP\tO' -p91064 -aS'to\tto\tTO\tI-VP\tO' -p91065 -aS'maintain\tmaintain\tVB\tI-VP\tO' -p91066 -aS'his\this\tPRP$\tB-NP\tO' -p91067 -aS'perfusion\tperfusion\tNN\tI-NP\tO' -p91068 -aS'.\t.\t.\tO\tO' -p91069 -asS'The incision from buttontoe amputation of the left foot healing well , without any further complications .' -p91070 -(lp91071 -S'The\tThe\tDT\tB-NP\tO' -p91072 -aS'incision\tincision\tNN\tI-NP\tO' -p91073 -aS'from\tfrom\tIN\tB-PP\tO' -p91074 -aS'buttontoe\tbuttontoe\tNN\tB-NP\tO' -p91075 -aS'amputation\tamputation\tNN\tI-NP\tO' -p91076 -aS'of\tof\tIN\tB-PP\tO' -p91077 -aS'the\tthe\tDT\tB-NP\tO' -p91078 -aS'left\tleft\tJJ\tI-NP\tO' -p91079 -aS'foot\tfoot\tNN\tI-NP\tO' -p91080 -aS'healing\theal\tVBG\tB-VP\tO' -p91081 -aS'well\twell\tRB\tB-ADVP\tO' -p91082 -aS',\t,\t,\tO\tO' -p91083 -aS'without\twithout\tIN\tB-PP\tO' -p91084 -aS'any\tany\tDT\tB-NP\tO' -p91085 -aS'further\tfurther\tJJ\tI-NP\tO' -p91086 -aS'complications\tcomplication\tNNS\tI-NP\tO' -p91087 -aS'.\t.\t.\tO\tO' -p91088 -asS'Unable to assess reflexes due to the knee deformities .' -p91089 -(lp91090 -S'Unable\tUnable\tJJ\tB-ADJP\tO' -p91091 -aS'to\tto\tTO\tB-VP\tO' -p91092 -aS'assess\tassess\tVB\tI-VP\tO' -p91093 -aS'reflexes\treflex\tNNS\tB-NP\tO' -p91094 -aS'due\tdue\tJJ\tB-ADJP\tO' -p91095 -aS'to\tto\tTO\tB-PP\tO' -p91096 -aS'the\tthe\tDT\tB-NP\tO' -p91097 -aS'knee\tknee\tNN\tI-NP\tO' -p91098 -aS'deformities\tdeformity\tNNS\tI-NP\tO' -p91099 -aS'.\t.\t.\tO\tO' -p91100 -asS'Her PT on the day of discharge was 13.2 and she was started on Coumadin 2.5 mg po q d as mentioned .' -p91101 -(lp91102 -S'Her\tHer\tPRP$\tB-NP\tO' -p91103 -aS'PT\tPT\tNN\tI-NP\tO' -p91104 -aS'on\ton\tIN\tB-PP\tO' -p91105 -aS'the\tthe\tDT\tB-NP\tO' -p91106 -aS'day\tday\tNN\tI-NP\tO' -p91107 -aS'of\tof\tIN\tB-PP\tO' -p91108 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p91109 -aS'was\tbe\tVBD\tB-VP\tO' -p91110 -aS'13.2\t13.2\tCD\tB-NP\tO' -p91111 -aS'and\tand\tCC\tO\tO' -p91112 -aS'she\tshe\tPRP\tB-NP\tO' -p91113 -aS'was\tbe\tVBD\tB-VP\tO' -p91114 -aS'started\tstart\tVBN\tI-VP\tO' -p91115 -aS'on\ton\tIN\tB-PP\tO' -p91116 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p91117 -aS'2.5\t2.5\tCD\tI-NP\tO' -p91118 -aS'mg\tmg\tNN\tI-NP\tO' -p91119 -aS'po\tpo\tNN\tI-NP\tO' -p91120 -aS'q\tq\tNN\tI-NP\tO' -p91121 -aS'd\td\tNN\tI-NP\tO' -p91122 -aS'as\tas\tIN\tB-SBAR\tO' -p91123 -aS'mentioned\tmention\tVBN\tB-VP\tO' -p91124 -aS'.\t.\t.\tO\tO' -p91125 -asS'Therefore , he does have a thrombocytopenic reaction to Heparin .' -p91126 -(lp91127 -S'Therefore\tTherefore\tRB\tB-ADVP\tO' -p91128 -aS',\t,\t,\tO\tO' -p91129 -aS'he\the\tPRP\tB-NP\tO' -p91130 -aS'does\tdo\tVBZ\tB-VP\tO' -p91131 -aS'have\thave\tVB\tI-VP\tO' -p91132 -aS'a\ta\tDT\tB-NP\tO' -p91133 -aS'thrombocytopenic\tthrombocytopenic\tJJ\tI-NP\tO' -p91134 -aS'reaction\treaction\tNN\tI-NP\tO' -p91135 -aS'to\tto\tTO\tB-PP\tO' -p91136 -aS'Heparin\tHeparin\tNN\tB-NP\tO' -p91137 -aS'.\t.\t.\tO\tO' -p91138 -asS'Patient 's mother was informed by Dr. Vessels .' -p91139 -(lp91140 -S'Patient\tPatient\tNN\tB-NP\tO' -p91141 -aS''s\t'\tNNS\tI-NP\tO' -p91142 -aS'mother\tmother\tNN\tI-NP\tO' -p91143 -aS'was\tbe\tVBD\tB-VP\tO' -p91144 -aS'informed\tinform\tVBN\tI-VP\tO' -p91145 -aS'by\tby\tIN\tB-PP\tO' -p91146 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p91147 -aS'Vessels\tVessels\tNNP\tI-NP\tO' -p91148 -aS'.\t.\t.\tO\tO' -p91149 -asS'A computerized tomography scan was performed which showed a central recurrence and biopsy of this lesion was positive .' -p91150 -(lp91151 -S'A\tA\tDT\tB-NP\tO' -p91152 -aS'computerized\tcomputerized\tJJ\tI-NP\tO' -p91153 -aS'tomography\ttomography\tNN\tI-NP\tO' -p91154 -aS'scan\tscan\tNN\tI-NP\tO' -p91155 -aS'was\tbe\tVBD\tB-VP\tO' -p91156 -aS'performed\tperform\tVBN\tI-VP\tO' -p91157 -aS'which\twhich\tWDT\tB-NP\tO' -p91158 -aS'showed\tshow\tVBD\tB-VP\tO' -p91159 -aS'a\ta\tDT\tB-NP\tO' -p91160 -aS'central\tcentral\tJJ\tI-NP\tO' -p91161 -aS'recurrence\trecurrence\tNN\tI-NP\tO' -p91162 -aS'and\tand\tCC\tI-NP\tO' -p91163 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p91164 -aS'of\tof\tIN\tB-PP\tO' -p91165 -aS'this\tthis\tDT\tB-NP\tO' -p91166 -aS'lesion\tlesion\tNN\tI-NP\tO' -p91167 -aS'was\tbe\tVBD\tB-VP\tO' -p91168 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p91169 -aS'.\t.\t.\tO\tO' -p91170 -asS'On admission included Naprosyn .' -p91171 -(lp91172 -S'On\tOn\tIN\tB-PP\tO' -p91173 -aS'admission\tadmission\tNN\tB-NP\tO' -p91174 -aS'included\tinclude\tVBD\tB-VP\tO' -p91175 -aS'Naprosyn\tNaprosyn\tNNP\tB-NP\tO' -p91176 -aS'.\t.\t.\tO\tO' -p91177 -asS'At 1:15 PM on 10/06/94 , the patient was found unresponsive with no heart sounds , carotid pulse , respiratory excursions , or pupillary reactions .' -p91178 -(lp91179 -S'At\tAt\tIN\tB-PP\tO' -p91180 -aS'1:15\t1:15\tCD\tB-NP\tO' -p91181 -aS'PM\tPM\tNN\tI-NP\tO' -p91182 -aS'on\ton\tIN\tB-PP\tO' -p91183 -aS'10/06/94\t10/06/94\tCD\tB-NP\tO' -p91184 -aS',\t,\t,\tO\tO' -p91185 -aS'the\tthe\tDT\tB-NP\tO' -p91186 -aS'patient\tpatient\tNN\tI-NP\tO' -p91187 -aS'was\tbe\tVBD\tB-VP\tO' -p91188 -aS'found\tfind\tVBN\tI-VP\tO' -p91189 -aS'unresponsive\tunresponsive\tJJ\tB-ADJP\tO' -p91190 -aS'with\twith\tIN\tB-PP\tO' -p91191 -aS'no\tno\tDT\tB-NP\tO' -p91192 -aS'heart\theart\tNN\tI-NP\tO' -p91193 -aS'sounds\tsound\tVBZ\tB-VP\tO' -p91194 -aS',\t,\t,\tO\tO' -p91195 -aS'carotid\tcarotid\tNN\tB-NP\tO' -p91196 -aS'pulse\tpulse\tNN\tI-NP\tO' -p91197 -aS',\t,\t,\tO\tO' -p91198 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p91199 -aS'excursions\texcursion\tNNS\tI-NP\tO' -p91200 -aS',\t,\t,\tO\tO' -p91201 -aS'or\tor\tCC\tO\tO' -p91202 -aS'pupillary\tpupillary\tJJ\tB-NP\tO' -p91203 -aS'reactions\treaction\tNNS\tI-NP\tO' -p91204 -aS'.\t.\t.\tO\tO' -p91205 -asS'pulm : no BS 01-15 way up bilat , no consolidation' -p91206 -(lp91207 -S'pulm\tpulm\tNN\tB-NP\tO' -p91208 -aS':\t:\t:\tO\tO' -p91209 -aS'no\tno\tDT\tB-NP\tO' -p91210 -aS'BS\tBS\tNN\tI-NP\tO' -p91211 -aS'01-15\t01-15\tCD\tI-NP\tO' -p91212 -aS'way\tway\tNN\tI-NP\tO' -p91213 -aS'up\tup\tIN\tB-PP\tO' -p91214 -aS'bilat\tbilat\tNN\tB-NP\tO' -p91215 -aS',\t,\t,\tO\tO' -p91216 -aS'no\tno\tDT\tB-NP\tO' -p91217 -aS'consolidation\tconsolidation\tNN\tI-NP\tO' -p91218 -asS'There was no active bleeding at the time .' -p91219 -(lp91220 -S'There\tThere\tEX\tB-NP\tO' -p91221 -aS'was\tbe\tVBD\tB-VP\tO' -p91222 -aS'no\tno\tDT\tB-NP\tO' -p91223 -aS'active\tactive\tJJ\tI-NP\tO' -p91224 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p91225 -aS'at\tat\tIN\tB-PP\tO' -p91226 -aS'the\tthe\tDT\tB-NP\tO' -p91227 -aS'time\ttime\tNN\tI-NP\tO' -p91228 -aS'.\t.\t.\tO\tO' -p91229 -asS'10 ) Diltiazem 240 mg p.o. q. day .' -p91230 -(lp91231 -S'10\t10\tCD\tB-NP\tO' -p91232 -aS')\t)\t)\tO\tO' -p91233 -aS'Diltiazem\tDiltiazem\tNNP\tB-NP\tO' -p91234 -aS'240\t240\tCD\tI-NP\tO' -p91235 -aS'mg\tmg\tNN\tI-NP\tO' -p91236 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p91237 -aS'q.\tq.\tNN\tI-NP\tO' -p91238 -aS'day\tday\tNN\tI-NP\tO' -p91239 -aS'.\t.\t.\tO\tO' -p91240 -asS'He did not show any episodes of bradycardia throughout the remainder of his hospital course .' -p91241 -(lp91242 -S'He\tHe\tPRP\tB-NP\tO' -p91243 -aS'did\tdo\tVBD\tB-VP\tO' -p91244 -aS'not\tnot\tRB\tI-VP\tO' -p91245 -aS'show\tshow\tVB\tI-VP\tO' -p91246 -aS'any\tany\tDT\tB-NP\tO' -p91247 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p91248 -aS'of\tof\tIN\tB-PP\tO' -p91249 -aS'bradycardia\tbradycardia\tNN\tB-NP\tO' -p91250 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p91251 -aS'the\tthe\tDT\tB-NP\tO' -p91252 -aS'remainder\tremainder\tNN\tI-NP\tO' -p91253 -aS'of\tof\tIN\tB-PP\tO' -p91254 -aS'his\this\tPRP$\tB-NP\tO' -p91255 -aS'hospital\thospital\tNN\tI-NP\tO' -p91256 -aS'course\tcourse\tNN\tI-NP\tO' -p91257 -aS'.\t.\t.\tO\tO' -p91258 -asS'The patient will also call clinical nurse specialist , Sandra Rose at ( 968 ) 347-9868 for further referral to addiction services .' -p91259 -(lp91260 -S'The\tThe\tDT\tB-NP\tO' -p91261 -aS'patient\tpatient\tNN\tI-NP\tO' -p91262 -aS'will\twill\tMD\tB-VP\tO' -p91263 -aS'also\talso\tRB\tI-VP\tO' -p91264 -aS'call\tcall\tVB\tI-VP\tO' -p91265 -aS'clinical\tclinical\tJJ\tB-NP\tO' -p91266 -aS'nurse\tnurse\tNN\tI-NP\tO' -p91267 -aS'specialist\tspecialist\tNN\tI-NP\tO' -p91268 -aS',\t,\t,\tO\tO' -p91269 -aS'Sandra\tSandra\tNNP\tB-NP\tO' -p91270 -aS'Rose\tRose\tNNP\tI-NP\tO' -p91271 -aS'at\tat\tIN\tB-PP\tO' -p91272 -aS'(\t(\t(\tO\tO' -p91273 -aS'968\t968\tCD\tB-NP\tO' -p91274 -aS')\t)\t)\tO\tO' -p91275 -aS'347-9868\t347-9868\tCD\tB-NP\tO' -p91276 -aS'for\tfor\tIN\tB-PP\tO' -p91277 -aS'further\tfurther\tJJ\tB-NP\tO' -p91278 -aS'referral\treferral\tNN\tI-NP\tO' -p91279 -aS'to\tto\tTO\tB-PP\tO' -p91280 -aS'addiction\taddiction\tNN\tB-NP\tO' -p91281 -aS'services\tservice\tNNS\tI-NP\tO' -p91282 -aS'.\t.\t.\tO\tO' -p91283 -asS'The spleen was within normal limits .' -p91284 -(lp91285 -S'The\tThe\tDT\tB-NP\tO' -p91286 -aS'spleen\tspleen\tNN\tI-NP\tO' -p91287 -aS'was\tbe\tVBD\tB-VP\tO' -p91288 -aS'within\twithin\tIN\tB-PP\tO' -p91289 -aS'normal\tnormal\tJJ\tB-NP\tO' -p91290 -aS'limits\tlimit\tNNS\tI-NP\tO' -p91291 -aS'.\t.\t.\tO\tO' -p91292 -asS'Unclear etiology headache over the three days prior to admission in association with fever was concerning for a CNS etiology .' -p91293 -(lp91294 -S'Unclear\tUnclear\tJJ\tB-NP\tO' -p91295 -aS'etiology\tetiology\tNN\tI-NP\tO' -p91296 -aS'headache\theadache\tNN\tI-NP\tO' -p91297 -aS'over\tover\tIN\tB-PP\tO' -p91298 -aS'the\tthe\tDT\tB-NP\tO' -p91299 -aS'three\tthree\tCD\tI-NP\tO' -p91300 -aS'days\tday\tNNS\tI-NP\tO' -p91301 -aS'prior\tprior\tRB\tB-ADVP\tO' -p91302 -aS'to\tto\tTO\tB-PP\tO' -p91303 -aS'admission\tadmission\tNN\tB-NP\tO' -p91304 -aS'in\tin\tIN\tB-PP\tO' -p91305 -aS'association\tassociation\tNN\tB-NP\tO' -p91306 -aS'with\twith\tIN\tB-PP\tO' -p91307 -aS'fever\tfever\tNN\tB-NP\tO' -p91308 -aS'was\tbe\tVBD\tB-VP\tO' -p91309 -aS'concerning\tconcern\tVBG\tI-VP\tO' -p91310 -aS'for\tfor\tIN\tB-PP\tO' -p91311 -aS'a\ta\tDT\tB-NP\tO' -p91312 -aS'CNS\tCNS\tNN\tI-NP\tB-protein' -p91313 -aS'etiology\tetiology\tNN\tI-NP\tO' -p91314 -aS'.\t.\t.\tO\tO' -p91315 -asS'1. Hiatal hernia .' -p91316 -(lp91317 -S'1.\t1.\tLS\tB-NP\tO' -p91318 -aS'Hiatal\tHiatal\tJJ\tI-NP\tO' -p91319 -aS'hernia\thernia\tNN\tI-NP\tO' -p91320 -aS'.\t.\t.\tO\tO' -p91321 -asS'Bronchoscopy and mediastinoscopy revealed an unresectable mediastinal tumor with the left tracheobronchial angle node positive for cancer , and the right paratracheal node positive for anthracosis .' -p91322 -(lp91323 -S'Bronchoscopy\tBronchoscopy\tNN\tB-NP\tO' -p91324 -aS'and\tand\tCC\tI-NP\tO' -p91325 -aS'mediastinoscopy\tmediastinoscopy\tNN\tI-NP\tO' -p91326 -aS'revealed\treveal\tVBD\tB-VP\tO' -p91327 -aS'an\tan\tDT\tB-NP\tO' -p91328 -aS'unresectable\tunresectable\tJJ\tI-NP\tO' -p91329 -aS'mediastinal\tmediastinal\tJJ\tI-NP\tO' -p91330 -aS'tumor\ttumor\tNN\tI-NP\tO' -p91331 -aS'with\twith\tIN\tB-PP\tO' -p91332 -aS'the\tthe\tDT\tB-NP\tO' -p91333 -aS'left\tleft\tJJ\tI-NP\tO' -p91334 -aS'tracheobronchial\ttracheobronchial\tJJ\tI-NP\tO' -p91335 -aS'angle\tangle\tNN\tI-NP\tO' -p91336 -aS'node\tnode\tNN\tI-NP\tO' -p91337 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p91338 -aS'for\tfor\tIN\tB-PP\tO' -p91339 -aS'cancer\tcancer\tNN\tB-NP\tO' -p91340 -aS',\t,\t,\tO\tO' -p91341 -aS'and\tand\tCC\tO\tO' -p91342 -aS'the\tthe\tDT\tB-NP\tO' -p91343 -aS'right\tright\tJJ\tI-NP\tO' -p91344 -aS'paratracheal\tparatracheal\tJJ\tI-NP\tO' -p91345 -aS'node\tnode\tNN\tI-NP\tO' -p91346 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p91347 -aS'for\tfor\tIN\tB-PP\tO' -p91348 -aS'anthracosis\tanthracosis\tNN\tB-NP\tO' -p91349 -aS'.\t.\t.\tO\tO' -p91350 -asS'Assessment was continued with laboratory studies which showed the patient to have a white blood cell count of 9 , hematocrit 39 , and platelets 470 .' -p91351 -(lp91352 -S'Assessment\tAssessment\tNN\tB-NP\tO' -p91353 -aS'was\tbe\tVBD\tB-VP\tO' -p91354 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p91355 -aS'with\twith\tIN\tB-PP\tO' -p91356 -aS'laboratory\tlaboratory\tNN\tB-NP\tO' -p91357 -aS'studies\tstudy\tNNS\tI-NP\tO' -p91358 -aS'which\twhich\tWDT\tB-NP\tO' -p91359 -aS'showed\tshow\tVBD\tB-VP\tO' -p91360 -aS'the\tthe\tDT\tB-NP\tO' -p91361 -aS'patient\tpatient\tNN\tI-NP\tO' -p91362 -aS'to\tto\tTO\tB-VP\tO' -p91363 -aS'have\thave\tVB\tI-VP\tO' -p91364 -aS'a\ta\tDT\tB-NP\tO' -p91365 -aS'white\twhite\tJJ\tI-NP\tO' -p91366 -aS'blood\tblood\tNN\tI-NP\tO' -p91367 -aS'cell\tcell\tNN\tI-NP\tO' -p91368 -aS'count\tcount\tNN\tI-NP\tO' -p91369 -aS'of\tof\tIN\tB-PP\tO' -p91370 -aS'9\t9\tCD\tB-NP\tO' -p91371 -aS',\t,\t,\tO\tO' -p91372 -aS'hematocrit\thematocrit\tNN\tB-NP\tO' -p91373 -aS'39\t39\tCD\tI-NP\tO' -p91374 -aS',\t,\t,\tO\tO' -p91375 -aS'and\tand\tCC\tO\tO' -p91376 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p91377 -aS'470\t470\tCD\tB-NP\tO' -p91378 -aS'.\t.\t.\tO\tO' -p91379 -asS'If you have continued fevers , worsening abdominal pain , discharge or other worrisome symptoms , please return to the emergency department .' -p91380 -(lp91381 -S'If\tIf\tIN\tB-SBAR\tO' -p91382 -aS'you\tyou\tPRP\tB-NP\tO' -p91383 -aS'have\thave\tVBP\tB-VP\tO' -p91384 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p91385 -aS'fevers\tfever\tNNS\tB-NP\tO' -p91386 -aS',\t,\t,\tO\tO' -p91387 -aS'worsening\tworsen\tVBG\tB-VP\tO' -p91388 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p91389 -aS'pain\tpain\tNN\tI-NP\tO' -p91390 -aS',\t,\t,\tO\tO' -p91391 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p91392 -aS'or\tor\tCC\tO\tO' -p91393 -aS'other\tother\tJJ\tB-NP\tO' -p91394 -aS'worrisome\tworrisome\tJJ\tI-NP\tO' -p91395 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p91396 -aS',\t,\t,\tO\tO' -p91397 -aS'please\tplease\tVB\tB-VP\tO' -p91398 -aS'return\treturn\tNN\tB-NP\tO' -p91399 -aS'to\tto\tTO\tB-PP\tO' -p91400 -aS'the\tthe\tDT\tB-NP\tO' -p91401 -aS'emergency\temergency\tNN\tI-NP\tO' -p91402 -aS'department\tdepartment\tNN\tI-NP\tO' -p91403 -aS'.\t.\t.\tO\tO' -p91404 -asS'pt with two episodes of hypoglycemia ( FSBS 22 and 27 ), etiology unclear , pt followed by Strickland , who recommend no changes to current insulin regimen .' -p91405 -(lp91406 -S'pt\tpt\tNN\tB-NP\tO' -p91407 -aS'with\twith\tIN\tB-PP\tO' -p91408 -aS'two\ttwo\tCD\tB-NP\tO' -p91409 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p91410 -aS'of\tof\tIN\tB-PP\tO' -p91411 -aS'hypoglycemia\thypoglycemia\tNN\tB-NP\tO' -p91412 -aS'(\t(\t(\tO\tO' -p91413 -aS'FSBS\tFSBS\tNN\tB-NP\tB-DNA' -p91414 -aS'22\t22\tCD\tI-NP\tI-DNA' -p91415 -aS'and\tand\tCC\tI-NP\tO' -p91416 -aS'27\t27\tCD\tI-NP\tO' -p91417 -aS'),\t),\t)\tI-NP\tO' -p91418 -aS'etiology\tetiology\tNN\tI-NP\tO' -p91419 -aS'unclear\tunclear\tJJ\tB-ADJP\tO' -p91420 -aS',\t,\t,\tO\tO' -p91421 -aS'pt\tpt\tNN\tB-NP\tO' -p91422 -aS'followed\tfollow\tVBN\tB-VP\tO' -p91423 -aS'by\tby\tIN\tB-PP\tO' -p91424 -aS'Strickland\tStrickland\tNNP\tB-NP\tO' -p91425 -aS',\t,\t,\tO\tO' -p91426 -aS'who\twho\tWP\tB-NP\tO' -p91427 -aS'recommend\trecommend\tVBP\tB-VP\tO' -p91428 -aS'no\tno\tDT\tB-NP\tO' -p91429 -aS'changes\tchange\tNNS\tI-NP\tO' -p91430 -aS'to\tto\tTO\tB-PP\tO' -p91431 -aS'current\tcurrent\tJJ\tB-NP\tO' -p91432 -aS'insulin\tinsulin\tNN\tI-NP\tO' -p91433 -aS'regimen\tregimen\tNN\tI-NP\tO' -p91434 -aS'.\t.\t.\tO\tO' -p91435 -asS'He also had some mild to moderate disease at the OM1 noted at that time .' -p91436 -(lp91437 -S'He\tHe\tPRP\tB-NP\tO' -p91438 -aS'also\talso\tRB\tB-ADVP\tO' -p91439 -aS'had\thave\tVBD\tB-VP\tO' -p91440 -aS'some\tsome\tDT\tB-NP\tO' -p91441 -aS'mild\tmild\tJJ\tI-NP\tO' -p91442 -aS'to\tto\tTO\tB-PP\tO' -p91443 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p91444 -aS'disease\tdisease\tNN\tI-NP\tO' -p91445 -aS'at\tat\tIN\tB-PP\tO' -p91446 -aS'the\tthe\tDT\tB-NP\tO' -p91447 -aS'OM1\tOM1\tNN\tI-NP\tB-DNA' -p91448 -aS'noted\tnote\tVBN\tB-VP\tO' -p91449 -aS'at\tat\tIN\tB-PP\tO' -p91450 -aS'that\tthat\tDT\tB-NP\tO' -p91451 -aS'time\ttime\tNN\tI-NP\tO' -p91452 -aS'.\t.\t.\tO\tO' -p91453 -asS'She is to continue taking medications as prescribed .' -p91454 -(lp91455 -S'She\tShe\tPRP\tB-NP\tO' -p91456 -aS'is\tbe\tVBZ\tB-VP\tO' -p91457 -aS'to\tto\tTO\tI-VP\tO' -p91458 -aS'continue\tcontinue\tVB\tI-VP\tO' -p91459 -aS'taking\ttake\tVBG\tI-VP\tO' -p91460 -aS'medications\tmedication\tNNS\tB-NP\tO' -p91461 -aS'as\tas\tIN\tB-SBAR\tO' -p91462 -aS'prescribed\tprescribe\tVBN\tB-VP\tO' -p91463 -aS'.\t.\t.\tO\tO' -p91464 -asS'There is no erythema and sternum is stable .' -p91465 -(lp91466 -S'There\tThere\tEX\tB-NP\tO' -p91467 -aS'is\tbe\tVBZ\tB-VP\tO' -p91468 -aS'no\tno\tDT\tB-NP\tO' -p91469 -aS'erythema\terythema\tNN\tI-NP\tO' -p91470 -aS'and\tand\tCC\tI-NP\tO' -p91471 -aS'sternum\tsternum\tNN\tI-NP\tO' -p91472 -aS'is\tbe\tVBZ\tB-VP\tO' -p91473 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p91474 -aS'.\t.\t.\tO\tO' -p91475 -asS'The neck had a full range of motion , no lymphadenopathy .' -p91476 -(lp91477 -S'The\tThe\tDT\tB-NP\tO' -p91478 -aS'neck\tneck\tNN\tI-NP\tO' -p91479 -aS'had\thave\tVBD\tB-VP\tO' -p91480 -aS'a\ta\tDT\tB-NP\tO' -p91481 -aS'full\tfull\tJJ\tI-NP\tO' -p91482 -aS'range\trange\tNN\tI-NP\tO' -p91483 -aS'of\tof\tIN\tB-PP\tO' -p91484 -aS'motion\tmotion\tNN\tB-NP\tO' -p91485 -aS',\t,\t,\tO\tO' -p91486 -aS'no\tno\tDT\tB-NP\tO' -p91487 -aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' -p91488 -aS'.\t.\t.\tO\tO' -p91489 -asS'Each episode lasted approximately 15 minutes in duration and resolved on their own .' -p91490 -(lp91491 -S'Each\tEach\tDT\tB-NP\tO' -p91492 -aS'episode\tepisode\tNN\tI-NP\tO' -p91493 -aS'lasted\tlast\tVBD\tB-VP\tO' -p91494 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p91495 -aS'15\t15\tCD\tI-NP\tO' -p91496 -aS'minutes\tminute\tNNS\tI-NP\tO' -p91497 -aS'in\tin\tIN\tB-PP\tO' -p91498 -aS'duration\tduration\tNN\tB-NP\tO' -p91499 -aS'and\tand\tCC\tO\tO' -p91500 -aS'resolved\tresolve\tVBN\tB-VP\tO' -p91501 -aS'on\ton\tIN\tB-PP\tO' -p91502 -aS'their\ttheir\tPRP$\tB-NP\tO' -p91503 -aS'own\town\tJJ\tI-NP\tO' -p91504 -aS'.\t.\t.\tO\tO' -p91505 -asS'He was extubated during postoperative day #1 .' -p91506 -(lp91507 -S'He\tHe\tPRP\tB-NP\tO' -p91508 -aS'was\tbe\tVBD\tB-VP\tO' -p91509 -aS'extubated\textubate\tVBN\tI-VP\tO' -p91510 -aS'during\tduring\tIN\tB-PP\tO' -p91511 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p91512 -aS'day\tday\tNN\tI-NP\tO' -p91513 -aS'#1\t#1\tNN\tI-NP\tO' -p91514 -aS'.\t.\t.\tO\tO' -p91515 -asS'You came in with hypertensive emergency .' -p91516 -(lp91517 -S'You\tYou\tPRP\tB-NP\tO' -p91518 -aS'came\tcome\tVBD\tB-VP\tO' -p91519 -aS'in\tin\tRP\tB-PRT\tO' -p91520 -aS'with\twith\tIN\tB-PP\tO' -p91521 -aS'hypertensive\thypertensive\tJJ\tB-NP\tO' -p91522 -aS'emergency\temergency\tNN\tI-NP\tO' -p91523 -aS'.\t.\t.\tO\tO' -p91524 -asS'Please see the operation notes for details about the surgeries .' -p91525 -(lp91526 -S'Please\tPlease\tVB\tB-VP\tO' -p91527 -aS'see\tsee\tVB\tI-VP\tO' -p91528 -aS'the\tthe\tDT\tB-NP\tO' -p91529 -aS'operation\toperation\tNN\tI-NP\tO' -p91530 -aS'notes\tnote\tNNS\tI-NP\tO' -p91531 -aS'for\tfor\tIN\tB-PP\tO' -p91532 -aS'details\tdetail\tNNS\tB-NP\tO' -p91533 -aS'about\tabout\tIN\tB-PP\tO' -p91534 -aS'the\tthe\tDT\tB-NP\tO' -p91535 -aS'surgeries\tsurgery\tNNS\tI-NP\tO' -p91536 -aS'.\t.\t.\tO\tO' -p91537 -asS'At the time of discharge , cytopathology specimens had been negative , and surgical pathology specimens were still pending .' -p91538 -(lp91539 -S'At\tAt\tIN\tB-PP\tO' -p91540 -aS'the\tthe\tDT\tB-NP\tO' -p91541 -aS'time\ttime\tNN\tI-NP\tO' -p91542 -aS'of\tof\tIN\tB-PP\tO' -p91543 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p91544 -aS',\t,\t,\tO\tO' -p91545 -aS'cytopathology\tcytopathology\tNN\tB-NP\tO' -p91546 -aS'specimens\tspecimen\tNNS\tI-NP\tO' -p91547 -aS'had\thave\tVBD\tB-VP\tO' -p91548 -aS'been\tbe\tVBN\tI-VP\tO' -p91549 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p91550 -aS',\t,\t,\tO\tO' -p91551 -aS'and\tand\tCC\tO\tO' -p91552 -aS'surgical\tsurgical\tJJ\tB-NP\tO' -p91553 -aS'pathology\tpathology\tNN\tI-NP\tO' -p91554 -aS'specimens\tspecimen\tNNS\tI-NP\tO' -p91555 -aS'were\tbe\tVBD\tB-VP\tO' -p91556 -aS'still\tstill\tRB\tI-VP\tO' -p91557 -aS'pending\tpende\tVBG\tI-VP\tO' -p91558 -aS'.\t.\t.\tO\tO' -p91559 -asS'- CXR no focal consolidation or edema , old biapical scarring ABG 7.34/79/74 U / A negative' -p91560 -(lp91561 -S'-\t-\tHYPH\tB-NP\tO' -p91562 -aS'CXR\tCXR\tNN\tI-NP\tB-protein' -p91563 -aS'no\tno\tDT\tB-NP\tO' -p91564 -aS'focal\tfocal\tJJ\tI-NP\tO' -p91565 -aS'consolidation\tconsolidation\tNN\tI-NP\tO' -p91566 -aS'or\tor\tCC\tI-NP\tO' -p91567 -aS'edema\tedema\tNN\tI-NP\tO' -p91568 -aS',\t,\t,\tO\tO' -p91569 -aS'old\told\tJJ\tB-NP\tO' -p91570 -aS'biapical\tbiapical\tJJ\tI-NP\tO' -p91571 -aS'scarring\tscar\tVBG\tI-NP\tO' -p91572 -aS'ABG\tABG\tNN\tI-NP\tO' -p91573 -aS'7.34/79/74\t7.34/79/74\tCD\tI-NP\tO' -p91574 -aS'U\tU\tNN\tI-NP\tO' -p91575 -aS'/\t/\tSYM\tB-NP\tO' -p91576 -aS'A\tA\tNN\tI-NP\tO' -p91577 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p91578 -asS'TECHNIQUE : Axial noncontrast CT scans of the brain were obtained .' -p91579 -(lp91580 -S'TECHNIQUE\tTECHNIQUE\tNN\tB-NP\tO' -p91581 -aS':\t:\t:\tO\tO' -p91582 -aS'Axial\tAxial\tJJ\tB-NP\tO' -p91583 -aS'noncontrast\tnoncontrast\tJJ\tI-NP\tO' -p91584 -aS'CT\tCT\tNN\tI-NP\tO' -p91585 -aS'scans\tscan\tNNS\tI-NP\tO' -p91586 -aS'of\tof\tIN\tB-PP\tO' -p91587 -aS'the\tthe\tDT\tB-NP\tO' -p91588 -aS'brain\tbrain\tNN\tI-NP\tO' -p91589 -aS'were\tbe\tVBD\tB-VP\tO' -p91590 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p91591 -aS'.\t.\t.\tO\tO' -p91592 -asS'Her neck showed no JVD , there was a slow carotid upstroke bilaterally , there were bilateral carotid bruits versus transmitted murmur .' -p91593 -(lp91594 -S'Her\tHer\tPRP$\tB-NP\tO' -p91595 -aS'neck\tneck\tNN\tI-NP\tO' -p91596 -aS'showed\tshow\tVBD\tB-VP\tO' -p91597 -aS'no\tno\tDT\tB-NP\tO' -p91598 -aS'JVD\tJVD\tNN\tI-NP\tB-protein' -p91599 -aS',\t,\t,\tO\tO' -p91600 -aS'there\tthere\tEX\tB-NP\tO' -p91601 -aS'was\tbe\tVBD\tB-VP\tO' -p91602 -aS'a\ta\tDT\tB-NP\tO' -p91603 -aS'slow\tslow\tJJ\tI-NP\tO' -p91604 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p91605 -aS'upstroke\tupstroke\tRB\tB-ADVP\tO' -p91606 -aS'bilaterally\tbilaterally\tRB\tI-ADVP\tO' -p91607 -aS',\t,\t,\tO\tO' -p91608 -aS'there\tthere\tEX\tB-NP\tO' -p91609 -aS'were\tbe\tVBD\tB-VP\tO' -p91610 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p91611 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p91612 -aS'bruits\tbruit\tNNS\tI-NP\tO' -p91613 -aS'versus\tversus\tCC\tO\tO' -p91614 -aS'transmitted\ttransmit\tVBN\tB-NP\tO' -p91615 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p91616 -aS'.\t.\t.\tO\tO' -p91617 -asS'Her INR is 2.3 .' -p91618 -(lp91619 -S'Her\tHer\tPRP$\tB-NP\tO' -p91620 -aS'INR\tINR\tNN\tI-NP\tB-protein' -p91621 -aS'is\tbe\tVBZ\tB-VP\tO' -p91622 -aS'2.3\t2.3\tCD\tB-NP\tO' -p91623 -aS'.\t.\t.\tO\tO' -p91624 -asS'4 ) Status post appendectomy .' -p91625 -(lp91626 -S'4\t4\tLS\tB-LST\tO' -p91627 -aS')\t)\t)\tO\tO' -p91628 -aS'Status\tStatus\tNN\tB-NP\tO' -p91629 -aS'post\tpost\tNN\tI-NP\tO' -p91630 -aS'appendectomy\tappendectomy\tNN\tI-NP\tO' -p91631 -aS'.\t.\t.\tO\tO' -p91632 -asS'No spontaneous echo contrast is seen in the body of the left atrium .' -p91633 -(lp91634 -S'No\tNo\tDT\tB-NP\tO' -p91635 -aS'spontaneous\tspontaneous\tJJ\tI-NP\tO' -p91636 -aS'echo\techo\tJJ\tI-NP\tO' -p91637 -aS'contrast\tcontrast\tNN\tI-NP\tO' -p91638 -aS'is\tbe\tVBZ\tB-VP\tO' -p91639 -aS'seen\tsee\tVBN\tI-VP\tO' -p91640 -aS'in\tin\tIN\tB-PP\tO' -p91641 -aS'the\tthe\tDT\tB-NP\tO' -p91642 -aS'body\tbody\tNN\tI-NP\tO' -p91643 -aS'of\tof\tIN\tB-PP\tO' -p91644 -aS'the\tthe\tDT\tB-NP\tO' -p91645 -aS'left\tleft\tJJ\tI-NP\tO' -p91646 -aS'atrium\tatrium\tNN\tI-NP\tO' -p91647 -aS'.\t.\t.\tO\tO' -p91648 -asS'The patient is a 58 - year-old man with history of IDDM , PVD , status post toe amputations , diabetic neuropathy , and retinopathy recently admitted to McLean Hospital from 2017-01-13 , through 2017-01-18 , with a diagnosis of right heel diabetic ulcer with MSSA osteomyelitis of the calcaneus , MSSA bacteremia , acute interstitial nephritis secondary to oxacillin , and RLL pna .' -p91649 -(lp91650 -S'The\tThe\tDT\tB-NP\tO' -p91651 -aS'patient\tpatient\tNN\tI-NP\tO' -p91652 -aS'is\tbe\tVBZ\tB-VP\tO' -p91653 -aS'a\ta\tDT\tB-NP\tO' -p91654 -aS'58\t58\tCD\tI-NP\tO' -p91655 -aS'-\t-\tHYPH\tI-NP\tO' -p91656 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p91657 -aS'man\tman\tNN\tI-NP\tO' -p91658 -aS'with\twith\tIN\tB-PP\tO' -p91659 -aS'history\thistory\tNN\tB-NP\tO' -p91660 -aS'of\tof\tIN\tB-PP\tO' -p91661 -aS'IDDM\tIDDM\tNN\tB-NP\tO' -p91662 -aS',\t,\t,\tO\tO' -p91663 -aS'PVD\tPVD\tNN\tB-NP\tB-protein' -p91664 -aS',\t,\t,\tO\tO' -p91665 -aS'status\tstatus\tNN\tB-NP\tO' -p91666 -aS'post\tpost\tNN\tI-NP\tO' -p91667 -aS'toe\ttoe\tNN\tI-NP\tO' -p91668 -aS'amputations\tamputation\tNNS\tI-NP\tO' -p91669 -aS',\t,\t,\tO\tO' -p91670 -aS'diabetic\tdiabetic\tJJ\tB-NP\tO' -p91671 -aS'neuropathy\tneuropathy\tNN\tI-NP\tO' -p91672 -aS',\t,\t,\tO\tO' -p91673 -aS'and\tand\tCC\tO\tO' -p91674 -aS'retinopathy\tretinopathy\tNN\tB-NP\tO' -p91675 -aS'recently\trecently\tRB\tB-ADVP\tO' -p91676 -aS'admitted\tadmit\tVBD\tB-VP\tO' -p91677 -aS'to\tto\tTO\tB-PP\tO' -p91678 -aS'McLean\tMcLean\tNNP\tB-NP\tO' -p91679 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p91680 -aS'from\tfrom\tIN\tB-PP\tO' -p91681 -aS'2017-01-13\t2017-01-13\tCD\tB-NP\tO' -p91682 -aS',\t,\t,\tO\tO' -p91683 -aS'through\tthrough\tIN\tB-PP\tO' -p91684 -aS'2017-01-18\t2017-01-18\tCD\tB-NP\tO' -p91685 -aS',\t,\t,\tO\tO' -p91686 -aS'with\twith\tIN\tB-PP\tO' -p91687 -aS'a\ta\tDT\tB-NP\tO' -p91688 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p91689 -aS'of\tof\tIN\tB-PP\tO' -p91690 -aS'right\tright\tJJ\tB-NP\tO' -p91691 -aS'heel\theel\tNN\tI-NP\tO' -p91692 -aS'diabetic\tdiabetic\tJJ\tI-NP\tO' -p91693 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p91694 -aS'with\twith\tIN\tB-PP\tO' -p91695 -aS'MSSA\tMSSA\tNN\tB-NP\tO' -p91696 -aS'osteomyelitis\tosteomyelitis\tNN\tI-NP\tO' -p91697 -aS'of\tof\tIN\tB-PP\tO' -p91698 -aS'the\tthe\tDT\tB-NP\tO' -p91699 -aS'calcaneus\tcalcaneus\tNN\tI-NP\tO' -p91700 -aS',\t,\t,\tO\tO' -p91701 -aS'MSSA\tMSSA\tNN\tB-NP\tO' -p91702 -aS'bacteremia\tbacteremia\tNN\tI-NP\tO' -p91703 -aS',\t,\t,\tO\tO' -p91704 -aS'acute\tacute\tJJ\tB-NP\tO' -p91705 -aS'interstitial\tinterstitial\tJJ\tI-NP\tO' -p91706 -aS'nephritis\tnephritis\tNN\tI-NP\tO' -p91707 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p91708 -aS'to\tto\tTO\tB-PP\tO' -p91709 -aS'oxacillin\toxacillin\tNN\tB-NP\tO' -p91710 -aS',\t,\t,\tO\tO' -p91711 -aS'and\tand\tCC\tO\tO' -p91712 -aS'RLL\tRLL\tNN\tB-NP\tO' -p91713 -aS'pna\tpna\tNN\tI-NP\tO' -p91714 -aS'.\t.\t.\tO\tO' -p91715 -asS'Pnuemonia - Possible aspiration .' -p91716 -(lp91717 -S'Pnuemonia\tPnuemonia\tNN\tB-NP\tO' -p91718 -aS'-\t-\tHYPH\tI-NP\tO' -p91719 -aS'Possible\tPossible\tJJ\tI-NP\tO' -p91720 -aS'aspiration\taspiration\tNN\tI-NP\tO' -p91721 -aS'.\t.\t.\tO\tO' -p91722 -asS'Reports that he has suffered from anxiety since childhood and needed to drop out of college .' -p91723 -(lp91724 -S'Reports\tReport\tNNS\tB-NP\tO' -p91725 -aS'that\tthat\tIN\tB-SBAR\tO' -p91726 -aS'he\the\tPRP\tB-NP\tO' -p91727 -aS'has\thave\tVBZ\tB-VP\tO' -p91728 -aS'suffered\tsuffer\tVBN\tI-VP\tO' -p91729 -aS'from\tfrom\tIN\tB-PP\tO' -p91730 -aS'anxiety\tanxiety\tNN\tB-NP\tO' -p91731 -aS'since\tsince\tIN\tB-PP\tO' -p91732 -aS'childhood\tchildhood\tNN\tB-NP\tO' -p91733 -aS'and\tand\tCC\tO\tO' -p91734 -aS'needed\tneed\tVBN\tB-VP\tO' -p91735 -aS'to\tto\tTO\tB-VP\tO' -p91736 -aS'drop\tdrop\tVB\tI-VP\tO' -p91737 -aS'out\tout\tIN\tB-PP\tO' -p91738 -aS'of\tof\tIN\tB-PP\tO' -p91739 -aS'college\tcollege\tNN\tB-NP\tO' -p91740 -aS'.\t.\t.\tO\tO' -p91741 -asS'The patient was generally in excellent health with a past medical history significant only for noninsulin dependent diabetes mellitus who was presented with painless jaundice x2 days .' -p91742 -(lp91743 -S'The\tThe\tDT\tB-NP\tO' -p91744 -aS'patient\tpatient\tNN\tI-NP\tO' -p91745 -aS'was\tbe\tVBD\tB-VP\tO' -p91746 -aS'generally\tgenerally\tRB\tB-ADVP\tO' -p91747 -aS'in\tin\tIN\tB-PP\tO' -p91748 -aS'excellent\texcellent\tJJ\tB-NP\tO' -p91749 -aS'health\thealth\tNN\tI-NP\tO' -p91750 -aS'with\twith\tIN\tB-PP\tO' -p91751 -aS'a\ta\tDT\tB-NP\tO' -p91752 -aS'past\tpast\tJJ\tI-NP\tO' -p91753 -aS'medical\tmedical\tJJ\tI-NP\tO' -p91754 -aS'history\thistory\tNN\tI-NP\tO' -p91755 -aS'significant\tsignificant\tJJ\tB-ADJP\tO' -p91756 -aS'only\tonly\tRB\tB-ADVP\tO' -p91757 -aS'for\tfor\tIN\tB-PP\tO' -p91758 -aS'noninsulin\tnoninsulin\tNN\tB-NP\tB-protein' -p91759 -aS'dependent\tdependent\tJJ\tI-NP\tO' -p91760 -aS'diabetes\tdiabete\tNNS\tI-NP\tO' -p91761 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p91762 -aS'who\twho\tWP\tB-NP\tO' -p91763 -aS'was\tbe\tVBD\tB-VP\tO' -p91764 -aS'presented\tpresent\tVBN\tI-VP\tO' -p91765 -aS'with\twith\tIN\tB-PP\tO' -p91766 -aS'painless\tpainless\tJJ\tB-NP\tO' -p91767 -aS'jaundice\tjaundice\tNN\tI-NP\tO' -p91768 -aS'x2\tx2\tNN\tI-NP\tO' -p91769 -aS'days\tday\tNNS\tI-NP\tO' -p91770 -aS'.\t.\t.\tO\tO' -p91771 -asS'The patient had an initial troponin bump on admission which was most likely secondary to CHF exacerbation .' -p91772 -(lp91773 -S'The\tThe\tDT\tB-NP\tO' -p91774 -aS'patient\tpatient\tNN\tI-NP\tO' -p91775 -aS'had\thave\tVBD\tB-VP\tO' -p91776 -aS'an\tan\tDT\tB-NP\tO' -p91777 -aS'initial\tinitial\tJJ\tI-NP\tO' -p91778 -aS'troponin\ttroponin\tNN\tI-NP\tO' -p91779 -aS'bump\tbump\tNN\tI-NP\tO' -p91780 -aS'on\ton\tIN\tB-PP\tO' -p91781 -aS'admission\tadmission\tNN\tB-NP\tO' -p91782 -aS'which\twhich\tWDT\tB-NP\tO' -p91783 -aS'was\tbe\tVBD\tB-VP\tO' -p91784 -aS'most\tmost\tRBS\tB-ADVP\tO' -p91785 -aS'likely\tlikely\tRB\tI-ADVP\tO' -p91786 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p91787 -aS'to\tto\tTO\tB-PP\tO' -p91788 -aS'CHF\tCHF\tNN\tB-NP\tO' -p91789 -aS'exacerbation\texacerbation\tNN\tI-NP\tO' -p91790 -aS'.\t.\t.\tO\tO' -p91791 -asS'Stable , satting 98% on 1L via NC , sitting up in a chair' -p91792 -(lp91793 -S'Stable\tStable\tJJ\tB-ADJP\tO' -p91794 -aS',\t,\t,\tO\tO' -p91795 -aS'satting\tsatte\tVBG\tB-VP\tO' -p91796 -aS'98%\t98%\tNN\tB-NP\tO' -p91797 -aS'on\ton\tIN\tB-PP\tO' -p91798 -aS'1L\t1L\tNN\tB-NP\tO' -p91799 -aS'via\tvia\tIN\tB-PP\tO' -p91800 -aS'NC\tNC\tNN\tB-NP\tO' -p91801 -aS',\t,\t,\tO\tO' -p91802 -aS'sitting\tsit\tVBG\tB-VP\tO' -p91803 -aS'up\tup\tRP\tB-PRT\tO' -p91804 -aS'in\tin\tIN\tB-PP\tO' -p91805 -aS'a\ta\tDT\tB-NP\tO' -p91806 -aS'chair\tchair\tNN\tI-NP\tO' -p91807 -asS'2) Recent PCP .' -p91808 -(lp91809 -S'2)\t2)\tLS\tB-NP\tO' -p91810 -aS'Recent\tRecent\tJJ\tI-NP\tO' -p91811 -aS'PCP\tPCP\tNN\tI-NP\tO' -p91812 -aS'.\t.\t.\tO\tO' -p91813 -asS'No evidence of extension into the foramina transversaria .' -p91814 -(lp91815 -S'No\tNo\tDT\tB-NP\tO' -p91816 -aS'evidence\tevidence\tNN\tI-NP\tO' -p91817 -aS'of\tof\tIN\tB-PP\tO' -p91818 -aS'extension\textension\tNN\tB-NP\tO' -p91819 -aS'into\tinto\tIN\tB-PP\tO' -p91820 -aS'the\tthe\tDT\tB-NP\tO' -p91821 -aS'foramina\tforamina\tNN\tI-NP\tO' -p91822 -aS'transversaria\ttransversaria\tNN\tI-NP\tO' -p91823 -aS'.\t.\t.\tO\tO' -p91824 -asS'Patient tolerated procedure on 2018-03-05 and was transferred to' -p91825 -(lp91826 -S'Patient\tPatient\tNN\tB-NP\tO' -p91827 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p91828 -aS'procedure\tprocedure\tNN\tB-NP\tO' -p91829 -aS'on\ton\tIN\tB-PP\tO' -p91830 -aS'2018-03-05\t2018-03-05\tCD\tB-NP\tO' -p91831 -aS'and\tand\tCC\tO\tO' -p91832 -aS'was\tbe\tVBD\tB-VP\tO' -p91833 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p91834 -aS'to\tto\tTO\tB-PP\tO' -p91835 -asS'9. Bacitracin Zinc 500 unit / g Ointment Sig : One ( 1 ) Appl Topical BID ( 2 times a day ) .' -p91836 -(lp91837 -S'9.\t9.\tLS\tB-NP\tO' -p91838 -aS'Bacitracin\tBacitracin\tNN\tI-NP\tB-protein' -p91839 -aS'Zinc\tZinc\tNN\tI-NP\tI-protein' -p91840 -aS'500\t500\tCD\tI-NP\tI-protein' -p91841 -aS'unit\tunit\tNN\tI-NP\tI-protein' -p91842 -aS'/\t/\tSYM\tB-NP\tO' -p91843 -aS'g\tg\tNN\tI-NP\tO' -p91844 -aS'Ointment\tOintment\tNNP\tI-NP\tO' -p91845 -aS'Sig\tSig\tNNP\tI-NP\tO' -p91846 -aS':\t:\t:\tO\tO' -p91847 -aS'One\tOne\tCD\tB-NP\tO' -p91848 -aS'(\t(\t(\tO\tO' -p91849 -aS'1\t1\tCD\tB-NP\tO' -p91850 -aS')\t)\t)\tO\tO' -p91851 -aS'Appl\tAppl\tNNP\tB-NP\tO' -p91852 -aS'Topical\tTopical\tJJ\tI-NP\tO' -p91853 -aS'BID\tBID\tNN\tI-NP\tO' -p91854 -aS'(\t(\t(\tO\tO' -p91855 -aS'2\t2\tCD\tB-NP\tO' -p91856 -aS'times\ttime\tNNS\tI-NP\tO' -p91857 -aS'a\ta\tDT\tB-NP\tO' -p91858 -aS'day\tday\tNN\tI-NP\tO' -p91859 -aS')\t)\t)\tO\tO' -p91860 -aS'.\t.\t.\tO\tO' -p91861 -asS'6. Norvasc 5 mg twice a day .' -p91862 -(lp91863 -S'6.\t6.\tCD\tB-NP\tO' -p91864 -aS'Norvasc\tNorvasc\tCC\tI-NP\tO' -p91865 -aS'5\t5\tCD\tI-NP\tO' -p91866 -aS'mg\tmg\tNN\tI-NP\tO' -p91867 -aS'twice\ttwice\tRB\tB-NP\tO' -p91868 -aS'a\ta\tDT\tI-NP\tO' -p91869 -aS'day\tday\tNN\tI-NP\tO' -p91870 -aS'.\t.\t.\tO\tO' -p91871 -asS'State newborn screen was sent on 2015-11-12 .' -p91872 -(lp91873 -S'State\tState\tNN\tB-NP\tO' -p91874 -aS'newborn\tnewborn\tJJ\tI-NP\tO' -p91875 -aS'screen\tscreen\tNN\tI-NP\tO' -p91876 -aS'was\tbe\tVBD\tB-VP\tO' -p91877 -aS'sent\tsend\tVBN\tI-VP\tO' -p91878 -aS'on\ton\tIN\tB-PP\tO' -p91879 -aS'2015-11-12\t2015-11-12\tCD\tB-NP\tO' -p91880 -aS'.\t.\t.\tO\tO' -p91881 -asS'Plastic Surgery was consulted Dr. Ca Shuff who saw the patient and decided that the patient is not a surgical candidate at this point .' -p91882 -(lp91883 -S'Plastic\tPlastic\tNNP\tB-NP\tO' -p91884 -aS'Surgery\tSurgery\tNNP\tI-NP\tO' -p91885 -aS'was\tbe\tVBD\tB-VP\tO' -p91886 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p91887 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p91888 -aS'Ca\tCa\tNNP\tI-NP\tO' -p91889 -aS'Shuff\tShuff\tNNP\tI-NP\tO' -p91890 -aS'who\twho\tWP\tB-NP\tO' -p91891 -aS'saw\tsee\tVBD\tB-VP\tO' -p91892 -aS'the\tthe\tDT\tB-NP\tO' -p91893 -aS'patient\tpatient\tNN\tI-NP\tO' -p91894 -aS'and\tand\tCC\tO\tO' -p91895 -aS'decided\tdecide\tVBD\tB-VP\tO' -p91896 -aS'that\tthat\tIN\tB-SBAR\tO' -p91897 -aS'the\tthe\tDT\tB-NP\tO' -p91898 -aS'patient\tpatient\tNN\tI-NP\tO' -p91899 -aS'is\tbe\tVBZ\tB-VP\tO' -p91900 -aS'not\tnot\tRB\tO\tO' -p91901 -aS'a\ta\tDT\tB-NP\tO' -p91902 -aS'surgical\tsurgical\tJJ\tI-NP\tO' -p91903 -aS'candidate\tcandidate\tNN\tI-NP\tO' -p91904 -aS'at\tat\tIN\tB-PP\tO' -p91905 -aS'this\tthis\tDT\tB-NP\tO' -p91906 -aS'point\tpoint\tNN\tI-NP\tO' -p91907 -aS'.\t.\t.\tO\tO' -p91908 -asS'Re-exploration for bleeding .' -p91909 -(lp91910 -S'Re-exploration\tRe-exploration\tNN\tB-NP\tO' -p91911 -aS'for\tfor\tIN\tB-PP\tO' -p91912 -aS'bleeding\tbleed\tVBG\tB-NP\tO' -p91913 -aS'.\t.\t.\tO\tO' -p91914 -asS'Despite this , his chest x-ray continued to show severe pulmonary edema and the clinical picture correlated .' -p91915 -(lp91916 -S'Despite\tDespite\tIN\tB-PP\tO' -p91917 -aS'this\tthis\tDT\tB-NP\tO' -p91918 -aS',\t,\t,\tO\tO' -p91919 -aS'his\this\tPRP$\tB-NP\tB-DNA' -p91920 -aS'chest\tch\tJJS\tI-NP\tO' -p91921 -aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' -p91922 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p91923 -aS'to\tto\tTO\tI-VP\tO' -p91924 -aS'show\tshow\tVB\tI-VP\tO' -p91925 -aS'severe\tsevere\tJJ\tB-NP\tO' -p91926 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p91927 -aS'edema\tedema\tNN\tI-NP\tO' -p91928 -aS'and\tand\tCC\tO\tO' -p91929 -aS'the\tthe\tDT\tB-NP\tO' -p91930 -aS'clinical\tclinical\tJJ\tI-NP\tO' -p91931 -aS'picture\tpicture\tNN\tI-NP\tO' -p91932 -aS'correlated\tcorrelate\tVBD\tB-VP\tO' -p91933 -aS'.\t.\t.\tO\tO' -p91934 -asS'Attending : Ronald B Tekautz , M.D.' -p91935 -(lp91936 -S'Attending\tAttend\tVBG\tB-VP\tO' -p91937 -aS':\t:\t:\tO\tO' -p91938 -aS'Ronald\tRonald\tNNP\tB-NP\tO' -p91939 -aS'B\tB\tNNP\tI-NP\tO' -p91940 -aS'Tekautz\tTekautz\tNNP\tI-NP\tO' -p91941 -aS',\t,\t,\tO\tO' -p91942 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p91943 -asS'She neurologically , she had a nonfocal neurologic examination .' -p91944 -(lp91945 -S'She\tShe\tPRP\tB-NP\tO' -p91946 -aS'neurologically\tneurologically\tRB\tB-ADVP\tO' -p91947 -aS',\t,\t,\tO\tO' -p91948 -aS'she\tshe\tPRP\tB-NP\tO' -p91949 -aS'had\thave\tVBD\tB-VP\tO' -p91950 -aS'a\ta\tDT\tB-NP\tO' -p91951 -aS'nonfocal\tnonfocal\tJJ\tI-NP\tO' -p91952 -aS'neurologic\tneurologic\tJJ\tI-NP\tO' -p91953 -aS'examination\texamination\tNN\tI-NP\tO' -p91954 -aS'.\t.\t.\tO\tO' -p91955 -asS'The patient has gradually taken to bed with decreasing activity .' -p91956 -(lp91957 -S'The\tThe\tDT\tB-NP\tO' -p91958 -aS'patient\tpatient\tNN\tI-NP\tO' -p91959 -aS'has\thave\tVBZ\tB-VP\tO' -p91960 -aS'gradually\tgradually\tRB\tI-VP\tO' -p91961 -aS'taken\ttake\tVBN\tI-VP\tO' -p91962 -aS'to\tto\tTO\tB-PP\tO' -p91963 -aS'bed\tbed\tNN\tB-NP\tO' -p91964 -aS'with\twith\tIN\tB-PP\tO' -p91965 -aS'decreasing\tdecrease\tVBG\tB-VP\tO' -p91966 -aS'activity\tactivity\tNN\tB-NP\tO' -p91967 -aS'.\t.\t.\tO\tO' -p91968 -asS'Decision was made in conjunction with the family and Dr. Caslighlourdes to terminate artificial respiratory support .' -p91969 -(lp91970 -S'Decision\tDecision\tNN\tB-NP\tO' -p91971 -aS'was\tbe\tVBD\tB-VP\tO' -p91972 -aS'made\tmake\tVBN\tI-VP\tO' -p91973 -aS'in\tin\tIN\tB-PP\tO' -p91974 -aS'conjunction\tconjunction\tNN\tB-NP\tO' -p91975 -aS'with\twith\tIN\tB-PP\tO' -p91976 -aS'the\tthe\tDT\tB-NP\tO' -p91977 -aS'family\tfamily\tNN\tI-NP\tO' -p91978 -aS'and\tand\tCC\tO\tO' -p91979 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p91980 -aS'Caslighlourdes\tCaslighlourdes\tNNP\tI-NP\tO' -p91981 -aS'to\tto\tTO\tB-VP\tO' -p91982 -aS'terminate\tterminate\tVB\tI-VP\tO' -p91983 -aS'artificial\tartificial\tJJ\tB-NP\tO' -p91984 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p91985 -aS'support\tsupport\tNN\tI-NP\tO' -p91986 -aS'.\t.\t.\tO\tO' -p91987 -asS'The patient had been taking his usual medications and using his nasal oxygen at home .' -p91988 -(lp91989 -S'The\tThe\tDT\tB-NP\tO' -p91990 -aS'patient\tpatient\tNN\tI-NP\tO' -p91991 -aS'had\thave\tVBD\tB-VP\tO' -p91992 -aS'been\tbe\tVBN\tI-VP\tO' -p91993 -aS'taking\ttake\tVBG\tI-VP\tO' -p91994 -aS'his\this\tPRP$\tB-NP\tO' -p91995 -aS'usual\tusual\tJJ\tI-NP\tO' -p91996 -aS'medications\tmedication\tNNS\tI-NP\tO' -p91997 -aS'and\tand\tCC\tO\tO' -p91998 -aS'using\tuse\tVBG\tB-VP\tO' -p91999 -aS'his\this\tPRP$\tB-NP\tO' -p92000 -aS'nasal\tnasal\tJJ\tI-NP\tO' -p92001 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p92002 -aS'at\tat\tIN\tB-PP\tO' -p92003 -aS'home\thome\tNN\tB-NP\tO' -p92004 -aS'.\t.\t.\tO\tO' -p92005 -asS'She underwent a resection for stage I in 10/95 and treated with XRT .' -p92006 -(lp92007 -S'She\tShe\tPRP\tB-NP\tO' -p92008 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p92009 -aS'a\ta\tDT\tB-NP\tO' -p92010 -aS'resection\tresection\tNN\tI-NP\tO' -p92011 -aS'for\tfor\tIN\tB-PP\tO' -p92012 -aS'stage\tstage\tNN\tB-NP\tO' -p92013 -aS'I\tI\tCD\tI-NP\tO' -p92014 -aS'in\tin\tIN\tB-PP\tO' -p92015 -aS'10/95\t10/95\tCD\tB-NP\tO' -p92016 -aS'and\tand\tCC\tO\tO' -p92017 -aS'treated\ttreat\tVBN\tB-VP\tO' -p92018 -aS'with\twith\tIN\tB-PP\tO' -p92019 -aS'XRT\tXRT\tNN\tB-NP\tB-protein' -p92020 -aS'.\t.\t.\tO\tO' -p92021 -asS'She underwent autotransplantation of the right upper parathyroid gland , as well as repair of a right posterior membranous tracheotomy .' -p92022 -(lp92023 -S'She\tShe\tPRP\tB-NP\tO' -p92024 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p92025 -aS'autotransplantation\tautotransplantation\tNN\tB-NP\tO' -p92026 -aS'of\tof\tIN\tB-PP\tO' -p92027 -aS'the\tthe\tDT\tB-NP\tO' -p92028 -aS'right\tright\tJJ\tI-NP\tO' -p92029 -aS'upper\tupper\tJJ\tI-NP\tO' -p92030 -aS'parathyroid\tparathyroid\tJJ\tI-NP\tO' -p92031 -aS'gland\tgland\tNN\tI-NP\tO' -p92032 -aS',\t,\t,\tO\tO' -p92033 -aS'as\tas\tRB\tB-CONJP\tO' -p92034 -aS'well\twell\tRB\tI-CONJP\tO' -p92035 -aS'as\tas\tIN\tI-CONJP\tO' -p92036 -aS'repair\trepair\tNN\tB-NP\tO' -p92037 -aS'of\tof\tIN\tB-PP\tO' -p92038 -aS'a\ta\tDT\tB-NP\tO' -p92039 -aS'right\tright\tJJ\tI-NP\tO' -p92040 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p92041 -aS'membranous\tmembranous\tJJ\tI-NP\tO' -p92042 -aS'tracheotomy\ttracheotomy\tNN\tI-NP\tO' -p92043 -aS'.\t.\t.\tO\tO' -p92044 -asS'She was transferred to Charles River Hospital and was treated with magnesium sulfate and betamethasone .' -p92045 -(lp92046 -S'She\tShe\tPRP\tB-NP\tO' -p92047 -aS'was\tbe\tVBD\tB-VP\tO' -p92048 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p92049 -aS'to\tto\tTO\tB-PP\tO' -p92050 -aS'Charles\tCharles\tNNP\tB-NP\tO' -p92051 -aS'River\tRiver\tNNP\tI-NP\tO' -p92052 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p92053 -aS'and\tand\tCC\tO\tO' -p92054 -aS'was\tbe\tVBD\tB-VP\tO' -p92055 -aS'treated\ttreat\tVBN\tI-VP\tO' -p92056 -aS'with\twith\tIN\tB-PP\tO' -p92057 -aS'magnesium\tmagnesium\tNN\tB-NP\tO' -p92058 -aS'sulfate\tsulfate\tNN\tI-NP\tO' -p92059 -aS'and\tand\tCC\tI-NP\tO' -p92060 -aS'betamethasone\tbetamethasone\tNN\tI-NP\tO' -p92061 -aS'.\t.\t.\tO\tO' -p92062 -asS'He states that his pain has been of seven to eight durations , and rated as moderate to severe ( 7/10 ) .' -p92063 -(lp92064 -S'He\tHe\tPRP\tB-NP\tO' -p92065 -aS'states\tstate\tVBZ\tB-VP\tO' -p92066 -aS'that\tthat\tIN\tB-SBAR\tO' -p92067 -aS'his\this\tPRP$\tB-NP\tO' -p92068 -aS'pain\tpain\tNN\tI-NP\tO' -p92069 -aS'has\thave\tVBZ\tB-VP\tO' -p92070 -aS'been\tbe\tVBN\tI-VP\tO' -p92071 -aS'of\tof\tIN\tB-PP\tO' -p92072 -aS'seven\tseven\tCD\tB-NP\tO' -p92073 -aS'to\tto\tTO\tI-NP\tO' -p92074 -aS'eight\teight\tCD\tI-NP\tO' -p92075 -aS'durations\tduration\tNNS\tI-NP\tO' -p92076 -aS',\t,\t,\tO\tO' -p92077 -aS'and\tand\tCC\tO\tO' -p92078 -aS'rated\trat\tVBN\tB-VP\tO' -p92079 -aS'as\tas\tIN\tB-PP\tO' -p92080 -aS'moderate\tmoderate\tJJ\tB-ADJP\tO' -p92081 -aS'to\tto\tTO\tB-PP\tO' -p92082 -aS'severe\tsevere\tJJ\tB-ADJP\tO' -p92083 -aS'(\t(\t(\tO\tO' -p92084 -aS'7/10\t7/10\tCD\tB-NP\tO' -p92085 -aS')\t)\t)\tO\tO' -p92086 -aS'.\t.\t.\tO\tO' -p92087 -asS'Demerol , Percodan .' -p92088 -(lp92089 -S'Demerol\tDemerol\tNNP\tB-NP\tO' -p92090 -aS',\t,\t,\tO\tO' -p92091 -aS'Percodan\tPercodan\tNNP\tB-NP\tO' -p92092 -aS'.\t.\t.\tO\tO' -p92093 -asS'S2 narrowly physiologically split with accentuation of P2 .' -p92094 -(lp92095 -S'S2\tS2\tNN\tB-NP\tB-protein' -p92096 -aS'narrowly\tnarrowly\tRB\tB-VP\tO' -p92097 -aS'physiologically\tphysiologically\tRB\tI-VP\tO' -p92098 -aS'split\tsplit\tVBN\tI-VP\tO' -p92099 -aS'with\twith\tIN\tB-PP\tO' -p92100 -aS'accentuation\taccentuation\tNN\tB-NP\tO' -p92101 -aS'of\tof\tIN\tB-PP\tO' -p92102 -aS'P2\tP2\tNN\tB-NP\tB-DNA' -p92103 -aS'.\t.\t.\tO\tO' -p92104 -asS'1+ edema bilaterally .' -p92105 -(lp92106 -S'1+\t1+\tJJ\tB-NP\tO' -p92107 -aS'edema\tedema\tNN\tI-NP\tO' -p92108 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p92109 -aS'.\t.\t.\tO\tO' -p92110 -asS'There is much scarring surrounding his larynx .' -p92111 -(lp92112 -S'There\tThere\tEX\tB-NP\tO' -p92113 -aS'is\tbe\tVBZ\tB-VP\tO' -p92114 -aS'much\tmuch\tRB\tI-VP\tO' -p92115 -aS'scarring\tscar\tVBG\tI-VP\tO' -p92116 -aS'surrounding\tsurround\tVBG\tI-VP\tO' -p92117 -aS'his\this\tPRP$\tB-NP\tO' -p92118 -aS'larynx\tlarynx\tNN\tI-NP\tO' -p92119 -aS'.\t.\t.\tO\tO' -p92120 -asS'He maintained a normal sinus rhythm without atrial or ventricular arrhythmias .' -p92121 -(lp92122 -S'He\tHe\tPRP\tB-NP\tO' -p92123 -aS'maintained\tmaintain\tVBD\tB-VP\tO' -p92124 -aS'a\ta\tDT\tB-NP\tO' -p92125 -aS'normal\tnormal\tJJ\tI-NP\tO' -p92126 -aS'sinus\tsinus\tNN\tI-NP\tO' -p92127 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p92128 -aS'without\twithout\tIN\tB-PP\tO' -p92129 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p92130 -aS'or\tor\tCC\tI-NP\tO' -p92131 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p92132 -aS'arrhythmias\tarrhythmia\tNNS\tI-NP\tO' -p92133 -aS'.\t.\t.\tO\tO' -p92134 -asS'She had a successful endoscopic retrograde cholangiopancreatography , which showed a bile leak at the duct of Luschka .' -p92135 -(lp92136 -S'She\tShe\tPRP\tB-NP\tO' -p92137 -aS'had\thave\tVBD\tB-VP\tO' -p92138 -aS'a\ta\tDT\tB-NP\tO' -p92139 -aS'successful\tsuccessful\tJJ\tI-NP\tO' -p92140 -aS'endoscopic\tendoscopic\tJJ\tI-NP\tO' -p92141 -aS'retrograde\tretrograde\tJJ\tI-NP\tO' -p92142 -aS'cholangiopancreatography\tcholangiopancreatography\tNN\tI-NP\tO' -p92143 -aS',\t,\t,\tO\tO' -p92144 -aS'which\twhich\tWDT\tB-NP\tO' -p92145 -aS'showed\tshow\tVBD\tB-VP\tO' -p92146 -aS'a\ta\tDT\tB-NP\tO' -p92147 -aS'bile\tbile\tNN\tI-NP\tO' -p92148 -aS'leak\tleak\tNN\tI-NP\tO' -p92149 -aS'at\tat\tIN\tB-PP\tO' -p92150 -aS'the\tthe\tDT\tB-NP\tO' -p92151 -aS'duct\tduct\tNN\tI-NP\tO' -p92152 -aS'of\tof\tIN\tB-PP\tO' -p92153 -aS'Luschka\tLuschka\tNNP\tB-NP\tO' -p92154 -aS'.\t.\t.\tO\tO' -p92155 -asS'She is to follow up Heart Failure and Cardiology in one week as well .' -p92156 -(lp92157 -S'She\tShe\tPRP\tB-NP\tO' -p92158 -aS'is\tbe\tVBZ\tB-VP\tO' -p92159 -aS'to\tto\tTO\tB-VP\tO' -p92160 -aS'follow\tfollow\tVB\tI-VP\tO' -p92161 -aS'up\tup\tRP\tB-PRT\tO' -p92162 -aS'Heart\tHeart\tNNP\tB-NP\tO' -p92163 -aS'Failure\tFailure\tNNP\tI-NP\tO' -p92164 -aS'and\tand\tCC\tO\tO' -p92165 -aS'Cardiology\tCardiology\tNNP\tB-NP\tO' -p92166 -aS'in\tin\tIN\tB-PP\tO' -p92167 -aS'one\tone\tCD\tB-NP\tO' -p92168 -aS'week\tweek\tNN\tI-NP\tO' -p92169 -aS'as\tas\tRB\tB-ADVP\tO' -p92170 -aS'well\twell\tRB\tI-ADVP\tO' -p92171 -aS'.\t.\t.\tO\tO' -p92172 -asS'11. Senna 8.6 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ) as needed .' -p92173 -(lp92174 -S'11.\t11.\tLS\tB-LST\tO' -p92175 -aS'Senna\tSenna\tNNP\tB-NP\tO' -p92176 -aS'8.6\t8.6\tCD\tI-NP\tO' -p92177 -aS'mg\tmg\tNN\tI-NP\tO' -p92178 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p92179 -aS'Sig\tSig\tNNP\tI-NP\tO' -p92180 -aS':\t:\t:\tO\tO' -p92181 -aS'One\tOne\tCD\tB-NP\tO' -p92182 -aS'(\t(\t(\tO\tO' -p92183 -aS'1\t1\tCD\tB-NP\tO' -p92184 -aS')\t)\t)\tO\tO' -p92185 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p92186 -aS'PO\tPO\tNN\tI-NP\tO' -p92187 -aS'BID\tBID\tNN\tI-NP\tO' -p92188 -aS'(\t(\t(\tO\tO' -p92189 -aS'2\t2\tCD\tB-NP\tO' -p92190 -aS'times\ttime\tNNS\tI-NP\tO' -p92191 -aS'a\ta\tDT\tB-NP\tO' -p92192 -aS'day\tday\tNN\tI-NP\tO' -p92193 -aS')\t)\t)\tO\tO' -p92194 -aS'as\tas\tIN\tB-SBAR\tO' -p92195 -aS'needed\tneed\tVBN\tB-VP\tO' -p92196 -aS'.\t.\t.\tO\tO' -p92197 -asS"Plan is to receive hepatitis B in the pediatrician 's office , once he reaches a weight of 2 kg ." -p92198 -(lp92199 -S'Plan\tPlan\tNN\tB-NP\tO' -p92200 -aS'is\tbe\tVBZ\tB-VP\tO' -p92201 -aS'to\tto\tTO\tB-VP\tO' -p92202 -aS'receive\treceive\tVB\tI-VP\tO' -p92203 -aS'hepatitis\thepatitis\tNN\tB-NP\tB-protein' -p92204 -aS'B\tB\tNN\tI-NP\tI-protein' -p92205 -aS'in\tin\tIN\tB-PP\tO' -p92206 -aS'the\tthe\tDT\tB-NP\tO' -p92207 -aS'pediatrician\tpediatrician\tNN\tI-NP\tO' -p92208 -aS"'s\t's\tPOS\tB-NP\tO" -p92209 -aS'office\toffice\tNN\tI-NP\tO' -p92210 -aS',\t,\t,\tO\tO' -p92211 -aS'once\tonce\tIN\tB-SBAR\tO' -p92212 -aS'he\the\tPRP\tB-NP\tO' -p92213 -aS'reaches\treach\tVBZ\tB-VP\tO' -p92214 -aS'a\ta\tDT\tB-NP\tO' -p92215 -aS'weight\tweight\tNN\tI-NP\tO' -p92216 -aS'of\tof\tIN\tB-PP\tO' -p92217 -aS'2\t2\tCD\tB-NP\tO' -p92218 -aS'kg\tkg\tNN\tI-NP\tO' -p92219 -aS'.\t.\t.\tO\tO' -p92220 -asS"3. After ten units of packed red blood cells and four units of fresh frozen plasma transfusions , the patient 's hematocrit remained stable at above 30 ." -p92221 -(lp92222 -S'3.\t3.\tLS\tB-LST\tO' -p92223 -aS'After\tAfter\tIN\tB-PP\tO' -p92224 -aS'ten\tten\tCD\tB-NP\tO' -p92225 -aS'units\tunit\tNNS\tI-NP\tO' -p92226 -aS'of\tof\tIN\tB-PP\tO' -p92227 -aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' -p92228 -aS'red\tred\tJJ\tI-NP\tI-cell_type' -p92229 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p92230 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p92231 -aS'and\tand\tCC\tO\tO' -p92232 -aS'four\tfour\tCD\tB-NP\tO' -p92233 -aS'units\tunit\tNNS\tI-NP\tO' -p92234 -aS'of\tof\tIN\tB-PP\tO' -p92235 -aS'fresh\tfresh\tJJ\tB-NP\tO' -p92236 -aS'frozen\tfrozen\tJJ\tI-NP\tO' -p92237 -aS'plasma\tplasma\tNN\tI-NP\tO' -p92238 -aS'transfusions\ttransfusion\tNNS\tI-NP\tO' -p92239 -aS',\t,\t,\tO\tO' -p92240 -aS'the\tthe\tDT\tB-NP\tO' -p92241 -aS'patient\tpatient\tNN\tI-NP\tO' -p92242 -aS"'s\t's\tPOS\tB-NP\tO" -p92243 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p92244 -aS'remained\tremain\tVBD\tB-VP\tO' -p92245 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p92246 -aS'at\tat\tIN\tB-PP\tO' -p92247 -aS'above\tabove\tIN\tB-PP\tO' -p92248 -aS'30\t30\tCD\tB-NP\tO' -p92249 -aS'.\t.\t.\tO\tO' -p92250 -asS'Small bilateral pleural effusions with compressive atelectasis .' -p92251 -(lp92252 -S'Small\tSmall\tJJ\tB-NP\tO' -p92253 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p92254 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p92255 -aS'effusions\teffusion\tNNS\tI-NP\tO' -p92256 -aS'with\twith\tIN\tB-PP\tO' -p92257 -aS'compressive\tcompressive\tJJ\tB-NP\tO' -p92258 -aS'atelectasis\tatelectasis\tNN\tI-NP\tO' -p92259 -aS'.\t.\t.\tO\tO' -p92260 -asS'He was transferred to Medicine the morning of 2010-08-30 , for continued medical management post surgery .' -p92261 -(lp92262 -S'He\tHe\tPRP\tB-NP\tO' -p92263 -aS'was\tbe\tVBD\tB-VP\tO' -p92264 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p92265 -aS'to\tto\tTO\tI-VP\tO' -p92266 -aS'Medicine\tMedicine\tVB\tI-VP\tO' -p92267 -aS'the\tthe\tDT\tB-NP\tO' -p92268 -aS'morning\tmorning\tNN\tI-NP\tO' -p92269 -aS'of\tof\tIN\tB-PP\tO' -p92270 -aS'2010-08-30\t2010-08-30\tCD\tB-NP\tO' -p92271 -aS',\t,\t,\tO\tO' -p92272 -aS'for\tfor\tIN\tB-PP\tO' -p92273 -aS'continued\tcontinue\tVBN\tB-NP\tO' -p92274 -aS'medical\tmedical\tJJ\tI-NP\tO' -p92275 -aS'management\tmanagement\tNN\tI-NP\tO' -p92276 -aS'post\tpost\tNN\tI-NP\tO' -p92277 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p92278 -aS'.\t.\t.\tO\tO' -p92279 -asS'He continued to progress until two weeks prior to admission when he was found in the bathtub , unsteady and fell trying to steady himself .' -p92280 -(lp92281 -S'He\tHe\tPRP\tB-NP\tO' -p92282 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p92283 -aS'to\tto\tTO\tI-VP\tO' -p92284 -aS'progress\tprogress\tVB\tI-VP\tO' -p92285 -aS'until\tuntil\tIN\tB-PP\tO' -p92286 -aS'two\ttwo\tCD\tB-NP\tO' -p92287 -aS'weeks\tweek\tNNS\tI-NP\tO' -p92288 -aS'prior\tprior\tRB\tB-ADVP\tO' -p92289 -aS'to\tto\tTO\tB-PP\tO' -p92290 -aS'admission\tadmission\tNN\tB-NP\tO' -p92291 -aS'when\twhen\tWRB\tB-ADVP\tO' -p92292 -aS'he\the\tPRP\tB-NP\tO' -p92293 -aS'was\tbe\tVBD\tB-VP\tO' -p92294 -aS'found\tfind\tVBN\tI-VP\tO' -p92295 -aS'in\tin\tIN\tB-PP\tO' -p92296 -aS'the\tthe\tDT\tB-NP\tO' -p92297 -aS'bathtub\tbathtub\tNN\tI-NP\tO' -p92298 -aS',\t,\t,\tO\tO' -p92299 -aS'unsteady\tunsteady\tJJ\tB-ADJP\tO' -p92300 -aS'and\tand\tCC\tO\tO' -p92301 -aS'fell\tfall\tVBD\tB-VP\tO' -p92302 -aS'trying\ttry\tVBG\tI-VP\tO' -p92303 -aS'to\tto\tTO\tI-VP\tO' -p92304 -aS'steady\tsteady\tVB\tI-VP\tO' -p92305 -aS'himself\thimself\tPRP\tB-NP\tO' -p92306 -aS'.\t.\t.\tO\tO' -p92307 -asS'Please use ice to sore areas for the next few days .' -p92308 -(lp92309 -S'Please\tPlease\tVB\tB-VP\tO' -p92310 -aS'use\tuse\tNN\tB-NP\tO' -p92311 -aS'ice\tice\tNN\tI-NP\tO' -p92312 -aS'to\tto\tTO\tB-VP\tO' -p92313 -aS'sore\tsore\tVB\tI-VP\tO' -p92314 -aS'areas\tarea\tNNS\tB-NP\tO' -p92315 -aS'for\tfor\tIN\tB-PP\tO' -p92316 -aS'the\tthe\tDT\tB-NP\tO' -p92317 -aS'next\tnext\tJJ\tI-NP\tO' -p92318 -aS'few\tfew\tJJ\tI-NP\tO' -p92319 -aS'days\tday\tNNS\tI-NP\tO' -p92320 -aS'.\t.\t.\tO\tO' -p92321 -asS'Oropharynx , lips , teeth and gums were without lesions and without evidence of mucositis .' -p92322 -(lp92323 -S'Oropharynx\tOropharynx\tNNP\tB-NP\tO' -p92324 -aS',\t,\t,\tO\tO' -p92325 -aS'lips\tlip\tNNS\tB-NP\tO' -p92326 -aS',\t,\t,\tI-NP\tO' -p92327 -aS'teeth\ttooth\tNNS\tI-NP\tO' -p92328 -aS'and\tand\tCC\tI-NP\tO' -p92329 -aS'gums\tgum\tNNS\tI-NP\tO' -p92330 -aS'were\tbe\tVBD\tB-VP\tO' -p92331 -aS'without\twithout\tIN\tB-PP\tO' -p92332 -aS'lesions\tlesion\tNNS\tB-NP\tO' -p92333 -aS'and\tand\tCC\tB-PP\tO' -p92334 -aS'without\twithout\tIN\tB-PP\tO' -p92335 -aS'evidence\tevidence\tNN\tB-NP\tO' -p92336 -aS'of\tof\tIN\tB-PP\tO' -p92337 -aS'mucositis\tmucositis\tNN\tB-NP\tO' -p92338 -aS'.\t.\t.\tO\tO' -p92339 -asS'He had a heart rate of 85 to 87 , breathing at 17 to 23 , satting 100% on room air .' -p92340 -(lp92341 -S'He\tHe\tPRP\tB-NP\tO' -p92342 -aS'had\thave\tVBD\tB-VP\tO' -p92343 -aS'a\ta\tDT\tB-NP\tO' -p92344 -aS'heart\theart\tNN\tI-NP\tO' -p92345 -aS'rate\trate\tNN\tI-NP\tO' -p92346 -aS'of\tof\tIN\tB-PP\tO' -p92347 -aS'85\t85\tCD\tB-NP\tO' -p92348 -aS'to\tto\tTO\tB-PP\tO' -p92349 -aS'87\t87\tCD\tB-NP\tO' -p92350 -aS',\t,\t,\tO\tO' -p92351 -aS'breathing\tbreathe\tVBG\tB-VP\tO' -p92352 -aS'at\tat\tIN\tB-PP\tO' -p92353 -aS'17\t17\tCD\tB-NP\tO' -p92354 -aS'to\tto\tTO\tB-PP\tO' -p92355 -aS'23\t23\tCD\tB-NP\tO' -p92356 -aS',\t,\t,\tO\tO' -p92357 -aS'satting\tsatte\tVBG\tB-VP\tO' -p92358 -aS'100%\t100%\tNN\tB-NP\tO' -p92359 -aS'on\ton\tIN\tB-PP\tO' -p92360 -aS'room\troom\tNN\tB-NP\tO' -p92361 -aS'air\tair\tNN\tI-NP\tO' -p92362 -aS'.\t.\t.\tO\tO' -p92363 -asS'Cranial nerves II-XII were grossly intact .' -p92364 -(lp92365 -S'Cranial\tCranial\tJJ\tB-NP\tO' -p92366 -aS'nerves\tnerve\tNNS\tI-NP\tO' -p92367 -aS'II-XII\tII-XII\tNN\tI-NP\tB-protein' -p92368 -aS'were\tbe\tVBD\tB-VP\tO' -p92369 -aS'grossly\tgrossly\tRB\tB-ADJP\tO' -p92370 -aS'intact\tintact\tJJ\tI-ADJP\tO' -p92371 -aS'.\t.\t.\tO\tO' -p92372 -asS'In May 1994 she received her first course of thiotepa and Velban and Methotrexate , which required some red cell transfusions .' -p92373 -(lp92374 -S'In\tIn\tIN\tB-PP\tO' -p92375 -aS'May\tMay\tNNP\tB-NP\tO' -p92376 -aS'1994\t1994\tCD\tI-NP\tO' -p92377 -aS'she\tshe\tPRP\tB-NP\tO' -p92378 -aS'received\treceive\tVBD\tB-VP\tO' -p92379 -aS'her\ther\tPRP$\tB-NP\tO' -p92380 -aS'first\tfirst\tJJ\tI-NP\tO' -p92381 -aS'course\tcourse\tNN\tI-NP\tO' -p92382 -aS'of\tof\tIN\tB-PP\tO' -p92383 -aS'thiotepa\tthiotepa\tNN\tB-NP\tO' -p92384 -aS'and\tand\tCC\tO\tO' -p92385 -aS'Velban\tVelban\tNNP\tB-NP\tO' -p92386 -aS'and\tand\tCC\tI-NP\tO' -p92387 -aS'Methotrexate\tMethotrexate\tNNP\tI-NP\tO' -p92388 -aS',\t,\t,\tO\tO' -p92389 -aS'which\twhich\tWDT\tB-NP\tO' -p92390 -aS'required\trequire\tVBD\tB-VP\tO' -p92391 -aS'some\tsome\tDT\tB-NP\tO' -p92392 -aS'red\tred\tJJ\tI-NP\tO' -p92393 -aS'cell\tcell\tNN\tI-NP\tO' -p92394 -aS'transfusions\ttransfusion\tNNS\tI-NP\tO' -p92395 -aS'.\t.\t.\tO\tO' -p92396 -asS'Sodium was 139 , potassium was 6.1 , chloride was 102 , bicarbonate was 18 , blood urea nitrogen was 100 , creatinine was 2.3 , and blood glucose was 189 .' -p92397 -(lp92398 -S'Sodium\tSodium\tNN\tB-NP\tO' -p92399 -aS'was\tbe\tVBD\tB-VP\tO' -p92400 -aS'139\t139\tCD\tB-NP\tO' -p92401 -aS',\t,\t,\tO\tO' -p92402 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p92403 -aS'was\tbe\tVBD\tB-VP\tO' -p92404 -aS'6.1\t6.1\tCD\tB-NP\tO' -p92405 -aS',\t,\t,\tO\tO' -p92406 -aS'chloride\tchloride\tNN\tB-NP\tO' -p92407 -aS'was\tbe\tVBD\tB-VP\tO' -p92408 -aS'102\t102\tCD\tB-NP\tO' -p92409 -aS',\t,\t,\tO\tO' -p92410 -aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' -p92411 -aS'was\tbe\tVBD\tB-VP\tO' -p92412 -aS'18\t18\tCD\tB-NP\tO' -p92413 -aS',\t,\t,\tO\tO' -p92414 -aS'blood\tblood\tNN\tB-NP\tO' -p92415 -aS'urea\turea\tNN\tI-NP\tO' -p92416 -aS'nitrogen\tnitrogen\tNN\tI-NP\tO' -p92417 -aS'was\tbe\tVBD\tB-VP\tO' -p92418 -aS'100\t100\tCD\tB-NP\tO' -p92419 -aS',\t,\t,\tO\tO' -p92420 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p92421 -aS'was\tbe\tVBD\tB-VP\tO' -p92422 -aS'2.3\t2.3\tCD\tB-NP\tO' -p92423 -aS',\t,\t,\tO\tO' -p92424 -aS'and\tand\tCC\tO\tO' -p92425 -aS'blood\tblood\tNN\tB-NP\tO' -p92426 -aS'glucose\tglucose\tNN\tI-NP\tO' -p92427 -aS'was\tbe\tVBD\tB-VP\tO' -p92428 -aS'189\t189\tCD\tB-NP\tO' -p92429 -aS'.\t.\t.\tO\tO' -p92430 -asS'She is euthyroid .' -p92431 -(lp92432 -S'She\tShe\tPRP\tB-NP\tO' -p92433 -aS'is\tbe\tVBZ\tB-VP\tO' -p92434 -aS'euthyroid\teuthyroid\tJJ\tB-ADJP\tO' -p92435 -aS'.\t.\t.\tO\tO' -p92436 -asS'He had 5 out of 5 strength diffusely , normal deep tendon reflexes and normal sensation .' -p92437 -(lp92438 -S'He\tHe\tPRP\tB-NP\tB-protein' -p92439 -aS'had\thave\tVBD\tB-VP\tI-protein' -p92440 -aS'5\t5\tCD\tB-NP\tI-protein' -p92441 -aS'out\tout\tIN\tB-PP\tO' -p92442 -aS'of\tof\tIN\tB-PP\tO' -p92443 -aS'5\t5\tCD\tB-NP\tO' -p92444 -aS'strength\tstrength\tNN\tI-NP\tO' -p92445 -aS'diffusely\tdiffusely\tRB\tB-ADVP\tO' -p92446 -aS',\t,\t,\tO\tO' -p92447 -aS'normal\tnormal\tJJ\tB-NP\tO' -p92448 -aS'deep\tdeep\tJJ\tI-NP\tO' -p92449 -aS'tendon\ttendon\tNN\tI-NP\tO' -p92450 -aS'reflexes\treflex\tNNS\tI-NP\tO' -p92451 -aS'and\tand\tCC\tO\tO' -p92452 -aS'normal\tnormal\tJJ\tB-NP\tO' -p92453 -aS'sensation\tsensation\tNN\tI-NP\tO' -p92454 -aS'.\t.\t.\tO\tO' -p92455 -asS'9. Oxycodone 5 mg Tablet Sig : One ( 1 ) Tablet PO Q4-6H ( every 4 to 6 hours ) as needed .' -p92456 -(lp92457 -S'9.\t9.\tCD\tB-NP\tO' -p92458 -aS'Oxycodone\tOxycodone\tNN\tI-NP\tO' -p92459 -aS'5\t5\tCD\tB-NP\tO' -p92460 -aS'mg\tmg\tNN\tI-NP\tO' -p92461 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p92462 -aS'Sig\tSig\tNNP\tI-NP\tO' -p92463 -aS':\t:\t:\tO\tO' -p92464 -aS'One\tOne\tCD\tB-NP\tO' -p92465 -aS'(\t(\t(\tO\tO' -p92466 -aS'1\t1\tCD\tB-NP\tO' -p92467 -aS')\t)\t)\tO\tO' -p92468 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p92469 -aS'PO\tPO\tNN\tI-NP\tO' -p92470 -aS'Q4-6H\tQ4-6H\tNN\tI-NP\tO' -p92471 -aS'(\t(\t(\tO\tO' -p92472 -aS'every\tevery\tDT\tB-NP\tO' -p92473 -aS'4\t4\tCD\tI-NP\tO' -p92474 -aS'to\tto\tTO\tI-NP\tO' -p92475 -aS'6\t6\tCD\tI-NP\tO' -p92476 -aS'hours\thour\tNNS\tI-NP\tO' -p92477 -aS')\t)\t)\tO\tO' -p92478 -aS'as\tas\tIN\tB-SBAR\tO' -p92479 -aS'needed\tneed\tVBN\tB-VP\tO' -p92480 -aS'.\t.\t.\tO\tO' -p92481 -asS'1. Right nephrectomy .' -p92482 -(lp92483 -S'1.\t1.\tLS\tB-NP\tO' -p92484 -aS'Right\tRight\tNN\tI-NP\tO' -p92485 -aS'nephrectomy\tnephrectomy\tNN\tI-NP\tO' -p92486 -aS'.\t.\t.\tO\tO' -p92487 -asS'It is also very important that you abstain from cocaine use .' -p92488 -(lp92489 -S'It\tIt\tPRP\tB-NP\tO' -p92490 -aS'is\tbe\tVBZ\tB-VP\tO' -p92491 -aS'also\talso\tRB\tB-ADVP\tO' -p92492 -aS'very\tvery\tRB\tB-ADJP\tO' -p92493 -aS'important\timportant\tJJ\tI-ADJP\tO' -p92494 -aS'that\tthat\tIN\tB-SBAR\tO' -p92495 -aS'you\tyou\tPRP\tB-NP\tO' -p92496 -aS'abstain\tabstain\tVBP\tB-VP\tO' -p92497 -aS'from\tfrom\tIN\tB-PP\tO' -p92498 -aS'cocaine\tcocaine\tNN\tB-NP\tO' -p92499 -aS'use\tuse\tNN\tI-NP\tO' -p92500 -aS'.\t.\t.\tO\tO' -p92501 -asS'The electrocardiogram showed normal sinus rhythm at a rate of 80 with intraventricular conduction delay and poor R wave progression .' -p92502 -(lp92503 -S'The\tThe\tDT\tB-NP\tO' -p92504 -aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' -p92505 -aS'showed\tshow\tVBD\tB-VP\tO' -p92506 -aS'normal\tnormal\tJJ\tB-NP\tO' -p92507 -aS'sinus\tsinus\tNN\tI-NP\tO' -p92508 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p92509 -aS'at\tat\tIN\tB-PP\tO' -p92510 -aS'a\ta\tDT\tB-NP\tO' -p92511 -aS'rate\trate\tNN\tI-NP\tO' -p92512 -aS'of\tof\tIN\tB-PP\tO' -p92513 -aS'80\t80\tCD\tB-NP\tO' -p92514 -aS'with\twith\tIN\tB-PP\tO' -p92515 -aS'intraventricular\tintraventricular\tJJ\tB-NP\tO' -p92516 -aS'conduction\tconduction\tNN\tI-NP\tO' -p92517 -aS'delay\tdelay\tNN\tI-NP\tO' -p92518 -aS'and\tand\tCC\tO\tO' -p92519 -aS'poor\tpoor\tJJ\tB-NP\tO' -p92520 -aS'R\tR\tNN\tI-NP\tO' -p92521 -aS'wave\twave\tNN\tI-NP\tO' -p92522 -aS'progression\tprogression\tNN\tI-NP\tO' -p92523 -aS'.\t.\t.\tO\tO' -p92524 -asS'No masses or thrombi are seen in the left ventricle .' -p92525 -(lp92526 -S'No\tNo\tDT\tB-NP\tO' -p92527 -aS'masses\tmass\tNNS\tI-NP\tO' -p92528 -aS'or\tor\tCC\tI-NP\tO' -p92529 -aS'thrombi\tthrombus\tNNS\tI-NP\tO' -p92530 -aS'are\tbe\tVBP\tB-VP\tO' -p92531 -aS'seen\tsee\tVBN\tI-VP\tO' -p92532 -aS'in\tin\tIN\tB-PP\tO' -p92533 -aS'the\tthe\tDT\tB-NP\tO' -p92534 -aS'left\tleft\tJJ\tI-NP\tO' -p92535 -aS'ventricle\tventricle\tNN\tI-NP\tO' -p92536 -aS'.\t.\t.\tO\tO' -p92537 -asS'This has been followed by the Vascular Surgery Service here at the Ingree and Ot of Weamanshy Medical Center .' -p92538 -(lp92539 -S'This\tThis\tDT\tB-NP\tO' -p92540 -aS'has\thave\tVBZ\tB-VP\tO' -p92541 -aS'been\tbe\tVBN\tI-VP\tO' -p92542 -aS'followed\tfollow\tVBN\tI-VP\tO' -p92543 -aS'by\tby\tIN\tB-PP\tO' -p92544 -aS'the\tthe\tDT\tB-NP\tO' -p92545 -aS'Vascular\tVascular\tNNP\tI-NP\tO' -p92546 -aS'Surgery\tSurgery\tNNP\tI-NP\tO' -p92547 -aS'Service\tService\tNNP\tI-NP\tO' -p92548 -aS'here\there\tRB\tB-ADVP\tO' -p92549 -aS'at\tat\tIN\tB-PP\tO' -p92550 -aS'the\tthe\tDT\tB-NP\tO' -p92551 -aS'Ingree\tIngree\tNNP\tI-NP\tO' -p92552 -aS'and\tand\tCC\tI-NP\tO' -p92553 -aS'Ot\tOt\tNNP\tI-NP\tO' -p92554 -aS'of\tof\tIN\tB-PP\tO' -p92555 -aS'Weamanshy\tWeamanshy\tNNP\tB-NP\tO' -p92556 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p92557 -aS'Center\tCenter\tNNP\tI-NP\tO' -p92558 -aS'.\t.\t.\tO\tO' -p92559 -asS'10. Bisacodyl 5 mg Tablet , Delayed Release ( E.C. ) Sig : Two ( 2 ) Tablet , Delayed Release ( E.C. ) PO DAILY ( Daily ) as needed .' -p92560 -(lp92561 -S'10.\t10.\tCD\tB-NP\tO' -p92562 -aS'Bisacodyl\tBisacodyl\tNN\tI-NP\tO' -p92563 -aS'5\t5\tCD\tB-NP\tO' -p92564 -aS'mg\tmg\tNN\tI-NP\tO' -p92565 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p92566 -aS',\t,\t,\tO\tO' -p92567 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p92568 -aS'Release\tRelease\tNNP\tI-NP\tO' -p92569 -aS'(\t(\t(\tO\tO' -p92570 -aS'E.C.\tE.C.\tNNP\tB-NP\tO' -p92571 -aS')\t)\t)\tO\tO' -p92572 -aS'Sig\tSig\tNNP\tB-NP\tO' -p92573 -aS':\t:\t:\tO\tO' -p92574 -aS'Two\tTwo\tCD\tB-NP\tO' -p92575 -aS'(\t(\t(\tO\tO' -p92576 -aS'2\t2\tCD\tB-NP\tO' -p92577 -aS')\t)\t)\tO\tO' -p92578 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p92579 -aS',\t,\t,\tO\tO' -p92580 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p92581 -aS'Release\tRelease\tNNP\tI-NP\tO' -p92582 -aS'(\t(\t(\tO\tO' -p92583 -aS'E.C.\tE.C.\tNNP\tO\tO' -p92584 -aS')\t)\t)\tO\tO' -p92585 -aS'PO\tPO\tNN\tB-NP\tO' -p92586 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p92587 -aS'(\t(\t(\tO\tO' -p92588 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p92589 -aS')\t)\t)\tO\tO' -p92590 -aS'as\tas\tIN\tB-SBAR\tO' -p92591 -aS'needed\tneed\tVBN\tB-VP\tO' -p92592 -aS'.\t.\t.\tO\tO' -p92593 -asS'Bilateral tonsillar hypertrophy .' -p92594 -(lp92595 -S'Bilateral\tBilateral\tJJ\tB-NP\tO' -p92596 -aS'tonsillar\ttonsillar\tJJ\tI-NP\tO' -p92597 -aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' -p92598 -aS'.\t.\t.\tO\tO' -p92599 -asS'Tunnled catheter tip 01-08 - ngtd' -p92600 -(lp92601 -S'Tunnled\tTunnle\tVBN\tB-NP\tO' -p92602 -aS'catheter\tcatheter\tNN\tI-NP\tB-protein' -p92603 -aS'tip\ttip\tNN\tI-NP\tI-protein' -p92604 -aS'01-08\t01-08\tCD\tI-NP\tI-protein' -p92605 -aS'-\t-\tHYPH\tI-NP\tO' -p92606 -aS'ngtd\tngtd\tNN\tI-NP\tO' -p92607 -asS'The patient is a 32-year-old white female with history of diabetes type 1 and migraines who presented with complaints of nausea , diarrhea and vomiting for 24 hours .' -p92608 -(lp92609 -S'The\tThe\tDT\tB-NP\tO' -p92610 -aS'patient\tpatient\tNN\tI-NP\tO' -p92611 -aS'is\tbe\tVBZ\tB-VP\tO' -p92612 -aS'a\ta\tDT\tB-NP\tO' -p92613 -aS'32-year-old\t32-year-old\tJJ\tI-NP\tO' -p92614 -aS'white\twhite\tJJ\tI-NP\tO' -p92615 -aS'female\tfemale\tNN\tI-NP\tO' -p92616 -aS'with\twith\tIN\tB-PP\tO' -p92617 -aS'history\thistory\tNN\tB-NP\tO' -p92618 -aS'of\tof\tIN\tB-PP\tO' -p92619 -aS'diabetes\tdiabetes\tNN\tB-NP\tO' -p92620 -aS'type\ttype\tNN\tI-NP\tO' -p92621 -aS'1\t1\tCD\tI-NP\tO' -p92622 -aS'and\tand\tCC\tO\tO' -p92623 -aS'migraines\tmigraine\tNNS\tB-NP\tO' -p92624 -aS'who\twho\tWP\tB-NP\tO' -p92625 -aS'presented\tpresent\tVBD\tB-VP\tO' -p92626 -aS'with\twith\tIN\tB-PP\tO' -p92627 -aS'complaints\tcomplaint\tNNS\tB-NP\tO' -p92628 -aS'of\tof\tIN\tB-PP\tO' -p92629 -aS'nausea\tnausea\tNN\tB-NP\tO' -p92630 -aS',\t,\t,\tO\tO' -p92631 -aS'diarrhea\tdiarrhea\tNN\tB-NP\tO' -p92632 -aS'and\tand\tCC\tO\tO' -p92633 -aS'vomiting\tvomit\tVBG\tB-VP\tO' -p92634 -aS'for\tfor\tIN\tB-PP\tO' -p92635 -aS'24\t24\tCD\tB-NP\tO' -p92636 -aS'hours\thour\tNNS\tI-NP\tO' -p92637 -aS'.\t.\t.\tO\tO' -p92638 -asS'Innumerable smaller fracture fragments were interposed between the fracture fragment and the distal humeral shaft .' -p92639 -(lp92640 -S'Innumerable\tInnumerable\tJJ\tB-NP\tO' -p92641 -aS'smaller\tsmall\tJJR\tI-NP\tO' -p92642 -aS'fracture\tfracture\tNN\tI-NP\tB-DNA' -p92643 -aS'fragments\tfragment\tNNS\tI-NP\tI-DNA' -p92644 -aS'were\tbe\tVBD\tB-VP\tO' -p92645 -aS'interposed\tinterpose\tVBN\tI-VP\tO' -p92646 -aS'between\tbetween\tIN\tB-PP\tO' -p92647 -aS'the\tthe\tDT\tB-NP\tO' -p92648 -aS'fracture\tfracture\tNN\tI-NP\tB-DNA' -p92649 -aS'fragment\tfragment\tNN\tI-NP\tI-DNA' -p92650 -aS'and\tand\tCC\tO\tO' -p92651 -aS'the\tthe\tDT\tB-NP\tO' -p92652 -aS'distal\tdistal\tJJ\tI-NP\tO' -p92653 -aS'humeral\thumeral\tJJ\tI-NP\tO' -p92654 -aS'shaft\tshaft\tNN\tI-NP\tO' -p92655 -aS'.\t.\t.\tO\tO' -p92656 -asS'Colonoscopy .' -p92657 -(lp92658 -S'Colonoscopy\tColonoscopy\tNNP\tB-NP\tO' -p92659 -aS'.\t.\t.\tO\tO' -p92660 -asS'Due to progressing labor and presentation of twins , delivery was by Cesarean section .' -p92661 -(lp92662 -S'Due\tDue\tJJ\tB-ADJP\tO' -p92663 -aS'to\tto\tTO\tB-PP\tO' -p92664 -aS'progressing\tprogress\tVBG\tB-VP\tO' -p92665 -aS'labor\tlabor\tNN\tB-NP\tO' -p92666 -aS'and\tand\tCC\tO\tO' -p92667 -aS'presentation\tpresentation\tNN\tB-NP\tO' -p92668 -aS'of\tof\tIN\tB-PP\tO' -p92669 -aS'twins\ttwin\tNNS\tB-NP\tO' -p92670 -aS',\t,\t,\tO\tO' -p92671 -aS'delivery\tdelivery\tNN\tB-NP\tO' -p92672 -aS'was\tbe\tVBD\tB-VP\tO' -p92673 -aS'by\tby\tIN\tB-PP\tO' -p92674 -aS'Cesarean\tCesarean\tJJ\tB-NP\tO' -p92675 -aS'section\tsection\tNN\tI-NP\tO' -p92676 -aS'.\t.\t.\tO\tO' -p92677 -asS"The patient 's family refused coronary artery catheterization ." -p92678 -(lp92679 -S'The\tThe\tDT\tB-NP\tO' -p92680 -aS'patient\tpatient\tNN\tI-NP\tO' -p92681 -aS"'s\t's\tPOS\tB-NP\tO" -p92682 -aS'family\tfamily\tNN\tI-NP\tO' -p92683 -aS'refused\trefuse\tVBD\tB-VP\tO' -p92684 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p92685 -aS'artery\tartery\tNN\tI-NP\tO' -p92686 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p92687 -aS'.\t.\t.\tO\tO' -p92688 -asS'Please continue Dilantin as directed for seizure prophylaxis .' -p92689 -(lp92690 -S'Please\tPlease\tVB\tB-VP\tO' -p92691 -aS'continue\tcontinue\tVB\tI-VP\tO' -p92692 -aS'Dilantin\tDilantin\tNN\tB-NP\tB-protein' -p92693 -aS'as\tas\tIN\tB-SBAR\tO' -p92694 -aS'directed\tdirect\tVBN\tB-VP\tO' -p92695 -aS'for\tfor\tIN\tB-PP\tO' -p92696 -aS'seizure\tseizure\tNN\tB-NP\tO' -p92697 -aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' -p92698 -aS'.\t.\t.\tO\tO' -p92699 -asS'Creatine kinase at 11 a.m. was 83 , at 5 p.m. was 3021 .' -p92700 -(lp92701 -S'Creatine\tCreatine\tNN\tB-NP\tB-protein' -p92702 -aS'kinase\tkinase\tNN\tI-NP\tI-protein' -p92703 -aS'at\tat\tIN\tB-PP\tO' -p92704 -aS'11\t11\tCD\tB-NP\tO' -p92705 -aS'a.m.\ta.m.\tNN\tI-NP\tO' -p92706 -aS'was\tbe\tVBD\tB-VP\tO' -p92707 -aS'83\t83\tCD\tB-NP\tO' -p92708 -aS',\t,\t,\tO\tO' -p92709 -aS'at\tat\tIN\tB-PP\tO' -p92710 -aS'5\t5\tCD\tB-NP\tO' -p92711 -aS'p.m.\tp.m.\tNN\tI-NP\tO' -p92712 -aS'was\tbe\tVBD\tB-VP\tO' -p92713 -aS'3021\t3021\tCD\tB-NP\tO' -p92714 -aS'.\t.\t.\tO\tO' -p92715 -asS'Pulses 2+ .' -p92716 -(lp92717 -S'Pulses\tPulse\tNNS\tB-NP\tO' -p92718 -aS'2+\t2+\tJJ\tB-ADJP\tO' -p92719 -aS'.\t.\t.\tO\tO' -p92720 -asS'Baby Mary Stead initially presented with significant subgaleal bleed as well as a small subdural hemorrhage .' -p92721 -(lp92722 -S'Baby\tBaby\tNNP\tB-NP\tO' -p92723 -aS'Mary\tMary\tNNP\tI-NP\tO' -p92724 -aS'Stead\tStead\tNNP\tI-NP\tO' -p92725 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p92726 -aS'presented\tpresent\tVBD\tB-VP\tO' -p92727 -aS'with\twith\tIN\tB-PP\tO' -p92728 -aS'significant\tsignificant\tJJ\tB-NP\tO' -p92729 -aS'subgaleal\tsubgaleal\tJJ\tI-NP\tO' -p92730 -aS'bleed\tbleed\tNN\tI-NP\tO' -p92731 -aS'as\tas\tRB\tB-CONJP\tO' -p92732 -aS'well\twell\tRB\tI-CONJP\tO' -p92733 -aS'as\tas\tIN\tI-CONJP\tO' -p92734 -aS'a\ta\tDT\tB-NP\tO' -p92735 -aS'small\tsmall\tJJ\tI-NP\tO' -p92736 -aS'subdural\tsubdural\tJJ\tI-NP\tO' -p92737 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p92738 -aS'.\t.\t.\tO\tO' -p92739 -asS'The patient subsequently developed diffuse abdominal pain , nausea , vomiting , and decreased p.o. intake .' -p92740 -(lp92741 -S'The\tThe\tDT\tB-NP\tO' -p92742 -aS'patient\tpatient\tNN\tI-NP\tO' -p92743 -aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' -p92744 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p92745 -aS'diffuse\tdiffuse\tJJ\tB-NP\tO' -p92746 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p92747 -aS'pain\tpain\tNN\tI-NP\tO' -p92748 -aS',\t,\t,\tO\tO' -p92749 -aS'nausea\tnausea\tNN\tB-NP\tO' -p92750 -aS',\t,\t,\tO\tO' -p92751 -aS'vomiting\tvomiting\tNN\tB-NP\tO' -p92752 -aS',\t,\t,\tO\tO' -p92753 -aS'and\tand\tCC\tO\tO' -p92754 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p92755 -aS'p.o.\tp.o.\tFW\tB-NP\tO' -p92756 -aS'intake\tintake\tNN\tI-NP\tO' -p92757 -aS'.\t.\t.\tO\tO' -p92758 -asS'In summary , patient is a 53 - year-old female with multiple medical problems and history of depression with intentional overdose of barbiturates , opiates , Tylenol , and beta blocker .' -p92759 -(lp92760 -S'In\tIn\tIN\tB-PP\tO' -p92761 -aS'summary\tsummary\tNN\tB-NP\tO' -p92762 -aS',\t,\t,\tO\tO' -p92763 -aS'patient\tpatient\tNN\tB-NP\tO' -p92764 -aS'is\tbe\tVBZ\tB-VP\tO' -p92765 -aS'a\ta\tDT\tB-NP\tO' -p92766 -aS'53\t53\tCD\tI-NP\tO' -p92767 -aS'-\t-\tHYPH\tI-NP\tO' -p92768 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p92769 -aS'female\tfemale\tNN\tI-NP\tO' -p92770 -aS'with\twith\tIN\tB-PP\tO' -p92771 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p92772 -aS'medical\tmedical\tJJ\tI-NP\tO' -p92773 -aS'problems\tproblem\tNNS\tI-NP\tO' -p92774 -aS'and\tand\tCC\tO\tO' -p92775 -aS'history\thistory\tNN\tB-NP\tO' -p92776 -aS'of\tof\tIN\tB-PP\tO' -p92777 -aS'depression\tdepression\tNN\tB-NP\tO' -p92778 -aS'with\twith\tIN\tB-PP\tO' -p92779 -aS'intentional\tintentional\tJJ\tB-NP\tO' -p92780 -aS'overdose\toverdose\tNN\tI-NP\tO' -p92781 -aS'of\tof\tIN\tB-PP\tO' -p92782 -aS'barbiturates\tbarbiturate\tNNS\tB-NP\tO' -p92783 -aS',\t,\t,\tO\tO' -p92784 -aS'opiates\topiate\tNNS\tB-NP\tO' -p92785 -aS',\t,\t,\tO\tO' -p92786 -aS'Tylenol\tTylenol\tNN\tB-NP\tO' -p92787 -aS',\t,\t,\tO\tO' -p92788 -aS'and\tand\tCC\tO\tO' -p92789 -aS'beta\tbeta\tNN\tB-NP\tO' -p92790 -aS'blocker\tblocker\tNN\tI-NP\tO' -p92791 -aS'.\t.\t.\tO\tO' -p92792 -asS'She required intubation for mild to moderate congestive heart failure , treated with diuretics , intravenous nitroglycerin and heparin .' -p92793 -(lp92794 -S'She\tShe\tPRP\tB-NP\tO' -p92795 -aS'required\trequire\tVBD\tB-VP\tO' -p92796 -aS'intubation\tintubation\tNN\tB-NP\tO' -p92797 -aS'for\tfor\tIN\tB-PP\tO' -p92798 -aS'mild\tmild\tJJ\tB-ADJP\tO' -p92799 -aS'to\tto\tTO\tB-PP\tO' -p92800 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p92801 -aS'congestive\tcongestive\tJJ\tI-NP\tO' -p92802 -aS'heart\theart\tNN\tI-NP\tO' -p92803 -aS'failure\tfailure\tNN\tI-NP\tO' -p92804 -aS',\t,\t,\tO\tO' -p92805 -aS'treated\ttreat\tVBN\tB-VP\tO' -p92806 -aS'with\twith\tIN\tB-PP\tO' -p92807 -aS'diuretics\tdiuretic\tNNS\tB-NP\tO' -p92808 -aS',\t,\t,\tO\tO' -p92809 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p92810 -aS'nitroglycerin\tnitroglycerin\tNN\tI-NP\tO' -p92811 -aS'and\tand\tCC\tI-NP\tO' -p92812 -aS'heparin\theparin\tNN\tI-NP\tO' -p92813 -aS'.\t.\t.\tO\tO' -p92814 -asS'The patient was initially maintained on intravenous fluids only and when his respiratory distress resolved he was transitioned to enteral feeds .' -p92815 -(lp92816 -S'The\tThe\tDT\tB-NP\tO' -p92817 -aS'patient\tpatient\tNN\tI-NP\tO' -p92818 -aS'was\tbe\tVBD\tB-VP\tO' -p92819 -aS'initially\tinitially\tRB\tI-VP\tO' -p92820 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p92821 -aS'on\ton\tIN\tB-PP\tO' -p92822 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p92823 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p92824 -aS'only\tonly\tRB\tB-ADVP\tO' -p92825 -aS'and\tand\tCC\tO\tO' -p92826 -aS'when\twhen\tWRB\tB-ADVP\tO' -p92827 -aS'his\this\tPRP$\tB-NP\tO' -p92828 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p92829 -aS'distress\tdistress\tNN\tI-NP\tO' -p92830 -aS'resolved\tresolve\tVBD\tB-VP\tO' -p92831 -aS'he\the\tPRP\tB-NP\tO' -p92832 -aS'was\tbe\tVBD\tB-VP\tO' -p92833 -aS'transitioned\ttransitione\tVBN\tI-VP\tO' -p92834 -aS'to\tto\tTO\tB-PP\tO' -p92835 -aS'enteral\tenteral\tJJ\tB-NP\tO' -p92836 -aS'feeds\tfeed\tNNS\tI-NP\tO' -p92837 -aS'.\t.\t.\tO\tO' -p92838 -asS'She was afebrile and her vital signs were stable .' -p92839 -(lp92840 -S'She\tShe\tPRP\tB-NP\tO' -p92841 -aS'was\tbe\tVBD\tB-VP\tO' -p92842 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p92843 -aS'and\tand\tCC\tO\tO' -p92844 -aS'her\ther\tPRP$\tB-NP\tO' -p92845 -aS'vital\tvital\tJJ\tI-NP\tO' -p92846 -aS'signs\tsign\tNNS\tI-NP\tO' -p92847 -aS'were\tbe\tVBD\tB-VP\tO' -p92848 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p92849 -aS'.\t.\t.\tO\tO' -p92850 -asS'Face is stable .' -p92851 -(lp92852 -S'Face\tFace\tNNP\tB-NP\tO' -p92853 -aS'is\tbe\tVBZ\tB-VP\tO' -p92854 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p92855 -aS'.\t.\t.\tO\tO' -p92856 -asS'coumadin held on 01-22 for PORT removal , and restarted on 01-24 .' -p92857 -(lp92858 -S'coumadin\tcoumadin\tNN\tB-NP\tO' -p92859 -aS'held\thold\tVBN\tB-VP\tO' -p92860 -aS'on\ton\tIN\tB-PP\tO' -p92861 -aS'01-22\t01-22\tNN\tB-NP\tO' -p92862 -aS'for\tfor\tIN\tB-PP\tO' -p92863 -aS'PORT\tPORT\tNN\tB-NP\tO' -p92864 -aS'removal\tremoval\tNN\tI-NP\tO' -p92865 -aS',\t,\t,\tO\tO' -p92866 -aS'and\tand\tCC\tO\tO' -p92867 -aS'restarted\trestart\tVBD\tB-VP\tO' -p92868 -aS'on\ton\tIN\tB-PP\tO' -p92869 -aS'01-24\t01-24\tCD\tB-NP\tO' -p92870 -aS'.\t.\t.\tO\tO' -p92871 -asS'Serial arterial blood gases were followed after an arterial line was placed .' -p92872 -(lp92873 -S'Serial\tSerial\tJJ\tB-NP\tB-protein' -p92874 -aS'arterial\tarterial\tJJ\tI-NP\tI-protein' -p92875 -aS'blood\tblood\tNN\tI-NP\tI-protein' -p92876 -aS'gases\tgas\tNNS\tI-NP\tI-protein' -p92877 -aS'were\tbe\tVBD\tB-VP\tO' -p92878 -aS'followed\tfollow\tVBN\tI-VP\tO' -p92879 -aS'after\tafter\tIN\tB-PP\tO' -p92880 -aS'an\tan\tDT\tB-NP\tO' -p92881 -aS'arterial\tarterial\tJJ\tI-NP\tO' -p92882 -aS'line\tline\tNN\tI-NP\tO' -p92883 -aS'was\tbe\tVBD\tB-VP\tO' -p92884 -aS'placed\tplace\tVBN\tI-VP\tO' -p92885 -aS'.\t.\t.\tO\tO' -p92886 -asS'immunotyping negative .' -p92887 -(lp92888 -S'immunotyping\timmunotyping\tNN\tB-NP\tO' -p92889 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p92890 -aS'.\t.\t.\tO\tO' -p92891 -asS'Telephone No. : ( 309 ) 642-6861 fax ( 515 ) 568-6798 .' -p92892 -(lp92893 -S'Telephone\tTelephone\tNN\tB-NP\tO' -p92894 -aS'No.\tNo.\tNN\tI-NP\tO' -p92895 -aS':\t:\t:\tO\tO' -p92896 -aS'(\t(\t(\tO\tO' -p92897 -aS'309\t309\tCD\tB-NP\tO' -p92898 -aS')\t)\t)\tO\tO' -p92899 -aS'642-6861\t642-6861\tCD\tB-NP\tO' -p92900 -aS'fax\tfax\tNN\tI-NP\tO' -p92901 -aS'(\t(\t(\tO\tO' -p92902 -aS'515\t515\tCD\tB-NP\tO' -p92903 -aS')\t)\t)\tO\tO' -p92904 -aS'568-6798\t568-6798\tCD\tB-NP\tO' -p92905 -aS'.\t.\t.\tO\tO' -p92906 -asS'Signed electronically by : DR. Tracey Mccourtney on : MON 2014-05-05 10:26 PM' -p92907 -(lp92908 -S'Signed\tSign\tVBN\tB-VP\tO' -p92909 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p92910 -aS'by\tby\tIN\tB-PP\tO' -p92911 -aS':\t:\t:\tO\tO' -p92912 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p92913 -aS'Tracey\tTracey\tNNP\tI-NP\tO' -p92914 -aS'Mccourtney\tMccourtney\tNNP\tI-NP\tO' -p92915 -aS'on\ton\tIN\tB-PP\tO' -p92916 -aS':\t:\t:\tO\tO' -p92917 -aS'MON\tMON\tNN\tB-NP\tO' -p92918 -aS'2014-05-05\t2014-05-05\tCD\tI-NP\tO' -p92919 -aS'10:26\t10:26\tCD\tI-NP\tO' -p92920 -aS'PM\tPM\tNN\tI-NP\tO' -p92921 -asS'No maternal fever .' -p92922 -(lp92923 -S'No\tNo\tDT\tB-NP\tO' -p92924 -aS'maternal\tmaternal\tJJ\tI-NP\tO' -p92925 -aS'fever\tfever\tNN\tI-NP\tO' -p92926 -aS'.\t.\t.\tO\tO' -p92927 -asS'He was most recently discharged from Oaksgekesser/ Memorial Hospital on 03/06/99 and was then transferred to Linghs County Medical Center from which he was discharged on 03/20/99 .' -p92928 -(lp92929 -S'He\tHe\tPRP\tB-NP\tO' -p92930 -aS'was\tbe\tVBD\tB-VP\tO' -p92931 -aS'most\tmost\tRBS\tI-VP\tO' -p92932 -aS'recently\trecently\tRB\tI-VP\tO' -p92933 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p92934 -aS'from\tfrom\tIN\tB-PP\tO' -p92935 -aS'Oaksgekesser/\tOaksgekesser/\tNNP\tB-NP\tO' -p92936 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p92937 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p92938 -aS'on\ton\tIN\tB-PP\tO' -p92939 -aS'03/06/99\t03/06/99\tCD\tB-NP\tO' -p92940 -aS'and\tand\tCC\tO\tO' -p92941 -aS'was\tbe\tVBD\tB-VP\tO' -p92942 -aS'then\tthen\tRB\tI-VP\tO' -p92943 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p92944 -aS'to\tto\tTO\tB-PP\tO' -p92945 -aS'Linghs\tLinghs\tNNP\tB-NP\tO' -p92946 -aS'County\tCounty\tNNP\tI-NP\tO' -p92947 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p92948 -aS'Center\tCenter\tNNP\tI-NP\tO' -p92949 -aS'from\tfrom\tIN\tB-PP\tO' -p92950 -aS'which\twhich\tWDT\tB-NP\tO' -p92951 -aS'he\the\tPRP\tB-NP\tO' -p92952 -aS'was\tbe\tVBD\tB-VP\tO' -p92953 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p92954 -aS'on\ton\tIN\tB-PP\tO' -p92955 -aS'03/20/99\t03/20/99\tCD\tB-NP\tO' -p92956 -aS'.\t.\t.\tO\tO' -p92957 -asS'There is no evidence of subarachnoid hemorrhage or acute major vascular territorial infarction .' -p92958 -(lp92959 -S'There\tThere\tEX\tB-NP\tO' -p92960 -aS'is\tbe\tVBZ\tB-VP\tO' -p92961 -aS'no\tno\tDT\tB-NP\tO' -p92962 -aS'evidence\tevidence\tNN\tI-NP\tO' -p92963 -aS'of\tof\tIN\tB-PP\tO' -p92964 -aS'subarachnoid\tsubarachnoid\tJJ\tB-NP\tO' -p92965 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p92966 -aS'or\tor\tCC\tO\tO' -p92967 -aS'acute\tacute\tJJ\tB-NP\tO' -p92968 -aS'major\tmajor\tJJ\tI-NP\tO' -p92969 -aS'vascular\tvascular\tJJ\tI-NP\tO' -p92970 -aS'territorial\tterritorial\tNN\tI-NP\tO' -p92971 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p92972 -aS'.\t.\t.\tO\tO' -p92973 -asS'The patient remembers the presidents as Carter-Bush-Regan-Truman-Roosevelt .' -p92974 -(lp92975 -S'The\tThe\tDT\tB-NP\tO' -p92976 -aS'patient\tpatient\tNN\tI-NP\tO' -p92977 -aS'remembers\tremember\tVBZ\tB-VP\tO' -p92978 -aS'the\tthe\tDT\tB-NP\tO' -p92979 -aS'presidents\tpresident\tNNS\tI-NP\tO' -p92980 -aS'as\tas\tIN\tB-PP\tO' -p92981 -aS'Carter-Bush-Regan-Truman-Roosevelt\tCarter-Bush-Regan-Truman-Roosevelt\tNNP\tB-NP\tO' -p92982 -aS'.\t.\t.\tO\tO' -p92983 -asS'The patient is a 30 and 08-01 week gestation female , triplet number two , delivered by cesarean section due to progressive preterm labor and triplet gestation .' -p92984 -(lp92985 -S'The\tThe\tDT\tB-NP\tO' -p92986 -aS'patient\tpatient\tNN\tI-NP\tO' -p92987 -aS'is\tbe\tVBZ\tB-VP\tO' -p92988 -aS'a\ta\tDT\tB-NP\tO' -p92989 -aS'30\t30\tCD\tI-NP\tO' -p92990 -aS'and\tand\tCC\tI-NP\tO' -p92991 -aS'08-01\t08-01\tCD\tI-NP\tO' -p92992 -aS'week\tweek\tNN\tI-NP\tO' -p92993 -aS'gestation\tgestation\tNN\tI-NP\tO' -p92994 -aS'female\tfemale\tNN\tI-NP\tO' -p92995 -aS',\t,\t,\tO\tO' -p92996 -aS'triplet\ttriplet\tJJ\tB-NP\tO' -p92997 -aS'number\tnumber\tNN\tI-NP\tO' -p92998 -aS'two\ttwo\tCD\tB-NP\tO' -p92999 -aS',\t,\t,\tO\tO' -p93000 -aS'delivered\tdeliver\tVBN\tB-VP\tO' -p93001 -aS'by\tby\tIN\tB-PP\tO' -p93002 -aS'cesarean\tcesarean\tJJ\tB-NP\tO' -p93003 -aS'section\tsection\tNN\tI-NP\tO' -p93004 -aS'due\tdue\tJJ\tB-PP\tO' -p93005 -aS'to\tto\tTO\tB-PP\tO' -p93006 -aS'progressive\tprogressive\tJJ\tB-NP\tO' -p93007 -aS'preterm\tpreterm\tJJ\tI-NP\tO' -p93008 -aS'labor\tlabor\tNN\tI-NP\tO' -p93009 -aS'and\tand\tCC\tO\tO' -p93010 -aS'triplet\ttriplet\tVB\tB-VP\tO' -p93011 -aS'gestation\tgestation\tNN\tB-NP\tO' -p93012 -aS'.\t.\t.\tO\tO' -p93013 -asS"He was transfused 3 units pRBC 's near the end of his hospitalization and had an appropriate bump ." -p93014 -(lp93015 -S'He\tHe\tPRP\tB-NP\tO' -p93016 -aS'was\tbe\tVBD\tB-VP\tO' -p93017 -aS'transfused\ttransfuse\tVBN\tI-VP\tO' -p93018 -aS'3\t3\tCD\tB-NP\tO' -p93019 -aS'units\tunit\tNNS\tI-NP\tO' -p93020 -aS'pRBC\tpRBC\tNN\tI-NP\tO' -p93021 -aS"'s\t's\tPOS\tB-NP\tO" -p93022 -aS'near\tnear\tIN\tB-PP\tO' -p93023 -aS'the\tthe\tDT\tB-NP\tO' -p93024 -aS'end\tend\tNN\tI-NP\tO' -p93025 -aS'of\tof\tIN\tB-PP\tO' -p93026 -aS'his\this\tPRP$\tB-NP\tO' -p93027 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p93028 -aS'and\tand\tCC\tO\tO' -p93029 -aS'had\thave\tVBD\tB-VP\tO' -p93030 -aS'an\tan\tDT\tB-NP\tO' -p93031 -aS'appropriate\tappropriate\tJJ\tI-NP\tO' -p93032 -aS'bump\tbump\tNN\tI-NP\tO' -p93033 -aS'.\t.\t.\tO\tO' -p93034 -asS'The patient denied any tobacco or alcohol history .' -p93035 -(lp93036 -S'The\tThe\tDT\tB-NP\tO' -p93037 -aS'patient\tpatient\tNN\tI-NP\tO' -p93038 -aS'denied\tdeny\tVBD\tB-VP\tO' -p93039 -aS'any\tany\tDT\tB-NP\tO' -p93040 -aS'tobacco\ttobacco\tNN\tI-NP\tO' -p93041 -aS'or\tor\tCC\tI-NP\tO' -p93042 -aS'alcohol\talcohol\tNN\tI-NP\tO' -p93043 -aS'history\thistory\tNN\tI-NP\tO' -p93044 -aS'.\t.\t.\tO\tO' -p93045 -asS'You were treated with blood thinners .' -p93046 -(lp93047 -S'You\tYou\tPRP\tB-NP\tO' -p93048 -aS'were\tbe\tVBD\tB-VP\tO' -p93049 -aS'treated\ttreat\tVBN\tI-VP\tO' -p93050 -aS'with\twith\tIN\tB-PP\tO' -p93051 -aS'blood\tblood\tNN\tB-NP\tO' -p93052 -aS'thinners\tthinner\tNNS\tI-NP\tO' -p93053 -aS'.\t.\t.\tO\tO' -p93054 -asS'Should this become available , an addendum will be issued to this report following the comparison with the outside examination .' -p93055 -(lp93056 -S'Should\tShould\tMD\tO\tO' -p93057 -aS'this\tthis\tDT\tB-NP\tO' -p93058 -aS'become\tbecome\tVB\tB-VP\tO' -p93059 -aS'available\tavailable\tJJ\tB-ADJP\tO' -p93060 -aS',\t,\t,\tO\tO' -p93061 -aS'an\tan\tDT\tB-NP\tO' -p93062 -aS'addendum\taddendum\tNN\tI-NP\tO' -p93063 -aS'will\twill\tMD\tB-VP\tO' -p93064 -aS'be\tbe\tVB\tI-VP\tO' -p93065 -aS'issued\tissue\tVBN\tI-VP\tO' -p93066 -aS'to\tto\tTO\tB-PP\tO' -p93067 -aS'this\tthis\tDT\tB-NP\tO' -p93068 -aS'report\treport\tNN\tI-NP\tO' -p93069 -aS'following\tfollow\tVBG\tB-PP\tO' -p93070 -aS'the\tthe\tDT\tB-NP\tO' -p93071 -aS'comparison\tcomparison\tNN\tI-NP\tO' -p93072 -aS'with\twith\tIN\tB-PP\tO' -p93073 -aS'the\tthe\tDT\tB-NP\tO' -p93074 -aS'outside\toutside\tJJ\tI-NP\tO' -p93075 -aS'examination\texamination\tNN\tI-NP\tO' -p93076 -aS'.\t.\t.\tO\tO' -p93077 -asS'The patient remained gravely ill throughout his hospital stay and had multiple meetings were held with his family with his son being his next of kin .' -p93078 -(lp93079 -S'The\tThe\tDT\tB-NP\tO' -p93080 -aS'patient\tpatient\tNN\tI-NP\tO' -p93081 -aS'remained\tremain\tVBD\tB-VP\tO' -p93082 -aS'gravely\tgravely\tRB\tB-ADJP\tO' -p93083 -aS'ill\till\tRB\tI-ADJP\tO' -p93084 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p93085 -aS'his\this\tPRP$\tB-NP\tO' -p93086 -aS'hospital\thospital\tNN\tI-NP\tO' -p93087 -aS'stay\tstay\tNN\tI-NP\tO' -p93088 -aS'and\tand\tCC\tO\tO' -p93089 -aS'had\thave\tVBD\tB-VP\tO' -p93090 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p93091 -aS'meetings\tmeeting\tNNS\tI-NP\tO' -p93092 -aS'were\tbe\tVBD\tB-VP\tO' -p93093 -aS'held\thold\tVBN\tI-VP\tO' -p93094 -aS'with\twith\tIN\tB-PP\tO' -p93095 -aS'his\this\tPRP$\tB-NP\tO' -p93096 -aS'family\tfamily\tNN\tI-NP\tO' -p93097 -aS'with\twith\tIN\tB-PP\tO' -p93098 -aS'his\this\tPRP$\tB-NP\tO' -p93099 -aS'son\tson\tNN\tI-NP\tO' -p93100 -aS'being\tbe\tVBG\tB-VP\tO' -p93101 -aS'his\this\tPRP$\tB-NP\tO' -p93102 -aS'next\tnext\tNN\tI-NP\tO' -p93103 -aS'of\tof\tIN\tB-PP\tO' -p93104 -aS'kin\tkin\tNN\tB-NP\tO' -p93105 -aS'.\t.\t.\tO\tO' -p93106 -asS'FINDINGS : There is a linear nondepressed right temporal calvarial fracture extending into the mastoid process .' -p93107 -(lp93108 -S'FINDINGS\tFINDINGS\tNNS\tB-NP\tO' -p93109 -aS':\t:\t:\tO\tO' -p93110 -aS'There\tThere\tEX\tB-NP\tO' -p93111 -aS'is\tbe\tVBZ\tB-VP\tO' -p93112 -aS'a\ta\tDT\tB-NP\tO' -p93113 -aS'linear\tlinear\tJJ\tI-NP\tO' -p93114 -aS'nondepressed\tnondepressed\tJJ\tI-NP\tO' -p93115 -aS'right\tright\tJJ\tI-NP\tO' -p93116 -aS'temporal\ttemporal\tJJ\tI-NP\tO' -p93117 -aS'calvarial\tcalvarial\tJJ\tI-NP\tO' -p93118 -aS'fracture\tfracture\tNN\tI-NP\tO' -p93119 -aS'extending\textend\tVBG\tB-VP\tO' -p93120 -aS'into\tinto\tIN\tB-PP\tO' -p93121 -aS'the\tthe\tDT\tB-NP\tO' -p93122 -aS'mastoid\tmastoid\tJJ\tI-NP\tO' -p93123 -aS'process\tprocess\tNN\tI-NP\tO' -p93124 -aS'.\t.\t.\tO\tO' -p93125 -asS'Do not drive for 1 month .' -p93126 -(lp93127 -S'Do\tDo\tVBP\tB-VP\tO' -p93128 -aS'not\tnot\tRB\tI-VP\tO' -p93129 -aS'drive\tdrive\tVB\tI-VP\tO' -p93130 -aS'for\tfor\tIN\tB-PP\tO' -p93131 -aS'1\t1\tCD\tB-NP\tO' -p93132 -aS'month\tmonth\tNN\tI-NP\tO' -p93133 -aS'.\t.\t.\tO\tO' -p93134 -asS'She will be discharged to home with followup with Dr. Wilson in two weeks with a repeat head CT .' -p93135 -(lp93136 -S'She\tShe\tPRP\tB-NP\tO' -p93137 -aS'will\twill\tMD\tB-VP\tO' -p93138 -aS'be\tbe\tVB\tI-VP\tO' -p93139 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p93140 -aS'to\tto\tTO\tB-PP\tO' -p93141 -aS'home\thome\tNN\tB-NP\tO' -p93142 -aS'with\twith\tIN\tB-PP\tO' -p93143 -aS'followup\tfollowup\tNN\tB-NP\tO' -p93144 -aS'with\twith\tIN\tB-PP\tO' -p93145 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p93146 -aS'Wilson\tWilson\tNNP\tI-NP\tO' -p93147 -aS'in\tin\tIN\tB-PP\tO' -p93148 -aS'two\ttwo\tCD\tB-NP\tO' -p93149 -aS'weeks\tweek\tNNS\tI-NP\tO' -p93150 -aS'with\twith\tIN\tB-PP\tO' -p93151 -aS'a\ta\tDT\tB-NP\tO' -p93152 -aS'repeat\trepeat\tNN\tI-NP\tO' -p93153 -aS'head\thead\tNN\tI-NP\tO' -p93154 -aS'CT\tCT\tNN\tI-NP\tO' -p93155 -aS'.\t.\t.\tO\tO' -p93156 -asS'She was also on Fluconazole for some oral thrush which was inadvertently continued for a total of thirty days .' -p93157 -(lp93158 -S'She\tShe\tPRP\tB-NP\tO' -p93159 -aS'was\tbe\tVBD\tB-VP\tO' -p93160 -aS'also\talso\tRB\tB-ADVP\tO' -p93161 -aS'on\ton\tIN\tB-PP\tO' -p93162 -aS'Fluconazole\tFluconazole\tNN\tB-NP\tO' -p93163 -aS'for\tfor\tIN\tB-PP\tO' -p93164 -aS'some\tsome\tDT\tB-NP\tO' -p93165 -aS'oral\toral\tJJ\tI-NP\tO' -p93166 -aS'thrush\tthrush\tNN\tI-NP\tO' -p93167 -aS'which\twhich\tWDT\tB-NP\tO' -p93168 -aS'was\tbe\tVBD\tB-VP\tO' -p93169 -aS'inadvertently\tinadvertently\tRB\tI-VP\tO' -p93170 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p93171 -aS'for\tfor\tIN\tB-PP\tO' -p93172 -aS'a\ta\tDT\tB-NP\tO' -p93173 -aS'total\ttotal\tNN\tI-NP\tO' -p93174 -aS'of\tof\tIN\tB-PP\tO' -p93175 -aS'thirty\tthirty\tCD\tB-NP\tO' -p93176 -aS'days\tday\tNNS\tI-NP\tO' -p93177 -aS'.\t.\t.\tO\tO' -p93178 -asS'In addition , his albumin today is 2.5 .' -p93179 -(lp93180 -S'In\tIn\tIN\tB-PP\tO' -p93181 -aS'addition\taddition\tNN\tB-NP\tO' -p93182 -aS',\t,\t,\tO\tO' -p93183 -aS'his\this\tPRP$\tB-NP\tO' -p93184 -aS'albumin\talbumin\tNN\tI-NP\tO' -p93185 -aS'today\ttoday\tNN\tB-NP\tO' -p93186 -aS'is\tbe\tVBZ\tB-VP\tO' -p93187 -aS'2.5\t2.5\tCD\tB-NP\tO' -p93188 -aS'.\t.\t.\tO\tO' -p93189 -asS'Later on op day sedation was weaned , she awoke neurologically intact and was extubated .' -p93190 -(lp93191 -S'Later\tLater\tRB\tB-ADVP\tO' -p93192 -aS'on\ton\tIN\tB-PP\tO' -p93193 -aS'op\top\tNN\tB-NP\tO' -p93194 -aS'day\tday\tNN\tI-NP\tO' -p93195 -aS'sedation\tsedation\tNN\tI-NP\tO' -p93196 -aS'was\tbe\tVBD\tB-VP\tO' -p93197 -aS'weaned\twean\tVBN\tI-VP\tO' -p93198 -aS',\t,\t,\tO\tO' -p93199 -aS'she\tshe\tPRP\tB-NP\tO' -p93200 -aS'awoke\tawake\tVBD\tB-VP\tO' -p93201 -aS'neurologically\tneurologically\tRB\tB-ADJP\tO' -p93202 -aS'intact\tintact\tJJ\tI-ADJP\tO' -p93203 -aS'and\tand\tCC\tO\tO' -p93204 -aS'was\tbe\tVBD\tB-VP\tO' -p93205 -aS'extubated\textubate\tVBN\tI-VP\tO' -p93206 -aS'.\t.\t.\tO\tO' -p93207 -asS'He denies any visual symptoms or cortical-type symptoms .' -p93208 -(lp93209 -S'He\tHe\tPRP\tB-NP\tO' -p93210 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p93211 -aS'any\tany\tDT\tB-NP\tO' -p93212 -aS'visual\tvisual\tJJ\tI-NP\tO' -p93213 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p93214 -aS'or\tor\tCC\tO\tO' -p93215 -aS'cortical-type\tcortical-type\tJJ\tB-NP\tO' -p93216 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p93217 -aS'.\t.\t.\tO\tO' -p93218 -asS'In Monica : vitals : T 98.8 P 98 BP 136/68 R 29 Sat 98% RAPt had NG lavage which evantually cleared up , also was transfused 1U PRBC , GI consult called , also got zofran and iv protonix .' -p93219 -(lp93220 -S'In\tIn\tIN\tB-PP\tO' -p93221 -aS'Monica\tMonica\tNNP\tB-NP\tO' -p93222 -aS':\t:\t:\tO\tO' -p93223 -aS'vitals\tvital\tNNS\tB-NP\tO' -p93224 -aS':\t:\t:\tO\tO' -p93225 -aS'T\tT\tNN\tB-NP\tO' -p93226 -aS'98.8\t98.8\tCD\tB-NP\tO' -p93227 -aS'P\tP\tNN\tI-NP\tB-protein' -p93228 -aS'98\t98\tCD\tB-NP\tI-protein' -p93229 -aS'BP\tBP\tNN\tI-NP\tI-protein' -p93230 -aS'136/68\t136/68\tCD\tB-NP\tI-protein' -p93231 -aS'R\tR\tNN\tI-NP\tI-protein' -p93232 -aS'29\t29\tCD\tB-NP\tI-protein' -p93233 -aS'Sat\tSat\tNNP\tI-NP\tI-protein' -p93234 -aS'98%\t98%\tCD\tI-NP\tI-protein' -p93235 -aS'RAPt\tRAPt\tNNP\tI-NP\tO' -p93236 -aS'had\thave\tVBD\tB-VP\tO' -p93237 -aS'NG\tNG\tNN\tB-NP\tO' -p93238 -aS'lavage\tlavage\tNN\tI-NP\tO' -p93239 -aS'which\twhich\tWDT\tB-NP\tO' -p93240 -aS'evantually\tevantually\tRB\tB-ADVP\tO' -p93241 -aS'cleared\tclear\tVBD\tB-VP\tO' -p93242 -aS'up\tup\tRP\tB-PRT\tO' -p93243 -aS',\t,\t,\tO\tO' -p93244 -aS'also\talso\tRB\tB-ADVP\tO' -p93245 -aS'was\tbe\tVBD\tB-VP\tO' -p93246 -aS'transfused\ttransfuse\tVBN\tI-VP\tO' -p93247 -aS'1U\t1U\tNN\tB-NP\tO' -p93248 -aS'PRBC\tPRBC\tNN\tI-NP\tO' -p93249 -aS',\t,\t,\tO\tO' -p93250 -aS'GI\tGI\tNN\tB-NP\tO' -p93251 -aS'consult\tconsult\tNN\tI-NP\tO' -p93252 -aS'called\tcall\tVBN\tB-VP\tO' -p93253 -aS',\t,\t,\tO\tO' -p93254 -aS'also\talso\tRB\tB-ADVP\tO' -p93255 -aS'got\tget\tVBD\tB-VP\tO' -p93256 -aS'zofran\tzofran\tNN\tB-NP\tO' -p93257 -aS'and\tand\tCC\tI-NP\tO' -p93258 -aS'iv\tiv\tNN\tI-NP\tO' -p93259 -aS'protonix\tprotonix\tNN\tI-NP\tO' -p93260 -aS'.\t.\t.\tO\tO' -p93261 -asS'A chest X-Ray demonstrated some pulmonary edema .' -p93262 -(lp93263 -S'A\tA\tDT\tB-NP\tO' -p93264 -aS'chest\tchest\tNN\tI-NP\tO' -p93265 -aS'X-Ray\tX-Ray\tNN\tI-NP\tO' -p93266 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p93267 -aS'some\tsome\tDT\tB-NP\tO' -p93268 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p93269 -aS'edema\tedema\tNN\tI-NP\tO' -p93270 -aS'.\t.\t.\tO\tO' -p93271 -asS'hyperparathyroidism .' -p93272 -(lp93273 -S'hyperparathyroidism\thyperparathyroidism\tNN\tB-NP\tO' -p93274 -aS'.\t.\t.\tO\tO' -p93275 -asS'Oxycontin 10 mg PO q.day .' -p93276 -(lp93277 -S'Oxycontin\tOxycontin\tNN\tB-NP\tO' -p93278 -aS'10\t10\tCD\tI-NP\tO' -p93279 -aS'mg\tmg\tNN\tI-NP\tO' -p93280 -aS'PO\tPO\tNN\tI-NP\tO' -p93281 -aS'q.day\tq.day\tNN\tI-NP\tO' -p93282 -aS'.\t.\t.\tO\tO' -p93283 -asS'The patient has a history of baseline dementia which was confounded by delerium in the face of metabolic abnormalities .' -p93284 -(lp93285 -S'The\tThe\tDT\tB-NP\tO' -p93286 -aS'patient\tpatient\tNN\tI-NP\tO' -p93287 -aS'has\thave\tVBZ\tB-VP\tO' -p93288 -aS'a\ta\tDT\tB-NP\tO' -p93289 -aS'history\thistory\tNN\tI-NP\tO' -p93290 -aS'of\tof\tIN\tB-PP\tO' -p93291 -aS'baseline\tbaseline\tNN\tB-NP\tO' -p93292 -aS'dementia\tdementia\tNN\tI-NP\tO' -p93293 -aS'which\twhich\tWDT\tB-NP\tO' -p93294 -aS'was\tbe\tVBD\tB-VP\tO' -p93295 -aS'confounded\tconfound\tVBN\tI-VP\tO' -p93296 -aS'by\tby\tIN\tB-PP\tO' -p93297 -aS'delerium\tdelerium\tNN\tB-NP\tO' -p93298 -aS'in\tin\tIN\tB-PP\tO' -p93299 -aS'the\tthe\tDT\tB-NP\tO' -p93300 -aS'face\tface\tNN\tI-NP\tO' -p93301 -aS'of\tof\tIN\tB-PP\tO' -p93302 -aS'metabolic\tmetabolic\tJJ\tB-NP\tO' -p93303 -aS'abnormalities\tabnormality\tNNS\tI-NP\tO' -p93304 -aS'.\t.\t.\tO\tO' -p93305 -asS'Pt. failed multiple attempts to void on his own .' -p93306 -(lp93307 -S'Pt.\tPt.\tNNP\tB-NP\tO' -p93308 -aS'failed\tfail\tVBD\tB-VP\tO' -p93309 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p93310 -aS'attempts\tattempt\tNNS\tI-NP\tO' -p93311 -aS'to\tto\tTO\tB-VP\tO' -p93312 -aS'void\tvoid\tVB\tI-VP\tO' -p93313 -aS'on\ton\tIN\tB-PP\tO' -p93314 -aS'his\this\tPRP$\tB-NP\tO' -p93315 -aS'own\town\tJJ\tI-NP\tO' -p93316 -aS'.\t.\t.\tO\tO' -p93317 -asS'Chest x-ray shows right middle lobe , right lower lobe , and left lower lobe infiltrates .' -p93318 -(lp93319 -S'Chest\tCh\tJJS\tB-NP\tO' -p93320 -aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' -p93321 -aS'shows\tshow\tVBZ\tB-VP\tO' -p93322 -aS'right\tright\tJJ\tB-NP\tO' -p93323 -aS'middle\tmiddle\tJJ\tI-NP\tO' -p93324 -aS'lobe\tlobe\tNN\tI-NP\tO' -p93325 -aS',\t,\t,\tO\tO' -p93326 -aS'right\tright\tRB\tB-NP\tO' -p93327 -aS'lower\tlow\tJJR\tI-NP\tO' -p93328 -aS'lobe\tlobe\tNN\tI-NP\tO' -p93329 -aS',\t,\t,\tO\tO' -p93330 -aS'and\tand\tCC\tO\tO' -p93331 -aS'left\tleave\tVBD\tB-VP\tO' -p93332 -aS'lower\tlow\tJJR\tB-NP\tO' -p93333 -aS'lobe\tlobe\tNN\tI-NP\tO' -p93334 -aS'infiltrates\tinfiltrate\tNNS\tI-NP\tO' -p93335 -aS'.\t.\t.\tO\tO' -p93336 -asS'DP and PT pulses are 2+ bilaterally .' -p93337 -(lp93338 -S'DP\tDP\tNN\tB-NP\tO' -p93339 -aS'and\tand\tCC\tI-NP\tO' -p93340 -aS'PT\tPT\tNN\tI-NP\tO' -p93341 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p93342 -aS'are\tbe\tVBP\tB-VP\tO' -p93343 -aS'2+\t2+\tJJ\tB-ADJP\tO' -p93344 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p93345 -aS'.\t.\t.\tO\tO' -p93346 -asS'7. ___________ 30 q day .' -p93347 -(lp93348 -S'7.\t7.\tCD\tB-NP\tO' -p93349 -aS'___________\t___________\tHYPH\tI-NP\tO' -p93350 -aS'30\t30\tCD\tI-NP\tO' -p93351 -aS'q\tq\tNN\tI-NP\tO' -p93352 -aS'day\tday\tNN\tI-NP\tO' -p93353 -aS'.\t.\t.\tO\tO' -p93354 -asS'The pt subsequently developed severe hypoxia with hypotension .' -p93355 -(lp93356 -S'The\tThe\tDT\tB-NP\tO' -p93357 -aS'pt\tpt\tNN\tI-NP\tO' -p93358 -aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' -p93359 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p93360 -aS'severe\tsevere\tJJ\tB-NP\tO' -p93361 -aS'hypoxia\thypoxia\tNN\tI-NP\tO' -p93362 -aS'with\twith\tIN\tB-PP\tO' -p93363 -aS'hypotension\thypotension\tNN\tB-NP\tO' -p93364 -aS'.\t.\t.\tO\tO' -p93365 -asS'POD#5 she c/o difficulty voiding , pt was straight cathed after bladder scan was obtained and revealed > 600 ccs urine .' -p93366 -(lp93367 -S'POD#5\tPOD#5\tNN\tB-NP\tB-protein' -p93368 -aS'she\tshe\tPRP\tB-NP\tO' -p93369 -aS'c/o\tc/o\tVBD\tB-VP\tO' -p93370 -aS'difficulty\tdifficulty\tNN\tB-NP\tO' -p93371 -aS'voiding\tvoiding\tNN\tI-NP\tO' -p93372 -aS',\t,\t,\tO\tO' -p93373 -aS'pt\tpt\tNN\tB-NP\tO' -p93374 -aS'was\tbe\tVBD\tB-VP\tO' -p93375 -aS'straight\tstraight\tRB\tI-VP\tO' -p93376 -aS'cathed\tcathe\tVBN\tI-VP\tO' -p93377 -aS'after\tafter\tIN\tB-PP\tO' -p93378 -aS'bladder\tbladder\tNN\tB-NP\tO' -p93379 -aS'scan\tscan\tNN\tI-NP\tO' -p93380 -aS'was\tbe\tVBD\tB-VP\tO' -p93381 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p93382 -aS'and\tand\tCC\tO\tO' -p93383 -aS'revealed\treveal\tVBD\tB-VP\tO' -p93384 -aS'>\t>\tSYM\tB-NP\tO' -p93385 -aS'600\t600\tCD\tI-NP\tO' -p93386 -aS'ccs\tcc\tNNS\tI-NP\tO' -p93387 -aS'urine\turine\tNN\tI-NP\tO' -p93388 -aS'.\t.\t.\tO\tO' -p93389 -asS'Prenatal screens - blood type O positive , antibody screen negative , hepatitis B surface antigen negative , RPR nonreactive , rubella immune .' -p93390 -(lp93391 -S'Prenatal\tPrenatal\tJJ\tB-NP\tO' -p93392 -aS'screens\tscreen\tNNS\tI-NP\tO' -p93393 -aS'-\t-\tHYPH\tB-NP\tO' -p93394 -aS'blood\tblood\tNN\tI-NP\tO' -p93395 -aS'type\ttype\tNN\tI-NP\tO' -p93396 -aS'O\tO\tNN\tI-NP\tO' -p93397 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p93398 -aS',\t,\t,\tO\tO' -p93399 -aS'antibody\tantibody\tNN\tB-NP\tO' -p93400 -aS'screen\tscreen\tRB\tB-ADJP\tO' -p93401 -aS'negative\tnegative\tJJ\tI-ADJP\tO' -p93402 -aS',\t,\t,\tO\tO' -p93403 -aS'hepatitis\thepatitis\tNN\tB-NP\tB-protein' -p93404 -aS'B\tB\tNN\tI-NP\tI-protein' -p93405 -aS'surface\tsurface\tNN\tI-NP\tI-protein' -p93406 -aS'antigen\tantigen\tNN\tI-NP\tI-protein' -p93407 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p93408 -aS',\t,\t,\tO\tO' -p93409 -aS'RPR\tRPR\tNN\tB-NP\tB-protein' -p93410 -aS'nonreactive\tnonreactive\tJJ\tB-ADJP\tO' -p93411 -aS',\t,\t,\tO\tO' -p93412 -aS'rubella\trubella\tNN\tB-NP\tO' -p93413 -aS'immune\timmune\tJJ\tB-ADJP\tO' -p93414 -aS'.\t.\t.\tO\tO' -p93415 -asS'Clear to auscultation .' -p93416 -(lp93417 -S'Clear\tClear\tJJ\tB-ADJP\tO' -p93418 -aS'to\tto\tTO\tB-PP\tO' -p93419 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p93420 -aS'.\t.\t.\tO\tO' -p93421 -asS'The patient thereafter had a benign convalescence , and was discharged on the 5th postoperative day .' -p93422 -(lp93423 -S'The\tThe\tDT\tB-NP\tO' -p93424 -aS'patient\tpatient\tNN\tI-NP\tO' -p93425 -aS'thereafter\tthereafter\tRB\tB-ADVP\tO' -p93426 -aS'had\thave\tVBD\tB-VP\tO' -p93427 -aS'a\ta\tDT\tB-NP\tO' -p93428 -aS'benign\tbenign\tJJ\tI-NP\tO' -p93429 -aS'convalescence\tconvalescence\tNN\tI-NP\tO' -p93430 -aS',\t,\t,\tO\tO' -p93431 -aS'and\tand\tCC\tO\tO' -p93432 -aS'was\tbe\tVBD\tB-VP\tO' -p93433 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p93434 -aS'on\ton\tIN\tB-PP\tO' -p93435 -aS'the\tthe\tDT\tB-NP\tO' -p93436 -aS'5th\t5th\tJJ\tI-NP\tO' -p93437 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p93438 -aS'day\tday\tNN\tI-NP\tO' -p93439 -aS'.\t.\t.\tO\tO' -p93440 -asS"Upon discontinuation of the Milrinone the patient 's SV02 had dropped significantly in the low 50 s." -p93441 -(lp93442 -S'Upon\tUpon\tIN\tB-PP\tO' -p93443 -aS'discontinuation\tdiscontinuation\tNN\tB-NP\tO' -p93444 -aS'of\tof\tIN\tB-PP\tO' -p93445 -aS'the\tthe\tDT\tB-NP\tO' -p93446 -aS'Milrinone\tMilrinone\tNN\tI-NP\tO' -p93447 -aS'the\tthe\tDT\tB-NP\tO' -p93448 -aS'patient\tpatient\tNN\tI-NP\tO' -p93449 -aS"'s\t's\tPOS\tB-NP\tO" -p93450 -aS'SV02\tSV02\tNN\tI-NP\tO' -p93451 -aS'had\thave\tVBD\tB-VP\tO' -p93452 -aS'dropped\tdrop\tVBN\tI-VP\tO' -p93453 -aS'significantly\tsignificantly\tRB\tB-ADVP\tO' -p93454 -aS'in\tin\tIN\tB-PP\tO' -p93455 -aS'the\tthe\tDT\tB-NP\tO' -p93456 -aS'low\tlow\tJJ\tI-NP\tO' -p93457 -aS'50\t50\tCD\tI-NP\tO' -p93458 -aS's.\ts.\tNNS\tI-NP\tO' -p93459 -asS'He was treated broadly with amp , levo and Flagyl .' -p93460 -(lp93461 -S'He\tHe\tPRP\tB-NP\tO' -p93462 -aS'was\tbe\tVBD\tB-VP\tO' -p93463 -aS'treated\ttreat\tVBN\tI-VP\tO' -p93464 -aS'broadly\tbroadly\tRB\tB-ADVP\tO' -p93465 -aS'with\twith\tIN\tB-PP\tO' -p93466 -aS'amp\tamp\tNN\tB-NP\tO' -p93467 -aS',\t,\t,\tI-NP\tO' -p93468 -aS'levo\tlevo\tNN\tI-NP\tO' -p93469 -aS'and\tand\tCC\tI-NP\tO' -p93470 -aS'Flagyl\tFlagyl\tNN\tI-NP\tO' -p93471 -aS'.\t.\t.\tO\tO' -p93472 -asS'Therefore she was made NPO and given aggressive intravenous hydration .' -p93473 -(lp93474 -S'Therefore\tTherefore\tRB\tB-ADVP\tO' -p93475 -aS'she\tshe\tPRP\tB-NP\tO' -p93476 -aS'was\tbe\tVBD\tB-VP\tO' -p93477 -aS'made\tmake\tVBN\tI-VP\tO' -p93478 -aS'NPO\tNPO\tNN\tB-NP\tB-protein' -p93479 -aS'and\tand\tCC\tO\tO' -p93480 -aS'given\tgive\tVBN\tB-VP\tO' -p93481 -aS'aggressive\taggressive\tJJ\tB-NP\tO' -p93482 -aS'intravenous\tintravenous\tJJ\tI-NP\tO' -p93483 -aS'hydration\thydration\tNN\tI-NP\tO' -p93484 -aS'.\t.\t.\tO\tO' -p93485 -asS'This is to notify you that your patient , DOUETNOUNBREUNKOLL , STENRESLYSE arrived in the Emergency Department at Ro Woodma Healthcare on 10/16/2005 10:38 AM .' -p93486 -(lp93487 -S'This\tThis\tDT\tB-NP\tO' -p93488 -aS'is\tbe\tVBZ\tB-VP\tO' -p93489 -aS'to\tto\tTO\tB-VP\tO' -p93490 -aS'notify\tnotify\tVB\tI-VP\tO' -p93491 -aS'you\tyou\tPRP\tB-NP\tO' -p93492 -aS'that\tthat\tIN\tB-SBAR\tO' -p93493 -aS'your\tyour\tPRP$\tB-NP\tO' -p93494 -aS'patient\tpatient\tNN\tI-NP\tO' -p93495 -aS',\t,\t,\tO\tO' -p93496 -aS'DOUETNOUNBREUNKOLL\tDOUETNOUNBREUNKOLL\tNN\tB-NP\tO' -p93497 -aS',\t,\t,\tO\tO' -p93498 -aS'STENRESLYSE\tSTENRESLYSE\tNN\tB-NP\tO' -p93499 -aS'arrived\tarrive\tVBD\tB-VP\tO' -p93500 -aS'in\tin\tIN\tB-PP\tO' -p93501 -aS'the\tthe\tDT\tB-NP\tO' -p93502 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p93503 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p93504 -aS'at\tat\tIN\tB-PP\tO' -p93505 -aS'Ro\tRo\tNNP\tB-NP\tO' -p93506 -aS'Woodma\tWoodma\tNNP\tI-NP\tO' -p93507 -aS'Healthcare\tHealthcare\tNNP\tI-NP\tO' -p93508 -aS'on\ton\tIN\tB-PP\tO' -p93509 -aS'10/16/2005\t10/16/2005\tCD\tB-NP\tO' -p93510 -aS'10:38\t10:38\tCD\tI-NP\tO' -p93511 -aS'AM\tAM\tNN\tI-NP\tO' -p93512 -aS'.\t.\t.\tO\tO' -p93513 -asS'She was ready for discharge on postoperative day # 6 .' -p93514 -(lp93515 -S'She\tShe\tPRP\tB-NP\tO' -p93516 -aS'was\tbe\tVBD\tB-VP\tO' -p93517 -aS'ready\tready\tJJ\tB-ADJP\tO' -p93518 -aS'for\tfor\tIN\tB-PP\tO' -p93519 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p93520 -aS'on\ton\tIN\tB-PP\tO' -p93521 -aS'postoperative\tpostoperative\tJJ\tB-NP\tB-protein' -p93522 -aS'day\tday\tNN\tI-NP\tI-protein' -p93523 -aS'#\t#\t#\tB-NP\tI-protein' -p93524 -aS'6\t6\tCD\tI-NP\tI-protein' -p93525 -aS'.\t.\t.\tO\tO' -p93526 -asS'Follow up CT scan showed worsening of her hydrocephalus and she had a ventriculostomy placed in the Intensive Care Unit .' -p93527 -(lp93528 -S'Follow\tFollow\tVB\tB-VP\tO' -p93529 -aS'up\tup\tRP\tB-PRT\tO' -p93530 -aS'CT\tCT\tNN\tB-NP\tO' -p93531 -aS'scan\tscan\tNN\tI-NP\tO' -p93532 -aS'showed\tshow\tVBD\tB-VP\tO' -p93533 -aS'worsening\tworsen\tVBG\tI-VP\tO' -p93534 -aS'of\tof\tIN\tB-PP\tO' -p93535 -aS'her\ther\tPRP$\tB-NP\tO' -p93536 -aS'hydrocephalus\thydrocephalus\tNN\tI-NP\tO' -p93537 -aS'and\tand\tCC\tO\tO' -p93538 -aS'she\tshe\tPRP\tB-NP\tO' -p93539 -aS'had\thave\tVBD\tB-VP\tO' -p93540 -aS'a\ta\tDT\tB-NP\tO' -p93541 -aS'ventriculostomy\tventriculostomy\tNN\tI-NP\tO' -p93542 -aS'placed\tplace\tVBN\tB-VP\tO' -p93543 -aS'in\tin\tIN\tB-PP\tO' -p93544 -aS'the\tthe\tDT\tB-NP\tO' -p93545 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p93546 -aS'Care\tCare\tNNP\tI-NP\tO' -p93547 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p93548 -aS'.\t.\t.\tO\tO' -p93549 -asS'Improving liver enzyme elevation .' -p93550 -(lp93551 -S'Improving\tImprove\tVBG\tB-VP\tO' -p93552 -aS'liver\tliver\tNN\tB-NP\tO' -p93553 -aS'enzyme\tenzyme\tNN\tI-NP\tO' -p93554 -aS'elevation\televation\tNN\tI-NP\tO' -p93555 -aS'.\t.\t.\tO\tO' -p93556 -asS'lives in assisted living .' -p93557 -(lp93558 -S'lives\tlife\tNNS\tB-NP\tO' -p93559 -aS'in\tin\tIN\tB-PP\tO' -p93560 -aS'assisted\tassisted\tJJ\tB-NP\tO' -p93561 -aS'living\tliving\tNN\tI-NP\tO' -p93562 -aS'.\t.\t.\tO\tO' -p93563 -asS'Follow up recommended in eight months .' -p93564 -(lp93565 -S'Follow\tFollow\tVB\tB-VP\tO' -p93566 -aS'up\tup\tRP\tB-PRT\tO' -p93567 -aS'recommended\trecommend\tVBN\tB-VP\tO' -p93568 -aS'in\tin\tIN\tB-PP\tO' -p93569 -aS'eight\teight\tCD\tB-NP\tO' -p93570 -aS'months\tmonth\tNNS\tI-NP\tO' -p93571 -aS'.\t.\t.\tO\tO' -p93572 -asS'The erythematous region is retreating and the wound cleaned .' -p93573 -(lp93574 -S'The\tThe\tDT\tB-NP\tO' -p93575 -aS'erythematous\terythematous\tJJ\tI-NP\tB-DNA' -p93576 -aS'region\tregion\tNN\tI-NP\tI-DNA' -p93577 -aS'is\tbe\tVBZ\tB-VP\tO' -p93578 -aS'retreating\tretreat\tVBG\tI-VP\tO' -p93579 -aS'and\tand\tCC\tO\tO' -p93580 -aS'the\tthe\tDT\tB-NP\tO' -p93581 -aS'wound\twound\tNN\tI-NP\tO' -p93582 -aS'cleaned\tclean\tVBN\tB-VP\tO' -p93583 -aS'.\t.\t.\tO\tO' -p93584 -asS'Dictated By : Lena D. Mannie , M.D.' -p93585 -(lp93586 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p93587 -aS'By\tBy\tIN\tB-PP\tO' -p93588 -aS':\t:\t:\tO\tO' -p93589 -aS'Lena\tLena\tNNP\tB-NP\tO' -p93590 -aS'D.\tD.\tNNP\tI-NP\tO' -p93591 -aS'Mannie\tMannie\tNNP\tI-NP\tO' -p93592 -aS',\t,\t,\tO\tO' -p93593 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p93594 -asS'Attending : Antonio I Staples , M.D.' -p93595 -(lp93596 -S'Attending\tAttend\tVBG\tB-VP\tO' -p93597 -aS':\t:\t:\tO\tO' -p93598 -aS'Antonio\tAntonio\tNNP\tB-NP\tO' -p93599 -aS'I\tI\tNNP\tI-NP\tO' -p93600 -aS'Staples\tStaples\tNNP\tI-NP\tO' -p93601 -aS',\t,\t,\tO\tO' -p93602 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p93603 -asS'MRI showed a large heterogenous enhancing right parietal mass lesion with a possible ependymal spread .' -p93604 -(lp93605 -S'MRI\tMRI\tNN\tB-NP\tO' -p93606 -aS'showed\tshow\tVBD\tB-VP\tO' -p93607 -aS'a\ta\tDT\tB-NP\tO' -p93608 -aS'large\tlarge\tJJ\tI-NP\tO' -p93609 -aS'heterogenous\theterogenous\tJJ\tI-NP\tO' -p93610 -aS'enhancing\tenhance\tVBG\tI-NP\tO' -p93611 -aS'right\tright\tJJ\tI-NP\tO' -p93612 -aS'parietal\tparietal\tJJ\tI-NP\tO' -p93613 -aS'mass\tmass\tNN\tI-NP\tO' -p93614 -aS'lesion\tlesion\tNN\tI-NP\tO' -p93615 -aS'with\twith\tIN\tB-PP\tO' -p93616 -aS'a\ta\tDT\tB-NP\tO' -p93617 -aS'possible\tpossible\tJJ\tI-NP\tO' -p93618 -aS'ependymal\tependymal\tJJ\tI-NP\tO' -p93619 -aS'spread\tspread\tNN\tI-NP\tO' -p93620 -aS'.\t.\t.\tO\tO' -p93621 -asS'His cervical spine was cleared .' -p93622 -(lp93623 -S'His\tHis\tPRP$\tB-NP\tO' -p93624 -aS'cervical\tcervical\tJJ\tI-NP\tO' -p93625 -aS'spine\tspine\tNN\tI-NP\tO' -p93626 -aS'was\tbe\tVBD\tB-VP\tO' -p93627 -aS'cleared\tclear\tVBN\tI-VP\tO' -p93628 -aS'.\t.\t.\tO\tO' -p93629 -asS'Skin - intact with diaper .' -p93630 -(lp93631 -S'Skin\tSkin\tNN\tB-NP\tB-protein' -p93632 -aS'-\t-\tHYPH\tO\tO' -p93633 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p93634 -aS'with\twith\tIN\tB-PP\tO' -p93635 -aS'diaper\tdiaper\tNN\tB-NP\tO' -p93636 -aS'.\t.\t.\tO\tO' -p93637 -asS'He has gained 30 lb since the tubefeed was initiated ( 70 lb to 100 lb ) during this admission .' -p93638 -(lp93639 -S'He\tHe\tPRP\tB-NP\tO' -p93640 -aS'has\thave\tVBZ\tB-VP\tO' -p93641 -aS'gained\tgain\tVBN\tI-VP\tB-protein' -p93642 -aS'30\t30\tCD\tB-NP\tI-protein' -p93643 -aS'lb\tlb\tNN\tI-NP\tI-protein' -p93644 -aS'since\tsince\tIN\tB-PP\tO' -p93645 -aS'the\tthe\tDT\tB-NP\tO' -p93646 -aS'tubefeed\ttubefeed\tNN\tI-NP\tO' -p93647 -aS'was\tbe\tVBD\tB-VP\tO' -p93648 -aS'initiated\tinitiate\tVBN\tI-VP\tO' -p93649 -aS'(\t(\t(\tO\tO' -p93650 -aS'70\t70\tCD\tB-NP\tO' -p93651 -aS'lb\tlb\tNN\tI-NP\tO' -p93652 -aS'to\tto\tTO\tB-PP\tO' -p93653 -aS'100\t100\tCD\tB-NP\tO' -p93654 -aS'lb\tlb\tNN\tI-NP\tO' -p93655 -aS')\t)\t)\tO\tO' -p93656 -aS'during\tduring\tIN\tB-PP\tO' -p93657 -aS'this\tthis\tDT\tB-NP\tO' -p93658 -aS'admission\tadmission\tNN\tI-NP\tO' -p93659 -aS'.\t.\t.\tO\tO' -p93660 -asS'5. Celexa 10 mg daily .' -p93661 -(lp93662 -S'5.\t5.\tLS\tB-LST\tO' -p93663 -aS'Celexa\tCelexa\tNNP\tB-NP\tO' -p93664 -aS'10\t10\tCD\tI-NP\tO' -p93665 -aS'mg\tmg\tNN\tI-NP\tO' -p93666 -aS'daily\tdaily\tRB\tB-ADVP\tO' -p93667 -aS'.\t.\t.\tO\tO' -p93668 -asS'His wound was intact with no evidence of infection .' -p93669 -(lp93670 -S'His\tHis\tPRP$\tB-NP\tO' -p93671 -aS'wound\twound\tNN\tI-NP\tO' -p93672 -aS'was\tbe\tVBD\tB-VP\tO' -p93673 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p93674 -aS'with\twith\tIN\tB-PP\tO' -p93675 -aS'no\tno\tDT\tB-NP\tO' -p93676 -aS'evidence\tevidence\tNN\tI-NP\tO' -p93677 -aS'of\tof\tIN\tB-PP\tO' -p93678 -aS'infection\tinfection\tNN\tB-NP\tO' -p93679 -aS'.\t.\t.\tO\tO' -p93680 -asS"At this time , an additional 2 units of packed RBC 's were transfused ." -p93681 -(lp93682 -S'At\tAt\tIN\tB-PP\tO' -p93683 -aS'this\tthis\tDT\tB-NP\tO' -p93684 -aS'time\ttime\tNN\tI-NP\tO' -p93685 -aS',\t,\t,\tO\tO' -p93686 -aS'an\tan\tDT\tB-NP\tO' -p93687 -aS'additional\tadditional\tJJ\tI-NP\tO' -p93688 -aS'2\t2\tCD\tI-NP\tO' -p93689 -aS'units\tunit\tNNS\tI-NP\tO' -p93690 -aS'of\tof\tIN\tB-PP\tO' -p93691 -aS'packed\tpacked\tJJ\tB-NP\tO' -p93692 -aS'RBC\tRBC\tNN\tI-NP\tO' -p93693 -aS"'s\t's\tPOS\tB-NP\tO" -p93694 -aS'were\tbe\tVBD\tB-VP\tO' -p93695 -aS'transfused\ttransfuse\tVBN\tI-VP\tO' -p93696 -aS'.\t.\t.\tO\tO' -p93697 -asS'MEDICATIONS ON ADMISSION were Hydrea .' -p93698 -(lp93699 -S'MEDICATIONS\tMEDICATIONS\tNNS\tB-NP\tO' -p93700 -aS'ON\tON\tNN\tI-NP\tO' -p93701 -aS'ADMISSION\tADMISSION\tNN\tI-NP\tO' -p93702 -aS'were\tbe\tVBD\tB-VP\tO' -p93703 -aS'Hydrea\tHydrea\tNNP\tB-NP\tO' -p93704 -aS'.\t.\t.\tO\tO' -p93705 -asS'4. Ranitidine HCl 150 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ) .' -p93706 -(lp93707 -S'4.\t4.\tLS\tB-NP\tO' -p93708 -aS'Ranitidine\tRanitidine\tNN\tI-NP\tB-protein' -p93709 -aS'HCl\tHCl\tNN\tI-NP\tI-protein' -p93710 -aS'150\t150\tCD\tI-NP\tI-protein' -p93711 -aS'mg\tmg\tNN\tI-NP\tI-protein' -p93712 -aS'Tablet\tTablet\tNNP\tI-NP\tI-protein' -p93713 -aS'Sig\tSig\tNNP\tI-NP\tI-protein' -p93714 -aS':\t:\t:\tO\tO' -p93715 -aS'One\tOne\tCD\tB-NP\tO' -p93716 -aS'(\t(\t(\tO\tO' -p93717 -aS'1\t1\tCD\tB-NP\tO' -p93718 -aS')\t)\t)\tO\tO' -p93719 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p93720 -aS'PO\tPO\tNN\tI-NP\tO' -p93721 -aS'BID\tBID\tNN\tI-NP\tO' -p93722 -aS'(\t(\t(\tO\tO' -p93723 -aS'2\t2\tCD\tB-NP\tO' -p93724 -aS'times\ttime\tNNS\tI-NP\tO' -p93725 -aS'a\ta\tDT\tB-NP\tO' -p93726 -aS'day\tday\tNN\tI-NP\tO' -p93727 -aS')\t)\t)\tO\tO' -p93728 -aS'.\t.\t.\tO\tO' -p93729 -asS'1. HYPONATREMIA , 1-13-94 .' -p93730 -(lp93731 -S'1.\t1.\tLS\tB-NP\tO' -p93732 -aS'HYPONATREMIA\tHYPONATREMIA\tNN\tI-NP\tO' -p93733 -aS',\t,\t,\tO\tO' -p93734 -aS'1-13-94\t1-13-94\tCD\tB-NP\tO' -p93735 -aS'.\t.\t.\tO\tO' -p93736 -asS'7 ) Arava 20 mg p.o. q. day .' -p93737 -(lp93738 -S'7\t7\tCD\tB-NP\tO' -p93739 -aS')\t)\t)\tO\tO' -p93740 -aS'Arava\tArava\tVBP\tB-VP\tO' -p93741 -aS'20\t20\tCD\tB-NP\tO' -p93742 -aS'mg\tmg\tNN\tI-NP\tO' -p93743 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p93744 -aS'q.\tq.\tNN\tI-NP\tO' -p93745 -aS'day\tday\tNN\tI-NP\tO' -p93746 -aS'.\t.\t.\tO\tO' -p93747 -asS'Intubated for airway protection .' -p93748 -(lp93749 -S'Intubated\tIntubate\tVBN\tB-VP\tO' -p93750 -aS'for\tfor\tIN\tB-PP\tO' -p93751 -aS'airway\tairway\tNN\tB-NP\tO' -p93752 -aS'protection\tprotection\tNN\tI-NP\tO' -p93753 -aS'.\t.\t.\tO\tO' -p93754 -asS'3. Car Seat Position Screening has not been performed .' -p93755 -(lp93756 -S'3.\t3.\tLS\tB-LST\tO' -p93757 -aS'Car\tCar\tNNP\tB-NP\tB-protein' -p93758 -aS'Seat\tSeat\tNNP\tI-NP\tO' -p93759 -aS'Position\tPosition\tNNP\tI-NP\tO' -p93760 -aS'Screening\tScreening\tNNP\tI-NP\tO' -p93761 -aS'has\thave\tVBZ\tB-VP\tO' -p93762 -aS'not\tnot\tRB\tI-VP\tO' -p93763 -aS'been\tbe\tVBN\tI-VP\tO' -p93764 -aS'performed\tperform\tVBN\tI-VP\tO' -p93765 -aS'.\t.\t.\tO\tO' -p93766 -asS'Discharge Diagnosis : see dc summary' -p93767 -(lp93768 -S'Discharge\tDischarge\tNNP\tB-NP\tO' -p93769 -aS'Diagnosis\tDiagnosis\tNNP\tI-NP\tO' -p93770 -aS':\t:\t:\tO\tO' -p93771 -aS'see\tsee\tVB\tB-VP\tO' -p93772 -aS'dc\tdc\tNN\tB-NP\tO' -p93773 -aS'summary\tsummary\tNN\tI-NP\tO' -p93774 -asS'The patient did not experience improvement in her symptoms and was readmitted on 06-11 with continued dyspnea and fevers .' -p93775 -(lp93776 -S'The\tThe\tDT\tB-NP\tO' -p93777 -aS'patient\tpatient\tNN\tI-NP\tO' -p93778 -aS'did\tdo\tVBD\tB-VP\tO' -p93779 -aS'not\tnot\tRB\tI-VP\tO' -p93780 -aS'experience\texperience\tVB\tI-VP\tO' -p93781 -aS'improvement\timprovement\tNN\tB-NP\tO' -p93782 -aS'in\tin\tIN\tB-PP\tO' -p93783 -aS'her\ther\tPRP$\tB-NP\tO' -p93784 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p93785 -aS'and\tand\tCC\tO\tO' -p93786 -aS'was\tbe\tVBD\tB-VP\tO' -p93787 -aS'readmitted\treadmitte\tVBN\tI-VP\tO' -p93788 -aS'on\ton\tIN\tB-PP\tO' -p93789 -aS'06-11\t06-11\tNN\tB-NP\tO' -p93790 -aS'with\twith\tIN\tB-PP\tO' -p93791 -aS'continued\tcontinue\tVBN\tB-NP\tO' -p93792 -aS'dyspnea\tdyspnea\tNN\tI-NP\tO' -p93793 -aS'and\tand\tCC\tI-NP\tO' -p93794 -aS'fevers\tfever\tNNS\tI-NP\tO' -p93795 -aS'.\t.\t.\tO\tO' -p93796 -asS'His head , eyes , ears , nose , throat is clear .' -p93797 -(lp93798 -S'His\tHis\tPRP$\tB-NP\tO' -p93799 -aS'head\thead\tNN\tI-NP\tO' -p93800 -aS',\t,\t,\tO\tO' -p93801 -aS'eyes\teye\tNNS\tB-NP\tO' -p93802 -aS',\t,\t,\tO\tO' -p93803 -aS'ears\tear\tNNS\tB-NP\tO' -p93804 -aS',\t,\t,\tO\tO' -p93805 -aS'nose\tnose\tNN\tB-NP\tO' -p93806 -aS',\t,\t,\tO\tO' -p93807 -aS'throat\tthroat\tNN\tB-NP\tO' -p93808 -aS'is\tbe\tVBZ\tB-VP\tO' -p93809 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p93810 -aS'.\t.\t.\tO\tO' -p93811 -asS"The patient 's blood cultures at outside hospital grew out Streptococcus sanguis-gordonii on 01-18 ." -p93812 -(lp93813 -S'The\tThe\tDT\tB-NP\tO' -p93814 -aS'patient\tpatient\tNN\tI-NP\tO' -p93815 -aS"'s\t's\tPOS\tB-NP\tO" -p93816 -aS'blood\tblood\tNN\tI-NP\tO' -p93817 -aS'cultures\tculture\tNNS\tI-NP\tO' -p93818 -aS'at\tat\tIN\tB-PP\tO' -p93819 -aS'outside\toutside\tJJ\tB-NP\tO' -p93820 -aS'hospital\thospital\tNN\tI-NP\tO' -p93821 -aS'grew\tgrow\tVBD\tB-VP\tO' -p93822 -aS'out\tout\tRP\tB-PRT\tO' -p93823 -aS'Streptococcus\tStreptococcus\tNNP\tB-NP\tO' -p93824 -aS'sanguis-gordonii\tsanguis-gordonii\tNNP\tI-NP\tO' -p93825 -aS'on\ton\tIN\tB-PP\tO' -p93826 -aS'01-18\t01-18\tCD\tB-NP\tO' -p93827 -aS'.\t.\t.\tO\tO' -p93828 -asS'Following enzymes to rule out unstable angina ( no EKG changes ) .' -p93829 -(lp93830 -S'Following\tFollow\tVBG\tB-VP\tO' -p93831 -aS'enzymes\tenzyme\tNNS\tB-NP\tB-protein' -p93832 -aS'to\tto\tTO\tB-VP\tO' -p93833 -aS'rule\trule\tVB\tI-VP\tO' -p93834 -aS'out\tout\tRP\tB-PRT\tO' -p93835 -aS'unstable\tunstable\tJJ\tB-NP\tO' -p93836 -aS'angina\tangina\tNN\tI-NP\tO' -p93837 -aS'(\t(\t(\tO\tO' -p93838 -aS'no\tno\tDT\tB-NP\tO' -p93839 -aS'EKG\tEKG\tNN\tI-NP\tO' -p93840 -aS'changes\tchange\tNNS\tI-NP\tO' -p93841 -aS')\t)\t)\tO\tO' -p93842 -aS'.\t.\t.\tO\tO' -p93843 -asS'The patient is now widowed .' -p93844 -(lp93845 -S'The\tThe\tDT\tB-NP\tO' -p93846 -aS'patient\tpatient\tNN\tI-NP\tO' -p93847 -aS'is\tbe\tVBZ\tB-VP\tO' -p93848 -aS'now\tnow\tRB\tI-VP\tO' -p93849 -aS'widowed\twidow\tVBN\tI-VP\tO' -p93850 -aS'.\t.\t.\tO\tO' -p93851 -asS'Therefore , a stat cesarean section was performed .' -p93852 -(lp93853 -S'Therefore\tTherefore\tRB\tB-ADVP\tO' -p93854 -aS',\t,\t,\tO\tO' -p93855 -aS'a\ta\tDT\tB-NP\tO' -p93856 -aS'stat\tstat\tNN\tI-NP\tO' -p93857 -aS'cesarean\tcesarean\tJJ\tI-NP\tO' -p93858 -aS'section\tsection\tNN\tI-NP\tO' -p93859 -aS'was\tbe\tVBD\tB-VP\tO' -p93860 -aS'performed\tperform\tVBN\tI-VP\tO' -p93861 -aS'.\t.\t.\tO\tO' -p93862 -asS'1. Indomethacin 25 mg p.o. t.i.d. for seven days.' -p93863 -(lp93864 -S'1.\t1.\tLS\tB-NP\tO' -p93865 -aS'Indomethacin\tIndomethacin\tNN\tI-NP\tO' -p93866 -aS'25\t25\tCD\tI-NP\tO' -p93867 -aS'mg\tmg\tNN\tI-NP\tO' -p93868 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p93869 -aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' -p93870 -aS'for\tfor\tIN\tB-PP\tO' -p93871 -aS'seven\tseven\tCD\tB-NP\tO' -p93872 -aS'days.\tdays.\tNNS\tI-NP\tO' -p93873 -asS'0-60 mg / dL 01-20 amp D50' -p93874 -(lp93875 -S'0-60\t0-60\tCD\tB-NP\tO' -p93876 -aS'mg\tmg\tNN\tI-NP\tO' -p93877 -aS'/\t/\tSYM\tB-NP\tO' -p93878 -aS'dL\tdL\tNN\tB-NP\tO' -p93879 -aS'01-20\t01-20\tCD\tI-NP\tO' -p93880 -aS'amp\tamp\tNN\tI-NP\tO' -p93881 -aS'D50\tD50\tNN\tI-NP\tO' -p93882 -asS'For antibiotic coverage of her pneumonia , she was started on Levaquin , ceftriaxone , and vancomycin .' -p93883 -(lp93884 -S'For\tFor\tIN\tB-PP\tO' -p93885 -aS'antibiotic\tantibiotic\tJJ\tB-NP\tO' -p93886 -aS'coverage\tcoverage\tNN\tI-NP\tO' -p93887 -aS'of\tof\tIN\tB-PP\tO' -p93888 -aS'her\ther\tPRP$\tB-NP\tO' -p93889 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p93890 -aS',\t,\t,\tO\tO' -p93891 -aS'she\tshe\tPRP\tB-NP\tO' -p93892 -aS'was\tbe\tVBD\tB-VP\tO' -p93893 -aS'started\tstart\tVBN\tI-VP\tO' -p93894 -aS'on\ton\tIN\tB-PP\tO' -p93895 -aS'Levaquin\tLevaquin\tNN\tB-NP\tO' -p93896 -aS',\t,\t,\tO\tO' -p93897 -aS'ceftriaxone\tceftriaxone\tNN\tB-NP\tO' -p93898 -aS',\t,\t,\tO\tO' -p93899 -aS'and\tand\tCC\tO\tO' -p93900 -aS'vancomycin\tvancomycin\tNN\tB-NP\tO' -p93901 -aS'.\t.\t.\tO\tO' -p93902 -asS'6. Protonix .' -p93903 -(lp93904 -S'6.\t6.\tLS\tB-LST\tO' -p93905 -aS'Protonix\tProtonix\tNNP\tB-NP\tO' -p93906 -aS'.\t.\t.\tO\tO' -p93907 -asS'At that time he was stabilized from a cardiac perspective .' -p93908 -(lp93909 -S'At\tAt\tIN\tB-PP\tO' -p93910 -aS'that\tthat\tDT\tB-NP\tO' -p93911 -aS'time\ttime\tNN\tI-NP\tO' -p93912 -aS'he\the\tPRP\tB-NP\tO' -p93913 -aS'was\tbe\tVBD\tB-VP\tO' -p93914 -aS'stabilized\tstabilize\tVBN\tI-VP\tO' -p93915 -aS'from\tfrom\tIN\tB-PP\tO' -p93916 -aS'a\ta\tDT\tB-NP\tO' -p93917 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p93918 -aS'perspective\tperspective\tNN\tI-NP\tO' -p93919 -aS'.\t.\t.\tO\tO' -p93920 -asS'1. Neurontin .' -p93921 -(lp93922 -S'1.\t1.\tLS\tB-NP\tO' -p93923 -aS'Neurontin\tNeurontin\tNN\tI-NP\tB-protein' -p93924 -aS'.\t.\t.\tO\tO' -p93925 -asS'WBC of 8.3 ; hematocrit of 30.6 ; platelets 69 ; sodium 132 ; 3.9 , 102 , 22 , serum creatinine of 13 and 1.1 .' -p93926 -(lp93927 -S'WBC\tWBC\tNN\tB-NP\tO' -p93928 -aS'of\tof\tIN\tB-PP\tO' -p93929 -aS'8.3\t8.3\tCD\tB-NP\tO' -p93930 -aS';\t;\t:\tO\tO' -p93931 -aS'hematocrit\thematocrit\tNN\tB-NP\tO' -p93932 -aS'of\tof\tIN\tB-PP\tO' -p93933 -aS'30.6\t30.6\tCD\tB-NP\tO' -p93934 -aS';\t;\t:\tO\tO' -p93935 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p93936 -aS'69\t69\tCD\tB-NP\tO' -p93937 -aS';\t;\t:\tO\tO' -p93938 -aS'sodium\tsodium\tNN\tB-NP\tO' -p93939 -aS'132\t132\tCD\tI-NP\tO' -p93940 -aS';\t;\t:\tO\tO' -p93941 -aS'3.9\t3.9\tCD\tB-NP\tO' -p93942 -aS',\t,\t,\tI-NP\tO' -p93943 -aS'102\t102\tCD\tI-NP\tO' -p93944 -aS',\t,\t,\tI-NP\tO' -p93945 -aS'22\t22\tCD\tI-NP\tO' -p93946 -aS',\t,\t,\tO\tO' -p93947 -aS'serum\tserum\tNN\tB-NP\tO' -p93948 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p93949 -aS'of\tof\tIN\tB-PP\tO' -p93950 -aS'13\t13\tCD\tB-NP\tO' -p93951 -aS'and\tand\tCC\tI-NP\tO' -p93952 -aS'1.1\t1.1\tCD\tI-NP\tO' -p93953 -aS'.\t.\t.\tO\tO' -p93954 -asS'Coordination was normal with good finger to nose , gait was not tested .' -p93955 -(lp93956 -S'Coordination\tCoordination\tNN\tB-NP\tO' -p93957 -aS'was\tbe\tVBD\tB-VP\tO' -p93958 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p93959 -aS'with\twith\tIN\tB-PP\tO' -p93960 -aS'good\tgood\tJJ\tB-NP\tO' -p93961 -aS'finger\tfinger\tNN\tI-NP\tO' -p93962 -aS'to\tto\tTO\tB-PP\tO' -p93963 -aS'nose\tnose\tNN\tB-NP\tO' -p93964 -aS',\t,\t,\tO\tO' -p93965 -aS'gait\tgait\tNN\tB-NP\tO' -p93966 -aS'was\tbe\tVBD\tB-VP\tO' -p93967 -aS'not\tnot\tRB\tI-VP\tO' -p93968 -aS'tested\ttest\tVBN\tI-VP\tO' -p93969 -aS'.\t.\t.\tO\tO' -p93970 -asS'Patient mental status improved slightly .' -p93971 -(lp93972 -S'Patient\tPatient\tNN\tB-NP\tO' -p93973 -aS'mental\tmental\tJJ\tI-NP\tO' -p93974 -aS'status\tstatus\tNN\tI-NP\tO' -p93975 -aS'improved\timprove\tVBD\tB-VP\tO' -p93976 -aS'slightly\tslightly\tRB\tB-ADVP\tO' -p93977 -aS'.\t.\t.\tO\tO' -p93978 -asS'Osteoporosis .' -p93979 -(lp93980 -S'Osteoporosis\tOsteoporosis\tNN\tB-NP\tO' -p93981 -aS'.\t.\t.\tO\tO' -p93982 -asS'Insulin , Celexa , Protonix , Ambien and Pancreas .' -p93983 -(lp93984 -S'Insulin\tInsulin\tNNP\tB-NP\tO' -p93985 -aS',\t,\t,\tO\tO' -p93986 -aS'Celexa\tCelexa\tNNP\tB-NP\tO' -p93987 -aS',\t,\t,\tO\tO' -p93988 -aS'Protonix\tProtonix\tNNP\tB-NP\tO' -p93989 -aS',\t,\t,\tO\tO' -p93990 -aS'Ambien\tAmbien\tNNP\tB-NP\tO' -p93991 -aS'and\tand\tCC\tO\tO' -p93992 -aS'Pancreas\tPancreas\tNNP\tB-NP\tO' -p93993 -aS'.\t.\t.\tO\tO' -p93994 -asS'The patient was to make an appointment with Dr. Nicholson within one to two months after discharge for removal of the stent .' -p93995 -(lp93996 -S'The\tThe\tDT\tB-NP\tO' -p93997 -aS'patient\tpatient\tNN\tI-NP\tO' -p93998 -aS'was\tbe\tVBD\tB-VP\tO' -p93999 -aS'to\tto\tTO\tB-VP\tO' -p94000 -aS'make\tmake\tVB\tI-VP\tO' -p94001 -aS'an\tan\tDT\tB-NP\tO' -p94002 -aS'appointment\tappointment\tNN\tI-NP\tO' -p94003 -aS'with\twith\tIN\tB-PP\tO' -p94004 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p94005 -aS'Nicholson\tNicholson\tNNP\tI-NP\tO' -p94006 -aS'within\twithin\tIN\tB-PP\tO' -p94007 -aS'one\tone\tCD\tB-NP\tO' -p94008 -aS'to\tto\tTO\tI-NP\tO' -p94009 -aS'two\ttwo\tCD\tI-NP\tO' -p94010 -aS'months\tmonth\tNNS\tI-NP\tO' -p94011 -aS'after\tafter\tIN\tB-PP\tO' -p94012 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p94013 -aS'for\tfor\tIN\tB-PP\tO' -p94014 -aS'removal\tremoval\tNN\tB-NP\tO' -p94015 -aS'of\tof\tIN\tB-PP\tO' -p94016 -aS'the\tthe\tDT\tB-NP\tO' -p94017 -aS'stent\tstent\tNN\tI-NP\tO' -p94018 -aS'.\t.\t.\tO\tO' -p94019 -asS'Granrivern Call is a 79-year-old right handed white male with a history of questionable progressive supranuclear palsy , atrial fibrillation , deep venous thrombosis , and pulmonary embolus who presents with a change in mental status and a fall at home .' -p94020 -(lp94021 -S'Granrivern\tGranrivern\tNNP\tB-NP\tO' -p94022 -aS'Call\tCall\tNNP\tI-NP\tO' -p94023 -aS'is\tbe\tVBZ\tB-VP\tO' -p94024 -aS'a\ta\tDT\tB-NP\tO' -p94025 -aS'79-year-old\t79-year-old\tJJ\tI-NP\tO' -p94026 -aS'right\tright\tJJ\tI-NP\tO' -p94027 -aS'handed\thanded\tJJ\tI-NP\tO' -p94028 -aS'white\twhite\tJJ\tI-NP\tO' -p94029 -aS'male\tmale\tNN\tI-NP\tO' -p94030 -aS'with\twith\tIN\tB-PP\tO' -p94031 -aS'a\ta\tDT\tB-NP\tO' -p94032 -aS'history\thistory\tNN\tI-NP\tO' -p94033 -aS'of\tof\tIN\tB-PP\tO' -p94034 -aS'questionable\tquestionable\tJJ\tB-NP\tO' -p94035 -aS'progressive\tprogressive\tJJ\tI-NP\tO' -p94036 -aS'supranuclear\tsupranuclear\tJJ\tI-NP\tO' -p94037 -aS'palsy\tpalsy\tNN\tI-NP\tO' -p94038 -aS',\t,\t,\tO\tO' -p94039 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p94040 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p94041 -aS',\t,\t,\tO\tO' -p94042 -aS'deep\tdeep\tJJ\tB-NP\tO' -p94043 -aS'venous\tvenous\tJJ\tI-NP\tO' -p94044 -aS'thrombosis\tthrombosis\tNN\tI-NP\tO' -p94045 -aS',\t,\t,\tO\tO' -p94046 -aS'and\tand\tCC\tO\tO' -p94047 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p94048 -aS'embolus\tembolus\tNN\tI-NP\tO' -p94049 -aS'who\twho\tWP\tB-NP\tO' -p94050 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p94051 -aS'with\twith\tIN\tB-PP\tO' -p94052 -aS'a\ta\tDT\tB-NP\tO' -p94053 -aS'change\tchange\tNN\tI-NP\tO' -p94054 -aS'in\tin\tIN\tB-PP\tO' -p94055 -aS'mental\tmental\tJJ\tB-NP\tO' -p94056 -aS'status\tstatus\tNN\tI-NP\tO' -p94057 -aS'and\tand\tCC\tO\tO' -p94058 -aS'a\ta\tDT\tB-NP\tO' -p94059 -aS'fall\tfall\tNN\tI-NP\tO' -p94060 -aS'at\tat\tIN\tB-PP\tO' -p94061 -aS'home\thome\tNN\tB-NP\tO' -p94062 -aS'.\t.\t.\tO\tO' -p94063 -asS'The HEENT exam revealed the extra ocular movements intact .' -p94064 -(lp94065 -S'The\tThe\tDT\tB-NP\tO' -p94066 -aS'HEENT\tHEENT\tNN\tI-NP\tO' -p94067 -aS'exam\texam\tNN\tI-NP\tO' -p94068 -aS'revealed\treveal\tVBD\tB-VP\tO' -p94069 -aS'the\tthe\tDT\tB-NP\tO' -p94070 -aS'extra\textra\tJJ\tI-NP\tO' -p94071 -aS'ocular\tocular\tJJ\tI-NP\tO' -p94072 -aS'movements\tmovement\tNNS\tI-NP\tO' -p94073 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p94074 -aS'.\t.\t.\tO\tO' -p94075 -asS'Vital signs , stable .' -p94076 -(lp94077 -S'Vital\tVital\tJJ\tB-NP\tO' -p94078 -aS'signs\tsign\tNNS\tI-NP\tO' -p94079 -aS',\t,\t,\tO\tO' -p94080 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p94081 -aS'.\t.\t.\tO\tO' -p94082 -asS'No resting LVOT gradient .' -p94083 -(lp94084 -S'No\tNo\tDT\tB-NP\tO' -p94085 -aS'resting\trest\tVBG\tI-NP\tO' -p94086 -aS'LVOT\tLVOT\tNN\tI-NP\tO' -p94087 -aS'gradient\tgradient\tNN\tI-NP\tO' -p94088 -aS'.\t.\t.\tO\tO' -p94089 -asS'4. History of orthostasis with tilt table testing done in the past .' -p94090 -(lp94091 -S'4.\t4.\tLS\tB-NP\tO' -p94092 -aS'History\tHistory\tNN\tI-NP\tO' -p94093 -aS'of\tof\tIN\tB-PP\tO' -p94094 -aS'orthostasis\torthostasis\tNN\tB-NP\tO' -p94095 -aS'with\twith\tIN\tB-PP\tO' -p94096 -aS'tilt\ttilt\tNN\tB-NP\tO' -p94097 -aS'table\ttable\tNN\tI-NP\tO' -p94098 -aS'testing\ttesting\tNN\tI-NP\tO' -p94099 -aS'done\tdo\tVBN\tB-VP\tO' -p94100 -aS'in\tin\tIN\tB-PP\tO' -p94101 -aS'the\tthe\tDT\tB-NP\tO' -p94102 -aS'past\tpast\tNN\tI-NP\tO' -p94103 -aS'.\t.\t.\tO\tO' -p94104 -asS'Repeat exam one month later showed a firm left-sided lobe .' -p94105 -(lp94106 -S'Repeat\tRepeat\tNN\tB-NP\tO' -p94107 -aS'exam\texam\tNN\tI-NP\tO' -p94108 -aS'one\tone\tCD\tB-NP\tO' -p94109 -aS'month\tmonth\tNN\tI-NP\tO' -p94110 -aS'later\tlater\tRB\tB-ADVP\tO' -p94111 -aS'showed\tshow\tVBD\tB-VP\tO' -p94112 -aS'a\ta\tDT\tB-NP\tO' -p94113 -aS'firm\tfirm\tJJ\tI-NP\tO' -p94114 -aS'left-sided\tleft-sided\tJJ\tI-NP\tO' -p94115 -aS'lobe\tlobe\tNN\tI-NP\tO' -p94116 -aS'.\t.\t.\tO\tO' -p94117 -asS"The Parrack Diabetes Center was consulted to help manage the patient 's hyperglycemia ." -p94118 -(lp94119 -S'The\tThe\tDT\tB-NP\tO' -p94120 -aS'Parrack\tParrack\tNNP\tI-NP\tO' -p94121 -aS'Diabetes\tDiabetes\tNNP\tI-NP\tO' -p94122 -aS'Center\tCenter\tNNP\tI-NP\tO' -p94123 -aS'was\tbe\tVBD\tB-VP\tO' -p94124 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p94125 -aS'to\tto\tTO\tI-VP\tO' -p94126 -aS'help\thelp\tVB\tI-VP\tO' -p94127 -aS'manage\tmanage\tVB\tI-VP\tO' -p94128 -aS'the\tthe\tDT\tB-NP\tO' -p94129 -aS'patient\tpatient\tNN\tI-NP\tO' -p94130 -aS"'s\t's\tPOS\tB-NP\tO" -p94131 -aS'hyperglycemia\thyperglycemia\tNN\tI-NP\tO' -p94132 -aS'.\t.\t.\tO\tO' -p94133 -asS'Restrictive lung disease .' -p94134 -(lp94135 -S'Restrictive\tRestrictive\tJJ\tB-NP\tO' -p94136 -aS'lung\tlung\tNN\tI-NP\tO' -p94137 -aS'disease\tdisease\tNN\tI-NP\tO' -p94138 -aS'.\t.\t.\tO\tO' -p94139 -asS'Suboptimal image quality - poor echo windows .' -p94140 -(lp94141 -S'Suboptimal\tSuboptimal\tJJ\tB-NP\tO' -p94142 -aS'image\timage\tNN\tI-NP\tO' -p94143 -aS'quality\tquality\tNN\tI-NP\tO' -p94144 -aS'-\t-\tHYPH\tB-NP\tO' -p94145 -aS'poor\tpoor\tJJ\tI-NP\tO' -p94146 -aS'echo\techo\tNN\tI-NP\tO' -p94147 -aS'windows\twindow\tNNS\tI-NP\tO' -p94148 -aS'.\t.\t.\tO\tO' -p94149 -asS'Reflexes were diffuse 3+ , toes upgoing bilaterally .' -p94150 -(lp94151 -S'Reflexes\tReflex\tNNS\tB-NP\tO' -p94152 -aS'were\tbe\tVBD\tB-VP\tO' -p94153 -aS'diffuse\tdiffuse\tJJ\tB-ADJP\tO' -p94154 -aS'3+\t3+\tJJ\tI-ADJP\tO' -p94155 -aS',\t,\t,\tO\tO' -p94156 -aS'toes\ttoe\tNNS\tB-NP\tO' -p94157 -aS'upgoing\tupgoe\tVBG\tB-VP\tO' -p94158 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p94159 -aS'.\t.\t.\tO\tO' -p94160 -asS'The patient also notes he has had hoarseness for the last two to three weeks .' -p94161 -(lp94162 -S'The\tThe\tDT\tB-NP\tO' -p94163 -aS'patient\tpatient\tNN\tI-NP\tO' -p94164 -aS'also\talso\tRB\tB-ADVP\tO' -p94165 -aS'notes\tnote\tVBZ\tB-VP\tO' -p94166 -aS'he\the\tPRP\tB-NP\tO' -p94167 -aS'has\thave\tVBZ\tB-VP\tO' -p94168 -aS'had\thave\tVBN\tI-VP\tO' -p94169 -aS'hoarseness\thoarseness\tNN\tB-NP\tO' -p94170 -aS'for\tfor\tIN\tB-PP\tO' -p94171 -aS'the\tthe\tDT\tB-NP\tO' -p94172 -aS'last\tlast\tJJ\tI-NP\tO' -p94173 -aS'two\ttwo\tCD\tI-NP\tO' -p94174 -aS'to\tto\tTO\tI-NP\tO' -p94175 -aS'three\tthree\tCD\tI-NP\tO' -p94176 -aS'weeks\tweek\tNNS\tI-NP\tO' -p94177 -aS'.\t.\t.\tO\tO' -p94178 -asS'He did consistently have more movement on the left side of his body than on the right , but he gradually became more awake and alert and communicative and his endotracheal tube was removed on the second day of admission .' -p94179 -(lp94180 -S'He\tHe\tPRP\tB-NP\tO' -p94181 -aS'did\tdo\tVBD\tB-VP\tO' -p94182 -aS'consistently\tconsistently\tRB\tI-VP\tO' -p94183 -aS'have\thave\tVB\tI-VP\tO' -p94184 -aS'more\tmore\tJJR\tB-NP\tO' -p94185 -aS'movement\tmovement\tNN\tI-NP\tO' -p94186 -aS'on\ton\tIN\tB-PP\tO' -p94187 -aS'the\tthe\tDT\tB-NP\tO' -p94188 -aS'left\tleft\tJJ\tI-NP\tO' -p94189 -aS'side\tside\tNN\tI-NP\tO' -p94190 -aS'of\tof\tIN\tB-PP\tO' -p94191 -aS'his\this\tPRP$\tB-NP\tO' -p94192 -aS'body\tbody\tNN\tI-NP\tO' -p94193 -aS'than\tthan\tIN\tB-PP\tO' -p94194 -aS'on\ton\tIN\tB-PP\tO' -p94195 -aS'the\tthe\tDT\tB-NP\tO' -p94196 -aS'right\tright\tNN\tI-NP\tO' -p94197 -aS',\t,\t,\tO\tO' -p94198 -aS'but\tbut\tCC\tO\tO' -p94199 -aS'he\the\tPRP\tB-NP\tO' -p94200 -aS'gradually\tgradually\tRB\tB-ADVP\tO' -p94201 -aS'became\tbecome\tVBD\tB-VP\tO' -p94202 -aS'more\tmore\tRBR\tB-ADJP\tO' -p94203 -aS'awake\tawake\tJJ\tI-ADJP\tO' -p94204 -aS'and\tand\tCC\tI-ADJP\tO' -p94205 -aS'alert\talert\tJJ\tI-ADJP\tO' -p94206 -aS'and\tand\tCC\tI-ADJP\tO' -p94207 -aS'communicative\tcommunicative\tJJ\tI-ADJP\tO' -p94208 -aS'and\tand\tCC\tO\tO' -p94209 -aS'his\this\tPRP$\tB-NP\tO' -p94210 -aS'endotracheal\tendotracheal\tJJ\tI-NP\tO' -p94211 -aS'tube\ttube\tNN\tI-NP\tO' -p94212 -aS'was\tbe\tVBD\tB-VP\tO' -p94213 -aS'removed\tremove\tVBN\tI-VP\tO' -p94214 -aS'on\ton\tIN\tB-PP\tO' -p94215 -aS'the\tthe\tDT\tB-NP\tO' -p94216 -aS'second\tsecond\tJJ\tI-NP\tO' -p94217 -aS'day\tday\tNN\tI-NP\tO' -p94218 -aS'of\tof\tIN\tB-PP\tO' -p94219 -aS'admission\tadmission\tNN\tB-NP\tO' -p94220 -aS'.\t.\t.\tO\tO' -p94221 -asS'Birth weight was 1515 grams .' -p94222 -(lp94223 -S'Birth\tBirth\tNN\tB-NP\tO' -p94224 -aS'weight\tweight\tNN\tI-NP\tO' -p94225 -aS'was\tbe\tVBD\tB-VP\tO' -p94226 -aS'1515\t1515\tCD\tB-NP\tO' -p94227 -aS'grams\tgram\tNNS\tI-NP\tO' -p94228 -aS'.\t.\t.\tO\tO' -p94229 -asS'When NGT tube was pulled out , it was noted to have respiratory-like secretions .' -p94230 -(lp94231 -S'When\tWhen\tWRB\tB-ADVP\tO' -p94232 -aS'NGT\tNGT\tNN\tB-NP\tO' -p94233 -aS'tube\ttube\tNN\tI-NP\tO' -p94234 -aS'was\tbe\tVBD\tB-VP\tO' -p94235 -aS'pulled\tpull\tVBN\tI-VP\tO' -p94236 -aS'out\tout\tRP\tB-PRT\tO' -p94237 -aS',\t,\t,\tO\tO' -p94238 -aS'it\tit\tPRP\tB-NP\tO' -p94239 -aS'was\tbe\tVBD\tB-VP\tO' -p94240 -aS'noted\tnote\tVBN\tI-VP\tO' -p94241 -aS'to\tto\tTO\tI-VP\tO' -p94242 -aS'have\thave\tVB\tI-VP\tO' -p94243 -aS'respiratory-like\trespiratory-like\tJJ\tB-NP\tO' -p94244 -aS'secretions\tsecretion\tNNS\tI-NP\tO' -p94245 -aS'.\t.\t.\tO\tO' -p94246 -asS'No hematomas were noted , but a soft right femoral bruit was heard .' -p94247 -(lp94248 -S'No\tNo\tDT\tB-NP\tO' -p94249 -aS'hematomas\thematoma\tNNS\tI-NP\tO' -p94250 -aS'were\tbe\tVBD\tB-VP\tO' -p94251 -aS'noted\tnote\tVBN\tI-VP\tO' -p94252 -aS',\t,\t,\tO\tO' -p94253 -aS'but\tbut\tCC\tO\tO' -p94254 -aS'a\ta\tDT\tB-NP\tO' -p94255 -aS'soft\tsoft\tJJ\tI-NP\tO' -p94256 -aS'right\tright\tJJ\tI-NP\tO' -p94257 -aS'femoral\tfemoral\tJJ\tI-NP\tO' -p94258 -aS'bruit\tbruit\tNN\tI-NP\tO' -p94259 -aS'was\tbe\tVBD\tB-VP\tO' -p94260 -aS'heard\thear\tVBN\tI-VP\tO' -p94261 -aS'.\t.\t.\tO\tO' -p94262 -asS'The patient 's Diltiazem was stopped due to her increased blood pressure and was started on Labetalol which was gradually titrated up to a target blood pressure of 160-170 systolic in her right arm .' -p94263 -(lp94264 -S'The\tThe\tDT\tB-NP\tO' -p94265 -aS'patient\tpatient\tNN\tI-NP\tO' -p94266 -aS''s\t'\tNNS\tI-NP\tO' -p94267 -aS'Diltiazem\tDiltiazem\tNN\tI-NP\tO' -p94268 -aS'was\tbe\tVBD\tB-VP\tO' -p94269 -aS'stopped\tstop\tVBN\tI-VP\tO' -p94270 -aS'due\tdue\tJJ\tB-ADJP\tO' -p94271 -aS'to\tto\tTO\tB-PP\tO' -p94272 -aS'her\ther\tPRP$\tB-NP\tO' -p94273 -aS'increased\tincrease\tVBN\tI-NP\tO' -p94274 -aS'blood\tblood\tNN\tI-NP\tO' -p94275 -aS'pressure\tpressure\tNN\tI-NP\tO' -p94276 -aS'and\tand\tCC\tO\tO' -p94277 -aS'was\tbe\tVBD\tB-VP\tO' -p94278 -aS'started\tstart\tVBN\tI-VP\tO' -p94279 -aS'on\ton\tIN\tB-PP\tO' -p94280 -aS'Labetalol\tLabetalol\tNN\tB-NP\tO' -p94281 -aS'which\twhich\tWDT\tB-NP\tO' -p94282 -aS'was\tbe\tVBD\tB-VP\tO' -p94283 -aS'gradually\tgradually\tRB\tI-VP\tO' -p94284 -aS'titrated\ttitrate\tVBN\tI-VP\tO' -p94285 -aS'up\tup\tRP\tB-PRT\tO' -p94286 -aS'to\tto\tTO\tB-PP\tO' -p94287 -aS'a\ta\tDT\tB-NP\tO' -p94288 -aS'target\ttarget\tNN\tI-NP\tO' -p94289 -aS'blood\tblood\tNN\tI-NP\tO' -p94290 -aS'pressure\tpressure\tNN\tI-NP\tO' -p94291 -aS'of\tof\tIN\tB-PP\tO' -p94292 -aS'160-170\t160-170\tCD\tB-NP\tO' -p94293 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p94294 -aS'in\tin\tIN\tB-PP\tO' -p94295 -aS'her\ther\tPRP$\tB-NP\tO' -p94296 -aS'right\tright\tJJ\tI-NP\tO' -p94297 -aS'arm\tarm\tNN\tI-NP\tO' -p94298 -aS'.\t.\t.\tO\tO' -p94299 -asS'1. RECTAL CARCINOMA , STATUS POST PARTIAL COLECTOMY .' -p94300 -(lp94301 -S'1.\t1.\tLS\tB-NP\tO' -p94302 -aS'RECTAL\tRECTAL\tNN\tI-NP\tO' -p94303 -aS'CARCINOMA\tCARCINOMA\tNN\tI-NP\tO' -p94304 -aS',\t,\t,\tO\tO' -p94305 -aS'STATUS\tSTATUS\tNNP\tB-NP\tO' -p94306 -aS'POST\tPOST\tNNP\tI-NP\tO' -p94307 -aS'PARTIAL\tPARTIAL\tNNP\tI-NP\tO' -p94308 -aS'COLECTOMY\tCOLECTOMY\tNNP\tI-NP\tO' -p94309 -aS'.\t.\t.\tO\tO' -p94310 -asS'On POD7 it was decided that the pt was stable and ready for discharge to rehabilitation .' -p94311 -(lp94312 -S'On\tOn\tIN\tB-PP\tO' -p94313 -aS'POD7\tPOD7\tNN\tB-NP\tB-protein' -p94314 -aS'it\tit\tPRP\tB-NP\tO' -p94315 -aS'was\tbe\tVBD\tB-VP\tO' -p94316 -aS'decided\tdecide\tVBN\tI-VP\tO' -p94317 -aS'that\tthat\tIN\tB-SBAR\tO' -p94318 -aS'the\tthe\tDT\tB-NP\tO' -p94319 -aS'pt\tpt\tNN\tI-NP\tO' -p94320 -aS'was\tbe\tVBD\tB-VP\tO' -p94321 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p94322 -aS'and\tand\tCC\tI-ADJP\tO' -p94323 -aS'ready\tready\tJJ\tI-ADJP\tO' -p94324 -aS'for\tfor\tIN\tB-PP\tO' -p94325 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p94326 -aS'to\tto\tTO\tB-PP\tO' -p94327 -aS'rehabilitation\trehabilitation\tNN\tB-NP\tO' -p94328 -aS'.\t.\t.\tO\tO' -p94329 -asS'Once on the floor patient stable .' -p94330 -(lp94331 -S'Once\tOnce\tRB\tO\tO' -p94332 -aS'on\ton\tIN\tB-PP\tO' -p94333 -aS'the\tthe\tDT\tB-NP\tO' -p94334 -aS'floor\tfloor\tNN\tI-NP\tO' -p94335 -aS'patient\tpatient\tNN\tI-NP\tO' -p94336 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p94337 -aS'.\t.\t.\tO\tO' -p94338 -asS'7. Neurology - Normal head ultrasound on 2009-01-08 .' -p94339 -(lp94340 -S'7.\t7.\tCD\tB-NP\tO' -p94341 -aS'Neurology\tNeurology\tNNP\tI-NP\tO' -p94342 -aS'-\t-\tHYPH\tI-NP\tO' -p94343 -aS'Normal\tNormal\tJJ\tI-NP\tO' -p94344 -aS'head\thead\tNN\tI-NP\tO' -p94345 -aS'ultrasound\tultrasound\tNN\tI-NP\tO' -p94346 -aS'on\ton\tIN\tB-PP\tO' -p94347 -aS'2009-01-08\t2009-01-08\tCD\tB-NP\tO' -p94348 -aS'.\t.\t.\tO\tO' -p94349 -asS'The results were negative for Micro , most likely diagnosis as per review of pathology is organizing pneumonia with possible diagnosis of BOOP and chronic inhalational injury was a possibility .' -p94350 -(lp94351 -S'The\tThe\tDT\tB-NP\tO' -p94352 -aS'results\tresult\tNNS\tI-NP\tO' -p94353 -aS'were\tbe\tVBD\tB-VP\tO' -p94354 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p94355 -aS'for\tfor\tIN\tB-PP\tO' -p94356 -aS'Micro\tMicro\tNNP\tB-NP\tO' -p94357 -aS',\t,\t,\tO\tO' -p94358 -aS'most\tmost\tRBS\tB-NP\tO' -p94359 -aS'likely\tlikely\tJJ\tI-NP\tO' -p94360 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p94361 -aS'as\tas\tIN\tB-PP\tO' -p94362 -aS'per\tper\tIN\tB-PP\tO' -p94363 -aS'review\treview\tNN\tB-NP\tO' -p94364 -aS'of\tof\tIN\tB-PP\tO' -p94365 -aS'pathology\tpathology\tNN\tB-NP\tO' -p94366 -aS'is\tbe\tVBZ\tB-VP\tO' -p94367 -aS'organizing\torganize\tVBG\tI-VP\tO' -p94368 -aS'pneumonia\tpneumonia\tNN\tB-NP\tO' -p94369 -aS'with\twith\tIN\tB-PP\tO' -p94370 -aS'possible\tpossible\tJJ\tB-NP\tO' -p94371 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p94372 -aS'of\tof\tIN\tB-PP\tO' -p94373 -aS'BOOP\tBOOP\tNN\tB-NP\tB-protein' -p94374 -aS'and\tand\tCC\tO\tO' -p94375 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p94376 -aS'inhalational\tinhalational\tJJ\tI-NP\tO' -p94377 -aS'injury\tinjury\tNN\tI-NP\tO' -p94378 -aS'was\tbe\tVBD\tB-VP\tO' -p94379 -aS'a\ta\tDT\tB-NP\tO' -p94380 -aS'possibility\tpossibility\tNN\tI-NP\tO' -p94381 -aS'.\t.\t.\tO\tO' -p94382 -asS'At the time of discharge , she was oxygenating well on room air .' -p94383 -(lp94384 -S'At\tAt\tIN\tB-PP\tO' -p94385 -aS'the\tthe\tDT\tB-NP\tO' -p94386 -aS'time\ttime\tNN\tI-NP\tO' -p94387 -aS'of\tof\tIN\tB-PP\tO' -p94388 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p94389 -aS',\t,\t,\tO\tO' -p94390 -aS'she\tshe\tPRP\tB-NP\tO' -p94391 -aS'was\tbe\tVBD\tB-VP\tO' -p94392 -aS'oxygenating\toxygenate\tVBG\tI-VP\tO' -p94393 -aS'well\twell\tRB\tB-ADVP\tO' -p94394 -aS'on\ton\tIN\tB-PP\tO' -p94395 -aS'room\troom\tNN\tB-NP\tO' -p94396 -aS'air\tair\tNN\tI-NP\tO' -p94397 -aS'.\t.\t.\tO\tO' -p94398 -asS'She was discharged on 07-02 and represented that day with continued nause , vomiting , and fever .' -p94399 -(lp94400 -S'She\tShe\tPRP\tB-NP\tO' -p94401 -aS'was\tbe\tVBD\tB-VP\tO' -p94402 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p94403 -aS'on\ton\tIN\tB-PP\tO' -p94404 -aS'07-02\t07-02\tCD\tB-NP\tO' -p94405 -aS'and\tand\tCC\tO\tO' -p94406 -aS'represented\trepresent\tVBD\tB-VP\tO' -p94407 -aS'that\tthat\tDT\tB-NP\tO' -p94408 -aS'day\tday\tNN\tI-NP\tO' -p94409 -aS'with\twith\tIN\tB-PP\tO' -p94410 -aS'continued\tcontinue\tVBN\tB-NP\tO' -p94411 -aS'nause\tnause\tNN\tI-NP\tO' -p94412 -aS',\t,\t,\tO\tO' -p94413 -aS'vomiting\tvomiting\tNN\tB-NP\tO' -p94414 -aS',\t,\t,\tO\tO' -p94415 -aS'and\tand\tCC\tO\tO' -p94416 -aS'fever\tfever\tNN\tB-NP\tO' -p94417 -aS'.\t.\t.\tO\tO' -p94418 -asS'6. Tylenol 650 mg p.o. q.4-6h. p.r.n. for fever or pain .' -p94419 -(lp94420 -S'6.\t6.\tLS\tB-LST\tO' -p94421 -aS'Tylenol\tTylenol\tNN\tB-NP\tO' -p94422 -aS'650\t650\tCD\tI-NP\tO' -p94423 -aS'mg\tmg\tNN\tI-NP\tO' -p94424 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p94425 -aS'q.4-6h.\tq.4-6h.\tNN\tI-NP\tO' -p94426 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p94427 -aS'for\tfor\tIN\tB-PP\tO' -p94428 -aS'fever\tfever\tNN\tB-NP\tO' -p94429 -aS'or\tor\tCC\tI-NP\tO' -p94430 -aS'pain\tpain\tNN\tI-NP\tO' -p94431 -aS'.\t.\t.\tO\tO' -p94432 -asS'Follow up with Dr. Knowlton in 1-2 weeks , (246) 828-4417' -p94433 -(lp94434 -S'Follow\tFollow\tVB\tB-VP\tO' -p94435 -aS'up\tup\tRP\tB-PRT\tO' -p94436 -aS'with\twith\tIN\tB-PP\tO' -p94437 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p94438 -aS'Knowlton\tKnowlton\tNNP\tI-NP\tO' -p94439 -aS'in\tin\tIN\tB-PP\tO' -p94440 -aS'1-2\t1-2\tCD\tB-NP\tO' -p94441 -aS'weeks\tweek\tNNS\tI-NP\tO' -p94442 -aS',\t,\t,\tO\tO' -p94443 -aS'(246)\t(246)\tLS\tB-LST\tO' -p94444 -aS'828-4417\t828-4417\tCD\tB-NP\tO' -p94445 -asS'Her rate was well controlled on Digoxin .' -p94446 -(lp94447 -S'Her\tHer\tPRP$\tB-NP\tO' -p94448 -aS'rate\trate\tNN\tI-NP\tO' -p94449 -aS'was\tbe\tVBD\tB-VP\tO' -p94450 -aS'well\twell\tRB\tI-VP\tO' -p94451 -aS'controlled\tcontrol\tVBN\tI-VP\tO' -p94452 -aS'on\ton\tIN\tB-PP\tO' -p94453 -aS'Digoxin\tDigoxin\tNN\tB-NP\tO' -p94454 -aS'.\t.\t.\tO\tO' -p94455 -asS'Dictated By : Ellen V Wise , M.D.' -p94456 -(lp94457 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p94458 -aS'By\tBy\tIN\tB-PP\tO' -p94459 -aS':\t:\t:\tO\tO' -p94460 -aS'Ellen\tEllen\tNNP\tB-NP\tO' -p94461 -aS'V\tV\tNNP\tI-NP\tO' -p94462 -aS'Wise\tWise\tNNP\tI-NP\tO' -p94463 -aS',\t,\t,\tO\tO' -p94464 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p94465 -asS'ID consult obtained which recommended removal of PORT , which was taken out on 01-23 .' -p94466 -(lp94467 -S'ID\tID\tNN\tB-NP\tO' -p94468 -aS'consult\tconsult\tNN\tI-NP\tO' -p94469 -aS'obtained\tobtain\tVBN\tB-VP\tO' -p94470 -aS'which\twhich\tWDT\tB-NP\tO' -p94471 -aS'recommended\trecommend\tVBD\tB-VP\tO' -p94472 -aS'removal\tremoval\tNN\tB-NP\tO' -p94473 -aS'of\tof\tIN\tB-PP\tO' -p94474 -aS'PORT\tPORT\tNN\tB-NP\tB-protein' -p94475 -aS',\t,\t,\tO\tO' -p94476 -aS'which\twhich\tWDT\tB-NP\tO' -p94477 -aS'was\tbe\tVBD\tB-VP\tO' -p94478 -aS'taken\ttake\tVBN\tI-VP\tO' -p94479 -aS'out\tout\tRB\tB-ADVP\tO' -p94480 -aS'on\ton\tIN\tB-PP\tO' -p94481 -aS'01-23\t01-23\tCD\tB-NP\tO' -p94482 -aS'.\t.\t.\tO\tO' -p94483 -asS'1. Neuro .' -p94484 -(lp94485 -S'1.\t1.\tLS\tB-LST\tO' -p94486 -aS'Neuro\tNeuro\tNNP\tB-NP\tO' -p94487 -aS'.\t.\t.\tO\tO' -p94488 -asS'He developed erythema around the wound on Wednesday and was seen by Dr. Para , who started Keflex and obtained a CT scan which demonstrated a fluid collection at the site of erythema .' -p94489 -(lp94490 -S'He\tHe\tPRP\tB-NP\tO' -p94491 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p94492 -aS'erythema\terythema\tNN\tB-NP\tO' -p94493 -aS'around\taround\tIN\tB-PP\tO' -p94494 -aS'the\tthe\tDT\tB-NP\tO' -p94495 -aS'wound\twound\tNN\tI-NP\tO' -p94496 -aS'on\ton\tIN\tB-PP\tO' -p94497 -aS'Wednesday\tWednesday\tNNP\tB-NP\tO' -p94498 -aS'and\tand\tCC\tO\tO' -p94499 -aS'was\tbe\tVBD\tB-VP\tO' -p94500 -aS'seen\tsee\tVBN\tI-VP\tO' -p94501 -aS'by\tby\tIN\tB-PP\tO' -p94502 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p94503 -aS'Para\tPara\tNNP\tI-NP\tO' -p94504 -aS',\t,\t,\tO\tO' -p94505 -aS'who\twho\tWP\tB-NP\tO' -p94506 -aS'started\tstart\tVBD\tB-VP\tO' -p94507 -aS'Keflex\tKeflex\tNNP\tB-NP\tO' -p94508 -aS'and\tand\tCC\tO\tO' -p94509 -aS'obtained\tobtain\tVBD\tB-VP\tO' -p94510 -aS'a\ta\tDT\tB-NP\tO' -p94511 -aS'CT\tCT\tNN\tI-NP\tO' -p94512 -aS'scan\tscan\tNN\tI-NP\tO' -p94513 -aS'which\twhich\tWDT\tB-NP\tO' -p94514 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p94515 -aS'a\ta\tDT\tB-NP\tO' -p94516 -aS'fluid\tfluid\tNN\tI-NP\tO' -p94517 -aS'collection\tcollection\tNN\tI-NP\tO' -p94518 -aS'at\tat\tIN\tB-PP\tO' -p94519 -aS'the\tthe\tDT\tB-NP\tO' -p94520 -aS'site\tsite\tNN\tI-NP\tO' -p94521 -aS'of\tof\tIN\tB-PP\tO' -p94522 -aS'erythema\terythema\tNN\tB-NP\tO' -p94523 -aS'.\t.\t.\tO\tO' -p94524 -asS'Hydralazine 10 mgs PO t.i.d. , Digoxin 0.125 mgs PO q.d. , thiamine 100 mgs PO q.d. , multi-vitamin 1 tab. PO q.d. , Peri - Colace 100 mgs PO t.i.d. , folate 1 mg PO q.d. , Norvasc 2.5 mgs PO q.HS , Ritalin 10 mgs PO b.i.d. , Trazodone 25 mgs PO q.HS , Nafcillin 2 gramsIV q.4H which wil conclude at the end of the day on 1/16/98 , Atroventnebulizer PRN , Albuterol nebulizer PRN , Tylenol 650 mgs PO q.4H PRN pain .' -p94525 -(lp94526 -S'Hydralazine\tHydralazine\tNN\tB-NP\tO' -p94527 -aS'10\t10\tCD\tI-NP\tO' -p94528 -aS'mgs\tmg\tNNS\tI-NP\tO' -p94529 -aS'PO\tPO\tNN\tI-NP\tO' -p94530 -aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' -p94531 -aS',\t,\t,\tO\tO' -p94532 -aS'Digoxin\tDigoxin\tNN\tB-NP\tO' -p94533 -aS'0.125\t0.125\tCD\tI-NP\tO' -p94534 -aS'mgs\tmg\tNNS\tI-NP\tO' -p94535 -aS'PO\tPO\tNN\tI-NP\tO' -p94536 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p94537 -aS',\t,\t,\tO\tO' -p94538 -aS'thiamine\tthiamine\tNN\tB-NP\tO' -p94539 -aS'100\t100\tCD\tI-NP\tO' -p94540 -aS'mgs\tmg\tNNS\tI-NP\tO' -p94541 -aS'PO\tPO\tNN\tI-NP\tO' -p94542 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p94543 -aS',\t,\t,\tO\tO' -p94544 -aS'multi-vitamin\tmulti-vitamin\tNN\tB-NP\tO' -p94545 -aS'1\t1\tCD\tI-NP\tO' -p94546 -aS'tab.\ttab.\tNN\tI-NP\tO' -p94547 -aS'PO\tPO\tNN\tI-NP\tO' -p94548 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p94549 -aS',\t,\t,\tO\tO' -p94550 -aS'Peri\tPeri\tNNP\tB-NP\tO' -p94551 -aS'-\t-\tHYPH\tO\tO' -p94552 -aS'Colace\tColace\tNNP\tB-NP\tO' -p94553 -aS'100\t100\tCD\tI-NP\tO' -p94554 -aS'mgs\tmg\tNNS\tI-NP\tO' -p94555 -aS'PO\tPO\tNN\tI-NP\tO' -p94556 -aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' -p94557 -aS',\t,\t,\tO\tO' -p94558 -aS'folate\tfolate\tVB\tB-VP\tO' -p94559 -aS'1\t1\tCD\tB-NP\tO' -p94560 -aS'mg\tmg\tNN\tI-NP\tO' -p94561 -aS'PO\tPO\tNN\tI-NP\tO' -p94562 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p94563 -aS',\t,\t,\tO\tO' -p94564 -aS'Norvasc\tNorvasc\tNNP\tB-NP\tO' -p94565 -aS'2.5\t2.5\tCD\tI-NP\tO' -p94566 -aS'mgs\tmg\tNNS\tI-NP\tO' -p94567 -aS'PO\tPO\tNN\tI-NP\tO' -p94568 -aS'q.HS\tq.HS\tNN\tI-NP\tO' -p94569 -aS',\t,\t,\tO\tO' -p94570 -aS'Ritalin\tRitalin\tNN\tB-NP\tO' -p94571 -aS'10\t10\tCD\tI-NP\tO' -p94572 -aS'mgs\tmg\tNNS\tI-NP\tO' -p94573 -aS'PO\tPO\tNN\tI-NP\tO' -p94574 -aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' -p94575 -aS',\t,\t,\tO\tO' -p94576 -aS'Trazodone\tTrazodone\tNNP\tB-NP\tO' -p94577 -aS'25\t25\tCD\tI-NP\tO' -p94578 -aS'mgs\tmg\tNNS\tI-NP\tO' -p94579 -aS'PO\tPO\tNN\tI-NP\tO' -p94580 -aS'q.HS\tq.HS\tNN\tI-NP\tO' -p94581 -aS',\t,\t,\tO\tO' -p94582 -aS'Nafcillin\tNafcillin\tNN\tB-NP\tO' -p94583 -aS'2\t2\tCD\tI-NP\tO' -p94584 -aS'gramsIV\tgramsIV\tNN\tI-NP\tO' -p94585 -aS'q.4H\tq.4H\tNN\tI-NP\tO' -p94586 -aS'which\twhich\tWDT\tB-NP\tO' -p94587 -aS'wil\twil\tNN\tI-NP\tO' -p94588 -aS'conclude\tconclude\tVBP\tB-VP\tO' -p94589 -aS'at\tat\tIN\tB-PP\tO' -p94590 -aS'the\tthe\tDT\tB-NP\tO' -p94591 -aS'end\tend\tNN\tI-NP\tO' -p94592 -aS'of\tof\tIN\tB-PP\tO' -p94593 -aS'the\tthe\tDT\tB-NP\tO' -p94594 -aS'day\tday\tNN\tI-NP\tO' -p94595 -aS'on\ton\tIN\tB-PP\tO' -p94596 -aS'1/16/98\t1/16/98\tCD\tB-NP\tO' -p94597 -aS',\t,\t,\tO\tO' -p94598 -aS'Atroventnebulizer\tAtroventnebulizer\tNNP\tB-NP\tO' -p94599 -aS'PRN\tPRN\tNNP\tI-NP\tO' -p94600 -aS',\t,\t,\tO\tO' -p94601 -aS'Albuterol\tAlbuterol\tNNP\tB-NP\tO' -p94602 -aS'nebulizer\tnebulizer\tNNP\tI-NP\tO' -p94603 -aS'PRN\tPRN\tNNP\tI-NP\tO' -p94604 -aS',\t,\t,\tO\tO' -p94605 -aS'Tylenol\tTylenol\tNNP\tB-NP\tO' -p94606 -aS'650\t650\tCD\tI-NP\tO' -p94607 -aS'mgs\tmg\tNNS\tI-NP\tO' -p94608 -aS'PO\tPO\tNN\tI-NP\tO' -p94609 -aS'q.4H\tq.4H\tNN\tI-NP\tO' -p94610 -aS'PRN\tPRN\tNN\tI-NP\tO' -p94611 -aS'pain\tpain\tNN\tI-NP\tO' -p94612 -aS'.\t.\t.\tO\tO' -p94613 -asS'Mr. Pohl is a 53 - year-old male with history of alcohol use and hypertension .' -p94614 -(lp94615 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p94616 -aS'Pohl\tPohl\tNNP\tI-NP\tO' -p94617 -aS'is\tbe\tVBZ\tB-VP\tO' -p94618 -aS'a\ta\tDT\tB-NP\tO' -p94619 -aS'53\t53\tCD\tI-NP\tO' -p94620 -aS'-\t-\tHYPH\tI-NP\tO' -p94621 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p94622 -aS'male\tmale\tNN\tI-NP\tO' -p94623 -aS'with\twith\tIN\tB-PP\tO' -p94624 -aS'history\thistory\tNN\tB-NP\tO' -p94625 -aS'of\tof\tIN\tB-PP\tO' -p94626 -aS'alcohol\talcohol\tNN\tB-NP\tO' -p94627 -aS'use\tuse\tNN\tI-NP\tO' -p94628 -aS'and\tand\tCC\tI-NP\tO' -p94629 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p94630 -aS'.\t.\t.\tO\tO' -p94631 -asS'PAD DRY -- DO NOT SCRUB WOUND .' -p94632 -(lp94633 -S'PAD\tPAD\tNN\tB-NP\tO' -p94634 -aS'DRY\tDRY\tNN\tI-NP\tO' -p94635 -aS'--\t--\t:\tO\tO' -p94636 -aS'DO\tDO\tNN\tB-NP\tO' -p94637 -aS'NOT\tNOT\tNN\tI-NP\tO' -p94638 -aS'SCRUB\tSCRUB\tNN\tI-NP\tO' -p94639 -aS'WOUND\tWOUND\tNN\tI-NP\tO' -p94640 -aS'.\t.\t.\tO\tO' -p94641 -asS'The patient was admitted and placed in isolation on neutropenic precautions .' -p94642 -(lp94643 -S'The\tThe\tDT\tB-NP\tO' -p94644 -aS'patient\tpatient\tNN\tI-NP\tO' -p94645 -aS'was\tbe\tVBD\tB-VP\tO' -p94646 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p94647 -aS'and\tand\tCC\tO\tO' -p94648 -aS'placed\tplace\tVBN\tB-VP\tO' -p94649 -aS'in\tin\tIN\tB-PP\tO' -p94650 -aS'isolation\tisolation\tNN\tB-NP\tO' -p94651 -aS'on\ton\tIN\tB-PP\tO' -p94652 -aS'neutropenic\tneutropenic\tJJ\tB-NP\tO' -p94653 -aS'precautions\tprecaution\tNNS\tI-NP\tO' -p94654 -aS'.\t.\t.\tO\tO' -p94655 -asS'patient had difficulty with tandem gait and fell forward while standing on his his toes .' -p94656 -(lp94657 -S'patient\tpatient\tNN\tB-NP\tO' -p94658 -aS'had\thave\tVBD\tB-VP\tO' -p94659 -aS'difficulty\tdifficulty\tNN\tB-NP\tO' -p94660 -aS'with\twith\tIN\tB-PP\tO' -p94661 -aS'tandem\ttandem\tJJ\tB-NP\tO' -p94662 -aS'gait\tgait\tNN\tI-NP\tO' -p94663 -aS'and\tand\tCC\tO\tO' -p94664 -aS'fell\tfall\tVBD\tB-VP\tO' -p94665 -aS'forward\tforward\tRB\tB-ADVP\tO' -p94666 -aS'while\twhile\tIN\tB-SBAR\tO' -p94667 -aS'standing\tstand\tVBG\tB-VP\tO' -p94668 -aS'on\ton\tIN\tB-PP\tO' -p94669 -aS'his\this\tPRP$\tB-NP\tB-DNA' -p94670 -aS'his\this\tPRP$\tI-NP\tO' -p94671 -aS'toes\ttoe\tNNS\tI-NP\tO' -p94672 -aS'.\t.\t.\tO\tO' -p94673 -asS'3. Potassium chloride 20 mEq b.i.d.' -p94674 -(lp94675 -S'3.\t3.\tLS\tB-NP\tO' -p94676 -aS'Potassium\tPotassium\tNN\tI-NP\tO' -p94677 -aS'chloride\tchloride\tNN\tI-NP\tO' -p94678 -aS'20\t20\tCD\tI-NP\tO' -p94679 -aS'mEq\tmEq\tNN\tI-NP\tO' -p94680 -aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' -p94681 -asS'She is a former tobacco user and takes no illicit drugs .' -p94682 -(lp94683 -S'She\tShe\tPRP\tB-NP\tO' -p94684 -aS'is\tbe\tVBZ\tB-VP\tO' -p94685 -aS'a\ta\tDT\tB-NP\tO' -p94686 -aS'former\tformer\tJJ\tI-NP\tO' -p94687 -aS'tobacco\ttobacco\tNN\tI-NP\tO' -p94688 -aS'user\tuser\tNN\tI-NP\tO' -p94689 -aS'and\tand\tCC\tO\tO' -p94690 -aS'takes\ttake\tVBZ\tB-VP\tO' -p94691 -aS'no\tno\tDT\tB-NP\tO' -p94692 -aS'illicit\tillicit\tJJ\tI-NP\tO' -p94693 -aS'drugs\tdrug\tNNS\tI-NP\tO' -p94694 -aS'.\t.\t.\tO\tO' -p94695 -asS'Chest CT done at the outside hospital showed no gallstones .' -p94696 -(lp94697 -S'Chest\tCh\tJJS\tB-NP\tO' -p94698 -aS'CT\tCT\tNN\tI-NP\tB-protein' -p94699 -aS'done\tdo\tVBN\tB-VP\tO' -p94700 -aS'at\tat\tIN\tB-PP\tO' -p94701 -aS'the\tthe\tDT\tB-NP\tO' -p94702 -aS'outside\toutside\tJJ\tI-NP\tO' -p94703 -aS'hospital\thospital\tNN\tI-NP\tO' -p94704 -aS'showed\tshow\tVBD\tB-VP\tO' -p94705 -aS'no\tno\tDT\tB-NP\tO' -p94706 -aS'gallstones\tgallstone\tNNS\tI-NP\tO' -p94707 -aS'.\t.\t.\tO\tO' -p94708 -asS'The patient was started on Clindamycin intravenous and Cefuroxime intravenous with clearing of his fever but persistence of cough , choking , and intermittently many coarse rales in his base with no clearing by x-ray .' -p94709 -(lp94710 -S'The\tThe\tDT\tB-NP\tO' -p94711 -aS'patient\tpatient\tNN\tI-NP\tO' -p94712 -aS'was\tbe\tVBD\tB-VP\tO' -p94713 -aS'started\tstart\tVBN\tI-VP\tO' -p94714 -aS'on\ton\tIN\tB-PP\tO' -p94715 -aS'Clindamycin\tClindamycin\tNN\tB-NP\tO' -p94716 -aS'intravenous\tintravenous\tJJ\tI-NP\tO' -p94717 -aS'and\tand\tCC\tO\tO' -p94718 -aS'Cefuroxime\tCefuroxime\tNN\tB-NP\tO' -p94719 -aS'intravenous\tintravenous\tJJ\tB-ADJP\tO' -p94720 -aS'with\twith\tIN\tB-PP\tO' -p94721 -aS'clearing\tclear\tVBG\tB-VP\tO' -p94722 -aS'of\tof\tIN\tB-PP\tO' -p94723 -aS'his\this\tPRP$\tB-NP\tO' -p94724 -aS'fever\tfever\tNN\tI-NP\tO' -p94725 -aS'but\tbut\tCC\tI-NP\tO' -p94726 -aS'persistence\tpersistence\tNN\tI-NP\tO' -p94727 -aS'of\tof\tIN\tB-PP\tO' -p94728 -aS'cough\tcough\tNN\tB-NP\tO' -p94729 -aS',\t,\t,\tO\tO' -p94730 -aS'choking\tchoking\tNN\tB-NP\tO' -p94731 -aS',\t,\t,\tO\tO' -p94732 -aS'and\tand\tCC\tO\tO' -p94733 -aS'intermittently\tintermittently\tRB\tB-NP\tO' -p94734 -aS'many\tmany\tJJ\tI-NP\tO' -p94735 -aS'coarse\tcoarse\tNN\tI-NP\tO' -p94736 -aS'rales\trale\tNNS\tI-NP\tO' -p94737 -aS'in\tin\tIN\tB-PP\tO' -p94738 -aS'his\this\tPRP$\tB-NP\tO' -p94739 -aS'base\tbase\tNN\tI-NP\tO' -p94740 -aS'with\twith\tIN\tB-PP\tO' -p94741 -aS'no\tno\tDT\tB-NP\tO' -p94742 -aS'clearing\tclearing\tNN\tI-NP\tO' -p94743 -aS'by\tby\tIN\tB-PP\tO' -p94744 -aS'x-ray\tx-ray\tNN\tB-NP\tO' -p94745 -aS'.\t.\t.\tO\tO' -p94746 -asS'Course complicated by sub arachnoid hemorrhages and intraparenchymal bleeds as well as potential hypotensive brain injury with poor prognosis per neurology .' -p94747 -(lp94748 -S'Course\tCourse\tNN\tB-NP\tO' -p94749 -aS'complicated\tcomplicate\tVBN\tB-VP\tO' -p94750 -aS'by\tby\tIN\tB-PP\tO' -p94751 -aS'sub\tsub\tNN\tB-NP\tO' -p94752 -aS'arachnoid\tarachnoid\tNN\tI-NP\tO' -p94753 -aS'hemorrhages\themorrhage\tNNS\tI-NP\tO' -p94754 -aS'and\tand\tCC\tO\tO' -p94755 -aS'intraparenchymal\tintraparenchymal\tJJ\tB-NP\tO' -p94756 -aS'bleeds\tbleed\tNNS\tI-NP\tO' -p94757 -aS'as\tas\tRB\tB-CONJP\tO' -p94758 -aS'well\twell\tRB\tI-CONJP\tO' -p94759 -aS'as\tas\tIN\tI-CONJP\tO' -p94760 -aS'potential\tpotential\tJJ\tB-NP\tO' -p94761 -aS'hypotensive\thypotensive\tJJ\tI-NP\tO' -p94762 -aS'brain\tbrain\tNN\tI-NP\tO' -p94763 -aS'injury\tinjury\tNN\tI-NP\tO' -p94764 -aS'with\twith\tIN\tB-PP\tO' -p94765 -aS'poor\tpoor\tJJ\tB-NP\tO' -p94766 -aS'prognosis\tprognosis\tNN\tI-NP\tO' -p94767 -aS'per\tper\tIN\tB-PP\tO' -p94768 -aS'neurology\tneurology\tNN\tB-NP\tO' -p94769 -aS'.\t.\t.\tO\tO' -p94770 -asS'The portable chest X-ray showed clear lungs , slight enlarged heart , and a mildly elevated hemidiaphragm .' -p94771 -(lp94772 -S'The\tThe\tDT\tB-NP\tO' -p94773 -aS'portable\tportable\tJJ\tI-NP\tO' -p94774 -aS'chest\tchest\tNN\tI-NP\tO' -p94775 -aS'X-ray\tX-ray\tNN\tI-NP\tO' -p94776 -aS'showed\tshow\tVBD\tB-VP\tO' -p94777 -aS'clear\tclear\tJJ\tB-NP\tO' -p94778 -aS'lungs\tlung\tNNS\tI-NP\tO' -p94779 -aS',\t,\t,\tO\tO' -p94780 -aS'slight\tslight\tJJ\tB-NP\tO' -p94781 -aS'enlarged\tenlarged\tJJ\tI-NP\tO' -p94782 -aS'heart\theart\tNN\tI-NP\tO' -p94783 -aS',\t,\t,\tO\tO' -p94784 -aS'and\tand\tCC\tO\tO' -p94785 -aS'a\ta\tDT\tB-NP\tO' -p94786 -aS'mildly\tmildly\tRB\tI-NP\tO' -p94787 -aS'elevated\televated\tJJ\tI-NP\tO' -p94788 -aS'hemidiaphragm\themidiaphragm\tNN\tI-NP\tO' -p94789 -aS'.\t.\t.\tO\tO' -p94790 -asS'This was secondary to polycystic kidneydisease , which was noted since age 12 .' -p94791 -(lp94792 -S'This\tThis\tDT\tB-NP\tO' -p94793 -aS'was\tbe\tVBD\tB-VP\tO' -p94794 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p94795 -aS'to\tto\tTO\tB-PP\tO' -p94796 -aS'polycystic\tpolycystic\tJJ\tB-NP\tO' -p94797 -aS'kidneydisease\tkidneydisease\tNN\tI-NP\tO' -p94798 -aS',\t,\t,\tO\tO' -p94799 -aS'which\twhich\tWDT\tB-NP\tO' -p94800 -aS'was\tbe\tVBD\tB-VP\tO' -p94801 -aS'noted\tnote\tVBN\tI-VP\tO' -p94802 -aS'since\tsince\tIN\tB-PP\tO' -p94803 -aS'age\tage\tNN\tB-NP\tO' -p94804 -aS'12\t12\tCD\tI-NP\tO' -p94805 -aS'.\t.\t.\tO\tO' -p94806 -asS'He drinks two glasses of wine per day and denies any use of illicit substances .' -p94807 -(lp94808 -S'He\tHe\tPRP\tB-NP\tO' -p94809 -aS'drinks\tdrink\tVBZ\tB-VP\tO' -p94810 -aS'two\ttwo\tCD\tB-NP\tO' -p94811 -aS'glasses\tglass\tNNS\tI-NP\tO' -p94812 -aS'of\tof\tIN\tB-PP\tO' -p94813 -aS'wine\twine\tNN\tB-NP\tO' -p94814 -aS'per\tper\tIN\tB-PP\tO' -p94815 -aS'day\tday\tNN\tB-NP\tO' -p94816 -aS'and\tand\tCC\tO\tO' -p94817 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p94818 -aS'any\tany\tDT\tB-NP\tO' -p94819 -aS'use\tuse\tNN\tI-NP\tO' -p94820 -aS'of\tof\tIN\tB-PP\tO' -p94821 -aS'illicit\tillicit\tJJ\tB-NP\tO' -p94822 -aS'substances\tsubstance\tNNS\tI-NP\tO' -p94823 -aS'.\t.\t.\tO\tO' -p94824 -asS'5. Dilaudid 4 mg Tablet Sig : One ( 1 ) Tablet PO q3-4hr prn .' -p94825 -(lp94826 -S'5.\t5.\tLS\tB-LST\tO' -p94827 -aS'Dilaudid\tDilaudid\tVBD\tB-VP\tO' -p94828 -aS'4\t4\tCD\tB-NP\tO' -p94829 -aS'mg\tmg\tNN\tI-NP\tO' -p94830 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p94831 -aS'Sig\tSig\tNNP\tI-NP\tO' -p94832 -aS':\t:\t:\tO\tO' -p94833 -aS'One\tOne\tCD\tB-NP\tO' -p94834 -aS'(\t(\t(\tO\tO' -p94835 -aS'1\t1\tCD\tB-NP\tO' -p94836 -aS')\t)\t)\tO\tO' -p94837 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p94838 -aS'PO\tPO\tNN\tI-NP\tO' -p94839 -aS'q3-4hr\tq3-4hr\tNN\tI-NP\tO' -p94840 -aS'prn\tprn\tNN\tI-NP\tO' -p94841 -aS'.\t.\t.\tO\tO' -p94842 -asS'On 1/18/96 , she had an acute change in mental status and underwent an emergent head CT scan which showed a massive subarachnoid hemorrhage with bleeding in the subarachnoid space , and throughout the ventricles .' -p94843 -(lp94844 -S'On\tOn\tIN\tB-PP\tO' -p94845 -aS'1/18/96\t1/18/96\tCD\tB-NP\tO' -p94846 -aS',\t,\t,\tO\tO' -p94847 -aS'she\tshe\tPRP\tB-NP\tO' -p94848 -aS'had\thave\tVBD\tB-VP\tO' -p94849 -aS'an\tan\tDT\tB-NP\tO' -p94850 -aS'acute\tacute\tJJ\tI-NP\tO' -p94851 -aS'change\tchange\tNN\tI-NP\tO' -p94852 -aS'in\tin\tIN\tB-PP\tO' -p94853 -aS'mental\tmental\tJJ\tB-NP\tO' -p94854 -aS'status\tstatus\tNN\tI-NP\tO' -p94855 -aS'and\tand\tCC\tO\tO' -p94856 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p94857 -aS'an\tan\tDT\tB-NP\tO' -p94858 -aS'emergent\temergent\tJJ\tI-NP\tO' -p94859 -aS'head\thead\tNN\tI-NP\tO' -p94860 -aS'CT\tCT\tNN\tI-NP\tO' -p94861 -aS'scan\tscan\tNN\tI-NP\tO' -p94862 -aS'which\twhich\tWDT\tB-NP\tO' -p94863 -aS'showed\tshow\tVBD\tB-VP\tO' -p94864 -aS'a\ta\tDT\tB-NP\tO' -p94865 -aS'massive\tmassive\tJJ\tI-NP\tO' -p94866 -aS'subarachnoid\tsubarachnoid\tJJ\tI-NP\tO' -p94867 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p94868 -aS'with\twith\tIN\tB-PP\tO' -p94869 -aS'bleeding\tbleed\tVBG\tB-VP\tO' -p94870 -aS'in\tin\tIN\tB-PP\tO' -p94871 -aS'the\tthe\tDT\tB-NP\tO' -p94872 -aS'subarachnoid\tsubarachnoid\tJJ\tI-NP\tO' -p94873 -aS'space\tspace\tNN\tI-NP\tO' -p94874 -aS',\t,\t,\tO\tO' -p94875 -aS'and\tand\tCC\tO\tO' -p94876 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p94877 -aS'the\tthe\tDT\tB-NP\tO' -p94878 -aS'ventricles\tventricle\tNNS\tI-NP\tO' -p94879 -aS'.\t.\t.\tO\tO' -p94880 -asS'She feels like "everything is falling out."' -p94881 -(lp94882 -S'She\tShe\tPRP\tB-NP\tO' -p94883 -aS'feels\tfeel\tVBZ\tB-VP\tO' -p94884 -aS'like\tlike\tIN\tB-PP\tO' -p94885 -aS'"everything\t"everything\tNN\tB-NP\tO' -p94886 -aS'is\tbe\tVBZ\tB-VP\tO' -p94887 -aS'falling\tfall\tVBG\tI-VP\tO' -p94888 -aS'out."\tout."\tRP\tB-PRT\tO' -p94889 -asS'Patient felt well , tolerating POs .' -p94890 -(lp94891 -S'Patient\tPatient\tNN\tB-NP\tO' -p94892 -aS'felt\tfeel\tVBD\tB-VP\tO' -p94893 -aS'well\twell\tRB\tB-ADVP\tO' -p94894 -aS',\t,\t,\tO\tO' -p94895 -aS'tolerating\ttolerate\tVBG\tB-VP\tO' -p94896 -aS'POs\tPO\tNNS\tB-NP\tB-protein' -p94897 -aS'.\t.\t.\tO\tO' -p94898 -asS'Physical examination revealed that the vital signs were stable .' -p94899 -(lp94900 -S'Physical\tPhysical\tJJ\tB-NP\tO' -p94901 -aS'examination\texamination\tNN\tI-NP\tO' -p94902 -aS'revealed\treveal\tVBD\tB-VP\tO' -p94903 -aS'that\tthat\tIN\tB-SBAR\tO' -p94904 -aS'the\tthe\tDT\tB-NP\tO' -p94905 -aS'vital\tvital\tJJ\tI-NP\tO' -p94906 -aS'signs\tsign\tNNS\tI-NP\tO' -p94907 -aS'were\tbe\tVBD\tB-VP\tO' -p94908 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p94909 -aS'.\t.\t.\tO\tO' -p94910 -asS'She was recently hospitalised from 02-23 / 03-04 for abdominal discomfort at which time she underwent paracentesis that ruled out SBP and relieved her abdominal pain .' -p94911 -(lp94912 -S'She\tShe\tPRP\tB-NP\tO' -p94913 -aS'was\tbe\tVBD\tB-VP\tO' -p94914 -aS'recently\trecently\tRB\tI-VP\tO' -p94915 -aS'hospitalised\thospitalise\tVBN\tI-VP\tO' -p94916 -aS'from\tfrom\tIN\tB-PP\tO' -p94917 -aS'02-23\t02-23\tCD\tB-NP\tO' -p94918 -aS'/\t/\tSYM\tI-NP\tO' -p94919 -aS'03-04\t03-04\tCD\tI-NP\tO' -p94920 -aS'for\tfor\tIN\tB-PP\tO' -p94921 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p94922 -aS'discomfort\tdiscomfort\tNN\tI-NP\tO' -p94923 -aS'at\tat\tIN\tB-PP\tO' -p94924 -aS'which\twhich\tWDT\tB-NP\tO' -p94925 -aS'time\ttime\tNN\tI-NP\tO' -p94926 -aS'she\tshe\tPRP\tB-NP\tO' -p94927 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p94928 -aS'paracentesis\tparacentesis\tNN\tB-NP\tO' -p94929 -aS'that\tthat\tWDT\tB-NP\tO' -p94930 -aS'ruled\trule\tVBD\tB-VP\tO' -p94931 -aS'out\tout\tRP\tB-PRT\tO' -p94932 -aS'SBP\tSBP\tNN\tB-NP\tB-protein' -p94933 -aS'and\tand\tCC\tO\tO' -p94934 -aS'relieved\trelieve\tVBD\tB-VP\tO' -p94935 -aS'her\ther\tPRP$\tB-NP\tO' -p94936 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p94937 -aS'pain\tpain\tNN\tI-NP\tO' -p94938 -aS'.\t.\t.\tO\tO' -p94939 -asS'The patient had an abdominal CT earlier in her Intensive Care Unit course , which was essentially negative for an intraabdominal pathology .' -p94940 -(lp94941 -S'The\tThe\tDT\tB-NP\tO' -p94942 -aS'patient\tpatient\tNN\tI-NP\tO' -p94943 -aS'had\thave\tVBD\tB-VP\tO' -p94944 -aS'an\tan\tDT\tB-NP\tO' -p94945 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p94946 -aS'CT\tCT\tNN\tI-NP\tO' -p94947 -aS'earlier\tearlier\tRBR\tB-ADVP\tO' -p94948 -aS'in\tin\tIN\tB-PP\tO' -p94949 -aS'her\ther\tPRP$\tB-NP\tO' -p94950 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p94951 -aS'Care\tCare\tNNP\tI-NP\tO' -p94952 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p94953 -aS'course\tcourse\tNN\tI-NP\tO' -p94954 -aS',\t,\t,\tO\tO' -p94955 -aS'which\twhich\tWDT\tB-NP\tO' -p94956 -aS'was\tbe\tVBD\tB-VP\tO' -p94957 -aS'essentially\tessentially\tRB\tB-ADJP\tO' -p94958 -aS'negative\tnegative\tJJ\tI-ADJP\tO' -p94959 -aS'for\tfor\tIN\tB-PP\tO' -p94960 -aS'an\tan\tDT\tB-NP\tO' -p94961 -aS'intraabdominal\tintraabdominal\tJJ\tI-NP\tO' -p94962 -aS'pathology\tpathology\tNN\tI-NP\tO' -p94963 -aS'.\t.\t.\tO\tO' -p94964 -asS'1. Type I diabetes diagnosed at age 27 .' -p94965 -(lp94966 -S'1.\t1.\tLS\tB-NP\tO' -p94967 -aS'Type\tType\tNN\tI-NP\tO' -p94968 -aS'I\tI\tCD\tB-NP\tO' -p94969 -aS'diabetes\tdiabete\tNNS\tI-NP\tO' -p94970 -aS'diagnosed\tdiagnose\tVBN\tB-VP\tO' -p94971 -aS'at\tat\tIN\tB-PP\tO' -p94972 -aS'age\tage\tNN\tB-NP\tO' -p94973 -aS'27\t27\tCD\tI-NP\tO' -p94974 -aS'.\t.\t.\tO\tO' -p94975 -asS'If this is still problematic , pt may also need a sphincterotomy .' -p94976 -(lp94977 -S'If\tIf\tIN\tB-SBAR\tO' -p94978 -aS'this\tthis\tDT\tB-NP\tO' -p94979 -aS'is\tbe\tVBZ\tB-VP\tO' -p94980 -aS'still\tstill\tRB\tB-ADVP\tO' -p94981 -aS'problematic\tproblematic\tJJ\tB-ADJP\tO' -p94982 -aS',\t,\t,\tO\tO' -p94983 -aS'pt\tpt\tNN\tB-NP\tO' -p94984 -aS'may\tmay\tMD\tB-VP\tO' -p94985 -aS'also\talso\tRB\tI-VP\tO' -p94986 -aS'need\tneed\tVB\tI-VP\tO' -p94987 -aS'a\ta\tDT\tB-NP\tO' -p94988 -aS'sphincterotomy\tsphincterotomy\tNN\tI-NP\tO' -p94989 -aS'.\t.\t.\tO\tO' -p94990 -asS'EKG showed an ectopic low atrial P and they thought she was still stable without evidence of tamponade .' -p94991 -(lp94992 -S'EKG\tEKG\tNN\tB-NP\tB-protein' -p94993 -aS'showed\tshow\tVBD\tB-VP\tO' -p94994 -aS'an\tan\tDT\tB-NP\tO' -p94995 -aS'ectopic\tectopic\tJJ\tI-NP\tO' -p94996 -aS'low\tlow\tJJ\tI-NP\tO' -p94997 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p94998 -aS'P\tP\tNN\tI-NP\tO' -p94999 -aS'and\tand\tCC\tO\tO' -p95000 -aS'they\tthey\tPRP\tB-NP\tO' -p95001 -aS'thought\tthink\tVBD\tB-VP\tO' -p95002 -aS'she\tshe\tPRP\tB-NP\tO' -p95003 -aS'was\tbe\tVBD\tB-VP\tO' -p95004 -aS'still\tstill\tRB\tB-ADVP\tO' -p95005 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p95006 -aS'without\twithout\tIN\tB-PP\tO' -p95007 -aS'evidence\tevidence\tNN\tB-NP\tO' -p95008 -aS'of\tof\tIN\tB-PP\tO' -p95009 -aS'tamponade\ttamponade\tNN\tB-NP\tO' -p95010 -aS'.\t.\t.\tO\tO' -p95011 -asS'Mental status improved after binasal cannula oxygen applied , at which time she localized right upper quadrant pain .' -p95012 -(lp95013 -S'Mental\tMental\tJJ\tB-NP\tO' -p95014 -aS'status\tstatus\tNN\tI-NP\tO' -p95015 -aS'improved\timprove\tVBN\tB-VP\tO' -p95016 -aS'after\tafter\tIN\tB-PP\tO' -p95017 -aS'binasal\tbinasal\tJJ\tB-NP\tO' -p95018 -aS'cannula\tcannula\tNN\tI-NP\tO' -p95019 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p95020 -aS'applied\tapply\tVBD\tB-VP\tO' -p95021 -aS',\t,\t,\tO\tO' -p95022 -aS'at\tat\tIN\tB-PP\tO' -p95023 -aS'which\twhich\tWDT\tB-NP\tO' -p95024 -aS'time\ttime\tNN\tI-NP\tO' -p95025 -aS'she\tshe\tPRP\tB-NP\tO' -p95026 -aS'localized\tlocalize\tVBD\tB-VP\tO' -p95027 -aS'right\tright\tJJ\tB-NP\tO' -p95028 -aS'upper\tupper\tJJ\tI-NP\tO' -p95029 -aS'quadrant\tquadrant\tJJ\tI-NP\tO' -p95030 -aS'pain\tpain\tNN\tI-NP\tO' -p95031 -aS'.\t.\t.\tO\tO' -p95032 -asS'Ovarian cancer .' -p95033 -(lp95034 -S'Ovarian\tOvarian\tJJ\tB-NP\tO' -p95035 -aS'cancer\tcancer\tNN\tI-NP\tO' -p95036 -aS'.\t.\t.\tO\tO' -p95037 -asS'Hypercapture near end of stay was negative .' -p95038 -(lp95039 -S'Hypercapture\tHypercapture\tNN\tB-NP\tO' -p95040 -aS'near\tnear\tIN\tB-PP\tO' -p95041 -aS'end\tend\tNN\tB-NP\tO' -p95042 -aS'of\tof\tIN\tB-PP\tO' -p95043 -aS'stay\tstay\tNN\tB-NP\tO' -p95044 -aS'was\tbe\tVBD\tB-VP\tO' -p95045 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p95046 -aS'.\t.\t.\tO\tO' -p95047 -asS'The right ventricular free wall is hypertrophied .' -p95048 -(lp95049 -S'The\tThe\tDT\tB-NP\tO' -p95050 -aS'right\tright\tJJ\tI-NP\tO' -p95051 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p95052 -aS'free\tfree\tJJ\tI-NP\tO' -p95053 -aS'wall\twall\tNN\tI-NP\tO' -p95054 -aS'is\tbe\tVBZ\tB-VP\tO' -p95055 -aS'hypertrophied\thypertrophy\tVBN\tI-VP\tO' -p95056 -aS'.\t.\t.\tO\tO' -p95057 -asS'The genitourinary exam showed normal penis with normal testicles which were nontender .' -p95058 -(lp95059 -S'The\tThe\tDT\tB-NP\tO' -p95060 -aS'genitourinary\tgenitourinary\tJJ\tI-NP\tO' -p95061 -aS'exam\texam\tNN\tI-NP\tO' -p95062 -aS'showed\tshow\tVBD\tB-VP\tO' -p95063 -aS'normal\tnormal\tJJ\tB-NP\tO' -p95064 -aS'penis\tpenis\tNN\tI-NP\tO' -p95065 -aS'with\twith\tIN\tB-PP\tO' -p95066 -aS'normal\tnormal\tJJ\tB-NP\tO' -p95067 -aS'testicles\ttesticle\tNNS\tI-NP\tO' -p95068 -aS'which\twhich\tWDT\tB-NP\tO' -p95069 -aS'were\tbe\tVBD\tB-VP\tO' -p95070 -aS'nontender\tnontender\tJJ\tB-ADJP\tO' -p95071 -aS'.\t.\t.\tO\tO' -p95072 -asS'She was DNR/DNI on admission .' -p95073 -(lp95074 -S'She\tShe\tPRP\tB-NP\tO' -p95075 -aS'was\tbe\tVBD\tB-VP\tO' -p95076 -aS'DNR/DNI\tDNR/DNI\tNN\tB-NP\tO' -p95077 -aS'on\ton\tIN\tB-PP\tO' -p95078 -aS'admission\tadmission\tNN\tB-NP\tO' -p95079 -aS'.\t.\t.\tO\tO' -p95080 -asS'Due to his worsening blood glucose , he was started on insulin .' -p95081 -(lp95082 -S'Due\tDue\tJJ\tB-PP\tO' -p95083 -aS'to\tto\tTO\tB-PP\tO' -p95084 -aS'his\this\tPRP$\tB-NP\tB-DNA' -p95085 -aS'worsening\tworsen\tVBG\tI-NP\tO' -p95086 -aS'blood\tblood\tNN\tI-NP\tO' -p95087 -aS'glucose\tglucose\tNN\tI-NP\tO' -p95088 -aS',\t,\t,\tO\tO' -p95089 -aS'he\the\tPRP\tB-NP\tO' -p95090 -aS'was\tbe\tVBD\tB-VP\tO' -p95091 -aS'started\tstart\tVBN\tI-VP\tO' -p95092 -aS'on\ton\tIN\tB-PP\tO' -p95093 -aS'insulin\tinsulin\tNN\tB-NP\tB-protein' -p95094 -aS'.\t.\t.\tO\tO' -p95095 -asS'FAMILY HISTORY : Father died of metastatic colon cancer .' -p95096 -(lp95097 -S'FAMILY\tFAMILY\tNN\tB-NP\tO' -p95098 -aS'HISTORY\tHISTORY\tNN\tI-NP\tO' -p95099 -aS':\t:\t:\tO\tO' -p95100 -aS'Father\tFather\tNNP\tB-NP\tO' -p95101 -aS'died\tdie\tVBD\tB-VP\tO' -p95102 -aS'of\tof\tIN\tB-PP\tO' -p95103 -aS'metastatic\tmetastatic\tJJ\tB-NP\tO' -p95104 -aS'colon\tcolon\tNN\tI-NP\tO' -p95105 -aS'cancer\tcancer\tNN\tI-NP\tO' -p95106 -aS'.\t.\t.\tO\tO' -p95107 -asS'Initially , the patient did well in the Intensive Care Unit , mentally alert , and oriented , however , he continued to be coagulopathic and was requiring large amounts of blood and FFP transfusions , with a resultant pulmonary edema .' -p95108 -(lp95109 -S'Initially\tInitially\tRB\tB-ADVP\tO' -p95110 -aS',\t,\t,\tO\tO' -p95111 -aS'the\tthe\tDT\tB-NP\tO' -p95112 -aS'patient\tpatient\tNN\tI-NP\tO' -p95113 -aS'did\tdo\tVBD\tB-VP\tO' -p95114 -aS'well\twell\tRB\tB-ADVP\tO' -p95115 -aS'in\tin\tIN\tB-PP\tO' -p95116 -aS'the\tthe\tDT\tB-NP\tO' -p95117 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p95118 -aS'Care\tCare\tNNP\tI-NP\tO' -p95119 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p95120 -aS',\t,\t,\tO\tO' -p95121 -aS'mentally\tmentally\tRB\tB-ADJP\tO' -p95122 -aS'alert\talert\tJJ\tI-ADJP\tO' -p95123 -aS',\t,\t,\tO\tO' -p95124 -aS'and\tand\tCC\tO\tO' -p95125 -aS'oriented\torient\tVBN\tB-VP\tO' -p95126 -aS',\t,\t,\tO\tO' -p95127 -aS'however\thowever\tRB\tB-ADVP\tO' -p95128 -aS',\t,\t,\tO\tO' -p95129 -aS'he\the\tPRP\tB-NP\tO' -p95130 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p95131 -aS'to\tto\tTO\tI-VP\tO' -p95132 -aS'be\tbe\tVB\tI-VP\tO' -p95133 -aS'coagulopathic\tcoagulopathic\tJJ\tB-ADJP\tO' -p95134 -aS'and\tand\tCC\tO\tO' -p95135 -aS'was\tbe\tVBD\tB-VP\tO' -p95136 -aS'requiring\trequire\tVBG\tI-VP\tO' -p95137 -aS'large\tlarge\tJJ\tB-NP\tO' -p95138 -aS'amounts\tamount\tNNS\tI-NP\tO' -p95139 -aS'of\tof\tIN\tB-PP\tO' -p95140 -aS'blood\tblood\tNN\tB-NP\tO' -p95141 -aS'and\tand\tCC\tI-NP\tO' -p95142 -aS'FFP\tFFP\tNN\tI-NP\tO' -p95143 -aS'transfusions\ttransfusion\tNNS\tI-NP\tO' -p95144 -aS',\t,\t,\tO\tO' -p95145 -aS'with\twith\tIN\tB-PP\tO' -p95146 -aS'a\ta\tDT\tB-NP\tO' -p95147 -aS'resultant\tresultant\tJJ\tI-NP\tO' -p95148 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p95149 -aS'edema\tedema\tNN\tI-NP\tO' -p95150 -aS'.\t.\t.\tO\tO' -p95151 -asS'This was determined by head CT , head MRI , head MRA , carotid noninvasive studies , transcranial Dopplers .' -p95152 -(lp95153 -S'This\tThis\tDT\tB-NP\tO' -p95154 -aS'was\tbe\tVBD\tB-VP\tO' -p95155 -aS'determined\tdetermine\tVBN\tI-VP\tO' -p95156 -aS'by\tby\tIN\tB-PP\tO' -p95157 -aS'head\thead\tNN\tB-NP\tO' -p95158 -aS'CT\tCT\tNN\tI-NP\tO' -p95159 -aS',\t,\t,\tO\tO' -p95160 -aS'head\thead\tNN\tB-NP\tO' -p95161 -aS'MRI\tMRI\tNN\tI-NP\tO' -p95162 -aS',\t,\t,\tO\tO' -p95163 -aS'head\thead\tNN\tB-NP\tO' -p95164 -aS'MRA\tMRA\tNN\tI-NP\tO' -p95165 -aS',\t,\t,\tO\tO' -p95166 -aS'carotid\tcarotid\tVBD\tB-VP\tO' -p95167 -aS'noninvasive\tnoninvasive\tJJ\tB-NP\tO' -p95168 -aS'studies\tstudy\tNNS\tI-NP\tO' -p95169 -aS',\t,\t,\tO\tO' -p95170 -aS'transcranial\ttranscranial\tJJ\tB-NP\tO' -p95171 -aS'Dopplers\tDoppler\tNNS\tI-NP\tO' -p95172 -aS'.\t.\t.\tO\tO' -p95173 -asS'4. Oxycodone 5 mg Tablet Sig : One ( 1 ) Tablet PO Q4H ( every 4 hours ) as needed for pain .' -p95174 -(lp95175 -S'4.\t4.\tLS\tB-NP\tO' -p95176 -aS'Oxycodone\tOxycodone\tNN\tI-NP\tO' -p95177 -aS'5\t5\tCD\tI-NP\tO' -p95178 -aS'mg\tmg\tNN\tI-NP\tO' -p95179 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p95180 -aS'Sig\tSig\tNNP\tI-NP\tO' -p95181 -aS':\t:\t:\tO\tO' -p95182 -aS'One\tOne\tCD\tB-NP\tO' -p95183 -aS'(\t(\t(\tO\tO' -p95184 -aS'1\t1\tCD\tB-NP\tO' -p95185 -aS')\t)\t)\tO\tO' -p95186 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p95187 -aS'PO\tPO\tNN\tI-NP\tO' -p95188 -aS'Q4H\tQ4H\tNN\tI-NP\tO' -p95189 -aS'(\t(\t(\tO\tO' -p95190 -aS'every\tevery\tDT\tB-NP\tO' -p95191 -aS'4\t4\tCD\tI-NP\tO' -p95192 -aS'hours\thour\tNNS\tI-NP\tO' -p95193 -aS')\t)\t)\tO\tO' -p95194 -aS'as\tas\tIN\tB-SBAR\tO' -p95195 -aS'needed\tneed\tVBN\tB-VP\tO' -p95196 -aS'for\tfor\tIN\tB-PP\tO' -p95197 -aS'pain\tpain\tNN\tB-NP\tO' -p95198 -aS'.\t.\t.\tO\tO' -p95199 -asS'Her heart rate was 71 .' -p95200 -(lp95201 -S'Her\tHer\tPRP$\tB-NP\tO' -p95202 -aS'heart\theart\tNN\tI-NP\tO' -p95203 -aS'rate\trate\tNN\tI-NP\tO' -p95204 -aS'was\tbe\tVBD\tB-VP\tO' -p95205 -aS'71\t71\tCD\tB-NP\tO' -p95206 -aS'.\t.\t.\tO\tO' -p95207 -asS'On this head CT without contrast , the evaluation is limited .' -p95208 -(lp95209 -S'On\tOn\tIN\tB-PP\tO' -p95210 -aS'this\tthis\tDT\tB-NP\tO' -p95211 -aS'head\thead\tNN\tI-NP\tO' -p95212 -aS'CT\tCT\tNN\tI-NP\tO' -p95213 -aS'without\twithout\tIN\tB-PP\tO' -p95214 -aS'contrast\tcontrast\tNN\tB-NP\tO' -p95215 -aS',\t,\t,\tO\tO' -p95216 -aS'the\tthe\tDT\tB-NP\tO' -p95217 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p95218 -aS'is\tbe\tVBZ\tB-VP\tO' -p95219 -aS'limited\tlimit\tVBN\tB-ADJP\tO' -p95220 -aS'.\t.\t.\tO\tO' -p95221 -asS'Stewart sign was negative .' -p95222 -(lp95223 -S'Stewart\tStewart\tNN\tB-NP\tO' -p95224 -aS'sign\tsign\tNN\tI-NP\tO' -p95225 -aS'was\tbe\tVBD\tB-VP\tO' -p95226 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p95227 -aS'.\t.\t.\tO\tO' -p95228 -asS'BP 120/80 , temp 96 , pulse 78 , respiratory rate 18 .' -p95229 -(lp95230 -S'BP\tBP\tNN\tB-NP\tO' -p95231 -aS'120/80\t120/80\tCD\tI-NP\tO' -p95232 -aS',\t,\t,\tO\tO' -p95233 -aS'temp\ttemp\tNN\tB-NP\tO' -p95234 -aS'96\t96\tCD\tI-NP\tO' -p95235 -aS',\t,\t,\tO\tO' -p95236 -aS'pulse\tpulse\tNN\tB-NP\tO' -p95237 -aS'78\t78\tCD\tI-NP\tO' -p95238 -aS',\t,\t,\tO\tO' -p95239 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p95240 -aS'rate\trate\tNN\tI-NP\tO' -p95241 -aS'18\t18\tCD\tI-NP\tO' -p95242 -aS'.\t.\t.\tO\tO' -p95243 -asS'Hematocrit on admission was 41 .' -p95244 -(lp95245 -S'Hematocrit\tHematocrit\tNN\tB-NP\tO' -p95246 -aS'on\ton\tIN\tB-PP\tO' -p95247 -aS'admission\tadmission\tNN\tB-NP\tO' -p95248 -aS'was\tbe\tVBD\tB-VP\tO' -p95249 -aS'41\t41\tCD\tB-NP\tO' -p95250 -aS'.\t.\t.\tO\tO' -p95251 -asS'Hepatitis viral load was 76,500 .' -p95252 -(lp95253 -S'Hepatitis\tHepatitis\tNN\tB-NP\tO' -p95254 -aS'viral\tviral\tJJ\tI-NP\tO' -p95255 -aS'load\tload\tNN\tI-NP\tO' -p95256 -aS'was\tbe\tVBD\tB-VP\tO' -p95257 -aS'76,500\t76,500\tCD\tB-NP\tO' -p95258 -aS'.\t.\t.\tO\tO' -p95259 -asS'She had a cardiac catheterization which revealed 3-vessel disease with normal left main , mid left anterior descending artery 60% , diffuse 90% mid distal stenosis at the origin of the diagonal , serial 70% and 90% left circumflex lesions , and 90% first obtuse marginal , and mid right coronary artery 60% .' -p95260 -(lp95261 -S'She\tShe\tPRP\tB-NP\tO' -p95262 -aS'had\thave\tVBD\tB-VP\tO' -p95263 -aS'a\ta\tDT\tB-NP\tO' -p95264 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p95265 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p95266 -aS'which\twhich\tWDT\tB-NP\tO' -p95267 -aS'revealed\treveal\tVBD\tB-VP\tO' -p95268 -aS'3-vessel\t3-vessel\tJJ\tB-NP\tO' -p95269 -aS'disease\tdisease\tNN\tI-NP\tO' -p95270 -aS'with\twith\tIN\tB-PP\tO' -p95271 -aS'normal\tnormal\tJJ\tB-NP\tO' -p95272 -aS'left\tleft\tJJ\tI-NP\tO' -p95273 -aS'main\tmain\tNN\tI-NP\tO' -p95274 -aS',\t,\t,\tO\tO' -p95275 -aS'mid\tmid\tNN\tB-NP\tB-protein' -p95276 -aS'left\tleave\tVBD\tB-VP\tI-protein' -p95277 -aS'anterior\tanterior\tRB\tI-VP\tI-protein' -p95278 -aS'descending\tdescend\tVBG\tI-VP\tI-protein' -p95279 -aS'artery\tartery\tNN\tB-NP\tI-protein' -p95280 -aS'60%\t60%\tCD\tI-NP\tI-protein' -p95281 -aS',\t,\t,\tO\tO' -p95282 -aS'diffuse\tdiffuse\tJJ\tB-NP\tO' -p95283 -aS'90%\t90%\tCD\tI-NP\tO' -p95284 -aS'mid\tmid\tJJ\tI-NP\tO' -p95285 -aS'distal\tdistal\tJJ\tI-NP\tO' -p95286 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p95287 -aS'at\tat\tIN\tB-PP\tO' -p95288 -aS'the\tthe\tDT\tB-NP\tO' -p95289 -aS'origin\torigin\tNN\tI-NP\tO' -p95290 -aS'of\tof\tIN\tB-PP\tO' -p95291 -aS'the\tthe\tDT\tB-NP\tO' -p95292 -aS'diagonal\tdiagonal\tJJ\tI-NP\tO' -p95293 -aS',\t,\t,\tI-NP\tO' -p95294 -aS'serial\tserial\tJJ\tI-NP\tB-protein' -p95295 -aS'70%\t70%\tCD\tI-NP\tI-protein' -p95296 -aS'and\tand\tCC\tI-NP\tO' -p95297 -aS'90%\t90%\tCD\tI-NP\tO' -p95298 -aS'left\tleft\tJJ\tI-NP\tO' -p95299 -aS'circumflex\tcircumflex\tNN\tI-NP\tO' -p95300 -aS'lesions\tlesion\tNNS\tI-NP\tO' -p95301 -aS',\t,\t,\tO\tO' -p95302 -aS'and\tand\tCC\tO\tO' -p95303 -aS'90%\t90%\tCD\tB-NP\tO' -p95304 -aS'first\tfirst\tJJ\tI-NP\tO' -p95305 -aS'obtuse\tobtuse\tNN\tI-NP\tO' -p95306 -aS'marginal\tmarginal\tJJ\tB-ADJP\tO' -p95307 -aS',\t,\t,\tO\tO' -p95308 -aS'and\tand\tCC\tO\tO' -p95309 -aS'mid\tmid\tJJ\tB-NP\tO' -p95310 -aS'right\tright\tJJ\tI-NP\tO' -p95311 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p95312 -aS'artery\tartery\tNN\tI-NP\tO' -p95313 -aS'60%\t60%\tNN\tI-NP\tO' -p95314 -aS'.\t.\t.\tO\tO' -p95315 -asS'Head CT w / o bleed .' -p95316 -(lp95317 -S'Head\tHead\tJJ\tB-NP\tO' -p95318 -aS'CT\tCT\tNN\tI-NP\tO' -p95319 -aS'w\tw\tNN\tI-NP\tO' -p95320 -aS'/\t/\tSYM\tB-NP\tO' -p95321 -aS'o\to\tNN\tI-NP\tO' -p95322 -aS'bleed\tbleed\tNN\tI-NP\tO' -p95323 -aS'.\t.\t.\tO\tO' -p95324 -asS'TriCor 145 mg p.o. every day .' -p95325 -(lp95326 -S'TriCor\tTriCor\tNN\tB-NP\tO' -p95327 -aS'145\t145\tCD\tI-NP\tO' -p95328 -aS'mg\tmg\tNN\tI-NP\tO' -p95329 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p95330 -aS'every\tevery\tDT\tB-NP\tO' -p95331 -aS'day\tday\tNN\tI-NP\tO' -p95332 -aS'.\t.\t.\tO\tO' -p95333 -asS'Call the doctor or go to the emergency room with increased seizure frequency , unresponsiveness , new weakness or numbness , or any other concerning symptoms .' -p95334 -(lp95335 -S'Call\tCall\tVB\tB-VP\tO' -p95336 -aS'the\tthe\tDT\tB-NP\tO' -p95337 -aS'doctor\tdoctor\tNN\tI-NP\tO' -p95338 -aS'or\tor\tCC\tO\tO' -p95339 -aS'go\tgo\tVB\tB-VP\tO' -p95340 -aS'to\tto\tTO\tB-PP\tO' -p95341 -aS'the\tthe\tDT\tB-NP\tO' -p95342 -aS'emergency\temergency\tNN\tI-NP\tO' -p95343 -aS'room\troom\tNN\tI-NP\tO' -p95344 -aS'with\twith\tIN\tB-PP\tO' -p95345 -aS'increased\tincrease\tVBN\tB-NP\tO' -p95346 -aS'seizure\tseizure\tNN\tI-NP\tO' -p95347 -aS'frequency\tfrequency\tNN\tI-NP\tO' -p95348 -aS',\t,\t,\tO\tO' -p95349 -aS'unresponsiveness\tunresponsiveness\tNN\tB-NP\tO' -p95350 -aS',\t,\t,\tO\tO' -p95351 -aS'new\tnew\tJJ\tB-NP\tO' -p95352 -aS'weakness\tweakness\tNN\tI-NP\tO' -p95353 -aS'or\tor\tCC\tI-NP\tO' -p95354 -aS'numbness\tnumbness\tNN\tI-NP\tO' -p95355 -aS',\t,\t,\tO\tO' -p95356 -aS'or\tor\tCC\tO\tO' -p95357 -aS'any\tany\tDT\tB-NP\tO' -p95358 -aS'other\tother\tJJ\tI-NP\tO' -p95359 -aS'concerning\tconcern\tVBG\tI-NP\tO' -p95360 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p95361 -aS'.\t.\t.\tO\tO' -p95362 -asS'She has known iron deficiency .' -p95363 -(lp95364 -S'She\tShe\tPRP\tB-NP\tO' -p95365 -aS'has\thave\tVBZ\tB-VP\tO' -p95366 -aS'known\tknow\tVBN\tI-VP\tO' -p95367 -aS'iron\tiron\tNN\tB-NP\tO' -p95368 -aS'deficiency\tdeficiency\tNN\tI-NP\tO' -p95369 -aS'.\t.\t.\tO\tO' -p95370 -asS'Most recent bilirubin on 2013-07-29 total of 4.2 , direct .4 .' -p95371 -(lp95372 -S'Most\tMost\tRBS\tB-NP\tO' -p95373 -aS'recent\trecent\tJJ\tI-NP\tO' -p95374 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p95375 -aS'on\ton\tIN\tB-PP\tO' -p95376 -aS'2013-07-29\t2013-07-29\tCD\tB-NP\tO' -p95377 -aS'total\ttotal\tNN\tI-NP\tO' -p95378 -aS'of\tof\tIN\tB-PP\tO' -p95379 -aS'4.2\t4.2\tCD\tB-NP\tO' -p95380 -aS',\t,\t,\tO\tO' -p95381 -aS'direct\tdirect\tJJ\tB-NP\tO' -p95382 -aS'.4\t.4\tNN\tI-NP\tO' -p95383 -aS'.\t.\t.\tO\tO' -p95384 -asS'2. Percocet .' -p95385 -(lp95386 -S'2.\t2.\tLS\tB-LST\tO' -p95387 -aS'Percocet\tPercocet\tNNP\tB-NP\tO' -p95388 -aS'.\t.\t.\tO\tO' -p95389 -asS'There was normal axis .' -p95390 -(lp95391 -S'There\tThere\tEX\tB-NP\tO' -p95392 -aS'was\tbe\tVBD\tB-VP\tO' -p95393 -aS'normal\tnormal\tJJ\tB-NP\tO' -p95394 -aS'axis\taxis\tNN\tI-NP\tO' -p95395 -aS'.\t.\t.\tO\tO' -p95396 -asS'The patient will see his PCP in one to two weeks .' -p95397 -(lp95398 -S'The\tThe\tDT\tB-NP\tO' -p95399 -aS'patient\tpatient\tNN\tI-NP\tO' -p95400 -aS'will\twill\tMD\tB-VP\tO' -p95401 -aS'see\tsee\tVB\tI-VP\tO' -p95402 -aS'his\this\tPRP$\tB-NP\tO' -p95403 -aS'PCP\tPCP\tNN\tI-NP\tB-protein' -p95404 -aS'in\tin\tIN\tB-PP\tO' -p95405 -aS'one\tone\tCD\tB-NP\tO' -p95406 -aS'to\tto\tTO\tI-NP\tO' -p95407 -aS'two\ttwo\tCD\tI-NP\tO' -p95408 -aS'weeks\tweek\tNNS\tI-NP\tO' -p95409 -aS'.\t.\t.\tO\tO' -p95410 -asS'diabetes mellitus , peripheral neuropathy , rectal carcinoma , premature ventricular contractions , right hemidiaphragmatic paralysis .' -p95411 -(lp95412 -S'diabetes\tdiabetes\tNN\tB-NP\tO' -p95413 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p95414 -aS',\t,\t,\tO\tO' -p95415 -aS'peripheral\tperipheral\tJJ\tB-NP\tO' -p95416 -aS'neuropathy\tneuropathy\tNN\tI-NP\tO' -p95417 -aS',\t,\t,\tO\tO' -p95418 -aS'rectal\trectal\tJJ\tB-NP\tO' -p95419 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p95420 -aS',\t,\t,\tO\tO' -p95421 -aS'premature\tpremature\tJJ\tB-NP\tO' -p95422 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p95423 -aS'contractions\tcontraction\tNNS\tI-NP\tO' -p95424 -aS',\t,\t,\tO\tO' -p95425 -aS'right\tright\tJJ\tB-NP\tO' -p95426 -aS'hemidiaphragmatic\themidiaphragmatic\tJJ\tI-NP\tO' -p95427 -aS'paralysis\tparalysis\tNN\tI-NP\tO' -p95428 -aS'.\t.\t.\tO\tO' -p95429 -asS'No displaced fracture is demonstrated .' -p95430 -(lp95431 -S'No\tNo\tDT\tB-NP\tO' -p95432 -aS'displaced\tdisplaced\tJJ\tI-NP\tO' -p95433 -aS'fracture\tfracture\tNN\tI-NP\tO' -p95434 -aS'is\tbe\tVBZ\tB-VP\tO' -p95435 -aS'demonstrated\tdemonstrate\tVBN\tI-VP\tO' -p95436 -aS'.\t.\t.\tO\tO' -p95437 -asS'2. Lipitor 20 milligrams po q HS .' -p95438 -(lp95439 -S'2.\t2.\tLS\tB-NP\tO' -p95440 -aS'Lipitor\tLipitor\tNNP\tI-NP\tO' -p95441 -aS'20\t20\tCD\tI-NP\tO' -p95442 -aS'milligrams\tmilligram\tNNS\tI-NP\tO' -p95443 -aS'po\tpo\tVBP\tB-VP\tO' -p95444 -aS'q\tq\tNN\tB-NP\tO' -p95445 -aS'HS\tHS\tNN\tI-NP\tO' -p95446 -aS'.\t.\t.\tO\tO' -p95447 -asS'History of herpes simplex virus , last outbreak in 2000 .' -p95448 -(lp95449 -S'History\tHistory\tNN\tB-NP\tO' -p95450 -aS'of\tof\tIN\tB-PP\tO' -p95451 -aS'herpes\therpes\tNN\tB-NP\tO' -p95452 -aS'simplex\tsimplex\tNN\tI-NP\tO' -p95453 -aS'virus\tvirus\tNN\tI-NP\tO' -p95454 -aS',\t,\t,\tO\tO' -p95455 -aS'last\tlast\tJJ\tB-NP\tO' -p95456 -aS'outbreak\toutbreak\tNN\tI-NP\tO' -p95457 -aS'in\tin\tIN\tB-PP\tO' -p95458 -aS'2000\t2000\tCD\tB-NP\tO' -p95459 -aS'.\t.\t.\tO\tO' -p95460 -asS'At one point , he had to be on an insulin drip .' -p95461 -(lp95462 -S'At\tAt\tIN\tB-PP\tO' -p95463 -aS'one\tone\tCD\tB-NP\tO' -p95464 -aS'point\tpoint\tNN\tI-NP\tO' -p95465 -aS',\t,\t,\tO\tO' -p95466 -aS'he\the\tPRP\tB-NP\tO' -p95467 -aS'had\thave\tVBD\tB-VP\tO' -p95468 -aS'to\tto\tTO\tI-VP\tO' -p95469 -aS'be\tbe\tVB\tI-VP\tO' -p95470 -aS'on\ton\tIN\tB-PP\tO' -p95471 -aS'an\tan\tDT\tB-NP\tO' -p95472 -aS'insulin\tinsulin\tNN\tI-NP\tO' -p95473 -aS'drip\tdrip\tNN\tI-NP\tO' -p95474 -aS'.\t.\t.\tO\tO' -p95475 -asS'His heart had a regular rate and rhythm with no murmur , rub or gallop .' -p95476 -(lp95477 -S'His\tHis\tPRP$\tB-NP\tO' -p95478 -aS'heart\theart\tNN\tI-NP\tO' -p95479 -aS'had\thave\tVBD\tB-VP\tO' -p95480 -aS'a\ta\tDT\tB-NP\tO' -p95481 -aS'regular\tregular\tJJ\tI-NP\tO' -p95482 -aS'rate\trate\tNN\tI-NP\tO' -p95483 -aS'and\tand\tCC\tO\tO' -p95484 -aS'rhythm\trhythm\tNN\tB-NP\tO' -p95485 -aS'with\twith\tIN\tB-PP\tO' -p95486 -aS'no\tno\tDT\tB-NP\tO' -p95487 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p95488 -aS',\t,\t,\tI-NP\tO' -p95489 -aS'rub\trub\tNN\tI-NP\tO' -p95490 -aS'or\tor\tCC\tI-NP\tO' -p95491 -aS'gallop\tgallop\tNN\tI-NP\tO' -p95492 -aS'.\t.\t.\tO\tO' -p95493 -asS'He was in chronic atrial fibrillation and his vital signs were otherwise stable .' -p95494 -(lp95495 -S'He\tHe\tPRP\tB-NP\tO' -p95496 -aS'was\tbe\tVBD\tB-VP\tO' -p95497 -aS'in\tin\tIN\tB-PP\tO' -p95498 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p95499 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p95500 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p95501 -aS'and\tand\tCC\tO\tO' -p95502 -aS'his\this\tPRP$\tB-NP\tO' -p95503 -aS'vital\tvital\tJJ\tI-NP\tO' -p95504 -aS'signs\tsign\tNNS\tI-NP\tO' -p95505 -aS'were\tbe\tVBD\tB-VP\tO' -p95506 -aS'otherwise\totherwise\tRB\tB-ADJP\tO' -p95507 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p95508 -aS'.\t.\t.\tO\tO' -p95509 -asS'Drainage of the pancreatic necrosis was also done .' -p95510 -(lp95511 -S'Drainage\tDrainage\tNN\tB-NP\tO' -p95512 -aS'of\tof\tIN\tB-PP\tO' -p95513 -aS'the\tthe\tDT\tB-NP\tO' -p95514 -aS'pancreatic\tpancreatic\tJJ\tI-NP\tO' -p95515 -aS'necrosis\tnecrosis\tNN\tI-NP\tO' -p95516 -aS'was\tbe\tVBD\tB-VP\tO' -p95517 -aS'also\talso\tRB\tI-VP\tO' -p95518 -aS'done\tdo\tVBN\tI-VP\tO' -p95519 -aS'.\t.\t.\tO\tO' -p95520 -asS'The extremities were non tender without edema .' -p95521 -(lp95522 -S'The\tThe\tDT\tB-NP\tO' -p95523 -aS'extremities\textremity\tNNS\tI-NP\tO' -p95524 -aS'were\tbe\tVBD\tB-VP\tO' -p95525 -aS'non\tnon\tJJ\tB-NP\tO' -p95526 -aS'tender\ttender\tNN\tI-NP\tO' -p95527 -aS'without\twithout\tIN\tB-PP\tO' -p95528 -aS'edema\tedema\tNN\tB-NP\tO' -p95529 -aS'.\t.\t.\tO\tO' -p95530 -asS'He denies diaphoresis or nausea .' -p95531 -(lp95532 -S'He\tHe\tPRP\tB-NP\tO' -p95533 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p95534 -aS'diaphoresis\tdiaphoresis\tNN\tB-NP\tO' -p95535 -aS'or\tor\tCC\tI-NP\tO' -p95536 -aS'nausea\tnausea\tNN\tI-NP\tO' -p95537 -aS'.\t.\t.\tO\tO' -p95538 -asS'She is G 2 , P 2 with spontaneous vaginal deliveries .' -p95539 -(lp95540 -S'She\tShe\tPRP\tB-NP\tO' -p95541 -aS'is\tbe\tVBZ\tB-VP\tO' -p95542 -aS'G\tG\tNN\tB-NP\tO' -p95543 -aS'2\t2\tCD\tI-NP\tO' -p95544 -aS',\t,\t,\tO\tO' -p95545 -aS'P\tP\tNN\tB-NP\tB-protein' -p95546 -aS'2\t2\tCD\tI-NP\tI-protein' -p95547 -aS'with\twith\tIN\tB-PP\tO' -p95548 -aS'spontaneous\tspontaneous\tJJ\tB-NP\tO' -p95549 -aS'vaginal\tvaginal\tJJ\tI-NP\tO' -p95550 -aS'deliveries\tdelivery\tNNS\tI-NP\tO' -p95551 -aS'.\t.\t.\tO\tO' -p95552 -asS'Then again on Sunday , 3 days PTA , again from sitting to standing heard his knee CMED CCU .' -p95553 -(lp95554 -S'Then\tThen\tRB\tB-ADVP\tO' -p95555 -aS'again\tagain\tRB\tI-ADVP\tO' -p95556 -aS'on\ton\tIN\tB-PP\tO' -p95557 -aS'Sunday\tSunday\tNNP\tB-NP\tO' -p95558 -aS',\t,\t,\tO\tO' -p95559 -aS'3\t3\tCD\tB-NP\tO' -p95560 -aS'days\tday\tNNS\tI-NP\tO' -p95561 -aS'PTA\tPTA\tNN\tI-NP\tB-protein' -p95562 -aS',\t,\t,\tO\tO' -p95563 -aS'again\tagain\tRB\tB-ADVP\tO' -p95564 -aS'from\tfrom\tIN\tB-PP\tO' -p95565 -aS'sitting\tsit\tVBG\tB-VP\tO' -p95566 -aS'to\tto\tTO\tB-PP\tO' -p95567 -aS'standing\tstand\tVBG\tB-VP\tO' -p95568 -aS'heard\thear\tVBN\tI-VP\tO' -p95569 -aS'his\this\tPRP$\tB-NP\tO' -p95570 -aS'knee\tknee\tNN\tI-NP\tO' -p95571 -aS'CMED\tCMED\tNN\tI-NP\tO' -p95572 -aS'CCU\tCCU\tNN\tI-NP\tO' -p95573 -aS'.\t.\t.\tO\tO' -p95574 -asS'The patient was subsequently medically management after this hospitalization and has done very well .' -p95575 -(lp95576 -S'The\tThe\tDT\tB-NP\tO' -p95577 -aS'patient\tpatient\tNN\tI-NP\tO' -p95578 -aS'was\tbe\tVBD\tB-VP\tO' -p95579 -aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' -p95580 -aS'medically\tmedically\tRB\tB-NP\tO' -p95581 -aS'management\tmanagement\tNN\tI-NP\tO' -p95582 -aS'after\tafter\tIN\tB-PP\tO' -p95583 -aS'this\tthis\tDT\tB-NP\tO' -p95584 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p95585 -aS'and\tand\tCC\tO\tO' -p95586 -aS'has\thave\tVBZ\tB-VP\tO' -p95587 -aS'done\tdo\tVBN\tI-VP\tO' -p95588 -aS'very\tvery\tRB\tB-ADVP\tO' -p95589 -aS'well\twell\tRB\tI-ADVP\tO' -p95590 -aS'.\t.\t.\tO\tO' -p95591 -asS'A CT of her head demonstrated intraparenchymal and extraaxial blood ( mostly subarachnoid ) in bilateral cerebral hemispheres , right greater than left , in a pattern indicating contrecoup injury .' -p95592 -(lp95593 -S'A\tA\tDT\tB-NP\tO' -p95594 -aS'CT\tCT\tNN\tI-NP\tO' -p95595 -aS'of\tof\tIN\tB-PP\tO' -p95596 -aS'her\ther\tPRP$\tB-NP\tO' -p95597 -aS'head\thead\tNN\tI-NP\tO' -p95598 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p95599 -aS'intraparenchymal\tintraparenchymal\tJJ\tB-NP\tO' -p95600 -aS'and\tand\tCC\tI-NP\tO' -p95601 -aS'extraaxial\textraaxial\tJJ\tI-NP\tO' -p95602 -aS'blood\tblood\tNN\tI-NP\tO' -p95603 -aS'(\t(\t(\tO\tO' -p95604 -aS'mostly\tmostly\tRB\tB-ADJP\tO' -p95605 -aS'subarachnoid\tsubarachnoid\tJJ\tI-ADJP\tO' -p95606 -aS')\t)\t)\tO\tO' -p95607 -aS'in\tin\tIN\tB-PP\tO' -p95608 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p95609 -aS'cerebral\tcerebral\tJJ\tI-NP\tO' -p95610 -aS'hemispheres\themisphere\tNNS\tI-NP\tO' -p95611 -aS',\t,\t,\tO\tO' -p95612 -aS'right\tright\tRB\tB-ADVP\tO' -p95613 -aS'greater\tgreat\tJJR\tI-ADVP\tO' -p95614 -aS'than\tthan\tIN\tB-PP\tO' -p95615 -aS'left\tleft\tJJ\tB-ADJP\tO' -p95616 -aS',\t,\t,\tO\tO' -p95617 -aS'in\tin\tIN\tB-PP\tO' -p95618 -aS'a\ta\tDT\tB-NP\tO' -p95619 -aS'pattern\tpattern\tNN\tI-NP\tO' -p95620 -aS'indicating\tindicate\tVBG\tB-VP\tO' -p95621 -aS'contrecoup\tcontrecoup\tNN\tB-NP\tO' -p95622 -aS'injury\tinjury\tNN\tI-NP\tO' -p95623 -aS'.\t.\t.\tO\tO' -p95624 -asS'House / Low chol / low sat. fat' -p95625 -(lp95626 -S'House\tHouse\tNNP\tB-NP\tO' -p95627 -aS'/\t/\tSYM\tI-NP\tO' -p95628 -aS'Low\tLow\tJJ\tI-NP\tO' -p95629 -aS'chol\tchol\tNN\tI-NP\tO' -p95630 -aS'/\t/\tSYM\tB-NP\tO' -p95631 -aS'low\tlow\tJJ\tI-NP\tO' -p95632 -aS'sat.\tsat.\tNN\tI-NP\tO' -p95633 -aS'fat\tfat\tNN\tI-NP\tO' -p95634 -asS'A repeat angiogram performed a year later showed marked progression of coronary allograft disease .' -p95635 -(lp95636 -S'A\tA\tDT\tB-NP\tO' -p95637 -aS'repeat\trepeat\tNN\tI-NP\tO' -p95638 -aS'angiogram\tangiogram\tNN\tI-NP\tO' -p95639 -aS'performed\tperform\tVBD\tB-VP\tO' -p95640 -aS'a\ta\tDT\tB-NP\tO' -p95641 -aS'year\tyear\tNN\tI-NP\tO' -p95642 -aS'later\tlater\tRB\tB-ADVP\tO' -p95643 -aS'showed\tshow\tVBD\tB-VP\tO' -p95644 -aS'marked\tmarked\tJJ\tB-NP\tO' -p95645 -aS'progression\tprogression\tNN\tI-NP\tO' -p95646 -aS'of\tof\tIN\tB-PP\tO' -p95647 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p95648 -aS'allograft\tallograft\tNN\tI-NP\tO' -p95649 -aS'disease\tdisease\tNN\tI-NP\tO' -p95650 -aS'.\t.\t.\tO\tO' -p95651 -asS'She was transferred to the unit overnight to assess volume which was noted to be optimal .' -p95652 -(lp95653 -S'She\tShe\tPRP\tB-NP\tO' -p95654 -aS'was\tbe\tVBD\tB-VP\tO' -p95655 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p95656 -aS'to\tto\tTO\tB-PP\tO' -p95657 -aS'the\tthe\tDT\tB-NP\tO' -p95658 -aS'unit\tunit\tNN\tI-NP\tO' -p95659 -aS'overnight\tovernight\tRB\tB-ADVP\tO' -p95660 -aS'to\tto\tTO\tB-VP\tO' -p95661 -aS'assess\tassess\tVB\tI-VP\tO' -p95662 -aS'volume\tvolume\tNN\tB-NP\tO' -p95663 -aS'which\twhich\tWDT\tB-NP\tO' -p95664 -aS'was\tbe\tVBD\tB-VP\tO' -p95665 -aS'noted\tnote\tVBN\tI-VP\tO' -p95666 -aS'to\tto\tTO\tI-VP\tO' -p95667 -aS'be\tbe\tVB\tI-VP\tO' -p95668 -aS'optimal\toptimal\tJJ\tB-ADJP\tO' -p95669 -aS'.\t.\t.\tO\tO' -p95670 -asS'Bibasilar subsegmental atelectasis together with bilateral pleural effusions appear relatively unchanged .' -p95671 -(lp95672 -S'Bibasilar\tBibasilar\tJJ\tB-NP\tO' -p95673 -aS'subsegmental\tsubsegmental\tJJ\tI-NP\tO' -p95674 -aS'atelectasis\tatelectasis\tNN\tI-NP\tO' -p95675 -aS'together\ttogether\tRB\tB-ADVP\tO' -p95676 -aS'with\twith\tIN\tB-PP\tO' -p95677 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p95678 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p95679 -aS'effusions\teffusion\tNNS\tI-NP\tO' -p95680 -aS'appear\tappear\tVBP\tB-VP\tO' -p95681 -aS'relatively\trelatively\tRB\tB-ADJP\tO' -p95682 -aS'unchanged\tunchanged\tJJ\tI-ADJP\tO' -p95683 -aS'.\t.\t.\tO\tO' -p95684 -asS'An ultrasound was done to R / O cholestasis or cholangitis .' -p95685 -(lp95686 -S'An\tAn\tDT\tB-NP\tO' -p95687 -aS'ultrasound\tultrasound\tNN\tI-NP\tO' -p95688 -aS'was\tbe\tVBD\tB-VP\tO' -p95689 -aS'done\tdo\tVBN\tI-VP\tO' -p95690 -aS'to\tto\tTO\tB-PP\tO' -p95691 -aS'R\tR\tNN\tB-NP\tB-protein' -p95692 -aS'/\t/\tSYM\tB-NP\tO' -p95693 -aS'O\tO\tNN\tI-NP\tO' -p95694 -aS'cholestasis\tcholestasis\tNN\tI-NP\tO' -p95695 -aS'or\tor\tCC\tI-NP\tO' -p95696 -aS'cholangitis\tcholangitis\tNN\tI-NP\tO' -p95697 -aS'.\t.\t.\tO\tO' -p95698 -asS'She denies any alcohol , tobacco , or other drugs .' -p95699 -(lp95700 -S'She\tShe\tPRP\tB-NP\tO' -p95701 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p95702 -aS'any\tany\tDT\tB-NP\tO' -p95703 -aS'alcohol\talcohol\tNN\tI-NP\tO' -p95704 -aS',\t,\t,\tO\tO' -p95705 -aS'tobacco\ttobacco\tNN\tB-NP\tO' -p95706 -aS',\t,\t,\tO\tO' -p95707 -aS'or\tor\tCC\tO\tO' -p95708 -aS'other\tother\tJJ\tB-NP\tO' -p95709 -aS'drugs\tdrug\tNNS\tI-NP\tO' -p95710 -aS'.\t.\t.\tO\tO' -p95711 -asS'UVC remained in place through day of life six and was utilized to administer parenteral nutrition .' -p95712 -(lp95713 -S'UVC\tUVC\tNN\tB-NP\tO' -p95714 -aS'remained\tremain\tVBD\tB-VP\tO' -p95715 -aS'in\tin\tIN\tB-PP\tO' -p95716 -aS'place\tplace\tNN\tB-NP\tO' -p95717 -aS'through\tthrough\tIN\tB-PP\tO' -p95718 -aS'day\tday\tNN\tB-NP\tO' -p95719 -aS'of\tof\tIN\tB-PP\tO' -p95720 -aS'life\tlife\tNN\tB-NP\tO' -p95721 -aS'six\tsix\tCD\tI-NP\tO' -p95722 -aS'and\tand\tCC\tO\tO' -p95723 -aS'was\tbe\tVBD\tB-VP\tO' -p95724 -aS'utilized\tutilize\tVBN\tI-VP\tO' -p95725 -aS'to\tto\tTO\tI-VP\tO' -p95726 -aS'administer\tadminister\tVB\tI-VP\tO' -p95727 -aS'parenteral\tparenteral\tJJ\tB-NP\tO' -p95728 -aS'nutrition\tnutrition\tNN\tI-NP\tO' -p95729 -aS'.\t.\t.\tO\tO' -p95730 -asS'The patient grew out coagulase negative staphylococcus from the femoral lines which were placed during his profound hypertension .' -p95731 -(lp95732 -S'The\tThe\tDT\tB-NP\tO' -p95733 -aS'patient\tpatient\tNN\tI-NP\tO' -p95734 -aS'grew\tgrow\tVBD\tB-VP\tO' -p95735 -aS'out\tout\tRP\tB-PRT\tO' -p95736 -aS'coagulase\tcoagulase\tNN\tB-NP\tO' -p95737 -aS'negative\tnegative\tJJ\tI-NP\tO' -p95738 -aS'staphylococcus\tstaphylococcus\tNN\tI-NP\tO' -p95739 -aS'from\tfrom\tIN\tB-PP\tO' -p95740 -aS'the\tthe\tDT\tB-NP\tO' -p95741 -aS'femoral\tfemoral\tJJ\tI-NP\tB-cell_line' -p95742 -aS'lines\tline\tNNS\tI-NP\tI-cell_line' -p95743 -aS'which\twhich\tWDT\tB-NP\tO' -p95744 -aS'were\tbe\tVBD\tB-VP\tO' -p95745 -aS'placed\tplace\tVBN\tI-VP\tO' -p95746 -aS'during\tduring\tIN\tB-PP\tO' -p95747 -aS'his\this\tPRP$\tB-NP\tO' -p95748 -aS'profound\tprofound\tJJ\tI-NP\tO' -p95749 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p95750 -aS'.\t.\t.\tO\tO' -p95751 -asS'O2 95% on 3L NC mixed Quinn 82% genrl : in nad , resting comfortably heent : perrla ( 4->3 mm ) bilaterally , blind in right visual field , eomi , dry mm , ? thrush neck : no bruits cv : rrr , no m/r/g , faint s1/s2 pulm : cta bilaterally abd : midline scar ( from urostomy ) , nabs , soft , appears distended but patient denies , ostomy RLQ c/d/i , NT to palpation back : right flank urostomy tube , c/d/i , nt to palpation extr : no Gardner neuro : a , ox3 , wiggles toes bilaterally , unable to lift LE , 06-12 grip bilaterally w/ UE , decrease sensation to soft touch in left' -p95752 -(lp95753 -S'O2\tO2\tNN\tB-NP\tO' -p95754 -aS'95%\t95%\tNN\tI-NP\tO' -p95755 -aS'on\ton\tIN\tB-PP\tO' -p95756 -aS'3L\t3L\tNN\tB-NP\tO' -p95757 -aS'NC\tNC\tNN\tI-NP\tO' -p95758 -aS'mixed\tmix\tVBN\tB-VP\tO' -p95759 -aS'Quinn\tQuinn\tNNP\tB-NP\tO' -p95760 -aS'82%\t82%\tCD\tI-NP\tO' -p95761 -aS'genrl\tgenrl\tNN\tI-NP\tO' -p95762 -aS':\t:\t:\tO\tO' -p95763 -aS'in\tin\tIN\tB-PP\tO' -p95764 -aS'nad\tnad\tNN\tB-NP\tO' -p95765 -aS',\t,\t,\tO\tO' -p95766 -aS'resting\trest\tVBG\tB-VP\tO' -p95767 -aS'comfortably\tcomfortably\tRB\tB-ADJP\tO' -p95768 -aS'heent\theent\tJJ\tI-ADJP\tO' -p95769 -aS':\t:\t:\tO\tO' -p95770 -aS'perrla\tperrla\tNN\tB-NP\tO' -p95771 -aS'(\t(\t(\tO\tO' -p95772 -aS'4->3\t4->3\tCD\tB-NP\tO' -p95773 -aS'mm\tmm\tNN\tI-NP\tO' -p95774 -aS')\t)\t)\tO\tO' -p95775 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p95776 -aS',\t,\t,\tO\tO' -p95777 -aS'blind\tblind\tJJ\tB-ADJP\tO' -p95778 -aS'in\tin\tIN\tB-PP\tO' -p95779 -aS'right\tright\tJJ\tB-NP\tO' -p95780 -aS'visual\tvisual\tJJ\tI-NP\tO' -p95781 -aS'field\tfield\tNN\tI-NP\tO' -p95782 -aS',\t,\t,\tO\tO' -p95783 -aS'eomi\teomi\tNN\tB-NP\tO' -p95784 -aS',\t,\t,\tO\tO' -p95785 -aS'dry\tdry\tJJ\tB-NP\tO' -p95786 -aS'mm\tmm\tNN\tI-NP\tO' -p95787 -aS',\t,\t,\tO\tO' -p95788 -aS'?\t?\t.\tO\tO' -p95789 -aS'thrush\tthrush\tJJ\tB-NP\tO' -p95790 -aS'neck\tneck\tNN\tI-NP\tO' -p95791 -aS':\t:\t:\tO\tO' -p95792 -aS'no\tno\tDT\tB-NP\tO' -p95793 -aS'bruits\tbruit\tNNS\tI-NP\tO' -p95794 -aS'cv\tcv\tNN\tI-NP\tO' -p95795 -aS':\t:\t:\tO\tO' -p95796 -aS'rrr\trrr\tNN\tB-NP\tO' -p95797 -aS',\t,\t,\tO\tO' -p95798 -aS'no\tno\tDT\tB-NP\tO' -p95799 -aS'm/r/g\tm/r/g\tNN\tI-NP\tO' -p95800 -aS',\t,\t,\tO\tO' -p95801 -aS'faint\tfaint\tJJ\tB-NP\tO' -p95802 -aS's1/s2\ts1/s2\tNN\tI-NP\tO' -p95803 -aS'pulm\tpulm\tNN\tI-NP\tO' -p95804 -aS':\t:\t:\tO\tO' -p95805 -aS'cta\tcta\tNN\tB-NP\tO' -p95806 -aS'bilaterally\tbilaterally\tRB\tB-NP\tO' -p95807 -aS'abd\tabd\tNN\tI-NP\tO' -p95808 -aS':\t:\t:\tO\tO' -p95809 -aS'midline\tmidline\tNN\tB-NP\tO' -p95810 -aS'scar\tscar\tNN\tI-NP\tO' -p95811 -aS'(\t(\t(\tO\tO' -p95812 -aS'from\tfrom\tIN\tB-PP\tO' -p95813 -aS'urostomy\turostomy\tNN\tB-NP\tO' -p95814 -aS')\t)\t)\tO\tO' -p95815 -aS',\t,\t,\tO\tO' -p95816 -aS'nabs\tnab\tNNS\tB-NP\tO' -p95817 -aS',\t,\t,\tO\tO' -p95818 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p95819 -aS',\t,\t,\tO\tO' -p95820 -aS'appears\tappear\tVBZ\tB-VP\tO' -p95821 -aS'distended\tdistended\tJJ\tB-NP\tO' -p95822 -aS'but\tbut\tCC\tI-NP\tO' -p95823 -aS'patient\tpatient\tNN\tI-NP\tO' -p95824 -aS'denies\tdeny\tNNS\tI-NP\tO' -p95825 -aS',\t,\t,\tO\tO' -p95826 -aS'ostomy\tostomy\tNN\tB-NP\tO' -p95827 -aS'RLQ\tRLQ\tNN\tI-NP\tO' -p95828 -aS'c/d/i\tc/d/i\tNN\tI-NP\tO' -p95829 -aS',\t,\t,\tO\tO' -p95830 -aS'NT\tNT\tNN\tB-NP\tO' -p95831 -aS'to\tto\tTO\tB-PP\tO' -p95832 -aS'palpation\tpalpation\tNN\tB-NP\tO' -p95833 -aS'back\tback\tRB\tB-ADVP\tO' -p95834 -aS':\t:\t:\tO\tO' -p95835 -aS'right\tright\tJJ\tB-NP\tO' -p95836 -aS'flank\tflank\tNN\tI-NP\tO' -p95837 -aS'urostomy\turostomy\tNN\tI-NP\tO' -p95838 -aS'tube\ttube\tNN\tI-NP\tO' -p95839 -aS',\t,\t,\tO\tO' -p95840 -aS'c/d/i\tc/d/i\tNN\tB-NP\tO' -p95841 -aS',\t,\t,\tO\tO' -p95842 -aS'nt\tnt\tNN\tB-NP\tO' -p95843 -aS'to\tto\tTO\tB-PP\tO' -p95844 -aS'palpation\tpalpation\tNN\tB-NP\tO' -p95845 -aS'extr\textr\tNN\tI-NP\tO' -p95846 -aS':\t:\t:\tO\tO' -p95847 -aS'no\tno\tDT\tB-NP\tO' -p95848 -aS'Gardner\tGardner\tNN\tI-NP\tO' -p95849 -aS'neuro\tneuro\tNN\tI-NP\tO' -p95850 -aS':\t:\t:\tO\tO' -p95851 -aS'a\ta\tNN\tB-NP\tO' -p95852 -aS',\t,\t,\tO\tO' -p95853 -aS'ox3\tox3\tNN\tB-NP\tB-protein' -p95854 -aS',\t,\t,\tO\tO' -p95855 -aS'wiggles\twiggle\tVBZ\tB-VP\tO' -p95856 -aS'toes\ttoe\tNNS\tB-NP\tO' -p95857 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p95858 -aS',\t,\t,\tO\tO' -p95859 -aS'unable\tunable\tJJ\tB-ADJP\tO' -p95860 -aS'to\tto\tTO\tB-VP\tO' -p95861 -aS'lift\tlift\tVB\tI-VP\tO' -p95862 -aS'LE\tLE\tNN\tB-NP\tO' -p95863 -aS',\t,\t,\tO\tO' -p95864 -aS'06-12\t06-12\tCD\tB-NP\tO' -p95865 -aS'grip\tgrip\tNN\tI-NP\tO' -p95866 -aS'bilaterally\tbilaterally\tRB\tB-NP\tO' -p95867 -aS'w/\tw/\tJJ\tI-NP\tO' -p95868 -aS'UE\tUE\tNNP\tI-NP\tO' -p95869 -aS',\t,\t,\tO\tO' -p95870 -aS'decrease\tdecrease\tVB\tB-VP\tO' -p95871 -aS'sensation\tsensation\tNN\tB-NP\tO' -p95872 -aS'to\tto\tTO\tB-PP\tO' -p95873 -aS'soft\tsoft\tJJ\tB-NP\tO' -p95874 -aS'touch\ttouch\tNN\tI-NP\tO' -p95875 -aS'in\tin\tIN\tB-PP\tO' -p95876 -aS'left\tleft\tJJ\tB-NP\tO' -p95877 -asS'Last Hct was 30.6 on 06-20 with a reticulocyte count of 6.5%.' -p95878 -(lp95879 -S'Last\tLast\tJJ\tB-NP\tO' -p95880 -aS'Hct\tHct\tNN\tI-NP\tO' -p95881 -aS'was\tbe\tVBD\tB-VP\tO' -p95882 -aS'30.6\t30.6\tCD\tB-NP\tO' -p95883 -aS'on\ton\tIN\tB-PP\tO' -p95884 -aS'06-20\t06-20\tCD\tB-NP\tO' -p95885 -aS'with\twith\tIN\tB-PP\tO' -p95886 -aS'a\ta\tDT\tB-NP\tO' -p95887 -aS'reticulocyte\treticulocyte\tNN\tI-NP\tO' -p95888 -aS'count\tcount\tNN\tI-NP\tO' -p95889 -aS'of\tof\tIN\tB-PP\tO' -p95890 -aS'6.5%.\t6.5%.\tCD\tB-NP\tO' -p95891 -asS'Mr. Cordano was admitted on 2009-08-17 for a replacement of transhepatic biliary drainage catheter .' -p95892 -(lp95893 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p95894 -aS'Cordano\tCordano\tNNP\tI-NP\tO' -p95895 -aS'was\tbe\tVBD\tB-VP\tO' -p95896 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p95897 -aS'on\ton\tIN\tB-PP\tO' -p95898 -aS'2009-08-17\t2009-08-17\tCD\tB-NP\tO' -p95899 -aS'for\tfor\tIN\tB-PP\tO' -p95900 -aS'a\ta\tDT\tB-NP\tO' -p95901 -aS'replacement\treplacement\tNN\tI-NP\tO' -p95902 -aS'of\tof\tIN\tB-PP\tO' -p95903 -aS'transhepatic\ttranshepatic\tJJ\tB-NP\tO' -p95904 -aS'biliary\tbiliary\tJJ\tI-NP\tO' -p95905 -aS'drainage\tdrainage\tNN\tI-NP\tO' -p95906 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p95907 -aS'.\t.\t.\tO\tO' -p95908 -asS'She was placed on pressure support , which improved her saturations and decreased her hypercarbia .' -p95909 -(lp95910 -S'She\tShe\tPRP\tB-NP\tO' -p95911 -aS'was\tbe\tVBD\tB-VP\tO' -p95912 -aS'placed\tplace\tVBN\tI-VP\tO' -p95913 -aS'on\ton\tIN\tB-PP\tO' -p95914 -aS'pressure\tpressure\tNN\tB-NP\tO' -p95915 -aS'support\tsupport\tNN\tI-NP\tO' -p95916 -aS',\t,\t,\tO\tO' -p95917 -aS'which\twhich\tWDT\tB-NP\tO' -p95918 -aS'improved\timprove\tVBD\tB-VP\tO' -p95919 -aS'her\ther\tPRP$\tB-NP\tO' -p95920 -aS'saturations\tsaturation\tNNS\tI-NP\tO' -p95921 -aS'and\tand\tCC\tO\tO' -p95922 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p95923 -aS'her\ther\tPRP$\tB-NP\tO' -p95924 -aS'hypercarbia\thypercarbia\tNN\tI-NP\tO' -p95925 -aS'.\t.\t.\tO\tO' -p95926 -asS'On the ward she continued a gentle diuresis as well as Solu-Medrol therapy .' -p95927 -(lp95928 -S'On\tOn\tIN\tB-PP\tO' -p95929 -aS'the\tthe\tDT\tB-NP\tO' -p95930 -aS'ward\tward\tNN\tI-NP\tO' -p95931 -aS'she\tshe\tPRP\tB-NP\tO' -p95932 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p95933 -aS'a\ta\tDT\tB-NP\tO' -p95934 -aS'gentle\tgentle\tJJ\tI-NP\tO' -p95935 -aS'diuresis\tdiuresis\tNN\tI-NP\tO' -p95936 -aS'as\tas\tRB\tB-CONJP\tO' -p95937 -aS'well\twell\tRB\tI-CONJP\tO' -p95938 -aS'as\tas\tIN\tI-CONJP\tO' -p95939 -aS'Solu-Medrol\tSolu-Medrol\tNN\tB-NP\tO' -p95940 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p95941 -aS'.\t.\t.\tO\tO' -p95942 -asS'A/P - 83yo F with valvular disorder , AF , and h/o CAD a/w hypercarbic respiratory failure .' -p95943 -(lp95944 -S'A/P\tA/P\tNN\tB-NP\tO' -p95945 -aS'-\t-\tHYPH\tI-NP\tO' -p95946 -aS'83yo\t83yo\tNN\tI-NP\tO' -p95947 -aS'F\tF\tNN\tI-NP\tO' -p95948 -aS'with\twith\tIN\tB-PP\tO' -p95949 -aS'valvular\tvalvular\tJJ\tB-NP\tO' -p95950 -aS'disorder\tdisorder\tNN\tI-NP\tO' -p95951 -aS',\t,\t,\tO\tO' -p95952 -aS'AF\tAF\tNN\tB-NP\tO' -p95953 -aS',\t,\t,\tO\tO' -p95954 -aS'and\tand\tCC\tO\tO' -p95955 -aS'h/o\th/o\tNN\tB-NP\tO' -p95956 -aS'CAD\tCAD\tNN\tI-NP\tO' -p95957 -aS'a/w\ta/w\tNN\tI-NP\tO' -p95958 -aS'hypercarbic\thypercarbic\tJJ\tI-NP\tO' -p95959 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p95960 -aS'failure\tfailure\tNN\tI-NP\tO' -p95961 -aS'.\t.\t.\tO\tO' -p95962 -asS'4. Docusate Sodium 100 mg Capsule Sig : One ( 1 ) Capsule PO BID ( 2 times a day ) as needed : constipation .' -p95963 -(lp95964 -S'4.\t4.\tLS\tB-NP\tO' -p95965 -aS'Docusate\tDocusate\tNN\tI-NP\tO' -p95966 -aS'Sodium\tSodium\tNN\tI-NP\tO' -p95967 -aS'100\t100\tCD\tI-NP\tO' -p95968 -aS'mg\tmg\tNN\tI-NP\tO' -p95969 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p95970 -aS'Sig\tSig\tNNP\tI-NP\tO' -p95971 -aS':\t:\t:\tO\tO' -p95972 -aS'One\tOne\tCD\tB-NP\tO' -p95973 -aS'(\t(\t(\tO\tO' -p95974 -aS'1\t1\tCD\tB-NP\tO' -p95975 -aS')\t)\t)\tO\tO' -p95976 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p95977 -aS'PO\tPO\tNNP\tI-NP\tO' -p95978 -aS'BID\tBID\tNNP\tI-NP\tO' -p95979 -aS'(\t(\t(\tO\tO' -p95980 -aS'2\t2\tCD\tB-NP\tO' -p95981 -aS'times\ttime\tNNS\tI-NP\tO' -p95982 -aS'a\ta\tDT\tB-NP\tO' -p95983 -aS'day\tday\tNN\tI-NP\tO' -p95984 -aS')\t)\t)\tO\tO' -p95985 -aS'as\tas\tIN\tB-SBAR\tO' -p95986 -aS'needed\tneed\tVBN\tB-VP\tO' -p95987 -aS':\t:\t:\tO\tO' -p95988 -aS'constipation\tconstipation\tNN\tB-NP\tO' -p95989 -aS'.\t.\t.\tO\tO' -p95990 -asS'4. Status post right carotid endarterectomy on 2014-02-13 .' -p95991 -(lp95992 -S'4.\t4.\tLS\tB-LST\tO' -p95993 -aS'Status\tStatus\tNNP\tB-NP\tO' -p95994 -aS'post\tpost\tIN\tB-PP\tO' -p95995 -aS'right\tright\tJJ\tB-NP\tO' -p95996 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p95997 -aS'endarterectomy\tendarterectomy\tNN\tI-NP\tO' -p95998 -aS'on\ton\tIN\tB-PP\tO' -p95999 -aS'2014-02-13\t2014-02-13\tCD\tB-NP\tO' -p96000 -aS'.\t.\t.\tO\tO' -p96001 -asS'Abdomen : Soft and nontender and nondistended , normal active bowel sounds and no bruits .' -p96002 -(lp96003 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p96004 -aS':\t:\t:\tO\tO' -p96005 -aS'Soft\tSoft\tJJ\tB-NP\tO' -p96006 -aS'and\tand\tCC\tI-NP\tO' -p96007 -aS'nontender\tnontender\tJJ\tI-NP\tO' -p96008 -aS'and\tand\tCC\tI-NP\tO' -p96009 -aS'nondistended\tnondistended\tJJ\tI-NP\tO' -p96010 -aS',\t,\t,\tI-NP\tO' -p96011 -aS'normal\tnormal\tJJ\tI-NP\tO' -p96012 -aS'active\tactive\tJJ\tI-NP\tO' -p96013 -aS'bowel\tbowel\tNN\tI-NP\tO' -p96014 -aS'sounds\tsound\tNNS\tI-NP\tO' -p96015 -aS'and\tand\tCC\tO\tO' -p96016 -aS'no\tno\tDT\tB-NP\tO' -p96017 -aS'bruits\tbruit\tNNS\tI-NP\tO' -p96018 -aS'.\t.\t.\tO\tO' -p96019 -asS'The patient is stable without an oxygen requirement .' -p96020 -(lp96021 -S'The\tThe\tDT\tB-NP\tO' -p96022 -aS'patient\tpatient\tNN\tI-NP\tO' -p96023 -aS'is\tbe\tVBZ\tB-VP\tO' -p96024 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p96025 -aS'without\twithout\tIN\tB-PP\tO' -p96026 -aS'an\tan\tDT\tB-NP\tO' -p96027 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p96028 -aS'requirement\trequirement\tNN\tI-NP\tO' -p96029 -aS'.\t.\t.\tO\tO' -p96030 -asS'6) Lactulose 30 milliliters p.o. q.2h. p.r.n. constipation .' -p96031 -(lp96032 -S'6)\t6)\tCD\tB-NP\tO' -p96033 -aS'Lactulose\tLactulose\tNN\tI-NP\tO' -p96034 -aS'30\t30\tCD\tB-NP\tO' -p96035 -aS'milliliters\tmilliliter\tNNS\tI-NP\tO' -p96036 -aS'p.o.\tp.o.\tFW\tB-NP\tO' -p96037 -aS'q.2h.\tq.2h.\tNN\tI-NP\tO' -p96038 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p96039 -aS'constipation\tconstipation\tNN\tI-NP\tO' -p96040 -aS'.\t.\t.\tO\tO' -p96041 -asS'Chest ( PA and lateral ) on 2/25/00 - Lungs were clear .' -p96042 -(lp96043 -S'Chest\tChest\tNNP\tB-NP\tO' -p96044 -aS'(\t(\t(\tO\tO' -p96045 -aS'PA\tPA\tNN\tB-NP\tO' -p96046 -aS'and\tand\tCC\tO\tO' -p96047 -aS'lateral\tlateral\tJJ\tB-ADJP\tO' -p96048 -aS')\t)\t)\tO\tO' -p96049 -aS'on\ton\tIN\tB-PP\tO' -p96050 -aS'2/25/00\t2/25/00\tCD\tB-NP\tO' -p96051 -aS'-\t-\tHYPH\tI-NP\tO' -p96052 -aS'Lungs\tLung\tNNS\tI-NP\tO' -p96053 -aS'were\tbe\tVBD\tB-VP\tO' -p96054 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p96055 -aS'.\t.\t.\tO\tO' -p96056 -asS'Provider : Annie A. Payne , M.D. Where : Pembroke Hospital' -p96057 -(lp96058 -S'Provider\tProvider\tNN\tB-NP\tO' -p96059 -aS':\t:\t:\tO\tO' -p96060 -aS'Annie\tAnnie\tNNP\tB-NP\tO' -p96061 -aS'A.\tA.\tNNP\tI-NP\tO' -p96062 -aS'Payne\tPayne\tNNP\tI-NP\tO' -p96063 -aS',\t,\t,\tO\tO' -p96064 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p96065 -aS'Where\tWhere\tNNP\tI-NP\tO' -p96066 -aS':\t:\t:\tO\tO' -p96067 -aS'Pembroke\tPembroke\tNNP\tB-NP\tO' -p96068 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p96069 -asS'She is status post left knee replacement and status post multiple prior surgeries and reconstruction of the knee .' -p96070 -(lp96071 -S'She\tShe\tPRP\tB-NP\tO' -p96072 -aS'is\tbe\tVBZ\tB-VP\tO' -p96073 -aS'status\tstatus\tNN\tB-NP\tO' -p96074 -aS'post\tpost\tNN\tI-NP\tO' -p96075 -aS'left\tleave\tVBD\tB-VP\tO' -p96076 -aS'knee\tknee\tNN\tB-NP\tO' -p96077 -aS'replacement\treplacement\tNN\tI-NP\tO' -p96078 -aS'and\tand\tCC\tO\tO' -p96079 -aS'status\tstatus\tNN\tB-NP\tO' -p96080 -aS'post\tpost\tVBP\tB-VP\tO' -p96081 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p96082 -aS'prior\tprior\tJJ\tI-NP\tO' -p96083 -aS'surgeries\tsurgery\tNNS\tI-NP\tO' -p96084 -aS'and\tand\tCC\tO\tO' -p96085 -aS'reconstruction\treconstruction\tNN\tB-NP\tO' -p96086 -aS'of\tof\tIN\tB-PP\tO' -p96087 -aS'the\tthe\tDT\tB-NP\tO' -p96088 -aS'knee\tknee\tNN\tI-NP\tO' -p96089 -aS'.\t.\t.\tO\tO' -p96090 -asS'The extremities had no clubbing , cyanosis or edema .' -p96091 -(lp96092 -S'The\tThe\tDT\tB-NP\tO' -p96093 -aS'extremities\textremity\tNNS\tI-NP\tO' -p96094 -aS'had\thave\tVBD\tB-VP\tO' -p96095 -aS'no\tno\tDT\tB-NP\tO' -p96096 -aS'clubbing\tclubbing\tNN\tI-NP\tO' -p96097 -aS',\t,\t,\tI-NP\tO' -p96098 -aS'cyanosis\tcyanosis\tNN\tI-NP\tO' -p96099 -aS'or\tor\tCC\tI-NP\tO' -p96100 -aS'edema\tedema\tNN\tI-NP\tO' -p96101 -aS'.\t.\t.\tO\tO' -p96102 -asS'He was admitted on 06/07/00 for a matched , unrelated donor bone marrow transplant .' -p96103 -(lp96104 -S'He\tHe\tPRP\tB-NP\tO' -p96105 -aS'was\tbe\tVBD\tB-VP\tO' -p96106 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p96107 -aS'on\ton\tIN\tB-PP\tO' -p96108 -aS'06/07/00\t06/07/00\tCD\tB-NP\tO' -p96109 -aS'for\tfor\tIN\tB-PP\tO' -p96110 -aS'a\ta\tDT\tB-NP\tO' -p96111 -aS'matched\tmatched\tJJ\tI-NP\tO' -p96112 -aS',\t,\t,\tI-NP\tO' -p96113 -aS'unrelated\tunrelated\tJJ\tI-NP\tO' -p96114 -aS'donor\tdonor\tNN\tI-NP\tO' -p96115 -aS'bone\tbone\tNN\tI-NP\tO' -p96116 -aS'marrow\tmarrow\tNN\tI-NP\tO' -p96117 -aS'transplant\ttransplant\tNN\tI-NP\tO' -p96118 -aS'.\t.\t.\tO\tO' -p96119 -asS'His PCP had recently started ciprofloxacin for a UTI .' -p96120 -(lp96121 -S'His\tHis\tPRP$\tB-NP\tO' -p96122 -aS'PCP\tPCP\tNN\tI-NP\tB-protein' -p96123 -aS'had\thave\tVBD\tB-VP\tO' -p96124 -aS'recently\trecently\tRB\tI-VP\tO' -p96125 -aS'started\tstart\tVBN\tI-VP\tO' -p96126 -aS'ciprofloxacin\tciprofloxacin\tNN\tB-NP\tO' -p96127 -aS'for\tfor\tIN\tB-PP\tO' -p96128 -aS'a\ta\tDT\tB-NP\tO' -p96129 -aS'UTI\tUTI\tNN\tI-NP\tB-DNA' -p96130 -aS'.\t.\t.\tO\tO' -p96131 -asS'12. Aspirin 81 mg Tablet , Delayed Release ( E.C. ) Sig : One ( 1 ) Tablet , Delayed Release ( E.C. ) PO DAILY ( Daily ) .' -p96132 -(lp96133 -S'12.\t12.\tCD\tB-NP\tO' -p96134 -aS'Aspirin\tAspirin\tNN\tI-NP\tO' -p96135 -aS'81\t81\tCD\tB-NP\tO' -p96136 -aS'mg\tmg\tNN\tI-NP\tO' -p96137 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p96138 -aS',\t,\t,\tO\tO' -p96139 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p96140 -aS'Release\tRelease\tNNP\tI-NP\tO' -p96141 -aS'(\t(\t(\tO\tO' -p96142 -aS'E.C.\tE.C.\tNNP\tB-NP\tO' -p96143 -aS')\t)\t)\tO\tO' -p96144 -aS'Sig\tSig\tNNP\tB-NP\tO' -p96145 -aS':\t:\t:\tO\tO' -p96146 -aS'One\tOne\tCD\tB-NP\tO' -p96147 -aS'(\t(\t(\tO\tO' -p96148 -aS'1\t1\tCD\tB-NP\tO' -p96149 -aS')\t)\t)\tO\tO' -p96150 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p96151 -aS',\t,\t,\tO\tO' -p96152 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p96153 -aS'Release\tRelease\tNNP\tI-NP\tO' -p96154 -aS'(\t(\t(\tO\tO' -p96155 -aS'E.C.\tE.C.\tNNP\tO\tO' -p96156 -aS')\t)\t)\tO\tO' -p96157 -aS'PO\tPO\tNN\tB-NP\tO' -p96158 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p96159 -aS'(\t(\t(\tO\tO' -p96160 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p96161 -aS')\t)\t)\tO\tO' -p96162 -aS'.\t.\t.\tO\tO' -p96163 -asS'Fax number ( 317 ) 497-7408 .' -p96164 -(lp96165 -S'Fax\tFax\tNN\tB-NP\tB-protein' -p96166 -aS'number\tnumber\tNN\tI-NP\tO' -p96167 -aS'(\t(\t(\tO\tO' -p96168 -aS'317\t317\tCD\tB-NP\tO' -p96169 -aS')\t)\t)\tO\tO' -p96170 -aS'497-7408\t497-7408\tCD\tB-NP\tO' -p96171 -aS'.\t.\t.\tO\tO' -p96172 -asS'+ incontinence over the past 2 weeks .' -p96173 -(lp96174 -S'+\t+\tSYM\tB-NP\tO' -p96175 -aS'incontinence\tincontinence\tNN\tI-NP\tO' -p96176 -aS'over\tover\tIN\tB-PP\tO' -p96177 -aS'the\tthe\tDT\tB-NP\tO' -p96178 -aS'past\tpast\tJJ\tI-NP\tB-protein' -p96179 -aS'2\t2\tCD\tI-NP\tI-protein' -p96180 -aS'weeks\tweek\tNNS\tI-NP\tI-protein' -p96181 -aS'.\t.\t.\tO\tO' -p96182 -asS'5) Hypertension .' -p96183 -(lp96184 -S'5)\t5)\tLS\tB-NP\tO' -p96185 -aS'Hypertension\tHypertension\tNN\tI-NP\tO' -p96186 -aS'.\t.\t.\tO\tO' -p96187 -asS'No lesions or rashes .' -p96188 -(lp96189 -S'No\tNo\tDT\tB-NP\tO' -p96190 -aS'lesions\tlesion\tNNS\tI-NP\tO' -p96191 -aS'or\tor\tCC\tI-NP\tO' -p96192 -aS'rashes\trash\tNNS\tI-NP\tO' -p96193 -aS'.\t.\t.\tO\tO' -p96194 -asS'MEDICATIONS ON ADMISSION : He takes Imodium and Lomotil while on Sutent for diarrhea .' -p96195 -(lp96196 -S'MEDICATIONS\tMEDICATIONS\tNNS\tB-NP\tO' -p96197 -aS'ON\tON\tNN\tI-NP\tO' -p96198 -aS'ADMISSION\tADMISSION\tNN\tI-NP\tO' -p96199 -aS':\t:\t:\tO\tO' -p96200 -aS'He\tHe\tPRP\tB-NP\tO' -p96201 -aS'takes\ttake\tVBZ\tB-VP\tO' -p96202 -aS'Imodium\tImodium\tNNP\tB-NP\tO' -p96203 -aS'and\tand\tCC\tI-NP\tO' -p96204 -aS'Lomotil\tLomotil\tNNP\tI-NP\tO' -p96205 -aS'while\twhile\tIN\tB-SBAR\tO' -p96206 -aS'on\ton\tIN\tB-PP\tO' -p96207 -aS'Sutent\tSutent\tNNP\tB-NP\tO' -p96208 -aS'for\tfor\tIN\tB-PP\tO' -p96209 -aS'diarrhea\tdiarrhea\tNN\tB-NP\tO' -p96210 -aS'.\t.\t.\tO\tO' -p96211 -asS'261-280 mg / dL 17 Units' -p96212 -(lp96213 -S'261-280\t261-280\tCD\tB-NP\tO' -p96214 -aS'mg\tmg\tNN\tI-NP\tO' -p96215 -aS'/\t/\tSYM\tB-NP\tO' -p96216 -aS'dL\tdL\tNN\tI-NP\tO' -p96217 -aS'17\t17\tCD\tB-NP\tO' -p96218 -aS'Units\tUnit\tNNS\tI-NP\tO' -p96219 -asS'Amylase 143 .' -p96220 -(lp96221 -S'Amylase\tAmylase\tNN\tB-NP\tB-protein' -p96222 -aS'143\t143\tCD\tI-NP\tI-protein' -p96223 -aS'.\t.\t.\tO\tO' -p96224 -asS'Disp :* 60 Packet (s)* Refills :* 2 *' -p96225 -(lp96226 -S'Disp\tDisp\tNN\tB-NP\tO' -p96227 -aS':*\t:*\tSYM\tI-NP\tO' -p96228 -aS'60\t60\tCD\tI-NP\tO' -p96229 -aS'Packet\tPacket\tNN\tI-NP\tO' -p96230 -aS'(s)*\t(s)*\tSYM\tB-NP\tO' -p96231 -aS'Refills\tRefill\tNNPS\tI-NP\tO' -p96232 -aS':*\t:*\tSYM\tB-NP\tO' -p96233 -aS'2\t2\tCD\tB-NP\tO' -p96234 -aS'*\t*\tSYM\tB-NP\tO' -p96235 -asS'The collection is largest at its most proximal extent , measuring 1.4 x 0.7 cm in the transverse dimension .' -p96236 -(lp96237 -S'The\tThe\tDT\tB-NP\tO' -p96238 -aS'collection\tcollection\tNN\tI-NP\tO' -p96239 -aS'is\tbe\tVBZ\tB-VP\tO' -p96240 -aS'largest\tlarge\tJJS\tB-ADJP\tO' -p96241 -aS'at\tat\tIN\tB-PP\tO' -p96242 -aS'its\tits\tPRP$\tB-NP\tO' -p96243 -aS'most\tmost\tRBS\tI-NP\tO' -p96244 -aS'proximal\tproximal\tJJ\tI-NP\tO' -p96245 -aS'extent\textent\tNN\tI-NP\tO' -p96246 -aS',\t,\t,\tO\tO' -p96247 -aS'measuring\tmeasure\tVBG\tB-VP\tO' -p96248 -aS'1.4\t1.4\tCD\tB-NP\tO' -p96249 -aS'x\tx\tSYM\tO\tO' -p96250 -aS'0.7\t0.7\tCD\tB-NP\tO' -p96251 -aS'cm\tcm\tNN\tI-NP\tO' -p96252 -aS'in\tin\tIN\tB-PP\tO' -p96253 -aS'the\tthe\tDT\tB-NP\tO' -p96254 -aS'transverse\ttransverse\tJJ\tI-NP\tO' -p96255 -aS'dimension\tdimension\tNN\tI-NP\tO' -p96256 -aS'.\t.\t.\tO\tO' -p96257 -asS'Notable for no tobacco , no alcohol .' -p96258 -(lp96259 -S'Notable\tNotable\tJJ\tB-ADJP\tO' -p96260 -aS'for\tfor\tIN\tB-PP\tO' -p96261 -aS'no\tno\tDT\tB-NP\tO' -p96262 -aS'tobacco\ttobacco\tNN\tI-NP\tO' -p96263 -aS',\t,\t,\tO\tO' -p96264 -aS'no\tno\tDT\tB-NP\tO' -p96265 -aS'alcohol\talcohol\tNN\tI-NP\tO' -p96266 -aS'.\t.\t.\tO\tO' -p96267 -asS'14-087 , the patient had a signal-averaged EKG .' -p96268 -(lp96269 -S'14-087\t14-087\tCD\tB-NP\tO' -p96270 -aS',\t,\t,\tO\tO' -p96271 -aS'the\tthe\tDT\tB-NP\tO' -p96272 -aS'patient\tpatient\tNN\tI-NP\tO' -p96273 -aS'had\thave\tVBD\tB-VP\tO' -p96274 -aS'a\ta\tDT\tB-NP\tO' -p96275 -aS'signal-averaged\tsignal-averaged\tJJ\tI-NP\tO' -p96276 -aS'EKG\tEKG\tNN\tI-NP\tO' -p96277 -aS'.\t.\t.\tO\tO' -p96278 -asS'Apgars were 6 and 9 .' -p96279 -(lp96280 -S'Apgars\tApgar\tNNS\tB-NP\tO' -p96281 -aS'were\tbe\tVBD\tB-VP\tO' -p96282 -aS'6\t6\tCD\tB-NP\tO' -p96283 -aS'and\tand\tCC\tI-NP\tO' -p96284 -aS'9\t9\tCD\tI-NP\tO' -p96285 -aS'.\t.\t.\tO\tO' -p96286 -asS'Please follow up with gynecology - you will need to have your uterine bleeding evaluted' -p96287 -(lp96288 -S'Please\tPlease\tVB\tB-VP\tO' -p96289 -aS'follow\tfollow\tVB\tI-VP\tO' -p96290 -aS'up\tup\tRP\tB-PRT\tO' -p96291 -aS'with\twith\tIN\tB-PP\tO' -p96292 -aS'gynecology\tgynecology\tNN\tB-NP\tO' -p96293 -aS'-\t-\tHYPH\tO\tO' -p96294 -aS'you\tyou\tPRP\tB-NP\tO' -p96295 -aS'will\twill\tMD\tB-VP\tO' -p96296 -aS'need\tneed\tVB\tI-VP\tO' -p96297 -aS'to\tto\tTO\tI-VP\tO' -p96298 -aS'have\thave\tVB\tI-VP\tO' -p96299 -aS'your\tyour\tPRP$\tB-NP\tO' -p96300 -aS'uterine\tuterine\tJJ\tI-NP\tO' -p96301 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p96302 -aS'evaluted\tevalute\tVBD\tB-VP\tO' -p96303 -asS'Dictated By : Joe J. T. Gochenour , M.D.' -p96304 -(lp96305 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p96306 -aS'By\tBy\tIN\tB-PP\tO' -p96307 -aS':\t:\t:\tO\tO' -p96308 -aS'Joe\tJoe\tNNP\tB-NP\tO' -p96309 -aS'J.\tJ.\tNNP\tI-NP\tO' -p96310 -aS'T.\tT.\tNNP\tI-NP\tO' -p96311 -aS'Gochenour\tGochenour\tNNP\tI-NP\tO' -p96312 -aS',\t,\t,\tO\tO' -p96313 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p96314 -asS'Also please follow up with urology regarding management of your kidney stones .' -p96315 -(lp96316 -S'Also\tAlso\tRB\tB-ADVP\tO' -p96317 -aS'please\tplease\tVB\tB-VP\tO' -p96318 -aS'follow\tfollow\tVB\tI-VP\tO' -p96319 -aS'up\tup\tRP\tB-PRT\tO' -p96320 -aS'with\twith\tIN\tB-PP\tO' -p96321 -aS'urology\turology\tNN\tB-NP\tO' -p96322 -aS'regarding\tregard\tVBG\tB-VP\tO' -p96323 -aS'management\tmanagement\tNN\tB-NP\tO' -p96324 -aS'of\tof\tIN\tB-PP\tO' -p96325 -aS'your\tyour\tPRP$\tB-NP\tO' -p96326 -aS'kidney\tkidney\tNN\tI-NP\tO' -p96327 -aS'stones\tstone\tNNS\tI-NP\tO' -p96328 -aS'.\t.\t.\tO\tO' -p96329 -asS'Please follow up in 1 week .' -p96330 -(lp96331 -S'Please\tPlease\tVB\tB-VP\tO' -p96332 -aS'follow\tfollow\tVB\tI-VP\tO' -p96333 -aS'up\tup\tRP\tB-PRT\tO' -p96334 -aS'in\tin\tIN\tB-PP\tO' -p96335 -aS'1\t1\tCD\tB-NP\tO' -p96336 -aS'week\tweek\tNN\tI-NP\tO' -p96337 -aS'.\t.\t.\tO\tO' -p96338 -asS'Head CT repeated on 03-30 was unchanged , and the patient remained stable with only very suble focal exam findings ( very mild right pronator drift ) as well as his persistently poor memory related to dementia .' -p96339 -(lp96340 -S'Head\tHead\tJJ\tB-NP\tO' -p96341 -aS'CT\tCT\tNN\tI-NP\tO' -p96342 -aS'repeated\trepeat\tVBN\tB-VP\tO' -p96343 -aS'on\ton\tIN\tB-PP\tO' -p96344 -aS'03-30\t03-30\tCD\tB-NP\tO' -p96345 -aS'was\tbe\tVBD\tB-VP\tO' -p96346 -aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' -p96347 -aS',\t,\t,\tO\tO' -p96348 -aS'and\tand\tCC\tO\tO' -p96349 -aS'the\tthe\tDT\tB-NP\tO' -p96350 -aS'patient\tpatient\tNN\tI-NP\tO' -p96351 -aS'remained\tremain\tVBD\tB-VP\tO' -p96352 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p96353 -aS'with\twith\tIN\tB-PP\tO' -p96354 -aS'only\tonly\tRB\tB-NP\tO' -p96355 -aS'very\tvery\tRB\tI-NP\tO' -p96356 -aS'suble\tsuble\tJJ\tI-NP\tO' -p96357 -aS'focal\tfocal\tJJ\tI-NP\tO' -p96358 -aS'exam\texam\tNN\tI-NP\tO' -p96359 -aS'findings\tfinding\tNNS\tI-NP\tO' -p96360 -aS'(\t(\t(\tO\tO' -p96361 -aS'very\tvery\tRB\tB-NP\tO' -p96362 -aS'mild\tmild\tJJ\tI-NP\tO' -p96363 -aS'right\tright\tJJ\tI-NP\tO' -p96364 -aS'pronator\tpronator\tNN\tI-NP\tO' -p96365 -aS'drift\tdrift\tNN\tI-NP\tO' -p96366 -aS')\t)\t)\tO\tO' -p96367 -aS'as\tas\tRB\tB-CONJP\tO' -p96368 -aS'well\twell\tRB\tI-CONJP\tO' -p96369 -aS'as\tas\tIN\tI-CONJP\tO' -p96370 -aS'his\this\tPRP$\tB-NP\tB-DNA' -p96371 -aS'persistently\tpersistently\tRB\tI-NP\tO' -p96372 -aS'poor\tpoor\tJJ\tI-NP\tO' -p96373 -aS'memory\tmemory\tNN\tI-NP\tO' -p96374 -aS'related\trelate\tVBN\tB-VP\tO' -p96375 -aS'to\tto\tTO\tB-PP\tO' -p96376 -aS'dementia\tdementia\tNN\tB-NP\tO' -p96377 -aS'.\t.\t.\tO\tO' -p96378 -asS'Thyroid stimulation hormone 1.9 .' -p96379 -(lp96380 -S'Thyroid\tThyroid\tJJ\tB-NP\tB-protein' -p96381 -aS'stimulation\tstimulation\tNN\tI-NP\tI-protein' -p96382 -aS'hormone\thormone\tNN\tI-NP\tI-protein' -p96383 -aS'1.9\t1.9\tCD\tI-NP\tI-protein' -p96384 -aS'.\t.\t.\tO\tO' -p96385 -asS'1. Morphine prn .' -p96386 -(lp96387 -S'1.\t1.\tLS\tB-NP\tO' -p96388 -aS'Morphine\tMorphine\tNN\tI-NP\tO' -p96389 -aS'prn\tprn\tNN\tI-NP\tO' -p96390 -aS'.\t.\t.\tO\tO' -p96391 -asS'There was a larger area of susceptibility artifact in the left temporal lobe , right frontal lobe , and the splenius of the corpus collasum .' -p96392 -(lp96393 -S'There\tThere\tEX\tB-NP\tO' -p96394 -aS'was\tbe\tVBD\tB-VP\tO' -p96395 -aS'a\ta\tDT\tB-NP\tO' -p96396 -aS'larger\tlarge\tJJR\tI-NP\tO' -p96397 -aS'area\tarea\tNN\tI-NP\tO' -p96398 -aS'of\tof\tIN\tB-PP\tO' -p96399 -aS'susceptibility\tsusceptibility\tNN\tB-NP\tO' -p96400 -aS'artifact\tartifact\tNN\tI-NP\tO' -p96401 -aS'in\tin\tIN\tB-PP\tO' -p96402 -aS'the\tthe\tDT\tB-NP\tO' -p96403 -aS'left\tleft\tJJ\tI-NP\tO' -p96404 -aS'temporal\ttemporal\tJJ\tI-NP\tO' -p96405 -aS'lobe\tlobe\tNN\tI-NP\tO' -p96406 -aS',\t,\t,\tO\tO' -p96407 -aS'right\tright\tJJ\tB-NP\tO' -p96408 -aS'frontal\tfrontal\tJJ\tI-NP\tO' -p96409 -aS'lobe\tlobe\tNN\tI-NP\tO' -p96410 -aS',\t,\t,\tO\tO' -p96411 -aS'and\tand\tCC\tO\tO' -p96412 -aS'the\tthe\tDT\tB-NP\tO' -p96413 -aS'splenius\tsplenius\tNN\tI-NP\tO' -p96414 -aS'of\tof\tIN\tB-PP\tO' -p96415 -aS'the\tthe\tDT\tB-NP\tO' -p96416 -aS'corpus\tcorpus\tNN\tI-NP\tO' -p96417 -aS'collasum\tcollasum\tNN\tI-NP\tO' -p96418 -aS'.\t.\t.\tO\tO' -p96419 -asS'Clinic in three to four weeks .' -p96420 -(lp96421 -S'Clinic\tClinic\tJJ\tB-ADJP\tO' -p96422 -aS'in\tin\tIN\tB-PP\tO' -p96423 -aS'three\tthree\tCD\tB-NP\tO' -p96424 -aS'to\tto\tTO\tI-NP\tO' -p96425 -aS'four\tfour\tCD\tI-NP\tO' -p96426 -aS'weeks\tweek\tNNS\tI-NP\tO' -p96427 -aS'.\t.\t.\tO\tO' -p96428 -asS'There is no evidence of CHF .' -p96429 -(lp96430 -S'There\tThere\tEX\tB-NP\tO' -p96431 -aS'is\tbe\tVBZ\tB-VP\tO' -p96432 -aS'no\tno\tDT\tB-NP\tO' -p96433 -aS'evidence\tevidence\tNN\tI-NP\tO' -p96434 -aS'of\tof\tIN\tB-PP\tO' -p96435 -aS'CHF\tCHF\tNN\tB-NP\tB-protein' -p96436 -aS'.\t.\t.\tO\tO' -p96437 -asS'Mother was admitted in labor .' -p96438 -(lp96439 -S'Mother\tMother\tDT\tB-NP\tO' -p96440 -aS'was\tbe\tVBD\tB-VP\tO' -p96441 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p96442 -aS'in\tin\tIN\tB-PP\tO' -p96443 -aS'labor\tlabor\tNN\tB-NP\tO' -p96444 -aS'.\t.\t.\tO\tO' -p96445 -asS'The patient was seen in consultation with the physical therapy service initially for routine rehabilitation after a total hip replacement .' -p96446 -(lp96447 -S'The\tThe\tDT\tB-NP\tO' -p96448 -aS'patient\tpatient\tNN\tI-NP\tO' -p96449 -aS'was\tbe\tVBD\tB-VP\tO' -p96450 -aS'seen\tsee\tVBN\tI-VP\tO' -p96451 -aS'in\tin\tIN\tB-PP\tO' -p96452 -aS'consultation\tconsultation\tNN\tB-NP\tO' -p96453 -aS'with\twith\tIN\tB-PP\tO' -p96454 -aS'the\tthe\tDT\tB-NP\tO' -p96455 -aS'physical\tphysical\tJJ\tI-NP\tO' -p96456 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p96457 -aS'service\tservice\tNN\tI-NP\tO' -p96458 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p96459 -aS'for\tfor\tIN\tB-PP\tO' -p96460 -aS'routine\troutine\tJJ\tB-NP\tO' -p96461 -aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' -p96462 -aS'after\tafter\tIN\tB-PP\tO' -p96463 -aS'a\ta\tDT\tB-NP\tO' -p96464 -aS'total\ttotal\tJJ\tI-NP\tO' -p96465 -aS'hip\thip\tNN\tI-NP\tO' -p96466 -aS'replacement\treplacement\tNN\tI-NP\tO' -p96467 -aS'.\t.\t.\tO\tO' -p96468 -asS'The patient should follow-up with Dr. Halcomb in six weeks time .' -p96469 -(lp96470 -S'The\tThe\tDT\tB-NP\tO' -p96471 -aS'patient\tpatient\tNN\tI-NP\tO' -p96472 -aS'should\tshould\tMD\tB-VP\tO' -p96473 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p96474 -aS'with\twith\tIN\tB-PP\tO' -p96475 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p96476 -aS'Halcomb\tHalcomb\tNNP\tI-NP\tO' -p96477 -aS'in\tin\tIN\tB-PP\tO' -p96478 -aS'six\tsix\tCD\tB-NP\tO' -p96479 -aS'weeks\tweek\tNNS\tI-NP\tO' -p96480 -aS'time\ttime\tNN\tI-NP\tO' -p96481 -aS'.\t.\t.\tO\tO' -p96482 -asS'At approximately 7:50 a.m. , house officer was called to the room for blood pressure of 70/40 with falling oxygen saturations .' -p96483 -(lp96484 -S'At\tAt\tIN\tB-PP\tO' -p96485 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p96486 -aS'7:50\t7:50\tCD\tI-NP\tO' -p96487 -aS'a.m.\ta.m.\tNN\tI-NP\tO' -p96488 -aS',\t,\t,\tO\tO' -p96489 -aS'house\thouse\tNN\tB-NP\tO' -p96490 -aS'officer\tofficer\tNN\tI-NP\tO' -p96491 -aS'was\tbe\tVBD\tB-VP\tO' -p96492 -aS'called\tcall\tVBN\tI-VP\tO' -p96493 -aS'to\tto\tTO\tB-PP\tO' -p96494 -aS'the\tthe\tDT\tB-NP\tO' -p96495 -aS'room\troom\tNN\tI-NP\tO' -p96496 -aS'for\tfor\tIN\tB-PP\tO' -p96497 -aS'blood\tblood\tNN\tB-NP\tO' -p96498 -aS'pressure\tpressure\tNN\tI-NP\tO' -p96499 -aS'of\tof\tIN\tB-PP\tO' -p96500 -aS'70/40\t70/40\tCD\tB-NP\tO' -p96501 -aS'with\twith\tIN\tB-PP\tO' -p96502 -aS'falling\tfall\tVBG\tB-NP\tO' -p96503 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p96504 -aS'saturations\tsaturation\tNNS\tI-NP\tO' -p96505 -aS'.\t.\t.\tO\tO' -p96506 -asS'The mother is a 31 - year-old Gravida 5 , para 1 , now 4 woman with estimated date of delivery 2013-09-12 .' -p96507 -(lp96508 -S'The\tThe\tDT\tB-NP\tO' -p96509 -aS'mother\tmother\tNN\tI-NP\tO' -p96510 -aS'is\tbe\tVBZ\tB-VP\tO' -p96511 -aS'a\ta\tDT\tB-NP\tO' -p96512 -aS'31\t31\tCD\tI-NP\tO' -p96513 -aS'-\t-\tHYPH\tI-NP\tO' -p96514 -aS'year-old\tyear-old\tJJ\tI-NP\tB-protein' -p96515 -aS'Gravida\tGravida\tNNP\tI-NP\tI-protein' -p96516 -aS'5\t5\tCD\tI-NP\tI-protein' -p96517 -aS',\t,\t,\tO\tO' -p96518 -aS'para\tpara\tNN\tB-NP\tO' -p96519 -aS'1\t1\tCD\tI-NP\tO' -p96520 -aS',\t,\t,\tO\tO' -p96521 -aS'now\tnow\tRB\tB-ADVP\tO' -p96522 -aS'4\t4\tCD\tB-NP\tO' -p96523 -aS'woman\twoman\tNN\tI-NP\tO' -p96524 -aS'with\twith\tIN\tB-PP\tO' -p96525 -aS'estimated\testimate\tVBN\tB-NP\tO' -p96526 -aS'date\tdate\tNN\tI-NP\tO' -p96527 -aS'of\tof\tIN\tB-PP\tO' -p96528 -aS'delivery\tdelivery\tNN\tB-NP\tO' -p96529 -aS'2013-09-12\t2013-09-12\tCD\tI-NP\tO' -p96530 -aS'.\t.\t.\tO\tO' -p96531 -asS'He remained stable with his vital signs and lab data within normal limits .' -p96532 -(lp96533 -S'He\tHe\tPRP\tB-NP\tO' -p96534 -aS'remained\tremain\tVBD\tB-VP\tO' -p96535 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p96536 -aS'with\twith\tIN\tB-PP\tO' -p96537 -aS'his\this\tPRP$\tB-NP\tO' -p96538 -aS'vital\tvital\tJJ\tI-NP\tO' -p96539 -aS'signs\tsign\tNNS\tI-NP\tO' -p96540 -aS'and\tand\tCC\tO\tO' -p96541 -aS'lab\tlab\tNN\tB-NP\tO' -p96542 -aS'data\tdatum\tNNS\tI-NP\tO' -p96543 -aS'within\twithin\tIN\tB-PP\tO' -p96544 -aS'normal\tnormal\tJJ\tB-NP\tO' -p96545 -aS'limits\tlimit\tNNS\tI-NP\tO' -p96546 -aS'.\t.\t.\tO\tO' -p96547 -asS'Abdomen non-distended , positive bowel sounds , soft , non-tender , no hepatosplenomegaly or masses .' -p96548 -(lp96549 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p96550 -aS'non-distended\tnon-distended\tJJ\tI-NP\tO' -p96551 -aS',\t,\t,\tI-NP\tO' -p96552 -aS'positive\tpositive\tJJ\tI-NP\tO' -p96553 -aS'bowel\tbowel\tNN\tI-NP\tO' -p96554 -aS'sounds\tsound\tNNS\tI-NP\tO' -p96555 -aS',\t,\t,\tO\tO' -p96556 -aS'soft\tsoft\tJJ\tB-NP\tO' -p96557 -aS',\t,\t,\tI-NP\tO' -p96558 -aS'non-tender\tnon-tender\tJJ\tI-NP\tO' -p96559 -aS',\t,\t,\tO\tO' -p96560 -aS'no\tno\tDT\tB-NP\tO' -p96561 -aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tI-NP\tO' -p96562 -aS'or\tor\tCC\tI-NP\tO' -p96563 -aS'masses\tmass\tNNS\tI-NP\tO' -p96564 -aS'.\t.\t.\tO\tO' -p96565 -asS'1. One vessel coronary artery disease .' -p96566 -(lp96567 -S'1.\t1.\tLS\tB-LST\tO' -p96568 -aS'One\tOne\tCD\tB-NP\tO' -p96569 -aS'vessel\tvessel\tNN\tI-NP\tO' -p96570 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p96571 -aS'artery\tartery\tNN\tI-NP\tO' -p96572 -aS'disease\tdisease\tNN\tI-NP\tO' -p96573 -aS'.\t.\t.\tO\tO' -p96574 -asS'Again , his intracranial pressure and neurologic examination remained the same , and conservative treatment was opted for .' -p96575 -(lp96576 -S'Again\tAgain\tRB\tB-ADVP\tO' -p96577 -aS',\t,\t,\tO\tO' -p96578 -aS'his\this\tPRP$\tB-NP\tO' -p96579 -aS'intracranial\tintracranial\tJJ\tI-NP\tO' -p96580 -aS'pressure\tpressure\tNN\tI-NP\tO' -p96581 -aS'and\tand\tCC\tO\tO' -p96582 -aS'neurologic\tneurologic\tJJ\tB-NP\tO' -p96583 -aS'examination\texamination\tNN\tI-NP\tO' -p96584 -aS'remained\tremain\tVBD\tB-VP\tO' -p96585 -aS'the\tthe\tDT\tB-NP\tO' -p96586 -aS'same\tsame\tJJ\tI-NP\tO' -p96587 -aS',\t,\t,\tO\tO' -p96588 -aS'and\tand\tCC\tO\tO' -p96589 -aS'conservative\tconservative\tJJ\tB-NP\tO' -p96590 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p96591 -aS'was\tbe\tVBD\tB-VP\tO' -p96592 -aS'opted\topte\tVBN\tI-VP\tO' -p96593 -aS'for\tfor\tIN\tB-PP\tO' -p96594 -aS'.\t.\t.\tO\tO' -p96595 -asS'Normal female genitalia .' -p96596 -(lp96597 -S'Normal\tNormal\tJJ\tB-NP\tO' -p96598 -aS'female\tfemale\tJJ\tI-NP\tO' -p96599 -aS'genitalia\tgenitalia\tNNS\tI-NP\tO' -p96600 -aS'.\t.\t.\tO\tO' -p96601 -asS'The patient will be discharged to home in stable condition with a follow up appointment with Dr. Sterp .' -p96602 -(lp96603 -S'The\tThe\tDT\tB-NP\tO' -p96604 -aS'patient\tpatient\tNN\tI-NP\tO' -p96605 -aS'will\twill\tMD\tB-VP\tO' -p96606 -aS'be\tbe\tVB\tI-VP\tO' -p96607 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p96608 -aS'to\tto\tTO\tB-PP\tO' -p96609 -aS'home\thome\tNN\tB-NP\tO' -p96610 -aS'in\tin\tIN\tB-PP\tO' -p96611 -aS'stable\tstable\tJJ\tB-NP\tO' -p96612 -aS'condition\tcondition\tNN\tI-NP\tO' -p96613 -aS'with\twith\tIN\tB-PP\tO' -p96614 -aS'a\ta\tDT\tB-NP\tO' -p96615 -aS'follow\tfollow\tNN\tI-NP\tO' -p96616 -aS'up\tup\tRP\tB-PRT\tO' -p96617 -aS'appointment\tappointment\tNN\tB-NP\tO' -p96618 -aS'with\twith\tIN\tB-PP\tO' -p96619 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p96620 -aS'Sterp\tSterp\tNNP\tI-NP\tO' -p96621 -aS'.\t.\t.\tO\tO' -p96622 -asS'He has been placed on Oxycodone 10 mg. po. q3hours as needed for pain .' -p96623 -(lp96624 -S'He\tHe\tPRP\tB-NP\tO' -p96625 -aS'has\thave\tVBZ\tB-VP\tO' -p96626 -aS'been\tbe\tVBN\tI-VP\tO' -p96627 -aS'placed\tplace\tVBN\tI-VP\tO' -p96628 -aS'on\ton\tIN\tB-PP\tO' -p96629 -aS'Oxycodone\tOxycodone\tNN\tB-NP\tO' -p96630 -aS'10\t10\tCD\tI-NP\tO' -p96631 -aS'mg.\tmg.\tNN\tI-NP\tO' -p96632 -aS'po.\tpo.\tNN\tI-NP\tO' -p96633 -aS'q3hours\tq3hour\tNNS\tI-NP\tO' -p96634 -aS'as\tas\tIN\tB-SBAR\tO' -p96635 -aS'needed\tneed\tVBN\tB-VP\tO' -p96636 -aS'for\tfor\tIN\tB-PP\tO' -p96637 -aS'pain\tpain\tNN\tB-NP\tO' -p96638 -aS'.\t.\t.\tO\tO' -p96639 -asS'Angiography performed on October 31 , 1999 , showed normal vascular distribution of the head and neck with no recurrence of arteriovenous malformation .' -p96640 -(lp96641 -S'Angiography\tAngiography\tNN\tB-NP\tO' -p96642 -aS'performed\tperform\tVBN\tB-VP\tO' -p96643 -aS'on\ton\tIN\tB-PP\tO' -p96644 -aS'October\tOctober\tNNP\tB-NP\tO' -p96645 -aS'31\t31\tCD\tI-NP\tO' -p96646 -aS',\t,\t,\tI-NP\tO' -p96647 -aS'1999\t1999\tCD\tI-NP\tO' -p96648 -aS',\t,\t,\tO\tO' -p96649 -aS'showed\tshow\tVBD\tB-VP\tO' -p96650 -aS'normal\tnormal\tJJ\tB-NP\tO' -p96651 -aS'vascular\tvascular\tJJ\tI-NP\tO' -p96652 -aS'distribution\tdistribution\tNN\tI-NP\tO' -p96653 -aS'of\tof\tIN\tB-PP\tO' -p96654 -aS'the\tthe\tDT\tB-NP\tO' -p96655 -aS'head\thead\tNN\tI-NP\tO' -p96656 -aS'and\tand\tCC\tI-NP\tO' -p96657 -aS'neck\tneck\tNN\tI-NP\tO' -p96658 -aS'with\twith\tIN\tB-PP\tO' -p96659 -aS'no\tno\tDT\tB-NP\tO' -p96660 -aS'recurrence\trecurrence\tNN\tI-NP\tO' -p96661 -aS'of\tof\tIN\tB-PP\tO' -p96662 -aS'arteriovenous\tarteriovenous\tJJ\tB-NP\tO' -p96663 -aS'malformation\tmalformation\tNN\tI-NP\tO' -p96664 -aS'.\t.\t.\tO\tO' -p96665 -asS'Disp :* 30 Tablet Sustained Release 24 hr (s)* Refills :* 2 *' -p96666 -(lp96667 -S'Disp\tDisp\tNN\tB-NP\tO' -p96668 -aS':*\t:*\tSYM\tI-NP\tO' -p96669 -aS'30\t30\tCD\tI-NP\tO' -p96670 -aS'Tablet\tTablet\tNN\tI-NP\tO' -p96671 -aS'Sustained\tSustain\tVBD\tB-VP\tO' -p96672 -aS'Release\tRelease\tNN\tB-NP\tO' -p96673 -aS'24\t24\tCD\tI-NP\tO' -p96674 -aS'hr\thr\tNN\tI-NP\tO' -p96675 -aS'(s)*\t(s)*\tSYM\tB-NP\tO' -p96676 -aS'Refills\tRefill\tNNPS\tI-NP\tO' -p96677 -aS':*\t:*\tSYM\tI-NP\tO' -p96678 -aS'2\t2\tCD\tI-NP\tO' -p96679 -aS'*\t*\tSYM\tB-NP\tO' -p96680 -asS'The patient was afebrile , vital signs were stable .' -p96681 -(lp96682 -S'The\tThe\tDT\tB-NP\tO' -p96683 -aS'patient\tpatient\tNN\tI-NP\tO' -p96684 -aS'was\tbe\tVBD\tB-VP\tO' -p96685 -aS'afebrile\tafebrile\tJJ\tB-NP\tO' -p96686 -aS',\t,\t,\tI-NP\tO' -p96687 -aS'vital\tvital\tJJ\tI-NP\tO' -p96688 -aS'signs\tsign\tNNS\tI-NP\tO' -p96689 -aS'were\tbe\tVBD\tB-VP\tO' -p96690 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p96691 -aS'.\t.\t.\tO\tO' -p96692 -asS'5. Lantoprost 0.005 ophthalmic solution one drop O.U. q.h.s.' -p96693 -(lp96694 -S'5.\t5.\tLS\tB-NP\tO' -p96695 -aS'Lantoprost\tLantoprost\tNN\tI-NP\tO' -p96696 -aS'0.005\t0.005\tCD\tI-NP\tO' -p96697 -aS'ophthalmic\tophthalmic\tJJ\tI-NP\tO' -p96698 -aS'solution\tsolution\tNN\tI-NP\tO' -p96699 -aS'one\tone\tCD\tB-NP\tO' -p96700 -aS'drop\tdrop\tNN\tI-NP\tO' -p96701 -aS'O.U.\tO.U.\tNNP\tB-NP\tO' -p96702 -aS'q.h.s.\tq.h.s.\t.\tO\tO' -p96703 -asS'Security was notified who then arrived to the room and helped to place the patient in four-point' -p96704 -(lp96705 -S'Security\tSecurity\tNN\tB-NP\tO' -p96706 -aS'was\tbe\tVBD\tB-VP\tO' -p96707 -aS'notified\tnotify\tVBN\tI-VP\tO' -p96708 -aS'who\twho\tWP\tB-NP\tO' -p96709 -aS'then\tthen\tRB\tB-ADVP\tO' -p96710 -aS'arrived\tarrive\tVBD\tB-VP\tO' -p96711 -aS'to\tto\tTO\tB-PP\tO' -p96712 -aS'the\tthe\tDT\tB-NP\tO' -p96713 -aS'room\troom\tNN\tI-NP\tO' -p96714 -aS'and\tand\tCC\tO\tO' -p96715 -aS'helped\thelp\tVBN\tB-VP\tO' -p96716 -aS'to\tto\tTO\tI-VP\tO' -p96717 -aS'place\tplace\tVB\tI-VP\tO' -p96718 -aS'the\tthe\tDT\tB-NP\tO' -p96719 -aS'patient\tpatient\tNN\tI-NP\tO' -p96720 -aS'in\tin\tIN\tB-PP\tO' -p96721 -aS'four-point\tfour-point\tJJ\tB-NP\tO' -p96722 -asS'36 yo G3P2 at 38+5 weeks GA presented to L&D for elective induction of labor .' -p96723 -(lp96724 -S'36\t36\tCD\tB-NP\tO' -p96725 -aS'yo\tyo\tNN\tI-NP\tO' -p96726 -aS'G3P2\tG3P2\tNN\tI-NP\tO' -p96727 -aS'at\tat\tIN\tB-PP\tO' -p96728 -aS'38+5\t38+5\tCD\tB-NP\tO' -p96729 -aS'weeks\tweek\tNNS\tI-NP\tO' -p96730 -aS'GA\tGA\tNN\tI-NP\tO' -p96731 -aS'presented\tpresent\tVBN\tB-VP\tO' -p96732 -aS'to\tto\tTO\tB-PP\tO' -p96733 -aS'L&D\tL&D\tNN\tB-NP\tO' -p96734 -aS'for\tfor\tIN\tB-PP\tO' -p96735 -aS'elective\telective\tJJ\tB-NP\tO' -p96736 -aS'induction\tinduction\tNN\tI-NP\tO' -p96737 -aS'of\tof\tIN\tB-PP\tO' -p96738 -aS'labor\tlabor\tNN\tB-NP\tO' -p96739 -aS'.\t.\t.\tO\tO' -p96740 -asS'A head MRI on 2012-04-24 revealed increasing tumor infiltration with increased edema and mass effect .' -p96741 -(lp96742 -S'A\tA\tDT\tB-NP\tO' -p96743 -aS'head\thead\tNN\tI-NP\tO' -p96744 -aS'MRI\tMRI\tNN\tI-NP\tO' -p96745 -aS'on\ton\tIN\tB-PP\tO' -p96746 -aS'2012-04-24\t2012-04-24\tCD\tB-NP\tO' -p96747 -aS'revealed\treveal\tVBD\tB-VP\tO' -p96748 -aS'increasing\tincrease\tVBG\tI-VP\tO' -p96749 -aS'tumor\ttumor\tNN\tB-NP\tO' -p96750 -aS'infiltration\tinfiltration\tNN\tI-NP\tO' -p96751 -aS'with\twith\tIN\tB-PP\tO' -p96752 -aS'increased\tincrease\tVBN\tB-NP\tO' -p96753 -aS'edema\tedema\tNN\tI-NP\tO' -p96754 -aS'and\tand\tCC\tI-NP\tO' -p96755 -aS'mass\tmass\tNN\tI-NP\tO' -p96756 -aS'effect\teffect\tNN\tI-NP\tO' -p96757 -aS'.\t.\t.\tO\tO' -p96758 -asS'Her CXR prior to discharge showed mild pulm edema and thus was given 40 of lasix prior to going to rehab .' -p96759 -(lp96760 -S'Her\tHer\tPRP$\tB-NP\tO' -p96761 -aS'CXR\tCXR\tNN\tI-NP\tB-protein' -p96762 -aS'prior\tprior\tRB\tB-ADVP\tO' -p96763 -aS'to\tto\tTO\tB-VP\tO' -p96764 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p96765 -aS'showed\tshow\tVBD\tB-VP\tO' -p96766 -aS'mild\tmild\tJJ\tB-NP\tO' -p96767 -aS'pulm\tpulm\tNN\tI-NP\tO' -p96768 -aS'edema\tedema\tNN\tI-NP\tO' -p96769 -aS'and\tand\tCC\tO\tO' -p96770 -aS'thus\tthus\tRB\tB-ADVP\tO' -p96771 -aS'was\tbe\tVBD\tB-VP\tO' -p96772 -aS'given\tgive\tVBN\tI-VP\tO' -p96773 -aS'40\t40\tCD\tB-NP\tO' -p96774 -aS'of\tof\tIN\tB-PP\tO' -p96775 -aS'lasix\tlasix\tNN\tB-NP\tO' -p96776 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p96777 -aS'to\tto\tTO\tB-PP\tO' -p96778 -aS'going\tgo\tVBG\tB-VP\tO' -p96779 -aS'to\tto\tTO\tI-VP\tO' -p96780 -aS'rehab\trehab\tVB\tI-VP\tO' -p96781 -aS'.\t.\t.\tO\tO' -p96782 -asS'67 y/o F w/ hx poliomyelitis , breast CA stable on tamoxifen , vent dependent in an iron lung admitted w/ 1 day hx of abdominal pain .' -p96783 -(lp96784 -S'67\t67\tCD\tB-NP\tO' -p96785 -aS'y/o\ty/o\tNN\tI-NP\tO' -p96786 -aS'F\tF\tNN\tI-NP\tO' -p96787 -aS'w/\tw/\tNN\tI-NP\tO' -p96788 -aS'hx\thx\tNN\tI-NP\tO' -p96789 -aS'poliomyelitis\tpoliomyelitis\tNN\tI-NP\tO' -p96790 -aS',\t,\t,\tO\tO' -p96791 -aS'breast\tbreast\tNN\tB-NP\tO' -p96792 -aS'CA\tCA\tNN\tI-NP\tO' -p96793 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p96794 -aS'on\ton\tIN\tB-PP\tO' -p96795 -aS'tamoxifen\ttamoxifen\tNN\tB-NP\tO' -p96796 -aS',\t,\t,\tO\tO' -p96797 -aS'vent\tvent\tNN\tB-NP\tO' -p96798 -aS'dependent\tdependent\tJJ\tB-ADJP\tO' -p96799 -aS'in\tin\tIN\tB-PP\tO' -p96800 -aS'an\tan\tDT\tB-NP\tO' -p96801 -aS'iron\tiron\tNN\tI-NP\tO' -p96802 -aS'lung\tlung\tNN\tI-NP\tO' -p96803 -aS'admitted\tadmit\tVBD\tB-VP\tO' -p96804 -aS'w/\tw/\tSYM\tB-NP\tO' -p96805 -aS'1\t1\tCD\tI-NP\tO' -p96806 -aS'day\tday\tNN\tI-NP\tO' -p96807 -aS'hx\thx\tNN\tI-NP\tO' -p96808 -aS'of\tof\tIN\tB-PP\tO' -p96809 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p96810 -aS'pain\tpain\tNN\tI-NP\tO' -p96811 -aS'.\t.\t.\tO\tO' -p96812 -asS'The patient will also wear a back brace at all times while out of bed .' -p96813 -(lp96814 -S'The\tThe\tDT\tB-NP\tO' -p96815 -aS'patient\tpatient\tNN\tI-NP\tO' -p96816 -aS'will\twill\tMD\tB-VP\tO' -p96817 -aS'also\talso\tRB\tI-VP\tO' -p96818 -aS'wear\twear\tVB\tI-VP\tO' -p96819 -aS'a\ta\tDT\tB-NP\tO' -p96820 -aS'back\tback\tJJ\tI-NP\tO' -p96821 -aS'brace\tbrace\tNN\tI-NP\tO' -p96822 -aS'at\tat\tIN\tB-PP\tO' -p96823 -aS'all\tall\tDT\tB-NP\tO' -p96824 -aS'times\ttime\tNNS\tI-NP\tO' -p96825 -aS'while\twhile\tIN\tB-SBAR\tO' -p96826 -aS'out\tout\tIN\tB-PP\tO' -p96827 -aS'of\tof\tIN\tB-PP\tO' -p96828 -aS'bed\tbed\tNN\tB-NP\tO' -p96829 -aS'.\t.\t.\tO\tO' -p96830 -asS'3. Clopidogrel Bisulfate 75 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' -p96831 -(lp96832 -S'3.\t3.\tLS\tB-NP\tO' -p96833 -aS'Clopidogrel\tClopidogrel\tNN\tI-NP\tO' -p96834 -aS'Bisulfate\tBisulfate\tNN\tI-NP\tO' -p96835 -aS'75\t75\tCD\tI-NP\tO' -p96836 -aS'mg\tmg\tNN\tI-NP\tO' -p96837 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p96838 -aS'Sig\tSig\tNNP\tI-NP\tO' -p96839 -aS':\t:\t:\tO\tO' -p96840 -aS'One\tOne\tCD\tB-NP\tO' -p96841 -aS'(\t(\t(\tO\tO' -p96842 -aS'1\t1\tCD\tB-NP\tO' -p96843 -aS')\t)\t)\tO\tO' -p96844 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p96845 -aS'PO\tPO\tNN\tI-NP\tO' -p96846 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p96847 -aS'(\t(\t(\tO\tO' -p96848 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p96849 -aS')\t)\t)\tO\tO' -p96850 -aS'.\t.\t.\tO\tO' -p96851 -asS'Positive vaginal tag .' -p96852 -(lp96853 -S'Positive\tPositive\tJJ\tB-NP\tO' -p96854 -aS'vaginal\tvaginal\tJJ\tI-NP\tO' -p96855 -aS'tag\ttag\tNN\tI-NP\tO' -p96856 -aS'.\t.\t.\tO\tO' -p96857 -asS'Moderate to severe 3+ mitral regurgitation and 3+ tricuspid regurgitation along with moderate pulmonary early systolic hypertension .' -p96858 -(lp96859 -S'Moderate\tModerate\tJJ\tB-ADJP\tO' -p96860 -aS'to\tto\tTO\tB-PP\tO' -p96861 -aS'severe\tsevere\tJJ\tB-NP\tO' -p96862 -aS'3+\t3+\tJJ\tI-NP\tO' -p96863 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p96864 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p96865 -aS'and\tand\tCC\tO\tO' -p96866 -aS'3+\t3+\tJJ\tB-NP\tO' -p96867 -aS'tricuspid\ttricuspid\tJJ\tI-NP\tO' -p96868 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p96869 -aS'along\talong\tIN\tB-PP\tO' -p96870 -aS'with\twith\tIN\tB-PP\tO' -p96871 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p96872 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p96873 -aS'early\tearly\tJJ\tI-NP\tO' -p96874 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p96875 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p96876 -aS'.\t.\t.\tO\tO' -p96877 -asS'The remainder of the hospital course will be dictated by the covering intern .' -p96878 -(lp96879 -S'The\tThe\tDT\tB-NP\tO' -p96880 -aS'remainder\tremainder\tNN\tI-NP\tO' -p96881 -aS'of\tof\tIN\tB-PP\tO' -p96882 -aS'the\tthe\tDT\tB-NP\tO' -p96883 -aS'hospital\thospital\tNN\tI-NP\tO' -p96884 -aS'course\tcourse\tNN\tI-NP\tO' -p96885 -aS'will\twill\tMD\tB-VP\tO' -p96886 -aS'be\tbe\tVB\tI-VP\tO' -p96887 -aS'dictated\tdictate\tVBN\tI-VP\tO' -p96888 -aS'by\tby\tIN\tB-PP\tO' -p96889 -aS'the\tthe\tDT\tB-NP\tO' -p96890 -aS'covering\tcover\tVBG\tI-NP\tO' -p96891 -aS'intern\tintern\tNN\tI-NP\tO' -p96892 -aS'.\t.\t.\tO\tO' -p96893 -asS'Dictated By : Rose D. Bordelon , M.D.' -p96894 -(lp96895 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p96896 -aS'By\tBy\tIN\tB-PP\tO' -p96897 -aS':\t:\t:\tO\tO' -p96898 -aS'Rose\tRose\tNNP\tB-NP\tO' -p96899 -aS'D.\tD.\tNNP\tI-NP\tO' -p96900 -aS'Bordelon\tBordelon\tNNP\tI-NP\tO' -p96901 -aS',\t,\t,\tO\tO' -p96902 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p96903 -asS'On the evening of postoperative day number zero , the patient had decreased urine output and was placed on a Lasix drip for diuresis .' -p96904 -(lp96905 -S'On\tOn\tIN\tB-PP\tO' -p96906 -aS'the\tthe\tDT\tB-NP\tO' -p96907 -aS'evening\tevening\tNN\tI-NP\tO' -p96908 -aS'of\tof\tIN\tB-PP\tO' -p96909 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p96910 -aS'day\tday\tNN\tI-NP\tO' -p96911 -aS'number\tnumber\tNN\tI-NP\tO' -p96912 -aS'zero\tzero\tCD\tI-NP\tO' -p96913 -aS',\t,\t,\tO\tO' -p96914 -aS'the\tthe\tDT\tB-NP\tO' -p96915 -aS'patient\tpatient\tNN\tI-NP\tO' -p96916 -aS'had\thave\tVBD\tB-VP\tO' -p96917 -aS'decreased\tdecrease\tVBN\tI-VP\tO' -p96918 -aS'urine\turine\tNN\tB-NP\tO' -p96919 -aS'output\toutput\tNN\tI-NP\tO' -p96920 -aS'and\tand\tCC\tO\tO' -p96921 -aS'was\tbe\tVBD\tB-VP\tO' -p96922 -aS'placed\tplace\tVBN\tI-VP\tO' -p96923 -aS'on\ton\tIN\tB-PP\tO' -p96924 -aS'a\ta\tDT\tB-NP\tO' -p96925 -aS'Lasix\tLasix\tNNP\tI-NP\tO' -p96926 -aS'drip\tdrip\tNN\tI-NP\tO' -p96927 -aS'for\tfor\tIN\tB-PP\tO' -p96928 -aS'diuresis\tdiuresis\tNN\tB-NP\tO' -p96929 -aS'.\t.\t.\tO\tO' -p96930 -asS'The patient was admitted to Dr. Shatermivaet S Brain on 4/28/93 with a history of papillary carcinoma of the thyroid with bone involvement and possible lung involvement .' -p96931 -(lp96932 -S'The\tThe\tDT\tB-NP\tO' -p96933 -aS'patient\tpatient\tNN\tI-NP\tO' -p96934 -aS'was\tbe\tVBD\tB-VP\tO' -p96935 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p96936 -aS'to\tto\tTO\tB-PP\tO' -p96937 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p96938 -aS'Shatermivaet\tShatermivaet\tNNP\tI-NP\tO' -p96939 -aS'S\tS\tNNP\tI-NP\tO' -p96940 -aS'Brain\tBrain\tNNP\tI-NP\tO' -p96941 -aS'on\ton\tIN\tB-PP\tO' -p96942 -aS'4/28/93\t4/28/93\tCD\tB-NP\tO' -p96943 -aS'with\twith\tIN\tB-PP\tO' -p96944 -aS'a\ta\tDT\tB-NP\tO' -p96945 -aS'history\thistory\tNN\tI-NP\tO' -p96946 -aS'of\tof\tIN\tB-PP\tO' -p96947 -aS'papillary\tpapillary\tJJ\tB-NP\tO' -p96948 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p96949 -aS'of\tof\tIN\tB-PP\tO' -p96950 -aS'the\tthe\tDT\tB-NP\tO' -p96951 -aS'thyroid\tthyroid\tNN\tI-NP\tO' -p96952 -aS'with\twith\tIN\tB-PP\tO' -p96953 -aS'bone\tbone\tNN\tB-NP\tO' -p96954 -aS'involvement\tinvolvement\tNN\tI-NP\tO' -p96955 -aS'and\tand\tCC\tO\tO' -p96956 -aS'possible\tpossible\tJJ\tB-NP\tO' -p96957 -aS'lung\tlung\tNN\tI-NP\tO' -p96958 -aS'involvement\tinvolvement\tNN\tI-NP\tO' -p96959 -aS'.\t.\t.\tO\tO' -p96960 -asS'Was discharged on 11/16/2003 in stable condition with the last recorded hematocrit of 31.3 .' -p96961 -(lp96962 -S'Was\tBe\tVBD\tB-VP\tO' -p96963 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p96964 -aS'on\ton\tIN\tB-PP\tO' -p96965 -aS'11/16/2003\t11/16/2003\tCD\tB-NP\tO' -p96966 -aS'in\tin\tIN\tB-PP\tO' -p96967 -aS'stable\tstable\tJJ\tB-NP\tO' -p96968 -aS'condition\tcondition\tNN\tI-NP\tO' -p96969 -aS'with\twith\tIN\tB-PP\tO' -p96970 -aS'the\tthe\tDT\tB-NP\tO' -p96971 -aS'last\tlast\tJJ\tI-NP\tO' -p96972 -aS'recorded\trecord\tVBN\tI-NP\tO' -p96973 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p96974 -aS'of\tof\tIN\tB-PP\tO' -p96975 -aS'31.3\t31.3\tCD\tB-NP\tO' -p96976 -aS'.\t.\t.\tO\tO' -p96977 -asS'ET tube in standard placement .' -p96978 -(lp96979 -S'ET\tET\tNN\tB-NP\tO' -p96980 -aS'tube\ttube\tNN\tI-NP\tO' -p96981 -aS'in\tin\tIN\tB-PP\tO' -p96982 -aS'standard\tstandard\tJJ\tB-NP\tO' -p96983 -aS'placement\tplacement\tNN\tI-NP\tO' -p96984 -aS'.\t.\t.\tO\tO' -p96985 -asS'3) with chronic lung disease .' -p96986 -(lp96987 -S'3)\t3)\tLS\tB-LST\tO' -p96988 -aS'with\twith\tIN\tB-PP\tO' -p96989 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p96990 -aS'lung\tlung\tNN\tI-NP\tO' -p96991 -aS'disease\tdisease\tNN\tI-NP\tO' -p96992 -aS'.\t.\t.\tO\tO' -p96993 -asS'1. ETOH intoxication .' -p96994 -(lp96995 -S'1.\t1.\tLS\tB-NP\tO' -p96996 -aS'ETOH\tETOH\tNN\tI-NP\tO' -p96997 -aS'intoxication\tintoxication\tNN\tI-NP\tO' -p96998 -aS'.\t.\t.\tO\tO' -p96999 -asS'He son also notes that she appeared to be working hard to breath .' -p97000 -(lp97001 -S'He\tHe\tPRP\tB-NP\tO' -p97002 -aS'son\tson\tNN\tI-NP\tO' -p97003 -aS'also\talso\tRB\tB-ADVP\tO' -p97004 -aS'notes\tnote\tVBZ\tB-VP\tO' -p97005 -aS'that\tthat\tIN\tB-SBAR\tO' -p97006 -aS'she\tshe\tPRP\tB-NP\tO' -p97007 -aS'appeared\tappear\tVBD\tB-VP\tO' -p97008 -aS'to\tto\tTO\tI-VP\tO' -p97009 -aS'be\tbe\tVB\tI-VP\tO' -p97010 -aS'working\twork\tVBG\tI-VP\tO' -p97011 -aS'hard\thard\tRB\tB-ADVP\tO' -p97012 -aS'to\tto\tTO\tB-PP\tO' -p97013 -aS'breath\tbreath\tNN\tB-NP\tO' -p97014 -aS'.\t.\t.\tO\tO' -p97015 -asS'He did have runs of nonsustained ventricular tachycardia , which were clinically stable .' -p97016 -(lp97017 -S'He\tHe\tPRP\tB-NP\tO' -p97018 -aS'did\tdo\tVBD\tB-VP\tO' -p97019 -aS'have\thave\tVB\tI-VP\tO' -p97020 -aS'runs\trun\tNNS\tB-NP\tO' -p97021 -aS'of\tof\tIN\tB-PP\tO' -p97022 -aS'nonsustained\tnonsustained\tJJ\tB-NP\tO' -p97023 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p97024 -aS'tachycardia\ttachycardia\tNN\tI-NP\tO' -p97025 -aS',\t,\t,\tO\tO' -p97026 -aS'which\twhich\tWDT\tB-NP\tO' -p97027 -aS'were\tbe\tVBD\tB-VP\tO' -p97028 -aS'clinically\tclinically\tRB\tB-ADJP\tO' -p97029 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p97030 -aS'.\t.\t.\tO\tO' -p97031 -asS'The next morning , the patient felt dizzy and went to his private medical doctor at Eifro Medical Center , and was found to have elevated bilirubins , alkaline phosphatase , and transaminases .' -p97032 -(lp97033 -S'The\tThe\tDT\tB-NP\tO' -p97034 -aS'next\tnext\tJJ\tI-NP\tO' -p97035 -aS'morning\tmorning\tNN\tI-NP\tO' -p97036 -aS',\t,\t,\tO\tO' -p97037 -aS'the\tthe\tDT\tB-NP\tO' -p97038 -aS'patient\tpatient\tNN\tI-NP\tO' -p97039 -aS'felt\tfeel\tVBD\tB-VP\tO' -p97040 -aS'dizzy\tdizzy\tJJ\tB-ADJP\tO' -p97041 -aS'and\tand\tCC\tO\tO' -p97042 -aS'went\tgo\tVBD\tB-VP\tO' -p97043 -aS'to\tto\tTO\tB-PP\tO' -p97044 -aS'his\this\tPRP$\tB-NP\tO' -p97045 -aS'private\tprivate\tJJ\tI-NP\tO' -p97046 -aS'medical\tmedical\tJJ\tI-NP\tO' -p97047 -aS'doctor\tdoctor\tNN\tI-NP\tO' -p97048 -aS'at\tat\tIN\tB-PP\tO' -p97049 -aS'Eifro\tEifro\tNNP\tB-NP\tO' -p97050 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p97051 -aS'Center\tCenter\tNNP\tI-NP\tO' -p97052 -aS',\t,\t,\tO\tO' -p97053 -aS'and\tand\tCC\tO\tO' -p97054 -aS'was\tbe\tVBD\tB-VP\tO' -p97055 -aS'found\tfind\tVBN\tI-VP\tO' -p97056 -aS'to\tto\tTO\tI-VP\tO' -p97057 -aS'have\thave\tVB\tI-VP\tO' -p97058 -aS'elevated\televate\tVBN\tI-VP\tO' -p97059 -aS'bilirubins\tbilirubin\tNNS\tB-NP\tO' -p97060 -aS',\t,\t,\tO\tO' -p97061 -aS'alkaline\talkaline\tNN\tB-NP\tB-protein' -p97062 -aS'phosphatase\tphosphatase\tNN\tI-NP\tI-protein' -p97063 -aS',\t,\t,\tO\tO' -p97064 -aS'and\tand\tCC\tO\tO' -p97065 -aS'transaminases\ttransaminase\tNNS\tB-NP\tB-protein' -p97066 -aS'.\t.\t.\tO\tO' -p97067 -asS'He had a transient episode of headache and disorientation at that time .' -p97068 -(lp97069 -S'He\tHe\tPRP\tB-NP\tO' -p97070 -aS'had\thave\tVBD\tB-VP\tO' -p97071 -aS'a\ta\tDT\tB-NP\tO' -p97072 -aS'transient\ttransient\tJJ\tI-NP\tO' -p97073 -aS'episode\tepisode\tNN\tI-NP\tO' -p97074 -aS'of\tof\tIN\tB-PP\tO' -p97075 -aS'headache\theadache\tNN\tB-NP\tO' -p97076 -aS'and\tand\tCC\tI-NP\tO' -p97077 -aS'disorientation\tdisorientation\tNN\tI-NP\tO' -p97078 -aS'at\tat\tIN\tB-PP\tO' -p97079 -aS'that\tthat\tDT\tB-NP\tO' -p97080 -aS'time\ttime\tNN\tI-NP\tO' -p97081 -aS'.\t.\t.\tO\tO' -p97082 -asS'The patient is a 52 year old female with gravida 3 para 3 who presents with complains of abdominal pain and enlarged ovary by ultrasound .' -p97083 -(lp97084 -S'The\tThe\tDT\tB-NP\tO' -p97085 -aS'patient\tpatient\tNN\tI-NP\tO' -p97086 -aS'is\tbe\tVBZ\tB-VP\tO' -p97087 -aS'a\ta\tDT\tB-NP\tO' -p97088 -aS'52\t52\tCD\tI-NP\tO' -p97089 -aS'year\tyear\tNN\tI-NP\tO' -p97090 -aS'old\told\tJJ\tI-NP\tO' -p97091 -aS'female\tfemale\tNN\tI-NP\tO' -p97092 -aS'with\twith\tIN\tB-PP\tO' -p97093 -aS'gravida\tgravida\tNN\tB-NP\tB-protein' -p97094 -aS'3\t3\tCD\tI-NP\tI-protein' -p97095 -aS'para\tpara\tNN\tI-NP\tI-protein' -p97096 -aS'3\t3\tCD\tI-NP\tI-protein' -p97097 -aS'who\twho\tWP\tB-NP\tO' -p97098 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p97099 -aS'with\twith\tIN\tB-PP\tO' -p97100 -aS'complains\tcomplain\tNNS\tB-NP\tO' -p97101 -aS'of\tof\tIN\tB-PP\tO' -p97102 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p97103 -aS'pain\tpain\tNN\tI-NP\tO' -p97104 -aS'and\tand\tCC\tO\tO' -p97105 -aS'enlarged\tenlarge\tVBD\tB-VP\tO' -p97106 -aS'ovary\tovary\tNN\tB-NP\tO' -p97107 -aS'by\tby\tIN\tB-PP\tO' -p97108 -aS'ultrasound\tultrasound\tNN\tB-NP\tO' -p97109 -aS'.\t.\t.\tO\tO' -p97110 -asS'LAD and LCX were stented , but PLB could not be crossed by guidewire ( were collaterals ) .' -p97111 -(lp97112 -S'LAD\tLAD\tNN\tB-NP\tO' -p97113 -aS'and\tand\tCC\tI-NP\tO' -p97114 -aS'LCX\tLCX\tNN\tI-NP\tB-protein' -p97115 -aS'were\tbe\tVBD\tB-VP\tO' -p97116 -aS'stented\tstente\tVBN\tI-VP\tO' -p97117 -aS',\t,\t,\tO\tO' -p97118 -aS'but\tbut\tCC\tO\tO' -p97119 -aS'PLB\tPLB\tNN\tB-NP\tB-protein' -p97120 -aS'could\tcould\tMD\tB-VP\tO' -p97121 -aS'not\tnot\tRB\tI-VP\tO' -p97122 -aS'be\tbe\tVB\tI-VP\tO' -p97123 -aS'crossed\tcross\tVBN\tI-VP\tO' -p97124 -aS'by\tby\tIN\tB-PP\tO' -p97125 -aS'guidewire\tguidewire\tNN\tB-NP\tO' -p97126 -aS'(\t(\t(\tO\tO' -p97127 -aS'were\tbe\tVBD\tB-VP\tO' -p97128 -aS'collaterals\tcollateral\tNNS\tB-NP\tO' -p97129 -aS')\t)\t)\tO\tO' -p97130 -aS'.\t.\t.\tO\tO' -p97131 -asS'Mother with colonic polyps .' -p97132 -(lp97133 -S'Mother\tMother\tDT\tB-NP\tO' -p97134 -aS'with\twith\tIN\tB-PP\tO' -p97135 -aS'colonic\tcolonic\tJJ\tB-NP\tO' -p97136 -aS'polyps\tpolyp\tNNS\tI-NP\tO' -p97137 -aS'.\t.\t.\tO\tO' -p97138 -asS'Once consent and preoperative evaluation was complete , he was taken to the operating room .' -p97139 -(lp97140 -S'Once\tOnce\tIN\tB-PP\tO' -p97141 -aS'consent\tconsent\tNN\tB-NP\tO' -p97142 -aS'and\tand\tCC\tO\tO' -p97143 -aS'preoperative\tpreoperative\tJJ\tB-NP\tO' -p97144 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p97145 -aS'was\tbe\tVBD\tB-VP\tO' -p97146 -aS'complete\tcomplete\tJJ\tB-ADJP\tO' -p97147 -aS',\t,\t,\tO\tO' -p97148 -aS'he\the\tPRP\tB-NP\tO' -p97149 -aS'was\tbe\tVBD\tB-VP\tO' -p97150 -aS'taken\ttake\tVBN\tI-VP\tO' -p97151 -aS'to\tto\tTO\tB-PP\tO' -p97152 -aS'the\tthe\tDT\tB-NP\tO' -p97153 -aS'operating\toperating\tNN\tI-NP\tO' -p97154 -aS'room\troom\tNN\tI-NP\tO' -p97155 -aS'.\t.\t.\tO\tO' -p97156 -asS'- Hydroxyzine HCl 25 mg Tablet PO Q4-6H PRN for itching' -p97157 -(lp97158 -S'-\t-\tHYPH\tB-NP\tO' -p97159 -aS'Hydroxyzine\tHydroxyzine\tNN\tI-NP\tO' -p97160 -aS'HCl\tHCl\tNN\tI-NP\tO' -p97161 -aS'25\t25\tCD\tI-NP\tO' -p97162 -aS'mg\tmg\tNN\tI-NP\tO' -p97163 -aS'Tablet\tTablet\tNN\tI-NP\tO' -p97164 -aS'PO\tPO\tNN\tI-NP\tO' -p97165 -aS'Q4-6H\tQ4-6H\tNN\tI-NP\tO' -p97166 -aS'PRN\tPRN\tNN\tI-NP\tO' -p97167 -aS'for\tfor\tIN\tB-PP\tO' -p97168 -aS'itching\titch\tVBG\tB-VP\tO' -p97169 -asS'In 1991 he presented with congestive heart failure and he underwent porcine aortic valve replacement .' -p97170 -(lp97171 -S'In\tIn\tIN\tB-PP\tO' -p97172 -aS'1991\t1991\tCD\tB-NP\tO' -p97173 -aS'he\the\tPRP\tB-NP\tO' -p97174 -aS'presented\tpresent\tVBD\tB-VP\tO' -p97175 -aS'with\twith\tIN\tB-PP\tO' -p97176 -aS'congestive\tcongestive\tJJ\tB-NP\tO' -p97177 -aS'heart\theart\tNN\tI-NP\tO' -p97178 -aS'failure\tfailure\tNN\tI-NP\tO' -p97179 -aS'and\tand\tCC\tO\tO' -p97180 -aS'he\the\tPRP\tB-NP\tO' -p97181 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p97182 -aS'porcine\tporcine\tJJ\tB-NP\tO' -p97183 -aS'aortic\taortic\tJJ\tI-NP\tO' -p97184 -aS'valve\tvalve\tNN\tI-NP\tO' -p97185 -aS'replacement\treplacement\tNN\tI-NP\tO' -p97186 -aS'.\t.\t.\tO\tO' -p97187 -asS'The patient developed a large hematoma requiring surgical drainage .' -p97188 -(lp97189 -S'The\tThe\tDT\tB-NP\tO' -p97190 -aS'patient\tpatient\tNN\tI-NP\tO' -p97191 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p97192 -aS'a\ta\tDT\tB-NP\tO' -p97193 -aS'large\tlarge\tJJ\tI-NP\tO' -p97194 -aS'hematoma\thematoma\tNN\tI-NP\tO' -p97195 -aS'requiring\trequire\tVBG\tB-VP\tO' -p97196 -aS'surgical\tsurgical\tJJ\tB-NP\tO' -p97197 -aS'drainage\tdrainage\tNN\tI-NP\tO' -p97198 -aS'.\t.\t.\tO\tO' -p97199 -asS'His cardiomyopathy work up entailed a negative ANA , negative SPEP , UPEP and Benz-Jones proteins , normal ferritin , thyroid stimulating hormone and a recent work up for possible bimomatous associated myasthenia gravis that was negative .' -p97200 -(lp97201 -S'His\tHis\tPRP$\tB-NP\tO' -p97202 -aS'cardiomyopathy\tcardiomyopathy\tNN\tI-NP\tO' -p97203 -aS'work\twork\tNN\tI-NP\tO' -p97204 -aS'up\tup\tRB\tB-ADVP\tO' -p97205 -aS'entailed\tentail\tVBD\tB-VP\tO' -p97206 -aS'a\ta\tDT\tB-NP\tO' -p97207 -aS'negative\tnegative\tJJ\tI-NP\tO' -p97208 -aS'ANA\tANA\tNN\tI-NP\tO' -p97209 -aS',\t,\t,\tO\tO' -p97210 -aS'negative\tnegative\tJJ\tB-NP\tO' -p97211 -aS'SPEP\tSPEP\tNN\tI-NP\tO' -p97212 -aS',\t,\t,\tO\tO' -p97213 -aS'UPEP\tUPEP\tNN\tB-NP\tB-DNA' -p97214 -aS'and\tand\tCC\tO\tO' -p97215 -aS'Benz-Jones\tBenz-Jones\tJJ\tB-NP\tB-protein' -p97216 -aS'proteins\tprotein\tNNS\tI-NP\tI-protein' -p97217 -aS',\t,\t,\tO\tO' -p97218 -aS'normal\tnormal\tJJ\tB-NP\tO' -p97219 -aS'ferritin\tferritin\tNN\tI-NP\tO' -p97220 -aS',\t,\t,\tO\tO' -p97221 -aS'thyroid\tthyroid\tNN\tB-NP\tO' -p97222 -aS'stimulating\tstimulate\tVBG\tB-VP\tO' -p97223 -aS'hormone\thormone\tNN\tB-NP\tO' -p97224 -aS'and\tand\tCC\tO\tO' -p97225 -aS'a\ta\tDT\tB-NP\tO' -p97226 -aS'recent\trecent\tJJ\tI-NP\tO' -p97227 -aS'work\twork\tNN\tI-NP\tO' -p97228 -aS'up\tup\tRP\tB-PP\tO' -p97229 -aS'for\tfor\tIN\tB-PP\tO' -p97230 -aS'possible\tpossible\tJJ\tB-NP\tO' -p97231 -aS'bimomatous\tbimomatous\tJJ\tI-NP\tO' -p97232 -aS'associated\tassociate\tVBN\tI-NP\tO' -p97233 -aS'myasthenia\tmyasthenia\tNN\tI-NP\tO' -p97234 -aS'gravis\tgravis\tNN\tI-NP\tO' -p97235 -aS'that\tthat\tWDT\tB-NP\tO' -p97236 -aS'was\tbe\tVBD\tB-VP\tO' -p97237 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p97238 -aS'.\t.\t.\tO\tO' -p97239 -asS'Pulmonary examination revealed lungs clear to auscultation bilaterally .' -p97240 -(lp97241 -S'Pulmonary\tPulmonary\tJJ\tB-NP\tO' -p97242 -aS'examination\texamination\tNN\tI-NP\tO' -p97243 -aS'revealed\treveal\tVBD\tB-VP\tO' -p97244 -aS'lungs\tlung\tNNS\tB-NP\tO' -p97245 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p97246 -aS'to\tto\tTO\tB-PP\tO' -p97247 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p97248 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p97249 -aS'.\t.\t.\tO\tO' -p97250 -asS'By postoperative day #5 she was ambulating at level IV , was tolerating po , was able to void and felt comfortable to go to rehab .' -p97251 -(lp97252 -S'By\tBy\tIN\tB-PP\tO' -p97253 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p97254 -aS'day\tday\tNN\tI-NP\tO' -p97255 -aS'#5\t#5\tCD\tI-NP\tO' -p97256 -aS'she\tshe\tPRP\tB-NP\tO' -p97257 -aS'was\tbe\tVBD\tB-VP\tO' -p97258 -aS'ambulating\tambulate\tVBG\tI-VP\tO' -p97259 -aS'at\tat\tIN\tB-PP\tO' -p97260 -aS'level\tlevel\tNN\tB-NP\tO' -p97261 -aS'IV\tIV\tCD\tI-NP\tO' -p97262 -aS',\t,\t,\tO\tO' -p97263 -aS'was\tbe\tVBD\tB-VP\tO' -p97264 -aS'tolerating\ttolerate\tVBG\tI-VP\tO' -p97265 -aS'po\tpo\tNN\tB-NP\tO' -p97266 -aS',\t,\t,\tO\tO' -p97267 -aS'was\tbe\tVBD\tB-VP\tO' -p97268 -aS'able\table\tJJ\tB-ADJP\tO' -p97269 -aS'to\tto\tTO\tB-PP\tO' -p97270 -aS'void\tvoid\tNN\tB-NP\tO' -p97271 -aS'and\tand\tCC\tO\tO' -p97272 -aS'felt\tfeel\tVBD\tB-VP\tO' -p97273 -aS'comfortable\tcomfortable\tJJ\tB-ADJP\tO' -p97274 -aS'to\tto\tTO\tB-VP\tO' -p97275 -aS'go\tgo\tVB\tI-VP\tO' -p97276 -aS'to\tto\tTO\tI-VP\tO' -p97277 -aS'rehab\trehab\tVB\tI-VP\tO' -p97278 -aS'.\t.\t.\tO\tO' -p97279 -asS'8. Protonix 40 mg p.o. q day .' -p97280 -(lp97281 -S'8.\t8.\tCD\tB-NP\tO' -p97282 -aS'Protonix\tProtonix\tNNP\tI-NP\tO' -p97283 -aS'40\t40\tCD\tI-NP\tO' -p97284 -aS'mg\tmg\tNN\tI-NP\tO' -p97285 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p97286 -aS'q\tq\tNN\tI-NP\tO' -p97287 -aS'day\tday\tNN\tI-NP\tO' -p97288 -aS'.\t.\t.\tO\tO' -p97289 -asS'She has been on total parenteral nutrition and has been nothing by mouth since then .' -p97290 -(lp97291 -S'She\tShe\tPRP\tB-NP\tO' -p97292 -aS'has\thave\tVBZ\tB-VP\tO' -p97293 -aS'been\tbe\tVBN\tI-VP\tO' -p97294 -aS'on\ton\tIN\tB-PP\tO' -p97295 -aS'total\ttotal\tJJ\tB-NP\tO' -p97296 -aS'parenteral\tparenteral\tJJ\tI-NP\tO' -p97297 -aS'nutrition\tnutrition\tNN\tI-NP\tO' -p97298 -aS'and\tand\tCC\tO\tO' -p97299 -aS'has\thave\tVBZ\tB-VP\tO' -p97300 -aS'been\tbe\tVBN\tI-VP\tO' -p97301 -aS'nothing\tnothing\tNN\tB-NP\tO' -p97302 -aS'by\tby\tIN\tB-PP\tO' -p97303 -aS'mouth\tmouth\tNN\tB-NP\tO' -p97304 -aS'since\tsince\tIN\tB-PP\tO' -p97305 -aS'then\tthen\tRB\tB-NP\tO' -p97306 -aS'.\t.\t.\tO\tO' -p97307 -asS'Idiosyncratic reaction to cyclosporine was considered as cause for cerebritis , and cyclosporine was discontinued .' -p97308 -(lp97309 -S'Idiosyncratic\tIdiosyncratic\tJJ\tB-NP\tO' -p97310 -aS'reaction\treaction\tNN\tI-NP\tO' -p97311 -aS'to\tto\tTO\tB-PP\tO' -p97312 -aS'cyclosporine\tcyclosporine\tNN\tB-NP\tO' -p97313 -aS'was\tbe\tVBD\tB-VP\tO' -p97314 -aS'considered\tconsider\tVBN\tI-VP\tO' -p97315 -aS'as\tas\tIN\tB-PP\tO' -p97316 -aS'cause\tcause\tNN\tB-NP\tO' -p97317 -aS'for\tfor\tIN\tB-PP\tO' -p97318 -aS'cerebritis\tcerebritis\tNN\tB-NP\tO' -p97319 -aS',\t,\t,\tO\tO' -p97320 -aS'and\tand\tCC\tO\tO' -p97321 -aS'cyclosporine\tcyclosporine\tNN\tB-NP\tO' -p97322 -aS'was\tbe\tVBD\tB-VP\tO' -p97323 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p97324 -aS'.\t.\t.\tO\tO' -p97325 -asS'The patient was managed with Vasotec , Nifedipine and Clonidine with blood pressure under good control at the time of discharge , average 125 systolic , 70 diastolic , heart rate of 72 .' -p97326 -(lp97327 -S'The\tThe\tDT\tB-NP\tO' -p97328 -aS'patient\tpatient\tNN\tI-NP\tO' -p97329 -aS'was\tbe\tVBD\tB-VP\tO' -p97330 -aS'managed\tmanage\tVBN\tI-VP\tO' -p97331 -aS'with\twith\tIN\tB-PP\tO' -p97332 -aS'Vasotec\tVasotec\tNNP\tB-NP\tO' -p97333 -aS',\t,\t,\tO\tO' -p97334 -aS'Nifedipine\tNifedipine\tNN\tB-NP\tO' -p97335 -aS'and\tand\tCC\tI-NP\tO' -p97336 -aS'Clonidine\tClonidine\tNN\tI-NP\tO' -p97337 -aS'with\twith\tIN\tB-PP\tO' -p97338 -aS'blood\tblood\tNN\tB-NP\tO' -p97339 -aS'pressure\tpressure\tNN\tI-NP\tO' -p97340 -aS'under\tunder\tIN\tB-PP\tO' -p97341 -aS'good\tgood\tJJ\tB-NP\tO' -p97342 -aS'control\tcontrol\tNN\tI-NP\tO' -p97343 -aS'at\tat\tIN\tB-PP\tO' -p97344 -aS'the\tthe\tDT\tB-NP\tO' -p97345 -aS'time\ttime\tNN\tI-NP\tO' -p97346 -aS'of\tof\tIN\tB-PP\tO' -p97347 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p97348 -aS',\t,\t,\tO\tO' -p97349 -aS'average\taverage\tNN\tB-NP\tO' -p97350 -aS'125\t125\tCD\tI-NP\tO' -p97351 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p97352 -aS',\t,\t,\tO\tO' -p97353 -aS'70\t70\tCD\tB-NP\tO' -p97354 -aS'diastolic\tdiastolic\tJJ\tI-NP\tO' -p97355 -aS',\t,\t,\tI-NP\tO' -p97356 -aS'heart\theart\tNN\tI-NP\tO' -p97357 -aS'rate\trate\tNN\tI-NP\tO' -p97358 -aS'of\tof\tIN\tB-PP\tO' -p97359 -aS'72\t72\tCD\tB-NP\tO' -p97360 -aS'.\t.\t.\tO\tO' -p97361 -asS'The patient was admitted to the Oncology Service on Founder 's 7 and received intravenous chemotherapy with a 72 hour continuous infusion of 5-FU , Vinblastine on day 1 and day 3 , and Cisplatinum on day 1 .' -p97362 -(lp97363 -S'The\tThe\tDT\tB-NP\tO' -p97364 -aS'patient\tpatient\tNN\tI-NP\tO' -p97365 -aS'was\tbe\tVBD\tB-VP\tO' -p97366 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p97367 -aS'to\tto\tTO\tB-PP\tO' -p97368 -aS'the\tthe\tDT\tB-NP\tO' -p97369 -aS'Oncology\tOncology\tNNP\tI-NP\tO' -p97370 -aS'Service\tService\tNNP\tI-NP\tO' -p97371 -aS'on\ton\tIN\tB-PP\tO' -p97372 -aS'Founder\tFounder\tNNP\tB-NP\tO' -p97373 -aS''s\t'\tNNS\tI-NP\tO' -p97374 -aS'7\t7\tCD\tB-NP\tO' -p97375 -aS'and\tand\tCC\tO\tO' -p97376 -aS'received\treceive\tVBD\tB-VP\tO' -p97377 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p97378 -aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' -p97379 -aS'with\twith\tIN\tB-PP\tO' -p97380 -aS'a\ta\tDT\tB-NP\tO' -p97381 -aS'72\t72\tCD\tI-NP\tO' -p97382 -aS'hour\thour\tNN\tI-NP\tO' -p97383 -aS'continuous\tcontinuous\tJJ\tI-NP\tO' -p97384 -aS'infusion\tinfusion\tNN\tI-NP\tO' -p97385 -aS'of\tof\tIN\tB-PP\tO' -p97386 -aS'5-FU\t5-FU\tNN\tB-NP\tO' -p97387 -aS',\t,\t,\tO\tO' -p97388 -aS'Vinblastine\tVinblastine\tNN\tB-NP\tO' -p97389 -aS'on\ton\tIN\tB-PP\tO' -p97390 -aS'day\tday\tNN\tB-NP\tO' -p97391 -aS'1\t1\tCD\tI-NP\tO' -p97392 -aS'and\tand\tCC\tO\tO' -p97393 -aS'day\tday\tNN\tB-NP\tO' -p97394 -aS'3\t3\tCD\tI-NP\tO' -p97395 -aS',\t,\t,\tO\tO' -p97396 -aS'and\tand\tCC\tO\tO' -p97397 -aS'Cisplatinum\tCisplatinum\tNN\tB-NP\tO' -p97398 -aS'on\ton\tIN\tB-PP\tO' -p97399 -aS'day\tday\tNN\tB-NP\tO' -p97400 -aS'1\t1\tCD\tI-NP\tO' -p97401 -aS'.\t.\t.\tO\tO' -p97402 -asS'78 year old female with history of HTN , a.fib presenting with ureteral stone , hydronephrosis , and urosepsis .' -p97403 -(lp97404 -S'78\t78\tCD\tB-NP\tO' -p97405 -aS'year\tyear\tNN\tI-NP\tO' -p97406 -aS'old\told\tJJ\tI-NP\tO' -p97407 -aS'female\tfemale\tNN\tI-NP\tO' -p97408 -aS'with\twith\tIN\tB-PP\tO' -p97409 -aS'history\thistory\tNN\tB-NP\tO' -p97410 -aS'of\tof\tIN\tB-PP\tO' -p97411 -aS'HTN\tHTN\tNN\tB-NP\tB-protein' -p97412 -aS',\t,\t,\tO\tO' -p97413 -aS'a.fib\ta.fib\tNN\tB-NP\tO' -p97414 -aS'presenting\tpresent\tVBG\tB-VP\tO' -p97415 -aS'with\twith\tIN\tB-PP\tO' -p97416 -aS'ureteral\tureteral\tJJ\tB-NP\tO' -p97417 -aS'stone\tstone\tNN\tI-NP\tO' -p97418 -aS',\t,\t,\tO\tO' -p97419 -aS'hydronephrosis\thydronephrosis\tNN\tB-NP\tO' -p97420 -aS',\t,\t,\tO\tO' -p97421 -aS'and\tand\tCC\tO\tO' -p97422 -aS'urosepsis\turosepsis\tNN\tB-NP\tO' -p97423 -aS'.\t.\t.\tO\tO' -p97424 -asS'A pericardiocentesis was attempted with no yield of pericardial fluid .' -p97425 -(lp97426 -S'A\tA\tDT\tB-NP\tO' -p97427 -aS'pericardiocentesis\tpericardiocentesis\tNN\tI-NP\tO' -p97428 -aS'was\tbe\tVBD\tB-VP\tO' -p97429 -aS'attempted\tattempt\tVBN\tI-VP\tO' -p97430 -aS'with\twith\tIN\tB-PP\tO' -p97431 -aS'no\tno\tDT\tB-NP\tO' -p97432 -aS'yield\tyield\tNN\tI-NP\tO' -p97433 -aS'of\tof\tIN\tB-PP\tO' -p97434 -aS'pericardial\tpericardial\tJJ\tB-NP\tO' -p97435 -aS'fluid\tfluid\tNN\tI-NP\tO' -p97436 -aS'.\t.\t.\tO\tO' -p97437 -asS'2. RIGHT HYDRONEPHROSIS ON CT SCAN .' -p97438 -(lp97439 -S'2.\t2.\tLS\tB-NP\tO' -p97440 -aS'RIGHT\tRIGHT\tNN\tI-NP\tO' -p97441 -aS'HYDRONEPHROSIS\tHYDRONEPHROSIS\tNN\tI-NP\tO' -p97442 -aS'ON\tON\tNN\tI-NP\tO' -p97443 -aS'CT\tCT\tNN\tI-NP\tO' -p97444 -aS'SCAN\tSCAN\tNN\tI-NP\tO' -p97445 -aS'.\t.\t.\tO\tO' -p97446 -asS'The condition on discharge is good .' -p97447 -(lp97448 -S'The\tThe\tDT\tB-NP\tO' -p97449 -aS'condition\tcondition\tNN\tI-NP\tO' -p97450 -aS'on\ton\tIN\tB-PP\tO' -p97451 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p97452 -aS'is\tbe\tVBZ\tB-VP\tO' -p97453 -aS'good\tgood\tJJ\tB-ADJP\tO' -p97454 -aS'.\t.\t.\tO\tO' -p97455 -asS'Mother with lung cancer .' -p97456 -(lp97457 -S'Mother\tMother\tDT\tB-NP\tO' -p97458 -aS'with\twith\tIN\tB-PP\tO' -p97459 -aS'lung\tlung\tNN\tB-NP\tO' -p97460 -aS'cancer\tcancer\tNN\tI-NP\tO' -p97461 -aS'.\t.\t.\tO\tO' -p97462 -asS'There is a somewhat wedge-shaped opacity at the right lung base which could represent aspiration or pneumonia .' -p97463 -(lp97464 -S'There\tThere\tEX\tB-NP\tO' -p97465 -aS'is\tbe\tVBZ\tB-VP\tO' -p97466 -aS'a\ta\tDT\tB-NP\tO' -p97467 -aS'somewhat\tsomewhat\tRB\tI-NP\tO' -p97468 -aS'wedge-shaped\twedge-shaped\tJJ\tI-NP\tO' -p97469 -aS'opacity\topacity\tNN\tI-NP\tO' -p97470 -aS'at\tat\tIN\tB-PP\tO' -p97471 -aS'the\tthe\tDT\tB-NP\tO' -p97472 -aS'right\tright\tJJ\tI-NP\tO' -p97473 -aS'lung\tlung\tNN\tI-NP\tO' -p97474 -aS'base\tbase\tNN\tI-NP\tO' -p97475 -aS'which\twhich\tWDT\tB-NP\tO' -p97476 -aS'could\tcould\tMD\tB-VP\tO' -p97477 -aS'represent\trepresent\tVB\tI-VP\tO' -p97478 -aS'aspiration\taspiration\tNN\tB-NP\tO' -p97479 -aS'or\tor\tCC\tI-NP\tO' -p97480 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p97481 -aS'.\t.\t.\tO\tO' -p97482 -asS'The patient suffered a fall at home with her initial event .' -p97483 -(lp97484 -S'The\tThe\tDT\tB-NP\tO' -p97485 -aS'patient\tpatient\tNN\tI-NP\tO' -p97486 -aS'suffered\tsuffer\tVBD\tB-VP\tO' -p97487 -aS'a\ta\tDT\tB-NP\tO' -p97488 -aS'fall\tfall\tNN\tI-NP\tO' -p97489 -aS'at\tat\tIN\tB-PP\tO' -p97490 -aS'home\thome\tNN\tB-NP\tO' -p97491 -aS'with\twith\tIN\tB-PP\tO' -p97492 -aS'her\ther\tPRP$\tB-NP\tO' -p97493 -aS'initial\tinitial\tJJ\tI-NP\tO' -p97494 -aS'event\tevent\tNN\tI-NP\tO' -p97495 -aS'.\t.\t.\tO\tO' -p97496 -asS'Seventh nerve weakness on the right in a central pattern is present .' -p97497 -(lp97498 -S'Seventh\tSeventh\tJJ\tB-NP\tO' -p97499 -aS'nerve\tnerve\tNN\tI-NP\tO' -p97500 -aS'weakness\tweakness\tNN\tI-NP\tO' -p97501 -aS'on\ton\tIN\tB-PP\tO' -p97502 -aS'the\tthe\tDT\tB-NP\tO' -p97503 -aS'right\tright\tNN\tI-NP\tO' -p97504 -aS'in\tin\tIN\tB-PP\tO' -p97505 -aS'a\ta\tDT\tB-NP\tO' -p97506 -aS'central\tcentral\tJJ\tI-NP\tO' -p97507 -aS'pattern\tpattern\tNN\tI-NP\tO' -p97508 -aS'is\tbe\tVBZ\tB-VP\tO' -p97509 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p97510 -aS'.\t.\t.\tO\tO' -p97511 -asS'There was no other noted disease .' -p97512 -(lp97513 -S'There\tThere\tEX\tB-NP\tO' -p97514 -aS'was\tbe\tVBD\tB-VP\tO' -p97515 -aS'no\tno\tDT\tB-NP\tO' -p97516 -aS'other\tother\tJJ\tI-NP\tO' -p97517 -aS'noted\tnote\tVBN\tI-NP\tO' -p97518 -aS'disease\tdisease\tNN\tI-NP\tO' -p97519 -aS'.\t.\t.\tO\tO' -p97520 -asS'1. Augmentin 500 mg p.o. three times a day times ten days .' -p97521 -(lp97522 -S'1.\t1.\tLS\tB-LST\tO' -p97523 -aS'Augmentin\tAugmentin\tNNP\tB-NP\tO' -p97524 -aS'500\t500\tCD\tI-NP\tO' -p97525 -aS'mg\tmg\tNN\tI-NP\tO' -p97526 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p97527 -aS'three\tthree\tCD\tB-NP\tO' -p97528 -aS'times\ttime\tNNS\tI-NP\tO' -p97529 -aS'a\ta\tDT\tB-NP\tO' -p97530 -aS'day\tday\tNN\tI-NP\tO' -p97531 -aS'times\ttime\tVBZ\tB-VP\tO' -p97532 -aS'ten\tten\tCD\tB-NP\tO' -p97533 -aS'days\tday\tNNS\tI-NP\tO' -p97534 -aS'.\t.\t.\tO\tO' -p97535 -asS"Over the past one month prior to admission , the patient 's wife has noticed a marked decrease in p.o. intake and also noted a weight loss of approximately ten pounds in the preceding two weeks ." -p97536 -(lp97537 -S'Over\tOver\tIN\tB-PP\tO' -p97538 -aS'the\tthe\tDT\tB-NP\tO' -p97539 -aS'past\tpast\tJJ\tI-NP\tO' -p97540 -aS'one\tone\tCD\tI-NP\tO' -p97541 -aS'month\tmonth\tNN\tI-NP\tO' -p97542 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p97543 -aS'to\tto\tTO\tB-PP\tO' -p97544 -aS'admission\tadmission\tNN\tB-NP\tO' -p97545 -aS',\t,\t,\tO\tO' -p97546 -aS'the\tthe\tDT\tB-NP\tO' -p97547 -aS'patient\tpatient\tNN\tI-NP\tO' -p97548 -aS"'s\t's\tPOS\tB-NP\tO" -p97549 -aS'wife\twife\tNN\tI-NP\tO' -p97550 -aS'has\thave\tVBZ\tB-VP\tO' -p97551 -aS'noticed\tnotice\tVBN\tI-VP\tO' -p97552 -aS'a\ta\tDT\tB-NP\tO' -p97553 -aS'marked\tmarked\tJJ\tI-NP\tO' -p97554 -aS'decrease\tdecrease\tNN\tI-NP\tO' -p97555 -aS'in\tin\tIN\tB-PP\tO' -p97556 -aS'p.o.\tp.o.\tFW\tB-NP\tO' -p97557 -aS'intake\tintake\tFW\tI-NP\tO' -p97558 -aS'and\tand\tCC\tO\tO' -p97559 -aS'also\talso\tRB\tB-VP\tO' -p97560 -aS'noted\tnote\tVBD\tI-VP\tO' -p97561 -aS'a\ta\tDT\tB-NP\tO' -p97562 -aS'weight\tweight\tNN\tI-NP\tO' -p97563 -aS'loss\tloss\tNN\tI-NP\tO' -p97564 -aS'of\tof\tIN\tB-PP\tO' -p97565 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p97566 -aS'ten\tten\tCD\tI-NP\tO' -p97567 -aS'pounds\tpound\tNNS\tI-NP\tO' -p97568 -aS'in\tin\tIN\tB-PP\tO' -p97569 -aS'the\tthe\tDT\tB-NP\tO' -p97570 -aS'preceding\tprecede\tVBG\tI-NP\tO' -p97571 -aS'two\ttwo\tCD\tI-NP\tO' -p97572 -aS'weeks\tweek\tNNS\tI-NP\tO' -p97573 -aS'.\t.\t.\tO\tO' -p97574 -asS'The patient tolerated a regular diet on postoperative day number thirteen from his reoperative coronary artery bypass graft .' -p97575 -(lp97576 -S'The\tThe\tDT\tB-NP\tO' -p97577 -aS'patient\tpatient\tNN\tI-NP\tO' -p97578 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p97579 -aS'a\ta\tDT\tB-NP\tO' -p97580 -aS'regular\tregular\tJJ\tI-NP\tO' -p97581 -aS'diet\tdiet\tNN\tI-NP\tO' -p97582 -aS'on\ton\tIN\tB-PP\tO' -p97583 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p97584 -aS'day\tday\tNN\tI-NP\tO' -p97585 -aS'number\tnumber\tNN\tI-NP\tO' -p97586 -aS'thirteen\tthirteen\tCD\tI-NP\tO' -p97587 -aS'from\tfrom\tIN\tB-PP\tO' -p97588 -aS'his\this\tPRP$\tB-NP\tO' -p97589 -aS'reoperative\treoperative\tJJ\tI-NP\tO' -p97590 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p97591 -aS'artery\tartery\tNN\tI-NP\tO' -p97592 -aS'bypass\tbypass\tIN\tB-PP\tO' -p97593 -aS'graft\tgraft\tNN\tB-NP\tO' -p97594 -aS'.\t.\t.\tO\tO' -p97595 -asS'12. Vancomycin in Dextrose 1 g / 200 mL Piggyback Sig : One ( 1 ) Intravenous QHD ( each hemodialysis ): 2 week course to be given at dialysis , last day 2019-02-05 .' -p97596 -(lp97597 -S'12.\t12.\tLS\tB-NP\tO' -p97598 -aS'Vancomycin\tVancomycin\tNN\tI-NP\tO' -p97599 -aS'in\tin\tIN\tB-PP\tO' -p97600 -aS'Dextrose\tDextrose\tNN\tB-NP\tO' -p97601 -aS'1\t1\tCD\tI-NP\tO' -p97602 -aS'g\tg\tNN\tI-NP\tO' -p97603 -aS'/\t/\tSYM\tO\tO' -p97604 -aS'200\t200\tCD\tB-NP\tO' -p97605 -aS'mL\tmL\tNN\tI-NP\tO' -p97606 -aS'Piggyback\tPiggyback\tNNP\tI-NP\tO' -p97607 -aS'Sig\tSig\tNNP\tI-NP\tO' -p97608 -aS':\t:\t:\tO\tO' -p97609 -aS'One\tOne\tCD\tB-NP\tO' -p97610 -aS'(\t(\t(\tO\tO' -p97611 -aS'1\t1\tCD\tB-NP\tO' -p97612 -aS')\t)\t)\tO\tO' -p97613 -aS'Intravenous\tIntravenous\tJJ\tB-NP\tO' -p97614 -aS'QHD\tQHD\tNN\tI-NP\tO' -p97615 -aS'(\t(\t(\tO\tO' -p97616 -aS'each\teach\tDT\tB-NP\tO' -p97617 -aS'hemodialysis\themodialysis\tNN\tI-NP\tO' -p97618 -aS'):\t):\tVBD\tB-VP\tO' -p97619 -aS'2\t2\tCD\tB-NP\tO' -p97620 -aS'week\tweek\tNN\tI-NP\tO' -p97621 -aS'course\tcourse\tNN\tI-NP\tO' -p97622 -aS'to\tto\tTO\tB-VP\tO' -p97623 -aS'be\tbe\tVB\tI-VP\tO' -p97624 -aS'given\tgive\tVBN\tI-VP\tO' -p97625 -aS'at\tat\tIN\tB-PP\tO' -p97626 -aS'dialysis\tdialysis\tNN\tB-NP\tO' -p97627 -aS',\t,\t,\tO\tO' -p97628 -aS'last\tlast\tJJ\tB-NP\tO' -p97629 -aS'day\tday\tNN\tI-NP\tO' -p97630 -aS'2019-02-05\t2019-02-05\tCD\tI-NP\tO' -p97631 -aS'.\t.\t.\tO\tO' -p97632 -asS'Date / Time : 2017-06-13 at 15:47' -p97633 -(lp97634 -S'Date\tDate\tNN\tB-NP\tO' -p97635 -aS'/\t/\tSYM\tI-NP\tO' -p97636 -aS'Time\tTime\tNN\tI-NP\tO' -p97637 -aS':\t:\t:\tO\tO' -p97638 -aS'2017-06-13\t2017-06-13\tCD\tB-NP\tO' -p97639 -aS'at\tat\tIN\tB-PP\tO' -p97640 -aS'15:47\t15:47\tCD\tB-NP\tO' -p97641 -asS'The patient was asystolic but regained a perfusing rhythm after 2 mg of Epinephrine and 2 mg of Atropine .' -p97642 -(lp97643 -S'The\tThe\tDT\tB-NP\tO' -p97644 -aS'patient\tpatient\tNN\tI-NP\tO' -p97645 -aS'was\tbe\tVBD\tB-VP\tO' -p97646 -aS'asystolic\tasystolic\tJJ\tB-ADJP\tO' -p97647 -aS'but\tbut\tCC\tO\tO' -p97648 -aS'regained\tregain\tVBD\tB-VP\tO' -p97649 -aS'a\ta\tDT\tB-NP\tO' -p97650 -aS'perfusing\tperfuse\tVBG\tI-NP\tO' -p97651 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p97652 -aS'after\tafter\tIN\tB-PP\tO' -p97653 -aS'2\t2\tCD\tB-NP\tO' -p97654 -aS'mg\tmg\tNN\tI-NP\tO' -p97655 -aS'of\tof\tIN\tB-PP\tO' -p97656 -aS'Epinephrine\tEpinephrine\tNN\tB-NP\tO' -p97657 -aS'and\tand\tCC\tO\tO' -p97658 -aS'2\t2\tCD\tB-NP\tO' -p97659 -aS'mg\tmg\tNN\tI-NP\tO' -p97660 -aS'of\tof\tIN\tB-PP\tO' -p97661 -aS'Atropine\tAtropine\tNN\tB-NP\tO' -p97662 -aS'.\t.\t.\tO\tO' -p97663 -asS'On 08-10 , his am Hct was 21.9 , hence , he received 1 unit pRBC .' -p97664 -(lp97665 -S'On\tOn\tIN\tB-PP\tO' -p97666 -aS'08-10\t08-10\tCD\tB-NP\tO' -p97667 -aS',\t,\t,\tO\tO' -p97668 -aS'his\this\tPRP$\tB-NP\tO' -p97669 -aS'am\tam\tNN\tI-NP\tO' -p97670 -aS'Hct\tHct\tNN\tI-NP\tO' -p97671 -aS'was\tbe\tVBD\tB-VP\tO' -p97672 -aS'21.9\t21.9\tCD\tB-NP\tO' -p97673 -aS',\t,\t,\tO\tO' -p97674 -aS'hence\thence\tRB\tB-ADVP\tO' -p97675 -aS',\t,\t,\tO\tO' -p97676 -aS'he\the\tPRP\tB-NP\tO' -p97677 -aS'received\treceive\tVBD\tB-VP\tO' -p97678 -aS'1\t1\tCD\tB-NP\tO' -p97679 -aS'unit\tunit\tNN\tI-NP\tO' -p97680 -aS'pRBC\tpRBC\tNN\tI-NP\tO' -p97681 -aS'.\t.\t.\tO\tO' -p97682 -asS'The prothrombin time is 27.7 , partial thromboplastin time is greater than 100 .' -p97683 -(lp97684 -S'The\tThe\tDT\tB-NP\tO' -p97685 -aS'prothrombin\tprothrombin\tNN\tI-NP\tO' -p97686 -aS'time\ttime\tNN\tI-NP\tO' -p97687 -aS'is\tbe\tVBZ\tB-VP\tO' -p97688 -aS'27.7\t27.7\tCD\tB-NP\tO' -p97689 -aS',\t,\t,\tO\tO' -p97690 -aS'partial\tpartial\tJJ\tB-NP\tO' -p97691 -aS'thromboplastin\tthromboplastin\tNN\tI-NP\tO' -p97692 -aS'time\ttime\tNN\tI-NP\tO' -p97693 -aS'is\tbe\tVBZ\tB-VP\tO' -p97694 -aS'greater\tgreat\tJJR\tB-ADJP\tO' -p97695 -aS'than\tthan\tIN\tB-PP\tO' -p97696 -aS'100\t100\tCD\tB-NP\tO' -p97697 -aS'.\t.\t.\tO\tO' -p97698 -asS'If you need additional information please call 418-196-2156 .' -p97699 -(lp97700 -S'If\tIf\tIN\tB-SBAR\tO' -p97701 -aS'you\tyou\tPRP\tB-NP\tO' -p97702 -aS'need\tneed\tVBP\tB-VP\tO' -p97703 -aS'additional\tadditional\tJJ\tB-NP\tO' -p97704 -aS'information\tinformation\tNN\tI-NP\tO' -p97705 -aS'please\tplease\tNN\tI-NP\tO' -p97706 -aS'call\tcall\tNN\tI-NP\tO' -p97707 -aS'418-196-2156\t418-196-2156\tCD\tI-NP\tO' -p97708 -aS'.\t.\t.\tO\tO' -p97709 -asS'She has no history of liver disease , hepatitis .' -p97710 -(lp97711 -S'She\tShe\tPRP\tB-NP\tO' -p97712 -aS'has\thave\tVBZ\tB-VP\tO' -p97713 -aS'no\tno\tDT\tB-NP\tO' -p97714 -aS'history\thistory\tNN\tI-NP\tO' -p97715 -aS'of\tof\tIN\tB-PP\tO' -p97716 -aS'liver\tliver\tNN\tB-NP\tO' -p97717 -aS'disease\tdisease\tNN\tI-NP\tO' -p97718 -aS',\t,\t,\tO\tO' -p97719 -aS'hepatitis\thepatitis\tNN\tB-NP\tO' -p97720 -aS'.\t.\t.\tO\tO' -p97721 -asS'She will continue on her Prednisone for one month as above for the bronchiolitis obliterans organizing pneumonia with a very slow taper .' -p97722 -(lp97723 -S'She\tShe\tPRP\tB-NP\tO' -p97724 -aS'will\twill\tMD\tB-VP\tO' -p97725 -aS'continue\tcontinue\tVB\tI-VP\tO' -p97726 -aS'on\ton\tIN\tB-PP\tO' -p97727 -aS'her\ther\tPRP$\tB-NP\tO' -p97728 -aS'Prednisone\tPrednisone\tNN\tI-NP\tO' -p97729 -aS'for\tfor\tIN\tB-PP\tO' -p97730 -aS'one\tone\tCD\tB-NP\tO' -p97731 -aS'month\tmonth\tNN\tI-NP\tO' -p97732 -aS'as\tas\tIN\tB-PP\tO' -p97733 -aS'above\tabove\tIN\tB-PP\tO' -p97734 -aS'for\tfor\tIN\tB-PP\tO' -p97735 -aS'the\tthe\tDT\tB-NP\tO' -p97736 -aS'bronchiolitis\tbronchiolitis\tNN\tI-NP\tO' -p97737 -aS'obliterans\tobliteran\tNNS\tI-NP\tO' -p97738 -aS'organizing\torganize\tVBG\tB-VP\tO' -p97739 -aS'pneumonia\tpneumonia\tNN\tB-NP\tO' -p97740 -aS'with\twith\tIN\tB-PP\tO' -p97741 -aS'a\ta\tDT\tB-NP\tO' -p97742 -aS'very\tvery\tRB\tI-NP\tO' -p97743 -aS'slow\tslow\tJJ\tI-NP\tO' -p97744 -aS'taper\ttaper\tNN\tI-NP\tO' -p97745 -aS'.\t.\t.\tO\tO' -p97746 -asS'11. Lipitor 20 mg p.o. q. day .' -p97747 -(lp97748 -S'11.\t11.\tCD\tB-NP\tO' -p97749 -aS'Lipitor\tLipitor\tNN\tI-NP\tO' -p97750 -aS'20\t20\tCD\tB-NP\tO' -p97751 -aS'mg\tmg\tNN\tI-NP\tO' -p97752 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p97753 -aS'q.\tq.\tNN\tI-NP\tO' -p97754 -aS'day\tday\tNN\tI-NP\tO' -p97755 -aS'.\t.\t.\tO\tO' -p97756 -asS'1 - be sure to finish all antibiotic even if pain subsides adn inflammation goes down .' -p97757 -(lp97758 -S'1\t1\tCD\tB-NP\tO' -p97759 -aS'-\t-\tHYPH\tO\tO' -p97760 -aS'be\tbe\tVB\tB-VP\tO' -p97761 -aS'sure\tsure\tJJ\tB-ADJP\tO' -p97762 -aS'to\tto\tTO\tB-VP\tO' -p97763 -aS'finish\tfinish\tVB\tI-VP\tO' -p97764 -aS'all\tall\tDT\tB-NP\tO' -p97765 -aS'antibiotic\tantibiotic\tJJ\tI-NP\tO' -p97766 -aS'even\teven\tRB\tB-SBAR\tO' -p97767 -aS'if\tif\tIN\tI-SBAR\tO' -p97768 -aS'pain\tpain\tNN\tB-NP\tO' -p97769 -aS'subsides\tsubside\tNNS\tI-NP\tO' -p97770 -aS'adn\tadn\tVBP\tB-VP\tO' -p97771 -aS'inflammation\tinflammation\tNN\tB-NP\tO' -p97772 -aS'goes\tgo\tVBZ\tB-VP\tO' -p97773 -aS'down\tdown\tRB\tB-ADVP\tO' -p97774 -aS'.\t.\t.\tO\tO' -p97775 -asS'The orthopedics spine service saw her and put her in a C-collar .' -p97776 -(lp97777 -S'The\tThe\tDT\tB-NP\tO' -p97778 -aS'orthopedics\torthopedic\tNNS\tI-NP\tO' -p97779 -aS'spine\tspine\tNN\tI-NP\tO' -p97780 -aS'service\tservice\tNN\tI-NP\tO' -p97781 -aS'saw\tsee\tVBD\tB-VP\tO' -p97782 -aS'her\ther\tPRP\tB-NP\tO' -p97783 -aS'and\tand\tCC\tO\tO' -p97784 -aS'put\tput\tVBD\tB-VP\tO' -p97785 -aS'her\ther\tPRP\tB-NP\tO' -p97786 -aS'in\tin\tIN\tB-PP\tO' -p97787 -aS'a\ta\tDT\tB-NP\tO' -p97788 -aS'C-collar\tC-collar\tNN\tI-NP\tB-protein' -p97789 -aS'.\t.\t.\tO\tO' -p97790 -asS'68M with multiple vascular risk factors presents with acute onset right-sided hemiparesis and dysarthria , aphasia concerning for acute left MCA infarct .' -p97791 -(lp97792 -S'68M\t68M\tNN\tB-NP\tO' -p97793 -aS'with\twith\tIN\tB-PP\tO' -p97794 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p97795 -aS'vascular\tvascular\tJJ\tI-NP\tB-protein' -p97796 -aS'risk\trisk\tNN\tI-NP\tI-protein' -p97797 -aS'factors\tfactor\tNNS\tI-NP\tI-protein' -p97798 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p97799 -aS'with\twith\tIN\tB-PP\tO' -p97800 -aS'acute\tacute\tJJ\tB-NP\tO' -p97801 -aS'onset\tonset\tNN\tI-NP\tO' -p97802 -aS'right-sided\tright-sided\tJJ\tI-NP\tO' -p97803 -aS'hemiparesis\themiparesis\tNN\tI-NP\tO' -p97804 -aS'and\tand\tCC\tI-NP\tO' -p97805 -aS'dysarthria\tdysarthria\tNN\tI-NP\tO' -p97806 -aS',\t,\t,\tO\tO' -p97807 -aS'aphasia\taphasia\tNN\tB-NP\tO' -p97808 -aS'concerning\tconcern\tVBG\tB-VP\tO' -p97809 -aS'for\tfor\tIN\tB-PP\tO' -p97810 -aS'acute\tacute\tJJ\tB-NP\tO' -p97811 -aS'left\tleft\tJJ\tI-NP\tO' -p97812 -aS'MCA\tMCA\tNNP\tI-NP\tO' -p97813 -aS'infarct\tinfarct\tNN\tI-NP\tO' -p97814 -aS'.\t.\t.\tO\tO' -p97815 -asS'Once the patient sat up , her sats improved and her airway was no longer obstructed .' -p97816 -(lp97817 -S'Once\tOnce\tRB\tO\tO' -p97818 -aS'the\tthe\tDT\tB-NP\tO' -p97819 -aS'patient\tpatient\tNN\tI-NP\tO' -p97820 -aS'sat\tsit\tVBD\tB-VP\tO' -p97821 -aS'up\tup\tIN\tB-PRT\tO' -p97822 -aS',\t,\t,\tO\tO' -p97823 -aS'her\ther\tPRP$\tB-NP\tO' -p97824 -aS'sats\tsat\tNNS\tI-NP\tO' -p97825 -aS'improved\timprove\tVBN\tB-VP\tO' -p97826 -aS'and\tand\tCC\tO\tO' -p97827 -aS'her\ther\tPRP$\tB-NP\tO' -p97828 -aS'airway\tairway\tNN\tI-NP\tO' -p97829 -aS'was\tbe\tVBD\tB-VP\tO' -p97830 -aS'no\tno\tRB\tB-ADVP\tO' -p97831 -aS'longer\tlonger\tRBR\tI-ADVP\tO' -p97832 -aS'obstructed\tobstruct\tVBN\tB-ADJP\tO' -p97833 -aS'.\t.\t.\tO\tO' -p97834 -asS'4. State newborn screens have been sent per protocol , most recently on 01-11 , and have been within normal limits .' -p97835 -(lp97836 -S'4.\t4.\tLS\tB-NP\tO' -p97837 -aS'State\tState\tNN\tI-NP\tO' -p97838 -aS'newborn\tnewborn\tJJ\tI-NP\tO' -p97839 -aS'screens\tscreen\tNNS\tI-NP\tO' -p97840 -aS'have\thave\tVBP\tB-VP\tO' -p97841 -aS'been\tbe\tVBN\tI-VP\tO' -p97842 -aS'sent\tsend\tVBN\tI-VP\tO' -p97843 -aS'per\tper\tIN\tB-PP\tO' -p97844 -aS'protocol\tprotocol\tNN\tB-NP\tO' -p97845 -aS',\t,\t,\tO\tO' -p97846 -aS'most\tmost\tRBS\tB-ADVP\tO' -p97847 -aS'recently\trecently\tRB\tI-ADVP\tO' -p97848 -aS'on\ton\tIN\tB-PP\tO' -p97849 -aS'01-11\t01-11\tNN\tB-NP\tO' -p97850 -aS',\t,\t,\tO\tO' -p97851 -aS'and\tand\tCC\tO\tO' -p97852 -aS'have\thave\tVBP\tB-VP\tO' -p97853 -aS'been\tbe\tVBN\tI-VP\tO' -p97854 -aS'within\twithin\tIN\tB-PP\tO' -p97855 -aS'normal\tnormal\tJJ\tB-NP\tO' -p97856 -aS'limits\tlimit\tNNS\tI-NP\tO' -p97857 -aS'.\t.\t.\tO\tO' -p97858 -asS'TAH-BSO .' -p97859 -(lp97860 -S'TAH-BSO\tTAH-BSO\tNN\tB-NP\tB-protein' -p97861 -aS'.\t.\t.\tO\tO' -p97862 -asS'Red reflex was difficult to appreciate bilaterally .' -p97863 -(lp97864 -S'Red\tRed\tJJ\tB-NP\tO' -p97865 -aS'reflex\treflex\tNN\tI-NP\tO' -p97866 -aS'was\tbe\tVBD\tB-VP\tO' -p97867 -aS'difficult\tdifficult\tJJ\tB-ADJP\tO' -p97868 -aS'to\tto\tTO\tB-VP\tO' -p97869 -aS'appreciate\tappreciate\tVB\tI-VP\tO' -p97870 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p97871 -aS'.\t.\t.\tO\tO' -p97872 -asS'She then had 6L of non-bloody ascitic fluid removed without complication .' -p97873 -(lp97874 -S'She\tShe\tPRP\tB-NP\tO' -p97875 -aS'then\tthen\tRB\tB-ADVP\tO' -p97876 -aS'had\thave\tVBD\tB-VP\tO' -p97877 -aS'6L\t6L\tNN\tB-NP\tO' -p97878 -aS'of\tof\tIN\tB-PP\tO' -p97879 -aS'non-bloody\tnon-bloody\tJJ\tB-NP\tO' -p97880 -aS'ascitic\tascitic\tJJ\tI-NP\tO' -p97881 -aS'fluid\tfluid\tNN\tI-NP\tO' -p97882 -aS'removed\tremove\tVBN\tB-VP\tO' -p97883 -aS'without\twithout\tIN\tB-PP\tO' -p97884 -aS'complication\tcomplication\tNN\tB-NP\tO' -p97885 -aS'.\t.\t.\tO\tO' -p97886 -asS'Neck CT neg for abcess .' -p97887 -(lp97888 -S'Neck\tNeck\tNN\tB-NP\tO' -p97889 -aS'CT\tCT\tNN\tI-NP\tO' -p97890 -aS'neg\tneg\tNN\tI-NP\tO' -p97891 -aS'for\tfor\tIN\tB-PP\tO' -p97892 -aS'abcess\tabcess\tNN\tB-NP\tO' -p97893 -aS'.\t.\t.\tO\tO' -p97894 -asS"The pregnancy was unremarkable until 2015-06-01 when the mother presented to Shriner 's Hospital for Crippled Children for increased blood pressure and proteinuria ." -p97895 -(lp97896 -S'The\tThe\tDT\tB-NP\tO' -p97897 -aS'pregnancy\tpregnancy\tNN\tI-NP\tO' -p97898 -aS'was\tbe\tVBD\tB-VP\tO' -p97899 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p97900 -aS'until\tuntil\tIN\tB-PP\tO' -p97901 -aS'2015-06-01\t2015-06-01\tCD\tB-NP\tO' -p97902 -aS'when\twhen\tWRB\tB-ADVP\tO' -p97903 -aS'the\tthe\tDT\tB-NP\tO' -p97904 -aS'mother\tmother\tNN\tI-NP\tO' -p97905 -aS'presented\tpresent\tVBN\tB-VP\tO' -p97906 -aS'to\tto\tTO\tB-PP\tO' -p97907 -aS'Shriner\tShriner\tNNP\tB-NP\tO' -p97908 -aS"'s\t's\tPOS\tB-NP\tO" -p97909 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p97910 -aS'for\tfor\tIN\tB-PP\tO' -p97911 -aS'Crippled\tCrippled\tNNP\tB-NP\tO' -p97912 -aS'Children\tChildren\tNNP\tI-NP\tO' -p97913 -aS'for\tfor\tIN\tB-PP\tO' -p97914 -aS'increased\tincrease\tVBN\tB-NP\tO' -p97915 -aS'blood\tblood\tNN\tI-NP\tO' -p97916 -aS'pressure\tpressure\tNN\tI-NP\tO' -p97917 -aS'and\tand\tCC\tI-NP\tO' -p97918 -aS'proteinuria\tproteinuria\tNN\tI-NP\tO' -p97919 -aS'.\t.\t.\tO\tO' -p97920 -asS'The patient was admitted to the Short Stay Unit for further evaluation .' -p97921 -(lp97922 -S'The\tThe\tDT\tB-NP\tO' -p97923 -aS'patient\tpatient\tNN\tI-NP\tO' -p97924 -aS'was\tbe\tVBD\tB-VP\tO' -p97925 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p97926 -aS'to\tto\tTO\tB-PP\tO' -p97927 -aS'the\tthe\tDT\tB-NP\tO' -p97928 -aS'Short\tShort\tNNP\tI-NP\tO' -p97929 -aS'Stay\tStay\tNNP\tI-NP\tO' -p97930 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p97931 -aS'for\tfor\tIN\tB-PP\tO' -p97932 -aS'further\tfurther\tJJ\tB-NP\tO' -p97933 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p97934 -aS'.\t.\t.\tO\tO' -p97935 -asS'He has had no change in pain in the last few months .' -p97936 -(lp97937 -S'He\tHe\tPRP\tB-NP\tO' -p97938 -aS'has\thave\tVBZ\tB-VP\tO' -p97939 -aS'had\thave\tVBN\tI-VP\tO' -p97940 -aS'no\tno\tDT\tB-NP\tO' -p97941 -aS'change\tchange\tNN\tI-NP\tO' -p97942 -aS'in\tin\tIN\tB-PP\tO' -p97943 -aS'pain\tpain\tNN\tB-NP\tO' -p97944 -aS'in\tin\tIN\tB-PP\tO' -p97945 -aS'the\tthe\tDT\tB-NP\tO' -p97946 -aS'last\tlast\tJJ\tI-NP\tO' -p97947 -aS'few\tfew\tJJ\tI-NP\tO' -p97948 -aS'months\tmonth\tNNS\tI-NP\tO' -p97949 -aS'.\t.\t.\tO\tO' -p97950 -asS'The patient was admitted to the hospital on 2015-06-10 and taken to the operating room on 2015-06-11 where coronary artery bypass graft times four was performed .' -p97951 -(lp97952 -S'The\tThe\tDT\tB-NP\tO' -p97953 -aS'patient\tpatient\tNN\tI-NP\tO' -p97954 -aS'was\tbe\tVBD\tB-VP\tO' -p97955 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p97956 -aS'to\tto\tTO\tB-PP\tO' -p97957 -aS'the\tthe\tDT\tB-NP\tO' -p97958 -aS'hospital\thospital\tNN\tI-NP\tO' -p97959 -aS'on\ton\tIN\tB-PP\tO' -p97960 -aS'2015-06-10\t2015-06-10\tCD\tB-NP\tO' -p97961 -aS'and\tand\tCC\tO\tO' -p97962 -aS'taken\ttake\tVBN\tB-VP\tO' -p97963 -aS'to\tto\tTO\tB-PP\tO' -p97964 -aS'the\tthe\tDT\tB-NP\tO' -p97965 -aS'operating\toperating\tNN\tI-NP\tO' -p97966 -aS'room\troom\tNN\tI-NP\tO' -p97967 -aS'on\ton\tIN\tB-PP\tO' -p97968 -aS'2015-06-11\t2015-06-11\tCD\tB-NP\tO' -p97969 -aS'where\twhere\tWRB\tB-ADVP\tO' -p97970 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p97971 -aS'artery\tartery\tNN\tI-NP\tO' -p97972 -aS'bypass\tbypass\tIN\tB-PP\tO' -p97973 -aS'graft\tgraft\tNN\tB-NP\tO' -p97974 -aS'times\ttime\tNNS\tI-NP\tO' -p97975 -aS'four\tfour\tCD\tB-NP\tO' -p97976 -aS'was\tbe\tVBD\tB-VP\tO' -p97977 -aS'performed\tperform\tVBN\tI-VP\tO' -p97978 -aS'.\t.\t.\tO\tO' -p97979 -asS"Should the patient 's p.o. intake drop to below 500 , the patient should be hydrated at 75 cc/hour ." -p97980 -(lp97981 -S'Should\tShould\tMD\tO\tO' -p97982 -aS'the\tthe\tDT\tB-NP\tO' -p97983 -aS'patient\tpatient\tNN\tI-NP\tO' -p97984 -aS"'s\t's\tPOS\tB-NP\tO" -p97985 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p97986 -aS'intake\tintake\tFW\tI-NP\tO' -p97987 -aS'drop\tdrop\tNN\tI-NP\tO' -p97988 -aS'to\tto\tTO\tB-PP\tO' -p97989 -aS'below\tbelow\tIN\tB-PP\tO' -p97990 -aS'500\t500\tCD\tB-NP\tO' -p97991 -aS',\t,\t,\tO\tO' -p97992 -aS'the\tthe\tDT\tB-NP\tO' -p97993 -aS'patient\tpatient\tNN\tI-NP\tO' -p97994 -aS'should\tshould\tMD\tB-VP\tO' -p97995 -aS'be\tbe\tVB\tI-VP\tO' -p97996 -aS'hydrated\thydrate\tVBN\tI-VP\tO' -p97997 -aS'at\tat\tIN\tB-PP\tO' -p97998 -aS'75\t75\tCD\tB-NP\tO' -p97999 -aS'cc/hour\tcc/hour\tNN\tI-NP\tO' -p98000 -aS'.\t.\t.\tO\tO' -p98001 -asS'MYASTHENIA GRAVIS .' -p98002 -(lp98003 -S'MYASTHENIA\tMYASTHENIA\tNN\tB-NP\tO' -p98004 -aS'GRAVIS\tGRAVIS\tNN\tI-NP\tO' -p98005 -aS'.\t.\t.\tO\tO' -p98006 -asS'1. Gabapentin 100 mg po t.i.d. for paresthesias .' -p98007 -(lp98008 -S'1.\t1.\tLS\tB-NP\tO' -p98009 -aS'Gabapentin\tGabapentin\tNN\tI-NP\tO' -p98010 -aS'100\t100\tCD\tI-NP\tO' -p98011 -aS'mg\tmg\tNN\tI-NP\tO' -p98012 -aS'po\tpo\tNN\tI-NP\tO' -p98013 -aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' -p98014 -aS'for\tfor\tIN\tB-PP\tO' -p98015 -aS'paresthesias\tparesthesia\tNNS\tB-NP\tO' -p98016 -aS'.\t.\t.\tO\tO' -p98017 -asS'The patient was discharged to home in satisfactory condition with home oxygen .' -p98018 -(lp98019 -S'The\tThe\tDT\tB-NP\tO' -p98020 -aS'patient\tpatient\tNN\tI-NP\tO' -p98021 -aS'was\tbe\tVBD\tB-VP\tO' -p98022 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p98023 -aS'to\tto\tTO\tB-PP\tO' -p98024 -aS'home\thome\tNN\tB-NP\tO' -p98025 -aS'in\tin\tIN\tB-PP\tO' -p98026 -aS'satisfactory\tsatisfactory\tJJ\tB-NP\tO' -p98027 -aS'condition\tcondition\tNN\tI-NP\tO' -p98028 -aS'with\twith\tIN\tB-PP\tO' -p98029 -aS'home\thome\tNN\tB-NP\tO' -p98030 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p98031 -aS'.\t.\t.\tO\tO' -p98032 -asS'39 year old male w/ h/o low back pain on chronic narcotics presents after being found unresponsive at home .' -p98033 -(lp98034 -S'39\t39\tCD\tB-NP\tO' -p98035 -aS'year\tyear\tNN\tI-NP\tO' -p98036 -aS'old\told\tJJ\tI-NP\tO' -p98037 -aS'male\tmale\tJJ\tI-NP\tO' -p98038 -aS'w/\tw/\tNN\tI-NP\tO' -p98039 -aS'h/o\th/o\tNN\tI-NP\tO' -p98040 -aS'low\tlow\tJJ\tI-NP\tO' -p98041 -aS'back\tback\tJJ\tI-NP\tO' -p98042 -aS'pain\tpain\tNN\tI-NP\tO' -p98043 -aS'on\ton\tIN\tB-PP\tO' -p98044 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p98045 -aS'narcotics\tnarcotic\tNNS\tI-NP\tO' -p98046 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p98047 -aS'after\tafter\tIN\tB-PP\tO' -p98048 -aS'being\tbe\tVBG\tB-VP\tO' -p98049 -aS'found\tfind\tVBN\tI-VP\tO' -p98050 -aS'unresponsive\tunresponsive\tJJ\tB-ADJP\tO' -p98051 -aS'at\tat\tIN\tB-PP\tO' -p98052 -aS'home\thome\tNN\tB-NP\tO' -p98053 -aS'.\t.\t.\tO\tO' -p98054 -asS'On examination , Belmont Coma Scale was 6T ; blood pressure was 120 / palpable with a heart rate of 122 .' -p98055 -(lp98056 -S'On\tOn\tIN\tB-PP\tO' -p98057 -aS'examination\texamination\tNN\tB-NP\tO' -p98058 -aS',\t,\t,\tO\tO' -p98059 -aS'Belmont\tBelmont\tNNP\tB-NP\tO' -p98060 -aS'Coma\tComa\tNNP\tI-NP\tO' -p98061 -aS'Scale\tScale\tNNP\tI-NP\tO' -p98062 -aS'was\tbe\tVBD\tB-VP\tO' -p98063 -aS'6T\t6T\tNN\tB-NP\tO' -p98064 -aS';\t;\t:\tO\tO' -p98065 -aS'blood\tblood\tNN\tB-NP\tO' -p98066 -aS'pressure\tpressure\tNN\tI-NP\tO' -p98067 -aS'was\tbe\tVBD\tB-VP\tO' -p98068 -aS'120\t120\tCD\tB-NP\tO' -p98069 -aS'/\t/\tSYM\tB-ADJP\tO' -p98070 -aS'palpable\tpalpable\tJJ\tI-ADJP\tO' -p98071 -aS'with\twith\tIN\tB-PP\tO' -p98072 -aS'a\ta\tDT\tB-NP\tO' -p98073 -aS'heart\theart\tNN\tI-NP\tO' -p98074 -aS'rate\trate\tNN\tI-NP\tO' -p98075 -aS'of\tof\tIN\tB-PP\tO' -p98076 -aS'122\t122\tCD\tB-NP\tO' -p98077 -aS'.\t.\t.\tO\tO' -p98078 -asS'Intubation for airway protection tunneled line change over wire 2019-01-08' -p98079 -(lp98080 -S'Intubation\tIntubation\tNN\tB-NP\tO' -p98081 -aS'for\tfor\tIN\tB-PP\tO' -p98082 -aS'airway\tairway\tNN\tB-NP\tO' -p98083 -aS'protection\tprotection\tNN\tI-NP\tO' -p98084 -aS'tunneled\ttunnel\tVBD\tB-VP\tO' -p98085 -aS'line\tline\tNN\tB-NP\tO' -p98086 -aS'change\tchange\tNN\tI-NP\tO' -p98087 -aS'over\tover\tIN\tB-PP\tO' -p98088 -aS'wire\twire\tNN\tB-NP\tO' -p98089 -aS'2019-01-08\t2019-01-08\tCD\tI-NP\tO' -p98090 -asS'Moves all 4 extremities .' -p98091 -(lp98092 -S'Moves\tMove\tVBZ\tB-VP\tO' -p98093 -aS'all\tall\tDT\tB-NP\tO' -p98094 -aS'4\t4\tCD\tI-NP\tO' -p98095 -aS'extremities\textremity\tNNS\tI-NP\tO' -p98096 -aS'.\t.\t.\tO\tO' -p98097 -asS'Regarding her aortic ascending aneurysm , Cardiothoracic Surgery was consulted regarding further workup .' -p98098 -(lp98099 -S'Regarding\tRegard\tVBG\tB-VP\tO' -p98100 -aS'her\ther\tPRP$\tB-NP\tO' -p98101 -aS'aortic\taortic\tJJ\tI-NP\tO' -p98102 -aS'ascending\tascend\tVBG\tI-NP\tO' -p98103 -aS'aneurysm\taneurysm\tNN\tI-NP\tO' -p98104 -aS',\t,\t,\tO\tO' -p98105 -aS'Cardiothoracic\tCardiothoracic\tNNP\tB-NP\tO' -p98106 -aS'Surgery\tSurgery\tNNP\tI-NP\tO' -p98107 -aS'was\tbe\tVBD\tB-VP\tO' -p98108 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p98109 -aS'regarding\tregard\tVBG\tB-PP\tO' -p98110 -aS'further\tfurther\tJJ\tB-NP\tO' -p98111 -aS'workup\tworkup\tNN\tI-NP\tO' -p98112 -aS'.\t.\t.\tO\tO' -p98113 -asS'Probable chronic infarct in the right occipital cortex .' -p98114 -(lp98115 -S'Probable\tProbable\tJJ\tB-NP\tO' -p98116 -aS'chronic\tchronic\tJJ\tI-NP\tO' -p98117 -aS'infarct\tinfarct\tNN\tI-NP\tO' -p98118 -aS'in\tin\tIN\tB-PP\tO' -p98119 -aS'the\tthe\tDT\tB-NP\tO' -p98120 -aS'right\tright\tJJ\tI-NP\tO' -p98121 -aS'occipital\toccipital\tNN\tI-NP\tO' -p98122 -aS'cortex\tcortex\tNN\tI-NP\tO' -p98123 -aS'.\t.\t.\tO\tO' -p98124 -asS'He is eating and ambulating w/o difficulties .' -p98125 -(lp98126 -S'He\tHe\tPRP\tB-NP\tO' -p98127 -aS'is\tbe\tVBZ\tB-VP\tO' -p98128 -aS'eating\teat\tVBG\tI-VP\tO' -p98129 -aS'and\tand\tCC\tI-VP\tO' -p98130 -aS'ambulating\tambulate\tVBG\tI-VP\tO' -p98131 -aS'w/o\tw/o\tNN\tB-NP\tO' -p98132 -aS'difficulties\tdifficulty\tNNS\tI-NP\tO' -p98133 -aS'.\t.\t.\tO\tO' -p98134 -asS'The patient denied blurry vision , headache , nausea , vomiting , paresthesias , pain in mental status , confusion or seizures .' -p98135 -(lp98136 -S'The\tThe\tDT\tB-NP\tO' -p98137 -aS'patient\tpatient\tNN\tI-NP\tO' -p98138 -aS'denied\tdeny\tVBD\tB-VP\tO' -p98139 -aS'blurry\tblurry\tJJ\tB-NP\tO' -p98140 -aS'vision\tvision\tNN\tI-NP\tO' -p98141 -aS',\t,\t,\tO\tO' -p98142 -aS'headache\theadache\tNN\tB-NP\tO' -p98143 -aS',\t,\t,\tO\tO' -p98144 -aS'nausea\tnausea\tNN\tB-NP\tO' -p98145 -aS',\t,\t,\tO\tO' -p98146 -aS'vomiting\tvomiting\tNN\tB-NP\tO' -p98147 -aS',\t,\t,\tO\tO' -p98148 -aS'paresthesias\tparesthesias\tNN\tB-NP\tO' -p98149 -aS',\t,\t,\tO\tO' -p98150 -aS'pain\tpain\tNN\tB-NP\tO' -p98151 -aS'in\tin\tIN\tB-PP\tO' -p98152 -aS'mental\tmental\tJJ\tB-NP\tO' -p98153 -aS'status\tstatus\tNN\tI-NP\tO' -p98154 -aS',\t,\t,\tO\tO' -p98155 -aS'confusion\tconfusion\tNN\tB-NP\tO' -p98156 -aS'or\tor\tCC\tI-NP\tO' -p98157 -aS'seizures\tseizure\tNNS\tI-NP\tO' -p98158 -aS'.\t.\t.\tO\tO' -p98159 -asS'THe patient will need a follow up ultrasound to further evaluate these incidental findings seen on imaging upon admission .' -p98160 -(lp98161 -S'THe\tTHe\tNN\tB-NP\tO' -p98162 -aS'patient\tpatient\tNN\tI-NP\tO' -p98163 -aS'will\twill\tMD\tB-VP\tO' -p98164 -aS'need\tneed\tVB\tI-VP\tO' -p98165 -aS'a\ta\tDT\tB-NP\tO' -p98166 -aS'follow\tfollow\tVB\tB-VP\tO' -p98167 -aS'up\tup\tRP\tB-PRT\tO' -p98168 -aS'ultrasound\tultrasound\tNN\tB-NP\tO' -p98169 -aS'to\tto\tTO\tB-VP\tO' -p98170 -aS'further\tfurther\tRB\tI-VP\tO' -p98171 -aS'evaluate\tevaluate\tVB\tI-VP\tO' -p98172 -aS'these\tthese\tDT\tB-NP\tO' -p98173 -aS'incidental\tincidental\tJJ\tI-NP\tO' -p98174 -aS'findings\tfinding\tNNS\tI-NP\tO' -p98175 -aS'seen\tsee\tVBN\tB-VP\tO' -p98176 -aS'on\ton\tIN\tB-PP\tO' -p98177 -aS'imaging\timaging\tNN\tB-NP\tO' -p98178 -aS'upon\tupon\tIN\tB-PP\tO' -p98179 -aS'admission\tadmission\tNN\tB-NP\tO' -p98180 -aS'.\t.\t.\tO\tO' -p98181 -asS'left hip 110 degrees of flexion , 0 degrees of extension , 30 degrees of abduction , 45 degrees of adduction , 10 degrees of internal rotation and flexion , 45 degrees of external rotation and flexion .' -p98182 -(lp98183 -S'left\tleft\tJJ\tB-NP\tO' -p98184 -aS'hip\thip\tNN\tI-NP\tO' -p98185 -aS'110\t110\tCD\tB-NP\tO' -p98186 -aS'degrees\tdegree\tNNS\tI-NP\tO' -p98187 -aS'of\tof\tIN\tB-PP\tO' -p98188 -aS'flexion\tflexion\tNN\tB-NP\tO' -p98189 -aS',\t,\t,\tO\tO' -p98190 -aS'0\t0\tCD\tB-NP\tO' -p98191 -aS'degrees\tdegree\tNNS\tI-NP\tO' -p98192 -aS'of\tof\tIN\tB-PP\tO' -p98193 -aS'extension\textension\tNN\tB-NP\tO' -p98194 -aS',\t,\t,\tO\tO' -p98195 -aS'30\t30\tCD\tB-NP\tO' -p98196 -aS'degrees\tdegree\tNNS\tI-NP\tO' -p98197 -aS'of\tof\tIN\tB-PP\tO' -p98198 -aS'abduction\tabduction\tNN\tB-NP\tO' -p98199 -aS',\t,\t,\tO\tO' -p98200 -aS'45\t45\tCD\tB-NP\tO' -p98201 -aS'degrees\tdegree\tNNS\tI-NP\tO' -p98202 -aS'of\tof\tIN\tB-PP\tO' -p98203 -aS'adduction\tadduction\tNN\tB-NP\tO' -p98204 -aS',\t,\t,\tO\tO' -p98205 -aS'10\t10\tCD\tB-NP\tO' -p98206 -aS'degrees\tdegree\tNNS\tI-NP\tO' -p98207 -aS'of\tof\tIN\tB-PP\tO' -p98208 -aS'internal\tinternal\tJJ\tB-NP\tO' -p98209 -aS'rotation\trotation\tNN\tI-NP\tO' -p98210 -aS'and\tand\tCC\tI-NP\tO' -p98211 -aS'flexion\tflexion\tNN\tI-NP\tO' -p98212 -aS',\t,\t,\tO\tO' -p98213 -aS'45\t45\tCD\tB-NP\tO' -p98214 -aS'degrees\tdegree\tNNS\tI-NP\tO' -p98215 -aS'of\tof\tIN\tB-PP\tO' -p98216 -aS'external\texternal\tJJ\tB-NP\tO' -p98217 -aS'rotation\trotation\tNN\tI-NP\tO' -p98218 -aS'and\tand\tCC\tI-NP\tO' -p98219 -aS'flexion\tflexion\tNN\tI-NP\tO' -p98220 -aS'.\t.\t.\tO\tO' -p98221 -asS'She also has a history of endometriosis that is symptomatic .' -p98222 -(lp98223 -S'She\tShe\tPRP\tB-NP\tO' -p98224 -aS'also\talso\tRB\tB-ADVP\tO' -p98225 -aS'has\thave\tVBZ\tB-VP\tO' -p98226 -aS'a\ta\tDT\tB-NP\tO' -p98227 -aS'history\thistory\tNN\tI-NP\tO' -p98228 -aS'of\tof\tIN\tB-PP\tO' -p98229 -aS'endometriosis\tendometriosis\tNN\tB-NP\tO' -p98230 -aS'that\tthat\tWDT\tB-NP\tO' -p98231 -aS'is\tbe\tVBZ\tB-VP\tO' -p98232 -aS'symptomatic\tsymptomatic\tJJ\tB-ADJP\tO' -p98233 -aS'.\t.\t.\tO\tO' -p98234 -asS'In November , 2001 , he progressed to leukemic phase , received Rituxan and CVP .' -p98235 -(lp98236 -S'In\tIn\tIN\tB-PP\tO' -p98237 -aS'November\tNovember\tNNP\tB-NP\tO' -p98238 -aS',\t,\t,\tO\tO' -p98239 -aS'2001\t2001\tCD\tB-NP\tO' -p98240 -aS',\t,\t,\tO\tO' -p98241 -aS'he\the\tPRP\tB-NP\tO' -p98242 -aS'progressed\tprogress\tVBD\tB-VP\tO' -p98243 -aS'to\tto\tTO\tB-PP\tO' -p98244 -aS'leukemic\tleukemic\tJJ\tB-NP\tO' -p98245 -aS'phase\tphase\tNN\tI-NP\tO' -p98246 -aS',\t,\t,\tO\tO' -p98247 -aS'received\treceive\tVBD\tB-VP\tO' -p98248 -aS'Rituxan\tRituxan\tNN\tB-NP\tO' -p98249 -aS'and\tand\tCC\tI-NP\tO' -p98250 -aS'CVP\tCVP\tNN\tI-NP\tB-protein' -p98251 -aS'.\t.\t.\tO\tO' -p98252 -asS'She had no evidence of asterixis .' -p98253 -(lp98254 -S'She\tShe\tPRP\tB-NP\tO' -p98255 -aS'had\thave\tVBD\tB-VP\tO' -p98256 -aS'no\tno\tDT\tB-NP\tO' -p98257 -aS'evidence\tevidence\tNN\tI-NP\tO' -p98258 -aS'of\tof\tIN\tB-PP\tO' -p98259 -aS'asterixis\tasterixis\tNN\tB-NP\tO' -p98260 -aS'.\t.\t.\tO\tO' -p98261 -asS'The endotracheal tube was left in place .' -p98262 -(lp98263 -S'The\tThe\tDT\tB-NP\tO' -p98264 -aS'endotracheal\tendotracheal\tJJ\tI-NP\tO' -p98265 -aS'tube\ttube\tNN\tI-NP\tO' -p98266 -aS'was\tbe\tVBD\tB-VP\tO' -p98267 -aS'left\tleave\tVBN\tI-VP\tO' -p98268 -aS'in\tin\tIN\tB-PP\tO' -p98269 -aS'place\tplace\tNN\tB-NP\tO' -p98270 -aS'.\t.\t.\tO\tO' -p98271 -asS'The chest pain was considered mild but persistent with episodes lasting twenty minutes .' -p98272 -(lp98273 -S'The\tThe\tDT\tB-NP\tO' -p98274 -aS'chest\tchest\tNN\tI-NP\tO' -p98275 -aS'pain\tpain\tNN\tI-NP\tO' -p98276 -aS'was\tbe\tVBD\tB-VP\tO' -p98277 -aS'considered\tconsider\tVBN\tI-VP\tO' -p98278 -aS'mild\tmild\tJJ\tB-ADJP\tO' -p98279 -aS'but\tbut\tCC\tI-ADJP\tO' -p98280 -aS'persistent\tpersistent\tJJ\tI-ADJP\tO' -p98281 -aS'with\twith\tIN\tB-PP\tO' -p98282 -aS'episodes\tepisode\tNNS\tB-NP\tO' -p98283 -aS'lasting\tlast\tVBG\tB-VP\tO' -p98284 -aS'twenty\ttwenty\tCD\tB-NP\tO' -p98285 -aS'minutes\tminute\tNNS\tI-NP\tO' -p98286 -aS'.\t.\t.\tO\tO' -p98287 -asS'The patient is instructed not to undergo any heavy lifting until seen in clinic .' -p98288 -(lp98289 -S'The\tThe\tDT\tB-NP\tO' -p98290 -aS'patient\tpatient\tNN\tI-NP\tO' -p98291 -aS'is\tbe\tVBZ\tB-VP\tO' -p98292 -aS'instructed\tinstruct\tVBN\tI-VP\tO' -p98293 -aS'not\tnot\tRB\tO\tO' -p98294 -aS'to\tto\tTO\tB-VP\tO' -p98295 -aS'undergo\tundergo\tVB\tI-VP\tO' -p98296 -aS'any\tany\tDT\tB-NP\tO' -p98297 -aS'heavy\theavy\tJJ\tI-NP\tO' -p98298 -aS'lifting\tlifting\tNN\tI-NP\tO' -p98299 -aS'until\tuntil\tIN\tB-SBAR\tO' -p98300 -aS'seen\tsee\tVBN\tB-VP\tO' -p98301 -aS'in\tin\tIN\tB-PP\tO' -p98302 -aS'clinic\tclinic\tNN\tB-NP\tO' -p98303 -aS'.\t.\t.\tO\tO' -p98304 -asS'SBP < 100 or HR < 55' -p98305 -(lp98306 -S'SBP\tSBP\tNN\tB-NP\tB-protein' -p98307 -aS'<\t<\tCC\tO\tO' -p98308 -aS'100\t100\tCD\tB-NP\tO' -p98309 -aS'or\tor\tCC\tO\tO' -p98310 -aS'HR\tHR\tNN\tB-NP\tO' -p98311 -aS'<\t<\tCC\tO\tO' -p98312 -aS'55\t55\tCD\tB-NP\tO' -p98313 -asS'There was no pupillary defect .' -p98314 -(lp98315 -S'There\tThere\tEX\tB-NP\tO' -p98316 -aS'was\tbe\tVBD\tB-VP\tO' -p98317 -aS'no\tno\tDT\tB-NP\tO' -p98318 -aS'pupillary\tpupillary\tJJ\tI-NP\tO' -p98319 -aS'defect\tdefect\tNN\tI-NP\tO' -p98320 -aS'.\t.\t.\tO\tO' -p98321 -asS'The patient acquired intermittent transfusions for pancytopenia .' -p98322 -(lp98323 -S'The\tThe\tDT\tB-NP\tO' -p98324 -aS'patient\tpatient\tNN\tI-NP\tO' -p98325 -aS'acquired\tacquire\tVBD\tB-VP\tO' -p98326 -aS'intermittent\tintermittent\tJJ\tB-NP\tO' -p98327 -aS'transfusions\ttransfusion\tNNS\tI-NP\tO' -p98328 -aS'for\tfor\tIN\tB-PP\tO' -p98329 -aS'pancytopenia\tpancytopenia\tNN\tB-NP\tO' -p98330 -aS'.\t.\t.\tO\tO' -p98331 -asS'Diffuse interstitial process / consolidation .' -p98332 -(lp98333 -S'Diffuse\tDiffuse\tNN\tB-NP\tO' -p98334 -aS'interstitial\tinterstitial\tJJ\tI-NP\tO' -p98335 -aS'process\tprocess\tNN\tI-NP\tO' -p98336 -aS'/\t/\tSYM\tB-NP\tO' -p98337 -aS'consolidation\tconsolidation\tNN\tI-NP\tO' -p98338 -aS'.\t.\t.\tO\tO' -p98339 -asS"This is the baby 's discharge feedings and he is p.o. ad lib with a minimum of 130 ml/kg/day , the patient has taken on an average greater than 150 ml/kg/day ad lib over each of the past 5 days ." -p98340 -(lp98341 -S'This\tThis\tDT\tB-NP\tO' -p98342 -aS'is\tbe\tVBZ\tB-VP\tO' -p98343 -aS'the\tthe\tDT\tB-NP\tO' -p98344 -aS'baby\tbaby\tNN\tI-NP\tO' -p98345 -aS"'s\t's\tPOS\tB-NP\tO" -p98346 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p98347 -aS'feedings\tfeeding\tNNS\tI-NP\tO' -p98348 -aS'and\tand\tCC\tO\tO' -p98349 -aS'he\the\tPRP\tB-NP\tO' -p98350 -aS'is\tbe\tVBZ\tB-VP\tO' -p98351 -aS'p.o.\tp.o.\tJJ\tB-NP\tO' -p98352 -aS'ad\tad\tNN\tI-NP\tO' -p98353 -aS'lib\tlib\tNN\tI-NP\tO' -p98354 -aS'with\twith\tIN\tB-PP\tO' -p98355 -aS'a\ta\tDT\tB-NP\tO' -p98356 -aS'minimum\tminimum\tNN\tI-NP\tO' -p98357 -aS'of\tof\tIN\tB-PP\tO' -p98358 -aS'130\t130\tCD\tB-NP\tO' -p98359 -aS'ml/kg/day\tml/kg/day\tNN\tI-NP\tO' -p98360 -aS',\t,\t,\tO\tO' -p98361 -aS'the\tthe\tDT\tB-NP\tO' -p98362 -aS'patient\tpatient\tNN\tI-NP\tO' -p98363 -aS'has\thave\tVBZ\tB-VP\tO' -p98364 -aS'taken\ttake\tVBN\tI-VP\tO' -p98365 -aS'on\ton\tRP\tB-PRT\tO' -p98366 -aS'an\tan\tDT\tB-NP\tO' -p98367 -aS'average\taverage\tNN\tI-NP\tO' -p98368 -aS'greater\tgreat\tJJR\tB-NP\tO' -p98369 -aS'than\tthan\tIN\tI-NP\tO' -p98370 -aS'150\t150\tCD\tI-NP\tO' -p98371 -aS'ml/kg/day\tml/kg/day\tNN\tI-NP\tO' -p98372 -aS'ad\tad\tNN\tI-NP\tO' -p98373 -aS'lib\tlib\tNN\tI-NP\tO' -p98374 -aS'over\tover\tIN\tB-PP\tO' -p98375 -aS'each\teach\tDT\tB-NP\tO' -p98376 -aS'of\tof\tIN\tB-PP\tO' -p98377 -aS'the\tthe\tDT\tB-NP\tO' -p98378 -aS'past\tpast\tJJ\tI-NP\tO' -p98379 -aS'5\t5\tCD\tI-NP\tO' -p98380 -aS'days\tday\tNNS\tI-NP\tO' -p98381 -aS'.\t.\t.\tO\tO' -p98382 -asS'There was a large focus of subacute blood products in the mid to low pons suggesting recent hemorrhage into a cavernous angioma .' -p98383 -(lp98384 -S'There\tThere\tEX\tB-NP\tO' -p98385 -aS'was\tbe\tVBD\tB-VP\tO' -p98386 -aS'a\ta\tDT\tB-NP\tO' -p98387 -aS'large\tlarge\tJJ\tI-NP\tO' -p98388 -aS'focus\tfocus\tNN\tI-NP\tO' -p98389 -aS'of\tof\tIN\tB-PP\tO' -p98390 -aS'subacute\tsubacute\tJJ\tB-NP\tB-protein' -p98391 -aS'blood\tblood\tNN\tI-NP\tI-protein' -p98392 -aS'products\tproduct\tNNS\tI-NP\tI-protein' -p98393 -aS'in\tin\tIN\tB-PP\tO' -p98394 -aS'the\tthe\tDT\tB-NP\tO' -p98395 -aS'mid\tmid\tNN\tI-NP\tO' -p98396 -aS'to\tto\tTO\tB-PP\tO' -p98397 -aS'low\tlow\tJJ\tB-NP\tO' -p98398 -aS'pons\tpon\tNNS\tI-NP\tO' -p98399 -aS'suggesting\tsuggest\tVBG\tB-VP\tO' -p98400 -aS'recent\trecent\tJJ\tB-NP\tO' -p98401 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p98402 -aS'into\tinto\tIN\tB-PP\tO' -p98403 -aS'a\ta\tDT\tB-NP\tO' -p98404 -aS'cavernous\tcavernous\tJJ\tI-NP\tO' -p98405 -aS'angioma\tangioma\tNN\tI-NP\tO' -p98406 -aS'.\t.\t.\tO\tO' -p98407 -asS'Femoral pulses normal , S1 , S2 were normal .' -p98408 -(lp98409 -S'Femoral\tFemoral\tJJ\tB-NP\tO' -p98410 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p98411 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p98412 -aS',\t,\t,\tO\tO' -p98413 -aS'S1\tS1\tNN\tB-NP\tB-protein' -p98414 -aS',\t,\t,\tO\tO' -p98415 -aS'S2\tS2\tNN\tB-NP\tB-protein' -p98416 -aS'were\tbe\tVBD\tB-VP\tO' -p98417 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p98418 -aS'.\t.\t.\tO\tO' -p98419 -asS'She denies chest pain , orthopnea , paroxysmal nocturnal dyspnea .' -p98420 -(lp98421 -S'She\tShe\tPRP\tB-NP\tO' -p98422 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p98423 -aS'chest\tch\tJJS\tB-NP\tO' -p98424 -aS'pain\tpain\tNN\tI-NP\tO' -p98425 -aS',\t,\t,\tO\tO' -p98426 -aS'orthopnea\torthopnea\tNN\tB-NP\tO' -p98427 -aS',\t,\t,\tO\tO' -p98428 -aS'paroxysmal\tparoxysmal\tJJ\tB-NP\tO' -p98429 -aS'nocturnal\tnocturnal\tJJ\tI-NP\tO' -p98430 -aS'dyspnea\tdyspnea\tNN\tI-NP\tO' -p98431 -aS'.\t.\t.\tO\tO' -p98432 -asS'He has a recent history of dyspnea on exertion on exertional chest pain which has increased over the last several weeks and is relieved by sublingual nitroglycerin .' -p98433 -(lp98434 -S'He\tHe\tPRP\tB-NP\tO' -p98435 -aS'has\thave\tVBZ\tB-VP\tO' -p98436 -aS'a\ta\tDT\tB-NP\tO' -p98437 -aS'recent\trecent\tJJ\tI-NP\tO' -p98438 -aS'history\thistory\tNN\tI-NP\tO' -p98439 -aS'of\tof\tIN\tB-PP\tO' -p98440 -aS'dyspnea\tdyspnea\tNN\tB-NP\tO' -p98441 -aS'on\ton\tIN\tB-PP\tO' -p98442 -aS'exertion\texertion\tNN\tB-NP\tO' -p98443 -aS'on\ton\tIN\tB-PP\tO' -p98444 -aS'exertional\texertional\tJJ\tB-NP\tO' -p98445 -aS'chest\tchest\tNN\tI-NP\tO' -p98446 -aS'pain\tpain\tNN\tI-NP\tO' -p98447 -aS'which\twhich\tWDT\tB-NP\tO' -p98448 -aS'has\thave\tVBZ\tB-VP\tO' -p98449 -aS'increased\tincrease\tVBN\tI-VP\tO' -p98450 -aS'over\tover\tIN\tB-PP\tO' -p98451 -aS'the\tthe\tDT\tB-NP\tO' -p98452 -aS'last\tlast\tJJ\tI-NP\tO' -p98453 -aS'several\tseveral\tJJ\tI-NP\tO' -p98454 -aS'weeks\tweek\tNNS\tI-NP\tO' -p98455 -aS'and\tand\tCC\tO\tO' -p98456 -aS'is\tbe\tVBZ\tB-VP\tO' -p98457 -aS'relieved\trelieve\tVBN\tI-VP\tO' -p98458 -aS'by\tby\tIN\tB-PP\tO' -p98459 -aS'sublingual\tsublingual\tJJ\tB-NP\tO' -p98460 -aS'nitroglycerin\tnitroglycerin\tNN\tI-NP\tO' -p98461 -aS'.\t.\t.\tO\tO' -p98462 -asS'Recommendations on antibiotics were made by infectious disease team , who was consulted .' -p98463 -(lp98464 -S'Recommendations\tRecommendation\tNNS\tB-NP\tO' -p98465 -aS'on\ton\tIN\tB-PP\tO' -p98466 -aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' -p98467 -aS'were\tbe\tVBD\tB-VP\tO' -p98468 -aS'made\tmake\tVBN\tI-VP\tO' -p98469 -aS'by\tby\tIN\tB-PP\tO' -p98470 -aS'infectious\tinfectious\tJJ\tB-NP\tO' -p98471 -aS'disease\tdisease\tNN\tI-NP\tO' -p98472 -aS'team\tteam\tNN\tI-NP\tO' -p98473 -aS',\t,\t,\tO\tO' -p98474 -aS'who\twho\tWP\tB-NP\tO' -p98475 -aS'was\tbe\tVBD\tB-VP\tO' -p98476 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p98477 -aS'.\t.\t.\tO\tO' -p98478 -asS'2. Heparin 5000 units subcutaneously twice a day .' -p98479 -(lp98480 -S'2.\t2.\tLS\tB-NP\tO' -p98481 -aS'Heparin\tHeparin\tNN\tI-NP\tB-protein' -p98482 -aS'5000\t5000\tCD\tB-NP\tI-protein' -p98483 -aS'units\tunit\tNNS\tI-NP\tI-protein' -p98484 -aS'subcutaneously\tsubcutaneously\tRB\tB-NP\tO' -p98485 -aS'twice\ttwice\tRB\tI-NP\tO' -p98486 -aS'a\ta\tDT\tI-NP\tO' -p98487 -aS'day\tday\tNN\tI-NP\tO' -p98488 -aS'.\t.\t.\tO\tO' -p98489 -asS'He was afebrile with a temperature of 99.1 .' -p98490 -(lp98491 -S'He\tHe\tPRP\tB-NP\tO' -p98492 -aS'was\tbe\tVBD\tB-VP\tO' -p98493 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p98494 -aS'with\twith\tIN\tB-PP\tO' -p98495 -aS'a\ta\tDT\tB-NP\tO' -p98496 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p98497 -aS'of\tof\tIN\tB-PP\tO' -p98498 -aS'99.1\t99.1\tCD\tB-NP\tO' -p98499 -aS'.\t.\t.\tO\tO' -p98500 -asS'He was discharged home on post-op day six with antibiotics and appropriate meds .' -p98501 -(lp98502 -S'He\tHe\tPRP\tB-NP\tO' -p98503 -aS'was\tbe\tVBD\tB-VP\tO' -p98504 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p98505 -aS'home\thome\tNN\tB-ADVP\tO' -p98506 -aS'on\ton\tIN\tB-PP\tO' -p98507 -aS'post-op\tpost-op\tJJ\tB-NP\tO' -p98508 -aS'day\tday\tNN\tI-NP\tO' -p98509 -aS'six\tsix\tCD\tI-NP\tO' -p98510 -aS'with\twith\tIN\tB-PP\tO' -p98511 -aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' -p98512 -aS'and\tand\tCC\tO\tO' -p98513 -aS'appropriate\tappropriate\tJJ\tB-NP\tO' -p98514 -aS'meds\tmed\tNNS\tI-NP\tO' -p98515 -aS'.\t.\t.\tO\tO' -p98516 -asS'He was found on physical exam to have an asymmetric prostate with prominence on the left and a question of a nodule .' -p98517 -(lp98518 -S'He\tHe\tPRP\tB-NP\tO' -p98519 -aS'was\tbe\tVBD\tB-VP\tO' -p98520 -aS'found\tfind\tVBN\tI-VP\tO' -p98521 -aS'on\ton\tIN\tB-PP\tO' -p98522 -aS'physical\tphysical\tJJ\tB-NP\tO' -p98523 -aS'exam\texam\tNN\tI-NP\tO' -p98524 -aS'to\tto\tTO\tB-VP\tO' -p98525 -aS'have\thave\tVB\tI-VP\tO' -p98526 -aS'an\tan\tDT\tB-NP\tO' -p98527 -aS'asymmetric\tasymmetric\tJJ\tI-NP\tO' -p98528 -aS'prostate\tprostate\tNN\tI-NP\tO' -p98529 -aS'with\twith\tIN\tB-PP\tO' -p98530 -aS'prominence\tprominence\tNN\tB-NP\tO' -p98531 -aS'on\ton\tIN\tB-PP\tO' -p98532 -aS'the\tthe\tDT\tB-NP\tO' -p98533 -aS'left\tleft\tJJ\tI-NP\tO' -p98534 -aS'and\tand\tCC\tO\tO' -p98535 -aS'a\ta\tDT\tB-NP\tO' -p98536 -aS'question\tquestion\tNN\tI-NP\tO' -p98537 -aS'of\tof\tIN\tB-PP\tO' -p98538 -aS'a\ta\tDT\tB-NP\tO' -p98539 -aS'nodule\tnodule\tNN\tI-NP\tO' -p98540 -aS'.\t.\t.\tO\tO' -p98541 -asS'Rate 28 .' -p98542 -(lp98543 -S'Rate\tRate\tNN\tB-NP\tO' -p98544 -aS'28\t28\tCD\tI-NP\tO' -p98545 -aS'.\t.\t.\tO\tO' -p98546 -asS'The infant is on breast milk with Enfamil Powder to provide 24 calories per ounce and on an ad lib feeding schedule .' -p98547 -(lp98548 -S'The\tThe\tDT\tB-NP\tO' -p98549 -aS'infant\tinfant\tNN\tI-NP\tO' -p98550 -aS'is\tbe\tVBZ\tB-VP\tO' -p98551 -aS'on\ton\tIN\tB-PP\tO' -p98552 -aS'breast\tbreast\tNN\tB-NP\tO' -p98553 -aS'milk\tmilk\tNN\tI-NP\tO' -p98554 -aS'with\twith\tIN\tB-PP\tO' -p98555 -aS'Enfamil\tEnfamil\tNNP\tB-NP\tO' -p98556 -aS'Powder\tPowder\tNNP\tI-NP\tO' -p98557 -aS'to\tto\tTO\tB-VP\tO' -p98558 -aS'provide\tprovide\tVB\tI-VP\tO' -p98559 -aS'24\t24\tCD\tB-NP\tO' -p98560 -aS'calories\tcalorie\tNNS\tI-NP\tO' -p98561 -aS'per\tper\tIN\tB-PP\tO' -p98562 -aS'ounce\tounce\tNN\tB-NP\tO' -p98563 -aS'and\tand\tCC\tB-PP\tO' -p98564 -aS'on\ton\tIN\tB-PP\tO' -p98565 -aS'an\tan\tDT\tB-NP\tO' -p98566 -aS'ad\tad\tNN\tI-NP\tO' -p98567 -aS'lib\tlib\tNN\tI-NP\tO' -p98568 -aS'feeding\tfeeding\tNN\tI-NP\tO' -p98569 -aS'schedule\tschedule\tNN\tI-NP\tO' -p98570 -aS'.\t.\t.\tO\tO' -p98571 -asS'Do not appear infected .' -p98572 -(lp98573 -S'Do\tDo\tVBP\tB-VP\tO' -p98574 -aS'not\tnot\tRB\tI-VP\tO' -p98575 -aS'appear\tappear\tVB\tI-VP\tO' -p98576 -aS'infected\tinfect\tVBN\tI-VP\tO' -p98577 -aS'.\t.\t.\tO\tO' -p98578 -asS'EMS gave her valium 5 mg pr at the facility and brought her to Barnstable County Hospital .' -p98579 -(lp98580 -S'EMS\tEMS\tNNP\tB-NP\tO' -p98581 -aS'gave\tgive\tVBD\tB-VP\tO' -p98582 -aS'her\ther\tPRP$\tB-NP\tO' -p98583 -aS'valium\tvalium\tNN\tI-NP\tB-protein' -p98584 -aS'5\t5\tCD\tI-NP\tI-protein' -p98585 -aS'mg\tmg\tNN\tI-NP\tI-protein' -p98586 -aS'pr\tpr\tNN\tI-NP\tI-protein' -p98587 -aS'at\tat\tIN\tB-PP\tO' -p98588 -aS'the\tthe\tDT\tB-NP\tO' -p98589 -aS'facility\tfacility\tNN\tI-NP\tO' -p98590 -aS'and\tand\tCC\tO\tO' -p98591 -aS'brought\tbring\tVBD\tB-VP\tO' -p98592 -aS'her\ther\tPRP\tB-NP\tO' -p98593 -aS'to\tto\tTO\tB-PP\tO' -p98594 -aS'Barnstable\tBarnstable\tNNP\tB-NP\tO' -p98595 -aS'County\tCounty\tNNP\tI-NP\tO' -p98596 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p98597 -aS'.\t.\t.\tO\tO' -p98598 -asS'Workup was unremarkable and he was cleared for surgery .' -p98599 -(lp98600 -S'Workup\tWorkup\tNNP\tB-NP\tO' -p98601 -aS'was\tbe\tVBD\tB-VP\tO' -p98602 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p98603 -aS'and\tand\tCC\tO\tO' -p98604 -aS'he\the\tPRP\tB-NP\tO' -p98605 -aS'was\tbe\tVBD\tB-VP\tO' -p98606 -aS'cleared\tclear\tVBN\tI-VP\tO' -p98607 -aS'for\tfor\tIN\tB-PP\tO' -p98608 -aS'surgery\tsurgery\tNN\tB-NP\tO' -p98609 -aS'.\t.\t.\tO\tO' -p98610 -asS'Chief Complaint : syncope and hypotension on Heywood Memorial Hospital 4' -p98611 -(lp98612 -S'Chief\tChief\tNNP\tB-NP\tO' -p98613 -aS'Complaint\tComplaint\tNNP\tI-NP\tO' -p98614 -aS':\t:\t:\tO\tO' -p98615 -aS'syncope\tsyncope\tNN\tB-NP\tO' -p98616 -aS'and\tand\tCC\tI-NP\tO' -p98617 -aS'hypotension\thypotension\tNN\tI-NP\tO' -p98618 -aS'on\ton\tIN\tB-PP\tO' -p98619 -aS'Heywood\tHeywood\tNNP\tB-NP\tO' -p98620 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p98621 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p98622 -aS'4\t4\tCD\tI-NP\tO' -p98623 -asS'The patient was somnolent , breathing comfortably , occasionally coughing .' -p98624 -(lp98625 -S'The\tThe\tDT\tB-NP\tO' -p98626 -aS'patient\tpatient\tNN\tI-NP\tO' -p98627 -aS'was\tbe\tVBD\tB-VP\tO' -p98628 -aS'somnolent\tsomnolent\tJJ\tB-ADJP\tO' -p98629 -aS',\t,\t,\tO\tO' -p98630 -aS'breathing\tbreathing\tNN\tB-NP\tO' -p98631 -aS'comfortably\tcomfortably\tRB\tB-ADVP\tO' -p98632 -aS',\t,\t,\tO\tO' -p98633 -aS'occasionally\toccasionally\tRB\tB-ADVP\tO' -p98634 -aS'coughing\tcough\tVBG\tB-VP\tO' -p98635 -aS'.\t.\t.\tO\tO' -p98636 -asS'2) Metastatic RCC : Sutent was held on admission in light of acute infection .' -p98637 -(lp98638 -S'2)\t2)\tLS\tB-NP\tO' -p98639 -aS'Metastatic\tMetastatic\tJJ\tI-NP\tO' -p98640 -aS'RCC\tRCC\tNN\tI-NP\tO' -p98641 -aS':\t:\t:\tO\tO' -p98642 -aS'Sutent\tSutent\tNN\tB-NP\tO' -p98643 -aS'was\tbe\tVBD\tB-VP\tO' -p98644 -aS'held\thold\tVBN\tI-VP\tO' -p98645 -aS'on\ton\tIN\tB-PP\tO' -p98646 -aS'admission\tadmission\tNN\tB-NP\tO' -p98647 -aS'in\tin\tIN\tB-PP\tO' -p98648 -aS'light\tlight\tNN\tB-NP\tO' -p98649 -aS'of\tof\tIN\tB-PP\tO' -p98650 -aS'acute\tacute\tJJ\tB-NP\tO' -p98651 -aS'infection\tinfection\tNN\tI-NP\tO' -p98652 -aS'.\t.\t.\tO\tO' -p98653 -asS'Please take medications as instructed .' -p98654 -(lp98655 -S'Please\tPlease\tVB\tB-VP\tO' -p98656 -aS'take\ttake\tVB\tI-VP\tO' -p98657 -aS'medications\tmedication\tNNS\tB-NP\tO' -p98658 -aS'as\tas\tIN\tB-SBAR\tO' -p98659 -aS'instructed\tinstruct\tVBN\tB-VP\tO' -p98660 -aS'.\t.\t.\tO\tO' -p98661 -asS'She also had a K of 6.0 and given 30 of Kayexalate , 5 of Haldol , 2 mg of Ativan given for' -p98662 -(lp98663 -S'She\tShe\tPRP\tB-NP\tO' -p98664 -aS'also\talso\tRB\tB-ADVP\tO' -p98665 -aS'had\thave\tVBD\tB-VP\tO' -p98666 -aS'a\ta\tDT\tB-NP\tO' -p98667 -aS'K\tK\tNN\tI-NP\tO' -p98668 -aS'of\tof\tIN\tB-PP\tO' -p98669 -aS'6.0\t6.0\tCD\tB-NP\tO' -p98670 -aS'and\tand\tCC\tO\tO' -p98671 -aS'given\tgive\tVBN\tB-VP\tO' -p98672 -aS'30\t30\tCD\tB-NP\tO' -p98673 -aS'of\tof\tIN\tB-PP\tO' -p98674 -aS'Kayexalate\tKayexalate\tNNP\tB-NP\tO' -p98675 -aS',\t,\t,\tO\tO' -p98676 -aS'5\t5\tCD\tB-NP\tO' -p98677 -aS'of\tof\tIN\tB-PP\tO' -p98678 -aS'Haldol\tHaldol\tNN\tB-NP\tO' -p98679 -aS',\t,\t,\tO\tO' -p98680 -aS'2\t2\tCD\tB-NP\tO' -p98681 -aS'mg\tmg\tNN\tI-NP\tO' -p98682 -aS'of\tof\tIN\tB-PP\tO' -p98683 -aS'Ativan\tAtivan\tNNP\tB-NP\tO' -p98684 -aS'given\tgive\tVBN\tB-VP\tO' -p98685 -aS'for\tfor\tIN\tB-PP\tO' -p98686 -asS'In the CCU , she was put on milrinone with good results .' -p98687 -(lp98688 -S'In\tIn\tIN\tB-PP\tO' -p98689 -aS'the\tthe\tDT\tB-NP\tO' -p98690 -aS'CCU\tCCU\tNN\tI-NP\tB-DNA' -p98691 -aS',\t,\t,\tO\tO' -p98692 -aS'she\tshe\tPRP\tB-NP\tO' -p98693 -aS'was\tbe\tVBD\tB-VP\tO' -p98694 -aS'put\tput\tVBN\tI-VP\tO' -p98695 -aS'on\ton\tIN\tB-PP\tO' -p98696 -aS'milrinone\tmilrinone\tNN\tB-NP\tO' -p98697 -aS'with\twith\tIN\tB-PP\tO' -p98698 -aS'good\tgood\tJJ\tB-NP\tO' -p98699 -aS'results\tresult\tNNS\tI-NP\tO' -p98700 -aS'.\t.\t.\tO\tO' -p98701 -asS'She was discharged from the hospital on 11/28/02 to a short term rehabilitation facility .' -p98702 -(lp98703 -S'She\tShe\tPRP\tB-NP\tO' -p98704 -aS'was\tbe\tVBD\tB-VP\tO' -p98705 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p98706 -aS'from\tfrom\tIN\tB-PP\tO' -p98707 -aS'the\tthe\tDT\tB-NP\tO' -p98708 -aS'hospital\thospital\tNN\tI-NP\tO' -p98709 -aS'on\ton\tIN\tB-PP\tO' -p98710 -aS'11/28/02\t11/28/02\tCD\tB-NP\tO' -p98711 -aS'to\tto\tTO\tB-PP\tO' -p98712 -aS'a\ta\tDT\tB-NP\tO' -p98713 -aS'short\tshort\tJJ\tI-NP\tO' -p98714 -aS'term\tterm\tNN\tI-NP\tO' -p98715 -aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' -p98716 -aS'facility\tfacility\tNN\tI-NP\tO' -p98717 -aS'.\t.\t.\tO\tO' -p98718 -asS'On sensory exam there was a mild diminution of light touch , pinprick , position , and vibration sense in the left side .' -p98719 -(lp98720 -S'On\tOn\tIN\tB-PP\tO' -p98721 -aS'sensory\tsensory\tJJ\tB-NP\tO' -p98722 -aS'exam\texam\tNN\tI-NP\tO' -p98723 -aS'there\tthere\tEX\tB-NP\tO' -p98724 -aS'was\tbe\tVBD\tB-VP\tO' -p98725 -aS'a\ta\tDT\tB-NP\tO' -p98726 -aS'mild\tmild\tJJ\tI-NP\tO' -p98727 -aS'diminution\tdiminution\tNN\tI-NP\tO' -p98728 -aS'of\tof\tIN\tB-PP\tO' -p98729 -aS'light\tlight\tJJ\tB-NP\tO' -p98730 -aS'touch\ttouch\tNN\tI-NP\tO' -p98731 -aS',\t,\t,\tO\tO' -p98732 -aS'pinprick\tpinprick\tNN\tB-NP\tO' -p98733 -aS',\t,\t,\tO\tO' -p98734 -aS'position\tposition\tNN\tB-NP\tO' -p98735 -aS',\t,\t,\tO\tO' -p98736 -aS'and\tand\tCC\tO\tO' -p98737 -aS'vibration\tvibration\tNN\tB-NP\tO' -p98738 -aS'sense\tsense\tNN\tI-NP\tO' -p98739 -aS'in\tin\tIN\tB-PP\tO' -p98740 -aS'the\tthe\tDT\tB-NP\tO' -p98741 -aS'left\tleft\tJJ\tI-NP\tO' -p98742 -aS'side\tside\tNN\tI-NP\tO' -p98743 -aS'.\t.\t.\tO\tO' -p98744 -asS'Infant will follow-up with primary pediatrician within 2 days of discharge , and will see Dr. Dale Merkel of Pediatric Cardiology in Dr. John C. Corrigan Mental Health Center on 2017-07-07 at 1:30 pm .' -p98745 -(lp98746 -S'Infant\tInfant\tNNP\tB-NP\tO' -p98747 -aS'will\twill\tMD\tB-VP\tO' -p98748 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p98749 -aS'with\twith\tIN\tB-PP\tO' -p98750 -aS'primary\tprimary\tJJ\tB-NP\tO' -p98751 -aS'pediatrician\tpediatrician\tNN\tI-NP\tO' -p98752 -aS'within\twithin\tIN\tB-PP\tO' -p98753 -aS'2\t2\tCD\tB-NP\tO' -p98754 -aS'days\tday\tNNS\tI-NP\tO' -p98755 -aS'of\tof\tIN\tB-PP\tO' -p98756 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p98757 -aS',\t,\t,\tO\tO' -p98758 -aS'and\tand\tCC\tO\tO' -p98759 -aS'will\twill\tMD\tB-VP\tO' -p98760 -aS'see\tsee\tVB\tI-VP\tO' -p98761 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p98762 -aS'Dale\tDale\tNNP\tI-NP\tO' -p98763 -aS'Merkel\tMerkel\tNNP\tI-NP\tO' -p98764 -aS'of\tof\tIN\tB-PP\tO' -p98765 -aS'Pediatric\tPediatric\tNNP\tB-NP\tO' -p98766 -aS'Cardiology\tCardiology\tNNP\tI-NP\tO' -p98767 -aS'in\tin\tIN\tB-PP\tO' -p98768 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p98769 -aS'John\tJohn\tNNP\tI-NP\tO' -p98770 -aS'C.\tC.\tNNP\tI-NP\tO' -p98771 -aS'Corrigan\tCorrigan\tNNP\tI-NP\tO' -p98772 -aS'Mental\tMental\tNNP\tI-NP\tO' -p98773 -aS'Health\tHealth\tNNP\tI-NP\tO' -p98774 -aS'Center\tCenter\tNNP\tI-NP\tO' -p98775 -aS'on\ton\tIN\tB-PP\tO' -p98776 -aS'2017-07-07\t2017-07-07\tCD\tB-NP\tO' -p98777 -aS'at\tat\tIN\tB-PP\tO' -p98778 -aS'1:30\t1:30\tCD\tB-NP\tO' -p98779 -aS'pm\tpm\tNN\tI-NP\tO' -p98780 -aS'.\t.\t.\tO\tO' -p98781 -asS'ECG is AV paced but prior shower R on T VPB c monomorphic VT then overdrive paced .' -p98782 -(lp98783 -S'ECG\tECG\tNN\tB-NP\tB-protein' -p98784 -aS'is\tbe\tVBZ\tB-VP\tO' -p98785 -aS'AV\tAV\tNN\tB-NP\tO' -p98786 -aS'paced\tpaced\tJJ\tI-NP\tO' -p98787 -aS'but\tbut\tCC\tI-NP\tO' -p98788 -aS'prior\tprior\tJJ\tI-NP\tO' -p98789 -aS'shower\tshower\tNN\tI-NP\tO' -p98790 -aS'R\tR\tNN\tI-NP\tO' -p98791 -aS'on\ton\tIN\tB-PP\tO' -p98792 -aS'T\tT\tNN\tB-NP\tB-protein' -p98793 -aS'VPB\tVPB\tNN\tI-NP\tI-protein' -p98794 -aS'c\tc\tNN\tI-NP\tI-protein' -p98795 -aS'monomorphic\tmonomorphic\tJJ\tI-NP\tO' -p98796 -aS'VT\tVT\tNN\tI-NP\tO' -p98797 -aS'then\tthen\tRB\tB-ADVP\tO' -p98798 -aS'overdrive\toverdrive\tRB\tB-VP\tO' -p98799 -aS'paced\tpace\tVBN\tI-VP\tO' -p98800 -aS'.\t.\t.\tO\tO' -p98801 -asS'They felt that his mental status would improve as his health improved .' -p98802 -(lp98803 -S'They\tThey\tPRP\tB-NP\tO' -p98804 -aS'felt\tfeel\tVBD\tB-VP\tO' -p98805 -aS'that\tthat\tIN\tB-SBAR\tO' -p98806 -aS'his\this\tPRP$\tB-NP\tO' -p98807 -aS'mental\tmental\tJJ\tI-NP\tO' -p98808 -aS'status\tstatus\tNN\tI-NP\tO' -p98809 -aS'would\twould\tMD\tB-VP\tO' -p98810 -aS'improve\timprove\tVB\tI-VP\tO' -p98811 -aS'as\tas\tIN\tB-PP\tO' -p98812 -aS'his\this\tPRP$\tB-NP\tO' -p98813 -aS'health\thealth\tNN\tI-NP\tO' -p98814 -aS'improved\timprove\tVBD\tB-VP\tO' -p98815 -aS'.\t.\t.\tO\tO' -p98816 -asS'Lasix 20 mg twice a day times seven days .' -p98817 -(lp98818 -S'Lasix\tLasix\tRB\tB-NP\tO' -p98819 -aS'20\t20\tCD\tI-NP\tO' -p98820 -aS'mg\tmg\tNN\tI-NP\tO' -p98821 -aS'twice\ttwice\tRB\tB-NP\tO' -p98822 -aS'a\ta\tDT\tI-NP\tO' -p98823 -aS'day\tday\tNN\tI-NP\tO' -p98824 -aS'times\ttime\tVBZ\tB-VP\tO' -p98825 -aS'seven\tseven\tCD\tB-NP\tO' -p98826 -aS'days\tday\tNNS\tI-NP\tO' -p98827 -aS'.\t.\t.\tO\tO' -p98828 -asS'The patient was started on three grams of sodium , 3x a day with fluid restriction .' -p98829 -(lp98830 -S'The\tThe\tDT\tB-NP\tO' -p98831 -aS'patient\tpatient\tNN\tI-NP\tO' -p98832 -aS'was\tbe\tVBD\tB-VP\tO' -p98833 -aS'started\tstart\tVBN\tI-VP\tO' -p98834 -aS'on\ton\tIN\tB-PP\tO' -p98835 -aS'three\tthree\tCD\tB-NP\tO' -p98836 -aS'grams\tgram\tNNS\tI-NP\tO' -p98837 -aS'of\tof\tIN\tB-PP\tO' -p98838 -aS'sodium\tsodium\tNN\tB-NP\tO' -p98839 -aS',\t,\t,\tO\tO' -p98840 -aS'3x\t3x\tCD\tB-NP\tO' -p98841 -aS'a\ta\tDT\tB-NP\tO' -p98842 -aS'day\tday\tNN\tI-NP\tO' -p98843 -aS'with\twith\tIN\tB-PP\tO' -p98844 -aS'fluid\tfluid\tNN\tB-NP\tO' -p98845 -aS'restriction\trestriction\tNN\tI-NP\tO' -p98846 -aS'.\t.\t.\tO\tO' -p98847 -asS'No other issues .' -p98848 -(lp98849 -S'No\tNo\tDT\tB-NP\tO' -p98850 -aS'other\tother\tJJ\tI-NP\tO' -p98851 -aS'issues\tissue\tNNS\tI-NP\tO' -p98852 -aS'.\t.\t.\tO\tO' -p98853 -asS'Strong coronary artery disease .' -p98854 -(lp98855 -S'Strong\tStrong\tJJ\tB-NP\tO' -p98856 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p98857 -aS'artery\tartery\tNN\tI-NP\tO' -p98858 -aS'disease\tdisease\tNN\tI-NP\tO' -p98859 -aS'.\t.\t.\tO\tO' -p98860 -asS'Medicine was also consulted at that time for high blood pressure and for the biceps pain .' -p98861 -(lp98862 -S'Medicine\tMedicine\tNN\tB-NP\tO' -p98863 -aS'was\tbe\tVBD\tB-VP\tO' -p98864 -aS'also\talso\tRB\tI-VP\tO' -p98865 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p98866 -aS'at\tat\tIN\tB-PP\tO' -p98867 -aS'that\tthat\tDT\tB-NP\tO' -p98868 -aS'time\ttime\tNN\tI-NP\tO' -p98869 -aS'for\tfor\tIN\tB-PP\tO' -p98870 -aS'high\thigh\tJJ\tB-NP\tO' -p98871 -aS'blood\tblood\tNN\tI-NP\tO' -p98872 -aS'pressure\tpressure\tNN\tI-NP\tO' -p98873 -aS'and\tand\tCC\tB-PP\tO' -p98874 -aS'for\tfor\tIN\tB-PP\tO' -p98875 -aS'the\tthe\tDT\tB-NP\tO' -p98876 -aS'biceps\tbicep\tNNS\tI-NP\tO' -p98877 -aS'pain\tpain\tNN\tI-NP\tO' -p98878 -aS'.\t.\t.\tO\tO' -p98879 -asS'It will be called in to Dr. Hamasaki office and he will call you to see how to change your coumadin .' -p98880 -(lp98881 -S'It\tIt\tPRP\tB-NP\tO' -p98882 -aS'will\twill\tMD\tB-VP\tO' -p98883 -aS'be\tbe\tVB\tI-VP\tO' -p98884 -aS'called\tcall\tVBN\tI-VP\tO' -p98885 -aS'in\tin\tRP\tB-PRT\tO' -p98886 -aS'to\tto\tTO\tB-PP\tO' -p98887 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p98888 -aS'Hamasaki\tHamasaki\tNNP\tI-NP\tO' -p98889 -aS'office\toffice\tNN\tI-NP\tO' -p98890 -aS'and\tand\tCC\tO\tO' -p98891 -aS'he\the\tPRP\tB-NP\tO' -p98892 -aS'will\twill\tMD\tB-VP\tO' -p98893 -aS'call\tcall\tVB\tI-VP\tO' -p98894 -aS'you\tyou\tPRP\tB-NP\tO' -p98895 -aS'to\tto\tTO\tB-VP\tO' -p98896 -aS'see\tsee\tVB\tI-VP\tO' -p98897 -aS'how\thow\tWRB\tB-ADVP\tO' -p98898 -aS'to\tto\tTO\tB-VP\tO' -p98899 -aS'change\tchange\tVB\tI-VP\tO' -p98900 -aS'your\tyour\tPRP$\tB-NP\tO' -p98901 -aS'coumadin\tcoumadin\tNN\tI-NP\tO' -p98902 -aS'.\t.\t.\tO\tO' -p98903 -asS'Over the 24 hours of in house hospitalization , he did not have any further neurologic activity and was able to ambulate without assistance prior to discharge .' -p98904 -(lp98905 -S'Over\tOver\tIN\tB-PP\tO' -p98906 -aS'the\tthe\tDT\tB-NP\tO' -p98907 -aS'24\t24\tCD\tI-NP\tO' -p98908 -aS'hours\thour\tNNS\tI-NP\tO' -p98909 -aS'of\tof\tIN\tB-PP\tO' -p98910 -aS'in\tin\tIN\tB-PP\tO' -p98911 -aS'house\thouse\tNN\tB-NP\tO' -p98912 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p98913 -aS',\t,\t,\tO\tO' -p98914 -aS'he\the\tPRP\tB-NP\tO' -p98915 -aS'did\tdo\tVBD\tB-VP\tO' -p98916 -aS'not\tnot\tRB\tI-VP\tO' -p98917 -aS'have\thave\tVB\tI-VP\tO' -p98918 -aS'any\tany\tDT\tB-NP\tO' -p98919 -aS'further\tfurther\tJJ\tI-NP\tO' -p98920 -aS'neurologic\tneurologic\tJJ\tI-NP\tO' -p98921 -aS'activity\tactivity\tNN\tI-NP\tO' -p98922 -aS'and\tand\tCC\tO\tO' -p98923 -aS'was\tbe\tVBD\tB-VP\tO' -p98924 -aS'able\table\tJJ\tB-ADJP\tO' -p98925 -aS'to\tto\tTO\tB-VP\tO' -p98926 -aS'ambulate\tambulate\tVB\tI-VP\tO' -p98927 -aS'without\twithout\tIN\tB-PP\tO' -p98928 -aS'assistance\tassistance\tNN\tB-NP\tO' -p98929 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p98930 -aS'to\tto\tTO\tB-VP\tO' -p98931 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p98932 -aS'.\t.\t.\tO\tO' -p98933 -asS'Also a drug reaction is in the ddx but unlikely as rash started at rehab prior to receiving drugs here .' -p98934 -(lp98935 -S'Also\tAlso\tRB\tB-ADVP\tO' -p98936 -aS'a\ta\tDT\tB-NP\tO' -p98937 -aS'drug\tdrug\tNN\tI-NP\tO' -p98938 -aS'reaction\treaction\tNN\tI-NP\tO' -p98939 -aS'is\tbe\tVBZ\tB-VP\tO' -p98940 -aS'in\tin\tIN\tB-PP\tO' -p98941 -aS'the\tthe\tDT\tB-NP\tO' -p98942 -aS'ddx\tddx\tNN\tI-NP\tO' -p98943 -aS'but\tbut\tCC\tO\tO' -p98944 -aS'unlikely\tunlikely\tJJ\tB-ADJP\tO' -p98945 -aS'as\tas\tIN\tB-SBAR\tO' -p98946 -aS'rash\trash\tNN\tB-NP\tO' -p98947 -aS'started\tstart\tVBN\tB-VP\tO' -p98948 -aS'at\tat\tIN\tB-PP\tO' -p98949 -aS'rehab\trehab\tNN\tB-NP\tO' -p98950 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p98951 -aS'to\tto\tTO\tB-PP\tO' -p98952 -aS'receiving\treceive\tVBG\tB-VP\tO' -p98953 -aS'drugs\tdrug\tNNS\tB-NP\tO' -p98954 -aS'here\there\tRB\tB-ADVP\tO' -p98955 -aS'.\t.\t.\tO\tO' -p98956 -asS'Her postop course was uneventful until one day prior to admission when she developed abdominal pain .' -p98957 -(lp98958 -S'Her\tHer\tPRP$\tB-NP\tO' -p98959 -aS'postop\tpostop\tJJ\tI-NP\tO' -p98960 -aS'course\tcourse\tNN\tI-NP\tO' -p98961 -aS'was\tbe\tVBD\tB-VP\tO' -p98962 -aS'uneventful\tuneventful\tJJ\tB-ADJP\tO' -p98963 -aS'until\tuntil\tIN\tB-SBAR\tO' -p98964 -aS'one\tone\tCD\tB-NP\tO' -p98965 -aS'day\tday\tNN\tI-NP\tO' -p98966 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p98967 -aS'to\tto\tTO\tB-PP\tO' -p98968 -aS'admission\tadmission\tNN\tB-NP\tO' -p98969 -aS'when\twhen\tWRB\tB-ADVP\tO' -p98970 -aS'she\tshe\tPRP\tB-NP\tB-protein' -p98971 -aS'developed\tdevelop\tVBD\tB-VP\tI-protein' -p98972 -aS'abdominal\tabdominal\tJJ\tB-NP\tI-protein' -p98973 -aS'pain\tpain\tNN\tI-NP\tI-protein' -p98974 -aS'.\t.\t.\tO\tO' -p98975 -asS'The patient was admitted to Saint Vincent Hospital on 2017-04-26 and underwent a coronary artery bypass graft times four with left internal mammary artery to left anterior descending , saphenous vein graft to right coronary artery , saphenous vein graft to PDA and saphenous vein graft to obtuse marginal with Dr. Rota .' -p98976 -(lp98977 -S'The\tThe\tDT\tB-NP\tO' -p98978 -aS'patient\tpatient\tNN\tI-NP\tO' -p98979 -aS'was\tbe\tVBD\tB-VP\tO' -p98980 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p98981 -aS'to\tto\tTO\tB-PP\tO' -p98982 -aS'Saint\tSaint\tNNP\tB-NP\tO' -p98983 -aS'Vincent\tVincent\tNNP\tI-NP\tO' -p98984 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p98985 -aS'on\ton\tIN\tB-PP\tO' -p98986 -aS'2017-04-26\t2017-04-26\tCD\tB-NP\tO' -p98987 -aS'and\tand\tCC\tO\tO' -p98988 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p98989 -aS'a\ta\tDT\tB-NP\tO' -p98990 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p98991 -aS'artery\tartery\tNN\tI-NP\tO' -p98992 -aS'bypass\tbypass\tIN\tB-PP\tO' -p98993 -aS'graft\tgraft\tNN\tB-NP\tO' -p98994 -aS'times\ttime\tNNS\tI-NP\tO' -p98995 -aS'four\tfour\tCD\tB-NP\tO' -p98996 -aS'with\twith\tIN\tB-PP\tO' -p98997 -aS'left\tleft\tJJ\tB-NP\tO' -p98998 -aS'internal\tinternal\tJJ\tI-NP\tO' -p98999 -aS'mammary\tmammary\tJJ\tI-NP\tO' -p99000 -aS'artery\tartery\tNN\tI-NP\tO' -p99001 -aS'to\tto\tTO\tB-VP\tO' -p99002 -aS'left\tleft\tVB\tI-VP\tO' -p99003 -aS'anterior\tanterior\tJJ\tB-NP\tO' -p99004 -aS'descending\tdescend\tVBG\tI-NP\tO' -p99005 -aS',\t,\t,\tO\tO' -p99006 -aS'saphenous\tsaphenous\tJJ\tB-NP\tO' -p99007 -aS'vein\tvein\tNN\tI-NP\tO' -p99008 -aS'graft\tgraft\tNN\tI-NP\tO' -p99009 -aS'to\tto\tTO\tB-PP\tO' -p99010 -aS'right\tright\tJJ\tB-NP\tO' -p99011 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p99012 -aS'artery\tartery\tNN\tI-NP\tO' -p99013 -aS',\t,\t,\tO\tO' -p99014 -aS'saphenous\tsaphenous\tJJ\tB-NP\tO' -p99015 -aS'vein\tvein\tNN\tI-NP\tO' -p99016 -aS'graft\tgraft\tNN\tI-NP\tO' -p99017 -aS'to\tto\tTO\tB-PP\tO' -p99018 -aS'PDA\tPDA\tNN\tB-NP\tB-protein' -p99019 -aS'and\tand\tCC\tO\tO' -p99020 -aS'saphenous\tsaphenous\tJJ\tB-NP\tO' -p99021 -aS'vein\tvein\tNN\tI-NP\tO' -p99022 -aS'graft\tgraft\tNN\tI-NP\tO' -p99023 -aS'to\tto\tTO\tB-VP\tO' -p99024 -aS'obtuse\tobtuse\tVB\tI-VP\tO' -p99025 -aS'marginal\tmarginal\tJJ\tB-ADJP\tO' -p99026 -aS'with\twith\tIN\tB-PP\tO' -p99027 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p99028 -aS'Rota\tRota\tNNP\tI-NP\tO' -p99029 -aS'.\t.\t.\tO\tO' -p99030 -asS'Dry gangrene of toes bilaterally w/ necrosis of the heels and posterior calf .' -p99031 -(lp99032 -S'Dry\tDry\tNN\tB-NP\tO' -p99033 -aS'gangrene\tgangrene\tNN\tI-NP\tO' -p99034 -aS'of\tof\tIN\tB-PP\tO' -p99035 -aS'toes\ttoe\tNNS\tB-NP\tO' -p99036 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p99037 -aS'w/\tw/\tVBP\tB-VP\tO' -p99038 -aS'necrosis\tnecrosis\tNN\tB-NP\tO' -p99039 -aS'of\tof\tIN\tB-PP\tO' -p99040 -aS'the\tthe\tDT\tB-NP\tO' -p99041 -aS'heels\theel\tNNS\tI-NP\tO' -p99042 -aS'and\tand\tCC\tO\tO' -p99043 -aS'posterior\tposterior\tJJ\tB-NP\tO' -p99044 -aS'calf\tcalf\tNN\tI-NP\tO' -p99045 -aS'.\t.\t.\tO\tO' -p99046 -asS'The drainage catheter was left in a pseudocyst .' -p99047 -(lp99048 -S'The\tThe\tDT\tB-NP\tO' -p99049 -aS'drainage\tdrainage\tNN\tI-NP\tO' -p99050 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p99051 -aS'was\tbe\tVBD\tB-VP\tO' -p99052 -aS'left\tleave\tVBN\tI-VP\tO' -p99053 -aS'in\tin\tIN\tB-PP\tO' -p99054 -aS'a\ta\tDT\tB-NP\tO' -p99055 -aS'pseudocyst\tpseudocyst\tNN\tI-NP\tO' -p99056 -aS'.\t.\t.\tO\tO' -p99057 -asS'9 ) Isosorbide dinitrate unclear dose .' -p99058 -(lp99059 -S'9\t9\tCD\tB-NP\tO' -p99060 -aS')\t)\t)\tO\tO' -p99061 -aS'Isosorbide\tIsosorbide\tNN\tB-NP\tO' -p99062 -aS'dinitrate\tdinitrate\tNN\tI-NP\tO' -p99063 -aS'unclear\tunclear\tJJ\tI-NP\tO' -p99064 -aS'dose\tdose\tNN\tI-NP\tO' -p99065 -aS'.\t.\t.\tO\tO' -p99066 -asS'Back MRI was negative .' -p99067 -(lp99068 -S'Back\tBack\tRB\tB-NP\tO' -p99069 -aS'MRI\tMRI\tNN\tI-NP\tO' -p99070 -aS'was\tbe\tVBD\tB-VP\tO' -p99071 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p99072 -aS'.\t.\t.\tO\tO' -p99073 -asS"The patient 's blood pressure remained stable on hospital day #2 through hospital day #3 status post IV hydration with systolic blood pressures in the 120 's to 130 's." -p99074 -(lp99075 -S'The\tThe\tDT\tB-NP\tO' -p99076 -aS'patient\tpatient\tNN\tI-NP\tO' -p99077 -aS"'s\t's\tPOS\tB-NP\tO" -p99078 -aS'blood\tblood\tNN\tI-NP\tO' -p99079 -aS'pressure\tpressure\tNN\tI-NP\tO' -p99080 -aS'remained\tremain\tVBD\tB-VP\tO' -p99081 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p99082 -aS'on\ton\tIN\tB-PP\tO' -p99083 -aS'hospital\thospital\tNN\tB-NP\tO' -p99084 -aS'day\tday\tNN\tI-NP\tO' -p99085 -aS'#2\t#2\tCD\tB-NP\tO' -p99086 -aS'through\tthrough\tIN\tB-PP\tO' -p99087 -aS'hospital\thospital\tNN\tB-NP\tO' -p99088 -aS'day\tday\tNN\tI-NP\tO' -p99089 -aS'#3\t#3\tCD\tI-NP\tO' -p99090 -aS'status\tstatus\tNN\tI-NP\tO' -p99091 -aS'post\tpost\tNN\tI-NP\tO' -p99092 -aS'IV\tIV\tCD\tI-NP\tO' -p99093 -aS'hydration\thydration\tNN\tI-NP\tO' -p99094 -aS'with\twith\tIN\tB-PP\tO' -p99095 -aS'systolic\tsystolic\tJJ\tB-NP\tO' -p99096 -aS'blood\tblood\tNN\tI-NP\tO' -p99097 -aS'pressures\tpressure\tNNS\tI-NP\tO' -p99098 -aS'in\tin\tIN\tB-PP\tO' -p99099 -aS'the\tthe\tDT\tB-NP\tO' -p99100 -aS'120\t120\tCD\tI-NP\tO' -p99101 -aS"'s\t's\tPOS\tB-NP\tO" -p99102 -aS'to\tto\tTO\tB-PP\tO' -p99103 -aS'130\t130\tCD\tB-NP\tO' -p99104 -aS"'s.\t's.\tPOS\tB-NP\tO" -p99105 -asS'O2 saturation on three liters was 96% .' -p99106 -(lp99107 -S'O2\tO2\tNN\tB-NP\tO' -p99108 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p99109 -aS'on\ton\tIN\tB-PP\tO' -p99110 -aS'three\tthree\tCD\tB-NP\tO' -p99111 -aS'liters\tliter\tNNS\tI-NP\tO' -p99112 -aS'was\tbe\tVBD\tB-VP\tO' -p99113 -aS'96%\t96%\tCD\tB-NP\tO' -p99114 -aS'.\t.\t.\tO\tO' -p99115 -asS'She also experienced increased hoarseness over the preceding months , which was due to left vocal cord paralysis .' -p99116 -(lp99117 -S'She\tShe\tPRP\tB-NP\tO' -p99118 -aS'also\talso\tRB\tB-ADVP\tO' -p99119 -aS'experienced\texperience\tVBD\tB-VP\tO' -p99120 -aS'increased\tincrease\tVBN\tB-NP\tO' -p99121 -aS'hoarseness\thoarseness\tNN\tI-NP\tO' -p99122 -aS'over\tover\tIN\tB-PP\tO' -p99123 -aS'the\tthe\tDT\tB-NP\tO' -p99124 -aS'preceding\tprecede\tVBG\tI-NP\tO' -p99125 -aS'months\tmonth\tNNS\tI-NP\tO' -p99126 -aS',\t,\t,\tO\tO' -p99127 -aS'which\twhich\tWDT\tB-NP\tO' -p99128 -aS'was\tbe\tVBD\tB-VP\tO' -p99129 -aS'due\tdue\tJJ\tB-ADJP\tO' -p99130 -aS'to\tto\tTO\tB-VP\tO' -p99131 -aS'left\tleft\tVB\tI-VP\tO' -p99132 -aS'vocal\tvocal\tJJ\tB-NP\tO' -p99133 -aS'cord\tcord\tNN\tI-NP\tO' -p99134 -aS'paralysis\tparalysis\tNN\tI-NP\tO' -p99135 -aS'.\t.\t.\tO\tO' -p99136 -asS'Serologies include blood type O negative , antibody negative , RPR nonreactive .' -p99137 -(lp99138 -S'Serologies\tSerology\tNNS\tB-NP\tO' -p99139 -aS'include\tinclude\tVBP\tB-VP\tO' -p99140 -aS'blood\tblood\tNN\tB-NP\tO' -p99141 -aS'type\ttype\tNN\tI-NP\tO' -p99142 -aS'O\tO\tNN\tI-NP\tO' -p99143 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p99144 -aS',\t,\t,\tO\tO' -p99145 -aS'antibody\tantibody\tNN\tB-NP\tO' -p99146 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p99147 -aS',\t,\t,\tO\tO' -p99148 -aS'RPR\tRPR\tNN\tB-NP\tB-protein' -p99149 -aS'nonreactive\tnonreactive\tJJ\tB-ADJP\tO' -p99150 -aS'.\t.\t.\tO\tO' -p99151 -asS'A Neonatology consultation was obtained during the course of the hospitalization .' -p99152 -(lp99153 -S'A\tA\tDT\tB-NP\tO' -p99154 -aS'Neonatology\tNeonatology\tNNP\tI-NP\tO' -p99155 -aS'consultation\tconsultation\tNN\tI-NP\tO' -p99156 -aS'was\tbe\tVBD\tB-VP\tO' -p99157 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p99158 -aS'during\tduring\tIN\tB-PP\tO' -p99159 -aS'the\tthe\tDT\tB-NP\tO' -p99160 -aS'course\tcourse\tNN\tI-NP\tO' -p99161 -aS'of\tof\tIN\tB-PP\tO' -p99162 -aS'the\tthe\tDT\tB-NP\tO' -p99163 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p99164 -aS'.\t.\t.\tO\tO' -p99165 -asS'There is mild symmetric left ventricular hypertrophy .' -p99166 -(lp99167 -S'There\tThere\tEX\tB-NP\tO' -p99168 -aS'is\tbe\tVBZ\tB-VP\tO' -p99169 -aS'mild\tmild\tJJ\tB-NP\tO' -p99170 -aS'symmetric\tsymmetric\tJJ\tI-NP\tO' -p99171 -aS'left\tleft\tJJ\tI-NP\tO' -p99172 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p99173 -aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' -p99174 -aS'.\t.\t.\tO\tO' -p99175 -asS'Attending : Michael A.E. Adkins , M.D.' -p99176 -(lp99177 -S'Attending\tAttend\tVBG\tB-VP\tO' -p99178 -aS':\t:\t:\tO\tO' -p99179 -aS'Michael\tMichael\tNNP\tB-NP\tO' -p99180 -aS'A.E.\tA.E.\tNNP\tI-NP\tO' -p99181 -aS'Adkins\tAdkins\tNNP\tI-NP\tO' -p99182 -aS',\t,\t,\tO\tO' -p99183 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p99184 -asS'An electrocardiogram showed no evidence of QT prolongation prior to discharge , and pulmonary function tests will be performed before the patient goes home today .' -p99185 -(lp99186 -S'An\tAn\tDT\tB-NP\tO' -p99187 -aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' -p99188 -aS'showed\tshow\tVBD\tB-VP\tO' -p99189 -aS'no\tno\tDT\tB-NP\tO' -p99190 -aS'evidence\tevidence\tNN\tI-NP\tO' -p99191 -aS'of\tof\tIN\tB-PP\tO' -p99192 -aS'QT\tQT\tNN\tB-NP\tO' -p99193 -aS'prolongation\tprolongation\tNN\tI-NP\tO' -p99194 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p99195 -aS'to\tto\tTO\tB-VP\tO' -p99196 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p99197 -aS',\t,\t,\tO\tO' -p99198 -aS'and\tand\tCC\tO\tO' -p99199 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p99200 -aS'function\tfunction\tNN\tI-NP\tO' -p99201 -aS'tests\ttest\tNNS\tI-NP\tO' -p99202 -aS'will\twill\tMD\tB-VP\tO' -p99203 -aS'be\tbe\tVB\tI-VP\tO' -p99204 -aS'performed\tperform\tVBN\tI-VP\tO' -p99205 -aS'before\tbefore\tIN\tB-PP\tO' -p99206 -aS'the\tthe\tDT\tB-NP\tO' -p99207 -aS'patient\tpatient\tNN\tI-NP\tO' -p99208 -aS'goes\tgo\tVBZ\tB-VP\tO' -p99209 -aS'home\thome\tNN\tB-ADVP\tO' -p99210 -aS'today\ttoday\tNN\tB-NP\tO' -p99211 -aS'.\t.\t.\tO\tO' -p99212 -asS'Condition on discharge was good ..' -p99213 -(lp99214 -S'Condition\tCondition\tNN\tB-NP\tO' -p99215 -aS'on\ton\tIN\tB-PP\tO' -p99216 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p99217 -aS'was\tbe\tVBD\tB-VP\tO' -p99218 -aS'good\tgood\tJJ\tB-ADJP\tO' -p99219 -aS'..\t..\t.\tO\tO' -p99220 -asS'RESP : CTABL , no crackles , no wheezing or rhonchi' -p99221 -(lp99222 -S'RESP\tRESP\tNN\tB-NP\tO' -p99223 -aS':\t:\t:\tO\tO' -p99224 -aS'CTABL\tCTABL\tNN\tB-NP\tB-protein' -p99225 -aS',\t,\t,\tO\tO' -p99226 -aS'no\tno\tDT\tB-NP\tO' -p99227 -aS'crackles\tcrackle\tNNS\tI-NP\tO' -p99228 -aS',\t,\t,\tO\tO' -p99229 -aS'no\tno\tDT\tB-NP\tO' -p99230 -aS'wheezing\twheezing\tNN\tI-NP\tO' -p99231 -aS'or\tor\tCC\tI-NP\tO' -p99232 -aS'rhonchi\trhonchus\tNNS\tI-NP\tO' -p99233 -asS'HEMOGLOBLIN FRACTIONS ( COOXIMETRY ) Hgb calcHCT O2 Sat COHgb MetHgb' -p99234 -(lp99235 -S'HEMOGLOBLIN\tHEMOGLOBLIN\tNN\tB-NP\tO' -p99236 -aS'FRACTIONS\tFRACTIONS\tNNS\tI-NP\tO' -p99237 -aS'(\t(\t(\tO\tO' -p99238 -aS'COOXIMETRY\tCOOXIMETRY\tNN\tB-NP\tO' -p99239 -aS')\t)\t)\tO\tO' -p99240 -aS'Hgb\tHgb\tNN\tB-NP\tO' -p99241 -aS'calcHCT\tcalcHCT\tNN\tI-NP\tO' -p99242 -aS'O2\tO2\tNN\tI-NP\tO' -p99243 -aS'Sat\tSat\tNNP\tI-NP\tO' -p99244 -aS'COHgb\tCOHgb\tNNP\tI-NP\tO' -p99245 -aS'MetHgb\tMetHgb\tNNP\tI-NP\tO' -p99246 -asS'Dilt drip was discontinued and metoprolol titrated up .' -p99247 -(lp99248 -S'Dilt\tDilt\tJJ\tB-NP\tO' -p99249 -aS'drip\tdrip\tNN\tI-NP\tO' -p99250 -aS'was\tbe\tVBD\tB-VP\tO' -p99251 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p99252 -aS'and\tand\tCC\tO\tO' -p99253 -aS'metoprolol\tmetoprolol\tNN\tB-NP\tO' -p99254 -aS'titrated\ttitrate\tVBN\tB-VP\tO' -p99255 -aS'up\tup\tRP\tB-PRT\tO' -p99256 -aS'.\t.\t.\tO\tO' -p99257 -asS'Clear fluid .' -p99258 -(lp99259 -S'Clear\tClear\tJJ\tB-NP\tO' -p99260 -aS'fluid\tfluid\tNN\tI-NP\tO' -p99261 -aS'.\t.\t.\tO\tO' -p99262 -asS'5. Heparin drip on transfer .' -p99263 -(lp99264 -S'5.\t5.\tLS\tB-NP\tO' -p99265 -aS'Heparin\tHeparin\tNN\tI-NP\tB-protein' -p99266 -aS'drip\tdrip\tNN\tI-NP\tI-protein' -p99267 -aS'on\ton\tIN\tB-PP\tO' -p99268 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p99269 -aS'.\t.\t.\tO\tO' -p99270 -asS'His neck was supple ; he had no jugular venous distention .' -p99271 -(lp99272 -S'His\tHis\tPRP$\tB-NP\tO' -p99273 -aS'neck\tneck\tNN\tI-NP\tO' -p99274 -aS'was\tbe\tVBD\tB-VP\tO' -p99275 -aS'supple\tsupple\tNN\tB-NP\tO' -p99276 -aS';\t;\t:\tO\tO' -p99277 -aS'he\the\tPRP\tB-NP\tO' -p99278 -aS'had\thave\tVBD\tB-VP\tO' -p99279 -aS'no\tno\tDT\tB-NP\tO' -p99280 -aS'jugular\tjugular\tJJ\tI-NP\tO' -p99281 -aS'venous\tvenous\tJJ\tI-NP\tO' -p99282 -aS'distention\tdistention\tNN\tI-NP\tO' -p99283 -aS'.\t.\t.\tO\tO' -p99284 -asS'The deep tendon reflexes are 2+ and symmetrical throughout .' -p99285 -(lp99286 -S'The\tThe\tDT\tB-NP\tO' -p99287 -aS'deep\tdeep\tJJ\tI-NP\tO' -p99288 -aS'tendon\ttendon\tNN\tI-NP\tO' -p99289 -aS'reflexes\treflex\tNNS\tI-NP\tO' -p99290 -aS'are\tbe\tVBP\tB-VP\tO' -p99291 -aS'2+\t2+\tJJ\tB-NP\tO' -p99292 -aS'and\tand\tCC\tI-NP\tO' -p99293 -aS'symmetrical\tsymmetrical\tJJ\tI-NP\tO' -p99294 -aS'throughout\tthroughout\tNN\tI-NP\tO' -p99295 -aS'.\t.\t.\tO\tO' -p99296 -asS'He was treated with a variety of anti-emetics , most recently Granisetron , with only mild success .' -p99297 -(lp99298 -S'He\tHe\tPRP\tB-NP\tO' -p99299 -aS'was\tbe\tVBD\tB-VP\tO' -p99300 -aS'treated\ttreat\tVBN\tI-VP\tO' -p99301 -aS'with\twith\tIN\tB-PP\tO' -p99302 -aS'a\ta\tDT\tB-NP\tO' -p99303 -aS'variety\tvariety\tNN\tI-NP\tO' -p99304 -aS'of\tof\tIN\tB-PP\tO' -p99305 -aS'anti-emetics\tanti-emetic\tNNS\tB-NP\tO' -p99306 -aS',\t,\t,\tO\tO' -p99307 -aS'most\tmost\tRBS\tB-ADVP\tO' -p99308 -aS'recently\trecently\tRB\tI-ADVP\tO' -p99309 -aS'Granisetron\tGranisetron\tNNP\tB-NP\tO' -p99310 -aS',\t,\t,\tO\tO' -p99311 -aS'with\twith\tIN\tB-PP\tO' -p99312 -aS'only\tonly\tRB\tB-NP\tO' -p99313 -aS'mild\tmild\tJJ\tI-NP\tO' -p99314 -aS'success\tsuccess\tNN\tI-NP\tO' -p99315 -aS'.\t.\t.\tO\tO' -p99316 -asS'chest x-ray clear .' -p99317 -(lp99318 -S'chest\tch\tJJS\tB-NP\tO' -p99319 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p99320 -aS'clear\tclear\tJJ\tI-NP\tO' -p99321 -aS'.\t.\t.\tO\tO' -p99322 -asS'Dictated By : Melissa U Sangi , M.D.' -p99323 -(lp99324 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p99325 -aS'By\tBy\tIN\tB-PP\tO' -p99326 -aS':\t:\t:\tO\tO' -p99327 -aS'Melissa\tMelissa\tNNP\tB-NP\tO' -p99328 -aS'U\tU\tNNP\tI-NP\tO' -p99329 -aS'Sangi\tSangi\tNNP\tI-NP\tO' -p99330 -aS',\t,\t,\tO\tO' -p99331 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p99332 -asS'The left femur was grossly deformed with a pinhole opening in the lateral thigh .' -p99333 -(lp99334 -S'The\tThe\tDT\tB-NP\tO' -p99335 -aS'left\tleft\tJJ\tI-NP\tO' -p99336 -aS'femur\tfemur\tNN\tI-NP\tO' -p99337 -aS'was\tbe\tVBD\tB-VP\tO' -p99338 -aS'grossly\tgrossly\tRB\tI-VP\tO' -p99339 -aS'deformed\tdeform\tVBN\tI-VP\tO' -p99340 -aS'with\twith\tIN\tB-PP\tO' -p99341 -aS'a\ta\tDT\tB-NP\tO' -p99342 -aS'pinhole\tpinhole\tNN\tI-NP\tO' -p99343 -aS'opening\topening\tNN\tI-NP\tO' -p99344 -aS'in\tin\tIN\tB-PP\tO' -p99345 -aS'the\tthe\tDT\tB-NP\tO' -p99346 -aS'lateral\tlateral\tJJ\tI-NP\tO' -p99347 -aS'thigh\tthigh\tNN\tI-NP\tO' -p99348 -aS'.\t.\t.\tO\tO' -p99349 -asS'5. Morphine 15 mg Tablet Sig : One ( 1 ) Tablet PO Q4-6H ( every 4 to 6 hours ) as needed for Pain .' -p99350 -(lp99351 -S'5.\t5.\tLS\tB-LST\tO' -p99352 -aS'Morphine\tMorphine\tNNP\tB-NP\tO' -p99353 -aS'15\t15\tCD\tI-NP\tO' -p99354 -aS'mg\tmg\tNN\tI-NP\tO' -p99355 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p99356 -aS'Sig\tSig\tNNP\tI-NP\tO' -p99357 -aS':\t:\t:\tO\tO' -p99358 -aS'One\tOne\tCD\tB-NP\tO' -p99359 -aS'(\t(\t(\tO\tO' -p99360 -aS'1\t1\tCD\tB-NP\tO' -p99361 -aS')\t)\t)\tO\tO' -p99362 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p99363 -aS'PO\tPO\tNN\tI-NP\tO' -p99364 -aS'Q4-6H\tQ4-6H\tNN\tI-NP\tO' -p99365 -aS'(\t(\t(\tO\tO' -p99366 -aS'every\tevery\tDT\tB-NP\tO' -p99367 -aS'4\t4\tCD\tI-NP\tO' -p99368 -aS'to\tto\tTO\tI-NP\tO' -p99369 -aS'6\t6\tCD\tI-NP\tO' -p99370 -aS'hours\thour\tNNS\tI-NP\tO' -p99371 -aS')\t)\t)\tO\tO' -p99372 -aS'as\tas\tIN\tB-SBAR\tO' -p99373 -aS'needed\tneed\tVBN\tB-VP\tO' -p99374 -aS'for\tfor\tIN\tB-PP\tO' -p99375 -aS'Pain\tPain\tNNP\tB-NP\tO' -p99376 -aS'.\t.\t.\tO\tO' -p99377 -asS'By 06-28 , however , the patient had been off of neo-synephrine , but at this time as mentioned above the patient was deemed to be CMO per discussion with physicians and her husband / health care proxy .' -p99378 -(lp99379 -S'By\tBy\tIN\tB-PP\tO' -p99380 -aS'06-28\t06-28\tCD\tB-NP\tO' -p99381 -aS',\t,\t,\tO\tO' -p99382 -aS'however\thowever\tRB\tB-ADVP\tO' -p99383 -aS',\t,\t,\tO\tO' -p99384 -aS'the\tthe\tDT\tB-NP\tO' -p99385 -aS'patient\tpatient\tNN\tI-NP\tO' -p99386 -aS'had\thave\tVBD\tB-VP\tO' -p99387 -aS'been\tbe\tVBN\tI-VP\tO' -p99388 -aS'off\toff\tRB\tB-ADVP\tO' -p99389 -aS'of\tof\tIN\tB-PP\tO' -p99390 -aS'neo-synephrine\tneo-synephrine\tNN\tB-NP\tO' -p99391 -aS',\t,\t,\tO\tO' -p99392 -aS'but\tbut\tCC\tO\tO' -p99393 -aS'at\tat\tIN\tB-PP\tO' -p99394 -aS'this\tthis\tDT\tB-NP\tO' -p99395 -aS'time\ttime\tNN\tI-NP\tO' -p99396 -aS'as\tas\tIN\tB-SBAR\tO' -p99397 -aS'mentioned\tmention\tVBN\tB-VP\tO' -p99398 -aS'above\tabove\tIN\tB-PP\tO' -p99399 -aS'the\tthe\tDT\tB-NP\tO' -p99400 -aS'patient\tpatient\tNN\tI-NP\tO' -p99401 -aS'was\tbe\tVBD\tB-VP\tO' -p99402 -aS'deemed\tdeem\tVBN\tI-VP\tO' -p99403 -aS'to\tto\tTO\tI-VP\tO' -p99404 -aS'be\tbe\tVB\tI-VP\tO' -p99405 -aS'CMO\tCMO\tNN\tB-NP\tB-protein' -p99406 -aS'per\tper\tIN\tB-PP\tO' -p99407 -aS'discussion\tdiscussion\tNN\tB-NP\tO' -p99408 -aS'with\twith\tIN\tB-PP\tO' -p99409 -aS'physicians\tphysician\tNNS\tB-NP\tO' -p99410 -aS'and\tand\tCC\tO\tO' -p99411 -aS'her\ther\tPRP$\tB-NP\tO' -p99412 -aS'husband\thusband\tNN\tI-NP\tO' -p99413 -aS'/\t/\tSYM\tB-NP\tO' -p99414 -aS'health\thealth\tNN\tI-NP\tO' -p99415 -aS'care\tcare\tNN\tI-NP\tO' -p99416 -aS'proxy\tproxy\tNN\tI-NP\tO' -p99417 -aS'.\t.\t.\tO\tO' -p99418 -asS'The patient has no known drug allergies .' -p99419 -(lp99420 -S'The\tThe\tDT\tB-NP\tO' -p99421 -aS'patient\tpatient\tNN\tI-NP\tO' -p99422 -aS'has\thave\tVBZ\tB-VP\tO' -p99423 -aS'no\tno\tDT\tB-NP\tO' -p99424 -aS'known\tknow\tVBN\tI-NP\tO' -p99425 -aS'drug\tdrug\tNN\tI-NP\tO' -p99426 -aS'allergies\tallergy\tNNS\tI-NP\tO' -p99427 -aS'.\t.\t.\tO\tO' -p99428 -asS'1. Acetaminophen 325 mg Tablet Sig : 1-2 Tablets PO Q4-6H ( every 4 to 6 hours ) as needed .' -p99429 -(lp99430 -S'1.\t1.\tLS\tB-NP\tO' -p99431 -aS'Acetaminophen\tAcetaminophen\tNN\tI-NP\tO' -p99432 -aS'325\t325\tCD\tI-NP\tO' -p99433 -aS'mg\tmg\tNN\tI-NP\tO' -p99434 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p99435 -aS'Sig\tSig\tNNP\tI-NP\tO' -p99436 -aS':\t:\t:\tO\tO' -p99437 -aS'1-2\t1-2\tCD\tB-NP\tO' -p99438 -aS'Tablets\tTablet\tNNS\tI-NP\tO' -p99439 -aS'PO\tPO\tNN\tI-NP\tO' -p99440 -aS'Q4-6H\tQ4-6H\tNN\tI-NP\tO' -p99441 -aS'(\t(\t(\tO\tO' -p99442 -aS'every\tevery\tDT\tB-NP\tO' -p99443 -aS'4\t4\tCD\tI-NP\tO' -p99444 -aS'to\tto\tTO\tI-NP\tO' -p99445 -aS'6\t6\tCD\tI-NP\tO' -p99446 -aS'hours\thour\tNNS\tI-NP\tO' -p99447 -aS')\t)\t)\tO\tO' -p99448 -aS'as\tas\tIN\tB-SBAR\tO' -p99449 -aS'needed\tneed\tVBN\tB-VP\tO' -p99450 -aS'.\t.\t.\tO\tO' -p99451 -asS'His gastrointestinal bleeding issues were investigated with an upper endoscopy which revealed multiple superficial gastric ulcerations consistent with an non-steroidal anti-inflammatory drugs gastropathy .' -p99452 -(lp99453 -S'His\tHis\tPRP$\tB-NP\tO' -p99454 -aS'gastrointestinal\tgastrointestinal\tJJ\tI-NP\tO' -p99455 -aS'bleeding\tbleed\tVBG\tI-NP\tO' -p99456 -aS'issues\tissue\tNNS\tI-NP\tO' -p99457 -aS'were\tbe\tVBD\tB-VP\tO' -p99458 -aS'investigated\tinvestigate\tVBN\tI-VP\tO' -p99459 -aS'with\twith\tIN\tB-PP\tO' -p99460 -aS'an\tan\tDT\tB-NP\tO' -p99461 -aS'upper\tupper\tJJ\tI-NP\tO' -p99462 -aS'endoscopy\tendoscopy\tNN\tI-NP\tO' -p99463 -aS'which\twhich\tWDT\tB-NP\tO' -p99464 -aS'revealed\treveal\tVBD\tB-VP\tO' -p99465 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p99466 -aS'superficial\tsuperficial\tJJ\tI-NP\tO' -p99467 -aS'gastric\tgastric\tJJ\tI-NP\tO' -p99468 -aS'ulcerations\tulceration\tNNS\tI-NP\tO' -p99469 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p99470 -aS'with\twith\tIN\tB-PP\tO' -p99471 -aS'an\tan\tDT\tB-NP\tO' -p99472 -aS'non-steroidal\tnon-steroidal\tJJ\tI-NP\tO' -p99473 -aS'anti-inflammatory\tanti-inflammatory\tJJ\tI-NP\tO' -p99474 -aS'drugs\tdrug\tNNS\tI-NP\tO' -p99475 -aS'gastropathy\tgastropathy\tNN\tI-NP\tO' -p99476 -aS'.\t.\t.\tO\tO' -p99477 -asS'2. Potassium Chloride 10 mEq Capsule , Sustained Release Sig : Two ( 2 ) Capsule , Sustained Release PO once a day for 5 days .' -p99478 -(lp99479 -S'2.\t2.\tLS\tB-NP\tO' -p99480 -aS'Potassium\tPotassium\tNN\tI-NP\tO' -p99481 -aS'Chloride\tChloride\tNN\tI-NP\tO' -p99482 -aS'10\t10\tCD\tI-NP\tO' -p99483 -aS'mEq\tmEq\tNN\tI-NP\tO' -p99484 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p99485 -aS',\t,\t,\tO\tO' -p99486 -aS'Sustained\tSustained\tNNP\tB-NP\tO' -p99487 -aS'Release\tRelease\tNNP\tI-NP\tO' -p99488 -aS'Sig\tSig\tNNP\tI-NP\tB-protein' -p99489 -aS':\t:\t:\tO\tO' -p99490 -aS'Two\tTwo\tCD\tB-NP\tO' -p99491 -aS'(\t(\t(\tO\tO' -p99492 -aS'2\t2\tCD\tB-NP\tO' -p99493 -aS')\t)\t)\tO\tO' -p99494 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p99495 -aS',\t,\t,\tO\tO' -p99496 -aS'Sustained\tSustained\tNNP\tB-NP\tO' -p99497 -aS'Release\tRelease\tNNP\tI-NP\tO' -p99498 -aS'PO\tPO\tNNP\tI-NP\tO' -p99499 -aS'once\tonce\tRB\tB-ADVP\tO' -p99500 -aS'a\ta\tDT\tB-NP\tO' -p99501 -aS'day\tday\tNN\tI-NP\tO' -p99502 -aS'for\tfor\tIN\tB-PP\tO' -p99503 -aS'5\t5\tCD\tB-NP\tO' -p99504 -aS'days\tday\tNNS\tI-NP\tO' -p99505 -aS'.\t.\t.\tO\tO' -p99506 -asS'There was some thrombosis of the left internal jugular vein as well .' -p99507 -(lp99508 -S'There\tThere\tEX\tB-NP\tO' -p99509 -aS'was\tbe\tVBD\tB-VP\tO' -p99510 -aS'some\tsome\tDT\tB-NP\tO' -p99511 -aS'thrombosis\tthrombosis\tNN\tI-NP\tO' -p99512 -aS'of\tof\tIN\tB-PP\tO' -p99513 -aS'the\tthe\tDT\tB-NP\tO' -p99514 -aS'left\tleft\tJJ\tI-NP\tO' -p99515 -aS'internal\tinternal\tJJ\tI-NP\tO' -p99516 -aS'jugular\tjugular\tJJ\tI-NP\tO' -p99517 -aS'vein\tvein\tNN\tI-NP\tO' -p99518 -aS'as\tas\tRB\tB-ADVP\tO' -p99519 -aS'well\twell\tRB\tI-ADVP\tO' -p99520 -aS'.\t.\t.\tO\tO' -p99521 -asS'He was brought to Providence Behavioral Health Hospital where he was found to have positive urine cocaine , EKG with new 2-7392 W. Second Cr. elevations in the anterior leads ( v2-5 ) and some ST depressions in II , III , AvF .' -p99522 -(lp99523 -S'He\tHe\tPRP\tB-NP\tO' -p99524 -aS'was\tbe\tVBD\tB-VP\tO' -p99525 -aS'brought\tbring\tVBN\tI-VP\tO' -p99526 -aS'to\tto\tTO\tB-PP\tO' -p99527 -aS'Providence\tProvidence\tNNP\tB-NP\tO' -p99528 -aS'Behavioral\tBehavioral\tNNP\tI-NP\tO' -p99529 -aS'Health\tHealth\tNNP\tI-NP\tO' -p99530 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p99531 -aS'where\twhere\tWRB\tB-ADVP\tO' -p99532 -aS'he\the\tPRP\tB-NP\tO' -p99533 -aS'was\tbe\tVBD\tB-VP\tO' -p99534 -aS'found\tfind\tVBN\tI-VP\tO' -p99535 -aS'to\tto\tTO\tI-VP\tO' -p99536 -aS'have\thave\tVB\tI-VP\tO' -p99537 -aS'positive\tpositive\tJJ\tB-NP\tO' -p99538 -aS'urine\turine\tNN\tI-NP\tO' -p99539 -aS'cocaine\tcocaine\tNN\tI-NP\tO' -p99540 -aS',\t,\t,\tO\tO' -p99541 -aS'EKG\tEKG\tNN\tB-NP\tB-protein' -p99542 -aS'with\twith\tIN\tB-PP\tO' -p99543 -aS'new\tnew\tJJ\tB-NP\tO' -p99544 -aS'2-7392\t2-7392\tCD\tI-NP\tO' -p99545 -aS'W.\tW.\tNNP\tI-NP\tO' -p99546 -aS'Second\tSecond\tNNP\tI-NP\tO' -p99547 -aS'Cr.\tCr.\tNNP\tI-NP\tO' -p99548 -aS'elevations\televation\tNNS\tI-NP\tO' -p99549 -aS'in\tin\tIN\tB-PP\tO' -p99550 -aS'the\tthe\tDT\tB-NP\tO' -p99551 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p99552 -aS'leads\tlead\tNNS\tI-NP\tO' -p99553 -aS'(\t(\t(\tO\tO' -p99554 -aS'v2-5\tv2-5\tNN\tB-NP\tB-protein' -p99555 -aS')\t)\t)\tO\tO' -p99556 -aS'and\tand\tCC\tO\tO' -p99557 -aS'some\tsome\tDT\tB-NP\tO' -p99558 -aS'ST\tST\tJJ\tI-NP\tO' -p99559 -aS'depressions\tdepression\tNNS\tI-NP\tO' -p99560 -aS'in\tin\tIN\tB-PP\tO' -p99561 -aS'II\tII\tCD\tB-NP\tO' -p99562 -aS',\t,\t,\tI-NP\tO' -p99563 -aS'III\tIII\tCD\tI-NP\tO' -p99564 -aS',\t,\t,\tO\tO' -p99565 -aS'AvF\tAvF\tNNP\tB-NP\tO' -p99566 -aS'.\t.\t.\tO\tO' -p99567 -asS'13. Dexamethasone 4 mg po q6 hours .' -p99568 -(lp99569 -S'13.\t13.\tLS\tB-LST\tO' -p99570 -aS'Dexamethasone\tDexamethasone\tNN\tB-NP\tO' -p99571 -aS'4\t4\tCD\tI-NP\tO' -p99572 -aS'mg\tmg\tNN\tI-NP\tO' -p99573 -aS'po\tpo\tNN\tI-NP\tO' -p99574 -aS'q6\tq6\tNN\tI-NP\tO' -p99575 -aS'hours\thour\tNNS\tI-NP\tO' -p99576 -aS'.\t.\t.\tO\tO' -p99577 -asS'On postoperative day two , she had an electroencephalogram which showed no evidence of seizure activity but some generalized slowing .' -p99578 -(lp99579 -S'On\tOn\tIN\tB-PP\tO' -p99580 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p99581 -aS'day\tday\tNN\tI-NP\tO' -p99582 -aS'two\ttwo\tCD\tB-NP\tO' -p99583 -aS',\t,\t,\tO\tO' -p99584 -aS'she\tshe\tPRP\tB-NP\tO' -p99585 -aS'had\thave\tVBD\tB-VP\tO' -p99586 -aS'an\tan\tDT\tB-NP\tO' -p99587 -aS'electroencephalogram\telectroencephalogram\tNN\tI-NP\tO' -p99588 -aS'which\twhich\tWDT\tB-NP\tO' -p99589 -aS'showed\tshow\tVBD\tB-VP\tO' -p99590 -aS'no\tno\tDT\tB-NP\tO' -p99591 -aS'evidence\tevidence\tNN\tI-NP\tO' -p99592 -aS'of\tof\tIN\tB-PP\tO' -p99593 -aS'seizure\tseizure\tNN\tB-NP\tO' -p99594 -aS'activity\tactivity\tNN\tI-NP\tO' -p99595 -aS'but\tbut\tCC\tO\tO' -p99596 -aS'some\tsome\tDT\tB-NP\tO' -p99597 -aS'generalized\tgeneralize\tVBN\tI-NP\tO' -p99598 -aS'slowing\tslowing\tNN\tI-NP\tO' -p99599 -aS'.\t.\t.\tO\tO' -p99600 -asS'He was slowly weaned from his ventilator and was able to be extubated .' -p99601 -(lp99602 -S'He\tHe\tPRP\tB-NP\tO' -p99603 -aS'was\tbe\tVBD\tB-VP\tO' -p99604 -aS'slowly\tslowly\tRB\tI-VP\tO' -p99605 -aS'weaned\twean\tVBN\tI-VP\tO' -p99606 -aS'from\tfrom\tIN\tB-PP\tO' -p99607 -aS'his\this\tPRP$\tB-NP\tO' -p99608 -aS'ventilator\tventilator\tNN\tI-NP\tO' -p99609 -aS'and\tand\tCC\tO\tO' -p99610 -aS'was\tbe\tVBD\tB-VP\tO' -p99611 -aS'able\table\tJJ\tB-ADJP\tO' -p99612 -aS'to\tto\tTO\tB-VP\tO' -p99613 -aS'be\tbe\tVB\tI-VP\tO' -p99614 -aS'extubated\textubate\tVBN\tI-VP\tO' -p99615 -aS'.\t.\t.\tO\tO' -p99616 -asS'A/P : 48yo man with h/o HCV , bipolar DO , h/o suicide attempts , a/w overdose of Inderal , Klonopin , Geodon , s/T Jackson stay with intubation for airway protection , with question of L retrocardiac infiltrate , now doing well .' -p99617 -(lp99618 -S'A/P\tA/P\tNN\tB-NP\tO' -p99619 -aS':\t:\t:\tO\tO' -p99620 -aS'48yo\t48yo\tLS\tB-LST\tO' -p99621 -aS'man\tman\tNN\tB-NP\tO' -p99622 -aS'with\twith\tIN\tB-PP\tO' -p99623 -aS'h/o\th/o\tNN\tB-NP\tO' -p99624 -aS'HCV\tHCV\tNN\tI-NP\tO' -p99625 -aS',\t,\t,\tO\tO' -p99626 -aS'bipolar\tbipolar\tJJ\tB-NP\tO' -p99627 -aS'DO\tDO\tNN\tI-NP\tO' -p99628 -aS',\t,\t,\tO\tO' -p99629 -aS'h/o\th/o\tNN\tB-NP\tO' -p99630 -aS'suicide\tsuicide\tNN\tI-NP\tO' -p99631 -aS'attempts\tattempt\tNNS\tI-NP\tO' -p99632 -aS',\t,\t,\tO\tO' -p99633 -aS'a/w\ta/w\tNN\tB-NP\tO' -p99634 -aS'overdose\toverdose\tNN\tI-NP\tO' -p99635 -aS'of\tof\tIN\tB-PP\tO' -p99636 -aS'Inderal\tInderal\tNNP\tB-NP\tO' -p99637 -aS',\t,\t,\tO\tO' -p99638 -aS'Klonopin\tKlonopin\tNNP\tB-NP\tO' -p99639 -aS',\t,\t,\tO\tO' -p99640 -aS'Geodon\tGeodon\tNNP\tB-NP\tO' -p99641 -aS',\t,\t,\tO\tO' -p99642 -aS's/T\ts/T\tNNP\tB-NP\tO' -p99643 -aS'Jackson\tJackson\tNNP\tI-NP\tO' -p99644 -aS'stay\tstay\tNN\tI-NP\tO' -p99645 -aS'with\twith\tIN\tB-PP\tO' -p99646 -aS'intubation\tintubation\tNN\tB-NP\tO' -p99647 -aS'for\tfor\tIN\tB-PP\tO' -p99648 -aS'airway\tairway\tNN\tB-NP\tO' -p99649 -aS'protection\tprotection\tNN\tI-NP\tO' -p99650 -aS',\t,\t,\tO\tO' -p99651 -aS'with\twith\tIN\tB-PP\tO' -p99652 -aS'question\tquestion\tNN\tB-NP\tO' -p99653 -aS'of\tof\tIN\tB-PP\tO' -p99654 -aS'L\tL\tNN\tB-NP\tB-protein' -p99655 -aS'retrocardiac\tretrocardiac\tJJ\tI-NP\tI-protein' -p99656 -aS'infiltrate\tinfiltrate\tNN\tI-NP\tI-protein' -p99657 -aS',\t,\t,\tO\tO' -p99658 -aS'now\tnow\tRB\tB-ADVP\tO' -p99659 -aS'doing\tdo\tVBG\tB-VP\tO' -p99660 -aS'well\twell\tRB\tB-ADVP\tO' -p99661 -aS'.\t.\t.\tO\tO' -p99662 -asS'The left ventricular cavity is moderately dilated .' -p99663 -(lp99664 -S'The\tThe\tDT\tB-NP\tO' -p99665 -aS'left\tleft\tJJ\tI-NP\tO' -p99666 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p99667 -aS'cavity\tcavity\tNN\tI-NP\tO' -p99668 -aS'is\tbe\tVBZ\tB-VP\tO' -p99669 -aS'moderately\tmoderately\tRB\tI-VP\tO' -p99670 -aS'dilated\tdilate\tVBN\tI-VP\tO' -p99671 -aS'.\t.\t.\tO\tO' -p99672 -asS'There was no rebound ; no Munos sign .' -p99673 -(lp99674 -S'There\tThere\tEX\tB-NP\tO' -p99675 -aS'was\tbe\tVBD\tB-VP\tO' -p99676 -aS'no\tno\tDT\tB-NP\tO' -p99677 -aS'rebound\trebound\tNN\tI-NP\tO' -p99678 -aS';\t;\t:\tO\tO' -p99679 -aS'no\tno\tDT\tB-NP\tO' -p99680 -aS'Munos\tMunos\tNNP\tI-NP\tO' -p99681 -aS'sign\tsign\tNN\tI-NP\tO' -p99682 -aS'.\t.\t.\tO\tO' -p99683 -asS'She then underwent a CT scan which showed no evidence of volvulus .' -p99684 -(lp99685 -S'She\tShe\tPRP\tB-NP\tO' -p99686 -aS'then\tthen\tRB\tB-ADVP\tO' -p99687 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p99688 -aS'a\ta\tDT\tB-NP\tO' -p99689 -aS'CT\tCT\tNN\tI-NP\tO' -p99690 -aS'scan\tscan\tNN\tI-NP\tO' -p99691 -aS'which\twhich\tWDT\tB-NP\tO' -p99692 -aS'showed\tshow\tVBD\tB-VP\tO' -p99693 -aS'no\tno\tDT\tB-NP\tO' -p99694 -aS'evidence\tevidence\tNN\tI-NP\tO' -p99695 -aS'of\tof\tIN\tB-PP\tO' -p99696 -aS'volvulus\tvolvulus\tNN\tB-NP\tO' -p99697 -aS'.\t.\t.\tO\tO' -p99698 -asS'The patient was discharged on postoperative day seven and arrangements were made to have physical therapy perform a home safety evaluation for the patient , to which he agreed .' -p99699 -(lp99700 -S'The\tThe\tDT\tB-NP\tO' -p99701 -aS'patient\tpatient\tNN\tI-NP\tO' -p99702 -aS'was\tbe\tVBD\tB-VP\tO' -p99703 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p99704 -aS'on\ton\tIN\tB-PP\tO' -p99705 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p99706 -aS'day\tday\tNN\tI-NP\tO' -p99707 -aS'seven\tseven\tCD\tI-NP\tO' -p99708 -aS'and\tand\tCC\tO\tO' -p99709 -aS'arrangements\tarrangement\tNNS\tB-NP\tO' -p99710 -aS'were\tbe\tVBD\tB-VP\tO' -p99711 -aS'made\tmake\tVBN\tI-VP\tO' -p99712 -aS'to\tto\tTO\tI-VP\tO' -p99713 -aS'have\thave\tVB\tI-VP\tO' -p99714 -aS'physical\tphysical\tJJ\tB-NP\tO' -p99715 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p99716 -aS'perform\tperform\tVBP\tB-VP\tO' -p99717 -aS'a\ta\tDT\tB-NP\tO' -p99718 -aS'home\thome\tNN\tI-NP\tO' -p99719 -aS'safety\tsafety\tNN\tI-NP\tO' -p99720 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p99721 -aS'for\tfor\tIN\tB-PP\tO' -p99722 -aS'the\tthe\tDT\tB-NP\tO' -p99723 -aS'patient\tpatient\tNN\tI-NP\tO' -p99724 -aS',\t,\t,\tO\tO' -p99725 -aS'to\tto\tTO\tB-PP\tO' -p99726 -aS'which\twhich\tWDT\tB-NP\tO' -p99727 -aS'he\the\tPRP\tB-NP\tO' -p99728 -aS'agreed\tagree\tVBD\tB-VP\tO' -p99729 -aS'.\t.\t.\tO\tO' -p99730 -asS'This pregnancy was achieved with in Bartley fertilization .' -p99731 -(lp99732 -S'This\tThis\tDT\tB-NP\tO' -p99733 -aS'pregnancy\tpregnancy\tNN\tI-NP\tO' -p99734 -aS'was\tbe\tVBD\tB-VP\tO' -p99735 -aS'achieved\tachieve\tVBN\tI-VP\tO' -p99736 -aS'with\twith\tIN\tB-PP\tO' -p99737 -aS'in\tin\tIN\tB-PP\tO' -p99738 -aS'Bartley\tBartley\tNNP\tB-NP\tO' -p99739 -aS'fertilization\tfertilization\tNN\tI-NP\tO' -p99740 -aS'.\t.\t.\tO\tO' -p99741 -asS'The patient has no chest pain when walking slowly and can walk approximately 1.5 miles .' -p99742 -(lp99743 -S'The\tThe\tDT\tB-NP\tO' -p99744 -aS'patient\tpatient\tNN\tI-NP\tO' -p99745 -aS'has\thave\tVBZ\tB-VP\tO' -p99746 -aS'no\tno\tDT\tB-NP\tO' -p99747 -aS'chest\tchest\tNN\tI-NP\tO' -p99748 -aS'pain\tpain\tNN\tI-NP\tO' -p99749 -aS'when\twhen\tWRB\tB-ADVP\tO' -p99750 -aS'walking\twalk\tVBG\tB-VP\tO' -p99751 -aS'slowly\tslowly\tRB\tB-ADVP\tO' -p99752 -aS'and\tand\tCC\tO\tO' -p99753 -aS'can\tcan\tMD\tB-VP\tO' -p99754 -aS'walk\twalk\tVB\tI-VP\tO' -p99755 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p99756 -aS'1.5\t1.5\tCD\tI-NP\tO' -p99757 -aS'miles\tmile\tNNS\tI-NP\tO' -p99758 -aS'.\t.\t.\tO\tO' -p99759 -asS'Cellcept was discontinued in the setting of infection , but attempts to decrease prednisone or cyclosporine were unsuccessful .' -p99760 -(lp99761 -S'Cellcept\tCellcept\tNN\tB-NP\tO' -p99762 -aS'was\tbe\tVBD\tB-VP\tO' -p99763 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p99764 -aS'in\tin\tIN\tB-PP\tO' -p99765 -aS'the\tthe\tDT\tB-NP\tO' -p99766 -aS'setting\tsetting\tNN\tI-NP\tO' -p99767 -aS'of\tof\tIN\tB-PP\tO' -p99768 -aS'infection\tinfection\tNN\tB-NP\tO' -p99769 -aS',\t,\t,\tO\tO' -p99770 -aS'but\tbut\tCC\tO\tO' -p99771 -aS'attempts\tattempt\tVBZ\tB-VP\tO' -p99772 -aS'to\tto\tTO\tI-VP\tO' -p99773 -aS'decrease\tdecrease\tVB\tI-VP\tO' -p99774 -aS'prednisone\tprednisone\tNN\tB-NP\tO' -p99775 -aS'or\tor\tCC\tI-NP\tO' -p99776 -aS'cyclosporine\tcyclosporine\tNN\tI-NP\tO' -p99777 -aS'were\tbe\tVBD\tB-VP\tO' -p99778 -aS'unsuccessful\tunsuccessful\tJJ\tB-ADJP\tO' -p99779 -aS'.\t.\t.\tO\tO' -p99780 -asS'An echocardiogram was performed , which showed completely normal left ventricular systolic function with an ejection fraction calculated at .74 .' -p99781 -(lp99782 -S'An\tAn\tDT\tB-NP\tO' -p99783 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p99784 -aS'was\tbe\tVBD\tB-VP\tO' -p99785 -aS'performed\tperform\tVBN\tI-VP\tO' -p99786 -aS',\t,\t,\tO\tO' -p99787 -aS'which\twhich\tWDT\tB-NP\tO' -p99788 -aS'showed\tshow\tVBD\tB-VP\tO' -p99789 -aS'completely\tcompletely\tRB\tB-NP\tO' -p99790 -aS'normal\tnormal\tJJ\tI-NP\tO' -p99791 -aS'left\tleft\tJJ\tI-NP\tO' -p99792 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p99793 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p99794 -aS'function\tfunction\tNN\tI-NP\tO' -p99795 -aS'with\twith\tIN\tB-PP\tO' -p99796 -aS'an\tan\tDT\tB-NP\tO' -p99797 -aS'ejection\tejection\tNN\tI-NP\tO' -p99798 -aS'fraction\tfraction\tNN\tI-NP\tO' -p99799 -aS'calculated\tcalculate\tVBN\tB-VP\tO' -p99800 -aS'at\tat\tIN\tB-PP\tO' -p99801 -aS'.74\t.74\tNN\tB-NP\tO' -p99802 -aS'.\t.\t.\tO\tO' -p99803 -asS'all : no known drug allergies' -p99804 -(lp99805 -S'all\tall\tDT\tB-NP\tO' -p99806 -aS':\t:\t:\tO\tO' -p99807 -aS'no\tno\tDT\tB-NP\tO' -p99808 -aS'known\tknow\tVBN\tI-NP\tO' -p99809 -aS'drug\tdrug\tNN\tI-NP\tO' -p99810 -aS'allergies\tallergy\tNNS\tI-NP\tO' -p99811 -asS'PERRLA .' -p99812 -(lp99813 -S'PERRLA\tPERRLA\tNN\tB-NP\tO' -p99814 -aS'.\t.\t.\tO\tO' -p99815 -asS'He was transferred back to the Surgical Intensive Care Unit where he was aggressively diuresed as well as his rate was controlled and chest Physical Therapy and nebulizer treatments were done .' -p99816 -(lp99817 -S'He\tHe\tPRP\tB-NP\tO' -p99818 -aS'was\tbe\tVBD\tB-VP\tO' -p99819 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p99820 -aS'back\tback\tRB\tB-ADVP\tO' -p99821 -aS'to\tto\tTO\tB-PP\tO' -p99822 -aS'the\tthe\tDT\tB-NP\tO' -p99823 -aS'Surgical\tSurgical\tNNP\tI-NP\tO' -p99824 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p99825 -aS'Care\tCare\tNNP\tI-NP\tO' -p99826 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p99827 -aS'where\twhere\tWRB\tB-ADVP\tO' -p99828 -aS'he\the\tPRP\tB-NP\tO' -p99829 -aS'was\tbe\tVBD\tB-VP\tO' -p99830 -aS'aggressively\taggressively\tRB\tI-VP\tO' -p99831 -aS'diuresed\tdiurese\tVBN\tI-VP\tO' -p99832 -aS'as\tas\tRB\tB-CONJP\tO' -p99833 -aS'well\twell\tRB\tI-CONJP\tO' -p99834 -aS'as\tas\tIN\tI-CONJP\tO' -p99835 -aS'his\this\tPRP$\tB-NP\tO' -p99836 -aS'rate\trate\tNN\tI-NP\tO' -p99837 -aS'was\tbe\tVBD\tB-VP\tO' -p99838 -aS'controlled\tcontrol\tVBN\tI-VP\tO' -p99839 -aS'and\tand\tCC\tO\tO' -p99840 -aS'chest\tch\tJJS\tB-NP\tO' -p99841 -aS'Physical\tPhysical\tJJ\tI-NP\tO' -p99842 -aS'Therapy\tTherapy\tNN\tI-NP\tO' -p99843 -aS'and\tand\tCC\tI-NP\tO' -p99844 -aS'nebulizer\tnebulizer\tNN\tI-NP\tO' -p99845 -aS'treatments\ttreatment\tNNS\tI-NP\tO' -p99846 -aS'were\tbe\tVBD\tB-VP\tO' -p99847 -aS'done\tdo\tVBN\tI-VP\tO' -p99848 -aS'.\t.\t.\tO\tO' -p99849 -asS'2) Paroxysmal atrial fibrillation .' -p99850 -(lp99851 -S'2)\t2)\tLS\tB-NP\tO' -p99852 -aS'Paroxysmal\tParoxysmal\tJJ\tI-NP\tO' -p99853 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p99854 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p99855 -aS'.\t.\t.\tO\tO' -p99856 -asS'The patient was discharged to home on Amiodarone 200 mg daily on 12/29/96 .' -p99857 -(lp99858 -S'The\tThe\tDT\tB-NP\tO' -p99859 -aS'patient\tpatient\tNN\tI-NP\tO' -p99860 -aS'was\tbe\tVBD\tB-VP\tO' -p99861 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p99862 -aS'to\tto\tTO\tB-PP\tO' -p99863 -aS'home\thome\tNN\tB-NP\tO' -p99864 -aS'on\ton\tIN\tB-PP\tO' -p99865 -aS'Amiodarone\tAmiodarone\tNN\tB-NP\tO' -p99866 -aS'200\t200\tCD\tI-NP\tO' -p99867 -aS'mg\tmg\tNN\tI-NP\tO' -p99868 -aS'daily\tdaily\tRB\tB-ADVP\tO' -p99869 -aS'on\ton\tIN\tB-PP\tO' -p99870 -aS'12/29/96\t12/29/96\tCD\tB-NP\tO' -p99871 -aS'.\t.\t.\tO\tO' -p99872 -asS'It was guaiac negative .' -p99873 -(lp99874 -S'It\tIt\tPRP\tB-NP\tO' -p99875 -aS'was\tbe\tVBD\tB-VP\tO' -p99876 -aS'guaiac\tguaiac\tNN\tB-NP\tO' -p99877 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p99878 -aS'.\t.\t.\tO\tO' -p99879 -asS'EBL during delivery was 300 cc .' -p99880 -(lp99881 -S'EBL\tEBL\tNN\tB-NP\tB-protein' -p99882 -aS'during\tduring\tIN\tB-PP\tO' -p99883 -aS'delivery\tdelivery\tNN\tB-NP\tO' -p99884 -aS'was\tbe\tVBD\tB-VP\tO' -p99885 -aS'300\t300\tCD\tB-NP\tO' -p99886 -aS'cc\tcc\tNN\tI-NP\tO' -p99887 -aS'.\t.\t.\tO\tO' -p99888 -asS'After a approximate 3 liter total diuresis the right atrial pressure was 5 , pulmonary capillary wedge pressure 14 , pulmonary vacuolar resistance 353 and the cardiac output depressed at 2.95 liters per minute , or a cardiac index of 1.7 liters per minute .' -p99889 -(lp99890 -S'After\tAfter\tIN\tB-PP\tO' -p99891 -aS'a\ta\tDT\tB-NP\tO' -p99892 -aS'approximate\tapproximate\tJJ\tI-NP\tO' -p99893 -aS'3\t3\tCD\tI-NP\tO' -p99894 -aS'liter\tliter\tNN\tI-NP\tO' -p99895 -aS'total\ttotal\tJJ\tI-NP\tO' -p99896 -aS'diuresis\tdiuresis\tNN\tI-NP\tO' -p99897 -aS'the\tthe\tDT\tB-NP\tO' -p99898 -aS'right\tright\tJJ\tI-NP\tO' -p99899 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p99900 -aS'pressure\tpressure\tNN\tI-NP\tO' -p99901 -aS'was\tbe\tVBD\tB-VP\tO' -p99902 -aS'5\t5\tCD\tB-NP\tO' -p99903 -aS',\t,\t,\tO\tO' -p99904 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p99905 -aS'capillary\tcapillary\tJJ\tI-NP\tO' -p99906 -aS'wedge\twedge\tNN\tI-NP\tO' -p99907 -aS'pressure\tpressure\tNN\tI-NP\tO' -p99908 -aS'14\t14\tCD\tI-NP\tO' -p99909 -aS',\t,\t,\tO\tO' -p99910 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p99911 -aS'vacuolar\tvacuolar\tJJ\tI-NP\tO' -p99912 -aS'resistance\tresistance\tNN\tI-NP\tO' -p99913 -aS'353\t353\tCD\tI-NP\tO' -p99914 -aS'and\tand\tCC\tO\tO' -p99915 -aS'the\tthe\tDT\tB-NP\tO' -p99916 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p99917 -aS'output\toutput\tNN\tI-NP\tO' -p99918 -aS'depressed\tdepress\tVBD\tB-VP\tO' -p99919 -aS'at\tat\tIN\tB-PP\tO' -p99920 -aS'2.95\t2.95\tCD\tB-NP\tO' -p99921 -aS'liters\tliter\tNNS\tI-NP\tO' -p99922 -aS'per\tper\tIN\tB-PP\tO' -p99923 -aS'minute\tminute\tNN\tB-NP\tO' -p99924 -aS',\t,\t,\tO\tO' -p99925 -aS'or\tor\tCC\tO\tO' -p99926 -aS'a\ta\tDT\tB-NP\tO' -p99927 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p99928 -aS'index\tindex\tNN\tI-NP\tO' -p99929 -aS'of\tof\tIN\tB-PP\tO' -p99930 -aS'1.7\t1.7\tCD\tB-NP\tO' -p99931 -aS'liters\tliter\tNNS\tI-NP\tO' -p99932 -aS'per\tper\tIN\tB-PP\tO' -p99933 -aS'minute\tminute\tNN\tB-NP\tO' -p99934 -aS'.\t.\t.\tO\tO' -p99935 -asS'The patient is a 66 year old Portuguese speaking gentleman with a history of hypertension , diabetes mellitus , increasing cholesterol , and history of tobacco use , who is status post myocardial infarction in September of 1993 and February of 1993 , who presented with new onset of left chest pain and arm pain for two days .' -p99936 -(lp99937 -S'The\tThe\tDT\tB-NP\tO' -p99938 -aS'patient\tpatient\tNN\tI-NP\tO' -p99939 -aS'is\tbe\tVBZ\tB-VP\tO' -p99940 -aS'a\ta\tDT\tB-NP\tO' -p99941 -aS'66\t66\tCD\tI-NP\tO' -p99942 -aS'year\tyear\tNN\tI-NP\tO' -p99943 -aS'old\told\tJJ\tI-NP\tO' -p99944 -aS'Portuguese\tPortuguese\tNN\tI-NP\tO' -p99945 -aS'speaking\tspeak\tVBG\tB-VP\tO' -p99946 -aS'gentleman\tgentleman\tNN\tB-NP\tO' -p99947 -aS'with\twith\tIN\tB-PP\tO' -p99948 -aS'a\ta\tDT\tB-NP\tO' -p99949 -aS'history\thistory\tNN\tI-NP\tO' -p99950 -aS'of\tof\tIN\tB-PP\tO' -p99951 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p99952 -aS',\t,\t,\tO\tO' -p99953 -aS'diabetes\tdiabetes\tNN\tB-NP\tO' -p99954 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p99955 -aS',\t,\t,\tO\tO' -p99956 -aS'increasing\tincrease\tVBG\tB-VP\tO' -p99957 -aS'cholesterol\tcholesterol\tNN\tB-NP\tO' -p99958 -aS',\t,\t,\tO\tO' -p99959 -aS'and\tand\tCC\tO\tO' -p99960 -aS'history\thistory\tNN\tB-NP\tO' -p99961 -aS'of\tof\tIN\tB-PP\tO' -p99962 -aS'tobacco\ttobacco\tNN\tB-NP\tO' -p99963 -aS'use\tuse\tNN\tI-NP\tO' -p99964 -aS',\t,\t,\tO\tO' -p99965 -aS'who\twho\tWP\tB-NP\tO' -p99966 -aS'is\tbe\tVBZ\tB-VP\tO' -p99967 -aS'status\tstatus\tNN\tB-NP\tO' -p99968 -aS'post\tpost\tNN\tI-NP\tO' -p99969 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p99970 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p99971 -aS'in\tin\tIN\tB-PP\tO' -p99972 -aS'September\tSeptember\tNNP\tB-NP\tO' -p99973 -aS'of\tof\tIN\tB-PP\tO' -p99974 -aS'1993\t1993\tCD\tB-NP\tO' -p99975 -aS'and\tand\tCC\tO\tO' -p99976 -aS'February\tFebruary\tNNP\tB-NP\tO' -p99977 -aS'of\tof\tIN\tB-PP\tO' -p99978 -aS'1993\t1993\tCD\tB-NP\tO' -p99979 -aS',\t,\t,\tO\tO' -p99980 -aS'who\twho\tWP\tB-NP\tO' -p99981 -aS'presented\tpresent\tVBD\tB-VP\tO' -p99982 -aS'with\twith\tIN\tB-PP\tO' -p99983 -aS'new\tnew\tJJ\tB-NP\tO' -p99984 -aS'onset\tonset\tNN\tI-NP\tO' -p99985 -aS'of\tof\tIN\tB-PP\tO' -p99986 -aS'left\tleft\tJJ\tB-NP\tO' -p99987 -aS'chest\tchest\tNN\tI-NP\tO' -p99988 -aS'pain\tpain\tNN\tI-NP\tO' -p99989 -aS'and\tand\tCC\tO\tO' -p99990 -aS'arm\tarm\tNN\tB-NP\tO' -p99991 -aS'pain\tpain\tNN\tI-NP\tO' -p99992 -aS'for\tfor\tIN\tB-PP\tO' -p99993 -aS'two\ttwo\tCD\tB-NP\tO' -p99994 -aS'days\tday\tNNS\tI-NP\tO' -p99995 -aS'.\t.\t.\tO\tO' -p99996 -asS'Electrolytes were measured on day of life 2 and were stable at that time .' -p99997 -(lp99998 -S'Electrolytes\tElectrolyte\tNNS\tB-NP\tO' -p99999 -aS'were\tbe\tVBD\tB-VP\tO' -p100000 -aS'measured\tmeasure\tVBN\tI-VP\tO' -p100001 -aS'on\ton\tIN\tB-PP\tO' -p100002 -aS'day\tday\tNN\tB-NP\tO' -p100003 -aS'of\tof\tIN\tB-PP\tO' -p100004 -aS'life\tlife\tNN\tB-NP\tB-protein' -p100005 -aS'2\t2\tCD\tI-NP\tI-protein' -p100006 -aS'and\tand\tCC\tO\tO' -p100007 -aS'were\tbe\tVBD\tB-VP\tO' -p100008 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p100009 -aS'at\tat\tIN\tB-PP\tO' -p100010 -aS'that\tthat\tDT\tB-NP\tO' -p100011 -aS'time\ttime\tNN\tI-NP\tO' -p100012 -aS'.\t.\t.\tO\tO' -p100013 -asS'The patient has a history of MI in 1989 , no angina before or after .' -p100014 -(lp100015 -S'The\tThe\tDT\tB-NP\tO' -p100016 -aS'patient\tpatient\tNN\tI-NP\tO' -p100017 -aS'has\thave\tVBZ\tB-VP\tO' -p100018 -aS'a\ta\tDT\tB-NP\tO' -p100019 -aS'history\thistory\tNN\tI-NP\tO' -p100020 -aS'of\tof\tIN\tB-PP\tO' -p100021 -aS'MI\tMI\tNN\tB-NP\tB-protein' -p100022 -aS'in\tin\tIN\tB-PP\tO' -p100023 -aS'1989\t1989\tCD\tB-NP\tO' -p100024 -aS',\t,\t,\tO\tO' -p100025 -aS'no\tno\tDT\tB-NP\tO' -p100026 -aS'angina\tangina\tNN\tI-NP\tO' -p100027 -aS'before\tbefore\tIN\tB-PP\tO' -p100028 -aS'or\tor\tCC\tI-PP\tO' -p100029 -aS'after\tafter\tIN\tI-PP\tO' -p100030 -aS'.\t.\t.\tO\tO' -p100031 -asS'Includes a history of atrial fibrillation with good heart rate control on Digoxin .' -p100032 -(lp100033 -S'Includes\tInclude\tVBZ\tB-VP\tO' -p100034 -aS'a\ta\tDT\tB-NP\tO' -p100035 -aS'history\thistory\tNN\tI-NP\tO' -p100036 -aS'of\tof\tIN\tB-PP\tO' -p100037 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p100038 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p100039 -aS'with\twith\tIN\tB-PP\tO' -p100040 -aS'good\tgood\tJJ\tB-NP\tO' -p100041 -aS'heart\theart\tNN\tI-NP\tO' -p100042 -aS'rate\trate\tNN\tI-NP\tO' -p100043 -aS'control\tcontrol\tNN\tI-NP\tO' -p100044 -aS'on\ton\tIN\tB-PP\tO' -p100045 -aS'Digoxin\tDigoxin\tNN\tB-NP\tO' -p100046 -aS'.\t.\t.\tO\tO' -p100047 -asS'He needs to seek medical attention if he develops fever , chills , nausea , vomiting , worsening pain , worsening wound , or any other concerning symptoms .' -p100048 -(lp100049 -S'He\tHe\tPRP\tB-NP\tO' -p100050 -aS'needs\tneed\tVBZ\tB-VP\tO' -p100051 -aS'to\tto\tTO\tI-VP\tO' -p100052 -aS'seek\tseek\tVB\tI-VP\tO' -p100053 -aS'medical\tmedical\tJJ\tB-NP\tO' -p100054 -aS'attention\tattention\tNN\tI-NP\tO' -p100055 -aS'if\tif\tIN\tB-SBAR\tO' -p100056 -aS'he\the\tPRP\tB-NP\tO' -p100057 -aS'develops\tdevelop\tVBZ\tB-VP\tO' -p100058 -aS'fever\tfever\tRB\tB-ADVP\tO' -p100059 -aS',\t,\t,\tO\tO' -p100060 -aS'chills\tchill\tNNS\tB-NP\tO' -p100061 -aS',\t,\t,\tO\tO' -p100062 -aS'nausea\tnausea\tNN\tB-NP\tO' -p100063 -aS',\t,\t,\tO\tO' -p100064 -aS'vomiting\tvomit\tVBG\tB-VP\tO' -p100065 -aS',\t,\t,\tO\tO' -p100066 -aS'worsening\tworsen\tVBG\tB-VP\tO' -p100067 -aS'pain\tpain\tNN\tB-NP\tO' -p100068 -aS',\t,\t,\tO\tO' -p100069 -aS'worsening\tworsen\tVBG\tB-VP\tO' -p100070 -aS'wound\twound\tNN\tB-NP\tO' -p100071 -aS',\t,\t,\tO\tO' -p100072 -aS'or\tor\tCC\tO\tO' -p100073 -aS'any\tany\tDT\tB-NP\tO' -p100074 -aS'other\tother\tJJ\tI-NP\tO' -p100075 -aS'concerning\tconcern\tVBG\tI-NP\tO' -p100076 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p100077 -aS'.\t.\t.\tO\tO' -p100078 -asS'Her induced sputum was negative and BOL was done and also negative .' -p100079 -(lp100080 -S'Her\tHer\tPRP$\tB-NP\tB-protein' -p100081 -aS'induced\tinduce\tVBN\tI-NP\tO' -p100082 -aS'sputum\tsputum\tNN\tI-NP\tO' -p100083 -aS'was\tbe\tVBD\tB-VP\tO' -p100084 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p100085 -aS'and\tand\tCC\tO\tO' -p100086 -aS'BOL\tBOL\tNN\tB-NP\tO' -p100087 -aS'was\tbe\tVBD\tB-VP\tO' -p100088 -aS'done\tdo\tVBN\tI-VP\tO' -p100089 -aS'and\tand\tCC\tO\tO' -p100090 -aS'also\talso\tRB\tB-ADVP\tO' -p100091 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p100092 -aS'.\t.\t.\tO\tO' -p100093 -asS'11. Warfarin 2 mg Tablet Sig : One ( 1 ) Tablet PO HS ( at bedtime ) : Titrate dose to Goal INR 03-15 .' -p100094 -(lp100095 -S'11.\t11.\tCD\tB-NP\tO' -p100096 -aS'Warfarin\tWarfarin\tNN\tI-NP\tO' -p100097 -aS'2\t2\tCD\tB-NP\tO' -p100098 -aS'mg\tmg\tNN\tI-NP\tO' -p100099 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p100100 -aS'Sig\tSig\tNNP\tI-NP\tO' -p100101 -aS':\t:\t:\tO\tO' -p100102 -aS'One\tOne\tCD\tB-NP\tO' -p100103 -aS'(\t(\t(\tO\tO' -p100104 -aS'1\t1\tCD\tB-NP\tO' -p100105 -aS')\t)\t)\tO\tO' -p100106 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p100107 -aS'PO\tPO\tNN\tI-NP\tO' -p100108 -aS'HS\tHS\tNN\tI-NP\tO' -p100109 -aS'(\t(\t(\tO\tO' -p100110 -aS'at\tat\tIN\tB-PP\tO' -p100111 -aS'bedtime\tbedtime\tNN\tB-NP\tO' -p100112 -aS')\t)\t)\tO\tO' -p100113 -aS':\t:\t:\tO\tO' -p100114 -aS'Titrate\tTitrate\tNN\tB-NP\tO' -p100115 -aS'dose\tdose\tNN\tI-NP\tO' -p100116 -aS'to\tto\tTO\tB-PP\tO' -p100117 -aS'Goal\tGoal\tNN\tB-NP\tO' -p100118 -aS'INR\tINR\tNN\tI-NP\tO' -p100119 -aS'03-15\t03-15\tCD\tI-NP\tO' -p100120 -aS'.\t.\t.\tO\tO' -p100121 -asS'Cyst was drained and pt was sent home with Duracef .' -p100122 -(lp100123 -S'Cyst\tCyst\tNN\tB-NP\tO' -p100124 -aS'was\tbe\tVBD\tB-VP\tO' -p100125 -aS'drained\tdrain\tVBN\tI-VP\tO' -p100126 -aS'and\tand\tCC\tO\tO' -p100127 -aS'pt\tpt\tNN\tB-NP\tO' -p100128 -aS'was\tbe\tVBD\tB-VP\tO' -p100129 -aS'sent\tsend\tVBN\tI-VP\tO' -p100130 -aS'home\thome\tNN\tB-ADVP\tO' -p100131 -aS'with\twith\tIN\tB-PP\tO' -p100132 -aS'Duracef\tDuracef\tNN\tB-NP\tO' -p100133 -aS'.\t.\t.\tO\tO' -p100134 -asS'Status post laparotomy for an ovarian cyst in 1988 .' -p100135 -(lp100136 -S'Status\tStatus\tNNP\tB-NP\tO' -p100137 -aS'post\tpost\tNN\tI-NP\tO' -p100138 -aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' -p100139 -aS'for\tfor\tIN\tB-PP\tO' -p100140 -aS'an\tan\tDT\tB-NP\tO' -p100141 -aS'ovarian\tovarian\tJJ\tI-NP\tO' -p100142 -aS'cyst\tcyst\tNN\tI-NP\tO' -p100143 -aS'in\tin\tIN\tB-PP\tO' -p100144 -aS'1988\t1988\tCD\tB-NP\tO' -p100145 -aS'.\t.\t.\tO\tO' -p100146 -asS'Breath sounds , clear and equal , without retractions , respiratory rate 30 s to 60 s.' -p100147 -(lp100148 -S'Breath\tBreath\tNN\tB-NP\tO' -p100149 -aS'sounds\tsound\tNNS\tI-NP\tO' -p100150 -aS',\t,\t,\tO\tO' -p100151 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p100152 -aS'and\tand\tCC\tI-ADJP\tO' -p100153 -aS'equal\tequal\tJJ\tI-ADJP\tO' -p100154 -aS',\t,\t,\tO\tO' -p100155 -aS'without\twithout\tIN\tB-PP\tO' -p100156 -aS'retractions\tretraction\tNNS\tB-NP\tO' -p100157 -aS',\t,\t,\tO\tO' -p100158 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p100159 -aS'rate\trate\tNN\tI-NP\tO' -p100160 -aS'30\t30\tCD\tI-NP\tO' -p100161 -aS's\ts\tNN\tI-NP\tO' -p100162 -aS'to\tto\tTO\tB-PP\tO' -p100163 -aS'60\t60\tCD\tB-NP\tO' -p100164 -aS's.\ts.\tNNS\tI-NP\tO' -p100165 -asS'Eyes were deviated to the left .' -p100166 -(lp100167 -S'Eyes\tEye\tNNS\tB-NP\tO' -p100168 -aS'were\tbe\tVBD\tB-VP\tO' -p100169 -aS'deviated\tdeviate\tVBN\tI-VP\tO' -p100170 -aS'to\tto\tTO\tB-PP\tO' -p100171 -aS'the\tthe\tDT\tB-NP\tO' -p100172 -aS'left\tleft\tNN\tI-NP\tO' -p100173 -aS'.\t.\t.\tO\tO' -p100174 -asS'Sodium 133 , potassium 4.8 , chloride' -p100175 -(lp100176 -S'Sodium\tSodium\tNN\tB-NP\tB-protein' -p100177 -aS'133\t133\tCD\tI-NP\tI-protein' -p100178 -aS',\t,\t,\tO\tO' -p100179 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p100180 -aS'4.8\t4.8\tCD\tI-NP\tO' -p100181 -aS',\t,\t,\tO\tO' -p100182 -aS'chloride\tchloride\tNN\tB-NP\tO' -p100183 -asS'The bladder is unremarkable .' -p100184 -(lp100185 -S'The\tThe\tDT\tB-NP\tO' -p100186 -aS'bladder\tbladder\tNN\tI-NP\tO' -p100187 -aS'is\tbe\tVBZ\tB-VP\tO' -p100188 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p100189 -aS'.\t.\t.\tO\tO' -p100190 -asS'Patient had no further cardiac issues at this time .' -p100191 -(lp100192 -S'Patient\tPatient\tNN\tB-NP\tO' -p100193 -aS'had\thave\tVBD\tB-VP\tO' -p100194 -aS'no\tno\tDT\tB-NP\tO' -p100195 -aS'further\tfurther\tJJ\tI-NP\tO' -p100196 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p100197 -aS'issues\tissue\tNNS\tI-NP\tO' -p100198 -aS'at\tat\tIN\tB-PP\tO' -p100199 -aS'this\tthis\tDT\tB-NP\tO' -p100200 -aS'time\ttime\tNN\tI-NP\tO' -p100201 -aS'.\t.\t.\tO\tO' -p100202 -asS'Shower daily and wash incisions with soap and water .' -p100203 -(lp100204 -S'Shower\tShower\tRBR\tB-NP\tO' -p100205 -aS'daily\tdaily\tJJ\tI-NP\tO' -p100206 -aS'and\tand\tCC\tI-NP\tO' -p100207 -aS'wash\twash\tNN\tI-NP\tO' -p100208 -aS'incisions\tincision\tNNS\tI-NP\tO' -p100209 -aS'with\twith\tIN\tB-PP\tO' -p100210 -aS'soap\tsoap\tNN\tB-NP\tO' -p100211 -aS'and\tand\tCC\tI-NP\tO' -p100212 -aS'water\twater\tNN\tI-NP\tO' -p100213 -aS'.\t.\t.\tO\tO' -p100214 -asS'He denies orthopnea , edema , paroxysmal nocturnal dyspnea , diaphoresis , claudication .' -p100215 -(lp100216 -S'He\tHe\tPRP\tB-NP\tO' -p100217 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p100218 -aS'orthopnea\torthopnea\tNN\tB-NP\tO' -p100219 -aS',\t,\t,\tO\tO' -p100220 -aS'edema\tedema\tNN\tB-NP\tO' -p100221 -aS',\t,\t,\tO\tO' -p100222 -aS'paroxysmal\tparoxysmal\tJJ\tB-NP\tO' -p100223 -aS'nocturnal\tnocturnal\tJJ\tI-NP\tO' -p100224 -aS'dyspnea\tdyspnea\tNN\tI-NP\tO' -p100225 -aS',\t,\t,\tO\tO' -p100226 -aS'diaphoresis\tdiaphoresis\tNN\tB-NP\tO' -p100227 -aS',\t,\t,\tO\tO' -p100228 -aS'claudication\tclaudication\tNN\tB-NP\tO' -p100229 -aS'.\t.\t.\tO\tO' -p100230 -asS'He also began to wean off the ventilator .' -p100231 -(lp100232 -S'He\tHe\tPRP\tB-NP\tO' -p100233 -aS'also\talso\tRB\tB-ADVP\tO' -p100234 -aS'began\tbegin\tVBD\tB-VP\tO' -p100235 -aS'to\tto\tTO\tI-VP\tO' -p100236 -aS'wean\twean\tVB\tI-VP\tO' -p100237 -aS'off\toff\tRP\tB-PRT\tO' -p100238 -aS'the\tthe\tDT\tB-NP\tO' -p100239 -aS'ventilator\tventilator\tNN\tI-NP\tO' -p100240 -aS'.\t.\t.\tO\tO' -p100241 -asS'Plan for patient regarding cardiac , unlike hypotension of cardiac origin .' -p100242 -(lp100243 -S'Plan\tPlan\tNN\tB-NP\tO' -p100244 -aS'for\tfor\tIN\tB-PP\tO' -p100245 -aS'patient\tpatient\tNN\tB-NP\tO' -p100246 -aS'regarding\tregard\tVBG\tB-VP\tO' -p100247 -aS'cardiac\tcardiac\tNN\tB-NP\tO' -p100248 -aS',\t,\t,\tO\tO' -p100249 -aS'unlike\tunlike\tIN\tB-PP\tO' -p100250 -aS'hypotension\thypotension\tNN\tB-NP\tO' -p100251 -aS'of\tof\tIN\tB-PP\tO' -p100252 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p100253 -aS'origin\torigin\tNN\tI-NP\tO' -p100254 -aS'.\t.\t.\tO\tO' -p100255 -asS'His electrolytes were repleted and the patient was discharged home on 2009-05-06 after tolerating a level V .' -p100256 -(lp100257 -S'His\tHis\tPRP$\tB-NP\tO' -p100258 -aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' -p100259 -aS'were\tbe\tVBD\tB-VP\tO' -p100260 -aS'repleted\treplete\tVBN\tI-VP\tO' -p100261 -aS'and\tand\tCC\tO\tO' -p100262 -aS'the\tthe\tDT\tB-NP\tO' -p100263 -aS'patient\tpatient\tNN\tI-NP\tO' -p100264 -aS'was\tbe\tVBD\tB-VP\tO' -p100265 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p100266 -aS'home\thome\tNN\tB-ADVP\tO' -p100267 -aS'on\ton\tIN\tB-PP\tO' -p100268 -aS'2009-05-06\t2009-05-06\tCD\tB-NP\tO' -p100269 -aS'after\tafter\tIN\tB-PP\tO' -p100270 -aS'tolerating\ttolerate\tVBG\tB-VP\tO' -p100271 -aS'a\ta\tDT\tB-NP\tO' -p100272 -aS'level\tlevel\tNN\tI-NP\tO' -p100273 -aS'V\tV\tNN\tI-NP\tO' -p100274 -aS'.\t.\t.\tO\tO' -p100275 -asS"The patient 's neurologic exam ( performed after sedation removed >48 hours ) revealed intact brainstem function without evidence of higher cortical activity ." -p100276 -(lp100277 -S'The\tThe\tDT\tB-NP\tO' -p100278 -aS'patient\tpatient\tNN\tI-NP\tO' -p100279 -aS"'s\t's\tPOS\tB-NP\tO" -p100280 -aS'neurologic\tneurologic\tJJ\tI-NP\tO' -p100281 -aS'exam\texam\tNN\tI-NP\tO' -p100282 -aS'(\t(\t(\tO\tO' -p100283 -aS'performed\tperform\tVBN\tB-VP\tO' -p100284 -aS'after\tafter\tIN\tB-SBAR\tO' -p100285 -aS'sedation\tsedation\tNN\tB-NP\tO' -p100286 -aS'removed\tremove\tVBD\tB-VP\tO' -p100287 -aS'>48\t>48\tCD\tB-NP\tO' -p100288 -aS'hours\thour\tNNS\tI-NP\tO' -p100289 -aS')\t)\t)\tO\tO' -p100290 -aS'revealed\treveal\tVBD\tB-VP\tO' -p100291 -aS'intact\tintact\tJJ\tB-NP\tO' -p100292 -aS'brainstem\tbrainstem\tNN\tI-NP\tO' -p100293 -aS'function\tfunction\tNN\tI-NP\tO' -p100294 -aS'without\twithout\tIN\tB-PP\tO' -p100295 -aS'evidence\tevidence\tNN\tB-NP\tO' -p100296 -aS'of\tof\tIN\tB-PP\tO' -p100297 -aS'higher\thigh\tJJR\tB-NP\tO' -p100298 -aS'cortical\tcortical\tJJ\tI-NP\tO' -p100299 -aS'activity\tactivity\tNN\tI-NP\tO' -p100300 -aS'.\t.\t.\tO\tO' -p100301 -asS'Chest x-ray - low lung volumes , bibasilar opacities , no evidence of heart failure .' -p100302 -(lp100303 -S'Chest\tCh\tJJS\tB-NP\tO' -p100304 -aS'x-ray\tx-ray\tAFX\tI-NP\tB-DNA' -p100305 -aS'-\t-\tHYPH\tI-NP\tO' -p100306 -aS'low\tlow\tJJ\tI-NP\tO' -p100307 -aS'lung\tlung\tNN\tI-NP\tO' -p100308 -aS'volumes\tvolume\tNNS\tI-NP\tO' -p100309 -aS',\t,\t,\tO\tO' -p100310 -aS'bibasilar\tbibasilar\tJJ\tB-NP\tO' -p100311 -aS'opacities\topacity\tNNS\tI-NP\tO' -p100312 -aS',\t,\t,\tO\tO' -p100313 -aS'no\tno\tDT\tB-NP\tO' -p100314 -aS'evidence\tevidence\tNN\tI-NP\tO' -p100315 -aS'of\tof\tIN\tB-PP\tO' -p100316 -aS'heart\theart\tNN\tB-NP\tO' -p100317 -aS'failure\tfailure\tNN\tI-NP\tO' -p100318 -aS'.\t.\t.\tO\tO' -p100319 -asS'lasix alt 40 mg and 20 mg qday' -p100320 -(lp100321 -S'lasix\tlasix\tCD\tB-NP\tO' -p100322 -aS'alt\talt\tIN\tI-NP\tO' -p100323 -aS'40\t40\tCD\tI-NP\tO' -p100324 -aS'mg\tmg\tNN\tI-NP\tO' -p100325 -aS'and\tand\tCC\tI-NP\tO' -p100326 -aS'20\t20\tCD\tI-NP\tO' -p100327 -aS'mg\tmg\tNN\tI-NP\tO' -p100328 -aS'qday\tqday\tNN\tI-NP\tO' -p100329 -asS'On the second day that the rash had been noted , Derm was asked to see again , felt c/w hypersensitivity , bactrim was switched to pentamidine , and lamictal was held .' -p100330 -(lp100331 -S'On\tOn\tIN\tB-PP\tO' -p100332 -aS'the\tthe\tDT\tB-NP\tO' -p100333 -aS'second\tsecond\tJJ\tI-NP\tO' -p100334 -aS'day\tday\tNN\tI-NP\tO' -p100335 -aS'that\tthat\tIN\tB-SBAR\tO' -p100336 -aS'the\tthe\tDT\tB-NP\tO' -p100337 -aS'rash\trash\tNN\tI-NP\tO' -p100338 -aS'had\thave\tVBD\tB-VP\tO' -p100339 -aS'been\tbe\tVBN\tI-VP\tO' -p100340 -aS'noted\tnote\tVBN\tI-VP\tO' -p100341 -aS',\t,\t,\tO\tO' -p100342 -aS'Derm\tDerm\tNN\tB-NP\tO' -p100343 -aS'was\tbe\tVBD\tB-VP\tO' -p100344 -aS'asked\task\tVBN\tI-VP\tO' -p100345 -aS'to\tto\tTO\tI-VP\tO' -p100346 -aS'see\tsee\tVB\tI-VP\tO' -p100347 -aS'again\tagain\tRB\tB-ADVP\tO' -p100348 -aS',\t,\t,\tO\tO' -p100349 -aS'felt\tfeel\tVBD\tB-VP\tO' -p100350 -aS'c/w\tc/w\tNN\tB-NP\tO' -p100351 -aS'hypersensitivity\thypersensitivity\tNN\tI-NP\tO' -p100352 -aS',\t,\t,\tO\tO' -p100353 -aS'bactrim\tbactrim\tNN\tB-NP\tO' -p100354 -aS'was\tbe\tVBD\tB-VP\tO' -p100355 -aS'switched\tswitch\tVBN\tI-VP\tO' -p100356 -aS'to\tto\tTO\tB-PP\tO' -p100357 -aS'pentamidine\tpentamidine\tNN\tB-NP\tO' -p100358 -aS',\t,\t,\tO\tO' -p100359 -aS'and\tand\tCC\tO\tO' -p100360 -aS'lamictal\tlamictal\tJJ\tB-NP\tO' -p100361 -aS'was\tbe\tVBD\tB-VP\tO' -p100362 -aS'held\thold\tVBN\tI-VP\tO' -p100363 -aS'.\t.\t.\tO\tO' -p100364 -asS'Followup Instructions : patient passed away' -p100365 -(lp100366 -S'Followup\tFollowup\tNN\tB-NP\tO' -p100367 -aS'Instructions\tInstruction\tNNS\tI-NP\tO' -p100368 -aS':\t:\t:\tO\tO' -p100369 -aS'patient\tpatient\tNN\tB-NP\tO' -p100370 -aS'passed\tpass\tVBD\tB-VP\tO' -p100371 -aS'away\taway\tRB\tB-ADVP\tO' -p100372 -asS'The baby has been appropriate for gestational age with normal newborn reflexes .' -p100373 -(lp100374 -S'The\tThe\tDT\tB-NP\tO' -p100375 -aS'baby\tbaby\tNN\tI-NP\tO' -p100376 -aS'has\thave\tVBZ\tB-VP\tO' -p100377 -aS'been\tbe\tVBN\tI-VP\tO' -p100378 -aS'appropriate\tappropriate\tJJ\tB-ADJP\tO' -p100379 -aS'for\tfor\tIN\tB-PP\tO' -p100380 -aS'gestational\tgestational\tJJ\tB-NP\tO' -p100381 -aS'age\tage\tNN\tI-NP\tO' -p100382 -aS'with\twith\tIN\tB-PP\tO' -p100383 -aS'normal\tnormal\tJJ\tB-NP\tO' -p100384 -aS'newborn\tnewborn\tJJ\tI-NP\tO' -p100385 -aS'reflexes\treflex\tNNS\tI-NP\tO' -p100386 -aS'.\t.\t.\tO\tO' -p100387 -asS'While the patient was in restraints , gentle hydration was initiated since p.o. intake was not adequate .' -p100388 -(lp100389 -S'While\tWhile\tIN\tB-SBAR\tO' -p100390 -aS'the\tthe\tDT\tB-NP\tO' -p100391 -aS'patient\tpatient\tNN\tI-NP\tO' -p100392 -aS'was\tbe\tVBD\tB-VP\tO' -p100393 -aS'in\tin\tIN\tB-PP\tO' -p100394 -aS'restraints\trestraint\tNNS\tB-NP\tO' -p100395 -aS',\t,\t,\tO\tO' -p100396 -aS'gentle\tgentle\tJJ\tB-NP\tO' -p100397 -aS'hydration\thydration\tNN\tI-NP\tO' -p100398 -aS'was\tbe\tVBD\tB-VP\tO' -p100399 -aS'initiated\tinitiate\tVBN\tI-VP\tO' -p100400 -aS'since\tsince\tIN\tB-PP\tO' -p100401 -aS'p.o.\tp.o.\tFW\tB-NP\tO' -p100402 -aS'intake\tintake\tNN\tI-NP\tO' -p100403 -aS'was\tbe\tVBD\tB-VP\tO' -p100404 -aS'not\tnot\tRB\tO\tO' -p100405 -aS'adequate\tadequate\tJJ\tB-ADJP\tO' -p100406 -aS'.\t.\t.\tO\tO' -p100407 -asS'ALT 141 , AST 40 , alk phos 108 , and a total bili of 1.0. Total protein was 5.7 , albumin 2.5 and globulin 3.2 .' -p100408 -(lp100409 -S'ALT\tALT\tNN\tB-NP\tB-protein' -p100410 -aS'141\t141\tCD\tI-NP\tI-protein' -p100411 -aS',\t,\t,\tO\tO' -p100412 -aS'AST\tAST\tNNP\tB-NP\tO' -p100413 -aS'40\t40\tCD\tI-NP\tO' -p100414 -aS',\t,\t,\tO\tO' -p100415 -aS'alk\talk\tNN\tB-NP\tO' -p100416 -aS'phos\tpho\tNNS\tI-NP\tO' -p100417 -aS'108\t108\tCD\tB-NP\tO' -p100418 -aS',\t,\t,\tO\tO' -p100419 -aS'and\tand\tCC\tO\tO' -p100420 -aS'a\ta\tDT\tB-NP\tO' -p100421 -aS'total\ttotal\tJJ\tI-NP\tO' -p100422 -aS'bili\tbili\tNN\tI-NP\tO' -p100423 -aS'of\tof\tIN\tB-PP\tO' -p100424 -aS'1.0.\t1.0.\tCD\tB-NP\tO' -p100425 -aS'Total\tTotal\tJJ\tI-NP\tO' -p100426 -aS'protein\tprotein\tNN\tI-NP\tO' -p100427 -aS'was\tbe\tVBD\tB-VP\tO' -p100428 -aS'5.7\t5.7\tCD\tB-NP\tO' -p100429 -aS',\t,\t,\tO\tO' -p100430 -aS'albumin\talbumin\tNN\tB-NP\tO' -p100431 -aS'2.5\t2.5\tCD\tI-NP\tO' -p100432 -aS'and\tand\tCC\tO\tO' -p100433 -aS'globulin\tglobulin\tNN\tB-NP\tB-protein' -p100434 -aS'3.2\t3.2\tCD\tI-NP\tI-protein' -p100435 -aS'.\t.\t.\tO\tO' -p100436 -asS'1. Follow-up with Dr. Williams on Tuesday , 09-07 , at noon .' -p100437 -(lp100438 -S'1.\t1.\tLS\tB-NP\tO' -p100439 -aS'Follow-up\tFollow-up\tNN\tI-NP\tO' -p100440 -aS'with\twith\tIN\tB-PP\tO' -p100441 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p100442 -aS'Williams\tWilliams\tNNP\tI-NP\tO' -p100443 -aS'on\ton\tIN\tB-PP\tO' -p100444 -aS'Tuesday\tTuesday\tNNP\tB-NP\tO' -p100445 -aS',\t,\t,\tO\tO' -p100446 -aS'09-07\t09-07\tCD\tB-NP\tO' -p100447 -aS',\t,\t,\tO\tO' -p100448 -aS'at\tat\tIN\tB-PP\tO' -p100449 -aS'noon\tnoon\tNN\tB-NP\tO' -p100450 -aS'.\t.\t.\tO\tO' -p100451 -asS'#. Afib/SSS : She was A-paced , pacer placed 05-08 in DDDR mode , complicated by PTX requiring chest tube which resolved and tube was removed during admit for pacer , no evidence of PTX on most recent CXR .' -p100452 -(lp100453 -S'#.\t#.\tNNP\tB-NP\tO' -p100454 -aS'Afib/SSS\tAfib/SSS\tNNPS\tI-NP\tO' -p100455 -aS':\t:\t:\tO\tO' -p100456 -aS'She\tShe\tPRP\tB-NP\tO' -p100457 -aS'was\tbe\tVBD\tB-VP\tO' -p100458 -aS'A-paced\tA-paced\tJJ\tB-ADJP\tO' -p100459 -aS',\t,\t,\tO\tO' -p100460 -aS'pacer\tpacer\tNN\tB-NP\tO' -p100461 -aS'placed\tplace\tVBD\tB-VP\tO' -p100462 -aS'05-08\t05-08\tCD\tB-NP\tO' -p100463 -aS'in\tin\tIN\tB-PP\tO' -p100464 -aS'DDDR\tDDDR\tNN\tB-NP\tO' -p100465 -aS'mode\tmode\tNN\tI-NP\tO' -p100466 -aS',\t,\t,\tO\tO' -p100467 -aS'complicated\tcomplicate\tVBN\tB-VP\tO' -p100468 -aS'by\tby\tIN\tB-PP\tO' -p100469 -aS'PTX\tPTX\tNN\tB-NP\tB-protein' -p100470 -aS'requiring\trequire\tVBG\tB-VP\tO' -p100471 -aS'chest\tchest\tNN\tB-NP\tO' -p100472 -aS'tube\ttube\tNN\tI-NP\tO' -p100473 -aS'which\twhich\tWDT\tB-NP\tO' -p100474 -aS'resolved\tresolve\tVBD\tB-VP\tO' -p100475 -aS'and\tand\tCC\tO\tO' -p100476 -aS'tube\ttube\tNN\tB-NP\tO' -p100477 -aS'was\tbe\tVBD\tB-VP\tO' -p100478 -aS'removed\tremove\tVBN\tI-VP\tO' -p100479 -aS'during\tduring\tIN\tB-PP\tO' -p100480 -aS'admit\tadmit\tNN\tB-NP\tO' -p100481 -aS'for\tfor\tIN\tB-PP\tO' -p100482 -aS'pacer\tpacer\tNN\tB-NP\tO' -p100483 -aS',\t,\t,\tO\tO' -p100484 -aS'no\tno\tDT\tB-NP\tO' -p100485 -aS'evidence\tevidence\tNN\tI-NP\tO' -p100486 -aS'of\tof\tIN\tB-PP\tO' -p100487 -aS'PTX\tPTX\tNN\tB-NP\tB-protein' -p100488 -aS'on\ton\tIN\tB-PP\tO' -p100489 -aS'most\tmost\tJJS\tB-NP\tO' -p100490 -aS'recent\trecent\tJJ\tI-NP\tO' -p100491 -aS'CXR\tCXR\tNN\tI-NP\tB-protein' -p100492 -aS'.\t.\t.\tO\tO' -p100493 -asS'5. CellCept 1 gm po bid .' -p100494 -(lp100495 -S'5.\t5.\tLS\tB-LST\tO' -p100496 -aS'CellCept\tCellCept\tNN\tB-NP\tO' -p100497 -aS'1\t1\tCD\tI-NP\tO' -p100498 -aS'gm\tgm\tNN\tI-NP\tO' -p100499 -aS'po\tpo\tNN\tI-NP\tO' -p100500 -aS'bid\tbid\tNN\tI-NP\tO' -p100501 -aS'.\t.\t.\tO\tO' -p100502 -asS'A CT abdomen was performed which did not demonstrate any retroperitoneal bleed .' -p100503 -(lp100504 -S'A\tA\tDT\tB-NP\tO' -p100505 -aS'CT\tCT\tNN\tI-NP\tO' -p100506 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p100507 -aS'was\tbe\tVBD\tB-VP\tO' -p100508 -aS'performed\tperform\tVBN\tI-VP\tO' -p100509 -aS'which\twhich\tWDT\tB-NP\tO' -p100510 -aS'did\tdo\tVBD\tB-VP\tO' -p100511 -aS'not\tnot\tRB\tI-VP\tO' -p100512 -aS'demonstrate\tdemonstrate\tVB\tI-VP\tO' -p100513 -aS'any\tany\tDT\tB-NP\tO' -p100514 -aS'retroperitoneal\tretroperitoneal\tJJ\tI-NP\tO' -p100515 -aS'bleed\tbleed\tNN\tI-NP\tO' -p100516 -aS'.\t.\t.\tO\tO' -p100517 -asS'Mr. Morton continued to be followed by Infectious Disease , whose recommendations were to complete a 01-28 week course of Penicillin G and Clindamycin after the foot was completely debrided and the skin flaps completed .' -p100518 -(lp100519 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p100520 -aS'Morton\tMorton\tNNP\tI-NP\tO' -p100521 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p100522 -aS'to\tto\tTO\tI-VP\tO' -p100523 -aS'be\tbe\tVB\tI-VP\tO' -p100524 -aS'followed\tfollow\tVBN\tI-VP\tO' -p100525 -aS'by\tby\tIN\tB-PP\tO' -p100526 -aS'Infectious\tInfectious\tJJ\tB-NP\tO' -p100527 -aS'Disease\tDisease\tNN\tI-NP\tO' -p100528 -aS',\t,\t,\tO\tO' -p100529 -aS'whose\twhose\tWP$\tB-NP\tO' -p100530 -aS'recommendations\trecommendation\tNNS\tI-NP\tO' -p100531 -aS'were\tbe\tVBD\tB-VP\tO' -p100532 -aS'to\tto\tTO\tI-VP\tO' -p100533 -aS'complete\tcomplete\tVB\tI-VP\tO' -p100534 -aS'a\ta\tDT\tB-NP\tO' -p100535 -aS'01-28\t01-28\tJJ\tI-NP\tO' -p100536 -aS'week\tweek\tNN\tI-NP\tO' -p100537 -aS'course\tcourse\tNN\tI-NP\tO' -p100538 -aS'of\tof\tIN\tB-PP\tO' -p100539 -aS'Penicillin\tPenicillin\tNNP\tB-NP\tO' -p100540 -aS'G\tG\tNNP\tI-NP\tO' -p100541 -aS'and\tand\tCC\tO\tO' -p100542 -aS'Clindamycin\tClindamycin\tNNP\tB-NP\tO' -p100543 -aS'after\tafter\tIN\tB-PP\tO' -p100544 -aS'the\tthe\tDT\tB-NP\tO' -p100545 -aS'foot\tfoot\tNN\tI-NP\tO' -p100546 -aS'was\tbe\tVBD\tB-VP\tO' -p100547 -aS'completely\tcompletely\tRB\tI-VP\tO' -p100548 -aS'debrided\tdebride\tVBN\tI-VP\tO' -p100549 -aS'and\tand\tCC\tO\tO' -p100550 -aS'the\tthe\tDT\tB-NP\tO' -p100551 -aS'skin\tskin\tNN\tI-NP\tO' -p100552 -aS'flaps\tflap\tNNS\tI-NP\tO' -p100553 -aS'completed\tcomplete\tVBN\tB-VP\tO' -p100554 -aS'.\t.\t.\tO\tO' -p100555 -asS'1. status post mitral valve replacement in 1988 .' -p100556 -(lp100557 -S'1.\t1.\tLS\tB-NP\tO' -p100558 -aS'status\tstatus\tNN\tI-NP\tO' -p100559 -aS'post\tpost\tNN\tI-NP\tO' -p100560 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p100561 -aS'valve\tvalve\tNN\tI-NP\tO' -p100562 -aS'replacement\treplacement\tNN\tI-NP\tO' -p100563 -aS'in\tin\tIN\tB-PP\tO' -p100564 -aS'1988\t1988\tCD\tB-NP\tO' -p100565 -aS'.\t.\t.\tO\tO' -p100566 -asS'MRI was suboptimal due to motion artifact and LP was unremarkable .' -p100567 -(lp100568 -S'MRI\tMRI\tNN\tB-NP\tB-protein' -p100569 -aS'was\tbe\tVBD\tB-VP\tO' -p100570 -aS'suboptimal\tsuboptimal\tJJ\tB-ADJP\tO' -p100571 -aS'due\tdue\tJJ\tB-PP\tO' -p100572 -aS'to\tto\tTO\tB-PP\tO' -p100573 -aS'motion\tmotion\tNN\tB-NP\tO' -p100574 -aS'artifact\tartifact\tNN\tI-NP\tO' -p100575 -aS'and\tand\tCC\tO\tO' -p100576 -aS'LP\tLP\tNN\tB-NP\tO' -p100577 -aS'was\tbe\tVBD\tB-VP\tO' -p100578 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p100579 -aS'.\t.\t.\tO\tO' -p100580 -asS'At the time of discharge , the patient was tolerating a Flolan dose of 5 nanograms per kilogram per minute .' -p100581 -(lp100582 -S'At\tAt\tIN\tB-PP\tO' -p100583 -aS'the\tthe\tDT\tB-NP\tO' -p100584 -aS'time\ttime\tNN\tI-NP\tO' -p100585 -aS'of\tof\tIN\tB-PP\tO' -p100586 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p100587 -aS',\t,\t,\tO\tO' -p100588 -aS'the\tthe\tDT\tB-NP\tO' -p100589 -aS'patient\tpatient\tNN\tI-NP\tO' -p100590 -aS'was\tbe\tVBD\tB-VP\tO' -p100591 -aS'tolerating\ttolerate\tVBG\tI-VP\tO' -p100592 -aS'a\ta\tDT\tB-NP\tO' -p100593 -aS'Flolan\tFlolan\tNNP\tI-NP\tO' -p100594 -aS'dose\tdose\tNN\tI-NP\tO' -p100595 -aS'of\tof\tIN\tB-PP\tO' -p100596 -aS'5\t5\tCD\tB-NP\tO' -p100597 -aS'nanograms\tnanogram\tNNS\tI-NP\tO' -p100598 -aS'per\tper\tIN\tB-PP\tO' -p100599 -aS'kilogram\tkilogram\tNN\tB-NP\tO' -p100600 -aS'per\tper\tIN\tB-PP\tO' -p100601 -aS'minute\tminute\tNN\tB-NP\tO' -p100602 -aS'.\t.\t.\tO\tO' -p100603 -asS'3. Nitroglycerin paste 1 inch q. 6 hours .' -p100604 -(lp100605 -S'3.\t3.\tLS\tB-NP\tO' -p100606 -aS'Nitroglycerin\tNitroglycerin\tNN\tI-NP\tB-protein' -p100607 -aS'paste\tpaste\tNN\tI-NP\tI-protein' -p100608 -aS'1\t1\tCD\tI-NP\tI-protein' -p100609 -aS'inch\tinch\tNN\tI-NP\tI-protein' -p100610 -aS'q.\tq.\tNN\tI-NP\tI-protein' -p100611 -aS'6\t6\tCD\tB-NP\tI-protein' -p100612 -aS'hours\thour\tNNS\tI-NP\tI-protein' -p100613 -aS'.\t.\t.\tO\tO' -p100614 -asS'OTHER DIAGNOSIS ; Conditions , Infections , Complications , affecting Treatment / Stay VT , CAD s / p MI ischemic cardiomyopathy bilateral knee replacement' -p100615 -(lp100616 -S'OTHER\tOTHER\tNN\tB-NP\tO' -p100617 -aS'DIAGNOSIS\tDIAGNOSIS\tNN\tI-NP\tO' -p100618 -aS';\t;\t:\tO\tO' -p100619 -aS'Conditions\tCondition\tNNS\tB-NP\tO' -p100620 -aS',\t,\t,\tO\tO' -p100621 -aS'Infections\tInfection\tNNS\tB-NP\tO' -p100622 -aS',\t,\t,\tO\tO' -p100623 -aS'Complications\tComplication\tNNS\tB-NP\tO' -p100624 -aS',\t,\t,\tO\tO' -p100625 -aS'affecting\taffect\tVBG\tB-VP\tO' -p100626 -aS'Treatment\tTreatment\tNN\tB-NP\tO' -p100627 -aS'/\t/\tSYM\tB-NP\tO' -p100628 -aS'Stay\tStay\tNN\tI-NP\tO' -p100629 -aS'VT\tVT\tNN\tI-NP\tO' -p100630 -aS',\t,\t,\tO\tO' -p100631 -aS'CAD\tCAD\tNN\tB-NP\tO' -p100632 -aS's\ts\tNN\tI-NP\tO' -p100633 -aS'/\t/\tSYM\tB-NP\tO' -p100634 -aS'p\tp\tNN\tI-NP\tO' -p100635 -aS'MI\tMI\tNN\tI-NP\tO' -p100636 -aS'ischemic\tischemic\tJJ\tI-NP\tO' -p100637 -aS'cardiomyopathy\tcardiomyopathy\tNN\tI-NP\tO' -p100638 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p100639 -aS'knee\tknee\tNN\tI-NP\tO' -p100640 -aS'replacement\treplacement\tNN\tI-NP\tO' -p100641 -asS'Attending : Cayla R Turner , M.D.' -p100642 -(lp100643 -S'Attending\tAttend\tVBG\tB-VP\tO' -p100644 -aS':\t:\t:\tO\tO' -p100645 -aS'Cayla\tCayla\tNNP\tB-NP\tO' -p100646 -aS'R\tR\tNNP\tI-NP\tO' -p100647 -aS'Turner\tTurner\tNNP\tI-NP\tO' -p100648 -aS',\t,\t,\tO\tO' -p100649 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p100650 -asS'Her symptoms resolved with rest .' -p100651 -(lp100652 -S'Her\tHer\tPRP$\tB-NP\tO' -p100653 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p100654 -aS'resolved\tresolve\tVBN\tB-VP\tO' -p100655 -aS'with\twith\tIN\tB-PP\tO' -p100656 -aS'rest\trest\tNN\tB-NP\tO' -p100657 -aS'.\t.\t.\tO\tO' -p100658 -asS'This allowed continuous monitoring of intracranial pressure .' -p100659 -(lp100660 -S'This\tThis\tDT\tB-NP\tO' -p100661 -aS'allowed\tallow\tVBN\tI-NP\tO' -p100662 -aS'continuous\tcontinuous\tJJ\tI-NP\tO' -p100663 -aS'monitoring\tmonitoring\tNN\tI-NP\tO' -p100664 -aS'of\tof\tIN\tB-PP\tO' -p100665 -aS'intracranial\tintracranial\tJJ\tB-NP\tO' -p100666 -aS'pressure\tpressure\tNN\tI-NP\tO' -p100667 -aS'.\t.\t.\tO\tO' -p100668 -asS'The patient also hada history of arrhythmia , found approximately ten years ago , unknown what type .' -p100669 -(lp100670 -S'The\tThe\tDT\tB-NP\tO' -p100671 -aS'patient\tpatient\tNN\tI-NP\tO' -p100672 -aS'also\talso\tRB\tB-ADVP\tO' -p100673 -aS'hada\thada\tVBD\tB-VP\tO' -p100674 -aS'history\thistory\tNN\tB-NP\tO' -p100675 -aS'of\tof\tIN\tB-PP\tO' -p100676 -aS'arrhythmia\tarrhythmia\tNN\tB-NP\tO' -p100677 -aS',\t,\t,\tO\tO' -p100678 -aS'found\tfind\tVBD\tB-VP\tO' -p100679 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p100680 -aS'ten\tten\tCD\tI-NP\tO' -p100681 -aS'years\tyear\tNNS\tI-NP\tO' -p100682 -aS'ago\tago\tRB\tB-ADVP\tO' -p100683 -aS',\t,\t,\tO\tO' -p100684 -aS'unknown\tunknown\tJJ\tB-NP\tO' -p100685 -aS'what\twhat\tWP\tI-NP\tO' -p100686 -aS'type\ttype\tNN\tI-NP\tO' -p100687 -aS'.\t.\t.\tO\tO' -p100688 -asS'He was admitted to the CMED CCU for further management .' -p100689 -(lp100690 -S'He\tHe\tPRP\tB-NP\tO' -p100691 -aS'was\tbe\tVBD\tB-VP\tO' -p100692 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p100693 -aS'to\tto\tTO\tB-PP\tO' -p100694 -aS'the\tthe\tDT\tB-NP\tO' -p100695 -aS'CMED\tCMED\tVBN\tI-NP\tO' -p100696 -aS'CCU\tCCU\tNN\tI-NP\tO' -p100697 -aS'for\tfor\tIN\tB-PP\tO' -p100698 -aS'further\tfurther\tJJ\tB-NP\tO' -p100699 -aS'management\tmanagement\tNN\tI-NP\tO' -p100700 -aS'.\t.\t.\tO\tO' -p100701 -asS'There were no intra-abdominal fluid collections , which required any drainage .' -p100702 -(lp100703 -S'There\tThere\tEX\tB-NP\tO' -p100704 -aS'were\tbe\tVBD\tB-VP\tO' -p100705 -aS'no\tno\tDT\tB-NP\tO' -p100706 -aS'intra-abdominal\tintra-abdominal\tJJ\tI-NP\tO' -p100707 -aS'fluid\tfluid\tNN\tI-NP\tO' -p100708 -aS'collections\tcollection\tNNS\tI-NP\tO' -p100709 -aS',\t,\t,\tO\tO' -p100710 -aS'which\twhich\tWDT\tB-NP\tO' -p100711 -aS'required\trequire\tVBD\tB-VP\tO' -p100712 -aS'any\tany\tDT\tB-NP\tO' -p100713 -aS'drainage\tdrainage\tNN\tI-NP\tO' -p100714 -aS'.\t.\t.\tO\tO' -p100715 -asS'COMPARISON : None .' -p100716 -(lp100717 -S'COMPARISON\tCOMPARISON\tNN\tB-NP\tO' -p100718 -aS':\t:\t:\tO\tO' -p100719 -aS'None\tNone\tNN\tB-NP\tO' -p100720 -aS'.\t.\t.\tO\tO' -p100721 -asS'At that time , he also began radiation therapy to his lumbosacral spine .' -p100722 -(lp100723 -S'At\tAt\tIN\tB-PP\tO' -p100724 -aS'that\tthat\tDT\tB-NP\tO' -p100725 -aS'time\ttime\tNN\tI-NP\tO' -p100726 -aS',\t,\t,\tO\tO' -p100727 -aS'he\the\tPRP\tB-NP\tO' -p100728 -aS'also\talso\tRB\tB-ADVP\tO' -p100729 -aS'began\tbegin\tVBD\tB-VP\tO' -p100730 -aS'radiation\tradiation\tNN\tB-NP\tO' -p100731 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p100732 -aS'to\tto\tTO\tB-PP\tO' -p100733 -aS'his\this\tPRP$\tB-NP\tO' -p100734 -aS'lumbosacral\tlumbosacral\tJJ\tI-NP\tO' -p100735 -aS'spine\tspine\tNN\tI-NP\tO' -p100736 -aS'.\t.\t.\tO\tO' -p100737 -asS'Extreme damage was reported to the vehicle by first responders .' -p100738 -(lp100739 -S'Extreme\tExtreme\tJJ\tB-NP\tO' -p100740 -aS'damage\tdamage\tNN\tI-NP\tO' -p100741 -aS'was\tbe\tVBD\tB-VP\tO' -p100742 -aS'reported\treport\tVBN\tI-VP\tO' -p100743 -aS'to\tto\tTO\tB-PP\tO' -p100744 -aS'the\tthe\tDT\tB-NP\tO' -p100745 -aS'vehicle\tvehicle\tNN\tI-NP\tO' -p100746 -aS'by\tby\tIN\tB-PP\tO' -p100747 -aS'first\tfirst\tJJ\tB-NP\tO' -p100748 -aS'responders\tresponder\tNNS\tI-NP\tO' -p100749 -aS'.\t.\t.\tO\tO' -p100750 -asS'This was felt to be consistent with thrombotic thrombocytopenic purpura and on June 20 , 1998 , she was started on daily plasma exchange which continued through July 27 , 1999 .' -p100751 -(lp100752 -S'This\tThis\tDT\tB-NP\tO' -p100753 -aS'was\tbe\tVBD\tB-VP\tO' -p100754 -aS'felt\tfeel\tVBN\tI-VP\tO' -p100755 -aS'to\tto\tTO\tI-VP\tO' -p100756 -aS'be\tbe\tVB\tI-VP\tO' -p100757 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p100758 -aS'with\twith\tIN\tB-PP\tO' -p100759 -aS'thrombotic\tthrombotic\tJJ\tB-NP\tB-protein' -p100760 -aS'thrombocytopenic\tthrombocytopenic\tJJ\tI-NP\tI-protein' -p100761 -aS'purpura\tpurpura\tNN\tI-NP\tI-protein' -p100762 -aS'and\tand\tCC\tB-PP\tO' -p100763 -aS'on\ton\tIN\tB-PP\tO' -p100764 -aS'June\tJune\tNNP\tB-NP\tO' -p100765 -aS'20\t20\tCD\tI-NP\tO' -p100766 -aS',\t,\t,\tI-NP\tO' -p100767 -aS'1998\t1998\tCD\tI-NP\tO' -p100768 -aS',\t,\t,\tO\tO' -p100769 -aS'she\tshe\tPRP\tB-NP\tO' -p100770 -aS'was\tbe\tVBD\tB-VP\tO' -p100771 -aS'started\tstart\tVBN\tI-VP\tO' -p100772 -aS'on\ton\tIN\tB-PP\tO' -p100773 -aS'daily\tdaily\tJJ\tB-NP\tO' -p100774 -aS'plasma\tplasma\tNN\tI-NP\tO' -p100775 -aS'exchange\texchange\tNN\tI-NP\tO' -p100776 -aS'which\twhich\tWDT\tB-NP\tO' -p100777 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p100778 -aS'through\tthrough\tIN\tB-PP\tO' -p100779 -aS'July\tJuly\tNNP\tB-NP\tO' -p100780 -aS'27\t27\tCD\tI-NP\tO' -p100781 -aS',\t,\t,\tI-NP\tO' -p100782 -aS'1999\t1999\tCD\tI-NP\tO' -p100783 -aS'.\t.\t.\tO\tO' -p100784 -asS'This was followed by an abdominal CT which showed an enlarged spleen , a lytic lesion on the right iliac bone and a benign renal cyst .' -p100785 -(lp100786 -S'This\tThis\tDT\tB-NP\tO' -p100787 -aS'was\tbe\tVBD\tB-VP\tO' -p100788 -aS'followed\tfollow\tVBN\tI-VP\tO' -p100789 -aS'by\tby\tIN\tB-PP\tO' -p100790 -aS'an\tan\tDT\tB-NP\tO' -p100791 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p100792 -aS'CT\tCT\tNN\tI-NP\tO' -p100793 -aS'which\twhich\tWDT\tB-NP\tO' -p100794 -aS'showed\tshow\tVBD\tB-VP\tO' -p100795 -aS'an\tan\tDT\tB-NP\tO' -p100796 -aS'enlarged\tenlarged\tJJ\tI-NP\tO' -p100797 -aS'spleen\tspleen\tNN\tI-NP\tO' -p100798 -aS',\t,\t,\tO\tO' -p100799 -aS'a\ta\tDT\tB-NP\tO' -p100800 -aS'lytic\tlytic\tJJ\tI-NP\tO' -p100801 -aS'lesion\tlesion\tNN\tI-NP\tO' -p100802 -aS'on\ton\tIN\tB-PP\tO' -p100803 -aS'the\tthe\tDT\tB-NP\tO' -p100804 -aS'right\tright\tJJ\tI-NP\tO' -p100805 -aS'iliac\tiliac\tJJ\tI-NP\tO' -p100806 -aS'bone\tbone\tNN\tI-NP\tO' -p100807 -aS'and\tand\tCC\tO\tO' -p100808 -aS'a\ta\tDT\tB-NP\tO' -p100809 -aS'benign\tbenign\tJJ\tI-NP\tO' -p100810 -aS'renal\trenal\tJJ\tI-NP\tO' -p100811 -aS'cyst\tcyst\tNN\tI-NP\tO' -p100812 -aS'.\t.\t.\tO\tO' -p100813 -asS'On post-op day one chest tubes were removed and beta blockers and diuretics were initiated .' -p100814 -(lp100815 -S'On\tOn\tIN\tB-PP\tO' -p100816 -aS'post-op\tpost-op\tJJ\tB-NP\tO' -p100817 -aS'day\tday\tNN\tI-NP\tO' -p100818 -aS'one\tone\tCD\tB-NP\tO' -p100819 -aS'chest\tchest\tNN\tI-NP\tO' -p100820 -aS'tubes\ttube\tNNS\tI-NP\tO' -p100821 -aS'were\tbe\tVBD\tB-VP\tO' -p100822 -aS'removed\tremove\tVBN\tI-VP\tO' -p100823 -aS'and\tand\tCC\tO\tO' -p100824 -aS'beta\tbeta\tNN\tB-NP\tO' -p100825 -aS'blockers\tblocker\tNNS\tI-NP\tO' -p100826 -aS'and\tand\tCC\tI-NP\tO' -p100827 -aS'diuretics\tdiuretic\tNNS\tI-NP\tO' -p100828 -aS'were\tbe\tVBD\tB-VP\tO' -p100829 -aS'initiated\tinitiate\tVBN\tI-VP\tO' -p100830 -aS'.\t.\t.\tO\tO' -p100831 -asS'He was fed with a bottle occasionally by his dad and had a vigorous suck and was noted to have some discoordination of his suck while breathing at the initial onset of feeding time .' -p100832 -(lp100833 -S'He\tHe\tPRP\tB-NP\tO' -p100834 -aS'was\tbe\tVBD\tB-VP\tO' -p100835 -aS'fed\tfeed\tVBN\tI-VP\tO' -p100836 -aS'with\twith\tIN\tB-PP\tO' -p100837 -aS'a\ta\tDT\tB-NP\tO' -p100838 -aS'bottle\tbottle\tNN\tI-NP\tO' -p100839 -aS'occasionally\toccasionally\tRB\tB-ADVP\tO' -p100840 -aS'by\tby\tIN\tB-PP\tO' -p100841 -aS'his\this\tPRP$\tB-NP\tO' -p100842 -aS'dad\tdad\tNN\tI-NP\tO' -p100843 -aS'and\tand\tCC\tO\tO' -p100844 -aS'had\thave\tVBD\tB-VP\tO' -p100845 -aS'a\ta\tDT\tB-NP\tO' -p100846 -aS'vigorous\tvigorous\tJJ\tI-NP\tO' -p100847 -aS'suck\tsuck\tNN\tI-NP\tO' -p100848 -aS'and\tand\tCC\tO\tO' -p100849 -aS'was\tbe\tVBD\tB-VP\tO' -p100850 -aS'noted\tnote\tVBN\tI-VP\tO' -p100851 -aS'to\tto\tTO\tI-VP\tO' -p100852 -aS'have\thave\tVB\tI-VP\tO' -p100853 -aS'some\tsome\tDT\tB-NP\tO' -p100854 -aS'discoordination\tdiscoordination\tNN\tI-NP\tO' -p100855 -aS'of\tof\tIN\tB-PP\tO' -p100856 -aS'his\this\tPRP$\tB-NP\tO' -p100857 -aS'suck\tsuck\tNN\tI-NP\tO' -p100858 -aS'while\twhile\tIN\tB-SBAR\tO' -p100859 -aS'breathing\tbreathing\tNN\tB-NP\tO' -p100860 -aS'at\tat\tIN\tB-PP\tO' -p100861 -aS'the\tthe\tDT\tB-NP\tO' -p100862 -aS'initial\tinitial\tJJ\tI-NP\tO' -p100863 -aS'onset\tonset\tNN\tI-NP\tO' -p100864 -aS'of\tof\tIN\tB-PP\tO' -p100865 -aS'feeding\tfeeding\tNN\tB-NP\tO' -p100866 -aS'time\ttime\tNN\tI-NP\tO' -p100867 -aS'.\t.\t.\tO\tO' -p100868 -asS'A small polyp was found in the fundus which stigmata of old bleeding ; an Endoclip was applied to this .' -p100869 -(lp100870 -S'A\tA\tDT\tB-NP\tO' -p100871 -aS'small\tsmall\tJJ\tI-NP\tO' -p100872 -aS'polyp\tpolyp\tNN\tI-NP\tO' -p100873 -aS'was\tbe\tVBD\tB-VP\tO' -p100874 -aS'found\tfind\tVBN\tI-VP\tO' -p100875 -aS'in\tin\tIN\tB-PP\tO' -p100876 -aS'the\tthe\tDT\tB-NP\tO' -p100877 -aS'fundus\tfundus\tNN\tI-NP\tO' -p100878 -aS'which\twhich\tWDT\tB-NP\tO' -p100879 -aS'stigmata\tstigma\tNNS\tI-NP\tO' -p100880 -aS'of\tof\tIN\tB-PP\tO' -p100881 -aS'old\told\tJJ\tB-NP\tO' -p100882 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p100883 -aS';\t;\t:\tO\tO' -p100884 -aS'an\tan\tDT\tB-NP\tO' -p100885 -aS'Endoclip\tEndoclip\tNNP\tI-NP\tO' -p100886 -aS'was\tbe\tVBD\tB-VP\tO' -p100887 -aS'applied\tapply\tVBN\tI-VP\tO' -p100888 -aS'to\tto\tTO\tB-PP\tO' -p100889 -aS'this\tthis\tDT\tB-NP\tO' -p100890 -aS'.\t.\t.\tO\tO' -p100891 -asS'Vancomycin , Flagyl , and Aztreonam were given for gram negative Coccobacilli ( later identified as Bacteroides ) that had grown in his blood cultures and gram negative rods ( Enterobacter ) in his peritoneal fluid .' -p100892 -(lp100893 -S'Vancomycin\tVancomycin\tNN\tB-NP\tO' -p100894 -aS',\t,\t,\tO\tO' -p100895 -aS'Flagyl\tFlagyl\tNN\tB-NP\tO' -p100896 -aS',\t,\t,\tO\tO' -p100897 -aS'and\tand\tCC\tO\tO' -p100898 -aS'Aztreonam\tAztreonam\tNN\tB-NP\tO' -p100899 -aS'were\tbe\tVBD\tB-VP\tO' -p100900 -aS'given\tgive\tVBN\tI-VP\tO' -p100901 -aS'for\tfor\tIN\tB-PP\tO' -p100902 -aS'gram\tgram\tNN\tB-NP\tO' -p100903 -aS'negative\tnegative\tJJ\tI-NP\tO' -p100904 -aS'Coccobacilli\tCoccobacilli\tNNP\tI-NP\tO' -p100905 -aS'(\t(\t(\tO\tO' -p100906 -aS'later\tlater\tRB\tB-VP\tO' -p100907 -aS'identified\tidentify\tVBN\tI-VP\tO' -p100908 -aS'as\tas\tIN\tB-PP\tO' -p100909 -aS'Bacteroides\tBacteroide\tNNS\tB-NP\tO' -p100910 -aS')\t)\t)\tO\tO' -p100911 -aS'that\tthat\tWDT\tB-NP\tO' -p100912 -aS'had\thave\tVBD\tB-VP\tO' -p100913 -aS'grown\tgrow\tVBN\tI-VP\tO' -p100914 -aS'in\tin\tIN\tB-PP\tO' -p100915 -aS'his\this\tPRP$\tB-NP\tB-cell_line' -p100916 -aS'blood\tblood\tNN\tI-NP\tI-cell_line' -p100917 -aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' -p100918 -aS'and\tand\tCC\tO\tO' -p100919 -aS'gram\tgram\tNN\tB-NP\tO' -p100920 -aS'negative\tnegative\tJJ\tI-NP\tO' -p100921 -aS'rods\trod\tNNS\tI-NP\tO' -p100922 -aS'(\t(\t(\tO\tO' -p100923 -aS'Enterobacter\tEnterobacter\tNN\tB-NP\tO' -p100924 -aS')\t)\t)\tO\tO' -p100925 -aS'in\tin\tIN\tB-PP\tO' -p100926 -aS'his\this\tPRP$\tB-NP\tO' -p100927 -aS'peritoneal\tperitoneal\tJJ\tI-NP\tO' -p100928 -aS'fluid\tfluid\tNN\tI-NP\tO' -p100929 -aS'.\t.\t.\tO\tO' -p100930 -asS'Her left pupil was 7 mm reacting to 5 mm .' -p100931 -(lp100932 -S'Her\tHer\tPRP$\tB-NP\tO' -p100933 -aS'left\tleft\tJJ\tI-NP\tO' -p100934 -aS'pupil\tpupil\tNN\tI-NP\tO' -p100935 -aS'was\tbe\tVBD\tB-VP\tO' -p100936 -aS'7\t7\tCD\tB-NP\tO' -p100937 -aS'mm\tmm\tNN\tI-NP\tO' -p100938 -aS'reacting\treact\tVBG\tB-VP\tO' -p100939 -aS'to\tto\tTO\tB-PP\tO' -p100940 -aS'5\t5\tCD\tB-NP\tO' -p100941 -aS'mm\tmm\tNN\tI-NP\tO' -p100942 -aS'.\t.\t.\tO\tO' -p100943 -asS'The tongue was midline and uvula was midline as well .' -p100944 -(lp100945 -S'The\tThe\tDT\tB-NP\tO' -p100946 -aS'tongue\ttongue\tNN\tI-NP\tO' -p100947 -aS'was\tbe\tVBD\tB-VP\tO' -p100948 -aS'midline\tmidline\tNN\tB-NP\tO' -p100949 -aS'and\tand\tCC\tI-NP\tO' -p100950 -aS'uvula\tuvula\tNN\tI-NP\tO' -p100951 -aS'was\tbe\tVBD\tB-VP\tO' -p100952 -aS'midline\tmidline\tNN\tB-NP\tO' -p100953 -aS'as\tas\tRB\tB-ADVP\tO' -p100954 -aS'well\twell\tRB\tI-ADVP\tO' -p100955 -aS'.\t.\t.\tO\tO' -p100956 -asS'Right not palpable , left absent' -p100957 -(lp100958 -S'Right\tRight\tRB\tB-ADVP\tO' -p100959 -aS'not\tnot\tRB\tO\tO' -p100960 -aS'palpable\tpalpable\tJJ\tB-ADJP\tO' -p100961 -aS',\t,\t,\tO\tO' -p100962 -aS'left\tleave\tVBD\tB-VP\tO' -p100963 -aS'absent\tabsent\tJJ\tB-NP\tO' -p100964 -asS'She was initially maintained on D5W , which was increased to D10W as the patient was persistently borderline hypoglycemic while on insulin drip .' -p100965 -(lp100966 -S'She\tShe\tPRP\tB-NP\tO' -p100967 -aS'was\tbe\tVBD\tB-VP\tO' -p100968 -aS'initially\tinitially\tRB\tI-VP\tO' -p100969 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p100970 -aS'on\ton\tIN\tB-PP\tO' -p100971 -aS'D5W\tD5W\tNN\tB-NP\tB-protein' -p100972 -aS',\t,\t,\tO\tO' -p100973 -aS'which\twhich\tWDT\tB-NP\tO' -p100974 -aS'was\tbe\tVBD\tB-VP\tO' -p100975 -aS'increased\tincrease\tVBN\tI-VP\tO' -p100976 -aS'to\tto\tTO\tB-PP\tO' -p100977 -aS'D10W\tD10W\tNN\tB-NP\tB-protein' -p100978 -aS'as\tas\tIN\tB-PP\tO' -p100979 -aS'the\tthe\tDT\tB-NP\tO' -p100980 -aS'patient\tpatient\tNN\tI-NP\tO' -p100981 -aS'was\tbe\tVBD\tB-VP\tO' -p100982 -aS'persistently\tpersistently\tRB\tB-ADVP\tO' -p100983 -aS'borderline\tborderline\tJJ\tB-NP\tO' -p100984 -aS'hypoglycemic\thypoglycemic\tJJ\tI-NP\tO' -p100985 -aS'while\twhile\tNN\tI-NP\tO' -p100986 -aS'on\ton\tIN\tB-PP\tO' -p100987 -aS'insulin\tinsulin\tNN\tB-NP\tB-protein' -p100988 -aS'drip\tdrip\tNN\tI-NP\tI-protein' -p100989 -aS'.\t.\t.\tO\tO' -p100990 -asS'The tone is markedly increased in bot legs with left greater than right .' -p100991 -(lp100992 -S'The\tThe\tDT\tB-NP\tO' -p100993 -aS'tone\ttone\tNN\tI-NP\tO' -p100994 -aS'is\tbe\tVBZ\tB-VP\tO' -p100995 -aS'markedly\tmarkedly\tRB\tI-VP\tO' -p100996 -aS'increased\tincrease\tVBN\tI-VP\tO' -p100997 -aS'in\tin\tIN\tB-PP\tO' -p100998 -aS'bot\tbot\tNN\tB-NP\tO' -p100999 -aS'legs\tleg\tNNS\tI-NP\tO' -p101000 -aS'with\twith\tIN\tB-PP\tO' -p101001 -aS'left\tleave\tVBN\tB-VP\tO' -p101002 -aS'greater\tgreat\tJJR\tB-ADJP\tO' -p101003 -aS'than\tthan\tIN\tB-PP\tO' -p101004 -aS'right\tright\tJJ\tB-ADJP\tO' -p101005 -aS'.\t.\t.\tO\tO' -p101006 -asS'TETRACYCLINE .' -p101007 -(lp101008 -S'TETRACYCLINE\tTETRACYCLINE\tNN\tB-NP\tO' -p101009 -aS'.\t.\t.\tO\tO' -p101010 -asS'Her blood pressure at the time of this incident was in the range of 200/120 .' -p101011 -(lp101012 -S'Her\tHer\tPRP$\tB-NP\tO' -p101013 -aS'blood\tblood\tNN\tI-NP\tO' -p101014 -aS'pressure\tpressure\tNN\tI-NP\tO' -p101015 -aS'at\tat\tIN\tB-PP\tO' -p101016 -aS'the\tthe\tDT\tB-NP\tO' -p101017 -aS'time\ttime\tNN\tI-NP\tO' -p101018 -aS'of\tof\tIN\tB-PP\tO' -p101019 -aS'this\tthis\tDT\tB-NP\tO' -p101020 -aS'incident\tincident\tNN\tI-NP\tO' -p101021 -aS'was\tbe\tVBD\tB-VP\tO' -p101022 -aS'in\tin\tIN\tB-PP\tO' -p101023 -aS'the\tthe\tDT\tB-NP\tO' -p101024 -aS'range\trange\tNN\tI-NP\tO' -p101025 -aS'of\tof\tIN\tB-PP\tO' -p101026 -aS'200/120\t200/120\tCD\tB-NP\tO' -p101027 -aS'.\t.\t.\tO\tO' -p101028 -asS'On 10/3/01 , the patient had a repeat head and neck CT , which showed a right parotitis and left submandibular lymphadenopathy with some necrosis .' -p101029 -(lp101030 -S'On\tOn\tIN\tB-PP\tO' -p101031 -aS'10/3/01\t10/3/01\tCD\tB-NP\tO' -p101032 -aS',\t,\t,\tO\tO' -p101033 -aS'the\tthe\tDT\tB-NP\tO' -p101034 -aS'patient\tpatient\tNN\tI-NP\tO' -p101035 -aS'had\thave\tVBD\tB-VP\tO' -p101036 -aS'a\ta\tDT\tB-NP\tO' -p101037 -aS'repeat\trepeat\tNN\tI-NP\tO' -p101038 -aS'head\thead\tNN\tI-NP\tO' -p101039 -aS'and\tand\tCC\tO\tO' -p101040 -aS'neck\tneck\tNN\tB-NP\tO' -p101041 -aS'CT\tCT\tNN\tI-NP\tO' -p101042 -aS',\t,\t,\tO\tO' -p101043 -aS'which\twhich\tWDT\tB-NP\tO' -p101044 -aS'showed\tshow\tVBD\tB-VP\tO' -p101045 -aS'a\ta\tDT\tB-NP\tO' -p101046 -aS'right\tright\tJJ\tI-NP\tO' -p101047 -aS'parotitis\tparotitis\tNN\tI-NP\tO' -p101048 -aS'and\tand\tCC\tO\tO' -p101049 -aS'left\tleave\tVBD\tB-VP\tO' -p101050 -aS'submandibular\tsubmandibular\tJJ\tB-NP\tO' -p101051 -aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' -p101052 -aS'with\twith\tIN\tB-PP\tO' -p101053 -aS'some\tsome\tDT\tB-NP\tO' -p101054 -aS'necrosis\tnecrosis\tNN\tI-NP\tO' -p101055 -aS'.\t.\t.\tO\tO' -p101056 -asS'PE T97.5 P59 BP ( l ) 180/86 ( r ) 186/98 RR20 98% 2L .' -p101057 -(lp101058 -S'PE\tPE\tNN\tB-NP\tB-protein' -p101059 -aS'T97.5\tT97.5\tNN\tI-NP\tI-protein' -p101060 -aS'P59\tP59\tNN\tI-NP\tI-protein' -p101061 -aS'BP\tBP\tNN\tI-NP\tI-protein' -p101062 -aS'(\t(\t(\tO\tI-protein' -p101063 -aS'l\tl\tNN\tB-NP\tI-protein' -p101064 -aS')\t)\t)\tO\tI-protein' -p101065 -aS'180/86\t180/86\tCD\tB-NP\tI-protein' -p101066 -aS'(\t(\t(\tO\tO' -p101067 -aS'r\tr\tNN\tB-NP\tO' -p101068 -aS')\t)\t)\tO\tO' -p101069 -aS'186/98\t186/98\tCD\tB-NP\tO' -p101070 -aS'RR20\tRR20\tNN\tI-NP\tO' -p101071 -aS'98%\t98%\tNN\tI-NP\tO' -p101072 -aS'2L\t2L\tNN\tI-NP\tO' -p101073 -aS'.\t.\t.\tO\tO' -p101074 -asS'He continued to manifest occasional premature ventricular contractions , but these were unchanged from preoperatively and the patient otherwise did well .' -p101075 -(lp101076 -S'He\tHe\tPRP\tB-NP\tO' -p101077 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p101078 -aS'to\tto\tTO\tI-VP\tO' -p101079 -aS'manifest\tmanifest\tVB\tI-VP\tO' -p101080 -aS'occasional\toccasional\tJJ\tB-NP\tO' -p101081 -aS'premature\tpremature\tJJ\tI-NP\tO' -p101082 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p101083 -aS'contractions\tcontraction\tNNS\tI-NP\tO' -p101084 -aS',\t,\t,\tO\tO' -p101085 -aS'but\tbut\tCC\tO\tO' -p101086 -aS'these\tthese\tDT\tB-NP\tO' -p101087 -aS'were\tbe\tVBD\tB-VP\tO' -p101088 -aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' -p101089 -aS'from\tfrom\tIN\tB-PP\tO' -p101090 -aS'preoperatively\tpreoperatively\tRB\tB-NP\tO' -p101091 -aS'and\tand\tCC\tO\tO' -p101092 -aS'the\tthe\tDT\tB-NP\tO' -p101093 -aS'patient\tpatient\tNN\tI-NP\tO' -p101094 -aS'otherwise\totherwise\tRB\tB-ADVP\tO' -p101095 -aS'did\tdo\tVBD\tB-VP\tO' -p101096 -aS'well\twell\tRB\tB-ADVP\tO' -p101097 -aS'.\t.\t.\tO\tO' -p101098 -asS'Infant was advanced to maximum caloric density of breast milk or premature Enfamil 26 calories per ounce with ProMod by day of life 11 .' -p101099 -(lp101100 -S'Infant\tInfant\tNN\tB-NP\tO' -p101101 -aS'was\tbe\tVBD\tB-VP\tO' -p101102 -aS'advanced\tadvance\tVBN\tI-VP\tO' -p101103 -aS'to\tto\tTO\tB-PP\tO' -p101104 -aS'maximum\tmaximum\tJJ\tB-NP\tO' -p101105 -aS'caloric\tcaloric\tJJ\tI-NP\tO' -p101106 -aS'density\tdensity\tNN\tI-NP\tO' -p101107 -aS'of\tof\tIN\tB-PP\tO' -p101108 -aS'breast\tbreast\tNN\tB-NP\tO' -p101109 -aS'milk\tmilk\tNN\tI-NP\tO' -p101110 -aS'or\tor\tCC\tO\tO' -p101111 -aS'premature\tpremature\tJJ\tB-NP\tO' -p101112 -aS'Enfamil\tEnfamil\tNN\tI-NP\tO' -p101113 -aS'26\t26\tCD\tB-NP\tO' -p101114 -aS'calories\tcalorie\tNNS\tI-NP\tO' -p101115 -aS'per\tper\tIN\tB-PP\tO' -p101116 -aS'ounce\tounce\tNN\tB-NP\tO' -p101117 -aS'with\twith\tIN\tB-PP\tO' -p101118 -aS'ProMod\tProMod\tNN\tB-NP\tO' -p101119 -aS'by\tby\tIN\tB-PP\tO' -p101120 -aS'day\tday\tNN\tB-NP\tO' -p101121 -aS'of\tof\tIN\tB-PP\tO' -p101122 -aS'life\tlife\tNN\tB-NP\tB-protein' -p101123 -aS'11\t11\tCD\tI-NP\tI-protein' -p101124 -aS'.\t.\t.\tO\tO' -p101125 -asS'The patient will follow up with his oncologist .' -p101126 -(lp101127 -S'The\tThe\tDT\tB-NP\tO' -p101128 -aS'patient\tpatient\tNN\tI-NP\tO' -p101129 -aS'will\twill\tMD\tB-VP\tO' -p101130 -aS'follow\tfollow\tVB\tI-VP\tO' -p101131 -aS'up\tup\tRP\tB-PRT\tO' -p101132 -aS'with\twith\tIN\tB-PP\tO' -p101133 -aS'his\this\tPRP$\tB-NP\tO' -p101134 -aS'oncologist\toncologist\tNN\tI-NP\tO' -p101135 -aS'.\t.\t.\tO\tO' -p101136 -asS'Because of poor compliance with the gait examination it was very difficult to assess changing gait post lumbar puncture .' -p101137 -(lp101138 -S'Because\tBecause\tIN\tB-PP\tO' -p101139 -aS'of\tof\tIN\tI-PP\tO' -p101140 -aS'poor\tpoor\tJJ\tB-NP\tO' -p101141 -aS'compliance\tcompliance\tNN\tI-NP\tO' -p101142 -aS'with\twith\tIN\tB-PP\tO' -p101143 -aS'the\tthe\tDT\tB-NP\tO' -p101144 -aS'gait\tgait\tNN\tI-NP\tO' -p101145 -aS'examination\texamination\tNN\tI-NP\tO' -p101146 -aS'it\tit\tPRP\tB-NP\tO' -p101147 -aS'was\tbe\tVBD\tB-VP\tO' -p101148 -aS'very\tvery\tRB\tB-ADJP\tO' -p101149 -aS'difficult\tdifficult\tJJ\tI-ADJP\tO' -p101150 -aS'to\tto\tTO\tB-VP\tO' -p101151 -aS'assess\tassess\tVB\tI-VP\tO' -p101152 -aS'changing\tchange\tVBG\tB-NP\tO' -p101153 -aS'gait\tgait\tNN\tI-NP\tO' -p101154 -aS'post\tpost\tNN\tI-NP\tO' -p101155 -aS'lumbar\tlumbar\tNN\tI-NP\tO' -p101156 -aS'puncture\tpuncture\tNN\tI-NP\tO' -p101157 -aS'.\t.\t.\tO\tO' -p101158 -asS'PRINCIPAL DISCHARGE DIAGNOSIS ; Responsible After Study for Causing Admission ) pp' -p101159 -(lp101160 -S'PRINCIPAL\tPRINCIPAL\tJJ\tB-NP\tO' -p101161 -aS'DISCHARGE\tDISCHARGE\tNN\tI-NP\tO' -p101162 -aS'DIAGNOSIS\tDIAGNOSIS\tNN\tI-NP\tO' -p101163 -aS';\t;\t:\tO\tO' -p101164 -aS'Responsible\tResponsible\tJJ\tB-ADJP\tO' -p101165 -aS'After\tAfter\tIN\tB-PP\tO' -p101166 -aS'Study\tStudy\tNN\tB-NP\tO' -p101167 -aS'for\tfor\tIN\tB-PP\tO' -p101168 -aS'Causing\tCause\tVBG\tB-VP\tO' -p101169 -aS'Admission\tAdmission\tNN\tB-NP\tO' -p101170 -aS')\t)\t)\tO\tO' -p101171 -aS'pp\tpp\tNN\tB-NP\tO' -p101172 -asS'2. Moderately elevated right and left sided filling pressures .' -p101173 -(lp101174 -S'2.\t2.\tLS\tB-NP\tO' -p101175 -aS'Moderately\tModerately\tRB\tI-NP\tO' -p101176 -aS'elevated\televated\tJJ\tI-NP\tO' -p101177 -aS'right\tright\tJJ\tI-NP\tO' -p101178 -aS'and\tand\tCC\tI-NP\tO' -p101179 -aS'left\tleft\tJJ\tI-NP\tO' -p101180 -aS'sided\tside\tVBD\tB-VP\tO' -p101181 -aS'filling\tfill\tVBG\tB-NP\tO' -p101182 -aS'pressures\tpressure\tNNS\tI-NP\tO' -p101183 -aS'.\t.\t.\tO\tO' -p101184 -asS'14. Zocor 60 mg q. day .' -p101185 -(lp101186 -S'14.\t14.\tCD\tB-NP\tO' -p101187 -aS'Zocor\tZocor\tNNP\tI-NP\tO' -p101188 -aS'60\t60\tCD\tI-NP\tO' -p101189 -aS'mg\tmg\tNN\tI-NP\tO' -p101190 -aS'q.\tq.\tNN\tI-NP\tO' -p101191 -aS'day\tday\tNN\tI-NP\tO' -p101192 -aS'.\t.\t.\tO\tO' -p101193 -asS'The heart rate was 53 to 106 .' -p101194 -(lp101195 -S'The\tThe\tDT\tB-NP\tO' -p101196 -aS'heart\theart\tNN\tI-NP\tO' -p101197 -aS'rate\trate\tNN\tI-NP\tO' -p101198 -aS'was\tbe\tVBD\tB-VP\tO' -p101199 -aS'53\t53\tCD\tB-NP\tO' -p101200 -aS'to\tto\tTO\tB-PP\tO' -p101201 -aS'106\t106\tCD\tB-NP\tO' -p101202 -aS'.\t.\t.\tO\tO' -p101203 -asS'She was later continued on Ceftazidine and Clindamycin for possible gram negative infection and also for possible post obstructive picture that she would be at risk for given her pulmonary anatomy .' -p101204 -(lp101205 -S'She\tShe\tPRP\tB-NP\tO' -p101206 -aS'was\tbe\tVBD\tB-VP\tO' -p101207 -aS'later\tlater\tRB\tI-VP\tO' -p101208 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p101209 -aS'on\ton\tIN\tB-PP\tO' -p101210 -aS'Ceftazidine\tCeftazidine\tNN\tB-NP\tO' -p101211 -aS'and\tand\tCC\tI-NP\tO' -p101212 -aS'Clindamycin\tClindamycin\tNN\tI-NP\tO' -p101213 -aS'for\tfor\tIN\tB-PP\tO' -p101214 -aS'possible\tpossible\tJJ\tB-NP\tO' -p101215 -aS'gram\tgram\tNN\tI-NP\tO' -p101216 -aS'negative\tnegative\tJJ\tI-NP\tO' -p101217 -aS'infection\tinfection\tNN\tI-NP\tO' -p101218 -aS'and\tand\tCC\tO\tO' -p101219 -aS'also\talso\tRB\tB-ADVP\tO' -p101220 -aS'for\tfor\tIN\tB-PP\tO' -p101221 -aS'possible\tpossible\tJJ\tB-NP\tO' -p101222 -aS'post\tpost\tNN\tI-NP\tO' -p101223 -aS'obstructive\tobstructive\tJJ\tI-NP\tO' -p101224 -aS'picture\tpicture\tNN\tI-NP\tO' -p101225 -aS'that\tthat\tIN\tB-SBAR\tO' -p101226 -aS'she\tshe\tPRP\tB-NP\tO' -p101227 -aS'would\twould\tMD\tB-VP\tO' -p101228 -aS'be\tbe\tVB\tI-VP\tO' -p101229 -aS'at\tat\tIN\tB-PP\tO' -p101230 -aS'risk\trisk\tNN\tB-NP\tO' -p101231 -aS'for\tfor\tIN\tB-PP\tO' -p101232 -aS'given\tgive\tVBN\tB-PP\tO' -p101233 -aS'her\ther\tPRP$\tB-NP\tO' -p101234 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p101235 -aS'anatomy\tanatomy\tNN\tI-NP\tO' -p101236 -aS'.\t.\t.\tO\tO' -p101237 -asS'Sodium 139 ; potassium 4.1 ; BUN 15 ; creatinine 1.1 ; magnesium 1.6 ; SGPT 19 ; SGOT 20 ; alkaline phosphatase 66 ; total bilirubin 0.6 ; direct bilirubin 0.2 ; total cholesterol 234 ; triglycerides 274 ; HDL 44 ; LDL 135 ; hemoglobin A1c 6.7 ; white cell count 6.1 ; hematocrit 36.4 ; platelet count 201 .' -p101238 -(lp101239 -S'Sodium\tSodium\tNN\tB-NP\tO' -p101240 -aS'139\t139\tCD\tI-NP\tO' -p101241 -aS';\t;\t:\tO\tO' -p101242 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p101243 -aS'4.1\t4.1\tCD\tI-NP\tO' -p101244 -aS';\t;\t:\tO\tO' -p101245 -aS'BUN\tBUN\tNNP\tB-NP\tO' -p101246 -aS'15\t15\tCD\tI-NP\tO' -p101247 -aS';\t;\t:\tO\tO' -p101248 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p101249 -aS'1.1\t1.1\tCD\tI-NP\tO' -p101250 -aS';\t;\t:\tO\tO' -p101251 -aS'magnesium\tmagnesium\tNN\tB-NP\tO' -p101252 -aS'1.6\t1.6\tCD\tI-NP\tO' -p101253 -aS';\t;\t:\tO\tO' -p101254 -aS'SGPT\tSGPT\tNN\tB-NP\tO' -p101255 -aS'19\t19\tCD\tI-NP\tO' -p101256 -aS';\t;\t:\tO\tO' -p101257 -aS'SGOT\tSGOT\tNN\tB-NP\tO' -p101258 -aS'20\t20\tCD\tI-NP\tO' -p101259 -aS';\t;\t:\tO\tO' -p101260 -aS'alkaline\talkaline\tNN\tB-NP\tO' -p101261 -aS'phosphatase\tphosphatase\tNN\tI-NP\tO' -p101262 -aS'66\t66\tCD\tI-NP\tO' -p101263 -aS';\t;\t:\tO\tO' -p101264 -aS'total\ttotal\tJJ\tB-NP\tO' -p101265 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p101266 -aS'0.6\t0.6\tCD\tI-NP\tO' -p101267 -aS';\t;\t:\tO\tO' -p101268 -aS'direct\tdirect\tJJ\tB-NP\tO' -p101269 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p101270 -aS'0.2\t0.2\tCD\tI-NP\tO' -p101271 -aS';\t;\t:\tO\tO' -p101272 -aS'total\ttotal\tJJ\tB-NP\tO' -p101273 -aS'cholesterol\tcholesterol\tNN\tI-NP\tO' -p101274 -aS'234\t234\tCD\tI-NP\tO' -p101275 -aS';\t;\t:\tO\tO' -p101276 -aS'triglycerides\ttriglyceride\tNNS\tB-NP\tO' -p101277 -aS'274\t274\tCD\tB-NP\tO' -p101278 -aS';\t;\t:\tO\tO' -p101279 -aS'HDL\tHDL\tNN\tB-NP\tO' -p101280 -aS'44\t44\tCD\tI-NP\tO' -p101281 -aS';\t;\t:\tO\tO' -p101282 -aS'LDL\tLDL\tNN\tB-NP\tB-protein' -p101283 -aS'135\t135\tCD\tI-NP\tI-protein' -p101284 -aS';\t;\t:\tO\tO' -p101285 -aS'hemoglobin\themoglobin\tNN\tB-NP\tB-protein' -p101286 -aS'A1c\tA1c\tNN\tI-NP\tO' -p101287 -aS'6.7\t6.7\tCD\tI-NP\tO' -p101288 -aS';\t;\t:\tO\tO' -p101289 -aS'white\twhite\tJJ\tB-NP\tO' -p101290 -aS'cell\tcell\tNN\tI-NP\tO' -p101291 -aS'count\tcount\tNN\tI-NP\tO' -p101292 -aS'6.1\t6.1\tCD\tI-NP\tO' -p101293 -aS';\t;\t:\tO\tO' -p101294 -aS'hematocrit\thematocrit\tNN\tB-NP\tO' -p101295 -aS'36.4\t36.4\tCD\tI-NP\tO' -p101296 -aS';\t;\t:\tO\tO' -p101297 -aS'platelet\tplatelet\tNN\tB-NP\tO' -p101298 -aS'count\tcount\tNN\tI-NP\tO' -p101299 -aS'201\t201\tCD\tI-NP\tO' -p101300 -aS'.\t.\t.\tO\tO' -p101301 -asS'The patient was found to have 5057 E. Sixth Blvd. elevations in I , aVL , and V1 through V2 and ST depressions in II , III , and aVF .' -p101302 -(lp101303 -S'The\tThe\tDT\tB-NP\tO' -p101304 -aS'patient\tpatient\tNN\tI-NP\tO' -p101305 -aS'was\tbe\tVBD\tB-VP\tO' -p101306 -aS'found\tfind\tVBN\tI-VP\tO' -p101307 -aS'to\tto\tTO\tI-VP\tO' -p101308 -aS'have\thave\tVB\tI-VP\tO' -p101309 -aS'5057\t5057\tCD\tB-NP\tO' -p101310 -aS'E.\tE.\tNNP\tI-NP\tO' -p101311 -aS'Sixth\tSixth\tNNP\tI-NP\tO' -p101312 -aS'Blvd.\tBlvd.\tNNP\tI-NP\tO' -p101313 -aS'elevations\televation\tNNS\tI-NP\tO' -p101314 -aS'in\tin\tIN\tB-PP\tO' -p101315 -aS'I\tI\tNN\tB-NP\tO' -p101316 -aS',\t,\t,\tO\tO' -p101317 -aS'aVL\taVL\tNN\tB-NP\tO' -p101318 -aS',\t,\t,\tO\tO' -p101319 -aS'and\tand\tCC\tO\tO' -p101320 -aS'V1\tV1\tNN\tB-NP\tB-protein' -p101321 -aS'through\tthrough\tIN\tB-PP\tO' -p101322 -aS'V2\tV2\tNN\tB-NP\tB-protein' -p101323 -aS'and\tand\tCC\tI-NP\tO' -p101324 -aS'ST\tST\tNN\tI-NP\tO' -p101325 -aS'depressions\tdepression\tNNS\tI-NP\tO' -p101326 -aS'in\tin\tIN\tB-PP\tO' -p101327 -aS'II\tII\tCD\tB-NP\tO' -p101328 -aS',\t,\t,\tI-NP\tO' -p101329 -aS'III\tIII\tCD\tI-NP\tO' -p101330 -aS',\t,\t,\tO\tO' -p101331 -aS'and\tand\tCC\tO\tO' -p101332 -aS'aVF\taVF\tNN\tB-NP\tB-protein' -p101333 -aS'.\t.\t.\tO\tO' -p101334 -asS'He was closely followed from his admission through to his discharge by the renal service for his transplant issues .' -p101335 -(lp101336 -S'He\tHe\tPRP\tB-NP\tO' -p101337 -aS'was\tbe\tVBD\tB-VP\tO' -p101338 -aS'closely\tclosely\tRB\tI-VP\tO' -p101339 -aS'followed\tfollow\tVBN\tI-VP\tO' -p101340 -aS'from\tfrom\tIN\tB-PP\tO' -p101341 -aS'his\this\tPRP$\tB-NP\tO' -p101342 -aS'admission\tadmission\tNN\tI-NP\tO' -p101343 -aS'through\tthrough\tIN\tB-PP\tO' -p101344 -aS'to\tto\tTO\tB-PP\tO' -p101345 -aS'his\this\tPRP$\tB-NP\tO' -p101346 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p101347 -aS'by\tby\tIN\tB-PP\tO' -p101348 -aS'the\tthe\tDT\tB-NP\tO' -p101349 -aS'renal\trenal\tJJ\tI-NP\tO' -p101350 -aS'service\tservice\tNN\tI-NP\tO' -p101351 -aS'for\tfor\tIN\tB-PP\tO' -p101352 -aS'his\this\tPRP$\tB-NP\tO' -p101353 -aS'transplant\ttransplant\tNN\tI-NP\tO' -p101354 -aS'issues\tissue\tNNS\tI-NP\tO' -p101355 -aS'.\t.\t.\tO\tO' -p101356 -asS'7. Neurology - Normal neurologic examination .' -p101357 -(lp101358 -S'7.\t7.\tCD\tB-NP\tO' -p101359 -aS'Neurology\tNeurology\tNNP\tI-NP\tO' -p101360 -aS'-\t-\tHYPH\tI-NP\tO' -p101361 -aS'Normal\tNormal\tJJ\tI-NP\tO' -p101362 -aS'neurologic\tneurologic\tJJ\tI-NP\tO' -p101363 -aS'examination\texamination\tNN\tI-NP\tO' -p101364 -aS'.\t.\t.\tO\tO' -p101365 -asS'He had a bedside transthoracic echocardiogram done in the Cardiac Catheterization laboratory without evidence of an effusion .' -p101366 -(lp101367 -S'He\tHe\tPRP\tB-NP\tO' -p101368 -aS'had\thave\tVBD\tB-VP\tO' -p101369 -aS'a\ta\tDT\tB-NP\tO' -p101370 -aS'bedside\tbedside\tNN\tI-NP\tO' -p101371 -aS'transthoracic\ttransthoracic\tJJ\tI-NP\tO' -p101372 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p101373 -aS'done\tdo\tVBN\tB-VP\tO' -p101374 -aS'in\tin\tIN\tB-PP\tO' -p101375 -aS'the\tthe\tDT\tB-NP\tO' -p101376 -aS'Cardiac\tCardiac\tJJ\tI-NP\tO' -p101377 -aS'Catheterization\tCatheterization\tNN\tI-NP\tO' -p101378 -aS'laboratory\tlaboratory\tNN\tI-NP\tO' -p101379 -aS'without\twithout\tIN\tB-PP\tO' -p101380 -aS'evidence\tevidence\tNN\tB-NP\tO' -p101381 -aS'of\tof\tIN\tB-PP\tO' -p101382 -aS'an\tan\tDT\tB-NP\tO' -p101383 -aS'effusion\teffusion\tNN\tI-NP\tO' -p101384 -aS'.\t.\t.\tO\tO' -p101385 -asS"UPON ADMISSION , THE PATIENT WAS PRE-OP 'D AND MADE NPO / IVF ." -p101386 -(lp101387 -S'UPON\tUPON\tNN\tB-NP\tO' -p101388 -aS'ADMISSION\tADMISSION\tNN\tI-NP\tO' -p101389 -aS',\t,\t,\tO\tO' -p101390 -aS'THE\tTHE\tDT\tB-NP\tO' -p101391 -aS'PATIENT\tPATIENT\tNN\tI-NP\tO' -p101392 -aS'WAS\tWAS\tNN\tI-NP\tO' -p101393 -aS'PRE-OP\tPRE-OP\tNN\tI-NP\tO' -p101394 -aS"'D\t'D\tNN\tI-NP\tO" -p101395 -aS'AND\tAND\tCC\tI-NP\tO' -p101396 -aS'MADE\tMADE\tNN\tI-NP\tB-protein' -p101397 -aS'NPO\tNPO\tNN\tI-NP\tI-protein' -p101398 -aS'/\t/\tSYM\tB-NP\tO' -p101399 -aS'IVF\tIVF\tNN\tI-NP\tB-protein' -p101400 -aS'.\t.\t.\tO\tO' -p101401 -asS'The neck is without adenopathy .' -p101402 -(lp101403 -S'The\tThe\tDT\tB-NP\tO' -p101404 -aS'neck\tneck\tNN\tI-NP\tO' -p101405 -aS'is\tbe\tVBZ\tB-VP\tO' -p101406 -aS'without\twithout\tIN\tB-PP\tO' -p101407 -aS'adenopathy\tadenopathy\tNN\tB-NP\tO' -p101408 -aS'.\t.\t.\tO\tO' -p101409 -asS'Her ambulation and mobilization increased gradually and by the time of discharge she was walking in the halls without assistance .' -p101410 -(lp101411 -S'Her\tHer\tPRP$\tB-NP\tO' -p101412 -aS'ambulation\tambulation\tNN\tI-NP\tO' -p101413 -aS'and\tand\tCC\tI-NP\tO' -p101414 -aS'mobilization\tmobilization\tNN\tI-NP\tO' -p101415 -aS'increased\tincrease\tVBD\tB-VP\tO' -p101416 -aS'gradually\tgradually\tRB\tB-ADVP\tO' -p101417 -aS'and\tand\tCC\tO\tO' -p101418 -aS'by\tby\tIN\tB-PP\tO' -p101419 -aS'the\tthe\tDT\tB-NP\tO' -p101420 -aS'time\ttime\tNN\tI-NP\tO' -p101421 -aS'of\tof\tIN\tB-PP\tO' -p101422 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p101423 -aS'she\tshe\tPRP\tB-NP\tO' -p101424 -aS'was\tbe\tVBD\tB-VP\tO' -p101425 -aS'walking\twalk\tVBG\tI-VP\tO' -p101426 -aS'in\tin\tIN\tB-PP\tO' -p101427 -aS'the\tthe\tDT\tB-NP\tO' -p101428 -aS'halls\thall\tNNS\tI-NP\tO' -p101429 -aS'without\twithout\tIN\tB-PP\tO' -p101430 -aS'assistance\tassistance\tNN\tB-NP\tO' -p101431 -aS'.\t.\t.\tO\tO' -p101432 -asS"9. Warfarin 5 mg p.o. q.d. times four days , after which point the patient 's dosage schedule is to be coordinated by his PCP , Dr. Jerold Esqueda ." -p101433 -(lp101434 -S'9.\t9.\tCD\tB-NP\tO' -p101435 -aS'Warfarin\tWarfarin\tNNP\tI-NP\tO' -p101436 -aS'5\t5\tCD\tI-NP\tO' -p101437 -aS'mg\tmg\tNN\tI-NP\tO' -p101438 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p101439 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p101440 -aS'times\ttime\tNNS\tI-NP\tO' -p101441 -aS'four\tfour\tCD\tB-NP\tO' -p101442 -aS'days\tday\tNNS\tI-NP\tO' -p101443 -aS',\t,\t,\tO\tO' -p101444 -aS'after\tafter\tIN\tB-PP\tO' -p101445 -aS'which\twhich\tWDT\tB-NP\tO' -p101446 -aS'point\tpoint\tNN\tI-NP\tO' -p101447 -aS'the\tthe\tDT\tB-NP\tO' -p101448 -aS'patient\tpatient\tNN\tI-NP\tO' -p101449 -aS"'s\t's\tPOS\tB-NP\tO" -p101450 -aS'dosage\tdosage\tNN\tI-NP\tO' -p101451 -aS'schedule\tschedule\tNN\tI-NP\tO' -p101452 -aS'is\tbe\tVBZ\tB-VP\tO' -p101453 -aS'to\tto\tTO\tB-VP\tO' -p101454 -aS'be\tbe\tVB\tI-VP\tO' -p101455 -aS'coordinated\tcoordinate\tVBN\tI-VP\tO' -p101456 -aS'by\tby\tIN\tB-PP\tO' -p101457 -aS'his\this\tPRP$\tB-NP\tO' -p101458 -aS'PCP\tPCP\tNN\tI-NP\tB-DNA' -p101459 -aS',\t,\t,\tO\tO' -p101460 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p101461 -aS'Jerold\tJerold\tNNP\tI-NP\tO' -p101462 -aS'Esqueda\tEsqueda\tNNP\tI-NP\tO' -p101463 -aS'.\t.\t.\tO\tO' -p101464 -asS'13. Prednisone taper for 3 days .' -p101465 -(lp101466 -S'13.\t13.\tLS\tB-NP\tO' -p101467 -aS'Prednisone\tPrednisone\tNN\tI-NP\tO' -p101468 -aS'taper\ttaper\tNN\tI-NP\tO' -p101469 -aS'for\tfor\tIN\tB-PP\tO' -p101470 -aS'3\t3\tCD\tB-NP\tO' -p101471 -aS'days\tday\tNNS\tI-NP\tO' -p101472 -aS'.\t.\t.\tO\tO' -p101473 -asS'Hypertension , possible peptic ulcer disease 1959 , history of left ankle and knee fractures , 1980 .' -p101474 -(lp101475 -S'Hypertension\tHypertension\tNN\tB-NP\tO' -p101476 -aS',\t,\t,\tO\tO' -p101477 -aS'possible\tpossible\tJJ\tB-NP\tO' -p101478 -aS'peptic\tpeptic\tJJ\tI-NP\tO' -p101479 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p101480 -aS'disease\tdisease\tNN\tI-NP\tO' -p101481 -aS'1959\t1959\tCD\tB-NP\tO' -p101482 -aS',\t,\t,\tO\tO' -p101483 -aS'history\thistory\tNN\tB-NP\tO' -p101484 -aS'of\tof\tIN\tB-PP\tO' -p101485 -aS'left\tleft\tJJ\tB-NP\tO' -p101486 -aS'ankle\tankle\tNN\tI-NP\tO' -p101487 -aS'and\tand\tCC\tI-NP\tO' -p101488 -aS'knee\tknee\tNN\tI-NP\tO' -p101489 -aS'fractures\tfracture\tNNS\tI-NP\tO' -p101490 -aS',\t,\t,\tO\tO' -p101491 -aS'1980\t1980\tCD\tB-NP\tO' -p101492 -aS'.\t.\t.\tO\tO' -p101493 -asS'Coronary artery disease with MI in 1989 .' -p101494 -(lp101495 -S'Coronary\tCoronary\tJJ\tB-NP\tO' -p101496 -aS'artery\tartery\tNN\tI-NP\tO' -p101497 -aS'disease\tdisease\tNN\tI-NP\tO' -p101498 -aS'with\twith\tIN\tB-PP\tO' -p101499 -aS'MI\tMI\tNN\tB-NP\tO' -p101500 -aS'in\tin\tIN\tB-PP\tO' -p101501 -aS'1989\t1989\tCD\tB-NP\tO' -p101502 -aS'.\t.\t.\tO\tO' -p101503 -asS'syndrome ( Cr 3.3 at its worst ) which resolved prior to her discharge .' -p101504 -(lp101505 -S'syndrome\tsyndrome\tNN\tB-NP\tO' -p101506 -aS'(\t(\t(\tO\tO' -p101507 -aS'Cr\tCr\tNN\tB-NP\tO' -p101508 -aS'3.3\t3.3\tCD\tI-NP\tO' -p101509 -aS'at\tat\tIN\tB-PP\tO' -p101510 -aS'its\tits\tPRP$\tB-NP\tO' -p101511 -aS'worst\tworst\tJJS\tI-NP\tO' -p101512 -aS')\t)\t)\tO\tO' -p101513 -aS'which\twhich\tWDT\tB-NP\tO' -p101514 -aS'resolved\tresolve\tVBD\tB-VP\tO' -p101515 -aS'prior\tprior\tRB\tB-ADVP\tO' -p101516 -aS'to\tto\tTO\tB-PP\tO' -p101517 -aS'her\ther\tPRP$\tB-NP\tO' -p101518 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p101519 -aS'.\t.\t.\tO\tO' -p101520 -asS'On detailed review of systems , she admitted to one episode of urinary incontinence .' -p101521 -(lp101522 -S'On\tOn\tIN\tB-PP\tO' -p101523 -aS'detailed\tdetail\tVBN\tB-NP\tO' -p101524 -aS'review\treview\tNN\tI-NP\tO' -p101525 -aS'of\tof\tIN\tB-PP\tO' -p101526 -aS'systems\tsystem\tNNS\tB-NP\tO' -p101527 -aS',\t,\t,\tO\tO' -p101528 -aS'she\tshe\tPRP\tB-NP\tO' -p101529 -aS'admitted\tadmit\tVBD\tB-VP\tO' -p101530 -aS'to\tto\tTO\tB-PP\tO' -p101531 -aS'one\tone\tCD\tB-NP\tO' -p101532 -aS'episode\tepisode\tNN\tI-NP\tO' -p101533 -aS'of\tof\tIN\tB-PP\tO' -p101534 -aS'urinary\turinary\tJJ\tB-NP\tO' -p101535 -aS'incontinence\tincontinence\tNN\tI-NP\tO' -p101536 -aS'.\t.\t.\tO\tO' -p101537 -asS'2. llame a la clinica the Wake Valley Hospital 442/961-2446 , si tiene que cambiar la cita .' -p101538 -(lp101539 -S'2.\t2.\tLS\tB-LST\tO' -p101540 -aS'llame\tllame\t:\tO\tO' -p101541 -aS'a\ta\tDT\tB-NP\tO' -p101542 -aS'la\tla\tNN\tI-NP\tO' -p101543 -aS'clinica\tclinica\tNN\tI-NP\tO' -p101544 -aS'the\tthe\tDT\tB-NP\tO' -p101545 -aS'Wake\tWake\tNNP\tI-NP\tO' -p101546 -aS'Valley\tValley\tNNP\tI-NP\tO' -p101547 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p101548 -aS'442/961-2446\t442/961-2446\tCD\tI-NP\tO' -p101549 -aS',\t,\t,\tO\tO' -p101550 -aS'si\tsi\tNN\tB-NP\tO' -p101551 -aS'tiene\ttiene\tNN\tI-NP\tO' -p101552 -aS'que\tque\tNN\tI-NP\tO' -p101553 -aS'cambiar\tcambiar\tNN\tI-NP\tO' -p101554 -aS'la\tla\tNN\tI-NP\tO' -p101555 -aS'cita\tcita\tNN\tI-NP\tO' -p101556 -aS'.\t.\t.\tO\tO' -p101557 -asS'Major Surgical or Invasive Procedure : none this admission' -p101558 -(lp101559 -S'Major\tMajor\tJJ\tB-NP\tO' -p101560 -aS'Surgical\tSurgical\tJJ\tI-NP\tO' -p101561 -aS'or\tor\tCC\tI-NP\tO' -p101562 -aS'Invasive\tInvasive\tJJ\tI-NP\tO' -p101563 -aS'Procedure\tProcedure\tNN\tI-NP\tO' -p101564 -aS':\t:\t:\tO\tO' -p101565 -aS'none\tnone\tNN\tB-NP\tO' -p101566 -aS'this\tthis\tDT\tB-NP\tO' -p101567 -aS'admission\tadmission\tNN\tI-NP\tO' -p101568 -asS'Motor examination showed full power on the right arm and leg , could barely flex fingers of the left hand , pulls left arm medially only .' -p101569 -(lp101570 -S'Motor\tMotor\tNN\tB-NP\tO' -p101571 -aS'examination\texamination\tNN\tI-NP\tO' -p101572 -aS'showed\tshow\tVBD\tB-VP\tO' -p101573 -aS'full\tfull\tJJ\tB-NP\tO' -p101574 -aS'power\tpower\tNN\tI-NP\tO' -p101575 -aS'on\ton\tIN\tB-PP\tO' -p101576 -aS'the\tthe\tDT\tB-NP\tO' -p101577 -aS'right\tright\tJJ\tI-NP\tO' -p101578 -aS'arm\tarm\tNN\tI-NP\tO' -p101579 -aS'and\tand\tCC\tI-NP\tO' -p101580 -aS'leg\tleg\tNN\tI-NP\tO' -p101581 -aS',\t,\t,\tO\tO' -p101582 -aS'could\tcould\tMD\tB-VP\tO' -p101583 -aS'barely\tbarely\tRB\tI-VP\tO' -p101584 -aS'flex\tflex\tVB\tI-VP\tO' -p101585 -aS'fingers\tfinger\tNNS\tB-NP\tO' -p101586 -aS'of\tof\tIN\tB-PP\tO' -p101587 -aS'the\tthe\tDT\tB-NP\tO' -p101588 -aS'left\tleft\tJJ\tI-NP\tO' -p101589 -aS'hand\thand\tNN\tI-NP\tO' -p101590 -aS',\t,\t,\tO\tO' -p101591 -aS'pulls\tpull\tNNS\tB-NP\tO' -p101592 -aS'left\tleave\tVBD\tB-VP\tO' -p101593 -aS'arm\tarm\tNN\tB-NP\tO' -p101594 -aS'medially\tmedially\tRB\tB-ADVP\tO' -p101595 -aS'only\tonly\tRB\tB-ADVP\tO' -p101596 -aS'.\t.\t.\tO\tO' -p101597 -asS'2. Avandia 4 mg p.o. q. day .' -p101598 -(lp101599 -S'2.\t2.\tLS\tB-LST\tO' -p101600 -aS'Avandia\tAvandia\tNNP\tB-NP\tO' -p101601 -aS'4\t4\tCD\tI-NP\tO' -p101602 -aS'mg\tmg\tNN\tI-NP\tO' -p101603 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p101604 -aS'q.\tq.\tNN\tI-NP\tO' -p101605 -aS'day\tday\tNN\tI-NP\tO' -p101606 -aS'.\t.\t.\tO\tO' -p101607 -asS'The vein was divided and suture ligated .' -p101608 -(lp101609 -S'The\tThe\tDT\tB-NP\tO' -p101610 -aS'vein\tvein\tNN\tI-NP\tO' -p101611 -aS'was\tbe\tVBD\tB-VP\tO' -p101612 -aS'divided\tdivide\tVBN\tI-VP\tO' -p101613 -aS'and\tand\tCC\tO\tO' -p101614 -aS'suture\tsuture\tJJ\tB-VP\tO' -p101615 -aS'ligated\tligate\tVBN\tI-VP\tO' -p101616 -aS'.\t.\t.\tO\tO' -p101617 -asS'HEENT - Pupils were miotic , measuring 2 mm but responsive to light .' -p101618 -(lp101619 -S'HEENT\tHEENT\tNN\tB-NP\tB-protein' -p101620 -aS'-\t-\tHYPH\tI-NP\tO' -p101621 -aS'Pupils\tPupil\tNNS\tI-NP\tB-cell_type' -p101622 -aS'were\tbe\tVBD\tB-VP\tO' -p101623 -aS'miotic\tmiotic\tJJ\tB-ADJP\tO' -p101624 -aS',\t,\t,\tO\tO' -p101625 -aS'measuring\tmeasure\tVBG\tB-VP\tO' -p101626 -aS'2\t2\tCD\tB-NP\tO' -p101627 -aS'mm\tmm\tNN\tI-NP\tO' -p101628 -aS'but\tbut\tCC\tO\tO' -p101629 -aS'responsive\tresponsive\tJJ\tB-ADJP\tO' -p101630 -aS'to\tto\tTO\tB-PP\tO' -p101631 -aS'light\tlight\tNN\tB-NP\tO' -p101632 -aS'.\t.\t.\tO\tO' -p101633 -asS'Abdomen distended , mild tenderness on the left , bowel sounds present , nohepatosplenomegaly .' -p101634 -(lp101635 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p101636 -aS'distended\tdistended\tJJ\tI-NP\tO' -p101637 -aS',\t,\t,\tI-NP\tO' -p101638 -aS'mild\tmild\tJJ\tI-NP\tO' -p101639 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p101640 -aS'on\ton\tIN\tB-PP\tO' -p101641 -aS'the\tthe\tDT\tB-NP\tO' -p101642 -aS'left\tleft\tNN\tI-NP\tO' -p101643 -aS',\t,\t,\tO\tO' -p101644 -aS'bowel\tbowel\tNN\tB-NP\tO' -p101645 -aS'sounds\tsound\tVBZ\tB-VP\tO' -p101646 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p101647 -aS',\t,\t,\tO\tO' -p101648 -aS'nohepatosplenomegaly\tnohepatosplenomegaly\tRB\tB-ADVP\tO' -p101649 -aS'.\t.\t.\tO\tO' -p101650 -asS'The MRI showed infarct of the cerebellar hemispheres bilaterally , the right occipital lobe , the right thalamus and bilateral pons .' -p101651 -(lp101652 -S'The\tThe\tDT\tB-NP\tO' -p101653 -aS'MRI\tMRI\tNN\tI-NP\tB-protein' -p101654 -aS'showed\tshow\tVBD\tB-VP\tO' -p101655 -aS'infarct\tinfarct\tNN\tB-NP\tO' -p101656 -aS'of\tof\tIN\tB-PP\tO' -p101657 -aS'the\tthe\tDT\tB-NP\tO' -p101658 -aS'cerebellar\tcerebellar\tJJ\tI-NP\tO' -p101659 -aS'hemispheres\themisphere\tVBZ\tB-VP\tO' -p101660 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p101661 -aS',\t,\t,\tO\tO' -p101662 -aS'the\tthe\tDT\tB-NP\tO' -p101663 -aS'right\tright\tJJ\tI-NP\tO' -p101664 -aS'occipital\toccipital\tNN\tI-NP\tO' -p101665 -aS'lobe\tlobe\tNN\tI-NP\tO' -p101666 -aS',\t,\t,\tO\tO' -p101667 -aS'the\tthe\tDT\tB-NP\tO' -p101668 -aS'right\tright\tJJ\tI-NP\tO' -p101669 -aS'thalamus\tthalamus\tNN\tI-NP\tO' -p101670 -aS'and\tand\tCC\tO\tO' -p101671 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p101672 -aS'pons\tpon\tNNS\tI-NP\tO' -p101673 -aS'.\t.\t.\tO\tO' -p101674 -asS'The patient was admitted to Vencor Hospital .' -p101675 -(lp101676 -S'The\tThe\tDT\tB-NP\tO' -p101677 -aS'patient\tpatient\tNN\tI-NP\tO' -p101678 -aS'was\tbe\tVBD\tB-VP\tO' -p101679 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p101680 -aS'to\tto\tTO\tB-PP\tO' -p101681 -aS'Vencor\tVencor\tNNP\tB-NP\tO' -p101682 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p101683 -aS'.\t.\t.\tO\tO' -p101684 -asS'Evidence for cellulitis on her legs , likely due to distention from edema and poor perfusion .' -p101685 -(lp101686 -S'Evidence\tEvidence\tNN\tB-NP\tO' -p101687 -aS'for\tfor\tIN\tB-PP\tO' -p101688 -aS'cellulitis\tcellulitis\tNN\tB-NP\tO' -p101689 -aS'on\ton\tIN\tB-PP\tO' -p101690 -aS'her\ther\tPRP$\tB-NP\tO' -p101691 -aS'legs\tleg\tNNS\tI-NP\tO' -p101692 -aS',\t,\t,\tO\tO' -p101693 -aS'likely\tlikely\tRB\tB-ADJP\tO' -p101694 -aS'due\tdue\tIN\tB-PP\tO' -p101695 -aS'to\tto\tTO\tB-VP\tO' -p101696 -aS'distention\tdistention\tVB\tI-VP\tO' -p101697 -aS'from\tfrom\tIN\tB-PP\tO' -p101698 -aS'edema\tedema\tNN\tB-NP\tO' -p101699 -aS'and\tand\tCC\tO\tO' -p101700 -aS'poor\tpoor\tJJ\tB-NP\tO' -p101701 -aS'perfusion\tperfusion\tNN\tI-NP\tO' -p101702 -aS'.\t.\t.\tO\tO' -p101703 -asS'Major Surgical or Invasive Procedure : none' -p101704 -(lp101705 -S'Major\tMajor\tJJ\tB-NP\tO' -p101706 -aS'Surgical\tSurgical\tJJ\tI-NP\tO' -p101707 -aS'or\tor\tCC\tI-NP\tO' -p101708 -aS'Invasive\tInvasive\tJJ\tI-NP\tO' -p101709 -aS'Procedure\tProcedure\tNN\tI-NP\tO' -p101710 -aS':\t:\t:\tO\tO' -p101711 -aS'none\tnone\tNN\tB-NP\tO' -p101712 -asS'On admission , the CBC revealed a white count of 7.4 , hematocrit 39.7 , and platelets of 217,000 .' -p101713 -(lp101714 -S'On\tOn\tIN\tB-PP\tO' -p101715 -aS'admission\tadmission\tNN\tB-NP\tO' -p101716 -aS',\t,\t,\tO\tO' -p101717 -aS'the\tthe\tDT\tB-NP\tO' -p101718 -aS'CBC\tCBC\tNNP\tI-NP\tO' -p101719 -aS'revealed\treveal\tVBD\tB-VP\tO' -p101720 -aS'a\ta\tDT\tB-NP\tO' -p101721 -aS'white\twhite\tJJ\tI-NP\tO' -p101722 -aS'count\tcount\tNN\tI-NP\tO' -p101723 -aS'of\tof\tIN\tB-PP\tO' -p101724 -aS'7.4\t7.4\tCD\tB-NP\tO' -p101725 -aS',\t,\t,\tO\tO' -p101726 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p101727 -aS'39.7\t39.7\tCD\tI-NP\tI-protein' -p101728 -aS',\t,\t,\tO\tO' -p101729 -aS'and\tand\tCC\tO\tO' -p101730 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p101731 -aS'of\tof\tIN\tB-PP\tO' -p101732 -aS'217,000\t217,000\tCD\tB-NP\tO' -p101733 -aS'.\t.\t.\tO\tO' -p101734 -asS'Pt states he has been receiving chemotherapy up until 1 week ago .' -p101735 -(lp101736 -S'Pt\tPt\tNN\tB-NP\tO' -p101737 -aS'states\tstate\tVBZ\tB-VP\tO' -p101738 -aS'he\the\tPRP\tB-NP\tO' -p101739 -aS'has\thave\tVBZ\tB-VP\tO' -p101740 -aS'been\tbe\tVBN\tI-VP\tO' -p101741 -aS'receiving\treceive\tVBG\tI-VP\tO' -p101742 -aS'chemotherapy\tchemotherapy\tNN\tB-NP\tO' -p101743 -aS'up\tup\tRP\tB-PRT\tO' -p101744 -aS'until\tuntil\tIN\tB-PP\tO' -p101745 -aS'1\t1\tCD\tB-NP\tO' -p101746 -aS'week\tweek\tNN\tI-NP\tO' -p101747 -aS'ago\tago\tRB\tB-ADVP\tO' -p101748 -aS'.\t.\t.\tO\tO' -p101749 -asS'She is pink and well perfused .' -p101750 -(lp101751 -S'She\tShe\tPRP\tB-NP\tO' -p101752 -aS'is\tbe\tVBZ\tB-VP\tO' -p101753 -aS'pink\tpink\tJJ\tB-ADJP\tO' -p101754 -aS'and\tand\tCC\tO\tO' -p101755 -aS'well\twell\tRB\tB-ADJP\tO' -p101756 -aS'perfused\tperfuse\tVBN\tI-ADJP\tO' -p101757 -aS'.\t.\t.\tO\tO' -p101758 -asS'Zoloft 50 mg PO QD , Lactulose 15 g PO BID , Synthroid 0.15 mg PO QD , Prilosec 20 mg PO BID .' -p101759 -(lp101760 -S'Zoloft\tZoloft\tNNP\tB-NP\tO' -p101761 -aS'50\t50\tCD\tI-NP\tO' -p101762 -aS'mg\tmg\tNN\tI-NP\tO' -p101763 -aS'PO\tPO\tNNP\tI-NP\tO' -p101764 -aS'QD\tQD\tNNP\tI-NP\tO' -p101765 -aS',\t,\t,\tO\tO' -p101766 -aS'Lactulose\tLactulose\tNNP\tB-NP\tO' -p101767 -aS'15\t15\tCD\tI-NP\tO' -p101768 -aS'g\tg\tNN\tI-NP\tO' -p101769 -aS'PO\tPO\tNN\tI-NP\tO' -p101770 -aS'BID\tBID\tNN\tI-NP\tO' -p101771 -aS',\t,\t,\tO\tO' -p101772 -aS'Synthroid\tSynthroid\tJJ\tB-NP\tO' -p101773 -aS'0.15\t0.15\tCD\tI-NP\tO' -p101774 -aS'mg\tmg\tNN\tI-NP\tO' -p101775 -aS'PO\tPO\tNNP\tI-NP\tO' -p101776 -aS'QD\tQD\tNNP\tI-NP\tO' -p101777 -aS',\t,\t,\tO\tO' -p101778 -aS'Prilosec\tPrilosec\tNNP\tB-NP\tO' -p101779 -aS'20\t20\tCD\tI-NP\tO' -p101780 -aS'mg\tmg\tNN\tI-NP\tO' -p101781 -aS'PO\tPO\tNN\tI-NP\tO' -p101782 -aS'BID\tBID\tNN\tI-NP\tO' -p101783 -aS'.\t.\t.\tO\tO' -p101784 -asS'The patient reports no masses in her neck .' -p101785 -(lp101786 -S'The\tThe\tDT\tB-NP\tO' -p101787 -aS'patient\tpatient\tNN\tI-NP\tO' -p101788 -aS'reports\treport\tVBZ\tB-VP\tO' -p101789 -aS'no\tno\tDT\tB-NP\tO' -p101790 -aS'masses\tmass\tNNS\tI-NP\tO' -p101791 -aS'in\tin\tIN\tB-PP\tO' -p101792 -aS'her\ther\tPRP$\tB-NP\tO' -p101793 -aS'neck\tneck\tNN\tI-NP\tO' -p101794 -aS'.\t.\t.\tO\tO' -p101795 -asS'Normal introitus , normal appearing cervix , a small , mobile uterus .' -p101796 -(lp101797 -S'Normal\tNormal\tJJ\tB-NP\tO' -p101798 -aS'introitus\tintroitus\tNN\tI-NP\tO' -p101799 -aS',\t,\t,\tO\tO' -p101800 -aS'normal\tnormal\tJJ\tB-NP\tO' -p101801 -aS'appearing\tappear\tVBG\tI-NP\tO' -p101802 -aS'cervix\tcervix\tNN\tI-NP\tO' -p101803 -aS',\t,\t,\tO\tO' -p101804 -aS'a\ta\tDT\tB-NP\tO' -p101805 -aS'small\tsmall\tJJ\tI-NP\tO' -p101806 -aS',\t,\t,\tI-NP\tO' -p101807 -aS'mobile\tmobile\tJJ\tI-NP\tO' -p101808 -aS'uterus\tuterus\tNN\tI-NP\tO' -p101809 -aS'.\t.\t.\tO\tO' -p101810 -asS'Per daughter , pt was in her USOH until two days prior to admission when she was noted to have a superficial ulcerations on her foot with erythema .' -p101811 -(lp101812 -S'Per\tPer\tNNP\tB-NP\tO' -p101813 -aS'daughter\tdaughter\tNN\tI-NP\tO' -p101814 -aS',\t,\t,\tO\tO' -p101815 -aS'pt\tpt\tNN\tB-NP\tO' -p101816 -aS'was\tbe\tVBD\tB-VP\tO' -p101817 -aS'in\tin\tIN\tB-PP\tO' -p101818 -aS'her\ther\tPRP$\tB-NP\tO' -p101819 -aS'USOH\tUSOH\tNN\tI-NP\tB-protein' -p101820 -aS'until\tuntil\tIN\tB-PP\tO' -p101821 -aS'two\ttwo\tCD\tB-NP\tO' -p101822 -aS'days\tday\tNNS\tI-NP\tO' -p101823 -aS'prior\tprior\tRB\tB-ADVP\tO' -p101824 -aS'to\tto\tTO\tB-PP\tO' -p101825 -aS'admission\tadmission\tNN\tB-NP\tO' -p101826 -aS'when\twhen\tWRB\tB-ADVP\tO' -p101827 -aS'she\tshe\tPRP\tB-NP\tO' -p101828 -aS'was\tbe\tVBD\tB-VP\tO' -p101829 -aS'noted\tnote\tVBN\tI-VP\tO' -p101830 -aS'to\tto\tTO\tI-VP\tO' -p101831 -aS'have\thave\tVB\tI-VP\tO' -p101832 -aS'a\ta\tDT\tB-NP\tO' -p101833 -aS'superficial\tsuperficial\tJJ\tI-NP\tO' -p101834 -aS'ulcerations\tulceration\tNNS\tI-NP\tO' -p101835 -aS'on\ton\tIN\tB-PP\tO' -p101836 -aS'her\ther\tPRP$\tB-NP\tO' -p101837 -aS'foot\tfoot\tNN\tI-NP\tO' -p101838 -aS'with\twith\tIN\tB-PP\tO' -p101839 -aS'erythema\terythema\tNN\tB-NP\tO' -p101840 -aS'.\t.\t.\tO\tO' -p101841 -asS'The patient also had several episodes of fungal cystitis with Torulopsis glabrata , going from his urine .' -p101842 -(lp101843 -S'The\tThe\tDT\tB-NP\tO' -p101844 -aS'patient\tpatient\tNN\tI-NP\tO' -p101845 -aS'also\talso\tRB\tB-ADVP\tO' -p101846 -aS'had\thave\tVBD\tB-VP\tO' -p101847 -aS'several\tseveral\tJJ\tB-NP\tO' -p101848 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p101849 -aS'of\tof\tIN\tB-PP\tO' -p101850 -aS'fungal\tfungal\tJJ\tB-NP\tO' -p101851 -aS'cystitis\tcystitis\tNN\tI-NP\tO' -p101852 -aS'with\twith\tIN\tB-PP\tO' -p101853 -aS'Torulopsis\tTorulopsis\tNNP\tB-NP\tO' -p101854 -aS'glabrata\tglabrata\tNNS\tI-NP\tO' -p101855 -aS',\t,\t,\tO\tO' -p101856 -aS'going\tgo\tVBG\tB-VP\tO' -p101857 -aS'from\tfrom\tIN\tB-PP\tO' -p101858 -aS'his\this\tPRP$\tB-NP\tO' -p101859 -aS'urine\turine\tNN\tI-NP\tO' -p101860 -aS'.\t.\t.\tO\tO' -p101861 -asS'She tolerated the procedure well and returned to CC6 post-procedure .' -p101862 -(lp101863 -S'She\tShe\tPRP\tB-NP\tO' -p101864 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p101865 -aS'the\tthe\tDT\tB-NP\tO' -p101866 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p101867 -aS'well\twell\tRB\tB-ADVP\tO' -p101868 -aS'and\tand\tCC\tO\tO' -p101869 -aS'returned\treturn\tVBD\tB-VP\tO' -p101870 -aS'to\tto\tTO\tB-PP\tO' -p101871 -aS'CC6\tCC6\tNN\tB-NP\tB-protein' -p101872 -aS'post-procedure\tpost-procedure\tJJ\tB-ADJP\tO' -p101873 -aS'.\t.\t.\tO\tO' -p101874 -asS'Deep venous thrombosis of right lower extremity .' -p101875 -(lp101876 -S'Deep\tDeep\tJJ\tB-NP\tO' -p101877 -aS'venous\tvenous\tJJ\tI-NP\tO' -p101878 -aS'thrombosis\tthrombosis\tNN\tI-NP\tO' -p101879 -aS'of\tof\tIN\tB-PP\tO' -p101880 -aS'right\tright\tJJ\tB-NP\tO' -p101881 -aS'lower\tlow\tJJR\tI-NP\tO' -p101882 -aS'extremity\textremity\tNN\tI-NP\tO' -p101883 -aS'.\t.\t.\tO\tO' -p101884 -asS'Cocaine use has been associated with an increased risk of heart attacks , stroke and death .' -p101885 -(lp101886 -S'Cocaine\tCocaine\tNN\tB-NP\tO' -p101887 -aS'use\tuse\tNN\tI-NP\tO' -p101888 -aS'has\thave\tVBZ\tB-VP\tO' -p101889 -aS'been\tbe\tVBN\tI-VP\tO' -p101890 -aS'associated\tassociate\tVBN\tI-VP\tO' -p101891 -aS'with\twith\tIN\tB-PP\tO' -p101892 -aS'an\tan\tDT\tB-NP\tO' -p101893 -aS'increased\tincrease\tVBN\tI-NP\tO' -p101894 -aS'risk\trisk\tNN\tI-NP\tO' -p101895 -aS'of\tof\tIN\tB-PP\tO' -p101896 -aS'heart\theart\tNN\tB-NP\tO' -p101897 -aS'attacks\tattack\tNNS\tI-NP\tO' -p101898 -aS',\t,\t,\tO\tO' -p101899 -aS'stroke\tstroke\tNN\tB-NP\tO' -p101900 -aS'and\tand\tCC\tI-NP\tO' -p101901 -aS'death\tdeath\tNN\tI-NP\tO' -p101902 -aS'.\t.\t.\tO\tO' -p101903 -asS'Motor : moving right hand rhythmically with occasional right face twitching as well .' -p101904 -(lp101905 -S'Motor\tMotor\tNN\tB-NP\tO' -p101906 -aS':\t:\t:\tO\tO' -p101907 -aS'moving\tmove\tVBG\tB-VP\tO' -p101908 -aS'right\tright\tJJ\tB-NP\tO' -p101909 -aS'hand\thand\tNN\tI-NP\tO' -p101910 -aS'rhythmically\trhythmically\tRB\tB-ADVP\tO' -p101911 -aS'with\twith\tIN\tB-PP\tO' -p101912 -aS'occasional\toccasional\tJJ\tB-NP\tO' -p101913 -aS'right\tright\tJJ\tI-NP\tO' -p101914 -aS'face\tface\tNN\tI-NP\tO' -p101915 -aS'twitching\ttwitch\tVBG\tB-VP\tO' -p101916 -aS'as\tas\tRB\tB-ADVP\tO' -p101917 -aS'well\twell\tRB\tI-ADVP\tO' -p101918 -aS'.\t.\t.\tO\tO' -p101919 -asS'Followed her examination .' -p101920 -(lp101921 -S'Followed\tFollow\tVBD\tB-VP\tO' -p101922 -aS'her\ther\tPRP$\tB-NP\tO' -p101923 -aS'examination\texamination\tNN\tI-NP\tO' -p101924 -aS'.\t.\t.\tO\tO' -p101925 -asS'Sensation was intact to light touch and pin prick bilaterally .' -p101926 -(lp101927 -S'Sensation\tSensation\tNN\tB-NP\tO' -p101928 -aS'was\tbe\tVBD\tB-VP\tO' -p101929 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p101930 -aS'to\tto\tTO\tB-PP\tO' -p101931 -aS'light\tlight\tJJ\tB-NP\tO' -p101932 -aS'touch\ttouch\tNN\tI-NP\tO' -p101933 -aS'and\tand\tCC\tI-NP\tO' -p101934 -aS'pin\tpin\tNN\tI-NP\tO' -p101935 -aS'prick\tprick\tNN\tI-NP\tO' -p101936 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p101937 -aS'.\t.\t.\tO\tO' -p101938 -asS'A second 9 mm cystic lesion is seen in the head of the pancreas .' -p101939 -(lp101940 -S'A\tA\tDT\tB-NP\tO' -p101941 -aS'second\tsecond\tJJ\tI-NP\tO' -p101942 -aS'9\t9\tCD\tI-NP\tO' -p101943 -aS'mm\tmm\tNN\tI-NP\tO' -p101944 -aS'cystic\tcystic\tJJ\tI-NP\tO' -p101945 -aS'lesion\tlesion\tNN\tI-NP\tO' -p101946 -aS'is\tbe\tVBZ\tB-VP\tO' -p101947 -aS'seen\tsee\tVBN\tI-VP\tO' -p101948 -aS'in\tin\tIN\tB-PP\tO' -p101949 -aS'the\tthe\tDT\tB-NP\tO' -p101950 -aS'head\thead\tNN\tI-NP\tO' -p101951 -aS'of\tof\tIN\tB-PP\tO' -p101952 -aS'the\tthe\tDT\tB-NP\tO' -p101953 -aS'pancreas\tpancreas\tNN\tI-NP\tO' -p101954 -aS'.\t.\t.\tO\tO' -p101955 -asS'As her BP remained stable she did not receiving any standing fluids but was be bolused as appropriate for a MAP < 60 or CVP < 8 with careful monitoring of pulmonary status .' -p101956 -(lp101957 -S'As\tAs\tIN\tB-SBAR\tO' -p101958 -aS'her\ther\tPRP$\tB-NP\tO' -p101959 -aS'BP\tBP\tNN\tI-NP\tO' -p101960 -aS'remained\tremain\tVBD\tB-VP\tO' -p101961 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p101962 -aS'she\tshe\tPRP\tB-NP\tO' -p101963 -aS'did\tdo\tVBD\tB-VP\tO' -p101964 -aS'not\tnot\tRB\tI-VP\tO' -p101965 -aS'receiving\treceive\tVBG\tI-VP\tO' -p101966 -aS'any\tany\tDT\tB-NP\tO' -p101967 -aS'standing\tstand\tVBG\tI-NP\tO' -p101968 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p101969 -aS'but\tbut\tCC\tO\tO' -p101970 -aS'was\tbe\tVBD\tB-VP\tO' -p101971 -aS'be\tbe\tVB\tI-VP\tO' -p101972 -aS'bolused\tboluse\tVBN\tI-VP\tO' -p101973 -aS'as\tas\tIN\tB-PP\tO' -p101974 -aS'appropriate\tappropriate\tJJ\tB-ADJP\tO' -p101975 -aS'for\tfor\tIN\tB-PP\tO' -p101976 -aS'a\ta\tDT\tB-NP\tO' -p101977 -aS'MAP\tMAP\tNN\tI-NP\tB-protein' -p101978 -aS'<\t<\tJJR\tB-NP\tO' -p101979 -aS'60\t60\tCD\tI-NP\tO' -p101980 -aS'or\tor\tCC\tO\tO' -p101981 -aS'CVP\tCVP\tNN\tB-NP\tB-protein' -p101982 -aS'<\t<\tSYM\tO\tI-protein' -p101983 -aS'8\t8\tCD\tB-NP\tI-protein' -p101984 -aS'with\twith\tIN\tB-PP\tO' -p101985 -aS'careful\tcareful\tJJ\tB-NP\tO' -p101986 -aS'monitoring\tmonitoring\tNN\tI-NP\tO' -p101987 -aS'of\tof\tIN\tB-PP\tO' -p101988 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p101989 -aS'status\tstatus\tNN\tI-NP\tO' -p101990 -aS'.\t.\t.\tO\tO' -p101991 -asS'The patient is an 83-year-old female who presents for surgical evaluation for her hyperparathyroidism .' -p101992 -(lp101993 -S'The\tThe\tDT\tB-NP\tO' -p101994 -aS'patient\tpatient\tNN\tI-NP\tO' -p101995 -aS'is\tbe\tVBZ\tB-VP\tO' -p101996 -aS'an\tan\tDT\tB-NP\tO' -p101997 -aS'83-year-old\t83-year-old\tJJ\tI-NP\tO' -p101998 -aS'female\tfemale\tNN\tI-NP\tO' -p101999 -aS'who\twho\tWP\tB-NP\tO' -p102000 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p102001 -aS'for\tfor\tIN\tB-PP\tO' -p102002 -aS'surgical\tsurgical\tJJ\tB-NP\tO' -p102003 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p102004 -aS'for\tfor\tIN\tB-PP\tO' -p102005 -aS'her\ther\tPRP$\tB-NP\tO' -p102006 -aS'hyperparathyroidism\thyperparathyroidism\tNN\tI-NP\tO' -p102007 -aS'.\t.\t.\tO\tO' -p102008 -asS'- possible opacity on CXR - along w/ leukocytosis .' -p102009 -(lp102010 -S'-\t-\tHYPH\tB-NP\tO' -p102011 -aS'possible\tpossible\tJJ\tI-NP\tO' -p102012 -aS'opacity\topacity\tNN\tI-NP\tO' -p102013 -aS'on\ton\tIN\tB-PP\tO' -p102014 -aS'CXR\tCXR\tNN\tB-NP\tB-protein' -p102015 -aS'-\t-\tHYPH\tB-ADVP\tO' -p102016 -aS'along\talong\tIN\tB-PP\tO' -p102017 -aS'w/\tw/\tNN\tB-NP\tO' -p102018 -aS'leukocytosis\tleukocytosis\tNN\tI-NP\tO' -p102019 -aS'.\t.\t.\tO\tO' -p102020 -asS'Primary closure of wound .' -p102021 -(lp102022 -S'Primary\tPrimary\tJJ\tB-NP\tO' -p102023 -aS'closure\tclosure\tNN\tI-NP\tO' -p102024 -aS'of\tof\tIN\tB-PP\tO' -p102025 -aS'wound\twound\tNN\tB-NP\tO' -p102026 -aS'.\t.\t.\tO\tO' -p102027 -asS'She has no current legal issues .' -p102028 -(lp102029 -S'She\tShe\tPRP\tB-NP\tO' -p102030 -aS'has\thave\tVBZ\tB-VP\tO' -p102031 -aS'no\tno\tDT\tB-NP\tO' -p102032 -aS'current\tcurrent\tJJ\tI-NP\tO' -p102033 -aS'legal\tlegal\tJJ\tI-NP\tO' -p102034 -aS'issues\tissue\tNNS\tI-NP\tO' -p102035 -aS'.\t.\t.\tO\tO' -p102036 -asS'Neuro : A&Ox3 , MAE , non-focal' -p102037 -(lp102038 -S'Neuro\tNeuro\tNNP\tB-NP\tO' -p102039 -aS':\t:\t:\tO\tO' -p102040 -aS'A&Ox3\tA&Ox3\tNN\tB-NP\tB-protein' -p102041 -aS',\t,\t,\tO\tO' -p102042 -aS'MAE\tMAE\tNN\tB-NP\tB-protein' -p102043 -aS',\t,\t,\tO\tO' -p102044 -aS'non-focal\tnon-focal\tJJ\tB-ADJP\tO' -p102045 -asS'Soft , mildly obese with Pfannenstiel scar visualized .' -p102046 -(lp102047 -S'Soft\tSoft\tRB\tB-ADVP\tO' -p102048 -aS',\t,\t,\tO\tO' -p102049 -aS'mildly\tmildly\tRB\tB-ADJP\tO' -p102050 -aS'obese\tobese\tJJ\tI-ADJP\tO' -p102051 -aS'with\twith\tIN\tB-PP\tO' -p102052 -aS'Pfannenstiel\tPfannenstiel\tNN\tB-NP\tO' -p102053 -aS'scar\tscar\tNN\tI-NP\tO' -p102054 -aS'visualized\tvisualize\tVBN\tB-VP\tO' -p102055 -aS'.\t.\t.\tO\tO' -p102056 -asS'She continued to have pulmonary wheezing , unknown origin , without history of asthma .' -p102057 -(lp102058 -S'She\tShe\tPRP\tB-NP\tO' -p102059 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p102060 -aS'to\tto\tTO\tI-VP\tO' -p102061 -aS'have\thave\tVB\tI-VP\tO' -p102062 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p102063 -aS'wheezing\twheezing\tNN\tI-NP\tO' -p102064 -aS',\t,\t,\tO\tO' -p102065 -aS'unknown\tunknown\tJJ\tB-NP\tO' -p102066 -aS'origin\torigin\tNN\tI-NP\tO' -p102067 -aS',\t,\t,\tO\tO' -p102068 -aS'without\twithout\tIN\tB-PP\tO' -p102069 -aS'history\thistory\tNN\tB-NP\tO' -p102070 -aS'of\tof\tIN\tB-PP\tO' -p102071 -aS'asthma\tasthma\tNN\tB-NP\tO' -p102072 -aS'.\t.\t.\tO\tO' -p102073 -asS'After one hour his eyes were midline and he remained unresponsive .' -p102074 -(lp102075 -S'After\tAfter\tIN\tB-PP\tO' -p102076 -aS'one\tone\tCD\tB-NP\tO' -p102077 -aS'hour\thour\tNN\tI-NP\tO' -p102078 -aS'his\this\tPRP$\tB-NP\tO' -p102079 -aS'eyes\teye\tNNS\tI-NP\tO' -p102080 -aS'were\tbe\tVBD\tB-VP\tO' -p102081 -aS'midline\tmidline\tNN\tB-NP\tO' -p102082 -aS'and\tand\tCC\tO\tO' -p102083 -aS'he\the\tPRP\tB-NP\tO' -p102084 -aS'remained\tremain\tVBD\tB-VP\tO' -p102085 -aS'unresponsive\tunresponsive\tJJ\tB-ADJP\tO' -p102086 -aS'.\t.\t.\tO\tO' -p102087 -asS'He was covered with a Insulin drip while unstable' -p102088 -(lp102089 -S'He\tHe\tPRP\tB-NP\tO' -p102090 -aS'was\tbe\tVBD\tB-VP\tO' -p102091 -aS'covered\tcover\tVBN\tI-VP\tO' -p102092 -aS'with\twith\tIN\tB-PP\tO' -p102093 -aS'a\ta\tDT\tB-NP\tO' -p102094 -aS'Insulin\tInsulin\tNN\tI-NP\tB-protein' -p102095 -aS'drip\tdrip\tNN\tI-NP\tI-protein' -p102096 -aS'while\twhile\tIN\tB-SBAR\tO' -p102097 -aS'unstable\tunstable\tJJ\tB-NP\tO' -p102098 -asS'Her lipids were checked with a total cholesterol of 110 , triglycerides 59 , HDL32 , LDL 64 .' -p102099 -(lp102100 -S'Her\tHer\tPRP$\tB-NP\tO' -p102101 -aS'lipids\tlipid\tNNS\tI-NP\tO' -p102102 -aS'were\tbe\tVBD\tB-VP\tO' -p102103 -aS'checked\tcheck\tVBN\tI-VP\tO' -p102104 -aS'with\twith\tIN\tB-PP\tO' -p102105 -aS'a\ta\tDT\tB-NP\tO' -p102106 -aS'total\ttotal\tJJ\tI-NP\tO' -p102107 -aS'cholesterol\tcholesterol\tNN\tI-NP\tO' -p102108 -aS'of\tof\tIN\tB-PP\tO' -p102109 -aS'110\t110\tCD\tB-NP\tO' -p102110 -aS',\t,\t,\tO\tO' -p102111 -aS'triglycerides\ttriglyceride\tNNS\tB-NP\tO' -p102112 -aS'59\t59\tCD\tB-NP\tO' -p102113 -aS',\t,\t,\tO\tO' -p102114 -aS'HDL32\tHDL32\tNN\tB-NP\tB-protein' -p102115 -aS',\t,\t,\tO\tO' -p102116 -aS'LDL\tLDL\tNN\tB-NP\tB-protein' -p102117 -aS'64\t64\tCD\tI-NP\tI-protein' -p102118 -aS'.\t.\t.\tO\tO' -p102119 -asS'His ejection fraction however appeared preserved at 73% with mild inferior wall hypokinesis .' -p102120 -(lp102121 -S'His\tHis\tPRP$\tB-NP\tO' -p102122 -aS'ejection\tejection\tNN\tI-NP\tO' -p102123 -aS'fraction\tfraction\tNN\tI-NP\tO' -p102124 -aS'however\thowever\tRB\tB-ADVP\tO' -p102125 -aS'appeared\tappear\tVBD\tB-VP\tO' -p102126 -aS'preserved\tpreserve\tVBN\tI-VP\tO' -p102127 -aS'at\tat\tIN\tB-PP\tO' -p102128 -aS'73%\t73%\tCD\tB-NP\tO' -p102129 -aS'with\twith\tIN\tB-PP\tO' -p102130 -aS'mild\tmild\tJJ\tB-NP\tO' -p102131 -aS'inferior\tinferior\tJJ\tI-NP\tO' -p102132 -aS'wall\twall\tNN\tI-NP\tO' -p102133 -aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' -p102134 -aS'.\t.\t.\tO\tO' -p102135 -asS'He demonstrated several asymptomatic electrolyte deficiecies ; these were likely due to inadequate absorption following his surgery and he responded well to repletion .' -p102136 -(lp102137 -S'He\tHe\tPRP\tB-NP\tO' -p102138 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p102139 -aS'several\tseveral\tJJ\tB-NP\tO' -p102140 -aS'asymptomatic\tasymptomatic\tJJ\tI-NP\tO' -p102141 -aS'electrolyte\telectrolyte\tNN\tI-NP\tO' -p102142 -aS'deficiecies\tdeficiecy\tNNS\tI-NP\tO' -p102143 -aS';\t;\t:\tO\tO' -p102144 -aS'these\tthese\tDT\tB-NP\tO' -p102145 -aS'were\tbe\tVBD\tB-VP\tO' -p102146 -aS'likely\tlikely\tRB\tB-ADJP\tO' -p102147 -aS'due\tdue\tJJ\tI-ADJP\tO' -p102148 -aS'to\tto\tTO\tB-PP\tO' -p102149 -aS'inadequate\tinadequate\tJJ\tB-NP\tO' -p102150 -aS'absorption\tabsorption\tNN\tI-NP\tO' -p102151 -aS'following\tfollow\tVBG\tB-PP\tO' -p102152 -aS'his\this\tPRP$\tB-NP\tO' -p102153 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p102154 -aS'and\tand\tCC\tO\tO' -p102155 -aS'he\the\tPRP\tB-NP\tO' -p102156 -aS'responded\trespond\tVBD\tB-VP\tO' -p102157 -aS'well\twell\tRB\tB-ADVP\tO' -p102158 -aS'to\tto\tTO\tB-PP\tO' -p102159 -aS'repletion\trepletion\tNN\tB-NP\tO' -p102160 -aS'.\t.\t.\tO\tO' -p102161 -asS'No focal wall motion abnormalities .' -p102162 -(lp102163 -S'No\tNo\tDT\tB-NP\tO' -p102164 -aS'focal\tfocal\tJJ\tI-NP\tO' -p102165 -aS'wall\twall\tNN\tI-NP\tO' -p102166 -aS'motion\tmotion\tNN\tI-NP\tO' -p102167 -aS'abnormalities\tabnormality\tNNS\tI-NP\tO' -p102168 -aS'.\t.\t.\tO\tO' -p102169 -asS'Postoperatively , the patient had some abdominal bloating with evidence of subcutaneous emphysema over the abdomen .' -p102170 -(lp102171 -S'Postoperatively\tPostoperatively\tRB\tB-ADVP\tO' -p102172 -aS',\t,\t,\tO\tO' -p102173 -aS'the\tthe\tDT\tB-NP\tO' -p102174 -aS'patient\tpatient\tNN\tI-NP\tO' -p102175 -aS'had\thave\tVBD\tB-VP\tO' -p102176 -aS'some\tsome\tDT\tB-NP\tO' -p102177 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p102178 -aS'bloating\tbloating\tNN\tI-NP\tO' -p102179 -aS'with\twith\tIN\tB-PP\tO' -p102180 -aS'evidence\tevidence\tNN\tB-NP\tO' -p102181 -aS'of\tof\tIN\tB-PP\tO' -p102182 -aS'subcutaneous\tsubcutaneous\tJJ\tB-NP\tO' -p102183 -aS'emphysema\temphysema\tNN\tI-NP\tO' -p102184 -aS'over\tover\tIN\tB-PP\tO' -p102185 -aS'the\tthe\tDT\tB-NP\tO' -p102186 -aS'abdomen\tabdoman\tNNS\tI-NP\tO' -p102187 -aS'.\t.\t.\tO\tO' -p102188 -asS'Seen by Urology who did not change stents given severe coagulopathy and worsening renal function .' -p102189 -(lp102190 -S'Seen\tSeen\tNNP\tB-NP\tO' -p102191 -aS'by\tby\tIN\tB-PP\tO' -p102192 -aS'Urology\tUrology\tNNP\tB-NP\tO' -p102193 -aS'who\twho\tWP\tB-NP\tO' -p102194 -aS'did\tdo\tVBD\tB-VP\tO' -p102195 -aS'not\tnot\tRB\tI-VP\tO' -p102196 -aS'change\tchange\tVB\tI-VP\tO' -p102197 -aS'stents\tstent\tNNS\tB-NP\tO' -p102198 -aS'given\tgive\tVBN\tB-PP\tO' -p102199 -aS'severe\tsevere\tJJ\tB-NP\tO' -p102200 -aS'coagulopathy\tcoagulopathy\tNN\tI-NP\tO' -p102201 -aS'and\tand\tCC\tO\tO' -p102202 -aS'worsening\tworsen\tVBG\tB-VP\tO' -p102203 -aS'renal\trenal\tJJ\tB-NP\tO' -p102204 -aS'function\tfunction\tNN\tI-NP\tO' -p102205 -aS'.\t.\t.\tO\tO' -p102206 -asS'Also in the Intensive Care Unit , O2 saturation was closely monitored .' -p102207 -(lp102208 -S'Also\tAlso\tRB\tB-ADVP\tO' -p102209 -aS'in\tin\tIN\tB-PP\tO' -p102210 -aS'the\tthe\tDT\tB-NP\tO' -p102211 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p102212 -aS'Care\tCare\tNNP\tI-NP\tO' -p102213 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p102214 -aS',\t,\t,\tO\tO' -p102215 -aS'O2\tO2\tNN\tB-NP\tO' -p102216 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p102217 -aS'was\tbe\tVBD\tB-VP\tO' -p102218 -aS'closely\tclosely\tRB\tI-VP\tO' -p102219 -aS'monitored\tmonitor\tVBN\tI-VP\tO' -p102220 -aS'.\t.\t.\tO\tO' -p102221 -asS'Back was without CVA tenderness .' -p102222 -(lp102223 -S'Back\tBack\tNN\tB-NP\tO' -p102224 -aS'was\tbe\tVBD\tB-VP\tO' -p102225 -aS'without\twithout\tIN\tB-PP\tO' -p102226 -aS'CVA\tCVA\tNN\tB-NP\tO' -p102227 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p102228 -aS'.\t.\t.\tO\tO' -p102229 -asS'- Nitroglycerin 0.3 mg Tablet PRN' -p102230 -(lp102231 -S'-\t-\tHYPH\tB-NP\tO' -p102232 -aS'Nitroglycerin\tNitroglycerin\tNN\tI-NP\tO' -p102233 -aS'0.3\t0.3\tCD\tI-NP\tO' -p102234 -aS'mg\tmg\tNN\tI-NP\tO' -p102235 -aS'Tablet\tTablet\tNN\tI-NP\tO' -p102236 -aS'PRN\tPRN\tNN\tI-NP\tO' -p102237 -asS'He was transfered to the step down unit and had his lumbar drain slowly weaned .' -p102238 -(lp102239 -S'He\tHe\tPRP\tB-NP\tO' -p102240 -aS'was\tbe\tVBD\tB-VP\tO' -p102241 -aS'transfered\ttransfer\tVBN\tI-VP\tO' -p102242 -aS'to\tto\tTO\tB-PP\tO' -p102243 -aS'the\tthe\tDT\tB-NP\tO' -p102244 -aS'step\tstep\tNN\tI-NP\tO' -p102245 -aS'down\tdown\tRP\tB-PRT\tO' -p102246 -aS'unit\tunit\tNN\tB-NP\tO' -p102247 -aS'and\tand\tCC\tO\tO' -p102248 -aS'had\thave\tVBD\tB-VP\tO' -p102249 -aS'his\this\tPRP$\tB-NP\tO' -p102250 -aS'lumbar\tlumbar\tNN\tI-NP\tO' -p102251 -aS'drain\tdrain\tNN\tI-NP\tO' -p102252 -aS'slowly\tslowly\tRB\tB-ADVP\tO' -p102253 -aS'weaned\twean\tVBD\tB-VP\tO' -p102254 -aS'.\t.\t.\tO\tO' -p102255 -asS'His lungs are clear to auscultation bilaterally .' -p102256 -(lp102257 -S'His\tHis\tPRP$\tB-NP\tO' -p102258 -aS'lungs\tlung\tNNS\tI-NP\tO' -p102259 -aS'are\tbe\tVBP\tB-VP\tO' -p102260 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p102261 -aS'to\tto\tTO\tB-PP\tO' -p102262 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p102263 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p102264 -aS'.\t.\t.\tO\tO' -p102265 -asS'She was able to oxygenate originally .' -p102266 -(lp102267 -S'She\tShe\tPRP\tB-NP\tO' -p102268 -aS'was\tbe\tVBD\tB-VP\tO' -p102269 -aS'able\table\tJJ\tB-ADJP\tO' -p102270 -aS'to\tto\tTO\tB-VP\tO' -p102271 -aS'oxygenate\toxygenate\tVB\tI-VP\tO' -p102272 -aS'originally\toriginally\tRB\tB-ADVP\tO' -p102273 -aS'.\t.\t.\tO\tO' -p102274 -asS'The patient was transferred to Nimaconwood Valley Hospital for management of her cancer and termination of the pregnancy .' -p102275 -(lp102276 -S'The\tThe\tDT\tB-NP\tO' -p102277 -aS'patient\tpatient\tNN\tI-NP\tO' -p102278 -aS'was\tbe\tVBD\tB-VP\tO' -p102279 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p102280 -aS'to\tto\tTO\tB-PP\tO' -p102281 -aS'Nimaconwood\tNimaconwood\tNNP\tB-NP\tO' -p102282 -aS'Valley\tValley\tNNP\tI-NP\tO' -p102283 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p102284 -aS'for\tfor\tIN\tB-PP\tO' -p102285 -aS'management\tmanagement\tNN\tB-NP\tO' -p102286 -aS'of\tof\tIN\tB-PP\tO' -p102287 -aS'her\ther\tPRP$\tB-NP\tO' -p102288 -aS'cancer\tcancer\tNN\tI-NP\tO' -p102289 -aS'and\tand\tCC\tI-NP\tO' -p102290 -aS'termination\ttermination\tNN\tI-NP\tO' -p102291 -aS'of\tof\tIN\tB-PP\tO' -p102292 -aS'the\tthe\tDT\tB-NP\tO' -p102293 -aS'pregnancy\tpregnancy\tNN\tI-NP\tO' -p102294 -aS'.\t.\t.\tO\tO' -p102295 -asS'8. Nystatin swish and swallow 5 cc t.i.d.' -p102296 -(lp102297 -S'8.\t8.\tCD\tB-NP\tO' -p102298 -aS'Nystatin\tNystatin\tNN\tI-NP\tO' -p102299 -aS'swish\tswish\tVB\tB-VP\tO' -p102300 -aS'and\tand\tCC\tI-VP\tO' -p102301 -aS'swallow\tswallow\tVB\tI-VP\tO' -p102302 -aS'5\t5\tCD\tB-NP\tO' -p102303 -aS'cc\tcc\tNN\tI-NP\tO' -p102304 -aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' -p102305 -asS'At 3 a.m. on the day of admission , she became much worse and after several days of increasing her meter-dosed inhaler use , she call Emergency Medical Services which assessed her as having heart failure with elevated jugular venous distention and rales .' -p102306 -(lp102307 -S'At\tAt\tIN\tB-PP\tO' -p102308 -aS'3\t3\tCD\tB-NP\tO' -p102309 -aS'a.m.\ta.m.\tNN\tI-NP\tO' -p102310 -aS'on\ton\tIN\tB-PP\tO' -p102311 -aS'the\tthe\tDT\tB-NP\tO' -p102312 -aS'day\tday\tNN\tI-NP\tO' -p102313 -aS'of\tof\tIN\tB-PP\tO' -p102314 -aS'admission\tadmission\tNN\tB-NP\tO' -p102315 -aS',\t,\t,\tO\tO' -p102316 -aS'she\tshe\tPRP\tB-NP\tO' -p102317 -aS'became\tbecome\tVBD\tB-VP\tO' -p102318 -aS'much\tmuch\tRB\tB-ADJP\tO' -p102319 -aS'worse\tworse\tJJR\tI-ADJP\tO' -p102320 -aS'and\tand\tCC\tO\tO' -p102321 -aS'after\tafter\tIN\tB-PP\tO' -p102322 -aS'several\tseveral\tJJ\tB-NP\tO' -p102323 -aS'days\tday\tNNS\tI-NP\tO' -p102324 -aS'of\tof\tIN\tB-PP\tO' -p102325 -aS'increasing\tincrease\tVBG\tB-VP\tO' -p102326 -aS'her\ther\tPRP$\tB-NP\tO' -p102327 -aS'meter-dosed\tmeter-dosed\tJJ\tI-NP\tO' -p102328 -aS'inhaler\tinhaler\tNN\tI-NP\tO' -p102329 -aS'use\tuse\tNN\tI-NP\tO' -p102330 -aS',\t,\t,\tO\tO' -p102331 -aS'she\tshe\tPRP\tB-NP\tO' -p102332 -aS'call\tcall\tVBP\tB-VP\tO' -p102333 -aS'Emergency\tEmergency\tNNP\tB-NP\tO' -p102334 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p102335 -aS'Services\tService\tNNPS\tI-NP\tO' -p102336 -aS'which\twhich\tWDT\tB-NP\tO' -p102337 -aS'assessed\tassess\tVBD\tB-VP\tO' -p102338 -aS'her\ther\tPRP\tB-NP\tO' -p102339 -aS'as\tas\tIN\tB-PP\tO' -p102340 -aS'having\thave\tVBG\tB-VP\tO' -p102341 -aS'heart\theart\tNN\tB-NP\tO' -p102342 -aS'failure\tfailure\tNN\tI-NP\tO' -p102343 -aS'with\twith\tIN\tB-PP\tO' -p102344 -aS'elevated\televated\tJJ\tB-NP\tO' -p102345 -aS'jugular\tjugular\tJJ\tI-NP\tO' -p102346 -aS'venous\tvenous\tJJ\tI-NP\tO' -p102347 -aS'distention\tdistention\tNN\tI-NP\tO' -p102348 -aS'and\tand\tCC\tI-NP\tO' -p102349 -aS'rales\trale\tNNS\tI-NP\tO' -p102350 -aS'.\t.\t.\tO\tO' -p102351 -asS'Father died of colon cancer .' -p102352 -(lp102353 -S'Father\tFather\tNNP\tB-NP\tO' -p102354 -aS'died\tdie\tVBD\tB-VP\tO' -p102355 -aS'of\tof\tIN\tB-PP\tO' -p102356 -aS'colon\tcolon\tNN\tB-NP\tO' -p102357 -aS'cancer\tcancer\tNN\tI-NP\tO' -p102358 -aS'.\t.\t.\tO\tO' -p102359 -asS'Over the next two days , the patient had an uneventful hospitalization .' -p102360 -(lp102361 -S'Over\tOver\tIN\tB-PP\tO' -p102362 -aS'the\tthe\tDT\tB-NP\tO' -p102363 -aS'next\tnext\tJJ\tI-NP\tO' -p102364 -aS'two\ttwo\tCD\tI-NP\tO' -p102365 -aS'days\tday\tNNS\tI-NP\tO' -p102366 -aS',\t,\t,\tO\tO' -p102367 -aS'the\tthe\tDT\tB-NP\tO' -p102368 -aS'patient\tpatient\tNN\tI-NP\tO' -p102369 -aS'had\thave\tVBD\tB-VP\tO' -p102370 -aS'an\tan\tDT\tB-NP\tO' -p102371 -aS'uneventful\tuneventful\tJJ\tI-NP\tO' -p102372 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p102373 -aS'.\t.\t.\tO\tO' -p102374 -asS'She continued to improve with a slight hoarseness in her voice that was expected .' -p102375 -(lp102376 -S'She\tShe\tPRP\tB-NP\tO' -p102377 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p102378 -aS'to\tto\tTO\tI-VP\tO' -p102379 -aS'improve\timprove\tVB\tI-VP\tO' -p102380 -aS'with\twith\tIN\tB-PP\tO' -p102381 -aS'a\ta\tDT\tB-NP\tO' -p102382 -aS'slight\tslight\tJJ\tI-NP\tO' -p102383 -aS'hoarseness\thoarseness\tNN\tI-NP\tO' -p102384 -aS'in\tin\tIN\tB-PP\tO' -p102385 -aS'her\ther\tPRP$\tB-NP\tO' -p102386 -aS'voice\tvoice\tNN\tI-NP\tO' -p102387 -aS'that\tthat\tWDT\tB-NP\tO' -p102388 -aS'was\tbe\tVBD\tB-VP\tO' -p102389 -aS'expected\texpect\tVBN\tI-VP\tO' -p102390 -aS'.\t.\t.\tO\tO' -p102391 -asS'Post-infarction unstable angina pectoris .' -p102392 -(lp102393 -S'Post-infarction\tPost-infarction\tJJ\tB-NP\tO' -p102394 -aS'unstable\tunstable\tJJ\tI-NP\tO' -p102395 -aS'angina\tangina\tNN\tI-NP\tO' -p102396 -aS'pectoris\tpectoris\tNN\tI-NP\tO' -p102397 -aS'.\t.\t.\tO\tO' -p102398 -asS'SIMVASTATIN and NIACIN , VIT .' -p102399 -(lp102400 -S'SIMVASTATIN\tSIMVASTATIN\tNN\tB-NP\tB-protein' -p102401 -aS'and\tand\tCC\tI-NP\tO' -p102402 -aS'NIACIN\tNIACIN\tNN\tI-NP\tB-protein' -p102403 -aS',\t,\t,\tO\tO' -p102404 -aS'VIT\tVIT\tNN\tB-NP\tB-protein' -p102405 -aS'.\t.\t.\tO\tO' -p102406 -asS'Channel 1 was negative , 2 was neutral , 3 was neutral , 4 was positive .' -p102407 -(lp102408 -S'Channel\tChannel\tNNP\tB-NP\tO' -p102409 -aS'1\t1\tCD\tI-NP\tO' -p102410 -aS'was\tbe\tVBD\tB-VP\tO' -p102411 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p102412 -aS',\t,\t,\tO\tO' -p102413 -aS'2\t2\tCD\tB-NP\tO' -p102414 -aS'was\tbe\tVBD\tB-VP\tO' -p102415 -aS'neutral\tneutral\tJJ\tB-ADJP\tO' -p102416 -aS',\t,\t,\tO\tO' -p102417 -aS'3\t3\tCD\tB-NP\tO' -p102418 -aS'was\tbe\tVBD\tB-VP\tO' -p102419 -aS'neutral\tneutral\tJJ\tB-ADJP\tO' -p102420 -aS',\t,\t,\tO\tO' -p102421 -aS'4\t4\tCD\tB-NP\tO' -p102422 -aS'was\tbe\tVBD\tB-VP\tO' -p102423 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p102424 -aS'.\t.\t.\tO\tO' -p102425 -asS'The skin exam revealed changes consistent with vitiligo .' -p102426 -(lp102427 -S'The\tThe\tDT\tB-NP\tO' -p102428 -aS'skin\tskin\tNN\tI-NP\tO' -p102429 -aS'exam\texam\tNN\tI-NP\tO' -p102430 -aS'revealed\treveal\tVBD\tB-VP\tO' -p102431 -aS'changes\tchange\tNNS\tB-NP\tO' -p102432 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p102433 -aS'with\twith\tIN\tB-PP\tO' -p102434 -aS'vitiligo\tvitiligo\tNN\tB-NP\tO' -p102435 -aS'.\t.\t.\tO\tO' -p102436 -asS'3. Hydrochlorothiazide question of dosage .' -p102437 -(lp102438 -S'3.\t3.\tLS\tB-NP\tO' -p102439 -aS'Hydrochlorothiazide\tHydrochlorothiazide\tNN\tI-NP\tO' -p102440 -aS'question\tquestion\tNN\tI-NP\tO' -p102441 -aS'of\tof\tIN\tB-PP\tO' -p102442 -aS'dosage\tdosage\tNN\tB-NP\tO' -p102443 -aS'.\t.\t.\tO\tO' -p102444 -asS"The patient 's portocath was removed ." -p102445 -(lp102446 -S'The\tThe\tDT\tB-NP\tO' -p102447 -aS'patient\tpatient\tNN\tI-NP\tO' -p102448 -aS"'s\t's\tPOS\tB-NP\tO" -p102449 -aS'portocath\tportocath\tNN\tI-NP\tO' -p102450 -aS'was\tbe\tVBD\tB-VP\tO' -p102451 -aS'removed\tremove\tVBN\tI-VP\tO' -p102452 -aS'.\t.\t.\tO\tO' -p102453 -asS'At discharge the patient was on clonazepam 1 mg tid , seroquel 300 BID and neurontin 600 QAM , 1200 QPM and 1200 QHS .' -p102454 -(lp102455 -S'At\tAt\tIN\tB-PP\tO' -p102456 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p102457 -aS'the\tthe\tDT\tB-NP\tO' -p102458 -aS'patient\tpatient\tNN\tI-NP\tO' -p102459 -aS'was\tbe\tVBD\tB-VP\tO' -p102460 -aS'on\ton\tIN\tB-PP\tO' -p102461 -aS'clonazepam\tclonazepam\tNN\tB-NP\tO' -p102462 -aS'1\t1\tCD\tI-NP\tO' -p102463 -aS'mg\tmg\tNN\tI-NP\tO' -p102464 -aS'tid\ttid\tNN\tI-NP\tO' -p102465 -aS',\t,\t,\tO\tO' -p102466 -aS'seroquel\tseroquel\tNN\tB-NP\tO' -p102467 -aS'300\t300\tCD\tI-NP\tO' -p102468 -aS'BID\tBID\tNN\tI-NP\tO' -p102469 -aS'and\tand\tCC\tI-NP\tO' -p102470 -aS'neurontin\tneurontin\tNN\tI-NP\tB-protein' -p102471 -aS'600\t600\tCD\tI-NP\tI-protein' -p102472 -aS'QAM\tQAM\tNN\tI-NP\tI-protein' -p102473 -aS',\t,\t,\tO\tO' -p102474 -aS'1200\t1200\tCD\tB-NP\tO' -p102475 -aS'QPM\tQPM\tNNP\tI-NP\tO' -p102476 -aS'and\tand\tCC\tO\tO' -p102477 -aS'1200\t1200\tCD\tB-NP\tO' -p102478 -aS'QHS\tQHS\tNN\tI-NP\tO' -p102479 -aS'.\t.\t.\tO\tO' -p102480 -asS'Coags 12.2 , 24.8 , and 1.0 .' -p102481 -(lp102482 -S'Coags\tCoag\tNNS\tB-NP\tO' -p102483 -aS'12.2\t12.2\tCD\tI-NP\tO' -p102484 -aS',\t,\t,\tI-NP\tO' -p102485 -aS'24.8\t24.8\tCD\tI-NP\tO' -p102486 -aS',\t,\t,\tO\tO' -p102487 -aS'and\tand\tCC\tO\tO' -p102488 -aS'1.0\t1.0\tCD\tB-NP\tO' -p102489 -aS'.\t.\t.\tO\tO' -p102490 -asS'Per ERCP fellow , plan is for patient to return in four weeks to see Dr. Suzanne Davis , at which time he will likely have repeat cholangiogram and removal of stent and stone .' -p102491 -(lp102492 -S'Per\tPer\tNN\tB-NP\tO' -p102493 -aS'ERCP\tERCP\tNN\tI-NP\tO' -p102494 -aS'fellow\tfellow\tNN\tI-NP\tO' -p102495 -aS',\t,\t,\tO\tO' -p102496 -aS'plan\tplan\tNN\tB-NP\tO' -p102497 -aS'is\tbe\tVBZ\tB-VP\tO' -p102498 -aS'for\tfor\tIN\tB-PP\tO' -p102499 -aS'patient\tpatient\tNN\tB-NP\tO' -p102500 -aS'to\tto\tTO\tB-VP\tO' -p102501 -aS'return\treturn\tVB\tI-VP\tO' -p102502 -aS'in\tin\tIN\tB-PP\tO' -p102503 -aS'four\tfour\tCD\tB-NP\tO' -p102504 -aS'weeks\tweek\tNNS\tI-NP\tO' -p102505 -aS'to\tto\tTO\tB-VP\tO' -p102506 -aS'see\tsee\tVB\tI-VP\tO' -p102507 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p102508 -aS'Suzanne\tSuzanne\tNNP\tI-NP\tO' -p102509 -aS'Davis\tDavis\tNNP\tI-NP\tO' -p102510 -aS',\t,\t,\tO\tO' -p102511 -aS'at\tat\tIN\tB-PP\tO' -p102512 -aS'which\twhich\tWDT\tB-NP\tO' -p102513 -aS'time\ttime\tNN\tI-NP\tO' -p102514 -aS'he\the\tPRP\tB-NP\tO' -p102515 -aS'will\twill\tMD\tB-VP\tO' -p102516 -aS'likely\tlikely\tRB\tI-VP\tO' -p102517 -aS'have\thave\tVB\tI-VP\tO' -p102518 -aS'repeat\trepeat\tNN\tB-NP\tO' -p102519 -aS'cholangiogram\tcholangiogram\tNN\tI-NP\tO' -p102520 -aS'and\tand\tCC\tI-NP\tO' -p102521 -aS'removal\tremoval\tNN\tI-NP\tO' -p102522 -aS'of\tof\tIN\tB-PP\tO' -p102523 -aS'stent\tstent\tNN\tB-NP\tO' -p102524 -aS'and\tand\tCC\tI-NP\tO' -p102525 -aS'stone\tstone\tNN\tI-NP\tO' -p102526 -aS'.\t.\t.\tO\tO' -p102527 -asS'The patient was maintained on tube feedings and the ventilator .' -p102528 -(lp102529 -S'The\tThe\tDT\tB-NP\tO' -p102530 -aS'patient\tpatient\tNN\tI-NP\tO' -p102531 -aS'was\tbe\tVBD\tB-VP\tO' -p102532 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p102533 -aS'on\ton\tIN\tB-PP\tO' -p102534 -aS'tube\ttube\tNN\tB-NP\tO' -p102535 -aS'feedings\tfeeding\tNNS\tI-NP\tO' -p102536 -aS'and\tand\tCC\tO\tO' -p102537 -aS'the\tthe\tDT\tB-NP\tO' -p102538 -aS'ventilator\tventilator\tNN\tI-NP\tO' -p102539 -aS'.\t.\t.\tO\tO' -p102540 -asS'Pt remained intubated until 2017-02-14 .' -p102541 -(lp102542 -S'Pt\tPt\tNN\tB-NP\tO' -p102543 -aS'remained\tremain\tVBD\tB-VP\tO' -p102544 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p102545 -aS'until\tuntil\tIN\tB-PP\tO' -p102546 -aS'2017-02-14\t2017-02-14\tCD\tB-NP\tO' -p102547 -aS'.\t.\t.\tO\tO' -p102548 -asS'They were taken off two at a time .' -p102549 -(lp102550 -S'They\tThey\tPRP\tB-NP\tO' -p102551 -aS'were\tbe\tVBD\tB-VP\tO' -p102552 -aS'taken\ttake\tVBN\tI-VP\tO' -p102553 -aS'off\toff\tRP\tB-PRT\tO' -p102554 -aS'two\ttwo\tCD\tB-NP\tO' -p102555 -aS'at\tat\tIN\tB-PP\tO' -p102556 -aS'a\ta\tDT\tB-NP\tO' -p102557 -aS'time\ttime\tNN\tI-NP\tO' -p102558 -aS'.\t.\t.\tO\tO' -p102559 -asS'2. Diphenhydramine HCl 25 mg Capsule Sig : One ( 1 ) Capsule PO Q6H ( every 6 hours ) as needed .' -p102560 -(lp102561 -S'2.\t2.\tLS\tB-NP\tO' -p102562 -aS'Diphenhydramine\tDiphenhydramine\tNN\tI-NP\tO' -p102563 -aS'HCl\tHCl\tNN\tI-NP\tO' -p102564 -aS'25\t25\tCD\tI-NP\tO' -p102565 -aS'mg\tmg\tNN\tI-NP\tO' -p102566 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p102567 -aS'Sig\tSig\tNNP\tI-NP\tO' -p102568 -aS':\t:\t:\tO\tO' -p102569 -aS'One\tOne\tCD\tB-NP\tO' -p102570 -aS'(\t(\t(\tO\tO' -p102571 -aS'1\t1\tCD\tB-NP\tO' -p102572 -aS')\t)\t)\tO\tO' -p102573 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p102574 -aS'PO\tPO\tNN\tI-NP\tO' -p102575 -aS'Q6H\tQ6H\tNN\tI-NP\tO' -p102576 -aS'(\t(\t(\tO\tO' -p102577 -aS'every\tevery\tDT\tB-NP\tO' -p102578 -aS'6\t6\tCD\tI-NP\tO' -p102579 -aS'hours\thour\tNNS\tI-NP\tO' -p102580 -aS')\t)\t)\tO\tO' -p102581 -aS'as\tas\tIN\tB-SBAR\tO' -p102582 -aS'needed\tneed\tVBN\tB-VP\tO' -p102583 -aS'.\t.\t.\tO\tO' -p102584 -asS'The patient will also be followed by Dr. Margmimaui Gelineau , his primary care physician at Ochtuheihugh Put University Medical Center within one week after discharge .' -p102585 -(lp102586 -S'The\tThe\tDT\tB-NP\tO' -p102587 -aS'patient\tpatient\tNN\tI-NP\tO' -p102588 -aS'will\twill\tMD\tB-VP\tO' -p102589 -aS'also\talso\tRB\tI-VP\tO' -p102590 -aS'be\tbe\tVB\tI-VP\tO' -p102591 -aS'followed\tfollow\tVBN\tI-VP\tO' -p102592 -aS'by\tby\tIN\tB-PP\tO' -p102593 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p102594 -aS'Margmimaui\tMargmimaui\tNNP\tI-NP\tO' -p102595 -aS'Gelineau\tGelineau\tNNP\tI-NP\tO' -p102596 -aS',\t,\t,\tO\tO' -p102597 -aS'his\this\tPRP$\tB-NP\tO' -p102598 -aS'primary\tprimary\tJJ\tI-NP\tO' -p102599 -aS'care\tcare\tNN\tI-NP\tO' -p102600 -aS'physician\tphysician\tNN\tI-NP\tO' -p102601 -aS'at\tat\tIN\tB-PP\tO' -p102602 -aS'Ochtuheihugh\tOchtuheihugh\tNNP\tB-NP\tO' -p102603 -aS'Put\tPut\tNNP\tI-NP\tO' -p102604 -aS'University\tUniversity\tNNP\tI-NP\tO' -p102605 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p102606 -aS'Center\tCenter\tNNP\tI-NP\tO' -p102607 -aS'within\twithin\tIN\tB-PP\tO' -p102608 -aS'one\tone\tCD\tB-NP\tO' -p102609 -aS'week\tweek\tNN\tI-NP\tO' -p102610 -aS'after\tafter\tIN\tB-PP\tO' -p102611 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p102612 -aS'.\t.\t.\tO\tO' -p102613 -asS'16. Glipizide 5 mg Tablet Sig : One ( 1 ) Tablet PO once a day .' -p102614 -(lp102615 -S'16.\t16.\tCD\tB-NP\tO' -p102616 -aS'Glipizide\tGlipizide\tNN\tI-NP\tO' -p102617 -aS'5\t5\tCD\tB-NP\tO' -p102618 -aS'mg\tmg\tNN\tI-NP\tO' -p102619 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p102620 -aS'Sig\tSig\tNNP\tI-NP\tO' -p102621 -aS':\t:\t:\tO\tO' -p102622 -aS'One\tOne\tCD\tB-NP\tO' -p102623 -aS'(\t(\t(\tO\tO' -p102624 -aS'1\t1\tCD\tB-NP\tO' -p102625 -aS')\t)\t)\tO\tO' -p102626 -aS'Tablet\tTablet\tNN\tB-NP\tB-protein' -p102627 -aS'PO\tPO\tNN\tI-NP\tI-protein' -p102628 -aS'once\tonce\tRB\tO\tO' -p102629 -aS'a\ta\tDT\tB-NP\tO' -p102630 -aS'day\tday\tNN\tI-NP\tO' -p102631 -aS'.\t.\t.\tO\tO' -p102632 -asS'Once bleed ing stopped , advanced diet to soft-mechanical .' -p102633 -(lp102634 -S'Once\tOnce\tRB\tO\tO' -p102635 -aS'bleed\tbleed\tNN\tB-NP\tO' -p102636 -aS'ing\ting\tNN\tI-NP\tO' -p102637 -aS'stopped\tstop\tVBD\tB-VP\tO' -p102638 -aS',\t,\t,\tO\tO' -p102639 -aS'advanced\tadvance\tVBD\tB-VP\tO' -p102640 -aS'diet\tdiet\tNN\tB-NP\tO' -p102641 -aS'to\tto\tTO\tB-PP\tO' -p102642 -aS'soft-mechanical\tsoft-mechanical\tJJ\tB-NP\tO' -p102643 -aS'.\t.\t.\tO\tO' -p102644 -asS'SENSORY : Hearing screen was performed with automated auditory brain stem responses and the results was the infant passing in both ears .' -p102645 -(lp102646 -S'SENSORY\tSENSORY\tNN\tB-NP\tO' -p102647 -aS':\t:\t:\tO\tO' -p102648 -aS'Hearing\tHear\tVBG\tB-VP\tO' -p102649 -aS'screen\tscreen\tNN\tB-NP\tO' -p102650 -aS'was\tbe\tVBD\tB-VP\tO' -p102651 -aS'performed\tperform\tVBN\tI-VP\tO' -p102652 -aS'with\twith\tIN\tB-PP\tO' -p102653 -aS'automated\tautomate\tVBN\tB-NP\tO' -p102654 -aS'auditory\tauditory\tJJ\tI-NP\tO' -p102655 -aS'brain\tbrain\tNN\tI-NP\tO' -p102656 -aS'stem\tstem\tNN\tI-NP\tO' -p102657 -aS'responses\tresponse\tNNS\tI-NP\tO' -p102658 -aS'and\tand\tCC\tO\tO' -p102659 -aS'the\tthe\tDT\tB-NP\tO' -p102660 -aS'results\tresult\tNNS\tI-NP\tO' -p102661 -aS'was\tbe\tVBD\tB-VP\tO' -p102662 -aS'the\tthe\tDT\tB-NP\tO' -p102663 -aS'infant\tinfant\tJJ\tI-NP\tO' -p102664 -aS'passing\tpassing\tNN\tI-NP\tO' -p102665 -aS'in\tin\tIN\tB-PP\tO' -p102666 -aS'both\tboth\tDT\tB-NP\tO' -p102667 -aS'ears\tear\tNNS\tI-NP\tO' -p102668 -aS'.\t.\t.\tO\tO' -p102669 -asS'Gastroenterology was consulted and they recommended Protonix and felt it was due to peptic ulcer disease .' -p102670 -(lp102671 -S'Gastroenterology\tGastroenterology\tNN\tB-NP\tO' -p102672 -aS'was\tbe\tVBD\tB-VP\tO' -p102673 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p102674 -aS'and\tand\tCC\tO\tO' -p102675 -aS'they\tthey\tPRP\tB-NP\tO' -p102676 -aS'recommended\trecommend\tVBD\tB-VP\tO' -p102677 -aS'Protonix\tProtonix\tNNP\tB-NP\tO' -p102678 -aS'and\tand\tCC\tO\tO' -p102679 -aS'felt\tfeel\tVBD\tB-VP\tO' -p102680 -aS'it\tit\tPRP\tB-NP\tO' -p102681 -aS'was\tbe\tVBD\tB-VP\tO' -p102682 -aS'due\tdue\tJJ\tB-ADJP\tO' -p102683 -aS'to\tto\tTO\tB-PP\tO' -p102684 -aS'peptic\tpeptic\tJJ\tB-NP\tO' -p102685 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p102686 -aS'disease\tdisease\tNN\tI-NP\tO' -p102687 -aS'.\t.\t.\tO\tO' -p102688 -asS'No varicosities noted .' -p102689 -(lp102690 -S'No\tNo\tDT\tB-NP\tO' -p102691 -aS'varicosities\tvaricosity\tNNS\tI-NP\tO' -p102692 -aS'noted\tnote\tVBD\tB-VP\tO' -p102693 -aS'.\t.\t.\tO\tO' -p102694 -asS"She improved and was tolerating PO 's without difficulty after passing a swallow study ." -p102695 -(lp102696 -S'She\tShe\tPRP\tB-NP\tO' -p102697 -aS'improved\timprove\tVBD\tB-VP\tO' -p102698 -aS'and\tand\tCC\tO\tO' -p102699 -aS'was\tbe\tVBD\tB-VP\tO' -p102700 -aS'tolerating\ttolerate\tVBG\tI-VP\tO' -p102701 -aS'PO\tPO\tNNP\tB-NP\tO' -p102702 -aS"'s\t's\tPOS\tB-NP\tO" -p102703 -aS'without\twithout\tIN\tB-PP\tO' -p102704 -aS'difficulty\tdifficulty\tNN\tB-NP\tO' -p102705 -aS'after\tafter\tIN\tB-PP\tO' -p102706 -aS'passing\tpass\tVBG\tB-VP\tO' -p102707 -aS'a\ta\tDT\tB-NP\tO' -p102708 -aS'swallow\tswallow\tJJ\tI-NP\tO' -p102709 -aS'study\tstudy\tNN\tI-NP\tO' -p102710 -aS'.\t.\t.\tO\tO' -p102711 -asS'6. History of atrioseptal defect .' -p102712 -(lp102713 -S'6.\t6.\tLS\tB-NP\tO' -p102714 -aS'History\tHistory\tNN\tI-NP\tO' -p102715 -aS'of\tof\tIN\tB-PP\tO' -p102716 -aS'atrioseptal\tatrioseptal\tJJ\tB-NP\tO' -p102717 -aS'defect\tdefect\tNN\tI-NP\tO' -p102718 -aS'.\t.\t.\tO\tO' -p102719 -asS'Hearing screening was performed with automated auditory brain stem responses .' -p102720 -(lp102721 -S'Hearing\tHear\tVBG\tB-NP\tO' -p102722 -aS'screening\tscreening\tNN\tI-NP\tO' -p102723 -aS'was\tbe\tVBD\tB-VP\tO' -p102724 -aS'performed\tperform\tVBN\tI-VP\tO' -p102725 -aS'with\twith\tIN\tB-PP\tO' -p102726 -aS'automated\tautomate\tVBN\tB-NP\tO' -p102727 -aS'auditory\tauditory\tJJ\tI-NP\tO' -p102728 -aS'brain\tbrain\tNN\tI-NP\tO' -p102729 -aS'stem\tstem\tNN\tI-NP\tO' -p102730 -aS'responses\tresponse\tNNS\tI-NP\tO' -p102731 -aS'.\t.\t.\tO\tO' -p102732 -asS'She did well on minimal vent settings but it was decided to delay extubating the patient until the morning of 6/2 .' -p102733 -(lp102734 -S'She\tShe\tPRP\tB-NP\tO' -p102735 -aS'did\tdo\tVBD\tB-VP\tO' -p102736 -aS'well\twell\tRB\tB-ADVP\tO' -p102737 -aS'on\ton\tIN\tB-PP\tO' -p102738 -aS'minimal\tminimal\tJJ\tB-NP\tO' -p102739 -aS'vent\tvent\tNN\tI-NP\tO' -p102740 -aS'settings\tsetting\tNNS\tI-NP\tO' -p102741 -aS'but\tbut\tCC\tO\tO' -p102742 -aS'it\tit\tPRP\tB-NP\tO' -p102743 -aS'was\tbe\tVBD\tB-VP\tO' -p102744 -aS'decided\tdecide\tVBN\tI-VP\tO' -p102745 -aS'to\tto\tTO\tI-VP\tO' -p102746 -aS'delay\tdelay\tVB\tI-VP\tO' -p102747 -aS'extubating\textubate\tVBG\tI-VP\tO' -p102748 -aS'the\tthe\tDT\tB-NP\tO' -p102749 -aS'patient\tpatient\tNN\tI-NP\tO' -p102750 -aS'until\tuntil\tIN\tB-SBAR\tO' -p102751 -aS'the\tthe\tDT\tB-NP\tO' -p102752 -aS'morning\tmorning\tNN\tI-NP\tO' -p102753 -aS'of\tof\tIN\tB-PP\tO' -p102754 -aS'6/2\t6/2\tCD\tB-NP\tO' -p102755 -aS'.\t.\t.\tO\tO' -p102756 -asS'Urinalysis was negative .' -p102757 -(lp102758 -S'Urinalysis\tUrinalysis\tNN\tB-NP\tO' -p102759 -aS'was\tbe\tVBD\tB-VP\tO' -p102760 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p102761 -aS'.\t.\t.\tO\tO' -p102762 -asS'O2 saturation 96% on room air .' -p102763 -(lp102764 -S'O2\tO2\tNN\tB-NP\tO' -p102765 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p102766 -aS'96%\t96%\tNN\tI-NP\tO' -p102767 -aS'on\ton\tIN\tB-PP\tO' -p102768 -aS'room\troom\tNN\tB-NP\tO' -p102769 -aS'air\tair\tNN\tI-NP\tO' -p102770 -aS'.\t.\t.\tO\tO' -p102771 -asS'He had no episodes of arrhythmia on Telemetry .' -p102772 -(lp102773 -S'He\tHe\tPRP\tB-NP\tO' -p102774 -aS'had\thave\tVBD\tB-VP\tO' -p102775 -aS'no\tno\tDT\tB-NP\tO' -p102776 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p102777 -aS'of\tof\tIN\tB-PP\tO' -p102778 -aS'arrhythmia\tarrhythmia\tNN\tB-NP\tO' -p102779 -aS'on\ton\tIN\tB-PP\tO' -p102780 -aS'Telemetry\tTelemetry\tNNP\tB-NP\tO' -p102781 -aS'.\t.\t.\tO\tO' -p102782 -asS'I think his breathing was as good as to be expected with the amount of severe chronic obstructive pulmonary disease he had .' -p102783 -(lp102784 -S'I\tI\tPRP\tB-NP\tO' -p102785 -aS'think\tthink\tVBP\tB-VP\tO' -p102786 -aS'his\this\tPRP$\tB-NP\tO' -p102787 -aS'breathing\tbreathing\tNN\tI-NP\tO' -p102788 -aS'was\tbe\tVBD\tB-VP\tO' -p102789 -aS'as\tas\tRB\tB-ADJP\tO' -p102790 -aS'good\tgood\tJJ\tI-ADJP\tO' -p102791 -aS'as\tas\tIN\tB-SBAR\tO' -p102792 -aS'to\tto\tTO\tB-VP\tO' -p102793 -aS'be\tbe\tVB\tI-VP\tO' -p102794 -aS'expected\texpect\tVBN\tI-VP\tO' -p102795 -aS'with\twith\tIN\tB-PP\tO' -p102796 -aS'the\tthe\tDT\tB-NP\tO' -p102797 -aS'amount\tamount\tNN\tI-NP\tO' -p102798 -aS'of\tof\tIN\tB-PP\tO' -p102799 -aS'severe\tsevere\tJJ\tB-NP\tO' -p102800 -aS'chronic\tchronic\tJJ\tI-NP\tO' -p102801 -aS'obstructive\tobstructive\tJJ\tI-NP\tO' -p102802 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p102803 -aS'disease\tdisease\tNN\tI-NP\tO' -p102804 -aS'he\the\tPRP\tB-NP\tO' -p102805 -aS'had\thave\tVBD\tB-VP\tO' -p102806 -aS'.\t.\t.\tO\tO' -p102807 -asS'Gag was present weakly .' -p102808 -(lp102809 -S'Gag\tGag\tNN\tB-NP\tB-protein' -p102810 -aS'was\tbe\tVBD\tB-VP\tO' -p102811 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p102812 -aS'weakly\tweakly\tRB\tB-ADVP\tO' -p102813 -aS'.\t.\t.\tO\tO' -p102814 -asS'A lung biopsy was performed on 4/30/93 without definitive results .' -p102815 -(lp102816 -S'A\tA\tDT\tB-NP\tO' -p102817 -aS'lung\tlung\tNN\tI-NP\tO' -p102818 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p102819 -aS'was\tbe\tVBD\tB-VP\tO' -p102820 -aS'performed\tperform\tVBN\tI-VP\tO' -p102821 -aS'on\ton\tIN\tB-PP\tO' -p102822 -aS'4/30/93\t4/30/93\tCD\tB-NP\tO' -p102823 -aS'without\twithout\tIN\tB-PP\tO' -p102824 -aS'definitive\tdefinitive\tJJ\tB-NP\tO' -p102825 -aS'results\tresult\tNNS\tI-NP\tO' -p102826 -aS'.\t.\t.\tO\tO' -p102827 -asS'She was kept on a similar immunosuppressive regimen as with her kidney transplant .' -p102828 -(lp102829 -S'She\tShe\tPRP\tB-NP\tO' -p102830 -aS'was\tbe\tVBD\tB-VP\tO' -p102831 -aS'kept\tkeep\tVBN\tI-VP\tO' -p102832 -aS'on\ton\tIN\tB-PP\tO' -p102833 -aS'a\ta\tDT\tB-NP\tO' -p102834 -aS'similar\tsimilar\tJJ\tI-NP\tO' -p102835 -aS'immunosuppressive\timmunosuppressive\tJJ\tI-NP\tO' -p102836 -aS'regimen\tregimen\tNN\tI-NP\tO' -p102837 -aS'as\tas\tIN\tB-PP\tO' -p102838 -aS'with\twith\tIN\tB-PP\tO' -p102839 -aS'her\ther\tPRP$\tB-NP\tO' -p102840 -aS'kidney\tkidney\tNN\tI-NP\tO' -p102841 -aS'transplant\ttransplant\tNN\tI-NP\tO' -p102842 -aS'.\t.\t.\tO\tO' -p102843 -asS'reveals a well healed incision in the left side , there are no axillary lymph nodes palpable on both sides .' -p102844 -(lp102845 -S'reveals\treveal\tVBZ\tB-VP\tO' -p102846 -aS'a\ta\tDT\tB-NP\tO' -p102847 -aS'well\twell\tRB\tI-NP\tO' -p102848 -aS'healed\theal\tVBN\tI-NP\tO' -p102849 -aS'incision\tincision\tNN\tI-NP\tO' -p102850 -aS'in\tin\tIN\tB-PP\tO' -p102851 -aS'the\tthe\tDT\tB-NP\tO' -p102852 -aS'left\tleft\tJJ\tI-NP\tO' -p102853 -aS'side\tside\tNN\tI-NP\tO' -p102854 -aS',\t,\t,\tO\tO' -p102855 -aS'there\tthere\tEX\tB-NP\tO' -p102856 -aS'are\tbe\tVBP\tB-VP\tO' -p102857 -aS'no\tno\tDT\tB-NP\tO' -p102858 -aS'axillary\taxillary\tJJ\tI-NP\tO' -p102859 -aS'lymph\tlymph\tNN\tI-NP\tO' -p102860 -aS'nodes\tnode\tNNS\tI-NP\tO' -p102861 -aS'palpable\tpalpable\tJJ\tB-ADJP\tO' -p102862 -aS'on\ton\tIN\tB-PP\tO' -p102863 -aS'both\tboth\tDT\tB-NP\tO' -p102864 -aS'sides\tside\tNNS\tI-NP\tO' -p102865 -aS'.\t.\t.\tO\tO' -p102866 -asS'Extremities - without cyanosis or edema .' -p102867 -(lp102868 -S'Extremities\tExtremity\tNNS\tB-NP\tO' -p102869 -aS'-\t-\t:\tO\tO' -p102870 -aS'without\twithout\tIN\tB-PP\tO' -p102871 -aS'cyanosis\tcyanosis\tNN\tB-NP\tO' -p102872 -aS'or\tor\tCC\tI-NP\tO' -p102873 -aS'edema\tedema\tNN\tI-NP\tO' -p102874 -aS'.\t.\t.\tO\tO' -p102875 -asS'Head was atraumatic and normocephalic with pupils equal , round , and reactive to light .' -p102876 -(lp102877 -S'Head\tHead\tNNP\tB-NP\tO' -p102878 -aS'was\tbe\tVBD\tB-VP\tO' -p102879 -aS'atraumatic\tatraumatic\tJJ\tB-ADJP\tO' -p102880 -aS'and\tand\tCC\tI-ADJP\tO' -p102881 -aS'normocephalic\tnormocephalic\tJJ\tI-ADJP\tO' -p102882 -aS'with\twith\tIN\tB-PP\tO' -p102883 -aS'pupils\tpupil\tNNS\tB-NP\tO' -p102884 -aS'equal\tequal\tJJ\tB-VP\tO' -p102885 -aS',\t,\t,\tO\tO' -p102886 -aS'round\tround\tJJ\tB-ADJP\tO' -p102887 -aS',\t,\t,\tO\tO' -p102888 -aS'and\tand\tCC\tO\tO' -p102889 -aS'reactive\treactive\tJJ\tB-ADJP\tO' -p102890 -aS'to\tto\tTO\tB-PP\tO' -p102891 -aS'light\tlight\tNN\tB-NP\tO' -p102892 -aS'.\t.\t.\tO\tO' -p102893 -asS'He is a non-smoker and drinks rare alcohol .' -p102894 -(lp102895 -S'He\tHe\tPRP\tB-NP\tB-DNA' -p102896 -aS'is\tbe\tVBZ\tB-VP\tO' -p102897 -aS'a\ta\tDT\tB-NP\tO' -p102898 -aS'non-smoker\tnon-smoker\tJJ\tI-NP\tO' -p102899 -aS'and\tand\tCC\tO\tO' -p102900 -aS'drinks\tdrink\tVBZ\tB-VP\tO' -p102901 -aS'rare\trare\tJJ\tB-NP\tO' -p102902 -aS'alcohol\talcohol\tNN\tI-NP\tO' -p102903 -aS'.\t.\t.\tO\tO' -p102904 -asS'Narcotics can cause constipation .' -p102905 -(lp102906 -S'Narcotics\tNarcotic\tNNS\tB-NP\tO' -p102907 -aS'can\tcan\tMD\tB-VP\tO' -p102908 -aS'cause\tcause\tVB\tI-VP\tO' -p102909 -aS'constipation\tconstipation\tNN\tB-NP\tO' -p102910 -aS'.\t.\t.\tO\tO' -p102911 -asS'Baby Daniel Holman was born at 39 and 3/7 weeks gestation ( EDC 2015-04-25 ).' -p102912 -(lp102913 -S'Baby\tBaby\tNNP\tB-NP\tO' -p102914 -aS'Daniel\tDaniel\tNNP\tI-NP\tO' -p102915 -aS'Holman\tHolman\tNNP\tI-NP\tO' -p102916 -aS'was\tbe\tVBD\tB-VP\tO' -p102917 -aS'born\tbear\tVBN\tI-VP\tO' -p102918 -aS'at\tat\tIN\tB-PP\tO' -p102919 -aS'39\t39\tCD\tB-NP\tO' -p102920 -aS'and\tand\tCC\tI-NP\tO' -p102921 -aS'3/7\t3/7\tCD\tI-NP\tO' -p102922 -aS'weeks\tweek\tNNS\tI-NP\tO' -p102923 -aS'gestation\tgestation\tNN\tI-NP\tO' -p102924 -aS'(\t(\t(\tO\tO' -p102925 -aS'EDC\tEDC\tNN\tB-NP\tO' -p102926 -aS'2015-04-25\t2015-04-25\tCD\tI-NP\tO' -p102927 -aS').\t).\t.\tO\tO' -p102928 -asS'The patient has a history of excessive alcohol use .' -p102929 -(lp102930 -S'The\tThe\tDT\tB-NP\tO' -p102931 -aS'patient\tpatient\tNN\tI-NP\tO' -p102932 -aS'has\thave\tVBZ\tB-VP\tO' -p102933 -aS'a\ta\tDT\tB-NP\tO' -p102934 -aS'history\thistory\tNN\tI-NP\tO' -p102935 -aS'of\tof\tIN\tB-PP\tO' -p102936 -aS'excessive\texcessive\tJJ\tB-NP\tO' -p102937 -aS'alcohol\talcohol\tNN\tI-NP\tO' -p102938 -aS'use\tuse\tNN\tI-NP\tO' -p102939 -aS'.\t.\t.\tO\tO' -p102940 -asS'The right lobe was within normal limits .' -p102941 -(lp102942 -S'The\tThe\tDT\tB-NP\tO' -p102943 -aS'right\tright\tJJ\tI-NP\tO' -p102944 -aS'lobe\tlobe\tNN\tI-NP\tO' -p102945 -aS'was\tbe\tVBD\tB-VP\tO' -p102946 -aS'within\twithin\tIN\tB-PP\tO' -p102947 -aS'normal\tnormal\tJJ\tB-NP\tO' -p102948 -aS'limits\tlimit\tNNS\tI-NP\tO' -p102949 -aS'.\t.\t.\tO\tO' -p102950 -asS'The nasogastric tube was removed on hsp day # 3 .' -p102951 -(lp102952 -S'The\tThe\tDT\tB-NP\tO' -p102953 -aS'nasogastric\tnasogastric\tJJ\tI-NP\tO' -p102954 -aS'tube\ttube\tNN\tI-NP\tO' -p102955 -aS'was\tbe\tVBD\tB-VP\tO' -p102956 -aS'removed\tremove\tVBN\tI-VP\tO' -p102957 -aS'on\ton\tIN\tB-PP\tO' -p102958 -aS'hsp\thsp\tNN\tB-NP\tB-DNA' -p102959 -aS'day\tday\tNN\tI-NP\tI-DNA' -p102960 -aS'#\t#\t#\tB-NP\tI-DNA' -p102961 -aS'3\t3\tCD\tI-NP\tI-DNA' -p102962 -aS'.\t.\t.\tO\tO' -p102963 -asS'L2 to L5 laminectomy , L2 through L5 posterior fusion with segmental instrumentation .' -p102964 -(lp102965 -S'L2\tL2\tNN\tB-NP\tB-DNA' -p102966 -aS'to\tto\tTO\tB-PP\tO' -p102967 -aS'L5\tL5\tNN\tB-NP\tB-DNA' -p102968 -aS'laminectomy\tlaminectomy\tNN\tI-NP\tO' -p102969 -aS',\t,\t,\tO\tO' -p102970 -aS'L2\tL2\tNN\tB-NP\tB-DNA' -p102971 -aS'through\tthrough\tIN\tB-PP\tO' -p102972 -aS'L5\tL5\tNN\tB-NP\tB-DNA' -p102973 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p102974 -aS'fusion\tfusion\tNN\tI-NP\tO' -p102975 -aS'with\twith\tIN\tB-PP\tO' -p102976 -aS'segmental\tsegmental\tJJ\tB-NP\tO' -p102977 -aS'instrumentation\tinstrumentation\tNN\tI-NP\tO' -p102978 -aS'.\t.\t.\tO\tO' -p102979 -asS'The patient had pulses distally , 1+ femorals , 1+ dorsalis pedis .' -p102980 -(lp102981 -S'The\tThe\tDT\tB-NP\tO' -p102982 -aS'patient\tpatient\tNN\tI-NP\tO' -p102983 -aS'had\thave\tVBD\tB-VP\tO' -p102984 -aS'pulses\tpulse\tNNS\tB-NP\tO' -p102985 -aS'distally\tdistally\tRB\tB-ADVP\tO' -p102986 -aS',\t,\t,\tO\tO' -p102987 -aS'1+\t1+\tJJ\tB-NP\tO' -p102988 -aS'femorals\tfemoral\tNNS\tI-NP\tO' -p102989 -aS',\t,\t,\tO\tO' -p102990 -aS'1+\t1+\tJJ\tB-NP\tO' -p102991 -aS'dorsalis\tdorsalis\tNN\tI-NP\tO' -p102992 -aS'pedis\tpedis\tNN\tI-NP\tO' -p102993 -aS'.\t.\t.\tO\tO' -p102994 -asS'His family reports that he had worked that day .' -p102995 -(lp102996 -S'His\tHis\tPRP$\tB-NP\tO' -p102997 -aS'family\tfamily\tNN\tI-NP\tO' -p102998 -aS'reports\treport\tVBZ\tB-VP\tO' -p102999 -aS'that\tthat\tIN\tB-SBAR\tO' -p103000 -aS'he\the\tPRP\tB-NP\tO' -p103001 -aS'had\thave\tVBD\tB-VP\tO' -p103002 -aS'worked\twork\tVBN\tI-VP\tO' -p103003 -aS'that\tthat\tDT\tB-NP\tO' -p103004 -aS'day\tday\tNN\tI-NP\tO' -p103005 -aS'.\t.\t.\tO\tO' -p103006 -asS'Visual fields were full .' -p103007 -(lp103008 -S'Visual\tVisual\tJJ\tB-NP\tO' -p103009 -aS'fields\tfield\tNNS\tI-NP\tO' -p103010 -aS'were\tbe\tVBD\tB-VP\tO' -p103011 -aS'full\tfull\tJJ\tB-ADJP\tO' -p103012 -aS'.\t.\t.\tO\tO' -p103013 -asS'Heparin i.v. drip at 400 units per hour , on her arrival .' -p103014 -(lp103015 -S'Heparin\tHeparin\tNN\tB-NP\tO' -p103016 -aS'i.v.\ti.v.\tJJ\tI-NP\tO' -p103017 -aS'drip\tdrip\tNN\tI-NP\tO' -p103018 -aS'at\tat\tIN\tB-PP\tO' -p103019 -aS'400\t400\tCD\tB-NP\tB-DNA' -p103020 -aS'units\tunit\tNNS\tI-NP\tI-DNA' -p103021 -aS'per\tper\tIN\tB-PP\tO' -p103022 -aS'hour\thour\tNN\tB-NP\tO' -p103023 -aS',\t,\t,\tO\tO' -p103024 -aS'on\ton\tIN\tB-PP\tO' -p103025 -aS'her\ther\tPRP$\tB-NP\tO' -p103026 -aS'arrival\tarrival\tNN\tI-NP\tO' -p103027 -aS'.\t.\t.\tO\tO' -p103028 -asS'Neuro : no asterixis , CN II-XII intact , 5/5 strength throughout , sensation to LT intact throughout , gait deferred' -p103029 -(lp103030 -S'Neuro\tNeuro\tNN\tB-NP\tO' -p103031 -aS':\t:\t:\tO\tO' -p103032 -aS'no\tno\tDT\tB-NP\tO' -p103033 -aS'asterixis\tasterixis\tNN\tI-NP\tO' -p103034 -aS',\t,\t,\tO\tO' -p103035 -aS'CN\tCN\tNN\tB-NP\tB-protein' -p103036 -aS'II-XII\tII-XII\tNN\tI-NP\tI-protein' -p103037 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p103038 -aS',\t,\t,\tO\tO' -p103039 -aS'5/5\t5/5\tCD\tB-NP\tO' -p103040 -aS'strength\tstrength\tNN\tI-NP\tO' -p103041 -aS'throughout\tthroughout\tIN\tB-ADVP\tO' -p103042 -aS',\t,\t,\tO\tO' -p103043 -aS'sensation\tsensation\tNN\tB-NP\tO' -p103044 -aS'to\tto\tTO\tB-PP\tO' -p103045 -aS'LT\tLT\tNN\tB-NP\tB-protein' -p103046 -aS'intact\tintact\tJJ\tI-NP\tO' -p103047 -aS'throughout\tthroughout\tNN\tI-NP\tO' -p103048 -aS',\t,\t,\tO\tO' -p103049 -aS'gait\tgait\tNN\tB-NP\tO' -p103050 -aS'deferred\tdefer\tVBD\tB-VP\tO' -p103051 -asS'At 9/7/93 , 1:00 a.m. , intravenous fluids rate was decreased to 50 cc's per hour , total fluids given during the first 24 hours were 140 to 150 cc's per kilo per day .' -p103052 -(lp103053 -S'At\tAt\tIN\tB-PP\tO' -p103054 -aS'9/7/93\t9/7/93\tCD\tB-NP\tO' -p103055 -aS',\t,\t,\tO\tO' -p103056 -aS'1:00\t1:00\tCD\tB-NP\tO' -p103057 -aS'a.m.\ta.m.\tRB\tB-ADVP\tO' -p103058 -aS',\t,\t,\tO\tO' -p103059 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p103060 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p103061 -aS'rate\trate\tNN\tI-NP\tO' -p103062 -aS'was\tbe\tVBD\tB-VP\tO' -p103063 -aS'decreased\tdecrease\tVBN\tI-VP\tO' -p103064 -aS'to\tto\tTO\tB-PP\tO' -p103065 -aS'50\t50\tCD\tB-NP\tO' -p103066 -aS'cc's\tcc'\tNNS\tI-NP\tO' -p103067 -aS'per\tper\tIN\tB-PP\tO' -p103068 -aS'hour\thour\tNN\tB-NP\tO' -p103069 -aS',\t,\t,\tO\tO' -p103070 -aS'total\ttotal\tJJ\tB-NP\tO' -p103071 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p103072 -aS'given\tgive\tVBN\tB-VP\tO' -p103073 -aS'during\tduring\tIN\tB-PP\tO' -p103074 -aS'the\tthe\tDT\tB-NP\tO' -p103075 -aS'first\tfirst\tJJ\tI-NP\tO' -p103076 -aS'24\t24\tCD\tI-NP\tO' -p103077 -aS'hours\thour\tNNS\tI-NP\tO' -p103078 -aS'were\tbe\tVBD\tB-VP\tO' -p103079 -aS'140\t140\tCD\tB-NP\tO' -p103080 -aS'to\tto\tTO\tB-PP\tO' -p103081 -aS'150\t150\tCD\tB-NP\tO' -p103082 -aS'cc's\tcc'\tNNS\tI-NP\tO' -p103083 -aS'per\tper\tIN\tB-PP\tO' -p103084 -aS'kilo\tkilo\tNN\tB-NP\tO' -p103085 -aS'per\tper\tIN\tB-PP\tO' -p103086 -aS'day\tday\tNN\tB-NP\tO' -p103087 -aS'.\t.\t.\tO\tO' -p103088 -asS'Non-contributory .' -p103089 -(lp103090 -S'Non-contributory\tNon-contributory\tJJ\tB-ADJP\tO' -p103091 -aS'.\t.\t.\tO\tO' -p103092 -asS'Right arm neurovascularly intact .' -p103093 -(lp103094 -S'Right\tRight\tRB\tB-ADVP\tO' -p103095 -aS'arm\tarm\tNN\tI-ADVP\tO' -p103096 -aS'neurovascularly\tneurovascularly\tRB\tB-ADJP\tO' -p103097 -aS'intact\tintact\tJJ\tI-ADJP\tO' -p103098 -aS'.\t.\t.\tO\tO' -p103099 -asS'3. ECG changes - Patient had an episode of chest pain during her hospital stay that was both right and left sided with no radiation and no associated symptoms .' -p103100 -(lp103101 -S'3.\t3.\tLS\tB-NP\tO' -p103102 -aS'ECG\tECG\tNN\tI-NP\tO' -p103103 -aS'changes\tchange\tNNS\tI-NP\tO' -p103104 -aS'-\t-\t:\tO\tO' -p103105 -aS'Patient\tPatient\tNN\tB-NP\tO' -p103106 -aS'had\thave\tVBD\tB-VP\tO' -p103107 -aS'an\tan\tDT\tB-NP\tO' -p103108 -aS'episode\tepisode\tNN\tI-NP\tO' -p103109 -aS'of\tof\tIN\tB-PP\tO' -p103110 -aS'chest\tchest\tNN\tB-NP\tO' -p103111 -aS'pain\tpain\tNN\tI-NP\tO' -p103112 -aS'during\tduring\tIN\tB-PP\tO' -p103113 -aS'her\ther\tPRP$\tB-NP\tO' -p103114 -aS'hospital\thospital\tNN\tI-NP\tO' -p103115 -aS'stay\tstay\tNN\tI-NP\tO' -p103116 -aS'that\tthat\tWDT\tB-NP\tO' -p103117 -aS'was\tbe\tVBD\tB-VP\tO' -p103118 -aS'both\tboth\tCC\tO\tO' -p103119 -aS'right\tright\tJJ\tB-ADJP\tO' -p103120 -aS'and\tand\tCC\tI-ADJP\tO' -p103121 -aS'left\tleft\tJJ\tI-ADJP\tO' -p103122 -aS'sided\tside\tVBN\tB-VP\tO' -p103123 -aS'with\twith\tIN\tB-PP\tO' -p103124 -aS'no\tno\tDT\tB-NP\tO' -p103125 -aS'radiation\tradiation\tNN\tI-NP\tO' -p103126 -aS'and\tand\tCC\tO\tO' -p103127 -aS'no\tno\tDT\tB-NP\tO' -p103128 -aS'associated\tassociated\tJJ\tI-NP\tO' -p103129 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p103130 -aS'.\t.\t.\tO\tO' -p103131 -asS'A repeat CT scan showed no change .' -p103132 -(lp103133 -S'A\tA\tDT\tB-NP\tO' -p103134 -aS'repeat\trepeat\tNN\tI-NP\tO' -p103135 -aS'CT\tCT\tNN\tI-NP\tO' -p103136 -aS'scan\tscan\tNN\tI-NP\tO' -p103137 -aS'showed\tshow\tVBD\tB-VP\tO' -p103138 -aS'no\tno\tDT\tB-NP\tO' -p103139 -aS'change\tchange\tNN\tI-NP\tO' -p103140 -aS'.\t.\t.\tO\tO' -p103141 -asS'Pt received oxacillin during his prior hospitalization and had AIN from this medication .' -p103142 -(lp103143 -S'Pt\tPt\tNN\tB-NP\tB-protein' -p103144 -aS'received\treceive\tVBD\tB-VP\tI-protein' -p103145 -aS'oxacillin\toxacillin\tNN\tB-NP\tI-protein' -p103146 -aS'during\tduring\tIN\tB-PP\tO' -p103147 -aS'his\this\tPRP$\tB-NP\tO' -p103148 -aS'prior\tprior\tJJ\tI-NP\tO' -p103149 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p103150 -aS'and\tand\tCC\tO\tO' -p103151 -aS'had\thave\tVBD\tB-VP\tO' -p103152 -aS'AIN\tAIN\tNN\tB-NP\tB-protein' -p103153 -aS'from\tfrom\tIN\tB-PP\tO' -p103154 -aS'this\tthis\tDT\tB-NP\tO' -p103155 -aS'medication\tmedication\tNN\tI-NP\tO' -p103156 -aS'.\t.\t.\tO\tO' -p103157 -asS'The oxygen consumption was assumed .' -p103158 -(lp103159 -S'The\tThe\tDT\tB-NP\tO' -p103160 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p103161 -aS'consumption\tconsumption\tNN\tI-NP\tO' -p103162 -aS'was\tbe\tVBD\tB-VP\tO' -p103163 -aS'assumed\tassume\tVBN\tI-VP\tO' -p103164 -aS'.\t.\t.\tO\tO' -p103165 -asS'Her activity level is as tolerated .' -p103166 -(lp103167 -S'Her\tHer\tPRP$\tB-NP\tB-protein' -p103168 -aS'activity\tactivity\tNN\tI-NP\tO' -p103169 -aS'level\tlevel\tNN\tI-NP\tO' -p103170 -aS'is\tbe\tVBZ\tB-VP\tO' -p103171 -aS'as\tas\tRB\tB-ADJP\tO' -p103172 -aS'tolerated\ttolerate\tVBN\tI-ADJP\tO' -p103173 -aS'.\t.\t.\tO\tO' -p103174 -asS'In addition , she would follow up with her primary care physician within one to two weeks following discharge .' -p103175 -(lp103176 -S'In\tIn\tIN\tB-PP\tO' -p103177 -aS'addition\taddition\tNN\tB-NP\tO' -p103178 -aS',\t,\t,\tO\tO' -p103179 -aS'she\tshe\tPRP\tB-NP\tO' -p103180 -aS'would\twould\tMD\tB-VP\tO' -p103181 -aS'follow\tfollow\tVB\tI-VP\tO' -p103182 -aS'up\tup\tRP\tB-PRT\tO' -p103183 -aS'with\twith\tIN\tB-PP\tO' -p103184 -aS'her\ther\tPRP$\tB-NP\tO' -p103185 -aS'primary\tprimary\tJJ\tI-NP\tO' -p103186 -aS'care\tcare\tNN\tI-NP\tO' -p103187 -aS'physician\tphysician\tNN\tI-NP\tO' -p103188 -aS'within\twithin\tIN\tB-PP\tO' -p103189 -aS'one\tone\tCD\tB-NP\tO' -p103190 -aS'to\tto\tTO\tI-NP\tO' -p103191 -aS'two\ttwo\tCD\tI-NP\tO' -p103192 -aS'weeks\tweek\tNNS\tI-NP\tO' -p103193 -aS'following\tfollow\tVBG\tB-PP\tO' -p103194 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p103195 -aS'.\t.\t.\tO\tO' -p103196 -asS'7) hyponatremia - also hyponatremic on transfer , resolved w/ ivf .' -p103197 -(lp103198 -S'7)\t7)\tLS\tB-NP\tO' -p103199 -aS'hyponatremia\thyponatremia\tNN\tI-NP\tO' -p103200 -aS'-\t-\tHYPH\tB-VP\tO' -p103201 -aS'also\talso\tRB\tB-ADVP\tO' -p103202 -aS'hyponatremic\thyponatremic\tJJ\tB-ADJP\tO' -p103203 -aS'on\ton\tIN\tB-PP\tO' -p103204 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p103205 -aS',\t,\t,\tO\tO' -p103206 -aS'resolved\tresolve\tVBD\tB-VP\tO' -p103207 -aS'w/\tw/\tNN\tB-NP\tO' -p103208 -aS'ivf\tivf\tNN\tI-NP\tO' -p103209 -aS'.\t.\t.\tO\tO' -p103210 -asS'Further complicating this was his profound liver failure with rising ammonias and hepatic encephalopathy .' -p103211 -(lp103212 -S'Further\tFurther\tRB\tB-ADVP\tO' -p103213 -aS'complicating\tcomplicate\tVBG\tB-VP\tO' -p103214 -aS'this\tthis\tDT\tB-NP\tO' -p103215 -aS'was\tbe\tVBD\tB-VP\tO' -p103216 -aS'his\this\tPRP$\tB-NP\tO' -p103217 -aS'profound\tprofound\tJJ\tI-NP\tO' -p103218 -aS'liver\tliver\tNN\tI-NP\tO' -p103219 -aS'failure\tfailure\tNN\tI-NP\tO' -p103220 -aS'with\twith\tIN\tB-PP\tO' -p103221 -aS'rising\trise\tVBG\tB-NP\tO' -p103222 -aS'ammonias\tammonia\tNNS\tI-NP\tO' -p103223 -aS'and\tand\tCC\tO\tO' -p103224 -aS'hepatic\thepatic\tJJ\tB-NP\tO' -p103225 -aS'encephalopathy\tencephalopathy\tNN\tI-NP\tO' -p103226 -aS'.\t.\t.\tO\tO' -p103227 -asS'The patient is asked to see a physician immediately or go to the nearest emergency room if any bleeding , wound infection , fever greater than 100.8 , intractable nausea and vomiting , headache , dizziness , numbness , pain or weakness occurs .' -p103228 -(lp103229 -S'The\tThe\tDT\tB-NP\tO' -p103230 -aS'patient\tpatient\tNN\tI-NP\tO' -p103231 -aS'is\tbe\tVBZ\tB-VP\tO' -p103232 -aS'asked\task\tVBN\tI-VP\tO' -p103233 -aS'to\tto\tTO\tB-VP\tO' -p103234 -aS'see\tsee\tVB\tI-VP\tO' -p103235 -aS'a\ta\tDT\tB-NP\tO' -p103236 -aS'physician\tphysician\tNN\tI-NP\tO' -p103237 -aS'immediately\timmediately\tRB\tB-ADVP\tO' -p103238 -aS'or\tor\tCC\tO\tO' -p103239 -aS'go\tgo\tVB\tB-VP\tO' -p103240 -aS'to\tto\tTO\tB-PP\tO' -p103241 -aS'the\tthe\tDT\tB-NP\tO' -p103242 -aS'nearest\tnear\tJJS\tI-NP\tO' -p103243 -aS'emergency\temergency\tNN\tI-NP\tO' -p103244 -aS'room\troom\tNN\tI-NP\tO' -p103245 -aS'if\tif\tIN\tB-SBAR\tO' -p103246 -aS'any\tany\tDT\tB-NP\tO' -p103247 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p103248 -aS',\t,\t,\tO\tO' -p103249 -aS'wound\twound\tNN\tB-NP\tO' -p103250 -aS'infection\tinfection\tNN\tI-NP\tO' -p103251 -aS',\t,\t,\tO\tO' -p103252 -aS'fever\tfever\tRB\tB-ADJP\tO' -p103253 -aS'greater\tgreat\tJJR\tI-ADJP\tO' -p103254 -aS'than\tthan\tIN\tB-PP\tO' -p103255 -aS'100.8\t100.8\tCD\tB-NP\tO' -p103256 -aS',\t,\t,\tO\tO' -p103257 -aS'intractable\tintractable\tJJ\tB-NP\tO' -p103258 -aS'nausea\tnausea\tNN\tI-NP\tO' -p103259 -aS'and\tand\tCC\tI-NP\tO' -p103260 -aS'vomiting\tvomiting\tNN\tI-NP\tO' -p103261 -aS',\t,\t,\tO\tO' -p103262 -aS'headache\theadache\tNN\tB-NP\tO' -p103263 -aS',\t,\t,\tO\tO' -p103264 -aS'dizziness\tdizziness\tNN\tB-NP\tO' -p103265 -aS',\t,\t,\tO\tO' -p103266 -aS'numbness\tnumbness\tNN\tB-NP\tO' -p103267 -aS',\t,\t,\tO\tO' -p103268 -aS'pain\tpain\tNN\tB-NP\tO' -p103269 -aS'or\tor\tCC\tI-NP\tO' -p103270 -aS'weakness\tweakness\tNN\tI-NP\tO' -p103271 -aS'occurs\toccur\tVBZ\tB-VP\tO' -p103272 -aS'.\t.\t.\tO\tO' -p103273 -asS"On admission , the patient 's birth weight was 1.705 kilograms , which is 50th percentile ." -p103274 -(lp103275 -S'On\tOn\tIN\tB-PP\tO' -p103276 -aS'admission\tadmission\tNN\tB-NP\tO' -p103277 -aS',\t,\t,\tO\tO' -p103278 -aS'the\tthe\tDT\tB-NP\tO' -p103279 -aS'patient\tpatient\tNN\tI-NP\tO' -p103280 -aS"'s\t's\tPOS\tB-NP\tO" -p103281 -aS'birth\tbirth\tNN\tI-NP\tO' -p103282 -aS'weight\tweight\tNN\tI-NP\tO' -p103283 -aS'was\tbe\tVBD\tB-VP\tO' -p103284 -aS'1.705\t1.705\tCD\tB-NP\tO' -p103285 -aS'kilograms\tkilogram\tNNS\tI-NP\tO' -p103286 -aS',\t,\t,\tO\tO' -p103287 -aS'which\twhich\tWDT\tB-NP\tO' -p103288 -aS'is\tbe\tVBZ\tB-VP\tO' -p103289 -aS'50th\t50th\tJJ\tB-NP\tO' -p103290 -aS'percentile\tpercentile\tNN\tI-NP\tO' -p103291 -aS'.\t.\t.\tO\tO' -p103292 -asS'Discharge Instructions : see dc summary' -p103293 -(lp103294 -S'Discharge\tDischarge\tNNP\tB-NP\tO' -p103295 -aS'Instructions\tInstruction\tNNPS\tI-NP\tO' -p103296 -aS':\t:\t:\tO\tO' -p103297 -aS'see\tsee\tVB\tB-VP\tO' -p103298 -aS'dc\tdc\tNN\tB-NP\tO' -p103299 -aS'summary\tsummary\tNN\tI-NP\tO' -p103300 -asS'Abdomen is soft and obese , nontender .' -p103301 -(lp103302 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p103303 -aS'is\tbe\tVBZ\tB-VP\tO' -p103304 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p103305 -aS'and\tand\tCC\tI-ADJP\tO' -p103306 -aS'obese\tobese\tJJ\tI-ADJP\tO' -p103307 -aS',\t,\t,\tO\tO' -p103308 -aS'nontender\tnontender\tJJ\tB-ADJP\tO' -p103309 -aS'.\t.\t.\tO\tO' -p103310 -asS'His amylase on admission there was 1,961 .' -p103311 -(lp103312 -S'His\tHis\tPRP$\tB-NP\tO' -p103313 -aS'amylase\tamylase\tNN\tI-NP\tB-protein' -p103314 -aS'on\ton\tIN\tB-PP\tO' -p103315 -aS'admission\tadmission\tNN\tB-NP\tO' -p103316 -aS'there\tthere\tEX\tB-NP\tO' -p103317 -aS'was\tbe\tVBD\tB-VP\tO' -p103318 -aS'1,961\t1,961\tCD\tB-NP\tO' -p103319 -aS'.\t.\t.\tO\tO' -p103320 -asS'Foley removed on POD #2 and had scattered rales with temp 101.2 .' -p103321 -(lp103322 -S'Foley\tFoley\tNNP\tB-NP\tO' -p103323 -aS'removed\tremove\tVBD\tB-VP\tO' -p103324 -aS'on\ton\tIN\tB-PP\tO' -p103325 -aS'POD\tPOD\tNN\tB-NP\tB-protein' -p103326 -aS'#2\t#2\tNN\tI-NP\tI-protein' -p103327 -aS'and\tand\tCC\tO\tO' -p103328 -aS'had\thave\tVBD\tB-VP\tO' -p103329 -aS'scattered\tscatter\tVBN\tI-VP\tO' -p103330 -aS'rales\trale\tNNS\tB-NP\tO' -p103331 -aS'with\twith\tIN\tB-PP\tO' -p103332 -aS'temp\ttemp\tNN\tB-NP\tO' -p103333 -aS'101.2\t101.2\tCD\tI-NP\tO' -p103334 -aS'.\t.\t.\tO\tO' -p103335 -asS'Alert and oriented times 3 .' -p103336 -(lp103337 -S'Alert\tAlert\tNNP\tB-NP\tO' -p103338 -aS'and\tand\tCC\tO\tO' -p103339 -aS'oriented\torient\tVBN\tB-VP\tO' -p103340 -aS'times\ttime\tNNS\tB-NP\tO' -p103341 -aS'3\t3\tCD\tI-NP\tO' -p103342 -aS'.\t.\t.\tO\tO' -p103343 -asS'The right groin revealed intra-aortic balloon pump site and pulmonary artery catheterization site were clean , dry and intact without tenderness .' -p103344 -(lp103345 -S'The\tThe\tDT\tB-NP\tO' -p103346 -aS'right\tright\tJJ\tI-NP\tB-DNA' -p103347 -aS'groin\tgroin\tNN\tI-NP\tI-DNA' -p103348 -aS'revealed\treveal\tVBD\tB-VP\tI-DNA' -p103349 -aS'intra-aortic\tintra-aortic\tJJ\tB-NP\tI-DNA' -p103350 -aS'balloon\tballoon\tNN\tI-NP\tI-DNA' -p103351 -aS'pump\tpump\tNN\tI-NP\tI-DNA' -p103352 -aS'site\tsite\tNN\tI-NP\tI-DNA' -p103353 -aS'and\tand\tCC\tO\tO' -p103354 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p103355 -aS'artery\tartery\tNN\tI-NP\tO' -p103356 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p103357 -aS'site\tsite\tNN\tI-NP\tO' -p103358 -aS'were\tbe\tVBD\tB-VP\tO' -p103359 -aS'clean\tclean\tJJ\tB-NP\tO' -p103360 -aS',\t,\t,\tI-NP\tO' -p103361 -aS'dry\tdry\tJJ\tI-NP\tO' -p103362 -aS'and\tand\tCC\tI-NP\tO' -p103363 -aS'intact\tintact\tJJ\tI-NP\tO' -p103364 -aS'without\twithout\tIN\tB-PP\tO' -p103365 -aS'tenderness\ttenderness\tNN\tB-NP\tO' -p103366 -aS'.\t.\t.\tO\tO' -p103367 -asS'The patient does not recollect what her reaction to penicillin was .' -p103368 -(lp103369 -S'The\tThe\tDT\tB-NP\tO' -p103370 -aS'patient\tpatient\tNN\tI-NP\tO' -p103371 -aS'does\tdo\tVBZ\tB-VP\tO' -p103372 -aS'not\tnot\tRB\tI-VP\tO' -p103373 -aS'recollect\trecollect\tVB\tI-VP\tO' -p103374 -aS'what\twhat\tWP\tB-NP\tO' -p103375 -aS'her\ther\tPRP$\tB-NP\tO' -p103376 -aS'reaction\treaction\tNN\tI-NP\tO' -p103377 -aS'to\tto\tTO\tB-PP\tO' -p103378 -aS'penicillin\tpenicillin\tNN\tB-NP\tO' -p103379 -aS'was\tbe\tVBD\tB-VP\tO' -p103380 -aS'.\t.\t.\tO\tO' -p103381 -asS'Ddx : cardiac ischemia ( no ischemic EKG changes noted ), seizure w/ post-ictal state , CVA ( head CT neg ).' -p103382 -(lp103383 -S'Ddx\tDdx\tNN\tB-NP\tB-protein' -p103384 -aS':\t:\t:\tO\tO' -p103385 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p103386 -aS'ischemia\tischemia\tNN\tI-NP\tO' -p103387 -aS'(\t(\t(\tO\tO' -p103388 -aS'no\tno\tDT\tB-NP\tO' -p103389 -aS'ischemic\tischemic\tJJ\tI-NP\tO' -p103390 -aS'EKG\tEKG\tNN\tI-NP\tO' -p103391 -aS'changes\tchange\tNNS\tI-NP\tO' -p103392 -aS'noted\tnote\tVBD\tB-VP\tO' -p103393 -aS'),\t),\t)\tO\tO' -p103394 -aS'seizure\tseizure\tNN\tB-NP\tO' -p103395 -aS'w/\tw/\tNN\tI-NP\tO' -p103396 -aS'post-ictal\tpost-ictal\tJJ\tI-NP\tO' -p103397 -aS'state\tstate\tNN\tI-NP\tO' -p103398 -aS',\t,\t,\tO\tO' -p103399 -aS'CVA\tCVA\tNN\tB-NP\tB-protein' -p103400 -aS'(\t(\t(\tO\tO' -p103401 -aS'head\thead\tNN\tB-NP\tO' -p103402 -aS'CT\tCT\tNN\tI-NP\tO' -p103403 -aS'neg\tneg\tNN\tI-NP\tO' -p103404 -aS').\t).\t.\tO\tO' -p103405 -asS'7. Ascorbic Acid 500 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ) : Take for one month then stop .' -p103406 -(lp103407 -S'7.\t7.\tCD\tB-NP\tO' -p103408 -aS'Ascorbic\tAscorbic\tNNP\tI-NP\tO' -p103409 -aS'Acid\tAcid\tNNP\tI-NP\tO' -p103410 -aS'500\t500\tCD\tI-NP\tO' -p103411 -aS'mg\tmg\tNN\tI-NP\tO' -p103412 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p103413 -aS'Sig\tSig\tNNP\tI-NP\tO' -p103414 -aS':\t:\t:\tO\tO' -p103415 -aS'One\tOne\tCD\tB-NP\tO' -p103416 -aS'(\t(\t(\tO\tO' -p103417 -aS'1\t1\tCD\tB-NP\tO' -p103418 -aS')\t)\t)\tO\tO' -p103419 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p103420 -aS'PO\tPO\tNN\tI-NP\tO' -p103421 -aS'BID\tBID\tNN\tI-NP\tO' -p103422 -aS'(\t(\t(\tO\tO' -p103423 -aS'2\t2\tCD\tB-NP\tO' -p103424 -aS'times\ttime\tNNS\tI-NP\tO' -p103425 -aS'a\ta\tDT\tB-NP\tO' -p103426 -aS'day\tday\tNN\tI-NP\tO' -p103427 -aS')\t)\t)\tO\tO' -p103428 -aS':\t:\t:\tO\tO' -p103429 -aS'Take\tTake\tVB\tB-VP\tO' -p103430 -aS'for\tfor\tIN\tB-PP\tO' -p103431 -aS'one\tone\tCD\tB-NP\tO' -p103432 -aS'month\tmonth\tNN\tI-NP\tO' -p103433 -aS'then\tthen\tRB\tB-ADVP\tO' -p103434 -aS'stop\tstop\tVB\tB-VP\tO' -p103435 -aS'.\t.\t.\tO\tO' -p103436 -asS'- appreciate CMED consult ; patient to be discharged to inpatient CMED facility once stable' -p103437 -(lp103438 -S'-\t-\tHYPH\tB-NP\tO' -p103439 -aS'appreciate\tappreciate\tJJ\tI-NP\tO' -p103440 -aS'CMED\tCMED\tVBN\tI-NP\tO' -p103441 -aS'consult\tconsult\tNN\tI-NP\tO' -p103442 -aS';\t;\t:\tO\tO' -p103443 -aS'patient\tpatient\tNN\tB-NP\tO' -p103444 -aS'to\tto\tTO\tB-VP\tO' -p103445 -aS'be\tbe\tVB\tI-VP\tO' -p103446 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p103447 -aS'to\tto\tTO\tB-PP\tO' -p103448 -aS'inpatient\tinpatient\tNN\tB-NP\tO' -p103449 -aS'CMED\tCMED\tNN\tI-NP\tO' -p103450 -aS'facility\tfacility\tNN\tI-NP\tO' -p103451 -aS'once\tonce\tRB\tB-ADVP\tO' -p103452 -aS'stable\tstable\tJJ\tB-NP\tO' -p103453 -asS'Units 181-200 mg / dL 9 Units 201-220 mg / dL 11 Units 221-240 mg / dL 13 Units 241-260 mg / dL 15 Units 261-280 mg / dL 17 Units 281-300 mg / dL 19 Units 301-320 mg / dL 21 Units > 320 mg / dL Notify M.D.' -p103454 -(lp103455 -S'Units\tUnit\tNNS\tB-NP\tO' -p103456 -aS'181-200\t181-200\tCD\tB-NP\tO' -p103457 -aS'mg\tmg\tNN\tI-NP\tO' -p103458 -aS'/\t/\tSYM\tB-NP\tO' -p103459 -aS'dL\tdL\tNN\tB-NP\tO' -p103460 -aS'9\t9\tCD\tI-NP\tO' -p103461 -aS'Units\tUnit\tVBZ\tB-VP\tO' -p103462 -aS'201-220\t201-220\tCD\tB-NP\tO' -p103463 -aS'mg\tmg\tNN\tI-NP\tO' -p103464 -aS'/\t/\tSYM\tB-NP\tO' -p103465 -aS'dL\tdL\tNN\tB-NP\tO' -p103466 -aS'11\t11\tCD\tI-NP\tO' -p103467 -aS'Units\tUnit\tVBZ\tB-VP\tO' -p103468 -aS'221-240\t221-240\tCD\tB-NP\tO' -p103469 -aS'mg\tmg\tNN\tI-NP\tO' -p103470 -aS'/\t/\tSYM\tO\tO' -p103471 -aS'dL\tdL\tNN\tB-NP\tO' -p103472 -aS'13\t13\tCD\tI-NP\tO' -p103473 -aS'Units\tUnit\tVBZ\tB-VP\tO' -p103474 -aS'241-260\t241-260\tCD\tB-NP\tO' -p103475 -aS'mg\tmg\tNN\tI-NP\tO' -p103476 -aS'/\t/\tSYM\tB-NP\tO' -p103477 -aS'dL\tdL\tNN\tB-NP\tO' -p103478 -aS'15\t15\tCD\tI-NP\tO' -p103479 -aS'Units\tUnit\tVBZ\tB-VP\tO' -p103480 -aS'261-280\t261-280\tCD\tB-NP\tO' -p103481 -aS'mg\tmg\tNN\tI-NP\tO' -p103482 -aS'/\t/\tSYM\tB-NP\tO' -p103483 -aS'dL\tdL\tNN\tB-NP\tO' -p103484 -aS'17\t17\tCD\tI-NP\tO' -p103485 -aS'Units\tUnit\tVBZ\tB-VP\tO' -p103486 -aS'281-300\t281-300\tCD\tB-NP\tO' -p103487 -aS'mg\tmg\tNN\tI-NP\tO' -p103488 -aS'/\t/\tSYM\tB-NP\tO' -p103489 -aS'dL\tdL\tNN\tB-NP\tO' -p103490 -aS'19\t19\tCD\tI-NP\tO' -p103491 -aS'Units\tUnit\tVBZ\tB-VP\tO' -p103492 -aS'301-320\t301-320\tCD\tB-NP\tO' -p103493 -aS'mg\tmg\tNN\tI-NP\tO' -p103494 -aS'/\t/\tSYM\tB-NP\tO' -p103495 -aS'dL\tdL\tNN\tI-NP\tO' -p103496 -aS'21\t21\tCD\tB-NP\tO' -p103497 -aS'Units\tUnit\tNNS\tI-NP\tO' -p103498 -aS'>\t>\tSYM\tB-NP\tO' -p103499 -aS'320\t320\tCD\tB-NP\tO' -p103500 -aS'mg\tmg\tNN\tI-NP\tO' -p103501 -aS'/\t/\tSYM\tB-NP\tO' -p103502 -aS'dL\tdL\tNN\tI-NP\tO' -p103503 -aS'Notify\tNotify\tNNP\tI-NP\tO' -p103504 -aS'M.D.\tM.D.\tNNP\tI-NP\tO' -p103505 -asS'Regular rate and rhythm with no murmurs .' -p103506 -(lp103507 -S'Regular\tRegular\tJJ\tB-NP\tO' -p103508 -aS'rate\trate\tNN\tI-NP\tO' -p103509 -aS'and\tand\tCC\tI-NP\tO' -p103510 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p103511 -aS'with\twith\tIN\tB-PP\tO' -p103512 -aS'no\tno\tDT\tB-NP\tO' -p103513 -aS'murmurs\tmurmur\tNNS\tI-NP\tO' -p103514 -aS'.\t.\t.\tO\tO' -p103515 -asS'At this time , she was given Vancomycin 1 g IV x1 .' -p103516 -(lp103517 -S'At\tAt\tIN\tB-PP\tO' -p103518 -aS'this\tthis\tDT\tB-NP\tO' -p103519 -aS'time\ttime\tNN\tI-NP\tO' -p103520 -aS',\t,\t,\tO\tO' -p103521 -aS'she\tshe\tPRP\tB-NP\tO' -p103522 -aS'was\tbe\tVBD\tB-VP\tO' -p103523 -aS'given\tgive\tVBN\tI-VP\tO' -p103524 -aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' -p103525 -aS'1\t1\tCD\tI-NP\tO' -p103526 -aS'g\tg\tNN\tI-NP\tO' -p103527 -aS'IV\tIV\tCD\tB-NP\tO' -p103528 -aS'x1\tx1\tNN\tI-NP\tO' -p103529 -aS'.\t.\t.\tO\tO' -p103530 -asS'Skin was pink and well-perfused .' -p103531 -(lp103532 -S'Skin\tSkin\tNNP\tB-NP\tO' -p103533 -aS'was\tbe\tVBD\tB-VP\tO' -p103534 -aS'pink\tpink\tJJ\tB-ADJP\tO' -p103535 -aS'and\tand\tCC\tI-ADJP\tO' -p103536 -aS'well-perfused\twell-perfused\tJJ\tI-ADJP\tO' -p103537 -aS'.\t.\t.\tO\tO' -p103538 -asS'Tracheostomy tube in good position .' -p103539 -(lp103540 -S'Tracheostomy\tTracheostomy\tNN\tB-NP\tO' -p103541 -aS'tube\ttube\tNN\tI-NP\tO' -p103542 -aS'in\tin\tIN\tB-PP\tO' -p103543 -aS'good\tgood\tJJ\tB-NP\tO' -p103544 -aS'position\tposition\tNN\tI-NP\tO' -p103545 -aS'.\t.\t.\tO\tO' -p103546 -asS'Auditory hearing screening was performed with automated auditory brain stem responses , and the infant passed both ears on his previous admission .' -p103547 -(lp103548 -S'Auditory\tAuditory\tJJ\tB-NP\tO' -p103549 -aS'hearing\thearing\tNN\tI-NP\tO' -p103550 -aS'screening\tscreening\tNN\tI-NP\tO' -p103551 -aS'was\tbe\tVBD\tB-VP\tO' -p103552 -aS'performed\tperform\tVBN\tI-VP\tO' -p103553 -aS'with\twith\tIN\tB-PP\tO' -p103554 -aS'automated\tautomate\tVBN\tB-NP\tO' -p103555 -aS'auditory\tauditory\tJJ\tI-NP\tO' -p103556 -aS'brain\tbrain\tNN\tI-NP\tO' -p103557 -aS'stem\tstem\tNN\tI-NP\tO' -p103558 -aS'responses\tresponse\tNNS\tI-NP\tO' -p103559 -aS',\t,\t,\tO\tO' -p103560 -aS'and\tand\tCC\tO\tO' -p103561 -aS'the\tthe\tDT\tB-NP\tO' -p103562 -aS'infant\tinfant\tNN\tI-NP\tO' -p103563 -aS'passed\tpass\tVBD\tB-VP\tO' -p103564 -aS'both\tboth\tDT\tB-NP\tO' -p103565 -aS'ears\tear\tNNS\tI-NP\tO' -p103566 -aS'on\ton\tIN\tB-PP\tO' -p103567 -aS'his\this\tPRP$\tB-NP\tO' -p103568 -aS'previous\tprevious\tJJ\tI-NP\tO' -p103569 -aS'admission\tadmission\tNN\tI-NP\tO' -p103570 -aS'.\t.\t.\tO\tO' -p103571 -asS'chorioamnionitis .' -p103572 -(lp103573 -S'chorioamnionitis\tchorioamnionitis\tNN\tB-NP\tO' -p103574 -aS'.\t.\t.\tO\tO' -p103575 -asS'The patient did well after his coronary artery bypass graft .' -p103576 -(lp103577 -S'The\tThe\tDT\tB-NP\tO' -p103578 -aS'patient\tpatient\tNN\tI-NP\tO' -p103579 -aS'did\tdo\tVBD\tB-VP\tO' -p103580 -aS'well\twell\tRB\tB-ADVP\tO' -p103581 -aS'after\tafter\tIN\tB-PP\tO' -p103582 -aS'his\this\tPRP$\tB-NP\tO' -p103583 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p103584 -aS'artery\tartery\tNN\tI-NP\tO' -p103585 -aS'bypass\tbypass\tIN\tB-PP\tO' -p103586 -aS'graft\tgraft\tNN\tB-NP\tO' -p103587 -aS'.\t.\t.\tO\tO' -p103588 -asS'CAD : on asa , b blocker , ace .' -p103589 -(lp103590 -S'CAD\tCAD\tNN\tB-NP\tO' -p103591 -aS':\t:\t:\tO\tO' -p103592 -aS'on\ton\tIN\tB-PP\tO' -p103593 -aS'asa\tasa\tNN\tB-NP\tO' -p103594 -aS',\t,\t,\tO\tO' -p103595 -aS'b\tb\tNN\tB-NP\tO' -p103596 -aS'blocker\tblocker\tNN\tI-NP\tO' -p103597 -aS',\t,\t,\tO\tO' -p103598 -aS'ace\tace\tNN\tB-NP\tO' -p103599 -aS'.\t.\t.\tO\tO' -p103600 -asS'The patient is a 52-year-old right handed male with a many year history of bilateral shoulder pain , right greater than left .' -p103601 -(lp103602 -S'The\tThe\tDT\tB-NP\tO' -p103603 -aS'patient\tpatient\tNN\tI-NP\tO' -p103604 -aS'is\tbe\tVBZ\tB-VP\tO' -p103605 -aS'a\ta\tDT\tB-NP\tO' -p103606 -aS'52-year-old\t52-year-old\tJJ\tI-NP\tO' -p103607 -aS'right\tright\tJJ\tI-NP\tO' -p103608 -aS'handed\thand\tVBN\tB-VP\tO' -p103609 -aS'male\tmale\tJJ\tB-ADJP\tO' -p103610 -aS'with\twith\tIN\tB-PP\tO' -p103611 -aS'a\ta\tDT\tB-NP\tO' -p103612 -aS'many\tmany\tJJ\tI-NP\tO' -p103613 -aS'year\tyear\tNN\tI-NP\tO' -p103614 -aS'history\thistory\tNN\tI-NP\tO' -p103615 -aS'of\tof\tIN\tB-PP\tO' -p103616 -aS'bilateral\tbilateral\tJJ\tB-NP\tB-protein' -p103617 -aS'shoulder\tshoulder\tNN\tI-NP\tI-protein' -p103618 -aS'pain\tpain\tNN\tI-NP\tI-protein' -p103619 -aS',\t,\t,\tO\tO' -p103620 -aS'right\tright\tRB\tB-ADVP\tO' -p103621 -aS'greater\tgreat\tJJR\tI-ADVP\tO' -p103622 -aS'than\tthan\tIN\tB-PP\tO' -p103623 -aS'left\tleft\tJJ\tB-ADJP\tO' -p103624 -aS'.\t.\t.\tO\tO' -p103625 -asS'Increased ambulation with assistance and daily pulmonary physical therapy .' -p103626 -(lp103627 -S'Increased\tIncrease\tVBN\tB-NP\tO' -p103628 -aS'ambulation\tambulation\tNN\tI-NP\tO' -p103629 -aS'with\twith\tIN\tB-PP\tO' -p103630 -aS'assistance\tassistance\tNN\tB-NP\tO' -p103631 -aS'and\tand\tCC\tO\tO' -p103632 -aS'daily\tdaily\tJJ\tB-NP\tO' -p103633 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p103634 -aS'physical\tphysical\tJJ\tI-NP\tO' -p103635 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p103636 -aS'.\t.\t.\tO\tO' -p103637 -asS'Urine cx is pending .' -p103638 -(lp103639 -S'Urine\tUrine\tNN\tB-NP\tO' -p103640 -aS'cx\tcx\tNN\tI-NP\tO' -p103641 -aS'is\tbe\tVBZ\tB-VP\tO' -p103642 -aS'pending\tpende\tVBG\tB-ADJP\tO' -p103643 -aS'.\t.\t.\tO\tO' -p103644 -asS'He denies any fevers , chills , recent infections , chest pain , orthopnea , nausea , vomiting , diarrhea , hematemesis , melena , or hematochezia .' -p103645 -(lp103646 -S'He\tHe\tPRP\tB-NP\tO' -p103647 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p103648 -aS'any\tany\tDT\tB-NP\tO' -p103649 -aS'fevers\tfever\tNNS\tI-NP\tO' -p103650 -aS',\t,\t,\tO\tO' -p103651 -aS'chills\tchill\tNNS\tB-NP\tO' -p103652 -aS',\t,\t,\tO\tO' -p103653 -aS'recent\trecent\tJJ\tB-NP\tO' -p103654 -aS'infections\tinfection\tNNS\tI-NP\tO' -p103655 -aS',\t,\t,\tO\tO' -p103656 -aS'chest\tchest\tNN\tB-NP\tO' -p103657 -aS'pain\tpain\tNN\tI-NP\tO' -p103658 -aS',\t,\t,\tO\tO' -p103659 -aS'orthopnea\torthopnea\tNN\tB-NP\tO' -p103660 -aS',\t,\t,\tO\tO' -p103661 -aS'nausea\tnausea\tNN\tB-NP\tO' -p103662 -aS',\t,\t,\tO\tO' -p103663 -aS'vomiting\tvomiting\tNN\tB-NP\tO' -p103664 -aS',\t,\t,\tO\tO' -p103665 -aS'diarrhea\tdiarrhea\tNN\tB-NP\tO' -p103666 -aS',\t,\t,\tO\tO' -p103667 -aS'hematemesis\thematemesis\tNN\tB-NP\tO' -p103668 -aS',\t,\t,\tO\tO' -p103669 -aS'melena\tmelena\tNN\tB-NP\tO' -p103670 -aS',\t,\t,\tO\tO' -p103671 -aS'or\tor\tCC\tO\tO' -p103672 -aS'hematochezia\thematochezia\tNN\tB-NP\tO' -p103673 -aS'.\t.\t.\tO\tO' -p103674 -asS'MEDICATIONS ON ADMISSION TO CORONARY CARE 0408398 .' -p103675 -(lp103676 -S'MEDICATIONS\tMEDICATIONS\tNNS\tB-NP\tO' -p103677 -aS'ON\tON\tVBP\tB-VP\tO' -p103678 -aS'ADMISSION\tADMISSION\tNN\tB-NP\tO' -p103679 -aS'TO\tTO\tTO\tB-PP\tO' -p103680 -aS'CORONARY\tCORONARY\tNN\tB-NP\tO' -p103681 -aS'CARE\tCARE\tNN\tI-NP\tO' -p103682 -aS'0408398\t0408398\tCD\tI-NP\tO' -p103683 -aS'.\t.\t.\tO\tO' -p103684 -asS'She ate a normal breakfast of cereal and milk .' -p103685 -(lp103686 -S'She\tShe\tPRP\tB-NP\tO' -p103687 -aS'ate\teat\tVBD\tB-VP\tO' -p103688 -aS'a\ta\tDT\tB-NP\tO' -p103689 -aS'normal\tnormal\tJJ\tI-NP\tO' -p103690 -aS'breakfast\tbreakfast\tNN\tI-NP\tO' -p103691 -aS'of\tof\tIN\tB-PP\tO' -p103692 -aS'cereal\tcereal\tNN\tB-NP\tO' -p103693 -aS'and\tand\tCC\tI-NP\tO' -p103694 -aS'milk\tmilk\tNN\tI-NP\tO' -p103695 -aS'.\t.\t.\tO\tO' -p103696 -asS"Following evaluation and treatment , the patient 's disposition at the end of the visit was ADMITTED AS AN INPATIENT TO BRI HEALTH ." -p103697 -(lp103698 -S'Following\tFollow\tVBG\tB-PP\tO' -p103699 -aS'evaluation\tevaluation\tNN\tB-NP\tO' -p103700 -aS'and\tand\tCC\tI-NP\tO' -p103701 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p103702 -aS',\t,\t,\tO\tO' -p103703 -aS'the\tthe\tDT\tB-NP\tO' -p103704 -aS'patient\tpatient\tNN\tI-NP\tO' -p103705 -aS"'s\t's\tPOS\tB-NP\tO" -p103706 -aS'disposition\tdisposition\tNN\tI-NP\tO' -p103707 -aS'at\tat\tIN\tB-PP\tO' -p103708 -aS'the\tthe\tDT\tB-NP\tO' -p103709 -aS'end\tend\tNN\tI-NP\tO' -p103710 -aS'of\tof\tIN\tB-PP\tO' -p103711 -aS'the\tthe\tDT\tB-NP\tO' -p103712 -aS'visit\tvisit\tNN\tI-NP\tO' -p103713 -aS'was\tbe\tVBD\tB-VP\tO' -p103714 -aS'ADMITTED\tADMITTED\tVBN\tI-VP\tO' -p103715 -aS'AS\tAS\tNNP\tB-NP\tO' -p103716 -aS'AN\tAN\tNNP\tI-NP\tO' -p103717 -aS'INPATIENT\tINPATIENT\tNNP\tI-NP\tO' -p103718 -aS'TO\tTO\tNNP\tI-NP\tO' -p103719 -aS'BRI\tBRI\tNNP\tI-NP\tO' -p103720 -aS'HEALTH\tHEALTH\tNNP\tI-NP\tO' -p103721 -aS'.\t.\t.\tO\tO' -p103722 -asS'A right upper quadrant ultrasound was performed that showed no hepatic or biliary pathology likely due to acute phase stress changes given the fact that she had no clinical symptoms .' -p103723 -(lp103724 -S'A\tA\tDT\tB-NP\tO' -p103725 -aS'right\tright\tJJ\tI-NP\tO' -p103726 -aS'upper\tupper\tJJ\tI-NP\tO' -p103727 -aS'quadrant\tquadrant\tJJ\tI-NP\tO' -p103728 -aS'ultrasound\tultrasound\tNN\tI-NP\tO' -p103729 -aS'was\tbe\tVBD\tB-VP\tO' -p103730 -aS'performed\tperform\tVBN\tI-VP\tO' -p103731 -aS'that\tthat\tWDT\tB-NP\tO' -p103732 -aS'showed\tshow\tVBD\tB-VP\tO' -p103733 -aS'no\tno\tDT\tB-NP\tO' -p103734 -aS'hepatic\thepatic\tJJ\tI-NP\tO' -p103735 -aS'or\tor\tCC\tI-NP\tO' -p103736 -aS'biliary\tbiliary\tJJ\tI-NP\tO' -p103737 -aS'pathology\tpathology\tNN\tI-NP\tO' -p103738 -aS'likely\tlikely\tRB\tB-ADJP\tO' -p103739 -aS'due\tdue\tIN\tB-PP\tO' -p103740 -aS'to\tto\tTO\tB-PP\tO' -p103741 -aS'acute\tacute\tJJ\tB-NP\tO' -p103742 -aS'phase\tphase\tNN\tI-NP\tO' -p103743 -aS'stress\tstress\tNN\tI-NP\tO' -p103744 -aS'changes\tchange\tNNS\tI-NP\tO' -p103745 -aS'given\tgive\tVBN\tB-VP\tO' -p103746 -aS'the\tthe\tDT\tB-NP\tO' -p103747 -aS'fact\tfact\tNN\tI-NP\tO' -p103748 -aS'that\tthat\tIN\tB-SBAR\tO' -p103749 -aS'she\tshe\tPRP\tB-NP\tO' -p103750 -aS'had\thave\tVBD\tB-VP\tO' -p103751 -aS'no\tno\tDT\tB-NP\tO' -p103752 -aS'clinical\tclinical\tJJ\tI-NP\tO' -p103753 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p103754 -aS'.\t.\t.\tO\tO' -p103755 -asS'Does have increased effusion although loculated .' -p103756 -(lp103757 -S'Does\tDoe\tNNS\tB-NP\tO' -p103758 -aS'have\thave\tVBP\tB-VP\tO' -p103759 -aS'increased\tincrease\tVBN\tI-VP\tO' -p103760 -aS'effusion\teffusion\tNN\tB-NP\tO' -p103761 -aS'although\talthough\tIN\tB-SBAR\tO' -p103762 -aS'loculated\tloculate\tVBN\tB-VP\tO' -p103763 -aS'.\t.\t.\tO\tO' -p103764 -asS'4. Ipratropium Bromide 0.02 % Solution Sig : One ( 1 ) Inhalation Q4H ( every 4 hours ) .' -p103765 -(lp103766 -S'4.\t4.\tLS\tB-NP\tO' -p103767 -aS'Ipratropium\tIpratropium\tNN\tI-NP\tO' -p103768 -aS'Bromide\tBromide\tNN\tI-NP\tO' -p103769 -aS'0.02\t0.02\tCD\tB-NP\tO' -p103770 -aS'%\t%\tNN\tI-NP\tO' -p103771 -aS'Solution\tSolution\tNNP\tI-NP\tO' -p103772 -aS'Sig\tSig\tNNP\tI-NP\tO' -p103773 -aS':\t:\t:\tO\tO' -p103774 -aS'One\tOne\tCD\tB-NP\tO' -p103775 -aS'(\t(\t(\tO\tO' -p103776 -aS'1\t1\tCD\tB-NP\tO' -p103777 -aS')\t)\t)\tO\tO' -p103778 -aS'Inhalation\tInhalation\tNN\tB-NP\tO' -p103779 -aS'Q4H\tQ4H\tNN\tI-NP\tO' -p103780 -aS'(\t(\t(\tO\tO' -p103781 -aS'every\tevery\tDT\tB-NP\tO' -p103782 -aS'4\t4\tCD\tI-NP\tO' -p103783 -aS'hours\thour\tNNS\tI-NP\tO' -p103784 -aS')\t)\t)\tO\tO' -p103785 -aS'.\t.\t.\tO\tO' -p103786 -asS'Included Wellbutrin , Imitrex , Tylenol , Humalog sliding scale and NPH insulin two units in the morning , 7 units at noon and 13 units at bedtime .' -p103787 -(lp103788 -S'Included\tIncluded\tNNP\tB-NP\tO' -p103789 -aS'Wellbutrin\tWellbutrin\tNNP\tI-NP\tO' -p103790 -aS',\t,\t,\tO\tO' -p103791 -aS'Imitrex\tImitrex\tNNP\tB-NP\tO' -p103792 -aS',\t,\t,\tO\tO' -p103793 -aS'Tylenol\tTylenol\tNNP\tB-NP\tO' -p103794 -aS',\t,\t,\tO\tO' -p103795 -aS'Humalog\tHumalog\tNNP\tB-NP\tO' -p103796 -aS'sliding\tslide\tVBG\tB-VP\tO' -p103797 -aS'scale\tscale\tNN\tB-NP\tO' -p103798 -aS'and\tand\tCC\tI-NP\tO' -p103799 -aS'NPH\tNPH\tNN\tI-NP\tB-protein' -p103800 -aS'insulin\tinsulin\tNN\tI-NP\tI-protein' -p103801 -aS'two\ttwo\tCD\tB-NP\tI-protein' -p103802 -aS'units\tunit\tNNS\tI-NP\tI-protein' -p103803 -aS'in\tin\tIN\tB-PP\tO' -p103804 -aS'the\tthe\tDT\tB-NP\tO' -p103805 -aS'morning\tmorning\tNN\tI-NP\tO' -p103806 -aS',\t,\t,\tO\tO' -p103807 -aS'7\t7\tCD\tB-NP\tO' -p103808 -aS'units\tunit\tNNS\tI-NP\tO' -p103809 -aS'at\tat\tIN\tB-PP\tO' -p103810 -aS'noon\tnoon\tNN\tB-NP\tO' -p103811 -aS'and\tand\tCC\tO\tO' -p103812 -aS'13\t13\tCD\tB-NP\tO' -p103813 -aS'units\tunit\tNNS\tI-NP\tO' -p103814 -aS'at\tat\tIN\tB-PP\tO' -p103815 -aS'bedtime\tbedtime\tNN\tB-NP\tO' -p103816 -aS'.\t.\t.\tO\tO' -p103817 -asS'Subcutaneous edema is noted in the lower abdomen and pelvis .' -p103818 -(lp103819 -S'Subcutaneous\tSubcutaneous\tJJ\tB-NP\tO' -p103820 -aS'edema\tedema\tNN\tI-NP\tO' -p103821 -aS'is\tbe\tVBZ\tB-VP\tO' -p103822 -aS'noted\tnote\tVBN\tI-VP\tO' -p103823 -aS'in\tin\tIN\tB-PP\tO' -p103824 -aS'the\tthe\tDT\tB-NP\tO' -p103825 -aS'lower\tlow\tJJR\tI-NP\tO' -p103826 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p103827 -aS'and\tand\tCC\tI-NP\tO' -p103828 -aS'pelvis\tpelvis\tNN\tI-NP\tO' -p103829 -aS'.\t.\t.\tO\tO' -p103830 -asS'He also denies any chest pain .' -p103831 -(lp103832 -S'He\tHe\tPRP\tB-NP\tO' -p103833 -aS'also\talso\tRB\tB-ADVP\tO' -p103834 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p103835 -aS'any\tany\tDT\tB-NP\tO' -p103836 -aS'chest\tch\tJJS\tI-NP\tO' -p103837 -aS'pain\tpain\tNN\tI-NP\tO' -p103838 -aS'.\t.\t.\tO\tO' -p103839 -asS'Cambridge Health Alliance social worker was involved with this family .' -p103840 -(lp103841 -S'Cambridge\tCambridge\tNNP\tB-NP\tO' -p103842 -aS'Health\tHealth\tNNP\tI-NP\tO' -p103843 -aS'Alliance\tAlliance\tNNP\tI-NP\tO' -p103844 -aS'social\tsocial\tJJ\tI-NP\tO' -p103845 -aS'worker\tworker\tNN\tI-NP\tO' -p103846 -aS'was\tbe\tVBD\tB-VP\tO' -p103847 -aS'involved\tinvolve\tVBN\tI-VP\tO' -p103848 -aS'with\twith\tIN\tB-PP\tO' -p103849 -aS'this\tthis\tDT\tB-NP\tO' -p103850 -aS'family\tfamily\tNN\tI-NP\tO' -p103851 -aS'.\t.\t.\tO\tO' -p103852 -asS'Heart : regular rate and rhythm , no murmur , normal S1 and S2 , pulses 2 +.' -p103853 -(lp103854 -S'Heart\tHeart\tNN\tB-NP\tO' -p103855 -aS':\t:\t:\tO\tO' -p103856 -aS'regular\tregular\tJJ\tB-NP\tO' -p103857 -aS'rate\trate\tNN\tI-NP\tO' -p103858 -aS'and\tand\tCC\tI-NP\tO' -p103859 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p103860 -aS',\t,\t,\tO\tO' -p103861 -aS'no\tno\tDT\tB-NP\tO' -p103862 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p103863 -aS',\t,\t,\tO\tO' -p103864 -aS'normal\tnormal\tJJ\tB-NP\tO' -p103865 -aS'S1\tS1\tNN\tI-NP\tB-protein' -p103866 -aS'and\tand\tCC\tO\tO' -p103867 -aS'S2\tS2\tNN\tB-NP\tB-protein' -p103868 -aS',\t,\t,\tO\tO' -p103869 -aS'pulses\tpulse\tVBZ\tB-VP\tO' -p103870 -aS'2\t2\tCD\tB-NP\tO' -p103871 -aS'+.\t+.\t.\tO\tO' -p103872 -asS'He relates using large doses of Cocaine and Heroin early in the morning on the day of admission .' -p103873 -(lp103874 -S'He\tHe\tPRP\tB-NP\tO' -p103875 -aS'relates\trelate\tVBZ\tB-VP\tO' -p103876 -aS'using\tuse\tVBG\tI-VP\tO' -p103877 -aS'large\tlarge\tJJ\tB-NP\tO' -p103878 -aS'doses\tdose\tNNS\tI-NP\tO' -p103879 -aS'of\tof\tIN\tB-PP\tO' -p103880 -aS'Cocaine\tCocaine\tNNP\tB-NP\tO' -p103881 -aS'and\tand\tCC\tI-NP\tO' -p103882 -aS'Heroin\tHeroin\tNNP\tI-NP\tO' -p103883 -aS'early\tearly\tRB\tB-ADVP\tO' -p103884 -aS'in\tin\tIN\tB-PP\tO' -p103885 -aS'the\tthe\tDT\tB-NP\tO' -p103886 -aS'morning\tmorning\tNN\tI-NP\tO' -p103887 -aS'on\ton\tIN\tB-PP\tO' -p103888 -aS'the\tthe\tDT\tB-NP\tO' -p103889 -aS'day\tday\tNN\tI-NP\tO' -p103890 -aS'of\tof\tIN\tB-PP\tO' -p103891 -aS'admission\tadmission\tNN\tB-NP\tO' -p103892 -aS'.\t.\t.\tO\tO' -p103893 -asS'She was referred to the Emergency Department .' -p103894 -(lp103895 -S'She\tShe\tPRP\tB-NP\tO' -p103896 -aS'was\tbe\tVBD\tB-VP\tO' -p103897 -aS'referred\trefer\tVBN\tI-VP\tO' -p103898 -aS'to\tto\tTO\tB-PP\tO' -p103899 -aS'the\tthe\tDT\tB-NP\tO' -p103900 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p103901 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p103902 -aS'.\t.\t.\tO\tO' -p103903 -asS'In summary pt had off pump CABGx4 with LIMA-LAD , SVG OM-Y graft - Diag , SVG-PDA .' -p103904 -(lp103905 -S'In\tIn\tIN\tB-PP\tO' -p103906 -aS'summary\tsummary\tNN\tB-NP\tO' -p103907 -aS'pt\tpt\tNN\tI-NP\tO' -p103908 -aS'had\thave\tVBD\tB-VP\tO' -p103909 -aS'off\toff\tRP\tB-PRT\tO' -p103910 -aS'pump\tpump\tNN\tB-NP\tB-protein' -p103911 -aS'CABGx4\tCABGx4\tNN\tI-NP\tI-protein' -p103912 -aS'with\twith\tIN\tB-PP\tO' -p103913 -aS'LIMA-LAD\tLIMA-LAD\tNN\tB-NP\tO' -p103914 -aS',\t,\t,\tO\tO' -p103915 -aS'SVG\tSVG\tNN\tB-NP\tO' -p103916 -aS'OM-Y\tOM-Y\tNN\tI-NP\tO' -p103917 -aS'graft\tgraft\tNN\tI-NP\tO' -p103918 -aS'-\t-\tHYPH\tB-NP\tO' -p103919 -aS'Diag\tDiag\tNN\tI-NP\tO' -p103920 -aS',\t,\t,\tO\tO' -p103921 -aS'SVG-PDA\tSVG-PDA\tNN\tB-NP\tB-protein' -p103922 -aS'.\t.\t.\tO\tO' -p103923 -asS'Throughout this time , her creatinine continued to drop , and there was no apparent deleterious effect on her transplant from this episode .' -p103924 -(lp103925 -S'Throughout\tThroughout\tIN\tB-PP\tO' -p103926 -aS'this\tthis\tDT\tB-NP\tO' -p103927 -aS'time\ttime\tNN\tI-NP\tO' -p103928 -aS',\t,\t,\tO\tO' -p103929 -aS'her\ther\tPRP$\tB-NP\tO' -p103930 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p103931 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p103932 -aS'to\tto\tTO\tI-VP\tO' -p103933 -aS'drop\tdrop\tVB\tI-VP\tO' -p103934 -aS',\t,\t,\tO\tO' -p103935 -aS'and\tand\tCC\tO\tO' -p103936 -aS'there\tthere\tEX\tB-NP\tO' -p103937 -aS'was\tbe\tVBD\tB-VP\tO' -p103938 -aS'no\tno\tDT\tB-NP\tO' -p103939 -aS'apparent\tapparent\tJJ\tI-NP\tO' -p103940 -aS'deleterious\tdeleterious\tJJ\tI-NP\tO' -p103941 -aS'effect\teffect\tNN\tI-NP\tO' -p103942 -aS'on\ton\tIN\tB-PP\tO' -p103943 -aS'her\ther\tPRP$\tB-NP\tO' -p103944 -aS'transplant\ttransplant\tNN\tI-NP\tO' -p103945 -aS'from\tfrom\tIN\tB-PP\tO' -p103946 -aS'this\tthis\tDT\tB-NP\tO' -p103947 -aS'episode\tepisode\tNN\tI-NP\tO' -p103948 -aS'.\t.\t.\tO\tO' -p103949 -asS'No other known family hx .' -p103950 -(lp103951 -S'No\tNo\tDT\tB-NP\tO' -p103952 -aS'other\tother\tJJ\tI-NP\tO' -p103953 -aS'known\tknow\tVBN\tI-NP\tO' -p103954 -aS'family\tfamily\tNN\tI-NP\tO' -p103955 -aS'hx\thx\tNN\tI-NP\tO' -p103956 -aS'.\t.\t.\tO\tO' -p103957 -asS'1. Enteric-coated aspirin .' -p103958 -(lp103959 -S'1.\t1.\tLS\tB-NP\tO' -p103960 -aS'Enteric-coated\tEnteric-coated\tJJ\tI-NP\tO' -p103961 -aS'aspirin\taspirin\tNN\tI-NP\tO' -p103962 -aS'.\t.\t.\tO\tO' -p103963 -asS'2. The left ventricular wall thicknesses are normal .' -p103964 -(lp103965 -S'2.\t2.\tLS\tB-LST\tO' -p103966 -aS'The\tThe\tDT\tB-NP\tO' -p103967 -aS'left\tleft\tJJ\tI-NP\tO' -p103968 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p103969 -aS'wall\twall\tNN\tI-NP\tO' -p103970 -aS'thicknesses\tthickness\tNNS\tI-NP\tO' -p103971 -aS'are\tbe\tVBP\tB-VP\tO' -p103972 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p103973 -aS'.\t.\t.\tO\tO' -p103974 -asS'Initially maintained NPO .' -p103975 -(lp103976 -S'Initially\tInitially\tRB\tB-NP\tO' -p103977 -aS'maintained\tmaintain\tVBN\tI-NP\tO' -p103978 -aS'NPO\tNPO\tNN\tI-NP\tB-protein' -p103979 -aS'.\t.\t.\tO\tO' -p103980 -asS'The patient became constipated ; this resolved with laxatives .' -p103981 -(lp103982 -S'The\tThe\tDT\tB-NP\tO' -p103983 -aS'patient\tpatient\tNN\tI-NP\tO' -p103984 -aS'became\tbecome\tVBD\tB-VP\tO' -p103985 -aS'constipated\tconstipate\tVBN\tB-ADJP\tO' -p103986 -aS';\t;\t:\tO\tO' -p103987 -aS'this\tthis\tDT\tB-NP\tO' -p103988 -aS'resolved\tresolve\tVBN\tB-VP\tO' -p103989 -aS'with\twith\tIN\tB-PP\tO' -p103990 -aS'laxatives\tlaxative\tNNS\tB-NP\tO' -p103991 -aS'.\t.\t.\tO\tO' -p103992 -asS'Gen : lying in strecther , NAD , shaking om bilateral lower extremities .' -p103993 -(lp103994 -S'Gen\tGen\tNN\tB-NP\tO' -p103995 -aS':\t:\t:\tO\tO' -p103996 -aS'lying\tlie\tVBG\tB-VP\tO' -p103997 -aS'in\tin\tIN\tB-PP\tO' -p103998 -aS'strecther\tstrecther\tNN\tB-NP\tO' -p103999 -aS',\t,\t,\tO\tO' -p104000 -aS'NAD\tNAD\tNN\tB-NP\tO' -p104001 -aS',\t,\t,\tO\tO' -p104002 -aS'shaking\tshake\tVBG\tB-VP\tO' -p104003 -aS'om\tom\tIN\tB-PP\tO' -p104004 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p104005 -aS'lower\tlow\tJJR\tI-NP\tO' -p104006 -aS'extremities\textremity\tNNS\tI-NP\tO' -p104007 -aS'.\t.\t.\tO\tO' -p104008 -asS'2) Digoxin 0.125 mg p.o. q. AM .' -p104009 -(lp104010 -S'2)\t2)\tLS\tB-LST\tO' -p104011 -aS'Digoxin\tDigoxin\tNN\tB-NP\tO' -p104012 -aS'0.125\t0.125\tCD\tI-NP\tO' -p104013 -aS'mg\tmg\tNN\tI-NP\tO' -p104014 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p104015 -aS'q.\tq.\tVBG\tB-VP\tO' -p104016 -aS'AM\tAM\tNN\tB-NP\tO' -p104017 -aS'.\t.\t.\tO\tO' -p104018 -asS'It started at rest .' -p104019 -(lp104020 -S'It\tIt\tPRP\tB-NP\tO' -p104021 -aS'started\tstart\tVBD\tB-VP\tO' -p104022 -aS'at\tat\tIN\tB-PP\tO' -p104023 -aS'rest\trest\tNN\tB-NP\tO' -p104024 -aS'.\t.\t.\tO\tO' -p104025 -asS'Chest x-ray showed cariogenic pulmonary edema and he was faring poorly .' -p104026 -(lp104027 -S'Chest\tCh\tJJS\tB-NP\tO' -p104028 -aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' -p104029 -aS'showed\tshow\tVBD\tB-VP\tO' -p104030 -aS'cariogenic\tcariogenic\tJJ\tB-NP\tO' -p104031 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p104032 -aS'edema\tedema\tNN\tI-NP\tO' -p104033 -aS'and\tand\tCC\tO\tO' -p104034 -aS'he\the\tPRP\tB-NP\tO' -p104035 -aS'was\tbe\tVBD\tB-VP\tO' -p104036 -aS'faring\tfare\tVBG\tI-VP\tO' -p104037 -aS'poorly\tpoorly\tRB\tB-ADVP\tO' -p104038 -aS'.\t.\t.\tO\tO' -p104039 -asS'On 07-18 , as his mental status improved , he did well at the bed side swall evaluation .' -p104040 -(lp104041 -S'On\tOn\tIN\tB-PP\tO' -p104042 -aS'07-18\t07-18\tCD\tB-NP\tO' -p104043 -aS',\t,\t,\tO\tO' -p104044 -aS'as\tas\tIN\tB-SBAR\tO' -p104045 -aS'his\this\tPRP$\tB-NP\tO' -p104046 -aS'mental\tmental\tJJ\tI-NP\tO' -p104047 -aS'status\tstatus\tNN\tI-NP\tO' -p104048 -aS'improved\timprove\tVBD\tB-VP\tO' -p104049 -aS',\t,\t,\tO\tO' -p104050 -aS'he\the\tPRP\tB-NP\tO' -p104051 -aS'did\tdo\tVBD\tB-VP\tO' -p104052 -aS'well\twell\tRB\tB-ADVP\tO' -p104053 -aS'at\tat\tIN\tB-PP\tO' -p104054 -aS'the\tthe\tDT\tB-NP\tO' -p104055 -aS'bed\tbed\tNN\tI-NP\tO' -p104056 -aS'side\tside\tNN\tI-NP\tO' -p104057 -aS'swall\tswall\tNN\tI-NP\tO' -p104058 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p104059 -aS'.\t.\t.\tO\tO' -p104060 -asS'The patient was noted to be slightly hyponatremic over the past few days , with sodiums in the 128-132 range , but this was secondary to elevated glucose fingerstick blood sugars .' -p104061 -(lp104062 -S'The\tThe\tDT\tB-NP\tO' -p104063 -aS'patient\tpatient\tNN\tI-NP\tO' -p104064 -aS'was\tbe\tVBD\tB-VP\tO' -p104065 -aS'noted\tnote\tVBN\tI-VP\tO' -p104066 -aS'to\tto\tTO\tI-VP\tO' -p104067 -aS'be\tbe\tVB\tI-VP\tO' -p104068 -aS'slightly\tslightly\tRB\tB-ADJP\tO' -p104069 -aS'hyponatremic\thyponatremic\tJJ\tI-ADJP\tO' -p104070 -aS'over\tover\tIN\tB-PP\tO' -p104071 -aS'the\tthe\tDT\tB-NP\tO' -p104072 -aS'past\tpast\tJJ\tI-NP\tO' -p104073 -aS'few\tfew\tJJ\tI-NP\tO' -p104074 -aS'days\tday\tNNS\tI-NP\tO' -p104075 -aS',\t,\t,\tO\tO' -p104076 -aS'with\twith\tIN\tB-PP\tO' -p104077 -aS'sodiums\tsodium\tNNS\tB-NP\tO' -p104078 -aS'in\tin\tIN\tB-PP\tO' -p104079 -aS'the\tthe\tDT\tB-NP\tO' -p104080 -aS'128-132\t128-132\tCD\tI-NP\tO' -p104081 -aS'range\trange\tNN\tI-NP\tO' -p104082 -aS',\t,\t,\tO\tO' -p104083 -aS'but\tbut\tCC\tO\tO' -p104084 -aS'this\tthis\tDT\tB-NP\tO' -p104085 -aS'was\tbe\tVBD\tB-VP\tO' -p104086 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p104087 -aS'to\tto\tTO\tB-PP\tO' -p104088 -aS'elevated\televate\tVBN\tB-NP\tO' -p104089 -aS'glucose\tglucose\tNN\tI-NP\tB-protein' -p104090 -aS'fingerstick\tfingerstick\tNN\tI-NP\tI-protein' -p104091 -aS'blood\tblood\tNN\tI-NP\tI-protein' -p104092 -aS'sugars\tsugar\tNNS\tI-NP\tI-protein' -p104093 -aS'.\t.\t.\tO\tO' -p104094 -asS'If you have chest pain , shortness of breath , diahrrea or fevers please contact your PCP .' -p104095 -(lp104096 -S'If\tIf\tIN\tB-SBAR\tO' -p104097 -aS'you\tyou\tPRP\tB-NP\tO' -p104098 -aS'have\thave\tVBP\tB-VP\tO' -p104099 -aS'chest\tchest\tNN\tB-NP\tO' -p104100 -aS'pain\tpain\tNN\tI-NP\tO' -p104101 -aS',\t,\t,\tO\tO' -p104102 -aS'shortness\tshortness\tNN\tB-NP\tO' -p104103 -aS'of\tof\tIN\tB-PP\tO' -p104104 -aS'breath\tbreath\tNN\tB-NP\tO' -p104105 -aS',\t,\t,\tI-NP\tO' -p104106 -aS'diahrrea\tdiahrrea\tNN\tI-NP\tO' -p104107 -aS'or\tor\tCC\tI-NP\tO' -p104108 -aS'fevers\tfever\tNNS\tI-NP\tO' -p104109 -aS'please\tplease\tVB\tB-VP\tO' -p104110 -aS'contact\tcontact\tNN\tB-NP\tO' -p104111 -aS'your\tyour\tPRP$\tB-NP\tO' -p104112 -aS'PCP\tPCP\tNN\tI-NP\tB-protein' -p104113 -aS'.\t.\t.\tO\tO' -p104114 -asS'She was originally intubated for airway protection , and it is felt she could likely be weaned from the ventilator although she would be extremely high risk for aspiration .' -p104115 -(lp104116 -S'She\tShe\tPRP\tB-NP\tO' -p104117 -aS'was\tbe\tVBD\tB-VP\tO' -p104118 -aS'originally\toriginally\tRB\tI-VP\tO' -p104119 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p104120 -aS'for\tfor\tIN\tB-PP\tO' -p104121 -aS'airway\tairway\tNN\tB-NP\tO' -p104122 -aS'protection\tprotection\tNN\tI-NP\tO' -p104123 -aS',\t,\t,\tO\tO' -p104124 -aS'and\tand\tCC\tO\tO' -p104125 -aS'it\tit\tPRP\tB-NP\tO' -p104126 -aS'is\tbe\tVBZ\tB-VP\tO' -p104127 -aS'felt\tfeel\tVBN\tI-VP\tO' -p104128 -aS'she\tshe\tPRP\tB-NP\tO' -p104129 -aS'could\tcould\tMD\tB-VP\tO' -p104130 -aS'likely\tlikely\tRB\tI-VP\tO' -p104131 -aS'be\tbe\tVB\tI-VP\tO' -p104132 -aS'weaned\twean\tVBN\tI-VP\tO' -p104133 -aS'from\tfrom\tIN\tB-PP\tO' -p104134 -aS'the\tthe\tDT\tB-NP\tO' -p104135 -aS'ventilator\tventilator\tNN\tI-NP\tO' -p104136 -aS'although\talthough\tIN\tB-SBAR\tO' -p104137 -aS'she\tshe\tPRP\tB-NP\tO' -p104138 -aS'would\twould\tMD\tB-VP\tO' -p104139 -aS'be\tbe\tVB\tI-VP\tO' -p104140 -aS'extremely\textremely\tRB\tB-NP\tO' -p104141 -aS'high\thigh\tJJ\tI-NP\tO' -p104142 -aS'risk\trisk\tNN\tI-NP\tO' -p104143 -aS'for\tfor\tIN\tB-PP\tO' -p104144 -aS'aspiration\taspiration\tNN\tB-NP\tO' -p104145 -aS'.\t.\t.\tO\tO' -p104146 -asS'Postoperatively the patient was transferred out of the Intensive Care Unit to the burn floor where he received dressing changes p.r.n.' -p104147 -(lp104148 -S'Postoperatively\tPostoperatively\tRB\tB-ADVP\tO' -p104149 -aS'the\tthe\tDT\tB-NP\tO' -p104150 -aS'patient\tpatient\tNN\tI-NP\tO' -p104151 -aS'was\tbe\tVBD\tB-VP\tO' -p104152 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p104153 -aS'out\tout\tIN\tB-PP\tO' -p104154 -aS'of\tof\tIN\tB-PP\tO' -p104155 -aS'the\tthe\tDT\tB-NP\tO' -p104156 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p104157 -aS'Care\tCare\tNNP\tI-NP\tO' -p104158 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p104159 -aS'to\tto\tTO\tB-PP\tO' -p104160 -aS'the\tthe\tDT\tB-NP\tO' -p104161 -aS'burn\tburn\tNN\tI-NP\tO' -p104162 -aS'floor\tfloor\tNN\tI-NP\tO' -p104163 -aS'where\twhere\tWRB\tB-ADVP\tO' -p104164 -aS'he\the\tPRP\tB-NP\tO' -p104165 -aS'received\treceive\tVBD\tB-VP\tO' -p104166 -aS'dressing\tdress\tVBG\tB-VP\tO' -p104167 -aS'changes\tchange\tNNS\tB-NP\tO' -p104168 -aS'p.r.n.\tp.r.n.\tRB\tB-ADVP\tO' -p104169 -asS'TSH was within normal limits as was B12 and folate .' -p104170 -(lp104171 -S'TSH\tTSH\tNN\tB-NP\tO' -p104172 -aS'was\tbe\tVBD\tB-VP\tO' -p104173 -aS'within\twithin\tIN\tB-PP\tO' -p104174 -aS'normal\tnormal\tJJ\tB-NP\tO' -p104175 -aS'limits\tlimit\tNNS\tI-NP\tO' -p104176 -aS'as\tas\tIN\tB-SBAR\tO' -p104177 -aS'was\tbe\tVBD\tB-VP\tO' -p104178 -aS'B12\tB12\tNN\tB-NP\tB-protein' -p104179 -aS'and\tand\tCC\tI-NP\tO' -p104180 -aS'folate\tfolate\tNN\tI-NP\tO' -p104181 -aS'.\t.\t.\tO\tO' -p104182 -asS'Melonson de la Donnelly MD 08-301' -p104183 -(lp104184 -S'Melonson\tMelonson\tNNP\tB-NP\tO' -p104185 -aS'de\tde\tNNP\tI-NP\tO' -p104186 -aS'la\tla\tNNP\tI-NP\tO' -p104187 -aS'Donnelly\tDonnelly\tNNP\tI-NP\tO' -p104188 -aS'MD\tMD\tNNP\tI-NP\tO' -p104189 -aS'08-301\t08-301\tCD\tI-NP\tO' -p104190 -asS'Despite intravenous fluids , intravenous epinephrine , and multiple attempts at defibrillation , the patient was unable to be resuscitated .' -p104191 -(lp104192 -S'Despite\tDespite\tIN\tB-PP\tO' -p104193 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p104194 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p104195 -aS',\t,\t,\tO\tO' -p104196 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p104197 -aS'epinephrine\tepinephrine\tNN\tI-NP\tO' -p104198 -aS',\t,\t,\tO\tO' -p104199 -aS'and\tand\tCC\tO\tO' -p104200 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p104201 -aS'attempts\tattempt\tNNS\tI-NP\tO' -p104202 -aS'at\tat\tIN\tB-PP\tO' -p104203 -aS'defibrillation\tdefibrillation\tNN\tB-NP\tO' -p104204 -aS',\t,\t,\tO\tO' -p104205 -aS'the\tthe\tDT\tB-NP\tO' -p104206 -aS'patient\tpatient\tNN\tI-NP\tO' -p104207 -aS'was\tbe\tVBD\tB-VP\tO' -p104208 -aS'unable\tunable\tJJ\tB-ADJP\tO' -p104209 -aS'to\tto\tTO\tB-VP\tO' -p104210 -aS'be\tbe\tVB\tI-VP\tO' -p104211 -aS'resuscitated\tresuscitate\tVBN\tI-VP\tO' -p104212 -aS'.\t.\t.\tO\tO' -p104213 -asS'He has preserved LV systolic function with mild TR and AR and LAE without abscess .' -p104214 -(lp104215 -S'He\tHe\tPRP\tB-NP\tO' -p104216 -aS'has\thave\tVBZ\tB-VP\tO' -p104217 -aS'preserved\tpreserve\tVBN\tI-VP\tO' -p104218 -aS'LV\tLV\tNN\tB-NP\tO' -p104219 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p104220 -aS'function\tfunction\tNN\tI-NP\tO' -p104221 -aS'with\twith\tIN\tB-PP\tO' -p104222 -aS'mild\tmild\tJJ\tB-NP\tO' -p104223 -aS'TR\tTR\tNN\tI-NP\tO' -p104224 -aS'and\tand\tCC\tI-NP\tO' -p104225 -aS'AR\tAR\tNN\tI-NP\tB-protein' -p104226 -aS'and\tand\tCC\tI-NP\tO' -p104227 -aS'LAE\tLAE\tNN\tI-NP\tB-protein' -p104228 -aS'without\twithout\tIN\tB-PP\tO' -p104229 -aS'abscess\tabscess\tNN\tB-NP\tO' -p104230 -aS'.\t.\t.\tO\tO' -p104231 -asS'You must continue to take plavix .' -p104232 -(lp104233 -S'You\tYou\tPRP\tB-NP\tB-protein' -p104234 -aS'must\tmust\tMD\tB-VP\tO' -p104235 -aS'continue\tcontinue\tVB\tI-VP\tO' -p104236 -aS'to\tto\tTO\tI-VP\tO' -p104237 -aS'take\ttake\tVB\tI-VP\tO' -p104238 -aS'plavix\tplavix\tNN\tB-NP\tO' -p104239 -aS'.\t.\t.\tO\tO' -p104240 -asS'Cine left ventriculogram revealed a dilated left ventricle with an area of anterolateral , apical , and septal akinesis .' -p104241 -(lp104242 -S'Cine\tCine\tNN\tB-NP\tO' -p104243 -aS'left\tleft\tJJ\tI-NP\tO' -p104244 -aS'ventriculogram\tventriculogram\tNN\tI-NP\tO' -p104245 -aS'revealed\treveal\tVBD\tB-VP\tO' -p104246 -aS'a\ta\tDT\tB-NP\tO' -p104247 -aS'dilated\tdilated\tJJ\tI-NP\tO' -p104248 -aS'left\tleft\tJJ\tI-NP\tO' -p104249 -aS'ventricle\tventricle\tNN\tI-NP\tO' -p104250 -aS'with\twith\tIN\tB-PP\tO' -p104251 -aS'an\tan\tDT\tB-NP\tO' -p104252 -aS'area\tarea\tNN\tI-NP\tO' -p104253 -aS'of\tof\tIN\tB-PP\tO' -p104254 -aS'anterolateral\tanterolateral\tJJ\tB-NP\tO' -p104255 -aS',\t,\t,\tI-NP\tO' -p104256 -aS'apical\tapical\tJJ\tI-NP\tO' -p104257 -aS',\t,\t,\tO\tO' -p104258 -aS'and\tand\tCC\tO\tO' -p104259 -aS'septal\tseptal\tJJ\tB-NP\tO' -p104260 -aS'akinesis\takinesis\tNN\tI-NP\tO' -p104261 -aS'.\t.\t.\tO\tO' -p104262 -asS'4. Cardiomegaly .' -p104263 -(lp104264 -S'4.\t4.\tLS\tB-LST\tO' -p104265 -aS'Cardiomegaly\tCardiomegaly\tNNP\tB-NP\tO' -p104266 -aS'.\t.\t.\tO\tO' -p104267 -asS'This was considered her culprit lesion .' -p104268 -(lp104269 -S'This\tThis\tDT\tB-NP\tO' -p104270 -aS'was\tbe\tVBD\tB-VP\tO' -p104271 -aS'considered\tconsider\tVBN\tI-VP\tO' -p104272 -aS'her\ther\tPRP$\tB-NP\tO' -p104273 -aS'culprit\tculprit\tNN\tI-NP\tO' -p104274 -aS'lesion\tlesion\tNN\tI-NP\tO' -p104275 -aS'.\t.\t.\tO\tO' -p104276 -asS'Estrogen receptor was 0% by ERICA .' -p104277 -(lp104278 -S'Estrogen\tEstrogen\tNN\tB-NP\tB-protein' -p104279 -aS'receptor\treceptor\tNN\tI-NP\tI-protein' -p104280 -aS'was\tbe\tVBD\tB-VP\tO' -p104281 -aS'0%\t0%\tVBN\tI-VP\tO' -p104282 -aS'by\tby\tIN\tB-PP\tO' -p104283 -aS'ERICA\tERICA\tNN\tB-NP\tB-protein' -p104284 -aS'.\t.\t.\tO\tO' -p104285 -asS'The EEG showed transient sharp waves in the left front , left occipital and right parietal regions .' -p104286 -(lp104287 -S'The\tThe\tDT\tB-NP\tO' -p104288 -aS'EEG\tEEG\tNN\tI-NP\tB-protein' -p104289 -aS'showed\tshow\tVBD\tB-VP\tO' -p104290 -aS'transient\ttransient\tJJ\tB-NP\tO' -p104291 -aS'sharp\tsharp\tJJ\tI-NP\tO' -p104292 -aS'waves\twave\tNNS\tI-NP\tO' -p104293 -aS'in\tin\tIN\tB-PP\tO' -p104294 -aS'the\tthe\tDT\tB-NP\tO' -p104295 -aS'left\tleft\tJJ\tI-NP\tO' -p104296 -aS'front\tfront\tNN\tI-NP\tO' -p104297 -aS',\t,\t,\tO\tO' -p104298 -aS'left\tleave\tVBD\tB-VP\tO' -p104299 -aS'occipital\toccipital\tNN\tB-NP\tO' -p104300 -aS'and\tand\tCC\tO\tO' -p104301 -aS'right\tright\tJJ\tB-NP\tO' -p104302 -aS'parietal\tparietal\tJJ\tI-NP\tO' -p104303 -aS'regions\tregion\tNNS\tI-NP\tO' -p104304 -aS'.\t.\t.\tO\tO' -p104305 -asS'INDICATION : Fracture . Assess for alignment .' -p104306 -(lp104307 -S'INDICATION\tINDICATION\tNN\tB-NP\tO' -p104308 -aS':\t:\t:\tO\tO' -p104309 -aS'Fracture\tFracture\tNNP\tB-NP\tO' -p104310 -aS'.\t.\t.\tI-NP\tO' -p104311 -aS'Assess\tAssess\tNNP\tI-NP\tO' -p104312 -aS'for\tfor\tIN\tB-PP\tO' -p104313 -aS'alignment\talignment\tNN\tB-NP\tO' -p104314 -aS'.\t.\t.\tO\tO' -p104315 -asS'Mom on Medicaid , recovered alcoholic .' -p104316 -(lp104317 -S'Mom\tMom\tNNP\tB-NP\tO' -p104318 -aS'on\ton\tIN\tB-PP\tO' -p104319 -aS'Medicaid\tMedicaid\tNNP\tB-NP\tO' -p104320 -aS',\t,\t,\tO\tO' -p104321 -aS'recovered\trecover\tVBD\tB-VP\tO' -p104322 -aS'alcoholic\talcoholic\tJJ\tB-ADJP\tO' -p104323 -aS'.\t.\t.\tO\tO' -p104324 -asS'She is currently on a decadron taper after it was increased several months ago secondary to increasing ocular symptoms .' -p104325 -(lp104326 -S'She\tShe\tPRP\tB-NP\tO' -p104327 -aS'is\tbe\tVBZ\tB-VP\tO' -p104328 -aS'currently\tcurrently\tRB\tB-ADVP\tO' -p104329 -aS'on\ton\tIN\tB-PP\tO' -p104330 -aS'a\ta\tDT\tB-NP\tO' -p104331 -aS'decadron\tdecadron\tNN\tI-NP\tO' -p104332 -aS'taper\ttaper\tNN\tI-NP\tO' -p104333 -aS'after\tafter\tIN\tB-SBAR\tO' -p104334 -aS'it\tit\tPRP\tB-NP\tO' -p104335 -aS'was\tbe\tVBD\tB-VP\tO' -p104336 -aS'increased\tincrease\tVBN\tI-VP\tO' -p104337 -aS'several\tseveral\tJJ\tB-NP\tO' -p104338 -aS'months\tmonth\tNNS\tI-NP\tO' -p104339 -aS'ago\tago\tRB\tB-ADJP\tO' -p104340 -aS'secondary\tsecondary\tJJ\tI-ADJP\tO' -p104341 -aS'to\tto\tTO\tB-PP\tO' -p104342 -aS'increasing\tincrease\tVBG\tB-VP\tO' -p104343 -aS'ocular\tocular\tJJ\tB-NP\tO' -p104344 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p104345 -aS'.\t.\t.\tO\tO' -p104346 -asS'Her sister reports that the medication dose had been changed to 200 mg qam and 100 mg qpm in Theresa , and a review of her Union Hospital - North Shore Medical Center records indicates that this may have occurred in an urgent care appointment secondary to slurred speech and a recent fall and a non-trough level of 15.9 .' -p104347 -(lp104348 -S'Her\tHer\tPRP$\tB-NP\tO' -p104349 -aS'sister\tsister\tNN\tI-NP\tO' -p104350 -aS'reports\treport\tVBZ\tB-VP\tO' -p104351 -aS'that\tthat\tIN\tB-SBAR\tO' -p104352 -aS'the\tthe\tDT\tB-NP\tO' -p104353 -aS'medication\tmedication\tNN\tI-NP\tO' -p104354 -aS'dose\tdose\tNN\tI-NP\tO' -p104355 -aS'had\thave\tVBD\tB-VP\tO' -p104356 -aS'been\tbe\tVBN\tI-VP\tO' -p104357 -aS'changed\tchange\tVBN\tI-VP\tO' -p104358 -aS'to\tto\tTO\tB-PP\tO' -p104359 -aS'200\t200\tCD\tB-NP\tO' -p104360 -aS'mg\tmg\tNN\tI-NP\tO' -p104361 -aS'qam\tqam\tNN\tI-NP\tO' -p104362 -aS'and\tand\tCC\tO\tO' -p104363 -aS'100\t100\tCD\tB-NP\tO' -p104364 -aS'mg\tmg\tNN\tI-NP\tO' -p104365 -aS'qpm\tqpm\tNN\tI-NP\tO' -p104366 -aS'in\tin\tIN\tB-PP\tO' -p104367 -aS'Theresa\tTheresa\tNNP\tB-NP\tO' -p104368 -aS',\t,\t,\tO\tO' -p104369 -aS'and\tand\tCC\tO\tO' -p104370 -aS'a\ta\tDT\tB-NP\tO' -p104371 -aS'review\treview\tNN\tI-NP\tO' -p104372 -aS'of\tof\tIN\tB-PP\tO' -p104373 -aS'her\ther\tPRP$\tB-NP\tO' -p104374 -aS'Union\tUnion\tNNP\tI-NP\tO' -p104375 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p104376 -aS'-\t-\tHYPH\tI-NP\tO' -p104377 -aS'North\tNorth\tNNP\tI-NP\tO' -p104378 -aS'Shore\tShore\tNNP\tI-NP\tO' -p104379 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p104380 -aS'Center\tCenter\tNNP\tI-NP\tO' -p104381 -aS'records\trecord\tNNS\tI-NP\tO' -p104382 -aS'indicates\tindicate\tVBZ\tB-VP\tO' -p104383 -aS'that\tthat\tIN\tB-SBAR\tO' -p104384 -aS'this\tthis\tDT\tB-NP\tO' -p104385 -aS'may\tmay\tMD\tB-VP\tO' -p104386 -aS'have\thave\tVB\tI-VP\tO' -p104387 -aS'occurred\toccur\tVBD\tI-VP\tO' -p104388 -aS'in\tin\tIN\tB-PP\tO' -p104389 -aS'an\tan\tDT\tB-NP\tO' -p104390 -aS'urgent\turgent\tJJ\tI-NP\tO' -p104391 -aS'care\tcare\tNN\tI-NP\tO' -p104392 -aS'appointment\tappointment\tNN\tI-NP\tO' -p104393 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p104394 -aS'to\tto\tTO\tB-PP\tO' -p104395 -aS'slurred\tslur\tVBN\tB-NP\tO' -p104396 -aS'speech\tspeech\tNN\tI-NP\tO' -p104397 -aS'and\tand\tCC\tO\tO' -p104398 -aS'a\ta\tDT\tB-NP\tO' -p104399 -aS'recent\trecent\tJJ\tI-NP\tO' -p104400 -aS'fall\tfall\tNN\tI-NP\tO' -p104401 -aS'and\tand\tCC\tO\tO' -p104402 -aS'a\ta\tDT\tB-NP\tO' -p104403 -aS'non-trough\tnon-trough\tJJ\tI-NP\tO' -p104404 -aS'level\tlevel\tNN\tI-NP\tO' -p104405 -aS'of\tof\tIN\tB-PP\tO' -p104406 -aS'15.9\t15.9\tCD\tB-NP\tO' -p104407 -aS'.\t.\t.\tO\tO' -p104408 -asS'Zantac .' -p104409 -(lp104410 -S'Zantac\tZantac\tNN\tB-NP\tO' -p104411 -aS'.\t.\t.\tO\tO' -p104412 -asS'Compared with the prior study ( images reviewed ) of 2017-09-04 , there is probably no significant change .' -p104413 -(lp104414 -S'Compared\tCompare\tVBN\tB-PP\tO' -p104415 -aS'with\twith\tIN\tB-PP\tO' -p104416 -aS'the\tthe\tDT\tB-NP\tO' -p104417 -aS'prior\tprior\tJJ\tI-NP\tO' -p104418 -aS'study\tstudy\tNN\tI-NP\tO' -p104419 -aS'(\t(\t(\tO\tO' -p104420 -aS'images\timage\tNNS\tB-NP\tO' -p104421 -aS'reviewed\treview\tVBN\tB-VP\tO' -p104422 -aS')\t)\t)\tO\tO' -p104423 -aS'of\tof\tIN\tB-PP\tO' -p104424 -aS'2017-09-04\t2017-09-04\tCD\tB-NP\tO' -p104425 -aS',\t,\t,\tO\tO' -p104426 -aS'there\tthere\tEX\tB-NP\tO' -p104427 -aS'is\tbe\tVBZ\tB-VP\tO' -p104428 -aS'probably\tprobably\tRB\tB-ADVP\tO' -p104429 -aS'no\tno\tDT\tB-NP\tO' -p104430 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p104431 -aS'change\tchange\tNN\tI-NP\tO' -p104432 -aS'.\t.\t.\tO\tO' -p104433 -asS'The patient was kept nothing by mouth with intravenous fluids , bed rest , every 4-hour hematocrit checks , and serial abdominal examinations .' -p104434 -(lp104435 -S'The\tThe\tDT\tB-NP\tO' -p104436 -aS'patient\tpatient\tNN\tI-NP\tO' -p104437 -aS'was\tbe\tVBD\tB-VP\tO' -p104438 -aS'kept\tkeep\tVBN\tI-VP\tO' -p104439 -aS'nothing\tnothing\tNN\tB-NP\tO' -p104440 -aS'by\tby\tIN\tB-PP\tO' -p104441 -aS'mouth\tmouth\tNN\tB-NP\tO' -p104442 -aS'with\twith\tIN\tB-PP\tO' -p104443 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p104444 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p104445 -aS',\t,\t,\tO\tO' -p104446 -aS'bed\tbed\tNN\tB-NP\tO' -p104447 -aS'rest\trest\tNN\tI-NP\tO' -p104448 -aS',\t,\t,\tO\tO' -p104449 -aS'every\tevery\tDT\tB-NP\tO' -p104450 -aS'4-hour\t4-hour\tJJ\tI-NP\tO' -p104451 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p104452 -aS'checks\tcheck\tNNS\tI-NP\tO' -p104453 -aS',\t,\t,\tO\tO' -p104454 -aS'and\tand\tCC\tO\tO' -p104455 -aS'serial\tserial\tJJ\tB-NP\tO' -p104456 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p104457 -aS'examinations\texamination\tNNS\tI-NP\tO' -p104458 -aS'.\t.\t.\tO\tO' -p104459 -asS'The patient was admitted to a telemetry bed and started on heparin .' -p104460 -(lp104461 -S'The\tThe\tDT\tB-NP\tO' -p104462 -aS'patient\tpatient\tNN\tI-NP\tO' -p104463 -aS'was\tbe\tVBD\tB-VP\tO' -p104464 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p104465 -aS'to\tto\tTO\tB-PP\tO' -p104466 -aS'a\ta\tDT\tB-NP\tO' -p104467 -aS'telemetry\ttelemetry\tNN\tI-NP\tO' -p104468 -aS'bed\tbed\tNN\tI-NP\tO' -p104469 -aS'and\tand\tCC\tO\tO' -p104470 -aS'started\tstart\tVBN\tB-VP\tO' -p104471 -aS'on\ton\tIN\tB-PP\tO' -p104472 -aS'heparin\theparin\tNN\tB-NP\tO' -p104473 -aS'.\t.\t.\tO\tO' -p104474 -asS'Left message with answering service or PCP office' -p104475 -(lp104476 -S'Left\tLeft\tJJ\tB-NP\tO' -p104477 -aS'message\tmessage\tNN\tI-NP\tO' -p104478 -aS'with\twith\tIN\tB-PP\tO' -p104479 -aS'answering\tanswer\tVBG\tB-NP\tO' -p104480 -aS'service\tservice\tNN\tI-NP\tO' -p104481 -aS'or\tor\tCC\tI-NP\tO' -p104482 -aS'PCP\tPCP\tNN\tI-NP\tO' -p104483 -aS'office\toffice\tNN\tI-NP\tO' -p104484 -asS'On admission , the patient was started on high dose proton pump inhibitors for prophylaxis .' -p104485 -(lp104486 -S'On\tOn\tIN\tB-PP\tO' -p104487 -aS'admission\tadmission\tNN\tB-NP\tO' -p104488 -aS',\t,\t,\tO\tO' -p104489 -aS'the\tthe\tDT\tB-NP\tO' -p104490 -aS'patient\tpatient\tNN\tI-NP\tO' -p104491 -aS'was\tbe\tVBD\tB-VP\tO' -p104492 -aS'started\tstart\tVBN\tI-VP\tO' -p104493 -aS'on\ton\tIN\tB-PP\tO' -p104494 -aS'high\thigh\tJJ\tB-NP\tO' -p104495 -aS'dose\tdose\tNN\tI-NP\tO' -p104496 -aS'proton\tproton\tNN\tI-NP\tO' -p104497 -aS'pump\tpump\tNN\tI-NP\tO' -p104498 -aS'inhibitors\tinhibitor\tNNS\tI-NP\tO' -p104499 -aS'for\tfor\tIN\tB-PP\tO' -p104500 -aS'prophylaxis\tprophylaxis\tNN\tB-NP\tO' -p104501 -aS'.\t.\t.\tO\tO' -p104502 -asS'The head , eyes , ears , nose , throat exam was normocephalic , with trauma as described , pupils were 2 mm bilaterally which were minimally reactive , fundi was not seen , conjunctivae without erythema , sclerae anicteric , positive corneal reflexes noted .' -p104503 -(lp104504 -S'The\tThe\tDT\tB-NP\tO' -p104505 -aS'head\thead\tNN\tI-NP\tO' -p104506 -aS',\t,\t,\tO\tO' -p104507 -aS'eyes\teye\tNNS\tB-NP\tO' -p104508 -aS',\t,\t,\tO\tO' -p104509 -aS'ears\tear\tNNS\tB-NP\tO' -p104510 -aS',\t,\t,\tO\tO' -p104511 -aS'nose\tnose\tNN\tB-NP\tO' -p104512 -aS',\t,\t,\tO\tO' -p104513 -aS'throat\tthroat\tDT\tB-NP\tO' -p104514 -aS'exam\texam\tNN\tI-NP\tO' -p104515 -aS'was\tbe\tVBD\tB-VP\tO' -p104516 -aS'normocephalic\tnormocephalic\tJJ\tB-ADJP\tO' -p104517 -aS',\t,\t,\tO\tO' -p104518 -aS'with\twith\tIN\tB-PP\tO' -p104519 -aS'trauma\ttrauma\tNN\tB-NP\tO' -p104520 -aS'as\tas\tIN\tB-SBAR\tO' -p104521 -aS'described\tdescribe\tVBN\tB-VP\tO' -p104522 -aS',\t,\t,\tO\tO' -p104523 -aS'pupils\tpupil\tNNS\tB-NP\tO' -p104524 -aS'were\tbe\tVBD\tB-VP\tO' -p104525 -aS'2\t2\tCD\tB-NP\tO' -p104526 -aS'mm\tmm\tNN\tI-NP\tO' -p104527 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p104528 -aS'which\twhich\tWDT\tB-NP\tO' -p104529 -aS'were\tbe\tVBD\tB-VP\tO' -p104530 -aS'minimally\tminimally\tRB\tB-ADJP\tO' -p104531 -aS'reactive\treactive\tJJ\tI-ADJP\tO' -p104532 -aS',\t,\t,\tO\tO' -p104533 -aS'fundi\tfundi\tNN\tB-NP\tO' -p104534 -aS'was\tbe\tVBD\tB-VP\tO' -p104535 -aS'not\tnot\tRB\tI-VP\tO' -p104536 -aS'seen\tsee\tVBN\tI-VP\tO' -p104537 -aS',\t,\t,\tO\tO' -p104538 -aS'conjunctivae\tconjunctivae\tVBP\tB-VP\tO' -p104539 -aS'without\twithout\tIN\tB-PP\tO' -p104540 -aS'erythema\terythema\tNN\tB-NP\tO' -p104541 -aS',\t,\t,\tO\tO' -p104542 -aS'sclerae\tsclerae\tVBP\tB-VP\tO' -p104543 -aS'anicteric\tanicteric\tJJ\tB-NP\tO' -p104544 -aS',\t,\t,\tI-NP\tO' -p104545 -aS'positive\tpositive\tJJ\tI-NP\tO' -p104546 -aS'corneal\tcorneal\tJJ\tI-NP\tO' -p104547 -aS'reflexes\treflex\tNNS\tI-NP\tO' -p104548 -aS'noted\tnote\tVBD\tB-VP\tO' -p104549 -aS'.\t.\t.\tO\tO' -p104550 -asS'He was sent to the floor from the cardiac surgery recovery unit on postoperative day number seven .' -p104551 -(lp104552 -S'He\tHe\tPRP\tB-NP\tO' -p104553 -aS'was\tbe\tVBD\tB-VP\tO' -p104554 -aS'sent\tsend\tVBN\tI-VP\tO' -p104555 -aS'to\tto\tTO\tB-PP\tO' -p104556 -aS'the\tthe\tDT\tB-NP\tO' -p104557 -aS'floor\tfloor\tNN\tI-NP\tO' -p104558 -aS'from\tfrom\tIN\tB-PP\tO' -p104559 -aS'the\tthe\tDT\tB-NP\tO' -p104560 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p104561 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p104562 -aS'recovery\trecovery\tNN\tI-NP\tO' -p104563 -aS'unit\tunit\tNN\tI-NP\tO' -p104564 -aS'on\ton\tIN\tB-PP\tO' -p104565 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p104566 -aS'day\tday\tNN\tI-NP\tO' -p104567 -aS'number\tnumber\tNN\tI-NP\tO' -p104568 -aS'seven\tseven\tCD\tI-NP\tO' -p104569 -aS'.\t.\t.\tO\tO' -p104570 -asS'The patient was out of bed , doing fine , and tolerating a regular diet on 7/10/98 .' -p104571 -(lp104572 -S'The\tThe\tDT\tB-NP\tO' -p104573 -aS'patient\tpatient\tNN\tI-NP\tO' -p104574 -aS'was\tbe\tVBD\tB-VP\tO' -p104575 -aS'out\tout\tIN\tB-PP\tO' -p104576 -aS'of\tof\tIN\tB-PP\tO' -p104577 -aS'bed\tbed\tNN\tB-NP\tO' -p104578 -aS',\t,\t,\tO\tO' -p104579 -aS'doing\tdo\tVBG\tB-VP\tO' -p104580 -aS'fine\tfine\tJJ\tB-ADJP\tO' -p104581 -aS',\t,\t,\tO\tO' -p104582 -aS'and\tand\tCC\tO\tO' -p104583 -aS'tolerating\ttolerate\tVBG\tB-VP\tO' -p104584 -aS'a\ta\tDT\tB-NP\tO' -p104585 -aS'regular\tregular\tJJ\tI-NP\tO' -p104586 -aS'diet\tdiet\tNN\tI-NP\tO' -p104587 -aS'on\ton\tIN\tB-PP\tO' -p104588 -aS'7/10/98\t7/10/98\tCD\tB-NP\tO' -p104589 -aS'.\t.\t.\tO\tO' -p104590 -asS'supple , no bruits .' -p104591 -(lp104592 -S'supple\tsupple\tNN\tB-NP\tO' -p104593 -aS',\t,\t,\tO\tO' -p104594 -aS'no\tno\tDT\tB-NP\tO' -p104595 -aS'bruits\tbruit\tNNS\tI-NP\tO' -p104596 -aS'.\t.\t.\tO\tO' -p104597 -asS'The morning of 5/17 , her pulsus parodoxicus was 12 .' -p104598 -(lp104599 -S'The\tThe\tDT\tB-NP\tO' -p104600 -aS'morning\tmorning\tNN\tI-NP\tO' -p104601 -aS'of\tof\tIN\tB-PP\tO' -p104602 -aS'5/17\t5/17\tCD\tB-NP\tO' -p104603 -aS',\t,\t,\tO\tO' -p104604 -aS'her\ther\tPRP$\tB-NP\tO' -p104605 -aS'pulsus\tpulsus\tNN\tI-NP\tO' -p104606 -aS'parodoxicus\tparodoxicus\tNN\tI-NP\tO' -p104607 -aS'was\tbe\tVBD\tB-VP\tO' -p104608 -aS'12\t12\tCD\tB-NP\tO' -p104609 -aS'.\t.\t.\tO\tO' -p104610 -asS'RUQ U/s demonstrated multiple small gallstones with sludges without evidence of pericholecystic fluid or significant dilatation of the gallbladder .' -p104611 -(lp104612 -S'RUQ\tRUQ\tNN\tB-NP\tB-protein' -p104613 -aS'U/s\tU/\tNNS\tI-NP\tI-protein' -p104614 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p104615 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p104616 -aS'small\tsmall\tJJ\tI-NP\tO' -p104617 -aS'gallstones\tgallstone\tNNS\tI-NP\tO' -p104618 -aS'with\twith\tIN\tB-PP\tO' -p104619 -aS'sludges\tsludge\tNNS\tB-NP\tO' -p104620 -aS'without\twithout\tIN\tB-PP\tO' -p104621 -aS'evidence\tevidence\tNN\tB-NP\tO' -p104622 -aS'of\tof\tIN\tB-PP\tO' -p104623 -aS'pericholecystic\tpericholecystic\tJJ\tB-NP\tO' -p104624 -aS'fluid\tfluid\tNN\tI-NP\tO' -p104625 -aS'or\tor\tCC\tO\tO' -p104626 -aS'significant\tsignificant\tJJ\tB-NP\tO' -p104627 -aS'dilatation\tdilatation\tNN\tI-NP\tO' -p104628 -aS'of\tof\tIN\tB-PP\tO' -p104629 -aS'the\tthe\tDT\tB-NP\tO' -p104630 -aS'gallbladder\tgallbladder\tNN\tI-NP\tO' -p104631 -aS'.\t.\t.\tO\tO' -p104632 -asS"4. Addison 's- The patient is on basal prednisone / fludrocortisone ." -p104633 -(lp104634 -S'4.\t4.\tLS\tB-NP\tO' -p104635 -aS'Addison\tAddison\tNN\tI-NP\tO' -p104636 -aS"'s-\t's-\tPOS\tB-NP\tO" -p104637 -aS'The\tThe\tDT\tI-NP\tO' -p104638 -aS'patient\tpatient\tNN\tI-NP\tO' -p104639 -aS'is\tbe\tVBZ\tB-VP\tO' -p104640 -aS'on\ton\tIN\tB-PP\tO' -p104641 -aS'basal\tbasal\tJJ\tB-NP\tO' -p104642 -aS'prednisone\tprednisone\tNN\tI-NP\tO' -p104643 -aS'/\t/\tSYM\tB-NP\tO' -p104644 -aS'fludrocortisone\tfludrocortisone\tNN\tI-NP\tO' -p104645 -aS'.\t.\t.\tO\tO' -p104646 -asS'His preoperative investigations with coronary angiogram showed normal coronary arteries .' -p104647 -(lp104648 -S'His\tHis\tPRP$\tB-NP\tO' -p104649 -aS'preoperative\tpreoperative\tJJ\tI-NP\tO' -p104650 -aS'investigations\tinvestigation\tNNS\tI-NP\tO' -p104651 -aS'with\twith\tIN\tB-PP\tO' -p104652 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p104653 -aS'angiogram\tangiogram\tNN\tI-NP\tO' -p104654 -aS'showed\tshow\tVBD\tB-VP\tO' -p104655 -aS'normal\tnormal\tJJ\tB-NP\tO' -p104656 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p104657 -aS'arteries\tartery\tNNS\tI-NP\tO' -p104658 -aS'.\t.\t.\tO\tO' -p104659 -asS'Enlargement of the right hilus could represent adenopathy .' -p104660 -(lp104661 -S'Enlargement\tEnlargement\tNN\tB-NP\tO' -p104662 -aS'of\tof\tIN\tB-PP\tO' -p104663 -aS'the\tthe\tDT\tB-NP\tO' -p104664 -aS'right\tright\tJJ\tI-NP\tO' -p104665 -aS'hilus\thilus\tNN\tI-NP\tO' -p104666 -aS'could\tcould\tMD\tB-VP\tO' -p104667 -aS'represent\trepresent\tVB\tI-VP\tO' -p104668 -aS'adenopathy\tadenopathy\tNN\tB-NP\tO' -p104669 -aS'.\t.\t.\tO\tO' -p104670 -asS'Hematocrit stable .' -p104671 -(lp104672 -S'Hematocrit\tHematocrit\tNN\tB-NP\tO' -p104673 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p104674 -aS'.\t.\t.\tO\tO' -p104675 -asS'He had a repeat TEE on 02-19 which revealed 4 + MR .' -p104676 -(lp104677 -S'He\tHe\tPRP\tB-NP\tO' -p104678 -aS'had\thave\tVBD\tB-VP\tO' -p104679 -aS'a\ta\tDT\tB-NP\tO' -p104680 -aS'repeat\trepeat\tNN\tI-NP\tO' -p104681 -aS'TEE\tTEE\tNN\tI-NP\tO' -p104682 -aS'on\ton\tIN\tB-PP\tO' -p104683 -aS'02-19\t02-19\tCD\tB-NP\tO' -p104684 -aS'which\twhich\tWDT\tB-NP\tO' -p104685 -aS'revealed\treveal\tVBD\tB-VP\tO' -p104686 -aS'4\t4\tCD\tB-NP\tO' -p104687 -aS'+\t+\tSYM\tI-NP\tO' -p104688 -aS'MR\tMR\tNN\tI-NP\tB-protein' -p104689 -aS'.\t.\t.\tO\tO' -p104690 -asS'Father and mother died in their eighties of heart disease .' -p104691 -(lp104692 -S'Father\tFather\tNN\tB-NP\tO' -p104693 -aS'and\tand\tCC\tI-NP\tO' -p104694 -aS'mother\tmother\tNN\tI-NP\tO' -p104695 -aS'died\tdie\tVBD\tB-VP\tO' -p104696 -aS'in\tin\tIN\tB-PP\tO' -p104697 -aS'their\ttheir\tPRP$\tB-NP\tO' -p104698 -aS'eighties\teighty\tNNS\tI-NP\tO' -p104699 -aS'of\tof\tIN\tB-PP\tO' -p104700 -aS'heart\theart\tNN\tB-NP\tO' -p104701 -aS'disease\tdisease\tNN\tI-NP\tO' -p104702 -aS'.\t.\t.\tO\tO' -p104703 -asS'Inferior wall myocardial infarction , ventricular fibrillation arrest , congestive heart failure , paroxysmal atrial tachycardia , coronary artery disease , psychosis .' -p104704 -(lp104705 -S'Inferior\tInferior\tJJ\tB-NP\tO' -p104706 -aS'wall\twall\tNN\tI-NP\tO' -p104707 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p104708 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p104709 -aS',\t,\t,\tO\tO' -p104710 -aS'ventricular\tventricular\tJJ\tB-NP\tO' -p104711 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p104712 -aS'arrest\tarrest\tNN\tI-NP\tO' -p104713 -aS',\t,\t,\tO\tO' -p104714 -aS'congestive\tcongestive\tJJ\tB-NP\tO' -p104715 -aS'heart\theart\tNN\tI-NP\tO' -p104716 -aS'failure\tfailure\tNN\tI-NP\tO' -p104717 -aS',\t,\t,\tO\tO' -p104718 -aS'paroxysmal\tparoxysmal\tJJ\tB-NP\tO' -p104719 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p104720 -aS'tachycardia\ttachycardia\tNN\tI-NP\tO' -p104721 -aS',\t,\t,\tO\tO' -p104722 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p104723 -aS'artery\tartery\tNN\tI-NP\tO' -p104724 -aS'disease\tdisease\tNN\tI-NP\tO' -p104725 -aS',\t,\t,\tO\tO' -p104726 -aS'psychosis\tpsychosis\tNN\tB-NP\tO' -p104727 -aS'.\t.\t.\tO\tO' -p104728 -asS'On 2010-07-01 , the patient was discharged from the hospital with instructions for follow up care on return to the United Kingdom .' -p104729 -(lp104730 -S'On\tOn\tIN\tB-PP\tO' -p104731 -aS'2010-07-01\t2010-07-01\tCD\tB-NP\tO' -p104732 -aS',\t,\t,\tO\tO' -p104733 -aS'the\tthe\tDT\tB-NP\tO' -p104734 -aS'patient\tpatient\tNN\tI-NP\tO' -p104735 -aS'was\tbe\tVBD\tB-VP\tO' -p104736 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p104737 -aS'from\tfrom\tIN\tB-PP\tO' -p104738 -aS'the\tthe\tDT\tB-NP\tO' -p104739 -aS'hospital\thospital\tNN\tI-NP\tO' -p104740 -aS'with\twith\tIN\tB-PP\tO' -p104741 -aS'instructions\tinstruction\tNNS\tB-NP\tO' -p104742 -aS'for\tfor\tIN\tB-PP\tO' -p104743 -aS'follow\tfollow\tNN\tB-NP\tO' -p104744 -aS'up\tup\tRP\tB-PRT\tO' -p104745 -aS'care\tcare\tNN\tB-NP\tO' -p104746 -aS'on\ton\tIN\tB-PP\tO' -p104747 -aS'return\treturn\tNN\tB-NP\tO' -p104748 -aS'to\tto\tTO\tB-PP\tO' -p104749 -aS'the\tthe\tDT\tB-NP\tO' -p104750 -aS'United\tUnited\tNNP\tI-NP\tO' -p104751 -aS'Kingdom\tKingdom\tNNP\tI-NP\tO' -p104752 -aS'.\t.\t.\tO\tO' -p104753 -asS'Surgery was notified and pressure was applied ; however , it did not stop oozing .' -p104754 -(lp104755 -S'Surgery\tSurgery\tNN\tB-NP\tO' -p104756 -aS'was\tbe\tVBD\tB-VP\tO' -p104757 -aS'notified\tnotify\tVBN\tI-VP\tO' -p104758 -aS'and\tand\tCC\tO\tO' -p104759 -aS'pressure\tpressure\tNN\tB-NP\tO' -p104760 -aS'was\tbe\tVBD\tB-VP\tO' -p104761 -aS'applied\tapply\tVBN\tI-VP\tO' -p104762 -aS';\t;\t:\tO\tO' -p104763 -aS'however\thowever\tRB\tB-ADVP\tO' -p104764 -aS',\t,\t,\tO\tO' -p104765 -aS'it\tit\tPRP\tB-NP\tO' -p104766 -aS'did\tdo\tVBD\tB-VP\tO' -p104767 -aS'not\tnot\tRB\tI-VP\tO' -p104768 -aS'stop\tstop\tVB\tI-VP\tO' -p104769 -aS'oozing\tooze\tVBG\tI-VP\tO' -p104770 -aS'.\t.\t.\tO\tO' -p104771 -asS'3. Chronic renal insufficiency .' -p104772 -(lp104773 -S'3.\t3.\tLS\tB-NP\tO' -p104774 -aS'Chronic\tChronic\tJJ\tI-NP\tO' -p104775 -aS'renal\trenal\tJJ\tI-NP\tO' -p104776 -aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' -p104777 -aS'.\t.\t.\tO\tO' -p104778 -asS'Non focal and age appropriate .' -p104779 -(lp104780 -S'Non\tNon\tJJ\tB-NP\tO' -p104781 -aS'focal\tfocal\tJJ\tI-NP\tO' -p104782 -aS'and\tand\tCC\tI-NP\tO' -p104783 -aS'age\tage\tNN\tI-NP\tO' -p104784 -aS'appropriate\tappropriate\tJJ\tB-ADJP\tO' -p104785 -aS'.\t.\t.\tO\tO' -p104786 -asS'She had a head CT prior to discharge that showed resolution of the subarachnoid hemorrhage .' -p104787 -(lp104788 -S'She\tShe\tPRP\tB-NP\tO' -p104789 -aS'had\thave\tVBD\tB-VP\tO' -p104790 -aS'a\ta\tDT\tB-NP\tO' -p104791 -aS'head\thead\tNN\tI-NP\tO' -p104792 -aS'CT\tCT\tNN\tI-NP\tO' -p104793 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p104794 -aS'to\tto\tTO\tB-VP\tO' -p104795 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p104796 -aS'that\tthat\tWDT\tB-NP\tO' -p104797 -aS'showed\tshow\tVBD\tB-VP\tO' -p104798 -aS'resolution\tresolution\tNN\tB-NP\tO' -p104799 -aS'of\tof\tIN\tB-PP\tO' -p104800 -aS'the\tthe\tDT\tB-NP\tO' -p104801 -aS'subarachnoid\tsubarachnoid\tJJ\tI-NP\tO' -p104802 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p104803 -aS'.\t.\t.\tO\tO' -p104804 -asS'She had no loss of consciousness .' -p104805 -(lp104806 -S'She\tShe\tPRP\tB-NP\tO' -p104807 -aS'had\thave\tVBD\tB-VP\tO' -p104808 -aS'no\tno\tDT\tB-NP\tO' -p104809 -aS'loss\tloss\tNN\tI-NP\tO' -p104810 -aS'of\tof\tIN\tB-PP\tO' -p104811 -aS'consciousness\tconsciousness\tNN\tB-NP\tO' -p104812 -aS'.\t.\t.\tO\tO' -p104813 -asS'The left clavicle was noted to have continued ecchymosis decreased from prior examination with a minor stepoff and mild tenderness to palpation decreased from prior examinations .' -p104814 -(lp104815 -S'The\tThe\tDT\tB-NP\tO' -p104816 -aS'left\tleft\tJJ\tI-NP\tO' -p104817 -aS'clavicle\tclavicle\tNN\tI-NP\tO' -p104818 -aS'was\tbe\tVBD\tB-VP\tO' -p104819 -aS'noted\tnote\tVBN\tI-VP\tO' -p104820 -aS'to\tto\tTO\tI-VP\tO' -p104821 -aS'have\thave\tVB\tI-VP\tO' -p104822 -aS'continued\tcontinue\tVBN\tB-NP\tO' -p104823 -aS'ecchymosis\tecchymosis\tNN\tI-NP\tO' -p104824 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p104825 -aS'from\tfrom\tIN\tB-PP\tO' -p104826 -aS'prior\tprior\tJJ\tB-NP\tO' -p104827 -aS'examination\texamination\tNN\tI-NP\tO' -p104828 -aS'with\twith\tIN\tB-PP\tO' -p104829 -aS'a\ta\tDT\tB-NP\tO' -p104830 -aS'minor\tminor\tJJ\tI-NP\tO' -p104831 -aS'stepoff\tstepoff\tNN\tI-NP\tO' -p104832 -aS'and\tand\tCC\tO\tO' -p104833 -aS'mild\tmild\tJJ\tB-NP\tO' -p104834 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p104835 -aS'to\tto\tTO\tB-PP\tO' -p104836 -aS'palpation\tpalpation\tNN\tB-NP\tO' -p104837 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p104838 -aS'from\tfrom\tIN\tB-PP\tO' -p104839 -aS'prior\tprior\tJJ\tB-NP\tO' -p104840 -aS'examinations\texamination\tNNS\tI-NP\tO' -p104841 -aS'.\t.\t.\tO\tO' -p104842 -asS"The baby 's neurologic examination is appropriate for corrected gestational age which is 33 and 6/7 weeks on day of transfer ." -p104843 -(lp104844 -S'The\tThe\tDT\tB-NP\tO' -p104845 -aS'baby\tbaby\tNN\tI-NP\tO' -p104846 -aS"'s\t's\tPOS\tB-NP\tO" -p104847 -aS'neurologic\tneurologic\tJJ\tI-NP\tO' -p104848 -aS'examination\texamination\tNN\tI-NP\tO' -p104849 -aS'is\tbe\tVBZ\tB-VP\tO' -p104850 -aS'appropriate\tappropriate\tJJ\tB-ADJP\tO' -p104851 -aS'for\tfor\tIN\tB-PP\tO' -p104852 -aS'corrected\tcorrect\tVBN\tB-NP\tO' -p104853 -aS'gestational\tgestational\tJJ\tI-NP\tO' -p104854 -aS'age\tage\tNN\tI-NP\tO' -p104855 -aS'which\twhich\tWDT\tB-NP\tO' -p104856 -aS'is\tbe\tVBZ\tB-VP\tO' -p104857 -aS'33\t33\tCD\tB-NP\tO' -p104858 -aS'and\tand\tCC\tI-NP\tO' -p104859 -aS'6/7\t6/7\tCD\tI-NP\tO' -p104860 -aS'weeks\tweek\tNNS\tI-NP\tO' -p104861 -aS'on\ton\tIN\tB-PP\tO' -p104862 -aS'day\tday\tNN\tB-NP\tO' -p104863 -aS'of\tof\tIN\tB-PP\tO' -p104864 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p104865 -aS'.\t.\t.\tO\tO' -p104866 -asS'He was seen by CMED CSRU in the emergency room and the exam was consistent with supraglottitis .' -p104867 -(lp104868 -S'He\tHe\tPRP\tB-NP\tO' -p104869 -aS'was\tbe\tVBD\tB-VP\tO' -p104870 -aS'seen\tsee\tVBN\tI-VP\tO' -p104871 -aS'by\tby\tIN\tB-PP\tO' -p104872 -aS'CMED\tCMED\tNNP\tB-NP\tO' -p104873 -aS'CSRU\tCSRU\tNNP\tI-NP\tO' -p104874 -aS'in\tin\tIN\tB-PP\tO' -p104875 -aS'the\tthe\tDT\tB-NP\tO' -p104876 -aS'emergency\temergency\tNN\tI-NP\tO' -p104877 -aS'room\troom\tNN\tI-NP\tO' -p104878 -aS'and\tand\tCC\tO\tO' -p104879 -aS'the\tthe\tDT\tB-NP\tO' -p104880 -aS'exam\texam\tNN\tI-NP\tO' -p104881 -aS'was\tbe\tVBD\tB-VP\tO' -p104882 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p104883 -aS'with\twith\tIN\tB-PP\tO' -p104884 -aS'supraglottitis\tsupraglottitis\tNN\tB-NP\tO' -p104885 -aS'.\t.\t.\tO\tO' -p104886 -asS'The patient was oxygenating well on her home O2 dose of 2 liters per minute .' -p104887 -(lp104888 -S'The\tThe\tDT\tB-NP\tO' -p104889 -aS'patient\tpatient\tNN\tI-NP\tO' -p104890 -aS'was\tbe\tVBD\tB-VP\tO' -p104891 -aS'oxygenating\toxygenate\tVBG\tI-VP\tO' -p104892 -aS'well\twell\tRB\tB-ADVP\tO' -p104893 -aS'on\ton\tIN\tB-PP\tO' -p104894 -aS'her\ther\tPRP$\tB-NP\tO' -p104895 -aS'home\thome\tNN\tI-NP\tO' -p104896 -aS'O2\tO2\tNN\tI-NP\tO' -p104897 -aS'dose\tdose\tNN\tI-NP\tO' -p104898 -aS'of\tof\tIN\tB-PP\tO' -p104899 -aS'2\t2\tCD\tB-NP\tO' -p104900 -aS'liters\tliter\tNNS\tI-NP\tO' -p104901 -aS'per\tper\tIN\tB-PP\tO' -p104902 -aS'minute\tminute\tNN\tB-NP\tO' -p104903 -aS'.\t.\t.\tO\tO' -p104904 -asS'After the G-CSF , the absolute neutrophil count was greater than 8000 .' -p104905 -(lp104906 -S'After\tAfter\tIN\tB-PP\tO' -p104907 -aS'the\tthe\tDT\tB-NP\tO' -p104908 -aS'G-CSF\tG-CSF\tNN\tI-NP\tB-protein' -p104909 -aS',\t,\t,\tO\tO' -p104910 -aS'the\tthe\tDT\tB-NP\tO' -p104911 -aS'absolute\tabsolute\tJJ\tI-NP\tO' -p104912 -aS'neutrophil\tneutrophil\tNN\tI-NP\tO' -p104913 -aS'count\tcount\tNN\tI-NP\tO' -p104914 -aS'was\tbe\tVBD\tB-VP\tO' -p104915 -aS'greater\tgreat\tJJR\tB-ADJP\tO' -p104916 -aS'than\tthan\tIN\tB-PP\tO' -p104917 -aS'8000\t8000\tCD\tB-NP\tO' -p104918 -aS'.\t.\t.\tO\tO' -p104919 -asS'Extremities are warm , noncyanotic , minimal peripheral edema .' -p104920 -(lp104921 -S'Extremities\tExtremity\tNNS\tB-NP\tO' -p104922 -aS'are\tbe\tVBP\tB-VP\tO' -p104923 -aS'warm\twarm\tJJ\tB-NP\tO' -p104924 -aS',\t,\t,\tI-NP\tO' -p104925 -aS'noncyanotic\tnoncyanotic\tJJ\tI-NP\tO' -p104926 -aS',\t,\t,\tI-NP\tO' -p104927 -aS'minimal\tminimal\tJJ\tI-NP\tO' -p104928 -aS'peripheral\tperipheral\tJJ\tI-NP\tO' -p104929 -aS'edema\tedema\tNN\tI-NP\tO' -p104930 -aS'.\t.\t.\tO\tO' -p104931 -asS'insulin dependent diabetes mellitus for fifteen years .' -p104932 -(lp104933 -S'insulin\tinsulin\tNN\tB-NP\tB-protein' -p104934 -aS'dependent\tdependent\tJJ\tI-NP\tO' -p104935 -aS'diabetes\tdiabetes\tNN\tI-NP\tO' -p104936 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p104937 -aS'for\tfor\tIN\tB-PP\tO' -p104938 -aS'fifteen\tfifteen\tCD\tB-NP\tO' -p104939 -aS'years\tyear\tNNS\tI-NP\tO' -p104940 -aS'.\t.\t.\tO\tO' -p104941 -asS'The abdomen was benign , flat , nontender , nondistended , no hepatosplenomegaly .' -p104942 -(lp104943 -S'The\tThe\tDT\tB-NP\tO' -p104944 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p104945 -aS'was\tbe\tVBD\tB-VP\tO' -p104946 -aS'benign\tbenign\tJJ\tB-NP\tO' -p104947 -aS',\t,\t,\tI-NP\tO' -p104948 -aS'flat\tflat\tJJ\tI-NP\tO' -p104949 -aS',\t,\t,\tI-NP\tO' -p104950 -aS'nontender\tnontender\tJJ\tI-NP\tO' -p104951 -aS',\t,\t,\tI-NP\tO' -p104952 -aS'nondistended\tnondistended\tJJ\tI-NP\tO' -p104953 -aS',\t,\t,\tO\tO' -p104954 -aS'no\tno\tDT\tB-NP\tO' -p104955 -aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tI-NP\tO' -p104956 -aS'.\t.\t.\tO\tO' -p104957 -asS'Patient was in bigeminy during the course of her hospital stay , and did have frequent runs of ectopy as noted on telemetry .' -p104958 -(lp104959 -S'Patient\tPatient\tNN\tB-NP\tO' -p104960 -aS'was\tbe\tVBD\tB-VP\tO' -p104961 -aS'in\tin\tIN\tB-PP\tO' -p104962 -aS'bigeminy\tbigeminy\tJJ\tB-ADJP\tO' -p104963 -aS'during\tduring\tIN\tB-PP\tO' -p104964 -aS'the\tthe\tDT\tB-NP\tO' -p104965 -aS'course\tcourse\tNN\tI-NP\tO' -p104966 -aS'of\tof\tIN\tB-PP\tO' -p104967 -aS'her\ther\tPRP$\tB-NP\tO' -p104968 -aS'hospital\thospital\tNN\tI-NP\tO' -p104969 -aS'stay\tstay\tNN\tI-NP\tO' -p104970 -aS',\t,\t,\tO\tO' -p104971 -aS'and\tand\tCC\tO\tO' -p104972 -aS'did\tdo\tVBD\tB-VP\tO' -p104973 -aS'have\thave\tVB\tI-VP\tO' -p104974 -aS'frequent\tfrequent\tJJ\tB-NP\tO' -p104975 -aS'runs\trun\tNNS\tI-NP\tO' -p104976 -aS'of\tof\tIN\tB-PP\tO' -p104977 -aS'ectopy\tectopy\tNN\tB-NP\tO' -p104978 -aS'as\tas\tIN\tB-SBAR\tO' -p104979 -aS'noted\tnote\tVBN\tB-VP\tO' -p104980 -aS'on\ton\tIN\tB-PP\tO' -p104981 -aS'telemetry\ttelemetry\tNN\tB-NP\tO' -p104982 -aS'.\t.\t.\tO\tO' -p104983 -asS'1. Left transverse mid shaft radial fracture with ulnar displacement status post left radial open reduction and internal fixation .' -p104984 -(lp104985 -S'1.\t1.\tLS\tB-LST\tO' -p104986 -aS'Left\tLeave\tVBD\tB-VP\tO' -p104987 -aS'transverse\ttransverse\tJJ\tB-NP\tO' -p104988 -aS'mid\tmid\tJJ\tI-NP\tO' -p104989 -aS'shaft\tshaft\tNN\tI-NP\tO' -p104990 -aS'radial\tradial\tNN\tI-NP\tO' -p104991 -aS'fracture\tfracture\tNN\tI-NP\tO' -p104992 -aS'with\twith\tIN\tB-PP\tO' -p104993 -aS'ulnar\tulnar\tJJ\tB-NP\tO' -p104994 -aS'displacement\tdisplacement\tNN\tI-NP\tO' -p104995 -aS'status\tstatus\tNN\tI-NP\tO' -p104996 -aS'post\tpost\tNN\tI-NP\tO' -p104997 -aS'left\tleave\tVBD\tB-VP\tO' -p104998 -aS'radial\tradial\tJJ\tB-NP\tO' -p104999 -aS'open\topen\tJJ\tI-NP\tO' -p105000 -aS'reduction\treduction\tNN\tI-NP\tO' -p105001 -aS'and\tand\tCC\tO\tO' -p105002 -aS'internal\tinternal\tJJ\tB-NP\tO' -p105003 -aS'fixation\tfixation\tNN\tI-NP\tO' -p105004 -aS'.\t.\t.\tO\tO' -p105005 -asS'MRI was performed and showed new lesions vs sz effects in the left temporal lobe .' -p105006 -(lp105007 -S'MRI\tMRI\tNN\tB-NP\tB-protein' -p105008 -aS'was\tbe\tVBD\tB-VP\tO' -p105009 -aS'performed\tperform\tVBN\tI-VP\tO' -p105010 -aS'and\tand\tCC\tO\tO' -p105011 -aS'showed\tshow\tVBD\tB-VP\tO' -p105012 -aS'new\tnew\tJJ\tB-NP\tO' -p105013 -aS'lesions\tlesion\tNNS\tI-NP\tO' -p105014 -aS'vs\tvs\tIN\tB-PP\tO' -p105015 -aS'sz\tsz\tNN\tB-NP\tO' -p105016 -aS'effects\teffect\tNNS\tI-NP\tO' -p105017 -aS'in\tin\tIN\tB-PP\tO' -p105018 -aS'the\tthe\tDT\tB-NP\tO' -p105019 -aS'left\tleft\tJJ\tI-NP\tO' -p105020 -aS'temporal\ttemporal\tJJ\tI-NP\tO' -p105021 -aS'lobe\tlobe\tNN\tI-NP\tO' -p105022 -aS'.\t.\t.\tO\tO' -p105023 -asS'The patient was continued on TPN over the past couple days .' -p105024 -(lp105025 -S'The\tThe\tDT\tB-NP\tO' -p105026 -aS'patient\tpatient\tNN\tI-NP\tO' -p105027 -aS'was\tbe\tVBD\tB-VP\tO' -p105028 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p105029 -aS'on\ton\tIN\tB-PP\tO' -p105030 -aS'TPN\tTPN\tNN\tB-NP\tB-protein' -p105031 -aS'over\tover\tIN\tB-PP\tO' -p105032 -aS'the\tthe\tDT\tB-NP\tO' -p105033 -aS'past\tpast\tJJ\tI-NP\tO' -p105034 -aS'couple\tcouple\tNN\tI-NP\tO' -p105035 -aS'days\tday\tNNS\tI-NP\tO' -p105036 -aS'.\t.\t.\tO\tO' -p105037 -asS'She had a head ultrasound on 2013-05-02 , that was completely within normal limits .' -p105038 -(lp105039 -S'She\tShe\tPRP\tB-NP\tO' -p105040 -aS'had\thave\tVBD\tB-VP\tO' -p105041 -aS'a\ta\tDT\tB-NP\tO' -p105042 -aS'head\thead\tNN\tI-NP\tO' -p105043 -aS'ultrasound\tultrasound\tNN\tI-NP\tO' -p105044 -aS'on\ton\tIN\tB-PP\tO' -p105045 -aS'2013-05-02\t2013-05-02\tCD\tB-NP\tO' -p105046 -aS',\t,\t,\tO\tO' -p105047 -aS'that\tthat\tDT\tB-NP\tO' -p105048 -aS'was\tbe\tVBD\tB-VP\tO' -p105049 -aS'completely\tcompletely\tRB\tB-ADVP\tO' -p105050 -aS'within\twithin\tIN\tB-PP\tO' -p105051 -aS'normal\tnormal\tJJ\tB-NP\tO' -p105052 -aS'limits\tlimit\tNNS\tI-NP\tO' -p105053 -aS'.\t.\t.\tO\tO' -p105054 -asS'The patient remained stable during the rest of the hospitalization .' -p105055 -(lp105056 -S'The\tThe\tDT\tB-NP\tO' -p105057 -aS'patient\tpatient\tNN\tI-NP\tO' -p105058 -aS'remained\tremain\tVBD\tB-VP\tO' -p105059 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p105060 -aS'during\tduring\tIN\tB-PP\tO' -p105061 -aS'the\tthe\tDT\tB-NP\tO' -p105062 -aS'rest\trest\tNN\tI-NP\tO' -p105063 -aS'of\tof\tIN\tB-PP\tO' -p105064 -aS'the\tthe\tDT\tB-NP\tO' -p105065 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p105066 -aS'.\t.\t.\tO\tO' -p105067 -asS'Dry mucous membranes and myotic pupils .' -p105068 -(lp105069 -S'Dry\tDry\tJJ\tB-NP\tO' -p105070 -aS'mucous\tmucous\tJJ\tI-NP\tO' -p105071 -aS'membranes\tmembrane\tNNS\tI-NP\tO' -p105072 -aS'and\tand\tCC\tO\tO' -p105073 -aS'myotic\tmyotic\tJJ\tB-NP\tO' -p105074 -aS'pupils\tpupil\tNNS\tI-NP\tO' -p105075 -aS'.\t.\t.\tO\tO' -p105076 -asS'He appeared to be doing well and was transferred to the SDU on this day .' -p105077 -(lp105078 -S'He\tHe\tPRP\tB-NP\tO' -p105079 -aS'appeared\tappear\tVBD\tB-VP\tO' -p105080 -aS'to\tto\tTO\tI-VP\tO' -p105081 -aS'be\tbe\tVB\tI-VP\tO' -p105082 -aS'doing\tdo\tVBG\tI-VP\tO' -p105083 -aS'well\twell\tRB\tB-ADVP\tO' -p105084 -aS'and\tand\tCC\tO\tO' -p105085 -aS'was\tbe\tVBD\tB-VP\tO' -p105086 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p105087 -aS'to\tto\tTO\tB-PP\tO' -p105088 -aS'the\tthe\tDT\tB-NP\tO' -p105089 -aS'SDU\tSDU\tNN\tI-NP\tO' -p105090 -aS'on\ton\tIN\tB-PP\tO' -p105091 -aS'this\tthis\tDT\tB-NP\tO' -p105092 -aS'day\tday\tNN\tI-NP\tO' -p105093 -aS'.\t.\t.\tO\tO' -p105094 -asS'He is to ambulate with crutches or a walker and be on posterior hip dislocation precautions for three months following the date of surgery .' -p105095 -(lp105096 -S'He\tHe\tPRP\tB-NP\tO' -p105097 -aS'is\tbe\tVBZ\tB-VP\tO' -p105098 -aS'to\tto\tTO\tB-VP\tO' -p105099 -aS'ambulate\tambulate\tVB\tI-VP\tO' -p105100 -aS'with\twith\tIN\tB-PP\tO' -p105101 -aS'crutches\tcrutch\tNNS\tB-NP\tO' -p105102 -aS'or\tor\tCC\tO\tO' -p105103 -aS'a\ta\tDT\tB-NP\tO' -p105104 -aS'walker\twalker\tNN\tI-NP\tO' -p105105 -aS'and\tand\tCC\tO\tO' -p105106 -aS'be\tbe\tVB\tB-VP\tO' -p105107 -aS'on\ton\tIN\tB-PP\tO' -p105108 -aS'posterior\tposterior\tJJ\tB-NP\tO' -p105109 -aS'hip\thip\tNN\tI-NP\tO' -p105110 -aS'dislocation\tdislocation\tNN\tI-NP\tO' -p105111 -aS'precautions\tprecaution\tNNS\tI-NP\tO' -p105112 -aS'for\tfor\tIN\tB-PP\tO' -p105113 -aS'three\tthree\tCD\tB-NP\tO' -p105114 -aS'months\tmonth\tNNS\tI-NP\tO' -p105115 -aS'following\tfollow\tVBG\tB-PP\tO' -p105116 -aS'the\tthe\tDT\tB-NP\tO' -p105117 -aS'date\tdate\tNN\tI-NP\tO' -p105118 -aS'of\tof\tIN\tB-PP\tO' -p105119 -aS'surgery\tsurgery\tNN\tB-NP\tO' -p105120 -aS'.\t.\t.\tO\tO' -p105121 -asS'75 y / o F with h / o COPD c / b frequent exacerbations p / w typical flare symptoms .' -p105122 -(lp105123 -S'75\t75\tCD\tB-NP\tO' -p105124 -aS'y\ty\tNN\tI-NP\tO' -p105125 -aS'/\t/\tSYM\tB-NP\tO' -p105126 -aS'o\to\tNN\tI-NP\tB-protein' -p105127 -aS'F\tF\tNN\tI-NP\tI-protein' -p105128 -aS'with\twith\tIN\tB-PP\tO' -p105129 -aS'h\th\tNN\tB-NP\tO' -p105130 -aS'/\t/\tSYM\tI-NP\tO' -p105131 -aS'o\to\tNN\tI-NP\tO' -p105132 -aS'COPD\tCOPD\tNN\tI-NP\tO' -p105133 -aS'c\tc\tNN\tI-NP\tO' -p105134 -aS'/\t/\tSYM\tB-NP\tO' -p105135 -aS'b\tb\tNN\tI-NP\tO' -p105136 -aS'frequent\tfrequent\tJJ\tI-NP\tO' -p105137 -aS'exacerbations\texacerbation\tNNS\tI-NP\tO' -p105138 -aS'p\tp\tNN\tI-NP\tO' -p105139 -aS'/\t/\tSYM\tB-NP\tO' -p105140 -aS'w\tw\tNN\tI-NP\tO' -p105141 -aS'typical\ttypical\tJJ\tI-NP\tO' -p105142 -aS'flare\tflare\tNN\tI-NP\tO' -p105143 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p105144 -aS'.\t.\t.\tO\tO' -p105145 -asS'She had been depressed for some time but her loved ones were very surprised at her attempt .' -p105146 -(lp105147 -S'She\tShe\tPRP\tB-NP\tO' -p105148 -aS'had\thave\tVBD\tB-VP\tO' -p105149 -aS'been\tbe\tVBN\tI-VP\tO' -p105150 -aS'depressed\tdepress\tVBN\tI-VP\tO' -p105151 -aS'for\tfor\tIN\tB-PP\tO' -p105152 -aS'some\tsome\tDT\tB-NP\tO' -p105153 -aS'time\ttime\tNN\tI-NP\tO' -p105154 -aS'but\tbut\tCC\tO\tO' -p105155 -aS'her\ther\tPRP$\tB-NP\tO' -p105156 -aS'loved\tloved\tJJ\tI-NP\tO' -p105157 -aS'ones\tone\tNNS\tI-NP\tO' -p105158 -aS'were\tbe\tVBD\tB-VP\tO' -p105159 -aS'very\tvery\tRB\tB-ADJP\tO' -p105160 -aS'surprised\tsurprise\tVBN\tI-ADJP\tO' -p105161 -aS'at\tat\tIN\tB-PP\tO' -p105162 -aS'her\ther\tPRP$\tB-NP\tO' -p105163 -aS'attempt\tattempt\tNN\tI-NP\tO' -p105164 -aS'.\t.\t.\tO\tO' -p105165 -asS'She experienced no respiratory difficulty during the hospital stay .' -p105166 -(lp105167 -S'She\tShe\tPRP\tB-NP\tO' -p105168 -aS'experienced\texperience\tVBD\tB-VP\tO' -p105169 -aS'no\tno\tDT\tB-NP\tO' -p105170 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p105171 -aS'difficulty\tdifficulty\tNN\tI-NP\tO' -p105172 -aS'during\tduring\tIN\tB-PP\tO' -p105173 -aS'the\tthe\tDT\tB-NP\tO' -p105174 -aS'hospital\thospital\tNN\tI-NP\tO' -p105175 -aS'stay\tstay\tNN\tI-NP\tO' -p105176 -aS'.\t.\t.\tO\tO' -p105177 -asS'The patient tolerated the nasogastric tube well .' -p105178 -(lp105179 -S'The\tThe\tDT\tB-NP\tO' -p105180 -aS'patient\tpatient\tNN\tI-NP\tO' -p105181 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p105182 -aS'the\tthe\tDT\tB-NP\tO' -p105183 -aS'nasogastric\tnasogastric\tJJ\tI-NP\tO' -p105184 -aS'tube\ttube\tNN\tI-NP\tO' -p105185 -aS'well\twell\tRB\tB-ADVP\tO' -p105186 -aS'.\t.\t.\tO\tO' -p105187 -asS'Rectal normal tone , guaiac positive brown stool , no perirectal lesions or erythema .' -p105188 -(lp105189 -S'Rectal\tRectal\tJJ\tB-NP\tO' -p105190 -aS'normal\tnormal\tJJ\tI-NP\tO' -p105191 -aS'tone\ttone\tNN\tI-NP\tO' -p105192 -aS',\t,\t,\tO\tO' -p105193 -aS'guaiac\tguaiac\tJJ\tB-NP\tO' -p105194 -aS'positive\tpositive\tJJ\tI-NP\tO' -p105195 -aS'brown\tbrown\tJJ\tI-NP\tO' -p105196 -aS'stool\tstool\tNN\tI-NP\tO' -p105197 -aS',\t,\t,\tO\tO' -p105198 -aS'no\tno\tDT\tB-NP\tO' -p105199 -aS'perirectal\tperirectal\tJJ\tI-NP\tO' -p105200 -aS'lesions\tlesion\tNNS\tI-NP\tO' -p105201 -aS'or\tor\tCC\tI-NP\tO' -p105202 -aS'erythema\terythema\tNN\tI-NP\tO' -p105203 -aS'.\t.\t.\tO\tO' -p105204 -asS'He completed a five-day course of IV ig .' -p105205 -(lp105206 -S'He\tHe\tPRP\tB-NP\tO' -p105207 -aS'completed\tcomplete\tVBD\tB-VP\tO' -p105208 -aS'a\ta\tDT\tB-NP\tO' -p105209 -aS'five-day\tfive-day\tJJ\tI-NP\tO' -p105210 -aS'course\tcourse\tNN\tI-NP\tO' -p105211 -aS'of\tof\tIN\tB-PP\tO' -p105212 -aS'IV\tIV\tCD\tB-NP\tO' -p105213 -aS'ig\tig\tNN\tI-NP\tO' -p105214 -aS'.\t.\t.\tO\tO' -p105215 -asS'In general the patient was in no acute distress , afebrile , vital signs stable .' -p105216 -(lp105217 -S'In\tIn\tIN\tB-PP\tO' -p105218 -aS'general\tgeneral\tJJ\tB-ADJP\tO' -p105219 -aS'the\tthe\tDT\tB-NP\tO' -p105220 -aS'patient\tpatient\tNN\tI-NP\tO' -p105221 -aS'was\tbe\tVBD\tB-VP\tO' -p105222 -aS'in\tin\tIN\tB-PP\tO' -p105223 -aS'no\tno\tDT\tB-NP\tO' -p105224 -aS'acute\tacute\tJJ\tI-NP\tO' -p105225 -aS'distress\tdistress\tNN\tI-NP\tO' -p105226 -aS',\t,\t,\tO\tO' -p105227 -aS'afebrile\tafebrile\tJJ\tB-NP\tO' -p105228 -aS',\t,\t,\tI-NP\tO' -p105229 -aS'vital\tvital\tJJ\tI-NP\tO' -p105230 -aS'signs\tsign\tNNS\tI-NP\tO' -p105231 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p105232 -aS'.\t.\t.\tO\tO' -p105233 -asS'Dictated By : Roy C Ali , M.D.' -p105234 -(lp105235 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p105236 -aS'By\tBy\tIN\tB-PP\tO' -p105237 -aS':\t:\t:\tO\tO' -p105238 -aS'Roy\tRoy\tNNP\tB-NP\tO' -p105239 -aS'C\tC\tNNP\tI-NP\tO' -p105240 -aS'Ali\tAli\tNNP\tI-NP\tO' -p105241 -aS',\t,\t,\tO\tO' -p105242 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p105243 -asS'But upon further radiology attending Stoughton , there was a small bilateral occipital subdural hemorrhage noted .' -p105244 -(lp105245 -S'But\tBut\tCC\tO\tO' -p105246 -aS'upon\tupon\tIN\tB-PP\tO' -p105247 -aS'further\tfurther\tJJ\tB-NP\tO' -p105248 -aS'radiology\tradiology\tNN\tI-NP\tO' -p105249 -aS'attending\tattend\tVBG\tB-VP\tO' -p105250 -aS'Stoughton\tStoughton\tNNP\tB-NP\tO' -p105251 -aS',\t,\t,\tO\tO' -p105252 -aS'there\tthere\tEX\tB-NP\tO' -p105253 -aS'was\tbe\tVBD\tB-VP\tO' -p105254 -aS'a\ta\tDT\tB-NP\tO' -p105255 -aS'small\tsmall\tJJ\tI-NP\tO' -p105256 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p105257 -aS'occipital\toccipital\tNN\tI-NP\tO' -p105258 -aS'subdural\tsubdural\tJJ\tI-NP\tO' -p105259 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p105260 -aS'noted\tnote\tVBD\tB-VP\tO' -p105261 -aS'.\t.\t.\tO\tO' -p105262 -asS'Further he had massive muscle necrosis and hepatic failure .' -p105263 -(lp105264 -S'Further\tFurther\tRB\tB-ADVP\tO' -p105265 -aS'he\the\tPRP\tB-NP\tO' -p105266 -aS'had\thave\tVBD\tB-VP\tO' -p105267 -aS'massive\tmassive\tJJ\tB-NP\tO' -p105268 -aS'muscle\tmuscle\tNN\tI-NP\tO' -p105269 -aS'necrosis\tnecrosis\tNN\tI-NP\tO' -p105270 -aS'and\tand\tCC\tO\tO' -p105271 -aS'hepatic\thepatic\tJJ\tB-NP\tO' -p105272 -aS'failure\tfailure\tNN\tI-NP\tO' -p105273 -aS'.\t.\t.\tO\tO' -p105274 -asS'Pink flap with good refill .' -p105275 -(lp105276 -S'Pink\tPink\tNNP\tB-NP\tO' -p105277 -aS'flap\tflap\tNN\tI-NP\tO' -p105278 -aS'with\twith\tIN\tB-PP\tO' -p105279 -aS'good\tgood\tJJ\tB-NP\tO' -p105280 -aS'refill\trefill\tNN\tI-NP\tO' -p105281 -aS'.\t.\t.\tO\tO' -p105282 -asS'He occasionally gets agitated .' -p105283 -(lp105284 -S'He\tHe\tPRP\tB-NP\tO' -p105285 -aS'occasionally\toccasionally\tRB\tB-ADVP\tO' -p105286 -aS'gets\tget\tVBZ\tB-VP\tO' -p105287 -aS'agitated\tagitate\tVBN\tI-VP\tO' -p105288 -aS'.\t.\t.\tO\tO' -p105289 -asS'This will need to be monitored closely .' -p105290 -(lp105291 -S'This\tThis\tDT\tB-NP\tO' -p105292 -aS'will\twill\tMD\tB-VP\tO' -p105293 -aS'need\tneed\tVB\tI-VP\tO' -p105294 -aS'to\tto\tTO\tI-VP\tO' -p105295 -aS'be\tbe\tVB\tI-VP\tO' -p105296 -aS'monitored\tmonitor\tVBN\tI-VP\tO' -p105297 -aS'closely\tclosely\tRB\tB-ADVP\tO' -p105298 -aS'.\t.\t.\tO\tO' -p105299 -asS'The patient 's admission chest x-ray revealed no infiltrate , no congestive heart failure .' -p105300 -(lp105301 -S'The\tThe\tDT\tB-NP\tO' -p105302 -aS'patient\tpatient\tNN\tI-NP\tO' -p105303 -aS''s\t'\tNNS\tI-NP\tO' -p105304 -aS'admission\tadmission\tNN\tI-NP\tO' -p105305 -aS'chest\tchest\tNN\tI-NP\tO' -p105306 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p105307 -aS'revealed\treveal\tVBD\tB-VP\tO' -p105308 -aS'no\tno\tDT\tB-NP\tO' -p105309 -aS'infiltrate\tinfiltrate\tNN\tI-NP\tO' -p105310 -aS',\t,\t,\tO\tO' -p105311 -aS'no\tno\tDT\tB-NP\tO' -p105312 -aS'congestive\tcongestive\tJJ\tI-NP\tO' -p105313 -aS'heart\theart\tNN\tI-NP\tO' -p105314 -aS'failure\tfailure\tNN\tI-NP\tO' -p105315 -aS'.\t.\t.\tO\tO' -p105316 -asS'Darvocet .' -p105317 -(lp105318 -S'Darvocet\tDarvocet\tNN\tB-NP\tO' -p105319 -aS'.\t.\t.\tO\tO' -p105320 -asS'Likely related to underlying malignancy as well as prerenal component given improvement with gentle hydration .' -p105321 -(lp105322 -S'Likely\tLikely\tRB\tB-ADJP\tO' -p105323 -aS'related\trelated\tJJ\tI-ADJP\tO' -p105324 -aS'to\tto\tTO\tB-PP\tO' -p105325 -aS'underlying\tunderlie\tVBG\tB-VP\tO' -p105326 -aS'malignancy\tmalignancy\tNN\tB-NP\tO' -p105327 -aS'as\tas\tRB\tB-CONJP\tO' -p105328 -aS'well\twell\tRB\tI-CONJP\tO' -p105329 -aS'as\tas\tIN\tI-CONJP\tO' -p105330 -aS'prerenal\tprerenal\tJJ\tB-NP\tO' -p105331 -aS'component\tcomponent\tNN\tI-NP\tO' -p105332 -aS'given\tgive\tVBN\tB-PP\tO' -p105333 -aS'improvement\timprovement\tNN\tB-NP\tO' -p105334 -aS'with\twith\tIN\tB-PP\tO' -p105335 -aS'gentle\tgentle\tJJ\tB-NP\tO' -p105336 -aS'hydration\thydration\tNN\tI-NP\tO' -p105337 -aS'.\t.\t.\tO\tO' -p105338 -asS'Disp :* 12 Tablet (s)* Refills :* 0 *' -p105339 -(lp105340 -S'Disp\tDisp\tNN\tB-NP\tO' -p105341 -aS':*\t:*\tSYM\tI-NP\tO' -p105342 -aS'12\t12\tCD\tI-NP\tO' -p105343 -aS'Tablet\tTablet\tNN\tI-NP\tO' -p105344 -aS'(s)*\t(s)*\tSYM\tB-NP\tO' -p105345 -aS'Refills\tRefill\tNNPS\tI-NP\tO' -p105346 -aS':*\t:*\tSYM\tI-NP\tO' -p105347 -aS'0\t0\tCD\tI-NP\tO' -p105348 -aS'*\t*\tSYM\tB-NP\tO' -p105349 -asS'6. Multivitamin one p.o. q. day times one month .' -p105350 -(lp105351 -S'6.\t6.\tLS\tB-NP\tO' -p105352 -aS'Multivitamin\tMultivitamin\tNN\tI-NP\tO' -p105353 -aS'one\tone\tCD\tB-NP\tO' -p105354 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p105355 -aS'q.\tq.\tNN\tI-NP\tO' -p105356 -aS'day\tday\tNN\tI-NP\tO' -p105357 -aS'times\ttime\tVBZ\tB-VP\tO' -p105358 -aS'one\tone\tCD\tB-NP\tO' -p105359 -aS'month\tmonth\tNN\tI-NP\tO' -p105360 -aS'.\t.\t.\tO\tO' -p105361 -asS'Continuing throughout his course he had multiple infectious disease issues .' -p105362 -(lp105363 -S'Continuing\tContinue\tVBG\tB-VP\tO' -p105364 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p105365 -aS'his\this\tPRP$\tB-NP\tO' -p105366 -aS'course\tcourse\tNN\tI-NP\tO' -p105367 -aS'he\the\tPRP\tB-NP\tO' -p105368 -aS'had\thave\tVBD\tB-VP\tO' -p105369 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p105370 -aS'infectious\tinfectious\tJJ\tI-NP\tO' -p105371 -aS'disease\tdisease\tNN\tI-NP\tO' -p105372 -aS'issues\tissue\tNNS\tI-NP\tO' -p105373 -aS'.\t.\t.\tO\tO' -p105374 -asS'She has not used any anti retroviral therapy since then , because of pancytopenia and vomiting on DDI .' -p105375 -(lp105376 -S'She\tShe\tPRP\tB-NP\tO' -p105377 -aS'has\thave\tVBZ\tB-VP\tO' -p105378 -aS'not\tnot\tRB\tI-VP\tO' -p105379 -aS'used\tuse\tVBN\tI-VP\tO' -p105380 -aS'any\tany\tDT\tB-NP\tO' -p105381 -aS'anti\tanti\tJJ\tI-NP\tO' -p105382 -aS'retroviral\tretroviral\tJJ\tI-NP\tO' -p105383 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p105384 -aS'since\tsince\tIN\tB-PP\tO' -p105385 -aS'then\tthen\tRB\tB-NP\tO' -p105386 -aS',\t,\t,\tO\tO' -p105387 -aS'because\tbecause\tIN\tB-PP\tO' -p105388 -aS'of\tof\tIN\tI-PP\tO' -p105389 -aS'pancytopenia\tpancytopenia\tNN\tB-NP\tO' -p105390 -aS'and\tand\tCC\tI-NP\tO' -p105391 -aS'vomiting\tvomiting\tNN\tI-NP\tO' -p105392 -aS'on\ton\tIN\tB-PP\tO' -p105393 -aS'DDI\tDDI\tNNP\tB-NP\tO' -p105394 -aS'.\t.\t.\tO\tO' -p105395 -asS'The patient was admitted to the hospital and on 2016-04-06 the patient underwent coronary artery bypass grafting x 4 with left internal mammary artery to the left anterior descending coronary artery , saphenous vein graft to the diagonal , saphenous vein graft to obtuse marginal , saphenous vein graft to right coronary artery , posterior descending coronary artery .' -p105396 -(lp105397 -S'The\tThe\tDT\tB-NP\tO' -p105398 -aS'patient\tpatient\tNN\tI-NP\tO' -p105399 -aS'was\tbe\tVBD\tB-VP\tO' -p105400 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p105401 -aS'to\tto\tTO\tB-PP\tO' -p105402 -aS'the\tthe\tDT\tB-NP\tO' -p105403 -aS'hospital\thospital\tNN\tI-NP\tO' -p105404 -aS'and\tand\tCC\tB-PP\tO' -p105405 -aS'on\ton\tIN\tB-PP\tO' -p105406 -aS'2016-04-06\t2016-04-06\tCD\tB-NP\tO' -p105407 -aS'the\tthe\tDT\tB-NP\tO' -p105408 -aS'patient\tpatient\tNN\tI-NP\tO' -p105409 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p105410 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p105411 -aS'artery\tartery\tNN\tI-NP\tO' -p105412 -aS'bypass\tbypass\tIN\tB-PP\tO' -p105413 -aS'grafting\tgraft\tVBG\tB-VP\tO' -p105414 -aS'x\tx\tNN\tB-NP\tB-DNA' -p105415 -aS'4\t4\tCD\tI-NP\tI-DNA' -p105416 -aS'with\twith\tIN\tB-PP\tO' -p105417 -aS'left\tleft\tJJ\tB-NP\tO' -p105418 -aS'internal\tinternal\tJJ\tI-NP\tO' -p105419 -aS'mammary\tmammary\tJJ\tI-NP\tO' -p105420 -aS'artery\tartery\tNN\tI-NP\tO' -p105421 -aS'to\tto\tTO\tB-PP\tO' -p105422 -aS'the\tthe\tDT\tB-NP\tO' -p105423 -aS'left\tleft\tJJ\tI-NP\tO' -p105424 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p105425 -aS'descending\tdescend\tVBG\tI-NP\tO' -p105426 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p105427 -aS'artery\tartery\tNN\tI-NP\tO' -p105428 -aS',\t,\t,\tO\tO' -p105429 -aS'saphenous\tsaphenous\tJJ\tB-NP\tO' -p105430 -aS'vein\tvein\tNN\tI-NP\tO' -p105431 -aS'graft\tgraft\tNN\tI-NP\tO' -p105432 -aS'to\tto\tTO\tB-PP\tO' -p105433 -aS'the\tthe\tDT\tB-NP\tO' -p105434 -aS'diagonal\tdiagonal\tJJ\tI-NP\tO' -p105435 -aS',\t,\t,\tI-NP\tO' -p105436 -aS'saphenous\tsaphenous\tJJ\tI-NP\tO' -p105437 -aS'vein\tvein\tNN\tI-NP\tO' -p105438 -aS'graft\tgraft\tNN\tI-NP\tO' -p105439 -aS'to\tto\tTO\tB-VP\tO' -p105440 -aS'obtuse\tobtuse\tVB\tI-VP\tO' -p105441 -aS'marginal\tmarginal\tJJ\tB-NP\tO' -p105442 -aS',\t,\t,\tI-NP\tO' -p105443 -aS'saphenous\tsaphenous\tJJ\tI-NP\tO' -p105444 -aS'vein\tvein\tNN\tI-NP\tO' -p105445 -aS'graft\tgraft\tNN\tI-NP\tO' -p105446 -aS'to\tto\tTO\tB-PP\tO' -p105447 -aS'right\tright\tJJ\tB-NP\tO' -p105448 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p105449 -aS'artery\tartery\tNN\tI-NP\tO' -p105450 -aS',\t,\t,\tO\tO' -p105451 -aS'posterior\tposterior\tJJ\tB-ADJP\tO' -p105452 -aS'descending\tdescend\tVBG\tB-VP\tO' -p105453 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p105454 -aS'artery\tartery\tNN\tI-NP\tO' -p105455 -aS'.\t.\t.\tO\tO' -p105456 -asS'On the morning of admission the patient had a markedly improved lung examination with increased air movement in the left base .' -p105457 -(lp105458 -S'On\tOn\tIN\tB-PP\tO' -p105459 -aS'the\tthe\tDT\tB-NP\tO' -p105460 -aS'morning\tmorning\tNN\tI-NP\tO' -p105461 -aS'of\tof\tIN\tB-PP\tO' -p105462 -aS'admission\tadmission\tNN\tB-NP\tO' -p105463 -aS'the\tthe\tDT\tB-NP\tO' -p105464 -aS'patient\tpatient\tNN\tI-NP\tO' -p105465 -aS'had\thave\tVBD\tB-VP\tO' -p105466 -aS'a\ta\tDT\tB-NP\tO' -p105467 -aS'markedly\tmarkedly\tRB\tI-NP\tO' -p105468 -aS'improved\timprove\tVBN\tI-NP\tO' -p105469 -aS'lung\tlung\tNN\tI-NP\tO' -p105470 -aS'examination\texamination\tNN\tI-NP\tO' -p105471 -aS'with\twith\tIN\tB-PP\tO' -p105472 -aS'increased\tincrease\tVBN\tB-NP\tO' -p105473 -aS'air\tair\tNN\tI-NP\tO' -p105474 -aS'movement\tmovement\tNN\tI-NP\tO' -p105475 -aS'in\tin\tIN\tB-PP\tO' -p105476 -aS'the\tthe\tDT\tB-NP\tO' -p105477 -aS'left\tleft\tJJ\tI-NP\tO' -p105478 -aS'base\tbase\tNN\tI-NP\tO' -p105479 -aS'.\t.\t.\tO\tO' -p105480 -asS'She also has no gross blood per rectum and her hct is stable .' -p105481 -(lp105482 -S'She\tShe\tPRP\tB-NP\tO' -p105483 -aS'also\talso\tRB\tB-ADVP\tO' -p105484 -aS'has\thave\tVBZ\tB-VP\tO' -p105485 -aS'no\tno\tDT\tB-NP\tO' -p105486 -aS'gross\tgross\tJJ\tI-NP\tO' -p105487 -aS'blood\tblood\tNN\tI-NP\tO' -p105488 -aS'per\tper\tIN\tB-PP\tO' -p105489 -aS'rectum\trectum\tNN\tB-NP\tO' -p105490 -aS'and\tand\tCC\tO\tO' -p105491 -aS'her\ther\tPRP$\tB-NP\tO' -p105492 -aS'hct\thct\tNN\tI-NP\tO' -p105493 -aS'is\tbe\tVBZ\tB-VP\tO' -p105494 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p105495 -aS'.\t.\t.\tO\tO' -p105496 -asS'Make follow-up appointment with Dr. Jo in 1-2 weeks .' -p105497 -(lp105498 -S'Make\tMake\tVB\tB-VP\tO' -p105499 -aS'follow-up\tfollow-up\tJJ\tB-NP\tO' -p105500 -aS'appointment\tappointment\tNN\tI-NP\tO' -p105501 -aS'with\twith\tIN\tB-PP\tO' -p105502 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p105503 -aS'Jo\tJo\tNNP\tI-NP\tO' -p105504 -aS'in\tin\tIN\tB-PP\tO' -p105505 -aS'1-2\t1-2\tCD\tB-NP\tO' -p105506 -aS'weeks\tweek\tNNS\tI-NP\tO' -p105507 -aS'.\t.\t.\tO\tO' -p105508 -asS'2. History of multiple urinary tract infections .' -p105509 -(lp105510 -S'2.\t2.\tLS\tB-NP\tO' -p105511 -aS'History\tHistory\tNN\tI-NP\tO' -p105512 -aS'of\tof\tIN\tB-PP\tO' -p105513 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p105514 -aS'urinary\turinary\tJJ\tI-NP\tO' -p105515 -aS'tract\ttract\tNN\tI-NP\tO' -p105516 -aS'infections\tinfection\tNNS\tI-NP\tO' -p105517 -aS'.\t.\t.\tO\tO' -p105518 -asS'In addition the patient was started on Verapamil since his heart rate had remained mildly tachycardiac in the low 100s .' -p105519 -(lp105520 -S'In\tIn\tIN\tB-PP\tO' -p105521 -aS'addition\taddition\tNN\tB-NP\tO' -p105522 -aS'the\tthe\tDT\tB-NP\tO' -p105523 -aS'patient\tpatient\tNN\tI-NP\tO' -p105524 -aS'was\tbe\tVBD\tB-VP\tO' -p105525 -aS'started\tstart\tVBN\tI-VP\tO' -p105526 -aS'on\ton\tIN\tB-PP\tO' -p105527 -aS'Verapamil\tVerapamil\tNN\tB-NP\tO' -p105528 -aS'since\tsince\tIN\tB-PP\tO' -p105529 -aS'his\this\tPRP$\tB-NP\tO' -p105530 -aS'heart\theart\tNN\tI-NP\tO' -p105531 -aS'rate\trate\tNN\tI-NP\tO' -p105532 -aS'had\thave\tVBD\tB-VP\tO' -p105533 -aS'remained\tremain\tVBN\tI-VP\tO' -p105534 -aS'mildly\tmildly\tRB\tB-ADJP\tO' -p105535 -aS'tachycardiac\ttachycardiac\tJJ\tI-ADJP\tO' -p105536 -aS'in\tin\tIN\tB-PP\tO' -p105537 -aS'the\tthe\tDT\tB-NP\tO' -p105538 -aS'low\tlow\tJJ\tI-NP\tO' -p105539 -aS'100s\t100\tNNS\tI-NP\tO' -p105540 -aS'.\t.\t.\tO\tO' -p105541 -asS'No orthopnea .' -p105542 -(lp105543 -S'No\tNo\tDT\tB-NP\tO' -p105544 -aS'orthopnea\torthopnea\tNN\tI-NP\tO' -p105545 -aS'.\t.\t.\tO\tO' -p105546 -asS'07-07 the patient was taken for colonoscopy and found to have a normal colon to cecum .' -p105547 -(lp105548 -S'07-07\t07-07\tCD\tB-NP\tO' -p105549 -aS'the\tthe\tDT\tB-NP\tO' -p105550 -aS'patient\tpatient\tNN\tI-NP\tO' -p105551 -aS'was\tbe\tVBD\tB-VP\tO' -p105552 -aS'taken\ttake\tVBN\tI-VP\tO' -p105553 -aS'for\tfor\tIN\tB-PP\tO' -p105554 -aS'colonoscopy\tcolonoscopy\tNN\tB-NP\tO' -p105555 -aS'and\tand\tCC\tO\tO' -p105556 -aS'found\tfind\tVBN\tB-VP\tO' -p105557 -aS'to\tto\tTO\tI-VP\tO' -p105558 -aS'have\thave\tVB\tI-VP\tO' -p105559 -aS'a\ta\tDT\tB-NP\tO' -p105560 -aS'normal\tnormal\tJJ\tI-NP\tO' -p105561 -aS'colon\tcolon\tNN\tI-NP\tO' -p105562 -aS'to\tto\tTO\tB-PP\tO' -p105563 -aS'cecum\tcecum\tNN\tB-NP\tO' -p105564 -aS'.\t.\t.\tO\tO' -p105565 -asS'1. Mitral valve regurgitation .' -p105566 -(lp105567 -S'1.\t1.\tLS\tB-NP\tO' -p105568 -aS'Mitral\tMitral\tJJ\tI-NP\tO' -p105569 -aS'valve\tvalve\tNN\tI-NP\tO' -p105570 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p105571 -aS'.\t.\t.\tO\tO' -p105572 -asS'10. Psoriasis .' -p105573 -(lp105574 -S'10.\t10.\tLS\tB-NP\tO' -p105575 -aS'Psoriasis\tPsoriasis\tNN\tI-NP\tO' -p105576 -aS'.\t.\t.\tO\tO' -p105577 -asS'2. Mitral regurgitation is unchanged from before .' -p105578 -(lp105579 -S'2.\t2.\tLS\tB-NP\tO' -p105580 -aS'Mitral\tMitral\tJJ\tI-NP\tO' -p105581 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p105582 -aS'is\tbe\tVBZ\tB-VP\tO' -p105583 -aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' -p105584 -aS'from\tfrom\tIN\tB-PP\tO' -p105585 -aS'before\tbefore\tRB\tB-ADVP\tO' -p105586 -aS'.\t.\t.\tO\tO' -p105587 -asS'Right lower extremity incision with Steri-Strips , open to air , clean and dry .' -p105588 -(lp105589 -S'Right\tRight\tRB\tB-NP\tO' -p105590 -aS'lower\tlow\tJJR\tI-NP\tO' -p105591 -aS'extremity\textremity\tNN\tI-NP\tO' -p105592 -aS'incision\tincision\tNN\tI-NP\tO' -p105593 -aS'with\twith\tIN\tB-PP\tO' -p105594 -aS'Steri-Strips\tSteri-Strips\tNNP\tB-NP\tO' -p105595 -aS',\t,\t,\tO\tO' -p105596 -aS'open\topen\tJJ\tB-ADJP\tO' -p105597 -aS'to\tto\tTO\tB-PP\tO' -p105598 -aS'air\tair\tNN\tB-NP\tO' -p105599 -aS',\t,\t,\tO\tO' -p105600 -aS'clean\tclean\tJJ\tB-ADJP\tO' -p105601 -aS'and\tand\tCC\tI-ADJP\tO' -p105602 -aS'dry\tdry\tJJ\tI-ADJP\tO' -p105603 -aS'.\t.\t.\tO\tO' -p105604 -asS'Aortic valve replacement in 11/96 with a St. Jude valve and chronic Coumadin therapy ; breast biopsy negative in 1984 ; appendectomy age 15 ; tonsillectomy and adenoidectomy age 6 ; hysterotomy age 30 ; C-section age 37 due to placenta previa .' -p105605 -(lp105606 -S'Aortic\tAortic\tJJ\tB-NP\tO' -p105607 -aS'valve\tvalve\tNN\tI-NP\tO' -p105608 -aS'replacement\treplacement\tNN\tI-NP\tO' -p105609 -aS'in\tin\tIN\tB-PP\tO' -p105610 -aS'11/96\t11/96\tCD\tB-NP\tO' -p105611 -aS'with\twith\tIN\tB-PP\tO' -p105612 -aS'a\ta\tDT\tB-NP\tO' -p105613 -aS'St.\tSt.\tNNP\tI-NP\tO' -p105614 -aS'Jude\tJude\tNNP\tI-NP\tO' -p105615 -aS'valve\tvalve\tNN\tI-NP\tO' -p105616 -aS'and\tand\tCC\tO\tO' -p105617 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p105618 -aS'Coumadin\tCoumadin\tNN\tI-NP\tO' -p105619 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p105620 -aS';\t;\t:\tO\tO' -p105621 -aS'breast\tbreast\tNN\tB-NP\tO' -p105622 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p105623 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p105624 -aS'in\tin\tIN\tB-PP\tO' -p105625 -aS'1984\t1984\tCD\tB-NP\tO' -p105626 -aS';\t;\t:\tO\tO' -p105627 -aS'appendectomy\tappendectomy\tNN\tB-NP\tO' -p105628 -aS'age\tage\tNN\tI-NP\tO' -p105629 -aS'15\t15\tCD\tI-NP\tO' -p105630 -aS';\t;\t:\tO\tO' -p105631 -aS'tonsillectomy\ttonsillectomy\tNN\tB-NP\tO' -p105632 -aS'and\tand\tCC\tI-NP\tO' -p105633 -aS'adenoidectomy\tadenoidectomy\tNN\tI-NP\tO' -p105634 -aS'age\tage\tNN\tI-NP\tO' -p105635 -aS'6\t6\tCD\tI-NP\tO' -p105636 -aS';\t;\t:\tO\tO' -p105637 -aS'hysterotomy\thysterotomy\tNN\tB-NP\tO' -p105638 -aS'age\tage\tNN\tI-NP\tO' -p105639 -aS'30\t30\tCD\tI-NP\tO' -p105640 -aS';\t;\t:\tO\tO' -p105641 -aS'C-section\tC-section\tNN\tB-NP\tO' -p105642 -aS'age\tage\tNN\tI-NP\tO' -p105643 -aS'37\t37\tCD\tI-NP\tO' -p105644 -aS'due\tdue\tJJ\tB-ADJP\tO' -p105645 -aS'to\tto\tTO\tB-PP\tO' -p105646 -aS'placenta\tplacenta\tNN\tB-NP\tO' -p105647 -aS'previa\tprevia\tNN\tI-NP\tO' -p105648 -aS'.\t.\t.\tO\tO' -p105649 -asS'His lungs were clear to auscultation bilaterally Anteriorly and laterally .' -p105650 -(lp105651 -S'His\tHis\tPRP$\tB-NP\tO' -p105652 -aS'lungs\tlung\tNNS\tI-NP\tO' -p105653 -aS'were\tbe\tVBD\tB-VP\tO' -p105654 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p105655 -aS'to\tto\tTO\tB-PP\tO' -p105656 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p105657 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p105658 -aS'Anteriorly\tAnteriorly\tRB\tI-ADVP\tO' -p105659 -aS'and\tand\tCC\tI-ADVP\tO' -p105660 -aS'laterally\tlaterally\tRB\tI-ADVP\tO' -p105661 -aS'.\t.\t.\tO\tO' -p105662 -asS'The patient was transferred to Sturdy Memorial where he underwent catheterization .' -p105663 -(lp105664 -S'The\tThe\tDT\tB-NP\tO' -p105665 -aS'patient\tpatient\tNN\tI-NP\tO' -p105666 -aS'was\tbe\tVBD\tB-VP\tO' -p105667 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p105668 -aS'to\tto\tTO\tB-PP\tO' -p105669 -aS'Sturdy\tSturdy\tNNP\tB-NP\tO' -p105670 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p105671 -aS'where\twhere\tWRB\tB-ADVP\tO' -p105672 -aS'he\the\tPRP\tB-NP\tO' -p105673 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p105674 -aS'catheterization\tcatheterization\tNN\tB-NP\tO' -p105675 -aS'.\t.\t.\tO\tO' -p105676 -asS'The patient ambulated with pain on the left lower extremity secondary to the left pubic rami fractures .' -p105677 -(lp105678 -S'The\tThe\tDT\tB-NP\tO' -p105679 -aS'patient\tpatient\tNN\tI-NP\tO' -p105680 -aS'ambulated\tambulate\tVBN\tB-VP\tO' -p105681 -aS'with\twith\tIN\tB-PP\tO' -p105682 -aS'pain\tpain\tNN\tB-NP\tO' -p105683 -aS'on\ton\tIN\tB-PP\tO' -p105684 -aS'the\tthe\tDT\tB-NP\tO' -p105685 -aS'left\tleft\tJJ\tI-NP\tO' -p105686 -aS'lower\tlow\tJJR\tI-NP\tO' -p105687 -aS'extremity\textremity\tNN\tI-NP\tO' -p105688 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p105689 -aS'to\tto\tTO\tB-PP\tO' -p105690 -aS'the\tthe\tDT\tB-NP\tO' -p105691 -aS'left\tleft\tJJ\tI-NP\tO' -p105692 -aS'pubic\tpubic\tJJ\tI-NP\tO' -p105693 -aS'rami\trami\tNN\tI-NP\tO' -p105694 -aS'fractures\tfracture\tNNS\tI-NP\tO' -p105695 -aS'.\t.\t.\tO\tO' -p105696 -asS'The mitral valve leaflets are structurally normal .' -p105697 -(lp105698 -S'The\tThe\tDT\tB-NP\tO' -p105699 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p105700 -aS'valve\tvalve\tNN\tI-NP\tO' -p105701 -aS'leaflets\tleaflet\tNNS\tI-NP\tO' -p105702 -aS'are\tbe\tVBP\tB-VP\tO' -p105703 -aS'structurally\tstructurally\tRB\tB-ADJP\tO' -p105704 -aS'normal\tnormal\tJJ\tI-ADJP\tO' -p105705 -aS'.\t.\t.\tO\tO' -p105706 -asS'1. Prematurity at 31-6/7 weeks gestation .' -p105707 -(lp105708 -S'1.\t1.\tLS\tB-NP\tO' -p105709 -aS'Prematurity\tPrematurity\tNN\tI-NP\tO' -p105710 -aS'at\tat\tIN\tB-PP\tO' -p105711 -aS'31-6/7\t31-6/7\tCD\tB-NP\tO' -p105712 -aS'weeks\tweek\tNNS\tI-NP\tO' -p105713 -aS'gestation\tgestation\tNN\tI-NP\tO' -p105714 -aS'.\t.\t.\tO\tO' -p105715 -asS'Her white blood cell count was 12.8 , with a normal differential .' -p105716 -(lp105717 -S'Her\tHer\tPRP$\tB-NP\tO' -p105718 -aS'white\twhite\tJJ\tI-NP\tO' -p105719 -aS'blood\tblood\tNN\tI-NP\tO' -p105720 -aS'cell\tcell\tNN\tI-NP\tO' -p105721 -aS'count\tcount\tNN\tI-NP\tO' -p105722 -aS'was\tbe\tVBD\tB-VP\tO' -p105723 -aS'12.8\t12.8\tCD\tB-NP\tO' -p105724 -aS',\t,\t,\tO\tO' -p105725 -aS'with\twith\tIN\tB-PP\tO' -p105726 -aS'a\ta\tDT\tB-NP\tO' -p105727 -aS'normal\tnormal\tJJ\tI-NP\tO' -p105728 -aS'differential\tdifferential\tNN\tI-NP\tO' -p105729 -aS'.\t.\t.\tO\tO' -p105730 -asS'There were no complications .' -p105731 -(lp105732 -S'There\tThere\tEX\tB-NP\tO' -p105733 -aS'were\tbe\tVBD\tB-VP\tO' -p105734 -aS'no\tno\tDT\tB-NP\tO' -p105735 -aS'complications\tcomplication\tNNS\tI-NP\tO' -p105736 -aS'.\t.\t.\tO\tO' -p105737 -asS'His PMI was two finger breath width in the fifth intercostal space lateral to the midclavicular line .' -p105738 -(lp105739 -S'His\tHis\tPRP$\tB-NP\tO' -p105740 -aS'PMI\tPMI\tNN\tI-NP\tB-protein' -p105741 -aS'was\tbe\tVBD\tB-VP\tO' -p105742 -aS'two\ttwo\tCD\tB-NP\tO' -p105743 -aS'finger\tfinger\tNN\tI-NP\tO' -p105744 -aS'breath\tbreath\tNN\tI-NP\tO' -p105745 -aS'width\twidth\tNN\tI-NP\tO' -p105746 -aS'in\tin\tIN\tB-PP\tO' -p105747 -aS'the\tthe\tDT\tB-NP\tO' -p105748 -aS'fifth\tfifth\tJJ\tI-NP\tO' -p105749 -aS'intercostal\tintercostal\tJJ\tI-NP\tO' -p105750 -aS'space\tspace\tNN\tI-NP\tO' -p105751 -aS'lateral\tlateral\tJJ\tB-ADJP\tO' -p105752 -aS'to\tto\tTO\tB-PP\tO' -p105753 -aS'the\tthe\tDT\tB-NP\tO' -p105754 -aS'midclavicular\tmidclavicular\tJJ\tI-NP\tB-cell_line' -p105755 -aS'line\tline\tNN\tI-NP\tI-cell_line' -p105756 -aS'.\t.\t.\tO\tO' -p105757 -asS'HEENT was significant for swelling of the scalp tissue in generalized distribution with ecchymosis extending from the occiput to the posterior auricular area and dorsal aspect of the neck to the mid cervical level .' -p105758 -(lp105759 -S'HEENT\tHEENT\tNN\tB-NP\tB-protein' -p105760 -aS'was\tbe\tVBD\tB-VP\tO' -p105761 -aS'significant\tsignificant\tJJ\tB-ADJP\tO' -p105762 -aS'for\tfor\tIN\tB-PP\tO' -p105763 -aS'swelling\tswell\tVBG\tB-NP\tO' -p105764 -aS'of\tof\tIN\tB-PP\tO' -p105765 -aS'the\tthe\tDT\tB-NP\tO' -p105766 -aS'scalp\tscalp\tNN\tI-NP\tO' -p105767 -aS'tissue\ttissue\tNN\tI-NP\tO' -p105768 -aS'in\tin\tIN\tB-PP\tO' -p105769 -aS'generalized\tgeneralize\tVBN\tB-NP\tO' -p105770 -aS'distribution\tdistribution\tNN\tI-NP\tO' -p105771 -aS'with\twith\tIN\tB-PP\tO' -p105772 -aS'ecchymosis\tecchymosis\tNN\tB-NP\tO' -p105773 -aS'extending\textend\tVBG\tB-VP\tO' -p105774 -aS'from\tfrom\tIN\tB-PP\tO' -p105775 -aS'the\tthe\tDT\tB-NP\tO' -p105776 -aS'occiput\tocciput\tNN\tI-NP\tO' -p105777 -aS'to\tto\tTO\tB-PP\tO' -p105778 -aS'the\tthe\tDT\tB-NP\tO' -p105779 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p105780 -aS'auricular\tauricular\tJJ\tI-NP\tO' -p105781 -aS'area\tarea\tNN\tI-NP\tO' -p105782 -aS'and\tand\tCC\tO\tO' -p105783 -aS'dorsal\tdorsal\tJJ\tB-NP\tO' -p105784 -aS'aspect\taspect\tNN\tI-NP\tO' -p105785 -aS'of\tof\tIN\tB-PP\tO' -p105786 -aS'the\tthe\tDT\tB-NP\tO' -p105787 -aS'neck\tneck\tNN\tI-NP\tO' -p105788 -aS'to\tto\tTO\tB-PP\tO' -p105789 -aS'the\tthe\tDT\tB-NP\tO' -p105790 -aS'mid\tmid\tJJ\tI-NP\tO' -p105791 -aS'cervical\tcervical\tJJ\tI-NP\tO' -p105792 -aS'level\tlevel\tNN\tI-NP\tO' -p105793 -aS'.\t.\t.\tO\tO' -p105794 -asS'7. Chronic diarrhea with multiple admissions for dehydration with most recent one on 2011-02-26 .' -p105795 -(lp105796 -S'7.\t7.\tLS\tB-NP\tO' -p105797 -aS'Chronic\tChronic\tJJ\tI-NP\tO' -p105798 -aS'diarrhea\tdiarrhea\tNN\tI-NP\tO' -p105799 -aS'with\twith\tIN\tB-PP\tO' -p105800 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p105801 -aS'admissions\tadmission\tNNS\tI-NP\tO' -p105802 -aS'for\tfor\tIN\tB-PP\tO' -p105803 -aS'dehydration\tdehydration\tNN\tB-NP\tO' -p105804 -aS'with\twith\tIN\tB-PP\tO' -p105805 -aS'most\tmost\tJJS\tB-NP\tO' -p105806 -aS'recent\trecent\tJJ\tI-NP\tO' -p105807 -aS'one\tone\tCD\tI-NP\tO' -p105808 -aS'on\ton\tIN\tB-PP\tO' -p105809 -aS'2011-02-26\t2011-02-26\tCD\tB-NP\tO' -p105810 -aS'.\t.\t.\tO\tO' -p105811 -asS'Some type of cardiac arrhythmia , diagnosed approximately ten years ago .' -p105812 -(lp105813 -S'Some\tSome\tDT\tB-NP\tO' -p105814 -aS'type\ttype\tNN\tI-NP\tO' -p105815 -aS'of\tof\tIN\tB-PP\tO' -p105816 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p105817 -aS'arrhythmia\tarrhythmia\tNN\tI-NP\tO' -p105818 -aS',\t,\t,\tO\tO' -p105819 -aS'diagnosed\tdiagnose\tVBD\tB-VP\tO' -p105820 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p105821 -aS'ten\tten\tCD\tI-NP\tO' -p105822 -aS'years\tyear\tNNS\tI-NP\tO' -p105823 -aS'ago\tago\tRB\tB-ADVP\tO' -p105824 -aS'.\t.\t.\tO\tO' -p105825 -asS'3. Acetaminophen 500 mg Tablet Sig : Two ( 2 ) Tablet PO BID ( 2 times a day ) as needed for headache .' -p105826 -(lp105827 -S'3.\t3.\tLS\tB-NP\tO' -p105828 -aS'Acetaminophen\tAcetaminophen\tNN\tI-NP\tO' -p105829 -aS'500\t500\tCD\tI-NP\tO' -p105830 -aS'mg\tmg\tNN\tI-NP\tO' -p105831 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p105832 -aS'Sig\tSig\tNNP\tI-NP\tO' -p105833 -aS':\t:\t:\tO\tO' -p105834 -aS'Two\tTwo\tCD\tB-NP\tO' -p105835 -aS'(\t(\t(\tO\tO' -p105836 -aS'2\t2\tCD\tO\tO' -p105837 -aS')\t)\t)\tO\tO' -p105838 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p105839 -aS'PO\tPO\tNN\tI-NP\tO' -p105840 -aS'BID\tBID\tNN\tI-NP\tO' -p105841 -aS'(\t(\t(\tO\tO' -p105842 -aS'2\t2\tCD\tB-NP\tO' -p105843 -aS'times\ttime\tNNS\tI-NP\tO' -p105844 -aS'a\ta\tDT\tB-NP\tO' -p105845 -aS'day\tday\tNN\tI-NP\tO' -p105846 -aS')\t)\t)\tO\tO' -p105847 -aS'as\tas\tIN\tB-SBAR\tO' -p105848 -aS'needed\tneed\tVBN\tB-VP\tO' -p105849 -aS'for\tfor\tIN\tB-PP\tO' -p105850 -aS'headache\theadache\tNN\tB-NP\tO' -p105851 -aS'.\t.\t.\tO\tO' -p105852 -asS'Attending : Louie A. Keith , M.D.' -p105853 -(lp105854 -S'Attending\tAttend\tVBG\tB-VP\tO' -p105855 -aS':\t:\t:\tO\tO' -p105856 -aS'Louie\tLouie\tNNP\tB-NP\tO' -p105857 -aS'A.\tA.\tNNP\tI-NP\tO' -p105858 -aS'Keith\tKeith\tNNP\tI-NP\tO' -p105859 -aS',\t,\t,\tO\tO' -p105860 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p105861 -asS'His dry weight is 70.4 kg .' -p105862 -(lp105863 -S'His\tHis\tPRP$\tB-NP\tO' -p105864 -aS'dry\tdry\tJJ\tI-NP\tO' -p105865 -aS'weight\tweight\tNN\tI-NP\tO' -p105866 -aS'is\tbe\tVBZ\tB-VP\tO' -p105867 -aS'70.4\t70.4\tCD\tB-NP\tO' -p105868 -aS'kg\tkg\tNN\tI-NP\tO' -p105869 -aS'.\t.\t.\tO\tO' -p105870 -asS'Compared to the previous tracing of 2017-10-12 multiple abnormalities as previously noted persist without major change .' -p105871 -(lp105872 -S'Compared\tCompare\tVBN\tB-PP\tO' -p105873 -aS'to\tto\tTO\tB-PP\tO' -p105874 -aS'the\tthe\tDT\tB-NP\tO' -p105875 -aS'previous\tprevious\tJJ\tI-NP\tO' -p105876 -aS'tracing\ttracing\tNN\tI-NP\tO' -p105877 -aS'of\tof\tIN\tB-PP\tO' -p105878 -aS'2017-10-12\t2017-10-12\tCD\tB-NP\tO' -p105879 -aS'multiple\tmultiple\tJJ\tI-NP\tO' -p105880 -aS'abnormalities\tabnormality\tNNS\tI-NP\tO' -p105881 -aS'as\tas\tIN\tB-PP\tO' -p105882 -aS'previously\tpreviously\tRB\tB-NP\tO' -p105883 -aS'noted\tnote\tVBN\tI-NP\tO' -p105884 -aS'persist\tpersist\tNN\tI-NP\tO' -p105885 -aS'without\twithout\tIN\tB-PP\tO' -p105886 -aS'major\tmajor\tJJ\tB-NP\tO' -p105887 -aS'change\tchange\tNN\tI-NP\tO' -p105888 -aS'.\t.\t.\tO\tO' -p105889 -asS'LEFT RENAL MASS .' -p105890 -(lp105891 -S'LEFT\tLEFT\tNN\tB-NP\tO' -p105892 -aS'RENAL\tRENAL\tNN\tI-NP\tO' -p105893 -aS'MASS\tMASS\tNN\tI-NP\tO' -p105894 -aS'.\t.\t.\tO\tO' -p105895 -asS'Despite this , she continued to worsen and became febrile .' -p105896 -(lp105897 -S'Despite\tDespite\tIN\tB-PP\tO' -p105898 -aS'this\tthis\tDT\tB-NP\tO' -p105899 -aS',\t,\t,\tO\tO' -p105900 -aS'she\tshe\tPRP\tB-NP\tO' -p105901 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p105902 -aS'to\tto\tTO\tI-VP\tO' -p105903 -aS'worsen\tworsen\tVB\tI-VP\tO' -p105904 -aS'and\tand\tCC\tO\tO' -p105905 -aS'became\tbecome\tVBD\tB-VP\tO' -p105906 -aS'febrile\tfebrile\tNN\tB-NP\tO' -p105907 -aS'.\t.\t.\tO\tO' -p105908 -asS'The patient may resume a Heart Healthy Diet .' -p105909 -(lp105910 -S'The\tThe\tDT\tB-NP\tO' -p105911 -aS'patient\tpatient\tNN\tI-NP\tO' -p105912 -aS'may\tmay\tMD\tB-VP\tO' -p105913 -aS'resume\tresume\tVB\tI-VP\tO' -p105914 -aS'a\ta\tDT\tB-NP\tO' -p105915 -aS'Heart\tHeart\tNNP\tI-NP\tO' -p105916 -aS'Healthy\tHealthy\tNNP\tI-NP\tO' -p105917 -aS'Diet\tDiet\tNNP\tI-NP\tO' -p105918 -aS'.\t.\t.\tO\tO' -p105919 -asS'No definite tamponade physiology .' -p105920 -(lp105921 -S'No\tNo\tDT\tB-NP\tO' -p105922 -aS'definite\tdefinite\tJJ\tI-NP\tO' -p105923 -aS'tamponade\ttamponade\tNN\tI-NP\tO' -p105924 -aS'physiology\tphysiology\tNN\tI-NP\tO' -p105925 -aS'.\t.\t.\tO\tO' -p105926 -asS'05-12- Urine culture : no growth ( final )' -p105927 -(lp105928 -S'05-12-\t05-12-\tCD\tB-NP\tO' -p105929 -aS'Urine\tUrine\tNNP\tI-NP\tO' -p105930 -aS'culture\tculture\tNN\tI-NP\tO' -p105931 -aS':\t:\t:\tO\tO' -p105932 -aS'no\tno\tDT\tB-NP\tO' -p105933 -aS'growth\tgrowth\tNN\tI-NP\tO' -p105934 -aS'(\t(\t(\tO\tO' -p105935 -aS'final\tfinal\tJJ\tB-ADJP\tO' -p105936 -aS')\t)\t)\tO\tO' -p105937 -asS'The patient is allergic to Hydralazine , codeine , ace inhibitors , Nifedipine and Percocet .' -p105938 -(lp105939 -S'The\tThe\tDT\tB-NP\tO' -p105940 -aS'patient\tpatient\tNN\tI-NP\tO' -p105941 -aS'is\tbe\tVBZ\tB-VP\tO' -p105942 -aS'allergic\tallergic\tJJ\tB-ADJP\tO' -p105943 -aS'to\tto\tTO\tB-PP\tO' -p105944 -aS'Hydralazine\tHydralazine\tNN\tB-NP\tO' -p105945 -aS',\t,\t,\tO\tO' -p105946 -aS'codeine\tcodeine\tNN\tB-NP\tO' -p105947 -aS',\t,\t,\tO\tO' -p105948 -aS'ace\tace\tNN\tB-NP\tO' -p105949 -aS'inhibitors\tinhibitor\tNNS\tI-NP\tO' -p105950 -aS',\t,\t,\tO\tO' -p105951 -aS'Nifedipine\tNifedipine\tNNP\tB-NP\tO' -p105952 -aS'and\tand\tCC\tI-NP\tO' -p105953 -aS'Percocet\tPercocet\tNNP\tI-NP\tO' -p105954 -aS'.\t.\t.\tO\tO' -p105955 -asS'Patient 's problem started four years ago when she first experienced a pushing forward of her uterus .' -p105956 -(lp105957 -S'Patient\tPatient\tNN\tB-NP\tO' -p105958 -aS''s\t'\tNNS\tI-NP\tO' -p105959 -aS'problem\tproblem\tNN\tI-NP\tO' -p105960 -aS'started\tstart\tVBD\tB-VP\tO' -p105961 -aS'four\tfour\tCD\tB-NP\tO' -p105962 -aS'years\tyear\tNNS\tI-NP\tO' -p105963 -aS'ago\tago\tRB\tB-ADVP\tO' -p105964 -aS'when\twhen\tWRB\tB-ADVP\tO' -p105965 -aS'she\tshe\tPRP\tB-NP\tO' -p105966 -aS'first\tfirst\tRB\tB-ADVP\tO' -p105967 -aS'experienced\texperience\tVBD\tB-VP\tO' -p105968 -aS'a\ta\tDT\tB-NP\tO' -p105969 -aS'pushing\tpush\tVBG\tI-NP\tO' -p105970 -aS'forward\tforward\tRB\tB-ADVP\tO' -p105971 -aS'of\tof\tIN\tB-PP\tO' -p105972 -aS'her\ther\tPRP$\tB-NP\tO' -p105973 -aS'uterus\tuterus\tNN\tI-NP\tO' -p105974 -aS'.\t.\t.\tO\tO' -p105975 -asS'This resolved that same day .' -p105976 -(lp105977 -S'This\tThis\tDT\tB-NP\tO' -p105978 -aS'resolved\tresolve\tVBD\tB-VP\tO' -p105979 -aS'that\tthat\tIN\tB-SBAR\tO' -p105980 -aS'same\tsame\tJJ\tB-NP\tO' -p105981 -aS'day\tday\tNN\tI-NP\tO' -p105982 -aS'.\t.\t.\tO\tO' -p105983 -asS'Neck : No Donna , normal thyroid contour' -p105984 -(lp105985 -S'Neck\tNeck\tNN\tB-NP\tO' -p105986 -aS':\t:\t:\tO\tO' -p105987 -aS'No\tNo\tNNP\tB-NP\tO' -p105988 -aS'Donna\tDonna\tNNP\tI-NP\tO' -p105989 -aS',\t,\t,\tO\tO' -p105990 -aS'normal\tnormal\tJJ\tB-NP\tO' -p105991 -aS'thyroid\tthyroid\tNN\tI-NP\tO' -p105992 -aS'contour\tcontour\tNN\tI-NP\tO' -p105993 -asS'There is no erythema .' -p105994 -(lp105995 -S'There\tThere\tEX\tB-NP\tO' -p105996 -aS'is\tbe\tVBZ\tB-VP\tO' -p105997 -aS'no\tno\tDT\tB-NP\tO' -p105998 -aS'erythema\terythema\tNN\tI-NP\tO' -p105999 -aS'.\t.\t.\tO\tO' -p106000 -asS'V4 through V6 .' -p106001 -(lp106002 -S'V4\tV4\tNN\tB-NP\tO' -p106003 -aS'through\tthrough\tIN\tB-PP\tO' -p106004 -aS'V6\tV6\tNN\tB-NP\tB-protein' -p106005 -aS'.\t.\t.\tO\tO' -p106006 -asS'No driving for 6 weeks .' -p106007 -(lp106008 -S'No\tNo\tDT\tB-NP\tO' -p106009 -aS'driving\tdriving\tNN\tI-NP\tO' -p106010 -aS'for\tfor\tIN\tB-PP\tO' -p106011 -aS'6\t6\tCD\tB-NP\tO' -p106012 -aS'weeks\tweek\tNNS\tI-NP\tO' -p106013 -aS'.\t.\t.\tO\tO' -p106014 -asS'Abdomen soft , non distended , nontender .' -p106015 -(lp106016 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p106017 -aS'soft\tsoft\tJJ\tI-NP\tO' -p106018 -aS',\t,\t,\tI-NP\tO' -p106019 -aS'non\tnon\tJJ\tI-NP\tO' -p106020 -aS'distended\tdistend\tVBN\tI-NP\tO' -p106021 -aS',\t,\t,\tI-NP\tO' -p106022 -aS'nontender\tnontender\tNN\tI-NP\tO' -p106023 -aS'.\t.\t.\tO\tO' -p106024 -asS'No new hemorrhage is observed .' -p106025 -(lp106026 -S'No\tNo\tDT\tB-NP\tO' -p106027 -aS'new\tnew\tJJ\tI-NP\tO' -p106028 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p106029 -aS'is\tbe\tVBZ\tB-VP\tO' -p106030 -aS'observed\tobserve\tVBN\tI-VP\tO' -p106031 -aS'.\t.\t.\tO\tO' -p106032 -asS'With the history of DVT , we plan Coumadin and check her coags .' -p106033 -(lp106034 -S'With\tWith\tIN\tB-PP\tO' -p106035 -aS'the\tthe\tDT\tB-NP\tO' -p106036 -aS'history\thistory\tNN\tI-NP\tO' -p106037 -aS'of\tof\tIN\tB-PP\tO' -p106038 -aS'DVT\tDVT\tNN\tB-NP\tO' -p106039 -aS',\t,\t,\tO\tO' -p106040 -aS'we\twe\tPRP\tB-NP\tO' -p106041 -aS'plan\tplan\tVBP\tB-VP\tO' -p106042 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p106043 -aS'and\tand\tCC\tO\tO' -p106044 -aS'check\tcheck\tVB\tB-VP\tO' -p106045 -aS'her\ther\tPRP$\tB-NP\tO' -p106046 -aS'coags\tcoag\tNNS\tI-NP\tO' -p106047 -aS'.\t.\t.\tO\tO' -p106048 -asS'16. Olanzapine 5 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) as needed for confusion .' -p106049 -(lp106050 -S'16.\t16.\tCD\tB-NP\tO' -p106051 -aS'Olanzapine\tOlanzapine\tNN\tI-NP\tO' -p106052 -aS'5\t5\tCD\tB-NP\tO' -p106053 -aS'mg\tmg\tNN\tI-NP\tO' -p106054 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p106055 -aS'Sig\tSig\tNNP\tI-NP\tO' -p106056 -aS':\t:\t:\tO\tO' -p106057 -aS'One\tOne\tCD\tB-NP\tO' -p106058 -aS'(\t(\t(\tO\tO' -p106059 -aS'1\t1\tCD\tB-NP\tO' -p106060 -aS')\t)\t)\tO\tO' -p106061 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p106062 -aS'PO\tPO\tNN\tI-NP\tO' -p106063 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p106064 -aS'(\t(\t(\tO\tO' -p106065 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p106066 -aS')\t)\t)\tO\tO' -p106067 -aS'as\tas\tIN\tB-SBAR\tO' -p106068 -aS'needed\tneed\tVBN\tB-VP\tO' -p106069 -aS'for\tfor\tIN\tB-PP\tO' -p106070 -aS'confusion\tconfusion\tNN\tB-NP\tO' -p106071 -aS'.\t.\t.\tO\tO' -p106072 -asS'The lung apices are clear without pneumothorax .' -p106073 -(lp106074 -S'The\tThe\tDT\tB-NP\tO' -p106075 -aS'lung\tlung\tNN\tI-NP\tO' -p106076 -aS'apices\tapex\tNNS\tI-NP\tO' -p106077 -aS'are\tbe\tVBP\tB-VP\tO' -p106078 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p106079 -aS'without\twithout\tIN\tB-PP\tO' -p106080 -aS'pneumothorax\tpneumothorax\tNN\tB-NP\tO' -p106081 -aS'.\t.\t.\tO\tO' -p106082 -asS'This infant emerged with Apgars of 8 at one minute and 8 at five minutes .' -p106083 -(lp106084 -S'This\tThis\tDT\tB-NP\tO' -p106085 -aS'infant\tinfant\tNN\tI-NP\tO' -p106086 -aS'emerged\temerge\tVBD\tB-VP\tO' -p106087 -aS'with\twith\tIN\tB-PP\tO' -p106088 -aS'Apgars\tApgar\tNNS\tB-NP\tO' -p106089 -aS'of\tof\tIN\tB-PP\tO' -p106090 -aS'8\t8\tCD\tB-NP\tO' -p106091 -aS'at\tat\tIN\tB-PP\tO' -p106092 -aS'one\tone\tCD\tB-NP\tO' -p106093 -aS'minute\tminute\tNN\tI-NP\tO' -p106094 -aS'and\tand\tCC\tO\tO' -p106095 -aS'8\t8\tCD\tB-NP\tO' -p106096 -aS'at\tat\tIN\tB-PP\tO' -p106097 -aS'five\tfive\tCD\tB-NP\tO' -p106098 -aS'minutes\tminute\tNNS\tI-NP\tO' -p106099 -aS'.\t.\t.\tO\tO' -p106100 -asS'Social hx : came to the States 10 yrs ago with his wife .' -p106101 -(lp106102 -S'Social\tSocial\tJJ\tB-NP\tO' -p106103 -aS'hx\thx\tNN\tI-NP\tO' -p106104 -aS':\t:\t:\tO\tO' -p106105 -aS'came\tcome\tVBD\tB-VP\tO' -p106106 -aS'to\tto\tTO\tB-PP\tO' -p106107 -aS'the\tthe\tDT\tB-NP\tO' -p106108 -aS'States\tState\tNNPS\tI-NP\tB-protein' -p106109 -aS'10\t10\tCD\tI-NP\tI-protein' -p106110 -aS'yrs\tyr\tNNS\tI-NP\tI-protein' -p106111 -aS'ago\tago\tRB\tB-ADVP\tO' -p106112 -aS'with\twith\tIN\tB-PP\tO' -p106113 -aS'his\this\tPRP$\tB-NP\tO' -p106114 -aS'wife\twife\tNN\tI-NP\tO' -p106115 -aS'.\t.\t.\tO\tO' -p106116 -asS'Sensory exam was not remarkable , cerebellar exam was not possible .' -p106117 -(lp106118 -S'Sensory\tSensory\tJJ\tB-NP\tO' -p106119 -aS'exam\texam\tNN\tI-NP\tO' -p106120 -aS'was\tbe\tVBD\tB-VP\tO' -p106121 -aS'not\tnot\tRB\tO\tO' -p106122 -aS'remarkable\tremarkable\tJJ\tB-NP\tO' -p106123 -aS',\t,\t,\tI-NP\tO' -p106124 -aS'cerebellar\tcerebellar\tJJ\tI-NP\tO' -p106125 -aS'exam\texam\tNN\tI-NP\tO' -p106126 -aS'was\tbe\tVBD\tB-VP\tO' -p106127 -aS'not\tnot\tRB\tO\tO' -p106128 -aS'possible\tpossible\tJJ\tB-ADJP\tO' -p106129 -aS'.\t.\t.\tO\tO' -p106130 -asS'2. Metoprolol 37.5 mg p.o. twice a day .' -p106131 -(lp106132 -S'2.\t2.\tLS\tB-NP\tO' -p106133 -aS'Metoprolol\tMetoprolol\tNN\tI-NP\tO' -p106134 -aS'37.5\t37.5\tCD\tI-NP\tO' -p106135 -aS'mg\tmg\tNN\tI-NP\tO' -p106136 -aS'p.o.\tp.o.\tRB\tB-NP\tO' -p106137 -aS'twice\ttwice\tRB\tI-NP\tO' -p106138 -aS'a\ta\tDT\tI-NP\tO' -p106139 -aS'day\tday\tNN\tI-NP\tO' -p106140 -aS'.\t.\t.\tO\tO' -p106141 -asS'The patient was in her usual state of health until four days prior to admission when she had a cholecystectomy .' -p106142 -(lp106143 -S'The\tThe\tDT\tB-NP\tO' -p106144 -aS'patient\tpatient\tNN\tI-NP\tO' -p106145 -aS'was\tbe\tVBD\tB-VP\tO' -p106146 -aS'in\tin\tIN\tB-PP\tO' -p106147 -aS'her\ther\tPRP$\tB-NP\tO' -p106148 -aS'usual\tusual\tJJ\tI-NP\tO' -p106149 -aS'state\tstate\tNN\tI-NP\tO' -p106150 -aS'of\tof\tIN\tB-PP\tO' -p106151 -aS'health\thealth\tNN\tB-NP\tO' -p106152 -aS'until\tuntil\tIN\tB-PP\tO' -p106153 -aS'four\tfour\tCD\tB-NP\tO' -p106154 -aS'days\tday\tNNS\tI-NP\tO' -p106155 -aS'prior\tprior\tRB\tB-ADVP\tO' -p106156 -aS'to\tto\tTO\tB-PP\tO' -p106157 -aS'admission\tadmission\tNN\tB-NP\tO' -p106158 -aS'when\twhen\tWRB\tB-ADVP\tO' -p106159 -aS'she\tshe\tPRP\tB-NP\tO' -p106160 -aS'had\thave\tVBD\tB-VP\tO' -p106161 -aS'a\ta\tDT\tB-NP\tO' -p106162 -aS'cholecystectomy\tcholecystectomy\tNN\tI-NP\tO' -p106163 -aS'.\t.\t.\tO\tO' -p106164 -asS'3. Small amount of ascites , somewhat increased anterior to the liver .' -p106165 -(lp106166 -S'3.\t3.\tLS\tB-NP\tO' -p106167 -aS'Small\tSmall\tJJ\tI-NP\tO' -p106168 -aS'amount\tamount\tNN\tI-NP\tO' -p106169 -aS'of\tof\tIN\tB-PP\tO' -p106170 -aS'ascites\tascite\tNNS\tB-NP\tO' -p106171 -aS',\t,\t,\tO\tO' -p106172 -aS'somewhat\tsomewhat\tRB\tB-ADVP\tO' -p106173 -aS'increased\tincrease\tVBD\tB-VP\tO' -p106174 -aS'anterior\tanterior\tRB\tB-ADVP\tO' -p106175 -aS'to\tto\tTO\tB-PP\tO' -p106176 -aS'the\tthe\tDT\tB-NP\tO' -p106177 -aS'liver\tliver\tNN\tI-NP\tO' -p106178 -aS'.\t.\t.\tO\tO' -p106179 -asS'2. Open fracture of the femur .' -p106180 -(lp106181 -S'2.\t2.\tLS\tB-NP\tO' -p106182 -aS'Open\tOpen\tNN\tI-NP\tO' -p106183 -aS'fracture\tfracture\tNN\tI-NP\tO' -p106184 -aS'of\tof\tIN\tB-PP\tO' -p106185 -aS'the\tthe\tDT\tB-NP\tO' -p106186 -aS'femur\tfemur\tNN\tI-NP\tO' -p106187 -aS'.\t.\t.\tO\tO' -p106188 -asS'7. Plavix 75 milligrams po q day times three months .' -p106189 -(lp106190 -S'7.\t7.\tCD\tB-NP\tO' -p106191 -aS'Plavix\tPlavix\tNN\tI-NP\tO' -p106192 -aS'75\t75\tCD\tB-NP\tO' -p106193 -aS'milligrams\tmilligram\tNNS\tI-NP\tO' -p106194 -aS'po\tpo\tVBP\tB-VP\tO' -p106195 -aS'q\tq\tNN\tB-NP\tO' -p106196 -aS'day\tday\tNN\tI-NP\tO' -p106197 -aS'times\ttime\tNNS\tI-NP\tO' -p106198 -aS'three\tthree\tCD\tB-NP\tO' -p106199 -aS'months\tmonth\tNNS\tI-NP\tO' -p106200 -aS'.\t.\t.\tO\tO' -p106201 -asS'Vaginal Delivery With Second Degree Laceration' -p106202 -(lp106203 -S'Vaginal\tVaginal\tNNP\tB-NP\tO' -p106204 -aS'Delivery\tDelivery\tNNP\tI-NP\tO' -p106205 -aS'With\tWith\tIN\tB-PP\tO' -p106206 -aS'Second\tSecond\tNNP\tB-NP\tO' -p106207 -aS'Degree\tDegree\tNNP\tI-NP\tO' -p106208 -aS'Laceration\tLaceration\tNNP\tI-NP\tO' -p106209 -asS'Dictated By : Pamela F. Williams , M.D.' -p106210 -(lp106211 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p106212 -aS'By\tBy\tIN\tB-PP\tO' -p106213 -aS':\t:\t:\tO\tO' -p106214 -aS'Pamela\tPamela\tNNP\tB-NP\tO' -p106215 -aS'F.\tF.\tNNP\tI-NP\tO' -p106216 -aS'Williams\tWilliams\tNNP\tI-NP\tO' -p106217 -aS',\t,\t,\tO\tO' -p106218 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p106219 -asS'Blunting of left CPA likely effusion .' -p106220 -(lp106221 -S'Blunting\tBlunting\tNN\tB-NP\tO' -p106222 -aS'of\tof\tIN\tB-PP\tO' -p106223 -aS'left\tleft\tJJ\tB-NP\tO' -p106224 -aS'CPA\tCPA\tNN\tI-NP\tO' -p106225 -aS'likely\tlikely\tJJ\tI-NP\tO' -p106226 -aS'effusion\teffusion\tNN\tI-NP\tO' -p106227 -aS'.\t.\t.\tO\tO' -p106228 -asS'The patient is on Ciprofloxacin .' -p106229 -(lp106230 -S'The\tThe\tDT\tB-NP\tO' -p106231 -aS'patient\tpatient\tNN\tI-NP\tO' -p106232 -aS'is\tbe\tVBZ\tB-VP\tO' -p106233 -aS'on\ton\tIN\tB-PP\tO' -p106234 -aS'Ciprofloxacin\tCiprofloxacin\tNN\tB-NP\tO' -p106235 -aS'.\t.\t.\tO\tO' -p106236 -asS'Appropriate follow up appointments are recommended as well as prescriptions .' -p106237 -(lp106238 -S'Appropriate\tAppropriate\tJJ\tB-NP\tO' -p106239 -aS'follow\tfollow\tNN\tI-NP\tO' -p106240 -aS'up\tup\tRP\tB-PRT\tO' -p106241 -aS'appointments\tappointment\tNNS\tB-NP\tO' -p106242 -aS'are\tbe\tVBP\tB-VP\tO' -p106243 -aS'recommended\trecommend\tVBN\tI-VP\tO' -p106244 -aS'as\tas\tRB\tB-CONJP\tO' -p106245 -aS'well\twell\tRB\tI-CONJP\tO' -p106246 -aS'as\tas\tIN\tI-CONJP\tO' -p106247 -aS'prescriptions\tprescription\tNNS\tB-NP\tO' -p106248 -aS'.\t.\t.\tO\tO' -p106249 -asS'Postoperatively , the patient did extremely well .' -p106250 -(lp106251 -S'Postoperatively\tPostoperatively\tRB\tB-ADVP\tO' -p106252 -aS',\t,\t,\tO\tO' -p106253 -aS'the\tthe\tDT\tB-NP\tO' -p106254 -aS'patient\tpatient\tNN\tI-NP\tO' -p106255 -aS'did\tdo\tVBD\tB-VP\tO' -p106256 -aS'extremely\textremely\tRB\tB-ADVP\tO' -p106257 -aS'well\twell\tRB\tI-ADVP\tO' -p106258 -aS'.\t.\t.\tO\tO' -p106259 -asS'Mr. Jackson is a 63-year-old male with squamous cell carcinoma of the floor of mouth ( stage T2 N0 ) that was biopsied by his dentist .' -p106260 -(lp106261 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p106262 -aS'Jackson\tJackson\tNNP\tI-NP\tO' -p106263 -aS'is\tbe\tVBZ\tB-VP\tO' -p106264 -aS'a\ta\tDT\tB-NP\tO' -p106265 -aS'63-year-old\t63-year-old\tJJ\tI-NP\tO' -p106266 -aS'male\tmale\tNN\tI-NP\tO' -p106267 -aS'with\twith\tIN\tB-PP\tO' -p106268 -aS'squamous\tsquamous\tJJ\tB-NP\tO' -p106269 -aS'cell\tcell\tNN\tI-NP\tO' -p106270 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p106271 -aS'of\tof\tIN\tB-PP\tO' -p106272 -aS'the\tthe\tDT\tB-NP\tO' -p106273 -aS'floor\tfloor\tNN\tI-NP\tO' -p106274 -aS'of\tof\tIN\tB-PP\tO' -p106275 -aS'mouth\tmouth\tNN\tB-NP\tO' -p106276 -aS'(\t(\t(\tO\tO' -p106277 -aS'stage\tstage\tNN\tB-NP\tO' -p106278 -aS'T2\tT2\tNN\tI-NP\tO' -p106279 -aS'N0\tN0\tNN\tI-NP\tO' -p106280 -aS')\t)\t)\tO\tO' -p106281 -aS'that\tthat\tWDT\tB-NP\tO' -p106282 -aS'was\tbe\tVBD\tB-VP\tO' -p106283 -aS'biopsied\tbiopsie\tVBN\tI-VP\tO' -p106284 -aS'by\tby\tIN\tB-PP\tO' -p106285 -aS'his\this\tPRP$\tB-NP\tO' -p106286 -aS'dentist\tdentist\tNN\tI-NP\tO' -p106287 -aS'.\t.\t.\tO\tO' -p106288 -asS'On the right side , 2+ femoral , popliteal , DP , PT , and radial ; on the left side , 2+ femoral , popliteal , DP , PT , and radial .' -p106289 -(lp106290 -S'On\tOn\tIN\tB-PP\tO' -p106291 -aS'the\tthe\tDT\tB-NP\tO' -p106292 -aS'right\tright\tJJ\tI-NP\tO' -p106293 -aS'side\tside\tNN\tI-NP\tO' -p106294 -aS',\t,\t,\tO\tO' -p106295 -aS'2+\t2+\tJJ\tB-NP\tO' -p106296 -aS'femoral\tfemoral\tJJ\tI-NP\tO' -p106297 -aS',\t,\t,\tI-NP\tO' -p106298 -aS'popliteal\tpopliteal\tNN\tI-NP\tO' -p106299 -aS',\t,\t,\tO\tO' -p106300 -aS'DP\tDP\tNN\tB-NP\tO' -p106301 -aS',\t,\t,\tO\tO' -p106302 -aS'PT\tPT\tNN\tB-NP\tO' -p106303 -aS',\t,\t,\tO\tO' -p106304 -aS'and\tand\tCC\tO\tO' -p106305 -aS'radial\tradial\tNN\tB-NP\tO' -p106306 -aS';\t;\t:\tO\tO' -p106307 -aS'on\ton\tIN\tB-PP\tO' -p106308 -aS'the\tthe\tDT\tB-NP\tO' -p106309 -aS'left\tleft\tJJ\tI-NP\tO' -p106310 -aS'side\tside\tNN\tI-NP\tO' -p106311 -aS',\t,\t,\tO\tO' -p106312 -aS'2+\t2+\tJJ\tB-NP\tO' -p106313 -aS'femoral\tfemoral\tJJ\tI-NP\tO' -p106314 -aS',\t,\t,\tI-NP\tO' -p106315 -aS'popliteal\tpopliteal\tNN\tI-NP\tO' -p106316 -aS',\t,\t,\tO\tO' -p106317 -aS'DP\tDP\tNN\tB-NP\tO' -p106318 -aS',\t,\t,\tO\tO' -p106319 -aS'PT\tPT\tNN\tB-NP\tO' -p106320 -aS',\t,\t,\tO\tO' -p106321 -aS'and\tand\tCC\tO\tO' -p106322 -aS'radial\tradial\tNN\tB-NP\tO' -p106323 -aS'.\t.\t.\tO\tO' -p106324 -asS'Creatinine initially presented at 1.3 .' -p106325 -(lp106326 -S'Creatinine\tCreatinine\tNN\tB-NP\tO' -p106327 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p106328 -aS'presented\tpresent\tVBD\tB-VP\tO' -p106329 -aS'at\tat\tIN\tB-PP\tO' -p106330 -aS'1.3\t1.3\tCD\tB-NP\tO' -p106331 -aS'.\t.\t.\tO\tO' -p106332 -asS'Pump : With trace of lower extremity edema .' -p106333 -(lp106334 -S'Pump\tPump\tNN\tB-NP\tO' -p106335 -aS':\t:\t:\tO\tO' -p106336 -aS'With\tWith\tIN\tB-PP\tO' -p106337 -aS'trace\ttrace\tNN\tB-NP\tO' -p106338 -aS'of\tof\tIN\tB-PP\tO' -p106339 -aS'lower\tlow\tJJR\tB-NP\tO' -p106340 -aS'extremity\textremity\tNN\tI-NP\tO' -p106341 -aS'edema\tedema\tNN\tI-NP\tO' -p106342 -aS'.\t.\t.\tO\tO' -p106343 -asS'ongoing grade III rash , involving the hands and feet in addition proteinuria secondary to the Avastin .' -p106344 -(lp106345 -S'ongoing\tongoing\tJJ\tB-NP\tO' -p106346 -aS'grade\tgrade\tNN\tI-NP\tO' -p106347 -aS'III\tIII\tCD\tI-NP\tO' -p106348 -aS'rash\trash\tNN\tI-NP\tO' -p106349 -aS',\t,\t,\tO\tO' -p106350 -aS'involving\tinvolve\tVBG\tB-VP\tO' -p106351 -aS'the\tthe\tDT\tB-NP\tO' -p106352 -aS'hands\thand\tNNS\tI-NP\tO' -p106353 -aS'and\tand\tCC\tI-NP\tO' -p106354 -aS'feet\tfoot\tNNS\tI-NP\tO' -p106355 -aS'in\tin\tIN\tB-PP\tO' -p106356 -aS'addition\taddition\tNN\tB-NP\tO' -p106357 -aS'proteinuria\tproteinuria\tNN\tI-NP\tO' -p106358 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p106359 -aS'to\tto\tTO\tB-PP\tO' -p106360 -aS'the\tthe\tDT\tB-NP\tO' -p106361 -aS'Avastin\tAvastin\tNNP\tI-NP\tO' -p106362 -aS'.\t.\t.\tO\tO' -p106363 -asS'She notes that she has had this pain since Thursday , and that it becomes much worse within 15 min of consuming a meal .' -p106364 -(lp106365 -S'She\tShe\tPRP\tB-NP\tO' -p106366 -aS'notes\tnote\tVBZ\tB-VP\tO' -p106367 -aS'that\tthat\tIN\tB-SBAR\tO' -p106368 -aS'she\tshe\tPRP\tB-NP\tO' -p106369 -aS'has\thave\tVBZ\tB-VP\tO' -p106370 -aS'had\thave\tVBN\tI-VP\tO' -p106371 -aS'this\tthis\tDT\tB-NP\tO' -p106372 -aS'pain\tpain\tNN\tI-NP\tO' -p106373 -aS'since\tsince\tIN\tB-PP\tO' -p106374 -aS'Thursday\tThursday\tNNP\tB-NP\tO' -p106375 -aS',\t,\t,\tO\tO' -p106376 -aS'and\tand\tCC\tO\tO' -p106377 -aS'that\tthat\tIN\tB-SBAR\tO' -p106378 -aS'it\tit\tPRP\tB-NP\tO' -p106379 -aS'becomes\tbecome\tVBZ\tB-VP\tO' -p106380 -aS'much\tmuch\tRB\tB-ADJP\tO' -p106381 -aS'worse\tworse\tJJR\tI-ADJP\tO' -p106382 -aS'within\twithin\tIN\tB-PP\tO' -p106383 -aS'15\t15\tCD\tB-NP\tO' -p106384 -aS'min\tmin\tNN\tI-NP\tO' -p106385 -aS'of\tof\tIN\tB-PP\tO' -p106386 -aS'consuming\tconsume\tVBG\tB-VP\tO' -p106387 -aS'a\ta\tDT\tB-NP\tO' -p106388 -aS'meal\tmeal\tNN\tI-NP\tO' -p106389 -aS'.\t.\t.\tO\tO' -p106390 -asS'PAST MEDICAL HISTORY : Breast cancer diagnosed in 2010 , Stage I , status post left lumpectomy , on 2012-05-08 , and repeat surgery with sentinel node dissection on 2012-06-05 .' -p106391 -(lp106392 -S'PAST\tPAST\tNNP\tB-NP\tO' -p106393 -aS'MEDICAL\tMEDICAL\tNNP\tI-NP\tO' -p106394 -aS'HISTORY\tHISTORY\tNNP\tI-NP\tO' -p106395 -aS':\t:\t:\tO\tO' -p106396 -aS'Breast\tBreast\tNN\tB-NP\tO' -p106397 -aS'cancer\tcancer\tNN\tI-NP\tO' -p106398 -aS'diagnosed\tdiagnose\tVBN\tB-VP\tO' -p106399 -aS'in\tin\tIN\tB-PP\tO' -p106400 -aS'2010\t2010\tCD\tB-NP\tO' -p106401 -aS',\t,\t,\tO\tO' -p106402 -aS'Stage\tStage\tNN\tB-NP\tB-protein' -p106403 -aS'I\tI\tCD\tI-NP\tI-protein' -p106404 -aS',\t,\t,\tO\tO' -p106405 -aS'status\tstatus\tNN\tB-NP\tO' -p106406 -aS'post\tpost\tNN\tI-NP\tO' -p106407 -aS'left\tleave\tVBD\tB-VP\tO' -p106408 -aS'lumpectomy\tlumpectomy\tNN\tB-NP\tO' -p106409 -aS',\t,\t,\tO\tO' -p106410 -aS'on\ton\tIN\tB-PP\tO' -p106411 -aS'2012-05-08\t2012-05-08\tCD\tB-NP\tO' -p106412 -aS',\t,\t,\tO\tO' -p106413 -aS'and\tand\tCC\tO\tO' -p106414 -aS'repeat\trepeat\tNN\tB-NP\tO' -p106415 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p106416 -aS'with\twith\tIN\tB-PP\tO' -p106417 -aS'sentinel\tsentinel\tNN\tB-NP\tO' -p106418 -aS'node\tnode\tNN\tI-NP\tO' -p106419 -aS'dissection\tdissection\tNN\tI-NP\tO' -p106420 -aS'on\ton\tIN\tB-PP\tO' -p106421 -aS'2012-06-05\t2012-06-05\tCD\tB-NP\tO' -p106422 -aS'.\t.\t.\tO\tO' -p106423 -asS'12. Acetaminophen 325 mg to 650 mg p.o. q.four to six hours p.r.n.' -p106424 -(lp106425 -S'12.\t12.\tCD\tB-NP\tO' -p106426 -aS'Acetaminophen\tAcetaminophen\tNN\tI-NP\tO' -p106427 -aS'325\t325\tCD\tB-NP\tO' -p106428 -aS'mg\tmg\tNN\tI-NP\tO' -p106429 -aS'to\tto\tTO\tB-PP\tO' -p106430 -aS'650\t650\tCD\tB-NP\tO' -p106431 -aS'mg\tmg\tNN\tI-NP\tO' -p106432 -aS'p.o.\tp.o.\tRB\tB-NP\tO' -p106433 -aS'q.four\tq.four\tCD\tI-NP\tO' -p106434 -aS'to\tto\tTO\tI-NP\tO' -p106435 -aS'six\tsix\tCD\tI-NP\tO' -p106436 -aS'hours\thour\tNNS\tI-NP\tO' -p106437 -aS'p.r.n.\tp.r.n.\tRB\tB-ADVP\tO' -p106438 -asS'A complete blood count had a white blood cell count of 13,800 with 17% polys , 0% bands .' -p106439 -(lp106440 -S'A\tA\tDT\tB-NP\tO' -p106441 -aS'complete\tcomplete\tJJ\tI-NP\tO' -p106442 -aS'blood\tblood\tNN\tI-NP\tO' -p106443 -aS'count\tcount\tNN\tI-NP\tO' -p106444 -aS'had\thave\tVBD\tB-VP\tO' -p106445 -aS'a\ta\tDT\tB-NP\tO' -p106446 -aS'white\twhite\tJJ\tI-NP\tO' -p106447 -aS'blood\tblood\tNN\tI-NP\tO' -p106448 -aS'cell\tcell\tNN\tI-NP\tO' -p106449 -aS'count\tcount\tNN\tI-NP\tO' -p106450 -aS'of\tof\tIN\tB-PP\tO' -p106451 -aS'13,800\t13,800\tCD\tB-NP\tO' -p106452 -aS'with\twith\tIN\tB-PP\tO' -p106453 -aS'17%\t17%\tNN\tB-NP\tO' -p106454 -aS'polys\tpoly\tNNS\tI-NP\tO' -p106455 -aS',\t,\t,\tO\tO' -p106456 -aS'0%\t0%\tCD\tB-NP\tO' -p106457 -aS'bands\tband\tNNS\tI-NP\tO' -p106458 -aS'.\t.\t.\tO\tO' -p106459 -asS'She had some mental status changes with confusion and hallucinations on 06/18 originating from narcotics versus decreased pO2 .' -p106460 -(lp106461 -S'She\tShe\tPRP\tB-NP\tO' -p106462 -aS'had\thave\tVBD\tB-VP\tO' -p106463 -aS'some\tsome\tDT\tB-NP\tO' -p106464 -aS'mental\tmental\tJJ\tI-NP\tO' -p106465 -aS'status\tstatus\tNN\tI-NP\tO' -p106466 -aS'changes\tchange\tNNS\tI-NP\tO' -p106467 -aS'with\twith\tIN\tB-PP\tO' -p106468 -aS'confusion\tconfusion\tNN\tB-NP\tO' -p106469 -aS'and\tand\tCC\tI-NP\tO' -p106470 -aS'hallucinations\thallucination\tNNS\tI-NP\tO' -p106471 -aS'on\ton\tIN\tB-PP\tO' -p106472 -aS'06/18\t06/18\tCD\tB-NP\tO' -p106473 -aS'originating\toriginate\tVBG\tB-VP\tO' -p106474 -aS'from\tfrom\tIN\tB-PP\tO' -p106475 -aS'narcotics\tnarcotic\tNNS\tB-NP\tO' -p106476 -aS'versus\tversus\tIN\tB-PP\tO' -p106477 -aS'decreased\tdecrease\tVBN\tB-NP\tO' -p106478 -aS'pO2\tpO2\tNN\tI-NP\tO' -p106479 -aS'.\t.\t.\tO\tO' -p106480 -asS'6. Captopril 25 mg po tid .' -p106481 -(lp106482 -S'6.\t6.\tCD\tB-NP\tO' -p106483 -aS'Captopril\tCaptopril\tNNP\tI-NP\tO' -p106484 -aS'25\t25\tCD\tI-NP\tO' -p106485 -aS'mg\tmg\tNN\tI-NP\tO' -p106486 -aS'po\tpo\tNN\tI-NP\tO' -p106487 -aS'tid\ttid\tNN\tI-NP\tO' -p106488 -aS'.\t.\t.\tO\tO' -p106489 -asS'Half pack per day of tobacco times 20 years , alcohol about two 24 ounce beers per week .' -p106490 -(lp106491 -S'Half\tHalf\tNN\tB-NP\tO' -p106492 -aS'pack\tpack\tNN\tI-NP\tO' -p106493 -aS'per\tper\tIN\tB-PP\tO' -p106494 -aS'day\tday\tNN\tB-NP\tO' -p106495 -aS'of\tof\tIN\tB-PP\tO' -p106496 -aS'tobacco\ttobacco\tNN\tB-NP\tO' -p106497 -aS'times\ttime\tNNS\tI-NP\tO' -p106498 -aS'20\t20\tCD\tB-NP\tO' -p106499 -aS'years\tyear\tNNS\tI-NP\tO' -p106500 -aS',\t,\t,\tO\tO' -p106501 -aS'alcohol\talcohol\tNN\tB-NP\tO' -p106502 -aS'about\tabout\tIN\tB-PP\tO' -p106503 -aS'two\ttwo\tCD\tB-NP\tO' -p106504 -aS'24\t24\tCD\tI-NP\tO' -p106505 -aS'ounce\tounce\tNN\tI-NP\tO' -p106506 -aS'beers\tbeer\tNNS\tI-NP\tO' -p106507 -aS'per\tper\tIN\tB-PP\tO' -p106508 -aS'week\tweek\tNN\tB-NP\tO' -p106509 -aS'.\t.\t.\tO\tO' -p106510 -asS'He does complain of cold symptoms times one week .' -p106511 -(lp106512 -S'He\tHe\tPRP\tB-NP\tO' -p106513 -aS'does\tdo\tVBZ\tB-VP\tO' -p106514 -aS'complain\tcomplain\tVB\tI-VP\tO' -p106515 -aS'of\tof\tIN\tB-PP\tO' -p106516 -aS'cold\tcold\tJJ\tB-NP\tO' -p106517 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p106518 -aS'times\ttime\tNNS\tI-NP\tO' -p106519 -aS'one\tone\tCD\tB-NP\tO' -p106520 -aS'week\tweek\tNN\tI-NP\tO' -p106521 -aS'.\t.\t.\tO\tO' -p106522 -asS'The patient was admitted for a new pericardial effusion which was felt most likely to be secondary to metastatic cervical cancer .' -p106523 -(lp106524 -S'The\tThe\tDT\tB-NP\tO' -p106525 -aS'patient\tpatient\tNN\tI-NP\tO' -p106526 -aS'was\tbe\tVBD\tB-VP\tO' -p106527 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p106528 -aS'for\tfor\tIN\tB-PP\tO' -p106529 -aS'a\ta\tDT\tB-NP\tO' -p106530 -aS'new\tnew\tJJ\tI-NP\tO' -p106531 -aS'pericardial\tpericardial\tJJ\tI-NP\tO' -p106532 -aS'effusion\teffusion\tNN\tI-NP\tO' -p106533 -aS'which\twhich\tWDT\tB-NP\tO' -p106534 -aS'was\tbe\tVBD\tB-VP\tO' -p106535 -aS'felt\tfeel\tVBN\tI-VP\tO' -p106536 -aS'most\tmost\tRBS\tB-ADJP\tO' -p106537 -aS'likely\tlikely\tJJ\tI-ADJP\tO' -p106538 -aS'to\tto\tTO\tB-VP\tO' -p106539 -aS'be\tbe\tVB\tI-VP\tO' -p106540 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p106541 -aS'to\tto\tTO\tB-PP\tO' -p106542 -aS'metastatic\tmetastatic\tJJ\tB-NP\tO' -p106543 -aS'cervical\tcervical\tJJ\tI-NP\tO' -p106544 -aS'cancer\tcancer\tNN\tI-NP\tO' -p106545 -aS'.\t.\t.\tO\tO' -p106546 -asS'Reflexes were 2+ bilaterally with down going toes .' -p106547 -(lp106548 -S'Reflexes\tReflex\tNNS\tB-NP\tO' -p106549 -aS'were\tbe\tVBD\tB-VP\tO' -p106550 -aS'2+\t2+\tJJ\tB-ADJP\tO' -p106551 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p106552 -aS'with\twith\tIN\tB-PP\tO' -p106553 -aS'down\tdown\tRB\tB-ADVP\tO' -p106554 -aS'going\tgo\tVBG\tB-VP\tO' -p106555 -aS'toes\ttoe\tNNS\tB-NP\tO' -p106556 -aS'.\t.\t.\tO\tO' -p106557 -asS'Primary pediatrician recommended within three days of discharge .' -p106558 -(lp106559 -S'Primary\tPrimary\tJJ\tB-NP\tO' -p106560 -aS'pediatrician\tpediatrician\tNN\tI-NP\tO' -p106561 -aS'recommended\trecommend\tVBD\tB-VP\tO' -p106562 -aS'within\twithin\tIN\tB-PP\tO' -p106563 -aS'three\tthree\tCD\tB-NP\tO' -p106564 -aS'days\tday\tNNS\tI-NP\tO' -p106565 -aS'of\tof\tIN\tB-PP\tO' -p106566 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p106567 -aS'.\t.\t.\tO\tO' -p106568 -asS'Sulfasalazine , prednisone 20 mg q.d. , Naprosyn 500 mg t.i.d. , Zestril 10 mg q.d. , Lopressor 50 mg b.i.d. and iron supplementation .' -p106569 -(lp106570 -S'Sulfasalazine\tSulfasalazine\tNN\tB-NP\tO' -p106571 -aS',\t,\t,\tO\tO' -p106572 -aS'prednisone\tprednisone\tNN\tB-NP\tO' -p106573 -aS'20\t20\tCD\tI-NP\tO' -p106574 -aS'mg\tmg\tNN\tI-NP\tO' -p106575 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p106576 -aS',\t,\t,\tO\tO' -p106577 -aS'Naprosyn\tNaprosyn\tNNP\tB-NP\tO' -p106578 -aS'500\t500\tCD\tI-NP\tO' -p106579 -aS'mg\tmg\tNN\tI-NP\tO' -p106580 -aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' -p106581 -aS',\t,\t,\tO\tO' -p106582 -aS'Zestril\tZestril\tNNP\tB-NP\tO' -p106583 -aS'10\t10\tCD\tI-NP\tO' -p106584 -aS'mg\tmg\tNN\tI-NP\tO' -p106585 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p106586 -aS',\t,\t,\tO\tO' -p106587 -aS'Lopressor\tLopressor\tNNP\tB-NP\tO' -p106588 -aS'50\t50\tCD\tI-NP\tO' -p106589 -aS'mg\tmg\tNN\tI-NP\tO' -p106590 -aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' -p106591 -aS'and\tand\tCC\tO\tO' -p106592 -aS'iron\tiron\tNN\tB-NP\tO' -p106593 -aS'supplementation\tsupplementation\tNN\tI-NP\tO' -p106594 -aS'.\t.\t.\tO\tO' -p106595 -asS'CONDITION ON DISCHARGE : Stable .' -p106596 -(lp106597 -S'CONDITION\tCONDITION\tNN\tB-NP\tO' -p106598 -aS'ON\tON\tNN\tI-NP\tO' -p106599 -aS'DISCHARGE\tDISCHARGE\tNN\tI-NP\tO' -p106600 -aS':\t:\t:\tO\tO' -p106601 -aS'Stable\tStable\tJJ\tB-ADJP\tO' -p106602 -aS'.\t.\t.\tO\tO' -p106603 -asS'No masses or viscera was felt .' -p106604 -(lp106605 -S'No\tNo\tDT\tB-NP\tO' -p106606 -aS'masses\tmass\tNNS\tI-NP\tO' -p106607 -aS'or\tor\tCC\tI-NP\tO' -p106608 -aS'viscera\tviscera\tNN\tI-NP\tO' -p106609 -aS'was\tbe\tVBD\tB-VP\tO' -p106610 -aS'felt\tfeel\tVBN\tI-VP\tO' -p106611 -aS'.\t.\t.\tO\tO' -p106612 -asS'This study was compared to the prior study of 2017-06-01 .' -p106613 -(lp106614 -S'This\tThis\tDT\tB-NP\tO' -p106615 -aS'study\tstudy\tNN\tI-NP\tO' -p106616 -aS'was\tbe\tVBD\tB-VP\tO' -p106617 -aS'compared\tcompare\tVBN\tI-VP\tO' -p106618 -aS'to\tto\tTO\tB-PP\tO' -p106619 -aS'the\tthe\tDT\tB-NP\tO' -p106620 -aS'prior\tprior\tJJ\tI-NP\tO' -p106621 -aS'study\tstudy\tNN\tI-NP\tO' -p106622 -aS'of\tof\tIN\tB-PP\tO' -p106623 -aS'2017-06-01\t2017-06-01\tCD\tB-NP\tO' -p106624 -aS'.\t.\t.\tO\tO' -p106625 -asS'It was decided at that time that the patient could be discharged in follow-up with Vascular Surgery for revascularization and Podiatry thereafter .' -p106626 -(lp106627 -S'It\tIt\tPRP\tB-NP\tO' -p106628 -aS'was\tbe\tVBD\tB-VP\tO' -p106629 -aS'decided\tdecide\tVBN\tI-VP\tO' -p106630 -aS'at\tat\tIN\tB-PP\tO' -p106631 -aS'that\tthat\tDT\tB-NP\tO' -p106632 -aS'time\ttime\tNN\tI-NP\tO' -p106633 -aS'that\tthat\tIN\tB-ADVP\tO' -p106634 -aS'the\tthe\tDT\tB-NP\tO' -p106635 -aS'patient\tpatient\tNN\tI-NP\tO' -p106636 -aS'could\tcould\tMD\tB-VP\tO' -p106637 -aS'be\tbe\tVB\tI-VP\tO' -p106638 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p106639 -aS'in\tin\tIN\tB-PP\tO' -p106640 -aS'follow-up\tfollow-up\tNN\tB-NP\tO' -p106641 -aS'with\twith\tIN\tB-PP\tO' -p106642 -aS'Vascular\tVascular\tJJ\tB-NP\tO' -p106643 -aS'Surgery\tSurgery\tNN\tI-NP\tO' -p106644 -aS'for\tfor\tIN\tB-PP\tO' -p106645 -aS'revascularization\trevascularization\tNN\tB-NP\tO' -p106646 -aS'and\tand\tCC\tI-NP\tO' -p106647 -aS'Podiatry\tPodiatry\tNN\tI-NP\tO' -p106648 -aS'thereafter\tthereafter\tRB\tB-ADVP\tO' -p106649 -aS'.\t.\t.\tO\tO' -p106650 -asS'She was started on Levofloxacin but the patient became hypotensive at that point with blood pressure of 70/45 and received a normal saline bolus to boost her blood pressure to 99/60 ; however the patient was admitted to the Medical Intensive Care Unit for overnight observation because of her somnolence and hypotension .' -p106651 -(lp106652 -S'She\tShe\tPRP\tB-NP\tO' -p106653 -aS'was\tbe\tVBD\tB-VP\tO' -p106654 -aS'started\tstart\tVBN\tI-VP\tO' -p106655 -aS'on\ton\tIN\tB-PP\tO' -p106656 -aS'Levofloxacin\tLevofloxacin\tNN\tB-NP\tO' -p106657 -aS'but\tbut\tCC\tO\tO' -p106658 -aS'the\tthe\tDT\tB-NP\tO' -p106659 -aS'patient\tpatient\tNN\tI-NP\tO' -p106660 -aS'became\tbecome\tVBD\tB-VP\tO' -p106661 -aS'hypotensive\thypotensive\tJJ\tB-ADJP\tO' -p106662 -aS'at\tat\tIN\tB-PP\tO' -p106663 -aS'that\tthat\tDT\tB-NP\tO' -p106664 -aS'point\tpoint\tNN\tI-NP\tO' -p106665 -aS'with\twith\tIN\tB-PP\tO' -p106666 -aS'blood\tblood\tNN\tB-NP\tO' -p106667 -aS'pressure\tpressure\tNN\tI-NP\tO' -p106668 -aS'of\tof\tIN\tB-PP\tO' -p106669 -aS'70/45\t70/45\tCD\tB-NP\tO' -p106670 -aS'and\tand\tCC\tO\tO' -p106671 -aS'received\treceive\tVBD\tB-VP\tO' -p106672 -aS'a\ta\tDT\tB-NP\tO' -p106673 -aS'normal\tnormal\tJJ\tI-NP\tO' -p106674 -aS'saline\tsaline\tNN\tI-NP\tO' -p106675 -aS'bolus\tbolus\tNN\tI-NP\tO' -p106676 -aS'to\tto\tTO\tB-VP\tO' -p106677 -aS'boost\tboost\tVB\tI-VP\tO' -p106678 -aS'her\ther\tPRP$\tB-NP\tO' -p106679 -aS'blood\tblood\tNN\tI-NP\tO' -p106680 -aS'pressure\tpressure\tNN\tI-NP\tO' -p106681 -aS'to\tto\tTO\tB-PP\tO' -p106682 -aS'99/60\t99/60\tCD\tB-NP\tO' -p106683 -aS';\t;\t:\tO\tO' -p106684 -aS'however\thowever\tRB\tB-ADVP\tO' -p106685 -aS'the\tthe\tDT\tB-NP\tO' -p106686 -aS'patient\tpatient\tNN\tI-NP\tO' -p106687 -aS'was\tbe\tVBD\tB-VP\tO' -p106688 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p106689 -aS'to\tto\tTO\tB-PP\tO' -p106690 -aS'the\tthe\tDT\tB-NP\tO' -p106691 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p106692 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p106693 -aS'Care\tCare\tNNP\tI-NP\tO' -p106694 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p106695 -aS'for\tfor\tIN\tB-PP\tO' -p106696 -aS'overnight\tovernight\tJJ\tB-NP\tO' -p106697 -aS'observation\tobservation\tNN\tI-NP\tO' -p106698 -aS'because\tbecause\tIN\tB-PP\tO' -p106699 -aS'of\tof\tIN\tI-PP\tO' -p106700 -aS'her\ther\tPRP$\tB-NP\tO' -p106701 -aS'somnolence\tsomnolence\tNN\tI-NP\tO' -p106702 -aS'and\tand\tCC\tI-NP\tO' -p106703 -aS'hypotension\thypotension\tNN\tI-NP\tO' -p106704 -aS'.\t.\t.\tO\tO' -p106705 -asS'The neurological examination on discharge was no movement in the hand on the left or arm .' -p106706 -(lp106707 -S'The\tThe\tDT\tB-NP\tO' -p106708 -aS'neurological\tneurological\tJJ\tI-NP\tO' -p106709 -aS'examination\texamination\tNN\tI-NP\tO' -p106710 -aS'on\ton\tIN\tB-PP\tO' -p106711 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p106712 -aS'was\tbe\tVBD\tB-VP\tO' -p106713 -aS'no\tno\tDT\tB-NP\tO' -p106714 -aS'movement\tmovement\tNN\tI-NP\tO' -p106715 -aS'in\tin\tIN\tB-PP\tO' -p106716 -aS'the\tthe\tDT\tB-NP\tO' -p106717 -aS'hand\thand\tNN\tI-NP\tO' -p106718 -aS'on\ton\tIN\tB-PP\tO' -p106719 -aS'the\tthe\tDT\tB-NP\tO' -p106720 -aS'left\tleft\tJJ\tI-NP\tO' -p106721 -aS'or\tor\tCC\tI-NP\tO' -p106722 -aS'arm\tarm\tNN\tI-NP\tO' -p106723 -aS'.\t.\t.\tO\tO' -p106724 -asS'Once she was extubated , she was nauseated with emesis .' -p106725 -(lp106726 -S'Once\tOnce\tRB\tO\tO' -p106727 -aS'she\tshe\tPRP\tB-NP\tO' -p106728 -aS'was\tbe\tVBD\tB-VP\tO' -p106729 -aS'extubated\textubate\tVBN\tI-VP\tO' -p106730 -aS',\t,\t,\tO\tO' -p106731 -aS'she\tshe\tPRP\tB-NP\tO' -p106732 -aS'was\tbe\tVBD\tB-VP\tO' -p106733 -aS'nauseated\tnauseate\tVBN\tI-VP\tO' -p106734 -aS'with\twith\tIN\tB-PP\tO' -p106735 -aS'emesis\temesis\tNN\tB-NP\tO' -p106736 -aS'.\t.\t.\tO\tO' -p106737 -asS'nuchal cord , times two .' -p106738 -(lp106739 -S'nuchal\tnuchal\tJJ\tB-NP\tO' -p106740 -aS'cord\tcord\tNN\tI-NP\tO' -p106741 -aS',\t,\t,\tO\tO' -p106742 -aS'times\ttime\tNNS\tB-NP\tO' -p106743 -aS'two\ttwo\tCD\tB-NP\tO' -p106744 -aS'.\t.\t.\tO\tO' -p106745 -asS'The patient was instructed to be vigilant for any fevers or chills .' -p106746 -(lp106747 -S'The\tThe\tDT\tB-NP\tO' -p106748 -aS'patient\tpatient\tNN\tI-NP\tO' -p106749 -aS'was\tbe\tVBD\tB-VP\tO' -p106750 -aS'instructed\tinstruct\tVBN\tI-VP\tO' -p106751 -aS'to\tto\tTO\tI-VP\tO' -p106752 -aS'be\tbe\tVB\tI-VP\tO' -p106753 -aS'vigilant\tvigilant\tJJ\tB-ADJP\tO' -p106754 -aS'for\tfor\tIN\tB-PP\tO' -p106755 -aS'any\tany\tDT\tB-NP\tO' -p106756 -aS'fevers\tfever\tNNS\tI-NP\tO' -p106757 -aS'or\tor\tCC\tI-NP\tO' -p106758 -aS'chills\tchill\tNNS\tI-NP\tO' -p106759 -aS'.\t.\t.\tO\tO' -p106760 -asS'The abdomen was soft and nontender with no masses , no organomegaly .' -p106761 -(lp106762 -S'The\tThe\tDT\tB-NP\tO' -p106763 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p106764 -aS'was\tbe\tVBD\tB-VP\tO' -p106765 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p106766 -aS'and\tand\tCC\tI-ADJP\tO' -p106767 -aS'nontender\tnontender\tJJ\tI-ADJP\tO' -p106768 -aS'with\twith\tIN\tB-PP\tO' -p106769 -aS'no\tno\tDT\tB-NP\tO' -p106770 -aS'masses\tmass\tNNS\tI-NP\tO' -p106771 -aS',\t,\t,\tO\tO' -p106772 -aS'no\tno\tDT\tB-NP\tO' -p106773 -aS'organomegaly\torganomegaly\tNN\tI-NP\tO' -p106774 -aS'.\t.\t.\tO\tO' -p106775 -asS'Subsequently she was extubated on 06-28 .' -p106776 -(lp106777 -S'Subsequently\tSubsequently\tRB\tB-ADVP\tO' -p106778 -aS'she\tshe\tPRP\tB-NP\tO' -p106779 -aS'was\tbe\tVBD\tB-VP\tO' -p106780 -aS'extubated\textubate\tVBN\tI-VP\tO' -p106781 -aS'on\ton\tIN\tB-PP\tO' -p106782 -aS'06-28\t06-28\tCD\tB-NP\tO' -p106783 -aS'.\t.\t.\tO\tO' -p106784 -asS'2. Motrin as needed .' -p106785 -(lp106786 -S'2.\t2.\tLS\tB-NP\tO' -p106787 -aS'Motrin\tMotrin\tNN\tI-NP\tO' -p106788 -aS'as\tas\tIN\tB-SBAR\tO' -p106789 -aS'needed\tneed\tVBN\tB-VP\tO' -p106790 -aS'.\t.\t.\tO\tO' -p106791 -asS'The patient is intubated .' -p106792 -(lp106793 -S'The\tThe\tDT\tB-NP\tO' -p106794 -aS'patient\tpatient\tNN\tI-NP\tO' -p106795 -aS'is\tbe\tVBZ\tB-VP\tO' -p106796 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p106797 -aS'.\t.\t.\tO\tO' -p106798 -asS'POD#7 she was discharged to rehab in stable condition .' -p106799 -(lp106800 -S'POD#7\tPOD#7\tNN\tB-NP\tB-protein' -p106801 -aS'she\tshe\tPRP\tB-NP\tO' -p106802 -aS'was\tbe\tVBD\tB-VP\tO' -p106803 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p106804 -aS'to\tto\tTO\tI-VP\tO' -p106805 -aS'rehab\trehab\tVB\tI-VP\tO' -p106806 -aS'in\tin\tIN\tB-PP\tO' -p106807 -aS'stable\tstable\tJJ\tB-NP\tO' -p106808 -aS'condition\tcondition\tNN\tI-NP\tO' -p106809 -aS'.\t.\t.\tO\tO' -p106810 -asS'Please follow up with Albano , as direct by them , a few days after discharge from the hospital ( ( 371 ) 400 5776 .' -p106811 -(lp106812 -S'Please\tPlease\tVB\tB-VP\tO' -p106813 -aS'follow\tfollow\tVB\tI-VP\tO' -p106814 -aS'up\tup\tRP\tB-PRT\tO' -p106815 -aS'with\twith\tIN\tB-PP\tO' -p106816 -aS'Albano\tAlbano\tNNP\tB-NP\tO' -p106817 -aS',\t,\t,\tO\tO' -p106818 -aS'as\tas\tIN\tB-PP\tO' -p106819 -aS'direct\tdirect\tJJ\tB-ADJP\tO' -p106820 -aS'by\tby\tIN\tB-PP\tO' -p106821 -aS'them\tthem\tPRP\tB-NP\tO' -p106822 -aS',\t,\t,\tO\tO' -p106823 -aS'a\ta\tDT\tB-NP\tO' -p106824 -aS'few\tfew\tJJ\tI-NP\tO' -p106825 -aS'days\tday\tNNS\tI-NP\tO' -p106826 -aS'after\tafter\tIN\tB-PP\tO' -p106827 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p106828 -aS'from\tfrom\tIN\tB-PP\tO' -p106829 -aS'the\tthe\tDT\tB-NP\tO' -p106830 -aS'hospital\thospital\tNN\tI-NP\tO' -p106831 -aS'(\t(\t(\tO\tO' -p106832 -aS'(\t(\t(\tO\tO' -p106833 -aS'371\t371\tCD\tB-NP\tO' -p106834 -aS')\t)\t)\tO\tO' -p106835 -aS'400\t400\tCD\tB-NP\tO' -p106836 -aS'5776\t5776\tCD\tI-NP\tO' -p106837 -aS'.\t.\t.\tO\tO' -p106838 -asS'History of kidney mass .' -p106839 -(lp106840 -S'History\tHistory\tNN\tB-NP\tO' -p106841 -aS'of\tof\tIN\tB-PP\tO' -p106842 -aS'kidney\tkidney\tNN\tB-NP\tO' -p106843 -aS'mass\tmass\tNN\tI-NP\tO' -p106844 -aS'.\t.\t.\tO\tO' -p106845 -asS'The patient was admitted to Vascular Surgery Service as a same day admission , and taken to the operating room for an uncomplicated endovascular repair of his abdominal aortic aneurysm , and Anurx modular bifurcated graft was placed , and both common femoral arteries were repaired in the usual fashion .' -p106846 -(lp106847 -S'The\tThe\tDT\tB-NP\tO' -p106848 -aS'patient\tpatient\tNN\tI-NP\tO' -p106849 -aS'was\tbe\tVBD\tB-VP\tO' -p106850 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p106851 -aS'to\tto\tTO\tB-PP\tO' -p106852 -aS'Vascular\tVascular\tNNP\tB-NP\tO' -p106853 -aS'Surgery\tSurgery\tNNP\tI-NP\tO' -p106854 -aS'Service\tService\tNNP\tI-NP\tO' -p106855 -aS'as\tas\tIN\tB-PP\tO' -p106856 -aS'a\ta\tDT\tB-NP\tO' -p106857 -aS'same\tsame\tJJ\tI-NP\tO' -p106858 -aS'day\tday\tNN\tI-NP\tO' -p106859 -aS'admission\tadmission\tNN\tI-NP\tO' -p106860 -aS',\t,\t,\tO\tO' -p106861 -aS'and\tand\tCC\tO\tO' -p106862 -aS'taken\ttake\tVBN\tB-VP\tO' -p106863 -aS'to\tto\tTO\tB-PP\tO' -p106864 -aS'the\tthe\tDT\tB-NP\tO' -p106865 -aS'operating\toperating\tNN\tI-NP\tO' -p106866 -aS'room\troom\tNN\tI-NP\tO' -p106867 -aS'for\tfor\tIN\tB-PP\tO' -p106868 -aS'an\tan\tDT\tB-NP\tO' -p106869 -aS'uncomplicated\tuncomplicated\tJJ\tI-NP\tO' -p106870 -aS'endovascular\tendovascular\tJJ\tI-NP\tO' -p106871 -aS'repair\trepair\tNN\tI-NP\tO' -p106872 -aS'of\tof\tIN\tB-PP\tO' -p106873 -aS'his\this\tPRP$\tB-NP\tO' -p106874 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p106875 -aS'aortic\taortic\tJJ\tI-NP\tO' -p106876 -aS'aneurysm\taneurysm\tNN\tI-NP\tO' -p106877 -aS',\t,\t,\tO\tO' -p106878 -aS'and\tand\tCC\tO\tO' -p106879 -aS'Anurx\tAnurx\tNN\tB-NP\tO' -p106880 -aS'modular\tmodular\tJJ\tI-NP\tO' -p106881 -aS'bifurcated\tbifurcate\tVBN\tI-NP\tO' -p106882 -aS'graft\tgraft\tNN\tI-NP\tO' -p106883 -aS'was\tbe\tVBD\tB-VP\tO' -p106884 -aS'placed\tplace\tVBN\tI-VP\tO' -p106885 -aS',\t,\t,\tO\tO' -p106886 -aS'and\tand\tCC\tO\tO' -p106887 -aS'both\tboth\tDT\tB-NP\tO' -p106888 -aS'common\tcommon\tJJ\tI-NP\tO' -p106889 -aS'femoral\tfemoral\tJJ\tI-NP\tO' -p106890 -aS'arteries\tartery\tNNS\tI-NP\tO' -p106891 -aS'were\tbe\tVBD\tB-VP\tO' -p106892 -aS'repaired\trepair\tVBN\tI-VP\tO' -p106893 -aS'in\tin\tIN\tB-PP\tO' -p106894 -aS'the\tthe\tDT\tB-NP\tO' -p106895 -aS'usual\tusual\tJJ\tI-NP\tO' -p106896 -aS'fashion\tfashion\tNN\tI-NP\tO' -p106897 -aS'.\t.\t.\tO\tO' -p106898 -asS'The cardiac index was preserved at 3.0 L / min / m2 .' -p106899 -(lp106900 -S'The\tThe\tDT\tB-NP\tO' -p106901 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p106902 -aS'index\tindex\tNN\tI-NP\tO' -p106903 -aS'was\tbe\tVBD\tB-VP\tO' -p106904 -aS'preserved\tpreserve\tVBN\tI-VP\tO' -p106905 -aS'at\tat\tIN\tB-PP\tO' -p106906 -aS'3.0\t3.0\tCD\tB-NP\tO' -p106907 -aS'L\tL\tNN\tI-NP\tO' -p106908 -aS'/\t/\tSYM\tB-NP\tO' -p106909 -aS'min\tmin\tNN\tI-NP\tO' -p106910 -aS'/\t/\tSYM\tI-NP\tO' -p106911 -aS'm2\tm2\tNN\tI-NP\tO' -p106912 -aS'.\t.\t.\tO\tO' -p106913 -asS'He was admitted , taken to the operating room where he underwent L5-S1 right hemilaminectomy and discectomy .' -p106914 -(lp106915 -S'He\tHe\tPRP\tB-NP\tO' -p106916 -aS'was\tbe\tVBD\tB-VP\tO' -p106917 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p106918 -aS',\t,\t,\tO\tO' -p106919 -aS'taken\ttake\tVBN\tB-VP\tO' -p106920 -aS'to\tto\tTO\tB-PP\tO' -p106921 -aS'the\tthe\tDT\tB-NP\tO' -p106922 -aS'operating\toperating\tNN\tI-NP\tO' -p106923 -aS'room\troom\tNN\tI-NP\tO' -p106924 -aS'where\twhere\tWRB\tB-ADVP\tO' -p106925 -aS'he\the\tPRP\tB-NP\tO' -p106926 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p106927 -aS'L5-S1\tL5-S1\tNN\tB-NP\tO' -p106928 -aS'right\tright\tJJ\tI-NP\tO' -p106929 -aS'hemilaminectomy\themilaminectomy\tNN\tI-NP\tO' -p106930 -aS'and\tand\tCC\tI-NP\tO' -p106931 -aS'discectomy\tdiscectomy\tNN\tI-NP\tO' -p106932 -aS'.\t.\t.\tO\tO' -p106933 -asS'The patient is allergic to penicillin , develops a rash .' -p106934 -(lp106935 -S'The\tThe\tDT\tB-NP\tO' -p106936 -aS'patient\tpatient\tNN\tI-NP\tO' -p106937 -aS'is\tbe\tVBZ\tB-VP\tO' -p106938 -aS'allergic\tallergic\tJJ\tB-ADJP\tO' -p106939 -aS'to\tto\tTO\tB-PP\tO' -p106940 -aS'penicillin\tpenicillin\tNN\tB-NP\tB-protein' -p106941 -aS',\t,\t,\tO\tO' -p106942 -aS'develops\tdevelop\tVBZ\tB-VP\tO' -p106943 -aS'a\ta\tDT\tB-NP\tO' -p106944 -aS'rash\trash\tNN\tI-NP\tO' -p106945 -aS'.\t.\t.\tO\tO' -p106946 -asS'He denies auditory , visual or tactile hallucinations .' -p106947 -(lp106948 -S'He\tHe\tPRP\tB-NP\tO' -p106949 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p106950 -aS'auditory\tauditory\tJJ\tB-NP\tO' -p106951 -aS',\t,\t,\tI-NP\tO' -p106952 -aS'visual\tvisual\tJJ\tI-NP\tO' -p106953 -aS'or\tor\tCC\tI-NP\tO' -p106954 -aS'tactile\ttactile\tJJ\tI-NP\tO' -p106955 -aS'hallucinations\thallucination\tNNS\tI-NP\tO' -p106956 -aS'.\t.\t.\tO\tO' -p106957 -asS'The patient was alert and oriented x3 .' -p106958 -(lp106959 -S'The\tThe\tDT\tB-NP\tO' -p106960 -aS'patient\tpatient\tNN\tI-NP\tO' -p106961 -aS'was\tbe\tVBD\tB-VP\tO' -p106962 -aS'alert\talert\tJJ\tB-ADJP\tO' -p106963 -aS'and\tand\tCC\tO\tO' -p106964 -aS'oriented\torient\tVBN\tB-VP\tO' -p106965 -aS'x3\tx3\tNN\tB-NP\tO' -p106966 -aS'.\t.\t.\tO\tO' -p106967 -asS'We continued her albuterol / atrovent nebs , diuresis with IV lasix drip and boluses .' -p106968 -(lp106969 -S'We\tWe\tPRP\tB-NP\tO' -p106970 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p106971 -aS'her\ther\tPRP$\tB-NP\tO' -p106972 -aS'albuterol\talbuterol\tNN\tI-NP\tO' -p106973 -aS'/\t/\tSYM\tB-VP\tO' -p106974 -aS'atrovent\tatrovent\tNN\tB-NP\tO' -p106975 -aS'nebs\tneb\tNNS\tI-NP\tO' -p106976 -aS',\t,\t,\tO\tO' -p106977 -aS'diuresis\tdiuresis\tNN\tB-NP\tO' -p106978 -aS'with\twith\tIN\tB-PP\tO' -p106979 -aS'IV\tIV\tCD\tB-NP\tO' -p106980 -aS'lasix\tlasix\tCD\tI-NP\tO' -p106981 -aS'drip\tdrip\tNN\tI-NP\tO' -p106982 -aS'and\tand\tCC\tI-NP\tO' -p106983 -aS'boluses\tbolus\tNNS\tI-NP\tO' -p106984 -aS'.\t.\t.\tO\tO' -p106985 -asS'He was weaned from his vasoactive drips and transferred to the floor on POD #2 .' -p106986 -(lp106987 -S'He\tHe\tPRP\tB-NP\tO' -p106988 -aS'was\tbe\tVBD\tB-VP\tO' -p106989 -aS'weaned\twean\tVBN\tI-VP\tO' -p106990 -aS'from\tfrom\tIN\tB-PP\tO' -p106991 -aS'his\this\tPRP$\tB-NP\tO' -p106992 -aS'vasoactive\tvasoactive\tJJ\tI-NP\tO' -p106993 -aS'drips\tdrip\tNNS\tI-NP\tO' -p106994 -aS'and\tand\tCC\tO\tO' -p106995 -aS'transferred\ttransfer\tVBN\tB-VP\tO' -p106996 -aS'to\tto\tTO\tB-PP\tO' -p106997 -aS'the\tthe\tDT\tB-NP\tO' -p106998 -aS'floor\tfloor\tNN\tI-NP\tO' -p106999 -aS'on\ton\tIN\tB-PP\tO' -p107000 -aS'POD\tPOD\tNN\tB-NP\tB-protein' -p107001 -aS'#2\t#2\tNN\tI-NP\tI-protein' -p107002 -aS'.\t.\t.\tO\tO' -p107003 -asS'He has no bleeding or clotting problems .' -p107004 -(lp107005 -S'He\tHe\tPRP\tB-NP\tO' -p107006 -aS'has\thave\tVBZ\tB-VP\tO' -p107007 -aS'no\tno\tDT\tB-NP\tO' -p107008 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p107009 -aS'or\tor\tCC\tI-NP\tO' -p107010 -aS'clotting\tclotting\tNN\tI-NP\tO' -p107011 -aS'problems\tproblem\tNNS\tI-NP\tO' -p107012 -aS'.\t.\t.\tO\tO' -p107013 -asS'Post procedure pt remained intubated on ARDSnet protocol .' -p107014 -(lp107015 -S'Post\tPost\tJJ\tB-NP\tO' -p107016 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p107017 -aS'pt\tpt\tNN\tI-NP\tO' -p107018 -aS'remained\tremain\tVBD\tB-VP\tO' -p107019 -aS'intubated\tintubated\tJJ\tB-ADJP\tO' -p107020 -aS'on\ton\tIN\tB-PP\tO' -p107021 -aS'ARDSnet\tARDSnet\tNNP\tB-NP\tO' -p107022 -aS'protocol\tprotocol\tNN\tI-NP\tO' -p107023 -aS'.\t.\t.\tO\tO' -p107024 -asS'There was apparent loss of consciousness at the scene and significant deformity of the anterior portion of the motorvehicle with positive starring of the windshield .' -p107025 -(lp107026 -S'There\tThere\tEX\tB-NP\tO' -p107027 -aS'was\tbe\tVBD\tB-VP\tO' -p107028 -aS'apparent\tapparent\tJJ\tB-NP\tO' -p107029 -aS'loss\tloss\tNN\tI-NP\tO' -p107030 -aS'of\tof\tIN\tB-PP\tO' -p107031 -aS'consciousness\tconsciousness\tNN\tB-NP\tO' -p107032 -aS'at\tat\tIN\tB-PP\tO' -p107033 -aS'the\tthe\tDT\tB-NP\tO' -p107034 -aS'scene\tscene\tNN\tI-NP\tO' -p107035 -aS'and\tand\tCC\tO\tO' -p107036 -aS'significant\tsignificant\tJJ\tB-NP\tO' -p107037 -aS'deformity\tdeformity\tNN\tI-NP\tO' -p107038 -aS'of\tof\tIN\tB-PP\tO' -p107039 -aS'the\tthe\tDT\tB-NP\tO' -p107040 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p107041 -aS'portion\tportion\tNN\tI-NP\tO' -p107042 -aS'of\tof\tIN\tB-PP\tO' -p107043 -aS'the\tthe\tDT\tB-NP\tO' -p107044 -aS'motorvehicle\tmotorvehicle\tNN\tI-NP\tO' -p107045 -aS'with\twith\tIN\tB-PP\tO' -p107046 -aS'positive\tpositive\tJJ\tB-NP\tO' -p107047 -aS'starring\tstarring\tNN\tI-NP\tO' -p107048 -aS'of\tof\tIN\tB-PP\tO' -p107049 -aS'the\tthe\tDT\tB-NP\tO' -p107050 -aS'windshield\twindshield\tNN\tI-NP\tO' -p107051 -aS'.\t.\t.\tO\tO' -p107052 -asS'Abdomen soft , mildly distended , nontender , positive bowel sounds .' -p107053 -(lp107054 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p107055 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p107056 -aS',\t,\t,\tB-NP\tO' -p107057 -aS'mildly\tmildly\tRB\tI-NP\tO' -p107058 -aS'distended\tdistended\tJJ\tI-NP\tO' -p107059 -aS',\t,\t,\tI-NP\tO' -p107060 -aS'nontender\tnontender\tJJ\tI-NP\tO' -p107061 -aS',\t,\t,\tI-NP\tO' -p107062 -aS'positive\tpositive\tJJ\tI-NP\tO' -p107063 -aS'bowel\tbowel\tNN\tI-NP\tO' -p107064 -aS'sounds\tsound\tNNS\tI-NP\tO' -p107065 -aS'.\t.\t.\tO\tO' -p107066 -asS'Soft , bowel sounds present , tenderness present in epigastrium to moderate palpation .' -p107067 -(lp107068 -S'Soft\tSoft\tRB\tB-ADVP\tO' -p107069 -aS',\t,\t,\tO\tO' -p107070 -aS'bowel\tbowel\tNN\tB-NP\tO' -p107071 -aS'sounds\tsound\tVBZ\tB-VP\tO' -p107072 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p107073 -aS',\t,\t,\tO\tO' -p107074 -aS'tenderness\ttenderness\tNN\tB-NP\tO' -p107075 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p107076 -aS'in\tin\tIN\tB-PP\tO' -p107077 -aS'epigastrium\tepigastrium\tNN\tB-NP\tO' -p107078 -aS'to\tto\tTO\tB-PP\tO' -p107079 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p107080 -aS'palpation\tpalpation\tNN\tI-NP\tO' -p107081 -aS'.\t.\t.\tO\tO' -p107082 -asS'Despite episodes of somnolence the first night which were presumably due to having spent the entire night in the Emergency Department , she never became more hypercarbic , and her PCO2 trended to 48 by the time the arterial line was discontinued .' -p107083 -(lp107084 -S'Despite\tDespite\tIN\tB-PP\tO' -p107085 -aS'episodes\tepisode\tNNS\tB-NP\tO' -p107086 -aS'of\tof\tIN\tB-PP\tO' -p107087 -aS'somnolence\tsomnolence\tNN\tB-NP\tO' -p107088 -aS'the\tthe\tDT\tB-NP\tO' -p107089 -aS'first\tfirst\tJJ\tI-NP\tO' -p107090 -aS'night\tnight\tNN\tI-NP\tO' -p107091 -aS'which\twhich\tWDT\tB-NP\tO' -p107092 -aS'were\tbe\tVBD\tB-VP\tO' -p107093 -aS'presumably\tpresumably\tRB\tB-ADJP\tO' -p107094 -aS'due\tdue\tJJ\tI-ADJP\tO' -p107095 -aS'to\tto\tTO\tB-PP\tO' -p107096 -aS'having\thave\tVBG\tB-VP\tO' -p107097 -aS'spent\tspend\tVBN\tI-VP\tO' -p107098 -aS'the\tthe\tDT\tB-NP\tO' -p107099 -aS'entire\tentire\tJJ\tI-NP\tO' -p107100 -aS'night\tnight\tNN\tI-NP\tO' -p107101 -aS'in\tin\tIN\tB-PP\tO' -p107102 -aS'the\tthe\tDT\tB-NP\tO' -p107103 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p107104 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p107105 -aS',\t,\t,\tO\tO' -p107106 -aS'she\tshe\tPRP\tB-NP\tO' -p107107 -aS'never\tnever\tRB\tB-ADVP\tO' -p107108 -aS'became\tbecome\tVBD\tB-VP\tO' -p107109 -aS'more\tmore\tRBR\tB-ADJP\tO' -p107110 -aS'hypercarbic\thypercarbic\tJJ\tI-ADJP\tO' -p107111 -aS',\t,\t,\tO\tO' -p107112 -aS'and\tand\tCC\tO\tO' -p107113 -aS'her\ther\tPRP$\tB-NP\tO' -p107114 -aS'PCO2\tPCO2\tNN\tI-NP\tB-protein' -p107115 -aS'trended\ttrend\tVBD\tB-VP\tO' -p107116 -aS'to\tto\tTO\tB-PP\tO' -p107117 -aS'48\t48\tCD\tB-NP\tO' -p107118 -aS'by\tby\tIN\tB-PP\tO' -p107119 -aS'the\tthe\tDT\tB-NP\tO' -p107120 -aS'time\ttime\tNN\tI-NP\tO' -p107121 -aS'the\tthe\tDT\tB-NP\tO' -p107122 -aS'arterial\tarterial\tJJ\tI-NP\tO' -p107123 -aS'line\tline\tNN\tI-NP\tO' -p107124 -aS'was\tbe\tVBD\tB-VP\tO' -p107125 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p107126 -aS'.\t.\t.\tO\tO' -p107127 -asS'Her electrocardiogram showed no specific ST changes , but there was some loss of her R wave progression laterally .' -p107128 -(lp107129 -S'Her\tHer\tPRP$\tB-NP\tO' -p107130 -aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' -p107131 -aS'showed\tshow\tVBD\tB-VP\tO' -p107132 -aS'no\tno\tDT\tB-NP\tO' -p107133 -aS'specific\tspecific\tJJ\tI-NP\tO' -p107134 -aS'ST\tST\tNN\tI-NP\tO' -p107135 -aS'changes\tchange\tNNS\tI-NP\tO' -p107136 -aS',\t,\t,\tO\tO' -p107137 -aS'but\tbut\tCC\tO\tO' -p107138 -aS'there\tthere\tEX\tB-NP\tO' -p107139 -aS'was\tbe\tVBD\tB-VP\tO' -p107140 -aS'some\tsome\tDT\tB-NP\tO' -p107141 -aS'loss\tloss\tNN\tI-NP\tO' -p107142 -aS'of\tof\tIN\tB-PP\tO' -p107143 -aS'her\ther\tPRP$\tB-NP\tO' -p107144 -aS'R\tR\tNN\tI-NP\tO' -p107145 -aS'wave\twave\tNN\tI-NP\tO' -p107146 -aS'progression\tprogression\tNN\tI-NP\tO' -p107147 -aS'laterally\tlaterally\tRB\tB-ADVP\tO' -p107148 -aS'.\t.\t.\tO\tO' -p107149 -asS'Recent weight loss associated with the pneumonia .' -p107150 -(lp107151 -S'Recent\tRecent\tJJ\tB-NP\tO' -p107152 -aS'weight\tweight\tNN\tI-NP\tO' -p107153 -aS'loss\tloss\tNN\tI-NP\tO' -p107154 -aS'associated\tassociate\tVBN\tB-VP\tO' -p107155 -aS'with\twith\tIN\tB-PP\tO' -p107156 -aS'the\tthe\tDT\tB-NP\tO' -p107157 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p107158 -aS'.\t.\t.\tO\tO' -p107159 -asS"She was then started on Heparin with transition to Coumadin ( goal INR of 2-3 secondary to h/o bilateral DVT 's)." -p107160 -(lp107161 -S'She\tShe\tPRP\tB-NP\tO' -p107162 -aS'was\tbe\tVBD\tB-VP\tO' -p107163 -aS'then\tthen\tRB\tI-VP\tO' -p107164 -aS'started\tstart\tVBN\tI-VP\tO' -p107165 -aS'on\ton\tIN\tB-PP\tO' -p107166 -aS'Heparin\tHeparin\tNN\tB-NP\tO' -p107167 -aS'with\twith\tIN\tB-PP\tO' -p107168 -aS'transition\ttransition\tNN\tB-NP\tO' -p107169 -aS'to\tto\tTO\tB-PP\tO' -p107170 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p107171 -aS'(\t(\t(\tO\tO' -p107172 -aS'goal\tgoal\tNN\tB-NP\tO' -p107173 -aS'INR\tINR\tNN\tI-NP\tO' -p107174 -aS'of\tof\tIN\tB-PP\tO' -p107175 -aS'2-3\t2-3\tNN\tB-NP\tO' -p107176 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p107177 -aS'to\tto\tTO\tB-VP\tO' -p107178 -aS'h/o\th/o\tVB\tI-VP\tO' -p107179 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p107180 -aS'DVT\tDVT\tNN\tI-NP\tO' -p107181 -aS"'s).\t's).\tPOS\tB-NP\tO" -p107182 -asS'She was treated with magnesium sulfate .' -p107183 -(lp107184 -S'She\tShe\tPRP\tB-NP\tO' -p107185 -aS'was\tbe\tVBD\tB-VP\tO' -p107186 -aS'treated\ttreat\tVBN\tI-VP\tO' -p107187 -aS'with\twith\tIN\tB-PP\tO' -p107188 -aS'magnesium\tmagnesium\tNN\tB-NP\tO' -p107189 -aS'sulfate\tsulfate\tNN\tI-NP\tO' -p107190 -aS'.\t.\t.\tO\tO' -p107191 -asS'4-Septic shock .' -p107192 -(lp107193 -S'4-Septic\t4-Septic\tJJ\tB-NP\tO' -p107194 -aS'shock\tshock\tNN\tI-NP\tO' -p107195 -aS'.\t.\t.\tO\tO' -p107196 -asS'Currently the patient is short of breath without chest pain or dysphagia .' -p107197 -(lp107198 -S'Currently\tCurrently\tRB\tB-ADVP\tO' -p107199 -aS'the\tthe\tDT\tB-NP\tO' -p107200 -aS'patient\tpatient\tNN\tI-NP\tO' -p107201 -aS'is\tbe\tVBZ\tB-VP\tO' -p107202 -aS'short\tshort\tJJ\tB-ADJP\tO' -p107203 -aS'of\tof\tIN\tB-PP\tO' -p107204 -aS'breath\tbreath\tNN\tB-NP\tO' -p107205 -aS'without\twithout\tIN\tB-PP\tO' -p107206 -aS'chest\tchest\tNN\tB-NP\tO' -p107207 -aS'pain\tpain\tNN\tI-NP\tO' -p107208 -aS'or\tor\tCC\tI-NP\tO' -p107209 -aS'dysphagia\tdysphagia\tNN\tI-NP\tO' -p107210 -aS'.\t.\t.\tO\tO' -p107211 -asS'3. Pramipexole 0.125 mg Tablet Sig : One ( 1 ) Tablet PO TID ( 3 times a day ) .' -p107212 -(lp107213 -S'3.\t3.\tLS\tB-NP\tO' -p107214 -aS'Pramipexole\tPramipexole\tNN\tI-NP\tO' -p107215 -aS'0.125\t0.125\tCD\tI-NP\tO' -p107216 -aS'mg\tmg\tNN\tI-NP\tO' -p107217 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p107218 -aS'Sig\tSig\tNNP\tI-NP\tO' -p107219 -aS':\t:\t:\tO\tO' -p107220 -aS'One\tOne\tCD\tB-NP\tO' -p107221 -aS'(\t(\t(\tO\tO' -p107222 -aS'1\t1\tCD\tB-NP\tO' -p107223 -aS')\t)\t)\tO\tO' -p107224 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p107225 -aS'PO\tPO\tNN\tI-NP\tO' -p107226 -aS'TID\tTID\tNN\tI-NP\tO' -p107227 -aS'(\t(\t(\tO\tO' -p107228 -aS'3\t3\tCD\tB-NP\tO' -p107229 -aS'times\ttime\tNNS\tI-NP\tO' -p107230 -aS'a\ta\tDT\tB-NP\tO' -p107231 -aS'day\tday\tNN\tI-NP\tO' -p107232 -aS')\t)\t)\tO\tO' -p107233 -aS'.\t.\t.\tO\tO' -p107234 -asS'Her heart revealed a regular rate and rhythm with a faint second heart sound and second heart sound .' -p107235 -(lp107236 -S'Her\tHer\tPRP$\tB-NP\tO' -p107237 -aS'heart\theart\tNN\tI-NP\tO' -p107238 -aS'revealed\treveal\tVBD\tB-VP\tO' -p107239 -aS'a\ta\tDT\tB-NP\tO' -p107240 -aS'regular\tregular\tJJ\tI-NP\tO' -p107241 -aS'rate\trate\tNN\tI-NP\tO' -p107242 -aS'and\tand\tCC\tI-NP\tO' -p107243 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p107244 -aS'with\twith\tIN\tB-PP\tO' -p107245 -aS'a\ta\tDT\tB-NP\tO' -p107246 -aS'faint\tfaint\tJJ\tI-NP\tO' -p107247 -aS'second\tsecond\tJJ\tI-NP\tO' -p107248 -aS'heart\theart\tNN\tI-NP\tO' -p107249 -aS'sound\tsound\tNN\tI-NP\tO' -p107250 -aS'and\tand\tCC\tO\tO' -p107251 -aS'second\tsecond\tJJ\tB-NP\tO' -p107252 -aS'heart\theart\tNN\tI-NP\tO' -p107253 -aS'sound\tsound\tNN\tI-NP\tO' -p107254 -aS'.\t.\t.\tO\tO' -p107255 -asS'Liver transplant .' -p107256 -(lp107257 -S'Liver\tLiver\tNN\tB-NP\tO' -p107258 -aS'transplant\ttransplant\tNN\tI-NP\tO' -p107259 -aS'.\t.\t.\tO\tO' -p107260 -asS'Neck was supple , bilateral bruits , although possibly radiating from cardiac base .' -p107261 -(lp107262 -S'Neck\tNeck\tNN\tB-NP\tO' -p107263 -aS'was\tbe\tVBD\tB-VP\tO' -p107264 -aS'supple\tsupple\tJJ\tB-NP\tO' -p107265 -aS',\t,\t,\tI-NP\tO' -p107266 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p107267 -aS'bruits\tbruit\tNNS\tI-NP\tO' -p107268 -aS',\t,\t,\tO\tO' -p107269 -aS'although\talthough\tIN\tB-SBAR\tO' -p107270 -aS'possibly\tpossibly\tRB\tB-ADVP\tO' -p107271 -aS'radiating\tradiate\tVBG\tB-VP\tO' -p107272 -aS'from\tfrom\tIN\tB-PP\tO' -p107273 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p107274 -aS'base\tbase\tNN\tI-NP\tO' -p107275 -aS'.\t.\t.\tO\tO' -p107276 -asS'On postoperative day #1 in the evening , the patient was noted to go into atrial fibrillation , for which he was controlled and started on amiodarone , after which he converted again to normal sinus rhythm .' -p107277 -(lp107278 -S'On\tOn\tIN\tB-PP\tO' -p107279 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p107280 -aS'day\tday\tNN\tI-NP\tO' -p107281 -aS'#1\t#1\tNN\tI-NP\tO' -p107282 -aS'in\tin\tIN\tB-PP\tO' -p107283 -aS'the\tthe\tDT\tB-NP\tO' -p107284 -aS'evening\tevening\tNN\tI-NP\tO' -p107285 -aS',\t,\t,\tO\tO' -p107286 -aS'the\tthe\tDT\tB-NP\tO' -p107287 -aS'patient\tpatient\tNN\tI-NP\tO' -p107288 -aS'was\tbe\tVBD\tB-VP\tO' -p107289 -aS'noted\tnote\tVBN\tI-VP\tO' -p107290 -aS'to\tto\tTO\tB-VP\tO' -p107291 -aS'go\tgo\tVB\tI-VP\tO' -p107292 -aS'into\tinto\tIN\tB-PP\tO' -p107293 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p107294 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p107295 -aS',\t,\t,\tO\tO' -p107296 -aS'for\tfor\tIN\tB-PP\tO' -p107297 -aS'which\twhich\tWDT\tB-NP\tO' -p107298 -aS'he\the\tPRP\tB-NP\tO' -p107299 -aS'was\tbe\tVBD\tB-VP\tO' -p107300 -aS'controlled\tcontrol\tVBN\tI-VP\tO' -p107301 -aS'and\tand\tCC\tO\tO' -p107302 -aS'started\tstart\tVBN\tB-VP\tO' -p107303 -aS'on\ton\tIN\tB-PP\tO' -p107304 -aS'amiodarone\tamiodarone\tNN\tB-NP\tO' -p107305 -aS',\t,\t,\tO\tO' -p107306 -aS'after\tafter\tIN\tB-PP\tO' -p107307 -aS'which\twhich\tWDT\tB-NP\tO' -p107308 -aS'he\the\tPRP\tB-NP\tO' -p107309 -aS'converted\tconvert\tVBD\tB-VP\tO' -p107310 -aS'again\tagain\tRB\tB-ADVP\tO' -p107311 -aS'to\tto\tTO\tB-PP\tO' -p107312 -aS'normal\tnormal\tJJ\tB-NP\tO' -p107313 -aS'sinus\tsinus\tNN\tI-NP\tO' -p107314 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p107315 -aS'.\t.\t.\tO\tO' -p107316 -asS'7. Lopressor 25 mg twice a day .' -p107317 -(lp107318 -S'7.\t7.\tCD\tB-NP\tO' -p107319 -aS'Lopressor\tLopressor\tNN\tI-NP\tO' -p107320 -aS'25\t25\tCD\tB-NP\tO' -p107321 -aS'mg\tmg\tNN\tI-NP\tO' -p107322 -aS'twice\ttwice\tRB\tB-NP\tO' -p107323 -aS'a\ta\tDT\tI-NP\tO' -p107324 -aS'day\tday\tNN\tI-NP\tO' -p107325 -aS'.\t.\t.\tO\tO' -p107326 -asS'He was a well developed , well nourished white male .' -p107327 -(lp107328 -S'He\tHe\tPRP\tB-NP\tO' -p107329 -aS'was\tbe\tVBD\tB-VP\tO' -p107330 -aS'a\ta\tDT\tB-NP\tO' -p107331 -aS'well\twell\tRB\tI-NP\tO' -p107332 -aS'developed\tdevelop\tVBN\tI-NP\tO' -p107333 -aS',\t,\t,\tO\tO' -p107334 -aS'well\twell\tRB\tB-ADVP\tO' -p107335 -aS'nourished\tnourish\tVBD\tB-VP\tO' -p107336 -aS'white\twhite\tJJ\tB-NP\tO' -p107337 -aS'male\tmale\tNN\tI-NP\tO' -p107338 -aS'.\t.\t.\tO\tO' -p107339 -asS'Echo : The left atrium is mildly dilated .' -p107340 -(lp107341 -S'Echo\tEcho\tNN\tB-NP\tO' -p107342 -aS':\t:\t:\tO\tO' -p107343 -aS'The\tThe\tDT\tB-NP\tO' -p107344 -aS'left\tleft\tJJ\tI-NP\tO' -p107345 -aS'atrium\tatrium\tNN\tI-NP\tO' -p107346 -aS'is\tbe\tVBZ\tB-VP\tO' -p107347 -aS'mildly\tmildly\tRB\tI-VP\tO' -p107348 -aS'dilated\tdilate\tVBN\tI-VP\tO' -p107349 -aS'.\t.\t.\tO\tO' -p107350 -asS'Doppler revealed no hemodynamically significant lesions bilaterally .' -p107351 -(lp107352 -S'Doppler\tDoppler\tNNP\tB-NP\tO' -p107353 -aS'revealed\treveal\tVBD\tB-VP\tO' -p107354 -aS'no\tno\tDT\tB-NP\tO' -p107355 -aS'hemodynamically\themodynamically\tRB\tI-NP\tO' -p107356 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p107357 -aS'lesions\tlesion\tNNS\tI-NP\tO' -p107358 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p107359 -aS'.\t.\t.\tO\tO' -p107360 -asS'Testes were descended bilaterally .' -p107361 -(lp107362 -S'Testes\tTestis\tNNS\tB-NP\tO' -p107363 -aS'were\tbe\tVBD\tB-VP\tO' -p107364 -aS'descended\tdescend\tVBN\tI-VP\tO' -p107365 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p107366 -aS'.\t.\t.\tO\tO' -p107367 -asS'The patient was breathing comfortably in room air .' -p107368 -(lp107369 -S'The\tThe\tDT\tB-NP\tO' -p107370 -aS'patient\tpatient\tNN\tI-NP\tO' -p107371 -aS'was\tbe\tVBD\tB-VP\tO' -p107372 -aS'breathing\tbreathe\tVBG\tI-VP\tO' -p107373 -aS'comfortably\tcomfortably\tRB\tB-ADVP\tO' -p107374 -aS'in\tin\tIN\tB-PP\tO' -p107375 -aS'room\troom\tNN\tB-NP\tO' -p107376 -aS'air\tair\tNN\tI-NP\tO' -p107377 -aS'.\t.\t.\tO\tO' -p107378 -asS'Heart regular rate and rhythm , his lungs were clear .' -p107379 -(lp107380 -S'Heart\tHeart\tNN\tB-NP\tO' -p107381 -aS'regular\tregular\tJJ\tI-NP\tO' -p107382 -aS'rate\trate\tNN\tI-NP\tO' -p107383 -aS'and\tand\tCC\tI-NP\tO' -p107384 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p107385 -aS',\t,\t,\tO\tO' -p107386 -aS'his\this\tPRP$\tB-NP\tO' -p107387 -aS'lungs\tlung\tNNS\tI-NP\tO' -p107388 -aS'were\tbe\tVBD\tB-VP\tO' -p107389 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p107390 -aS'.\t.\t.\tO\tO' -p107391 -asS'8. Social : in police custody , with 24 hr guard , handcuffed to bed' -p107392 -(lp107393 -S'8.\t8.\tCD\tB-NP\tO' -p107394 -aS'Social\tSocial\tNNP\tI-NP\tO' -p107395 -aS':\t:\t:\tO\tO' -p107396 -aS'in\tin\tIN\tB-PP\tO' -p107397 -aS'police\tpolice\tNN\tB-NP\tO' -p107398 -aS'custody\tcustody\tNN\tI-NP\tO' -p107399 -aS',\t,\t,\tO\tO' -p107400 -aS'with\twith\tIN\tB-PP\tO' -p107401 -aS'24\t24\tCD\tB-NP\tO' -p107402 -aS'hr\thr\tNN\tI-NP\tO' -p107403 -aS'guard\tguard\tNN\tI-NP\tO' -p107404 -aS',\t,\t,\tO\tO' -p107405 -aS'handcuffed\thandcuff\tVBN\tB-VP\tO' -p107406 -aS'to\tto\tTO\tB-PP\tO' -p107407 -aS'bed\tbed\tNN\tB-NP\tO' -p107408 -asS'RENAL & GLUCOSE Glucose UreaN Creat Na K Cl HCO3 AnGap' -p107409 -(lp107410 -S'RENAL\tRENAL\tNNP\tB-NP\tO' -p107411 -aS'&\t&\tCC\tI-NP\tO' -p107412 -aS'GLUCOSE\tGLUCOSE\tNNP\tI-NP\tO' -p107413 -aS'Glucose\tGlucose\tNNP\tI-NP\tO' -p107414 -aS'UreaN\tUreaN\tNNP\tI-NP\tO' -p107415 -aS'Creat\tCreat\tNNP\tI-NP\tO' -p107416 -aS'Na\tNa\tNNP\tI-NP\tO' -p107417 -aS'K\tK\tNNP\tI-NP\tO' -p107418 -aS'Cl\tCl\tNNP\tI-NP\tO' -p107419 -aS'HCO3\tHCO3\tNNP\tI-NP\tO' -p107420 -aS'AnGap\tAnGap\tNNP\tI-NP\tO' -p107421 -asS'it is possible that he has had a muscle strain or other musculoskeletal cause .' -p107422 -(lp107423 -S'it\tit\tPRP\tB-NP\tO' -p107424 -aS'is\tbe\tVBZ\tB-VP\tO' -p107425 -aS'possible\tpossible\tJJ\tB-ADJP\tO' -p107426 -aS'that\tthat\tIN\tB-SBAR\tO' -p107427 -aS'he\the\tPRP\tB-NP\tO' -p107428 -aS'has\thave\tVBZ\tB-VP\tO' -p107429 -aS'had\thave\tVBN\tI-VP\tO' -p107430 -aS'a\ta\tDT\tB-NP\tO' -p107431 -aS'muscle\tmuscle\tNN\tI-NP\tO' -p107432 -aS'strain\tstrain\tNN\tI-NP\tO' -p107433 -aS'or\tor\tCC\tO\tO' -p107434 -aS'other\tother\tJJ\tB-NP\tO' -p107435 -aS'musculoskeletal\tmusculoskeletal\tJJ\tI-NP\tO' -p107436 -aS'cause\tcause\tNN\tI-NP\tO' -p107437 -aS'.\t.\t.\tO\tO' -p107438 -asS'Ventricular bigeminy was also seen .' -p107439 -(lp107440 -S'Ventricular\tVentricular\tJJ\tB-NP\tO' -p107441 -aS'bigeminy\tbigeminy\tNN\tI-NP\tO' -p107442 -aS'was\tbe\tVBD\tB-VP\tO' -p107443 -aS'also\talso\tRB\tI-VP\tO' -p107444 -aS'seen\tsee\tVBN\tI-VP\tO' -p107445 -aS'.\t.\t.\tO\tO' -p107446 -asS'Pt reports that he noticed a right neck mass last October .' -p107447 -(lp107448 -S'Pt\tPt\tNN\tB-NP\tO' -p107449 -aS'reports\treport\tVBZ\tB-VP\tO' -p107450 -aS'that\tthat\tIN\tB-SBAR\tO' -p107451 -aS'he\the\tPRP\tB-NP\tO' -p107452 -aS'noticed\tnotice\tVBD\tB-VP\tO' -p107453 -aS'a\ta\tDT\tB-NP\tO' -p107454 -aS'right\tright\tJJ\tI-NP\tO' -p107455 -aS'neck\tneck\tNN\tI-NP\tO' -p107456 -aS'mass\tmass\tNN\tI-NP\tO' -p107457 -aS'last\tlast\tJJ\tB-NP\tO' -p107458 -aS'October\tOctober\tNNP\tI-NP\tO' -p107459 -aS'.\t.\t.\tO\tO' -p107460 -asS'The right pleural effusion slowly re-accumulated after tap but resolved after continued diuresis .' -p107461 -(lp107462 -S'The\tThe\tDT\tB-NP\tO' -p107463 -aS'right\tright\tJJ\tI-NP\tO' -p107464 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p107465 -aS'effusion\teffusion\tNN\tI-NP\tO' -p107466 -aS'slowly\tslowly\tRB\tB-ADJP\tO' -p107467 -aS're-accumulated\tre-accumulated\tJJ\tI-ADJP\tO' -p107468 -aS'after\tafter\tIN\tB-PP\tO' -p107469 -aS'tap\ttap\tNN\tB-NP\tB-protein' -p107470 -aS'but\tbut\tCC\tO\tO' -p107471 -aS'resolved\tresolve\tVBD\tB-VP\tO' -p107472 -aS'after\tafter\tIN\tB-PP\tO' -p107473 -aS'continued\tcontinued\tJJ\tB-NP\tO' -p107474 -aS'diuresis\tdiuresis\tNN\tI-NP\tO' -p107475 -aS'.\t.\t.\tO\tO' -p107476 -asS'The patient presented with a chief complaint of AF-RESOLVED .' -p107477 -(lp107478 -S'The\tThe\tDT\tB-NP\tO' -p107479 -aS'patient\tpatient\tNN\tI-NP\tO' -p107480 -aS'presented\tpresent\tVBD\tB-VP\tO' -p107481 -aS'with\twith\tIN\tB-PP\tO' -p107482 -aS'a\ta\tDT\tB-NP\tO' -p107483 -aS'chief\tchief\tJJ\tI-NP\tO' -p107484 -aS'complaint\tcomplaint\tNN\tI-NP\tO' -p107485 -aS'of\tof\tIN\tB-PP\tO' -p107486 -aS'AF-RESOLVED\tAF-RESOLVED\tNN\tB-NP\tO' -p107487 -aS'.\t.\t.\tO\tO' -p107488 -asS'It was their recommendation to continue Ace inhibitors , to continue daily weights , to switch the patient to a long acting beta-blocker and to enroll the patient in postoperative cardiac rehabilitation as well as to make sure the patient was on statin drugs .' -p107489 -(lp107490 -S'It\tIt\tPRP\tB-NP\tO' -p107491 -aS'was\tbe\tVBD\tB-VP\tO' -p107492 -aS'their\ttheir\tPRP$\tB-NP\tO' -p107493 -aS'recommendation\trecommendation\tNN\tI-NP\tO' -p107494 -aS'to\tto\tTO\tB-VP\tO' -p107495 -aS'continue\tcontinue\tVB\tI-VP\tO' -p107496 -aS'Ace\tAce\tNNP\tB-NP\tO' -p107497 -aS'inhibitors\tinhibitor\tNNS\tI-NP\tO' -p107498 -aS',\t,\t,\tO\tO' -p107499 -aS'to\tto\tTO\tB-VP\tO' -p107500 -aS'continue\tcontinue\tVB\tI-VP\tO' -p107501 -aS'daily\tdaily\tJJ\tB-NP\tO' -p107502 -aS'weights\tweight\tNNS\tI-NP\tO' -p107503 -aS',\t,\t,\tO\tO' -p107504 -aS'to\tto\tTO\tB-VP\tO' -p107505 -aS'switch\tswitch\tVB\tI-VP\tO' -p107506 -aS'the\tthe\tDT\tB-NP\tO' -p107507 -aS'patient\tpatient\tNN\tI-NP\tO' -p107508 -aS'to\tto\tTO\tB-PP\tO' -p107509 -aS'a\ta\tDT\tB-NP\tO' -p107510 -aS'long\tlong\tJJ\tI-NP\tO' -p107511 -aS'acting\tact\tVBG\tI-NP\tO' -p107512 -aS'beta-blocker\tbeta-blocker\tNN\tI-NP\tO' -p107513 -aS'and\tand\tCC\tO\tO' -p107514 -aS'to\tto\tTO\tB-VP\tO' -p107515 -aS'enroll\tenroll\tVB\tI-VP\tO' -p107516 -aS'the\tthe\tDT\tB-NP\tO' -p107517 -aS'patient\tpatient\tNN\tI-NP\tO' -p107518 -aS'in\tin\tIN\tB-PP\tO' -p107519 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p107520 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p107521 -aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' -p107522 -aS'as\tas\tRB\tB-CONJP\tO' -p107523 -aS'well\twell\tRB\tI-CONJP\tO' -p107524 -aS'as\tas\tIN\tI-CONJP\tO' -p107525 -aS'to\tto\tTO\tB-VP\tO' -p107526 -aS'make\tmake\tVB\tI-VP\tO' -p107527 -aS'sure\tsure\tJJ\tB-ADJP\tO' -p107528 -aS'the\tthe\tDT\tB-NP\tO' -p107529 -aS'patient\tpatient\tNN\tI-NP\tO' -p107530 -aS'was\tbe\tVBD\tB-VP\tO' -p107531 -aS'on\ton\tIN\tB-PP\tO' -p107532 -aS'statin\tstatin\tNN\tB-NP\tO' -p107533 -aS'drugs\tdrug\tNNS\tI-NP\tO' -p107534 -aS'.\t.\t.\tO\tO' -p107535 -asS'His SGPT on admission was 2,520 with a peak at 7,680 on hospital day two .' -p107536 -(lp107537 -S'His\tHis\tPRP$\tB-NP\tO' -p107538 -aS'SGPT\tSGPT\tNN\tI-NP\tB-protein' -p107539 -aS'on\ton\tIN\tB-PP\tO' -p107540 -aS'admission\tadmission\tNN\tB-NP\tO' -p107541 -aS'was\tbe\tVBD\tB-VP\tO' -p107542 -aS'2,520\t2,520\tCD\tB-NP\tO' -p107543 -aS'with\twith\tIN\tB-PP\tO' -p107544 -aS'a\ta\tDT\tB-NP\tO' -p107545 -aS'peak\tpeak\tNN\tI-NP\tO' -p107546 -aS'at\tat\tIN\tB-PP\tO' -p107547 -aS'7,680\t7,680\tCD\tB-NP\tO' -p107548 -aS'on\ton\tIN\tB-PP\tO' -p107549 -aS'hospital\thospital\tNN\tB-NP\tO' -p107550 -aS'day\tday\tNN\tI-NP\tO' -p107551 -aS'two\ttwo\tCD\tI-NP\tO' -p107552 -aS'.\t.\t.\tO\tO' -p107553 -asS'3. The right ventricular cavity is dilated .' -p107554 -(lp107555 -S'3.\t3.\tLS\tB-LST\tO' -p107556 -aS'The\tThe\tDT\tB-NP\tO' -p107557 -aS'right\tright\tJJ\tI-NP\tO' -p107558 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p107559 -aS'cavity\tcavity\tNN\tI-NP\tO' -p107560 -aS'is\tbe\tVBZ\tB-VP\tO' -p107561 -aS'dilated\tdilate\tVBN\tI-VP\tO' -p107562 -aS'.\t.\t.\tO\tO' -p107563 -asS'Treated aspiration pneumonia .' -p107564 -(lp107565 -S'Treated\tTreat\tVBN\tB-NP\tO' -p107566 -aS'aspiration\taspiration\tNN\tI-NP\tO' -p107567 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p107568 -aS'.\t.\t.\tO\tO' -p107569 -asS'There was no evidence of infection .' -p107570 -(lp107571 -S'There\tThere\tEX\tB-NP\tO' -p107572 -aS'was\tbe\tVBD\tB-VP\tO' -p107573 -aS'no\tno\tDT\tB-NP\tO' -p107574 -aS'evidence\tevidence\tNN\tI-NP\tO' -p107575 -aS'of\tof\tIN\tB-PP\tO' -p107576 -aS'infection\tinfection\tNN\tB-NP\tO' -p107577 -aS'.\t.\t.\tO\tO' -p107578 -asS'He denies a history of aspiration events or choking with food intake .' -p107579 -(lp107580 -S'He\tHe\tPRP\tB-NP\tO' -p107581 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p107582 -aS'a\ta\tDT\tB-NP\tO' -p107583 -aS'history\thistory\tNN\tI-NP\tO' -p107584 -aS'of\tof\tIN\tB-PP\tO' -p107585 -aS'aspiration\taspiration\tNN\tB-NP\tO' -p107586 -aS'events\tevent\tNNS\tI-NP\tO' -p107587 -aS'or\tor\tCC\tO\tO' -p107588 -aS'choking\tchoke\tVBG\tB-VP\tO' -p107589 -aS'with\twith\tIN\tB-PP\tO' -p107590 -aS'food\tfood\tNN\tB-NP\tO' -p107591 -aS'intake\tintake\tNN\tI-NP\tO' -p107592 -aS'.\t.\t.\tO\tO' -p107593 -asS'You may remove your dressings 2 days after your surgery if they were not removed in the hospital .' -p107594 -(lp107595 -S'You\tYou\tPRP\tB-NP\tB-protein' -p107596 -aS'may\tmay\tMD\tB-VP\tO' -p107597 -aS'remove\tremove\tVB\tI-VP\tO' -p107598 -aS'your\tyour\tPRP$\tB-NP\tO' -p107599 -aS'dressings\tdressing\tNNS\tI-NP\tO' -p107600 -aS'2\t2\tCD\tB-NP\tO' -p107601 -aS'days\tday\tNNS\tI-NP\tO' -p107602 -aS'after\tafter\tIN\tB-PP\tO' -p107603 -aS'your\tyour\tPRP$\tB-NP\tO' -p107604 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p107605 -aS'if\tif\tIN\tB-SBAR\tO' -p107606 -aS'they\tthey\tPRP\tB-NP\tO' -p107607 -aS'were\tbe\tVBD\tB-VP\tO' -p107608 -aS'not\tnot\tRB\tI-VP\tO' -p107609 -aS'removed\tremove\tVBN\tI-VP\tO' -p107610 -aS'in\tin\tIN\tB-PP\tO' -p107611 -aS'the\tthe\tDT\tB-NP\tO' -p107612 -aS'hospital\thospital\tNN\tI-NP\tO' -p107613 -aS'.\t.\t.\tO\tO' -p107614 -asS'A barium swallow prior to admission showed the presence of a tracheoesophageal fistula with entrance into the right mainstem bronchus below the carina .' -p107615 -(lp107616 -S'A\tA\tDT\tB-NP\tO' -p107617 -aS'barium\tbarium\tNN\tI-NP\tO' -p107618 -aS'swallow\tswallow\tVB\tB-VP\tO' -p107619 -aS'prior\tprior\tRB\tB-ADVP\tO' -p107620 -aS'to\tto\tTO\tB-PP\tO' -p107621 -aS'admission\tadmission\tNN\tB-NP\tO' -p107622 -aS'showed\tshow\tVBD\tB-VP\tO' -p107623 -aS'the\tthe\tDT\tB-NP\tO' -p107624 -aS'presence\tpresence\tNN\tI-NP\tO' -p107625 -aS'of\tof\tIN\tB-PP\tO' -p107626 -aS'a\ta\tDT\tB-NP\tO' -p107627 -aS'tracheoesophageal\ttracheoesophageal\tJJ\tI-NP\tO' -p107628 -aS'fistula\tfistula\tNN\tI-NP\tO' -p107629 -aS'with\twith\tIN\tB-PP\tO' -p107630 -aS'entrance\tentrance\tNN\tB-NP\tO' -p107631 -aS'into\tinto\tIN\tB-PP\tO' -p107632 -aS'the\tthe\tDT\tB-NP\tO' -p107633 -aS'right\tright\tJJ\tI-NP\tO' -p107634 -aS'mainstem\tmainstem\tNN\tI-NP\tO' -p107635 -aS'bronchus\tbronchus\tRB\tB-ADVP\tO' -p107636 -aS'below\tbelow\tIN\tB-PP\tO' -p107637 -aS'the\tthe\tDT\tB-NP\tO' -p107638 -aS'carina\tcarina\tNN\tI-NP\tO' -p107639 -aS'.\t.\t.\tO\tO' -p107640 -asS'Nebulizers as needed , weaning from ventilation .' -p107641 -(lp107642 -S'Nebulizers\tNebulizer\tNNS\tB-NP\tO' -p107643 -aS'as\tas\tIN\tB-SBAR\tO' -p107644 -aS'needed\tneed\tVBN\tB-VP\tO' -p107645 -aS',\t,\t,\tO\tO' -p107646 -aS'weaning\twean\tVBG\tB-VP\tO' -p107647 -aS'from\tfrom\tIN\tB-PP\tO' -p107648 -aS'ventilation\tventilation\tNN\tB-NP\tO' -p107649 -aS'.\t.\t.\tO\tO' -p107650 -asS'The visual fields were intact .' -p107651 -(lp107652 -S'The\tThe\tDT\tB-NP\tO' -p107653 -aS'visual\tvisual\tJJ\tI-NP\tO' -p107654 -aS'fields\tfield\tNNS\tI-NP\tO' -p107655 -aS'were\tbe\tVBD\tB-VP\tO' -p107656 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p107657 -aS'.\t.\t.\tO\tO' -p107658 -asS'She is to contact Dr. Warm 's office to schedule a follow up appointment .' -p107659 -(lp107660 -S'She\tShe\tPRP\tB-NP\tO' -p107661 -aS'is\tbe\tVBZ\tB-VP\tO' -p107662 -aS'to\tto\tTO\tB-VP\tO' -p107663 -aS'contact\tcontact\tVB\tI-VP\tO' -p107664 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p107665 -aS'Warm\tWarm\tNNP\tI-NP\tO' -p107666 -aS''s\t'\tNNS\tI-NP\tO' -p107667 -aS'office\toffice\tNN\tI-NP\tO' -p107668 -aS'to\tto\tTO\tB-VP\tO' -p107669 -aS'schedule\tschedule\tVB\tI-VP\tO' -p107670 -aS'a\ta\tDT\tO\tO' -p107671 -aS'follow\tfollow\tVB\tB-VP\tO' -p107672 -aS'up\tup\tRP\tB-PRT\tO' -p107673 -aS'appointment\tappointment\tNN\tB-NP\tO' -p107674 -aS'.\t.\t.\tO\tO' -p107675 -asS'His bypass time was 105 minutes with a cross clamp time of 87 minutes .' -p107676 -(lp107677 -S'His\tHis\tPRP$\tB-NP\tO' -p107678 -aS'bypass\tbypass\tNN\tI-NP\tO' -p107679 -aS'time\ttime\tNN\tI-NP\tO' -p107680 -aS'was\tbe\tVBD\tB-VP\tO' -p107681 -aS'105\t105\tCD\tB-NP\tO' -p107682 -aS'minutes\tminute\tNNS\tI-NP\tO' -p107683 -aS'with\twith\tIN\tB-PP\tO' -p107684 -aS'a\ta\tDT\tB-NP\tO' -p107685 -aS'cross\tcross\tJJ\tI-NP\tO' -p107686 -aS'clamp\tclamp\tNN\tI-NP\tO' -p107687 -aS'time\ttime\tNN\tI-NP\tO' -p107688 -aS'of\tof\tIN\tB-PP\tO' -p107689 -aS'87\t87\tCD\tB-NP\tO' -p107690 -aS'minutes\tminute\tNNS\tI-NP\tO' -p107691 -aS'.\t.\t.\tO\tO' -p107692 -asS'The patient had a PICC line placed and will continue a 8 week course of antibiotics .' -p107693 -(lp107694 -S'The\tThe\tDT\tB-NP\tO' -p107695 -aS'patient\tpatient\tNN\tI-NP\tO' -p107696 -aS'had\thave\tVBD\tB-VP\tO' -p107697 -aS'a\ta\tDT\tB-NP\tO' -p107698 -aS'PICC\tPICC\tNN\tI-NP\tB-cell_line' -p107699 -aS'line\tline\tNN\tI-NP\tI-cell_line' -p107700 -aS'placed\tplace\tVBN\tB-VP\tO' -p107701 -aS'and\tand\tCC\tO\tO' -p107702 -aS'will\twill\tMD\tB-VP\tO' -p107703 -aS'continue\tcontinue\tVB\tI-VP\tO' -p107704 -aS'a\ta\tDT\tB-NP\tO' -p107705 -aS'8\t8\tCD\tI-NP\tO' -p107706 -aS'week\tweek\tNN\tI-NP\tO' -p107707 -aS'course\tcourse\tNN\tI-NP\tO' -p107708 -aS'of\tof\tIN\tB-PP\tO' -p107709 -aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' -p107710 -aS'.\t.\t.\tO\tO' -p107711 -asS'Note that the liver enzymes were normal on admission , at which time she was taking all of the above cholesterol medicines .' -p107712 -(lp107713 -S'Note\tNote\tVB\tB-VP\tO' -p107714 -aS'that\tthat\tIN\tB-SBAR\tO' -p107715 -aS'the\tthe\tDT\tB-NP\tO' -p107716 -aS'liver\tliver\tNN\tI-NP\tB-protein' -p107717 -aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' -p107718 -aS'were\tbe\tVBD\tB-VP\tO' -p107719 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p107720 -aS'on\ton\tIN\tB-PP\tO' -p107721 -aS'admission\tadmission\tNN\tB-NP\tO' -p107722 -aS',\t,\t,\tO\tO' -p107723 -aS'at\tat\tIN\tB-PP\tO' -p107724 -aS'which\twhich\tWDT\tB-NP\tO' -p107725 -aS'time\ttime\tNN\tI-NP\tO' -p107726 -aS'she\tshe\tPRP\tB-NP\tO' -p107727 -aS'was\tbe\tVBD\tB-VP\tO' -p107728 -aS'taking\ttake\tVBG\tI-VP\tO' -p107729 -aS'all\tall\tDT\tB-NP\tO' -p107730 -aS'of\tof\tIN\tB-PP\tO' -p107731 -aS'the\tthe\tDT\tB-NP\tO' -p107732 -aS'above\tabove\tJJ\tI-NP\tO' -p107733 -aS'cholesterol\tcholesterol\tNN\tI-NP\tO' -p107734 -aS'medicines\tmedicine\tNNS\tI-NP\tO' -p107735 -aS'.\t.\t.\tO\tO' -p107736 -asS'Repeat cardiac catheterization showed re-stenosis of proximal left anterior descending that had been percutaneous transluminal coronary angioplastied and a lesion in the first obtuse marginal and a moderate to severe left circumflex lesion after the third obtuse marginal .' -p107737 -(lp107738 -S'Repeat\tRepeat\tNN\tB-NP\tO' -p107739 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p107740 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p107741 -aS'showed\tshow\tVBD\tB-VP\tO' -p107742 -aS're-stenosis\tre-stenosis\tNN\tB-NP\tO' -p107743 -aS'of\tof\tIN\tB-PP\tO' -p107744 -aS'proximal\tproximal\tJJ\tB-NP\tO' -p107745 -aS'left\tleft\tJJ\tI-NP\tO' -p107746 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p107747 -aS'descending\tdescending\tNN\tI-NP\tO' -p107748 -aS'that\tthat\tWDT\tB-NP\tO' -p107749 -aS'had\thave\tVBD\tB-VP\tO' -p107750 -aS'been\tbe\tVBN\tI-VP\tO' -p107751 -aS'percutaneous\tpercutaneous\tJJ\tB-NP\tO' -p107752 -aS'transluminal\ttransluminal\tJJ\tI-NP\tO' -p107753 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p107754 -aS'angioplastied\tangioplastied\tNN\tI-NP\tO' -p107755 -aS'and\tand\tCC\tO\tO' -p107756 -aS'a\ta\tDT\tB-NP\tO' -p107757 -aS'lesion\tlesion\tNN\tI-NP\tO' -p107758 -aS'in\tin\tIN\tB-PP\tO' -p107759 -aS'the\tthe\tDT\tB-NP\tO' -p107760 -aS'first\tfirst\tJJ\tI-NP\tO' -p107761 -aS'obtuse\tobtuse\tNN\tI-NP\tO' -p107762 -aS'marginal\tmarginal\tJJ\tB-ADJP\tO' -p107763 -aS'and\tand\tCC\tO\tO' -p107764 -aS'a\ta\tDT\tB-NP\tO' -p107765 -aS'moderate\tmoderate\tJJ\tI-NP\tO' -p107766 -aS'to\tto\tTO\tB-PP\tO' -p107767 -aS'severe\tsevere\tJJ\tB-NP\tO' -p107768 -aS'left\tleft\tJJ\tI-NP\tO' -p107769 -aS'circumflex\tcircumflex\tNN\tI-NP\tO' -p107770 -aS'lesion\tlesion\tNN\tI-NP\tO' -p107771 -aS'after\tafter\tIN\tB-PP\tO' -p107772 -aS'the\tthe\tDT\tB-NP\tO' -p107773 -aS'third\tthird\tJJ\tI-NP\tO' -p107774 -aS'obtuse\tobtuse\tNN\tI-NP\tO' -p107775 -aS'marginal\tmarginal\tJJ\tB-ADJP\tO' -p107776 -aS'.\t.\t.\tO\tO' -p107777 -asS'5. Hydrochlorothiazide , 25 mg PO daily .' -p107778 -(lp107779 -S'5.\t5.\tLS\tB-NP\tO' -p107780 -aS'Hydrochlorothiazide\tHydrochlorothiazide\tNN\tI-NP\tO' -p107781 -aS',\t,\t,\tO\tO' -p107782 -aS'25\t25\tCD\tB-NP\tO' -p107783 -aS'mg\tmg\tNN\tI-NP\tO' -p107784 -aS'PO\tPO\tNN\tI-NP\tO' -p107785 -aS'daily\tdaily\tRB\tB-ADVP\tO' -p107786 -aS'.\t.\t.\tO\tO' -p107787 -asS'As he becomes progressively more somnolent , this will likely need to be switched to IV pain medications only .' -p107788 -(lp107789 -S'As\tAs\tIN\tB-SBAR\tO' -p107790 -aS'he\the\tPRP\tB-NP\tO' -p107791 -aS'becomes\tbecome\tVBZ\tB-VP\tO' -p107792 -aS'progressively\tprogressively\tRB\tB-ADJP\tO' -p107793 -aS'more\tmore\tRBR\tI-ADJP\tO' -p107794 -aS'somnolent\tsomnolent\tJJ\tI-ADJP\tO' -p107795 -aS',\t,\t,\tO\tO' -p107796 -aS'this\tthis\tDT\tB-NP\tO' -p107797 -aS'will\twill\tMD\tB-VP\tO' -p107798 -aS'likely\tlikely\tRB\tI-VP\tO' -p107799 -aS'need\tneed\tVB\tI-VP\tO' -p107800 -aS'to\tto\tTO\tI-VP\tO' -p107801 -aS'be\tbe\tVB\tI-VP\tO' -p107802 -aS'switched\tswitch\tVBN\tI-VP\tO' -p107803 -aS'to\tto\tTO\tB-PP\tO' -p107804 -aS'IV\tIV\tCD\tB-NP\tO' -p107805 -aS'pain\tpain\tNN\tI-NP\tO' -p107806 -aS'medications\tmedication\tNNS\tI-NP\tO' -p107807 -aS'only\tonly\tRB\tB-ADVP\tO' -p107808 -aS'.\t.\t.\tO\tO' -p107809 -asS'6) ATRIAL FIBRILLATION .' -p107810 -(lp107811 -S'6)\t6)\tLS\tB-NP\tO' -p107812 -aS'ATRIAL\tATRIAL\tNN\tI-NP\tO' -p107813 -aS'FIBRILLATION\tFIBRILLATION\tNN\tI-NP\tO' -p107814 -aS'.\t.\t.\tO\tO' -p107815 -asS'Abdomen soft and there was wound erythema with three areas of dehiscence draining foul-smelling , purulent fluid .' -p107816 -(lp107817 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p107818 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p107819 -aS'and\tand\tCC\tO\tO' -p107820 -aS'there\tthere\tEX\tB-NP\tO' -p107821 -aS'was\tbe\tVBD\tB-VP\tO' -p107822 -aS'wound\twound\tNN\tB-NP\tO' -p107823 -aS'erythema\terythema\tNN\tI-NP\tO' -p107824 -aS'with\twith\tIN\tB-PP\tO' -p107825 -aS'three\tthree\tCD\tB-NP\tO' -p107826 -aS'areas\tarea\tNNS\tI-NP\tO' -p107827 -aS'of\tof\tIN\tB-PP\tO' -p107828 -aS'dehiscence\tdehiscence\tNN\tB-NP\tO' -p107829 -aS'draining\tdrain\tVBG\tB-VP\tO' -p107830 -aS'foul-smelling\tfoul-smelling\tJJ\tB-NP\tO' -p107831 -aS',\t,\t,\tI-NP\tO' -p107832 -aS'purulent\tpurulent\tJJ\tI-NP\tO' -p107833 -aS'fluid\tfluid\tNN\tI-NP\tO' -p107834 -aS'.\t.\t.\tO\tO' -p107835 -asS'2. Born between 32 and 35 weeks with plans for daycare during respiratory syncytial virus season , with a smoker in the household or with preschool siblings ; or' -p107836 -(lp107837 -S'2.\t2.\tLS\tB-NP\tO' -p107838 -aS'Born\tBorn\tNN\tI-NP\tO' -p107839 -aS'between\tbetween\tIN\tB-PP\tO' -p107840 -aS'32\t32\tCD\tB-NP\tO' -p107841 -aS'and\tand\tCC\tI-NP\tO' -p107842 -aS'35\t35\tCD\tI-NP\tO' -p107843 -aS'weeks\tweek\tNNS\tI-NP\tO' -p107844 -aS'with\twith\tIN\tB-PP\tO' -p107845 -aS'plans\tplan\tNNS\tB-NP\tO' -p107846 -aS'for\tfor\tIN\tB-PP\tO' -p107847 -aS'daycare\tdaycare\tNN\tB-NP\tO' -p107848 -aS'during\tduring\tIN\tB-PP\tO' -p107849 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p107850 -aS'syncytial\tsyncytial\tJJ\tI-NP\tO' -p107851 -aS'virus\tvirus\tNN\tI-NP\tO' -p107852 -aS'season\tseason\tNN\tI-NP\tO' -p107853 -aS',\t,\t,\tO\tO' -p107854 -aS'with\twith\tIN\tB-PP\tO' -p107855 -aS'a\ta\tDT\tB-NP\tO' -p107856 -aS'smoker\tsmoker\tNN\tI-NP\tO' -p107857 -aS'in\tin\tIN\tB-PP\tO' -p107858 -aS'the\tthe\tDT\tB-NP\tO' -p107859 -aS'household\thousehold\tNN\tI-NP\tO' -p107860 -aS'or\tor\tCC\tB-PP\tO' -p107861 -aS'with\twith\tIN\tB-PP\tO' -p107862 -aS'preschool\tpreschool\tNN\tB-NP\tO' -p107863 -aS'siblings\tsibling\tNNS\tI-NP\tO' -p107864 -aS';\t;\t:\tO\tO' -p107865 -aS'or\tor\tCC\tO\tO' -p107866 -asS'4. Triamterene/Hydrochlorothiazide 37.5/25 mg p.o. daily .' -p107867 -(lp107868 -S'4.\t4.\tLS\tB-NP\tO' -p107869 -aS'Triamterene/Hydrochlorothiazide\tTriamterene/Hydrochlorothiazide\tNN\tI-NP\tO' -p107870 -aS'37.5/25\t37.5/25\tCD\tI-NP\tO' -p107871 -aS'mg\tmg\tNN\tI-NP\tO' -p107872 -aS'p.o.\tp.o.\tRB\tB-ADVP\tO' -p107873 -aS'daily\tdaily\tRB\tI-ADVP\tO' -p107874 -aS'.\t.\t.\tO\tO' -p107875 -asS'The patient transfused 1 unit on 10/19/97 for a hematocrit of 27.9 .' -p107876 -(lp107877 -S'The\tThe\tDT\tB-NP\tO' -p107878 -aS'patient\tpatient\tNN\tI-NP\tO' -p107879 -aS'transfused\ttransfuse\tVBD\tB-VP\tO' -p107880 -aS'1\t1\tCD\tB-NP\tO' -p107881 -aS'unit\tunit\tNN\tI-NP\tO' -p107882 -aS'on\ton\tIN\tB-PP\tO' -p107883 -aS'10/19/97\t10/19/97\tCD\tB-NP\tO' -p107884 -aS'for\tfor\tIN\tB-PP\tO' -p107885 -aS'a\ta\tDT\tB-NP\tO' -p107886 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p107887 -aS'of\tof\tIN\tB-PP\tO' -p107888 -aS'27.9\t27.9\tCD\tB-NP\tO' -p107889 -aS'.\t.\t.\tO\tO' -p107890 -asS'Palate and tongue moved normally in the midline .' -p107891 -(lp107892 -S'Palate\tPalate\tNN\tB-NP\tO' -p107893 -aS'and\tand\tCC\tI-NP\tO' -p107894 -aS'tongue\ttongue\tNN\tI-NP\tO' -p107895 -aS'moved\tmove\tVBD\tB-VP\tO' -p107896 -aS'normally\tnormally\tRB\tB-ADVP\tO' -p107897 -aS'in\tin\tIN\tB-PP\tO' -p107898 -aS'the\tthe\tDT\tB-NP\tO' -p107899 -aS'midline\tmidline\tNN\tI-NP\tO' -p107900 -aS'.\t.\t.\tO\tO' -p107901 -asS'The situation of the patient was extensively discussed with the parents , and the attending physician from Neurology , Dr. Breunkote , and the attending physician from Pediatric Intensive Care Unit , Dr. Boormcose , and the decision was finally made with the family and attendings to disconnect the patient from the mechanical ventilation due to severe neurological injury and poor prognosis .' -p107902 -(lp107903 -S'The\tThe\tDT\tB-NP\tO' -p107904 -aS'situation\tsituation\tNN\tI-NP\tO' -p107905 -aS'of\tof\tIN\tB-PP\tO' -p107906 -aS'the\tthe\tDT\tB-NP\tO' -p107907 -aS'patient\tpatient\tNN\tI-NP\tO' -p107908 -aS'was\tbe\tVBD\tB-VP\tO' -p107909 -aS'extensively\textensively\tRB\tI-VP\tO' -p107910 -aS'discussed\tdiscuss\tVBN\tI-VP\tO' -p107911 -aS'with\twith\tIN\tB-PP\tO' -p107912 -aS'the\tthe\tDT\tB-NP\tO' -p107913 -aS'parents\tparent\tNNS\tI-NP\tO' -p107914 -aS',\t,\t,\tO\tO' -p107915 -aS'and\tand\tCC\tO\tO' -p107916 -aS'the\tthe\tDT\tB-NP\tO' -p107917 -aS'attending\tattend\tVBG\tI-NP\tO' -p107918 -aS'physician\tphysician\tNN\tI-NP\tO' -p107919 -aS'from\tfrom\tIN\tB-PP\tO' -p107920 -aS'Neurology\tNeurology\tNNP\tB-NP\tO' -p107921 -aS',\t,\t,\tO\tO' -p107922 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p107923 -aS'Breunkote\tBreunkote\tNNP\tI-NP\tO' -p107924 -aS',\t,\t,\tO\tO' -p107925 -aS'and\tand\tCC\tO\tO' -p107926 -aS'the\tthe\tDT\tB-NP\tO' -p107927 -aS'attending\tattend\tVBG\tI-NP\tO' -p107928 -aS'physician\tphysician\tNN\tI-NP\tO' -p107929 -aS'from\tfrom\tIN\tB-PP\tO' -p107930 -aS'Pediatric\tPediatric\tNNP\tB-NP\tO' -p107931 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p107932 -aS'Care\tCare\tNNP\tI-NP\tO' -p107933 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p107934 -aS',\t,\t,\tO\tO' -p107935 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p107936 -aS'Boormcose\tBoormcose\tNNP\tI-NP\tO' -p107937 -aS',\t,\t,\tO\tO' -p107938 -aS'and\tand\tCC\tO\tO' -p107939 -aS'the\tthe\tDT\tB-NP\tO' -p107940 -aS'decision\tdecision\tNN\tI-NP\tO' -p107941 -aS'was\tbe\tVBD\tB-VP\tO' -p107942 -aS'finally\tfinally\tRB\tI-VP\tO' -p107943 -aS'made\tmake\tVBN\tI-VP\tO' -p107944 -aS'with\twith\tIN\tB-PP\tO' -p107945 -aS'the\tthe\tDT\tB-NP\tO' -p107946 -aS'family\tfamily\tNN\tI-NP\tO' -p107947 -aS'and\tand\tCC\tI-NP\tO' -p107948 -aS'attendings\tattending\tNNS\tI-NP\tO' -p107949 -aS'to\tto\tTO\tB-VP\tO' -p107950 -aS'disconnect\tdisconnect\tVB\tI-VP\tO' -p107951 -aS'the\tthe\tDT\tB-NP\tO' -p107952 -aS'patient\tpatient\tNN\tI-NP\tO' -p107953 -aS'from\tfrom\tIN\tB-PP\tO' -p107954 -aS'the\tthe\tDT\tB-NP\tO' -p107955 -aS'mechanical\tmechanical\tJJ\tI-NP\tO' -p107956 -aS'ventilation\tventilation\tNN\tI-NP\tO' -p107957 -aS'due\tdue\tJJ\tB-PP\tO' -p107958 -aS'to\tto\tTO\tB-PP\tO' -p107959 -aS'severe\tsevere\tJJ\tB-NP\tO' -p107960 -aS'neurological\tneurological\tJJ\tI-NP\tO' -p107961 -aS'injury\tinjury\tNN\tI-NP\tO' -p107962 -aS'and\tand\tCC\tO\tO' -p107963 -aS'poor\tpoor\tJJ\tB-NP\tO' -p107964 -aS'prognosis\tprognosis\tNN\tI-NP\tO' -p107965 -aS'.\t.\t.\tO\tO' -p107966 -asS'The patient was admitted to the Intensive Care Unit .' -p107967 -(lp107968 -S'The\tThe\tDT\tB-NP\tO' -p107969 -aS'patient\tpatient\tNN\tI-NP\tO' -p107970 -aS'was\tbe\tVBD\tB-VP\tO' -p107971 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p107972 -aS'to\tto\tTO\tB-PP\tO' -p107973 -aS'the\tthe\tDT\tB-NP\tO' -p107974 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p107975 -aS'Care\tCare\tNNP\tI-NP\tO' -p107976 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p107977 -aS'.\t.\t.\tO\tO' -p107978 -asS'Coronary Artery Bypass Graft x3 ( Left internal mammary -> left anterior descending , saphaneous vein graft -> obtuse marginal , saphaneous vein graft -> posterior descending artery ) 2018-10-25' -p107979 -(lp107980 -S'Coronary\tCoronary\tNNP\tB-NP\tO' -p107981 -aS'Artery\tArtery\tNNP\tI-NP\tO' -p107982 -aS'Bypass\tBypass\tNNP\tI-NP\tO' -p107983 -aS'Graft\tGraft\tNNP\tI-NP\tO' -p107984 -aS'x3\tx3\tNN\tI-NP\tO' -p107985 -aS'(\t(\t(\tO\tO' -p107986 -aS'Left\tLeave\tVBN\tB-VP\tO' -p107987 -aS'internal\tinternal\tJJ\tB-NP\tO' -p107988 -aS'mammary\tmammary\tJJ\tI-NP\tO' -p107989 -aS'->\t->\tNN\tI-NP\tO' -p107990 -aS'left\tleave\tVBD\tB-VP\tO' -p107991 -aS'anterior\tanterior\tJJ\tB-NP\tO' -p107992 -aS'descending\tdescend\tVBG\tI-NP\tO' -p107993 -aS',\t,\t,\tO\tO' -p107994 -aS'saphaneous\tsaphaneous\tJJ\tB-NP\tO' -p107995 -aS'vein\tvein\tNN\tI-NP\tO' -p107996 -aS'graft\tgraft\tNN\tI-NP\tO' -p107997 -aS'->\t->\tSYM\tB-NP\tO' -p107998 -aS'obtuse\tobtuse\tNN\tI-NP\tO' -p107999 -aS'marginal\tmarginal\tJJ\tI-NP\tO' -p108000 -aS',\t,\t,\tI-NP\tO' -p108001 -aS'saphaneous\tsaphaneous\tJJ\tI-NP\tO' -p108002 -aS'vein\tvein\tNN\tI-NP\tO' -p108003 -aS'graft\tgraft\tNN\tI-NP\tO' -p108004 -aS'->\t->\tSYM\tB-NP\tO' -p108005 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p108006 -aS'descending\tdescend\tVBG\tI-NP\tO' -p108007 -aS'artery\tartery\tNN\tI-NP\tO' -p108008 -aS')\t)\t)\tO\tO' -p108009 -aS'2018-10-25\t2018-10-25\tCD\tB-NP\tO' -p108010 -asS'She was transferred to the floor for further managment .' -p108011 -(lp108012 -S'She\tShe\tPRP\tB-NP\tO' -p108013 -aS'was\tbe\tVBD\tB-VP\tO' -p108014 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p108015 -aS'to\tto\tTO\tB-PP\tO' -p108016 -aS'the\tthe\tDT\tB-NP\tO' -p108017 -aS'floor\tfloor\tNN\tI-NP\tO' -p108018 -aS'for\tfor\tIN\tB-PP\tO' -p108019 -aS'further\tfurther\tJJ\tB-NP\tO' -p108020 -aS'managment\tmanagment\tNN\tI-NP\tO' -p108021 -aS'.\t.\t.\tO\tO' -p108022 -asS'She remained neurologically stable .' -p108023 -(lp108024 -S'She\tShe\tPRP\tB-NP\tO' -p108025 -aS'remained\tremain\tVBD\tB-VP\tO' -p108026 -aS'neurologically\tneurologically\tRB\tB-ADJP\tO' -p108027 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p108028 -aS'.\t.\t.\tO\tO' -p108029 -asS'Abdominal pelvic CT scan on 3/10/02 .' -p108030 -(lp108031 -S'Abdominal\tAbdominal\tJJ\tB-NP\tO' -p108032 -aS'pelvic\tpelvic\tJJ\tI-NP\tO' -p108033 -aS'CT\tCT\tNN\tI-NP\tO' -p108034 -aS'scan\tscan\tNN\tI-NP\tO' -p108035 -aS'on\ton\tIN\tB-PP\tO' -p108036 -aS'3/10/02\t3/10/02\tCD\tB-NP\tO' -p108037 -aS'.\t.\t.\tO\tO' -p108038 -asS'TECHNIQUE : Noncontrast cervical spine CT .' -p108039 -(lp108040 -S'TECHNIQUE\tTECHNIQUE\tNN\tB-NP\tO' -p108041 -aS':\t:\t:\tO\tO' -p108042 -aS'Noncontrast\tNoncontrast\tNN\tB-NP\tO' -p108043 -aS'cervical\tcervical\tJJ\tI-NP\tO' -p108044 -aS'spine\tspine\tNN\tI-NP\tO' -p108045 -aS'CT\tCT\tNN\tI-NP\tO' -p108046 -aS'.\t.\t.\tO\tO' -p108047 -asS'If you have fevers please contact your PCP or return to the emergency room .' -p108048 -(lp108049 -S'If\tIf\tIN\tB-SBAR\tO' -p108050 -aS'you\tyou\tPRP\tB-NP\tO' -p108051 -aS'have\thave\tVBP\tB-VP\tO' -p108052 -aS'fevers\tfever\tNNS\tB-NP\tO' -p108053 -aS'please\tplease\tVB\tB-VP\tO' -p108054 -aS'contact\tcontact\tNN\tB-NP\tO' -p108055 -aS'your\tyour\tPRP$\tB-NP\tO' -p108056 -aS'PCP\tPCP\tNN\tI-NP\tB-DNA' -p108057 -aS'or\tor\tCC\tO\tO' -p108058 -aS'return\treturn\tVB\tB-VP\tO' -p108059 -aS'to\tto\tTO\tB-PP\tO' -p108060 -aS'the\tthe\tDT\tB-NP\tO' -p108061 -aS'emergency\temergency\tNN\tI-NP\tO' -p108062 -aS'room\troom\tNN\tI-NP\tO' -p108063 -aS'.\t.\t.\tO\tO' -p108064 -asS'13. Inducible Vtach on EP study with AICD placement 11-01' -p108065 -(lp108066 -S'13.\t13.\tLS\tB-NP\tO' -p108067 -aS'Inducible\tInducible\tJJ\tI-NP\tO' -p108068 -aS'Vtach\tVtach\tNN\tI-NP\tO' -p108069 -aS'on\ton\tIN\tB-PP\tO' -p108070 -aS'EP\tEP\tNN\tB-NP\tO' -p108071 -aS'study\tstudy\tNN\tI-NP\tO' -p108072 -aS'with\twith\tIN\tB-PP\tO' -p108073 -aS'AICD\tAICD\tNN\tB-NP\tO' -p108074 -aS'placement\tplacement\tNN\tI-NP\tO' -p108075 -aS'11-01\t11-01\tCD\tI-NP\tO' -p108076 -asS'The patient had signs and symptoms develop of SBP , also with an elevated white count .' -p108077 -(lp108078 -S'The\tThe\tDT\tB-NP\tO' -p108079 -aS'patient\tpatient\tNN\tI-NP\tO' -p108080 -aS'had\thave\tVBD\tB-VP\tO' -p108081 -aS'signs\tsign\tNNS\tB-NP\tO' -p108082 -aS'and\tand\tCC\tI-NP\tO' -p108083 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p108084 -aS'develop\tdevelop\tVBP\tB-VP\tO' -p108085 -aS'of\tof\tIN\tB-PP\tO' -p108086 -aS'SBP\tSBP\tNN\tB-NP\tB-protein' -p108087 -aS',\t,\t,\tO\tO' -p108088 -aS'also\talso\tRB\tB-ADVP\tO' -p108089 -aS'with\twith\tIN\tB-PP\tO' -p108090 -aS'an\tan\tDT\tB-NP\tO' -p108091 -aS'elevated\televated\tJJ\tI-NP\tO' -p108092 -aS'white\twhite\tJJ\tI-NP\tO' -p108093 -aS'count\tcount\tNN\tI-NP\tO' -p108094 -aS'.\t.\t.\tO\tO' -p108095 -asS'Blood pressure up to 230 s systolic .' -p108096 -(lp108097 -S'Blood\tBlood\tNN\tB-NP\tO' -p108098 -aS'pressure\tpressure\tNN\tI-NP\tO' -p108099 -aS'up\tup\tIN\tB-NP\tO' -p108100 -aS'to\tto\tTO\tI-NP\tO' -p108101 -aS'230\t230\tCD\tI-NP\tO' -p108102 -aS's\ts\tNN\tI-NP\tO' -p108103 -aS'systolic\tsystolic\tJJ\tB-ADJP\tO' -p108104 -aS'.\t.\t.\tO\tO' -p108105 -asS'A pulmonary artery catheter was placed on hospital day four .' -p108106 -(lp108107 -S'A\tA\tDT\tB-NP\tO' -p108108 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p108109 -aS'artery\tartery\tNN\tI-NP\tO' -p108110 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p108111 -aS'was\tbe\tVBD\tB-VP\tO' -p108112 -aS'placed\tplace\tVBN\tI-VP\tO' -p108113 -aS'on\ton\tIN\tB-PP\tO' -p108114 -aS'hospital\thospital\tNN\tB-NP\tO' -p108115 -aS'day\tday\tNN\tI-NP\tO' -p108116 -aS'four\tfour\tCD\tI-NP\tO' -p108117 -aS'.\t.\t.\tO\tO' -p108118 -asS'Onset was an hour to 1 hour after meals , worse with greasy meals , lasting five minutes to two hours .' -p108119 -(lp108120 -S'Onset\tOnset\tNN\tB-NP\tO' -p108121 -aS'was\tbe\tVBD\tB-VP\tO' -p108122 -aS'an\tan\tDT\tB-NP\tO' -p108123 -aS'hour\thour\tNN\tI-NP\tO' -p108124 -aS'to\tto\tTO\tB-PP\tO' -p108125 -aS'1\t1\tCD\tB-NP\tO' -p108126 -aS'hour\thour\tNN\tI-NP\tO' -p108127 -aS'after\tafter\tIN\tB-PP\tO' -p108128 -aS'meals\tmeal\tNNS\tB-NP\tO' -p108129 -aS',\t,\t,\tO\tO' -p108130 -aS'worse\tworse\tVBP\tB-VP\tO' -p108131 -aS'with\twith\tIN\tB-PP\tO' -p108132 -aS'greasy\tgreasy\tJJ\tB-NP\tO' -p108133 -aS'meals\tmeal\tNNS\tI-NP\tO' -p108134 -aS',\t,\t,\tO\tO' -p108135 -aS'lasting\tlast\tVBG\tB-VP\tO' -p108136 -aS'five\tfive\tCD\tB-NP\tO' -p108137 -aS'minutes\tminute\tNNS\tI-NP\tO' -p108138 -aS'to\tto\tTO\tB-PP\tO' -p108139 -aS'two\ttwo\tCD\tB-NP\tO' -p108140 -aS'hours\thour\tNNS\tI-NP\tO' -p108141 -aS'.\t.\t.\tO\tO' -p108142 -asS'8. Dyspnea on exertion .' -p108143 -(lp108144 -S'8.\t8.\tLS\tB-NP\tO' -p108145 -aS'Dyspnea\tDyspnea\tNN\tI-NP\tO' -p108146 -aS'on\ton\tIN\tB-PP\tO' -p108147 -aS'exertion\texertion\tNN\tB-NP\tO' -p108148 -aS'.\t.\t.\tO\tO' -p108149 -asS'Heart regular rate and rhythm .' -p108150 -(lp108151 -S'Heart\tHeart\tNN\tB-NP\tO' -p108152 -aS'regular\tregular\tJJ\tI-NP\tO' -p108153 -aS'rate\trate\tNN\tI-NP\tO' -p108154 -aS'and\tand\tCC\tI-NP\tO' -p108155 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p108156 -aS'.\t.\t.\tO\tO' -p108157 -asS'VQ scan , lower extremities noninvasive Doppler studies and overnight oximetry saturation monitoring .' -p108158 -(lp108159 -S'VQ\tVQ\tNN\tB-NP\tO' -p108160 -aS'scan\tscan\tNN\tI-NP\tO' -p108161 -aS',\t,\t,\tO\tO' -p108162 -aS'lower\tlow\tJJR\tB-NP\tO' -p108163 -aS'extremities\textremity\tNNS\tI-NP\tO' -p108164 -aS'noninvasive\tnoninvasive\tJJ\tB-NP\tO' -p108165 -aS'Doppler\tDoppler\tNNP\tI-NP\tO' -p108166 -aS'studies\tstudy\tNNS\tI-NP\tO' -p108167 -aS'and\tand\tCC\tO\tO' -p108168 -aS'overnight\tovernight\tJJ\tB-NP\tO' -p108169 -aS'oximetry\toximetry\tNN\tI-NP\tO' -p108170 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p108171 -aS'monitoring\tmonitoring\tNN\tI-NP\tO' -p108172 -aS'.\t.\t.\tO\tO' -p108173 -asS'She is married and lives in an assisted living facility with her husband .' -p108174 -(lp108175 -S'She\tShe\tPRP\tB-NP\tO' -p108176 -aS'is\tbe\tVBZ\tB-VP\tO' -p108177 -aS'married\tmarried\tJJ\tB-ADJP\tO' -p108178 -aS'and\tand\tCC\tO\tO' -p108179 -aS'lives\tlife\tNNS\tB-NP\tO' -p108180 -aS'in\tin\tIN\tB-PP\tO' -p108181 -aS'an\tan\tDT\tB-NP\tO' -p108182 -aS'assisted\tassist\tVBN\tI-NP\tO' -p108183 -aS'living\tlive\tVBG\tI-NP\tO' -p108184 -aS'facility\tfacility\tNN\tI-NP\tO' -p108185 -aS'with\twith\tIN\tB-PP\tO' -p108186 -aS'her\ther\tPRP$\tB-NP\tO' -p108187 -aS'husband\thusband\tNN\tI-NP\tO' -p108188 -aS'.\t.\t.\tO\tO' -p108189 -asS'Her vital signs were stable with a temperature of 97.8 degrees , blood pressure was 104 to 121 over 50s .' -p108190 -(lp108191 -S'Her\tHer\tPRP$\tB-NP\tO' -p108192 -aS'vital\tvital\tJJ\tI-NP\tO' -p108193 -aS'signs\tsign\tNNS\tI-NP\tO' -p108194 -aS'were\tbe\tVBD\tB-VP\tO' -p108195 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p108196 -aS'with\twith\tIN\tB-PP\tO' -p108197 -aS'a\ta\tDT\tB-NP\tO' -p108198 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p108199 -aS'of\tof\tIN\tB-PP\tO' -p108200 -aS'97.8\t97.8\tCD\tB-NP\tO' -p108201 -aS'degrees\tdegree\tNNS\tI-NP\tO' -p108202 -aS',\t,\t,\tO\tO' -p108203 -aS'blood\tblood\tNN\tB-NP\tO' -p108204 -aS'pressure\tpressure\tNN\tI-NP\tO' -p108205 -aS'was\tbe\tVBD\tB-VP\tO' -p108206 -aS'104\t104\tCD\tB-NP\tO' -p108207 -aS'to\tto\tTO\tB-PP\tO' -p108208 -aS'121\t121\tCD\tB-NP\tO' -p108209 -aS'over\tover\tIN\tB-PP\tO' -p108210 -aS'50s\t50s\tCD\tB-NP\tO' -p108211 -aS'.\t.\t.\tO\tO' -p108212 -asS'I have explained to him that he may have developed some glucose intolerance and that , in the first instance , he should see his Primary Care Physician and attempt dietary control .' -p108213 -(lp108214 -S'I\tI\tPRP\tB-NP\tO' -p108215 -aS'have\thave\tVBP\tB-VP\tO' -p108216 -aS'explained\texplain\tVBN\tI-VP\tO' -p108217 -aS'to\tto\tTO\tB-PP\tO' -p108218 -aS'him\thim\tPRP\tB-NP\tO' -p108219 -aS'that\tthat\tIN\tB-SBAR\tO' -p108220 -aS'he\the\tPRP\tB-NP\tO' -p108221 -aS'may\tmay\tMD\tB-VP\tO' -p108222 -aS'have\thave\tVB\tI-VP\tO' -p108223 -aS'developed\tdevelop\tVBN\tI-VP\tO' -p108224 -aS'some\tsome\tDT\tB-NP\tO' -p108225 -aS'glucose\tglucose\tNN\tI-NP\tO' -p108226 -aS'intolerance\tintolerance\tNN\tI-NP\tO' -p108227 -aS'and\tand\tCC\tO\tO' -p108228 -aS'that\tthat\tIN\tB-SBAR\tO' -p108229 -aS',\t,\t,\tO\tO' -p108230 -aS'in\tin\tIN\tB-PP\tO' -p108231 -aS'the\tthe\tDT\tB-NP\tO' -p108232 -aS'first\tfirst\tJJ\tI-NP\tO' -p108233 -aS'instance\tinstance\tNN\tI-NP\tO' -p108234 -aS',\t,\t,\tO\tO' -p108235 -aS'he\the\tPRP\tB-NP\tO' -p108236 -aS'should\tshould\tMD\tB-VP\tO' -p108237 -aS'see\tsee\tVB\tI-VP\tO' -p108238 -aS'his\this\tPRP$\tB-NP\tO' -p108239 -aS'Primary\tPrimary\tNNP\tI-NP\tO' -p108240 -aS'Care\tCare\tNNP\tI-NP\tO' -p108241 -aS'Physician\tPhysician\tNNP\tI-NP\tO' -p108242 -aS'and\tand\tCC\tO\tO' -p108243 -aS'attempt\tattempt\tVB\tB-VP\tO' -p108244 -aS'dietary\tdietary\tJJ\tB-NP\tO' -p108245 -aS'control\tcontrol\tNN\tI-NP\tO' -p108246 -aS'.\t.\t.\tO\tO' -p108247 -asS'Acute myocardial infarction .' -p108248 -(lp108249 -S'Acute\tAcute\tJJ\tB-NP\tO' -p108250 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p108251 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p108252 -aS'.\t.\t.\tO\tO' -p108253 -asS'Dilantin 100 mgs po tid , Carafate 1 gram po qid , Digoxin 0.25 mgs po qd , Isordil 20 mgs po tid , Captopril 25 mgs po tid , Lopressor 50 mgs po bid , Colace 100 mgs po tid , and Coumadin 2 mgs po qhs .' -p108254 -(lp108255 -S'Dilantin\tDilantin\tNN\tB-NP\tO' -p108256 -aS'100\t100\tCD\tI-NP\tO' -p108257 -aS'mgs\tmg\tNNS\tI-NP\tO' -p108258 -aS'po\tpo\tNN\tI-NP\tO' -p108259 -aS'tid\ttid\tNN\tI-NP\tO' -p108260 -aS',\t,\t,\tO\tO' -p108261 -aS'Carafate\tCarafate\tNN\tB-NP\tO' -p108262 -aS'1\t1\tCD\tI-NP\tO' -p108263 -aS'gram\tgram\tNN\tI-NP\tO' -p108264 -aS'po\tpo\tNN\tI-NP\tO' -p108265 -aS'qid\tqid\tNN\tI-NP\tO' -p108266 -aS',\t,\t,\tO\tO' -p108267 -aS'Digoxin\tDigoxin\tNN\tB-NP\tO' -p108268 -aS'0.25\t0.25\tCD\tI-NP\tO' -p108269 -aS'mgs\tmg\tNNS\tI-NP\tO' -p108270 -aS'po\tpo\tNN\tI-NP\tO' -p108271 -aS'qd\tqd\tNN\tI-NP\tO' -p108272 -aS',\t,\t,\tO\tO' -p108273 -aS'Isordil\tIsordil\tNN\tB-NP\tO' -p108274 -aS'20\t20\tCD\tI-NP\tO' -p108275 -aS'mgs\tmg\tNNS\tI-NP\tO' -p108276 -aS'po\tpo\tNN\tI-NP\tO' -p108277 -aS'tid\ttid\tNN\tI-NP\tO' -p108278 -aS',\t,\t,\tO\tO' -p108279 -aS'Captopril\tCaptopril\tNNP\tB-NP\tO' -p108280 -aS'25\t25\tCD\tI-NP\tO' -p108281 -aS'mgs\tmg\tNNS\tI-NP\tO' -p108282 -aS'po\tpo\tNN\tI-NP\tO' -p108283 -aS'tid\ttid\tNN\tI-NP\tO' -p108284 -aS',\t,\t,\tO\tO' -p108285 -aS'Lopressor\tLopressor\tNN\tB-NP\tO' -p108286 -aS'50\t50\tCD\tB-NP\tO' -p108287 -aS'mgs\tmg\tNNS\tI-NP\tO' -p108288 -aS'po\tpo\tVBP\tB-VP\tO' -p108289 -aS'bid\tbid\tNN\tB-NP\tO' -p108290 -aS',\t,\t,\tO\tO' -p108291 -aS'Colace\tColace\tNNP\tB-NP\tO' -p108292 -aS'100\t100\tCD\tI-NP\tO' -p108293 -aS'mgs\tmg\tNNS\tI-NP\tO' -p108294 -aS'po\tpo\tNN\tI-NP\tO' -p108295 -aS'tid\ttid\tNN\tI-NP\tO' -p108296 -aS',\t,\t,\tO\tO' -p108297 -aS'and\tand\tCC\tO\tO' -p108298 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p108299 -aS'2\t2\tCD\tB-NP\tO' -p108300 -aS'mgs\tmg\tNNS\tI-NP\tO' -p108301 -aS'po\tpo\tNN\tB-NP\tO' -p108302 -aS'qhs\tqh\tNNS\tI-NP\tO' -p108303 -aS'.\t.\t.\tO\tO' -p108304 -asS'A cardiology consult was obtained for this episode of diaphoresis with tachycardia , as well as for an EKG being read as having anterolateral changes .' -p108305 -(lp108306 -S'A\tA\tDT\tB-NP\tO' -p108307 -aS'cardiology\tcardiology\tNN\tI-NP\tO' -p108308 -aS'consult\tconsult\tNN\tI-NP\tO' -p108309 -aS'was\tbe\tVBD\tB-VP\tO' -p108310 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p108311 -aS'for\tfor\tIN\tB-PP\tO' -p108312 -aS'this\tthis\tDT\tB-NP\tO' -p108313 -aS'episode\tepisode\tNN\tI-NP\tO' -p108314 -aS'of\tof\tIN\tB-PP\tO' -p108315 -aS'diaphoresis\tdiaphoresis\tNN\tB-NP\tO' -p108316 -aS'with\twith\tIN\tB-PP\tO' -p108317 -aS'tachycardia\ttachycardia\tNN\tB-NP\tO' -p108318 -aS',\t,\t,\tO\tO' -p108319 -aS'as\tas\tRB\tB-CONJP\tO' -p108320 -aS'well\twell\tRB\tI-CONJP\tO' -p108321 -aS'as\tas\tIN\tI-CONJP\tO' -p108322 -aS'for\tfor\tIN\tB-PP\tO' -p108323 -aS'an\tan\tDT\tB-NP\tO' -p108324 -aS'EKG\tEKG\tNN\tI-NP\tO' -p108325 -aS'being\tbe\tVBG\tB-VP\tO' -p108326 -aS'read\tread\tVBN\tI-VP\tO' -p108327 -aS'as\tas\tIN\tB-PP\tO' -p108328 -aS'having\thave\tVBG\tB-VP\tO' -p108329 -aS'anterolateral\tanterolateral\tJJ\tB-NP\tO' -p108330 -aS'changes\tchange\tNNS\tI-NP\tO' -p108331 -aS'.\t.\t.\tO\tO' -p108332 -asS'No response to voice , sternal rub .' -p108333 -(lp108334 -S'No\tNo\tDT\tB-NP\tO' -p108335 -aS'response\tresponse\tNN\tI-NP\tO' -p108336 -aS'to\tto\tTO\tB-PP\tO' -p108337 -aS'voice\tvoice\tNN\tB-NP\tO' -p108338 -aS',\t,\t,\tO\tO' -p108339 -aS'sternal\tsternal\tJJ\tB-NP\tO' -p108340 -aS'rub\trub\tNN\tI-NP\tO' -p108341 -aS'.\t.\t.\tO\tO' -p108342 -asS'The patient had no complaints of pain .' -p108343 -(lp108344 -S'The\tThe\tDT\tB-NP\tO' -p108345 -aS'patient\tpatient\tNN\tI-NP\tO' -p108346 -aS'had\thave\tVBD\tB-VP\tO' -p108347 -aS'no\tno\tDT\tB-NP\tO' -p108348 -aS'complaints\tcomplaint\tNNS\tI-NP\tO' -p108349 -aS'of\tof\tIN\tB-PP\tO' -p108350 -aS'pain\tpain\tNN\tB-NP\tO' -p108351 -aS'.\t.\t.\tO\tO' -p108352 -asS'No recent viral syndromes or URI s.' -p108353 -(lp108354 -S'No\tNo\tDT\tB-NP\tO' -p108355 -aS'recent\trecent\tJJ\tI-NP\tO' -p108356 -aS'viral\tviral\tJJ\tI-NP\tO' -p108357 -aS'syndromes\tsyndrome\tNNS\tI-NP\tO' -p108358 -aS'or\tor\tCC\tO\tO' -p108359 -aS'URI\tURI\tNN\tB-NP\tO' -p108360 -aS's.\ts.\tNN\tI-NP\tO' -p108361 -asS'Received 48 hours of Ampicillin and gentamicin for rule out sepsis .' -p108362 -(lp108363 -S'Received\tReceive\tVBN\tB-VP\tO' -p108364 -aS'48\t48\tCD\tB-NP\tO' -p108365 -aS'hours\thour\tNNS\tI-NP\tO' -p108366 -aS'of\tof\tIN\tB-PP\tO' -p108367 -aS'Ampicillin\tAmpicillin\tNN\tB-NP\tB-protein' -p108368 -aS'and\tand\tCC\tI-NP\tO' -p108369 -aS'gentamicin\tgentamicin\tNN\tI-NP\tO' -p108370 -aS'for\tfor\tIN\tB-PP\tO' -p108371 -aS'rule\trule\tNN\tB-NP\tO' -p108372 -aS'out\tout\tIN\tB-PP\tO' -p108373 -aS'sepsis\tsepsis\tNN\tB-NP\tO' -p108374 -aS'.\t.\t.\tO\tO' -p108375 -asS'She passed meconium .' -p108376 -(lp108377 -S'She\tShe\tPRP\tB-NP\tO' -p108378 -aS'passed\tpass\tVBD\tB-VP\tO' -p108379 -aS'meconium\tmeconium\tNN\tB-NP\tO' -p108380 -aS'.\t.\t.\tO\tO' -p108381 -asS'The patient was tapered to p.o. prednisone and tolerated Mestinon 30 mg q. 4h with 180 mg longacting at bedtime .' -p108382 -(lp108383 -S'The\tThe\tDT\tB-NP\tO' -p108384 -aS'patient\tpatient\tNN\tI-NP\tO' -p108385 -aS'was\tbe\tVBD\tB-VP\tO' -p108386 -aS'tapered\ttaper\tVBN\tI-VP\tO' -p108387 -aS'to\tto\tTO\tI-VP\tO' -p108388 -aS'p.o.\tp.o.\tVB\tI-VP\tO' -p108389 -aS'prednisone\tprednisone\tNN\tB-NP\tO' -p108390 -aS'and\tand\tCC\tO\tO' -p108391 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p108392 -aS'Mestinon\tMestinon\tNNP\tB-NP\tO' -p108393 -aS'30\t30\tCD\tI-NP\tO' -p108394 -aS'mg\tmg\tNN\tI-NP\tO' -p108395 -aS'q.\tq.\tRB\tB-NP\tO' -p108396 -aS'4h\t4h\tCD\tI-NP\tO' -p108397 -aS'with\twith\tIN\tB-PP\tO' -p108398 -aS'180\t180\tCD\tB-NP\tO' -p108399 -aS'mg\tmg\tNN\tI-NP\tO' -p108400 -aS'longacting\tlongacte\tVBG\tB-VP\tO' -p108401 -aS'at\tat\tIN\tB-PP\tO' -p108402 -aS'bedtime\tbedtime\tNN\tB-NP\tO' -p108403 -aS'.\t.\t.\tO\tO' -p108404 -asS'1+ femoral pulses .' -p108405 -(lp108406 -S'1+\t1+\tJJ\tB-NP\tO' -p108407 -aS'femoral\tfemoral\tJJ\tI-NP\tO' -p108408 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p108409 -aS'.\t.\t.\tO\tO' -p108410 -asS'Hips stable .' -p108411 -(lp108412 -S'Hips\tHip\tNNS\tB-NP\tO' -p108413 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p108414 -aS'.\t.\t.\tO\tO' -p108415 -asS'It was felt that his respiratory status has been maximally treated by then .' -p108416 -(lp108417 -S'It\tIt\tPRP\tB-NP\tO' -p108418 -aS'was\tbe\tVBD\tB-VP\tO' -p108419 -aS'felt\tfeel\tVBN\tI-VP\tO' -p108420 -aS'that\tthat\tIN\tB-SBAR\tO' -p108421 -aS'his\this\tPRP$\tB-NP\tO' -p108422 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p108423 -aS'status\tstatus\tNN\tI-NP\tO' -p108424 -aS'has\thave\tVBZ\tB-VP\tO' -p108425 -aS'been\tbe\tVBN\tI-VP\tO' -p108426 -aS'maximally\tmaximally\tRB\tI-VP\tO' -p108427 -aS'treated\ttreat\tVBN\tI-VP\tO' -p108428 -aS'by\tby\tIN\tB-PP\tO' -p108429 -aS'then\tthen\tRB\tB-ADVP\tO' -p108430 -aS'.\t.\t.\tO\tO' -p108431 -asS'Her hematocrit was measured at 23.5 , while her baseline hematocrit is in the low 30 s.' -p108432 -(lp108433 -S'Her\tHer\tPRP$\tB-NP\tO' -p108434 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p108435 -aS'was\tbe\tVBD\tB-VP\tO' -p108436 -aS'measured\tmeasure\tVBN\tI-VP\tO' -p108437 -aS'at\tat\tIN\tB-PP\tO' -p108438 -aS'23.5\t23.5\tCD\tB-NP\tO' -p108439 -aS',\t,\t,\tO\tO' -p108440 -aS'while\twhile\tIN\tB-SBAR\tO' -p108441 -aS'her\ther\tPRP$\tB-NP\tO' -p108442 -aS'baseline\tbaseline\tNN\tI-NP\tO' -p108443 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p108444 -aS'is\tbe\tVBZ\tB-VP\tO' -p108445 -aS'in\tin\tIN\tB-PP\tO' -p108446 -aS'the\tthe\tDT\tB-NP\tO' -p108447 -aS'low\tlow\tJJ\tI-NP\tO' -p108448 -aS'30\t30\tCD\tI-NP\tO' -p108449 -aS's.\ts.\tNNS\tI-NP\tO' -p108450 -asS'The patient is to followup with an orthopedist in the United Kingdom fourteen days following discharge at which point repeat x-rays of her left forearm should be obtained and her left forearm scalp and right lower leg sutures and staples may be removed .' -p108451 -(lp108452 -S'The\tThe\tDT\tB-NP\tO' -p108453 -aS'patient\tpatient\tNN\tI-NP\tO' -p108454 -aS'is\tbe\tVBZ\tB-VP\tO' -p108455 -aS'to\tto\tTO\tB-VP\tO' -p108456 -aS'followup\tfollowup\tVB\tI-VP\tO' -p108457 -aS'with\twith\tIN\tB-PP\tO' -p108458 -aS'an\tan\tDT\tB-NP\tO' -p108459 -aS'orthopedist\torthopedist\tNN\tI-NP\tO' -p108460 -aS'in\tin\tIN\tB-PP\tO' -p108461 -aS'the\tthe\tDT\tB-NP\tO' -p108462 -aS'United\tUnited\tNNP\tI-NP\tO' -p108463 -aS'Kingdom\tKingdom\tNNP\tI-NP\tO' -p108464 -aS'fourteen\tfourteen\tCD\tI-NP\tO' -p108465 -aS'days\tday\tNNS\tI-NP\tO' -p108466 -aS'following\tfollow\tVBG\tB-PP\tO' -p108467 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p108468 -aS'at\tat\tIN\tB-PP\tO' -p108469 -aS'which\twhich\tWDT\tB-NP\tO' -p108470 -aS'point\tpoint\tNN\tB-NP\tO' -p108471 -aS'repeat\trepeat\tNN\tI-NP\tO' -p108472 -aS'x-rays\tx-ray\tNNS\tI-NP\tO' -p108473 -aS'of\tof\tIN\tB-PP\tO' -p108474 -aS'her\ther\tPRP$\tB-NP\tO' -p108475 -aS'left\tleft\tJJ\tI-NP\tO' -p108476 -aS'forearm\tforearm\tNN\tI-NP\tO' -p108477 -aS'should\tshould\tMD\tB-VP\tO' -p108478 -aS'be\tbe\tVB\tI-VP\tO' -p108479 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p108480 -aS'and\tand\tCC\tO\tO' -p108481 -aS'her\ther\tPRP$\tB-NP\tO' -p108482 -aS'left\tleft\tJJ\tI-NP\tO' -p108483 -aS'forearm\tforearm\tNN\tI-NP\tO' -p108484 -aS'scalp\tscalp\tNN\tI-NP\tO' -p108485 -aS'and\tand\tCC\tO\tO' -p108486 -aS'right\tright\tRB\tB-NP\tO' -p108487 -aS'lower\tlow\tJJR\tI-NP\tO' -p108488 -aS'leg\tleg\tNN\tI-NP\tO' -p108489 -aS'sutures\tsuture\tNNS\tI-NP\tO' -p108490 -aS'and\tand\tCC\tI-NP\tO' -p108491 -aS'staples\tstaple\tNNS\tI-NP\tO' -p108492 -aS'may\tmay\tMD\tB-VP\tO' -p108493 -aS'be\tbe\tVB\tI-VP\tO' -p108494 -aS'removed\tremove\tVBN\tI-VP\tO' -p108495 -aS'.\t.\t.\tO\tO' -p108496 -asS'ABG 7.45/33/57 .' -p108497 -(lp108498 -S'ABG\tABG\tNN\tB-NP\tO' -p108499 -aS'7.45/33/57\t7.45/33/57\tCD\tI-NP\tO' -p108500 -aS'.\t.\t.\tO\tO' -p108501 -asS'Cozaar 25 mg 1 time per day' -p108502 -(lp108503 -S'Cozaar\tCozaar\tNN\tB-NP\tO' -p108504 -aS'25\t25\tCD\tI-NP\tO' -p108505 -aS'mg\tmg\tNN\tI-NP\tO' -p108506 -aS'1\t1\tCD\tB-NP\tO' -p108507 -aS'time\ttime\tNN\tI-NP\tO' -p108508 -aS'per\tper\tIN\tB-PP\tO' -p108509 -aS'day\tday\tNN\tB-NP\tO' -p108510 -asS'13. Clopidogrel Bisulfate 75 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' -p108511 -(lp108512 -S'13.\t13.\tLS\tB-NP\tO' -p108513 -aS'Clopidogrel\tClopidogrel\tNN\tI-NP\tO' -p108514 -aS'Bisulfate\tBisulfate\tNN\tI-NP\tO' -p108515 -aS'75\t75\tCD\tI-NP\tO' -p108516 -aS'mg\tmg\tNN\tI-NP\tO' -p108517 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p108518 -aS'Sig\tSig\tNNP\tI-NP\tO' -p108519 -aS':\t:\t:\tO\tO' -p108520 -aS'One\tOne\tCD\tB-NP\tO' -p108521 -aS'(\t(\t(\tO\tO' -p108522 -aS'1\t1\tCD\tB-NP\tO' -p108523 -aS')\t)\t)\tO\tO' -p108524 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p108525 -aS'PO\tPO\tNN\tI-NP\tO' -p108526 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p108527 -aS'(\t(\t(\tO\tO' -p108528 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p108529 -aS')\t)\t)\tO\tO' -p108530 -aS'.\t.\t.\tO\tO' -p108531 -asS'DNR / DNI .' -p108532 -(lp108533 -S'DNR\tDNR\tNN\tB-NP\tB-protein' -p108534 -aS'/\t/\tSYM\tI-NP\tO' -p108535 -aS'DNI\tDNI\tNN\tI-NP\tO' -p108536 -aS'.\t.\t.\tO\tO' -p108537 -asS'Family History : see dc summary' -p108538 -(lp108539 -S'Family\tFamily\tRB\tB-NP\tO' -p108540 -aS'History\tHistory\tNN\tI-NP\tO' -p108541 -aS':\t:\t:\tO\tO' -p108542 -aS'see\tsee\tVB\tB-VP\tO' -p108543 -aS'dc\tdc\tNN\tB-NP\tO' -p108544 -aS'summary\tsummary\tNN\tI-NP\tO' -p108545 -asS'She gets hives .' -p108546 -(lp108547 -S'She\tShe\tPRP\tB-NP\tO' -p108548 -aS'gets\tget\tVBZ\tB-VP\tO' -p108549 -aS'hives\thive\tNNS\tB-NP\tO' -p108550 -aS'.\t.\t.\tO\tO' -p108551 -asS'9. Heparin Sodium ( Porcine ) 5,000 unit / mL Solution Sig : One ( 1 ) Injection TID ( 3 times a day ) .' -p108552 -(lp108553 -S'9.\t9.\tLS\tB-NP\tO' -p108554 -aS'Heparin\tHeparin\tNN\tI-NP\tB-protein' -p108555 -aS'Sodium\tSodium\tNN\tI-NP\tI-protein' -p108556 -aS'(\t(\t(\tO\tI-protein' -p108557 -aS'Porcine\tPorcine\tNN\tB-NP\tI-protein' -p108558 -aS')\t)\t)\tO\tI-protein' -p108559 -aS'5,000\t5,000\tCD\tB-NP\tI-protein' -p108560 -aS'unit\tunit\tNN\tI-NP\tI-protein' -p108561 -aS'/\t/\tSYM\tB-NP\tO' -p108562 -aS'mL\tmL\tNN\tI-NP\tO' -p108563 -aS'Solution\tSolution\tNNP\tI-NP\tO' -p108564 -aS'Sig\tSig\tNNP\tI-NP\tO' -p108565 -aS':\t:\t:\tO\tO' -p108566 -aS'One\tOne\tCD\tB-NP\tO' -p108567 -aS'(\t(\t(\tO\tO' -p108568 -aS'1\t1\tCD\tB-NP\tO' -p108569 -aS')\t)\t)\tO\tO' -p108570 -aS'Injection\tInjection\tNN\tB-NP\tO' -p108571 -aS'TID\tTID\tNN\tI-NP\tO' -p108572 -aS'(\t(\t(\tO\tO' -p108573 -aS'3\t3\tCD\tB-NP\tO' -p108574 -aS'times\ttime\tNNS\tI-NP\tO' -p108575 -aS'a\ta\tDT\tB-NP\tO' -p108576 -aS'day\tday\tNN\tI-NP\tO' -p108577 -aS')\t)\t)\tO\tO' -p108578 -aS'.\t.\t.\tO\tO' -p108579 -asS'Apgar scores were 7 at one minute and 8 at 5 minutes .' -p108580 -(lp108581 -S'Apgar\tApgar\tNN\tB-NP\tO' -p108582 -aS'scores\tscore\tNNS\tI-NP\tO' -p108583 -aS'were\tbe\tVBD\tB-VP\tO' -p108584 -aS'7\t7\tCD\tB-NP\tO' -p108585 -aS'at\tat\tIN\tB-PP\tO' -p108586 -aS'one\tone\tCD\tB-NP\tO' -p108587 -aS'minute\tminute\tNN\tI-NP\tO' -p108588 -aS'and\tand\tCC\tO\tO' -p108589 -aS'8\t8\tCD\tB-NP\tO' -p108590 -aS'at\tat\tIN\tB-PP\tO' -p108591 -aS'5\t5\tCD\tB-NP\tO' -p108592 -aS'minutes\tminute\tNNS\tI-NP\tO' -p108593 -aS'.\t.\t.\tO\tO' -p108594 -asS'After the procedure the patient did well .' -p108595 -(lp108596 -S'After\tAfter\tIN\tB-PP\tO' -p108597 -aS'the\tthe\tDT\tB-NP\tO' -p108598 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p108599 -aS'the\tthe\tDT\tB-NP\tO' -p108600 -aS'patient\tpatient\tNN\tI-NP\tO' -p108601 -aS'did\tdo\tVBD\tB-VP\tO' -p108602 -aS'well\twell\tRB\tB-ADVP\tO' -p108603 -aS'.\t.\t.\tO\tO' -p108604 -asS'CT-guided aspiration 06-01 for pelvic abscess' -p108605 -(lp108606 -S'CT-guided\tCT-guided\tJJ\tB-NP\tO' -p108607 -aS'aspiration\taspiration\tNN\tI-NP\tO' -p108608 -aS'06-01\t06-01\tCD\tI-NP\tO' -p108609 -aS'for\tfor\tIN\tB-PP\tO' -p108610 -aS'pelvic\tpelvic\tJJ\tB-NP\tO' -p108611 -aS'abscess\tabscess\tNN\tI-NP\tO' -p108612 -asS'2. Tylenol No. 3 one to two tablets p.o. q.4h. p.r.n. for pain .' -p108613 -(lp108614 -S'2.\t2.\tLS\tB-NP\tO' -p108615 -aS'Tylenol\tTylenol\tNN\tI-NP\tO' -p108616 -aS'No.\tNo.\tNN\tI-NP\tO' -p108617 -aS'3\t3\tCD\tI-NP\tO' -p108618 -aS'one\tone\tCD\tI-NP\tO' -p108619 -aS'to\tto\tTO\tI-NP\tO' -p108620 -aS'two\ttwo\tCD\tI-NP\tO' -p108621 -aS'tablets\ttablet\tNNS\tI-NP\tO' -p108622 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p108623 -aS'q.4h.\tq.4h.\tNN\tI-NP\tO' -p108624 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p108625 -aS'for\tfor\tIN\tB-PP\tO' -p108626 -aS'pain\tpain\tNN\tB-NP\tO' -p108627 -aS'.\t.\t.\tO\tO' -p108628 -asS'She has two children .' -p108629 -(lp108630 -S'She\tShe\tPRP\tB-NP\tO' -p108631 -aS'has\thave\tVBZ\tB-VP\tO' -p108632 -aS'two\ttwo\tCD\tB-NP\tO' -p108633 -aS'children\tchild\tNNS\tI-NP\tO' -p108634 -aS'.\t.\t.\tO\tO' -p108635 -asS'Reglan 5 mg q 6h ,' -p108636 -(lp108637 -S'Reglan\tReglan\tNN\tB-NP\tO' -p108638 -aS'5\t5\tCD\tI-NP\tO' -p108639 -aS'mg\tmg\tNN\tI-NP\tO' -p108640 -aS'q\tq\tNN\tI-NP\tO' -p108641 -aS'6h\t6h\tNN\tI-NP\tO' -p108642 -aS',\t,\t,\tO\tO' -p108643 -asS'4. Zinc sulfate 220 mg p.o. q.d.' -p108644 -(lp108645 -S'4.\t4.\tLS\tB-NP\tO' -p108646 -aS'Zinc\tZinc\tNN\tI-NP\tO' -p108647 -aS'sulfate\tsulfate\tNN\tI-NP\tO' -p108648 -aS'220\t220\tCD\tI-NP\tO' -p108649 -aS'mg\tmg\tNN\tI-NP\tO' -p108650 -aS'p.o.\tp.o.\tFW\tB-ADVP\tO' -p108651 -aS'q.d.\tq.d.\tFW\tI-ADVP\tO' -p108652 -asS'He was shown to have rigors .' -p108653 -(lp108654 -S'He\tHe\tPRP\tB-NP\tO' -p108655 -aS'was\tbe\tVBD\tB-VP\tO' -p108656 -aS'shown\tshow\tVBN\tI-VP\tO' -p108657 -aS'to\tto\tTO\tI-VP\tO' -p108658 -aS'have\thave\tVB\tI-VP\tO' -p108659 -aS'rigors\trigor\tNNS\tB-NP\tO' -p108660 -aS'.\t.\t.\tO\tO' -p108661 -asS'Nifedipine ER 60 daily .' -p108662 -(lp108663 -S'Nifedipine\tNifedipine\tNN\tB-NP\tO' -p108664 -aS'ER\tER\tNN\tI-NP\tO' -p108665 -aS'60\t60\tCD\tI-NP\tO' -p108666 -aS'daily\tdaily\tRB\tB-ADVP\tO' -p108667 -aS'.\t.\t.\tO\tO' -p108668 -asS'10. Quetiapine 25 mg Tablet Sig : Two ( 2 ) Tablet PO DAILY ( Daily ) .' -p108669 -(lp108670 -S'10.\t10.\tCD\tB-NP\tO' -p108671 -aS'Quetiapine\tQuetiapine\tNNP\tI-NP\tO' -p108672 -aS'25\t25\tCD\tI-NP\tO' -p108673 -aS'mg\tmg\tNN\tI-NP\tO' -p108674 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p108675 -aS'Sig\tSig\tNNP\tI-NP\tO' -p108676 -aS':\t:\t:\tO\tO' -p108677 -aS'Two\tTwo\tCD\tB-NP\tO' -p108678 -aS'(\t(\t(\tO\tO' -p108679 -aS'2\t2\tCD\tO\tO' -p108680 -aS')\t)\t)\tO\tO' -p108681 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p108682 -aS'PO\tPO\tNN\tI-NP\tO' -p108683 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p108684 -aS'(\t(\t(\tO\tO' -p108685 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p108686 -aS')\t)\t)\tO\tO' -p108687 -aS'.\t.\t.\tO\tO' -p108688 -asS'No m,r,g .' -p108689 -(lp108690 -S'No\tNo\tDT\tB-NP\tO' -p108691 -aS'm,r,g\tm,r,g\tNN\tI-NP\tO' -p108692 -aS'.\t.\t.\tO\tO' -p108693 -asS'5. Cocaine use : last use this morning , no BB given this ; considered using CCB / phentolamine if chest pain recurs .' -p108694 -(lp108695 -S'5.\t5.\tLS\tB-NP\tO' -p108696 -aS'Cocaine\tCocaine\tNN\tI-NP\tO' -p108697 -aS'use\tuse\tNN\tI-NP\tO' -p108698 -aS':\t:\t:\tO\tO' -p108699 -aS'last\tlast\tJJ\tB-NP\tO' -p108700 -aS'use\tuse\tNN\tI-NP\tO' -p108701 -aS'this\tthis\tDT\tB-NP\tO' -p108702 -aS'morning\tmorning\tNN\tI-NP\tO' -p108703 -aS',\t,\t,\tO\tO' -p108704 -aS'no\tno\tDT\tB-NP\tO' -p108705 -aS'BB\tBB\tNN\tI-NP\tB-protein' -p108706 -aS'given\tgive\tVBN\tB-PP\tO' -p108707 -aS'this\tthis\tDT\tB-NP\tO' -p108708 -aS';\t;\t:\tO\tO' -p108709 -aS'considered\tconsider\tVBN\tB-VP\tO' -p108710 -aS'using\tuse\tVBG\tB-VP\tO' -p108711 -aS'CCB\tCCB\tNN\tB-NP\tB-protein' -p108712 -aS'/\t/\tSYM\tI-NP\tO' -p108713 -aS'phentolamine\tphentolamine\tNN\tI-NP\tO' -p108714 -aS'if\tif\tIN\tB-SBAR\tO' -p108715 -aS'chest\tchest\tNN\tB-NP\tO' -p108716 -aS'pain\tpain\tNN\tI-NP\tO' -p108717 -aS'recurs\trecur\tNNS\tI-NP\tO' -p108718 -aS'.\t.\t.\tO\tO' -p108719 -asS'2. Potassium Chloride 20 milliequivalents po bid .' -p108720 -(lp108721 -S'2.\t2.\tLS\tB-NP\tO' -p108722 -aS'Potassium\tPotassium\tNN\tI-NP\tO' -p108723 -aS'Chloride\tChloride\tNN\tI-NP\tO' -p108724 -aS'20\t20\tCD\tB-NP\tO' -p108725 -aS'milliequivalents\tmilliequivalent\tNNS\tI-NP\tO' -p108726 -aS'po\tpo\tNN\tI-NP\tO' -p108727 -aS'bid\tbid\tNN\tI-NP\tO' -p108728 -aS'.\t.\t.\tO\tO' -p108729 -asS'CT of the abdomen and pelvis showed dilated colon with a large amount of fluid .' -p108730 -(lp108731 -S'CT\tCT\tNN\tB-NP\tO' -p108732 -aS'of\tof\tIN\tB-PP\tO' -p108733 -aS'the\tthe\tDT\tB-NP\tO' -p108734 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p108735 -aS'and\tand\tCC\tI-NP\tO' -p108736 -aS'pelvis\tpelvis\tNN\tI-NP\tO' -p108737 -aS'showed\tshow\tVBD\tB-VP\tO' -p108738 -aS'dilated\tdilated\tJJ\tB-NP\tO' -p108739 -aS'colon\tcolon\tNN\tI-NP\tO' -p108740 -aS'with\twith\tIN\tB-PP\tO' -p108741 -aS'a\ta\tDT\tB-NP\tO' -p108742 -aS'large\tlarge\tJJ\tI-NP\tO' -p108743 -aS'amount\tamount\tNN\tI-NP\tO' -p108744 -aS'of\tof\tIN\tB-PP\tO' -p108745 -aS'fluid\tfluid\tNN\tB-NP\tO' -p108746 -aS'.\t.\t.\tO\tO' -p108747 -asS'NECK - No carotid bruits , with 2+ carotid pulses .' -p108748 -(lp108749 -S'NECK\tNECK\tNN\tB-NP\tB-protein' -p108750 -aS'-\t-\tHYPH\tO\tO' -p108751 -aS'No\tNo\tDT\tB-NP\tO' -p108752 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p108753 -aS'bruits\tbruit\tNNS\tI-NP\tO' -p108754 -aS',\t,\t,\tO\tO' -p108755 -aS'with\twith\tIN\tB-PP\tO' -p108756 -aS'2+\t2+\tJJ\tB-NP\tO' -p108757 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p108758 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p108759 -aS'.\t.\t.\tO\tO' -p108760 -asS'11. Procainamide 250 mg Capsule Sig : Three ( 3 ) Capsule PO Q6H ( every 6 hours ) : x 6 weeks .' -p108761 -(lp108762 -S'11.\t11.\tCD\tB-NP\tO' -p108763 -aS'Procainamide\tProcainamide\tNN\tI-NP\tO' -p108764 -aS'250\t250\tCD\tB-NP\tO' -p108765 -aS'mg\tmg\tNN\tI-NP\tO' -p108766 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p108767 -aS'Sig\tSig\tNNP\tI-NP\tO' -p108768 -aS':\t:\t:\tO\tO' -p108769 -aS'Three\tThree\tCD\tB-NP\tO' -p108770 -aS'(\t(\t(\tO\tO' -p108771 -aS'3\t3\tCD\tB-NP\tO' -p108772 -aS')\t)\t)\tO\tO' -p108773 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p108774 -aS'PO\tPO\tNN\tI-NP\tO' -p108775 -aS'Q6H\tQ6H\tNN\tI-NP\tO' -p108776 -aS'(\t(\t(\tO\tO' -p108777 -aS'every\tevery\tDT\tB-NP\tO' -p108778 -aS'6\t6\tCD\tI-NP\tO' -p108779 -aS'hours\thour\tNNS\tI-NP\tO' -p108780 -aS')\t)\t)\tO\tO' -p108781 -aS':\t:\t:\tO\tO' -p108782 -aS'x\tx\tNN\tB-NP\tO' -p108783 -aS'6\t6\tCD\tB-NP\tO' -p108784 -aS'weeks\tweek\tNNS\tI-NP\tO' -p108785 -aS'.\t.\t.\tO\tO' -p108786 -asS'On physical examination , she is a pleasant woman in no acute distress .' -p108787 -(lp108788 -S'On\tOn\tIN\tB-PP\tO' -p108789 -aS'physical\tphysical\tJJ\tB-NP\tO' -p108790 -aS'examination\texamination\tNN\tI-NP\tO' -p108791 -aS',\t,\t,\tO\tO' -p108792 -aS'she\tshe\tPRP\tB-NP\tO' -p108793 -aS'is\tbe\tVBZ\tB-VP\tO' -p108794 -aS'a\ta\tDT\tB-NP\tO' -p108795 -aS'pleasant\tpleasant\tJJ\tI-NP\tO' -p108796 -aS'woman\twoman\tNN\tI-NP\tO' -p108797 -aS'in\tin\tIN\tB-PP\tO' -p108798 -aS'no\tno\tDT\tB-NP\tO' -p108799 -aS'acute\tacute\tJJ\tI-NP\tO' -p108800 -aS'distress\tdistress\tNN\tI-NP\tO' -p108801 -aS'.\t.\t.\tO\tO' -p108802 -asS'The patient was sent for an MRI of the head , which raised the question of a right posterior cerebral artery aneurysm .' -p108803 -(lp108804 -S'The\tThe\tDT\tB-NP\tO' -p108805 -aS'patient\tpatient\tNN\tI-NP\tO' -p108806 -aS'was\tbe\tVBD\tB-VP\tO' -p108807 -aS'sent\tsend\tVBN\tI-VP\tO' -p108808 -aS'for\tfor\tIN\tB-PP\tO' -p108809 -aS'an\tan\tDT\tB-NP\tO' -p108810 -aS'MRI\tMRI\tNN\tI-NP\tB-protein' -p108811 -aS'of\tof\tIN\tB-PP\tO' -p108812 -aS'the\tthe\tDT\tB-NP\tO' -p108813 -aS'head\thead\tNN\tI-NP\tO' -p108814 -aS',\t,\t,\tO\tO' -p108815 -aS'which\twhich\tWDT\tB-NP\tO' -p108816 -aS'raised\traise\tVBD\tB-VP\tO' -p108817 -aS'the\tthe\tDT\tB-NP\tO' -p108818 -aS'question\tquestion\tNN\tI-NP\tO' -p108819 -aS'of\tof\tIN\tB-PP\tO' -p108820 -aS'a\ta\tDT\tB-NP\tO' -p108821 -aS'right\tright\tJJ\tI-NP\tO' -p108822 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p108823 -aS'cerebral\tcerebral\tJJ\tI-NP\tO' -p108824 -aS'artery\tartery\tNN\tI-NP\tO' -p108825 -aS'aneurysm\taneurysm\tNN\tI-NP\tO' -p108826 -aS'.\t.\t.\tO\tO' -p108827 -asS'His brother is mentally handicapped and might be sent away from his instate institution .' -p108828 -(lp108829 -S'His\tHis\tPRP$\tB-NP\tO' -p108830 -aS'brother\tbrother\tNN\tI-NP\tO' -p108831 -aS'is\tbe\tVBZ\tB-VP\tO' -p108832 -aS'mentally\tmentally\tRB\tI-VP\tO' -p108833 -aS'handicapped\thandicap\tVBN\tI-VP\tO' -p108834 -aS'and\tand\tCC\tO\tO' -p108835 -aS'might\tmight\tMD\tB-VP\tO' -p108836 -aS'be\tbe\tVB\tI-VP\tO' -p108837 -aS'sent\tsend\tVBN\tI-VP\tO' -p108838 -aS'away\taway\tRB\tB-ADVP\tO' -p108839 -aS'from\tfrom\tIN\tB-PP\tO' -p108840 -aS'his\this\tPRP$\tB-NP\tO' -p108841 -aS'instate\tinstate\tNN\tI-NP\tO' -p108842 -aS'institution\tinstitution\tNN\tI-NP\tO' -p108843 -aS'.\t.\t.\tO\tO' -p108844 -asS'Her friends check up on her .' -p108845 -(lp108846 -S'Her\tHer\tPRP$\tB-NP\tO' -p108847 -aS'friends\tfriend\tNNS\tI-NP\tO' -p108848 -aS'check\tcheck\tVBP\tB-VP\tO' -p108849 -aS'up\tup\tRP\tB-PRT\tO' -p108850 -aS'on\ton\tIN\tB-PP\tO' -p108851 -aS'her\ther\tPRP\tB-NP\tO' -p108852 -aS'.\t.\t.\tO\tO' -p108853 -asS'The patient is a former smoker ; he quit 50 years ago .' -p108854 -(lp108855 -S'The\tThe\tDT\tB-NP\tO' -p108856 -aS'patient\tpatient\tNN\tI-NP\tO' -p108857 -aS'is\tbe\tVBZ\tB-VP\tO' -p108858 -aS'a\ta\tDT\tB-NP\tO' -p108859 -aS'former\tformer\tJJ\tI-NP\tO' -p108860 -aS'smoker\tsmoker\tNN\tI-NP\tO' -p108861 -aS';\t;\t:\tO\tO' -p108862 -aS'he\the\tPRP\tB-NP\tO' -p108863 -aS'quit\tquit\tVBD\tB-VP\tO' -p108864 -aS'50\t50\tCD\tB-NP\tO' -p108865 -aS'years\tyear\tNNS\tI-NP\tO' -p108866 -aS'ago\tago\tRB\tB-ADVP\tO' -p108867 -aS'.\t.\t.\tO\tO' -p108868 -asS'MOST IMPORTANTLY , THE PATIENT MUST BE WATCH ONE-ON-ONE SO THAT SHE DOES NOT PICK AT HER WOUND .' -p108869 -(lp108870 -S'MOST\tMOST\tNNP\tB-NP\tO' -p108871 -aS'IMPORTANTLY\tIMPORTANTLY\tNNP\tI-NP\tO' -p108872 -aS',\t,\t,\tO\tO' -p108873 -aS'THE\tTHE\tDT\tB-NP\tO' -p108874 -aS'PATIENT\tPATIENT\tJJ\tI-NP\tO' -p108875 -aS'MUST\tMUST\tNN\tI-NP\tO' -p108876 -aS'BE\tBE\tNN\tI-NP\tO' -p108877 -aS'WATCH\tWATCH\tNN\tI-NP\tO' -p108878 -aS'ONE-ON-ONE\tONE-ON-ONE\tNN\tI-NP\tO' -p108879 -aS'SO\tSO\tNN\tI-NP\tO' -p108880 -aS'THAT\tTHAT\tNN\tI-NP\tO' -p108881 -aS'SHE\tSHE\tNN\tI-NP\tO' -p108882 -aS'DOES\tDOES\tVBZ\tB-VP\tO' -p108883 -aS'NOT\tNOT\tNN\tB-NP\tO' -p108884 -aS'PICK\tPICK\tNN\tI-NP\tO' -p108885 -aS'AT\tAT\tNN\tI-NP\tO' -p108886 -aS'HER\tHER\tNN\tI-NP\tO' -p108887 -aS'WOUND\tWOUND\tNN\tI-NP\tO' -p108888 -aS'.\t.\t.\tO\tO' -p108889 -asS'He has three children .' -p108890 -(lp108891 -S'He\tHe\tPRP\tB-NP\tO' -p108892 -aS'has\thave\tVBZ\tB-VP\tO' -p108893 -aS'three\tthree\tCD\tB-NP\tO' -p108894 -aS'children\tchild\tNNS\tI-NP\tO' -p108895 -aS'.\t.\t.\tO\tO' -p108896 -asS'She also developed what appeared to be urinary tract infection and was placed on PO Bactrim .' -p108897 -(lp108898 -S'She\tShe\tPRP\tB-NP\tO' -p108899 -aS'also\talso\tRB\tB-ADVP\tO' -p108900 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p108901 -aS'what\twhat\tWP\tB-NP\tO' -p108902 -aS'appeared\tappear\tVBD\tB-VP\tO' -p108903 -aS'to\tto\tTO\tI-VP\tO' -p108904 -aS'be\tbe\tVB\tI-VP\tO' -p108905 -aS'urinary\turinary\tJJ\tB-NP\tO' -p108906 -aS'tract\ttract\tNN\tI-NP\tO' -p108907 -aS'infection\tinfection\tNN\tI-NP\tO' -p108908 -aS'and\tand\tCC\tO\tO' -p108909 -aS'was\tbe\tVBD\tB-VP\tO' -p108910 -aS'placed\tplace\tVBN\tI-VP\tO' -p108911 -aS'on\ton\tIN\tB-PP\tO' -p108912 -aS'PO\tPO\tNNP\tB-NP\tO' -p108913 -aS'Bactrim\tBactrim\tNNP\tI-NP\tO' -p108914 -aS'.\t.\t.\tO\tO' -p108915 -asS'CONTRAINDICATIONS for IV CONTRAST : None .' -p108916 -(lp108917 -S'CONTRAINDICATIONS\tCONTRAINDICATIONS\tNNS\tB-NP\tO' -p108918 -aS'for\tfor\tIN\tB-PP\tO' -p108919 -aS'IV\tIV\tCD\tB-NP\tO' -p108920 -aS'CONTRAST\tCONTRAST\tNN\tI-NP\tO' -p108921 -aS':\t:\t:\tO\tO' -p108922 -aS'None\tNone\tNN\tB-NP\tO' -p108923 -aS'.\t.\t.\tO\tO' -p108924 -asS'The patient was ejected and his vehicle rolled over , possibly over him .' -p108925 -(lp108926 -S'The\tThe\tDT\tB-NP\tO' -p108927 -aS'patient\tpatient\tNN\tI-NP\tO' -p108928 -aS'was\tbe\tVBD\tB-VP\tO' -p108929 -aS'ejected\teject\tVBN\tI-VP\tO' -p108930 -aS'and\tand\tCC\tO\tO' -p108931 -aS'his\this\tPRP$\tB-NP\tO' -p108932 -aS'vehicle\tvehicle\tNN\tI-NP\tO' -p108933 -aS'rolled\troll\tVBD\tB-VP\tO' -p108934 -aS'over\tover\tRB\tB-ADVP\tO' -p108935 -aS',\t,\t,\tO\tO' -p108936 -aS'possibly\tpossibly\tRB\tB-ADVP\tO' -p108937 -aS'over\tover\tIN\tB-PP\tO' -p108938 -aS'him\thim\tPRP\tB-NP\tO' -p108939 -aS'.\t.\t.\tO\tO' -p108940 -asS'FINDINGS : Left chest tube remains in place with some density adjacent to the tip , but there is no significant interval change vs . prior .' -p108941 -(lp108942 -S'FINDINGS\tFINDINGS\tNNS\tB-NP\tO' -p108943 -aS':\t:\t:\tO\tO' -p108944 -aS'Left\tLeave\tVBN\tB-NP\tO' -p108945 -aS'chest\tchest\tNN\tI-NP\tO' -p108946 -aS'tube\ttube\tNN\tI-NP\tO' -p108947 -aS'remains\tremain\tVBZ\tB-VP\tO' -p108948 -aS'in\tin\tIN\tB-PP\tO' -p108949 -aS'place\tplace\tNN\tB-NP\tO' -p108950 -aS'with\twith\tIN\tB-PP\tO' -p108951 -aS'some\tsome\tDT\tB-NP\tO' -p108952 -aS'density\tdensity\tNN\tI-NP\tO' -p108953 -aS'adjacent\tadjacent\tJJ\tB-ADJP\tO' -p108954 -aS'to\tto\tTO\tB-PP\tO' -p108955 -aS'the\tthe\tDT\tB-NP\tO' -p108956 -aS'tip\ttip\tNN\tI-NP\tB-DNA' -p108957 -aS',\t,\t,\tO\tO' -p108958 -aS'but\tbut\tCC\tO\tO' -p108959 -aS'there\tthere\tEX\tB-NP\tO' -p108960 -aS'is\tbe\tVBZ\tB-VP\tO' -p108961 -aS'no\tno\tDT\tB-NP\tO' -p108962 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p108963 -aS'interval\tinterval\tNN\tI-NP\tO' -p108964 -aS'change\tchange\tNN\tI-NP\tO' -p108965 -aS'vs\tv\tNNS\tI-NP\tO' -p108966 -aS'.\t.\t.\tO\tO' -p108967 -aS'prior\tprior\tRB\tB-ADVP\tO' -p108968 -aS'.\t.\t.\tO\tO' -p108969 -asS'--- expect prolonged wean given previous history of prolonged wean s/p colonic resection' -p108970 -(lp108971 -S'---\t---\tSYM\tO\tO' -p108972 -aS'expect\texpect\tNN\tB-NP\tO' -p108973 -aS'prolonged\tprolong\tVBD\tB-VP\tO' -p108974 -aS'wean\twean\tJJ\tB-NP\tO' -p108975 -aS'given\tgive\tVBN\tI-NP\tO' -p108976 -aS'previous\tprevious\tJJ\tI-NP\tO' -p108977 -aS'history\thistory\tNN\tI-NP\tO' -p108978 -aS'of\tof\tIN\tB-PP\tO' -p108979 -aS'prolonged\tprolonged\tJJ\tB-NP\tO' -p108980 -aS'wean\twean\tJJ\tI-NP\tO' -p108981 -aS's/p\ts/p\tNN\tI-NP\tO' -p108982 -aS'colonic\tcolonic\tJJ\tI-NP\tO' -p108983 -aS'resection\tresection\tNN\tI-NP\tO' -p108984 -asS'Therefore , directional coronary atherectomy was performed with an excellent angiographic outcome , and a less than 10% residual narrowing .' -p108985 -(lp108986 -S'Therefore\tTherefore\tRB\tB-ADVP\tO' -p108987 -aS',\t,\t,\tO\tO' -p108988 -aS'directional\tdirectional\tJJ\tB-NP\tO' -p108989 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p108990 -aS'atherectomy\tatherectomy\tNN\tI-NP\tO' -p108991 -aS'was\tbe\tVBD\tB-VP\tO' -p108992 -aS'performed\tperform\tVBN\tI-VP\tO' -p108993 -aS'with\twith\tIN\tB-PP\tO' -p108994 -aS'an\tan\tDT\tB-NP\tO' -p108995 -aS'excellent\texcellent\tJJ\tI-NP\tO' -p108996 -aS'angiographic\tangiographic\tJJ\tI-NP\tO' -p108997 -aS'outcome\toutcome\tNN\tI-NP\tO' -p108998 -aS',\t,\t,\tO\tO' -p108999 -aS'and\tand\tCC\tO\tO' -p109000 -aS'a\ta\tDT\tB-NP\tO' -p109001 -aS'less\tless\tJJR\tI-NP\tO' -p109002 -aS'than\tthan\tIN\tI-NP\tO' -p109003 -aS'10%\t10%\tCD\tI-NP\tO' -p109004 -aS'residual\tresidual\tJJ\tI-NP\tO' -p109005 -aS'narrowing\tnarrowing\tNN\tI-NP\tO' -p109006 -aS'.\t.\t.\tO\tO' -p109007 -asS'On 3-27-93 , patient underwent cardiac catheterization , coronary and left ventricular angiography without complications .' -p109008 -(lp109009 -S'On\tOn\tIN\tB-PP\tO' -p109010 -aS'3-27-93\t3-27-93\tNN\tB-NP\tO' -p109011 -aS',\t,\t,\tO\tO' -p109012 -aS'patient\tpatient\tNN\tB-NP\tO' -p109013 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p109014 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p109015 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p109016 -aS',\t,\t,\tO\tO' -p109017 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p109018 -aS'and\tand\tCC\tI-NP\tO' -p109019 -aS'left\tleft\tJJ\tI-NP\tO' -p109020 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p109021 -aS'angiography\tangiography\tNN\tI-NP\tO' -p109022 -aS'without\twithout\tIN\tB-PP\tO' -p109023 -aS'complications\tcomplication\tNNS\tB-NP\tO' -p109024 -aS'.\t.\t.\tO\tO' -p109025 -asS"Pt 's triple lumen catheter was found to be growing coag neg staph . and PICC tip and sputum growing enterobacter cloacae ." -p109026 -(lp109027 -S'Pt\tPt\tNN\tB-NP\tO' -p109028 -aS"'s\t's\tPOS\tB-NP\tO" -p109029 -aS'triple\ttriple\tJJ\tI-NP\tO' -p109030 -aS'lumen\tlumen\tNN\tI-NP\tO' -p109031 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p109032 -aS'was\tbe\tVBD\tB-VP\tO' -p109033 -aS'found\tfind\tVBN\tI-VP\tO' -p109034 -aS'to\tto\tTO\tI-VP\tO' -p109035 -aS'be\tbe\tVB\tI-VP\tO' -p109036 -aS'growing\tgrow\tVBG\tI-VP\tO' -p109037 -aS'coag\tcoag\tNN\tB-NP\tO' -p109038 -aS'neg\tneg\tNN\tI-NP\tO' -p109039 -aS'staph\tstaph\tNN\tI-NP\tO' -p109040 -aS'.\t.\t.\tO\tO' -p109041 -aS'and\tand\tCC\tO\tO' -p109042 -aS'PICC\tPICC\tNN\tB-NP\tO' -p109043 -aS'tip\ttip\tNN\tI-NP\tO' -p109044 -aS'and\tand\tCC\tO\tO' -p109045 -aS'sputum\tsputum\tNN\tB-NP\tO' -p109046 -aS'growing\tgrow\tVBG\tB-VP\tO' -p109047 -aS'enterobacter\tenterobacter\tNN\tB-NP\tO' -p109048 -aS'cloacae\tcloaca\tNNS\tI-NP\tO' -p109049 -aS'.\t.\t.\tO\tO' -p109050 -asS'The patient was admitted for one cycle of Cytoxan and Cisplatin , and subsequently underwent debulking in June 1992 , as well as a total abdominal hysterectomy/ bilateral salpingo-oophorectomy , omentectomy , splenectomy , rectosigmoid resection with a take down of the ileostomy .' -p109051 -(lp109052 -S'The\tThe\tDT\tB-NP\tO' -p109053 -aS'patient\tpatient\tNN\tI-NP\tO' -p109054 -aS'was\tbe\tVBD\tB-VP\tO' -p109055 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p109056 -aS'for\tfor\tIN\tB-PP\tO' -p109057 -aS'one\tone\tCD\tB-NP\tO' -p109058 -aS'cycle\tcycle\tNN\tI-NP\tO' -p109059 -aS'of\tof\tIN\tB-PP\tO' -p109060 -aS'Cytoxan\tCytoxan\tNN\tB-NP\tO' -p109061 -aS'and\tand\tCC\tI-NP\tO' -p109062 -aS'Cisplatin\tCisplatin\tNN\tI-NP\tB-protein' -p109063 -aS',\t,\t,\tO\tO' -p109064 -aS'and\tand\tCC\tO\tO' -p109065 -aS'subsequently\tsubsequently\tRB\tB-VP\tO' -p109066 -aS'underwent\tundergo\tVBD\tI-VP\tO' -p109067 -aS'debulking\tdebulke\tVBG\tI-VP\tO' -p109068 -aS'in\tin\tIN\tB-PP\tO' -p109069 -aS'June\tJune\tNNP\tB-NP\tO' -p109070 -aS'1992\t1992\tCD\tI-NP\tO' -p109071 -aS',\t,\t,\tO\tO' -p109072 -aS'as\tas\tRB\tB-CONJP\tO' -p109073 -aS'well\twell\tRB\tI-CONJP\tO' -p109074 -aS'as\tas\tIN\tI-CONJP\tO' -p109075 -aS'a\ta\tDT\tB-NP\tO' -p109076 -aS'total\ttotal\tJJ\tI-NP\tO' -p109077 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p109078 -aS'hysterectomy/\thysterectomy/\tNN\tI-NP\tO' -p109079 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p109080 -aS'salpingo-oophorectomy\tsalpingo-oophorectomy\tNN\tI-NP\tO' -p109081 -aS',\t,\t,\tO\tO' -p109082 -aS'omentectomy\tomentectomy\tNN\tB-NP\tO' -p109083 -aS',\t,\t,\tO\tO' -p109084 -aS'splenectomy\tsplenectomy\tNN\tB-NP\tO' -p109085 -aS',\t,\t,\tO\tO' -p109086 -aS'rectosigmoid\trectosigmoid\tJJ\tB-NP\tO' -p109087 -aS'resection\tresection\tNN\tI-NP\tO' -p109088 -aS'with\twith\tIN\tB-PP\tO' -p109089 -aS'a\ta\tDT\tB-NP\tO' -p109090 -aS'take\ttake\tNN\tI-NP\tO' -p109091 -aS'down\tdown\tRP\tB-PRT\tO' -p109092 -aS'of\tof\tIN\tB-PP\tO' -p109093 -aS'the\tthe\tDT\tB-NP\tO' -p109094 -aS'ileostomy\tileostomy\tNN\tI-NP\tO' -p109095 -aS'.\t.\t.\tO\tO' -p109096 -asS'Magnesium was 2.2 .' -p109097 -(lp109098 -S'Magnesium\tMagnesium\tNNP\tB-NP\tO' -p109099 -aS'was\tbe\tVBD\tB-VP\tO' -p109100 -aS'2.2\t2.2\tCD\tB-NP\tO' -p109101 -aS'.\t.\t.\tO\tO' -p109102 -asS'No Neglect .' -p109103 -(lp109104 -S'No\tNo\tDT\tB-NP\tO' -p109105 -aS'Neglect\tNeglect\tNNP\tI-NP\tO' -p109106 -aS'.\t.\t.\tO\tO' -p109107 -asS'Prednisone 5 every other day , alternating with ten every other day .' -p109108 -(lp109109 -S'Prednisone\tPrednisone\tNN\tB-NP\tO' -p109110 -aS'5\t5\tCD\tI-NP\tO' -p109111 -aS'every\tevery\tDT\tB-NP\tO' -p109112 -aS'other\tother\tJJ\tI-NP\tO' -p109113 -aS'day\tday\tNN\tI-NP\tO' -p109114 -aS',\t,\t,\tO\tO' -p109115 -aS'alternating\talternate\tVBG\tB-VP\tO' -p109116 -aS'with\twith\tIN\tB-PP\tO' -p109117 -aS'ten\tten\tCD\tB-NP\tO' -p109118 -aS'every\tevery\tDT\tB-NP\tO' -p109119 -aS'other\tother\tJJ\tI-NP\tO' -p109120 -aS'day\tday\tNN\tI-NP\tO' -p109121 -aS'.\t.\t.\tO\tO' -p109122 -asS'Her laboratories at the time of transfer to Saint Vincent Hospital revealed white blood cell count was 11.5 , hematocrit was 42 on admission , platelets were 242 .' -p109123 -(lp109124 -S'Her\tHer\tPRP$\tB-NP\tO' -p109125 -aS'laboratories\tlaboratory\tNNS\tI-NP\tO' -p109126 -aS'at\tat\tIN\tB-PP\tO' -p109127 -aS'the\tthe\tDT\tB-NP\tO' -p109128 -aS'time\ttime\tNN\tI-NP\tO' -p109129 -aS'of\tof\tIN\tB-PP\tO' -p109130 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p109131 -aS'to\tto\tTO\tB-PP\tO' -p109132 -aS'Saint\tSaint\tNNP\tB-NP\tO' -p109133 -aS'Vincent\tVincent\tNNP\tI-NP\tO' -p109134 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p109135 -aS'revealed\treveal\tVBD\tB-VP\tO' -p109136 -aS'white\twhite\tJJ\tB-NP\tO' -p109137 -aS'blood\tblood\tNN\tI-NP\tO' -p109138 -aS'cell\tcell\tNN\tI-NP\tO' -p109139 -aS'count\tcount\tNN\tI-NP\tO' -p109140 -aS'was\tbe\tVBD\tB-VP\tO' -p109141 -aS'11.5\t11.5\tCD\tB-NP\tO' -p109142 -aS',\t,\t,\tO\tO' -p109143 -aS'hematocrit\thematocrit\tNN\tB-NP\tO' -p109144 -aS'was\tbe\tVBD\tB-VP\tO' -p109145 -aS'42\t42\tCD\tB-NP\tO' -p109146 -aS'on\ton\tIN\tB-PP\tO' -p109147 -aS'admission\tadmission\tNN\tB-NP\tO' -p109148 -aS',\t,\t,\tO\tO' -p109149 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p109150 -aS'were\tbe\tVBD\tB-VP\tO' -p109151 -aS'242\t242\tCD\tB-NP\tO' -p109152 -aS'.\t.\t.\tO\tO' -p109153 -asS'Sodium 139 , potassium 3.7 and BUN of 19 .' -p109154 -(lp109155 -S'Sodium\tSodium\tNN\tB-NP\tB-protein' -p109156 -aS'139\t139\tCD\tI-NP\tI-protein' -p109157 -aS',\t,\t,\tO\tO' -p109158 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p109159 -aS'3.7\t3.7\tCD\tI-NP\tO' -p109160 -aS'and\tand\tCC\tO\tO' -p109161 -aS'BUN\tBUN\tNN\tB-NP\tO' -p109162 -aS'of\tof\tIN\tB-PP\tO' -p109163 -aS'19\t19\tCD\tB-NP\tO' -p109164 -aS'.\t.\t.\tO\tO' -p109165 -asS'She will be d/c w/out her heparin as she is trending upwards with her INR and has no MR Paul Paquettec heart disease .' -p109166 -(lp109167 -S'She\tShe\tPRP\tB-NP\tO' -p109168 -aS'will\twill\tMD\tB-VP\tO' -p109169 -aS'be\tbe\tVB\tI-VP\tO' -p109170 -aS'd/c\td/c\tNN\tB-NP\tO' -p109171 -aS'w/out\tw/out\tIN\tB-PP\tO' -p109172 -aS'her\ther\tPRP$\tB-NP\tO' -p109173 -aS'heparin\theparin\tNN\tI-NP\tO' -p109174 -aS'as\tas\tIN\tB-SBAR\tO' -p109175 -aS'she\tshe\tPRP\tB-NP\tO' -p109176 -aS'is\tbe\tVBZ\tB-VP\tO' -p109177 -aS'trending\ttrend\tVBG\tI-VP\tO' -p109178 -aS'upwards\tupward\tNNS\tB-NP\tO' -p109179 -aS'with\twith\tIN\tB-PP\tO' -p109180 -aS'her\ther\tPRP$\tB-NP\tO' -p109181 -aS'INR\tINR\tNN\tI-NP\tB-protein' -p109182 -aS'and\tand\tCC\tO\tO' -p109183 -aS'has\thave\tVBZ\tB-VP\tO' -p109184 -aS'no\tno\tDT\tB-NP\tO' -p109185 -aS'MR\tMR\tNNP\tI-NP\tB-protein' -p109186 -aS'Paul\tPaul\tNNP\tI-NP\tO' -p109187 -aS'Paquettec\tPaquettec\tNNP\tI-NP\tO' -p109188 -aS'heart\theart\tNN\tI-NP\tO' -p109189 -aS'disease\tdisease\tNN\tI-NP\tO' -p109190 -aS'.\t.\t.\tO\tO' -p109191 -asS"The patient 's appetite improved significantly , and at the time of discharge the patient was on a regular diet with no tube feed supplements deemed necessary ." -p109192 -(lp109193 -S'The\tThe\tDT\tB-NP\tO' -p109194 -aS'patient\tpatient\tNN\tI-NP\tO' -p109195 -aS"'s\t's\tPOS\tB-NP\tO" -p109196 -aS'appetite\tappetite\tNN\tI-NP\tO' -p109197 -aS'improved\timprove\tVBD\tB-VP\tO' -p109198 -aS'significantly\tsignificantly\tRB\tB-ADVP\tO' -p109199 -aS',\t,\t,\tO\tO' -p109200 -aS'and\tand\tCC\tO\tO' -p109201 -aS'at\tat\tIN\tB-PP\tO' -p109202 -aS'the\tthe\tDT\tB-NP\tO' -p109203 -aS'time\ttime\tNN\tI-NP\tO' -p109204 -aS'of\tof\tIN\tB-PP\tO' -p109205 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p109206 -aS'the\tthe\tDT\tB-NP\tO' -p109207 -aS'patient\tpatient\tNN\tI-NP\tO' -p109208 -aS'was\tbe\tVBD\tB-VP\tO' -p109209 -aS'on\ton\tIN\tB-PP\tO' -p109210 -aS'a\ta\tDT\tB-NP\tO' -p109211 -aS'regular\tregular\tJJ\tI-NP\tO' -p109212 -aS'diet\tdiet\tNN\tI-NP\tO' -p109213 -aS'with\twith\tIN\tB-PP\tO' -p109214 -aS'no\tno\tDT\tB-NP\tO' -p109215 -aS'tube\ttube\tNN\tI-NP\tO' -p109216 -aS'feed\tfeed\tNN\tI-NP\tO' -p109217 -aS'supplements\tsupplement\tNNS\tI-NP\tO' -p109218 -aS'deemed\tdeem\tVBD\tB-VP\tO' -p109219 -aS'necessary\tnecessary\tJJ\tB-ADJP\tO' -p109220 -aS'.\t.\t.\tO\tO' -p109221 -asS'Left thyroid occult papillary carcinoma .' -p109222 -(lp109223 -S'Left\tLeave\tVBN\tB-NP\tO' -p109224 -aS'thyroid\tthyroid\tJJ\tI-NP\tO' -p109225 -aS'occult\toccult\tJJ\tI-NP\tO' -p109226 -aS'papillary\tpapillary\tJJ\tI-NP\tO' -p109227 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p109228 -aS'.\t.\t.\tO\tO' -p109229 -asS'Caffeine 12 mg pg q day. He has not had his 06-10 dose .' -p109230 -(lp109231 -S'Caffeine\tCaffeine\tNN\tB-NP\tO' -p109232 -aS'12\t12\tCD\tI-NP\tO' -p109233 -aS'mg\tmg\tNN\tI-NP\tO' -p109234 -aS'pg\tpg\tNN\tI-NP\tO' -p109235 -aS'q\tq\tNN\tI-NP\tO' -p109236 -aS'day.\tday.\tNN\tI-NP\tO' -p109237 -aS'He\tHe\tPRP\tB-NP\tO' -p109238 -aS'has\thave\tVBZ\tB-VP\tO' -p109239 -aS'not\tnot\tRB\tI-VP\tO' -p109240 -aS'had\thave\tVBN\tI-VP\tO' -p109241 -aS'his\this\tPRP$\tB-NP\tO' -p109242 -aS'06-10\t06-10\tCD\tI-NP\tO' -p109243 -aS'dose\tdose\tNN\tI-NP\tO' -p109244 -aS'.\t.\t.\tO\tO' -p109245 -asS'Increased tone x4 with LEs > UEs .' -p109246 -(lp109247 -S'Increased\tIncrease\tVBN\tB-NP\tO' -p109248 -aS'tone\ttone\tNN\tI-NP\tO' -p109249 -aS'x4\tx4\tNN\tI-NP\tO' -p109250 -aS'with\twith\tIN\tB-PP\tO' -p109251 -aS'LEs\tLE\tNNS\tB-NP\tO' -p109252 -aS'>\t>\tSYM\tB-NP\tO' -p109253 -aS'UEs\tUE\tNNS\tI-NP\tO' -p109254 -aS'.\t.\t.\tO\tO' -p109255 -asS'He is allergic to Motrin .' -p109256 -(lp109257 -S'He\tHe\tPRP\tB-NP\tO' -p109258 -aS'is\tbe\tVBZ\tB-VP\tO' -p109259 -aS'allergic\tallergic\tJJ\tB-ADJP\tO' -p109260 -aS'to\tto\tTO\tB-PP\tO' -p109261 -aS'Motrin\tMotrin\tNN\tB-NP\tO' -p109262 -aS'.\t.\t.\tO\tO' -p109263 -asS'The plan is to complete a full course of Imipenem and Tobramycin for his Pseudomonas cellulitis .' -p109264 -(lp109265 -S'The\tThe\tDT\tB-NP\tO' -p109266 -aS'plan\tplan\tNN\tI-NP\tO' -p109267 -aS'is\tbe\tVBZ\tB-VP\tO' -p109268 -aS'to\tto\tTO\tB-VP\tO' -p109269 -aS'complete\tcomplete\tVB\tI-VP\tO' -p109270 -aS'a\ta\tDT\tB-NP\tO' -p109271 -aS'full\tfull\tJJ\tI-NP\tO' -p109272 -aS'course\tcourse\tNN\tI-NP\tO' -p109273 -aS'of\tof\tIN\tB-PP\tO' -p109274 -aS'Imipenem\tImipenem\tNN\tB-NP\tO' -p109275 -aS'and\tand\tCC\tI-NP\tO' -p109276 -aS'Tobramycin\tTobramycin\tNN\tI-NP\tO' -p109277 -aS'for\tfor\tIN\tB-PP\tO' -p109278 -aS'his\this\tPRP$\tB-NP\tO' -p109279 -aS'Pseudomonas\tPseudomonas\tNNP\tI-NP\tO' -p109280 -aS'cellulitis\tcellulitis\tNN\tI-NP\tO' -p109281 -aS'.\t.\t.\tO\tO' -p109282 -asS'As described above .' -p109283 -(lp109284 -S'As\tAs\tIN\tB-SBAR\tO' -p109285 -aS'described\tdescribe\tVBN\tB-VP\tO' -p109286 -aS'above\tabove\tRB\tB-ADVP\tO' -p109287 -aS'.\t.\t.\tO\tO' -p109288 -asS'Sputum from 08-27 grew gram-negative rods , not yet speciated , and from 08-27 a bronchoalveolar lavage grew 1+ gram-negative rods and 4+ polymorphonuclear lymphocytes .' -p109289 -(lp109290 -S'Sputum\tSputum\tNNP\tB-NP\tO' -p109291 -aS'from\tfrom\tIN\tB-PP\tO' -p109292 -aS'08-27\t08-27\tCD\tB-NP\tO' -p109293 -aS'grew\tgrow\tVBD\tB-VP\tO' -p109294 -aS'gram-negative\tgram-negative\tJJ\tB-NP\tO' -p109295 -aS'rods\trod\tNNS\tI-NP\tO' -p109296 -aS',\t,\t,\tO\tO' -p109297 -aS'not\tnot\tRB\tB-VP\tO' -p109298 -aS'yet\tyet\tRB\tI-VP\tO' -p109299 -aS'speciated\tspeciate\tVBN\tI-VP\tO' -p109300 -aS',\t,\t,\tO\tO' -p109301 -aS'and\tand\tCC\tO\tO' -p109302 -aS'from\tfrom\tIN\tB-PP\tO' -p109303 -aS'08-27\t08-27\tCD\tB-NP\tO' -p109304 -aS'a\ta\tDT\tB-NP\tO' -p109305 -aS'bronchoalveolar\tbronchoalveolar\tJJ\tI-NP\tO' -p109306 -aS'lavage\tlavage\tNN\tI-NP\tO' -p109307 -aS'grew\tgrow\tVBD\tB-VP\tO' -p109308 -aS'1+\t1+\tJJ\tB-NP\tO' -p109309 -aS'gram-negative\tgram-negative\tJJ\tI-NP\tO' -p109310 -aS'rods\trod\tNNS\tI-NP\tO' -p109311 -aS'and\tand\tCC\tO\tO' -p109312 -aS'4+\t4+\tJJ\tB-NP\tO' -p109313 -aS'polymorphonuclear\tpolymorphonuclear\tJJ\tI-NP\tO' -p109314 -aS'lymphocytes\tlymphocyte\tNNS\tI-NP\tO' -p109315 -aS'.\t.\t.\tO\tO' -p109316 -asS'Given the patient had an out of hospital arrest , remained unresponsive despite hemodynamic stability , he was treated with induced hypothermia and with cold packs and a cooling blanket were placed with goals of reducing his core body temperature to 32 degrees Celsius for a period of twelve hours at which point he would be rewarmed over the subsequent six hours .' -p109317 -(lp109318 -S'Given\tGive\tVBN\tB-PP\tO' -p109319 -aS'the\tthe\tDT\tB-NP\tO' -p109320 -aS'patient\tpatient\tNN\tI-NP\tO' -p109321 -aS'had\thave\tVBD\tB-VP\tO' -p109322 -aS'an\tan\tDT\tO\tO' -p109323 -aS'out\tout\tIN\tB-PP\tO' -p109324 -aS'of\tof\tIN\tB-PP\tO' -p109325 -aS'hospital\thospital\tNN\tB-NP\tO' -p109326 -aS'arrest\tarrest\tNN\tI-NP\tO' -p109327 -aS',\t,\t,\tO\tO' -p109328 -aS'remained\tremain\tVBD\tB-VP\tO' -p109329 -aS'unresponsive\tunresponsive\tJJ\tB-ADJP\tO' -p109330 -aS'despite\tdespite\tIN\tB-PP\tO' -p109331 -aS'hemodynamic\themodynamic\tJJ\tB-NP\tO' -p109332 -aS'stability\tstability\tNN\tI-NP\tO' -p109333 -aS',\t,\t,\tO\tO' -p109334 -aS'he\the\tPRP\tB-NP\tO' -p109335 -aS'was\tbe\tVBD\tB-VP\tO' -p109336 -aS'treated\ttreat\tVBN\tI-VP\tO' -p109337 -aS'with\twith\tIN\tB-PP\tO' -p109338 -aS'induced\tinduce\tVBN\tB-NP\tO' -p109339 -aS'hypothermia\thypothermia\tNN\tI-NP\tO' -p109340 -aS'and\tand\tCC\tB-PP\tO' -p109341 -aS'with\twith\tIN\tB-PP\tO' -p109342 -aS'cold\tcold\tJJ\tB-NP\tO' -p109343 -aS'packs\tpack\tNNS\tI-NP\tO' -p109344 -aS'and\tand\tCC\tO\tO' -p109345 -aS'a\ta\tDT\tB-NP\tO' -p109346 -aS'cooling\tcooling\tNN\tI-NP\tO' -p109347 -aS'blanket\tblanket\tNN\tI-NP\tO' -p109348 -aS'were\tbe\tVBD\tB-VP\tO' -p109349 -aS'placed\tplace\tVBN\tI-VP\tO' -p109350 -aS'with\twith\tIN\tB-PP\tO' -p109351 -aS'goals\tgoal\tNNS\tB-NP\tO' -p109352 -aS'of\tof\tIN\tB-PP\tO' -p109353 -aS'reducing\treduce\tVBG\tB-VP\tO' -p109354 -aS'his\this\tPRP$\tB-NP\tO' -p109355 -aS'core\tcore\tNN\tI-NP\tO' -p109356 -aS'body\tbody\tNN\tI-NP\tO' -p109357 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p109358 -aS'to\tto\tTO\tB-PP\tO' -p109359 -aS'32\t32\tCD\tB-NP\tO' -p109360 -aS'degrees\tdegree\tNNS\tI-NP\tO' -p109361 -aS'Celsius\tCelsius\tNNP\tB-NP\tO' -p109362 -aS'for\tfor\tIN\tB-PP\tO' -p109363 -aS'a\ta\tDT\tB-NP\tO' -p109364 -aS'period\tperiod\tNN\tI-NP\tO' -p109365 -aS'of\tof\tIN\tB-PP\tO' -p109366 -aS'twelve\ttwelve\tCD\tB-NP\tO' -p109367 -aS'hours\thour\tNNS\tI-NP\tO' -p109368 -aS'at\tat\tIN\tB-PP\tO' -p109369 -aS'which\twhich\tWDT\tB-NP\tO' -p109370 -aS'point\tpoint\tNN\tI-NP\tO' -p109371 -aS'he\the\tPRP\tB-NP\tO' -p109372 -aS'would\twould\tMD\tB-VP\tO' -p109373 -aS'be\tbe\tVB\tI-VP\tO' -p109374 -aS'rewarmed\trewarme\tVBN\tI-VP\tO' -p109375 -aS'over\tover\tIN\tB-PP\tO' -p109376 -aS'the\tthe\tDT\tB-NP\tO' -p109377 -aS'subsequent\tsubsequent\tJJ\tI-NP\tO' -p109378 -aS'six\tsix\tCD\tI-NP\tO' -p109379 -aS'hours\thour\tNNS\tI-NP\tO' -p109380 -aS'.\t.\t.\tO\tO' -p109381 -asS'08/20/98 dual chamber pacemaker generator change ( CPI 1276 Meridian DR ) .' -p109382 -(lp109383 -S'08/20/98\t08/20/98\tCD\tB-NP\tO' -p109384 -aS'dual\tdual\tJJ\tI-NP\tO' -p109385 -aS'chamber\tchamber\tNN\tI-NP\tO' -p109386 -aS'pacemaker\tpacemaker\tNN\tI-NP\tO' -p109387 -aS'generator\tgenerator\tNN\tI-NP\tO' -p109388 -aS'change\tchange\tNN\tI-NP\tO' -p109389 -aS'(\t(\t(\tO\tO' -p109390 -aS'CPI\tCPI\tNN\tB-NP\tB-protein' -p109391 -aS'1276\t1276\tCD\tI-NP\tI-protein' -p109392 -aS'Meridian\tMeridian\tNNP\tI-NP\tI-protein' -p109393 -aS'DR\tDR\tNN\tI-NP\tI-protein' -p109394 -aS')\t)\t)\tO\tO' -p109395 -aS'.\t.\t.\tO\tO' -p109396 -asS'Neurologically ; he opens his eyes to voice .' -p109397 -(lp109398 -S'Neurologically\tNeurologically\tRB\tB-ADVP\tO' -p109399 -aS';\t;\t:\tO\tO' -p109400 -aS'he\the\tPRP\tB-NP\tO' -p109401 -aS'opens\topen\tVBZ\tB-VP\tO' -p109402 -aS'his\this\tPRP$\tB-NP\tO' -p109403 -aS'eyes\teye\tNNS\tI-NP\tO' -p109404 -aS'to\tto\tTO\tB-PP\tO' -p109405 -aS'voice\tvoice\tNN\tB-NP\tO' -p109406 -aS'.\t.\t.\tO\tO' -p109407 -asS'He will need follow up lytes drawn throughout the week .' -p109408 -(lp109409 -S'He\tHe\tPRP\tB-NP\tO' -p109410 -aS'will\twill\tMD\tB-VP\tO' -p109411 -aS'need\tneed\tVB\tI-VP\tO' -p109412 -aS'follow\tfollow\tVB\tI-VP\tO' -p109413 -aS'up\tup\tRP\tB-PRT\tO' -p109414 -aS'lytes\tlyte\tNNS\tB-NP\tO' -p109415 -aS'drawn\tdraw\tVBN\tB-VP\tO' -p109416 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p109417 -aS'the\tthe\tDT\tB-NP\tO' -p109418 -aS'week\tweek\tNN\tI-NP\tO' -p109419 -aS'.\t.\t.\tO\tO' -p109420 -asS'She continued to have fevers .' -p109421 -(lp109422 -S'She\tShe\tPRP\tB-NP\tO' -p109423 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p109424 -aS'to\tto\tTO\tI-VP\tO' -p109425 -aS'have\thave\tVB\tI-VP\tO' -p109426 -aS'fevers\tfever\tNNS\tB-NP\tO' -p109427 -aS'.\t.\t.\tO\tO' -p109428 -asS"Diabetes , Grave's disease , but no history of cardiopulmonary disease ." -p109429 -(lp109430 -S'Diabetes\tDiabetes\tNNP\tB-NP\tO' -p109431 -aS',\t,\t,\tO\tO' -p109432 -aS"Grave's\tGrave's\tNNP\tB-NP\tO" -p109433 -aS'disease\tdisease\tNN\tI-NP\tO' -p109434 -aS',\t,\t,\tO\tO' -p109435 -aS'but\tbut\tCC\tO\tO' -p109436 -aS'no\tno\tDT\tB-NP\tO' -p109437 -aS'history\thistory\tNN\tI-NP\tO' -p109438 -aS'of\tof\tIN\tB-PP\tO' -p109439 -aS'cardiopulmonary\tcardiopulmonary\tJJ\tB-NP\tO' -p109440 -aS'disease\tdisease\tNN\tI-NP\tO' -p109441 -aS'.\t.\t.\tO\tO' -p109442 -asS'1. Phenytoin 50 mg Tablet , Chewable Sig : Two ( 2 ) Tablet , Chewable PO three times a day for 1 months .' -p109443 -(lp109444 -S'1.\t1.\tLS\tB-NP\tO' -p109445 -aS'Phenytoin\tPhenytoin\tNN\tI-NP\tO' -p109446 -aS'50\t50\tCD\tB-NP\tO' -p109447 -aS'mg\tmg\tNN\tI-NP\tO' -p109448 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p109449 -aS',\t,\t,\tO\tO' -p109450 -aS'Chewable\tChewable\tNNP\tB-NP\tO' -p109451 -aS'Sig\tSig\tNNP\tI-NP\tO' -p109452 -aS':\t:\t:\tO\tO' -p109453 -aS'Two\tTwo\tCD\tB-NP\tO' -p109454 -aS'(\t(\t(\tO\tO' -p109455 -aS'2\t2\tCD\tB-NP\tO' -p109456 -aS')\t)\t)\tO\tO' -p109457 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p109458 -aS',\t,\t,\tO\tO' -p109459 -aS'Chewable\tChewable\tNNP\tB-NP\tO' -p109460 -aS'PO\tPO\tNNP\tI-NP\tO' -p109461 -aS'three\tthree\tCD\tB-NP\tO' -p109462 -aS'times\ttime\tNNS\tI-NP\tO' -p109463 -aS'a\ta\tDT\tB-NP\tO' -p109464 -aS'day\tday\tNN\tI-NP\tO' -p109465 -aS'for\tfor\tIN\tB-PP\tO' -p109466 -aS'1\t1\tCD\tB-NP\tO' -p109467 -aS'months\tmonth\tNNS\tI-NP\tO' -p109468 -aS'.\t.\t.\tO\tO' -p109469 -asS'The patient denies any history of diabetes .' -p109470 -(lp109471 -S'The\tThe\tDT\tB-NP\tO' -p109472 -aS'patient\tpatient\tNN\tI-NP\tO' -p109473 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p109474 -aS'any\tany\tDT\tB-NP\tO' -p109475 -aS'history\thistory\tNN\tI-NP\tO' -p109476 -aS'of\tof\tIN\tB-PP\tO' -p109477 -aS'diabetes\tdiabete\tNNS\tB-NP\tO' -p109478 -aS'.\t.\t.\tO\tO' -p109479 -asS'5. Hematology - The most recent hematocrit on day of life two was 45.8% .' -p109480 -(lp109481 -S'5.\t5.\tLS\tB-NP\tO' -p109482 -aS'Hematology\tHematology\tNN\tI-NP\tO' -p109483 -aS'-\t-\tHYPH\tO\tO' -p109484 -aS'The\tThe\tDT\tB-NP\tO' -p109485 -aS'most\tmost\tRBS\tI-NP\tO' -p109486 -aS'recent\trecent\tJJ\tI-NP\tO' -p109487 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p109488 -aS'on\ton\tIN\tB-PP\tO' -p109489 -aS'day\tday\tNN\tB-NP\tO' -p109490 -aS'of\tof\tIN\tB-PP\tO' -p109491 -aS'life\tlife\tNN\tB-NP\tO' -p109492 -aS'two\ttwo\tCD\tI-NP\tO' -p109493 -aS'was\tbe\tVBD\tB-VP\tO' -p109494 -aS'45.8%\t45.8%\tCD\tB-NP\tO' -p109495 -aS'.\t.\t.\tO\tO' -p109496 -asS'On 2/22/00 , the patient had fevers to 103.5 .' -p109497 -(lp109498 -S'On\tOn\tIN\tB-PP\tO' -p109499 -aS'2/22/00\t2/22/00\tCD\tB-NP\tO' -p109500 -aS',\t,\t,\tO\tO' -p109501 -aS'the\tthe\tDT\tB-NP\tO' -p109502 -aS'patient\tpatient\tNN\tI-NP\tO' -p109503 -aS'had\thave\tVBD\tB-VP\tO' -p109504 -aS'fevers\tfever\tNNS\tB-NP\tO' -p109505 -aS'to\tto\tTO\tB-PP\tO' -p109506 -aS'103.5\t103.5\tCD\tB-NP\tO' -p109507 -aS'.\t.\t.\tO\tO' -p109508 -asS'Later on op day he was weaned from sedation , awoke neurologically intact , and' -p109509 -(lp109510 -S'Later\tLater\tRB\tB-ADVP\tO' -p109511 -aS'on\ton\tIN\tB-PP\tO' -p109512 -aS'op\top\tNN\tB-NP\tO' -p109513 -aS'day\tday\tNN\tI-NP\tO' -p109514 -aS'he\the\tPRP\tB-NP\tO' -p109515 -aS'was\tbe\tVBD\tB-VP\tO' -p109516 -aS'weaned\twean\tVBN\tI-VP\tO' -p109517 -aS'from\tfrom\tIN\tB-PP\tO' -p109518 -aS'sedation\tsedation\tNN\tB-NP\tO' -p109519 -aS',\t,\t,\tO\tO' -p109520 -aS'awoke\tawake\tVBP\tB-VP\tO' -p109521 -aS'neurologically\tneurologically\tRB\tB-ADVP\tO' -p109522 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p109523 -aS',\t,\t,\tO\tO' -p109524 -aS'and\tand\tCC\tO\tO' -p109525 -asS'A bone scan revealed increased uptake in the left chest wall , left anterior ribs four to six , and increased uptake in the left and right lateral skull in the area of the parotids .' -p109526 -(lp109527 -S'A\tA\tDT\tB-NP\tO' -p109528 -aS'bone\tbone\tNN\tI-NP\tO' -p109529 -aS'scan\tscan\tNN\tI-NP\tO' -p109530 -aS'revealed\treveal\tVBD\tB-VP\tO' -p109531 -aS'increased\tincrease\tVBN\tB-NP\tO' -p109532 -aS'uptake\tuptake\tNN\tI-NP\tO' -p109533 -aS'in\tin\tIN\tB-PP\tO' -p109534 -aS'the\tthe\tDT\tB-NP\tO' -p109535 -aS'left\tleft\tJJ\tI-NP\tO' -p109536 -aS'chest\tchest\tNN\tI-NP\tO' -p109537 -aS'wall\twall\tNN\tI-NP\tO' -p109538 -aS',\t,\t,\tO\tO' -p109539 -aS'left\tleave\tVBD\tB-VP\tO' -p109540 -aS'anterior\tanterior\tJJ\tB-NP\tO' -p109541 -aS'ribs\trib\tNNS\tI-NP\tO' -p109542 -aS'four\tfour\tCD\tB-NP\tO' -p109543 -aS'to\tto\tTO\tB-PP\tO' -p109544 -aS'six\tsix\tCD\tB-NP\tO' -p109545 -aS',\t,\t,\tO\tO' -p109546 -aS'and\tand\tCC\tO\tO' -p109547 -aS'increased\tincrease\tVBN\tB-NP\tO' -p109548 -aS'uptake\tuptake\tNN\tI-NP\tO' -p109549 -aS'in\tin\tIN\tB-PP\tO' -p109550 -aS'the\tthe\tDT\tB-NP\tO' -p109551 -aS'left\tleft\tJJ\tI-NP\tO' -p109552 -aS'and\tand\tCC\tI-NP\tO' -p109553 -aS'right\tright\tJJ\tI-NP\tO' -p109554 -aS'lateral\tlateral\tJJ\tI-NP\tO' -p109555 -aS'skull\tskull\tNN\tI-NP\tO' -p109556 -aS'in\tin\tIN\tB-PP\tO' -p109557 -aS'the\tthe\tDT\tB-NP\tO' -p109558 -aS'area\tarea\tNN\tI-NP\tO' -p109559 -aS'of\tof\tIN\tB-PP\tO' -p109560 -aS'the\tthe\tDT\tB-NP\tO' -p109561 -aS'parotids\tparotid\tNNS\tI-NP\tO' -p109562 -aS'.\t.\t.\tO\tO' -p109563 -asS'A second episode occurred where the baby turned pale .' -p109564 -(lp109565 -S'A\tA\tDT\tB-NP\tO' -p109566 -aS'second\tsecond\tJJ\tI-NP\tO' -p109567 -aS'episode\tepisode\tNN\tI-NP\tO' -p109568 -aS'occurred\toccur\tVBD\tB-VP\tO' -p109569 -aS'where\twhere\tWRB\tB-ADVP\tO' -p109570 -aS'the\tthe\tDT\tB-NP\tO' -p109571 -aS'baby\tbaby\tNN\tI-NP\tO' -p109572 -aS'turned\tturn\tVBD\tB-VP\tO' -p109573 -aS'pale\tpale\tNN\tB-NP\tO' -p109574 -aS'.\t.\t.\tO\tO' -p109575 -asS'121-160 mg / dL 2 Units 0 Units 1 Units 0 Units' -p109576 -(lp109577 -S'121-160\t121-160\tCD\tB-NP\tO' -p109578 -aS'mg\tmg\tNN\tI-NP\tO' -p109579 -aS'/\t/\tSYM\tO\tO' -p109580 -aS'dL\tdL\tNN\tB-NP\tB-protein' -p109581 -aS'2\t2\tCD\tI-NP\tI-protein' -p109582 -aS'Units\tUnits\tNNP\tI-NP\tI-protein' -p109583 -aS'0\t0\tCD\tI-NP\tI-protein' -p109584 -aS'Units\tUnit\tNNS\tI-NP\tI-protein' -p109585 -aS'1\t1\tCD\tI-NP\tI-protein' -p109586 -aS'Units\tUnits\tNNP\tI-NP\tI-protein' -p109587 -aS'0\t0\tCD\tI-NP\tI-protein' -p109588 -aS'Units\tUnit\tNNS\tI-NP\tI-protein' -p109589 -asS'His edema was improving and was starting to tolerate p.o.' -p109590 -(lp109591 -S'His\tHis\tPRP$\tB-NP\tO' -p109592 -aS'edema\tedema\tNN\tI-NP\tO' -p109593 -aS'was\tbe\tVBD\tB-VP\tO' -p109594 -aS'improving\timprove\tVBG\tI-VP\tO' -p109595 -aS'and\tand\tCC\tO\tO' -p109596 -aS'was\tbe\tVBD\tB-VP\tO' -p109597 -aS'starting\tstart\tVBG\tI-VP\tO' -p109598 -aS'to\tto\tTO\tI-VP\tO' -p109599 -aS'tolerate\ttolerate\tVB\tI-VP\tO' -p109600 -aS'p.o.\tp.o.\tNN\tB-NP\tO' -p109601 -asS'Echocardiogram was checked to rule out CHF , showed LVH and trace TR , ejection fraction of 60% without any pulmonary hypertension .' -p109602 -(lp109603 -S'Echocardiogram\tEchocardiogram\tNN\tB-NP\tO' -p109604 -aS'was\tbe\tVBD\tB-VP\tO' -p109605 -aS'checked\tcheck\tVBN\tI-VP\tO' -p109606 -aS'to\tto\tTO\tI-VP\tO' -p109607 -aS'rule\trule\tVB\tI-VP\tO' -p109608 -aS'out\tout\tRP\tB-PRT\tO' -p109609 -aS'CHF\tCHF\tNN\tB-NP\tB-protein' -p109610 -aS',\t,\t,\tO\tO' -p109611 -aS'showed\tshow\tVBD\tB-VP\tO' -p109612 -aS'LVH\tLVH\tNN\tB-NP\tO' -p109613 -aS'and\tand\tCC\tI-NP\tO' -p109614 -aS'trace\ttrace\tNN\tI-NP\tB-protein' -p109615 -aS'TR\tTR\tNN\tI-NP\tI-protein' -p109616 -aS',\t,\t,\tO\tO' -p109617 -aS'ejection\tejection\tNN\tB-NP\tO' -p109618 -aS'fraction\tfraction\tNN\tI-NP\tO' -p109619 -aS'of\tof\tIN\tB-PP\tO' -p109620 -aS'60%\t60%\tNN\tB-NP\tO' -p109621 -aS'without\twithout\tIN\tB-PP\tO' -p109622 -aS'any\tany\tDT\tB-NP\tO' -p109623 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p109624 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p109625 -aS'.\t.\t.\tO\tO' -p109626 -asS'She was then transferred to The Hospital for Orthopedics for surgical intervention .' -p109627 -(lp109628 -S'She\tShe\tPRP\tB-NP\tO' -p109629 -aS'was\tbe\tVBD\tB-VP\tO' -p109630 -aS'then\tthen\tRB\tI-VP\tO' -p109631 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p109632 -aS'to\tto\tTO\tB-PP\tO' -p109633 -aS'The\tThe\tDT\tB-NP\tO' -p109634 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p109635 -aS'for\tfor\tIN\tB-PP\tO' -p109636 -aS'Orthopedics\tOrthopedics\tNNP\tB-NP\tO' -p109637 -aS'for\tfor\tIN\tB-PP\tO' -p109638 -aS'surgical\tsurgical\tJJ\tB-NP\tO' -p109639 -aS'intervention\tintervention\tNN\tI-NP\tO' -p109640 -aS'.\t.\t.\tO\tO' -p109641 -asS'SHE DID WELL IN THE ICU AND WAS SUBSEQUENTLY TRANSFERED TO THE FLOOR .' -p109642 -(lp109643 -S'SHE\tSHE\tNNP\tB-NP\tO' -p109644 -aS'DID\tDID\tNNP\tI-NP\tO' -p109645 -aS'WELL\tWELL\tNNP\tI-NP\tO' -p109646 -aS'IN\tIN\tIN\tB-PP\tO' -p109647 -aS'THE\tTHE\tDT\tB-NP\tO' -p109648 -aS'ICU\tICU\tNNP\tI-NP\tO' -p109649 -aS'AND\tAND\tCC\tI-NP\tO' -p109650 -aS'WAS\tWAS\tNNP\tI-NP\tO' -p109651 -aS'SUBSEQUENTLY\tSUBSEQUENTLY\tNNP\tI-NP\tO' -p109652 -aS'TRANSFERED\tTRANSFERED\tNNP\tI-NP\tO' -p109653 -aS'TO\tTO\tTO\tB-PP\tO' -p109654 -aS'THE\tTHE\tDT\tB-NP\tO' -p109655 -aS'FLOOR\tFLOOR\tNN\tI-NP\tB-protein' -p109656 -aS'.\t.\t.\tO\tO' -p109657 -asS'CMED was made aware , and they are actively involved in his care .' -p109658 -(lp109659 -S'CMED\tCMED\tVBN\tB-VP\tO' -p109660 -aS'was\tbe\tVBD\tB-VP\tO' -p109661 -aS'made\tmake\tVBN\tI-VP\tO' -p109662 -aS'aware\taware\tJJ\tB-ADJP\tO' -p109663 -aS',\t,\t,\tO\tO' -p109664 -aS'and\tand\tCC\tO\tO' -p109665 -aS'they\tthey\tPRP\tB-NP\tO' -p109666 -aS'are\tbe\tVBP\tB-VP\tO' -p109667 -aS'actively\tactively\tRB\tI-VP\tO' -p109668 -aS'involved\tinvolve\tVBN\tI-VP\tO' -p109669 -aS'in\tin\tIN\tB-PP\tO' -p109670 -aS'his\this\tPRP$\tB-NP\tO' -p109671 -aS'care\tcare\tNN\tI-NP\tO' -p109672 -aS'.\t.\t.\tO\tO' -p109673 -asS'She denies chest pain .' -p109674 -(lp109675 -S'She\tShe\tPRP\tB-NP\tO' -p109676 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p109677 -aS'chest\tchest\tNN\tB-NP\tO' -p109678 -aS'pain\tpain\tNN\tI-NP\tO' -p109679 -aS'.\t.\t.\tO\tO' -p109680 -asS'The patient remained afebrile when she transferred to the medicine service .' -p109681 -(lp109682 -S'The\tThe\tDT\tB-NP\tO' -p109683 -aS'patient\tpatient\tNN\tI-NP\tO' -p109684 -aS'remained\tremain\tVBD\tB-VP\tO' -p109685 -aS'afebrile\tafebrile\tRB\tB-ADVP\tO' -p109686 -aS'when\twhen\tWRB\tB-ADVP\tO' -p109687 -aS'she\tshe\tPRP\tB-NP\tO' -p109688 -aS'transferred\ttransfer\tVBD\tB-VP\tO' -p109689 -aS'to\tto\tTO\tB-PP\tO' -p109690 -aS'the\tthe\tDT\tB-NP\tO' -p109691 -aS'medicine\tmedicine\tNN\tI-NP\tO' -p109692 -aS'service\tservice\tNN\tI-NP\tO' -p109693 -aS'.\t.\t.\tO\tO' -p109694 -asS'3. Diovan 160 mg p.o. q. day .' -p109695 -(lp109696 -S'3.\t3.\tLS\tB-LST\tO' -p109697 -aS'Diovan\tDiovan\tNNP\tB-NP\tO' -p109698 -aS'160\t160\tCD\tI-NP\tO' -p109699 -aS'mg\tmg\tNN\tI-NP\tO' -p109700 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p109701 -aS'q.\tq.\tNN\tI-NP\tO' -p109702 -aS'day\tday\tNN\tI-NP\tO' -p109703 -aS'.\t.\t.\tO\tO' -p109704 -asS'On 06-02 his lumbar drain pulled out .' -p109705 -(lp109706 -S'On\tOn\tIN\tB-PP\tO' -p109707 -aS'06-02\t06-02\tCD\tB-NP\tO' -p109708 -aS'his\this\tPRP$\tB-NP\tO' -p109709 -aS'lumbar\tlumbar\tNN\tI-NP\tO' -p109710 -aS'drain\tdrain\tNN\tI-NP\tO' -p109711 -aS'pulled\tpull\tVBD\tB-VP\tO' -p109712 -aS'out\tout\tRP\tB-PRT\tO' -p109713 -aS'.\t.\t.\tO\tO' -p109714 -asS'The patient remained intubated in the Intensive Care Unit for twelve days prior to his death .' -p109715 -(lp109716 -S'The\tThe\tDT\tB-NP\tO' -p109717 -aS'patient\tpatient\tNN\tI-NP\tO' -p109718 -aS'remained\tremain\tVBD\tB-VP\tO' -p109719 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p109720 -aS'in\tin\tIN\tB-PP\tO' -p109721 -aS'the\tthe\tDT\tB-NP\tO' -p109722 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p109723 -aS'Care\tCare\tNNP\tI-NP\tO' -p109724 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p109725 -aS'for\tfor\tIN\tB-PP\tO' -p109726 -aS'twelve\ttwelve\tCD\tB-NP\tO' -p109727 -aS'days\tday\tNNS\tI-NP\tO' -p109728 -aS'prior\tprior\tRB\tB-ADVP\tO' -p109729 -aS'to\tto\tTO\tB-PP\tO' -p109730 -aS'his\this\tPRP$\tB-NP\tO' -p109731 -aS'death\tdeath\tNN\tI-NP\tO' -p109732 -aS'.\t.\t.\tO\tO' -p109733 -asS'He is presenting for revascularization .' -p109734 -(lp109735 -S'He\tHe\tPRP\tB-NP\tO' -p109736 -aS'is\tbe\tVBZ\tB-VP\tO' -p109737 -aS'presenting\tpresent\tVBG\tI-VP\tO' -p109738 -aS'for\tfor\tIN\tB-PP\tO' -p109739 -aS'revascularization\trevascularization\tNN\tB-NP\tO' -p109740 -aS'.\t.\t.\tO\tO' -p109741 -asS'Cerebellar examination revealed in intention tremor on the right side .' -p109742 -(lp109743 -S'Cerebellar\tCerebellar\tJJ\tB-NP\tO' -p109744 -aS'examination\texamination\tNN\tI-NP\tO' -p109745 -aS'revealed\treveal\tVBD\tB-VP\tO' -p109746 -aS'in\tin\tIN\tB-PP\tO' -p109747 -aS'intention\tintention\tNN\tB-NP\tO' -p109748 -aS'tremor\ttremor\tNN\tI-NP\tO' -p109749 -aS'on\ton\tIN\tB-PP\tO' -p109750 -aS'the\tthe\tDT\tB-NP\tO' -p109751 -aS'right\tright\tJJ\tI-NP\tO' -p109752 -aS'side\tside\tNN\tI-NP\tO' -p109753 -aS'.\t.\t.\tO\tO' -p109754 -asS'Disp :* 60 Tablet , Chewable (s)* Refills :* 2 *' -p109755 -(lp109756 -S'Disp\tDisp\tNN\tB-NP\tO' -p109757 -aS':*\t:*\tSYM\tI-NP\tO' -p109758 -aS'60\t60\tCD\tI-NP\tO' -p109759 -aS'Tablet\tTablet\tNN\tI-NP\tO' -p109760 -aS',\t,\t,\tO\tO' -p109761 -aS'Chewable\tChewable\tNNP\tB-NP\tO' -p109762 -aS'(s)*\t(s)*\tSYM\tI-NP\tO' -p109763 -aS'Refills\tRefill\tNNPS\tI-NP\tO' -p109764 -aS':*\t:*\tSYM\tB-NP\tO' -p109765 -aS'2\t2\tCD\tB-NP\tO' -p109766 -aS'*\t*\tSYM\tB-NP\tO' -p109767 -asS'examination revealed a patient who was alert and oriented X 3 , with short term recall of 2/3 objects at five minutes and fluent speech .' -p109768 -(lp109769 -S'examination\texamination\tNN\tB-NP\tO' -p109770 -aS'revealed\treveal\tVBD\tB-VP\tO' -p109771 -aS'a\ta\tDT\tB-NP\tO' -p109772 -aS'patient\tpatient\tNN\tI-NP\tO' -p109773 -aS'who\twho\tWP\tB-NP\tO' -p109774 -aS'was\tbe\tVBD\tB-VP\tO' -p109775 -aS'alert\talert\tJJ\tB-ADJP\tO' -p109776 -aS'and\tand\tCC\tO\tO' -p109777 -aS'oriented\torient\tVBN\tB-VP\tO' -p109778 -aS'X\tX\tNN\tB-NP\tB-DNA' -p109779 -aS'3\t3\tCD\tI-NP\tI-DNA' -p109780 -aS',\t,\t,\tO\tO' -p109781 -aS'with\twith\tIN\tB-PP\tO' -p109782 -aS'short\tshort\tJJ\tB-NP\tO' -p109783 -aS'term\tterm\tNN\tI-NP\tO' -p109784 -aS'recall\trecall\tNN\tI-NP\tO' -p109785 -aS'of\tof\tIN\tB-PP\tO' -p109786 -aS'2/3\t2/3\tCD\tB-NP\tO' -p109787 -aS'objects\tobject\tNNS\tI-NP\tO' -p109788 -aS'at\tat\tIN\tB-PP\tO' -p109789 -aS'five\tfive\tCD\tB-NP\tO' -p109790 -aS'minutes\tminute\tNNS\tI-NP\tO' -p109791 -aS'and\tand\tCC\tO\tO' -p109792 -aS'fluent\tfluent\tJJ\tB-NP\tO' -p109793 -aS'speech\tspeech\tNN\tI-NP\tO' -p109794 -aS'.\t.\t.\tO\tO' -p109795 -asS'Normal hip examination and age appropriate tone and reflexes .' -p109796 -(lp109797 -S'Normal\tNormal\tJJ\tB-NP\tO' -p109798 -aS'hip\thip\tNN\tI-NP\tO' -p109799 -aS'examination\texamination\tNN\tI-NP\tO' -p109800 -aS'and\tand\tCC\tO\tO' -p109801 -aS'age\tage\tNN\tB-NP\tO' -p109802 -aS'appropriate\tappropriate\tJJ\tI-NP\tO' -p109803 -aS'tone\ttone\tNN\tI-NP\tO' -p109804 -aS'and\tand\tCC\tI-NP\tO' -p109805 -aS'reflexes\treflex\tNNS\tI-NP\tO' -p109806 -aS'.\t.\t.\tO\tO' -p109807 -asS'She had a mildly widened right palpable fissure .' -p109808 -(lp109809 -S'She\tShe\tPRP\tB-NP\tO' -p109810 -aS'had\thave\tVBD\tB-VP\tO' -p109811 -aS'a\ta\tDT\tB-NP\tO' -p109812 -aS'mildly\tmildly\tRB\tI-NP\tO' -p109813 -aS'widened\twiden\tVBN\tI-NP\tO' -p109814 -aS'right\tright\tJJ\tI-NP\tO' -p109815 -aS'palpable\tpalpable\tJJ\tI-NP\tO' -p109816 -aS'fissure\tfissure\tNN\tI-NP\tO' -p109817 -aS'.\t.\t.\tO\tO' -p109818 -asS'A specimen was obtained by fine needle aspiration and the pathology of this was consistent with adenocarcinoma .' -p109819 -(lp109820 -S'A\tA\tDT\tB-NP\tO' -p109821 -aS'specimen\tspecimen\tNN\tI-NP\tO' -p109822 -aS'was\tbe\tVBD\tB-VP\tO' -p109823 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p109824 -aS'by\tby\tIN\tB-PP\tO' -p109825 -aS'fine\tfine\tJJ\tB-NP\tO' -p109826 -aS'needle\tneedle\tNN\tI-NP\tO' -p109827 -aS'aspiration\taspiration\tNN\tI-NP\tO' -p109828 -aS'and\tand\tCC\tO\tO' -p109829 -aS'the\tthe\tDT\tB-NP\tO' -p109830 -aS'pathology\tpathology\tNN\tI-NP\tO' -p109831 -aS'of\tof\tIN\tB-PP\tO' -p109832 -aS'this\tthis\tDT\tB-NP\tO' -p109833 -aS'was\tbe\tVBD\tB-VP\tO' -p109834 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p109835 -aS'with\twith\tIN\tB-PP\tO' -p109836 -aS'adenocarcinoma\tadenocarcinoma\tNN\tB-NP\tO' -p109837 -aS'.\t.\t.\tO\tO' -p109838 -asS'Femoral pulses present bilaterally .' -p109839 -(lp109840 -S'Femoral\tFemoral\tJJ\tB-NP\tO' -p109841 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p109842 -aS'present\tpresent\tVBP\tB-VP\tO' -p109843 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p109844 -aS'.\t.\t.\tO\tO' -p109845 -asS'Lives with his Carney Hospital mother and their three children .' -p109846 -(lp109847 -S'Lives\tLife\tNNS\tB-NP\tO' -p109848 -aS'with\twith\tIN\tB-PP\tO' -p109849 -aS'his\this\tPRP$\tB-NP\tO' -p109850 -aS'Carney\tCarney\tNNP\tI-NP\tO' -p109851 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p109852 -aS'mother\tmother\tNN\tI-NP\tO' -p109853 -aS'and\tand\tCC\tO\tO' -p109854 -aS'their\ttheir\tPRP$\tB-NP\tO' -p109855 -aS'three\tthree\tCD\tI-NP\tO' -p109856 -aS'children\tchild\tNNS\tI-NP\tO' -p109857 -aS'.\t.\t.\tO\tO' -p109858 -asS'Surgeon was Dr. Jude. Christopher Swinney .' -p109859 -(lp109860 -S'Surgeon\tSurgeon\tNNP\tB-NP\tO' -p109861 -aS'was\tbe\tVBD\tB-VP\tO' -p109862 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p109863 -aS'Jude.\tJude.\tNNP\tI-NP\tO' -p109864 -aS'Christopher\tChristopher\tNNP\tI-NP\tO' -p109865 -aS'Swinney\tSwinney\tNNP\tI-NP\tO' -p109866 -aS'.\t.\t.\tO\tO' -p109867 -asS'She worked daily with physical and occupational therapy .' -p109868 -(lp109869 -S'She\tShe\tPRP\tB-NP\tO' -p109870 -aS'worked\twork\tVBD\tB-VP\tO' -p109871 -aS'daily\tdaily\tRB\tB-ADVP\tO' -p109872 -aS'with\twith\tIN\tB-PP\tO' -p109873 -aS'physical\tphysical\tJJ\tB-NP\tO' -p109874 -aS'and\tand\tCC\tI-NP\tO' -p109875 -aS'occupational\toccupational\tJJ\tI-NP\tO' -p109876 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p109877 -aS'.\t.\t.\tO\tO' -p109878 -asS'She is status post several laparoscopies in the past with which she was diagnosed with endometriosis .' -p109879 -(lp109880 -S'She\tShe\tPRP\tB-NP\tO' -p109881 -aS'is\tbe\tVBZ\tB-VP\tO' -p109882 -aS'status\tstatus\tJJ\tB-ADJP\tO' -p109883 -aS'post\tpost\tIN\tB-PP\tO' -p109884 -aS'several\tseveral\tJJ\tB-NP\tO' -p109885 -aS'laparoscopies\tlaparoscopy\tNNS\tI-NP\tO' -p109886 -aS'in\tin\tIN\tB-PP\tO' -p109887 -aS'the\tthe\tDT\tB-NP\tO' -p109888 -aS'past\tpast\tNN\tI-NP\tO' -p109889 -aS'with\twith\tIN\tB-PP\tO' -p109890 -aS'which\twhich\tWDT\tB-NP\tO' -p109891 -aS'she\tshe\tPRP\tB-NP\tO' -p109892 -aS'was\tbe\tVBD\tB-VP\tO' -p109893 -aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' -p109894 -aS'with\twith\tIN\tB-PP\tO' -p109895 -aS'endometriosis\tendometriosis\tNN\tB-NP\tO' -p109896 -aS'.\t.\t.\tO\tO' -p109897 -asS'She was in her usual state of health until one and a half weeks prior to admission .' -p109898 -(lp109899 -S'She\tShe\tPRP\tB-NP\tO' -p109900 -aS'was\tbe\tVBD\tB-VP\tO' -p109901 -aS'in\tin\tIN\tB-PP\tO' -p109902 -aS'her\ther\tPRP$\tB-NP\tO' -p109903 -aS'usual\tusual\tJJ\tI-NP\tO' -p109904 -aS'state\tstate\tNN\tI-NP\tO' -p109905 -aS'of\tof\tIN\tB-PP\tO' -p109906 -aS'health\thealth\tNN\tB-NP\tO' -p109907 -aS'until\tuntil\tIN\tB-PP\tO' -p109908 -aS'one\tone\tCD\tB-NP\tO' -p109909 -aS'and\tand\tCC\tO\tO' -p109910 -aS'a\ta\tDT\tB-NP\tO' -p109911 -aS'half\thalf\tNN\tI-NP\tO' -p109912 -aS'weeks\tweek\tNNS\tI-NP\tO' -p109913 -aS'prior\tprior\tRB\tB-ADVP\tO' -p109914 -aS'to\tto\tTO\tB-PP\tO' -p109915 -aS'admission\tadmission\tNN\tB-NP\tO' -p109916 -aS'.\t.\t.\tO\tO' -p109917 -asS'The patient was admitted through same day surgery and taken to the operating room where Dr. Blinjesc , assisted by Dr. Zockbeathe , performed a diagnostic laparoscopy with peritoneal washings .' -p109918 -(lp109919 -S'The\tThe\tDT\tB-NP\tO' -p109920 -aS'patient\tpatient\tNN\tI-NP\tO' -p109921 -aS'was\tbe\tVBD\tB-VP\tO' -p109922 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p109923 -aS'through\tthrough\tIN\tB-PP\tO' -p109924 -aS'same\tsame\tJJ\tB-NP\tO' -p109925 -aS'day\tday\tNN\tI-NP\tO' -p109926 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p109927 -aS'and\tand\tCC\tO\tO' -p109928 -aS'taken\ttake\tVBN\tB-VP\tO' -p109929 -aS'to\tto\tTO\tB-PP\tO' -p109930 -aS'the\tthe\tDT\tB-NP\tO' -p109931 -aS'operating\toperating\tNN\tI-NP\tO' -p109932 -aS'room\troom\tNN\tI-NP\tO' -p109933 -aS'where\twhere\tWRB\tB-ADVP\tO' -p109934 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p109935 -aS'Blinjesc\tBlinjesc\tNNP\tI-NP\tO' -p109936 -aS',\t,\t,\tO\tO' -p109937 -aS'assisted\tassist\tVBN\tB-VP\tO' -p109938 -aS'by\tby\tIN\tB-PP\tO' -p109939 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p109940 -aS'Zockbeathe\tZockbeathe\tNNP\tI-NP\tO' -p109941 -aS',\t,\t,\tO\tO' -p109942 -aS'performed\tperform\tVBD\tB-VP\tO' -p109943 -aS'a\ta\tDT\tB-NP\tO' -p109944 -aS'diagnostic\tdiagnostic\tJJ\tI-NP\tO' -p109945 -aS'laparoscopy\tlaparoscopy\tNN\tI-NP\tO' -p109946 -aS'with\twith\tIN\tB-PP\tO' -p109947 -aS'peritoneal\tperitoneal\tJJ\tB-NP\tO' -p109948 -aS'washings\twashing\tNNS\tI-NP\tO' -p109949 -aS'.\t.\t.\tO\tO' -p109950 -asS'She was maintained on her levothyroxine .' -p109951 -(lp109952 -S'She\tShe\tPRP\tB-NP\tO' -p109953 -aS'was\tbe\tVBD\tB-VP\tO' -p109954 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p109955 -aS'on\ton\tIN\tB-PP\tO' -p109956 -aS'her\ther\tPRP$\tB-NP\tO' -p109957 -aS'levothyroxine\tlevothyroxine\tNN\tI-NP\tO' -p109958 -aS'.\t.\t.\tO\tO' -p109959 -asS'In September of 1992 , she underwent an exploratory laparotomy because of an increased level of CEA in her blood with the presence of a liver abnormality on computerized tomography scan .' -p109960 -(lp109961 -S'In\tIn\tIN\tB-PP\tO' -p109962 -aS'September\tSeptember\tNNP\tB-NP\tO' -p109963 -aS'of\tof\tIN\tB-PP\tO' -p109964 -aS'1992\t1992\tCD\tB-NP\tO' -p109965 -aS',\t,\t,\tO\tO' -p109966 -aS'she\tshe\tPRP\tB-NP\tO' -p109967 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p109968 -aS'an\tan\tDT\tB-NP\tO' -p109969 -aS'exploratory\texploratory\tJJ\tI-NP\tO' -p109970 -aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' -p109971 -aS'because\tbecause\tIN\tB-PP\tO' -p109972 -aS'of\tof\tIN\tI-PP\tO' -p109973 -aS'an\tan\tDT\tB-NP\tO' -p109974 -aS'increased\tincrease\tVBN\tI-NP\tO' -p109975 -aS'level\tlevel\tNN\tI-NP\tO' -p109976 -aS'of\tof\tIN\tB-PP\tO' -p109977 -aS'CEA\tCEA\tNN\tB-NP\tB-protein' -p109978 -aS'in\tin\tIN\tB-PP\tO' -p109979 -aS'her\ther\tPRP$\tB-NP\tO' -p109980 -aS'blood\tblood\tNN\tI-NP\tO' -p109981 -aS'with\twith\tIN\tB-PP\tO' -p109982 -aS'the\tthe\tDT\tB-NP\tO' -p109983 -aS'presence\tpresence\tNN\tI-NP\tO' -p109984 -aS'of\tof\tIN\tB-PP\tO' -p109985 -aS'a\ta\tDT\tB-NP\tO' -p109986 -aS'liver\tliver\tNN\tI-NP\tO' -p109987 -aS'abnormality\tabnormality\tNN\tI-NP\tO' -p109988 -aS'on\ton\tIN\tB-PP\tO' -p109989 -aS'computerized\tcomputerize\tVBN\tB-NP\tO' -p109990 -aS'tomography\ttomography\tNN\tI-NP\tO' -p109991 -aS'scan\tscan\tNN\tI-NP\tO' -p109992 -aS'.\t.\t.\tO\tO' -p109993 -asS'He will follow up with Dr. Javier as outpatient .' -p109994 -(lp109995 -S'He\tHe\tPRP\tB-NP\tO' -p109996 -aS'will\twill\tMD\tB-VP\tO' -p109997 -aS'follow\tfollow\tVB\tI-VP\tO' -p109998 -aS'up\tup\tRP\tB-PRT\tO' -p109999 -aS'with\twith\tIN\tB-PP\tO' -p110000 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p110001 -aS'Javier\tJavier\tNNP\tI-NP\tO' -p110002 -aS'as\tas\tIN\tB-PP\tO' -p110003 -aS'outpatient\toutpatient\tNN\tB-NP\tO' -p110004 -aS'.\t.\t.\tO\tO' -p110005 -asS'CTAB. nl s1s2 , reg , no m / r. no chest tenderness .' -p110006 -(lp110007 -S'CTAB.\tCTAB.\tNN\tB-NP\tB-protein' -p110008 -aS'nl\tnl\tNN\tI-NP\tI-protein' -p110009 -aS's1s2\ts1s2\tNN\tI-NP\tI-protein' -p110010 -aS',\t,\t,\tO\tO' -p110011 -aS'reg\treg\tNN\tB-NP\tO' -p110012 -aS',\t,\t,\tO\tO' -p110013 -aS'no\tno\tDT\tB-NP\tO' -p110014 -aS'm\tm\tNN\tI-NP\tO' -p110015 -aS'/\t/\tSYM\tB-NP\tO' -p110016 -aS'r.\tr.\tNN\tI-NP\tO' -p110017 -aS'no\tno\tDT\tB-NP\tO' -p110018 -aS'chest\tchest\tNN\tI-NP\tO' -p110019 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p110020 -aS'.\t.\t.\tO\tO' -p110021 -asS'Her IPs were full at 5/5 .' -p110022 -(lp110023 -S'Her\tHer\tPRP$\tB-NP\tO' -p110024 -aS'IPs\tIP\tNNS\tI-NP\tB-protein' -p110025 -aS'were\tbe\tVBD\tB-VP\tO' -p110026 -aS'full\tfull\tJJ\tB-ADJP\tO' -p110027 -aS'at\tat\tIN\tB-PP\tO' -p110028 -aS'5/5\t5/5\tCD\tB-NP\tO' -p110029 -aS'.\t.\t.\tO\tO' -p110030 -asS'5. Lansoprazole oral solution 30 mg per gastric tube q.d.' -p110031 -(lp110032 -S'5.\t5.\tLS\tB-NP\tO' -p110033 -aS'Lansoprazole\tLansoprazole\tNN\tI-NP\tO' -p110034 -aS'oral\toral\tJJ\tI-NP\tO' -p110035 -aS'solution\tsolution\tNN\tI-NP\tO' -p110036 -aS'30\t30\tCD\tI-NP\tO' -p110037 -aS'mg\tmg\tNN\tI-NP\tO' -p110038 -aS'per\tper\tIN\tB-PP\tO' -p110039 -aS'gastric\tgastric\tJJ\tB-NP\tO' -p110040 -aS'tube\ttube\tNN\tI-NP\tO' -p110041 -aS'q.d.\tq.d.\t.\tO\tO' -p110042 -asS'Ovarian mass .' -p110043 -(lp110044 -S'Ovarian\tOvarian\tJJ\tB-NP\tO' -p110045 -aS'mass\tmass\tNN\tI-NP\tO' -p110046 -aS'.\t.\t.\tO\tO' -p110047 -asS'She was transferred to the Sas General Hospital for further evaluation of some weakness in the setting of multiple medical problems .' -p110048 -(lp110049 -S'She\tShe\tPRP\tB-NP\tO' -p110050 -aS'was\tbe\tVBD\tB-VP\tO' -p110051 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p110052 -aS'to\tto\tTO\tB-PP\tO' -p110053 -aS'the\tthe\tDT\tB-NP\tO' -p110054 -aS'Sas\tSas\tNNP\tI-NP\tO' -p110055 -aS'General\tGeneral\tNNP\tI-NP\tO' -p110056 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p110057 -aS'for\tfor\tIN\tB-PP\tO' -p110058 -aS'further\tfurther\tJJ\tB-NP\tO' -p110059 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p110060 -aS'of\tof\tIN\tB-PP\tO' -p110061 -aS'some\tsome\tDT\tB-NP\tO' -p110062 -aS'weakness\tweakness\tNN\tI-NP\tO' -p110063 -aS'in\tin\tIN\tB-PP\tO' -p110064 -aS'the\tthe\tDT\tB-NP\tO' -p110065 -aS'setting\tsetting\tNN\tI-NP\tO' -p110066 -aS'of\tof\tIN\tB-PP\tO' -p110067 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p110068 -aS'medical\tmedical\tJJ\tI-NP\tO' -p110069 -aS'problems\tproblem\tNNS\tI-NP\tO' -p110070 -aS'.\t.\t.\tO\tO' -p110071 -asS'FH , HTN , tobacco .' -p110072 -(lp110073 -S'FH\tFH\tNN\tB-NP\tO' -p110074 -aS',\t,\t,\tO\tO' -p110075 -aS'HTN\tHTN\tNN\tB-NP\tB-protein' -p110076 -aS',\t,\t,\tO\tO' -p110077 -aS'tobacco\ttobacco\tNN\tB-NP\tO' -p110078 -aS'.\t.\t.\tO\tO' -p110079 -asS'Platelets were 9,000 , hemoglobin 9.5 , temperature was 100.4 .' -p110080 -(lp110081 -S'Platelets\tPlatelet\tNNS\tB-NP\tB-cell_type' -p110082 -aS'were\tbe\tVBD\tB-VP\tO' -p110083 -aS'9,000\t9,000\tCD\tB-NP\tO' -p110084 -aS',\t,\t,\tO\tO' -p110085 -aS'hemoglobin\themoglobin\tNN\tB-NP\tB-protein' -p110086 -aS'9.5\t9.5\tCD\tI-NP\tI-protein' -p110087 -aS',\t,\t,\tO\tO' -p110088 -aS'temperature\ttemperature\tNN\tB-NP\tO' -p110089 -aS'was\tbe\tVBD\tB-VP\tO' -p110090 -aS'100.4\t100.4\tCD\tB-NP\tO' -p110091 -aS'.\t.\t.\tO\tO' -p110092 -asS'Moist mucous membranes .' -p110093 -(lp110094 -S'Moist\tMoist\tJJ\tB-NP\tO' -p110095 -aS'mucous\tmucous\tJJ\tI-NP\tO' -p110096 -aS'membranes\tmembrane\tNNS\tI-NP\tO' -p110097 -aS'.\t.\t.\tO\tO' -p110098 -asS'She apparently did not have a cardiovascular component to her wheezing or shortness of breath ; however , she was to go home on Lasix 20 mg p.o. q.d. to help with lower extremity edema , as she experiences discomfort with this , and the team felt this may be a limiting factor with her prednisone compliance .' -p110099 -(lp110100 -S'She\tShe\tPRP\tB-NP\tO' -p110101 -aS'apparently\tapparently\tRB\tB-ADVP\tO' -p110102 -aS'did\tdo\tVBD\tB-VP\tO' -p110103 -aS'not\tnot\tRB\tI-VP\tO' -p110104 -aS'have\thave\tVB\tI-VP\tO' -p110105 -aS'a\ta\tDT\tB-NP\tO' -p110106 -aS'cardiovascular\tcardiovascular\tJJ\tI-NP\tO' -p110107 -aS'component\tcomponent\tNN\tI-NP\tO' -p110108 -aS'to\tto\tTO\tB-PP\tO' -p110109 -aS'her\ther\tPRP$\tB-NP\tO' -p110110 -aS'wheezing\twheezing\tNN\tI-NP\tO' -p110111 -aS'or\tor\tCC\tI-NP\tO' -p110112 -aS'shortness\tshortness\tNN\tI-NP\tO' -p110113 -aS'of\tof\tIN\tB-PP\tO' -p110114 -aS'breath\tbreath\tNN\tB-NP\tO' -p110115 -aS';\t;\t:\tO\tO' -p110116 -aS'however\thowever\tRB\tB-ADVP\tO' -p110117 -aS',\t,\t,\tO\tO' -p110118 -aS'she\tshe\tPRP\tB-NP\tO' -p110119 -aS'was\tbe\tVBD\tB-VP\tO' -p110120 -aS'to\tto\tTO\tB-VP\tO' -p110121 -aS'go\tgo\tVB\tI-VP\tO' -p110122 -aS'home\thome\tNN\tB-ADVP\tO' -p110123 -aS'on\ton\tIN\tB-PP\tO' -p110124 -aS'Lasix\tLasix\tNNP\tB-NP\tO' -p110125 -aS'20\t20\tCD\tI-NP\tO' -p110126 -aS'mg\tmg\tNN\tI-NP\tO' -p110127 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p110128 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p110129 -aS'to\tto\tTO\tB-VP\tO' -p110130 -aS'help\thelp\tVB\tI-VP\tO' -p110131 -aS'with\twith\tIN\tB-PP\tO' -p110132 -aS'lower\tlow\tJJR\tB-NP\tO' -p110133 -aS'extremity\textremity\tNN\tI-NP\tO' -p110134 -aS'edema\tedema\tNN\tI-NP\tO' -p110135 -aS',\t,\t,\tO\tO' -p110136 -aS'as\tas\tIN\tB-SBAR\tO' -p110137 -aS'she\tshe\tPRP\tB-NP\tO' -p110138 -aS'experiences\texperience\tVBZ\tB-VP\tO' -p110139 -aS'discomfort\tdiscomfort\tNN\tB-NP\tO' -p110140 -aS'with\twith\tIN\tB-PP\tO' -p110141 -aS'this\tthis\tDT\tB-NP\tO' -p110142 -aS',\t,\t,\tO\tO' -p110143 -aS'and\tand\tCC\tO\tO' -p110144 -aS'the\tthe\tDT\tB-NP\tO' -p110145 -aS'team\tteam\tNN\tI-NP\tO' -p110146 -aS'felt\tfeel\tVBD\tB-VP\tO' -p110147 -aS'this\tthis\tDT\tB-NP\tO' -p110148 -aS'may\tmay\tMD\tB-VP\tO' -p110149 -aS'be\tbe\tVB\tI-VP\tO' -p110150 -aS'a\ta\tDT\tB-NP\tO' -p110151 -aS'limiting\tlimit\tVBG\tI-NP\tB-protein' -p110152 -aS'factor\tfactor\tNN\tI-NP\tI-protein' -p110153 -aS'with\twith\tIN\tB-PP\tO' -p110154 -aS'her\ther\tPRP$\tB-NP\tO' -p110155 -aS'prednisone\tprednisone\tNN\tI-NP\tO' -p110156 -aS'compliance\tcompliance\tNN\tI-NP\tO' -p110157 -aS'.\t.\t.\tO\tO' -p110158 -asS'D and C showed grade II-III adenocarcinoma with squamous differentiation at Wellla Uxinny : mount Medical Center in Com St. , Tton , Arkansas 32167 .' -p110159 -(lp110160 -S'D\tD\tNN\tB-NP\tO' -p110161 -aS'and\tand\tCC\tI-NP\tO' -p110162 -aS'C\tC\tNN\tI-NP\tO' -p110163 -aS'showed\tshow\tVBD\tB-VP\tO' -p110164 -aS'grade\tgrade\tNN\tB-NP\tO' -p110165 -aS'II-III\tII-III\tJJ\tI-NP\tO' -p110166 -aS'adenocarcinoma\tadenocarcinoma\tNN\tI-NP\tO' -p110167 -aS'with\twith\tIN\tB-PP\tO' -p110168 -aS'squamous\tsquamous\tJJ\tB-NP\tO' -p110169 -aS'differentiation\tdifferentiation\tNN\tI-NP\tO' -p110170 -aS'at\tat\tIN\tB-PP\tO' -p110171 -aS'Wellla\tWellla\tNNP\tB-NP\tO' -p110172 -aS'Uxinny\tUxinny\tNNP\tI-NP\tO' -p110173 -aS':\t:\t:\tO\tO' -p110174 -aS'mount\tmount\tNNP\tB-NP\tO' -p110175 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p110176 -aS'Center\tCenter\tNNP\tI-NP\tO' -p110177 -aS'in\tin\tIN\tB-PP\tO' -p110178 -aS'Com\tCom\tNNP\tB-NP\tO' -p110179 -aS'St.\tSt.\tNNP\tI-NP\tO' -p110180 -aS',\t,\t,\tO\tO' -p110181 -aS'Tton\tTton\tNNP\tB-NP\tO' -p110182 -aS',\t,\t,\tO\tO' -p110183 -aS'Arkansas\tArkansas\tNNP\tB-NP\tO' -p110184 -aS'32167\t32167\tCD\tI-NP\tO' -p110185 -aS'.\t.\t.\tO\tO' -p110186 -asS'She was extubated on postoperative day number one and otherwise had an unremarkable postoperative course with the exception of her left upper extremity weakness .' -p110187 -(lp110188 -S'She\tShe\tPRP\tB-NP\tO' -p110189 -aS'was\tbe\tVBD\tB-VP\tO' -p110190 -aS'extubated\textubate\tVBN\tI-VP\tO' -p110191 -aS'on\ton\tIN\tB-PP\tO' -p110192 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p110193 -aS'day\tday\tNN\tI-NP\tO' -p110194 -aS'number\tnumber\tNN\tI-NP\tO' -p110195 -aS'one\tone\tCD\tB-NP\tO' -p110196 -aS'and\tand\tCC\tO\tO' -p110197 -aS'otherwise\totherwise\tRB\tB-VP\tO' -p110198 -aS'had\thave\tVBD\tI-VP\tO' -p110199 -aS'an\tan\tDT\tB-NP\tO' -p110200 -aS'unremarkable\tunremarkable\tJJ\tI-NP\tO' -p110201 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p110202 -aS'course\tcourse\tNN\tI-NP\tO' -p110203 -aS'with\twith\tIN\tB-PP\tO' -p110204 -aS'the\tthe\tDT\tB-NP\tO' -p110205 -aS'exception\texception\tNN\tI-NP\tO' -p110206 -aS'of\tof\tIN\tB-PP\tO' -p110207 -aS'her\ther\tPRP$\tB-NP\tO' -p110208 -aS'left\tleft\tJJ\tI-NP\tO' -p110209 -aS'upper\tupper\tJJ\tI-NP\tO' -p110210 -aS'extremity\textremity\tNN\tI-NP\tO' -p110211 -aS'weakness\tweakness\tNN\tI-NP\tO' -p110212 -aS'.\t.\t.\tO\tO' -p110213 -asS'The past six weeks , she has also been complaining of hot sensation and tingling sensation in the hands bilaterally .' -p110214 -(lp110215 -S'The\tThe\tDT\tB-NP\tO' -p110216 -aS'past\tpast\tJJ\tI-NP\tO' -p110217 -aS'six\tsix\tCD\tI-NP\tO' -p110218 -aS'weeks\tweek\tNNS\tI-NP\tO' -p110219 -aS',\t,\t,\tO\tO' -p110220 -aS'she\tshe\tPRP\tB-NP\tO' -p110221 -aS'has\thave\tVBZ\tB-VP\tO' -p110222 -aS'also\talso\tRB\tI-VP\tO' -p110223 -aS'been\tbe\tVBN\tI-VP\tO' -p110224 -aS'complaining\tcomplain\tVBG\tI-VP\tO' -p110225 -aS'of\tof\tIN\tB-PP\tO' -p110226 -aS'hot\thot\tJJ\tB-NP\tO' -p110227 -aS'sensation\tsensation\tNN\tI-NP\tO' -p110228 -aS'and\tand\tCC\tO\tO' -p110229 -aS'tingling\ttingle\tVBG\tB-VP\tO' -p110230 -aS'sensation\tsensation\tNN\tB-NP\tO' -p110231 -aS'in\tin\tIN\tB-PP\tO' -p110232 -aS'the\tthe\tDT\tB-NP\tO' -p110233 -aS'hands\thand\tNNS\tI-NP\tO' -p110234 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p110235 -aS'.\t.\t.\tO\tO' -p110236 -asS'The patient had positive blood and urine cultures on 01-05 for history of Methicillin resistant Staphylococcus aureus , which was pan sensitive .' -p110237 -(lp110238 -S'The\tThe\tDT\tB-NP\tO' -p110239 -aS'patient\tpatient\tNN\tI-NP\tO' -p110240 -aS'had\thave\tVBD\tB-VP\tO' -p110241 -aS'positive\tpositive\tJJ\tB-NP\tO' -p110242 -aS'blood\tblood\tNN\tI-NP\tO' -p110243 -aS'and\tand\tCC\tI-NP\tO' -p110244 -aS'urine\turine\tNN\tI-NP\tO' -p110245 -aS'cultures\tculture\tNNS\tI-NP\tO' -p110246 -aS'on\ton\tIN\tB-PP\tO' -p110247 -aS'01-05\t01-05\tCD\tB-NP\tO' -p110248 -aS'for\tfor\tIN\tB-PP\tO' -p110249 -aS'history\thistory\tNN\tB-NP\tO' -p110250 -aS'of\tof\tIN\tB-PP\tO' -p110251 -aS'Methicillin\tMethicillin\tNN\tB-NP\tO' -p110252 -aS'resistant\tresistant\tJJ\tI-NP\tO' -p110253 -aS'Staphylococcus\tStaphylococcus\tNNP\tI-NP\tO' -p110254 -aS'aureus\taureus\tNN\tI-NP\tO' -p110255 -aS',\t,\t,\tO\tO' -p110256 -aS'which\twhich\tWDT\tB-NP\tO' -p110257 -aS'was\tbe\tVBD\tB-VP\tO' -p110258 -aS'pan\tpan\tNN\tB-NP\tO' -p110259 -aS'sensitive\tsensitive\tJJ\tB-ADJP\tO' -p110260 -aS'.\t.\t.\tO\tO' -p110261 -asS'Hematocrit was 32.5 .' -p110262 -(lp110263 -S'Hematocrit\tHematocrit\tNN\tB-NP\tB-protein' -p110264 -aS'was\tbe\tVBD\tB-VP\tI-protein' -p110265 -aS'32.5\t32.5\tCD\tB-NP\tI-protein' -p110266 -aS'.\t.\t.\tO\tO' -p110267 -asS'Methicillin resistant Staphylococcus aureus pneumonia .' -p110268 -(lp110269 -S'Methicillin\tMethicillin\tNN\tB-NP\tO' -p110270 -aS'resistant\tresistant\tJJ\tI-NP\tO' -p110271 -aS'Staphylococcus\tStaphylococcus\tFW\tI-NP\tO' -p110272 -aS'aureus\taureus\tFW\tI-NP\tO' -p110273 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p110274 -aS'.\t.\t.\tO\tO' -p110275 -asS'HIV test was found to be negative .' -p110276 -(lp110277 -S'HIV\tHIV\tNN\tB-NP\tO' -p110278 -aS'test\ttest\tNN\tI-NP\tO' -p110279 -aS'was\tbe\tVBD\tB-VP\tO' -p110280 -aS'found\tfind\tVBN\tI-VP\tO' -p110281 -aS'to\tto\tTO\tI-VP\tO' -p110282 -aS'be\tbe\tVB\tI-VP\tO' -p110283 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p110284 -aS'.\t.\t.\tO\tO' -p110285 -asS'The patient , several days later 11/23 , underwent another dobutamine stress test .' -p110286 -(lp110287 -S'The\tThe\tDT\tB-NP\tO' -p110288 -aS'patient\tpatient\tNN\tI-NP\tO' -p110289 -aS',\t,\t,\tO\tO' -p110290 -aS'several\tseveral\tJJ\tB-NP\tO' -p110291 -aS'days\tday\tNNS\tI-NP\tO' -p110292 -aS'later\tlater\tRB\tB-ADVP\tO' -p110293 -aS'11/23\t11/23\tCD\tB-NP\tO' -p110294 -aS',\t,\t,\tO\tO' -p110295 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p110296 -aS'another\tanother\tDT\tB-NP\tO' -p110297 -aS'dobutamine\tdobutamine\tNN\tI-NP\tO' -p110298 -aS'stress\tstress\tNN\tI-NP\tO' -p110299 -aS'test\ttest\tNN\tI-NP\tO' -p110300 -aS'.\t.\t.\tO\tO' -p110301 -asS'NECK : no masses , supple' -p110302 -(lp110303 -S'NECK\tNECK\tNN\tB-NP\tO' -p110304 -aS':\t:\t:\tO\tO' -p110305 -aS'no\tno\tDT\tB-NP\tO' -p110306 -aS'masses\tmass\tNNS\tI-NP\tO' -p110307 -aS',\t,\t,\tO\tO' -p110308 -aS'supple\tsupple\tNN\tB-NP\tO' -p110309 -asS'The patient lives alone in Leschle Drive , Sonpo , and does not report a smoking or alcohol history .' -p110310 -(lp110311 -S'The\tThe\tDT\tB-NP\tO' -p110312 -aS'patient\tpatient\tNN\tI-NP\tO' -p110313 -aS'lives\tlive\tVBZ\tB-VP\tO' -p110314 -aS'alone\talone\tRB\tB-ADVP\tO' -p110315 -aS'in\tin\tIN\tB-PP\tO' -p110316 -aS'Leschle\tLeschle\tNNP\tB-NP\tO' -p110317 -aS'Drive\tDrive\tNNP\tI-NP\tO' -p110318 -aS',\t,\t,\tO\tO' -p110319 -aS'Sonpo\tSonpo\tNNP\tB-NP\tO' -p110320 -aS',\t,\t,\tO\tO' -p110321 -aS'and\tand\tCC\tO\tO' -p110322 -aS'does\tdo\tVBZ\tB-VP\tO' -p110323 -aS'not\tnot\tRB\tI-VP\tO' -p110324 -aS'report\treport\tVB\tI-VP\tO' -p110325 -aS'a\ta\tDT\tB-NP\tO' -p110326 -aS'smoking\tsmoking\tNN\tI-NP\tO' -p110327 -aS'or\tor\tCC\tI-NP\tO' -p110328 -aS'alcohol\talcohol\tNN\tI-NP\tO' -p110329 -aS'history\thistory\tNN\tI-NP\tO' -p110330 -aS'.\t.\t.\tO\tO' -p110331 -asS'He remained neurovascularly intact .' -p110332 -(lp110333 -S'He\tHe\tPRP\tB-NP\tO' -p110334 -aS'remained\tremain\tVBD\tB-VP\tO' -p110335 -aS'neurovascularly\tneurovascularly\tRB\tB-ADJP\tO' -p110336 -aS'intact\tintact\tJJ\tI-ADJP\tO' -p110337 -aS'.\t.\t.\tO\tO' -p110338 -asS'Overall left ventricular systolic function is normal ( LVEF 70% ).' -p110339 -(lp110340 -S'Overall\tOverall\tRB\tB-ADVP\tO' -p110341 -aS'left\tleave\tVBD\tB-VP\tO' -p110342 -aS'ventricular\tventricular\tJJ\tB-NP\tO' -p110343 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p110344 -aS'function\tfunction\tNN\tI-NP\tO' -p110345 -aS'is\tbe\tVBZ\tB-VP\tO' -p110346 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p110347 -aS'(\t(\t(\tO\tO' -p110348 -aS'LVEF\tLVEF\tNN\tB-NP\tB-protein' -p110349 -aS'70%\t70%\tCD\tI-NP\tI-protein' -p110350 -aS').\t).\t.\tO\tO' -p110351 -asS'She received a full three week course of Vancomycin and also received a three week course of Ceftazidime .' -p110352 -(lp110353 -S'She\tShe\tPRP\tB-NP\tO' -p110354 -aS'received\treceive\tVBD\tB-VP\tO' -p110355 -aS'a\ta\tDT\tB-NP\tO' -p110356 -aS'full\tfull\tJJ\tI-NP\tO' -p110357 -aS'three\tthree\tCD\tI-NP\tO' -p110358 -aS'week\tweek\tNN\tI-NP\tO' -p110359 -aS'course\tcourse\tNN\tI-NP\tO' -p110360 -aS'of\tof\tIN\tB-PP\tO' -p110361 -aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' -p110362 -aS'and\tand\tCC\tO\tO' -p110363 -aS'also\talso\tRB\tB-VP\tO' -p110364 -aS'received\treceive\tVBD\tI-VP\tO' -p110365 -aS'a\ta\tDT\tB-NP\tO' -p110366 -aS'three\tthree\tCD\tI-NP\tO' -p110367 -aS'week\tweek\tNN\tI-NP\tO' -p110368 -aS'course\tcourse\tNN\tI-NP\tO' -p110369 -aS'of\tof\tIN\tB-PP\tO' -p110370 -aS'Ceftazidime\tCeftazidime\tNN\tB-NP\tO' -p110371 -aS'.\t.\t.\tO\tO' -p110372 -asS'Namely , he was unresponsive .' -p110373 -(lp110374 -S'Namely\tNamely\tRB\tB-ADVP\tO' -p110375 -aS',\t,\t,\tO\tO' -p110376 -aS'he\the\tPRP\tB-NP\tO' -p110377 -aS'was\tbe\tVBD\tB-VP\tO' -p110378 -aS'unresponsive\tunresponsive\tJJ\tB-ADJP\tO' -p110379 -aS'.\t.\t.\tO\tO' -p110380 -asS'5. Central line culture positive for coagulase - negative Staphylococcus aureus , status post a 14 day treatment with vancomycin and removal of the line .' -p110381 -(lp110382 -S'5.\t5.\tLS\tB-NP\tO' -p110383 -aS'Central\tCentral\tJJ\tI-NP\tO' -p110384 -aS'line\tline\tNN\tI-NP\tO' -p110385 -aS'culture\tculture\tNN\tI-NP\tO' -p110386 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p110387 -aS'for\tfor\tIN\tB-PP\tO' -p110388 -aS'coagulase\tcoagulase\tNN\tB-NP\tB-protein' -p110389 -aS'-\t-\tHYPH\tI-NP\tO' -p110390 -aS'negative\tnegative\tJJ\tI-NP\tO' -p110391 -aS'Staphylococcus\tStaphylococcus\tNNP\tI-NP\tO' -p110392 -aS'aureus\taureus\tNN\tI-NP\tO' -p110393 -aS',\t,\t,\tO\tO' -p110394 -aS'status\tstatus\tNN\tB-NP\tO' -p110395 -aS'post\tpost\tVBD\tB-VP\tO' -p110396 -aS'a\ta\tDT\tB-NP\tO' -p110397 -aS'14\t14\tCD\tI-NP\tO' -p110398 -aS'day\tday\tNN\tI-NP\tO' -p110399 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p110400 -aS'with\twith\tIN\tB-PP\tO' -p110401 -aS'vancomycin\tvancomycin\tNN\tB-NP\tO' -p110402 -aS'and\tand\tCC\tI-NP\tO' -p110403 -aS'removal\tremoval\tNN\tI-NP\tO' -p110404 -aS'of\tof\tIN\tB-PP\tO' -p110405 -aS'the\tthe\tDT\tB-NP\tO' -p110406 -aS'line\tline\tNN\tI-NP\tO' -p110407 -aS'.\t.\t.\tO\tO' -p110408 -asS'The electrocardiogram revealed poor R wave progression and marked decrease in all volts .' -p110409 -(lp110410 -S'The\tThe\tDT\tB-NP\tO' -p110411 -aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' -p110412 -aS'revealed\treveal\tVBD\tB-VP\tO' -p110413 -aS'poor\tpoor\tJJ\tB-NP\tO' -p110414 -aS'R\tR\tNN\tI-NP\tO' -p110415 -aS'wave\twave\tNN\tI-NP\tO' -p110416 -aS'progression\tprogression\tNN\tI-NP\tO' -p110417 -aS'and\tand\tCC\tO\tO' -p110418 -aS'marked\tmarked\tJJ\tB-NP\tO' -p110419 -aS'decrease\tdecrease\tNN\tI-NP\tO' -p110420 -aS'in\tin\tIN\tB-PP\tO' -p110421 -aS'all\tall\tDT\tB-NP\tO' -p110422 -aS'volts\tvolt\tNNS\tI-NP\tO' -p110423 -aS'.\t.\t.\tO\tO' -p110424 -asS'13. Simvastatin 40 mg Tablet Sig : One ( 1 ) Tablet PO QHS ( once a day ( at bedtime ) ) .' -p110425 -(lp110426 -S'13.\t13.\tCD\tB-NP\tO' -p110427 -aS'Simvastatin\tSimvastatin\tNN\tI-NP\tO' -p110428 -aS'40\t40\tCD\tB-NP\tO' -p110429 -aS'mg\tmg\tNN\tI-NP\tO' -p110430 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p110431 -aS'Sig\tSig\tNNP\tI-NP\tO' -p110432 -aS':\t:\t:\tO\tO' -p110433 -aS'One\tOne\tCD\tB-NP\tO' -p110434 -aS'(\t(\t(\tO\tO' -p110435 -aS'1\t1\tCD\tB-NP\tO' -p110436 -aS')\t)\t)\tO\tO' -p110437 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p110438 -aS'PO\tPO\tNN\tI-NP\tO' -p110439 -aS'QHS\tQHS\tNN\tI-NP\tO' -p110440 -aS'(\t(\t(\tO\tO' -p110441 -aS'once\tonce\tRB\tB-ADVP\tO' -p110442 -aS'a\ta\tDT\tB-NP\tO' -p110443 -aS'day\tday\tNN\tI-NP\tO' -p110444 -aS'(\t(\t(\tO\tO' -p110445 -aS'at\tat\tIN\tB-PP\tO' -p110446 -aS'bedtime\tbedtime\tNN\tB-NP\tO' -p110447 -aS')\t)\t)\tO\tO' -p110448 -aS')\t)\t)\tO\tO' -p110449 -aS'.\t.\t.\tO\tO' -p110450 -asS'Calcium 11.8 .' -p110451 -(lp110452 -S'Calcium\tCalcium\tNN\tB-NP\tB-protein' -p110453 -aS'11.8\t11.8\tCD\tI-NP\tI-protein' -p110454 -aS'.\t.\t.\tO\tO' -p110455 -asS'GRAM POSITIVE COCCI .' -p110456 -(lp110457 -S'GRAM\tGRAM\tNN\tB-NP\tO' -p110458 -aS'POSITIVE\tPOSITIVE\tNN\tI-NP\tO' -p110459 -aS'COCCI\tCOCCI\tNN\tI-NP\tO' -p110460 -aS'.\t.\t.\tO\tO' -p110461 -asS'Normal male .' -p110462 -(lp110463 -S'Normal\tNormal\tJJ\tB-NP\tO' -p110464 -aS'male\tmale\tNN\tI-NP\tO' -p110465 -aS'.\t.\t.\tO\tO' -p110466 -asS'The patient reports a history of bloating and flatulence as well as increased fatigue .' -p110467 -(lp110468 -S'The\tThe\tDT\tB-NP\tO' -p110469 -aS'patient\tpatient\tNN\tI-NP\tO' -p110470 -aS'reports\treport\tVBZ\tB-VP\tO' -p110471 -aS'a\ta\tDT\tB-NP\tO' -p110472 -aS'history\thistory\tNN\tI-NP\tO' -p110473 -aS'of\tof\tIN\tB-PP\tO' -p110474 -aS'bloating\tbloat\tVBG\tB-NP\tO' -p110475 -aS'and\tand\tCC\tI-NP\tO' -p110476 -aS'flatulence\tflatulence\tNN\tI-NP\tO' -p110477 -aS'as\tas\tRB\tB-CONJP\tO' -p110478 -aS'well\twell\tRB\tI-CONJP\tO' -p110479 -aS'as\tas\tIN\tI-CONJP\tO' -p110480 -aS'increased\tincrease\tVBN\tB-NP\tO' -p110481 -aS'fatigue\tfatigue\tNN\tI-NP\tO' -p110482 -aS'.\t.\t.\tO\tO' -p110483 -asS'WORK DISABILITY AND PROBABLE DURATION , COMPLETE .' -p110484 -(lp110485 -S'WORK\tWORK\tNNP\tB-NP\tO' -p110486 -aS'DISABILITY\tDISABILITY\tNNP\tI-NP\tO' -p110487 -aS'AND\tAND\tCC\tO\tO' -p110488 -aS'PROBABLE\tPROBABLE\tNNP\tB-NP\tO' -p110489 -aS'DURATION\tDURATION\tNNP\tI-NP\tO' -p110490 -aS',\t,\t,\tO\tO' -p110491 -aS'COMPLETE\tCOMPLETE\tNNP\tB-NP\tO' -p110492 -aS'.\t.\t.\tO\tO' -p110493 -asS'He has not had a BM in 3 days now .' -p110494 -(lp110495 -S'He\tHe\tPRP\tB-NP\tO' -p110496 -aS'has\thave\tVBZ\tB-VP\tO' -p110497 -aS'not\tnot\tRB\tI-VP\tO' -p110498 -aS'had\thave\tVBN\tI-VP\tO' -p110499 -aS'a\ta\tDT\tB-NP\tO' -p110500 -aS'BM\tBM\tNN\tI-NP\tO' -p110501 -aS'in\tin\tIN\tB-PP\tO' -p110502 -aS'3\t3\tCD\tB-NP\tO' -p110503 -aS'days\tday\tNNS\tI-NP\tO' -p110504 -aS'now\tnow\tRB\tB-ADVP\tO' -p110505 -aS'.\t.\t.\tO\tO' -p110506 -asS'At most , her oxygen requirement was 4-5 liters and on the day prior to discharge , she was satting well on two liters of nasal cannula .' -p110507 -(lp110508 -S'At\tAt\tIN\tB-ADVP\tO' -p110509 -aS'most\tmost\tJJS\tI-ADVP\tO' -p110510 -aS',\t,\t,\tO\tO' -p110511 -aS'her\ther\tPRP$\tB-NP\tO' -p110512 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p110513 -aS'requirement\trequirement\tNN\tI-NP\tO' -p110514 -aS'was\tbe\tVBD\tB-VP\tO' -p110515 -aS'4-5\t4-5\tCD\tB-NP\tO' -p110516 -aS'liters\tliter\tNNS\tI-NP\tO' -p110517 -aS'and\tand\tCC\tB-PP\tO' -p110518 -aS'on\ton\tIN\tB-PP\tO' -p110519 -aS'the\tthe\tDT\tB-NP\tO' -p110520 -aS'day\tday\tNN\tI-NP\tO' -p110521 -aS'prior\tprior\tRB\tB-ADVP\tO' -p110522 -aS'to\tto\tTO\tB-VP\tO' -p110523 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p110524 -aS',\t,\t,\tO\tO' -p110525 -aS'she\tshe\tPRP\tB-NP\tO' -p110526 -aS'was\tbe\tVBD\tB-VP\tO' -p110527 -aS'satting\tsatte\tVBG\tI-VP\tO' -p110528 -aS'well\twell\tRB\tB-ADVP\tO' -p110529 -aS'on\ton\tIN\tB-PP\tO' -p110530 -aS'two\ttwo\tCD\tB-NP\tO' -p110531 -aS'liters\tliter\tNNS\tI-NP\tO' -p110532 -aS'of\tof\tIN\tB-PP\tO' -p110533 -aS'nasal\tnasal\tJJ\tB-NP\tO' -p110534 -aS'cannula\tcannula\tNN\tI-NP\tO' -p110535 -aS'.\t.\t.\tO\tO' -p110536 -asS'She ruled out for myocardial infarction with 3 negative enzymes .' -p110537 -(lp110538 -S'She\tShe\tPRP\tB-NP\tO' -p110539 -aS'ruled\trule\tVBD\tB-VP\tO' -p110540 -aS'out\tout\tRP\tB-PRT\tO' -p110541 -aS'for\tfor\tIN\tB-PP\tO' -p110542 -aS'myocardial\tmyocardial\tJJ\tB-NP\tO' -p110543 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p110544 -aS'with\twith\tIN\tB-PP\tO' -p110545 -aS'3\t3\tCD\tB-NP\tO' -p110546 -aS'negative\tnegative\tJJ\tI-NP\tO' -p110547 -aS'enzymes\tenzyme\tNNS\tI-NP\tO' -p110548 -aS'.\t.\t.\tO\tO' -p110549 -asS'10. Magnesium sulfate 2 gm in 100 ml of D5W IV as needed for repletion p.r.n.' -p110550 -(lp110551 -S'10.\t10.\tLS\tB-NP\tO' -p110552 -aS'Magnesium\tMagnesium\tNNP\tI-NP\tO' -p110553 -aS'sulfate\tsulfate\tNN\tI-NP\tO' -p110554 -aS'2\t2\tCD\tI-NP\tO' -p110555 -aS'gm\tgm\tNN\tI-NP\tO' -p110556 -aS'in\tin\tIN\tB-PP\tO' -p110557 -aS'100\t100\tCD\tB-NP\tO' -p110558 -aS'ml\tml\tNN\tI-NP\tO' -p110559 -aS'of\tof\tIN\tB-PP\tO' -p110560 -aS'D5W\tD5W\tNN\tB-NP\tB-protein' -p110561 -aS'IV\tIV\tCD\tI-NP\tI-protein' -p110562 -aS'as\tas\tIN\tB-SBAR\tO' -p110563 -aS'needed\tneed\tVBN\tB-VP\tO' -p110564 -aS'for\tfor\tIN\tB-PP\tO' -p110565 -aS'repletion\trepletion\tNN\tB-NP\tO' -p110566 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p110567 -asS'Dictated By : John KT Bolling , M.D.' -p110568 -(lp110569 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p110570 -aS'By\tBy\tIN\tB-PP\tO' -p110571 -aS':\t:\t:\tO\tO' -p110572 -aS'John\tJohn\tNNP\tB-NP\tO' -p110573 -aS'KT\tKT\tNNP\tI-NP\tO' -p110574 -aS'Bolling\tBolling\tNNP\tI-NP\tO' -p110575 -aS',\t,\t,\tO\tO' -p110576 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p110577 -asS'Cyclosporin levels were followed and his sugars were followed with a sliding scale .' -p110578 -(lp110579 -S'Cyclosporin\tCyclosporin\tNN\tB-NP\tO' -p110580 -aS'levels\tlevel\tNNS\tI-NP\tO' -p110581 -aS'were\tbe\tVBD\tB-VP\tO' -p110582 -aS'followed\tfollow\tVBN\tI-VP\tO' -p110583 -aS'and\tand\tCC\tO\tO' -p110584 -aS'his\this\tPRP$\tB-NP\tO' -p110585 -aS'sugars\tsugar\tNNS\tI-NP\tO' -p110586 -aS'were\tbe\tVBD\tB-VP\tO' -p110587 -aS'followed\tfollow\tVBN\tI-VP\tO' -p110588 -aS'with\twith\tIN\tB-PP\tO' -p110589 -aS'a\ta\tDT\tB-NP\tO' -p110590 -aS'sliding\tslide\tVBG\tI-NP\tO' -p110591 -aS'scale\tscale\tNN\tI-NP\tO' -p110592 -aS'.\t.\t.\tO\tO' -p110593 -asS'AST 29 , ALK 151 , total bilirubin 0.2 , total protein 7.2 , albumin 4.3 , globulins 2.9 , calcium 8.9 .' -p110594 -(lp110595 -S'AST\tAST\tNN\tB-NP\tO' -p110596 -aS'29\t29\tCD\tI-NP\tO' -p110597 -aS',\t,\t,\tO\tO' -p110598 -aS'ALK\tALK\tNN\tB-NP\tB-protein' -p110599 -aS'151\t151\tCD\tI-NP\tI-protein' -p110600 -aS',\t,\t,\tO\tO' -p110601 -aS'total\ttotal\tJJ\tB-NP\tO' -p110602 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p110603 -aS'0.2\t0.2\tCD\tI-NP\tO' -p110604 -aS',\t,\t,\tO\tO' -p110605 -aS'total\ttotal\tJJ\tB-NP\tO' -p110606 -aS'protein\tprotein\tNN\tI-NP\tO' -p110607 -aS'7.2\t7.2\tCD\tI-NP\tO' -p110608 -aS',\t,\t,\tO\tO' -p110609 -aS'albumin\talbumin\tNN\tB-NP\tB-protein' -p110610 -aS'4.3\t4.3\tCD\tI-NP\tI-protein' -p110611 -aS',\t,\t,\tO\tO' -p110612 -aS'globulins\tglobulin\tNNS\tB-NP\tO' -p110613 -aS'2.9\t2.9\tCD\tB-NP\tO' -p110614 -aS',\t,\t,\tO\tO' -p110615 -aS'calcium\tcalcium\tNN\tB-NP\tO' -p110616 -aS'8.9\t8.9\tCD\tI-NP\tO' -p110617 -aS'.\t.\t.\tO\tO' -p110618 -asS'Medications on admission were only aspirin p.r.n. and Timoptic solution 0.5% to the left eye twice a day .' -p110619 -(lp110620 -S'Medications\tMedication\tNNS\tB-NP\tO' -p110621 -aS'on\ton\tIN\tB-PP\tO' -p110622 -aS'admission\tadmission\tNN\tB-NP\tO' -p110623 -aS'were\tbe\tVBD\tB-VP\tO' -p110624 -aS'only\tonly\tRB\tB-NP\tO' -p110625 -aS'aspirin\taspirin\tNN\tI-NP\tO' -p110626 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p110627 -aS'and\tand\tCC\tO\tO' -p110628 -aS'Timoptic\tTimoptic\tJJ\tB-NP\tB-protein' -p110629 -aS'solution\tsolution\tNN\tI-NP\tI-protein' -p110630 -aS'0.5%\t0.5%\tCD\tI-NP\tI-protein' -p110631 -aS'to\tto\tTO\tB-PP\tO' -p110632 -aS'the\tthe\tDT\tB-NP\tO' -p110633 -aS'left\tleft\tJJ\tI-NP\tO' -p110634 -aS'eye\teye\tNN\tI-NP\tO' -p110635 -aS'twice\ttwice\tRB\tB-NP\tO' -p110636 -aS'a\ta\tDT\tI-NP\tO' -p110637 -aS'day\tday\tNN\tI-NP\tO' -p110638 -aS'.\t.\t.\tO\tO' -p110639 -asS'He was transferred to the floor on 2009-05-04 .' -p110640 -(lp110641 -S'He\tHe\tPRP\tB-NP\tO' -p110642 -aS'was\tbe\tVBD\tB-VP\tO' -p110643 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p110644 -aS'to\tto\tTO\tB-PP\tO' -p110645 -aS'the\tthe\tDT\tB-NP\tO' -p110646 -aS'floor\tfloor\tNN\tI-NP\tO' -p110647 -aS'on\ton\tIN\tB-PP\tO' -p110648 -aS'2009-05-04\t2009-05-04\tCD\tB-NP\tO' -p110649 -aS'.\t.\t.\tO\tO' -p110650 -asS'This did not normalize with administration of Isordil and the patient denied chest pain at this time .' -p110651 -(lp110652 -S'This\tThis\tDT\tB-NP\tO' -p110653 -aS'did\tdo\tVBD\tB-VP\tO' -p110654 -aS'not\tnot\tRB\tI-VP\tO' -p110655 -aS'normalize\tnormalize\tVB\tI-VP\tO' -p110656 -aS'with\twith\tIN\tB-PP\tO' -p110657 -aS'administration\tadministration\tNN\tB-NP\tO' -p110658 -aS'of\tof\tIN\tB-PP\tO' -p110659 -aS'Isordil\tIsordil\tNN\tB-NP\tO' -p110660 -aS'and\tand\tCC\tO\tO' -p110661 -aS'the\tthe\tDT\tB-NP\tO' -p110662 -aS'patient\tpatient\tNN\tI-NP\tO' -p110663 -aS'denied\tdeny\tVBD\tB-VP\tO' -p110664 -aS'chest\tchest\tNN\tB-NP\tO' -p110665 -aS'pain\tpain\tNN\tI-NP\tO' -p110666 -aS'at\tat\tIN\tB-PP\tO' -p110667 -aS'this\tthis\tDT\tB-NP\tO' -p110668 -aS'time\ttime\tNN\tI-NP\tO' -p110669 -aS'.\t.\t.\tO\tO' -p110670 -asS'# DVT - patient therapeutic on heparin .' -p110671 -(lp110672 -S'#\t#\t#\tB-NP\tO' -p110673 -aS'DVT\tDVT\tNN\tI-NP\tO' -p110674 -aS'-\t-\tHYPH\tB-NP\tO' -p110675 -aS'patient\tpatient\tNN\tI-NP\tO' -p110676 -aS'therapeutic\ttherapeutic\tJJ\tB-ADJP\tO' -p110677 -aS'on\ton\tIN\tB-PP\tO' -p110678 -aS'heparin\theparin\tNN\tB-NP\tO' -p110679 -aS'.\t.\t.\tO\tO' -p110680 -asS'ID consult was obtained and he was initially treated with azithromycin , itraconazole , and pentamidine , with progression of skin infection .' -p110681 -(lp110682 -S'ID\tID\tNN\tB-NP\tO' -p110683 -aS'consult\tconsult\tNN\tI-NP\tO' -p110684 -aS'was\tbe\tVBD\tB-VP\tO' -p110685 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p110686 -aS'and\tand\tCC\tO\tO' -p110687 -aS'he\the\tPRP\tB-NP\tO' -p110688 -aS'was\tbe\tVBD\tB-VP\tO' -p110689 -aS'initially\tinitially\tRB\tI-VP\tO' -p110690 -aS'treated\ttreat\tVBN\tI-VP\tO' -p110691 -aS'with\twith\tIN\tB-PP\tO' -p110692 -aS'azithromycin\tazithromycin\tNN\tB-NP\tO' -p110693 -aS',\t,\t,\tO\tO' -p110694 -aS'itraconazole\titraconazole\tNN\tB-NP\tO' -p110695 -aS',\t,\t,\tO\tO' -p110696 -aS'and\tand\tCC\tO\tO' -p110697 -aS'pentamidine\tpentamidine\tNN\tB-NP\tO' -p110698 -aS',\t,\t,\tO\tO' -p110699 -aS'with\twith\tIN\tB-PP\tO' -p110700 -aS'progression\tprogression\tNN\tB-NP\tO' -p110701 -aS'of\tof\tIN\tB-PP\tO' -p110702 -aS'skin\tskin\tNN\tB-NP\tO' -p110703 -aS'infection\tinfection\tNN\tI-NP\tO' -p110704 -aS'.\t.\t.\tO\tO' -p110705 -asS'She has on her right ankle anteriorly a four centimeter ulcer with necrotic base .' -p110706 -(lp110707 -S'She\tShe\tPRP\tB-NP\tO' -p110708 -aS'has\thave\tVBZ\tB-VP\tO' -p110709 -aS'on\ton\tIN\tB-PP\tO' -p110710 -aS'her\ther\tPRP$\tB-NP\tO' -p110711 -aS'right\tright\tJJ\tI-NP\tO' -p110712 -aS'ankle\tankle\tNN\tI-NP\tO' -p110713 -aS'anteriorly\tanteriorly\tRB\tB-ADVP\tO' -p110714 -aS'a\ta\tDT\tB-NP\tO' -p110715 -aS'four\tfour\tCD\tI-NP\tO' -p110716 -aS'centimeter\tcentimeter\tNN\tI-NP\tO' -p110717 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p110718 -aS'with\twith\tIN\tB-PP\tO' -p110719 -aS'necrotic\tnecrotic\tJJ\tB-NP\tO' -p110720 -aS'base\tbase\tNN\tI-NP\tO' -p110721 -aS'.\t.\t.\tO\tO' -p110722 -asS'Dr. Besti Kotebreun , Neurology Service Dr. Margmimaui Gelineau , Ochtuheihugh Put University Medical Center' -p110723 -(lp110724 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p110725 -aS'Besti\tBesti\tNNP\tI-NP\tO' -p110726 -aS'Kotebreun\tKotebreun\tNNP\tI-NP\tO' -p110727 -aS',\t,\t,\tO\tO' -p110728 -aS'Neurology\tNeurology\tNNP\tB-NP\tO' -p110729 -aS'Service\tService\tNNP\tI-NP\tO' -p110730 -aS'Dr.\tDr.\tNNP\tI-NP\tO' -p110731 -aS'Margmimaui\tMargmimaui\tNNP\tI-NP\tO' -p110732 -aS'Gelineau\tGelineau\tNNP\tI-NP\tO' -p110733 -aS',\t,\t,\tO\tO' -p110734 -aS'Ochtuheihugh\tOchtuheihugh\tNNP\tB-NP\tO' -p110735 -aS'Put\tPut\tNNP\tI-NP\tO' -p110736 -aS'University\tUniversity\tNNP\tI-NP\tO' -p110737 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p110738 -aS'Center\tCenter\tNNP\tI-NP\tO' -p110739 -asS'The patient is a 1,770 gram male infant born by stat cesarean section for fetal bradycardia at 30-6/7 weeks gestation to a 29-year-old gravida 3 , para 0 now 1 mother .' -p110740 -(lp110741 -S'The\tThe\tDT\tB-NP\tO' -p110742 -aS'patient\tpatient\tNN\tI-NP\tO' -p110743 -aS'is\tbe\tVBZ\tB-VP\tO' -p110744 -aS'a\ta\tDT\tB-NP\tO' -p110745 -aS'1,770\t1,770\tCD\tI-NP\tO' -p110746 -aS'gram\tgram\tNN\tI-NP\tO' -p110747 -aS'male\tmale\tJJ\tI-NP\tO' -p110748 -aS'infant\tinfant\tNN\tI-NP\tO' -p110749 -aS'born\tbear\tVBN\tB-VP\tO' -p110750 -aS'by\tby\tIN\tB-PP\tO' -p110751 -aS'stat\tstat\tNN\tB-NP\tO' -p110752 -aS'cesarean\tcesarean\tJJ\tI-NP\tO' -p110753 -aS'section\tsection\tNN\tI-NP\tO' -p110754 -aS'for\tfor\tIN\tB-PP\tO' -p110755 -aS'fetal\tfetal\tJJ\tB-NP\tO' -p110756 -aS'bradycardia\tbradycardia\tNN\tI-NP\tO' -p110757 -aS'at\tat\tIN\tB-PP\tO' -p110758 -aS'30-6/7\t30-6/7\tCD\tB-NP\tO' -p110759 -aS'weeks\tweek\tNNS\tI-NP\tO' -p110760 -aS'gestation\tgestation\tNN\tI-NP\tO' -p110761 -aS'to\tto\tTO\tB-PP\tO' -p110762 -aS'a\ta\tDT\tB-NP\tO' -p110763 -aS'29-year-old\t29-year-old\tJJ\tI-NP\tO' -p110764 -aS'gravida\tgravida\tNN\tI-NP\tO' -p110765 -aS'3\t3\tCD\tI-NP\tO' -p110766 -aS',\t,\t,\tO\tO' -p110767 -aS'para\tpara\tNN\tB-NP\tO' -p110768 -aS'0\t0\tCD\tI-NP\tO' -p110769 -aS'now\tnow\tRB\tB-ADVP\tO' -p110770 -aS'1\t1\tCD\tB-NP\tO' -p110771 -aS'mother\tmother\tNN\tI-NP\tO' -p110772 -aS'.\t.\t.\tO\tO' -p110773 -asS'At that time he received total body irradiation of 1400 cGy .' -p110774 -(lp110775 -S'At\tAt\tIN\tB-PP\tO' -p110776 -aS'that\tthat\tDT\tB-NP\tO' -p110777 -aS'time\ttime\tNN\tI-NP\tO' -p110778 -aS'he\the\tPRP\tB-NP\tO' -p110779 -aS'received\treceive\tVBD\tB-VP\tO' -p110780 -aS'total\ttotal\tJJ\tB-NP\tO' -p110781 -aS'body\tbody\tNN\tI-NP\tO' -p110782 -aS'irradiation\tirradiation\tNN\tI-NP\tO' -p110783 -aS'of\tof\tIN\tB-PP\tO' -p110784 -aS'1400\t1400\tCD\tB-NP\tO' -p110785 -aS'cGy\tcGy\tNN\tI-NP\tO' -p110786 -aS'.\t.\t.\tO\tO' -p110787 -asS'The patient was noted to have trace aortic regurgitation .' -p110788 -(lp110789 -S'The\tThe\tDT\tB-NP\tO' -p110790 -aS'patient\tpatient\tNN\tI-NP\tO' -p110791 -aS'was\tbe\tVBD\tB-VP\tO' -p110792 -aS'noted\tnote\tVBN\tI-VP\tO' -p110793 -aS'to\tto\tTO\tI-VP\tO' -p110794 -aS'have\thave\tVB\tI-VP\tO' -p110795 -aS'trace\ttrace\tNN\tB-NP\tO' -p110796 -aS'aortic\taortic\tJJ\tI-NP\tO' -p110797 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p110798 -aS'.\t.\t.\tO\tO' -p110799 -asS'Please r/o acute process .' -p110800 -(lp110801 -S'Please\tPlease\tVB\tB-VP\tO' -p110802 -aS'r/o\tr/o\tAFX\tB-NP\tO' -p110803 -aS'acute\tacute\tJJ\tI-NP\tO' -p110804 -aS'process\tprocess\tNN\tI-NP\tO' -p110805 -aS'.\t.\t.\tO\tO' -p110806 -asS'Therefore the focus of treatment was changed to controlling his rate .' -p110807 -(lp110808 -S'Therefore\tTherefore\tRB\tB-ADVP\tO' -p110809 -aS'the\tthe\tDT\tB-NP\tO' -p110810 -aS'focus\tfocus\tNN\tI-NP\tO' -p110811 -aS'of\tof\tIN\tB-PP\tO' -p110812 -aS'treatment\ttreatment\tNN\tB-NP\tO' -p110813 -aS'was\tbe\tVBD\tB-VP\tO' -p110814 -aS'changed\tchange\tVBN\tI-VP\tO' -p110815 -aS'to\tto\tTO\tB-PP\tO' -p110816 -aS'controlling\tcontrol\tVBG\tB-VP\tO' -p110817 -aS'his\this\tPRP$\tB-NP\tO' -p110818 -aS'rate\trate\tNN\tI-NP\tO' -p110819 -aS'.\t.\t.\tO\tO' -p110820 -asS'However , the issue that dominated the admission was his recent acute decline in mental status .' -p110821 -(lp110822 -S'However\tHowever\tRB\tB-ADVP\tO' -p110823 -aS',\t,\t,\tO\tO' -p110824 -aS'the\tthe\tDT\tB-NP\tO' -p110825 -aS'issue\tissue\tNN\tI-NP\tO' -p110826 -aS'that\tthat\tWDT\tB-NP\tO' -p110827 -aS'dominated\tdominate\tVBD\tB-VP\tO' -p110828 -aS'the\tthe\tDT\tB-NP\tO' -p110829 -aS'admission\tadmission\tNN\tI-NP\tO' -p110830 -aS'was\tbe\tVBD\tB-VP\tO' -p110831 -aS'his\this\tPRP$\tB-NP\tO' -p110832 -aS'recent\trecent\tJJ\tI-NP\tO' -p110833 -aS'acute\tacute\tJJ\tI-NP\tO' -p110834 -aS'decline\tdecline\tNN\tI-NP\tO' -p110835 -aS'in\tin\tIN\tB-PP\tO' -p110836 -aS'mental\tmental\tJJ\tB-NP\tO' -p110837 -aS'status\tstatus\tNN\tI-NP\tO' -p110838 -aS'.\t.\t.\tO\tO' -p110839 -asS'He was taken to Wayskemedcalltown Talmi and transferred to Heaonboburg Linpack Grant Medical Center with a computerized tomography scan showing a 1x2 thalamic capsular hemorrhage without superficial mass effect .' -p110840 -(lp110841 -S'He\tHe\tPRP\tB-NP\tO' -p110842 -aS'was\tbe\tVBD\tB-VP\tO' -p110843 -aS'taken\ttake\tVBN\tI-VP\tO' -p110844 -aS'to\tto\tTO\tB-PP\tO' -p110845 -aS'Wayskemedcalltown\tWayskemedcalltown\tNNP\tB-NP\tO' -p110846 -aS'Talmi\tTalmi\tNNP\tI-NP\tO' -p110847 -aS'and\tand\tCC\tO\tO' -p110848 -aS'transferred\ttransfer\tVBN\tB-VP\tO' -p110849 -aS'to\tto\tTO\tB-PP\tO' -p110850 -aS'Heaonboburg\tHeaonboburg\tNNP\tB-NP\tO' -p110851 -aS'Linpack\tLinpack\tNNP\tI-NP\tO' -p110852 -aS'Grant\tGrant\tNNP\tI-NP\tO' -p110853 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p110854 -aS'Center\tCenter\tNNP\tI-NP\tO' -p110855 -aS'with\twith\tIN\tB-PP\tO' -p110856 -aS'a\ta\tDT\tB-NP\tO' -p110857 -aS'computerized\tcomputerized\tJJ\tI-NP\tO' -p110858 -aS'tomography\ttomography\tNN\tI-NP\tO' -p110859 -aS'scan\tscan\tNN\tI-NP\tO' -p110860 -aS'showing\tshow\tVBG\tB-VP\tO' -p110861 -aS'a\ta\tDT\tB-NP\tO' -p110862 -aS'1x2\t1x2\tCD\tI-NP\tO' -p110863 -aS'thalamic\tthalamic\tJJ\tI-NP\tO' -p110864 -aS'capsular\tcapsular\tJJ\tI-NP\tO' -p110865 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p110866 -aS'without\twithout\tIN\tB-PP\tO' -p110867 -aS'superficial\tsuperficial\tJJ\tB-NP\tO' -p110868 -aS'mass\tmass\tNN\tI-NP\tO' -p110869 -aS'effect\teffect\tNN\tI-NP\tO' -p110870 -aS'.\t.\t.\tO\tO' -p110871 -asS'We decided to perform a therapeutic thoracentesis .' -p110872 -(lp110873 -S'We\tWe\tPRP\tB-NP\tO' -p110874 -aS'decided\tdecide\tVBD\tB-VP\tO' -p110875 -aS'to\tto\tTO\tI-VP\tO' -p110876 -aS'perform\tperform\tVB\tI-VP\tO' -p110877 -aS'a\ta\tDT\tB-NP\tO' -p110878 -aS'therapeutic\ttherapeutic\tJJ\tI-NP\tO' -p110879 -aS'thoracentesis\tthoracentesis\tNN\tI-NP\tO' -p110880 -aS'.\t.\t.\tO\tO' -p110881 -asS'The blood cultures at Linghs County Medical Center grew out Staph. aureus sensitive to methicillin .' -p110882 -(lp110883 -S'The\tThe\tDT\tB-NP\tO' -p110884 -aS'blood\tblood\tNN\tI-NP\tO' -p110885 -aS'cultures\tculture\tNNS\tI-NP\tO' -p110886 -aS'at\tat\tIN\tB-PP\tO' -p110887 -aS'Linghs\tLinghs\tNNP\tB-NP\tO' -p110888 -aS'County\tCounty\tNNP\tI-NP\tO' -p110889 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p110890 -aS'Center\tCenter\tNNP\tI-NP\tO' -p110891 -aS'grew\tgrow\tVBD\tB-VP\tO' -p110892 -aS'out\tout\tRP\tB-PRT\tO' -p110893 -aS'Staph.\tStaph.\tNNP\tB-NP\tO' -p110894 -aS'aureus\taureus\tNN\tI-NP\tO' -p110895 -aS'sensitive\tsensitive\tJJ\tB-ADJP\tO' -p110896 -aS'to\tto\tTO\tB-PP\tO' -p110897 -aS'methicillin\tmethicillin\tNN\tB-NP\tB-protein' -p110898 -aS'.\t.\t.\tO\tO' -p110899 -asS'Blood glucose was 116 .' -p110900 -(lp110901 -S'Blood\tBlood\tNN\tB-NP\tO' -p110902 -aS'glucose\tglucose\tNN\tI-NP\tO' -p110903 -aS'was\tbe\tVBD\tB-VP\tO' -p110904 -aS'116\t116\tCD\tB-NP\tO' -p110905 -aS'.\t.\t.\tO\tO' -p110906 -asS'Argatroban was started abd a HIT panel was sent , HIT panel was positive .' -p110907 -(lp110908 -S'Argatroban\tArgatroban\tNN\tB-NP\tO' -p110909 -aS'was\tbe\tVBD\tB-VP\tO' -p110910 -aS'started\tstart\tVBN\tI-VP\tO' -p110911 -aS'abd\tabd\tIN\tB-PP\tO' -p110912 -aS'a\ta\tDT\tB-NP\tO' -p110913 -aS'HIT\tHIT\tNN\tI-NP\tB-protein' -p110914 -aS'panel\tpanel\tNN\tI-NP\tI-protein' -p110915 -aS'was\tbe\tVBD\tB-VP\tO' -p110916 -aS'sent\tsend\tVBN\tI-VP\tO' -p110917 -aS',\t,\t,\tO\tO' -p110918 -aS'HIT\tHIT\tNN\tB-NP\tB-protein' -p110919 -aS'panel\tpanel\tNN\tI-NP\tI-protein' -p110920 -aS'was\tbe\tVBD\tB-VP\tO' -p110921 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p110922 -aS'.\t.\t.\tO\tO' -p110923 -asS'As noted .' -p110924 -(lp110925 -S'As\tAs\tIN\tB-SBAR\tO' -p110926 -aS'noted\tnote\tVBN\tB-VP\tO' -p110927 -aS'.\t.\t.\tO\tO' -p110928 -asS'Subsequent cardiac catheterization at Nantucket Cottage Hospital Hospital on 2014-04-16 was significant for severe two vessel coronary artery disease .' -p110929 -(lp110930 -S'Subsequent\tSubsequent\tJJ\tB-NP\tO' -p110931 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p110932 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p110933 -aS'at\tat\tIN\tB-PP\tO' -p110934 -aS'Nantucket\tNantucket\tNNP\tB-NP\tO' -p110935 -aS'Cottage\tCottage\tNNP\tI-NP\tO' -p110936 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p110937 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p110938 -aS'on\ton\tIN\tB-PP\tO' -p110939 -aS'2014-04-16\t2014-04-16\tCD\tB-NP\tO' -p110940 -aS'was\tbe\tVBD\tB-VP\tO' -p110941 -aS'significant\tsignificant\tJJ\tB-ADJP\tO' -p110942 -aS'for\tfor\tIN\tB-PP\tO' -p110943 -aS'severe\tsevere\tJJ\tB-NP\tO' -p110944 -aS'two\ttwo\tCD\tI-NP\tO' -p110945 -aS'vessel\tvessel\tNN\tI-NP\tO' -p110946 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p110947 -aS'artery\tartery\tNN\tI-NP\tO' -p110948 -aS'disease\tdisease\tNN\tI-NP\tO' -p110949 -aS'.\t.\t.\tO\tO' -p110950 -asS"The patient 's Lipitor was increased to 80 mg q.d." -p110951 -(lp110952 -S'The\tThe\tDT\tB-NP\tO' -p110953 -aS'patient\tpatient\tNN\tI-NP\tO' -p110954 -aS"'s\t's\tPOS\tB-NP\tO" -p110955 -aS'Lipitor\tLipitor\tNN\tI-NP\tO' -p110956 -aS'was\tbe\tVBD\tB-VP\tO' -p110957 -aS'increased\tincrease\tVBN\tI-VP\tO' -p110958 -aS'to\tto\tTO\tB-PP\tO' -p110959 -aS'80\t80\tCD\tB-NP\tO' -p110960 -aS'mg\tmg\tNN\tI-NP\tO' -p110961 -aS'q.d.\tq.d.\t.\tO\tO' -p110962 -asS'Diabeta , one QD .' -p110963 -(lp110964 -S'Diabeta\tDiabeta\tNN\tB-NP\tO' -p110965 -aS',\t,\t,\tO\tO' -p110966 -aS'one\tone\tCD\tB-NP\tO' -p110967 -aS'QD\tQD\tNN\tI-NP\tO' -p110968 -aS'.\t.\t.\tO\tO' -p110969 -asS'Upon calling the outside hospital , the urine was growing out Klebsiella , and patient was given a 10 day course of levofloxacin to cover both the pneumonia and UTI .' -p110970 -(lp110971 -S'Upon\tUpon\tIN\tB-PP\tO' -p110972 -aS'calling\tcall\tVBG\tB-VP\tO' -p110973 -aS'the\tthe\tDT\tB-NP\tO' -p110974 -aS'outside\toutside\tJJ\tI-NP\tO' -p110975 -aS'hospital\thospital\tNN\tI-NP\tO' -p110976 -aS',\t,\t,\tO\tO' -p110977 -aS'the\tthe\tDT\tB-NP\tO' -p110978 -aS'urine\turine\tNN\tI-NP\tO' -p110979 -aS'was\tbe\tVBD\tB-VP\tO' -p110980 -aS'growing\tgrow\tVBG\tI-VP\tO' -p110981 -aS'out\tout\tRP\tB-PRT\tO' -p110982 -aS'Klebsiella\tKlebsiella\tNNP\tB-NP\tO' -p110983 -aS',\t,\t,\tO\tO' -p110984 -aS'and\tand\tCC\tO\tO' -p110985 -aS'patient\tpatient\tNN\tB-NP\tO' -p110986 -aS'was\tbe\tVBD\tB-VP\tO' -p110987 -aS'given\tgive\tVBN\tI-VP\tO' -p110988 -aS'a\ta\tDT\tB-NP\tO' -p110989 -aS'10\t10\tCD\tI-NP\tO' -p110990 -aS'day\tday\tNN\tI-NP\tO' -p110991 -aS'course\tcourse\tNN\tI-NP\tO' -p110992 -aS'of\tof\tIN\tB-PP\tO' -p110993 -aS'levofloxacin\tlevofloxacin\tNN\tB-NP\tO' -p110994 -aS'to\tto\tTO\tB-VP\tO' -p110995 -aS'cover\tcover\tVB\tI-VP\tO' -p110996 -aS'both\tboth\tCC\tO\tO' -p110997 -aS'the\tthe\tDT\tB-NP\tO' -p110998 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p110999 -aS'and\tand\tCC\tI-NP\tO' -p111000 -aS'UTI\tUTI\tNN\tI-NP\tO' -p111001 -aS'.\t.\t.\tO\tO' -p111002 -asS'Therefore , her insurance company was contacted regarding the potential of Flolan as a treatment .' -p111003 -(lp111004 -S'Therefore\tTherefore\tRB\tB-ADVP\tO' -p111005 -aS',\t,\t,\tO\tO' -p111006 -aS'her\ther\tPRP$\tB-NP\tO' -p111007 -aS'insurance\tinsurance\tNN\tI-NP\tO' -p111008 -aS'company\tcompany\tNN\tI-NP\tO' -p111009 -aS'was\tbe\tVBD\tB-VP\tO' -p111010 -aS'contacted\tcontact\tVBN\tI-VP\tO' -p111011 -aS'regarding\tregard\tVBG\tI-VP\tO' -p111012 -aS'the\tthe\tDT\tB-NP\tO' -p111013 -aS'potential\tpotential\tNN\tI-NP\tO' -p111014 -aS'of\tof\tIN\tB-PP\tO' -p111015 -aS'Flolan\tFlolan\tNNP\tB-NP\tO' -p111016 -aS'as\tas\tIN\tB-PP\tO' -p111017 -aS'a\ta\tDT\tB-NP\tO' -p111018 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p111019 -aS'.\t.\t.\tO\tO' -p111020 -asS"The patient 's ICU course was uneventful ." -p111021 -(lp111022 -S'The\tThe\tDT\tB-NP\tO' -p111023 -aS'patient\tpatient\tNN\tI-NP\tO' -p111024 -aS"'s\t's\tPOS\tB-NP\tO" -p111025 -aS'ICU\tICU\tNN\tI-NP\tO' -p111026 -aS'course\tcourse\tNN\tI-NP\tO' -p111027 -aS'was\tbe\tVBD\tB-VP\tO' -p111028 -aS'uneventful\tuneventful\tJJ\tB-ADJP\tO' -p111029 -aS'.\t.\t.\tO\tO' -p111030 -asS"Has remained in room air since with comfortable work of breathing , respiratory rates in the 40 's to 70 's." -p111031 -(lp111032 -S'Has\tHas\tNNP\tB-NP\tO' -p111033 -aS'remained\tremain\tVBD\tB-VP\tO' -p111034 -aS'in\tin\tIN\tB-PP\tO' -p111035 -aS'room\troom\tNN\tB-NP\tO' -p111036 -aS'air\tair\tNN\tI-NP\tO' -p111037 -aS'since\tsince\tIN\tB-PP\tO' -p111038 -aS'with\twith\tIN\tB-PP\tO' -p111039 -aS'comfortable\tcomfortable\tJJ\tB-NP\tO' -p111040 -aS'work\twork\tNN\tI-NP\tO' -p111041 -aS'of\tof\tIN\tB-PP\tO' -p111042 -aS'breathing\tbreathing\tNN\tB-NP\tO' -p111043 -aS',\t,\t,\tO\tO' -p111044 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p111045 -aS'rates\trate\tNNS\tI-NP\tO' -p111046 -aS'in\tin\tIN\tB-PP\tO' -p111047 -aS'the\tthe\tDT\tB-NP\tO' -p111048 -aS'40\t40\tCD\tI-NP\tO' -p111049 -aS"'s\t's\tPOS\tB-NP\tO" -p111050 -aS'to\tto\tTO\tB-PP\tO' -p111051 -aS'70\t70\tCD\tB-NP\tO' -p111052 -aS"'s.\t's.\tPOS\tB-NP\tO" -p111053 -asS'The abdominal and pelvic CT scans showed no suspicious GI masses , no pancreatic mass ; a 2 cm ovarian cyst .' -p111054 -(lp111055 -S'The\tThe\tDT\tB-NP\tO' -p111056 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p111057 -aS'and\tand\tCC\tI-NP\tO' -p111058 -aS'pelvic\tpelvic\tJJ\tI-NP\tO' -p111059 -aS'CT\tCT\tNN\tI-NP\tO' -p111060 -aS'scans\tscan\tNNS\tI-NP\tO' -p111061 -aS'showed\tshow\tVBD\tB-VP\tO' -p111062 -aS'no\tno\tDT\tB-NP\tO' -p111063 -aS'suspicious\tsuspicious\tJJ\tI-NP\tO' -p111064 -aS'GI\tGI\tNN\tI-NP\tO' -p111065 -aS'masses\tmass\tNNS\tI-NP\tO' -p111066 -aS',\t,\t,\tO\tO' -p111067 -aS'no\tno\tDT\tB-NP\tO' -p111068 -aS'pancreatic\tpancreatic\tJJ\tI-NP\tO' -p111069 -aS'mass\tmass\tNN\tI-NP\tO' -p111070 -aS';\t;\t:\tO\tO' -p111071 -aS'a\ta\tDT\tB-NP\tO' -p111072 -aS'2\t2\tCD\tI-NP\tO' -p111073 -aS'cm\tcm\tNN\tI-NP\tO' -p111074 -aS'ovarian\tovarian\tJJ\tI-NP\tO' -p111075 -aS'cyst\tcyst\tNN\tI-NP\tO' -p111076 -aS'.\t.\t.\tO\tO' -p111077 -asS'She also began Nadolol 40 mg QD to reduce her portal hypertension .' -p111078 -(lp111079 -S'She\tShe\tPRP\tB-NP\tO' -p111080 -aS'also\talso\tRB\tB-ADVP\tO' -p111081 -aS'began\tbegin\tVBD\tB-VP\tO' -p111082 -aS'Nadolol\tNadolol\tNNP\tB-NP\tO' -p111083 -aS'40\t40\tCD\tI-NP\tO' -p111084 -aS'mg\tmg\tNN\tI-NP\tO' -p111085 -aS'QD\tQD\tNN\tI-NP\tO' -p111086 -aS'to\tto\tTO\tB-VP\tO' -p111087 -aS'reduce\treduce\tVB\tI-VP\tO' -p111088 -aS'her\ther\tPRP$\tB-NP\tO' -p111089 -aS'portal\tportal\tJJ\tI-NP\tO' -p111090 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p111091 -aS'.\t.\t.\tO\tO' -p111092 -asS'Coronary artery disease status post negative stress echo on 10-12 .' -p111093 -(lp111094 -S'Coronary\tCoronary\tJJ\tB-NP\tO' -p111095 -aS'artery\tartery\tNN\tI-NP\tO' -p111096 -aS'disease\tdisease\tNN\tI-NP\tO' -p111097 -aS'status\tstatus\tNN\tI-NP\tO' -p111098 -aS'post\tpost\tNN\tI-NP\tO' -p111099 -aS'negative\tnegative\tJJ\tI-NP\tO' -p111100 -aS'stress\tstress\tNN\tI-NP\tO' -p111101 -aS'echo\techo\tNN\tI-NP\tO' -p111102 -aS'on\ton\tIN\tB-PP\tO' -p111103 -aS'10-12\t10-12\tCD\tB-NP\tO' -p111104 -aS'.\t.\t.\tO\tO' -p111105 -asS'She was physically abused and severely neglected as a child and been sexually assaulted .' -p111106 -(lp111107 -S'She\tShe\tPRP\tB-NP\tO' -p111108 -aS'was\tbe\tVBD\tB-VP\tO' -p111109 -aS'physically\tphysically\tRB\tI-VP\tO' -p111110 -aS'abused\tabuse\tVBN\tI-VP\tO' -p111111 -aS'and\tand\tCC\tO\tO' -p111112 -aS'severely\tseverely\tRB\tB-VP\tO' -p111113 -aS'neglected\tneglect\tVBN\tI-VP\tO' -p111114 -aS'as\tas\tIN\tB-PP\tO' -p111115 -aS'a\ta\tDT\tB-NP\tO' -p111116 -aS'child\tchild\tNN\tI-NP\tO' -p111117 -aS'and\tand\tCC\tO\tO' -p111118 -aS'been\tbe\tVBN\tB-VP\tO' -p111119 -aS'sexually\tsexually\tRB\tI-VP\tO' -p111120 -aS'assaulted\tassault\tVBN\tI-VP\tO' -p111121 -aS'.\t.\t.\tO\tO' -p111122 -asS'Cranial nerves II through XII are intact , nonfocal , moving all extremities .' -p111123 -(lp111124 -S'Cranial\tCranial\tNNP\tB-NP\tO' -p111125 -aS'nerves\tnerve\tVBZ\tB-VP\tO' -p111126 -aS'II\tII\tCD\tB-NP\tO' -p111127 -aS'through\tthrough\tIN\tB-PP\tO' -p111128 -aS'XII\tXII\tNN\tB-NP\tB-DNA' -p111129 -aS'are\tbe\tVBP\tB-VP\tO' -p111130 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p111131 -aS',\t,\t,\tO\tO' -p111132 -aS'nonfocal\tnonfocal\tJJ\tB-ADJP\tO' -p111133 -aS',\t,\t,\tO\tO' -p111134 -aS'moving\tmove\tVBG\tB-VP\tO' -p111135 -aS'all\tall\tDT\tB-NP\tO' -p111136 -aS'extremities\textremity\tNNS\tI-NP\tO' -p111137 -aS'.\t.\t.\tO\tO' -p111138 -asS'He stated that this became worse over the last month until he was noted to be short of breath at rest .' -p111139 -(lp111140 -S'He\tHe\tPRP\tB-NP\tO' -p111141 -aS'stated\tstate\tVBD\tB-VP\tO' -p111142 -aS'that\tthat\tIN\tB-SBAR\tO' -p111143 -aS'this\tthis\tDT\tB-NP\tO' -p111144 -aS'became\tbecome\tVBD\tB-VP\tO' -p111145 -aS'worse\tworse\tJJR\tB-ADJP\tO' -p111146 -aS'over\tover\tIN\tB-PP\tO' -p111147 -aS'the\tthe\tDT\tB-NP\tO' -p111148 -aS'last\tlast\tJJ\tI-NP\tO' -p111149 -aS'month\tmonth\tNN\tI-NP\tO' -p111150 -aS'until\tuntil\tIN\tB-SBAR\tO' -p111151 -aS'he\the\tPRP\tB-NP\tO' -p111152 -aS'was\tbe\tVBD\tB-VP\tO' -p111153 -aS'noted\tnote\tVBN\tI-VP\tO' -p111154 -aS'to\tto\tTO\tI-VP\tO' -p111155 -aS'be\tbe\tVB\tI-VP\tO' -p111156 -aS'short\tshort\tJJ\tB-ADJP\tO' -p111157 -aS'of\tof\tIN\tB-PP\tO' -p111158 -aS'breath\tbreath\tNN\tB-NP\tO' -p111159 -aS'at\tat\tIN\tB-PP\tO' -p111160 -aS'rest\trest\tNN\tB-NP\tO' -p111161 -aS'.\t.\t.\tO\tO' -p111162 -asS'Lopressor 50 mg q.a.m. , 25 mg q.p.m. , and 25 mg q.h.s. , Synthroid 88 mcg q.d. , Norvasc 5 mg q.d. , Lescol 20 mg q.p.m. with meal , Coumadin is usually 4 mg p.o. 3x a week and 3 mg 4x a week ; Percocet 1-2 tabs q.4h. p.r.n. pain .' -p111163 -(lp111164 -S'Lopressor\tLopressor\tNN\tB-NP\tO' -p111165 -aS'50\t50\tCD\tI-NP\tO' -p111166 -aS'mg\tmg\tNN\tI-NP\tO' -p111167 -aS'q.a.m.\tq.a.m.\tNN\tI-NP\tO' -p111168 -aS',\t,\t,\tO\tO' -p111169 -aS'25\t25\tCD\tB-NP\tO' -p111170 -aS'mg\tmg\tNN\tI-NP\tO' -p111171 -aS'q.p.m.\tq.p.m.\tNN\tI-NP\tO' -p111172 -aS',\t,\t,\tO\tO' -p111173 -aS'and\tand\tCC\tO\tO' -p111174 -aS'25\t25\tCD\tB-NP\tO' -p111175 -aS'mg\tmg\tNN\tI-NP\tO' -p111176 -aS'q.h.s.\tq.h.s.\tNN\tI-NP\tO' -p111177 -aS',\t,\t,\tO\tO' -p111178 -aS'Synthroid\tSynthroid\tNNP\tB-NP\tO' -p111179 -aS'88\t88\tCD\tI-NP\tO' -p111180 -aS'mcg\tmcg\tNN\tI-NP\tO' -p111181 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p111182 -aS',\t,\t,\tO\tO' -p111183 -aS'Norvasc\tNorvasc\tNN\tB-NP\tO' -p111184 -aS'5\t5\tCD\tI-NP\tO' -p111185 -aS'mg\tmg\tNN\tI-NP\tO' -p111186 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p111187 -aS',\t,\t,\tO\tO' -p111188 -aS'Lescol\tLescol\tNNP\tB-NP\tO' -p111189 -aS'20\t20\tCD\tI-NP\tO' -p111190 -aS'mg\tmg\tNN\tI-NP\tO' -p111191 -aS'q.p.m.\tq.p.m.\tNN\tI-NP\tO' -p111192 -aS'with\twith\tIN\tB-PP\tO' -p111193 -aS'meal\tmeal\tNN\tB-NP\tO' -p111194 -aS',\t,\t,\tO\tO' -p111195 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p111196 -aS'is\tbe\tVBZ\tB-VP\tO' -p111197 -aS'usually\tusually\tRB\tB-ADVP\tO' -p111198 -aS'4\t4\tCD\tB-NP\tO' -p111199 -aS'mg\tmg\tNN\tI-NP\tO' -p111200 -aS'p.o.\tp.o.\tFW\tB-ADVP\tO' -p111201 -aS'3x\t3x\tFW\tI-ADVP\tO' -p111202 -aS'a\ta\tDT\tB-NP\tO' -p111203 -aS'week\tweek\tNN\tI-NP\tO' -p111204 -aS'and\tand\tCC\tO\tO' -p111205 -aS'3\t3\tCD\tB-NP\tO' -p111206 -aS'mg\tmg\tNN\tI-NP\tO' -p111207 -aS'4x\t4x\tCD\tB-NP\tO' -p111208 -aS'a\ta\tDT\tB-NP\tO' -p111209 -aS'week\tweek\tNN\tI-NP\tO' -p111210 -aS';\t;\t:\tO\tO' -p111211 -aS'Percocet\tPercocet\tNNP\tB-NP\tO' -p111212 -aS'1-2\t1-2\tCD\tB-NP\tO' -p111213 -aS'tabs\ttab\tNNS\tI-NP\tO' -p111214 -aS'q.4h.\tq.4h.\tNN\tI-NP\tO' -p111215 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p111216 -aS'pain\tpain\tNN\tI-NP\tO' -p111217 -aS'.\t.\t.\tO\tO' -p111218 -asS'See PT note for further assessment and discussion .' -p111219 -(lp111220 -S'See\tSee\tVB\tB-VP\tO' -p111221 -aS'PT\tPT\tNN\tB-NP\tO' -p111222 -aS'note\tnote\tNN\tI-NP\tO' -p111223 -aS'for\tfor\tIN\tB-PP\tO' -p111224 -aS'further\tfurther\tJJ\tB-NP\tO' -p111225 -aS'assessment\tassessment\tNN\tI-NP\tO' -p111226 -aS'and\tand\tCC\tI-NP\tO' -p111227 -aS'discussion\tdiscussion\tNN\tI-NP\tO' -p111228 -aS'.\t.\t.\tO\tO' -p111229 -asS'The Tobramycin and Imipenem were started on 11/25/94 .' -p111230 -(lp111231 -S'The\tThe\tDT\tB-NP\tO' -p111232 -aS'Tobramycin\tTobramycin\tNN\tI-NP\tO' -p111233 -aS'and\tand\tCC\tI-NP\tO' -p111234 -aS'Imipenem\tImipenem\tNN\tI-NP\tO' -p111235 -aS'were\tbe\tVBD\tB-VP\tO' -p111236 -aS'started\tstart\tVBN\tI-VP\tO' -p111237 -aS'on\ton\tIN\tB-PP\tO' -p111238 -aS'11/25/94\t11/25/94\tCD\tB-NP\tO' -p111239 -aS'.\t.\t.\tO\tO' -p111240 -asS'The sternocleidomastoid and the trapezius muscles were both intact .' -p111241 -(lp111242 -S'The\tThe\tDT\tB-NP\tO' -p111243 -aS'sternocleidomastoid\tsternocleidomastoid\tJJ\tI-NP\tO' -p111244 -aS'and\tand\tCC\tO\tO' -p111245 -aS'the\tthe\tDT\tB-NP\tO' -p111246 -aS'trapezius\ttrapezius\tNN\tI-NP\tO' -p111247 -aS'muscles\tmuscle\tNNS\tI-NP\tO' -p111248 -aS'were\tbe\tVBD\tB-VP\tO' -p111249 -aS'both\tboth\tDT\tO\tO' -p111250 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p111251 -aS'.\t.\t.\tO\tO' -p111252 -asS'Post-operatively she began on TF s, and the TPN was weaned down .' -p111253 -(lp111254 -S'Post-operatively\tPost-operatively\tRB\tB-ADVP\tO' -p111255 -aS'she\tshe\tPRP\tB-NP\tO' -p111256 -aS'began\tbegin\tVBD\tB-VP\tO' -p111257 -aS'on\ton\tIN\tB-PP\tO' -p111258 -aS'TF\tTF\tNN\tB-NP\tB-protein' -p111259 -aS's,\ts,\tNN\tI-NP\tO' -p111260 -aS'and\tand\tCC\tO\tO' -p111261 -aS'the\tthe\tDT\tB-NP\tO' -p111262 -aS'TPN\tTPN\tNN\tI-NP\tB-protein' -p111263 -aS'was\tbe\tVBD\tB-VP\tO' -p111264 -aS'weaned\twean\tVBN\tI-VP\tO' -p111265 -aS'down\tdown\tRB\tB-ADVP\tO' -p111266 -aS'.\t.\t.\tO\tO' -p111267 -asS'It was felt posthumously that her large pericardial effusion was most likely secondary to a complication of pacer placement , although this was not seen on imaging .' -p111268 -(lp111269 -S'It\tIt\tPRP\tB-NP\tO' -p111270 -aS'was\tbe\tVBD\tB-VP\tO' -p111271 -aS'felt\tfeel\tVBN\tI-VP\tO' -p111272 -aS'posthumously\tposthumously\tRB\tB-ADVP\tO' -p111273 -aS'that\tthat\tIN\tB-SBAR\tO' -p111274 -aS'her\ther\tPRP\tB-NP\tO' -p111275 -aS'large\tlarge\tJJ\tI-NP\tO' -p111276 -aS'pericardial\tpericardial\tJJ\tI-NP\tO' -p111277 -aS'effusion\teffusion\tNN\tI-NP\tO' -p111278 -aS'was\tbe\tVBD\tB-VP\tO' -p111279 -aS'most\tmost\tRBS\tB-ADJP\tO' -p111280 -aS'likely\tlikely\tRB\tI-ADJP\tO' -p111281 -aS'secondary\tsecondary\tJJ\tI-ADJP\tO' -p111282 -aS'to\tto\tTO\tB-PP\tO' -p111283 -aS'a\ta\tDT\tB-NP\tO' -p111284 -aS'complication\tcomplication\tNN\tI-NP\tO' -p111285 -aS'of\tof\tIN\tB-PP\tO' -p111286 -aS'pacer\tpacer\tNN\tB-NP\tO' -p111287 -aS'placement\tplacement\tNN\tI-NP\tO' -p111288 -aS',\t,\t,\tO\tO' -p111289 -aS'although\talthough\tIN\tB-SBAR\tO' -p111290 -aS'this\tthis\tDT\tB-NP\tO' -p111291 -aS'was\tbe\tVBD\tB-VP\tO' -p111292 -aS'not\tnot\tRB\tI-VP\tO' -p111293 -aS'seen\tsee\tVBN\tI-VP\tO' -p111294 -aS'on\ton\tIN\tB-PP\tO' -p111295 -aS'imaging\timaging\tNN\tB-NP\tO' -p111296 -aS'.\t.\t.\tO\tO' -p111297 -asS'Medications on Admission : see dc summary' -p111298 -(lp111299 -S'Medications\tMedication\tNNS\tB-NP\tO' -p111300 -aS'on\ton\tIN\tB-PP\tO' -p111301 -aS'Admission\tAdmission\tNN\tB-NP\tO' -p111302 -aS':\t:\t:\tO\tO' -p111303 -aS'see\tsee\tVB\tB-VP\tO' -p111304 -aS'dc\tdc\tNN\tB-NP\tO' -p111305 -aS'summary\tsummary\tNN\tI-NP\tO' -p111306 -asS'He was afebrile and his vital signs were stable .' -p111307 -(lp111308 -S'He\tHe\tPRP\tB-NP\tO' -p111309 -aS'was\tbe\tVBD\tB-VP\tO' -p111310 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p111311 -aS'and\tand\tCC\tO\tO' -p111312 -aS'his\this\tPRP$\tB-NP\tO' -p111313 -aS'vital\tvital\tJJ\tI-NP\tO' -p111314 -aS'signs\tsign\tNNS\tI-NP\tO' -p111315 -aS'were\tbe\tVBD\tB-VP\tO' -p111316 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p111317 -aS'.\t.\t.\tO\tO' -p111318 -asS'03-29 items ; Recall 03-29 at 5 min .' -p111319 -(lp111320 -S'03-29\t03-29\tCD\tB-NP\tO' -p111321 -aS'items\titem\tNNS\tI-NP\tO' -p111322 -aS';\t;\t:\tO\tO' -p111323 -aS'Recall\tRecall\tNN\tB-NP\tO' -p111324 -aS'03-29\t03-29\tCD\tI-NP\tO' -p111325 -aS'at\tat\tIN\tB-PP\tO' -p111326 -aS'5\t5\tCD\tB-NP\tO' -p111327 -aS'min\tmin\tNN\tI-NP\tO' -p111328 -aS'.\t.\t.\tO\tO' -p111329 -asS'Baby has been appropriate for gestational age .' -p111330 -(lp111331 -S'Baby\tBaby\tNNP\tB-NP\tO' -p111332 -aS'has\thave\tVBZ\tB-VP\tO' -p111333 -aS'been\tbe\tVBN\tI-VP\tO' -p111334 -aS'appropriate\tappropriate\tJJ\tB-ADJP\tO' -p111335 -aS'for\tfor\tIN\tB-PP\tO' -p111336 -aS'gestational\tgestational\tJJ\tB-NP\tO' -p111337 -aS'age\tage\tNN\tI-NP\tO' -p111338 -aS'.\t.\t.\tO\tO' -p111339 -asS'Once the patient was extubated , after the third surgery , the patient could not be weaned off 2 liters of nasal cannula and was to ______ to 20 breaths per minute despite nebulizer treatment .' -p111340 -(lp111341 -S'Once\tOnce\tRB\tO\tO' -p111342 -aS'the\tthe\tDT\tB-NP\tO' -p111343 -aS'patient\tpatient\tNN\tI-NP\tO' -p111344 -aS'was\tbe\tVBD\tB-VP\tO' -p111345 -aS'extubated\textubate\tVBN\tI-VP\tO' -p111346 -aS',\t,\t,\tO\tO' -p111347 -aS'after\tafter\tIN\tB-PP\tO' -p111348 -aS'the\tthe\tDT\tB-NP\tO' -p111349 -aS'third\tthird\tJJ\tI-NP\tO' -p111350 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p111351 -aS',\t,\t,\tO\tO' -p111352 -aS'the\tthe\tDT\tB-NP\tO' -p111353 -aS'patient\tpatient\tNN\tI-NP\tO' -p111354 -aS'could\tcould\tMD\tB-VP\tO' -p111355 -aS'not\tnot\tRB\tI-VP\tO' -p111356 -aS'be\tbe\tVB\tI-VP\tO' -p111357 -aS'weaned\twean\tVBN\tI-VP\tO' -p111358 -aS'off\toff\tRP\tB-PRT\tO' -p111359 -aS'2\t2\tCD\tB-NP\tO' -p111360 -aS'liters\tliter\tNNS\tI-NP\tO' -p111361 -aS'of\tof\tIN\tB-PP\tO' -p111362 -aS'nasal\tnasal\tJJ\tB-NP\tO' -p111363 -aS'cannula\tcannula\tNN\tI-NP\tO' -p111364 -aS'and\tand\tCC\tO\tO' -p111365 -aS'was\tbe\tVBD\tB-VP\tO' -p111366 -aS'to\tto\tTO\tI-VP\tO' -p111367 -aS'______\t______\tVB\tI-VP\tO' -p111368 -aS'to\tto\tTO\tB-PP\tO' -p111369 -aS'20\t20\tCD\tB-NP\tO' -p111370 -aS'breaths\tbreath\tNNS\tI-NP\tO' -p111371 -aS'per\tper\tIN\tB-PP\tO' -p111372 -aS'minute\tminute\tNN\tB-NP\tO' -p111373 -aS'despite\tdespite\tIN\tB-PP\tO' -p111374 -aS'nebulizer\tnebulizer\tNN\tB-NP\tO' -p111375 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p111376 -aS'.\t.\t.\tO\tO' -p111377 -asS'5. Sinus tachycardia .' -p111378 -(lp111379 -S'5.\t5.\tLS\tB-NP\tO' -p111380 -aS'Sinus\tSinus\tNNP\tI-NP\tO' -p111381 -aS'tachycardia\ttachycardia\tNN\tI-NP\tO' -p111382 -aS'.\t.\t.\tO\tO' -p111383 -asS'She lives alone though her family is in the area .' -p111384 -(lp111385 -S'She\tShe\tPRP\tB-NP\tO' -p111386 -aS'lives\tlive\tVBZ\tB-VP\tO' -p111387 -aS'alone\talone\tRB\tB-ADVP\tO' -p111388 -aS'though\tthough\tIN\tB-SBAR\tO' -p111389 -aS'her\ther\tPRP$\tB-NP\tB-protein' -p111390 -aS'family\tfamily\tNN\tI-NP\tI-protein' -p111391 -aS'is\tbe\tVBZ\tB-VP\tO' -p111392 -aS'in\tin\tIN\tB-PP\tO' -p111393 -aS'the\tthe\tDT\tB-NP\tO' -p111394 -aS'area\tarea\tNN\tI-NP\tO' -p111395 -aS'.\t.\t.\tO\tO' -p111396 -asS'On May 24 , 1998 , the patient had a CT scan of the chest which revealed diffuse alveolar infiltrates at the right base , mediastinal lymphadenopathy and bilateral pleural effusions .' -p111397 -(lp111398 -S'On\tOn\tIN\tB-PP\tO' -p111399 -aS'May\tMay\tNNP\tB-NP\tO' -p111400 -aS'24\t24\tCD\tI-NP\tO' -p111401 -aS',\t,\t,\tO\tO' -p111402 -aS'1998\t1998\tCD\tB-NP\tO' -p111403 -aS',\t,\t,\tO\tO' -p111404 -aS'the\tthe\tDT\tB-NP\tO' -p111405 -aS'patient\tpatient\tNN\tI-NP\tO' -p111406 -aS'had\thave\tVBD\tB-VP\tO' -p111407 -aS'a\ta\tDT\tB-NP\tO' -p111408 -aS'CT\tCT\tNN\tI-NP\tO' -p111409 -aS'scan\tscan\tNN\tI-NP\tO' -p111410 -aS'of\tof\tIN\tB-PP\tO' -p111411 -aS'the\tthe\tDT\tB-NP\tO' -p111412 -aS'chest\tchest\tNN\tI-NP\tO' -p111413 -aS'which\twhich\tWDT\tB-NP\tO' -p111414 -aS'revealed\treveal\tVBD\tB-VP\tO' -p111415 -aS'diffuse\tdiffuse\tJJ\tB-NP\tO' -p111416 -aS'alveolar\talveolar\tJJ\tI-NP\tO' -p111417 -aS'infiltrates\tinfiltrate\tNNS\tI-NP\tO' -p111418 -aS'at\tat\tIN\tB-PP\tO' -p111419 -aS'the\tthe\tDT\tB-NP\tO' -p111420 -aS'right\tright\tJJ\tI-NP\tO' -p111421 -aS'base\tbase\tNN\tI-NP\tO' -p111422 -aS',\t,\t,\tO\tO' -p111423 -aS'mediastinal\tmediastinal\tJJ\tB-NP\tO' -p111424 -aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' -p111425 -aS'and\tand\tCC\tO\tO' -p111426 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p111427 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p111428 -aS'effusions\teffusion\tNNS\tI-NP\tO' -p111429 -aS'.\t.\t.\tO\tO' -p111430 -asS'100% for now .' -p111431 -(lp111432 -S'100%\t100%\tCD\tB-NP\tO' -p111433 -aS'for\tfor\tIN\tB-PP\tO' -p111434 -aS'now\tnow\tRB\tB-NP\tO' -p111435 -aS'.\t.\t.\tO\tO' -p111436 -asS'No driving while taking pain medicine .' -p111437 -(lp111438 -S'No\tNo\tDT\tB-NP\tO' -p111439 -aS'driving\tdriving\tNN\tI-NP\tO' -p111440 -aS'while\twhile\tIN\tB-SBAR\tO' -p111441 -aS'taking\ttake\tVBG\tB-VP\tO' -p111442 -aS'pain\tpain\tNN\tB-NP\tO' -p111443 -aS'medicine\tmedicine\tNN\tI-NP\tO' -p111444 -aS'.\t.\t.\tO\tO' -p111445 -asS'Stable , good .' -p111446 -(lp111447 -S'Stable\tStable\tJJ\tB-NP\tO' -p111448 -aS',\t,\t,\tI-NP\tO' -p111449 -aS'good\tgood\tJJ\tI-NP\tO' -p111450 -aS'.\t.\t.\tO\tO' -p111451 -asS'He can also take oral food as directed below .' -p111452 -(lp111453 -S'He\tHe\tPRP\tB-NP\tO' -p111454 -aS'can\tcan\tMD\tB-VP\tO' -p111455 -aS'also\talso\tRB\tI-VP\tO' -p111456 -aS'take\ttake\tVB\tI-VP\tO' -p111457 -aS'oral\toral\tJJ\tB-NP\tO' -p111458 -aS'food\tfood\tNN\tI-NP\tO' -p111459 -aS'as\tas\tIN\tB-SBAR\tO' -p111460 -aS'directed\tdirect\tVBN\tB-VP\tO' -p111461 -aS'below\tbelow\tIN\tB-PP\tO' -p111462 -aS'.\t.\t.\tO\tO' -p111463 -asS'No other masses or thyromegaly noted .' -p111464 -(lp111465 -S'No\tNo\tDT\tB-NP\tO' -p111466 -aS'other\tother\tJJ\tI-NP\tO' -p111467 -aS'masses\tmass\tNNS\tI-NP\tO' -p111468 -aS'or\tor\tCC\tO\tO' -p111469 -aS'thyromegaly\tthyromegaly\tRB\tB-VP\tO' -p111470 -aS'noted\tnote\tVBN\tI-VP\tO' -p111471 -aS'.\t.\t.\tO\tO' -p111472 -asS'The patient was scheduled for an operative date on 2014-07-29 and over the next few days she was' -p111473 -(lp111474 -S'The\tThe\tDT\tB-NP\tO' -p111475 -aS'patient\tpatient\tNN\tI-NP\tO' -p111476 -aS'was\tbe\tVBD\tB-VP\tO' -p111477 -aS'scheduled\tschedule\tVBN\tI-VP\tO' -p111478 -aS'for\tfor\tIN\tB-PP\tO' -p111479 -aS'an\tan\tDT\tB-NP\tO' -p111480 -aS'operative\toperative\tJJ\tI-NP\tO' -p111481 -aS'date\tdate\tNN\tI-NP\tO' -p111482 -aS'on\ton\tIN\tB-PP\tO' -p111483 -aS'2014-07-29\t2014-07-29\tCD\tB-NP\tO' -p111484 -aS'and\tand\tCC\tO\tO' -p111485 -aS'over\tover\tIN\tB-PP\tO' -p111486 -aS'the\tthe\tDT\tB-NP\tO' -p111487 -aS'next\tnext\tJJ\tI-NP\tO' -p111488 -aS'few\tfew\tJJ\tI-NP\tO' -p111489 -aS'days\tday\tNNS\tI-NP\tO' -p111490 -aS'she\tshe\tPRP\tB-NP\tO' -p111491 -aS'was\tbe\tVBD\tB-VP\tO' -p111492 -asS'Evaluated by neurosurgery and deemed stable on 2014-10-22 .' -p111493 -(lp111494 -S'Evaluated\tEvaluate\tVBN\tB-VP\tO' -p111495 -aS'by\tby\tIN\tB-PP\tO' -p111496 -aS'neurosurgery\tneurosurgery\tNN\tB-NP\tO' -p111497 -aS'and\tand\tCC\tO\tO' -p111498 -aS'deemed\tdeem\tVBD\tB-VP\tO' -p111499 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p111500 -aS'on\ton\tIN\tB-PP\tO' -p111501 -aS'2014-10-22\t2014-10-22\tCD\tB-NP\tO' -p111502 -aS'.\t.\t.\tO\tO' -p111503 -asS'There was no urethritis , no balinitis , normal prostate , nontender .' -p111504 -(lp111505 -S'There\tThere\tEX\tB-NP\tO' -p111506 -aS'was\tbe\tVBD\tB-VP\tO' -p111507 -aS'no\tno\tDT\tB-NP\tO' -p111508 -aS'urethritis\turethritis\tNN\tI-NP\tO' -p111509 -aS',\t,\t,\tO\tO' -p111510 -aS'no\tno\tDT\tB-NP\tO' -p111511 -aS'balinitis\tbalinitis\tNN\tI-NP\tO' -p111512 -aS',\t,\t,\tO\tO' -p111513 -aS'normal\tnormal\tJJ\tB-NP\tO' -p111514 -aS'prostate\tprostate\tNN\tI-NP\tO' -p111515 -aS',\t,\t,\tO\tO' -p111516 -aS'nontender\tnontender\tNN\tB-NP\tO' -p111517 -aS'.\t.\t.\tO\tO' -p111518 -asS'Bronchial breathing over right hemithorax .' -p111519 -(lp111520 -S'Bronchial\tBronchial\tJJ\tB-NP\tO' -p111521 -aS'breathing\tbreathing\tNN\tI-NP\tO' -p111522 -aS'over\tover\tIN\tB-PP\tO' -p111523 -aS'right\tright\tJJ\tB-NP\tO' -p111524 -aS'hemithorax\themithorax\tNN\tI-NP\tO' -p111525 -aS'.\t.\t.\tO\tO' -p111526 -asS'It was found that she was in acute pulmonary edema and required transfer to the Surgical Intensive Care Unit .' -p111527 -(lp111528 -S'It\tIt\tPRP\tB-NP\tO' -p111529 -aS'was\tbe\tVBD\tB-VP\tO' -p111530 -aS'found\tfind\tVBN\tI-VP\tO' -p111531 -aS'that\tthat\tIN\tB-SBAR\tO' -p111532 -aS'she\tshe\tPRP\tB-NP\tO' -p111533 -aS'was\tbe\tVBD\tB-VP\tO' -p111534 -aS'in\tin\tIN\tB-PP\tO' -p111535 -aS'acute\tacute\tJJ\tB-NP\tO' -p111536 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p111537 -aS'edema\tedema\tNN\tI-NP\tO' -p111538 -aS'and\tand\tCC\tO\tO' -p111539 -aS'required\trequire\tVBD\tB-VP\tO' -p111540 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p111541 -aS'to\tto\tTO\tB-PP\tO' -p111542 -aS'the\tthe\tDT\tB-NP\tO' -p111543 -aS'Surgical\tSurgical\tNNP\tI-NP\tO' -p111544 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p111545 -aS'Care\tCare\tNNP\tI-NP\tO' -p111546 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p111547 -aS'.\t.\t.\tO\tO' -p111548 -asS'His carotids were two plus bilaterally without bruits .' -p111549 -(lp111550 -S'His\tHis\tPRP$\tB-NP\tO' -p111551 -aS'carotids\tcarotid\tNNS\tI-NP\tO' -p111552 -aS'were\tbe\tVBD\tB-VP\tO' -p111553 -aS'two\ttwo\tCD\tB-NP\tO' -p111554 -aS'plus\tplus\tCC\tI-NP\tO' -p111555 -aS'bilaterally\tbilaterally\tRB\tI-NP\tO' -p111556 -aS'without\twithout\tIN\tB-PP\tO' -p111557 -aS'bruits\tbruit\tNNS\tB-NP\tO' -p111558 -aS'.\t.\t.\tO\tO' -p111559 -asS'10. KCL 20 milliequivalents po q d times three days .' -p111560 -(lp111561 -S'10.\t10.\tCD\tB-NP\tO' -p111562 -aS'KCL\tKCL\tNN\tI-NP\tO' -p111563 -aS'20\t20\tCD\tB-NP\tO' -p111564 -aS'milliequivalents\tmilliequivalent\tNNS\tI-NP\tO' -p111565 -aS'po\tpo\tVBP\tB-VP\tO' -p111566 -aS'q\tq\tNN\tB-NP\tO' -p111567 -aS'd\td\tNN\tI-NP\tO' -p111568 -aS'times\ttime\tNNS\tI-NP\tO' -p111569 -aS'three\tthree\tCD\tB-NP\tO' -p111570 -aS'days\tday\tNNS\tI-NP\tO' -p111571 -aS'.\t.\t.\tO\tO' -p111572 -asS'Vasotec 5 mg PO b.i.d. , Isordil 10 mg PO q.i.d. , Ticlopidine 50 mg PO b.i.d. , Metoprolol 50 mg PO b.i.d. , Ciprofloxacin 500 mg PO q12h x seven days , nitroglycerin 0.3 mg sublingually prn chest pain .' -p111573 -(lp111574 -S'Vasotec\tVasotec\tNNP\tB-NP\tO' -p111575 -aS'5\t5\tCD\tI-NP\tO' -p111576 -aS'mg\tmg\tNN\tI-NP\tO' -p111577 -aS'PO\tPO\tNN\tI-NP\tO' -p111578 -aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' -p111579 -aS',\t,\t,\tO\tO' -p111580 -aS'Isordil\tIsordil\tNN\tB-NP\tO' -p111581 -aS'10\t10\tCD\tI-NP\tO' -p111582 -aS'mg\tmg\tNN\tI-NP\tO' -p111583 -aS'PO\tPO\tNN\tI-NP\tO' -p111584 -aS'q.i.d.\tq.i.d.\tNN\tI-NP\tO' -p111585 -aS',\t,\t,\tO\tO' -p111586 -aS'Ticlopidine\tTiclopidine\tNN\tB-NP\tO' -p111587 -aS'50\t50\tCD\tI-NP\tO' -p111588 -aS'mg\tmg\tNN\tI-NP\tO' -p111589 -aS'PO\tPO\tNN\tI-NP\tO' -p111590 -aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' -p111591 -aS',\t,\t,\tO\tO' -p111592 -aS'Metoprolol\tMetoprolol\tNN\tB-NP\tO' -p111593 -aS'50\t50\tCD\tI-NP\tO' -p111594 -aS'mg\tmg\tNN\tI-NP\tO' -p111595 -aS'PO\tPO\tNN\tI-NP\tO' -p111596 -aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' -p111597 -aS',\t,\t,\tO\tO' -p111598 -aS'Ciprofloxacin\tCiprofloxacin\tNN\tB-NP\tO' -p111599 -aS'500\t500\tCD\tI-NP\tO' -p111600 -aS'mg\tmg\tNN\tI-NP\tO' -p111601 -aS'PO\tPO\tNN\tI-NP\tO' -p111602 -aS'q12h\tq12h\tNN\tI-NP\tO' -p111603 -aS'x\tx\tSYM\tB-VP\tO' -p111604 -aS'seven\tseven\tCD\tB-NP\tO' -p111605 -aS'days\tday\tNNS\tI-NP\tO' -p111606 -aS',\t,\t,\tO\tO' -p111607 -aS'nitroglycerin\tnitroglycerin\tNN\tB-NP\tO' -p111608 -aS'0.3\t0.3\tCD\tI-NP\tO' -p111609 -aS'mg\tmg\tNN\tI-NP\tO' -p111610 -aS'sublingually\tsublingually\tRB\tB-ADVP\tO' -p111611 -aS'prn\tprn\tVBP\tB-VP\tO' -p111612 -aS'chest\tchest\tNN\tB-NP\tO' -p111613 -aS'pain\tpain\tNN\tI-NP\tO' -p111614 -aS'.\t.\t.\tO\tO' -p111615 -asS'2. Status post cardiac catheterization in 2011-11-19 which showed normal coronaries .' -p111616 -(lp111617 -S'2.\t2.\tLS\tB-LST\tO' -p111618 -aS'Status\tStatus\tNNP\tB-NP\tO' -p111619 -aS'post\tpost\tIN\tB-PP\tO' -p111620 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p111621 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p111622 -aS'in\tin\tIN\tB-PP\tO' -p111623 -aS'2011-11-19\t2011-11-19\tCD\tB-NP\tO' -p111624 -aS'which\twhich\tWDT\tB-NP\tO' -p111625 -aS'showed\tshow\tVBD\tB-VP\tO' -p111626 -aS'normal\tnormal\tJJ\tB-NP\tO' -p111627 -aS'coronaries\tcoronary\tNNS\tI-NP\tO' -p111628 -aS'.\t.\t.\tO\tO' -p111629 -asS'12. Status post TURP .' -p111630 -(lp111631 -S'12.\t12.\tLS\tB-NP\tO' -p111632 -aS'Status\tStatus\tNNP\tI-NP\tB-protein' -p111633 -aS'post\tpost\tNN\tI-NP\tI-protein' -p111634 -aS'TURP\tTURP\tNN\tI-NP\tI-protein' -p111635 -aS'.\t.\t.\tO\tO' -p111636 -asS'No oculocephalic reflex .' -p111637 -(lp111638 -S'No\tNo\tDT\tB-NP\tO' -p111639 -aS'oculocephalic\toculocephalic\tJJ\tI-NP\tO' -p111640 -aS'reflex\treflex\tNN\tI-NP\tO' -p111641 -aS'.\t.\t.\tO\tO' -p111642 -asS'EBL 3500 ; IVF 4000 ; UO 45 ; RBC 9U ; Plt 12 pack ; 1u Cryo ; 6U FFP .' -p111643 -(lp111644 -S'EBL\tEBL\tNN\tB-NP\tO' -p111645 -aS'3500\t3500\tCD\tI-NP\tO' -p111646 -aS';\t;\t:\tO\tO' -p111647 -aS'IVF\tIVF\tNN\tB-NP\tO' -p111648 -aS'4000\t4000\tCD\tI-NP\tO' -p111649 -aS';\t;\t:\tO\tO' -p111650 -aS'UO\tUO\tNN\tB-NP\tO' -p111651 -aS'45\t45\tCD\tI-NP\tO' -p111652 -aS';\t;\t:\tO\tO' -p111653 -aS'RBC\tRBC\tNN\tB-NP\tO' -p111654 -aS'9U\t9U\tNN\tI-NP\tO' -p111655 -aS';\t;\t:\tO\tO' -p111656 -aS'Plt\tPlt\tNN\tB-NP\tO' -p111657 -aS'12\t12\tCD\tI-NP\tO' -p111658 -aS'pack\tpack\tNN\tI-NP\tO' -p111659 -aS';\t;\t:\tO\tO' -p111660 -aS'1u\t1u\tCD\tB-NP\tO' -p111661 -aS'Cryo\tCryo\tNNP\tI-NP\tO' -p111662 -aS';\t;\t:\tO\tO' -p111663 -aS'6U\t6U\tNN\tB-NP\tO' -p111664 -aS'FFP\tFFP\tNN\tI-NP\tO' -p111665 -aS'.\t.\t.\tO\tO' -p111666 -asS'(1) ID - Pt received Clinda and Ancef in ED .' -p111667 -(lp111668 -S'(1)\t(1)\tLS\tB-NP\tO' -p111669 -aS'ID\tID\tNN\tI-NP\tB-protein' -p111670 -aS'-\t-\tHYPH\tO\tO' -p111671 -aS'Pt\tPt\tNN\tB-NP\tO' -p111672 -aS'received\treceive\tVBN\tB-VP\tO' -p111673 -aS'Clinda\tClinda\tNNP\tB-NP\tO' -p111674 -aS'and\tand\tCC\tI-NP\tO' -p111675 -aS'Ancef\tAncef\tNNP\tI-NP\tO' -p111676 -aS'in\tin\tIN\tB-PP\tO' -p111677 -aS'ED\tED\tNNP\tB-NP\tO' -p111678 -aS'.\t.\t.\tO\tO' -p111679 -asS"The patient 's BUN and creatinine were followed over the course of her hospital stay ." -p111680 -(lp111681 -S'The\tThe\tDT\tB-NP\tO' -p111682 -aS'patient\tpatient\tNN\tI-NP\tO' -p111683 -aS"'s\t's\tPOS\tB-NP\tO" -p111684 -aS'BUN\tBUN\tNN\tI-NP\tO' -p111685 -aS'and\tand\tCC\tI-NP\tO' -p111686 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p111687 -aS'were\tbe\tVBD\tB-VP\tO' -p111688 -aS'followed\tfollow\tVBN\tI-VP\tO' -p111689 -aS'over\tover\tIN\tB-PP\tO' -p111690 -aS'the\tthe\tDT\tB-NP\tO' -p111691 -aS'course\tcourse\tNN\tI-NP\tO' -p111692 -aS'of\tof\tIN\tB-PP\tO' -p111693 -aS'her\ther\tPRP$\tB-NP\tO' -p111694 -aS'hospital\thospital\tNN\tI-NP\tO' -p111695 -aS'stay\tstay\tNN\tI-NP\tO' -p111696 -aS'.\t.\t.\tO\tO' -p111697 -asS'POST-INFARCTION UNSTABLE ANGINA PECTORIS .' -p111698 -(lp111699 -S'POST-INFARCTION\tPOST-INFARCTION\tNNP\tB-NP\tO' -p111700 -aS'UNSTABLE\tUNSTABLE\tNNP\tI-NP\tO' -p111701 -aS'ANGINA\tANGINA\tNNP\tI-NP\tO' -p111702 -aS'PECTORIS\tPECTORIS\tNNP\tI-NP\tO' -p111703 -aS'.\t.\t.\tO\tO' -p111704 -asS'This is a 72-year-old male with a history of thymoma resected in 1996 , chronic obstructive pulmonary disease , hypothyroidism who was transferred from Gobay Hos Memorial Hospital for an myocardial infarction and cardiac catheterization .' -p111705 -(lp111706 -S'This\tThis\tDT\tB-NP\tO' -p111707 -aS'is\tbe\tVBZ\tB-VP\tO' -p111708 -aS'a\ta\tDT\tB-NP\tO' -p111709 -aS'72-year-old\t72-year-old\tJJ\tI-NP\tO' -p111710 -aS'male\tmale\tNN\tI-NP\tO' -p111711 -aS'with\twith\tIN\tB-PP\tO' -p111712 -aS'a\ta\tDT\tB-NP\tO' -p111713 -aS'history\thistory\tNN\tI-NP\tO' -p111714 -aS'of\tof\tIN\tB-PP\tO' -p111715 -aS'thymoma\tthymoma\tNN\tB-NP\tO' -p111716 -aS'resected\tresecte\tVBN\tB-VP\tO' -p111717 -aS'in\tin\tIN\tB-PP\tO' -p111718 -aS'1996\t1996\tCD\tB-NP\tO' -p111719 -aS',\t,\t,\tO\tO' -p111720 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p111721 -aS'obstructive\tobstructive\tJJ\tI-NP\tO' -p111722 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p111723 -aS'disease\tdisease\tNN\tI-NP\tO' -p111724 -aS',\t,\t,\tO\tO' -p111725 -aS'hypothyroidism\thypothyroidism\tNN\tB-NP\tO' -p111726 -aS'who\twho\tWP\tB-NP\tO' -p111727 -aS'was\tbe\tVBD\tB-VP\tO' -p111728 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p111729 -aS'from\tfrom\tIN\tB-PP\tO' -p111730 -aS'Gobay\tGobay\tNNP\tB-NP\tO' -p111731 -aS'Hos\tHos\tNNP\tI-NP\tO' -p111732 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p111733 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p111734 -aS'for\tfor\tIN\tB-PP\tO' -p111735 -aS'an\tan\tDT\tB-NP\tO' -p111736 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p111737 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p111738 -aS'and\tand\tCC\tO\tO' -p111739 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p111740 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p111741 -aS'.\t.\t.\tO\tO' -p111742 -asS'In addition , he received metoprolol q.4.h. , a regular insulin sliding scale , and adequate gastrointestinal prophylaxis with Protonix .' -p111743 -(lp111744 -S'In\tIn\tIN\tB-PP\tO' -p111745 -aS'addition\taddition\tNN\tB-NP\tO' -p111746 -aS',\t,\t,\tO\tO' -p111747 -aS'he\the\tPRP\tB-NP\tO' -p111748 -aS'received\treceive\tVBD\tB-VP\tO' -p111749 -aS'metoprolol\tmetoprolol\tNN\tB-NP\tO' -p111750 -aS'q.4.h.\tq.4.h.\tNN\tI-NP\tO' -p111751 -aS',\t,\t,\tO\tO' -p111752 -aS'a\ta\tDT\tB-NP\tO' -p111753 -aS'regular\tregular\tJJ\tI-NP\tO' -p111754 -aS'insulin\tinsulin\tNN\tI-NP\tO' -p111755 -aS'sliding\tslide\tVBG\tB-VP\tO' -p111756 -aS'scale\tscale\tNN\tB-NP\tO' -p111757 -aS',\t,\t,\tO\tO' -p111758 -aS'and\tand\tCC\tO\tO' -p111759 -aS'adequate\tadequate\tJJ\tB-NP\tO' -p111760 -aS'gastrointestinal\tgastrointestinal\tJJ\tI-NP\tO' -p111761 -aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' -p111762 -aS'with\twith\tIN\tB-PP\tO' -p111763 -aS'Protonix\tProtonix\tNNP\tB-NP\tO' -p111764 -aS'.\t.\t.\tO\tO' -p111765 -asS'She also had an EEG , which showed left sided slowing on preliminary read .' -p111766 -(lp111767 -S'She\tShe\tPRP\tB-NP\tO' -p111768 -aS'also\talso\tRB\tB-ADVP\tO' -p111769 -aS'had\thave\tVBD\tB-VP\tO' -p111770 -aS'an\tan\tDT\tB-NP\tO' -p111771 -aS'EEG\tEEG\tNN\tI-NP\tB-protein' -p111772 -aS',\t,\t,\tO\tO' -p111773 -aS'which\twhich\tWDT\tB-NP\tO' -p111774 -aS'showed\tshow\tVBD\tB-VP\tO' -p111775 -aS'left\tleft\tJJ\tB-NP\tO' -p111776 -aS'sided\tsided\tJJ\tI-NP\tO' -p111777 -aS'slowing\tslowing\tNN\tI-NP\tO' -p111778 -aS'on\ton\tIN\tB-PP\tO' -p111779 -aS'preliminary\tpreliminary\tJJ\tB-NP\tO' -p111780 -aS'read\tread\tNN\tI-NP\tO' -p111781 -aS'.\t.\t.\tO\tO' -p111782 -asS'NO NOCARDIA ISOLATED .' -p111783 -(lp111784 -S'NO\tNO\tNN\tB-NP\tO' -p111785 -aS'NOCARDIA\tNOCARDIA\tNN\tI-NP\tO' -p111786 -aS'ISOLATED\tISOLATED\tVBN\tB-VP\tO' -p111787 -aS'.\t.\t.\tO\tO' -p111788 -asS'FEV1 0.78 liters , vital capacity 2.12 liters , total lung capacity 5.51 liters , single breath DLCO 5.3 ( 25% predicted ) .' -p111789 -(lp111790 -S'FEV1\tFEV1\tNN\tB-NP\tO' -p111791 -aS'0.78\t0.78\tCD\tI-NP\tO' -p111792 -aS'liters\tliter\tNNS\tI-NP\tO' -p111793 -aS',\t,\t,\tO\tO' -p111794 -aS'vital\tvital\tJJ\tB-NP\tO' -p111795 -aS'capacity\tcapacity\tNN\tI-NP\tO' -p111796 -aS'2.12\t2.12\tCD\tB-NP\tO' -p111797 -aS'liters\tliter\tNNS\tI-NP\tO' -p111798 -aS',\t,\t,\tO\tO' -p111799 -aS'total\ttotal\tJJ\tB-NP\tO' -p111800 -aS'lung\tlung\tNN\tI-NP\tO' -p111801 -aS'capacity\tcapacity\tNN\tI-NP\tO' -p111802 -aS'5.51\t5.51\tCD\tB-NP\tO' -p111803 -aS'liters\tliter\tNNS\tI-NP\tO' -p111804 -aS',\t,\t,\tO\tO' -p111805 -aS'single\tsingle\tJJ\tB-NP\tO' -p111806 -aS'breath\tbreath\tNN\tI-NP\tO' -p111807 -aS'DLCO\tDLCO\tNN\tI-NP\tO' -p111808 -aS'5.3\t5.3\tCD\tI-NP\tO' -p111809 -aS'(\t(\t(\tO\tO' -p111810 -aS'25%\t25%\tCD\tB-NP\tO' -p111811 -aS'predicted\tpredict\tVBN\tB-VP\tO' -p111812 -aS')\t)\t)\tO\tO' -p111813 -aS'.\t.\t.\tO\tO' -p111814 -asS'He is status post recent left knee surgery , status post left carpal tunnel release .' -p111815 -(lp111816 -S'He\tHe\tPRP\tB-NP\tO' -p111817 -aS'is\tbe\tVBZ\tB-VP\tO' -p111818 -aS'status\tstatus\tNN\tB-NP\tO' -p111819 -aS'post\tpost\tIN\tB-PP\tO' -p111820 -aS'recent\trecent\tJJ\tB-NP\tO' -p111821 -aS'left\tleft\tJJ\tI-NP\tO' -p111822 -aS'knee\tknee\tNN\tI-NP\tO' -p111823 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p111824 -aS',\t,\t,\tO\tO' -p111825 -aS'status\tstatus\tNN\tB-NP\tO' -p111826 -aS'post\tpost\tNN\tI-NP\tO' -p111827 -aS'left\tleave\tVBD\tB-VP\tO' -p111828 -aS'carpal\tcarpal\tJJ\tB-NP\tO' -p111829 -aS'tunnel\ttunnel\tNN\tI-NP\tO' -p111830 -aS'release\trelease\tNN\tI-NP\tO' -p111831 -aS'.\t.\t.\tO\tO' -p111832 -asS'He was written for Haldol 1 mg p.o.b.i.d. p.r.n. to help with this problem .' -p111833 -(lp111834 -S'He\tHe\tPRP\tB-NP\tO' -p111835 -aS'was\tbe\tVBD\tB-VP\tO' -p111836 -aS'written\twrite\tVBN\tI-VP\tO' -p111837 -aS'for\tfor\tIN\tB-PP\tO' -p111838 -aS'Haldol\tHaldol\tNN\tB-NP\tO' -p111839 -aS'1\t1\tCD\tI-NP\tO' -p111840 -aS'mg\tmg\tNN\tI-NP\tO' -p111841 -aS'p.o.b.i.d.\tp.o.b.i.d.\tFW\tI-NP\tO' -p111842 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p111843 -aS'to\tto\tTO\tB-VP\tO' -p111844 -aS'help\thelp\tVB\tI-VP\tO' -p111845 -aS'with\twith\tIN\tB-PP\tO' -p111846 -aS'this\tthis\tDT\tB-NP\tO' -p111847 -aS'problem\tproblem\tNN\tI-NP\tO' -p111848 -aS'.\t.\t.\tO\tO' -p111849 -asS'A small gallstone was noted in the gallbladder neck .' -p111850 -(lp111851 -S'A\tA\tDT\tB-NP\tO' -p111852 -aS'small\tsmall\tJJ\tI-NP\tO' -p111853 -aS'gallstone\tgallstone\tNN\tI-NP\tO' -p111854 -aS'was\tbe\tVBD\tB-VP\tO' -p111855 -aS'noted\tnote\tVBN\tI-VP\tO' -p111856 -aS'in\tin\tIN\tB-PP\tO' -p111857 -aS'the\tthe\tDT\tB-NP\tO' -p111858 -aS'gallbladder\tgallbladder\tNN\tI-NP\tO' -p111859 -aS'neck\tneck\tNN\tI-NP\tO' -p111860 -aS'.\t.\t.\tO\tO' -p111861 -asS'No fourth heart sound or third heart sound .' -p111862 -(lp111863 -S'No\tNo\tDT\tB-NP\tO' -p111864 -aS'fourth\tfourth\tJJ\tI-NP\tO' -p111865 -aS'heart\theart\tNN\tI-NP\tO' -p111866 -aS'sound\tsound\tNN\tI-NP\tO' -p111867 -aS'or\tor\tCC\tO\tO' -p111868 -aS'third\tthird\tJJ\tB-NP\tO' -p111869 -aS'heart\theart\tNN\tI-NP\tO' -p111870 -aS'sound\tsound\tNN\tI-NP\tO' -p111871 -aS'.\t.\t.\tO\tO' -p111872 -asS'5. Prednisone 5 mg once daily .' -p111873 -(lp111874 -S'5.\t5.\tLS\tB-NP\tO' -p111875 -aS'Prednisone\tPrednisone\tNN\tI-NP\tO' -p111876 -aS'5\t5\tCD\tI-NP\tO' -p111877 -aS'mg\tmg\tNN\tI-NP\tO' -p111878 -aS'once\tonce\tRB\tB-ADVP\tO' -p111879 -aS'daily\tdaily\tRB\tI-ADVP\tO' -p111880 -aS'.\t.\t.\tO\tO' -p111881 -asS'ABG on arrival to the ICU was 7.29/56/75 .' -p111882 -(lp111883 -S'ABG\tABG\tNN\tB-NP\tO' -p111884 -aS'on\ton\tIN\tB-PP\tO' -p111885 -aS'arrival\tarrival\tNN\tB-NP\tO' -p111886 -aS'to\tto\tTO\tB-PP\tO' -p111887 -aS'the\tthe\tDT\tB-NP\tO' -p111888 -aS'ICU\tICU\tNN\tI-NP\tB-DNA' -p111889 -aS'was\tbe\tVBD\tB-VP\tO' -p111890 -aS'7.29/56/75\t7.29/56/75\tCD\tB-NP\tO' -p111891 -aS'.\t.\t.\tO\tO' -p111892 -asS'intravenous albumin for treatment of prerenal azotemia .' -p111893 -(lp111894 -S'intravenous\tintravenous\tJJ\tB-NP\tO' -p111895 -aS'albumin\talbumin\tNN\tI-NP\tO' -p111896 -aS'for\tfor\tIN\tB-PP\tO' -p111897 -aS'treatment\ttreatment\tNN\tB-NP\tO' -p111898 -aS'of\tof\tIN\tB-PP\tO' -p111899 -aS'prerenal\tprerenal\tJJ\tB-NP\tO' -p111900 -aS'azotemia\tazotemia\tNN\tI-NP\tO' -p111901 -aS'.\t.\t.\tO\tO' -p111902 -asS'NEUROLOGIC : Infant has been appropriate for gestational age .' -p111903 -(lp111904 -S'NEUROLOGIC\tNEUROLOGIC\tNN\tB-NP\tO' -p111905 -aS':\t:\t:\tO\tO' -p111906 -aS'Infant\tInfant\tNNP\tB-NP\tO' -p111907 -aS'has\thave\tVBZ\tB-VP\tO' -p111908 -aS'been\tbe\tVBN\tI-VP\tO' -p111909 -aS'appropriate\tappropriate\tJJ\tB-ADJP\tO' -p111910 -aS'for\tfor\tIN\tB-PP\tO' -p111911 -aS'gestational\tgestational\tJJ\tB-NP\tO' -p111912 -aS'age\tage\tNN\tI-NP\tO' -p111913 -aS'.\t.\t.\tO\tO' -p111914 -asS'Son died at 50 of diabetes and myocardial infarction .' -p111915 -(lp111916 -S'Son\tSon\tNNP\tB-NP\tO' -p111917 -aS'died\tdie\tVBD\tB-VP\tO' -p111918 -aS'at\tat\tIN\tB-PP\tO' -p111919 -aS'50\t50\tCD\tB-NP\tO' -p111920 -aS'of\tof\tIN\tB-PP\tO' -p111921 -aS'diabetes\tdiabetes\tNN\tB-NP\tO' -p111922 -aS'and\tand\tCC\tO\tO' -p111923 -aS'myocardial\tmyocardial\tJJ\tB-NP\tO' -p111924 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p111925 -aS'.\t.\t.\tO\tO' -p111926 -asS'1. Post pericardiotomy syndrome .' -p111927 -(lp111928 -S'1.\t1.\tLS\tB-NP\tO' -p111929 -aS'Post\tPost\tNN\tI-NP\tO' -p111930 -aS'pericardiotomy\tpericardiotomy\tNN\tI-NP\tO' -p111931 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p111932 -aS'.\t.\t.\tO\tO' -p111933 -asS'The aortic valve leaflets ( 3 ) appear structurally normal with good leaflet excursion and no aortic regurgitation .' -p111934 -(lp111935 -S'The\tThe\tDT\tB-NP\tO' -p111936 -aS'aortic\taortic\tJJ\tI-NP\tO' -p111937 -aS'valve\tvalve\tNN\tI-NP\tO' -p111938 -aS'leaflets\tleaflet\tNNS\tI-NP\tO' -p111939 -aS'(\t(\t(\tO\tO' -p111940 -aS'3\t3\tCD\tB-NP\tO' -p111941 -aS')\t)\t)\tO\tO' -p111942 -aS'appear\tappear\tVBP\tB-VP\tO' -p111943 -aS'structurally\tstructurally\tRB\tB-ADJP\tO' -p111944 -aS'normal\tnormal\tJJ\tI-ADJP\tO' -p111945 -aS'with\twith\tIN\tB-PP\tO' -p111946 -aS'good\tgood\tJJ\tB-NP\tO' -p111947 -aS'leaflet\tleaflet\tNN\tI-NP\tO' -p111948 -aS'excursion\texcursion\tNN\tI-NP\tO' -p111949 -aS'and\tand\tCC\tO\tO' -p111950 -aS'no\tno\tDT\tB-NP\tO' -p111951 -aS'aortic\taortic\tJJ\tI-NP\tO' -p111952 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p111953 -aS'.\t.\t.\tO\tO' -p111954 -asS'At the same time , the patient also developed distentions of the abdomen consistent with accumulation of ascitic fluid .' -p111955 -(lp111956 -S'At\tAt\tIN\tB-PP\tO' -p111957 -aS'the\tthe\tDT\tB-NP\tO' -p111958 -aS'same\tsame\tJJ\tI-NP\tO' -p111959 -aS'time\ttime\tNN\tI-NP\tO' -p111960 -aS',\t,\t,\tO\tO' -p111961 -aS'the\tthe\tDT\tB-NP\tO' -p111962 -aS'patient\tpatient\tNN\tI-NP\tO' -p111963 -aS'also\talso\tRB\tB-ADVP\tO' -p111964 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p111965 -aS'distentions\tdistention\tNNS\tB-NP\tO' -p111966 -aS'of\tof\tIN\tB-PP\tO' -p111967 -aS'the\tthe\tDT\tB-NP\tO' -p111968 -aS'abdomen\tabdoman\tNNS\tI-NP\tO' -p111969 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p111970 -aS'with\twith\tIN\tB-PP\tO' -p111971 -aS'accumulation\taccumulation\tNN\tB-NP\tO' -p111972 -aS'of\tof\tIN\tB-PP\tO' -p111973 -aS'ascitic\tascitic\tJJ\tB-NP\tO' -p111974 -aS'fluid\tfluid\tNN\tI-NP\tO' -p111975 -aS'.\t.\t.\tO\tO' -p111976 -asS'1. The patient has an appointment to initiate primary care , as she no longer had a primary care physician .' -p111977 -(lp111978 -S'1.\t1.\tLS\tB-LST\tO' -p111979 -aS'The\tThe\tDT\tB-NP\tO' -p111980 -aS'patient\tpatient\tNN\tI-NP\tO' -p111981 -aS'has\thave\tVBZ\tB-VP\tO' -p111982 -aS'an\tan\tDT\tB-NP\tO' -p111983 -aS'appointment\tappointment\tNN\tI-NP\tO' -p111984 -aS'to\tto\tTO\tB-VP\tO' -p111985 -aS'initiate\tinitiate\tVB\tI-VP\tO' -p111986 -aS'primary\tprimary\tJJ\tB-NP\tO' -p111987 -aS'care\tcare\tNN\tI-NP\tO' -p111988 -aS',\t,\t,\tO\tO' -p111989 -aS'as\tas\tIN\tB-SBAR\tO' -p111990 -aS'she\tshe\tPRP\tB-NP\tO' -p111991 -aS'no\tno\tRB\tB-ADVP\tO' -p111992 -aS'longer\tlonger\tRBR\tI-ADVP\tO' -p111993 -aS'had\thave\tVBD\tB-VP\tO' -p111994 -aS'a\ta\tDT\tB-NP\tO' -p111995 -aS'primary\tprimary\tJJ\tI-NP\tO' -p111996 -aS'care\tcare\tNN\tI-NP\tO' -p111997 -aS'physician\tphysician\tNN\tI-NP\tO' -p111998 -aS'.\t.\t.\tO\tO' -p111999 -asS'His stools have been brown to green .' -p112000 -(lp112001 -S'His\tHis\tPRP$\tB-NP\tO' -p112002 -aS'stools\tstool\tNNS\tI-NP\tO' -p112003 -aS'have\thave\tVBP\tB-VP\tO' -p112004 -aS'been\tbe\tVBN\tI-VP\tO' -p112005 -aS'brown\tbrown\tVBN\tI-VP\tO' -p112006 -aS'to\tto\tTO\tB-PP\tO' -p112007 -aS'green\tgreen\tJJ\tB-ADJP\tO' -p112008 -aS'.\t.\t.\tO\tO' -p112009 -asS'Patient remained cardiovascularly stable .' -p112010 -(lp112011 -S'Patient\tPatient\tNN\tB-NP\tO' -p112012 -aS'remained\tremain\tVBD\tB-VP\tO' -p112013 -aS'cardiovascularly\tcardiovascularly\tRB\tB-ADJP\tO' -p112014 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p112015 -aS'.\t.\t.\tO\tO' -p112016 -asS'Postoperative confusion , transient and resolved spontaneously .' -p112017 -(lp112018 -S'Postoperative\tPostoperative\tJJ\tB-NP\tO' -p112019 -aS'confusion\tconfusion\tNN\tI-NP\tO' -p112020 -aS',\t,\t,\tO\tO' -p112021 -aS'transient\ttransient\tJJ\tB-ADJP\tO' -p112022 -aS'and\tand\tCC\tO\tO' -p112023 -aS'resolved\tresolve\tVBN\tB-VP\tO' -p112024 -aS'spontaneously\tspontaneously\tRB\tB-ADVP\tO' -p112025 -aS'.\t.\t.\tO\tO' -p112026 -asS'Edematous .' -p112027 -(lp112028 -S'Edematous\tEdematous\tJJ\tB-ADJP\tO' -p112029 -aS'.\t.\t.\tO\tO' -p112030 -asS'Preterm labor with new onset of late decelerations and breech presentation .' -p112031 -(lp112032 -S'Preterm\tPreterm\tJJ\tB-NP\tO' -p112033 -aS'labor\tlabor\tNN\tI-NP\tO' -p112034 -aS'with\twith\tIN\tB-PP\tO' -p112035 -aS'new\tnew\tJJ\tB-NP\tO' -p112036 -aS'onset\tonset\tNN\tI-NP\tO' -p112037 -aS'of\tof\tIN\tB-PP\tO' -p112038 -aS'late\tlate\tJJ\tB-NP\tO' -p112039 -aS'decelerations\tdeceleration\tNNS\tI-NP\tO' -p112040 -aS'and\tand\tCC\tO\tO' -p112041 -aS'breech\tbreech\tNN\tB-NP\tO' -p112042 -aS'presentation\tpresentation\tNN\tI-NP\tO' -p112043 -aS'.\t.\t.\tO\tO' -p112044 -asS'1. Bactrim single strength 1 tablet po qd .' -p112045 -(lp112046 -S'1.\t1.\tLS\tB-NP\tO' -p112047 -aS'Bactrim\tBactrim\tNNP\tI-NP\tO' -p112048 -aS'single\tsingle\tJJ\tI-NP\tO' -p112049 -aS'strength\tstrength\tNN\tI-NP\tO' -p112050 -aS'1\t1\tCD\tI-NP\tO' -p112051 -aS'tablet\ttablet\tNN\tI-NP\tO' -p112052 -aS'po\tpo\tNN\tI-NP\tO' -p112053 -aS'qd\tqd\tNN\tI-NP\tO' -p112054 -aS'.\t.\t.\tO\tO' -p112055 -asS'His Dobbhoff tube was removed .' -p112056 -(lp112057 -S'His\tHis\tPRP$\tB-NP\tB-protein' -p112058 -aS'Dobbhoff\tDobbhoff\tNNP\tI-NP\tO' -p112059 -aS'tube\ttube\tNN\tI-NP\tO' -p112060 -aS'was\tbe\tVBD\tB-VP\tO' -p112061 -aS'removed\tremove\tVBN\tI-VP\tO' -p112062 -aS'.\t.\t.\tO\tO' -p112063 -asS'Sulfonamides / Penicillins / Tetracyclines / Azithromycin / Iodine / Shellfish / Ace Inhibitors / Ciprofloxacin' -p112064 -(lp112065 -S'Sulfonamides\tSulfonamide\tNNS\tB-NP\tO' -p112066 -aS'/\t/\tSYM\tB-NP\tB-protein' -p112067 -aS'Penicillins\tPenicillin\tNNPS\tI-NP\tI-protein' -p112068 -aS'/\t/\tSYM\tI-NP\tB-cell_line' -p112069 -aS'Tetracyclines\tTetracycline\tNNPS\tI-NP\tI-cell_line' -p112070 -aS'/\t/\tSYM\tI-NP\tO' -p112071 -aS'Azithromycin\tAzithromycin\tNN\tI-NP\tO' -p112072 -aS'/\t/\tSYM\tB-NP\tO' -p112073 -aS'Iodine\tIodine\tNN\tI-NP\tO' -p112074 -aS'/\t/\tSYM\tI-NP\tO' -p112075 -aS'Shellfish\tShellfish\tNN\tI-NP\tO' -p112076 -aS'/\t/\tSYM\tB-NP\tO' -p112077 -aS'Ace\tAce\tNN\tB-NP\tO' -p112078 -aS'Inhibitors\tInhibitor\tNNS\tI-NP\tO' -p112079 -aS'/\t/\tSYM\tO\tO' -p112080 -aS'Ciprofloxacin\tCiprofloxacin\tNN\tB-NP\tO' -p112081 -asS'Well appearing in no apparent distress .' -p112082 -(lp112083 -S'Well\tWell\tRB\tB-ADVP\tO' -p112084 -aS'appearing\tappear\tVBG\tB-VP\tO' -p112085 -aS'in\tin\tIN\tB-PP\tO' -p112086 -aS'no\tno\tDT\tB-NP\tO' -p112087 -aS'apparent\tapparent\tJJ\tI-NP\tO' -p112088 -aS'distress\tdistress\tNN\tI-NP\tO' -p112089 -aS'.\t.\t.\tO\tO' -p112090 -asS'Abdominal examination was benign .' -p112091 -(lp112092 -S'Abdominal\tAbdominal\tJJ\tB-NP\tO' -p112093 -aS'examination\texamination\tNN\tI-NP\tO' -p112094 -aS'was\tbe\tVBD\tB-VP\tO' -p112095 -aS'benign\tbenign\tJJ\tB-ADJP\tO' -p112096 -aS'.\t.\t.\tO\tO' -p112097 -asS'Incidentally , an aortogram during the catheterization revealed a Debakey class I aortic ascending aneurysm , and the patient had a pulmonary capillary wedge pressure of 20 at the time of catheterization .' -p112098 -(lp112099 -S'Incidentally\tIncidentally\tRB\tB-ADVP\tO' -p112100 -aS',\t,\t,\tO\tO' -p112101 -aS'an\tan\tDT\tB-NP\tO' -p112102 -aS'aortogram\taortogram\tNN\tI-NP\tO' -p112103 -aS'during\tduring\tIN\tB-PP\tO' -p112104 -aS'the\tthe\tDT\tB-NP\tO' -p112105 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p112106 -aS'revealed\treveal\tVBD\tB-VP\tO' -p112107 -aS'a\ta\tDT\tB-NP\tO' -p112108 -aS'Debakey\tDebakey\tNNP\tI-NP\tO' -p112109 -aS'class\tclass\tNN\tI-NP\tO' -p112110 -aS'I\tI\tCD\tI-NP\tO' -p112111 -aS'aortic\taortic\tJJ\tI-NP\tO' -p112112 -aS'ascending\tascend\tVBG\tI-NP\tO' -p112113 -aS'aneurysm\taneurysm\tNN\tI-NP\tO' -p112114 -aS',\t,\t,\tO\tO' -p112115 -aS'and\tand\tCC\tO\tO' -p112116 -aS'the\tthe\tDT\tB-NP\tO' -p112117 -aS'patient\tpatient\tNN\tI-NP\tO' -p112118 -aS'had\thave\tVBD\tB-VP\tO' -p112119 -aS'a\ta\tDT\tB-NP\tO' -p112120 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p112121 -aS'capillary\tcapillary\tJJ\tI-NP\tO' -p112122 -aS'wedge\twedge\tNN\tI-NP\tO' -p112123 -aS'pressure\tpressure\tNN\tI-NP\tO' -p112124 -aS'of\tof\tIN\tB-PP\tO' -p112125 -aS'20\t20\tCD\tB-NP\tO' -p112126 -aS'at\tat\tIN\tB-PP\tO' -p112127 -aS'the\tthe\tDT\tB-NP\tO' -p112128 -aS'time\ttime\tNN\tI-NP\tO' -p112129 -aS'of\tof\tIN\tB-PP\tO' -p112130 -aS'catheterization\tcatheterization\tNN\tB-NP\tO' -p112131 -aS'.\t.\t.\tO\tO' -p112132 -asS'Wash incisions with warm water and gentle soap .' -p112133 -(lp112134 -S'Wash\tWash\tJJ\tB-NP\tO' -p112135 -aS'incisions\tincision\tNNS\tI-NP\tO' -p112136 -aS'with\twith\tIN\tB-PP\tO' -p112137 -aS'warm\twarm\tJJ\tB-NP\tO' -p112138 -aS'water\twater\tNN\tI-NP\tO' -p112139 -aS'and\tand\tCC\tO\tO' -p112140 -aS'gentle\tgentle\tJJ\tB-NP\tO' -p112141 -aS'soap\tsoap\tNN\tI-NP\tO' -p112142 -aS'.\t.\t.\tO\tO' -p112143 -asS'When the patient became hypotensive and required intubation and pressors , his antibiotics were broadened , and he was put on stress-dose steroids .' -p112144 -(lp112145 -S'When\tWhen\tWRB\tB-ADVP\tO' -p112146 -aS'the\tthe\tDT\tB-NP\tO' -p112147 -aS'patient\tpatient\tNN\tI-NP\tO' -p112148 -aS'became\tbecome\tVBD\tB-VP\tO' -p112149 -aS'hypotensive\thypotensive\tJJ\tB-NP\tO' -p112150 -aS'and\tand\tCC\tI-NP\tO' -p112151 -aS'required\trequired\tJJ\tI-NP\tO' -p112152 -aS'intubation\tintubation\tNN\tI-NP\tO' -p112153 -aS'and\tand\tCC\tI-NP\tO' -p112154 -aS'pressors\tpressor\tNNS\tI-NP\tO' -p112155 -aS',\t,\t,\tO\tO' -p112156 -aS'his\this\tPRP$\tB-NP\tO' -p112157 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p112158 -aS'were\tbe\tVBD\tB-VP\tO' -p112159 -aS'broadened\tbroaden\tVBN\tI-VP\tO' -p112160 -aS',\t,\t,\tO\tO' -p112161 -aS'and\tand\tCC\tO\tO' -p112162 -aS'he\the\tPRP\tB-NP\tO' -p112163 -aS'was\tbe\tVBD\tB-VP\tO' -p112164 -aS'put\tput\tVBN\tI-VP\tO' -p112165 -aS'on\ton\tIN\tB-PP\tO' -p112166 -aS'stress-dose\tstress-dose\tJJ\tB-NP\tO' -p112167 -aS'steroids\tsteroid\tNNS\tI-NP\tO' -p112168 -aS'.\t.\t.\tO\tO' -p112169 -asS'OTHER DIAGNOSIS ; Conditions , Infections , Complications , affecting Treatment / Stay DM2 , s / p splenectomy , depression' -p112170 -(lp112171 -S'OTHER\tOTHER\tNN\tB-NP\tO' -p112172 -aS'DIAGNOSIS\tDIAGNOSIS\tNN\tI-NP\tO' -p112173 -aS';\t;\t:\tO\tO' -p112174 -aS'Conditions\tCondition\tNNS\tB-NP\tO' -p112175 -aS',\t,\t,\tO\tO' -p112176 -aS'Infections\tInfection\tNNS\tB-NP\tO' -p112177 -aS',\t,\t,\tO\tO' -p112178 -aS'Complications\tComplication\tNNS\tB-NP\tO' -p112179 -aS',\t,\t,\tO\tO' -p112180 -aS'affecting\taffect\tVBG\tB-VP\tO' -p112181 -aS'Treatment\tTreatment\tNN\tB-NP\tO' -p112182 -aS'/\t/\tSYM\tB-NP\tO' -p112183 -aS'Stay\tStay\tNN\tI-NP\tO' -p112184 -aS'DM2\tDM2\tNN\tI-NP\tO' -p112185 -aS',\t,\t,\tO\tO' -p112186 -aS's\ts\tNN\tB-NP\tO' -p112187 -aS'/\t/\tSYM\tI-NP\tO' -p112188 -aS'p\tp\tNN\tI-NP\tO' -p112189 -aS'splenectomy\tsplenectomy\tNN\tI-NP\tO' -p112190 -aS',\t,\t,\tO\tO' -p112191 -aS'depression\tdepression\tNN\tB-NP\tO' -p112192 -asS'5. Enteric Coated Aspirin 325 mg p.o. daily .' -p112193 -(lp112194 -S'5.\t5.\tLS\tB-NP\tO' -p112195 -aS'Enteric\tEnteric\tJJ\tI-NP\tO' -p112196 -aS'Coated\tCoated\tJJ\tI-NP\tO' -p112197 -aS'Aspirin\tAspirin\tNN\tI-NP\tO' -p112198 -aS'325\t325\tCD\tI-NP\tO' -p112199 -aS'mg\tmg\tNN\tI-NP\tO' -p112200 -aS'p.o.\tp.o.\tRB\tB-ADVP\tO' -p112201 -aS'daily\tdaily\tRB\tI-ADVP\tO' -p112202 -aS'.\t.\t.\tO\tO' -p112203 -asS'Electrocardiograms progressed to inverted T waves in V5 and V6 .' -p112204 -(lp112205 -S'Electrocardiograms\tElectrocardiogram\tNNS\tB-NP\tO' -p112206 -aS'progressed\tprogress\tVBD\tB-VP\tO' -p112207 -aS'to\tto\tTO\tB-PP\tO' -p112208 -aS'inverted\tinverted\tJJ\tB-NP\tO' -p112209 -aS'T\tT\tNN\tI-NP\tO' -p112210 -aS'waves\twave\tNNS\tI-NP\tO' -p112211 -aS'in\tin\tIN\tB-PP\tO' -p112212 -aS'V5\tV5\tNN\tB-NP\tO' -p112213 -aS'and\tand\tCC\tI-NP\tO' -p112214 -aS'V6\tV6\tNN\tI-NP\tB-protein' -p112215 -aS'.\t.\t.\tO\tO' -p112216 -asS'2. Aspirin 325 mg Tablet , Delayed Release ( E.C. ) Sig : One ( 1 ) Tablet , Delayed Release ( E.C. ) PO DAILY ( Daily ) .' -p112217 -(lp112218 -S'2.\t2.\tLS\tB-NP\tO' -p112219 -aS'Aspirin\tAspirin\tNN\tI-NP\tO' -p112220 -aS'325\t325\tCD\tB-NP\tO' -p112221 -aS'mg\tmg\tNN\tI-NP\tO' -p112222 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p112223 -aS',\t,\t,\tO\tO' -p112224 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p112225 -aS'Release\tRelease\tNNP\tI-NP\tO' -p112226 -aS'(\t(\t(\tO\tO' -p112227 -aS'E.C.\tE.C.\tNNP\tB-NP\tO' -p112228 -aS')\t)\t)\tO\tO' -p112229 -aS'Sig\tSig\tNNP\tB-NP\tO' -p112230 -aS':\t:\t:\tO\tO' -p112231 -aS'One\tOne\tCD\tB-NP\tO' -p112232 -aS'(\t(\t(\tO\tO' -p112233 -aS'1\t1\tCD\tB-NP\tO' -p112234 -aS')\t)\t)\tO\tO' -p112235 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p112236 -aS',\t,\t,\tO\tO' -p112237 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p112238 -aS'Release\tRelease\tNNP\tI-NP\tO' -p112239 -aS'(\t(\t(\tO\tO' -p112240 -aS'E.C.\tE.C.\tNNP\tO\tO' -p112241 -aS')\t)\t)\tO\tO' -p112242 -aS'PO\tPO\tNN\tB-NP\tO' -p112243 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p112244 -aS'(\t(\t(\tO\tO' -p112245 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p112246 -aS')\t)\t)\tO\tO' -p112247 -aS'.\t.\t.\tO\tO' -p112248 -asS'This pregnancy was complicated by a prenatal diagnosis of a congenital cystic adenomatoid malformation' -p112249 -(lp112250 -S'This\tThis\tDT\tB-NP\tO' -p112251 -aS'pregnancy\tpregnancy\tNN\tI-NP\tO' -p112252 -aS'was\tbe\tVBD\tB-VP\tO' -p112253 -aS'complicated\tcomplicate\tVBN\tI-VP\tO' -p112254 -aS'by\tby\tIN\tB-PP\tO' -p112255 -aS'a\ta\tDT\tB-NP\tO' -p112256 -aS'prenatal\tprenatal\tJJ\tI-NP\tO' -p112257 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p112258 -aS'of\tof\tIN\tB-PP\tO' -p112259 -aS'a\ta\tDT\tB-NP\tO' -p112260 -aS'congenital\tcongenital\tJJ\tI-NP\tO' -p112261 -aS'cystic\tcystic\tJJ\tI-NP\tO' -p112262 -aS'adenomatoid\tadenomatoid\tJJ\tI-NP\tO' -p112263 -aS'malformation\tmalformation\tNN\tI-NP\tO' -p112264 -asS'Post-operatively , he was slow to recover but did progressed nicely .' -p112265 -(lp112266 -S'Post-operatively\tPost-operatively\tRB\tB-ADVP\tO' -p112267 -aS',\t,\t,\tO\tO' -p112268 -aS'he\the\tPRP\tB-NP\tO' -p112269 -aS'was\tbe\tVBD\tB-VP\tO' -p112270 -aS'slow\tslow\tJJ\tB-ADJP\tO' -p112271 -aS'to\tto\tTO\tB-VP\tO' -p112272 -aS'recover\trecover\tVB\tI-VP\tO' -p112273 -aS'but\tbut\tCC\tO\tO' -p112274 -aS'did\tdo\tVBD\tB-VP\tO' -p112275 -aS'progressed\tprogress\tVBN\tI-VP\tO' -p112276 -aS'nicely\tnicely\tRB\tB-ADVP\tO' -p112277 -aS'.\t.\t.\tO\tO' -p112278 -asS'You are to return to the hospital immediately if you should experience any chest pain , shortness of breath , fevers or any other worrisome symptom .' -p112279 -(lp112280 -S'You\tYou\tPRP\tB-NP\tB-protein' -p112281 -aS'are\tbe\tVBP\tB-VP\tO' -p112282 -aS'to\tto\tTO\tI-VP\tO' -p112283 -aS'return\treturn\tVB\tI-VP\tO' -p112284 -aS'to\tto\tTO\tB-PP\tO' -p112285 -aS'the\tthe\tDT\tB-NP\tO' -p112286 -aS'hospital\thospital\tNN\tI-NP\tO' -p112287 -aS'immediately\timmediately\tRB\tB-ADVP\tO' -p112288 -aS'if\tif\tIN\tB-SBAR\tO' -p112289 -aS'you\tyou\tPRP\tB-NP\tO' -p112290 -aS'should\tshould\tMD\tB-VP\tO' -p112291 -aS'experience\texperience\tVB\tI-VP\tO' -p112292 -aS'any\tany\tDT\tB-NP\tO' -p112293 -aS'chest\tchest\tNN\tI-NP\tO' -p112294 -aS'pain\tpain\tNN\tI-NP\tO' -p112295 -aS',\t,\t,\tO\tO' -p112296 -aS'shortness\tshortness\tNN\tB-NP\tO' -p112297 -aS'of\tof\tIN\tB-PP\tO' -p112298 -aS'breath\tbreath\tNN\tB-NP\tO' -p112299 -aS',\t,\t,\tO\tO' -p112300 -aS'fevers\tfever\tNNS\tB-NP\tO' -p112301 -aS'or\tor\tCC\tO\tO' -p112302 -aS'any\tany\tDT\tB-NP\tO' -p112303 -aS'other\tother\tJJ\tI-NP\tO' -p112304 -aS'worrisome\tworrisome\tJJ\tI-NP\tO' -p112305 -aS'symptom\tsymptom\tNN\tI-NP\tO' -p112306 -aS'.\t.\t.\tO\tO' -p112307 -asS'Please increase zonegran dose by 50 every other week until it reaches 200 mg daily , with first dose change 10-12 to 150 mg daily and second dose change 10-26 to 200 mg daily .' -p112308 -(lp112309 -S'Please\tPlease\tNN\tB-NP\tB-protein' -p112310 -aS'increase\tincrease\tVBP\tB-VP\tO' -p112311 -aS'zonegran\tzonegran\tNN\tB-NP\tO' -p112312 -aS'dose\tdose\tNN\tI-NP\tO' -p112313 -aS'by\tby\tIN\tB-PP\tO' -p112314 -aS'50\t50\tCD\tB-NP\tO' -p112315 -aS'every\tevery\tDT\tB-NP\tO' -p112316 -aS'other\tother\tJJ\tI-NP\tO' -p112317 -aS'week\tweek\tNN\tI-NP\tO' -p112318 -aS'until\tuntil\tIN\tB-SBAR\tO' -p112319 -aS'it\tit\tPRP\tB-NP\tO' -p112320 -aS'reaches\treach\tVBZ\tB-VP\tO' -p112321 -aS'200\t200\tCD\tB-NP\tO' -p112322 -aS'mg\tmg\tNN\tI-NP\tO' -p112323 -aS'daily\tdaily\tRB\tB-ADVP\tO' -p112324 -aS',\t,\t,\tO\tO' -p112325 -aS'with\twith\tIN\tB-PP\tO' -p112326 -aS'first\tfirst\tJJ\tB-NP\tO' -p112327 -aS'dose\tdose\tNN\tI-NP\tO' -p112328 -aS'change\tchange\tNN\tI-NP\tO' -p112329 -aS'10-12\t10-12\tCD\tB-NP\tO' -p112330 -aS'to\tto\tTO\tI-NP\tO' -p112331 -aS'150\t150\tCD\tI-NP\tO' -p112332 -aS'mg\tmg\tNN\tI-NP\tO' -p112333 -aS'daily\tdaily\tJJ\tI-NP\tO' -p112334 -aS'and\tand\tCC\tI-NP\tO' -p112335 -aS'second\tsecond\tJJ\tI-NP\tO' -p112336 -aS'dose\tdose\tNN\tI-NP\tO' -p112337 -aS'change\tchange\tNN\tI-NP\tO' -p112338 -aS'10-26\t10-26\tCD\tB-NP\tO' -p112339 -aS'to\tto\tTO\tI-NP\tO' -p112340 -aS'200\t200\tCD\tI-NP\tO' -p112341 -aS'mg\tmg\tNN\tI-NP\tO' -p112342 -aS'daily\tdaily\tRB\tB-ADVP\tO' -p112343 -aS'.\t.\t.\tO\tO' -p112344 -asS'Regular rate and rhythm with no extra heart sounds and no murmurs .' -p112345 -(lp112346 -S'Regular\tRegular\tJJ\tB-NP\tO' -p112347 -aS'rate\trate\tNN\tI-NP\tO' -p112348 -aS'and\tand\tCC\tI-NP\tO' -p112349 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p112350 -aS'with\twith\tIN\tB-PP\tO' -p112351 -aS'no\tno\tDT\tB-NP\tO' -p112352 -aS'extra\textra\tJJ\tI-NP\tO' -p112353 -aS'heart\theart\tNN\tI-NP\tO' -p112354 -aS'sounds\tsound\tNNS\tI-NP\tO' -p112355 -aS'and\tand\tCC\tO\tO' -p112356 -aS'no\tno\tDT\tB-NP\tO' -p112357 -aS'murmurs\tmurmur\tNNS\tI-NP\tO' -p112358 -aS'.\t.\t.\tO\tO' -p112359 -asS'Over the next several days with the assisstance of the nursing staff and physical therapy the patients activity level was advanced , he was transitioned to all oral medications with the exception of his antibiotics .' -p112360 -(lp112361 -S'Over\tOver\tIN\tB-PP\tO' -p112362 -aS'the\tthe\tDT\tB-NP\tO' -p112363 -aS'next\tnext\tJJ\tI-NP\tO' -p112364 -aS'several\tseveral\tJJ\tI-NP\tO' -p112365 -aS'days\tday\tNNS\tI-NP\tO' -p112366 -aS'with\twith\tIN\tB-PP\tO' -p112367 -aS'the\tthe\tDT\tB-NP\tO' -p112368 -aS'assisstance\tassisstance\tNN\tI-NP\tO' -p112369 -aS'of\tof\tIN\tB-PP\tO' -p112370 -aS'the\tthe\tDT\tB-NP\tO' -p112371 -aS'nursing\tnursing\tNN\tI-NP\tO' -p112372 -aS'staff\tstaff\tNN\tI-NP\tO' -p112373 -aS'and\tand\tCC\tO\tO' -p112374 -aS'physical\tphysical\tJJ\tB-NP\tO' -p112375 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p112376 -aS'the\tthe\tDT\tB-NP\tO' -p112377 -aS'patients\tpatient\tNNS\tI-NP\tO' -p112378 -aS'activity\tactivity\tNN\tI-NP\tO' -p112379 -aS'level\tlevel\tNN\tI-NP\tO' -p112380 -aS'was\tbe\tVBD\tB-VP\tO' -p112381 -aS'advanced\tadvance\tVBN\tI-VP\tO' -p112382 -aS',\t,\t,\tO\tO' -p112383 -aS'he\the\tPRP\tB-NP\tO' -p112384 -aS'was\tbe\tVBD\tB-VP\tO' -p112385 -aS'transitioned\ttransitione\tVBN\tI-VP\tO' -p112386 -aS'to\tto\tTO\tB-PP\tO' -p112387 -aS'all\tall\tDT\tB-NP\tO' -p112388 -aS'oral\toral\tJJ\tI-NP\tO' -p112389 -aS'medications\tmedication\tNNS\tI-NP\tO' -p112390 -aS'with\twith\tIN\tB-PP\tO' -p112391 -aS'the\tthe\tDT\tB-NP\tO' -p112392 -aS'exception\texception\tNN\tI-NP\tO' -p112393 -aS'of\tof\tIN\tB-PP\tO' -p112394 -aS'his\this\tPRP$\tB-NP\tO' -p112395 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p112396 -aS'.\t.\t.\tO\tO' -p112397 -asS'161-200 mg / dL 3 Units 4 Units 2 Units 0 Units' -p112398 -(lp112399 -S'161-200\t161-200\tCD\tB-NP\tO' -p112400 -aS'mg\tmg\tNN\tI-NP\tO' -p112401 -aS'/\t/\tSYM\tB-NP\tO' -p112402 -aS'dL\tdL\tNN\tB-NP\tB-protein' -p112403 -aS'3\t3\tCD\tI-NP\tI-protein' -p112404 -aS'Units\tUnits\tNNP\tI-NP\tI-protein' -p112405 -aS'4\t4\tCD\tI-NP\tI-protein' -p112406 -aS'Units\tUnit\tNNS\tI-NP\tI-protein' -p112407 -aS'2\t2\tCD\tI-NP\tI-protein' -p112408 -aS'Units\tUnits\tNNP\tI-NP\tI-protein' -p112409 -aS'0\t0\tCD\tI-NP\tI-protein' -p112410 -aS'Units\tUnit\tNNS\tI-NP\tI-protein' -p112411 -asS'The past medical history is notable for lymphosarcoma in 1970 .' -p112412 -(lp112413 -S'The\tThe\tDT\tB-NP\tO' -p112414 -aS'past\tpast\tJJ\tI-NP\tO' -p112415 -aS'medical\tmedical\tJJ\tI-NP\tO' -p112416 -aS'history\thistory\tNN\tI-NP\tO' -p112417 -aS'is\tbe\tVBZ\tB-VP\tO' -p112418 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p112419 -aS'for\tfor\tIN\tB-PP\tO' -p112420 -aS'lymphosarcoma\tlymphosarcoma\tNN\tB-NP\tO' -p112421 -aS'in\tin\tIN\tB-PP\tO' -p112422 -aS'1970\t1970\tCD\tB-NP\tO' -p112423 -aS'.\t.\t.\tO\tO' -p112424 -asS'Conditions , Infections , Complications , affecting Treatment / Stay cellulitis' -p112425 -(lp112426 -S'Conditions\tCondition\tNNS\tB-NP\tO' -p112427 -aS',\t,\t,\tO\tO' -p112428 -aS'Infections\tInfection\tNNS\tB-NP\tO' -p112429 -aS',\t,\t,\tO\tO' -p112430 -aS'Complications\tComplication\tNNS\tB-NP\tO' -p112431 -aS',\t,\t,\tO\tO' -p112432 -aS'affecting\taffect\tVBG\tB-VP\tO' -p112433 -aS'Treatment\tTreatment\tNN\tB-NP\tO' -p112434 -aS'/\t/\tSYM\tO\tO' -p112435 -aS'Stay\tStay\tNN\tB-NP\tO' -p112436 -aS'cellulitis\tcellulitis\tNN\tI-NP\tO' -p112437 -asS'She had a white count of 9.3 , hematocrit of 37.7 , platelets of 293 .' -p112438 -(lp112439 -S'She\tShe\tPRP\tB-NP\tO' -p112440 -aS'had\thave\tVBD\tB-VP\tO' -p112441 -aS'a\ta\tDT\tB-NP\tO' -p112442 -aS'white\twhite\tJJ\tI-NP\tO' -p112443 -aS'count\tcount\tNN\tI-NP\tO' -p112444 -aS'of\tof\tIN\tB-PP\tO' -p112445 -aS'9.3\t9.3\tCD\tB-NP\tO' -p112446 -aS',\t,\t,\tO\tO' -p112447 -aS'hematocrit\thematocrit\tNN\tB-NP\tO' -p112448 -aS'of\tof\tIN\tB-PP\tO' -p112449 -aS'37.7\t37.7\tCD\tB-NP\tO' -p112450 -aS',\t,\t,\tO\tO' -p112451 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p112452 -aS'of\tof\tIN\tB-PP\tO' -p112453 -aS'293\t293\tCD\tB-NP\tO' -p112454 -aS'.\t.\t.\tO\tO' -p112455 -asS'1) 4+ alpha hemolytic Strep ,' -p112456 -(lp112457 -S'1)\t1)\tLS\tB-NP\tO' -p112458 -aS'4+\t4+\tJJ\tI-NP\tO' -p112459 -aS'alpha\talpha\tNN\tI-NP\tO' -p112460 -aS'hemolytic\themolytic\tJJ\tI-NP\tO' -p112461 -aS'Strep\tStrep\tNN\tI-NP\tO' -p112462 -aS',\t,\t,\tO\tO' -p112463 -asS'At the time of discharge , blood cultures from 12-02 and 12-03 have no growth to date .' -p112464 -(lp112465 -S'At\tAt\tIN\tB-PP\tO' -p112466 -aS'the\tthe\tDT\tB-NP\tO' -p112467 -aS'time\ttime\tNN\tI-NP\tO' -p112468 -aS'of\tof\tIN\tB-PP\tO' -p112469 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p112470 -aS',\t,\t,\tO\tO' -p112471 -aS'blood\tblood\tNN\tB-NP\tO' -p112472 -aS'cultures\tculture\tNNS\tI-NP\tO' -p112473 -aS'from\tfrom\tIN\tB-PP\tO' -p112474 -aS'12-02\t12-02\tCD\tB-NP\tO' -p112475 -aS'and\tand\tCC\tI-NP\tO' -p112476 -aS'12-03\t12-03\tCD\tI-NP\tO' -p112477 -aS'have\thave\tVBP\tB-VP\tO' -p112478 -aS'no\tno\tDT\tB-NP\tO' -p112479 -aS'growth\tgrowth\tNN\tI-NP\tO' -p112480 -aS'to\tto\tTO\tB-PP\tO' -p112481 -aS'date\tdate\tNN\tB-NP\tO' -p112482 -aS'.\t.\t.\tO\tO' -p112483 -asS'He was initially placed on Ceftriaxone , Levaquin , and Flagyl in the ICU but then changed to' -p112484 -(lp112485 -S'He\tHe\tPRP\tB-NP\tO' -p112486 -aS'was\tbe\tVBD\tB-VP\tO' -p112487 -aS'initially\tinitially\tRB\tI-VP\tO' -p112488 -aS'placed\tplace\tVBN\tI-VP\tO' -p112489 -aS'on\ton\tIN\tB-PP\tO' -p112490 -aS'Ceftriaxone\tCeftriaxone\tNN\tB-NP\tO' -p112491 -aS',\t,\t,\tO\tO' -p112492 -aS'Levaquin\tLevaquin\tNN\tB-NP\tO' -p112493 -aS',\t,\t,\tO\tO' -p112494 -aS'and\tand\tCC\tO\tO' -p112495 -aS'Flagyl\tFlagyl\tNN\tB-NP\tO' -p112496 -aS'in\tin\tIN\tB-PP\tO' -p112497 -aS'the\tthe\tDT\tB-NP\tO' -p112498 -aS'ICU\tICU\tNN\tI-NP\tB-protein' -p112499 -aS'but\tbut\tCC\tO\tO' -p112500 -aS'then\tthen\tRB\tB-ADVP\tO' -p112501 -aS'changed\tchange\tVBD\tB-VP\tO' -p112502 -aS'to\tto\tTO\tB-PP\tO' -p112503 -asS'He also states that he has had a dry and nonproductive cough for one month .' -p112504 -(lp112505 -S'He\tHe\tPRP\tB-NP\tO' -p112506 -aS'also\talso\tRB\tB-ADVP\tO' -p112507 -aS'states\tstate\tVBZ\tB-VP\tO' -p112508 -aS'that\tthat\tIN\tB-SBAR\tO' -p112509 -aS'he\the\tPRP\tB-NP\tO' -p112510 -aS'has\thave\tVBZ\tB-VP\tO' -p112511 -aS'had\thave\tVBN\tI-VP\tO' -p112512 -aS'a\ta\tDT\tB-NP\tO' -p112513 -aS'dry\tdry\tJJ\tI-NP\tO' -p112514 -aS'and\tand\tCC\tI-NP\tO' -p112515 -aS'nonproductive\tnonproductive\tJJ\tI-NP\tO' -p112516 -aS'cough\tcough\tNN\tI-NP\tO' -p112517 -aS'for\tfor\tIN\tB-PP\tO' -p112518 -aS'one\tone\tCD\tB-NP\tO' -p112519 -aS'month\tmonth\tNN\tI-NP\tO' -p112520 -aS'.\t.\t.\tO\tO' -p112521 -asS'Temperature 35.4 Celsius , blood pressure 116/63 , pulse 105 , respiratory rate 18 , oxygen saturation 98% on room air .' -p112522 -(lp112523 -S'Temperature\tTemperature\tNN\tB-NP\tO' -p112524 -aS'35.4\t35.4\tCD\tI-NP\tO' -p112525 -aS'Celsius\tCelsius\tNN\tI-NP\tO' -p112526 -aS',\t,\t,\tO\tO' -p112527 -aS'blood\tblood\tNN\tB-NP\tO' -p112528 -aS'pressure\tpressure\tNN\tI-NP\tO' -p112529 -aS'116/63\t116/63\tCD\tI-NP\tO' -p112530 -aS',\t,\t,\tO\tO' -p112531 -aS'pulse\tpulse\tNN\tB-NP\tO' -p112532 -aS'105\t105\tCD\tI-NP\tO' -p112533 -aS',\t,\t,\tO\tO' -p112534 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p112535 -aS'rate\trate\tNN\tI-NP\tO' -p112536 -aS'18\t18\tCD\tI-NP\tO' -p112537 -aS',\t,\t,\tO\tO' -p112538 -aS'oxygen\toxygen\tNN\tB-NP\tO' -p112539 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p112540 -aS'98%\t98%\tNN\tI-NP\tO' -p112541 -aS'on\ton\tIN\tB-PP\tO' -p112542 -aS'room\troom\tNN\tB-NP\tO' -p112543 -aS'air\tair\tNN\tI-NP\tO' -p112544 -aS'.\t.\t.\tO\tO' -p112545 -asS'Patient continued to be in A-fib. throughout the admission and was restarted on his Coumadin concurrently with heparin .' -p112546 -(lp112547 -S'Patient\tPatient\tNN\tB-NP\tO' -p112548 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p112549 -aS'to\tto\tTO\tI-VP\tO' -p112550 -aS'be\tbe\tVB\tI-VP\tO' -p112551 -aS'in\tin\tIN\tB-PP\tO' -p112552 -aS'A-fib.\tA-fib.\tNNP\tB-NP\tO' -p112553 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p112554 -aS'the\tthe\tDT\tB-NP\tO' -p112555 -aS'admission\tadmission\tNN\tI-NP\tO' -p112556 -aS'and\tand\tCC\tO\tO' -p112557 -aS'was\tbe\tVBD\tB-VP\tO' -p112558 -aS'restarted\trestart\tVBN\tI-VP\tO' -p112559 -aS'on\ton\tIN\tB-PP\tO' -p112560 -aS'his\this\tPRP$\tB-NP\tO' -p112561 -aS'Coumadin\tCoumadin\tNN\tI-NP\tO' -p112562 -aS'concurrently\tconcurrently\tRB\tB-ADVP\tO' -p112563 -aS'with\twith\tIN\tB-PP\tO' -p112564 -aS'heparin\theparin\tNN\tB-NP\tO' -p112565 -aS'.\t.\t.\tO\tO' -p112566 -asS'She then proceed to XRT with cisplatin which she was unable to tolerate this secondary to thrombocytopenia ( 40-50K ) .' -p112567 -(lp112568 -S'She\tShe\tPRP\tB-NP\tO' -p112569 -aS'then\tthen\tRB\tB-ADVP\tO' -p112570 -aS'proceed\tproceed\tVB\tB-VP\tO' -p112571 -aS'to\tto\tTO\tB-PP\tO' -p112572 -aS'XRT\tXRT\tNN\tB-NP\tO' -p112573 -aS'with\twith\tIN\tB-PP\tO' -p112574 -aS'cisplatin\tcisplatin\tNN\tB-NP\tO' -p112575 -aS'which\twhich\tWDT\tB-NP\tO' -p112576 -aS'she\tshe\tPRP\tB-NP\tO' -p112577 -aS'was\tbe\tVBD\tB-VP\tO' -p112578 -aS'unable\tunable\tJJ\tB-ADJP\tO' -p112579 -aS'to\tto\tTO\tB-VP\tO' -p112580 -aS'tolerate\ttolerate\tVB\tI-VP\tO' -p112581 -aS'this\tthis\tDT\tB-NP\tO' -p112582 -aS'secondary\tsecondary\tJJ\tI-NP\tO' -p112583 -aS'to\tto\tTO\tB-PP\tO' -p112584 -aS'thrombocytopenia\tthrombocytopenia\tNN\tB-NP\tO' -p112585 -aS'(\t(\t(\tO\tO' -p112586 -aS'40-50K\t40-50K\tNN\tB-NP\tB-protein' -p112587 -aS')\t)\t)\tO\tO' -p112588 -aS'.\t.\t.\tO\tO' -p112589 -asS'4. Clonazepam 1 mg Tablet Sig : One ( 1 ) Tablet PO TID ( 3 times a day ) .' -p112590 -(lp112591 -S'4.\t4.\tLS\tB-LST\tO' -p112592 -aS'Clonazepam\tClonazepam\tNN\tB-NP\tO' -p112593 -aS'1\t1\tCD\tI-NP\tO' -p112594 -aS'mg\tmg\tNN\tI-NP\tO' -p112595 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p112596 -aS'Sig\tSig\tNNP\tI-NP\tO' -p112597 -aS':\t:\t:\tO\tO' -p112598 -aS'One\tOne\tCD\tB-NP\tO' -p112599 -aS'(\t(\t(\tO\tO' -p112600 -aS'1\t1\tCD\tB-NP\tO' -p112601 -aS')\t)\t)\tO\tO' -p112602 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p112603 -aS'PO\tPO\tNN\tI-NP\tO' -p112604 -aS'TID\tTID\tNN\tI-NP\tO' -p112605 -aS'(\t(\t(\tO\tO' -p112606 -aS'3\t3\tCD\tB-NP\tO' -p112607 -aS'times\ttime\tNNS\tI-NP\tO' -p112608 -aS'a\ta\tDT\tB-NP\tO' -p112609 -aS'day\tday\tNN\tI-NP\tO' -p112610 -aS')\t)\t)\tO\tO' -p112611 -aS'.\t.\t.\tO\tO' -p112612 -asS'His respiratory status improved slowly , oxygen was weaned off , and he was discharged on course of Levaquin .' -p112613 -(lp112614 -S'His\tHis\tPRP$\tB-NP\tO' -p112615 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p112616 -aS'status\tstatus\tNN\tI-NP\tO' -p112617 -aS'improved\timprove\tVBD\tB-VP\tO' -p112618 -aS'slowly\tslowly\tRB\tB-ADVP\tO' -p112619 -aS',\t,\t,\tO\tO' -p112620 -aS'oxygen\toxygen\tNN\tB-NP\tO' -p112621 -aS'was\tbe\tVBD\tB-VP\tO' -p112622 -aS'weaned\twean\tVBN\tI-VP\tO' -p112623 -aS'off\toff\tRP\tB-PRT\tO' -p112624 -aS',\t,\t,\tO\tO' -p112625 -aS'and\tand\tCC\tO\tO' -p112626 -aS'he\the\tPRP\tB-NP\tO' -p112627 -aS'was\tbe\tVBD\tB-VP\tO' -p112628 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p112629 -aS'on\ton\tIN\tB-PP\tO' -p112630 -aS'course\tcourse\tNN\tB-NP\tO' -p112631 -aS'of\tof\tIN\tB-PP\tO' -p112632 -aS'Levaquin\tLevaquin\tNNP\tB-NP\tO' -p112633 -aS'.\t.\t.\tO\tO' -p112634 -asS'14. Plavix 75 mg p.o. q. day times 30 days .' -p112635 -(lp112636 -S'14.\t14.\tCD\tB-NP\tO' -p112637 -aS'Plavix\tPlavix\tNNP\tI-NP\tO' -p112638 -aS'75\t75\tCD\tI-NP\tO' -p112639 -aS'mg\tmg\tNN\tI-NP\tO' -p112640 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p112641 -aS'q.\tq.\tNN\tI-NP\tO' -p112642 -aS'day\tday\tNN\tI-NP\tO' -p112643 -aS'times\ttime\tNNS\tI-NP\tO' -p112644 -aS'30\t30\tCD\tB-NP\tO' -p112645 -aS'days\tday\tNNS\tI-NP\tO' -p112646 -aS'.\t.\t.\tO\tO' -p112647 -asS'They are not HLA matched .' -p112648 -(lp112649 -S'They\tThey\tPRP\tB-NP\tO' -p112650 -aS'are\tbe\tVBP\tB-VP\tO' -p112651 -aS'not\tnot\tRB\tO\tO' -p112652 -aS'HLA\tHLA\tNN\tB-NP\tO' -p112653 -aS'matched\tmatch\tVBD\tB-VP\tO' -p112654 -aS'.\t.\t.\tO\tO' -p112655 -asS'There are no active ongoing issues at this time .' -p112656 -(lp112657 -S'There\tThere\tEX\tB-NP\tO' -p112658 -aS'are\tbe\tVBP\tB-VP\tO' -p112659 -aS'no\tno\tDT\tB-NP\tO' -p112660 -aS'active\tactive\tJJ\tI-NP\tO' -p112661 -aS'ongoing\tongoing\tJJ\tI-NP\tO' -p112662 -aS'issues\tissue\tNNS\tI-NP\tO' -p112663 -aS'at\tat\tIN\tB-PP\tO' -p112664 -aS'this\tthis\tDT\tB-NP\tO' -p112665 -aS'time\ttime\tNN\tI-NP\tO' -p112666 -aS'.\t.\t.\tO\tO' -p112667 -asS'The patient also has hypothyroidism .' -p112668 -(lp112669 -S'The\tThe\tDT\tB-NP\tO' -p112670 -aS'patient\tpatient\tNN\tI-NP\tO' -p112671 -aS'also\talso\tRB\tB-ADVP\tO' -p112672 -aS'has\thave\tVBZ\tB-VP\tO' -p112673 -aS'hypothyroidism\thypothyroidism\tNN\tB-NP\tO' -p112674 -aS'.\t.\t.\tO\tO' -p112675 -asS'On post trauma day four , the patient remained hemodynamically stable with a stable hematocrit and a soft , nontender , and nondistended abdomen .' -p112676 -(lp112677 -S'On\tOn\tIN\tB-PP\tO' -p112678 -aS'post\tpost\tJJ\tB-NP\tO' -p112679 -aS'trauma\ttrauma\tNN\tI-NP\tO' -p112680 -aS'day\tday\tNN\tI-NP\tO' -p112681 -aS'four\tfour\tCD\tB-NP\tO' -p112682 -aS',\t,\t,\tO\tO' -p112683 -aS'the\tthe\tDT\tB-NP\tO' -p112684 -aS'patient\tpatient\tNN\tI-NP\tO' -p112685 -aS'remained\tremain\tVBD\tB-VP\tO' -p112686 -aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' -p112687 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p112688 -aS'with\twith\tIN\tB-PP\tO' -p112689 -aS'a\ta\tDT\tB-NP\tO' -p112690 -aS'stable\tstable\tJJ\tI-NP\tO' -p112691 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p112692 -aS'and\tand\tCC\tO\tO' -p112693 -aS'a\ta\tDT\tB-NP\tO' -p112694 -aS'soft\tsoft\tJJ\tI-NP\tO' -p112695 -aS',\t,\t,\tI-NP\tO' -p112696 -aS'nontender\tnontender\tJJ\tI-NP\tO' -p112697 -aS',\t,\t,\tO\tO' -p112698 -aS'and\tand\tCC\tO\tO' -p112699 -aS'nondistended\tnondistended\tJJ\tB-NP\tO' -p112700 -aS'abdomen\tabdoman\tNNS\tI-NP\tO' -p112701 -aS'.\t.\t.\tO\tO' -p112702 -asS'Initially , his pain was controlled with titrating up the Oxycontin .' -p112703 -(lp112704 -S'Initially\tInitially\tRB\tB-ADVP\tO' -p112705 -aS',\t,\t,\tO\tO' -p112706 -aS'his\this\tPRP$\tB-NP\tO' -p112707 -aS'pain\tpain\tNN\tI-NP\tO' -p112708 -aS'was\tbe\tVBD\tB-VP\tO' -p112709 -aS'controlled\tcontrol\tVBN\tI-VP\tO' -p112710 -aS'with\twith\tIN\tB-PP\tO' -p112711 -aS'titrating\ttitrate\tVBG\tB-VP\tO' -p112712 -aS'up\tup\tRP\tB-PRT\tO' -p112713 -aS'the\tthe\tDT\tB-NP\tO' -p112714 -aS'Oxycontin\tOxycontin\tNN\tI-NP\tB-protein' -p112715 -aS'.\t.\t.\tO\tO' -p112716 -asS'3. Discoid lateral meniscus .' -p112717 -(lp112718 -S'3.\t3.\tLS\tB-NP\tO' -p112719 -aS'Discoid\tDiscoid\tJJ\tI-NP\tO' -p112720 -aS'lateral\tlateral\tJJ\tI-NP\tO' -p112721 -aS'meniscus\tmeniscus\tNN\tI-NP\tO' -p112722 -aS'.\t.\t.\tO\tO' -p112723 -asS'His preoperative workup was completed and included a normal white count , hematocrit 42 .' -p112724 -(lp112725 -S'His\tHis\tPRP$\tB-NP\tO' -p112726 -aS'preoperative\tpreoperative\tJJ\tI-NP\tO' -p112727 -aS'workup\tworkup\tNN\tI-NP\tO' -p112728 -aS'was\tbe\tVBD\tB-VP\tO' -p112729 -aS'completed\tcomplete\tVBN\tI-VP\tO' -p112730 -aS'and\tand\tCC\tO\tO' -p112731 -aS'included\tinclude\tVBD\tB-VP\tO' -p112732 -aS'a\ta\tDT\tB-NP\tO' -p112733 -aS'normal\tnormal\tJJ\tI-NP\tO' -p112734 -aS'white\twhite\tJJ\tI-NP\tO' -p112735 -aS'count\tcount\tNN\tI-NP\tO' -p112736 -aS',\t,\t,\tO\tO' -p112737 -aS'hematocrit\thematocrit\tNN\tB-NP\tO' -p112738 -aS'42\t42\tCD\tI-NP\tO' -p112739 -aS'.\t.\t.\tO\tO' -p112740 -asS'On recommendation from endocrine , her fludrocortisone was decreased from 0.2 to 0.1 ( higher than required doses of fludrocort can cause these symptoms . ) .' -p112741 -(lp112742 -S'On\tOn\tIN\tB-PP\tO' -p112743 -aS'recommendation\trecommendation\tNN\tB-NP\tO' -p112744 -aS'from\tfrom\tIN\tB-PP\tO' -p112745 -aS'endocrine\tendocrine\tNN\tB-NP\tO' -p112746 -aS',\t,\t,\tO\tO' -p112747 -aS'her\ther\tPRP$\tB-NP\tO' -p112748 -aS'fludrocortisone\tfludrocortisone\tNN\tI-NP\tO' -p112749 -aS'was\tbe\tVBD\tB-VP\tO' -p112750 -aS'decreased\tdecrease\tVBN\tI-VP\tO' -p112751 -aS'from\tfrom\tIN\tB-PP\tO' -p112752 -aS'0.2\t0.2\tCD\tB-NP\tO' -p112753 -aS'to\tto\tTO\tB-PP\tO' -p112754 -aS'0.1\t0.1\tCD\tB-NP\tO' -p112755 -aS'(\t(\t(\tO\tO' -p112756 -aS'higher\thigh\tJJR\tB-ADJP\tO' -p112757 -aS'than\tthan\tIN\tB-PP\tO' -p112758 -aS'required\trequire\tVBN\tB-NP\tO' -p112759 -aS'doses\tdose\tNNS\tI-NP\tO' -p112760 -aS'of\tof\tIN\tB-PP\tO' -p112761 -aS'fludrocort\tfludrocort\tNN\tB-NP\tO' -p112762 -aS'can\tcan\tMD\tB-VP\tO' -p112763 -aS'cause\tcause\tVB\tI-VP\tO' -p112764 -aS'these\tthese\tDT\tB-NP\tO' -p112765 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p112766 -aS'.\t.\t.\tO\tO' -p112767 -aS')\t)\t)\tO\tO' -p112768 -aS'.\t.\t.\tO\tO' -p112769 -asS'Therefore , it was felt that the patient was most likely experiencing a primary pulmonary hypertension .' -p112770 -(lp112771 -S'Therefore\tTherefore\tRB\tB-ADVP\tO' -p112772 -aS',\t,\t,\tO\tO' -p112773 -aS'it\tit\tPRP\tB-NP\tO' -p112774 -aS'was\tbe\tVBD\tB-VP\tO' -p112775 -aS'felt\tfeel\tVBN\tI-VP\tO' -p112776 -aS'that\tthat\tIN\tB-SBAR\tO' -p112777 -aS'the\tthe\tDT\tB-NP\tO' -p112778 -aS'patient\tpatient\tNN\tI-NP\tO' -p112779 -aS'was\tbe\tVBD\tB-VP\tO' -p112780 -aS'most\tmost\tRBS\tI-VP\tO' -p112781 -aS'likely\tlikely\tRB\tI-VP\tO' -p112782 -aS'experiencing\texperience\tVBG\tI-VP\tO' -p112783 -aS'a\ta\tDT\tB-NP\tO' -p112784 -aS'primary\tprimary\tJJ\tI-NP\tO' -p112785 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p112786 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p112787 -aS'.\t.\t.\tO\tO' -p112788 -asS'Workup on admission included a chest x-ray negative for pneumonia , an MRI of the liver to investigate for focal lesion , with no evidence for abscess or focal lesion on report .' -p112789 -(lp112790 -S'Workup\tWorkup\tNN\tB-NP\tO' -p112791 -aS'on\ton\tIN\tB-PP\tO' -p112792 -aS'admission\tadmission\tNN\tB-NP\tO' -p112793 -aS'included\tinclude\tVBD\tB-VP\tO' -p112794 -aS'a\ta\tDT\tB-NP\tO' -p112795 -aS'chest\tchest\tNN\tI-NP\tO' -p112796 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p112797 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p112798 -aS'for\tfor\tIN\tB-PP\tO' -p112799 -aS'pneumonia\tpneumonia\tNN\tB-NP\tO' -p112800 -aS',\t,\t,\tO\tO' -p112801 -aS'an\tan\tDT\tB-NP\tO' -p112802 -aS'MRI\tMRI\tNN\tI-NP\tB-protein' -p112803 -aS'of\tof\tIN\tB-PP\tO' -p112804 -aS'the\tthe\tDT\tB-NP\tO' -p112805 -aS'liver\tliver\tNN\tI-NP\tO' -p112806 -aS'to\tto\tTO\tB-VP\tO' -p112807 -aS'investigate\tinvestigate\tVB\tI-VP\tO' -p112808 -aS'for\tfor\tIN\tB-PP\tO' -p112809 -aS'focal\tfocal\tJJ\tB-NP\tO' -p112810 -aS'lesion\tlesion\tNN\tI-NP\tO' -p112811 -aS',\t,\t,\tO\tO' -p112812 -aS'with\twith\tIN\tB-PP\tO' -p112813 -aS'no\tno\tDT\tB-NP\tO' -p112814 -aS'evidence\tevidence\tNN\tI-NP\tO' -p112815 -aS'for\tfor\tIN\tB-PP\tO' -p112816 -aS'abscess\tabscess\tNN\tB-NP\tO' -p112817 -aS'or\tor\tCC\tO\tO' -p112818 -aS'focal\tfocal\tJJ\tB-NP\tO' -p112819 -aS'lesion\tlesion\tNN\tI-NP\tO' -p112820 -aS'on\ton\tIN\tB-PP\tO' -p112821 -aS'report\treport\tNN\tB-NP\tO' -p112822 -aS'.\t.\t.\tO\tO' -p112823 -asS'Self discontinued Arimedex last month .' -p112824 -(lp112825 -S'Self\tSelf\tNNP\tB-NP\tO' -p112826 -aS'discontinued\tdiscontinue\tVBD\tB-VP\tO' -p112827 -aS'Arimedex\tArimedex\tNNP\tB-NP\tO' -p112828 -aS'last\tlast\tJJ\tB-NP\tO' -p112829 -aS'month\tmonth\tNN\tI-NP\tO' -p112830 -aS'.\t.\t.\tO\tO' -p112831 -asS'His lungs were clear to auscultation and percussion .' -p112832 -(lp112833 -S'His\tHis\tPRP$\tB-NP\tO' -p112834 -aS'lungs\tlung\tNNS\tI-NP\tO' -p112835 -aS'were\tbe\tVBD\tB-VP\tO' -p112836 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p112837 -aS'to\tto\tTO\tB-PP\tO' -p112838 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p112839 -aS'and\tand\tCC\tI-NP\tO' -p112840 -aS'percussion\tpercussion\tNN\tI-NP\tO' -p112841 -aS'.\t.\t.\tO\tO' -p112842 -asS'Vital signs stable on admission .' -p112843 -(lp112844 -S'Vital\tVital\tJJ\tB-NP\tO' -p112845 -aS'signs\tsign\tNNS\tI-NP\tO' -p112846 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p112847 -aS'on\ton\tIN\tB-PP\tO' -p112848 -aS'admission\tadmission\tNN\tB-NP\tO' -p112849 -aS'.\t.\t.\tO\tO' -p112850 -asS'ON 03-26 , his antibiotics were started as this most likely represent a transiet aspiration episode and not ARDS .' -p112851 -(lp112852 -S'ON\tON\tNN\tB-NP\tO' -p112853 -aS'03-26\t03-26\tCD\tI-NP\tO' -p112854 -aS',\t,\t,\tO\tO' -p112855 -aS'his\this\tPRP$\tB-NP\tO' -p112856 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p112857 -aS'were\tbe\tVBD\tB-VP\tO' -p112858 -aS'started\tstart\tVBN\tI-VP\tO' -p112859 -aS'as\tas\tIN\tB-PP\tO' -p112860 -aS'this\tthis\tDT\tB-NP\tO' -p112861 -aS'most\tmost\tRBS\tI-NP\tO' -p112862 -aS'likely\tlikely\tJJ\tI-NP\tO' -p112863 -aS'represent\trepresent\tVBP\tB-VP\tO' -p112864 -aS'a\ta\tDT\tB-NP\tO' -p112865 -aS'transiet\ttransiet\tJJ\tI-NP\tO' -p112866 -aS'aspiration\taspiration\tNN\tI-NP\tO' -p112867 -aS'episode\tepisode\tNN\tI-NP\tO' -p112868 -aS'and\tand\tCC\tB-NP\tO' -p112869 -aS'not\tnot\tRB\tI-NP\tO' -p112870 -aS'ARDS\tARDS\tNN\tB-NP\tO' -p112871 -aS'.\t.\t.\tO\tO' -p112872 -asS'On 08-06 , he received 2 units of pRBC and underwent plasmaphersis , followed by 10mg of IVIG .' -p112873 -(lp112874 -S'On\tOn\tIN\tB-PP\tO' -p112875 -aS'08-06\t08-06\tCD\tB-NP\tO' -p112876 -aS',\t,\t,\tO\tO' -p112877 -aS'he\the\tPRP\tB-NP\tO' -p112878 -aS'received\treceive\tVBD\tB-VP\tO' -p112879 -aS'2\t2\tCD\tB-NP\tO' -p112880 -aS'units\tunit\tNNS\tI-NP\tO' -p112881 -aS'of\tof\tIN\tB-PP\tO' -p112882 -aS'pRBC\tpRBC\tNN\tB-NP\tB-protein' -p112883 -aS'and\tand\tCC\tO\tO' -p112884 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p112885 -aS'plasmaphersis\tplasmaphersis\tNN\tB-NP\tO' -p112886 -aS',\t,\t,\tO\tO' -p112887 -aS'followed\tfollow\tVBN\tB-VP\tO' -p112888 -aS'by\tby\tIN\tB-PP\tO' -p112889 -aS'10mg\t10mg\tNN\tB-NP\tO' -p112890 -aS'of\tof\tIN\tB-PP\tO' -p112891 -aS'IVIG\tIVIG\tNN\tB-NP\tB-protein' -p112892 -aS'.\t.\t.\tO\tO' -p112893 -asS'Medically savvy - has spent much of her life in the hospital with her multiple medical problems .' -p112894 -(lp112895 -S'Medically\tMedically\tRB\tB-NP\tO' -p112896 -aS'savvy\tsavvy\tNN\tI-NP\tO' -p112897 -aS'-\t-\tHYPH\tB-ADJP\tO' -p112898 -aS'has\thave\tVBZ\tB-VP\tO' -p112899 -aS'spent\tspend\tVBN\tI-VP\tO' -p112900 -aS'much\tmuch\tRB\tB-NP\tO' -p112901 -aS'of\tof\tIN\tB-PP\tO' -p112902 -aS'her\ther\tPRP$\tB-NP\tO' -p112903 -aS'life\tlife\tNN\tI-NP\tO' -p112904 -aS'in\tin\tIN\tB-PP\tO' -p112905 -aS'the\tthe\tDT\tB-NP\tO' -p112906 -aS'hospital\thospital\tNN\tI-NP\tO' -p112907 -aS'with\twith\tIN\tB-PP\tO' -p112908 -aS'her\ther\tPRP$\tB-NP\tO' -p112909 -aS'multiple\tmultiple\tJJ\tI-NP\tO' -p112910 -aS'medical\tmedical\tJJ\tI-NP\tO' -p112911 -aS'problems\tproblem\tNNS\tI-NP\tO' -p112912 -aS'.\t.\t.\tO\tO' -p112913 -asS'This was a 55 - year-old gentleman with recently diagnosed abdominal carcinomatosis admitted with increased abdominal pain and poor oral intake .' -p112914 -(lp112915 -S'This\tThis\tDT\tB-NP\tO' -p112916 -aS'was\tbe\tVBD\tB-VP\tO' -p112917 -aS'a\ta\tDT\tB-NP\tO' -p112918 -aS'55\t55\tCD\tI-NP\tO' -p112919 -aS'-\t-\tHYPH\tI-NP\tO' -p112920 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p112921 -aS'gentleman\tgentleman\tNN\tI-NP\tO' -p112922 -aS'with\twith\tIN\tB-PP\tO' -p112923 -aS'recently\trecently\tRB\tB-NP\tO' -p112924 -aS'diagnosed\tdiagnose\tVBN\tI-NP\tO' -p112925 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p112926 -aS'carcinomatosis\tcarcinomatosis\tNN\tI-NP\tO' -p112927 -aS'admitted\tadmit\tVBN\tB-VP\tO' -p112928 -aS'with\twith\tIN\tB-PP\tO' -p112929 -aS'increased\tincrease\tVBN\tB-NP\tO' -p112930 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p112931 -aS'pain\tpain\tNN\tI-NP\tO' -p112932 -aS'and\tand\tCC\tO\tO' -p112933 -aS'poor\tpoor\tJJ\tB-NP\tO' -p112934 -aS'oral\toral\tJJ\tI-NP\tO' -p112935 -aS'intake\tintake\tNN\tI-NP\tO' -p112936 -aS'.\t.\t.\tO\tO' -p112937 -asS'He had some petechiae on his extremities , as well as in his mucosal membranes with some hemorrhagic bullae .' -p112938 -(lp112939 -S'He\tHe\tPRP\tB-NP\tO' -p112940 -aS'had\thave\tVBD\tB-VP\tO' -p112941 -aS'some\tsome\tDT\tB-NP\tO' -p112942 -aS'petechiae\tpetechiae\tNNS\tI-NP\tO' -p112943 -aS'on\ton\tIN\tB-PP\tO' -p112944 -aS'his\this\tPRP$\tB-NP\tO' -p112945 -aS'extremities\textremity\tNNS\tI-NP\tO' -p112946 -aS',\t,\t,\tO\tO' -p112947 -aS'as\tas\tRB\tB-CONJP\tO' -p112948 -aS'well\twell\tRB\tI-CONJP\tO' -p112949 -aS'as\tas\tIN\tI-CONJP\tO' -p112950 -aS'in\tin\tIN\tB-PP\tO' -p112951 -aS'his\this\tPRP$\tB-NP\tO' -p112952 -aS'mucosal\tmucosal\tJJ\tI-NP\tO' -p112953 -aS'membranes\tmembrane\tNNS\tI-NP\tO' -p112954 -aS'with\twith\tIN\tB-PP\tO' -p112955 -aS'some\tsome\tDT\tB-NP\tO' -p112956 -aS'hemorrhagic\themorrhagic\tJJ\tI-NP\tO' -p112957 -aS'bullae\tbullae\tNN\tI-NP\tO' -p112958 -aS'.\t.\t.\tO\tO' -p112959 -asS'She also took albuterol on a p.r.n. basis for her asthma .' -p112960 -(lp112961 -S'She\tShe\tPRP\tB-NP\tO' -p112962 -aS'also\talso\tRB\tB-ADVP\tO' -p112963 -aS'took\ttake\tVBD\tB-VP\tO' -p112964 -aS'albuterol\talbuterol\tNN\tB-NP\tO' -p112965 -aS'on\ton\tIN\tB-PP\tO' -p112966 -aS'a\ta\tDT\tB-NP\tO' -p112967 -aS'p.r.n.\tp.r.n.\tJJ\tI-NP\tO' -p112968 -aS'basis\tbasis\tNN\tI-NP\tO' -p112969 -aS'for\tfor\tIN\tB-PP\tO' -p112970 -aS'her\ther\tPRP$\tB-NP\tO' -p112971 -aS'asthma\tasthma\tNN\tI-NP\tO' -p112972 -aS'.\t.\t.\tO\tO' -p112973 -asS'Beverly was initially NPO and maintained on intravenous fluids .' -p112974 -(lp112975 -S'Beverly\tBeverly\tNNP\tB-NP\tO' -p112976 -aS'was\tbe\tVBD\tB-VP\tO' -p112977 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p112978 -aS'NPO\tNPO\tNN\tB-NP\tB-protein' -p112979 -aS'and\tand\tCC\tO\tO' -p112980 -aS'maintained\tmaintain\tVBN\tB-VP\tO' -p112981 -aS'on\ton\tIN\tB-PP\tO' -p112982 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p112983 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p112984 -aS'.\t.\t.\tO\tO' -p112985 -asS'Her HCT dropped and she recieved 1 unit PRBCs .' -p112986 -(lp112987 -S'Her\tHer\tPRP$\tB-NP\tO' -p112988 -aS'HCT\tHCT\tNN\tI-NP\tO' -p112989 -aS'dropped\tdrop\tVBD\tB-VP\tO' -p112990 -aS'and\tand\tCC\tO\tO' -p112991 -aS'she\tshe\tPRP\tB-NP\tB-cell_type' -p112992 -aS'recieved\trecieve\tVBD\tB-VP\tI-cell_type' -p112993 -aS'1\t1\tCD\tB-NP\tI-cell_type' -p112994 -aS'unit\tunit\tNN\tI-NP\tI-cell_type' -p112995 -aS'PRBCs\tPRBC\tNNS\tI-NP\tI-cell_type' -p112996 -aS'.\t.\t.\tO\tO' -p112997 -asS'Thromboembolus to the right profunda femoris , and right superficial femoral artery .' -p112998 -(lp112999 -S'Thromboembolus\tThromboembolus\tIN\tB-PP\tO' -p113000 -aS'to\tto\tTO\tB-PP\tO' -p113001 -aS'the\tthe\tDT\tB-NP\tO' -p113002 -aS'right\tright\tJJ\tI-NP\tO' -p113003 -aS'profunda\tprofunda\tNN\tI-NP\tO' -p113004 -aS'femoris\tfemoris\tNN\tI-NP\tO' -p113005 -aS',\t,\t,\tO\tO' -p113006 -aS'and\tand\tCC\tO\tO' -p113007 -aS'right\tright\tJJ\tB-NP\tO' -p113008 -aS'superficial\tsuperficial\tJJ\tI-NP\tO' -p113009 -aS'femoral\tfemoral\tJJ\tI-NP\tO' -p113010 -aS'artery\tartery\tNN\tI-NP\tO' -p113011 -aS'.\t.\t.\tO\tO' -p113012 -asS'We continued IV fluids at 100 cc per hour for one liter secondary to a concern for rhabdomyolysis plus kidney protective effects .' -p113013 -(lp113014 -S'We\tWe\tPRP\tB-NP\tO' -p113015 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p113016 -aS'IV\tIV\tCD\tB-NP\tO' -p113017 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p113018 -aS'at\tat\tIN\tB-PP\tO' -p113019 -aS'100\t100\tCD\tB-NP\tO' -p113020 -aS'cc\tcc\tNN\tI-NP\tO' -p113021 -aS'per\tper\tIN\tB-PP\tO' -p113022 -aS'hour\thour\tNN\tB-NP\tO' -p113023 -aS'for\tfor\tIN\tB-PP\tO' -p113024 -aS'one\tone\tCD\tB-NP\tO' -p113025 -aS'liter\tliter\tNN\tI-NP\tO' -p113026 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p113027 -aS'to\tto\tTO\tB-PP\tO' -p113028 -aS'a\ta\tDT\tB-NP\tO' -p113029 -aS'concern\tconcern\tNN\tI-NP\tO' -p113030 -aS'for\tfor\tIN\tB-PP\tO' -p113031 -aS'rhabdomyolysis\trhabdomyolysis\tNN\tB-NP\tO' -p113032 -aS'plus\tplus\tCC\tO\tO' -p113033 -aS'kidney\tkidney\tNN\tB-NP\tO' -p113034 -aS'protective\tprotective\tJJ\tI-NP\tO' -p113035 -aS'effects\teffect\tNNS\tI-NP\tO' -p113036 -aS'.\t.\t.\tO\tO' -p113037 -asS'You will need to continue to take special medications for these erosions .' -p113038 -(lp113039 -S'You\tYou\tPRP\tB-NP\tB-protein' -p113040 -aS'will\twill\tMD\tB-VP\tO' -p113041 -aS'need\tneed\tVB\tI-VP\tO' -p113042 -aS'to\tto\tTO\tI-VP\tO' -p113043 -aS'continue\tcontinue\tVB\tI-VP\tO' -p113044 -aS'to\tto\tTO\tI-VP\tO' -p113045 -aS'take\ttake\tVB\tI-VP\tO' -p113046 -aS'special\tspecial\tJJ\tB-NP\tO' -p113047 -aS'medications\tmedication\tNNS\tI-NP\tO' -p113048 -aS'for\tfor\tIN\tB-PP\tO' -p113049 -aS'these\tthese\tDT\tB-NP\tO' -p113050 -aS'erosions\terosion\tNNS\tI-NP\tO' -p113051 -aS'.\t.\t.\tO\tO' -p113052 -asS'Given the fact that the patient had significant apical akinesis , she was started on heparin with a transition to Coumadin for anticoagulation for stroke prevention in the setting of apical akinesis .' -p113053 -(lp113054 -S'Given\tGive\tVBN\tB-PP\tO' -p113055 -aS'the\tthe\tDT\tB-NP\tO' -p113056 -aS'fact\tfact\tNN\tI-NP\tO' -p113057 -aS'that\tthat\tIN\tB-SBAR\tO' -p113058 -aS'the\tthe\tDT\tB-NP\tO' -p113059 -aS'patient\tpatient\tNN\tI-NP\tO' -p113060 -aS'had\thave\tVBD\tB-VP\tO' -p113061 -aS'significant\tsignificant\tJJ\tB-NP\tO' -p113062 -aS'apical\tapical\tJJ\tI-NP\tO' -p113063 -aS'akinesis\takinesis\tNN\tI-NP\tO' -p113064 -aS',\t,\t,\tO\tO' -p113065 -aS'she\tshe\tPRP\tB-NP\tO' -p113066 -aS'was\tbe\tVBD\tB-VP\tO' -p113067 -aS'started\tstart\tVBN\tI-VP\tO' -p113068 -aS'on\ton\tIN\tB-PP\tO' -p113069 -aS'heparin\theparin\tNN\tB-NP\tO' -p113070 -aS'with\twith\tIN\tB-PP\tO' -p113071 -aS'a\ta\tDT\tB-NP\tO' -p113072 -aS'transition\ttransition\tNN\tI-NP\tO' -p113073 -aS'to\tto\tTO\tB-PP\tO' -p113074 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p113075 -aS'for\tfor\tIN\tB-PP\tO' -p113076 -aS'anticoagulation\tanticoagulation\tNN\tB-NP\tO' -p113077 -aS'for\tfor\tIN\tB-PP\tO' -p113078 -aS'stroke\tstroke\tNN\tB-NP\tO' -p113079 -aS'prevention\tprevention\tNN\tI-NP\tO' -p113080 -aS'in\tin\tIN\tB-PP\tO' -p113081 -aS'the\tthe\tDT\tB-NP\tO' -p113082 -aS'setting\tsetting\tNN\tI-NP\tO' -p113083 -aS'of\tof\tIN\tB-PP\tO' -p113084 -aS'apical\tapical\tJJ\tB-NP\tO' -p113085 -aS'akinesis\takinesis\tNN\tI-NP\tO' -p113086 -aS'.\t.\t.\tO\tO' -p113087 -asS'1. Docusate Sodium 100 mg Capsule Sig : One ( 1 ) Capsule PO TID ( 3 times a day ) as needed for Constipation .' -p113088 -(lp113089 -S'1.\t1.\tLS\tB-NP\tO' -p113090 -aS'Docusate\tDocusate\tNN\tI-NP\tO' -p113091 -aS'Sodium\tSodium\tNN\tI-NP\tO' -p113092 -aS'100\t100\tCD\tI-NP\tO' -p113093 -aS'mg\tmg\tNN\tI-NP\tO' -p113094 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p113095 -aS'Sig\tSig\tNNP\tI-NP\tO' -p113096 -aS':\t:\t:\tO\tO' -p113097 -aS'One\tOne\tCD\tB-NP\tO' -p113098 -aS'(\t(\t(\tO\tO' -p113099 -aS'1\t1\tCD\tB-NP\tO' -p113100 -aS')\t)\t)\tO\tO' -p113101 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p113102 -aS'PO\tPO\tNNP\tI-NP\tO' -p113103 -aS'TID\tTID\tNNP\tI-NP\tO' -p113104 -aS'(\t(\t(\tO\tO' -p113105 -aS'3\t3\tCD\tB-NP\tO' -p113106 -aS'times\ttime\tNNS\tI-NP\tO' -p113107 -aS'a\ta\tDT\tB-NP\tO' -p113108 -aS'day\tday\tNN\tI-NP\tO' -p113109 -aS')\t)\t)\tO\tO' -p113110 -aS'as\tas\tIN\tB-SBAR\tO' -p113111 -aS'needed\tneed\tVBN\tB-VP\tO' -p113112 -aS'for\tfor\tIN\tB-PP\tO' -p113113 -aS'Constipation\tConstipation\tNNP\tB-NP\tO' -p113114 -aS'.\t.\t.\tO\tO' -p113115 -asS'no stenosis ; no parenchymal lesions' -p113116 -(lp113117 -S'no\tno\tDT\tB-NP\tO' -p113118 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p113119 -aS';\t;\t:\tO\tO' -p113120 -aS'no\tno\tDT\tB-NP\tO' -p113121 -aS'parenchymal\tparenchymal\tJJ\tI-NP\tO' -p113122 -aS'lesions\tlesion\tNNS\tI-NP\tO' -p113123 -asS'She had 4+ edema to the knees bilaterally .' -p113124 -(lp113125 -S'She\tShe\tPRP\tB-NP\tO' -p113126 -aS'had\thave\tVBD\tB-VP\tO' -p113127 -aS'4+\t4+\tJJ\tB-NP\tO' -p113128 -aS'edema\tedema\tNN\tI-NP\tO' -p113129 -aS'to\tto\tTO\tB-PP\tO' -p113130 -aS'the\tthe\tDT\tB-NP\tO' -p113131 -aS'knees\tknee\tNNS\tI-NP\tO' -p113132 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p113133 -aS'.\t.\t.\tO\tO' -p113134 -asS'The major neurologic event of this hospital course was that the patient was slow to awake after his Propofol drip was discontinued .' -p113135 -(lp113136 -S'The\tThe\tDT\tB-NP\tO' -p113137 -aS'major\tmajor\tJJ\tI-NP\tO' -p113138 -aS'neurologic\tneurologic\tJJ\tI-NP\tO' -p113139 -aS'event\tevent\tNN\tI-NP\tO' -p113140 -aS'of\tof\tIN\tB-PP\tO' -p113141 -aS'this\tthis\tDT\tB-NP\tO' -p113142 -aS'hospital\thospital\tNN\tI-NP\tO' -p113143 -aS'course\tcourse\tNN\tI-NP\tO' -p113144 -aS'was\tbe\tVBD\tB-VP\tO' -p113145 -aS'that\tthat\tIN\tB-SBAR\tO' -p113146 -aS'the\tthe\tDT\tB-NP\tO' -p113147 -aS'patient\tpatient\tNN\tI-NP\tO' -p113148 -aS'was\tbe\tVBD\tB-VP\tO' -p113149 -aS'slow\tslow\tJJ\tB-ADJP\tO' -p113150 -aS'to\tto\tTO\tB-VP\tO' -p113151 -aS'awake\tawake\tVB\tI-VP\tO' -p113152 -aS'after\tafter\tIN\tB-PP\tO' -p113153 -aS'his\this\tPRP$\tB-NP\tO' -p113154 -aS'Propofol\tPropofol\tNN\tI-NP\tO' -p113155 -aS'drip\tdrip\tNN\tI-NP\tO' -p113156 -aS'was\tbe\tVBD\tB-VP\tO' -p113157 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p113158 -aS'.\t.\t.\tO\tO' -p113159 -asS'Unclear etiology , but likely aspiration event in Monica .' -p113160 -(lp113161 -S'Unclear\tUnclear\tJJ\tB-NP\tO' -p113162 -aS'etiology\tetiology\tNN\tI-NP\tO' -p113163 -aS',\t,\t,\tO\tO' -p113164 -aS'but\tbut\tCC\tO\tO' -p113165 -aS'likely\tlikely\tRB\tB-ADVP\tO' -p113166 -aS'aspiration\taspiration\tNN\tB-NP\tO' -p113167 -aS'event\tevent\tNN\tI-NP\tO' -p113168 -aS'in\tin\tIN\tB-PP\tO' -p113169 -aS'Monica\tMonica\tNNP\tB-NP\tO' -p113170 -aS'.\t.\t.\tO\tO' -p113171 -asS'17) DNR , but may intubate for reversible causes' -p113172 -(lp113173 -S'17)\t17)\tLS\tB-NP\tO' -p113174 -aS'DNR\tDNR\tNN\tI-NP\tB-protein' -p113175 -aS',\t,\t,\tO\tO' -p113176 -aS'but\tbut\tCC\tO\tO' -p113177 -aS'may\tmay\tMD\tB-VP\tO' -p113178 -aS'intubate\tintubate\tVB\tI-VP\tO' -p113179 -aS'for\tfor\tIN\tB-PP\tO' -p113180 -aS'reversible\treversible\tJJ\tB-NP\tO' -p113181 -aS'causes\tcause\tNNS\tI-NP\tO' -p113182 -asS'Folloowup is in one week with Dr. Ralekote .' -p113183 -(lp113184 -S'Folloowup\tFolloowup\tNNP\tB-NP\tO' -p113185 -aS'is\tbe\tVBZ\tB-VP\tO' -p113186 -aS'in\tin\tIN\tB-PP\tO' -p113187 -aS'one\tone\tCD\tB-NP\tO' -p113188 -aS'week\tweek\tNN\tI-NP\tO' -p113189 -aS'with\twith\tIN\tB-PP\tO' -p113190 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p113191 -aS'Ralekote\tRalekote\tNNP\tI-NP\tO' -p113192 -aS'.\t.\t.\tO\tO' -p113193 -asS'on abx , podiatry following , changed vac q3 days .' -p113194 -(lp113195 -S'on\ton\tIN\tB-PP\tO' -p113196 -aS'abx\tabx\tNN\tB-NP\tO' -p113197 -aS',\t,\t,\tO\tO' -p113198 -aS'podiatry\tpodiatry\tNN\tB-NP\tO' -p113199 -aS'following\tfollow\tVBG\tB-PP\tO' -p113200 -aS',\t,\t,\tO\tO' -p113201 -aS'changed\tchange\tVBD\tB-VP\tO' -p113202 -aS'vac\tvac\tNN\tB-NP\tO' -p113203 -aS'q3\tq3\tNN\tI-NP\tO' -p113204 -aS'days\tday\tNNS\tI-NP\tO' -p113205 -aS'.\t.\t.\tO\tO' -p113206 -asS'His blood sugars were in the 100s on discharge .' -p113207 -(lp113208 -S'His\tHis\tPRP$\tB-NP\tO' -p113209 -aS'blood\tblood\tNN\tI-NP\tO' -p113210 -aS'sugars\tsugar\tNNS\tI-NP\tO' -p113211 -aS'were\tbe\tVBD\tB-VP\tO' -p113212 -aS'in\tin\tIN\tB-PP\tO' -p113213 -aS'the\tthe\tDT\tB-NP\tO' -p113214 -aS'100s\t100\tNNS\tI-NP\tO' -p113215 -aS'on\ton\tIN\tB-PP\tO' -p113216 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p113217 -aS'.\t.\t.\tO\tO' -p113218 -asS'The aortic valve leaflets are mildly thickened .' -p113219 -(lp113220 -S'The\tThe\tDT\tB-NP\tO' -p113221 -aS'aortic\taortic\tJJ\tI-NP\tO' -p113222 -aS'valve\tvalve\tNN\tI-NP\tO' -p113223 -aS'leaflets\tleaflet\tNNS\tI-NP\tO' -p113224 -aS'are\tbe\tVBP\tB-VP\tO' -p113225 -aS'mildly\tmildly\tRB\tI-VP\tO' -p113226 -aS'thickened\tthicken\tVBN\tI-VP\tO' -p113227 -aS'.\t.\t.\tO\tO' -p113228 -asS'He was found to be at a large aspiration risk given his decreased mental status and the lack of presence of a gag reflex .' -p113229 -(lp113230 -S'He\tHe\tPRP\tB-NP\tO' -p113231 -aS'was\tbe\tVBD\tB-VP\tO' -p113232 -aS'found\tfind\tVBN\tI-VP\tO' -p113233 -aS'to\tto\tTO\tI-VP\tO' -p113234 -aS'be\tbe\tVB\tI-VP\tO' -p113235 -aS'at\tat\tIN\tB-PP\tO' -p113236 -aS'a\ta\tDT\tB-NP\tO' -p113237 -aS'large\tlarge\tJJ\tI-NP\tO' -p113238 -aS'aspiration\taspiration\tNN\tI-NP\tO' -p113239 -aS'risk\trisk\tNN\tI-NP\tO' -p113240 -aS'given\tgive\tVBN\tB-VP\tO' -p113241 -aS'his\this\tPRP$\tB-NP\tO' -p113242 -aS'decreased\tdecrease\tVBN\tI-NP\tO' -p113243 -aS'mental\tmental\tJJ\tI-NP\tO' -p113244 -aS'status\tstatus\tNN\tI-NP\tO' -p113245 -aS'and\tand\tCC\tO\tO' -p113246 -aS'the\tthe\tDT\tB-NP\tO' -p113247 -aS'lack\tlack\tNN\tI-NP\tO' -p113248 -aS'of\tof\tIN\tB-PP\tO' -p113249 -aS'presence\tpresence\tNN\tB-NP\tO' -p113250 -aS'of\tof\tIN\tB-PP\tO' -p113251 -aS'a\ta\tDT\tB-NP\tO' -p113252 -aS'gag\tgag\tNN\tI-NP\tO' -p113253 -aS'reflex\treflex\tNN\tI-NP\tO' -p113254 -aS'.\t.\t.\tO\tO' -p113255 -asS'His SBP s ranged 140 s- 170 s .' -p113256 -(lp113257 -S'His\tHis\tPRP$\tB-NP\tO' -p113258 -aS'SBP\tSBP\tNN\tI-NP\tB-protein' -p113259 -aS's\ts\tNNS\tI-NP\tI-protein' -p113260 -aS'ranged\trange\tVBD\tB-VP\tO' -p113261 -aS'140\t140\tCD\tB-NP\tO' -p113262 -aS's-\ts-\tJJ\tI-NP\tO' -p113263 -aS'170\t170\tCD\tI-NP\tO' -p113264 -aS's\ts\tNN\tI-NP\tO' -p113265 -aS'.\t.\t.\tO\tO' -p113266 -asS'5. Neurological : Wellesley has maintained a normal neurological examination .' -p113267 -(lp113268 -S'5.\t5.\tCD\tB-NP\tO' -p113269 -aS'Neurological\tNeurological\tNNP\tI-NP\tO' -p113270 -aS':\t:\t:\tO\tO' -p113271 -aS'Wellesley\tWellesley\tNNP\tB-NP\tO' -p113272 -aS'has\thave\tVBZ\tB-VP\tO' -p113273 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p113274 -aS'a\ta\tDT\tB-NP\tO' -p113275 -aS'normal\tnormal\tJJ\tI-NP\tO' -p113276 -aS'neurological\tneurological\tJJ\tI-NP\tO' -p113277 -aS'examination\texamination\tNN\tI-NP\tO' -p113278 -aS'.\t.\t.\tO\tO' -p113279 -asS'Her calcium was 8.5 , albumin 3.6 , and phosphate 4.5 .' -p113280 -(lp113281 -S'Her\tHer\tPRP$\tB-NP\tO' -p113282 -aS'calcium\tcalcium\tNN\tI-NP\tO' -p113283 -aS'was\tbe\tVBD\tB-VP\tO' -p113284 -aS'8.5\t8.5\tCD\tB-NP\tO' -p113285 -aS',\t,\t,\tO\tO' -p113286 -aS'albumin\talbumin\tNN\tB-NP\tB-protein' -p113287 -aS'3.6\t3.6\tCD\tI-NP\tI-protein' -p113288 -aS',\t,\t,\tO\tO' -p113289 -aS'and\tand\tCC\tO\tO' -p113290 -aS'phosphate\tphosphate\tNN\tB-NP\tB-protein' -p113291 -aS'4.5\t4.5\tCD\tI-NP\tI-protein' -p113292 -aS'.\t.\t.\tO\tO' -p113293 -asS'PEG in place , site without drainage .' -p113294 -(lp113295 -S'PEG\tPEG\tNN\tB-NP\tO' -p113296 -aS'in\tin\tIN\tB-PP\tO' -p113297 -aS'place\tplace\tNN\tB-NP\tO' -p113298 -aS',\t,\t,\tO\tO' -p113299 -aS'site\tsite\tNN\tB-NP\tO' -p113300 -aS'without\twithout\tIN\tB-PP\tO' -p113301 -aS'drainage\tdrainage\tNN\tB-NP\tO' -p113302 -aS'.\t.\t.\tO\tO' -p113303 -asS'She did well and was weaned from supplemental oxygen .' -p113304 -(lp113305 -S'She\tShe\tPRP\tB-NP\tO' -p113306 -aS'did\tdo\tVBD\tB-VP\tO' -p113307 -aS'well\twell\tRB\tB-ADVP\tO' -p113308 -aS'and\tand\tCC\tO\tO' -p113309 -aS'was\tbe\tVBD\tB-VP\tO' -p113310 -aS'weaned\twean\tVBN\tI-VP\tO' -p113311 -aS'from\tfrom\tIN\tB-PP\tO' -p113312 -aS'supplemental\tsupplemental\tJJ\tB-NP\tO' -p113313 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p113314 -aS'.\t.\t.\tO\tO' -p113315 -asS'He remained on Levophed , Milrinone and Neo-Synephrine drips and was hemodynamically stable .' -p113316 -(lp113317 -S'He\tHe\tPRP\tB-NP\tO' -p113318 -aS'remained\tremain\tVBD\tB-VP\tO' -p113319 -aS'on\ton\tIN\tB-PP\tO' -p113320 -aS'Levophed\tLevophed\tNNP\tB-NP\tO' -p113321 -aS',\t,\t,\tO\tO' -p113322 -aS'Milrinone\tMilrinone\tNNP\tB-NP\tO' -p113323 -aS'and\tand\tCC\tO\tO' -p113324 -aS'Neo-Synephrine\tNeo-Synephrine\tJJ\tB-NP\tO' -p113325 -aS'drips\tdrip\tNNS\tI-NP\tO' -p113326 -aS'and\tand\tCC\tO\tO' -p113327 -aS'was\tbe\tVBD\tB-VP\tO' -p113328 -aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' -p113329 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p113330 -aS'.\t.\t.\tO\tO' -p113331 -asS'Ctx q 6 ' .' -p113332 -(lp113333 -S'Ctx\tCtx\tNN\tB-NP\tB-protein' -p113334 -aS'q\tq\tNN\tI-NP\tO' -p113335 -aS'6\t6\tCD\tI-NP\tO' -p113336 -aS''\t'\tNN\tI-NP\tO' -p113337 -aS'.\t.\t.\tO\tO' -p113338 -asS'No signs of end-organ damage at present except for elevated creatinine , which is more likely a chronic problem .' -p113339 -(lp113340 -S'No\tNo\tDT\tB-NP\tO' -p113341 -aS'signs\tsign\tNNS\tI-NP\tO' -p113342 -aS'of\tof\tIN\tB-PP\tO' -p113343 -aS'end-organ\tend-organ\tJJ\tB-NP\tO' -p113344 -aS'damage\tdamage\tNN\tI-NP\tO' -p113345 -aS'at\tat\tIN\tB-PP\tO' -p113346 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p113347 -aS'except\texcept\tIN\tB-PP\tO' -p113348 -aS'for\tfor\tIN\tB-PP\tO' -p113349 -aS'elevated\televated\tJJ\tB-NP\tO' -p113350 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p113351 -aS',\t,\t,\tO\tO' -p113352 -aS'which\twhich\tWDT\tB-NP\tO' -p113353 -aS'is\tbe\tVBZ\tB-VP\tO' -p113354 -aS'more\tmore\tRBR\tB-ADVP\tO' -p113355 -aS'likely\tlikely\tRB\tI-ADVP\tO' -p113356 -aS'a\ta\tDT\tB-NP\tO' -p113357 -aS'chronic\tchronic\tJJ\tI-NP\tO' -p113358 -aS'problem\tproblem\tNN\tI-NP\tO' -p113359 -aS'.\t.\t.\tO\tO' -p113360 -asS'The patient is a 31-year-old right-handed female with right-sided greater than left-sided weakness and difficulty walking for several days .' -p113361 -(lp113362 -S'The\tThe\tDT\tB-NP\tO' -p113363 -aS'patient\tpatient\tNN\tI-NP\tO' -p113364 -aS'is\tbe\tVBZ\tB-VP\tO' -p113365 -aS'a\ta\tDT\tB-NP\tO' -p113366 -aS'31-year-old\t31-year-old\tJJ\tI-NP\tO' -p113367 -aS'right-handed\tright-handed\tJJ\tI-NP\tO' -p113368 -aS'female\tfemale\tNN\tI-NP\tO' -p113369 -aS'with\twith\tIN\tB-PP\tO' -p113370 -aS'right-sided\tright-sided\tJJ\tB-NP\tO' -p113371 -aS'greater\tgreat\tJJR\tI-NP\tO' -p113372 -aS'than\tthan\tIN\tB-PP\tO' -p113373 -aS'left-sided\tleft-sided\tJJ\tB-NP\tO' -p113374 -aS'weakness\tweakness\tNN\tI-NP\tO' -p113375 -aS'and\tand\tCC\tI-NP\tO' -p113376 -aS'difficulty\tdifficulty\tNN\tI-NP\tO' -p113377 -aS'walking\twalk\tVBG\tB-VP\tO' -p113378 -aS'for\tfor\tIN\tB-PP\tO' -p113379 -aS'several\tseveral\tJJ\tB-NP\tO' -p113380 -aS'days\tday\tNNS\tI-NP\tO' -p113381 -aS'.\t.\t.\tO\tO' -p113382 -asS'Mr. Morton is a 86 yo male transferred from Kindred Park View Specialty Hospital of Springfield-Sample .' -p113383 -(lp113384 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p113385 -aS'Morton\tMorton\tNNP\tI-NP\tO' -p113386 -aS'is\tbe\tVBZ\tB-VP\tO' -p113387 -aS'a\ta\tDT\tB-NP\tO' -p113388 -aS'86\t86\tCD\tI-NP\tO' -p113389 -aS'yo\tyo\tNN\tI-NP\tO' -p113390 -aS'male\tmale\tJJ\tI-NP\tO' -p113391 -aS'transferred\ttransfer\tVBN\tB-VP\tO' -p113392 -aS'from\tfrom\tIN\tB-PP\tO' -p113393 -aS'Kindred\tKindred\tNNP\tB-NP\tO' -p113394 -aS'Park\tPark\tNNP\tI-NP\tO' -p113395 -aS'View\tView\tNNP\tI-NP\tO' -p113396 -aS'Specialty\tSpecialty\tNNP\tI-NP\tO' -p113397 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p113398 -aS'of\tof\tIN\tB-PP\tO' -p113399 -aS'Springfield-Sample\tSpringfield-Sample\tNNP\tB-NP\tO' -p113400 -aS'.\t.\t.\tO\tO' -p113401 -asS'5. The infant received the hepatitis B vaccine on 2013-05-09 , and Synagis on 2013-05-11 .' -p113402 -(lp113403 -S'5.\t5.\tLS\tB-LST\tO' -p113404 -aS'The\tThe\tDT\tB-NP\tO' -p113405 -aS'infant\tinfant\tNN\tI-NP\tO' -p113406 -aS'received\treceive\tVBD\tB-VP\tO' -p113407 -aS'the\tthe\tDT\tB-NP\tO' -p113408 -aS'hepatitis\thepatitis\tNN\tI-NP\tO' -p113409 -aS'B\tB\tNN\tI-NP\tO' -p113410 -aS'vaccine\tvaccine\tNN\tI-NP\tO' -p113411 -aS'on\ton\tIN\tB-PP\tO' -p113412 -aS'2013-05-09\t2013-05-09\tCD\tB-NP\tO' -p113413 -aS',\t,\t,\tO\tO' -p113414 -aS'and\tand\tCC\tO\tO' -p113415 -aS'Synagis\tSynagis\tNNP\tB-NP\tO' -p113416 -aS'on\ton\tIN\tB-PP\tO' -p113417 -aS'2013-05-11\t2013-05-11\tCD\tB-NP\tO' -p113418 -aS'.\t.\t.\tO\tO' -p113419 -asS'Sodium 148 , potassium 3.4 , glucose 174 , P02 102 , PC02 115 , PH 7.11 on 40% 02 .' -p113420 -(lp113421 -S'Sodium\tSodium\tNN\tB-NP\tB-protein' -p113422 -aS'148\t148\tCD\tI-NP\tI-protein' -p113423 -aS',\t,\t,\tO\tO' -p113424 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p113425 -aS'3.4\t3.4\tCD\tI-NP\tO' -p113426 -aS',\t,\t,\tO\tO' -p113427 -aS'glucose\tglucose\tNN\tB-NP\tO' -p113428 -aS'174\t174\tCD\tI-NP\tO' -p113429 -aS',\t,\t,\tO\tO' -p113430 -aS'P02\tP02\tNN\tB-NP\tB-protein' -p113431 -aS'102\t102\tCD\tI-NP\tI-protein' -p113432 -aS',\t,\t,\tO\tO' -p113433 -aS'PC02\tPC02\tNN\tB-NP\tB-cell_line' -p113434 -aS'115\t115\tCD\tI-NP\tI-cell_line' -p113435 -aS',\t,\t,\tO\tO' -p113436 -aS'PH\tPH\tNN\tB-NP\tO' -p113437 -aS'7.11\t7.11\tCD\tI-NP\tO' -p113438 -aS'on\ton\tIN\tB-PP\tO' -p113439 -aS'40%\t40%\tCD\tB-NP\tO' -p113440 -aS'02\t02\tCD\tI-NP\tO' -p113441 -aS'.\t.\t.\tO\tO' -p113442 -asS'GNR Sepsis ; Steroid induced hyperglycemia ; Hydronephrosis ; SLE' -p113443 -(lp113444 -S'GNR\tGNR\tNNP\tB-NP\tO' -p113445 -aS'Sepsis\tSepsis\tNNP\tI-NP\tO' -p113446 -aS';\t;\t:\tO\tO' -p113447 -aS'Steroid\tSteroid\tNNP\tB-NP\tO' -p113448 -aS'induced\tinduce\tVBD\tB-VP\tO' -p113449 -aS'hyperglycemia\thyperglycemia\tNN\tB-NP\tO' -p113450 -aS';\t;\t:\tO\tO' -p113451 -aS'Hydronephrosis\tHydronephrosis\tNN\tB-NP\tO' -p113452 -aS';\t;\t:\tO\tO' -p113453 -aS'SLE\tSLE\tNN\tB-NP\tO' -p113454 -asS'Iron studies included a ferritin of 607 , an iron of 10 , and a TIBC of 239 .' -p113455 -(lp113456 -S'Iron\tIron\tNN\tB-NP\tO' -p113457 -aS'studies\tstudy\tNNS\tI-NP\tO' -p113458 -aS'included\tinclude\tVBD\tB-VP\tO' -p113459 -aS'a\ta\tDT\tB-NP\tO' -p113460 -aS'ferritin\tferritin\tNN\tI-NP\tB-protein' -p113461 -aS'of\tof\tIN\tB-PP\tO' -p113462 -aS'607\t607\tCD\tB-NP\tO' -p113463 -aS',\t,\t,\tO\tO' -p113464 -aS'an\tan\tDT\tB-NP\tO' -p113465 -aS'iron\tiron\tNN\tI-NP\tO' -p113466 -aS'of\tof\tIN\tB-PP\tO' -p113467 -aS'10\t10\tCD\tB-NP\tO' -p113468 -aS',\t,\t,\tO\tO' -p113469 -aS'and\tand\tCC\tO\tO' -p113470 -aS'a\ta\tDT\tB-NP\tO' -p113471 -aS'TIBC\tTIBC\tNN\tI-NP\tB-protein' -p113472 -aS'of\tof\tIN\tB-PP\tO' -p113473 -aS'239\t239\tCD\tB-NP\tO' -p113474 -aS'.\t.\t.\tO\tO' -p113475 -asS'Jugular venous pressure notable at the mid neck upright about 80 degree angles .' -p113476 -(lp113477 -S'Jugular\tJugular\tJJ\tB-NP\tO' -p113478 -aS'venous\tvenous\tJJ\tI-NP\tO' -p113479 -aS'pressure\tpressure\tNN\tI-NP\tO' -p113480 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p113481 -aS'at\tat\tIN\tB-PP\tO' -p113482 -aS'the\tthe\tDT\tB-NP\tO' -p113483 -aS'mid\tmid\tJJ\tI-NP\tO' -p113484 -aS'neck\tneck\tNN\tI-NP\tO' -p113485 -aS'upright\tupright\tNN\tI-NP\tO' -p113486 -aS'about\tabout\tIN\tB-NP\tO' -p113487 -aS'80\t80\tCD\tI-NP\tO' -p113488 -aS'degree\tdegree\tNN\tI-NP\tO' -p113489 -aS'angles\tangle\tNNS\tI-NP\tO' -p113490 -aS'.\t.\t.\tO\tO' -p113491 -asS'Signed electronically by : DR. Frank Z.K. Delgado on : Maxine 2017-07-27 3:37 PM' -p113492 -(lp113493 -S'Signed\tSign\tVBN\tB-VP\tO' -p113494 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p113495 -aS'by\tby\tIN\tB-PP\tO' -p113496 -aS':\t:\t:\tO\tO' -p113497 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p113498 -aS'Frank\tFrank\tNNP\tI-NP\tO' -p113499 -aS'Z.K.\tZ.K.\tNNP\tI-NP\tO' -p113500 -aS'Delgado\tDelgado\tNNP\tI-NP\tO' -p113501 -aS'on\ton\tIN\tB-PP\tO' -p113502 -aS':\t:\t:\tO\tO' -p113503 -aS'Maxine\tMaxine\tNN\tB-NP\tO' -p113504 -aS'2017-07-27\t2017-07-27\tCD\tI-NP\tO' -p113505 -aS'3:37\t3:37\tCD\tI-NP\tO' -p113506 -aS'PM\tPM\tNN\tI-NP\tO' -p113507 -asS'On the lateral view , surgical clips in the abdomen .' -p113508 -(lp113509 -S'On\tOn\tIN\tB-PP\tO' -p113510 -aS'the\tthe\tDT\tB-NP\tO' -p113511 -aS'lateral\tlateral\tJJ\tI-NP\tO' -p113512 -aS'view\tview\tNN\tI-NP\tO' -p113513 -aS',\t,\t,\tO\tO' -p113514 -aS'surgical\tsurgical\tJJ\tB-NP\tO' -p113515 -aS'clips\tclip\tNNS\tI-NP\tO' -p113516 -aS'in\tin\tIN\tB-PP\tO' -p113517 -aS'the\tthe\tDT\tB-NP\tO' -p113518 -aS'abdomen\tabdoman\tNNS\tI-NP\tO' -p113519 -aS'.\t.\t.\tO\tO' -p113520 -asS'This is a 58 - year-old woman who was transferred from Shaugnessy-Kaplan Rehab Hospital Hospital for cardiac catheterization .' -p113521 -(lp113522 -S'This\tThis\tDT\tB-NP\tO' -p113523 -aS'is\tbe\tVBZ\tB-VP\tO' -p113524 -aS'a\ta\tDT\tB-NP\tO' -p113525 -aS'58\t58\tCD\tI-NP\tO' -p113526 -aS'-\t-\tHYPH\tI-NP\tO' -p113527 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p113528 -aS'woman\twoman\tNN\tI-NP\tO' -p113529 -aS'who\twho\tWP\tB-NP\tO' -p113530 -aS'was\tbe\tVBD\tB-VP\tO' -p113531 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p113532 -aS'from\tfrom\tIN\tB-PP\tO' -p113533 -aS'Shaugnessy-Kaplan\tShaugnessy-Kaplan\tNNP\tB-NP\tO' -p113534 -aS'Rehab\tRehab\tNNP\tI-NP\tO' -p113535 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p113536 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p113537 -aS'for\tfor\tIN\tB-PP\tO' -p113538 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p113539 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p113540 -aS'.\t.\t.\tO\tO' -p113541 -asS'It was his impression that the patient 's hypertension was controlled on hydrochlorothiazide .' -p113542 -(lp113543 -S'It\tIt\tPRP\tB-NP\tO' -p113544 -aS'was\tbe\tVBD\tB-VP\tO' -p113545 -aS'his\this\tPRP$\tB-NP\tO' -p113546 -aS'impression\timpression\tNN\tI-NP\tO' -p113547 -aS'that\tthat\tIN\tB-SBAR\tO' -p113548 -aS'the\tthe\tDT\tB-NP\tO' -p113549 -aS'patient\tpatient\tNN\tI-NP\tO' -p113550 -aS''s\t'\tNNS\tI-NP\tO' -p113551 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p113552 -aS'was\tbe\tVBD\tB-VP\tO' -p113553 -aS'controlled\tcontrol\tVBN\tI-VP\tO' -p113554 -aS'on\ton\tIN\tB-PP\tO' -p113555 -aS'hydrochlorothiazide\thydrochlorothiazide\tNN\tB-NP\tO' -p113556 -aS'.\t.\t.\tO\tO' -p113557 -asS'Hearing was diminished for conversational speech .' -p113558 -(lp113559 -S'Hearing\tHearing\tNN\tB-NP\tO' -p113560 -aS'was\tbe\tVBD\tB-VP\tO' -p113561 -aS'diminished\tdiminish\tVBN\tI-VP\tO' -p113562 -aS'for\tfor\tIN\tB-PP\tO' -p113563 -aS'conversational\tconversational\tJJ\tB-NP\tO' -p113564 -aS'speech\tspeech\tNN\tI-NP\tO' -p113565 -aS'.\t.\t.\tO\tO' -p113566 -asS'Cardiac : RRR , no murmurs' -p113567 -(lp113568 -S'Cardiac\tCardiac\tJJ\tB-ADJP\tO' -p113569 -aS':\t:\t:\tO\tO' -p113570 -aS'RRR\tRRR\tNN\tB-NP\tB-protein' -p113571 -aS',\t,\t,\tO\tO' -p113572 -aS'no\tno\tDT\tB-NP\tO' -p113573 -aS'murmurs\tmurmur\tNNS\tI-NP\tO' -p113574 -asS'During his hospitalization , his intracranial pressure was monitored very closely and maintained to a level of less than 20 .' -p113575 -(lp113576 -S'During\tDuring\tIN\tB-PP\tO' -p113577 -aS'his\this\tPRP$\tB-NP\tO' -p113578 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p113579 -aS',\t,\t,\tO\tO' -p113580 -aS'his\this\tPRP$\tB-NP\tO' -p113581 -aS'intracranial\tintracranial\tJJ\tI-NP\tO' -p113582 -aS'pressure\tpressure\tNN\tI-NP\tO' -p113583 -aS'was\tbe\tVBD\tB-VP\tO' -p113584 -aS'monitored\tmonitor\tVBN\tI-VP\tO' -p113585 -aS'very\tvery\tRB\tB-ADVP\tO' -p113586 -aS'closely\tclosely\tRB\tI-ADVP\tO' -p113587 -aS'and\tand\tCC\tO\tO' -p113588 -aS'maintained\tmaintain\tVBD\tB-VP\tO' -p113589 -aS'to\tto\tTO\tB-PP\tO' -p113590 -aS'a\ta\tDT\tB-NP\tO' -p113591 -aS'level\tlevel\tNN\tI-NP\tO' -p113592 -aS'of\tof\tIN\tB-PP\tO' -p113593 -aS'less\tless\tJJR\tB-NP\tO' -p113594 -aS'than\tthan\tIN\tI-NP\tO' -p113595 -aS'20\t20\tCD\tI-NP\tO' -p113596 -aS'.\t.\t.\tO\tO' -p113597 -asS'1. Sarcoidosis since 2001 .' -p113598 -(lp113599 -S'1.\t1.\tLS\tB-NP\tO' -p113600 -aS'Sarcoidosis\tSarcoidosis\tNN\tI-NP\tO' -p113601 -aS'since\tsince\tIN\tB-PP\tO' -p113602 -aS'2001\t2001\tCD\tB-NP\tO' -p113603 -aS'.\t.\t.\tO\tO' -p113604 -asS"Baby is presently tolerating mother 's breastmilk with Enfamil powder to make 24 cal / oz at 130 cc / kg / day ." -p113605 -(lp113606 -S'Baby\tBaby\tNNP\tB-NP\tO' -p113607 -aS'is\tbe\tVBZ\tB-VP\tO' -p113608 -aS'presently\tpresently\tRB\tI-VP\tO' -p113609 -aS'tolerating\ttolerate\tVBG\tI-VP\tO' -p113610 -aS'mother\tmother\tNN\tB-NP\tO' -p113611 -aS"'s\t's\tPOS\tB-NP\tO" -p113612 -aS'breastmilk\tbreastmilk\tNN\tI-NP\tO' -p113613 -aS'with\twith\tIN\tB-PP\tO' -p113614 -aS'Enfamil\tEnfamil\tNN\tB-NP\tO' -p113615 -aS'powder\tpowder\tNN\tI-NP\tO' -p113616 -aS'to\tto\tTO\tB-VP\tO' -p113617 -aS'make\tmake\tVB\tI-VP\tO' -p113618 -aS'24\t24\tCD\tB-NP\tO' -p113619 -aS'cal\tcal\tJJ\tI-NP\tO' -p113620 -aS'/\t/\tSYM\tI-NP\tO' -p113621 -aS'oz\toz\tNN\tI-NP\tO' -p113622 -aS'at\tat\tIN\tB-PP\tO' -p113623 -aS'130\t130\tCD\tB-NP\tO' -p113624 -aS'cc\tcc\tNN\tI-NP\tO' -p113625 -aS'/\t/\tSYM\tB-NP\tO' -p113626 -aS'kg\tkg\tNN\tI-NP\tO' -p113627 -aS'/\t/\tSYM\tB-NP\tO' -p113628 -aS'day\tday\tNN\tI-NP\tO' -p113629 -aS'.\t.\t.\tO\tO' -p113630 -asS'19. Insulin Glargine 100 unit / mL Solution Sig : Four ( 4 ) units Subcutaneous at dinner time .' -p113631 -(lp113632 -S'19.\t19.\tLS\tB-NP\tO' -p113633 -aS'Insulin\tInsulin\tNN\tI-NP\tB-protein' -p113634 -aS'Glargine\tGlargine\tNN\tI-NP\tI-protein' -p113635 -aS'100\t100\tCD\tI-NP\tI-protein' -p113636 -aS'unit\tunit\tNN\tI-NP\tI-protein' -p113637 -aS'/\t/\tSYM\tB-NP\tO' -p113638 -aS'mL\tmL\tNN\tI-NP\tO' -p113639 -aS'Solution\tSolution\tNNP\tI-NP\tO' -p113640 -aS'Sig\tSig\tNNP\tI-NP\tO' -p113641 -aS':\t:\t:\tO\tO' -p113642 -aS'Four\tFour\tCD\tB-NP\tO' -p113643 -aS'(\t(\t(\tO\tO' -p113644 -aS'4\t4\tCD\tB-NP\tO' -p113645 -aS')\t)\t)\tO\tO' -p113646 -aS'units\tunit\tNNS\tB-NP\tO' -p113647 -aS'Subcutaneous\tSubcutaneous\tJJ\tB-ADJP\tO' -p113648 -aS'at\tat\tIN\tB-PP\tO' -p113649 -aS'dinner\tdinner\tNN\tB-NP\tO' -p113650 -aS'time\ttime\tNN\tI-NP\tO' -p113651 -aS'.\t.\t.\tO\tO' -p113652 -asS'In general , she was in no acute distress .' -p113653 -(lp113654 -S'In\tIn\tIN\tB-PP\tO' -p113655 -aS'general\tgeneral\tJJ\tB-ADJP\tO' -p113656 -aS',\t,\t,\tO\tO' -p113657 -aS'she\tshe\tPRP\tB-NP\tO' -p113658 -aS'was\tbe\tVBD\tB-VP\tO' -p113659 -aS'in\tin\tIN\tB-PP\tO' -p113660 -aS'no\tno\tDT\tB-NP\tO' -p113661 -aS'acute\tacute\tJJ\tI-NP\tO' -p113662 -aS'distress\tdistress\tNN\tI-NP\tO' -p113663 -aS'.\t.\t.\tO\tO' -p113664 -asS'AST was 175 , ALT 76 , LDH 454 .' -p113665 -(lp113666 -S'AST\tAST\tNN\tB-NP\tO' -p113667 -aS'was\tbe\tVBD\tB-VP\tO' -p113668 -aS'175\t175\tCD\tB-NP\tO' -p113669 -aS',\t,\t,\tO\tO' -p113670 -aS'ALT\tALT\tNN\tB-NP\tB-DNA' -p113671 -aS'76\t76\tCD\tI-NP\tI-DNA' -p113672 -aS',\t,\t,\tO\tO' -p113673 -aS'LDH\tLDH\tNN\tB-NP\tB-protein' -p113674 -aS'454\t454\tCD\tI-NP\tI-protein' -p113675 -aS'.\t.\t.\tO\tO' -p113676 -asS'Ms. Tlandkotesmitskote is a patient who came complaining of feeling dizzy and bumping into objects on her left side .' -p113677 -(lp113678 -S'Ms.\tMs.\tNNP\tB-NP\tO' -p113679 -aS'Tlandkotesmitskote\tTlandkotesmitskote\tNNP\tI-NP\tO' -p113680 -aS'is\tbe\tVBZ\tB-VP\tO' -p113681 -aS'a\ta\tDT\tB-NP\tO' -p113682 -aS'patient\tpatient\tNN\tI-NP\tO' -p113683 -aS'who\twho\tWP\tB-NP\tO' -p113684 -aS'came\tcome\tVBD\tB-VP\tO' -p113685 -aS'complaining\tcomplain\tVBG\tI-VP\tO' -p113686 -aS'of\tof\tIN\tB-PP\tO' -p113687 -aS'feeling\tfeeling\tNN\tB-NP\tO' -p113688 -aS'dizzy\tdizzy\tJJ\tB-ADJP\tO' -p113689 -aS'and\tand\tCC\tO\tO' -p113690 -aS'bumping\tbump\tVBG\tB-VP\tO' -p113691 -aS'into\tinto\tIN\tB-PP\tO' -p113692 -aS'objects\tobject\tNNS\tB-NP\tO' -p113693 -aS'on\ton\tIN\tB-PP\tO' -p113694 -aS'her\ther\tPRP$\tB-NP\tO' -p113695 -aS'left\tleft\tJJ\tI-NP\tO' -p113696 -aS'side\tside\tNN\tI-NP\tO' -p113697 -aS'.\t.\t.\tO\tO' -p113698 -asS'Disp : *50 Tablet( s )*' -p113699 -(lp113700 -S'Disp\tDisp\tNN\tB-NP\tO' -p113701 -aS':\t:\t:\tO\tO' -p113702 -aS'*50\t*50\tCD\tB-NP\tO' -p113703 -aS'Tablet(\tTablet(\t(\tI-NP\tO' -p113704 -aS's\ts\tNN\tI-NP\tO' -p113705 -aS')*\t)*\tSYM\tB-NP\tO' -p113706 -asS'She slept through the night , woke with persistent pain .' -p113707 -(lp113708 -S'She\tShe\tPRP\tB-NP\tO' -p113709 -aS'slept\tsleep\tVBD\tB-VP\tO' -p113710 -aS'through\tthrough\tIN\tB-PP\tO' -p113711 -aS'the\tthe\tDT\tB-NP\tO' -p113712 -aS'night\tnight\tNN\tI-NP\tO' -p113713 -aS',\t,\t,\tO\tO' -p113714 -aS'woke\twake\tVBP\tB-VP\tO' -p113715 -aS'with\twith\tIN\tB-PP\tO' -p113716 -aS'persistent\tpersistent\tJJ\tB-NP\tO' -p113717 -aS'pain\tpain\tNN\tI-NP\tO' -p113718 -aS'.\t.\t.\tO\tO' -p113719 -asS'Denies tobacco and ETOH .' -p113720 -(lp113721 -S'Denies\tDeny\tNNS\tB-NP\tO' -p113722 -aS'tobacco\ttobacco\tNN\tI-NP\tO' -p113723 -aS'and\tand\tCC\tI-NP\tO' -p113724 -aS'ETOH\tETOH\tNN\tI-NP\tB-protein' -p113725 -aS'.\t.\t.\tO\tO' -p113726 -asS'Blood pressure 120/70 , temperature 97.8 F , pulse 68 , respirations 22 , Sa02 on 2 L 94% .' -p113727 -(lp113728 -S'Blood\tBlood\tNN\tB-NP\tO' -p113729 -aS'pressure\tpressure\tNN\tI-NP\tO' -p113730 -aS'120/70\t120/70\tCD\tI-NP\tO' -p113731 -aS',\t,\t,\tO\tO' -p113732 -aS'temperature\ttemperature\tNN\tB-NP\tB-protein' -p113733 -aS'97.8\t97.8\tCD\tI-NP\tI-protein' -p113734 -aS'F\tF\tNN\tI-NP\tI-protein' -p113735 -aS',\t,\t,\tO\tO' -p113736 -aS'pulse\tpulse\tNN\tB-NP\tO' -p113737 -aS'68\t68\tCD\tI-NP\tO' -p113738 -aS',\t,\t,\tO\tO' -p113739 -aS'respirations\trespiration\tNNS\tB-NP\tO' -p113740 -aS'22\t22\tCD\tB-NP\tO' -p113741 -aS',\t,\t,\tO\tO' -p113742 -aS'Sa02\tSa02\tNN\tB-NP\tB-protein' -p113743 -aS'on\ton\tIN\tB-PP\tO' -p113744 -aS'2\t2\tCD\tB-NP\tO' -p113745 -aS'L\tL\tNN\tI-NP\tO' -p113746 -aS'94%\t94%\tNN\tI-NP\tO' -p113747 -aS'.\t.\t.\tO\tO' -p113748 -asS'He was medically managed for CHF and underwent a cardiac catheterization on 2014-03-06 .' -p113749 -(lp113750 -S'He\tHe\tPRP\tB-NP\tO' -p113751 -aS'was\tbe\tVBD\tB-VP\tO' -p113752 -aS'medically\tmedically\tRB\tI-VP\tO' -p113753 -aS'managed\tmanage\tVBN\tI-VP\tO' -p113754 -aS'for\tfor\tIN\tB-PP\tO' -p113755 -aS'CHF\tCHF\tNN\tB-NP\tB-protein' -p113756 -aS'and\tand\tCC\tO\tO' -p113757 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p113758 -aS'a\ta\tDT\tB-NP\tO' -p113759 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p113760 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p113761 -aS'on\ton\tIN\tB-PP\tO' -p113762 -aS'2014-03-06\t2014-03-06\tCD\tB-NP\tO' -p113763 -aS'.\t.\t.\tO\tO' -p113764 -asS'Positive for coronary artery disease .' -p113765 -(lp113766 -S'Positive\tPositive\tJJ\tB-ADJP\tO' -p113767 -aS'for\tfor\tIN\tB-PP\tO' -p113768 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p113769 -aS'artery\tartery\tNN\tI-NP\tO' -p113770 -aS'disease\tdisease\tNN\tI-NP\tO' -p113771 -aS'.\t.\t.\tO\tO' -p113772 -asS'Major stressors in his life include unstable job , brother is mentally handicapped , war .' -p113773 -(lp113774 -S'Major\tMajor\tJJ\tB-NP\tO' -p113775 -aS'stressors\tstressor\tNNS\tI-NP\tO' -p113776 -aS'in\tin\tIN\tB-PP\tO' -p113777 -aS'his\this\tPRP$\tB-NP\tO' -p113778 -aS'life\tlife\tNN\tI-NP\tO' -p113779 -aS'include\tinclude\tVBP\tB-VP\tO' -p113780 -aS'unstable\tunstable\tJJ\tB-NP\tO' -p113781 -aS'job\tjob\tNN\tI-NP\tO' -p113782 -aS',\t,\t,\tO\tO' -p113783 -aS'brother\tbrother\tNN\tB-NP\tO' -p113784 -aS'is\tbe\tVBZ\tB-VP\tO' -p113785 -aS'mentally\tmentally\tRB\tI-VP\tO' -p113786 -aS'handicapped\thandicap\tVBN\tI-VP\tO' -p113787 -aS',\t,\t,\tO\tO' -p113788 -aS'war\twar\tNN\tB-NP\tO' -p113789 -aS'.\t.\t.\tO\tO' -p113790 -asS'The patient became notably less anxious throughout hospital stay .' -p113791 -(lp113792 -S'The\tThe\tDT\tB-NP\tO' -p113793 -aS'patient\tpatient\tNN\tI-NP\tO' -p113794 -aS'became\tbecome\tVBD\tB-VP\tO' -p113795 -aS'notably\tnotably\tRB\tB-ADJP\tO' -p113796 -aS'less\tless\tRBR\tI-ADJP\tO' -p113797 -aS'anxious\tanxious\tJJ\tI-ADJP\tO' -p113798 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p113799 -aS'hospital\thospital\tNN\tB-NP\tO' -p113800 -aS'stay\tstay\tNN\tI-NP\tO' -p113801 -aS'.\t.\t.\tO\tO' -p113802 -asS'On October 15 , 1999 at 6 AM the patient was admitted to No Verlmerver Medical Center .' -p113803 -(lp113804 -S'On\tOn\tIN\tB-PP\tO' -p113805 -aS'October\tOctober\tNNP\tB-NP\tO' -p113806 -aS'15\t15\tCD\tI-NP\tO' -p113807 -aS',\t,\t,\tI-NP\tO' -p113808 -aS'1999\t1999\tCD\tI-NP\tO' -p113809 -aS'at\tat\tIN\tB-PP\tO' -p113810 -aS'6\t6\tCD\tB-NP\tO' -p113811 -aS'AM\tAM\tVBP\tB-VP\tO' -p113812 -aS'the\tthe\tDT\tB-NP\tO' -p113813 -aS'patient\tpatient\tNN\tI-NP\tO' -p113814 -aS'was\tbe\tVBD\tB-VP\tO' -p113815 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p113816 -aS'to\tto\tTO\tB-PP\tO' -p113817 -aS'No\tNo\tNNP\tB-NP\tO' -p113818 -aS'Verlmerver\tVerlmerver\tNNP\tI-NP\tO' -p113819 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p113820 -aS'Center\tCenter\tNNP\tI-NP\tO' -p113821 -aS'.\t.\t.\tO\tO' -p113822 -asS'The patient was advised to have a low fat / low cholesterol diet , was cleared by PT and advised to do cardiac rehabilitation .' -p113823 -(lp113824 -S'The\tThe\tDT\tB-NP\tO' -p113825 -aS'patient\tpatient\tNN\tI-NP\tO' -p113826 -aS'was\tbe\tVBD\tB-VP\tO' -p113827 -aS'advised\tadvise\tVBN\tI-VP\tO' -p113828 -aS'to\tto\tTO\tI-VP\tO' -p113829 -aS'have\thave\tVB\tI-VP\tO' -p113830 -aS'a\ta\tDT\tB-NP\tO' -p113831 -aS'low\tlow\tJJ\tI-NP\tO' -p113832 -aS'fat\tfat\tNN\tI-NP\tO' -p113833 -aS'/\t/\tSYM\tB-NP\tO' -p113834 -aS'low\tlow\tJJ\tI-NP\tO' -p113835 -aS'cholesterol\tcholesterol\tNN\tI-NP\tO' -p113836 -aS'diet\tdiet\tNN\tI-NP\tO' -p113837 -aS',\t,\t,\tO\tO' -p113838 -aS'was\tbe\tVBD\tB-VP\tO' -p113839 -aS'cleared\tclear\tVBN\tI-VP\tO' -p113840 -aS'by\tby\tIN\tB-PP\tO' -p113841 -aS'PT\tPT\tNN\tB-NP\tO' -p113842 -aS'and\tand\tCC\tO\tO' -p113843 -aS'advised\tadvise\tVBN\tB-VP\tO' -p113844 -aS'to\tto\tTO\tB-VP\tO' -p113845 -aS'do\tdo\tVB\tI-VP\tO' -p113846 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p113847 -aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' -p113848 -aS'.\t.\t.\tO\tO' -p113849 -asS"Repeat imaging revealed evidence of mild pulmonary congestion which was thought to account for the patient 's mild hypoxia ." -p113850 -(lp113851 -S'Repeat\tRepeat\tNN\tB-NP\tO' -p113852 -aS'imaging\timaging\tNN\tI-NP\tO' -p113853 -aS'revealed\treveal\tVBD\tB-VP\tO' -p113854 -aS'evidence\tevidence\tNN\tB-NP\tO' -p113855 -aS'of\tof\tIN\tB-PP\tO' -p113856 -aS'mild\tmild\tJJ\tB-NP\tO' -p113857 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p113858 -aS'congestion\tcongestion\tNN\tI-NP\tO' -p113859 -aS'which\twhich\tWDT\tB-NP\tO' -p113860 -aS'was\tbe\tVBD\tB-VP\tO' -p113861 -aS'thought\tthink\tVBN\tI-VP\tO' -p113862 -aS'to\tto\tTO\tI-VP\tO' -p113863 -aS'account\taccount\tVB\tI-VP\tO' -p113864 -aS'for\tfor\tIN\tB-PP\tO' -p113865 -aS'the\tthe\tDT\tB-NP\tO' -p113866 -aS'patient\tpatient\tNN\tI-NP\tO' -p113867 -aS"'s\t's\tPOS\tB-NP\tO" -p113868 -aS'mild\tmild\tJJ\tI-NP\tO' -p113869 -aS'hypoxia\thypoxia\tNN\tI-NP\tO' -p113870 -aS'.\t.\t.\tO\tO' -p113871 -asS'5. Oxycodone 5 mg Tablet Sig : One ( 1 ) Tablet PO Q4H ( every 4 hours ) as needed .' -p113872 -(lp113873 -S'5.\t5.\tLS\tB-NP\tO' -p113874 -aS'Oxycodone\tOxycodone\tNN\tI-NP\tO' -p113875 -aS'5\t5\tCD\tI-NP\tO' -p113876 -aS'mg\tmg\tNN\tI-NP\tO' -p113877 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p113878 -aS'Sig\tSig\tNNP\tI-NP\tO' -p113879 -aS':\t:\t:\tO\tO' -p113880 -aS'One\tOne\tCD\tB-NP\tO' -p113881 -aS'(\t(\t(\tO\tO' -p113882 -aS'1\t1\tCD\tB-NP\tO' -p113883 -aS')\t)\t)\tO\tO' -p113884 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p113885 -aS'PO\tPO\tNN\tI-NP\tO' -p113886 -aS'Q4H\tQ4H\tNN\tI-NP\tO' -p113887 -aS'(\t(\t(\tO\tO' -p113888 -aS'every\tevery\tDT\tB-NP\tO' -p113889 -aS'4\t4\tCD\tI-NP\tO' -p113890 -aS'hours\thour\tNNS\tI-NP\tO' -p113891 -aS')\t)\t)\tO\tO' -p113892 -aS'as\tas\tIN\tB-SBAR\tO' -p113893 -aS'needed\tneed\tVBN\tB-VP\tO' -p113894 -aS'.\t.\t.\tO\tO' -p113895 -asS'The speech was fluent and repetition was normal .' -p113896 -(lp113897 -S'The\tThe\tDT\tB-NP\tO' -p113898 -aS'speech\tspeech\tNN\tI-NP\tO' -p113899 -aS'was\tbe\tVBD\tB-VP\tO' -p113900 -aS'fluent\tfluent\tJJ\tB-ADJP\tO' -p113901 -aS'and\tand\tCC\tO\tO' -p113902 -aS'repetition\trepetition\tNN\tB-NP\tO' -p113903 -aS'was\tbe\tVBD\tB-VP\tO' -p113904 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p113905 -aS'.\t.\t.\tO\tO' -p113906 -asS'An abdominal wall hernia was also repaired .' -p113907 -(lp113908 -S'An\tAn\tDT\tB-NP\tO' -p113909 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p113910 -aS'wall\twall\tNN\tI-NP\tO' -p113911 -aS'hernia\thernia\tNN\tI-NP\tO' -p113912 -aS'was\tbe\tVBD\tB-VP\tO' -p113913 -aS'also\talso\tRB\tI-VP\tO' -p113914 -aS'repaired\trepair\tVBN\tI-VP\tO' -p113915 -aS'.\t.\t.\tO\tO' -p113916 -asS'She had a positive S4 .' -p113917 -(lp113918 -S'She\tShe\tPRP\tB-NP\tO' -p113919 -aS'had\thave\tVBD\tB-VP\tO' -p113920 -aS'a\ta\tDT\tB-NP\tO' -p113921 -aS'positive\tpositive\tJJ\tI-NP\tB-protein' -p113922 -aS'S4\tS4\tNN\tI-NP\tI-protein' -p113923 -aS'.\t.\t.\tO\tO' -p113924 -asS'There was decreased sensation to touch over the entire foot .' -p113925 -(lp113926 -S'There\tThere\tEX\tB-NP\tO' -p113927 -aS'was\tbe\tVBD\tB-VP\tO' -p113928 -aS'decreased\tdecrease\tVBN\tI-VP\tO' -p113929 -aS'sensation\tsensation\tNN\tB-NP\tO' -p113930 -aS'to\tto\tTO\tB-VP\tO' -p113931 -aS'touch\ttouch\tVB\tI-VP\tO' -p113932 -aS'over\tover\tIN\tB-PP\tO' -p113933 -aS'the\tthe\tDT\tB-NP\tO' -p113934 -aS'entire\tentire\tJJ\tI-NP\tO' -p113935 -aS'foot\tfoot\tNN\tI-NP\tO' -p113936 -aS'.\t.\t.\tO\tO' -p113937 -asS'May shower but no baths .' -p113938 -(lp113939 -S'May\tMay\tMD\tO\tO' -p113940 -aS'shower\tshower\tNN\tB-NP\tO' -p113941 -aS'but\tbut\tCC\tO\tO' -p113942 -aS'no\tno\tDT\tB-NP\tO' -p113943 -aS'baths\tbath\tNNS\tI-NP\tO' -p113944 -aS'.\t.\t.\tO\tO' -p113945 -asS'He was afebrile with stable vital signs and good urine output .' -p113946 -(lp113947 -S'He\tHe\tPRP\tB-NP\tO' -p113948 -aS'was\tbe\tVBD\tB-VP\tO' -p113949 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p113950 -aS'with\twith\tIN\tB-PP\tO' -p113951 -aS'stable\tstable\tJJ\tB-NP\tO' -p113952 -aS'vital\tvital\tJJ\tI-NP\tO' -p113953 -aS'signs\tsign\tNNS\tI-NP\tO' -p113954 -aS'and\tand\tCC\tO\tO' -p113955 -aS'good\tgood\tJJ\tB-NP\tO' -p113956 -aS'urine\turine\tNN\tI-NP\tO' -p113957 -aS'output\toutput\tNN\tI-NP\tO' -p113958 -aS'.\t.\t.\tO\tO' -p113959 -asS'Initial NIH stroke scale of 33 .' -p113960 -(lp113961 -S'Initial\tInitial\tJJ\tB-NP\tO' -p113962 -aS'NIH\tNIH\tNN\tI-NP\tO' -p113963 -aS'stroke\tstroke\tVBD\tB-VP\tO' -p113964 -aS'scale\tscale\tNN\tB-NP\tO' -p113965 -aS'of\tof\tIN\tB-PP\tO' -p113966 -aS'33\t33\tCD\tB-NP\tO' -p113967 -aS'.\t.\t.\tO\tO' -p113968 -asS'Mr. Villesatelkscurb is a fifty year old black gentleman with a long history of hepatitis C , believed to be contracted during transfusions in a previous trauma .' -p113969 -(lp113970 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p113971 -aS'Villesatelkscurb\tVillesatelkscurb\tNNP\tI-NP\tO' -p113972 -aS'is\tbe\tVBZ\tB-VP\tO' -p113973 -aS'a\ta\tDT\tB-NP\tO' -p113974 -aS'fifty\tfifty\tJJ\tI-NP\tO' -p113975 -aS'year\tyear\tNN\tI-NP\tO' -p113976 -aS'old\told\tJJ\tI-NP\tO' -p113977 -aS'black\tblack\tJJ\tI-NP\tO' -p113978 -aS'gentleman\tgentleman\tNN\tI-NP\tO' -p113979 -aS'with\twith\tIN\tB-PP\tO' -p113980 -aS'a\ta\tDT\tB-NP\tO' -p113981 -aS'long\tlong\tJJ\tI-NP\tO' -p113982 -aS'history\thistory\tNN\tI-NP\tO' -p113983 -aS'of\tof\tIN\tB-PP\tO' -p113984 -aS'hepatitis\thepatitis\tNN\tB-NP\tO' -p113985 -aS'C\tC\tNN\tI-NP\tO' -p113986 -aS',\t,\t,\tO\tO' -p113987 -aS'believed\tbelieve\tVBN\tB-VP\tO' -p113988 -aS'to\tto\tTO\tI-VP\tO' -p113989 -aS'be\tbe\tVB\tI-VP\tO' -p113990 -aS'contracted\tcontract\tVBN\tI-VP\tO' -p113991 -aS'during\tduring\tIN\tB-PP\tO' -p113992 -aS'transfusions\ttransfusion\tNNS\tB-NP\tO' -p113993 -aS'in\tin\tIN\tB-PP\tO' -p113994 -aS'a\ta\tDT\tB-NP\tO' -p113995 -aS'previous\tprevious\tJJ\tI-NP\tO' -p113996 -aS'trauma\ttrauma\tNN\tI-NP\tO' -p113997 -aS'.\t.\t.\tO\tO' -p113998 -asS'The UAC was left in place until day of life two and was removed after wean from dopamine .' -p113999 -(lp114000 -S'The\tThe\tDT\tB-NP\tO' -p114001 -aS'UAC\tUAC\tNNP\tI-NP\tO' -p114002 -aS'was\tbe\tVBD\tB-VP\tO' -p114003 -aS'left\tleave\tVBN\tI-VP\tO' -p114004 -aS'in\tin\tIN\tB-PP\tO' -p114005 -aS'place\tplace\tNN\tB-NP\tO' -p114006 -aS'until\tuntil\tIN\tB-PP\tO' -p114007 -aS'day\tday\tNN\tB-NP\tO' -p114008 -aS'of\tof\tIN\tB-PP\tO' -p114009 -aS'life\tlife\tNN\tB-NP\tO' -p114010 -aS'two\ttwo\tCD\tI-NP\tO' -p114011 -aS'and\tand\tCC\tO\tO' -p114012 -aS'was\tbe\tVBD\tB-VP\tO' -p114013 -aS'removed\tremove\tVBN\tI-VP\tO' -p114014 -aS'after\tafter\tIN\tB-PP\tO' -p114015 -aS'wean\twean\tJJ\tB-NP\tO' -p114016 -aS'from\tfrom\tIN\tB-PP\tO' -p114017 -aS'dopamine\tdopamine\tNN\tB-NP\tO' -p114018 -aS'.\t.\t.\tO\tO' -p114019 -asS'Heart rates 140 s to 150 s.' -p114020 -(lp114021 -S'Heart\tHeart\tNN\tB-NP\tO' -p114022 -aS'rates\trate\tNNS\tI-NP\tO' -p114023 -aS'140\t140\tCD\tB-NP\tO' -p114024 -aS's\ts\tNN\tI-NP\tO' -p114025 -aS'to\tto\tTO\tB-PP\tO' -p114026 -aS'150\t150\tCD\tB-NP\tO' -p114027 -aS's.\ts.\tNNS\tI-NP\tO' -p114028 -asS'His troponin was 20 and he had EKG changes .' -p114029 -(lp114030 -S'His\tHis\tPRP$\tB-NP\tO' -p114031 -aS'troponin\ttroponin\tNN\tI-NP\tO' -p114032 -aS'was\tbe\tVBD\tB-VP\tO' -p114033 -aS'20\t20\tCD\tB-NP\tO' -p114034 -aS'and\tand\tCC\tO\tO' -p114035 -aS'he\the\tPRP\tB-NP\tO' -p114036 -aS'had\thave\tVBD\tB-VP\tO' -p114037 -aS'EKG\tEKG\tNN\tB-NP\tO' -p114038 -aS'changes\tchange\tNNS\tI-NP\tO' -p114039 -aS'.\t.\t.\tO\tO' -p114040 -asS'# Recurrent ascites : On the medical floor , pt had a large volume paracentesis ( 6 liters ) followed by replacement with albumin .' -p114041 -(lp114042 -S'#\t#\t#\tB-NP\tO' -p114043 -aS'Recurrent\tRecurrent\tJJ\tI-NP\tO' -p114044 -aS'ascites\tascite\tNNS\tI-NP\tO' -p114045 -aS':\t:\t:\tO\tO' -p114046 -aS'On\tOn\tIN\tB-PP\tO' -p114047 -aS'the\tthe\tDT\tB-NP\tO' -p114048 -aS'medical\tmedical\tJJ\tI-NP\tO' -p114049 -aS'floor\tfloor\tNN\tI-NP\tO' -p114050 -aS',\t,\t,\tO\tO' -p114051 -aS'pt\tpt\tNN\tB-NP\tO' -p114052 -aS'had\thave\tVBD\tB-VP\tO' -p114053 -aS'a\ta\tDT\tB-NP\tO' -p114054 -aS'large\tlarge\tJJ\tI-NP\tO' -p114055 -aS'volume\tvolume\tNN\tI-NP\tO' -p114056 -aS'paracentesis\tparacentesis\tNN\tI-NP\tO' -p114057 -aS'(\t(\t(\tO\tO' -p114058 -aS'6\t6\tCD\tB-NP\tO' -p114059 -aS'liters\tliter\tNNS\tI-NP\tO' -p114060 -aS')\t)\t)\tO\tO' -p114061 -aS'followed\tfollow\tVBN\tB-VP\tO' -p114062 -aS'by\tby\tIN\tB-PP\tO' -p114063 -aS'replacement\treplacement\tNN\tB-NP\tO' -p114064 -aS'with\twith\tIN\tB-PP\tO' -p114065 -aS'albumin\talbumin\tNN\tB-NP\tB-protein' -p114066 -aS'.\t.\t.\tO\tO' -p114067 -asS'The patient presented to Bri Health in order to be evaluated for preoperative clearance .' -p114068 -(lp114069 -S'The\tThe\tDT\tB-NP\tO' -p114070 -aS'patient\tpatient\tNN\tI-NP\tO' -p114071 -aS'presented\tpresent\tVBN\tB-VP\tO' -p114072 -aS'to\tto\tTO\tB-PP\tO' -p114073 -aS'Bri\tBri\tNNP\tB-NP\tO' -p114074 -aS'Health\tHealth\tNNP\tI-NP\tO' -p114075 -aS'in\tin\tIN\tB-SBAR\tO' -p114076 -aS'order\torder\tNN\tO\tO' -p114077 -aS'to\tto\tTO\tB-VP\tO' -p114078 -aS'be\tbe\tVB\tI-VP\tO' -p114079 -aS'evaluated\tevaluate\tVBN\tI-VP\tO' -p114080 -aS'for\tfor\tIN\tB-PP\tO' -p114081 -aS'preoperative\tpreoperative\tJJ\tB-NP\tO' -p114082 -aS'clearance\tclearance\tNN\tI-NP\tO' -p114083 -aS'.\t.\t.\tO\tO' -p114084 -asS'Pulmonary edema .' -p114085 -(lp114086 -S'Pulmonary\tPulmonary\tJJ\tB-NP\tO' -p114087 -aS'edema\tedema\tNN\tI-NP\tO' -p114088 -aS'.\t.\t.\tO\tO' -p114089 -asS'During the course of hospitalization , the patient was followed by cardiac surgery , cardiology , infectious disease , allergy , and medicine , including GI teams .' -p114090 -(lp114091 -S'During\tDuring\tIN\tB-PP\tO' -p114092 -aS'the\tthe\tDT\tB-NP\tO' -p114093 -aS'course\tcourse\tNN\tI-NP\tO' -p114094 -aS'of\tof\tIN\tB-PP\tO' -p114095 -aS'hospitalization\thospitalization\tNN\tB-NP\tO' -p114096 -aS',\t,\t,\tO\tO' -p114097 -aS'the\tthe\tDT\tB-NP\tO' -p114098 -aS'patient\tpatient\tNN\tI-NP\tO' -p114099 -aS'was\tbe\tVBD\tB-VP\tO' -p114100 -aS'followed\tfollow\tVBN\tI-VP\tO' -p114101 -aS'by\tby\tIN\tB-PP\tO' -p114102 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p114103 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p114104 -aS',\t,\t,\tO\tO' -p114105 -aS'cardiology\tcardiology\tNN\tB-NP\tO' -p114106 -aS',\t,\t,\tO\tO' -p114107 -aS'infectious\tinfectious\tJJ\tB-NP\tO' -p114108 -aS'disease\tdisease\tNN\tI-NP\tO' -p114109 -aS',\t,\t,\tO\tO' -p114110 -aS'allergy\tallergy\tNN\tB-NP\tO' -p114111 -aS',\t,\t,\tO\tO' -p114112 -aS'and\tand\tCC\tO\tO' -p114113 -aS'medicine\tmedicine\tNN\tB-NP\tO' -p114114 -aS',\t,\t,\tO\tO' -p114115 -aS'including\tinclude\tVBG\tB-PP\tO' -p114116 -aS'GI\tGI\tNN\tB-NP\tB-protein' -p114117 -aS'teams\tteam\tNNS\tI-NP\tI-protein' -p114118 -aS'.\t.\t.\tO\tO' -p114119 -asS'Lungs - clear to percussion and auscultation on both sides .' -p114120 -(lp114121 -S'Lungs\tLung\tNNS\tB-NP\tO' -p114122 -aS'-\t-\tHYPH\tO\tO' -p114123 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p114124 -aS'to\tto\tTO\tB-PP\tO' -p114125 -aS'percussion\tpercussion\tNN\tB-NP\tO' -p114126 -aS'and\tand\tCC\tI-NP\tO' -p114127 -aS'auscultation\tauscultation\tNN\tI-NP\tO' -p114128 -aS'on\ton\tIN\tB-PP\tO' -p114129 -aS'both\tboth\tDT\tB-NP\tO' -p114130 -aS'sides\tside\tNNS\tI-NP\tO' -p114131 -aS'.\t.\t.\tO\tO' -p114132 -asS'A Swan was also placed .' -p114133 -(lp114134 -S'A\tA\tDT\tB-NP\tO' -p114135 -aS'Swan\tSwan\tNNP\tI-NP\tO' -p114136 -aS'was\tbe\tVBD\tB-VP\tO' -p114137 -aS'also\talso\tRB\tI-VP\tO' -p114138 -aS'placed\tplace\tVBN\tI-VP\tO' -p114139 -aS'.\t.\t.\tO\tO' -p114140 -asS'No acute distress .' -p114141 -(lp114142 -S'No\tNo\tDT\tB-NP\tO' -p114143 -aS'acute\tacute\tJJ\tI-NP\tO' -p114144 -aS'distress\tdistress\tNN\tI-NP\tO' -p114145 -aS'.\t.\t.\tO\tO' -p114146 -asS'He was initially started on broad spectrum antibiotics .' -p114147 -(lp114148 -S'He\tHe\tPRP\tB-NP\tO' -p114149 -aS'was\tbe\tVBD\tB-VP\tO' -p114150 -aS'initially\tinitially\tRB\tI-VP\tO' -p114151 -aS'started\tstart\tVBN\tI-VP\tO' -p114152 -aS'on\ton\tIN\tB-PP\tO' -p114153 -aS'broad\tbroad\tJJ\tB-NP\tO' -p114154 -aS'spectrum\tspectrum\tNN\tI-NP\tO' -p114155 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p114156 -aS'.\t.\t.\tO\tO' -p114157 -asS'She was transferred from the ICU back to the PP floor on 12-19 .' -p114158 -(lp114159 -S'She\tShe\tPRP\tB-NP\tO' -p114160 -aS'was\tbe\tVBD\tB-VP\tO' -p114161 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p114162 -aS'from\tfrom\tIN\tB-PP\tO' -p114163 -aS'the\tthe\tDT\tB-NP\tO' -p114164 -aS'ICU\tICU\tNN\tI-NP\tB-protein' -p114165 -aS'back\tback\tRB\tB-ADVP\tO' -p114166 -aS'to\tto\tTO\tB-PP\tO' -p114167 -aS'the\tthe\tDT\tB-NP\tO' -p114168 -aS'PP\tPP\tNN\tI-NP\tB-protein' -p114169 -aS'floor\tfloor\tNN\tI-NP\tI-protein' -p114170 -aS'on\ton\tIN\tB-PP\tO' -p114171 -aS'12-19\t12-19\tCD\tB-NP\tO' -p114172 -aS'.\t.\t.\tO\tO' -p114173 -asS'Heart regular .' -p114174 -(lp114175 -S'Heart\tHeart\tNN\tB-NP\tO' -p114176 -aS'regular\tregular\tJJ\tB-ADJP\tO' -p114177 -aS'.\t.\t.\tO\tO' -p114178 -asS'On admission include Cozaar 75 mg q.d. , Coumadin 2 mg/1 mg alternate days , Synthroid 175 mcg q.d. , Zoloft 50 mg q.d. , Zantac 150 mg b.i.d. , Diabeta 25 mg q.d. , Proctofoam 1% q.i.d. , Demerol 100 mg q 6 p.r.n. , OsCal 2 tabs t.i.d. , multivitamins and KCl supplements , Dulcolax 5 mg q.d. , Senokot 2 tabs q h.s. , Metamucil 1 tablespoon b.i.d. , Detrol 2 mg b.i.d. , Neurontin 200 mg t.i.d. , HydroDIURIL 12.5 mg q.d. , Valium 10 mg q 8 p.r.n. muscle spasm , Insulin by sliding scale and levofloxacin 500 mg q.d. beginning October 23 , 1999 .' -p114179 -(lp114180 -S'On\tOn\tIN\tB-PP\tO' -p114181 -aS'admission\tadmission\tNN\tB-NP\tO' -p114182 -aS'include\tinclude\tVBP\tB-VP\tO' -p114183 -aS'Cozaar\tCozaar\tNNP\tB-NP\tO' -p114184 -aS'75\t75\tCD\tI-NP\tO' -p114185 -aS'mg\tmg\tNN\tI-NP\tO' -p114186 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p114187 -aS',\t,\t,\tO\tO' -p114188 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p114189 -aS'2\t2\tCD\tI-NP\tO' -p114190 -aS'mg/1\tmg/1\tNN\tI-NP\tO' -p114191 -aS'mg\tmg\tNN\tI-NP\tO' -p114192 -aS'alternate\talternate\tJJ\tI-NP\tO' -p114193 -aS'days\tday\tNNS\tI-NP\tO' -p114194 -aS',\t,\t,\tO\tO' -p114195 -aS'Synthroid\tSynthroid\tJJ\tB-NP\tO' -p114196 -aS'175\t175\tCD\tI-NP\tO' -p114197 -aS'mcg\tmcg\tNN\tI-NP\tO' -p114198 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p114199 -aS',\t,\t,\tO\tO' -p114200 -aS'Zoloft\tZoloft\tNNP\tB-NP\tO' -p114201 -aS'50\t50\tCD\tI-NP\tO' -p114202 -aS'mg\tmg\tNN\tI-NP\tO' -p114203 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p114204 -aS',\t,\t,\tO\tO' -p114205 -aS'Zantac\tZantac\tNN\tB-NP\tO' -p114206 -aS'150\t150\tCD\tI-NP\tO' -p114207 -aS'mg\tmg\tNN\tI-NP\tO' -p114208 -aS'b.i.d.\tb.i.d.\tRB\tB-ADVP\tO' -p114209 -aS',\t,\t,\tO\tO' -p114210 -aS'Diabeta\tDiabeta\tNN\tB-NP\tO' -p114211 -aS'25\t25\tCD\tI-NP\tO' -p114212 -aS'mg\tmg\tNN\tI-NP\tO' -p114213 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p114214 -aS',\t,\t,\tO\tO' -p114215 -aS'Proctofoam\tProctofoam\tNNP\tB-NP\tO' -p114216 -aS'1%\t1%\tIN\tB-PP\tO' -p114217 -aS'q.i.d.\tq.i.d.\tNNP\tB-NP\tO' -p114218 -aS',\t,\t,\tO\tO' -p114219 -aS'Demerol\tDemerol\tNNP\tB-NP\tO' -p114220 -aS'100\t100\tCD\tI-NP\tO' -p114221 -aS'mg\tmg\tNN\tI-NP\tO' -p114222 -aS'q\tq\tNN\tI-NP\tO' -p114223 -aS'6\t6\tCD\tI-NP\tO' -p114224 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p114225 -aS',\t,\t,\tO\tO' -p114226 -aS'OsCal\tOsCal\tJJ\tB-NP\tB-protein' -p114227 -aS'2\t2\tCD\tI-NP\tI-protein' -p114228 -aS'tabs\ttab\tNNS\tI-NP\tI-protein' -p114229 -aS't.i.d.\tt.i.d.\tRB\tB-ADVP\tO' -p114230 -aS',\t,\t,\tO\tO' -p114231 -aS'multivitamins\tmultivitamin\tNNS\tB-NP\tO' -p114232 -aS'and\tand\tCC\tO\tO' -p114233 -aS'KCl\tKCl\tNN\tB-NP\tO' -p114234 -aS'supplements\tsupplement\tNNS\tI-NP\tO' -p114235 -aS',\t,\t,\tO\tO' -p114236 -aS'Dulcolax\tDulcolax\tNN\tB-NP\tO' -p114237 -aS'5\t5\tCD\tI-NP\tO' -p114238 -aS'mg\tmg\tNN\tI-NP\tO' -p114239 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p114240 -aS',\t,\t,\tO\tO' -p114241 -aS'Senokot\tSenokot\tNNP\tB-NP\tO' -p114242 -aS'2\t2\tCD\tI-NP\tO' -p114243 -aS'tabs\ttab\tNNS\tI-NP\tO' -p114244 -aS'q\tq\tNN\tI-NP\tO' -p114245 -aS'h.s.\th.s.\tNN\tI-NP\tO' -p114246 -aS',\t,\t,\tO\tO' -p114247 -aS'Metamucil\tMetamucil\tNNP\tB-NP\tO' -p114248 -aS'1\t1\tCD\tI-NP\tO' -p114249 -aS'tablespoon\ttablespoon\tNN\tI-NP\tO' -p114250 -aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' -p114251 -aS',\t,\t,\tO\tO' -p114252 -aS'Detrol\tDetrol\tNN\tB-NP\tO' -p114253 -aS'2\t2\tCD\tI-NP\tO' -p114254 -aS'mg\tmg\tNN\tI-NP\tO' -p114255 -aS'b.i.d.\tb.i.d.\tRB\tB-ADVP\tO' -p114256 -aS',\t,\t,\tO\tO' -p114257 -aS'Neurontin\tNeurontin\tNN\tB-NP\tB-protein' -p114258 -aS'200\t200\tCD\tI-NP\tI-protein' -p114259 -aS'mg\tmg\tNN\tI-NP\tI-protein' -p114260 -aS't.i.d.\tt.i.d.\tNN\tI-NP\tI-protein' -p114261 -aS',\t,\t,\tO\tO' -p114262 -aS'HydroDIURIL\tHydroDIURIL\tNN\tB-NP\tO' -p114263 -aS'12.5\t12.5\tCD\tI-NP\tO' -p114264 -aS'mg\tmg\tNN\tI-NP\tO' -p114265 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p114266 -aS',\t,\t,\tO\tO' -p114267 -aS'Valium\tValium\tNNP\tB-NP\tO' -p114268 -aS'10\t10\tCD\tI-NP\tO' -p114269 -aS'mg\tmg\tNN\tI-NP\tO' -p114270 -aS'q\tq\tNN\tI-NP\tO' -p114271 -aS'8\t8\tCD\tI-NP\tO' -p114272 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p114273 -aS'muscle\tmuscle\tNN\tI-NP\tO' -p114274 -aS'spasm\tspasm\tNN\tI-NP\tO' -p114275 -aS',\t,\t,\tO\tO' -p114276 -aS'Insulin\tInsulin\tNN\tB-NP\tB-protein' -p114277 -aS'by\tby\tIN\tB-PP\tO' -p114278 -aS'sliding\tslide\tVBG\tB-VP\tO' -p114279 -aS'scale\tscale\tNN\tB-NP\tO' -p114280 -aS'and\tand\tCC\tO\tO' -p114281 -aS'levofloxacin\tlevofloxacin\tNN\tB-NP\tO' -p114282 -aS'500\t500\tCD\tI-NP\tO' -p114283 -aS'mg\tmg\tNN\tI-NP\tO' -p114284 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p114285 -aS'beginning\tbegin\tVBG\tB-VP\tO' -p114286 -aS'October\tOctober\tNNP\tB-NP\tO' -p114287 -aS'23\t23\tCD\tI-NP\tO' -p114288 -aS',\t,\t,\tI-NP\tO' -p114289 -aS'1999\t1999\tCD\tI-NP\tO' -p114290 -aS'.\t.\t.\tO\tO' -p114291 -asS'6. Gangrene of his left second toe in 2010-06-06 followed by an amputation .' -p114292 -(lp114293 -S'6.\t6.\tLS\tB-NP\tO' -p114294 -aS'Gangrene\tGangrene\tNN\tI-NP\tO' -p114295 -aS'of\tof\tIN\tB-PP\tO' -p114296 -aS'his\this\tPRP$\tB-NP\tO' -p114297 -aS'left\tleft\tJJ\tI-NP\tO' -p114298 -aS'second\tsecond\tJJ\tI-NP\tO' -p114299 -aS'toe\ttoe\tNN\tI-NP\tO' -p114300 -aS'in\tin\tIN\tB-PP\tO' -p114301 -aS'2010-06-06\t2010-06-06\tCD\tB-NP\tO' -p114302 -aS'followed\tfollow\tVBN\tB-VP\tO' -p114303 -aS'by\tby\tIN\tB-PP\tO' -p114304 -aS'an\tan\tDT\tB-NP\tO' -p114305 -aS'amputation\tamputation\tNN\tI-NP\tO' -p114306 -aS'.\t.\t.\tO\tO' -p114307 -asS'She had increasing symptoms overtime , not controlled by conservative management .' -p114308 -(lp114309 -S'She\tShe\tPRP\tB-NP\tO' -p114310 -aS'had\thave\tVBD\tB-VP\tO' -p114311 -aS'increasing\tincrease\tVBG\tI-VP\tO' -p114312 -aS'symptoms\tsymptom\tNNS\tB-NP\tO' -p114313 -aS'overtime\tovertime\tRB\tB-ADVP\tO' -p114314 -aS',\t,\t,\tO\tO' -p114315 -aS'not\tnot\tRB\tB-VP\tO' -p114316 -aS'controlled\tcontrol\tVBN\tI-VP\tO' -p114317 -aS'by\tby\tIN\tB-PP\tO' -p114318 -aS'conservative\tconservative\tJJ\tB-NP\tO' -p114319 -aS'management\tmanagement\tNN\tI-NP\tO' -p114320 -aS'.\t.\t.\tO\tO' -p114321 -asS'Signed electronically by : DR. Timothy Clemons on : MON 2010-07-26 11:01 AM' -p114322 -(lp114323 -S'Signed\tSign\tVBN\tB-VP\tO' -p114324 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p114325 -aS'by\tby\tIN\tB-PP\tO' -p114326 -aS':\t:\t:\tO\tO' -p114327 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p114328 -aS'Timothy\tTimothy\tNNP\tI-NP\tO' -p114329 -aS'Clemons\tClemons\tNNP\tI-NP\tO' -p114330 -aS'on\ton\tIN\tB-PP\tO' -p114331 -aS':\t:\t:\tO\tO' -p114332 -aS'MON\tMON\tNN\tB-NP\tO' -p114333 -aS'2010-07-26\t2010-07-26\tCD\tI-NP\tO' -p114334 -aS'11:01\t11:01\tCD\tI-NP\tO' -p114335 -aS'AM\tAM\tNN\tI-NP\tO' -p114336 -asS'Head , eyes , ears , nose , and throat revealed oropharynx was moist .' -p114337 -(lp114338 -S'Head\tHead\tRB\tB-ADVP\tO' -p114339 -aS',\t,\t,\tO\tO' -p114340 -aS'eyes\teye\tNNS\tB-NP\tO' -p114341 -aS',\t,\t,\tO\tO' -p114342 -aS'ears\tear\tNNS\tB-NP\tO' -p114343 -aS',\t,\t,\tO\tO' -p114344 -aS'nose\tnose\tNN\tB-NP\tO' -p114345 -aS',\t,\t,\tO\tO' -p114346 -aS'and\tand\tCC\tO\tO' -p114347 -aS'throat\tthroat\tNN\tB-NP\tO' -p114348 -aS'revealed\treveal\tVBD\tB-VP\tO' -p114349 -aS'oropharynx\toropharynx\tNN\tB-NP\tO' -p114350 -aS'was\tbe\tVBD\tB-VP\tO' -p114351 -aS'moist\tmoist\tNN\tB-NP\tO' -p114352 -aS'.\t.\t.\tO\tO' -p114353 -asS'Foley catheter was removed .' -p114354 -(lp114355 -S'Foley\tFoley\tNNP\tB-NP\tO' -p114356 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p114357 -aS'was\tbe\tVBD\tB-VP\tO' -p114358 -aS'removed\tremove\tVBN\tI-VP\tO' -p114359 -aS'.\t.\t.\tO\tO' -p114360 -asS'3. ? Parkinsons vs. EPS side effects from risperdal' -p114361 -(lp114362 -S'3.\t3.\tLS\tB-LST\tO' -p114363 -aS'?\t?\t.\tO\tO' -p114364 -aS'Parkinsons\tParkinson\tNNPS\tB-NP\tO' -p114365 -aS'vs.\tvs.\tCC\tB-PP\tO' -p114366 -aS'EPS\tEPS\tNNP\tB-NP\tO' -p114367 -aS'side\tside\tNN\tI-NP\tO' -p114368 -aS'effects\teffect\tNNS\tI-NP\tO' -p114369 -aS'from\tfrom\tIN\tB-PP\tO' -p114370 -aS'risperdal\trisperdal\tJJ\tB-NP\tO' -p114371 -asS'Teaching has been completed on the care of the Boviak as well as administration of factor 8 .' -p114372 -(lp114373 -S'Teaching\tTeaching\tNN\tB-NP\tO' -p114374 -aS'has\thave\tVBZ\tB-VP\tO' -p114375 -aS'been\tbe\tVBN\tI-VP\tO' -p114376 -aS'completed\tcomplete\tVBN\tI-VP\tO' -p114377 -aS'on\ton\tIN\tB-PP\tO' -p114378 -aS'the\tthe\tDT\tB-NP\tO' -p114379 -aS'care\tcare\tNN\tI-NP\tO' -p114380 -aS'of\tof\tIN\tB-PP\tO' -p114381 -aS'the\tthe\tDT\tB-NP\tO' -p114382 -aS'Boviak\tBoviak\tNNP\tI-NP\tO' -p114383 -aS'as\tas\tRB\tB-CONJP\tO' -p114384 -aS'well\twell\tRB\tI-CONJP\tO' -p114385 -aS'as\tas\tIN\tI-CONJP\tO' -p114386 -aS'administration\tadministration\tNN\tB-NP\tO' -p114387 -aS'of\tof\tIN\tB-PP\tO' -p114388 -aS'factor\tfactor\tNN\tB-NP\tB-protein' -p114389 -aS'8\t8\tCD\tI-NP\tI-protein' -p114390 -aS'.\t.\t.\tO\tO' -p114391 -asS'7. Albuterol neb 2.5 mg every six hours , 30 minutes before Colistin .' -p114392 -(lp114393 -S'7.\t7.\tCD\tB-NP\tO' -p114394 -aS'Albuterol\tAlbuterol\tNNP\tI-NP\tO' -p114395 -aS'neb\tneb\tNN\tI-NP\tO' -p114396 -aS'2.5\t2.5\tCD\tI-NP\tO' -p114397 -aS'mg\tmg\tNN\tI-NP\tO' -p114398 -aS'every\tevery\tDT\tB-NP\tO' -p114399 -aS'six\tsix\tCD\tI-NP\tO' -p114400 -aS'hours\thour\tNNS\tI-NP\tO' -p114401 -aS',\t,\t,\tO\tO' -p114402 -aS'30\t30\tCD\tB-NP\tO' -p114403 -aS'minutes\tminute\tNNS\tI-NP\tO' -p114404 -aS'before\tbefore\tIN\tB-PP\tO' -p114405 -aS'Colistin\tColistin\tNNP\tB-NP\tO' -p114406 -aS'.\t.\t.\tO\tO' -p114407 -asS'The patient denied any orthopnea , shortness of breath , chest pain , paroxysmal nocturnal dyspnea or cough .' -p114408 -(lp114409 -S'The\tThe\tDT\tB-NP\tO' -p114410 -aS'patient\tpatient\tNN\tI-NP\tO' -p114411 -aS'denied\tdeny\tVBD\tB-VP\tO' -p114412 -aS'any\tany\tDT\tB-NP\tO' -p114413 -aS'orthopnea\torthopnea\tNN\tI-NP\tO' -p114414 -aS',\t,\t,\tO\tO' -p114415 -aS'shortness\tshortness\tNN\tB-NP\tO' -p114416 -aS'of\tof\tIN\tB-PP\tO' -p114417 -aS'breath\tbreath\tNN\tB-NP\tO' -p114418 -aS',\t,\t,\tO\tO' -p114419 -aS'chest\tchest\tNN\tB-NP\tO' -p114420 -aS'pain\tpain\tNN\tI-NP\tO' -p114421 -aS',\t,\t,\tO\tO' -p114422 -aS'paroxysmal\tparoxysmal\tJJ\tB-NP\tO' -p114423 -aS'nocturnal\tnocturnal\tJJ\tI-NP\tO' -p114424 -aS'dyspnea\tdyspnea\tNN\tI-NP\tO' -p114425 -aS'or\tor\tCC\tI-NP\tO' -p114426 -aS'cough\tcough\tNN\tI-NP\tO' -p114427 -aS'.\t.\t.\tO\tO' -p114428 -asS'Albuterol and Atrovent nebulizers were done .' -p114429 -(lp114430 -S'Albuterol\tAlbuterol\tNN\tB-NP\tO' -p114431 -aS'and\tand\tCC\tI-NP\tO' -p114432 -aS'Atrovent\tAtrovent\tNN\tI-NP\tO' -p114433 -aS'nebulizers\tnebulizer\tNNS\tI-NP\tO' -p114434 -aS'were\tbe\tVBD\tB-VP\tO' -p114435 -aS'done\tdo\tVBN\tI-VP\tO' -p114436 -aS'.\t.\t.\tO\tO' -p114437 -asS'Attending : Stephanie I Sept , M.D.' -p114438 -(lp114439 -S'Attending\tAttend\tVBG\tB-VP\tO' -p114440 -aS':\t:\t:\tO\tO' -p114441 -aS'Stephanie\tStephanie\tNNP\tB-NP\tO' -p114442 -aS'I\tI\tNNP\tI-NP\tO' -p114443 -aS'Sept\tSept\tNNP\tI-NP\tO' -p114444 -aS',\t,\t,\tO\tO' -p114445 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p114446 -asS'- culture if spikes .' -p114447 -(lp114448 -S'-\t-\tHYPH\tB-NP\tO' -p114449 -aS'culture\tculture\tNN\tI-NP\tO' -p114450 -aS'if\tif\tIN\tB-SBAR\tO' -p114451 -aS'spikes\tspike\tNNS\tB-NP\tO' -p114452 -aS'.\t.\t.\tO\tO' -p114453 -asS'Temperature 98.6 , 66 .' -p114454 -(lp114455 -S'Temperature\tTemperature\tNN\tB-NP\tO' -p114456 -aS'98.6\t98.6\tCD\tI-NP\tO' -p114457 -aS',\t,\t,\tI-NP\tO' -p114458 -aS'66\t66\tCD\tI-NP\tO' -p114459 -aS'.\t.\t.\tO\tO' -p114460 -asS'CABG surgery with two vessel bypass was done on 11/18/97 .' -p114461 -(lp114462 -S'CABG\tCABG\tNN\tB-NP\tO' -p114463 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p114464 -aS'with\twith\tIN\tB-PP\tO' -p114465 -aS'two\ttwo\tCD\tB-NP\tO' -p114466 -aS'vessel\tvessel\tNN\tI-NP\tO' -p114467 -aS'bypass\tbypass\tNN\tI-NP\tO' -p114468 -aS'was\tbe\tVBD\tB-VP\tO' -p114469 -aS'done\tdo\tVBN\tI-VP\tO' -p114470 -aS'on\ton\tIN\tB-PP\tO' -p114471 -aS'11/18/97\t11/18/97\tCD\tB-NP\tO' -p114472 -aS'.\t.\t.\tO\tO' -p114473 -asS'Gait was reported to be normal , as per the emergency room staff .' -p114474 -(lp114475 -S'Gait\tGait\tNN\tB-NP\tO' -p114476 -aS'was\tbe\tVBD\tB-VP\tO' -p114477 -aS'reported\treport\tVBN\tI-VP\tO' -p114478 -aS'to\tto\tTO\tI-VP\tO' -p114479 -aS'be\tbe\tVB\tI-VP\tO' -p114480 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p114481 -aS',\t,\t,\tO\tO' -p114482 -aS'as\tas\tIN\tB-PP\tO' -p114483 -aS'per\tper\tIN\tB-PP\tO' -p114484 -aS'the\tthe\tDT\tB-NP\tO' -p114485 -aS'emergency\temergency\tNN\tI-NP\tO' -p114486 -aS'room\troom\tNN\tI-NP\tO' -p114487 -aS'staff\tstaff\tNN\tI-NP\tO' -p114488 -aS'.\t.\t.\tO\tO' -p114489 -asS'9. Propranolol 10 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ) .' -p114490 -(lp114491 -S'9.\t9.\tCD\tB-NP\tO' -p114492 -aS'Propranolol\tPropranolol\tNN\tI-NP\tO' -p114493 -aS'10\t10\tCD\tB-NP\tO' -p114494 -aS'mg\tmg\tNN\tI-NP\tO' -p114495 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p114496 -aS'Sig\tSig\tNNP\tI-NP\tO' -p114497 -aS':\t:\t:\tO\tO' -p114498 -aS'One\tOne\tCD\tB-NP\tO' -p114499 -aS'(\t(\t(\tO\tO' -p114500 -aS'1\t1\tCD\tB-NP\tO' -p114501 -aS')\t)\t)\tO\tO' -p114502 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p114503 -aS'PO\tPO\tNN\tI-NP\tO' -p114504 -aS'BID\tBID\tNN\tI-NP\tO' -p114505 -aS'(\t(\t(\tO\tO' -p114506 -aS'2\t2\tCD\tB-NP\tO' -p114507 -aS'times\ttime\tNNS\tI-NP\tO' -p114508 -aS'a\ta\tDT\tB-NP\tO' -p114509 -aS'day\tday\tNN\tI-NP\tO' -p114510 -aS')\t)\t)\tO\tO' -p114511 -aS'.\t.\t.\tO\tO' -p114512 -asS'He has no known drug allergies .' -p114513 -(lp114514 -S'He\tHe\tPRP\tB-NP\tO' -p114515 -aS'has\thave\tVBZ\tB-VP\tO' -p114516 -aS'no\tno\tDT\tB-NP\tO' -p114517 -aS'known\tknow\tVBN\tI-NP\tO' -p114518 -aS'drug\tdrug\tNN\tI-NP\tO' -p114519 -aS'allergies\tallergy\tNNS\tI-NP\tO' -p114520 -aS'.\t.\t.\tO\tO' -p114521 -asS'Plavix 75 mg p.o. every day .' -p114522 -(lp114523 -S'Plavix\tPlavix\tNN\tB-NP\tO' -p114524 -aS'75\t75\tCD\tI-NP\tO' -p114525 -aS'mg\tmg\tNN\tI-NP\tO' -p114526 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p114527 -aS'every\tevery\tDT\tB-NP\tO' -p114528 -aS'day\tday\tNN\tI-NP\tO' -p114529 -aS'.\t.\t.\tO\tO' -p114530 -asS'The patient still had a PICC line at the time , although TPN was being held and calorie counts were done to evaluate the benefit of p.o. nutrition .' -p114531 -(lp114532 -S'The\tThe\tDT\tB-NP\tO' -p114533 -aS'patient\tpatient\tNN\tI-NP\tO' -p114534 -aS'still\tstill\tRB\tB-ADVP\tO' -p114535 -aS'had\thave\tVBD\tB-VP\tO' -p114536 -aS'a\ta\tDT\tB-NP\tO' -p114537 -aS'PICC\tPICC\tNN\tI-NP\tB-cell_line' -p114538 -aS'line\tline\tNN\tI-NP\tI-cell_line' -p114539 -aS'at\tat\tIN\tB-PP\tO' -p114540 -aS'the\tthe\tDT\tB-NP\tO' -p114541 -aS'time\ttime\tNN\tI-NP\tO' -p114542 -aS',\t,\t,\tO\tO' -p114543 -aS'although\talthough\tIN\tB-SBAR\tO' -p114544 -aS'TPN\tTPN\tNN\tB-NP\tB-protein' -p114545 -aS'was\tbe\tVBD\tB-VP\tO' -p114546 -aS'being\tbe\tVBG\tI-VP\tO' -p114547 -aS'held\thold\tVBN\tI-VP\tO' -p114548 -aS'and\tand\tCC\tO\tO' -p114549 -aS'calorie\tcalorie\tNN\tB-NP\tO' -p114550 -aS'counts\tcount\tNNS\tI-NP\tO' -p114551 -aS'were\tbe\tVBD\tB-VP\tO' -p114552 -aS'done\tdo\tVBN\tI-VP\tO' -p114553 -aS'to\tto\tTO\tB-VP\tO' -p114554 -aS'evaluate\tevaluate\tVB\tI-VP\tO' -p114555 -aS'the\tthe\tDT\tB-NP\tO' -p114556 -aS'benefit\tbenefit\tNN\tI-NP\tO' -p114557 -aS'of\tof\tIN\tB-PP\tO' -p114558 -aS'p.o.\tp.o.\tFW\tB-NP\tO' -p114559 -aS'nutrition\tnutrition\tNN\tI-NP\tO' -p114560 -aS'.\t.\t.\tO\tO' -p114561 -asS'His number is ( 532-803-1162 .' -p114562 -(lp114563 -S'His\tHis\tPRP$\tB-NP\tO' -p114564 -aS'number\tnumber\tNN\tI-NP\tO' -p114565 -aS'is\tbe\tVBZ\tB-VP\tO' -p114566 -aS'(\t(\t(\tO\tO' -p114567 -aS'532-803-1162\t532-803-1162\tCD\tB-NP\tO' -p114568 -aS'.\t.\t.\tO\tO' -p114569 -asS'Patient 's troponin bump was found to be likely to demand ischemia in the setting of his GI bleed , it was not felt that he was having acute coronary syndrome .' -p114570 -(lp114571 -S'Patient\tPatient\tNN\tB-NP\tO' -p114572 -aS''s\t'\tNNS\tI-NP\tO' -p114573 -aS'troponin\ttroponin\tNN\tI-NP\tO' -p114574 -aS'bump\tbump\tNN\tI-NP\tO' -p114575 -aS'was\tbe\tVBD\tB-VP\tO' -p114576 -aS'found\tfind\tVBN\tI-VP\tO' -p114577 -aS'to\tto\tTO\tI-VP\tO' -p114578 -aS'be\tbe\tVB\tI-VP\tO' -p114579 -aS'likely\tlikely\tJJ\tB-ADJP\tO' -p114580 -aS'to\tto\tTO\tB-VP\tO' -p114581 -aS'demand\tdemand\tVB\tI-VP\tO' -p114582 -aS'ischemia\tischemia\tNN\tB-NP\tO' -p114583 -aS'in\tin\tIN\tB-PP\tO' -p114584 -aS'the\tthe\tDT\tB-NP\tO' -p114585 -aS'setting\tsetting\tNN\tI-NP\tO' -p114586 -aS'of\tof\tIN\tB-PP\tO' -p114587 -aS'his\this\tPRP$\tB-NP\tO' -p114588 -aS'GI\tGI\tNN\tI-NP\tO' -p114589 -aS'bleed\tbleed\tNN\tI-NP\tO' -p114590 -aS',\t,\t,\tO\tO' -p114591 -aS'it\tit\tPRP\tB-NP\tO' -p114592 -aS'was\tbe\tVBD\tB-VP\tO' -p114593 -aS'not\tnot\tRB\tI-VP\tO' -p114594 -aS'felt\tfeel\tVBN\tI-VP\tO' -p114595 -aS'that\tthat\tIN\tB-SBAR\tO' -p114596 -aS'he\the\tPRP\tB-NP\tO' -p114597 -aS'was\tbe\tVBD\tB-VP\tO' -p114598 -aS'having\thave\tVBG\tI-VP\tO' -p114599 -aS'acute\tacute\tJJ\tB-NP\tO' -p114600 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p114601 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p114602 -aS'.\t.\t.\tO\tO' -p114603 -asS'There was no evidence while in the hospital .' -p114604 -(lp114605 -S'There\tThere\tEX\tB-NP\tO' -p114606 -aS'was\tbe\tVBD\tB-VP\tO' -p114607 -aS'no\tno\tDT\tB-NP\tO' -p114608 -aS'evidence\tevidence\tNN\tI-NP\tO' -p114609 -aS'while\twhile\tIN\tB-SBAR\tO' -p114610 -aS'in\tin\tIN\tB-PP\tO' -p114611 -aS'the\tthe\tDT\tB-NP\tO' -p114612 -aS'hospital\thospital\tNN\tI-NP\tO' -p114613 -aS'.\t.\t.\tO\tO' -p114614 -asS'She has had decreased appetite over the last few days in the context of increasing confusion .' -p114615 -(lp114616 -S'She\tShe\tPRP\tB-NP\tO' -p114617 -aS'has\thave\tVBZ\tB-VP\tO' -p114618 -aS'had\thave\tVBD\tI-VP\tO' -p114619 -aS'decreased\tdecrease\tVBN\tI-VP\tO' -p114620 -aS'appetite\tappetite\tNN\tB-NP\tO' -p114621 -aS'over\tover\tIN\tB-PP\tO' -p114622 -aS'the\tthe\tDT\tB-NP\tO' -p114623 -aS'last\tlast\tJJ\tI-NP\tO' -p114624 -aS'few\tfew\tJJ\tI-NP\tO' -p114625 -aS'days\tday\tNNS\tI-NP\tO' -p114626 -aS'in\tin\tIN\tB-PP\tO' -p114627 -aS'the\tthe\tDT\tB-NP\tO' -p114628 -aS'context\tcontext\tNN\tI-NP\tO' -p114629 -aS'of\tof\tIN\tB-PP\tO' -p114630 -aS'increasing\tincrease\tVBG\tB-VP\tO' -p114631 -aS'confusion\tconfusion\tNN\tB-NP\tO' -p114632 -aS'.\t.\t.\tO\tO' -p114633 -asS'Head , eyes , ears , nose and throat examination revealed mucous membranes that were moist .' -p114634 -(lp114635 -S'Head\tHead\tRB\tB-ADVP\tO' -p114636 -aS',\t,\t,\tO\tO' -p114637 -aS'eyes\teye\tNNS\tB-NP\tO' -p114638 -aS',\t,\t,\tI-NP\tO' -p114639 -aS'ears\tear\tNNS\tI-NP\tO' -p114640 -aS',\t,\t,\tI-NP\tO' -p114641 -aS'nose\tnose\tNN\tI-NP\tO' -p114642 -aS'and\tand\tCC\tI-NP\tO' -p114643 -aS'throat\tthroat\tNN\tI-NP\tO' -p114644 -aS'examination\texamination\tNN\tI-NP\tO' -p114645 -aS'revealed\treveal\tVBD\tB-VP\tO' -p114646 -aS'mucous\tmucous\tJJ\tB-NP\tO' -p114647 -aS'membranes\tmembrane\tNNS\tI-NP\tO' -p114648 -aS'that\tthat\tWDT\tB-NP\tO' -p114649 -aS'were\tbe\tVBD\tB-VP\tO' -p114650 -aS'moist\tmoist\tNN\tB-NP\tO' -p114651 -aS'.\t.\t.\tO\tO' -p114652 -asS'In addition , there was a T11 metastasis with cord compression .' -p114653 -(lp114654 -S'In\tIn\tIN\tB-PP\tO' -p114655 -aS'addition\taddition\tNN\tB-NP\tO' -p114656 -aS',\t,\t,\tO\tO' -p114657 -aS'there\tthere\tEX\tB-NP\tO' -p114658 -aS'was\tbe\tVBD\tB-VP\tO' -p114659 -aS'a\ta\tDT\tB-NP\tO' -p114660 -aS'T11\tT11\tNN\tI-NP\tO' -p114661 -aS'metastasis\tmetastasis\tNN\tI-NP\tO' -p114662 -aS'with\twith\tIN\tB-PP\tO' -p114663 -aS'cord\tcord\tNN\tB-NP\tO' -p114664 -aS'compression\tcompression\tNN\tI-NP\tO' -p114665 -aS'.\t.\t.\tO\tO' -p114666 -asS'Peggy Hammock is a full term baby boy born at 38 1/7 weeks by repeat cesarean section to a 34 year old gravida III , now para II mother .' -p114667 -(lp114668 -S'Peggy\tPeggy\tNNP\tB-NP\tO' -p114669 -aS'Hammock\tHammock\tNNP\tI-NP\tO' -p114670 -aS'is\tbe\tVBZ\tB-VP\tO' -p114671 -aS'a\ta\tDT\tB-NP\tO' -p114672 -aS'full\tfull\tJJ\tI-NP\tO' -p114673 -aS'term\tterm\tNN\tI-NP\tO' -p114674 -aS'baby\tbaby\tNN\tI-NP\tO' -p114675 -aS'boy\tboy\tNN\tI-NP\tO' -p114676 -aS'born\tbear\tVBN\tB-VP\tO' -p114677 -aS'at\tat\tIN\tB-PP\tO' -p114678 -aS'38\t38\tCD\tB-NP\tO' -p114679 -aS'1/7\t1/7\tCD\tI-NP\tO' -p114680 -aS'weeks\tweek\tNNS\tI-NP\tO' -p114681 -aS'by\tby\tIN\tB-PP\tO' -p114682 -aS'repeat\trepeat\tNN\tB-NP\tO' -p114683 -aS'cesarean\tcesarean\tJJ\tI-NP\tO' -p114684 -aS'section\tsection\tNN\tI-NP\tO' -p114685 -aS'to\tto\tTO\tB-PP\tO' -p114686 -aS'a\ta\tDT\tB-NP\tO' -p114687 -aS'34\t34\tCD\tI-NP\tO' -p114688 -aS'year\tyear\tNN\tI-NP\tO' -p114689 -aS'old\told\tJJ\tI-NP\tO' -p114690 -aS'gravida\tgravida\tNN\tI-NP\tO' -p114691 -aS'III\tIII\tCD\tI-NP\tO' -p114692 -aS',\t,\t,\tO\tO' -p114693 -aS'now\tnow\tRB\tB-ADJP\tO' -p114694 -aS'para\tpara\tJJ\tB-NP\tO' -p114695 -aS'II\tII\tCD\tI-NP\tO' -p114696 -aS'mother\tmother\tNN\tI-NP\tO' -p114697 -aS'.\t.\t.\tO\tO' -p114698 -asS'He has been getting short of breath with exertion times one month and also has occasional chest tightness .' -p114699 -(lp114700 -S'He\tHe\tPRP\tB-NP\tO' -p114701 -aS'has\thave\tVBZ\tB-VP\tO' -p114702 -aS'been\tbe\tVBN\tI-VP\tO' -p114703 -aS'getting\tget\tVBG\tI-VP\tO' -p114704 -aS'short\tshort\tJJ\tB-ADJP\tO' -p114705 -aS'of\tof\tIN\tB-PP\tO' -p114706 -aS'breath\tbreath\tNN\tB-NP\tO' -p114707 -aS'with\twith\tIN\tB-PP\tO' -p114708 -aS'exertion\texertion\tNN\tB-NP\tO' -p114709 -aS'times\ttime\tNNS\tI-NP\tO' -p114710 -aS'one\tone\tCD\tB-NP\tO' -p114711 -aS'month\tmonth\tNN\tI-NP\tO' -p114712 -aS'and\tand\tCC\tO\tO' -p114713 -aS'also\talso\tRB\tB-VP\tO' -p114714 -aS'has\thave\tVBZ\tI-VP\tO' -p114715 -aS'occasional\toccasional\tJJ\tB-NP\tO' -p114716 -aS'chest\tchest\tNN\tI-NP\tO' -p114717 -aS'tightness\ttightness\tNN\tI-NP\tO' -p114718 -aS'.\t.\t.\tO\tO' -p114719 -asS'Valproate level within range .' -p114720 -(lp114721 -S'Valproate\tValproate\tNN\tB-NP\tO' -p114722 -aS'level\tlevel\tNN\tI-NP\tO' -p114723 -aS'within\twithin\tIN\tB-PP\tO' -p114724 -aS'range\trange\tNN\tB-NP\tO' -p114725 -aS'.\t.\t.\tO\tO' -p114726 -asS'He denied any fevers , chills or night sweats .' -p114727 -(lp114728 -S'He\tHe\tPRP\tB-NP\tO' -p114729 -aS'denied\tdeny\tVBD\tB-VP\tO' -p114730 -aS'any\tany\tDT\tB-NP\tO' -p114731 -aS'fevers\tfever\tNNS\tI-NP\tO' -p114732 -aS',\t,\t,\tO\tO' -p114733 -aS'chills\tchill\tNNS\tB-NP\tO' -p114734 -aS'or\tor\tCC\tO\tO' -p114735 -aS'night\tnight\tNN\tB-NP\tO' -p114736 -aS'sweats\tsweat\tNNS\tI-NP\tO' -p114737 -aS'.\t.\t.\tO\tO' -p114738 -asS'The day of discharge is day #3 of 7 , after which antibiotics should be totally discontinued .' -p114739 -(lp114740 -S'The\tThe\tDT\tB-NP\tO' -p114741 -aS'day\tday\tNN\tI-NP\tO' -p114742 -aS'of\tof\tIN\tB-PP\tO' -p114743 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p114744 -aS'is\tbe\tVBZ\tB-VP\tO' -p114745 -aS'day\tday\tNN\tB-NP\tO' -p114746 -aS'#3\t#3\tCD\tI-NP\tO' -p114747 -aS'of\tof\tIN\tB-PP\tO' -p114748 -aS'7\t7\tCD\tB-NP\tO' -p114749 -aS',\t,\t,\tO\tO' -p114750 -aS'after\tafter\tIN\tB-PP\tO' -p114751 -aS'which\twhich\tWDT\tB-NP\tO' -p114752 -aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' -p114753 -aS'should\tshould\tMD\tB-VP\tO' -p114754 -aS'be\tbe\tVB\tI-VP\tO' -p114755 -aS'totally\ttotally\tRB\tI-VP\tO' -p114756 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p114757 -aS'.\t.\t.\tO\tO' -p114758 -asS'f / u with PCP and Dr. Pump as scheduled , return to ED with worsening sob or increased cough or sputum production' -p114759 -(lp114760 -S'f\tf\tNN\tB-NP\tO' -p114761 -aS'/\t/\tSYM\tI-NP\tO' -p114762 -aS'u\tu\tNN\tI-NP\tO' -p114763 -aS'with\twith\tIN\tB-PP\tO' -p114764 -aS'PCP\tPCP\tNN\tB-NP\tB-protein' -p114765 -aS'and\tand\tCC\tO\tO' -p114766 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p114767 -aS'Pump\tPump\tNNP\tI-NP\tO' -p114768 -aS'as\tas\tIN\tB-SBAR\tO' -p114769 -aS'scheduled\tschedule\tVBN\tB-VP\tO' -p114770 -aS',\t,\t,\tO\tO' -p114771 -aS'return\treturn\tVB\tB-VP\tO' -p114772 -aS'to\tto\tTO\tB-VP\tO' -p114773 -aS'ED\tED\tVBN\tI-VP\tO' -p114774 -aS'with\twith\tIN\tB-PP\tO' -p114775 -aS'worsening\tworsen\tVBG\tB-VP\tO' -p114776 -aS'sob\tsob\tNN\tB-NP\tO' -p114777 -aS'or\tor\tCC\tO\tO' -p114778 -aS'increased\tincrease\tVBD\tB-VP\tO' -p114779 -aS'cough\tcough\tNN\tB-NP\tO' -p114780 -aS'or\tor\tCC\tO\tO' -p114781 -aS'sputum\tsputum\tNN\tB-NP\tO' -p114782 -aS'production\tproduction\tNN\tI-NP\tO' -p114783 -asS'79F w/ a multiple medical problems including Sylvia ( EF20% ) , COPD ( on home O2 ) , found down at home , pulseless - CPR initiated w/conciousness regained on scene .' -p114784 -(lp114785 -S'79F\t79F\tNN\tB-NP\tO' -p114786 -aS'w/\tw/\tVBD\tB-VP\tO' -p114787 -aS'a\ta\tDT\tB-NP\tO' -p114788 -aS'multiple\tmultiple\tJJ\tI-NP\tO' -p114789 -aS'medical\tmedical\tJJ\tI-NP\tO' -p114790 -aS'problems\tproblem\tNNS\tI-NP\tO' -p114791 -aS'including\tinclude\tVBG\tB-PP\tO' -p114792 -aS'Sylvia\tSylvia\tNN\tB-NP\tO' -p114793 -aS'(\t(\t(\tO\tO' -p114794 -aS'EF20%\tEF20%\tNN\tB-NP\tB-protein' -p114795 -aS')\t)\t)\tO\tO' -p114796 -aS',\t,\t,\tO\tO' -p114797 -aS'COPD\tCOPD\tNN\tB-NP\tO' -p114798 -aS'(\t(\t(\tO\tO' -p114799 -aS'on\ton\tIN\tB-PP\tO' -p114800 -aS'home\thome\tNN\tB-NP\tO' -p114801 -aS'O2\tO2\tNN\tI-NP\tO' -p114802 -aS')\t)\t)\tO\tO' -p114803 -aS',\t,\t,\tO\tO' -p114804 -aS'found\tfind\tVBN\tB-VP\tO' -p114805 -aS'down\tdown\tRP\tB-PRT\tO' -p114806 -aS'at\tat\tIN\tB-PP\tO' -p114807 -aS'home\thome\tNN\tB-NP\tO' -p114808 -aS',\t,\t,\tO\tO' -p114809 -aS'pulseless\tpulseless\tJJ\tB-NP\tO' -p114810 -aS'-\t-\tHYPH\tI-NP\tO' -p114811 -aS'CPR\tCPR\tNN\tI-NP\tB-protein' -p114812 -aS'initiated\tinitiate\tVBN\tI-NP\tO' -p114813 -aS'w/conciousness\tw/conciousness\tNN\tI-NP\tO' -p114814 -aS'regained\tregain\tVBN\tB-VP\tO' -p114815 -aS'on\ton\tIN\tB-PP\tO' -p114816 -aS'scene\tscene\tNN\tB-NP\tO' -p114817 -aS'.\t.\t.\tO\tO' -p114818 -asS'5. Morphine .' -p114819 -(lp114820 -S'5.\t5.\tLS\tB-NP\tO' -p114821 -aS'Morphine\tMorphine\tNN\tI-NP\tO' -p114822 -aS'.\t.\t.\tO\tO' -p114823 -asS'Pulses +2 .' -p114824 -(lp114825 -S'Pulses\tPulse\tNNS\tB-NP\tB-protein' -p114826 -aS'+2\t+2\tCD\tB-NP\tI-protein' -p114827 -aS'.\t.\t.\tO\tO' -p114828 -asS'Dictated By : Shirley Y Waler , M.D.' -p114829 -(lp114830 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p114831 -aS'By\tBy\tIN\tB-PP\tO' -p114832 -aS':\t:\t:\tO\tO' -p114833 -aS'Shirley\tShirley\tNNP\tB-NP\tO' -p114834 -aS'Y\tY\tNNP\tI-NP\tO' -p114835 -aS'Waler\tWaler\tNNP\tI-NP\tO' -p114836 -aS',\t,\t,\tO\tO' -p114837 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p114838 -asS'His family was also involved in his care and orientation .' -p114839 -(lp114840 -S'His\tHis\tPRP$\tB-NP\tO' -p114841 -aS'family\tfamily\tNN\tI-NP\tO' -p114842 -aS'was\tbe\tVBD\tB-VP\tO' -p114843 -aS'also\talso\tRB\tI-VP\tO' -p114844 -aS'involved\tinvolve\tVBN\tI-VP\tO' -p114845 -aS'in\tin\tIN\tB-PP\tO' -p114846 -aS'his\this\tPRP$\tB-NP\tO' -p114847 -aS'care\tcare\tNN\tI-NP\tO' -p114848 -aS'and\tand\tCC\tI-NP\tO' -p114849 -aS'orientation\torientation\tNN\tI-NP\tO' -p114850 -aS'.\t.\t.\tO\tO' -p114851 -asS'He was born to a 38 - year-old gravida I , para 0 ( now 1 ) mother at 37 and 1/7 weeks .' -p114852 -(lp114853 -S'He\tHe\tPRP\tB-NP\tO' -p114854 -aS'was\tbe\tVBD\tB-VP\tO' -p114855 -aS'born\tbear\tVBN\tI-VP\tO' -p114856 -aS'to\tto\tTO\tB-PP\tO' -p114857 -aS'a\ta\tDT\tB-NP\tO' -p114858 -aS'38\t38\tCD\tI-NP\tO' -p114859 -aS'-\t-\tHYPH\tI-NP\tO' -p114860 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p114861 -aS'gravida\tgravida\tNN\tI-NP\tO' -p114862 -aS'I\tI\tNN\tI-NP\tO' -p114863 -aS',\t,\t,\tO\tO' -p114864 -aS'para\tpara\tNN\tB-NP\tO' -p114865 -aS'0\t0\tCD\tI-NP\tO' -p114866 -aS'(\t(\t(\tO\tO' -p114867 -aS'now\tnow\tRB\tB-ADVP\tO' -p114868 -aS'1\t1\tCD\tO\tO' -p114869 -aS')\t)\t)\tO\tO' -p114870 -aS'mother\tmother\tNN\tB-NP\tO' -p114871 -aS'at\tat\tIN\tB-PP\tO' -p114872 -aS'37\t37\tCD\tB-NP\tO' -p114873 -aS'and\tand\tCC\tI-NP\tO' -p114874 -aS'1/7\t1/7\tCD\tI-NP\tO' -p114875 -aS'weeks\tweek\tNNS\tI-NP\tO' -p114876 -aS'.\t.\t.\tO\tO' -p114877 -asS'No egophony .' -p114878 -(lp114879 -S'No\tNo\tDT\tB-NP\tO' -p114880 -aS'egophony\tegophony\tNN\tI-NP\tO' -p114881 -aS'.\t.\t.\tO\tO' -p114882 -asS'She had a normal exercise thallium test in 08/89 , per Ona Hospital .' -p114883 -(lp114884 -S'She\tShe\tPRP\tB-NP\tO' -p114885 -aS'had\thave\tVBD\tB-VP\tO' -p114886 -aS'a\ta\tDT\tB-NP\tO' -p114887 -aS'normal\tnormal\tJJ\tI-NP\tO' -p114888 -aS'exercise\texercise\tNN\tI-NP\tO' -p114889 -aS'thallium\tthallium\tNN\tI-NP\tO' -p114890 -aS'test\ttest\tNN\tI-NP\tO' -p114891 -aS'in\tin\tIN\tB-PP\tO' -p114892 -aS'08/89\t08/89\tCD\tB-NP\tO' -p114893 -aS',\t,\t,\tO\tO' -p114894 -aS'per\tper\tIN\tB-PP\tO' -p114895 -aS'Ona\tOna\tNNP\tB-NP\tO' -p114896 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p114897 -aS'.\t.\t.\tO\tO' -p114898 -asS"Cardiothoracic Surgery was consulted , and due to the patient 's acute illness , they wanted to re-evaluate after the patient was extubated ." -p114899 -(lp114900 -S'Cardiothoracic\tCardiothoracic\tNNP\tB-NP\tO' -p114901 -aS'Surgery\tSurgery\tNNP\tI-NP\tO' -p114902 -aS'was\tbe\tVBD\tB-VP\tO' -p114903 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p114904 -aS',\t,\t,\tO\tO' -p114905 -aS'and\tand\tCC\tO\tO' -p114906 -aS'due\tdue\tIN\tB-PP\tO' -p114907 -aS'to\tto\tTO\tB-PP\tO' -p114908 -aS'the\tthe\tDT\tB-NP\tO' -p114909 -aS'patient\tpatient\tNN\tI-NP\tO' -p114910 -aS"'s\t's\tPOS\tB-NP\tO" -p114911 -aS'acute\tacute\tJJ\tI-NP\tO' -p114912 -aS'illness\tillness\tNN\tI-NP\tO' -p114913 -aS',\t,\t,\tO\tO' -p114914 -aS'they\tthey\tPRP\tB-NP\tO' -p114915 -aS'wanted\twant\tVBD\tB-VP\tO' -p114916 -aS'to\tto\tTO\tI-VP\tO' -p114917 -aS're-evaluate\tre-evaluate\tVB\tI-VP\tO' -p114918 -aS'after\tafter\tIN\tB-PP\tO' -p114919 -aS'the\tthe\tDT\tB-NP\tO' -p114920 -aS'patient\tpatient\tNN\tI-NP\tO' -p114921 -aS'was\tbe\tVBD\tB-VP\tO' -p114922 -aS'extubated\textubate\tVBN\tI-VP\tO' -p114923 -aS'.\t.\t.\tO\tO' -p114924 -asS'Call for severe headache or any other problems .' -p114925 -(lp114926 -S'Call\tCall\tVB\tB-NP\tO' -p114927 -aS'for\tfor\tIN\tB-PP\tO' -p114928 -aS'severe\tsevere\tJJ\tB-NP\tO' -p114929 -aS'headache\theadache\tNN\tI-NP\tO' -p114930 -aS'or\tor\tCC\tO\tO' -p114931 -aS'any\tany\tDT\tB-NP\tO' -p114932 -aS'other\tother\tJJ\tI-NP\tO' -p114933 -aS'problems\tproblem\tNNS\tI-NP\tO' -p114934 -aS'.\t.\t.\tO\tO' -p114935 -asS'Disp :* 90 Capsule (s)* Refills :* 2 *' -p114936 -(lp114937 -S'Disp\tDisp\tNN\tB-NP\tO' -p114938 -aS':*\t:*\tSYM\tI-NP\tO' -p114939 -aS'90\t90\tCD\tI-NP\tO' -p114940 -aS'Capsule\tCapsule\tNN\tI-NP\tO' -p114941 -aS'(s)*\t(s)*\tSYM\tB-NP\tO' -p114942 -aS'Refills\tRefill\tNNPS\tI-NP\tO' -p114943 -aS':*\t:*\tSYM\tI-NP\tO' -p114944 -aS'2\t2\tCD\tI-NP\tO' -p114945 -aS'*\t*\tSYM\tB-NP\tO' -p114946 -asS'This will be further monitored by her primary care physician , Dr. Banks , who will adjust her Coumadin dose .' -p114947 -(lp114948 -S'This\tThis\tDT\tB-NP\tO' -p114949 -aS'will\twill\tMD\tB-VP\tO' -p114950 -aS'be\tbe\tVB\tI-VP\tO' -p114951 -aS'further\tfurther\tRBR\tB-ADJP\tO' -p114952 -aS'monitored\tmonitor\tVBN\tI-ADJP\tO' -p114953 -aS'by\tby\tIN\tB-PP\tO' -p114954 -aS'her\ther\tPRP$\tB-NP\tO' -p114955 -aS'primary\tprimary\tJJ\tI-NP\tO' -p114956 -aS'care\tcare\tNN\tI-NP\tO' -p114957 -aS'physician\tphysician\tNN\tI-NP\tO' -p114958 -aS',\t,\t,\tO\tO' -p114959 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p114960 -aS'Banks\tBanks\tNNP\tI-NP\tO' -p114961 -aS',\t,\t,\tO\tO' -p114962 -aS'who\twho\tWP\tB-NP\tO' -p114963 -aS'will\twill\tMD\tB-VP\tO' -p114964 -aS'adjust\tadjust\tVB\tI-VP\tO' -p114965 -aS'her\ther\tPRP$\tB-NP\tO' -p114966 -aS'Coumadin\tCoumadin\tNN\tI-NP\tO' -p114967 -aS'dose\tdose\tNN\tI-NP\tO' -p114968 -aS'.\t.\t.\tO\tO' -p114969 -asS'They did an ECG at Bridgewater State Hospital rehab which demonstarted new ST depressions in V1-V4 .' -p114970 -(lp114971 -S'They\tThey\tPRP\tB-NP\tO' -p114972 -aS'did\tdo\tVBD\tB-VP\tO' -p114973 -aS'an\tan\tDT\tB-NP\tO' -p114974 -aS'ECG\tECG\tNN\tI-NP\tO' -p114975 -aS'at\tat\tIN\tB-PP\tO' -p114976 -aS'Bridgewater\tBridgewater\tNNP\tB-NP\tO' -p114977 -aS'State\tState\tNNP\tI-NP\tO' -p114978 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p114979 -aS'rehab\trehab\tNN\tI-NP\tO' -p114980 -aS'which\twhich\tWDT\tB-NP\tO' -p114981 -aS'demonstarted\tdemonstarte\tVBD\tB-VP\tO' -p114982 -aS'new\tnew\tJJ\tB-NP\tO' -p114983 -aS'ST\tST\tJJ\tI-NP\tO' -p114984 -aS'depressions\tdepression\tNNS\tI-NP\tO' -p114985 -aS'in\tin\tIN\tB-PP\tO' -p114986 -aS'V1-V4\tV1-V4\tNN\tB-NP\tO' -p114987 -aS'.\t.\t.\tO\tO' -p114988 -asS'Initial examination revealed the patient had a heart rate in the 80s , with a blood pressure of 150/80s .' -p114989 -(lp114990 -S'Initial\tInitial\tJJ\tB-NP\tO' -p114991 -aS'examination\texamination\tNN\tI-NP\tO' -p114992 -aS'revealed\treveal\tVBD\tB-VP\tO' -p114993 -aS'the\tthe\tDT\tB-NP\tO' -p114994 -aS'patient\tpatient\tNN\tI-NP\tO' -p114995 -aS'had\thave\tVBD\tB-VP\tO' -p114996 -aS'a\ta\tDT\tB-NP\tO' -p114997 -aS'heart\theart\tNN\tI-NP\tO' -p114998 -aS'rate\trate\tNN\tI-NP\tO' -p114999 -aS'in\tin\tIN\tB-PP\tO' -p115000 -aS'the\tthe\tDT\tB-NP\tO' -p115001 -aS'80s\t80\tNNS\tI-NP\tO' -p115002 -aS',\t,\t,\tO\tO' -p115003 -aS'with\twith\tIN\tB-PP\tO' -p115004 -aS'a\ta\tDT\tB-NP\tO' -p115005 -aS'blood\tblood\tNN\tI-NP\tO' -p115006 -aS'pressure\tpressure\tNN\tI-NP\tO' -p115007 -aS'of\tof\tIN\tB-PP\tO' -p115008 -aS'150/80s\t150/80\tNNS\tB-NP\tB-DNA' -p115009 -aS'.\t.\t.\tO\tO' -p115010 -asS'No other areas of hemorrhage identified .' -p115011 -(lp115012 -S'No\tNo\tDT\tB-NP\tO' -p115013 -aS'other\tother\tJJ\tI-NP\tO' -p115014 -aS'areas\tarea\tNNS\tI-NP\tO' -p115015 -aS'of\tof\tIN\tB-PP\tO' -p115016 -aS'hemorrhage\themorrhage\tNN\tB-NP\tO' -p115017 -aS'identified\tidentify\tVBN\tB-VP\tO' -p115018 -aS'.\t.\t.\tO\tO' -p115019 -asS'No definite fracture of C1 is identified to correlate with the history of questioned C1 fracture from outside hospital .' -p115020 -(lp115021 -S'No\tNo\tDT\tB-NP\tO' -p115022 -aS'definite\tdefinite\tJJ\tI-NP\tO' -p115023 -aS'fracture\tfracture\tNN\tI-NP\tO' -p115024 -aS'of\tof\tIN\tB-PP\tO' -p115025 -aS'C1\tC1\tNN\tB-NP\tB-protein' -p115026 -aS'is\tbe\tVBZ\tB-VP\tO' -p115027 -aS'identified\tidentify\tVBN\tI-VP\tO' -p115028 -aS'to\tto\tTO\tI-VP\tO' -p115029 -aS'correlate\tcorrelate\tVB\tI-VP\tO' -p115030 -aS'with\twith\tIN\tB-PP\tO' -p115031 -aS'the\tthe\tDT\tB-NP\tO' -p115032 -aS'history\thistory\tNN\tI-NP\tO' -p115033 -aS'of\tof\tIN\tB-PP\tO' -p115034 -aS'questioned\tquestion\tVBN\tB-NP\tO' -p115035 -aS'C1\tC1\tNN\tI-NP\tO' -p115036 -aS'fracture\tfracture\tNN\tI-NP\tO' -p115037 -aS'from\tfrom\tIN\tB-PP\tO' -p115038 -aS'outside\toutside\tJJ\tB-NP\tO' -p115039 -aS'hospital\thospital\tNN\tI-NP\tO' -p115040 -aS'.\t.\t.\tO\tO' -p115041 -asS'However , due to the episode of bleeding on postoperative day # 2 , the Coumadin was held for two consecutive days , and then restarted on postoperative day # 4 .' -p115042 -(lp115043 -S'However\tHowever\tRB\tB-ADVP\tO' -p115044 -aS',\t,\t,\tO\tO' -p115045 -aS'due\tdue\tJJ\tB-PP\tO' -p115046 -aS'to\tto\tTO\tI-PP\tO' -p115047 -aS'the\tthe\tDT\tB-NP\tO' -p115048 -aS'episode\tepisode\tNN\tI-NP\tO' -p115049 -aS'of\tof\tIN\tB-PP\tO' -p115050 -aS'bleeding\tbleed\tVBG\tB-VP\tO' -p115051 -aS'on\ton\tIN\tB-PP\tO' -p115052 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p115053 -aS'day\tday\tNN\tI-NP\tO' -p115054 -aS'#\t#\t#\tB-NP\tO' -p115055 -aS'2\t2\tCD\tI-NP\tO' -p115056 -aS',\t,\t,\tO\tO' -p115057 -aS'the\tthe\tDT\tB-NP\tO' -p115058 -aS'Coumadin\tCoumadin\tNN\tI-NP\tO' -p115059 -aS'was\tbe\tVBD\tB-VP\tO' -p115060 -aS'held\thold\tVBN\tI-VP\tO' -p115061 -aS'for\tfor\tIN\tB-PP\tO' -p115062 -aS'two\ttwo\tCD\tB-NP\tO' -p115063 -aS'consecutive\tconsecutive\tJJ\tI-NP\tO' -p115064 -aS'days\tday\tNNS\tI-NP\tO' -p115065 -aS',\t,\t,\tO\tO' -p115066 -aS'and\tand\tCC\tO\tO' -p115067 -aS'then\tthen\tRB\tB-VP\tO' -p115068 -aS'restarted\trestart\tVBD\tI-VP\tO' -p115069 -aS'on\ton\tIN\tB-PP\tO' -p115070 -aS'postoperative\tpostoperative\tJJ\tB-NP\tB-protein' -p115071 -aS'day\tday\tNN\tI-NP\tI-protein' -p115072 -aS'#\t#\t#\tB-NP\tI-protein' -p115073 -aS'4\t4\tCD\tI-NP\tI-protein' -p115074 -aS'.\t.\t.\tO\tO' -p115075 -asS'Signed electronically by : DR. Freddy King on : WED 2012-05-23 9:05 AM' -p115076 -(lp115077 -S'Signed\tSign\tVBN\tB-VP\tO' -p115078 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p115079 -aS'by\tby\tIN\tB-PP\tO' -p115080 -aS':\t:\t:\tO\tO' -p115081 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p115082 -aS'Freddy\tFreddy\tNNP\tI-NP\tO' -p115083 -aS'King\tKing\tNNP\tI-NP\tO' -p115084 -aS'on\ton\tIN\tB-PP\tO' -p115085 -aS':\t:\t:\tO\tO' -p115086 -aS'WED\tWED\tVBD\tB-VP\tO' -p115087 -aS'2012-05-23\t2012-05-23\tCD\tB-NP\tO' -p115088 -aS'9:05\t9:05\tCD\tI-NP\tO' -p115089 -aS'AM\tAM\tNN\tI-NP\tO' -p115090 -asS'Multivitamins And Folate ( Fam Pren Forte )' -p115091 -(lp115092 -S'Multivitamins\tMultivitamin\tNNS\tB-NP\tO' -p115093 -aS'And\tAnd\tCC\tO\tO' -p115094 -aS'Folate\tFolate\tNNP\tB-NP\tO' -p115095 -aS'(\t(\t(\tO\tO' -p115096 -aS'Fam\tFam\tNNP\tB-NP\tO' -p115097 -aS'Pren\tPren\tNNP\tI-NP\tO' -p115098 -aS'Forte\tForte\tNNP\tI-NP\tO' -p115099 -aS')\t)\t)\tO\tO' -p115100 -asS'Pt now on IV Ceftriaxone ( was on levoflox since 05-24 however UA now floridly positive ( more so than UA at OSH ) so felt possibly levo-resistant .' -p115101 -(lp115102 -S'Pt\tPt\tNN\tB-NP\tO' -p115103 -aS'now\tnow\tRB\tB-ADVP\tO' -p115104 -aS'on\ton\tIN\tB-PP\tO' -p115105 -aS'IV\tIV\tCD\tB-NP\tO' -p115106 -aS'Ceftriaxone\tCeftriaxone\tNN\tI-NP\tO' -p115107 -aS'(\t(\t(\tO\tO' -p115108 -aS'was\tbe\tVBD\tB-VP\tO' -p115109 -aS'on\ton\tIN\tB-PP\tO' -p115110 -aS'levoflox\tlevoflox\tNN\tB-NP\tO' -p115111 -aS'since\tsince\tIN\tB-PP\tO' -p115112 -aS'05-24\t05-24\tCD\tB-NP\tO' -p115113 -aS'however\thowever\tRB\tI-NP\tO' -p115114 -aS'UA\tUA\tNNP\tI-NP\tO' -p115115 -aS'now\tnow\tRB\tB-ADVP\tO' -p115116 -aS'floridly\tfloridly\tRB\tB-ADJP\tO' -p115117 -aS'positive\tpositive\tJJ\tI-ADJP\tO' -p115118 -aS'(\t(\t(\tO\tO' -p115119 -aS'more\tmore\tRBR\tB-ADVP\tO' -p115120 -aS'so\tso\tRB\tI-ADVP\tO' -p115121 -aS'than\tthan\tIN\tB-PP\tO' -p115122 -aS'UA\tUA\tNN\tB-NP\tO' -p115123 -aS'at\tat\tIN\tB-PP\tO' -p115124 -aS'OSH\tOSH\tNN\tB-NP\tO' -p115125 -aS')\t)\t)\tO\tO' -p115126 -aS'so\tso\tRB\tB-ADVP\tO' -p115127 -aS'felt\tfeel\tVBD\tB-VP\tO' -p115128 -aS'possibly\tpossibly\tRB\tB-ADJP\tO' -p115129 -aS'levo-resistant\tlevo-resistant\tJJ\tI-ADJP\tO' -p115130 -aS'.\t.\t.\tO\tO' -p115131 -asS'The right upper extremity was flaccid and paresthetic .' -p115132 -(lp115133 -S'The\tThe\tDT\tB-NP\tO' -p115134 -aS'right\tright\tJJ\tI-NP\tO' -p115135 -aS'upper\tupper\tJJ\tI-NP\tO' -p115136 -aS'extremity\textremity\tNN\tI-NP\tO' -p115137 -aS'was\tbe\tVBD\tB-VP\tO' -p115138 -aS'flaccid\tflaccid\tJJ\tB-ADJP\tO' -p115139 -aS'and\tand\tCC\tI-ADJP\tO' -p115140 -aS'paresthetic\tparesthetic\tJJ\tI-ADJP\tO' -p115141 -aS'.\t.\t.\tO\tO' -p115142 -asS'5. Atorvastatin 80 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' -p115143 -(lp115144 -S'5.\t5.\tLS\tB-LST\tO' -p115145 -aS'Atorvastatin\tAtorvastatin\tNN\tB-NP\tO' -p115146 -aS'80\t80\tCD\tI-NP\tO' -p115147 -aS'mg\tmg\tNN\tI-NP\tO' -p115148 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p115149 -aS'Sig\tSig\tNNP\tI-NP\tO' -p115150 -aS':\t:\t:\tO\tO' -p115151 -aS'One\tOne\tCD\tB-NP\tO' -p115152 -aS'(\t(\t(\tO\tO' -p115153 -aS'1\t1\tCD\tB-NP\tO' -p115154 -aS')\t)\t)\tO\tO' -p115155 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p115156 -aS'PO\tPO\tNN\tI-NP\tO' -p115157 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p115158 -aS'(\t(\t(\tO\tO' -p115159 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p115160 -aS')\t)\t)\tO\tO' -p115161 -aS'.\t.\t.\tO\tO' -p115162 -asS'The percutaneous endoscopic gastrostomy was unsuccessful , and the procedure was converted to an open gastrostomy tube which then proceeded without complications .' -p115163 -(lp115164 -S'The\tThe\tDT\tB-NP\tO' -p115165 -aS'percutaneous\tpercutaneous\tJJ\tI-NP\tO' -p115166 -aS'endoscopic\tendoscopic\tJJ\tI-NP\tO' -p115167 -aS'gastrostomy\tgastrostomy\tNN\tI-NP\tO' -p115168 -aS'was\tbe\tVBD\tB-VP\tO' -p115169 -aS'unsuccessful\tunsuccessful\tJJ\tB-ADJP\tO' -p115170 -aS',\t,\t,\tO\tO' -p115171 -aS'and\tand\tCC\tO\tO' -p115172 -aS'the\tthe\tDT\tB-NP\tO' -p115173 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p115174 -aS'was\tbe\tVBD\tB-VP\tO' -p115175 -aS'converted\tconvert\tVBN\tI-VP\tO' -p115176 -aS'to\tto\tTO\tB-PP\tO' -p115177 -aS'an\tan\tDT\tB-NP\tO' -p115178 -aS'open\topen\tJJ\tI-NP\tO' -p115179 -aS'gastrostomy\tgastrostomy\tNN\tI-NP\tO' -p115180 -aS'tube\ttube\tNN\tI-NP\tO' -p115181 -aS'which\twhich\tWDT\tB-NP\tO' -p115182 -aS'then\tthen\tRB\tB-ADVP\tO' -p115183 -aS'proceeded\tproceed\tVBD\tB-VP\tO' -p115184 -aS'without\twithout\tIN\tB-PP\tO' -p115185 -aS'complications\tcomplication\tNNS\tB-NP\tO' -p115186 -aS'.\t.\t.\tO\tO' -p115187 -asS'Since she has seen Dr. Ollie , she has had at least two episodes of status epilepticus and one generalized seizure , as well as some less significant seizures which are characterized by left gaze preference and left sided tonic-clonic activity .' -p115188 -(lp115189 -S'Since\tSince\tIN\tB-SBAR\tO' -p115190 -aS'she\tshe\tPRP\tB-NP\tO' -p115191 -aS'has\thave\tVBZ\tB-VP\tO' -p115192 -aS'seen\tsee\tVBN\tI-VP\tO' -p115193 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p115194 -aS'Ollie\tOllie\tNNP\tI-NP\tO' -p115195 -aS',\t,\t,\tO\tO' -p115196 -aS'she\tshe\tPRP\tB-NP\tO' -p115197 -aS'has\thave\tVBZ\tB-VP\tO' -p115198 -aS'had\thave\tVBN\tI-VP\tO' -p115199 -aS'at\tat\tIN\tB-NP\tO' -p115200 -aS'least\tleast\tJJS\tI-NP\tO' -p115201 -aS'two\ttwo\tCD\tI-NP\tO' -p115202 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p115203 -aS'of\tof\tIN\tB-PP\tO' -p115204 -aS'status\tstatus\tNN\tB-NP\tO' -p115205 -aS'epilepticus\tepilepticus\tNN\tI-NP\tO' -p115206 -aS'and\tand\tCC\tO\tO' -p115207 -aS'one\tone\tCD\tB-NP\tO' -p115208 -aS'generalized\tgeneralize\tVBN\tI-NP\tO' -p115209 -aS'seizure\tseizure\tNN\tI-NP\tO' -p115210 -aS',\t,\t,\tO\tO' -p115211 -aS'as\tas\tRB\tB-CONJP\tO' -p115212 -aS'well\twell\tRB\tI-CONJP\tO' -p115213 -aS'as\tas\tIN\tI-CONJP\tO' -p115214 -aS'some\tsome\tDT\tB-NP\tO' -p115215 -aS'less\tless\tRBR\tI-NP\tO' -p115216 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p115217 -aS'seizures\tseizure\tNNS\tI-NP\tO' -p115218 -aS'which\twhich\tWDT\tB-NP\tO' -p115219 -aS'are\tbe\tVBP\tB-VP\tO' -p115220 -aS'characterized\tcharacterize\tVBN\tI-VP\tO' -p115221 -aS'by\tby\tIN\tB-PP\tO' -p115222 -aS'left\tleft\tJJ\tB-NP\tO' -p115223 -aS'gaze\tgaze\tNN\tI-NP\tO' -p115224 -aS'preference\tpreference\tNN\tI-NP\tO' -p115225 -aS'and\tand\tCC\tO\tO' -p115226 -aS'left\tleave\tVBD\tB-VP\tO' -p115227 -aS'sided\tsided\tJJ\tB-NP\tO' -p115228 -aS'tonic-clonic\ttonic-clonic\tJJ\tI-NP\tO' -p115229 -aS'activity\tactivity\tNN\tI-NP\tO' -p115230 -aS'.\t.\t.\tO\tO' -p115231 -asS'T maximum 98.6 , blood pressure 90s-130s / 80s-90s , heart rate 70s to 80s , respirations 18 , oxygen saturation 98% on room air .' -p115232 -(lp115233 -S'T\tT\tNN\tB-NP\tB-protein' -p115234 -aS'maximum\tmaximum\tNN\tI-NP\tI-protein' -p115235 -aS'98.6\t98.6\tCD\tI-NP\tI-protein' -p115236 -aS',\t,\t,\tO\tO' -p115237 -aS'blood\tblood\tNN\tB-NP\tO' -p115238 -aS'pressure\tpressure\tNN\tI-NP\tO' -p115239 -aS'90s-130s\t90s-130s\tCD\tI-NP\tO' -p115240 -aS'/\t/\tSYM\tI-NP\tO' -p115241 -aS'80s-90s\t80s-90s\tCD\tI-NP\tO' -p115242 -aS',\t,\t,\tO\tO' -p115243 -aS'heart\theart\tNN\tB-NP\tO' -p115244 -aS'rate\trate\tNN\tI-NP\tO' -p115245 -aS'70s\t70\tNNS\tI-NP\tO' -p115246 -aS'to\tto\tTO\tB-PP\tO' -p115247 -aS'80s\t80\tNNS\tB-NP\tO' -p115248 -aS',\t,\t,\tO\tO' -p115249 -aS'respirations\trespiration\tNNS\tB-NP\tO' -p115250 -aS'18\t18\tCD\tB-NP\tO' -p115251 -aS',\t,\t,\tO\tO' -p115252 -aS'oxygen\toxygen\tNN\tB-NP\tO' -p115253 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p115254 -aS'98%\t98%\tNN\tI-NP\tO' -p115255 -aS'on\ton\tIN\tB-PP\tO' -p115256 -aS'room\troom\tNN\tB-NP\tO' -p115257 -aS'air\tair\tNN\tI-NP\tO' -p115258 -aS'.\t.\t.\tO\tO' -p115259 -asS"The patient 's head wound laceration was noted to be clean and dry with intact staples ." -p115260 -(lp115261 -S'The\tThe\tDT\tB-NP\tO' -p115262 -aS'patient\tpatient\tNN\tI-NP\tO' -p115263 -aS"'s\t's\tPOS\tB-NP\tO" -p115264 -aS'head\thead\tNN\tI-NP\tO' -p115265 -aS'wound\twound\tNN\tI-NP\tO' -p115266 -aS'laceration\tlaceration\tNN\tI-NP\tO' -p115267 -aS'was\tbe\tVBD\tB-VP\tO' -p115268 -aS'noted\tnote\tVBN\tI-VP\tO' -p115269 -aS'to\tto\tTO\tI-VP\tO' -p115270 -aS'be\tbe\tVB\tI-VP\tO' -p115271 -aS'clean\tclean\tJJ\tB-ADJP\tO' -p115272 -aS'and\tand\tCC\tI-ADJP\tO' -p115273 -aS'dry\tdry\tJJ\tI-ADJP\tO' -p115274 -aS'with\twith\tIN\tB-PP\tO' -p115275 -aS'intact\tintact\tJJ\tB-NP\tO' -p115276 -aS'staples\tstaple\tNNS\tI-NP\tO' -p115277 -aS'.\t.\t.\tO\tO' -p115278 -asS'Acyclovir was started , also considering the varicella at 120 mg intravenously every 8 hours .' -p115279 -(lp115280 -S'Acyclovir\tAcyclovir\tNN\tB-NP\tO' -p115281 -aS'was\tbe\tVBD\tB-VP\tO' -p115282 -aS'started\tstart\tVBN\tI-VP\tO' -p115283 -aS',\t,\t,\tO\tO' -p115284 -aS'also\talso\tRB\tB-ADVP\tO' -p115285 -aS'considering\tconsider\tVBG\tB-VP\tO' -p115286 -aS'the\tthe\tDT\tB-NP\tO' -p115287 -aS'varicella\tvaricella\tNN\tI-NP\tO' -p115288 -aS'at\tat\tIN\tB-PP\tO' -p115289 -aS'120\t120\tCD\tB-NP\tO' -p115290 -aS'mg\tmg\tNN\tI-NP\tO' -p115291 -aS'intravenously\tintravenously\tRB\tB-NP\tO' -p115292 -aS'every\tevery\tDT\tI-NP\tO' -p115293 -aS'8\t8\tCD\tI-NP\tO' -p115294 -aS'hours\thour\tNNS\tI-NP\tO' -p115295 -aS'.\t.\t.\tO\tO' -p115296 -asS'This unsteady gait progressed , and then she subsequently started to develop a pins and needle feeling in the face , hands and feet bilaterally .' -p115297 -(lp115298 -S'This\tThis\tDT\tB-NP\tO' -p115299 -aS'unsteady\tunsteady\tJJ\tI-NP\tO' -p115300 -aS'gait\tgait\tNN\tI-NP\tO' -p115301 -aS'progressed\tprogress\tVBD\tB-VP\tO' -p115302 -aS',\t,\t,\tO\tO' -p115303 -aS'and\tand\tCC\tO\tO' -p115304 -aS'then\tthen\tRB\tO\tO' -p115305 -aS'she\tshe\tPRP\tB-NP\tO' -p115306 -aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' -p115307 -aS'started\tstart\tVBD\tB-VP\tO' -p115308 -aS'to\tto\tTO\tI-VP\tO' -p115309 -aS'develop\tdevelop\tVB\tI-VP\tO' -p115310 -aS'a\ta\tDT\tB-NP\tO' -p115311 -aS'pins\tpin\tNNS\tI-NP\tO' -p115312 -aS'and\tand\tCC\tI-NP\tO' -p115313 -aS'needle\tneedle\tNN\tI-NP\tO' -p115314 -aS'feeling\tfeeling\tNN\tI-NP\tO' -p115315 -aS'in\tin\tIN\tB-PP\tO' -p115316 -aS'the\tthe\tDT\tB-NP\tO' -p115317 -aS'face\tface\tNN\tI-NP\tO' -p115318 -aS',\t,\t,\tO\tO' -p115319 -aS'hands\thand\tNNS\tB-NP\tO' -p115320 -aS'and\tand\tCC\tI-NP\tO' -p115321 -aS'feet\tfoot\tNNS\tI-NP\tO' -p115322 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p115323 -aS'.\t.\t.\tO\tO' -p115324 -asS'He reports occasional alcohol use and no illicits .' -p115325 -(lp115326 -S'He\tHe\tPRP\tB-NP\tO' -p115327 -aS'reports\treport\tVBZ\tB-VP\tO' -p115328 -aS'occasional\toccasional\tJJ\tB-NP\tO' -p115329 -aS'alcohol\talcohol\tNN\tI-NP\tO' -p115330 -aS'use\tuse\tNN\tI-NP\tO' -p115331 -aS'and\tand\tCC\tO\tO' -p115332 -aS'no\tno\tDT\tB-NP\tO' -p115333 -aS'illicits\tillicit\tNNS\tI-NP\tO' -p115334 -aS'.\t.\t.\tO\tO' -p115335 -asS'1. Marked interval enlargement of the cardiac silhouette .' -p115336 -(lp115337 -S'1.\t1.\tLS\tB-LST\tO' -p115338 -aS'Marked\tMark\tVBD\tB-VP\tO' -p115339 -aS'interval\tinterval\tJJ\tB-NP\tO' -p115340 -aS'enlargement\tenlargement\tNN\tI-NP\tO' -p115341 -aS'of\tof\tIN\tB-PP\tO' -p115342 -aS'the\tthe\tDT\tB-NP\tO' -p115343 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p115344 -aS'silhouette\tsilhouette\tNN\tI-NP\tO' -p115345 -aS'.\t.\t.\tO\tO' -p115346 -asS'At discharge the patient was thought to be euvolemic , satting well on room air and without peripheral edema .' -p115347 -(lp115348 -S'At\tAt\tIN\tB-PP\tO' -p115349 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p115350 -aS'the\tthe\tDT\tB-NP\tO' -p115351 -aS'patient\tpatient\tNN\tI-NP\tO' -p115352 -aS'was\tbe\tVBD\tB-VP\tO' -p115353 -aS'thought\tthink\tVBN\tI-VP\tO' -p115354 -aS'to\tto\tTO\tI-VP\tO' -p115355 -aS'be\tbe\tVB\tI-VP\tO' -p115356 -aS'euvolemic\teuvolemic\tJJ\tB-ADJP\tO' -p115357 -aS',\t,\t,\tO\tO' -p115358 -aS'satting\tsatte\tVBG\tB-VP\tO' -p115359 -aS'well\twell\tRB\tB-ADVP\tO' -p115360 -aS'on\ton\tIN\tB-PP\tO' -p115361 -aS'room\troom\tNN\tB-NP\tO' -p115362 -aS'air\tair\tNN\tI-NP\tO' -p115363 -aS'and\tand\tCC\tB-PP\tO' -p115364 -aS'without\twithout\tIN\tB-PP\tO' -p115365 -aS'peripheral\tperipheral\tJJ\tB-NP\tO' -p115366 -aS'edema\tedema\tNN\tI-NP\tO' -p115367 -aS'.\t.\t.\tO\tO' -p115368 -asS'Anterior fontanel open and flat .' -p115369 -(lp115370 -S'Anterior\tAnterior\tJJ\tB-NP\tO' -p115371 -aS'fontanel\tfontanel\tNN\tI-NP\tO' -p115372 -aS'open\topen\tJJ\tB-ADJP\tO' -p115373 -aS'and\tand\tCC\tI-ADJP\tO' -p115374 -aS'flat\tflat\tJJ\tI-ADJP\tO' -p115375 -aS'.\t.\t.\tO\tO' -p115376 -asS'On the day of admission , when he fell , the patient was experiencing no chest pain , no shortness of breath , and had no loss of consciousness , no head trauma with fall .' -p115377 -(lp115378 -S'On\tOn\tIN\tB-PP\tO' -p115379 -aS'the\tthe\tDT\tB-NP\tO' -p115380 -aS'day\tday\tNN\tI-NP\tO' -p115381 -aS'of\tof\tIN\tB-PP\tO' -p115382 -aS'admission\tadmission\tNN\tB-NP\tO' -p115383 -aS',\t,\t,\tO\tO' -p115384 -aS'when\twhen\tWRB\tB-ADVP\tO' -p115385 -aS'he\the\tPRP\tB-NP\tO' -p115386 -aS'fell\tfall\tVBD\tB-VP\tO' -p115387 -aS',\t,\t,\tO\tO' -p115388 -aS'the\tthe\tDT\tB-NP\tO' -p115389 -aS'patient\tpatient\tNN\tI-NP\tO' -p115390 -aS'was\tbe\tVBD\tB-VP\tO' -p115391 -aS'experiencing\texperience\tVBG\tI-VP\tO' -p115392 -aS'no\tno\tDT\tB-NP\tO' -p115393 -aS'chest\tchest\tNN\tI-NP\tO' -p115394 -aS'pain\tpain\tNN\tI-NP\tO' -p115395 -aS',\t,\t,\tO\tO' -p115396 -aS'no\tno\tDT\tB-NP\tO' -p115397 -aS'shortness\tshortness\tNN\tI-NP\tO' -p115398 -aS'of\tof\tIN\tB-PP\tO' -p115399 -aS'breath\tbreath\tNN\tB-NP\tO' -p115400 -aS',\t,\t,\tO\tO' -p115401 -aS'and\tand\tCC\tO\tO' -p115402 -aS'had\thave\tVBD\tB-VP\tO' -p115403 -aS'no\tno\tDT\tB-NP\tO' -p115404 -aS'loss\tloss\tNN\tI-NP\tO' -p115405 -aS'of\tof\tIN\tB-PP\tO' -p115406 -aS'consciousness\tconsciousness\tNN\tB-NP\tO' -p115407 -aS',\t,\t,\tO\tO' -p115408 -aS'no\tno\tDT\tB-NP\tO' -p115409 -aS'head\thead\tNN\tI-NP\tO' -p115410 -aS'trauma\ttrauma\tNN\tI-NP\tO' -p115411 -aS'with\twith\tIN\tB-PP\tO' -p115412 -aS'fall\tfall\tNN\tB-NP\tO' -p115413 -aS'.\t.\t.\tO\tO' -p115414 -asS'She denies any vomiting , states that the episodes usually last about five minutes and are relieved with rest .' -p115415 -(lp115416 -S'She\tShe\tPRP\tB-NP\tO' -p115417 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p115418 -aS'any\tany\tDT\tB-NP\tO' -p115419 -aS'vomiting\tvomiting\tNN\tI-NP\tO' -p115420 -aS',\t,\t,\tO\tO' -p115421 -aS'states\tstate\tVBZ\tB-VP\tO' -p115422 -aS'that\tthat\tIN\tB-SBAR\tO' -p115423 -aS'the\tthe\tDT\tB-NP\tO' -p115424 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p115425 -aS'usually\tusually\tRB\tB-ADJP\tO' -p115426 -aS'last\tlast\tJJ\tI-ADJP\tO' -p115427 -aS'about\tabout\tIN\tB-PP\tO' -p115428 -aS'five\tfive\tCD\tB-NP\tO' -p115429 -aS'minutes\tminute\tNNS\tI-NP\tO' -p115430 -aS'and\tand\tCC\tO\tO' -p115431 -aS'are\tbe\tVBP\tB-VP\tO' -p115432 -aS'relieved\trelieve\tVBN\tI-VP\tO' -p115433 -aS'with\twith\tIN\tB-PP\tO' -p115434 -aS'rest\trest\tNN\tB-NP\tO' -p115435 -aS'.\t.\t.\tO\tO' -p115436 -asS'7. Levetiracetam 500 mg Tablet Sig : Three ( 3 ) Tablet PO BID ( 2 times a day ) .' -p115437 -(lp115438 -S'7.\t7.\tCD\tB-NP\tO' -p115439 -aS'Levetiracetam\tLevetiracetam\tNNP\tI-NP\tO' -p115440 -aS'500\t500\tCD\tI-NP\tO' -p115441 -aS'mg\tmg\tNN\tI-NP\tO' -p115442 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p115443 -aS'Sig\tSig\tNNP\tI-NP\tO' -p115444 -aS':\t:\t:\tO\tO' -p115445 -aS'Three\tThree\tCD\tB-NP\tO' -p115446 -aS'(\t(\t(\tO\tO' -p115447 -aS'3\t3\tCD\tB-NP\tO' -p115448 -aS')\t)\t)\tO\tO' -p115449 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p115450 -aS'PO\tPO\tNN\tI-NP\tO' -p115451 -aS'BID\tBID\tNN\tI-NP\tO' -p115452 -aS'(\t(\t(\tO\tO' -p115453 -aS'2\t2\tCD\tB-NP\tO' -p115454 -aS'times\ttime\tNNS\tI-NP\tO' -p115455 -aS'a\ta\tDT\tB-NP\tO' -p115456 -aS'day\tday\tNN\tI-NP\tO' -p115457 -aS')\t)\t)\tO\tO' -p115458 -aS'.\t.\t.\tO\tO' -p115459 -asS'tylenol PRN lisinopril 5 mg PO qd protonix 20 mg PO qd artifical tears bid metoprolol 25 mg PO bid' -p115460 -(lp115461 -S'tylenol\ttylenol\tNN\tB-NP\tB-protein' -p115462 -aS'PRN\tPRN\tNN\tI-NP\tI-protein' -p115463 -aS'lisinopril\tlisinopril\tNN\tI-NP\tI-protein' -p115464 -aS'5\t5\tCD\tI-NP\tI-protein' -p115465 -aS'mg\tmg\tNN\tI-NP\tI-protein' -p115466 -aS'PO\tPO\tNN\tI-NP\tI-protein' -p115467 -aS'qd\tqd\tNN\tI-NP\tI-protein' -p115468 -aS'protonix\tprotonix\tNN\tI-NP\tI-protein' -p115469 -aS'20\t20\tCD\tI-NP\tI-protein' -p115470 -aS'mg\tmg\tNN\tI-NP\tI-protein' -p115471 -aS'PO\tPO\tNN\tI-NP\tI-protein' -p115472 -aS'qd\tqd\tNN\tI-NP\tI-protein' -p115473 -aS'artifical\tartifical\tJJ\tI-NP\tI-protein' -p115474 -aS'tears\ttear\tNNS\tI-NP\tI-protein' -p115475 -aS'bid\tbid\tVBD\tB-VP\tO' -p115476 -aS'metoprolol\tmetoprolol\tNN\tB-NP\tO' -p115477 -aS'25\t25\tCD\tI-NP\tO' -p115478 -aS'mg\tmg\tNN\tI-NP\tO' -p115479 -aS'PO\tPO\tNN\tI-NP\tO' -p115480 -aS'bid\tbid\tNN\tI-NP\tO' -p115481 -asS'In the Deanna , her VS were Tc 97.2 , BP 146/25 , HR 70 , RR 27 , SaO2 95%/NRB .' -p115482 -(lp115483 -S'In\tIn\tIN\tB-PP\tO' -p115484 -aS'the\tthe\tDT\tB-NP\tO' -p115485 -aS'Deanna\tDeanna\tNNP\tI-NP\tO' -p115486 -aS',\t,\t,\tO\tO' -p115487 -aS'her\ther\tPRP$\tB-NP\tO' -p115488 -aS'VS\tVS\tNN\tI-NP\tO' -p115489 -aS'were\tbe\tVBD\tB-VP\tO' -p115490 -aS'Tc\tTc\tNN\tB-NP\tB-protein' -p115491 -aS'97.2\t97.2\tCD\tI-NP\tI-protein' -p115492 -aS',\t,\t,\tO\tO' -p115493 -aS'BP\tBP\tNN\tB-NP\tB-DNA' -p115494 -aS'146/25\t146/25\tCD\tI-NP\tI-DNA' -p115495 -aS',\t,\t,\tO\tO' -p115496 -aS'HR\tHR\tNN\tB-NP\tB-protein' -p115497 -aS'70\t70\tCD\tI-NP\tI-protein' -p115498 -aS',\t,\t,\tO\tO' -p115499 -aS'RR\tRR\tNN\tB-NP\tB-protein' -p115500 -aS'27\t27\tCD\tI-NP\tI-protein' -p115501 -aS',\t,\t,\tO\tO' -p115502 -aS'SaO2\tSaO2\tNN\tB-NP\tO' -p115503 -aS'95%/NRB\t95%/NRB\tNN\tI-NP\tO' -p115504 -aS'.\t.\t.\tO\tO' -p115505 -asS'Gen : sedated but A+O x3' -p115506 -(lp115507 -S'Gen\tGen\tNN\tB-NP\tO' -p115508 -aS':\t:\t:\tO\tO' -p115509 -aS'sedated\tsedate\tVBN\tB-VP\tO' -p115510 -aS'but\tbut\tCC\tO\tO' -p115511 -aS'A+O\tA+O\tNNP\tB-NP\tO' -p115512 -aS'x3\tx3\tCD\tI-NP\tO' -p115513 -asS'Discharge weight is 1.89 kg .' -p115514 -(lp115515 -S'Discharge\tDischarge\tNN\tB-NP\tO' -p115516 -aS'weight\tweight\tNN\tI-NP\tO' -p115517 -aS'is\tbe\tVBZ\tB-VP\tO' -p115518 -aS'1.89\t1.89\tCD\tB-NP\tO' -p115519 -aS'kg\tkg\tNN\tI-NP\tO' -p115520 -aS'.\t.\t.\tO\tO' -p115521 -asS"It was his family 's wish that he be made comfortable ." -p115522 -(lp115523 -S'It\tIt\tPRP\tB-NP\tO' -p115524 -aS'was\tbe\tVBD\tB-VP\tO' -p115525 -aS'his\this\tPRP$\tB-NP\tO' -p115526 -aS'family\tfamily\tNN\tI-NP\tO' -p115527 -aS"'s\t's\tPOS\tB-NP\tO" -p115528 -aS'wish\twish\tNN\tI-NP\tO' -p115529 -aS'that\tthat\tIN\tB-SBAR\tO' -p115530 -aS'he\the\tPRP\tB-NP\tO' -p115531 -aS'be\tbe\tVB\tB-VP\tO' -p115532 -aS'made\tmake\tVBN\tI-VP\tO' -p115533 -aS'comfortable\tcomfortable\tJJ\tB-ADJP\tO' -p115534 -aS'.\t.\t.\tO\tO' -p115535 -asS'His last recorded hematocrit on discharge was 31.3 .' -p115536 -(lp115537 -S'His\tHis\tPRP$\tB-NP\tO' -p115538 -aS'last\tlast\tJJ\tI-NP\tO' -p115539 -aS'recorded\trecorded\tJJ\tI-NP\tO' -p115540 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p115541 -aS'on\ton\tIN\tB-PP\tO' -p115542 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p115543 -aS'was\tbe\tVBD\tB-VP\tO' -p115544 -aS'31.3\t31.3\tCD\tB-NP\tO' -p115545 -aS'.\t.\t.\tO\tO' -p115546 -asS'1. Prostate cancer .' -p115547 -(lp115548 -S'1.\t1.\tLS\tB-NP\tO' -p115549 -aS'Prostate\tProstate\tNN\tI-NP\tO' -p115550 -aS'cancer\tcancer\tNN\tI-NP\tO' -p115551 -aS'.\t.\t.\tO\tO' -p115552 -asS'Continued on lasix , bblocker Robertson .' -p115553 -(lp115554 -S'Continued\tContinue\tVBN\tB-VP\tO' -p115555 -aS'on\ton\tIN\tB-PP\tO' -p115556 -aS'lasix\tlasix\tNN\tB-NP\tO' -p115557 -aS',\t,\t,\tO\tO' -p115558 -aS'bblocker\tbblocker\tNN\tB-NP\tO' -p115559 -aS'Robertson\tRobertson\tNNP\tI-NP\tO' -p115560 -aS'.\t.\t.\tO\tO' -p115561 -asS'Patient is an insulin dependent diabetic .' -p115562 -(lp115563 -S'Patient\tPatient\tNN\tB-NP\tO' -p115564 -aS'is\tbe\tVBZ\tB-VP\tO' -p115565 -aS'an\tan\tDT\tB-NP\tO' -p115566 -aS'insulin\tinsulin\tNN\tI-NP\tB-protein' -p115567 -aS'dependent\tdependent\tJJ\tI-NP\tO' -p115568 -aS'diabetic\tdiabetic\tNN\tI-NP\tO' -p115569 -aS'.\t.\t.\tO\tO' -p115570 -asS'She had her belly cleaned with Hibiclens one a day and once an adequate preoperative evaluation was performed , she was given a bowel prep on Monday afternoon and evening in preparation for an' -p115571 -(lp115572 -S'She\tShe\tPRP\tB-NP\tO' -p115573 -aS'had\thave\tVBD\tB-VP\tO' -p115574 -aS'her\ther\tPRP\tB-NP\tO' -p115575 -aS'belly\tbelly\tRB\tB-ADVP\tO' -p115576 -aS'cleaned\tclean\tVBD\tB-VP\tO' -p115577 -aS'with\twith\tIN\tB-PP\tO' -p115578 -aS'Hibiclens\tHibiclens\tNNP\tB-NP\tO' -p115579 -aS'one\tone\tCD\tI-NP\tO' -p115580 -aS'a\ta\tDT\tB-NP\tO' -p115581 -aS'day\tday\tNN\tI-NP\tO' -p115582 -aS'and\tand\tCC\tO\tO' -p115583 -aS'once\tonce\tRB\tB-ADVP\tO' -p115584 -aS'an\tan\tDT\tB-NP\tO' -p115585 -aS'adequate\tadequate\tJJ\tI-NP\tO' -p115586 -aS'preoperative\tpreoperative\tJJ\tI-NP\tO' -p115587 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p115588 -aS'was\tbe\tVBD\tB-VP\tO' -p115589 -aS'performed\tperform\tVBN\tI-VP\tO' -p115590 -aS',\t,\t,\tO\tO' -p115591 -aS'she\tshe\tPRP\tB-NP\tO' -p115592 -aS'was\tbe\tVBD\tB-VP\tO' -p115593 -aS'given\tgive\tVBN\tI-VP\tO' -p115594 -aS'a\ta\tDT\tB-NP\tO' -p115595 -aS'bowel\tbowel\tNN\tI-NP\tO' -p115596 -aS'prep\tprep\tNN\tI-NP\tO' -p115597 -aS'on\ton\tIN\tB-PP\tO' -p115598 -aS'Monday\tMonday\tNNP\tB-NP\tO' -p115599 -aS'afternoon\tafternoon\tNN\tI-NP\tO' -p115600 -aS'and\tand\tCC\tI-NP\tO' -p115601 -aS'evening\tevening\tNN\tI-NP\tO' -p115602 -aS'in\tin\tIN\tB-PP\tO' -p115603 -aS'preparation\tpreparation\tNN\tB-NP\tO' -p115604 -aS'for\tfor\tIN\tB-PP\tO' -p115605 -aS'an\tan\tDT\tB-NP\tO' -p115606 -asS'She had an INR of 1.5 on her Coumadin .' -p115607 -(lp115608 -S'She\tShe\tPRP\tB-NP\tO' -p115609 -aS'had\thave\tVBD\tB-VP\tO' -p115610 -aS'an\tan\tDT\tB-NP\tO' -p115611 -aS'INR\tINR\tNN\tI-NP\tB-protein' -p115612 -aS'of\tof\tIN\tB-PP\tO' -p115613 -aS'1.5\t1.5\tCD\tB-NP\tO' -p115614 -aS'on\ton\tIN\tB-PP\tO' -p115615 -aS'her\ther\tPRP$\tB-NP\tO' -p115616 -aS'Coumadin\tCoumadin\tNN\tI-NP\tO' -p115617 -aS'.\t.\t.\tO\tO' -p115618 -asS'The patient had no blood cultures to grow corynebacterium while hospitalized .' -p115619 -(lp115620 -S'The\tThe\tDT\tB-NP\tO' -p115621 -aS'patient\tpatient\tNN\tI-NP\tO' -p115622 -aS'had\thave\tVBD\tB-VP\tO' -p115623 -aS'no\tno\tDT\tB-NP\tO' -p115624 -aS'blood\tblood\tNN\tI-NP\tO' -p115625 -aS'cultures\tculture\tNNS\tI-NP\tO' -p115626 -aS'to\tto\tTO\tB-VP\tO' -p115627 -aS'grow\tgrow\tVB\tI-VP\tO' -p115628 -aS'corynebacterium\tcorynebacterium\tNN\tB-NP\tO' -p115629 -aS'while\twhile\tIN\tB-SBAR\tO' -p115630 -aS'hospitalized\thospitalize\tVBN\tB-VP\tO' -p115631 -aS'.\t.\t.\tO\tO' -p115632 -asS'Findings were called to Dr. Leanne Vazquez on the morning of 10-21 .' -p115633 -(lp115634 -S'Findings\tFinding\tNNS\tB-NP\tO' -p115635 -aS'were\tbe\tVBD\tB-VP\tO' -p115636 -aS'called\tcall\tVBN\tI-VP\tO' -p115637 -aS'to\tto\tTO\tB-PP\tO' -p115638 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p115639 -aS'Leanne\tLeanne\tNNP\tI-NP\tO' -p115640 -aS'Vazquez\tVazquez\tNNP\tI-NP\tO' -p115641 -aS'on\ton\tIN\tB-PP\tO' -p115642 -aS'the\tthe\tDT\tB-NP\tO' -p115643 -aS'morning\tmorning\tNN\tI-NP\tO' -p115644 -aS'of\tof\tIN\tB-PP\tO' -p115645 -aS'10-21\t10-21\tCD\tB-NP\tO' -p115646 -aS'.\t.\t.\tO\tO' -p115647 -asS'Neurological examination is non-focal .' -p115648 -(lp115649 -S'Neurological\tNeurological\tJJ\tB-NP\tO' -p115650 -aS'examination\texamination\tNN\tI-NP\tO' -p115651 -aS'is\tbe\tVBZ\tB-VP\tO' -p115652 -aS'non-focal\tnon-focal\tJJ\tB-ADJP\tO' -p115653 -aS'.\t.\t.\tO\tO' -p115654 -asS'Echo 10-25 : PRE-BYPASS : Left ventricular wall thicknesses are normal .' -p115655 -(lp115656 -S'Echo\tEcho\tNNP\tB-NP\tO' -p115657 -aS'10-25\t10-25\tCD\tI-NP\tO' -p115658 -aS':\t:\t:\tO\tO' -p115659 -aS'PRE-BYPASS\tPRE-BYPASS\tNN\tB-NP\tO' -p115660 -aS':\t:\t:\tO\tO' -p115661 -aS'Left\tLeft\tJJ\tB-NP\tO' -p115662 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p115663 -aS'wall\twall\tNN\tI-NP\tO' -p115664 -aS'thicknesses\tthickness\tNNS\tI-NP\tO' -p115665 -aS'are\tbe\tVBP\tB-VP\tO' -p115666 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p115667 -aS'.\t.\t.\tO\tO' -p115668 -asS'Hepatocellular carcinoma , and hepatitis C .' -p115669 -(lp115670 -S'Hepatocellular\tHepatocellular\tJJ\tB-NP\tO' -p115671 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p115672 -aS',\t,\t,\tO\tO' -p115673 -aS'and\tand\tCC\tO\tO' -p115674 -aS'hepatitis\thepatitis\tNN\tB-NP\tO' -p115675 -aS'C\tC\tNN\tI-NP\tO' -p115676 -aS'.\t.\t.\tO\tO' -p115677 -asS'9. Psychosocial .' -p115678 -(lp115679 -S'9.\t9.\tLS\tB-LST\tO' -p115680 -aS'Psychosocial\tPsychosocial\tNNP\tB-NP\tO' -p115681 -aS'.\t.\t.\tO\tO' -p115682 -asS'The patient was admitted in October of 1991 for urinary retention and acute renal failure and was treated with fluid rehydration and Foley catheter placement .' -p115683 -(lp115684 -S'The\tThe\tDT\tB-NP\tO' -p115685 -aS'patient\tpatient\tNN\tI-NP\tO' -p115686 -aS'was\tbe\tVBD\tB-VP\tO' -p115687 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p115688 -aS'in\tin\tIN\tB-PP\tO' -p115689 -aS'October\tOctober\tNNP\tB-NP\tO' -p115690 -aS'of\tof\tIN\tB-PP\tO' -p115691 -aS'1991\t1991\tCD\tB-NP\tO' -p115692 -aS'for\tfor\tIN\tB-PP\tO' -p115693 -aS'urinary\turinary\tJJ\tB-NP\tO' -p115694 -aS'retention\tretention\tNN\tI-NP\tO' -p115695 -aS'and\tand\tCC\tO\tO' -p115696 -aS'acute\tacute\tJJ\tB-NP\tO' -p115697 -aS'renal\trenal\tJJ\tI-NP\tO' -p115698 -aS'failure\tfailure\tNN\tI-NP\tO' -p115699 -aS'and\tand\tCC\tO\tO' -p115700 -aS'was\tbe\tVBD\tB-VP\tO' -p115701 -aS'treated\ttreat\tVBN\tI-VP\tO' -p115702 -aS'with\twith\tIN\tB-PP\tO' -p115703 -aS'fluid\tfluid\tNN\tB-NP\tO' -p115704 -aS'rehydration\trehydration\tNN\tI-NP\tO' -p115705 -aS'and\tand\tCC\tO\tO' -p115706 -aS'Foley\tFoley\tNNP\tB-NP\tO' -p115707 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p115708 -aS'placement\tplacement\tNN\tI-NP\tO' -p115709 -aS'.\t.\t.\tO\tO' -p115710 -asS'9. Alphagan 1 gtt in left eye three times a day .' -p115711 -(lp115712 -S'9.\t9.\tCD\tB-NP\tO' -p115713 -aS'Alphagan\tAlphagan\tNNP\tI-NP\tO' -p115714 -aS'1\t1\tCD\tI-NP\tO' -p115715 -aS'gtt\tgtt\tNN\tI-NP\tO' -p115716 -aS'in\tin\tIN\tB-PP\tO' -p115717 -aS'left\tleft\tJJ\tB-NP\tO' -p115718 -aS'eye\teye\tNN\tI-NP\tO' -p115719 -aS'three\tthree\tCD\tB-NP\tO' -p115720 -aS'times\ttime\tNNS\tI-NP\tO' -p115721 -aS'a\ta\tDT\tB-NP\tO' -p115722 -aS'day\tday\tNN\tI-NP\tO' -p115723 -aS'.\t.\t.\tO\tO' -p115724 -asS'1) AORTIC STENOSIS .' -p115725 -(lp115726 -S'1)\t1)\tLS\tB-NP\tO' -p115727 -aS'AORTIC\tAORTIC\tNN\tI-NP\tO' -p115728 -aS'STENOSIS\tSTENOSIS\tNN\tI-NP\tO' -p115729 -aS'.\t.\t.\tO\tO' -p115730 -asS'2. The patient was instructed to contact Dr. Ralph at ( 428 ) 678-6930 , who is covering for her primary care physician , Dr. Erika Witt , to adjust her dosages based on the INR levels .' -p115731 -(lp115732 -S'2.\t2.\tLS\tB-LST\tO' -p115733 -aS'The\tThe\tDT\tB-NP\tO' -p115734 -aS'patient\tpatient\tNN\tI-NP\tO' -p115735 -aS'was\tbe\tVBD\tB-VP\tO' -p115736 -aS'instructed\tinstruct\tVBN\tI-VP\tO' -p115737 -aS'to\tto\tTO\tI-VP\tO' -p115738 -aS'contact\tcontact\tVB\tI-VP\tO' -p115739 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p115740 -aS'Ralph\tRalph\tNNP\tI-NP\tO' -p115741 -aS'at\tat\tIN\tB-PP\tO' -p115742 -aS'(\t(\t(\tO\tO' -p115743 -aS'428\t428\tCD\tB-NP\tO' -p115744 -aS')\t)\t)\tO\tO' -p115745 -aS'678-6930\t678-6930\tCD\tB-NP\tO' -p115746 -aS',\t,\t,\tO\tO' -p115747 -aS'who\twho\tWP\tB-NP\tO' -p115748 -aS'is\tbe\tVBZ\tB-VP\tO' -p115749 -aS'covering\tcover\tVBG\tI-VP\tO' -p115750 -aS'for\tfor\tIN\tB-PP\tO' -p115751 -aS'her\ther\tPRP$\tB-NP\tO' -p115752 -aS'primary\tprimary\tJJ\tI-NP\tO' -p115753 -aS'care\tcare\tNN\tI-NP\tO' -p115754 -aS'physician\tphysician\tNN\tI-NP\tO' -p115755 -aS',\t,\t,\tO\tO' -p115756 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p115757 -aS'Erika\tErika\tNNP\tI-NP\tO' -p115758 -aS'Witt\tWitt\tNNP\tI-NP\tO' -p115759 -aS',\t,\t,\tO\tO' -p115760 -aS'to\tto\tTO\tB-VP\tO' -p115761 -aS'adjust\tadjust\tVB\tI-VP\tO' -p115762 -aS'her\ther\tPRP$\tB-NP\tO' -p115763 -aS'dosages\tdosage\tNNS\tI-NP\tO' -p115764 -aS'based\tbase\tVBN\tB-PP\tO' -p115765 -aS'on\ton\tIN\tB-PP\tO' -p115766 -aS'the\tthe\tDT\tB-NP\tO' -p115767 -aS'INR\tINR\tNN\tI-NP\tB-protein' -p115768 -aS'levels\tlevel\tNNS\tI-NP\tO' -p115769 -aS'.\t.\t.\tO\tO' -p115770 -asS'2+ pitting edema bilateral LE .' -p115771 -(lp115772 -S'2+\t2+\tJJ\tB-NP\tO' -p115773 -aS'pitting\tpitting\tNN\tI-NP\tO' -p115774 -aS'edema\tedema\tNN\tI-NP\tO' -p115775 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p115776 -aS'LE\tLE\tNN\tI-NP\tO' -p115777 -aS'.\t.\t.\tO\tO' -p115778 -asS'EKG during this episode was taken and showed sinus tachycardia ; however , serial enzymes were significant for CK peaking at 1075 , MB peaking at 114 and MB index peaking at 10.8 , consistent with myocardial damage .' -p115779 -(lp115780 -S'EKG\tEKG\tNN\tB-NP\tB-protein' -p115781 -aS'during\tduring\tIN\tB-PP\tO' -p115782 -aS'this\tthis\tDT\tB-NP\tO' -p115783 -aS'episode\tepisode\tNN\tI-NP\tO' -p115784 -aS'was\tbe\tVBD\tB-VP\tO' -p115785 -aS'taken\ttake\tVBN\tI-VP\tO' -p115786 -aS'and\tand\tCC\tO\tO' -p115787 -aS'showed\tshow\tVBD\tB-VP\tO' -p115788 -aS'sinus\tsinus\tNN\tB-NP\tO' -p115789 -aS'tachycardia\ttachycardia\tNN\tI-NP\tO' -p115790 -aS';\t;\t:\tO\tO' -p115791 -aS'however\thowever\tRB\tB-ADVP\tO' -p115792 -aS',\t,\t,\tO\tO' -p115793 -aS'serial\tserial\tJJ\tB-NP\tB-protein' -p115794 -aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' -p115795 -aS'were\tbe\tVBD\tB-VP\tO' -p115796 -aS'significant\tsignificant\tJJ\tB-ADJP\tO' -p115797 -aS'for\tfor\tIN\tB-PP\tO' -p115798 -aS'CK\tCK\tNN\tB-NP\tB-protein' -p115799 -aS'peaking\tpeak\tVBG\tB-VP\tO' -p115800 -aS'at\tat\tIN\tB-PP\tO' -p115801 -aS'1075\t1075\tCD\tB-NP\tO' -p115802 -aS',\t,\t,\tO\tO' -p115803 -aS'MB\tMB\tNN\tB-NP\tB-protein' -p115804 -aS'peaking\tpeak\tVBG\tB-VP\tO' -p115805 -aS'at\tat\tIN\tB-PP\tO' -p115806 -aS'114\t114\tCD\tB-NP\tO' -p115807 -aS'and\tand\tCC\tO\tO' -p115808 -aS'MB\tMB\tNN\tB-NP\tB-protein' -p115809 -aS'index\tindex\tNN\tI-NP\tI-protein' -p115810 -aS'peaking\tpeak\tVBG\tB-VP\tI-protein' -p115811 -aS'at\tat\tIN\tB-PP\tI-protein' -p115812 -aS'10.8\t10.8\tCD\tB-NP\tI-protein' -p115813 -aS',\t,\t,\tO\tO' -p115814 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p115815 -aS'with\twith\tIN\tB-PP\tO' -p115816 -aS'myocardial\tmyocardial\tJJ\tB-NP\tO' -p115817 -aS'damage\tdamage\tNN\tI-NP\tO' -p115818 -aS'.\t.\t.\tO\tO' -p115819 -asS'Patient was admitted and taken to the Operating Room the next day on 12/24/09 where patient underwent an abdominal aortic aneurysm repair .' -p115820 -(lp115821 -S'Patient\tPatient\tNN\tB-NP\tO' -p115822 -aS'was\tbe\tVBD\tB-VP\tO' -p115823 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p115824 -aS'and\tand\tCC\tO\tO' -p115825 -aS'taken\ttake\tVBN\tB-VP\tO' -p115826 -aS'to\tto\tTO\tB-PP\tO' -p115827 -aS'the\tthe\tDT\tB-NP\tO' -p115828 -aS'Operating\tOperating\tNNP\tI-NP\tO' -p115829 -aS'Room\tRoom\tNNP\tI-NP\tO' -p115830 -aS'the\tthe\tDT\tB-NP\tO' -p115831 -aS'next\tnext\tJJ\tI-NP\tO' -p115832 -aS'day\tday\tNN\tI-NP\tO' -p115833 -aS'on\ton\tIN\tB-PP\tO' -p115834 -aS'12/24/09\t12/24/09\tCD\tB-NP\tO' -p115835 -aS'where\twhere\tWRB\tB-ADVP\tO' -p115836 -aS'patient\tpatient\tNN\tB-NP\tO' -p115837 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p115838 -aS'an\tan\tDT\tB-NP\tO' -p115839 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p115840 -aS'aortic\taortic\tJJ\tI-NP\tO' -p115841 -aS'aneurysm\taneurysm\tNN\tI-NP\tO' -p115842 -aS'repair\trepair\tNN\tI-NP\tO' -p115843 -aS'.\t.\t.\tO\tO' -p115844 -asS'She is a former smoker , and drinks alcohol occasionally .' -p115845 -(lp115846 -S'She\tShe\tPRP\tB-NP\tO' -p115847 -aS'is\tbe\tVBZ\tB-VP\tO' -p115848 -aS'a\ta\tDT\tB-NP\tO' -p115849 -aS'former\tformer\tJJ\tI-NP\tO' -p115850 -aS'smoker\tsmoker\tNN\tI-NP\tO' -p115851 -aS',\t,\t,\tO\tO' -p115852 -aS'and\tand\tCC\tO\tO' -p115853 -aS'drinks\tdrink\tVBZ\tB-VP\tO' -p115854 -aS'alcohol\talcohol\tNN\tB-NP\tO' -p115855 -aS'occasionally\toccasionally\tRB\tB-ADVP\tO' -p115856 -aS'.\t.\t.\tO\tO' -p115857 -asS'Several subacute or chronic rib fractures are identified on the right .' -p115858 -(lp115859 -S'Several\tSeveral\tJJ\tB-NP\tO' -p115860 -aS'subacute\tsubacute\tJJ\tI-NP\tO' -p115861 -aS'or\tor\tCC\tI-NP\tO' -p115862 -aS'chronic\tchronic\tJJ\tI-NP\tO' -p115863 -aS'rib\trib\tNN\tI-NP\tO' -p115864 -aS'fractures\tfracture\tNNS\tI-NP\tO' -p115865 -aS'are\tbe\tVBP\tB-VP\tO' -p115866 -aS'identified\tidentify\tVBN\tI-VP\tO' -p115867 -aS'on\ton\tIN\tB-PP\tO' -p115868 -aS'the\tthe\tDT\tB-NP\tO' -p115869 -aS'right\tright\tNN\tI-NP\tO' -p115870 -aS'.\t.\t.\tO\tO' -p115871 -asS'Since that time , Jadiara has always been in room air without requiring supplemental oxygen .' -p115872 -(lp115873 -S'Since\tSince\tIN\tB-PP\tO' -p115874 -aS'that\tthat\tDT\tB-NP\tO' -p115875 -aS'time\ttime\tNN\tI-NP\tO' -p115876 -aS',\t,\t,\tO\tO' -p115877 -aS'Jadiara\tJadiara\tNNP\tB-NP\tO' -p115878 -aS'has\thave\tVBZ\tB-VP\tO' -p115879 -aS'always\talways\tRB\tI-VP\tO' -p115880 -aS'been\tbe\tVBN\tI-VP\tO' -p115881 -aS'in\tin\tIN\tB-PP\tO' -p115882 -aS'room\troom\tNN\tB-NP\tO' -p115883 -aS'air\tair\tNN\tI-NP\tO' -p115884 -aS'without\twithout\tIN\tB-PP\tO' -p115885 -aS'requiring\trequire\tVBG\tB-VP\tO' -p115886 -aS'supplemental\tsupplemental\tJJ\tB-NP\tO' -p115887 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p115888 -aS'.\t.\t.\tO\tO' -p115889 -asS'Ciprofloxacin was added on 2014-12-01 for synergy when surveillance cultures were found to be growing again GNR .' -p115890 -(lp115891 -S'Ciprofloxacin\tCiprofloxacin\tNN\tB-NP\tO' -p115892 -aS'was\tbe\tVBD\tB-VP\tO' -p115893 -aS'added\tadd\tVBN\tI-VP\tO' -p115894 -aS'on\ton\tIN\tB-PP\tO' -p115895 -aS'2014-12-01\t2014-12-01\tCD\tB-NP\tO' -p115896 -aS'for\tfor\tIN\tB-PP\tO' -p115897 -aS'synergy\tsynergy\tNN\tB-NP\tO' -p115898 -aS'when\twhen\tWRB\tB-ADVP\tO' -p115899 -aS'surveillance\tsurveillance\tNN\tB-NP\tO' -p115900 -aS'cultures\tculture\tNNS\tI-NP\tO' -p115901 -aS'were\tbe\tVBD\tB-VP\tO' -p115902 -aS'found\tfind\tVBN\tI-VP\tO' -p115903 -aS'to\tto\tTO\tI-VP\tO' -p115904 -aS'be\tbe\tVB\tI-VP\tO' -p115905 -aS'growing\tgrow\tVBG\tI-VP\tO' -p115906 -aS'again\tagain\tRB\tB-ADVP\tO' -p115907 -aS'GNR\tGNR\tNNP\tB-NP\tO' -p115908 -aS'.\t.\t.\tO\tO' -p115909 -asS'Labs were consistent with anemia of chronic disease .' -p115910 -(lp115911 -S'Labs\tLab\tNNS\tB-NP\tB-protein' -p115912 -aS'were\tbe\tVBD\tB-VP\tO' -p115913 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p115914 -aS'with\twith\tIN\tB-PP\tO' -p115915 -aS'anemia\tanemia\tNN\tB-NP\tO' -p115916 -aS'of\tof\tIN\tB-PP\tO' -p115917 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p115918 -aS'disease\tdisease\tNN\tI-NP\tO' -p115919 -aS'.\t.\t.\tO\tO' -p115920 -asS'Pt will compelete a 2 week course of vancomycin at hemodialysis , which has been arranged by renal service .' -p115921 -(lp115922 -S'Pt\tPt\tNN\tB-NP\tO' -p115923 -aS'will\twill\tMD\tB-VP\tO' -p115924 -aS'compelete\tcompelete\tVB\tI-VP\tO' -p115925 -aS'a\ta\tDT\tB-NP\tO' -p115926 -aS'2\t2\tCD\tI-NP\tO' -p115927 -aS'week\tweek\tNN\tI-NP\tO' -p115928 -aS'course\tcourse\tNN\tI-NP\tO' -p115929 -aS'of\tof\tIN\tB-PP\tO' -p115930 -aS'vancomycin\tvancomycin\tNN\tB-NP\tO' -p115931 -aS'at\tat\tIN\tB-PP\tO' -p115932 -aS'hemodialysis\themodialysis\tNN\tB-NP\tO' -p115933 -aS',\t,\t,\tO\tO' -p115934 -aS'which\twhich\tWDT\tB-NP\tO' -p115935 -aS'has\thave\tVBZ\tB-VP\tO' -p115936 -aS'been\tbe\tVBN\tI-VP\tO' -p115937 -aS'arranged\tarrange\tVBN\tI-VP\tO' -p115938 -aS'by\tby\tIN\tB-PP\tO' -p115939 -aS'renal\trenal\tJJ\tB-NP\tO' -p115940 -aS'service\tservice\tNN\tI-NP\tO' -p115941 -aS'.\t.\t.\tO\tO' -p115942 -asS'The echocardiogram showed a 44% ejection fraction with anterior akinesis and septal hypokinesis .' -p115943 -(lp115944 -S'The\tThe\tDT\tB-NP\tO' -p115945 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p115946 -aS'showed\tshow\tVBD\tB-VP\tO' -p115947 -aS'a\ta\tDT\tB-NP\tO' -p115948 -aS'44%\t44%\tNN\tI-NP\tO' -p115949 -aS'ejection\tejection\tNN\tI-NP\tO' -p115950 -aS'fraction\tfraction\tNN\tI-NP\tO' -p115951 -aS'with\twith\tIN\tB-PP\tO' -p115952 -aS'anterior\tanterior\tJJ\tB-NP\tO' -p115953 -aS'akinesis\takinesis\tNN\tI-NP\tO' -p115954 -aS'and\tand\tCC\tO\tO' -p115955 -aS'septal\tseptal\tJJ\tB-NP\tO' -p115956 -aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' -p115957 -aS'.\t.\t.\tO\tO' -p115958 -asS'edema .' -p115959 -(lp115960 -S'edema\tedema\tFW\tB-NP\tO' -p115961 -aS'.\t.\t.\tO\tO' -p115962 -asS'On the following day , hospital day number 3 , the patient was doing well .' -p115963 -(lp115964 -S'On\tOn\tIN\tB-PP\tO' -p115965 -aS'the\tthe\tDT\tB-NP\tO' -p115966 -aS'following\tfollow\tVBG\tI-NP\tO' -p115967 -aS'day\tday\tNN\tI-NP\tO' -p115968 -aS',\t,\t,\tO\tO' -p115969 -aS'hospital\thospital\tNN\tB-NP\tO' -p115970 -aS'day\tday\tNN\tI-NP\tO' -p115971 -aS'number\tnumber\tNN\tI-NP\tO' -p115972 -aS'3\t3\tCD\tI-NP\tO' -p115973 -aS',\t,\t,\tO\tO' -p115974 -aS'the\tthe\tDT\tB-NP\tO' -p115975 -aS'patient\tpatient\tNN\tI-NP\tO' -p115976 -aS'was\tbe\tVBD\tB-VP\tO' -p115977 -aS'doing\tdo\tVBG\tI-VP\tO' -p115978 -aS'well\twell\tRB\tB-ADVP\tO' -p115979 -aS'.\t.\t.\tO\tO' -p115980 -asS'Pt 's labs were checked , he was seen by Neurology , and he received a spine MRI which was negative .' -p115981 -(lp115982 -S'Pt\tPt\tNN\tB-NP\tB-protein' -p115983 -aS''s\t'\tNNS\tI-NP\tI-protein' -p115984 -aS'labs\tlab\tNNS\tI-NP\tI-protein' -p115985 -aS'were\tbe\tVBD\tB-VP\tO' -p115986 -aS'checked\tcheck\tVBN\tI-VP\tO' -p115987 -aS',\t,\t,\tO\tO' -p115988 -aS'he\the\tPRP\tB-NP\tO' -p115989 -aS'was\tbe\tVBD\tB-VP\tO' -p115990 -aS'seen\tsee\tVBN\tI-VP\tO' -p115991 -aS'by\tby\tIN\tB-PP\tO' -p115992 -aS'Neurology\tNeurology\tNNP\tB-NP\tO' -p115993 -aS',\t,\t,\tO\tO' -p115994 -aS'and\tand\tCC\tO\tO' -p115995 -aS'he\the\tPRP\tB-NP\tO' -p115996 -aS'received\treceive\tVBD\tB-VP\tO' -p115997 -aS'a\ta\tDT\tB-NP\tO' -p115998 -aS'spine\tspine\tNN\tI-NP\tO' -p115999 -aS'MRI\tMRI\tNN\tI-NP\tO' -p116000 -aS'which\twhich\tWDT\tB-NP\tO' -p116001 -aS'was\tbe\tVBD\tB-VP\tO' -p116002 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p116003 -aS'.\t.\t.\tO\tO' -p116004 -asS'Patient lives on Sauxdo Lo with her husband and denies alcohol and denies drug abuse .' -p116005 -(lp116006 -S'Patient\tPatient\tNN\tB-NP\tO' -p116007 -aS'lives\tlife\tNNS\tI-NP\tO' -p116008 -aS'on\ton\tIN\tB-PP\tO' -p116009 -aS'Sauxdo\tSauxdo\tNNP\tB-NP\tO' -p116010 -aS'Lo\tLo\tNNP\tI-NP\tO' -p116011 -aS'with\twith\tIN\tB-PP\tO' -p116012 -aS'her\ther\tPRP$\tB-NP\tO' -p116013 -aS'husband\thusband\tNN\tI-NP\tO' -p116014 -aS'and\tand\tCC\tO\tO' -p116015 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p116016 -aS'alcohol\talcohol\tNN\tB-NP\tO' -p116017 -aS'and\tand\tCC\tO\tO' -p116018 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p116019 -aS'drug\tdrug\tNN\tB-NP\tO' -p116020 -aS'abuse\tabuse\tNN\tI-NP\tO' -p116021 -aS'.\t.\t.\tO\tO' -p116022 -asS'In 10/92 , she had a CT scan which showed fatty infiltration of her liver diffusely with a 1 cm cyst in the right lobe of the liver .' -p116023 -(lp116024 -S'In\tIn\tIN\tB-PP\tO' -p116025 -aS'10/92\t10/92\tCD\tB-NP\tO' -p116026 -aS',\t,\t,\tO\tO' -p116027 -aS'she\tshe\tPRP\tB-NP\tO' -p116028 -aS'had\thave\tVBD\tB-VP\tO' -p116029 -aS'a\ta\tDT\tB-NP\tO' -p116030 -aS'CT\tCT\tNN\tI-NP\tO' -p116031 -aS'scan\tscan\tNN\tI-NP\tO' -p116032 -aS'which\twhich\tWDT\tB-NP\tO' -p116033 -aS'showed\tshow\tVBD\tB-VP\tO' -p116034 -aS'fatty\tfatty\tJJ\tB-NP\tO' -p116035 -aS'infiltration\tinfiltration\tNN\tI-NP\tO' -p116036 -aS'of\tof\tIN\tB-PP\tO' -p116037 -aS'her\ther\tPRP$\tB-NP\tO' -p116038 -aS'liver\tliver\tNN\tI-NP\tO' -p116039 -aS'diffusely\tdiffusely\tRB\tB-ADVP\tO' -p116040 -aS'with\twith\tIN\tB-PP\tO' -p116041 -aS'a\ta\tDT\tB-NP\tO' -p116042 -aS'1\t1\tCD\tI-NP\tO' -p116043 -aS'cm\tcm\tNN\tI-NP\tO' -p116044 -aS'cyst\tcyst\tNN\tI-NP\tO' -p116045 -aS'in\tin\tIN\tB-PP\tO' -p116046 -aS'the\tthe\tDT\tB-NP\tO' -p116047 -aS'right\tright\tJJ\tI-NP\tO' -p116048 -aS'lobe\tlobe\tNN\tI-NP\tO' -p116049 -aS'of\tof\tIN\tB-PP\tO' -p116050 -aS'the\tthe\tDT\tB-NP\tO' -p116051 -aS'liver\tliver\tNN\tI-NP\tO' -p116052 -aS'.\t.\t.\tO\tO' -p116053 -asS'4) hypersensitivity reaction - on 11-24 pt was noted to have developing rash of abdomen and anterior thighs .' -p116054 -(lp116055 -S'4)\t4)\tLS\tB-NP\tO' -p116056 -aS'hypersensitivity\thypersensitivity\tNN\tI-NP\tO' -p116057 -aS'reaction\treaction\tNN\tI-NP\tO' -p116058 -aS'-\t-\tHYPH\tB-ADVP\tO' -p116059 -aS'on\ton\tIN\tB-PP\tO' -p116060 -aS'11-24\t11-24\tCD\tB-NP\tO' -p116061 -aS'pt\tpt\tNN\tI-NP\tO' -p116062 -aS'was\tbe\tVBD\tB-VP\tO' -p116063 -aS'noted\tnote\tVBN\tI-VP\tO' -p116064 -aS'to\tto\tTO\tI-VP\tO' -p116065 -aS'have\thave\tVB\tI-VP\tO' -p116066 -aS'developing\tdevelop\tVBG\tI-VP\tO' -p116067 -aS'rash\trash\tNN\tB-NP\tO' -p116068 -aS'of\tof\tIN\tB-PP\tO' -p116069 -aS'abdomen\tabdomen\tNN\tB-NP\tO' -p116070 -aS'and\tand\tCC\tO\tO' -p116071 -aS'anterior\tanterior\tJJ\tB-NP\tO' -p116072 -aS'thighs\tthigh\tNNS\tI-NP\tO' -p116073 -aS'.\t.\t.\tO\tO' -p116074 -asS'2. Norvasc 10 mg p.o. q. day .' -p116075 -(lp116076 -S'2.\t2.\tLS\tB-LST\tO' -p116077 -aS'Norvasc\tNorvasc\tNNP\tB-NP\tO' -p116078 -aS'10\t10\tCD\tI-NP\tO' -p116079 -aS'mg\tmg\tNN\tI-NP\tO' -p116080 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p116081 -aS'q.\tq.\tNN\tI-NP\tO' -p116082 -aS'day\tday\tNN\tI-NP\tO' -p116083 -aS'.\t.\t.\tO\tO' -p116084 -asS'Interestingly enough , she also has Enterobacter cloacae growing out of her sputum .' -p116085 -(lp116086 -S'Interestingly\tInterestingly\tRB\tB-ADVP\tO' -p116087 -aS'enough\tenough\tRB\tI-ADVP\tO' -p116088 -aS',\t,\t,\tO\tO' -p116089 -aS'she\tshe\tPRP\tB-NP\tO' -p116090 -aS'also\talso\tRB\tB-ADVP\tO' -p116091 -aS'has\thave\tVBZ\tB-VP\tO' -p116092 -aS'Enterobacter\tEnterobacter\tNNP\tB-NP\tO' -p116093 -aS'cloacae\tcloaca\tNNS\tI-NP\tO' -p116094 -aS'growing\tgrow\tVBG\tB-VP\tO' -p116095 -aS'out\tout\tIN\tB-PP\tO' -p116096 -aS'of\tof\tIN\tB-PP\tO' -p116097 -aS'her\ther\tPRP$\tB-NP\tO' -p116098 -aS'sputum\tsputum\tNN\tI-NP\tO' -p116099 -aS'.\t.\t.\tO\tO' -p116100 -asS'SSS ( s/p pacer Michelle Matthew Mccaulley ) prostate cancer -dx 10 years ago; received monthly shots which were discontinued recently .' -p116101 -(lp116102 -S'SSS\tSSS\tNN\tB-NP\tO' -p116103 -aS'(\t(\t(\tO\tO' -p116104 -aS's/p\ts/p\tNN\tB-NP\tO' -p116105 -aS'pacer\tpacer\tNN\tI-NP\tO' -p116106 -aS'Michelle\tMichelle\tNNP\tI-NP\tO' -p116107 -aS'Matthew\tMatthew\tNNP\tI-NP\tO' -p116108 -aS'Mccaulley\tMccaulley\tNNP\tI-NP\tO' -p116109 -aS')\t)\t)\tO\tO' -p116110 -aS'prostate\tprostate\tNN\tB-NP\tO' -p116111 -aS'cancer\tcancer\tNN\tI-NP\tO' -p116112 -aS'-dx\t-dx\tNN\tI-NP\tO' -p116113 -aS'10\t10\tCD\tB-NP\tO' -p116114 -aS'years\tyear\tNNS\tI-NP\tO' -p116115 -aS'ago;\tago;\tIN\tB-ADVP\tO' -p116116 -aS'received\treceive\tVBN\tB-NP\tO' -p116117 -aS'monthly\tmonthly\tJJ\tI-NP\tO' -p116118 -aS'shots\tshot\tNNS\tI-NP\tO' -p116119 -aS'which\twhich\tWDT\tB-NP\tO' -p116120 -aS'were\tbe\tVBD\tB-VP\tO' -p116121 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p116122 -aS'recently\trecently\tRB\tB-ADVP\tO' -p116123 -aS'.\t.\t.\tO\tO' -p116124 -asS'Underwent treatment with Interferon 10 years ago .' -p116125 -(lp116126 -S'Underwent\tUnderwent\tJJ\tB-NP\tO' -p116127 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p116128 -aS'with\twith\tIN\tB-PP\tO' -p116129 -aS'Interferon\tInterferon\tNN\tB-NP\tB-protein' -p116130 -aS'10\t10\tCD\tB-NP\tI-protein' -p116131 -aS'years\tyear\tNNS\tI-NP\tI-protein' -p116132 -aS'ago\tago\tRB\tB-ADVP\tO' -p116133 -aS'.\t.\t.\tO\tO' -p116134 -asS'The patient has a history of bronchiectasis from a childhood pneumonia .' -p116135 -(lp116136 -S'The\tThe\tDT\tB-NP\tO' -p116137 -aS'patient\tpatient\tNN\tI-NP\tO' -p116138 -aS'has\thave\tVBZ\tB-VP\tO' -p116139 -aS'a\ta\tDT\tB-NP\tO' -p116140 -aS'history\thistory\tNN\tI-NP\tO' -p116141 -aS'of\tof\tIN\tB-PP\tO' -p116142 -aS'bronchiectasis\tbronchiectasis\tNN\tB-NP\tO' -p116143 -aS'from\tfrom\tIN\tB-PP\tO' -p116144 -aS'a\ta\tDT\tB-NP\tO' -p116145 -aS'childhood\tchildhood\tNN\tI-NP\tO' -p116146 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p116147 -aS'.\t.\t.\tO\tO' -p116148 -asS'Antihypertensive medications that the patient could not identify .' -p116149 -(lp116150 -S'Antihypertensive\tAntihypertensive\tJJ\tB-NP\tO' -p116151 -aS'medications\tmedication\tNNS\tI-NP\tO' -p116152 -aS'that\tthat\tIN\tB-SBAR\tO' -p116153 -aS'the\tthe\tDT\tB-NP\tO' -p116154 -aS'patient\tpatient\tNN\tI-NP\tO' -p116155 -aS'could\tcould\tMD\tB-VP\tO' -p116156 -aS'not\tnot\tRB\tI-VP\tO' -p116157 -aS'identify\tidentify\tVB\tI-VP\tO' -p116158 -aS'.\t.\t.\tO\tO' -p116159 -asS'The patient is to call 787-984-9608 if any fevers , chills , nausea and vomiting , abdominal pain , inability to take medications , inability to eat or drink .' -p116160 -(lp116161 -S'The\tThe\tDT\tB-NP\tO' -p116162 -aS'patient\tpatient\tNN\tI-NP\tO' -p116163 -aS'is\tbe\tVBZ\tB-VP\tO' -p116164 -aS'to\tto\tTO\tB-VP\tO' -p116165 -aS'call\tcall\tVB\tI-VP\tO' -p116166 -aS'787-984-9608\t787-984-9608\tCD\tB-NP\tO' -p116167 -aS'if\tif\tIN\tB-SBAR\tO' -p116168 -aS'any\tany\tDT\tB-NP\tO' -p116169 -aS'fevers\tfever\tNNS\tI-NP\tO' -p116170 -aS',\t,\t,\tI-NP\tO' -p116171 -aS'chills\tchill\tNNS\tI-NP\tO' -p116172 -aS',\t,\t,\tI-NP\tO' -p116173 -aS'nausea\tnausea\tNN\tI-NP\tO' -p116174 -aS'and\tand\tCC\tI-NP\tO' -p116175 -aS'vomiting\tvomiting\tNN\tI-NP\tO' -p116176 -aS',\t,\t,\tO\tO' -p116177 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p116178 -aS'pain\tpain\tNN\tI-NP\tO' -p116179 -aS',\t,\t,\tO\tO' -p116180 -aS'inability\tinability\tNN\tB-NP\tO' -p116181 -aS'to\tto\tTO\tB-VP\tO' -p116182 -aS'take\ttake\tVB\tI-VP\tO' -p116183 -aS'medications\tmedication\tNNS\tB-NP\tO' -p116184 -aS',\t,\t,\tO\tO' -p116185 -aS'inability\tinability\tNN\tB-NP\tO' -p116186 -aS'to\tto\tTO\tB-VP\tO' -p116187 -aS'eat\teat\tVB\tI-VP\tO' -p116188 -aS'or\tor\tCC\tI-VP\tO' -p116189 -aS'drink\tdrink\tVB\tI-VP\tO' -p116190 -aS'.\t.\t.\tO\tO' -p116191 -asS'The patient was transferred to the Gynecologic Oncology Service on 12/21/03 .' -p116192 -(lp116193 -S'The\tThe\tDT\tB-NP\tO' -p116194 -aS'patient\tpatient\tNN\tI-NP\tO' -p116195 -aS'was\tbe\tVBD\tB-VP\tO' -p116196 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p116197 -aS'to\tto\tTO\tB-PP\tO' -p116198 -aS'the\tthe\tDT\tB-NP\tO' -p116199 -aS'Gynecologic\tGynecologic\tNNP\tI-NP\tO' -p116200 -aS'Oncology\tOncology\tNNP\tI-NP\tO' -p116201 -aS'Service\tService\tNNP\tI-NP\tO' -p116202 -aS'on\ton\tIN\tB-PP\tO' -p116203 -aS'12/21/03\t12/21/03\tCD\tB-NP\tO' -p116204 -aS'.\t.\t.\tO\tO' -p116205 -asS'Extraocular movements intact with few beats of horizontal endgaze nystagmus .' -p116206 -(lp116207 -S'Extraocular\tExtraocular\tJJ\tB-NP\tO' -p116208 -aS'movements\tmovement\tNNS\tI-NP\tO' -p116209 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p116210 -aS'with\twith\tIN\tB-PP\tO' -p116211 -aS'few\tfew\tJJ\tB-NP\tO' -p116212 -aS'beats\tbeat\tNNS\tI-NP\tO' -p116213 -aS'of\tof\tIN\tB-PP\tO' -p116214 -aS'horizontal\thorizontal\tJJ\tB-NP\tO' -p116215 -aS'endgaze\tendgaze\tNN\tI-NP\tO' -p116216 -aS'nystagmus\tnystagmus\tNN\tI-NP\tO' -p116217 -aS'.\t.\t.\tO\tO' -p116218 -asS'The patient lives on Quelene with his wife .' -p116219 -(lp116220 -S'The\tThe\tDT\tB-NP\tO' -p116221 -aS'patient\tpatient\tNN\tI-NP\tO' -p116222 -aS'lives\tlive\tVBZ\tB-VP\tO' -p116223 -aS'on\ton\tIN\tB-PP\tO' -p116224 -aS'Quelene\tQuelene\tNN\tB-NP\tB-DNA' -p116225 -aS'with\twith\tIN\tB-PP\tO' -p116226 -aS'his\this\tPRP$\tB-NP\tO' -p116227 -aS'wife\twife\tNN\tI-NP\tO' -p116228 -aS'.\t.\t.\tO\tO' -p116229 -asS'Patient on the day of discharge was afebrile with a decreasing white count x48 hours .' -p116230 -(lp116231 -S'Patient\tPatient\tNN\tB-NP\tO' -p116232 -aS'on\ton\tIN\tB-PP\tO' -p116233 -aS'the\tthe\tDT\tB-NP\tO' -p116234 -aS'day\tday\tNN\tI-NP\tO' -p116235 -aS'of\tof\tIN\tB-PP\tO' -p116236 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p116237 -aS'was\tbe\tVBD\tB-VP\tO' -p116238 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p116239 -aS'with\twith\tIN\tB-PP\tO' -p116240 -aS'a\ta\tDT\tB-NP\tO' -p116241 -aS'decreasing\tdecrease\tVBG\tI-NP\tO' -p116242 -aS'white\twhite\tJJ\tI-NP\tO' -p116243 -aS'count\tcount\tNN\tI-NP\tO' -p116244 -aS'x48\tx48\tCD\tB-NP\tO' -p116245 -aS'hours\thour\tNNS\tI-NP\tO' -p116246 -aS'.\t.\t.\tO\tO' -p116247 -asS'A copy of this dc summary will be faxed to her PCP to ensure proper follow up .' -p116248 -(lp116249 -S'A\tA\tDT\tB-NP\tO' -p116250 -aS'copy\tcopy\tNN\tI-NP\tO' -p116251 -aS'of\tof\tIN\tB-PP\tO' -p116252 -aS'this\tthis\tDT\tB-NP\tO' -p116253 -aS'dc\tdc\tNN\tI-NP\tO' -p116254 -aS'summary\tsummary\tNN\tI-NP\tO' -p116255 -aS'will\twill\tMD\tB-VP\tO' -p116256 -aS'be\tbe\tVB\tI-VP\tO' -p116257 -aS'faxed\tfax\tVBN\tI-VP\tO' -p116258 -aS'to\tto\tTO\tB-PP\tO' -p116259 -aS'her\ther\tPRP$\tB-NP\tO' -p116260 -aS'PCP\tPCP\tNN\tI-NP\tO' -p116261 -aS'to\tto\tTO\tB-VP\tO' -p116262 -aS'ensure\tensure\tVB\tI-VP\tO' -p116263 -aS'proper\tproper\tJJ\tB-ADJP\tO' -p116264 -aS'follow\tfollow\tVB\tB-VP\tO' -p116265 -aS'up\tup\tIN\tB-PRT\tO' -p116266 -aS'.\t.\t.\tO\tO' -p116267 -asS'The electrocardiogram showed a short PR interval with no delta wave , clockwise rotation present .' -p116268 -(lp116269 -S'The\tThe\tDT\tB-NP\tO' -p116270 -aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' -p116271 -aS'showed\tshow\tVBD\tB-VP\tO' -p116272 -aS'a\ta\tDT\tB-NP\tO' -p116273 -aS'short\tshort\tJJ\tI-NP\tO' -p116274 -aS'PR\tPR\tNN\tI-NP\tB-protein' -p116275 -aS'interval\tinterval\tNN\tI-NP\tO' -p116276 -aS'with\twith\tIN\tB-PP\tO' -p116277 -aS'no\tno\tDT\tB-NP\tO' -p116278 -aS'delta\tdelta\tNN\tI-NP\tO' -p116279 -aS'wave\twave\tNN\tI-NP\tO' -p116280 -aS',\t,\t,\tO\tO' -p116281 -aS'clockwise\tclockwise\tJJ\tB-NP\tO' -p116282 -aS'rotation\trotation\tNN\tI-NP\tO' -p116283 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p116284 -aS'.\t.\t.\tO\tO' -p116285 -asS'Abd CT performed 09-01 showed multiple calcifications in the body and tail of the pancreas with a larger cystic lesion in the tail of the pancreas .' -p116286 -(lp116287 -S'Abd\tAbd\tNN\tB-NP\tO' -p116288 -aS'CT\tCT\tNN\tI-NP\tO' -p116289 -aS'performed\tperform\tVBD\tB-VP\tO' -p116290 -aS'09-01\t09-01\tCD\tB-NP\tO' -p116291 -aS'showed\tshow\tVBD\tB-VP\tO' -p116292 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p116293 -aS'calcifications\tcalcification\tNNS\tI-NP\tO' -p116294 -aS'in\tin\tIN\tB-PP\tO' -p116295 -aS'the\tthe\tDT\tB-NP\tO' -p116296 -aS'body\tbody\tNN\tI-NP\tO' -p116297 -aS'and\tand\tCC\tI-NP\tO' -p116298 -aS'tail\ttail\tNN\tI-NP\tO' -p116299 -aS'of\tof\tIN\tB-PP\tO' -p116300 -aS'the\tthe\tDT\tB-NP\tO' -p116301 -aS'pancreas\tpancreas\tNN\tI-NP\tO' -p116302 -aS'with\twith\tIN\tB-PP\tO' -p116303 -aS'a\ta\tDT\tB-NP\tO' -p116304 -aS'larger\tlarge\tJJR\tI-NP\tO' -p116305 -aS'cystic\tcystic\tJJ\tI-NP\tO' -p116306 -aS'lesion\tlesion\tNN\tI-NP\tO' -p116307 -aS'in\tin\tIN\tB-PP\tO' -p116308 -aS'the\tthe\tDT\tB-NP\tO' -p116309 -aS'tail\ttail\tNN\tI-NP\tO' -p116310 -aS'of\tof\tIN\tB-PP\tO' -p116311 -aS'the\tthe\tDT\tB-NP\tO' -p116312 -aS'pancreas\tpancreas\tNN\tI-NP\tO' -p116313 -aS'.\t.\t.\tO\tO' -p116314 -asS'He remained pressor dependent , as well as dependent upon mechanical ventilatory assistance .' -p116315 -(lp116316 -S'He\tHe\tPRP\tB-NP\tB-protein' -p116317 -aS'remained\tremain\tVBD\tB-VP\tI-protein' -p116318 -aS'pressor\tpressor\tNN\tB-NP\tI-protein' -p116319 -aS'dependent\tdependent\tJJ\tB-ADJP\tO' -p116320 -aS',\t,\t,\tO\tO' -p116321 -aS'as\tas\tRB\tB-CONJP\tO' -p116322 -aS'well\twell\tRB\tI-CONJP\tO' -p116323 -aS'as\tas\tIN\tI-CONJP\tO' -p116324 -aS'dependent\tdependent\tJJ\tB-ADVP\tO' -p116325 -aS'upon\tupon\tIN\tB-PP\tO' -p116326 -aS'mechanical\tmechanical\tJJ\tB-NP\tO' -p116327 -aS'ventilatory\tventilatory\tJJ\tI-NP\tO' -p116328 -aS'assistance\tassistance\tNN\tI-NP\tO' -p116329 -aS'.\t.\t.\tO\tO' -p116330 -asS'The patient had a smear there consistent with ALL .' -p116331 -(lp116332 -S'The\tThe\tDT\tB-NP\tO' -p116333 -aS'patient\tpatient\tNN\tI-NP\tO' -p116334 -aS'had\thave\tVBD\tB-VP\tO' -p116335 -aS'a\ta\tDT\tB-NP\tO' -p116336 -aS'smear\tsmear\tNN\tI-NP\tO' -p116337 -aS'there\tthere\tRB\tB-ADJP\tO' -p116338 -aS'consistent\tconsistent\tJJ\tI-ADJP\tO' -p116339 -aS'with\twith\tIN\tB-PP\tO' -p116340 -aS'ALL\tALL\tNN\tB-NP\tO' -p116341 -aS'.\t.\t.\tO\tO' -p116342 -asS'She did well overnight with minimal pain medication requirements .' -p116343 -(lp116344 -S'She\tShe\tPRP\tB-NP\tO' -p116345 -aS'did\tdo\tVBD\tB-VP\tO' -p116346 -aS'well\twell\tRB\tB-ADJP\tO' -p116347 -aS'overnight\tovernight\tJJ\tI-ADJP\tO' -p116348 -aS'with\twith\tIN\tB-PP\tO' -p116349 -aS'minimal\tminimal\tJJ\tB-NP\tO' -p116350 -aS'pain\tpain\tNN\tI-NP\tO' -p116351 -aS'medication\tmedication\tNN\tI-NP\tO' -p116352 -aS'requirements\trequirement\tNNS\tI-NP\tO' -p116353 -aS'.\t.\t.\tO\tO' -p116354 -asS'PT was 12.6 and PTT was 29 .' -p116355 -(lp116356 -S'PT\tPT\tNN\tB-NP\tO' -p116357 -aS'was\tbe\tVBD\tB-VP\tO' -p116358 -aS'12.6\t12.6\tCD\tB-NP\tO' -p116359 -aS'and\tand\tCC\tO\tO' -p116360 -aS'PTT\tPTT\tNN\tB-NP\tO' -p116361 -aS'was\tbe\tVBD\tB-VP\tO' -p116362 -aS'29\t29\tCD\tB-NP\tO' -p116363 -aS'.\t.\t.\tO\tO' -p116364 -asS'His HCT had dropped from 36.7 to 30.8 despite 2U PRBC and 3 U FFP .' -p116365 -(lp116366 -S'His\tHis\tPRP$\tB-NP\tO' -p116367 -aS'HCT\tHCT\tNN\tI-NP\tO' -p116368 -aS'had\thave\tVBD\tB-VP\tO' -p116369 -aS'dropped\tdrop\tVBN\tI-VP\tO' -p116370 -aS'from\tfrom\tIN\tB-PP\tO' -p116371 -aS'36.7\t36.7\tCD\tB-NP\tO' -p116372 -aS'to\tto\tTO\tB-PP\tO' -p116373 -aS'30.8\t30.8\tCD\tB-NP\tO' -p116374 -aS'despite\tdespite\tIN\tB-PP\tO' -p116375 -aS'2U\t2U\tNN\tB-NP\tO' -p116376 -aS'PRBC\tPRBC\tNN\tI-NP\tO' -p116377 -aS'and\tand\tCC\tO\tO' -p116378 -aS'3\t3\tCD\tB-NP\tO' -p116379 -aS'U\tU\tNN\tI-NP\tO' -p116380 -aS'FFP\tFFP\tNN\tI-NP\tO' -p116381 -aS'.\t.\t.\tO\tO' -p116382 -asS'Signed electronically by : DR. Patricia Noland on : SAT 2020-05-30 9:10 AM' -p116383 -(lp116384 -S'Signed\tSign\tVBN\tB-VP\tO' -p116385 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p116386 -aS'by\tby\tIN\tB-PP\tO' -p116387 -aS':\t:\t:\tO\tO' -p116388 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p116389 -aS'Patricia\tPatricia\tNNP\tI-NP\tO' -p116390 -aS'Noland\tNoland\tNNP\tI-NP\tO' -p116391 -aS'on\ton\tIN\tB-PP\tO' -p116392 -aS':\t:\t:\tO\tO' -p116393 -aS'SAT\tSAT\tNN\tB-NP\tO' -p116394 -aS'2020-05-30\t2020-05-30\tCD\tI-NP\tO' -p116395 -aS'9:10\t9:10\tCD\tI-NP\tO' -p116396 -aS'AM\tAM\tNN\tI-NP\tO' -p116397 -asS'She was noted to have bluish discoloration thought to perhaps be a bruise on her left lower quadrant .' -p116398 -(lp116399 -S'She\tShe\tPRP\tB-NP\tO' -p116400 -aS'was\tbe\tVBD\tB-VP\tO' -p116401 -aS'noted\tnote\tVBN\tI-VP\tO' -p116402 -aS'to\tto\tTO\tI-VP\tO' -p116403 -aS'have\thave\tVB\tI-VP\tO' -p116404 -aS'bluish\tbluish\tJJ\tB-NP\tO' -p116405 -aS'discoloration\tdiscoloration\tNN\tI-NP\tO' -p116406 -aS'thought\tthink\tVBN\tB-VP\tO' -p116407 -aS'to\tto\tTO\tI-VP\tO' -p116408 -aS'perhaps\tperhaps\tRB\tI-VP\tO' -p116409 -aS'be\tbe\tVB\tI-VP\tO' -p116410 -aS'a\ta\tDT\tB-NP\tO' -p116411 -aS'bruise\tbruise\tNN\tI-NP\tO' -p116412 -aS'on\ton\tIN\tB-PP\tO' -p116413 -aS'her\ther\tPRP\tB-NP\tO' -p116414 -aS'left\tleave\tVBD\tB-VP\tO' -p116415 -aS'lower\tlow\tJJR\tB-NP\tO' -p116416 -aS'quadrant\tquadrant\tNN\tI-NP\tO' -p116417 -aS'.\t.\t.\tO\tO' -p116418 -asS'He was seen and cleared by physical therapy .' -p116419 -(lp116420 -S'He\tHe\tPRP\tB-NP\tO' -p116421 -aS'was\tbe\tVBD\tB-VP\tO' -p116422 -aS'seen\tsee\tVBN\tI-VP\tO' -p116423 -aS'and\tand\tCC\tI-VP\tO' -p116424 -aS'cleared\tclear\tVBN\tI-VP\tO' -p116425 -aS'by\tby\tIN\tB-PP\tO' -p116426 -aS'physical\tphysical\tJJ\tB-NP\tO' -p116427 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p116428 -aS'.\t.\t.\tO\tO' -p116429 -asS'He was taken to an outside hospital and nasally intubated and then transferred to the Ph University Of Medical Center Emergency Room where he was orally intubated .' -p116430 -(lp116431 -S'He\tHe\tPRP\tB-NP\tO' -p116432 -aS'was\tbe\tVBD\tB-VP\tO' -p116433 -aS'taken\ttake\tVBN\tI-VP\tO' -p116434 -aS'to\tto\tTO\tB-PP\tO' -p116435 -aS'an\tan\tDT\tB-NP\tO' -p116436 -aS'outside\toutside\tJJ\tI-NP\tO' -p116437 -aS'hospital\thospital\tNN\tI-NP\tO' -p116438 -aS'and\tand\tCC\tO\tO' -p116439 -aS'nasally\tnasally\tRB\tB-VP\tO' -p116440 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p116441 -aS'and\tand\tCC\tO\tO' -p116442 -aS'then\tthen\tRB\tB-VP\tO' -p116443 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p116444 -aS'to\tto\tTO\tB-PP\tO' -p116445 -aS'the\tthe\tDT\tB-NP\tO' -p116446 -aS'Ph\tPh\tNNP\tI-NP\tO' -p116447 -aS'University\tUniversity\tNNP\tI-NP\tO' -p116448 -aS'Of\tOf\tNNP\tI-NP\tO' -p116449 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p116450 -aS'Center\tCenter\tNNP\tI-NP\tO' -p116451 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p116452 -aS'Room\tRoom\tNNP\tI-NP\tO' -p116453 -aS'where\twhere\tWRB\tB-ADVP\tO' -p116454 -aS'he\the\tPRP\tB-NP\tO' -p116455 -aS'was\tbe\tVBD\tB-VP\tO' -p116456 -aS'orally\torally\tRB\tI-VP\tO' -p116457 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p116458 -aS'.\t.\t.\tO\tO' -p116459 -asS'The patient was found to be in congestive heart failure and thought likely secondary to diastolic dysfunction secondary to hypertension .' -p116460 -(lp116461 -S'The\tThe\tDT\tB-NP\tO' -p116462 -aS'patient\tpatient\tNN\tI-NP\tO' -p116463 -aS'was\tbe\tVBD\tB-VP\tO' -p116464 -aS'found\tfind\tVBN\tI-VP\tO' -p116465 -aS'to\tto\tTO\tI-VP\tO' -p116466 -aS'be\tbe\tVB\tI-VP\tO' -p116467 -aS'in\tin\tIN\tB-PP\tO' -p116468 -aS'congestive\tcongestive\tJJ\tB-NP\tO' -p116469 -aS'heart\theart\tNN\tI-NP\tO' -p116470 -aS'failure\tfailure\tNN\tI-NP\tO' -p116471 -aS'and\tand\tCC\tO\tO' -p116472 -aS'thought\tthink\tVBD\tB-VP\tO' -p116473 -aS'likely\tlikely\tRB\tB-ADJP\tO' -p116474 -aS'secondary\tsecondary\tJJ\tI-ADJP\tO' -p116475 -aS'to\tto\tTO\tB-PP\tO' -p116476 -aS'diastolic\tdiastolic\tJJ\tB-NP\tO' -p116477 -aS'dysfunction\tdysfunction\tNN\tI-NP\tO' -p116478 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p116479 -aS'to\tto\tTO\tB-PP\tO' -p116480 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p116481 -aS'.\t.\t.\tO\tO' -p116482 -asS'Initially coumadin was increased , however given concern for infected line , general surgery was consulted who removed the line in the ICU .' -p116483 -(lp116484 -S'Initially\tInitially\tRB\tB-NP\tO' -p116485 -aS'coumadin\tcoumadin\tNN\tI-NP\tO' -p116486 -aS'was\tbe\tVBD\tB-VP\tO' -p116487 -aS'increased\tincrease\tVBN\tI-VP\tO' -p116488 -aS',\t,\t,\tO\tO' -p116489 -aS'however\thowever\tRB\tB-NP\tO' -p116490 -aS'given\tgive\tVBN\tI-NP\tO' -p116491 -aS'concern\tconcern\tNN\tI-NP\tO' -p116492 -aS'for\tfor\tIN\tB-PP\tO' -p116493 -aS'infected\tinfected\tJJ\tB-NP\tO' -p116494 -aS'line\tline\tNN\tI-NP\tO' -p116495 -aS',\t,\t,\tO\tO' -p116496 -aS'general\tgeneral\tJJ\tB-NP\tO' -p116497 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p116498 -aS'was\tbe\tVBD\tB-VP\tO' -p116499 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p116500 -aS'who\twho\tWP\tB-NP\tO' -p116501 -aS'removed\tremove\tVBD\tB-VP\tO' -p116502 -aS'the\tthe\tDT\tB-NP\tO' -p116503 -aS'line\tline\tNN\tI-NP\tO' -p116504 -aS'in\tin\tIN\tB-PP\tO' -p116505 -aS'the\tthe\tDT\tB-NP\tO' -p116506 -aS'ICU\tICU\tNN\tI-NP\tB-DNA' -p116507 -aS'.\t.\t.\tO\tO' -p116508 -asS'Chest clear to auscultation .' -p116509 -(lp116510 -S'Chest\tChest\tRBS\tB-ADJP\tO' -p116511 -aS'clear\tclear\tJJ\tI-ADJP\tO' -p116512 -aS'to\tto\tTO\tB-PP\tO' -p116513 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p116514 -aS'.\t.\t.\tO\tO' -p116515 -asS'Upon further review of CT and angiography results with Neuroradiology and Neurology service , it was decided that CT myelography was not indicated at this time .' -p116516 -(lp116517 -S'Upon\tUpon\tIN\tB-PP\tO' -p116518 -aS'further\tfar\tJJR\tB-NP\tO' -p116519 -aS'review\treview\tNN\tI-NP\tO' -p116520 -aS'of\tof\tIN\tB-PP\tO' -p116521 -aS'CT\tCT\tNN\tB-NP\tB-protein' -p116522 -aS'and\tand\tCC\tI-NP\tO' -p116523 -aS'angiography\tangiography\tNN\tI-NP\tO' -p116524 -aS'results\tresult\tNNS\tI-NP\tO' -p116525 -aS'with\twith\tIN\tB-PP\tO' -p116526 -aS'Neuroradiology\tNeuroradiology\tNNP\tB-NP\tO' -p116527 -aS'and\tand\tCC\tI-NP\tO' -p116528 -aS'Neurology\tNeurology\tNNP\tI-NP\tO' -p116529 -aS'service\tservice\tNN\tI-NP\tO' -p116530 -aS',\t,\t,\tO\tO' -p116531 -aS'it\tit\tPRP\tB-NP\tO' -p116532 -aS'was\tbe\tVBD\tB-VP\tO' -p116533 -aS'decided\tdecide\tVBN\tI-VP\tO' -p116534 -aS'that\tthat\tIN\tB-SBAR\tO' -p116535 -aS'CT\tCT\tNN\tB-NP\tO' -p116536 -aS'myelography\tmyelography\tNN\tI-NP\tO' -p116537 -aS'was\tbe\tVBD\tB-VP\tO' -p116538 -aS'not\tnot\tRB\tI-VP\tO' -p116539 -aS'indicated\tindicate\tVBN\tI-VP\tO' -p116540 -aS'at\tat\tIN\tB-PP\tO' -p116541 -aS'this\tthis\tDT\tB-NP\tO' -p116542 -aS'time\ttime\tNN\tI-NP\tO' -p116543 -aS'.\t.\t.\tO\tO' -p116544 -asS'She was admitted to Cambridge Hospital 2018-05-24 with ARF ( Cr 3.5 up from 0.9 ) and SOB .' -p116545 -(lp116546 -S'She\tShe\tPRP\tB-NP\tO' -p116547 -aS'was\tbe\tVBD\tB-VP\tO' -p116548 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p116549 -aS'to\tto\tTO\tB-PP\tO' -p116550 -aS'Cambridge\tCambridge\tNNP\tB-NP\tO' -p116551 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p116552 -aS'2018-05-24\t2018-05-24\tCD\tI-NP\tO' -p116553 -aS'with\twith\tIN\tB-PP\tO' -p116554 -aS'ARF\tARF\tNN\tB-NP\tB-protein' -p116555 -aS'(\t(\t(\tO\tO' -p116556 -aS'Cr\tCr\tNN\tB-NP\tO' -p116557 -aS'3.5\t3.5\tCD\tI-NP\tO' -p116558 -aS'up\tup\tRB\tB-ADVP\tO' -p116559 -aS'from\tfrom\tIN\tB-PP\tO' -p116560 -aS'0.9\t0.9\tCD\tB-NP\tO' -p116561 -aS')\t)\t)\tO\tO' -p116562 -aS'and\tand\tCC\tO\tO' -p116563 -aS'SOB\tSOB\tNN\tB-NP\tB-protein' -p116564 -aS'.\t.\t.\tO\tO' -p116565 -asS'The patient reports some nausea and epigastric pressure which is post-prandial .' -p116566 -(lp116567 -S'The\tThe\tDT\tB-NP\tO' -p116568 -aS'patient\tpatient\tNN\tI-NP\tO' -p116569 -aS'reports\treport\tVBZ\tB-VP\tO' -p116570 -aS'some\tsome\tDT\tB-NP\tO' -p116571 -aS'nausea\tnausea\tNN\tI-NP\tO' -p116572 -aS'and\tand\tCC\tO\tO' -p116573 -aS'epigastric\tepigastric\tJJ\tB-NP\tO' -p116574 -aS'pressure\tpressure\tNN\tI-NP\tO' -p116575 -aS'which\twhich\tWDT\tB-NP\tO' -p116576 -aS'is\tbe\tVBZ\tB-VP\tO' -p116577 -aS'post-prandial\tpost-prandial\tJJ\tB-ADJP\tO' -p116578 -aS'.\t.\t.\tO\tO' -p116579 -asS'EF 35-40% .' -p116580 -(lp116581 -S'EF\tEF\tNN\tB-NP\tO' -p116582 -aS'35-40%\t35-40%\tCD\tI-NP\tO' -p116583 -aS'.\t.\t.\tO\tO' -p116584 -asS'Liver function tests revealed an ALT of 31 , AST of 36 , alkaline phosphatase of 509 .' -p116585 -(lp116586 -S'Liver\tLiver\tNN\tB-NP\tO' -p116587 -aS'function\tfunction\tNN\tI-NP\tO' -p116588 -aS'tests\ttest\tNNS\tI-NP\tO' -p116589 -aS'revealed\treveal\tVBD\tB-VP\tO' -p116590 -aS'an\tan\tDT\tB-NP\tO' -p116591 -aS'ALT\tALT\tNN\tI-NP\tO' -p116592 -aS'of\tof\tIN\tB-PP\tO' -p116593 -aS'31\t31\tCD\tB-NP\tO' -p116594 -aS',\t,\t,\tO\tO' -p116595 -aS'AST\tAST\tNN\tB-NP\tO' -p116596 -aS'of\tof\tIN\tB-PP\tO' -p116597 -aS'36\t36\tCD\tB-NP\tO' -p116598 -aS',\t,\t,\tO\tO' -p116599 -aS'alkaline\talkaline\tJJ\tB-NP\tB-protein' -p116600 -aS'phosphatase\tphosphatase\tNN\tI-NP\tI-protein' -p116601 -aS'of\tof\tIN\tB-PP\tO' -p116602 -aS'509\t509\tCD\tB-NP\tO' -p116603 -aS'.\t.\t.\tO\tO' -p116604 -asS'Appointment setup for Tues. 05-13 at 10 am .' -p116605 -(lp116606 -S'Appointment\tAppointment\tNN\tB-NP\tO' -p116607 -aS'setup\tsetup\tNN\tI-NP\tO' -p116608 -aS'for\tfor\tIN\tB-PP\tO' -p116609 -aS'Tues.\tTues.\tNN\tB-NP\tO' -p116610 -aS'05-13\t05-13\tCD\tI-NP\tO' -p116611 -aS'at\tat\tIN\tB-PP\tO' -p116612 -aS'10\t10\tCD\tB-NP\tO' -p116613 -aS'am\tam\tNN\tI-NP\tO' -p116614 -aS'.\t.\t.\tO\tO' -p116615 -asS'7 ) Glucophage 500 mg p.o. q. day .' -p116616 -(lp116617 -S'7\t7\tCD\tB-NP\tO' -p116618 -aS')\t)\t)\tO\tO' -p116619 -aS'Glucophage\tGlucophage\tNN\tB-NP\tO' -p116620 -aS'500\t500\tCD\tI-NP\tO' -p116621 -aS'mg\tmg\tNN\tI-NP\tO' -p116622 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p116623 -aS'q.\tq.\tNN\tI-NP\tO' -p116624 -aS'day\tday\tNN\tI-NP\tO' -p116625 -aS'.\t.\t.\tO\tO' -p116626 -asS'On admission to the emergency room , the patient was somewhat argumentative and confused as well as uncooperative with procedures .' -p116627 -(lp116628 -S'On\tOn\tIN\tB-PP\tO' -p116629 -aS'admission\tadmission\tNN\tB-NP\tO' -p116630 -aS'to\tto\tTO\tB-PP\tO' -p116631 -aS'the\tthe\tDT\tB-NP\tO' -p116632 -aS'emergency\temergency\tNN\tI-NP\tO' -p116633 -aS'room\troom\tNN\tI-NP\tO' -p116634 -aS',\t,\t,\tO\tO' -p116635 -aS'the\tthe\tDT\tB-NP\tO' -p116636 -aS'patient\tpatient\tNN\tI-NP\tO' -p116637 -aS'was\tbe\tVBD\tB-VP\tO' -p116638 -aS'somewhat\tsomewhat\tRB\tB-ADJP\tO' -p116639 -aS'argumentative\targumentative\tJJ\tI-ADJP\tO' -p116640 -aS'and\tand\tCC\tO\tO' -p116641 -aS'confused\tconfuse\tVBD\tB-VP\tO' -p116642 -aS'as\tas\tRB\tB-CONJP\tO' -p116643 -aS'well\twell\tRB\tI-CONJP\tO' -p116644 -aS'as\tas\tIN\tI-CONJP\tO' -p116645 -aS'uncooperative\tuncooperative\tJJ\tB-ADJP\tO' -p116646 -aS'with\twith\tIN\tB-PP\tO' -p116647 -aS'procedures\tprocedure\tNNS\tB-NP\tO' -p116648 -aS'.\t.\t.\tO\tO' -p116649 -asS'Mr. Anders states that 2 weeks prior to his presentation he hurt his left knee .' -p116650 -(lp116651 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p116652 -aS'Anders\tAnders\tNNP\tI-NP\tO' -p116653 -aS'states\tstate\tVBZ\tB-VP\tO' -p116654 -aS'that\tthat\tIN\tB-SBAR\tO' -p116655 -aS'2\t2\tCD\tB-NP\tO' -p116656 -aS'weeks\tweek\tNNS\tI-NP\tO' -p116657 -aS'prior\tprior\tRB\tB-ADVP\tO' -p116658 -aS'to\tto\tTO\tB-PP\tO' -p116659 -aS'his\this\tPRP$\tB-NP\tO' -p116660 -aS'presentation\tpresentation\tNN\tI-NP\tO' -p116661 -aS'he\the\tPRP\tB-NP\tO' -p116662 -aS'hurt\thurt\tVBD\tB-VP\tO' -p116663 -aS'his\this\tPRP$\tB-NP\tO' -p116664 -aS'left\tleft\tJJ\tI-NP\tO' -p116665 -aS'knee\tknee\tNN\tI-NP\tO' -p116666 -aS'.\t.\t.\tO\tO' -p116667 -asS'Pupils are equal , round and reactive to light .' -p116668 -(lp116669 -S'Pupils\tPupil\tNNS\tB-NP\tO' -p116670 -aS'are\tbe\tVBP\tB-VP\tO' -p116671 -aS'equal\tequal\tJJ\tB-NP\tO' -p116672 -aS',\t,\t,\tI-NP\tO' -p116673 -aS'round\tround\tJJ\tI-NP\tO' -p116674 -aS'and\tand\tCC\tI-NP\tO' -p116675 -aS'reactive\treactive\tJJ\tI-NP\tO' -p116676 -aS'to\tto\tTO\tB-PP\tO' -p116677 -aS'light\tlight\tNN\tB-NP\tO' -p116678 -aS'.\t.\t.\tO\tO' -p116679 -asS'Microscopic anterior cervical diskectomy at C5-6 and fusion .' -p116680 -(lp116681 -S'Microscopic\tMicroscopic\tJJ\tB-NP\tO' -p116682 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p116683 -aS'cervical\tcervical\tJJ\tI-NP\tO' -p116684 -aS'diskectomy\tdiskectomy\tNN\tI-NP\tO' -p116685 -aS'at\tat\tIN\tB-PP\tO' -p116686 -aS'C5-6\tC5-6\tNN\tB-NP\tB-protein' -p116687 -aS'and\tand\tCC\tI-NP\tO' -p116688 -aS'fusion\tfusion\tNN\tI-NP\tO' -p116689 -aS'.\t.\t.\tO\tO' -p116690 -asS'specific gravity 125 , PH 6 .' -p116691 -(lp116692 -S'specific\tspecific\tJJ\tB-NP\tO' -p116693 -aS'gravity\tgravity\tNN\tI-NP\tO' -p116694 -aS'125\t125\tCD\tI-NP\tO' -p116695 -aS',\t,\t,\tO\tO' -p116696 -aS'PH\tPH\tNN\tB-NP\tB-protein' -p116697 -aS'6\t6\tCD\tI-NP\tI-protein' -p116698 -aS'.\t.\t.\tO\tO' -p116699 -asS'Temperature was 101.3 .' -p116700 -(lp116701 -S'Temperature\tTemperature\tNN\tB-NP\tO' -p116702 -aS'was\tbe\tVBD\tB-VP\tO' -p116703 -aS'101.3\t101.3\tCD\tB-NP\tO' -p116704 -aS'.\t.\t.\tO\tO' -p116705 -asS'She was normotensive and her hematocrit was stable at her baseline upon discharge .' -p116706 -(lp116707 -S'She\tShe\tPRP\tB-NP\tO' -p116708 -aS'was\tbe\tVBD\tB-VP\tO' -p116709 -aS'normotensive\tnormotensive\tJJ\tB-ADJP\tO' -p116710 -aS'and\tand\tCC\tO\tO' -p116711 -aS'her\ther\tPRP$\tB-NP\tO' -p116712 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p116713 -aS'was\tbe\tVBD\tB-VP\tO' -p116714 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p116715 -aS'at\tat\tIN\tB-PP\tO' -p116716 -aS'her\ther\tPRP$\tB-NP\tO' -p116717 -aS'baseline\tbaseline\tNN\tI-NP\tO' -p116718 -aS'upon\tupon\tIN\tB-PP\tO' -p116719 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p116720 -aS'.\t.\t.\tO\tO' -p116721 -asS'ET tube is in place .' -p116722 -(lp116723 -S'ET\tET\tNN\tB-NP\tO' -p116724 -aS'tube\ttube\tNN\tI-NP\tO' -p116725 -aS'is\tbe\tVBZ\tB-VP\tO' -p116726 -aS'in\tin\tIN\tB-PP\tO' -p116727 -aS'place\tplace\tNN\tB-NP\tO' -p116728 -aS'.\t.\t.\tO\tO' -p116729 -asS'The patient is admitted for preoperative and orthopedic evaluations .' -p116730 -(lp116731 -S'The\tThe\tDT\tB-NP\tO' -p116732 -aS'patient\tpatient\tNN\tI-NP\tO' -p116733 -aS'is\tbe\tVBZ\tB-VP\tO' -p116734 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p116735 -aS'for\tfor\tIN\tB-PP\tO' -p116736 -aS'preoperative\tpreoperative\tJJ\tB-NP\tO' -p116737 -aS'and\tand\tCC\tI-NP\tO' -p116738 -aS'orthopedic\torthopedic\tJJ\tI-NP\tO' -p116739 -aS'evaluations\tevaluation\tNNS\tI-NP\tO' -p116740 -aS'.\t.\t.\tO\tO' -p116741 -asS'After his blood pressure had stabilized , the patient was transferred to the Neurology Ward .' -p116742 -(lp116743 -S'After\tAfter\tIN\tB-PP\tO' -p116744 -aS'his\this\tPRP$\tB-NP\tO' -p116745 -aS'blood\tblood\tNN\tI-NP\tO' -p116746 -aS'pressure\tpressure\tNN\tI-NP\tO' -p116747 -aS'had\thave\tVBD\tB-VP\tO' -p116748 -aS'stabilized\tstabilize\tVBN\tI-VP\tO' -p116749 -aS',\t,\t,\tO\tO' -p116750 -aS'the\tthe\tDT\tB-NP\tO' -p116751 -aS'patient\tpatient\tNN\tI-NP\tO' -p116752 -aS'was\tbe\tVBD\tB-VP\tO' -p116753 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p116754 -aS'to\tto\tTO\tB-PP\tO' -p116755 -aS'the\tthe\tDT\tB-NP\tO' -p116756 -aS'Neurology\tNeurology\tNNP\tI-NP\tO' -p116757 -aS'Ward\tWard\tNNP\tI-NP\tO' -p116758 -aS'.\t.\t.\tO\tO' -p116759 -asS'Right groin status post catheterization showed no hematoma or bruit .' -p116760 -(lp116761 -S'Right\tRight\tNN\tB-NP\tO' -p116762 -aS'groin\tgroin\tNN\tI-NP\tO' -p116763 -aS'status\tstatus\tNN\tI-NP\tO' -p116764 -aS'post\tpost\tNN\tI-NP\tO' -p116765 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p116766 -aS'showed\tshow\tVBD\tB-VP\tO' -p116767 -aS'no\tno\tDT\tB-NP\tO' -p116768 -aS'hematoma\thematoma\tNN\tI-NP\tO' -p116769 -aS'or\tor\tCC\tI-NP\tO' -p116770 -aS'bruit\tbruit\tNN\tI-NP\tO' -p116771 -aS'.\t.\t.\tO\tO' -p116772 -asS'Abdomen was benign .' -p116773 -(lp116774 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p116775 -aS'was\tbe\tVBD\tB-VP\tO' -p116776 -aS'benign\tbenign\tJJ\tB-ADJP\tO' -p116777 -aS'.\t.\t.\tO\tO' -p116778 -asS'Lungs : CTA bilaterally .' -p116779 -(lp116780 -S'Lungs\tLung\tNNS\tB-NP\tO' -p116781 -aS':\t:\t:\tO\tO' -p116782 -aS'CTA\tCTA\tNN\tB-NP\tB-protein' -p116783 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p116784 -aS'.\t.\t.\tO\tO' -p116785 -asS'Follow medications on discharge instructions .' -p116786 -(lp116787 -S'Follow\tFollow\tJJ\tB-NP\tO' -p116788 -aS'medications\tmedication\tNNS\tI-NP\tO' -p116789 -aS'on\ton\tIN\tB-PP\tO' -p116790 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p116791 -aS'instructions\tinstruction\tNNS\tI-NP\tO' -p116792 -aS'.\t.\t.\tO\tO' -p116793 -asS'Baby Corine Stead is to be discharged home with parents with close Hematology VNA followup .' -p116794 -(lp116795 -S'Baby\tBaby\tNNP\tB-NP\tO' -p116796 -aS'Corine\tCorine\tNNP\tI-NP\tO' -p116797 -aS'Stead\tStead\tNNP\tI-NP\tO' -p116798 -aS'is\tbe\tVBZ\tB-VP\tO' -p116799 -aS'to\tto\tTO\tI-VP\tO' -p116800 -aS'be\tbe\tVB\tI-VP\tO' -p116801 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p116802 -aS'home\thome\tNN\tB-ADVP\tO' -p116803 -aS'with\twith\tIN\tB-PP\tO' -p116804 -aS'parents\tparent\tNNS\tB-NP\tO' -p116805 -aS'with\twith\tIN\tB-PP\tO' -p116806 -aS'close\tclose\tJJ\tB-NP\tO' -p116807 -aS'Hematology\tHematology\tNN\tI-NP\tO' -p116808 -aS'VNA\tVNA\tNN\tI-NP\tO' -p116809 -aS'followup\tfollowup\tNN\tI-NP\tO' -p116810 -aS'.\t.\t.\tO\tO' -p116811 -asS'The heart is markedly enlarged .' -p116812 -(lp116813 -S'The\tThe\tDT\tB-NP\tO' -p116814 -aS'heart\theart\tNN\tI-NP\tO' -p116815 -aS'is\tbe\tVBZ\tB-VP\tO' -p116816 -aS'markedly\tmarkedly\tRB\tI-VP\tO' -p116817 -aS'enlarged\tenlarge\tVBN\tI-VP\tO' -p116818 -aS'.\t.\t.\tO\tO' -p116819 -asS'Heart had regular rate and rhythm .' -p116820 -(lp116821 -S'Heart\tHeart\tNNP\tB-NP\tO' -p116822 -aS'had\thave\tVBD\tB-VP\tO' -p116823 -aS'regular\tregular\tJJ\tB-NP\tO' -p116824 -aS'rate\trate\tNN\tI-NP\tO' -p116825 -aS'and\tand\tCC\tI-NP\tO' -p116826 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p116827 -aS'.\t.\t.\tO\tO' -p116828 -asS'His tracheostomy was changed to a 6 cuffless Shiley on 2016-11-26 and sutures in place with a 3-0 silk .' -p116829 -(lp116830 -S'His\tHis\tPRP$\tB-NP\tO' -p116831 -aS'tracheostomy\ttracheostomy\tNN\tI-NP\tO' -p116832 -aS'was\tbe\tVBD\tB-VP\tO' -p116833 -aS'changed\tchange\tVBN\tI-VP\tO' -p116834 -aS'to\tto\tTO\tB-PP\tO' -p116835 -aS'a\ta\tDT\tB-NP\tO' -p116836 -aS'6\t6\tCD\tI-NP\tO' -p116837 -aS'cuffless\tcuffless\tJJ\tI-NP\tO' -p116838 -aS'Shiley\tShiley\tNNP\tI-NP\tO' -p116839 -aS'on\ton\tIN\tB-PP\tO' -p116840 -aS'2016-11-26\t2016-11-26\tCD\tB-NP\tO' -p116841 -aS'and\tand\tCC\tO\tO' -p116842 -aS'sutures\tsuture\tNNS\tB-NP\tO' -p116843 -aS'in\tin\tIN\tB-PP\tO' -p116844 -aS'place\tplace\tNN\tB-NP\tO' -p116845 -aS'with\twith\tIN\tB-PP\tO' -p116846 -aS'a\ta\tDT\tB-NP\tO' -p116847 -aS'3-0\t3-0\tCD\tI-NP\tO' -p116848 -aS'silk\tsilk\tNN\tI-NP\tO' -p116849 -aS'.\t.\t.\tO\tO' -p116850 -asS'At the time of transfer , she was NPO given her NG tube .' -p116851 -(lp116852 -S'At\tAt\tIN\tB-PP\tO' -p116853 -aS'the\tthe\tDT\tB-NP\tO' -p116854 -aS'time\ttime\tNN\tI-NP\tO' -p116855 -aS'of\tof\tIN\tB-PP\tO' -p116856 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p116857 -aS',\t,\t,\tO\tO' -p116858 -aS'she\tshe\tPRP\tB-NP\tO' -p116859 -aS'was\tbe\tVBD\tB-VP\tO' -p116860 -aS'NPO\tNPO\tNN\tB-NP\tB-protein' -p116861 -aS'given\tgive\tVBN\tB-PP\tO' -p116862 -aS'her\ther\tPRP$\tB-NP\tO' -p116863 -aS'NG\tNG\tNN\tI-NP\tO' -p116864 -aS'tube\ttube\tNN\tI-NP\tO' -p116865 -aS'.\t.\t.\tO\tO' -p116866 -asS'His admission weight was 3850 grams .' -p116867 -(lp116868 -S'His\tHis\tPRP$\tB-NP\tO' -p116869 -aS'admission\tadmission\tNN\tI-NP\tO' -p116870 -aS'weight\tweight\tNN\tI-NP\tO' -p116871 -aS'was\tbe\tVBD\tB-VP\tO' -p116872 -aS'3850\t3850\tCD\tB-NP\tO' -p116873 -aS'grams\tgram\tNNS\tI-NP\tO' -p116874 -aS'.\t.\t.\tO\tO' -p116875 -asS'There was no HDR .' -p116876 -(lp116877 -S'There\tThere\tEX\tB-NP\tO' -p116878 -aS'was\tbe\tVBD\tB-VP\tO' -p116879 -aS'no\tno\tDT\tB-NP\tO' -p116880 -aS'HDR\tHDR\tNN\tI-NP\tB-protein' -p116881 -aS'.\t.\t.\tO\tO' -p116882 -asS'3/6 crescendo decrescendo murmur at the right upper sternal border with radiation to the carotids .' -p116883 -(lp116884 -S'3/6\t3/6\tCD\tB-NP\tO' -p116885 -aS'crescendo\tcrescendo\tNN\tI-NP\tO' -p116886 -aS'decrescendo\tdecrescendo\tNN\tI-NP\tO' -p116887 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p116888 -aS'at\tat\tIN\tB-PP\tO' -p116889 -aS'the\tthe\tDT\tB-NP\tO' -p116890 -aS'right\tright\tJJ\tI-NP\tO' -p116891 -aS'upper\tupper\tJJ\tI-NP\tO' -p116892 -aS'sternal\tsternal\tJJ\tI-NP\tO' -p116893 -aS'border\tborder\tNN\tI-NP\tO' -p116894 -aS'with\twith\tIN\tB-PP\tO' -p116895 -aS'radiation\tradiation\tNN\tB-NP\tO' -p116896 -aS'to\tto\tTO\tB-PP\tO' -p116897 -aS'the\tthe\tDT\tB-NP\tO' -p116898 -aS'carotids\tcarotid\tNNS\tI-NP\tO' -p116899 -aS'.\t.\t.\tO\tO' -p116900 -asS'60 mg x 10 days ( already completed ) , 40 mg x 14 d ( already completed ) , 20 mg x 14 d ( now day 11-24 ) , 10 mg x 10 d , 5 mg x 10 d .' -p116901 -(lp116902 -S'60\t60\tCD\tB-NP\tO' -p116903 -aS'mg\tmg\tNN\tI-NP\tO' -p116904 -aS'x\tx\tSYM\tB-NP\tO' -p116905 -aS'10\t10\tCD\tB-NP\tO' -p116906 -aS'days\tday\tNNS\tI-NP\tO' -p116907 -aS'(\t(\t(\tO\tO' -p116908 -aS'already\talready\tRB\tB-VP\tO' -p116909 -aS'completed\tcomplete\tVBN\tI-VP\tO' -p116910 -aS')\t)\t)\tO\tO' -p116911 -aS',\t,\t,\tO\tO' -p116912 -aS'40\t40\tCD\tB-NP\tO' -p116913 -aS'mg\tmg\tNN\tI-NP\tO' -p116914 -aS'x\tx\tSYM\tB-NP\tO' -p116915 -aS'14\t14\tCD\tB-NP\tO' -p116916 -aS'd\td\tNN\tI-NP\tO' -p116917 -aS'(\t(\t(\tO\tO' -p116918 -aS'already\talready\tRB\tB-VP\tO' -p116919 -aS'completed\tcomplete\tVBN\tI-VP\tO' -p116920 -aS')\t)\t)\tO\tO' -p116921 -aS',\t,\t,\tO\tO' -p116922 -aS'20\t20\tCD\tB-NP\tO' -p116923 -aS'mg\tmg\tNN\tI-NP\tO' -p116924 -aS'x\tx\tSYM\tB-NP\tO' -p116925 -aS'14\t14\tCD\tB-NP\tO' -p116926 -aS'd\td\tNN\tI-NP\tO' -p116927 -aS'(\t(\t(\tO\tO' -p116928 -aS'now\tnow\tRB\tB-ADVP\tO' -p116929 -aS'day\tday\tNN\tB-NP\tO' -p116930 -aS'11-24\t11-24\tCD\tI-NP\tO' -p116931 -aS')\t)\t)\tO\tO' -p116932 -aS',\t,\t,\tO\tO' -p116933 -aS'10\t10\tCD\tB-NP\tO' -p116934 -aS'mg\tmg\tNN\tI-NP\tO' -p116935 -aS'x\tx\tSYM\tB-NP\tO' -p116936 -aS'10\t10\tCD\tB-NP\tO' -p116937 -aS'd\td\tNN\tI-NP\tO' -p116938 -aS',\t,\t,\tO\tO' -p116939 -aS'5\t5\tCD\tB-NP\tO' -p116940 -aS'mg\tmg\tNN\tI-NP\tO' -p116941 -aS'x\tx\tSYM\tB-NP\tO' -p116942 -aS'10\t10\tCD\tB-NP\tO' -p116943 -aS'd\td\tNN\tI-NP\tO' -p116944 -aS'.\t.\t.\tO\tO' -p116945 -asS'Hematocrit 44 , potassium 4.0 , BUN 23 , creatinine 1.2 , blood sugar 115 , Digoxin 1.4 .' -p116946 -(lp116947 -S'Hematocrit\tHematocrit\tNN\tB-NP\tB-protein' -p116948 -aS'44\t44\tCD\tI-NP\tI-protein' -p116949 -aS',\t,\t,\tO\tO' -p116950 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p116951 -aS'4.0\t4.0\tCD\tI-NP\tO' -p116952 -aS',\t,\t,\tO\tO' -p116953 -aS'BUN\tBUN\tNN\tB-NP\tB-DNA' -p116954 -aS'23\t23\tCD\tI-NP\tI-DNA' -p116955 -aS',\t,\t,\tO\tO' -p116956 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p116957 -aS'1.2\t1.2\tCD\tI-NP\tO' -p116958 -aS',\t,\t,\tO\tO' -p116959 -aS'blood\tblood\tNN\tB-NP\tO' -p116960 -aS'sugar\tsugar\tNN\tI-NP\tO' -p116961 -aS'115\t115\tCD\tI-NP\tO' -p116962 -aS',\t,\t,\tO\tO' -p116963 -aS'Digoxin\tDigoxin\tNN\tB-NP\tO' -p116964 -aS'1.4\t1.4\tCD\tI-NP\tO' -p116965 -aS'.\t.\t.\tO\tO' -p116966 -asS'An ECHO showed that she had preserved EF and no wall motion abnormalities .' -p116967 -(lp116968 -S'An\tAn\tDT\tB-NP\tO' -p116969 -aS'ECHO\tECHO\tNN\tI-NP\tB-protein' -p116970 -aS'showed\tshow\tVBD\tB-VP\tO' -p116971 -aS'that\tthat\tIN\tB-SBAR\tO' -p116972 -aS'she\tshe\tPRP\tB-NP\tO' -p116973 -aS'had\thave\tVBD\tB-VP\tO' -p116974 -aS'preserved\tpreserve\tVBN\tI-VP\tO' -p116975 -aS'EF\tEF\tNN\tB-NP\tO' -p116976 -aS'and\tand\tCC\tO\tO' -p116977 -aS'no\tno\tDT\tB-NP\tO' -p116978 -aS'wall\twall\tNN\tI-NP\tO' -p116979 -aS'motion\tmotion\tNN\tI-NP\tO' -p116980 -aS'abnormalities\tabnormality\tNNS\tI-NP\tO' -p116981 -aS'.\t.\t.\tO\tO' -p116982 -asS'He has a history of hypertension , diabetes , and high cholesterol .' -p116983 -(lp116984 -S'He\tHe\tPRP\tB-NP\tO' -p116985 -aS'has\thave\tVBZ\tB-VP\tO' -p116986 -aS'a\ta\tDT\tB-NP\tO' -p116987 -aS'history\thistory\tNN\tI-NP\tO' -p116988 -aS'of\tof\tIN\tB-PP\tO' -p116989 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p116990 -aS',\t,\t,\tO\tO' -p116991 -aS'diabetes\tdiabetes\tNN\tB-NP\tO' -p116992 -aS',\t,\t,\tO\tO' -p116993 -aS'and\tand\tCC\tO\tO' -p116994 -aS'high\thigh\tJJ\tB-NP\tO' -p116995 -aS'cholesterol\tcholesterol\tNN\tI-NP\tO' -p116996 -aS'.\t.\t.\tO\tO' -p116997 -asS'No issues .' -p116998 -(lp116999 -S'No\tNo\tDT\tB-NP\tO' -p117000 -aS'issues\tissue\tNNS\tI-NP\tO' -p117001 -aS'.\t.\t.\tO\tO' -p117002 -asS'Received hepatitis B vaccination on 05-16 .' -p117003 -(lp117004 -S'Received\tReceive\tVBN\tB-NP\tO' -p117005 -aS'hepatitis\thepatitis\tNN\tI-NP\tO' -p117006 -aS'B\tB\tNN\tI-NP\tO' -p117007 -aS'vaccination\tvaccination\tNN\tI-NP\tO' -p117008 -aS'on\ton\tIN\tB-PP\tO' -p117009 -aS'05-16\t05-16\tCD\tB-NP\tO' -p117010 -aS'.\t.\t.\tO\tO' -p117011 -asS"The patient 's postoperative course was uncomplicated and she was extubated on the first postoperative day ." -p117012 -(lp117013 -S'The\tThe\tDT\tB-NP\tO' -p117014 -aS'patient\tpatient\tNN\tI-NP\tO' -p117015 -aS"'s\t's\tPOS\tB-NP\tO" -p117016 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p117017 -aS'course\tcourse\tNN\tI-NP\tO' -p117018 -aS'was\tbe\tVBD\tB-VP\tO' -p117019 -aS'uncomplicated\tuncomplicated\tJJ\tB-ADJP\tO' -p117020 -aS'and\tand\tCC\tO\tO' -p117021 -aS'she\tshe\tPRP\tB-NP\tO' -p117022 -aS'was\tbe\tVBD\tB-VP\tO' -p117023 -aS'extubated\textubate\tVBN\tI-VP\tO' -p117024 -aS'on\ton\tIN\tB-PP\tO' -p117025 -aS'the\tthe\tDT\tB-NP\tO' -p117026 -aS'first\tfirst\tJJ\tI-NP\tO' -p117027 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p117028 -aS'day\tday\tNN\tI-NP\tO' -p117029 -aS'.\t.\t.\tO\tO' -p117030 -asS'Her post-operative course has been uncomplicated .' -p117031 -(lp117032 -S'Her\tHer\tPRP$\tB-NP\tO' -p117033 -aS'post-operative\tpost-operative\tJJ\tI-NP\tO' -p117034 -aS'course\tcourse\tNN\tI-NP\tO' -p117035 -aS'has\thave\tVBZ\tB-VP\tO' -p117036 -aS'been\tbe\tVBN\tI-VP\tO' -p117037 -aS'uncomplicated\tuncomplicate\tVBN\tI-VP\tO' -p117038 -aS'.\t.\t.\tO\tO' -p117039 -asS'The ideal blood sugar levels for Mr. Douglass in this postoperative period should be less than 140 .' -p117040 -(lp117041 -S'The\tThe\tDT\tB-NP\tO' -p117042 -aS'ideal\tideal\tJJ\tI-NP\tO' -p117043 -aS'blood\tblood\tNN\tI-NP\tO' -p117044 -aS'sugar\tsugar\tNN\tI-NP\tO' -p117045 -aS'levels\tlevel\tNNS\tI-NP\tO' -p117046 -aS'for\tfor\tIN\tB-PP\tO' -p117047 -aS'Mr.\tMr.\tNNP\tB-NP\tO' -p117048 -aS'Douglass\tDouglass\tNNP\tI-NP\tO' -p117049 -aS'in\tin\tIN\tB-PP\tO' -p117050 -aS'this\tthis\tDT\tB-NP\tO' -p117051 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p117052 -aS'period\tperiod\tNN\tI-NP\tO' -p117053 -aS'should\tshould\tMD\tB-VP\tO' -p117054 -aS'be\tbe\tVB\tI-VP\tO' -p117055 -aS'less\tless\tJJR\tB-ADJP\tO' -p117056 -aS'than\tthan\tIN\tB-PP\tO' -p117057 -aS'140\t140\tCD\tB-NP\tO' -p117058 -aS'.\t.\t.\tO\tO' -p117059 -asS'The systolic function was within normal limits .' -p117060 -(lp117061 -S'The\tThe\tDT\tB-NP\tO' -p117062 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p117063 -aS'function\tfunction\tNN\tI-NP\tO' -p117064 -aS'was\tbe\tVBD\tB-VP\tO' -p117065 -aS'within\twithin\tIN\tB-PP\tO' -p117066 -aS'normal\tnormal\tJJ\tB-NP\tO' -p117067 -aS'limits\tlimit\tNNS\tI-NP\tO' -p117068 -aS'.\t.\t.\tO\tO' -p117069 -asS'Dexamethasone suppression test negative with a cortisol level at 8 a.m. of 1.7 .' -p117070 -(lp117071 -S'Dexamethasone\tDexamethasone\tNN\tB-NP\tO' -p117072 -aS'suppression\tsuppression\tNN\tI-NP\tO' -p117073 -aS'test\ttest\tNN\tI-NP\tO' -p117074 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p117075 -aS'with\twith\tIN\tB-PP\tO' -p117076 -aS'a\ta\tDT\tB-NP\tO' -p117077 -aS'cortisol\tcortisol\tNN\tI-NP\tO' -p117078 -aS'level\tlevel\tNN\tI-NP\tO' -p117079 -aS'at\tat\tIN\tB-PP\tO' -p117080 -aS'8\t8\tCD\tB-NP\tO' -p117081 -aS'a.m.\ta.m.\tNN\tI-NP\tO' -p117082 -aS'of\tof\tIN\tB-PP\tO' -p117083 -aS'1.7\t1.7\tCD\tB-NP\tO' -p117084 -aS'.\t.\t.\tO\tO' -p117085 -asS'His underlying rhythm is atrial flutter ; it was unclear whether he had previously been cardioverted .' -p117086 -(lp117087 -S'His\tHis\tPRP$\tB-NP\tO' -p117088 -aS'underlying\tunderlying\tJJ\tI-NP\tO' -p117089 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p117090 -aS'is\tbe\tVBZ\tB-VP\tO' -p117091 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p117092 -aS'flutter\tflutter\tNN\tI-NP\tO' -p117093 -aS';\t;\t:\tO\tO' -p117094 -aS'it\tit\tPRP\tB-NP\tO' -p117095 -aS'was\tbe\tVBD\tB-VP\tO' -p117096 -aS'unclear\tunclear\tJJ\tB-ADJP\tO' -p117097 -aS'whether\twhether\tIN\tB-SBAR\tO' -p117098 -aS'he\the\tPRP\tB-NP\tO' -p117099 -aS'had\thave\tVBD\tB-VP\tO' -p117100 -aS'previously\tpreviously\tRB\tI-VP\tO' -p117101 -aS'been\tbe\tVBN\tI-VP\tO' -p117102 -aS'cardioverted\tcardioverte\tVBN\tI-VP\tO' -p117103 -aS'.\t.\t.\tO\tO' -p117104 -asS'He was transfused 4 units during that admission and discharged with a hematocrit of 34 on vitamin C and iron sulfate .' -p117105 -(lp117106 -S'He\tHe\tPRP\tB-NP\tO' -p117107 -aS'was\tbe\tVBD\tB-VP\tO' -p117108 -aS'transfused\ttransfuse\tVBN\tI-VP\tO' -p117109 -aS'4\t4\tCD\tB-NP\tO' -p117110 -aS'units\tunit\tNNS\tI-NP\tO' -p117111 -aS'during\tduring\tIN\tB-PP\tO' -p117112 -aS'that\tthat\tDT\tB-NP\tO' -p117113 -aS'admission\tadmission\tNN\tI-NP\tO' -p117114 -aS'and\tand\tCC\tO\tO' -p117115 -aS'discharged\tdischarge\tVBD\tB-VP\tO' -p117116 -aS'with\twith\tIN\tB-PP\tO' -p117117 -aS'a\ta\tDT\tB-NP\tO' -p117118 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p117119 -aS'of\tof\tIN\tB-PP\tO' -p117120 -aS'34\t34\tCD\tB-NP\tO' -p117121 -aS'on\ton\tIN\tB-PP\tO' -p117122 -aS'vitamin\tvitamin\tNN\tB-NP\tO' -p117123 -aS'C\tC\tNN\tI-NP\tO' -p117124 -aS'and\tand\tCC\tO\tO' -p117125 -aS'iron\tiron\tNN\tB-NP\tO' -p117126 -aS'sulfate\tsulfate\tNN\tI-NP\tO' -p117127 -aS'.\t.\t.\tO\tO' -p117128 -asS'She was oxygenating well on room air .' -p117129 -(lp117130 -S'She\tShe\tPRP\tB-NP\tO' -p117131 -aS'was\tbe\tVBD\tB-VP\tO' -p117132 -aS'oxygenating\toxygenate\tVBG\tI-VP\tO' -p117133 -aS'well\twell\tRB\tB-ADVP\tO' -p117134 -aS'on\ton\tIN\tB-PP\tO' -p117135 -aS'room\troom\tNN\tB-NP\tO' -p117136 -aS'air\tair\tNN\tI-NP\tO' -p117137 -aS'.\t.\t.\tO\tO' -p117138 -asS'Also of note , pulmonary edema was induced by dye and anxiety and treated with Lasix , Morphine , oxygen and nitroglycerin .' -p117139 -(lp117140 -S'Also\tAlso\tRB\tB-ADVP\tO' -p117141 -aS'of\tof\tIN\tB-PP\tO' -p117142 -aS'note\tnote\tNN\tB-NP\tO' -p117143 -aS',\t,\t,\tO\tO' -p117144 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p117145 -aS'edema\tedema\tNN\tI-NP\tO' -p117146 -aS'was\tbe\tVBD\tB-VP\tO' -p117147 -aS'induced\tinduce\tVBN\tI-VP\tO' -p117148 -aS'by\tby\tIN\tB-PP\tO' -p117149 -aS'dye\tdye\tNN\tB-NP\tO' -p117150 -aS'and\tand\tCC\tI-NP\tO' -p117151 -aS'anxiety\tanxiety\tNN\tI-NP\tO' -p117152 -aS'and\tand\tCC\tO\tO' -p117153 -aS'treated\ttreat\tVBN\tB-VP\tO' -p117154 -aS'with\twith\tIN\tB-PP\tO' -p117155 -aS'Lasix\tLasix\tNN\tB-NP\tO' -p117156 -aS',\t,\t,\tI-NP\tO' -p117157 -aS'Morphine\tMorphine\tNN\tI-NP\tO' -p117158 -aS',\t,\t,\tI-NP\tO' -p117159 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p117160 -aS'and\tand\tCC\tI-NP\tO' -p117161 -aS'nitroglycerin\tnitroglycerin\tNN\tI-NP\tO' -p117162 -aS'.\t.\t.\tO\tO' -p117163 -asS'Stable during his course on the surgical Beth Israel Deaconess Hospital-Needham .' -p117164 -(lp117165 -S'Stable\tStable\tJJ\tB-ADJP\tO' -p117166 -aS'during\tduring\tIN\tB-PP\tO' -p117167 -aS'his\this\tPRP$\tB-NP\tO' -p117168 -aS'course\tcourse\tNN\tI-NP\tO' -p117169 -aS'on\ton\tIN\tB-PP\tO' -p117170 -aS'the\tthe\tDT\tB-NP\tO' -p117171 -aS'surgical\tsurgical\tJJ\tI-NP\tO' -p117172 -aS'Beth\tBeth\tNNP\tI-NP\tO' -p117173 -aS'Israel\tIsrael\tNNP\tI-NP\tO' -p117174 -aS'Deaconess\tDeaconess\tNNP\tI-NP\tO' -p117175 -aS'Hospital-Needham\tHospital-Needham\tNNP\tI-NP\tO' -p117176 -aS'.\t.\t.\tO\tO' -p117177 -asS'Please call transplant office ( 789 ) 583 5023 if fevers , chills , nausea / vomiting , bleeding , decreased urine output , weight gain of 3 pounds in a day , abdominal pain or shortness of breath' -p117178 -(lp117179 -S'Please\tPlease\tVB\tB-VP\tO' -p117180 -aS'call\tcall\tVB\tI-VP\tO' -p117181 -aS'transplant\ttransplant\tNN\tB-NP\tB-protein' -p117182 -aS'office\toffice\tNN\tI-NP\tI-protein' -p117183 -aS'(\t(\t(\tO\tI-protein' -p117184 -aS'789\t789\tCD\tB-NP\tI-protein' -p117185 -aS')\t)\t)\tO\tI-protein' -p117186 -aS'583\t583\tCD\tB-NP\tI-protein' -p117187 -aS'5023\t5023\tCD\tI-NP\tI-protein' -p117188 -aS'if\tif\tIN\tB-SBAR\tI-protein' -p117189 -aS'fevers\tfever\tNNS\tB-NP\tI-protein' -p117190 -aS',\t,\t,\tO\tO' -p117191 -aS'chills\tchill\tNNS\tB-NP\tO' -p117192 -aS',\t,\t,\tO\tO' -p117193 -aS'nausea\tnausea\tNN\tB-NP\tO' -p117194 -aS'/\t/\tSYM\tI-NP\tO' -p117195 -aS'vomiting\tvomiting\tNN\tI-NP\tO' -p117196 -aS',\t,\t,\tO\tO' -p117197 -aS'bleeding\tbleeding\tNN\tB-NP\tO' -p117198 -aS',\t,\t,\tO\tO' -p117199 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p117200 -aS'urine\turine\tNN\tB-NP\tO' -p117201 -aS'output\toutput\tNN\tI-NP\tO' -p117202 -aS',\t,\t,\tO\tO' -p117203 -aS'weight\tweight\tNN\tB-NP\tO' -p117204 -aS'gain\tgain\tNN\tI-NP\tO' -p117205 -aS'of\tof\tIN\tB-PP\tO' -p117206 -aS'3\t3\tCD\tB-NP\tO' -p117207 -aS'pounds\tpound\tNNS\tI-NP\tO' -p117208 -aS'in\tin\tIN\tB-PP\tO' -p117209 -aS'a\ta\tDT\tB-NP\tO' -p117210 -aS'day\tday\tNN\tI-NP\tO' -p117211 -aS',\t,\t,\tO\tO' -p117212 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p117213 -aS'pain\tpain\tNN\tI-NP\tO' -p117214 -aS'or\tor\tCC\tI-NP\tO' -p117215 -aS'shortness\tshortness\tNN\tI-NP\tO' -p117216 -aS'of\tof\tIN\tB-PP\tO' -p117217 -aS'breath\tbreath\tNN\tB-NP\tO' -p117218 -asS'She denies tobacco and drug use and drinks ethanol socially .' -p117219 -(lp117220 -S'She\tShe\tPRP\tB-NP\tO' -p117221 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p117222 -aS'tobacco\ttobacco\tNN\tB-NP\tO' -p117223 -aS'and\tand\tCC\tI-NP\tO' -p117224 -aS'drug\tdrug\tNN\tI-NP\tO' -p117225 -aS'use\tuse\tNN\tI-NP\tO' -p117226 -aS'and\tand\tCC\tO\tO' -p117227 -aS'drinks\tdrink\tVBZ\tB-VP\tO' -p117228 -aS'ethanol\tethanol\tNN\tB-NP\tO' -p117229 -aS'socially\tsocially\tRB\tB-ADVP\tO' -p117230 -aS'.\t.\t.\tO\tO' -p117231 -asS'The patient presented for nephrectomy .' -p117232 -(lp117233 -S'The\tThe\tDT\tB-NP\tO' -p117234 -aS'patient\tpatient\tNN\tI-NP\tO' -p117235 -aS'presented\tpresent\tVBD\tB-VP\tO' -p117236 -aS'for\tfor\tIN\tB-PP\tO' -p117237 -aS'nephrectomy\tnephrectomy\tNN\tB-NP\tO' -p117238 -aS'.\t.\t.\tO\tO' -p117239 -asS'It is located at 2249 S. Lincoln Ave. in Nantucket Cottage Hospital the phone to the clinic is ( 451 ) 376-3200 .' -p117240 -(lp117241 -S'It\tIt\tPRP\tB-NP\tO' -p117242 -aS'is\tbe\tVBZ\tB-VP\tO' -p117243 -aS'located\tlocate\tVBN\tI-VP\tO' -p117244 -aS'at\tat\tIN\tB-PP\tO' -p117245 -aS'2249\t2249\tCD\tB-NP\tO' -p117246 -aS'S.\tS.\tNNP\tI-NP\tO' -p117247 -aS'Lincoln\tLincoln\tNNP\tI-NP\tO' -p117248 -aS'Ave.\tAve.\tNNP\tI-NP\tO' -p117249 -aS'in\tin\tIN\tB-PP\tO' -p117250 -aS'Nantucket\tNantucket\tNNP\tB-NP\tO' -p117251 -aS'Cottage\tCottage\tNNP\tI-NP\tO' -p117252 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p117253 -aS'the\tthe\tDT\tB-NP\tO' -p117254 -aS'phone\tphone\tNN\tI-NP\tO' -p117255 -aS'to\tto\tTO\tB-PP\tO' -p117256 -aS'the\tthe\tDT\tB-NP\tO' -p117257 -aS'clinic\tclinic\tNN\tI-NP\tO' -p117258 -aS'is\tbe\tVBZ\tB-VP\tO' -p117259 -aS'(\t(\t(\tO\tO' -p117260 -aS'451\t451\tCD\tB-NP\tO' -p117261 -aS')\t)\t)\tO\tO' -p117262 -aS'376-3200\t376-3200\tCD\tB-NP\tO' -p117263 -aS'.\t.\t.\tO\tO' -p117264 -asS'By postoperative day three she had return of normal bowel function and was able to tolerate a regular diet without any difficulty .' -p117265 -(lp117266 -S'By\tBy\tIN\tB-PP\tO' -p117267 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p117268 -aS'day\tday\tNN\tI-NP\tO' -p117269 -aS'three\tthree\tCD\tI-NP\tO' -p117270 -aS'she\tshe\tPRP\tB-NP\tO' -p117271 -aS'had\thave\tVBD\tB-VP\tO' -p117272 -aS'return\treturn\tNN\tB-NP\tO' -p117273 -aS'of\tof\tIN\tB-PP\tO' -p117274 -aS'normal\tnormal\tJJ\tB-NP\tO' -p117275 -aS'bowel\tbowel\tNN\tI-NP\tO' -p117276 -aS'function\tfunction\tNN\tI-NP\tO' -p117277 -aS'and\tand\tCC\tO\tO' -p117278 -aS'was\tbe\tVBD\tB-VP\tO' -p117279 -aS'able\table\tJJ\tB-ADJP\tO' -p117280 -aS'to\tto\tTO\tB-VP\tO' -p117281 -aS'tolerate\ttolerate\tVB\tI-VP\tO' -p117282 -aS'a\ta\tDT\tB-NP\tO' -p117283 -aS'regular\tregular\tJJ\tI-NP\tO' -p117284 -aS'diet\tdiet\tNN\tI-NP\tO' -p117285 -aS'without\twithout\tIN\tB-PP\tO' -p117286 -aS'any\tany\tDT\tB-NP\tO' -p117287 -aS'difficulty\tdifficulty\tNN\tI-NP\tO' -p117288 -aS'.\t.\t.\tO\tO' -p117289 -asS'His nitroglycerin patch did not help , and he only had slight relief with sublingual nitroglycerin times three .' -p117290 -(lp117291 -S'His\tHis\tPRP$\tB-NP\tO' -p117292 -aS'nitroglycerin\tnitroglycerin\tNN\tI-NP\tO' -p117293 -aS'patch\tpatch\tNN\tI-NP\tO' -p117294 -aS'did\tdo\tVBD\tB-VP\tO' -p117295 -aS'not\tnot\tRB\tI-VP\tO' -p117296 -aS'help\thelp\tVB\tI-VP\tO' -p117297 -aS',\t,\t,\tO\tO' -p117298 -aS'and\tand\tCC\tO\tO' -p117299 -aS'he\the\tPRP\tB-NP\tO' -p117300 -aS'only\tonly\tRB\tB-ADVP\tO' -p117301 -aS'had\thave\tVBD\tB-VP\tO' -p117302 -aS'slight\tslight\tJJ\tB-NP\tO' -p117303 -aS'relief\trelief\tNN\tI-NP\tO' -p117304 -aS'with\twith\tIN\tB-PP\tO' -p117305 -aS'sublingual\tsublingual\tJJ\tB-NP\tO' -p117306 -aS'nitroglycerin\tnitroglycerin\tNN\tI-NP\tO' -p117307 -aS'times\ttime\tNNS\tI-NP\tO' -p117308 -aS'three\tthree\tCD\tI-NP\tO' -p117309 -aS'.\t.\t.\tO\tO' -p117310 -asS'This was treated with wound care using Eucerin cream and also patient was treated with lidocaine jelly for pain control .' -p117311 -(lp117312 -S'This\tThis\tDT\tB-NP\tO' -p117313 -aS'was\tbe\tVBD\tB-VP\tO' -p117314 -aS'treated\ttreat\tVBN\tI-VP\tO' -p117315 -aS'with\twith\tIN\tB-PP\tO' -p117316 -aS'wound\twound\tNN\tB-NP\tO' -p117317 -aS'care\tcare\tNN\tI-NP\tO' -p117318 -aS'using\tuse\tVBG\tB-VP\tO' -p117319 -aS'Eucerin\tEucerin\tNN\tB-NP\tO' -p117320 -aS'cream\tcream\tNN\tI-NP\tO' -p117321 -aS'and\tand\tCC\tO\tO' -p117322 -aS'also\talso\tRB\tB-ADVP\tO' -p117323 -aS'patient\tpatient\tNN\tB-NP\tO' -p117324 -aS'was\tbe\tVBD\tB-VP\tO' -p117325 -aS'treated\ttreat\tVBN\tI-VP\tO' -p117326 -aS'with\twith\tIN\tB-PP\tO' -p117327 -aS'lidocaine\tlidocaine\tNN\tB-NP\tO' -p117328 -aS'jelly\tjelly\tRB\tB-ADVP\tO' -p117329 -aS'for\tfor\tIN\tB-PP\tO' -p117330 -aS'pain\tpain\tNN\tB-NP\tO' -p117331 -aS'control\tcontrol\tNN\tI-NP\tO' -p117332 -aS'.\t.\t.\tO\tO' -p117333 -asS'She required a 1:1 sitter .' -p117334 -(lp117335 -S'She\tShe\tPRP\tB-NP\tO' -p117336 -aS'required\trequire\tVBD\tB-VP\tO' -p117337 -aS'a\ta\tDT\tB-NP\tO' -p117338 -aS'1:1\t1:1\tCD\tI-NP\tO' -p117339 -aS'sitter\tsitter\tNN\tI-NP\tO' -p117340 -aS'.\t.\t.\tO\tO' -p117341 -asS'HEENT exam showed PERRLA , EOMI , oropharynx benign .' -p117342 -(lp117343 -S'HEENT\tHEENT\tNN\tB-NP\tO' -p117344 -aS'exam\texam\tNN\tI-NP\tO' -p117345 -aS'showed\tshow\tVBD\tB-VP\tO' -p117346 -aS'PERRLA\tPERRLA\tNN\tB-NP\tO' -p117347 -aS',\t,\t,\tO\tO' -p117348 -aS'EOMI\tEOMI\tNN\tB-NP\tB-protein' -p117349 -aS',\t,\t,\tO\tO' -p117350 -aS'oropharynx\toropharynx\tNN\tB-NP\tO' -p117351 -aS'benign\tbenign\tJJ\tB-ADJP\tO' -p117352 -aS'.\t.\t.\tO\tO' -p117353 -asS'MRI / MRA was performed with diffusion weighted images , showing subcortical white matter and basal ganglia infarcts , but preserved middle cerebral artery territory cortex .' -p117354 -(lp117355 -S'MRI\tMRI\tNN\tB-NP\tB-protein' -p117356 -aS'/\t/\tSYM\tI-NP\tO' -p117357 -aS'MRA\tMRA\tNN\tI-NP\tB-protein' -p117358 -aS'was\tbe\tVBD\tB-VP\tO' -p117359 -aS'performed\tperform\tVBN\tI-VP\tO' -p117360 -aS'with\twith\tIN\tB-PP\tO' -p117361 -aS'diffusion\tdiffusion\tNN\tB-NP\tO' -p117362 -aS'weighted\tweight\tVBD\tB-VP\tO' -p117363 -aS'images\timage\tNNS\tB-NP\tO' -p117364 -aS',\t,\t,\tO\tO' -p117365 -aS'showing\tshow\tVBG\tB-VP\tO' -p117366 -aS'subcortical\tsubcortical\tJJ\tB-NP\tO' -p117367 -aS'white\twhite\tJJ\tI-NP\tO' -p117368 -aS'matter\tmatter\tNN\tI-NP\tO' -p117369 -aS'and\tand\tCC\tO\tO' -p117370 -aS'basal\tbasal\tJJ\tB-NP\tO' -p117371 -aS'ganglia\tganglia\tNNS\tI-NP\tO' -p117372 -aS'infarcts\tinfarct\tNNS\tI-NP\tO' -p117373 -aS',\t,\t,\tO\tO' -p117374 -aS'but\tbut\tCC\tO\tO' -p117375 -aS'preserved\tpreserve\tVBD\tB-VP\tO' -p117376 -aS'middle\tmiddle\tJJ\tB-NP\tO' -p117377 -aS'cerebral\tcerebral\tJJ\tI-NP\tO' -p117378 -aS'artery\tartery\tNN\tI-NP\tO' -p117379 -aS'territory\tterritory\tNN\tI-NP\tO' -p117380 -aS'cortex\tcortex\tNN\tI-NP\tO' -p117381 -aS'.\t.\t.\tO\tO' -p117382 -asS'Anticoagulation was begun on the third postoperative day with Coumadin .' -p117383 -(lp117384 -S'Anticoagulation\tAnticoagulation\tNN\tB-NP\tO' -p117385 -aS'was\tbe\tVBD\tB-VP\tO' -p117386 -aS'begun\tbegin\tVBN\tI-VP\tO' -p117387 -aS'on\ton\tIN\tB-PP\tO' -p117388 -aS'the\tthe\tDT\tB-NP\tO' -p117389 -aS'third\tthird\tJJ\tI-NP\tO' -p117390 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p117391 -aS'day\tday\tNN\tI-NP\tO' -p117392 -aS'with\twith\tIN\tB-PP\tO' -p117393 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p117394 -aS'.\t.\t.\tO\tO' -p117395 -asS'There is no free fluid and no pelvic or inguinal lymphadenopathy .' -p117396 -(lp117397 -S'There\tThere\tEX\tB-NP\tO' -p117398 -aS'is\tbe\tVBZ\tB-VP\tO' -p117399 -aS'no\tno\tDT\tB-NP\tO' -p117400 -aS'free\tfree\tJJ\tI-NP\tO' -p117401 -aS'fluid\tfluid\tNN\tI-NP\tO' -p117402 -aS'and\tand\tCC\tO\tO' -p117403 -aS'no\tno\tDT\tB-NP\tO' -p117404 -aS'pelvic\tpelvic\tJJ\tI-NP\tO' -p117405 -aS'or\tor\tCC\tI-NP\tO' -p117406 -aS'inguinal\tinguinal\tJJ\tI-NP\tO' -p117407 -aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' -p117408 -aS'.\t.\t.\tO\tO' -p117409 -asS'Pulmonary : clear anteriorly .' -p117410 -(lp117411 -S'Pulmonary\tPulmonary\tJJ\tB-ADJP\tO' -p117412 -aS':\t:\t:\tO\tO' -p117413 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p117414 -aS'anteriorly\tanteriorly\tRB\tB-ADVP\tO' -p117415 -aS'.\t.\t.\tO\tO' -p117416 -asS'Once at Hahnemann General Hospital he received heparin and Integrilin .' -p117417 -(lp117418 -S'Once\tOnce\tRB\tO\tO' -p117419 -aS'at\tat\tIN\tB-PP\tO' -p117420 -aS'Hahnemann\tHahnemann\tNNP\tB-NP\tO' -p117421 -aS'General\tGeneral\tNNP\tI-NP\tO' -p117422 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p117423 -aS'he\the\tPRP\tB-NP\tO' -p117424 -aS'received\treceive\tVBD\tB-VP\tO' -p117425 -aS'heparin\theparin\tNN\tB-NP\tO' -p117426 -aS'and\tand\tCC\tI-NP\tO' -p117427 -aS'Integrilin\tIntegrilin\tNN\tI-NP\tB-protein' -p117428 -aS'.\t.\t.\tO\tO' -p117429 -asS"Although an initial DRE showed only clot , he later passed a large , bloody bowel movement , and his bp nadired to the low 90's but rested there only transiently and easily rebounded to the 130's-140's with fluid ; he then went to angiography for a tagged RBC scan where they found and embolized two vessels to the sigmoid colon ." -p117430 -(lp117431 -S'Although\tAlthough\tIN\tB-SBAR\tO' -p117432 -aS'an\tan\tDT\tB-NP\tO' -p117433 -aS'initial\tinitial\tJJ\tI-NP\tO' -p117434 -aS'DRE\tDRE\tNN\tI-NP\tO' -p117435 -aS'showed\tshow\tVBD\tB-VP\tO' -p117436 -aS'only\tonly\tRB\tB-NP\tO' -p117437 -aS'clot\tclot\tNN\tI-NP\tO' -p117438 -aS',\t,\t,\tO\tO' -p117439 -aS'he\the\tPRP\tB-NP\tO' -p117440 -aS'later\tlater\tRB\tB-ADVP\tO' -p117441 -aS'passed\tpass\tVBD\tB-VP\tO' -p117442 -aS'a\ta\tDT\tB-NP\tO' -p117443 -aS'large\tlarge\tJJ\tI-NP\tO' -p117444 -aS',\t,\t,\tI-NP\tO' -p117445 -aS'bloody\tbloody\tJJ\tI-NP\tO' -p117446 -aS'bowel\tbowel\tNN\tI-NP\tO' -p117447 -aS'movement\tmovement\tNN\tI-NP\tO' -p117448 -aS',\t,\t,\tO\tO' -p117449 -aS'and\tand\tCC\tO\tO' -p117450 -aS'his\this\tPRP$\tB-NP\tO' -p117451 -aS'bp\tbp\tNN\tI-NP\tO' -p117452 -aS'nadired\tnadire\tVBN\tB-VP\tO' -p117453 -aS'to\tto\tTO\tB-PP\tO' -p117454 -aS'the\tthe\tDT\tB-NP\tO' -p117455 -aS'low\tlow\tJJ\tI-NP\tO' -p117456 -aS"90's\t90'\tNNS\tI-NP\tO" -p117457 -aS'but\tbut\tCC\tO\tO' -p117458 -aS'rested\trest\tVBD\tB-VP\tO' -p117459 -aS'there\tthere\tEX\tB-NP\tO' -p117460 -aS'only\tonly\tRB\tB-ADVP\tO' -p117461 -aS'transiently\ttransiently\tRB\tI-ADVP\tO' -p117462 -aS'and\tand\tCC\tI-ADVP\tO' -p117463 -aS'easily\teasily\tRB\tB-VP\tO' -p117464 -aS'rebounded\trebound\tVBD\tI-VP\tO' -p117465 -aS'to\tto\tTO\tB-PP\tO' -p117466 -aS'the\tthe\tDT\tB-NP\tO' -p117467 -aS"130's-140's\t130's-140'\tNNS\tI-NP\tO" -p117468 -aS'with\twith\tIN\tB-PP\tO' -p117469 -aS'fluid\tfluid\tNN\tB-NP\tO' -p117470 -aS';\t;\t:\tO\tO' -p117471 -aS'he\the\tPRP\tB-NP\tO' -p117472 -aS'then\tthen\tRB\tB-ADVP\tO' -p117473 -aS'went\tgo\tVBD\tB-VP\tO' -p117474 -aS'to\tto\tTO\tB-PP\tO' -p117475 -aS'angiography\tangiography\tNN\tB-NP\tO' -p117476 -aS'for\tfor\tIN\tB-PP\tO' -p117477 -aS'a\ta\tDT\tB-NP\tO' -p117478 -aS'tagged\ttag\tVBN\tI-NP\tO' -p117479 -aS'RBC\tRBC\tNN\tI-NP\tO' -p117480 -aS'scan\tscan\tNN\tI-NP\tO' -p117481 -aS'where\twhere\tWRB\tB-ADVP\tO' -p117482 -aS'they\tthey\tPRP\tB-NP\tO' -p117483 -aS'found\tfind\tVBD\tB-VP\tO' -p117484 -aS'and\tand\tCC\tI-VP\tO' -p117485 -aS'embolized\tembolize\tVBD\tI-VP\tO' -p117486 -aS'two\ttwo\tCD\tB-NP\tO' -p117487 -aS'vessels\tvessel\tNNS\tI-NP\tO' -p117488 -aS'to\tto\tTO\tB-PP\tO' -p117489 -aS'the\tthe\tDT\tB-NP\tO' -p117490 -aS'sigmoid\tsigmoid\tJJ\tI-NP\tO' -p117491 -aS'colon\tcolon\tNN\tI-NP\tO' -p117492 -aS'.\t.\t.\tO\tO' -p117493 -asS'While in Oaksgekesser/ Memorial Hospital the patient was never able to get out of bed and walk independently .' -p117494 -(lp117495 -S'While\tWhile\tIN\tB-SBAR\tO' -p117496 -aS'in\tin\tIN\tB-PP\tO' -p117497 -aS'Oaksgekesser/\tOaksgekesser/\tNNP\tB-NP\tO' -p117498 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p117499 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p117500 -aS'the\tthe\tDT\tB-NP\tO' -p117501 -aS'patient\tpatient\tNN\tI-NP\tO' -p117502 -aS'was\tbe\tVBD\tB-VP\tO' -p117503 -aS'never\tnever\tRB\tB-ADVP\tO' -p117504 -aS'able\table\tJJ\tB-ADJP\tO' -p117505 -aS'to\tto\tTO\tB-VP\tO' -p117506 -aS'get\tget\tVB\tI-VP\tO' -p117507 -aS'out\tout\tIN\tB-PP\tO' -p117508 -aS'of\tof\tIN\tB-PP\tO' -p117509 -aS'bed\tbed\tNN\tB-NP\tO' -p117510 -aS'and\tand\tCC\tI-NP\tO' -p117511 -aS'walk\twalk\tNN\tI-NP\tO' -p117512 -aS'independently\tindependently\tRB\tB-ADVP\tO' -p117513 -aS'.\t.\t.\tO\tO' -p117514 -asS'Initial complete blood count with white blood cell count 14 , hemoglobin 21.6 , hematocrit 62.9 , 65 neutrophils , no bands , 28 lymphocytes .' -p117515 -(lp117516 -S'Initial\tInitial\tJJ\tB-NP\tO' -p117517 -aS'complete\tcomplete\tJJ\tI-NP\tO' -p117518 -aS'blood\tblood\tNN\tI-NP\tO' -p117519 -aS'count\tcount\tNN\tI-NP\tO' -p117520 -aS'with\twith\tIN\tB-PP\tO' -p117521 -aS'white\twhite\tJJ\tB-NP\tO' -p117522 -aS'blood\tblood\tNN\tI-NP\tO' -p117523 -aS'cell\tcell\tNN\tI-NP\tO' -p117524 -aS'count\tcount\tNN\tI-NP\tO' -p117525 -aS'14\t14\tCD\tB-NP\tO' -p117526 -aS',\t,\t,\tO\tO' -p117527 -aS'hemoglobin\themoglobin\tNN\tB-NP\tB-protein' -p117528 -aS'21.6\t21.6\tCD\tI-NP\tI-protein' -p117529 -aS',\t,\t,\tO\tO' -p117530 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p117531 -aS'62.9\t62.9\tCD\tI-NP\tI-protein' -p117532 -aS',\t,\t,\tO\tO' -p117533 -aS'65\t65\tCD\tB-NP\tO' -p117534 -aS'neutrophils\tneutrophil\tNNS\tI-NP\tB-cell_type' -p117535 -aS',\t,\t,\tO\tO' -p117536 -aS'no\tno\tDT\tB-NP\tO' -p117537 -aS'bands\tband\tNNS\tI-NP\tO' -p117538 -aS',\t,\t,\tO\tO' -p117539 -aS'28\t28\tCD\tB-NP\tO' -p117540 -aS'lymphocytes\tlymphocyte\tNNS\tI-NP\tO' -p117541 -aS'.\t.\t.\tO\tO' -p117542 -asS'His right lower extremity has ecchymosis related to a saphenectomy site .' -p117543 -(lp117544 -S'His\tHis\tPRP$\tB-NP\tO' -p117545 -aS'right\tright\tJJ\tI-NP\tO' -p117546 -aS'lower\tlow\tJJR\tI-NP\tO' -p117547 -aS'extremity\textremity\tNN\tI-NP\tO' -p117548 -aS'has\thave\tVBZ\tB-VP\tO' -p117549 -aS'ecchymosis\tecchymosis\tNN\tB-NP\tO' -p117550 -aS'related\trelated\tJJ\tB-ADJP\tO' -p117551 -aS'to\tto\tTO\tB-PP\tO' -p117552 -aS'a\ta\tDT\tB-NP\tO' -p117553 -aS'saphenectomy\tsaphenectomy\tNN\tI-NP\tB-DNA' -p117554 -aS'site\tsite\tNN\tI-NP\tI-DNA' -p117555 -aS'.\t.\t.\tO\tO' -p117556 -asS'Chief Complaint : progressing slowing of mentation and gait difficulties since a week ; evaluation for ICH' -p117557 -(lp117558 -S'Chief\tChief\tNNP\tB-NP\tO' -p117559 -aS'Complaint\tComplaint\tNNP\tI-NP\tO' -p117560 -aS':\t:\t:\tO\tO' -p117561 -aS'progressing\tprogress\tVBG\tB-VP\tO' -p117562 -aS'slowing\tslowing\tNN\tB-NP\tO' -p117563 -aS'of\tof\tIN\tB-PP\tO' -p117564 -aS'mentation\tmentation\tNN\tB-NP\tO' -p117565 -aS'and\tand\tCC\tO\tO' -p117566 -aS'gait\tgait\tVB\tB-VP\tO' -p117567 -aS'difficulties\tdifficulty\tNNS\tB-NP\tO' -p117568 -aS'since\tsince\tIN\tB-PP\tO' -p117569 -aS'a\ta\tDT\tB-NP\tO' -p117570 -aS'week\tweek\tNN\tI-NP\tO' -p117571 -aS';\t;\t:\tO\tO' -p117572 -aS'evaluation\tevaluation\tNN\tB-NP\tO' -p117573 -aS'for\tfor\tIN\tB-PP\tO' -p117574 -aS'ICH\tICH\tNN\tB-NP\tO' -p117575 -asS'7. Question of tendonitis .' -p117576 -(lp117577 -S'7.\t7.\tLS\tB-NP\tO' -p117578 -aS'Question\tQuestion\tNN\tI-NP\tO' -p117579 -aS'of\tof\tIN\tB-PP\tO' -p117580 -aS'tendonitis\ttendonitis\tNN\tB-NP\tO' -p117581 -aS'.\t.\t.\tO\tO' -p117582 -asS'KCl 20 mg p.o. q. day for one week .' -p117583 -(lp117584 -S'KCl\tKCl\tNN\tB-NP\tO' -p117585 -aS'20\t20\tCD\tI-NP\tO' -p117586 -aS'mg\tmg\tNN\tI-NP\tO' -p117587 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p117588 -aS'q.\tq.\tNN\tI-NP\tO' -p117589 -aS'day\tday\tNN\tI-NP\tO' -p117590 -aS'for\tfor\tIN\tB-PP\tO' -p117591 -aS'one\tone\tCD\tB-NP\tO' -p117592 -aS'week\tweek\tNN\tI-NP\tO' -p117593 -aS'.\t.\t.\tO\tO' -p117594 -asS'The patient is instructed not to drive .' -p117595 -(lp117596 -S'The\tThe\tDT\tB-NP\tO' -p117597 -aS'patient\tpatient\tNN\tI-NP\tO' -p117598 -aS'is\tbe\tVBZ\tB-VP\tO' -p117599 -aS'instructed\tinstruct\tVBN\tI-VP\tO' -p117600 -aS'not\tnot\tRB\tO\tO' -p117601 -aS'to\tto\tTO\tB-VP\tO' -p117602 -aS'drive\tdrive\tVB\tI-VP\tO' -p117603 -aS'.\t.\t.\tO\tO' -p117604 -asS'6. Camphor-Menthol 0.5-0.5 % Lotion Sig : One ( 1 ) Appl Topical TID ( 3 times a day ) as needed .' -p117605 -(lp117606 -S'6.\t6.\tCD\tB-NP\tO' -p117607 -aS'Camphor-Menthol\tCamphor-Menthol\tNN\tI-NP\tO' -p117608 -aS'0.5-0.5\t0.5-0.5\tCD\tB-NP\tO' -p117609 -aS'%\t%\tNN\tI-NP\tO' -p117610 -aS'Lotion\tLotion\tNNP\tI-NP\tO' -p117611 -aS'Sig\tSig\tNNP\tI-NP\tO' -p117612 -aS':\t:\t:\tO\tO' -p117613 -aS'One\tOne\tCD\tB-NP\tO' -p117614 -aS'(\t(\t(\tO\tO' -p117615 -aS'1\t1\tCD\tB-NP\tO' -p117616 -aS')\t)\t)\tO\tO' -p117617 -aS'Appl\tAppl\tNNP\tB-NP\tO' -p117618 -aS'Topical\tTopical\tJJ\tI-NP\tO' -p117619 -aS'TID\tTID\tNN\tI-NP\tO' -p117620 -aS'(\t(\t(\tO\tO' -p117621 -aS'3\t3\tCD\tB-NP\tO' -p117622 -aS'times\ttime\tNNS\tI-NP\tO' -p117623 -aS'a\ta\tDT\tB-NP\tO' -p117624 -aS'day\tday\tNN\tI-NP\tO' -p117625 -aS')\t)\t)\tO\tO' -p117626 -aS'as\tas\tIN\tB-SBAR\tO' -p117627 -aS'needed\tneed\tVBN\tB-VP\tO' -p117628 -aS'.\t.\t.\tO\tO' -p117629 -asS'There is opacification of the posterior nasal cavity and nasopharynx but an NG tube is present , and the patient is intubated .' -p117630 -(lp117631 -S'There\tThere\tEX\tB-NP\tO' -p117632 -aS'is\tbe\tVBZ\tB-VP\tO' -p117633 -aS'opacification\topacification\tNN\tB-NP\tO' -p117634 -aS'of\tof\tIN\tB-PP\tO' -p117635 -aS'the\tthe\tDT\tB-NP\tO' -p117636 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p117637 -aS'nasal\tnasal\tJJ\tI-NP\tO' -p117638 -aS'cavity\tcavity\tNN\tI-NP\tO' -p117639 -aS'and\tand\tCC\tI-NP\tO' -p117640 -aS'nasopharynx\tnasopharynx\tNN\tI-NP\tO' -p117641 -aS'but\tbut\tCC\tO\tO' -p117642 -aS'an\tan\tDT\tB-NP\tO' -p117643 -aS'NG\tNG\tNN\tI-NP\tO' -p117644 -aS'tube\ttube\tNN\tI-NP\tO' -p117645 -aS'is\tbe\tVBZ\tB-VP\tO' -p117646 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p117647 -aS',\t,\t,\tO\tO' -p117648 -aS'and\tand\tCC\tO\tO' -p117649 -aS'the\tthe\tDT\tB-NP\tO' -p117650 -aS'patient\tpatient\tNN\tI-NP\tO' -p117651 -aS'is\tbe\tVBZ\tB-VP\tO' -p117652 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p117653 -aS'.\t.\t.\tO\tO' -p117654 -asS'No lymphadenopathy is noted .' -p117655 -(lp117656 -S'No\tNo\tDT\tB-NP\tO' -p117657 -aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' -p117658 -aS'is\tbe\tVBZ\tB-VP\tO' -p117659 -aS'noted\tnote\tVBN\tI-VP\tO' -p117660 -aS'.\t.\t.\tO\tO' -p117661 -asS'She developed an ear ache , for which she saw her primary care physician , Evelyn was prescribed cortisone drops .' -p117662 -(lp117663 -S'She\tShe\tPRP\tB-NP\tO' -p117664 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p117665 -aS'an\tan\tDT\tB-NP\tO' -p117666 -aS'ear\tear\tJJ\tI-NP\tO' -p117667 -aS'ache\tache\tNN\tI-NP\tO' -p117668 -aS',\t,\t,\tO\tO' -p117669 -aS'for\tfor\tIN\tB-PP\tO' -p117670 -aS'which\twhich\tWDT\tB-NP\tO' -p117671 -aS'she\tshe\tPRP\tB-NP\tO' -p117672 -aS'saw\tsee\tVBD\tB-VP\tO' -p117673 -aS'her\ther\tPRP$\tB-NP\tO' -p117674 -aS'primary\tprimary\tJJ\tI-NP\tO' -p117675 -aS'care\tcare\tNN\tI-NP\tO' -p117676 -aS'physician\tphysician\tNN\tI-NP\tO' -p117677 -aS',\t,\t,\tO\tO' -p117678 -aS'Evelyn\tEvelyn\tNN\tB-NP\tO' -p117679 -aS'was\tbe\tVBD\tB-VP\tO' -p117680 -aS'prescribed\tprescribe\tVBN\tI-VP\tO' -p117681 -aS'cortisone\tcortisone\tNN\tB-NP\tO' -p117682 -aS'drops\tdrop\tNNS\tI-NP\tO' -p117683 -aS'.\t.\t.\tO\tO' -p117684 -asS'She had waxing and waning fevers .' -p117685 -(lp117686 -S'She\tShe\tPRP\tB-NP\tO' -p117687 -aS'had\thave\tVBD\tB-VP\tO' -p117688 -aS'waxing\twax\tVBG\tI-VP\tO' -p117689 -aS'and\tand\tCC\tI-VP\tO' -p117690 -aS'waning\twan\tVBG\tI-VP\tO' -p117691 -aS'fevers\tfever\tNNS\tB-NP\tO' -p117692 -aS'.\t.\t.\tO\tO' -p117693 -asS'A decision was made to proceed with surgical management for this finding .' -p117694 -(lp117695 -S'A\tA\tDT\tB-NP\tO' -p117696 -aS'decision\tdecision\tNN\tI-NP\tO' -p117697 -aS'was\tbe\tVBD\tB-VP\tO' -p117698 -aS'made\tmake\tVBN\tI-VP\tO' -p117699 -aS'to\tto\tTO\tB-VP\tO' -p117700 -aS'proceed\tproceed\tVB\tI-VP\tO' -p117701 -aS'with\twith\tIN\tB-PP\tO' -p117702 -aS'surgical\tsurgical\tJJ\tB-NP\tO' -p117703 -aS'management\tmanagement\tNN\tI-NP\tO' -p117704 -aS'for\tfor\tIN\tB-PP\tO' -p117705 -aS'this\tthis\tDT\tB-NP\tO' -p117706 -aS'finding\tfinding\tNN\tI-NP\tO' -p117707 -aS'.\t.\t.\tO\tO' -p117708 -asS'Genl : lying in bed , right hand moving rhythmically , NGT in place' -p117709 -(lp117710 -S'Genl\tGenl\tNN\tB-NP\tO' -p117711 -aS':\t:\t:\tO\tO' -p117712 -aS'lying\tlie\tVBG\tB-VP\tO' -p117713 -aS'in\tin\tIN\tB-PP\tO' -p117714 -aS'bed\tbed\tNN\tB-NP\tO' -p117715 -aS',\t,\t,\tO\tO' -p117716 -aS'right\tright\tJJ\tB-NP\tO' -p117717 -aS'hand\thand\tNN\tI-NP\tO' -p117718 -aS'moving\tmove\tVBG\tB-VP\tO' -p117719 -aS'rhythmically\trhythmically\tRB\tB-ADVP\tO' -p117720 -aS',\t,\t,\tO\tO' -p117721 -aS'NGT\tNGT\tNN\tB-NP\tB-protein' -p117722 -aS'in\tin\tIN\tB-PP\tO' -p117723 -aS'place\tplace\tNN\tB-NP\tO' -p117724 -asS'Disp :* 60 Capsule (s)* Refills :* 2 *' -p117725 -(lp117726 -S'Disp\tDisp\tNN\tB-NP\tO' -p117727 -aS':*\t:*\tSYM\tI-NP\tO' -p117728 -aS'60\t60\tCD\tI-NP\tO' -p117729 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p117730 -aS'(s)*\t(s)*\tSYM\tI-NP\tO' -p117731 -aS'Refills\tRefill\tNNPS\tI-NP\tO' -p117732 -aS':*\t:*\tSYM\tB-NP\tO' -p117733 -aS'2\t2\tCD\tB-NP\tO' -p117734 -aS'*\t*\tSYM\tB-NP\tO' -p117735 -asS'Patient was restarted on her beta blocker and .......- receptor blocker on hospital day two given that her creatinine had stabilized .' -p117736 -(lp117737 -S'Patient\tPatient\tNN\tB-NP\tO' -p117738 -aS'was\tbe\tVBD\tB-VP\tO' -p117739 -aS'restarted\trestart\tVBN\tI-VP\tO' -p117740 -aS'on\ton\tIN\tB-PP\tO' -p117741 -aS'her\ther\tPRP$\tB-NP\tO' -p117742 -aS'beta\tbeta\tNN\tI-NP\tO' -p117743 -aS'blocker\tblocker\tNN\tI-NP\tO' -p117744 -aS'and\tand\tCC\tI-NP\tO' -p117745 -aS'.......-\t.......-\tNN\tI-NP\tO' -p117746 -aS'receptor\treceptor\tNN\tI-NP\tO' -p117747 -aS'blocker\tblocker\tNN\tI-NP\tO' -p117748 -aS'on\ton\tIN\tB-PP\tO' -p117749 -aS'hospital\thospital\tNN\tB-NP\tO' -p117750 -aS'day\tday\tNN\tI-NP\tO' -p117751 -aS'two\ttwo\tCD\tB-NP\tO' -p117752 -aS'given\tgive\tVBN\tB-PP\tO' -p117753 -aS'that\tthat\tIN\tB-SBAR\tO' -p117754 -aS'her\ther\tPRP$\tB-NP\tO' -p117755 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p117756 -aS'had\thave\tVBD\tB-VP\tO' -p117757 -aS'stabilized\tstabilize\tVBN\tI-VP\tO' -p117758 -aS'.\t.\t.\tO\tO' -p117759 -asS'Started on levo / flagyl / ceftriaxone and lasix for sbp and questionable meningitis .' -p117760 -(lp117761 -S'Started\tStart\tVBN\tB-VP\tO' -p117762 -aS'on\ton\tIN\tB-PP\tO' -p117763 -aS'levo\tlevo\tNN\tB-NP\tO' -p117764 -aS'/\t/\tSYM\tI-NP\tO' -p117765 -aS'flagyl\tflagyl\tNN\tI-NP\tO' -p117766 -aS'/\t/\tSYM\tB-NP\tO' -p117767 -aS'ceftriaxone\tceftriaxone\tNN\tI-NP\tO' -p117768 -aS'and\tand\tCC\tI-NP\tO' -p117769 -aS'lasix\tlasix\tNN\tI-NP\tO' -p117770 -aS'for\tfor\tIN\tB-PP\tO' -p117771 -aS'sbp\tsbp\tNN\tB-NP\tO' -p117772 -aS'and\tand\tCC\tO\tO' -p117773 -aS'questionable\tquestionable\tJJ\tB-NP\tO' -p117774 -aS'meningitis\tmeningitis\tNN\tI-NP\tO' -p117775 -aS'.\t.\t.\tO\tO' -p117776 -asS'Right femur surgery approximately two years ago .' -p117777 -(lp117778 -S'Right\tRight\tRB\tB-NP\tO' -p117779 -aS'femur\tfemur\tNN\tI-NP\tO' -p117780 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p117781 -aS'approximately\tapproximately\tRB\tB-ADVP\tO' -p117782 -aS'two\ttwo\tCD\tB-NP\tO' -p117783 -aS'years\tyear\tNNS\tI-NP\tO' -p117784 -aS'ago\tago\tRB\tB-ADVP\tO' -p117785 -aS'.\t.\t.\tO\tO' -p117786 -asS'He was restarted on his home blood pressure regimen .' -p117787 -(lp117788 -S'He\tHe\tPRP\tB-NP\tO' -p117789 -aS'was\tbe\tVBD\tB-VP\tO' -p117790 -aS'restarted\trestart\tVBN\tI-VP\tO' -p117791 -aS'on\ton\tIN\tB-PP\tO' -p117792 -aS'his\this\tPRP$\tB-NP\tO' -p117793 -aS'home\thome\tNN\tI-NP\tO' -p117794 -aS'blood\tblood\tNN\tI-NP\tO' -p117795 -aS'pressure\tpressure\tNN\tI-NP\tO' -p117796 -aS'regimen\tregimen\tNN\tI-NP\tO' -p117797 -aS'.\t.\t.\tO\tO' -p117798 -asS'He was alert and oriented times three , moving all extremities .' -p117799 -(lp117800 -S'He\tHe\tPRP\tB-NP\tO' -p117801 -aS'was\tbe\tVBD\tB-VP\tO' -p117802 -aS'alert\talert\tJJ\tB-ADJP\tO' -p117803 -aS'and\tand\tCC\tO\tO' -p117804 -aS'oriented\torient\tVBN\tB-VP\tO' -p117805 -aS'times\ttime\tNNS\tB-NP\tO' -p117806 -aS'three\tthree\tCD\tB-NP\tO' -p117807 -aS',\t,\t,\tO\tO' -p117808 -aS'moving\tmove\tVBG\tB-VP\tO' -p117809 -aS'all\tall\tDT\tB-NP\tO' -p117810 -aS'extremities\textremity\tNNS\tI-NP\tO' -p117811 -aS'.\t.\t.\tO\tO' -p117812 -asS'Furthermore , he has had no complaints , including pain , while his lab values are normalizing .' -p117813 -(lp117814 -S'Furthermore\tFurthermore\tRB\tB-ADVP\tO' -p117815 -aS',\t,\t,\tO\tO' -p117816 -aS'he\the\tPRP\tB-NP\tO' -p117817 -aS'has\thave\tVBZ\tB-VP\tO' -p117818 -aS'had\thave\tVBN\tI-VP\tO' -p117819 -aS'no\tno\tDT\tB-NP\tO' -p117820 -aS'complaints\tcomplaint\tNNS\tI-NP\tO' -p117821 -aS',\t,\t,\tO\tO' -p117822 -aS'including\tinclude\tVBG\tB-PP\tO' -p117823 -aS'pain\tpain\tNN\tB-NP\tO' -p117824 -aS',\t,\t,\tO\tO' -p117825 -aS'while\twhile\tIN\tB-SBAR\tO' -p117826 -aS'his\this\tPRP$\tB-NP\tO' -p117827 -aS'lab\tlab\tNN\tI-NP\tO' -p117828 -aS'values\tvalue\tNNS\tI-NP\tO' -p117829 -aS'are\tbe\tVBP\tB-VP\tO' -p117830 -aS'normalizing\tnormalize\tVBG\tI-VP\tO' -p117831 -aS'.\t.\t.\tO\tO' -p117832 -asS'There was no edema elsewhere in her extremities , only the left arm .' -p117833 -(lp117834 -S'There\tThere\tEX\tB-NP\tO' -p117835 -aS'was\tbe\tVBD\tB-VP\tO' -p117836 -aS'no\tno\tDT\tB-NP\tO' -p117837 -aS'edema\tedema\tNN\tI-NP\tO' -p117838 -aS'elsewhere\telsewhere\tRB\tB-ADVP\tO' -p117839 -aS'in\tin\tIN\tB-PP\tO' -p117840 -aS'her\ther\tPRP$\tB-NP\tO' -p117841 -aS'extremities\textremity\tNNS\tI-NP\tO' -p117842 -aS',\t,\t,\tO\tO' -p117843 -aS'only\tonly\tRB\tB-NP\tO' -p117844 -aS'the\tthe\tDT\tI-NP\tO' -p117845 -aS'left\tleft\tJJ\tI-NP\tO' -p117846 -aS'arm\tarm\tNN\tI-NP\tO' -p117847 -aS'.\t.\t.\tO\tO' -p117848 -asS'She is taking po 's .' -p117849 -(lp117850 -S'She\tShe\tPRP\tB-NP\tO' -p117851 -aS'is\tbe\tVBZ\tB-VP\tO' -p117852 -aS'taking\ttake\tVBG\tI-VP\tO' -p117853 -aS'po\tpo\tNN\tB-NP\tO' -p117854 -aS''s\t'\tNNS\tI-NP\tO' -p117855 -aS'.\t.\t.\tO\tO' -p117856 -asS'his basline mental staus apparently responds with his head shaking , and also try to write sentences .' -p117857 -(lp117858 -S'his\this\tPRP$\tB-NP\tO' -p117859 -aS'basline\tbasline\tNN\tI-NP\tO' -p117860 -aS'mental\tmental\tJJ\tI-NP\tO' -p117861 -aS'staus\tstaus\tNN\tI-NP\tO' -p117862 -aS'apparently\tapparently\tRB\tB-ADVP\tO' -p117863 -aS'responds\trespond\tVBZ\tB-VP\tO' -p117864 -aS'with\twith\tIN\tB-PP\tO' -p117865 -aS'his\this\tPRP$\tB-NP\tO' -p117866 -aS'head\thead\tNN\tI-NP\tO' -p117867 -aS'shaking\tshake\tVBG\tB-VP\tO' -p117868 -aS',\t,\t,\tO\tO' -p117869 -aS'and\tand\tCC\tO\tO' -p117870 -aS'also\talso\tRB\tB-VP\tO' -p117871 -aS'try\ttry\tVBP\tI-VP\tO' -p117872 -aS'to\tto\tTO\tI-VP\tO' -p117873 -aS'write\twrite\tVB\tI-VP\tO' -p117874 -aS'sentences\tsentence\tNNS\tB-NP\tO' -p117875 -aS'.\t.\t.\tO\tO' -p117876 -asS'This is an 86-year-old female with a past medical history of diabetes and hypertension who presented to the Emergency Department with a two day history of shortness of breath and easy fatigability .' -p117877 -(lp117878 -S'This\tThis\tDT\tB-NP\tO' -p117879 -aS'is\tbe\tVBZ\tB-VP\tO' -p117880 -aS'an\tan\tDT\tB-NP\tO' -p117881 -aS'86-year-old\t86-year-old\tJJ\tI-NP\tO' -p117882 -aS'female\tfemale\tNN\tI-NP\tO' -p117883 -aS'with\twith\tIN\tB-PP\tO' -p117884 -aS'a\ta\tDT\tB-NP\tO' -p117885 -aS'past\tpast\tJJ\tI-NP\tO' -p117886 -aS'medical\tmedical\tJJ\tI-NP\tO' -p117887 -aS'history\thistory\tNN\tI-NP\tO' -p117888 -aS'of\tof\tIN\tB-PP\tO' -p117889 -aS'diabetes\tdiabetes\tNN\tB-NP\tO' -p117890 -aS'and\tand\tCC\tI-NP\tO' -p117891 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p117892 -aS'who\twho\tWP\tB-NP\tO' -p117893 -aS'presented\tpresent\tVBD\tB-VP\tO' -p117894 -aS'to\tto\tTO\tB-PP\tO' -p117895 -aS'the\tthe\tDT\tB-NP\tO' -p117896 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p117897 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p117898 -aS'with\twith\tIN\tB-PP\tO' -p117899 -aS'a\ta\tDT\tB-NP\tO' -p117900 -aS'two\ttwo\tCD\tI-NP\tO' -p117901 -aS'day\tday\tNN\tI-NP\tO' -p117902 -aS'history\thistory\tNN\tI-NP\tO' -p117903 -aS'of\tof\tIN\tB-PP\tO' -p117904 -aS'shortness\tshortness\tNN\tB-NP\tO' -p117905 -aS'of\tof\tIN\tB-PP\tO' -p117906 -aS'breath\tbreath\tNN\tB-NP\tO' -p117907 -aS'and\tand\tCC\tO\tO' -p117908 -aS'easy\teasy\tJJ\tB-NP\tO' -p117909 -aS'fatigability\tfatigability\tNN\tI-NP\tO' -p117910 -aS'.\t.\t.\tO\tO' -p117911 -asS'Patient denies etoh and tobacco use .' -p117912 -(lp117913 -S'Patient\tPatient\tNN\tB-NP\tO' -p117914 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p117915 -aS'etoh\tetoh\tNN\tB-NP\tO' -p117916 -aS'and\tand\tCC\tI-NP\tO' -p117917 -aS'tobacco\ttobacco\tNN\tI-NP\tO' -p117918 -aS'use\tuse\tNN\tI-NP\tO' -p117919 -aS'.\t.\t.\tO\tO' -p117920 -asS'There is moderate symmetric left ventricular hypertrophy with mild cavity dilation and severe global hypokinesis .' -p117921 -(lp117922 -S'There\tThere\tEX\tB-NP\tO' -p117923 -aS'is\tbe\tVBZ\tB-VP\tO' -p117924 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p117925 -aS'symmetric\tsymmetric\tJJ\tI-NP\tO' -p117926 -aS'left\tleft\tJJ\tI-NP\tO' -p117927 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p117928 -aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' -p117929 -aS'with\twith\tIN\tB-PP\tO' -p117930 -aS'mild\tmild\tJJ\tB-NP\tO' -p117931 -aS'cavity\tcavity\tNN\tI-NP\tO' -p117932 -aS'dilation\tdilation\tNN\tI-NP\tO' -p117933 -aS'and\tand\tCC\tO\tO' -p117934 -aS'severe\tsevere\tJJ\tB-NP\tO' -p117935 -aS'global\tglobal\tJJ\tI-NP\tO' -p117936 -aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' -p117937 -aS'.\t.\t.\tO\tO' -p117938 -asS'left internal mammary artery to anterior descending artery x 1 .' -p117939 -(lp117940 -S'left\tleft\tJJ\tB-NP\tO' -p117941 -aS'internal\tinternal\tJJ\tI-NP\tO' -p117942 -aS'mammary\tmammary\tJJ\tI-NP\tO' -p117943 -aS'artery\tartery\tNN\tI-NP\tO' -p117944 -aS'to\tto\tTO\tB-PP\tO' -p117945 -aS'anterior\tanterior\tJJ\tB-NP\tB-protein' -p117946 -aS'descending\tdescend\tVBG\tI-NP\tI-protein' -p117947 -aS'artery\tartery\tNN\tI-NP\tI-protein' -p117948 -aS'x\tx\tSYM\tB-NP\tI-protein' -p117949 -aS'1\t1\tCD\tI-NP\tI-protein' -p117950 -aS'.\t.\t.\tO\tO' -p117951 -asS'She was found to have normal bowel sounds .' -p117952 -(lp117953 -S'She\tShe\tPRP\tB-NP\tO' -p117954 -aS'was\tbe\tVBD\tB-VP\tO' -p117955 -aS'found\tfind\tVBN\tI-VP\tO' -p117956 -aS'to\tto\tTO\tI-VP\tO' -p117957 -aS'have\thave\tVB\tI-VP\tO' -p117958 -aS'normal\tnormal\tJJ\tB-NP\tO' -p117959 -aS'bowel\tbowel\tNN\tI-NP\tO' -p117960 -aS'sounds\tsound\tNNS\tI-NP\tO' -p117961 -aS'.\t.\t.\tO\tO' -p117962 -asS'Chest moderately aerated .' -p117963 -(lp117964 -S'Chest\tChest\tNNP\tB-NP\tO' -p117965 -aS'moderately\tmoderately\tRB\tB-VP\tO' -p117966 -aS'aerated\taerate\tVBN\tI-VP\tO' -p117967 -aS'.\t.\t.\tO\tO' -p117968 -asS'The patient was then transferred to the Medical Intensive Care Unit for induced hypothermia given his hemodynamic stability , ongoing unresponsiveness and recent out of hospital cardiac arrest .' -p117969 -(lp117970 -S'The\tThe\tDT\tB-NP\tO' -p117971 -aS'patient\tpatient\tNN\tI-NP\tO' -p117972 -aS'was\tbe\tVBD\tB-VP\tO' -p117973 -aS'then\tthen\tRB\tI-VP\tO' -p117974 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p117975 -aS'to\tto\tTO\tB-PP\tO' -p117976 -aS'the\tthe\tDT\tB-NP\tO' -p117977 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p117978 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p117979 -aS'Care\tCare\tNNP\tI-NP\tO' -p117980 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p117981 -aS'for\tfor\tIN\tB-PP\tO' -p117982 -aS'induced\tinduce\tVBN\tB-NP\tO' -p117983 -aS'hypothermia\thypothermia\tNN\tI-NP\tO' -p117984 -aS'given\tgive\tVBN\tB-VP\tO' -p117985 -aS'his\this\tPRP$\tB-NP\tO' -p117986 -aS'hemodynamic\themodynamic\tJJ\tI-NP\tO' -p117987 -aS'stability\tstability\tNN\tI-NP\tO' -p117988 -aS',\t,\t,\tO\tO' -p117989 -aS'ongoing\tongoing\tJJ\tB-NP\tO' -p117990 -aS'unresponsiveness\tunresponsiveness\tNN\tI-NP\tO' -p117991 -aS'and\tand\tCC\tO\tO' -p117992 -aS'recent\trecent\tJJ\tB-ADJP\tO' -p117993 -aS'out\tout\tIN\tB-PP\tO' -p117994 -aS'of\tof\tIN\tB-PP\tO' -p117995 -aS'hospital\thospital\tNN\tB-NP\tO' -p117996 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p117997 -aS'arrest\tarrest\tNN\tI-NP\tO' -p117998 -aS'.\t.\t.\tO\tO' -p117999 -asS'Hospital medical optimization and management following an aborted coronary artery bypass graft when a mobile aortic atheroma was noted .' -p118000 -(lp118001 -S'Hospital\tHospital\tNN\tB-NP\tO' -p118002 -aS'medical\tmedical\tJJ\tI-NP\tO' -p118003 -aS'optimization\toptimization\tNN\tI-NP\tO' -p118004 -aS'and\tand\tCC\tI-NP\tO' -p118005 -aS'management\tmanagement\tNN\tI-NP\tO' -p118006 -aS'following\tfollow\tVBG\tB-PP\tO' -p118007 -aS'an\tan\tDT\tB-NP\tO' -p118008 -aS'aborted\taborted\tJJ\tI-NP\tO' -p118009 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p118010 -aS'artery\tartery\tNN\tI-NP\tO' -p118011 -aS'bypass\tbypass\tNN\tI-NP\tO' -p118012 -aS'graft\tgraft\tNN\tI-NP\tO' -p118013 -aS'when\twhen\tWRB\tB-ADVP\tO' -p118014 -aS'a\ta\tDT\tB-NP\tO' -p118015 -aS'mobile\tmobile\tJJ\tI-NP\tO' -p118016 -aS'aortic\taortic\tJJ\tI-NP\tO' -p118017 -aS'atheroma\tatheroma\tNN\tI-NP\tO' -p118018 -aS'was\tbe\tVBD\tB-VP\tO' -p118019 -aS'noted\tnote\tVBN\tI-VP\tO' -p118020 -aS'.\t.\t.\tO\tO' -p118021 -asS'Ctropnt > 0.10 Ng / Ml Suggests Acute Mi' -p118022 -(lp118023 -S'Ctropnt\tCtropnt\tNN\tB-NP\tO' -p118024 -aS'>\t>\tSYM\tI-NP\tO' -p118025 -aS'0.10\t0.10\tCD\tI-NP\tO' -p118026 -aS'Ng\tNg\tNN\tI-NP\tO' -p118027 -aS'/\t/\tSYM\tB-NP\tO' -p118028 -aS'Ml\tMl\tNN\tI-NP\tO' -p118029 -aS'Suggests\tSuggest\tVBZ\tB-VP\tO' -p118030 -aS'Acute\tAcute\tNNP\tB-NP\tO' -p118031 -aS'Mi\tMi\tNNP\tI-NP\tO' -p118032 -asS'Please call the GI clinic and arrange to see Dr. Langton for an appointment : 232-2590 .' -p118033 -(lp118034 -S'Please\tPlease\tVB\tB-VP\tO' -p118035 -aS'call\tcall\tVB\tI-VP\tO' -p118036 -aS'the\tthe\tDT\tB-NP\tO' -p118037 -aS'GI\tGI\tNN\tI-NP\tO' -p118038 -aS'clinic\tclinic\tNN\tI-NP\tO' -p118039 -aS'and\tand\tCC\tO\tO' -p118040 -aS'arrange\tarrange\tNN\tB-NP\tO' -p118041 -aS'to\tto\tTO\tB-VP\tO' -p118042 -aS'see\tsee\tVB\tI-VP\tO' -p118043 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p118044 -aS'Langton\tLangton\tNNP\tI-NP\tO' -p118045 -aS'for\tfor\tIN\tB-PP\tO' -p118046 -aS'an\tan\tDT\tB-NP\tO' -p118047 -aS'appointment\tappointment\tNN\tI-NP\tO' -p118048 -aS':\t:\t:\tO\tO' -p118049 -aS'232-2590\t232-2590\tCD\tB-NP\tO' -p118050 -aS'.\t.\t.\tO\tO' -p118051 -asS'We suggest continuing increased salt intake in her diet and also continuing with the fluid restriction of free water intake to one liter per day .' -p118052 -(lp118053 -S'We\tWe\tPRP\tB-NP\tO' -p118054 -aS'suggest\tsuggest\tVBP\tB-VP\tO' -p118055 -aS'continuing\tcontinue\tVBG\tI-VP\tO' -p118056 -aS'increased\tincrease\tVBN\tB-NP\tO' -p118057 -aS'salt\tsalt\tNN\tI-NP\tO' -p118058 -aS'intake\tintake\tNN\tI-NP\tO' -p118059 -aS'in\tin\tIN\tB-PP\tO' -p118060 -aS'her\ther\tPRP$\tB-NP\tO' -p118061 -aS'diet\tdiet\tNN\tI-NP\tO' -p118062 -aS'and\tand\tCC\tO\tO' -p118063 -aS'also\talso\tRB\tB-ADVP\tO' -p118064 -aS'continuing\tcontinue\tVBG\tB-VP\tO' -p118065 -aS'with\twith\tIN\tB-PP\tO' -p118066 -aS'the\tthe\tDT\tB-NP\tO' -p118067 -aS'fluid\tfluid\tNN\tI-NP\tO' -p118068 -aS'restriction\trestriction\tNN\tI-NP\tO' -p118069 -aS'of\tof\tIN\tB-PP\tO' -p118070 -aS'free\tfree\tJJ\tB-NP\tO' -p118071 -aS'water\twater\tNN\tI-NP\tO' -p118072 -aS'intake\tintake\tNN\tI-NP\tO' -p118073 -aS'to\tto\tTO\tB-PP\tO' -p118074 -aS'one\tone\tCD\tB-NP\tO' -p118075 -aS'liter\tliter\tNN\tI-NP\tO' -p118076 -aS'per\tper\tIN\tB-PP\tO' -p118077 -aS'day\tday\tNN\tB-NP\tO' -p118078 -aS'.\t.\t.\tO\tO' -p118079 -asS'and it is noted there was nodularity in the common bile duct which is worrisome for cholangiocarcinoma .' -p118080 -(lp118081 -S'and\tand\tCC\tO\tO' -p118082 -aS'it\tit\tPRP\tB-NP\tO' -p118083 -aS'is\tbe\tVBZ\tB-VP\tO' -p118084 -aS'noted\tnote\tVBN\tI-VP\tO' -p118085 -aS'there\tthere\tEX\tB-NP\tO' -p118086 -aS'was\tbe\tVBD\tB-VP\tO' -p118087 -aS'nodularity\tnodularity\tNN\tB-NP\tO' -p118088 -aS'in\tin\tIN\tB-PP\tO' -p118089 -aS'the\tthe\tDT\tB-NP\tO' -p118090 -aS'common\tcommon\tJJ\tI-NP\tO' -p118091 -aS'bile\tbile\tNN\tI-NP\tO' -p118092 -aS'duct\tduct\tNN\tI-NP\tO' -p118093 -aS'which\twhich\tWDT\tB-NP\tO' -p118094 -aS'is\tbe\tVBZ\tB-VP\tO' -p118095 -aS'worrisome\tworrisome\tJJ\tB-ADJP\tO' -p118096 -aS'for\tfor\tIN\tB-PP\tO' -p118097 -aS'cholangiocarcinoma\tcholangiocarcinoma\tNN\tB-NP\tO' -p118098 -aS'.\t.\t.\tO\tO' -p118099 -asS'Anterior fontanel soft and flat. Head shape normal with mildly flattened on top consistent with breech positioning in utero .' -p118100 -(lp118101 -S'Anterior\tAnterior\tJJ\tB-NP\tO' -p118102 -aS'fontanel\tfontanel\tNN\tI-NP\tO' -p118103 -aS'soft\tsoft\tJJ\tI-NP\tO' -p118104 -aS'and\tand\tCC\tI-NP\tO' -p118105 -aS'flat.\tflat.\tJJ\tI-NP\tO' -p118106 -aS'Head\tHead\tNNP\tI-NP\tO' -p118107 -aS'shape\tshape\tNN\tI-NP\tO' -p118108 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p118109 -aS'with\twith\tIN\tB-PP\tO' -p118110 -aS'mildly\tmildly\tRB\tB-NP\tO' -p118111 -aS'flattened\tflatten\tVBN\tB-VP\tO' -p118112 -aS'on\ton\tIN\tB-PP\tO' -p118113 -aS'top\ttop\tJJ\tB-NP\tO' -p118114 -aS'consistent\tconsistent\tJJ\tI-NP\tO' -p118115 -aS'with\twith\tIN\tB-PP\tO' -p118116 -aS'breech\tbreech\tNN\tB-NP\tO' -p118117 -aS'positioning\tpositioning\tNN\tI-NP\tO' -p118118 -aS'in\tin\tIN\tB-PP\tO' -p118119 -aS'utero\tutero\tNN\tB-NP\tO' -p118120 -aS'.\t.\t.\tO\tO' -p118121 -asS'His blood pressure gradually fell , and he died early on July 30 , 1993 .' -p118122 -(lp118123 -S'His\tHis\tPRP$\tB-NP\tO' -p118124 -aS'blood\tblood\tNN\tI-NP\tO' -p118125 -aS'pressure\tpressure\tNN\tI-NP\tO' -p118126 -aS'gradually\tgradually\tRB\tB-ADVP\tO' -p118127 -aS'fell\tfall\tVBD\tB-VP\tO' -p118128 -aS',\t,\t,\tO\tO' -p118129 -aS'and\tand\tCC\tO\tO' -p118130 -aS'he\the\tPRP\tB-NP\tO' -p118131 -aS'died\tdie\tVBD\tB-VP\tO' -p118132 -aS'early\tearly\tRB\tB-ADVP\tO' -p118133 -aS'on\ton\tIN\tB-PP\tO' -p118134 -aS'July\tJuly\tNNP\tB-NP\tO' -p118135 -aS'30\t30\tCD\tI-NP\tO' -p118136 -aS',\t,\t,\tI-NP\tO' -p118137 -aS'1993\t1993\tCD\tI-NP\tO' -p118138 -aS'.\t.\t.\tO\tO' -p118139 -asS'Her blood pressure was 120/70 , pulse 60 and regular .' -p118140 -(lp118141 -S'Her\tHer\tPRP$\tB-NP\tO' -p118142 -aS'blood\tblood\tNN\tI-NP\tO' -p118143 -aS'pressure\tpressure\tNN\tI-NP\tO' -p118144 -aS'was\tbe\tVBD\tB-VP\tO' -p118145 -aS'120/70\t120/70\tCD\tB-NP\tO' -p118146 -aS',\t,\t,\tO\tO' -p118147 -aS'pulse\tpulse\tNN\tB-NP\tO' -p118148 -aS'60\t60\tCD\tI-NP\tO' -p118149 -aS'and\tand\tCC\tO\tO' -p118150 -aS'regular\tregular\tJJ\tB-ADJP\tO' -p118151 -aS'.\t.\t.\tO\tO' -p118152 -asS'Ferinsol 0.2 mL po qd .' -p118153 -(lp118154 -S'Ferinsol\tFerinsol\tNN\tB-NP\tO' -p118155 -aS'0.2\t0.2\tCD\tI-NP\tO' -p118156 -aS'mL\tmL\tNN\tI-NP\tO' -p118157 -aS'po\tpo\tNN\tI-NP\tO' -p118158 -aS'qd\tqd\tNN\tI-NP\tO' -p118159 -aS'.\t.\t.\tO\tO' -p118160 -asS'3. Multivitamin .' -p118161 -(lp118162 -S'3.\t3.\tLS\tB-NP\tO' -p118163 -aS'Multivitamin\tMultivitamin\tNN\tI-NP\tO' -p118164 -aS'.\t.\t.\tO\tO' -p118165 -asS'Bilateral cataracts ; neck appeared to be somewhat asymmetric thyroid with small nodule barely palpable on the left lobe with the thyroid , otherwise negative .' -p118166 -(lp118167 -S'Bilateral\tBilateral\tJJ\tB-NP\tO' -p118168 -aS'cataracts\tcataract\tNNS\tI-NP\tO' -p118169 -aS';\t;\t:\tO\tO' -p118170 -aS'neck\tneck\tNN\tB-NP\tO' -p118171 -aS'appeared\tappear\tVBD\tB-VP\tO' -p118172 -aS'to\tto\tTO\tI-VP\tO' -p118173 -aS'be\tbe\tVB\tI-VP\tO' -p118174 -aS'somewhat\tsomewhat\tRB\tB-NP\tO' -p118175 -aS'asymmetric\tasymmetric\tJJ\tI-NP\tO' -p118176 -aS'thyroid\tthyroid\tNN\tI-NP\tO' -p118177 -aS'with\twith\tIN\tB-PP\tO' -p118178 -aS'small\tsmall\tJJ\tB-NP\tO' -p118179 -aS'nodule\tnodule\tNN\tI-NP\tO' -p118180 -aS'barely\tbarely\tRB\tB-ADJP\tO' -p118181 -aS'palpable\tpalpable\tJJ\tI-ADJP\tO' -p118182 -aS'on\ton\tIN\tB-PP\tO' -p118183 -aS'the\tthe\tDT\tB-NP\tO' -p118184 -aS'left\tleft\tJJ\tI-NP\tO' -p118185 -aS'lobe\tlobe\tNN\tI-NP\tO' -p118186 -aS'with\twith\tIN\tB-PP\tO' -p118187 -aS'the\tthe\tDT\tB-NP\tO' -p118188 -aS'thyroid\tthyroid\tNN\tI-NP\tO' -p118189 -aS',\t,\t,\tO\tO' -p118190 -aS'otherwise\totherwise\tRB\tB-ADJP\tO' -p118191 -aS'negative\tnegative\tJJ\tI-ADJP\tO' -p118192 -aS'.\t.\t.\tO\tO' -p118193 -asS'However , these gradually resolved .' -p118194 -(lp118195 -S'However\tHowever\tRB\tB-ADVP\tO' -p118196 -aS',\t,\t,\tO\tO' -p118197 -aS'these\tthese\tDT\tB-NP\tO' -p118198 -aS'gradually\tgradually\tRB\tI-NP\tO' -p118199 -aS'resolved\tresolve\tVBN\tI-NP\tO' -p118200 -aS'.\t.\t.\tO\tO' -p118201 -asS'It is likely that these seizures began due to subtherapeutic dilantin levels on her new dose of 200 mg / 100 mg .' -p118202 -(lp118203 -S'It\tIt\tPRP\tB-NP\tO' -p118204 -aS'is\tbe\tVBZ\tB-VP\tO' -p118205 -aS'likely\tlikely\tJJ\tB-ADJP\tO' -p118206 -aS'that\tthat\tIN\tB-SBAR\tO' -p118207 -aS'these\tthese\tDT\tB-NP\tO' -p118208 -aS'seizures\tseizure\tNNS\tI-NP\tO' -p118209 -aS'began\tbegin\tVBD\tB-VP\tO' -p118210 -aS'due\tdue\tJJ\tB-ADJP\tO' -p118211 -aS'to\tto\tTO\tB-PP\tO' -p118212 -aS'subtherapeutic\tsubtherapeutic\tJJ\tB-NP\tO' -p118213 -aS'dilantin\tdilantin\tNN\tI-NP\tO' -p118214 -aS'levels\tlevel\tNNS\tI-NP\tO' -p118215 -aS'on\ton\tIN\tB-PP\tO' -p118216 -aS'her\ther\tPRP$\tB-NP\tO' -p118217 -aS'new\tnew\tJJ\tI-NP\tO' -p118218 -aS'dose\tdose\tNN\tI-NP\tO' -p118219 -aS'of\tof\tIN\tB-PP\tO' -p118220 -aS'200\t200\tCD\tB-NP\tO' -p118221 -aS'mg\tmg\tNN\tI-NP\tO' -p118222 -aS'/\t/\tSYM\tB-NP\tO' -p118223 -aS'100\t100\tCD\tB-NP\tO' -p118224 -aS'mg\tmg\tNN\tI-NP\tO' -p118225 -aS'.\t.\t.\tO\tO' -p118226 -asS'Urine culture twice grew 10-100,000 coag negative staph .' -p118227 -(lp118228 -S'Urine\tUrine\tNN\tB-NP\tO' -p118229 -aS'culture\tculture\tNN\tI-NP\tO' -p118230 -aS'twice\ttwice\tRB\tB-ADVP\tO' -p118231 -aS'grew\tgrow\tVBD\tB-VP\tO' -p118232 -aS'10-100,000\t10-100,000\tCD\tB-NP\tO' -p118233 -aS'coag\tcoag\tNN\tI-NP\tO' -p118234 -aS'negative\tnegative\tJJ\tI-NP\tO' -p118235 -aS'staph\tstaph\tNN\tI-NP\tO' -p118236 -aS'.\t.\t.\tO\tO' -p118237 -asS'PT was 13.2 .' -p118238 -(lp118239 -S'PT\tPT\tNN\tB-NP\tO' -p118240 -aS'was\tbe\tVBD\tB-VP\tO' -p118241 -aS'13.2\t13.2\tCD\tB-NP\tO' -p118242 -aS'.\t.\t.\tO\tO' -p118243 -asS'ACUTE MYOCARDIAL INFARCTION .' -p118244 -(lp118245 -S'ACUTE\tACUTE\tNN\tB-NP\tO' -p118246 -aS'MYOCARDIAL\tMYOCARDIAL\tNN\tI-NP\tO' -p118247 -aS'INFARCTION\tINFARCTION\tNN\tI-NP\tO' -p118248 -aS'.\t.\t.\tO\tO' -p118249 -asS'Femoral pulses +2 .' -p118250 -(lp118251 -S'Femoral\tFemoral\tJJ\tB-NP\tO' -p118252 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p118253 -aS'+2\t+2\tCD\tB-NP\tO' -p118254 -aS'.\t.\t.\tO\tO' -p118255 -asS'Arterial oxygen saturation was 85 percent .' -p118256 -(lp118257 -S'Arterial\tArterial\tJJ\tB-NP\tO' -p118258 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p118259 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p118260 -aS'was\tbe\tVBD\tB-VP\tO' -p118261 -aS'85\t85\tCD\tB-NP\tO' -p118262 -aS'percent\tpercent\tNN\tI-NP\tO' -p118263 -aS'.\t.\t.\tO\tO' -p118264 -asS'Signed electronically by : DR. Edward von der Torros on : WED 2018-06-20 2:58 PM' -p118265 -(lp118266 -S'Signed\tSign\tVBN\tB-VP\tO' -p118267 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p118268 -aS'by\tby\tIN\tB-PP\tO' -p118269 -aS':\t:\t:\tO\tO' -p118270 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p118271 -aS'Edward\tEdward\tNNP\tI-NP\tO' -p118272 -aS'von\tvon\tNNP\tI-NP\tO' -p118273 -aS'der\tder\tNNP\tI-NP\tO' -p118274 -aS'Torros\tTorros\tNNP\tI-NP\tO' -p118275 -aS'on\ton\tIN\tB-PP\tO' -p118276 -aS':\t:\t:\tO\tO' -p118277 -aS'WED\tWED\tVBD\tB-VP\tO' -p118278 -aS'2018-06-20\t2018-06-20\tCD\tB-NP\tO' -p118279 -aS'2:58\t2:58\tCD\tI-NP\tO' -p118280 -aS'PM\tPM\tNN\tI-NP\tO' -p118281 -asS'2. Coronary artery disease , status post anterior myocardial infarction , in 1993 .' -p118282 -(lp118283 -S'2.\t2.\tLS\tB-NP\tO' -p118284 -aS'Coronary\tCoronary\tJJ\tI-NP\tO' -p118285 -aS'artery\tartery\tNN\tI-NP\tO' -p118286 -aS'disease\tdisease\tNN\tI-NP\tO' -p118287 -aS',\t,\t,\tO\tO' -p118288 -aS'status\tstatus\tNN\tB-NP\tO' -p118289 -aS'post\tpost\tVBD\tB-VP\tO' -p118290 -aS'anterior\tanterior\tJJ\tB-NP\tO' -p118291 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p118292 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p118293 -aS',\t,\t,\tO\tO' -p118294 -aS'in\tin\tIN\tB-PP\tO' -p118295 -aS'1993\t1993\tCD\tB-NP\tO' -p118296 -aS'.\t.\t.\tO\tO' -p118297 -asS'A repeat ANA , rheumatoid factor and ANCA may be repeated as an outpatient .' -p118298 -(lp118299 -S'A\tA\tDT\tB-NP\tO' -p118300 -aS'repeat\trepeat\tNN\tI-NP\tO' -p118301 -aS'ANA\tANA\tNN\tI-NP\tO' -p118302 -aS',\t,\t,\tO\tO' -p118303 -aS'rheumatoid\trheumatoid\tJJ\tB-NP\tB-protein' -p118304 -aS'factor\tfactor\tNN\tI-NP\tI-protein' -p118305 -aS'and\tand\tCC\tI-NP\tO' -p118306 -aS'ANCA\tANCA\tNN\tI-NP\tB-protein' -p118307 -aS'may\tmay\tMD\tB-VP\tO' -p118308 -aS'be\tbe\tVB\tI-VP\tO' -p118309 -aS'repeated\trepeat\tVBN\tI-VP\tO' -p118310 -aS'as\tas\tIN\tB-PP\tO' -p118311 -aS'an\tan\tDT\tB-NP\tO' -p118312 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p118313 -aS'.\t.\t.\tO\tO' -p118314 -asS'Given this finding it was felt that the patient would certainly need long term intravenous antibiotics to include at least six weeks of Vancomycin and then subsequent Levofloxacin for the Citrobacter and Mycoplasma as well .' -p118315 -(lp118316 -S'Given\tGive\tVBN\tB-PP\tO' -p118317 -aS'this\tthis\tDT\tB-NP\tO' -p118318 -aS'finding\tfinding\tNN\tI-NP\tO' -p118319 -aS'it\tit\tPRP\tB-NP\tO' -p118320 -aS'was\tbe\tVBD\tB-VP\tO' -p118321 -aS'felt\tfeel\tVBN\tI-VP\tO' -p118322 -aS'that\tthat\tIN\tB-SBAR\tO' -p118323 -aS'the\tthe\tDT\tB-NP\tO' -p118324 -aS'patient\tpatient\tNN\tI-NP\tO' -p118325 -aS'would\twould\tMD\tB-VP\tO' -p118326 -aS'certainly\tcertainly\tRB\tI-VP\tO' -p118327 -aS'need\tneed\tVB\tI-VP\tO' -p118328 -aS'long\tlong\tJJ\tB-NP\tO' -p118329 -aS'term\tterm\tNN\tI-NP\tO' -p118330 -aS'intravenous\tintravenous\tJJ\tI-NP\tO' -p118331 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p118332 -aS'to\tto\tTO\tB-VP\tO' -p118333 -aS'include\tinclude\tVB\tI-VP\tO' -p118334 -aS'at\tat\tIN\tB-NP\tO' -p118335 -aS'least\tleast\tJJS\tI-NP\tO' -p118336 -aS'six\tsix\tCD\tI-NP\tO' -p118337 -aS'weeks\tweek\tNNS\tI-NP\tO' -p118338 -aS'of\tof\tIN\tB-PP\tO' -p118339 -aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' -p118340 -aS'and\tand\tCC\tO\tO' -p118341 -aS'then\tthen\tRB\tB-ADVP\tO' -p118342 -aS'subsequent\tsubsequent\tJJ\tB-NP\tO' -p118343 -aS'Levofloxacin\tLevofloxacin\tNN\tI-NP\tO' -p118344 -aS'for\tfor\tIN\tB-PP\tO' -p118345 -aS'the\tthe\tDT\tB-NP\tO' -p118346 -aS'Citrobacter\tCitrobacter\tNN\tI-NP\tO' -p118347 -aS'and\tand\tCC\tI-NP\tO' -p118348 -aS'Mycoplasma\tMycoplasma\tNN\tI-NP\tO' -p118349 -aS'as\tas\tRB\tB-ADVP\tO' -p118350 -aS'well\twell\tRB\tI-ADVP\tO' -p118351 -aS'.\t.\t.\tO\tO' -p118352 -asS'Neck : supple , no supraclavicular LAD , no JVD' -p118353 -(lp118354 -S'Neck\tNeck\tNN\tB-NP\tO' -p118355 -aS':\t:\t:\tO\tO' -p118356 -aS'supple\tsupple\tNN\tB-NP\tO' -p118357 -aS',\t,\t,\tO\tO' -p118358 -aS'no\tno\tDT\tB-NP\tO' -p118359 -aS'supraclavicular\tsupraclavicular\tJJ\tI-NP\tO' -p118360 -aS'LAD\tLAD\tNN\tI-NP\tO' -p118361 -aS',\t,\t,\tO\tO' -p118362 -aS'no\tno\tDT\tB-NP\tO' -p118363 -aS'JVD\tJVD\tNN\tI-NP\tB-protein' -p118364 -asS'Coronary artery disease , status post MI x2 , CABG x2 in 02/89 and 2/21 , history of arthritis , history of bilateral rotator cuff degeneration and tears , history of hypertension , history of hyperlipidemia .' -p118365 -(lp118366 -S'Coronary\tCoronary\tJJ\tB-NP\tO' -p118367 -aS'artery\tartery\tNN\tI-NP\tO' -p118368 -aS'disease\tdisease\tNN\tI-NP\tO' -p118369 -aS',\t,\t,\tO\tO' -p118370 -aS'status\tstatus\tNN\tB-NP\tB-protein' -p118371 -aS'post\tpost\tNN\tI-NP\tI-protein' -p118372 -aS'MI\tMI\tNN\tI-NP\tI-protein' -p118373 -aS'x2\tx2\tNN\tI-NP\tI-protein' -p118374 -aS',\t,\t,\tO\tO' -p118375 -aS'CABG\tCABG\tNN\tB-NP\tB-protein' -p118376 -aS'x2\tx2\tNN\tI-NP\tI-protein' -p118377 -aS'in\tin\tIN\tB-PP\tO' -p118378 -aS'02/89\t02/89\tCD\tB-NP\tO' -p118379 -aS'and\tand\tCC\tI-NP\tO' -p118380 -aS'2/21\t2/21\tCD\tI-NP\tO' -p118381 -aS',\t,\t,\tO\tO' -p118382 -aS'history\thistory\tNN\tB-NP\tO' -p118383 -aS'of\tof\tIN\tB-PP\tO' -p118384 -aS'arthritis\tarthritis\tNN\tB-NP\tO' -p118385 -aS',\t,\t,\tO\tO' -p118386 -aS'history\thistory\tNN\tB-NP\tO' -p118387 -aS'of\tof\tIN\tB-PP\tO' -p118388 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p118389 -aS'rotator\trotator\tNN\tI-NP\tO' -p118390 -aS'cuff\tcuff\tNN\tI-NP\tO' -p118391 -aS'degeneration\tdegeneration\tNN\tI-NP\tO' -p118392 -aS'and\tand\tCC\tI-NP\tO' -p118393 -aS'tears\ttear\tNNS\tI-NP\tO' -p118394 -aS',\t,\t,\tO\tO' -p118395 -aS'history\thistory\tNN\tB-NP\tO' -p118396 -aS'of\tof\tIN\tB-PP\tO' -p118397 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p118398 -aS',\t,\t,\tO\tO' -p118399 -aS'history\thistory\tNN\tB-NP\tO' -p118400 -aS'of\tof\tIN\tB-PP\tO' -p118401 -aS'hyperlipidemia\thyperlipidemia\tNN\tB-NP\tO' -p118402 -aS'.\t.\t.\tO\tO' -p118403 -asS'The patient reports that she will have revision of cataract surgery .' -p118404 -(lp118405 -S'The\tThe\tDT\tB-NP\tO' -p118406 -aS'patient\tpatient\tNN\tI-NP\tO' -p118407 -aS'reports\treport\tVBZ\tB-VP\tO' -p118408 -aS'that\tthat\tIN\tB-SBAR\tO' -p118409 -aS'she\tshe\tPRP\tB-NP\tO' -p118410 -aS'will\twill\tMD\tB-VP\tO' -p118411 -aS'have\thave\tVB\tI-VP\tO' -p118412 -aS'revision\trevision\tNN\tB-NP\tO' -p118413 -aS'of\tof\tIN\tB-PP\tO' -p118414 -aS'cataract\tcataract\tNN\tB-NP\tO' -p118415 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p118416 -aS'.\t.\t.\tO\tO' -p118417 -asS'Dr. Ko Kollciem , Retchard Healthcare to Dr. Wall' -p118418 -(lp118419 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p118420 -aS'Ko\tKo\tNNP\tI-NP\tO' -p118421 -aS'Kollciem\tKollciem\tNNP\tI-NP\tO' -p118422 -aS',\t,\t,\tO\tO' -p118423 -aS'Retchard\tRetchard\tNNP\tB-NP\tO' -p118424 -aS'Healthcare\tHealthcare\tNNP\tI-NP\tO' -p118425 -aS'to\tto\tTO\tB-PP\tO' -p118426 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p118427 -aS'Wall\tWall\tNNP\tI-NP\tO' -p118428 -asS'This area can be a leading point of obstruction .' -p118429 -(lp118430 -S'This\tThis\tDT\tB-NP\tO' -p118431 -aS'area\tarea\tNN\tI-NP\tO' -p118432 -aS'can\tcan\tMD\tB-VP\tO' -p118433 -aS'be\tbe\tVB\tI-VP\tO' -p118434 -aS'a\ta\tDT\tB-NP\tO' -p118435 -aS'leading\tlead\tVBG\tI-NP\tO' -p118436 -aS'point\tpoint\tNN\tI-NP\tO' -p118437 -aS'of\tof\tIN\tB-PP\tO' -p118438 -aS'obstruction\tobstruction\tNN\tB-NP\tO' -p118439 -aS'.\t.\t.\tO\tO' -p118440 -asS'Disp :* qs mL * Refills :* 2 *' -p118441 -(lp118442 -S'Disp\tDisp\tNN\tB-NP\tO' -p118443 -aS':*\t:*\tSYM\tI-NP\tO' -p118444 -aS'qs\tq\tNNS\tI-NP\tB-DNA' -p118445 -aS'mL\tmL\tNN\tI-NP\tI-DNA' -p118446 -aS'*\t*\tSYM\tB-NP\tI-DNA' -p118447 -aS'Refills\tRefill\tNNPS\tI-NP\tO' -p118448 -aS':*\t:*\tSYM\tI-NP\tO' -p118449 -aS'2\t2\tCD\tI-NP\tO' -p118450 -aS'*\t*\tSYM\tB-NP\tO' -p118451 -asS'He had a CABG review in 2/21 .' -p118452 -(lp118453 -S'He\tHe\tPRP\tB-NP\tO' -p118454 -aS'had\thave\tVBD\tB-VP\tO' -p118455 -aS'a\ta\tDT\tB-NP\tO' -p118456 -aS'CABG\tCABG\tNN\tI-NP\tO' -p118457 -aS'review\treview\tNN\tI-NP\tO' -p118458 -aS'in\tin\tIN\tB-PP\tO' -p118459 -aS'2/21\t2/21\tCD\tB-NP\tO' -p118460 -aS'.\t.\t.\tO\tO' -p118461 -asS'The patient was recently separated from her husband .' -p118462 -(lp118463 -S'The\tThe\tDT\tB-NP\tO' -p118464 -aS'patient\tpatient\tNN\tI-NP\tO' -p118465 -aS'was\tbe\tVBD\tB-VP\tO' -p118466 -aS'recently\trecently\tRB\tI-VP\tO' -p118467 -aS'separated\tseparate\tVBN\tI-VP\tO' -p118468 -aS'from\tfrom\tIN\tB-PP\tO' -p118469 -aS'her\ther\tPRP$\tB-NP\tO' -p118470 -aS'husband\thusband\tNN\tI-NP\tO' -p118471 -aS'.\t.\t.\tO\tO' -p118472 -asS'1. Grade 3 splenic laceration .' -p118473 -(lp118474 -S'1.\t1.\tLS\tB-LST\tO' -p118475 -aS'Grade\tGrade\tNN\tB-NP\tO' -p118476 -aS'3\t3\tCD\tI-NP\tO' -p118477 -aS'splenic\tsplenic\tJJ\tI-NP\tO' -p118478 -aS'laceration\tlaceration\tNN\tI-NP\tO' -p118479 -aS'.\t.\t.\tO\tO' -p118480 -asS'His wound was noted to be healing well and his colostomy functioning appropriately without significant difficulty .' -p118481 -(lp118482 -S'His\tHis\tPRP$\tB-NP\tO' -p118483 -aS'wound\twound\tNN\tI-NP\tO' -p118484 -aS'was\tbe\tVBD\tB-VP\tO' -p118485 -aS'noted\tnote\tVBN\tI-VP\tO' -p118486 -aS'to\tto\tTO\tI-VP\tO' -p118487 -aS'be\tbe\tVB\tI-VP\tO' -p118488 -aS'healing\theal\tVBG\tI-VP\tO' -p118489 -aS'well\twell\tRB\tB-ADVP\tO' -p118490 -aS'and\tand\tCC\tO\tO' -p118491 -aS'his\this\tPRP$\tB-NP\tO' -p118492 -aS'colostomy\tcolostomy\tNN\tI-NP\tO' -p118493 -aS'functioning\tfunction\tVBG\tB-VP\tO' -p118494 -aS'appropriately\tappropriately\tRB\tB-ADVP\tO' -p118495 -aS'without\twithout\tIN\tB-PP\tO' -p118496 -aS'significant\tsignificant\tJJ\tB-NP\tO' -p118497 -aS'difficulty\tdifficulty\tNN\tI-NP\tO' -p118498 -aS'.\t.\t.\tO\tO' -p118499 -asS'2. Colace 100 mg po tid .' -p118500 -(lp118501 -S'2.\t2.\tLS\tB-NP\tO' -p118502 -aS'Colace\tColace\tNNP\tI-NP\tO' -p118503 -aS'100\t100\tCD\tI-NP\tO' -p118504 -aS'mg\tmg\tNN\tI-NP\tO' -p118505 -aS'po\tpo\tNN\tI-NP\tO' -p118506 -aS'tid\ttid\tNN\tI-NP\tO' -p118507 -aS'.\t.\t.\tO\tO' -p118508 -asS'Normal sensation .' -p118509 -(lp118510 -S'Normal\tNormal\tJJ\tB-NP\tO' -p118511 -aS'sensation\tsensation\tNN\tI-NP\tO' -p118512 -aS'.\t.\t.\tO\tO' -p118513 -asS'soft ; nontender ; no palpable masses .' -p118514 -(lp118515 -S'soft\tsoft\tJJ\tB-ADJP\tO' -p118516 -aS';\t;\t:\tO\tO' -p118517 -aS'nontender\tnontender\tNN\tB-NP\tO' -p118518 -aS';\t;\t:\tO\tO' -p118519 -aS'no\tno\tDT\tB-NP\tO' -p118520 -aS'palpable\tpalpable\tJJ\tI-NP\tO' -p118521 -aS'masses\tmass\tNNS\tI-NP\tO' -p118522 -aS'.\t.\t.\tO\tO' -p118523 -asS'Ultimately her Intensive Care Unit course continued and she began to defervesce and her bacterial studies particulaly from BAL lavage were found to be negative .' -p118524 -(lp118525 -S'Ultimately\tUltimately\tRB\tB-ADVP\tO' -p118526 -aS'her\ther\tPRP$\tB-NP\tO' -p118527 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p118528 -aS'Care\tCare\tNNP\tI-NP\tO' -p118529 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p118530 -aS'course\tcourse\tNN\tI-NP\tO' -p118531 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p118532 -aS'and\tand\tCC\tO\tO' -p118533 -aS'she\tshe\tPRP\tB-NP\tO' -p118534 -aS'began\tbegin\tVBD\tB-VP\tO' -p118535 -aS'to\tto\tTO\tI-VP\tO' -p118536 -aS'defervesce\tdefervesce\tVB\tI-VP\tO' -p118537 -aS'and\tand\tCC\tO\tO' -p118538 -aS'her\ther\tPRP$\tB-NP\tO' -p118539 -aS'bacterial\tbacterial\tJJ\tI-NP\tO' -p118540 -aS'studies\tstudy\tNNS\tI-NP\tO' -p118541 -aS'particulaly\tparticulaly\tRB\tB-ADVP\tO' -p118542 -aS'from\tfrom\tIN\tB-PP\tO' -p118543 -aS'BAL\tBAL\tNN\tB-NP\tO' -p118544 -aS'lavage\tlavage\tNN\tI-NP\tO' -p118545 -aS'were\tbe\tVBD\tB-VP\tO' -p118546 -aS'found\tfind\tVBN\tI-VP\tO' -p118547 -aS'to\tto\tTO\tI-VP\tO' -p118548 -aS'be\tbe\tVB\tI-VP\tO' -p118549 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p118550 -aS'.\t.\t.\tO\tO' -p118551 -asS'She denies any family history of diabetes mellitus .' -p118552 -(lp118553 -S'She\tShe\tPRP\tB-NP\tO' -p118554 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p118555 -aS'any\tany\tDT\tB-NP\tO' -p118556 -aS'family\tfamily\tNN\tI-NP\tO' -p118557 -aS'history\thistory\tNN\tI-NP\tO' -p118558 -aS'of\tof\tIN\tB-PP\tO' -p118559 -aS'diabetes\tdiabetes\tNN\tB-NP\tO' -p118560 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p118561 -aS'.\t.\t.\tO\tO' -p118562 -asS'He was treated initially with Ceftazidime and gentamicin but there was a question about the organism 's susceptibility from lab studies done at the outside hospital .' -p118563 -(lp118564 -S'He\tHe\tPRP\tB-NP\tO' -p118565 -aS'was\tbe\tVBD\tB-VP\tO' -p118566 -aS'treated\ttreat\tVBN\tI-VP\tO' -p118567 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p118568 -aS'with\twith\tIN\tB-PP\tO' -p118569 -aS'Ceftazidime\tCeftazidime\tNN\tB-NP\tO' -p118570 -aS'and\tand\tCC\tI-NP\tO' -p118571 -aS'gentamicin\tgentamicin\tNN\tI-NP\tO' -p118572 -aS'but\tbut\tCC\tO\tO' -p118573 -aS'there\tthere\tEX\tB-NP\tO' -p118574 -aS'was\tbe\tVBD\tB-VP\tO' -p118575 -aS'a\ta\tDT\tB-NP\tO' -p118576 -aS'question\tquestion\tNN\tI-NP\tO' -p118577 -aS'about\tabout\tIN\tB-PP\tO' -p118578 -aS'the\tthe\tDT\tB-NP\tO' -p118579 -aS'organism\torganism\tNN\tI-NP\tO' -p118580 -aS''s\t'\tNNS\tI-NP\tO' -p118581 -aS'susceptibility\tsusceptibility\tNN\tI-NP\tO' -p118582 -aS'from\tfrom\tIN\tB-PP\tO' -p118583 -aS'lab\tlab\tNN\tB-NP\tO' -p118584 -aS'studies\tstudy\tNNS\tI-NP\tO' -p118585 -aS'done\tdo\tVBN\tB-VP\tO' -p118586 -aS'at\tat\tIN\tB-PP\tO' -p118587 -aS'the\tthe\tDT\tB-NP\tO' -p118588 -aS'outside\toutside\tJJ\tI-NP\tO' -p118589 -aS'hospital\thospital\tNN\tI-NP\tO' -p118590 -aS'.\t.\t.\tO\tO' -p118591 -asS'- Grandfather died of MI at age 75' -p118592 -(lp118593 -S'-\t-\tHYPH\tB-NP\tO' -p118594 -aS'Grandfather\tGrandfather\tNN\tI-NP\tO' -p118595 -aS'died\tdie\tVBD\tB-VP\tO' -p118596 -aS'of\tof\tIN\tB-PP\tO' -p118597 -aS'MI\tMI\tNN\tB-NP\tO' -p118598 -aS'at\tat\tIN\tB-PP\tO' -p118599 -aS'age\tage\tNN\tB-NP\tO' -p118600 -aS'75\t75\tCD\tI-NP\tO' -p118601 -asS'James is currently homeless .' -p118602 -(lp118603 -S'James\tJames\tNNP\tB-NP\tO' -p118604 -aS'is\tbe\tVBZ\tB-VP\tO' -p118605 -aS'currently\tcurrently\tRB\tB-ADJP\tO' -p118606 -aS'homeless\thomeless\tJJ\tI-ADJP\tO' -p118607 -aS'.\t.\t.\tO\tO' -p118608 -asS'There is also a well-healing tracheostomy scar .' -p118609 -(lp118610 -S'There\tThere\tEX\tB-NP\tO' -p118611 -aS'is\tbe\tVBZ\tB-VP\tO' -p118612 -aS'also\talso\tRB\tB-ADVP\tO' -p118613 -aS'a\ta\tDT\tB-NP\tO' -p118614 -aS'well-healing\twell-healing\tJJ\tI-NP\tO' -p118615 -aS'tracheostomy\ttracheostomy\tNN\tI-NP\tO' -p118616 -aS'scar\tscar\tNN\tI-NP\tO' -p118617 -aS'.\t.\t.\tO\tO' -p118618 -asS'The patient stopped smoking 10 years ago and works as a lawyer 20 hours per week .' -p118619 -(lp118620 -S'The\tThe\tDT\tB-NP\tO' -p118621 -aS'patient\tpatient\tNN\tI-NP\tO' -p118622 -aS'stopped\tstop\tVBD\tB-VP\tO' -p118623 -aS'smoking\tsmoke\tVBG\tI-VP\tO' -p118624 -aS'10\t10\tCD\tB-NP\tO' -p118625 -aS'years\tyear\tNNS\tI-NP\tO' -p118626 -aS'ago\tago\tRB\tB-ADVP\tO' -p118627 -aS'and\tand\tCC\tO\tO' -p118628 -aS'works\twork\tVBZ\tB-VP\tO' -p118629 -aS'as\tas\tIN\tB-PP\tO' -p118630 -aS'a\ta\tDT\tB-NP\tO' -p118631 -aS'lawyer\tlawyer\tNN\tI-NP\tB-protein' -p118632 -aS'20\t20\tCD\tB-NP\tI-protein' -p118633 -aS'hours\thour\tNNS\tI-NP\tI-protein' -p118634 -aS'per\tper\tIN\tB-PP\tI-protein' -p118635 -aS'week\tweek\tNN\tB-NP\tI-protein' -p118636 -aS'.\t.\t.\tO\tO' -p118637 -asS'Further attempts at resuscitation were unsuccessful and the patient was pronounced dead at 8:30 a.m.' -p118638 -(lp118639 -S'Further\tFurther\tJJ\tB-NP\tO' -p118640 -aS'attempts\tattempt\tNNS\tI-NP\tO' -p118641 -aS'at\tat\tIN\tB-PP\tO' -p118642 -aS'resuscitation\tresuscitation\tNN\tB-NP\tO' -p118643 -aS'were\tbe\tVBD\tB-VP\tO' -p118644 -aS'unsuccessful\tunsuccessful\tJJ\tB-ADJP\tO' -p118645 -aS'and\tand\tCC\tO\tO' -p118646 -aS'the\tthe\tDT\tB-NP\tO' -p118647 -aS'patient\tpatient\tNN\tI-NP\tO' -p118648 -aS'was\tbe\tVBD\tB-VP\tO' -p118649 -aS'pronounced\tpronounce\tVBN\tI-VP\tO' -p118650 -aS'dead\tdead\tJJ\tB-ADJP\tO' -p118651 -aS'at\tat\tIN\tB-PP\tO' -p118652 -aS'8:30\t8:30\tCD\tB-NP\tO' -p118653 -aS'a.m.\ta.m.\tNN\tI-NP\tO' -p118654 -asS'As stated before , the patient continued to ooze into her pleural space well after her definitive operation .' -p118655 -(lp118656 -S'As\tAs\tIN\tB-SBAR\tO' -p118657 -aS'stated\tstate\tVBN\tB-VP\tO' -p118658 -aS'before\tbefore\tRB\tB-ADVP\tO' -p118659 -aS',\t,\t,\tO\tO' -p118660 -aS'the\tthe\tDT\tB-NP\tO' -p118661 -aS'patient\tpatient\tNN\tI-NP\tO' -p118662 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p118663 -aS'to\tto\tTO\tI-VP\tO' -p118664 -aS'ooze\tooze\tVB\tI-VP\tO' -p118665 -aS'into\tinto\tIN\tB-PP\tO' -p118666 -aS'her\ther\tPRP$\tB-NP\tO' -p118667 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p118668 -aS'space\tspace\tNN\tI-NP\tO' -p118669 -aS'well\twell\tRB\tB-ADVP\tO' -p118670 -aS'after\tafter\tIN\tB-PP\tO' -p118671 -aS'her\ther\tPRP$\tB-NP\tO' -p118672 -aS'definitive\tdefinitive\tJJ\tI-NP\tO' -p118673 -aS'operation\toperation\tNN\tI-NP\tO' -p118674 -aS'.\t.\t.\tO\tO' -p118675 -asS'She works as a nursing assistant in a nursing home .' -p118676 -(lp118677 -S'She\tShe\tPRP\tB-NP\tO' -p118678 -aS'works\twork\tVBZ\tB-VP\tO' -p118679 -aS'as\tas\tIN\tB-PP\tO' -p118680 -aS'a\ta\tDT\tB-NP\tO' -p118681 -aS'nursing\tnursing\tNN\tI-NP\tO' -p118682 -aS'assistant\tassistant\tNN\tI-NP\tO' -p118683 -aS'in\tin\tIN\tB-PP\tO' -p118684 -aS'a\ta\tDT\tB-NP\tO' -p118685 -aS'nursing\tnursing\tNN\tI-NP\tO' -p118686 -aS'home\thome\tNN\tI-NP\tO' -p118687 -aS'.\t.\t.\tO\tO' -p118688 -asS'She was started on stress dose steroids and levo , flagyl , and vanco .' -p118689 -(lp118690 -S'She\tShe\tPRP\tB-NP\tO' -p118691 -aS'was\tbe\tVBD\tB-VP\tO' -p118692 -aS'started\tstart\tVBN\tI-VP\tO' -p118693 -aS'on\ton\tIN\tB-PP\tO' -p118694 -aS'stress\tstress\tNN\tB-NP\tO' -p118695 -aS'dose\tdose\tNN\tI-NP\tO' -p118696 -aS'steroids\tsteroid\tNNS\tI-NP\tO' -p118697 -aS'and\tand\tCC\tO\tO' -p118698 -aS'levo\tlevo\tNN\tB-NP\tO' -p118699 -aS',\t,\t,\tO\tO' -p118700 -aS'flagyl\tflagyl\tNN\tB-NP\tO' -p118701 -aS',\t,\t,\tO\tO' -p118702 -aS'and\tand\tCC\tO\tO' -p118703 -aS'vanco\tvanco\tNN\tB-NP\tO' -p118704 -aS'.\t.\t.\tO\tO' -p118705 -asS'The patient responded well to fluid resuscitation .' -p118706 -(lp118707 -S'The\tThe\tDT\tB-NP\tO' -p118708 -aS'patient\tpatient\tNN\tI-NP\tO' -p118709 -aS'responded\trespond\tVBD\tB-VP\tO' -p118710 -aS'well\twell\tRB\tB-ADVP\tO' -p118711 -aS'to\tto\tTO\tB-PP\tO' -p118712 -aS'fluid\tfluid\tNN\tB-NP\tO' -p118713 -aS'resuscitation\tresuscitation\tNN\tI-NP\tO' -p118714 -aS'.\t.\t.\tO\tO' -p118715 -asS'His weight on this admission was 3.505 kg ( 7 pounds / 12 ounces ).' -p118716 -(lp118717 -S'His\tHis\tPRP$\tB-NP\tO' -p118718 -aS'weight\tweight\tNN\tI-NP\tO' -p118719 -aS'on\ton\tIN\tB-PP\tO' -p118720 -aS'this\tthis\tDT\tB-NP\tO' -p118721 -aS'admission\tadmission\tNN\tI-NP\tO' -p118722 -aS'was\tbe\tVBD\tB-VP\tO' -p118723 -aS'3.505\t3.505\tCD\tB-NP\tO' -p118724 -aS'kg\tkg\tNN\tI-NP\tO' -p118725 -aS'(\t(\t(\tO\tO' -p118726 -aS'7\t7\tCD\tB-NP\tO' -p118727 -aS'pounds\tpound\tNNS\tI-NP\tO' -p118728 -aS'/\t/\tSYM\tB-NP\tO' -p118729 -aS'12\t12\tCD\tB-NP\tO' -p118730 -aS'ounces\tounce\tNNS\tI-NP\tO' -p118731 -aS').\t).\t)\tO\tO' -p118732 -asS'At the time of discharge , he was having acetic acid wet-to-dry dressing changes , 0.25% q. day .' -p118733 -(lp118734 -S'At\tAt\tIN\tB-PP\tO' -p118735 -aS'the\tthe\tDT\tB-NP\tO' -p118736 -aS'time\ttime\tNN\tI-NP\tO' -p118737 -aS'of\tof\tIN\tB-PP\tO' -p118738 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p118739 -aS',\t,\t,\tO\tO' -p118740 -aS'he\the\tPRP\tB-NP\tO' -p118741 -aS'was\tbe\tVBD\tB-VP\tO' -p118742 -aS'having\thave\tVBG\tI-VP\tO' -p118743 -aS'acetic\tacetic\tJJ\tB-NP\tO' -p118744 -aS'acid\tacid\tNN\tI-NP\tO' -p118745 -aS'wet-to-dry\twet-to-dry\tJJ\tB-NP\tO' -p118746 -aS'dressing\tdress\tVBG\tI-NP\tO' -p118747 -aS'changes\tchange\tNNS\tI-NP\tO' -p118748 -aS',\t,\t,\tO\tO' -p118749 -aS'0.25%\t0.25%\tCD\tB-NP\tO' -p118750 -aS'q.\tq.\tNN\tI-NP\tO' -p118751 -aS'day\tday\tNN\tI-NP\tO' -p118752 -aS'.\t.\t.\tO\tO' -p118753 -asS'The patient 's lesion compressing his thoracic spine was never biopsied , however , the MRI appearance does not seem to be infectious and is most consistent with plasmacytoma for which he is receiving the radiation therapy .' -p118754 -(lp118755 -S'The\tThe\tDT\tB-NP\tO' -p118756 -aS'patient\tpatient\tNN\tI-NP\tO' -p118757 -aS''s\t'\tNNS\tI-NP\tO' -p118758 -aS'lesion\tlesion\tNN\tI-NP\tO' -p118759 -aS'compressing\tcompress\tVBG\tB-VP\tO' -p118760 -aS'his\this\tPRP$\tB-NP\tO' -p118761 -aS'thoracic\tthoracic\tJJ\tI-NP\tO' -p118762 -aS'spine\tspine\tNN\tI-NP\tO' -p118763 -aS'was\tbe\tVBD\tB-VP\tO' -p118764 -aS'never\tnever\tRB\tI-VP\tO' -p118765 -aS'biopsied\tbiopsie\tVBN\tI-VP\tO' -p118766 -aS',\t,\t,\tO\tO' -p118767 -aS'however\thowever\tRB\tB-ADVP\tO' -p118768 -aS',\t,\t,\tO\tO' -p118769 -aS'the\tthe\tDT\tB-NP\tO' -p118770 -aS'MRI\tMRI\tNN\tI-NP\tO' -p118771 -aS'appearance\tappearance\tNN\tI-NP\tO' -p118772 -aS'does\tdo\tVBZ\tB-VP\tO' -p118773 -aS'not\tnot\tRB\tI-VP\tO' -p118774 -aS'seem\tseem\tVB\tI-VP\tO' -p118775 -aS'to\tto\tTO\tI-VP\tO' -p118776 -aS'be\tbe\tVB\tI-VP\tO' -p118777 -aS'infectious\tinfectious\tJJ\tB-ADJP\tO' -p118778 -aS'and\tand\tCC\tO\tO' -p118779 -aS'is\tbe\tVBZ\tB-VP\tO' -p118780 -aS'most\tmost\tRBS\tB-ADJP\tO' -p118781 -aS'consistent\tconsistent\tJJ\tI-ADJP\tO' -p118782 -aS'with\twith\tIN\tB-PP\tO' -p118783 -aS'plasmacytoma\tplasmacytoma\tNN\tB-NP\tO' -p118784 -aS'for\tfor\tIN\tB-PP\tO' -p118785 -aS'which\twhich\tWDT\tB-NP\tO' -p118786 -aS'he\the\tPRP\tB-NP\tO' -p118787 -aS'is\tbe\tVBZ\tB-VP\tO' -p118788 -aS'receiving\treceive\tVBG\tI-VP\tO' -p118789 -aS'the\tthe\tDT\tB-NP\tO' -p118790 -aS'radiation\tradiation\tNN\tI-NP\tO' -p118791 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p118792 -aS'.\t.\t.\tO\tO' -p118793 -asS'The patient was instructed to follow up with Dr. Slaineaee Chabechird .' -p118794 -(lp118795 -S'The\tThe\tDT\tB-NP\tO' -p118796 -aS'patient\tpatient\tNN\tI-NP\tO' -p118797 -aS'was\tbe\tVBD\tB-VP\tO' -p118798 -aS'instructed\tinstruct\tVBN\tI-VP\tO' -p118799 -aS'to\tto\tTO\tI-VP\tO' -p118800 -aS'follow\tfollow\tVB\tI-VP\tO' -p118801 -aS'up\tup\tRP\tB-PRT\tO' -p118802 -aS'with\twith\tIN\tB-PP\tO' -p118803 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p118804 -aS'Slaineaee\tSlaineaee\tNNP\tI-NP\tO' -p118805 -aS'Chabechird\tChabechird\tNNP\tI-NP\tO' -p118806 -aS'.\t.\t.\tO\tO' -p118807 -asS'Pinpoint pupils , intact corneal reflexes bilaterally .' -p118808 -(lp118809 -S'Pinpoint\tPinpoint\tNN\tB-NP\tO' -p118810 -aS'pupils\tpupil\tNNS\tI-NP\tO' -p118811 -aS',\t,\t,\tO\tO' -p118812 -aS'intact\tintact\tJJ\tB-NP\tO' -p118813 -aS'corneal\tcorneal\tJJ\tI-NP\tO' -p118814 -aS'reflexes\treflex\tNNS\tI-NP\tO' -p118815 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p118816 -aS'.\t.\t.\tO\tO' -p118817 -asS'He is admitted at this time because of significant GI bleeding .' -p118818 -(lp118819 -S'He\tHe\tPRP\tB-NP\tO' -p118820 -aS'is\tbe\tVBZ\tB-VP\tO' -p118821 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p118822 -aS'at\tat\tIN\tB-PP\tO' -p118823 -aS'this\tthis\tDT\tB-NP\tO' -p118824 -aS'time\ttime\tNN\tI-NP\tO' -p118825 -aS'because\tbecause\tIN\tB-PP\tO' -p118826 -aS'of\tof\tIN\tI-PP\tO' -p118827 -aS'significant\tsignificant\tJJ\tB-NP\tO' -p118828 -aS'GI\tGI\tNN\tI-NP\tO' -p118829 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p118830 -aS'.\t.\t.\tO\tO' -p118831 -asS'On admission the sodium was 144 , potassium 2.6 , chloride 114 , bicarbonate 12.3 , BUN 30 , creatinine 4.0 , glucose 89 .' -p118832 -(lp118833 -S'On\tOn\tIN\tB-PP\tO' -p118834 -aS'admission\tadmission\tNN\tB-NP\tO' -p118835 -aS'the\tthe\tDT\tB-NP\tO' -p118836 -aS'sodium\tsodium\tNN\tI-NP\tO' -p118837 -aS'was\tbe\tVBD\tB-VP\tO' -p118838 -aS'144\t144\tCD\tB-NP\tO' -p118839 -aS',\t,\t,\tO\tO' -p118840 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p118841 -aS'2.6\t2.6\tCD\tI-NP\tO' -p118842 -aS',\t,\t,\tO\tO' -p118843 -aS'chloride\tchloride\tNN\tB-NP\tO' -p118844 -aS'114\t114\tCD\tI-NP\tO' -p118845 -aS',\t,\t,\tO\tO' -p118846 -aS'bicarbonate\tbicarbonate\tNN\tB-NP\tB-protein' -p118847 -aS'12.3\t12.3\tCD\tI-NP\tI-protein' -p118848 -aS',\t,\t,\tO\tO' -p118849 -aS'BUN\tBUN\tNN\tB-NP\tB-DNA' -p118850 -aS'30\t30\tCD\tI-NP\tI-DNA' -p118851 -aS',\t,\t,\tO\tO' -p118852 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p118853 -aS'4.0\t4.0\tCD\tI-NP\tO' -p118854 -aS',\t,\t,\tO\tO' -p118855 -aS'glucose\tglucose\tNN\tB-NP\tO' -p118856 -aS'89\t89\tCD\tI-NP\tO' -p118857 -aS'.\t.\t.\tO\tO' -p118858 -asS'For this reason , he was taken again to the operating room on 01/08/98 , at which time a gastrojejunostomy was performed with stapling across the gastroduodenal junction , introduction of five Jackson-Pratt drains into the retroperitoneal mass , cholecystotomy tube , gastrostomy tube , and jejunostomy tube .' -p118859 -(lp118860 -S'For\tFor\tIN\tB-PP\tO' -p118861 -aS'this\tthis\tDT\tB-NP\tO' -p118862 -aS'reason\treason\tNN\tI-NP\tO' -p118863 -aS',\t,\t,\tO\tO' -p118864 -aS'he\the\tPRP\tB-NP\tO' -p118865 -aS'was\tbe\tVBD\tB-VP\tO' -p118866 -aS'taken\ttake\tVBN\tI-VP\tO' -p118867 -aS'again\tagain\tRB\tB-ADVP\tO' -p118868 -aS'to\tto\tTO\tB-PP\tO' -p118869 -aS'the\tthe\tDT\tB-NP\tO' -p118870 -aS'operating\toperating\tNN\tI-NP\tO' -p118871 -aS'room\troom\tNN\tI-NP\tO' -p118872 -aS'on\ton\tIN\tB-PP\tO' -p118873 -aS'01/08/98\t01/08/98\tCD\tB-NP\tO' -p118874 -aS',\t,\t,\tO\tO' -p118875 -aS'at\tat\tIN\tB-PP\tO' -p118876 -aS'which\twhich\tWDT\tB-NP\tO' -p118877 -aS'time\ttime\tNN\tI-NP\tO' -p118878 -aS'a\ta\tDT\tB-NP\tO' -p118879 -aS'gastrojejunostomy\tgastrojejunostomy\tNN\tI-NP\tO' -p118880 -aS'was\tbe\tVBD\tB-VP\tO' -p118881 -aS'performed\tperform\tVBN\tI-VP\tO' -p118882 -aS'with\twith\tIN\tB-PP\tO' -p118883 -aS'stapling\tstaple\tVBG\tB-VP\tO' -p118884 -aS'across\tacross\tIN\tB-PP\tO' -p118885 -aS'the\tthe\tDT\tB-NP\tO' -p118886 -aS'gastroduodenal\tgastroduodenal\tJJ\tI-NP\tO' -p118887 -aS'junction\tjunction\tNN\tI-NP\tO' -p118888 -aS',\t,\t,\tO\tO' -p118889 -aS'introduction\tintroduction\tNN\tB-NP\tO' -p118890 -aS'of\tof\tIN\tB-PP\tO' -p118891 -aS'five\tfive\tCD\tB-NP\tO' -p118892 -aS'Jackson-Pratt\tJackson-Pratt\tJJ\tI-NP\tO' -p118893 -aS'drains\tdrain\tNNS\tI-NP\tO' -p118894 -aS'into\tinto\tIN\tB-PP\tO' -p118895 -aS'the\tthe\tDT\tB-NP\tO' -p118896 -aS'retroperitoneal\tretroperitoneal\tJJ\tI-NP\tO' -p118897 -aS'mass\tmass\tNN\tI-NP\tO' -p118898 -aS',\t,\t,\tO\tO' -p118899 -aS'cholecystotomy\tcholecystotomy\tNN\tB-NP\tO' -p118900 -aS'tube\ttube\tNN\tI-NP\tO' -p118901 -aS',\t,\t,\tO\tO' -p118902 -aS'gastrostomy\tgastrostomy\tNN\tB-NP\tO' -p118903 -aS'tube\ttube\tNN\tI-NP\tO' -p118904 -aS',\t,\t,\tO\tO' -p118905 -aS'and\tand\tCC\tO\tO' -p118906 -aS'jejunostomy\tjejunostomy\tNN\tB-NP\tO' -p118907 -aS'tube\ttube\tNN\tI-NP\tO' -p118908 -aS'.\t.\t.\tO\tO' -p118909 -asS'3. He has not had a car seat position screening test .' -p118910 -(lp118911 -S'3.\t3.\tLS\tB-LST\tO' -p118912 -aS'He\tHe\tPRP\tB-NP\tB-DNA' -p118913 -aS'has\thave\tVBZ\tB-VP\tO' -p118914 -aS'not\tnot\tRB\tI-VP\tO' -p118915 -aS'had\thave\tVBN\tI-VP\tO' -p118916 -aS'a\ta\tDT\tB-NP\tO' -p118917 -aS'car\tcar\tNN\tI-NP\tO' -p118918 -aS'seat\tseat\tNN\tI-NP\tO' -p118919 -aS'position\tposition\tNN\tI-NP\tO' -p118920 -aS'screening\tscreening\tNN\tI-NP\tO' -p118921 -aS'test\ttest\tNN\tI-NP\tO' -p118922 -aS'.\t.\t.\tO\tO' -p118923 -asS'Mother had breast cancer .' -p118924 -(lp118925 -S'Mother\tMother\tNNP\tB-NP\tO' -p118926 -aS'had\thave\tVBD\tB-VP\tO' -p118927 -aS'breast\tbreast\tNN\tB-NP\tO' -p118928 -aS'cancer\tcancer\tNN\tI-NP\tO' -p118929 -aS'.\t.\t.\tO\tO' -p118930 -asS'8. End-stage renal disease , on hemodialysis for 1.5 years .' -p118931 -(lp118932 -S'8.\t8.\tLS\tB-NP\tO' -p118933 -aS'End-stage\tEnd-stage\tNN\tI-NP\tO' -p118934 -aS'renal\trenal\tJJ\tI-NP\tO' -p118935 -aS'disease\tdisease\tNN\tI-NP\tO' -p118936 -aS',\t,\t,\tO\tO' -p118937 -aS'on\ton\tIN\tB-PP\tO' -p118938 -aS'hemodialysis\themodialysis\tNN\tB-NP\tO' -p118939 -aS'for\tfor\tIN\tB-PP\tO' -p118940 -aS'1.5\t1.5\tCD\tB-NP\tO' -p118941 -aS'years\tyear\tNNS\tI-NP\tO' -p118942 -aS'.\t.\t.\tO\tO' -p118943 -asS'It was soft and nontender .' -p118944 -(lp118945 -S'It\tIt\tPRP\tB-NP\tO' -p118946 -aS'was\tbe\tVBD\tB-VP\tO' -p118947 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p118948 -aS'and\tand\tCC\tI-ADJP\tO' -p118949 -aS'nontender\tnontender\tJJ\tI-ADJP\tO' -p118950 -aS'.\t.\t.\tO\tO' -p118951 -asS'CARDIOVASCULAR : The infant has maintained stable cardiovascular status with normal heart rates and blood pressures and no murmurs .' -p118952 -(lp118953 -S'CARDIOVASCULAR\tCARDIOVASCULAR\tNN\tB-NP\tO' -p118954 -aS':\t:\t:\tO\tO' -p118955 -aS'The\tThe\tDT\tB-NP\tO' -p118956 -aS'infant\tinfant\tNN\tI-NP\tO' -p118957 -aS'has\thave\tVBZ\tB-VP\tO' -p118958 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p118959 -aS'stable\tstable\tJJ\tB-NP\tO' -p118960 -aS'cardiovascular\tcardiovascular\tJJ\tI-NP\tO' -p118961 -aS'status\tstatus\tNN\tI-NP\tO' -p118962 -aS'with\twith\tIN\tB-PP\tO' -p118963 -aS'normal\tnormal\tJJ\tB-NP\tO' -p118964 -aS'heart\theart\tNN\tI-NP\tO' -p118965 -aS'rates\trate\tNNS\tI-NP\tO' -p118966 -aS'and\tand\tCC\tO\tO' -p118967 -aS'blood\tblood\tNN\tB-NP\tO' -p118968 -aS'pressures\tpressure\tNNS\tI-NP\tO' -p118969 -aS'and\tand\tCC\tO\tO' -p118970 -aS'no\tno\tDT\tB-NP\tO' -p118971 -aS'murmurs\tmurmur\tNNS\tI-NP\tO' -p118972 -aS'.\t.\t.\tO\tO' -p118973 -asS'Then referred for surgical intervention .' -p118974 -(lp118975 -S'Then\tThen\tRB\tO\tO' -p118976 -aS'referred\trefer\tVBN\tB-VP\tO' -p118977 -aS'for\tfor\tIN\tB-PP\tO' -p118978 -aS'surgical\tsurgical\tJJ\tB-NP\tO' -p118979 -aS'intervention\tintervention\tNN\tI-NP\tO' -p118980 -aS'.\t.\t.\tO\tO' -p118981 -asS'The initial hematocrit was 21.2 , platelets 186 .' -p118982 -(lp118983 -S'The\tThe\tDT\tB-NP\tO' -p118984 -aS'initial\tinitial\tJJ\tI-NP\tO' -p118985 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p118986 -aS'was\tbe\tVBD\tB-VP\tO' -p118987 -aS'21.2\t21.2\tCD\tB-NP\tO' -p118988 -aS',\t,\t,\tO\tO' -p118989 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p118990 -aS'186\t186\tCD\tB-NP\tO' -p118991 -aS'.\t.\t.\tO\tO' -p118992 -asS'She has been previously hospitalized on 12 April 1998 for the same diagnosis .' -p118993 -(lp118994 -S'She\tShe\tPRP\tB-NP\tO' -p118995 -aS'has\thave\tVBZ\tB-VP\tO' -p118996 -aS'been\tbe\tVBN\tI-VP\tO' -p118997 -aS'previously\tpreviously\tRB\tI-VP\tO' -p118998 -aS'hospitalized\thospitalize\tVBN\tI-VP\tO' -p118999 -aS'on\ton\tIN\tB-PP\tO' -p119000 -aS'12\t12\tCD\tB-NP\tO' -p119001 -aS'April\tApril\tNNP\tI-NP\tO' -p119002 -aS'1998\t1998\tCD\tI-NP\tO' -p119003 -aS'for\tfor\tIN\tB-PP\tO' -p119004 -aS'the\tthe\tDT\tB-NP\tO' -p119005 -aS'same\tsame\tJJ\tI-NP\tO' -p119006 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p119007 -aS'.\t.\t.\tO\tO' -p119008 -asS'12. Vicodin 5-500 mg tablets q.4-6h. as needed for pain .' -p119009 -(lp119010 -S'12.\t12.\tLS\tB-LST\tO' -p119011 -aS'Vicodin\tVicodin\tNNP\tB-NP\tO' -p119012 -aS'5-500\t5-500\t:\tO\tO' -p119013 -aS'mg\tmg\tNN\tB-NP\tO' -p119014 -aS'tablets\ttablet\tVBZ\tB-VP\tO' -p119015 -aS'q.4-6h.\tq.4-6h.\tNN\tB-NP\tO' -p119016 -aS'as\tas\tIN\tB-SBAR\tO' -p119017 -aS'needed\tneed\tVBN\tB-VP\tO' -p119018 -aS'for\tfor\tIN\tB-PP\tO' -p119019 -aS'pain\tpain\tNN\tB-NP\tO' -p119020 -aS'.\t.\t.\tO\tO' -p119021 -asS'Head and neck were unremarkable .' -p119022 -(lp119023 -S'Head\tHead\tNN\tB-NP\tO' -p119024 -aS'and\tand\tCC\tI-NP\tO' -p119025 -aS'neck\tneck\tNN\tI-NP\tO' -p119026 -aS'were\tbe\tVBD\tB-VP\tO' -p119027 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p119028 -aS'.\t.\t.\tO\tO' -p119029 -asS'2. Systolic and diastolic congestive heart failure .' -p119030 -(lp119031 -S'2.\t2.\tLS\tB-NP\tO' -p119032 -aS'Systolic\tSystolic\tJJ\tI-NP\tO' -p119033 -aS'and\tand\tCC\tI-NP\tO' -p119034 -aS'diastolic\tdiastolic\tJJ\tI-NP\tO' -p119035 -aS'congestive\tcongestive\tJJ\tI-NP\tO' -p119036 -aS'heart\theart\tNN\tI-NP\tO' -p119037 -aS'failure\tfailure\tNN\tI-NP\tO' -p119038 -aS'.\t.\t.\tO\tO' -p119039 -asS'He initially required nitroglycerin drip .' -p119040 -(lp119041 -S'He\tHe\tPRP\tB-NP\tO' -p119042 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p119043 -aS'required\trequire\tVBD\tB-VP\tO' -p119044 -aS'nitroglycerin\tnitroglycerin\tNN\tB-NP\tO' -p119045 -aS'drip\tdrip\tNN\tI-NP\tO' -p119046 -aS'.\t.\t.\tO\tO' -p119047 -asS'Palpable dorsalis pedis pulses .' -p119048 -(lp119049 -S'Palpable\tPalpable\tJJ\tB-NP\tO' -p119050 -aS'dorsalis\tdorsalis\tNN\tI-NP\tO' -p119051 -aS'pedis\tpedis\tNN\tI-NP\tO' -p119052 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p119053 -aS'.\t.\t.\tO\tO' -p119054 -asS'At this point , it was determined that the patient would not receive percutaneous coronary intervention on this admission and would likely be discharged to the floor for stabilization with followup .' -p119055 -(lp119056 -S'At\tAt\tIN\tB-PP\tO' -p119057 -aS'this\tthis\tDT\tB-NP\tO' -p119058 -aS'point\tpoint\tNN\tI-NP\tO' -p119059 -aS',\t,\t,\tO\tO' -p119060 -aS'it\tit\tPRP\tB-NP\tO' -p119061 -aS'was\tbe\tVBD\tB-VP\tO' -p119062 -aS'determined\tdetermine\tVBN\tI-VP\tO' -p119063 -aS'that\tthat\tIN\tB-SBAR\tO' -p119064 -aS'the\tthe\tDT\tB-NP\tO' -p119065 -aS'patient\tpatient\tNN\tI-NP\tO' -p119066 -aS'would\twould\tMD\tB-VP\tO' -p119067 -aS'not\tnot\tRB\tI-VP\tO' -p119068 -aS'receive\treceive\tVB\tI-VP\tO' -p119069 -aS'percutaneous\tpercutaneous\tJJ\tB-NP\tO' -p119070 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p119071 -aS'intervention\tintervention\tNN\tI-NP\tO' -p119072 -aS'on\ton\tIN\tB-PP\tO' -p119073 -aS'this\tthis\tDT\tB-NP\tO' -p119074 -aS'admission\tadmission\tNN\tI-NP\tO' -p119075 -aS'and\tand\tCC\tO\tO' -p119076 -aS'would\twould\tMD\tB-VP\tO' -p119077 -aS'likely\tlikely\tRB\tI-VP\tO' -p119078 -aS'be\tbe\tVB\tI-VP\tO' -p119079 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p119080 -aS'to\tto\tTO\tB-PP\tO' -p119081 -aS'the\tthe\tDT\tB-NP\tO' -p119082 -aS'floor\tfloor\tNN\tI-NP\tO' -p119083 -aS'for\tfor\tIN\tB-PP\tO' -p119084 -aS'stabilization\tstabilization\tNN\tB-NP\tO' -p119085 -aS'with\twith\tIN\tB-PP\tO' -p119086 -aS'followup\tfollowup\tNN\tB-NP\tO' -p119087 -aS'.\t.\t.\tO\tO' -p119088 -asS'Potassium was 3.0 , glucose 131 .' -p119089 -(lp119090 -S'Potassium\tPotassium\tNN\tB-NP\tO' -p119091 -aS'was\tbe\tVBD\tB-VP\tO' -p119092 -aS'3.0\t3.0\tCD\tB-NP\tO' -p119093 -aS',\t,\t,\tO\tO' -p119094 -aS'glucose\tglucose\tNN\tB-NP\tO' -p119095 -aS'131\t131\tCD\tI-NP\tO' -p119096 -aS'.\t.\t.\tO\tO' -p119097 -asS'It was believed that she was continuing to bleed in her chest .' -p119098 -(lp119099 -S'It\tIt\tPRP\tB-NP\tO' -p119100 -aS'was\tbe\tVBD\tB-VP\tO' -p119101 -aS'believed\tbelieve\tVBN\tI-VP\tO' -p119102 -aS'that\tthat\tIN\tB-SBAR\tO' -p119103 -aS'she\tshe\tPRP\tB-NP\tO' -p119104 -aS'was\tbe\tVBD\tB-VP\tO' -p119105 -aS'continuing\tcontinue\tVBG\tI-VP\tO' -p119106 -aS'to\tto\tTO\tI-VP\tO' -p119107 -aS'bleed\tbleed\tVB\tI-VP\tO' -p119108 -aS'in\tin\tIN\tB-PP\tO' -p119109 -aS'her\ther\tPRP$\tB-NP\tO' -p119110 -aS'chest\tchest\tNN\tI-NP\tO' -p119111 -aS'.\t.\t.\tO\tO' -p119112 -asS'Severe chronic obstructive pulmonary disease .' -p119113 -(lp119114 -S'Severe\tSevere\tJJ\tB-NP\tO' -p119115 -aS'chronic\tchronic\tJJ\tI-NP\tO' -p119116 -aS'obstructive\tobstructive\tJJ\tI-NP\tO' -p119117 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p119118 -aS'disease\tdisease\tNN\tI-NP\tO' -p119119 -aS'.\t.\t.\tO\tO' -p119120 -asS'On postoperative day number three , patient went into atrial fibrillation , which was treated appropriately with metoprolol and digoxin and converted back to sinus rhythm .' -p119121 -(lp119122 -S'On\tOn\tIN\tB-PP\tO' -p119123 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p119124 -aS'day\tday\tNN\tI-NP\tO' -p119125 -aS'number\tnumber\tNN\tI-NP\tO' -p119126 -aS'three\tthree\tCD\tB-NP\tO' -p119127 -aS',\t,\t,\tO\tO' -p119128 -aS'patient\tpatient\tNN\tB-NP\tO' -p119129 -aS'went\tgo\tVBD\tB-VP\tO' -p119130 -aS'into\tinto\tIN\tB-PP\tO' -p119131 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p119132 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p119133 -aS',\t,\t,\tO\tO' -p119134 -aS'which\twhich\tWDT\tB-NP\tO' -p119135 -aS'was\tbe\tVBD\tB-VP\tO' -p119136 -aS'treated\ttreat\tVBN\tI-VP\tO' -p119137 -aS'appropriately\tappropriately\tRB\tB-ADVP\tO' -p119138 -aS'with\twith\tIN\tB-PP\tO' -p119139 -aS'metoprolol\tmetoprolol\tNN\tB-NP\tO' -p119140 -aS'and\tand\tCC\tI-NP\tO' -p119141 -aS'digoxin\tdigoxin\tNN\tI-NP\tO' -p119142 -aS'and\tand\tCC\tO\tO' -p119143 -aS'converted\tconvert\tVBD\tB-VP\tO' -p119144 -aS'back\tback\tRB\tB-ADVP\tO' -p119145 -aS'to\tto\tTO\tB-PP\tO' -p119146 -aS'sinus\tsinus\tNN\tB-NP\tO' -p119147 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p119148 -aS'.\t.\t.\tO\tO' -p119149 -asS'Attending : Richard S. Humphries , M.D.' -p119150 -(lp119151 -S'Attending\tAttend\tVBG\tB-VP\tO' -p119152 -aS':\t:\t:\tO\tO' -p119153 -aS'Richard\tRichard\tNNP\tB-NP\tO' -p119154 -aS'S.\tS.\tNNP\tI-NP\tO' -p119155 -aS'Humphries\tHumphries\tNNP\tI-NP\tO' -p119156 -aS',\t,\t,\tO\tO' -p119157 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p119158 -asS'1. Hypertension .' -p119159 -(lp119160 -S'1.\t1.\tLS\tB-NP\tO' -p119161 -aS'Hypertension\tHypertension\tNN\tI-NP\tO' -p119162 -aS'.\t.\t.\tO\tO' -p119163 -asS'PT 12 , PTT 27 , and INR 1.0 .' -p119164 -(lp119165 -S'PT\tPT\tNN\tB-NP\tB-protein' -p119166 -aS'12\t12\tCD\tI-NP\tI-protein' -p119167 -aS',\t,\t,\tO\tO' -p119168 -aS'PTT\tPTT\tNN\tB-NP\tB-DNA' -p119169 -aS'27\t27\tCD\tI-NP\tI-DNA' -p119170 -aS',\t,\t,\tO\tO' -p119171 -aS'and\tand\tCC\tO\tO' -p119172 -aS'INR\tINR\tNN\tB-NP\tB-protein' -p119173 -aS'1.0\t1.0\tCD\tI-NP\tI-protein' -p119174 -aS'.\t.\t.\tO\tO' -p119175 -asS'The right ventricle was compressed .' -p119176 -(lp119177 -S'The\tThe\tDT\tB-NP\tO' -p119178 -aS'right\tright\tJJ\tI-NP\tO' -p119179 -aS'ventricle\tventricle\tNN\tI-NP\tO' -p119180 -aS'was\tbe\tVBD\tB-VP\tO' -p119181 -aS'compressed\tcompress\tVBN\tI-VP\tO' -p119182 -aS'.\t.\t.\tO\tO' -p119183 -asS'Ophthalmology : eyes were examined most recently on 2009-01-14 , revealing mature retinal vessels .' -p119184 -(lp119185 -S'Ophthalmology\tOphthalmology\tNN\tB-NP\tO' -p119186 -aS':\t:\t:\tO\tO' -p119187 -aS'eyes\teye\tNNS\tB-NP\tO' -p119188 -aS'were\tbe\tVBD\tB-VP\tO' -p119189 -aS'examined\texamine\tVBN\tI-VP\tO' -p119190 -aS'most\tmost\tRBS\tB-ADVP\tO' -p119191 -aS'recently\trecently\tRB\tI-ADVP\tO' -p119192 -aS'on\ton\tIN\tB-PP\tO' -p119193 -aS'2009-01-14\t2009-01-14\tCD\tB-NP\tO' -p119194 -aS',\t,\t,\tO\tO' -p119195 -aS'revealing\treveal\tVBG\tB-VP\tO' -p119196 -aS'mature\tmature\tJJ\tB-NP\tO' -p119197 -aS'retinal\tretinal\tJJ\tI-NP\tO' -p119198 -aS'vessels\tvessel\tNNS\tI-NP\tO' -p119199 -aS'.\t.\t.\tO\tO' -p119200 -asS'A CT of her sinues revealed no fractures .' -p119201 -(lp119202 -S'A\tA\tDT\tB-NP\tO' -p119203 -aS'CT\tCT\tNN\tI-NP\tO' -p119204 -aS'of\tof\tIN\tB-PP\tO' -p119205 -aS'her\ther\tPRP$\tB-NP\tO' -p119206 -aS'sinues\tsinue\tNNS\tI-NP\tO' -p119207 -aS'revealed\treveal\tVBD\tB-VP\tO' -p119208 -aS'no\tno\tDT\tB-NP\tO' -p119209 -aS'fractures\tfracture\tNNS\tI-NP\tO' -p119210 -aS'.\t.\t.\tO\tO' -p119211 -asS'Admitted to the CMED CSRU for further management .' -p119212 -(lp119213 -S'Admitted\tAdmit\tVBN\tB-VP\tO' -p119214 -aS'to\tto\tTO\tB-PP\tO' -p119215 -aS'the\tthe\tDT\tB-NP\tO' -p119216 -aS'CMED\tCMED\tVBN\tI-NP\tO' -p119217 -aS'CSRU\tCSRU\tNN\tI-NP\tO' -p119218 -aS'for\tfor\tIN\tB-PP\tO' -p119219 -aS'further\tfurther\tJJ\tB-NP\tO' -p119220 -aS'management\tmanagement\tNN\tI-NP\tO' -p119221 -aS'.\t.\t.\tO\tO' -p119222 -asS'She went for a debridement of her left calf lesion on 10/2/93 and was started empirically on IV ceftriaxone which was changed to po doxycycline on the day of discharge .' -p119223 -(lp119224 -S'She\tShe\tPRP\tB-NP\tO' -p119225 -aS'went\tgo\tVBD\tB-VP\tO' -p119226 -aS'for\tfor\tIN\tB-PP\tO' -p119227 -aS'a\ta\tDT\tB-NP\tO' -p119228 -aS'debridement\tdebridement\tNN\tI-NP\tO' -p119229 -aS'of\tof\tIN\tB-PP\tO' -p119230 -aS'her\ther\tPRP$\tB-NP\tO' -p119231 -aS'left\tleft\tJJ\tI-NP\tO' -p119232 -aS'calf\tcalf\tNN\tI-NP\tO' -p119233 -aS'lesion\tlesion\tNN\tI-NP\tO' -p119234 -aS'on\ton\tIN\tB-PP\tO' -p119235 -aS'10/2/93\t10/2/93\tCD\tB-NP\tO' -p119236 -aS'and\tand\tCC\tO\tO' -p119237 -aS'was\tbe\tVBD\tB-VP\tO' -p119238 -aS'started\tstart\tVBN\tI-VP\tO' -p119239 -aS'empirically\tempirically\tRB\tB-ADVP\tO' -p119240 -aS'on\ton\tIN\tB-PP\tO' -p119241 -aS'IV\tIV\tCD\tB-NP\tO' -p119242 -aS'ceftriaxone\tceftriaxone\tNN\tI-NP\tO' -p119243 -aS'which\twhich\tWDT\tB-NP\tO' -p119244 -aS'was\tbe\tVBD\tB-VP\tO' -p119245 -aS'changed\tchange\tVBN\tI-VP\tO' -p119246 -aS'to\tto\tTO\tI-VP\tO' -p119247 -aS'po\tpo\tVB\tI-VP\tO' -p119248 -aS'doxycycline\tdoxycycline\tNN\tB-NP\tO' -p119249 -aS'on\ton\tIN\tB-PP\tO' -p119250 -aS'the\tthe\tDT\tB-NP\tO' -p119251 -aS'day\tday\tNN\tI-NP\tO' -p119252 -aS'of\tof\tIN\tB-PP\tO' -p119253 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p119254 -aS'.\t.\t.\tO\tO' -p119255 -asS'Troponins have been less than 0.01.' -p119256 -(lp119257 -S'Troponins\tTroponin\tNNS\tB-NP\tB-protein' -p119258 -aS'have\thave\tVBP\tB-VP\tO' -p119259 -aS'been\tbe\tVBN\tI-VP\tO' -p119260 -aS'less\tless\tJJR\tB-NP\tO' -p119261 -aS'than\tthan\tIN\tI-NP\tO' -p119262 -aS'0.01.\t0.01.\tCD\tI-NP\tO' -p119263 -asS'He presented to the Edith Nourse Rogers Memorial VA Hospital emergency room , where an initial head CT scan was read as negative .' -p119264 -(lp119265 -S'He\tHe\tPRP\tB-NP\tO' -p119266 -aS'presented\tpresent\tVBD\tB-VP\tO' -p119267 -aS'to\tto\tTO\tB-PP\tO' -p119268 -aS'the\tthe\tDT\tB-NP\tO' -p119269 -aS'Edith\tEdith\tNNP\tI-NP\tO' -p119270 -aS'Nourse\tNourse\tNNP\tI-NP\tO' -p119271 -aS'Rogers\tRogers\tNNP\tI-NP\tO' -p119272 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p119273 -aS'VA\tVA\tNNP\tI-NP\tO' -p119274 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p119275 -aS'emergency\temergency\tNN\tI-NP\tO' -p119276 -aS'room\troom\tNN\tI-NP\tO' -p119277 -aS',\t,\t,\tO\tO' -p119278 -aS'where\twhere\tWRB\tB-ADVP\tO' -p119279 -aS'an\tan\tDT\tB-NP\tO' -p119280 -aS'initial\tinitial\tJJ\tI-NP\tO' -p119281 -aS'head\thead\tNN\tI-NP\tO' -p119282 -aS'CT\tCT\tNN\tI-NP\tO' -p119283 -aS'scan\tscan\tNN\tI-NP\tO' -p119284 -aS'was\tbe\tVBD\tB-VP\tO' -p119285 -aS'read\tread\tVBN\tI-VP\tO' -p119286 -aS'as\tas\tIN\tB-PP\tO' -p119287 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p119288 -aS'.\t.\t.\tO\tO' -p119289 -asS'5 mg on Mon and Thurs .' -p119290 -(lp119291 -S'5\t5\tCD\tB-NP\tO' -p119292 -aS'mg\tmg\tNN\tI-NP\tO' -p119293 -aS'on\ton\tIN\tB-PP\tO' -p119294 -aS'Mon\tMon\tNNP\tB-NP\tO' -p119295 -aS'and\tand\tCC\tI-NP\tO' -p119296 -aS'Thurs\tThurs\tNNP\tI-NP\tO' -p119297 -aS'.\t.\t.\tO\tO' -p119298 -asS'The patient was taken to the operating room on hospital day # 1 where she underwent an uncomplicated total abdominal hysterectomy , bilateral salpingo-oophorectomy , right lymph node dissection , appendectomy , omental biopsy , pelvic washings , and Pap of the diaphragm .' -p119299 -(lp119300 -S'The\tThe\tDT\tB-NP\tO' -p119301 -aS'patient\tpatient\tNN\tI-NP\tO' -p119302 -aS'was\tbe\tVBD\tB-VP\tO' -p119303 -aS'taken\ttake\tVBN\tI-VP\tO' -p119304 -aS'to\tto\tTO\tB-PP\tO' -p119305 -aS'the\tthe\tDT\tB-NP\tO' -p119306 -aS'operating\toperating\tNN\tI-NP\tO' -p119307 -aS'room\troom\tNN\tI-NP\tO' -p119308 -aS'on\ton\tIN\tB-PP\tO' -p119309 -aS'hospital\thospital\tNN\tB-NP\tO' -p119310 -aS'day\tday\tNN\tI-NP\tO' -p119311 -aS'#\t#\t#\tB-NP\tO' -p119312 -aS'1\t1\tCD\tI-NP\tO' -p119313 -aS'where\twhere\tWRB\tB-ADVP\tO' -p119314 -aS'she\tshe\tPRP\tB-NP\tO' -p119315 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p119316 -aS'an\tan\tDT\tB-NP\tO' -p119317 -aS'uncomplicated\tuncomplicated\tJJ\tI-NP\tO' -p119318 -aS'total\ttotal\tJJ\tI-NP\tO' -p119319 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p119320 -aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' -p119321 -aS',\t,\t,\tO\tO' -p119322 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p119323 -aS'salpingo-oophorectomy\tsalpingo-oophorectomy\tNN\tI-NP\tO' -p119324 -aS',\t,\t,\tO\tO' -p119325 -aS'right\tright\tJJ\tB-NP\tO' -p119326 -aS'lymph\tlymph\tNN\tI-NP\tO' -p119327 -aS'node\tnode\tNN\tI-NP\tO' -p119328 -aS'dissection\tdissection\tNN\tI-NP\tO' -p119329 -aS',\t,\t,\tO\tO' -p119330 -aS'appendectomy\tappendectomy\tNN\tB-NP\tO' -p119331 -aS',\t,\t,\tO\tO' -p119332 -aS'omental\tomental\tJJ\tB-NP\tO' -p119333 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p119334 -aS',\t,\t,\tO\tO' -p119335 -aS'pelvic\tpelvic\tJJ\tB-NP\tO' -p119336 -aS'washings\twashing\tNNS\tI-NP\tO' -p119337 -aS',\t,\t,\tO\tO' -p119338 -aS'and\tand\tCC\tO\tO' -p119339 -aS'Pap\tPap\tNN\tB-NP\tB-protein' -p119340 -aS'of\tof\tIN\tB-PP\tO' -p119341 -aS'the\tthe\tDT\tB-NP\tO' -p119342 -aS'diaphragm\tdiaphragm\tNN\tI-NP\tO' -p119343 -aS'.\t.\t.\tO\tO' -p119344 -asS'This is a 39 year old female , s / p Roux-en-Y gastric bypass in 09/06 who is admitted for elective repair of a ventral hernia .' -p119345 -(lp119346 -S'This\tThis\tDT\tB-NP\tO' -p119347 -aS'is\tbe\tVBZ\tB-VP\tO' -p119348 -aS'a\ta\tDT\tB-NP\tO' -p119349 -aS'39\t39\tCD\tI-NP\tO' -p119350 -aS'year\tyear\tNN\tI-NP\tO' -p119351 -aS'old\told\tJJ\tI-NP\tO' -p119352 -aS'female\tfemale\tNN\tI-NP\tO' -p119353 -aS',\t,\t,\tO\tO' -p119354 -aS's\ts\tNN\tB-NP\tB-protein' -p119355 -aS'/\t/\tSYM\tI-NP\tI-protein' -p119356 -aS'p\tp\tNN\tI-NP\tI-protein' -p119357 -aS'Roux-en-Y\tRoux-en-Y\tNN\tI-NP\tI-protein' -p119358 -aS'gastric\tgastric\tJJ\tI-NP\tI-protein' -p119359 -aS'bypass\tbypass\tNN\tI-NP\tI-protein' -p119360 -aS'in\tin\tIN\tB-PP\tO' -p119361 -aS'09/06\t09/06\tCD\tB-NP\tO' -p119362 -aS'who\twho\tWP\tB-NP\tO' -p119363 -aS'is\tbe\tVBZ\tB-VP\tO' -p119364 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p119365 -aS'for\tfor\tIN\tB-PP\tO' -p119366 -aS'elective\telective\tJJ\tB-NP\tO' -p119367 -aS'repair\trepair\tNN\tI-NP\tO' -p119368 -aS'of\tof\tIN\tB-PP\tO' -p119369 -aS'a\ta\tDT\tB-NP\tO' -p119370 -aS'ventral\tventral\tJJ\tI-NP\tO' -p119371 -aS'hernia\thernia\tNN\tI-NP\tO' -p119372 -aS'.\t.\t.\tO\tO' -p119373 -asS'Normal appearing small bowel .' -p119374 -(lp119375 -S'Normal\tNormal\tJJ\tB-ADJP\tO' -p119376 -aS'appearing\tappear\tVBG\tB-VP\tO' -p119377 -aS'small\tsmall\tJJ\tB-NP\tO' -p119378 -aS'bowel\tbowel\tNN\tI-NP\tO' -p119379 -aS'.\t.\t.\tO\tO' -p119380 -asS'Yesterday morning , he developed intermittent substernal chest pain with radiation to the left shoulder that worsened with any activity and any motion of his shoulders .' -p119381 -(lp119382 -S'Yesterday\tYesterday\tNN\tB-NP\tO' -p119383 -aS'morning\tmorning\tNN\tI-NP\tO' -p119384 -aS',\t,\t,\tO\tO' -p119385 -aS'he\the\tPRP\tB-NP\tO' -p119386 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p119387 -aS'intermittent\tintermittent\tJJ\tB-NP\tO' -p119388 -aS'substernal\tsubsternal\tJJ\tI-NP\tO' -p119389 -aS'chest\tchest\tNN\tI-NP\tO' -p119390 -aS'pain\tpain\tNN\tI-NP\tO' -p119391 -aS'with\twith\tIN\tB-PP\tO' -p119392 -aS'radiation\tradiation\tNN\tB-NP\tO' -p119393 -aS'to\tto\tTO\tB-PP\tO' -p119394 -aS'the\tthe\tDT\tB-NP\tO' -p119395 -aS'left\tleft\tJJ\tI-NP\tO' -p119396 -aS'shoulder\tshoulder\tNN\tI-NP\tO' -p119397 -aS'that\tthat\tWDT\tB-NP\tO' -p119398 -aS'worsened\tworsen\tVBD\tB-VP\tO' -p119399 -aS'with\twith\tIN\tB-PP\tO' -p119400 -aS'any\tany\tDT\tB-NP\tO' -p119401 -aS'activity\tactivity\tNN\tI-NP\tO' -p119402 -aS'and\tand\tCC\tO\tO' -p119403 -aS'any\tany\tDT\tB-NP\tO' -p119404 -aS'motion\tmotion\tNN\tI-NP\tO' -p119405 -aS'of\tof\tIN\tB-PP\tO' -p119406 -aS'his\this\tPRP$\tB-NP\tO' -p119407 -aS'shoulders\tshoulder\tNNS\tI-NP\tO' -p119408 -aS'.\t.\t.\tO\tO' -p119409 -asS'We will arrange to have a copy of the MRI scans sent to him .' -p119410 -(lp119411 -S'We\tWe\tPRP\tB-NP\tO' -p119412 -aS'will\twill\tMD\tB-VP\tO' -p119413 -aS'arrange\tarrange\tVB\tI-VP\tO' -p119414 -aS'to\tto\tTO\tI-VP\tO' -p119415 -aS'have\thave\tVB\tI-VP\tO' -p119416 -aS'a\ta\tDT\tB-NP\tO' -p119417 -aS'copy\tcopy\tNN\tI-NP\tO' -p119418 -aS'of\tof\tIN\tB-PP\tO' -p119419 -aS'the\tthe\tDT\tB-NP\tO' -p119420 -aS'MRI\tMRI\tNN\tI-NP\tO' -p119421 -aS'scans\tscan\tNNS\tI-NP\tO' -p119422 -aS'sent\tsend\tVBN\tB-VP\tO' -p119423 -aS'to\tto\tTO\tB-PP\tO' -p119424 -aS'him\thim\tPRP\tB-NP\tO' -p119425 -aS'.\t.\t.\tO\tO' -p119426 -asS'Serum toxicology screen was positive for TCA s.' -p119427 -(lp119428 -S'Serum\tSerum\tNN\tB-NP\tO' -p119429 -aS'toxicology\ttoxicology\tNN\tI-NP\tO' -p119430 -aS'screen\tscreen\tNN\tI-NP\tO' -p119431 -aS'was\tbe\tVBD\tB-VP\tO' -p119432 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p119433 -aS'for\tfor\tIN\tB-PP\tO' -p119434 -aS'TCA\tTCA\tNN\tB-NP\tB-protein' -p119435 -aS's.\ts.\tNN\tI-NP\tI-protein' -p119436 -asS'also has h / o anxiety and GERD .' -p119437 -(lp119438 -S'also\talso\tRB\tB-ADVP\tO' -p119439 -aS'has\thave\tVBZ\tB-VP\tO' -p119440 -aS'h\th\tNN\tB-NP\tO' -p119441 -aS'/\t/\tSYM\tI-NP\tO' -p119442 -aS'o\to\tNN\tI-NP\tO' -p119443 -aS'anxiety\tanxiety\tNN\tI-NP\tO' -p119444 -aS'and\tand\tCC\tI-NP\tO' -p119445 -aS'GERD\tGERD\tNN\tI-NP\tO' -p119446 -aS'.\t.\t.\tO\tO' -p119447 -asS'Grossly intact .' -p119448 -(lp119449 -S'Grossly\tGrossly\tRB\tB-ADJP\tO' -p119450 -aS'intact\tintact\tJJ\tI-ADJP\tO' -p119451 -aS'.\t.\t.\tO\tO' -p119452 -asS'Calculated ejection fraction was 45-50% .' -p119453 -(lp119454 -S'Calculated\tCalculate\tVBN\tB-NP\tO' -p119455 -aS'ejection\tejection\tNN\tI-NP\tO' -p119456 -aS'fraction\tfraction\tNN\tI-NP\tO' -p119457 -aS'was\tbe\tVBD\tB-VP\tO' -p119458 -aS'45-50%\t45-50%\tJJ\tB-ADJP\tO' -p119459 -aS'.\t.\t.\tO\tO' -p119460 -asS'Urinalysis was positive for protein .' -p119461 -(lp119462 -S'Urinalysis\tUrinalysis\tNN\tB-NP\tO' -p119463 -aS'was\tbe\tVBD\tB-VP\tO' -p119464 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p119465 -aS'for\tfor\tIN\tB-PP\tO' -p119466 -aS'protein\tprotein\tNN\tB-NP\tO' -p119467 -aS'.\t.\t.\tO\tO' -p119468 -asS'Patient to get CBC checked with PCP this week as below .' -p119469 -(lp119470 -S'Patient\tPatient\tNN\tB-NP\tO' -p119471 -aS'to\tto\tTO\tB-VP\tO' -p119472 -aS'get\tget\tVB\tI-VP\tO' -p119473 -aS'CBC\tCBC\tNN\tB-NP\tB-protein' -p119474 -aS'checked\tcheck\tVBN\tB-VP\tO' -p119475 -aS'with\twith\tIN\tB-PP\tO' -p119476 -aS'PCP\tPCP\tNN\tB-NP\tO' -p119477 -aS'this\tthis\tDT\tB-NP\tO' -p119478 -aS'week\tweek\tNN\tI-NP\tO' -p119479 -aS'as\tas\tIN\tB-PP\tO' -p119480 -aS'below\tbelow\tIN\tB-ADVP\tO' -p119481 -aS'.\t.\t.\tO\tO' -p119482 -asS'The patient remained afebrile , however , and his electrolytes were within normal limits .' -p119483 -(lp119484 -S'The\tThe\tDT\tB-NP\tO' -p119485 -aS'patient\tpatient\tNN\tI-NP\tO' -p119486 -aS'remained\tremain\tVBD\tB-VP\tO' -p119487 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p119488 -aS',\t,\t,\tO\tO' -p119489 -aS'however\thowever\tRB\tB-ADVP\tO' -p119490 -aS',\t,\t,\tO\tO' -p119491 -aS'and\tand\tCC\tO\tO' -p119492 -aS'his\this\tPRP$\tB-NP\tO' -p119493 -aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' -p119494 -aS'were\tbe\tVBD\tB-VP\tO' -p119495 -aS'within\twithin\tIN\tB-PP\tO' -p119496 -aS'normal\tnormal\tJJ\tB-NP\tO' -p119497 -aS'limits\tlimit\tNNS\tI-NP\tO' -p119498 -aS'.\t.\t.\tO\tO' -p119499 -asS'Cystoprostatectomy , bilateral inguinal hernia repair .' -p119500 -(lp119501 -S'Cystoprostatectomy\tCystoprostatectomy\tNN\tB-NP\tO' -p119502 -aS',\t,\t,\tO\tO' -p119503 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p119504 -aS'inguinal\tinguinal\tJJ\tI-NP\tO' -p119505 -aS'hernia\thernia\tNN\tI-NP\tO' -p119506 -aS'repair\trepair\tNN\tI-NP\tO' -p119507 -aS'.\t.\t.\tO\tO' -p119508 -asS'She has had an appendectomy and cholecystectomy .' -p119509 -(lp119510 -S'She\tShe\tPRP\tB-NP\tO' -p119511 -aS'has\thave\tVBZ\tB-VP\tO' -p119512 -aS'had\thave\tVBN\tI-VP\tO' -p119513 -aS'an\tan\tDT\tB-NP\tO' -p119514 -aS'appendectomy\tappendectomy\tNN\tI-NP\tO' -p119515 -aS'and\tand\tCC\tI-NP\tO' -p119516 -aS'cholecystectomy\tcholecystectomy\tNN\tI-NP\tO' -p119517 -aS'.\t.\t.\tO\tO' -p119518 -asS'Regular rate and rhythm , normal S1 , S2 , no murmurs , rubs , or gallops .' -p119519 -(lp119520 -S'Regular\tRegular\tJJ\tB-NP\tO' -p119521 -aS'rate\trate\tNN\tI-NP\tO' -p119522 -aS'and\tand\tCC\tI-NP\tO' -p119523 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p119524 -aS',\t,\t,\tO\tO' -p119525 -aS'normal\tnormal\tJJ\tB-NP\tO' -p119526 -aS'S1\tS1\tNN\tI-NP\tO' -p119527 -aS',\t,\t,\tO\tO' -p119528 -aS'S2\tS2\tNN\tB-NP\tB-protein' -p119529 -aS',\t,\t,\tO\tO' -p119530 -aS'no\tno\tDT\tB-NP\tO' -p119531 -aS'murmurs\tmurmur\tNNS\tI-NP\tO' -p119532 -aS',\t,\t,\tO\tO' -p119533 -aS'rubs\trub\tNNS\tB-NP\tO' -p119534 -aS',\t,\t,\tO\tO' -p119535 -aS'or\tor\tCC\tO\tO' -p119536 -aS'gallops\tgallop\tNNS\tB-NP\tO' -p119537 -aS'.\t.\t.\tO\tO' -p119538 -asS'He had an ecchymosis over the medial right costal margin and his abdomen was distended .' -p119539 -(lp119540 -S'He\tHe\tPRP\tB-NP\tO' -p119541 -aS'had\thave\tVBD\tB-VP\tO' -p119542 -aS'an\tan\tDT\tB-NP\tO' -p119543 -aS'ecchymosis\tecchymosis\tNN\tI-NP\tO' -p119544 -aS'over\tover\tIN\tB-PP\tO' -p119545 -aS'the\tthe\tDT\tB-NP\tO' -p119546 -aS'medial\tmedial\tJJ\tI-NP\tO' -p119547 -aS'right\tright\tJJ\tI-NP\tO' -p119548 -aS'costal\tcostal\tJJ\tI-NP\tO' -p119549 -aS'margin\tmargin\tNN\tI-NP\tO' -p119550 -aS'and\tand\tCC\tO\tO' -p119551 -aS'his\this\tPRP$\tB-NP\tO' -p119552 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p119553 -aS'was\tbe\tVBD\tB-VP\tO' -p119554 -aS'distended\tdistend\tVBN\tI-VP\tO' -p119555 -aS'.\t.\t.\tO\tO' -p119556 -asS'Right middle cerebral artery infarct .' -p119557 -(lp119558 -S'Right\tRight\tRB\tB-NP\tO' -p119559 -aS'middle\tmiddle\tJJ\tI-NP\tO' -p119560 -aS'cerebral\tcerebral\tJJ\tI-NP\tO' -p119561 -aS'artery\tartery\tNN\tI-NP\tO' -p119562 -aS'infarct\tinfarct\tNN\tI-NP\tO' -p119563 -aS'.\t.\t.\tO\tO' -p119564 -asS'Parents have been very involved and appropriate with infant and have eagerly learned to care for their baby .' -p119565 -(lp119566 -S'Parents\tParent\tNNS\tB-NP\tO' -p119567 -aS'have\thave\tVBP\tB-VP\tO' -p119568 -aS'been\tbe\tVBN\tI-VP\tO' -p119569 -aS'very\tvery\tRB\tB-ADJP\tO' -p119570 -aS'involved\tinvolved\tJJ\tI-ADJP\tO' -p119571 -aS'and\tand\tCC\tO\tO' -p119572 -aS'appropriate\tappropriate\tJJ\tB-ADJP\tO' -p119573 -aS'with\twith\tIN\tB-PP\tO' -p119574 -aS'infant\tinfant\tNN\tB-NP\tO' -p119575 -aS'and\tand\tCC\tO\tO' -p119576 -aS'have\thave\tVBP\tB-VP\tO' -p119577 -aS'eagerly\teagerly\tRB\tI-VP\tO' -p119578 -aS'learned\tlearn\tVBN\tI-VP\tO' -p119579 -aS'to\tto\tTO\tI-VP\tO' -p119580 -aS'care\tcare\tVB\tI-VP\tO' -p119581 -aS'for\tfor\tIN\tB-PP\tO' -p119582 -aS'their\ttheir\tPRP$\tB-NP\tO' -p119583 -aS'baby\tbaby\tNN\tI-NP\tO' -p119584 -aS'.\t.\t.\tO\tO' -p119585 -asS'A&O x3 .' -p119586 -(lp119587 -S'A&O\tA&O\tNN\tB-NP\tO' -p119588 -aS'x3\tx3\tNN\tI-NP\tO' -p119589 -aS'.\t.\t.\tO\tO' -p119590 -asS'Sensation was intact to pain and light touch .' -p119591 -(lp119592 -S'Sensation\tSensation\tNN\tB-NP\tO' -p119593 -aS'was\tbe\tVBD\tB-VP\tO' -p119594 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p119595 -aS'to\tto\tTO\tB-PP\tO' -p119596 -aS'pain\tpain\tNN\tB-NP\tO' -p119597 -aS'and\tand\tCC\tI-NP\tO' -p119598 -aS'light\tlight\tNN\tI-NP\tO' -p119599 -aS'touch\ttouch\tNN\tI-NP\tO' -p119600 -aS'.\t.\t.\tO\tO' -p119601 -asS'1. Metoprolol Tartrate 25 mg Tablet Sig : Three ( 3 ) Tablet PO BID ( 2 times a day ) .' -p119602 -(lp119603 -S'1.\t1.\tLS\tB-NP\tO' -p119604 -aS'Metoprolol\tMetoprolol\tNN\tI-NP\tO' -p119605 -aS'Tartrate\tTartrate\tNN\tI-NP\tO' -p119606 -aS'25\t25\tCD\tI-NP\tO' -p119607 -aS'mg\tmg\tNN\tI-NP\tO' -p119608 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p119609 -aS'Sig\tSig\tNNP\tI-NP\tO' -p119610 -aS':\t:\t:\tO\tO' -p119611 -aS'Three\tThree\tCD\tB-NP\tO' -p119612 -aS'(\t(\t(\tO\tO' -p119613 -aS'3\t3\tCD\tB-NP\tO' -p119614 -aS')\t)\t)\tO\tO' -p119615 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p119616 -aS'PO\tPO\tNN\tI-NP\tO' -p119617 -aS'BID\tBID\tNN\tI-NP\tO' -p119618 -aS'(\t(\t(\tO\tO' -p119619 -aS'2\t2\tCD\tB-NP\tO' -p119620 -aS'times\ttime\tNNS\tI-NP\tO' -p119621 -aS'a\ta\tDT\tB-NP\tO' -p119622 -aS'day\tday\tNN\tI-NP\tO' -p119623 -aS')\t)\t)\tO\tO' -p119624 -aS'.\t.\t.\tO\tO' -p119625 -asS'Cardiac examination demonstrated regular rate and rhythm , no murmurs , rubs , or gallops .' -p119626 -(lp119627 -S'Cardiac\tCardiac\tJJ\tB-NP\tO' -p119628 -aS'examination\texamination\tNN\tI-NP\tO' -p119629 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p119630 -aS'regular\tregular\tJJ\tB-NP\tO' -p119631 -aS'rate\trate\tNN\tI-NP\tO' -p119632 -aS'and\tand\tCC\tI-NP\tO' -p119633 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p119634 -aS',\t,\t,\tO\tO' -p119635 -aS'no\tno\tDT\tB-NP\tO' -p119636 -aS'murmurs\tmurmur\tNNS\tI-NP\tO' -p119637 -aS',\t,\t,\tO\tO' -p119638 -aS'rubs\trub\tNNS\tB-NP\tO' -p119639 -aS',\t,\t,\tO\tO' -p119640 -aS'or\tor\tCC\tO\tO' -p119641 -aS'gallops\tgallop\tNNS\tB-NP\tO' -p119642 -aS'.\t.\t.\tO\tO' -p119643 -asS'The patient has a history of critical aortic stenosis and mitral regurgitation .' -p119644 -(lp119645 -S'The\tThe\tDT\tB-NP\tO' -p119646 -aS'patient\tpatient\tNN\tI-NP\tO' -p119647 -aS'has\thave\tVBZ\tB-VP\tO' -p119648 -aS'a\ta\tDT\tB-NP\tO' -p119649 -aS'history\thistory\tNN\tI-NP\tO' -p119650 -aS'of\tof\tIN\tB-PP\tO' -p119651 -aS'critical\tcritical\tJJ\tB-NP\tO' -p119652 -aS'aortic\taortic\tJJ\tI-NP\tO' -p119653 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p119654 -aS'and\tand\tCC\tO\tO' -p119655 -aS'mitral\tmitral\tJJ\tB-NP\tO' -p119656 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p119657 -aS'.\t.\t.\tO\tO' -p119658 -asS'Right facial droop .' -p119659 -(lp119660 -S'Right\tRight\tRB\tB-NP\tO' -p119661 -aS'facial\tfacial\tJJ\tI-NP\tO' -p119662 -aS'droop\tdroop\tNN\tI-NP\tO' -p119663 -aS'.\t.\t.\tO\tO' -p119664 -asS'malignant fibrous histiocytoma of duodenum , metastases to liver , anemia .' -p119665 -(lp119666 -S'malignant\tmalignant\tJJ\tB-NP\tO' -p119667 -aS'fibrous\tfibrous\tJJ\tI-NP\tO' -p119668 -aS'histiocytoma\thistiocytoma\tNN\tI-NP\tO' -p119669 -aS'of\tof\tIN\tB-PP\tO' -p119670 -aS'duodenum\tduodenum\tNN\tB-NP\tO' -p119671 -aS',\t,\t,\tO\tO' -p119672 -aS'metastases\tmetastasis\tNNS\tB-NP\tO' -p119673 -aS'to\tto\tTO\tB-PP\tO' -p119674 -aS'liver\tliver\tNN\tB-NP\tO' -p119675 -aS',\t,\t,\tO\tO' -p119676 -aS'anemia\tanemia\tNN\tB-NP\tO' -p119677 -aS'.\t.\t.\tO\tO' -p119678 -asS'A panel of serum enzymes suggest normal hepatic function .' -p119679 -(lp119680 -S'A\tA\tDT\tB-NP\tO' -p119681 -aS'panel\tpanel\tNN\tI-NP\tO' -p119682 -aS'of\tof\tIN\tB-PP\tO' -p119683 -aS'serum\tserum\tNN\tB-NP\tB-protein' -p119684 -aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' -p119685 -aS'suggest\tsuggest\tVBP\tB-VP\tO' -p119686 -aS'normal\tnormal\tJJ\tB-NP\tO' -p119687 -aS'hepatic\thepatic\tJJ\tI-NP\tO' -p119688 -aS'function\tfunction\tNN\tI-NP\tO' -p119689 -aS'.\t.\t.\tO\tO' -p119690 -asS'A chest x-ray showed consolidation bilateral lyin the lower lobes .' -p119691 -(lp119692 -S'A\tA\tDT\tB-NP\tO' -p119693 -aS'chest\tchest\tNN\tI-NP\tO' -p119694 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p119695 -aS'showed\tshow\tVBD\tB-VP\tO' -p119696 -aS'consolidation\tconsolidation\tNN\tB-NP\tO' -p119697 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p119698 -aS'lyin\tlyin\tNN\tI-NP\tO' -p119699 -aS'the\tthe\tDT\tB-NP\tO' -p119700 -aS'lower\tlow\tJJR\tI-NP\tO' -p119701 -aS'lobes\tlobe\tNNS\tI-NP\tO' -p119702 -aS'.\t.\t.\tO\tO' -p119703 -asS'White blood cell count 12.8 ( 79% polys , 13% lymphocytes , 8 monocytes , nucleated RBCs 1% ),hematocrit 31.7 .' -p119704 -(lp119705 -S'White\tWhite\tJJ\tB-NP\tO' -p119706 -aS'blood\tblood\tNN\tI-NP\tO' -p119707 -aS'cell\tcell\tNN\tI-NP\tO' -p119708 -aS'count\tcount\tNN\tI-NP\tO' -p119709 -aS'12.8\t12.8\tCD\tI-NP\tO' -p119710 -aS'(\t(\t(\tO\tO' -p119711 -aS'79%\t79%\tCD\tB-NP\tO' -p119712 -aS'polys\tpoly\tNNS\tI-NP\tO' -p119713 -aS',\t,\t,\tO\tO' -p119714 -aS'13%\t13%\tNN\tB-NP\tO' -p119715 -aS'lymphocytes\tlymphocyte\tNNS\tI-NP\tO' -p119716 -aS',\t,\t,\tO\tO' -p119717 -aS'8\t8\tCD\tB-NP\tO' -p119718 -aS'monocytes\tmonocyte\tNNS\tI-NP\tB-cell_type' -p119719 -aS',\t,\t,\tO\tO' -p119720 -aS'nucleated\tnucleated\tJJ\tB-NP\tB-protein' -p119721 -aS'RBCs\tRBC\tNNS\tI-NP\tI-protein' -p119722 -aS'1%\t1%\tCD\tB-NP\tI-protein' -p119723 -aS'),hematocrit\t),hematocrit\tNN\tI-NP\tI-protein' -p119724 -aS'31.7\t31.7\tCD\tI-NP\tI-protein' -p119725 -aS'.\t.\t.\tO\tO' -p119726 -asS'1 . Coronary artery disease status post myocardial infarction in 2006 and 1997 and status post percutaneous transluminal coronary angioplasty times two .' -p119727 -(lp119728 -S'1\t1\tLS\tB-LST\tO' -p119729 -aS'.\t.\t.\tO\tO' -p119730 -aS'Coronary\tCoronary\tJJ\tB-NP\tO' -p119731 -aS'artery\tartery\tNN\tI-NP\tO' -p119732 -aS'disease\tdisease\tNN\tI-NP\tO' -p119733 -aS'status\tstatus\tNN\tI-NP\tO' -p119734 -aS'post\tpost\tNN\tI-NP\tO' -p119735 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p119736 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p119737 -aS'in\tin\tIN\tB-PP\tO' -p119738 -aS'2006\t2006\tCD\tB-NP\tO' -p119739 -aS'and\tand\tCC\tI-NP\tO' -p119740 -aS'1997\t1997\tCD\tI-NP\tO' -p119741 -aS'and\tand\tCC\tO\tO' -p119742 -aS'status\tstatus\tNN\tB-NP\tO' -p119743 -aS'post\tpost\tVBP\tB-VP\tO' -p119744 -aS'percutaneous\tpercutaneous\tJJ\tB-NP\tO' -p119745 -aS'transluminal\ttransluminal\tJJ\tI-NP\tO' -p119746 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p119747 -aS'angioplasty\tangioplasty\tJJ\tI-NP\tO' -p119748 -aS'times\ttime\tNNS\tI-NP\tO' -p119749 -aS'two\ttwo\tCD\tB-NP\tO' -p119750 -aS'.\t.\t.\tO\tO' -p119751 -asS'Attending : Luis JG Lavoie , M.D.' -p119752 -(lp119753 -S'Attending\tAttend\tVBG\tB-VP\tO' -p119754 -aS':\t:\t:\tO\tO' -p119755 -aS'Luis\tLuis\tNNP\tB-NP\tO' -p119756 -aS'JG\tJG\tNNP\tI-NP\tO' -p119757 -aS'Lavoie\tLavoie\tNNP\tI-NP\tO' -p119758 -aS',\t,\t,\tO\tO' -p119759 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p119760 -asS'Renal consultants did not feel there was an emergent need for dialysis .' -p119761 -(lp119762 -S'Renal\tRenal\tJJ\tB-NP\tO' -p119763 -aS'consultants\tconsultant\tNNS\tI-NP\tO' -p119764 -aS'did\tdo\tVBD\tB-VP\tO' -p119765 -aS'not\tnot\tRB\tI-VP\tO' -p119766 -aS'feel\tfeel\tVB\tI-VP\tO' -p119767 -aS'there\tthere\tEX\tB-NP\tO' -p119768 -aS'was\tbe\tVBD\tB-VP\tO' -p119769 -aS'an\tan\tDT\tB-NP\tO' -p119770 -aS'emergent\temergent\tJJ\tI-NP\tO' -p119771 -aS'need\tneed\tNN\tI-NP\tO' -p119772 -aS'for\tfor\tIN\tB-PP\tO' -p119773 -aS'dialysis\tdialysis\tNN\tB-NP\tO' -p119774 -aS'.\t.\t.\tO\tO' -p119775 -asS'Subtle decreased flow signal within the Sylvian branches of the left middle cerebral artery .' -p119776 -(lp119777 -S'Subtle\tSubtle\tNN\tB-NP\tO' -p119778 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p119779 -aS'flow\tflow\tNN\tB-NP\tO' -p119780 -aS'signal\tsignal\tNN\tI-NP\tO' -p119781 -aS'within\twithin\tIN\tB-PP\tO' -p119782 -aS'the\tthe\tDT\tB-NP\tO' -p119783 -aS'Sylvian\tSylvian\tJJ\tI-NP\tO' -p119784 -aS'branches\tbranch\tNNS\tI-NP\tO' -p119785 -aS'of\tof\tIN\tB-PP\tO' -p119786 -aS'the\tthe\tDT\tB-NP\tO' -p119787 -aS'left\tleft\tJJ\tI-NP\tO' -p119788 -aS'middle\tmiddle\tJJ\tI-NP\tO' -p119789 -aS'cerebral\tcerebral\tJJ\tI-NP\tO' -p119790 -aS'artery\tartery\tNN\tI-NP\tO' -p119791 -aS'.\t.\t.\tO\tO' -p119792 -asS'On the left she has a II+ femoral and II+ popliteal , no distal pulses beyond that .' -p119793 -(lp119794 -S'On\tOn\tIN\tB-PP\tO' -p119795 -aS'the\tthe\tDT\tB-NP\tO' -p119796 -aS'left\tleft\tNN\tI-NP\tO' -p119797 -aS'she\tshe\tPRP\tB-NP\tO' -p119798 -aS'has\thave\tVBZ\tB-VP\tO' -p119799 -aS'a\ta\tDT\tB-NP\tO' -p119800 -aS'II+\tII+\tJJ\tI-NP\tO' -p119801 -aS'femoral\tfemoral\tJJ\tI-NP\tO' -p119802 -aS'and\tand\tCC\tI-NP\tO' -p119803 -aS'II+\tII+\tJJ\tI-NP\tO' -p119804 -aS'popliteal\tpopliteal\tNN\tI-NP\tO' -p119805 -aS',\t,\t,\tO\tO' -p119806 -aS'no\tno\tDT\tB-NP\tO' -p119807 -aS'distal\tdistal\tJJ\tI-NP\tO' -p119808 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p119809 -aS'beyond\tbeyond\tIN\tB-PP\tO' -p119810 -aS'that\tthat\tDT\tB-NP\tO' -p119811 -aS'.\t.\t.\tO\tO' -p119812 -asS'lives with wife and daughters .' -p119813 -(lp119814 -S'lives\tlife\tNNS\tB-NP\tO' -p119815 -aS'with\twith\tIN\tB-PP\tO' -p119816 -aS'wife\twife\tNN\tB-NP\tO' -p119817 -aS'and\tand\tCC\tI-NP\tO' -p119818 -aS'daughters\tdaughter\tNNS\tI-NP\tO' -p119819 -aS'.\t.\t.\tO\tO' -p119820 -asS'The patient is to followup with Dr. Slaineaee Ganz and was discharged home in good condition .' -p119821 -(lp119822 -S'The\tThe\tDT\tB-NP\tO' -p119823 -aS'patient\tpatient\tNN\tI-NP\tO' -p119824 -aS'is\tbe\tVBZ\tB-VP\tO' -p119825 -aS'to\tto\tTO\tB-VP\tO' -p119826 -aS'followup\tfollowup\tVB\tI-VP\tO' -p119827 -aS'with\twith\tIN\tB-PP\tO' -p119828 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p119829 -aS'Slaineaee\tSlaineaee\tNNP\tI-NP\tO' -p119830 -aS'Ganz\tGanz\tNNP\tI-NP\tO' -p119831 -aS'and\tand\tCC\tO\tO' -p119832 -aS'was\tbe\tVBD\tB-VP\tO' -p119833 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p119834 -aS'home\thome\tNN\tB-ADVP\tO' -p119835 -aS'in\tin\tIN\tB-PP\tO' -p119836 -aS'good\tgood\tJJ\tB-NP\tO' -p119837 -aS'condition\tcondition\tNN\tI-NP\tO' -p119838 -aS'.\t.\t.\tO\tO' -p119839 -asS'He has 10 degrees of internal and external rotation .' -p119840 -(lp119841 -S'He\tHe\tPRP\tB-NP\tO' -p119842 -aS'has\thave\tVBZ\tB-VP\tO' -p119843 -aS'10\t10\tCD\tB-NP\tO' -p119844 -aS'degrees\tdegree\tNNS\tI-NP\tO' -p119845 -aS'of\tof\tIN\tB-PP\tO' -p119846 -aS'internal\tinternal\tJJ\tB-NP\tO' -p119847 -aS'and\tand\tCC\tI-NP\tO' -p119848 -aS'external\texternal\tJJ\tI-NP\tO' -p119849 -aS'rotation\trotation\tNN\tI-NP\tO' -p119850 -aS'.\t.\t.\tO\tO' -p119851 -asS'you will be contacted at home by the smoking cessation program' -p119852 -(lp119853 -S'you\tyou\tPRP\tB-NP\tO' -p119854 -aS'will\twill\tMD\tB-VP\tO' -p119855 -aS'be\tbe\tVB\tI-VP\tO' -p119856 -aS'contacted\tcontact\tVBN\tI-VP\tO' -p119857 -aS'at\tat\tIN\tB-PP\tO' -p119858 -aS'home\thome\tNN\tB-NP\tO' -p119859 -aS'by\tby\tIN\tB-PP\tO' -p119860 -aS'the\tthe\tDT\tB-NP\tO' -p119861 -aS'smoking\tsmoking\tNN\tI-NP\tO' -p119862 -aS'cessation\tcessation\tNN\tI-NP\tO' -p119863 -aS'program\tprogram\tNN\tI-NP\tO' -p119864 -asS'The patient has a history of exertional angina and chest pain associated with light-headedness for nine years which was noted to increase in frequency over the past year , then upon admission had light-headedness and chest pain with a dull pressure in her neck to her substernal area , with only minimal exertion such as " walking across the room " .' -p119865 -(lp119866 -S'The\tThe\tDT\tB-NP\tO' -p119867 -aS'patient\tpatient\tNN\tI-NP\tO' -p119868 -aS'has\thave\tVBZ\tB-VP\tO' -p119869 -aS'a\ta\tDT\tB-NP\tO' -p119870 -aS'history\thistory\tNN\tI-NP\tO' -p119871 -aS'of\tof\tIN\tB-PP\tO' -p119872 -aS'exertional\texertional\tJJ\tB-NP\tO' -p119873 -aS'angina\tangina\tNN\tI-NP\tO' -p119874 -aS'and\tand\tCC\tI-NP\tO' -p119875 -aS'chest\tchest\tNN\tI-NP\tO' -p119876 -aS'pain\tpain\tNN\tI-NP\tO' -p119877 -aS'associated\tassociate\tVBN\tB-VP\tO' -p119878 -aS'with\twith\tIN\tB-PP\tO' -p119879 -aS'light-headedness\tlight-headedness\tNN\tB-NP\tO' -p119880 -aS'for\tfor\tIN\tB-PP\tO' -p119881 -aS'nine\tnine\tCD\tB-NP\tO' -p119882 -aS'years\tyear\tNNS\tI-NP\tO' -p119883 -aS'which\twhich\tWDT\tB-NP\tO' -p119884 -aS'was\tbe\tVBD\tB-VP\tO' -p119885 -aS'noted\tnote\tVBN\tI-VP\tO' -p119886 -aS'to\tto\tTO\tI-VP\tO' -p119887 -aS'increase\tincrease\tVB\tI-VP\tO' -p119888 -aS'in\tin\tIN\tB-PP\tO' -p119889 -aS'frequency\tfrequency\tNN\tB-NP\tO' -p119890 -aS'over\tover\tIN\tB-PP\tO' -p119891 -aS'the\tthe\tDT\tB-NP\tO' -p119892 -aS'past\tpast\tJJ\tI-NP\tO' -p119893 -aS'year\tyear\tNN\tI-NP\tO' -p119894 -aS',\t,\t,\tO\tO' -p119895 -aS'then\tthen\tRB\tB-ADVP\tO' -p119896 -aS'upon\tupon\tIN\tB-PP\tO' -p119897 -aS'admission\tadmission\tNN\tB-NP\tO' -p119898 -aS'had\thave\tVBD\tB-VP\tO' -p119899 -aS'light-headedness\tlight-headedness\tNN\tB-NP\tO' -p119900 -aS'and\tand\tCC\tI-NP\tO' -p119901 -aS'chest\tchest\tNN\tI-NP\tO' -p119902 -aS'pain\tpain\tNN\tI-NP\tO' -p119903 -aS'with\twith\tIN\tB-PP\tO' -p119904 -aS'a\ta\tDT\tB-NP\tO' -p119905 -aS'dull\tdull\tJJ\tI-NP\tO' -p119906 -aS'pressure\tpressure\tNN\tI-NP\tO' -p119907 -aS'in\tin\tIN\tB-PP\tO' -p119908 -aS'her\ther\tPRP$\tB-NP\tO' -p119909 -aS'neck\tneck\tNN\tI-NP\tO' -p119910 -aS'to\tto\tTO\tB-PP\tO' -p119911 -aS'her\ther\tPRP$\tB-NP\tO' -p119912 -aS'substernal\tsubsternal\tJJ\tI-NP\tO' -p119913 -aS'area\tarea\tNN\tI-NP\tO' -p119914 -aS',\t,\t,\tO\tO' -p119915 -aS'with\twith\tIN\tB-PP\tO' -p119916 -aS'only\tonly\tRB\tB-NP\tO' -p119917 -aS'minimal\tminimal\tJJ\tI-NP\tO' -p119918 -aS'exertion\texertion\tNN\tI-NP\tO' -p119919 -aS'such\tsuch\tJJ\tB-PP\tO' -p119920 -aS'as\tas\tIN\tI-PP\tO' -p119921 -aS'"\t"\tNN\tB-NP\tO' -p119922 -aS'walking\twalk\tVBG\tB-VP\tO' -p119923 -aS'across\tacross\tIN\tB-PP\tO' -p119924 -aS'the\tthe\tDT\tB-NP\tO' -p119925 -aS'room\troom\tNN\tI-NP\tO' -p119926 -aS'"\t"\tNN\tI-NP\tO' -p119927 -aS'.\t.\t.\tO\tO' -p119928 -asS'UA showed no white blood cells , positive granular casts .' -p119929 -(lp119930 -S'UA\tUA\tNN\tB-NP\tO' -p119931 -aS'showed\tshow\tVBD\tB-VP\tO' -p119932 -aS'no\tno\tDT\tB-NP\tO' -p119933 -aS'white\twhite\tJJ\tI-NP\tB-cell_type' -p119934 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p119935 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p119936 -aS',\t,\t,\tO\tO' -p119937 -aS'positive\tpositive\tJJ\tB-NP\tO' -p119938 -aS'granular\tgranular\tJJ\tI-NP\tO' -p119939 -aS'casts\tcast\tNNS\tI-NP\tO' -p119940 -aS'.\t.\t.\tO\tO' -p119941 -asS'She was diuresed small amount .' -p119942 -(lp119943 -S'She\tShe\tPRP\tB-NP\tO' -p119944 -aS'was\tbe\tVBD\tB-VP\tO' -p119945 -aS'diuresed\tdiurese\tVBN\tI-VP\tO' -p119946 -aS'small\tsmall\tJJ\tB-NP\tO' -p119947 -aS'amount\tamount\tNN\tI-NP\tO' -p119948 -aS'.\t.\t.\tO\tO' -p119949 -asS'He also had a repeat chest CT which showed a question of recurrence of the thymoma .' -p119950 -(lp119951 -S'He\tHe\tPRP\tB-NP\tO' -p119952 -aS'also\talso\tRB\tB-ADVP\tO' -p119953 -aS'had\thave\tVBD\tB-VP\tO' -p119954 -aS'a\ta\tDT\tB-NP\tO' -p119955 -aS'repeat\trepeat\tNN\tI-NP\tO' -p119956 -aS'chest\tchest\tNN\tI-NP\tO' -p119957 -aS'CT\tCT\tNN\tI-NP\tO' -p119958 -aS'which\twhich\tWDT\tB-NP\tO' -p119959 -aS'showed\tshow\tVBD\tB-VP\tO' -p119960 -aS'a\ta\tDT\tB-NP\tO' -p119961 -aS'question\tquestion\tNN\tI-NP\tO' -p119962 -aS'of\tof\tIN\tB-PP\tO' -p119963 -aS'recurrence\trecurrence\tNN\tB-NP\tO' -p119964 -aS'of\tof\tIN\tB-PP\tO' -p119965 -aS'the\tthe\tDT\tB-NP\tO' -p119966 -aS'thymoma\tthymoma\tNN\tI-NP\tO' -p119967 -aS'.\t.\t.\tO\tO' -p119968 -asS'On hospital day number fourteen , electrolytes were sodium of 140 , potassium 3.9 , BUN of 11 , creatinine 1.3 with a blood sugar of 125 and a magnesium of 1.9 .' -p119969 -(lp119970 -S'On\tOn\tIN\tB-PP\tO' -p119971 -aS'hospital\thospital\tNN\tB-NP\tO' -p119972 -aS'day\tday\tNN\tI-NP\tO' -p119973 -aS'number\tnumber\tNN\tI-NP\tO' -p119974 -aS'fourteen\tfourteen\tCD\tI-NP\tO' -p119975 -aS',\t,\t,\tO\tO' -p119976 -aS'electrolytes\telectrolyte\tNNS\tB-NP\tO' -p119977 -aS'were\tbe\tVBD\tB-VP\tO' -p119978 -aS'sodium\tsodium\tNN\tB-NP\tO' -p119979 -aS'of\tof\tIN\tB-PP\tO' -p119980 -aS'140\t140\tCD\tB-NP\tO' -p119981 -aS',\t,\t,\tO\tO' -p119982 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p119983 -aS'3.9\t3.9\tCD\tI-NP\tO' -p119984 -aS',\t,\t,\tO\tO' -p119985 -aS'BUN\tBUN\tNN\tB-NP\tO' -p119986 -aS'of\tof\tIN\tB-PP\tO' -p119987 -aS'11\t11\tCD\tB-NP\tO' -p119988 -aS',\t,\t,\tO\tO' -p119989 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p119990 -aS'1.3\t1.3\tCD\tI-NP\tO' -p119991 -aS'with\twith\tIN\tB-PP\tO' -p119992 -aS'a\ta\tDT\tB-NP\tO' -p119993 -aS'blood\tblood\tNN\tI-NP\tO' -p119994 -aS'sugar\tsugar\tNN\tI-NP\tO' -p119995 -aS'of\tof\tIN\tB-PP\tO' -p119996 -aS'125\t125\tCD\tB-NP\tO' -p119997 -aS'and\tand\tCC\tO\tO' -p119998 -aS'a\ta\tDT\tB-NP\tO' -p119999 -aS'magnesium\tmagnesium\tNN\tI-NP\tO' -p120000 -aS'of\tof\tIN\tB-PP\tO' -p120001 -aS'1.9\t1.9\tCD\tB-NP\tO' -p120002 -aS'.\t.\t.\tO\tO' -p120003 -asS'The patient presented with a chief complaint of S / P FALL / WEAK .' -p120004 -(lp120005 -S'The\tThe\tDT\tB-NP\tO' -p120006 -aS'patient\tpatient\tNN\tI-NP\tO' -p120007 -aS'presented\tpresent\tVBD\tB-VP\tO' -p120008 -aS'with\twith\tIN\tB-PP\tO' -p120009 -aS'a\ta\tDT\tB-NP\tO' -p120010 -aS'chief\tchief\tJJ\tI-NP\tO' -p120011 -aS'complaint\tcomplaint\tNN\tI-NP\tO' -p120012 -aS'of\tof\tIN\tB-PP\tO' -p120013 -aS'S\tS\tNN\tB-NP\tB-protein' -p120014 -aS'/\t/\tSYM\tB-NP\tI-protein' -p120015 -aS'P\tP\tNN\tI-NP\tI-protein' -p120016 -aS'FALL\tFALL\tNN\tI-NP\tI-protein' -p120017 -aS'/\t/\tSYM\tB-NP\tI-protein' -p120018 -aS'WEAK\tWEAK\tNN\tI-NP\tI-protein' -p120019 -aS'.\t.\t.\tO\tO' -p120020 -asS'Severe necrotizing pancreatitis and diffuse peritonitis .' -p120021 -(lp120022 -S'Severe\tSevere\tJJ\tB-NP\tO' -p120023 -aS'necrotizing\tnecrotize\tVBG\tI-NP\tO' -p120024 -aS'pancreatitis\tpancreatitis\tNN\tI-NP\tO' -p120025 -aS'and\tand\tCC\tO\tO' -p120026 -aS'diffuse\tdiffuse\tJJ\tB-NP\tO' -p120027 -aS'peritonitis\tperitonitis\tNN\tI-NP\tO' -p120028 -aS'.\t.\t.\tO\tO' -p120029 -asS'The patient was initially treated with 48 hours of ampicillin and gentamicin until blood cultures were negative .' -p120030 -(lp120031 -S'The\tThe\tDT\tB-NP\tO' -p120032 -aS'patient\tpatient\tNN\tI-NP\tO' -p120033 -aS'was\tbe\tVBD\tB-VP\tO' -p120034 -aS'initially\tinitially\tRB\tI-VP\tO' -p120035 -aS'treated\ttreat\tVBN\tI-VP\tO' -p120036 -aS'with\twith\tIN\tB-PP\tO' -p120037 -aS'48\t48\tCD\tB-NP\tO' -p120038 -aS'hours\thour\tNNS\tI-NP\tO' -p120039 -aS'of\tof\tIN\tB-PP\tO' -p120040 -aS'ampicillin\tampicillin\tNN\tB-NP\tO' -p120041 -aS'and\tand\tCC\tI-NP\tO' -p120042 -aS'gentamicin\tgentamicin\tNN\tI-NP\tO' -p120043 -aS'until\tuntil\tIN\tB-PP\tO' -p120044 -aS'blood\tblood\tNN\tB-NP\tO' -p120045 -aS'cultures\tculture\tNNS\tI-NP\tO' -p120046 -aS'were\tbe\tVBD\tB-VP\tO' -p120047 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p120048 -aS'.\t.\t.\tO\tO' -p120049 -asS'The patient is a 59 year old gentleman who experienced a flash burn from grease while working on a stove on the night prior to admission .' -p120050 -(lp120051 -S'The\tThe\tDT\tB-NP\tO' -p120052 -aS'patient\tpatient\tNN\tI-NP\tO' -p120053 -aS'is\tbe\tVBZ\tB-VP\tO' -p120054 -aS'a\ta\tDT\tB-NP\tO' -p120055 -aS'59\t59\tCD\tI-NP\tO' -p120056 -aS'year\tyear\tNN\tI-NP\tO' -p120057 -aS'old\told\tJJ\tI-NP\tO' -p120058 -aS'gentleman\tgentleman\tNN\tI-NP\tO' -p120059 -aS'who\twho\tWP\tB-NP\tO' -p120060 -aS'experienced\texperience\tVBD\tB-VP\tO' -p120061 -aS'a\ta\tDT\tB-NP\tO' -p120062 -aS'flash\tflash\tNN\tI-NP\tO' -p120063 -aS'burn\tburn\tNN\tI-NP\tO' -p120064 -aS'from\tfrom\tIN\tB-PP\tO' -p120065 -aS'grease\tgrease\tNN\tB-NP\tO' -p120066 -aS'while\twhile\tIN\tB-SBAR\tO' -p120067 -aS'working\twork\tVBG\tB-VP\tO' -p120068 -aS'on\ton\tIN\tB-PP\tO' -p120069 -aS'a\ta\tDT\tB-NP\tO' -p120070 -aS'stove\tstove\tNN\tI-NP\tO' -p120071 -aS'on\ton\tIN\tB-PP\tO' -p120072 -aS'the\tthe\tDT\tB-NP\tO' -p120073 -aS'night\tnight\tNN\tI-NP\tO' -p120074 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p120075 -aS'to\tto\tTO\tB-PP\tO' -p120076 -aS'admission\tadmission\tNN\tB-NP\tO' -p120077 -aS'.\t.\t.\tO\tO' -p120078 -asS'She will be discharged on Lisinopril with further titration as an outpatient .' -p120079 -(lp120080 -S'She\tShe\tPRP\tB-NP\tO' -p120081 -aS'will\twill\tMD\tB-VP\tO' -p120082 -aS'be\tbe\tVB\tI-VP\tO' -p120083 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p120084 -aS'on\ton\tIN\tB-PP\tO' -p120085 -aS'Lisinopril\tLisinopril\tNNP\tB-NP\tO' -p120086 -aS'with\twith\tIN\tB-PP\tO' -p120087 -aS'further\tfurther\tJJ\tB-NP\tO' -p120088 -aS'titration\ttitration\tNN\tI-NP\tO' -p120089 -aS'as\tas\tIN\tB-PP\tO' -p120090 -aS'an\tan\tDT\tB-NP\tO' -p120091 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p120092 -aS'.\t.\t.\tO\tO' -p120093 -asS'Per Dr. John C. Corrigan Mental Health Center , patient remained ventilator dependent , intermittently on PS 20/5 and back on AC 15/5/500/0.35 on 08-08 .' -p120094 -(lp120095 -S'Per\tPer\tNNP\tB-NP\tO' -p120096 -aS'Dr.\tDr.\tNNP\tI-NP\tO' -p120097 -aS'John\tJohn\tNNP\tI-NP\tO' -p120098 -aS'C.\tC.\tNNP\tI-NP\tO' -p120099 -aS'Corrigan\tCorrigan\tNNP\tI-NP\tO' -p120100 -aS'Mental\tMental\tNNP\tI-NP\tO' -p120101 -aS'Health\tHealth\tNNP\tI-NP\tO' -p120102 -aS'Center\tCenter\tNNP\tI-NP\tO' -p120103 -aS',\t,\t,\tO\tO' -p120104 -aS'patient\tpatient\tNN\tB-NP\tO' -p120105 -aS'remained\tremain\tVBD\tB-VP\tO' -p120106 -aS'ventilator\tventilator\tNN\tB-NP\tO' -p120107 -aS'dependent\tdependent\tJJ\tI-NP\tO' -p120108 -aS',\t,\t,\tO\tO' -p120109 -aS'intermittently\tintermittently\tRB\tB-ADVP\tO' -p120110 -aS'on\ton\tIN\tB-PP\tO' -p120111 -aS'PS\tPS\tNNP\tB-NP\tO' -p120112 -aS'20/5\t20/5\tCD\tI-NP\tO' -p120113 -aS'and\tand\tCC\tO\tO' -p120114 -aS'back\tback\tRB\tB-ADVP\tO' -p120115 -aS'on\ton\tIN\tB-PP\tO' -p120116 -aS'AC\tAC\tNN\tB-NP\tB-DNA' -p120117 -aS'15/5/500/0.35\t15/5/500/0.35\tCD\tI-NP\tI-DNA' -p120118 -aS'on\ton\tIN\tB-PP\tO' -p120119 -aS'08-08\t08-08\tCD\tB-NP\tO' -p120120 -aS'.\t.\t.\tO\tO' -p120121 -asS'1. Respiratory - Gerardo was initially placed in nasal cannula oxygen to maintain oxygen saturation greater than 94 .' -p120122 -(lp120123 -S'1.\t1.\tLS\tB-NP\tO' -p120124 -aS'Respiratory\tRespiratory\tNNP\tI-NP\tO' -p120125 -aS'-\t-\tHYPH\tO\tO' -p120126 -aS'Gerardo\tGerardo\tNNP\tB-NP\tO' -p120127 -aS'was\tbe\tVBD\tB-VP\tO' -p120128 -aS'initially\tinitially\tRB\tI-VP\tO' -p120129 -aS'placed\tplace\tVBN\tI-VP\tO' -p120130 -aS'in\tin\tIN\tB-PP\tO' -p120131 -aS'nasal\tnasal\tJJ\tB-NP\tO' -p120132 -aS'cannula\tcannula\tNN\tI-NP\tO' -p120133 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p120134 -aS'to\tto\tTO\tB-VP\tO' -p120135 -aS'maintain\tmaintain\tVB\tI-VP\tO' -p120136 -aS'oxygen\toxygen\tNN\tB-NP\tO' -p120137 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p120138 -aS'greater\tgreat\tJJR\tB-ADJP\tO' -p120139 -aS'than\tthan\tIN\tB-PP\tO' -p120140 -aS'94\t94\tCD\tB-NP\tO' -p120141 -aS'.\t.\t.\tO\tO' -p120142 -asS'- Vancomycin 1.5 gm q 12 hours' -p120143 -(lp120144 -S'-\t-\tHYPH\tB-NP\tO' -p120145 -aS'Vancomycin\tVancomycin\tNN\tI-NP\tO' -p120146 -aS'1.5\t1.5\tCD\tI-NP\tO' -p120147 -aS'gm\tgm\tNN\tI-NP\tO' -p120148 -aS'q\tq\tNN\tI-NP\tO' -p120149 -aS'12\t12\tCD\tB-NP\tO' -p120150 -aS'hours\thour\tNNS\tI-NP\tO' -p120151 -asS'Overall , the pt maintained good BP throughout and was on pressors only briefly .' -p120152 -(lp120153 -S'Overall\tOverall\tRB\tB-ADVP\tO' -p120154 -aS',\t,\t,\tO\tO' -p120155 -aS'the\tthe\tDT\tB-NP\tO' -p120156 -aS'pt\tpt\tNN\tI-NP\tO' -p120157 -aS'maintained\tmaintain\tVBD\tB-VP\tO' -p120158 -aS'good\tgood\tJJ\tB-NP\tO' -p120159 -aS'BP\tBP\tNN\tI-NP\tO' -p120160 -aS'throughout\tthroughout\tIN\tB-ADVP\tO' -p120161 -aS'and\tand\tCC\tO\tO' -p120162 -aS'was\tbe\tVBD\tB-VP\tO' -p120163 -aS'on\ton\tIN\tB-PP\tO' -p120164 -aS'pressors\tpressor\tNNS\tB-NP\tO' -p120165 -aS'only\tonly\tRB\tB-ADVP\tO' -p120166 -aS'briefly\tbriefly\tRB\tI-ADVP\tO' -p120167 -aS'.\t.\t.\tO\tO' -p120168 -asS"Once she began to take PO 's , the insulin drip was stopped and patient was started on glargine with a humalog sliding scale ." -p120169 -(lp120170 -S'Once\tOnce\tRB\tO\tO' -p120171 -aS'she\tshe\tPRP\tB-NP\tO' -p120172 -aS'began\tbegin\tVBD\tB-VP\tO' -p120173 -aS'to\tto\tTO\tI-VP\tO' -p120174 -aS'take\ttake\tVB\tI-VP\tO' -p120175 -aS'PO\tPO\tNNP\tB-NP\tO' -p120176 -aS"'s\t's\tPOS\tB-NP\tO" -p120177 -aS',\t,\t,\tO\tO' -p120178 -aS'the\tthe\tDT\tB-NP\tO' -p120179 -aS'insulin\tinsulin\tNN\tI-NP\tB-protein' -p120180 -aS'drip\tdrip\tNN\tI-NP\tI-protein' -p120181 -aS'was\tbe\tVBD\tB-VP\tO' -p120182 -aS'stopped\tstop\tVBN\tI-VP\tO' -p120183 -aS'and\tand\tCC\tO\tO' -p120184 -aS'patient\tpatient\tNN\tB-NP\tO' -p120185 -aS'was\tbe\tVBD\tB-VP\tO' -p120186 -aS'started\tstart\tVBN\tI-VP\tO' -p120187 -aS'on\ton\tIN\tB-PP\tO' -p120188 -aS'glargine\tglargine\tNN\tB-NP\tO' -p120189 -aS'with\twith\tIN\tB-PP\tO' -p120190 -aS'a\ta\tDT\tB-NP\tO' -p120191 -aS'humalog\thumalog\tNN\tI-NP\tO' -p120192 -aS'sliding\tslide\tVBG\tB-VP\tO' -p120193 -aS'scale\tscale\tNN\tB-NP\tO' -p120194 -aS'.\t.\t.\tO\tO' -p120195 -asS'The patient is a 39 year-old gentleman admitted on 2009-05-01 to the Jewish Memorial Hospital referred from South Cove Community Health Center .' -p120196 -(lp120197 -S'The\tThe\tDT\tB-NP\tO' -p120198 -aS'patient\tpatient\tNN\tI-NP\tO' -p120199 -aS'is\tbe\tVBZ\tB-VP\tO' -p120200 -aS'a\ta\tDT\tB-NP\tO' -p120201 -aS'39\t39\tCD\tI-NP\tO' -p120202 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p120203 -aS'gentleman\tgentleman\tNN\tI-NP\tO' -p120204 -aS'admitted\tadmit\tVBN\tB-VP\tO' -p120205 -aS'on\ton\tIN\tB-PP\tO' -p120206 -aS'2009-05-01\t2009-05-01\tCD\tB-NP\tO' -p120207 -aS'to\tto\tTO\tB-PP\tO' -p120208 -aS'the\tthe\tDT\tB-NP\tO' -p120209 -aS'Jewish\tJewish\tNNP\tI-NP\tO' -p120210 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p120211 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p120212 -aS'referred\trefer\tVBD\tB-VP\tO' -p120213 -aS'from\tfrom\tIN\tB-PP\tO' -p120214 -aS'South\tSouth\tNNP\tB-NP\tO' -p120215 -aS'Cove\tCove\tNNP\tI-NP\tO' -p120216 -aS'Community\tCommunity\tNNP\tI-NP\tO' -p120217 -aS'Health\tHealth\tNNP\tI-NP\tO' -p120218 -aS'Center\tCenter\tNNP\tI-NP\tO' -p120219 -aS'.\t.\t.\tO\tO' -p120220 -asS'The procedure could not be scheduled during this admission .' -p120221 -(lp120222 -S'The\tThe\tDT\tB-NP\tO' -p120223 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p120224 -aS'could\tcould\tMD\tB-VP\tO' -p120225 -aS'not\tnot\tRB\tI-VP\tO' -p120226 -aS'be\tbe\tVB\tI-VP\tO' -p120227 -aS'scheduled\tschedule\tVBN\tI-VP\tO' -p120228 -aS'during\tduring\tIN\tB-PP\tO' -p120229 -aS'this\tthis\tDT\tB-NP\tO' -p120230 -aS'admission\tadmission\tNN\tI-NP\tO' -p120231 -aS'.\t.\t.\tO\tO' -p120232 -asS'4. Subcutaneous heparin taken 5000 units twice a day .' -p120233 -(lp120234 -S'4.\t4.\tLS\tB-NP\tO' -p120235 -aS'Subcutaneous\tSubcutaneous\tJJ\tI-NP\tO' -p120236 -aS'heparin\theparin\tNN\tI-NP\tO' -p120237 -aS'taken\ttake\tVBN\tB-VP\tO' -p120238 -aS'5000\t5000\tCD\tB-NP\tO' -p120239 -aS'units\tunit\tNNS\tI-NP\tO' -p120240 -aS'twice\ttwice\tRB\tB-NP\tO' -p120241 -aS'a\ta\tDT\tI-NP\tO' -p120242 -aS'day\tday\tNN\tI-NP\tO' -p120243 -aS'.\t.\t.\tO\tO' -p120244 -asS'Serum chemistries revealed a sodium of 135, potassium 4.0 , chloride 102 , bicarbonate 26 , BUN 29 , creatinine 1.6 , and glucose of 111 .' -p120245 -(lp120246 -S'Serum\tSerum\tNN\tB-NP\tO' -p120247 -aS'chemistries\tchemistry\tNNS\tI-NP\tO' -p120248 -aS'revealed\treveal\tVBD\tB-VP\tO' -p120249 -aS'a\ta\tDT\tB-NP\tO' -p120250 -aS'sodium\tsodium\tNN\tI-NP\tO' -p120251 -aS'of\tof\tIN\tB-PP\tO' -p120252 -aS'135,\t135,\tCD\tB-NP\tO' -p120253 -aS'potassium\tpotassium\tNN\tI-NP\tO' -p120254 -aS'4.0\t4.0\tCD\tB-NP\tO' -p120255 -aS',\t,\t,\tO\tO' -p120256 -aS'chloride\tchloride\tNN\tB-NP\tO' -p120257 -aS'102\t102\tCD\tI-NP\tO' -p120258 -aS',\t,\t,\tO\tO' -p120259 -aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' -p120260 -aS'26\t26\tCD\tI-NP\tO' -p120261 -aS',\t,\t,\tO\tO' -p120262 -aS'BUN\tBUN\tNN\tB-NP\tB-DNA' -p120263 -aS'29\t29\tCD\tI-NP\tI-DNA' -p120264 -aS',\t,\t,\tO\tO' -p120265 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p120266 -aS'1.6\t1.6\tCD\tI-NP\tO' -p120267 -aS',\t,\t,\tO\tO' -p120268 -aS'and\tand\tCC\tO\tO' -p120269 -aS'glucose\tglucose\tNN\tB-NP\tO' -p120270 -aS'of\tof\tIN\tB-PP\tO' -p120271 -aS'111\t111\tCD\tB-NP\tO' -p120272 -aS'.\t.\t.\tO\tO' -p120273 -asS'Pupils were equal , round , and reactive to light , extraocular muscles were intact , and no lymphadenopathy .' -p120274 -(lp120275 -S'Pupils\tPupil\tNNS\tB-NP\tO' -p120276 -aS'were\tbe\tVBD\tB-VP\tO' -p120277 -aS'equal\tequal\tJJ\tB-ADJP\tO' -p120278 -aS',\t,\t,\tO\tO' -p120279 -aS'round\tround\tJJ\tB-ADJP\tO' -p120280 -aS',\t,\t,\tO\tO' -p120281 -aS'and\tand\tCC\tO\tO' -p120282 -aS'reactive\treactive\tJJ\tB-ADJP\tO' -p120283 -aS'to\tto\tTO\tB-PP\tO' -p120284 -aS'light\tlight\tJJ\tB-NP\tO' -p120285 -aS',\t,\t,\tI-NP\tO' -p120286 -aS'extraocular\textraocular\tJJ\tI-NP\tO' -p120287 -aS'muscles\tmuscle\tNNS\tI-NP\tO' -p120288 -aS'were\tbe\tVBD\tB-VP\tO' -p120289 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p120290 -aS',\t,\t,\tO\tO' -p120291 -aS'and\tand\tCC\tO\tO' -p120292 -aS'no\tno\tDT\tB-NP\tO' -p120293 -aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' -p120294 -aS'.\t.\t.\tO\tO' -p120295 -asS'The aspirin was discontinued and he had no further problems with gastrointestinal bleeding and a stable hematocrit the rest of his hospitalization .' -p120296 -(lp120297 -S'The\tThe\tDT\tB-NP\tO' -p120298 -aS'aspirin\taspirin\tNN\tI-NP\tO' -p120299 -aS'was\tbe\tVBD\tB-VP\tO' -p120300 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p120301 -aS'and\tand\tCC\tO\tO' -p120302 -aS'he\the\tPRP\tB-NP\tO' -p120303 -aS'had\thave\tVBD\tB-VP\tO' -p120304 -aS'no\tno\tDT\tB-NP\tO' -p120305 -aS'further\tfurther\tJJ\tI-NP\tO' -p120306 -aS'problems\tproblem\tNNS\tI-NP\tO' -p120307 -aS'with\twith\tIN\tB-PP\tO' -p120308 -aS'gastrointestinal\tgastrointestinal\tJJ\tB-NP\tO' -p120309 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p120310 -aS'and\tand\tCC\tO\tO' -p120311 -aS'a\ta\tDT\tB-NP\tO' -p120312 -aS'stable\tstable\tJJ\tI-NP\tO' -p120313 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p120314 -aS'the\tthe\tDT\tB-NP\tO' -p120315 -aS'rest\trest\tNN\tI-NP\tO' -p120316 -aS'of\tof\tIN\tB-PP\tO' -p120317 -aS'his\this\tPRP$\tB-NP\tO' -p120318 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p120319 -aS'.\t.\t.\tO\tO' -p120320 -asS'Given her fevers and shortness of breath the patient was treated with broad spectrum antibiotics initially started on Ceptaz , Levaquin and __________ and Clindamycin .' -p120321 -(lp120322 -S'Given\tGive\tVBN\tB-PP\tO' -p120323 -aS'her\ther\tPRP$\tB-NP\tO' -p120324 -aS'fevers\tfever\tNNS\tI-NP\tO' -p120325 -aS'and\tand\tCC\tI-NP\tO' -p120326 -aS'shortness\tshortness\tNN\tI-NP\tO' -p120327 -aS'of\tof\tIN\tB-PP\tO' -p120328 -aS'breath\tbreath\tNN\tB-NP\tO' -p120329 -aS'the\tthe\tDT\tB-NP\tO' -p120330 -aS'patient\tpatient\tNN\tI-NP\tO' -p120331 -aS'was\tbe\tVBD\tB-VP\tO' -p120332 -aS'treated\ttreat\tVBN\tI-VP\tO' -p120333 -aS'with\twith\tIN\tB-PP\tO' -p120334 -aS'broad\tbroad\tJJ\tB-NP\tO' -p120335 -aS'spectrum\tspectrum\tNN\tI-NP\tO' -p120336 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p120337 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p120338 -aS'started\tstart\tVBD\tB-VP\tO' -p120339 -aS'on\ton\tIN\tB-PP\tO' -p120340 -aS'Ceptaz\tCeptaz\tNN\tB-NP\tO' -p120341 -aS',\t,\t,\tO\tO' -p120342 -aS'Levaquin\tLevaquin\tNN\tB-NP\tO' -p120343 -aS'and\tand\tCC\tO\tO' -p120344 -aS'__________\t__________\tNN\tB-NP\tO' -p120345 -aS'and\tand\tCC\tI-NP\tO' -p120346 -aS'Clindamycin\tClindamycin\tNN\tI-NP\tO' -p120347 -aS'.\t.\t.\tO\tO' -p120348 -asS'Follow up appointment with Die Anoort and Tomedankell Care on 11/18/00 at 9:30 a.m. ( one day after discharge ) .' -p120349 -(lp120350 -S'Follow\tFollow\tVB\tB-VP\tO' -p120351 -aS'up\tup\tRP\tB-PRT\tO' -p120352 -aS'appointment\tappointment\tNN\tB-NP\tO' -p120353 -aS'with\twith\tIN\tB-PP\tO' -p120354 -aS'Die\tDie\tNNP\tB-NP\tO' -p120355 -aS'Anoort\tAnoort\tNNP\tI-NP\tO' -p120356 -aS'and\tand\tCC\tO\tO' -p120357 -aS'Tomedankell\tTomedankell\tNNP\tB-NP\tO' -p120358 -aS'Care\tCare\tNNP\tI-NP\tO' -p120359 -aS'on\ton\tIN\tB-PP\tO' -p120360 -aS'11/18/00\t11/18/00\tCD\tB-NP\tO' -p120361 -aS'at\tat\tIN\tB-PP\tO' -p120362 -aS'9:30\t9:30\tCD\tB-NP\tO' -p120363 -aS'a.m.\ta.m.\tRB\tI-NP\tO' -p120364 -aS'(\t(\t(\tO\tO' -p120365 -aS'one\tone\tCD\tB-NP\tO' -p120366 -aS'day\tday\tNN\tI-NP\tO' -p120367 -aS'after\tafter\tIN\tB-PP\tO' -p120368 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p120369 -aS')\t)\t)\tO\tO' -p120370 -aS'.\t.\t.\tO\tO' -p120371 -asS'A stat panel 7 confirmed that the sugar was 23 and that he had a new anion gap of 40 .' -p120372 -(lp120373 -S'A\tA\tDT\tB-NP\tO' -p120374 -aS'stat\tstat\tNN\tI-NP\tB-protein' -p120375 -aS'panel\tpanel\tNN\tI-NP\tI-protein' -p120376 -aS'7\t7\tCD\tI-NP\tI-protein' -p120377 -aS'confirmed\tconfirm\tVBD\tB-VP\tO' -p120378 -aS'that\tthat\tIN\tB-SBAR\tO' -p120379 -aS'the\tthe\tDT\tB-NP\tO' -p120380 -aS'sugar\tsugar\tNN\tI-NP\tO' -p120381 -aS'was\tbe\tVBD\tB-VP\tO' -p120382 -aS'23\t23\tCD\tB-NP\tO' -p120383 -aS'and\tand\tCC\tO\tO' -p120384 -aS'that\tthat\tIN\tB-SBAR\tO' -p120385 -aS'he\the\tPRP\tB-NP\tO' -p120386 -aS'had\thave\tVBD\tB-VP\tO' -p120387 -aS'a\ta\tDT\tB-NP\tO' -p120388 -aS'new\tnew\tJJ\tI-NP\tO' -p120389 -aS'anion\tanion\tNN\tI-NP\tO' -p120390 -aS'gap\tgap\tNN\tI-NP\tO' -p120391 -aS'of\tof\tIN\tB-PP\tO' -p120392 -aS'40\t40\tCD\tB-NP\tO' -p120393 -aS'.\t.\t.\tO\tO' -p120394 -asS'The ultrasound showed biliary sludge and swelling of the body and tail of the pancreas .' -p120395 -(lp120396 -S'The\tThe\tDT\tB-NP\tO' -p120397 -aS'ultrasound\tultrasound\tNN\tI-NP\tO' -p120398 -aS'showed\tshow\tVBD\tB-VP\tO' -p120399 -aS'biliary\tbiliary\tJJ\tB-NP\tO' -p120400 -aS'sludge\tsludge\tNN\tI-NP\tO' -p120401 -aS'and\tand\tCC\tI-NP\tO' -p120402 -aS'swelling\tswelling\tNN\tI-NP\tO' -p120403 -aS'of\tof\tIN\tB-PP\tO' -p120404 -aS'the\tthe\tDT\tB-NP\tO' -p120405 -aS'body\tbody\tNN\tI-NP\tO' -p120406 -aS'and\tand\tCC\tI-NP\tO' -p120407 -aS'tail\ttail\tNN\tI-NP\tO' -p120408 -aS'of\tof\tIN\tB-PP\tO' -p120409 -aS'the\tthe\tDT\tB-NP\tO' -p120410 -aS'pancreas\tpancreas\tNN\tI-NP\tO' -p120411 -aS'.\t.\t.\tO\tO' -p120412 -asS'head CT at Erich Lindemann Mental Health Center 05-24 : atrophy , dense calcification of the tentorium , most likely of metabolic etiology' -p120413 -(lp120414 -S'head\thead\tNN\tB-NP\tO' -p120415 -aS'CT\tCT\tNN\tI-NP\tO' -p120416 -aS'at\tat\tIN\tB-PP\tO' -p120417 -aS'Erich\tErich\tNNP\tB-NP\tO' -p120418 -aS'Lindemann\tLindemann\tNNP\tI-NP\tO' -p120419 -aS'Mental\tMental\tNNP\tI-NP\tO' -p120420 -aS'Health\tHealth\tNNP\tI-NP\tO' -p120421 -aS'Center\tCenter\tNNP\tI-NP\tO' -p120422 -aS'05-24\t05-24\tCD\tI-NP\tO' -p120423 -aS':\t:\t:\tO\tO' -p120424 -aS'atrophy\tatrophy\tNN\tB-NP\tO' -p120425 -aS',\t,\t,\tO\tO' -p120426 -aS'dense\tdense\tJJ\tB-NP\tO' -p120427 -aS'calcification\tcalcification\tNN\tI-NP\tO' -p120428 -aS'of\tof\tIN\tB-PP\tO' -p120429 -aS'the\tthe\tDT\tB-NP\tO' -p120430 -aS'tentorium\ttentorium\tNN\tI-NP\tO' -p120431 -aS',\t,\t,\tO\tO' -p120432 -aS'most\tmost\tRBS\tB-ADVP\tO' -p120433 -aS'likely\tlikely\tRB\tI-ADVP\tO' -p120434 -aS'of\tof\tIN\tB-PP\tO' -p120435 -aS'metabolic\tmetabolic\tJJ\tB-NP\tO' -p120436 -aS'etiology\tetiology\tNN\tI-NP\tO' -p120437 -asS'Cardiovascular examination revealed regular rate and rhythm .' -p120438 -(lp120439 -S'Cardiovascular\tCardiovascular\tJJ\tB-NP\tO' -p120440 -aS'examination\texamination\tNN\tI-NP\tO' -p120441 -aS'revealed\treveal\tVBD\tB-VP\tO' -p120442 -aS'regular\tregular\tJJ\tB-NP\tO' -p120443 -aS'rate\trate\tNN\tI-NP\tO' -p120444 -aS'and\tand\tCC\tI-NP\tO' -p120445 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p120446 -aS'.\t.\t.\tO\tO' -p120447 -asS'It is possible that the patient is self medicating for underlying psychiatric disorder .' -p120448 -(lp120449 -S'It\tIt\tPRP\tB-NP\tO' -p120450 -aS'is\tbe\tVBZ\tB-VP\tO' -p120451 -aS'possible\tpossible\tJJ\tB-ADJP\tO' -p120452 -aS'that\tthat\tIN\tB-SBAR\tO' -p120453 -aS'the\tthe\tDT\tB-NP\tO' -p120454 -aS'patient\tpatient\tNN\tI-NP\tO' -p120455 -aS'is\tbe\tVBZ\tB-VP\tO' -p120456 -aS'self\tself\tPRP\tB-NP\tO' -p120457 -aS'medicating\tmedicate\tVBG\tB-VP\tO' -p120458 -aS'for\tfor\tIN\tB-PP\tO' -p120459 -aS'underlying\tunderlie\tVBG\tB-VP\tO' -p120460 -aS'psychiatric\tpsychiatric\tJJ\tB-NP\tO' -p120461 -aS'disorder\tdisorder\tNN\tI-NP\tO' -p120462 -aS'.\t.\t.\tO\tO' -p120463 -asS'We will consult addiction service in the a.m.' -p120464 -(lp120465 -S'We\tWe\tPRP\tB-NP\tO' -p120466 -aS'will\twill\tMD\tB-VP\tO' -p120467 -aS'consult\tconsult\tVB\tI-VP\tO' -p120468 -aS'addiction\taddiction\tNN\tB-NP\tO' -p120469 -aS'service\tservice\tNN\tI-NP\tO' -p120470 -aS'in\tin\tIN\tB-PP\tO' -p120471 -aS'the\tthe\tDT\tB-NP\tO' -p120472 -aS'a.m.\ta.m.\tNN\tI-NP\tO' -p120473 -asS'His laboratories were checked and his hematocrit was noted to be stable .' -p120474 -(lp120475 -S'His\tHis\tPRP$\tB-NP\tO' -p120476 -aS'laboratories\tlaboratory\tNNS\tI-NP\tO' -p120477 -aS'were\tbe\tVBD\tB-VP\tO' -p120478 -aS'checked\tcheck\tVBN\tI-VP\tO' -p120479 -aS'and\tand\tCC\tO\tO' -p120480 -aS'his\this\tPRP$\tB-NP\tO' -p120481 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p120482 -aS'was\tbe\tVBD\tB-VP\tO' -p120483 -aS'noted\tnote\tVBN\tI-VP\tO' -p120484 -aS'to\tto\tTO\tI-VP\tO' -p120485 -aS'be\tbe\tVB\tI-VP\tO' -p120486 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p120487 -aS'.\t.\t.\tO\tO' -p120488 -asS'The pupils equal , round , reactive to light .' -p120489 -(lp120490 -S'The\tThe\tDT\tB-NP\tO' -p120491 -aS'pupils\tpupil\tNNS\tI-NP\tO' -p120492 -aS'equal\tequal\tJJ\tB-NP\tO' -p120493 -aS',\t,\t,\tI-NP\tO' -p120494 -aS'round\tround\tJJ\tI-NP\tO' -p120495 -aS',\t,\t,\tI-NP\tO' -p120496 -aS'reactive\treactive\tJJ\tI-NP\tO' -p120497 -aS'to\tto\tTO\tB-PP\tO' -p120498 -aS'light\tlight\tNN\tB-NP\tO' -p120499 -aS'.\t.\t.\tO\tO' -p120500 -asS'Showed regular rate and rhythm without murmurs , rubs , or gallops .' -p120501 -(lp120502 -S'Showed\tShow\tVBN\tB-NP\tO' -p120503 -aS'regular\tregular\tJJ\tI-NP\tO' -p120504 -aS'rate\trate\tNN\tI-NP\tO' -p120505 -aS'and\tand\tCC\tI-NP\tO' -p120506 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p120507 -aS'without\twithout\tIN\tB-PP\tO' -p120508 -aS'murmurs\tmurmur\tNNS\tB-NP\tO' -p120509 -aS',\t,\t,\tO\tO' -p120510 -aS'rubs\trub\tNNS\tB-NP\tO' -p120511 -aS',\t,\t,\tO\tO' -p120512 -aS'or\tor\tCC\tO\tO' -p120513 -aS'gallops\tgallop\tNNS\tB-NP\tO' -p120514 -aS'.\t.\t.\tO\tO' -p120515 -asS'We followed lactate while she was in the CMED which was normal .' -p120516 -(lp120517 -S'We\tWe\tPRP\tB-NP\tO' -p120518 -aS'followed\tfollow\tVBD\tB-VP\tO' -p120519 -aS'lactate\tlactate\tNN\tB-NP\tO' -p120520 -aS'while\twhile\tIN\tB-SBAR\tO' -p120521 -aS'she\tshe\tPRP\tB-NP\tO' -p120522 -aS'was\tbe\tVBD\tB-VP\tO' -p120523 -aS'in\tin\tIN\tB-PP\tO' -p120524 -aS'the\tthe\tDT\tB-NP\tO' -p120525 -aS'CMED\tCMED\tNN\tI-NP\tO' -p120526 -aS'which\twhich\tWDT\tB-NP\tO' -p120527 -aS'was\tbe\tVBD\tB-VP\tO' -p120528 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p120529 -aS'.\t.\t.\tO\tO' -p120530 -asS'Lives at Lowell Home NH x 11 yrs due to chronic CMED issues .' -p120531 -(lp120532 -S'Lives\tLife\tNNS\tB-NP\tO' -p120533 -aS'at\tat\tIN\tB-PP\tO' -p120534 -aS'Lowell\tLowell\tNNP\tB-NP\tO' -p120535 -aS'Home\tHome\tNNP\tI-NP\tO' -p120536 -aS'NH\tNH\tNNP\tI-NP\tO' -p120537 -aS'x\tx\tCC\tO\tO' -p120538 -aS'11\t11\tCD\tB-NP\tO' -p120539 -aS'yrs\tyr\tNNS\tI-NP\tO' -p120540 -aS'due\tdue\tJJ\tB-PP\tO' -p120541 -aS'to\tto\tTO\tB-PP\tO' -p120542 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p120543 -aS'CMED\tCMED\tNN\tI-NP\tO' -p120544 -aS'issues\tissue\tNNS\tI-NP\tO' -p120545 -aS'.\t.\t.\tO\tO' -p120546 -asS'Auditory hearing screening was performed with automated brainstem responses .' -p120547 -(lp120548 -S'Auditory\tAuditory\tJJ\tB-NP\tO' -p120549 -aS'hearing\thearing\tNN\tI-NP\tO' -p120550 -aS'screening\tscreening\tNN\tI-NP\tO' -p120551 -aS'was\tbe\tVBD\tB-VP\tO' -p120552 -aS'performed\tperform\tVBN\tI-VP\tO' -p120553 -aS'with\twith\tIN\tB-PP\tO' -p120554 -aS'automated\tautomate\tVBN\tB-NP\tO' -p120555 -aS'brainstem\tbrainstem\tNN\tI-NP\tO' -p120556 -aS'responses\tresponse\tNNS\tI-NP\tO' -p120557 -aS'.\t.\t.\tO\tO' -p120558 -asS'ESR was within normal limits and CPR was mildly elevated .' -p120559 -(lp120560 -S'ESR\tESR\tNN\tB-NP\tB-protein' -p120561 -aS'was\tbe\tVBD\tB-VP\tO' -p120562 -aS'within\twithin\tIN\tB-PP\tO' -p120563 -aS'normal\tnormal\tJJ\tB-NP\tO' -p120564 -aS'limits\tlimit\tNNS\tI-NP\tO' -p120565 -aS'and\tand\tCC\tO\tO' -p120566 -aS'CPR\tCPR\tNN\tB-NP\tB-protein' -p120567 -aS'was\tbe\tVBD\tB-VP\tO' -p120568 -aS'mildly\tmildly\tRB\tB-ADJP\tO' -p120569 -aS'elevated\televated\tJJ\tI-ADJP\tO' -p120570 -aS'.\t.\t.\tO\tO' -p120571 -asS'Left forarm and right knee abrasions .' -p120572 -(lp120573 -S'Left\tLeft\tJJ\tB-NP\tO' -p120574 -aS'forarm\tforarm\tNN\tI-NP\tO' -p120575 -aS'and\tand\tCC\tO\tO' -p120576 -aS'right\tright\tJJ\tB-NP\tO' -p120577 -aS'knee\tknee\tNN\tI-NP\tO' -p120578 -aS'abrasions\tabrasion\tNNS\tI-NP\tO' -p120579 -aS'.\t.\t.\tO\tO' -p120580 -asS'scaphoid , positive bowel sounds , no palpable masses , with a parasagittal scar right of the midline .' -p120581 -(lp120582 -S'scaphoid\tscaphoid\tJJ\tB-NP\tO' -p120583 -aS',\t,\t,\tI-NP\tO' -p120584 -aS'positive\tpositive\tJJ\tI-NP\tO' -p120585 -aS'bowel\tbowel\tNN\tI-NP\tO' -p120586 -aS'sounds\tsound\tNNS\tI-NP\tO' -p120587 -aS',\t,\t,\tO\tO' -p120588 -aS'no\tno\tDT\tB-NP\tO' -p120589 -aS'palpable\tpalpable\tJJ\tI-NP\tO' -p120590 -aS'masses\tmass\tNNS\tI-NP\tO' -p120591 -aS',\t,\t,\tO\tO' -p120592 -aS'with\twith\tIN\tB-PP\tO' -p120593 -aS'a\ta\tDT\tB-NP\tO' -p120594 -aS'parasagittal\tparasagittal\tJJ\tI-NP\tO' -p120595 -aS'scar\tscar\tNN\tI-NP\tO' -p120596 -aS'right\tright\tNN\tI-NP\tO' -p120597 -aS'of\tof\tIN\tB-PP\tO' -p120598 -aS'the\tthe\tDT\tB-NP\tO' -p120599 -aS'midline\tmidline\tNN\tI-NP\tO' -p120600 -aS'.\t.\t.\tO\tO' -p120601 -asS'+ bs .' -p120602 -(lp120603 -S'+\t+\tSYM\tB-NP\tO' -p120604 -aS'bs\tb\tNNS\tI-NP\tO' -p120605 -aS'.\t.\t.\tO\tO' -p120606 -asS'The family understood this; all questions were answered and they wished to proceed .' -p120607 -(lp120608 -S'The\tThe\tDT\tB-NP\tO' -p120609 -aS'family\tfamily\tNN\tI-NP\tO' -p120610 -aS'understood\tunderstand\tVBD\tB-VP\tO' -p120611 -aS'this;\tthis;\tIN\tB-PP\tO' -p120612 -aS'all\tall\tDT\tB-NP\tO' -p120613 -aS'questions\tquestion\tNNS\tI-NP\tO' -p120614 -aS'were\tbe\tVBD\tB-VP\tO' -p120615 -aS'answered\tanswer\tVBN\tI-VP\tO' -p120616 -aS'and\tand\tCC\tO\tO' -p120617 -aS'they\tthey\tPRP\tB-NP\tO' -p120618 -aS'wished\twish\tVBD\tB-VP\tO' -p120619 -aS'to\tto\tTO\tI-VP\tO' -p120620 -aS'proceed\tproceed\tVB\tI-VP\tO' -p120621 -aS'.\t.\t.\tO\tO' -p120622 -asS'As discussed in the Infectious Disease section , Mr. Roach developed a pneumonia likely from gram-negative organisms , but most likely from Escherichia coli .' -p120623 -(lp120624 -S'As\tAs\tIN\tB-SBAR\tO' -p120625 -aS'discussed\tdiscuss\tVBN\tB-VP\tO' -p120626 -aS'in\tin\tIN\tB-PP\tO' -p120627 -aS'the\tthe\tDT\tB-NP\tO' -p120628 -aS'Infectious\tInfectious\tJJ\tI-NP\tO' -p120629 -aS'Disease\tDisease\tNN\tI-NP\tO' -p120630 -aS'section\tsection\tNN\tI-NP\tO' -p120631 -aS',\t,\t,\tO\tO' -p120632 -aS'Mr.\tMr.\tNNP\tB-NP\tO' -p120633 -aS'Roach\tRoach\tNNP\tI-NP\tO' -p120634 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p120635 -aS'a\ta\tDT\tB-NP\tO' -p120636 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p120637 -aS'likely\tlikely\tRB\tB-ADJP\tO' -p120638 -aS'from\tfrom\tIN\tB-PP\tO' -p120639 -aS'gram-negative\tgram-negative\tJJ\tB-NP\tO' -p120640 -aS'organisms\torganism\tNNS\tI-NP\tO' -p120641 -aS',\t,\t,\tO\tO' -p120642 -aS'but\tbut\tCC\tO\tO' -p120643 -aS'most\tmost\tRBS\tB-ADVP\tO' -p120644 -aS'likely\tlikely\tRB\tI-ADVP\tO' -p120645 -aS'from\tfrom\tIN\tB-PP\tO' -p120646 -aS'Escherichia\tEscherichia\tNNP\tB-NP\tO' -p120647 -aS'coli\tcoli\tNNP\tI-NP\tO' -p120648 -aS'.\t.\t.\tO\tO' -p120649 -asS'Also on this day she was transferred to the SDU .' -p120650 -(lp120651 -S'Also\tAlso\tRB\tB-ADVP\tO' -p120652 -aS'on\ton\tIN\tB-PP\tO' -p120653 -aS'this\tthis\tDT\tB-NP\tO' -p120654 -aS'day\tday\tNN\tI-NP\tO' -p120655 -aS'she\tshe\tPRP\tB-NP\tO' -p120656 -aS'was\tbe\tVBD\tB-VP\tO' -p120657 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p120658 -aS'to\tto\tTO\tB-PP\tO' -p120659 -aS'the\tthe\tDT\tB-NP\tO' -p120660 -aS'SDU\tSDU\tNNP\tI-NP\tO' -p120661 -aS'.\t.\t.\tO\tO' -p120662 -asS"Postoperatively , the patient 's clinical course was largely unremarkable ." -p120663 -(lp120664 -S'Postoperatively\tPostoperatively\tRB\tB-ADVP\tO' -p120665 -aS',\t,\t,\tO\tO' -p120666 -aS'the\tthe\tDT\tB-NP\tO' -p120667 -aS'patient\tpatient\tNN\tI-NP\tO' -p120668 -aS"'s\t's\tPOS\tB-NP\tO" -p120669 -aS'clinical\tclinical\tJJ\tI-NP\tO' -p120670 -aS'course\tcourse\tNN\tI-NP\tO' -p120671 -aS'was\tbe\tVBD\tB-VP\tO' -p120672 -aS'largely\tlargely\tRB\tB-ADJP\tO' -p120673 -aS'unremarkable\tunremarkable\tJJ\tI-ADJP\tO' -p120674 -aS'.\t.\t.\tO\tO' -p120675 -asS'17. Milk of Magnesia 30 cc p.o. q day constipation .' -p120676 -(lp120677 -S'17.\t17.\tLS\tB-LST\tO' -p120678 -aS'Milk\tMilk\tNNP\tB-NP\tO' -p120679 -aS'of\tof\tIN\tB-PP\tO' -p120680 -aS'Magnesia\tMagnesia\tNNP\tB-NP\tO' -p120681 -aS'30\t30\tCD\tI-NP\tO' -p120682 -aS'cc\tcc\tNN\tI-NP\tO' -p120683 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p120684 -aS'q\tq\tNN\tI-NP\tO' -p120685 -aS'day\tday\tNN\tI-NP\tO' -p120686 -aS'constipation\tconstipation\tNN\tI-NP\tO' -p120687 -aS'.\t.\t.\tO\tO' -p120688 -asS'+ alveolar opacities c / w alveolar hemorrhage or aspirated blood .' -p120689 -(lp120690 -S'+\t+\tSYM\tB-NP\tO' -p120691 -aS'alveolar\talveolar\tJJ\tI-NP\tO' -p120692 -aS'opacities\topacity\tNNS\tI-NP\tO' -p120693 -aS'c\tc\tNN\tI-NP\tO' -p120694 -aS'/\t/\tSYM\tB-NP\tO' -p120695 -aS'w\tw\tNN\tI-NP\tO' -p120696 -aS'alveolar\talveolar\tJJ\tI-NP\tO' -p120697 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p120698 -aS'or\tor\tCC\tO\tO' -p120699 -aS'aspirated\taspirate\tVBN\tB-NP\tO' -p120700 -aS'blood\tblood\tNN\tI-NP\tO' -p120701 -aS'.\t.\t.\tO\tO' -p120702 -asS'Will go home with prn morphine , ativan , and PR decadron .' -p120703 -(lp120704 -S'Will\tWill\tMD\tB-VP\tO' -p120705 -aS'go\tgo\tVB\tI-VP\tO' -p120706 -aS'home\thome\tNN\tB-ADVP\tO' -p120707 -aS'with\twith\tIN\tB-PP\tO' -p120708 -aS'prn\tprn\tNN\tB-NP\tO' -p120709 -aS'morphine\tmorphine\tNN\tI-NP\tO' -p120710 -aS',\t,\t,\tO\tO' -p120711 -aS'ativan\tativan\tNN\tB-NP\tO' -p120712 -aS',\t,\t,\tO\tO' -p120713 -aS'and\tand\tCC\tO\tO' -p120714 -aS'PR\tPR\tNN\tB-NP\tB-protein' -p120715 -aS'decadron\tdecadron\tNN\tI-NP\tO' -p120716 -aS'.\t.\t.\tO\tO' -p120717 -asS'Signed electronically by : DR. Steven W. Weekley on : Sandra 2019-01-15 10:22 AM' -p120718 -(lp120719 -S'Signed\tSign\tVBN\tB-VP\tO' -p120720 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p120721 -aS'by\tby\tIN\tB-PP\tO' -p120722 -aS':\t:\t:\tO\tO' -p120723 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p120724 -aS'Steven\tSteven\tNNP\tI-NP\tO' -p120725 -aS'W.\tW.\tNNP\tI-NP\tO' -p120726 -aS'Weekley\tWeekley\tNNP\tI-NP\tO' -p120727 -aS'on\ton\tIN\tB-PP\tO' -p120728 -aS':\t:\t:\tO\tO' -p120729 -aS'Sandra\tSandra\tNNP\tB-NP\tO' -p120730 -aS'2019-01-15\t2019-01-15\tCD\tB-NP\tO' -p120731 -aS'10:22\t10:22\tCD\tI-NP\tO' -p120732 -aS'AM\tAM\tNN\tI-NP\tO' -p120733 -asS'Lower gastrointestinal bleed in February of 1993 which was not worked up due to patient deferment .' -p120734 -(lp120735 -S'Lower\tLow\tJJR\tB-NP\tO' -p120736 -aS'gastrointestinal\tgastrointestinal\tJJ\tI-NP\tO' -p120737 -aS'bleed\tbleed\tNN\tI-NP\tO' -p120738 -aS'in\tin\tIN\tB-PP\tO' -p120739 -aS'February\tFebruary\tNNP\tB-NP\tO' -p120740 -aS'of\tof\tIN\tB-PP\tO' -p120741 -aS'1993\t1993\tCD\tB-NP\tO' -p120742 -aS'which\twhich\tWDT\tB-NP\tO' -p120743 -aS'was\tbe\tVBD\tB-VP\tO' -p120744 -aS'not\tnot\tRB\tI-VP\tO' -p120745 -aS'worked\twork\tVBN\tI-VP\tO' -p120746 -aS'up\tup\tRP\tB-PRT\tO' -p120747 -aS'due\tdue\tJJ\tB-ADVP\tO' -p120748 -aS'to\tto\tTO\tB-PP\tO' -p120749 -aS'patient\tpatient\tNN\tB-NP\tO' -p120750 -aS'deferment\tdeferment\tNN\tI-NP\tO' -p120751 -aS'.\t.\t.\tO\tO' -p120752 -asS'Physical examination revealed temperature was 99.3 , heart rate was 66 in a normal sinus rhythm , blood pressure was 132/51 , respiratory rate was 22 , and oxygen saturation was 100% on 3 liters nasal cannula .' -p120753 -(lp120754 -S'Physical\tPhysical\tJJ\tB-NP\tO' -p120755 -aS'examination\texamination\tNN\tI-NP\tO' -p120756 -aS'revealed\treveal\tVBD\tB-VP\tO' -p120757 -aS'temperature\ttemperature\tNN\tB-NP\tO' -p120758 -aS'was\tbe\tVBD\tB-VP\tO' -p120759 -aS'99.3\t99.3\tCD\tB-NP\tO' -p120760 -aS',\t,\t,\tO\tO' -p120761 -aS'heart\theart\tNN\tB-NP\tO' -p120762 -aS'rate\trate\tNN\tI-NP\tO' -p120763 -aS'was\tbe\tVBD\tB-VP\tO' -p120764 -aS'66\t66\tCD\tB-NP\tO' -p120765 -aS'in\tin\tIN\tB-PP\tO' -p120766 -aS'a\ta\tDT\tB-NP\tO' -p120767 -aS'normal\tnormal\tJJ\tI-NP\tO' -p120768 -aS'sinus\tsinus\tNN\tI-NP\tO' -p120769 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p120770 -aS',\t,\t,\tO\tO' -p120771 -aS'blood\tblood\tNN\tB-NP\tO' -p120772 -aS'pressure\tpressure\tNN\tI-NP\tO' -p120773 -aS'was\tbe\tVBD\tB-VP\tO' -p120774 -aS'132/51\t132/51\tCD\tB-NP\tO' -p120775 -aS',\t,\t,\tO\tO' -p120776 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p120777 -aS'rate\trate\tNN\tI-NP\tO' -p120778 -aS'was\tbe\tVBD\tB-VP\tO' -p120779 -aS'22\t22\tCD\tB-NP\tO' -p120780 -aS',\t,\t,\tO\tO' -p120781 -aS'and\tand\tCC\tO\tO' -p120782 -aS'oxygen\toxygen\tNN\tB-NP\tO' -p120783 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p120784 -aS'was\tbe\tVBD\tB-VP\tO' -p120785 -aS'100%\t100%\tCD\tB-NP\tO' -p120786 -aS'on\ton\tIN\tB-PP\tO' -p120787 -aS'3\t3\tCD\tB-NP\tO' -p120788 -aS'liters\tliter\tNNS\tI-NP\tO' -p120789 -aS'nasal\tnasal\tJJ\tB-NP\tO' -p120790 -aS'cannula\tcannula\tNN\tI-NP\tO' -p120791 -aS'.\t.\t.\tO\tO' -p120792 -asS'POST-BYPASS : Preserved Kindred / North Shore - ventricular systolic fxn .' -p120793 -(lp120794 -S'POST-BYPASS\tPOST-BYPASS\tNN\tB-NP\tO' -p120795 -aS':\t:\t:\tO\tO' -p120796 -aS'Preserved\tPreserve\tVBN\tB-VP\tO' -p120797 -aS'Kindred\tKindre\tVBN\tB-VP\tO' -p120798 -aS'/\t/\tSYM\tO\tO' -p120799 -aS'North\tNorth\tNN\tB-NP\tO' -p120800 -aS'Shore\tShore\tNN\tI-NP\tO' -p120801 -aS'-\t-\tHYPH\tB-NP\tO' -p120802 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p120803 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p120804 -aS'fxn\tfxn\tNN\tI-NP\tO' -p120805 -aS'.\t.\t.\tO\tO' -p120806 -asS'Birth weight was 3.29 kilograms in the 75th percentile .' -p120807 -(lp120808 -S'Birth\tBirth\tNN\tB-NP\tO' -p120809 -aS'weight\tweight\tNN\tI-NP\tO' -p120810 -aS'was\tbe\tVBD\tB-VP\tO' -p120811 -aS'3.29\t3.29\tCD\tB-NP\tO' -p120812 -aS'kilograms\tkilogram\tNNS\tI-NP\tO' -p120813 -aS'in\tin\tIN\tB-PP\tO' -p120814 -aS'the\tthe\tDT\tB-NP\tO' -p120815 -aS'75th\t75th\tJJ\tI-NP\tO' -p120816 -aS'percentile\tpercentile\tNN\tI-NP\tO' -p120817 -aS'.\t.\t.\tO\tO' -p120818 -asS'He has trouble with his shoes and socks .' -p120819 -(lp120820 -S'He\tHe\tPRP\tB-NP\tO' -p120821 -aS'has\thave\tVBZ\tB-VP\tO' -p120822 -aS'trouble\ttrouble\tNN\tB-NP\tO' -p120823 -aS'with\twith\tIN\tB-PP\tO' -p120824 -aS'his\this\tPRP$\tB-NP\tO' -p120825 -aS'shoes\tshoe\tNNS\tI-NP\tO' -p120826 -aS'and\tand\tCC\tI-NP\tO' -p120827 -aS'socks\tsock\tNNS\tI-NP\tO' -p120828 -aS'.\t.\t.\tO\tO' -p120829 -asS'A family meeting was held on 5-2-98 and it was decided that the patient should be made comfort care only .' -p120830 -(lp120831 -S'A\tA\tDT\tB-NP\tO' -p120832 -aS'family\tfamily\tNN\tI-NP\tO' -p120833 -aS'meeting\tmeeting\tNN\tI-NP\tO' -p120834 -aS'was\tbe\tVBD\tB-VP\tO' -p120835 -aS'held\thold\tVBN\tI-VP\tO' -p120836 -aS'on\ton\tIN\tB-PP\tO' -p120837 -aS'5-2-98\t5-2-98\tCD\tB-NP\tO' -p120838 -aS'and\tand\tCC\tO\tO' -p120839 -aS'it\tit\tPRP\tB-NP\tO' -p120840 -aS'was\tbe\tVBD\tB-VP\tO' -p120841 -aS'decided\tdecide\tVBN\tI-VP\tO' -p120842 -aS'that\tthat\tIN\tB-SBAR\tO' -p120843 -aS'the\tthe\tDT\tB-NP\tO' -p120844 -aS'patient\tpatient\tNN\tI-NP\tO' -p120845 -aS'should\tshould\tMD\tB-VP\tO' -p120846 -aS'be\tbe\tVB\tI-VP\tO' -p120847 -aS'made\tmake\tVBN\tI-VP\tO' -p120848 -aS'comfort\tcomfort\tNN\tB-NP\tO' -p120849 -aS'care\tcare\tNN\tI-NP\tO' -p120850 -aS'only\tonly\tRB\tB-ADVP\tO' -p120851 -aS'.\t.\t.\tO\tO' -p120852 -asS'Tobacco ; he has some distant history of some very minimal use .' -p120853 -(lp120854 -S'Tobacco\tTobacco\tNNP\tB-NP\tO' -p120855 -aS';\t;\t:\tO\tO' -p120856 -aS'he\the\tPRP\tB-NP\tO' -p120857 -aS'has\thave\tVBZ\tB-VP\tO' -p120858 -aS'some\tsome\tDT\tB-NP\tO' -p120859 -aS'distant\tdistant\tJJ\tI-NP\tO' -p120860 -aS'history\thistory\tNN\tI-NP\tO' -p120861 -aS'of\tof\tIN\tB-PP\tO' -p120862 -aS'some\tsome\tDT\tB-NP\tO' -p120863 -aS'very\tvery\tRB\tI-NP\tO' -p120864 -aS'minimal\tminimal\tJJ\tI-NP\tO' -p120865 -aS'use\tuse\tNN\tI-NP\tO' -p120866 -aS'.\t.\t.\tO\tO' -p120867 -asS'adult respiratory distress syndrome .' -p120868 -(lp120869 -S'adult\tadult\tJJ\tB-NP\tO' -p120870 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p120871 -aS'distress\tdistress\tNN\tI-NP\tO' -p120872 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p120873 -aS'.\t.\t.\tO\tO' -p120874 -asS'No history of GYN , cancers , or breast cancer .' -p120875 -(lp120876 -S'No\tNo\tDT\tB-NP\tO' -p120877 -aS'history\thistory\tNN\tI-NP\tO' -p120878 -aS'of\tof\tIN\tB-PP\tO' -p120879 -aS'GYN\tGYN\tNN\tB-NP\tB-protein' -p120880 -aS',\t,\t,\tO\tO' -p120881 -aS'cancers\tcancer\tNNS\tB-NP\tO' -p120882 -aS',\t,\t,\tO\tO' -p120883 -aS'or\tor\tCC\tO\tO' -p120884 -aS'breast\tbreast\tNN\tB-NP\tO' -p120885 -aS'cancer\tcancer\tNN\tI-NP\tO' -p120886 -aS'.\t.\t.\tO\tO' -p120887 -asS'Patient febrile and with a high WBC on admission .' -p120888 -(lp120889 -S'Patient\tPatient\tNN\tB-NP\tO' -p120890 -aS'febrile\tfebrile\tNN\tI-NP\tO' -p120891 -aS'and\tand\tCC\tB-PP\tO' -p120892 -aS'with\twith\tIN\tB-PP\tO' -p120893 -aS'a\ta\tDT\tB-NP\tO' -p120894 -aS'high\thigh\tJJ\tI-NP\tO' -p120895 -aS'WBC\tWBC\tNN\tI-NP\tO' -p120896 -aS'on\ton\tIN\tB-PP\tO' -p120897 -aS'admission\tadmission\tNN\tB-NP\tO' -p120898 -aS'.\t.\t.\tO\tO' -p120899 -asS'No aortic or mitral regurgitation .' -p120900 -(lp120901 -S'No\tNo\tDT\tB-NP\tO' -p120902 -aS'aortic\taortic\tJJ\tI-NP\tO' -p120903 -aS'or\tor\tCC\tI-NP\tO' -p120904 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p120905 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p120906 -aS'.\t.\t.\tO\tO' -p120907 -asS"The patient 's insurance company , however , would not pay for home antibiotics ." -p120908 -(lp120909 -S'The\tThe\tDT\tB-NP\tO' -p120910 -aS'patient\tpatient\tNN\tI-NP\tO' -p120911 -aS"'s\t's\tPOS\tB-NP\tO" -p120912 -aS'insurance\tinsurance\tNN\tI-NP\tO' -p120913 -aS'company\tcompany\tNN\tI-NP\tO' -p120914 -aS',\t,\t,\tO\tO' -p120915 -aS'however\thowever\tRB\tB-ADVP\tO' -p120916 -aS',\t,\t,\tO\tO' -p120917 -aS'would\twould\tMD\tB-VP\tO' -p120918 -aS'not\tnot\tRB\tI-VP\tO' -p120919 -aS'pay\tpay\tVB\tI-VP\tO' -p120920 -aS'for\tfor\tIN\tB-PP\tO' -p120921 -aS'home\thome\tNN\tB-NP\tO' -p120922 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p120923 -aS'.\t.\t.\tO\tO' -p120924 -asS'Mother presented with abdominal discomfort and vaginal pressure at 23 and 1/7 weeks .' -p120925 -(lp120926 -S'Mother\tMother\tNNP\tB-NP\tO' -p120927 -aS'presented\tpresent\tVBD\tB-VP\tO' -p120928 -aS'with\twith\tIN\tB-PP\tO' -p120929 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p120930 -aS'discomfort\tdiscomfort\tNN\tI-NP\tO' -p120931 -aS'and\tand\tCC\tO\tO' -p120932 -aS'vaginal\tvaginal\tJJ\tB-NP\tO' -p120933 -aS'pressure\tpressure\tNN\tI-NP\tO' -p120934 -aS'at\tat\tIN\tB-PP\tO' -p120935 -aS'23\t23\tCD\tB-NP\tO' -p120936 -aS'and\tand\tCC\tI-NP\tO' -p120937 -aS'1/7\t1/7\tCD\tI-NP\tO' -p120938 -aS'weeks\tweek\tNNS\tI-NP\tO' -p120939 -aS'.\t.\t.\tO\tO' -p120940 -asS'His chest and axillae showed no supraclavicular or axillary adenopathy .' -p120941 -(lp120942 -S'His\tHis\tPRP$\tB-NP\tO' -p120943 -aS'chest\tchest\tNN\tI-NP\tO' -p120944 -aS'and\tand\tCC\tI-NP\tO' -p120945 -aS'axillae\taxillae\tNN\tI-NP\tO' -p120946 -aS'showed\tshow\tVBD\tB-VP\tO' -p120947 -aS'no\tno\tDT\tB-NP\tO' -p120948 -aS'supraclavicular\tsupraclavicular\tJJ\tI-NP\tO' -p120949 -aS'or\tor\tCC\tI-NP\tO' -p120950 -aS'axillary\taxillary\tJJ\tI-NP\tO' -p120951 -aS'adenopathy\tadenopathy\tNN\tI-NP\tO' -p120952 -aS'.\t.\t.\tO\tO' -p120953 -asS'The patient had a fall about ten days ago , when he was walking the dog .' -p120954 -(lp120955 -S'The\tThe\tDT\tB-NP\tO' -p120956 -aS'patient\tpatient\tNN\tI-NP\tO' -p120957 -aS'had\thave\tVBD\tB-VP\tO' -p120958 -aS'a\ta\tDT\tB-NP\tO' -p120959 -aS'fall\tfall\tNN\tI-NP\tO' -p120960 -aS'about\tabout\tIN\tB-PP\tO' -p120961 -aS'ten\tten\tCD\tB-NP\tO' -p120962 -aS'days\tday\tNNS\tI-NP\tO' -p120963 -aS'ago\tago\tRB\tB-ADVP\tO' -p120964 -aS',\t,\t,\tO\tO' -p120965 -aS'when\twhen\tWRB\tB-ADVP\tO' -p120966 -aS'he\the\tPRP\tB-NP\tO' -p120967 -aS'was\tbe\tVBD\tB-VP\tO' -p120968 -aS'walking\twalk\tVBG\tI-VP\tO' -p120969 -aS'the\tthe\tDT\tB-NP\tO' -p120970 -aS'dog\tdog\tNN\tI-NP\tO' -p120971 -aS'.\t.\t.\tO\tO' -p120972 -asS'This moving sense , with normal electroencephalogram , was thought to be a mild vestibular dysfunction or from the acute episode of the stroke .' -p120973 -(lp120974 -S'This\tThis\tDT\tB-NP\tO' -p120975 -aS'moving\tmove\tVBG\tI-NP\tO' -p120976 -aS'sense\tsense\tNN\tI-NP\tO' -p120977 -aS',\t,\t,\tO\tO' -p120978 -aS'with\twith\tIN\tB-PP\tO' -p120979 -aS'normal\tnormal\tJJ\tB-NP\tO' -p120980 -aS'electroencephalogram\telectroencephalogram\tNN\tI-NP\tO' -p120981 -aS',\t,\t,\tO\tO' -p120982 -aS'was\tbe\tVBD\tB-VP\tO' -p120983 -aS'thought\tthink\tVBN\tI-VP\tO' -p120984 -aS'to\tto\tTO\tI-VP\tO' -p120985 -aS'be\tbe\tVB\tI-VP\tO' -p120986 -aS'a\ta\tDT\tB-NP\tO' -p120987 -aS'mild\tmild\tJJ\tI-NP\tO' -p120988 -aS'vestibular\tvestibular\tJJ\tI-NP\tO' -p120989 -aS'dysfunction\tdysfunction\tNN\tI-NP\tO' -p120990 -aS'or\tor\tCC\tB-PP\tO' -p120991 -aS'from\tfrom\tIN\tB-PP\tO' -p120992 -aS'the\tthe\tDT\tB-NP\tO' -p120993 -aS'acute\tacute\tJJ\tI-NP\tO' -p120994 -aS'episode\tepisode\tNN\tI-NP\tO' -p120995 -aS'of\tof\tIN\tB-PP\tO' -p120996 -aS'the\tthe\tDT\tB-NP\tO' -p120997 -aS'stroke\tstroke\tNN\tI-NP\tO' -p120998 -aS'.\t.\t.\tO\tO' -p120999 -asS'The patient also underwent cardiac ultrasound on December 11 , 1995 that showed abnormal right ventricle wall motion , trace mitral regurgitation , normal left ventricular size and function with an estimated ejection fraction of 64% .' -p121000 -(lp121001 -S'The\tThe\tDT\tB-NP\tO' -p121002 -aS'patient\tpatient\tNN\tI-NP\tO' -p121003 -aS'also\talso\tRB\tB-ADVP\tO' -p121004 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p121005 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p121006 -aS'ultrasound\tultrasound\tNN\tI-NP\tO' -p121007 -aS'on\ton\tIN\tB-PP\tO' -p121008 -aS'December\tDecember\tNNP\tB-NP\tO' -p121009 -aS'11\t11\tCD\tI-NP\tO' -p121010 -aS',\t,\t,\tI-NP\tO' -p121011 -aS'1995\t1995\tCD\tI-NP\tO' -p121012 -aS'that\tthat\tIN\tB-NP\tO' -p121013 -aS'showed\tshow\tVBD\tB-VP\tO' -p121014 -aS'abnormal\tabnormal\tJJ\tB-NP\tO' -p121015 -aS'right\tright\tJJ\tI-NP\tO' -p121016 -aS'ventricle\tventricle\tNN\tI-NP\tO' -p121017 -aS'wall\twall\tNN\tI-NP\tO' -p121018 -aS'motion\tmotion\tNN\tI-NP\tO' -p121019 -aS',\t,\t,\tO\tO' -p121020 -aS'trace\ttrace\tVBP\tB-VP\tO' -p121021 -aS'mitral\tmitral\tJJ\tB-NP\tO' -p121022 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p121023 -aS',\t,\t,\tO\tO' -p121024 -aS'normal\tnormal\tJJ\tB-NP\tO' -p121025 -aS'left\tleft\tJJ\tI-NP\tO' -p121026 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p121027 -aS'size\tsize\tNN\tI-NP\tO' -p121028 -aS'and\tand\tCC\tI-NP\tO' -p121029 -aS'function\tfunction\tNN\tI-NP\tO' -p121030 -aS'with\twith\tIN\tB-PP\tO' -p121031 -aS'an\tan\tDT\tB-NP\tO' -p121032 -aS'estimated\testimate\tVBN\tI-NP\tO' -p121033 -aS'ejection\tejection\tNN\tI-NP\tO' -p121034 -aS'fraction\tfraction\tNN\tI-NP\tO' -p121035 -aS'of\tof\tIN\tB-PP\tO' -p121036 -aS'64%\t64%\tNN\tB-NP\tO' -p121037 -aS'.\t.\t.\tO\tO' -p121038 -asS'8 ) Folic acid .' -p121039 -(lp121040 -S'8\t8\tCD\tB-NP\tO' -p121041 -aS')\t)\t)\tO\tO' -p121042 -aS'Folic\tFolic\tJJ\tB-NP\tO' -p121043 -aS'acid\tacid\tNN\tI-NP\tO' -p121044 -aS'.\t.\t.\tO\tO' -p121045 -asS'CBC was 8.7 , 25.3 , and 184 .' -p121046 -(lp121047 -S'CBC\tCBC\tNN\tB-NP\tB-protein' -p121048 -aS'was\tbe\tVBD\tB-VP\tO' -p121049 -aS'8.7\t8.7\tCD\tB-NP\tO' -p121050 -aS',\t,\t,\tI-NP\tO' -p121051 -aS'25.3\t25.3\tCD\tI-NP\tO' -p121052 -aS',\t,\t,\tO\tO' -p121053 -aS'and\tand\tCC\tO\tO' -p121054 -aS'184\t184\tCD\tB-NP\tO' -p121055 -aS'.\t.\t.\tO\tO' -p121056 -asS'The patient lives with wife .' -p121057 -(lp121058 -S'The\tThe\tDT\tB-NP\tO' -p121059 -aS'patient\tpatient\tNN\tI-NP\tO' -p121060 -aS'lives\tlive\tVBZ\tB-VP\tO' -p121061 -aS'with\twith\tIN\tB-PP\tO' -p121062 -aS'wife\twife\tNN\tB-NP\tO' -p121063 -aS'.\t.\t.\tO\tO' -p121064 -asS'The CA-125 was still pending and alphafeto protein is still pending .' -p121065 -(lp121066 -S'The\tThe\tDT\tB-NP\tO' -p121067 -aS'CA-125\tCA-125\tNN\tI-NP\tB-protein' -p121068 -aS'was\tbe\tVBD\tB-VP\tO' -p121069 -aS'still\tstill\tRB\tI-VP\tO' -p121070 -aS'pending\tpende\tVBG\tI-VP\tO' -p121071 -aS'and\tand\tCC\tO\tO' -p121072 -aS'alphafeto\talphafeto\tNN\tB-NP\tB-protein' -p121073 -aS'protein\tprotein\tNN\tI-NP\tI-protein' -p121074 -aS'is\tbe\tVBZ\tB-VP\tO' -p121075 -aS'still\tstill\tRB\tI-VP\tO' -p121076 -aS'pending\tpende\tVBG\tI-VP\tO' -p121077 -aS'.\t.\t.\tO\tO' -p121078 -asS'Normal male genitalia .' -p121079 -(lp121080 -S'Normal\tNormal\tJJ\tB-NP\tO' -p121081 -aS'male\tmale\tJJ\tI-NP\tO' -p121082 -aS'genitalia\tgenitalia\tNN\tI-NP\tO' -p121083 -aS'.\t.\t.\tO\tO' -p121084 -asS"Heart rates range in the 140 to 160 's , no heart murmur ." -p121085 -(lp121086 -S'Heart\tHeart\tNN\tB-NP\tO' -p121087 -aS'rates\trate\tNNS\tI-NP\tO' -p121088 -aS'range\trange\tVBP\tB-VP\tO' -p121089 -aS'in\tin\tIN\tB-PP\tO' -p121090 -aS'the\tthe\tDT\tB-NP\tO' -p121091 -aS'140\t140\tCD\tI-NP\tO' -p121092 -aS'to\tto\tTO\tI-NP\tO' -p121093 -aS'160\t160\tCD\tB-NP\tO' -p121094 -aS"'s\t's\tPOS\tB-NP\tO" -p121095 -aS',\t,\t,\tO\tO' -p121096 -aS'no\tno\tDT\tB-NP\tO' -p121097 -aS'heart\theart\tNN\tI-NP\tO' -p121098 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p121099 -aS'.\t.\t.\tO\tO' -p121100 -asS'He received an MRCP which was negative for evidence of stones .' -p121101 -(lp121102 -S'He\tHe\tPRP\tB-NP\tO' -p121103 -aS'received\treceive\tVBD\tB-VP\tO' -p121104 -aS'an\tan\tDT\tB-NP\tO' -p121105 -aS'MRCP\tMRCP\tNN\tI-NP\tB-DNA' -p121106 -aS'which\twhich\tWDT\tB-NP\tO' -p121107 -aS'was\tbe\tVBD\tB-VP\tO' -p121108 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p121109 -aS'for\tfor\tIN\tB-PP\tO' -p121110 -aS'evidence\tevidence\tNN\tB-NP\tO' -p121111 -aS'of\tof\tIN\tB-PP\tO' -p121112 -aS'stones\tstone\tNNS\tB-NP\tO' -p121113 -aS'.\t.\t.\tO\tO' -p121114 -asS'His hematocrit at the time of admission was 20.5 , after having been 32 one week earlier .' -p121115 -(lp121116 -S'His\tHis\tPRP$\tB-NP\tO' -p121117 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p121118 -aS'at\tat\tIN\tB-PP\tO' -p121119 -aS'the\tthe\tDT\tB-NP\tO' -p121120 -aS'time\ttime\tNN\tI-NP\tO' -p121121 -aS'of\tof\tIN\tB-PP\tO' -p121122 -aS'admission\tadmission\tNN\tB-NP\tO' -p121123 -aS'was\tbe\tVBD\tB-VP\tO' -p121124 -aS'20.5\t20.5\tCD\tB-NP\tO' -p121125 -aS',\t,\t,\tO\tO' -p121126 -aS'after\tafter\tIN\tB-PP\tO' -p121127 -aS'having\thave\tVBG\tB-VP\tO' -p121128 -aS'been\tbe\tVBN\tI-VP\tO' -p121129 -aS'32\t32\tCD\tB-NP\tO' -p121130 -aS'one\tone\tCD\tI-NP\tO' -p121131 -aS'week\tweek\tNN\tI-NP\tO' -p121132 -aS'earlier\tearlier\tRB\tB-ADVP\tO' -p121133 -aS'.\t.\t.\tO\tO' -p121134 -asS'Mr. Anders was admitted for anticoagulation and hemodynamic monitoring in the setting of saddle pulmonary embolus and left knee injury .' -p121135 -(lp121136 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p121137 -aS'Anders\tAnders\tNNP\tI-NP\tO' -p121138 -aS'was\tbe\tVBD\tB-VP\tO' -p121139 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p121140 -aS'for\tfor\tIN\tB-PP\tO' -p121141 -aS'anticoagulation\tanticoagulation\tNN\tB-NP\tO' -p121142 -aS'and\tand\tCC\tO\tO' -p121143 -aS'hemodynamic\themodynamic\tJJ\tB-NP\tO' -p121144 -aS'monitoring\tmonitoring\tNN\tI-NP\tO' -p121145 -aS'in\tin\tIN\tB-PP\tO' -p121146 -aS'the\tthe\tDT\tB-NP\tO' -p121147 -aS'setting\tsetting\tNN\tI-NP\tO' -p121148 -aS'of\tof\tIN\tB-PP\tO' -p121149 -aS'saddle\tsaddle\tJJ\tB-NP\tO' -p121150 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p121151 -aS'embolus\tembolus\tNN\tI-NP\tO' -p121152 -aS'and\tand\tCC\tO\tO' -p121153 -aS'left\tleave\tVBD\tB-VP\tO' -p121154 -aS'knee\tknee\tNN\tB-NP\tO' -p121155 -aS'injury\tinjury\tNN\tI-NP\tO' -p121156 -aS'.\t.\t.\tO\tO' -p121157 -asS'Given his multiple other medical problems , the direness of his situation , and his ongoing substance abuse at the time of admission he was deemed not to be a candidate for a liver transplantation .' -p121158 -(lp121159 -S'Given\tGive\tVBN\tB-VP\tO' -p121160 -aS'his\this\tPRP$\tB-NP\tO' -p121161 -aS'multiple\tmultiple\tJJ\tI-NP\tO' -p121162 -aS'other\tother\tJJ\tI-NP\tO' -p121163 -aS'medical\tmedical\tJJ\tI-NP\tO' -p121164 -aS'problems\tproblem\tNNS\tI-NP\tO' -p121165 -aS',\t,\t,\tO\tO' -p121166 -aS'the\tthe\tDT\tB-NP\tO' -p121167 -aS'direness\tdireness\tNN\tI-NP\tO' -p121168 -aS'of\tof\tIN\tB-PP\tO' -p121169 -aS'his\this\tPRP$\tB-NP\tO' -p121170 -aS'situation\tsituation\tNN\tI-NP\tO' -p121171 -aS',\t,\t,\tO\tO' -p121172 -aS'and\tand\tCC\tO\tO' -p121173 -aS'his\this\tPRP$\tB-NP\tO' -p121174 -aS'ongoing\tongoing\tJJ\tI-NP\tO' -p121175 -aS'substance\tsubstance\tNN\tI-NP\tO' -p121176 -aS'abuse\tabuse\tNN\tI-NP\tO' -p121177 -aS'at\tat\tIN\tB-PP\tO' -p121178 -aS'the\tthe\tDT\tB-NP\tO' -p121179 -aS'time\ttime\tNN\tI-NP\tO' -p121180 -aS'of\tof\tIN\tB-PP\tO' -p121181 -aS'admission\tadmission\tNN\tB-NP\tO' -p121182 -aS'he\the\tPRP\tB-NP\tO' -p121183 -aS'was\tbe\tVBD\tB-VP\tO' -p121184 -aS'deemed\tdeem\tVBN\tI-VP\tO' -p121185 -aS'not\tnot\tRB\tO\tO' -p121186 -aS'to\tto\tTO\tB-VP\tO' -p121187 -aS'be\tbe\tVB\tI-VP\tO' -p121188 -aS'a\ta\tDT\tB-NP\tO' -p121189 -aS'candidate\tcandidate\tNN\tI-NP\tO' -p121190 -aS'for\tfor\tIN\tB-PP\tO' -p121191 -aS'a\ta\tDT\tB-NP\tO' -p121192 -aS'liver\tliver\tNN\tI-NP\tO' -p121193 -aS'transplantation\ttransplantation\tNN\tI-NP\tO' -p121194 -aS'.\t.\t.\tO\tO' -p121195 -asS'Disp : *10 Tablet( s )*' -p121196 -(lp121197 -S'Disp\tDisp\tNN\tB-NP\tO' -p121198 -aS':\t:\t:\tO\tO' -p121199 -aS'*10\t*10\tCD\tB-NP\tO' -p121200 -aS'Tablet(\tTablet(\t(\tI-NP\tO' -p121201 -aS's\ts\tNN\tI-NP\tO' -p121202 -aS')*\t)*\tSYM\tB-NP\tO' -p121203 -asS'10. Bollin insulin 18 units subcutaneous q A.M. , Richard insulin 14 units subcutaneous q P.M.' -p121204 -(lp121205 -S'10.\t10.\tLS\tB-NP\tO' -p121206 -aS'Bollin\tBollin\tNNP\tI-NP\tO' -p121207 -aS'insulin\tinsulin\tNN\tI-NP\tO' -p121208 -aS'18\t18\tCD\tB-NP\tO' -p121209 -aS'units\tunit\tNNS\tI-NP\tO' -p121210 -aS'subcutaneous\tsubcutaneous\tJJ\tB-NP\tO' -p121211 -aS'q\tq\tNN\tI-NP\tO' -p121212 -aS'A.M.\tA.M.\tNNP\tB-NP\tO' -p121213 -aS',\t,\t,\tO\tO' -p121214 -aS'Richard\tRichard\tNNP\tB-NP\tO' -p121215 -aS'insulin\tinsulin\tNN\tI-NP\tO' -p121216 -aS'14\t14\tCD\tB-NP\tO' -p121217 -aS'units\tunit\tNNS\tI-NP\tO' -p121218 -aS'subcutaneous\tsubcutaneous\tJJ\tB-NP\tO' -p121219 -aS'q\tq\tNN\tI-NP\tO' -p121220 -aS'P.M.\tP.M.\tNN\tI-NP\tO' -p121221 -asS'Heart rate 76 , blood pressure 169/100 .' -p121222 -(lp121223 -S'Heart\tHeart\tNN\tB-NP\tO' -p121224 -aS'rate\trate\tNN\tI-NP\tO' -p121225 -aS'76\t76\tCD\tI-NP\tO' -p121226 -aS',\t,\t,\tO\tO' -p121227 -aS'blood\tblood\tNN\tB-NP\tO' -p121228 -aS'pressure\tpressure\tNN\tI-NP\tO' -p121229 -aS'169/100\t169/100\tCD\tI-NP\tO' -p121230 -aS'.\t.\t.\tO\tO' -p121231 -asS'A right-to-left shunt across the interatrial septum is seen at rest with injection of agitated saline contrast .' -p121232 -(lp121233 -S'A\tA\tDT\tB-NP\tO' -p121234 -aS'right-to-left\tright-to-left\tJJ\tI-NP\tO' -p121235 -aS'shunt\tshunt\tNN\tI-NP\tO' -p121236 -aS'across\tacross\tIN\tB-PP\tO' -p121237 -aS'the\tthe\tDT\tB-NP\tO' -p121238 -aS'interatrial\tinteratrial\tJJ\tI-NP\tO' -p121239 -aS'septum\tseptum\tNN\tI-NP\tO' -p121240 -aS'is\tbe\tVBZ\tB-VP\tO' -p121241 -aS'seen\tsee\tVBN\tI-VP\tO' -p121242 -aS'at\tat\tIN\tB-PP\tO' -p121243 -aS'rest\trest\tNN\tB-NP\tO' -p121244 -aS'with\twith\tIN\tB-PP\tO' -p121245 -aS'injection\tinjection\tNN\tB-NP\tO' -p121246 -aS'of\tof\tIN\tB-PP\tO' -p121247 -aS'agitated\tagitate\tVBN\tB-NP\tO' -p121248 -aS'saline\tsaline\tNN\tI-NP\tO' -p121249 -aS'contrast\tcontrast\tNN\tI-NP\tO' -p121250 -aS'.\t.\t.\tO\tO' -p121251 -asS'2) Chronic low back pain , s/p lumbar discectomy x 2 .' -p121252 -(lp121253 -S'2)\t2)\tLS\tB-NP\tO' -p121254 -aS'Chronic\tChronic\tNNP\tI-NP\tO' -p121255 -aS'low\tlow\tJJ\tI-NP\tO' -p121256 -aS'back\tback\tJJ\tI-NP\tO' -p121257 -aS'pain\tpain\tNN\tI-NP\tO' -p121258 -aS',\t,\t,\tO\tO' -p121259 -aS's/p\ts/p\tNN\tB-NP\tB-protein' -p121260 -aS'lumbar\tlumbar\tNN\tI-NP\tI-protein' -p121261 -aS'discectomy\tdiscectomy\tNN\tI-NP\tI-protein' -p121262 -aS'x\tx\tSYM\tB-NP\tI-protein' -p121263 -aS'2\t2\tCD\tI-NP\tI-protein' -p121264 -aS'.\t.\t.\tO\tO' -p121265 -asS'He required anti-hypertensive therapy initially with Nipride which was changed to Hydralazine to avoid shunting .' -p121266 -(lp121267 -S'He\tHe\tPRP\tB-NP\tO' -p121268 -aS'required\trequire\tVBD\tB-VP\tO' -p121269 -aS'anti-hypertensive\tanti-hypertensive\tJJ\tB-NP\tO' -p121270 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p121271 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p121272 -aS'with\twith\tIN\tB-PP\tO' -p121273 -aS'Nipride\tNipride\tNN\tB-NP\tO' -p121274 -aS'which\twhich\tWDT\tB-NP\tO' -p121275 -aS'was\tbe\tVBD\tB-VP\tO' -p121276 -aS'changed\tchange\tVBN\tI-VP\tO' -p121277 -aS'to\tto\tTO\tB-PP\tO' -p121278 -aS'Hydralazine\tHydralazine\tNN\tB-NP\tO' -p121279 -aS'to\tto\tTO\tB-VP\tO' -p121280 -aS'avoid\tavoid\tVB\tI-VP\tO' -p121281 -aS'shunting\tshunting\tNN\tB-NP\tO' -p121282 -aS'.\t.\t.\tO\tO' -p121283 -asS'15) h/o left hip joint replacement in 2008' -p121284 -(lp121285 -S'15)\t15)\tLS\tB-NP\tO' -p121286 -aS'h/o\th/o\tNN\tI-NP\tO' -p121287 -aS'left\tleft\tJJ\tI-NP\tO' -p121288 -aS'hip\thip\tNN\tI-NP\tO' -p121289 -aS'joint\tjoint\tNN\tI-NP\tO' -p121290 -aS'replacement\treplacement\tNN\tI-NP\tO' -p121291 -aS'in\tin\tIN\tB-PP\tO' -p121292 -aS'2008\t2008\tCD\tB-NP\tO' -p121293 -asS'Percocet one to two tablets p.o.q. 3-4 h. p.r.n. pain .' -p121294 -(lp121295 -S'Percocet\tPercocet\tIN\tB-PP\tO' -p121296 -aS'one\tone\tCD\tB-NP\tO' -p121297 -aS'to\tto\tTO\tB-PP\tO' -p121298 -aS'two\ttwo\tCD\tB-NP\tO' -p121299 -aS'tablets\ttablet\tNNS\tI-NP\tB-protein' -p121300 -aS'p.o.q.\tp.o.q.\tRB\tB-NP\tI-protein' -p121301 -aS'3-4\t3-4\tCD\tI-NP\tI-protein' -p121302 -aS'h.\th.\tNN\tI-NP\tI-protein' -p121303 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tI-protein' -p121304 -aS'pain\tpain\tNN\tI-NP\tI-protein' -p121305 -aS'.\t.\t.\tO\tO' -p121306 -asS'The patient was also noted to be right handed .' -p121307 -(lp121308 -S'The\tThe\tDT\tB-NP\tO' -p121309 -aS'patient\tpatient\tNN\tI-NP\tO' -p121310 -aS'was\tbe\tVBD\tB-VP\tO' -p121311 -aS'also\talso\tRB\tI-VP\tO' -p121312 -aS'noted\tnote\tVBN\tI-VP\tO' -p121313 -aS'to\tto\tTO\tI-VP\tO' -p121314 -aS'be\tbe\tVB\tI-VP\tO' -p121315 -aS'right\tright\tJJ\tB-ADJP\tO' -p121316 -aS'handed\thand\tVBN\tB-VP\tO' -p121317 -aS'.\t.\t.\tO\tO' -p121318 -asS'In the Oncology Floor he received Carboplatin and Etoposide to which he reacted well .' -p121319 -(lp121320 -S'In\tIn\tIN\tB-PP\tO' -p121321 -aS'the\tthe\tDT\tB-NP\tO' -p121322 -aS'Oncology\tOncology\tNNP\tI-NP\tO' -p121323 -aS'Floor\tFloor\tNNP\tI-NP\tO' -p121324 -aS'he\the\tPRP\tB-NP\tO' -p121325 -aS'received\treceive\tVBD\tB-VP\tO' -p121326 -aS'Carboplatin\tCarboplatin\tNN\tB-NP\tB-protein' -p121327 -aS'and\tand\tCC\tI-NP\tO' -p121328 -aS'Etoposide\tEtoposide\tNN\tI-NP\tO' -p121329 -aS'to\tto\tTO\tB-PP\tO' -p121330 -aS'which\twhich\tWDT\tB-NP\tO' -p121331 -aS'he\the\tPRP\tB-NP\tO' -p121332 -aS'reacted\treact\tVBD\tB-VP\tO' -p121333 -aS'well\twell\tRB\tB-ADVP\tO' -p121334 -aS'.\t.\t.\tO\tO' -p121335 -asS'He did not sleep at all the night before and was extremely fatigued .' -p121336 -(lp121337 -S'He\tHe\tPRP\tB-NP\tO' -p121338 -aS'did\tdo\tVBD\tB-VP\tO' -p121339 -aS'not\tnot\tRB\tI-VP\tO' -p121340 -aS'sleep\tsleep\tVB\tI-VP\tO' -p121341 -aS'at\tat\tIN\tB-PP\tO' -p121342 -aS'all\tall\tPDT\tB-NP\tO' -p121343 -aS'the\tthe\tDT\tI-NP\tO' -p121344 -aS'night\tnight\tNN\tI-NP\tO' -p121345 -aS'before\tbefore\tIN\tB-ADVP\tO' -p121346 -aS'and\tand\tCC\tO\tO' -p121347 -aS'was\tbe\tVBD\tB-VP\tO' -p121348 -aS'extremely\textremely\tRB\tI-VP\tO' -p121349 -aS'fatigued\tfatigue\tVBN\tI-VP\tO' -p121350 -aS'.\t.\t.\tO\tO' -p121351 -asS'By postoperative day number 23 , Mr. Nina pulmonary status was deemed sufficiently stable .' -p121352 -(lp121353 -S'By\tBy\tIN\tB-PP\tO' -p121354 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p121355 -aS'day\tday\tNN\tI-NP\tO' -p121356 -aS'number\tnumber\tNN\tI-NP\tO' -p121357 -aS'23\t23\tCD\tI-NP\tO' -p121358 -aS',\t,\t,\tO\tO' -p121359 -aS'Mr.\tMr.\tNNP\tB-NP\tO' -p121360 -aS'Nina\tNina\tNNP\tI-NP\tO' -p121361 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p121362 -aS'status\tstatus\tNN\tI-NP\tO' -p121363 -aS'was\tbe\tVBD\tB-VP\tO' -p121364 -aS'deemed\tdeem\tVBN\tI-VP\tO' -p121365 -aS'sufficiently\tsufficiently\tRB\tB-ADJP\tO' -p121366 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p121367 -aS'.\t.\t.\tO\tO' -p121368 -asS'The echocardiogram showed terrible left ventricular function , with left ventricular aneurysm .' -p121369 -(lp121370 -S'The\tThe\tDT\tB-NP\tO' -p121371 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p121372 -aS'showed\tshow\tVBD\tB-VP\tO' -p121373 -aS'terrible\tterrible\tJJ\tB-NP\tO' -p121374 -aS'left\tleft\tJJ\tI-NP\tO' -p121375 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p121376 -aS'function\tfunction\tNN\tI-NP\tO' -p121377 -aS',\t,\t,\tO\tO' -p121378 -aS'with\twith\tIN\tB-PP\tO' -p121379 -aS'left\tleft\tJJ\tB-NP\tO' -p121380 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p121381 -aS'aneurysm\taneurysm\tNN\tI-NP\tO' -p121382 -aS'.\t.\t.\tO\tO' -p121383 -asS'1. Metoprolol Tartrate 25 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ) .' -p121384 -(lp121385 -S'1.\t1.\tLS\tB-NP\tO' -p121386 -aS'Metoprolol\tMetoprolol\tNN\tI-NP\tO' -p121387 -aS'Tartrate\tTartrate\tNN\tI-NP\tO' -p121388 -aS'25\t25\tCD\tI-NP\tO' -p121389 -aS'mg\tmg\tNN\tI-NP\tO' -p121390 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p121391 -aS'Sig\tSig\tNNP\tI-NP\tO' -p121392 -aS':\t:\t:\tO\tO' -p121393 -aS'One\tOne\tCD\tB-NP\tO' -p121394 -aS'(\t(\t(\tO\tO' -p121395 -aS'1\t1\tCD\tB-NP\tO' -p121396 -aS')\t)\t)\tO\tO' -p121397 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p121398 -aS'PO\tPO\tNN\tI-NP\tO' -p121399 -aS'BID\tBID\tNN\tI-NP\tO' -p121400 -aS'(\t(\t(\tO\tO' -p121401 -aS'2\t2\tCD\tB-NP\tO' -p121402 -aS'times\ttime\tNNS\tI-NP\tO' -p121403 -aS'a\ta\tDT\tB-NP\tO' -p121404 -aS'day\tday\tNN\tI-NP\tO' -p121405 -aS')\t)\t)\tO\tO' -p121406 -aS'.\t.\t.\tO\tO' -p121407 -asS'On physical examination , blood pressure is 130/80 , pulse 74 and regular , respirations 14 .' -p121408 -(lp121409 -S'On\tOn\tIN\tB-PP\tO' -p121410 -aS'physical\tphysical\tJJ\tB-NP\tO' -p121411 -aS'examination\texamination\tNN\tI-NP\tO' -p121412 -aS',\t,\t,\tO\tO' -p121413 -aS'blood\tblood\tNN\tB-NP\tO' -p121414 -aS'pressure\tpressure\tNN\tI-NP\tO' -p121415 -aS'is\tbe\tVBZ\tB-VP\tO' -p121416 -aS'130/80\t130/80\tCD\tB-NP\tO' -p121417 -aS',\t,\t,\tO\tO' -p121418 -aS'pulse\tpulse\tNN\tB-NP\tO' -p121419 -aS'74\t74\tCD\tI-NP\tO' -p121420 -aS'and\tand\tCC\tO\tO' -p121421 -aS'regular\tregular\tJJ\tB-NP\tO' -p121422 -aS',\t,\t,\tO\tO' -p121423 -aS'respirations\trespiration\tNNS\tB-NP\tO' -p121424 -aS'14\t14\tCD\tB-NP\tO' -p121425 -aS'.\t.\t.\tO\tO' -p121426 -asS'Service is actually Medicine , Newburyport Firm not C-CMED .' -p121427 -(lp121428 -S'Service\tService\tNN\tB-NP\tO' -p121429 -aS'is\tbe\tVBZ\tB-VP\tO' -p121430 -aS'actually\tactually\tRB\tB-ADVP\tO' -p121431 -aS'Medicine\tMedicine\tNNP\tB-NP\tO' -p121432 -aS',\t,\t,\tO\tO' -p121433 -aS'Newburyport\tNewburyport\tNNP\tB-NP\tO' -p121434 -aS'Firm\tFirm\tNNP\tI-NP\tO' -p121435 -aS'not\tnot\tRB\tO\tO' -p121436 -aS'C-CMED\tC-CMED\tJJ\tB-ADJP\tO' -p121437 -aS'.\t.\t.\tO\tO' -p121438 -asS'Mild grunting .' -p121439 -(lp121440 -S'Mild\tMild\tNNP\tB-NP\tO' -p121441 -aS'grunting\tgrunt\tVBG\tB-VP\tO' -p121442 -aS'.\t.\t.\tO\tO' -p121443 -asS'He was transported to Hallmark Health System Monica , where ABG 7.14/82/44 while bagging on 100% FiO2 .' -p121444 -(lp121445 -S'He\tHe\tPRP\tB-NP\tO' -p121446 -aS'was\tbe\tVBD\tB-VP\tO' -p121447 -aS'transported\ttransport\tVBN\tI-VP\tO' -p121448 -aS'to\tto\tTO\tB-PP\tO' -p121449 -aS'Hallmark\tHallmark\tNNP\tB-NP\tO' -p121450 -aS'Health\tHealth\tNNP\tI-NP\tO' -p121451 -aS'System\tSystem\tNNP\tI-NP\tO' -p121452 -aS'Monica\tMonica\tNNP\tI-NP\tO' -p121453 -aS',\t,\t,\tO\tO' -p121454 -aS'where\twhere\tWRB\tB-ADVP\tO' -p121455 -aS'ABG\tABG\tNN\tB-NP\tO' -p121456 -aS'7.14/82/44\t7.14/82/44\tCD\tI-NP\tO' -p121457 -aS'while\twhile\tIN\tB-SBAR\tO' -p121458 -aS'bagging\tbag\tVBG\tB-VP\tO' -p121459 -aS'on\ton\tIN\tB-PP\tO' -p121460 -aS'100%\t100%\tCD\tB-NP\tO' -p121461 -aS'FiO2\tFiO2\tCD\tI-NP\tO' -p121462 -aS'.\t.\t.\tO\tO' -p121463 -asS'Jevity 1.2 65 mL / hour continuous with water 240 cc q 8 hours' -p121464 -(lp121465 -S'Jevity\tJevity\tNN\tB-NP\tO' -p121466 -aS'1.2\t1.2\tCD\tB-NP\tO' -p121467 -aS'65\t65\tCD\tI-NP\tO' -p121468 -aS'mL\tmL\tNN\tI-NP\tO' -p121469 -aS'/\t/\tSYM\tB-NP\tO' -p121470 -aS'hour\thour\tNN\tI-NP\tO' -p121471 -aS'continuous\tcontinuous\tJJ\tB-ADJP\tO' -p121472 -aS'with\twith\tIN\tB-PP\tO' -p121473 -aS'water\twater\tNN\tB-NP\tO' -p121474 -aS'240\t240\tCD\tI-NP\tO' -p121475 -aS'cc\tcc\tNN\tI-NP\tO' -p121476 -aS'q\tq\tNN\tI-NP\tO' -p121477 -aS'8\t8\tCD\tB-NP\tO' -p121478 -aS'hours\thour\tNNS\tI-NP\tO' -p121479 -asS'She also received captopril 12.5 mg times one .' -p121480 -(lp121481 -S'She\tShe\tPRP\tB-NP\tO' -p121482 -aS'also\talso\tRB\tB-ADVP\tO' -p121483 -aS'received\treceive\tVBD\tB-VP\tO' -p121484 -aS'captopril\tcaptopril\tNN\tB-NP\tO' -p121485 -aS'12.5\t12.5\tCD\tI-NP\tO' -p121486 -aS'mg\tmg\tNN\tI-NP\tO' -p121487 -aS'times\ttime\tNNS\tI-NP\tO' -p121488 -aS'one\tone\tCD\tB-NP\tO' -p121489 -aS'.\t.\t.\tO\tO' -p121490 -asS'The extremities were normal .' -p121491 -(lp121492 -S'The\tThe\tDT\tB-NP\tO' -p121493 -aS'extremities\textremity\tNNS\tI-NP\tO' -p121494 -aS'were\tbe\tVBD\tB-VP\tO' -p121495 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p121496 -aS'.\t.\t.\tO\tO' -p121497 -asS'A bileaflet mitral valve prosthesis is present .' -p121498 -(lp121499 -S'A\tA\tDT\tB-NP\tO' -p121500 -aS'bileaflet\tbileaflet\tNN\tI-NP\tO' -p121501 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p121502 -aS'valve\tvalve\tNN\tI-NP\tO' -p121503 -aS'prosthesis\tprosthesis\tNN\tI-NP\tO' -p121504 -aS'is\tbe\tVBZ\tB-VP\tO' -p121505 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p121506 -aS'.\t.\t.\tO\tO' -p121507 -asS'Postoperatively , she was again noted to have a cold right lower extremity with diminished pulses and was again taken to the operating room , where she underwent a right popliteal exploration and thrombectomy .' -p121508 -(lp121509 -S'Postoperatively\tPostoperatively\tRB\tB-ADVP\tO' -p121510 -aS',\t,\t,\tO\tO' -p121511 -aS'she\tshe\tPRP\tB-NP\tO' -p121512 -aS'was\tbe\tVBD\tB-VP\tO' -p121513 -aS'again\tagain\tRB\tI-VP\tO' -p121514 -aS'noted\tnote\tVBN\tI-VP\tO' -p121515 -aS'to\tto\tTO\tI-VP\tO' -p121516 -aS'have\thave\tVB\tI-VP\tO' -p121517 -aS'a\ta\tDT\tB-NP\tO' -p121518 -aS'cold\tcold\tJJ\tI-NP\tO' -p121519 -aS'right\tright\tNN\tI-NP\tO' -p121520 -aS'lower\tlow\tJJR\tB-NP\tO' -p121521 -aS'extremity\textremity\tNN\tI-NP\tO' -p121522 -aS'with\twith\tIN\tB-PP\tO' -p121523 -aS'diminished\tdiminish\tVBN\tB-NP\tO' -p121524 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p121525 -aS'and\tand\tCC\tO\tO' -p121526 -aS'was\tbe\tVBD\tB-VP\tO' -p121527 -aS'again\tagain\tRB\tI-VP\tO' -p121528 -aS'taken\ttake\tVBN\tI-VP\tO' -p121529 -aS'to\tto\tTO\tB-PP\tO' -p121530 -aS'the\tthe\tDT\tB-NP\tO' -p121531 -aS'operating\toperating\tNN\tI-NP\tO' -p121532 -aS'room\troom\tNN\tI-NP\tO' -p121533 -aS',\t,\t,\tO\tO' -p121534 -aS'where\twhere\tWRB\tB-ADVP\tO' -p121535 -aS'she\tshe\tPRP\tB-NP\tO' -p121536 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p121537 -aS'a\ta\tDT\tB-NP\tO' -p121538 -aS'right\tright\tJJ\tI-NP\tO' -p121539 -aS'popliteal\tpopliteal\tJJ\tI-NP\tO' -p121540 -aS'exploration\texploration\tNN\tI-NP\tO' -p121541 -aS'and\tand\tCC\tI-NP\tO' -p121542 -aS'thrombectomy\tthrombectomy\tNN\tI-NP\tO' -p121543 -aS'.\t.\t.\tO\tO' -p121544 -asS'Bradycardia followed by outpatient cardiologist with a Holter monitor on 2015-05-01 , with first degree AV block and a heart rate ranging between 35 to 53 beats per minute .' -p121545 -(lp121546 -S'Bradycardia\tBradycardia\tNNP\tB-NP\tO' -p121547 -aS'followed\tfollow\tVBN\tB-VP\tO' -p121548 -aS'by\tby\tIN\tB-PP\tO' -p121549 -aS'outpatient\toutpatient\tNN\tB-NP\tO' -p121550 -aS'cardiologist\tcardiologist\tNN\tI-NP\tO' -p121551 -aS'with\twith\tIN\tB-PP\tO' -p121552 -aS'a\ta\tDT\tB-NP\tO' -p121553 -aS'Holter\tHolter\tNNP\tI-NP\tO' -p121554 -aS'monitor\tmonitor\tNN\tI-NP\tO' -p121555 -aS'on\ton\tIN\tB-PP\tO' -p121556 -aS'2015-05-01\t2015-05-01\tCD\tB-NP\tO' -p121557 -aS',\t,\t,\tO\tO' -p121558 -aS'with\twith\tIN\tB-PP\tO' -p121559 -aS'first\tfirst\tJJ\tB-NP\tO' -p121560 -aS'degree\tdegree\tNN\tI-NP\tO' -p121561 -aS'AV\tAV\tNN\tI-NP\tO' -p121562 -aS'block\tblock\tNN\tI-NP\tO' -p121563 -aS'and\tand\tCC\tO\tO' -p121564 -aS'a\ta\tDT\tB-NP\tO' -p121565 -aS'heart\theart\tNN\tI-NP\tO' -p121566 -aS'rate\trate\tNN\tI-NP\tO' -p121567 -aS'ranging\trange\tVBG\tB-VP\tO' -p121568 -aS'between\tbetween\tIN\tB-PP\tO' -p121569 -aS'35\t35\tCD\tB-NP\tO' -p121570 -aS'to\tto\tTO\tI-NP\tO' -p121571 -aS'53\t53\tCD\tI-NP\tO' -p121572 -aS'beats\tbeat\tNNS\tI-NP\tO' -p121573 -aS'per\tper\tIN\tB-PP\tO' -p121574 -aS'minute\tminute\tNN\tB-NP\tO' -p121575 -aS'.\t.\t.\tO\tO' -p121576 -asS'No cultures were positive but the chest x-ray showed bilateral densities more on the left than the right compatible with aspiration pneumonia .' -p121577 -(lp121578 -S'No\tNo\tDT\tB-NP\tO' -p121579 -aS'cultures\tculture\tNNS\tI-NP\tO' -p121580 -aS'were\tbe\tVBD\tB-VP\tO' -p121581 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p121582 -aS'but\tbut\tCC\tO\tO' -p121583 -aS'the\tthe\tDT\tB-NP\tO' -p121584 -aS'chest\tchest\tNN\tI-NP\tO' -p121585 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p121586 -aS'showed\tshow\tVBD\tB-VP\tO' -p121587 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p121588 -aS'densities\tdensity\tNNS\tI-NP\tO' -p121589 -aS'more\tmore\tRBR\tB-ADVP\tO' -p121590 -aS'on\ton\tIN\tB-PP\tO' -p121591 -aS'the\tthe\tDT\tB-NP\tO' -p121592 -aS'left\tleft\tNN\tI-NP\tO' -p121593 -aS'than\tthan\tIN\tB-PP\tO' -p121594 -aS'the\tthe\tDT\tB-NP\tO' -p121595 -aS'right\tright\tNN\tI-NP\tO' -p121596 -aS'compatible\tcompatible\tJJ\tB-ADJP\tO' -p121597 -aS'with\twith\tIN\tB-PP\tO' -p121598 -aS'aspiration\taspiration\tNN\tB-NP\tO' -p121599 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p121600 -aS'.\t.\t.\tO\tO' -p121601 -asS'Heart rate 108 and regular , blood pressure 145/76 , respiratory rate 20 , height 5\'2" , weight 141 pounds .' -p121602 -(lp121603 -S'Heart\tHeart\tNN\tB-NP\tO' -p121604 -aS'rate\trate\tNN\tI-NP\tO' -p121605 -aS'108\t108\tCD\tB-NP\tO' -p121606 -aS'and\tand\tCC\tI-NP\tO' -p121607 -aS'regular\tregular\tJJ\tI-NP\tO' -p121608 -aS',\t,\t,\tI-NP\tO' -p121609 -aS'blood\tblood\tNN\tI-NP\tO' -p121610 -aS'pressure\tpressure\tNN\tI-NP\tO' -p121611 -aS'145/76\t145/76\tCD\tI-NP\tO' -p121612 -aS',\t,\t,\tO\tO' -p121613 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p121614 -aS'rate\trate\tNN\tI-NP\tO' -p121615 -aS'20\t20\tCD\tI-NP\tO' -p121616 -aS',\t,\t,\tO\tO' -p121617 -aS'height\theight\tNN\tB-NP\tB-protein' -p121618 -aS'5\'2"\t5\'2"\tNN\tI-NP\tI-protein' -p121619 -aS',\t,\t,\tO\tO' -p121620 -aS'weight\tweight\tNN\tB-NP\tO' -p121621 -aS'141\t141\tCD\tB-NP\tO' -p121622 -aS'pounds\tpound\tNNS\tI-NP\tO' -p121623 -aS'.\t.\t.\tO\tO' -p121624 -asS'No effusion or rub was heard .' -p121625 -(lp121626 -S'No\tNo\tDT\tB-NP\tO' -p121627 -aS'effusion\teffusion\tNN\tI-NP\tO' -p121628 -aS'or\tor\tCC\tI-NP\tO' -p121629 -aS'rub\trub\tNN\tI-NP\tO' -p121630 -aS'was\tbe\tVBD\tB-VP\tO' -p121631 -aS'heard\thear\tVBN\tI-VP\tO' -p121632 -aS'.\t.\t.\tO\tO' -p121633 -asS'There has been removal of a Swan-Ganz catheter and placement of a right internal jugular vascular catheter , with the tip terminating in the proximal right atrium just below the junction with the superior vena cava .' -p121634 -(lp121635 -S'There\tThere\tEX\tB-NP\tO' -p121636 -aS'has\thave\tVBZ\tB-VP\tO' -p121637 -aS'been\tbe\tVBN\tI-VP\tO' -p121638 -aS'removal\tremoval\tNN\tB-NP\tO' -p121639 -aS'of\tof\tIN\tB-PP\tO' -p121640 -aS'a\ta\tDT\tB-NP\tO' -p121641 -aS'Swan-Ganz\tSwan-Ganz\tJJ\tI-NP\tO' -p121642 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p121643 -aS'and\tand\tCC\tI-NP\tO' -p121644 -aS'placement\tplacement\tNN\tI-NP\tO' -p121645 -aS'of\tof\tIN\tB-PP\tO' -p121646 -aS'a\ta\tDT\tB-NP\tO' -p121647 -aS'right\tright\tJJ\tI-NP\tO' -p121648 -aS'internal\tinternal\tJJ\tI-NP\tO' -p121649 -aS'jugular\tjugular\tJJ\tI-NP\tO' -p121650 -aS'vascular\tvascular\tJJ\tI-NP\tO' -p121651 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p121652 -aS',\t,\t,\tO\tO' -p121653 -aS'with\twith\tIN\tB-PP\tO' -p121654 -aS'the\tthe\tDT\tB-NP\tO' -p121655 -aS'tip\ttip\tNN\tI-NP\tO' -p121656 -aS'terminating\tterminate\tVBG\tB-VP\tO' -p121657 -aS'in\tin\tIN\tB-PP\tO' -p121658 -aS'the\tthe\tDT\tB-NP\tO' -p121659 -aS'proximal\tproximal\tJJ\tI-NP\tO' -p121660 -aS'right\tright\tJJ\tI-NP\tO' -p121661 -aS'atrium\tatrium\tNN\tI-NP\tO' -p121662 -aS'just\tjust\tRB\tB-PP\tO' -p121663 -aS'below\tbelow\tIN\tI-PP\tO' -p121664 -aS'the\tthe\tDT\tB-NP\tO' -p121665 -aS'junction\tjunction\tNN\tI-NP\tO' -p121666 -aS'with\twith\tIN\tB-PP\tO' -p121667 -aS'the\tthe\tDT\tB-NP\tO' -p121668 -aS'superior\tsuperior\tJJ\tI-NP\tO' -p121669 -aS'vena\tvena\tNN\tI-NP\tO' -p121670 -aS'cava\tcava\tNN\tI-NP\tO' -p121671 -aS'.\t.\t.\tO\tO' -p121672 -asS'11. Primaquine Phosphate 26.3 mg Tablet Sig : Two ( 2 ) Tablet PO DAILY ( Daily ) for 3 days .' -p121673 -(lp121674 -S'11.\t11.\tLS\tB-NP\tO' -p121675 -aS'Primaquine\tPrimaquine\tNN\tI-NP\tO' -p121676 -aS'Phosphate\tPhosphate\tNN\tI-NP\tO' -p121677 -aS'26.3\t26.3\tCD\tI-NP\tO' -p121678 -aS'mg\tmg\tNN\tI-NP\tO' -p121679 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p121680 -aS'Sig\tSig\tNNP\tI-NP\tO' -p121681 -aS':\t:\t:\tO\tO' -p121682 -aS'Two\tTwo\tCD\tB-NP\tO' -p121683 -aS'(\t(\t(\tO\tO' -p121684 -aS'2\t2\tCD\tO\tO' -p121685 -aS')\t)\t)\tO\tO' -p121686 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p121687 -aS'PO\tPO\tNN\tI-NP\tO' -p121688 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p121689 -aS'(\t(\t(\tO\tO' -p121690 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p121691 -aS')\t)\t)\tO\tO' -p121692 -aS'for\tfor\tIN\tB-PP\tO' -p121693 -aS'3\t3\tCD\tB-NP\tO' -p121694 -aS'days\tday\tNNS\tI-NP\tO' -p121695 -aS'.\t.\t.\tO\tO' -p121696 -asS'Pt is 22 y / o female with hx of HIV and CD4 ct of 297 who presented to ED on 01/14 with sebaceous cyst that was infected .' -p121697 -(lp121698 -S'Pt\tPt\tNN\tB-NP\tO' -p121699 -aS'is\tbe\tVBZ\tB-VP\tO' -p121700 -aS'22\t22\tCD\tB-NP\tO' -p121701 -aS'y\ty\tNN\tI-NP\tO' -p121702 -aS'/\t/\tSYM\tB-NP\tO' -p121703 -aS'o\to\tNN\tI-NP\tO' -p121704 -aS'female\tfemale\tJJ\tB-ADJP\tO' -p121705 -aS'with\twith\tIN\tB-PP\tO' -p121706 -aS'hx\thx\tNN\tB-NP\tO' -p121707 -aS'of\tof\tIN\tB-PP\tO' -p121708 -aS'HIV\tHIV\tNN\tB-NP\tO' -p121709 -aS'and\tand\tCC\tI-NP\tO' -p121710 -aS'CD4\tCD4\tNN\tI-NP\tB-protein' -p121711 -aS'ct\tct\tNN\tI-NP\tO' -p121712 -aS'of\tof\tIN\tB-PP\tO' -p121713 -aS'297\t297\tCD\tB-NP\tO' -p121714 -aS'who\twho\tWP\tB-NP\tO' -p121715 -aS'presented\tpresent\tVBD\tB-VP\tO' -p121716 -aS'to\tto\tTO\tI-VP\tO' -p121717 -aS'ED\tED\tVB\tI-VP\tO' -p121718 -aS'on\ton\tIN\tB-PP\tO' -p121719 -aS'01/14\t01/14\tCD\tB-NP\tO' -p121720 -aS'with\twith\tIN\tB-PP\tO' -p121721 -aS'sebaceous\tsebaceous\tJJ\tB-NP\tO' -p121722 -aS'cyst\tcyst\tNN\tI-NP\tO' -p121723 -aS'that\tthat\tWDT\tB-NP\tO' -p121724 -aS'was\tbe\tVBD\tB-VP\tO' -p121725 -aS'infected\tinfect\tVBN\tI-VP\tO' -p121726 -aS'.\t.\t.\tO\tO' -p121727 -asS'No JVD or increased JVP was appreciated at 0 degrees .' -p121728 -(lp121729 -S'No\tNo\tDT\tB-NP\tO' -p121730 -aS'JVD\tJVD\tNN\tI-NP\tB-protein' -p121731 -aS'or\tor\tCC\tO\tO' -p121732 -aS'increased\tincrease\tVBN\tB-NP\tO' -p121733 -aS'JVP\tJVP\tNN\tI-NP\tB-protein' -p121734 -aS'was\tbe\tVBD\tB-VP\tO' -p121735 -aS'appreciated\tappreciate\tVBN\tI-VP\tO' -p121736 -aS'at\tat\tIN\tB-PP\tO' -p121737 -aS'0\t0\tCD\tB-NP\tO' -p121738 -aS'degrees\tdegree\tNNS\tI-NP\tO' -p121739 -aS'.\t.\t.\tO\tO' -p121740 -asS"Neurology felt that the patient 's cognitive symptoms were consistent w/ metabolic encephalopathy due to his multiple medical problems ." -p121741 -(lp121742 -S'Neurology\tNeurology\tNNP\tB-NP\tO' -p121743 -aS'felt\tfeel\tVBD\tB-VP\tO' -p121744 -aS'that\tthat\tIN\tB-SBAR\tO' -p121745 -aS'the\tthe\tDT\tB-NP\tO' -p121746 -aS'patient\tpatient\tNN\tI-NP\tO' -p121747 -aS"'s\t's\tPOS\tB-NP\tO" -p121748 -aS'cognitive\tcognitive\tJJ\tI-NP\tO' -p121749 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p121750 -aS'were\tbe\tVBD\tB-VP\tO' -p121751 -aS'consistent\tconsistent\tJJ\tB-NP\tO' -p121752 -aS'w/\tw/\tNN\tI-NP\tO' -p121753 -aS'metabolic\tmetabolic\tJJ\tI-NP\tO' -p121754 -aS'encephalopathy\tencephalopathy\tNN\tI-NP\tO' -p121755 -aS'due\tdue\tIN\tB-PP\tO' -p121756 -aS'to\tto\tTO\tB-PP\tO' -p121757 -aS'his\this\tPRP$\tB-NP\tO' -p121758 -aS'multiple\tmultiple\tJJ\tI-NP\tO' -p121759 -aS'medical\tmedical\tJJ\tI-NP\tO' -p121760 -aS'problems\tproblem\tNNS\tI-NP\tO' -p121761 -aS'.\t.\t.\tO\tO' -p121762 -asS'Several labs were ordered .' -p121763 -(lp121764 -S'Several\tSeveral\tJJ\tB-NP\tO' -p121765 -aS'labs\tlab\tNNS\tI-NP\tO' -p121766 -aS'were\tbe\tVBD\tB-VP\tO' -p121767 -aS'ordered\torder\tVBN\tI-VP\tO' -p121768 -aS'.\t.\t.\tO\tO' -p121769 -asS'The jugular veins were not distended , the carotid volume was diminished .' -p121770 -(lp121771 -S'The\tThe\tDT\tB-NP\tO' -p121772 -aS'jugular\tjugular\tJJ\tI-NP\tO' -p121773 -aS'veins\tvein\tNNS\tI-NP\tO' -p121774 -aS'were\tbe\tVBD\tB-VP\tO' -p121775 -aS'not\tnot\tRB\tI-VP\tO' -p121776 -aS'distended\tdistend\tVBN\tI-VP\tO' -p121777 -aS',\t,\t,\tO\tO' -p121778 -aS'the\tthe\tDT\tB-NP\tO' -p121779 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p121780 -aS'volume\tvolume\tNN\tI-NP\tO' -p121781 -aS'was\tbe\tVBD\tB-VP\tO' -p121782 -aS'diminished\tdiminish\tVBN\tI-VP\tO' -p121783 -aS'.\t.\t.\tO\tO' -p121784 -asS'Keflex 500 mg p.o. q.i.d. x 10 more days , Miconazole 2% powder topically b.i.d. apply to affected areas of breasts and groins b.i.d. , Lisinopril 20 mg p.o. q day hold of systolic blood pressure less than 110 , Lovenox 100 mg subcutaneously q 12 hours x 2 doses and then discontinued , atenolol 12.5 mg p.o. q day hold for a systolic blood pressure of less than 110 , heart rate less than 55 .' -p121785 -(lp121786 -S'Keflex\tKeflex\tNNP\tB-NP\tO' -p121787 -aS'500\t500\tCD\tI-NP\tO' -p121788 -aS'mg\tmg\tNN\tI-NP\tO' -p121789 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p121790 -aS'q.i.d.\tq.i.d.\tNN\tI-NP\tO' -p121791 -aS'x\tx\tSYM\tB-NP\tO' -p121792 -aS'10\t10\tCD\tI-NP\tO' -p121793 -aS'more\tmore\tJJR\tI-NP\tO' -p121794 -aS'days\tday\tNNS\tI-NP\tO' -p121795 -aS',\t,\t,\tO\tO' -p121796 -aS'Miconazole\tMiconazole\tNN\tB-NP\tO' -p121797 -aS'2%\t2%\tNN\tI-NP\tO' -p121798 -aS'powder\tpowder\tNN\tI-NP\tO' -p121799 -aS'topically\ttopically\tRB\tB-VP\tO' -p121800 -aS'b.i.d.\tb.i.d.\tRB\tI-VP\tO' -p121801 -aS'apply\tapply\tVB\tI-VP\tO' -p121802 -aS'to\tto\tTO\tB-PP\tO' -p121803 -aS'affected\taffect\tVBN\tB-NP\tO' -p121804 -aS'areas\tarea\tNNS\tI-NP\tO' -p121805 -aS'of\tof\tIN\tB-PP\tO' -p121806 -aS'breasts\tbreast\tNNS\tB-NP\tO' -p121807 -aS'and\tand\tCC\tI-NP\tO' -p121808 -aS'groins\tgroin\tNNS\tI-NP\tO' -p121809 -aS'b.i.d.\tb.i.d.\tRB\tB-ADVP\tO' -p121810 -aS',\t,\t,\tO\tO' -p121811 -aS'Lisinopril\tLisinopril\tNNP\tB-NP\tO' -p121812 -aS'20\t20\tCD\tI-NP\tO' -p121813 -aS'mg\tmg\tNN\tI-NP\tO' -p121814 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p121815 -aS'q\tq\tNN\tI-NP\tO' -p121816 -aS'day\tday\tNN\tI-NP\tO' -p121817 -aS'hold\thold\tNN\tI-NP\tO' -p121818 -aS'of\tof\tIN\tB-PP\tO' -p121819 -aS'systolic\tsystolic\tJJ\tB-NP\tO' -p121820 -aS'blood\tblood\tNN\tI-NP\tO' -p121821 -aS'pressure\tpressure\tNN\tI-NP\tO' -p121822 -aS'less\tless\tJJR\tB-ADJP\tO' -p121823 -aS'than\tthan\tIN\tB-PP\tO' -p121824 -aS'110\t110\tCD\tB-NP\tO' -p121825 -aS',\t,\t,\tO\tO' -p121826 -aS'Lovenox\tLovenox\tNNP\tB-NP\tO' -p121827 -aS'100\t100\tCD\tI-NP\tO' -p121828 -aS'mg\tmg\tNN\tI-NP\tO' -p121829 -aS'subcutaneously\tsubcutaneously\tRB\tI-NP\tO' -p121830 -aS'q\tq\tNN\tI-NP\tO' -p121831 -aS'12\t12\tCD\tB-NP\tO' -p121832 -aS'hours\thour\tNNS\tI-NP\tO' -p121833 -aS'x\tx\tSYM\tB-NP\tO' -p121834 -aS'2\t2\tCD\tB-NP\tO' -p121835 -aS'doses\tdose\tNNS\tI-NP\tO' -p121836 -aS'and\tand\tCC\tO\tO' -p121837 -aS'then\tthen\tRB\tB-VP\tO' -p121838 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p121839 -aS',\t,\t,\tO\tO' -p121840 -aS'atenolol\tatenolol\tNN\tB-NP\tO' -p121841 -aS'12.5\t12.5\tCD\tI-NP\tO' -p121842 -aS'mg\tmg\tNN\tI-NP\tO' -p121843 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p121844 -aS'q\tq\tNN\tI-NP\tO' -p121845 -aS'day\tday\tNN\tI-NP\tO' -p121846 -aS'hold\thold\tVBP\tB-VP\tO' -p121847 -aS'for\tfor\tIN\tB-PP\tO' -p121848 -aS'a\ta\tDT\tB-NP\tO' -p121849 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p121850 -aS'blood\tblood\tNN\tI-NP\tO' -p121851 -aS'pressure\tpressure\tNN\tI-NP\tO' -p121852 -aS'of\tof\tIN\tB-PP\tO' -p121853 -aS'less\tless\tJJR\tB-NP\tO' -p121854 -aS'than\tthan\tIN\tI-NP\tO' -p121855 -aS'110\t110\tCD\tI-NP\tO' -p121856 -aS',\t,\t,\tO\tO' -p121857 -aS'heart\theart\tNN\tB-NP\tO' -p121858 -aS'rate\trate\tNN\tI-NP\tO' -p121859 -aS'less\tless\tJJR\tB-ADJP\tO' -p121860 -aS'than\tthan\tIN\tB-PP\tO' -p121861 -aS'55\t55\tCD\tB-NP\tO' -p121862 -aS'.\t.\t.\tO\tO' -p121863 -asS'8) Fosamax 10 mg p.o. q. day .' -p121864 -(lp121865 -S'8)\t8)\tLS\tB-LST\tO' -p121866 -aS'Fosamax\tFosamax\tNN\tB-NP\tO' -p121867 -aS'10\t10\tCD\tI-NP\tO' -p121868 -aS'mg\tmg\tNN\tI-NP\tO' -p121869 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p121870 -aS'q.\tq.\tNN\tI-NP\tO' -p121871 -aS'day\tday\tNN\tI-NP\tO' -p121872 -aS'.\t.\t.\tO\tO' -p121873 -asS'Please call Dr. Pytel ( 760 ) 496-3627 and make a follow-up appointment for 1 week , and discuss resuming your other outpatient medications at that time .' -p121874 -(lp121875 -S'Please\tPlease\tNNP\tB-NP\tO' -p121876 -aS'call\tcall\tNN\tI-NP\tO' -p121877 -aS'Dr.\tDr.\tNNP\tI-NP\tO' -p121878 -aS'Pytel\tPytel\tNNP\tI-NP\tO' -p121879 -aS'(\t(\t(\tO\tO' -p121880 -aS'760\t760\tCD\tB-NP\tO' -p121881 -aS')\t)\t)\tO\tO' -p121882 -aS'496-3627\t496-3627\tCD\tB-NP\tO' -p121883 -aS'and\tand\tCC\tO\tO' -p121884 -aS'make\tmake\tVB\tB-VP\tO' -p121885 -aS'a\ta\tDT\tB-NP\tO' -p121886 -aS'follow-up\tfollow-up\tJJ\tI-NP\tO' -p121887 -aS'appointment\tappointment\tNN\tI-NP\tO' -p121888 -aS'for\tfor\tIN\tB-PP\tO' -p121889 -aS'1\t1\tCD\tB-NP\tO' -p121890 -aS'week\tweek\tNN\tI-NP\tO' -p121891 -aS',\t,\t,\tO\tO' -p121892 -aS'and\tand\tCC\tO\tO' -p121893 -aS'discuss\tdiscuss\tVB\tB-VP\tO' -p121894 -aS'resuming\tresume\tVBG\tI-VP\tO' -p121895 -aS'your\tyour\tPRP$\tB-NP\tO' -p121896 -aS'other\tother\tJJ\tI-NP\tO' -p121897 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p121898 -aS'medications\tmedication\tNNS\tI-NP\tO' -p121899 -aS'at\tat\tIN\tB-PP\tO' -p121900 -aS'that\tthat\tDT\tB-NP\tO' -p121901 -aS'time\ttime\tNN\tI-NP\tO' -p121902 -aS'.\t.\t.\tO\tO' -p121903 -asS'A HIDA scan showed no flow , question of pancreatitis versus common bile duct obstruction .' -p121904 -(lp121905 -S'A\tA\tDT\tB-NP\tO' -p121906 -aS'HIDA\tHIDA\tNN\tI-NP\tO' -p121907 -aS'scan\tscan\tNN\tI-NP\tO' -p121908 -aS'showed\tshow\tVBD\tB-VP\tO' -p121909 -aS'no\tno\tDT\tB-NP\tO' -p121910 -aS'flow\tflow\tNN\tI-NP\tO' -p121911 -aS',\t,\t,\tO\tO' -p121912 -aS'question\tquestion\tNN\tB-NP\tO' -p121913 -aS'of\tof\tIN\tB-PP\tO' -p121914 -aS'pancreatitis\tpancreatitis\tNN\tB-NP\tO' -p121915 -aS'versus\tversus\tCC\tB-NP\tO' -p121916 -aS'common\tcommon\tJJ\tI-NP\tO' -p121917 -aS'bile\tbile\tNN\tI-NP\tO' -p121918 -aS'duct\tduct\tNN\tI-NP\tO' -p121919 -aS'obstruction\tobstruction\tNN\tI-NP\tO' -p121920 -aS'.\t.\t.\tO\tO' -p121921 -asS'He was generally well in all regards .' -p121922 -(lp121923 -S'He\tHe\tPRP\tB-NP\tO' -p121924 -aS'was\tbe\tVBD\tB-VP\tO' -p121925 -aS'generally\tgenerally\tRB\tB-ADVP\tO' -p121926 -aS'well\twell\tRB\tB-ADVP\tO' -p121927 -aS'in\tin\tIN\tB-PP\tO' -p121928 -aS'all\tall\tDT\tB-NP\tO' -p121929 -aS'regards\tregard\tNNS\tI-NP\tO' -p121930 -aS'.\t.\t.\tO\tO' -p121931 -asS'Skin intact .' -p121932 -(lp121933 -S'Skin\tSkin\tNN\tB-NP\tO' -p121934 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p121935 -aS'.\t.\t.\tO\tO' -p121936 -asS'This is to notify you that your patient , KOTEFOOKS , DASHA arrived in the Emergency Department at Tecal Galecounxopt Community Hospital on 12/19/2001 01:44 AM .' -p121937 -(lp121938 -S'This\tThis\tDT\tB-NP\tO' -p121939 -aS'is\tbe\tVBZ\tB-VP\tO' -p121940 -aS'to\tto\tTO\tB-VP\tO' -p121941 -aS'notify\tnotify\tVB\tI-VP\tO' -p121942 -aS'you\tyou\tPRP\tB-NP\tO' -p121943 -aS'that\tthat\tIN\tB-SBAR\tO' -p121944 -aS'your\tyour\tPRP$\tB-NP\tO' -p121945 -aS'patient\tpatient\tNN\tI-NP\tO' -p121946 -aS',\t,\t,\tO\tO' -p121947 -aS'KOTEFOOKS\tKOTEFOOKS\tNN\tB-NP\tB-protein' -p121948 -aS',\t,\t,\tO\tO' -p121949 -aS'DASHA\tDASHA\tNNP\tB-NP\tO' -p121950 -aS'arrived\tarrive\tVBD\tB-VP\tO' -p121951 -aS'in\tin\tIN\tB-PP\tO' -p121952 -aS'the\tthe\tDT\tB-NP\tO' -p121953 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p121954 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p121955 -aS'at\tat\tIN\tB-PP\tO' -p121956 -aS'Tecal\tTecal\tNNP\tB-NP\tO' -p121957 -aS'Galecounxopt\tGalecounxopt\tNNP\tI-NP\tO' -p121958 -aS'Community\tCommunity\tNNP\tI-NP\tO' -p121959 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p121960 -aS'on\ton\tIN\tB-PP\tO' -p121961 -aS'12/19/2001\t12/19/2001\tCD\tB-NP\tO' -p121962 -aS'01:44\t01:44\tCD\tI-NP\tO' -p121963 -aS'AM\tAM\tNN\tI-NP\tO' -p121964 -aS'.\t.\t.\tO\tO' -p121965 -asS'Thyroid function studies revealed a TSH of 2.2 , T4 of 5.7 , T3 of 101 and a cortisol level of 43 , all within the normal range .' -p121966 -(lp121967 -S'Thyroid\tThyroid\tJJ\tB-NP\tO' -p121968 -aS'function\tfunction\tNN\tI-NP\tO' -p121969 -aS'studies\tstudy\tNNS\tI-NP\tO' -p121970 -aS'revealed\treveal\tVBD\tB-VP\tO' -p121971 -aS'a\ta\tDT\tB-NP\tO' -p121972 -aS'TSH\tTSH\tNN\tI-NP\tO' -p121973 -aS'of\tof\tIN\tB-PP\tO' -p121974 -aS'2.2\t2.2\tCD\tB-NP\tO' -p121975 -aS',\t,\t,\tO\tO' -p121976 -aS'T4\tT4\tCD\tB-NP\tO' -p121977 -aS'of\tof\tIN\tB-PP\tO' -p121978 -aS'5.7\t5.7\tCD\tB-NP\tO' -p121979 -aS',\t,\t,\tO\tO' -p121980 -aS'T3\tT3\tCD\tB-NP\tO' -p121981 -aS'of\tof\tIN\tB-PP\tO' -p121982 -aS'101\t101\tCD\tB-NP\tO' -p121983 -aS'and\tand\tCC\tO\tO' -p121984 -aS'a\ta\tDT\tB-NP\tO' -p121985 -aS'cortisol\tcortisol\tNN\tI-NP\tO' -p121986 -aS'level\tlevel\tNN\tI-NP\tO' -p121987 -aS'of\tof\tIN\tB-PP\tO' -p121988 -aS'43\t43\tCD\tB-NP\tO' -p121989 -aS',\t,\t,\tO\tO' -p121990 -aS'all\tall\tDT\tB-NP\tO' -p121991 -aS'within\twithin\tIN\tB-PP\tO' -p121992 -aS'the\tthe\tDT\tB-NP\tO' -p121993 -aS'normal\tnormal\tJJ\tI-NP\tO' -p121994 -aS'range\trange\tNN\tI-NP\tO' -p121995 -aS'.\t.\t.\tO\tO' -p121996 -asS'10. Albuterol sulfate solution q.05-15 h. p.r.n. for shortness of breath .' -p121997 -(lp121998 -S'10.\t10.\tLS\tB-NP\tO' -p121999 -aS'Albuterol\tAlbuterol\tNNP\tI-NP\tO' -p122000 -aS'sulfate\tsulfate\tNN\tI-NP\tO' -p122001 -aS'solution\tsolution\tNN\tI-NP\tO' -p122002 -aS'q.05-15\tq.05-15\tNN\tI-NP\tO' -p122003 -aS'h.\th.\tNN\tI-NP\tO' -p122004 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p122005 -aS'for\tfor\tIN\tB-PP\tO' -p122006 -aS'shortness\tshortness\tNN\tB-NP\tO' -p122007 -aS'of\tof\tIN\tB-PP\tO' -p122008 -aS'breath\tbreath\tNN\tB-NP\tO' -p122009 -aS'.\t.\t.\tO\tO' -p122010 -asS'Zyrtec .' -p122011 -(lp122012 -S'Zyrtec\tZyrtec\tNN\tB-NP\tB-cell_type' -p122013 -aS'.\t.\t.\tO\tO' -p122014 -asS'Her pulse was regular at 80 beats per minute .' -p122015 -(lp122016 -S'Her\tHer\tPRP$\tB-NP\tO' -p122017 -aS'pulse\tpulse\tNN\tI-NP\tO' -p122018 -aS'was\tbe\tVBD\tB-VP\tO' -p122019 -aS'regular\tregular\tJJ\tB-ADJP\tO' -p122020 -aS'at\tat\tIN\tB-PP\tO' -p122021 -aS'80\t80\tCD\tB-NP\tO' -p122022 -aS'beats\tbeat\tNNS\tI-NP\tO' -p122023 -aS'per\tper\tIN\tB-PP\tO' -p122024 -aS'minute\tminute\tNN\tB-NP\tO' -p122025 -aS'.\t.\t.\tO\tO' -p122026 -asS'6. Left subclavian vein thrombosis .' -p122027 -(lp122028 -S'6.\t6.\tLS\tB-NP\tO' -p122029 -aS'Left\tLeft\tJJ\tI-NP\tO' -p122030 -aS'subclavian\tsubclavian\tJJ\tI-NP\tO' -p122031 -aS'vein\tvein\tNN\tI-NP\tO' -p122032 -aS'thrombosis\tthrombosis\tNN\tI-NP\tO' -p122033 -aS'.\t.\t.\tO\tO' -p122034 -asS'The amount of fluid layering at the apices and the pleural spaces appear slightly decreased .' -p122035 -(lp122036 -S'The\tThe\tDT\tB-NP\tO' -p122037 -aS'amount\tamount\tNN\tI-NP\tO' -p122038 -aS'of\tof\tIN\tB-PP\tO' -p122039 -aS'fluid\tfluid\tNN\tB-NP\tO' -p122040 -aS'layering\tlayer\tVBG\tB-VP\tO' -p122041 -aS'at\tat\tIN\tB-PP\tO' -p122042 -aS'the\tthe\tDT\tB-NP\tO' -p122043 -aS'apices\tapex\tNNS\tI-NP\tO' -p122044 -aS'and\tand\tCC\tO\tO' -p122045 -aS'the\tthe\tDT\tB-NP\tO' -p122046 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p122047 -aS'spaces\tspace\tNNS\tI-NP\tO' -p122048 -aS'appear\tappear\tVBP\tB-VP\tO' -p122049 -aS'slightly\tslightly\tRB\tB-ADJP\tO' -p122050 -aS'decreased\tdecrease\tVBN\tI-ADJP\tO' -p122051 -aS'.\t.\t.\tO\tO' -p122052 -asS'13. Respiratory failure .' -p122053 -(lp122054 -S'13.\t13.\tLS\tB-NP\tO' -p122055 -aS'Respiratory\tRespiratory\tJJ\tI-NP\tO' -p122056 -aS'failure\tfailure\tNN\tI-NP\tO' -p122057 -aS'.\t.\t.\tO\tO' -p122058 -asS'- continue ASA , statin , Plavix ; will hold BB given recent cocaine use ( ? can consider labetalol if necessary ) , Integrillin for 18 hours' -p122059 -(lp122060 -S'-\t-\tHYPH\tB-NP\tO' -p122061 -aS'continue\tcontinue\tJJ\tI-NP\tO' -p122062 -aS'ASA\tASA\tNN\tI-NP\tO' -p122063 -aS',\t,\t,\tO\tO' -p122064 -aS'statin\tstatin\tNN\tB-NP\tO' -p122065 -aS',\t,\t,\tO\tO' -p122066 -aS'Plavix\tPlavix\tNNP\tB-NP\tO' -p122067 -aS';\t;\t:\tO\tO' -p122068 -aS'will\twill\tMD\tB-VP\tO' -p122069 -aS'hold\thold\tVB\tI-VP\tO' -p122070 -aS'BB\tBB\tNNP\tB-NP\tO' -p122071 -aS'given\tgive\tVBN\tB-PP\tO' -p122072 -aS'recent\trecent\tJJ\tB-NP\tO' -p122073 -aS'cocaine\tcocaine\tNN\tI-NP\tO' -p122074 -aS'use\tuse\tNN\tI-NP\tO' -p122075 -aS'(\t(\t(\tO\tO' -p122076 -aS'?\t?\t.\tO\tO' -p122077 -aS'can\tcan\tMD\tB-VP\tO' -p122078 -aS'consider\tconsider\tVB\tI-VP\tO' -p122079 -aS'labetalol\tlabetalol\tNN\tB-NP\tO' -p122080 -aS'if\tif\tIN\tB-SBAR\tO' -p122081 -aS'necessary\tnecessary\tJJ\tB-ADJP\tO' -p122082 -aS')\t)\t)\tO\tO' -p122083 -aS',\t,\t,\tO\tO' -p122084 -aS'Integrillin\tIntegrillin\tNNP\tB-NP\tO' -p122085 -aS'for\tfor\tIN\tB-PP\tO' -p122086 -aS'18\t18\tCD\tB-NP\tO' -p122087 -aS'hours\thour\tNNS\tI-NP\tO' -p122088 -asS'The BUN and creatinine equalled 128/8.6 , CO2 equaled 12 .' -p122089 -(lp122090 -S'The\tThe\tDT\tB-NP\tO' -p122091 -aS'BUN\tBUN\tNN\tI-NP\tO' -p122092 -aS'and\tand\tCC\tI-NP\tO' -p122093 -aS'creatinine\tcreatinine\tNN\tI-NP\tB-protein' -p122094 -aS'equalled\tequal\tVBD\tB-VP\tI-protein' -p122095 -aS'128/8.6\t128/8.6\tCD\tB-NP\tI-protein' -p122096 -aS',\t,\t,\tO\tO' -p122097 -aS'CO2\tCO2\tNN\tB-NP\tB-protein' -p122098 -aS'equaled\tequal\tVBD\tB-VP\tO' -p122099 -aS'12\t12\tCD\tB-NP\tO' -p122100 -aS'.\t.\t.\tO\tO' -p122101 -asS'IMPRESSION : Abnormal portable EEG due to the bursts of generalized slowing and additional left-sided slowing and voltage dimunition , along with some slowing of the background .' -p122102 -(lp122103 -S'IMPRESSION\tIMPRESSION\tNN\tB-NP\tO' -p122104 -aS':\t:\t:\tO\tO' -p122105 -aS'Abnormal\tAbnormal\tJJ\tB-NP\tO' -p122106 -aS'portable\tportable\tJJ\tI-NP\tO' -p122107 -aS'EEG\tEEG\tNN\tI-NP\tO' -p122108 -aS'due\tdue\tJJ\tB-PP\tO' -p122109 -aS'to\tto\tTO\tB-PP\tO' -p122110 -aS'the\tthe\tDT\tB-NP\tO' -p122111 -aS'bursts\tburst\tNNS\tI-NP\tO' -p122112 -aS'of\tof\tIN\tB-PP\tO' -p122113 -aS'generalized\tgeneralize\tVBN\tB-NP\tO' -p122114 -aS'slowing\tslow\tVBG\tI-NP\tO' -p122115 -aS'and\tand\tCC\tO\tO' -p122116 -aS'additional\tadditional\tJJ\tB-NP\tO' -p122117 -aS'left-sided\tleft-sided\tJJ\tI-NP\tO' -p122118 -aS'slowing\tslowing\tNN\tI-NP\tO' -p122119 -aS'and\tand\tCC\tI-NP\tO' -p122120 -aS'voltage\tvoltage\tNN\tI-NP\tO' -p122121 -aS'dimunition\tdimunition\tNN\tI-NP\tO' -p122122 -aS',\t,\t,\tO\tO' -p122123 -aS'along\talong\tIN\tB-ADVP\tO' -p122124 -aS'with\twith\tIN\tB-PP\tO' -p122125 -aS'some\tsome\tDT\tB-NP\tO' -p122126 -aS'slowing\tslowing\tNN\tI-NP\tO' -p122127 -aS'of\tof\tIN\tB-PP\tO' -p122128 -aS'the\tthe\tDT\tB-NP\tO' -p122129 -aS'background\tbackground\tNN\tI-NP\tO' -p122130 -aS'.\t.\t.\tO\tO' -p122131 -asS'She is also to call her PCP if she has increasing shortness of breath or fevers .' -p122132 -(lp122133 -S'She\tShe\tPRP\tB-NP\tO' -p122134 -aS'is\tbe\tVBZ\tB-VP\tO' -p122135 -aS'also\talso\tRB\tB-ADVP\tO' -p122136 -aS'to\tto\tTO\tB-VP\tO' -p122137 -aS'call\tcall\tVB\tI-VP\tO' -p122138 -aS'her\ther\tPRP$\tB-NP\tO' -p122139 -aS'PCP\tPCP\tNN\tI-NP\tB-protein' -p122140 -aS'if\tif\tIN\tB-SBAR\tO' -p122141 -aS'she\tshe\tPRP\tB-NP\tO' -p122142 -aS'has\thave\tVBZ\tB-VP\tO' -p122143 -aS'increasing\tincrease\tVBG\tI-VP\tO' -p122144 -aS'shortness\tshortness\tNN\tB-NP\tO' -p122145 -aS'of\tof\tIN\tB-PP\tO' -p122146 -aS'breath\tbreath\tNN\tB-NP\tO' -p122147 -aS'or\tor\tCC\tI-NP\tO' -p122148 -aS'fevers\tfever\tNNS\tI-NP\tO' -p122149 -aS'.\t.\t.\tO\tO' -p122150 -asS'Per sliding scale q breakfast , lunch , and dinner' -p122151 -(lp122152 -S'Per\tPer\tIN\tB-PP\tO' -p122153 -aS'sliding\tslide\tVBG\tB-VP\tO' -p122154 -aS'scale\tscale\tNN\tB-NP\tO' -p122155 -aS'q\tq\tNN\tI-NP\tO' -p122156 -aS'breakfast\tbreakfast\tNN\tI-NP\tO' -p122157 -aS',\t,\t,\tO\tO' -p122158 -aS'lunch\tlunch\tNN\tB-NP\tO' -p122159 -aS',\t,\t,\tO\tO' -p122160 -aS'and\tand\tCC\tO\tO' -p122161 -aS'dinner\tdinner\tNN\tB-NP\tO' -p122162 -asS'3. Please call your PCP C. Lettinga or seek medical attention in the Juan if you experience worsening shortness of breath , chest pain , dizziness , passing out , or any other concerning symptom .' -p122163 -(lp122164 -S'3.\t3.\tLS\tB-NP\tO' -p122165 -aS'Please\tPlease\tNN\tI-NP\tB-protein' -p122166 -aS'call\tcall\tVB\tB-VP\tO' -p122167 -aS'your\tyour\tPRP$\tB-NP\tO' -p122168 -aS'PCP\tPCP\tNN\tI-NP\tO' -p122169 -aS'C.\tC.\tNNP\tI-NP\tO' -p122170 -aS'Lettinga\tLettinga\tNNP\tI-NP\tO' -p122171 -aS'or\tor\tCC\tO\tO' -p122172 -aS'seek\tseek\tVB\tB-VP\tO' -p122173 -aS'medical\tmedical\tJJ\tB-NP\tO' -p122174 -aS'attention\tattention\tNN\tI-NP\tO' -p122175 -aS'in\tin\tIN\tB-PP\tO' -p122176 -aS'the\tthe\tDT\tB-NP\tO' -p122177 -aS'Juan\tJuan\tNNP\tI-NP\tO' -p122178 -aS'if\tif\tIN\tB-SBAR\tO' -p122179 -aS'you\tyou\tPRP\tB-NP\tO' -p122180 -aS'experience\texperience\tVBP\tB-VP\tO' -p122181 -aS'worsening\tworsen\tVBG\tI-VP\tO' -p122182 -aS'shortness\tshortness\tNN\tB-NP\tO' -p122183 -aS'of\tof\tIN\tB-PP\tO' -p122184 -aS'breath\tbreath\tNN\tB-NP\tO' -p122185 -aS',\t,\t,\tO\tO' -p122186 -aS'chest\tchest\tNN\tB-NP\tO' -p122187 -aS'pain\tpain\tNN\tI-NP\tO' -p122188 -aS',\t,\t,\tO\tO' -p122189 -aS'dizziness\tdizziness\tNN\tB-NP\tO' -p122190 -aS',\t,\t,\tO\tO' -p122191 -aS'passing\tpass\tVBG\tB-VP\tO' -p122192 -aS'out\tout\tRP\tB-PRT\tO' -p122193 -aS',\t,\t,\tO\tO' -p122194 -aS'or\tor\tCC\tO\tO' -p122195 -aS'any\tany\tDT\tB-NP\tO' -p122196 -aS'other\tother\tJJ\tI-NP\tO' -p122197 -aS'concerning\tconcern\tVBG\tI-NP\tO' -p122198 -aS'symptom\tsymptom\tNN\tI-NP\tO' -p122199 -aS'.\t.\t.\tO\tO' -p122200 -asS'ETT was negative for ischemia .' -p122201 -(lp122202 -S'ETT\tETT\tNN\tB-NP\tB-protein' -p122203 -aS'was\tbe\tVBD\tB-VP\tO' -p122204 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p122205 -aS'for\tfor\tIN\tB-PP\tO' -p122206 -aS'ischemia\tischemia\tNN\tB-NP\tO' -p122207 -aS'.\t.\t.\tO\tO' -p122208 -asS'Emergent cardiac catheterization revealed an ejection fraction of 45% , right dominant coronary artery system with occlusive single vessel disease of the LAD .' -p122209 -(lp122210 -S'Emergent\tEmergent\tJJ\tB-NP\tO' -p122211 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p122212 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p122213 -aS'revealed\treveal\tVBD\tB-VP\tO' -p122214 -aS'an\tan\tDT\tB-NP\tO' -p122215 -aS'ejection\tejection\tNN\tI-NP\tO' -p122216 -aS'fraction\tfraction\tNN\tI-NP\tO' -p122217 -aS'of\tof\tIN\tB-PP\tO' -p122218 -aS'45%\t45%\tNN\tB-NP\tO' -p122219 -aS',\t,\t,\tO\tO' -p122220 -aS'right\tright\tJJ\tB-NP\tO' -p122221 -aS'dominant\tdominant\tJJ\tI-NP\tO' -p122222 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p122223 -aS'artery\tartery\tNN\tI-NP\tO' -p122224 -aS'system\tsystem\tNN\tI-NP\tO' -p122225 -aS'with\twith\tIN\tB-PP\tO' -p122226 -aS'occlusive\tocclusive\tJJ\tB-NP\tO' -p122227 -aS'single\tsingle\tJJ\tI-NP\tO' -p122228 -aS'vessel\tvessel\tNN\tI-NP\tO' -p122229 -aS'disease\tdisease\tNN\tI-NP\tO' -p122230 -aS'of\tof\tIN\tB-PP\tO' -p122231 -aS'the\tthe\tDT\tB-NP\tO' -p122232 -aS'LAD\tLAD\tNN\tI-NP\tB-protein' -p122233 -aS'.\t.\t.\tO\tO' -p122234 -asS'Fever neutropenia , metastatic squamous cell carcinoma of the lung , hypertension .' -p122235 -(lp122236 -S'Fever\tFever\tRB\tB-NP\tO' -p122237 -aS'neutropenia\tneutropenia\tNN\tI-NP\tO' -p122238 -aS',\t,\t,\tO\tO' -p122239 -aS'metastatic\tmetastatic\tJJ\tB-NP\tO' -p122240 -aS'squamous\tsquamous\tJJ\tI-NP\tO' -p122241 -aS'cell\tcell\tNN\tI-NP\tO' -p122242 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p122243 -aS'of\tof\tIN\tB-PP\tO' -p122244 -aS'the\tthe\tDT\tB-NP\tO' -p122245 -aS'lung\tlung\tNN\tI-NP\tO' -p122246 -aS',\t,\t,\tO\tO' -p122247 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p122248 -aS'.\t.\t.\tO\tO' -p122249 -asS'Iron , Nephro-Caps , calcium carbonate and Valium .' -p122250 -(lp122251 -S'Iron\tIron\tNNP\tB-NP\tO' -p122252 -aS',\t,\t,\tO\tO' -p122253 -aS'Nephro-Caps\tNephro-Caps\tNNP\tB-NP\tO' -p122254 -aS',\t,\t,\tO\tO' -p122255 -aS'calcium\tcalcium\tNN\tB-NP\tO' -p122256 -aS'carbonate\tcarbonate\tNN\tI-NP\tO' -p122257 -aS'and\tand\tCC\tI-NP\tO' -p122258 -aS'Valium\tValium\tNN\tI-NP\tO' -p122259 -aS'.\t.\t.\tO\tO' -p122260 -asS'3. On the morning of 12-01 , the patient had some transient episodes of hypotension with SBP s in the 70 s.' -p122261 -(lp122262 -S'3.\t3.\tLS\tB-LST\tO' -p122263 -aS'On\tOn\tIN\tB-PP\tO' -p122264 -aS'the\tthe\tDT\tB-NP\tO' -p122265 -aS'morning\tmorning\tNN\tI-NP\tO' -p122266 -aS'of\tof\tIN\tB-PP\tO' -p122267 -aS'12-01\t12-01\tNN\tB-NP\tO' -p122268 -aS',\t,\t,\tO\tO' -p122269 -aS'the\tthe\tDT\tB-NP\tO' -p122270 -aS'patient\tpatient\tNN\tI-NP\tO' -p122271 -aS'had\thave\tVBD\tB-VP\tO' -p122272 -aS'some\tsome\tDT\tB-NP\tO' -p122273 -aS'transient\ttransient\tJJ\tI-NP\tO' -p122274 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p122275 -aS'of\tof\tIN\tB-PP\tO' -p122276 -aS'hypotension\thypotension\tNN\tB-NP\tO' -p122277 -aS'with\twith\tIN\tB-PP\tO' -p122278 -aS'SBP\tSBP\tNN\tB-NP\tB-protein' -p122279 -aS's\ts\tNNS\tI-NP\tI-protein' -p122280 -aS'in\tin\tIN\tB-PP\tO' -p122281 -aS'the\tthe\tDT\tB-NP\tO' -p122282 -aS'70\t70\tCD\tI-NP\tO' -p122283 -aS's.\ts.\tNNS\tI-NP\tO' -p122284 -asS'The patient is a healthy appearing female looking her stated age in no apparent distress .' -p122285 -(lp122286 -S'The\tThe\tDT\tB-NP\tO' -p122287 -aS'patient\tpatient\tNN\tI-NP\tO' -p122288 -aS'is\tbe\tVBZ\tB-VP\tO' -p122289 -aS'a\ta\tDT\tB-NP\tO' -p122290 -aS'healthy\thealthy\tJJ\tI-NP\tO' -p122291 -aS'appearing\tappear\tVBG\tI-NP\tO' -p122292 -aS'female\tfemale\tJJ\tI-NP\tO' -p122293 -aS'looking\tlook\tVBG\tB-VP\tO' -p122294 -aS'her\ther\tPRP$\tB-NP\tO' -p122295 -aS'stated\tstated\tJJ\tI-NP\tO' -p122296 -aS'age\tage\tNN\tI-NP\tO' -p122297 -aS'in\tin\tIN\tB-PP\tO' -p122298 -aS'no\tno\tDT\tB-NP\tO' -p122299 -aS'apparent\tapparent\tJJ\tI-NP\tO' -p122300 -aS'distress\tdistress\tNN\tI-NP\tO' -p122301 -aS'.\t.\t.\tO\tO' -p122302 -asS'He was febrile in the Intensive Care Unit to 101.0 F. ; yet , chest x-ray , blood cultures , urinalysis and urine cultures were all negative for sources .' -p122303 -(lp122304 -S'He\tHe\tPRP\tB-NP\tO' -p122305 -aS'was\tbe\tVBD\tB-VP\tO' -p122306 -aS'febrile\tfebrile\tJJ\tB-ADJP\tO' -p122307 -aS'in\tin\tIN\tB-PP\tO' -p122308 -aS'the\tthe\tDT\tB-NP\tO' -p122309 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p122310 -aS'Care\tCare\tNNP\tI-NP\tO' -p122311 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p122312 -aS'to\tto\tTO\tB-PP\tO' -p122313 -aS'101.0\t101.0\tCD\tB-NP\tO' -p122314 -aS'F.\tF.\tNNP\tI-NP\tO' -p122315 -aS';\t;\t:\tO\tO' -p122316 -aS'yet\tyet\tRB\tB-ADVP\tO' -p122317 -aS',\t,\t,\tO\tO' -p122318 -aS'chest\tchest\tNN\tB-NP\tO' -p122319 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p122320 -aS',\t,\t,\tO\tO' -p122321 -aS'blood\tblood\tNN\tB-NP\tO' -p122322 -aS'cultures\tculture\tNNS\tI-NP\tO' -p122323 -aS',\t,\t,\tO\tO' -p122324 -aS'urinalysis\turinalysis\tNN\tB-NP\tO' -p122325 -aS'and\tand\tCC\tI-NP\tO' -p122326 -aS'urine\turine\tNN\tI-NP\tB-cell_line' -p122327 -aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' -p122328 -aS'were\tbe\tVBD\tB-VP\tO' -p122329 -aS'all\tall\tDT\tO\tO' -p122330 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p122331 -aS'for\tfor\tIN\tB-PP\tO' -p122332 -aS'sources\tsource\tNNS\tB-NP\tO' -p122333 -aS'.\t.\t.\tO\tO' -p122334 -asS'Also she had a history of PE and also there was concern about possible lymphangitic spread of her breast CA .' -p122335 -(lp122336 -S'Also\tAlso\tRB\tB-ADVP\tO' -p122337 -aS'she\tshe\tPRP\tB-NP\tO' -p122338 -aS'had\thave\tVBD\tB-VP\tO' -p122339 -aS'a\ta\tDT\tB-NP\tO' -p122340 -aS'history\thistory\tNN\tI-NP\tO' -p122341 -aS'of\tof\tIN\tB-PP\tO' -p122342 -aS'PE\tPE\tNN\tB-NP\tO' -p122343 -aS'and\tand\tCC\tO\tO' -p122344 -aS'also\talso\tRB\tB-ADVP\tO' -p122345 -aS'there\tthere\tEX\tB-NP\tO' -p122346 -aS'was\tbe\tVBD\tB-VP\tO' -p122347 -aS'concern\tconcern\tNN\tB-NP\tO' -p122348 -aS'about\tabout\tIN\tB-PP\tO' -p122349 -aS'possible\tpossible\tJJ\tB-NP\tO' -p122350 -aS'lymphangitic\tlymphangitic\tJJ\tI-NP\tO' -p122351 -aS'spread\tspread\tNN\tI-NP\tO' -p122352 -aS'of\tof\tIN\tB-PP\tO' -p122353 -aS'her\ther\tPRP$\tB-NP\tO' -p122354 -aS'breast\tbreast\tNN\tI-NP\tO' -p122355 -aS'CA\tCA\tNN\tI-NP\tO' -p122356 -aS'.\t.\t.\tO\tO' -p122357 -asS'4. Bibasilar and dependent atelectasis .' -p122358 -(lp122359 -S'4.\t4.\tLS\tB-NP\tO' -p122360 -aS'Bibasilar\tBibasilar\tJJ\tI-NP\tO' -p122361 -aS'and\tand\tCC\tI-NP\tO' -p122362 -aS'dependent\tdependent\tJJ\tI-NP\tO' -p122363 -aS'atelectasis\tatelectasis\tNN\tI-NP\tO' -p122364 -aS'.\t.\t.\tO\tO' -p122365 -asS'The patient then was given voiding trials but eventually he needed to be straight cathed prn .' -p122366 -(lp122367 -S'The\tThe\tDT\tB-NP\tO' -p122368 -aS'patient\tpatient\tNN\tI-NP\tO' -p122369 -aS'then\tthen\tRB\tB-ADVP\tO' -p122370 -aS'was\tbe\tVBD\tB-VP\tO' -p122371 -aS'given\tgive\tVBN\tI-VP\tO' -p122372 -aS'voiding\tvoid\tVBG\tB-VP\tO' -p122373 -aS'trials\ttrial\tNNS\tB-NP\tO' -p122374 -aS'but\tbut\tCC\tO\tO' -p122375 -aS'eventually\teventually\tRB\tB-ADVP\tO' -p122376 -aS'he\the\tPRP\tB-NP\tO' -p122377 -aS'needed\tneed\tVBD\tB-VP\tO' -p122378 -aS'to\tto\tTO\tI-VP\tO' -p122379 -aS'be\tbe\tVB\tI-VP\tO' -p122380 -aS'straight\tstraight\tJJ\tB-NP\tO' -p122381 -aS'cathed\tcathe\tVBN\tI-NP\tO' -p122382 -aS'prn\tprn\tNN\tI-NP\tO' -p122383 -aS'.\t.\t.\tO\tO' -p122384 -asS'III , IV , VI: Extraocular movements intact bilaterally without nystagmus .' -p122385 -(lp122386 -S'III\tIII\tCD\tB-NP\tO' -p122387 -aS',\t,\t,\tI-NP\tO' -p122388 -aS'IV\tIV\tCD\tI-NP\tO' -p122389 -aS',\t,\t,\tO\tO' -p122390 -aS'VI:\tVI:\tNNP\tB-NP\tO' -p122391 -aS'Extraocular\tExtraocular\tNNP\tI-NP\tO' -p122392 -aS'movements\tmovement\tNNS\tI-NP\tO' -p122393 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p122394 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p122395 -aS'without\twithout\tIN\tB-PP\tO' -p122396 -aS'nystagmus\tnystagmus\tNN\tB-NP\tO' -p122397 -aS'.\t.\t.\tO\tO' -p122398 -asS'Daycare during RSV season , a smoker in the household , neuromuscular disease , airway abnormalities or school age sibling , or 3 with chronic lung disease .' -p122399 -(lp122400 -S'Daycare\tDaycare\tNN\tB-NP\tO' -p122401 -aS'during\tduring\tIN\tB-PP\tO' -p122402 -aS'RSV\tRSV\tNN\tB-NP\tO' -p122403 -aS'season\tseason\tNN\tI-NP\tO' -p122404 -aS',\t,\t,\tO\tO' -p122405 -aS'a\ta\tDT\tB-NP\tO' -p122406 -aS'smoker\tsmoker\tNN\tI-NP\tO' -p122407 -aS'in\tin\tIN\tB-PP\tO' -p122408 -aS'the\tthe\tDT\tB-NP\tO' -p122409 -aS'household\thousehold\tNN\tI-NP\tO' -p122410 -aS',\t,\t,\tO\tO' -p122411 -aS'neuromuscular\tneuromuscular\tJJ\tB-NP\tO' -p122412 -aS'disease\tdisease\tNN\tI-NP\tO' -p122413 -aS',\t,\t,\tO\tO' -p122414 -aS'airway\tairway\tNN\tB-NP\tO' -p122415 -aS'abnormalities\tabnormality\tNNS\tI-NP\tO' -p122416 -aS'or\tor\tCC\tO\tO' -p122417 -aS'school\tschool\tNN\tB-NP\tO' -p122418 -aS'age\tage\tNN\tI-NP\tO' -p122419 -aS'sibling\tsibling\tNN\tI-NP\tO' -p122420 -aS',\t,\t,\tO\tO' -p122421 -aS'or\tor\tCC\tO\tO' -p122422 -aS'3\t3\tCD\tB-NP\tO' -p122423 -aS'with\twith\tIN\tB-PP\tO' -p122424 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p122425 -aS'lung\tlung\tNN\tI-NP\tO' -p122426 -aS'disease\tdisease\tNN\tI-NP\tO' -p122427 -aS'.\t.\t.\tO\tO' -p122428 -asS"The patient 's treatment will include typical peripherally inserted central catheter line care with frequent wound checks ." -p122429 -(lp122430 -S'The\tThe\tDT\tB-NP\tO' -p122431 -aS'patient\tpatient\tNN\tI-NP\tO' -p122432 -aS"'s\t's\tPOS\tB-NP\tO" -p122433 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p122434 -aS'will\twill\tMD\tB-VP\tO' -p122435 -aS'include\tinclude\tVB\tI-VP\tO' -p122436 -aS'typical\ttypical\tJJ\tB-NP\tO' -p122437 -aS'peripherally\tperipherally\tRB\tI-NP\tO' -p122438 -aS'inserted\tinsert\tVBN\tI-NP\tO' -p122439 -aS'central\tcentral\tJJ\tI-NP\tO' -p122440 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p122441 -aS'line\tline\tNN\tI-NP\tO' -p122442 -aS'care\tcare\tNN\tI-NP\tO' -p122443 -aS'with\twith\tIN\tB-PP\tO' -p122444 -aS'frequent\tfrequent\tJJ\tB-NP\tO' -p122445 -aS'wound\twound\tNN\tI-NP\tO' -p122446 -aS'checks\tcheck\tNNS\tI-NP\tO' -p122447 -aS'.\t.\t.\tO\tO' -p122448 -asS'The etiology of his bleed was felt to be most likely secondary to hypertension , but these other causes could also not be ruled out .' -p122449 -(lp122450 -S'The\tThe\tDT\tB-NP\tO' -p122451 -aS'etiology\tetiology\tNN\tI-NP\tO' -p122452 -aS'of\tof\tIN\tB-PP\tO' -p122453 -aS'his\this\tPRP$\tB-NP\tO' -p122454 -aS'bleed\tbleed\tNN\tI-NP\tO' -p122455 -aS'was\tbe\tVBD\tB-VP\tO' -p122456 -aS'felt\tfeel\tVBN\tI-VP\tO' -p122457 -aS'to\tto\tTO\tI-VP\tO' -p122458 -aS'be\tbe\tVB\tI-VP\tO' -p122459 -aS'most\tmost\tRBS\tB-ADJP\tO' -p122460 -aS'likely\tlikely\tRB\tI-ADJP\tO' -p122461 -aS'secondary\tsecondary\tJJ\tI-ADJP\tO' -p122462 -aS'to\tto\tTO\tB-PP\tO' -p122463 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p122464 -aS',\t,\t,\tO\tO' -p122465 -aS'but\tbut\tCC\tO\tO' -p122466 -aS'these\tthese\tDT\tB-NP\tO' -p122467 -aS'other\tother\tJJ\tI-NP\tO' -p122468 -aS'causes\tcause\tNNS\tI-NP\tO' -p122469 -aS'could\tcould\tMD\tB-VP\tO' -p122470 -aS'also\talso\tRB\tI-VP\tO' -p122471 -aS'not\tnot\tRB\tI-VP\tO' -p122472 -aS'be\tbe\tVB\tI-VP\tO' -p122473 -aS'ruled\trule\tVBN\tI-VP\tO' -p122474 -aS'out\tout\tRP\tB-PRT\tO' -p122475 -aS'.\t.\t.\tO\tO' -p122476 -asS'S1 normal .' -p122477 -(lp122478 -S'S1\tS1\tNN\tB-NP\tB-protein' -p122479 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p122480 -aS'.\t.\t.\tO\tO' -p122481 -asS"Please see discharge addendum for further developments in the patient 's care ." -p122482 -(lp122483 -S'Please\tPlease\tVB\tB-VP\tO' -p122484 -aS'see\tsee\tVB\tI-VP\tO' -p122485 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p122486 -aS'addendum\taddendum\tNN\tI-NP\tO' -p122487 -aS'for\tfor\tIN\tB-PP\tO' -p122488 -aS'further\tfurther\tJJ\tB-NP\tO' -p122489 -aS'developments\tdevelopment\tNNS\tI-NP\tO' -p122490 -aS'in\tin\tIN\tB-PP\tO' -p122491 -aS'the\tthe\tDT\tB-NP\tO' -p122492 -aS'patient\tpatient\tNN\tI-NP\tO' -p122493 -aS"'s\t's\tPOS\tB-NP\tO" -p122494 -aS'care\tcare\tNN\tI-NP\tO' -p122495 -aS'.\t.\t.\tO\tO' -p122496 -asS'Chest x-ray showed diffuse interstitial infiltrates .' -p122497 -(lp122498 -S'Chest\tCh\tJJS\tB-NP\tO' -p122499 -aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' -p122500 -aS'showed\tshow\tVBD\tB-VP\tO' -p122501 -aS'diffuse\tdiffuse\tJJ\tB-NP\tO' -p122502 -aS'interstitial\tinterstitial\tJJ\tI-NP\tO' -p122503 -aS'infiltrates\tinfiltrate\tNNS\tI-NP\tO' -p122504 -aS'.\t.\t.\tO\tO' -p122505 -asS'The patient is very limited in how much she can do right now because of her pain primarily and her difficulty breathing .' -p122506 -(lp122507 -S'The\tThe\tDT\tB-NP\tO' -p122508 -aS'patient\tpatient\tNN\tI-NP\tO' -p122509 -aS'is\tbe\tVBZ\tB-VP\tO' -p122510 -aS'very\tvery\tRB\tI-VP\tO' -p122511 -aS'limited\tlimit\tVBN\tI-VP\tO' -p122512 -aS'in\tin\tIN\tB-PP\tO' -p122513 -aS'how\thow\tWRB\tB-NP\tO' -p122514 -aS'much\tmuch\tJJ\tI-NP\tO' -p122515 -aS'she\tshe\tPRP\tB-NP\tO' -p122516 -aS'can\tcan\tMD\tB-VP\tO' -p122517 -aS'do\tdo\tVB\tI-VP\tO' -p122518 -aS'right\tright\tRB\tB-ADVP\tO' -p122519 -aS'now\tnow\tRB\tI-ADVP\tO' -p122520 -aS'because\tbecause\tIN\tB-PP\tO' -p122521 -aS'of\tof\tIN\tI-PP\tO' -p122522 -aS'her\ther\tPRP$\tB-NP\tO' -p122523 -aS'pain\tpain\tNN\tI-NP\tO' -p122524 -aS'primarily\tprimarily\tRB\tB-ADVP\tO' -p122525 -aS'and\tand\tCC\tO\tO' -p122526 -aS'her\ther\tPRP$\tB-NP\tO' -p122527 -aS'difficulty\tdifficulty\tNN\tI-NP\tO' -p122528 -aS'breathing\tbreathing\tNN\tI-NP\tO' -p122529 -aS'.\t.\t.\tO\tO' -p122530 -asS'He was hemodynamically stable and without any complaints .' -p122531 -(lp122532 -S'He\tHe\tPRP\tB-NP\tO' -p122533 -aS'was\tbe\tVBD\tB-VP\tO' -p122534 -aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' -p122535 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p122536 -aS'and\tand\tCC\tO\tO' -p122537 -aS'without\twithout\tIN\tB-PP\tO' -p122538 -aS'any\tany\tDT\tB-NP\tO' -p122539 -aS'complaints\tcomplaint\tNNS\tI-NP\tO' -p122540 -aS'.\t.\t.\tO\tO' -p122541 -asS'His postoperative course was complicated by nonspecific T wave changes consistent with myocardial infarction postoperatively as well as hematoma formation .' -p122542 -(lp122543 -S'His\tHis\tPRP$\tB-NP\tO' -p122544 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p122545 -aS'course\tcourse\tNN\tI-NP\tO' -p122546 -aS'was\tbe\tVBD\tB-VP\tO' -p122547 -aS'complicated\tcomplicate\tVBN\tI-VP\tO' -p122548 -aS'by\tby\tIN\tB-PP\tO' -p122549 -aS'nonspecific\tnonspecific\tJJ\tB-NP\tO' -p122550 -aS'T\tT\tNN\tI-NP\tO' -p122551 -aS'wave\twave\tNN\tI-NP\tO' -p122552 -aS'changes\tchange\tNNS\tI-NP\tO' -p122553 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p122554 -aS'with\twith\tIN\tB-PP\tO' -p122555 -aS'myocardial\tmyocardial\tJJ\tB-NP\tO' -p122556 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p122557 -aS'postoperatively\tpostoperatively\tRB\tO\tO' -p122558 -aS'as\tas\tRB\tB-CONJP\tO' -p122559 -aS'well\twell\tRB\tI-CONJP\tO' -p122560 -aS'as\tas\tIN\tI-CONJP\tO' -p122561 -aS'hematoma\thematoma\tNN\tB-NP\tO' -p122562 -aS'formation\tformation\tNN\tI-NP\tO' -p122563 -aS'.\t.\t.\tO\tO' -p122564 -asS'Sodium 142 , potassium 4.1 , chloride 104 , bicarbonate 30 , BUN 7 , creatinine 0.7 , glucose 41 .' -p122565 -(lp122566 -S'Sodium\tSodium\tNN\tB-NP\tB-protein' -p122567 -aS'142\t142\tCD\tI-NP\tI-protein' -p122568 -aS',\t,\t,\tO\tO' -p122569 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p122570 -aS'4.1\t4.1\tCD\tI-NP\tO' -p122571 -aS',\t,\t,\tO\tO' -p122572 -aS'chloride\tchloride\tNN\tB-NP\tO' -p122573 -aS'104\t104\tCD\tI-NP\tO' -p122574 -aS',\t,\t,\tO\tO' -p122575 -aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' -p122576 -aS'30\t30\tCD\tI-NP\tO' -p122577 -aS',\t,\t,\tO\tO' -p122578 -aS'BUN\tBUN\tNN\tB-NP\tB-protein' -p122579 -aS'7\t7\tCD\tI-NP\tI-protein' -p122580 -aS',\t,\t,\tO\tO' -p122581 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p122582 -aS'0.7\t0.7\tCD\tI-NP\tO' -p122583 -aS',\t,\t,\tO\tO' -p122584 -aS'glucose\tglucose\tNN\tB-NP\tO' -p122585 -aS'41\t41\tCD\tI-NP\tO' -p122586 -aS'.\t.\t.\tO\tO' -p122587 -asS'GAIT DISORDER .' -p122588 -(lp122589 -S'GAIT\tGAIT\tNN\tB-NP\tO' -p122590 -aS'DISORDER\tDISORDER\tNN\tI-NP\tO' -p122591 -aS'.\t.\t.\tO\tO' -p122592 -asS'Obese , soft .' -p122593 -(lp122594 -S'Obese\tObese\tJJ\tB-NP\tO' -p122595 -aS',\t,\t,\tI-NP\tO' -p122596 -aS'soft\tsoft\tJJ\tI-NP\tO' -p122597 -aS'.\t.\t.\tO\tO' -p122598 -asS'Dictated By : Scott T Little , M.D.' -p122599 -(lp122600 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p122601 -aS'By\tBy\tIN\tB-PP\tO' -p122602 -aS':\t:\t:\tO\tO' -p122603 -aS'Scott\tScott\tNNP\tB-NP\tO' -p122604 -aS'T\tT\tNNP\tI-NP\tO' -p122605 -aS'Little\tLittle\tNNP\tI-NP\tO' -p122606 -aS',\t,\t,\tO\tO' -p122607 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p122608 -asS'deferred .' -p122609 -(lp122610 -S'deferred\tdefer\tVBN\tB-VP\tO' -p122611 -aS'.\t.\t.\tO\tO' -p122612 -asS'INTRAVENOUS CHEMOTHERAPY .' -p122613 -(lp122614 -S'INTRAVENOUS\tINTRAVENOUS\tNNP\tB-NP\tO' -p122615 -aS'CHEMOTHERAPY\tCHEMOTHERAPY\tNNP\tI-NP\tO' -p122616 -aS'.\t.\t.\tO\tO' -p122617 -asS'This showed no diagnostic electrocardiogram changes for ischemia and no angina pectoris .' -p122618 -(lp122619 -S'This\tThis\tDT\tB-NP\tO' -p122620 -aS'showed\tshow\tVBD\tB-VP\tO' -p122621 -aS'no\tno\tDT\tB-NP\tO' -p122622 -aS'diagnostic\tdiagnostic\tJJ\tI-NP\tO' -p122623 -aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' -p122624 -aS'changes\tchange\tNNS\tI-NP\tO' -p122625 -aS'for\tfor\tIN\tB-PP\tO' -p122626 -aS'ischemia\tischemia\tNN\tB-NP\tO' -p122627 -aS'and\tand\tCC\tO\tO' -p122628 -aS'no\tno\tDT\tB-NP\tO' -p122629 -aS'angina\tangina\tNN\tI-NP\tO' -p122630 -aS'pectoris\tpectoris\tNN\tI-NP\tO' -p122631 -aS'.\t.\t.\tO\tO' -p122632 -asS'Trauma CT demonstrated mild pulmonary contusions , but no pelvic fracture .' -p122633 -(lp122634 -S'Trauma\tTrauma\tNN\tB-NP\tO' -p122635 -aS'CT\tCT\tNN\tI-NP\tO' -p122636 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p122637 -aS'mild\tmild\tJJ\tB-NP\tO' -p122638 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p122639 -aS'contusions\tcontusion\tNNS\tI-NP\tO' -p122640 -aS',\t,\t,\tO\tO' -p122641 -aS'but\tbut\tCC\tO\tO' -p122642 -aS'no\tno\tDT\tB-NP\tO' -p122643 -aS'pelvic\tpelvic\tJJ\tI-NP\tO' -p122644 -aS'fracture\tfracture\tNN\tI-NP\tO' -p122645 -aS'.\t.\t.\tO\tO' -p122646 -asS'Minimal surrounding erythema .' -p122647 -(lp122648 -S'Minimal\tMinimal\tJJ\tB-NP\tO' -p122649 -aS'surrounding\tsurround\tVBG\tI-NP\tO' -p122650 -aS'erythema\terythema\tNN\tI-NP\tO' -p122651 -aS'.\t.\t.\tO\tO' -p122652 -asS'1. Diabetes mellitus times four years ; recently started insulin and metformin due to his concurrent steroid use .' -p122653 -(lp122654 -S'1.\t1.\tLS\tB-NP\tO' -p122655 -aS'Diabetes\tDiabetes\tNN\tI-NP\tO' -p122656 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p122657 -aS'times\ttime\tNNS\tI-NP\tO' -p122658 -aS'four\tfour\tCD\tB-NP\tO' -p122659 -aS'years\tyear\tNNS\tI-NP\tO' -p122660 -aS';\t;\t:\tO\tO' -p122661 -aS'recently\trecently\tRB\tB-ADVP\tO' -p122662 -aS'started\tstart\tVBD\tB-VP\tO' -p122663 -aS'insulin\tinsulin\tNN\tB-NP\tB-protein' -p122664 -aS'and\tand\tCC\tI-NP\tO' -p122665 -aS'metformin\tmetformin\tNN\tI-NP\tO' -p122666 -aS'due\tdue\tJJ\tB-ADJP\tO' -p122667 -aS'to\tto\tTO\tB-PP\tO' -p122668 -aS'his\this\tPRP$\tB-NP\tO' -p122669 -aS'concurrent\tconcurrent\tJJ\tI-NP\tO' -p122670 -aS'steroid\tsteroid\tNN\tI-NP\tO' -p122671 -aS'use\tuse\tNN\tI-NP\tO' -p122672 -aS'.\t.\t.\tO\tO' -p122673 -asS'Cultures were obtained on 2014-03-31 .' -p122674 -(lp122675 -S'Cultures\tCulture\tNNS\tB-NP\tO' -p122676 -aS'were\tbe\tVBD\tB-VP\tO' -p122677 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p122678 -aS'on\ton\tIN\tB-PP\tO' -p122679 -aS'2014-03-31\t2014-03-31\tCD\tB-NP\tO' -p122680 -aS'.\t.\t.\tO\tO' -p122681 -asS'With the help of physical therapy the patient was ambulated and on postoperative seven , with the patient tolerating a post surgical soft diet and with pain well controlled on oral pain medications , she was discharged to rehabilitation facility .' -p122682 -(lp122683 -S'With\tWith\tIN\tB-PP\tO' -p122684 -aS'the\tthe\tDT\tB-NP\tO' -p122685 -aS'help\thelp\tNN\tI-NP\tO' -p122686 -aS'of\tof\tIN\tB-PP\tO' -p122687 -aS'physical\tphysical\tJJ\tB-NP\tO' -p122688 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p122689 -aS'the\tthe\tDT\tB-NP\tO' -p122690 -aS'patient\tpatient\tNN\tI-NP\tO' -p122691 -aS'was\tbe\tVBD\tB-VP\tO' -p122692 -aS'ambulated\tambulate\tVBN\tI-VP\tO' -p122693 -aS'and\tand\tCC\tO\tO' -p122694 -aS'on\ton\tIN\tB-PP\tO' -p122695 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p122696 -aS'seven\tseven\tCD\tI-NP\tO' -p122697 -aS',\t,\t,\tO\tO' -p122698 -aS'with\twith\tIN\tB-PP\tO' -p122699 -aS'the\tthe\tDT\tB-NP\tO' -p122700 -aS'patient\tpatient\tNN\tI-NP\tO' -p122701 -aS'tolerating\ttolerate\tVBG\tB-VP\tO' -p122702 -aS'a\ta\tDT\tB-NP\tO' -p122703 -aS'post\tpost\tNN\tI-NP\tO' -p122704 -aS'surgical\tsurgical\tJJ\tI-NP\tO' -p122705 -aS'soft\tsoft\tJJ\tI-NP\tO' -p122706 -aS'diet\tdiet\tNN\tI-NP\tO' -p122707 -aS'and\tand\tCC\tB-PP\tO' -p122708 -aS'with\twith\tIN\tB-PP\tO' -p122709 -aS'pain\tpain\tNN\tB-NP\tO' -p122710 -aS'well\twell\tRB\tB-VP\tO' -p122711 -aS'controlled\tcontrol\tVBN\tI-VP\tO' -p122712 -aS'on\ton\tIN\tB-PP\tO' -p122713 -aS'oral\toral\tJJ\tB-NP\tO' -p122714 -aS'pain\tpain\tNN\tI-NP\tO' -p122715 -aS'medications\tmedication\tNNS\tI-NP\tO' -p122716 -aS',\t,\t,\tO\tO' -p122717 -aS'she\tshe\tPRP\tB-NP\tO' -p122718 -aS'was\tbe\tVBD\tB-VP\tO' -p122719 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p122720 -aS'to\tto\tTO\tB-PP\tO' -p122721 -aS'rehabilitation\trehabilitation\tNN\tB-NP\tO' -p122722 -aS'facility\tfacility\tNN\tI-NP\tO' -p122723 -aS'.\t.\t.\tO\tO' -p122724 -asS'In terms of pulmonary function , it was felt that one possibility was that the patient was a Bactrim failure for PCP although this was unusual .' -p122725 -(lp122726 -S'In\tIn\tIN\tB-PP\tO' -p122727 -aS'terms\tterm\tNNS\tB-NP\tO' -p122728 -aS'of\tof\tIN\tB-PP\tO' -p122729 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p122730 -aS'function\tfunction\tNN\tI-NP\tO' -p122731 -aS',\t,\t,\tO\tO' -p122732 -aS'it\tit\tPRP\tB-NP\tO' -p122733 -aS'was\tbe\tVBD\tB-VP\tO' -p122734 -aS'felt\tfeel\tVBN\tI-VP\tO' -p122735 -aS'that\tthat\tIN\tB-SBAR\tO' -p122736 -aS'one\tone\tCD\tB-NP\tO' -p122737 -aS'possibility\tpossibility\tNN\tI-NP\tO' -p122738 -aS'was\tbe\tVBD\tB-VP\tO' -p122739 -aS'that\tthat\tIN\tB-SBAR\tO' -p122740 -aS'the\tthe\tDT\tB-NP\tO' -p122741 -aS'patient\tpatient\tNN\tI-NP\tO' -p122742 -aS'was\tbe\tVBD\tB-VP\tO' -p122743 -aS'a\ta\tDT\tB-NP\tO' -p122744 -aS'Bactrim\tBactrim\tNNP\tI-NP\tO' -p122745 -aS'failure\tfailure\tNN\tI-NP\tO' -p122746 -aS'for\tfor\tIN\tB-PP\tO' -p122747 -aS'PCP\tPCP\tNN\tB-NP\tB-protein' -p122748 -aS'although\talthough\tIN\tB-SBAR\tO' -p122749 -aS'this\tthis\tDT\tB-NP\tO' -p122750 -aS'was\tbe\tVBD\tB-VP\tO' -p122751 -aS'unusual\tunusual\tJJ\tB-ADJP\tO' -p122752 -aS'.\t.\t.\tO\tO' -p122753 -asS'He was continued on his aspirin , however .' -p122754 -(lp122755 -S'He\tHe\tPRP\tB-NP\tO' -p122756 -aS'was\tbe\tVBD\tB-VP\tO' -p122757 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p122758 -aS'on\ton\tIN\tB-PP\tO' -p122759 -aS'his\this\tPRP$\tB-NP\tO' -p122760 -aS'aspirin\taspirin\tNN\tI-NP\tO' -p122761 -aS',\t,\t,\tO\tO' -p122762 -aS'however\thowever\tRB\tB-ADVP\tO' -p122763 -aS'.\t.\t.\tO\tO' -p122764 -asS'She was continued on aspirin , Plavix , and Lipitor .' -p122765 -(lp122766 -S'She\tShe\tPRP\tB-NP\tO' -p122767 -aS'was\tbe\tVBD\tB-VP\tO' -p122768 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p122769 -aS'on\ton\tIN\tB-PP\tO' -p122770 -aS'aspirin\taspirin\tNN\tB-NP\tO' -p122771 -aS',\t,\t,\tO\tO' -p122772 -aS'Plavix\tPlavix\tNN\tB-NP\tO' -p122773 -aS',\t,\t,\tO\tO' -p122774 -aS'and\tand\tCC\tO\tO' -p122775 -aS'Lipitor\tLipitor\tNN\tB-NP\tO' -p122776 -aS'.\t.\t.\tO\tO' -p122777 -asS'Lungs decreased breath sounds at bilateral bases with minimal expiratory crackles on the right .' -p122778 -(lp122779 -S'Lungs\tLung\tNNS\tB-NP\tO' -p122780 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p122781 -aS'breath\tbreath\tNN\tB-NP\tO' -p122782 -aS'sounds\tsound\tNNS\tI-NP\tO' -p122783 -aS'at\tat\tIN\tB-PP\tO' -p122784 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p122785 -aS'bases\tbase\tNNS\tI-NP\tO' -p122786 -aS'with\twith\tIN\tB-PP\tO' -p122787 -aS'minimal\tminimal\tJJ\tB-NP\tO' -p122788 -aS'expiratory\texpiratory\tJJ\tI-NP\tO' -p122789 -aS'crackles\tcrackle\tNNS\tI-NP\tO' -p122790 -aS'on\ton\tIN\tB-PP\tO' -p122791 -aS'the\tthe\tDT\tB-NP\tO' -p122792 -aS'right\tright\tNN\tI-NP\tO' -p122793 -aS'.\t.\t.\tO\tO' -p122794 -asS'3/6 systolic ejection murmur heard best at the apex .' -p122795 -(lp122796 -S'3/6\t3/6\tCD\tB-NP\tO' -p122797 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p122798 -aS'ejection\tejection\tNN\tI-NP\tO' -p122799 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p122800 -aS'heard\thear\tVBD\tB-VP\tO' -p122801 -aS'best\twell\tRBS\tB-ADVP\tO' -p122802 -aS'at\tat\tIN\tB-PP\tO' -p122803 -aS'the\tthe\tDT\tB-NP\tO' -p122804 -aS'apex\tapex\tNN\tI-NP\tO' -p122805 -aS'.\t.\t.\tO\tO' -p122806 -asS'This was performed in this location in case any acute cardiac decompensation occurred during the time of cesarean section .' -p122807 -(lp122808 -S'This\tThis\tDT\tB-NP\tO' -p122809 -aS'was\tbe\tVBD\tB-VP\tO' -p122810 -aS'performed\tperform\tVBN\tI-VP\tO' -p122811 -aS'in\tin\tIN\tB-PP\tO' -p122812 -aS'this\tthis\tDT\tB-NP\tO' -p122813 -aS'location\tlocation\tNN\tI-NP\tO' -p122814 -aS'in\tin\tIN\tB-PP\tO' -p122815 -aS'case\tcase\tNN\tB-NP\tO' -p122816 -aS'any\tany\tDT\tB-NP\tO' -p122817 -aS'acute\tacute\tJJ\tI-NP\tO' -p122818 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p122819 -aS'decompensation\tdecompensation\tNN\tI-NP\tO' -p122820 -aS'occurred\toccur\tVBD\tB-VP\tO' -p122821 -aS'during\tduring\tIN\tB-PP\tO' -p122822 -aS'the\tthe\tDT\tB-NP\tO' -p122823 -aS'time\ttime\tNN\tI-NP\tO' -p122824 -aS'of\tof\tIN\tB-PP\tO' -p122825 -aS'cesarean\tcesarean\tJJ\tB-NP\tO' -p122826 -aS'section\tsection\tNN\tI-NP\tO' -p122827 -aS'.\t.\t.\tO\tO' -p122828 -asS'He was transferred to the floor on postoperative day number one and tolerated his PO's well .' -p122829 -(lp122830 -S'He\tHe\tPRP\tB-NP\tO' -p122831 -aS'was\tbe\tVBD\tB-VP\tO' -p122832 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p122833 -aS'to\tto\tTO\tB-PP\tO' -p122834 -aS'the\tthe\tDT\tB-NP\tO' -p122835 -aS'floor\tfloor\tNN\tI-NP\tO' -p122836 -aS'on\ton\tIN\tB-PP\tO' -p122837 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p122838 -aS'day\tday\tNN\tI-NP\tO' -p122839 -aS'number\tnumber\tNN\tI-NP\tO' -p122840 -aS'one\tone\tCD\tB-NP\tO' -p122841 -aS'and\tand\tCC\tO\tO' -p122842 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p122843 -aS'his\this\tPRP$\tB-NP\tO' -p122844 -aS'PO's\tPO'\tNNS\tI-NP\tB-protein' -p122845 -aS'well\twell\tRB\tB-ADVP\tO' -p122846 -aS'.\t.\t.\tO\tO' -p122847 -asS'On the floor the Vancomycin was discontinued as the catheter tip culture was negative .' -p122848 -(lp122849 -S'On\tOn\tIN\tB-PP\tO' -p122850 -aS'the\tthe\tDT\tB-NP\tO' -p122851 -aS'floor\tfloor\tNN\tI-NP\tO' -p122852 -aS'the\tthe\tDT\tB-NP\tO' -p122853 -aS'Vancomycin\tVancomycin\tNN\tI-NP\tO' -p122854 -aS'was\tbe\tVBD\tB-VP\tO' -p122855 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p122856 -aS'as\tas\tIN\tB-PP\tO' -p122857 -aS'the\tthe\tDT\tB-NP\tO' -p122858 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p122859 -aS'tip\ttip\tNN\tI-NP\tO' -p122860 -aS'culture\tculture\tNN\tI-NP\tO' -p122861 -aS'was\tbe\tVBD\tB-VP\tO' -p122862 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p122863 -aS'.\t.\t.\tO\tO' -p122864 -asS'The patient should return or contact the office if he has a fever , sternal discharge or other significant chest pain .' -p122865 -(lp122866 -S'The\tThe\tDT\tB-NP\tO' -p122867 -aS'patient\tpatient\tNN\tI-NP\tO' -p122868 -aS'should\tshould\tMD\tB-VP\tO' -p122869 -aS'return\treturn\tVB\tI-VP\tO' -p122870 -aS'or\tor\tCC\tI-VP\tO' -p122871 -aS'contact\tcontact\tVB\tI-VP\tO' -p122872 -aS'the\tthe\tDT\tB-NP\tO' -p122873 -aS'office\toffice\tNN\tI-NP\tO' -p122874 -aS'if\tif\tIN\tB-SBAR\tO' -p122875 -aS'he\the\tPRP\tB-NP\tO' -p122876 -aS'has\thave\tVBZ\tB-VP\tO' -p122877 -aS'a\ta\tDT\tB-NP\tO' -p122878 -aS'fever\tfever\tNN\tI-NP\tO' -p122879 -aS',\t,\t,\tO\tO' -p122880 -aS'sternal\tsternal\tJJ\tB-NP\tO' -p122881 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p122882 -aS'or\tor\tCC\tO\tO' -p122883 -aS'other\tother\tJJ\tB-NP\tO' -p122884 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p122885 -aS'chest\tchest\tNN\tI-NP\tO' -p122886 -aS'pain\tpain\tNN\tI-NP\tO' -p122887 -aS'.\t.\t.\tO\tO' -p122888 -asS"The patient had been discharged from the St. Margaret 's Center for Women & Infants on 2013-05-06 , but was readmitted on 2013-05-09 when noted to have worsening renal function ." -p122889 -(lp122890 -S'The\tThe\tDT\tB-NP\tO' -p122891 -aS'patient\tpatient\tNN\tI-NP\tO' -p122892 -aS'had\thave\tVBD\tB-VP\tO' -p122893 -aS'been\tbe\tVBN\tI-VP\tO' -p122894 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p122895 -aS'from\tfrom\tIN\tB-PP\tO' -p122896 -aS'the\tthe\tDT\tB-NP\tO' -p122897 -aS'St.\tSt.\tNNP\tI-NP\tO' -p122898 -aS'Margaret\tMargaret\tNNP\tI-NP\tO' -p122899 -aS"'s\t's\tPOS\tB-NP\tO" -p122900 -aS'Center\tCenter\tNNP\tI-NP\tO' -p122901 -aS'for\tfor\tIN\tB-PP\tO' -p122902 -aS'Women\tWomen\tNNP\tB-NP\tO' -p122903 -aS'&\t&\tCC\tI-NP\tO' -p122904 -aS'Infants\tInfant\tNNPS\tI-NP\tO' -p122905 -aS'on\ton\tIN\tB-PP\tO' -p122906 -aS'2013-05-06\t2013-05-06\tCD\tB-NP\tO' -p122907 -aS',\t,\t,\tO\tO' -p122908 -aS'but\tbut\tCC\tO\tO' -p122909 -aS'was\tbe\tVBD\tB-VP\tO' -p122910 -aS'readmitted\treadmitte\tVBN\tI-VP\tO' -p122911 -aS'on\ton\tIN\tB-PP\tO' -p122912 -aS'2013-05-09\t2013-05-09\tCD\tB-NP\tO' -p122913 -aS'when\twhen\tWRB\tB-ADVP\tO' -p122914 -aS'noted\tnote\tVBN\tB-VP\tO' -p122915 -aS'to\tto\tTO\tI-VP\tO' -p122916 -aS'have\thave\tVB\tI-VP\tO' -p122917 -aS'worsening\tworsen\tVBG\tI-VP\tO' -p122918 -aS'renal\trenal\tJJ\tB-NP\tO' -p122919 -aS'function\tfunction\tNN\tI-NP\tO' -p122920 -aS'.\t.\t.\tO\tO' -p122921 -asS'The chest X-ray on the morning of discharge was unchanged from the previous day , with slight increase in left pleural fluid .' -p122922 -(lp122923 -S'The\tThe\tDT\tB-NP\tO' -p122924 -aS'chest\tchest\tNN\tI-NP\tO' -p122925 -aS'X-ray\tX-ray\tNN\tI-NP\tO' -p122926 -aS'on\ton\tIN\tB-PP\tO' -p122927 -aS'the\tthe\tDT\tB-NP\tO' -p122928 -aS'morning\tmorning\tNN\tI-NP\tO' -p122929 -aS'of\tof\tIN\tB-PP\tO' -p122930 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p122931 -aS'was\tbe\tVBD\tB-VP\tO' -p122932 -aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' -p122933 -aS'from\tfrom\tIN\tB-PP\tO' -p122934 -aS'the\tthe\tDT\tB-NP\tO' -p122935 -aS'previous\tprevious\tJJ\tI-NP\tO' -p122936 -aS'day\tday\tNN\tI-NP\tO' -p122937 -aS',\t,\t,\tO\tO' -p122938 -aS'with\twith\tIN\tB-PP\tO' -p122939 -aS'slight\tslight\tJJ\tB-NP\tO' -p122940 -aS'increase\tincrease\tNN\tI-NP\tO' -p122941 -aS'in\tin\tIN\tB-PP\tO' -p122942 -aS'left\tleft\tJJ\tB-NP\tO' -p122943 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p122944 -aS'fluid\tfluid\tNN\tI-NP\tO' -p122945 -aS'.\t.\t.\tO\tO' -p122946 -asS'IR was consulted to identify the bleeding vessel with angiography , then perform embolization .' -p122947 -(lp122948 -S'IR\tIR\tNN\tB-NP\tB-protein' -p122949 -aS'was\tbe\tVBD\tB-VP\tO' -p122950 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p122951 -aS'to\tto\tTO\tI-VP\tO' -p122952 -aS'identify\tidentify\tVB\tI-VP\tO' -p122953 -aS'the\tthe\tDT\tB-NP\tO' -p122954 -aS'bleeding\tbleed\tVBG\tI-NP\tO' -p122955 -aS'vessel\tvessel\tNN\tI-NP\tO' -p122956 -aS'with\twith\tIN\tB-PP\tO' -p122957 -aS'angiography\tangiography\tNN\tB-NP\tO' -p122958 -aS',\t,\t,\tO\tO' -p122959 -aS'then\tthen\tRB\tB-ADVP\tO' -p122960 -aS'perform\tperform\tNN\tB-NP\tO' -p122961 -aS'embolization\tembolization\tNN\tI-NP\tO' -p122962 -aS'.\t.\t.\tO\tO' -p122963 -asS'He was subsquently admitted to the ICU for further care .' -p122964 -(lp122965 -S'He\tHe\tPRP\tB-NP\tO' -p122966 -aS'was\tbe\tVBD\tB-VP\tO' -p122967 -aS'subsquently\tsubsquently\tRB\tI-VP\tO' -p122968 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p122969 -aS'to\tto\tTO\tB-PP\tO' -p122970 -aS'the\tthe\tDT\tB-NP\tO' -p122971 -aS'ICU\tICU\tNN\tI-NP\tO' -p122972 -aS'for\tfor\tIN\tB-PP\tO' -p122973 -aS'further\tfurther\tJJ\tB-NP\tO' -p122974 -aS'care\tcare\tNN\tI-NP\tO' -p122975 -aS'.\t.\t.\tO\tO' -p122976 -asS'13. Albuterol one to two puffs inhaled q. six hours p.r.n.' -p122977 -(lp122978 -S'13.\t13.\tCD\tB-NP\tO' -p122979 -aS'Albuterol\tAlbuterol\tNNP\tI-NP\tO' -p122980 -aS'one\tone\tCD\tI-NP\tO' -p122981 -aS'to\tto\tTO\tI-NP\tO' -p122982 -aS'two\ttwo\tCD\tI-NP\tO' -p122983 -aS'puffs\tpuff\tNNS\tI-NP\tO' -p122984 -aS'inhaled\tinhale\tVBD\tB-VP\tO' -p122985 -aS'q.\tq.\tNN\tB-NP\tO' -p122986 -aS'six\tsix\tCD\tB-NP\tO' -p122987 -aS'hours\thour\tNNS\tI-NP\tO' -p122988 -aS'p.r.n.\tp.r.n.\tRB\tB-ADVP\tO' -p122989 -asS'The abdomen was again far less distended .' -p122990 -(lp122991 -S'The\tThe\tDT\tB-NP\tO' -p122992 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p122993 -aS'was\tbe\tVBD\tB-VP\tO' -p122994 -aS'again\tagain\tRB\tB-ADVP\tO' -p122995 -aS'far\tfar\tRB\tB-ADJP\tO' -p122996 -aS'less\tless\tRBR\tI-ADJP\tO' -p122997 -aS'distended\tdistended\tJJ\tI-ADJP\tO' -p122998 -aS'.\t.\t.\tO\tO' -p122999 -asS'HTN ventral hernia right nephrectomy s/p right facial plating' -p123000 -(lp123001 -S'HTN\tHTN\tNN\tB-NP\tO' -p123002 -aS'ventral\tventral\tJJ\tI-NP\tO' -p123003 -aS'hernia\thernia\tNN\tI-NP\tO' -p123004 -aS'right\tright\tJJ\tI-NP\tO' -p123005 -aS'nephrectomy\tnephrectomy\tNN\tI-NP\tO' -p123006 -aS's/p\ts/p\tNN\tI-NP\tO' -p123007 -aS'right\tright\tJJ\tI-NP\tO' -p123008 -aS'facial\tfacial\tJJ\tI-NP\tO' -p123009 -aS'plating\tplating\tNN\tI-NP\tO' -p123010 -asS'Due to bed issues , he was transferred from the Surgical Intensive Care Unit to the Medical Intensive Care Unit on postoperative day three .' -p123011 -(lp123012 -S'Due\tDue\tJJ\tB-PP\tO' -p123013 -aS'to\tto\tTO\tI-PP\tO' -p123014 -aS'bed\tbed\tNN\tB-NP\tO' -p123015 -aS'issues\tissue\tNNS\tI-NP\tO' -p123016 -aS',\t,\t,\tO\tO' -p123017 -aS'he\the\tPRP\tB-NP\tO' -p123018 -aS'was\tbe\tVBD\tB-VP\tO' -p123019 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p123020 -aS'from\tfrom\tIN\tB-PP\tO' -p123021 -aS'the\tthe\tDT\tB-NP\tO' -p123022 -aS'Surgical\tSurgical\tNNP\tI-NP\tO' -p123023 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p123024 -aS'Care\tCare\tNNP\tI-NP\tO' -p123025 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p123026 -aS'to\tto\tTO\tB-PP\tO' -p123027 -aS'the\tthe\tDT\tB-NP\tO' -p123028 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p123029 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p123030 -aS'Care\tCare\tNNP\tI-NP\tO' -p123031 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p123032 -aS'on\ton\tIN\tB-PP\tO' -p123033 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p123034 -aS'day\tday\tNN\tI-NP\tO' -p123035 -aS'three\tthree\tCD\tI-NP\tO' -p123036 -aS'.\t.\t.\tO\tO' -p123037 -asS'She reports that she took all her medications as usual this morning , with no changes .' -p123038 -(lp123039 -S'She\tShe\tPRP\tB-NP\tO' -p123040 -aS'reports\treport\tVBZ\tB-VP\tO' -p123041 -aS'that\tthat\tIN\tB-SBAR\tO' -p123042 -aS'she\tshe\tPRP\tB-NP\tO' -p123043 -aS'took\ttake\tVBD\tB-VP\tO' -p123044 -aS'all\tall\tPDT\tB-NP\tO' -p123045 -aS'her\ther\tPRP$\tI-NP\tO' -p123046 -aS'medications\tmedication\tNNS\tI-NP\tO' -p123047 -aS'as\tas\tIN\tB-PP\tO' -p123048 -aS'usual\tusual\tJJ\tB-ADJP\tO' -p123049 -aS'this\tthis\tDT\tB-NP\tO' -p123050 -aS'morning\tmorning\tNN\tI-NP\tO' -p123051 -aS',\t,\t,\tO\tO' -p123052 -aS'with\twith\tIN\tB-PP\tO' -p123053 -aS'no\tno\tDT\tB-NP\tO' -p123054 -aS'changes\tchange\tNNS\tI-NP\tO' -p123055 -aS'.\t.\t.\tO\tO' -p123056 -asS'No limitations were placed in regards to weightbearing status .' -p123057 -(lp123058 -S'No\tNo\tDT\tB-NP\tO' -p123059 -aS'limitations\tlimitation\tNNS\tI-NP\tO' -p123060 -aS'were\tbe\tVBD\tB-VP\tO' -p123061 -aS'placed\tplace\tVBN\tI-VP\tO' -p123062 -aS'in\tin\tIN\tB-PP\tO' -p123063 -aS'regards\tregard\tNNS\tB-NP\tO' -p123064 -aS'to\tto\tTO\tB-PP\tO' -p123065 -aS'weightbearing\tweightbeare\tVBG\tB-VP\tO' -p123066 -aS'status\tstatus\tNN\tB-NP\tO' -p123067 -aS'.\t.\t.\tO\tO' -p123068 -asS'4. DM : on metformin at home , will hold given cath / dye adn cover with SSI' -p123069 -(lp123070 -S'4.\t4.\tCD\tB-NP\tO' -p123071 -aS'DM\tDM\tNN\tI-NP\tO' -p123072 -aS':\t:\t:\tO\tO' -p123073 -aS'on\ton\tIN\tB-PP\tO' -p123074 -aS'metformin\tmetformin\tNN\tB-NP\tO' -p123075 -aS'at\tat\tIN\tB-PP\tO' -p123076 -aS'home\thome\tNN\tB-NP\tO' -p123077 -aS',\t,\t,\tO\tO' -p123078 -aS'will\twill\tMD\tB-VP\tO' -p123079 -aS'hold\thold\tVB\tI-VP\tO' -p123080 -aS'given\tgive\tVBN\tI-VP\tO' -p123081 -aS'cath\tcath\tNN\tB-NP\tO' -p123082 -aS'/\t/\tSYM\tO\tO' -p123083 -aS'dye\tdye\tNN\tB-NP\tO' -p123084 -aS'adn\tadn\tNN\tI-NP\tO' -p123085 -aS'cover\tcover\tNN\tI-NP\tO' -p123086 -aS'with\twith\tIN\tB-PP\tO' -p123087 -aS'SSI\tSSI\tNN\tB-NP\tO' -p123088 -asS'His extremities were without cyanosis , clubbing , or edema .' -p123089 -(lp123090 -S'His\tHis\tPRP$\tB-NP\tO' -p123091 -aS'extremities\textremity\tNNS\tI-NP\tO' -p123092 -aS'were\tbe\tVBD\tB-VP\tO' -p123093 -aS'without\twithout\tIN\tB-PP\tO' -p123094 -aS'cyanosis\tcyanosis\tNN\tB-NP\tO' -p123095 -aS',\t,\t,\tO\tO' -p123096 -aS'clubbing\tclubbing\tNN\tB-NP\tO' -p123097 -aS',\t,\t,\tO\tO' -p123098 -aS'or\tor\tCC\tO\tO' -p123099 -aS'edema\tedema\tNN\tB-NP\tO' -p123100 -aS'.\t.\t.\tO\tO' -p123101 -asS'Leave the steri strips on until they begin to peel , then you may remove them. Staples and stitches will remain until your follow-up appointment .' -p123102 -(lp123103 -S'Leave\tLeave\tVB\tB-VP\tO' -p123104 -aS'the\tthe\tDT\tB-NP\tO' -p123105 -aS'steri\tsteri\tJJ\tI-NP\tO' -p123106 -aS'strips\tstrip\tNNS\tI-NP\tO' -p123107 -aS'on\ton\tIN\tB-PP\tO' -p123108 -aS'until\tuntil\tIN\tB-SBAR\tO' -p123109 -aS'they\tthey\tPRP\tB-NP\tO' -p123110 -aS'begin\tbegin\tVBP\tB-VP\tO' -p123111 -aS'to\tto\tTO\tI-VP\tO' -p123112 -aS'peel\tpeel\tVB\tI-VP\tO' -p123113 -aS',\t,\t,\tO\tO' -p123114 -aS'then\tthen\tRB\tB-ADVP\tO' -p123115 -aS'you\tyou\tPRP\tB-NP\tO' -p123116 -aS'may\tmay\tMD\tB-VP\tO' -p123117 -aS'remove\tremove\tVB\tI-VP\tO' -p123118 -aS'them.\tthem.\tNN\tB-NP\tO' -p123119 -aS'Staples\tStaple\tNNS\tI-NP\tO' -p123120 -aS'and\tand\tCC\tI-NP\tO' -p123121 -aS'stitches\tstitch\tNNS\tI-NP\tO' -p123122 -aS'will\twill\tMD\tB-VP\tO' -p123123 -aS'remain\tremain\tVB\tI-VP\tO' -p123124 -aS'until\tuntil\tIN\tB-PP\tO' -p123125 -aS'your\tyour\tPRP$\tB-NP\tO' -p123126 -aS'follow-up\tfollow-up\tJJ\tI-NP\tO' -p123127 -aS'appointment\tappointment\tNN\tI-NP\tO' -p123128 -aS'.\t.\t.\tO\tO' -p123129 -asS'The patient had had ABG on the floor , which prompted her to transfer to the ICU .' -p123130 -(lp123131 -S'The\tThe\tDT\tB-NP\tO' -p123132 -aS'patient\tpatient\tNN\tI-NP\tO' -p123133 -aS'had\thave\tVBD\tB-VP\tO' -p123134 -aS'had\thave\tVBN\tI-VP\tO' -p123135 -aS'ABG\tABG\tNNP\tB-NP\tO' -p123136 -aS'on\ton\tIN\tB-PP\tO' -p123137 -aS'the\tthe\tDT\tB-NP\tO' -p123138 -aS'floor\tfloor\tNN\tI-NP\tO' -p123139 -aS',\t,\t,\tO\tO' -p123140 -aS'which\twhich\tWDT\tB-NP\tO' -p123141 -aS'prompted\tprompt\tVBD\tB-VP\tO' -p123142 -aS'her\ther\tPRP\tB-NP\tO' -p123143 -aS'to\tto\tTO\tB-VP\tO' -p123144 -aS'transfer\ttransfer\tVB\tI-VP\tO' -p123145 -aS'to\tto\tTO\tB-PP\tO' -p123146 -aS'the\tthe\tDT\tB-NP\tO' -p123147 -aS'ICU\tICU\tNN\tI-NP\tB-DNA' -p123148 -aS'.\t.\t.\tO\tO' -p123149 -asS'She was originally started on cefazolin which was then changed to Keflex with good improvement .' -p123150 -(lp123151 -S'She\tShe\tPRP\tB-NP\tO' -p123152 -aS'was\tbe\tVBD\tB-VP\tO' -p123153 -aS'originally\toriginally\tRB\tI-VP\tO' -p123154 -aS'started\tstart\tVBN\tI-VP\tO' -p123155 -aS'on\ton\tIN\tB-PP\tO' -p123156 -aS'cefazolin\tcefazolin\tNN\tB-NP\tO' -p123157 -aS'which\twhich\tWDT\tB-NP\tO' -p123158 -aS'was\tbe\tVBD\tB-VP\tO' -p123159 -aS'then\tthen\tRB\tI-VP\tO' -p123160 -aS'changed\tchange\tVBN\tI-VP\tO' -p123161 -aS'to\tto\tTO\tB-PP\tO' -p123162 -aS'Keflex\tKeflex\tNNP\tB-NP\tO' -p123163 -aS'with\twith\tIN\tB-PP\tO' -p123164 -aS'good\tgood\tJJ\tB-NP\tO' -p123165 -aS'improvement\timprovement\tNN\tI-NP\tO' -p123166 -aS'.\t.\t.\tO\tO' -p123167 -asS'The infant was treated for 7 days of presumed pneumonia with ampicillin and gentamycin .' -p123168 -(lp123169 -S'The\tThe\tDT\tB-NP\tO' -p123170 -aS'infant\tinfant\tNN\tI-NP\tO' -p123171 -aS'was\tbe\tVBD\tB-VP\tO' -p123172 -aS'treated\ttreat\tVBN\tI-VP\tO' -p123173 -aS'for\tfor\tIN\tB-PP\tO' -p123174 -aS'7\t7\tCD\tB-NP\tO' -p123175 -aS'days\tday\tNNS\tI-NP\tO' -p123176 -aS'of\tof\tIN\tB-PP\tO' -p123177 -aS'presumed\tpresumed\tJJ\tB-NP\tO' -p123178 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p123179 -aS'with\twith\tIN\tB-PP\tO' -p123180 -aS'ampicillin\tampicillin\tNN\tB-NP\tB-protein' -p123181 -aS'and\tand\tCC\tI-NP\tO' -p123182 -aS'gentamycin\tgentamycin\tNN\tI-NP\tO' -p123183 -aS'.\t.\t.\tO\tO' -p123184 -asS'She stated that she had trouble knowing if her feet were touching the ground .' -p123185 -(lp123186 -S'She\tShe\tPRP\tB-NP\tO' -p123187 -aS'stated\tstate\tVBD\tB-VP\tO' -p123188 -aS'that\tthat\tIN\tB-SBAR\tO' -p123189 -aS'she\tshe\tPRP\tB-NP\tO' -p123190 -aS'had\thave\tVBD\tB-VP\tO' -p123191 -aS'trouble\ttrouble\tNN\tB-NP\tO' -p123192 -aS'knowing\tknow\tVBG\tB-VP\tO' -p123193 -aS'if\tif\tIN\tB-SBAR\tO' -p123194 -aS'her\ther\tPRP$\tB-NP\tO' -p123195 -aS'feet\tfoot\tNNS\tI-NP\tO' -p123196 -aS'were\tbe\tVBD\tB-VP\tO' -p123197 -aS'touching\ttouch\tVBG\tI-VP\tO' -p123198 -aS'the\tthe\tDT\tB-NP\tO' -p123199 -aS'ground\tground\tNN\tI-NP\tO' -p123200 -aS'.\t.\t.\tO\tO' -p123201 -asS'Of note , the patient had been given 2 mg of Ativan before the examination .' -p123202 -(lp123203 -S'Of\tOf\tIN\tB-PP\tO' -p123204 -aS'note\tnote\tNN\tB-NP\tO' -p123205 -aS',\t,\t,\tO\tO' -p123206 -aS'the\tthe\tDT\tB-NP\tO' -p123207 -aS'patient\tpatient\tNN\tI-NP\tO' -p123208 -aS'had\thave\tVBD\tB-VP\tO' -p123209 -aS'been\tbe\tVBN\tI-VP\tO' -p123210 -aS'given\tgive\tVBN\tI-VP\tO' -p123211 -aS'2\t2\tCD\tB-NP\tO' -p123212 -aS'mg\tmg\tNN\tI-NP\tO' -p123213 -aS'of\tof\tIN\tB-PP\tO' -p123214 -aS'Ativan\tAtivan\tNNP\tB-NP\tO' -p123215 -aS'before\tbefore\tIN\tB-PP\tO' -p123216 -aS'the\tthe\tDT\tB-NP\tO' -p123217 -aS'examination\texamination\tNN\tI-NP\tO' -p123218 -aS'.\t.\t.\tO\tO' -p123219 -asS'A central line was placed and she was sent to IR for a right nephrostomy tube .' -p123220 -(lp123221 -S'A\tA\tDT\tB-NP\tO' -p123222 -aS'central\tcentral\tJJ\tI-NP\tB-cell_line' -p123223 -aS'line\tline\tNN\tI-NP\tI-cell_line' -p123224 -aS'was\tbe\tVBD\tB-VP\tO' -p123225 -aS'placed\tplace\tVBN\tI-VP\tO' -p123226 -aS'and\tand\tCC\tO\tO' -p123227 -aS'she\tshe\tPRP\tB-NP\tO' -p123228 -aS'was\tbe\tVBD\tB-VP\tO' -p123229 -aS'sent\tsend\tVBN\tI-VP\tO' -p123230 -aS'to\tto\tTO\tB-PP\tO' -p123231 -aS'IR\tIR\tNN\tB-NP\tB-protein' -p123232 -aS'for\tfor\tIN\tB-PP\tO' -p123233 -aS'a\ta\tDT\tB-NP\tO' -p123234 -aS'right\tright\tJJ\tI-NP\tO' -p123235 -aS'nephrostomy\tnephrostomy\tNN\tI-NP\tO' -p123236 -aS'tube\ttube\tNN\tI-NP\tO' -p123237 -aS'.\t.\t.\tO\tO' -p123238 -asS'The patient 's mother is alive at the age of 114y .' -p123239 -(lp123240 -S'The\tThe\tDT\tB-NP\tO' -p123241 -aS'patient\tpatient\tNN\tI-NP\tO' -p123242 -aS''s\t'\tNNS\tI-NP\tO' -p123243 -aS'mother\tmother\tNN\tI-NP\tO' -p123244 -aS'is\tbe\tVBZ\tB-VP\tO' -p123245 -aS'alive\talive\tJJ\tB-ADJP\tO' -p123246 -aS'at\tat\tIN\tB-PP\tO' -p123247 -aS'the\tthe\tDT\tB-NP\tO' -p123248 -aS'age\tage\tNN\tI-NP\tO' -p123249 -aS'of\tof\tIN\tB-PP\tO' -p123250 -aS'114y\t114y\tNN\tB-NP\tO' -p123251 -aS'.\t.\t.\tO\tO' -p123252 -asS'HCV cirrhosis .' -p123253 -(lp123254 -S'HCV\tHCV\tNN\tB-NP\tO' -p123255 -aS'cirrhosis\tcirrhosis\tNN\tI-NP\tO' -p123256 -aS'.\t.\t.\tO\tO' -p123257 -asS'He was at that point given 1 unit of packed red blood cells .' -p123258 -(lp123259 -S'He\tHe\tPRP\tB-NP\tO' -p123260 -aS'was\tbe\tVBD\tB-VP\tO' -p123261 -aS'at\tat\tIN\tB-PP\tO' -p123262 -aS'that\tthat\tDT\tB-NP\tO' -p123263 -aS'point\tpoint\tNN\tI-NP\tO' -p123264 -aS'given\tgive\tVBN\tB-VP\tO' -p123265 -aS'1\t1\tCD\tB-NP\tO' -p123266 -aS'unit\tunit\tNN\tI-NP\tO' -p123267 -aS'of\tof\tIN\tB-PP\tO' -p123268 -aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' -p123269 -aS'red\tred\tJJ\tI-NP\tI-cell_type' -p123270 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p123271 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p123272 -aS'.\t.\t.\tO\tO' -p123273 -asS'In addition to her usual neuropathy pain , the pt initially appeared to have significant pain from the multi-focal PNA as well .' -p123274 -(lp123275 -S'In\tIn\tIN\tB-PP\tO' -p123276 -aS'addition\taddition\tNN\tB-NP\tO' -p123277 -aS'to\tto\tTO\tB-PP\tO' -p123278 -aS'her\ther\tPRP$\tB-NP\tB-protein' -p123279 -aS'usual\tusual\tJJ\tI-NP\tI-protein' -p123280 -aS'neuropathy\tneuropathy\tJJ\tI-NP\tI-protein' -p123281 -aS'pain\tpain\tNN\tI-NP\tI-protein' -p123282 -aS',\t,\t,\tO\tO' -p123283 -aS'the\tthe\tDT\tB-NP\tO' -p123284 -aS'pt\tpt\tNN\tI-NP\tO' -p123285 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p123286 -aS'appeared\tappear\tVBD\tB-VP\tO' -p123287 -aS'to\tto\tTO\tI-VP\tO' -p123288 -aS'have\thave\tVB\tI-VP\tO' -p123289 -aS'significant\tsignificant\tJJ\tB-NP\tO' -p123290 -aS'pain\tpain\tNN\tI-NP\tO' -p123291 -aS'from\tfrom\tIN\tB-PP\tO' -p123292 -aS'the\tthe\tDT\tB-NP\tO' -p123293 -aS'multi-focal\tmulti-focal\tJJ\tI-NP\tO' -p123294 -aS'PNA\tPNA\tNN\tI-NP\tO' -p123295 -aS'as\tas\tRB\tB-ADVP\tO' -p123296 -aS'well\twell\tRB\tI-ADVP\tO' -p123297 -aS'.\t.\t.\tO\tO' -p123298 -asS'Dr. Amanda Hilton of Crown Colony' -p123299 -(lp123300 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p123301 -aS'Amanda\tAmanda\tNNP\tI-NP\tO' -p123302 -aS'Hilton\tHilton\tNNP\tI-NP\tO' -p123303 -aS'of\tof\tIN\tB-PP\tO' -p123304 -aS'Crown\tCrown\tNNP\tB-NP\tO' -p123305 -aS'Colony\tColony\tNNP\tI-NP\tO' -p123306 -asS"The patient 's keppra should be continued for sz prophylaxis ." -p123307 -(lp123308 -S'The\tThe\tDT\tB-NP\tO' -p123309 -aS'patient\tpatient\tNN\tI-NP\tO' -p123310 -aS"'s\t's\tPOS\tB-NP\tO" -p123311 -aS'keppra\tkeppra\tNN\tI-NP\tO' -p123312 -aS'should\tshould\tMD\tB-VP\tO' -p123313 -aS'be\tbe\tVB\tI-VP\tO' -p123314 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p123315 -aS'for\tfor\tIN\tB-PP\tO' -p123316 -aS'sz\tsz\tNN\tB-NP\tO' -p123317 -aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' -p123318 -aS'.\t.\t.\tO\tO' -p123319 -asS'No Drug Allergy Information on File' -p123320 -(lp123321 -S'No\tNo\tDT\tB-NP\tO' -p123322 -aS'Drug\tDrug\tNNP\tI-NP\tO' -p123323 -aS'Allergy\tAllergy\tNNP\tI-NP\tO' -p123324 -aS'Information\tInformation\tNNP\tI-NP\tO' -p123325 -aS'on\ton\tIN\tB-PP\tO' -p123326 -aS'File\tFile\tNNP\tB-NP\tO' -p123327 -asS'He is also on Reglan , 10 mg p.o. q h ; Miracle topical cream to affected area ; also Sarna , topical cream , b.i.d.' -p123328 -(lp123329 -S'He\tHe\tPRP\tB-NP\tO' -p123330 -aS'is\tbe\tVBZ\tB-VP\tO' -p123331 -aS'also\talso\tRB\tB-ADVP\tO' -p123332 -aS'on\ton\tIN\tB-PP\tO' -p123333 -aS'Reglan\tReglan\tNNP\tB-NP\tO' -p123334 -aS',\t,\t,\tO\tO' -p123335 -aS'10\t10\tCD\tB-NP\tO' -p123336 -aS'mg\tmg\tNN\tI-NP\tO' -p123337 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p123338 -aS'q\tq\tNN\tI-NP\tO' -p123339 -aS'h\th\tNN\tI-NP\tO' -p123340 -aS';\t;\t:\tO\tO' -p123341 -aS'Miracle\tMiracle\tNNP\tB-NP\tO' -p123342 -aS'topical\ttopical\tJJ\tI-NP\tO' -p123343 -aS'cream\tcream\tNN\tI-NP\tO' -p123344 -aS'to\tto\tTO\tB-PP\tO' -p123345 -aS'affected\taffect\tVBN\tB-NP\tO' -p123346 -aS'area\tarea\tNN\tI-NP\tO' -p123347 -aS';\t;\t:\tO\tO' -p123348 -aS'also\talso\tRB\tB-ADVP\tO' -p123349 -aS'Sarna\tSarna\tNNP\tB-NP\tO' -p123350 -aS',\t,\t,\tO\tO' -p123351 -aS'topical\ttopical\tJJ\tB-NP\tO' -p123352 -aS'cream\tcream\tNN\tI-NP\tO' -p123353 -aS',\t,\t,\tO\tO' -p123354 -aS'b.i.d.\tb.i.d.\tNN\tB-NP\tO' -p123355 -asS'He made excellent progress and was discharged to home with VNA services on POD #4 .' -p123356 -(lp123357 -S'He\tHe\tPRP\tB-NP\tO' -p123358 -aS'made\tmake\tVBD\tB-VP\tO' -p123359 -aS'excellent\texcellent\tJJ\tB-NP\tO' -p123360 -aS'progress\tprogress\tNN\tI-NP\tO' -p123361 -aS'and\tand\tCC\tO\tO' -p123362 -aS'was\tbe\tVBD\tB-VP\tO' -p123363 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p123364 -aS'to\tto\tTO\tB-PP\tO' -p123365 -aS'home\thome\tNN\tB-NP\tO' -p123366 -aS'with\twith\tIN\tB-PP\tO' -p123367 -aS'VNA\tVNA\tNN\tB-NP\tO' -p123368 -aS'services\tservice\tNNS\tI-NP\tO' -p123369 -aS'on\ton\tIN\tB-PP\tO' -p123370 -aS'POD\tPOD\tNN\tB-NP\tB-protein' -p123371 -aS'#4\t#4\tCD\tI-NP\tI-protein' -p123372 -aS'.\t.\t.\tO\tO' -p123373 -asS'The hematoma formation was rapidly expanding and he received an emergent surgical airway in the Intensive Care Unit .' -p123374 -(lp123375 -S'The\tThe\tDT\tB-NP\tO' -p123376 -aS'hematoma\thematoma\tNN\tI-NP\tO' -p123377 -aS'formation\tformation\tNN\tI-NP\tO' -p123378 -aS'was\tbe\tVBD\tB-VP\tO' -p123379 -aS'rapidly\trapidly\tRB\tI-VP\tO' -p123380 -aS'expanding\texpand\tVBG\tI-VP\tO' -p123381 -aS'and\tand\tCC\tO\tO' -p123382 -aS'he\the\tPRP\tB-NP\tO' -p123383 -aS'received\treceive\tVBD\tB-VP\tO' -p123384 -aS'an\tan\tDT\tB-NP\tO' -p123385 -aS'emergent\temergent\tJJ\tI-NP\tO' -p123386 -aS'surgical\tsurgical\tJJ\tI-NP\tO' -p123387 -aS'airway\tairway\tNN\tI-NP\tO' -p123388 -aS'in\tin\tIN\tB-PP\tO' -p123389 -aS'the\tthe\tDT\tB-NP\tO' -p123390 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p123391 -aS'Care\tCare\tNNP\tI-NP\tO' -p123392 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p123393 -aS'.\t.\t.\tO\tO' -p123394 -asS'Wound care was consulted and made recommendations for ulcer care .' -p123395 -(lp123396 -S'Wound\tWound\tJJ\tB-NP\tO' -p123397 -aS'care\tcare\tNN\tI-NP\tO' -p123398 -aS'was\tbe\tVBD\tB-VP\tO' -p123399 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p123400 -aS'and\tand\tCC\tO\tO' -p123401 -aS'made\tmake\tVBN\tB-VP\tO' -p123402 -aS'recommendations\trecommendation\tNNS\tB-NP\tO' -p123403 -aS'for\tfor\tIN\tB-PP\tO' -p123404 -aS'ulcer\tulcer\tNN\tB-NP\tO' -p123405 -aS'care\tcare\tNN\tI-NP\tO' -p123406 -aS'.\t.\t.\tO\tO' -p123407 -asS'Ditropan , 5 mg tid .' -p123408 -(lp123409 -S'Ditropan\tDitropan\tNNP\tB-NP\tO' -p123410 -aS',\t,\t,\tO\tO' -p123411 -aS'5\t5\tCD\tB-NP\tO' -p123412 -aS'mg\tmg\tNN\tI-NP\tO' -p123413 -aS'tid\ttid\tNN\tI-NP\tO' -p123414 -aS'.\t.\t.\tO\tO' -p123415 -asS'His last drink was in 2009-11-11 .' -p123416 -(lp123417 -S'His\tHis\tPRP$\tB-NP\tO' -p123418 -aS'last\tlast\tJJ\tI-NP\tO' -p123419 -aS'drink\tdrink\tNN\tI-NP\tO' -p123420 -aS'was\tbe\tVBD\tB-VP\tO' -p123421 -aS'in\tin\tIN\tB-PP\tO' -p123422 -aS'2009-11-11\t2009-11-11\tCD\tB-NP\tO' -p123423 -aS'.\t.\t.\tO\tO' -p123424 -asS'The patient had some minimal back pain that occurred after food but with negative urinalysis and negative fever spikes over the entire course of this stay .' -p123425 -(lp123426 -S'The\tThe\tDT\tB-NP\tO' -p123427 -aS'patient\tpatient\tNN\tI-NP\tO' -p123428 -aS'had\thave\tVBD\tB-VP\tO' -p123429 -aS'some\tsome\tDT\tB-NP\tO' -p123430 -aS'minimal\tminimal\tJJ\tI-NP\tO' -p123431 -aS'back\tback\tJJ\tI-NP\tO' -p123432 -aS'pain\tpain\tNN\tI-NP\tO' -p123433 -aS'that\tthat\tWDT\tB-NP\tO' -p123434 -aS'occurred\toccur\tVBD\tB-VP\tO' -p123435 -aS'after\tafter\tIN\tB-PP\tO' -p123436 -aS'food\tfood\tNN\tB-NP\tO' -p123437 -aS'but\tbut\tCC\tB-PP\tO' -p123438 -aS'with\twith\tIN\tB-PP\tO' -p123439 -aS'negative\tnegative\tJJ\tB-NP\tO' -p123440 -aS'urinalysis\turinalysis\tNN\tI-NP\tO' -p123441 -aS'and\tand\tCC\tO\tO' -p123442 -aS'negative\tnegative\tJJ\tB-NP\tO' -p123443 -aS'fever\tfever\tNN\tI-NP\tO' -p123444 -aS'spikes\tspike\tNNS\tI-NP\tO' -p123445 -aS'over\tover\tIN\tB-PP\tO' -p123446 -aS'the\tthe\tDT\tB-NP\tO' -p123447 -aS'entire\tentire\tJJ\tI-NP\tO' -p123448 -aS'course\tcourse\tNN\tI-NP\tO' -p123449 -aS'of\tof\tIN\tB-PP\tO' -p123450 -aS'this\tthis\tDT\tB-NP\tO' -p123451 -aS'stay\tstay\tNN\tI-NP\tO' -p123452 -aS'.\t.\t.\tO\tO' -p123453 -asS'KCl 12-27 mEq daily cozaar 25 mg daily' -p123454 -(lp123455 -S'KCl\tKCl\tNN\tB-NP\tO' -p123456 -aS'12-27\t12-27\tCD\tI-NP\tO' -p123457 -aS'mEq\tmEq\tNN\tI-NP\tO' -p123458 -aS'daily\tdaily\tJJ\tI-NP\tO' -p123459 -aS'cozaar\tcozaar\tNN\tI-NP\tO' -p123460 -aS'25\t25\tCD\tI-NP\tO' -p123461 -aS'mg\tmg\tNN\tI-NP\tO' -p123462 -aS'daily\tdaily\tJJ\tI-NP\tO' -p123463 -asS'During transfusion reaction episode , the patient had an episode of tachycardia ranging from 134 to 158 , for one to two hours .' -p123464 -(lp123465 -S'During\tDuring\tIN\tB-PP\tO' -p123466 -aS'transfusion\ttransfusion\tNN\tB-NP\tO' -p123467 -aS'reaction\treaction\tNN\tI-NP\tO' -p123468 -aS'episode\tepisode\tNN\tI-NP\tO' -p123469 -aS',\t,\t,\tO\tO' -p123470 -aS'the\tthe\tDT\tB-NP\tO' -p123471 -aS'patient\tpatient\tNN\tI-NP\tO' -p123472 -aS'had\thave\tVBD\tB-VP\tO' -p123473 -aS'an\tan\tDT\tB-NP\tO' -p123474 -aS'episode\tepisode\tNN\tI-NP\tO' -p123475 -aS'of\tof\tIN\tB-PP\tO' -p123476 -aS'tachycardia\ttachycardia\tNNS\tB-NP\tO' -p123477 -aS'ranging\trange\tVBG\tB-VP\tO' -p123478 -aS'from\tfrom\tIN\tB-PP\tO' -p123479 -aS'134\t134\tCD\tB-NP\tB-DNA' -p123480 -aS'to\tto\tTO\tB-PP\tI-DNA' -p123481 -aS'158\t158\tCD\tB-NP\tI-DNA' -p123482 -aS',\t,\t,\tO\tO' -p123483 -aS'for\tfor\tIN\tB-PP\tO' -p123484 -aS'one\tone\tCD\tB-NP\tO' -p123485 -aS'to\tto\tTO\tI-NP\tO' -p123486 -aS'two\ttwo\tCD\tI-NP\tO' -p123487 -aS'hours\thour\tNNS\tI-NP\tO' -p123488 -aS'.\t.\t.\tO\tO' -p123489 -asS'The patient was seen in consultation by the Psychiatry Service , who began a battery of testing , which continues at the time of discharge .' -p123490 -(lp123491 -S'The\tThe\tDT\tB-NP\tO' -p123492 -aS'patient\tpatient\tNN\tI-NP\tO' -p123493 -aS'was\tbe\tVBD\tB-VP\tO' -p123494 -aS'seen\tsee\tVBN\tI-VP\tO' -p123495 -aS'in\tin\tIN\tB-PP\tO' -p123496 -aS'consultation\tconsultation\tNN\tB-NP\tO' -p123497 -aS'by\tby\tIN\tB-PP\tO' -p123498 -aS'the\tthe\tDT\tB-NP\tO' -p123499 -aS'Psychiatry\tPsychiatry\tNNP\tI-NP\tO' -p123500 -aS'Service\tService\tNNP\tI-NP\tO' -p123501 -aS',\t,\t,\tO\tO' -p123502 -aS'who\twho\tWP\tB-NP\tO' -p123503 -aS'began\tbegin\tVBD\tB-VP\tO' -p123504 -aS'a\ta\tDT\tB-NP\tO' -p123505 -aS'battery\tbattery\tNN\tI-NP\tO' -p123506 -aS'of\tof\tIN\tB-PP\tO' -p123507 -aS'testing\ttesting\tNN\tB-NP\tO' -p123508 -aS',\t,\t,\tO\tO' -p123509 -aS'which\twhich\tWDT\tB-NP\tO' -p123510 -aS'continues\tcontinue\tVBZ\tB-VP\tO' -p123511 -aS'at\tat\tIN\tB-PP\tO' -p123512 -aS'the\tthe\tDT\tB-NP\tO' -p123513 -aS'time\ttime\tNN\tI-NP\tO' -p123514 -aS'of\tof\tIN\tB-PP\tO' -p123515 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p123516 -aS'.\t.\t.\tO\tO' -p123517 -asS'She had a gas showing 7.36 , 31 , 96 .' -p123518 -(lp123519 -S'She\tShe\tPRP\tB-NP\tO' -p123520 -aS'had\thave\tVBD\tB-VP\tO' -p123521 -aS'a\ta\tDT\tB-NP\tO' -p123522 -aS'gas\tgas\tNN\tI-NP\tB-DNA' -p123523 -aS'showing\tshow\tVBG\tB-VP\tO' -p123524 -aS'7.36\t7.36\tCD\tB-NP\tO' -p123525 -aS',\t,\t,\tI-NP\tO' -p123526 -aS'31\t31\tCD\tI-NP\tO' -p123527 -aS',\t,\t,\tI-NP\tO' -p123528 -aS'96\t96\tCD\tI-NP\tO' -p123529 -aS'.\t.\t.\tO\tO' -p123530 -asS'Good global biventricular systolic function .' -p123531 -(lp123532 -S'Good\tGood\tJJ\tB-NP\tO' -p123533 -aS'global\tglobal\tJJ\tI-NP\tO' -p123534 -aS'biventricular\tbiventricular\tJJ\tI-NP\tO' -p123535 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p123536 -aS'function\tfunction\tNN\tI-NP\tO' -p123537 -aS'.\t.\t.\tO\tO' -p123538 -asS'6. Infectious disease - The infant received 48 hours of Ampicillin and Gentamicin for rule out sepsis .' -p123539 -(lp123540 -S'6.\t6.\tLS\tB-NP\tO' -p123541 -aS'Infectious\tInfectious\tJJ\tI-NP\tO' -p123542 -aS'disease\tdisease\tNN\tI-NP\tO' -p123543 -aS'-\t-\tHYPH\tO\tO' -p123544 -aS'The\tThe\tDT\tB-NP\tO' -p123545 -aS'infant\tinfant\tNN\tI-NP\tO' -p123546 -aS'received\treceive\tVBD\tB-VP\tO' -p123547 -aS'48\t48\tCD\tB-NP\tO' -p123548 -aS'hours\thour\tNNS\tI-NP\tO' -p123549 -aS'of\tof\tIN\tB-PP\tO' -p123550 -aS'Ampicillin\tAmpicillin\tNN\tB-NP\tB-protein' -p123551 -aS'and\tand\tCC\tI-NP\tO' -p123552 -aS'Gentamicin\tGentamicin\tNN\tI-NP\tO' -p123553 -aS'for\tfor\tIN\tB-PP\tO' -p123554 -aS'rule\trule\tNN\tB-NP\tO' -p123555 -aS'out\tout\tIN\tB-PP\tO' -p123556 -aS'sepsis\tsepsis\tNN\tB-NP\tO' -p123557 -aS'.\t.\t.\tO\tO' -p123558 -asS'ALLERGIES : He had no known drug allergies .' -p123559 -(lp123560 -S'ALLERGIES\tALLERGIES\tNNS\tB-NP\tO' -p123561 -aS':\t:\t:\tO\tO' -p123562 -aS'He\tHe\tPRP\tB-NP\tO' -p123563 -aS'had\thave\tVBD\tB-VP\tO' -p123564 -aS'no\tno\tDT\tB-NP\tO' -p123565 -aS'known\tknow\tVBN\tI-NP\tO' -p123566 -aS'drug\tdrug\tNN\tI-NP\tO' -p123567 -aS'allergies\tallergy\tNNS\tI-NP\tO' -p123568 -aS'.\t.\t.\tO\tO' -p123569 -asS'The assessment was that he had a GI bleed .' -p123570 -(lp123571 -S'The\tThe\tDT\tB-NP\tO' -p123572 -aS'assessment\tassessment\tNN\tI-NP\tO' -p123573 -aS'was\tbe\tVBD\tB-VP\tO' -p123574 -aS'that\tthat\tIN\tB-SBAR\tO' -p123575 -aS'he\the\tPRP\tB-NP\tO' -p123576 -aS'had\thave\tVBD\tB-VP\tO' -p123577 -aS'a\ta\tDT\tB-NP\tO' -p123578 -aS'GI\tGI\tNN\tI-NP\tO' -p123579 -aS'bleed\tbleed\tNN\tI-NP\tO' -p123580 -aS'.\t.\t.\tO\tO' -p123581 -asS'Also a VQ scan obtained the next day showed high probability for PE .' -p123582 -(lp123583 -S'Also\tAlso\tRB\tB-ADVP\tO' -p123584 -aS'a\ta\tDT\tB-NP\tO' -p123585 -aS'VQ\tVQ\tNN\tI-NP\tO' -p123586 -aS'scan\tscan\tNN\tI-NP\tO' -p123587 -aS'obtained\tobtain\tVBD\tB-VP\tO' -p123588 -aS'the\tthe\tDT\tB-NP\tO' -p123589 -aS'next\tnext\tJJ\tI-NP\tO' -p123590 -aS'day\tday\tNN\tI-NP\tO' -p123591 -aS'showed\tshow\tVBD\tB-VP\tO' -p123592 -aS'high\thigh\tJJ\tB-NP\tO' -p123593 -aS'probability\tprobability\tNN\tI-NP\tO' -p123594 -aS'for\tfor\tIN\tB-PP\tO' -p123595 -aS'PE\tPE\tNN\tB-NP\tO' -p123596 -aS'.\t.\t.\tO\tO' -p123597 -asS'Signed electronically by : DR. Barry Smith on : FRI 2018-06-01 8:26 AM' -p123598 -(lp123599 -S'Signed\tSign\tVBN\tB-VP\tO' -p123600 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p123601 -aS'by\tby\tIN\tB-PP\tO' -p123602 -aS':\t:\t:\tO\tO' -p123603 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p123604 -aS'Barry\tBarry\tNNP\tI-NP\tO' -p123605 -aS'Smith\tSmith\tNNP\tI-NP\tO' -p123606 -aS'on\ton\tIN\tB-PP\tO' -p123607 -aS':\t:\t:\tO\tO' -p123608 -aS'FRI\tFRI\tCD\tB-NP\tO' -p123609 -aS'2018-06-01\t2018-06-01\tCD\tI-NP\tO' -p123610 -aS'8:26\t8:26\tCD\tI-NP\tO' -p123611 -aS'AM\tAM\tNN\tI-NP\tO' -p123612 -asS'Proventil 2 puffs q6hours prn ..' -p123613 -(lp123614 -S'Proventil\tProventil\tIN\tB-PP\tO' -p123615 -aS'2\t2\tCD\tB-NP\tO' -p123616 -aS'puffs\tpuff\tNNS\tI-NP\tO' -p123617 -aS'q6hours\tq6hour\tNNS\tI-NP\tO' -p123618 -aS'prn\tprn\tVBP\tB-VP\tO' -p123619 -aS'..\t..\t.\tO\tO' -p123620 -asS'5. Lipitor 10 mg p.o. q. day .' -p123621 -(lp123622 -S'5.\t5.\tLS\tB-LST\tO' -p123623 -aS'Lipitor\tLipitor\tNNP\tB-NP\tO' -p123624 -aS'10\t10\tCD\tI-NP\tO' -p123625 -aS'mg\tmg\tNN\tI-NP\tO' -p123626 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p123627 -aS'q.\tq.\tNN\tI-NP\tO' -p123628 -aS'day\tday\tNN\tI-NP\tO' -p123629 -aS'.\t.\t.\tO\tO' -p123630 -asS'This is her baseline status .' -p123631 -(lp123632 -S'This\tThis\tDT\tB-NP\tO' -p123633 -aS'is\tbe\tVBZ\tB-VP\tO' -p123634 -aS'her\ther\tPRP$\tB-NP\tO' -p123635 -aS'baseline\tbaseline\tNN\tI-NP\tO' -p123636 -aS'status\tstatus\tNN\tI-NP\tO' -p123637 -aS'.\t.\t.\tO\tO' -p123638 -asS'She remained afebrile throughout her hospital course .' -p123639 -(lp123640 -S'She\tShe\tPRP\tB-NP\tO' -p123641 -aS'remained\tremain\tVBD\tB-VP\tO' -p123642 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p123643 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p123644 -aS'her\ther\tPRP$\tB-NP\tO' -p123645 -aS'hospital\thospital\tNN\tI-NP\tO' -p123646 -aS'course\tcourse\tNN\tI-NP\tO' -p123647 -aS'.\t.\t.\tO\tO' -p123648 -asS'15. Lidocaine 5 %( 700 mg / patch ) Adhesive Patch , Medicated Sig : Two ( 2 ) Adhesive Patch , Medicated Topical DAILY ( Daily ) .' -p123649 -(lp123650 -S'15.\t15.\tLS\tB-LST\tO' -p123651 -aS'Lidocaine\tLidocaine\tNNP\tB-NP\tO' -p123652 -aS'5\t5\tCD\tI-NP\tO' -p123653 -aS'%(\t%(\tCC\tI-NP\tO' -p123654 -aS'700\t700\tCD\tI-NP\tO' -p123655 -aS'mg\tmg\tNN\tI-NP\tO' -p123656 -aS'/\t/\tSYM\tB-NP\tO' -p123657 -aS'patch\tpatch\tNN\tI-NP\tO' -p123658 -aS')\t)\t)\tO\tO' -p123659 -aS'Adhesive\tAdhesive\tNNP\tB-NP\tO' -p123660 -aS'Patch\tPatch\tNNP\tI-NP\tO' -p123661 -aS',\t,\t,\tO\tO' -p123662 -aS'Medicated\tMedicated\tNNP\tB-NP\tO' -p123663 -aS'Sig\tSig\tNNP\tI-NP\tO' -p123664 -aS':\t:\t:\tO\tO' -p123665 -aS'Two\tTwo\tCD\tB-NP\tO' -p123666 -aS'(\t(\t(\tO\tO' -p123667 -aS'2\t2\tCD\tB-NP\tO' -p123668 -aS')\t)\t)\tO\tO' -p123669 -aS'Adhesive\tAdhesive\tNNP\tB-NP\tO' -p123670 -aS'Patch\tPatch\tNNP\tI-NP\tO' -p123671 -aS',\t,\t,\tO\tO' -p123672 -aS'Medicated\tMedicated\tNNP\tB-NP\tO' -p123673 -aS'Topical\tTopical\tNNP\tI-NP\tO' -p123674 -aS'DAILY\tDAILY\tNNP\tI-NP\tO' -p123675 -aS'(\t(\t(\tO\tO' -p123676 -aS'Daily\tDaily\tNNP\tB-NP\tO' -p123677 -aS')\t)\t)\tO\tO' -p123678 -aS'.\t.\t.\tO\tO' -p123679 -asS'History of multinodular goiter ; history of hypertension ; history of subtotal thyroidectomy .' -p123680 -(lp123681 -S'History\tHistory\tNN\tB-NP\tO' -p123682 -aS'of\tof\tIN\tB-PP\tO' -p123683 -aS'multinodular\tmultinodular\tJJ\tB-NP\tO' -p123684 -aS'goiter\tgoiter\tNN\tI-NP\tO' -p123685 -aS';\t;\t:\tO\tO' -p123686 -aS'history\thistory\tNN\tB-NP\tO' -p123687 -aS'of\tof\tIN\tB-PP\tO' -p123688 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p123689 -aS';\t;\t:\tO\tO' -p123690 -aS'history\thistory\tNN\tB-NP\tO' -p123691 -aS'of\tof\tIN\tB-PP\tO' -p123692 -aS'subtotal\tsubtotal\tJJ\tB-NP\tO' -p123693 -aS'thyroidectomy\tthyroidectomy\tNN\tI-NP\tO' -p123694 -aS'.\t.\t.\tO\tO' -p123695 -asS'She has had no significant weight loss .' -p123696 -(lp123697 -S'She\tShe\tPRP\tB-NP\tO' -p123698 -aS'has\thave\tVBZ\tB-VP\tO' -p123699 -aS'had\thave\tVBN\tI-VP\tO' -p123700 -aS'no\tno\tDT\tB-NP\tO' -p123701 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p123702 -aS'weight\tweight\tNN\tI-NP\tO' -p123703 -aS'loss\tloss\tNN\tI-NP\tO' -p123704 -aS'.\t.\t.\tO\tO' -p123705 -asS'He has a ten pack year history of smoking , quit in 1990 .' -p123706 -(lp123707 -S'He\tHe\tPRP\tB-NP\tO' -p123708 -aS'has\thave\tVBZ\tB-VP\tO' -p123709 -aS'a\ta\tDT\tB-NP\tO' -p123710 -aS'ten\tten\tCD\tI-NP\tO' -p123711 -aS'pack\tpack\tNN\tI-NP\tO' -p123712 -aS'year\tyear\tNN\tI-NP\tO' -p123713 -aS'history\thistory\tNN\tI-NP\tO' -p123714 -aS'of\tof\tIN\tB-PP\tO' -p123715 -aS'smoking\tsmoking\tNN\tB-NP\tO' -p123716 -aS',\t,\t,\tO\tO' -p123717 -aS'quit\tquit\tVBD\tB-VP\tO' -p123718 -aS'in\tin\tIN\tB-PP\tO' -p123719 -aS'1990\t1990\tCD\tB-NP\tO' -p123720 -aS'.\t.\t.\tO\tO' -p123721 -asS'His blood sugar at 10 pm was low at 22 and he was disoriented , which resolved with two glasses of juice ; he did not receive his standing dose of NPH that evening .' -p123722 -(lp123723 -S'His\tHis\tPRP$\tB-NP\tO' -p123724 -aS'blood\tblood\tNN\tI-NP\tO' -p123725 -aS'sugar\tsugar\tNN\tI-NP\tO' -p123726 -aS'at\tat\tIN\tB-PP\tO' -p123727 -aS'10\t10\tCD\tB-NP\tO' -p123728 -aS'pm\tpm\tNN\tI-NP\tO' -p123729 -aS'was\tbe\tVBD\tB-VP\tO' -p123730 -aS'low\tlow\tJJ\tB-ADJP\tO' -p123731 -aS'at\tat\tIN\tB-PP\tO' -p123732 -aS'22\t22\tCD\tB-NP\tO' -p123733 -aS'and\tand\tCC\tO\tO' -p123734 -aS'he\the\tPRP\tB-NP\tO' -p123735 -aS'was\tbe\tVBD\tB-VP\tO' -p123736 -aS'disoriented\tdisorient\tVBN\tI-VP\tO' -p123737 -aS',\t,\t,\tO\tO' -p123738 -aS'which\twhich\tWDT\tB-NP\tO' -p123739 -aS'resolved\tresolve\tVBD\tB-VP\tO' -p123740 -aS'with\twith\tIN\tB-PP\tO' -p123741 -aS'two\ttwo\tCD\tB-NP\tO' -p123742 -aS'glasses\tglass\tNNS\tI-NP\tO' -p123743 -aS'of\tof\tIN\tB-PP\tO' -p123744 -aS'juice\tjuice\tNN\tB-NP\tO' -p123745 -aS';\t;\t:\tO\tO' -p123746 -aS'he\the\tPRP\tB-NP\tO' -p123747 -aS'did\tdo\tVBD\tB-VP\tO' -p123748 -aS'not\tnot\tRB\tI-VP\tO' -p123749 -aS'receive\treceive\tVB\tI-VP\tO' -p123750 -aS'his\this\tPRP$\tB-NP\tO' -p123751 -aS'standing\tstanding\tNN\tI-NP\tO' -p123752 -aS'dose\tdose\tNN\tI-NP\tO' -p123753 -aS'of\tof\tIN\tB-PP\tO' -p123754 -aS'NPH\tNPH\tNN\tB-NP\tB-protein' -p123755 -aS'that\tthat\tIN\tB-NP\tO' -p123756 -aS'evening\tevening\tNN\tB-NP\tO' -p123757 -aS'.\t.\t.\tO\tO' -p123758 -asS'No lower extremity edema , bilaterally .' -p123759 -(lp123760 -S'No\tNo\tDT\tB-NP\tO' -p123761 -aS'lower\tlow\tJJR\tI-NP\tO' -p123762 -aS'extremity\textremity\tNN\tI-NP\tO' -p123763 -aS'edema\tedema\tNN\tI-NP\tO' -p123764 -aS',\t,\t,\tO\tO' -p123765 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p123766 -aS'.\t.\t.\tO\tO' -p123767 -asS'She was encouraged to ambulate and deep breath .' -p123768 -(lp123769 -S'She\tShe\tPRP\tB-NP\tO' -p123770 -aS'was\tbe\tVBD\tB-VP\tO' -p123771 -aS'encouraged\tencourage\tVBN\tI-VP\tO' -p123772 -aS'to\tto\tTO\tI-VP\tO' -p123773 -aS'ambulate\tambulate\tVB\tI-VP\tO' -p123774 -aS'and\tand\tCC\tO\tO' -p123775 -aS'deep\tdeep\tJJ\tB-NP\tO' -p123776 -aS'breath\tbreath\tNN\tI-NP\tO' -p123777 -aS'.\t.\t.\tO\tO' -p123778 -asS'TVI SHANEL WASHING , M.D , PhD .' -p123779 -(lp123780 -S'TVI\tTVI\tNNP\tB-NP\tO' -p123781 -aS'SHANEL\tSHANEL\tNNP\tI-NP\tO' -p123782 -aS'WASHING\tWASHING\tNNP\tI-NP\tO' -p123783 -aS',\t,\t,\tO\tO' -p123784 -aS'M.D\tM.D\tNNP\tB-NP\tO' -p123785 -aS',\t,\t,\tO\tO' -p123786 -aS'PhD\tPhD\tNNP\tB-NP\tO' -p123787 -aS'.\t.\t.\tO\tO' -p123788 -asS'Before discharge to the Newborn Nursery , the infant was taking Similac 22 calories per ounce by mouth ad lib and maintaining dextrose sticks in the 60 s.' -p123789 -(lp123790 -S'Before\tBefore\tIN\tB-SBAR\tO' -p123791 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p123792 -aS'to\tto\tTO\tB-PP\tO' -p123793 -aS'the\tthe\tDT\tB-NP\tO' -p123794 -aS'Newborn\tNewborn\tNNP\tI-NP\tO' -p123795 -aS'Nursery\tNursery\tNNP\tI-NP\tO' -p123796 -aS',\t,\t,\tO\tO' -p123797 -aS'the\tthe\tDT\tB-NP\tO' -p123798 -aS'infant\tinfant\tNN\tI-NP\tO' -p123799 -aS'was\tbe\tVBD\tB-VP\tO' -p123800 -aS'taking\ttake\tVBG\tI-VP\tO' -p123801 -aS'Similac\tSimilac\tNNP\tB-NP\tO' -p123802 -aS'22\t22\tCD\tI-NP\tO' -p123803 -aS'calories\tcalorie\tNNS\tI-NP\tO' -p123804 -aS'per\tper\tIN\tB-PP\tO' -p123805 -aS'ounce\tounce\tNN\tB-NP\tO' -p123806 -aS'by\tby\tIN\tB-PP\tO' -p123807 -aS'mouth\tmouth\tNN\tB-NP\tO' -p123808 -aS'ad\tad\tNN\tI-NP\tO' -p123809 -aS'lib\tlib\tNN\tI-NP\tO' -p123810 -aS'and\tand\tCC\tO\tO' -p123811 -aS'maintaining\tmaintain\tVBG\tB-VP\tO' -p123812 -aS'dextrose\tdextrose\tNN\tB-NP\tO' -p123813 -aS'sticks\tstick\tNNS\tI-NP\tO' -p123814 -aS'in\tin\tIN\tB-PP\tO' -p123815 -aS'the\tthe\tDT\tB-NP\tO' -p123816 -aS'60\t60\tCD\tI-NP\tO' -p123817 -aS's.\ts.\tNNS\tI-NP\tO' -p123818 -asS'Extremities : Warm and well perfuse .' -p123819 -(lp123820 -S'Extremities\tExtremity\tNNS\tB-NP\tO' -p123821 -aS':\t:\t:\tO\tO' -p123822 -aS'Warm\tWarm\tNN\tB-NP\tO' -p123823 -aS'and\tand\tCC\tO\tO' -p123824 -aS'well\twell\tRB\tB-VP\tO' -p123825 -aS'perfuse\tperfuse\tVBP\tI-VP\tO' -p123826 -aS'.\t.\t.\tO\tO' -p123827 -asS'He has not had further episodes while he was in the hospital .' -p123828 -(lp123829 -S'He\tHe\tPRP\tB-NP\tO' -p123830 -aS'has\thave\tVBZ\tB-VP\tO' -p123831 -aS'not\tnot\tRB\tI-VP\tO' -p123832 -aS'had\thave\tVBN\tI-VP\tO' -p123833 -aS'further\tfurther\tJJ\tB-NP\tO' -p123834 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p123835 -aS'while\twhile\tIN\tB-SBAR\tO' -p123836 -aS'he\the\tPRP\tB-NP\tO' -p123837 -aS'was\tbe\tVBD\tB-VP\tO' -p123838 -aS'in\tin\tIN\tB-PP\tO' -p123839 -aS'the\tthe\tDT\tB-NP\tO' -p123840 -aS'hospital\thospital\tNN\tI-NP\tO' -p123841 -aS'.\t.\t.\tO\tO' -p123842 -asS'2 plus carotids with no jugular venous distention and no bruits and no thyromegaly .' -p123843 -(lp123844 -S'2\t2\tCD\tB-NP\tO' -p123845 -aS'plus\tplus\tCC\tO\tO' -p123846 -aS'carotids\tcarotid\tNNS\tB-NP\tO' -p123847 -aS'with\twith\tIN\tB-PP\tO' -p123848 -aS'no\tno\tDT\tB-NP\tO' -p123849 -aS'jugular\tjugular\tJJ\tI-NP\tO' -p123850 -aS'venous\tvenous\tJJ\tI-NP\tO' -p123851 -aS'distention\tdistention\tNN\tI-NP\tO' -p123852 -aS'and\tand\tCC\tO\tO' -p123853 -aS'no\tno\tDT\tB-NP\tO' -p123854 -aS'bruits\tbruit\tNNS\tI-NP\tO' -p123855 -aS'and\tand\tCC\tO\tO' -p123856 -aS'no\tno\tDT\tB-NP\tO' -p123857 -aS'thyromegaly\tthyromegaly\tRB\tI-NP\tO' -p123858 -aS'.\t.\t.\tO\tO' -p123859 -asS'4. Coumadin .' -p123860 -(lp123861 -S'4.\t4.\tLS\tB-NP\tO' -p123862 -aS'Coumadin\tCoumadin\tNN\tI-NP\tO' -p123863 -aS'.\t.\t.\tO\tO' -p123864 -asS'He was completely assymptomatic while below normal values .' -p123865 -(lp123866 -S'He\tHe\tPRP\tB-NP\tO' -p123867 -aS'was\tbe\tVBD\tB-VP\tO' -p123868 -aS'completely\tcompletely\tRB\tB-ADJP\tO' -p123869 -aS'assymptomatic\tassymptomatic\tJJ\tI-ADJP\tO' -p123870 -aS'while\twhile\tIN\tB-SBAR\tO' -p123871 -aS'below\tbelow\tIN\tB-PP\tO' -p123872 -aS'normal\tnormal\tJJ\tB-NP\tO' -p123873 -aS'values\tvalue\tNNS\tI-NP\tO' -p123874 -aS'.\t.\t.\tO\tO' -p123875 -asS"This is a 71 - year-old gentleman who was admitted to the St. Anne 's Hospital as a transfer from the Kindred Park View Specialty Hospital of Springfield ." -p123876 -(lp123877 -S'This\tThis\tDT\tB-NP\tO' -p123878 -aS'is\tbe\tVBZ\tB-VP\tO' -p123879 -aS'a\ta\tDT\tB-NP\tO' -p123880 -aS'71\t71\tCD\tI-NP\tO' -p123881 -aS'-\t-\tHYPH\tI-NP\tO' -p123882 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p123883 -aS'gentleman\tgentleman\tNN\tI-NP\tO' -p123884 -aS'who\twho\tWP\tB-NP\tO' -p123885 -aS'was\tbe\tVBD\tB-VP\tO' -p123886 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p123887 -aS'to\tto\tTO\tB-PP\tO' -p123888 -aS'the\tthe\tDT\tB-NP\tO' -p123889 -aS'St.\tSt.\tNNP\tI-NP\tO' -p123890 -aS'Anne\tAnne\tNNP\tI-NP\tO' -p123891 -aS"'s\t's\tPOS\tB-NP\tO" -p123892 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p123893 -aS'as\tas\tIN\tB-PP\tO' -p123894 -aS'a\ta\tDT\tB-NP\tO' -p123895 -aS'transfer\ttransfer\tNN\tI-NP\tO' -p123896 -aS'from\tfrom\tIN\tB-PP\tO' -p123897 -aS'the\tthe\tDT\tB-NP\tO' -p123898 -aS'Kindred\tKindred\tNNP\tI-NP\tO' -p123899 -aS'Park\tPark\tNNP\tI-NP\tO' -p123900 -aS'View\tView\tNNP\tI-NP\tO' -p123901 -aS'Specialty\tSpecialty\tNNP\tI-NP\tO' -p123902 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p123903 -aS'of\tof\tIN\tB-PP\tO' -p123904 -aS'Springfield\tSpringfield\tNNP\tB-NP\tO' -p123905 -aS'.\t.\t.\tO\tO' -p123906 -asS'The plan after 24 hours was to transfer him to the floor , but the hospital was full and he never got a bed .' -p123907 -(lp123908 -S'The\tThe\tDT\tB-NP\tO' -p123909 -aS'plan\tplan\tNN\tI-NP\tO' -p123910 -aS'after\tafter\tIN\tB-PP\tO' -p123911 -aS'24\t24\tCD\tB-NP\tO' -p123912 -aS'hours\thour\tNNS\tI-NP\tO' -p123913 -aS'was\tbe\tVBD\tB-VP\tO' -p123914 -aS'to\tto\tTO\tB-VP\tO' -p123915 -aS'transfer\ttransfer\tVB\tI-VP\tO' -p123916 -aS'him\thim\tPRP\tB-NP\tO' -p123917 -aS'to\tto\tTO\tB-PP\tO' -p123918 -aS'the\tthe\tDT\tB-NP\tO' -p123919 -aS'floor\tfloor\tNN\tI-NP\tO' -p123920 -aS',\t,\t,\tO\tO' -p123921 -aS'but\tbut\tCC\tO\tO' -p123922 -aS'the\tthe\tDT\tB-NP\tO' -p123923 -aS'hospital\thospital\tNN\tI-NP\tO' -p123924 -aS'was\tbe\tVBD\tB-VP\tO' -p123925 -aS'full\tfull\tJJ\tB-ADJP\tO' -p123926 -aS'and\tand\tCC\tO\tO' -p123927 -aS'he\the\tPRP\tB-NP\tO' -p123928 -aS'never\tnever\tRB\tB-ADVP\tO' -p123929 -aS'got\tget\tVBD\tB-VP\tO' -p123930 -aS'a\ta\tDT\tB-NP\tO' -p123931 -aS'bed\tbed\tNN\tI-NP\tO' -p123932 -aS'.\t.\t.\tO\tO' -p123933 -asS'For her coronary artery disease , status post catheterization , she was given Integrilin for 18 hours .' -p123934 -(lp123935 -S'For\tFor\tIN\tB-PP\tO' -p123936 -aS'her\ther\tPRP$\tB-NP\tO' -p123937 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p123938 -aS'artery\tartery\tNN\tI-NP\tO' -p123939 -aS'disease\tdisease\tNN\tI-NP\tO' -p123940 -aS',\t,\t,\tO\tO' -p123941 -aS'status\tstatus\tNN\tB-NP\tO' -p123942 -aS'post\tpost\tNN\tI-NP\tO' -p123943 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p123944 -aS',\t,\t,\tO\tO' -p123945 -aS'she\tshe\tPRP\tB-NP\tO' -p123946 -aS'was\tbe\tVBD\tB-VP\tO' -p123947 -aS'given\tgive\tVBN\tI-VP\tO' -p123948 -aS'Integrilin\tIntegrilin\tNNP\tB-NP\tO' -p123949 -aS'for\tfor\tIN\tB-PP\tO' -p123950 -aS'18\t18\tCD\tB-NP\tO' -p123951 -aS'hours\thour\tNNS\tI-NP\tO' -p123952 -aS'.\t.\t.\tO\tO' -p123953 -asS'On 04/06/05 Mr. Liley was admitted to Dr. Liley 's service .' -p123954 -(lp123955 -S'On\tOn\tIN\tB-PP\tO' -p123956 -aS'04/06/05\t04/06/05\tCD\tB-NP\tO' -p123957 -aS'Mr.\tMr.\tNNP\tB-NP\tO' -p123958 -aS'Liley\tLiley\tNNP\tI-NP\tO' -p123959 -aS'was\tbe\tVBD\tB-VP\tO' -p123960 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p123961 -aS'to\tto\tTO\tB-PP\tO' -p123962 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p123963 -aS'Liley\tLiley\tNNP\tI-NP\tO' -p123964 -aS''s\t'\tNNS\tI-NP\tO' -p123965 -aS'service\tservice\tNN\tI-NP\tO' -p123966 -aS'.\t.\t.\tO\tO' -p123967 -asS'Follow-up INR to be drawn 06-01 , by Dr Lewis @ 597-4427' -p123968 -(lp123969 -S'Follow-up\tFollow-up\tJJ\tB-NP\tO' -p123970 -aS'INR\tINR\tNN\tI-NP\tO' -p123971 -aS'to\tto\tTO\tB-VP\tO' -p123972 -aS'be\tbe\tVB\tI-VP\tO' -p123973 -aS'drawn\tdraw\tVBN\tI-VP\tO' -p123974 -aS'06-01\t06-01\tCD\tB-NP\tO' -p123975 -aS',\t,\t,\tO\tO' -p123976 -aS'by\tby\tIN\tB-PP\tO' -p123977 -aS'Dr\tDr\tNNP\tB-NP\tO' -p123978 -aS'Lewis\tLewis\tNNP\tI-NP\tO' -p123979 -aS'@\t@\tVBD\tB-VP\tO' -p123980 -aS'597-4427\t597-4427\tCD\tB-NP\tO' -p123981 -asS'The patient has glaucoma .' -p123982 -(lp123983 -S'The\tThe\tDT\tB-NP\tO' -p123984 -aS'patient\tpatient\tNN\tI-NP\tO' -p123985 -aS'has\thave\tVBZ\tB-VP\tO' -p123986 -aS'glaucoma\tglaucoma\tNN\tB-NP\tO' -p123987 -aS'.\t.\t.\tO\tO' -p123988 -asS'She tolerated this procedure without complications initially and was taken to the Recovery Room in stable condition .' -p123989 -(lp123990 -S'She\tShe\tPRP\tB-NP\tO' -p123991 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p123992 -aS'this\tthis\tDT\tB-NP\tO' -p123993 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p123994 -aS'without\twithout\tIN\tB-PP\tO' -p123995 -aS'complications\tcomplication\tNNS\tB-NP\tO' -p123996 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p123997 -aS'and\tand\tCC\tO\tO' -p123998 -aS'was\tbe\tVBD\tB-VP\tO' -p123999 -aS'taken\ttake\tVBN\tI-VP\tO' -p124000 -aS'to\tto\tTO\tB-PP\tO' -p124001 -aS'the\tthe\tDT\tB-NP\tO' -p124002 -aS'Recovery\tRecovery\tNNP\tI-NP\tO' -p124003 -aS'Room\tRoom\tNNP\tI-NP\tO' -p124004 -aS'in\tin\tIN\tB-PP\tO' -p124005 -aS'stable\tstable\tJJ\tB-NP\tO' -p124006 -aS'condition\tcondition\tNN\tI-NP\tO' -p124007 -aS'.\t.\t.\tO\tO' -p124008 -asS'The Propafenone was stopped , and the patient was changed to Amiodarone 400 mg t.i.d. , which was continued for two days .' -p124009 -(lp124010 -S'The\tThe\tDT\tB-NP\tO' -p124011 -aS'Propafenone\tPropafenone\tNN\tI-NP\tO' -p124012 -aS'was\tbe\tVBD\tB-VP\tO' -p124013 -aS'stopped\tstop\tVBN\tI-VP\tO' -p124014 -aS',\t,\t,\tO\tO' -p124015 -aS'and\tand\tCC\tO\tO' -p124016 -aS'the\tthe\tDT\tB-NP\tO' -p124017 -aS'patient\tpatient\tNN\tI-NP\tO' -p124018 -aS'was\tbe\tVBD\tB-VP\tO' -p124019 -aS'changed\tchange\tVBN\tI-VP\tO' -p124020 -aS'to\tto\tTO\tB-PP\tO' -p124021 -aS'Amiodarone\tAmiodarone\tNN\tB-NP\tO' -p124022 -aS'400\t400\tCD\tI-NP\tO' -p124023 -aS'mg\tmg\tNN\tI-NP\tO' -p124024 -aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' -p124025 -aS',\t,\t,\tO\tO' -p124026 -aS'which\twhich\tWDT\tB-NP\tO' -p124027 -aS'was\tbe\tVBD\tB-VP\tO' -p124028 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p124029 -aS'for\tfor\tIN\tB-PP\tO' -p124030 -aS'two\ttwo\tCD\tB-NP\tO' -p124031 -aS'days\tday\tNNS\tI-NP\tO' -p124032 -aS'.\t.\t.\tO\tO' -p124033 -asS'C. with chronic lung disease .' -p124034 -(lp124035 -S'C.\tC.\tNN\tB-NP\tO' -p124036 -aS'with\twith\tIN\tB-PP\tO' -p124037 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p124038 -aS'lung\tlung\tNN\tI-NP\tO' -p124039 -aS'disease\tdisease\tNN\tI-NP\tO' -p124040 -aS'.\t.\t.\tO\tO' -p124041 -asS'His extremities are warm and well perfused with minimal edema of his left foot as well as his right stump .' -p124042 -(lp124043 -S'His\tHis\tPRP$\tB-NP\tO' -p124044 -aS'extremities\textremity\tNNS\tI-NP\tO' -p124045 -aS'are\tbe\tVBP\tB-VP\tO' -p124046 -aS'warm\twarm\tJJ\tB-ADJP\tO' -p124047 -aS'and\tand\tCC\tO\tO' -p124048 -aS'well\twell\tRB\tB-ADJP\tO' -p124049 -aS'perfused\tperfuse\tVBN\tI-ADJP\tO' -p124050 -aS'with\twith\tIN\tB-PP\tO' -p124051 -aS'minimal\tminimal\tJJ\tB-NP\tO' -p124052 -aS'edema\tedema\tNN\tI-NP\tO' -p124053 -aS'of\tof\tIN\tB-PP\tO' -p124054 -aS'his\this\tPRP$\tB-NP\tO' -p124055 -aS'left\tleft\tJJ\tI-NP\tO' -p124056 -aS'foot\tfoot\tNN\tI-NP\tO' -p124057 -aS'as\tas\tRB\tB-CONJP\tO' -p124058 -aS'well\twell\tRB\tI-CONJP\tO' -p124059 -aS'as\tas\tIN\tI-CONJP\tO' -p124060 -aS'his\this\tPRP$\tB-NP\tO' -p124061 -aS'right\tright\tJJ\tI-NP\tO' -p124062 -aS'stump\tstump\tNN\tI-NP\tO' -p124063 -aS'.\t.\t.\tO\tO' -p124064 -asS'The generalized slowing indicates a non specific dysfunction in midline structures .' -p124065 -(lp124066 -S'The\tThe\tDT\tB-NP\tO' -p124067 -aS'generalized\tgeneralize\tVBN\tI-NP\tO' -p124068 -aS'slowing\tslowing\tNN\tI-NP\tO' -p124069 -aS'indicates\tindicate\tVBZ\tB-VP\tO' -p124070 -aS'a\ta\tDT\tB-NP\tO' -p124071 -aS'non\tnon\tJJ\tI-NP\tO' -p124072 -aS'specific\tspecific\tJJ\tI-NP\tO' -p124073 -aS'dysfunction\tdysfunction\tNN\tI-NP\tO' -p124074 -aS'in\tin\tIN\tB-PP\tO' -p124075 -aS'midline\tmidline\tNN\tB-NP\tO' -p124076 -aS'structures\tstructure\tNNS\tI-NP\tO' -p124077 -aS'.\t.\t.\tO\tO' -p124078 -asS'Renal consultants did not feel that there was an indication for urgent hemodialysis .' -p124079 -(lp124080 -S'Renal\tRenal\tJJ\tB-NP\tO' -p124081 -aS'consultants\tconsultant\tNNS\tI-NP\tO' -p124082 -aS'did\tdo\tVBD\tB-VP\tO' -p124083 -aS'not\tnot\tRB\tI-VP\tO' -p124084 -aS'feel\tfeel\tVB\tI-VP\tO' -p124085 -aS'that\tthat\tIN\tB-SBAR\tO' -p124086 -aS'there\tthere\tEX\tB-NP\tO' -p124087 -aS'was\tbe\tVBD\tB-VP\tO' -p124088 -aS'an\tan\tDT\tB-NP\tO' -p124089 -aS'indication\tindication\tNN\tI-NP\tO' -p124090 -aS'for\tfor\tIN\tB-PP\tO' -p124091 -aS'urgent\turgent\tJJ\tB-NP\tO' -p124092 -aS'hemodialysis\themodialysis\tNN\tI-NP\tO' -p124093 -aS'.\t.\t.\tO\tO' -p124094 -asS'He was also begun on anti-Candida regimen for his urinary tract infection with yeast being seen .' -p124095 -(lp124096 -S'He\tHe\tPRP\tB-NP\tO' -p124097 -aS'was\tbe\tVBD\tB-VP\tO' -p124098 -aS'also\talso\tRB\tI-VP\tO' -p124099 -aS'begun\tbegin\tVBN\tI-VP\tO' -p124100 -aS'on\ton\tIN\tB-PP\tO' -p124101 -aS'anti-Candida\tanti-Candida\tJJ\tB-NP\tB-protein' -p124102 -aS'regimen\tregimen\tNN\tI-NP\tI-protein' -p124103 -aS'for\tfor\tIN\tB-PP\tO' -p124104 -aS'his\this\tPRP$\tB-NP\tO' -p124105 -aS'urinary\turinary\tJJ\tI-NP\tO' -p124106 -aS'tract\ttract\tNN\tI-NP\tO' -p124107 -aS'infection\tinfection\tNN\tI-NP\tO' -p124108 -aS'with\twith\tIN\tB-PP\tO' -p124109 -aS'yeast\tyeast\tNN\tB-NP\tO' -p124110 -aS'being\tbe\tVBG\tB-VP\tO' -p124111 -aS'seen\tsee\tVBN\tI-VP\tO' -p124112 -aS'.\t.\t.\tO\tO' -p124113 -asS'Cytology was obtained .' -p124114 -(lp124115 -S'Cytology\tCytology\tNN\tB-NP\tO' -p124116 -aS'was\tbe\tVBD\tB-VP\tO' -p124117 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p124118 -aS'.\t.\t.\tO\tO' -p124119 -asS'Chest : crackles at right base with dec. air movement .' -p124120 -(lp124121 -S'Chest\tChest\tNNP\tB-NP\tO' -p124122 -aS':\t:\t:\tO\tO' -p124123 -aS'crackles\tcrackle\tNNS\tB-NP\tO' -p124124 -aS'at\tat\tIN\tB-PP\tO' -p124125 -aS'right\tright\tJJ\tB-NP\tO' -p124126 -aS'base\tbase\tNN\tI-NP\tO' -p124127 -aS'with\twith\tIN\tB-PP\tO' -p124128 -aS'dec.\tdec.\tNN\tB-NP\tO' -p124129 -aS'air\tair\tNN\tI-NP\tO' -p124130 -aS'movement\tmovement\tNN\tI-NP\tO' -p124131 -aS'.\t.\t.\tO\tO' -p124132 -asS'Abdomen obese , no scars .' -p124133 -(lp124134 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p124135 -aS'obese\tobese\tVBP\tB-VP\tO' -p124136 -aS',\t,\t,\tO\tO' -p124137 -aS'no\tno\tDT\tB-NP\tO' -p124138 -aS'scars\tscar\tNNS\tI-NP\tO' -p124139 -aS'.\t.\t.\tO\tO' -p124140 -asS'The tongue was midline .' -p124141 -(lp124142 -S'The\tThe\tDT\tB-NP\tO' -p124143 -aS'tongue\ttongue\tNN\tI-NP\tO' -p124144 -aS'was\tbe\tVBD\tB-VP\tO' -p124145 -aS'midline\tmidline\tNN\tB-NP\tO' -p124146 -aS'.\t.\t.\tO\tO' -p124147 -asS'Disp : *60 Capsule( s )*' -p124148 -(lp124149 -S'Disp\tDisp\tNN\tB-NP\tO' -p124150 -aS':\t:\t:\tO\tO' -p124151 -aS'*60\t*60\tCD\tB-NP\tO' -p124152 -aS'Capsule(\tCapsule(\t(\tI-NP\tO' -p124153 -aS's\ts\tNN\tI-NP\tO' -p124154 -aS')*\t)*\tSYM\tB-NP\tO' -p124155 -asS'Milrinone was continued until postoperative day number three , at which point he was having good enough cardiac output that he did not need these drips to help maintain his blood pressure anymore .' -p124156 -(lp124157 -S'Milrinone\tMilrinone\tNN\tB-NP\tO' -p124158 -aS'was\tbe\tVBD\tB-VP\tO' -p124159 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p124160 -aS'until\tuntil\tIN\tB-PP\tO' -p124161 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p124162 -aS'day\tday\tNN\tI-NP\tO' -p124163 -aS'number\tnumber\tNN\tI-NP\tO' -p124164 -aS'three\tthree\tCD\tB-NP\tO' -p124165 -aS',\t,\t,\tO\tO' -p124166 -aS'at\tat\tIN\tB-PP\tO' -p124167 -aS'which\twhich\tWDT\tB-NP\tO' -p124168 -aS'point\tpoint\tNN\tI-NP\tO' -p124169 -aS'he\the\tPRP\tB-NP\tO' -p124170 -aS'was\tbe\tVBD\tB-VP\tO' -p124171 -aS'having\thave\tVBG\tI-VP\tO' -p124172 -aS'good\tgood\tJJ\tB-NP\tO' -p124173 -aS'enough\tenough\tRB\tI-NP\tO' -p124174 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p124175 -aS'output\toutput\tNN\tI-NP\tO' -p124176 -aS'that\tthat\tIN\tB-NP\tO' -p124177 -aS'he\the\tPRP\tB-NP\tO' -p124178 -aS'did\tdo\tVBD\tB-VP\tO' -p124179 -aS'not\tnot\tRB\tI-VP\tO' -p124180 -aS'need\tneed\tVB\tI-VP\tO' -p124181 -aS'these\tthese\tDT\tB-NP\tO' -p124182 -aS'drips\tdrip\tNNS\tI-NP\tO' -p124183 -aS'to\tto\tTO\tB-VP\tO' -p124184 -aS'help\thelp\tVB\tI-VP\tO' -p124185 -aS'maintain\tmaintain\tVB\tI-VP\tO' -p124186 -aS'his\this\tPRP$\tB-NP\tO' -p124187 -aS'blood\tblood\tNN\tI-NP\tO' -p124188 -aS'pressure\tpressure\tNN\tI-NP\tO' -p124189 -aS'anymore\tanymore\tRB\tB-ADVP\tO' -p124190 -aS'.\t.\t.\tO\tO' -p124191 -asS'Discharge services included visiting nursing which was to assess in her inhaler technique , monitor her fasting blood sugars , as well as her blood pressure , monitor her peak flows , and assess her mobility and activities of daily living at home .' -p124192 -(lp124193 -S'Discharge\tDischarge\tNN\tB-NP\tO' -p124194 -aS'services\tservice\tNNS\tI-NP\tO' -p124195 -aS'included\tinclude\tVBD\tB-VP\tO' -p124196 -aS'visiting\tvisit\tVBG\tI-VP\tO' -p124197 -aS'nursing\tnursing\tNN\tB-NP\tO' -p124198 -aS'which\twhich\tWDT\tB-NP\tO' -p124199 -aS'was\tbe\tVBD\tB-VP\tO' -p124200 -aS'to\tto\tTO\tB-VP\tO' -p124201 -aS'assess\tassess\tVB\tI-VP\tO' -p124202 -aS'in\tin\tIN\tB-PP\tO' -p124203 -aS'her\ther\tPRP$\tB-NP\tO' -p124204 -aS'inhaler\tinhaler\tNN\tI-NP\tO' -p124205 -aS'technique\ttechnique\tNN\tI-NP\tO' -p124206 -aS',\t,\t,\tO\tO' -p124207 -aS'monitor\tmonitor\tVB\tB-VP\tO' -p124208 -aS'her\ther\tPRP$\tB-NP\tO' -p124209 -aS'fasting\tfasting\tJJ\tI-NP\tO' -p124210 -aS'blood\tblood\tNN\tI-NP\tO' -p124211 -aS'sugars\tsugar\tNNS\tI-NP\tO' -p124212 -aS',\t,\t,\tO\tO' -p124213 -aS'as\tas\tRB\tB-CONJP\tO' -p124214 -aS'well\twell\tRB\tI-CONJP\tO' -p124215 -aS'as\tas\tIN\tI-CONJP\tO' -p124216 -aS'her\ther\tPRP$\tB-NP\tO' -p124217 -aS'blood\tblood\tNN\tI-NP\tO' -p124218 -aS'pressure\tpressure\tNN\tI-NP\tO' -p124219 -aS',\t,\t,\tO\tO' -p124220 -aS'monitor\tmonitor\tVB\tB-VP\tO' -p124221 -aS'her\ther\tPRP$\tB-NP\tO' -p124222 -aS'peak\tpeak\tJJ\tI-NP\tO' -p124223 -aS'flows\tflow\tNNS\tI-NP\tO' -p124224 -aS',\t,\t,\tO\tO' -p124225 -aS'and\tand\tCC\tO\tO' -p124226 -aS'assess\tassess\tVB\tB-VP\tO' -p124227 -aS'her\ther\tPRP$\tB-NP\tO' -p124228 -aS'mobility\tmobility\tNN\tI-NP\tO' -p124229 -aS'and\tand\tCC\tI-NP\tO' -p124230 -aS'activities\tactivity\tNNS\tI-NP\tO' -p124231 -aS'of\tof\tIN\tB-PP\tO' -p124232 -aS'daily\tdaily\tJJ\tB-NP\tO' -p124233 -aS'living\tliving\tNN\tI-NP\tO' -p124234 -aS'at\tat\tIN\tB-PP\tO' -p124235 -aS'home\thome\tNN\tB-NP\tO' -p124236 -aS'.\t.\t.\tO\tO' -p124237 -asS'10. Prednisone 20 mg Tablet Sig : Two ( 2 ) Tablet PO DAILY ( Daily ) for 4 days .' -p124238 -(lp124239 -S'10.\t10.\tLS\tB-NP\tO' -p124240 -aS'Prednisone\tPrednisone\tNN\tI-NP\tO' -p124241 -aS'20\t20\tCD\tI-NP\tO' -p124242 -aS'mg\tmg\tNN\tI-NP\tO' -p124243 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p124244 -aS'Sig\tSig\tNNP\tI-NP\tO' -p124245 -aS':\t:\t:\tO\tO' -p124246 -aS'Two\tTwo\tCD\tB-NP\tO' -p124247 -aS'(\t(\t(\tO\tO' -p124248 -aS'2\t2\tCD\tO\tO' -p124249 -aS')\t)\t)\tO\tO' -p124250 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p124251 -aS'PO\tPO\tNN\tI-NP\tO' -p124252 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p124253 -aS'(\t(\t(\tO\tO' -p124254 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p124255 -aS')\t)\t)\tO\tO' -p124256 -aS'for\tfor\tIN\tB-PP\tO' -p124257 -aS'4\t4\tCD\tB-NP\tO' -p124258 -aS'days\tday\tNNS\tI-NP\tO' -p124259 -aS'.\t.\t.\tO\tO' -p124260 -asS'ASA , plavix held during hemothorax .' -p124261 -(lp124262 -S'ASA\tASA\tNN\tB-NP\tO' -p124263 -aS',\t,\t,\tO\tO' -p124264 -aS'plavix\tplavix\tNN\tB-NP\tO' -p124265 -aS'held\thold\tVBN\tB-VP\tO' -p124266 -aS'during\tduring\tIN\tB-PP\tO' -p124267 -aS'hemothorax\themothorax\tNN\tB-NP\tO' -p124268 -aS'.\t.\t.\tO\tO' -p124269 -asS'Readmitted for hyperbilirubinemia on day of life #5 .' -p124270 -(lp124271 -S'Readmitted\tReadmitte\tVBN\tB-VP\tO' -p124272 -aS'for\tfor\tIN\tB-PP\tO' -p124273 -aS'hyperbilirubinemia\thyperbilirubinemia\tNN\tB-NP\tO' -p124274 -aS'on\ton\tIN\tB-PP\tO' -p124275 -aS'day\tday\tNN\tB-NP\tO' -p124276 -aS'of\tof\tIN\tB-PP\tO' -p124277 -aS'life\tlife\tNN\tB-NP\tO' -p124278 -aS'#5\t#5\tCD\tI-NP\tO' -p124279 -aS'.\t.\t.\tO\tO' -p124280 -asS'He was later sitting in a chair making multiple attempts to get up , which he subsequently did and promptly fell directly on his face at approximately 11:30 a.m.' -p124281 -(lp124282 -S'He\tHe\tPRP\tB-NP\tO' -p124283 -aS'was\tbe\tVBD\tB-VP\tO' -p124284 -aS'later\tlater\tRB\tI-VP\tO' -p124285 -aS'sitting\tsit\tVBG\tI-VP\tO' -p124286 -aS'in\tin\tIN\tB-PP\tO' -p124287 -aS'a\ta\tDT\tB-NP\tO' -p124288 -aS'chair\tchair\tNN\tI-NP\tO' -p124289 -aS'making\tmake\tVBG\tB-VP\tO' -p124290 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p124291 -aS'attempts\tattempt\tNNS\tI-NP\tO' -p124292 -aS'to\tto\tTO\tB-VP\tO' -p124293 -aS'get\tget\tVB\tI-VP\tO' -p124294 -aS'up\tup\tRP\tB-PRT\tO' -p124295 -aS',\t,\t,\tO\tO' -p124296 -aS'which\twhich\tWDT\tB-NP\tO' -p124297 -aS'he\the\tPRP\tB-NP\tO' -p124298 -aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' -p124299 -aS'did\tdo\tVBD\tB-VP\tO' -p124300 -aS'and\tand\tCC\tO\tO' -p124301 -aS'promptly\tpromptly\tRB\tB-VP\tO' -p124302 -aS'fell\tfall\tVBD\tI-VP\tO' -p124303 -aS'directly\tdirectly\tRB\tB-ADVP\tO' -p124304 -aS'on\ton\tIN\tB-PP\tO' -p124305 -aS'his\this\tPRP$\tB-NP\tO' -p124306 -aS'face\tface\tNN\tI-NP\tO' -p124307 -aS'at\tat\tIN\tB-PP\tO' -p124308 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p124309 -aS'11:30\t11:30\tCD\tI-NP\tO' -p124310 -aS'a.m.\ta.m.\tNN\tI-NP\tO' -p124311 -asS'41 x 23 mm acute intraparenchymal hematoma at the right frontal lobe , causing mild mass effect upon the ipsilateral lateral ventricle , suspicious of hemorrhage secondary to congophilic angiopathy in this age group .' -p124312 -(lp124313 -S'41\t41\tCD\tB-NP\tO' -p124314 -aS'x\tx\tCC\tI-NP\tO' -p124315 -aS'23\t23\tCD\tI-NP\tO' -p124316 -aS'mm\tmm\tNN\tI-NP\tO' -p124317 -aS'acute\tacute\tJJ\tI-NP\tO' -p124318 -aS'intraparenchymal\tintraparenchymal\tJJ\tI-NP\tO' -p124319 -aS'hematoma\thematoma\tNN\tI-NP\tO' -p124320 -aS'at\tat\tIN\tB-PP\tO' -p124321 -aS'the\tthe\tDT\tB-NP\tO' -p124322 -aS'right\tright\tJJ\tI-NP\tO' -p124323 -aS'frontal\tfrontal\tJJ\tI-NP\tO' -p124324 -aS'lobe\tlobe\tNN\tI-NP\tO' -p124325 -aS',\t,\t,\tO\tO' -p124326 -aS'causing\tcause\tVBG\tB-VP\tO' -p124327 -aS'mild\tmild\tJJ\tB-NP\tO' -p124328 -aS'mass\tmass\tNN\tI-NP\tO' -p124329 -aS'effect\teffect\tNN\tI-NP\tO' -p124330 -aS'upon\tupon\tIN\tB-PP\tO' -p124331 -aS'the\tthe\tDT\tB-NP\tO' -p124332 -aS'ipsilateral\tipsilateral\tJJ\tI-NP\tO' -p124333 -aS'lateral\tlateral\tJJ\tI-NP\tO' -p124334 -aS'ventricle\tventricle\tNN\tI-NP\tO' -p124335 -aS',\t,\t,\tO\tO' -p124336 -aS'suspicious\tsuspicious\tJJ\tB-ADJP\tO' -p124337 -aS'of\tof\tIN\tB-PP\tO' -p124338 -aS'hemorrhage\themorrhage\tNN\tB-NP\tO' -p124339 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p124340 -aS'to\tto\tTO\tB-PP\tO' -p124341 -aS'congophilic\tcongophilic\tJJ\tB-NP\tO' -p124342 -aS'angiopathy\tangiopathy\tNN\tI-NP\tO' -p124343 -aS'in\tin\tIN\tB-PP\tO' -p124344 -aS'this\tthis\tDT\tB-NP\tO' -p124345 -aS'age\tage\tNN\tI-NP\tO' -p124346 -aS'group\tgroup\tNN\tI-NP\tO' -p124347 -aS'.\t.\t.\tO\tO' -p124348 -asS'She was also to seek the next available appointment with Dr. Jeanette Barr or to see another resident in the Saint Vincent Hospital Clinic if she cannot get an appointment within one week .' -p124349 -(lp124350 -S'She\tShe\tPRP\tB-NP\tO' -p124351 -aS'was\tbe\tVBD\tB-VP\tO' -p124352 -aS'also\talso\tRB\tB-ADVP\tO' -p124353 -aS'to\tto\tTO\tB-VP\tO' -p124354 -aS'seek\tseek\tVB\tI-VP\tO' -p124355 -aS'the\tthe\tDT\tB-NP\tO' -p124356 -aS'next\tnext\tJJ\tI-NP\tO' -p124357 -aS'available\tavailable\tJJ\tI-NP\tO' -p124358 -aS'appointment\tappointment\tNN\tI-NP\tO' -p124359 -aS'with\twith\tIN\tB-PP\tO' -p124360 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p124361 -aS'Jeanette\tJeanette\tNNP\tI-NP\tO' -p124362 -aS'Barr\tBarr\tNNP\tI-NP\tO' -p124363 -aS'or\tor\tCC\tO\tO' -p124364 -aS'to\tto\tTO\tB-VP\tO' -p124365 -aS'see\tsee\tVB\tI-VP\tO' -p124366 -aS'another\tanother\tDT\tB-NP\tO' -p124367 -aS'resident\tresident\tNN\tI-NP\tO' -p124368 -aS'in\tin\tIN\tB-PP\tO' -p124369 -aS'the\tthe\tDT\tB-NP\tO' -p124370 -aS'Saint\tSaint\tNNP\tI-NP\tO' -p124371 -aS'Vincent\tVincent\tNNP\tI-NP\tO' -p124372 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p124373 -aS'Clinic\tClinic\tNNP\tI-NP\tO' -p124374 -aS'if\tif\tIN\tB-SBAR\tO' -p124375 -aS'she\tshe\tPRP\tB-NP\tO' -p124376 -aS'cannot\tcannot\tMD\tB-VP\tO' -p124377 -aS'get\tget\tVB\tI-VP\tO' -p124378 -aS'an\tan\tDT\tB-NP\tO' -p124379 -aS'appointment\tappointment\tNN\tI-NP\tO' -p124380 -aS'within\twithin\tIN\tB-PP\tO' -p124381 -aS'one\tone\tCD\tB-NP\tO' -p124382 -aS'week\tweek\tNN\tI-NP\tO' -p124383 -aS'.\t.\t.\tO\tO' -p124384 -asS'The patient 's preliminary admitting physician is SHUFFCUCH , SEYSHARMSE N and the preliminary diagnosis is HYPERGLYCEMIA .' -p124385 -(lp124386 -S'The\tThe\tDT\tB-NP\tO' -p124387 -aS'patient\tpatient\tNN\tI-NP\tO' -p124388 -aS''s\t'\tNNS\tI-NP\tO' -p124389 -aS'preliminary\tpreliminary\tJJ\tB-NP\tO' -p124390 -aS'admitting\tadmit\tVBG\tI-NP\tO' -p124391 -aS'physician\tphysician\tNN\tI-NP\tO' -p124392 -aS'is\tbe\tVBZ\tB-VP\tO' -p124393 -aS'SHUFFCUCH\tSHUFFCUCH\tNNP\tB-NP\tO' -p124394 -aS',\t,\t,\tO\tO' -p124395 -aS'SEYSHARMSE\tSEYSHARMSE\tNNP\tB-NP\tO' -p124396 -aS'N\tN\tNNP\tI-NP\tO' -p124397 -aS'and\tand\tCC\tO\tO' -p124398 -aS'the\tthe\tDT\tB-NP\tO' -p124399 -aS'preliminary\tpreliminary\tJJ\tI-NP\tO' -p124400 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p124401 -aS'is\tbe\tVBZ\tB-VP\tO' -p124402 -aS'HYPERGLYCEMIA\tHYPERGLYCEMIA\tNN\tB-NP\tO' -p124403 -aS'.\t.\t.\tO\tO' -p124404 -asS'MRA of the brain was unremarkable .' -p124405 -(lp124406 -S'MRA\tMRA\tNN\tB-NP\tO' -p124407 -aS'of\tof\tIN\tB-PP\tO' -p124408 -aS'the\tthe\tDT\tB-NP\tO' -p124409 -aS'brain\tbrain\tNN\tI-NP\tO' -p124410 -aS'was\tbe\tVBD\tB-VP\tO' -p124411 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p124412 -aS'.\t.\t.\tO\tO' -p124413 -asS'The aortic perfusions were via the femoral artery with venous return by the femoral vein .' -p124414 -(lp124415 -S'The\tThe\tDT\tB-NP\tO' -p124416 -aS'aortic\taortic\tJJ\tI-NP\tO' -p124417 -aS'perfusions\tperfusion\tNNS\tI-NP\tO' -p124418 -aS'were\tbe\tVBD\tB-VP\tO' -p124419 -aS'via\tvia\tIN\tB-PP\tO' -p124420 -aS'the\tthe\tDT\tB-NP\tO' -p124421 -aS'femoral\tfemoral\tJJ\tI-NP\tO' -p124422 -aS'artery\tartery\tNN\tI-NP\tO' -p124423 -aS'with\twith\tIN\tB-PP\tO' -p124424 -aS'venous\tvenous\tJJ\tB-NP\tO' -p124425 -aS'return\treturn\tNN\tI-NP\tO' -p124426 -aS'by\tby\tIN\tB-PP\tO' -p124427 -aS'the\tthe\tDT\tB-NP\tO' -p124428 -aS'femoral\tfemoral\tJJ\tI-NP\tO' -p124429 -aS'vein\tvein\tNN\tI-NP\tO' -p124430 -aS'.\t.\t.\tO\tO' -p124431 -asS'Overall appearance consistent with estimated gestational age .' -p124432 -(lp124433 -S'Overall\tOverall\tJJ\tB-NP\tO' -p124434 -aS'appearance\tappearance\tNN\tI-NP\tO' -p124435 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p124436 -aS'with\twith\tIN\tB-PP\tO' -p124437 -aS'estimated\testimate\tVBN\tB-NP\tO' -p124438 -aS'gestational\tgestational\tJJ\tI-NP\tO' -p124439 -aS'age\tage\tNN\tI-NP\tO' -p124440 -aS'.\t.\t.\tO\tO' -p124441 -asS'Nausea , vomiting , Abdominal pain , distention .' -p124442 -(lp124443 -S'Nausea\tNausea\tNN\tB-NP\tO' -p124444 -aS',\t,\t,\tO\tO' -p124445 -aS'vomiting\tvomiting\tNN\tB-NP\tO' -p124446 -aS',\t,\t,\tO\tO' -p124447 -aS'Abdominal\tAbdominal\tJJ\tB-NP\tO' -p124448 -aS'pain\tpain\tNN\tI-NP\tO' -p124449 -aS',\t,\t,\tO\tO' -p124450 -aS'distention\tdistention\tNN\tB-NP\tO' -p124451 -aS'.\t.\t.\tO\tO' -p124452 -asS'Cardiovascular examination is notable for a regular rate and rhythm ; no murmurs , rubs or gallops .' -p124453 -(lp124454 -S'Cardiovascular\tCardiovascular\tJJ\tB-NP\tO' -p124455 -aS'examination\texamination\tNN\tI-NP\tO' -p124456 -aS'is\tbe\tVBZ\tB-VP\tO' -p124457 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p124458 -aS'for\tfor\tIN\tB-PP\tO' -p124459 -aS'a\ta\tDT\tB-NP\tO' -p124460 -aS'regular\tregular\tJJ\tI-NP\tO' -p124461 -aS'rate\trate\tNN\tI-NP\tO' -p124462 -aS'and\tand\tCC\tI-NP\tO' -p124463 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p124464 -aS';\t;\t:\tO\tO' -p124465 -aS'no\tno\tDT\tB-NP\tO' -p124466 -aS'murmurs\tmurmur\tNNS\tI-NP\tO' -p124467 -aS',\t,\t,\tI-NP\tO' -p124468 -aS'rubs\trub\tNNS\tI-NP\tO' -p124469 -aS'or\tor\tCC\tI-NP\tO' -p124470 -aS'gallops\tgallop\tNNS\tI-NP\tO' -p124471 -aS'.\t.\t.\tO\tO' -p124472 -asS'3. Diabetes mellitus type 2 .' -p124473 -(lp124474 -S'3.\t3.\tLS\tB-NP\tO' -p124475 -aS'Diabetes\tDiabetes\tNN\tI-NP\tO' -p124476 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p124477 -aS'type\ttype\tNN\tI-NP\tO' -p124478 -aS'2\t2\tCD\tI-NP\tO' -p124479 -aS'.\t.\t.\tO\tO' -p124480 -asS'He had tonsillectomy at the age of five , and appendectomy in 1940 .' -p124481 -(lp124482 -S'He\tHe\tPRP\tB-NP\tO' -p124483 -aS'had\thave\tVBD\tB-VP\tO' -p124484 -aS'tonsillectomy\ttonsillectomy\tNN\tB-NP\tO' -p124485 -aS'at\tat\tIN\tB-PP\tO' -p124486 -aS'the\tthe\tDT\tB-NP\tO' -p124487 -aS'age\tage\tNN\tI-NP\tO' -p124488 -aS'of\tof\tIN\tB-PP\tO' -p124489 -aS'five\tfive\tCD\tB-NP\tO' -p124490 -aS',\t,\t,\tO\tO' -p124491 -aS'and\tand\tCC\tO\tO' -p124492 -aS'appendectomy\tappendectomy\tNN\tB-NP\tO' -p124493 -aS'in\tin\tIN\tB-PP\tO' -p124494 -aS'1940\t1940\tCD\tB-NP\tO' -p124495 -aS'.\t.\t.\tO\tO' -p124496 -asS'Initially during admission , carafate was given down the orogastric tube .' -p124497 -(lp124498 -S'Initially\tInitially\tRB\tB-ADVP\tO' -p124499 -aS'during\tduring\tIN\tB-PP\tO' -p124500 -aS'admission\tadmission\tNN\tB-NP\tO' -p124501 -aS',\t,\t,\tO\tO' -p124502 -aS'carafate\tcarafate\tNN\tB-NP\tO' -p124503 -aS'was\tbe\tVBD\tB-VP\tO' -p124504 -aS'given\tgive\tVBN\tI-VP\tO' -p124505 -aS'down\tdown\tRP\tB-PRT\tO' -p124506 -aS'the\tthe\tDT\tB-NP\tO' -p124507 -aS'orogastric\torogastric\tJJ\tI-NP\tO' -p124508 -aS'tube\ttube\tNN\tI-NP\tO' -p124509 -aS'.\t.\t.\tO\tO' -p124510 -asS'Back without CVA or spinal tenderness .' -p124511 -(lp124512 -S'Back\tBack\tRB\tB-ADVP\tO' -p124513 -aS'without\twithout\tIN\tB-PP\tO' -p124514 -aS'CVA\tCVA\tNN\tB-NP\tB-protein' -p124515 -aS'or\tor\tCC\tO\tO' -p124516 -aS'spinal\tspinal\tJJ\tB-NP\tO' -p124517 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p124518 -aS'.\t.\t.\tO\tO' -p124519 -asS'This non - specific pattern could represent diffuse pneumonia complicated by ARDS .' -p124520 -(lp124521 -S'This\tThis\tDT\tB-NP\tO' -p124522 -aS'non\tnon\tAFX\tB-NP\tO' -p124523 -aS'-\t-\tHYPH\tI-NP\tO' -p124524 -aS'specific\tspecific\tJJ\tI-NP\tO' -p124525 -aS'pattern\tpattern\tNN\tI-NP\tO' -p124526 -aS'could\tcould\tMD\tB-VP\tO' -p124527 -aS'represent\trepresent\tVB\tI-VP\tO' -p124528 -aS'diffuse\tdiffuse\tJJ\tB-NP\tO' -p124529 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p124530 -aS'complicated\tcomplicate\tVBN\tB-VP\tO' -p124531 -aS'by\tby\tIN\tB-PP\tO' -p124532 -aS'ARDS\tARDS\tNN\tB-NP\tO' -p124533 -aS'.\t.\t.\tO\tO' -p124534 -asS'6. Vitamin E .' -p124535 -(lp124536 -S'6.\t6.\tLS\tB-NP\tO' -p124537 -aS'Vitamin\tVitamin\tNN\tI-NP\tO' -p124538 -aS'E\tE\tNN\tI-NP\tO' -p124539 -aS'.\t.\t.\tO\tO' -p124540 -asS'White count was 8.2 , hematocrit 35 .' -p124541 -(lp124542 -S'White\tWhite\tJJ\tB-NP\tO' -p124543 -aS'count\tcount\tNN\tI-NP\tO' -p124544 -aS'was\tbe\tVBD\tB-VP\tO' -p124545 -aS'8.2\t8.2\tCD\tB-NP\tO' -p124546 -aS',\t,\t,\tO\tO' -p124547 -aS'hematocrit\thematocrit\tNN\tB-NP\tO' -p124548 -aS'35\t35\tCD\tI-NP\tO' -p124549 -aS'.\t.\t.\tO\tO' -p124550 -asS'The patient did fall while inhouse .' -p124551 -(lp124552 -S'The\tThe\tDT\tB-NP\tO' -p124553 -aS'patient\tpatient\tNN\tI-NP\tO' -p124554 -aS'did\tdo\tVBD\tB-VP\tO' -p124555 -aS'fall\tfall\tNN\tB-NP\tO' -p124556 -aS'while\twhile\tIN\tB-SBAR\tO' -p124557 -aS'inhouse\tinhouse\tNN\tB-NP\tO' -p124558 -aS'.\t.\t.\tO\tO' -p124559 -asS'6. Enalapril 10 mg p.o. twice a day .' -p124560 -(lp124561 -S'6.\t6.\tCD\tB-NP\tO' -p124562 -aS'Enalapril\tEnalapril\tNNP\tI-NP\tO' -p124563 -aS'10\t10\tCD\tI-NP\tO' -p124564 -aS'mg\tmg\tNN\tI-NP\tO' -p124565 -aS'p.o.\tp.o.\tRB\tB-NP\tO' -p124566 -aS'twice\ttwice\tRB\tI-NP\tO' -p124567 -aS'a\ta\tDT\tI-NP\tO' -p124568 -aS'day\tday\tNN\tI-NP\tO' -p124569 -aS'.\t.\t.\tO\tO' -p124570 -asS'The patient described this sensation as uncomfortable and becoming more prominent over the following three years with increasing pressure and pain .' -p124571 -(lp124572 -S'The\tThe\tDT\tB-NP\tO' -p124573 -aS'patient\tpatient\tNN\tI-NP\tO' -p124574 -aS'described\tdescribe\tVBD\tB-VP\tO' -p124575 -aS'this\tthis\tDT\tB-NP\tO' -p124576 -aS'sensation\tsensation\tNN\tI-NP\tO' -p124577 -aS'as\tas\tIN\tB-PP\tO' -p124578 -aS'uncomfortable\tuncomfortable\tJJ\tB-ADJP\tO' -p124579 -aS'and\tand\tCC\tO\tO' -p124580 -aS'becoming\tbecome\tVBG\tB-VP\tO' -p124581 -aS'more\tmore\tRBR\tB-ADJP\tO' -p124582 -aS'prominent\tprominent\tJJ\tI-ADJP\tO' -p124583 -aS'over\tover\tIN\tB-PP\tO' -p124584 -aS'the\tthe\tDT\tB-NP\tO' -p124585 -aS'following\tfollow\tVBG\tI-NP\tO' -p124586 -aS'three\tthree\tCD\tI-NP\tO' -p124587 -aS'years\tyear\tNNS\tI-NP\tO' -p124588 -aS'with\twith\tIN\tB-PP\tO' -p124589 -aS'increasing\tincrease\tVBG\tB-NP\tO' -p124590 -aS'pressure\tpressure\tNN\tI-NP\tO' -p124591 -aS'and\tand\tCC\tI-NP\tO' -p124592 -aS'pain\tpain\tNN\tI-NP\tO' -p124593 -aS'.\t.\t.\tO\tO' -p124594 -asS'At laparotomy , there was a liter of blood in the peritoneal cavity .' -p124595 -(lp124596 -S'At\tAt\tIN\tB-PP\tO' -p124597 -aS'laparotomy\tlaparotomy\tNN\tB-NP\tO' -p124598 -aS',\t,\t,\tO\tO' -p124599 -aS'there\tthere\tEX\tB-NP\tO' -p124600 -aS'was\tbe\tVBD\tB-VP\tO' -p124601 -aS'a\ta\tDT\tB-NP\tO' -p124602 -aS'liter\tliter\tNN\tI-NP\tO' -p124603 -aS'of\tof\tIN\tB-PP\tO' -p124604 -aS'blood\tblood\tNN\tB-NP\tO' -p124605 -aS'in\tin\tIN\tB-PP\tO' -p124606 -aS'the\tthe\tDT\tB-NP\tO' -p124607 -aS'peritoneal\tperitoneal\tJJ\tI-NP\tO' -p124608 -aS'cavity\tcavity\tNN\tI-NP\tO' -p124609 -aS'.\t.\t.\tO\tO' -p124610 -asS'Patient was aggressively diuresed with resolution of symptoms .' -p124611 -(lp124612 -S'Patient\tPatient\tNN\tB-NP\tO' -p124613 -aS'was\tbe\tVBD\tB-VP\tO' -p124614 -aS'aggressively\taggressively\tRB\tI-VP\tO' -p124615 -aS'diuresed\tdiurese\tVBN\tI-VP\tO' -p124616 -aS'with\twith\tIN\tB-PP\tO' -p124617 -aS'resolution\tresolution\tNN\tB-NP\tO' -p124618 -aS'of\tof\tIN\tB-PP\tO' -p124619 -aS'symptoms\tsymptom\tNNS\tB-NP\tO' -p124620 -aS'.\t.\t.\tO\tO' -p124621 -asS'At the time of discharge , the patient remained on CPAP with a PEEP of 7.5 and a pressure support of 9 .' -p124622 -(lp124623 -S'At\tAt\tIN\tB-PP\tO' -p124624 -aS'the\tthe\tDT\tB-NP\tO' -p124625 -aS'time\ttime\tNN\tI-NP\tO' -p124626 -aS'of\tof\tIN\tB-PP\tO' -p124627 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p124628 -aS',\t,\t,\tO\tO' -p124629 -aS'the\tthe\tDT\tB-NP\tO' -p124630 -aS'patient\tpatient\tNN\tI-NP\tO' -p124631 -aS'remained\tremain\tVBD\tB-VP\tO' -p124632 -aS'on\ton\tIN\tB-PP\tO' -p124633 -aS'CPAP\tCPAP\tNN\tB-NP\tB-protein' -p124634 -aS'with\twith\tIN\tB-PP\tO' -p124635 -aS'a\ta\tDT\tB-NP\tO' -p124636 -aS'PEEP\tPEEP\tNN\tI-NP\tB-protein' -p124637 -aS'of\tof\tIN\tB-PP\tO' -p124638 -aS'7.5\t7.5\tCD\tB-NP\tO' -p124639 -aS'and\tand\tCC\tO\tO' -p124640 -aS'a\ta\tDT\tB-NP\tO' -p124641 -aS'pressure\tpressure\tNN\tI-NP\tO' -p124642 -aS'support\tsupport\tNN\tI-NP\tO' -p124643 -aS'of\tof\tIN\tB-PP\tO' -p124644 -aS'9\t9\tCD\tB-NP\tO' -p124645 -aS'.\t.\t.\tO\tO' -p124646 -asS'She drinks socially .' -p124647 -(lp124648 -S'She\tShe\tPRP\tB-NP\tO' -p124649 -aS'drinks\tdrink\tVBZ\tB-VP\tO' -p124650 -aS'socially\tsocially\tRB\tB-ADVP\tO' -p124651 -aS'.\t.\t.\tO\tO' -p124652 -asS'There are simple atheroma in the aortic arch .' -p124653 -(lp124654 -S'There\tThere\tEX\tB-NP\tO' -p124655 -aS'are\tbe\tVBP\tB-VP\tO' -p124656 -aS'simple\tsimple\tJJ\tB-NP\tO' -p124657 -aS'atheroma\tatheroma\tNN\tI-NP\tO' -p124658 -aS'in\tin\tIN\tB-PP\tO' -p124659 -aS'the\tthe\tDT\tB-NP\tO' -p124660 -aS'aortic\taortic\tJJ\tI-NP\tO' -p124661 -aS'arch\tarch\tNN\tI-NP\tO' -p124662 -aS'.\t.\t.\tO\tO' -p124663 -asS'She was noted to have lateral ST depressions and given Aspirin .' -p124664 -(lp124665 -S'She\tShe\tPRP\tB-NP\tO' -p124666 -aS'was\tbe\tVBD\tB-VP\tO' -p124667 -aS'noted\tnote\tVBN\tI-VP\tO' -p124668 -aS'to\tto\tTO\tI-VP\tO' -p124669 -aS'have\thave\tVB\tI-VP\tO' -p124670 -aS'lateral\tlateral\tJJ\tB-NP\tO' -p124671 -aS'ST\tST\tNN\tI-NP\tO' -p124672 -aS'depressions\tdepression\tNNS\tI-NP\tO' -p124673 -aS'and\tand\tCC\tO\tO' -p124674 -aS'given\tgive\tVBN\tB-VP\tO' -p124675 -aS'Aspirin\tAspirin\tNN\tB-NP\tO' -p124676 -aS'.\t.\t.\tO\tO' -p124677 -asS'1. Closed reduction of right hip with open placement of dynamic hip screw , right hip .' -p124678 -(lp124679 -S'1.\t1.\tLS\tB-NP\tO' -p124680 -aS'Closed\tClosed\tJJ\tI-NP\tO' -p124681 -aS'reduction\treduction\tNN\tI-NP\tO' -p124682 -aS'of\tof\tIN\tB-PP\tO' -p124683 -aS'right\tright\tJJ\tB-NP\tO' -p124684 -aS'hip\thip\tNN\tI-NP\tO' -p124685 -aS'with\twith\tIN\tB-PP\tO' -p124686 -aS'open\topen\tJJ\tB-NP\tO' -p124687 -aS'placement\tplacement\tNN\tI-NP\tO' -p124688 -aS'of\tof\tIN\tB-PP\tO' -p124689 -aS'dynamic\tdynamic\tJJ\tB-NP\tO' -p124690 -aS'hip\thip\tNN\tI-NP\tO' -p124691 -aS'screw\tscrew\tNN\tI-NP\tO' -p124692 -aS',\t,\t,\tO\tO' -p124693 -aS'right\tright\tJJ\tB-NP\tO' -p124694 -aS'hip\thip\tNN\tI-NP\tO' -p124695 -aS'.\t.\t.\tO\tO' -p124696 -asS'No withdrawal to noxious stimuli .' -p124697 -(lp124698 -S'No\tNo\tDT\tB-NP\tO' -p124699 -aS'withdrawal\twithdrawal\tNN\tI-NP\tO' -p124700 -aS'to\tto\tTO\tB-PP\tO' -p124701 -aS'noxious\tnoxious\tJJ\tB-NP\tO' -p124702 -aS'stimuli\tstimulus\tNNS\tI-NP\tO' -p124703 -aS'.\t.\t.\tO\tO' -p124704 -asS'The course had multiple complications requiring pressors .' -p124705 -(lp124706 -S'The\tThe\tDT\tB-NP\tO' -p124707 -aS'course\tcourse\tNN\tI-NP\tO' -p124708 -aS'had\thave\tVBD\tB-VP\tO' -p124709 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p124710 -aS'complications\tcomplication\tNNS\tI-NP\tO' -p124711 -aS'requiring\trequire\tVBG\tB-VP\tO' -p124712 -aS'pressors\tpressor\tNNS\tB-NP\tO' -p124713 -aS'.\t.\t.\tO\tO' -p124714 -asS'She received a midline on 12-04 with a goal of 16 days of further antibiotic treatment with Meropenam ( for a total of 3 weeks ) upon discharge back to the nursing home where she lives .' -p124715 -(lp124716 -S'She\tShe\tPRP\tB-NP\tO' -p124717 -aS'received\treceive\tVBD\tB-VP\tO' -p124718 -aS'a\ta\tDT\tB-NP\tO' -p124719 -aS'midline\tmidline\tNN\tI-NP\tO' -p124720 -aS'on\ton\tIN\tB-PP\tO' -p124721 -aS'12-04\t12-04\tCD\tB-NP\tO' -p124722 -aS'with\twith\tIN\tB-PP\tO' -p124723 -aS'a\ta\tDT\tB-NP\tO' -p124724 -aS'goal\tgoal\tNN\tI-NP\tO' -p124725 -aS'of\tof\tIN\tB-PP\tO' -p124726 -aS'16\t16\tCD\tB-NP\tO' -p124727 -aS'days\tday\tNNS\tI-NP\tO' -p124728 -aS'of\tof\tIN\tB-PP\tO' -p124729 -aS'further\tfurther\tJJ\tB-NP\tO' -p124730 -aS'antibiotic\tantibiotic\tJJ\tI-NP\tO' -p124731 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p124732 -aS'with\twith\tIN\tB-PP\tO' -p124733 -aS'Meropenam\tMeropenam\tNNP\tB-NP\tO' -p124734 -aS'(\t(\t(\tO\tO' -p124735 -aS'for\tfor\tIN\tB-PP\tO' -p124736 -aS'a\ta\tDT\tB-NP\tO' -p124737 -aS'total\ttotal\tNN\tI-NP\tO' -p124738 -aS'of\tof\tIN\tB-PP\tO' -p124739 -aS'3\t3\tCD\tB-NP\tO' -p124740 -aS'weeks\tweek\tNNS\tI-NP\tO' -p124741 -aS')\t)\t)\tO\tO' -p124742 -aS'upon\tupon\tIN\tB-PP\tO' -p124743 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p124744 -aS'back\tback\tRB\tB-ADVP\tO' -p124745 -aS'to\tto\tTO\tB-PP\tO' -p124746 -aS'the\tthe\tDT\tB-NP\tO' -p124747 -aS'nursing\tnursing\tNN\tI-NP\tO' -p124748 -aS'home\thome\tNN\tI-NP\tO' -p124749 -aS'where\twhere\tWRB\tB-ADVP\tO' -p124750 -aS'she\tshe\tPRP\tB-NP\tO' -p124751 -aS'lives\tlive\tVBZ\tB-VP\tO' -p124752 -aS'.\t.\t.\tO\tO' -p124753 -asS'The rectal examination showed normal prostate , guaiac negative .' -p124754 -(lp124755 -S'The\tThe\tDT\tB-NP\tO' -p124756 -aS'rectal\trectal\tJJ\tI-NP\tO' -p124757 -aS'examination\texamination\tNN\tI-NP\tO' -p124758 -aS'showed\tshow\tVBD\tB-VP\tO' -p124759 -aS'normal\tnormal\tJJ\tB-NP\tO' -p124760 -aS'prostate\tprostate\tNN\tI-NP\tO' -p124761 -aS',\t,\t,\tO\tO' -p124762 -aS'guaiac\tguaiac\tNN\tB-NP\tO' -p124763 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p124764 -aS'.\t.\t.\tO\tO' -p124765 -asS'HEMATOLOGY : Hematocrit on admission was 52.8 .' -p124766 -(lp124767 -S'HEMATOLOGY\tHEMATOLOGY\tNN\tB-NP\tO' -p124768 -aS':\t:\t:\tO\tO' -p124769 -aS'Hematocrit\tHematocrit\tNN\tB-NP\tO' -p124770 -aS'on\ton\tIN\tB-PP\tO' -p124771 -aS'admission\tadmission\tNN\tB-NP\tO' -p124772 -aS'was\tbe\tVBD\tB-VP\tO' -p124773 -aS'52.8\t52.8\tCD\tB-NP\tO' -p124774 -aS'.\t.\t.\tO\tO' -p124775 -asS'This was repaired .' -p124776 -(lp124777 -S'This\tThis\tDT\tB-NP\tO' -p124778 -aS'was\tbe\tVBD\tB-VP\tO' -p124779 -aS'repaired\trepair\tVBN\tI-VP\tO' -p124780 -aS'.\t.\t.\tO\tO' -p124781 -asS'return to ED if worsening pain , black stools , blood in stool' -p124782 -(lp124783 -S'return\treturn\tVB\tB-VP\tO' -p124784 -aS'to\tto\tTO\tB-PP\tO' -p124785 -aS'ED\tED\tVBN\tB-VP\tO' -p124786 -aS'if\tif\tIN\tB-SBAR\tO' -p124787 -aS'worsening\tworsen\tVBG\tB-VP\tO' -p124788 -aS'pain\tpain\tNN\tB-NP\tO' -p124789 -aS',\t,\t,\tO\tO' -p124790 -aS'black\tblack\tJJ\tB-NP\tO' -p124791 -aS'stools\tstool\tNNS\tI-NP\tO' -p124792 -aS',\t,\t,\tO\tO' -p124793 -aS'blood\tblood\tNN\tB-NP\tO' -p124794 -aS'in\tin\tIN\tB-PP\tO' -p124795 -aS'stool\tstool\tNN\tB-NP\tO' -p124796 -asS'She delivered a 3680 gram male infant on 10/12/2004 at 10:17 pm with apgar scores of 9 and 9 at one and five minutes respectively at 40.0 weeks gestation via spontaneous vertex vaginal delivery .' -p124797 -(lp124798 -S'She\tShe\tPRP\tB-NP\tO' -p124799 -aS'delivered\tdeliver\tVBD\tB-VP\tO' -p124800 -aS'a\ta\tDT\tB-NP\tO' -p124801 -aS'3680\t3680\tCD\tI-NP\tO' -p124802 -aS'gram\tgram\tNN\tI-NP\tO' -p124803 -aS'male\tmale\tJJ\tI-NP\tO' -p124804 -aS'infant\tinfant\tNN\tI-NP\tO' -p124805 -aS'on\ton\tIN\tB-PP\tO' -p124806 -aS'10/12/2004\t10/12/2004\tCD\tB-NP\tO' -p124807 -aS'at\tat\tIN\tB-PP\tO' -p124808 -aS'10:17\t10:17\tCD\tB-NP\tO' -p124809 -aS'pm\tpm\tNN\tI-NP\tO' -p124810 -aS'with\twith\tIN\tB-PP\tO' -p124811 -aS'apgar\tapgar\tNN\tB-NP\tO' -p124812 -aS'scores\tscore\tNNS\tI-NP\tO' -p124813 -aS'of\tof\tIN\tB-PP\tO' -p124814 -aS'9\t9\tCD\tB-NP\tO' -p124815 -aS'and\tand\tCC\tI-NP\tO' -p124816 -aS'9\t9\tCD\tI-NP\tO' -p124817 -aS'at\tat\tIN\tB-PP\tO' -p124818 -aS'one\tone\tCD\tB-NP\tO' -p124819 -aS'and\tand\tCC\tI-NP\tO' -p124820 -aS'five\tfive\tCD\tI-NP\tO' -p124821 -aS'minutes\tminute\tNNS\tI-NP\tO' -p124822 -aS'respectively\trespectively\tRB\tB-ADVP\tO' -p124823 -aS'at\tat\tIN\tB-PP\tO' -p124824 -aS'40.0\t40.0\tCD\tB-NP\tO' -p124825 -aS'weeks\tweek\tNNS\tI-NP\tO' -p124826 -aS'gestation\tgestation\tNN\tI-NP\tO' -p124827 -aS'via\tvia\tIN\tB-PP\tO' -p124828 -aS'spontaneous\tspontaneous\tJJ\tB-NP\tO' -p124829 -aS'vertex\tvertex\tNN\tI-NP\tO' -p124830 -aS'vaginal\tvaginal\tJJ\tI-NP\tO' -p124831 -aS'delivery\tdelivery\tNN\tI-NP\tO' -p124832 -aS'.\t.\t.\tO\tO' -p124833 -asS'The wife also states that he drinks more than he states .' -p124834 -(lp124835 -S'The\tThe\tDT\tB-NP\tO' -p124836 -aS'wife\twife\tNN\tI-NP\tO' -p124837 -aS'also\talso\tRB\tB-ADVP\tO' -p124838 -aS'states\tstate\tVBZ\tB-VP\tO' -p124839 -aS'that\tthat\tIN\tB-SBAR\tO' -p124840 -aS'he\the\tPRP\tB-NP\tO' -p124841 -aS'drinks\tdrink\tVBZ\tB-VP\tO' -p124842 -aS'more\tmore\tJJR\tB-ADJP\tO' -p124843 -aS'than\tthan\tIN\tB-SBAR\tO' -p124844 -aS'he\the\tPRP\tB-NP\tO' -p124845 -aS'states\tstate\tVBZ\tB-VP\tO' -p124846 -aS'.\t.\t.\tO\tO' -p124847 -asS'described above .' -p124848 -(lp124849 -S'described\tdescribe\tVBN\tB-VP\tO' -p124850 -aS'above\tabove\tRB\tB-ADVP\tO' -p124851 -aS'.\t.\t.\tO\tO' -p124852 -asS'The patient was extubated .' -p124853 -(lp124854 -S'The\tThe\tDT\tB-NP\tO' -p124855 -aS'patient\tpatient\tNN\tI-NP\tO' -p124856 -aS'was\tbe\tVBD\tB-VP\tO' -p124857 -aS'extubated\textubate\tVBN\tI-VP\tO' -p124858 -aS'.\t.\t.\tO\tO' -p124859 -asS'Patient works formerly as a structural engineer , has not been employed over the last two years .' -p124860 -(lp124861 -S'Patient\tPatient\tNN\tB-NP\tO' -p124862 -aS'works\twork\tVBZ\tB-VP\tO' -p124863 -aS'formerly\tformerly\tRB\tB-ADVP\tO' -p124864 -aS'as\tas\tIN\tB-PP\tO' -p124865 -aS'a\ta\tDT\tB-NP\tO' -p124866 -aS'structural\tstructural\tJJ\tI-NP\tO' -p124867 -aS'engineer\tengineer\tNN\tI-NP\tO' -p124868 -aS',\t,\t,\tO\tO' -p124869 -aS'has\thave\tVBZ\tB-VP\tO' -p124870 -aS'not\tnot\tRB\tI-VP\tO' -p124871 -aS'been\tbe\tVBN\tI-VP\tO' -p124872 -aS'employed\temploy\tVBN\tI-VP\tO' -p124873 -aS'over\tover\tIN\tB-PP\tO' -p124874 -aS'the\tthe\tDT\tB-NP\tO' -p124875 -aS'last\tlast\tJJ\tI-NP\tO' -p124876 -aS'two\ttwo\tCD\tI-NP\tO' -p124877 -aS'years\tyear\tNNS\tI-NP\tO' -p124878 -aS'.\t.\t.\tO\tO' -p124879 -asS'No tobacco at this time ; he quit 20 years ago .' -p124880 -(lp124881 -S'No\tNo\tDT\tB-NP\tO' -p124882 -aS'tobacco\ttobacco\tNN\tI-NP\tO' -p124883 -aS'at\tat\tIN\tB-PP\tO' -p124884 -aS'this\tthis\tDT\tB-NP\tO' -p124885 -aS'time\ttime\tNN\tI-NP\tO' -p124886 -aS';\t;\t:\tO\tO' -p124887 -aS'he\the\tPRP\tB-NP\tO' -p124888 -aS'quit\tquit\tVBP\tB-VP\tO' -p124889 -aS'20\t20\tCD\tB-NP\tO' -p124890 -aS'years\tyear\tNNS\tI-NP\tO' -p124891 -aS'ago\tago\tRB\tB-ADVP\tO' -p124892 -aS'.\t.\t.\tO\tO' -p124893 -asS'Her atenolol was stopped due to bradycardia on admission but this may be restarted as an outpatient in gentle doses with careful monitoring of heart rate .' -p124894 -(lp124895 -S'Her\tHer\tPRP$\tB-NP\tO' -p124896 -aS'atenolol\tatenolol\tNN\tI-NP\tO' -p124897 -aS'was\tbe\tVBD\tB-VP\tO' -p124898 -aS'stopped\tstop\tVBN\tI-VP\tO' -p124899 -aS'due\tdue\tJJ\tB-ADJP\tO' -p124900 -aS'to\tto\tTO\tB-PP\tO' -p124901 -aS'bradycardia\tbradycardia\tNN\tB-NP\tO' -p124902 -aS'on\ton\tIN\tB-PP\tO' -p124903 -aS'admission\tadmission\tNN\tB-NP\tO' -p124904 -aS'but\tbut\tCC\tO\tO' -p124905 -aS'this\tthis\tDT\tB-NP\tO' -p124906 -aS'may\tmay\tMD\tB-VP\tO' -p124907 -aS'be\tbe\tVB\tI-VP\tO' -p124908 -aS'restarted\trestart\tVBN\tI-VP\tO' -p124909 -aS'as\tas\tIN\tB-PP\tO' -p124910 -aS'an\tan\tDT\tB-NP\tO' -p124911 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p124912 -aS'in\tin\tIN\tB-PP\tO' -p124913 -aS'gentle\tgentle\tJJ\tB-NP\tO' -p124914 -aS'doses\tdose\tNNS\tI-NP\tO' -p124915 -aS'with\twith\tIN\tB-PP\tO' -p124916 -aS'careful\tcareful\tJJ\tB-NP\tO' -p124917 -aS'monitoring\tmonitoring\tNN\tI-NP\tO' -p124918 -aS'of\tof\tIN\tB-PP\tO' -p124919 -aS'heart\theart\tNN\tB-NP\tO' -p124920 -aS'rate\trate\tNN\tI-NP\tO' -p124921 -aS'.\t.\t.\tO\tO' -p124922 -asS'A copy of this ultrasound is also found in his records .' -p124923 -(lp124924 -S'A\tA\tDT\tB-NP\tO' -p124925 -aS'copy\tcopy\tNN\tI-NP\tO' -p124926 -aS'of\tof\tIN\tB-PP\tO' -p124927 -aS'this\tthis\tDT\tB-NP\tO' -p124928 -aS'ultrasound\tultrasound\tNN\tI-NP\tO' -p124929 -aS'is\tbe\tVBZ\tB-VP\tO' -p124930 -aS'also\talso\tRB\tI-VP\tO' -p124931 -aS'found\tfind\tVBN\tI-VP\tO' -p124932 -aS'in\tin\tIN\tB-PP\tO' -p124933 -aS'his\this\tPRP$\tB-NP\tO' -p124934 -aS'records\trecord\tNNS\tI-NP\tO' -p124935 -aS'.\t.\t.\tO\tO' -p124936 -asS'The prolapse is especailly large and uncomfotable when she tries to move her bowels and it is easier for her to do sowhile standing rather than sitting .' -p124937 -(lp124938 -S'The\tThe\tDT\tB-NP\tO' -p124939 -aS'prolapse\tprolapse\tNN\tI-NP\tO' -p124940 -aS'is\tbe\tVBZ\tB-VP\tO' -p124941 -aS'especailly\tespecailly\tRB\tB-ADJP\tO' -p124942 -aS'large\tlarge\tJJ\tI-ADJP\tO' -p124943 -aS'and\tand\tCC\tI-ADJP\tO' -p124944 -aS'uncomfotable\tuncomfotable\tJJ\tI-ADJP\tO' -p124945 -aS'when\twhen\tWRB\tB-ADVP\tO' -p124946 -aS'she\tshe\tPRP\tB-NP\tO' -p124947 -aS'tries\ttry\tVBZ\tB-VP\tO' -p124948 -aS'to\tto\tTO\tI-VP\tO' -p124949 -aS'move\tmove\tVB\tI-VP\tO' -p124950 -aS'her\ther\tPRP$\tB-NP\tO' -p124951 -aS'bowels\tbowel\tNNS\tI-NP\tO' -p124952 -aS'and\tand\tCC\tO\tO' -p124953 -aS'it\tit\tPRP\tB-NP\tO' -p124954 -aS'is\tbe\tVBZ\tB-VP\tO' -p124955 -aS'easier\teasy\tJJR\tB-ADJP\tO' -p124956 -aS'for\tfor\tIN\tB-SBAR\tO' -p124957 -aS'her\ther\tPRP\tB-NP\tO' -p124958 -aS'to\tto\tTO\tB-VP\tO' -p124959 -aS'do\tdo\tVB\tI-VP\tO' -p124960 -aS'sowhile\tsowhile\tVB\tB-VP\tO' -p124961 -aS'standing\tstanding\tNN\tB-NP\tO' -p124962 -aS'rather\trather\tRB\tB-PP\tO' -p124963 -aS'than\tthan\tIN\tI-PP\tO' -p124964 -aS'sitting\tsit\tVBG\tB-VP\tO' -p124965 -aS'.\t.\t.\tO\tO' -p124966 -asS'Stool cultures have been sent numerous times as well as analysis for C. difficile toxin .' -p124967 -(lp124968 -S'Stool\tStool\tNN\tB-NP\tB-cell_line' -p124969 -aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' -p124970 -aS'have\thave\tVBP\tB-VP\tO' -p124971 -aS'been\tbe\tVBN\tI-VP\tO' -p124972 -aS'sent\tsend\tVBN\tI-VP\tO' -p124973 -aS'numerous\tnumerous\tJJ\tB-NP\tO' -p124974 -aS'times\ttime\tNNS\tI-NP\tO' -p124975 -aS'as\tas\tRB\tB-CONJP\tO' -p124976 -aS'well\twell\tRB\tI-CONJP\tO' -p124977 -aS'as\tas\tIN\tI-CONJP\tO' -p124978 -aS'analysis\tanalysis\tNN\tB-NP\tO' -p124979 -aS'for\tfor\tIN\tB-PP\tO' -p124980 -aS'C.\tC.\tNNP\tB-NP\tO' -p124981 -aS'difficile\tdifficile\tJJ\tI-NP\tO' -p124982 -aS'toxin\ttoxin\tNN\tI-NP\tO' -p124983 -aS'.\t.\t.\tO\tO' -p124984 -asS'Plavix was started at 75 mg a day , Lipitor 20 mg per day , metoprolol 25 mg twice a day to be titrated up as tolerated and on day two of admission an ACE inhibitor was started .' -p124985 -(lp124986 -S'Plavix\tPlavix\tNN\tB-NP\tO' -p124987 -aS'was\tbe\tVBD\tB-VP\tO' -p124988 -aS'started\tstart\tVBN\tI-VP\tO' -p124989 -aS'at\tat\tIN\tB-PP\tO' -p124990 -aS'75\t75\tCD\tB-NP\tO' -p124991 -aS'mg\tmg\tNN\tI-NP\tO' -p124992 -aS'a\ta\tDT\tB-NP\tO' -p124993 -aS'day\tday\tNN\tI-NP\tO' -p124994 -aS',\t,\t,\tO\tO' -p124995 -aS'Lipitor\tLipitor\tNN\tB-NP\tO' -p124996 -aS'20\t20\tCD\tI-NP\tO' -p124997 -aS'mg\tmg\tNN\tI-NP\tO' -p124998 -aS'per\tper\tIN\tB-PP\tO' -p124999 -aS'day\tday\tNN\tB-NP\tO' -p125000 -aS',\t,\t,\tO\tO' -p125001 -aS'metoprolol\tmetoprolol\tNN\tB-NP\tO' -p125002 -aS'25\t25\tCD\tI-NP\tO' -p125003 -aS'mg\tmg\tNN\tI-NP\tO' -p125004 -aS'twice\ttwice\tRB\tB-NP\tO' -p125005 -aS'a\ta\tDT\tI-NP\tO' -p125006 -aS'day\tday\tNN\tI-NP\tO' -p125007 -aS'to\tto\tTO\tB-VP\tO' -p125008 -aS'be\tbe\tVB\tI-VP\tO' -p125009 -aS'titrated\ttitrate\tVBN\tI-VP\tO' -p125010 -aS'up\tup\tRP\tB-PRT\tO' -p125011 -aS'as\tas\tRB\tO\tO' -p125012 -aS'tolerated\ttolerate\tVBN\tB-VP\tO' -p125013 -aS'and\tand\tCC\tO\tO' -p125014 -aS'on\ton\tIN\tB-PP\tO' -p125015 -aS'day\tday\tNN\tB-NP\tO' -p125016 -aS'two\ttwo\tCD\tI-NP\tO' -p125017 -aS'of\tof\tIN\tB-PP\tO' -p125018 -aS'admission\tadmission\tNN\tB-NP\tO' -p125019 -aS'an\tan\tDT\tB-NP\tO' -p125020 -aS'ACE\tACE\tNN\tI-NP\tO' -p125021 -aS'inhibitor\tinhibitor\tNN\tI-NP\tO' -p125022 -aS'was\tbe\tVBD\tB-VP\tO' -p125023 -aS'started\tstart\tVBN\tI-VP\tO' -p125024 -aS'.\t.\t.\tO\tO' -p125025 -asS'He was a previous drinker of one " old fashioned " every night .' -p125026 -(lp125027 -S'He\tHe\tPRP\tB-NP\tO' -p125028 -aS'was\tbe\tVBD\tB-VP\tO' -p125029 -aS'a\ta\tDT\tB-NP\tO' -p125030 -aS'previous\tprevious\tJJ\tI-NP\tO' -p125031 -aS'drinker\tdrinker\tNN\tI-NP\tO' -p125032 -aS'of\tof\tIN\tB-PP\tO' -p125033 -aS'one\tone\tCD\tB-NP\tO' -p125034 -aS'"\t"\tCC\tO\tO' -p125035 -aS'old\told\tJJ\tB-NP\tO' -p125036 -aS'fashioned\tfashion\tVBN\tB-VP\tO' -p125037 -aS'"\t"\tCC\tO\tO' -p125038 -aS'every\tevery\tDT\tB-NP\tO' -p125039 -aS'night\tnight\tNN\tI-NP\tO' -p125040 -aS'.\t.\t.\tO\tO' -p125041 -asS'8. Lipitor 10 mg once daily .' -p125042 -(lp125043 -S'8.\t8.\tCD\tB-NP\tO' -p125044 -aS'Lipitor\tLipitor\tNN\tI-NP\tO' -p125045 -aS'10\t10\tCD\tB-NP\tO' -p125046 -aS'mg\tmg\tNN\tI-NP\tO' -p125047 -aS'once\tonce\tRB\tB-ADVP\tO' -p125048 -aS'daily\tdaily\tRB\tI-ADVP\tO' -p125049 -aS'.\t.\t.\tO\tO' -p125050 -asS'It is made better by direct pressure to the point and she recalls no factors which worsened it .' -p125051 -(lp125052 -S'It\tIt\tPRP\tB-NP\tO' -p125053 -aS'is\tbe\tVBZ\tB-VP\tO' -p125054 -aS'made\tmake\tVBN\tI-VP\tO' -p125055 -aS'better\tgood\tJJR\tB-ADJP\tO' -p125056 -aS'by\tby\tIN\tB-PP\tO' -p125057 -aS'direct\tdirect\tJJ\tB-NP\tO' -p125058 -aS'pressure\tpressure\tNN\tI-NP\tO' -p125059 -aS'to\tto\tTO\tB-PP\tO' -p125060 -aS'the\tthe\tDT\tB-NP\tO' -p125061 -aS'point\tpoint\tNN\tI-NP\tO' -p125062 -aS'and\tand\tCC\tO\tO' -p125063 -aS'she\tshe\tPRP\tB-NP\tO' -p125064 -aS'recalls\trecall\tVBZ\tB-VP\tO' -p125065 -aS'no\tno\tDT\tB-NP\tO' -p125066 -aS'factors\tfactor\tNNS\tI-NP\tO' -p125067 -aS'which\twhich\tWDT\tB-NP\tO' -p125068 -aS'worsened\tworsen\tVBD\tB-VP\tO' -p125069 -aS'it\tit\tPRP\tB-NP\tO' -p125070 -aS'.\t.\t.\tO\tO' -p125071 -asS'5. Hydralazine 100 mg twice a day .' -p125072 -(lp125073 -S'5.\t5.\tLS\tB-NP\tO' -p125074 -aS'Hydralazine\tHydralazine\tNN\tI-NP\tO' -p125075 -aS'100\t100\tCD\tB-NP\tO' -p125076 -aS'mg\tmg\tNN\tI-NP\tO' -p125077 -aS'twice\ttwice\tRB\tB-NP\tO' -p125078 -aS'a\ta\tDT\tI-NP\tO' -p125079 -aS'day\tday\tNN\tI-NP\tO' -p125080 -aS'.\t.\t.\tO\tO' -p125081 -asS'Can carry out all activities of daily living .' -p125082 -(lp125083 -S'Can\tCan\tMD\tB-VP\tO' -p125084 -aS'carry\tcarry\tVB\tI-VP\tO' -p125085 -aS'out\tout\tRP\tB-PRT\tO' -p125086 -aS'all\tall\tDT\tB-NP\tO' -p125087 -aS'activities\tactivity\tNNS\tI-NP\tO' -p125088 -aS'of\tof\tIN\tB-PP\tO' -p125089 -aS'daily\tdaily\tJJ\tB-NP\tO' -p125090 -aS'living\tliving\tNN\tI-NP\tO' -p125091 -aS'.\t.\t.\tO\tO' -p125092 -asS'Omalley was consulted on 2014-04-08 for better glucose control since the patient was on steroids .' -p125093 -(lp125094 -S'Omalley\tOmalley\tNNP\tB-NP\tO' -p125095 -aS'was\tbe\tVBD\tB-VP\tO' -p125096 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p125097 -aS'on\ton\tIN\tB-PP\tO' -p125098 -aS'2014-04-08\t2014-04-08\tCD\tB-NP\tO' -p125099 -aS'for\tfor\tIN\tB-PP\tO' -p125100 -aS'better\tgood\tJJR\tB-NP\tO' -p125101 -aS'glucose\tglucose\tNN\tI-NP\tO' -p125102 -aS'control\tcontrol\tNN\tI-NP\tO' -p125103 -aS'since\tsince\tIN\tB-PP\tO' -p125104 -aS'the\tthe\tDT\tB-NP\tO' -p125105 -aS'patient\tpatient\tNN\tI-NP\tO' -p125106 -aS'was\tbe\tVBD\tB-VP\tO' -p125107 -aS'on\ton\tIN\tB-PP\tO' -p125108 -aS'steroids\tsteroid\tNNS\tB-NP\tO' -p125109 -aS'.\t.\t.\tO\tO' -p125110 -asS'There was no pedaledema .' -p125111 -(lp125112 -S'There\tThere\tEX\tB-NP\tO' -p125113 -aS'was\tbe\tVBD\tB-VP\tO' -p125114 -aS'no\tno\tDT\tB-NP\tO' -p125115 -aS'pedaledema\tpedaledema\tNN\tI-NP\tO' -p125116 -aS'.\t.\t.\tO\tO' -p125117 -asS'Diverticulitis , presenting for sigmoid colectomy .' -p125118 -(lp125119 -S'Diverticulitis\tDiverticulitis\tNN\tB-NP\tO' -p125120 -aS',\t,\t,\tO\tO' -p125121 -aS'presenting\tpresent\tVBG\tB-VP\tO' -p125122 -aS'for\tfor\tIN\tB-PP\tO' -p125123 -aS'sigmoid\tsigmoid\tJJ\tB-NP\tO' -p125124 -aS'colectomy\tcolectomy\tNN\tI-NP\tO' -p125125 -aS'.\t.\t.\tO\tO' -p125126 -asS'Chest x-ray was negative for effusions , pneumonia , or pneumothorax .' -p125127 -(lp125128 -S'Chest\tCh\tJJS\tB-NP\tO' -p125129 -aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' -p125130 -aS'was\tbe\tVBD\tB-VP\tO' -p125131 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p125132 -aS'for\tfor\tIN\tB-PP\tO' -p125133 -aS'effusions\teffusion\tNNS\tB-NP\tO' -p125134 -aS',\t,\t,\tO\tO' -p125135 -aS'pneumonia\tpneumonia\tNN\tB-NP\tO' -p125136 -aS',\t,\t,\tO\tO' -p125137 -aS'or\tor\tCC\tO\tO' -p125138 -aS'pneumothorax\tpneumothorax\tNN\tB-NP\tO' -p125139 -aS'.\t.\t.\tO\tO' -p125140 -asS'Abdomen : Soft , nontender , nondistended , good bowel sounds .' -p125141 -(lp125142 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p125143 -aS':\t:\t:\tO\tO' -p125144 -aS'Soft\tSoft\tJJ\tB-NP\tO' -p125145 -aS',\t,\t,\tI-NP\tO' -p125146 -aS'nontender\tnontender\tJJ\tI-NP\tO' -p125147 -aS',\t,\t,\tI-NP\tO' -p125148 -aS'nondistended\tnondistended\tJJ\tI-NP\tO' -p125149 -aS',\t,\t,\tI-NP\tO' -p125150 -aS'good\tgood\tJJ\tI-NP\tO' -p125151 -aS'bowel\tbowel\tNN\tI-NP\tO' -p125152 -aS'sounds\tsound\tNNS\tI-NP\tO' -p125153 -aS'.\t.\t.\tO\tO' -p125154 -asS'She had a magnetic resonance imaging study and magnetic resonance imaging angiogram performed which showed a large hemorrhagic lesion on the occipital lobe .' -p125155 -(lp125156 -S'She\tShe\tPRP\tB-NP\tO' -p125157 -aS'had\thave\tVBD\tB-VP\tO' -p125158 -aS'a\ta\tDT\tB-NP\tO' -p125159 -aS'magnetic\tmagnetic\tJJ\tI-NP\tO' -p125160 -aS'resonance\tresonance\tNN\tI-NP\tO' -p125161 -aS'imaging\timaging\tNN\tI-NP\tO' -p125162 -aS'study\tstudy\tNN\tI-NP\tO' -p125163 -aS'and\tand\tCC\tO\tO' -p125164 -aS'magnetic\tmagnetic\tJJ\tB-NP\tO' -p125165 -aS'resonance\tresonance\tNN\tI-NP\tO' -p125166 -aS'imaging\timaging\tNN\tI-NP\tO' -p125167 -aS'angiogram\tangiogram\tNN\tI-NP\tO' -p125168 -aS'performed\tperform\tVBD\tB-VP\tO' -p125169 -aS'which\twhich\tWDT\tB-NP\tO' -p125170 -aS'showed\tshow\tVBD\tB-VP\tO' -p125171 -aS'a\ta\tDT\tB-NP\tO' -p125172 -aS'large\tlarge\tJJ\tI-NP\tO' -p125173 -aS'hemorrhagic\themorrhagic\tJJ\tI-NP\tO' -p125174 -aS'lesion\tlesion\tNN\tI-NP\tO' -p125175 -aS'on\ton\tIN\tB-PP\tO' -p125176 -aS'the\tthe\tDT\tB-NP\tO' -p125177 -aS'occipital\toccipital\tNN\tI-NP\tO' -p125178 -aS'lobe\tlobe\tNN\tI-NP\tO' -p125179 -aS'.\t.\t.\tO\tO' -p125180 -asS'3. Albuterol - Ipratropium 103-18 mcg / Actuation Aerosol Sig : 03-04 Puffs Inhalation Q4H ( every 4 hours ) as needed .' -p125181 -(lp125182 -S'3.\t3.\tLS\tB-NP\tO' -p125183 -aS'Albuterol\tAlbuterol\tNN\tI-NP\tO' -p125184 -aS'-\t-\tHYPH\tO\tO' -p125185 -aS'Ipratropium\tIpratropium\tNN\tB-NP\tO' -p125186 -aS'103-18\t103-18\tCD\tI-NP\tO' -p125187 -aS'mcg\tmcg\tNN\tI-NP\tO' -p125188 -aS'/\t/\tSYM\tB-NP\tO' -p125189 -aS'Actuation\tActuation\tNN\tI-NP\tO' -p125190 -aS'Aerosol\tAerosol\tNNP\tI-NP\tO' -p125191 -aS'Sig\tSig\tNNP\tI-NP\tO' -p125192 -aS':\t:\t:\tO\tO' -p125193 -aS'03-04\t03-04\tCD\tB-NP\tO' -p125194 -aS'Puffs\tPuff\tNNS\tI-NP\tO' -p125195 -aS'Inhalation\tInhalation\tNN\tI-NP\tO' -p125196 -aS'Q4H\tQ4H\tNN\tI-NP\tO' -p125197 -aS'(\t(\t(\tO\tO' -p125198 -aS'every\tevery\tDT\tB-NP\tO' -p125199 -aS'4\t4\tCD\tI-NP\tO' -p125200 -aS'hours\thour\tNNS\tI-NP\tO' -p125201 -aS')\t)\t)\tO\tO' -p125202 -aS'as\tas\tIN\tB-SBAR\tO' -p125203 -aS'needed\tneed\tVBN\tB-VP\tO' -p125204 -aS'.\t.\t.\tO\tO' -p125205 -asS'He was treated with amphotericin-B bladder washes for this .' -p125206 -(lp125207 -S'He\tHe\tPRP\tB-NP\tO' -p125208 -aS'was\tbe\tVBD\tB-VP\tO' -p125209 -aS'treated\ttreat\tVBN\tI-VP\tO' -p125210 -aS'with\twith\tIN\tB-PP\tO' -p125211 -aS'amphotericin-B\tamphotericin-B\tNN\tB-NP\tO' -p125212 -aS'bladder\tbladder\tNN\tI-NP\tO' -p125213 -aS'washes\twash\tNNS\tI-NP\tO' -p125214 -aS'for\tfor\tIN\tB-PP\tO' -p125215 -aS'this\tthis\tDT\tB-NP\tO' -p125216 -aS'.\t.\t.\tO\tO' -p125217 -asS'The patient was admitted to the hospital for ureteral stent placement .' -p125218 -(lp125219 -S'The\tThe\tDT\tB-NP\tO' -p125220 -aS'patient\tpatient\tNN\tI-NP\tO' -p125221 -aS'was\tbe\tVBD\tB-VP\tO' -p125222 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p125223 -aS'to\tto\tTO\tB-PP\tO' -p125224 -aS'the\tthe\tDT\tB-NP\tO' -p125225 -aS'hospital\thospital\tNN\tI-NP\tO' -p125226 -aS'for\tfor\tIN\tB-PP\tO' -p125227 -aS'ureteral\tureteral\tJJ\tB-NP\tO' -p125228 -aS'stent\tstent\tJJ\tI-NP\tO' -p125229 -aS'placement\tplacement\tNN\tI-NP\tO' -p125230 -aS'.\t.\t.\tO\tO' -p125231 -asS'The patient has an ostomy appliance around the former site of his pancreatic fistula drain .' -p125232 -(lp125233 -S'The\tThe\tDT\tB-NP\tO' -p125234 -aS'patient\tpatient\tNN\tI-NP\tO' -p125235 -aS'has\thave\tVBZ\tB-VP\tO' -p125236 -aS'an\tan\tDT\tB-NP\tO' -p125237 -aS'ostomy\tostomy\tNN\tI-NP\tO' -p125238 -aS'appliance\tappliance\tNN\tI-NP\tO' -p125239 -aS'around\taround\tIN\tB-PP\tO' -p125240 -aS'the\tthe\tDT\tB-NP\tO' -p125241 -aS'former\tformer\tJJ\tI-NP\tO' -p125242 -aS'site\tsite\tNN\tI-NP\tO' -p125243 -aS'of\tof\tIN\tB-PP\tO' -p125244 -aS'his\this\tPRP$\tB-NP\tO' -p125245 -aS'pancreatic\tpancreatic\tJJ\tI-NP\tO' -p125246 -aS'fistula\tfistula\tNN\tI-NP\tO' -p125247 -aS'drain\tdrain\tNN\tI-NP\tO' -p125248 -aS'.\t.\t.\tO\tO' -p125249 -asS'On day of life 15 , she was noted to have a murmur , eventually prompting evaluation by ECHO .' -p125250 -(lp125251 -S'On\tOn\tIN\tB-PP\tO' -p125252 -aS'day\tday\tNN\tB-NP\tO' -p125253 -aS'of\tof\tIN\tB-PP\tO' -p125254 -aS'life\tlife\tNN\tB-NP\tO' -p125255 -aS'15\t15\tCD\tI-NP\tO' -p125256 -aS',\t,\t,\tO\tO' -p125257 -aS'she\tshe\tPRP\tB-NP\tO' -p125258 -aS'was\tbe\tVBD\tB-VP\tO' -p125259 -aS'noted\tnote\tVBN\tI-VP\tO' -p125260 -aS'to\tto\tTO\tI-VP\tO' -p125261 -aS'have\thave\tVB\tI-VP\tO' -p125262 -aS'a\ta\tDT\tB-NP\tO' -p125263 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p125264 -aS',\t,\t,\tO\tO' -p125265 -aS'eventually\teventually\tRB\tB-ADVP\tO' -p125266 -aS'prompting\tprompt\tVBG\tB-VP\tO' -p125267 -aS'evaluation\tevaluation\tNN\tB-NP\tO' -p125268 -aS'by\tby\tIN\tB-PP\tO' -p125269 -aS'ECHO\tECHO\tNN\tB-NP\tB-protein' -p125270 -aS'.\t.\t.\tO\tO' -p125271 -asS'He does not smoke .' -p125272 -(lp125273 -S'He\tHe\tPRP\tB-NP\tO' -p125274 -aS'does\tdo\tVBZ\tB-VP\tO' -p125275 -aS'not\tnot\tRB\tI-VP\tO' -p125276 -aS'smoke\tsmoke\tVB\tI-VP\tO' -p125277 -aS'.\t.\t.\tO\tO' -p125278 -asS'The patient was eventually restarted on her outpatient dose of Lasix once her renal function improved to baseline and remained hemodynamically stable throughout the remainder of her hospitalization .' -p125279 -(lp125280 -S'The\tThe\tDT\tB-NP\tO' -p125281 -aS'patient\tpatient\tNN\tI-NP\tO' -p125282 -aS'was\tbe\tVBD\tB-VP\tO' -p125283 -aS'eventually\teventually\tRB\tI-VP\tO' -p125284 -aS'restarted\trestart\tVBN\tI-VP\tO' -p125285 -aS'on\ton\tIN\tB-PP\tO' -p125286 -aS'her\ther\tPRP$\tB-NP\tO' -p125287 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p125288 -aS'dose\tdose\tNN\tI-NP\tO' -p125289 -aS'of\tof\tIN\tB-PP\tO' -p125290 -aS'Lasix\tLasix\tNNP\tB-NP\tO' -p125291 -aS'once\tonce\tRB\tB-ADVP\tO' -p125292 -aS'her\ther\tPRP$\tB-NP\tO' -p125293 -aS'renal\trenal\tJJ\tI-NP\tO' -p125294 -aS'function\tfunction\tNN\tI-NP\tO' -p125295 -aS'improved\timprove\tVBN\tB-VP\tO' -p125296 -aS'to\tto\tTO\tB-PP\tO' -p125297 -aS'baseline\tbaseline\tNN\tB-NP\tO' -p125298 -aS'and\tand\tCC\tO\tO' -p125299 -aS'remained\tremain\tVBD\tB-VP\tO' -p125300 -aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' -p125301 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p125302 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p125303 -aS'the\tthe\tDT\tB-NP\tO' -p125304 -aS'remainder\tremainder\tNN\tI-NP\tO' -p125305 -aS'of\tof\tIN\tB-PP\tO' -p125306 -aS'her\ther\tPRP$\tB-NP\tO' -p125307 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p125308 -aS'.\t.\t.\tO\tO' -p125309 -asS'There has been almost complete resolution of pulmonary edema .' -p125310 -(lp125311 -S'There\tThere\tEX\tB-NP\tO' -p125312 -aS'has\thave\tVBZ\tB-VP\tO' -p125313 -aS'been\tbe\tVBN\tI-VP\tO' -p125314 -aS'almost\talmost\tRB\tB-NP\tO' -p125315 -aS'complete\tcomplete\tJJ\tI-NP\tO' -p125316 -aS'resolution\tresolution\tNN\tI-NP\tO' -p125317 -aS'of\tof\tIN\tB-PP\tO' -p125318 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p125319 -aS'edema\tedema\tNN\tI-NP\tO' -p125320 -aS'.\t.\t.\tO\tO' -p125321 -asS'5/5 strength throughout , though weary of moving back .' -p125322 -(lp125323 -S'5/5\t5/5\tCD\tB-NP\tO' -p125324 -aS'strength\tstrength\tNN\tI-NP\tO' -p125325 -aS'throughout\tthroughout\tIN\tB-ADVP\tO' -p125326 -aS',\t,\t,\tO\tO' -p125327 -aS'though\tthough\tIN\tB-SBAR\tO' -p125328 -aS'weary\tweary\tJJ\tB-ADJP\tO' -p125329 -aS'of\tof\tIN\tB-PP\tO' -p125330 -aS'moving\tmove\tVBG\tB-VP\tO' -p125331 -aS'back\tback\tRB\tB-ADVP\tO' -p125332 -aS'.\t.\t.\tO\tO' -p125333 -asS'The patient had considerable difficulty with left finger-to-nose movement , most likely secondary to hemianopsia .' -p125334 -(lp125335 -S'The\tThe\tDT\tB-NP\tO' -p125336 -aS'patient\tpatient\tNN\tI-NP\tO' -p125337 -aS'had\thave\tVBD\tB-VP\tO' -p125338 -aS'considerable\tconsiderable\tJJ\tB-NP\tO' -p125339 -aS'difficulty\tdifficulty\tNN\tI-NP\tO' -p125340 -aS'with\twith\tIN\tB-PP\tO' -p125341 -aS'left\tleft\tJJ\tB-NP\tO' -p125342 -aS'finger-to-nose\tfinger-to-nose\tJJ\tI-NP\tO' -p125343 -aS'movement\tmovement\tNN\tI-NP\tO' -p125344 -aS',\t,\t,\tO\tO' -p125345 -aS'most\tmost\tRBS\tB-ADVP\tO' -p125346 -aS'likely\tlikely\tRB\tI-ADVP\tO' -p125347 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p125348 -aS'to\tto\tTO\tB-PP\tO' -p125349 -aS'hemianopsia\themianopsia\tNN\tB-NP\tO' -p125350 -aS'.\t.\t.\tO\tO' -p125351 -asS"The exact etiology of the patient 's respiratory distress was presumed to be questionable multifactorial ." -p125352 -(lp125353 -S'The\tThe\tDT\tB-NP\tO' -p125354 -aS'exact\texact\tJJ\tI-NP\tO' -p125355 -aS'etiology\tetiology\tNN\tI-NP\tO' -p125356 -aS'of\tof\tIN\tB-PP\tO' -p125357 -aS'the\tthe\tDT\tB-NP\tO' -p125358 -aS'patient\tpatient\tNN\tI-NP\tO' -p125359 -aS"'s\t's\tPOS\tB-NP\tO" -p125360 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p125361 -aS'distress\tdistress\tNN\tI-NP\tO' -p125362 -aS'was\tbe\tVBD\tB-VP\tO' -p125363 -aS'presumed\tpresume\tVBN\tI-VP\tO' -p125364 -aS'to\tto\tTO\tI-VP\tO' -p125365 -aS'be\tbe\tVB\tI-VP\tO' -p125366 -aS'questionable\tquestionable\tJJ\tB-ADJP\tO' -p125367 -aS'multifactorial\tmultifactorial\tJJ\tB-ADJP\tO' -p125368 -aS'.\t.\t.\tO\tO' -p125369 -asS'The patient underwent an echocardiogram which demonstrated a preserved ejection fraction with left ventricular hypertrophy and no significant valvular abnormalities .' -p125370 -(lp125371 -S'The\tThe\tDT\tB-NP\tO' -p125372 -aS'patient\tpatient\tNN\tI-NP\tO' -p125373 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p125374 -aS'an\tan\tDT\tB-NP\tO' -p125375 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p125376 -aS'which\twhich\tWDT\tB-NP\tO' -p125377 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p125378 -aS'a\ta\tDT\tB-NP\tO' -p125379 -aS'preserved\tpreserve\tVBN\tI-NP\tO' -p125380 -aS'ejection\tejection\tNN\tI-NP\tO' -p125381 -aS'fraction\tfraction\tNN\tI-NP\tO' -p125382 -aS'with\twith\tIN\tB-PP\tO' -p125383 -aS'left\tleft\tJJ\tB-NP\tO' -p125384 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p125385 -aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' -p125386 -aS'and\tand\tCC\tO\tO' -p125387 -aS'no\tno\tDT\tB-NP\tO' -p125388 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p125389 -aS'valvular\tvalvular\tJJ\tI-NP\tO' -p125390 -aS'abnormalities\tabnormality\tNNS\tI-NP\tO' -p125391 -aS'.\t.\t.\tO\tO' -p125392 -asS'He maintained good peripheral pulses and warm feet postoperatively .' -p125393 -(lp125394 -S'He\tHe\tPRP\tB-NP\tO' -p125395 -aS'maintained\tmaintain\tVBD\tB-VP\tO' -p125396 -aS'good\tgood\tJJ\tB-NP\tO' -p125397 -aS'peripheral\tperipheral\tJJ\tI-NP\tO' -p125398 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p125399 -aS'and\tand\tCC\tO\tO' -p125400 -aS'warm\twarm\tJJ\tB-NP\tO' -p125401 -aS'feet\tfoot\tNNS\tI-NP\tO' -p125402 -aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' -p125403 -aS'.\t.\t.\tO\tO' -p125404 -asS'98.6 , 85 , 130/80 , 20 , 97% on room air , 82.2 kg .' -p125405 -(lp125406 -S'98.6\t98.6\tCD\tB-NP\tO' -p125407 -aS',\t,\t,\tI-NP\tO' -p125408 -aS'85\t85\tCD\tI-NP\tO' -p125409 -aS',\t,\t,\tI-NP\tO' -p125410 -aS'130/80\t130/80\tCD\tI-NP\tO' -p125411 -aS',\t,\t,\tI-NP\tO' -p125412 -aS'20\t20\tCD\tI-NP\tO' -p125413 -aS',\t,\t,\tI-NP\tO' -p125414 -aS'97%\t97%\tCD\tI-NP\tO' -p125415 -aS'on\ton\tIN\tB-PP\tO' -p125416 -aS'room\troom\tNN\tB-NP\tO' -p125417 -aS'air\tair\tNN\tI-NP\tO' -p125418 -aS',\t,\t,\tO\tO' -p125419 -aS'82.2\t82.2\tCD\tB-NP\tO' -p125420 -aS'kg\tkg\tNN\tI-NP\tO' -p125421 -aS'.\t.\t.\tO\tO' -p125422 -asS'Mediastinal chest tube was removed on postoperative day three .' -p125423 -(lp125424 -S'Mediastinal\tMediastinal\tJJ\tB-NP\tO' -p125425 -aS'chest\tchest\tNN\tI-NP\tO' -p125426 -aS'tube\ttube\tNN\tI-NP\tO' -p125427 -aS'was\tbe\tVBD\tB-VP\tO' -p125428 -aS'removed\tremove\tVBN\tI-VP\tO' -p125429 -aS'on\ton\tIN\tB-PP\tO' -p125430 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p125431 -aS'day\tday\tNN\tI-NP\tO' -p125432 -aS'three\tthree\tCD\tI-NP\tO' -p125433 -aS'.\t.\t.\tO\tO' -p125434 -asS'The patient remained comfortable .' -p125435 -(lp125436 -S'The\tThe\tDT\tB-NP\tO' -p125437 -aS'patient\tpatient\tNN\tI-NP\tO' -p125438 -aS'remained\tremain\tVBD\tB-VP\tO' -p125439 -aS'comfortable\tcomfortable\tJJ\tB-ADJP\tO' -p125440 -aS'.\t.\t.\tO\tO' -p125441 -asS'Jugular venous distention to the jaw .' -p125442 -(lp125443 -S'Jugular\tJugular\tJJ\tB-NP\tO' -p125444 -aS'venous\tvenous\tJJ\tI-NP\tO' -p125445 -aS'distention\tdistention\tNN\tI-NP\tO' -p125446 -aS'to\tto\tTO\tB-PP\tO' -p125447 -aS'the\tthe\tDT\tB-NP\tO' -p125448 -aS'jaw\tjaw\tNN\tI-NP\tO' -p125449 -aS'.\t.\t.\tO\tO' -p125450 -asS'2. Ovoid 18 - mm density within the atrium of the right lateral ventricle .' -p125451 -(lp125452 -S'2.\t2.\tLS\tB-NP\tO' -p125453 -aS'Ovoid\tOvoid\tJJ\tI-NP\tB-protein' -p125454 -aS'18\t18\tCD\tI-NP\tI-protein' -p125455 -aS'-\t-\tHYPH\tI-NP\tO' -p125456 -aS'mm\tmm\tNN\tI-NP\tO' -p125457 -aS'density\tdensity\tNN\tI-NP\tO' -p125458 -aS'within\twithin\tIN\tB-PP\tO' -p125459 -aS'the\tthe\tDT\tB-NP\tO' -p125460 -aS'atrium\tatrium\tNN\tI-NP\tO' -p125461 -aS'of\tof\tIN\tB-PP\tO' -p125462 -aS'the\tthe\tDT\tB-NP\tO' -p125463 -aS'right\tright\tJJ\tI-NP\tO' -p125464 -aS'lateral\tlateral\tJJ\tI-NP\tO' -p125465 -aS'ventricle\tventricle\tNN\tI-NP\tO' -p125466 -aS'.\t.\t.\tO\tO' -p125467 -asS'Finger stick blood glucose 120 .' -p125468 -(lp125469 -S'Finger\tFinger\tNN\tB-NP\tO' -p125470 -aS'stick\tstick\tVBP\tB-VP\tO' -p125471 -aS'blood\tblood\tNN\tB-NP\tO' -p125472 -aS'glucose\tglucose\tNN\tI-NP\tO' -p125473 -aS'120\t120\tCD\tI-NP\tO' -p125474 -aS'.\t.\t.\tO\tO' -p125475 -asS'Subarachnoid hemorrhage , posttraumatic .' -p125476 -(lp125477 -S'Subarachnoid\tSubarachnoid\tJJ\tB-NP\tO' -p125478 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p125479 -aS',\t,\t,\tO\tO' -p125480 -aS'posttraumatic\tposttraumatic\tJJ\tB-ADJP\tO' -p125481 -aS'.\t.\t.\tO\tO' -p125482 -asS'She tolerated the chemotherapy well with mild nausea and vomiting .' -p125483 -(lp125484 -S'She\tShe\tPRP\tB-NP\tO' -p125485 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p125486 -aS'the\tthe\tDT\tB-NP\tO' -p125487 -aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' -p125488 -aS'well\twell\tRB\tB-ADVP\tO' -p125489 -aS'with\twith\tIN\tB-PP\tO' -p125490 -aS'mild\tmild\tJJ\tB-NP\tO' -p125491 -aS'nausea\tnausea\tNN\tI-NP\tO' -p125492 -aS'and\tand\tCC\tI-NP\tO' -p125493 -aS'vomiting\tvomiting\tNN\tI-NP\tO' -p125494 -aS'.\t.\t.\tO\tO' -p125495 -asS'History of urinary tract infections .' -p125496 -(lp125497 -S'History\tHistory\tNN\tB-NP\tO' -p125498 -aS'of\tof\tIN\tB-PP\tO' -p125499 -aS'urinary\turinary\tJJ\tB-NP\tO' -p125500 -aS'tract\ttract\tNN\tI-NP\tO' -p125501 -aS'infections\tinfection\tNNS\tI-NP\tO' -p125502 -aS'.\t.\t.\tO\tO' -p125503 -asS'Postoperatively he did well initially in the first 12 hours .' -p125504 -(lp125505 -S'Postoperatively\tPostoperatively\tRB\tB-ADVP\tO' -p125506 -aS'he\the\tPRP\tB-NP\tO' -p125507 -aS'did\tdo\tVBD\tB-VP\tO' -p125508 -aS'well\twell\tRB\tB-ADVP\tO' -p125509 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p125510 -aS'in\tin\tIN\tB-PP\tO' -p125511 -aS'the\tthe\tDT\tB-NP\tO' -p125512 -aS'first\tfirst\tJJ\tI-NP\tO' -p125513 -aS'12\t12\tCD\tI-NP\tO' -p125514 -aS'hours\thour\tNNS\tI-NP\tO' -p125515 -aS'.\t.\t.\tO\tO' -p125516 -asS'7. Benign prostatic hypertrophy status post transurethral resection of the prostate ; self catheterization .' -p125517 -(lp125518 -S'7.\t7.\tLS\tB-NP\tO' -p125519 -aS'Benign\tBenign\tJJ\tI-NP\tO' -p125520 -aS'prostatic\tprostatic\tJJ\tI-NP\tO' -p125521 -aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' -p125522 -aS'status\tstatus\tNN\tI-NP\tO' -p125523 -aS'post\tpost\tNN\tI-NP\tO' -p125524 -aS'transurethral\ttransurethral\tJJ\tI-NP\tO' -p125525 -aS'resection\tresection\tNN\tI-NP\tO' -p125526 -aS'of\tof\tIN\tB-PP\tO' -p125527 -aS'the\tthe\tDT\tB-NP\tO' -p125528 -aS'prostate\tprostate\tNN\tI-NP\tO' -p125529 -aS';\t;\t:\tO\tO' -p125530 -aS'self\tself\tNN\tB-NP\tO' -p125531 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p125532 -aS'.\t.\t.\tO\tO' -p125533 -asS'reveal no clubbing , cyanosis or edema .' -p125534 -(lp125535 -S'reveal\treveal\tVB\tB-VP\tO' -p125536 -aS'no\tno\tDT\tB-NP\tO' -p125537 -aS'clubbing\tclubbing\tNN\tI-NP\tO' -p125538 -aS',\t,\t,\tI-NP\tO' -p125539 -aS'cyanosis\tcyanosis\tNN\tI-NP\tO' -p125540 -aS'or\tor\tCC\tI-NP\tO' -p125541 -aS'edema\tedema\tNN\tI-NP\tO' -p125542 -aS'.\t.\t.\tO\tO' -p125543 -asS'Followed with yearly abdominal CT without radiographic progression .' -p125544 -(lp125545 -S'Followed\tFollow\tVBN\tB-VP\tO' -p125546 -aS'with\twith\tIN\tB-PP\tO' -p125547 -aS'yearly\tyearly\tJJ\tB-NP\tO' -p125548 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p125549 -aS'CT\tCT\tNN\tI-NP\tO' -p125550 -aS'without\twithout\tIN\tB-PP\tO' -p125551 -aS'radiographic\tradiographic\tJJ\tB-NP\tO' -p125552 -aS'progression\tprogression\tNN\tI-NP\tO' -p125553 -aS'.\t.\t.\tO\tO' -p125554 -asS'The size and shape of the ventricles is unchanged .' -p125555 -(lp125556 -S'The\tThe\tDT\tB-NP\tO' -p125557 -aS'size\tsize\tNN\tI-NP\tO' -p125558 -aS'and\tand\tCC\tI-NP\tO' -p125559 -aS'shape\tshape\tNN\tI-NP\tO' -p125560 -aS'of\tof\tIN\tB-PP\tO' -p125561 -aS'the\tthe\tDT\tB-NP\tO' -p125562 -aS'ventricles\tventricle\tNNS\tI-NP\tO' -p125563 -aS'is\tbe\tVBZ\tB-VP\tO' -p125564 -aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' -p125565 -aS'.\t.\t.\tO\tO' -p125566 -asS"The steroids were thought to have helped significantly in in the setting of Addison 's with possibely superimposed infection ." -p125567 -(lp125568 -S'The\tThe\tDT\tB-NP\tO' -p125569 -aS'steroids\tsteroid\tNNS\tI-NP\tO' -p125570 -aS'were\tbe\tVBD\tB-VP\tO' -p125571 -aS'thought\tthink\tVBN\tI-VP\tO' -p125572 -aS'to\tto\tTO\tI-VP\tO' -p125573 -aS'have\thave\tVB\tI-VP\tO' -p125574 -aS'helped\thelp\tVBN\tI-VP\tO' -p125575 -aS'significantly\tsignificantly\tRB\tB-ADVP\tO' -p125576 -aS'in\tin\tIN\tB-PP\tO' -p125577 -aS'in\tin\tIN\tB-PP\tO' -p125578 -aS'the\tthe\tDT\tB-NP\tO' -p125579 -aS'setting\tsetting\tNN\tI-NP\tO' -p125580 -aS'of\tof\tIN\tB-PP\tO' -p125581 -aS'Addison\tAddison\tNNP\tB-NP\tO' -p125582 -aS"'s\t's\tPOS\tB-NP\tO" -p125583 -aS'with\twith\tIN\tB-PP\tO' -p125584 -aS'possibely\tpossibely\tRB\tB-NP\tO' -p125585 -aS'superimposed\tsuperimpose\tVBN\tI-NP\tO' -p125586 -aS'infection\tinfection\tNN\tI-NP\tO' -p125587 -aS'.\t.\t.\tO\tO' -p125588 -asS'The patient is a 65-year-old male with a past medical history of diabetes mellitus , three-vessel coronary artery bypassgraft , congestive heart failure , who presents with a humeral fracture .' -p125589 -(lp125590 -S'The\tThe\tDT\tB-NP\tO' -p125591 -aS'patient\tpatient\tNN\tI-NP\tO' -p125592 -aS'is\tbe\tVBZ\tB-VP\tO' -p125593 -aS'a\ta\tDT\tB-NP\tO' -p125594 -aS'65-year-old\t65-year-old\tJJ\tI-NP\tO' -p125595 -aS'male\tmale\tNN\tI-NP\tO' -p125596 -aS'with\twith\tIN\tB-PP\tO' -p125597 -aS'a\ta\tDT\tB-NP\tO' -p125598 -aS'past\tpast\tJJ\tI-NP\tO' -p125599 -aS'medical\tmedical\tJJ\tI-NP\tO' -p125600 -aS'history\thistory\tNN\tI-NP\tO' -p125601 -aS'of\tof\tIN\tB-PP\tO' -p125602 -aS'diabetes\tdiabetes\tNN\tB-NP\tO' -p125603 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p125604 -aS',\t,\t,\tO\tO' -p125605 -aS'three-vessel\tthree-vessel\tJJ\tB-NP\tO' -p125606 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p125607 -aS'artery\tartery\tNN\tI-NP\tO' -p125608 -aS'bypassgraft\tbypassgraft\tNN\tI-NP\tO' -p125609 -aS',\t,\t,\tO\tO' -p125610 -aS'congestive\tcongestive\tJJ\tB-NP\tO' -p125611 -aS'heart\theart\tNN\tI-NP\tO' -p125612 -aS'failure\tfailure\tNN\tI-NP\tO' -p125613 -aS',\t,\t,\tO\tO' -p125614 -aS'who\twho\tWP\tB-NP\tO' -p125615 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p125616 -aS'with\twith\tIN\tB-PP\tO' -p125617 -aS'a\ta\tDT\tB-NP\tO' -p125618 -aS'humeral\thumeral\tJJ\tI-NP\tO' -p125619 -aS'fracture\tfracture\tNN\tI-NP\tO' -p125620 -aS'.\t.\t.\tO\tO' -p125621 -asS'There was no evidence of left ventricular hypertrophy or asymmetric septal hypertrophy , which had been an issue that had been raised on an echocardiogram in Ownra Cin , New Mexico on 12/06/96 .' -p125622 -(lp125623 -S'There\tThere\tEX\tB-NP\tO' -p125624 -aS'was\tbe\tVBD\tB-VP\tO' -p125625 -aS'no\tno\tDT\tB-NP\tO' -p125626 -aS'evidence\tevidence\tNN\tI-NP\tO' -p125627 -aS'of\tof\tIN\tB-PP\tO' -p125628 -aS'left\tleft\tJJ\tB-NP\tO' -p125629 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p125630 -aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' -p125631 -aS'or\tor\tCC\tO\tO' -p125632 -aS'asymmetric\tasymmetric\tJJ\tB-NP\tO' -p125633 -aS'septal\tseptal\tJJ\tI-NP\tO' -p125634 -aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' -p125635 -aS',\t,\t,\tO\tO' -p125636 -aS'which\twhich\tWDT\tB-NP\tO' -p125637 -aS'had\thave\tVBD\tB-VP\tO' -p125638 -aS'been\tbe\tVBN\tI-VP\tO' -p125639 -aS'an\tan\tDT\tB-NP\tO' -p125640 -aS'issue\tissue\tNN\tI-NP\tO' -p125641 -aS'that\tthat\tWDT\tB-NP\tO' -p125642 -aS'had\thave\tVBD\tB-VP\tO' -p125643 -aS'been\tbe\tVBN\tI-VP\tO' -p125644 -aS'raised\traise\tVBN\tI-VP\tO' -p125645 -aS'on\ton\tIN\tB-PP\tO' -p125646 -aS'an\tan\tDT\tB-NP\tO' -p125647 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p125648 -aS'in\tin\tIN\tB-PP\tO' -p125649 -aS'Ownra\tOwnra\tNNP\tB-NP\tO' -p125650 -aS'Cin\tCin\tNNP\tI-NP\tO' -p125651 -aS',\t,\t,\tO\tO' -p125652 -aS'New\tNew\tNNP\tB-NP\tO' -p125653 -aS'Mexico\tMexico\tNNP\tI-NP\tO' -p125654 -aS'on\ton\tIN\tB-PP\tO' -p125655 -aS'12/06/96\t12/06/96\tCD\tB-NP\tO' -p125656 -aS'.\t.\t.\tO\tO' -p125657 -asS'4. History of esophageal erosion , MW tear' -p125658 -(lp125659 -S'4.\t4.\tLS\tB-NP\tO' -p125660 -aS'History\tHistory\tNN\tI-NP\tO' -p125661 -aS'of\tof\tIN\tB-PP\tO' -p125662 -aS'esophageal\tesophageal\tJJ\tB-NP\tO' -p125663 -aS'erosion\terosion\tNN\tI-NP\tO' -p125664 -aS',\t,\t,\tO\tO' -p125665 -aS'MW\tMW\tNN\tB-NP\tO' -p125666 -aS'tear\ttear\tNN\tI-NP\tO' -p125667 -asS'13. NPH insulin 7 units in the morning and 5 units at night .' -p125668 -(lp125669 -S'13.\t13.\tLS\tB-NP\tO' -p125670 -aS'NPH\tNPH\tNN\tI-NP\tB-protein' -p125671 -aS'insulin\tinsulin\tNN\tI-NP\tI-protein' -p125672 -aS'7\t7\tCD\tB-NP\tI-protein' -p125673 -aS'units\tunit\tNNS\tI-NP\tI-protein' -p125674 -aS'in\tin\tIN\tB-PP\tO' -p125675 -aS'the\tthe\tDT\tB-NP\tO' -p125676 -aS'morning\tmorning\tNN\tI-NP\tO' -p125677 -aS'and\tand\tCC\tO\tO' -p125678 -aS'5\t5\tCD\tB-NP\tO' -p125679 -aS'units\tunit\tNNS\tI-NP\tO' -p125680 -aS'at\tat\tIN\tB-PP\tO' -p125681 -aS'night\tnight\tNN\tB-NP\tO' -p125682 -aS'.\t.\t.\tO\tO' -p125683 -asS'Ext : no c/c/e , left arm with fistula with good thrill' -p125684 -(lp125685 -S'Ext\tExt\tNN\tB-NP\tO' -p125686 -aS':\t:\t:\tO\tO' -p125687 -aS'no\tno\tDT\tB-NP\tO' -p125688 -aS'c/c/e\tc/c/e\tNN\tI-NP\tO' -p125689 -aS',\t,\t,\tO\tO' -p125690 -aS'left\tleave\tVBD\tB-VP\tO' -p125691 -aS'arm\tarm\tNN\tB-NP\tO' -p125692 -aS'with\twith\tIN\tB-PP\tO' -p125693 -aS'fistula\tfistula\tNN\tB-NP\tO' -p125694 -aS'with\twith\tIN\tB-PP\tO' -p125695 -aS'good\tgood\tJJ\tB-NP\tO' -p125696 -aS'thrill\tthrill\tNN\tI-NP\tO' -p125697 -asS'On 2013-09-12 after deterioration of his mental status and also of his blood pressure , goals of care were discussed with his HCP .' -p125698 -(lp125699 -S'On\tOn\tIN\tB-PP\tO' -p125700 -aS'2013-09-12\t2013-09-12\tCD\tB-NP\tO' -p125701 -aS'after\tafter\tIN\tB-PP\tO' -p125702 -aS'deterioration\tdeterioration\tNN\tB-NP\tO' -p125703 -aS'of\tof\tIN\tB-PP\tO' -p125704 -aS'his\this\tPRP$\tB-NP\tO' -p125705 -aS'mental\tmental\tJJ\tI-NP\tO' -p125706 -aS'status\tstatus\tNN\tI-NP\tO' -p125707 -aS'and\tand\tCC\tO\tO' -p125708 -aS'also\talso\tRB\tB-ADVP\tO' -p125709 -aS'of\tof\tIN\tB-PP\tO' -p125710 -aS'his\this\tPRP$\tB-NP\tO' -p125711 -aS'blood\tblood\tNN\tI-NP\tO' -p125712 -aS'pressure\tpressure\tNN\tI-NP\tO' -p125713 -aS',\t,\t,\tO\tO' -p125714 -aS'goals\tgoal\tNNS\tB-NP\tO' -p125715 -aS'of\tof\tIN\tB-PP\tO' -p125716 -aS'care\tcare\tNN\tB-NP\tO' -p125717 -aS'were\tbe\tVBD\tB-VP\tO' -p125718 -aS'discussed\tdiscuss\tVBN\tI-VP\tO' -p125719 -aS'with\twith\tIN\tB-PP\tO' -p125720 -aS'his\this\tPRP$\tB-NP\tO' -p125721 -aS'HCP\tHCP\tNN\tI-NP\tB-DNA' -p125722 -aS'.\t.\t.\tO\tO' -p125723 -asS'Lives at Salem Hospital - North Shore Medical Center Rehab .' -p125724 -(lp125725 -S'Lives\tLife\tNNS\tB-NP\tO' -p125726 -aS'at\tat\tIN\tB-PP\tO' -p125727 -aS'Salem\tSalem\tNNP\tB-NP\tO' -p125728 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p125729 -aS'-\t-\tHYPH\tO\tO' -p125730 -aS'North\tNorth\tNNP\tB-NP\tO' -p125731 -aS'Shore\tShore\tNNP\tI-NP\tO' -p125732 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p125733 -aS'Center\tCenter\tNNP\tI-NP\tO' -p125734 -aS'Rehab\tRehab\tNNP\tI-NP\tO' -p125735 -aS'.\t.\t.\tO\tO' -p125736 -asS'Neuro - The patient was oriented to place , but had difficulty with recent memory .' -p125737 -(lp125738 -S'Neuro\tNeuro\tNNP\tB-NP\tO' -p125739 -aS'-\t-\t:\tO\tO' -p125740 -aS'The\tThe\tDT\tB-NP\tO' -p125741 -aS'patient\tpatient\tNN\tI-NP\tO' -p125742 -aS'was\tbe\tVBD\tB-VP\tO' -p125743 -aS'oriented\torient\tVBN\tI-VP\tO' -p125744 -aS'to\tto\tTO\tI-VP\tO' -p125745 -aS'place\tplace\tVB\tI-VP\tO' -p125746 -aS',\t,\t,\tO\tO' -p125747 -aS'but\tbut\tCC\tO\tO' -p125748 -aS'had\thave\tVBD\tB-VP\tO' -p125749 -aS'difficulty\tdifficulty\tNN\tB-NP\tO' -p125750 -aS'with\twith\tIN\tB-PP\tO' -p125751 -aS'recent\trecent\tJJ\tB-NP\tO' -p125752 -aS'memory\tmemory\tNN\tI-NP\tO' -p125753 -aS'.\t.\t.\tO\tO' -p125754 -asS'Apgars were eight at one minute and nine at five minutes .' -p125755 -(lp125756 -S'Apgars\tApgar\tNNS\tB-NP\tO' -p125757 -aS'were\tbe\tVBD\tB-VP\tO' -p125758 -aS'eight\teight\tCD\tB-NP\tO' -p125759 -aS'at\tat\tIN\tB-PP\tO' -p125760 -aS'one\tone\tCD\tB-NP\tO' -p125761 -aS'minute\tminute\tNN\tI-NP\tO' -p125762 -aS'and\tand\tCC\tO\tO' -p125763 -aS'nine\tnine\tCD\tB-NP\tO' -p125764 -aS'at\tat\tIN\tB-PP\tO' -p125765 -aS'five\tfive\tCD\tB-NP\tO' -p125766 -aS'minutes\tminute\tNNS\tI-NP\tO' -p125767 -aS'.\t.\t.\tO\tO' -p125768 -asS'9) Nutrition - pt was maintained on TFs via post-pyloric' -p125769 -(lp125770 -S'9)\t9)\tLS\tB-NP\tO' -p125771 -aS'Nutrition\tNutrition\tNN\tI-NP\tO' -p125772 -aS'-\t-\tHYPH\tB-NP\tO' -p125773 -aS'pt\tpt\tNN\tI-NP\tO' -p125774 -aS'was\tbe\tVBD\tB-VP\tO' -p125775 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p125776 -aS'on\ton\tIN\tB-PP\tO' -p125777 -aS'TFs\tTF\tNNS\tB-NP\tB-protein' -p125778 -aS'via\tvia\tIN\tB-PP\tO' -p125779 -aS'post-pyloric\tpost-pyloric\tJJ\tB-NP\tO' -p125780 -asS'Compared to PA and lateral chest of the prior day .' -p125781 -(lp125782 -S'Compared\tCompare\tVBN\tB-PP\tO' -p125783 -aS'to\tto\tTO\tB-PP\tO' -p125784 -aS'PA\tPA\tNN\tB-NP\tO' -p125785 -aS'and\tand\tCC\tO\tO' -p125786 -aS'lateral\tlateral\tJJ\tB-NP\tO' -p125787 -aS'chest\tchest\tNN\tI-NP\tO' -p125788 -aS'of\tof\tIN\tB-PP\tO' -p125789 -aS'the\tthe\tDT\tB-NP\tO' -p125790 -aS'prior\tprior\tJJ\tI-NP\tO' -p125791 -aS'day\tday\tNN\tI-NP\tO' -p125792 -aS'.\t.\t.\tO\tO' -p125793 -asS'14. Insulin Syringe Needless ( Disp ) 1 mL Syringe Sig : One ( 1 ) Miscell. as directed by Albano / Trasplant .' -p125794 -(lp125795 -S'14.\t14.\tLS\tB-NP\tO' -p125796 -aS'Insulin\tInsulin\tNN\tI-NP\tB-protein' -p125797 -aS'Syringe\tSyringe\tNN\tI-NP\tO' -p125798 -aS'Needless\tNeedless\tJJ\tB-ADJP\tO' -p125799 -aS'(\t(\t(\tO\tO' -p125800 -aS'Disp\tDisp\tNN\tB-NP\tO' -p125801 -aS')\t)\t)\tO\tO' -p125802 -aS'1\t1\tCD\tB-NP\tO' -p125803 -aS'mL\tmL\tNN\tI-NP\tO' -p125804 -aS'Syringe\tSyringe\tNNP\tI-NP\tO' -p125805 -aS'Sig\tSig\tNNP\tI-NP\tO' -p125806 -aS':\t:\t:\tO\tO' -p125807 -aS'One\tOne\tCD\tB-NP\tO' -p125808 -aS'(\t(\t(\tO\tO' -p125809 -aS'1\t1\tCD\tB-NP\tO' -p125810 -aS')\t)\t)\tO\tO' -p125811 -aS'Miscell.\tMiscell.\tNNP\tO\tO' -p125812 -aS'as\tas\tIN\tB-SBAR\tO' -p125813 -aS'directed\tdirect\tVBN\tB-VP\tO' -p125814 -aS'by\tby\tIN\tB-PP\tO' -p125815 -aS'Albano\tAlbano\tNN\tB-NP\tO' -p125816 -aS'/\t/\tSYM\tB-NP\tO' -p125817 -aS'Trasplant\tTrasplant\tNN\tI-NP\tO' -p125818 -aS'.\t.\t.\tO\tO' -p125819 -asS'He generally looks well .' -p125820 -(lp125821 -S'He\tHe\tPRP\tB-NP\tO' -p125822 -aS'generally\tgenerally\tRB\tB-ADVP\tO' -p125823 -aS'looks\tlook\tVBZ\tB-VP\tO' -p125824 -aS'well\twell\tRB\tB-ADVP\tO' -p125825 -aS'.\t.\t.\tO\tO' -p125826 -asS'10. Ensure Liquid Sig : 0.5 to 1 can PO three times a day .' -p125827 -(lp125828 -S'10.\t10.\tLS\tB-LST\tO' -p125829 -aS'Ensure\tEnsure\tNNP\tB-NP\tO' -p125830 -aS'Liquid\tLiquid\tNNP\tI-NP\tO' -p125831 -aS'Sig\tSig\tNNP\tI-NP\tO' -p125832 -aS':\t:\t:\tO\tO' -p125833 -aS'0.5\t0.5\tCD\tB-NP\tO' -p125834 -aS'to\tto\tTO\tI-NP\tO' -p125835 -aS'1\t1\tCD\tI-NP\tO' -p125836 -aS'can\tcan\tMD\tB-VP\tO' -p125837 -aS'PO\tPO\tVB\tI-VP\tO' -p125838 -aS'three\tthree\tCD\tB-NP\tO' -p125839 -aS'times\ttime\tNNS\tI-NP\tO' -p125840 -aS'a\ta\tDT\tB-NP\tO' -p125841 -aS'day\tday\tNN\tI-NP\tO' -p125842 -aS'.\t.\t.\tO\tO' -p125843 -asS'It is associated with rest pain as well .' -p125844 -(lp125845 -S'It\tIt\tPRP\tB-NP\tO' -p125846 -aS'is\tbe\tVBZ\tB-VP\tO' -p125847 -aS'associated\tassociate\tVBN\tI-VP\tO' -p125848 -aS'with\twith\tIN\tB-PP\tO' -p125849 -aS'rest\trest\tNN\tB-NP\tO' -p125850 -aS'pain\tpain\tNN\tI-NP\tO' -p125851 -aS'as\tas\tRB\tB-ADVP\tO' -p125852 -aS'well\twell\tRB\tI-ADVP\tO' -p125853 -aS'.\t.\t.\tO\tO' -p125854 -asS'Nasogastric tube is seen coiling in the stomach , with its tip at the pylorus .' -p125855 -(lp125856 -S'Nasogastric\tNasogastric\tJJ\tB-NP\tO' -p125857 -aS'tube\ttube\tNN\tI-NP\tO' -p125858 -aS'is\tbe\tVBZ\tB-VP\tO' -p125859 -aS'seen\tsee\tVBN\tI-VP\tO' -p125860 -aS'coiling\tcoiling\tNN\tB-NP\tO' -p125861 -aS'in\tin\tIN\tB-PP\tO' -p125862 -aS'the\tthe\tDT\tB-NP\tO' -p125863 -aS'stomach\tstomach\tNN\tI-NP\tO' -p125864 -aS',\t,\t,\tO\tO' -p125865 -aS'with\twith\tIN\tB-PP\tO' -p125866 -aS'its\tits\tPRP$\tB-NP\tO' -p125867 -aS'tip\ttip\tNN\tI-NP\tO' -p125868 -aS'at\tat\tIN\tB-PP\tO' -p125869 -aS'the\tthe\tDT\tB-NP\tO' -p125870 -aS'pylorus\tpylorus\tNN\tI-NP\tO' -p125871 -aS'.\t.\t.\tO\tO' -p125872 -asS'Over the past four weeks , the patient reported progressive shortness of breath and mid thoracic back pain .' -p125873 -(lp125874 -S'Over\tOver\tIN\tB-PP\tO' -p125875 -aS'the\tthe\tDT\tB-NP\tO' -p125876 -aS'past\tpast\tJJ\tI-NP\tO' -p125877 -aS'four\tfour\tCD\tI-NP\tO' -p125878 -aS'weeks\tweek\tNNS\tI-NP\tO' -p125879 -aS',\t,\t,\tO\tO' -p125880 -aS'the\tthe\tDT\tB-NP\tO' -p125881 -aS'patient\tpatient\tNN\tI-NP\tO' -p125882 -aS'reported\treport\tVBD\tB-VP\tO' -p125883 -aS'progressive\tprogressive\tJJ\tB-NP\tO' -p125884 -aS'shortness\tshortness\tNN\tI-NP\tO' -p125885 -aS'of\tof\tIN\tB-PP\tO' -p125886 -aS'breath\tbreath\tNN\tB-NP\tO' -p125887 -aS'and\tand\tCC\tO\tO' -p125888 -aS'mid\tmid\tJJ\tB-NP\tO' -p125889 -aS'thoracic\tthoracic\tJJ\tI-NP\tO' -p125890 -aS'back\tback\tJJ\tI-NP\tO' -p125891 -aS'pain\tpain\tNN\tI-NP\tO' -p125892 -aS'.\t.\t.\tO\tO' -p125893 -asS'3. History of right inguinal hernia in 2002 .' -p125894 -(lp125895 -S'3.\t3.\tLS\tB-NP\tO' -p125896 -aS'History\tHistory\tNN\tI-NP\tO' -p125897 -aS'of\tof\tIN\tB-PP\tO' -p125898 -aS'right\tright\tJJ\tB-NP\tO' -p125899 -aS'inguinal\tinguinal\tJJ\tI-NP\tO' -p125900 -aS'hernia\thernia\tNN\tI-NP\tO' -p125901 -aS'in\tin\tIN\tB-PP\tO' -p125902 -aS'2002\t2002\tCD\tB-NP\tO' -p125903 -aS'.\t.\t.\tO\tO' -p125904 -asS'This was seen on the CAT scan on postoperative day number one , 12-31 .' -p125905 -(lp125906 -S'This\tThis\tDT\tB-NP\tO' -p125907 -aS'was\tbe\tVBD\tB-VP\tO' -p125908 -aS'seen\tsee\tVBN\tI-VP\tO' -p125909 -aS'on\ton\tIN\tB-PP\tO' -p125910 -aS'the\tthe\tDT\tB-NP\tO' -p125911 -aS'CAT\tCAT\tNN\tI-NP\tB-protein' -p125912 -aS'scan\tscan\tNN\tI-NP\tO' -p125913 -aS'on\ton\tIN\tB-PP\tO' -p125914 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p125915 -aS'day\tday\tNN\tI-NP\tO' -p125916 -aS'number\tnumber\tNN\tI-NP\tO' -p125917 -aS'one\tone\tCD\tB-NP\tO' -p125918 -aS',\t,\t,\tI-NP\tO' -p125919 -aS'12-31\t12-31\tCD\tI-NP\tO' -p125920 -aS'.\t.\t.\tO\tO' -p125921 -asS'He is mobilized with the help of physical therapy , on a continuous passive motion machine .' -p125922 -(lp125923 -S'He\tHe\tPRP\tB-NP\tO' -p125924 -aS'is\tbe\tVBZ\tB-VP\tO' -p125925 -aS'mobilized\tmobilize\tVBN\tI-VP\tO' -p125926 -aS'with\twith\tIN\tB-PP\tO' -p125927 -aS'the\tthe\tDT\tB-NP\tO' -p125928 -aS'help\thelp\tNN\tI-NP\tO' -p125929 -aS'of\tof\tIN\tB-PP\tO' -p125930 -aS'physical\tphysical\tJJ\tB-NP\tO' -p125931 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p125932 -aS',\t,\t,\tO\tO' -p125933 -aS'on\ton\tIN\tB-PP\tO' -p125934 -aS'a\ta\tDT\tB-NP\tO' -p125935 -aS'continuous\tcontinuous\tJJ\tI-NP\tO' -p125936 -aS'passive\tpassive\tJJ\tI-NP\tO' -p125937 -aS'motion\tmotion\tNN\tI-NP\tO' -p125938 -aS'machine\tmachine\tNN\tI-NP\tO' -p125939 -aS'.\t.\t.\tO\tO' -p125940 -asS'The patient was given IV fluids and treated with imipenem , transferred to Ca Valley Hospital ED , where it was noted that the patient had face and neck swelling , as well as erythema and cervical lymphadenopathy .' -p125941 -(lp125942 -S'The\tThe\tDT\tB-NP\tO' -p125943 -aS'patient\tpatient\tNN\tI-NP\tO' -p125944 -aS'was\tbe\tVBD\tB-VP\tO' -p125945 -aS'given\tgive\tVBN\tI-VP\tO' -p125946 -aS'IV\tIV\tCD\tB-NP\tO' -p125947 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p125948 -aS'and\tand\tCC\tO\tO' -p125949 -aS'treated\ttreat\tVBN\tB-VP\tO' -p125950 -aS'with\twith\tIN\tB-PP\tO' -p125951 -aS'imipenem\timipenem\tNN\tB-NP\tO' -p125952 -aS',\t,\t,\tO\tO' -p125953 -aS'transferred\ttransfer\tVBN\tB-VP\tO' -p125954 -aS'to\tto\tTO\tB-PP\tO' -p125955 -aS'Ca\tCa\tNNP\tB-NP\tO' -p125956 -aS'Valley\tValley\tNNP\tI-NP\tO' -p125957 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p125958 -aS'ED\tED\tNNP\tI-NP\tO' -p125959 -aS',\t,\t,\tO\tO' -p125960 -aS'where\twhere\tWRB\tB-ADVP\tO' -p125961 -aS'it\tit\tPRP\tB-NP\tO' -p125962 -aS'was\tbe\tVBD\tB-VP\tO' -p125963 -aS'noted\tnote\tVBN\tI-VP\tO' -p125964 -aS'that\tthat\tIN\tB-SBAR\tO' -p125965 -aS'the\tthe\tDT\tB-NP\tO' -p125966 -aS'patient\tpatient\tNN\tI-NP\tO' -p125967 -aS'had\thave\tVBD\tB-VP\tO' -p125968 -aS'face\tface\tNN\tB-NP\tO' -p125969 -aS'and\tand\tCC\tI-NP\tO' -p125970 -aS'neck\tneck\tNN\tI-NP\tO' -p125971 -aS'swelling\tswelling\tNN\tI-NP\tO' -p125972 -aS',\t,\t,\tO\tO' -p125973 -aS'as\tas\tRB\tB-CONJP\tO' -p125974 -aS'well\twell\tRB\tI-CONJP\tO' -p125975 -aS'as\tas\tIN\tI-CONJP\tO' -p125976 -aS'erythema\terythema\tNN\tB-NP\tO' -p125977 -aS'and\tand\tCC\tO\tO' -p125978 -aS'cervical\tcervical\tJJ\tB-NP\tO' -p125979 -aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' -p125980 -aS'.\t.\t.\tO\tO' -p125981 -asS'The patient is also asked to call the Neuro / Oncology Service , the office of Dr. Britts at 430-884-2917 for a follow up appointment in three weeks .' -p125982 -(lp125983 -S'The\tThe\tDT\tB-NP\tO' -p125984 -aS'patient\tpatient\tNN\tI-NP\tO' -p125985 -aS'is\tbe\tVBZ\tB-VP\tO' -p125986 -aS'also\talso\tRB\tI-VP\tO' -p125987 -aS'asked\task\tVBN\tI-VP\tO' -p125988 -aS'to\tto\tTO\tB-VP\tO' -p125989 -aS'call\tcall\tVB\tI-VP\tO' -p125990 -aS'the\tthe\tDT\tB-NP\tO' -p125991 -aS'Neuro\tNeuro\tNNP\tI-NP\tO' -p125992 -aS'/\t/\tSYM\tI-NP\tO' -p125993 -aS'Oncology\tOncology\tNNP\tI-NP\tO' -p125994 -aS'Service\tService\tNNP\tI-NP\tO' -p125995 -aS',\t,\t,\tO\tO' -p125996 -aS'the\tthe\tDT\tB-NP\tO' -p125997 -aS'office\toffice\tNN\tI-NP\tO' -p125998 -aS'of\tof\tIN\tB-PP\tO' -p125999 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p126000 -aS'Britts\tBritts\tNNP\tI-NP\tO' -p126001 -aS'at\tat\tIN\tB-PP\tO' -p126002 -aS'430-884-2917\t430-884-2917\tCD\tB-NP\tO' -p126003 -aS'for\tfor\tIN\tB-PP\tO' -p126004 -aS'a\ta\tDT\tB-NP\tO' -p126005 -aS'follow\tfollow\tNN\tI-NP\tO' -p126006 -aS'up\tup\tRP\tB-PRT\tO' -p126007 -aS'appointment\tappointment\tNN\tB-NP\tO' -p126008 -aS'in\tin\tIN\tB-PP\tO' -p126009 -aS'three\tthree\tCD\tB-NP\tO' -p126010 -aS'weeks\tweek\tNNS\tI-NP\tO' -p126011 -aS'.\t.\t.\tO\tO' -p126012 -asS'Please follow-up with your Orthopaedic physician on Wednesday 6/9/02 as previously arranged by patient .' -p126013 -(lp126014 -S'Please\tPlease\tNN\tB-NP\tO' -p126015 -aS'follow-up\tfollow-up\tNN\tI-NP\tO' -p126016 -aS'with\twith\tIN\tB-PP\tO' -p126017 -aS'your\tyour\tPRP$\tB-NP\tO' -p126018 -aS'Orthopaedic\tOrthopaedic\tJJ\tI-NP\tO' -p126019 -aS'physician\tphysician\tNN\tI-NP\tO' -p126020 -aS'on\ton\tIN\tB-PP\tO' -p126021 -aS'Wednesday\tWednesday\tNNP\tB-NP\tO' -p126022 -aS'6/9/02\t6/9/02\tCD\tI-NP\tO' -p126023 -aS'as\tas\tIN\tB-SBAR\tO' -p126024 -aS'previously\tpreviously\tRB\tB-ADVP\tO' -p126025 -aS'arranged\tarrange\tVBN\tB-VP\tO' -p126026 -aS'by\tby\tIN\tB-PP\tO' -p126027 -aS'patient\tpatient\tNN\tB-NP\tO' -p126028 -aS'.\t.\t.\tO\tO' -p126029 -asS'Normal bulk .' -p126030 -(lp126031 -S'Normal\tNormal\tJJ\tB-NP\tO' -p126032 -aS'bulk\tbulk\tNN\tI-NP\tO' -p126033 -aS'.\t.\t.\tO\tO' -p126034 -asS'the sodium was 140 , potassium 3.7 , chloride 96 , bicarbonate 30 , BUN and creatinine 14/0.9 , glucose 105 , hematocrit 42 , white blood count 8.6 , platelet count 644,000 , prothrombin time 10.4 , partial thromboplastin time 28.7 , urinalysis trace white blood cells , slight occult red blood cells .' -p126035 -(lp126036 -S'the\tthe\tDT\tB-NP\tO' -p126037 -aS'sodium\tsodium\tNN\tI-NP\tO' -p126038 -aS'was\tbe\tVBD\tB-VP\tO' -p126039 -aS'140\t140\tCD\tB-NP\tO' -p126040 -aS',\t,\t,\tO\tO' -p126041 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p126042 -aS'3.7\t3.7\tCD\tI-NP\tO' -p126043 -aS',\t,\t,\tO\tO' -p126044 -aS'chloride\tchloride\tNN\tB-NP\tO' -p126045 -aS'96\t96\tCD\tI-NP\tO' -p126046 -aS',\t,\t,\tO\tO' -p126047 -aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' -p126048 -aS'30\t30\tCD\tI-NP\tO' -p126049 -aS',\t,\t,\tO\tO' -p126050 -aS'BUN\tBUN\tNN\tB-NP\tO' -p126051 -aS'and\tand\tCC\tO\tO' -p126052 -aS'creatinine\tcreatinine\tNN\tB-NP\tB-protein' -p126053 -aS'14/0.9\t14/0.9\tCD\tI-NP\tI-protein' -p126054 -aS',\t,\t,\tO\tO' -p126055 -aS'glucose\tglucose\tNN\tB-NP\tB-protein' -p126056 -aS'105\t105\tCD\tI-NP\tI-protein' -p126057 -aS',\t,\t,\tO\tO' -p126058 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p126059 -aS'42\t42\tCD\tI-NP\tI-protein' -p126060 -aS',\t,\t,\tO\tO' -p126061 -aS'white\twhite\tJJ\tB-NP\tO' -p126062 -aS'blood\tblood\tNN\tI-NP\tO' -p126063 -aS'count\tcount\tNN\tI-NP\tO' -p126064 -aS'8.6\t8.6\tCD\tI-NP\tO' -p126065 -aS',\t,\t,\tO\tO' -p126066 -aS'platelet\tplatelet\tNN\tB-NP\tB-protein' -p126067 -aS'count\tcount\tNN\tI-NP\tI-protein' -p126068 -aS'644,000\t644,000\tCD\tI-NP\tI-protein' -p126069 -aS',\t,\t,\tO\tO' -p126070 -aS'prothrombin\tprothrombin\tNN\tB-NP\tB-protein' -p126071 -aS'time\ttime\tNN\tI-NP\tI-protein' -p126072 -aS'10.4\t10.4\tCD\tB-NP\tI-protein' -p126073 -aS',\t,\t,\tO\tO' -p126074 -aS'partial\tpartial\tJJ\tB-NP\tO' -p126075 -aS'thromboplastin\tthromboplastin\tNN\tI-NP\tO' -p126076 -aS'time\ttime\tNN\tI-NP\tO' -p126077 -aS'28.7\t28.7\tCD\tB-NP\tO' -p126078 -aS',\t,\t,\tO\tO' -p126079 -aS'urinalysis\turinalysis\tNN\tB-NP\tB-cell_type' -p126080 -aS'trace\ttrace\tNN\tI-NP\tI-cell_type' -p126081 -aS'white\twhite\tJJ\tI-NP\tI-cell_type' -p126082 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p126083 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p126084 -aS',\t,\t,\tO\tO' -p126085 -aS'slight\tslight\tJJ\tB-NP\tB-cell_type' -p126086 -aS'occult\toccult\tJJ\tI-NP\tI-cell_type' -p126087 -aS'red\tred\tJJ\tI-NP\tI-cell_type' -p126088 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p126089 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p126090 -aS'.\t.\t.\tO\tO' -p126091 -asS'Please also follow-up with Dr. Obrecht of CMED CCU spine in 2 weeks for flexion / extension X-rays (( 228 ) 411-7660 )' -p126092 -(lp126093 -S'Please\tPlease\tNN\tB-NP\tB-protein' -p126094 -aS'also\talso\tRB\tB-ADVP\tO' -p126095 -aS'follow-up\tfollow-up\tJJ\tB-ADJP\tO' -p126096 -aS'with\twith\tIN\tB-PP\tO' -p126097 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p126098 -aS'Obrecht\tObrecht\tNNP\tI-NP\tO' -p126099 -aS'of\tof\tIN\tB-PP\tO' -p126100 -aS'CMED\tCMED\tNNP\tB-NP\tO' -p126101 -aS'CCU\tCCU\tNNP\tI-NP\tO' -p126102 -aS'spine\tspine\tNN\tI-NP\tO' -p126103 -aS'in\tin\tIN\tB-PP\tO' -p126104 -aS'2\t2\tCD\tB-NP\tO' -p126105 -aS'weeks\tweek\tNNS\tI-NP\tO' -p126106 -aS'for\tfor\tIN\tB-PP\tO' -p126107 -aS'flexion\tflexion\tNN\tB-NP\tO' -p126108 -aS'/\t/\tSYM\tB-VP\tO' -p126109 -aS'extension\textension\tNN\tB-NP\tO' -p126110 -aS'X-rays\tX-ray\tNNS\tI-NP\tO' -p126111 -aS'((\t((\t(\tO\tO' -p126112 -aS'228\t228\tCD\tB-NP\tO' -p126113 -aS')\t)\t)\tO\tO' -p126114 -aS'411-7660\t411-7660\tCD\tB-NP\tO' -p126115 -aS')\t)\t)\tO\tO' -p126116 -asS'His blood pressure was 142/68 , breathing 21 breaths per minute , 94% on 2 liters nasal cannula .' -p126117 -(lp126118 -S'His\tHis\tPRP$\tB-NP\tO' -p126119 -aS'blood\tblood\tNN\tI-NP\tO' -p126120 -aS'pressure\tpressure\tNN\tI-NP\tO' -p126121 -aS'was\tbe\tVBD\tB-VP\tO' -p126122 -aS'142/68\t142/68\tCD\tB-NP\tO' -p126123 -aS',\t,\t,\tO\tO' -p126124 -aS'breathing\tbreathing\tNN\tB-NP\tO' -p126125 -aS'21\t21\tCD\tI-NP\tO' -p126126 -aS'breaths\tbreath\tNNS\tI-NP\tO' -p126127 -aS'per\tper\tIN\tB-PP\tO' -p126128 -aS'minute\tminute\tNN\tB-NP\tO' -p126129 -aS',\t,\t,\tO\tO' -p126130 -aS'94%\t94%\tCD\tB-NP\tO' -p126131 -aS'on\ton\tIN\tB-PP\tO' -p126132 -aS'2\t2\tCD\tB-NP\tO' -p126133 -aS'liters\tliter\tNNS\tI-NP\tO' -p126134 -aS'nasal\tnasal\tJJ\tB-NP\tO' -p126135 -aS'cannula\tcannula\tNN\tI-NP\tO' -p126136 -aS'.\t.\t.\tO\tO' -p126137 -asS'Compazine .' -p126138 -(lp126139 -S'Compazine\tCompazine\tNN\tB-NP\tO' -p126140 -aS'.\t.\t.\tO\tO' -p126141 -asS'Her cardiac risk factors are hypertension and elevated cholesterol .' -p126142 -(lp126143 -S'Her\tHer\tPRP$\tB-NP\tB-protein' -p126144 -aS'cardiac\tcardiac\tJJ\tI-NP\tI-protein' -p126145 -aS'risk\trisk\tNN\tI-NP\tI-protein' -p126146 -aS'factors\tfactor\tNNS\tI-NP\tI-protein' -p126147 -aS'are\tbe\tVBP\tB-VP\tO' -p126148 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p126149 -aS'and\tand\tCC\tO\tO' -p126150 -aS'elevated\televated\tJJ\tB-NP\tO' -p126151 -aS'cholesterol\tcholesterol\tNN\tI-NP\tO' -p126152 -aS'.\t.\t.\tO\tO' -p126153 -asS'He had a grossly deformed left lower extremity .' -p126154 -(lp126155 -S'He\tHe\tPRP\tB-NP\tO' -p126156 -aS'had\thave\tVBD\tB-VP\tO' -p126157 -aS'a\ta\tDT\tB-NP\tO' -p126158 -aS'grossly\tgrossly\tRB\tI-NP\tO' -p126159 -aS'deformed\tdeform\tVBN\tI-NP\tO' -p126160 -aS'left\tleave\tVBD\tB-VP\tO' -p126161 -aS'lower\tlow\tJJR\tB-NP\tO' -p126162 -aS'extremity\textremity\tNN\tI-NP\tO' -p126163 -aS'.\t.\t.\tO\tO' -p126164 -asS'He was then weaned off of ventilatory support and was successfully extubated .' -p126165 -(lp126166 -S'He\tHe\tPRP\tB-NP\tO' -p126167 -aS'was\tbe\tVBD\tB-VP\tO' -p126168 -aS'then\tthen\tRB\tI-VP\tO' -p126169 -aS'weaned\twean\tVBN\tI-VP\tO' -p126170 -aS'off\toff\tRP\tB-PRT\tO' -p126171 -aS'of\tof\tIN\tB-PP\tO' -p126172 -aS'ventilatory\tventilatory\tJJ\tB-NP\tO' -p126173 -aS'support\tsupport\tNN\tI-NP\tO' -p126174 -aS'and\tand\tCC\tO\tO' -p126175 -aS'was\tbe\tVBD\tB-VP\tO' -p126176 -aS'successfully\tsuccessfully\tRB\tI-VP\tO' -p126177 -aS'extubated\textubate\tVBN\tI-VP\tO' -p126178 -aS'.\t.\t.\tO\tO' -p126179 -asS'Her left arm has developed a flexure contraction and she reports intermitttent pain in the left arm and leg which occurs both spontaneously and is also triggered by contact .' -p126180 -(lp126181 -S'Her\tHer\tPRP$\tB-NP\tO' -p126182 -aS'left\tleft\tJJ\tI-NP\tO' -p126183 -aS'arm\tarm\tNN\tI-NP\tO' -p126184 -aS'has\thave\tVBZ\tB-VP\tO' -p126185 -aS'developed\tdevelop\tVBN\tI-VP\tO' -p126186 -aS'a\ta\tDT\tB-NP\tO' -p126187 -aS'flexure\tflexure\tNN\tI-NP\tO' -p126188 -aS'contraction\tcontraction\tNN\tI-NP\tO' -p126189 -aS'and\tand\tCC\tO\tO' -p126190 -aS'she\tshe\tPRP\tB-NP\tO' -p126191 -aS'reports\treport\tVBZ\tB-VP\tO' -p126192 -aS'intermitttent\tintermitttent\tJJ\tB-NP\tO' -p126193 -aS'pain\tpain\tNN\tI-NP\tO' -p126194 -aS'in\tin\tIN\tB-PP\tO' -p126195 -aS'the\tthe\tDT\tB-NP\tO' -p126196 -aS'left\tleft\tJJ\tI-NP\tO' -p126197 -aS'arm\tarm\tNN\tI-NP\tO' -p126198 -aS'and\tand\tCC\tI-NP\tO' -p126199 -aS'leg\tleg\tNN\tI-NP\tO' -p126200 -aS'which\twhich\tWDT\tB-NP\tO' -p126201 -aS'occurs\toccur\tVBZ\tB-VP\tO' -p126202 -aS'both\tboth\tCC\tO\tO' -p126203 -aS'spontaneously\tspontaneously\tRB\tB-ADVP\tO' -p126204 -aS'and\tand\tCC\tO\tO' -p126205 -aS'is\tbe\tVBZ\tB-VP\tO' -p126206 -aS'also\talso\tRB\tI-VP\tO' -p126207 -aS'triggered\ttrigger\tVBN\tI-VP\tO' -p126208 -aS'by\tby\tIN\tB-PP\tO' -p126209 -aS'contact\tcontact\tNN\tB-NP\tO' -p126210 -aS'.\t.\t.\tO\tO' -p126211 -asS'There was pitting edema on both sides of the lower extremities .' -p126212 -(lp126213 -S'There\tThere\tEX\tB-NP\tO' -p126214 -aS'was\tbe\tVBD\tB-VP\tO' -p126215 -aS'pitting\tpit\tVBG\tI-VP\tO' -p126216 -aS'edema\tedema\tNN\tB-NP\tO' -p126217 -aS'on\ton\tIN\tB-PP\tO' -p126218 -aS'both\tboth\tDT\tB-NP\tO' -p126219 -aS'sides\tside\tNNS\tI-NP\tO' -p126220 -aS'of\tof\tIN\tB-PP\tO' -p126221 -aS'the\tthe\tDT\tB-NP\tO' -p126222 -aS'lower\tlow\tJJR\tI-NP\tO' -p126223 -aS'extremities\textremity\tNNS\tI-NP\tO' -p126224 -aS'.\t.\t.\tO\tO' -p126225 -asS'Psychiatry was also consulted to help her with the changes she was feeling since her new diagnosis .' -p126226 -(lp126227 -S'Psychiatry\tPsychiatry\tNN\tB-NP\tO' -p126228 -aS'was\tbe\tVBD\tB-VP\tO' -p126229 -aS'also\talso\tRB\tI-VP\tO' -p126230 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p126231 -aS'to\tto\tTO\tI-VP\tO' -p126232 -aS'help\thelp\tVB\tI-VP\tO' -p126233 -aS'her\ther\tPRP\tB-NP\tO' -p126234 -aS'with\twith\tIN\tB-PP\tO' -p126235 -aS'the\tthe\tDT\tB-NP\tO' -p126236 -aS'changes\tchange\tNNS\tI-NP\tO' -p126237 -aS'she\tshe\tPRP\tB-NP\tO' -p126238 -aS'was\tbe\tVBD\tB-VP\tO' -p126239 -aS'feeling\tfeel\tVBG\tI-VP\tO' -p126240 -aS'since\tsince\tIN\tB-PP\tO' -p126241 -aS'her\ther\tPRP$\tB-NP\tO' -p126242 -aS'new\tnew\tJJ\tI-NP\tO' -p126243 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p126244 -aS'.\t.\t.\tO\tO' -p126245 -asS'The neurological examination was otherwise nonfocal with mentioned left upper extremity 3/5 strength with pain and 5/5 on the left lower extremity .' -p126246 -(lp126247 -S'The\tThe\tDT\tB-NP\tO' -p126248 -aS'neurological\tneurological\tJJ\tI-NP\tO' -p126249 -aS'examination\texamination\tNN\tI-NP\tO' -p126250 -aS'was\tbe\tVBD\tB-VP\tO' -p126251 -aS'otherwise\totherwise\tRB\tB-ADJP\tO' -p126252 -aS'nonfocal\tnonfocal\tJJ\tI-ADJP\tO' -p126253 -aS'with\twith\tIN\tB-PP\tO' -p126254 -aS'mentioned\tmention\tVBN\tB-NP\tO' -p126255 -aS'left\tleft\tJJ\tI-NP\tO' -p126256 -aS'upper\tupper\tJJ\tI-NP\tO' -p126257 -aS'extremity\textremity\tNN\tI-NP\tO' -p126258 -aS'3/5\t3/5\tCD\tI-NP\tO' -p126259 -aS'strength\tstrength\tNN\tI-NP\tO' -p126260 -aS'with\twith\tIN\tB-PP\tO' -p126261 -aS'pain\tpain\tNN\tB-NP\tO' -p126262 -aS'and\tand\tCC\tO\tO' -p126263 -aS'5/5\t5/5\tCD\tB-NP\tO' -p126264 -aS'on\ton\tIN\tB-PP\tO' -p126265 -aS'the\tthe\tDT\tB-NP\tO' -p126266 -aS'left\tleft\tJJ\tI-NP\tO' -p126267 -aS'lower\tlow\tJJR\tI-NP\tO' -p126268 -aS'extremity\textremity\tNN\tI-NP\tO' -p126269 -aS'.\t.\t.\tO\tO' -p126270 -asS'Lethargic , occasionally falling asleep .' -p126271 -(lp126272 -S'Lethargic\tLethargic\tJJ\tB-ADJP\tO' -p126273 -aS',\t,\t,\tO\tO' -p126274 -aS'occasionally\toccasionally\tRB\tB-ADVP\tO' -p126275 -aS'falling\tfall\tVBG\tB-NP\tO' -p126276 -aS'asleep\tasleep\tNN\tI-NP\tO' -p126277 -aS'.\t.\t.\tO\tO' -p126278 -asS'The head and neck exam was within normal limits .' -p126279 -(lp126280 -S'The\tThe\tDT\tB-NP\tO' -p126281 -aS'head\thead\tNN\tI-NP\tO' -p126282 -aS'and\tand\tCC\tI-NP\tO' -p126283 -aS'neck\tneck\tNN\tI-NP\tO' -p126284 -aS'exam\texam\tNN\tI-NP\tO' -p126285 -aS'was\tbe\tVBD\tB-VP\tO' -p126286 -aS'within\twithin\tIN\tB-PP\tO' -p126287 -aS'normal\tnormal\tJJ\tB-NP\tO' -p126288 -aS'limits\tlimit\tNNS\tI-NP\tO' -p126289 -aS'.\t.\t.\tO\tO' -p126290 -asS'Dates are by first trimester ultrasound .' -p126291 -(lp126292 -S'Dates\tDate\tNNS\tB-NP\tO' -p126293 -aS'are\tbe\tVBP\tB-VP\tO' -p126294 -aS'by\tby\tIN\tB-PP\tO' -p126295 -aS'first\tfirst\tJJ\tB-NP\tO' -p126296 -aS'trimester\ttrimester\tNN\tI-NP\tO' -p126297 -aS'ultrasound\tultrasound\tNN\tI-NP\tO' -p126298 -aS'.\t.\t.\tO\tO' -p126299 -asS'Muscles are 05-04 in all extremities with good sensation to light touch .' -p126300 -(lp126301 -S'Muscles\tMuscle\tNNS\tB-NP\tO' -p126302 -aS'are\tbe\tVBP\tB-VP\tO' -p126303 -aS'05-04\t05-04\tCD\tB-NP\tO' -p126304 -aS'in\tin\tIN\tB-PP\tO' -p126305 -aS'all\tall\tDT\tB-NP\tO' -p126306 -aS'extremities\textremity\tNNS\tI-NP\tO' -p126307 -aS'with\twith\tIN\tB-PP\tO' -p126308 -aS'good\tgood\tJJ\tB-NP\tO' -p126309 -aS'sensation\tsensation\tNN\tI-NP\tO' -p126310 -aS'to\tto\tTO\tB-PP\tO' -p126311 -aS'light\tlight\tNN\tB-NP\tO' -p126312 -aS'touch\ttouch\tNN\tI-NP\tO' -p126313 -aS'.\t.\t.\tO\tO' -p126314 -asS'Her LDH was 394 .' -p126315 -(lp126316 -S'Her\tHer\tPRP$\tB-NP\tO' -p126317 -aS'LDH\tLDH\tNN\tI-NP\tB-protein' -p126318 -aS'was\tbe\tVBD\tB-VP\tO' -p126319 -aS'394\t394\tCD\tB-NP\tO' -p126320 -aS'.\t.\t.\tO\tO' -p126321 -asS'These may be removed when the incisions are noted to be well healed .' -p126322 -(lp126323 -S'These\tThese\tDT\tB-NP\tO' -p126324 -aS'may\tmay\tMD\tB-VP\tO' -p126325 -aS'be\tbe\tVB\tI-VP\tO' -p126326 -aS'removed\tremove\tVBN\tI-VP\tO' -p126327 -aS'when\twhen\tWRB\tB-ADVP\tO' -p126328 -aS'the\tthe\tDT\tB-NP\tO' -p126329 -aS'incisions\tincision\tNNS\tI-NP\tO' -p126330 -aS'are\tbe\tVBP\tB-VP\tO' -p126331 -aS'noted\tnote\tVBN\tI-VP\tO' -p126332 -aS'to\tto\tTO\tI-VP\tO' -p126333 -aS'be\tbe\tVB\tI-VP\tO' -p126334 -aS'well\twell\tRB\tI-VP\tO' -p126335 -aS'healed\theal\tVBN\tI-VP\tO' -p126336 -aS'.\t.\t.\tO\tO' -p126337 -asS'Based upon this wish the BIPAP was removed and he was placed on nasal cannula .' -p126338 -(lp126339 -S'Based\tBase\tVBN\tB-VP\tO' -p126340 -aS'upon\tupon\tIN\tB-PP\tO' -p126341 -aS'this\tthis\tDT\tB-NP\tO' -p126342 -aS'wish\twish\tNN\tI-NP\tO' -p126343 -aS'the\tthe\tDT\tB-NP\tO' -p126344 -aS'BIPAP\tBIPAP\tNN\tI-NP\tB-protein' -p126345 -aS'was\tbe\tVBD\tB-VP\tO' -p126346 -aS'removed\tremove\tVBN\tI-VP\tO' -p126347 -aS'and\tand\tCC\tO\tO' -p126348 -aS'he\the\tPRP\tB-NP\tO' -p126349 -aS'was\tbe\tVBD\tB-VP\tO' -p126350 -aS'placed\tplace\tVBN\tI-VP\tO' -p126351 -aS'on\ton\tIN\tB-PP\tO' -p126352 -aS'nasal\tnasal\tJJ\tB-NP\tO' -p126353 -aS'cannula\tcannula\tNN\tI-NP\tO' -p126354 -aS'.\t.\t.\tO\tO' -p126355 -asS'The left internal mammary artery to the left anterior descending was also occluded .' -p126356 -(lp126357 -S'The\tThe\tDT\tB-NP\tO' -p126358 -aS'left\tleft\tJJ\tI-NP\tO' -p126359 -aS'internal\tinternal\tJJ\tI-NP\tO' -p126360 -aS'mammary\tmammary\tJJ\tI-NP\tO' -p126361 -aS'artery\tartery\tNN\tI-NP\tO' -p126362 -aS'to\tto\tTO\tB-PP\tO' -p126363 -aS'the\tthe\tDT\tB-NP\tO' -p126364 -aS'left\tleft\tJJ\tI-NP\tO' -p126365 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p126366 -aS'descending\tdescending\tNN\tI-NP\tO' -p126367 -aS'was\tbe\tVBD\tB-VP\tO' -p126368 -aS'also\talso\tRB\tI-VP\tO' -p126369 -aS'occluded\tocclude\tVBN\tI-VP\tO' -p126370 -aS'.\t.\t.\tO\tO' -p126371 -asS'Her postoperative course was unremarkable .' -p126372 -(lp126373 -S'Her\tHer\tPRP$\tB-NP\tO' -p126374 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p126375 -aS'course\tcourse\tNN\tI-NP\tO' -p126376 -aS'was\tbe\tVBD\tB-VP\tO' -p126377 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p126378 -aS'.\t.\t.\tO\tO' -p126379 -asS'5. Albuterol 1-2 puffs q.6h. prn .' -p126380 -(lp126381 -S'5.\t5.\tLS\tB-NP\tO' -p126382 -aS'Albuterol\tAlbuterol\tNNP\tI-NP\tO' -p126383 -aS'1-2\t1-2\tNN\tI-NP\tO' -p126384 -aS'puffs\tpuff\tVBZ\tB-VP\tO' -p126385 -aS'q.6h.\tq.6h.\tNN\tB-NP\tO' -p126386 -aS'prn\tprn\tNN\tI-NP\tO' -p126387 -aS'.\t.\t.\tO\tO' -p126388 -asS'Disp :* 240 Tablet (s)* Refills :* 2 *' -p126389 -(lp126390 -S'Disp\tDisp\tNN\tB-NP\tO' -p126391 -aS':*\t:*\tSYM\tI-NP\tO' -p126392 -aS'240\t240\tCD\tI-NP\tO' -p126393 -aS'Tablet\tTablet\tNN\tI-NP\tO' -p126394 -aS'(s)*\t(s)*\tSYM\tB-NP\tO' -p126395 -aS'Refills\tRefill\tNNPS\tI-NP\tO' -p126396 -aS':*\t:*\tSYM\tI-NP\tO' -p126397 -aS'2\t2\tCD\tI-NP\tO' -p126398 -aS'*\t*\tSYM\tB-NP\tO' -p126399 -asS'She will follow-up with Dr. Langley in approximately one month .' -p126400 -(lp126401 -S'She\tShe\tPRP\tB-NP\tO' -p126402 -aS'will\twill\tMD\tB-VP\tO' -p126403 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p126404 -aS'with\twith\tIN\tB-PP\tO' -p126405 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p126406 -aS'Langley\tLangley\tNNP\tI-NP\tO' -p126407 -aS'in\tin\tIN\tB-PP\tO' -p126408 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p126409 -aS'one\tone\tCD\tI-NP\tO' -p126410 -aS'month\tmonth\tNN\tI-NP\tO' -p126411 -aS'.\t.\t.\tO\tO' -p126412 -asS'Dictated By : Ann C Vinson , M.D.' -p126413 -(lp126414 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p126415 -aS'By\tBy\tIN\tB-PP\tO' -p126416 -aS':\t:\t:\tO\tO' -p126417 -aS'Ann\tAnn\tNNP\tB-NP\tO' -p126418 -aS'C\tC\tNNP\tI-NP\tO' -p126419 -aS'Vinson\tVinson\tNNP\tI-NP\tO' -p126420 -aS',\t,\t,\tO\tO' -p126421 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p126422 -asS"The pt was begun on heparin gtt and was noted to have platelet drop > 50% after infusion began , hepain was d/c 'd." -p126423 -(lp126424 -S'The\tThe\tDT\tB-NP\tO' -p126425 -aS'pt\tpt\tNN\tI-NP\tO' -p126426 -aS'was\tbe\tVBD\tB-VP\tO' -p126427 -aS'begun\tbegin\tVBN\tI-VP\tO' -p126428 -aS'on\ton\tIN\tB-PP\tO' -p126429 -aS'heparin\theparin\tNN\tB-NP\tO' -p126430 -aS'gtt\tgtt\tNN\tI-NP\tO' -p126431 -aS'and\tand\tCC\tO\tO' -p126432 -aS'was\tbe\tVBD\tB-VP\tO' -p126433 -aS'noted\tnote\tVBN\tI-VP\tO' -p126434 -aS'to\tto\tTO\tI-VP\tO' -p126435 -aS'have\thave\tVB\tI-VP\tO' -p126436 -aS'platelet\tplatelet\tNN\tB-NP\tO' -p126437 -aS'drop\tdrop\tNN\tI-NP\tO' -p126438 -aS'>\t>\tSYM\tB-NP\tO' -p126439 -aS'50%\t50%\tCD\tB-NP\tO' -p126440 -aS'after\tafter\tIN\tB-SBAR\tO' -p126441 -aS'infusion\tinfusion\tNN\tB-NP\tO' -p126442 -aS'began\tbegin\tVBD\tB-VP\tO' -p126443 -aS',\t,\t,\tO\tO' -p126444 -aS'hepain\thepain\tNN\tB-NP\tO' -p126445 -aS'was\tbe\tVBD\tB-VP\tO' -p126446 -aS'd/c\td/c\tNN\tB-NP\tO' -p126447 -aS"'d.\t'd.\t.\tO\tO" -p126448 -asS'The case was complicated by an episode of coffee ground emesis and a bleed from femoral access site prior to CT surgery .' -p126449 -(lp126450 -S'The\tThe\tDT\tB-NP\tO' -p126451 -aS'case\tcase\tNN\tI-NP\tO' -p126452 -aS'was\tbe\tVBD\tB-VP\tO' -p126453 -aS'complicated\tcomplicate\tVBN\tI-VP\tO' -p126454 -aS'by\tby\tIN\tB-PP\tO' -p126455 -aS'an\tan\tDT\tB-NP\tO' -p126456 -aS'episode\tepisode\tNN\tI-NP\tO' -p126457 -aS'of\tof\tIN\tB-PP\tO' -p126458 -aS'coffee\tcoffee\tNN\tB-NP\tO' -p126459 -aS'ground\tground\tNN\tI-NP\tO' -p126460 -aS'emesis\temesis\tNN\tI-NP\tO' -p126461 -aS'and\tand\tCC\tO\tO' -p126462 -aS'a\ta\tDT\tB-NP\tO' -p126463 -aS'bleed\tbleed\tNN\tI-NP\tO' -p126464 -aS'from\tfrom\tIN\tB-PP\tO' -p126465 -aS'femoral\tfemoral\tJJ\tB-NP\tO' -p126466 -aS'access\taccess\tNN\tI-NP\tO' -p126467 -aS'site\tsite\tNN\tI-NP\tO' -p126468 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p126469 -aS'to\tto\tTO\tB-PP\tO' -p126470 -aS'CT\tCT\tNN\tB-NP\tO' -p126471 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p126472 -aS'.\t.\t.\tO\tO' -p126473 -asS'Vancomycin HCl 1000 mg IV Q 12H' -p126474 -(lp126475 -S'Vancomycin\tVancomycin\tNN\tB-NP\tO' -p126476 -aS'HCl\tHCl\tNN\tI-NP\tO' -p126477 -aS'1000\t1000\tCD\tB-NP\tO' -p126478 -aS'mg\tmg\tNN\tI-NP\tO' -p126479 -aS'IV\tIV\tCD\tB-NP\tO' -p126480 -aS'Q\tQ\tNN\tI-NP\tO' -p126481 -aS'12H\t12H\tNN\tI-NP\tO' -p126482 -asS'4. Anion gap acidosis .' -p126483 -(lp126484 -S'4.\t4.\tLS\tB-NP\tO' -p126485 -aS'Anion\tAnion\tNN\tI-NP\tO' -p126486 -aS'gap\tgap\tNN\tI-NP\tO' -p126487 -aS'acidosis\tacidosis\tNN\tI-NP\tO' -p126488 -aS'.\t.\t.\tO\tO' -p126489 -asS'H20 .' -p126490 -(lp126491 -S'H20\tH20\tNN\tB-NP\tO' -p126492 -aS'.\t.\t.\tO\tO' -p126493 -asS'11. Maalox 225-200 mg/5 mL Suspension Sig : Five ( 5 ) mL PO every six ( 6 ) hours as needed for indigestion .' -p126494 -(lp126495 -S'11.\t11.\tLS\tB-LST\tO' -p126496 -aS'Maalox\tMaalox\tNNP\tB-NP\tO' -p126497 -aS'225-200\t225-200\tCD\tI-NP\tO' -p126498 -aS'mg/5\tmg/5\tNN\tI-NP\tO' -p126499 -aS'mL\tmL\tNN\tI-NP\tO' -p126500 -aS'Suspension\tSuspension\tNNP\tI-NP\tO' -p126501 -aS'Sig\tSig\tNNP\tI-NP\tO' -p126502 -aS':\t:\t:\tO\tO' -p126503 -aS'Five\tFive\tCD\tB-NP\tO' -p126504 -aS'(\t(\t(\tO\tO' -p126505 -aS'5\t5\tCD\tB-NP\tO' -p126506 -aS')\t)\t)\tO\tO' -p126507 -aS'mL\tmL\tNN\tB-NP\tO' -p126508 -aS'PO\tPO\tNN\tI-NP\tO' -p126509 -aS'every\tevery\tDT\tB-NP\tO' -p126510 -aS'six\tsix\tCD\tI-NP\tO' -p126511 -aS'(\t(\t(\tO\tO' -p126512 -aS'6\t6\tCD\tB-NP\tO' -p126513 -aS')\t)\t)\tO\tO' -p126514 -aS'hours\thour\tNNS\tB-NP\tO' -p126515 -aS'as\tas\tIN\tB-SBAR\tO' -p126516 -aS'needed\tneed\tVBN\tB-VP\tO' -p126517 -aS'for\tfor\tIN\tB-PP\tO' -p126518 -aS'indigestion\tindigestion\tNN\tB-NP\tO' -p126519 -aS'.\t.\t.\tO\tO' -p126520 -asS'In addition , the patient was started on Wellbutrin for smoking cessation .' -p126521 -(lp126522 -S'In\tIn\tIN\tB-PP\tO' -p126523 -aS'addition\taddition\tNN\tB-NP\tO' -p126524 -aS',\t,\t,\tO\tO' -p126525 -aS'the\tthe\tDT\tB-NP\tO' -p126526 -aS'patient\tpatient\tNN\tI-NP\tO' -p126527 -aS'was\tbe\tVBD\tB-VP\tO' -p126528 -aS'started\tstart\tVBN\tI-VP\tO' -p126529 -aS'on\ton\tIN\tB-PP\tO' -p126530 -aS'Wellbutrin\tWellbutrin\tNN\tB-NP\tO' -p126531 -aS'for\tfor\tIN\tB-PP\tO' -p126532 -aS'smoking\tsmoking\tNN\tB-NP\tO' -p126533 -aS'cessation\tcessation\tNN\tI-NP\tO' -p126534 -aS'.\t.\t.\tO\tO' -p126535 -asS'Cesarean section x 2 , dilatation and curettage x 1 , neck fusion after motor vehicle accident , shoulder surgery after motor vehicle accident .' -p126536 -(lp126537 -S'Cesarean\tCesarean\tJJ\tB-NP\tO' -p126538 -aS'section\tsection\tNN\tI-NP\tO' -p126539 -aS'x\tx\tSYM\tB-NP\tO' -p126540 -aS'2\t2\tCD\tI-NP\tO' -p126541 -aS',\t,\t,\tI-NP\tO' -p126542 -aS'dilatation\tdilatation\tNN\tI-NP\tO' -p126543 -aS'and\tand\tCC\tI-NP\tO' -p126544 -aS'curettage\tcurettage\tNN\tI-NP\tB-protein' -p126545 -aS'x\tx\tSYM\tB-NP\tI-protein' -p126546 -aS'1\t1\tCD\tI-NP\tI-protein' -p126547 -aS',\t,\t,\tO\tO' -p126548 -aS'neck\tneck\tNN\tB-NP\tO' -p126549 -aS'fusion\tfusion\tNN\tI-NP\tO' -p126550 -aS'after\tafter\tIN\tB-PP\tO' -p126551 -aS'motor\tmotor\tNN\tB-NP\tO' -p126552 -aS'vehicle\tvehicle\tNN\tI-NP\tO' -p126553 -aS'accident\taccident\tNN\tI-NP\tO' -p126554 -aS',\t,\t,\tO\tO' -p126555 -aS'shoulder\tshould\tJJR\tB-NP\tO' -p126556 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p126557 -aS'after\tafter\tIN\tB-PP\tO' -p126558 -aS'motor\tmotor\tNN\tB-NP\tO' -p126559 -aS'vehicle\tvehicle\tNN\tI-NP\tO' -p126560 -aS'accident\taccident\tNN\tI-NP\tO' -p126561 -aS'.\t.\t.\tO\tO' -p126562 -asS'She also had negative antimitochondrial antibody and she also had no evidence of ceruloplasmin .' -p126563 -(lp126564 -S'She\tShe\tPRP\tB-NP\tO' -p126565 -aS'also\talso\tRB\tB-ADVP\tO' -p126566 -aS'had\thave\tVBD\tB-VP\tO' -p126567 -aS'negative\tnegative\tJJ\tB-NP\tO' -p126568 -aS'antimitochondrial\tantimitochondrial\tJJ\tI-NP\tB-protein' -p126569 -aS'antibody\tantibody\tNN\tI-NP\tI-protein' -p126570 -aS'and\tand\tCC\tO\tO' -p126571 -aS'she\tshe\tPRP\tB-NP\tO' -p126572 -aS'also\talso\tRB\tB-ADVP\tO' -p126573 -aS'had\thave\tVBD\tB-VP\tO' -p126574 -aS'no\tno\tDT\tB-NP\tO' -p126575 -aS'evidence\tevidence\tNN\tI-NP\tO' -p126576 -aS'of\tof\tIN\tB-PP\tO' -p126577 -aS'ceruloplasmin\tceruloplasmin\tNN\tB-NP\tO' -p126578 -aS'.\t.\t.\tO\tO' -p126579 -asS'She now returns to ED with pain and erythema from the midline posterior neck to her submental area and 2-3 d of intermittent fevers and chills . + nausea .' -p126580 -(lp126581 -S'She\tShe\tPRP\tB-NP\tO' -p126582 -aS'now\tnow\tRB\tB-ADVP\tO' -p126583 -aS'returns\treturn\tVBZ\tB-VP\tO' -p126584 -aS'to\tto\tTO\tI-VP\tO' -p126585 -aS'ED\tED\tVBN\tI-VP\tO' -p126586 -aS'with\twith\tIN\tB-PP\tO' -p126587 -aS'pain\tpain\tNN\tB-NP\tO' -p126588 -aS'and\tand\tCC\tI-NP\tO' -p126589 -aS'erythema\terythema\tNN\tI-NP\tO' -p126590 -aS'from\tfrom\tIN\tB-PP\tO' -p126591 -aS'the\tthe\tDT\tB-NP\tO' -p126592 -aS'midline\tmidline\tNN\tI-NP\tO' -p126593 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p126594 -aS'neck\tneck\tNN\tI-NP\tO' -p126595 -aS'to\tto\tTO\tB-PP\tO' -p126596 -aS'her\ther\tPRP$\tB-NP\tO' -p126597 -aS'submental\tsubmental\tJJ\tI-NP\tO' -p126598 -aS'area\tarea\tNN\tI-NP\tO' -p126599 -aS'and\tand\tCC\tI-NP\tO' -p126600 -aS'2-3\t2-3\tNN\tI-NP\tO' -p126601 -aS'd\td\tNN\tI-NP\tO' -p126602 -aS'of\tof\tIN\tB-PP\tO' -p126603 -aS'intermittent\tintermittent\tJJ\tB-NP\tO' -p126604 -aS'fevers\tfever\tNNS\tI-NP\tO' -p126605 -aS'and\tand\tCC\tI-NP\tO' -p126606 -aS'chills\tchill\tNNS\tI-NP\tO' -p126607 -aS'.\t.\t.\tO\tO' -p126608 -aS'+\t+\tSYM\tB-NP\tO' -p126609 -aS'nausea\tnausea\tNN\tI-NP\tO' -p126610 -aS'.\t.\t.\tO\tO' -p126611 -asS"Patient will also followup with her primary care provider , Dr. Sandra Lamar for check of her INR in one week 's time ." -p126612 -(lp126613 -S'Patient\tPatient\tNN\tB-NP\tO' -p126614 -aS'will\twill\tMD\tB-VP\tO' -p126615 -aS'also\talso\tRB\tI-VP\tO' -p126616 -aS'followup\tfollowup\tVB\tI-VP\tO' -p126617 -aS'with\twith\tIN\tB-PP\tO' -p126618 -aS'her\ther\tPRP$\tB-NP\tO' -p126619 -aS'primary\tprimary\tJJ\tI-NP\tO' -p126620 -aS'care\tcare\tNN\tI-NP\tO' -p126621 -aS'provider\tprovider\tNN\tI-NP\tO' -p126622 -aS',\t,\t,\tO\tO' -p126623 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p126624 -aS'Sandra\tSandra\tNNP\tI-NP\tO' -p126625 -aS'Lamar\tLamar\tNNP\tI-NP\tO' -p126626 -aS'for\tfor\tIN\tB-PP\tO' -p126627 -aS'check\tcheck\tNN\tB-NP\tO' -p126628 -aS'of\tof\tIN\tB-PP\tO' -p126629 -aS'her\ther\tPRP$\tB-NP\tO' -p126630 -aS'INR\tINR\tNN\tI-NP\tB-protein' -p126631 -aS'in\tin\tIN\tB-PP\tO' -p126632 -aS'one\tone\tCD\tB-NP\tO' -p126633 -aS'week\tweek\tNN\tI-NP\tO' -p126634 -aS"'s\t's\tPOS\tB-NP\tO" -p126635 -aS'time\ttime\tNN\tI-NP\tO' -p126636 -aS'.\t.\t.\tO\tO' -p126637 -asS'anti-GBM is pending .' -p126638 -(lp126639 -S'anti-GBM\tanti-GBM\tJJ\tB-NP\tO' -p126640 -aS'is\tbe\tVBZ\tB-VP\tO' -p126641 -aS'pending\tpende\tVBG\tB-ADJP\tO' -p126642 -aS'.\t.\t.\tO\tO' -p126643 -asS'Ask to speak with May Chen , PA.' -p126644 -(lp126645 -S'Ask\tAsk\tNN\tB-NP\tB-protein' -p126646 -aS'to\tto\tTO\tB-VP\tO' -p126647 -aS'speak\tspeak\tVB\tI-VP\tO' -p126648 -aS'with\twith\tIN\tB-PP\tO' -p126649 -aS'May\tMay\tNNP\tB-NP\tO' -p126650 -aS'Chen\tChen\tNNP\tI-NP\tO' -p126651 -aS',\t,\t,\tO\tO' -p126652 -aS'PA.\tPA.\tNNP\tB-NP\tO' -p126653 -asS"The patient 's condition continued to be improved ." -p126654 -(lp126655 -S'The\tThe\tDT\tB-NP\tO' -p126656 -aS'patient\tpatient\tNN\tI-NP\tO' -p126657 -aS"'s\t's\tPOS\tB-NP\tO" -p126658 -aS'condition\tcondition\tNN\tI-NP\tO' -p126659 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p126660 -aS'to\tto\tTO\tI-VP\tO' -p126661 -aS'be\tbe\tVB\tI-VP\tO' -p126662 -aS'improved\timprove\tVBN\tI-VP\tO' -p126663 -aS'.\t.\t.\tO\tO' -p126664 -asS'The patient was given printed instructions for back pain ( English ) .' -p126665 -(lp126666 -S'The\tThe\tDT\tB-NP\tO' -p126667 -aS'patient\tpatient\tNN\tI-NP\tO' -p126668 -aS'was\tbe\tVBD\tB-VP\tO' -p126669 -aS'given\tgive\tVBN\tI-VP\tO' -p126670 -aS'printed\tprint\tVBN\tB-NP\tO' -p126671 -aS'instructions\tinstruction\tNNS\tI-NP\tO' -p126672 -aS'for\tfor\tIN\tB-PP\tO' -p126673 -aS'back\tback\tJJ\tB-NP\tO' -p126674 -aS'pain\tpain\tNN\tI-NP\tO' -p126675 -aS'(\t(\t(\tO\tO' -p126676 -aS'English\tEnglish\tNN\tB-NP\tO' -p126677 -aS')\t)\t)\tO\tO' -p126678 -aS'.\t.\t.\tO\tO' -p126679 -asS'Serum Tylenol level is 8.3 .' -p126680 -(lp126681 -S'Serum\tSerum\tNN\tB-NP\tO' -p126682 -aS'Tylenol\tTylenol\tNN\tI-NP\tO' -p126683 -aS'level\tlevel\tNN\tI-NP\tO' -p126684 -aS'is\tbe\tVBZ\tB-VP\tO' -p126685 -aS'8.3\t8.3\tCD\tB-NP\tO' -p126686 -aS'.\t.\t.\tO\tO' -p126687 -asS'Temperature 98.8 ; heart rate 88-120 and irregular ; blood pressure 118/78 ; O2 saturation 96% on 2 liters .' -p126688 -(lp126689 -S'Temperature\tTemperature\tNN\tB-NP\tO' -p126690 -aS'98.8\t98.8\tCD\tI-NP\tO' -p126691 -aS';\t;\t:\tO\tO' -p126692 -aS'heart\theart\tNN\tB-NP\tO' -p126693 -aS'rate\trate\tNN\tI-NP\tO' -p126694 -aS'88-120\t88-120\tCD\tB-NP\tO' -p126695 -aS'and\tand\tCC\tO\tO' -p126696 -aS'irregular\tirregular\tJJ\tB-NP\tO' -p126697 -aS';\t;\t:\tO\tO' -p126698 -aS'blood\tblood\tNN\tB-NP\tO' -p126699 -aS'pressure\tpressure\tNN\tI-NP\tO' -p126700 -aS'118/78\t118/78\tCD\tI-NP\tO' -p126701 -aS';\t;\t:\tO\tO' -p126702 -aS'O2\tO2\tNN\tB-NP\tO' -p126703 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p126704 -aS'96%\t96%\tCD\tI-NP\tO' -p126705 -aS'on\ton\tIN\tB-PP\tO' -p126706 -aS'2\t2\tCD\tB-NP\tO' -p126707 -aS'liters\tliter\tNNS\tI-NP\tO' -p126708 -aS'.\t.\t.\tO\tO' -p126709 -asS'Synagis RSV prophylaxis given today due to multiple siblings at home with daycare exposure and the patient being between 32 and 35 weeks .' -p126710 -(lp126711 -S'Synagis\tSynagis\tNN\tB-NP\tO' -p126712 -aS'RSV\tRSV\tNN\tI-NP\tO' -p126713 -aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' -p126714 -aS'given\tgive\tVBN\tB-VP\tO' -p126715 -aS'today\ttoday\tNN\tB-NP\tO' -p126716 -aS'due\tdue\tIN\tB-PP\tO' -p126717 -aS'to\tto\tTO\tB-PP\tO' -p126718 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p126719 -aS'siblings\tsibling\tNNS\tI-NP\tO' -p126720 -aS'at\tat\tIN\tB-PP\tO' -p126721 -aS'home\thome\tNN\tB-NP\tO' -p126722 -aS'with\twith\tIN\tB-PP\tO' -p126723 -aS'daycare\tdaycare\tNN\tB-NP\tO' -p126724 -aS'exposure\texposure\tNN\tI-NP\tO' -p126725 -aS'and\tand\tCC\tO\tO' -p126726 -aS'the\tthe\tDT\tB-NP\tO' -p126727 -aS'patient\tpatient\tNN\tI-NP\tO' -p126728 -aS'being\tbe\tVBG\tB-VP\tO' -p126729 -aS'between\tbetween\tIN\tB-PP\tO' -p126730 -aS'32\t32\tCD\tB-NP\tO' -p126731 -aS'and\tand\tCC\tI-NP\tO' -p126732 -aS'35\t35\tCD\tI-NP\tO' -p126733 -aS'weeks\tweek\tNNS\tI-NP\tO' -p126734 -aS'.\t.\t.\tO\tO' -p126735 -asS'He also had difficulties navigating through his apartment , having difficulties finding the fridge for example .' -p126736 -(lp126737 -S'He\tHe\tPRP\tB-NP\tO' -p126738 -aS'also\talso\tRB\tB-ADVP\tO' -p126739 -aS'had\thave\tVBD\tB-VP\tO' -p126740 -aS'difficulties\tdifficulty\tNNS\tB-NP\tO' -p126741 -aS'navigating\tnavigate\tVBG\tB-VP\tO' -p126742 -aS'through\tthrough\tIN\tB-PP\tO' -p126743 -aS'his\this\tPRP$\tB-NP\tO' -p126744 -aS'apartment\tapartment\tNN\tI-NP\tO' -p126745 -aS',\t,\t,\tO\tO' -p126746 -aS'having\thave\tVBG\tB-VP\tO' -p126747 -aS'difficulties\tdifficulty\tNNS\tB-NP\tO' -p126748 -aS'finding\tfind\tVBG\tB-VP\tO' -p126749 -aS'the\tthe\tDT\tB-NP\tO' -p126750 -aS'fridge\tfridge\tNN\tI-NP\tO' -p126751 -aS'for\tfor\tIN\tB-PP\tO' -p126752 -aS'example\texample\tNN\tB-NP\tO' -p126753 -aS'.\t.\t.\tO\tO' -p126754 -asS'Left Ventricle - Inferolateral Thickness : 0.8 cm ( nl 0.6 - 1.1 cm )' -p126755 -(lp126756 -S'Left\tLeft\tNNP\tB-NP\tO' -p126757 -aS'Ventricle\tVentricle\tNNP\tI-NP\tO' -p126758 -aS'-\t-\tHYPH\tB-NP\tO' -p126759 -aS'Inferolateral\tInferolateral\tJJ\tI-NP\tO' -p126760 -aS'Thickness\tThickness\tNN\tI-NP\tO' -p126761 -aS':\t:\t:\tO\tO' -p126762 -aS'0.8\t0.8\tCD\tB-NP\tO' -p126763 -aS'cm\tcm\tNN\tI-NP\tO' -p126764 -aS'(\t(\t(\tO\tO' -p126765 -aS'nl\tnl\tNN\tB-NP\tB-protein' -p126766 -aS'0.6\t0.6\tCD\tI-NP\tI-protein' -p126767 -aS'-\t-\tHYPH\tO\tO' -p126768 -aS'1.1\t1.1\tCD\tB-NP\tO' -p126769 -aS'cm\tcm\tNN\tI-NP\tO' -p126770 -aS')\t)\t)\tO\tO' -p126771 -asS"The parents have been very involved in the infant 's care throughout her CMED CSRU stay ." -p126772 -(lp126773 -S'The\tThe\tDT\tB-NP\tO' -p126774 -aS'parents\tparent\tNNS\tI-NP\tO' -p126775 -aS'have\thave\tVBP\tB-VP\tO' -p126776 -aS'been\tbe\tVBN\tI-VP\tO' -p126777 -aS'very\tvery\tRB\tB-ADJP\tO' -p126778 -aS'involved\tinvolve\tVBN\tI-ADJP\tO' -p126779 -aS'in\tin\tIN\tB-PP\tO' -p126780 -aS'the\tthe\tDT\tB-NP\tO' -p126781 -aS'infant\tinfant\tNN\tI-NP\tO' -p126782 -aS"'s\t's\tPOS\tB-NP\tO" -p126783 -aS'care\tcare\tNN\tI-NP\tO' -p126784 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p126785 -aS'her\ther\tPRP$\tB-NP\tO' -p126786 -aS'CMED\tCMED\tNNP\tI-NP\tO' -p126787 -aS'CSRU\tCSRU\tNNP\tI-NP\tO' -p126788 -aS'stay\tstay\tNN\tI-NP\tO' -p126789 -aS'.\t.\t.\tO\tO' -p126790 -asS'Normal S1 and S2 without a murmur .' -p126791 -(lp126792 -S'Normal\tNormal\tJJ\tB-NP\tO' -p126793 -aS'S1\tS1\tNN\tI-NP\tB-protein' -p126794 -aS'and\tand\tCC\tO\tO' -p126795 -aS'S2\tS2\tNN\tB-NP\tB-protein' -p126796 -aS'without\twithout\tIN\tB-PP\tO' -p126797 -aS'a\ta\tDT\tB-NP\tO' -p126798 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p126799 -aS'.\t.\t.\tO\tO' -p126800 -asS'2900 wbc 98% pmn , suspcious for intra / extracellular bact' -p126801 -(lp126802 -S'2900\t2900\tCD\tB-NP\tO' -p126803 -aS'wbc\twbc\tNN\tI-NP\tO' -p126804 -aS'98%\t98%\tNN\tI-NP\tO' -p126805 -aS'pmn\tpmn\tNN\tI-NP\tO' -p126806 -aS',\t,\t,\tO\tO' -p126807 -aS'suspcious\tsuspcious\tJJ\tB-ADJP\tO' -p126808 -aS'for\tfor\tIN\tB-PP\tO' -p126809 -aS'intra\tintra\tJJ\tB-NP\tO' -p126810 -aS'/\t/\tSYM\tI-NP\tO' -p126811 -aS'extracellular\textracellular\tJJ\tI-NP\tO' -p126812 -aS'bact\tbact\tNN\tI-NP\tO' -p126813 -asS'The patient was admitted to the Cardiac Medicine Service and treated for presumed diastolic and systolic dysfunction .' -p126814 -(lp126815 -S'The\tThe\tDT\tB-NP\tO' -p126816 -aS'patient\tpatient\tNN\tI-NP\tO' -p126817 -aS'was\tbe\tVBD\tB-VP\tO' -p126818 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p126819 -aS'to\tto\tTO\tB-PP\tO' -p126820 -aS'the\tthe\tDT\tB-NP\tO' -p126821 -aS'Cardiac\tCardiac\tNNP\tI-NP\tO' -p126822 -aS'Medicine\tMedicine\tNNP\tI-NP\tO' -p126823 -aS'Service\tService\tNNP\tI-NP\tO' -p126824 -aS'and\tand\tCC\tO\tO' -p126825 -aS'treated\ttreat\tVBN\tB-VP\tO' -p126826 -aS'for\tfor\tIN\tB-PP\tO' -p126827 -aS'presumed\tpresume\tVBN\tB-NP\tO' -p126828 -aS'diastolic\tdiastolic\tJJ\tI-NP\tO' -p126829 -aS'and\tand\tCC\tI-NP\tO' -p126830 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p126831 -aS'dysfunction\tdysfunction\tNN\tI-NP\tO' -p126832 -aS'.\t.\t.\tO\tO' -p126833 -asS'He received 12 U of platelets .' -p126834 -(lp126835 -S'He\tHe\tPRP\tB-NP\tO' -p126836 -aS'received\treceive\tVBD\tB-VP\tO' -p126837 -aS'12\t12\tCD\tB-NP\tO' -p126838 -aS'U\tU\tNN\tI-NP\tO' -p126839 -aS'of\tof\tIN\tB-PP\tO' -p126840 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p126841 -aS'.\t.\t.\tO\tO' -p126842 -asS'No driving while taking prescription pain medications .' -p126843 -(lp126844 -S'No\tNo\tDT\tB-NP\tO' -p126845 -aS'driving\tdriving\tNN\tI-NP\tO' -p126846 -aS'while\twhile\tIN\tB-SBAR\tO' -p126847 -aS'taking\ttake\tVBG\tB-VP\tO' -p126848 -aS'prescription\tprescription\tNN\tB-NP\tO' -p126849 -aS'pain\tpain\tNN\tI-NP\tO' -p126850 -aS'medications\tmedication\tNNS\tI-NP\tO' -p126851 -aS'.\t.\t.\tO\tO' -p126852 -asS'A repeat EKG showed no changes .' -p126853 -(lp126854 -S'A\tA\tDT\tB-NP\tO' -p126855 -aS'repeat\trepeat\tNN\tI-NP\tO' -p126856 -aS'EKG\tEKG\tNN\tI-NP\tO' -p126857 -aS'showed\tshow\tVBD\tB-VP\tO' -p126858 -aS'no\tno\tDT\tB-NP\tO' -p126859 -aS'changes\tchange\tNNS\tI-NP\tO' -p126860 -aS'.\t.\t.\tO\tO' -p126861 -asS'Early on post-op day two Ms. Bridge had an episode of aphasia .' -p126862 -(lp126863 -S'Early\tEarly\tRB\tB-ADVP\tO' -p126864 -aS'on\ton\tIN\tB-PP\tO' -p126865 -aS'post-op\tpost-op\tJJ\tB-NP\tO' -p126866 -aS'day\tday\tNN\tI-NP\tO' -p126867 -aS'two\ttwo\tCD\tB-NP\tO' -p126868 -aS'Ms.\tMs.\tNNP\tI-NP\tO' -p126869 -aS'Bridge\tBridge\tNNP\tI-NP\tO' -p126870 -aS'had\thave\tVBD\tB-VP\tO' -p126871 -aS'an\tan\tDT\tB-NP\tO' -p126872 -aS'episode\tepisode\tNN\tI-NP\tO' -p126873 -aS'of\tof\tIN\tB-PP\tO' -p126874 -aS'aphasia\taphasia\tNN\tB-NP\tO' -p126875 -aS'.\t.\t.\tO\tO' -p126876 -asS'Back and neck were stiff and sore , without localizing tenderness .' -p126877 -(lp126878 -S'Back\tBack\tRB\tB-ADVP\tO' -p126879 -aS'and\tand\tCC\tO\tO' -p126880 -aS'neck\tneck\tNN\tB-NP\tO' -p126881 -aS'were\tbe\tVBD\tB-VP\tO' -p126882 -aS'stiff\tstiff\tJJ\tB-ADJP\tO' -p126883 -aS'and\tand\tCC\tI-ADJP\tO' -p126884 -aS'sore\tsore\tJJ\tI-ADJP\tO' -p126885 -aS',\t,\t,\tO\tO' -p126886 -aS'without\twithout\tIN\tB-PP\tO' -p126887 -aS'localizing\tlocalize\tVBG\tB-VP\tO' -p126888 -aS'tenderness\ttenderness\tNN\tB-NP\tO' -p126889 -aS'.\t.\t.\tO\tO' -p126890 -asS'She has not received prior radiation exposure .' -p126891 -(lp126892 -S'She\tShe\tPRP\tB-NP\tO' -p126893 -aS'has\thave\tVBZ\tB-VP\tO' -p126894 -aS'not\tnot\tRB\tI-VP\tO' -p126895 -aS'received\treceive\tVBN\tI-VP\tO' -p126896 -aS'prior\tprior\tJJ\tB-NP\tO' -p126897 -aS'radiation\tradiation\tNN\tI-NP\tO' -p126898 -aS'exposure\texposure\tNN\tI-NP\tO' -p126899 -aS'.\t.\t.\tO\tO' -p126900 -asS'Genitourinary : She had a foley catheter from the time of admission .' -p126901 -(lp126902 -S'Genitourinary\tGenitourinary\tJJ\tB-ADJP\tO' -p126903 -aS':\t:\t:\tO\tO' -p126904 -aS'She\tShe\tPRP\tB-NP\tO' -p126905 -aS'had\thave\tVBD\tB-VP\tO' -p126906 -aS'a\ta\tDT\tB-NP\tO' -p126907 -aS'foley\tfoley\tJJ\tI-NP\tO' -p126908 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p126909 -aS'from\tfrom\tIN\tB-PP\tO' -p126910 -aS'the\tthe\tDT\tB-NP\tO' -p126911 -aS'time\ttime\tNN\tI-NP\tO' -p126912 -aS'of\tof\tIN\tB-PP\tO' -p126913 -aS'admission\tadmission\tNN\tB-NP\tO' -p126914 -aS'.\t.\t.\tO\tO' -p126915 -asS'1. She was instructed to have blood drawn by the Visiting Nurses Association the day after discharge and then a few days after discharge the same week to have INR .' -p126916 -(lp126917 -S'1.\t1.\tLS\tB-LST\tO' -p126918 -aS'She\tShe\tPRP\tB-NP\tO' -p126919 -aS'was\tbe\tVBD\tB-VP\tO' -p126920 -aS'instructed\tinstruct\tVBN\tI-VP\tO' -p126921 -aS'to\tto\tTO\tI-VP\tO' -p126922 -aS'have\thave\tVB\tI-VP\tO' -p126923 -aS'blood\tblood\tNN\tB-NP\tO' -p126924 -aS'drawn\tdraw\tVBN\tB-VP\tO' -p126925 -aS'by\tby\tIN\tB-PP\tO' -p126926 -aS'the\tthe\tDT\tB-NP\tO' -p126927 -aS'Visiting\tVisiting\tNNP\tI-NP\tO' -p126928 -aS'Nurses\tNurse\tNNPS\tI-NP\tO' -p126929 -aS'Association\tAssociation\tNNP\tI-NP\tO' -p126930 -aS'the\tthe\tDT\tB-NP\tO' -p126931 -aS'day\tday\tNN\tI-NP\tO' -p126932 -aS'after\tafter\tIN\tB-PP\tO' -p126933 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p126934 -aS'and\tand\tCC\tO\tO' -p126935 -aS'then\tthen\tRB\tO\tO' -p126936 -aS'a\ta\tDT\tB-NP\tO' -p126937 -aS'few\tfew\tJJ\tI-NP\tO' -p126938 -aS'days\tday\tNNS\tI-NP\tO' -p126939 -aS'after\tafter\tIN\tB-PP\tO' -p126940 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p126941 -aS'the\tthe\tDT\tB-NP\tO' -p126942 -aS'same\tsame\tJJ\tI-NP\tO' -p126943 -aS'week\tweek\tNN\tI-NP\tO' -p126944 -aS'to\tto\tTO\tB-VP\tO' -p126945 -aS'have\thave\tVB\tI-VP\tO' -p126946 -aS'INR\tINR\tNN\tB-NP\tB-protein' -p126947 -aS'.\t.\t.\tO\tO' -p126948 -asS'Past Medical History : h/o Mitral Valve Endocarditis' -p126949 -(lp126950 -S'Past\tPast\tNNP\tB-NP\tO' -p126951 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p126952 -aS'History\tHistory\tNNP\tI-NP\tO' -p126953 -aS':\t:\t:\tO\tO' -p126954 -aS'h/o\th/o\tNNP\tB-NP\tO' -p126955 -aS'Mitral\tMitral\tNNP\tI-NP\tO' -p126956 -aS'Valve\tValve\tNNP\tI-NP\tO' -p126957 -aS'Endocarditis\tEndocarditis\tNNP\tI-NP\tO' -p126958 -asS'2) colonic dysfunction alternating with diarrhea and constipation' -p126959 -(lp126960 -S'2)\t2)\tLS\tB-NP\tO' -p126961 -aS'colonic\tcolonic\tJJ\tI-NP\tO' -p126962 -aS'dysfunction\tdysfunction\tNN\tI-NP\tO' -p126963 -aS'alternating\talternate\tVBG\tB-VP\tO' -p126964 -aS'with\twith\tIN\tB-PP\tO' -p126965 -aS'diarrhea\tdiarrhea\tNN\tB-NP\tO' -p126966 -aS'and\tand\tCC\tI-NP\tO' -p126967 -aS'constipation\tconstipation\tNN\tI-NP\tO' -p126968 -asS'1. 60-69% stenosis of the right internal carotid artery .' -p126969 -(lp126970 -S'1.\t1.\tLS\tB-NP\tO' -p126971 -aS'60-69%\t60-69%\tJJ\tI-NP\tO' -p126972 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p126973 -aS'of\tof\tIN\tB-PP\tO' -p126974 -aS'the\tthe\tDT\tB-NP\tO' -p126975 -aS'right\tright\tJJ\tI-NP\tO' -p126976 -aS'internal\tinternal\tJJ\tI-NP\tO' -p126977 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p126978 -aS'artery\tartery\tNN\tI-NP\tO' -p126979 -aS'.\t.\t.\tO\tO' -p126980 -asS'Call Dr. Linketerf tomorrow and make an appointment for follow-up on the lung nodule .' -p126981 -(lp126982 -S'Call\tCall\tNNP\tB-NP\tO' -p126983 -aS'Dr.\tDr.\tNNP\tI-NP\tO' -p126984 -aS'Linketerf\tLinketerf\tNNP\tI-NP\tO' -p126985 -aS'tomorrow\ttomorrow\tNN\tB-NP\tO' -p126986 -aS'and\tand\tCC\tO\tO' -p126987 -aS'make\tmake\tVB\tB-VP\tO' -p126988 -aS'an\tan\tDT\tB-NP\tO' -p126989 -aS'appointment\tappointment\tNN\tI-NP\tO' -p126990 -aS'for\tfor\tIN\tB-PP\tO' -p126991 -aS'follow-up\tfollow-up\tNN\tB-NP\tO' -p126992 -aS'on\ton\tIN\tB-PP\tO' -p126993 -aS'the\tthe\tDT\tB-NP\tO' -p126994 -aS'lung\tlung\tNN\tI-NP\tO' -p126995 -aS'nodule\tnodule\tNN\tI-NP\tO' -p126996 -aS'.\t.\t.\tO\tO' -p126997 -asS'Hematocrit was 24 in the Emergency Department .' -p126998 -(lp126999 -S'Hematocrit\tHematocrit\tNN\tB-NP\tO' -p127000 -aS'was\tbe\tVBD\tB-VP\tO' -p127001 -aS'24\t24\tCD\tB-NP\tO' -p127002 -aS'in\tin\tIN\tB-PP\tO' -p127003 -aS'the\tthe\tDT\tB-NP\tO' -p127004 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p127005 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p127006 -aS'.\t.\t.\tO\tO' -p127007 -asS'2. CELLULITIS .' -p127008 -(lp127009 -S'2.\t2.\tLS\tB-NP\tO' -p127010 -aS'CELLULITIS\tCELLULITIS\tNN\tI-NP\tO' -p127011 -aS'.\t.\t.\tO\tO' -p127012 -asS'8. Oxycodone - Acetaminophen 5-325 mg Tablet Sig : 1-2 Tablets PO Q4-6H ( every 4 to 6 hours ) as needed .' -p127013 -(lp127014 -S'8.\t8.\tCD\tB-NP\tO' -p127015 -aS'Oxycodone\tOxycodone\tNN\tI-NP\tO' -p127016 -aS'-\t-\tHYPH\tO\tO' -p127017 -aS'Acetaminophen\tAcetaminophen\tNN\tB-NP\tO' -p127018 -aS'5-325\t5-325\tCD\tI-NP\tO' -p127019 -aS'mg\tmg\tNN\tI-NP\tO' -p127020 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p127021 -aS'Sig\tSig\tNNP\tI-NP\tO' -p127022 -aS':\t:\t:\tO\tO' -p127023 -aS'1-2\t1-2\tCD\tB-NP\tO' -p127024 -aS'Tablets\tTablet\tNNS\tI-NP\tO' -p127025 -aS'PO\tPO\tNN\tI-NP\tO' -p127026 -aS'Q4-6H\tQ4-6H\tNN\tI-NP\tO' -p127027 -aS'(\t(\t(\tO\tO' -p127028 -aS'every\tevery\tDT\tB-NP\tO' -p127029 -aS'4\t4\tCD\tI-NP\tO' -p127030 -aS'to\tto\tTO\tI-NP\tO' -p127031 -aS'6\t6\tCD\tI-NP\tO' -p127032 -aS'hours\thour\tNNS\tI-NP\tO' -p127033 -aS')\t)\t)\tO\tO' -p127034 -aS'as\tas\tIN\tB-SBAR\tO' -p127035 -aS'needed\tneed\tVBN\tB-VP\tO' -p127036 -aS'.\t.\t.\tO\tO' -p127037 -asS'Transcranial dopplers showed no abnormalities in the ophthalmic siphon systems , distal vertebrals , or proximal basilar artery .' -p127038 -(lp127039 -S'Transcranial\tTranscranial\tJJ\tB-NP\tO' -p127040 -aS'dopplers\tdoppler\tNNS\tI-NP\tO' -p127041 -aS'showed\tshow\tVBD\tB-VP\tO' -p127042 -aS'no\tno\tDT\tB-NP\tO' -p127043 -aS'abnormalities\tabnormality\tNNS\tI-NP\tO' -p127044 -aS'in\tin\tIN\tB-PP\tO' -p127045 -aS'the\tthe\tDT\tB-NP\tO' -p127046 -aS'ophthalmic\tophthalmic\tJJ\tI-NP\tO' -p127047 -aS'siphon\tsiphon\tNN\tI-NP\tO' -p127048 -aS'systems\tsystem\tNNS\tI-NP\tO' -p127049 -aS',\t,\t,\tO\tO' -p127050 -aS'distal\tdistal\tJJ\tB-NP\tO' -p127051 -aS'vertebrals\tvertebral\tNNS\tI-NP\tO' -p127052 -aS',\t,\t,\tO\tO' -p127053 -aS'or\tor\tCC\tO\tO' -p127054 -aS'proximal\tproximal\tJJ\tB-NP\tO' -p127055 -aS'basilar\tbasilar\tJJ\tI-NP\tO' -p127056 -aS'artery\tartery\tNN\tI-NP\tO' -p127057 -aS'.\t.\t.\tO\tO' -p127058 -asS'Calcification is seen at both carotid bifurcations .' -p127059 -(lp127060 -S'Calcification\tCalcification\tNN\tB-NP\tO' -p127061 -aS'is\tbe\tVBZ\tB-VP\tO' -p127062 -aS'seen\tsee\tVBN\tI-VP\tO' -p127063 -aS'at\tat\tIN\tB-PP\tO' -p127064 -aS'both\tboth\tDT\tB-NP\tO' -p127065 -aS'carotid\tcarotid\tJJ\tI-NP\tO' -p127066 -aS'bifurcations\tbifurcation\tNNS\tI-NP\tO' -p127067 -aS'.\t.\t.\tO\tO' -p127068 -asS'The patient was extubated on 11/22/03 .' -p127069 -(lp127070 -S'The\tThe\tDT\tB-NP\tO' -p127071 -aS'patient\tpatient\tNN\tI-NP\tO' -p127072 -aS'was\tbe\tVBD\tB-VP\tO' -p127073 -aS'extubated\textubate\tVBN\tI-VP\tO' -p127074 -aS'on\ton\tIN\tB-PP\tO' -p127075 -aS'11/22/03\t11/22/03\tCD\tB-NP\tO' -p127076 -aS'.\t.\t.\tO\tO' -p127077 -asS'Dr Marcus assistant was called and she stated that she would call the patient with an appointment .' -p127078 -(lp127079 -S'Dr\tDr\tNNP\tB-NP\tO' -p127080 -aS'Marcus\tMarcus\tNNP\tI-NP\tO' -p127081 -aS'assistant\tassistant\tNN\tI-NP\tO' -p127082 -aS'was\tbe\tVBD\tB-VP\tO' -p127083 -aS'called\tcall\tVBN\tI-VP\tO' -p127084 -aS'and\tand\tCC\tO\tO' -p127085 -aS'she\tshe\tPRP\tB-NP\tO' -p127086 -aS'stated\tstate\tVBD\tB-VP\tO' -p127087 -aS'that\tthat\tIN\tB-SBAR\tO' -p127088 -aS'she\tshe\tPRP\tB-NP\tO' -p127089 -aS'would\twould\tMD\tB-VP\tO' -p127090 -aS'call\tcall\tVB\tI-VP\tO' -p127091 -aS'the\tthe\tDT\tB-NP\tO' -p127092 -aS'patient\tpatient\tNN\tI-NP\tO' -p127093 -aS'with\twith\tIN\tB-PP\tO' -p127094 -aS'an\tan\tDT\tB-NP\tO' -p127095 -aS'appointment\tappointment\tNN\tI-NP\tO' -p127096 -aS'.\t.\t.\tO\tO' -p127097 -asS'Cerebellar function was intact .' -p127098 -(lp127099 -S'Cerebellar\tCerebellar\tJJ\tB-NP\tO' -p127100 -aS'function\tfunction\tNN\tI-NP\tO' -p127101 -aS'was\tbe\tVBD\tB-VP\tO' -p127102 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p127103 -aS'.\t.\t.\tO\tO' -p127104 -asS'Mental status : Awake and alert , cooperative with exam , normal affect .' -p127105 -(lp127106 -S'Mental\tMental\tJJ\tB-NP\tO' -p127107 -aS'status\tstatus\tNN\tI-NP\tO' -p127108 -aS':\t:\t:\tO\tO' -p127109 -aS'Awake\tAwake\tNN\tB-NP\tO' -p127110 -aS'and\tand\tCC\tO\tO' -p127111 -aS'alert\talert\tJJ\tB-ADJP\tO' -p127112 -aS',\t,\t,\tO\tO' -p127113 -aS'cooperative\tcooperative\tJJ\tB-ADJP\tO' -p127114 -aS'with\twith\tIN\tB-PP\tO' -p127115 -aS'exam\texam\tNN\tB-NP\tO' -p127116 -aS',\t,\t,\tO\tO' -p127117 -aS'normal\tnormal\tJJ\tB-NP\tO' -p127118 -aS'affect\taffect\tNN\tI-NP\tO' -p127119 -aS'.\t.\t.\tO\tO' -p127120 -asS'There he continued to be hemodynamically stable .' -p127121 -(lp127122 -S'There\tThere\tEX\tB-NP\tO' -p127123 -aS'he\the\tPRP\tB-NP\tO' -p127124 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p127125 -aS'to\tto\tTO\tI-VP\tO' -p127126 -aS'be\tbe\tVB\tI-VP\tO' -p127127 -aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' -p127128 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p127129 -aS'.\t.\t.\tO\tO' -p127130 -asS'Increased soft tissues within the pharynx .' -p127131 -(lp127132 -S'Increased\tIncrease\tVBN\tB-NP\tO' -p127133 -aS'soft\tsoft\tJJ\tI-NP\tO' -p127134 -aS'tissues\ttissue\tNNS\tI-NP\tO' -p127135 -aS'within\twithin\tIN\tB-PP\tO' -p127136 -aS'the\tthe\tDT\tB-NP\tO' -p127137 -aS'pharynx\tpharynx\tNN\tI-NP\tO' -p127138 -aS'.\t.\t.\tO\tO' -p127139 -asS'8) previous abdominal aortic aneurysm repair in 1981 ,' -p127140 -(lp127141 -S'8)\t8)\tLS\tB-NP\tO' -p127142 -aS'previous\tprevious\tJJ\tI-NP\tO' -p127143 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p127144 -aS'aortic\taortic\tJJ\tI-NP\tO' -p127145 -aS'aneurysm\taneurysm\tNN\tI-NP\tO' -p127146 -aS'repair\trepair\tNN\tI-NP\tO' -p127147 -aS'in\tin\tIN\tB-PP\tO' -p127148 -aS'1981\t1981\tCD\tB-NP\tO' -p127149 -aS',\t,\t,\tO\tO' -p127150 -asS'Per family , the patient has had worsening CHF/volume overload over the last several weeks , requiring supplemental O2 at rehab .' -p127151 -(lp127152 -S'Per\tPer\tNNP\tB-NP\tO' -p127153 -aS'family\tfamily\tNN\tI-NP\tO' -p127154 -aS',\t,\t,\tO\tO' -p127155 -aS'the\tthe\tDT\tB-NP\tO' -p127156 -aS'patient\tpatient\tNN\tI-NP\tO' -p127157 -aS'has\thave\tVBZ\tB-VP\tO' -p127158 -aS'had\thave\tVBN\tI-VP\tO' -p127159 -aS'worsening\tworsen\tVBG\tI-VP\tO' -p127160 -aS'CHF/volume\tCHF/volume\tNN\tB-NP\tO' -p127161 -aS'overload\toverload\tNN\tI-NP\tO' -p127162 -aS'over\tover\tIN\tB-PP\tO' -p127163 -aS'the\tthe\tDT\tB-NP\tO' -p127164 -aS'last\tlast\tJJ\tI-NP\tO' -p127165 -aS'several\tseveral\tJJ\tI-NP\tO' -p127166 -aS'weeks\tweek\tNNS\tI-NP\tO' -p127167 -aS',\t,\t,\tO\tO' -p127168 -aS'requiring\trequire\tVBG\tB-VP\tO' -p127169 -aS'supplemental\tsupplemental\tJJ\tB-NP\tO' -p127170 -aS'O2\tO2\tNN\tI-NP\tO' -p127171 -aS'at\tat\tIN\tB-PP\tO' -p127172 -aS'rehab\trehab\tNN\tB-NP\tO' -p127173 -aS'.\t.\t.\tO\tO' -p127174 -asS'There were no sepsis risk factors .' -p127175 -(lp127176 -S'There\tThere\tEX\tB-NP\tO' -p127177 -aS'were\tbe\tVBD\tB-VP\tO' -p127178 -aS'no\tno\tDT\tB-NP\tO' -p127179 -aS'sepsis\tsepsis\tNN\tI-NP\tO' -p127180 -aS'risk\trisk\tNN\tI-NP\tO' -p127181 -aS'factors\tfactor\tNNS\tI-NP\tO' -p127182 -aS'.\t.\t.\tO\tO' -p127183 -asS'He remained unresponsive when the ambulance arrived .' -p127184 -(lp127185 -S'He\tHe\tPRP\tB-NP\tO' -p127186 -aS'remained\tremain\tVBD\tB-VP\tO' -p127187 -aS'unresponsive\tunresponsive\tJJ\tB-ADJP\tO' -p127188 -aS'when\twhen\tWRB\tB-ADVP\tO' -p127189 -aS'the\tthe\tDT\tB-NP\tO' -p127190 -aS'ambulance\tambulance\tNN\tI-NP\tO' -p127191 -aS'arrived\tarrive\tVBD\tB-VP\tO' -p127192 -aS'.\t.\t.\tO\tO' -p127193 -asS"Pulse in the 60 's to 70 's." -p127194 -(lp127195 -S'Pulse\tPulse\tNN\tB-NP\tO' -p127196 -aS'in\tin\tIN\tB-PP\tO' -p127197 -aS'the\tthe\tDT\tB-NP\tO' -p127198 -aS'60\t60\tCD\tI-NP\tO' -p127199 -aS"'s\t's\tPOS\tB-NP\tO" -p127200 -aS'to\tto\tTO\tB-PP\tO' -p127201 -aS'70\t70\tCD\tB-NP\tO' -p127202 -aS"'s.\t's.\tPOS\tB-NP\tO" -p127203 -asS'He does not have wheezing , claudication or gastrointestinal bleeding .' -p127204 -(lp127205 -S'He\tHe\tPRP\tB-NP\tO' -p127206 -aS'does\tdo\tVBZ\tB-VP\tO' -p127207 -aS'not\tnot\tRB\tI-VP\tO' -p127208 -aS'have\thave\tVB\tI-VP\tO' -p127209 -aS'wheezing\twheezing\tNN\tB-NP\tO' -p127210 -aS',\t,\t,\tO\tO' -p127211 -aS'claudication\tclaudication\tNN\tB-NP\tO' -p127212 -aS'or\tor\tCC\tO\tO' -p127213 -aS'gastrointestinal\tgastrointestinal\tJJ\tB-NP\tO' -p127214 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p127215 -aS'.\t.\t.\tO\tO' -p127216 -asS'5. Heavy calcification of the aorta and SMA and its branches .' -p127217 -(lp127218 -S'5.\t5.\tLS\tB-NP\tO' -p127219 -aS'Heavy\tHeavy\tJJ\tI-NP\tO' -p127220 -aS'calcification\tcalcification\tNN\tI-NP\tO' -p127221 -aS'of\tof\tIN\tB-PP\tO' -p127222 -aS'the\tthe\tDT\tB-NP\tO' -p127223 -aS'aorta\taorta\tNN\tI-NP\tO' -p127224 -aS'and\tand\tCC\tI-NP\tO' -p127225 -aS'SMA\tSMA\tNN\tI-NP\tB-protein' -p127226 -aS'and\tand\tCC\tO\tO' -p127227 -aS'its\tits\tPRP$\tB-NP\tO' -p127228 -aS'branches\tbranch\tNNS\tI-NP\tO' -p127229 -aS'.\t.\t.\tO\tO' -p127230 -asS'Neck supple , no lymphadenopathy .' -p127231 -(lp127232 -S'Neck\tNeck\tNN\tB-NP\tO' -p127233 -aS'supple\tsupple\tNN\tI-NP\tO' -p127234 -aS',\t,\t,\tO\tO' -p127235 -aS'no\tno\tDT\tB-NP\tO' -p127236 -aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' -p127237 -aS'.\t.\t.\tO\tO' -p127238 -asS'Completed by : Bertha Janice Motta MD 52-860 2012-11-07 @ 1207' -p127239 -(lp127240 -S'Completed\tComplete\tVBN\tB-VP\tO' -p127241 -aS'by\tby\tIN\tB-PP\tO' -p127242 -aS':\t:\t:\tO\tO' -p127243 -aS'Bertha\tBertha\tNNP\tB-NP\tO' -p127244 -aS'Janice\tJanice\tNNP\tI-NP\tO' -p127245 -aS'Motta\tMotta\tNNP\tI-NP\tO' -p127246 -aS'MD\tMD\tNNP\tI-NP\tO' -p127247 -aS'52-860\t52-860\tCD\tI-NP\tO' -p127248 -aS'2012-11-07\t2012-11-07\tCD\tI-NP\tO' -p127249 -aS'@\t@\tNN\tI-NP\tO' -p127250 -aS'1207\t1207\tCD\tB-NP\tO' -p127251 -asS'PULM - CTAB no w / r / r ABD -nt / nd ; incision c / d / I ; discrete 3x3 cm slightly firm protuberant mass to the R of umbilicus ; no rebound , no guarding .' -p127252 -(lp127253 -S'PULM\tPULM\tNN\tB-NP\tB-protein' -p127254 -aS'-\t-\tHYPH\tI-NP\tO' -p127255 -aS'CTAB\tCTAB\tNN\tI-NP\tB-protein' -p127256 -aS'no\tno\tDT\tB-NP\tO' -p127257 -aS'w\tw\tNN\tI-NP\tO' -p127258 -aS'/\t/\tSYM\tB-NP\tO' -p127259 -aS'r\tr\tNN\tI-NP\tO' -p127260 -aS'/\t/\tSYM\tI-NP\tO' -p127261 -aS'r\tr\tNN\tI-NP\tO' -p127262 -aS'ABD\tABD\tNN\tI-NP\tO' -p127263 -aS'-nt\t-nt\tNN\tI-NP\tO' -p127264 -aS'/\t/\tSYM\tB-NP\tO' -p127265 -aS'nd\tnd\tNN\tI-NP\tO' -p127266 -aS';\t;\t:\tO\tO' -p127267 -aS'incision\tincision\tNN\tB-NP\tO' -p127268 -aS'c\tc\tNN\tI-NP\tO' -p127269 -aS'/\t/\tSYM\tB-NP\tO' -p127270 -aS'd\td\tNN\tI-NP\tO' -p127271 -aS'/\t/\tSYM\tI-NP\tO' -p127272 -aS'I\tI\tNN\tI-NP\tO' -p127273 -aS';\t;\t:\tO\tO' -p127274 -aS'discrete\tdiscrete\tJJ\tB-NP\tO' -p127275 -aS'3x3\t3x3\tCD\tI-NP\tO' -p127276 -aS'cm\tcm\tNN\tI-NP\tO' -p127277 -aS'slightly\tslightly\tRB\tB-NP\tO' -p127278 -aS'firm\tfirm\tJJ\tI-NP\tO' -p127279 -aS'protuberant\tprotuberant\tJJ\tI-NP\tO' -p127280 -aS'mass\tmass\tNN\tI-NP\tO' -p127281 -aS'to\tto\tTO\tB-PP\tO' -p127282 -aS'the\tthe\tDT\tB-NP\tO' -p127283 -aS'R\tR\tNN\tI-NP\tB-protein' -p127284 -aS'of\tof\tIN\tB-PP\tO' -p127285 -aS'umbilicus\tumbilicus\tNN\tB-NP\tO' -p127286 -aS';\t;\t:\tO\tO' -p127287 -aS'no\tno\tDT\tB-NP\tO' -p127288 -aS'rebound\trebound\tNN\tI-NP\tO' -p127289 -aS',\t,\t,\tO\tO' -p127290 -aS'no\tno\tDT\tB-NP\tO' -p127291 -aS'guarding\tguarding\tNN\tI-NP\tO' -p127292 -aS'.\t.\t.\tO\tO' -p127293 -asS'Psychiatric examination was normal .' -p127294 -(lp127295 -S'Psychiatric\tPsychiatric\tJJ\tB-NP\tO' -p127296 -aS'examination\texamination\tNN\tI-NP\tO' -p127297 -aS'was\tbe\tVBD\tB-VP\tO' -p127298 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p127299 -aS'.\t.\t.\tO\tO' -p127300 -asS'50 yo M from Taheimpromong admitted w / CP for r / o MI .' -p127301 -(lp127302 -S'50\t50\tCD\tB-NP\tO' -p127303 -aS'yo\tyo\tNN\tI-NP\tO' -p127304 -aS'M\tM\tNN\tI-NP\tO' -p127305 -aS'from\tfrom\tIN\tB-PP\tO' -p127306 -aS'Taheimpromong\tTaheimpromong\tIN\tB-PP\tO' -p127307 -aS'admitted\tadmit\tVBN\tB-NP\tO' -p127308 -aS'w\tw\tNN\tI-NP\tO' -p127309 -aS'/\t/\tSYM\tO\tO' -p127310 -aS'CP\tCP\tNN\tB-NP\tB-DNA' -p127311 -aS'for\tfor\tIN\tB-PP\tO' -p127312 -aS'r\tr\tNN\tB-NP\tO' -p127313 -aS'/\t/\tSYM\tI-NP\tO' -p127314 -aS'o\to\tNN\tI-NP\tO' -p127315 -aS'MI\tMI\tNN\tI-NP\tO' -p127316 -aS'.\t.\t.\tO\tO' -p127317 -asS'His partner also reports that he has been having more difficulty with ADLs .' -p127318 -(lp127319 -S'His\tHis\tPRP$\tB-NP\tO' -p127320 -aS'partner\tpartner\tNN\tI-NP\tO' -p127321 -aS'also\talso\tRB\tB-ADVP\tO' -p127322 -aS'reports\treport\tVBZ\tB-VP\tO' -p127323 -aS'that\tthat\tIN\tB-SBAR\tO' -p127324 -aS'he\the\tPRP\tB-NP\tO' -p127325 -aS'has\thave\tVBZ\tB-VP\tO' -p127326 -aS'been\tbe\tVBN\tI-VP\tO' -p127327 -aS'having\thave\tVBG\tI-VP\tO' -p127328 -aS'more\tmore\tJJR\tB-NP\tO' -p127329 -aS'difficulty\tdifficulty\tNN\tI-NP\tO' -p127330 -aS'with\twith\tIN\tB-PP\tO' -p127331 -aS'ADLs\tADL\tNNS\tB-NP\tB-protein' -p127332 -aS'.\t.\t.\tO\tO' -p127333 -asS'Iodine and shellfish cause throat tightening .' -p127334 -(lp127335 -S'Iodine\tIodine\tNN\tB-NP\tO' -p127336 -aS'and\tand\tCC\tI-NP\tO' -p127337 -aS'shellfish\tshellfish\tNN\tI-NP\tO' -p127338 -aS'cause\tcause\tVBP\tB-VP\tO' -p127339 -aS'throat\tthroat\tNN\tB-NP\tO' -p127340 -aS'tightening\ttighten\tVBG\tB-VP\tO' -p127341 -aS'.\t.\t.\tO\tO' -p127342 -asS'He had experienced some constipation for the few months prior with lighter colored stools , darkened urine and fatigue for months with increased shortness of breath , orthopnea and dyspnea on exertion .' -p127343 -(lp127344 -S'He\tHe\tPRP\tB-NP\tO' -p127345 -aS'had\thave\tVBD\tB-VP\tO' -p127346 -aS'experienced\texperience\tVBN\tI-VP\tO' -p127347 -aS'some\tsome\tDT\tB-NP\tO' -p127348 -aS'constipation\tconstipation\tNN\tI-NP\tO' -p127349 -aS'for\tfor\tIN\tB-PP\tO' -p127350 -aS'the\tthe\tDT\tB-NP\tO' -p127351 -aS'few\tfew\tJJ\tI-NP\tO' -p127352 -aS'months\tmonth\tNNS\tI-NP\tO' -p127353 -aS'prior\tprior\tRB\tB-ADVP\tO' -p127354 -aS'with\twith\tIN\tB-PP\tO' -p127355 -aS'lighter\tlight\tJJR\tB-NP\tO' -p127356 -aS'colored\tcolor\tVBN\tI-NP\tO' -p127357 -aS'stools\tstool\tNNS\tI-NP\tO' -p127358 -aS',\t,\t,\tO\tO' -p127359 -aS'darkened\tdarken\tVBN\tB-NP\tO' -p127360 -aS'urine\turine\tNN\tI-NP\tO' -p127361 -aS'and\tand\tCC\tI-NP\tO' -p127362 -aS'fatigue\tfatigue\tNN\tI-NP\tO' -p127363 -aS'for\tfor\tIN\tB-PP\tO' -p127364 -aS'months\tmonth\tNNS\tB-NP\tO' -p127365 -aS'with\twith\tIN\tB-PP\tO' -p127366 -aS'increased\tincrease\tVBN\tB-NP\tO' -p127367 -aS'shortness\tshortness\tNN\tI-NP\tO' -p127368 -aS'of\tof\tIN\tB-PP\tO' -p127369 -aS'breath\tbreath\tNN\tB-NP\tO' -p127370 -aS',\t,\t,\tI-NP\tO' -p127371 -aS'orthopnea\torthopnea\tNN\tI-NP\tO' -p127372 -aS'and\tand\tCC\tI-NP\tO' -p127373 -aS'dyspnea\tdyspnea\tNN\tI-NP\tO' -p127374 -aS'on\ton\tIN\tB-PP\tO' -p127375 -aS'exertion\texertion\tNN\tB-NP\tO' -p127376 -aS'.\t.\t.\tO\tO' -p127377 -asS'Immediately postop , her exam only improved slightly in her hyperreflexia .' -p127378 -(lp127379 -S'Immediately\tImmediately\tRB\tB-ADVP\tO' -p127380 -aS'postop\tpostop\tVB\tB-VP\tO' -p127381 -aS',\t,\t,\tO\tO' -p127382 -aS'her\ther\tPRP$\tB-NP\tO' -p127383 -aS'exam\texam\tNN\tI-NP\tO' -p127384 -aS'only\tonly\tRB\tB-ADVP\tO' -p127385 -aS'improved\timprove\tVBD\tB-VP\tO' -p127386 -aS'slightly\tslightly\tRB\tB-ADVP\tO' -p127387 -aS'in\tin\tIN\tB-PP\tO' -p127388 -aS'her\ther\tPRP$\tB-NP\tO' -p127389 -aS'hyperreflexia\thyperreflexia\tNN\tI-NP\tO' -p127390 -aS'.\t.\t.\tO\tO' -p127391 -asS'6. Nystatin 06-18 mL swish and swallow q.6. prn .' -p127392 -(lp127393 -S'6.\t6.\tLS\tB-LST\tO' -p127394 -aS'Nystatin\tNystatin\tNN\tB-NP\tO' -p127395 -aS'06-18\t06-18\tCD\tI-NP\tO' -p127396 -aS'mL\tmL\tNN\tI-NP\tO' -p127397 -aS'swish\tswish\tNN\tI-NP\tO' -p127398 -aS'and\tand\tCC\tO\tO' -p127399 -aS'swallow\tswallow\tVB\tB-VP\tO' -p127400 -aS'q.6.\tq.6.\tNN\tB-NP\tO' -p127401 -aS'prn\tprn\tNN\tI-NP\tO' -p127402 -aS'.\t.\t.\tO\tO' -p127403 -asS'Throughout Mr. Richard admission , his hematocrit remained stable in the low 30s .' -p127404 -(lp127405 -S'Throughout\tThroughout\tIN\tB-PP\tO' -p127406 -aS'Mr.\tMr.\tNNP\tB-NP\tO' -p127407 -aS'Richard\tRichard\tNNP\tI-NP\tO' -p127408 -aS'admission\tadmission\tNN\tI-NP\tO' -p127409 -aS',\t,\t,\tO\tO' -p127410 -aS'his\this\tPRP$\tB-NP\tO' -p127411 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p127412 -aS'remained\tremain\tVBD\tB-VP\tO' -p127413 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p127414 -aS'in\tin\tIN\tB-PP\tO' -p127415 -aS'the\tthe\tDT\tB-NP\tO' -p127416 -aS'low\tlow\tJJ\tI-NP\tO' -p127417 -aS'30s\t30\tNNS\tI-NP\tO' -p127418 -aS'.\t.\t.\tO\tO' -p127419 -asS'The patient was started on Florinef for concern of adrenal insufficiency ; however , she was hemodynamically stable that morning and was transferred back out to the floor .' -p127420 -(lp127421 -S'The\tThe\tDT\tB-NP\tO' -p127422 -aS'patient\tpatient\tNN\tI-NP\tO' -p127423 -aS'was\tbe\tVBD\tB-VP\tO' -p127424 -aS'started\tstart\tVBN\tI-VP\tO' -p127425 -aS'on\ton\tIN\tB-PP\tO' -p127426 -aS'Florinef\tFlorinef\tNN\tB-NP\tB-protein' -p127427 -aS'for\tfor\tIN\tB-PP\tO' -p127428 -aS'concern\tconcern\tNN\tB-NP\tO' -p127429 -aS'of\tof\tIN\tB-PP\tO' -p127430 -aS'adrenal\tadrenal\tJJ\tB-NP\tO' -p127431 -aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' -p127432 -aS';\t;\t:\tO\tO' -p127433 -aS'however\thowever\tRB\tB-ADVP\tO' -p127434 -aS',\t,\t,\tO\tO' -p127435 -aS'she\tshe\tPRP\tB-NP\tO' -p127436 -aS'was\tbe\tVBD\tB-VP\tO' -p127437 -aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' -p127438 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p127439 -aS'that\tthat\tIN\tB-SBAR\tO' -p127440 -aS'morning\tmorning\tNN\tB-NP\tO' -p127441 -aS'and\tand\tCC\tO\tO' -p127442 -aS'was\tbe\tVBD\tB-VP\tO' -p127443 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p127444 -aS'back\tback\tRB\tB-ADVP\tO' -p127445 -aS'out\tout\tIN\tB-PP\tO' -p127446 -aS'to\tto\tTO\tB-PP\tO' -p127447 -aS'the\tthe\tDT\tB-NP\tO' -p127448 -aS'floor\tfloor\tNN\tI-NP\tO' -p127449 -aS'.\t.\t.\tO\tO' -p127450 -asS'Initial CBC was notable for a white count of 5.5 with 49 polys , 1 band and 47 lymphs .' -p127451 -(lp127452 -S'Initial\tInitial\tJJ\tB-NP\tO' -p127453 -aS'CBC\tCBC\tNN\tI-NP\tO' -p127454 -aS'was\tbe\tVBD\tB-VP\tO' -p127455 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p127456 -aS'for\tfor\tIN\tB-PP\tO' -p127457 -aS'a\ta\tDT\tB-NP\tO' -p127458 -aS'white\twhite\tJJ\tI-NP\tO' -p127459 -aS'count\tcount\tNN\tI-NP\tO' -p127460 -aS'of\tof\tIN\tB-PP\tO' -p127461 -aS'5.5\t5.5\tCD\tB-NP\tO' -p127462 -aS'with\twith\tIN\tB-PP\tO' -p127463 -aS'49\t49\tCD\tB-NP\tO' -p127464 -aS'polys\tpoly\tNNS\tI-NP\tO' -p127465 -aS',\t,\t,\tO\tO' -p127466 -aS'1\t1\tCD\tB-NP\tO' -p127467 -aS'band\tband\tNN\tI-NP\tO' -p127468 -aS'and\tand\tCC\tO\tO' -p127469 -aS'47\t47\tCD\tB-NP\tO' -p127470 -aS'lymphs\tlymph\tNNS\tI-NP\tO' -p127471 -aS'.\t.\t.\tO\tO' -p127472 -asS'Normal with intact cranial nerves , deep tendon reflexes and normal motor / sensory exam .' -p127473 -(lp127474 -S'Normal\tNormal\tJJ\tB-ADJP\tO' -p127475 -aS'with\twith\tIN\tB-PP\tO' -p127476 -aS'intact\tintact\tJJ\tB-NP\tO' -p127477 -aS'cranial\tcranial\tJJ\tI-NP\tO' -p127478 -aS'nerves\tnerve\tNNS\tI-NP\tO' -p127479 -aS',\t,\t,\tO\tO' -p127480 -aS'deep\tdeep\tJJ\tB-NP\tO' -p127481 -aS'tendon\ttendon\tNN\tI-NP\tO' -p127482 -aS'reflexes\treflex\tNNS\tI-NP\tO' -p127483 -aS'and\tand\tCC\tO\tO' -p127484 -aS'normal\tnormal\tJJ\tB-NP\tO' -p127485 -aS'motor\tmotor\tNN\tI-NP\tO' -p127486 -aS'/\t/\tSYM\tB-VP\tO' -p127487 -aS'sensory\tsensory\tNN\tB-NP\tO' -p127488 -aS'exam\texam\tNN\tI-NP\tO' -p127489 -aS'.\t.\t.\tO\tO' -p127490 -asS'Attending : George G Lindsey , M.D.' -p127491 -(lp127492 -S'Attending\tAttend\tVBG\tB-VP\tO' -p127493 -aS':\t:\t:\tO\tO' -p127494 -aS'George\tGeorge\tNNP\tB-NP\tO' -p127495 -aS'G\tG\tNNP\tI-NP\tO' -p127496 -aS'Lindsey\tLindsey\tNNP\tI-NP\tO' -p127497 -aS',\t,\t,\tO\tO' -p127498 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p127499 -asS'She denies any alcohol or drug use .' -p127500 -(lp127501 -S'She\tShe\tPRP\tB-NP\tO' -p127502 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p127503 -aS'any\tany\tDT\tB-NP\tO' -p127504 -aS'alcohol\talcohol\tNN\tI-NP\tO' -p127505 -aS'or\tor\tCC\tI-NP\tO' -p127506 -aS'drug\tdrug\tNN\tI-NP\tO' -p127507 -aS'use\tuse\tNN\tI-NP\tO' -p127508 -aS'.\t.\t.\tO\tO' -p127509 -asS'PRINCIPAL DISCHARGE DIAGNOSIS ; Responsible After Study for Causing Admission ) Sepsis , myocardial infarction , ARDS , pneumonia' -p127510 -(lp127511 -S'PRINCIPAL\tPRINCIPAL\tJJ\tB-NP\tO' -p127512 -aS'DISCHARGE\tDISCHARGE\tNN\tI-NP\tO' -p127513 -aS'DIAGNOSIS\tDIAGNOSIS\tNN\tI-NP\tO' -p127514 -aS';\t;\t:\tO\tO' -p127515 -aS'Responsible\tResponsible\tJJ\tB-ADJP\tO' -p127516 -aS'After\tAfter\tIN\tB-PP\tO' -p127517 -aS'Study\tStudy\tNN\tB-NP\tO' -p127518 -aS'for\tfor\tIN\tB-PP\tO' -p127519 -aS'Causing\tCause\tVBG\tB-VP\tO' -p127520 -aS'Admission\tAdmission\tNN\tB-NP\tO' -p127521 -aS')\t)\t)\tO\tO' -p127522 -aS'Sepsis\tSepsis\tNN\tB-NP\tO' -p127523 -aS',\t,\t,\tO\tO' -p127524 -aS'myocardial\tmyocardial\tJJ\tB-NP\tO' -p127525 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p127526 -aS',\t,\t,\tO\tO' -p127527 -aS'ARDS\tARDS\tNN\tB-NP\tO' -p127528 -aS',\t,\t,\tO\tO' -p127529 -aS'pneumonia\tpneumonia\tNN\tB-NP\tO' -p127530 -asS'1. Obstructive-sleep apnea ?' -p127531 -(lp127532 -S'1.\t1.\tLS\tB-NP\tO' -p127533 -aS'Obstructive-sleep\tObstructive-sleep\tJJ\tI-NP\tO' -p127534 -aS'apnea\tapnea\tNN\tI-NP\tO' -p127535 -aS'?\t?\t.\tO\tO' -p127536 -asS'TECHNIQUE : Non-contrast head CT .' -p127537 -(lp127538 -S'TECHNIQUE\tTECHNIQUE\tNN\tB-NP\tO' -p127539 -aS':\t:\t:\tO\tO' -p127540 -aS'Non-contrast\tNon-contrast\tJJ\tB-NP\tO' -p127541 -aS'head\thead\tNN\tI-NP\tO' -p127542 -aS'CT\tCT\tNN\tI-NP\tO' -p127543 -aS'.\t.\t.\tO\tO' -p127544 -asS'All of her cultures are negative to date .' -p127545 -(lp127546 -S'All\tAll\tDT\tB-NP\tO' -p127547 -aS'of\tof\tIN\tB-PP\tO' -p127548 -aS'her\ther\tPRP$\tB-NP\tB-cell_line' -p127549 -aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' -p127550 -aS'are\tbe\tVBP\tB-VP\tO' -p127551 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p127552 -aS'to\tto\tTO\tB-PP\tO' -p127553 -aS'date\tdate\tNN\tB-NP\tO' -p127554 -aS'.\t.\t.\tO\tO' -p127555 -asS'5. Osteomyelitis .' -p127556 -(lp127557 -S'5.\t5.\tLS\tB-NP\tO' -p127558 -aS'Osteomyelitis\tOsteomyelitis\tNN\tI-NP\tO' -p127559 -aS'.\t.\t.\tO\tO' -p127560 -asS'He denied any chest pain , dysuria , loss of consciousness , fevers , chills or any history of myocardial infarction .' -p127561 -(lp127562 -S'He\tHe\tPRP\tB-NP\tB-protein' -p127563 -aS'denied\tdeny\tVBD\tB-VP\tI-protein' -p127564 -aS'any\tany\tDT\tB-NP\tI-protein' -p127565 -aS'chest\tch\tJJS\tI-NP\tI-protein' -p127566 -aS'pain\tpain\tNN\tI-NP\tI-protein' -p127567 -aS',\t,\t,\tO\tO' -p127568 -aS'dysuria\tdysuria\tNN\tB-NP\tO' -p127569 -aS',\t,\t,\tO\tO' -p127570 -aS'loss\tloss\tNN\tB-NP\tO' -p127571 -aS'of\tof\tIN\tB-PP\tO' -p127572 -aS'consciousness\tconsciousness\tNN\tB-NP\tO' -p127573 -aS',\t,\t,\tO\tO' -p127574 -aS'fevers\tfever\tNNS\tB-NP\tO' -p127575 -aS',\t,\t,\tO\tO' -p127576 -aS'chills\tchill\tNNS\tB-NP\tO' -p127577 -aS'or\tor\tCC\tO\tO' -p127578 -aS'any\tany\tDT\tB-NP\tO' -p127579 -aS'history\thistory\tNN\tI-NP\tO' -p127580 -aS'of\tof\tIN\tB-PP\tO' -p127581 -aS'myocardial\tmyocardial\tJJ\tB-NP\tO' -p127582 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p127583 -aS'.\t.\t.\tO\tO' -p127584 -asS'Normal pulses were palpated .' -p127585 -(lp127586 -S'Normal\tNormal\tJJ\tB-NP\tO' -p127587 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p127588 -aS'were\tbe\tVBD\tB-VP\tO' -p127589 -aS'palpated\tpalpate\tVBN\tI-VP\tO' -p127590 -aS'.\t.\t.\tO\tO' -p127591 -asS'At the time of transfer to the ________ Onc Service , blood pressure was within the normal range .' -p127592 -(lp127593 -S'At\tAt\tIN\tB-PP\tO' -p127594 -aS'the\tthe\tDT\tB-NP\tO' -p127595 -aS'time\ttime\tNN\tI-NP\tO' -p127596 -aS'of\tof\tIN\tB-PP\tO' -p127597 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p127598 -aS'to\tto\tTO\tB-PP\tO' -p127599 -aS'the\tthe\tDT\tB-NP\tO' -p127600 -aS'________\t________\tNNP\tI-NP\tO' -p127601 -aS'Onc\tOnc\tNNP\tI-NP\tO' -p127602 -aS'Service\tService\tNNP\tI-NP\tO' -p127603 -aS',\t,\t,\tO\tO' -p127604 -aS'blood\tblood\tNN\tB-NP\tO' -p127605 -aS'pressure\tpressure\tNN\tI-NP\tO' -p127606 -aS'was\tbe\tVBD\tB-VP\tO' -p127607 -aS'within\twithin\tIN\tB-PP\tO' -p127608 -aS'the\tthe\tDT\tB-NP\tO' -p127609 -aS'normal\tnormal\tJJ\tI-NP\tO' -p127610 -aS'range\trange\tNN\tI-NP\tO' -p127611 -aS'.\t.\t.\tO\tO' -p127612 -asS'9. Acetaminophen 325 mg Tablet Sig : 1-2 Tablets PO Q4-6H ( every 4 to 6 hours ) as needed .' -p127613 -(lp127614 -S'9.\t9.\tCD\tB-NP\tO' -p127615 -aS'Acetaminophen\tAcetaminophen\tNN\tI-NP\tO' -p127616 -aS'325\t325\tCD\tB-NP\tO' -p127617 -aS'mg\tmg\tNN\tI-NP\tO' -p127618 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p127619 -aS'Sig\tSig\tNNP\tI-NP\tO' -p127620 -aS':\t:\t:\tO\tO' -p127621 -aS'1-2\t1-2\tCD\tB-NP\tO' -p127622 -aS'Tablets\tTablet\tNNS\tI-NP\tO' -p127623 -aS'PO\tPO\tNN\tI-NP\tO' -p127624 -aS'Q4-6H\tQ4-6H\tNN\tI-NP\tO' -p127625 -aS'(\t(\t(\tO\tO' -p127626 -aS'every\tevery\tDT\tB-NP\tO' -p127627 -aS'4\t4\tCD\tI-NP\tO' -p127628 -aS'to\tto\tTO\tI-NP\tO' -p127629 -aS'6\t6\tCD\tI-NP\tO' -p127630 -aS'hours\thour\tNNS\tI-NP\tO' -p127631 -aS')\t)\t)\tO\tO' -p127632 -aS'as\tas\tIN\tB-SBAR\tO' -p127633 -aS'needed\tneed\tVBN\tB-VP\tO' -p127634 -aS'.\t.\t.\tO\tO' -p127635 -asS'Right hip 90 degrees of flexion , minus 30 degrees of extension , 20 degrees of abduction , 30 degrees of adduction , less than 5 degrees of internal rotation and flexion and less than 5 degrees of external rotation and flexion .' -p127636 -(lp127637 -S'Right\tRight\tNN\tB-NP\tO' -p127638 -aS'hip\thip\tNN\tI-NP\tO' -p127639 -aS'90\t90\tCD\tB-NP\tO' -p127640 -aS'degrees\tdegree\tNNS\tI-NP\tO' -p127641 -aS'of\tof\tIN\tB-PP\tO' -p127642 -aS'flexion\tflexion\tNN\tB-NP\tO' -p127643 -aS',\t,\t,\tO\tO' -p127644 -aS'minus\tminus\tCC\tB-PP\tO' -p127645 -aS'30\t30\tCD\tB-NP\tO' -p127646 -aS'degrees\tdegree\tNNS\tI-NP\tO' -p127647 -aS'of\tof\tIN\tB-PP\tO' -p127648 -aS'extension\textension\tNN\tB-NP\tO' -p127649 -aS',\t,\t,\tO\tO' -p127650 -aS'20\t20\tCD\tB-NP\tO' -p127651 -aS'degrees\tdegree\tNNS\tI-NP\tO' -p127652 -aS'of\tof\tIN\tB-PP\tO' -p127653 -aS'abduction\tabduction\tNN\tB-NP\tO' -p127654 -aS',\t,\t,\tO\tO' -p127655 -aS'30\t30\tCD\tB-NP\tO' -p127656 -aS'degrees\tdegree\tNNS\tI-NP\tO' -p127657 -aS'of\tof\tIN\tB-PP\tO' -p127658 -aS'adduction\tadduction\tNN\tB-NP\tO' -p127659 -aS',\t,\t,\tO\tO' -p127660 -aS'less\tless\tJJR\tB-NP\tO' -p127661 -aS'than\tthan\tIN\tI-NP\tO' -p127662 -aS'5\t5\tCD\tI-NP\tO' -p127663 -aS'degrees\tdegree\tNNS\tI-NP\tO' -p127664 -aS'of\tof\tIN\tB-PP\tO' -p127665 -aS'internal\tinternal\tJJ\tB-NP\tO' -p127666 -aS'rotation\trotation\tNN\tI-NP\tO' -p127667 -aS'and\tand\tCC\tI-NP\tO' -p127668 -aS'flexion\tflexion\tNN\tI-NP\tO' -p127669 -aS'and\tand\tCC\tO\tO' -p127670 -aS'less\tless\tJJR\tB-NP\tO' -p127671 -aS'than\tthan\tIN\tI-NP\tO' -p127672 -aS'5\t5\tCD\tI-NP\tO' -p127673 -aS'degrees\tdegree\tNNS\tI-NP\tO' -p127674 -aS'of\tof\tIN\tB-PP\tO' -p127675 -aS'external\texternal\tJJ\tB-NP\tO' -p127676 -aS'rotation\trotation\tNN\tI-NP\tO' -p127677 -aS'and\tand\tCC\tI-NP\tO' -p127678 -aS'flexion\tflexion\tNN\tI-NP\tO' -p127679 -aS'.\t.\t.\tO\tO' -p127680 -asS'Birth weight was 5235 grams , length was 56 cm , and head circumference was 37.5 cm .' -p127681 -(lp127682 -S'Birth\tBirth\tNN\tB-NP\tO' -p127683 -aS'weight\tweight\tNN\tI-NP\tO' -p127684 -aS'was\tbe\tVBD\tB-VP\tO' -p127685 -aS'5235\t5235\tCD\tB-NP\tO' -p127686 -aS'grams\tgram\tNNS\tI-NP\tO' -p127687 -aS',\t,\t,\tO\tO' -p127688 -aS'length\tlength\tNN\tB-NP\tO' -p127689 -aS'was\tbe\tVBD\tB-VP\tO' -p127690 -aS'56\t56\tCD\tB-NP\tO' -p127691 -aS'cm\tcm\tNN\tI-NP\tO' -p127692 -aS',\t,\t,\tO\tO' -p127693 -aS'and\tand\tCC\tO\tO' -p127694 -aS'head\thead\tNN\tB-NP\tO' -p127695 -aS'circumference\tcircumference\tNN\tI-NP\tO' -p127696 -aS'was\tbe\tVBD\tB-VP\tO' -p127697 -aS'37.5\t37.5\tCD\tB-NP\tO' -p127698 -aS'cm\tcm\tNN\tI-NP\tO' -p127699 -aS'.\t.\t.\tO\tO' -p127700 -asS'Throughout her course on the Intensive Care Unit service , she has remained unresponsive with imaging studies consistent with a large left middle cerebral artery and posterior cerebral artery distribution cerebral infarction with mass effect and midline shift .' -p127701 -(lp127702 -S'Throughout\tThroughout\tIN\tB-PP\tO' -p127703 -aS'her\ther\tPRP$\tB-NP\tO' -p127704 -aS'course\tcourse\tNN\tI-NP\tO' -p127705 -aS'on\ton\tIN\tB-PP\tO' -p127706 -aS'the\tthe\tDT\tB-NP\tO' -p127707 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p127708 -aS'Care\tCare\tNNP\tI-NP\tO' -p127709 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p127710 -aS'service\tservice\tNN\tI-NP\tO' -p127711 -aS',\t,\t,\tO\tO' -p127712 -aS'she\tshe\tPRP\tB-NP\tO' -p127713 -aS'has\thave\tVBZ\tB-VP\tO' -p127714 -aS'remained\tremain\tVBN\tI-VP\tO' -p127715 -aS'unresponsive\tunresponsive\tJJ\tB-ADJP\tO' -p127716 -aS'with\twith\tIN\tB-PP\tO' -p127717 -aS'imaging\timage\tVBG\tB-VP\tO' -p127718 -aS'studies\tstudy\tNNS\tB-NP\tO' -p127719 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p127720 -aS'with\twith\tIN\tB-PP\tO' -p127721 -aS'a\ta\tDT\tB-NP\tO' -p127722 -aS'large\tlarge\tJJ\tI-NP\tO' -p127723 -aS'left\tleft\tJJ\tI-NP\tO' -p127724 -aS'middle\tmiddle\tJJ\tI-NP\tO' -p127725 -aS'cerebral\tcerebral\tJJ\tI-NP\tO' -p127726 -aS'artery\tartery\tNN\tI-NP\tO' -p127727 -aS'and\tand\tCC\tO\tO' -p127728 -aS'posterior\tposterior\tJJ\tB-NP\tO' -p127729 -aS'cerebral\tcerebral\tJJ\tI-NP\tO' -p127730 -aS'artery\tartery\tNN\tI-NP\tO' -p127731 -aS'distribution\tdistribution\tNN\tI-NP\tO' -p127732 -aS'cerebral\tcerebral\tJJ\tI-NP\tO' -p127733 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p127734 -aS'with\twith\tIN\tB-PP\tO' -p127735 -aS'mass\tmass\tNN\tB-NP\tO' -p127736 -aS'effect\teffect\tNN\tI-NP\tO' -p127737 -aS'and\tand\tCC\tO\tO' -p127738 -aS'midline\tmidline\tNN\tB-NP\tO' -p127739 -aS'shift\tshift\tNN\tI-NP\tO' -p127740 -aS'.\t.\t.\tO\tO' -p127741 -asS'The patient was extubated on postop day 1 without any problems .' -p127742 -(lp127743 -S'The\tThe\tDT\tB-NP\tO' -p127744 -aS'patient\tpatient\tNN\tI-NP\tO' -p127745 -aS'was\tbe\tVBD\tB-VP\tO' -p127746 -aS'extubated\textubate\tVBN\tI-VP\tO' -p127747 -aS'on\ton\tIN\tB-PP\tO' -p127748 -aS'postop\tpostop\tNN\tB-NP\tO' -p127749 -aS'day\tday\tNN\tI-NP\tO' -p127750 -aS'1\t1\tCD\tI-NP\tO' -p127751 -aS'without\twithout\tIN\tB-PP\tO' -p127752 -aS'any\tany\tDT\tB-NP\tO' -p127753 -aS'problems\tproblem\tNNS\tI-NP\tO' -p127754 -aS'.\t.\t.\tO\tO' -p127755 -asS'Quit 20 years ago .' -p127756 -(lp127757 -S'Quit\tQuit\tNNP\tB-NP\tO' -p127758 -aS'20\t20\tCD\tB-NP\tO' -p127759 -aS'years\tyear\tNNS\tI-NP\tO' -p127760 -aS'ago\tago\tRB\tB-ADVP\tO' -p127761 -aS'.\t.\t.\tO\tO' -p127762 -asS'Administer iron products a minimum of 2 hours before or after a levofloxacin or ciprofloxacin dose dose If on tube feeds , please cycle ( hold 1 hr before to 2 hr after )' -p127763 -(lp127764 -S'Administer\tAdminister\tNN\tB-NP\tO' -p127765 -aS'iron\tiron\tNN\tI-NP\tO' -p127766 -aS'products\tproduct\tNNS\tI-NP\tO' -p127767 -aS'a\ta\tDT\tB-NP\tO' -p127768 -aS'minimum\tminimum\tNN\tI-NP\tO' -p127769 -aS'of\tof\tIN\tB-PP\tO' -p127770 -aS'2\t2\tCD\tB-NP\tO' -p127771 -aS'hours\thour\tNNS\tI-NP\tO' -p127772 -aS'before\tbefore\tIN\tB-PP\tO' -p127773 -aS'or\tor\tCC\tI-PP\tO' -p127774 -aS'after\tafter\tIN\tI-PP\tO' -p127775 -aS'a\ta\tDT\tB-NP\tO' -p127776 -aS'levofloxacin\tlevofloxacin\tNN\tI-NP\tO' -p127777 -aS'or\tor\tCC\tI-NP\tO' -p127778 -aS'ciprofloxacin\tciprofloxacin\tNN\tI-NP\tO' -p127779 -aS'dose\tdose\tNN\tI-NP\tO' -p127780 -aS'dose\tdose\tNN\tI-NP\tO' -p127781 -aS'If\tIf\tIN\tB-SBAR\tO' -p127782 -aS'on\ton\tIN\tB-PP\tO' -p127783 -aS'tube\ttube\tNN\tB-NP\tO' -p127784 -aS'feeds\tfeed\tNNS\tI-NP\tO' -p127785 -aS',\t,\t,\tO\tO' -p127786 -aS'please\tplease\tNN\tB-NP\tO' -p127787 -aS'cycle\tcycle\tNN\tI-NP\tO' -p127788 -aS'(\t(\t(\tO\tO' -p127789 -aS'hold\thold\tNN\tB-NP\tO' -p127790 -aS'1\t1\tCD\tI-NP\tO' -p127791 -aS'hr\thr\tNN\tI-NP\tO' -p127792 -aS'before\tbefore\tIN\tB-PP\tO' -p127793 -aS'to\tto\tTO\tB-PP\tO' -p127794 -aS'2\t2\tCD\tB-NP\tO' -p127795 -aS'hr\thr\tNN\tI-NP\tO' -p127796 -aS'after\tafter\tIN\tB-SBAR\tO' -p127797 -aS')\t)\t)\tO\tO' -p127798 -asS'An echocardiogram obtained at Oaksgekesser/ Memorial Hospital obtained as a transthoracic echocardiogram showed an ejection fraction of 33% , wall thickness 12 mms at the septum , posterior wall 11 mms. , left atrial size 40 mms .' -p127799 -(lp127800 -S'An\tAn\tDT\tB-NP\tO' -p127801 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p127802 -aS'obtained\tobtain\tVBN\tB-VP\tO' -p127803 -aS'at\tat\tIN\tB-PP\tO' -p127804 -aS'Oaksgekesser/\tOaksgekesser/\tNNP\tB-NP\tO' -p127805 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p127806 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p127807 -aS'obtained\tobtain\tVBD\tB-VP\tO' -p127808 -aS'as\tas\tIN\tB-PP\tO' -p127809 -aS'a\ta\tDT\tB-NP\tO' -p127810 -aS'transthoracic\ttransthoracic\tJJ\tI-NP\tO' -p127811 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p127812 -aS'showed\tshow\tVBD\tB-VP\tO' -p127813 -aS'an\tan\tDT\tB-NP\tO' -p127814 -aS'ejection\tejection\tNN\tI-NP\tO' -p127815 -aS'fraction\tfraction\tNN\tI-NP\tO' -p127816 -aS'of\tof\tIN\tB-PP\tO' -p127817 -aS'33%\t33%\tNN\tB-NP\tO' -p127818 -aS',\t,\t,\tO\tO' -p127819 -aS'wall\twall\tNN\tB-NP\tO' -p127820 -aS'thickness\tthickness\tNN\tI-NP\tO' -p127821 -aS'12\t12\tCD\tB-NP\tO' -p127822 -aS'mms\tmm\tNNS\tI-NP\tO' -p127823 -aS'at\tat\tIN\tB-PP\tO' -p127824 -aS'the\tthe\tDT\tB-NP\tO' -p127825 -aS'septum\tseptum\tNN\tI-NP\tO' -p127826 -aS',\t,\t,\tO\tO' -p127827 -aS'posterior\tposterior\tJJ\tB-NP\tO' -p127828 -aS'wall\twall\tNN\tI-NP\tO' -p127829 -aS'11\t11\tCD\tI-NP\tO' -p127830 -aS'mms.\tmms.\tNN\tI-NP\tO' -p127831 -aS',\t,\t,\tO\tO' -p127832 -aS'left\tleave\tVBD\tB-VP\tO' -p127833 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p127834 -aS'size\tsize\tNN\tI-NP\tO' -p127835 -aS'40\t40\tCD\tB-NP\tO' -p127836 -aS'mms\tmm\tNNS\tI-NP\tO' -p127837 -aS'.\t.\t.\tO\tO' -p127838 -asS'On physical exam today , the patient did not have any swelling , and he states that he did not feel the swelling was present .' -p127839 -(lp127840 -S'On\tOn\tIN\tB-PP\tO' -p127841 -aS'physical\tphysical\tJJ\tB-NP\tO' -p127842 -aS'exam\texam\tNN\tI-NP\tO' -p127843 -aS'today\ttoday\tNN\tB-NP\tO' -p127844 -aS',\t,\t,\tO\tO' -p127845 -aS'the\tthe\tDT\tB-NP\tO' -p127846 -aS'patient\tpatient\tNN\tI-NP\tO' -p127847 -aS'did\tdo\tVBD\tB-VP\tO' -p127848 -aS'not\tnot\tRB\tI-VP\tO' -p127849 -aS'have\thave\tVB\tI-VP\tO' -p127850 -aS'any\tany\tDT\tB-NP\tO' -p127851 -aS'swelling\tswelling\tNN\tI-NP\tO' -p127852 -aS',\t,\t,\tO\tO' -p127853 -aS'and\tand\tCC\tO\tO' -p127854 -aS'he\the\tPRP\tB-NP\tO' -p127855 -aS'states\tstate\tVBZ\tB-VP\tO' -p127856 -aS'that\tthat\tIN\tB-SBAR\tO' -p127857 -aS'he\the\tPRP\tB-NP\tO' -p127858 -aS'did\tdo\tVBD\tB-VP\tO' -p127859 -aS'not\tnot\tRB\tI-VP\tO' -p127860 -aS'feel\tfeel\tVB\tI-VP\tO' -p127861 -aS'the\tthe\tDT\tB-NP\tO' -p127862 -aS'swelling\tswelling\tNN\tI-NP\tO' -p127863 -aS'was\tbe\tVBD\tB-VP\tO' -p127864 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p127865 -aS'.\t.\t.\tO\tO' -p127866 -asS'Mrs. Cast is a 50 year old white female with a history of chronic obstructive pulmonary disease and evidence of severe lobular emphysema , who has progressive shortness of breath and inability to carry on with activities of daily living without assistance .' -p127867 -(lp127868 -S'Mrs.\tMrs.\tNNP\tB-NP\tO' -p127869 -aS'Cast\tCast\tNNP\tI-NP\tO' -p127870 -aS'is\tbe\tVBZ\tB-VP\tO' -p127871 -aS'a\ta\tDT\tB-NP\tO' -p127872 -aS'50\t50\tCD\tI-NP\tO' -p127873 -aS'year\tyear\tNN\tI-NP\tO' -p127874 -aS'old\told\tJJ\tI-NP\tO' -p127875 -aS'white\twhite\tJJ\tI-NP\tO' -p127876 -aS'female\tfemale\tNN\tI-NP\tO' -p127877 -aS'with\twith\tIN\tB-PP\tO' -p127878 -aS'a\ta\tDT\tB-NP\tO' -p127879 -aS'history\thistory\tNN\tI-NP\tO' -p127880 -aS'of\tof\tIN\tB-PP\tO' -p127881 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p127882 -aS'obstructive\tobstructive\tJJ\tI-NP\tO' -p127883 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p127884 -aS'disease\tdisease\tNN\tI-NP\tO' -p127885 -aS'and\tand\tCC\tO\tO' -p127886 -aS'evidence\tevidence\tNN\tB-NP\tO' -p127887 -aS'of\tof\tIN\tB-PP\tO' -p127888 -aS'severe\tsevere\tJJ\tB-NP\tO' -p127889 -aS'lobular\tlobular\tJJ\tI-NP\tO' -p127890 -aS'emphysema\temphysema\tNN\tI-NP\tO' -p127891 -aS',\t,\t,\tO\tO' -p127892 -aS'who\twho\tWP\tB-NP\tO' -p127893 -aS'has\thave\tVBZ\tB-VP\tO' -p127894 -aS'progressive\tprogressive\tJJ\tB-NP\tO' -p127895 -aS'shortness\tshortness\tNN\tI-NP\tO' -p127896 -aS'of\tof\tIN\tB-PP\tO' -p127897 -aS'breath\tbreath\tNN\tB-NP\tO' -p127898 -aS'and\tand\tCC\tI-NP\tO' -p127899 -aS'inability\tinability\tNN\tI-NP\tO' -p127900 -aS'to\tto\tTO\tB-VP\tO' -p127901 -aS'carry\tcarry\tVB\tI-VP\tO' -p127902 -aS'on\ton\tRP\tB-PRT\tO' -p127903 -aS'with\twith\tIN\tB-PP\tO' -p127904 -aS'activities\tactivity\tNNS\tB-NP\tO' -p127905 -aS'of\tof\tIN\tB-PP\tO' -p127906 -aS'daily\tdaily\tJJ\tB-NP\tO' -p127907 -aS'living\tliving\tNN\tI-NP\tO' -p127908 -aS'without\twithout\tIN\tB-PP\tO' -p127909 -aS'assistance\tassistance\tNN\tB-NP\tO' -p127910 -aS'.\t.\t.\tO\tO' -p127911 -asS'Remarkable for an oriented , alert male in no acute distress with decreased breath sounds at the right base consistent with effusion and a 3/6 systolic murmur consistent with aortic stenosis .' -p127912 -(lp127913 -S'Remarkable\tRemarkable\tJJ\tB-ADJP\tO' -p127914 -aS'for\tfor\tIN\tB-PP\tO' -p127915 -aS'an\tan\tDT\tB-NP\tO' -p127916 -aS'oriented\toriented\tJJ\tI-NP\tO' -p127917 -aS',\t,\t,\tI-NP\tO' -p127918 -aS'alert\talert\tJJ\tI-NP\tO' -p127919 -aS'male\tmale\tNN\tI-NP\tO' -p127920 -aS'in\tin\tIN\tB-PP\tO' -p127921 -aS'no\tno\tDT\tB-NP\tO' -p127922 -aS'acute\tacute\tJJ\tI-NP\tO' -p127923 -aS'distress\tdistress\tNN\tI-NP\tO' -p127924 -aS'with\twith\tIN\tB-PP\tO' -p127925 -aS'decreased\tdecrease\tVBN\tB-NP\tO' -p127926 -aS'breath\tbreath\tNN\tI-NP\tO' -p127927 -aS'sounds\tsound\tNNS\tI-NP\tO' -p127928 -aS'at\tat\tIN\tB-PP\tO' -p127929 -aS'the\tthe\tDT\tB-NP\tO' -p127930 -aS'right\tright\tJJ\tI-NP\tO' -p127931 -aS'base\tbase\tNN\tI-NP\tO' -p127932 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p127933 -aS'with\twith\tIN\tB-PP\tO' -p127934 -aS'effusion\teffusion\tNN\tB-NP\tO' -p127935 -aS'and\tand\tCC\tO\tO' -p127936 -aS'a\ta\tDT\tB-NP\tO' -p127937 -aS'3/6\t3/6\tCD\tI-NP\tO' -p127938 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p127939 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p127940 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p127941 -aS'with\twith\tIN\tB-PP\tO' -p127942 -aS'aortic\taortic\tJJ\tB-NP\tO' -p127943 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p127944 -aS'.\t.\t.\tO\tO' -p127945 -asS'Her brother had developed the typical rash on 9/3/93 .' -p127946 -(lp127947 -S'Her\tHer\tPRP$\tB-NP\tO' -p127948 -aS'brother\tbrother\tNN\tI-NP\tO' -p127949 -aS'had\thave\tVBD\tB-VP\tO' -p127950 -aS'developed\tdevelop\tVBN\tI-VP\tO' -p127951 -aS'the\tthe\tDT\tB-NP\tO' -p127952 -aS'typical\ttypical\tJJ\tI-NP\tO' -p127953 -aS'rash\trash\tNN\tI-NP\tO' -p127954 -aS'on\ton\tIN\tB-PP\tO' -p127955 -aS'9/3/93\t9/3/93\tCD\tB-NP\tO' -p127956 -aS'.\t.\t.\tO\tO' -p127957 -asS'Each time we have initiated diuretics , creatinine rose .' -p127958 -(lp127959 -S'Each\tEach\tDT\tB-NP\tO' -p127960 -aS'time\ttime\tNN\tI-NP\tO' -p127961 -aS'we\twe\tPRP\tB-NP\tO' -p127962 -aS'have\thave\tVBP\tB-VP\tO' -p127963 -aS'initiated\tinitiate\tVBN\tI-VP\tO' -p127964 -aS'diuretics\tdiuretic\tNNS\tB-NP\tO' -p127965 -aS',\t,\t,\tO\tO' -p127966 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p127967 -aS'rose\trise\tVBD\tB-VP\tO' -p127968 -aS'.\t.\t.\tO\tO' -p127969 -asS'1. Diabetes mellitus .' -p127970 -(lp127971 -S'1.\t1.\tLS\tB-NP\tO' -p127972 -aS'Diabetes\tDiabetes\tNN\tI-NP\tO' -p127973 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p127974 -aS'.\t.\t.\tO\tO' -p127975 -asS'On HD#6 the pt had a therapeudic INR ( 4.4 ) off Argatroban and wad discharged home .' -p127976 -(lp127977 -S'On\tOn\tIN\tB-PP\tO' -p127978 -aS'HD#6\tHD#6\tNN\tB-NP\tB-protein' -p127979 -aS'the\tthe\tDT\tB-NP\tO' -p127980 -aS'pt\tpt\tNN\tI-NP\tO' -p127981 -aS'had\thave\tVBD\tB-VP\tO' -p127982 -aS'a\ta\tDT\tB-NP\tO' -p127983 -aS'therapeudic\ttherapeudic\tJJ\tI-NP\tO' -p127984 -aS'INR\tINR\tNN\tI-NP\tO' -p127985 -aS'(\t(\t(\tO\tO' -p127986 -aS'4.4\t4.4\tCD\tB-NP\tO' -p127987 -aS')\t)\t)\tO\tO' -p127988 -aS'off\toff\tIN\tB-PP\tO' -p127989 -aS'Argatroban\tArgatroban\tNNP\tB-NP\tO' -p127990 -aS'and\tand\tCC\tO\tO' -p127991 -aS'wad\twad\tVB\tB-VP\tO' -p127992 -aS'discharged\tdischarged\tJJ\tB-NP\tO' -p127993 -aS'home\thome\tNN\tI-NP\tO' -p127994 -aS'.\t.\t.\tO\tO' -p127995 -asS'At Labor Day , 9:30 a.m. , the fluids were increased to 100 cc's per hour ( 200 cc's per kilo for 5 hours ) .' -p127996 -(lp127997 -S'At\tAt\tIN\tB-PP\tO' -p127998 -aS'Labor\tLabor\tNNP\tB-NP\tO' -p127999 -aS'Day\tDay\tNNP\tI-NP\tO' -p128000 -aS',\t,\t,\tO\tO' -p128001 -aS'9:30\t9:30\tCD\tB-NP\tO' -p128002 -aS'a.m.\ta.m.\tRB\tI-NP\tO' -p128003 -aS',\t,\t,\tO\tO' -p128004 -aS'the\tthe\tDT\tB-NP\tO' -p128005 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p128006 -aS'were\tbe\tVBD\tB-VP\tO' -p128007 -aS'increased\tincrease\tVBN\tI-VP\tO' -p128008 -aS'to\tto\tTO\tB-PP\tO' -p128009 -aS'100\t100\tCD\tB-NP\tO' -p128010 -aS'cc's\tcc'\tNNS\tI-NP\tO' -p128011 -aS'per\tper\tIN\tB-PP\tO' -p128012 -aS'hour\thour\tNN\tB-NP\tO' -p128013 -aS'(\t(\t(\tO\tO' -p128014 -aS'200\t200\tCD\tB-NP\tO' -p128015 -aS'cc's\tcc'\tNNS\tI-NP\tO' -p128016 -aS'per\tper\tIN\tB-PP\tO' -p128017 -aS'kilo\tkilo\tNN\tB-NP\tO' -p128018 -aS'for\tfor\tIN\tB-PP\tO' -p128019 -aS'5\t5\tCD\tB-NP\tO' -p128020 -aS'hours\thour\tNNS\tI-NP\tO' -p128021 -aS')\t)\t)\tO\tO' -p128022 -aS'.\t.\t.\tO\tO' -p128023 -asS'Her admitting hematocrit was 45% , white count 7,700 , with an MCV of 92 , platelets were normal at 263,000 .' -p128024 -(lp128025 -S'Her\tHer\tPRP$\tB-NP\tO' -p128026 -aS'admitting\tadmit\tVBG\tI-NP\tO' -p128027 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p128028 -aS'was\tbe\tVBD\tB-VP\tO' -p128029 -aS'45%\t45%\tCD\tB-NP\tO' -p128030 -aS',\t,\t,\tO\tO' -p128031 -aS'white\twhite\tJJ\tB-NP\tO' -p128032 -aS'count\tcount\tNN\tI-NP\tO' -p128033 -aS'7,700\t7,700\tCD\tI-NP\tO' -p128034 -aS',\t,\t,\tO\tO' -p128035 -aS'with\twith\tIN\tB-PP\tO' -p128036 -aS'an\tan\tDT\tB-NP\tO' -p128037 -aS'MCV\tMCV\tNN\tI-NP\tO' -p128038 -aS'of\tof\tIN\tB-PP\tO' -p128039 -aS'92\t92\tCD\tB-NP\tO' -p128040 -aS',\t,\t,\tO\tO' -p128041 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p128042 -aS'were\tbe\tVBD\tB-VP\tO' -p128043 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p128044 -aS'at\tat\tIN\tB-PP\tO' -p128045 -aS'263,000\t263,000\tCD\tB-NP\tO' -p128046 -aS'.\t.\t.\tO\tO' -p128047 -asS'CT scan was obtained and this revealed free air and massive ascites .' -p128048 -(lp128049 -S'CT\tCT\tNN\tB-NP\tO' -p128050 -aS'scan\tscan\tNN\tI-NP\tO' -p128051 -aS'was\tbe\tVBD\tB-VP\tO' -p128052 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p128053 -aS'and\tand\tCC\tO\tO' -p128054 -aS'this\tthis\tDT\tB-NP\tO' -p128055 -aS'revealed\treveal\tVBD\tB-VP\tO' -p128056 -aS'free\tfree\tJJ\tB-NP\tO' -p128057 -aS'air\tair\tNN\tI-NP\tO' -p128058 -aS'and\tand\tCC\tO\tO' -p128059 -aS'massive\tmassive\tJJ\tB-NP\tO' -p128060 -aS'ascites\tascite\tNNS\tI-NP\tO' -p128061 -aS'.\t.\t.\tO\tO' -p128062 -asS'After approximately 24 hours , the patient converted back into atrial fibrillation and Diltiazem was restarted at 60 mg q.i.d.' -p128063 -(lp128064 -S'After\tAfter\tIN\tB-PP\tO' -p128065 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p128066 -aS'24\t24\tCD\tI-NP\tO' -p128067 -aS'hours\thour\tNNS\tI-NP\tO' -p128068 -aS',\t,\t,\tO\tO' -p128069 -aS'the\tthe\tDT\tB-NP\tO' -p128070 -aS'patient\tpatient\tNN\tI-NP\tO' -p128071 -aS'converted\tconvert\tVBD\tB-VP\tO' -p128072 -aS'back\tback\tRB\tB-ADVP\tO' -p128073 -aS'into\tinto\tIN\tB-PP\tO' -p128074 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p128075 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p128076 -aS'and\tand\tCC\tI-NP\tO' -p128077 -aS'Diltiazem\tDiltiazem\tNN\tI-NP\tO' -p128078 -aS'was\tbe\tVBD\tB-VP\tO' -p128079 -aS'restarted\trestart\tVBN\tI-VP\tO' -p128080 -aS'at\tat\tIN\tB-PP\tO' -p128081 -aS'60\t60\tCD\tB-NP\tO' -p128082 -aS'mg\tmg\tNN\tI-NP\tO' -p128083 -aS'q.i.d.\tq.i.d.\t.\tO\tO' -p128084 -asS'If you need additional information please call 605-304-8547 .' -p128085 -(lp128086 -S'If\tIf\tIN\tB-SBAR\tO' -p128087 -aS'you\tyou\tPRP\tB-NP\tO' -p128088 -aS'need\tneed\tVBP\tB-VP\tO' -p128089 -aS'additional\tadditional\tJJ\tB-NP\tO' -p128090 -aS'information\tinformation\tNN\tI-NP\tO' -p128091 -aS'please\tplease\tNN\tI-NP\tO' -p128092 -aS'call\tcall\tNN\tI-NP\tO' -p128093 -aS'605-304-8547\t605-304-8547\tCD\tI-NP\tO' -p128094 -aS'.\t.\t.\tO\tO' -p128095 -asS'The spleen tip was palpable .' -p128096 -(lp128097 -S'The\tThe\tDT\tB-NP\tO' -p128098 -aS'spleen\tspleen\tNN\tI-NP\tO' -p128099 -aS'tip\ttip\tNN\tI-NP\tO' -p128100 -aS'was\tbe\tVBD\tB-VP\tO' -p128101 -aS'palpable\tpalpable\tJJ\tB-ADJP\tO' -p128102 -aS'.\t.\t.\tO\tO' -p128103 -asS'Lung exam revealed decreased breath sounds as well as crackles in the bases .' -p128104 -(lp128105 -S'Lung\tLung\tNN\tB-NP\tO' -p128106 -aS'exam\texam\tNN\tI-NP\tO' -p128107 -aS'revealed\treveal\tVBD\tB-VP\tO' -p128108 -aS'decreased\tdecrease\tVBN\tB-NP\tO' -p128109 -aS'breath\tbreath\tNN\tI-NP\tO' -p128110 -aS'sounds\tsound\tVBZ\tB-VP\tO' -p128111 -aS'as\tas\tRB\tB-CONJP\tO' -p128112 -aS'well\twell\tRB\tI-CONJP\tO' -p128113 -aS'as\tas\tIN\tI-CONJP\tO' -p128114 -aS'crackles\tcrackle\tNNS\tB-NP\tO' -p128115 -aS'in\tin\tIN\tB-PP\tO' -p128116 -aS'the\tthe\tDT\tB-NP\tO' -p128117 -aS'bases\tbase\tNNS\tI-NP\tO' -p128118 -aS'.\t.\t.\tO\tO' -p128119 -asS'Obese , no edema , 2+ pulses .' -p128120 -(lp128121 -S'Obese\tObese\tNN\tB-NP\tO' -p128122 -aS',\t,\t,\tO\tO' -p128123 -aS'no\tno\tDT\tB-NP\tO' -p128124 -aS'edema\tedema\tNN\tI-NP\tO' -p128125 -aS',\t,\t,\tO\tO' -p128126 -aS'2+\t2+\tJJ\tB-NP\tO' -p128127 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p128128 -aS'.\t.\t.\tO\tO' -p128129 -asS'Influenza immunization is recommended annually in the fall for all infants once they reach 6 months of age .' -p128130 -(lp128131 -S'Influenza\tInfluenza\tNN\tB-NP\tO' -p128132 -aS'immunization\timmunization\tNN\tI-NP\tO' -p128133 -aS'is\tbe\tVBZ\tB-VP\tO' -p128134 -aS'recommended\trecommend\tVBN\tI-VP\tO' -p128135 -aS'annually\tannually\tRB\tB-ADVP\tO' -p128136 -aS'in\tin\tIN\tB-PP\tO' -p128137 -aS'the\tthe\tDT\tB-NP\tO' -p128138 -aS'fall\tfall\tNN\tI-NP\tO' -p128139 -aS'for\tfor\tIN\tB-PP\tO' -p128140 -aS'all\tall\tDT\tB-NP\tO' -p128141 -aS'infants\tinfant\tNNS\tI-NP\tO' -p128142 -aS'once\tonce\tIN\tB-SBAR\tO' -p128143 -aS'they\tthey\tPRP\tB-NP\tO' -p128144 -aS'reach\treach\tVBP\tB-VP\tO' -p128145 -aS'6\t6\tCD\tB-NP\tO' -p128146 -aS'months\tmonth\tNNS\tI-NP\tO' -p128147 -aS'of\tof\tIN\tB-PP\tO' -p128148 -aS'age\tage\tNN\tB-NP\tO' -p128149 -aS'.\t.\t.\tO\tO' -p128150 -asS'The ventricles and sulci are mildly prominent , but stable in size and appearance .' -p128151 -(lp128152 -S'The\tThe\tDT\tB-NP\tO' -p128153 -aS'ventricles\tventricle\tNNS\tI-NP\tO' -p128154 -aS'and\tand\tCC\tI-NP\tO' -p128155 -aS'sulci\tsulcus\tNNS\tI-NP\tO' -p128156 -aS'are\tbe\tVBP\tB-VP\tO' -p128157 -aS'mildly\tmildly\tRB\tB-ADJP\tO' -p128158 -aS'prominent\tprominent\tJJ\tI-ADJP\tO' -p128159 -aS',\t,\t,\tO\tO' -p128160 -aS'but\tbut\tCC\tO\tO' -p128161 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p128162 -aS'in\tin\tIN\tB-PP\tO' -p128163 -aS'size\tsize\tNN\tB-NP\tO' -p128164 -aS'and\tand\tCC\tI-NP\tO' -p128165 -aS'appearance\tappearance\tNN\tI-NP\tO' -p128166 -aS'.\t.\t.\tO\tO' -p128167 -asS'4. Metoprolol Tartrate 25 mg Tablet Sig : One ( 1 ) Tablet PO TID ( 3 times a day ).' -p128168 -(lp128169 -S'4.\t4.\tLS\tB-NP\tO' -p128170 -aS'Metoprolol\tMetoprolol\tNN\tI-NP\tO' -p128171 -aS'Tartrate\tTartrate\tNN\tI-NP\tO' -p128172 -aS'25\t25\tCD\tI-NP\tO' -p128173 -aS'mg\tmg\tNN\tI-NP\tO' -p128174 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p128175 -aS'Sig\tSig\tNNP\tI-NP\tO' -p128176 -aS':\t:\t:\tO\tO' -p128177 -aS'One\tOne\tCD\tB-NP\tO' -p128178 -aS'(\t(\t(\tO\tO' -p128179 -aS'1\t1\tCD\tB-NP\tO' -p128180 -aS')\t)\t)\tO\tO' -p128181 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p128182 -aS'PO\tPO\tNN\tI-NP\tO' -p128183 -aS'TID\tTID\tNN\tI-NP\tO' -p128184 -aS'(\t(\t(\tO\tO' -p128185 -aS'3\t3\tCD\tB-NP\tO' -p128186 -aS'times\ttime\tNNS\tI-NP\tO' -p128187 -aS'a\ta\tDT\tB-NP\tO' -p128188 -aS'day\tday\tNN\tI-NP\tO' -p128189 -aS').\t).\t.\tO\tO' -p128190 -asS'Please make a follow-up appointments with Dr. Robinson Dr. Sturtevant .' -p128191 -(lp128192 -S'Please\tPlease\tVB\tB-VP\tO' -p128193 -aS'make\tmake\tVB\tI-VP\tO' -p128194 -aS'a\ta\tDT\tB-NP\tO' -p128195 -aS'follow-up\tfollow-up\tJJ\tI-NP\tO' -p128196 -aS'appointments\tappointment\tNNS\tI-NP\tO' -p128197 -aS'with\twith\tIN\tB-PP\tO' -p128198 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p128199 -aS'Robinson\tRobinson\tNNP\tI-NP\tO' -p128200 -aS'Dr.\tDr.\tNNP\tI-NP\tO' -p128201 -aS'Sturtevant\tSturtevant\tNNP\tI-NP\tO' -p128202 -aS'.\t.\t.\tO\tO' -p128203 -asS'CARDIOVASCULAR : Normal rate and rhythm .' -p128204 -(lp128205 -S'CARDIOVASCULAR\tCARDIOVASCULAR\tNN\tB-NP\tO' -p128206 -aS':\t:\t:\tO\tO' -p128207 -aS'Normal\tNormal\tJJ\tB-NP\tO' -p128208 -aS'rate\trate\tNN\tI-NP\tO' -p128209 -aS'and\tand\tCC\tI-NP\tO' -p128210 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p128211 -aS'.\t.\t.\tO\tO' -p128212 -asS'A negative , antibody negative , hepatitis surface antigen negative , RPR nonreactive , rubella immune and GBS negative .' -p128213 -(lp128214 -S'A\tA\tDT\tB-NP\tO' -p128215 -aS'negative\tnegative\tJJ\tI-NP\tO' -p128216 -aS',\t,\t,\tI-NP\tO' -p128217 -aS'antibody\tantibody\tNN\tI-NP\tO' -p128218 -aS'negative\tnegative\tJJ\tI-NP\tO' -p128219 -aS',\t,\t,\tO\tO' -p128220 -aS'hepatitis\thepatitis\tNN\tB-NP\tB-protein' -p128221 -aS'surface\tsurface\tNN\tI-NP\tI-protein' -p128222 -aS'antigen\tantigen\tNN\tI-NP\tI-protein' -p128223 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p128224 -aS',\t,\t,\tO\tO' -p128225 -aS'RPR\tRPR\tNN\tB-NP\tB-protein' -p128226 -aS'nonreactive\tnonreactive\tJJ\tB-ADJP\tO' -p128227 -aS',\t,\t,\tO\tO' -p128228 -aS'rubella\trubella\tNN\tB-NP\tO' -p128229 -aS'immune\timmune\tJJ\tI-NP\tO' -p128230 -aS'and\tand\tCC\tO\tO' -p128231 -aS'GBS\tGBS\tNN\tB-ADJP\tB-protein' -p128232 -aS'negative\tnegative\tJJ\tI-ADJP\tO' -p128233 -aS'.\t.\t.\tO\tO' -p128234 -asS'Formal pathology revealed a poorly differentiated adenocarcinoma with focal giant cells .' -p128235 -(lp128236 -S'Formal\tFormal\tJJ\tB-NP\tO' -p128237 -aS'pathology\tpathology\tNN\tI-NP\tO' -p128238 -aS'revealed\treveal\tVBD\tB-VP\tO' -p128239 -aS'a\ta\tDT\tB-NP\tO' -p128240 -aS'poorly\tpoorly\tRB\tI-NP\tO' -p128241 -aS'differentiated\tdifferentiate\tVBN\tI-NP\tO' -p128242 -aS'adenocarcinoma\tadenocarcinoma\tNN\tI-NP\tO' -p128243 -aS'with\twith\tIN\tB-PP\tO' -p128244 -aS'focal\tfocal\tJJ\tB-NP\tB-cell_type' -p128245 -aS'giant\tgiant\tJJ\tI-NP\tI-cell_type' -p128246 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p128247 -aS'.\t.\t.\tO\tO' -p128248 -asS'JVP 6 cm .' -p128249 -(lp128250 -S'JVP\tJVP\tNN\tB-NP\tB-protein' -p128251 -aS'6\t6\tCD\tI-NP\tI-protein' -p128252 -aS'cm\tcm\tNN\tI-NP\tO' -p128253 -aS'.\t.\t.\tO\tO' -p128254 -asS'7. Iron 325 mg p.o. q. day .' -p128255 -(lp128256 -S'7.\t7.\tCD\tB-NP\tO' -p128257 -aS'Iron\tIron\tNNP\tI-NP\tO' -p128258 -aS'325\t325\tCD\tI-NP\tO' -p128259 -aS'mg\tmg\tNN\tI-NP\tO' -p128260 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p128261 -aS'q.\tq.\tNN\tI-NP\tO' -p128262 -aS'day\tday\tNN\tI-NP\tO' -p128263 -aS'.\t.\t.\tO\tO' -p128264 -asS'1. Glucophage XR 1000 mg p.o. q. day .' -p128265 -(lp128266 -S'1.\t1.\tLS\tB-NP\tO' -p128267 -aS'Glucophage\tGlucophage\tNN\tI-NP\tO' -p128268 -aS'XR\tXR\tNN\tI-NP\tO' -p128269 -aS'1000\t1000\tCD\tI-NP\tO' -p128270 -aS'mg\tmg\tNN\tI-NP\tO' -p128271 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p128272 -aS'q.\tq.\tNN\tI-NP\tO' -p128273 -aS'day\tday\tNN\tI-NP\tO' -p128274 -aS'.\t.\t.\tO\tO' -p128275 -asS'Abdomen was soft , nontender , no organomegaly , no masses .' -p128276 -(lp128277 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p128278 -aS'was\tbe\tVBD\tB-VP\tO' -p128279 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p128280 -aS',\t,\t,\tO\tO' -p128281 -aS'nontender\tnontender\tJJ\tB-ADJP\tO' -p128282 -aS',\t,\t,\tO\tO' -p128283 -aS'no\tno\tDT\tB-NP\tO' -p128284 -aS'organomegaly\torganomegaly\tNN\tI-NP\tO' -p128285 -aS',\t,\t,\tO\tO' -p128286 -aS'no\tno\tDT\tB-NP\tO' -p128287 -aS'masses\tmass\tNNS\tI-NP\tO' -p128288 -aS'.\t.\t.\tO\tO' -p128289 -asS'F/U with Dr. Ross in 2-3 weeks .' -p128290 -(lp128291 -S'F/U\tF/U\tNN\tB-NP\tO' -p128292 -aS'with\twith\tIN\tB-PP\tO' -p128293 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p128294 -aS'Ross\tRoss\tNNP\tI-NP\tO' -p128295 -aS'in\tin\tIN\tB-PP\tO' -p128296 -aS'2-3\t2-3\tCD\tB-NP\tO' -p128297 -aS'weeks\tweek\tNNS\tI-NP\tO' -p128298 -aS'.\t.\t.\tO\tO' -p128299 -asS'Neck - No jugular venous distention , no lymphadenopathy .' -p128300 -(lp128301 -S'Neck\tNeck\tSYM\tB-NP\tO' -p128302 -aS'-\t-\t:\tO\tO' -p128303 -aS'No\tNo\tDT\tB-NP\tO' -p128304 -aS'jugular\tjugular\tJJ\tI-NP\tO' -p128305 -aS'venous\tvenous\tJJ\tI-NP\tO' -p128306 -aS'distention\tdistention\tNN\tI-NP\tO' -p128307 -aS',\t,\t,\tO\tO' -p128308 -aS'no\tno\tDT\tB-NP\tO' -p128309 -aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' -p128310 -aS'.\t.\t.\tO\tO' -p128311 -asS'The patient was seen in consultation by the Neurology Service for her apparent postoperative encephalopathy and episodes of shaking .' -p128312 -(lp128313 -S'The\tThe\tDT\tB-NP\tO' -p128314 -aS'patient\tpatient\tNN\tI-NP\tO' -p128315 -aS'was\tbe\tVBD\tB-VP\tO' -p128316 -aS'seen\tsee\tVBN\tI-VP\tO' -p128317 -aS'in\tin\tIN\tB-PP\tO' -p128318 -aS'consultation\tconsultation\tNN\tB-NP\tO' -p128319 -aS'by\tby\tIN\tB-PP\tO' -p128320 -aS'the\tthe\tDT\tB-NP\tO' -p128321 -aS'Neurology\tNeurology\tNNP\tI-NP\tO' -p128322 -aS'Service\tService\tNNP\tI-NP\tO' -p128323 -aS'for\tfor\tIN\tB-PP\tO' -p128324 -aS'her\ther\tPRP$\tB-NP\tO' -p128325 -aS'apparent\tapparent\tJJ\tI-NP\tO' -p128326 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p128327 -aS'encephalopathy\tencephalopathy\tNN\tI-NP\tO' -p128328 -aS'and\tand\tCC\tI-NP\tO' -p128329 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p128330 -aS'of\tof\tIN\tB-PP\tO' -p128331 -aS'shaking\tshake\tVBG\tB-NP\tO' -p128332 -aS'.\t.\t.\tO\tO' -p128333 -asS"Her groin CVL was DC 'd after a L SC SVL was palced ." -p128334 -(lp128335 -S'Her\tHer\tPRP$\tB-NP\tO' -p128336 -aS'groin\tgroin\tNN\tI-NP\tO' -p128337 -aS'CVL\tCVL\tNN\tI-NP\tO' -p128338 -aS'was\tbe\tVBD\tB-VP\tO' -p128339 -aS'DC\tDC\tNN\tB-NP\tB-cell_type' -p128340 -aS"'d\t'd\tMD\tB-VP\tO" -p128341 -aS'after\tafter\tIN\tB-PP\tO' -p128342 -aS'a\ta\tDT\tB-NP\tO' -p128343 -aS'L\tL\tNN\tI-NP\tB-protein' -p128344 -aS'SC\tSC\tNN\tI-NP\tI-protein' -p128345 -aS'SVL\tSVL\tNN\tI-NP\tI-protein' -p128346 -aS'was\tbe\tVBD\tB-VP\tO' -p128347 -aS'palced\tpalce\tVBN\tI-VP\tO' -p128348 -aS'.\t.\t.\tO\tO' -p128349 -asS'07-12 the patient was found to be C diff positive and was started on 14 day course of Flagyl .' -p128350 -(lp128351 -S'07-12\t07-12\tCD\tB-NP\tO' -p128352 -aS'the\tthe\tDT\tB-NP\tO' -p128353 -aS'patient\tpatient\tNN\tI-NP\tO' -p128354 -aS'was\tbe\tVBD\tB-VP\tO' -p128355 -aS'found\tfind\tVBN\tI-VP\tO' -p128356 -aS'to\tto\tTO\tI-VP\tO' -p128357 -aS'be\tbe\tVB\tI-VP\tO' -p128358 -aS'C\tC\tNN\tB-NP\tO' -p128359 -aS'diff\tdiff\tNN\tI-NP\tO' -p128360 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p128361 -aS'and\tand\tCC\tO\tO' -p128362 -aS'was\tbe\tVBD\tB-VP\tO' -p128363 -aS'started\tstart\tVBN\tI-VP\tO' -p128364 -aS'on\ton\tIN\tB-PP\tO' -p128365 -aS'14\t14\tCD\tB-NP\tO' -p128366 -aS'day\tday\tNN\tI-NP\tO' -p128367 -aS'course\tcourse\tNN\tI-NP\tO' -p128368 -aS'of\tof\tIN\tB-PP\tO' -p128369 -aS'Flagyl\tFlagyl\tNN\tB-NP\tO' -p128370 -aS'.\t.\t.\tO\tO' -p128371 -asS'5. No evidence of bony metastases .' -p128372 -(lp128373 -S'5.\t5.\tLS\tB-LST\tO' -p128374 -aS'No\tNo\tDT\tB-NP\tO' -p128375 -aS'evidence\tevidence\tNN\tI-NP\tO' -p128376 -aS'of\tof\tIN\tB-PP\tO' -p128377 -aS'bony\tbony\tNN\tB-NP\tB-protein' -p128378 -aS'metastases\tmetastasis\tNNS\tI-NP\tI-protein' -p128379 -aS'.\t.\t.\tO\tO' -p128380 -asS'no calf tenderness or peripheral edema .' -p128381 -(lp128382 -S'no\tno\tDT\tB-NP\tO' -p128383 -aS'calf\tcalf\tNN\tI-NP\tO' -p128384 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p128385 -aS'or\tor\tCC\tO\tO' -p128386 -aS'peripheral\tperipheral\tJJ\tB-NP\tO' -p128387 -aS'edema\tedema\tNN\tI-NP\tO' -p128388 -aS'.\t.\t.\tO\tO' -p128389 -asS'4. Indirect hyperbilirubinemia .' -p128390 -(lp128391 -S'4.\t4.\tLS\tB-NP\tO' -p128392 -aS'Indirect\tIndirect\tJJ\tI-NP\tO' -p128393 -aS'hyperbilirubinemia\thyperbilirubinemia\tNN\tI-NP\tO' -p128394 -aS'.\t.\t.\tO\tO' -p128395 -asS'Biceps are normal .' -p128396 -(lp128397 -S'Biceps\tBicep\tNNS\tB-NP\tO' -p128398 -aS'are\tbe\tVBP\tB-VP\tO' -p128399 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p128400 -aS'.\t.\t.\tO\tO' -p128401 -asS'Chief Complaint : s/p fall with Left arm pain' -p128402 -(lp128403 -S'Chief\tChief\tNNP\tB-NP\tO' -p128404 -aS'Complaint\tComplaint\tNNP\tI-NP\tO' -p128405 -aS':\t:\t:\tO\tO' -p128406 -aS's/p\ts/p\tNN\tB-NP\tO' -p128407 -aS'fall\tfall\tNN\tI-NP\tO' -p128408 -aS'with\twith\tIN\tB-PP\tO' -p128409 -aS'Left\tLeft\tJJ\tB-NP\tB-protein' -p128410 -aS'arm\tarm\tNN\tI-NP\tI-protein' -p128411 -aS'pain\tpain\tNN\tI-NP\tI-protein' -p128412 -asS'HR 84 with symptoms of lightheadedness while lying supine .' -p128413 -(lp128414 -S'HR\tHR\tNN\tB-NP\tB-protein' -p128415 -aS'84\t84\tCD\tI-NP\tI-protein' -p128416 -aS'with\twith\tIN\tB-PP\tO' -p128417 -aS'symptoms\tsymptom\tNNS\tB-NP\tO' -p128418 -aS'of\tof\tIN\tB-PP\tO' -p128419 -aS'lightheadedness\tlightheadedness\tNN\tB-NP\tO' -p128420 -aS'while\twhile\tIN\tB-SBAR\tO' -p128421 -aS'lying\tlie\tVBG\tB-VP\tO' -p128422 -aS'supine\tsupine\tNN\tB-NP\tO' -p128423 -aS'.\t.\t.\tO\tO' -p128424 -asS'By the time he was admitted , he was off pressors and hemodynamically stable and pain-free .' -p128425 -(lp128426 -S'By\tBy\tIN\tB-PP\tO' -p128427 -aS'the\tthe\tDT\tB-NP\tO' -p128428 -aS'time\ttime\tNN\tI-NP\tO' -p128429 -aS'he\the\tPRP\tB-NP\tO' -p128430 -aS'was\tbe\tVBD\tB-VP\tO' -p128431 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p128432 -aS',\t,\t,\tO\tO' -p128433 -aS'he\the\tPRP\tB-NP\tO' -p128434 -aS'was\tbe\tVBD\tB-VP\tO' -p128435 -aS'off\toff\tJJ\tB-NP\tO' -p128436 -aS'pressors\tpressor\tNNS\tI-NP\tO' -p128437 -aS'and\tand\tCC\tO\tO' -p128438 -aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' -p128439 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p128440 -aS'and\tand\tCC\tI-ADJP\tO' -p128441 -aS'pain-free\tpain-free\tJJ\tI-ADJP\tO' -p128442 -aS'.\t.\t.\tO\tO' -p128443 -asS"During his hospital stay , his blood glucose were elevated and labile ranging from below normal values [ 40-60 's] to the 200-300 's ." -p128444 -(lp128445 -S'During\tDuring\tIN\tB-PP\tO' -p128446 -aS'his\this\tPRP$\tB-NP\tO' -p128447 -aS'hospital\thospital\tNN\tI-NP\tO' -p128448 -aS'stay\tstay\tNN\tI-NP\tO' -p128449 -aS',\t,\t,\tO\tO' -p128450 -aS'his\this\tPRP$\tB-NP\tO' -p128451 -aS'blood\tblood\tNN\tI-NP\tO' -p128452 -aS'glucose\tglucose\tNN\tI-NP\tO' -p128453 -aS'were\tbe\tVBD\tB-VP\tO' -p128454 -aS'elevated\televate\tVBN\tI-VP\tO' -p128455 -aS'and\tand\tCC\tO\tO' -p128456 -aS'labile\tlabile\tNN\tB-NP\tO' -p128457 -aS'ranging\trange\tVBG\tB-VP\tO' -p128458 -aS'from\tfrom\tIN\tB-PP\tO' -p128459 -aS'below\tbelow\tIN\tB-PP\tO' -p128460 -aS'normal\tnormal\tJJ\tB-NP\tO' -p128461 -aS'values\tvalue\tNNS\tI-NP\tO' -p128462 -aS'[\t[\t(\tO\tO' -p128463 -aS'40-60\t40-60\tCD\tB-NP\tO' -p128464 -aS"'s]\t's]\tPOS\tB-NP\tO" -p128465 -aS'to\tto\tTO\tB-PP\tO' -p128466 -aS'the\tthe\tDT\tB-NP\tO' -p128467 -aS'200-300\t200-300\tCD\tI-NP\tO' -p128468 -aS"'s\t's\tPOS\tB-NP\tO" -p128469 -aS'.\t.\t.\tO\tO' -p128470 -asS'Over the past two weeks , pt has declined in status .' -p128471 -(lp128472 -S'Over\tOver\tIN\tB-PP\tO' -p128473 -aS'the\tthe\tDT\tB-NP\tO' -p128474 -aS'past\tpast\tJJ\tI-NP\tO' -p128475 -aS'two\ttwo\tCD\tI-NP\tO' -p128476 -aS'weeks\tweek\tNNS\tI-NP\tO' -p128477 -aS',\t,\t,\tO\tO' -p128478 -aS'pt\tpt\tNN\tB-NP\tO' -p128479 -aS'has\thave\tVBZ\tB-VP\tO' -p128480 -aS'declined\tdecline\tVBN\tI-VP\tO' -p128481 -aS'in\tin\tIN\tB-PP\tO' -p128482 -aS'status\tstatus\tNN\tB-NP\tO' -p128483 -aS'.\t.\t.\tO\tO' -p128484 -asS'His post-transplant course was complicated by pain from mucositis and recalcitrant nausea and vomiting .' -p128485 -(lp128486 -S'His\tHis\tPRP$\tB-NP\tO' -p128487 -aS'post-transplant\tpost-transplant\tJJ\tI-NP\tO' -p128488 -aS'course\tcourse\tNN\tI-NP\tO' -p128489 -aS'was\tbe\tVBD\tB-VP\tO' -p128490 -aS'complicated\tcomplicate\tVBN\tI-VP\tO' -p128491 -aS'by\tby\tIN\tB-PP\tO' -p128492 -aS'pain\tpain\tNN\tB-NP\tO' -p128493 -aS'from\tfrom\tIN\tB-PP\tO' -p128494 -aS'mucositis\tmucositis\tNN\tB-NP\tO' -p128495 -aS'and\tand\tCC\tO\tO' -p128496 -aS'recalcitrant\trecalcitrant\tJJ\tB-NP\tO' -p128497 -aS'nausea\tnausea\tNN\tI-NP\tO' -p128498 -aS'and\tand\tCC\tI-NP\tO' -p128499 -aS'vomiting\tvomiting\tNN\tI-NP\tO' -p128500 -aS'.\t.\t.\tO\tO' -p128501 -asS'Staging evaluation included normal liver function tests , normal blood counts and normal chest x-ray .' -p128502 -(lp128503 -S'Staging\tStag\tVBG\tB-VP\tO' -p128504 -aS'evaluation\tevaluation\tNN\tB-NP\tO' -p128505 -aS'included\tinclude\tVBD\tB-VP\tO' -p128506 -aS'normal\tnormal\tJJ\tB-NP\tO' -p128507 -aS'liver\tliver\tNN\tI-NP\tO' -p128508 -aS'function\tfunction\tNN\tI-NP\tO' -p128509 -aS'tests\ttest\tNNS\tI-NP\tO' -p128510 -aS',\t,\t,\tO\tO' -p128511 -aS'normal\tnormal\tJJ\tB-NP\tO' -p128512 -aS'blood\tblood\tNN\tI-NP\tO' -p128513 -aS'counts\tcount\tNNS\tI-NP\tO' -p128514 -aS'and\tand\tCC\tO\tO' -p128515 -aS'normal\tnormal\tJJ\tB-NP\tO' -p128516 -aS'chest\tchest\tNN\tI-NP\tO' -p128517 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p128518 -aS'.\t.\t.\tO\tO' -p128519 -asS'3. Severe autonomic dysfunction with multiple hospitalizations for hypertensive emergency , gastroparesis , and orthostatic hypotension .' -p128520 -(lp128521 -S'3.\t3.\tLS\tB-NP\tO' -p128522 -aS'Severe\tSevere\tJJ\tI-NP\tO' -p128523 -aS'autonomic\tautonomic\tJJ\tI-NP\tO' -p128524 -aS'dysfunction\tdysfunction\tNN\tI-NP\tO' -p128525 -aS'with\twith\tIN\tB-PP\tO' -p128526 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p128527 -aS'hospitalizations\thospitalization\tNNS\tI-NP\tO' -p128528 -aS'for\tfor\tIN\tB-PP\tO' -p128529 -aS'hypertensive\thypertensive\tJJ\tB-NP\tO' -p128530 -aS'emergency\temergency\tNN\tI-NP\tO' -p128531 -aS',\t,\t,\tO\tO' -p128532 -aS'gastroparesis\tgastroparesis\tNN\tB-NP\tO' -p128533 -aS',\t,\t,\tO\tO' -p128534 -aS'and\tand\tCC\tO\tO' -p128535 -aS'orthostatic\torthostatic\tJJ\tB-NP\tO' -p128536 -aS'hypotension\thypotension\tNN\tI-NP\tO' -p128537 -aS'.\t.\t.\tO\tO' -p128538 -asS'He is separated and has a very supportive new partner .' -p128539 -(lp128540 -S'He\tHe\tPRP\tB-NP\tO' -p128541 -aS'is\tbe\tVBZ\tB-VP\tO' -p128542 -aS'separated\tseparate\tVBN\tI-VP\tO' -p128543 -aS'and\tand\tCC\tO\tO' -p128544 -aS'has\thave\tVBZ\tB-VP\tO' -p128545 -aS'a\ta\tDT\tB-NP\tO' -p128546 -aS'very\tvery\tRB\tI-NP\tO' -p128547 -aS'supportive\tsupportive\tJJ\tI-NP\tO' -p128548 -aS'new\tnew\tJJ\tI-NP\tO' -p128549 -aS'partner\tpartner\tNN\tI-NP\tO' -p128550 -aS'.\t.\t.\tO\tO' -p128551 -asS'Used to work in fast food .' -p128552 -(lp128553 -S'Used\tUse\tVBN\tB-VP\tO' -p128554 -aS'to\tto\tTO\tB-PP\tO' -p128555 -aS'work\twork\tVB\tB-NP\tO' -p128556 -aS'in\tin\tIN\tB-PP\tO' -p128557 -aS'fast\tfast\tJJ\tB-NP\tO' -p128558 -aS'food\tfood\tNN\tI-NP\tO' -p128559 -aS'.\t.\t.\tO\tO' -p128560 -asS'For renal , his creatinine was monitored and the dye load and the catheterization .' -p128561 -(lp128562 -S'For\tFor\tIN\tB-PP\tO' -p128563 -aS'renal\trenal\tJJ\tB-NP\tO' -p128564 -aS',\t,\t,\tO\tO' -p128565 -aS'his\this\tPRP$\tB-NP\tO' -p128566 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p128567 -aS'was\tbe\tVBD\tB-VP\tO' -p128568 -aS'monitored\tmonitor\tVBN\tI-VP\tO' -p128569 -aS'and\tand\tCC\tO\tO' -p128570 -aS'the\tthe\tDT\tB-NP\tO' -p128571 -aS'dye\tdye\tNN\tI-NP\tO' -p128572 -aS'load\tload\tNN\tI-NP\tO' -p128573 -aS'and\tand\tCC\tO\tO' -p128574 -aS'the\tthe\tDT\tB-NP\tO' -p128575 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p128576 -aS'.\t.\t.\tO\tO' -p128577 -asS'A similar lesion is seen on the right , measuring 2.2 cm .' -p128578 -(lp128579 -S'A\tA\tDT\tB-NP\tO' -p128580 -aS'similar\tsimilar\tJJ\tI-NP\tO' -p128581 -aS'lesion\tlesion\tNN\tI-NP\tO' -p128582 -aS'is\tbe\tVBZ\tB-VP\tO' -p128583 -aS'seen\tsee\tVBN\tI-VP\tO' -p128584 -aS'on\ton\tIN\tB-PP\tO' -p128585 -aS'the\tthe\tDT\tB-NP\tO' -p128586 -aS'right\tright\tNN\tI-NP\tO' -p128587 -aS',\t,\t,\tO\tO' -p128588 -aS'measuring\tmeasure\tVBG\tB-VP\tO' -p128589 -aS'2.2\t2.2\tCD\tB-NP\tO' -p128590 -aS'cm\tcm\tNN\tI-NP\tO' -p128591 -aS'.\t.\t.\tO\tO' -p128592 -asS'Line-central .' -p128593 -(lp128594 -S'Line-central\tLine-central\tJJ\tB-ADJP\tO' -p128595 -aS'.\t.\t.\tO\tO' -p128596 -asS'Blood culture had remained no growth to date .' -p128597 -(lp128598 -S'Blood\tBlood\tNN\tB-NP\tO' -p128599 -aS'culture\tculture\tNN\tI-NP\tO' -p128600 -aS'had\thave\tVBD\tB-VP\tO' -p128601 -aS'remained\tremain\tVBN\tI-VP\tO' -p128602 -aS'no\tno\tDT\tB-NP\tO' -p128603 -aS'growth\tgrowth\tNN\tI-NP\tO' -p128604 -aS'to\tto\tTO\tB-PP\tO' -p128605 -aS'date\tdate\tNN\tB-NP\tO' -p128606 -aS'.\t.\t.\tO\tO' -p128607 -asS'Most recent laboratory values are from 2011-10-25 which revealed a white blood cell count 8.4000 , hematocrit 35 , platelet count 202,000. Sodium 133 , potassium 4.4 , chloride 93 , CO2 30 , BUN 24 , creatinine 0.7 , glucose 198 .' -p128608 -(lp128609 -S'Most\tMost\tRBS\tB-NP\tO' -p128610 -aS'recent\trecent\tJJ\tI-NP\tO' -p128611 -aS'laboratory\tlaboratory\tNN\tI-NP\tO' -p128612 -aS'values\tvalue\tNNS\tI-NP\tO' -p128613 -aS'are\tbe\tVBP\tB-VP\tO' -p128614 -aS'from\tfrom\tIN\tB-PP\tO' -p128615 -aS'2011-10-25\t2011-10-25\tCD\tB-NP\tO' -p128616 -aS'which\twhich\tWDT\tB-NP\tO' -p128617 -aS'revealed\treveal\tVBD\tB-VP\tO' -p128618 -aS'a\ta\tDT\tB-NP\tO' -p128619 -aS'white\twhite\tJJ\tI-NP\tO' -p128620 -aS'blood\tblood\tNN\tI-NP\tO' -p128621 -aS'cell\tcell\tNN\tI-NP\tO' -p128622 -aS'count\tcount\tNN\tI-NP\tO' -p128623 -aS'8.4000\t8.4000\tCD\tB-NP\tO' -p128624 -aS',\t,\t,\tO\tO' -p128625 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p128626 -aS'35\t35\tCD\tI-NP\tI-protein' -p128627 -aS',\t,\t,\tO\tO' -p128628 -aS'platelet\tplatelet\tNN\tB-NP\tB-protein' -p128629 -aS'count\tcount\tNN\tI-NP\tI-protein' -p128630 -aS'202,000.\t202,000.\tCD\tI-NP\tI-protein' -p128631 -aS'Sodium\tSodium\tNNP\tI-NP\tI-protein' -p128632 -aS'133\t133\tCD\tI-NP\tI-protein' -p128633 -aS',\t,\t,\tO\tO' -p128634 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p128635 -aS'4.4\t4.4\tCD\tI-NP\tO' -p128636 -aS',\t,\t,\tO\tO' -p128637 -aS'chloride\tchloride\tNN\tB-NP\tO' -p128638 -aS'93\t93\tCD\tI-NP\tO' -p128639 -aS',\t,\t,\tO\tO' -p128640 -aS'CO2\tCO2\tNN\tB-NP\tO' -p128641 -aS'30\t30\tCD\tI-NP\tO' -p128642 -aS',\t,\t,\tO\tO' -p128643 -aS'BUN\tBUN\tNN\tB-NP\tB-DNA' -p128644 -aS'24\t24\tCD\tI-NP\tI-DNA' -p128645 -aS',\t,\t,\tO\tO' -p128646 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p128647 -aS'0.7\t0.7\tCD\tI-NP\tO' -p128648 -aS',\t,\t,\tO\tO' -p128649 -aS'glucose\tglucose\tNN\tB-NP\tO' -p128650 -aS'198\t198\tCD\tI-NP\tO' -p128651 -aS'.\t.\t.\tO\tO' -p128652 -asS'He also developed thrombocytopenia , requiring persistent platelet transfusions on a daily basis .' -p128653 -(lp128654 -S'He\tHe\tPRP\tB-NP\tO' -p128655 -aS'also\talso\tRB\tB-ADVP\tO' -p128656 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p128657 -aS'thrombocytopenia\tthrombocytopenia\tNN\tB-NP\tO' -p128658 -aS',\t,\t,\tO\tO' -p128659 -aS'requiring\trequire\tVBG\tB-VP\tO' -p128660 -aS'persistent\tpersistent\tJJ\tB-NP\tO' -p128661 -aS'platelet\tplatelet\tNN\tI-NP\tO' -p128662 -aS'transfusions\ttransfusion\tNNS\tI-NP\tO' -p128663 -aS'on\ton\tIN\tB-PP\tO' -p128664 -aS'a\ta\tDT\tB-NP\tO' -p128665 -aS'daily\tdaily\tJJ\tI-NP\tO' -p128666 -aS'basis\tbasis\tNN\tI-NP\tO' -p128667 -aS'.\t.\t.\tO\tO' -p128668 -asS'Prior to admission he was seen approximately 1 week in the office with mild congestive heart failure .' -p128669 -(lp128670 -S'Prior\tPrior\tRB\tB-ADVP\tO' -p128671 -aS'to\tto\tTO\tB-PP\tO' -p128672 -aS'admission\tadmission\tNN\tB-NP\tO' -p128673 -aS'he\the\tPRP\tB-NP\tO' -p128674 -aS'was\tbe\tVBD\tB-VP\tO' -p128675 -aS'seen\tsee\tVBN\tI-VP\tO' -p128676 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p128677 -aS'1\t1\tCD\tI-NP\tO' -p128678 -aS'week\tweek\tNN\tI-NP\tO' -p128679 -aS'in\tin\tIN\tB-PP\tO' -p128680 -aS'the\tthe\tDT\tB-NP\tO' -p128681 -aS'office\toffice\tNN\tI-NP\tO' -p128682 -aS'with\twith\tIN\tB-PP\tO' -p128683 -aS'mild\tmild\tJJ\tB-NP\tO' -p128684 -aS'congestive\tcongestive\tJJ\tI-NP\tO' -p128685 -aS'heart\theart\tNN\tI-NP\tO' -p128686 -aS'failure\tfailure\tNN\tI-NP\tO' -p128687 -aS'.\t.\t.\tO\tO' -p128688 -asS'The patient is a 63 year old gentleman who had initially presented with exertional chest pressure several weeks prior to this admission that would resolve with rest .' -p128689 -(lp128690 -S'The\tThe\tDT\tB-NP\tO' -p128691 -aS'patient\tpatient\tNN\tI-NP\tO' -p128692 -aS'is\tbe\tVBZ\tB-VP\tO' -p128693 -aS'a\ta\tDT\tB-NP\tO' -p128694 -aS'63\t63\tCD\tI-NP\tO' -p128695 -aS'year\tyear\tNN\tI-NP\tO' -p128696 -aS'old\told\tJJ\tI-NP\tO' -p128697 -aS'gentleman\tgentleman\tNN\tI-NP\tO' -p128698 -aS'who\twho\tWP\tB-NP\tO' -p128699 -aS'had\thave\tVBD\tB-VP\tO' -p128700 -aS'initially\tinitially\tRB\tI-VP\tO' -p128701 -aS'presented\tpresent\tVBN\tI-VP\tO' -p128702 -aS'with\twith\tIN\tB-PP\tO' -p128703 -aS'exertional\texertional\tJJ\tB-NP\tO' -p128704 -aS'chest\tchest\tNN\tI-NP\tO' -p128705 -aS'pressure\tpressure\tNN\tI-NP\tO' -p128706 -aS'several\tseveral\tJJ\tB-NP\tO' -p128707 -aS'weeks\tweek\tNNS\tI-NP\tO' -p128708 -aS'prior\tprior\tRB\tB-ADVP\tO' -p128709 -aS'to\tto\tTO\tB-PP\tO' -p128710 -aS'this\tthis\tDT\tB-NP\tO' -p128711 -aS'admission\tadmission\tNN\tI-NP\tO' -p128712 -aS'that\tthat\tWDT\tB-NP\tO' -p128713 -aS'would\twould\tMD\tB-VP\tO' -p128714 -aS'resolve\tresolve\tVB\tI-VP\tO' -p128715 -aS'with\twith\tIN\tB-PP\tO' -p128716 -aS'rest\trest\tNN\tB-NP\tO' -p128717 -aS'.\t.\t.\tO\tO' -p128718 -asS'2. Examination under anesthesia with placement of splint , right elbow .' -p128719 -(lp128720 -S'2.\t2.\tLS\tB-NP\tO' -p128721 -aS'Examination\tExamination\tNN\tI-NP\tO' -p128722 -aS'under\tunder\tIN\tB-PP\tO' -p128723 -aS'anesthesia\tanesthesia\tNN\tB-NP\tO' -p128724 -aS'with\twith\tIN\tB-PP\tO' -p128725 -aS'placement\tplacement\tNN\tB-NP\tO' -p128726 -aS'of\tof\tIN\tB-PP\tO' -p128727 -aS'splint\tsplint\tNN\tB-NP\tO' -p128728 -aS',\t,\t,\tO\tO' -p128729 -aS'right\tright\tJJ\tB-NP\tO' -p128730 -aS'elbow\telbow\tNN\tI-NP\tO' -p128731 -aS'.\t.\t.\tO\tO' -p128732 -asS'extraocular movements intact .' -p128733 -(lp128734 -S'extraocular\textraocular\tJJ\tB-NP\tO' -p128735 -aS'movements\tmovement\tNNS\tI-NP\tO' -p128736 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p128737 -aS'.\t.\t.\tO\tO' -p128738 -asS'RR nl S1 S2 no m' -p128739 -(lp128740 -S'RR\tRR\tNN\tB-NP\tB-protein' -p128741 -aS'nl\tnl\tNN\tI-NP\tI-protein' -p128742 -aS'S1\tS1\tNN\tI-NP\tI-protein' -p128743 -aS'S2\tS2\tNN\tI-NP\tI-protein' -p128744 -aS'no\tno\tDT\tB-NP\tO' -p128745 -aS'm\tm\tNN\tI-NP\tO' -p128746 -asS'On presentation , the patient denied chest pain , shortness of breath , and cough .' -p128747 -(lp128748 -S'On\tOn\tIN\tB-PP\tO' -p128749 -aS'presentation\tpresentation\tNN\tB-NP\tO' -p128750 -aS',\t,\t,\tO\tO' -p128751 -aS'the\tthe\tDT\tB-NP\tO' -p128752 -aS'patient\tpatient\tNN\tI-NP\tO' -p128753 -aS'denied\tdeny\tVBD\tB-VP\tO' -p128754 -aS'chest\tchest\tNN\tB-NP\tO' -p128755 -aS'pain\tpain\tNN\tI-NP\tO' -p128756 -aS',\t,\t,\tO\tO' -p128757 -aS'shortness\tshortness\tNN\tB-NP\tO' -p128758 -aS'of\tof\tIN\tB-PP\tO' -p128759 -aS'breath\tbreath\tNN\tB-NP\tO' -p128760 -aS',\t,\t,\tO\tO' -p128761 -aS'and\tand\tCC\tO\tO' -p128762 -aS'cough\tcough\tNN\tB-NP\tO' -p128763 -aS'.\t.\t.\tO\tO' -p128764 -asS'The heart had normal rate and rhythm , with normal Sl and S2 and no significant heart murmur was heard .' -p128765 -(lp128766 -S'The\tThe\tDT\tB-NP\tO' -p128767 -aS'heart\theart\tNN\tI-NP\tO' -p128768 -aS'had\thave\tVBD\tB-VP\tO' -p128769 -aS'normal\tnormal\tJJ\tB-NP\tO' -p128770 -aS'rate\trate\tNN\tI-NP\tO' -p128771 -aS'and\tand\tCC\tI-NP\tO' -p128772 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p128773 -aS',\t,\t,\tO\tO' -p128774 -aS'with\twith\tIN\tB-PP\tO' -p128775 -aS'normal\tnormal\tJJ\tB-NP\tO' -p128776 -aS'Sl\tSl\tNN\tI-NP\tO' -p128777 -aS'and\tand\tCC\tO\tO' -p128778 -aS'S2\tS2\tNN\tB-NP\tB-protein' -p128779 -aS'and\tand\tCC\tO\tO' -p128780 -aS'no\tno\tDT\tB-NP\tO' -p128781 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p128782 -aS'heart\theart\tNN\tI-NP\tO' -p128783 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p128784 -aS'was\tbe\tVBD\tB-VP\tO' -p128785 -aS'heard\thear\tVBN\tI-VP\tO' -p128786 -aS'.\t.\t.\tO\tO' -p128787 -asS'CT scan showed an anterior mediastinal mass compressing the trachea with air .' -p128788 -(lp128789 -S'CT\tCT\tNN\tB-NP\tO' -p128790 -aS'scan\tscan\tNN\tI-NP\tO' -p128791 -aS'showed\tshow\tVBD\tB-VP\tO' -p128792 -aS'an\tan\tDT\tB-NP\tO' -p128793 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p128794 -aS'mediastinal\tmediastinal\tJJ\tI-NP\tO' -p128795 -aS'mass\tmass\tNN\tI-NP\tO' -p128796 -aS'compressing\tcompress\tVBG\tB-VP\tO' -p128797 -aS'the\tthe\tDT\tB-NP\tO' -p128798 -aS'trachea\ttrachea\tNN\tI-NP\tO' -p128799 -aS'with\twith\tIN\tB-PP\tO' -p128800 -aS'air\tair\tNN\tB-NP\tO' -p128801 -aS'.\t.\t.\tO\tO' -p128802 -asS'He is at increased risk for future events because of his low left ventricular ejection fraction , but he is clinically stable on ACE inhibitors , Digoxin , Coumadin , and aspirin .' -p128803 -(lp128804 -S'He\tHe\tPRP\tB-NP\tO' -p128805 -aS'is\tbe\tVBZ\tB-VP\tO' -p128806 -aS'at\tat\tIN\tB-PP\tO' -p128807 -aS'increased\tincrease\tVBN\tB-NP\tO' -p128808 -aS'risk\trisk\tNN\tI-NP\tO' -p128809 -aS'for\tfor\tIN\tB-PP\tO' -p128810 -aS'future\tfuture\tJJ\tB-NP\tO' -p128811 -aS'events\tevent\tNNS\tI-NP\tO' -p128812 -aS'because\tbecause\tIN\tB-PP\tO' -p128813 -aS'of\tof\tIN\tI-PP\tO' -p128814 -aS'his\this\tPRP$\tB-NP\tO' -p128815 -aS'low\tlow\tJJ\tI-NP\tO' -p128816 -aS'left\tleft\tJJ\tI-NP\tO' -p128817 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p128818 -aS'ejection\tejection\tNN\tI-NP\tO' -p128819 -aS'fraction\tfraction\tNN\tI-NP\tO' -p128820 -aS',\t,\t,\tO\tO' -p128821 -aS'but\tbut\tCC\tO\tO' -p128822 -aS'he\the\tPRP\tB-NP\tO' -p128823 -aS'is\tbe\tVBZ\tB-VP\tO' -p128824 -aS'clinically\tclinically\tRB\tB-ADJP\tO' -p128825 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p128826 -aS'on\ton\tIN\tB-PP\tO' -p128827 -aS'ACE\tACE\tNN\tB-NP\tO' -p128828 -aS'inhibitors\tinhibitor\tNNS\tI-NP\tO' -p128829 -aS',\t,\t,\tO\tO' -p128830 -aS'Digoxin\tDigoxin\tNN\tB-NP\tO' -p128831 -aS',\t,\t,\tO\tO' -p128832 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p128833 -aS',\t,\t,\tO\tO' -p128834 -aS'and\tand\tCC\tO\tO' -p128835 -aS'aspirin\taspirin\tNN\tB-NP\tO' -p128836 -aS'.\t.\t.\tO\tO' -p128837 -asS'She received EEG , MRI , LP .' -p128838 -(lp128839 -S'She\tShe\tPRP\tB-NP\tO' -p128840 -aS'received\treceive\tVBD\tB-VP\tO' -p128841 -aS'EEG\tEEG\tNN\tB-NP\tB-protein' -p128842 -aS',\t,\t,\tO\tO' -p128843 -aS'MRI\tMRI\tNN\tB-NP\tB-protein' -p128844 -aS',\t,\t,\tO\tO' -p128845 -aS'LP\tLP\tNN\tB-NP\tO' -p128846 -aS'.\t.\t.\tO\tO' -p128847 -asS'Neurosurg evaluated pt and felt to not be surgical candidate ; recommended dilantin load and decadron .' -p128848 -(lp128849 -S'Neurosurg\tNeurosurg\tNNP\tB-NP\tO' -p128850 -aS'evaluated\tevaluate\tVBD\tB-VP\tO' -p128851 -aS'pt\tpt\tNN\tB-NP\tO' -p128852 -aS'and\tand\tCC\tO\tO' -p128853 -aS'felt\tfeel\tVBD\tB-VP\tO' -p128854 -aS'to\tto\tTO\tI-VP\tO' -p128855 -aS'not\tnot\tRB\tI-VP\tO' -p128856 -aS'be\tbe\tVB\tI-VP\tO' -p128857 -aS'surgical\tsurgical\tJJ\tB-NP\tO' -p128858 -aS'candidate\tcandidate\tNN\tI-NP\tO' -p128859 -aS';\t;\t:\tO\tO' -p128860 -aS'recommended\trecommend\tVBN\tB-NP\tO' -p128861 -aS'dilantin\tdilantin\tNN\tI-NP\tO' -p128862 -aS'load\tload\tNN\tI-NP\tO' -p128863 -aS'and\tand\tCC\tI-NP\tO' -p128864 -aS'decadron\tdecadron\tNN\tI-NP\tO' -p128865 -aS'.\t.\t.\tO\tO' -p128866 -asS'The patient was told he could return to work after two weeks of rest , given that his work required a high level of exertion and the patient was also given a prescription for a transdermal nicotine patch 14 mg the be used for up to 2 weeks until cravings remitted .' -p128867 -(lp128868 -S'The\tThe\tDT\tB-NP\tO' -p128869 -aS'patient\tpatient\tNN\tI-NP\tO' -p128870 -aS'was\tbe\tVBD\tB-VP\tO' -p128871 -aS'told\ttell\tVBN\tI-VP\tO' -p128872 -aS'he\the\tPRP\tB-NP\tO' -p128873 -aS'could\tcould\tMD\tB-VP\tO' -p128874 -aS'return\treturn\tVB\tI-VP\tO' -p128875 -aS'to\tto\tTO\tB-PP\tO' -p128876 -aS'work\twork\tVB\tB-NP\tO' -p128877 -aS'after\tafter\tIN\tB-PP\tO' -p128878 -aS'two\ttwo\tCD\tB-NP\tO' -p128879 -aS'weeks\tweek\tNNS\tI-NP\tO' -p128880 -aS'of\tof\tIN\tB-PP\tO' -p128881 -aS'rest\trest\tNN\tB-NP\tO' -p128882 -aS',\t,\t,\tO\tO' -p128883 -aS'given\tgive\tVBN\tB-PP\tO' -p128884 -aS'that\tthat\tIN\tB-SBAR\tO' -p128885 -aS'his\this\tPRP$\tB-NP\tO' -p128886 -aS'work\twork\tNN\tI-NP\tO' -p128887 -aS'required\trequire\tVBD\tB-VP\tO' -p128888 -aS'a\ta\tDT\tB-NP\tO' -p128889 -aS'high\thigh\tJJ\tI-NP\tO' -p128890 -aS'level\tlevel\tNN\tI-NP\tO' -p128891 -aS'of\tof\tIN\tB-PP\tO' -p128892 -aS'exertion\texertion\tNN\tB-NP\tO' -p128893 -aS'and\tand\tCC\tO\tO' -p128894 -aS'the\tthe\tDT\tB-NP\tO' -p128895 -aS'patient\tpatient\tNN\tI-NP\tO' -p128896 -aS'was\tbe\tVBD\tB-VP\tO' -p128897 -aS'also\talso\tRB\tI-VP\tO' -p128898 -aS'given\tgive\tVBN\tI-VP\tO' -p128899 -aS'a\ta\tDT\tB-NP\tO' -p128900 -aS'prescription\tprescription\tNN\tI-NP\tO' -p128901 -aS'for\tfor\tIN\tB-PP\tO' -p128902 -aS'a\ta\tDT\tB-NP\tO' -p128903 -aS'transdermal\ttransdermal\tJJ\tI-NP\tO' -p128904 -aS'nicotine\tnicotine\tNN\tI-NP\tO' -p128905 -aS'patch\tpatch\tNN\tI-NP\tO' -p128906 -aS'14\t14\tCD\tI-NP\tO' -p128907 -aS'mg\tmg\tNN\tI-NP\tO' -p128908 -aS'the\tthe\tDT\tB-NP\tO' -p128909 -aS'be\tbe\tNN\tI-NP\tO' -p128910 -aS'used\tuse\tVBN\tB-VP\tO' -p128911 -aS'for\tfor\tIN\tB-PP\tO' -p128912 -aS'up\tup\tRB\tB-NP\tO' -p128913 -aS'to\tto\tTO\tI-NP\tO' -p128914 -aS'2\t2\tCD\tI-NP\tO' -p128915 -aS'weeks\tweek\tNNS\tI-NP\tO' -p128916 -aS'until\tuntil\tIN\tB-PP\tO' -p128917 -aS'cravings\tcraving\tNNS\tB-NP\tO' -p128918 -aS'remitted\tremit\tVBN\tB-VP\tO' -p128919 -aS'.\t.\t.\tO\tO' -p128920 -asS'There was ST scooping in the lateral leads consistent with Dig vs. a question of chronic ischemia changes .' -p128921 -(lp128922 -S'There\tThere\tEX\tB-NP\tO' -p128923 -aS'was\tbe\tVBD\tB-VP\tO' -p128924 -aS'ST\tST\tNN\tB-NP\tO' -p128925 -aS'scooping\tscoop\tVBG\tB-VP\tO' -p128926 -aS'in\tin\tIN\tB-PP\tO' -p128927 -aS'the\tthe\tDT\tB-NP\tO' -p128928 -aS'lateral\tlateral\tJJ\tI-NP\tO' -p128929 -aS'leads\tlead\tNNS\tI-NP\tO' -p128930 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p128931 -aS'with\twith\tIN\tB-PP\tO' -p128932 -aS'Dig\tDig\tNNP\tB-NP\tO' -p128933 -aS'vs.\tvs.\tIN\tB-PP\tO' -p128934 -aS'a\ta\tDT\tB-NP\tO' -p128935 -aS'question\tquestion\tNN\tI-NP\tO' -p128936 -aS'of\tof\tIN\tB-PP\tO' -p128937 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p128938 -aS'ischemia\tischemia\tNN\tI-NP\tO' -p128939 -aS'changes\tchange\tNNS\tI-NP\tO' -p128940 -aS'.\t.\t.\tO\tO' -p128941 -asS'Cardiothoracic Surgery was on standby during the surgery .' -p128942 -(lp128943 -S'Cardiothoracic\tCardiothoracic\tNNP\tB-NP\tO' -p128944 -aS'Surgery\tSurgery\tNNP\tI-NP\tO' -p128945 -aS'was\tbe\tVBD\tB-VP\tO' -p128946 -aS'on\ton\tIN\tB-PP\tO' -p128947 -aS'standby\tstandby\tNN\tB-NP\tO' -p128948 -aS'during\tduring\tIN\tB-PP\tO' -p128949 -aS'the\tthe\tDT\tB-NP\tO' -p128950 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p128951 -aS'.\t.\t.\tO\tO' -p128952 -asS"The immediate postoperative plans were for a short Intensive Care Unit stay and subsequent plastic surgical reconstruction of the patient 's sternum ." -p128953 -(lp128954 -S'The\tThe\tDT\tB-NP\tO' -p128955 -aS'immediate\timmediate\tJJ\tI-NP\tO' -p128956 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p128957 -aS'plans\tplan\tNNS\tI-NP\tO' -p128958 -aS'were\tbe\tVBD\tB-VP\tO' -p128959 -aS'for\tfor\tIN\tB-PP\tO' -p128960 -aS'a\ta\tDT\tB-NP\tO' -p128961 -aS'short\tshort\tJJ\tI-NP\tO' -p128962 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p128963 -aS'Care\tCare\tNNP\tI-NP\tO' -p128964 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p128965 -aS'stay\tstay\tNN\tI-NP\tO' -p128966 -aS'and\tand\tCC\tI-NP\tO' -p128967 -aS'subsequent\tsubsequent\tJJ\tI-NP\tO' -p128968 -aS'plastic\tplastic\tNN\tI-NP\tO' -p128969 -aS'surgical\tsurgical\tJJ\tI-NP\tO' -p128970 -aS'reconstruction\treconstruction\tNN\tI-NP\tO' -p128971 -aS'of\tof\tIN\tB-PP\tO' -p128972 -aS'the\tthe\tDT\tB-NP\tO' -p128973 -aS'patient\tpatient\tNN\tI-NP\tO' -p128974 -aS"'s\t's\tPOS\tB-NP\tO" -p128975 -aS'sternum\tsternum\tNN\tI-NP\tO' -p128976 -aS'.\t.\t.\tO\tO' -p128977 -asS'The ascending , transverse and descending thoracic aorta are normal in diameter and free of atherosclerotic plaque .' -p128978 -(lp128979 -S'The\tThe\tDT\tB-NP\tO' -p128980 -aS'ascending\tascend\tVBG\tI-NP\tO' -p128981 -aS',\t,\t,\tO\tO' -p128982 -aS'transverse\ttransverse\tJJ\tB-ADJP\tO' -p128983 -aS'and\tand\tCC\tO\tO' -p128984 -aS'descending\tdescend\tVBG\tB-VP\tO' -p128985 -aS'thoracic\tthoracic\tJJ\tB-NP\tO' -p128986 -aS'aorta\taorta\tNNS\tI-NP\tO' -p128987 -aS'are\tbe\tVBP\tB-VP\tO' -p128988 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p128989 -aS'in\tin\tIN\tB-PP\tO' -p128990 -aS'diameter\tdiameter\tNN\tB-NP\tO' -p128991 -aS'and\tand\tCC\tO\tO' -p128992 -aS'free\tfree\tJJ\tB-ADJP\tO' -p128993 -aS'of\tof\tIN\tB-PP\tO' -p128994 -aS'atherosclerotic\tatherosclerotic\tJJ\tB-NP\tO' -p128995 -aS'plaque\tplaque\tNN\tI-NP\tO' -p128996 -aS'.\t.\t.\tO\tO' -p128997 -asS'The extremities have distal pulses and were warm and well perfused .' -p128998 -(lp128999 -S'The\tThe\tDT\tB-NP\tO' -p129000 -aS'extremities\textremity\tNNS\tI-NP\tO' -p129001 -aS'have\thave\tVBP\tB-VP\tO' -p129002 -aS'distal\tdistal\tJJ\tB-NP\tO' -p129003 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p129004 -aS'and\tand\tCC\tO\tO' -p129005 -aS'were\tbe\tVBD\tB-VP\tO' -p129006 -aS'warm\twarm\tJJ\tB-ADJP\tO' -p129007 -aS'and\tand\tCC\tO\tO' -p129008 -aS'well\twell\tRB\tB-ADJP\tO' -p129009 -aS'perfused\tperfuse\tVBN\tI-ADJP\tO' -p129010 -aS'.\t.\t.\tO\tO' -p129011 -asS'The most recent weight today is 1810 grams which was no change from the previous day .' -p129012 -(lp129013 -S'The\tThe\tDT\tB-NP\tO' -p129014 -aS'most\tmost\tRBS\tI-NP\tO' -p129015 -aS'recent\trecent\tJJ\tI-NP\tO' -p129016 -aS'weight\tweight\tNN\tI-NP\tO' -p129017 -aS'today\ttoday\tNN\tB-NP\tO' -p129018 -aS'is\tbe\tVBZ\tB-VP\tO' -p129019 -aS'1810\t1810\tCD\tB-NP\tO' -p129020 -aS'grams\tgram\tNNS\tI-NP\tO' -p129021 -aS'which\twhich\tWDT\tB-NP\tO' -p129022 -aS'was\tbe\tVBD\tB-VP\tO' -p129023 -aS'no\tno\tDT\tB-NP\tO' -p129024 -aS'change\tchange\tNN\tI-NP\tO' -p129025 -aS'from\tfrom\tIN\tB-PP\tO' -p129026 -aS'the\tthe\tDT\tB-NP\tO' -p129027 -aS'previous\tprevious\tJJ\tI-NP\tO' -p129028 -aS'day\tday\tNN\tI-NP\tO' -p129029 -aS'.\t.\t.\tO\tO' -p129030 -asS'Signed electronically by : DR. Katherine Beaulieu Brush on : WED 2017-01-25 12:05 AM' -p129031 -(lp129032 -S'Signed\tSign\tVBN\tB-VP\tO' -p129033 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p129034 -aS'by\tby\tIN\tB-PP\tO' -p129035 -aS':\t:\t:\tO\tO' -p129036 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p129037 -aS'Katherine\tKatherine\tNNP\tI-NP\tO' -p129038 -aS'Beaulieu\tBeaulieu\tNNP\tI-NP\tO' -p129039 -aS'Brush\tBrush\tNNP\tI-NP\tO' -p129040 -aS'on\ton\tIN\tB-PP\tO' -p129041 -aS':\t:\t:\tO\tO' -p129042 -aS'WED\tWED\tVBD\tB-VP\tO' -p129043 -aS'2017-01-25\t2017-01-25\tCD\tB-NP\tO' -p129044 -aS'12:05\t12:05\tCD\tI-NP\tO' -p129045 -aS'AM\tAM\tNN\tI-NP\tO' -p129046 -asS'Due to this continued atrial fibrillation , Leona Wheeler was anticoagulated with intravenous Heparin .' -p129047 -(lp129048 -S'Due\tDue\tJJ\tB-PP\tO' -p129049 -aS'to\tto\tTO\tI-PP\tO' -p129050 -aS'this\tthis\tDT\tB-NP\tO' -p129051 -aS'continued\tcontinue\tVBN\tI-NP\tO' -p129052 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p129053 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p129054 -aS',\t,\t,\tO\tO' -p129055 -aS'Leona\tLeona\tNNP\tB-NP\tO' -p129056 -aS'Wheeler\tWheeler\tNNP\tI-NP\tO' -p129057 -aS'was\tbe\tVBD\tB-VP\tO' -p129058 -aS'anticoagulated\tanticoagulate\tVBN\tI-VP\tO' -p129059 -aS'with\twith\tIN\tB-PP\tO' -p129060 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p129061 -aS'Heparin\tHeparin\tNN\tI-NP\tO' -p129062 -aS'.\t.\t.\tO\tO' -p129063 -asS'She continued to have low-grade fevers and on the next day , 11/17/04 , her chest x-ray showed possible new right upper lobe infiltrates .' -p129064 -(lp129065 -S'She\tShe\tPRP\tB-NP\tO' -p129066 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p129067 -aS'to\tto\tTO\tI-VP\tO' -p129068 -aS'have\thave\tVB\tI-VP\tO' -p129069 -aS'low-grade\tlow-grade\tJJ\tB-NP\tO' -p129070 -aS'fevers\tfever\tNNS\tI-NP\tO' -p129071 -aS'and\tand\tCC\tB-PP\tO' -p129072 -aS'on\ton\tIN\tB-PP\tO' -p129073 -aS'the\tthe\tDT\tB-NP\tO' -p129074 -aS'next\tnext\tJJ\tI-NP\tO' -p129075 -aS'day\tday\tNN\tI-NP\tO' -p129076 -aS',\t,\t,\tO\tO' -p129077 -aS'11/17/04\t11/17/04\tCD\tB-NP\tO' -p129078 -aS',\t,\t,\tO\tO' -p129079 -aS'her\ther\tPRP$\tB-NP\tO' -p129080 -aS'chest\tchest\tNN\tI-NP\tO' -p129081 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p129082 -aS'showed\tshow\tVBD\tB-VP\tO' -p129083 -aS'possible\tpossible\tJJ\tB-NP\tO' -p129084 -aS'new\tnew\tJJ\tI-NP\tO' -p129085 -aS'right\tright\tJJ\tI-NP\tO' -p129086 -aS'upper\tupper\tJJ\tI-NP\tO' -p129087 -aS'lobe\tlobe\tNN\tI-NP\tO' -p129088 -aS'infiltrates\tinfiltrate\tNNS\tI-NP\tO' -p129089 -aS'.\t.\t.\tO\tO' -p129090 -asS'She had brisk capillary refill .' -p129091 -(lp129092 -S'She\tShe\tPRP\tB-NP\tO' -p129093 -aS'had\thave\tVBD\tB-VP\tO' -p129094 -aS'brisk\tbrisk\tJJ\tB-NP\tO' -p129095 -aS'capillary\tcapillary\tJJ\tI-NP\tO' -p129096 -aS'refill\trefill\tNN\tI-NP\tO' -p129097 -aS'.\t.\t.\tO\tO' -p129098 -asS'He tolerated a regular diet .' -p129099 -(lp129100 -S'He\tHe\tPRP\tB-NP\tO' -p129101 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p129102 -aS'a\ta\tDT\tB-NP\tO' -p129103 -aS'regular\tregular\tJJ\tI-NP\tO' -p129104 -aS'diet\tdiet\tNN\tI-NP\tO' -p129105 -aS'.\t.\t.\tO\tO' -p129106 -asS'She was cleared to advance her diet as tolerated .' -p129107 -(lp129108 -S'She\tShe\tPRP\tB-NP\tO' -p129109 -aS'was\tbe\tVBD\tB-VP\tO' -p129110 -aS'cleared\tclear\tVBN\tI-VP\tO' -p129111 -aS'to\tto\tTO\tI-VP\tO' -p129112 -aS'advance\tadvance\tVB\tI-VP\tO' -p129113 -aS'her\ther\tPRP$\tB-NP\tO' -p129114 -aS'diet\tdiet\tNN\tI-NP\tO' -p129115 -aS'as\tas\tIN\tB-SBAR\tO' -p129116 -aS'tolerated\ttolerate\tVBN\tB-VP\tO' -p129117 -aS'.\t.\t.\tO\tO' -p129118 -asS'The patient continued to spike and was enrolled in a randomized trial , the patient was randomized to AmBisome antifungal treatment .' -p129119 -(lp129120 -S'The\tThe\tDT\tB-NP\tO' -p129121 -aS'patient\tpatient\tNN\tI-NP\tO' -p129122 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p129123 -aS'to\tto\tTO\tI-VP\tO' -p129124 -aS'spike\tspike\tVB\tI-VP\tO' -p129125 -aS'and\tand\tCC\tO\tO' -p129126 -aS'was\tbe\tVBD\tB-VP\tO' -p129127 -aS'enrolled\tenrol\tVBN\tI-VP\tO' -p129128 -aS'in\tin\tIN\tB-PP\tO' -p129129 -aS'a\ta\tDT\tB-NP\tO' -p129130 -aS'randomized\trandomize\tVBN\tI-NP\tO' -p129131 -aS'trial\ttrial\tNN\tI-NP\tO' -p129132 -aS',\t,\t,\tO\tO' -p129133 -aS'the\tthe\tDT\tB-NP\tO' -p129134 -aS'patient\tpatient\tNN\tI-NP\tO' -p129135 -aS'was\tbe\tVBD\tB-VP\tO' -p129136 -aS'randomized\trandomize\tVBN\tI-VP\tO' -p129137 -aS'to\tto\tTO\tB-PP\tO' -p129138 -aS'AmBisome\tAmBisome\tJJ\tB-NP\tO' -p129139 -aS'antifungal\tantifungal\tJJ\tI-NP\tO' -p129140 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p129141 -aS'.\t.\t.\tO\tO' -p129142 -asS'She had no jugular venous distention or bruits .' -p129143 -(lp129144 -S'She\tShe\tPRP\tB-NP\tO' -p129145 -aS'had\thave\tVBD\tB-VP\tO' -p129146 -aS'no\tno\tDT\tB-NP\tO' -p129147 -aS'jugular\tjugular\tJJ\tI-NP\tO' -p129148 -aS'venous\tvenous\tJJ\tI-NP\tO' -p129149 -aS'distention\tdistention\tNN\tI-NP\tO' -p129150 -aS'or\tor\tCC\tI-NP\tO' -p129151 -aS'bruits\tbruit\tNNS\tI-NP\tO' -p129152 -aS'.\t.\t.\tO\tO' -p129153 -asS'2. diet as tolerated .' -p129154 -(lp129155 -S'2.\t2.\tLS\tB-NP\tO' -p129156 -aS'diet\tdiet\tNN\tI-NP\tO' -p129157 -aS'as\tas\tIN\tB-SBAR\tO' -p129158 -aS'tolerated\ttolerate\tVBN\tB-VP\tO' -p129159 -aS'.\t.\t.\tO\tO' -p129160 -asS'Striking left patellar tendon results in sustained clonus of left leg .' -p129161 -(lp129162 -S'Striking\tStrike\tVBG\tB-VP\tO' -p129163 -aS'left\tleave\tVBD\tI-VP\tO' -p129164 -aS'patellar\tpatellar\tJJ\tB-NP\tO' -p129165 -aS'tendon\ttendon\tNN\tI-NP\tO' -p129166 -aS'results\tresult\tVBZ\tB-VP\tO' -p129167 -aS'in\tin\tIN\tB-PP\tO' -p129168 -aS'sustained\tsustained\tJJ\tB-NP\tO' -p129169 -aS'clonus\tclonus\tNN\tI-NP\tO' -p129170 -aS'of\tof\tIN\tB-PP\tO' -p129171 -aS'left\tleft\tJJ\tB-NP\tO' -p129172 -aS'leg\tleg\tNN\tI-NP\tO' -p129173 -aS'.\t.\t.\tO\tO' -p129174 -asS'4. Gastrointestinal , genitourinary - Peak bilirubin 8.5 , phototherapy times 24 hours .' -p129175 -(lp129176 -S'4.\t4.\tLS\tB-NP\tO' -p129177 -aS'Gastrointestinal\tGastrointestinal\tJJ\tI-NP\tO' -p129178 -aS',\t,\t,\tI-NP\tO' -p129179 -aS'genitourinary\tgenitourinary\tJJ\tI-NP\tO' -p129180 -aS'-\t-\tHYPH\tI-NP\tO' -p129181 -aS'Peak\tPeak\tNN\tI-NP\tB-protein' -p129182 -aS'bilirubin\tbilirubin\tNN\tI-NP\tI-protein' -p129183 -aS'8.5\t8.5\tCD\tI-NP\tI-protein' -p129184 -aS',\t,\t,\tO\tO' -p129185 -aS'phototherapy\tphototherapy\tNN\tB-NP\tO' -p129186 -aS'times\ttime\tNNS\tI-NP\tO' -p129187 -aS'24\t24\tCD\tB-NP\tO' -p129188 -aS'hours\thour\tNNS\tI-NP\tO' -p129189 -aS'.\t.\t.\tO\tO' -p129190 -asS'At Vencor Hospital , BP dropped to 90 , and patient was started on NS IVF , with improvement in BP .' -p129191 -(lp129192 -S'At\tAt\tIN\tB-PP\tO' -p129193 -aS'Vencor\tVencor\tNNP\tB-NP\tO' -p129194 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p129195 -aS',\t,\t,\tO\tO' -p129196 -aS'BP\tBP\tNNP\tB-NP\tO' -p129197 -aS'dropped\tdrop\tVBD\tB-VP\tO' -p129198 -aS'to\tto\tTO\tB-PP\tO' -p129199 -aS'90\t90\tCD\tB-NP\tO' -p129200 -aS',\t,\t,\tO\tO' -p129201 -aS'and\tand\tCC\tO\tO' -p129202 -aS'patient\tpatient\tNN\tB-NP\tO' -p129203 -aS'was\tbe\tVBD\tB-VP\tO' -p129204 -aS'started\tstart\tVBN\tI-VP\tO' -p129205 -aS'on\ton\tIN\tB-PP\tO' -p129206 -aS'NS\tNS\tNN\tB-NP\tB-protein' -p129207 -aS'IVF\tIVF\tNN\tI-NP\tI-protein' -p129208 -aS',\t,\t,\tO\tO' -p129209 -aS'with\twith\tIN\tB-PP\tO' -p129210 -aS'improvement\timprovement\tNN\tB-NP\tO' -p129211 -aS'in\tin\tIN\tB-PP\tO' -p129212 -aS'BP\tBP\tNN\tB-NP\tO' -p129213 -aS'.\t.\t.\tO\tO' -p129214 -asS'She did not have any of her pain in the hospital .' -p129215 -(lp129216 -S'She\tShe\tPRP\tB-NP\tO' -p129217 -aS'did\tdo\tVBD\tB-VP\tO' -p129218 -aS'not\tnot\tRB\tI-VP\tO' -p129219 -aS'have\thave\tVB\tI-VP\tO' -p129220 -aS'any\tany\tDT\tB-NP\tO' -p129221 -aS'of\tof\tIN\tB-PP\tO' -p129222 -aS'her\ther\tPRP$\tB-NP\tO' -p129223 -aS'pain\tpain\tNN\tI-NP\tO' -p129224 -aS'in\tin\tIN\tB-PP\tO' -p129225 -aS'the\tthe\tDT\tB-NP\tO' -p129226 -aS'hospital\thospital\tNN\tI-NP\tO' -p129227 -aS'.\t.\t.\tO\tO' -p129228 -asS'Infant passed both ears .' -p129229 -(lp129230 -S'Infant\tInfant\tNN\tB-NP\tO' -p129231 -aS'passed\tpass\tVBD\tB-VP\tO' -p129232 -aS'both\tboth\tDT\tB-NP\tO' -p129233 -aS'ears\tear\tNNS\tI-NP\tO' -p129234 -aS'.\t.\t.\tO\tO' -p129235 -asS'Overall left ventricular systolic function is mildly depressed .' -p129236 -(lp129237 -S'Overall\tOverall\tRB\tB-ADVP\tO' -p129238 -aS'left\tleave\tVBD\tB-VP\tO' -p129239 -aS'ventricular\tventricular\tJJ\tB-NP\tO' -p129240 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p129241 -aS'function\tfunction\tNN\tI-NP\tO' -p129242 -aS'is\tbe\tVBZ\tB-VP\tO' -p129243 -aS'mildly\tmildly\tRB\tI-VP\tO' -p129244 -aS'depressed\tdepress\tVBN\tI-VP\tO' -p129245 -aS'.\t.\t.\tO\tO' -p129246 -asS'On recommendation from endocrine , her fludrocortisone was decreased from 0.2 to 0.1 ( higher than required doses of fludrocort can cause these symptoms. ) .' -p129247 -(lp129248 -S'On\tOn\tIN\tB-PP\tO' -p129249 -aS'recommendation\trecommendation\tNN\tB-NP\tO' -p129250 -aS'from\tfrom\tIN\tB-PP\tO' -p129251 -aS'endocrine\tendocrine\tNN\tB-NP\tO' -p129252 -aS',\t,\t,\tO\tO' -p129253 -aS'her\ther\tPRP$\tB-NP\tO' -p129254 -aS'fludrocortisone\tfludrocortisone\tNN\tI-NP\tO' -p129255 -aS'was\tbe\tVBD\tB-VP\tO' -p129256 -aS'decreased\tdecrease\tVBN\tI-VP\tO' -p129257 -aS'from\tfrom\tIN\tB-PP\tO' -p129258 -aS'0.2\t0.2\tCD\tB-NP\tO' -p129259 -aS'to\tto\tTO\tB-PP\tO' -p129260 -aS'0.1\t0.1\tCD\tB-NP\tO' -p129261 -aS'(\t(\t(\tO\tO' -p129262 -aS'higher\thigh\tJJR\tB-ADJP\tO' -p129263 -aS'than\tthan\tIN\tB-PP\tO' -p129264 -aS'required\trequire\tVBN\tB-NP\tO' -p129265 -aS'doses\tdose\tNNS\tI-NP\tO' -p129266 -aS'of\tof\tIN\tB-PP\tO' -p129267 -aS'fludrocort\tfludrocort\tNN\tB-NP\tO' -p129268 -aS'can\tcan\tMD\tB-VP\tO' -p129269 -aS'cause\tcause\tVB\tI-VP\tO' -p129270 -aS'these\tthese\tDT\tB-NP\tO' -p129271 -aS'symptoms.\tsymptoms.\tNN\tI-NP\tO' -p129272 -aS')\t)\t)\tO\tO' -p129273 -aS'.\t.\t.\tO\tO' -p129274 -asS'Bowel sounds are active , patent anus , three vessel umbilical cord .' -p129275 -(lp129276 -S'Bowel\tBowel\tNN\tB-NP\tO' -p129277 -aS'sounds\tsound\tNNS\tI-NP\tO' -p129278 -aS'are\tbe\tVBP\tB-VP\tO' -p129279 -aS'active\tactive\tJJ\tB-ADJP\tO' -p129280 -aS',\t,\t,\tO\tO' -p129281 -aS'patent\tpatent\tNN\tB-NP\tO' -p129282 -aS'anus\tanus\tNN\tI-NP\tO' -p129283 -aS',\t,\t,\tO\tO' -p129284 -aS'three\tthree\tCD\tB-NP\tO' -p129285 -aS'vessel\tvessel\tNN\tI-NP\tO' -p129286 -aS'umbilical\tumbilical\tJJ\tI-NP\tO' -p129287 -aS'cord\tcord\tNN\tI-NP\tO' -p129288 -aS'.\t.\t.\tO\tO' -p129289 -asS'She was followed by urology during her stay and will see them again 2 wk after d/c for definitive treatment of her nephrolithiasis .' -p129290 -(lp129291 -S'She\tShe\tPRP\tB-NP\tO' -p129292 -aS'was\tbe\tVBD\tB-VP\tO' -p129293 -aS'followed\tfollow\tVBN\tI-VP\tO' -p129294 -aS'by\tby\tIN\tB-PP\tO' -p129295 -aS'urology\turology\tNN\tB-NP\tO' -p129296 -aS'during\tduring\tIN\tB-PP\tO' -p129297 -aS'her\ther\tPRP$\tB-NP\tO' -p129298 -aS'stay\tstay\tNN\tI-NP\tO' -p129299 -aS'and\tand\tCC\tO\tO' -p129300 -aS'will\twill\tMD\tB-VP\tO' -p129301 -aS'see\tsee\tVB\tI-VP\tO' -p129302 -aS'them\tthem\tPRP\tB-NP\tO' -p129303 -aS'again\tagain\tRB\tB-ADVP\tO' -p129304 -aS'2\t2\tCD\tB-NP\tO' -p129305 -aS'wk\twk\tNN\tI-NP\tO' -p129306 -aS'after\tafter\tIN\tB-PP\tO' -p129307 -aS'd/c\td/c\tNN\tB-NP\tO' -p129308 -aS'for\tfor\tIN\tB-PP\tO' -p129309 -aS'definitive\tdefinitive\tJJ\tB-NP\tO' -p129310 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p129311 -aS'of\tof\tIN\tB-PP\tO' -p129312 -aS'her\ther\tPRP$\tB-NP\tO' -p129313 -aS'nephrolithiasis\tnephrolithiasis\tNN\tI-NP\tO' -p129314 -aS'.\t.\t.\tO\tO' -p129315 -asS'The patient is married and lives with her husband .' -p129316 -(lp129317 -S'The\tThe\tDT\tB-NP\tO' -p129318 -aS'patient\tpatient\tNN\tI-NP\tO' -p129319 -aS'is\tbe\tVBZ\tB-VP\tO' -p129320 -aS'married\tmarry\tVBN\tI-VP\tO' -p129321 -aS'and\tand\tCC\tO\tO' -p129322 -aS'lives\tlive\tVBZ\tB-VP\tO' -p129323 -aS'with\twith\tIN\tB-PP\tO' -p129324 -aS'her\ther\tPRP$\tB-NP\tO' -p129325 -aS'husband\thusband\tNN\tI-NP\tO' -p129326 -aS'.\t.\t.\tO\tO' -p129327 -asS'The patient was admitted with the diagnosis of Cocaine induced rhabdomyolysis , renal failure , disseminated intravascular coagulation , shock , hepatic failure , pancreatitis , and thrombocytopenia in the setting of Cocaine intoxication .' -p129328 -(lp129329 -S'The\tThe\tDT\tB-NP\tO' -p129330 -aS'patient\tpatient\tNN\tI-NP\tO' -p129331 -aS'was\tbe\tVBD\tB-VP\tO' -p129332 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p129333 -aS'with\twith\tIN\tB-PP\tO' -p129334 -aS'the\tthe\tDT\tB-NP\tO' -p129335 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p129336 -aS'of\tof\tIN\tB-PP\tO' -p129337 -aS'Cocaine\tCocaine\tNN\tB-NP\tO' -p129338 -aS'induced\tinduce\tVBD\tB-VP\tO' -p129339 -aS'rhabdomyolysis\trhabdomyolysis\tNN\tB-NP\tO' -p129340 -aS',\t,\t,\tO\tO' -p129341 -aS'renal\trenal\tJJ\tB-NP\tO' -p129342 -aS'failure\tfailure\tNN\tI-NP\tO' -p129343 -aS',\t,\t,\tO\tO' -p129344 -aS'disseminated\tdisseminate\tVBN\tB-VP\tO' -p129345 -aS'intravascular\tintravascular\tJJ\tB-NP\tO' -p129346 -aS'coagulation\tcoagulation\tNN\tI-NP\tO' -p129347 -aS',\t,\t,\tO\tO' -p129348 -aS'shock\tshock\tNN\tB-NP\tO' -p129349 -aS',\t,\t,\tO\tO' -p129350 -aS'hepatic\thepatic\tJJ\tB-NP\tO' -p129351 -aS'failure\tfailure\tNN\tI-NP\tO' -p129352 -aS',\t,\t,\tO\tO' -p129353 -aS'pancreatitis\tpancreatitis\tNN\tB-NP\tO' -p129354 -aS',\t,\t,\tO\tO' -p129355 -aS'and\tand\tCC\tO\tO' -p129356 -aS'thrombocytopenia\tthrombocytopenia\tNN\tB-NP\tO' -p129357 -aS'in\tin\tIN\tB-PP\tO' -p129358 -aS'the\tthe\tDT\tB-NP\tO' -p129359 -aS'setting\tsetting\tNN\tI-NP\tO' -p129360 -aS'of\tof\tIN\tB-PP\tO' -p129361 -aS'Cocaine\tCocaine\tNN\tB-NP\tO' -p129362 -aS'intoxication\tintoxication\tNN\tI-NP\tO' -p129363 -aS'.\t.\t.\tO\tO' -p129364 -asS'Metastatic melanoma .' -p129365 -(lp129366 -S'Metastatic\tMetastatic\tJJ\tB-NP\tO' -p129367 -aS'melanoma\tmelanoma\tNN\tI-NP\tO' -p129368 -aS'.\t.\t.\tO\tO' -p129369 -asS'4. Tylenol # 3 one tablet every four hours as needed for pain .' -p129370 -(lp129371 -S'4.\t4.\tLS\tB-NP\tO' -p129372 -aS'Tylenol\tTylenol\tNN\tI-NP\tO' -p129373 -aS'#\t#\t#\tB-NP\tO' -p129374 -aS'3\t3\tCD\tI-NP\tO' -p129375 -aS'one\tone\tCD\tI-NP\tO' -p129376 -aS'tablet\ttablet\tNN\tI-NP\tO' -p129377 -aS'every\tevery\tDT\tB-NP\tO' -p129378 -aS'four\tfour\tCD\tI-NP\tO' -p129379 -aS'hours\thour\tNNS\tI-NP\tO' -p129380 -aS'as\tas\tIN\tB-SBAR\tO' -p129381 -aS'needed\tneed\tVBN\tB-VP\tO' -p129382 -aS'for\tfor\tIN\tB-PP\tO' -p129383 -aS'pain\tpain\tNN\tB-NP\tO' -p129384 -aS'.\t.\t.\tO\tO' -p129385 -asS'The liver edge was palpable to 6 cm below the right costal margin .' -p129386 -(lp129387 -S'The\tThe\tDT\tB-NP\tO' -p129388 -aS'liver\tliver\tNN\tI-NP\tO' -p129389 -aS'edge\tedge\tNN\tI-NP\tO' -p129390 -aS'was\tbe\tVBD\tB-VP\tO' -p129391 -aS'palpable\tpalpable\tJJ\tB-ADJP\tO' -p129392 -aS'to\tto\tTO\tB-PP\tO' -p129393 -aS'6\t6\tCD\tB-NP\tO' -p129394 -aS'cm\tcm\tNN\tI-NP\tO' -p129395 -aS'below\tbelow\tIN\tB-PP\tO' -p129396 -aS'the\tthe\tDT\tB-NP\tO' -p129397 -aS'right\tright\tJJ\tI-NP\tO' -p129398 -aS'costal\tcostal\tJJ\tI-NP\tO' -p129399 -aS'margin\tmargin\tNN\tI-NP\tO' -p129400 -aS'.\t.\t.\tO\tO' -p129401 -asS'Hematocrit was 41 , platelet count of 404,000 .' -p129402 -(lp129403 -S'Hematocrit\tHematocrit\tNN\tB-NP\tB-protein' -p129404 -aS'was\tbe\tVBD\tB-VP\tI-protein' -p129405 -aS'41\t41\tCD\tB-NP\tI-protein' -p129406 -aS',\t,\t,\tO\tO' -p129407 -aS'platelet\tplatelet\tNN\tB-NP\tO' -p129408 -aS'count\tcount\tNN\tI-NP\tO' -p129409 -aS'of\tof\tIN\tB-PP\tO' -p129410 -aS'404,000\t404,000\tCD\tB-NP\tO' -p129411 -aS'.\t.\t.\tO\tO' -p129412 -asS'PRINCIPAL DISCHARGE DIAGNOSIS ; Responsible After Study for Causing Admission ) atypical chest pain' -p129413 -(lp129414 -S'PRINCIPAL\tPRINCIPAL\tJJ\tB-NP\tO' -p129415 -aS'DISCHARGE\tDISCHARGE\tNN\tI-NP\tO' -p129416 -aS'DIAGNOSIS\tDIAGNOSIS\tNN\tI-NP\tO' -p129417 -aS';\t;\t:\tO\tO' -p129418 -aS'Responsible\tResponsible\tJJ\tB-ADJP\tO' -p129419 -aS'After\tAfter\tIN\tB-PP\tO' -p129420 -aS'Study\tStudy\tNN\tB-NP\tO' -p129421 -aS'for\tfor\tIN\tB-PP\tO' -p129422 -aS'Causing\tCause\tVBG\tB-NP\tO' -p129423 -aS'Admission\tAdmission\tNN\tI-NP\tO' -p129424 -aS')\t)\t)\tI-NP\tO' -p129425 -aS'atypical\tatypical\tJJ\tI-NP\tO' -p129426 -aS'chest\tchest\tNN\tI-NP\tO' -p129427 -aS'pain\tpain\tNN\tI-NP\tO' -p129428 -asS'She returned to CMED for further monitoring .' -p129429 -(lp129430 -S'She\tShe\tPRP\tB-NP\tO' -p129431 -aS'returned\treturn\tVBD\tB-VP\tO' -p129432 -aS'to\tto\tTO\tI-VP\tO' -p129433 -aS'CMED\tCMED\tVB\tI-VP\tO' -p129434 -aS'for\tfor\tIN\tB-PP\tO' -p129435 -aS'further\tfurther\tJJ\tB-NP\tO' -p129436 -aS'monitoring\tmonitoring\tNN\tI-NP\tO' -p129437 -aS'.\t.\t.\tO\tO' -p129438 -asS'ATRIAL FIBRILLATION .' -p129439 -(lp129440 -S'ATRIAL\tATRIAL\tNN\tB-NP\tO' -p129441 -aS'FIBRILLATION\tFIBRILLATION\tNN\tI-NP\tO' -p129442 -aS'.\t.\t.\tO\tO' -p129443 -asS'6. Interstitial cystitis .' -p129444 -(lp129445 -S'6.\t6.\tLS\tB-NP\tO' -p129446 -aS'Interstitial\tInterstitial\tJJ\tI-NP\tO' -p129447 -aS'cystitis\tcystitis\tNN\tI-NP\tO' -p129448 -aS'.\t.\t.\tO\tO' -p129449 -asS'Transferred to the CSRU in stable condition on phenylephrine and propofol drips .' -p129450 -(lp129451 -S'Transferred\tTransfer\tVBN\tB-VP\tO' -p129452 -aS'to\tto\tTO\tB-PP\tO' -p129453 -aS'the\tthe\tDT\tB-NP\tO' -p129454 -aS'CSRU\tCSRU\tNN\tI-NP\tB-protein' -p129455 -aS'in\tin\tIN\tB-PP\tO' -p129456 -aS'stable\tstable\tJJ\tB-NP\tO' -p129457 -aS'condition\tcondition\tNN\tI-NP\tO' -p129458 -aS'on\ton\tIN\tB-PP\tO' -p129459 -aS'phenylephrine\tphenylephrine\tNN\tB-NP\tO' -p129460 -aS'and\tand\tCC\tI-NP\tO' -p129461 -aS'propofol\tpropofol\tNN\tI-NP\tO' -p129462 -aS'drips\tdrip\tNNS\tI-NP\tO' -p129463 -aS'.\t.\t.\tO\tO' -p129464 -asS'Her Metformin was re-added 2 days prior to discharge as well and fingerstick glucoses on the day of discharge were 93 and 156 , respectively .' -p129465 -(lp129466 -S'Her\tHer\tPRP$\tB-NP\tO' -p129467 -aS'Metformin\tMetformin\tNN\tI-NP\tO' -p129468 -aS'was\tbe\tVBD\tB-VP\tO' -p129469 -aS're-added\tre-added\tJJ\tB-ADJP\tO' -p129470 -aS'2\t2\tCD\tB-NP\tO' -p129471 -aS'days\tday\tNNS\tI-NP\tO' -p129472 -aS'prior\tprior\tRB\tB-ADVP\tO' -p129473 -aS'to\tto\tTO\tB-VP\tO' -p129474 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p129475 -aS'as\tas\tRB\tB-ADVP\tO' -p129476 -aS'well\twell\tRB\tI-ADVP\tO' -p129477 -aS'and\tand\tCC\tO\tO' -p129478 -aS'fingerstick\tfingerstick\tVB\tB-VP\tO' -p129479 -aS'glucoses\tglucose\tNNS\tB-NP\tO' -p129480 -aS'on\ton\tIN\tB-PP\tO' -p129481 -aS'the\tthe\tDT\tB-NP\tO' -p129482 -aS'day\tday\tNN\tI-NP\tO' -p129483 -aS'of\tof\tIN\tB-PP\tO' -p129484 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p129485 -aS'were\tbe\tVBD\tB-VP\tO' -p129486 -aS'93\t93\tCD\tB-NP\tO' -p129487 -aS'and\tand\tCC\tI-NP\tO' -p129488 -aS'156\t156\tCD\tI-NP\tO' -p129489 -aS',\t,\t,\tO\tO' -p129490 -aS'respectively\trespectively\tRB\tB-ADVP\tO' -p129491 -aS'.\t.\t.\tO\tO' -p129492 -asS'The patient 's antibiotics were changed to clindamycin 300 mg q.i.d. and patient was also put on sialagogue .' -p129493 -(lp129494 -S'The\tThe\tDT\tB-NP\tO' -p129495 -aS'patient\tpatient\tNN\tI-NP\tO' -p129496 -aS''s\t'\tNNS\tI-NP\tO' -p129497 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p129498 -aS'were\tbe\tVBD\tB-VP\tO' -p129499 -aS'changed\tchange\tVBN\tI-VP\tO' -p129500 -aS'to\tto\tTO\tB-PP\tO' -p129501 -aS'clindamycin\tclindamycin\tNN\tB-NP\tO' -p129502 -aS'300\t300\tCD\tI-NP\tO' -p129503 -aS'mg\tmg\tNN\tI-NP\tO' -p129504 -aS'q.i.d.\tq.i.d.\tNN\tI-NP\tO' -p129505 -aS'and\tand\tCC\tI-NP\tO' -p129506 -aS'patient\tpatient\tNN\tI-NP\tO' -p129507 -aS'was\tbe\tVBD\tB-VP\tO' -p129508 -aS'also\talso\tRB\tI-VP\tO' -p129509 -aS'put\tput\tVBN\tI-VP\tO' -p129510 -aS'on\ton\tIN\tB-PP\tO' -p129511 -aS'sialagogue\tsialagogue\tNN\tB-NP\tO' -p129512 -aS'.\t.\t.\tO\tO' -p129513 -asS'10. Gastric bypass surgery 7 weeks PTA' -p129514 -(lp129515 -S'10.\t10.\tLS\tB-LST\tO' -p129516 -aS'Gastric\tGastric\tJJ\tB-ADJP\tB-protein' -p129517 -aS'bypass\tbypass\tIN\tB-PP\tI-protein' -p129518 -aS'surgery\tsurgery\tNN\tB-NP\tI-protein' -p129519 -aS'7\t7\tCD\tB-NP\tI-protein' -p129520 -aS'weeks\tweek\tNNS\tI-NP\tI-protein' -p129521 -aS'PTA\tPTA\tNN\tB-NP\tI-protein' -p129522 -asS'trained engineer in Papua New Guinea' -p129523 -(lp129524 -S'trained\ttrain\tVBN\tB-NP\tO' -p129525 -aS'engineer\tengineer\tNN\tI-NP\tO' -p129526 -aS'in\tin\tIN\tB-PP\tO' -p129527 -aS'Papua\tPapua\tNNP\tB-NP\tO' -p129528 -aS'New\tNew\tNNP\tI-NP\tO' -p129529 -aS'Guinea\tGuinea\tNNP\tI-NP\tO' -p129530 -asS'Left main coronary artery was narrowed 50-60% , left anterior descending coronary artery 70% proximally , right coronary artery dominant diseased up to 90% proximally in the midportion , 70% distally .' -p129531 -(lp129532 -S'Left\tLeave\tVBN\tB-NP\tO' -p129533 -aS'main\tmain\tJJ\tI-NP\tO' -p129534 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p129535 -aS'artery\tartery\tNN\tI-NP\tO' -p129536 -aS'was\tbe\tVBD\tB-VP\tO' -p129537 -aS'narrowed\tnarrow\tVBN\tI-VP\tO' -p129538 -aS'50-60%\t50-60%\tJJ\tB-ADJP\tO' -p129539 -aS',\t,\t,\tO\tO' -p129540 -aS'left\tleft\tJJ\tB-ADJP\tB-protein' -p129541 -aS'anterior\tanterior\tRB\tB-VP\tI-protein' -p129542 -aS'descending\tdescend\tVBG\tI-VP\tI-protein' -p129543 -aS'coronary\tcoronary\tJJ\tB-NP\tI-protein' -p129544 -aS'artery\tartery\tNN\tI-NP\tI-protein' -p129545 -aS'70%\t70%\tNN\tI-NP\tI-protein' -p129546 -aS'proximally\tproximally\tRB\tB-ADVP\tO' -p129547 -aS',\t,\t,\tO\tO' -p129548 -aS'right\tright\tJJ\tB-NP\tO' -p129549 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p129550 -aS'artery\tartery\tNN\tI-NP\tO' -p129551 -aS'dominant\tdominant\tJJ\tB-ADJP\tO' -p129552 -aS'diseased\tdisease\tVBD\tB-VP\tO' -p129553 -aS'up\tup\tIN\tB-NP\tO' -p129554 -aS'to\tto\tTO\tI-NP\tO' -p129555 -aS'90%\t90%\tCD\tI-NP\tO' -p129556 -aS'proximally\tproximally\tRB\tB-ADVP\tO' -p129557 -aS'in\tin\tIN\tB-PP\tO' -p129558 -aS'the\tthe\tDT\tB-NP\tO' -p129559 -aS'midportion\tmidportion\tNN\tI-NP\tO' -p129560 -aS',\t,\t,\tO\tO' -p129561 -aS'70%\t70%\tCD\tB-NP\tO' -p129562 -aS'distally\tdistally\tRB\tI-NP\tO' -p129563 -aS'.\t.\t.\tO\tO' -p129564 -asS'Blood cultures returned positive with GPC in pairs and clusters , so a TTE and surveillance cultures were ordered and vancomycin was started .' -p129565 -(lp129566 -S'Blood\tBlood\tNN\tB-NP\tB-cell_line' -p129567 -aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' -p129568 -aS'returned\treturn\tVBD\tB-VP\tO' -p129569 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p129570 -aS'with\twith\tIN\tB-PP\tO' -p129571 -aS'GPC\tGPC\tNN\tB-NP\tB-protein' -p129572 -aS'in\tin\tIN\tB-PP\tO' -p129573 -aS'pairs\tpair\tNNS\tB-NP\tO' -p129574 -aS'and\tand\tCC\tI-NP\tO' -p129575 -aS'clusters\tcluster\tNNS\tI-NP\tO' -p129576 -aS',\t,\t,\tO\tO' -p129577 -aS'so\tso\tIN\tO\tO' -p129578 -aS'a\ta\tDT\tB-NP\tO' -p129579 -aS'TTE\tTTE\tNN\tI-NP\tO' -p129580 -aS'and\tand\tCC\tI-NP\tO' -p129581 -aS'surveillance\tsurveillance\tNN\tI-NP\tO' -p129582 -aS'cultures\tculture\tNNS\tI-NP\tO' -p129583 -aS'were\tbe\tVBD\tB-VP\tO' -p129584 -aS'ordered\torder\tVBN\tI-VP\tO' -p129585 -aS'and\tand\tCC\tO\tO' -p129586 -aS'vancomycin\tvancomycin\tNN\tB-NP\tO' -p129587 -aS'was\tbe\tVBD\tB-VP\tO' -p129588 -aS'started\tstart\tVBN\tI-VP\tO' -p129589 -aS'.\t.\t.\tO\tO' -p129590 -asS'2) Chronic obstructive pulmonary disease .' -p129591 -(lp129592 -S'2)\t2)\tLS\tB-NP\tO' -p129593 -aS'Chronic\tChronic\tJJ\tI-NP\tO' -p129594 -aS'obstructive\tobstructive\tJJ\tI-NP\tO' -p129595 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p129596 -aS'disease\tdisease\tNN\tI-NP\tO' -p129597 -aS'.\t.\t.\tO\tO' -p129598 -asS'They have opted for conservative management given the size .' -p129599 -(lp129600 -S'They\tThey\tPRP\tB-NP\tO' -p129601 -aS'have\thave\tVBP\tB-VP\tO' -p129602 -aS'opted\topte\tVBN\tI-VP\tO' -p129603 -aS'for\tfor\tIN\tB-PP\tO' -p129604 -aS'conservative\tconservative\tJJ\tB-NP\tO' -p129605 -aS'management\tmanagement\tNN\tI-NP\tO' -p129606 -aS'given\tgive\tVBN\tB-PP\tO' -p129607 -aS'the\tthe\tDT\tB-NP\tO' -p129608 -aS'size\tsize\tNN\tI-NP\tO' -p129609 -aS'.\t.\t.\tO\tO' -p129610 -asS'Patient was intermittently awaking .' -p129611 -(lp129612 -S'Patient\tPatient\tNN\tB-NP\tO' -p129613 -aS'was\tbe\tVBD\tB-VP\tO' -p129614 -aS'intermittently\tintermittently\tRB\tI-VP\tO' -p129615 -aS'awaking\tawake\tVBG\tI-VP\tO' -p129616 -aS'.\t.\t.\tO\tO' -p129617 -asS'A chest x-ray was done , which revealed no infiltrate or effusion .' -p129618 -(lp129619 -S'A\tA\tDT\tB-NP\tO' -p129620 -aS'chest\tchest\tNN\tI-NP\tO' -p129621 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p129622 -aS'was\tbe\tVBD\tB-VP\tO' -p129623 -aS'done\tdo\tVBN\tI-VP\tO' -p129624 -aS',\t,\t,\tO\tO' -p129625 -aS'which\twhich\tWDT\tB-NP\tO' -p129626 -aS'revealed\treveal\tVBD\tB-VP\tO' -p129627 -aS'no\tno\tDT\tB-NP\tO' -p129628 -aS'infiltrate\tinfiltrate\tNN\tI-NP\tO' -p129629 -aS'or\tor\tCC\tI-NP\tO' -p129630 -aS'effusion\teffusion\tNN\tI-NP\tO' -p129631 -aS'.\t.\t.\tO\tO' -p129632 -asS'Nor does he have any history of stroke like symptoms .' -p129633 -(lp129634 -S'Nor\tNor\tCC\tO\tO' -p129635 -aS'does\tdo\tVBZ\tO\tO' -p129636 -aS'he\the\tPRP\tB-NP\tO' -p129637 -aS'have\thave\tVB\tB-VP\tO' -p129638 -aS'any\tany\tDT\tB-NP\tO' -p129639 -aS'history\thistory\tNN\tI-NP\tO' -p129640 -aS'of\tof\tIN\tB-PP\tO' -p129641 -aS'stroke\tstroke\tNN\tB-NP\tO' -p129642 -aS'like\tlike\tIN\tB-PP\tO' -p129643 -aS'symptoms\tsymptom\tNNS\tB-NP\tO' -p129644 -aS'.\t.\t.\tO\tO' -p129645 -asS'Signed electronically by : DR. Cheryl James on : Larry 2017-05-25 2:28 PM' -p129646 -(lp129647 -S'Signed\tSign\tVBN\tB-VP\tO' -p129648 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p129649 -aS'by\tby\tIN\tB-PP\tO' -p129650 -aS':\t:\t:\tO\tO' -p129651 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p129652 -aS'Cheryl\tCheryl\tNNP\tI-NP\tO' -p129653 -aS'James\tJames\tNNP\tI-NP\tO' -p129654 -aS'on\ton\tIN\tB-PP\tO' -p129655 -aS':\t:\t:\tO\tO' -p129656 -aS'Larry\tLarry\tNNP\tB-NP\tO' -p129657 -aS'2017-05-25\t2017-05-25\tCD\tB-NP\tO' -p129658 -aS'2:28\t2:28\tCD\tI-NP\tO' -p129659 -aS'PM\tPM\tNN\tI-NP\tO' -p129660 -asS'A repeat on day of life two , had a white count of 13,000 with 50% polys , 0% bands .' -p129661 -(lp129662 -S'A\tA\tDT\tB-NP\tO' -p129663 -aS'repeat\trepeat\tNN\tI-NP\tO' -p129664 -aS'on\ton\tIN\tB-PP\tO' -p129665 -aS'day\tday\tNN\tB-NP\tO' -p129666 -aS'of\tof\tIN\tB-PP\tO' -p129667 -aS'life\tlife\tNN\tB-NP\tO' -p129668 -aS'two\ttwo\tCD\tI-NP\tO' -p129669 -aS',\t,\t,\tO\tO' -p129670 -aS'had\thave\tVBD\tB-VP\tO' -p129671 -aS'a\ta\tDT\tB-NP\tO' -p129672 -aS'white\twhite\tJJ\tI-NP\tO' -p129673 -aS'count\tcount\tNN\tI-NP\tO' -p129674 -aS'of\tof\tIN\tB-PP\tO' -p129675 -aS'13,000\t13,000\tCD\tB-NP\tO' -p129676 -aS'with\twith\tIN\tB-PP\tO' -p129677 -aS'50%\t50%\tCD\tB-NP\tO' -p129678 -aS'polys\tpoly\tNNS\tI-NP\tO' -p129679 -aS',\t,\t,\tO\tO' -p129680 -aS'0%\t0%\tCD\tB-NP\tO' -p129681 -aS'bands\tband\tNNS\tI-NP\tO' -p129682 -aS'.\t.\t.\tO\tO' -p129683 -asS'Lungs were clear to auscultation anteriorly .' -p129684 -(lp129685 -S'Lungs\tLung\tNNS\tB-NP\tO' -p129686 -aS'were\tbe\tVBD\tB-VP\tO' -p129687 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p129688 -aS'to\tto\tTO\tB-PP\tO' -p129689 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p129690 -aS'anteriorly\tanteriorly\tRB\tB-ADVP\tO' -p129691 -aS'.\t.\t.\tO\tO' -p129692 -asS'01-11 MRI Left Knee w/o Contrast' -p129693 -(lp129694 -S'01-11\t01-11\tCD\tB-NP\tO' -p129695 -aS'MRI\tMRI\tNNP\tI-NP\tO' -p129696 -aS'Left\tLeft\tNNP\tI-NP\tO' -p129697 -aS'Knee\tKnee\tNNP\tI-NP\tO' -p129698 -aS'w/o\tw/o\tNN\tI-NP\tO' -p129699 -aS'Contrast\tContrast\tNN\tI-NP\tO' -p129700 -asS'Neurological exam revealed an alert and oriented x 3 elderly male .' -p129701 -(lp129702 -S'Neurological\tNeurological\tJJ\tB-NP\tO' -p129703 -aS'exam\texam\tNN\tI-NP\tO' -p129704 -aS'revealed\treveal\tVBD\tB-VP\tO' -p129705 -aS'an\tan\tDT\tB-NP\tO' -p129706 -aS'alert\talert\tJJ\tI-NP\tO' -p129707 -aS'and\tand\tCC\tI-NP\tO' -p129708 -aS'oriented\torient\tVBN\tI-NP\tO' -p129709 -aS'x\tx\tSYM\tI-NP\tO' -p129710 -aS'3\t3\tCD\tB-NP\tO' -p129711 -aS'elderly\telderly\tJJ\tI-NP\tO' -p129712 -aS'male\tmale\tNN\tI-NP\tO' -p129713 -aS'.\t.\t.\tO\tO' -p129714 -asS'On postoperative day number one , he was administered 1 mg Coumadin per protocol as well as on the operative day 1 mg of Coumadin .' -p129715 -(lp129716 -S'On\tOn\tIN\tB-PP\tO' -p129717 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p129718 -aS'day\tday\tNN\tI-NP\tO' -p129719 -aS'number\tnumber\tNN\tI-NP\tO' -p129720 -aS'one\tone\tCD\tB-NP\tO' -p129721 -aS',\t,\t,\tO\tO' -p129722 -aS'he\the\tPRP\tB-NP\tO' -p129723 -aS'was\tbe\tVBD\tB-VP\tO' -p129724 -aS'administered\tadminister\tVBN\tI-VP\tO' -p129725 -aS'1\t1\tCD\tB-NP\tO' -p129726 -aS'mg\tmg\tNN\tI-NP\tO' -p129727 -aS'Coumadin\tCoumadin\tNN\tI-NP\tO' -p129728 -aS'per\tper\tIN\tB-PP\tO' -p129729 -aS'protocol\tprotocol\tNN\tB-NP\tO' -p129730 -aS'as\tas\tRB\tB-CONJP\tO' -p129731 -aS'well\twell\tRB\tI-CONJP\tO' -p129732 -aS'as\tas\tIN\tI-CONJP\tO' -p129733 -aS'on\ton\tIN\tB-PP\tO' -p129734 -aS'the\tthe\tDT\tB-NP\tO' -p129735 -aS'operative\toperative\tJJ\tI-NP\tO' -p129736 -aS'day\tday\tNN\tI-NP\tO' -p129737 -aS'1\t1\tCD\tI-NP\tO' -p129738 -aS'mg\tmg\tNN\tI-NP\tO' -p129739 -aS'of\tof\tIN\tB-PP\tO' -p129740 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p129741 -aS'.\t.\t.\tO\tO' -p129742 -asS'CXR shows diffuse b/l infiltrates R > L and pt was found to have a bandemia .' -p129743 -(lp129744 -S'CXR\tCXR\tNN\tB-NP\tB-protein' -p129745 -aS'shows\tshow\tVBZ\tB-VP\tO' -p129746 -aS'diffuse\tdiffuse\tJJ\tB-NP\tO' -p129747 -aS'b/l\tb/l\tNN\tI-NP\tO' -p129748 -aS'infiltrates\tinfiltrate\tVBZ\tB-VP\tO' -p129749 -aS'R\tR\tNN\tB-NP\tB-protein' -p129750 -aS'>\t>\tSYM\tI-NP\tO' -p129751 -aS'L\tL\tNN\tI-NP\tO' -p129752 -aS'and\tand\tCC\tI-NP\tO' -p129753 -aS'pt\tpt\tNN\tI-NP\tO' -p129754 -aS'was\tbe\tVBD\tB-VP\tO' -p129755 -aS'found\tfind\tVBN\tI-VP\tO' -p129756 -aS'to\tto\tTO\tI-VP\tO' -p129757 -aS'have\thave\tVB\tI-VP\tO' -p129758 -aS'a\ta\tDT\tB-NP\tO' -p129759 -aS'bandemia\tbandemia\tNN\tI-NP\tO' -p129760 -aS'.\t.\t.\tO\tO' -p129761 -asS'Her hematocrit remained stable .' -p129762 -(lp129763 -S'Her\tHer\tPRP$\tB-NP\tO' -p129764 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p129765 -aS'remained\tremain\tVBD\tB-VP\tO' -p129766 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p129767 -aS'.\t.\t.\tO\tO' -p129768 -asS'19. Alexandria Daly 20 mEq p.o. twice a day .' -p129769 -(lp129770 -S'19.\t19.\tCD\tB-NP\tO' -p129771 -aS'Alexandria\tAlexandria\tNNP\tI-NP\tO' -p129772 -aS'Daly\tDaly\tNNP\tI-NP\tO' -p129773 -aS'20\t20\tCD\tI-NP\tO' -p129774 -aS'mEq\tmEq\tNN\tI-NP\tO' -p129775 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p129776 -aS'twice\ttwice\tRB\tB-NP\tO' -p129777 -aS'a\ta\tDT\tI-NP\tO' -p129778 -aS'day\tday\tNN\tI-NP\tO' -p129779 -aS'.\t.\t.\tO\tO' -p129780 -asS'At that time BP was attributed to abdominal pain and inability to take PO meds d/t nausea / vomiting .' -p129781 -(lp129782 -S'At\tAt\tIN\tB-PP\tO' -p129783 -aS'that\tthat\tDT\tB-NP\tO' -p129784 -aS'time\ttime\tNN\tI-NP\tO' -p129785 -aS'BP\tBP\tNN\tI-NP\tO' -p129786 -aS'was\tbe\tVBD\tB-VP\tO' -p129787 -aS'attributed\tattribute\tVBN\tI-VP\tO' -p129788 -aS'to\tto\tTO\tB-PP\tO' -p129789 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p129790 -aS'pain\tpain\tNN\tI-NP\tO' -p129791 -aS'and\tand\tCC\tI-NP\tO' -p129792 -aS'inability\tinability\tNN\tI-NP\tO' -p129793 -aS'to\tto\tTO\tB-VP\tO' -p129794 -aS'take\ttake\tVB\tI-VP\tO' -p129795 -aS'PO\tPO\tNN\tB-NP\tO' -p129796 -aS'meds\tmed\tNNS\tI-NP\tO' -p129797 -aS'd/t\td/t\tVBP\tB-VP\tO' -p129798 -aS'nausea\tnausea\tNN\tB-NP\tO' -p129799 -aS'/\t/\tSYM\tB-NP\tO' -p129800 -aS'vomiting\tvomiting\tNN\tI-NP\tO' -p129801 -aS'.\t.\t.\tO\tO' -p129802 -asS'The patient was seen by both neurology and neurosurgery , and the two teams agreed that the etiology seemed to be related to underlying amyloidosis .' -p129803 -(lp129804 -S'The\tThe\tDT\tB-NP\tO' -p129805 -aS'patient\tpatient\tNN\tI-NP\tO' -p129806 -aS'was\tbe\tVBD\tB-VP\tO' -p129807 -aS'seen\tsee\tVBN\tI-VP\tO' -p129808 -aS'by\tby\tIN\tB-PP\tO' -p129809 -aS'both\tboth\tCC\tO\tO' -p129810 -aS'neurology\tneurology\tNN\tB-NP\tO' -p129811 -aS'and\tand\tCC\tI-NP\tO' -p129812 -aS'neurosurgery\tneurosurgery\tNN\tI-NP\tO' -p129813 -aS',\t,\t,\tO\tO' -p129814 -aS'and\tand\tCC\tO\tO' -p129815 -aS'the\tthe\tDT\tB-NP\tO' -p129816 -aS'two\ttwo\tCD\tI-NP\tO' -p129817 -aS'teams\tteam\tNNS\tI-NP\tO' -p129818 -aS'agreed\tagree\tVBD\tB-VP\tO' -p129819 -aS'that\tthat\tIN\tB-SBAR\tO' -p129820 -aS'the\tthe\tDT\tB-NP\tO' -p129821 -aS'etiology\tetiology\tNN\tI-NP\tO' -p129822 -aS'seemed\tseem\tVBD\tB-VP\tO' -p129823 -aS'to\tto\tTO\tI-VP\tO' -p129824 -aS'be\tbe\tVB\tI-VP\tO' -p129825 -aS'related\trelate\tVBN\tI-VP\tO' -p129826 -aS'to\tto\tTO\tB-PP\tO' -p129827 -aS'underlying\tunderlie\tVBG\tB-VP\tO' -p129828 -aS'amyloidosis\tamyloidosis\tNN\tB-NP\tO' -p129829 -aS'.\t.\t.\tO\tO' -p129830 -asS'4. Status post open jejunostomy tube placement , open left subclavian PermCath placement .' -p129831 -(lp129832 -S'4.\t4.\tLS\tB-LST\tO' -p129833 -aS'Status\tStatus\tNNP\tB-NP\tO' -p129834 -aS'post\tpost\tIN\tB-PP\tO' -p129835 -aS'open\topen\tJJ\tB-NP\tO' -p129836 -aS'jejunostomy\tjejunostomy\tNN\tI-NP\tO' -p129837 -aS'tube\ttube\tNN\tI-NP\tO' -p129838 -aS'placement\tplacement\tNN\tI-NP\tO' -p129839 -aS',\t,\t,\tO\tO' -p129840 -aS'open\topen\tJJ\tB-NP\tO' -p129841 -aS'left\tleft\tJJ\tI-NP\tO' -p129842 -aS'subclavian\tsubclavian\tJJ\tI-NP\tO' -p129843 -aS'PermCath\tPermCath\tNN\tI-NP\tO' -p129844 -aS'placement\tplacement\tNN\tI-NP\tO' -p129845 -aS'.\t.\t.\tO\tO' -p129846 -asS'He drinks greater than one case of beer per day .' -p129847 -(lp129848 -S'He\tHe\tPRP\tB-NP\tO' -p129849 -aS'drinks\tdrink\tVBZ\tB-VP\tO' -p129850 -aS'greater\tgreat\tJJR\tB-NP\tO' -p129851 -aS'than\tthan\tIN\tI-NP\tO' -p129852 -aS'one\tone\tCD\tI-NP\tO' -p129853 -aS'case\tcase\tNN\tI-NP\tO' -p129854 -aS'of\tof\tIN\tB-PP\tO' -p129855 -aS'beer\tbeer\tNN\tB-NP\tO' -p129856 -aS'per\tper\tIN\tB-PP\tO' -p129857 -aS'day\tday\tNN\tB-NP\tO' -p129858 -aS'.\t.\t.\tO\tO' -p129859 -asS'Thrush .' -p129860 -(lp129861 -S'Thrush\tThrush\tUH\tB-INTJ\tO' -p129862 -aS'.\t.\t.\tO\tO' -p129863 -asS'Course was c/b one episode of gross hematochezia on 12-28 , w/ concomitant hct drop of ~ 3 pts .' -p129864 -(lp129865 -S'Course\tCourse\tNN\tB-NP\tO' -p129866 -aS'was\tbe\tVBD\tB-VP\tO' -p129867 -aS'c/b\tc/b\tNN\tB-NP\tO' -p129868 -aS'one\tone\tCD\tB-NP\tO' -p129869 -aS'episode\tepisode\tNN\tI-NP\tO' -p129870 -aS'of\tof\tIN\tB-PP\tO' -p129871 -aS'gross\tgross\tJJ\tB-NP\tO' -p129872 -aS'hematochezia\thematochezia\tNN\tI-NP\tO' -p129873 -aS'on\ton\tIN\tB-PP\tO' -p129874 -aS'12-28\t12-28\tCD\tB-NP\tO' -p129875 -aS',\t,\t,\tO\tO' -p129876 -aS'w/\tw/\tJJ\tB-NP\tO' -p129877 -aS'concomitant\tconcomitant\tJJ\tI-NP\tO' -p129878 -aS'hct\thct\tNN\tI-NP\tO' -p129879 -aS'drop\tdrop\tNN\tI-NP\tO' -p129880 -aS'of\tof\tIN\tB-PP\tO' -p129881 -aS'~\t~\tNN\tB-NP\tB-protein' -p129882 -aS'3\t3\tCD\tI-NP\tI-protein' -p129883 -aS'pts\tpt\tNNS\tI-NP\tI-protein' -p129884 -aS'.\t.\t.\tO\tO' -p129885 -asS'Patient restarted on coumadin and will be discharged on 3mg coumadin qday .' -p129886 -(lp129887 -S'Patient\tPatient\tNN\tB-NP\tO' -p129888 -aS'restarted\trestart\tVBD\tB-VP\tO' -p129889 -aS'on\ton\tIN\tB-PP\tO' -p129890 -aS'coumadin\tcoumadin\tNN\tB-NP\tO' -p129891 -aS'and\tand\tCC\tO\tO' -p129892 -aS'will\twill\tMD\tB-VP\tO' -p129893 -aS'be\tbe\tVB\tI-VP\tO' -p129894 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p129895 -aS'on\ton\tIN\tB-PP\tO' -p129896 -aS'3mg\t3mg\tNN\tB-NP\tO' -p129897 -aS'coumadin\tcoumadin\tNN\tI-NP\tO' -p129898 -aS'qday\tqday\tNN\tI-NP\tO' -p129899 -aS'.\t.\t.\tO\tO' -p129900 -asS'The severity and persistent of the patient 's epigastric pain was concerning for a pancreatic complication such as necrosis or abscess .' -p129901 -(lp129902 -S'The\tThe\tDT\tB-NP\tO' -p129903 -aS'severity\tseverity\tNN\tI-NP\tO' -p129904 -aS'and\tand\tCC\tO\tO' -p129905 -aS'persistent\tpersistent\tJJ\tB-ADJP\tO' -p129906 -aS'of\tof\tIN\tB-PP\tO' -p129907 -aS'the\tthe\tDT\tB-NP\tO' -p129908 -aS'patient\tpatient\tNN\tI-NP\tO' -p129909 -aS''s\t'\tNNS\tI-NP\tO' -p129910 -aS'epigastric\tepigastric\tJJ\tB-NP\tO' -p129911 -aS'pain\tpain\tNN\tI-NP\tO' -p129912 -aS'was\tbe\tVBD\tB-VP\tO' -p129913 -aS'concerning\tconcern\tVBG\tI-VP\tO' -p129914 -aS'for\tfor\tIN\tB-PP\tO' -p129915 -aS'a\ta\tDT\tB-NP\tO' -p129916 -aS'pancreatic\tpancreatic\tJJ\tI-NP\tO' -p129917 -aS'complication\tcomplication\tNN\tI-NP\tO' -p129918 -aS'such\tsuch\tJJ\tB-PP\tO' -p129919 -aS'as\tas\tIN\tI-PP\tO' -p129920 -aS'necrosis\tnecrosis\tNN\tB-NP\tO' -p129921 -aS'or\tor\tCC\tI-NP\tO' -p129922 -aS'abscess\tabscess\tNN\tI-NP\tO' -p129923 -aS'.\t.\t.\tO\tO' -p129924 -asS'Disp :* 15 Tablet (s)* Refills :* 0 *' -p129925 -(lp129926 -S'Disp\tDisp\tNN\tB-NP\tO' -p129927 -aS':*\t:*\tSYM\tI-NP\tO' -p129928 -aS'15\t15\tCD\tI-NP\tO' -p129929 -aS'Tablet\tTablet\tNN\tI-NP\tO' -p129930 -aS'(s)*\t(s)*\tSYM\tI-NP\tO' -p129931 -aS'Refills\tRefill\tNNPS\tI-NP\tO' -p129932 -aS':*\t:*\tSYM\tB-NP\tO' -p129933 -aS'0\t0\tCD\tI-NP\tO' -p129934 -aS'*\t*\tSYM\tB-NP\tO' -p129935 -asS'3) Plasmacytoma of T9 through T12 .' -p129936 -(lp129937 -S'3)\t3)\tLS\tB-NP\tO' -p129938 -aS'Plasmacytoma\tPlasmacytoma\tNN\tI-NP\tO' -p129939 -aS'of\tof\tIN\tB-PP\tO' -p129940 -aS'T9\tT9\tNN\tB-NP\tO' -p129941 -aS'through\tthrough\tIN\tB-PP\tO' -p129942 -aS'T12\tT12\tNN\tB-NP\tB-protein' -p129943 -aS'.\t.\t.\tO\tO' -p129944 -asS'Respiratory rates have been 40 s to 60 s.' -p129945 -(lp129946 -S'Respiratory\tRespiratory\tJJ\tB-NP\tO' -p129947 -aS'rates\trate\tNNS\tI-NP\tO' -p129948 -aS'have\thave\tVBP\tB-VP\tO' -p129949 -aS'been\tbe\tVBN\tI-VP\tO' -p129950 -aS'40\t40\tCD\tB-NP\tO' -p129951 -aS's\ts\tNN\tI-NP\tO' -p129952 -aS'to\tto\tTO\tB-PP\tO' -p129953 -aS'60\t60\tCD\tB-NP\tO' -p129954 -aS's.\ts.\tNNS\tI-NP\tO' -p129955 -asS'She had no further episodes of bradycardia during her Medical Intensive Care Unit stay .' -p129956 -(lp129957 -S'She\tShe\tPRP\tB-NP\tO' -p129958 -aS'had\thave\tVBD\tB-VP\tO' -p129959 -aS'no\tno\tDT\tB-NP\tO' -p129960 -aS'further\tfurther\tJJ\tI-NP\tO' -p129961 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p129962 -aS'of\tof\tIN\tB-PP\tO' -p129963 -aS'bradycardia\tbradycardia\tNN\tB-NP\tO' -p129964 -aS'during\tduring\tIN\tB-PP\tO' -p129965 -aS'her\ther\tPRP$\tB-NP\tO' -p129966 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p129967 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p129968 -aS'Care\tCare\tNNP\tI-NP\tO' -p129969 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p129970 -aS'stay\tstay\tNN\tI-NP\tO' -p129971 -aS'.\t.\t.\tO\tO' -p129972 -asS'10. Furosemide 20 mg Tablet Sig : One ( 1 ) Tablet PO twice a day for 7 days .' -p129973 -(lp129974 -S'10.\t10.\tCD\tB-NP\tO' -p129975 -aS'Furosemide\tFurosemide\tNN\tI-NP\tO' -p129976 -aS'20\t20\tCD\tB-NP\tO' -p129977 -aS'mg\tmg\tNN\tI-NP\tO' -p129978 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p129979 -aS'Sig\tSig\tNNP\tI-NP\tO' -p129980 -aS':\t:\t:\tO\tO' -p129981 -aS'One\tOne\tCD\tB-NP\tO' -p129982 -aS'(\t(\t(\tO\tO' -p129983 -aS'1\t1\tCD\tB-NP\tO' -p129984 -aS')\t)\t)\tO\tO' -p129985 -aS'Tablet\tTablet\tNN\tB-NP\tB-protein' -p129986 -aS'PO\tPO\tNN\tI-NP\tI-protein' -p129987 -aS'twice\ttwice\tRB\tB-NP\tO' -p129988 -aS'a\ta\tDT\tI-NP\tO' -p129989 -aS'day\tday\tNN\tI-NP\tO' -p129990 -aS'for\tfor\tIN\tB-PP\tO' -p129991 -aS'7\t7\tCD\tB-NP\tO' -p129992 -aS'days\tday\tNNS\tI-NP\tO' -p129993 -aS'.\t.\t.\tO\tO' -p129994 -asS'Mr. Chester was admitted to the cardiac surgical service and underwent routine preoperative evaluation .' -p129995 -(lp129996 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p129997 -aS'Chester\tChester\tNNP\tI-NP\tO' -p129998 -aS'was\tbe\tVBD\tB-VP\tO' -p129999 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p130000 -aS'to\tto\tTO\tB-PP\tO' -p130001 -aS'the\tthe\tDT\tB-NP\tO' -p130002 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p130003 -aS'surgical\tsurgical\tJJ\tI-NP\tO' -p130004 -aS'service\tservice\tNN\tI-NP\tO' -p130005 -aS'and\tand\tCC\tO\tO' -p130006 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p130007 -aS'routine\troutine\tJJ\tB-NP\tO' -p130008 -aS'preoperative\tpreoperative\tJJ\tI-NP\tO' -p130009 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p130010 -aS'.\t.\t.\tO\tO' -p130011 -asS'POST-BYPASS : LV and RV function is unchanged .' -p130012 -(lp130013 -S'POST-BYPASS\tPOST-BYPASS\tNN\tB-NP\tO' -p130014 -aS':\t:\t:\tO\tO' -p130015 -aS'LV\tLV\tNN\tB-NP\tO' -p130016 -aS'and\tand\tCC\tI-NP\tO' -p130017 -aS'RV\tRV\tNN\tI-NP\tO' -p130018 -aS'function\tfunction\tNN\tI-NP\tO' -p130019 -aS'is\tbe\tVBZ\tB-VP\tO' -p130020 -aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' -p130021 -aS'.\t.\t.\tO\tO' -p130022 -asS'Intravenous chemotherapy for lung cancer .' -p130023 -(lp130024 -S'Intravenous\tIntravenous\tJJ\tB-NP\tO' -p130025 -aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' -p130026 -aS'for\tfor\tIN\tB-PP\tO' -p130027 -aS'lung\tlung\tNN\tB-NP\tO' -p130028 -aS'cancer\tcancer\tNN\tI-NP\tO' -p130029 -aS'.\t.\t.\tO\tO' -p130030 -asS'Father of baby not involved at this time .' -p130031 -(lp130032 -S'Father\tFather\tNN\tB-NP\tO' -p130033 -aS'of\tof\tIN\tB-PP\tO' -p130034 -aS'baby\tbaby\tNN\tB-NP\tO' -p130035 -aS'not\tnot\tRB\tB-VP\tO' -p130036 -aS'involved\tinvolve\tVBN\tI-VP\tO' -p130037 -aS'at\tat\tIN\tB-PP\tO' -p130038 -aS'this\tthis\tDT\tB-NP\tO' -p130039 -aS'time\ttime\tNN\tI-NP\tO' -p130040 -aS'.\t.\t.\tO\tO' -p130041 -asS'Prior to that smoked 2 packs a day .' -p130042 -(lp130043 -S'Prior\tPrior\tRB\tB-ADVP\tO' -p130044 -aS'to\tto\tTO\tB-PP\tO' -p130045 -aS'that\tthat\tDT\tB-NP\tO' -p130046 -aS'smoked\tsmoked\tJJ\tI-NP\tO' -p130047 -aS'2\t2\tCD\tI-NP\tO' -p130048 -aS'packs\tpack\tNNS\tI-NP\tO' -p130049 -aS'a\ta\tDT\tB-NP\tO' -p130050 -aS'day\tday\tNN\tI-NP\tO' -p130051 -aS'.\t.\t.\tO\tO' -p130052 -asS'The patient was admitted to the Intermediate Care Unit in the Neurology Intensive Care Unit .' -p130053 -(lp130054 -S'The\tThe\tDT\tB-NP\tO' -p130055 -aS'patient\tpatient\tNN\tI-NP\tO' -p130056 -aS'was\tbe\tVBD\tB-VP\tO' -p130057 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p130058 -aS'to\tto\tTO\tB-PP\tO' -p130059 -aS'the\tthe\tDT\tB-NP\tO' -p130060 -aS'Intermediate\tIntermediate\tNNP\tI-NP\tO' -p130061 -aS'Care\tCare\tNNP\tI-NP\tO' -p130062 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p130063 -aS'in\tin\tIN\tB-PP\tO' -p130064 -aS'the\tthe\tDT\tB-NP\tO' -p130065 -aS'Neurology\tNeurology\tNNP\tI-NP\tO' -p130066 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p130067 -aS'Care\tCare\tNNP\tI-NP\tO' -p130068 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p130069 -aS'.\t.\t.\tO\tO' -p130070 -asS'Gram stain and cultures were negative , cytology was negative .' -p130071 -(lp130072 -S'Gram\tGram\tNN\tB-NP\tO' -p130073 -aS'stain\tstain\tNN\tI-NP\tO' -p130074 -aS'and\tand\tCC\tI-NP\tO' -p130075 -aS'cultures\tculture\tNNS\tI-NP\tO' -p130076 -aS'were\tbe\tVBD\tB-VP\tO' -p130077 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p130078 -aS',\t,\t,\tO\tO' -p130079 -aS'cytology\tcytology\tNN\tB-NP\tO' -p130080 -aS'was\tbe\tVBD\tB-VP\tO' -p130081 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p130082 -aS'.\t.\t.\tO\tO' -p130083 -asS'She also gets Lactinex granules three packages in each bottle of tube feeds .' -p130084 -(lp130085 -S'She\tShe\tPRP\tB-NP\tO' -p130086 -aS'also\talso\tRB\tB-ADVP\tO' -p130087 -aS'gets\tget\tVBZ\tB-VP\tO' -p130088 -aS'Lactinex\tLactinex\tNNP\tB-NP\tO' -p130089 -aS'granules\tgranule\tNNS\tI-NP\tO' -p130090 -aS'three\tthree\tCD\tB-NP\tO' -p130091 -aS'packages\tpackage\tNNS\tI-NP\tO' -p130092 -aS'in\tin\tIN\tB-PP\tO' -p130093 -aS'each\teach\tDT\tB-NP\tO' -p130094 -aS'bottle\tbottle\tNN\tI-NP\tO' -p130095 -aS'of\tof\tIN\tB-PP\tO' -p130096 -aS'tube\ttube\tNN\tB-NP\tO' -p130097 -aS'feeds\tfeed\tNNS\tI-NP\tO' -p130098 -aS'.\t.\t.\tO\tO' -p130099 -asS'58 yo female s/p high speed MVC .' -p130100 -(lp130101 -S'58\t58\tCD\tB-NP\tO' -p130102 -aS'yo\tyo\tNN\tI-NP\tO' -p130103 -aS'female\tfemale\tJJ\tI-NP\tO' -p130104 -aS's/p\ts/p\tNN\tI-NP\tO' -p130105 -aS'high\thigh\tJJ\tI-NP\tO' -p130106 -aS'speed\tspeed\tNN\tI-NP\tO' -p130107 -aS'MVC\tMVC\tNN\tI-NP\tO' -p130108 -aS'.\t.\t.\tO\tO' -p130109 -asS'Pacing wires were removed .' -p130110 -(lp130111 -S'Pacing\tPace\tVBG\tB-NP\tO' -p130112 -aS'wires\twire\tNNS\tI-NP\tO' -p130113 -aS'were\tbe\tVBD\tB-VP\tO' -p130114 -aS'removed\tremove\tVBN\tI-VP\tO' -p130115 -aS'.\t.\t.\tO\tO' -p130116 -asS'The infant has remained in room air throughout her hospital course with occasional apnea and bradycardia episodes , the last being documented on 2020-01-14 .' -p130117 -(lp130118 -S'The\tThe\tDT\tB-NP\tO' -p130119 -aS'infant\tinfant\tNN\tI-NP\tO' -p130120 -aS'has\thave\tVBZ\tB-VP\tO' -p130121 -aS'remained\tremain\tVBN\tI-VP\tO' -p130122 -aS'in\tin\tIN\tB-PP\tO' -p130123 -aS'room\troom\tNN\tB-NP\tO' -p130124 -aS'air\tair\tNN\tI-NP\tO' -p130125 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p130126 -aS'her\ther\tPRP$\tB-NP\tO' -p130127 -aS'hospital\thospital\tNN\tI-NP\tO' -p130128 -aS'course\tcourse\tNN\tI-NP\tO' -p130129 -aS'with\twith\tIN\tB-PP\tO' -p130130 -aS'occasional\toccasional\tJJ\tB-NP\tO' -p130131 -aS'apnea\tapnea\tNN\tI-NP\tO' -p130132 -aS'and\tand\tCC\tI-NP\tO' -p130133 -aS'bradycardia\tbradycardia\tNN\tI-NP\tO' -p130134 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p130135 -aS',\t,\t,\tO\tO' -p130136 -aS'the\tthe\tDT\tB-NP\tO' -p130137 -aS'last\tlast\tJJ\tI-NP\tO' -p130138 -aS'being\tbe\tVBG\tB-VP\tO' -p130139 -aS'documented\tdocument\tVBN\tI-VP\tO' -p130140 -aS'on\ton\tIN\tB-PP\tO' -p130141 -aS'2020-01-14\t2020-01-14\tCD\tB-NP\tO' -p130142 -aS'.\t.\t.\tO\tO' -p130143 -asS'2. Medications : None .' -p130144 -(lp130145 -S'2.\t2.\tCD\tB-NP\tO' -p130146 -aS'Medications\tMedication\tNNS\tI-NP\tO' -p130147 -aS':\t:\t:\tO\tO' -p130148 -aS'None\tNone\tNN\tB-NP\tO' -p130149 -aS'.\t.\t.\tO\tO' -p130150 -asS"The patient will be continued on medications per Discharge Summary with the addition of captopril ACE inhibitor since the patient 's blood pressure is stable ." -p130151 -(lp130152 -S'The\tThe\tDT\tB-NP\tO' -p130153 -aS'patient\tpatient\tNN\tI-NP\tO' -p130154 -aS'will\twill\tMD\tB-VP\tO' -p130155 -aS'be\tbe\tVB\tI-VP\tO' -p130156 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p130157 -aS'on\ton\tIN\tB-PP\tO' -p130158 -aS'medications\tmedication\tNNS\tB-NP\tO' -p130159 -aS'per\tper\tIN\tB-PP\tO' -p130160 -aS'Discharge\tDischarge\tNNP\tB-NP\tO' -p130161 -aS'Summary\tSummary\tNNP\tI-NP\tO' -p130162 -aS'with\twith\tIN\tB-PP\tO' -p130163 -aS'the\tthe\tDT\tB-NP\tO' -p130164 -aS'addition\taddition\tNN\tI-NP\tO' -p130165 -aS'of\tof\tIN\tB-PP\tO' -p130166 -aS'captopril\tcaptopril\tNN\tB-NP\tO' -p130167 -aS'ACE\tACE\tNN\tI-NP\tO' -p130168 -aS'inhibitor\tinhibitor\tNN\tI-NP\tO' -p130169 -aS'since\tsince\tIN\tB-PP\tO' -p130170 -aS'the\tthe\tDT\tB-NP\tO' -p130171 -aS'patient\tpatient\tNN\tI-NP\tO' -p130172 -aS"'s\t's\tPOS\tB-NP\tO" -p130173 -aS'blood\tblood\tNN\tI-NP\tO' -p130174 -aS'pressure\tpressure\tNN\tI-NP\tO' -p130175 -aS'is\tbe\tVBZ\tB-VP\tO' -p130176 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p130177 -aS'.\t.\t.\tO\tO' -p130178 -asS'Strict aspiration precautions with avoidance of clear liquids and all other liquids thickened .' -p130179 -(lp130180 -S'Strict\tStrict\tJJ\tB-NP\tO' -p130181 -aS'aspiration\taspiration\tNN\tI-NP\tO' -p130182 -aS'precautions\tprecaution\tNNS\tI-NP\tO' -p130183 -aS'with\twith\tIN\tB-PP\tO' -p130184 -aS'avoidance\tavoidance\tNN\tB-NP\tO' -p130185 -aS'of\tof\tIN\tB-PP\tO' -p130186 -aS'clear\tclear\tJJ\tB-NP\tO' -p130187 -aS'liquids\tliquid\tNNS\tI-NP\tO' -p130188 -aS'and\tand\tCC\tO\tO' -p130189 -aS'all\tall\tDT\tB-NP\tO' -p130190 -aS'other\tother\tJJ\tI-NP\tO' -p130191 -aS'liquids\tliquid\tNNS\tI-NP\tO' -p130192 -aS'thickened\tthicken\tVBN\tB-VP\tO' -p130193 -aS'.\t.\t.\tO\tO' -p130194 -asS'She is currently receiving 150 cc per kilo per day of Special Care 20 .' -p130195 -(lp130196 -S'She\tShe\tPRP\tB-NP\tO' -p130197 -aS'is\tbe\tVBZ\tB-VP\tO' -p130198 -aS'currently\tcurrently\tRB\tI-VP\tO' -p130199 -aS'receiving\treceive\tVBG\tI-VP\tO' -p130200 -aS'150\t150\tCD\tB-NP\tO' -p130201 -aS'cc\tcc\tNN\tI-NP\tO' -p130202 -aS'per\tper\tIN\tB-PP\tO' -p130203 -aS'kilo\tkilo\tNN\tB-NP\tO' -p130204 -aS'per\tper\tIN\tB-PP\tO' -p130205 -aS'day\tday\tNN\tB-NP\tO' -p130206 -aS'of\tof\tIN\tB-PP\tO' -p130207 -aS'Special\tSpecial\tNNP\tB-NP\tO' -p130208 -aS'Care\tCare\tNNP\tI-NP\tO' -p130209 -aS'20\t20\tCD\tI-NP\tO' -p130210 -aS'.\t.\t.\tO\tO' -p130211 -asS'There is no cervical lymphadenopathy .' -p130212 -(lp130213 -S'There\tThere\tEX\tB-NP\tO' -p130214 -aS'is\tbe\tVBZ\tB-VP\tO' -p130215 -aS'no\tno\tDT\tB-NP\tO' -p130216 -aS'cervical\tcervical\tJJ\tI-NP\tO' -p130217 -aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' -p130218 -aS'.\t.\t.\tO\tO' -p130219 -asS"He worked for the attorney general 's office early in his career but eventually started his own business in foreign currency exchange from which he retired in 2009 ." -p130220 -(lp130221 -S'He\tHe\tPRP\tB-NP\tO' -p130222 -aS'worked\twork\tVBD\tB-VP\tO' -p130223 -aS'for\tfor\tIN\tB-PP\tO' -p130224 -aS'the\tthe\tDT\tB-NP\tO' -p130225 -aS'attorney\tattorney\tNN\tI-NP\tO' -p130226 -aS'general\tgeneral\tNN\tI-NP\tO' -p130227 -aS"'s\t's\tPOS\tB-NP\tO" -p130228 -aS'office\toffice\tNN\tI-NP\tO' -p130229 -aS'early\tearly\tRB\tB-ADVP\tO' -p130230 -aS'in\tin\tIN\tB-PP\tO' -p130231 -aS'his\this\tPRP$\tB-NP\tO' -p130232 -aS'career\tcareer\tNN\tI-NP\tO' -p130233 -aS'but\tbut\tCC\tO\tO' -p130234 -aS'eventually\teventually\tRB\tB-VP\tO' -p130235 -aS'started\tstart\tVBD\tI-VP\tO' -p130236 -aS'his\this\tPRP$\tB-NP\tO' -p130237 -aS'own\town\tJJ\tI-NP\tO' -p130238 -aS'business\tbusiness\tNN\tI-NP\tO' -p130239 -aS'in\tin\tIN\tB-PP\tO' -p130240 -aS'foreign\tforeign\tJJ\tB-NP\tO' -p130241 -aS'currency\tcurrency\tNN\tI-NP\tO' -p130242 -aS'exchange\texchange\tNN\tI-NP\tO' -p130243 -aS'from\tfrom\tIN\tB-PP\tO' -p130244 -aS'which\twhich\tWDT\tB-NP\tO' -p130245 -aS'he\the\tPRP\tB-NP\tO' -p130246 -aS'retired\tretire\tVBD\tB-VP\tO' -p130247 -aS'in\tin\tIN\tB-PP\tO' -p130248 -aS'2009\t2009\tCD\tB-NP\tO' -p130249 -aS'.\t.\t.\tO\tO' -p130250 -asS'The patient was full code during admission .' -p130251 -(lp130252 -S'The\tThe\tDT\tB-NP\tO' -p130253 -aS'patient\tpatient\tNN\tI-NP\tO' -p130254 -aS'was\tbe\tVBD\tB-VP\tO' -p130255 -aS'full\tfull\tJJ\tB-NP\tO' -p130256 -aS'code\tcode\tNN\tI-NP\tO' -p130257 -aS'during\tduring\tIN\tB-PP\tO' -p130258 -aS'admission\tadmission\tNN\tB-NP\tO' -p130259 -aS'.\t.\t.\tO\tO' -p130260 -asS'Premarin vaginal once a month , enalapril , Tylenol , vitamins , and Halcion at night .' -p130261 -(lp130262 -S'Premarin\tPremarin\tNN\tB-NP\tO' -p130263 -aS'vaginal\tvaginal\tJJ\tB-ADJP\tO' -p130264 -aS'once\tonce\tRB\tB-ADVP\tO' -p130265 -aS'a\ta\tDT\tB-NP\tO' -p130266 -aS'month\tmonth\tNN\tI-NP\tO' -p130267 -aS',\t,\t,\tO\tO' -p130268 -aS'enalapril\tenalapril\tNN\tB-NP\tO' -p130269 -aS',\t,\t,\tO\tO' -p130270 -aS'Tylenol\tTylenol\tNN\tB-NP\tO' -p130271 -aS',\t,\t,\tO\tO' -p130272 -aS'vitamins\tvitamin\tNNS\tB-NP\tO' -p130273 -aS',\t,\t,\tO\tO' -p130274 -aS'and\tand\tCC\tO\tO' -p130275 -aS'Halcion\tHalcion\tNN\tB-NP\tO' -p130276 -aS'at\tat\tIN\tB-PP\tO' -p130277 -aS'night\tnight\tNN\tB-NP\tO' -p130278 -aS'.\t.\t.\tO\tO' -p130279 -asS'Abdomen was soft and nontender , without masses or hepatosplenomegaly .' -p130280 -(lp130281 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p130282 -aS'was\tbe\tVBD\tB-VP\tO' -p130283 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p130284 -aS'and\tand\tCC\tI-ADJP\tO' -p130285 -aS'nontender\tnontender\tJJ\tI-ADJP\tO' -p130286 -aS',\t,\t,\tO\tO' -p130287 -aS'without\twithout\tIN\tB-PP\tO' -p130288 -aS'masses\tmass\tNNS\tB-NP\tO' -p130289 -aS'or\tor\tCC\tI-NP\tO' -p130290 -aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tI-NP\tO' -p130291 -aS'.\t.\t.\tO\tO' -p130292 -asS'Chem-7 was a sodium of 140 , potassium of 3.0 , chloride 108 , bicarbonate 24 , BUN 22 , creatinine 1.0 and glucose 117 .' -p130293 -(lp130294 -S'Chem-7\tChem-7\tNN\tB-NP\tB-protein' -p130295 -aS'was\tbe\tVBD\tB-VP\tO' -p130296 -aS'a\ta\tDT\tB-NP\tO' -p130297 -aS'sodium\tsodium\tNN\tI-NP\tO' -p130298 -aS'of\tof\tIN\tB-PP\tO' -p130299 -aS'140\t140\tCD\tB-NP\tO' -p130300 -aS',\t,\t,\tO\tO' -p130301 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p130302 -aS'of\tof\tIN\tB-PP\tO' -p130303 -aS'3.0\t3.0\tCD\tB-NP\tO' -p130304 -aS',\t,\t,\tO\tO' -p130305 -aS'chloride\tchloride\tNN\tB-NP\tO' -p130306 -aS'108\t108\tCD\tI-NP\tO' -p130307 -aS',\t,\t,\tO\tO' -p130308 -aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' -p130309 -aS'24\t24\tCD\tI-NP\tO' -p130310 -aS',\t,\t,\tO\tO' -p130311 -aS'BUN\tBUN\tNN\tB-NP\tB-DNA' -p130312 -aS'22\t22\tCD\tI-NP\tI-DNA' -p130313 -aS',\t,\t,\tO\tO' -p130314 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p130315 -aS'1.0\t1.0\tCD\tI-NP\tO' -p130316 -aS'and\tand\tCC\tO\tO' -p130317 -aS'glucose\tglucose\tNN\tB-NP\tB-protein' -p130318 -aS'117\t117\tCD\tI-NP\tI-protein' -p130319 -aS'.\t.\t.\tO\tO' -p130320 -asS'By report , the patient has an outside study .' -p130321 -(lp130322 -S'By\tBy\tIN\tB-PP\tO' -p130323 -aS'report\treport\tNN\tB-NP\tO' -p130324 -aS',\t,\t,\tO\tO' -p130325 -aS'the\tthe\tDT\tB-NP\tO' -p130326 -aS'patient\tpatient\tNN\tI-NP\tO' -p130327 -aS'has\thave\tVBZ\tB-VP\tO' -p130328 -aS'an\tan\tDT\tB-NP\tO' -p130329 -aS'outside\toutside\tJJ\tI-NP\tO' -p130330 -aS'study\tstudy\tNN\tI-NP\tO' -p130331 -aS'.\t.\t.\tO\tO' -p130332 -asS'soft , well healed scar , positive bowel sounds , no tenderness or organomegaly noted .' -p130333 -(lp130334 -S'soft\tsoft\tJJ\tB-ADJP\tO' -p130335 -aS',\t,\t,\tO\tO' -p130336 -aS'well\twell\tRB\tB-ADVP\tO' -p130337 -aS'healed\theal\tVBD\tB-VP\tO' -p130338 -aS'scar\tscar\tNN\tB-NP\tO' -p130339 -aS',\t,\t,\tO\tO' -p130340 -aS'positive\tpositive\tJJ\tB-NP\tO' -p130341 -aS'bowel\tbowel\tNN\tI-NP\tO' -p130342 -aS'sounds\tsound\tNNS\tI-NP\tO' -p130343 -aS',\t,\t,\tO\tO' -p130344 -aS'no\tno\tDT\tB-NP\tO' -p130345 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p130346 -aS'or\tor\tCC\tO\tO' -p130347 -aS'organomegaly\torganomegaly\tRB\tB-VP\tO' -p130348 -aS'noted\tnote\tVBN\tI-VP\tO' -p130349 -aS'.\t.\t.\tO\tO' -p130350 -asS'Amniotic fluid was clear .' -p130351 -(lp130352 -S'Amniotic\tAmniotic\tJJ\tB-NP\tO' -p130353 -aS'fluid\tfluid\tNN\tI-NP\tO' -p130354 -aS'was\tbe\tVBD\tB-VP\tO' -p130355 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p130356 -aS'.\t.\t.\tO\tO' -p130357 -asS'4. Ativan 1 mg Tablet Sig : One ( 1 ) Tablet PO q6h prn .' -p130358 -(lp130359 -S'4.\t4.\tLS\tB-LST\tO' -p130360 -aS'Ativan\tAtivan\tNNP\tB-NP\tO' -p130361 -aS'1\t1\tCD\tI-NP\tO' -p130362 -aS'mg\tmg\tNN\tI-NP\tO' -p130363 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p130364 -aS'Sig\tSig\tNNP\tI-NP\tO' -p130365 -aS':\t:\t:\tO\tO' -p130366 -aS'One\tOne\tCD\tB-NP\tO' -p130367 -aS'(\t(\t(\tO\tO' -p130368 -aS'1\t1\tCD\tB-NP\tO' -p130369 -aS')\t)\t)\tO\tO' -p130370 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p130371 -aS'PO\tPO\tNN\tI-NP\tO' -p130372 -aS'q6h\tq6h\tNN\tI-NP\tO' -p130373 -aS'prn\tprn\tNN\tI-NP\tO' -p130374 -aS'.\t.\t.\tO\tO' -p130375 -asS'Vascular calcifications are seen in the abdominal aorta and iliac arteries .' -p130376 -(lp130377 -S'Vascular\tVascular\tJJ\tB-NP\tO' -p130378 -aS'calcifications\tcalcification\tNNS\tI-NP\tO' -p130379 -aS'are\tbe\tVBP\tB-VP\tO' -p130380 -aS'seen\tsee\tVBN\tI-VP\tO' -p130381 -aS'in\tin\tIN\tB-PP\tO' -p130382 -aS'the\tthe\tDT\tB-NP\tO' -p130383 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p130384 -aS'aorta\taorta\tNN\tI-NP\tO' -p130385 -aS'and\tand\tCC\tO\tO' -p130386 -aS'iliac\tiliac\tJJ\tB-NP\tO' -p130387 -aS'arteries\tartery\tNNS\tI-NP\tO' -p130388 -aS'.\t.\t.\tO\tO' -p130389 -asS'Ischemic cardiomyopathy , orthotopic heart transplantation , hyperlipidemia , hypertension , coronary graft disease , medical noncompliance .' -p130390 -(lp130391 -S'Ischemic\tIschemic\tJJ\tB-NP\tO' -p130392 -aS'cardiomyopathy\tcardiomyopathy\tNN\tI-NP\tO' -p130393 -aS',\t,\t,\tO\tO' -p130394 -aS'orthotopic\torthotopic\tJJ\tB-NP\tO' -p130395 -aS'heart\theart\tNN\tI-NP\tO' -p130396 -aS'transplantation\ttransplantation\tNN\tI-NP\tO' -p130397 -aS',\t,\t,\tO\tO' -p130398 -aS'hyperlipidemia\thyperlipidemia\tNN\tB-NP\tO' -p130399 -aS',\t,\t,\tO\tO' -p130400 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p130401 -aS',\t,\t,\tO\tO' -p130402 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p130403 -aS'graft\tgraft\tNN\tI-NP\tO' -p130404 -aS'disease\tdisease\tNN\tI-NP\tO' -p130405 -aS',\t,\t,\tO\tO' -p130406 -aS'medical\tmedical\tJJ\tB-NP\tO' -p130407 -aS'noncompliance\tnoncompliance\tNN\tI-NP\tO' -p130408 -aS'.\t.\t.\tO\tO' -p130409 -asS'The infant tolerated feeding advancement without difficulty .' -p130410 -(lp130411 -S'The\tThe\tDT\tB-NP\tO' -p130412 -aS'infant\tinfant\tNN\tI-NP\tO' -p130413 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p130414 -aS'feeding\tfeeding\tNN\tB-NP\tO' -p130415 -aS'advancement\tadvancement\tNN\tI-NP\tO' -p130416 -aS'without\twithout\tIN\tB-PP\tO' -p130417 -aS'difficulty\tdifficulty\tNN\tB-NP\tO' -p130418 -aS'.\t.\t.\tO\tO' -p130419 -asS'2. Supraventricular tachycardia ( on a beta blocker ) .' -p130420 -(lp130421 -S'2.\t2.\tLS\tB-NP\tO' -p130422 -aS'Supraventricular\tSupraventricular\tJJ\tI-NP\tO' -p130423 -aS'tachycardia\ttachycardia\tNN\tI-NP\tO' -p130424 -aS'(\t(\t(\tO\tO' -p130425 -aS'on\ton\tIN\tB-PP\tO' -p130426 -aS'a\ta\tDT\tB-NP\tO' -p130427 -aS'beta\tbeta\tSYM\tI-NP\tO' -p130428 -aS'blocker\tblocker\tNN\tI-NP\tO' -p130429 -aS')\t)\t)\tO\tO' -p130430 -aS'.\t.\t.\tO\tO' -p130431 -asS'Clear to auscultation on the right .' -p130432 -(lp130433 -S'Clear\tClear\tJJ\tB-ADJP\tO' -p130434 -aS'to\tto\tTO\tB-PP\tO' -p130435 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p130436 -aS'on\ton\tIN\tB-PP\tO' -p130437 -aS'the\tthe\tDT\tB-NP\tO' -p130438 -aS'right\tright\tNN\tI-NP\tO' -p130439 -aS'.\t.\t.\tO\tO' -p130440 -asS'motrin 600 mg every 8 hours for pain - please take with food in your stomach' -p130441 -(lp130442 -S'motrin\tmotrin\tNN\tB-NP\tO' -p130443 -aS'600\t600\tCD\tI-NP\tO' -p130444 -aS'mg\tmg\tNN\tI-NP\tO' -p130445 -aS'every\tevery\tDT\tB-NP\tO' -p130446 -aS'8\t8\tCD\tI-NP\tO' -p130447 -aS'hours\thour\tNNS\tI-NP\tO' -p130448 -aS'for\tfor\tIN\tB-PP\tO' -p130449 -aS'pain\tpain\tNN\tB-NP\tO' -p130450 -aS'-\t-\tHYPH\tI-NP\tO' -p130451 -aS'please\tplease\tNN\tI-NP\tO' -p130452 -aS'take\ttake\tNN\tI-NP\tO' -p130453 -aS'with\twith\tIN\tB-PP\tO' -p130454 -aS'food\tfood\tNN\tB-NP\tO' -p130455 -aS'in\tin\tIN\tB-PP\tO' -p130456 -aS'your\tyour\tPRP$\tB-NP\tO' -p130457 -aS'stomach\tstomach\tNN\tI-NP\tO' -p130458 -asS'Given that the patient had been maintaining a MAP of 60 without fluids or pressors , her goal CVP was decreased to >8 to avoid fluid overload .' -p130459 -(lp130460 -S'Given\tGive\tVBN\tB-VP\tO' -p130461 -aS'that\tthat\tIN\tB-SBAR\tO' -p130462 -aS'the\tthe\tDT\tB-NP\tO' -p130463 -aS'patient\tpatient\tNN\tI-NP\tO' -p130464 -aS'had\thave\tVBD\tB-VP\tO' -p130465 -aS'been\tbe\tVBN\tI-VP\tO' -p130466 -aS'maintaining\tmaintain\tVBG\tI-VP\tO' -p130467 -aS'a\ta\tDT\tB-NP\tO' -p130468 -aS'MAP\tMAP\tNN\tI-NP\tO' -p130469 -aS'of\tof\tIN\tB-PP\tO' -p130470 -aS'60\t60\tCD\tB-NP\tO' -p130471 -aS'without\twithout\tIN\tB-PP\tO' -p130472 -aS'fluids\tfluid\tNNS\tB-NP\tO' -p130473 -aS'or\tor\tCC\tI-NP\tO' -p130474 -aS'pressors\tpressor\tNNS\tI-NP\tO' -p130475 -aS',\t,\t,\tO\tO' -p130476 -aS'her\ther\tPRP$\tB-NP\tO' -p130477 -aS'goal\tgoal\tJJ\tI-NP\tO' -p130478 -aS'CVP\tCVP\tNN\tI-NP\tO' -p130479 -aS'was\tbe\tVBD\tB-VP\tO' -p130480 -aS'decreased\tdecrease\tVBN\tI-VP\tO' -p130481 -aS'to\tto\tTO\tB-PP\tO' -p130482 -aS'>8\t>8\tCD\tB-NP\tO' -p130483 -aS'to\tto\tTO\tB-VP\tO' -p130484 -aS'avoid\tavoid\tVB\tI-VP\tO' -p130485 -aS'fluid\tfluid\tNN\tB-NP\tO' -p130486 -aS'overload\toverload\tNN\tI-NP\tO' -p130487 -aS'.\t.\t.\tO\tO' -p130488 -asS'Amoxicillin rash .' -p130489 -(lp130490 -S'Amoxicillin\tAmoxicillin\tNN\tB-NP\tO' -p130491 -aS'rash\trash\tNN\tI-NP\tO' -p130492 -aS'.\t.\t.\tO\tO' -p130493 -asS'Procardia sustained release 60 mg. po q.day , Digoxin .25 mg. po q.day , Lasix 30 mg. ( interval unspecified ) , Prozac 40 mg. po q.day , Lovestatin 20 mg. po bid , aspirin q. day and supplemental potassium .' -p130494 -(lp130495 -S'Procardia\tProcardia\tNNP\tB-NP\tO' -p130496 -aS'sustained\tsustain\tVBD\tB-VP\tO' -p130497 -aS'release\trelease\tNN\tB-NP\tO' -p130498 -aS'60\t60\tCD\tI-NP\tO' -p130499 -aS'mg.\tmg.\tNN\tI-NP\tO' -p130500 -aS'po\tpo\tNN\tI-NP\tO' -p130501 -aS'q.day\tq.day\tNN\tI-NP\tO' -p130502 -aS',\t,\t,\tO\tO' -p130503 -aS'Digoxin\tDigoxin\tNN\tB-NP\tO' -p130504 -aS'.25\t.25\tCD\tI-NP\tO' -p130505 -aS'mg.\tmg.\tNN\tI-NP\tO' -p130506 -aS'po\tpo\tNN\tI-NP\tO' -p130507 -aS'q.day\tq.day\tNN\tI-NP\tO' -p130508 -aS',\t,\t,\tO\tO' -p130509 -aS'Lasix\tLasix\tNNP\tB-NP\tO' -p130510 -aS'30\t30\tCD\tI-NP\tO' -p130511 -aS'mg.\tmg.\tNN\tI-NP\tO' -p130512 -aS'(\t(\t(\tO\tO' -p130513 -aS'interval\tinterval\tNN\tB-NP\tO' -p130514 -aS'unspecified\tunspecified\tJJ\tB-ADJP\tO' -p130515 -aS')\t)\t)\tO\tO' -p130516 -aS',\t,\t,\tO\tO' -p130517 -aS'Prozac\tProzac\tNN\tB-NP\tO' -p130518 -aS'40\t40\tCD\tI-NP\tO' -p130519 -aS'mg.\tmg.\tNN\tI-NP\tO' -p130520 -aS'po\tpo\tNN\tI-NP\tO' -p130521 -aS'q.day\tq.day\tNN\tI-NP\tO' -p130522 -aS',\t,\t,\tO\tO' -p130523 -aS'Lovestatin\tLovestatin\tNN\tB-NP\tO' -p130524 -aS'20\t20\tCD\tI-NP\tO' -p130525 -aS'mg.\tmg.\tNN\tI-NP\tO' -p130526 -aS'po\tpo\tNN\tI-NP\tO' -p130527 -aS'bid\tbid\tNN\tI-NP\tO' -p130528 -aS',\t,\t,\tO\tO' -p130529 -aS'aspirin\taspirin\tNN\tB-NP\tO' -p130530 -aS'q.\tq.\tNN\tI-NP\tO' -p130531 -aS'day\tday\tNN\tI-NP\tO' -p130532 -aS'and\tand\tCC\tO\tO' -p130533 -aS'supplemental\tsupplemental\tJJ\tB-NP\tO' -p130534 -aS'potassium\tpotassium\tNN\tI-NP\tO' -p130535 -aS'.\t.\t.\tO\tO' -p130536 -asS'After being placed on BiPAP , her blood pressure decreased to the 80s .' -p130537 -(lp130538 -S'After\tAfter\tIN\tB-PP\tO' -p130539 -aS'being\tbe\tVBG\tB-VP\tO' -p130540 -aS'placed\tplace\tVBN\tI-VP\tO' -p130541 -aS'on\ton\tIN\tB-PP\tO' -p130542 -aS'BiPAP\tBiPAP\tNN\tB-NP\tB-protein' -p130543 -aS',\t,\t,\tO\tO' -p130544 -aS'her\ther\tPRP$\tB-NP\tO' -p130545 -aS'blood\tblood\tNN\tI-NP\tO' -p130546 -aS'pressure\tpressure\tNN\tI-NP\tO' -p130547 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p130548 -aS'to\tto\tTO\tB-PP\tO' -p130549 -aS'the\tthe\tDT\tB-NP\tO' -p130550 -aS'80s\t80\tNNS\tI-NP\tO' -p130551 -aS'.\t.\t.\tO\tO' -p130552 -asS'She was seen by her cardiologist , Dr. Clements and had a Holter monitor on 2015-05-01 , that showed first degree AV block with a rate that ranged between 35 to 53 beats per minute .' -p130553 -(lp130554 -S'She\tShe\tPRP\tB-NP\tO' -p130555 -aS'was\tbe\tVBD\tB-VP\tO' -p130556 -aS'seen\tsee\tVBN\tI-VP\tO' -p130557 -aS'by\tby\tIN\tB-PP\tO' -p130558 -aS'her\ther\tPRP$\tB-NP\tO' -p130559 -aS'cardiologist\tcardiologist\tNN\tI-NP\tO' -p130560 -aS',\t,\t,\tO\tO' -p130561 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p130562 -aS'Clements\tClements\tNNP\tI-NP\tO' -p130563 -aS'and\tand\tCC\tO\tO' -p130564 -aS'had\thave\tVBD\tB-VP\tO' -p130565 -aS'a\ta\tDT\tB-NP\tO' -p130566 -aS'Holter\tHolter\tNNP\tI-NP\tO' -p130567 -aS'monitor\tmonitor\tNN\tI-NP\tO' -p130568 -aS'on\ton\tIN\tB-PP\tO' -p130569 -aS'2015-05-01\t2015-05-01\tCD\tB-NP\tO' -p130570 -aS',\t,\t,\tO\tO' -p130571 -aS'that\tthat\tWDT\tB-NP\tO' -p130572 -aS'showed\tshow\tVBD\tB-VP\tO' -p130573 -aS'first\tfirst\tJJ\tB-NP\tO' -p130574 -aS'degree\tdegree\tNN\tI-NP\tO' -p130575 -aS'AV\tAV\tNN\tI-NP\tO' -p130576 -aS'block\tblock\tNN\tI-NP\tO' -p130577 -aS'with\twith\tIN\tB-PP\tO' -p130578 -aS'a\ta\tDT\tB-NP\tO' -p130579 -aS'rate\trate\tNN\tI-NP\tO' -p130580 -aS'that\tthat\tWDT\tB-NP\tO' -p130581 -aS'ranged\trange\tVBD\tB-VP\tO' -p130582 -aS'between\tbetween\tIN\tB-PP\tO' -p130583 -aS'35\t35\tCD\tB-NP\tO' -p130584 -aS'to\tto\tTO\tI-NP\tO' -p130585 -aS'53\t53\tCD\tI-NP\tO' -p130586 -aS'beats\tbeat\tNNS\tI-NP\tO' -p130587 -aS'per\tper\tIN\tB-PP\tO' -p130588 -aS'minute\tminute\tNN\tB-NP\tO' -p130589 -aS'.\t.\t.\tO\tO' -p130590 -asS'3. Lumbar and cervical degenerative disk disease .' -p130591 -(lp130592 -S'3.\t3.\tLS\tB-NP\tO' -p130593 -aS'Lumbar\tLumbar\tNN\tI-NP\tO' -p130594 -aS'and\tand\tCC\tO\tO' -p130595 -aS'cervical\tcervical\tJJ\tB-NP\tO' -p130596 -aS'degenerative\tdegenerative\tJJ\tI-NP\tO' -p130597 -aS'disk\tdisk\tNN\tI-NP\tO' -p130598 -aS'disease\tdisease\tNN\tI-NP\tO' -p130599 -aS'.\t.\t.\tO\tO' -p130600 -asS'COPD ( chronic obstructive pulmonary disease ) DM cervical DJD ( ) iron deficiency anemia ( iron deficiency anemia ) cervical and lumbar djd ( 12 ) osa ( sleep apnea ) s / p tb treatment ( 5 )' -p130601 -(lp130602 -S'COPD\tCOPD\tNN\tB-NP\tO' -p130603 -aS'(\t(\t(\tO\tO' -p130604 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p130605 -aS'obstructive\tobstructive\tJJ\tI-NP\tO' -p130606 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p130607 -aS'disease\tdisease\tNN\tI-NP\tO' -p130608 -aS')\t)\t)\tO\tO' -p130609 -aS'DM\tDM\tNN\tB-NP\tO' -p130610 -aS'cervical\tcervical\tJJ\tI-NP\tO' -p130611 -aS'DJD\tDJD\tNN\tI-NP\tO' -p130612 -aS'(\t(\t(\tO\tO' -p130613 -aS')\t)\t)\tO\tO' -p130614 -aS'iron\tiron\tNN\tB-NP\tO' -p130615 -aS'deficiency\tdeficiency\tNN\tI-NP\tO' -p130616 -aS'anemia\tanemia\tNN\tI-NP\tO' -p130617 -aS'(\t(\t(\tO\tO' -p130618 -aS'iron\tiron\tNN\tB-NP\tO' -p130619 -aS'deficiency\tdeficiency\tNN\tI-NP\tO' -p130620 -aS'anemia\tanemia\tNN\tI-NP\tO' -p130621 -aS')\t)\t)\tI-NP\tO' -p130622 -aS'cervical\tcervical\tJJ\tI-NP\tO' -p130623 -aS'and\tand\tCC\tI-NP\tO' -p130624 -aS'lumbar\tlumbar\tJJ\tI-NP\tO' -p130625 -aS'djd\tdjd\tNN\tI-NP\tO' -p130626 -aS'(\t(\t(\tO\tO' -p130627 -aS'12\t12\tCD\tB-NP\tO' -p130628 -aS')\t)\t)\tO\tO' -p130629 -aS'osa\tosa\tNN\tB-NP\tO' -p130630 -aS'(\t(\t(\tO\tO' -p130631 -aS'sleep\tsleep\tNN\tB-NP\tO' -p130632 -aS'apnea\tapnea\tNN\tI-NP\tO' -p130633 -aS')\t)\t)\tI-NP\tO' -p130634 -aS's\ts\tNN\tI-NP\tO' -p130635 -aS'/\t/\tSYM\tI-NP\tO' -p130636 -aS'p\tp\tNN\tI-NP\tO' -p130637 -aS'tb\ttb\tNN\tI-NP\tO' -p130638 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p130639 -aS'(\t(\t(\tO\tO' -p130640 -aS'5\t5\tCD\tB-NP\tO' -p130641 -aS')\t)\t)\tO\tO' -p130642 -asS'Dictated By : Christopher QX Morse , M.D.' -p130643 -(lp130644 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p130645 -aS'By\tBy\tIN\tB-PP\tO' -p130646 -aS':\t:\t:\tO\tO' -p130647 -aS'Christopher\tChristopher\tNNP\tB-NP\tO' -p130648 -aS'QX\tQX\tNNP\tI-NP\tO' -p130649 -aS'Morse\tMorse\tNNP\tI-NP\tO' -p130650 -aS',\t,\t,\tO\tO' -p130651 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p130652 -asS"At ChelseaWomens ' , about 04-25 , she developed pseudomonal urosepsis and vaginal bleeding from tumor extension/anti-coagulation ." -p130653 -(lp130654 -S'At\tAt\tIN\tB-PP\tO' -p130655 -aS'ChelseaWomens\tChelseaWomens\tNNP\tB-NP\tO' -p130656 -aS"'\t'\tPOS\tB-NP\tO" -p130657 -aS',\t,\t,\tO\tO' -p130658 -aS'about\tabout\tIN\tB-PP\tO' -p130659 -aS'04-25\t04-25\tCD\tB-NP\tO' -p130660 -aS',\t,\t,\tO\tO' -p130661 -aS'she\tshe\tPRP\tB-NP\tO' -p130662 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p130663 -aS'pseudomonal\tpseudomonal\tJJ\tB-NP\tO' -p130664 -aS'urosepsis\turosepsis\tNN\tI-NP\tO' -p130665 -aS'and\tand\tCC\tO\tO' -p130666 -aS'vaginal\tvaginal\tJJ\tB-NP\tO' -p130667 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p130668 -aS'from\tfrom\tIN\tB-PP\tO' -p130669 -aS'tumor\ttumor\tNN\tB-NP\tO' -p130670 -aS'extension/anti-coagulation\textension/anti-coagulation\tNN\tI-NP\tO' -p130671 -aS'.\t.\t.\tO\tO' -p130672 -asS'Otherwise , she has been healthy and her last hemodialysis was the day prior to transplant .' -p130673 -(lp130674 -S'Otherwise\tOtherwise\tRB\tB-ADVP\tO' -p130675 -aS',\t,\t,\tO\tO' -p130676 -aS'she\tshe\tPRP\tB-NP\tO' -p130677 -aS'has\thave\tVBZ\tB-VP\tO' -p130678 -aS'been\tbe\tVBN\tI-VP\tO' -p130679 -aS'healthy\thealthy\tJJ\tB-ADJP\tO' -p130680 -aS'and\tand\tCC\tO\tO' -p130681 -aS'her\ther\tPRP$\tB-NP\tO' -p130682 -aS'last\tlast\tJJ\tI-NP\tO' -p130683 -aS'hemodialysis\themodialysis\tNN\tI-NP\tO' -p130684 -aS'was\tbe\tVBD\tB-VP\tO' -p130685 -aS'the\tthe\tDT\tB-NP\tO' -p130686 -aS'day\tday\tNN\tI-NP\tO' -p130687 -aS'prior\tprior\tRB\tB-ADVP\tO' -p130688 -aS'to\tto\tTO\tB-PP\tO' -p130689 -aS'transplant\ttransplant\tNN\tB-NP\tO' -p130690 -aS'.\t.\t.\tO\tO' -p130691 -asS'Possibility of arch element in this region cannot be excluded .' -p130692 -(lp130693 -S'Possibility\tPossibility\tNN\tB-NP\tO' -p130694 -aS'of\tof\tIN\tB-PP\tO' -p130695 -aS'arch\tarch\tNN\tB-NP\tB-DNA' -p130696 -aS'element\telement\tNN\tI-NP\tI-DNA' -p130697 -aS'in\tin\tIN\tB-PP\tO' -p130698 -aS'this\tthis\tDT\tB-NP\tO' -p130699 -aS'region\tregion\tNN\tI-NP\tO' -p130700 -aS'cannot\tcannot\tMD\tB-VP\tO' -p130701 -aS'be\tbe\tVB\tI-VP\tO' -p130702 -aS'excluded\texclude\tVBN\tI-VP\tO' -p130703 -aS'.\t.\t.\tO\tO' -p130704 -asS'His Foley catheter was removed and he remained again in the ICU .' -p130705 -(lp130706 -S'His\tHis\tPRP$\tB-NP\tB-protein' -p130707 -aS'Foley\tFoley\tNNP\tI-NP\tO' -p130708 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p130709 -aS'was\tbe\tVBD\tB-VP\tO' -p130710 -aS'removed\tremove\tVBN\tI-VP\tO' -p130711 -aS'and\tand\tCC\tO\tO' -p130712 -aS'he\the\tPRP\tB-NP\tO' -p130713 -aS'remained\tremain\tVBD\tB-VP\tO' -p130714 -aS'again\tagain\tRB\tB-ADVP\tO' -p130715 -aS'in\tin\tIN\tB-PP\tO' -p130716 -aS'the\tthe\tDT\tB-NP\tO' -p130717 -aS'ICU\tICU\tNN\tI-NP\tB-DNA' -p130718 -aS'.\t.\t.\tO\tO' -p130719 -asS'7. Prednisone 40 mg per day to be tapered over two weeks .' -p130720 -(lp130721 -S'7.\t7.\tCD\tB-NP\tO' -p130722 -aS'Prednisone\tPrednisone\tNN\tI-NP\tO' -p130723 -aS'40\t40\tCD\tB-NP\tO' -p130724 -aS'mg\tmg\tNN\tI-NP\tO' -p130725 -aS'per\tper\tIN\tB-PP\tO' -p130726 -aS'day\tday\tNN\tB-NP\tO' -p130727 -aS'to\tto\tTO\tB-VP\tO' -p130728 -aS'be\tbe\tVB\tI-VP\tO' -p130729 -aS'tapered\ttaper\tVBN\tI-VP\tO' -p130730 -aS'over\tover\tIN\tB-PP\tO' -p130731 -aS'two\ttwo\tCD\tB-NP\tO' -p130732 -aS'weeks\tweek\tNNS\tI-NP\tO' -p130733 -aS'.\t.\t.\tO\tO' -p130734 -asS'- followed by Johannes / Brink' -p130735 -(lp130736 -S'-\t-\tHYPH\tB-NP\tO' -p130737 -aS'followed\tfollow\tVBN\tB-VP\tO' -p130738 -aS'by\tby\tIN\tB-PP\tO' -p130739 -aS'Johannes\tJohannes\tNNP\tB-NP\tO' -p130740 -aS'/\t/\tSYM\tB-VP\tO' -p130741 -aS'Brink\tBrink\tNN\tB-NP\tO' -p130742 -asS'The patient became slightly hypotensive on the night of 10/18/97 with systolic blood pressures in the 80s to 90s.' -p130743 -(lp130744 -S'The\tThe\tDT\tB-NP\tO' -p130745 -aS'patient\tpatient\tNN\tI-NP\tO' -p130746 -aS'became\tbecome\tVBD\tB-VP\tO' -p130747 -aS'slightly\tslightly\tRB\tB-ADJP\tO' -p130748 -aS'hypotensive\thypotensive\tJJ\tI-ADJP\tO' -p130749 -aS'on\ton\tIN\tB-PP\tO' -p130750 -aS'the\tthe\tDT\tB-NP\tO' -p130751 -aS'night\tnight\tNN\tI-NP\tO' -p130752 -aS'of\tof\tIN\tB-PP\tO' -p130753 -aS'10/18/97\t10/18/97\tCD\tB-NP\tO' -p130754 -aS'with\twith\tIN\tB-PP\tO' -p130755 -aS'systolic\tsystolic\tJJ\tB-NP\tO' -p130756 -aS'blood\tblood\tNN\tI-NP\tO' -p130757 -aS'pressures\tpressure\tNNS\tI-NP\tO' -p130758 -aS'in\tin\tIN\tB-PP\tO' -p130759 -aS'the\tthe\tDT\tB-NP\tO' -p130760 -aS'80s\t80s\tCD\tI-NP\tO' -p130761 -aS'to\tto\tTO\tB-PP\tO' -p130762 -aS'90s.\t90s.\tCD\tB-NP\tO' -p130763 -asS"The patient 's GCS was 15 ." -p130764 -(lp130765 -S'The\tThe\tDT\tB-NP\tO' -p130766 -aS'patient\tpatient\tNN\tI-NP\tO' -p130767 -aS"'s\t's\tPOS\tB-NP\tO" -p130768 -aS'GCS\tGCS\tNN\tI-NP\tO' -p130769 -aS'was\tbe\tVBD\tB-VP\tO' -p130770 -aS'15\t15\tCD\tB-NP\tO' -p130771 -aS'.\t.\t.\tO\tO' -p130772 -asS'The patient will also be seen in followup by Dr. Chpo E. Enla General of the Plastic Surgery Service Fairm of Ijordcompmac Hospital so that his indwelling Jackson Pratt drains be appropriately management and if needed be discontinued by him .' -p130773 -(lp130774 -S'The\tThe\tDT\tB-NP\tO' -p130775 -aS'patient\tpatient\tNN\tI-NP\tO' -p130776 -aS'will\twill\tMD\tB-VP\tO' -p130777 -aS'also\talso\tRB\tI-VP\tO' -p130778 -aS'be\tbe\tVB\tI-VP\tO' -p130779 -aS'seen\tsee\tVBN\tI-VP\tO' -p130780 -aS'in\tin\tIN\tB-PP\tO' -p130781 -aS'followup\tfollowup\tNN\tB-NP\tO' -p130782 -aS'by\tby\tIN\tB-PP\tO' -p130783 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p130784 -aS'Chpo\tChpo\tNNP\tI-NP\tO' -p130785 -aS'E.\tE.\tNNP\tI-NP\tO' -p130786 -aS'Enla\tEnla\tNNP\tI-NP\tO' -p130787 -aS'General\tGeneral\tNNP\tI-NP\tO' -p130788 -aS'of\tof\tIN\tB-PP\tO' -p130789 -aS'the\tthe\tDT\tB-NP\tO' -p130790 -aS'Plastic\tPlastic\tNNP\tI-NP\tO' -p130791 -aS'Surgery\tSurgery\tNNP\tI-NP\tO' -p130792 -aS'Service\tService\tNNP\tI-NP\tO' -p130793 -aS'Fairm\tFairm\tNNP\tI-NP\tO' -p130794 -aS'of\tof\tIN\tB-PP\tO' -p130795 -aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' -p130796 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p130797 -aS'so\tso\tIN\tB-SBAR\tO' -p130798 -aS'that\tthat\tIN\tI-SBAR\tO' -p130799 -aS'his\this\tPRP$\tB-NP\tB-DNA' -p130800 -aS'indwelling\tindwell\tVBG\tI-NP\tO' -p130801 -aS'Jackson\tJackson\tNNP\tI-NP\tO' -p130802 -aS'Pratt\tPratt\tNNP\tI-NP\tO' -p130803 -aS'drains\tdrain\tVBZ\tB-VP\tO' -p130804 -aS'be\tbe\tVB\tI-VP\tO' -p130805 -aS'appropriately\tappropriately\tRB\tB-NP\tO' -p130806 -aS'management\tmanagement\tNN\tI-NP\tO' -p130807 -aS'and\tand\tCC\tO\tO' -p130808 -aS'if\tif\tIN\tB-SBAR\tO' -p130809 -aS'needed\tneed\tVBN\tO\tO' -p130810 -aS'be\tbe\tVB\tB-VP\tO' -p130811 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p130812 -aS'by\tby\tIN\tB-PP\tO' -p130813 -aS'him\thim\tPRP\tB-NP\tO' -p130814 -aS'.\t.\t.\tO\tO' -p130815 -asS'Of note , the patient had a negative urine pregnancy test prior to the surgery .' -p130816 -(lp130817 -S'Of\tOf\tIN\tB-PP\tO' -p130818 -aS'note\tnote\tNN\tB-NP\tO' -p130819 -aS',\t,\t,\tO\tO' -p130820 -aS'the\tthe\tDT\tB-NP\tO' -p130821 -aS'patient\tpatient\tNN\tI-NP\tO' -p130822 -aS'had\thave\tVBD\tB-VP\tO' -p130823 -aS'a\ta\tDT\tB-NP\tO' -p130824 -aS'negative\tnegative\tJJ\tI-NP\tO' -p130825 -aS'urine\turine\tNN\tI-NP\tO' -p130826 -aS'pregnancy\tpregnancy\tNN\tI-NP\tO' -p130827 -aS'test\ttest\tNN\tI-NP\tO' -p130828 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p130829 -aS'to\tto\tTO\tB-PP\tO' -p130830 -aS'the\tthe\tDT\tB-NP\tO' -p130831 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p130832 -aS'.\t.\t.\tO\tO' -p130833 -asS'She is currently unemployed , but until recently , she was employed at a bank .' -p130834 -(lp130835 -S'She\tShe\tPRP\tB-NP\tO' -p130836 -aS'is\tbe\tVBZ\tB-VP\tO' -p130837 -aS'currently\tcurrently\tRB\tB-ADVP\tO' -p130838 -aS'unemployed\tunemployed\tJJ\tB-ADJP\tO' -p130839 -aS',\t,\t,\tO\tO' -p130840 -aS'but\tbut\tCC\tO\tO' -p130841 -aS'until\tuntil\tIN\tB-PP\tO' -p130842 -aS'recently\trecently\tRB\tB-NP\tO' -p130843 -aS',\t,\t,\tO\tO' -p130844 -aS'she\tshe\tPRP\tB-NP\tO' -p130845 -aS'was\tbe\tVBD\tB-VP\tO' -p130846 -aS'employed\temploy\tVBN\tI-VP\tO' -p130847 -aS'at\tat\tIN\tB-PP\tO' -p130848 -aS'a\ta\tDT\tB-NP\tO' -p130849 -aS'bank\tbank\tNN\tI-NP\tO' -p130850 -aS'.\t.\t.\tO\tO' -p130851 -asS'His neurological exam was intact .' -p130852 -(lp130853 -S'His\tHis\tPRP$\tB-NP\tO' -p130854 -aS'neurological\tneurological\tJJ\tI-NP\tO' -p130855 -aS'exam\texam\tNN\tI-NP\tO' -p130856 -aS'was\tbe\tVBD\tB-VP\tO' -p130857 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p130858 -aS'.\t.\t.\tO\tO' -p130859 -asS'Electrolytes and glucose remained in the normal range throughout the first week .' -p130860 -(lp130861 -S'Electrolytes\tElectrolyte\tNNS\tB-NP\tO' -p130862 -aS'and\tand\tCC\tI-NP\tO' -p130863 -aS'glucose\tglucose\tNN\tI-NP\tO' -p130864 -aS'remained\tremain\tVBD\tB-VP\tO' -p130865 -aS'in\tin\tIN\tB-PP\tO' -p130866 -aS'the\tthe\tDT\tB-NP\tO' -p130867 -aS'normal\tnormal\tJJ\tI-NP\tO' -p130868 -aS'range\trange\tNN\tI-NP\tO' -p130869 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p130870 -aS'the\tthe\tDT\tB-NP\tO' -p130871 -aS'first\tfirst\tJJ\tI-NP\tO' -p130872 -aS'week\tweek\tNN\tI-NP\tO' -p130873 -aS'.\t.\t.\tO\tO' -p130874 -asS'His initial BP was 60/P with a pulse in the 60 s.' -p130875 -(lp130876 -S'His\tHis\tPRP$\tB-NP\tO' -p130877 -aS'initial\tinitial\tJJ\tI-NP\tO' -p130878 -aS'BP\tBP\tNN\tI-NP\tO' -p130879 -aS'was\tbe\tVBD\tB-VP\tO' -p130880 -aS'60/P\t60/P\tNN\tB-NP\tO' -p130881 -aS'with\twith\tIN\tB-PP\tO' -p130882 -aS'a\ta\tDT\tB-NP\tO' -p130883 -aS'pulse\tpulse\tNN\tI-NP\tO' -p130884 -aS'in\tin\tIN\tB-PP\tO' -p130885 -aS'the\tthe\tDT\tB-NP\tO' -p130886 -aS'60\t60\tCD\tI-NP\tO' -p130887 -aS's.\ts.\tNNS\tI-NP\tO' -p130888 -asS'His digoxin was found to be elevated so his Digoxin was held for four days while levels slowly came down .' -p130889 -(lp130890 -S'His\tHis\tPRP$\tB-NP\tO' -p130891 -aS'digoxin\tdigoxin\tNN\tI-NP\tO' -p130892 -aS'was\tbe\tVBD\tB-VP\tO' -p130893 -aS'found\tfind\tVBN\tI-VP\tO' -p130894 -aS'to\tto\tTO\tI-VP\tO' -p130895 -aS'be\tbe\tVB\tI-VP\tO' -p130896 -aS'elevated\televate\tVBN\tI-VP\tO' -p130897 -aS'so\tso\tIN\tB-PP\tO' -p130898 -aS'his\this\tPRP$\tB-NP\tO' -p130899 -aS'Digoxin\tDigoxin\tNN\tI-NP\tO' -p130900 -aS'was\tbe\tVBD\tB-VP\tO' -p130901 -aS'held\thold\tVBN\tI-VP\tO' -p130902 -aS'for\tfor\tIN\tB-PP\tO' -p130903 -aS'four\tfour\tCD\tB-NP\tO' -p130904 -aS'days\tday\tNNS\tI-NP\tO' -p130905 -aS'while\twhile\tIN\tB-SBAR\tO' -p130906 -aS'levels\tlevel\tNNS\tB-NP\tO' -p130907 -aS'slowly\tslowly\tRB\tB-ADVP\tO' -p130908 -aS'came\tcome\tVBD\tB-VP\tO' -p130909 -aS'down\tdown\tRB\tB-ADVP\tO' -p130910 -aS'.\t.\t.\tO\tO' -p130911 -asS'A question of a SULFA allergy .' -p130912 -(lp130913 -S'A\tA\tDT\tB-NP\tO' -p130914 -aS'question\tquestion\tNN\tI-NP\tO' -p130915 -aS'of\tof\tIN\tB-PP\tO' -p130916 -aS'a\ta\tDT\tB-NP\tO' -p130917 -aS'SULFA\tSULFA\tNN\tI-NP\tO' -p130918 -aS'allergy\tallergy\tNN\tI-NP\tO' -p130919 -aS'.\t.\t.\tO\tO' -p130920 -asS'Positive for serum barbiturates .' -p130921 -(lp130922 -S'Positive\tPositive\tJJ\tB-ADJP\tO' -p130923 -aS'for\tfor\tIN\tB-PP\tO' -p130924 -aS'serum\tserum\tNN\tB-NP\tO' -p130925 -aS'barbiturates\tbarbiturate\tNNS\tI-NP\tO' -p130926 -aS'.\t.\t.\tO\tO' -p130927 -asS'Compared with the prior study ( images reviewed ) of 2017-08-14 , ventricular function is now similar.' -p130928 -(lp130929 -S'Compared\tCompare\tVBN\tB-PP\tO' -p130930 -aS'with\twith\tIN\tB-PP\tO' -p130931 -aS'the\tthe\tDT\tB-NP\tO' -p130932 -aS'prior\tprior\tJJ\tI-NP\tO' -p130933 -aS'study\tstudy\tNN\tI-NP\tO' -p130934 -aS'(\t(\t(\tO\tO' -p130935 -aS'images\timage\tNNS\tB-NP\tO' -p130936 -aS'reviewed\treview\tVBN\tB-VP\tO' -p130937 -aS')\t)\t)\tO\tO' -p130938 -aS'of\tof\tIN\tB-PP\tO' -p130939 -aS'2017-08-14\t2017-08-14\tCD\tB-NP\tO' -p130940 -aS',\t,\t,\tO\tO' -p130941 -aS'ventricular\tventricular\tJJ\tB-NP\tO' -p130942 -aS'function\tfunction\tNN\tI-NP\tO' -p130943 -aS'is\tbe\tVBZ\tB-VP\tO' -p130944 -aS'now\tnow\tRB\tB-ADVP\tO' -p130945 -aS'similar.\tsimilar.\tJJ\tB-ADJP\tO' -p130946 -asS'RESPIRATORY : Tachypneic with mild retractions , increased work of breathing , clear and equal breath sounds .' -p130947 -(lp130948 -S'RESPIRATORY\tRESPIRATORY\tNN\tB-NP\tO' -p130949 -aS':\t:\t:\tO\tO' -p130950 -aS'Tachypneic\tTachypneic\tJJ\tB-ADJP\tO' -p130951 -aS'with\twith\tIN\tB-PP\tO' -p130952 -aS'mild\tmild\tJJ\tB-NP\tO' -p130953 -aS'retractions\tretraction\tNNS\tI-NP\tO' -p130954 -aS',\t,\t,\tO\tO' -p130955 -aS'increased\tincrease\tVBN\tB-NP\tO' -p130956 -aS'work\twork\tNN\tI-NP\tO' -p130957 -aS'of\tof\tIN\tB-PP\tO' -p130958 -aS'breathing\tbreathing\tNN\tB-NP\tO' -p130959 -aS',\t,\t,\tO\tO' -p130960 -aS'clear\tclear\tJJ\tB-NP\tO' -p130961 -aS'and\tand\tCC\tI-NP\tO' -p130962 -aS'equal\tequal\tJJ\tI-NP\tO' -p130963 -aS'breath\tbreath\tNN\tI-NP\tO' -p130964 -aS'sounds\tsound\tNNS\tI-NP\tO' -p130965 -aS'.\t.\t.\tO\tO' -p130966 -asS'She also had MESNA dose of .6 grams per meter squared after her IFEX / MESNA were completed .' -p130967 -(lp130968 -S'She\tShe\tPRP\tB-NP\tO' -p130969 -aS'also\talso\tRB\tB-ADVP\tO' -p130970 -aS'had\thave\tVBD\tB-VP\tO' -p130971 -aS'MESNA\tMESNA\tNN\tB-NP\tO' -p130972 -aS'dose\tdose\tNN\tI-NP\tO' -p130973 -aS'of\tof\tIN\tB-PP\tO' -p130974 -aS'.6\t.6\tCD\tB-NP\tO' -p130975 -aS'grams\tgram\tNNS\tI-NP\tO' -p130976 -aS'per\tper\tIN\tB-PP\tO' -p130977 -aS'meter\tmeter\tNN\tB-NP\tO' -p130978 -aS'squared\tsquare\tVBD\tB-VP\tO' -p130979 -aS'after\tafter\tIN\tB-PP\tO' -p130980 -aS'her\ther\tPRP$\tB-NP\tO' -p130981 -aS'IFEX\tIFEX\tNN\tI-NP\tB-protein' -p130982 -aS'/\t/\tSYM\tB-NP\tO' -p130983 -aS'MESNA\tMESNA\tNN\tI-NP\tB-protein' -p130984 -aS'were\tbe\tVBD\tB-VP\tO' -p130985 -aS'completed\tcomplete\tVBN\tI-VP\tO' -p130986 -aS'.\t.\t.\tO\tO' -p130987 -asS'She was increased to 5L , with her sats going up to 97% .' -p130988 -(lp130989 -S'She\tShe\tPRP\tB-NP\tO' -p130990 -aS'was\tbe\tVBD\tB-VP\tO' -p130991 -aS'increased\tincrease\tVBN\tI-VP\tO' -p130992 -aS'to\tto\tTO\tB-PP\tO' -p130993 -aS'5L\t5L\tNN\tB-NP\tO' -p130994 -aS',\t,\t,\tO\tO' -p130995 -aS'with\twith\tIN\tB-PP\tO' -p130996 -aS'her\ther\tPRP$\tB-NP\tO' -p130997 -aS'sats\tsat\tNNS\tI-NP\tO' -p130998 -aS'going\tgo\tVBG\tB-VP\tO' -p130999 -aS'up\tup\tRB\tB-ADVP\tO' -p131000 -aS'to\tto\tTO\tB-PP\tO' -p131001 -aS'97%\t97%\tCD\tB-NP\tO' -p131002 -aS'.\t.\t.\tO\tO' -p131003 -asS'Her deep tendon reflexes were slightly diminished at 1+ bilaterally , but symmetric .' -p131004 -(lp131005 -S'Her\tHer\tPRP$\tB-NP\tO' -p131006 -aS'deep\tdeep\tJJ\tI-NP\tO' -p131007 -aS'tendon\ttendon\tNN\tI-NP\tO' -p131008 -aS'reflexes\treflex\tNNS\tI-NP\tO' -p131009 -aS'were\tbe\tVBD\tB-VP\tO' -p131010 -aS'slightly\tslightly\tRB\tI-VP\tO' -p131011 -aS'diminished\tdiminish\tVBN\tI-VP\tO' -p131012 -aS'at\tat\tIN\tB-PP\tO' -p131013 -aS'1+\t1+\tJJ\tB-ADJP\tO' -p131014 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p131015 -aS',\t,\t,\tO\tO' -p131016 -aS'but\tbut\tCC\tO\tO' -p131017 -aS'symmetric\tsymmetric\tJJ\tB-ADJP\tO' -p131018 -aS'.\t.\t.\tO\tO' -p131019 -asS'The patient should also follow up with his primary care doctor , Dr. Beals , in approximately three weeks .' -p131020 -(lp131021 -S'The\tThe\tDT\tB-NP\tO' -p131022 -aS'patient\tpatient\tNN\tI-NP\tO' -p131023 -aS'should\tshould\tMD\tB-VP\tO' -p131024 -aS'also\talso\tRB\tI-VP\tO' -p131025 -aS'follow\tfollow\tVB\tI-VP\tO' -p131026 -aS'up\tup\tRP\tB-PRT\tO' -p131027 -aS'with\twith\tIN\tB-PP\tO' -p131028 -aS'his\this\tPRP$\tB-NP\tO' -p131029 -aS'primary\tprimary\tJJ\tI-NP\tO' -p131030 -aS'care\tcare\tNN\tI-NP\tO' -p131031 -aS'doctor\tdoctor\tNN\tI-NP\tO' -p131032 -aS',\t,\t,\tO\tO' -p131033 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p131034 -aS'Beals\tBeals\tNNP\tI-NP\tO' -p131035 -aS',\t,\t,\tO\tO' -p131036 -aS'in\tin\tIN\tB-PP\tO' -p131037 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p131038 -aS'three\tthree\tCD\tI-NP\tO' -p131039 -aS'weeks\tweek\tNNS\tI-NP\tO' -p131040 -aS'.\t.\t.\tO\tO' -p131041 -asS'The MRA showed mild narrowing of the left ICA just distal to the bifurcation .' -p131042 -(lp131043 -S'The\tThe\tDT\tB-NP\tO' -p131044 -aS'MRA\tMRA\tNN\tI-NP\tB-protein' -p131045 -aS'showed\tshow\tVBD\tB-VP\tO' -p131046 -aS'mild\tmild\tJJ\tB-NP\tO' -p131047 -aS'narrowing\tnarrowing\tNN\tI-NP\tO' -p131048 -aS'of\tof\tIN\tB-PP\tO' -p131049 -aS'the\tthe\tDT\tB-NP\tO' -p131050 -aS'left\tleft\tJJ\tI-NP\tO' -p131051 -aS'ICA\tICA\tNN\tI-NP\tO' -p131052 -aS'just\tjust\tRB\tB-ADJP\tO' -p131053 -aS'distal\tdistal\tJJ\tI-ADJP\tO' -p131054 -aS'to\tto\tTO\tB-PP\tO' -p131055 -aS'the\tthe\tDT\tB-NP\tO' -p131056 -aS'bifurcation\tbifurcation\tNN\tI-NP\tO' -p131057 -aS'.\t.\t.\tO\tO' -p131058 -asS'Because of this finding , her IFEX was stopped before completion of her second day of infusion .' -p131059 -(lp131060 -S'Because\tBecause\tIN\tB-PP\tO' -p131061 -aS'of\tof\tIN\tI-PP\tO' -p131062 -aS'this\tthis\tDT\tB-NP\tO' -p131063 -aS'finding\tfinding\tNN\tI-NP\tO' -p131064 -aS',\t,\t,\tO\tO' -p131065 -aS'her\ther\tPRP$\tB-NP\tO' -p131066 -aS'IFEX\tIFEX\tNN\tI-NP\tB-protein' -p131067 -aS'was\tbe\tVBD\tB-VP\tO' -p131068 -aS'stopped\tstop\tVBN\tI-VP\tO' -p131069 -aS'before\tbefore\tIN\tB-PP\tO' -p131070 -aS'completion\tcompletion\tNN\tB-NP\tO' -p131071 -aS'of\tof\tIN\tB-PP\tO' -p131072 -aS'her\ther\tPRP$\tB-NP\tO' -p131073 -aS'second\tsecond\tJJ\tI-NP\tO' -p131074 -aS'day\tday\tNN\tI-NP\tO' -p131075 -aS'of\tof\tIN\tB-PP\tO' -p131076 -aS'infusion\tinfusion\tNN\tB-NP\tO' -p131077 -aS'.\t.\t.\tO\tO' -p131078 -asS'The patient was seen in consultation by Cardiac Surgery for evaluation of coronary artery bypass grafting .' -p131079 -(lp131080 -S'The\tThe\tDT\tB-NP\tO' -p131081 -aS'patient\tpatient\tNN\tI-NP\tO' -p131082 -aS'was\tbe\tVBD\tB-VP\tO' -p131083 -aS'seen\tsee\tVBN\tI-VP\tO' -p131084 -aS'in\tin\tIN\tB-PP\tO' -p131085 -aS'consultation\tconsultation\tNN\tB-NP\tO' -p131086 -aS'by\tby\tIN\tB-PP\tO' -p131087 -aS'Cardiac\tCardiac\tNNP\tB-NP\tO' -p131088 -aS'Surgery\tSurgery\tNNP\tI-NP\tO' -p131089 -aS'for\tfor\tIN\tB-PP\tO' -p131090 -aS'evaluation\tevaluation\tNN\tB-NP\tO' -p131091 -aS'of\tof\tIN\tB-PP\tO' -p131092 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p131093 -aS'artery\tartery\tNN\tI-NP\tO' -p131094 -aS'bypass\tbypass\tIN\tB-PP\tO' -p131095 -aS'grafting\tgrafting\tNN\tB-NP\tO' -p131096 -aS'.\t.\t.\tO\tO' -p131097 -asS'He was continued on meropenem , started on BiPAP and aggressively suctioned in an attempt to avoid intubation .' -p131098 -(lp131099 -S'He\tHe\tPRP\tB-NP\tO' -p131100 -aS'was\tbe\tVBD\tB-VP\tO' -p131101 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p131102 -aS'on\ton\tIN\tB-PP\tO' -p131103 -aS'meropenem\tmeropenem\tNN\tB-NP\tO' -p131104 -aS',\t,\t,\tO\tO' -p131105 -aS'started\tstart\tVBN\tB-VP\tO' -p131106 -aS'on\ton\tIN\tB-PP\tO' -p131107 -aS'BiPAP\tBiPAP\tNN\tB-NP\tB-protein' -p131108 -aS'and\tand\tCC\tO\tO' -p131109 -aS'aggressively\taggressively\tRB\tB-VP\tO' -p131110 -aS'suctioned\tsuctione\tVBN\tI-VP\tO' -p131111 -aS'in\tin\tIN\tB-PP\tO' -p131112 -aS'an\tan\tDT\tB-NP\tO' -p131113 -aS'attempt\tattempt\tNN\tI-NP\tO' -p131114 -aS'to\tto\tTO\tB-VP\tO' -p131115 -aS'avoid\tavoid\tVB\tI-VP\tO' -p131116 -aS'intubation\tintubation\tNN\tB-NP\tO' -p131117 -aS'.\t.\t.\tO\tO' -p131118 -asS'Repeat blood cultures were sent .' -p131119 -(lp131120 -S'Repeat\tRepeat\tNN\tB-NP\tO' -p131121 -aS'blood\tblood\tNN\tI-NP\tO' -p131122 -aS'cultures\tculture\tNNS\tI-NP\tO' -p131123 -aS'were\tbe\tVBD\tB-VP\tO' -p131124 -aS'sent\tsend\tVBN\tI-VP\tO' -p131125 -aS'.\t.\t.\tO\tO' -p131126 -asS'This was most likely secondary to ketoacidosis as she had no dextrose in her intravenous fluids .' -p131127 -(lp131128 -S'This\tThis\tDT\tB-NP\tO' -p131129 -aS'was\tbe\tVBD\tB-VP\tO' -p131130 -aS'most\tmost\tRBS\tB-ADVP\tO' -p131131 -aS'likely\tlikely\tRB\tI-ADVP\tO' -p131132 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p131133 -aS'to\tto\tTO\tB-PP\tO' -p131134 -aS'ketoacidosis\tketoacidosis\tNN\tB-NP\tO' -p131135 -aS'as\tas\tIN\tB-SBAR\tO' -p131136 -aS'she\tshe\tPRP\tB-NP\tO' -p131137 -aS'had\thave\tVBD\tB-VP\tO' -p131138 -aS'no\tno\tDT\tB-NP\tO' -p131139 -aS'dextrose\tdextrose\tNN\tI-NP\tO' -p131140 -aS'in\tin\tIN\tB-PP\tO' -p131141 -aS'her\ther\tPRP$\tB-NP\tO' -p131142 -aS'intravenous\tintravenous\tJJ\tI-NP\tO' -p131143 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p131144 -aS'.\t.\t.\tO\tO' -p131145 -asS'Her abdomen was notable for voluntary guarding but no involuntary guarding or rebound , mild right lower quadrant tenderness greater than left lower quadrant , nondistended .' -p131146 -(lp131147 -S'Her\tHer\tPRP$\tB-NP\tO' -p131148 -aS'abdomen\tabdoman\tNNS\tI-NP\tO' -p131149 -aS'was\tbe\tVBD\tB-VP\tO' -p131150 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p131151 -aS'for\tfor\tIN\tB-PP\tO' -p131152 -aS'voluntary\tvoluntary\tJJ\tB-NP\tO' -p131153 -aS'guarding\tguarding\tNN\tI-NP\tO' -p131154 -aS'but\tbut\tCC\tO\tO' -p131155 -aS'no\tno\tDT\tB-NP\tO' -p131156 -aS'involuntary\tinvoluntary\tJJ\tI-NP\tO' -p131157 -aS'guarding\tguarding\tNN\tI-NP\tO' -p131158 -aS'or\tor\tCC\tO\tO' -p131159 -aS'rebound\trebound\tVB\tB-VP\tO' -p131160 -aS',\t,\t,\tO\tO' -p131161 -aS'mild\tmild\tJJ\tB-NP\tO' -p131162 -aS'right\tright\tRB\tI-NP\tO' -p131163 -aS'lower\tlow\tJJR\tI-NP\tO' -p131164 -aS'quadrant\tquadrant\tJJ\tI-NP\tO' -p131165 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p131166 -aS'greater\tgreat\tJJR\tB-ADJP\tO' -p131167 -aS'than\tthan\tIN\tB-PP\tO' -p131168 -aS'left\tleave\tVBD\tB-VP\tO' -p131169 -aS'lower\tlow\tJJR\tB-NP\tO' -p131170 -aS'quadrant\tquadrant\tJJ\tI-NP\tO' -p131171 -aS',\t,\t,\tI-NP\tO' -p131172 -aS'nondistended\tnondistended\tJJ\tI-NP\tO' -p131173 -aS'.\t.\t.\tO\tO' -p131174 -asS'1. Bactrim double strength one tablet q. Monday , Wednesday and Friday .' -p131175 -(lp131176 -S'1.\t1.\tLS\tB-NP\tO' -p131177 -aS'Bactrim\tBactrim\tNNP\tI-NP\tO' -p131178 -aS'double\tdouble\tJJ\tI-NP\tO' -p131179 -aS'strength\tstrength\tNN\tI-NP\tO' -p131180 -aS'one\tone\tCD\tB-NP\tO' -p131181 -aS'tablet\ttablet\tNN\tI-NP\tO' -p131182 -aS'q.\tq.\tNN\tI-NP\tO' -p131183 -aS'Monday\tMonday\tNNP\tB-NP\tO' -p131184 -aS',\t,\t,\tO\tO' -p131185 -aS'Wednesday\tWednesday\tNNP\tB-NP\tO' -p131186 -aS'and\tand\tCC\tO\tO' -p131187 -aS'Friday\tFriday\tNNP\tB-NP\tO' -p131188 -aS'.\t.\t.\tO\tO' -p131189 -asS'10. Albuterol 90 mcg / Actuation Aerosol Sig : 1-2 Puffs Inhalation Q6H ( every 6 hours ) as needed .' -p131190 -(lp131191 -S'10.\t10.\tCD\tB-NP\tO' -p131192 -aS'Albuterol\tAlbuterol\tNNP\tI-NP\tO' -p131193 -aS'90\t90\tCD\tI-NP\tO' -p131194 -aS'mcg\tmcg\tNN\tI-NP\tO' -p131195 -aS'/\t/\tSYM\tB-NP\tO' -p131196 -aS'Actuation\tActuation\tNN\tI-NP\tO' -p131197 -aS'Aerosol\tAerosol\tNNP\tI-NP\tO' -p131198 -aS'Sig\tSig\tNNP\tI-NP\tO' -p131199 -aS':\t:\t:\tO\tO' -p131200 -aS'1-2\t1-2\tCD\tB-NP\tO' -p131201 -aS'Puffs\tPuff\tNNS\tI-NP\tO' -p131202 -aS'Inhalation\tInhalation\tNN\tI-NP\tO' -p131203 -aS'Q6H\tQ6H\tNN\tI-NP\tO' -p131204 -aS'(\t(\t(\tO\tO' -p131205 -aS'every\tevery\tDT\tB-NP\tO' -p131206 -aS'6\t6\tCD\tI-NP\tO' -p131207 -aS'hours\thour\tNNS\tI-NP\tO' -p131208 -aS')\t)\t)\tO\tO' -p131209 -aS'as\tas\tIN\tB-SBAR\tO' -p131210 -aS'needed\tneed\tVBN\tB-VP\tO' -p131211 -aS'.\t.\t.\tO\tO' -p131212 -asS'Patient was given two boluses of 15 units of regular insulin and was started on an insulin drip of one unit per hour and given a total of five liters of normal saline .' -p131213 -(lp131214 -S'Patient\tPatient\tNN\tB-NP\tO' -p131215 -aS'was\tbe\tVBD\tB-VP\tO' -p131216 -aS'given\tgive\tVBN\tI-VP\tO' -p131217 -aS'two\ttwo\tCD\tB-NP\tO' -p131218 -aS'boluses\tbolus\tNNS\tI-NP\tO' -p131219 -aS'of\tof\tIN\tB-PP\tO' -p131220 -aS'15\t15\tCD\tB-NP\tO' -p131221 -aS'units\tunit\tNNS\tI-NP\tO' -p131222 -aS'of\tof\tIN\tB-PP\tO' -p131223 -aS'regular\tregular\tJJ\tB-NP\tB-protein' -p131224 -aS'insulin\tinsulin\tNN\tI-NP\tI-protein' -p131225 -aS'and\tand\tCC\tO\tO' -p131226 -aS'was\tbe\tVBD\tB-VP\tO' -p131227 -aS'started\tstart\tVBN\tI-VP\tO' -p131228 -aS'on\ton\tIN\tB-PP\tO' -p131229 -aS'an\tan\tDT\tB-NP\tO' -p131230 -aS'insulin\tinsulin\tNN\tI-NP\tO' -p131231 -aS'drip\tdrip\tNN\tI-NP\tO' -p131232 -aS'of\tof\tIN\tB-PP\tO' -p131233 -aS'one\tone\tCD\tB-NP\tO' -p131234 -aS'unit\tunit\tNN\tI-NP\tO' -p131235 -aS'per\tper\tIN\tB-PP\tO' -p131236 -aS'hour\thour\tNN\tB-NP\tO' -p131237 -aS'and\tand\tCC\tO\tO' -p131238 -aS'given\tgive\tVBN\tB-VP\tO' -p131239 -aS'a\ta\tDT\tB-NP\tO' -p131240 -aS'total\ttotal\tNN\tI-NP\tO' -p131241 -aS'of\tof\tIN\tB-PP\tO' -p131242 -aS'five\tfive\tCD\tB-NP\tO' -p131243 -aS'liters\tliter\tNNS\tI-NP\tO' -p131244 -aS'of\tof\tIN\tB-PP\tO' -p131245 -aS'normal\tnormal\tJJ\tB-NP\tO' -p131246 -aS'saline\tsaline\tNN\tI-NP\tO' -p131247 -aS'.\t.\t.\tO\tO' -p131248 -asS'Episodes have been increasing in frequency over the last few months .' -p131249 -(lp131250 -S'Episodes\tEpisode\tNNS\tB-NP\tO' -p131251 -aS'have\thave\tVBP\tB-VP\tO' -p131252 -aS'been\tbe\tVBN\tI-VP\tO' -p131253 -aS'increasing\tincrease\tVBG\tI-VP\tO' -p131254 -aS'in\tin\tIN\tB-PP\tO' -p131255 -aS'frequency\tfrequency\tNN\tB-NP\tO' -p131256 -aS'over\tover\tIN\tB-PP\tO' -p131257 -aS'the\tthe\tDT\tB-NP\tO' -p131258 -aS'last\tlast\tJJ\tI-NP\tO' -p131259 -aS'few\tfew\tJJ\tI-NP\tO' -p131260 -aS'months\tmonth\tNNS\tI-NP\tO' -p131261 -aS'.\t.\t.\tO\tO' -p131262 -asS'A PPD was placed and is to be read on Saturday , 4 26th .' -p131263 -(lp131264 -S'A\tA\tDT\tB-NP\tO' -p131265 -aS'PPD\tPPD\tNN\tI-NP\tB-protein' -p131266 -aS'was\tbe\tVBD\tB-VP\tO' -p131267 -aS'placed\tplace\tVBN\tI-VP\tO' -p131268 -aS'and\tand\tCC\tO\tO' -p131269 -aS'is\tbe\tVBZ\tB-VP\tO' -p131270 -aS'to\tto\tTO\tI-VP\tO' -p131271 -aS'be\tbe\tVB\tI-VP\tO' -p131272 -aS'read\tread\tVBN\tI-VP\tO' -p131273 -aS'on\ton\tIN\tB-PP\tO' -p131274 -aS'Saturday\tSaturday\tNNP\tB-NP\tO' -p131275 -aS',\t,\t,\tO\tO' -p131276 -aS'4\t4\tCD\tB-NP\tO' -p131277 -aS'26th\t26th\tNN\tI-NP\tO' -p131278 -aS'.\t.\t.\tO\tO' -p131279 -asS'He had a regular heart rate and rhythm , no murmur , pulses were 2+ and symmetric .' -p131280 -(lp131281 -S'He\tHe\tPRP\tB-NP\tO' -p131282 -aS'had\thave\tVBD\tB-VP\tO' -p131283 -aS'a\ta\tDT\tB-NP\tO' -p131284 -aS'regular\tregular\tJJ\tI-NP\tO' -p131285 -aS'heart\theart\tNN\tI-NP\tO' -p131286 -aS'rate\trate\tNN\tI-NP\tO' -p131287 -aS'and\tand\tCC\tO\tO' -p131288 -aS'rhythm\trhythm\tNN\tB-NP\tO' -p131289 -aS',\t,\t,\tO\tO' -p131290 -aS'no\tno\tDT\tB-NP\tO' -p131291 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p131292 -aS',\t,\t,\tO\tO' -p131293 -aS'pulses\tpulse\tNNS\tB-NP\tO' -p131294 -aS'were\tbe\tVBD\tB-VP\tO' -p131295 -aS'2+\t2+\tJJ\tB-ADJP\tO' -p131296 -aS'and\tand\tCC\tI-ADJP\tO' -p131297 -aS'symmetric\tsymmetric\tJJ\tI-ADJP\tO' -p131298 -aS'.\t.\t.\tO\tO' -p131299 -asS'3. Pseudomonal sepsis , completed antibiotic course' -p131300 -(lp131301 -S'3.\t3.\tLS\tB-NP\tO' -p131302 -aS'Pseudomonal\tPseudomonal\tJJ\tI-NP\tO' -p131303 -aS'sepsis\tsepsis\tNN\tI-NP\tO' -p131304 -aS',\t,\t,\tO\tO' -p131305 -aS'completed\tcomplete\tVBN\tB-VP\tO' -p131306 -aS'antibiotic\tantibiotic\tJJ\tB-NP\tO' -p131307 -aS'course\tcourse\tNN\tI-NP\tO' -p131308 -asS'He was mildly perseverative and inattentive .' -p131309 -(lp131310 -S'He\tHe\tPRP\tB-NP\tO' -p131311 -aS'was\tbe\tVBD\tB-VP\tO' -p131312 -aS'mildly\tmildly\tRB\tB-ADJP\tO' -p131313 -aS'perseverative\tperseverative\tJJ\tI-ADJP\tO' -p131314 -aS'and\tand\tCC\tI-ADJP\tO' -p131315 -aS'inattentive\tinattentive\tJJ\tI-ADJP\tO' -p131316 -aS'.\t.\t.\tO\tO' -p131317 -asS'Dictated By : William H Centeno , M.D.' -p131318 -(lp131319 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p131320 -aS'By\tBy\tIN\tB-PP\tO' -p131321 -aS':\t:\t:\tO\tO' -p131322 -aS'William\tWilliam\tNNP\tB-NP\tO' -p131323 -aS'H\tH\tNNP\tI-NP\tO' -p131324 -aS'Centeno\tCenteno\tNNP\tI-NP\tO' -p131325 -aS',\t,\t,\tO\tO' -p131326 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p131327 -asS'2. relook coronary angiogram , 08-18-93 .' -p131328 -(lp131329 -S'2.\t2.\tLS\tB-NP\tO' -p131330 -aS'relook\trelook\tNN\tI-NP\tO' -p131331 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p131332 -aS'angiogram\tangiogram\tNN\tI-NP\tO' -p131333 -aS',\t,\t,\tO\tO' -p131334 -aS'08-18-93\t08-18-93\tCD\tB-NP\tO' -p131335 -aS'.\t.\t.\tO\tO' -p131336 -asS'Regular rate and rhythm , S1 , S2 , with soft systolic ejection murmur .' -p131337 -(lp131338 -S'Regular\tRegular\tJJ\tB-NP\tO' -p131339 -aS'rate\trate\tNN\tI-NP\tO' -p131340 -aS'and\tand\tCC\tO\tO' -p131341 -aS'rhythm\trhythm\tNN\tB-NP\tO' -p131342 -aS',\t,\t,\tO\tO' -p131343 -aS'S1\tS1\tNN\tB-NP\tB-protein' -p131344 -aS',\t,\t,\tO\tO' -p131345 -aS'S2\tS2\tNN\tB-NP\tB-protein' -p131346 -aS',\t,\t,\tO\tO' -p131347 -aS'with\twith\tIN\tB-PP\tO' -p131348 -aS'soft\tsoft\tJJ\tB-NP\tO' -p131349 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p131350 -aS'ejection\tejection\tNN\tI-NP\tO' -p131351 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p131352 -aS'.\t.\t.\tO\tO' -p131353 -asS'Troponin 4.7 , CK 101 , MB 3 .' -p131354 -(lp131355 -S'Troponin\tTroponin\tNN\tB-NP\tB-protein' -p131356 -aS'4.7\t4.7\tCD\tI-NP\tI-protein' -p131357 -aS',\t,\t,\tO\tO' -p131358 -aS'CK\tCK\tNN\tB-NP\tB-cell_line' -p131359 -aS'101\t101\tCD\tI-NP\tI-cell_line' -p131360 -aS',\t,\t,\tO\tO' -p131361 -aS'MB\tMB\tNN\tB-NP\tB-protein' -p131362 -aS'3\t3\tCD\tI-NP\tI-protein' -p131363 -aS'.\t.\t.\tO\tO' -p131364 -asS'Facial strength and sensation were full and symmetric .' -p131365 -(lp131366 -S'Facial\tFacial\tJJ\tB-NP\tO' -p131367 -aS'strength\tstrength\tNN\tI-NP\tO' -p131368 -aS'and\tand\tCC\tI-NP\tO' -p131369 -aS'sensation\tsensation\tNN\tI-NP\tO' -p131370 -aS'were\tbe\tVBD\tB-VP\tO' -p131371 -aS'full\tfull\tJJ\tB-ADJP\tO' -p131372 -aS'and\tand\tCC\tI-ADJP\tO' -p131373 -aS'symmetric\tsymmetric\tJJ\tI-ADJP\tO' -p131374 -aS'.\t.\t.\tO\tO' -p131375 -asS'He continued to have multiple dressing changes after his split thickness skin grafts , which he does to this day .' -p131376 -(lp131377 -S'He\tHe\tPRP\tB-NP\tO' -p131378 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p131379 -aS'to\tto\tTO\tI-VP\tO' -p131380 -aS'have\thave\tVB\tI-VP\tO' -p131381 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p131382 -aS'dressing\tdress\tVBG\tI-NP\tO' -p131383 -aS'changes\tchange\tNNS\tI-NP\tO' -p131384 -aS'after\tafter\tIN\tB-PP\tO' -p131385 -aS'his\this\tPRP$\tB-NP\tO' -p131386 -aS'split\tsplit\tJJ\tI-NP\tO' -p131387 -aS'thickness\tthickness\tNN\tI-NP\tO' -p131388 -aS'skin\tskin\tNN\tI-NP\tO' -p131389 -aS'grafts\tgraft\tNNS\tI-NP\tO' -p131390 -aS',\t,\t,\tO\tO' -p131391 -aS'which\twhich\tWDT\tB-NP\tO' -p131392 -aS'he\the\tPRP\tB-NP\tO' -p131393 -aS'does\tdo\tVBZ\tB-VP\tO' -p131394 -aS'to\tto\tTO\tB-PP\tO' -p131395 -aS'this\tthis\tDT\tB-NP\tO' -p131396 -aS'day\tday\tNN\tI-NP\tO' -p131397 -aS'.\t.\t.\tO\tO' -p131398 -asS'The Babinski 's were negative bilaterally .' -p131399 -(lp131400 -S'The\tThe\tDT\tB-NP\tO' -p131401 -aS'Babinski\tBabinski\tNNP\tI-NP\tO' -p131402 -aS''s\t'\tNNS\tI-NP\tO' -p131403 -aS'were\tbe\tVBD\tB-VP\tO' -p131404 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p131405 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p131406 -aS'.\t.\t.\tO\tO' -p131407 -asS'She was treated with albuterol and Atrovent continuous nebulizers and was weaned then to intermittent nebulizer treatments and then to her meter-dosed inhalers taking them q.4h. at the time of discharge .' -p131408 -(lp131409 -S'She\tShe\tPRP\tB-NP\tO' -p131410 -aS'was\tbe\tVBD\tB-VP\tO' -p131411 -aS'treated\ttreat\tVBN\tI-VP\tO' -p131412 -aS'with\twith\tIN\tB-PP\tO' -p131413 -aS'albuterol\talbuterol\tNN\tB-NP\tO' -p131414 -aS'and\tand\tCC\tO\tO' -p131415 -aS'Atrovent\tAtrovent\tVB\tB-VP\tO' -p131416 -aS'continuous\tcontinuous\tJJ\tB-NP\tO' -p131417 -aS'nebulizers\tnebulizer\tNNS\tI-NP\tO' -p131418 -aS'and\tand\tCC\tO\tO' -p131419 -aS'was\tbe\tVBD\tB-VP\tO' -p131420 -aS'weaned\twean\tVBN\tI-VP\tO' -p131421 -aS'then\tthen\tRB\tB-ADVP\tO' -p131422 -aS'to\tto\tTO\tB-PP\tO' -p131423 -aS'intermittent\tintermittent\tJJ\tB-NP\tO' -p131424 -aS'nebulizer\tnebulizer\tNN\tI-NP\tO' -p131425 -aS'treatments\ttreatment\tNNS\tI-NP\tO' -p131426 -aS'and\tand\tCC\tO\tO' -p131427 -aS'then\tthen\tRB\tB-ADVP\tO' -p131428 -aS'to\tto\tTO\tB-PP\tO' -p131429 -aS'her\ther\tPRP$\tB-NP\tO' -p131430 -aS'meter-dosed\tmeter-dosed\tJJ\tI-NP\tO' -p131431 -aS'inhalers\tinhaler\tNNS\tI-NP\tO' -p131432 -aS'taking\ttake\tVBG\tB-VP\tO' -p131433 -aS'them\tthem\tPRP\tB-NP\tO' -p131434 -aS'q.4h.\tq.4h.\tNN\tB-NP\tO' -p131435 -aS'at\tat\tIN\tB-PP\tO' -p131436 -aS'the\tthe\tDT\tB-NP\tO' -p131437 -aS'time\ttime\tNN\tI-NP\tO' -p131438 -aS'of\tof\tIN\tB-PP\tO' -p131439 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p131440 -aS'.\t.\t.\tO\tO' -p131441 -asS'The patient underwent a total vaginal hysterectomy on June 4 , 1993 which she tolerated without complications .' -p131442 -(lp131443 -S'The\tThe\tDT\tB-NP\tO' -p131444 -aS'patient\tpatient\tNN\tI-NP\tO' -p131445 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p131446 -aS'a\ta\tDT\tB-NP\tO' -p131447 -aS'total\ttotal\tJJ\tI-NP\tO' -p131448 -aS'vaginal\tvaginal\tJJ\tI-NP\tO' -p131449 -aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' -p131450 -aS'on\ton\tIN\tB-PP\tO' -p131451 -aS'June\tJune\tNNP\tB-NP\tB-protein' -p131452 -aS'4\t4\tCD\tI-NP\tI-protein' -p131453 -aS',\t,\t,\tI-NP\tO' -p131454 -aS'1993\t1993\tCD\tI-NP\tO' -p131455 -aS'which\twhich\tWDT\tB-NP\tO' -p131456 -aS'she\tshe\tPRP\tB-NP\tO' -p131457 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p131458 -aS'without\twithout\tIN\tB-PP\tO' -p131459 -aS'complications\tcomplication\tNNS\tB-NP\tO' -p131460 -aS'.\t.\t.\tO\tO' -p131461 -asS'This report was created by Breutzbreunbreuncotfalke , Inachelle 03/10/2003 11:28 PM' -p131462 -(lp131463 -S'This\tThis\tDT\tB-NP\tO' -p131464 -aS'report\treport\tNN\tI-NP\tO' -p131465 -aS'was\tbe\tVBD\tB-VP\tO' -p131466 -aS'created\tcreate\tVBN\tI-VP\tO' -p131467 -aS'by\tby\tIN\tB-PP\tO' -p131468 -aS'Breutzbreunbreuncotfalke\tBreutzbreunbreuncotfalke\tNNP\tB-NP\tO' -p131469 -aS',\t,\t,\tO\tO' -p131470 -aS'Inachelle\tInachelle\tNNP\tB-NP\tO' -p131471 -aS'03/10/2003\t03/10/2003\tCD\tB-NP\tO' -p131472 -aS'11:28\t11:28\tCD\tI-NP\tO' -p131473 -aS'PM\tPM\tNN\tI-NP\tO' -p131474 -asS'She had a partial gastrectomy in 1972 for a " tumor " .' -p131475 -(lp131476 -S'She\tShe\tPRP\tB-NP\tO' -p131477 -aS'had\thave\tVBD\tB-VP\tO' -p131478 -aS'a\ta\tDT\tB-NP\tO' -p131479 -aS'partial\tpartial\tJJ\tI-NP\tO' -p131480 -aS'gastrectomy\tgastrectomy\tNN\tI-NP\tO' -p131481 -aS'in\tin\tIN\tB-PP\tO' -p131482 -aS'1972\t1972\tCD\tB-NP\tO' -p131483 -aS'for\tfor\tIN\tB-PP\tO' -p131484 -aS'a\ta\tDT\tB-NP\tO' -p131485 -aS'"\t"\tJJ\tI-NP\tO' -p131486 -aS'tumor\ttumor\tNN\tI-NP\tO' -p131487 -aS'"\t"\tNN\tI-NP\tO' -p131488 -aS'.\t.\t.\tO\tO' -p131489 -asS'2. Risperidone 0.5 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' -p131490 -(lp131491 -S'2.\t2.\tLS\tB-NP\tO' -p131492 -aS'Risperidone\tRisperidone\tNN\tI-NP\tO' -p131493 -aS'0.5\t0.5\tCD\tI-NP\tO' -p131494 -aS'mg\tmg\tNN\tI-NP\tO' -p131495 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p131496 -aS'Sig\tSig\tNNP\tI-NP\tO' -p131497 -aS':\t:\t:\tO\tO' -p131498 -aS'One\tOne\tCD\tB-NP\tO' -p131499 -aS'(\t(\t(\tO\tO' -p131500 -aS'1\t1\tCD\tB-NP\tO' -p131501 -aS')\t)\t)\tO\tO' -p131502 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p131503 -aS'PO\tPO\tNN\tI-NP\tO' -p131504 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p131505 -aS'(\t(\t(\tO\tO' -p131506 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p131507 -aS')\t)\t)\tO\tO' -p131508 -aS'.\t.\t.\tO\tO' -p131509 -asS'Last Echo with EF 55% .' -p131510 -(lp131511 -S'Last\tLast\tJJ\tB-NP\tO' -p131512 -aS'Echo\tEcho\tNN\tI-NP\tO' -p131513 -aS'with\twith\tIN\tB-PP\tO' -p131514 -aS'EF\tEF\tNN\tB-NP\tB-protein' -p131515 -aS'55%\t55%\tCD\tI-NP\tI-protein' -p131516 -aS'.\t.\t.\tO\tO' -p131517 -asS'No CVA tenderness .' -p131518 -(lp131519 -S'No\tNo\tDT\tB-NP\tO' -p131520 -aS'CVA\tCVA\tNN\tI-NP\tO' -p131521 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p131522 -aS'.\t.\t.\tO\tO' -p131523 -asS'Ulcerative colitis , primary sclerosing cholangitis .' -p131524 -(lp131525 -S'Ulcerative\tUlcerative\tJJ\tB-NP\tO' -p131526 -aS'colitis\tcolitis\tNN\tI-NP\tO' -p131527 -aS',\t,\t,\tO\tO' -p131528 -aS'primary\tprimary\tJJ\tB-NP\tO' -p131529 -aS'sclerosing\tsclerose\tVBG\tI-NP\tO' -p131530 -aS'cholangitis\tcholangitis\tNN\tI-NP\tO' -p131531 -aS'.\t.\t.\tO\tO' -p131532 -asS'2014-04-21 - PFO closure via Right mini thoracotomy' -p131533 -(lp131534 -S'2014-04-21\t2014-04-21\tCD\tB-NP\tO' -p131535 -aS'-\t-\tHYPH\tI-NP\tO' -p131536 -aS'PFO\tPFO\tNN\tI-NP\tO' -p131537 -aS'closure\tclosure\tNN\tI-NP\tO' -p131538 -aS'via\tvia\tIN\tB-PP\tO' -p131539 -aS'Right\tRight\tNN\tB-NP\tO' -p131540 -aS'mini\tmini\tNNS\tI-NP\tO' -p131541 -aS'thoracotomy\tthoracotomy\tNN\tI-NP\tO' -p131542 -asS'Recent echocardiogram suggests ejection fraction of 15% .' -p131543 -(lp131544 -S'Recent\tRecent\tJJ\tB-NP\tO' -p131545 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p131546 -aS'suggests\tsuggest\tVBZ\tB-VP\tO' -p131547 -aS'ejection\tejection\tNN\tB-NP\tO' -p131548 -aS'fraction\tfraction\tNN\tI-NP\tO' -p131549 -aS'of\tof\tIN\tB-PP\tO' -p131550 -aS'15%\t15%\tNN\tB-NP\tO' -p131551 -aS'.\t.\t.\tO\tO' -p131552 -asS'1. Large for gestational age .' -p131553 -(lp131554 -S'1.\t1.\tLS\tB-NP\tO' -p131555 -aS'Large\tLarge\tNN\tI-NP\tO' -p131556 -aS'for\tfor\tIN\tB-PP\tO' -p131557 -aS'gestational\tgestational\tJJ\tB-NP\tO' -p131558 -aS'age\tage\tNN\tI-NP\tO' -p131559 -aS'.\t.\t.\tO\tO' -p131560 -asS'It was decided that his goal INR was to be 2.0 .' -p131561 -(lp131562 -S'It\tIt\tPRP\tB-NP\tO' -p131563 -aS'was\tbe\tVBD\tB-VP\tO' -p131564 -aS'decided\tdecide\tVBN\tI-VP\tO' -p131565 -aS'that\tthat\tIN\tB-SBAR\tO' -p131566 -aS'his\this\tPRP$\tB-NP\tO' -p131567 -aS'goal\tgoal\tNN\tI-NP\tB-protein' -p131568 -aS'INR\tINR\tNN\tI-NP\tI-protein' -p131569 -aS'was\tbe\tVBD\tB-VP\tO' -p131570 -aS'to\tto\tTO\tI-VP\tO' -p131571 -aS'be\tbe\tVB\tI-VP\tO' -p131572 -aS'2.0\t2.0\tCD\tB-NP\tO' -p131573 -aS'.\t.\t.\tO\tO' -p131574 -asS'Labs were remarkable for wbc 23.5 w/ 1% bands which decreased to 14 today but now w/ 15% bands on vanc ( h/o MRSA urosepsis ) and gent ( mult drug allergies ) .' -p131575 -(lp131576 -S'Labs\tLab\tNNS\tB-NP\tB-protein' -p131577 -aS'were\tbe\tVBD\tB-VP\tO' -p131578 -aS'remarkable\tremarkable\tJJ\tB-ADJP\tO' -p131579 -aS'for\tfor\tIN\tB-PP\tO' -p131580 -aS'wbc\twbc\tNN\tB-NP\tO' -p131581 -aS'23.5\t23.5\tCD\tI-NP\tO' -p131582 -aS'w/\tw/\tNN\tI-NP\tO' -p131583 -aS'1%\t1%\tCD\tB-NP\tO' -p131584 -aS'bands\tband\tNNS\tI-NP\tO' -p131585 -aS'which\twhich\tWDT\tB-NP\tO' -p131586 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p131587 -aS'to\tto\tTO\tB-PP\tO' -p131588 -aS'14\t14\tCD\tB-NP\tO' -p131589 -aS'today\ttoday\tNN\tB-NP\tO' -p131590 -aS'but\tbut\tCC\tO\tO' -p131591 -aS'now\tnow\tRB\tB-ADVP\tO' -p131592 -aS'w/\tw/\tSYM\tB-NP\tO' -p131593 -aS'15%\t15%\tCD\tB-NP\tO' -p131594 -aS'bands\tband\tNNS\tI-NP\tO' -p131595 -aS'on\ton\tIN\tB-PP\tO' -p131596 -aS'vanc\tvanc\tNN\tB-NP\tO' -p131597 -aS'(\t(\t(\tO\tO' -p131598 -aS'h/o\th/o\tNN\tB-NP\tO' -p131599 -aS'MRSA\tMRSA\tNN\tI-NP\tO' -p131600 -aS'urosepsis\turosepsis\tNN\tI-NP\tO' -p131601 -aS')\t)\t)\tO\tO' -p131602 -aS'and\tand\tCC\tO\tO' -p131603 -aS'gent\tgent\tJJ\tO\tO' -p131604 -aS'(\t(\t(\tO\tO' -p131605 -aS'mult\tmult\tJJ\tB-NP\tO' -p131606 -aS'drug\tdrug\tNN\tI-NP\tO' -p131607 -aS'allergies\tallergy\tNNS\tI-NP\tO' -p131608 -aS')\t)\t)\tO\tO' -p131609 -aS'.\t.\t.\tO\tO' -p131610 -asS'2. Insulin dependent diabetes mellitus .' -p131611 -(lp131612 -S'2.\t2.\tLS\tB-NP\tO' -p131613 -aS'Insulin\tInsulin\tNN\tI-NP\tB-protein' -p131614 -aS'dependent\tdependent\tJJ\tI-NP\tO' -p131615 -aS'diabetes\tdiabete\tNNS\tI-NP\tO' -p131616 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p131617 -aS'.\t.\t.\tO\tO' -p131618 -asS'The father had leukemia and the mother had gastrointestinal cancer .' -p131619 -(lp131620 -S'The\tThe\tDT\tB-NP\tO' -p131621 -aS'father\tfather\tNN\tI-NP\tO' -p131622 -aS'had\thave\tVBD\tB-VP\tO' -p131623 -aS'leukemia\tleukemia\tNN\tB-NP\tO' -p131624 -aS'and\tand\tCC\tO\tO' -p131625 -aS'the\tthe\tDT\tB-NP\tO' -p131626 -aS'mother\tmother\tNN\tI-NP\tO' -p131627 -aS'had\thave\tVBD\tB-VP\tO' -p131628 -aS'gastrointestinal\tgastrointestinal\tJJ\tB-NP\tO' -p131629 -aS'cancer\tcancer\tNN\tI-NP\tO' -p131630 -aS'.\t.\t.\tO\tO' -p131631 -asS'11. Colace 100 mg po bid .' -p131632 -(lp131633 -S'11.\t11.\tLS\tB-NP\tO' -p131634 -aS'Colace\tColace\tNNP\tI-NP\tO' -p131635 -aS'100\t100\tCD\tI-NP\tO' -p131636 -aS'mg\tmg\tNN\tI-NP\tO' -p131637 -aS'po\tpo\tNN\tI-NP\tO' -p131638 -aS'bid\tbid\tNN\tI-NP\tO' -p131639 -aS'.\t.\t.\tO\tO' -p131640 -asS'She underwent a living-related renal transplant in the right iliac fossa .' -p131641 -(lp131642 -S'She\tShe\tPRP\tB-NP\tO' -p131643 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p131644 -aS'a\ta\tDT\tB-NP\tO' -p131645 -aS'living-related\tliving-related\tJJ\tI-NP\tO' -p131646 -aS'renal\trenal\tJJ\tI-NP\tO' -p131647 -aS'transplant\ttransplant\tNN\tI-NP\tO' -p131648 -aS'in\tin\tIN\tB-PP\tO' -p131649 -aS'the\tthe\tDT\tB-NP\tO' -p131650 -aS'right\tright\tJJ\tI-NP\tO' -p131651 -aS'iliac\tiliac\tJJ\tI-NP\tO' -p131652 -aS'fossa\tfossa\tNN\tI-NP\tO' -p131653 -aS'.\t.\t.\tO\tO' -p131654 -asS'Visual field full to hand waving .' -p131655 -(lp131656 -S'Visual\tVisual\tJJ\tB-NP\tO' -p131657 -aS'field\tfield\tNN\tI-NP\tO' -p131658 -aS'full\tfull\tJJ\tB-ADJP\tO' -p131659 -aS'to\tto\tTO\tB-VP\tO' -p131660 -aS'hand\thand\tVB\tI-VP\tO' -p131661 -aS'waving\twave\tVBG\tI-VP\tO' -p131662 -aS'.\t.\t.\tO\tO' -p131663 -asS'His drainage tube from the peripancreatic area was gradually advanced , and eventually discontinued .' -p131664 -(lp131665 -S'His\tHis\tPRP$\tB-NP\tO' -p131666 -aS'drainage\tdrainage\tNN\tI-NP\tO' -p131667 -aS'tube\ttube\tNN\tI-NP\tO' -p131668 -aS'from\tfrom\tIN\tB-PP\tO' -p131669 -aS'the\tthe\tDT\tB-NP\tO' -p131670 -aS'peripancreatic\tperipancreatic\tJJ\tI-NP\tO' -p131671 -aS'area\tarea\tNN\tI-NP\tO' -p131672 -aS'was\tbe\tVBD\tB-VP\tO' -p131673 -aS'gradually\tgradually\tRB\tI-VP\tO' -p131674 -aS'advanced\tadvance\tVBN\tI-VP\tO' -p131675 -aS',\t,\t,\tO\tO' -p131676 -aS'and\tand\tCC\tO\tO' -p131677 -aS'eventually\teventually\tRB\tB-VP\tO' -p131678 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p131679 -aS'.\t.\t.\tO\tO' -p131680 -asS'The patient was encouraged to take PO liquids to prevent volume depletion .' -p131681 -(lp131682 -S'The\tThe\tDT\tB-NP\tO' -p131683 -aS'patient\tpatient\tNN\tI-NP\tO' -p131684 -aS'was\tbe\tVBD\tB-VP\tO' -p131685 -aS'encouraged\tencourage\tVBN\tI-VP\tO' -p131686 -aS'to\tto\tTO\tI-VP\tO' -p131687 -aS'take\ttake\tVB\tI-VP\tO' -p131688 -aS'PO\tPO\tNN\tB-NP\tO' -p131689 -aS'liquids\tliquid\tNNS\tI-NP\tO' -p131690 -aS'to\tto\tTO\tB-VP\tO' -p131691 -aS'prevent\tprevent\tVB\tI-VP\tO' -p131692 -aS'volume\tvolume\tNN\tB-NP\tO' -p131693 -aS'depletion\tdepletion\tNN\tI-NP\tO' -p131694 -aS'.\t.\t.\tO\tO' -p131695 -asS'Disp :* 75 Tablet (s)* Refills :* 0 *' -p131696 -(lp131697 -S'Disp\tDisp\tNN\tB-NP\tO' -p131698 -aS':*\t:*\tSYM\tI-NP\tO' -p131699 -aS'75\t75\tCD\tI-NP\tO' -p131700 -aS'Tablet\tTablet\tNN\tI-NP\tO' -p131701 -aS'(s)*\t(s)*\tSYM\tB-NP\tO' -p131702 -aS'Refills\tRefill\tNNPS\tI-NP\tO' -p131703 -aS':*\t:*\tSYM\tI-NP\tO' -p131704 -aS'0\t0\tCD\tI-NP\tO' -p131705 -aS'*\t*\tSYM\tB-NP\tO' -p131706 -asS'On the newborn nursery the mother called the nurse for concern of baby turning dusky while feeding .' -p131707 -(lp131708 -S'On\tOn\tIN\tB-PP\tO' -p131709 -aS'the\tthe\tDT\tB-NP\tO' -p131710 -aS'newborn\tnewborn\tJJ\tI-NP\tO' -p131711 -aS'nursery\tnursery\tNN\tI-NP\tO' -p131712 -aS'the\tthe\tDT\tB-NP\tO' -p131713 -aS'mother\tmother\tNN\tI-NP\tO' -p131714 -aS'called\tcall\tVBD\tB-VP\tO' -p131715 -aS'the\tthe\tDT\tB-NP\tO' -p131716 -aS'nurse\tnurse\tNN\tI-NP\tO' -p131717 -aS'for\tfor\tIN\tB-PP\tO' -p131718 -aS'concern\tconcern\tNN\tB-NP\tO' -p131719 -aS'of\tof\tIN\tB-PP\tO' -p131720 -aS'baby\tbaby\tNN\tB-NP\tO' -p131721 -aS'turning\tturn\tVBG\tB-VP\tO' -p131722 -aS'dusky\tdusky\tJJ\tB-ADJP\tO' -p131723 -aS'while\twhile\tIN\tB-SBAR\tO' -p131724 -aS'feeding\tfeeding\tNN\tB-NP\tO' -p131725 -aS'.\t.\t.\tO\tO' -p131726 -asS'Signed electronically by : DR. Michael Jackson on : FRI 2014-09-05 11:39 AM' -p131727 -(lp131728 -S'Signed\tSign\tVBN\tB-VP\tO' -p131729 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p131730 -aS'by\tby\tIN\tB-PP\tO' -p131731 -aS':\t:\t:\tO\tO' -p131732 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p131733 -aS'Michael\tMichael\tNNP\tI-NP\tO' -p131734 -aS'Jackson\tJackson\tNNP\tI-NP\tO' -p131735 -aS'on\ton\tIN\tB-PP\tO' -p131736 -aS':\t:\t:\tO\tO' -p131737 -aS'FRI\tFRI\tCD\tB-NP\tO' -p131738 -aS'2014-09-05\t2014-09-05\tCD\tI-NP\tO' -p131739 -aS'11:39\t11:39\tCD\tI-NP\tO' -p131740 -aS'AM\tAM\tNN\tI-NP\tO' -p131741 -asS'This is a 56 year old man with history of hypercholesterolemia and type II diabetes mellitus .' -p131742 -(lp131743 -S'This\tThis\tDT\tB-NP\tO' -p131744 -aS'is\tbe\tVBZ\tB-VP\tO' -p131745 -aS'a\ta\tDT\tB-NP\tO' -p131746 -aS'56\t56\tCD\tI-NP\tO' -p131747 -aS'year\tyear\tNN\tI-NP\tO' -p131748 -aS'old\told\tJJ\tI-NP\tO' -p131749 -aS'man\tman\tNN\tI-NP\tO' -p131750 -aS'with\twith\tIN\tB-PP\tO' -p131751 -aS'history\thistory\tNN\tB-NP\tO' -p131752 -aS'of\tof\tIN\tB-PP\tO' -p131753 -aS'hypercholesterolemia\thypercholesterolemia\tNN\tB-NP\tO' -p131754 -aS'and\tand\tCC\tI-NP\tO' -p131755 -aS'type\ttype\tNN\tI-NP\tO' -p131756 -aS'II\tII\tCD\tI-NP\tO' -p131757 -aS'diabetes\tdiabete\tNNS\tI-NP\tO' -p131758 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p131759 -aS'.\t.\t.\tO\tO' -p131760 -asS'The aorta is normal in caliber , with vascular calcifications .' -p131761 -(lp131762 -S'The\tThe\tDT\tB-NP\tO' -p131763 -aS'aorta\taorta\tNN\tI-NP\tO' -p131764 -aS'is\tbe\tVBZ\tB-VP\tO' -p131765 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p131766 -aS'in\tin\tIN\tB-PP\tO' -p131767 -aS'caliber\tcaliber\tNN\tB-NP\tO' -p131768 -aS',\t,\t,\tO\tO' -p131769 -aS'with\twith\tIN\tB-PP\tO' -p131770 -aS'vascular\tvascular\tJJ\tB-NP\tO' -p131771 -aS'calcifications\tcalcification\tNNS\tI-NP\tO' -p131772 -aS'.\t.\t.\tO\tO' -p131773 -asS'A suicide note found at the scene referenced multiple medical problems as well as suggested ingestion of beta blocker , muscle relaxant , and Neurontin .' -p131774 -(lp131775 -S'A\tA\tDT\tB-NP\tO' -p131776 -aS'suicide\tsuicide\tNN\tI-NP\tO' -p131777 -aS'note\tnote\tNN\tI-NP\tO' -p131778 -aS'found\tfind\tVBN\tB-VP\tO' -p131779 -aS'at\tat\tIN\tB-PP\tO' -p131780 -aS'the\tthe\tDT\tB-NP\tO' -p131781 -aS'scene\tscene\tNN\tI-NP\tO' -p131782 -aS'referenced\treference\tVBD\tB-VP\tO' -p131783 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p131784 -aS'medical\tmedical\tJJ\tI-NP\tO' -p131785 -aS'problems\tproblem\tNNS\tI-NP\tO' -p131786 -aS'as\tas\tRB\tB-CONJP\tO' -p131787 -aS'well\twell\tRB\tI-CONJP\tO' -p131788 -aS'as\tas\tIN\tI-CONJP\tO' -p131789 -aS'suggested\tsuggest\tVBN\tB-NP\tO' -p131790 -aS'ingestion\tingestion\tNN\tI-NP\tO' -p131791 -aS'of\tof\tIN\tB-PP\tO' -p131792 -aS'beta\tbeta\tSYM\tB-NP\tO' -p131793 -aS'blocker\tblocker\tNN\tI-NP\tO' -p131794 -aS',\t,\t,\tO\tO' -p131795 -aS'muscle\tmuscle\tNN\tB-NP\tO' -p131796 -aS'relaxant\trelaxant\tNN\tI-NP\tO' -p131797 -aS',\t,\t,\tO\tO' -p131798 -aS'and\tand\tCC\tO\tO' -p131799 -aS'Neurontin\tNeurontin\tNN\tB-NP\tB-protein' -p131800 -aS'.\t.\t.\tO\tO' -p131801 -asS'Also with a history of noninsulin dependent diabetes mellitus , now presenting with acute blurry vision on the left side , which is homonymous .' -p131802 -(lp131803 -S'Also\tAlso\tRB\tB-ADVP\tO' -p131804 -aS'with\twith\tIN\tB-PP\tO' -p131805 -aS'a\ta\tDT\tB-NP\tO' -p131806 -aS'history\thistory\tNN\tI-NP\tO' -p131807 -aS'of\tof\tIN\tB-PP\tO' -p131808 -aS'noninsulin\tnoninsulin\tNN\tB-NP\tB-protein' -p131809 -aS'dependent\tdependent\tJJ\tI-NP\tO' -p131810 -aS'diabetes\tdiabete\tNNS\tI-NP\tO' -p131811 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p131812 -aS',\t,\t,\tO\tO' -p131813 -aS'now\tnow\tRB\tB-ADVP\tO' -p131814 -aS'presenting\tpresent\tVBG\tB-VP\tO' -p131815 -aS'with\twith\tIN\tB-PP\tO' -p131816 -aS'acute\tacute\tJJ\tB-NP\tO' -p131817 -aS'blurry\tblurry\tJJ\tI-NP\tO' -p131818 -aS'vision\tvision\tNN\tI-NP\tO' -p131819 -aS'on\ton\tIN\tB-PP\tO' -p131820 -aS'the\tthe\tDT\tB-NP\tO' -p131821 -aS'left\tleft\tJJ\tI-NP\tO' -p131822 -aS'side\tside\tNN\tI-NP\tO' -p131823 -aS',\t,\t,\tO\tO' -p131824 -aS'which\twhich\tWDT\tB-NP\tO' -p131825 -aS'is\tbe\tVBZ\tB-VP\tO' -p131826 -aS'homonymous\thomonymous\tJJ\tB-ADJP\tO' -p131827 -aS'.\t.\t.\tO\tO' -p131828 -asS'He was on a house diet and tolerating it well at this time as well .' -p131829 -(lp131830 -S'He\tHe\tPRP\tB-NP\tO' -p131831 -aS'was\tbe\tVBD\tB-VP\tO' -p131832 -aS'on\ton\tIN\tB-PP\tO' -p131833 -aS'a\ta\tDT\tB-NP\tO' -p131834 -aS'house\thouse\tNN\tI-NP\tO' -p131835 -aS'diet\tdiet\tNN\tI-NP\tO' -p131836 -aS'and\tand\tCC\tO\tO' -p131837 -aS'tolerating\ttolerate\tVBG\tB-VP\tO' -p131838 -aS'it\tit\tPRP\tB-NP\tO' -p131839 -aS'well\twell\tRB\tB-ADVP\tO' -p131840 -aS'at\tat\tIN\tB-PP\tO' -p131841 -aS'this\tthis\tDT\tB-NP\tO' -p131842 -aS'time\ttime\tNN\tI-NP\tO' -p131843 -aS'as\tas\tRB\tB-ADVP\tO' -p131844 -aS'well\twell\tRB\tI-ADVP\tO' -p131845 -aS'.\t.\t.\tO\tO' -p131846 -asS'You should follow-up with Dr. Grendwierst .' -p131847 -(lp131848 -S'You\tYou\tPRP\tB-NP\tB-protein' -p131849 -aS'should\tshould\tMD\tB-VP\tO' -p131850 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p131851 -aS'with\twith\tIN\tB-PP\tO' -p131852 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p131853 -aS'Grendwierst\tGrendwierst\tNNP\tI-NP\tO' -p131854 -aS'.\t.\t.\tO\tO' -p131855 -asS'soft , nontender , nondistended , positive bowel sounds , there is no hepatosplenomegaly .' -p131856 -(lp131857 -S'soft\tsoft\tJJ\tB-NP\tO' -p131858 -aS',\t,\t,\tI-NP\tO' -p131859 -aS'nontender\tnontender\tJJ\tI-NP\tO' -p131860 -aS',\t,\t,\tI-NP\tO' -p131861 -aS'nondistended\tnondistended\tJJ\tI-NP\tO' -p131862 -aS',\t,\t,\tI-NP\tO' -p131863 -aS'positive\tpositive\tJJ\tI-NP\tO' -p131864 -aS'bowel\tbowel\tNN\tI-NP\tO' -p131865 -aS'sounds\tsound\tNNS\tI-NP\tO' -p131866 -aS',\t,\t,\tO\tO' -p131867 -aS'there\tthere\tEX\tB-NP\tO' -p131868 -aS'is\tbe\tVBZ\tB-VP\tO' -p131869 -aS'no\tno\tDT\tB-NP\tO' -p131870 -aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tI-NP\tO' -p131871 -aS'.\t.\t.\tO\tO' -p131872 -asS'Ext : thin , no edema , multiple old well-healed scars on R leg' -p131873 -(lp131874 -S'Ext\tExt\tNN\tB-NP\tO' -p131875 -aS':\t:\t:\tO\tO' -p131876 -aS'thin\tthin\tJJ\tB-ADJP\tO' -p131877 -aS',\t,\t,\tO\tO' -p131878 -aS'no\tno\tDT\tB-NP\tO' -p131879 -aS'edema\tedema\tNN\tI-NP\tO' -p131880 -aS',\t,\t,\tO\tO' -p131881 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p131882 -aS'old\told\tJJ\tI-NP\tO' -p131883 -aS'well-healed\twell-healed\tJJ\tI-NP\tO' -p131884 -aS'scars\tscar\tNNS\tI-NP\tO' -p131885 -aS'on\ton\tIN\tB-PP\tO' -p131886 -aS'R\tR\tNN\tB-NP\tO' -p131887 -aS'leg\tleg\tNN\tI-NP\tO' -p131888 -asS'Bipolar D/O with one suicide attempt by overdose several years ago' -p131889 -(lp131890 -S'Bipolar\tBipolar\tJJ\tB-NP\tO' -p131891 -aS'D/O\tD/O\tNN\tI-NP\tO' -p131892 -aS'with\twith\tIN\tB-PP\tO' -p131893 -aS'one\tone\tCD\tB-NP\tO' -p131894 -aS'suicide\tsuicide\tNN\tI-NP\tO' -p131895 -aS'attempt\tattempt\tNN\tI-NP\tO' -p131896 -aS'by\tby\tIN\tB-PP\tO' -p131897 -aS'overdose\toverdose\tJJ\tB-NP\tO' -p131898 -aS'several\tseveral\tJJ\tI-NP\tO' -p131899 -aS'years\tyear\tNNS\tI-NP\tO' -p131900 -aS'ago\tago\tIN\tB-ADVP\tO' -p131901 -asS'EKG was unchanged compared to the prior EKG several months ago .' -p131902 -(lp131903 -S'EKG\tEKG\tNN\tB-NP\tB-protein' -p131904 -aS'was\tbe\tVBD\tB-VP\tO' -p131905 -aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' -p131906 -aS'compared\tcompare\tVBN\tB-PP\tO' -p131907 -aS'to\tto\tTO\tB-PP\tO' -p131908 -aS'the\tthe\tDT\tB-NP\tO' -p131909 -aS'prior\tprior\tJJ\tI-NP\tO' -p131910 -aS'EKG\tEKG\tNN\tI-NP\tO' -p131911 -aS'several\tseveral\tJJ\tB-NP\tO' -p131912 -aS'months\tmonth\tNNS\tI-NP\tO' -p131913 -aS'ago\tago\tRB\tB-ADVP\tO' -p131914 -aS'.\t.\t.\tO\tO' -p131915 -asS'She was found comatose at home by EMS and was brought to the Emergency Department .' -p131916 -(lp131917 -S'She\tShe\tPRP\tB-NP\tO' -p131918 -aS'was\tbe\tVBD\tB-VP\tO' -p131919 -aS'found\tfind\tVBN\tI-VP\tO' -p131920 -aS'comatose\tcomatose\tNN\tB-NP\tO' -p131921 -aS'at\tat\tIN\tB-PP\tO' -p131922 -aS'home\thome\tNN\tB-NP\tO' -p131923 -aS'by\tby\tIN\tB-PP\tO' -p131924 -aS'EMS\tEMS\tNNP\tB-NP\tO' -p131925 -aS'and\tand\tCC\tO\tO' -p131926 -aS'was\tbe\tVBD\tB-VP\tO' -p131927 -aS'brought\tbring\tVBN\tI-VP\tO' -p131928 -aS'to\tto\tTO\tB-PP\tO' -p131929 -aS'the\tthe\tDT\tB-NP\tO' -p131930 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p131931 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p131932 -aS'.\t.\t.\tO\tO' -p131933 -asS'Cranial nerves 2 through 12 intact .' -p131934 -(lp131935 -S'Cranial\tCranial\tNNP\tB-NP\tO' -p131936 -aS'nerves\tnerve\tVBZ\tB-VP\tO' -p131937 -aS'2\t2\tCD\tB-NP\tO' -p131938 -aS'through\tthrough\tIN\tI-NP\tO' -p131939 -aS'12\t12\tCD\tI-NP\tO' -p131940 -aS'intact\tintact\tJJ\tI-NP\tO' -p131941 -aS'.\t.\t.\tO\tO' -p131942 -asS'Hibbskote has severe low back pain radiating down the right leg .' -p131943 -(lp131944 -S'Hibbskote\tHibbskote\tNNP\tB-NP\tO' -p131945 -aS'has\thave\tVBZ\tB-VP\tO' -p131946 -aS'severe\tsevere\tJJ\tB-NP\tO' -p131947 -aS'low\tlow\tJJ\tI-NP\tO' -p131948 -aS'back\tback\tJJ\tI-NP\tO' -p131949 -aS'pain\tpain\tNN\tI-NP\tO' -p131950 -aS'radiating\tradiate\tVBG\tB-VP\tO' -p131951 -aS'down\tdown\tIN\tB-PP\tO' -p131952 -aS'the\tthe\tDT\tB-NP\tO' -p131953 -aS'right\tright\tJJ\tI-NP\tO' -p131954 -aS'leg\tleg\tNN\tI-NP\tO' -p131955 -aS'.\t.\t.\tO\tO' -p131956 -asS'Tenormin 50 mg bid , Valium 5 mg bid to tid , Premarin 0.625 mg qd , Provera 2.5 mg qod , Desyrel 50 mg qhs .' -p131957 -(lp131958 -S'Tenormin\tTenormin\tNN\tB-NP\tO' -p131959 -aS'50\t50\tCD\tI-NP\tO' -p131960 -aS'mg\tmg\tNN\tI-NP\tO' -p131961 -aS'bid\tbid\tRB\tB-ADVP\tO' -p131962 -aS',\t,\t,\tO\tO' -p131963 -aS'Valium\tValium\tNNP\tB-NP\tO' -p131964 -aS'5\t5\tCD\tI-NP\tO' -p131965 -aS'mg\tmg\tNN\tI-NP\tO' -p131966 -aS'bid\tbid\tRB\tB-ADVP\tO' -p131967 -aS'to\tto\tTO\tB-VP\tO' -p131968 -aS'tid\ttid\tVB\tI-VP\tO' -p131969 -aS',\t,\t,\tO\tO' -p131970 -aS'Premarin\tPremarin\tNN\tB-NP\tO' -p131971 -aS'0.625\t0.625\tCD\tI-NP\tO' -p131972 -aS'mg\tmg\tNN\tI-NP\tO' -p131973 -aS'qd\tqd\tNN\tI-NP\tO' -p131974 -aS',\t,\t,\tO\tO' -p131975 -aS'Provera\tProvera\tNN\tB-NP\tO' -p131976 -aS'2.5\t2.5\tCD\tI-NP\tO' -p131977 -aS'mg\tmg\tNN\tI-NP\tO' -p131978 -aS'qod\tqod\tNN\tI-NP\tO' -p131979 -aS',\t,\t,\tO\tO' -p131980 -aS'Desyrel\tDesyrel\tNN\tB-NP\tO' -p131981 -aS'50\t50\tCD\tI-NP\tO' -p131982 -aS'mg\tmg\tNN\tI-NP\tO' -p131983 -aS'qhs\tqh\tNNS\tI-NP\tO' -p131984 -aS'.\t.\t.\tO\tO' -p131985 -asS'The patient had no complications or further events while in house .' -p131986 -(lp131987 -S'The\tThe\tDT\tB-NP\tO' -p131988 -aS'patient\tpatient\tNN\tI-NP\tO' -p131989 -aS'had\thave\tVBD\tB-VP\tO' -p131990 -aS'no\tno\tDT\tB-NP\tO' -p131991 -aS'complications\tcomplication\tNNS\tI-NP\tO' -p131992 -aS'or\tor\tCC\tO\tO' -p131993 -aS'further\tfurther\tJJ\tB-NP\tO' -p131994 -aS'events\tevent\tNNS\tI-NP\tO' -p131995 -aS'while\twhile\tIN\tB-SBAR\tO' -p131996 -aS'in\tin\tIN\tB-PP\tO' -p131997 -aS'house\thouse\tNN\tB-NP\tO' -p131998 -aS'.\t.\t.\tO\tO' -p131999 -asS'He was readmitted for phototherapy on day of life #5 for a bilirubin of 23.3 .' -p132000 -(lp132001 -S'He\tHe\tPRP\tB-NP\tO' -p132002 -aS'was\tbe\tVBD\tB-VP\tO' -p132003 -aS'readmitted\treadmitte\tVBN\tI-VP\tO' -p132004 -aS'for\tfor\tIN\tB-PP\tO' -p132005 -aS'phototherapy\tphototherapy\tNN\tB-NP\tO' -p132006 -aS'on\ton\tIN\tB-PP\tO' -p132007 -aS'day\tday\tNN\tB-NP\tO' -p132008 -aS'of\tof\tIN\tB-PP\tO' -p132009 -aS'life\tlife\tNN\tB-NP\tO' -p132010 -aS'#5\t#5\tCD\tI-NP\tO' -p132011 -aS'for\tfor\tIN\tB-PP\tO' -p132012 -aS'a\ta\tDT\tB-NP\tO' -p132013 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p132014 -aS'of\tof\tIN\tB-PP\tO' -p132015 -aS'23.3\t23.3\tCD\tB-NP\tO' -p132016 -aS'.\t.\t.\tO\tO' -p132017 -asS'Conditions , Infections , Complications , affecting Treatment / Stay right scrotal hydrocele bph ( benign prostatic hypertrophy ) ? nph ( ? hydrocephalus ) dementia ( dementia )' -p132018 -(lp132019 -S'Conditions\tCondition\tNNS\tB-NP\tO' -p132020 -aS',\t,\t,\tO\tO' -p132021 -aS'Infections\tInfection\tNNS\tB-NP\tO' -p132022 -aS',\t,\t,\tO\tO' -p132023 -aS'Complications\tComplication\tNNS\tB-NP\tO' -p132024 -aS',\t,\t,\tO\tO' -p132025 -aS'affecting\taffect\tVBG\tB-VP\tO' -p132026 -aS'Treatment\tTreatment\tNN\tB-NP\tO' -p132027 -aS'/\t/\tSYM\tB-NP\tO' -p132028 -aS'Stay\tStay\tNN\tI-NP\tO' -p132029 -aS'right\tright\tJJ\tI-NP\tO' -p132030 -aS'scrotal\tscrotal\tJJ\tI-NP\tO' -p132031 -aS'hydrocele\thydrocele\tNN\tI-NP\tO' -p132032 -aS'bph\tbph\tNN\tI-NP\tO' -p132033 -aS'(\t(\t(\tO\tO' -p132034 -aS'benign\tbenign\tJJ\tB-NP\tO' -p132035 -aS'prostatic\tprostatic\tJJ\tI-NP\tO' -p132036 -aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' -p132037 -aS')\t)\t)\tO\tO' -p132038 -aS'?\t?\t.\tO\tO' -p132039 -aS'nph\tnph\tNN\tB-NP\tO' -p132040 -aS'(\t(\t(\tO\tO' -p132041 -aS'?\t?\t.\tO\tO' -p132042 -aS'hydrocephalus\thydrocephalus\tNN\tO\tO' -p132043 -aS')\t)\t)\tO\tO' -p132044 -aS'dementia\tdementia\tNN\tB-NP\tO' -p132045 -aS'(\t(\t(\tO\tO' -p132046 -aS'dementia\tdementia\tNN\tB-NP\tO' -p132047 -aS')\t)\t)\tO\tO' -p132048 -asS'She should continue to wear the brace when out of bed and there should be no heavy lifting , twisting or bending activities .' -p132049 -(lp132050 -S'She\tShe\tPRP\tB-NP\tO' -p132051 -aS'should\tshould\tMD\tB-VP\tO' -p132052 -aS'continue\tcontinue\tVB\tI-VP\tO' -p132053 -aS'to\tto\tTO\tI-VP\tO' -p132054 -aS'wear\twear\tVB\tI-VP\tO' -p132055 -aS'the\tthe\tDT\tB-NP\tO' -p132056 -aS'brace\tbrace\tNN\tI-NP\tO' -p132057 -aS'when\twhen\tWRB\tB-ADVP\tO' -p132058 -aS'out\tout\tIN\tB-PP\tO' -p132059 -aS'of\tof\tIN\tB-PP\tO' -p132060 -aS'bed\tbed\tNN\tB-NP\tO' -p132061 -aS'and\tand\tCC\tO\tO' -p132062 -aS'there\tthere\tEX\tB-NP\tO' -p132063 -aS'should\tshould\tMD\tB-VP\tO' -p132064 -aS'be\tbe\tVB\tI-VP\tO' -p132065 -aS'no\tno\tDT\tB-NP\tO' -p132066 -aS'heavy\theavy\tJJ\tI-NP\tO' -p132067 -aS'lifting\tlifting\tNN\tI-NP\tO' -p132068 -aS',\t,\t,\tO\tO' -p132069 -aS'twisting\ttwist\tVBG\tB-VP\tO' -p132070 -aS'or\tor\tCC\tI-VP\tO' -p132071 -aS'bending\tbend\tVBG\tI-VP\tO' -p132072 -aS'activities\tactivity\tNNS\tB-NP\tO' -p132073 -aS'.\t.\t.\tO\tO' -p132074 -asS'The patient is now admitted for fluid rehydration therapy and observation .' -p132075 -(lp132076 -S'The\tThe\tDT\tB-NP\tO' -p132077 -aS'patient\tpatient\tNN\tI-NP\tO' -p132078 -aS'is\tbe\tVBZ\tB-VP\tO' -p132079 -aS'now\tnow\tRB\tI-VP\tO' -p132080 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p132081 -aS'for\tfor\tIN\tB-PP\tO' -p132082 -aS'fluid\tfluid\tNN\tB-NP\tO' -p132083 -aS'rehydration\trehydration\tNN\tI-NP\tO' -p132084 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p132085 -aS'and\tand\tCC\tI-NP\tO' -p132086 -aS'observation\tobservation\tNN\tI-NP\tO' -p132087 -aS'.\t.\t.\tO\tO' -p132088 -asS'Cultures were taken and he was sent out .' -p132089 -(lp132090 -S'Cultures\tCulture\tNNS\tB-NP\tO' -p132091 -aS'were\tbe\tVBD\tB-VP\tO' -p132092 -aS'taken\ttake\tVBN\tI-VP\tO' -p132093 -aS'and\tand\tCC\tO\tO' -p132094 -aS'he\the\tPRP\tB-NP\tO' -p132095 -aS'was\tbe\tVBD\tB-VP\tO' -p132096 -aS'sent\tsend\tVBN\tI-VP\tO' -p132097 -aS'out\tout\tRP\tB-PRT\tO' -p132098 -aS'.\t.\t.\tO\tO' -p132099 -asS'He was also found to have dilated pancreatic ducts with calcifications consistent with chronic pancreatitis .' -p132100 -(lp132101 -S'He\tHe\tPRP\tB-NP\tO' -p132102 -aS'was\tbe\tVBD\tB-VP\tO' -p132103 -aS'also\talso\tRB\tI-VP\tO' -p132104 -aS'found\tfind\tVBN\tI-VP\tO' -p132105 -aS'to\tto\tTO\tI-VP\tO' -p132106 -aS'have\thave\tVB\tI-VP\tO' -p132107 -aS'dilated\tdilate\tVBN\tI-VP\tO' -p132108 -aS'pancreatic\tpancreatic\tJJ\tB-NP\tO' -p132109 -aS'ducts\tduct\tNNS\tI-NP\tO' -p132110 -aS'with\twith\tIN\tB-PP\tO' -p132111 -aS'calcifications\tcalcification\tNNS\tB-NP\tO' -p132112 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p132113 -aS'with\twith\tIN\tB-PP\tO' -p132114 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p132115 -aS'pancreatitis\tpancreatitis\tNN\tI-NP\tO' -p132116 -aS'.\t.\t.\tO\tO' -p132117 -asS'Prochlorperazine 10 mg IV Q6H prn' -p132118 -(lp132119 -S'Prochlorperazine\tProchlorperazine\tNN\tB-NP\tO' -p132120 -aS'10\t10\tCD\tI-NP\tO' -p132121 -aS'mg\tmg\tNN\tI-NP\tO' -p132122 -aS'IV\tIV\tCD\tB-NP\tO' -p132123 -aS'Q6H\tQ6H\tNN\tI-NP\tO' -p132124 -aS'prn\tprn\tNN\tI-NP\tO' -p132125 -asS'Right laminectomy and discectomy by Dr. Small , Neurosurgery .' -p132126 -(lp132127 -S'Right\tRight\tNN\tB-NP\tO' -p132128 -aS'laminectomy\tlaminectomy\tNN\tI-NP\tO' -p132129 -aS'and\tand\tCC\tI-NP\tO' -p132130 -aS'discectomy\tdiscectomy\tNN\tI-NP\tO' -p132131 -aS'by\tby\tIN\tB-PP\tO' -p132132 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p132133 -aS'Small\tSmall\tNNP\tI-NP\tO' -p132134 -aS',\t,\t,\tO\tO' -p132135 -aS'Neurosurgery\tNeurosurgery\tNNP\tB-NP\tO' -p132136 -aS'.\t.\t.\tO\tO' -p132137 -asS"In the St. Margaret 's Center for Women & Infants , the patient was lethargic and unable to give a history ." -p132138 -(lp132139 -S'In\tIn\tIN\tB-PP\tO' -p132140 -aS'the\tthe\tDT\tB-NP\tO' -p132141 -aS'St.\tSt.\tNNP\tI-NP\tO' -p132142 -aS'Margaret\tMargaret\tNNP\tI-NP\tO' -p132143 -aS"'s\t's\tPOS\tB-NP\tO" -p132144 -aS'Center\tCenter\tNNP\tI-NP\tO' -p132145 -aS'for\tfor\tIN\tB-PP\tO' -p132146 -aS'Women\tWomen\tNNP\tB-NP\tO' -p132147 -aS'&\t&\tCC\tI-NP\tO' -p132148 -aS'Infants\tInfant\tNNPS\tI-NP\tO' -p132149 -aS',\t,\t,\tO\tO' -p132150 -aS'the\tthe\tDT\tB-NP\tO' -p132151 -aS'patient\tpatient\tNN\tI-NP\tO' -p132152 -aS'was\tbe\tVBD\tB-VP\tO' -p132153 -aS'lethargic\tlethargic\tJJ\tB-ADJP\tO' -p132154 -aS'and\tand\tCC\tI-ADJP\tO' -p132155 -aS'unable\tunable\tJJ\tI-ADJP\tO' -p132156 -aS'to\tto\tTO\tB-VP\tO' -p132157 -aS'give\tgive\tVB\tI-VP\tO' -p132158 -aS'a\ta\tDT\tB-NP\tO' -p132159 -aS'history\thistory\tNN\tI-NP\tO' -p132160 -aS'.\t.\t.\tO\tO' -p132161 -asS'This pregnancy complicated by hydramnios also .' -p132162 -(lp132163 -S'This\tThis\tDT\tB-NP\tO' -p132164 -aS'pregnancy\tpregnancy\tNN\tI-NP\tO' -p132165 -aS'complicated\tcomplicate\tVBN\tB-VP\tO' -p132166 -aS'by\tby\tIN\tB-PP\tO' -p132167 -aS'hydramnios\thydramnio\tNNS\tB-NP\tO' -p132168 -aS'also\talso\tRB\tB-ADVP\tO' -p132169 -aS'.\t.\t.\tO\tO' -p132170 -asS'You have been admitted for evaluation of an esophageal bleed .' -p132171 -(lp132172 -S'You\tYou\tPRP\tB-NP\tB-protein' -p132173 -aS'have\thave\tVBP\tB-VP\tO' -p132174 -aS'been\tbe\tVBN\tI-VP\tO' -p132175 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p132176 -aS'for\tfor\tIN\tB-PP\tO' -p132177 -aS'evaluation\tevaluation\tNN\tB-NP\tO' -p132178 -aS'of\tof\tIN\tB-PP\tO' -p132179 -aS'an\tan\tDT\tB-NP\tO' -p132180 -aS'esophageal\tesophageal\tJJ\tI-NP\tO' -p132181 -aS'bleed\tbleed\tNN\tI-NP\tO' -p132182 -aS'.\t.\t.\tO\tO' -p132183 -asS'He is also to be strict n.p.o.' -p132184 -(lp132185 -S'He\tHe\tPRP\tB-NP\tO' -p132186 -aS'is\tbe\tVBZ\tB-VP\tO' -p132187 -aS'also\talso\tRB\tB-ADVP\tO' -p132188 -aS'to\tto\tTO\tB-VP\tO' -p132189 -aS'be\tbe\tVB\tI-VP\tO' -p132190 -aS'strict\tstrict\tJJ\tB-NP\tO' -p132191 -aS'n.p.o.\tn.p.o.\tNN\tI-NP\tO' -p132192 -asS'Once the digoxin was no longer having effect , metoprolol was titrated back to home dose .' -p132193 -(lp132194 -S'Once\tOnce\tRB\tO\tO' -p132195 -aS'the\tthe\tDT\tB-NP\tO' -p132196 -aS'digoxin\tdigoxin\tNN\tI-NP\tO' -p132197 -aS'was\tbe\tVBD\tB-VP\tO' -p132198 -aS'no\tno\tRB\tB-ADVP\tO' -p132199 -aS'longer\tlonger\tRBR\tI-ADVP\tO' -p132200 -aS'having\thave\tVBG\tB-VP\tO' -p132201 -aS'effect\teffect\tNN\tB-NP\tO' -p132202 -aS',\t,\t,\tO\tO' -p132203 -aS'metoprolol\tmetoprolol\tNN\tB-NP\tO' -p132204 -aS'was\tbe\tVBD\tB-VP\tO' -p132205 -aS'titrated\ttitrate\tVBN\tI-VP\tO' -p132206 -aS'back\tback\tRB\tB-ADVP\tO' -p132207 -aS'to\tto\tTO\tB-PP\tO' -p132208 -aS'home\thome\tNN\tB-NP\tO' -p132209 -aS'dose\tdose\tNN\tI-NP\tO' -p132210 -aS'.\t.\t.\tO\tO' -p132211 -asS'He has fine dental hygiene .' -p132212 -(lp132213 -S'He\tHe\tPRP\tB-NP\tO' -p132214 -aS'has\thave\tVBZ\tB-VP\tO' -p132215 -aS'fine\tfine\tJJ\tB-NP\tO' -p132216 -aS'dental\tdental\tJJ\tI-NP\tO' -p132217 -aS'hygiene\thygiene\tNN\tI-NP\tO' -p132218 -aS'.\t.\t.\tO\tO' -p132219 -asS'Positive right carotid bruits .' -p132220 -(lp132221 -S'Positive\tPositive\tJJ\tB-NP\tO' -p132222 -aS'right\tright\tJJ\tI-NP\tO' -p132223 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p132224 -aS'bruits\tbruit\tNNS\tI-NP\tO' -p132225 -aS'.\t.\t.\tO\tO' -p132226 -asS'He was intubated and sedated at the time .' -p132227 -(lp132228 -S'He\tHe\tPRP\tB-NP\tO' -p132229 -aS'was\tbe\tVBD\tB-VP\tO' -p132230 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p132231 -aS'and\tand\tCC\tO\tO' -p132232 -aS'sedated\tsedate\tVBN\tB-VP\tO' -p132233 -aS'at\tat\tIN\tB-PP\tO' -p132234 -aS'the\tthe\tDT\tB-NP\tO' -p132235 -aS'time\ttime\tNN\tI-NP\tO' -p132236 -aS'.\t.\t.\tO\tO' -p132237 -asS'The patient will follow up with her primary care physician , Dr. Benson , ( 845 ) 253 6629 in two weeks by calling to schedule an appointment .' -p132238 -(lp132239 -S'The\tThe\tDT\tB-NP\tO' -p132240 -aS'patient\tpatient\tNN\tI-NP\tO' -p132241 -aS'will\twill\tMD\tB-VP\tO' -p132242 -aS'follow\tfollow\tVB\tI-VP\tO' -p132243 -aS'up\tup\tRP\tB-PRT\tO' -p132244 -aS'with\twith\tIN\tB-PP\tO' -p132245 -aS'her\ther\tPRP$\tB-NP\tO' -p132246 -aS'primary\tprimary\tJJ\tI-NP\tO' -p132247 -aS'care\tcare\tNN\tI-NP\tO' -p132248 -aS'physician\tphysician\tNN\tI-NP\tO' -p132249 -aS',\t,\t,\tO\tO' -p132250 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p132251 -aS'Benson\tBenson\tNNP\tI-NP\tO' -p132252 -aS',\t,\t,\tO\tO' -p132253 -aS'(\t(\t(\tO\tO' -p132254 -aS'845\t845\tCD\tB-NP\tO' -p132255 -aS')\t)\t)\tO\tO' -p132256 -aS'253\t253\tCD\tB-NP\tO' -p132257 -aS'6629\t6629\tCD\tI-NP\tO' -p132258 -aS'in\tin\tIN\tB-PP\tO' -p132259 -aS'two\ttwo\tCD\tB-NP\tO' -p132260 -aS'weeks\tweek\tNNS\tI-NP\tO' -p132261 -aS'by\tby\tIN\tB-PP\tO' -p132262 -aS'calling\tcall\tVBG\tB-VP\tO' -p132263 -aS'to\tto\tTO\tI-VP\tO' -p132264 -aS'schedule\tschedule\tVB\tI-VP\tO' -p132265 -aS'an\tan\tDT\tB-NP\tO' -p132266 -aS'appointment\tappointment\tNN\tI-NP\tO' -p132267 -aS'.\t.\t.\tO\tO' -p132268 -asS'ALT 106 , AST 149 , alkaline phosphatase 242 .' -p132269 -(lp132270 -S'ALT\tALT\tNN\tB-NP\tB-protein' -p132271 -aS'106\t106\tCD\tI-NP\tI-protein' -p132272 -aS',\t,\t,\tO\tO' -p132273 -aS'AST\tAST\tNN\tB-NP\tB-DNA' -p132274 -aS'149\t149\tCD\tI-NP\tI-DNA' -p132275 -aS',\t,\t,\tO\tO' -p132276 -aS'alkaline\talkaline\tNN\tB-NP\tO' -p132277 -aS'phosphatase\tphosphatase\tNN\tI-NP\tO' -p132278 -aS'242\t242\tCD\tI-NP\tO' -p132279 -aS'.\t.\t.\tO\tO' -p132280 -asS'Her transaminases were slightly elevated , which was later attributed to shock liver as a result of her period of hypotension .' -p132281 -(lp132282 -S'Her\tHer\tPRP$\tB-NP\tO' -p132283 -aS'transaminases\ttransaminase\tNNS\tI-NP\tB-protein' -p132284 -aS'were\tbe\tVBD\tB-VP\tO' -p132285 -aS'slightly\tslightly\tRB\tI-VP\tO' -p132286 -aS'elevated\televate\tVBN\tI-VP\tO' -p132287 -aS',\t,\t,\tO\tO' -p132288 -aS'which\twhich\tWDT\tB-NP\tO' -p132289 -aS'was\tbe\tVBD\tB-VP\tO' -p132290 -aS'later\tlater\tRB\tI-VP\tO' -p132291 -aS'attributed\tattribute\tVBN\tI-VP\tO' -p132292 -aS'to\tto\tTO\tI-VP\tO' -p132293 -aS'shock\tshock\tVB\tI-VP\tO' -p132294 -aS'liver\tliver\tNN\tB-NP\tO' -p132295 -aS'as\tas\tIN\tB-PP\tO' -p132296 -aS'a\ta\tDT\tB-NP\tO' -p132297 -aS'result\tresult\tNN\tI-NP\tO' -p132298 -aS'of\tof\tIN\tB-PP\tO' -p132299 -aS'her\ther\tPRP$\tB-NP\tO' -p132300 -aS'period\tperiod\tNN\tI-NP\tO' -p132301 -aS'of\tof\tIN\tB-PP\tO' -p132302 -aS'hypotension\thypotension\tNN\tB-NP\tO' -p132303 -aS'.\t.\t.\tO\tO' -p132304 -asS'Transferred to the floor on POD #3 to begin increasing her activity level .' -p132305 -(lp132306 -S'Transferred\tTransfer\tVBN\tB-VP\tO' -p132307 -aS'to\tto\tTO\tB-PP\tO' -p132308 -aS'the\tthe\tDT\tB-NP\tO' -p132309 -aS'floor\tfloor\tNN\tI-NP\tO' -p132310 -aS'on\ton\tIN\tB-PP\tO' -p132311 -aS'POD\tPOD\tNN\tB-NP\tB-protein' -p132312 -aS'#3\t#3\tNN\tI-NP\tI-protein' -p132313 -aS'to\tto\tTO\tB-VP\tO' -p132314 -aS'begin\tbegin\tVB\tI-VP\tO' -p132315 -aS'increasing\tincrease\tVBG\tI-VP\tO' -p132316 -aS'her\ther\tPRP$\tB-NP\tO' -p132317 -aS'activity\tactivity\tNN\tI-NP\tO' -p132318 -aS'level\tlevel\tNN\tI-NP\tO' -p132319 -aS'.\t.\t.\tO\tO' -p132320 -asS'4. Status post partial thyroidectomy .' -p132321 -(lp132322 -S'4.\t4.\tLS\tB-LST\tO' -p132323 -aS'Status\tStatus\tNNP\tB-NP\tO' -p132324 -aS'post\tpost\tIN\tB-PP\tO' -p132325 -aS'partial\tpartial\tJJ\tB-NP\tO' -p132326 -aS'thyroidectomy\tthyroidectomy\tNN\tI-NP\tO' -p132327 -aS'.\t.\t.\tO\tO' -p132328 -asS'Her shortness of breath has been progressive over the last 2-3 years .' -p132329 -(lp132330 -S'Her\tHer\tPRP$\tB-NP\tO' -p132331 -aS'shortness\tshortness\tNN\tI-NP\tO' -p132332 -aS'of\tof\tIN\tB-PP\tO' -p132333 -aS'breath\tbreath\tNN\tB-NP\tO' -p132334 -aS'has\thave\tVBZ\tB-VP\tO' -p132335 -aS'been\tbe\tVBN\tI-VP\tO' -p132336 -aS'progressive\tprogressive\tJJ\tB-ADJP\tO' -p132337 -aS'over\tover\tIN\tB-PP\tO' -p132338 -aS'the\tthe\tDT\tB-NP\tO' -p132339 -aS'last\tlast\tJJ\tI-NP\tB-protein' -p132340 -aS'2-3\t2-3\tCD\tI-NP\tI-protein' -p132341 -aS'years\tyear\tNNS\tI-NP\tI-protein' -p132342 -aS'.\t.\t.\tO\tO' -p132343 -asS'h/o prostate CA s/p brachytherapy and hormone treatment' -p132344 -(lp132345 -S'h/o\th/o\tNN\tB-NP\tO' -p132346 -aS'prostate\tprostate\tNN\tI-NP\tO' -p132347 -aS'CA\tCA\tNN\tI-NP\tO' -p132348 -aS's/p\ts/p\tNN\tI-NP\tO' -p132349 -aS'brachytherapy\tbrachytherapy\tNN\tI-NP\tO' -p132350 -aS'and\tand\tCC\tO\tO' -p132351 -aS'hormone\thormone\tNN\tB-NP\tO' -p132352 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p132353 -asS'Vascular examination was notable for 1+ carotid impulses which were diminished and delayed and the above mentioned transmitted cardiac murmurs .' -p132354 -(lp132355 -S'Vascular\tVascular\tJJ\tB-NP\tO' -p132356 -aS'examination\texamination\tNN\tI-NP\tO' -p132357 -aS'was\tbe\tVBD\tB-VP\tO' -p132358 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p132359 -aS'for\tfor\tIN\tB-PP\tO' -p132360 -aS'1+\t1+\tJJ\tB-NP\tO' -p132361 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p132362 -aS'impulses\timpulse\tNNS\tI-NP\tO' -p132363 -aS'which\twhich\tWDT\tB-NP\tO' -p132364 -aS'were\tbe\tVBD\tB-VP\tO' -p132365 -aS'diminished\tdiminish\tVBN\tI-VP\tO' -p132366 -aS'and\tand\tCC\tO\tO' -p132367 -aS'delayed\tdelay\tVBN\tB-VP\tO' -p132368 -aS'and\tand\tCC\tO\tO' -p132369 -aS'the\tthe\tDT\tB-NP\tO' -p132370 -aS'above\tabove\tRB\tI-NP\tO' -p132371 -aS'mentioned\tmention\tVBN\tI-NP\tO' -p132372 -aS'transmitted\ttransmit\tVBN\tI-NP\tO' -p132373 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p132374 -aS'murmurs\tmurmur\tNNS\tI-NP\tO' -p132375 -aS'.\t.\t.\tO\tO' -p132376 -asS'Please follow up with your PCP as scheduled .' -p132377 -(lp132378 -S'Please\tPlease\tVB\tB-VP\tO' -p132379 -aS'follow\tfollow\tVB\tI-VP\tO' -p132380 -aS'up\tup\tRP\tB-PRT\tO' -p132381 -aS'with\twith\tIN\tB-PP\tO' -p132382 -aS'your\tyour\tPRP$\tB-NP\tO' -p132383 -aS'PCP\tPCP\tNN\tI-NP\tB-DNA' -p132384 -aS'as\tas\tIN\tB-SBAR\tO' -p132385 -aS'scheduled\tschedule\tVBN\tB-VP\tO' -p132386 -aS'.\t.\t.\tO\tO' -p132387 -asS'Neurology - The patient remained unresponsive after the induced hypothermia , the patient was noticed to develop myoclonic jerks and occasional fluttering of his eyelids .' -p132388 -(lp132389 -S'Neurology\tNeurology\tNNP\tB-NP\tO' -p132390 -aS'-\t-\t:\tO\tO' -p132391 -aS'The\tThe\tDT\tB-NP\tO' -p132392 -aS'patient\tpatient\tNN\tI-NP\tO' -p132393 -aS'remained\tremain\tVBD\tB-VP\tO' -p132394 -aS'unresponsive\tunresponsive\tJJ\tB-ADJP\tO' -p132395 -aS'after\tafter\tIN\tB-SBAR\tO' -p132396 -aS'the\tthe\tDT\tB-NP\tO' -p132397 -aS'induced\tinduce\tVBN\tI-NP\tO' -p132398 -aS'hypothermia\thypothermia\tNN\tI-NP\tO' -p132399 -aS',\t,\t,\tO\tO' -p132400 -aS'the\tthe\tDT\tB-NP\tO' -p132401 -aS'patient\tpatient\tNN\tI-NP\tO' -p132402 -aS'was\tbe\tVBD\tB-VP\tO' -p132403 -aS'noticed\tnotice\tVBN\tI-VP\tO' -p132404 -aS'to\tto\tTO\tI-VP\tO' -p132405 -aS'develop\tdevelop\tVB\tI-VP\tO' -p132406 -aS'myoclonic\tmyoclonic\tJJ\tB-NP\tB-protein' -p132407 -aS'jerks\tjerk\tNNS\tI-NP\tI-protein' -p132408 -aS'and\tand\tCC\tO\tO' -p132409 -aS'occasional\toccasional\tJJ\tB-NP\tO' -p132410 -aS'fluttering\tfluttering\tNN\tI-NP\tO' -p132411 -aS'of\tof\tIN\tB-PP\tO' -p132412 -aS'his\this\tPRP$\tB-NP\tO' -p132413 -aS'eyelids\teyelid\tNNS\tI-NP\tO' -p132414 -aS'.\t.\t.\tO\tO' -p132415 -asS'He was a chronically ill appearing elderly man , with a respiratory rate of 30 , temperature 99.6 , pulse 100 , and irregularly irregular , blood pressure 148/71 .' -p132416 -(lp132417 -S'He\tHe\tPRP\tB-NP\tO' -p132418 -aS'was\tbe\tVBD\tB-VP\tO' -p132419 -aS'a\ta\tDT\tB-NP\tO' -p132420 -aS'chronically\tchronically\tRB\tI-NP\tO' -p132421 -aS'ill\till\tJJ\tI-NP\tO' -p132422 -aS'appearing\tappear\tVBG\tI-NP\tO' -p132423 -aS'elderly\telderly\tJJ\tI-NP\tO' -p132424 -aS'man\tman\tNN\tI-NP\tO' -p132425 -aS',\t,\t,\tO\tO' -p132426 -aS'with\twith\tIN\tB-PP\tO' -p132427 -aS'a\ta\tDT\tB-NP\tO' -p132428 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p132429 -aS'rate\trate\tNN\tI-NP\tO' -p132430 -aS'of\tof\tIN\tB-PP\tO' -p132431 -aS'30\t30\tCD\tB-NP\tO' -p132432 -aS',\t,\t,\tO\tO' -p132433 -aS'temperature\ttemperature\tNN\tB-NP\tO' -p132434 -aS'99.6\t99.6\tCD\tI-NP\tO' -p132435 -aS',\t,\t,\tO\tO' -p132436 -aS'pulse\tpulse\tNN\tB-NP\tO' -p132437 -aS'100\t100\tCD\tI-NP\tO' -p132438 -aS',\t,\t,\tO\tO' -p132439 -aS'and\tand\tCC\tO\tO' -p132440 -aS'irregularly\tirregularly\tRB\tB-NP\tO' -p132441 -aS'irregular\tirregular\tJJ\tI-NP\tO' -p132442 -aS',\t,\t,\tI-NP\tO' -p132443 -aS'blood\tblood\tNN\tI-NP\tO' -p132444 -aS'pressure\tpressure\tNN\tI-NP\tO' -p132445 -aS'148/71\t148/71\tCD\tI-NP\tO' -p132446 -aS'.\t.\t.\tO\tO' -p132447 -asS'We felt this was likely secondary to hypertension .' -p132448 -(lp132449 -S'We\tWe\tPRP\tB-NP\tO' -p132450 -aS'felt\tfeel\tVBD\tB-VP\tO' -p132451 -aS'this\tthis\tDT\tB-NP\tO' -p132452 -aS'was\tbe\tVBD\tB-VP\tO' -p132453 -aS'likely\tlikely\tRB\tB-ADJP\tO' -p132454 -aS'secondary\tsecondary\tJJ\tI-ADJP\tO' -p132455 -aS'to\tto\tTO\tB-PP\tO' -p132456 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p132457 -aS'.\t.\t.\tO\tO' -p132458 -asS'3. atrial fibrillation , she is status post cardioversion 3-25-94 ,' -p132459 -(lp132460 -S'3.\t3.\tLS\tB-NP\tO' -p132461 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p132462 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p132463 -aS',\t,\t,\tO\tO' -p132464 -aS'she\tshe\tPRP\tB-NP\tO' -p132465 -aS'is\tbe\tVBZ\tB-VP\tO' -p132466 -aS'status\tstatus\tNN\tB-NP\tO' -p132467 -aS'post\tpost\tNN\tI-NP\tO' -p132468 -aS'cardioversion\tcardioversion\tNN\tI-NP\tO' -p132469 -aS'3-25-94\t3-25-94\tCD\tI-NP\tO' -p132470 -aS',\t,\t,\tO\tO' -p132471 -asS'During the first two days , he required 14 and 22 units of additional coverage .' -p132472 -(lp132473 -S'During\tDuring\tIN\tB-PP\tO' -p132474 -aS'the\tthe\tDT\tB-NP\tO' -p132475 -aS'first\tfirst\tJJ\tI-NP\tO' -p132476 -aS'two\ttwo\tCD\tI-NP\tO' -p132477 -aS'days\tday\tNNS\tI-NP\tO' -p132478 -aS',\t,\t,\tO\tO' -p132479 -aS'he\the\tPRP\tB-NP\tO' -p132480 -aS'required\trequire\tVBD\tB-VP\tO' -p132481 -aS'14\t14\tCD\tB-NP\tO' -p132482 -aS'and\tand\tCC\tI-NP\tO' -p132483 -aS'22\t22\tCD\tI-NP\tO' -p132484 -aS'units\tunit\tNNS\tI-NP\tO' -p132485 -aS'of\tof\tIN\tB-PP\tO' -p132486 -aS'additional\tadditional\tJJ\tB-NP\tO' -p132487 -aS'coverage\tcoverage\tNN\tI-NP\tO' -p132488 -aS'.\t.\t.\tO\tO' -p132489 -asS'Postoperative day one the chest x-ray showed a collapsed left upper lobe .' -p132490 -(lp132491 -S'Postoperative\tPostoperative\tJJ\tB-NP\tO' -p132492 -aS'day\tday\tNN\tI-NP\tO' -p132493 -aS'one\tone\tCD\tB-NP\tO' -p132494 -aS'the\tthe\tDT\tB-NP\tO' -p132495 -aS'chest\tchest\tNN\tI-NP\tO' -p132496 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p132497 -aS'showed\tshow\tVBD\tB-VP\tO' -p132498 -aS'a\ta\tDT\tB-NP\tO' -p132499 -aS'collapsed\tcollapsed\tJJ\tI-NP\tO' -p132500 -aS'left\tleft\tJJ\tI-NP\tO' -p132501 -aS'upper\tupper\tJJ\tI-NP\tO' -p132502 -aS'lobe\tlobe\tNN\tI-NP\tO' -p132503 -aS'.\t.\t.\tO\tO' -p132504 -asS'He withdrew equally and purposefully after 20 minutes in the trauma bay .' -p132505 -(lp132506 -S'He\tHe\tPRP\tB-NP\tO' -p132507 -aS'withdrew\twithdraw\tVBD\tB-VP\tO' -p132508 -aS'equally\tequally\tRB\tB-ADVP\tO' -p132509 -aS'and\tand\tCC\tI-ADVP\tO' -p132510 -aS'purposefully\tpurposefully\tRB\tI-ADVP\tO' -p132511 -aS'after\tafter\tIN\tB-PP\tO' -p132512 -aS'20\t20\tCD\tB-NP\tO' -p132513 -aS'minutes\tminute\tNNS\tI-NP\tO' -p132514 -aS'in\tin\tIN\tB-PP\tO' -p132515 -aS'the\tthe\tDT\tB-NP\tO' -p132516 -aS'trauma\ttrauma\tNN\tI-NP\tO' -p132517 -aS'bay\tbay\tNN\tI-NP\tO' -p132518 -aS'.\t.\t.\tO\tO' -p132519 -asS'His tone was normal with normal neonatal reflexes .' -p132520 -(lp132521 -S'His\tHis\tPRP$\tB-NP\tO' -p132522 -aS'tone\ttone\tNN\tI-NP\tO' -p132523 -aS'was\tbe\tVBD\tB-VP\tO' -p132524 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p132525 -aS'with\twith\tIN\tB-PP\tO' -p132526 -aS'normal\tnormal\tJJ\tB-NP\tO' -p132527 -aS'neonatal\tneonatal\tJJ\tI-NP\tO' -p132528 -aS'reflexes\treflex\tNNS\tI-NP\tO' -p132529 -aS'.\t.\t.\tO\tO' -p132530 -asS'The patient has a plasmacytoma affecting the spine .' -p132531 -(lp132532 -S'The\tThe\tDT\tB-NP\tO' -p132533 -aS'patient\tpatient\tNN\tI-NP\tO' -p132534 -aS'has\thave\tVBZ\tB-VP\tO' -p132535 -aS'a\ta\tDT\tB-NP\tO' -p132536 -aS'plasmacytoma\tplasmacytoma\tNN\tI-NP\tO' -p132537 -aS'affecting\taffect\tVBG\tB-VP\tO' -p132538 -aS'the\tthe\tDT\tB-NP\tO' -p132539 -aS'spine\tspine\tNN\tI-NP\tO' -p132540 -aS'.\t.\t.\tO\tO' -p132541 -asS'At that time she was admitted and received a full course of betamethasone at 24 weeks and remained in house until delivery .' -p132542 -(lp132543 -S'At\tAt\tIN\tB-PP\tO' -p132544 -aS'that\tthat\tDT\tB-NP\tO' -p132545 -aS'time\ttime\tNN\tI-NP\tO' -p132546 -aS'she\tshe\tPRP\tB-NP\tO' -p132547 -aS'was\tbe\tVBD\tB-VP\tO' -p132548 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p132549 -aS'and\tand\tCC\tI-VP\tO' -p132550 -aS'received\treceive\tVBN\tI-VP\tO' -p132551 -aS'a\ta\tDT\tB-NP\tO' -p132552 -aS'full\tfull\tJJ\tI-NP\tO' -p132553 -aS'course\tcourse\tNN\tI-NP\tO' -p132554 -aS'of\tof\tIN\tB-PP\tO' -p132555 -aS'betamethasone\tbetamethasone\tNN\tB-NP\tO' -p132556 -aS'at\tat\tIN\tB-PP\tO' -p132557 -aS'24\t24\tCD\tB-NP\tO' -p132558 -aS'weeks\tweek\tNNS\tI-NP\tO' -p132559 -aS'and\tand\tCC\tO\tO' -p132560 -aS'remained\tremain\tVBD\tB-VP\tO' -p132561 -aS'in\tin\tIN\tB-PP\tO' -p132562 -aS'house\thouse\tNN\tB-NP\tO' -p132563 -aS'until\tuntil\tIN\tB-PP\tO' -p132564 -aS'delivery\tdelivery\tNN\tB-NP\tO' -p132565 -aS'.\t.\t.\tO\tO' -p132566 -asS'The patient was lying flat in no apparent distress .' -p132567 -(lp132568 -S'The\tThe\tDT\tB-NP\tO' -p132569 -aS'patient\tpatient\tNN\tI-NP\tO' -p132570 -aS'was\tbe\tVBD\tB-VP\tO' -p132571 -aS'lying\tlie\tVBG\tI-VP\tO' -p132572 -aS'flat\tflat\tJJ\tB-ADJP\tO' -p132573 -aS'in\tin\tIN\tB-PP\tO' -p132574 -aS'no\tno\tDT\tB-NP\tO' -p132575 -aS'apparent\tapparent\tJJ\tI-NP\tO' -p132576 -aS'distress\tdistress\tNN\tI-NP\tO' -p132577 -aS'.\t.\t.\tO\tO' -p132578 -asS'There is mild mass effect upon the anterior Mims of the right lateral ventricle .' -p132579 -(lp132580 -S'There\tThere\tEX\tB-NP\tO' -p132581 -aS'is\tbe\tVBZ\tB-VP\tO' -p132582 -aS'mild\tmild\tJJ\tB-NP\tO' -p132583 -aS'mass\tmass\tNN\tI-NP\tO' -p132584 -aS'effect\teffect\tNN\tI-NP\tO' -p132585 -aS'upon\tupon\tIN\tB-PP\tO' -p132586 -aS'the\tthe\tDT\tB-NP\tO' -p132587 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p132588 -aS'Mims\tMim\tNNS\tI-NP\tO' -p132589 -aS'of\tof\tIN\tB-PP\tO' -p132590 -aS'the\tthe\tDT\tB-NP\tO' -p132591 -aS'right\tright\tJJ\tI-NP\tO' -p132592 -aS'lateral\tlateral\tJJ\tI-NP\tO' -p132593 -aS'ventricle\tventricle\tNN\tI-NP\tO' -p132594 -aS'.\t.\t.\tO\tO' -p132595 -asS'The patient denied using tobacco .' -p132596 -(lp132597 -S'The\tThe\tDT\tB-NP\tO' -p132598 -aS'patient\tpatient\tNN\tI-NP\tO' -p132599 -aS'denied\tdeny\tVBN\tB-VP\tO' -p132600 -aS'using\tuse\tVBG\tB-VP\tO' -p132601 -aS'tobacco\ttobacco\tNN\tB-NP\tO' -p132602 -aS'.\t.\t.\tO\tO' -p132603 -asS'A head CT scan and cervical spine series were negative .' -p132604 -(lp132605 -S'A\tA\tDT\tB-NP\tO' -p132606 -aS'head\thead\tNN\tI-NP\tO' -p132607 -aS'CT\tCT\tNN\tI-NP\tO' -p132608 -aS'scan\tscan\tNN\tI-NP\tO' -p132609 -aS'and\tand\tCC\tO\tO' -p132610 -aS'cervical\tcervical\tJJ\tB-NP\tO' -p132611 -aS'spine\tspine\tNN\tI-NP\tO' -p132612 -aS'series\tsery\tNNS\tI-NP\tO' -p132613 -aS'were\tbe\tVBD\tB-VP\tO' -p132614 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p132615 -aS'.\t.\t.\tO\tO' -p132616 -asS'EKG s were followed for normalization .' -p132617 -(lp132618 -S'EKG\tEKG\tNN\tB-NP\tO' -p132619 -aS's\ts\tNNS\tI-NP\tO' -p132620 -aS'were\tbe\tVBD\tB-VP\tO' -p132621 -aS'followed\tfollow\tVBN\tI-VP\tO' -p132622 -aS'for\tfor\tIN\tB-PP\tO' -p132623 -aS'normalization\tnormalization\tNN\tB-NP\tO' -p132624 -aS'.\t.\t.\tO\tO' -p132625 -asS'He had a pericardial window .' -p132626 -(lp132627 -S'He\tHe\tPRP\tB-NP\tO' -p132628 -aS'had\thave\tVBD\tB-VP\tO' -p132629 -aS'a\ta\tDT\tB-NP\tO' -p132630 -aS'pericardial\tpericardial\tJJ\tI-NP\tO' -p132631 -aS'window\twindow\tNN\tI-NP\tO' -p132632 -aS'.\t.\t.\tO\tO' -p132633 -asS'She was admitted for a large volume paracentesis but her INR on admission was 3.8 .' -p132634 -(lp132635 -S'She\tShe\tPRP\tB-NP\tO' -p132636 -aS'was\tbe\tVBD\tB-VP\tO' -p132637 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p132638 -aS'for\tfor\tIN\tB-PP\tO' -p132639 -aS'a\ta\tDT\tB-NP\tO' -p132640 -aS'large\tlarge\tJJ\tI-NP\tO' -p132641 -aS'volume\tvolume\tNN\tI-NP\tO' -p132642 -aS'paracentesis\tparacentesis\tNN\tI-NP\tO' -p132643 -aS'but\tbut\tCC\tO\tO' -p132644 -aS'her\ther\tPRP$\tB-NP\tO' -p132645 -aS'INR\tINR\tNN\tI-NP\tB-protein' -p132646 -aS'on\ton\tIN\tB-PP\tO' -p132647 -aS'admission\tadmission\tNN\tB-NP\tO' -p132648 -aS'was\tbe\tVBD\tB-VP\tO' -p132649 -aS'3.8\t3.8\tCD\tB-NP\tO' -p132650 -aS'.\t.\t.\tO\tO' -p132651 -asS'Serum tox screen , alcohol 32 mg per deciliter , negative for aspirin , benzos , barbiturates , and TCA .' -p132652 -(lp132653 -S'Serum\tSerum\tNN\tB-NP\tO' -p132654 -aS'tox\ttox\tNN\tI-NP\tO' -p132655 -aS'screen\tscreen\tNN\tI-NP\tO' -p132656 -aS',\t,\t,\tO\tO' -p132657 -aS'alcohol\talcohol\tNN\tB-NP\tO' -p132658 -aS'32\t32\tCD\tI-NP\tO' -p132659 -aS'mg\tmg\tNN\tI-NP\tO' -p132660 -aS'per\tper\tIN\tB-PP\tO' -p132661 -aS'deciliter\tdeciliter\tNN\tB-NP\tO' -p132662 -aS',\t,\t,\tO\tO' -p132663 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p132664 -aS'for\tfor\tIN\tB-PP\tO' -p132665 -aS'aspirin\taspirin\tNN\tB-NP\tO' -p132666 -aS',\t,\t,\tO\tO' -p132667 -aS'benzos\tbenzo\tNNS\tB-NP\tO' -p132668 -aS',\t,\t,\tO\tO' -p132669 -aS'barbiturates\tbarbiturate\tNNS\tB-NP\tO' -p132670 -aS',\t,\t,\tO\tO' -p132671 -aS'and\tand\tCC\tO\tO' -p132672 -aS'TCA\tTCA\tNN\tB-NP\tB-protein' -p132673 -aS'.\t.\t.\tO\tO' -p132674 -asS'She delivered a 3263 gram female infant at 06/14/2001 at 06:40 pm with apgar scores of 8 and 8 at one and five minutes respectively at 40.3 weeks gestation via vacuum extraction .' -p132675 -(lp132676 -S'She\tShe\tPRP\tB-NP\tO' -p132677 -aS'delivered\tdeliver\tVBD\tB-VP\tO' -p132678 -aS'a\ta\tDT\tB-NP\tO' -p132679 -aS'3263\t3263\tCD\tI-NP\tO' -p132680 -aS'gram\tgram\tNN\tI-NP\tO' -p132681 -aS'female\tfemale\tJJ\tI-NP\tO' -p132682 -aS'infant\tinfant\tNN\tI-NP\tO' -p132683 -aS'at\tat\tIN\tB-PP\tO' -p132684 -aS'06/14/2001\t06/14/2001\tCD\tB-NP\tO' -p132685 -aS'at\tat\tIN\tB-PP\tO' -p132686 -aS'06:40\t06:40\tCD\tB-NP\tO' -p132687 -aS'pm\tpm\tNN\tI-NP\tO' -p132688 -aS'with\twith\tIN\tB-PP\tO' -p132689 -aS'apgar\tapgar\tNN\tB-NP\tO' -p132690 -aS'scores\tscore\tNNS\tI-NP\tO' -p132691 -aS'of\tof\tIN\tB-PP\tO' -p132692 -aS'8\t8\tCD\tB-NP\tO' -p132693 -aS'and\tand\tCC\tI-NP\tO' -p132694 -aS'8\t8\tCD\tI-NP\tO' -p132695 -aS'at\tat\tIN\tB-PP\tO' -p132696 -aS'one\tone\tCD\tB-NP\tO' -p132697 -aS'and\tand\tCC\tI-NP\tO' -p132698 -aS'five\tfive\tCD\tI-NP\tO' -p132699 -aS'minutes\tminute\tNNS\tI-NP\tO' -p132700 -aS'respectively\trespectively\tRB\tB-ADVP\tO' -p132701 -aS'at\tat\tIN\tB-PP\tO' -p132702 -aS'40.3\t40.3\tCD\tB-NP\tO' -p132703 -aS'weeks\tweek\tNNS\tI-NP\tO' -p132704 -aS'gestation\tgestation\tNN\tI-NP\tO' -p132705 -aS'via\tvia\tIN\tB-PP\tO' -p132706 -aS'vacuum\tvacuum\tNN\tB-NP\tO' -p132707 -aS'extraction\textraction\tNN\tI-NP\tO' -p132708 -aS'.\t.\t.\tO\tO' -p132709 -asS'finger / to/nose was with mild dysmetria , exaggerated on tracking ; rapid alternating movements normal , heel-to-shin was good with few errors .' -p132710 -(lp132711 -S'finger\tfinger\tNN\tB-NP\tO' -p132712 -aS'/\t/\tSYM\tI-NP\tO' -p132713 -aS'to/nose\tto/nose\tNN\tI-NP\tO' -p132714 -aS'was\tbe\tVBD\tB-VP\tO' -p132715 -aS'with\twith\tIN\tB-PP\tO' -p132716 -aS'mild\tmild\tJJ\tB-NP\tO' -p132717 -aS'dysmetria\tdysmetria\tNN\tI-NP\tO' -p132718 -aS',\t,\t,\tO\tO' -p132719 -aS'exaggerated\texaggerate\tVBD\tB-VP\tO' -p132720 -aS'on\ton\tIN\tB-PP\tO' -p132721 -aS'tracking\ttracking\tNN\tB-NP\tO' -p132722 -aS';\t;\t:\tO\tO' -p132723 -aS'rapid\trapid\tJJ\tB-NP\tO' -p132724 -aS'alternating\talternate\tVBG\tI-NP\tO' -p132725 -aS'movements\tmovement\tNNS\tI-NP\tO' -p132726 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p132727 -aS',\t,\t,\tO\tO' -p132728 -aS'heel-to-shin\theel-to-shin\tJJ\tB-ADJP\tO' -p132729 -aS'was\tbe\tVBD\tB-VP\tO' -p132730 -aS'good\tgood\tJJ\tB-ADJP\tO' -p132731 -aS'with\twith\tIN\tB-PP\tO' -p132732 -aS'few\tfew\tJJ\tB-NP\tO' -p132733 -aS'errors\terror\tNNS\tI-NP\tO' -p132734 -aS'.\t.\t.\tO\tO' -p132735 -asS'The fundi were sharp .' -p132736 -(lp132737 -S'The\tThe\tDT\tB-NP\tO' -p132738 -aS'fundi\tfundi\tNN\tI-NP\tO' -p132739 -aS'were\tbe\tVBD\tB-VP\tO' -p132740 -aS'sharp\tsharp\tJJ\tB-ADJP\tO' -p132741 -aS'.\t.\t.\tO\tO' -p132742 -asS'He required a few transfusions during his hospital course .' -p132743 -(lp132744 -S'He\tHe\tPRP\tB-NP\tO' -p132745 -aS'required\trequire\tVBD\tB-VP\tO' -p132746 -aS'a\ta\tDT\tB-NP\tO' -p132747 -aS'few\tfew\tJJ\tI-NP\tO' -p132748 -aS'transfusions\ttransfusion\tNNS\tI-NP\tO' -p132749 -aS'during\tduring\tIN\tB-PP\tO' -p132750 -aS'his\this\tPRP$\tB-NP\tO' -p132751 -aS'hospital\thospital\tNN\tI-NP\tO' -p132752 -aS'course\tcourse\tNN\tI-NP\tO' -p132753 -aS'.\t.\t.\tO\tO' -p132754 -asS'The right coronary artery was diffusely diseased in the mid segment with serial 80-90% stenosis .' -p132755 -(lp132756 -S'The\tThe\tDT\tB-NP\tO' -p132757 -aS'right\tright\tJJ\tI-NP\tO' -p132758 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p132759 -aS'artery\tartery\tNN\tI-NP\tO' -p132760 -aS'was\tbe\tVBD\tB-VP\tO' -p132761 -aS'diffusely\tdiffusely\tRB\tI-VP\tO' -p132762 -aS'diseased\tdisease\tVBN\tI-VP\tO' -p132763 -aS'in\tin\tIN\tB-PP\tO' -p132764 -aS'the\tthe\tDT\tB-NP\tO' -p132765 -aS'mid\tmid\tJJ\tI-NP\tO' -p132766 -aS'segment\tsegment\tNN\tI-NP\tO' -p132767 -aS'with\twith\tIN\tB-PP\tO' -p132768 -aS'serial\tserial\tJJ\tB-NP\tO' -p132769 -aS'80-90%\t80-90%\tJJ\tI-NP\tO' -p132770 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p132771 -aS'.\t.\t.\tO\tO' -p132772 -asS'The patient died in hospital .' -p132773 -(lp132774 -S'The\tThe\tDT\tB-NP\tO' -p132775 -aS'patient\tpatient\tNN\tI-NP\tO' -p132776 -aS'died\tdie\tVBD\tB-VP\tO' -p132777 -aS'in\tin\tIN\tB-PP\tO' -p132778 -aS'hospital\thospital\tNN\tB-NP\tO' -p132779 -aS'.\t.\t.\tO\tO' -p132780 -asS'He also had repeated temperature spikes .' -p132781 -(lp132782 -S'He\tHe\tPRP\tB-NP\tO' -p132783 -aS'also\talso\tRB\tB-ADVP\tO' -p132784 -aS'had\thave\tVBD\tB-VP\tO' -p132785 -aS'repeated\trepeat\tVBN\tI-VP\tO' -p132786 -aS'temperature\ttemperature\tNN\tB-NP\tO' -p132787 -aS'spikes\tspike\tNNS\tI-NP\tO' -p132788 -aS'.\t.\t.\tO\tO' -p132789 -asS'3. Right ventricular chamber size and free wall motion are normal .' -p132790 -(lp132791 -S'3.\t3.\tLS\tB-NP\tO' -p132792 -aS'Right\tRight\tNN\tI-NP\tO' -p132793 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p132794 -aS'chamber\tchamber\tNN\tI-NP\tO' -p132795 -aS'size\tsize\tNN\tI-NP\tO' -p132796 -aS'and\tand\tCC\tO\tO' -p132797 -aS'free\tfree\tJJ\tB-NP\tO' -p132798 -aS'wall\twall\tNN\tI-NP\tO' -p132799 -aS'motion\tmotion\tNN\tI-NP\tO' -p132800 -aS'are\tbe\tVBP\tB-VP\tO' -p132801 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p132802 -aS'.\t.\t.\tO\tO' -p132803 -asS'Low Lying Placenta ; Past Medical History , history of ; Urinary Tract Infection , history of' -p132804 -(lp132805 -S'Low\tLow\tNNP\tB-NP\tO' -p132806 -aS'Lying\tLying\tNNP\tI-NP\tO' -p132807 -aS'Placenta\tPlacenta\tNNP\tI-NP\tO' -p132808 -aS';\t;\t:\tO\tO' -p132809 -aS'Past\tPast\tNNP\tB-NP\tO' -p132810 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p132811 -aS'History\tHistory\tNNP\tI-NP\tO' -p132812 -aS',\t,\t,\tO\tO' -p132813 -aS'history\thistory\tNN\tB-NP\tO' -p132814 -aS'of\tof\tIN\tB-PP\tO' -p132815 -aS';\t;\t:\tO\tO' -p132816 -aS'Urinary\tUrinary\tNNP\tB-NP\tO' -p132817 -aS'Tract\tTract\tNNP\tI-NP\tO' -p132818 -aS'Infection\tInfection\tNNP\tI-NP\tO' -p132819 -aS',\t,\t,\tO\tO' -p132820 -aS'history\thistory\tNN\tB-NP\tO' -p132821 -aS'of\tof\tIN\tB-PP\tO' -p132822 -asS'Following evaluation and treatment , the patient 's disposition at the end ofthe visit was ADMITTED AS AN INPATIENT TO BRI HEALTH .' -p132823 -(lp132824 -S'Following\tFollow\tVBG\tB-PP\tO' -p132825 -aS'evaluation\tevaluation\tNN\tB-NP\tO' -p132826 -aS'and\tand\tCC\tI-NP\tO' -p132827 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p132828 -aS',\t,\t,\tO\tO' -p132829 -aS'the\tthe\tDT\tB-NP\tO' -p132830 -aS'patient\tpatient\tNN\tI-NP\tO' -p132831 -aS''s\t'\tNNS\tI-NP\tO' -p132832 -aS'disposition\tdisposition\tNN\tI-NP\tO' -p132833 -aS'at\tat\tIN\tB-PP\tO' -p132834 -aS'the\tthe\tDT\tB-NP\tO' -p132835 -aS'end\tend\tNN\tI-NP\tO' -p132836 -aS'ofthe\tofthe\tDT\tB-NP\tO' -p132837 -aS'visit\tvisit\tNN\tI-NP\tO' -p132838 -aS'was\tbe\tVBD\tB-VP\tO' -p132839 -aS'ADMITTED\tADMITTED\tVBN\tI-VP\tO' -p132840 -aS'AS\tAS\tNNP\tB-NP\tO' -p132841 -aS'AN\tAN\tNNP\tI-NP\tO' -p132842 -aS'INPATIENT\tINPATIENT\tNNP\tI-NP\tO' -p132843 -aS'TO\tTO\tNNP\tI-NP\tO' -p132844 -aS'BRI\tBRI\tNNP\tI-NP\tO' -p132845 -aS'HEALTH\tHEALTH\tNNP\tI-NP\tO' -p132846 -aS'.\t.\t.\tO\tO' -p132847 -asS'Take all medications as prescribed .' -p132848 -(lp132849 -S'Take\tTake\tVB\tB-VP\tO' -p132850 -aS'all\tall\tDT\tB-NP\tO' -p132851 -aS'medications\tmedication\tNNS\tI-NP\tO' -p132852 -aS'as\tas\tIN\tB-SBAR\tO' -p132853 -aS'prescribed\tprescribe\tVBN\tB-VP\tO' -p132854 -aS'.\t.\t.\tO\tO' -p132855 -asS'HTN elev. lipds hypothyroidism back pain' -p132856 -(lp132857 -S'HTN\tHTN\tNN\tB-NP\tO' -p132858 -aS'elev.\telev.\tNN\tI-NP\tO' -p132859 -aS'lipds\tlipd\tVBZ\tB-VP\tO' -p132860 -aS'hypothyroidism\thypothyroidism\tNN\tB-NP\tO' -p132861 -aS'back\tback\tRB\tB-ADVP\tO' -p132862 -aS'pain\tpain\tNN\tB-NP\tO' -p132863 -asS'This is a 61 year old male with a history of diabetes , coronary artery disease , hepatitis C , and asthma who was diagnosed recently with pancreatic cancer after he presented to Seph'sju Memorial after a motor vehicle accident .' -p132864 -(lp132865 -S'This\tThis\tDT\tB-NP\tO' -p132866 -aS'is\tbe\tVBZ\tB-VP\tO' -p132867 -aS'a\ta\tDT\tB-NP\tO' -p132868 -aS'61\t61\tCD\tI-NP\tO' -p132869 -aS'year\tyear\tNN\tI-NP\tO' -p132870 -aS'old\told\tJJ\tI-NP\tO' -p132871 -aS'male\tmale\tNN\tI-NP\tO' -p132872 -aS'with\twith\tIN\tB-PP\tO' -p132873 -aS'a\ta\tDT\tB-NP\tO' -p132874 -aS'history\thistory\tNN\tI-NP\tO' -p132875 -aS'of\tof\tIN\tB-PP\tO' -p132876 -aS'diabetes\tdiabetes\tNN\tB-NP\tO' -p132877 -aS',\t,\t,\tO\tO' -p132878 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p132879 -aS'artery\tartery\tNN\tI-NP\tO' -p132880 -aS'disease\tdisease\tNN\tI-NP\tO' -p132881 -aS',\t,\t,\tO\tO' -p132882 -aS'hepatitis\thepatitis\tNN\tB-NP\tO' -p132883 -aS'C\tC\tNN\tI-NP\tO' -p132884 -aS',\t,\t,\tO\tO' -p132885 -aS'and\tand\tCC\tO\tO' -p132886 -aS'asthma\tasthma\tNN\tB-NP\tO' -p132887 -aS'who\twho\tWP\tB-NP\tO' -p132888 -aS'was\tbe\tVBD\tB-VP\tO' -p132889 -aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' -p132890 -aS'recently\trecently\tRB\tB-ADVP\tO' -p132891 -aS'with\twith\tIN\tB-PP\tO' -p132892 -aS'pancreatic\tpancreatic\tJJ\tB-NP\tO' -p132893 -aS'cancer\tcancer\tNN\tI-NP\tO' -p132894 -aS'after\tafter\tIN\tB-SBAR\tO' -p132895 -aS'he\the\tPRP\tB-NP\tO' -p132896 -aS'presented\tpresent\tVBD\tB-VP\tO' -p132897 -aS'to\tto\tTO\tB-PP\tO' -p132898 -aS'Seph'sju\tSeph'sju\tNNP\tB-NP\tO' -p132899 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p132900 -aS'after\tafter\tIN\tB-PP\tO' -p132901 -aS'a\ta\tDT\tB-NP\tO' -p132902 -aS'motor\tmotor\tNN\tI-NP\tO' -p132903 -aS'vehicle\tvehicle\tNN\tI-NP\tO' -p132904 -aS'accident\taccident\tNN\tI-NP\tO' -p132905 -aS'.\t.\t.\tO\tO' -p132906 -asS'On POD2 , patient was deemed suitable and stable for discharge .' -p132907 -(lp132908 -S'On\tOn\tIN\tB-PP\tO' -p132909 -aS'POD2\tPOD2\tNN\tB-NP\tB-protein' -p132910 -aS',\t,\t,\tO\tO' -p132911 -aS'patient\tpatient\tNN\tB-NP\tO' -p132912 -aS'was\tbe\tVBD\tB-VP\tO' -p132913 -aS'deemed\tdeem\tVBN\tI-VP\tO' -p132914 -aS'suitable\tsuitable\tJJ\tB-ADJP\tO' -p132915 -aS'and\tand\tCC\tI-ADJP\tO' -p132916 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p132917 -aS'for\tfor\tIN\tB-PP\tO' -p132918 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p132919 -aS'.\t.\t.\tO\tO' -p132920 -asS'The remainder of the physical examination was considered within normal limits .' -p132921 -(lp132922 -S'The\tThe\tDT\tB-NP\tO' -p132923 -aS'remainder\tremainder\tNN\tI-NP\tO' -p132924 -aS'of\tof\tIN\tB-PP\tO' -p132925 -aS'the\tthe\tDT\tB-NP\tO' -p132926 -aS'physical\tphysical\tJJ\tI-NP\tO' -p132927 -aS'examination\texamination\tNN\tI-NP\tO' -p132928 -aS'was\tbe\tVBD\tB-VP\tO' -p132929 -aS'considered\tconsider\tVBN\tI-VP\tO' -p132930 -aS'within\twithin\tIN\tB-PP\tO' -p132931 -aS'normal\tnormal\tJJ\tB-NP\tO' -p132932 -aS'limits\tlimit\tNNS\tI-NP\tO' -p132933 -aS'.\t.\t.\tO\tO' -p132934 -asS'Clonidine 0.3 mg / 24 hr Patch Weekly Transdermal QTHUR' -p132935 -(lp132936 -S'Clonidine\tClonidine\tNN\tB-NP\tO' -p132937 -aS'0.3\t0.3\tCD\tI-NP\tO' -p132938 -aS'mg\tmg\tNN\tI-NP\tO' -p132939 -aS'/\t/\tSYM\tB-NP\tO' -p132940 -aS'24\t24\tCD\tB-NP\tO' -p132941 -aS'hr\thr\tNN\tI-NP\tO' -p132942 -aS'Patch\tPatch\tNNP\tI-NP\tO' -p132943 -aS'Weekly\tWeekly\tNNP\tI-NP\tO' -p132944 -aS'Transdermal\tTransdermal\tNNP\tI-NP\tO' -p132945 -aS'QTHUR\tQTHUR\tNNP\tI-NP\tO' -p132946 -asS'In general , he is a well developed , well nourished man breathing easily , in no acute distress .' -p132947 -(lp132948 -S'In\tIn\tIN\tB-PP\tO' -p132949 -aS'general\tgeneral\tJJ\tB-ADJP\tO' -p132950 -aS',\t,\t,\tO\tO' -p132951 -aS'he\the\tPRP\tB-NP\tO' -p132952 -aS'is\tbe\tVBZ\tB-VP\tO' -p132953 -aS'a\ta\tDT\tB-NP\tO' -p132954 -aS'well\twell\tRB\tI-NP\tO' -p132955 -aS'developed\tdevelop\tVBN\tI-NP\tO' -p132956 -aS',\t,\t,\tO\tO' -p132957 -aS'well\twell\tRB\tB-ADVP\tO' -p132958 -aS'nourished\tnourish\tVBD\tB-VP\tO' -p132959 -aS'man\tman\tNN\tB-NP\tO' -p132960 -aS'breathing\tbreathing\tNN\tI-NP\tO' -p132961 -aS'easily\teasily\tRB\tB-ADVP\tO' -p132962 -aS',\t,\t,\tO\tO' -p132963 -aS'in\tin\tIN\tB-PP\tO' -p132964 -aS'no\tno\tDT\tB-NP\tO' -p132965 -aS'acute\tacute\tJJ\tI-NP\tO' -p132966 -aS'distress\tdistress\tNN\tI-NP\tO' -p132967 -aS'.\t.\t.\tO\tO' -p132968 -asS'On postoperative day two , he continued to convalesce as planned .' -p132969 -(lp132970 -S'On\tOn\tIN\tB-PP\tO' -p132971 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p132972 -aS'day\tday\tNN\tI-NP\tO' -p132973 -aS'two\ttwo\tCD\tI-NP\tO' -p132974 -aS',\t,\t,\tO\tO' -p132975 -aS'he\the\tPRP\tB-NP\tO' -p132976 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p132977 -aS'to\tto\tTO\tI-VP\tO' -p132978 -aS'convalesce\tconvalesce\tVB\tI-VP\tO' -p132979 -aS'as\tas\tIN\tB-SBAR\tO' -p132980 -aS'planned\tplan\tVBN\tB-VP\tO' -p132981 -aS'.\t.\t.\tO\tO' -p132982 -asS'She also complained of some slight dizziness upon getting up .' -p132983 -(lp132984 -S'She\tShe\tPRP\tB-NP\tO' -p132985 -aS'also\talso\tRB\tB-ADVP\tO' -p132986 -aS'complained\tcomplain\tVBD\tB-VP\tO' -p132987 -aS'of\tof\tIN\tB-PP\tO' -p132988 -aS'some\tsome\tDT\tB-NP\tO' -p132989 -aS'slight\tslight\tJJ\tI-NP\tO' -p132990 -aS'dizziness\tdizziness\tNN\tI-NP\tO' -p132991 -aS'upon\tupon\tIN\tB-PP\tO' -p132992 -aS'getting\tget\tVBG\tB-VP\tO' -p132993 -aS'up\tup\tRP\tB-PRT\tO' -p132994 -aS'.\t.\t.\tO\tO' -p132995 -asS'Captopril 6.2 3 x a day and titrated up .' -p132996 -(lp132997 -S'Captopril\tCaptopril\tNNP\tB-NP\tO' -p132998 -aS'6.2\t6.2\tCD\tI-NP\tO' -p132999 -aS'3\t3\tCD\tI-NP\tO' -p133000 -aS'x\tx\tNN\tI-NP\tO' -p133001 -aS'a\ta\tDT\tB-NP\tO' -p133002 -aS'day\tday\tNN\tI-NP\tO' -p133003 -aS'and\tand\tCC\tO\tO' -p133004 -aS'titrated\ttitrate\tVBN\tB-VP\tO' -p133005 -aS'up\tup\tRP\tB-PRT\tO' -p133006 -aS'.\t.\t.\tO\tO' -p133007 -asS'No ethanol use .' -p133008 -(lp133009 -S'No\tNo\tDT\tB-NP\tO' -p133010 -aS'ethanol\tethanol\tNN\tI-NP\tO' -p133011 -aS'use\tuse\tNN\tI-NP\tO' -p133012 -aS'.\t.\t.\tO\tO' -p133013 -asS'She is to have follow up with Dr. Bloomfield in one month , and follow up in the Wound Clinic in two' -p133014 -(lp133015 -S'She\tShe\tPRP\tB-NP\tO' -p133016 -aS'is\tbe\tVBZ\tB-VP\tO' -p133017 -aS'to\tto\tTO\tI-VP\tO' -p133018 -aS'have\thave\tVB\tI-VP\tO' -p133019 -aS'follow\tfollow\tVB\tI-VP\tO' -p133020 -aS'up\tup\tRP\tB-PRT\tO' -p133021 -aS'with\twith\tIN\tB-PP\tO' -p133022 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p133023 -aS'Bloomfield\tBloomfield\tNNP\tI-NP\tO' -p133024 -aS'in\tin\tIN\tB-PP\tO' -p133025 -aS'one\tone\tCD\tB-NP\tO' -p133026 -aS'month\tmonth\tNN\tI-NP\tO' -p133027 -aS',\t,\t,\tO\tO' -p133028 -aS'and\tand\tCC\tO\tO' -p133029 -aS'follow\tfollow\tVB\tB-VP\tO' -p133030 -aS'up\tup\tRP\tB-PRT\tO' -p133031 -aS'in\tin\tIN\tB-PP\tO' -p133032 -aS'the\tthe\tDT\tB-NP\tO' -p133033 -aS'Wound\tWound\tNNP\tI-NP\tO' -p133034 -aS'Clinic\tClinic\tNNP\tI-NP\tO' -p133035 -aS'in\tin\tIN\tB-PP\tO' -p133036 -aS'two\ttwo\tCD\tB-NP\tO' -p133037 -asS'Now pt lethargic and min responsive .' -p133038 -(lp133039 -S'Now\tNow\tRB\tB-ADVP\tO' -p133040 -aS'pt\tpt\tVB\tB-VP\tO' -p133041 -aS'lethargic\tlethargic\tJJ\tB-NP\tO' -p133042 -aS'and\tand\tCC\tI-NP\tO' -p133043 -aS'min\tmin\tNN\tI-NP\tO' -p133044 -aS'responsive\tresponsive\tJJ\tB-ADJP\tO' -p133045 -aS'.\t.\t.\tO\tO' -p133046 -asS'The patient went to the cardiac Intensive Care Unit on the West Campus postoperatively .' -p133047 -(lp133048 -S'The\tThe\tDT\tB-NP\tO' -p133049 -aS'patient\tpatient\tNN\tI-NP\tO' -p133050 -aS'went\tgo\tVBD\tB-VP\tO' -p133051 -aS'to\tto\tTO\tB-PP\tO' -p133052 -aS'the\tthe\tDT\tB-NP\tO' -p133053 -aS'cardiac\tcardiac\tJJ\tI-NP\tB-DNA' -p133054 -aS'Intensive\tIntensive\tJJ\tI-NP\tI-DNA' -p133055 -aS'Care\tCare\tNNP\tI-NP\tI-DNA' -p133056 -aS'Unit\tUnit\tNNP\tI-NP\tI-DNA' -p133057 -aS'on\ton\tIN\tB-PP\tO' -p133058 -aS'the\tthe\tDT\tB-NP\tO' -p133059 -aS'West\tWest\tNNP\tI-NP\tO' -p133060 -aS'Campus\tCampus\tNNP\tI-NP\tO' -p133061 -aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' -p133062 -aS'.\t.\t.\tO\tO' -p133063 -asS'The patient presented with a chief complaint of EPIGASTRIC PAIN / ABD PAIN .' -p133064 -(lp133065 -S'The\tThe\tDT\tB-NP\tO' -p133066 -aS'patient\tpatient\tNN\tI-NP\tO' -p133067 -aS'presented\tpresent\tVBD\tB-VP\tO' -p133068 -aS'with\twith\tIN\tB-PP\tO' -p133069 -aS'a\ta\tDT\tB-NP\tO' -p133070 -aS'chief\tchief\tJJ\tI-NP\tO' -p133071 -aS'complaint\tcomplaint\tNN\tI-NP\tO' -p133072 -aS'of\tof\tIN\tB-PP\tO' -p133073 -aS'EPIGASTRIC\tEPIGASTRIC\tNN\tB-NP\tB-protein' -p133074 -aS'PAIN\tPAIN\tNN\tI-NP\tI-protein' -p133075 -aS'/\t/\tSYM\tB-NP\tO' -p133076 -aS'ABD\tABD\tNN\tI-NP\tO' -p133077 -aS'PAIN\tPAIN\tNN\tI-NP\tO' -p133078 -aS'.\t.\t.\tO\tO' -p133079 -asS"At the time of this dictation , the patient 's physical examination is as follows : Vital signs were temperature 99 , heart rate 84 in sinus rhythm , blood pressure was 114/63 , Respiratory rate was 18 , O2 sat was 94 percent on room air ." -p133080 -(lp133081 -S'At\tAt\tIN\tB-PP\tO' -p133082 -aS'the\tthe\tDT\tB-NP\tO' -p133083 -aS'time\ttime\tNN\tI-NP\tO' -p133084 -aS'of\tof\tIN\tB-PP\tO' -p133085 -aS'this\tthis\tDT\tB-NP\tO' -p133086 -aS'dictation\tdictation\tNN\tI-NP\tO' -p133087 -aS',\t,\t,\tO\tO' -p133088 -aS'the\tthe\tDT\tB-NP\tO' -p133089 -aS'patient\tpatient\tNN\tI-NP\tO' -p133090 -aS"'s\t's\tPOS\tB-NP\tO" -p133091 -aS'physical\tphysical\tJJ\tI-NP\tO' -p133092 -aS'examination\texamination\tNN\tI-NP\tO' -p133093 -aS'is\tbe\tVBZ\tB-VP\tO' -p133094 -aS'as\tas\tIN\tB-SBAR\tO' -p133095 -aS'follows\tfollow\tVBZ\tB-VP\tO' -p133096 -aS':\t:\t:\tO\tO' -p133097 -aS'Vital\tVital\tJJ\tB-NP\tO' -p133098 -aS'signs\tsign\tNNS\tI-NP\tO' -p133099 -aS'were\tbe\tVBD\tB-VP\tO' -p133100 -aS'temperature\ttemperature\tNN\tB-NP\tO' -p133101 -aS'99\t99\tCD\tI-NP\tO' -p133102 -aS',\t,\t,\tO\tO' -p133103 -aS'heart\theart\tNN\tB-NP\tO' -p133104 -aS'rate\trate\tNN\tI-NP\tO' -p133105 -aS'84\t84\tCD\tI-NP\tO' -p133106 -aS'in\tin\tIN\tB-PP\tO' -p133107 -aS'sinus\tsinus\tNN\tB-NP\tO' -p133108 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p133109 -aS',\t,\t,\tO\tO' -p133110 -aS'blood\tblood\tNN\tB-NP\tO' -p133111 -aS'pressure\tpressure\tNN\tI-NP\tO' -p133112 -aS'was\tbe\tVBD\tB-VP\tO' -p133113 -aS'114/63\t114/63\tCD\tB-NP\tO' -p133114 -aS',\t,\t,\tO\tO' -p133115 -aS'Respiratory\tRespiratory\tJJ\tB-NP\tO' -p133116 -aS'rate\trate\tNN\tI-NP\tO' -p133117 -aS'was\tbe\tVBD\tB-VP\tO' -p133118 -aS'18\t18\tCD\tB-NP\tO' -p133119 -aS',\t,\t,\tO\tO' -p133120 -aS'O2\tO2\tNN\tB-NP\tO' -p133121 -aS'sat\tsit\tVBD\tB-VP\tO' -p133122 -aS'was\tbe\tVBD\tB-VP\tO' -p133123 -aS'94\t94\tCD\tB-NP\tO' -p133124 -aS'percent\tpercent\tNN\tI-NP\tO' -p133125 -aS'on\ton\tIN\tB-PP\tO' -p133126 -aS'room\troom\tNN\tB-NP\tO' -p133127 -aS'air\tair\tNN\tI-NP\tO' -p133128 -aS'.\t.\t.\tO\tO' -p133129 -asS'His heart was regular with a normal S1 and S2 .' -p133130 -(lp133131 -S'His\tHis\tPRP$\tB-NP\tO' -p133132 -aS'heart\theart\tNN\tI-NP\tO' -p133133 -aS'was\tbe\tVBD\tB-VP\tO' -p133134 -aS'regular\tregular\tJJ\tB-ADJP\tO' -p133135 -aS'with\twith\tIN\tB-PP\tO' -p133136 -aS'a\ta\tDT\tB-NP\tO' -p133137 -aS'normal\tnormal\tJJ\tI-NP\tO' -p133138 -aS'S1\tS1\tNN\tI-NP\tB-protein' -p133139 -aS'and\tand\tCC\tI-NP\tO' -p133140 -aS'S2\tS2\tNN\tI-NP\tB-protein' -p133141 -aS'.\t.\t.\tO\tO' -p133142 -asS'On March 3 , 1994 , a repeat chest and abdominal and pelvis computerized tomography scan showed no evidence of fluid collections .' -p133143 -(lp133144 -S'On\tOn\tIN\tB-PP\tO' -p133145 -aS'March\tMarch\tNNP\tB-NP\tO' -p133146 -aS'3\t3\tCD\tI-NP\tO' -p133147 -aS',\t,\t,\tI-NP\tO' -p133148 -aS'1994\t1994\tCD\tI-NP\tO' -p133149 -aS',\t,\t,\tO\tO' -p133150 -aS'a\ta\tDT\tB-NP\tO' -p133151 -aS'repeat\trepeat\tNN\tI-NP\tO' -p133152 -aS'chest\tchest\tNN\tI-NP\tO' -p133153 -aS'and\tand\tCC\tO\tO' -p133154 -aS'abdominal\tabdominal\tNN\tB-NP\tO' -p133155 -aS'and\tand\tCC\tI-NP\tO' -p133156 -aS'pelvis\tpelvis\tNN\tI-NP\tO' -p133157 -aS'computerized\tcomputerize\tVBD\tB-VP\tO' -p133158 -aS'tomography\ttomography\tNN\tB-NP\tO' -p133159 -aS'scan\tscan\tNN\tI-NP\tO' -p133160 -aS'showed\tshow\tVBD\tB-VP\tO' -p133161 -aS'no\tno\tDT\tB-NP\tO' -p133162 -aS'evidence\tevidence\tNN\tI-NP\tO' -p133163 -aS'of\tof\tIN\tB-PP\tO' -p133164 -aS'fluid\tfluid\tNN\tB-NP\tO' -p133165 -aS'collections\tcollection\tNNS\tI-NP\tO' -p133166 -aS'.\t.\t.\tO\tO' -p133167 -asS'In addition , she will take Valganciclovir for three months posttransplant .' -p133168 -(lp133169 -S'In\tIn\tIN\tB-PP\tO' -p133170 -aS'addition\taddition\tNN\tB-NP\tO' -p133171 -aS',\t,\t,\tO\tO' -p133172 -aS'she\tshe\tPRP\tB-NP\tO' -p133173 -aS'will\twill\tMD\tB-VP\tO' -p133174 -aS'take\ttake\tVB\tI-VP\tO' -p133175 -aS'Valganciclovir\tValganciclovir\tNNP\tB-NP\tO' -p133176 -aS'for\tfor\tIN\tB-PP\tO' -p133177 -aS'three\tthree\tCD\tB-NP\tO' -p133178 -aS'months\tmonth\tNNS\tI-NP\tO' -p133179 -aS'posttransplant\tposttransplant\tNN\tI-NP\tO' -p133180 -aS'.\t.\t.\tO\tO' -p133181 -asS'In general , the patient was alert and oriented times three .' -p133182 -(lp133183 -S'In\tIn\tIN\tB-PP\tO' -p133184 -aS'general\tgeneral\tJJ\tB-ADJP\tO' -p133185 -aS',\t,\t,\tO\tO' -p133186 -aS'the\tthe\tDT\tB-NP\tO' -p133187 -aS'patient\tpatient\tNN\tI-NP\tO' -p133188 -aS'was\tbe\tVBD\tB-VP\tO' -p133189 -aS'alert\talert\tJJ\tB-ADJP\tO' -p133190 -aS'and\tand\tCC\tO\tO' -p133191 -aS'oriented\torient\tVBN\tB-VP\tO' -p133192 -aS'times\ttime\tNNS\tB-NP\tO' -p133193 -aS'three\tthree\tCD\tB-NP\tO' -p133194 -aS'.\t.\t.\tO\tO' -p133195 -asS'By 2010-02-06 , which would correlate with hospital day number two , the patient had no complaints except for some small frontal pressure in the region of where the bleed had been localized on the right side .' -p133196 -(lp133197 -S'By\tBy\tIN\tB-PP\tO' -p133198 -aS'2010-02-06\t2010-02-06\tCD\tB-NP\tO' -p133199 -aS',\t,\t,\tO\tO' -p133200 -aS'which\twhich\tWDT\tB-NP\tO' -p133201 -aS'would\twould\tMD\tB-VP\tO' -p133202 -aS'correlate\tcorrelate\tVB\tI-VP\tO' -p133203 -aS'with\twith\tIN\tB-PP\tO' -p133204 -aS'hospital\thospital\tNN\tB-NP\tO' -p133205 -aS'day\tday\tNN\tI-NP\tO' -p133206 -aS'number\tnumber\tNN\tI-NP\tO' -p133207 -aS'two\ttwo\tCD\tB-NP\tO' -p133208 -aS',\t,\t,\tO\tO' -p133209 -aS'the\tthe\tDT\tB-NP\tO' -p133210 -aS'patient\tpatient\tNN\tI-NP\tO' -p133211 -aS'had\thave\tVBD\tB-VP\tO' -p133212 -aS'no\tno\tDT\tB-NP\tO' -p133213 -aS'complaints\tcomplaint\tNNS\tI-NP\tO' -p133214 -aS'except\texcept\tIN\tB-PP\tO' -p133215 -aS'for\tfor\tIN\tB-PP\tO' -p133216 -aS'some\tsome\tDT\tB-NP\tO' -p133217 -aS'small\tsmall\tJJ\tI-NP\tO' -p133218 -aS'frontal\tfrontal\tJJ\tI-NP\tO' -p133219 -aS'pressure\tpressure\tNN\tI-NP\tO' -p133220 -aS'in\tin\tIN\tB-PP\tO' -p133221 -aS'the\tthe\tDT\tB-NP\tO' -p133222 -aS'region\tregion\tNN\tI-NP\tO' -p133223 -aS'of\tof\tIN\tB-PP\tO' -p133224 -aS'where\twhere\tWRB\tB-ADVP\tO' -p133225 -aS'the\tthe\tDT\tB-NP\tO' -p133226 -aS'bleed\tbleed\tNN\tI-NP\tO' -p133227 -aS'had\thave\tVBD\tB-VP\tO' -p133228 -aS'been\tbe\tVBN\tI-VP\tO' -p133229 -aS'localized\tlocalize\tVBN\tI-VP\tO' -p133230 -aS'on\ton\tIN\tB-PP\tO' -p133231 -aS'the\tthe\tDT\tB-NP\tO' -p133232 -aS'right\tright\tJJ\tI-NP\tO' -p133233 -aS'side\tside\tNN\tI-NP\tO' -p133234 -aS'.\t.\t.\tO\tO' -p133235 -asS'Please follow up with Dr. Cynthia Kabzinski ( 672-3879 ) on 2017-08-08' -p133236 -(lp133237 -S'Please\tPlease\tVB\tB-VP\tO' -p133238 -aS'follow\tfollow\tVB\tI-VP\tO' -p133239 -aS'up\tup\tRP\tB-PRT\tO' -p133240 -aS'with\twith\tIN\tB-PP\tO' -p133241 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p133242 -aS'Cynthia\tCynthia\tNNP\tI-NP\tO' -p133243 -aS'Kabzinski\tKabzinski\tNNP\tI-NP\tO' -p133244 -aS'(\t(\t(\tO\tO' -p133245 -aS'672-3879\t672-3879\tCD\tB-NP\tO' -p133246 -aS')\t)\t)\tO\tO' -p133247 -aS'on\ton\tIN\tB-PP\tO' -p133248 -aS'2017-08-08\t2017-08-08\tCD\tB-NP\tO' -p133249 -asS'3. history of slowness of gait , ? parkinsons ? and possibly dementia followed by Dr. Ahern ( Laurence Eichorn ).' -p133250 -(lp133251 -S'3.\t3.\tLS\tB-LST\tO' -p133252 -aS'history\thistory\tNN\tB-NP\tO' -p133253 -aS'of\tof\tIN\tB-PP\tO' -p133254 -aS'slowness\tslowness\tNN\tB-NP\tO' -p133255 -aS'of\tof\tIN\tB-PP\tO' -p133256 -aS'gait\tgait\tNN\tB-NP\tO' -p133257 -aS',\t,\t,\tO\tO' -p133258 -aS'?\t?\t.\tO\tO' -p133259 -aS'parkinsons\tparkinson\tNNS\tB-NP\tO' -p133260 -aS'?\t?\t.\tO\tO' -p133261 -aS'and\tand\tCC\tO\tO' -p133262 -aS'possibly\tpossibly\tRB\tB-ADVP\tO' -p133263 -aS'dementia\tdementia\tNN\tB-NP\tO' -p133264 -aS'followed\tfollow\tVBN\tB-VP\tO' -p133265 -aS'by\tby\tIN\tB-PP\tO' -p133266 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p133267 -aS'Ahern\tAhern\tNNP\tI-NP\tO' -p133268 -aS'(\t(\t(\tO\tO' -p133269 -aS'Laurence\tLaurence\tNNP\tB-NP\tO' -p133270 -aS'Eichorn\tEichorn\tNNP\tI-NP\tO' -p133271 -aS').\t).\tNNP\tI-NP\tO' -p133272 -asS'Atenolol 50 mg. qday .' -p133273 -(lp133274 -S'Atenolol\tAtenolol\tNN\tB-NP\tO' -p133275 -aS'50\t50\tCD\tI-NP\tO' -p133276 -aS'mg.\tmg.\tNN\tI-NP\tO' -p133277 -aS'qday\tqday\tNN\tI-NP\tO' -p133278 -aS'.\t.\t.\tO\tO' -p133279 -asS'After consultation with Cardiology as well as Anesthesia on call that evening , it was decided to transfer the patient to the ICU for intensive monitoring .' -p133280 -(lp133281 -S'After\tAfter\tIN\tB-PP\tO' -p133282 -aS'consultation\tconsultation\tNN\tB-NP\tO' -p133283 -aS'with\twith\tIN\tB-PP\tO' -p133284 -aS'Cardiology\tCardiology\tNNP\tB-NP\tO' -p133285 -aS'as\tas\tRB\tB-CONJP\tO' -p133286 -aS'well\twell\tRB\tI-CONJP\tO' -p133287 -aS'as\tas\tIN\tI-CONJP\tO' -p133288 -aS'Anesthesia\tAnesthesia\tNNP\tB-NP\tO' -p133289 -aS'on\ton\tIN\tB-PP\tO' -p133290 -aS'call\tcall\tNN\tB-NP\tO' -p133291 -aS'that\tthat\tIN\tB-NP\tO' -p133292 -aS'evening\tevening\tNN\tB-NP\tO' -p133293 -aS',\t,\t,\tO\tO' -p133294 -aS'it\tit\tPRP\tB-NP\tO' -p133295 -aS'was\tbe\tVBD\tB-VP\tO' -p133296 -aS'decided\tdecide\tVBN\tI-VP\tO' -p133297 -aS'to\tto\tTO\tI-VP\tO' -p133298 -aS'transfer\ttransfer\tVB\tI-VP\tO' -p133299 -aS'the\tthe\tDT\tB-NP\tO' -p133300 -aS'patient\tpatient\tNN\tI-NP\tO' -p133301 -aS'to\tto\tTO\tB-PP\tO' -p133302 -aS'the\tthe\tDT\tB-NP\tO' -p133303 -aS'ICU\tICU\tNN\tI-NP\tO' -p133304 -aS'for\tfor\tIN\tB-PP\tO' -p133305 -aS'intensive\tintensive\tJJ\tB-NP\tO' -p133306 -aS'monitoring\tmonitoring\tNN\tI-NP\tO' -p133307 -aS'.\t.\t.\tO\tO' -p133308 -asS'3. Potassium chloride 20 mEq p.o. q. 12 hours times seven days .' -p133309 -(lp133310 -S'3.\t3.\tLS\tB-NP\tO' -p133311 -aS'Potassium\tPotassium\tNN\tI-NP\tO' -p133312 -aS'chloride\tchloride\tNN\tI-NP\tO' -p133313 -aS'20\t20\tCD\tI-NP\tO' -p133314 -aS'mEq\tmEq\tNN\tI-NP\tO' -p133315 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p133316 -aS'q.\tq.\tNN\tI-NP\tO' -p133317 -aS'12\t12\tCD\tB-NP\tO' -p133318 -aS'hours\thour\tNNS\tI-NP\tO' -p133319 -aS'times\ttimes\tCC\tO\tO' -p133320 -aS'seven\tseven\tCD\tB-NP\tO' -p133321 -aS'days\tday\tNNS\tI-NP\tO' -p133322 -aS'.\t.\t.\tO\tO' -p133323 -asS'He required elevated ventilatory pressures with PIPS often above 60 .' -p133324 -(lp133325 -S'He\tHe\tPRP\tB-NP\tO' -p133326 -aS'required\trequire\tVBD\tB-VP\tO' -p133327 -aS'elevated\televated\tJJ\tB-NP\tO' -p133328 -aS'ventilatory\tventilatory\tJJ\tI-NP\tO' -p133329 -aS'pressures\tpressure\tNNS\tI-NP\tO' -p133330 -aS'with\twith\tIN\tB-PP\tO' -p133331 -aS'PIPS\tPIPS\tNN\tB-NP\tB-protein' -p133332 -aS'often\toften\tRB\tB-ADVP\tO' -p133333 -aS'above\tabove\tIN\tB-PP\tO' -p133334 -aS'60\t60\tCD\tB-NP\tO' -p133335 -aS'.\t.\t.\tO\tO' -p133336 -asS'She was unable to sleep at night , often pacing the halls .' -p133337 -(lp133338 -S'She\tShe\tPRP\tB-NP\tO' -p133339 -aS'was\tbe\tVBD\tB-VP\tO' -p133340 -aS'unable\tunable\tJJ\tB-ADJP\tO' -p133341 -aS'to\tto\tTO\tB-VP\tO' -p133342 -aS'sleep\tsleep\tVB\tI-VP\tO' -p133343 -aS'at\tat\tIN\tB-PP\tO' -p133344 -aS'night\tnight\tNN\tB-NP\tO' -p133345 -aS',\t,\t,\tO\tO' -p133346 -aS'often\toften\tRB\tB-ADVP\tO' -p133347 -aS'pacing\tpace\tVBG\tB-VP\tO' -p133348 -aS'the\tthe\tDT\tB-NP\tO' -p133349 -aS'halls\thall\tNNS\tI-NP\tO' -p133350 -aS'.\t.\t.\tO\tO' -p133351 -asS'3. CV -The pt has a small area of reversible ischemia on recent MIBI , and has troponins persistently elevated in the setting of his renal disease .' -p133352 -(lp133353 -S'3.\t3.\tLS\tB-NP\tO' -p133354 -aS'CV\tCV\tNN\tI-NP\tO' -p133355 -aS'-The\t-The\tNN\tI-NP\tO' -p133356 -aS'pt\tpt\tNN\tI-NP\tO' -p133357 -aS'has\thave\tVBZ\tB-VP\tO' -p133358 -aS'a\ta\tDT\tB-NP\tO' -p133359 -aS'small\tsmall\tJJ\tI-NP\tO' -p133360 -aS'area\tarea\tNN\tI-NP\tO' -p133361 -aS'of\tof\tIN\tB-PP\tO' -p133362 -aS'reversible\treversible\tJJ\tB-NP\tO' -p133363 -aS'ischemia\tischemia\tNN\tI-NP\tO' -p133364 -aS'on\ton\tIN\tB-PP\tO' -p133365 -aS'recent\trecent\tJJ\tB-NP\tO' -p133366 -aS'MIBI\tMIBI\tNN\tI-NP\tO' -p133367 -aS',\t,\t,\tO\tO' -p133368 -aS'and\tand\tCC\tO\tO' -p133369 -aS'has\thave\tVBZ\tB-VP\tO' -p133370 -aS'troponins\ttroponin\tNNS\tB-NP\tO' -p133371 -aS'persistently\tpersistently\tRB\tB-ADJP\tO' -p133372 -aS'elevated\televated\tJJ\tI-ADJP\tO' -p133373 -aS'in\tin\tIN\tB-PP\tO' -p133374 -aS'the\tthe\tDT\tB-NP\tO' -p133375 -aS'setting\tsetting\tNN\tI-NP\tO' -p133376 -aS'of\tof\tIN\tB-PP\tO' -p133377 -aS'his\this\tPRP$\tB-NP\tO' -p133378 -aS'renal\trenal\tJJ\tI-NP\tO' -p133379 -aS'disease\tdisease\tNN\tI-NP\tO' -p133380 -aS'.\t.\t.\tO\tO' -p133381 -asS'Pt was subsequently transferred to Hallmark Health System for orthopaedic evaluation .' -p133382 -(lp133383 -S'Pt\tPt\tNN\tB-NP\tO' -p133384 -aS'was\tbe\tVBD\tB-VP\tO' -p133385 -aS'subsequently\tsubsequently\tRB\tI-VP\tO' -p133386 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p133387 -aS'to\tto\tTO\tB-PP\tO' -p133388 -aS'Hallmark\tHallmark\tNNP\tB-NP\tO' -p133389 -aS'Health\tHealth\tNNP\tI-NP\tO' -p133390 -aS'System\tSystem\tNNP\tI-NP\tO' -p133391 -aS'for\tfor\tIN\tB-PP\tO' -p133392 -aS'orthopaedic\torthopaedic\tJJ\tB-NP\tO' -p133393 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p133394 -aS'.\t.\t.\tO\tO' -p133395 -asS'Regular rhythm , tachycardia , no murmurs , no JVD .' -p133396 -(lp133397 -S'Regular\tRegular\tJJ\tB-NP\tO' -p133398 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p133399 -aS',\t,\t,\tO\tO' -p133400 -aS'tachycardia\ttachycardia\tNN\tB-NP\tO' -p133401 -aS',\t,\t,\tO\tO' -p133402 -aS'no\tno\tDT\tB-NP\tO' -p133403 -aS'murmurs\tmurmur\tNNS\tI-NP\tO' -p133404 -aS',\t,\t,\tO\tO' -p133405 -aS'no\tno\tDT\tB-NP\tO' -p133406 -aS'JVD\tJVD\tNN\tI-NP\tB-protein' -p133407 -aS'.\t.\t.\tO\tO' -p133408 -asS'Rectal revealed normal muscle tone , heme negative stool .' -p133409 -(lp133410 -S'Rectal\tRectal\tJJ\tB-NP\tO' -p133411 -aS'revealed\treveal\tVBD\tB-VP\tO' -p133412 -aS'normal\tnormal\tJJ\tB-NP\tO' -p133413 -aS'muscle\tmuscle\tNN\tI-NP\tO' -p133414 -aS'tone\ttone\tNN\tI-NP\tO' -p133415 -aS',\t,\t,\tO\tO' -p133416 -aS'heme\theme\tNN\tB-NP\tO' -p133417 -aS'negative\tnegative\tJJ\tI-NP\tO' -p133418 -aS'stool\tstool\tNN\tI-NP\tO' -p133419 -aS'.\t.\t.\tO\tO' -p133420 -asS'Troponin was 0.2 .' -p133421 -(lp133422 -S'Troponin\tTroponin\tNN\tB-NP\tB-protein' -p133423 -aS'was\tbe\tVBD\tB-VP\tO' -p133424 -aS'0.2\t0.2\tCD\tB-NP\tO' -p133425 -aS'.\t.\t.\tO\tO' -p133426 -asS'It was unclear whether this was due to superficial tenderness or abdominal tenderness .' -p133427 -(lp133428 -S'It\tIt\tPRP\tB-NP\tO' -p133429 -aS'was\tbe\tVBD\tB-VP\tO' -p133430 -aS'unclear\tunclear\tJJ\tB-ADJP\tO' -p133431 -aS'whether\twhether\tIN\tB-SBAR\tO' -p133432 -aS'this\tthis\tDT\tB-NP\tO' -p133433 -aS'was\tbe\tVBD\tB-VP\tO' -p133434 -aS'due\tdue\tJJ\tB-ADJP\tO' -p133435 -aS'to\tto\tTO\tB-PP\tO' -p133436 -aS'superficial\tsuperficial\tJJ\tB-NP\tO' -p133437 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p133438 -aS'or\tor\tCC\tO\tO' -p133439 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p133440 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p133441 -aS'.\t.\t.\tO\tO' -p133442 -asS'She was started on the MUST protocol with high dose steroids as well and a goal SVO2 >70% .' -p133443 -(lp133444 -S'She\tShe\tPRP\tB-NP\tO' -p133445 -aS'was\tbe\tVBD\tB-VP\tO' -p133446 -aS'started\tstart\tVBN\tI-VP\tO' -p133447 -aS'on\ton\tIN\tB-PP\tO' -p133448 -aS'the\tthe\tDT\tB-NP\tO' -p133449 -aS'MUST\tMUST\tNN\tI-NP\tO' -p133450 -aS'protocol\tprotocol\tNN\tI-NP\tO' -p133451 -aS'with\twith\tIN\tB-PP\tO' -p133452 -aS'high\thigh\tJJ\tB-NP\tO' -p133453 -aS'dose\tdose\tNN\tI-NP\tO' -p133454 -aS'steroids\tsteroid\tNNS\tI-NP\tO' -p133455 -aS'as\tas\tRB\tB-ADVP\tO' -p133456 -aS'well\twell\tRB\tI-ADVP\tO' -p133457 -aS'and\tand\tCC\tO\tO' -p133458 -aS'a\ta\tDT\tB-NP\tO' -p133459 -aS'goal\tgoal\tJJ\tI-NP\tB-protein' -p133460 -aS'SVO2\tSVO2\tNN\tI-NP\tI-protein' -p133461 -aS'>70%\t>70%\tNN\tI-NP\tI-protein' -p133462 -aS'.\t.\t.\tO\tO' -p133463 -asS'He is married and lives with his wife .' -p133464 -(lp133465 -S'He\tHe\tPRP\tB-NP\tO' -p133466 -aS'is\tbe\tVBZ\tB-VP\tO' -p133467 -aS'married\tmarried\tJJ\tB-ADJP\tO' -p133468 -aS'and\tand\tCC\tO\tO' -p133469 -aS'lives\tlive\tVBZ\tB-VP\tO' -p133470 -aS'with\twith\tIN\tB-PP\tO' -p133471 -aS'his\this\tPRP$\tB-NP\tO' -p133472 -aS'wife\twife\tNN\tI-NP\tO' -p133473 -aS'.\t.\t.\tO\tO' -p133474 -asS'Neurologic examination - alert and oriented x 3 , slurred and slow speech , distractable .' -p133475 -(lp133476 -S'Neurologic\tNeurologic\tJJ\tB-NP\tO' -p133477 -aS'examination\texamination\tNN\tI-NP\tO' -p133478 -aS'-\t-\tHYPH\tB-VP\tO' -p133479 -aS'alert\talert\tJJ\tB-ADJP\tO' -p133480 -aS'and\tand\tCC\tO\tO' -p133481 -aS'oriented\torient\tVBN\tB-VP\tO' -p133482 -aS'x\tx\tNN\tB-NP\tO' -p133483 -aS'3\t3\tCD\tI-NP\tO' -p133484 -aS',\t,\t,\tO\tO' -p133485 -aS'slurred\tslur\tVBD\tB-VP\tO' -p133486 -aS'and\tand\tCC\tO\tO' -p133487 -aS'slow\tslow\tJJ\tB-NP\tO' -p133488 -aS'speech\tspeech\tNN\tI-NP\tO' -p133489 -aS',\t,\t,\tO\tO' -p133490 -aS'distractable\tdistractable\tJJ\tB-ADJP\tO' -p133491 -aS'.\t.\t.\tO\tO' -p133492 -asS'The ventricles , cisterns and sulci are normal .' -p133493 -(lp133494 -S'The\tThe\tDT\tB-NP\tO' -p133495 -aS'ventricles\tventricle\tNNS\tI-NP\tO' -p133496 -aS',\t,\t,\tI-NP\tO' -p133497 -aS'cisterns\tcistern\tNNS\tI-NP\tO' -p133498 -aS'and\tand\tCC\tI-NP\tO' -p133499 -aS'sulci\tsulcus\tNNS\tI-NP\tO' -p133500 -aS'are\tbe\tVBP\tB-VP\tO' -p133501 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p133502 -aS'.\t.\t.\tO\tO' -p133503 -asS'I would be happy to answer any questions .' -p133504 -(lp133505 -S'I\tI\tPRP\tB-NP\tO' -p133506 -aS'would\twould\tMD\tB-VP\tO' -p133507 -aS'be\tbe\tVB\tI-VP\tO' -p133508 -aS'happy\thappy\tJJ\tB-ADJP\tO' -p133509 -aS'to\tto\tTO\tB-VP\tO' -p133510 -aS'answer\tanswer\tVB\tI-VP\tO' -p133511 -aS'any\tany\tDT\tB-NP\tO' -p133512 -aS'questions\tquestion\tNNS\tI-NP\tO' -p133513 -aS'.\t.\t.\tO\tO' -p133514 -asS'He was seen in consultation by the GI Service and the Liver Transplantation Service .' -p133515 -(lp133516 -S'He\tHe\tPRP\tB-NP\tO' -p133517 -aS'was\tbe\tVBD\tB-VP\tO' -p133518 -aS'seen\tsee\tVBN\tI-VP\tO' -p133519 -aS'in\tin\tIN\tB-PP\tO' -p133520 -aS'consultation\tconsultation\tNN\tB-NP\tO' -p133521 -aS'by\tby\tIN\tB-PP\tO' -p133522 -aS'the\tthe\tDT\tB-NP\tO' -p133523 -aS'GI\tGI\tNNP\tI-NP\tO' -p133524 -aS'Service\tService\tNNP\tI-NP\tO' -p133525 -aS'and\tand\tCC\tO\tO' -p133526 -aS'the\tthe\tDT\tB-NP\tO' -p133527 -aS'Liver\tLiver\tNNP\tI-NP\tO' -p133528 -aS'Transplantation\tTransplantation\tNNP\tI-NP\tO' -p133529 -aS'Service\tService\tNNP\tI-NP\tO' -p133530 -aS'.\t.\t.\tO\tO' -p133531 -asS'His post-operative course was complicated by an E. coli urinary tract infection and transient acute renal failure with increasing creatinine .' -p133532 -(lp133533 -S'His\tHis\tPRP$\tB-NP\tO' -p133534 -aS'post-operative\tpost-operative\tJJ\tI-NP\tO' -p133535 -aS'course\tcourse\tNN\tI-NP\tO' -p133536 -aS'was\tbe\tVBD\tB-VP\tO' -p133537 -aS'complicated\tcomplicate\tVBN\tI-VP\tO' -p133538 -aS'by\tby\tIN\tB-PP\tO' -p133539 -aS'an\tan\tDT\tB-NP\tO' -p133540 -aS'E.\tE.\tFW\tI-NP\tO' -p133541 -aS'coli\tcoli\tFW\tI-NP\tO' -p133542 -aS'urinary\turinary\tJJ\tI-NP\tO' -p133543 -aS'tract\ttract\tNN\tI-NP\tO' -p133544 -aS'infection\tinfection\tNN\tI-NP\tO' -p133545 -aS'and\tand\tCC\tO\tO' -p133546 -aS'transient\ttransient\tJJ\tB-NP\tO' -p133547 -aS'acute\tacute\tJJ\tI-NP\tO' -p133548 -aS'renal\trenal\tJJ\tI-NP\tO' -p133549 -aS'failure\tfailure\tNN\tI-NP\tO' -p133550 -aS'with\twith\tIN\tB-PP\tO' -p133551 -aS'increasing\tincrease\tVBG\tB-NP\tO' -p133552 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p133553 -aS'.\t.\t.\tO\tO' -p133554 -asS'Apparently she has a long history of seizure disorder , possibly from a history of traumatic brain injury ( though per Dr. Paula ,' -p133555 -(lp133556 -S'Apparently\tApparently\tRB\tB-ADVP\tO' -p133557 -aS'she\tshe\tPRP\tB-NP\tO' -p133558 -aS'has\thave\tVBZ\tB-VP\tO' -p133559 -aS'a\ta\tDT\tB-NP\tO' -p133560 -aS'long\tlong\tJJ\tI-NP\tO' -p133561 -aS'history\thistory\tNN\tI-NP\tO' -p133562 -aS'of\tof\tIN\tB-PP\tO' -p133563 -aS'seizure\tseizure\tNN\tB-NP\tO' -p133564 -aS'disorder\tdisorder\tNN\tI-NP\tO' -p133565 -aS',\t,\t,\tO\tO' -p133566 -aS'possibly\tpossibly\tRB\tB-ADVP\tO' -p133567 -aS'from\tfrom\tIN\tB-PP\tO' -p133568 -aS'a\ta\tDT\tB-NP\tO' -p133569 -aS'history\thistory\tNN\tI-NP\tO' -p133570 -aS'of\tof\tIN\tB-PP\tO' -p133571 -aS'traumatic\ttraumatic\tJJ\tB-NP\tO' -p133572 -aS'brain\tbrain\tNN\tI-NP\tO' -p133573 -aS'injury\tinjury\tNN\tI-NP\tO' -p133574 -aS'(\t(\t(\tO\tO' -p133575 -aS'though\tthough\tIN\tB-SBAR\tO' -p133576 -aS'per\tper\tIN\tB-PP\tO' -p133577 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p133578 -aS'Paula\tPaula\tNNP\tI-NP\tO' -p133579 -aS',\t,\t,\tO\tO' -p133580 -asS'Postoperative course was unremarkable .' -p133581 -(lp133582 -S'Postoperative\tPostoperative\tJJ\tB-NP\tO' -p133583 -aS'course\tcourse\tNN\tI-NP\tO' -p133584 -aS'was\tbe\tVBD\tB-VP\tO' -p133585 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p133586 -aS'.\t.\t.\tO\tO' -p133587 -asS'2. Plavix 75 mg q.d. times 3 months .' -p133588 -(lp133589 -S'2.\t2.\tLS\tB-NP\tO' -p133590 -aS'Plavix\tPlavix\tNNP\tI-NP\tO' -p133591 -aS'75\t75\tCD\tI-NP\tO' -p133592 -aS'mg\tmg\tNN\tI-NP\tO' -p133593 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p133594 -aS'times\ttime\tNNS\tI-NP\tO' -p133595 -aS'3\t3\tCD\tB-NP\tO' -p133596 -aS'months\tmonth\tNNS\tI-NP\tO' -p133597 -aS'.\t.\t.\tO\tO' -p133598 -asS'The left ventricular cavity size is normal .' -p133599 -(lp133600 -S'The\tThe\tDT\tB-NP\tO' -p133601 -aS'left\tleft\tJJ\tI-NP\tO' -p133602 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p133603 -aS'cavity\tcavity\tNN\tI-NP\tO' -p133604 -aS'size\tsize\tNN\tI-NP\tO' -p133605 -aS'is\tbe\tVBZ\tB-VP\tO' -p133606 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p133607 -aS'.\t.\t.\tO\tO' -p133608 -asS'Please call MD or return to Deanna if new symptoms suggestive of stroke or brain hemorrhage including weakness , numbness / tingling , facial droop , visual changes , vertigo , loss of coordination , or worsened problems with walking .' -p133609 -(lp133610 -S'Please\tPlease\tNNP\tB-NP\tO' -p133611 -aS'call\tcall\tVB\tB-VP\tO' -p133612 -aS'MD\tMD\tNNP\tB-NP\tO' -p133613 -aS'or\tor\tCC\tO\tO' -p133614 -aS'return\treturn\tVB\tB-VP\tO' -p133615 -aS'to\tto\tTO\tB-PP\tO' -p133616 -aS'Deanna\tDeanna\tNNP\tB-NP\tO' -p133617 -aS'if\tif\tIN\tB-SBAR\tO' -p133618 -aS'new\tnew\tJJ\tB-NP\tO' -p133619 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p133620 -aS'suggestive\tsuggestive\tJJ\tB-ADJP\tO' -p133621 -aS'of\tof\tIN\tB-PP\tO' -p133622 -aS'stroke\tstroke\tNN\tB-NP\tO' -p133623 -aS'or\tor\tCC\tI-NP\tO' -p133624 -aS'brain\tbrain\tNN\tI-NP\tO' -p133625 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p133626 -aS'including\tinclude\tVBG\tB-PP\tO' -p133627 -aS'weakness\tweakness\tNN\tB-NP\tO' -p133628 -aS',\t,\t,\tO\tO' -p133629 -aS'numbness\tnumbness\tNN\tB-NP\tO' -p133630 -aS'/\t/\tSYM\tI-NP\tO' -p133631 -aS'tingling\ttingling\tNN\tI-NP\tO' -p133632 -aS',\t,\t,\tO\tO' -p133633 -aS'facial\tfacial\tJJ\tB-NP\tO' -p133634 -aS'droop\tdroop\tNN\tI-NP\tO' -p133635 -aS',\t,\t,\tO\tO' -p133636 -aS'visual\tvisual\tJJ\tB-NP\tO' -p133637 -aS'changes\tchange\tNNS\tI-NP\tO' -p133638 -aS',\t,\t,\tO\tO' -p133639 -aS'vertigo\tvertigo\tRB\tB-ADVP\tO' -p133640 -aS',\t,\t,\tO\tO' -p133641 -aS'loss\tloss\tNN\tB-NP\tO' -p133642 -aS'of\tof\tIN\tB-PP\tO' -p133643 -aS'coordination\tcoordination\tNN\tB-NP\tO' -p133644 -aS',\t,\t,\tO\tO' -p133645 -aS'or\tor\tCC\tO\tO' -p133646 -aS'worsened\tworsen\tVBD\tB-VP\tO' -p133647 -aS'problems\tproblem\tNNS\tB-NP\tO' -p133648 -aS'with\twith\tIN\tB-PP\tO' -p133649 -aS'walking\twalk\tVBG\tB-NP\tO' -p133650 -aS'.\t.\t.\tO\tO' -p133651 -asS'4. Acute renal failure .' -p133652 -(lp133653 -S'4.\t4.\tLS\tB-NP\tO' -p133654 -aS'Acute\tAcute\tJJ\tI-NP\tO' -p133655 -aS'renal\trenal\tJJ\tI-NP\tO' -p133656 -aS'failure\tfailure\tNN\tI-NP\tO' -p133657 -aS'.\t.\t.\tO\tO' -p133658 -asS'As described in previous section , Neo-Synephrine and eventually Levophed were used to maintain a coronary perfusion pressure of greater than 70 .' -p133659 -(lp133660 -S'As\tAs\tIN\tB-SBAR\tO' -p133661 -aS'described\tdescribe\tVBN\tB-VP\tO' -p133662 -aS'in\tin\tIN\tB-PP\tO' -p133663 -aS'previous\tprevious\tJJ\tB-NP\tO' -p133664 -aS'section\tsection\tNN\tI-NP\tO' -p133665 -aS',\t,\t,\tO\tO' -p133666 -aS'Neo-Synephrine\tNeo-Synephrine\tNN\tB-NP\tO' -p133667 -aS'and\tand\tCC\tO\tO' -p133668 -aS'eventually\teventually\tRB\tB-VP\tO' -p133669 -aS'Levophed\tLevophe\tVBN\tI-VP\tO' -p133670 -aS'were\tbe\tVBD\tB-VP\tO' -p133671 -aS'used\tuse\tVBN\tI-VP\tO' -p133672 -aS'to\tto\tTO\tB-VP\tO' -p133673 -aS'maintain\tmaintain\tVB\tI-VP\tO' -p133674 -aS'a\ta\tDT\tB-NP\tO' -p133675 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p133676 -aS'perfusion\tperfusion\tNN\tI-NP\tO' -p133677 -aS'pressure\tpressure\tNN\tI-NP\tO' -p133678 -aS'of\tof\tIN\tB-PP\tO' -p133679 -aS'greater\tgreat\tJJR\tB-NP\tO' -p133680 -aS'than\tthan\tIN\tI-NP\tO' -p133681 -aS'70\t70\tCD\tI-NP\tO' -p133682 -aS'.\t.\t.\tO\tO' -p133683 -asS'Pt was preparing lunch when suddenly felt lightheaded / faint and immediately fell to the kitchen floor face first .' -p133684 -(lp133685 -S'Pt\tPt\tNN\tB-NP\tO' -p133686 -aS'was\tbe\tVBD\tB-VP\tO' -p133687 -aS'preparing\tprepare\tVBG\tI-VP\tO' -p133688 -aS'lunch\tlunch\tNN\tB-NP\tO' -p133689 -aS'when\twhen\tWRB\tB-ADVP\tO' -p133690 -aS'suddenly\tsuddenly\tRB\tB-ADVP\tO' -p133691 -aS'felt\tfeel\tVBD\tB-VP\tO' -p133692 -aS'lightheaded\tlightheade\tVBN\tI-VP\tO' -p133693 -aS'/\t/\tSYM\tB-NP\tO' -p133694 -aS'faint\tfaint\tNN\tI-NP\tO' -p133695 -aS'and\tand\tCC\tO\tO' -p133696 -aS'immediately\timmediately\tRB\tB-VP\tO' -p133697 -aS'fell\tfall\tVBD\tI-VP\tO' -p133698 -aS'to\tto\tTO\tB-PP\tO' -p133699 -aS'the\tthe\tDT\tB-NP\tO' -p133700 -aS'kitchen\tkitchen\tNN\tI-NP\tO' -p133701 -aS'floor\tfloor\tNN\tI-NP\tO' -p133702 -aS'face\tface\tNN\tI-NP\tO' -p133703 -aS'first\tfirst\tRB\tB-ADVP\tO' -p133704 -aS'.\t.\t.\tO\tO' -p133705 -asS'He is discharged on Percocet , Colace and Motrin .' -p133706 -(lp133707 -S'He\tHe\tPRP\tB-NP\tO' -p133708 -aS'is\tbe\tVBZ\tB-VP\tO' -p133709 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p133710 -aS'on\ton\tIN\tB-PP\tO' -p133711 -aS'Percocet\tPercocet\tNNP\tB-NP\tO' -p133712 -aS',\t,\t,\tI-NP\tO' -p133713 -aS'Colace\tColace\tNNP\tI-NP\tO' -p133714 -aS'and\tand\tCC\tI-NP\tO' -p133715 -aS'Motrin\tMotrin\tNNP\tI-NP\tO' -p133716 -aS'.\t.\t.\tO\tO' -p133717 -asS'DLCO was 2 , or 19% of predicted .' -p133718 -(lp133719 -S'DLCO\tDLCO\tNNP\tB-NP\tO' -p133720 -aS'was\tbe\tVBD\tB-VP\tO' -p133721 -aS'2\t2\tCD\tB-NP\tO' -p133722 -aS',\t,\t,\tO\tO' -p133723 -aS'or\tor\tCC\tO\tO' -p133724 -aS'19%\t19%\tCD\tB-NP\tO' -p133725 -aS'of\tof\tIN\tB-PP\tO' -p133726 -aS'predicted\tpredict\tVBN\tB-VP\tO' -p133727 -aS'.\t.\t.\tO\tO' -p133728 -asS'Also , a repeat outpatient CT colonoscopy with better preparation should be considered .' -p133729 -(lp133730 -S'Also\tAlso\tRB\tB-ADVP\tO' -p133731 -aS',\t,\t,\tO\tO' -p133732 -aS'a\ta\tDT\tB-NP\tO' -p133733 -aS'repeat\trepeat\tNN\tI-NP\tO' -p133734 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p133735 -aS'CT\tCT\tNN\tI-NP\tO' -p133736 -aS'colonoscopy\tcolonoscopy\tNN\tI-NP\tO' -p133737 -aS'with\twith\tIN\tB-PP\tO' -p133738 -aS'better\tgood\tJJR\tB-NP\tO' -p133739 -aS'preparation\tpreparation\tNN\tI-NP\tO' -p133740 -aS'should\tshould\tMD\tB-VP\tO' -p133741 -aS'be\tbe\tVB\tI-VP\tO' -p133742 -aS'considered\tconsider\tVBN\tI-VP\tO' -p133743 -aS'.\t.\t.\tO\tO' -p133744 -asS'The major vascular flow patterns are normal .' -p133745 -(lp133746 -S'The\tThe\tDT\tB-NP\tO' -p133747 -aS'major\tmajor\tJJ\tI-NP\tO' -p133748 -aS'vascular\tvascular\tJJ\tI-NP\tO' -p133749 -aS'flow\tflow\tNN\tI-NP\tO' -p133750 -aS'patterns\tpattern\tNNS\tI-NP\tO' -p133751 -aS'are\tbe\tVBP\tB-VP\tO' -p133752 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p133753 -aS'.\t.\t.\tO\tO' -p133754 -asS'2. 6 mm nonobstructing calculus in the left kidney .' -p133755 -(lp133756 -S'2.\t2.\tLS\tB-NP\tO' -p133757 -aS'6\t6\tCD\tI-NP\tO' -p133758 -aS'mm\tmm\tNN\tI-NP\tO' -p133759 -aS'nonobstructing\tnonobstructing\tJJ\tI-NP\tO' -p133760 -aS'calculus\tcalculus\tNN\tI-NP\tO' -p133761 -aS'in\tin\tIN\tB-PP\tO' -p133762 -aS'the\tthe\tDT\tB-NP\tO' -p133763 -aS'left\tleft\tJJ\tI-NP\tO' -p133764 -aS'kidney\tkidney\tNN\tI-NP\tO' -p133765 -aS'.\t.\t.\tO\tO' -p133766 -asS'6. Synagis RSV prophylaxis should be considered from November through March for infants who meet any of the following three criteria .' -p133767 -(lp133768 -S'6.\t6.\tLS\tB-NP\tO' -p133769 -aS'Synagis\tSynagis\tNNP\tI-NP\tO' -p133770 -aS'RSV\tRSV\tNNP\tI-NP\tO' -p133771 -aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' -p133772 -aS'should\tshould\tMD\tB-VP\tO' -p133773 -aS'be\tbe\tVB\tI-VP\tO' -p133774 -aS'considered\tconsider\tVBN\tI-VP\tO' -p133775 -aS'from\tfrom\tIN\tB-PP\tO' -p133776 -aS'November\tNovember\tNNP\tB-NP\tO' -p133777 -aS'through\tthrough\tIN\tB-PP\tO' -p133778 -aS'March\tMarch\tNNP\tB-NP\tO' -p133779 -aS'for\tfor\tIN\tB-PP\tO' -p133780 -aS'infants\tinfant\tNNS\tB-NP\tO' -p133781 -aS'who\twho\tWP\tB-NP\tO' -p133782 -aS'meet\tmeet\tVBP\tB-VP\tO' -p133783 -aS'any\tany\tDT\tB-NP\tO' -p133784 -aS'of\tof\tIN\tB-PP\tO' -p133785 -aS'the\tthe\tDT\tB-NP\tO' -p133786 -aS'following\tfollow\tVBG\tI-NP\tO' -p133787 -aS'three\tthree\tCD\tI-NP\tO' -p133788 -aS'criteria\tcriterion\tNNS\tI-NP\tO' -p133789 -aS'.\t.\t.\tO\tO' -p133790 -asS'In addition her liver transaminases were elevated , we thought about doing further work-up , but that was deferred because the patient wanted to wait on that .' -p133791 -(lp133792 -S'In\tIn\tIN\tB-PP\tO' -p133793 -aS'addition\taddition\tNN\tB-NP\tO' -p133794 -aS'her\ther\tPRP$\tB-NP\tO' -p133795 -aS'liver\tliver\tNN\tI-NP\tB-protein' -p133796 -aS'transaminases\ttransaminase\tNNS\tI-NP\tI-protein' -p133797 -aS'were\tbe\tVBD\tB-VP\tO' -p133798 -aS'elevated\televate\tVBN\tI-VP\tO' -p133799 -aS',\t,\t,\tO\tO' -p133800 -aS'we\twe\tPRP\tB-NP\tO' -p133801 -aS'thought\tthink\tVBD\tB-VP\tO' -p133802 -aS'about\tabout\tIN\tB-PP\tO' -p133803 -aS'doing\tdo\tVBG\tB-VP\tO' -p133804 -aS'further\tfurther\tJJ\tB-NP\tO' -p133805 -aS'work-up\twork-up\tNN\tI-NP\tO' -p133806 -aS',\t,\t,\tO\tO' -p133807 -aS'but\tbut\tCC\tO\tO' -p133808 -aS'that\tthat\tDT\tB-NP\tO' -p133809 -aS'was\tbe\tVBD\tB-VP\tO' -p133810 -aS'deferred\tdefer\tVBN\tI-VP\tO' -p133811 -aS'because\tbecause\tIN\tB-SBAR\tO' -p133812 -aS'the\tthe\tDT\tB-NP\tO' -p133813 -aS'patient\tpatient\tNN\tI-NP\tO' -p133814 -aS'wanted\twant\tVBD\tB-VP\tO' -p133815 -aS'to\tto\tTO\tI-VP\tO' -p133816 -aS'wait\twait\tVB\tI-VP\tO' -p133817 -aS'on\ton\tIN\tB-PP\tO' -p133818 -aS'that\tthat\tDT\tB-NP\tO' -p133819 -aS'.\t.\t.\tO\tO' -p133820 -asS'The infant was treated for pneumonia from admission to the CMED .' -p133821 -(lp133822 -S'The\tThe\tDT\tB-NP\tO' -p133823 -aS'infant\tinfant\tNN\tI-NP\tO' -p133824 -aS'was\tbe\tVBD\tB-VP\tO' -p133825 -aS'treated\ttreat\tVBN\tI-VP\tO' -p133826 -aS'for\tfor\tIN\tB-PP\tO' -p133827 -aS'pneumonia\tpneumonia\tNN\tB-NP\tO' -p133828 -aS'from\tfrom\tIN\tB-PP\tO' -p133829 -aS'admission\tadmission\tNN\tB-NP\tO' -p133830 -aS'to\tto\tTO\tB-PP\tO' -p133831 -aS'the\tthe\tDT\tB-NP\tO' -p133832 -aS'CMED\tCMED\tNN\tI-NP\tO' -p133833 -aS'.\t.\t.\tO\tO' -p133834 -asS'He is to see Dr. Ench in two weeks to check his PT and INR , also to check for potassium .' -p133835 -(lp133836 -S'He\tHe\tPRP\tB-NP\tO' -p133837 -aS'is\tbe\tVBZ\tB-VP\tO' -p133838 -aS'to\tto\tTO\tB-VP\tO' -p133839 -aS'see\tsee\tVB\tI-VP\tO' -p133840 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p133841 -aS'Ench\tEnch\tNNP\tI-NP\tO' -p133842 -aS'in\tin\tIN\tB-PP\tO' -p133843 -aS'two\ttwo\tCD\tB-NP\tO' -p133844 -aS'weeks\tweek\tNNS\tI-NP\tO' -p133845 -aS'to\tto\tTO\tB-VP\tO' -p133846 -aS'check\tcheck\tVB\tI-VP\tO' -p133847 -aS'his\this\tPRP$\tB-NP\tO' -p133848 -aS'PT\tPT\tNN\tI-NP\tO' -p133849 -aS'and\tand\tCC\tI-NP\tO' -p133850 -aS'INR\tINR\tNN\tI-NP\tB-protein' -p133851 -aS',\t,\t,\tO\tO' -p133852 -aS'also\talso\tRB\tB-ADVP\tO' -p133853 -aS'to\tto\tTO\tB-VP\tO' -p133854 -aS'check\tcheck\tVB\tI-VP\tO' -p133855 -aS'for\tfor\tIN\tB-PP\tO' -p133856 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p133857 -aS'.\t.\t.\tO\tO' -p133858 -asS'PLEASE CLEAN INCISION SITE WITH NORMAL SALINE OR CLEAN WATER THREE TIMES A DAY AND PLACE ANTIBIOTIC OINTMENT ( GIVEN ) ON TOP OF WOUND .' -p133859 -(lp133860 -S'PLEASE\tPLEASE\tNN\tB-NP\tB-DNA' -p133861 -aS'CLEAN\tCLEAN\tNN\tI-NP\tI-DNA' -p133862 -aS'INCISION\tINCISION\tNN\tI-NP\tI-DNA' -p133863 -aS'SITE\tSITE\tNNP\tI-NP\tI-DNA' -p133864 -aS'WITH\tWITH\tNNP\tI-NP\tO' -p133865 -aS'NORMAL\tNORMAL\tNNP\tI-NP\tO' -p133866 -aS'SALINE\tSALINE\tNNP\tI-NP\tO' -p133867 -aS'OR\tOR\tNNP\tI-NP\tO' -p133868 -aS'CLEAN\tCLEAN\tNNP\tI-NP\tO' -p133869 -aS'WATER\tWATER\tNNP\tI-NP\tO' -p133870 -aS'THREE\tTHREE\tNNP\tI-NP\tO' -p133871 -aS'TIMES\tTIMES\tNNP\tI-NP\tO' -p133872 -aS'A\tA\tNNP\tI-NP\tO' -p133873 -aS'DAY\tDAY\tNNP\tI-NP\tO' -p133874 -aS'AND\tAND\tCC\tI-NP\tO' -p133875 -aS'PLACE\tPLACE\tNNP\tI-NP\tO' -p133876 -aS'ANTIBIOTIC\tANTIBIOTIC\tNN\tI-NP\tO' -p133877 -aS'OINTMENT\tOINTMENT\tNN\tI-NP\tO' -p133878 -aS'(\t(\t(\tO\tO' -p133879 -aS'GIVEN\tGIVEN\tNN\tB-NP\tB-protein' -p133880 -aS')\t)\t)\tO\tO' -p133881 -aS'ON\tON\tNN\tB-NP\tO' -p133882 -aS'TOP\tTOP\tNN\tI-NP\tO' -p133883 -aS'OF\tOF\tIN\tB-PP\tO' -p133884 -aS'WOUND\tWOUND\tNN\tB-NP\tB-protein' -p133885 -aS'.\t.\t.\tO\tO' -p133886 -asS'(4) Coronary artery disease as above .' -p133887 -(lp133888 -S'(4)\t(4)\tLS\tB-NP\tO' -p133889 -aS'Coronary\tCoronary\tJJ\tI-NP\tO' -p133890 -aS'artery\tartery\tNN\tI-NP\tO' -p133891 -aS'disease\tdisease\tNN\tI-NP\tO' -p133892 -aS'as\tas\tRB\tB-ADVP\tO' -p133893 -aS'above\tabove\tRB\tI-ADVP\tO' -p133894 -aS'.\t.\t.\tO\tO' -p133895 -asS'EKG before discharge showed mild QT prolongation and no effect from amiodarone .' -p133896 -(lp133897 -S'EKG\tEKG\tNN\tB-NP\tB-protein' -p133898 -aS'before\tbefore\tIN\tB-PP\tO' -p133899 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p133900 -aS'showed\tshow\tVBD\tB-VP\tO' -p133901 -aS'mild\tmild\tJJ\tB-NP\tO' -p133902 -aS'QT\tQT\tNN\tI-NP\tO' -p133903 -aS'prolongation\tprolongation\tNN\tI-NP\tO' -p133904 -aS'and\tand\tCC\tO\tO' -p133905 -aS'no\tno\tDT\tB-NP\tO' -p133906 -aS'effect\teffect\tNN\tI-NP\tO' -p133907 -aS'from\tfrom\tIN\tB-PP\tO' -p133908 -aS'amiodarone\tamiodarone\tNN\tB-NP\tO' -p133909 -aS'.\t.\t.\tO\tO' -p133910 -asS'She was hooked up with support services in Collot Ln , Dugo , Indiana 68961 for further counselling and given Xanax for symptoms of anxiety .' -p133911 -(lp133912 -S'She\tShe\tPRP\tB-NP\tO' -p133913 -aS'was\tbe\tVBD\tB-VP\tO' -p133914 -aS'hooked\thook\tVBN\tI-VP\tO' -p133915 -aS'up\tup\tRP\tB-PRT\tO' -p133916 -aS'with\twith\tIN\tB-PP\tO' -p133917 -aS'support\tsupport\tNN\tB-NP\tO' -p133918 -aS'services\tservice\tNNS\tI-NP\tO' -p133919 -aS'in\tin\tIN\tB-PP\tO' -p133920 -aS'Collot\tCollot\tNNP\tB-NP\tO' -p133921 -aS'Ln\tLn\tNNP\tI-NP\tO' -p133922 -aS',\t,\t,\tO\tO' -p133923 -aS'Dugo\tDugo\tNNP\tB-NP\tO' -p133924 -aS',\t,\t,\tO\tO' -p133925 -aS'Indiana\tIndiana\tNNP\tB-NP\tO' -p133926 -aS'68961\t68961\tCD\tI-NP\tO' -p133927 -aS'for\tfor\tIN\tB-PP\tO' -p133928 -aS'further\tfurther\tJJ\tB-NP\tO' -p133929 -aS'counselling\tcounselling\tNN\tI-NP\tO' -p133930 -aS'and\tand\tCC\tO\tO' -p133931 -aS'given\tgive\tVBN\tB-VP\tO' -p133932 -aS'Xanax\tXanax\tNN\tB-NP\tO' -p133933 -aS'for\tfor\tIN\tB-PP\tO' -p133934 -aS'symptoms\tsymptom\tNNS\tB-NP\tO' -p133935 -aS'of\tof\tIN\tB-PP\tO' -p133936 -aS'anxiety\tanxiety\tNN\tB-NP\tO' -p133937 -aS'.\t.\t.\tO\tO' -p133938 -asS'There were no carotid or cervical bruits .' -p133939 -(lp133940 -S'There\tThere\tEX\tB-NP\tO' -p133941 -aS'were\tbe\tVBD\tB-VP\tO' -p133942 -aS'no\tno\tDT\tB-NP\tO' -p133943 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p133944 -aS'or\tor\tCC\tO\tO' -p133945 -aS'cervical\tcervical\tJJ\tB-NP\tO' -p133946 -aS'bruits\tbruit\tNNS\tI-NP\tO' -p133947 -aS'.\t.\t.\tO\tO' -p133948 -asS'For follow up , the patient is to call for an appointment with Dr. Sapmal .' -p133949 -(lp133950 -S'For\tFor\tIN\tB-PP\tO' -p133951 -aS'follow\tfollow\tVB\tB-VP\tO' -p133952 -aS'up\tup\tRP\tB-PRT\tO' -p133953 -aS',\t,\t,\tO\tO' -p133954 -aS'the\tthe\tDT\tB-NP\tO' -p133955 -aS'patient\tpatient\tNN\tI-NP\tO' -p133956 -aS'is\tbe\tVBZ\tB-VP\tO' -p133957 -aS'to\tto\tTO\tB-VP\tO' -p133958 -aS'call\tcall\tVB\tI-VP\tO' -p133959 -aS'for\tfor\tIN\tB-PP\tO' -p133960 -aS'an\tan\tDT\tB-NP\tO' -p133961 -aS'appointment\tappointment\tNN\tI-NP\tO' -p133962 -aS'with\twith\tIN\tB-PP\tO' -p133963 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p133964 -aS'Sapmal\tSapmal\tNNP\tI-NP\tO' -p133965 -aS'.\t.\t.\tO\tO' -p133966 -asS'The saphenous vein graft to the second obtuse marginal was open with no significant stenosis , but there was an outflow lesion in the obtuse marginal 2 as well as severe distal lesion as the obtuse marginal 2 fed the posterior descending artery .' -p133967 -(lp133968 -S'The\tThe\tDT\tB-NP\tO' -p133969 -aS'saphenous\tsaphenous\tJJ\tI-NP\tO' -p133970 -aS'vein\tvein\tNN\tI-NP\tO' -p133971 -aS'graft\tgraft\tNN\tI-NP\tO' -p133972 -aS'to\tto\tTO\tB-PP\tO' -p133973 -aS'the\tthe\tDT\tB-NP\tO' -p133974 -aS'second\tsecond\tJJ\tI-NP\tO' -p133975 -aS'obtuse\tobtuse\tNN\tI-NP\tO' -p133976 -aS'marginal\tmarginal\tNN\tI-NP\tO' -p133977 -aS'was\tbe\tVBD\tB-VP\tO' -p133978 -aS'open\topen\tJJ\tB-ADJP\tO' -p133979 -aS'with\twith\tIN\tB-PP\tO' -p133980 -aS'no\tno\tDT\tB-NP\tO' -p133981 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p133982 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p133983 -aS',\t,\t,\tO\tO' -p133984 -aS'but\tbut\tCC\tO\tO' -p133985 -aS'there\tthere\tEX\tB-NP\tO' -p133986 -aS'was\tbe\tVBD\tB-VP\tO' -p133987 -aS'an\tan\tDT\tB-NP\tO' -p133988 -aS'outflow\toutflow\tNN\tI-NP\tO' -p133989 -aS'lesion\tlesion\tNN\tI-NP\tO' -p133990 -aS'in\tin\tIN\tB-PP\tO' -p133991 -aS'the\tthe\tDT\tB-NP\tO' -p133992 -aS'obtuse\tobtuse\tNN\tI-NP\tO' -p133993 -aS'marginal\tmarginal\tJJ\tI-NP\tO' -p133994 -aS'2\t2\tCD\tI-NP\tO' -p133995 -aS'as\tas\tRB\tB-CONJP\tO' -p133996 -aS'well\twell\tRB\tI-CONJP\tO' -p133997 -aS'as\tas\tIN\tI-CONJP\tO' -p133998 -aS'severe\tsevere\tJJ\tB-NP\tO' -p133999 -aS'distal\tdistal\tJJ\tI-NP\tO' -p134000 -aS'lesion\tlesion\tNN\tI-NP\tO' -p134001 -aS'as\tas\tIN\tB-PP\tO' -p134002 -aS'the\tthe\tDT\tB-NP\tO' -p134003 -aS'obtuse\tobtuse\tNN\tI-NP\tO' -p134004 -aS'marginal\tmarginal\tJJ\tI-NP\tO' -p134005 -aS'2\t2\tCD\tI-NP\tO' -p134006 -aS'fed\tfeed\tVBD\tB-VP\tO' -p134007 -aS'the\tthe\tDT\tB-NP\tO' -p134008 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p134009 -aS'descending\tdescend\tVBG\tI-NP\tO' -p134010 -aS'artery\tartery\tNN\tI-NP\tO' -p134011 -aS'.\t.\t.\tO\tO' -p134012 -asS'Home With Self-Care ( Routine Discharge )' -p134013 -(lp134014 -S'Home\tHome\tNNP\tB-NP\tO' -p134015 -aS'With\tWith\tIN\tB-PP\tO' -p134016 -aS'Self-Care\tSelf-Care\tNNP\tB-NP\tO' -p134017 -aS'(\t(\t(\tO\tO' -p134018 -aS'Routine\tRoutine\tNNP\tB-NP\tO' -p134019 -aS'Discharge\tDischarge\tNNP\tI-NP\tO' -p134020 -aS')\t)\t)\tO\tO' -p134021 -asS'Acute inferior myocardial infarction and right ventricular infarction .' -p134022 -(lp134023 -S'Acute\tAcute\tJJ\tB-NP\tO' -p134024 -aS'inferior\tinferior\tJJ\tI-NP\tO' -p134025 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p134026 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p134027 -aS'and\tand\tCC\tO\tO' -p134028 -aS'right\tright\tJJ\tB-NP\tO' -p134029 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p134030 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p134031 -aS'.\t.\t.\tO\tO' -p134032 -asS'EF 50-55% ; mild to moderate MR , left atrium is moderately dilated , trace AR' -p134033 -(lp134034 -S'EF\tEF\tNN\tB-NP\tO' -p134035 -aS'50-55%\t50-55%\tJJ\tI-NP\tO' -p134036 -aS';\t;\t:\tO\tO' -p134037 -aS'mild\tmild\tJJ\tB-ADJP\tO' -p134038 -aS'to\tto\tTO\tB-PP\tO' -p134039 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p134040 -aS'MR\tMR\tNN\tI-NP\tB-protein' -p134041 -aS',\t,\t,\tO\tO' -p134042 -aS'left\tleft\tJJ\tB-NP\tO' -p134043 -aS'atrium\tatrium\tNN\tI-NP\tO' -p134044 -aS'is\tbe\tVBZ\tB-VP\tO' -p134045 -aS'moderately\tmoderately\tRB\tI-VP\tO' -p134046 -aS'dilated\tdilate\tVBN\tI-VP\tO' -p134047 -aS',\t,\t,\tO\tO' -p134048 -aS'trace\ttrace\tNN\tB-NP\tB-protein' -p134049 -aS'AR\tAR\tNNS\tI-NP\tI-protein' -p134050 -asS'Pt has reported gaining 30 lbs since 08-31 due to ascites .' -p134051 -(lp134052 -S'Pt\tPt\tNN\tB-NP\tO' -p134053 -aS'has\thave\tVBZ\tB-VP\tO' -p134054 -aS'reported\treport\tVBN\tI-VP\tO' -p134055 -aS'gaining\tgain\tVBG\tI-VP\tO' -p134056 -aS'30\t30\tCD\tB-NP\tO' -p134057 -aS'lbs\tlb\tNNS\tI-NP\tO' -p134058 -aS'since\tsince\tIN\tB-PP\tO' -p134059 -aS'08-31\t08-31\tCD\tB-NP\tO' -p134060 -aS'due\tdue\tJJ\tB-ADVP\tO' -p134061 -aS'to\tto\tTO\tB-PP\tO' -p134062 -aS'ascites\tascite\tNNS\tB-NP\tO' -p134063 -aS'.\t.\t.\tO\tO' -p134064 -asS'Patient was started on Lactulose and Rifaximine which improved his mental status .' -p134065 -(lp134066 -S'Patient\tPatient\tNN\tB-NP\tO' -p134067 -aS'was\tbe\tVBD\tB-VP\tO' -p134068 -aS'started\tstart\tVBN\tI-VP\tO' -p134069 -aS'on\ton\tIN\tB-PP\tO' -p134070 -aS'Lactulose\tLactulose\tNN\tB-NP\tO' -p134071 -aS'and\tand\tCC\tI-NP\tO' -p134072 -aS'Rifaximine\tRifaximine\tNN\tI-NP\tO' -p134073 -aS'which\twhich\tWDT\tB-NP\tO' -p134074 -aS'improved\timprove\tVBD\tB-VP\tO' -p134075 -aS'his\this\tPRP$\tB-NP\tO' -p134076 -aS'mental\tmental\tJJ\tI-NP\tO' -p134077 -aS'status\tstatus\tNN\tI-NP\tO' -p134078 -aS'.\t.\t.\tO\tO' -p134079 -asS'On the day prior to discharge , his intravenous antibiotics were discontinued and he was begun on tetracycline .' -p134080 -(lp134081 -S'On\tOn\tIN\tB-PP\tO' -p134082 -aS'the\tthe\tDT\tB-NP\tO' -p134083 -aS'day\tday\tNN\tI-NP\tO' -p134084 -aS'prior\tprior\tRB\tB-ADVP\tO' -p134085 -aS'to\tto\tTO\tB-VP\tO' -p134086 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p134087 -aS',\t,\t,\tO\tO' -p134088 -aS'his\this\tPRP$\tB-NP\tO' -p134089 -aS'intravenous\tintravenous\tJJ\tI-NP\tO' -p134090 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p134091 -aS'were\tbe\tVBD\tB-VP\tO' -p134092 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p134093 -aS'and\tand\tCC\tO\tO' -p134094 -aS'he\the\tPRP\tB-NP\tO' -p134095 -aS'was\tbe\tVBD\tB-VP\tO' -p134096 -aS'begun\tbegin\tVBN\tI-VP\tO' -p134097 -aS'on\ton\tIN\tB-PP\tO' -p134098 -aS'tetracycline\ttetracycline\tNN\tB-NP\tO' -p134099 -aS'.\t.\t.\tO\tO' -p134100 -asS'They asked that the patient follow-up with Dr. Ear in approximately three to four weeks so that this aneurysm can be assessed .' -p134101 -(lp134102 -S'They\tThey\tPRP\tB-NP\tO' -p134103 -aS'asked\task\tVBD\tB-VP\tO' -p134104 -aS'that\tthat\tIN\tB-SBAR\tO' -p134105 -aS'the\tthe\tDT\tB-NP\tO' -p134106 -aS'patient\tpatient\tNN\tI-NP\tO' -p134107 -aS'follow-up\tfollow-up\tNN\tI-NP\tO' -p134108 -aS'with\twith\tIN\tB-PP\tO' -p134109 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p134110 -aS'Ear\tEar\tNNP\tI-NP\tO' -p134111 -aS'in\tin\tIN\tB-PP\tO' -p134112 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p134113 -aS'three\tthree\tCD\tI-NP\tO' -p134114 -aS'to\tto\tTO\tI-NP\tO' -p134115 -aS'four\tfour\tCD\tI-NP\tO' -p134116 -aS'weeks\tweek\tNNS\tI-NP\tO' -p134117 -aS'so\tso\tRB\tB-SBAR\tO' -p134118 -aS'that\tthat\tIN\tI-SBAR\tO' -p134119 -aS'this\tthis\tDT\tB-NP\tO' -p134120 -aS'aneurysm\taneurysm\tNN\tI-NP\tO' -p134121 -aS'can\tcan\tMD\tB-VP\tO' -p134122 -aS'be\tbe\tVB\tI-VP\tO' -p134123 -aS'assessed\tassess\tVBN\tI-VP\tO' -p134124 -aS'.\t.\t.\tO\tO' -p134125 -asS'1. Albuterol - Ipratropium 103-18 mcg / Actuation Aerosol Sig : 02-19 Puffs Inhalation Q6H ( every 6 hours ) as needed .' -p134126 -(lp134127 -S'1.\t1.\tLS\tB-NP\tO' -p134128 -aS'Albuterol\tAlbuterol\tNN\tI-NP\tO' -p134129 -aS'-\t-\tHYPH\tO\tO' -p134130 -aS'Ipratropium\tIpratropium\tNN\tB-NP\tO' -p134131 -aS'103-18\t103-18\tCD\tI-NP\tO' -p134132 -aS'mcg\tmcg\tNN\tI-NP\tO' -p134133 -aS'/\t/\tSYM\tB-NP\tO' -p134134 -aS'Actuation\tActuation\tNN\tI-NP\tO' -p134135 -aS'Aerosol\tAerosol\tNNP\tI-NP\tO' -p134136 -aS'Sig\tSig\tNNP\tI-NP\tO' -p134137 -aS':\t:\t:\tO\tO' -p134138 -aS'02-19\t02-19\tCD\tB-NP\tO' -p134139 -aS'Puffs\tPuff\tNNS\tI-NP\tO' -p134140 -aS'Inhalation\tInhalation\tNN\tI-NP\tO' -p134141 -aS'Q6H\tQ6H\tNN\tI-NP\tO' -p134142 -aS'(\t(\t(\tO\tO' -p134143 -aS'every\tevery\tDT\tB-NP\tO' -p134144 -aS'6\t6\tCD\tI-NP\tO' -p134145 -aS'hours\thour\tNNS\tI-NP\tO' -p134146 -aS')\t)\t)\tO\tO' -p134147 -aS'as\tas\tIN\tB-SBAR\tO' -p134148 -aS'needed\tneed\tVBN\tB-VP\tO' -p134149 -aS'.\t.\t.\tO\tO' -p134150 -asS'You need to bring a picture ID , proof of citizenship , proof of address .' -p134151 -(lp134152 -S'You\tYou\tPRP\tB-NP\tO' -p134153 -aS'need\tneed\tVBP\tB-VP\tO' -p134154 -aS'to\tto\tTO\tI-VP\tO' -p134155 -aS'bring\tbring\tVB\tI-VP\tO' -p134156 -aS'a\ta\tDT\tB-NP\tO' -p134157 -aS'picture\tpicture\tNN\tI-NP\tO' -p134158 -aS'ID\tID\tNN\tI-NP\tO' -p134159 -aS',\t,\t,\tO\tO' -p134160 -aS'proof\tproof\tNN\tB-NP\tO' -p134161 -aS'of\tof\tIN\tB-PP\tO' -p134162 -aS'citizenship\tcitizenship\tNN\tB-NP\tO' -p134163 -aS',\t,\t,\tO\tO' -p134164 -aS'proof\tproof\tNN\tB-NP\tO' -p134165 -aS'of\tof\tIN\tB-PP\tO' -p134166 -aS'address\taddress\tNN\tB-NP\tO' -p134167 -aS'.\t.\t.\tO\tO' -p134168 -asS'Whether to pursue this would depend upon clinical circumstances .' -p134169 -(lp134170 -S'Whether\tWhether\tIN\tB-SBAR\tO' -p134171 -aS'to\tto\tTO\tB-VP\tO' -p134172 -aS'pursue\tpursue\tVB\tI-VP\tO' -p134173 -aS'this\tthis\tDT\tB-NP\tO' -p134174 -aS'would\twould\tMD\tB-VP\tO' -p134175 -aS'depend\tdepend\tVB\tI-VP\tO' -p134176 -aS'upon\tupon\tIN\tB-PP\tO' -p134177 -aS'clinical\tclinical\tJJ\tB-NP\tO' -p134178 -aS'circumstances\tcircumstance\tNNS\tI-NP\tO' -p134179 -aS'.\t.\t.\tO\tO' -p134180 -asS'Ms. Franklin is a 34 - year-old woman with Bipolar disorder and group home resident who by way of EMS for apparent alprazolam overdose .' -p134181 -(lp134182 -S'Ms.\tMs.\tNNP\tB-NP\tO' -p134183 -aS'Franklin\tFranklin\tNNP\tI-NP\tO' -p134184 -aS'is\tbe\tVBZ\tB-VP\tO' -p134185 -aS'a\ta\tDT\tB-NP\tO' -p134186 -aS'34\t34\tCD\tI-NP\tO' -p134187 -aS'-\t-\tHYPH\tI-NP\tO' -p134188 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p134189 -aS'woman\twoman\tNN\tI-NP\tO' -p134190 -aS'with\twith\tIN\tB-PP\tO' -p134191 -aS'Bipolar\tBipolar\tJJ\tB-NP\tO' -p134192 -aS'disorder\tdisorder\tNN\tI-NP\tO' -p134193 -aS'and\tand\tCC\tI-NP\tO' -p134194 -aS'group\tgroup\tNN\tI-NP\tO' -p134195 -aS'home\thome\tNN\tI-NP\tO' -p134196 -aS'resident\tresident\tNN\tI-NP\tO' -p134197 -aS'who\twho\tWP\tB-NP\tO' -p134198 -aS'by\tby\tIN\tB-PP\tO' -p134199 -aS'way\tway\tNN\tB-NP\tO' -p134200 -aS'of\tof\tIN\tB-PP\tO' -p134201 -aS'EMS\tEMS\tNNP\tB-NP\tO' -p134202 -aS'for\tfor\tIN\tB-PP\tO' -p134203 -aS'apparent\tapparent\tJJ\tB-NP\tO' -p134204 -aS'alprazolam\talprazolam\tNN\tI-NP\tO' -p134205 -aS'overdose\toverdose\tNN\tI-NP\tO' -p134206 -aS'.\t.\t.\tO\tO' -p134207 -asS'1. Falls-A PT consult was obtained to assist with ambulation .' -p134208 -(lp134209 -S'1.\t1.\tLS\tB-NP\tO' -p134210 -aS'Falls-A\tFalls-A\tNN\tI-NP\tO' -p134211 -aS'PT\tPT\tNN\tI-NP\tO' -p134212 -aS'consult\tconsult\tNN\tI-NP\tO' -p134213 -aS'was\tbe\tVBD\tB-VP\tO' -p134214 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p134215 -aS'to\tto\tTO\tI-VP\tO' -p134216 -aS'assist\tassist\tVB\tI-VP\tO' -p134217 -aS'with\twith\tIN\tB-PP\tO' -p134218 -aS'ambulation\tambulation\tNN\tB-NP\tO' -p134219 -aS'.\t.\t.\tO\tO' -p134220 -asS'Percocet ; Colace .' -p134221 -(lp134222 -S'Percocet\tPercocet\tNNP\tB-NP\tO' -p134223 -aS';\t;\t:\tO\tO' -p134224 -aS'Colace\tColace\tNNP\tB-NP\tO' -p134225 -aS'.\t.\t.\tO\tO' -p134226 -asS'His tone is normal .' -p134227 -(lp134228 -S'His\tHis\tPRP$\tB-NP\tO' -p134229 -aS'tone\ttone\tNN\tI-NP\tO' -p134230 -aS'is\tbe\tVBZ\tB-VP\tO' -p134231 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p134232 -aS'.\t.\t.\tO\tO' -p134233 -asS'Dorsalis pedis artery not seen ."' -p134234 -(lp134235 -S'Dorsalis\tDorsalis\tNNP\tB-NP\tO' -p134236 -aS'pedis\tpedis\tNN\tI-NP\tO' -p134237 -aS'artery\tartery\tNN\tI-NP\tO' -p134238 -aS'not\tnot\tRB\tB-VP\tO' -p134239 -aS'seen\tsee\tVBN\tI-VP\tO' -p134240 -aS'."\t."\t.\tO\tO' -p134241 -asS'Liver teams recommended to repeat EGD with non latex banding in 7-10 days .' -p134242 -(lp134243 -S'Liver\tLiver\tNN\tB-NP\tO' -p134244 -aS'teams\tteam\tNNS\tI-NP\tO' -p134245 -aS'recommended\trecommend\tVBD\tB-VP\tO' -p134246 -aS'to\tto\tTO\tI-VP\tO' -p134247 -aS'repeat\trepeat\tVB\tI-VP\tO' -p134248 -aS'EGD\tEGD\tNN\tB-NP\tB-protein' -p134249 -aS'with\twith\tIN\tB-PP\tO' -p134250 -aS'non\tnon\tJJ\tB-NP\tO' -p134251 -aS'latex\tlatex\tJJ\tI-NP\tO' -p134252 -aS'banding\tbanding\tNN\tI-NP\tO' -p134253 -aS'in\tin\tIN\tB-PP\tO' -p134254 -aS'7-10\t7-10\tCD\tB-NP\tO' -p134255 -aS'days\tday\tNNS\tI-NP\tO' -p134256 -aS'.\t.\t.\tO\tO' -p134257 -asS'There was no infiltrates or consolidation .' -p134258 -(lp134259 -S'There\tThere\tEX\tB-NP\tO' -p134260 -aS'was\tbe\tVBD\tB-VP\tO' -p134261 -aS'no\tno\tDT\tB-NP\tO' -p134262 -aS'infiltrates\tinfiltrate\tNNS\tI-NP\tO' -p134263 -aS'or\tor\tCC\tI-NP\tO' -p134264 -aS'consolidation\tconsolidation\tNN\tI-NP\tO' -p134265 -aS'.\t.\t.\tO\tO' -p134266 -asS'The basilar cistern is preserved and there is no uncal herniation .' -p134267 -(lp134268 -S'The\tThe\tDT\tB-NP\tO' -p134269 -aS'basilar\tbasilar\tJJ\tI-NP\tO' -p134270 -aS'cistern\tcistern\tNN\tI-NP\tO' -p134271 -aS'is\tbe\tVBZ\tB-VP\tO' -p134272 -aS'preserved\tpreserve\tVBN\tI-VP\tO' -p134273 -aS'and\tand\tCC\tO\tO' -p134274 -aS'there\tthere\tEX\tB-NP\tO' -p134275 -aS'is\tbe\tVBZ\tB-VP\tO' -p134276 -aS'no\tno\tDT\tB-NP\tO' -p134277 -aS'uncal\tuncal\tJJ\tI-NP\tO' -p134278 -aS'herniation\therniation\tNN\tI-NP\tO' -p134279 -aS'.\t.\t.\tO\tO' -p134280 -asS'Signed electronically by : DR. Natasha Toth on : TUE 2015-10-06 5:11 PM' -p134281 -(lp134282 -S'Signed\tSign\tVBN\tB-VP\tO' -p134283 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p134284 -aS'by\tby\tIN\tB-PP\tO' -p134285 -aS':\t:\t:\tO\tO' -p134286 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p134287 -aS'Natasha\tNatasha\tNNP\tI-NP\tO' -p134288 -aS'Toth\tToth\tNNP\tI-NP\tO' -p134289 -aS'on\ton\tIN\tB-PP\tO' -p134290 -aS':\t:\t:\tO\tO' -p134291 -aS'TUE\tTUE\tNN\tB-NP\tO' -p134292 -aS'2015-10-06\t2015-10-06\tCD\tI-NP\tO' -p134293 -aS'5:11\t5:11\tCD\tI-NP\tO' -p134294 -aS'PM\tPM\tNN\tI-NP\tO' -p134295 -asS'4. Simethicone 80 mg Tablet , Chewable Sig : 0.5-1 Tablet , Chewable PO QID ( 4 times a day ) as needed for indigestion/gas pain .' -p134296 -(lp134297 -S'4.\t4.\tLS\tB-LST\tO' -p134298 -aS'Simethicone\tSimethicone\tNN\tB-NP\tO' -p134299 -aS'80\t80\tCD\tI-NP\tO' -p134300 -aS'mg\tmg\tNN\tI-NP\tO' -p134301 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p134302 -aS',\t,\t,\tO\tO' -p134303 -aS'Chewable\tChewable\tNNP\tB-NP\tO' -p134304 -aS'Sig\tSig\tNNP\tI-NP\tO' -p134305 -aS':\t:\t:\tO\tO' -p134306 -aS'0.5-1\t0.5-1\tCD\tB-NP\tO' -p134307 -aS'Tablet\tTablet\tNN\tI-NP\tO' -p134308 -aS',\t,\t,\tO\tO' -p134309 -aS'Chewable\tChewable\tJJ\tB-NP\tO' -p134310 -aS'PO\tPO\tNN\tI-NP\tO' -p134311 -aS'QID\tQID\tNN\tI-NP\tO' -p134312 -aS'(\t(\t(\tO\tO' -p134313 -aS'4\t4\tCD\tB-NP\tO' -p134314 -aS'times\ttime\tNNS\tI-NP\tO' -p134315 -aS'a\ta\tDT\tB-NP\tO' -p134316 -aS'day\tday\tNN\tI-NP\tO' -p134317 -aS')\t)\t)\tO\tO' -p134318 -aS'as\tas\tIN\tB-SBAR\tO' -p134319 -aS'needed\tneed\tVBN\tB-VP\tO' -p134320 -aS'for\tfor\tIN\tB-PP\tO' -p134321 -aS'indigestion/gas\tindigestion/gas\tNN\tB-NP\tO' -p134322 -aS'pain\tpain\tNN\tI-NP\tO' -p134323 -aS'.\t.\t.\tO\tO' -p134324 -asS'She was treated with vancomycin to cover her MRSA pneumonia .' -p134325 -(lp134326 -S'She\tShe\tPRP\tB-NP\tO' -p134327 -aS'was\tbe\tVBD\tB-VP\tO' -p134328 -aS'treated\ttreat\tVBN\tI-VP\tO' -p134329 -aS'with\twith\tIN\tB-PP\tO' -p134330 -aS'vancomycin\tvancomycin\tNN\tB-NP\tO' -p134331 -aS'to\tto\tTO\tB-VP\tO' -p134332 -aS'cover\tcover\tVB\tI-VP\tO' -p134333 -aS'her\ther\tPRP$\tB-NP\tO' -p134334 -aS'MRSA\tMRSA\tNN\tI-NP\tO' -p134335 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p134336 -aS'.\t.\t.\tO\tO' -p134337 -asS'9. Lasix 20 milligrams po times 30 days .' -p134338 -(lp134339 -S'9.\t9.\tCD\tB-NP\tO' -p134340 -aS'Lasix\tLasix\tNNP\tI-NP\tO' -p134341 -aS'20\t20\tCD\tI-NP\tO' -p134342 -aS'milligrams\tmilligram\tNNS\tI-NP\tO' -p134343 -aS'po\tpo\tVBP\tB-VP\tO' -p134344 -aS'times\ttime\tNNS\tB-NP\tO' -p134345 -aS'30\t30\tCD\tB-NP\tO' -p134346 -aS'days\tday\tNNS\tI-NP\tO' -p134347 -aS'.\t.\t.\tO\tO' -p134348 -asS'Postop course c/b right upper extremity DVT and postop Afib .' -p134349 -(lp134350 -S'Postop\tPostop\tNNP\tB-NP\tO' -p134351 -aS'course\tcourse\tNN\tI-NP\tO' -p134352 -aS'c/b\tc/b\tNN\tI-NP\tO' -p134353 -aS'right\tright\tJJ\tI-NP\tO' -p134354 -aS'upper\tupper\tJJ\tI-NP\tO' -p134355 -aS'extremity\textremity\tNN\tI-NP\tO' -p134356 -aS'DVT\tDVT\tNN\tI-NP\tO' -p134357 -aS'and\tand\tCC\tO\tO' -p134358 -aS'postop\tpostop\tVB\tB-VP\tO' -p134359 -aS'Afib\tAfib\tNNP\tB-NP\tO' -p134360 -aS'.\t.\t.\tO\tO' -p134361 -asS'Her clinical status stablized and she transferred to the step down unit on postoperative day six .' -p134362 -(lp134363 -S'Her\tHer\tPRP$\tB-NP\tO' -p134364 -aS'clinical\tclinical\tJJ\tI-NP\tO' -p134365 -aS'status\tstatus\tNN\tI-NP\tO' -p134366 -aS'stablized\tstablize\tVBN\tB-VP\tO' -p134367 -aS'and\tand\tCC\tO\tO' -p134368 -aS'she\tshe\tPRP\tB-NP\tO' -p134369 -aS'transferred\ttransfer\tVBD\tB-VP\tO' -p134370 -aS'to\tto\tTO\tB-PP\tO' -p134371 -aS'the\tthe\tDT\tB-NP\tO' -p134372 -aS'step\tstep\tNN\tI-NP\tO' -p134373 -aS'down\tdown\tRP\tB-PRT\tO' -p134374 -aS'unit\tunit\tNN\tB-NP\tO' -p134375 -aS'on\ton\tIN\tB-PP\tO' -p134376 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p134377 -aS'day\tday\tNN\tI-NP\tO' -p134378 -aS'six\tsix\tCD\tI-NP\tO' -p134379 -aS'.\t.\t.\tO\tO' -p134380 -asS'A/P 74 yo M with lung cancer , DVT , CAD s/p MI presents with chest pain shortness of breath .' -p134381 -(lp134382 -S'A/P\tA/P\tNN\tB-NP\tO' -p134383 -aS'74\t74\tCD\tI-NP\tO' -p134384 -aS'yo\tyo\tNN\tI-NP\tO' -p134385 -aS'M\tM\tNN\tI-NP\tO' -p134386 -aS'with\twith\tIN\tB-PP\tO' -p134387 -aS'lung\tlung\tNN\tB-NP\tO' -p134388 -aS'cancer\tcancer\tNN\tI-NP\tO' -p134389 -aS',\t,\t,\tO\tO' -p134390 -aS'DVT\tDVT\tNN\tB-NP\tO' -p134391 -aS',\t,\t,\tO\tO' -p134392 -aS'CAD\tCAD\tNN\tB-NP\tB-protein' -p134393 -aS's/p\ts/p\tNN\tI-NP\tI-protein' -p134394 -aS'MI\tMI\tNN\tI-NP\tI-protein' -p134395 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p134396 -aS'with\twith\tIN\tB-PP\tO' -p134397 -aS'chest\tchest\tNN\tB-NP\tO' -p134398 -aS'pain\tpain\tNN\tI-NP\tO' -p134399 -aS'shortness\tshortness\tNN\tI-NP\tO' -p134400 -aS'of\tof\tIN\tB-PP\tO' -p134401 -aS'breath\tbreath\tNN\tB-NP\tO' -p134402 -aS'.\t.\t.\tO\tO' -p134403 -asS'2. Peripheral patchy opacities are seen bilaterally , most consistent with multifocal pneumonia .' -p134404 -(lp134405 -S'2.\t2.\tLS\tB-NP\tO' -p134406 -aS'Peripheral\tPeripheral\tJJ\tI-NP\tO' -p134407 -aS'patchy\tpatchy\tNN\tI-NP\tO' -p134408 -aS'opacities\topacity\tNNS\tI-NP\tO' -p134409 -aS'are\tbe\tVBP\tB-VP\tO' -p134410 -aS'seen\tsee\tVBN\tI-VP\tO' -p134411 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p134412 -aS',\t,\t,\tO\tO' -p134413 -aS'most\tmost\tRBS\tB-ADJP\tO' -p134414 -aS'consistent\tconsistent\tJJ\tI-ADJP\tO' -p134415 -aS'with\twith\tIN\tB-PP\tO' -p134416 -aS'multifocal\tmultifocal\tJJ\tB-NP\tO' -p134417 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p134418 -aS'.\t.\t.\tO\tO' -p134419 -asS'On postoperative day one , the patient 's urine culture came back with moderate E. coli .' -p134420 -(lp134421 -S'On\tOn\tIN\tB-PP\tO' -p134422 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p134423 -aS'day\tday\tNN\tI-NP\tO' -p134424 -aS'one\tone\tCD\tB-NP\tO' -p134425 -aS',\t,\t,\tO\tO' -p134426 -aS'the\tthe\tDT\tB-NP\tO' -p134427 -aS'patient\tpatient\tNN\tI-NP\tO' -p134428 -aS''s\t'\tNNS\tI-NP\tO' -p134429 -aS'urine\turine\tNN\tI-NP\tO' -p134430 -aS'culture\tculture\tNN\tI-NP\tO' -p134431 -aS'came\tcome\tVBD\tB-VP\tO' -p134432 -aS'back\tback\tRB\tB-ADVP\tO' -p134433 -aS'with\twith\tIN\tB-PP\tO' -p134434 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p134435 -aS'E.\tE.\tFW\tI-NP\tO' -p134436 -aS'coli\tcoli\tFW\tI-NP\tO' -p134437 -aS'.\t.\t.\tO\tO' -p134438 -asS'Those cultures are still pending at the time .' -p134439 -(lp134440 -S'Those\tThose\tDT\tB-NP\tB-cell_line' -p134441 -aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' -p134442 -aS'are\tbe\tVBP\tB-VP\tO' -p134443 -aS'still\tstill\tRB\tI-VP\tO' -p134444 -aS'pending\tpende\tVBG\tI-VP\tO' -p134445 -aS'at\tat\tIN\tB-PP\tO' -p134446 -aS'the\tthe\tDT\tB-NP\tO' -p134447 -aS'time\ttime\tNN\tI-NP\tO' -p134448 -aS'.\t.\t.\tO\tO' -p134449 -asS'Notable for scleral icterus .' -p134450 -(lp134451 -S'Notable\tNotable\tJJ\tB-ADJP\tO' -p134452 -aS'for\tfor\tIN\tB-PP\tO' -p134453 -aS'scleral\tscleral\tJJ\tB-NP\tO' -p134454 -aS'icterus\ticterus\tNN\tI-NP\tO' -p134455 -aS'.\t.\t.\tO\tO' -p134456 -asS'She drinks one to two glasses of scotch per day .' -p134457 -(lp134458 -S'She\tShe\tPRP\tB-NP\tO' -p134459 -aS'drinks\tdrink\tVBZ\tB-VP\tO' -p134460 -aS'one\tone\tCD\tB-NP\tO' -p134461 -aS'to\tto\tTO\tI-NP\tO' -p134462 -aS'two\ttwo\tCD\tI-NP\tO' -p134463 -aS'glasses\tglass\tNNS\tI-NP\tO' -p134464 -aS'of\tof\tIN\tB-PP\tO' -p134465 -aS'scotch\tscotch\tNN\tB-NP\tO' -p134466 -aS'per\tper\tIN\tB-PP\tO' -p134467 -aS'day\tday\tNN\tB-NP\tO' -p134468 -aS'.\t.\t.\tO\tO' -p134469 -asS'2. Metastatic disease in left arm , brachial plexus resulting in left arm paresis , as above' -p134470 -(lp134471 -S'2.\t2.\tLS\tB-NP\tO' -p134472 -aS'Metastatic\tMetastatic\tJJ\tI-NP\tO' -p134473 -aS'disease\tdisease\tNN\tI-NP\tO' -p134474 -aS'in\tin\tIN\tB-PP\tO' -p134475 -aS'left\tleft\tJJ\tB-NP\tO' -p134476 -aS'arm\tarm\tNN\tI-NP\tO' -p134477 -aS',\t,\t,\tO\tO' -p134478 -aS'brachial\tbrachial\tJJ\tB-NP\tO' -p134479 -aS'plexus\tplexus\tNN\tI-NP\tO' -p134480 -aS'resulting\tresult\tVBG\tB-VP\tO' -p134481 -aS'in\tin\tIN\tB-PP\tO' -p134482 -aS'left\tleft\tJJ\tB-NP\tO' -p134483 -aS'arm\tarm\tNN\tI-NP\tO' -p134484 -aS'paresis\tparesis\tNN\tI-NP\tO' -p134485 -aS',\t,\t,\tO\tO' -p134486 -aS'as\tas\tIN\tB-PP\tO' -p134487 -aS'above\tabove\tIN\tI-PP\tO' -p134488 -asS'Her calcium was followed daily and repleted as needed .' -p134489 -(lp134490 -S'Her\tHer\tPRP$\tB-NP\tO' -p134491 -aS'calcium\tcalcium\tNN\tI-NP\tO' -p134492 -aS'was\tbe\tVBD\tB-VP\tO' -p134493 -aS'followed\tfollow\tVBN\tI-VP\tO' -p134494 -aS'daily\tdaily\tRB\tB-ADVP\tO' -p134495 -aS'and\tand\tCC\tO\tO' -p134496 -aS'repleted\treplete\tVBN\tB-VP\tO' -p134497 -aS'as\tas\tIN\tB-SBAR\tO' -p134498 -aS'needed\tneed\tVBN\tB-VP\tO' -p134499 -aS'.\t.\t.\tO\tO' -p134500 -asS'Extremities were without edema .' -p134501 -(lp134502 -S'Extremities\tExtremity\tNNS\tB-NP\tO' -p134503 -aS'were\tbe\tVBD\tB-VP\tO' -p134504 -aS'without\twithout\tIN\tB-PP\tO' -p134505 -aS'edema\tedema\tNN\tB-NP\tO' -p134506 -aS'.\t.\t.\tO\tO' -p134507 -asS'4) CHF : Pt was oxygen dependent for most of the hospital course , CXR was consistent with pulmonary edema .' -p134508 -(lp134509 -S'4)\t4)\tCD\tB-NP\tO' -p134510 -aS'CHF\tCHF\tNN\tI-NP\tO' -p134511 -aS':\t:\t:\tO\tO' -p134512 -aS'Pt\tPt\tNN\tB-NP\tO' -p134513 -aS'was\tbe\tVBD\tB-VP\tO' -p134514 -aS'oxygen\toxygen\tNN\tB-NP\tO' -p134515 -aS'dependent\tdependent\tJJ\tB-ADJP\tO' -p134516 -aS'for\tfor\tIN\tB-PP\tO' -p134517 -aS'most\tmost\tJJS\tB-NP\tO' -p134518 -aS'of\tof\tIN\tB-PP\tO' -p134519 -aS'the\tthe\tDT\tB-NP\tO' -p134520 -aS'hospital\thospital\tNN\tI-NP\tO' -p134521 -aS'course\tcourse\tNN\tI-NP\tO' -p134522 -aS',\t,\t,\tO\tO' -p134523 -aS'CXR\tCXR\tNN\tB-NP\tB-protein' -p134524 -aS'was\tbe\tVBD\tB-VP\tO' -p134525 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p134526 -aS'with\twith\tIN\tB-PP\tO' -p134527 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p134528 -aS'edema\tedema\tNN\tI-NP\tO' -p134529 -aS'.\t.\t.\tO\tO' -p134530 -asS'PT Spien MRI Pelvis XR R hip Xray' -p134531 -(lp134532 -S'PT\tPT\tNNP\tB-NP\tO' -p134533 -aS'Spien\tSpien\tNNP\tI-NP\tO' -p134534 -aS'MRI\tMRI\tNNP\tI-NP\tO' -p134535 -aS'Pelvis\tPelvis\tNNP\tI-NP\tO' -p134536 -aS'XR\tXR\tNNP\tI-NP\tO' -p134537 -aS'R\tR\tNNP\tI-NP\tO' -p134538 -aS'hip\thip\tNN\tI-NP\tO' -p134539 -aS'Xray\tXray\tNNP\tI-NP\tO' -p134540 -asS'She was described as having _______ cirrhosis and we decided that we wanted to try to figure out the etiology .' -p134541 -(lp134542 -S'She\tShe\tPRP\tB-NP\tO' -p134543 -aS'was\tbe\tVBD\tB-VP\tO' -p134544 -aS'described\tdescribe\tVBN\tI-VP\tO' -p134545 -aS'as\tas\tIN\tB-PP\tO' -p134546 -aS'having\thave\tVBG\tB-VP\tO' -p134547 -aS'_______\t_______\tNN\tB-NP\tO' -p134548 -aS'cirrhosis\tcirrhosis\tNN\tI-NP\tO' -p134549 -aS'and\tand\tCC\tO\tO' -p134550 -aS'we\twe\tPRP\tB-NP\tO' -p134551 -aS'decided\tdecide\tVBD\tB-VP\tO' -p134552 -aS'that\tthat\tIN\tB-SBAR\tO' -p134553 -aS'we\twe\tPRP\tB-NP\tO' -p134554 -aS'wanted\twant\tVBD\tB-VP\tO' -p134555 -aS'to\tto\tTO\tI-VP\tO' -p134556 -aS'try\ttry\tVB\tI-VP\tO' -p134557 -aS'to\tto\tTO\tI-VP\tO' -p134558 -aS'figure\tfigure\tVB\tI-VP\tO' -p134559 -aS'out\tout\tRP\tB-PRT\tO' -p134560 -aS'the\tthe\tDT\tB-NP\tO' -p134561 -aS'etiology\tetiology\tNN\tI-NP\tO' -p134562 -aS'.\t.\t.\tO\tO' -p134563 -asS'sinus rhythm at 116 , axis of 23 , intervals of .14/ .07/ .42 , no ST-segment abnormalities .' -p134564 -(lp134565 -S'sinus\tsinus\tNN\tB-NP\tO' -p134566 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p134567 -aS'at\tat\tIN\tB-PP\tO' -p134568 -aS'116\t116\tCD\tB-NP\tO' -p134569 -aS',\t,\t,\tO\tO' -p134570 -aS'axis\taxis\tNN\tB-NP\tO' -p134571 -aS'of\tof\tIN\tB-PP\tO' -p134572 -aS'23\t23\tCD\tB-NP\tO' -p134573 -aS',\t,\t,\tO\tO' -p134574 -aS'intervals\tinterval\tNNS\tB-NP\tO' -p134575 -aS'of\tof\tIN\tB-PP\tO' -p134576 -aS'.14/\t.14/\tNN\tB-NP\tO' -p134577 -aS'.07/\t.07/\tNN\tI-NP\tO' -p134578 -aS'.42\t.42\tCD\tI-NP\tO' -p134579 -aS',\t,\t,\tO\tO' -p134580 -aS'no\tno\tDT\tB-NP\tO' -p134581 -aS'ST-segment\tST-segment\tNN\tI-NP\tO' -p134582 -aS'abnormalities\tabnormality\tNNS\tI-NP\tO' -p134583 -aS'.\t.\t.\tO\tO' -p134584 -asS'patient needs anticoagulation for large saphenous vein graft to prevent any possibility of thrombosis .' -p134585 -(lp134586 -S'patient\tpatient\tNN\tB-NP\tO' -p134587 -aS'needs\tneed\tVBZ\tB-VP\tO' -p134588 -aS'anticoagulation\tanticoagulation\tNN\tB-NP\tO' -p134589 -aS'for\tfor\tIN\tB-PP\tO' -p134590 -aS'large\tlarge\tJJ\tB-NP\tO' -p134591 -aS'saphenous\tsaphenous\tJJ\tI-NP\tO' -p134592 -aS'vein\tvein\tNN\tI-NP\tO' -p134593 -aS'graft\tgraft\tNN\tI-NP\tO' -p134594 -aS'to\tto\tTO\tB-VP\tO' -p134595 -aS'prevent\tprevent\tVB\tI-VP\tO' -p134596 -aS'any\tany\tDT\tB-NP\tO' -p134597 -aS'possibility\tpossibility\tNN\tI-NP\tO' -p134598 -aS'of\tof\tIN\tB-PP\tO' -p134599 -aS'thrombosis\tthrombosis\tNN\tB-NP\tO' -p134600 -aS'.\t.\t.\tO\tO' -p134601 -asS'If on tube feeds , please cycle ( hold 1 hr before to 2 hr after )' -p134602 -(lp134603 -S'If\tIf\tIN\tB-SBAR\tO' -p134604 -aS'on\ton\tIN\tB-PP\tO' -p134605 -aS'tube\ttube\tNN\tB-NP\tO' -p134606 -aS'feeds\tfeed\tNNS\tI-NP\tO' -p134607 -aS',\t,\t,\tO\tO' -p134608 -aS'please\tplease\tNN\tB-NP\tO' -p134609 -aS'cycle\tcycle\tNN\tI-NP\tO' -p134610 -aS'(\t(\t(\tO\tO' -p134611 -aS'hold\thold\tNN\tB-NP\tO' -p134612 -aS'1\t1\tCD\tI-NP\tO' -p134613 -aS'hr\thr\tNN\tI-NP\tO' -p134614 -aS'before\tbefore\tIN\tB-PP\tO' -p134615 -aS'to\tto\tTO\tB-PP\tO' -p134616 -aS'2\t2\tCD\tB-NP\tO' -p134617 -aS'hr\thr\tNN\tI-NP\tO' -p134618 -aS'after\tafter\tIN\tB-SBAR\tO' -p134619 -aS')\t)\t)\tO\tO' -p134620 -asS'The patient was set for discharge on the 11th postoperative day doing well .' -p134621 -(lp134622 -S'The\tThe\tDT\tB-NP\tO' -p134623 -aS'patient\tpatient\tNN\tI-NP\tO' -p134624 -aS'was\tbe\tVBD\tB-VP\tO' -p134625 -aS'set\tset\tVBN\tI-VP\tO' -p134626 -aS'for\tfor\tIN\tB-PP\tO' -p134627 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p134628 -aS'on\ton\tIN\tB-PP\tO' -p134629 -aS'the\tthe\tDT\tB-NP\tO' -p134630 -aS'11th\t11th\tJJ\tI-NP\tO' -p134631 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p134632 -aS'day\tday\tNN\tI-NP\tO' -p134633 -aS'doing\tdo\tVBG\tB-VP\tO' -p134634 -aS'well\twell\tRB\tB-ADVP\tO' -p134635 -aS'.\t.\t.\tO\tO' -p134636 -asS'Review of telemetry revealed an 8 to 9 beat episode of nonsustained ventricular tachycardia followed by an episode of bradycardia to 60 beats per minute .' -p134637 -(lp134638 -S'Review\tReview\tNN\tB-NP\tO' -p134639 -aS'of\tof\tIN\tB-PP\tO' -p134640 -aS'telemetry\ttelemetry\tNN\tB-NP\tO' -p134641 -aS'revealed\treveal\tVBD\tB-VP\tO' -p134642 -aS'an\tan\tDT\tB-NP\tO' -p134643 -aS'8\t8\tCD\tI-NP\tO' -p134644 -aS'to\tto\tTO\tI-NP\tO' -p134645 -aS'9\t9\tCD\tI-NP\tO' -p134646 -aS'beat\tbeat\tNN\tI-NP\tO' -p134647 -aS'episode\tepisode\tNN\tI-NP\tO' -p134648 -aS'of\tof\tIN\tB-PP\tO' -p134649 -aS'nonsustained\tnonsustained\tJJ\tB-NP\tO' -p134650 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p134651 -aS'tachycardia\ttachycardia\tNN\tI-NP\tO' -p134652 -aS'followed\tfollow\tVBN\tB-VP\tO' -p134653 -aS'by\tby\tIN\tB-PP\tO' -p134654 -aS'an\tan\tDT\tB-NP\tO' -p134655 -aS'episode\tepisode\tNN\tI-NP\tO' -p134656 -aS'of\tof\tIN\tB-PP\tO' -p134657 -aS'bradycardia\tbradycardia\tNN\tB-NP\tO' -p134658 -aS'to\tto\tTO\tB-PP\tO' -p134659 -aS'60\t60\tCD\tB-NP\tO' -p134660 -aS'beats\tbeat\tNNS\tI-NP\tO' -p134661 -aS'per\tper\tIN\tB-PP\tO' -p134662 -aS'minute\tminute\tNN\tB-NP\tO' -p134663 -aS'.\t.\t.\tO\tO' -p134664 -asS'2. Status post pericardiocentesis .' -p134665 -(lp134666 -S'2.\t2.\tLS\tB-NP\tO' -p134667 -aS'Status\tStatus\tNNP\tI-NP\tO' -p134668 -aS'post\tpost\tNN\tI-NP\tO' -p134669 -aS'pericardiocentesis\tpericardiocentesis\tNN\tI-NP\tO' -p134670 -aS'.\t.\t.\tO\tO' -p134671 -asS'If she were to decompensate at the rehab , goals of care will need to be readressed .' -p134672 -(lp134673 -S'If\tIf\tIN\tB-SBAR\tO' -p134674 -aS'she\tshe\tPRP\tB-NP\tO' -p134675 -aS'were\tbe\tVBD\tB-VP\tO' -p134676 -aS'to\tto\tTO\tI-VP\tO' -p134677 -aS'decompensate\tdecompensate\tVB\tI-VP\tO' -p134678 -aS'at\tat\tIN\tB-PP\tO' -p134679 -aS'the\tthe\tDT\tB-NP\tO' -p134680 -aS'rehab\trehab\tNN\tI-NP\tO' -p134681 -aS',\t,\t,\tO\tO' -p134682 -aS'goals\tgoal\tNNS\tB-NP\tO' -p134683 -aS'of\tof\tIN\tB-PP\tO' -p134684 -aS'care\tcare\tNN\tB-NP\tO' -p134685 -aS'will\twill\tMD\tB-VP\tO' -p134686 -aS'need\tneed\tVB\tI-VP\tO' -p134687 -aS'to\tto\tTO\tI-VP\tO' -p134688 -aS'be\tbe\tVB\tI-VP\tO' -p134689 -aS'readressed\treadresse\tVBN\tI-VP\tO' -p134690 -aS'.\t.\t.\tO\tO' -p134691 -asS'He will need to follow up with Dr. Mckinney in 4 weeks for repeat head imaging and continue with Dilantin for one month .' -p134692 -(lp134693 -S'He\tHe\tPRP\tB-NP\tO' -p134694 -aS'will\twill\tMD\tB-VP\tO' -p134695 -aS'need\tneed\tVB\tI-VP\tO' -p134696 -aS'to\tto\tTO\tI-VP\tO' -p134697 -aS'follow\tfollow\tVB\tI-VP\tO' -p134698 -aS'up\tup\tRP\tB-PRT\tO' -p134699 -aS'with\twith\tIN\tB-PP\tO' -p134700 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p134701 -aS'Mckinney\tMckinney\tNNP\tI-NP\tO' -p134702 -aS'in\tin\tIN\tB-PP\tO' -p134703 -aS'4\t4\tCD\tB-NP\tO' -p134704 -aS'weeks\tweek\tNNS\tI-NP\tO' -p134705 -aS'for\tfor\tIN\tB-PP\tO' -p134706 -aS'repeat\trepeat\tNN\tB-NP\tO' -p134707 -aS'head\thead\tNN\tI-NP\tO' -p134708 -aS'imaging\timaging\tNN\tI-NP\tO' -p134709 -aS'and\tand\tCC\tO\tO' -p134710 -aS'continue\tcontinue\tVBP\tB-VP\tO' -p134711 -aS'with\twith\tIN\tB-PP\tO' -p134712 -aS'Dilantin\tDilantin\tNN\tB-NP\tB-protein' -p134713 -aS'for\tfor\tIN\tB-PP\tO' -p134714 -aS'one\tone\tCD\tB-NP\tO' -p134715 -aS'month\tmonth\tNN\tI-NP\tO' -p134716 -aS'.\t.\t.\tO\tO' -p134717 -asS'Sputum culture also returned with Staph. Aureus .' -p134718 -(lp134719 -S'Sputum\tSputum\tNN\tB-NP\tO' -p134720 -aS'culture\tculture\tNN\tI-NP\tO' -p134721 -aS'also\talso\tRB\tB-ADVP\tO' -p134722 -aS'returned\treturn\tVBD\tB-VP\tO' -p134723 -aS'with\twith\tIN\tB-PP\tO' -p134724 -aS'Staph.\tStaph.\tNNP\tB-NP\tO' -p134725 -aS'Aureus\tAureus\tNNP\tI-NP\tO' -p134726 -aS'.\t.\t.\tO\tO' -p134727 -asS'The ENT team recommended watching patient in-house for two days after his repeat imaging on 10/3/01 , and to continue antibiotic coverage with clindamycin .' -p134728 -(lp134729 -S'The\tThe\tDT\tB-NP\tO' -p134730 -aS'ENT\tENT\tNNP\tI-NP\tO' -p134731 -aS'team\tteam\tNN\tI-NP\tO' -p134732 -aS'recommended\trecommend\tVBD\tB-VP\tO' -p134733 -aS'watching\twatch\tVBG\tI-VP\tO' -p134734 -aS'patient\tpatient\tNN\tB-NP\tO' -p134735 -aS'in-house\tin-house\tNN\tI-NP\tO' -p134736 -aS'for\tfor\tIN\tB-PP\tO' -p134737 -aS'two\ttwo\tCD\tB-NP\tO' -p134738 -aS'days\tday\tNNS\tI-NP\tO' -p134739 -aS'after\tafter\tIN\tB-PP\tO' -p134740 -aS'his\this\tPRP$\tB-NP\tO' -p134741 -aS'repeat\trepeat\tNN\tI-NP\tO' -p134742 -aS'imaging\timage\tVBG\tB-VP\tO' -p134743 -aS'on\ton\tIN\tB-PP\tO' -p134744 -aS'10/3/01\t10/3/01\tCD\tB-NP\tO' -p134745 -aS',\t,\t,\tO\tO' -p134746 -aS'and\tand\tCC\tO\tO' -p134747 -aS'to\tto\tTO\tB-VP\tO' -p134748 -aS'continue\tcontinue\tVB\tI-VP\tO' -p134749 -aS'antibiotic\tantibiotic\tJJ\tB-NP\tO' -p134750 -aS'coverage\tcoverage\tNN\tI-NP\tO' -p134751 -aS'with\twith\tIN\tB-PP\tO' -p134752 -aS'clindamycin\tclindamycin\tNN\tB-NP\tO' -p134753 -aS'.\t.\t.\tO\tO' -p134754 -asS'The patient also developed elevated transaminases and pancreatic enzymes during this time .' -p134755 -(lp134756 -S'The\tThe\tDT\tB-NP\tO' -p134757 -aS'patient\tpatient\tNN\tI-NP\tO' -p134758 -aS'also\talso\tRB\tB-ADVP\tO' -p134759 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p134760 -aS'elevated\televate\tVBN\tB-NP\tO' -p134761 -aS'transaminases\ttransaminase\tNNS\tI-NP\tB-protein' -p134762 -aS'and\tand\tCC\tO\tO' -p134763 -aS'pancreatic\tpancreatic\tJJ\tB-NP\tB-protein' -p134764 -aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' -p134765 -aS'during\tduring\tIN\tB-PP\tO' -p134766 -aS'this\tthis\tDT\tB-NP\tO' -p134767 -aS'time\ttime\tNN\tI-NP\tO' -p134768 -aS'.\t.\t.\tO\tO' -p134769 -asS'He currently receives saline washes and Adaptic dressing changes twice a day .' -p134770 -(lp134771 -S'He\tHe\tPRP\tB-NP\tO' -p134772 -aS'currently\tcurrently\tRB\tB-ADVP\tO' -p134773 -aS'receives\treceive\tVBZ\tB-VP\tO' -p134774 -aS'saline\tsaline\tNN\tB-NP\tO' -p134775 -aS'washes\twash\tNNS\tI-NP\tO' -p134776 -aS'and\tand\tCC\tO\tO' -p134777 -aS'Adaptic\tAdaptic\tJJ\tB-NP\tO' -p134778 -aS'dressing\tdress\tVBG\tI-NP\tO' -p134779 -aS'changes\tchange\tNNS\tI-NP\tO' -p134780 -aS'twice\ttwice\tRB\tB-NP\tO' -p134781 -aS'a\ta\tDT\tI-NP\tO' -p134782 -aS'day\tday\tNN\tI-NP\tO' -p134783 -aS'.\t.\t.\tO\tO' -p134784 -asS'Outside hip films were obtained , but were not available for view .' -p134785 -(lp134786 -S'Outside\tOutside\tJJ\tB-NP\tO' -p134787 -aS'hip\thip\tNN\tI-NP\tO' -p134788 -aS'films\tfilm\tNNS\tI-NP\tO' -p134789 -aS'were\tbe\tVBD\tB-VP\tO' -p134790 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p134791 -aS',\t,\t,\tO\tO' -p134792 -aS'but\tbut\tCC\tO\tO' -p134793 -aS'were\tbe\tVBD\tB-VP\tO' -p134794 -aS'not\tnot\tRB\tO\tO' -p134795 -aS'available\tavailable\tJJ\tB-ADJP\tO' -p134796 -aS'for\tfor\tIN\tB-PP\tO' -p134797 -aS'view\tview\tNN\tB-NP\tO' -p134798 -aS'.\t.\t.\tO\tO' -p134799 -asS'vomiting and dehydration , hypokalemia , hyponatremia , tonsillitis .' -p134800 -(lp134801 -S'vomiting\tvomiting\tNN\tB-NP\tO' -p134802 -aS'and\tand\tCC\tI-NP\tO' -p134803 -aS'dehydration\tdehydration\tNN\tI-NP\tO' -p134804 -aS',\t,\t,\tO\tO' -p134805 -aS'hypokalemia\thypokalemia\tNN\tB-NP\tO' -p134806 -aS',\t,\t,\tO\tO' -p134807 -aS'hyponatremia\thyponatremia\tNN\tB-NP\tO' -p134808 -aS',\t,\t,\tO\tO' -p134809 -aS'tonsillitis\ttonsillitis\tNN\tB-NP\tO' -p134810 -aS'.\t.\t.\tO\tO' -p134811 -asS'Lungs had decreased breath sounds on the left .' -p134812 -(lp134813 -S'Lungs\tLung\tNNS\tB-NP\tO' -p134814 -aS'had\thave\tVBD\tB-VP\tO' -p134815 -aS'decreased\tdecrease\tVBN\tI-VP\tO' -p134816 -aS'breath\tbreath\tNN\tB-NP\tO' -p134817 -aS'sounds\tsound\tNNS\tI-NP\tO' -p134818 -aS'on\ton\tIN\tB-PP\tO' -p134819 -aS'the\tthe\tDT\tB-NP\tO' -p134820 -aS'left\tleft\tNN\tI-NP\tO' -p134821 -aS'.\t.\t.\tO\tO' -p134822 -asS"Will also need LFT 's checked in 3-6 months ." -p134823 -(lp134824 -S'Will\tWill\tMD\tB-VP\tO' -p134825 -aS'also\talso\tRB\tI-VP\tO' -p134826 -aS'need\tneed\tVB\tI-VP\tO' -p134827 -aS'LFT\tLFT\tNNP\tB-NP\tO' -p134828 -aS"'s\t's\tPOS\tB-NP\tO" -p134829 -aS'checked\tcheck\tVBN\tB-VP\tO' -p134830 -aS'in\tin\tIN\tB-PP\tO' -p134831 -aS'3-6\t3-6\tCD\tB-NP\tO' -p134832 -aS'months\tmonth\tNNS\tI-NP\tO' -p134833 -aS'.\t.\t.\tO\tO' -p134834 -asS'Psychiatry Service saw her on 6/28 and recommended avoiding benzodiazepines and Haldol for agitation .' -p134835 -(lp134836 -S'Psychiatry\tPsychiatry\tNNP\tB-NP\tO' -p134837 -aS'Service\tService\tNNP\tI-NP\tO' -p134838 -aS'saw\tsee\tVBD\tB-VP\tO' -p134839 -aS'her\ther\tPRP\tB-NP\tO' -p134840 -aS'on\ton\tIN\tB-PP\tO' -p134841 -aS'6/28\t6/28\tCD\tB-NP\tO' -p134842 -aS'and\tand\tCC\tO\tO' -p134843 -aS'recommended\trecommend\tVBD\tB-VP\tO' -p134844 -aS'avoiding\tavoid\tVBG\tB-NP\tO' -p134845 -aS'benzodiazepines\tbenzodiazepine\tNNS\tI-NP\tO' -p134846 -aS'and\tand\tCC\tO\tO' -p134847 -aS'Haldol\tHaldol\tNN\tB-NP\tO' -p134848 -aS'for\tfor\tIN\tB-PP\tO' -p134849 -aS'agitation\tagitation\tNN\tB-NP\tO' -p134850 -aS'.\t.\t.\tO\tO' -p134851 -asS'Cerebral blood flow was done on 9/7/93 at 2:30 p.m. , revealed complete absence of blood flow to brain .' -p134852 -(lp134853 -S'Cerebral\tCerebral\tJJ\tB-NP\tO' -p134854 -aS'blood\tblood\tNN\tI-NP\tO' -p134855 -aS'flow\tflow\tNN\tI-NP\tO' -p134856 -aS'was\tbe\tVBD\tB-VP\tO' -p134857 -aS'done\tdo\tVBN\tI-VP\tO' -p134858 -aS'on\ton\tIN\tB-PP\tO' -p134859 -aS'9/7/93\t9/7/93\tCD\tB-NP\tO' -p134860 -aS'at\tat\tIN\tB-PP\tO' -p134861 -aS'2:30\t2:30\tCD\tB-NP\tO' -p134862 -aS'p.m.\tp.m.\tNN\tI-NP\tO' -p134863 -aS',\t,\t,\tO\tO' -p134864 -aS'revealed\treveal\tVBD\tB-VP\tO' -p134865 -aS'complete\tcomplete\tJJ\tB-NP\tO' -p134866 -aS'absence\tabsence\tNN\tI-NP\tO' -p134867 -aS'of\tof\tIN\tB-PP\tO' -p134868 -aS'blood\tblood\tNN\tB-NP\tO' -p134869 -aS'flow\tflow\tNN\tI-NP\tO' -p134870 -aS'to\tto\tTO\tB-PP\tO' -p134871 -aS'brain\tbrain\tNN\tB-NP\tO' -p134872 -aS'.\t.\t.\tO\tO' -p134873 -asS'On arrival to Mass. Eye & Ear Infirmary , she was unresponsive with an oxygen saturation of 72% on 6 liters .' -p134874 -(lp134875 -S'On\tOn\tIN\tB-PP\tO' -p134876 -aS'arrival\tarrival\tNN\tB-NP\tO' -p134877 -aS'to\tto\tTO\tB-PP\tO' -p134878 -aS'Mass.\tMass.\tNNP\tB-NP\tO' -p134879 -aS'Eye\tEye\tNNP\tI-NP\tO' -p134880 -aS'&\t&\tCC\tI-NP\tO' -p134881 -aS'Ear\tEar\tNNP\tI-NP\tO' -p134882 -aS'Infirmary\tInfirmary\tNNP\tI-NP\tO' -p134883 -aS',\t,\t,\tO\tO' -p134884 -aS'she\tshe\tPRP\tB-NP\tO' -p134885 -aS'was\tbe\tVBD\tB-VP\tO' -p134886 -aS'unresponsive\tunresponsive\tJJ\tB-ADJP\tO' -p134887 -aS'with\twith\tIN\tB-PP\tO' -p134888 -aS'an\tan\tDT\tB-NP\tO' -p134889 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p134890 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p134891 -aS'of\tof\tIN\tB-PP\tO' -p134892 -aS'72%\t72%\tCD\tB-NP\tO' -p134893 -aS'on\ton\tIN\tB-PP\tO' -p134894 -aS'6\t6\tCD\tB-NP\tO' -p134895 -aS'liters\tliter\tNNS\tI-NP\tO' -p134896 -aS'.\t.\t.\tO\tO' -p134897 -asS'Scattered parenchymal opacities in the left lower lobe represent superimposed infection vs atelectasis .' -p134898 -(lp134899 -S'Scattered\tScatter\tVBN\tB-NP\tO' -p134900 -aS'parenchymal\tparenchymal\tJJ\tI-NP\tO' -p134901 -aS'opacities\topacity\tNNS\tI-NP\tO' -p134902 -aS'in\tin\tIN\tB-PP\tO' -p134903 -aS'the\tthe\tDT\tB-NP\tO' -p134904 -aS'left\tleft\tJJ\tI-NP\tO' -p134905 -aS'lower\tlow\tJJR\tI-NP\tO' -p134906 -aS'lobe\tlobe\tNN\tI-NP\tO' -p134907 -aS'represent\trepresent\tVBP\tB-VP\tO' -p134908 -aS'superimposed\tsuperimpose\tVBN\tB-NP\tO' -p134909 -aS'infection\tinfection\tNN\tI-NP\tO' -p134910 -aS'vs\tvs\tIN\tB-PP\tO' -p134911 -aS'atelectasis\tatelectasis\tNN\tB-NP\tO' -p134912 -aS'.\t.\t.\tO\tO' -p134913 -asS'Valcyte 900 mg q. Day .' -p134914 -(lp134915 -S'Valcyte\tValcyte\tNN\tB-NP\tO' -p134916 -aS'900\t900\tCD\tI-NP\tO' -p134917 -aS'mg\tmg\tNN\tI-NP\tO' -p134918 -aS'q.\tq.\tNNP\tI-NP\tO' -p134919 -aS'Day\tDay\tNNP\tI-NP\tO' -p134920 -aS'.\t.\t.\tO\tO' -p134921 -asS'The patient was found to have a blood pressure of 170/108 with atrial fibrillation and rapid ventricular response to a heart rate of 140s .' -p134922 -(lp134923 -S'The\tThe\tDT\tB-NP\tO' -p134924 -aS'patient\tpatient\tNN\tI-NP\tO' -p134925 -aS'was\tbe\tVBD\tB-VP\tO' -p134926 -aS'found\tfind\tVBN\tI-VP\tO' -p134927 -aS'to\tto\tTO\tI-VP\tO' -p134928 -aS'have\thave\tVB\tI-VP\tO' -p134929 -aS'a\ta\tDT\tB-NP\tO' -p134930 -aS'blood\tblood\tNN\tI-NP\tO' -p134931 -aS'pressure\tpressure\tNN\tI-NP\tO' -p134932 -aS'of\tof\tIN\tB-PP\tO' -p134933 -aS'170/108\t170/108\tCD\tB-NP\tO' -p134934 -aS'with\twith\tIN\tB-PP\tO' -p134935 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p134936 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p134937 -aS'and\tand\tCC\tO\tO' -p134938 -aS'rapid\trapid\tJJ\tB-NP\tO' -p134939 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p134940 -aS'response\tresponse\tNN\tI-NP\tO' -p134941 -aS'to\tto\tTO\tB-PP\tO' -p134942 -aS'a\ta\tDT\tB-NP\tO' -p134943 -aS'heart\theart\tNN\tI-NP\tO' -p134944 -aS'rate\trate\tNN\tI-NP\tO' -p134945 -aS'of\tof\tIN\tB-PP\tO' -p134946 -aS'140s\t140\tNNS\tB-NP\tO' -p134947 -aS'.\t.\t.\tO\tO' -p134948 -asS'Bowel sounds positive , soft , mildly tender in the epigastrium without hepatosplenomegaly , mass or tenderness .' -p134949 -(lp134950 -S'Bowel\tBowel\tNNP\tB-NP\tO' -p134951 -aS'sounds\tsound\tVBZ\tB-VP\tO' -p134952 -aS'positive\tpositive\tJJ\tB-NP\tO' -p134953 -aS',\t,\t,\tI-NP\tO' -p134954 -aS'soft\tsoft\tJJ\tI-NP\tO' -p134955 -aS',\t,\t,\tI-NP\tO' -p134956 -aS'mildly\tmildly\tRB\tI-NP\tO' -p134957 -aS'tender\ttender\tNN\tI-NP\tO' -p134958 -aS'in\tin\tIN\tB-PP\tO' -p134959 -aS'the\tthe\tDT\tB-NP\tO' -p134960 -aS'epigastrium\tepigastrium\tNN\tI-NP\tO' -p134961 -aS'without\twithout\tIN\tB-PP\tO' -p134962 -aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tB-NP\tO' -p134963 -aS',\t,\t,\tI-NP\tO' -p134964 -aS'mass\tmass\tNN\tI-NP\tO' -p134965 -aS'or\tor\tCC\tI-NP\tO' -p134966 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p134967 -aS'.\t.\t.\tO\tO' -p134968 -asS'White blood cell count is 8.3 , hematocrit 42.7 , platelets 180 , INR was 1.1 , sodium 135 , potassium 4.0 , chloride 99 , CO2 33 , BUN 13 , creatinine 1.0 , glucose 96 .' -p134969 -(lp134970 -S'White\tWhite\tJJ\tB-NP\tO' -p134971 -aS'blood\tblood\tNN\tI-NP\tO' -p134972 -aS'cell\tcell\tNN\tI-NP\tO' -p134973 -aS'count\tcount\tNN\tI-NP\tO' -p134974 -aS'is\tbe\tVBZ\tB-VP\tO' -p134975 -aS'8.3\t8.3\tCD\tB-NP\tO' -p134976 -aS',\t,\t,\tO\tO' -p134977 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p134978 -aS'42.7\t42.7\tCD\tI-NP\tI-protein' -p134979 -aS',\t,\t,\tO\tO' -p134980 -aS'platelets\tplatelet\tNNS\tB-NP\tB-protein' -p134981 -aS'180\t180\tCD\tB-NP\tI-protein' -p134982 -aS',\t,\t,\tO\tO' -p134983 -aS'INR\tINR\tNN\tB-NP\tB-protein' -p134984 -aS'was\tbe\tVBD\tB-VP\tO' -p134985 -aS'1.1\t1.1\tCD\tB-NP\tO' -p134986 -aS',\t,\t,\tO\tO' -p134987 -aS'sodium\tsodium\tNN\tB-NP\tO' -p134988 -aS'135\t135\tCD\tI-NP\tO' -p134989 -aS',\t,\t,\tO\tO' -p134990 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p134991 -aS'4.0\t4.0\tCD\tI-NP\tO' -p134992 -aS',\t,\t,\tO\tO' -p134993 -aS'chloride\tchloride\tNN\tB-NP\tO' -p134994 -aS'99\t99\tCD\tI-NP\tO' -p134995 -aS',\t,\t,\tO\tO' -p134996 -aS'CO2\tCO2\tNN\tB-NP\tO' -p134997 -aS'33\t33\tCD\tI-NP\tO' -p134998 -aS',\t,\t,\tO\tO' -p134999 -aS'BUN\tBUN\tNNP\tB-NP\tO' -p135000 -aS'13\t13\tCD\tI-NP\tO' -p135001 -aS',\t,\t,\tO\tO' -p135002 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p135003 -aS'1.0\t1.0\tCD\tI-NP\tO' -p135004 -aS',\t,\t,\tO\tO' -p135005 -aS'glucose\tglucose\tNN\tB-NP\tO' -p135006 -aS'96\t96\tCD\tI-NP\tO' -p135007 -aS'.\t.\t.\tO\tO' -p135008 -asS'121-140 mg / dL 3 Units' -p135009 -(lp135010 -S'121-140\t121-140\tCD\tB-NP\tO' -p135011 -aS'mg\tmg\tNN\tI-NP\tO' -p135012 -aS'/\t/\tSYM\tB-NP\tO' -p135013 -aS'dL\tdL\tNN\tI-NP\tO' -p135014 -aS'3\t3\tCD\tB-NP\tO' -p135015 -aS'Units\tUnit\tNNS\tI-NP\tO' -p135016 -asS'2. Hepatic candidiasis .' -p135017 -(lp135018 -S'2.\t2.\tLS\tB-NP\tO' -p135019 -aS'Hepatic\tHepatic\tJJ\tI-NP\tO' -p135020 -aS'candidiasis\tcandidiasis\tNN\tI-NP\tO' -p135021 -aS'.\t.\t.\tO\tO' -p135022 -asS'- colon cancer with mets to liver s/p resection 09-07 .' -p135023 -(lp135024 -S'-\t-\tHYPH\tB-NP\tO' -p135025 -aS'colon\tcolon\tNN\tI-NP\tO' -p135026 -aS'cancer\tcancer\tNN\tI-NP\tO' -p135027 -aS'with\twith\tIN\tB-PP\tO' -p135028 -aS'mets\tmet\tNNS\tB-NP\tO' -p135029 -aS'to\tto\tTO\tB-PP\tO' -p135030 -aS'liver\tliver\tNN\tB-NP\tO' -p135031 -aS's/p\ts/p\tNN\tI-NP\tO' -p135032 -aS'resection\tresection\tNN\tI-NP\tO' -p135033 -aS'09-07\t09-07\tCD\tI-NP\tO' -p135034 -aS'.\t.\t.\tO\tO' -p135035 -asS'15. Pantoprazole Sodium 40 mg Recon Soln Sig : One ( 1 ) Recon Soln Intravenous Q12H ( every 12 hours ) .' -p135036 -(lp135037 -S'15.\t15.\tLS\tB-NP\tO' -p135038 -aS'Pantoprazole\tPantoprazole\tNN\tI-NP\tO' -p135039 -aS'Sodium\tSodium\tNN\tI-NP\tO' -p135040 -aS'40\t40\tCD\tI-NP\tO' -p135041 -aS'mg\tmg\tNN\tI-NP\tO' -p135042 -aS'Recon\tRecon\tNNP\tI-NP\tO' -p135043 -aS'Soln\tSoln\tNNP\tI-NP\tO' -p135044 -aS'Sig\tSig\tNNP\tI-NP\tO' -p135045 -aS':\t:\t:\tO\tO' -p135046 -aS'One\tOne\tCD\tB-NP\tO' -p135047 -aS'(\t(\t(\tO\tO' -p135048 -aS'1\t1\tCD\tB-NP\tO' -p135049 -aS')\t)\t)\tO\tO' -p135050 -aS'Recon\tRecon\tNNP\tB-NP\tO' -p135051 -aS'Soln\tSoln\tNNP\tI-NP\tO' -p135052 -aS'Intravenous\tIntravenous\tJJ\tI-NP\tO' -p135053 -aS'Q12H\tQ12H\tNN\tI-NP\tO' -p135054 -aS'(\t(\t(\tO\tO' -p135055 -aS'every\tevery\tDT\tB-NP\tO' -p135056 -aS'12\t12\tCD\tI-NP\tO' -p135057 -aS'hours\thour\tNNS\tI-NP\tO' -p135058 -aS')\t)\t)\tO\tO' -p135059 -aS'.\t.\t.\tO\tO' -p135060 -asS'5. Type 2 DM - Patient was initially covered with an insulin drip while septic and then transitioned back to insulin sliding scale .' -p135061 -(lp135062 -S'5.\t5.\tLS\tB-NP\tO' -p135063 -aS'Type\tType\tNN\tI-NP\tO' -p135064 -aS'2\t2\tCD\tB-NP\tO' -p135065 -aS'DM\tDM\tNN\tI-NP\tO' -p135066 -aS'-\t-\tHYPH\tB-NP\tO' -p135067 -aS'Patient\tPatient\tNN\tI-NP\tO' -p135068 -aS'was\tbe\tVBD\tB-VP\tO' -p135069 -aS'initially\tinitially\tRB\tI-VP\tO' -p135070 -aS'covered\tcover\tVBN\tI-VP\tO' -p135071 -aS'with\twith\tIN\tB-PP\tO' -p135072 -aS'an\tan\tDT\tB-NP\tO' -p135073 -aS'insulin\tinsulin\tNN\tI-NP\tO' -p135074 -aS'drip\tdrip\tNN\tI-NP\tO' -p135075 -aS'while\twhile\tIN\tB-SBAR\tO' -p135076 -aS'septic\tseptic\tJJ\tB-ADJP\tO' -p135077 -aS'and\tand\tCC\tO\tO' -p135078 -aS'then\tthen\tRB\tB-VP\tO' -p135079 -aS'transitioned\ttransitione\tVBN\tI-VP\tO' -p135080 -aS'back\tback\tRB\tB-ADVP\tO' -p135081 -aS'to\tto\tTO\tB-PP\tO' -p135082 -aS'insulin\tinsulin\tNN\tB-NP\tB-protein' -p135083 -aS'sliding\tslide\tVBG\tB-VP\tO' -p135084 -aS'scale\tscale\tNN\tB-NP\tO' -p135085 -aS'.\t.\t.\tO\tO' -p135086 -asS'Initially it was felt that this was a result of poor PO intake .' -p135087 -(lp135088 -S'Initially\tInitially\tRB\tB-ADVP\tO' -p135089 -aS'it\tit\tPRP\tB-NP\tO' -p135090 -aS'was\tbe\tVBD\tB-VP\tO' -p135091 -aS'felt\tfeel\tVBN\tI-VP\tO' -p135092 -aS'that\tthat\tIN\tB-SBAR\tO' -p135093 -aS'this\tthis\tDT\tB-NP\tO' -p135094 -aS'was\tbe\tVBD\tB-VP\tO' -p135095 -aS'a\ta\tDT\tB-NP\tO' -p135096 -aS'result\tresult\tNN\tI-NP\tO' -p135097 -aS'of\tof\tIN\tB-PP\tO' -p135098 -aS'poor\tpoor\tJJ\tB-NP\tO' -p135099 -aS'PO\tPO\tNN\tI-NP\tO' -p135100 -aS'intake\tintake\tNN\tI-NP\tO' -p135101 -aS'.\t.\t.\tO\tO' -p135102 -asS'CML .' -p135103 -(lp135104 -S'CML\tCML\tNN\tB-NP\tO' -p135105 -aS'.\t.\t.\tO\tO' -p135106 -asS'A quantitative V / Q scan was also done preoperatively and Pulmonary consult was obtained preoperatively .' -p135107 -(lp135108 -S'A\tA\tDT\tB-NP\tO' -p135109 -aS'quantitative\tquantitative\tJJ\tI-NP\tO' -p135110 -aS'V\tV\tNN\tI-NP\tO' -p135111 -aS'/\t/\tSYM\tB-VP\tO' -p135112 -aS'Q\tQ\tNN\tB-NP\tO' -p135113 -aS'scan\tscan\tNN\tI-NP\tO' -p135114 -aS'was\tbe\tVBD\tB-VP\tO' -p135115 -aS'also\talso\tRB\tI-VP\tO' -p135116 -aS'done\tdo\tVBN\tI-VP\tO' -p135117 -aS'preoperatively\tpreoperatively\tRB\tB-ADVP\tO' -p135118 -aS'and\tand\tCC\tO\tO' -p135119 -aS'Pulmonary\tPulmonary\tJJ\tB-NP\tO' -p135120 -aS'consult\tconsult\tNN\tI-NP\tO' -p135121 -aS'was\tbe\tVBD\tB-VP\tO' -p135122 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p135123 -aS'preoperatively\tpreoperatively\tRB\tB-ADVP\tO' -p135124 -aS'.\t.\t.\tO\tO' -p135125 -asS'She does not describe decreased PO intake from her norm this morning , but did feel dehydrated at the time of her fall .' -p135126 -(lp135127 -S'She\tShe\tPRP\tB-NP\tO' -p135128 -aS'does\tdo\tVBZ\tB-VP\tO' -p135129 -aS'not\tnot\tRB\tI-VP\tO' -p135130 -aS'describe\tdescribe\tVB\tI-VP\tO' -p135131 -aS'decreased\tdecrease\tVBN\tB-NP\tO' -p135132 -aS'PO\tPO\tNN\tI-NP\tO' -p135133 -aS'intake\tintake\tNN\tI-NP\tO' -p135134 -aS'from\tfrom\tIN\tB-PP\tO' -p135135 -aS'her\ther\tPRP$\tB-NP\tO' -p135136 -aS'norm\tnorm\tNN\tI-NP\tO' -p135137 -aS'this\tthis\tDT\tB-NP\tO' -p135138 -aS'morning\tmorning\tNN\tI-NP\tO' -p135139 -aS',\t,\t,\tO\tO' -p135140 -aS'but\tbut\tCC\tO\tO' -p135141 -aS'did\tdo\tVBD\tB-VP\tO' -p135142 -aS'feel\tfeel\tNN\tB-NP\tO' -p135143 -aS'dehydrated\tdehydrate\tVBN\tB-VP\tO' -p135144 -aS'at\tat\tIN\tB-PP\tO' -p135145 -aS'the\tthe\tDT\tB-NP\tO' -p135146 -aS'time\ttime\tNN\tI-NP\tO' -p135147 -aS'of\tof\tIN\tB-PP\tO' -p135148 -aS'her\ther\tPRP$\tB-NP\tO' -p135149 -aS'fall\tfall\tNN\tI-NP\tO' -p135150 -aS'.\t.\t.\tO\tO' -p135151 -asS'The patient 's temperature was 102 degrees .' -p135152 -(lp135153 -S'The\tThe\tDT\tB-NP\tO' -p135154 -aS'patient\tpatient\tNN\tI-NP\tO' -p135155 -aS''s\t'\tNNS\tI-NP\tO' -p135156 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p135157 -aS'was\tbe\tVBD\tB-VP\tO' -p135158 -aS'102\t102\tCD\tB-NP\tO' -p135159 -aS'degrees\tdegree\tNNS\tI-NP\tO' -p135160 -aS'.\t.\t.\tO\tO' -p135161 -asS'Briefly , he was talking to a friend at 5:30 p.m. the day prior to admission , when he had to grab his locker and sit down .' -p135162 -(lp135163 -S'Briefly\tBriefly\tRB\tB-ADVP\tO' -p135164 -aS',\t,\t,\tO\tO' -p135165 -aS'he\the\tPRP\tB-NP\tO' -p135166 -aS'was\tbe\tVBD\tB-VP\tO' -p135167 -aS'talking\ttalk\tVBG\tI-VP\tO' -p135168 -aS'to\tto\tTO\tB-PP\tO' -p135169 -aS'a\ta\tDT\tB-NP\tO' -p135170 -aS'friend\tfriend\tNN\tI-NP\tO' -p135171 -aS'at\tat\tIN\tB-PP\tO' -p135172 -aS'5:30\t5:30\tCD\tB-NP\tO' -p135173 -aS'p.m.\tp.m.\tNN\tI-NP\tO' -p135174 -aS'the\tthe\tDT\tB-NP\tO' -p135175 -aS'day\tday\tNN\tI-NP\tO' -p135176 -aS'prior\tprior\tRB\tB-ADVP\tO' -p135177 -aS'to\tto\tTO\tB-PP\tO' -p135178 -aS'admission\tadmission\tNN\tB-NP\tO' -p135179 -aS',\t,\t,\tO\tO' -p135180 -aS'when\twhen\tWRB\tB-ADVP\tO' -p135181 -aS'he\the\tPRP\tB-NP\tO' -p135182 -aS'had\thave\tVBD\tB-VP\tO' -p135183 -aS'to\tto\tTO\tI-VP\tO' -p135184 -aS'grab\tgrab\tVB\tI-VP\tO' -p135185 -aS'his\this\tPRP$\tB-NP\tO' -p135186 -aS'locker\tlocker\tNN\tI-NP\tO' -p135187 -aS'and\tand\tCC\tO\tO' -p135188 -aS'sit\tsit\tVB\tB-VP\tO' -p135189 -aS'down\tdown\tRP\tB-PRT\tO' -p135190 -aS'.\t.\t.\tO\tO' -p135191 -asS'Disp :* 30 Tablet (s)* Refills :* 0 *' -p135192 -(lp135193 -S'Disp\tDisp\tNN\tB-NP\tO' -p135194 -aS':*\t:*\tSYM\tI-NP\tO' -p135195 -aS'30\t30\tCD\tI-NP\tO' -p135196 -aS'Tablet\tTablet\tNN\tI-NP\tO' -p135197 -aS'(s)*\t(s)*\tSYM\tB-NP\tO' -p135198 -aS'Refills\tRefill\tNNPS\tI-NP\tO' -p135199 -aS':*\t:*\tSYM\tI-NP\tO' -p135200 -aS'0\t0\tCD\tI-NP\tO' -p135201 -aS'*\t*\tSYM\tB-NP\tO' -p135202 -asS'They elected not to inject it with thrombin .' -p135203 -(lp135204 -S'They\tThey\tPRP\tB-NP\tO' -p135205 -aS'elected\telect\tVBD\tB-VP\tO' -p135206 -aS'not\tnot\tRB\tO\tO' -p135207 -aS'to\tto\tTO\tB-VP\tO' -p135208 -aS'inject\tinject\tVB\tI-VP\tO' -p135209 -aS'it\tit\tPRP\tB-NP\tO' -p135210 -aS'with\twith\tIN\tB-PP\tO' -p135211 -aS'thrombin\tthrombin\tNN\tB-NP\tB-protein' -p135212 -aS'.\t.\t.\tO\tO' -p135213 -asS'Height 5 ' 1 " , weight 138 lb.' -p135214 -(lp135215 -S'Height\tHeight\tRB\tB-NP\tO' -p135216 -aS'5\t5\tCD\tI-NP\tO' -p135217 -aS''\t'\tCC\tI-NP\tO' -p135218 -aS'1\t1\tCD\tI-NP\tO' -p135219 -aS'"\t"\tNN\tI-NP\tO' -p135220 -aS',\t,\t,\tO\tO' -p135221 -aS'weight\tweight\tNN\tB-NP\tO' -p135222 -aS'138\t138\tCD\tI-NP\tO' -p135223 -aS'lb.\tlb.\tNN\tI-NP\tO' -p135224 -asS'UA - trace protein , trace ketones , positive for bilirubin and nitrogen and also 4 to 6 wbcs with 1+ bacteria .' -p135225 -(lp135226 -S'UA\tUA\tNN\tB-NP\tO' -p135227 -aS'-\t-\tHYPH\tI-NP\tO' -p135228 -aS'trace\ttrace\tNN\tI-NP\tB-protein' -p135229 -aS'protein\tprotein\tNN\tI-NP\tI-protein' -p135230 -aS',\t,\t,\tO\tO' -p135231 -aS'trace\ttrace\tNN\tB-NP\tO' -p135232 -aS'ketones\tketone\tNNS\tI-NP\tO' -p135233 -aS',\t,\t,\tO\tO' -p135234 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p135235 -aS'for\tfor\tIN\tB-PP\tO' -p135236 -aS'bilirubin\tbilirubin\tNN\tB-NP\tO' -p135237 -aS'and\tand\tCC\tI-NP\tO' -p135238 -aS'nitrogen\tnitrogen\tNN\tI-NP\tO' -p135239 -aS'and\tand\tCC\tO\tO' -p135240 -aS'also\talso\tRB\tB-ADVP\tO' -p135241 -aS'4\t4\tCD\tB-NP\tO' -p135242 -aS'to\tto\tTO\tB-PP\tO' -p135243 -aS'6\t6\tCD\tB-NP\tO' -p135244 -aS'wbcs\twbc\tNNS\tI-NP\tO' -p135245 -aS'with\twith\tIN\tB-PP\tO' -p135246 -aS'1+\t1+\tJJ\tB-NP\tO' -p135247 -aS'bacteria\tbacteria\tNNS\tI-NP\tO' -p135248 -aS'.\t.\t.\tO\tO' -p135249 -asS'X ray suggested some pulmonary edema on admission .' -p135250 -(lp135251 -S'X\tX\tNN\tB-NP\tO' -p135252 -aS'ray\tray\tNN\tI-NP\tO' -p135253 -aS'suggested\tsuggest\tVBD\tB-VP\tO' -p135254 -aS'some\tsome\tDT\tB-NP\tO' -p135255 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p135256 -aS'edema\tedema\tNN\tI-NP\tO' -p135257 -aS'on\ton\tIN\tB-PP\tO' -p135258 -aS'admission\tadmission\tNN\tB-NP\tO' -p135259 -aS'.\t.\t.\tO\tO' -p135260 -asS'On admission revealed a white male with no palpable adenopathy .' -p135261 -(lp135262 -S'On\tOn\tIN\tB-PP\tO' -p135263 -aS'admission\tadmission\tNN\tB-NP\tO' -p135264 -aS'revealed\treveal\tVBD\tB-VP\tO' -p135265 -aS'a\ta\tDT\tB-NP\tO' -p135266 -aS'white\twhite\tJJ\tI-NP\tO' -p135267 -aS'male\tmale\tNN\tI-NP\tO' -p135268 -aS'with\twith\tIN\tB-PP\tO' -p135269 -aS'no\tno\tDT\tB-NP\tO' -p135270 -aS'palpable\tpalpable\tJJ\tI-NP\tO' -p135271 -aS'adenopathy\tadenopathy\tNN\tI-NP\tO' -p135272 -aS'.\t.\t.\tO\tO' -p135273 -asS'In summary , the catheterization showed left main with no obstructive disease , LAD with 70 percent serial lesion , left circumflex with 70 percent proximal , OM1 and OM2 both 70 percent lesions , RCA with nonobstructive disease and ejection' -p135274 -(lp135275 -S'In\tIn\tIN\tB-PP\tO' -p135276 -aS'summary\tsummary\tNN\tB-NP\tO' -p135277 -aS',\t,\t,\tO\tO' -p135278 -aS'the\tthe\tDT\tB-NP\tO' -p135279 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p135280 -aS'showed\tshow\tVBD\tB-VP\tO' -p135281 -aS'left\tleft\tRB\tB-ADJP\tO' -p135282 -aS'main\tmain\tJJ\tI-ADJP\tO' -p135283 -aS'with\twith\tIN\tB-PP\tO' -p135284 -aS'no\tno\tDT\tB-NP\tO' -p135285 -aS'obstructive\tobstructive\tJJ\tI-NP\tO' -p135286 -aS'disease\tdisease\tNN\tI-NP\tO' -p135287 -aS',\t,\t,\tO\tO' -p135288 -aS'LAD\tLAD\tNN\tB-NP\tO' -p135289 -aS'with\twith\tIN\tB-PP\tO' -p135290 -aS'70\t70\tCD\tB-NP\tO' -p135291 -aS'percent\tpercent\tNN\tI-NP\tO' -p135292 -aS'serial\tserial\tJJ\tI-NP\tO' -p135293 -aS'lesion\tlesion\tNN\tI-NP\tO' -p135294 -aS',\t,\t,\tO\tO' -p135295 -aS'left\tleave\tVBD\tB-VP\tO' -p135296 -aS'circumflex\tcircumflex\tNN\tB-NP\tO' -p135297 -aS'with\twith\tIN\tB-PP\tO' -p135298 -aS'70\t70\tCD\tB-NP\tO' -p135299 -aS'percent\tpercent\tNN\tI-NP\tO' -p135300 -aS'proximal\tproximal\tJJ\tI-NP\tO' -p135301 -aS',\t,\t,\tI-NP\tO' -p135302 -aS'OM1\tOM1\tNN\tI-NP\tB-protein' -p135303 -aS'and\tand\tCC\tI-NP\tO' -p135304 -aS'OM2\tOM2\tNN\tI-NP\tB-protein' -p135305 -aS'both\tboth\tCC\tO\tO' -p135306 -aS'70\t70\tCD\tB-NP\tO' -p135307 -aS'percent\tpercent\tNN\tI-NP\tO' -p135308 -aS'lesions\tlesion\tNNS\tI-NP\tO' -p135309 -aS',\t,\t,\tO\tO' -p135310 -aS'RCA\tRCA\tNN\tB-NP\tB-protein' -p135311 -aS'with\twith\tIN\tB-PP\tO' -p135312 -aS'nonobstructive\tnonobstructive\tJJ\tB-NP\tO' -p135313 -aS'disease\tdisease\tNN\tI-NP\tO' -p135314 -aS'and\tand\tCC\tO\tO' -p135315 -aS'ejection\tejection\tNN\tB-NP\tO' -p135316 -asS'( later tested and patient markedly unstable on feet )' -p135317 -(lp135318 -S'(\t(\t(\tO\tO' -p135319 -aS'later\tlater\tRB\tB-VP\tO' -p135320 -aS'tested\ttest\tVBN\tI-VP\tO' -p135321 -aS'and\tand\tCC\tO\tO' -p135322 -aS'patient\tpatient\tNN\tB-NP\tO' -p135323 -aS'markedly\tmarkedly\tRB\tB-ADJP\tO' -p135324 -aS'unstable\tunstable\tJJ\tI-ADJP\tO' -p135325 -aS'on\ton\tIN\tB-PP\tO' -p135326 -aS'feet\tfoot\tNNS\tB-NP\tO' -p135327 -aS')\t)\t)\tO\tO' -p135328 -asS'Following balloon angioplasty , there was a local dissection with evidence of intraluminal thrombus , with a greater than 10% loss in the initial gain following coronary angioplasty .' -p135329 -(lp135330 -S'Following\tFollow\tVBG\tB-PP\tO' -p135331 -aS'balloon\tballoon\tNN\tB-NP\tO' -p135332 -aS'angioplasty\tangioplasty\tNN\tI-NP\tO' -p135333 -aS',\t,\t,\tO\tO' -p135334 -aS'there\tthere\tEX\tB-NP\tO' -p135335 -aS'was\tbe\tVBD\tB-VP\tO' -p135336 -aS'a\ta\tDT\tB-NP\tO' -p135337 -aS'local\tlocal\tJJ\tI-NP\tO' -p135338 -aS'dissection\tdissection\tNN\tI-NP\tO' -p135339 -aS'with\twith\tIN\tB-PP\tO' -p135340 -aS'evidence\tevidence\tNN\tB-NP\tO' -p135341 -aS'of\tof\tIN\tB-PP\tO' -p135342 -aS'intraluminal\tintraluminal\tJJ\tB-NP\tO' -p135343 -aS'thrombus\tthrombus\tNN\tI-NP\tO' -p135344 -aS',\t,\t,\tO\tO' -p135345 -aS'with\twith\tIN\tB-PP\tO' -p135346 -aS'a\ta\tDT\tB-NP\tO' -p135347 -aS'greater\tgreat\tJJR\tI-NP\tO' -p135348 -aS'than\tthan\tIN\tI-NP\tO' -p135349 -aS'10%\t10%\tCD\tI-NP\tO' -p135350 -aS'loss\tloss\tNN\tI-NP\tO' -p135351 -aS'in\tin\tIN\tB-PP\tO' -p135352 -aS'the\tthe\tDT\tB-NP\tO' -p135353 -aS'initial\tinitial\tJJ\tI-NP\tO' -p135354 -aS'gain\tgain\tNN\tI-NP\tO' -p135355 -aS'following\tfollow\tVBG\tB-PP\tO' -p135356 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p135357 -aS'angioplasty\tangioplasty\tNN\tI-NP\tO' -p135358 -aS'.\t.\t.\tO\tO' -p135359 -asS'On the morning of admission at 8 o'clock , he was noted to be moving his mouth less and speaking " gibberish " .' -p135360 -(lp135361 -S'On\tOn\tIN\tB-PP\tO' -p135362 -aS'the\tthe\tDT\tB-NP\tO' -p135363 -aS'morning\tmorning\tNN\tI-NP\tO' -p135364 -aS'of\tof\tIN\tB-PP\tO' -p135365 -aS'admission\tadmission\tNN\tB-NP\tO' -p135366 -aS'at\tat\tIN\tB-PP\tO' -p135367 -aS'8\t8\tCD\tB-NP\tO' -p135368 -aS'o'clock\to'clock\tNN\tI-NP\tO' -p135369 -aS',\t,\t,\tO\tO' -p135370 -aS'he\the\tPRP\tB-NP\tO' -p135371 -aS'was\tbe\tVBD\tB-VP\tO' -p135372 -aS'noted\tnote\tVBN\tI-VP\tO' -p135373 -aS'to\tto\tTO\tI-VP\tO' -p135374 -aS'be\tbe\tVB\tI-VP\tO' -p135375 -aS'moving\tmove\tVBG\tI-VP\tO' -p135376 -aS'his\this\tPRP$\tB-NP\tO' -p135377 -aS'mouth\tmouth\tNN\tI-NP\tO' -p135378 -aS'less\tless\tJJR\tB-ADJP\tO' -p135379 -aS'and\tand\tCC\tO\tO' -p135380 -aS'speaking\tspeak\tVBG\tB-VP\tO' -p135381 -aS'"\t"\tCC\tB-NP\tO' -p135382 -aS'gibberish\tgibberish\tJJ\tI-NP\tO' -p135383 -aS'"\t"\tNN\tI-NP\tO' -p135384 -aS'.\t.\t.\tO\tO' -p135385 -asS'Thus , the splenic flexure and a portion of the descending colon were resected .' -p135386 -(lp135387 -S'Thus\tThus\tRB\tB-ADVP\tO' -p135388 -aS',\t,\t,\tO\tO' -p135389 -aS'the\tthe\tDT\tB-NP\tO' -p135390 -aS'splenic\tsplenic\tJJ\tI-NP\tO' -p135391 -aS'flexure\tflexure\tNN\tI-NP\tO' -p135392 -aS'and\tand\tCC\tO\tO' -p135393 -aS'a\ta\tDT\tB-NP\tO' -p135394 -aS'portion\tportion\tNN\tI-NP\tO' -p135395 -aS'of\tof\tIN\tB-PP\tO' -p135396 -aS'the\tthe\tDT\tB-NP\tO' -p135397 -aS'descending\tdescend\tVBG\tI-NP\tO' -p135398 -aS'colon\tcolon\tNN\tI-NP\tO' -p135399 -aS'were\tbe\tVBD\tB-VP\tO' -p135400 -aS'resected\tresecte\tVBN\tI-VP\tO' -p135401 -aS'.\t.\t.\tO\tO' -p135402 -asS'Gen : somnolent but arousable to voice' -p135403 -(lp135404 -S'Gen\tGen\tNN\tB-NP\tO' -p135405 -aS':\t:\t:\tO\tO' -p135406 -aS'somnolent\tsomnolent\tJJ\tB-ADJP\tO' -p135407 -aS'but\tbut\tCC\tI-ADJP\tO' -p135408 -aS'arousable\tarousable\tJJ\tI-ADJP\tO' -p135409 -aS'to\tto\tTO\tB-VP\tO' -p135410 -aS'voice\tvoice\tVB\tI-VP\tO' -p135411 -asS'9. Potassium Chloride 10 mEq Capsule , Sustained Release Sig : Two ( 2 ) Capsule , Sustained Release PO once a day for 7 days .' -p135412 -(lp135413 -S'9.\t9.\tLS\tB-NP\tO' -p135414 -aS'Potassium\tPotassium\tNNP\tI-NP\tO' -p135415 -aS'Chloride\tChloride\tNNP\tI-NP\tO' -p135416 -aS'10\t10\tCD\tI-NP\tO' -p135417 -aS'mEq\tmEq\tNN\tI-NP\tO' -p135418 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p135419 -aS',\t,\t,\tO\tO' -p135420 -aS'Sustained\tSustained\tNNP\tB-NP\tO' -p135421 -aS'Release\tRelease\tNNP\tI-NP\tO' -p135422 -aS'Sig\tSig\tNNP\tI-NP\tB-protein' -p135423 -aS':\t:\t:\tO\tO' -p135424 -aS'Two\tTwo\tCD\tB-NP\tO' -p135425 -aS'(\t(\t(\tO\tO' -p135426 -aS'2\t2\tCD\tB-NP\tO' -p135427 -aS')\t)\t)\tO\tO' -p135428 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p135429 -aS',\t,\t,\tO\tO' -p135430 -aS'Sustained\tSustained\tNNP\tB-NP\tO' -p135431 -aS'Release\tRelease\tNNP\tI-NP\tO' -p135432 -aS'PO\tPO\tNNP\tI-NP\tO' -p135433 -aS'once\tonce\tRB\tB-ADVP\tO' -p135434 -aS'a\ta\tDT\tB-NP\tO' -p135435 -aS'day\tday\tNN\tI-NP\tO' -p135436 -aS'for\tfor\tIN\tB-PP\tO' -p135437 -aS'7\t7\tCD\tB-NP\tO' -p135438 -aS'days\tday\tNNS\tI-NP\tO' -p135439 -aS'.\t.\t.\tO\tO' -p135440 -asS'03/03/92 - left carotid endarterectomy with continuous interoperative electroencephalogram monitoring and saphenous vein patch closure .' -p135441 -(lp135442 -S'03/03/92\t03/03/92\tCD\tB-NP\tO' -p135443 -aS'-\t-\tHYPH\tI-NP\tO' -p135444 -aS'left\tleft\tJJ\tI-NP\tO' -p135445 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p135446 -aS'endarterectomy\tendarterectomy\tNN\tI-NP\tO' -p135447 -aS'with\twith\tIN\tB-PP\tO' -p135448 -aS'continuous\tcontinuous\tJJ\tB-NP\tO' -p135449 -aS'interoperative\tinteroperative\tJJ\tI-NP\tO' -p135450 -aS'electroencephalogram\telectroencephalogram\tNN\tI-NP\tO' -p135451 -aS'monitoring\tmonitoring\tNN\tI-NP\tO' -p135452 -aS'and\tand\tCC\tO\tO' -p135453 -aS'saphenous\tsaphenous\tJJ\tB-NP\tO' -p135454 -aS'vein\tvein\tNN\tI-NP\tO' -p135455 -aS'patch\tpatch\tNN\tI-NP\tO' -p135456 -aS'closure\tclosure\tNN\tI-NP\tO' -p135457 -aS'.\t.\t.\tO\tO' -p135458 -asS'The patient was also administered adaptive training for activities of daily life and advised regarding wound care .' -p135459 -(lp135460 -S'The\tThe\tDT\tB-NP\tO' -p135461 -aS'patient\tpatient\tNN\tI-NP\tO' -p135462 -aS'was\tbe\tVBD\tB-VP\tO' -p135463 -aS'also\talso\tRB\tI-VP\tO' -p135464 -aS'administered\tadminister\tVBN\tI-VP\tO' -p135465 -aS'adaptive\tadaptive\tJJ\tB-NP\tO' -p135466 -aS'training\ttraining\tNN\tI-NP\tO' -p135467 -aS'for\tfor\tIN\tB-PP\tO' -p135468 -aS'activities\tactivity\tNNS\tB-NP\tO' -p135469 -aS'of\tof\tIN\tB-PP\tO' -p135470 -aS'daily\tdaily\tJJ\tB-NP\tO' -p135471 -aS'life\tlife\tNN\tI-NP\tO' -p135472 -aS'and\tand\tCC\tO\tO' -p135473 -aS'advised\tadvise\tVBD\tB-VP\tO' -p135474 -aS'regarding\tregard\tVBG\tI-VP\tO' -p135475 -aS'wound\twound\tJJ\tB-NP\tO' -p135476 -aS'care\tcare\tNN\tI-NP\tO' -p135477 -aS'.\t.\t.\tO\tO' -p135478 -asS'Vitamin D 50000 4662442 one time a week' -p135479 -(lp135480 -S'Vitamin\tVitamin\tNN\tB-NP\tO' -p135481 -aS'D\tD\tNN\tI-NP\tO' -p135482 -aS'50000\t50000\tCD\tI-NP\tO' -p135483 -aS'4662442\t4662442\tCD\tI-NP\tO' -p135484 -aS'one\tone\tCD\tI-NP\tO' -p135485 -aS'time\ttime\tNN\tI-NP\tO' -p135486 -aS'a\ta\tDT\tB-NP\tO' -p135487 -aS'week\tweek\tNN\tI-NP\tO' -p135488 -asS'Melba Barnett is the 3.710 - kg ( 8 - pound 3 - ounce ) product of a term gestation .' -p135489 -(lp135490 -S'Melba\tMelba\tNNP\tB-NP\tO' -p135491 -aS'Barnett\tBarnett\tNNP\tI-NP\tO' -p135492 -aS'is\tbe\tVBZ\tB-VP\tO' -p135493 -aS'the\tthe\tDT\tB-NP\tO' -p135494 -aS'3.710\t3.710\tCD\tI-NP\tO' -p135495 -aS'-\t-\tHYPH\tI-NP\tO' -p135496 -aS'kg\tkg\tNN\tI-NP\tO' -p135497 -aS'(\t(\t(\tO\tO' -p135498 -aS'8\t8\tCD\tB-NP\tO' -p135499 -aS'-\t-\tHYPH\tO\tO' -p135500 -aS'pound\tpound\tNN\tB-NP\tB-protein' -p135501 -aS'3\t3\tCD\tI-NP\tI-protein' -p135502 -aS'-\t-\tHYPH\tI-NP\tO' -p135503 -aS'ounce\tounce\tNN\tI-NP\tO' -p135504 -aS')\t)\t)\tO\tO' -p135505 -aS'product\tproduct\tNN\tB-NP\tO' -p135506 -aS'of\tof\tIN\tB-PP\tO' -p135507 -aS'a\ta\tDT\tB-NP\tO' -p135508 -aS'term\tterm\tNN\tI-NP\tO' -p135509 -aS'gestation\tgestation\tNN\tI-NP\tO' -p135510 -aS'.\t.\t.\tO\tO' -p135511 -asS'Phototherapy was discontinued on day of life five and the rebound bilirubin level on day of life six is 7.7 with a direct of 0.2 .' -p135512 -(lp135513 -S'Phototherapy\tPhototherapy\tNN\tB-NP\tO' -p135514 -aS'was\tbe\tVBD\tB-VP\tO' -p135515 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p135516 -aS'on\ton\tIN\tB-PP\tO' -p135517 -aS'day\tday\tNN\tB-NP\tO' -p135518 -aS'of\tof\tIN\tB-PP\tO' -p135519 -aS'life\tlife\tNN\tB-NP\tO' -p135520 -aS'five\tfive\tCD\tI-NP\tO' -p135521 -aS'and\tand\tCC\tO\tO' -p135522 -aS'the\tthe\tDT\tB-NP\tO' -p135523 -aS'rebound\trebound\tNN\tI-NP\tO' -p135524 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p135525 -aS'level\tlevel\tNN\tI-NP\tO' -p135526 -aS'on\ton\tIN\tB-PP\tO' -p135527 -aS'day\tday\tNN\tB-NP\tO' -p135528 -aS'of\tof\tIN\tB-PP\tO' -p135529 -aS'life\tlife\tNN\tB-NP\tO' -p135530 -aS'six\tsix\tCD\tI-NP\tO' -p135531 -aS'is\tbe\tVBZ\tB-VP\tO' -p135532 -aS'7.7\t7.7\tCD\tB-NP\tO' -p135533 -aS'with\twith\tIN\tB-PP\tO' -p135534 -aS'a\ta\tDT\tB-NP\tO' -p135535 -aS'direct\tdirect\tNN\tI-NP\tO' -p135536 -aS'of\tof\tIN\tB-PP\tO' -p135537 -aS'0.2\t0.2\tCD\tB-NP\tO' -p135538 -aS'.\t.\t.\tO\tO' -p135539 -asS'Unemployed and on disability .' -p135540 -(lp135541 -S'Unemployed\tUnemployed\tJJ\tB-ADJP\tO' -p135542 -aS'and\tand\tCC\tO\tO' -p135543 -aS'on\ton\tIN\tB-PP\tO' -p135544 -aS'disability\tdisability\tNN\tB-NP\tO' -p135545 -aS'.\t.\t.\tO\tO' -p135546 -asS'Right PIC catheter tip ends in the lower SVC .' -p135547 -(lp135548 -S'Right\tRight\tNN\tB-NP\tO' -p135549 -aS'PIC\tPIC\tNN\tI-NP\tO' -p135550 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p135551 -aS'tip\ttip\tNN\tI-NP\tO' -p135552 -aS'ends\tend\tVBZ\tB-VP\tO' -p135553 -aS'in\tin\tIN\tB-PP\tO' -p135554 -aS'the\tthe\tDT\tB-NP\tO' -p135555 -aS'lower\tlow\tJJR\tI-NP\tO' -p135556 -aS'SVC\tSVC\tNN\tI-NP\tO' -p135557 -aS'.\t.\t.\tO\tO' -p135558 -asS'The patient has been compliant with his medications .' -p135559 -(lp135560 -S'The\tThe\tDT\tB-NP\tO' -p135561 -aS'patient\tpatient\tNN\tI-NP\tO' -p135562 -aS'has\thave\tVBZ\tB-VP\tO' -p135563 -aS'been\tbe\tVBN\tI-VP\tO' -p135564 -aS'compliant\tcompliant\tJJ\tB-ADJP\tO' -p135565 -aS'with\twith\tIN\tB-PP\tO' -p135566 -aS'his\this\tPRP$\tB-NP\tO' -p135567 -aS'medications\tmedication\tNNS\tI-NP\tO' -p135568 -aS'.\t.\t.\tO\tO' -p135569 -asS'Left foot changes consistent with osteomyelitis of the left great toe .' -p135570 -(lp135571 -S'Left\tLeave\tVBN\tB-NP\tO' -p135572 -aS'foot\tfoot\tNN\tI-NP\tO' -p135573 -aS'changes\tchange\tNNS\tI-NP\tO' -p135574 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p135575 -aS'with\twith\tIN\tB-PP\tO' -p135576 -aS'osteomyelitis\tosteomyelitis\tNN\tB-NP\tO' -p135577 -aS'of\tof\tIN\tB-PP\tO' -p135578 -aS'the\tthe\tDT\tB-NP\tO' -p135579 -aS'left\tleft\tJJ\tI-NP\tO' -p135580 -aS'great\tgreat\tJJ\tI-NP\tO' -p135581 -aS'toe\ttoe\tNN\tI-NP\tO' -p135582 -aS'.\t.\t.\tO\tO' -p135583 -asS'Leona Wheeler had continued episodes of atrial fibrillation which were treated with intravenous Amiodarone and later intravenous Diltiazem .' -p135584 -(lp135585 -S'Leona\tLeona\tNNP\tB-NP\tO' -p135586 -aS'Wheeler\tWheeler\tNNP\tI-NP\tO' -p135587 -aS'had\thave\tVBD\tB-VP\tO' -p135588 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p135589 -aS'episodes\tepisode\tNNS\tB-NP\tO' -p135590 -aS'of\tof\tIN\tB-PP\tO' -p135591 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p135592 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p135593 -aS'which\twhich\tWDT\tB-NP\tO' -p135594 -aS'were\tbe\tVBD\tB-VP\tO' -p135595 -aS'treated\ttreat\tVBN\tI-VP\tO' -p135596 -aS'with\twith\tIN\tB-PP\tO' -p135597 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p135598 -aS'Amiodarone\tAmiodarone\tNN\tI-NP\tO' -p135599 -aS'and\tand\tCC\tO\tO' -p135600 -aS'later\tlater\tRB\tB-NP\tO' -p135601 -aS'intravenous\tintravenous\tJJ\tI-NP\tO' -p135602 -aS'Diltiazem\tDiltiazem\tNNP\tI-NP\tO' -p135603 -aS'.\t.\t.\tO\tO' -p135604 -asS'Soft , nontender , nondistended ; no guarding ; no masses ; positive bowel sounds X4 .' -p135605 -(lp135606 -S'Soft\tSoft\tRB\tB-ADVP\tO' -p135607 -aS',\t,\t,\tO\tO' -p135608 -aS'nontender\tnontender\tJJ\tB-NP\tO' -p135609 -aS',\t,\t,\tI-NP\tO' -p135610 -aS'nondistended\tnondistended\tJJ\tI-NP\tO' -p135611 -aS';\t;\t:\tO\tO' -p135612 -aS'no\tno\tDT\tB-NP\tO' -p135613 -aS'guarding\tguarding\tNN\tI-NP\tO' -p135614 -aS';\t;\t:\tO\tO' -p135615 -aS'no\tno\tDT\tB-NP\tO' -p135616 -aS'masses\tmass\tNNS\tI-NP\tO' -p135617 -aS';\t;\t:\tO\tO' -p135618 -aS'positive\tpositive\tJJ\tB-NP\tO' -p135619 -aS'bowel\tbowel\tNN\tI-NP\tO' -p135620 -aS'sounds\tsound\tVBZ\tB-VP\tO' -p135621 -aS'X4\tX4\tNN\tB-NP\tB-DNA' -p135622 -aS'.\t.\t.\tO\tO' -p135623 -asS'She was started on Clindamycin and Ofloxacin at renal dose to cover the aspiration pneumonia and positive urine culture , which subsequently came back .' -p135624 -(lp135625 -S'She\tShe\tPRP\tB-NP\tO' -p135626 -aS'was\tbe\tVBD\tB-VP\tO' -p135627 -aS'started\tstart\tVBN\tI-VP\tO' -p135628 -aS'on\ton\tIN\tB-PP\tO' -p135629 -aS'Clindamycin\tClindamycin\tNN\tB-NP\tO' -p135630 -aS'and\tand\tCC\tI-NP\tO' -p135631 -aS'Ofloxacin\tOfloxacin\tNN\tI-NP\tO' -p135632 -aS'at\tat\tIN\tB-PP\tO' -p135633 -aS'renal\trenal\tJJ\tB-NP\tO' -p135634 -aS'dose\tdose\tNN\tI-NP\tO' -p135635 -aS'to\tto\tTO\tB-VP\tO' -p135636 -aS'cover\tcover\tVB\tI-VP\tO' -p135637 -aS'the\tthe\tDT\tB-NP\tO' -p135638 -aS'aspiration\taspiration\tNN\tI-NP\tO' -p135639 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p135640 -aS'and\tand\tCC\tO\tO' -p135641 -aS'positive\tpositive\tJJ\tB-NP\tO' -p135642 -aS'urine\turine\tNN\tI-NP\tO' -p135643 -aS'culture\tculture\tNN\tI-NP\tO' -p135644 -aS',\t,\t,\tO\tO' -p135645 -aS'which\twhich\tWDT\tB-NP\tO' -p135646 -aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' -p135647 -aS'came\tcome\tVBD\tB-VP\tO' -p135648 -aS'back\tback\tRB\tB-ADVP\tO' -p135649 -aS'.\t.\t.\tO\tO' -p135650 -asS'Metformin , Zocor , and analgesics .' -p135651 -(lp135652 -S'Metformin\tMetformin\tNNP\tB-NP\tO' -p135653 -aS',\t,\t,\tO\tO' -p135654 -aS'Zocor\tZocor\tNNP\tB-NP\tO' -p135655 -aS',\t,\t,\tO\tO' -p135656 -aS'and\tand\tCC\tO\tO' -p135657 -aS'analgesics\tanalgesic\tNNS\tB-NP\tO' -p135658 -aS'.\t.\t.\tO\tO' -p135659 -asS'His oropharynx was benign .' -p135660 -(lp135661 -S'His\tHis\tPRP$\tB-NP\tO' -p135662 -aS'oropharynx\toropharynx\tNN\tI-NP\tO' -p135663 -aS'was\tbe\tVBD\tB-VP\tO' -p135664 -aS'benign\tbenign\tJJ\tB-ADJP\tO' -p135665 -aS'.\t.\t.\tO\tO' -p135666 -asS'Regular rate and rhythm , no murmur , femoral pulses 2+ .' -p135667 -(lp135668 -S'Regular\tRegular\tJJ\tB-NP\tO' -p135669 -aS'rate\trate\tNN\tI-NP\tO' -p135670 -aS'and\tand\tCC\tI-NP\tO' -p135671 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p135672 -aS',\t,\t,\tO\tO' -p135673 -aS'no\tno\tDT\tB-NP\tO' -p135674 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p135675 -aS',\t,\t,\tO\tO' -p135676 -aS'femoral\tfemoral\tJJ\tB-NP\tO' -p135677 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p135678 -aS'2+\t2+\tJJ\tB-ADJP\tO' -p135679 -aS'.\t.\t.\tO\tO' -p135680 -asS'After multuple failed attempts at extubation , the patient was trached .' -p135681 -(lp135682 -S'After\tAfter\tIN\tB-PP\tO' -p135683 -aS'multuple\tmultuple\tJJ\tB-NP\tO' -p135684 -aS'failed\tfailed\tJJ\tI-NP\tO' -p135685 -aS'attempts\tattempt\tNNS\tI-NP\tO' -p135686 -aS'at\tat\tIN\tB-PP\tO' -p135687 -aS'extubation\textubation\tNN\tB-NP\tO' -p135688 -aS',\t,\t,\tO\tO' -p135689 -aS'the\tthe\tDT\tB-NP\tO' -p135690 -aS'patient\tpatient\tNN\tI-NP\tO' -p135691 -aS'was\tbe\tVBD\tB-VP\tO' -p135692 -aS'trached\ttrache\tVBN\tI-VP\tO' -p135693 -aS'.\t.\t.\tO\tO' -p135694 -asS'Chest x-ray revealed mild streakiness of the lung fields .' -p135695 -(lp135696 -S'Chest\tCh\tJJS\tB-NP\tO' -p135697 -aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' -p135698 -aS'revealed\treveal\tVBD\tB-VP\tO' -p135699 -aS'mild\tmild\tJJ\tB-NP\tO' -p135700 -aS'streakiness\tstreakiness\tNN\tI-NP\tO' -p135701 -aS'of\tof\tIN\tB-PP\tO' -p135702 -aS'the\tthe\tDT\tB-NP\tO' -p135703 -aS'lung\tlung\tNN\tI-NP\tO' -p135704 -aS'fields\tfield\tNNS\tI-NP\tO' -p135705 -aS'.\t.\t.\tO\tO' -p135706 -asS'However , the patient was started on an aspirin as well as a beta blocker , and a rule out myocardial infarction protocol was initiated .' -p135707 -(lp135708 -S'However\tHowever\tRB\tB-ADVP\tO' -p135709 -aS',\t,\t,\tO\tO' -p135710 -aS'the\tthe\tDT\tB-NP\tO' -p135711 -aS'patient\tpatient\tNN\tI-NP\tO' -p135712 -aS'was\tbe\tVBD\tB-VP\tO' -p135713 -aS'started\tstart\tVBN\tI-VP\tO' -p135714 -aS'on\ton\tIN\tB-PP\tO' -p135715 -aS'an\tan\tDT\tB-NP\tO' -p135716 -aS'aspirin\taspirin\tNN\tI-NP\tO' -p135717 -aS'as\tas\tRB\tB-CONJP\tO' -p135718 -aS'well\twell\tRB\tI-CONJP\tO' -p135719 -aS'as\tas\tIN\tI-CONJP\tO' -p135720 -aS'a\ta\tDT\tB-NP\tO' -p135721 -aS'beta\tbeta\tNN\tI-NP\tO' -p135722 -aS'blocker\tblocker\tNN\tI-NP\tO' -p135723 -aS',\t,\t,\tO\tO' -p135724 -aS'and\tand\tCC\tO\tO' -p135725 -aS'a\ta\tDT\tB-NP\tO' -p135726 -aS'rule\trule\tNN\tI-NP\tO' -p135727 -aS'out\tout\tRP\tB-PRT\tO' -p135728 -aS'myocardial\tmyocardial\tJJ\tB-NP\tO' -p135729 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p135730 -aS'protocol\tprotocol\tNN\tI-NP\tO' -p135731 -aS'was\tbe\tVBD\tB-VP\tO' -p135732 -aS'initiated\tinitiate\tVBN\tI-VP\tO' -p135733 -aS'.\t.\t.\tO\tO' -p135734 -asS'The patient is allergic to Ciprofloxacin , morphine sulfate and Droperidol .' -p135735 -(lp135736 -S'The\tThe\tDT\tB-NP\tO' -p135737 -aS'patient\tpatient\tNN\tI-NP\tO' -p135738 -aS'is\tbe\tVBZ\tB-VP\tO' -p135739 -aS'allergic\tallergic\tJJ\tB-ADJP\tO' -p135740 -aS'to\tto\tTO\tB-PP\tO' -p135741 -aS'Ciprofloxacin\tCiprofloxacin\tNN\tB-NP\tO' -p135742 -aS',\t,\t,\tO\tO' -p135743 -aS'morphine\tmorphine\tNN\tB-NP\tO' -p135744 -aS'sulfate\tsulfate\tNN\tI-NP\tO' -p135745 -aS'and\tand\tCC\tI-NP\tO' -p135746 -aS'Droperidol\tDroperidol\tNN\tI-NP\tO' -p135747 -aS'.\t.\t.\tO\tO' -p135748 -asS'On ultrasound in 02/91 , the patient was found to have bilateral cystic adnexal masses confirmed on physical examination .' -p135749 -(lp135750 -S'On\tOn\tIN\tB-PP\tO' -p135751 -aS'ultrasound\tultrasound\tNN\tB-NP\tO' -p135752 -aS'in\tin\tIN\tB-PP\tO' -p135753 -aS'02/91\t02/91\tCD\tB-NP\tO' -p135754 -aS',\t,\t,\tO\tO' -p135755 -aS'the\tthe\tDT\tB-NP\tO' -p135756 -aS'patient\tpatient\tNN\tI-NP\tO' -p135757 -aS'was\tbe\tVBD\tB-VP\tO' -p135758 -aS'found\tfind\tVBN\tI-VP\tO' -p135759 -aS'to\tto\tTO\tI-VP\tO' -p135760 -aS'have\thave\tVB\tI-VP\tO' -p135761 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p135762 -aS'cystic\tcystic\tJJ\tI-NP\tO' -p135763 -aS'adnexal\tadnexal\tJJ\tI-NP\tO' -p135764 -aS'masses\tmass\tNNS\tI-NP\tO' -p135765 -aS'confirmed\tconfirm\tVBN\tB-VP\tO' -p135766 -aS'on\ton\tIN\tB-PP\tO' -p135767 -aS'physical\tphysical\tJJ\tB-NP\tO' -p135768 -aS'examination\texamination\tNN\tI-NP\tO' -p135769 -aS'.\t.\t.\tO\tO' -p135770 -asS'Plan ROMI protocol .' -p135771 -(lp135772 -S'Plan\tPlan\tNN\tB-NP\tO' -p135773 -aS'ROMI\tROMI\tNN\tI-NP\tO' -p135774 -aS'protocol\tprotocol\tNN\tI-NP\tO' -p135775 -aS'.\t.\t.\tO\tO' -p135776 -asS'4. NEUROLOGY : The patient complained of left lower extremity weakness with ambulation two days after her cardiac catheterization .' -p135777 -(lp135778 -S'4.\t4.\tCD\tB-NP\tO' -p135779 -aS'NEUROLOGY\tNEUROLOGY\tNN\tI-NP\tO' -p135780 -aS':\t:\t:\tO\tO' -p135781 -aS'The\tThe\tDT\tB-NP\tO' -p135782 -aS'patient\tpatient\tNN\tI-NP\tO' -p135783 -aS'complained\tcomplain\tVBD\tB-VP\tO' -p135784 -aS'of\tof\tIN\tB-PP\tO' -p135785 -aS'left\tleft\tJJ\tB-NP\tO' -p135786 -aS'lower\tlow\tJJR\tI-NP\tO' -p135787 -aS'extremity\textremity\tNN\tI-NP\tO' -p135788 -aS'weakness\tweakness\tNN\tI-NP\tO' -p135789 -aS'with\twith\tIN\tB-PP\tO' -p135790 -aS'ambulation\tambulation\tNN\tB-NP\tO' -p135791 -aS'two\ttwo\tCD\tB-NP\tO' -p135792 -aS'days\tday\tNNS\tI-NP\tO' -p135793 -aS'after\tafter\tIN\tB-PP\tO' -p135794 -aS'her\ther\tPRP$\tB-NP\tO' -p135795 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p135796 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p135797 -aS'.\t.\t.\tO\tO' -p135798 -asS'STAGE II SQUAMOUS CELL CARCINOMA OF THE VULVA .' -p135799 -(lp135800 -S'STAGE\tSTAGE\tNN\tB-NP\tO' -p135801 -aS'II\tII\tCD\tI-NP\tO' -p135802 -aS'SQUAMOUS\tSQUAMOUS\tNN\tI-NP\tO' -p135803 -aS'CELL\tCELL\tNN\tI-NP\tO' -p135804 -aS'CARCINOMA\tCARCINOMA\tNN\tI-NP\tO' -p135805 -aS'OF\tOF\tIN\tB-PP\tO' -p135806 -aS'THE\tTHE\tDT\tB-NP\tO' -p135807 -aS'VULVA\tVULVA\tNN\tI-NP\tB-protein' -p135808 -aS'.\t.\t.\tO\tO' -p135809 -asS'The patient was noted to have a functional ileus .' -p135810 -(lp135811 -S'The\tThe\tDT\tB-NP\tO' -p135812 -aS'patient\tpatient\tNN\tI-NP\tO' -p135813 -aS'was\tbe\tVBD\tB-VP\tO' -p135814 -aS'noted\tnote\tVBN\tI-VP\tO' -p135815 -aS'to\tto\tTO\tI-VP\tO' -p135816 -aS'have\thave\tVB\tI-VP\tO' -p135817 -aS'a\ta\tDT\tB-NP\tO' -p135818 -aS'functional\tfunctional\tJJ\tI-NP\tO' -p135819 -aS'ileus\tileus\tNN\tI-NP\tO' -p135820 -aS'.\t.\t.\tO\tO' -p135821 -asS'Of note , the scalp and right lower leg lacerations were closed primarily by the trauma team on admission and on hospital day #1 were noted to be clean , dry , and intact .' -p135822 -(lp135823 -S'Of\tOf\tIN\tB-PP\tO' -p135824 -aS'note\tnote\tNN\tB-NP\tO' -p135825 -aS',\t,\t,\tO\tO' -p135826 -aS'the\tthe\tDT\tB-NP\tO' -p135827 -aS'scalp\tscalp\tNN\tI-NP\tO' -p135828 -aS'and\tand\tCC\tO\tO' -p135829 -aS'right\tright\tRB\tB-NP\tO' -p135830 -aS'lower\tlow\tJJR\tI-NP\tO' -p135831 -aS'leg\tleg\tNN\tI-NP\tO' -p135832 -aS'lacerations\tlaceration\tNNS\tI-NP\tO' -p135833 -aS'were\tbe\tVBD\tB-VP\tO' -p135834 -aS'closed\tclose\tVBN\tI-VP\tO' -p135835 -aS'primarily\tprimarily\tRB\tB-ADVP\tO' -p135836 -aS'by\tby\tIN\tB-PP\tO' -p135837 -aS'the\tthe\tDT\tB-NP\tO' -p135838 -aS'trauma\ttrauma\tNN\tI-NP\tO' -p135839 -aS'team\tteam\tNN\tI-NP\tO' -p135840 -aS'on\ton\tIN\tB-PP\tO' -p135841 -aS'admission\tadmission\tNN\tB-NP\tO' -p135842 -aS'and\tand\tCC\tB-PP\tO' -p135843 -aS'on\ton\tIN\tB-PP\tO' -p135844 -aS'hospital\thospital\tNN\tB-NP\tO' -p135845 -aS'day\tday\tNN\tI-NP\tO' -p135846 -aS'#1\t#1\tCD\tI-NP\tO' -p135847 -aS'were\tbe\tVBD\tB-VP\tO' -p135848 -aS'noted\tnote\tVBN\tI-VP\tO' -p135849 -aS'to\tto\tTO\tI-VP\tO' -p135850 -aS'be\tbe\tVB\tI-VP\tO' -p135851 -aS'clean\tclean\tJJ\tB-ADJP\tO' -p135852 -aS',\t,\t,\tO\tO' -p135853 -aS'dry\tdry\tJJ\tB-ADJP\tO' -p135854 -aS',\t,\t,\tO\tO' -p135855 -aS'and\tand\tCC\tO\tO' -p135856 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p135857 -aS'.\t.\t.\tO\tO' -p135858 -asS'On review of systems , denies fevers , has pain in the left foot , no shortness of breath or chest pain .' -p135859 -(lp135860 -S'On\tOn\tIN\tB-PP\tO' -p135861 -aS'review\treview\tNN\tB-NP\tO' -p135862 -aS'of\tof\tIN\tB-PP\tO' -p135863 -aS'systems\tsystem\tNNS\tB-NP\tO' -p135864 -aS',\t,\t,\tO\tO' -p135865 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p135866 -aS'fevers\tfever\tNNS\tB-NP\tO' -p135867 -aS',\t,\t,\tO\tO' -p135868 -aS'has\thave\tVBZ\tB-VP\tO' -p135869 -aS'pain\tpain\tNN\tB-NP\tO' -p135870 -aS'in\tin\tIN\tB-PP\tO' -p135871 -aS'the\tthe\tDT\tB-NP\tO' -p135872 -aS'left\tleft\tJJ\tI-NP\tO' -p135873 -aS'foot\tfoot\tNN\tI-NP\tO' -p135874 -aS',\t,\t,\tO\tO' -p135875 -aS'no\tno\tDT\tB-NP\tO' -p135876 -aS'shortness\tshortness\tNN\tI-NP\tO' -p135877 -aS'of\tof\tIN\tB-PP\tO' -p135878 -aS'breath\tbreath\tNN\tB-NP\tO' -p135879 -aS'or\tor\tCC\tI-NP\tO' -p135880 -aS'chest\tchest\tNN\tI-NP\tO' -p135881 -aS'pain\tpain\tNN\tI-NP\tO' -p135882 -aS'.\t.\t.\tO\tO' -p135883 -asS'YEAST( S ) .' -p135884 -(lp135885 -S'YEAST(\tYEAST(\tCC\tO\tO' -p135886 -aS'S\tS\tNN\tB-NP\tO' -p135887 -aS')\t)\t)\tO\tO' -p135888 -aS'.\t.\t.\tO\tO' -p135889 -asS'4. Droperidol 1.5 to 2.5 mg p.r.n. agitation .' -p135890 -(lp135891 -S'4.\t4.\tLS\tB-LST\tO' -p135892 -aS'Droperidol\tDroperidol\tNN\tB-NP\tO' -p135893 -aS'1.5\t1.5\tCD\tB-NP\tO' -p135894 -aS'to\tto\tTO\tI-NP\tO' -p135895 -aS'2.5\t2.5\tCD\tI-NP\tO' -p135896 -aS'mg\tmg\tNN\tI-NP\tO' -p135897 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p135898 -aS'agitation\tagitation\tNN\tI-NP\tO' -p135899 -aS'.\t.\t.\tO\tO' -p135900 -asS'She has difficulty with shoes and socks and foot care .' -p135901 -(lp135902 -S'She\tShe\tPRP\tB-NP\tO' -p135903 -aS'has\thave\tVBZ\tB-VP\tO' -p135904 -aS'difficulty\tdifficulty\tNN\tB-NP\tO' -p135905 -aS'with\twith\tIN\tB-PP\tO' -p135906 -aS'shoes\tshoe\tNNS\tB-NP\tO' -p135907 -aS'and\tand\tCC\tI-NP\tO' -p135908 -aS'socks\tsock\tNNS\tI-NP\tO' -p135909 -aS'and\tand\tCC\tO\tO' -p135910 -aS'foot\tfoot\tNN\tB-NP\tO' -p135911 -aS'care\tcare\tNN\tI-NP\tO' -p135912 -aS'.\t.\t.\tO\tO' -p135913 -asS'Mild mitral regurgitation .' -p135914 -(lp135915 -S'Mild\tMild\tJJ\tB-NP\tO' -p135916 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p135917 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p135918 -aS'.\t.\t.\tO\tO' -p135919 -asS'exploratory laparotomy on Tuesday , 2014-07-29 .' -p135920 -(lp135921 -S'exploratory\texploratory\tJJ\tB-NP\tO' -p135922 -aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' -p135923 -aS'on\ton\tIN\tB-PP\tO' -p135924 -aS'Tuesday\tTuesday\tNNP\tB-NP\tO' -p135925 -aS',\t,\t,\tO\tO' -p135926 -aS'2014-07-29\t2014-07-29\tCD\tB-NP\tO' -p135927 -aS'.\t.\t.\tO\tO' -p135928 -asS'DISCHARGE DISPOSITION : Home .' -p135929 -(lp135930 -S'DISCHARGE\tDISCHARGE\tNN\tB-NP\tO' -p135931 -aS'DISPOSITION\tDISPOSITION\tNN\tI-NP\tO' -p135932 -aS':\t:\t:\tO\tO' -p135933 -aS'Home\tHome\tNN\tB-NP\tO' -p135934 -aS'.\t.\t.\tO\tO' -p135935 -asS'On discharge , he was continued on his aspirin , simvastatin and his Lopressor which was initially held , and subsequently restarted .' -p135936 -(lp135937 -S'On\tOn\tIN\tB-PP\tO' -p135938 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p135939 -aS',\t,\t,\tO\tO' -p135940 -aS'he\the\tPRP\tB-NP\tO' -p135941 -aS'was\tbe\tVBD\tB-VP\tO' -p135942 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p135943 -aS'on\ton\tIN\tB-PP\tO' -p135944 -aS'his\this\tPRP$\tB-NP\tO' -p135945 -aS'aspirin\taspirin\tNN\tI-NP\tO' -p135946 -aS',\t,\t,\tO\tO' -p135947 -aS'simvastatin\tsimvastatin\tNN\tB-NP\tO' -p135948 -aS'and\tand\tCC\tO\tO' -p135949 -aS'his\this\tPRP$\tB-NP\tO' -p135950 -aS'Lopressor\tLopressor\tNN\tI-NP\tO' -p135951 -aS'which\twhich\tWDT\tB-NP\tO' -p135952 -aS'was\tbe\tVBD\tB-VP\tO' -p135953 -aS'initially\tinitially\tRB\tI-VP\tO' -p135954 -aS'held\thold\tVBN\tI-VP\tO' -p135955 -aS',\t,\t,\tO\tO' -p135956 -aS'and\tand\tCC\tO\tO' -p135957 -aS'subsequently\tsubsequently\tRB\tB-VP\tO' -p135958 -aS'restarted\trestart\tVBD\tI-VP\tO' -p135959 -aS'.\t.\t.\tO\tO' -p135960 -asS'Follow up will be with Dr. Tvi Fine of Neurology , and Dr. Doll Grendbly of internal medicine and primary care , shortly after discharge from rehab .' -p135961 -(lp135962 -S'Follow\tFollow\tVB\tB-VP\tO' -p135963 -aS'up\tup\tRP\tB-PRT\tO' -p135964 -aS'will\twill\tMD\tB-VP\tO' -p135965 -aS'be\tbe\tVB\tI-VP\tO' -p135966 -aS'with\twith\tIN\tB-PP\tO' -p135967 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p135968 -aS'Tvi\tTvi\tNNP\tI-NP\tO' -p135969 -aS'Fine\tFine\tNNP\tI-NP\tO' -p135970 -aS'of\tof\tIN\tB-PP\tO' -p135971 -aS'Neurology\tNeurology\tNNP\tB-NP\tO' -p135972 -aS',\t,\t,\tO\tO' -p135973 -aS'and\tand\tCC\tO\tO' -p135974 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p135975 -aS'Doll\tDoll\tNNP\tI-NP\tO' -p135976 -aS'Grendbly\tGrendbly\tNNP\tI-NP\tO' -p135977 -aS'of\tof\tIN\tB-PP\tO' -p135978 -aS'internal\tinternal\tJJ\tB-NP\tO' -p135979 -aS'medicine\tmedicine\tNN\tI-NP\tO' -p135980 -aS'and\tand\tCC\tO\tO' -p135981 -aS'primary\tprimary\tJJ\tB-NP\tO' -p135982 -aS'care\tcare\tNN\tI-NP\tO' -p135983 -aS',\t,\t,\tO\tO' -p135984 -aS'shortly\tshortly\tRB\tB-ADVP\tO' -p135985 -aS'after\tafter\tIN\tB-PP\tO' -p135986 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p135987 -aS'from\tfrom\tIN\tB-PP\tO' -p135988 -aS'rehab\trehab\tNN\tB-NP\tO' -p135989 -aS'.\t.\t.\tO\tO' -p135990 -asS'Cardiology did not feel that tamponade at this time was a concern and that a tap need not be performed .' -p135991 -(lp135992 -S'Cardiology\tCardiology\tNNP\tB-NP\tO' -p135993 -aS'did\tdo\tVBD\tB-VP\tO' -p135994 -aS'not\tnot\tRB\tI-VP\tO' -p135995 -aS'feel\tfeel\tVB\tI-VP\tO' -p135996 -aS'that\tthat\tDT\tB-NP\tO' -p135997 -aS'tamponade\ttamponade\tNN\tI-NP\tO' -p135998 -aS'at\tat\tIN\tB-PP\tO' -p135999 -aS'this\tthis\tDT\tB-NP\tO' -p136000 -aS'time\ttime\tNN\tI-NP\tO' -p136001 -aS'was\tbe\tVBD\tB-VP\tO' -p136002 -aS'a\ta\tDT\tB-NP\tO' -p136003 -aS'concern\tconcern\tNN\tI-NP\tO' -p136004 -aS'and\tand\tCC\tO\tO' -p136005 -aS'that\tthat\tIN\tB-SBAR\tO' -p136006 -aS'a\ta\tDT\tB-NP\tO' -p136007 -aS'tap\ttap\tNN\tI-NP\tB-protein' -p136008 -aS'need\tneed\tMD\tB-VP\tO' -p136009 -aS'not\tnot\tRB\tI-VP\tO' -p136010 -aS'be\tbe\tVB\tI-VP\tO' -p136011 -aS'performed\tperform\tVBN\tI-VP\tO' -p136012 -aS'.\t.\t.\tO\tO' -p136013 -asS'He continued to have some episodes of agitation which were treated with medication .' -p136014 -(lp136015 -S'He\tHe\tPRP\tB-NP\tO' -p136016 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p136017 -aS'to\tto\tTO\tI-VP\tO' -p136018 -aS'have\thave\tVB\tI-VP\tO' -p136019 -aS'some\tsome\tDT\tB-NP\tO' -p136020 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p136021 -aS'of\tof\tIN\tB-PP\tO' -p136022 -aS'agitation\tagitation\tNN\tB-NP\tO' -p136023 -aS'which\twhich\tWDT\tB-NP\tO' -p136024 -aS'were\tbe\tVBD\tB-VP\tO' -p136025 -aS'treated\ttreat\tVBN\tI-VP\tO' -p136026 -aS'with\twith\tIN\tB-PP\tO' -p136027 -aS'medication\tmedication\tNN\tB-NP\tO' -p136028 -aS'.\t.\t.\tO\tO' -p136029 -asS'Stool for C. difficile returned positive .' -p136030 -(lp136031 -S'Stool\tStool\tNNP\tB-NP\tO' -p136032 -aS'for\tfor\tIN\tB-PP\tO' -p136033 -aS'C.\tC.\tNNP\tB-NP\tO' -p136034 -aS'difficile\tdifficile\tNNP\tI-NP\tO' -p136035 -aS'returned\treturn\tVBD\tB-VP\tO' -p136036 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p136037 -aS'.\t.\t.\tO\tO' -p136038 -asS'This report was created by POUSSCROOKESSEILLE , VONNELIBRY 10/23/2005 10:51 AM' -p136039 -(lp136040 -S'This\tThis\tDT\tB-NP\tO' -p136041 -aS'report\treport\tNN\tI-NP\tO' -p136042 -aS'was\tbe\tVBD\tB-VP\tO' -p136043 -aS'created\tcreate\tVBN\tI-VP\tO' -p136044 -aS'by\tby\tIN\tB-PP\tO' -p136045 -aS'POUSSCROOKESSEILLE\tPOUSSCROOKESSEILLE\tNNP\tB-NP\tO' -p136046 -aS',\t,\t,\tO\tO' -p136047 -aS'VONNELIBRY\tVONNELIBRY\tNNP\tB-NP\tO' -p136048 -aS'10/23/2005\t10/23/2005\tCD\tB-NP\tO' -p136049 -aS'10:51\t10:51\tCD\tI-NP\tO' -p136050 -aS'AM\tAM\tNN\tI-NP\tO' -p136051 -asS'He was intubated and has a nasogastric tube .' -p136052 -(lp136053 -S'He\tHe\tPRP\tB-NP\tO' -p136054 -aS'was\tbe\tVBD\tB-VP\tO' -p136055 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p136056 -aS'and\tand\tCC\tO\tO' -p136057 -aS'has\thave\tVBZ\tB-VP\tO' -p136058 -aS'a\ta\tDT\tB-NP\tO' -p136059 -aS'nasogastric\tnasogastric\tJJ\tI-NP\tO' -p136060 -aS'tube\ttube\tNN\tI-NP\tO' -p136061 -aS'.\t.\t.\tO\tO' -p136062 -asS'The patient has history of heavy cigar smoking , no cigarettes .' -p136063 -(lp136064 -S'The\tThe\tDT\tB-NP\tO' -p136065 -aS'patient\tpatient\tNN\tI-NP\tO' -p136066 -aS'has\thave\tVBZ\tB-VP\tO' -p136067 -aS'history\thistory\tNN\tB-NP\tO' -p136068 -aS'of\tof\tIN\tB-PP\tO' -p136069 -aS'heavy\theavy\tJJ\tB-NP\tO' -p136070 -aS'cigar\tcigar\tNN\tI-NP\tO' -p136071 -aS'smoking\tsmoking\tNN\tI-NP\tO' -p136072 -aS',\t,\t,\tO\tO' -p136073 -aS'no\tno\tDT\tB-NP\tO' -p136074 -aS'cigarettes\tcigarette\tNNS\tI-NP\tO' -p136075 -aS'.\t.\t.\tO\tO' -p136076 -asS'On ROS , she notes feeling poorly , nausea , and diarrhea since d/c .' -p136077 -(lp136078 -S'On\tOn\tIN\tB-PP\tO' -p136079 -aS'ROS\tROS\tNN\tB-NP\tO' -p136080 -aS',\t,\t,\tO\tO' -p136081 -aS'she\tshe\tPRP\tB-NP\tO' -p136082 -aS'notes\tnote\tVBZ\tB-VP\tO' -p136083 -aS'feeling\tfeel\tVBG\tI-VP\tO' -p136084 -aS'poorly\tpoorly\tRB\tB-ADVP\tO' -p136085 -aS',\t,\t,\tO\tO' -p136086 -aS'nausea\tnausea\tNN\tB-NP\tO' -p136087 -aS',\t,\t,\tO\tO' -p136088 -aS'and\tand\tCC\tO\tO' -p136089 -aS'diarrhea\tdiarrhea\tNN\tB-NP\tO' -p136090 -aS'since\tsince\tIN\tB-PP\tO' -p136091 -aS'd/c\td/c\tNN\tB-NP\tO' -p136092 -aS'.\t.\t.\tO\tO' -p136093 -asS'Coronary angiography demonstrated ongoing benefit of the initial coronary atherectomy .' -p136094 -(lp136095 -S'Coronary\tCoronary\tJJ\tB-NP\tO' -p136096 -aS'angiography\tangiography\tNN\tI-NP\tO' -p136097 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p136098 -aS'ongoing\tongoing\tJJ\tB-NP\tO' -p136099 -aS'benefit\tbenefit\tNN\tI-NP\tO' -p136100 -aS'of\tof\tIN\tB-PP\tO' -p136101 -aS'the\tthe\tDT\tB-NP\tO' -p136102 -aS'initial\tinitial\tJJ\tI-NP\tO' -p136103 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p136104 -aS'atherectomy\tatherectomy\tNN\tI-NP\tO' -p136105 -aS'.\t.\t.\tO\tO' -p136106 -asS'Calcium 8.8 , white blood cell count 10.6 , hematocrit 37.1 , platelets 289 .' -p136107 -(lp136108 -S'Calcium\tCalcium\tNN\tB-NP\tO' -p136109 -aS'8.8\t8.8\tCD\tI-NP\tO' -p136110 -aS',\t,\t,\tO\tO' -p136111 -aS'white\twhite\tJJ\tB-NP\tO' -p136112 -aS'blood\tblood\tNN\tI-NP\tO' -p136113 -aS'cell\tcell\tNN\tI-NP\tO' -p136114 -aS'count\tcount\tNN\tI-NP\tO' -p136115 -aS'10.6\t10.6\tCD\tB-NP\tO' -p136116 -aS',\t,\t,\tO\tO' -p136117 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p136118 -aS'37.1\t37.1\tCD\tI-NP\tI-protein' -p136119 -aS',\t,\t,\tO\tO' -p136120 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p136121 -aS'289\t289\tCD\tB-NP\tO' -p136122 -aS'.\t.\t.\tO\tO' -p136123 -asS'The most recent electrolytes on day of life two showed a sodium of 145 , chloride 111 , potassium 3.8 , bicarbonate 21 .' -p136124 -(lp136125 -S'The\tThe\tDT\tB-NP\tO' -p136126 -aS'most\tmost\tRBS\tI-NP\tO' -p136127 -aS'recent\trecent\tJJ\tI-NP\tO' -p136128 -aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' -p136129 -aS'on\ton\tIN\tB-PP\tO' -p136130 -aS'day\tday\tNN\tB-NP\tO' -p136131 -aS'of\tof\tIN\tB-PP\tO' -p136132 -aS'life\tlife\tNN\tB-NP\tO' -p136133 -aS'two\ttwo\tCD\tI-NP\tO' -p136134 -aS'showed\tshow\tVBD\tB-VP\tO' -p136135 -aS'a\ta\tDT\tB-NP\tO' -p136136 -aS'sodium\tsodium\tNN\tI-NP\tO' -p136137 -aS'of\tof\tIN\tB-PP\tO' -p136138 -aS'145\t145\tCD\tB-NP\tO' -p136139 -aS',\t,\t,\tO\tO' -p136140 -aS'chloride\tchloride\tNN\tB-NP\tO' -p136141 -aS'111\t111\tCD\tI-NP\tO' -p136142 -aS',\t,\t,\tO\tO' -p136143 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p136144 -aS'3.8\t3.8\tCD\tI-NP\tO' -p136145 -aS',\t,\t,\tO\tO' -p136146 -aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' -p136147 -aS'21\t21\tCD\tI-NP\tO' -p136148 -aS'.\t.\t.\tO\tO' -p136149 -asS'atrio-ventricular conduction delay .' -p136150 -(lp136151 -S'atrio-ventricular\tatrio-ventricular\tJJ\tB-NP\tO' -p136152 -aS'conduction\tconduction\tNN\tI-NP\tO' -p136153 -aS'delay\tdelay\tNN\tI-NP\tO' -p136154 -aS'.\t.\t.\tO\tO' -p136155 -asS'- kept euvolemic and monitored for signs of overload' -p136156 -(lp136157 -S'-\t-\tHYPH\tB-NP\tO' -p136158 -aS'kept\tkeep\tVBD\tB-VP\tO' -p136159 -aS'euvolemic\teuvolemic\tJJ\tB-ADJP\tO' -p136160 -aS'and\tand\tCC\tO\tO' -p136161 -aS'monitored\tmonitor\tVBN\tB-VP\tO' -p136162 -aS'for\tfor\tIN\tB-PP\tO' -p136163 -aS'signs\tsign\tNNS\tB-NP\tO' -p136164 -aS'of\tof\tIN\tB-PP\tO' -p136165 -aS'overload\toverload\tNN\tB-NP\tO' -p136166 -asS'Transvenous right ventricular pacer lead in standard placement .' -p136167 -(lp136168 -S'Transvenous\tTransvenous\tJJ\tB-NP\tO' -p136169 -aS'right\tright\tJJ\tI-NP\tO' -p136170 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p136171 -aS'pacer\tpacer\tNN\tI-NP\tO' -p136172 -aS'lead\tlead\tNN\tI-NP\tO' -p136173 -aS'in\tin\tIN\tB-PP\tO' -p136174 -aS'standard\tstandard\tJJ\tB-NP\tO' -p136175 -aS'placement\tplacement\tNN\tI-NP\tO' -p136176 -aS'.\t.\t.\tO\tO' -p136177 -asS'2. Status post off pump coronary artery bypass graft times three .' -p136178 -(lp136179 -S'2.\t2.\tLS\tB-LST\tO' -p136180 -aS'Status\tStatus\tNNP\tB-NP\tO' -p136181 -aS'post\tpost\tVB\tB-VP\tO' -p136182 -aS'off\toff\tRP\tB-PRT\tB-protein' -p136183 -aS'pump\tpump\tVB\tB-VP\tO' -p136184 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p136185 -aS'artery\tartery\tNN\tI-NP\tO' -p136186 -aS'bypass\tbypass\tIN\tB-PP\tO' -p136187 -aS'graft\tgraft\tNN\tB-NP\tO' -p136188 -aS'times\ttime\tNNS\tI-NP\tO' -p136189 -aS'three\tthree\tCD\tI-NP\tO' -p136190 -aS'.\t.\t.\tO\tO' -p136191 -asS'Blood pressure was 152/88 .' -p136192 -(lp136193 -S'Blood\tBlood\tNN\tB-NP\tO' -p136194 -aS'pressure\tpressure\tNN\tI-NP\tO' -p136195 -aS'was\tbe\tVBD\tB-VP\tO' -p136196 -aS'152/88\t152/88\tCD\tB-NP\tO' -p136197 -aS'.\t.\t.\tO\tO' -p136198 -asS'He begain to work with physical therapy to improve his strenght and mobility .' -p136199 -(lp136200 -S'He\tHe\tPRP\tB-NP\tO' -p136201 -aS'begain\tbegain\tVBD\tB-VP\tO' -p136202 -aS'to\tto\tTO\tI-VP\tO' -p136203 -aS'work\twork\tVB\tI-VP\tO' -p136204 -aS'with\twith\tIN\tB-PP\tO' -p136205 -aS'physical\tphysical\tJJ\tB-NP\tO' -p136206 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p136207 -aS'to\tto\tTO\tB-VP\tO' -p136208 -aS'improve\timprove\tVB\tI-VP\tO' -p136209 -aS'his\this\tPRP$\tB-NP\tO' -p136210 -aS'strenght\tstrenght\tNN\tI-NP\tO' -p136211 -aS'and\tand\tCC\tI-NP\tO' -p136212 -aS'mobility\tmobility\tNN\tI-NP\tO' -p136213 -aS'.\t.\t.\tO\tO' -p136214 -asS'Negative rhonchi , rales , or wheezes .' -p136215 -(lp136216 -S'Negative\tNegative\tJJ\tB-NP\tO' -p136217 -aS'rhonchi\trhonchus\tNNS\tI-NP\tO' -p136218 -aS',\t,\t,\tO\tO' -p136219 -aS'rales\trale\tNNS\tB-NP\tO' -p136220 -aS',\t,\t,\tO\tO' -p136221 -aS'or\tor\tCC\tO\tO' -p136222 -aS'wheezes\twheeze\tVBZ\tB-VP\tO' -p136223 -aS'.\t.\t.\tO\tO' -p136224 -asS'Further identification revealed staphylococcus coag-negative , which was sensitive to gentamicin and clindamycin .' -p136225 -(lp136226 -S'Further\tFurther\tJJ\tB-NP\tO' -p136227 -aS'identification\tidentification\tNN\tI-NP\tO' -p136228 -aS'revealed\treveal\tVBD\tB-VP\tO' -p136229 -aS'staphylococcus\tstaphylococcus\tNN\tB-NP\tO' -p136230 -aS'coag-negative\tcoag-negative\tJJ\tI-NP\tO' -p136231 -aS',\t,\t,\tO\tO' -p136232 -aS'which\twhich\tWDT\tB-NP\tO' -p136233 -aS'was\tbe\tVBD\tB-VP\tO' -p136234 -aS'sensitive\tsensitive\tJJ\tB-ADJP\tO' -p136235 -aS'to\tto\tTO\tB-PP\tO' -p136236 -aS'gentamicin\tgentamicin\tNN\tB-NP\tO' -p136237 -aS'and\tand\tCC\tI-NP\tO' -p136238 -aS'clindamycin\tclindamycin\tNN\tI-NP\tO' -p136239 -aS'.\t.\t.\tO\tO' -p136240 -asS'For pump , once transferred out of the Coronary Care Unit on 2011-11-20 , a beta blocker was begun at 12.5 mg of Lopressor p.o. b.i.d. which was titrated to 25 mg at the time of discharge .' -p136241 -(lp136242 -S'For\tFor\tIN\tB-PP\tO' -p136243 -aS'pump\tpump\tNN\tB-NP\tO' -p136244 -aS',\t,\t,\tO\tO' -p136245 -aS'once\tonce\tRB\tB-VP\tO' -p136246 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p136247 -aS'out\tout\tIN\tB-PP\tO' -p136248 -aS'of\tof\tIN\tB-PP\tO' -p136249 -aS'the\tthe\tDT\tB-NP\tO' -p136250 -aS'Coronary\tCoronary\tNNP\tI-NP\tO' -p136251 -aS'Care\tCare\tNNP\tI-NP\tO' -p136252 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p136253 -aS'on\ton\tIN\tB-PP\tO' -p136254 -aS'2011-11-20\t2011-11-20\tCD\tB-NP\tO' -p136255 -aS',\t,\t,\tO\tO' -p136256 -aS'a\ta\tDT\tB-NP\tO' -p136257 -aS'beta\tbeta\tNN\tI-NP\tO' -p136258 -aS'blocker\tblocker\tNN\tI-NP\tO' -p136259 -aS'was\tbe\tVBD\tB-VP\tO' -p136260 -aS'begun\tbegin\tVBN\tI-VP\tO' -p136261 -aS'at\tat\tIN\tB-PP\tO' -p136262 -aS'12.5\t12.5\tCD\tB-NP\tO' -p136263 -aS'mg\tmg\tNN\tI-NP\tO' -p136264 -aS'of\tof\tIN\tB-PP\tO' -p136265 -aS'Lopressor\tLopressor\tNN\tB-NP\tO' -p136266 -aS'p.o.\tp.o.\tFW\tB-ADVP\tO' -p136267 -aS'b.i.d.\tb.i.d.\tFW\tI-ADVP\tO' -p136268 -aS'which\twhich\tWDT\tB-NP\tO' -p136269 -aS'was\tbe\tVBD\tB-VP\tO' -p136270 -aS'titrated\ttitrate\tVBN\tI-VP\tO' -p136271 -aS'to\tto\tTO\tB-PP\tO' -p136272 -aS'25\t25\tCD\tB-NP\tO' -p136273 -aS'mg\tmg\tNN\tI-NP\tO' -p136274 -aS'at\tat\tIN\tB-PP\tO' -p136275 -aS'the\tthe\tDT\tB-NP\tO' -p136276 -aS'time\ttime\tNN\tI-NP\tO' -p136277 -aS'of\tof\tIN\tB-PP\tO' -p136278 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p136279 -aS'.\t.\t.\tO\tO' -p136280 -asS'There was stranding along the pancreas , but no necrosis , abscess , or pseudocyst .' -p136281 -(lp136282 -S'There\tThere\tEX\tB-NP\tO' -p136283 -aS'was\tbe\tVBD\tB-VP\tO' -p136284 -aS'stranding\tstrand\tVBG\tI-VP\tO' -p136285 -aS'along\talong\tIN\tB-PP\tO' -p136286 -aS'the\tthe\tDT\tB-NP\tO' -p136287 -aS'pancreas\tpancreas\tNN\tI-NP\tO' -p136288 -aS',\t,\t,\tO\tO' -p136289 -aS'but\tbut\tCC\tO\tO' -p136290 -aS'no\tno\tDT\tB-NP\tO' -p136291 -aS'necrosis\tnecrosis\tNN\tI-NP\tO' -p136292 -aS',\t,\t,\tO\tO' -p136293 -aS'abscess\tabscess\tNN\tB-NP\tO' -p136294 -aS',\t,\t,\tO\tO' -p136295 -aS'or\tor\tCC\tO\tO' -p136296 -aS'pseudocyst\tpseudocyst\tNN\tB-NP\tO' -p136297 -aS'.\t.\t.\tO\tO' -p136298 -asS'20. Lasix 20 mg intravenous twice a day .' -p136299 -(lp136300 -S'20.\t20.\tLS\tB-NP\tO' -p136301 -aS'Lasix\tLasix\tNNP\tI-NP\tO' -p136302 -aS'20\t20\tCD\tI-NP\tO' -p136303 -aS'mg\tmg\tNN\tI-NP\tO' -p136304 -aS'intravenous\tintravenous\tJJ\tI-NP\tO' -p136305 -aS'twice\ttwice\tRB\tI-NP\tO' -p136306 -aS'a\ta\tDT\tI-NP\tO' -p136307 -aS'day\tday\tNN\tI-NP\tO' -p136308 -aS'.\t.\t.\tO\tO' -p136309 -asS'Surgeon was Dr. Kelsey K Sanchez .' -p136310 -(lp136311 -S'Surgeon\tSurgeon\tNNP\tB-NP\tO' -p136312 -aS'was\tbe\tVBD\tB-VP\tO' -p136313 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p136314 -aS'Kelsey\tKelsey\tNNP\tI-NP\tO' -p136315 -aS'K\tK\tNNP\tI-NP\tO' -p136316 -aS'Sanchez\tSanchez\tNNP\tI-NP\tO' -p136317 -aS'.\t.\t.\tO\tO' -p136318 -asS'Neck veins are not distended .' -p136319 -(lp136320 -S'Neck\tNeck\tNN\tB-NP\tO' -p136321 -aS'veins\tvein\tNNS\tI-NP\tO' -p136322 -aS'are\tbe\tVBP\tB-VP\tO' -p136323 -aS'not\tnot\tRB\tI-VP\tO' -p136324 -aS'distended\tdistend\tVBN\tI-VP\tO' -p136325 -aS'.\t.\t.\tO\tO' -p136326 -asS'Please see above for their recommendations .' -p136327 -(lp136328 -S'Please\tPlease\tVB\tB-VP\tO' -p136329 -aS'see\tsee\tVB\tI-VP\tO' -p136330 -aS'above\tabove\tIN\tB-PP\tO' -p136331 -aS'for\tfor\tIN\tB-PP\tO' -p136332 -aS'their\ttheir\tPRP$\tB-NP\tO' -p136333 -aS'recommendations\trecommendation\tNNS\tI-NP\tO' -p136334 -aS'.\t.\t.\tO\tO' -p136335 -asS'His appetite has been good and he has only complained of occasional sharp pain under his rib cage , right greater than left .' -p136336 -(lp136337 -S'His\tHis\tPRP$\tB-NP\tO' -p136338 -aS'appetite\tappetite\tNN\tI-NP\tO' -p136339 -aS'has\thave\tVBZ\tB-VP\tO' -p136340 -aS'been\tbe\tVBN\tI-VP\tO' -p136341 -aS'good\tgood\tJJ\tB-ADJP\tO' -p136342 -aS'and\tand\tCC\tO\tO' -p136343 -aS'he\the\tPRP\tB-NP\tO' -p136344 -aS'has\thave\tVBZ\tB-VP\tO' -p136345 -aS'only\tonly\tRB\tI-VP\tO' -p136346 -aS'complained\tcomplain\tVBN\tI-VP\tO' -p136347 -aS'of\tof\tIN\tB-PP\tO' -p136348 -aS'occasional\toccasional\tJJ\tB-NP\tO' -p136349 -aS'sharp\tsharp\tJJ\tI-NP\tO' -p136350 -aS'pain\tpain\tNN\tI-NP\tO' -p136351 -aS'under\tunder\tIN\tB-PP\tO' -p136352 -aS'his\this\tPRP$\tB-NP\tO' -p136353 -aS'rib\trib\tNN\tI-NP\tO' -p136354 -aS'cage\tcage\tNN\tI-NP\tO' -p136355 -aS',\t,\t,\tO\tO' -p136356 -aS'right\tright\tRB\tB-ADVP\tO' -p136357 -aS'greater\tgreat\tJJR\tI-ADVP\tO' -p136358 -aS'than\tthan\tIN\tB-PP\tO' -p136359 -aS'left\tleft\tJJ\tB-ADJP\tO' -p136360 -aS'.\t.\t.\tO\tO' -p136361 -asS'Obvious ascites .' -p136362 -(lp136363 -S'Obvious\tObvious\tJJ\tB-NP\tO' -p136364 -aS'ascites\tascite\tNNS\tI-NP\tO' -p136365 -aS'.\t.\t.\tO\tO' -p136366 -asS'White count was 4.8 , 7 polys , zero bands , platelet count of 316,000 .' -p136367 -(lp136368 -S'White\tWhite\tJJ\tB-NP\tO' -p136369 -aS'count\tcount\tNN\tI-NP\tO' -p136370 -aS'was\tbe\tVBD\tB-VP\tO' -p136371 -aS'4.8\t4.8\tCD\tB-ADVP\tO' -p136372 -aS',\t,\t,\tO\tO' -p136373 -aS'7\t7\tCD\tB-NP\tO' -p136374 -aS'polys\tpoly\tNNS\tI-NP\tO' -p136375 -aS',\t,\t,\tO\tO' -p136376 -aS'zero\tzero\tCD\tB-NP\tO' -p136377 -aS'bands\tband\tNNS\tI-NP\tO' -p136378 -aS',\t,\t,\tO\tO' -p136379 -aS'platelet\tplatelet\tNN\tB-NP\tO' -p136380 -aS'count\tcount\tNN\tI-NP\tO' -p136381 -aS'of\tof\tIN\tB-PP\tO' -p136382 -aS'316,000\t316,000\tCD\tB-NP\tO' -p136383 -aS'.\t.\t.\tO\tO' -p136384 -asS'He is able to walk about the floor on the days prior to discharge , with the assistance of the physical therapist and nurses .' -p136385 -(lp136386 -S'He\tHe\tPRP\tB-NP\tO' -p136387 -aS'is\tbe\tVBZ\tB-VP\tO' -p136388 -aS'able\table\tJJ\tB-ADJP\tO' -p136389 -aS'to\tto\tTO\tB-VP\tO' -p136390 -aS'walk\twalk\tVB\tI-VP\tO' -p136391 -aS'about\tabout\tIN\tB-PP\tO' -p136392 -aS'the\tthe\tDT\tB-NP\tO' -p136393 -aS'floor\tfloor\tNN\tI-NP\tO' -p136394 -aS'on\ton\tIN\tB-PP\tO' -p136395 -aS'the\tthe\tDT\tB-NP\tO' -p136396 -aS'days\tday\tNNS\tI-NP\tO' -p136397 -aS'prior\tprior\tRB\tB-ADVP\tO' -p136398 -aS'to\tto\tTO\tB-VP\tO' -p136399 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p136400 -aS',\t,\t,\tO\tO' -p136401 -aS'with\twith\tIN\tB-PP\tO' -p136402 -aS'the\tthe\tDT\tB-NP\tO' -p136403 -aS'assistance\tassistance\tNN\tI-NP\tO' -p136404 -aS'of\tof\tIN\tB-PP\tO' -p136405 -aS'the\tthe\tDT\tB-NP\tO' -p136406 -aS'physical\tphysical\tJJ\tI-NP\tO' -p136407 -aS'therapist\ttherapist\tNN\tI-NP\tO' -p136408 -aS'and\tand\tCC\tI-NP\tO' -p136409 -aS'nurses\tnurse\tNNS\tI-NP\tO' -p136410 -aS'.\t.\t.\tO\tO' -p136411 -asS'After rigid bronchoscopy with removal of the intratracheal tumor component on 2018-04-24 , stat pathology showed anaplastic tumor .' -p136412 -(lp136413 -S'After\tAfter\tIN\tB-PP\tO' -p136414 -aS'rigid\trigid\tJJ\tB-NP\tO' -p136415 -aS'bronchoscopy\tbronchoscopy\tNN\tI-NP\tO' -p136416 -aS'with\twith\tIN\tB-PP\tO' -p136417 -aS'removal\tremoval\tNN\tB-NP\tO' -p136418 -aS'of\tof\tIN\tB-PP\tO' -p136419 -aS'the\tthe\tDT\tB-NP\tO' -p136420 -aS'intratracheal\tintratracheal\tJJ\tI-NP\tO' -p136421 -aS'tumor\ttumor\tNN\tI-NP\tO' -p136422 -aS'component\tcomponent\tNN\tI-NP\tO' -p136423 -aS'on\ton\tIN\tB-PP\tO' -p136424 -aS'2018-04-24\t2018-04-24\tCD\tB-NP\tO' -p136425 -aS',\t,\t,\tO\tO' -p136426 -aS'stat\tstat\tNN\tB-NP\tO' -p136427 -aS'pathology\tpathology\tNN\tI-NP\tO' -p136428 -aS'showed\tshow\tVBD\tB-VP\tO' -p136429 -aS'anaplastic\tanaplastic\tJJ\tB-NP\tO' -p136430 -aS'tumor\ttumor\tNN\tI-NP\tO' -p136431 -aS'.\t.\t.\tO\tO' -p136432 -asS'She was sent to the Intensive Care Unit for monitoring overnight for neural checks and neurosurgical consultation was obtained .' -p136433 -(lp136434 -S'She\tShe\tPRP\tB-NP\tO' -p136435 -aS'was\tbe\tVBD\tB-VP\tO' -p136436 -aS'sent\tsend\tVBN\tI-VP\tO' -p136437 -aS'to\tto\tTO\tB-PP\tO' -p136438 -aS'the\tthe\tDT\tB-NP\tO' -p136439 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p136440 -aS'Care\tCare\tNNP\tI-NP\tO' -p136441 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p136442 -aS'for\tfor\tIN\tB-PP\tO' -p136443 -aS'monitoring\tmonitor\tVBG\tB-VP\tO' -p136444 -aS'overnight\tovernight\tRB\tB-ADVP\tO' -p136445 -aS'for\tfor\tIN\tB-PP\tO' -p136446 -aS'neural\tneural\tJJ\tB-NP\tB-protein' -p136447 -aS'checks\tcheck\tNNS\tI-NP\tI-protein' -p136448 -aS'and\tand\tCC\tO\tO' -p136449 -aS'neurosurgical\tneurosurgical\tJJ\tB-NP\tO' -p136450 -aS'consultation\tconsultation\tNN\tI-NP\tO' -p136451 -aS'was\tbe\tVBD\tB-VP\tO' -p136452 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p136453 -aS'.\t.\t.\tO\tO' -p136454 -asS'Catheter was removed .' -p136455 -(lp136456 -S'Catheter\tCatheter\tNNP\tB-NP\tO' -p136457 -aS'was\tbe\tVBD\tB-VP\tO' -p136458 -aS'removed\tremove\tVBN\tI-VP\tO' -p136459 -aS'.\t.\t.\tO\tO' -p136460 -asS'Anemia .' -p136461 -(lp136462 -S'Anemia\tAnemia\tNNP\tB-NP\tO' -p136463 -aS'.\t.\t.\tO\tO' -p136464 -asS'Iron studies are all entirely normal , her anemia is attributed to anemia or chronic disease with hypoproliferation as well as multiple phlebotomies .' -p136465 -(lp136466 -S'Iron\tIron\tNN\tB-NP\tO' -p136467 -aS'studies\tstudy\tNNS\tI-NP\tO' -p136468 -aS'are\tbe\tVBP\tB-VP\tO' -p136469 -aS'all\tall\tRB\tB-ADVP\tO' -p136470 -aS'entirely\tentirely\tRB\tB-ADJP\tO' -p136471 -aS'normal\tnormal\tJJ\tI-ADJP\tO' -p136472 -aS',\t,\t,\tO\tO' -p136473 -aS'her\ther\tPRP$\tB-NP\tO' -p136474 -aS'anemia\tanemia\tNN\tI-NP\tO' -p136475 -aS'is\tbe\tVBZ\tB-VP\tO' -p136476 -aS'attributed\tattribute\tVBN\tI-VP\tO' -p136477 -aS'to\tto\tTO\tB-PP\tO' -p136478 -aS'anemia\tanemia\tNN\tB-NP\tO' -p136479 -aS'or\tor\tCC\tO\tO' -p136480 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p136481 -aS'disease\tdisease\tNN\tI-NP\tO' -p136482 -aS'with\twith\tIN\tB-PP\tO' -p136483 -aS'hypoproliferation\thypoproliferation\tNN\tB-NP\tO' -p136484 -aS'as\tas\tRB\tB-CONJP\tO' -p136485 -aS'well\twell\tRB\tI-CONJP\tO' -p136486 -aS'as\tas\tIN\tI-CONJP\tO' -p136487 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p136488 -aS'phlebotomies\tphlebotomy\tNNS\tI-NP\tO' -p136489 -aS'.\t.\t.\tO\tO' -p136490 -asS'The patient will be followed by Dr. State within a week of discharge and by Nieie Naebrand Freierm of the Dyathenslycha Medical Center .' -p136491 -(lp136492 -S'The\tThe\tDT\tB-NP\tO' -p136493 -aS'patient\tpatient\tNN\tI-NP\tO' -p136494 -aS'will\twill\tMD\tB-VP\tO' -p136495 -aS'be\tbe\tVB\tI-VP\tO' -p136496 -aS'followed\tfollow\tVBN\tI-VP\tO' -p136497 -aS'by\tby\tIN\tB-PP\tO' -p136498 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p136499 -aS'State\tState\tNNP\tI-NP\tO' -p136500 -aS'within\twithin\tIN\tB-PP\tO' -p136501 -aS'a\ta\tDT\tB-NP\tO' -p136502 -aS'week\tweek\tNN\tI-NP\tO' -p136503 -aS'of\tof\tIN\tB-PP\tO' -p136504 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p136505 -aS'and\tand\tCC\tB-PP\tO' -p136506 -aS'by\tby\tIN\tB-PP\tO' -p136507 -aS'Nieie\tNieie\tNNP\tB-NP\tO' -p136508 -aS'Naebrand\tNaebrand\tNNP\tI-NP\tO' -p136509 -aS'Freierm\tFreierm\tNNP\tI-NP\tO' -p136510 -aS'of\tof\tIN\tB-PP\tO' -p136511 -aS'the\tthe\tDT\tB-NP\tO' -p136512 -aS'Dyathenslycha\tDyathenslycha\tNNP\tI-NP\tO' -p136513 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p136514 -aS'Center\tCenter\tNNP\tI-NP\tO' -p136515 -aS'.\t.\t.\tO\tO' -p136516 -asS'The patient has had low sodiums during this hospitalization .' -p136517 -(lp136518 -S'The\tThe\tDT\tB-NP\tO' -p136519 -aS'patient\tpatient\tNN\tI-NP\tO' -p136520 -aS'has\thave\tVBZ\tB-VP\tO' -p136521 -aS'had\thave\tVBN\tI-VP\tO' -p136522 -aS'low\tlow\tJJ\tB-NP\tO' -p136523 -aS'sodiums\tsodium\tNNS\tI-NP\tO' -p136524 -aS'during\tduring\tIN\tB-PP\tO' -p136525 -aS'this\tthis\tDT\tB-NP\tO' -p136526 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p136527 -aS'.\t.\t.\tO\tO' -p136528 -asS'The patient tolerated this well .' -p136529 -(lp136530 -S'The\tThe\tDT\tB-NP\tO' -p136531 -aS'patient\tpatient\tNN\tI-NP\tO' -p136532 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p136533 -aS'this\tthis\tDT\tB-NP\tO' -p136534 -aS'well\twell\tRB\tI-NP\tO' -p136535 -aS'.\t.\t.\tO\tO' -p136536 -asS'sinus brady @ 48 bpm , LAD , LVH , RBBB , Q wave in I , ST depressions in V1-V4 , ST elevation in III , aVF , TWI in III , V5 .' -p136537 -(lp136538 -S'sinus\tsinus\tJJ\tB-NP\tO' -p136539 -aS'brady\tbrady\tJJ\tI-NP\tO' -p136540 -aS'@\t@\tNN\tI-NP\tO' -p136541 -aS'48\t48\tCD\tI-NP\tO' -p136542 -aS'bpm\tbpm\tNN\tI-NP\tO' -p136543 -aS',\t,\t,\tO\tO' -p136544 -aS'LAD\tLAD\tNN\tB-NP\tB-protein' -p136545 -aS',\t,\t,\tO\tO' -p136546 -aS'LVH\tLVH\tNN\tB-NP\tB-protein' -p136547 -aS',\t,\t,\tO\tO' -p136548 -aS'RBBB\tRBBB\tNN\tB-NP\tB-protein' -p136549 -aS',\t,\t,\tO\tO' -p136550 -aS'Q\tQ\tNN\tB-NP\tO' -p136551 -aS'wave\twave\tNN\tI-NP\tO' -p136552 -aS'in\tin\tIN\tB-PP\tO' -p136553 -aS'I\tI\tPRP\tB-NP\tO' -p136554 -aS',\t,\t,\tO\tO' -p136555 -aS'ST\tST\tJJ\tB-NP\tO' -p136556 -aS'depressions\tdepression\tNNS\tI-NP\tO' -p136557 -aS'in\tin\tIN\tB-PP\tO' -p136558 -aS'V1-V4\tV1-V4\tNN\tB-NP\tO' -p136559 -aS',\t,\t,\tO\tO' -p136560 -aS'ST\tST\tJJ\tB-NP\tO' -p136561 -aS'elevation\televation\tNN\tI-NP\tO' -p136562 -aS'in\tin\tIN\tB-PP\tO' -p136563 -aS'III\tIII\tCD\tB-NP\tO' -p136564 -aS',\t,\t,\tO\tO' -p136565 -aS'aVF\taVF\tNN\tB-NP\tO' -p136566 -aS',\t,\t,\tO\tO' -p136567 -aS'TWI\tTWI\tNN\tB-NP\tO' -p136568 -aS'in\tin\tIN\tB-PP\tO' -p136569 -aS'III\tIII\tCD\tB-NP\tO' -p136570 -aS',\t,\t,\tO\tO' -p136571 -aS'V5\tV5\tNN\tB-NP\tO' -p136572 -aS'.\t.\t.\tO\tO' -p136573 -asS'She underwent a pelvic ultrasound and an abdomen and pelvis CT , which revealed continued air in the endometrial cavity vs. in the fundal fibroid .' -p136574 -(lp136575 -S'She\tShe\tPRP\tB-NP\tO' -p136576 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p136577 -aS'a\ta\tDT\tB-NP\tO' -p136578 -aS'pelvic\tpelvic\tJJ\tI-NP\tO' -p136579 -aS'ultrasound\tultrasound\tNN\tI-NP\tO' -p136580 -aS'and\tand\tCC\tO\tO' -p136581 -aS'an\tan\tDT\tB-NP\tO' -p136582 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p136583 -aS'and\tand\tCC\tI-NP\tO' -p136584 -aS'pelvis\tpelvis\tNN\tI-NP\tO' -p136585 -aS'CT\tCT\tNN\tI-NP\tO' -p136586 -aS',\t,\t,\tO\tO' -p136587 -aS'which\twhich\tWDT\tB-NP\tO' -p136588 -aS'revealed\treveal\tVBD\tB-VP\tO' -p136589 -aS'continued\tcontinued\tJJ\tB-NP\tO' -p136590 -aS'air\tair\tNN\tI-NP\tO' -p136591 -aS'in\tin\tIN\tB-PP\tO' -p136592 -aS'the\tthe\tDT\tB-NP\tO' -p136593 -aS'endometrial\tendometrial\tJJ\tI-NP\tO' -p136594 -aS'cavity\tcavity\tNN\tI-NP\tO' -p136595 -aS'vs.\tvs.\tNN\tI-NP\tO' -p136596 -aS'in\tin\tIN\tB-PP\tO' -p136597 -aS'the\tthe\tDT\tB-NP\tO' -p136598 -aS'fundal\tfundal\tJJ\tI-NP\tO' -p136599 -aS'fibroid\tfibroid\tNN\tI-NP\tO' -p136600 -aS'.\t.\t.\tO\tO' -p136601 -asS'5. Status post transurethral resection of prostate times two ( in 2007 and 1998 ) .' -p136602 -(lp136603 -S'5.\t5.\tLS\tB-LST\tO' -p136604 -aS'Status\tStatus\tNNP\tB-NP\tO' -p136605 -aS'post\tpost\tIN\tB-PP\tO' -p136606 -aS'transurethral\ttransurethral\tJJ\tB-NP\tO' -p136607 -aS'resection\tresection\tNN\tI-NP\tO' -p136608 -aS'of\tof\tIN\tB-PP\tO' -p136609 -aS'prostate\tprostate\tNN\tB-NP\tO' -p136610 -aS'times\ttime\tNNS\tI-NP\tO' -p136611 -aS'two\ttwo\tCD\tB-NP\tO' -p136612 -aS'(\t(\t(\tO\tO' -p136613 -aS'in\tin\tIN\tB-PP\tO' -p136614 -aS'2007\t2007\tCD\tB-NP\tO' -p136615 -aS'and\tand\tCC\tI-NP\tO' -p136616 -aS'1998\t1998\tCD\tI-NP\tO' -p136617 -aS')\t)\t)\tO\tO' -p136618 -aS'.\t.\t.\tO\tO' -p136619 -asS'No mesenteric or retroperitoneal lymphadenopathy is identified .' -p136620 -(lp136621 -S'No\tNo\tDT\tB-NP\tO' -p136622 -aS'mesenteric\tmesenteric\tJJ\tI-NP\tO' -p136623 -aS'or\tor\tCC\tI-NP\tO' -p136624 -aS'retroperitoneal\tretroperitoneal\tJJ\tI-NP\tO' -p136625 -aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' -p136626 -aS'is\tbe\tVBZ\tB-VP\tO' -p136627 -aS'identified\tidentify\tVBN\tI-VP\tO' -p136628 -aS'.\t.\t.\tO\tO' -p136629 -asS'Mother died of MI at 76' -p136630 -(lp136631 -S'Mother\tMother\tNNP\tB-NP\tO' -p136632 -aS'died\tdie\tVBD\tB-VP\tO' -p136633 -aS'of\tof\tIN\tB-PP\tO' -p136634 -aS'MI\tMI\tNN\tB-NP\tO' -p136635 -aS'at\tat\tIN\tB-PP\tO' -p136636 -aS'76\t76\tCD\tB-NP\tO' -p136637 -asS'Her right pupil was 5.5 mm reacting to 4 mm .' -p136638 -(lp136639 -S'Her\tHer\tPRP$\tB-NP\tO' -p136640 -aS'right\tright\tJJ\tI-NP\tO' -p136641 -aS'pupil\tpupil\tNN\tI-NP\tO' -p136642 -aS'was\tbe\tVBD\tB-VP\tO' -p136643 -aS'5.5\t5.5\tCD\tB-NP\tO' -p136644 -aS'mm\tmm\tNN\tI-NP\tO' -p136645 -aS'reacting\treact\tVBG\tB-VP\tO' -p136646 -aS'to\tto\tTO\tB-PP\tO' -p136647 -aS'4\t4\tCD\tB-NP\tO' -p136648 -aS'mm\tmm\tNN\tI-NP\tO' -p136649 -aS'.\t.\t.\tO\tO' -p136650 -asS'The spinal cord stimulator was programmed with setting of a rate of 80 , power 450 and 4.0 amps .' -p136651 -(lp136652 -S'The\tThe\tDT\tB-NP\tO' -p136653 -aS'spinal\tspinal\tJJ\tI-NP\tO' -p136654 -aS'cord\tcord\tNN\tI-NP\tO' -p136655 -aS'stimulator\tstimulator\tNN\tI-NP\tO' -p136656 -aS'was\tbe\tVBD\tB-VP\tO' -p136657 -aS'programmed\tprogram\tVBN\tI-VP\tO' -p136658 -aS'with\twith\tIN\tB-PP\tO' -p136659 -aS'setting\tset\tVBG\tB-VP\tO' -p136660 -aS'of\tof\tIN\tB-PP\tO' -p136661 -aS'a\ta\tDT\tB-NP\tO' -p136662 -aS'rate\trate\tNN\tI-NP\tO' -p136663 -aS'of\tof\tIN\tB-PP\tO' -p136664 -aS'80\t80\tCD\tB-NP\tO' -p136665 -aS',\t,\t,\tO\tO' -p136666 -aS'power\tpower\tNN\tB-NP\tO' -p136667 -aS'450\t450\tCD\tI-NP\tO' -p136668 -aS'and\tand\tCC\tI-NP\tO' -p136669 -aS'4.0\t4.0\tCD\tI-NP\tO' -p136670 -aS'amps\tamp\tNNS\tI-NP\tO' -p136671 -aS'.\t.\t.\tO\tO' -p136672 -asS'Perioperative stroke .' -p136673 -(lp136674 -S'Perioperative\tPerioperative\tJJ\tB-NP\tO' -p136675 -aS'stroke\tstroke\tNN\tI-NP\tO' -p136676 -aS'.\t.\t.\tO\tO' -p136677 -asS'Stable - still with difficulty walking , and mental status exam with memory loss c/w dementia , but otherwise no focal weakness .' -p136678 -(lp136679 -S'Stable\tStable\tJJ\tB-NP\tO' -p136680 -aS'-\t-\tHYPH\tI-NP\tO' -p136681 -aS'still\tstill\tRB\tB-ADVP\tO' -p136682 -aS'with\twith\tIN\tB-PP\tO' -p136683 -aS'difficulty\tdifficulty\tNN\tB-NP\tO' -p136684 -aS'walking\twalk\tVBG\tB-VP\tO' -p136685 -aS',\t,\t,\tO\tO' -p136686 -aS'and\tand\tCC\tO\tO' -p136687 -aS'mental\tmental\tJJ\tB-NP\tO' -p136688 -aS'status\tstatus\tNN\tI-NP\tO' -p136689 -aS'exam\texam\tNN\tI-NP\tO' -p136690 -aS'with\twith\tIN\tB-PP\tO' -p136691 -aS'memory\tmemory\tNN\tB-NP\tO' -p136692 -aS'loss\tloss\tNN\tI-NP\tO' -p136693 -aS'c/w\tc/w\tNN\tI-NP\tO' -p136694 -aS'dementia\tdementia\tNN\tI-NP\tO' -p136695 -aS',\t,\t,\tO\tO' -p136696 -aS'but\tbut\tCC\tO\tO' -p136697 -aS'otherwise\totherwise\tRB\tB-NP\tO' -p136698 -aS'no\tno\tDT\tI-NP\tO' -p136699 -aS'focal\tfocal\tJJ\tI-NP\tO' -p136700 -aS'weakness\tweakness\tNN\tI-NP\tO' -p136701 -aS'.\t.\t.\tO\tO' -p136702 -asS'The patient was placed on IV antibiotics , Ancef 1 gm q.8h.' -p136703 -(lp136704 -S'The\tThe\tDT\tB-NP\tO' -p136705 -aS'patient\tpatient\tNN\tI-NP\tO' -p136706 -aS'was\tbe\tVBD\tB-VP\tO' -p136707 -aS'placed\tplace\tVBN\tI-VP\tO' -p136708 -aS'on\ton\tIN\tB-PP\tO' -p136709 -aS'IV\tIV\tCD\tB-NP\tO' -p136710 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p136711 -aS',\t,\t,\tO\tO' -p136712 -aS'Ancef\tAncef\tNN\tB-NP\tO' -p136713 -aS'1\t1\tCD\tI-NP\tO' -p136714 -aS'gm\tgm\tNN\tI-NP\tO' -p136715 -aS'q.8h.\tq.8h.\tNN\tI-NP\tO' -p136716 -asS'The infant did not require any blood transfusions during this hospital course .' -p136717 -(lp136718 -S'The\tThe\tDT\tB-NP\tO' -p136719 -aS'infant\tinfant\tNN\tI-NP\tO' -p136720 -aS'did\tdo\tVBD\tB-VP\tO' -p136721 -aS'not\tnot\tRB\tI-VP\tO' -p136722 -aS'require\trequire\tVB\tI-VP\tO' -p136723 -aS'any\tany\tDT\tB-NP\tO' -p136724 -aS'blood\tblood\tNN\tI-NP\tO' -p136725 -aS'transfusions\ttransfusion\tNNS\tI-NP\tO' -p136726 -aS'during\tduring\tIN\tB-PP\tO' -p136727 -aS'this\tthis\tDT\tB-NP\tO' -p136728 -aS'hospital\thospital\tNN\tI-NP\tO' -p136729 -aS'course\tcourse\tNN\tI-NP\tO' -p136730 -aS'.\t.\t.\tO\tO' -p136731 -asS'On postoperative day number one , the patient was extubated and awakened from sedation .' -p136732 -(lp136733 -S'On\tOn\tIN\tB-PP\tO' -p136734 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p136735 -aS'day\tday\tNN\tI-NP\tO' -p136736 -aS'number\tnumber\tNN\tI-NP\tO' -p136737 -aS'one\tone\tCD\tB-NP\tO' -p136738 -aS',\t,\t,\tO\tO' -p136739 -aS'the\tthe\tDT\tB-NP\tO' -p136740 -aS'patient\tpatient\tNN\tI-NP\tO' -p136741 -aS'was\tbe\tVBD\tB-VP\tO' -p136742 -aS'extubated\textubate\tVBN\tI-VP\tO' -p136743 -aS'and\tand\tCC\tO\tO' -p136744 -aS'awakened\tawaken\tVBN\tB-VP\tO' -p136745 -aS'from\tfrom\tIN\tB-PP\tO' -p136746 -aS'sedation\tsedation\tNN\tB-NP\tO' -p136747 -aS'.\t.\t.\tO\tO' -p136748 -asS'He traveled to the Taheimpromong last in 01/2004 for one month .' -p136749 -(lp136750 -S'He\tHe\tPRP\tB-NP\tO' -p136751 -aS'traveled\ttravel\tVBD\tB-VP\tO' -p136752 -aS'to\tto\tTO\tB-PP\tO' -p136753 -aS'the\tthe\tDT\tB-NP\tO' -p136754 -aS'Taheimpromong\tTaheimpromong\tNNP\tI-NP\tO' -p136755 -aS'last\tlast\tRB\tB-ADVP\tO' -p136756 -aS'in\tin\tIN\tB-PP\tO' -p136757 -aS'01/2004\t01/2004\tCD\tB-NP\tO' -p136758 -aS'for\tfor\tIN\tB-PP\tO' -p136759 -aS'one\tone\tCD\tB-NP\tO' -p136760 -aS'month\tmonth\tNN\tI-NP\tO' -p136761 -aS'.\t.\t.\tO\tO' -p136762 -asS'3. fevers on admission : Pt w/ positive U/A , treated with bactrim x 3 days with defervescence .' -p136763 -(lp136764 -S'3.\t3.\tLS\tB-NP\tO' -p136765 -aS'fevers\tfever\tNNS\tI-NP\tO' -p136766 -aS'on\ton\tIN\tB-PP\tO' -p136767 -aS'admission\tadmission\tNN\tB-NP\tO' -p136768 -aS':\t:\t:\tO\tO' -p136769 -aS'Pt\tPt\tNN\tB-NP\tO' -p136770 -aS'w/\tw/\tNN\tI-NP\tO' -p136771 -aS'positive\tpositive\tJJ\tI-NP\tO' -p136772 -aS'U/A\tU/A\tNN\tI-NP\tO' -p136773 -aS',\t,\t,\tO\tO' -p136774 -aS'treated\ttreat\tVBN\tB-VP\tO' -p136775 -aS'with\twith\tIN\tB-PP\tO' -p136776 -aS'bactrim\tbactrim\tJJ\tB-NP\tO' -p136777 -aS'x\tx\tNN\tI-NP\tO' -p136778 -aS'3\t3\tCD\tB-NP\tO' -p136779 -aS'days\tday\tNNS\tI-NP\tO' -p136780 -aS'with\twith\tIN\tB-PP\tO' -p136781 -aS'defervescence\tdefervescence\tNN\tB-NP\tO' -p136782 -aS'.\t.\t.\tO\tO' -p136783 -asS'Carotids normal .' -p136784 -(lp136785 -S'Carotids\tCarotid\tNNS\tB-NP\tO' -p136786 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p136787 -aS'.\t.\t.\tO\tO' -p136788 -asS'As for his diabetes mellitus , the Mahoney Team provided updated recommendations each day , adjusting for the changing p.o. intake .' -p136789 -(lp136790 -S'As\tAs\tIN\tB-PP\tO' -p136791 -aS'for\tfor\tIN\tB-PP\tO' -p136792 -aS'his\this\tPRP$\tB-NP\tO' -p136793 -aS'diabetes\tdiabetes\tNN\tI-NP\tO' -p136794 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p136795 -aS',\t,\t,\tO\tO' -p136796 -aS'the\tthe\tDT\tB-NP\tO' -p136797 -aS'Mahoney\tMahoney\tNNP\tI-NP\tO' -p136798 -aS'Team\tTeam\tNNP\tI-NP\tO' -p136799 -aS'provided\tprovide\tVBD\tB-VP\tO' -p136800 -aS'updated\tupdate\tVBN\tB-NP\tO' -p136801 -aS'recommendations\trecommendation\tNNS\tI-NP\tO' -p136802 -aS'each\teach\tDT\tB-NP\tO' -p136803 -aS'day\tday\tNN\tI-NP\tO' -p136804 -aS',\t,\t,\tO\tO' -p136805 -aS'adjusting\tadjust\tVBG\tB-VP\tO' -p136806 -aS'for\tfor\tIN\tB-PP\tO' -p136807 -aS'the\tthe\tDT\tB-NP\tO' -p136808 -aS'changing\tchange\tVBG\tI-NP\tO' -p136809 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p136810 -aS'intake\tintake\tNN\tI-NP\tO' -p136811 -aS'.\t.\t.\tO\tO' -p136812 -asS'Thyroid function tests were normal .' -p136813 -(lp136814 -S'Thyroid\tThyroid\tJJ\tB-NP\tO' -p136815 -aS'function\tfunction\tNN\tI-NP\tO' -p136816 -aS'tests\ttest\tNNS\tI-NP\tO' -p136817 -aS'were\tbe\tVBD\tB-VP\tO' -p136818 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p136819 -aS'.\t.\t.\tO\tO' -p136820 -asS'After several days , he became hypotensive and triggered for BPs 60s/30s .' -p136821 -(lp136822 -S'After\tAfter\tIN\tB-PP\tO' -p136823 -aS'several\tseveral\tJJ\tB-NP\tO' -p136824 -aS'days\tday\tNNS\tI-NP\tO' -p136825 -aS',\t,\t,\tO\tO' -p136826 -aS'he\the\tPRP\tB-NP\tO' -p136827 -aS'became\tbecome\tVBD\tB-VP\tO' -p136828 -aS'hypotensive\thypotensive\tJJ\tB-ADJP\tO' -p136829 -aS'and\tand\tCC\tO\tO' -p136830 -aS'triggered\ttrigger\tVBN\tB-VP\tO' -p136831 -aS'for\tfor\tIN\tB-PP\tO' -p136832 -aS'BPs\tBP\tNNS\tB-NP\tO' -p136833 -aS'60s/30s\t60s/30\tNNS\tI-NP\tO' -p136834 -aS'.\t.\t.\tO\tO' -p136835 -asS'The patient ultimately was weaned off the Milrinone , transitioned to Captopril on postoperative day five and remained hemodynamically stable .' -p136836 -(lp136837 -S'The\tThe\tDT\tB-NP\tO' -p136838 -aS'patient\tpatient\tNN\tI-NP\tO' -p136839 -aS'ultimately\tultimately\tRB\tB-ADVP\tO' -p136840 -aS'was\tbe\tVBD\tB-VP\tO' -p136841 -aS'weaned\twean\tVBN\tI-VP\tO' -p136842 -aS'off\toff\tIN\tB-PP\tO' -p136843 -aS'the\tthe\tDT\tB-NP\tO' -p136844 -aS'Milrinone\tMilrinone\tNN\tI-NP\tO' -p136845 -aS',\t,\t,\tO\tO' -p136846 -aS'transitioned\ttransitione\tVBN\tB-VP\tO' -p136847 -aS'to\tto\tTO\tB-PP\tO' -p136848 -aS'Captopril\tCaptopril\tNNP\tB-NP\tO' -p136849 -aS'on\ton\tIN\tB-PP\tO' -p136850 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p136851 -aS'day\tday\tNN\tI-NP\tO' -p136852 -aS'five\tfive\tCD\tI-NP\tO' -p136853 -aS'and\tand\tCC\tO\tO' -p136854 -aS'remained\tremain\tVBD\tB-VP\tO' -p136855 -aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' -p136856 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p136857 -aS'.\t.\t.\tO\tO' -p136858 -asS'No lesions .' -p136859 -(lp136860 -S'No\tNo\tDT\tB-NP\tO' -p136861 -aS'lesions\tlesion\tNNS\tI-NP\tO' -p136862 -aS'.\t.\t.\tO\tO' -p136863 -asS'The patient was placed on zosyn .' -p136864 -(lp136865 -S'The\tThe\tDT\tB-NP\tO' -p136866 -aS'patient\tpatient\tNN\tI-NP\tO' -p136867 -aS'was\tbe\tVBD\tB-VP\tO' -p136868 -aS'placed\tplace\tVBN\tI-VP\tO' -p136869 -aS'on\ton\tIN\tB-PP\tO' -p136870 -aS'zosyn\tzosyn\tNN\tB-NP\tO' -p136871 -aS'.\t.\t.\tO\tO' -p136872 -asS'The right ventricle was not dilated .' -p136873 -(lp136874 -S'The\tThe\tDT\tB-NP\tO' -p136875 -aS'right\tright\tJJ\tI-NP\tO' -p136876 -aS'ventricle\tventricle\tNN\tI-NP\tO' -p136877 -aS'was\tbe\tVBD\tB-VP\tO' -p136878 -aS'not\tnot\tRB\tI-VP\tO' -p136879 -aS'dilated\tdilate\tVBN\tI-VP\tO' -p136880 -aS'.\t.\t.\tO\tO' -p136881 -asS'HEENT were normal .' -p136882 -(lp136883 -S'HEENT\tHEENT\tNN\tB-NP\tO' -p136884 -aS'were\tbe\tVBD\tB-VP\tO' -p136885 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p136886 -aS'.\t.\t.\tO\tO' -p136887 -asS'FINDINGS : The right kidney measures 11 cm in length , the left kidney measures 9.7 cm in length .' -p136888 -(lp136889 -S'FINDINGS\tFINDINGS\tNNS\tB-NP\tO' -p136890 -aS':\t:\t:\tO\tO' -p136891 -aS'The\tThe\tDT\tB-NP\tO' -p136892 -aS'right\tright\tJJ\tI-NP\tO' -p136893 -aS'kidney\tkidney\tNN\tI-NP\tO' -p136894 -aS'measures\tmeasure\tVBZ\tB-VP\tO' -p136895 -aS'11\t11\tCD\tB-NP\tO' -p136896 -aS'cm\tcm\tNN\tI-NP\tO' -p136897 -aS'in\tin\tIN\tB-PP\tO' -p136898 -aS'length\tlength\tNN\tB-NP\tO' -p136899 -aS',\t,\t,\tO\tO' -p136900 -aS'the\tthe\tDT\tB-NP\tO' -p136901 -aS'left\tleft\tJJ\tI-NP\tO' -p136902 -aS'kidney\tkidney\tNN\tI-NP\tO' -p136903 -aS'measures\tmeasure\tVBZ\tB-VP\tO' -p136904 -aS'9.7\t9.7\tCD\tB-NP\tO' -p136905 -aS'cm\tcm\tNN\tI-NP\tO' -p136906 -aS'in\tin\tIN\tB-PP\tO' -p136907 -aS'length\tlength\tNN\tB-NP\tO' -p136908 -aS'.\t.\t.\tO\tO' -p136909 -asS'Reactive lymphoid cells .' -p136910 -(lp136911 -S'Reactive\tReactive\tJJ\tB-NP\tB-cell_type' -p136912 -aS'lymphoid\tlymphoid\tJJ\tI-NP\tI-cell_type' -p136913 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p136914 -aS'.\t.\t.\tO\tO' -p136915 -asS'Neurologic : Nonfocal .' -p136916 -(lp136917 -S'Neurologic\tNeurologic\tJJ\tB-ADJP\tO' -p136918 -aS':\t:\t:\tO\tO' -p136919 -aS'Nonfocal\tNonfocal\tJJ\tB-ADJP\tO' -p136920 -aS'.\t.\t.\tO\tO' -p136921 -asS'Urinalysis revealed trace microscopic hematuria with 47 red blood cells per high powered field , 1+ bacteria .' -p136922 -(lp136923 -S'Urinalysis\tUrinalysis\tNN\tB-NP\tO' -p136924 -aS'revealed\treveal\tVBD\tB-VP\tO' -p136925 -aS'trace\ttrace\tNN\tB-NP\tO' -p136926 -aS'microscopic\tmicroscopic\tJJ\tI-NP\tO' -p136927 -aS'hematuria\thematuria\tNN\tI-NP\tO' -p136928 -aS'with\twith\tIN\tB-PP\tO' -p136929 -aS'47\t47\tCD\tB-NP\tO' -p136930 -aS'red\tred\tJJ\tI-NP\tO' -p136931 -aS'blood\tblood\tNN\tI-NP\tO' -p136932 -aS'cells\tcell\tNNS\tI-NP\tO' -p136933 -aS'per\tper\tIN\tB-PP\tO' -p136934 -aS'high\thigh\tJJ\tB-NP\tO' -p136935 -aS'powered\tpowered\tJJ\tI-NP\tO' -p136936 -aS'field\tfield\tNN\tI-NP\tO' -p136937 -aS',\t,\t,\tO\tO' -p136938 -aS'1+\t1+\tJJ\tB-NP\tO' -p136939 -aS'bacteria\tbacteria\tNNS\tI-NP\tO' -p136940 -aS'.\t.\t.\tO\tO' -p136941 -asS'He was treated with a full course of Zosyn .' -p136942 -(lp136943 -S'He\tHe\tPRP\tB-NP\tO' -p136944 -aS'was\tbe\tVBD\tB-VP\tO' -p136945 -aS'treated\ttreat\tVBN\tI-VP\tO' -p136946 -aS'with\twith\tIN\tB-PP\tO' -p136947 -aS'a\ta\tDT\tB-NP\tO' -p136948 -aS'full\tfull\tJJ\tI-NP\tO' -p136949 -aS'course\tcourse\tNN\tI-NP\tO' -p136950 -aS'of\tof\tIN\tB-PP\tO' -p136951 -aS'Zosyn\tZosyn\tNN\tB-NP\tB-protein' -p136952 -aS'.\t.\t.\tO\tO' -p136953 -asS'In addition , he was noted to have a right sided hemiplegia .' -p136954 -(lp136955 -S'In\tIn\tIN\tB-PP\tO' -p136956 -aS'addition\taddition\tNN\tB-NP\tO' -p136957 -aS',\t,\t,\tO\tO' -p136958 -aS'he\the\tPRP\tB-NP\tO' -p136959 -aS'was\tbe\tVBD\tB-VP\tO' -p136960 -aS'noted\tnote\tVBN\tI-VP\tO' -p136961 -aS'to\tto\tTO\tI-VP\tO' -p136962 -aS'have\thave\tVB\tI-VP\tO' -p136963 -aS'a\ta\tDT\tB-NP\tO' -p136964 -aS'right\tright\tJJ\tI-NP\tO' -p136965 -aS'sided\tsided\tJJ\tI-NP\tO' -p136966 -aS'hemiplegia\themiplegia\tNN\tI-NP\tO' -p136967 -aS'.\t.\t.\tO\tO' -p136968 -asS'She has paraplegia secondary to HTLV exposure while on vacation in the Bahamas six years ago .' -p136969 -(lp136970 -S'She\tShe\tPRP\tB-NP\tO' -p136971 -aS'has\thave\tVBZ\tB-VP\tO' -p136972 -aS'paraplegia\tparaplegia\tNN\tB-NP\tO' -p136973 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p136974 -aS'to\tto\tTO\tB-PP\tO' -p136975 -aS'HTLV\tHTLV\tNN\tB-NP\tO' -p136976 -aS'exposure\texposure\tNN\tI-NP\tO' -p136977 -aS'while\twhile\tIN\tB-SBAR\tO' -p136978 -aS'on\ton\tIN\tB-PP\tO' -p136979 -aS'vacation\tvacation\tNN\tB-NP\tO' -p136980 -aS'in\tin\tIN\tB-PP\tO' -p136981 -aS'the\tthe\tDT\tB-NP\tO' -p136982 -aS'Bahamas\tBahama\tNNPS\tI-NP\tO' -p136983 -aS'six\tsix\tCD\tB-NP\tO' -p136984 -aS'years\tyear\tNNS\tI-NP\tO' -p136985 -aS'ago\tago\tRB\tB-ADVP\tO' -p136986 -aS'.\t.\t.\tO\tO' -p136987 -asS'At the Oaksgekesser/ Memorial Hospital he was quite hypotensive , requiring dopamine at 1,000 , Levo at 12 .' -p136988 -(lp136989 -S'At\tAt\tIN\tB-PP\tO' -p136990 -aS'the\tthe\tDT\tB-NP\tO' -p136991 -aS'Oaksgekesser/\tOaksgekesser/\tNNP\tI-NP\tO' -p136992 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p136993 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p136994 -aS'he\the\tPRP\tB-NP\tO' -p136995 -aS'was\tbe\tVBD\tB-VP\tO' -p136996 -aS'quite\tquite\tRB\tB-ADJP\tO' -p136997 -aS'hypotensive\thypotensive\tJJ\tI-ADJP\tO' -p136998 -aS',\t,\t,\tO\tO' -p136999 -aS'requiring\trequire\tVBG\tB-VP\tO' -p137000 -aS'dopamine\tdopamine\tNN\tB-NP\tO' -p137001 -aS'at\tat\tIN\tB-PP\tO' -p137002 -aS'1,000\t1,000\tCD\tB-NP\tO' -p137003 -aS',\t,\t,\tO\tO' -p137004 -aS'Levo\tLevo\tNNP\tB-NP\tO' -p137005 -aS'at\tat\tIN\tB-PP\tO' -p137006 -aS'12\t12\tCD\tB-NP\tO' -p137007 -aS'.\t.\t.\tO\tO' -p137008 -asS'tylenol as needed .' -p137009 -(lp137010 -S'tylenol\ttylenol\tNN\tB-NP\tO' -p137011 -aS'as\tas\tIN\tB-PP\tO' -p137012 -aS'needed\tneed\tVBN\tB-VP\tO' -p137013 -aS'.\t.\t.\tO\tO' -p137014 -asS'During admission , became steadily more SOB , increasing lethargy .' -p137015 -(lp137016 -S'During\tDuring\tIN\tB-PP\tO' -p137017 -aS'admission\tadmission\tNN\tB-NP\tO' -p137018 -aS',\t,\t,\tO\tO' -p137019 -aS'became\tbecome\tVBD\tB-VP\tO' -p137020 -aS'steadily\tsteadily\tRB\tB-NP\tO' -p137021 -aS'more\tmore\tJJR\tI-NP\tO' -p137022 -aS'SOB\tSOB\tNN\tI-NP\tB-protein' -p137023 -aS',\t,\t,\tO\tO' -p137024 -aS'increasing\tincrease\tVBG\tB-VP\tO' -p137025 -aS'lethargy\tlethargy\tNN\tB-NP\tO' -p137026 -aS'.\t.\t.\tO\tO' -p137027 -asS'She had an EKG that showed a question of an old inferior myocardial infarction .' -p137028 -(lp137029 -S'She\tShe\tPRP\tB-NP\tO' -p137030 -aS'had\thave\tVBD\tB-VP\tO' -p137031 -aS'an\tan\tDT\tB-NP\tO' -p137032 -aS'EKG\tEKG\tNN\tI-NP\tB-protein' -p137033 -aS'that\tthat\tWDT\tB-NP\tO' -p137034 -aS'showed\tshow\tVBD\tB-VP\tO' -p137035 -aS'a\ta\tDT\tB-NP\tO' -p137036 -aS'question\tquestion\tNN\tI-NP\tO' -p137037 -aS'of\tof\tIN\tB-PP\tO' -p137038 -aS'an\tan\tDT\tB-NP\tO' -p137039 -aS'old\told\tJJ\tI-NP\tO' -p137040 -aS'inferior\tinferior\tJJ\tI-NP\tO' -p137041 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p137042 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p137043 -aS'.\t.\t.\tO\tO' -p137044 -asS'Repeat hcts were stable .' -p137045 -(lp137046 -S'Repeat\tRepeat\tNN\tB-NP\tO' -p137047 -aS'hcts\thct\tNNS\tI-NP\tO' -p137048 -aS'were\tbe\tVBD\tB-VP\tO' -p137049 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p137050 -aS'.\t.\t.\tO\tO' -p137051 -asS'She was afebrile .' -p137052 -(lp137053 -S'She\tShe\tPRP\tB-NP\tO' -p137054 -aS'was\tbe\tVBD\tB-VP\tO' -p137055 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p137056 -aS'.\t.\t.\tO\tO' -p137057 -asS"TF goals were achieved and TPN dc 'ed." -p137058 -(lp137059 -S'TF\tTF\tNN\tB-NP\tO' -p137060 -aS'goals\tgoal\tNNS\tI-NP\tO' -p137061 -aS'were\tbe\tVBD\tB-VP\tO' -p137062 -aS'achieved\tachieve\tVBN\tI-VP\tO' -p137063 -aS'and\tand\tCC\tO\tO' -p137064 -aS'TPN\tTPN\tNN\tB-NP\tB-cell_type' -p137065 -aS'dc\tdc\tNN\tI-NP\tI-cell_type' -p137066 -aS"'ed.\t'ed.\tPOS\tB-NP\tO" -p137067 -asS'Chest CT notable for esophageal diverticulum and thickened distal 1/3 of esophagus , suspicious for malignancy .' -p137068 -(lp137069 -S'Chest\tCh\tJJS\tB-NP\tO' -p137070 -aS'CT\tCT\tNN\tI-NP\tO' -p137071 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p137072 -aS'for\tfor\tIN\tB-PP\tO' -p137073 -aS'esophageal\tesophageal\tJJ\tB-NP\tO' -p137074 -aS'diverticulum\tdiverticulum\tNN\tI-NP\tO' -p137075 -aS'and\tand\tCC\tO\tO' -p137076 -aS'thickened\tthicken\tVBD\tB-VP\tO' -p137077 -aS'distal\tdistal\tJJ\tB-NP\tO' -p137078 -aS'1/3\t1/3\tNN\tI-NP\tO' -p137079 -aS'of\tof\tIN\tB-PP\tO' -p137080 -aS'esophagus\tesophagus\tNN\tB-NP\tO' -p137081 -aS',\t,\t,\tO\tO' -p137082 -aS'suspicious\tsuspicious\tJJ\tB-ADJP\tO' -p137083 -aS'for\tfor\tIN\tB-PP\tO' -p137084 -aS'malignancy\tmalignancy\tNN\tB-NP\tO' -p137085 -aS'.\t.\t.\tO\tO' -p137086 -asS'He was kept in the hospital for an extended period to improve his postoperative range of motion .' -p137087 -(lp137088 -S'He\tHe\tPRP\tB-NP\tO' -p137089 -aS'was\tbe\tVBD\tB-VP\tO' -p137090 -aS'kept\tkeep\tVBN\tI-VP\tO' -p137091 -aS'in\tin\tIN\tB-PP\tO' -p137092 -aS'the\tthe\tDT\tB-NP\tO' -p137093 -aS'hospital\thospital\tNN\tI-NP\tO' -p137094 -aS'for\tfor\tIN\tB-PP\tO' -p137095 -aS'an\tan\tDT\tB-NP\tO' -p137096 -aS'extended\textended\tJJ\tI-NP\tO' -p137097 -aS'period\tperiod\tNN\tI-NP\tO' -p137098 -aS'to\tto\tTO\tB-VP\tO' -p137099 -aS'improve\timprove\tVB\tI-VP\tO' -p137100 -aS'his\this\tPRP$\tB-NP\tO' -p137101 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p137102 -aS'range\trange\tNN\tI-NP\tO' -p137103 -aS'of\tof\tIN\tB-PP\tO' -p137104 -aS'motion\tmotion\tNN\tB-NP\tO' -p137105 -aS'.\t.\t.\tO\tO' -p137106 -asS'Her vital signs are stable .' -p137107 -(lp137108 -S'Her\tHer\tPRP$\tB-NP\tO' -p137109 -aS'vital\tvital\tJJ\tI-NP\tO' -p137110 -aS'signs\tsign\tNNS\tI-NP\tO' -p137111 -aS'are\tbe\tVBP\tB-VP\tO' -p137112 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p137113 -aS'.\t.\t.\tO\tO' -p137114 -asS'soft , nontender , nondistended .' -p137115 -(lp137116 -S'soft\tsoft\tJJ\tB-NP\tO' -p137117 -aS',\t,\t,\tI-NP\tO' -p137118 -aS'nontender\tnontender\tJJ\tI-NP\tO' -p137119 -aS',\t,\t,\tI-NP\tO' -p137120 -aS'nondistended\tnondistended\tJJ\tI-NP\tO' -p137121 -aS'.\t.\t.\tO\tO' -p137122 -asS'Sliding scale was adjusted as necessary .' -p137123 -(lp137124 -S'Sliding\tSlide\tVBG\tB-NP\tO' -p137125 -aS'scale\tscale\tNN\tI-NP\tO' -p137126 -aS'was\tbe\tVBD\tB-VP\tO' -p137127 -aS'adjusted\tadjust\tVBN\tI-VP\tO' -p137128 -aS'as\tas\tIN\tB-PP\tO' -p137129 -aS'necessary\tnecessary\tJJ\tB-ADJP\tO' -p137130 -aS'.\t.\t.\tO\tO' -p137131 -asS'The headache stabilized after the patient was transferred to the floor .' -p137132 -(lp137133 -S'The\tThe\tDT\tB-NP\tO' -p137134 -aS'headache\theadache\tNN\tI-NP\tO' -p137135 -aS'stabilized\tstabilize\tVBD\tB-VP\tO' -p137136 -aS'after\tafter\tIN\tB-SBAR\tO' -p137137 -aS'the\tthe\tDT\tB-NP\tO' -p137138 -aS'patient\tpatient\tNN\tI-NP\tO' -p137139 -aS'was\tbe\tVBD\tB-VP\tO' -p137140 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p137141 -aS'to\tto\tTO\tB-PP\tO' -p137142 -aS'the\tthe\tDT\tB-NP\tO' -p137143 -aS'floor\tfloor\tNN\tI-NP\tO' -p137144 -aS'.\t.\t.\tO\tO' -p137145 -asS'It is discontinued at the time of transport .' -p137146 -(lp137147 -S'It\tIt\tPRP\tB-NP\tO' -p137148 -aS'is\tbe\tVBZ\tB-VP\tO' -p137149 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p137150 -aS'at\tat\tIN\tB-PP\tO' -p137151 -aS'the\tthe\tDT\tB-NP\tO' -p137152 -aS'time\ttime\tNN\tI-NP\tO' -p137153 -aS'of\tof\tIN\tB-PP\tO' -p137154 -aS'transport\ttransport\tNN\tB-NP\tO' -p137155 -aS'.\t.\t.\tO\tO' -p137156 -asS'Renal Failure : creatinine on admission was 1.6 Likely acute hypertensive nephropathy plus probalbe long-standing hypertensive disease .' -p137157 -(lp137158 -S'Renal\tRenal\tJJ\tB-NP\tO' -p137159 -aS'Failure\tFailure\tNN\tI-NP\tO' -p137160 -aS':\t:\t:\tO\tO' -p137161 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p137162 -aS'on\ton\tIN\tB-PP\tO' -p137163 -aS'admission\tadmission\tNN\tB-NP\tO' -p137164 -aS'was\tbe\tVBD\tB-VP\tO' -p137165 -aS'1.6\t1.6\tCD\tB-NP\tO' -p137166 -aS'Likely\tLikely\tRB\tI-NP\tO' -p137167 -aS'acute\tacute\tJJ\tI-NP\tO' -p137168 -aS'hypertensive\thypertensive\tJJ\tI-NP\tO' -p137169 -aS'nephropathy\tnephropathy\tNN\tI-NP\tO' -p137170 -aS'plus\tplus\tCC\tO\tO' -p137171 -aS'probalbe\tprobalbe\tNN\tB-NP\tO' -p137172 -aS'long-standing\tlong-standing\tJJ\tI-NP\tO' -p137173 -aS'hypertensive\thypertensive\tJJ\tI-NP\tO' -p137174 -aS'disease\tdisease\tNN\tI-NP\tO' -p137175 -aS'.\t.\t.\tO\tO' -p137176 -asS'Review of systems was significant only for painful urination over the past few days and a reduction in urine output .' -p137177 -(lp137178 -S'Review\tReview\tNN\tB-NP\tO' -p137179 -aS'of\tof\tIN\tB-PP\tO' -p137180 -aS'systems\tsystem\tNNS\tB-NP\tO' -p137181 -aS'was\tbe\tVBD\tB-VP\tO' -p137182 -aS'significant\tsignificant\tJJ\tB-ADJP\tO' -p137183 -aS'only\tonly\tRB\tB-ADVP\tO' -p137184 -aS'for\tfor\tIN\tB-PP\tO' -p137185 -aS'painful\tpainful\tJJ\tB-NP\tO' -p137186 -aS'urination\turination\tNN\tI-NP\tO' -p137187 -aS'over\tover\tIN\tB-PP\tO' -p137188 -aS'the\tthe\tDT\tB-NP\tO' -p137189 -aS'past\tpast\tJJ\tI-NP\tO' -p137190 -aS'few\tfew\tJJ\tI-NP\tO' -p137191 -aS'days\tday\tNNS\tI-NP\tO' -p137192 -aS'and\tand\tCC\tO\tO' -p137193 -aS'a\ta\tDT\tB-NP\tO' -p137194 -aS'reduction\treduction\tNN\tI-NP\tO' -p137195 -aS'in\tin\tIN\tB-PP\tO' -p137196 -aS'urine\turine\tNN\tB-NP\tO' -p137197 -aS'output\toutput\tNN\tI-NP\tO' -p137198 -aS'.\t.\t.\tO\tO' -p137199 -asS'181-200 mg / dL 9 Units' -p137200 -(lp137201 -S'181-200\t181-200\tCD\tB-NP\tO' -p137202 -aS'mg\tmg\tNN\tI-NP\tO' -p137203 -aS'/\t/\tSYM\tB-NP\tO' -p137204 -aS'dL\tdL\tNN\tI-NP\tO' -p137205 -aS'9\t9\tCD\tB-NP\tO' -p137206 -aS'Units\tUnit\tNNS\tI-NP\tO' -p137207 -asS'Quinine gives her a rash .' -p137208 -(lp137209 -S'Quinine\tQuinine\tNN\tB-NP\tO' -p137210 -aS'gives\tgive\tVBZ\tB-VP\tO' -p137211 -aS'her\ther\tPRP\tB-NP\tO' -p137212 -aS'a\ta\tDT\tB-NP\tO' -p137213 -aS'rash\trash\tNN\tI-NP\tO' -p137214 -aS'.\t.\t.\tO\tO' -p137215 -asS'CXR : Pulmonary edema .' -p137216 -(lp137217 -S'CXR\tCXR\tNN\tB-NP\tB-protein' -p137218 -aS':\t:\t:\tO\tO' -p137219 -aS'Pulmonary\tPulmonary\tJJ\tB-NP\tO' -p137220 -aS'edema\tedema\tNN\tI-NP\tO' -p137221 -aS'.\t.\t.\tO\tO' -p137222 -asS'regular rate and rhythm , S1-S2 .' -p137223 -(lp137224 -S'regular\tregular\tJJ\tB-NP\tO' -p137225 -aS'rate\trate\tNN\tI-NP\tO' -p137226 -aS'and\tand\tCC\tI-NP\tO' -p137227 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p137228 -aS',\t,\t,\tO\tO' -p137229 -aS'S1-S2\tS1-S2\tNN\tB-NP\tO' -p137230 -aS'.\t.\t.\tO\tO' -p137231 -asS'By 2014-08-09 , the patient was tolerating a full solid diet as well as her tube feeds .' -p137232 -(lp137233 -S'By\tBy\tIN\tB-PP\tO' -p137234 -aS'2014-08-09\t2014-08-09\tCD\tB-NP\tO' -p137235 -aS',\t,\t,\tO\tO' -p137236 -aS'the\tthe\tDT\tB-NP\tO' -p137237 -aS'patient\tpatient\tNN\tI-NP\tO' -p137238 -aS'was\tbe\tVBD\tB-VP\tO' -p137239 -aS'tolerating\ttolerate\tVBG\tI-VP\tO' -p137240 -aS'a\ta\tDT\tB-NP\tO' -p137241 -aS'full\tfull\tJJ\tI-NP\tO' -p137242 -aS'solid\tsolid\tJJ\tI-NP\tO' -p137243 -aS'diet\tdiet\tNN\tI-NP\tO' -p137244 -aS'as\tas\tRB\tB-CONJP\tO' -p137245 -aS'well\twell\tRB\tI-CONJP\tO' -p137246 -aS'as\tas\tIN\tI-CONJP\tO' -p137247 -aS'her\ther\tPRP$\tB-NP\tO' -p137248 -aS'tube\ttube\tNN\tI-NP\tO' -p137249 -aS'feeds\tfeed\tNNS\tI-NP\tO' -p137250 -aS'.\t.\t.\tO\tO' -p137251 -asS'Chest CT scan was negative for pulmonary embolism but positive for consolidation .' -p137252 -(lp137253 -S'Chest\tCh\tJJS\tB-NP\tO' -p137254 -aS'CT\tCT\tNN\tI-NP\tO' -p137255 -aS'scan\tscan\tNN\tI-NP\tO' -p137256 -aS'was\tbe\tVBD\tB-VP\tO' -p137257 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p137258 -aS'for\tfor\tIN\tB-PP\tO' -p137259 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p137260 -aS'embolism\tembolism\tNN\tI-NP\tO' -p137261 -aS'but\tbut\tCC\tO\tO' -p137262 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p137263 -aS'for\tfor\tIN\tB-PP\tO' -p137264 -aS'consolidation\tconsolidation\tNN\tB-NP\tO' -p137265 -aS'.\t.\t.\tO\tO' -p137266 -asS'Her lasix was increased to 60 mg bid .' -p137267 -(lp137268 -S'Her\tHer\tPRP$\tB-NP\tO' -p137269 -aS'lasix\tlasix\tNN\tI-NP\tO' -p137270 -aS'was\tbe\tVBD\tB-VP\tO' -p137271 -aS'increased\tincrease\tVBN\tI-VP\tO' -p137272 -aS'to\tto\tTO\tB-PP\tO' -p137273 -aS'60\t60\tCD\tB-NP\tO' -p137274 -aS'mg\tmg\tNN\tI-NP\tO' -p137275 -aS'bid\tbid\tRB\tB-ADVP\tO' -p137276 -aS'.\t.\t.\tO\tO' -p137277 -asS'Signed electronically by : DR. Shirley Bennett on : Sandra 2013-05-02 4:53 PM' -p137278 -(lp137279 -S'Signed\tSign\tVBN\tB-VP\tO' -p137280 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p137281 -aS'by\tby\tIN\tB-PP\tO' -p137282 -aS':\t:\t:\tO\tO' -p137283 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p137284 -aS'Shirley\tShirley\tNNP\tI-NP\tO' -p137285 -aS'Bennett\tBennett\tNNP\tI-NP\tO' -p137286 -aS'on\ton\tIN\tB-PP\tO' -p137287 -aS':\t:\t:\tO\tO' -p137288 -aS'Sandra\tSandra\tNNP\tB-NP\tO' -p137289 -aS'2013-05-02\t2013-05-02\tCD\tB-NP\tO' -p137290 -aS'4:53\t4:53\tCD\tI-NP\tO' -p137291 -aS'PM\tPM\tNN\tI-NP\tO' -p137292 -asS'ATNC , Pupils dialted at 5 mm but minimally reactive , anicteric' -p137293 -(lp137294 -S'ATNC\tATNC\tNN\tB-NP\tO' -p137295 -aS',\t,\t,\tO\tO' -p137296 -aS'Pupils\tPupil\tNNS\tB-NP\tO' -p137297 -aS'dialted\tdialte\tVBN\tB-VP\tO' -p137298 -aS'at\tat\tIN\tB-PP\tO' -p137299 -aS'5\t5\tCD\tB-NP\tO' -p137300 -aS'mm\tmm\tNN\tI-NP\tO' -p137301 -aS'but\tbut\tCC\tO\tO' -p137302 -aS'minimally\tminimally\tRB\tB-ADJP\tO' -p137303 -aS'reactive\treactive\tJJ\tI-ADJP\tO' -p137304 -aS',\t,\t,\tO\tO' -p137305 -aS'anicteric\tanicteric\tJJ\tB-ADJP\tO' -p137306 -asS"The patient 's narcotic and CMED CCU regimen was evaluated by psychiatry during her delirium ." -p137307 -(lp137308 -S'The\tThe\tDT\tB-NP\tO' -p137309 -aS'patient\tpatient\tNN\tI-NP\tO' -p137310 -aS"'s\t's\tPOS\tB-NP\tO" -p137311 -aS'narcotic\tnarcotic\tJJ\tI-NP\tO' -p137312 -aS'and\tand\tCC\tI-NP\tO' -p137313 -aS'CMED\tCMED\tVBN\tI-NP\tO' -p137314 -aS'CCU\tCCU\tNN\tI-NP\tO' -p137315 -aS'regimen\tregimen\tNN\tI-NP\tO' -p137316 -aS'was\tbe\tVBD\tB-VP\tO' -p137317 -aS'evaluated\tevaluate\tVBN\tI-VP\tO' -p137318 -aS'by\tby\tIN\tB-PP\tO' -p137319 -aS'psychiatry\tpsychiatry\tNN\tB-NP\tO' -p137320 -aS'during\tduring\tIN\tB-PP\tO' -p137321 -aS'her\ther\tPRP$\tB-NP\tO' -p137322 -aS'delirium\tdelirium\tNN\tI-NP\tO' -p137323 -aS'.\t.\t.\tO\tO' -p137324 -asS'By postoperative day two , the patient had remained in sinus rhythm and his Lopressor was increased .' -p137325 -(lp137326 -S'By\tBy\tIN\tB-PP\tO' -p137327 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p137328 -aS'day\tday\tNN\tI-NP\tO' -p137329 -aS'two\ttwo\tCD\tB-NP\tO' -p137330 -aS',\t,\t,\tO\tO' -p137331 -aS'the\tthe\tDT\tB-NP\tO' -p137332 -aS'patient\tpatient\tNN\tI-NP\tO' -p137333 -aS'had\thave\tVBD\tB-VP\tO' -p137334 -aS'remained\tremain\tVBN\tI-VP\tO' -p137335 -aS'in\tin\tIN\tB-PP\tO' -p137336 -aS'sinus\tsinus\tNN\tB-NP\tO' -p137337 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p137338 -aS'and\tand\tCC\tO\tO' -p137339 -aS'his\this\tPRP$\tB-NP\tO' -p137340 -aS'Lopressor\tLopressor\tNN\tI-NP\tB-protein' -p137341 -aS'was\tbe\tVBD\tB-VP\tO' -p137342 -aS'increased\tincrease\tVBN\tI-VP\tO' -p137343 -aS'.\t.\t.\tO\tO' -p137344 -asS'She is currently being seen by Addison Gilbert Hospital Group .' -p137345 -(lp137346 -S'She\tShe\tPRP\tB-NP\tO' -p137347 -aS'is\tbe\tVBZ\tB-VP\tO' -p137348 -aS'currently\tcurrently\tRB\tI-VP\tO' -p137349 -aS'being\tbe\tVBG\tI-VP\tO' -p137350 -aS'seen\tsee\tVBN\tI-VP\tO' -p137351 -aS'by\tby\tIN\tB-PP\tO' -p137352 -aS'Addison\tAddison\tNNP\tB-NP\tO' -p137353 -aS'Gilbert\tGilbert\tNNP\tI-NP\tO' -p137354 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p137355 -aS'Group\tGroup\tNNP\tI-NP\tO' -p137356 -aS'.\t.\t.\tO\tO' -p137357 -asS'She remained NPO with IV fluids , foley catheter and Dilaudid IV for pain control , Unasyn for antibiotic coverage .' -p137358 -(lp137359 -S'She\tShe\tPRP\tB-NP\tO' -p137360 -aS'remained\tremain\tVBD\tB-VP\tO' -p137361 -aS'NPO\tNPO\tNN\tB-NP\tB-protein' -p137362 -aS'with\twith\tIN\tB-PP\tO' -p137363 -aS'IV\tIV\tCD\tB-NP\tO' -p137364 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p137365 -aS',\t,\t,\tO\tO' -p137366 -aS'foley\tfoley\tJJ\tB-NP\tO' -p137367 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p137368 -aS'and\tand\tCC\tO\tO' -p137369 -aS'Dilaudid\tDilaudid\tVBD\tB-VP\tO' -p137370 -aS'IV\tIV\tCD\tB-NP\tO' -p137371 -aS'for\tfor\tIN\tB-PP\tO' -p137372 -aS'pain\tpain\tNN\tB-NP\tO' -p137373 -aS'control\tcontrol\tNN\tI-NP\tO' -p137374 -aS',\t,\t,\tO\tO' -p137375 -aS'Unasyn\tUnasyn\tIN\tB-PP\tO' -p137376 -aS'for\tfor\tIN\tB-PP\tO' -p137377 -aS'antibiotic\tantibiotic\tJJ\tB-NP\tO' -p137378 -aS'coverage\tcoverage\tNN\tI-NP\tO' -p137379 -aS'.\t.\t.\tO\tO' -p137380 -asS'Dr. Marie Anderson performed the surgery .' -p137381 -(lp137382 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p137383 -aS'Marie\tMarie\tNNP\tI-NP\tO' -p137384 -aS'Anderson\tAnderson\tNNP\tI-NP\tO' -p137385 -aS'performed\tperform\tVBD\tB-VP\tO' -p137386 -aS'the\tthe\tDT\tB-NP\tO' -p137387 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p137388 -aS'.\t.\t.\tO\tO' -p137389 -asS'He had an INR of 1.1 .' -p137390 -(lp137391 -S'He\tHe\tPRP\tB-NP\tO' -p137392 -aS'had\thave\tVBD\tB-VP\tO' -p137393 -aS'an\tan\tDT\tB-NP\tO' -p137394 -aS'INR\tINR\tNN\tI-NP\tB-protein' -p137395 -aS'of\tof\tIN\tB-PP\tO' -p137396 -aS'1.1\t1.1\tCD\tB-NP\tO' -p137397 -aS'.\t.\t.\tO\tO' -p137398 -asS'No tobacco , no alcohol , lives with wife .' -p137399 -(lp137400 -S'No\tNo\tDT\tB-NP\tO' -p137401 -aS'tobacco\ttobacco\tNN\tI-NP\tO' -p137402 -aS',\t,\t,\tO\tO' -p137403 -aS'no\tno\tDT\tB-NP\tO' -p137404 -aS'alcohol\talcohol\tNN\tI-NP\tO' -p137405 -aS',\t,\t,\tO\tO' -p137406 -aS'lives\tlive\tVBZ\tB-VP\tO' -p137407 -aS'with\twith\tIN\tB-PP\tO' -p137408 -aS'wife\twife\tNN\tB-NP\tO' -p137409 -aS'.\t.\t.\tO\tO' -p137410 -asS'Fetal monitoring initially on admission was appropriate for gestational age .' -p137411 -(lp137412 -S'Fetal\tFetal\tJJ\tB-NP\tO' -p137413 -aS'monitoring\tmonitoring\tNN\tI-NP\tO' -p137414 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p137415 -aS'on\ton\tIN\tB-PP\tO' -p137416 -aS'admission\tadmission\tNN\tB-NP\tO' -p137417 -aS'was\tbe\tVBD\tB-VP\tO' -p137418 -aS'appropriate\tappropriate\tJJ\tB-ADJP\tO' -p137419 -aS'for\tfor\tIN\tB-PP\tO' -p137420 -aS'gestational\tgestational\tJJ\tB-NP\tO' -p137421 -aS'age\tage\tNN\tI-NP\tO' -p137422 -aS'.\t.\t.\tO\tO' -p137423 -asS'On 11/22/04 , she was noted to have gram-positive cocci in her sputum .' -p137424 -(lp137425 -S'On\tOn\tIN\tB-PP\tO' -p137426 -aS'11/22/04\t11/22/04\tCD\tB-NP\tO' -p137427 -aS',\t,\t,\tO\tO' -p137428 -aS'she\tshe\tPRP\tB-NP\tO' -p137429 -aS'was\tbe\tVBD\tB-VP\tO' -p137430 -aS'noted\tnote\tVBN\tI-VP\tO' -p137431 -aS'to\tto\tTO\tI-VP\tO' -p137432 -aS'have\thave\tVB\tI-VP\tO' -p137433 -aS'gram-positive\tgram-positive\tJJ\tB-NP\tO' -p137434 -aS'cocci\tcoccus\tNNS\tI-NP\tO' -p137435 -aS'in\tin\tIN\tB-PP\tO' -p137436 -aS'her\ther\tPRP$\tB-NP\tO' -p137437 -aS'sputum\tsputum\tNN\tI-NP\tO' -p137438 -aS'.\t.\t.\tO\tO' -p137439 -asS'His father recently died of ESRD and diabetes .' -p137440 -(lp137441 -S'His\tHis\tPRP$\tB-NP\tO' -p137442 -aS'father\tfather\tNN\tI-NP\tO' -p137443 -aS'recently\trecently\tRB\tB-ADVP\tO' -p137444 -aS'died\tdie\tVBD\tB-VP\tO' -p137445 -aS'of\tof\tIN\tB-PP\tO' -p137446 -aS'ESRD\tESRD\tNNP\tB-NP\tO' -p137447 -aS'and\tand\tCC\tI-NP\tO' -p137448 -aS'diabetes\tdiabete\tNNS\tI-NP\tO' -p137449 -aS'.\t.\t.\tO\tO' -p137450 -asS'1) Moderate to severe right hydroureteronephrosis with two obstructing distal right ureteral stones , 8 mm and 6 mm respectively .' -p137451 -(lp137452 -S'1)\t1)\tLS\tB-LST\tO' -p137453 -aS'Moderate\tModerate\tNNP\tB-NP\tO' -p137454 -aS'to\tto\tTO\tB-VP\tO' -p137455 -aS'severe\tsevere\tVB\tI-VP\tO' -p137456 -aS'right\tright\tJJ\tB-NP\tO' -p137457 -aS'hydroureteronephrosis\thydroureteronephrosis\tNN\tI-NP\tO' -p137458 -aS'with\twith\tIN\tB-PP\tO' -p137459 -aS'two\ttwo\tCD\tB-NP\tO' -p137460 -aS'obstructing\tobstruct\tVBG\tI-NP\tO' -p137461 -aS'distal\tdistal\tJJ\tI-NP\tO' -p137462 -aS'right\tright\tJJ\tI-NP\tO' -p137463 -aS'ureteral\tureteral\tJJ\tI-NP\tO' -p137464 -aS'stones\tstone\tNNS\tI-NP\tO' -p137465 -aS',\t,\t,\tO\tO' -p137466 -aS'8\t8\tCD\tB-NP\tO' -p137467 -aS'mm\tmm\tNN\tI-NP\tO' -p137468 -aS'and\tand\tCC\tI-NP\tO' -p137469 -aS'6\t6\tCD\tI-NP\tO' -p137470 -aS'mm\tmm\tNN\tI-NP\tO' -p137471 -aS'respectively\trespectively\tRB\tB-ADVP\tO' -p137472 -aS'.\t.\t.\tO\tO' -p137473 -asS'4. Protonix 40 mg once daily .' -p137474 -(lp137475 -S'4.\t4.\tLS\tB-NP\tO' -p137476 -aS'Protonix\tProtonix\tNNP\tI-NP\tO' -p137477 -aS'40\t40\tCD\tI-NP\tO' -p137478 -aS'mg\tmg\tNN\tI-NP\tO' -p137479 -aS'once\tonce\tRB\tB-ADVP\tO' -p137480 -aS'daily\tdaily\tRB\tI-ADVP\tO' -p137481 -aS'.\t.\t.\tO\tO' -p137482 -asS'Make an appointment with Dr. Keller for 4-5 weeks .' -p137483 -(lp137484 -S'Make\tMake\tVB\tB-VP\tO' -p137485 -aS'an\tan\tDT\tB-NP\tO' -p137486 -aS'appointment\tappointment\tNN\tI-NP\tO' -p137487 -aS'with\twith\tIN\tB-PP\tO' -p137488 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p137489 -aS'Keller\tKeller\tNNP\tI-NP\tO' -p137490 -aS'for\tfor\tIN\tB-PP\tO' -p137491 -aS'4-5\t4-5\tCD\tB-NP\tO' -p137492 -aS'weeks\tweek\tNNS\tI-NP\tO' -p137493 -aS'.\t.\t.\tO\tO' -p137494 -asS"The patient 's hematocrit at delivery was 48 , with a white count of 11.2 and platelets of 301,000 ." -p137495 -(lp137496 -S'The\tThe\tDT\tB-NP\tO' -p137497 -aS'patient\tpatient\tNN\tI-NP\tO' -p137498 -aS"'s\t's\tPOS\tB-NP\tO" -p137499 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p137500 -aS'at\tat\tIN\tB-PP\tO' -p137501 -aS'delivery\tdelivery\tNN\tB-NP\tO' -p137502 -aS'was\tbe\tVBD\tB-VP\tO' -p137503 -aS'48\t48\tCD\tB-NP\tO' -p137504 -aS',\t,\t,\tO\tO' -p137505 -aS'with\twith\tIN\tB-PP\tO' -p137506 -aS'a\ta\tDT\tB-NP\tO' -p137507 -aS'white\twhite\tJJ\tI-NP\tO' -p137508 -aS'count\tcount\tNN\tI-NP\tO' -p137509 -aS'of\tof\tIN\tB-PP\tO' -p137510 -aS'11.2\t11.2\tCD\tB-NP\tO' -p137511 -aS'and\tand\tCC\tO\tO' -p137512 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p137513 -aS'of\tof\tIN\tB-PP\tO' -p137514 -aS'301,000\t301,000\tCD\tB-NP\tO' -p137515 -aS'.\t.\t.\tO\tO' -p137516 -asS'1. Bisacodyl 5 mg Tablet Sig : Two ( 2 ) Tablet PO DAILY ( Daily ) as needed for constipation .' -p137517 -(lp137518 -S'1.\t1.\tLS\tB-NP\tO' -p137519 -aS'Bisacodyl\tBisacodyl\tNN\tI-NP\tO' -p137520 -aS'5\t5\tCD\tI-NP\tO' -p137521 -aS'mg\tmg\tNN\tI-NP\tO' -p137522 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p137523 -aS'Sig\tSig\tNNP\tI-NP\tO' -p137524 -aS':\t:\t:\tO\tO' -p137525 -aS'Two\tTwo\tCD\tB-NP\tO' -p137526 -aS'(\t(\t(\tO\tO' -p137527 -aS'2\t2\tCD\tO\tO' -p137528 -aS')\t)\t)\tO\tO' -p137529 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p137530 -aS'PO\tPO\tNN\tI-NP\tO' -p137531 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p137532 -aS'(\t(\t(\tO\tO' -p137533 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p137534 -aS')\t)\t)\tO\tO' -p137535 -aS'as\tas\tIN\tB-SBAR\tO' -p137536 -aS'needed\tneed\tVBN\tB-VP\tO' -p137537 -aS'for\tfor\tIN\tB-PP\tO' -p137538 -aS'constipation\tconstipation\tNN\tB-NP\tO' -p137539 -aS'.\t.\t.\tO\tO' -p137540 -asS'3 ) Status post hysterectomy .' -p137541 -(lp137542 -S'3\t3\tLS\tB-LST\tO' -p137543 -aS')\t)\t)\tO\tO' -p137544 -aS'Status\tStatus\tNN\tB-NP\tO' -p137545 -aS'post\tpost\tNN\tI-NP\tO' -p137546 -aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' -p137547 -aS'.\t.\t.\tO\tO' -p137548 -asS'Her strength was 05-31 throughout except for right was not tested due to the angiocele in her groin .' -p137549 -(lp137550 -S'Her\tHer\tPRP$\tB-NP\tO' -p137551 -aS'strength\tstrength\tNN\tI-NP\tO' -p137552 -aS'was\tbe\tVBD\tB-VP\tO' -p137553 -aS'05-31\t05-31\tCD\tB-NP\tO' -p137554 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p137555 -aS'except\texcept\tIN\tB-PP\tO' -p137556 -aS'for\tfor\tIN\tB-PP\tO' -p137557 -aS'right\tright\tNN\tB-NP\tO' -p137558 -aS'was\tbe\tVBD\tB-VP\tO' -p137559 -aS'not\tnot\tRB\tI-VP\tO' -p137560 -aS'tested\ttest\tVBN\tI-VP\tO' -p137561 -aS'due\tdue\tJJ\tB-ADJP\tO' -p137562 -aS'to\tto\tTO\tB-PP\tO' -p137563 -aS'the\tthe\tDT\tB-NP\tO' -p137564 -aS'angiocele\tangiocele\tNN\tI-NP\tO' -p137565 -aS'in\tin\tIN\tB-PP\tO' -p137566 -aS'her\ther\tPRP$\tB-NP\tO' -p137567 -aS'groin\tgroin\tNN\tI-NP\tO' -p137568 -aS'.\t.\t.\tO\tO' -p137569 -asS'KLEBSIELLA PNEUMONIAE .' -p137570 -(lp137571 -S'KLEBSIELLA\tKLEBSIELLA\tNN\tB-NP\tO' -p137572 -aS'PNEUMONIAE\tPNEUMONIAE\tNN\tI-NP\tO' -p137573 -aS'.\t.\t.\tO\tO' -p137574 -asS'History of breast cancer .' -p137575 -(lp137576 -S'History\tHistory\tNN\tB-NP\tO' -p137577 -aS'of\tof\tIN\tB-PP\tO' -p137578 -aS'breast\tbreast\tNN\tB-NP\tO' -p137579 -aS'cancer\tcancer\tNN\tI-NP\tO' -p137580 -aS'.\t.\t.\tO\tO' -p137581 -asS'Positive for diabetes .' -p137582 -(lp137583 -S'Positive\tPositive\tJJ\tB-ADJP\tO' -p137584 -aS'for\tfor\tIN\tB-PP\tO' -p137585 -aS'diabetes\tdiabete\tNNS\tB-NP\tO' -p137586 -aS'.\t.\t.\tO\tO' -p137587 -asS'In September 1992 CT myelogram showed a lateral L-1 S-1 disc bulge and small L-4-4 bulge .' -p137588 -(lp137589 -S'In\tIn\tIN\tB-PP\tO' -p137590 -aS'September\tSeptember\tNNP\tB-NP\tO' -p137591 -aS'1992\t1992\tCD\tI-NP\tO' -p137592 -aS'CT\tCT\tNN\tI-NP\tO' -p137593 -aS'myelogram\tmyelogram\tNN\tI-NP\tO' -p137594 -aS'showed\tshow\tVBD\tB-VP\tO' -p137595 -aS'a\ta\tDT\tB-NP\tO' -p137596 -aS'lateral\tlateral\tJJ\tI-NP\tO' -p137597 -aS'L-1\tL-1\tNN\tI-NP\tO' -p137598 -aS'S-1\tS-1\tNN\tI-NP\tO' -p137599 -aS'disc\tdisc\tNN\tI-NP\tO' -p137600 -aS'bulge\tbulge\tNN\tI-NP\tO' -p137601 -aS'and\tand\tCC\tO\tO' -p137602 -aS'small\tsmall\tJJ\tB-NP\tO' -p137603 -aS'L-4-4\tL-4-4\tNN\tI-NP\tO' -p137604 -aS'bulge\tbulge\tNN\tI-NP\tO' -p137605 -aS'.\t.\t.\tO\tO' -p137606 -asS'She had no spider angiomata , no palmar erythema , no xanthomas and no caput medusae .' -p137607 -(lp137608 -S'She\tShe\tPRP\tB-NP\tO' -p137609 -aS'had\thave\tVBD\tB-VP\tO' -p137610 -aS'no\tno\tDT\tB-NP\tO' -p137611 -aS'spider\tspider\tNN\tI-NP\tO' -p137612 -aS'angiomata\tangiomata\tNN\tI-NP\tO' -p137613 -aS',\t,\t,\tO\tO' -p137614 -aS'no\tno\tDT\tB-NP\tO' -p137615 -aS'palmar\tpalmar\tJJ\tI-NP\tO' -p137616 -aS'erythema\terythema\tNN\tI-NP\tO' -p137617 -aS',\t,\t,\tO\tO' -p137618 -aS'no\tno\tDT\tB-NP\tO' -p137619 -aS'xanthomas\txanthoma\tNNS\tI-NP\tO' -p137620 -aS'and\tand\tCC\tO\tO' -p137621 -aS'no\tno\tDT\tB-NP\tO' -p137622 -aS'caput\tcaput\tNN\tI-NP\tO' -p137623 -aS'medusae\tmedusa\tNNS\tI-NP\tO' -p137624 -aS'.\t.\t.\tO\tO' -p137625 -asS'Serial PTs were obtained , and the patient was noted to have an initial PT of 10.9 on admission , despite Coumadin at home .' -p137626 -(lp137627 -S'Serial\tSerial\tJJ\tB-NP\tO' -p137628 -aS'PTs\tPT\tNNS\tI-NP\tO' -p137629 -aS'were\tbe\tVBD\tB-VP\tO' -p137630 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p137631 -aS',\t,\t,\tO\tO' -p137632 -aS'and\tand\tCC\tO\tO' -p137633 -aS'the\tthe\tDT\tB-NP\tO' -p137634 -aS'patient\tpatient\tNN\tI-NP\tO' -p137635 -aS'was\tbe\tVBD\tB-VP\tO' -p137636 -aS'noted\tnote\tVBN\tI-VP\tO' -p137637 -aS'to\tto\tTO\tI-VP\tO' -p137638 -aS'have\thave\tVB\tI-VP\tO' -p137639 -aS'an\tan\tDT\tB-NP\tO' -p137640 -aS'initial\tinitial\tJJ\tI-NP\tO' -p137641 -aS'PT\tPT\tNN\tI-NP\tO' -p137642 -aS'of\tof\tIN\tB-PP\tO' -p137643 -aS'10.9\t10.9\tCD\tB-NP\tO' -p137644 -aS'on\ton\tIN\tB-PP\tO' -p137645 -aS'admission\tadmission\tNN\tB-NP\tO' -p137646 -aS',\t,\t,\tO\tO' -p137647 -aS'despite\tdespite\tIN\tB-PP\tO' -p137648 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p137649 -aS'at\tat\tIN\tB-PP\tO' -p137650 -aS'home\thome\tNN\tB-NP\tO' -p137651 -aS'.\t.\t.\tO\tO' -p137652 -asS'3. Interval development of tree-in-Eric nodular opacities and scattered ground glass opacities involving the right lung , concerning for an infectious process .' -p137653 -(lp137654 -S'3.\t3.\tLS\tB-NP\tO' -p137655 -aS'Interval\tInterval\tNN\tI-NP\tO' -p137656 -aS'development\tdevelopment\tNN\tI-NP\tO' -p137657 -aS'of\tof\tIN\tB-PP\tO' -p137658 -aS'tree-in-Eric\ttree-in-Eric\tJJ\tB-NP\tO' -p137659 -aS'nodular\tnodular\tJJ\tI-NP\tO' -p137660 -aS'opacities\topacity\tNNS\tI-NP\tO' -p137661 -aS'and\tand\tCC\tO\tO' -p137662 -aS'scattered\tscatter\tVBN\tB-NP\tO' -p137663 -aS'ground\tground\tNN\tI-NP\tO' -p137664 -aS'glass\tglass\tNN\tI-NP\tO' -p137665 -aS'opacities\topacity\tNNS\tI-NP\tO' -p137666 -aS'involving\tinvolve\tVBG\tB-VP\tO' -p137667 -aS'the\tthe\tDT\tB-NP\tO' -p137668 -aS'right\tright\tJJ\tI-NP\tO' -p137669 -aS'lung\tlung\tNN\tI-NP\tO' -p137670 -aS',\t,\t,\tO\tO' -p137671 -aS'concerning\tconcern\tVBG\tB-VP\tO' -p137672 -aS'for\tfor\tIN\tB-PP\tO' -p137673 -aS'an\tan\tDT\tB-NP\tO' -p137674 -aS'infectious\tinfectious\tJJ\tI-NP\tO' -p137675 -aS'process\tprocess\tNN\tI-NP\tO' -p137676 -aS'.\t.\t.\tO\tO' -p137677 -asS'He was admitted to the Neurology / Neurosurgery ICU .' -p137678 -(lp137679 -S'He\tHe\tPRP\tB-NP\tO' -p137680 -aS'was\tbe\tVBD\tB-VP\tO' -p137681 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p137682 -aS'to\tto\tTO\tB-PP\tO' -p137683 -aS'the\tthe\tDT\tB-NP\tO' -p137684 -aS'Neurology\tNeurology\tNN\tI-NP\tO' -p137685 -aS'/\t/\tSYM\tB-NP\tO' -p137686 -aS'Neurosurgery\tNeurosurgery\tNN\tI-NP\tB-protein' -p137687 -aS'ICU\tICU\tNN\tI-NP\tI-protein' -p137688 -aS'.\t.\t.\tO\tO' -p137689 -asS'The bladder appears unremarkable and contains a Foley catheter .' -p137690 -(lp137691 -S'The\tThe\tDT\tB-NP\tO' -p137692 -aS'bladder\tbladder\tNN\tI-NP\tO' -p137693 -aS'appears\tappear\tVBZ\tB-VP\tO' -p137694 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p137695 -aS'and\tand\tCC\tO\tO' -p137696 -aS'contains\tcontain\tVBZ\tB-VP\tO' -p137697 -aS'a\ta\tDT\tB-NP\tO' -p137698 -aS'Foley\tFoley\tNNP\tI-NP\tO' -p137699 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p137700 -aS'.\t.\t.\tO\tO' -p137701 -asS'She continued to have a dense left hemianopsia , but otherwise was neurologically intact .' -p137702 -(lp137703 -S'She\tShe\tPRP\tB-NP\tO' -p137704 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p137705 -aS'to\tto\tTO\tI-VP\tO' -p137706 -aS'have\thave\tVB\tI-VP\tO' -p137707 -aS'a\ta\tDT\tB-NP\tO' -p137708 -aS'dense\tdense\tJJ\tI-NP\tO' -p137709 -aS'left\tleft\tJJ\tI-NP\tO' -p137710 -aS'hemianopsia\themianopsia\tNN\tI-NP\tO' -p137711 -aS',\t,\t,\tO\tO' -p137712 -aS'but\tbut\tCC\tO\tO' -p137713 -aS'otherwise\totherwise\tRB\tB-VP\tO' -p137714 -aS'was\tbe\tVBD\tI-VP\tO' -p137715 -aS'neurologically\tneurologically\tRB\tB-ADJP\tO' -p137716 -aS'intact\tintact\tJJ\tI-ADJP\tO' -p137717 -aS'.\t.\t.\tO\tO' -p137718 -asS'3. Rule out sepsis .' -p137719 -(lp137720 -S'3.\t3.\tLS\tB-NP\tO' -p137721 -aS'Rule\tRule\tNN\tI-NP\tO' -p137722 -aS'out\tout\tIN\tB-PP\tO' -p137723 -aS'sepsis\tsepsis\tNN\tB-NP\tO' -p137724 -aS'.\t.\t.\tO\tO' -p137725 -asS'Attending : William I. Sundquist , M.D.' -p137726 -(lp137727 -S'Attending\tAttend\tVBG\tB-VP\tO' -p137728 -aS':\t:\t:\tO\tO' -p137729 -aS'William\tWilliam\tNNP\tB-NP\tO' -p137730 -aS'I.\tI.\tNNP\tI-NP\tO' -p137731 -aS'Sundquist\tSundquist\tNNP\tI-NP\tO' -p137732 -aS',\t,\t,\tO\tO' -p137733 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p137734 -asS'An MRI of the spine showed L4/5 facet enhancement .' -p137735 -(lp137736 -S'An\tAn\tDT\tB-NP\tO' -p137737 -aS'MRI\tMRI\tNN\tI-NP\tB-protein' -p137738 -aS'of\tof\tIN\tB-PP\tO' -p137739 -aS'the\tthe\tDT\tB-NP\tO' -p137740 -aS'spine\tspine\tNN\tI-NP\tO' -p137741 -aS'showed\tshow\tVBD\tB-VP\tO' -p137742 -aS'L4/5\tL4/5\tNN\tB-NP\tO' -p137743 -aS'facet\tfacet\tNN\tI-NP\tO' -p137744 -aS'enhancement\tenhancement\tNN\tI-NP\tO' -p137745 -aS'.\t.\t.\tO\tO' -p137746 -asS'1. Hepatitis C cirrhosis for which the patient was on the liver transplant list .' -p137747 -(lp137748 -S'1.\t1.\tLS\tB-NP\tO' -p137749 -aS'Hepatitis\tHepatitis\tNN\tI-NP\tO' -p137750 -aS'C\tC\tNN\tI-NP\tO' -p137751 -aS'cirrhosis\tcirrhosis\tNN\tI-NP\tO' -p137752 -aS'for\tfor\tIN\tB-PP\tO' -p137753 -aS'which\twhich\tWDT\tB-NP\tO' -p137754 -aS'the\tthe\tDT\tB-NP\tO' -p137755 -aS'patient\tpatient\tNN\tI-NP\tO' -p137756 -aS'was\tbe\tVBD\tB-VP\tO' -p137757 -aS'on\ton\tIN\tB-PP\tO' -p137758 -aS'the\tthe\tDT\tB-NP\tO' -p137759 -aS'liver\tliver\tNN\tI-NP\tO' -p137760 -aS'transplant\ttransplant\tNN\tI-NP\tO' -p137761 -aS'list\tlist\tNN\tI-NP\tO' -p137762 -aS'.\t.\t.\tO\tO' -p137763 -asS'A separate operative note has been dictated .' -p137764 -(lp137765 -S'A\tA\tDT\tB-NP\tO' -p137766 -aS'separate\tseparate\tJJ\tI-NP\tO' -p137767 -aS'operative\toperative\tJJ\tI-NP\tO' -p137768 -aS'note\tnote\tNN\tI-NP\tO' -p137769 -aS'has\thave\tVBZ\tB-VP\tO' -p137770 -aS'been\tbe\tVBN\tI-VP\tO' -p137771 -aS'dictated\tdictate\tVBN\tI-VP\tO' -p137772 -aS'.\t.\t.\tO\tO' -p137773 -asS'Briefly , the patient has a history of chronic obstructive pulmonary disease , ethanol abuse , chronic pleural effusions , and chronic renal insufficiency .' -p137774 -(lp137775 -S'Briefly\tBriefly\tNNP\tB-NP\tO' -p137776 -aS',\t,\t,\tO\tO' -p137777 -aS'the\tthe\tDT\tB-NP\tO' -p137778 -aS'patient\tpatient\tNN\tI-NP\tO' -p137779 -aS'has\thave\tVBZ\tB-VP\tO' -p137780 -aS'a\ta\tDT\tB-NP\tO' -p137781 -aS'history\thistory\tNN\tI-NP\tO' -p137782 -aS'of\tof\tIN\tB-PP\tO' -p137783 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p137784 -aS'obstructive\tobstructive\tJJ\tI-NP\tO' -p137785 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p137786 -aS'disease\tdisease\tNN\tI-NP\tO' -p137787 -aS',\t,\t,\tO\tO' -p137788 -aS'ethanol\tethanol\tNN\tB-NP\tO' -p137789 -aS'abuse\tabuse\tNN\tI-NP\tO' -p137790 -aS',\t,\t,\tO\tO' -p137791 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p137792 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p137793 -aS'effusions\teffusion\tNNS\tI-NP\tO' -p137794 -aS',\t,\t,\tO\tO' -p137795 -aS'and\tand\tCC\tO\tO' -p137796 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p137797 -aS'renal\trenal\tJJ\tI-NP\tO' -p137798 -aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' -p137799 -aS'.\t.\t.\tO\tO' -p137800 -asS'It was decided to place more drains and pack the lesser sac with Adaptic and laparotomy pads .' -p137801 -(lp137802 -S'It\tIt\tPRP\tB-NP\tO' -p137803 -aS'was\tbe\tVBD\tB-VP\tO' -p137804 -aS'decided\tdecide\tVBN\tI-VP\tO' -p137805 -aS'to\tto\tTO\tI-VP\tO' -p137806 -aS'place\tplace\tVB\tI-VP\tO' -p137807 -aS'more\tmore\tJJR\tB-NP\tO' -p137808 -aS'drains\tdrain\tNNS\tI-NP\tO' -p137809 -aS'and\tand\tCC\tO\tO' -p137810 -aS'pack\tpack\tVB\tB-VP\tO' -p137811 -aS'the\tthe\tDT\tB-NP\tO' -p137812 -aS'lesser\tless\tJJR\tI-NP\tO' -p137813 -aS'sac\tsac\tNN\tI-NP\tO' -p137814 -aS'with\twith\tIN\tB-PP\tO' -p137815 -aS'Adaptic\tAdaptic\tJJ\tB-NP\tO' -p137816 -aS'and\tand\tCC\tI-NP\tO' -p137817 -aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' -p137818 -aS'pads\tpad\tNNS\tI-NP\tO' -p137819 -aS'.\t.\t.\tO\tO' -p137820 -asS"2. Diabetes mellitus type 2 since age 25 ; now currently on insulin , which is complicated by peripheral neuropathy , nephropathy and Charcot 's foot ." -p137821 -(lp137822 -S'2.\t2.\tLS\tB-NP\tO' -p137823 -aS'Diabetes\tDiabetes\tNN\tI-NP\tO' -p137824 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p137825 -aS'type\ttype\tNN\tI-NP\tO' -p137826 -aS'2\t2\tCD\tI-NP\tO' -p137827 -aS'since\tsince\tIN\tB-SBAR\tO' -p137828 -aS'age\tage\tNN\tB-NP\tO' -p137829 -aS'25\t25\tCD\tI-NP\tO' -p137830 -aS';\t;\t:\tO\tO' -p137831 -aS'now\tnow\tRB\tB-ADVP\tO' -p137832 -aS'currently\tcurrently\tRB\tB-ADVP\tO' -p137833 -aS'on\ton\tIN\tB-PP\tO' -p137834 -aS'insulin\tinsulin\tNN\tB-NP\tB-protein' -p137835 -aS',\t,\t,\tO\tO' -p137836 -aS'which\twhich\tWDT\tB-NP\tO' -p137837 -aS'is\tbe\tVBZ\tB-VP\tO' -p137838 -aS'complicated\tcomplicate\tVBN\tI-VP\tO' -p137839 -aS'by\tby\tIN\tB-PP\tO' -p137840 -aS'peripheral\tperipheral\tJJ\tB-NP\tO' -p137841 -aS'neuropathy\tneuropathy\tNN\tI-NP\tO' -p137842 -aS',\t,\t,\tO\tO' -p137843 -aS'nephropathy\tnephropathy\tNN\tB-NP\tO' -p137844 -aS'and\tand\tCC\tO\tO' -p137845 -aS'Charcot\tCharcot\tNNP\tB-NP\tO' -p137846 -aS"'s\t's\tPOS\tB-NP\tO" -p137847 -aS'foot\tfoot\tNN\tI-NP\tO' -p137848 -aS'.\t.\t.\tO\tO' -p137849 -asS'Facial sensation is sensation .' -p137850 -(lp137851 -S'Facial\tFacial\tJJ\tB-NP\tO' -p137852 -aS'sensation\tsensation\tNN\tI-NP\tO' -p137853 -aS'is\tbe\tVBZ\tB-VP\tO' -p137854 -aS'sensation\tsensation\tNN\tB-NP\tO' -p137855 -aS'.\t.\t.\tO\tO' -p137856 -asS'Not reviewed with patient .' -p137857 -(lp137858 -S'Not\tNot\tRB\tO\tO' -p137859 -aS'reviewed\treview\tVBN\tB-VP\tO' -p137860 -aS'with\twith\tIN\tB-PP\tO' -p137861 -aS'patient\tpatient\tNN\tB-NP\tO' -p137862 -aS'.\t.\t.\tO\tO' -p137863 -asS'The patient was referred to Dr. Rota for coronary artery bypass grafting .' -p137864 -(lp137865 -S'The\tThe\tDT\tB-NP\tO' -p137866 -aS'patient\tpatient\tNN\tI-NP\tO' -p137867 -aS'was\tbe\tVBD\tB-VP\tO' -p137868 -aS'referred\trefer\tVBN\tI-VP\tO' -p137869 -aS'to\tto\tTO\tB-PP\tO' -p137870 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p137871 -aS'Rota\tRota\tNNP\tI-NP\tO' -p137872 -aS'for\tfor\tIN\tB-PP\tO' -p137873 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p137874 -aS'artery\tartery\tNN\tI-NP\tO' -p137875 -aS'bypass\tbypass\tIN\tB-PP\tO' -p137876 -aS'grafting\tgrafting\tNN\tB-NP\tO' -p137877 -aS'.\t.\t.\tO\tO' -p137878 -asS'10. Skelaxin .' -p137879 -(lp137880 -S'10.\t10.\tLS\tB-NP\tO' -p137881 -aS'Skelaxin\tSkelaxin\tNN\tI-NP\tB-protein' -p137882 -aS'.\t.\t.\tO\tO' -p137883 -asS'( series 2 , image 23 ) , compatible with acute intraparenchymal hemorrhage .' -p137884 -(lp137885 -S'(\t(\t(\tO\tO' -p137886 -aS'series\tseries\tNN\tB-NP\tO' -p137887 -aS'2\t2\tCD\tI-NP\tO' -p137888 -aS',\t,\t,\tO\tO' -p137889 -aS'image\timage\tNN\tB-NP\tO' -p137890 -aS'23\t23\tCD\tI-NP\tO' -p137891 -aS')\t)\t)\tO\tO' -p137892 -aS',\t,\t,\tO\tO' -p137893 -aS'compatible\tcompatible\tJJ\tB-ADJP\tO' -p137894 -aS'with\twith\tIN\tB-PP\tO' -p137895 -aS'acute\tacute\tJJ\tB-NP\tO' -p137896 -aS'intraparenchymal\tintraparenchymal\tJJ\tI-NP\tO' -p137897 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p137898 -aS'.\t.\t.\tO\tO' -p137899 -asS'He was to follow up with Dr. Malta at Firmert Hospital on 07/23/04 at 3:00 p.m. , as well as Dr. Shawn Leick at the Stonho Health Care pulmonary division as directed .' -p137900 -(lp137901 -S'He\tHe\tPRP\tB-NP\tO' -p137902 -aS'was\tbe\tVBD\tB-VP\tO' -p137903 -aS'to\tto\tTO\tB-VP\tO' -p137904 -aS'follow\tfollow\tVB\tI-VP\tO' -p137905 -aS'up\tup\tRP\tB-PRT\tO' -p137906 -aS'with\twith\tIN\tB-PP\tO' -p137907 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p137908 -aS'Malta\tMalta\tNNP\tI-NP\tO' -p137909 -aS'at\tat\tIN\tB-PP\tO' -p137910 -aS'Firmert\tFirmert\tNNP\tB-NP\tO' -p137911 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p137912 -aS'on\ton\tIN\tB-PP\tO' -p137913 -aS'07/23/04\t07/23/04\tCD\tB-NP\tO' -p137914 -aS'at\tat\tIN\tB-PP\tO' -p137915 -aS'3:00\t3:00\tCD\tB-NP\tO' -p137916 -aS'p.m.\tp.m.\tNN\tI-NP\tO' -p137917 -aS',\t,\t,\tO\tO' -p137918 -aS'as\tas\tRB\tB-CONJP\tO' -p137919 -aS'well\twell\tRB\tI-CONJP\tO' -p137920 -aS'as\tas\tIN\tI-CONJP\tO' -p137921 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p137922 -aS'Shawn\tShawn\tNNP\tI-NP\tO' -p137923 -aS'Leick\tLeick\tNNP\tI-NP\tO' -p137924 -aS'at\tat\tIN\tB-PP\tO' -p137925 -aS'the\tthe\tDT\tB-NP\tO' -p137926 -aS'Stonho\tStonho\tNNP\tI-NP\tO' -p137927 -aS'Health\tHealth\tNNP\tI-NP\tO' -p137928 -aS'Care\tCare\tNNP\tI-NP\tO' -p137929 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p137930 -aS'division\tdivision\tNN\tI-NP\tO' -p137931 -aS'as\tas\tIN\tB-SBAR\tO' -p137932 -aS'directed\tdirect\tVBN\tB-VP\tO' -p137933 -aS'.\t.\t.\tO\tO' -p137934 -asS'2. Apnea of prematurity .' -p137935 -(lp137936 -S'2.\t2.\tLS\tB-NP\tO' -p137937 -aS'Apnea\tApnea\tNN\tI-NP\tO' -p137938 -aS'of\tof\tIN\tB-PP\tO' -p137939 -aS'prematurity\tprematurity\tNN\tB-NP\tO' -p137940 -aS'.\t.\t.\tO\tO' -p137941 -asS'6. Infectious disease .' -p137942 -(lp137943 -S'6.\t6.\tLS\tB-NP\tO' -p137944 -aS'Infectious\tInfectious\tJJ\tI-NP\tO' -p137945 -aS'disease\tdisease\tNN\tI-NP\tO' -p137946 -aS'.\t.\t.\tO\tO' -p137947 -asS'The patient was started on Levofloxacin 250 mg p.o. q. day times seven days for a possible nosocomial urinary tract infection .' -p137948 -(lp137949 -S'The\tThe\tDT\tB-NP\tO' -p137950 -aS'patient\tpatient\tNN\tI-NP\tO' -p137951 -aS'was\tbe\tVBD\tB-VP\tO' -p137952 -aS'started\tstart\tVBN\tI-VP\tO' -p137953 -aS'on\ton\tIN\tB-PP\tO' -p137954 -aS'Levofloxacin\tLevofloxacin\tNN\tB-NP\tO' -p137955 -aS'250\t250\tCD\tI-NP\tO' -p137956 -aS'mg\tmg\tNN\tI-NP\tO' -p137957 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p137958 -aS'q.\tq.\tNN\tI-NP\tO' -p137959 -aS'day\tday\tNN\tI-NP\tO' -p137960 -aS'times\ttime\tNNS\tI-NP\tO' -p137961 -aS'seven\tseven\tCD\tB-NP\tO' -p137962 -aS'days\tday\tNNS\tI-NP\tO' -p137963 -aS'for\tfor\tIN\tB-PP\tO' -p137964 -aS'a\ta\tDT\tB-NP\tO' -p137965 -aS'possible\tpossible\tJJ\tI-NP\tO' -p137966 -aS'nosocomial\tnosocomial\tJJ\tI-NP\tO' -p137967 -aS'urinary\turinary\tJJ\tI-NP\tO' -p137968 -aS'tract\ttract\tNN\tI-NP\tO' -p137969 -aS'infection\tinfection\tNN\tI-NP\tO' -p137970 -aS'.\t.\t.\tO\tO' -p137971 -asS'Attending : Sam K. Laudato , M.D.' -p137972 -(lp137973 -S'Attending\tAttend\tVBG\tB-VP\tO' -p137974 -aS':\t:\t:\tO\tO' -p137975 -aS'Sam\tSam\tNNP\tB-NP\tO' -p137976 -aS'K.\tK.\tNNP\tI-NP\tO' -p137977 -aS'Laudato\tLaudato\tNNP\tI-NP\tO' -p137978 -aS',\t,\t,\tO\tO' -p137979 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p137980 -asS'He did well post operatively and he was ready for discharge on 2019-10-07 .' -p137981 -(lp137982 -S'He\tHe\tPRP\tB-NP\tO' -p137983 -aS'did\tdo\tVBD\tB-VP\tO' -p137984 -aS'well\twell\tRB\tI-VP\tO' -p137985 -aS'post\tpost\tVBN\tI-VP\tO' -p137986 -aS'operatively\toperatively\tRB\tB-ADVP\tO' -p137987 -aS'and\tand\tCC\tO\tO' -p137988 -aS'he\the\tPRP\tB-NP\tO' -p137989 -aS'was\tbe\tVBD\tB-VP\tO' -p137990 -aS'ready\tready\tJJ\tB-ADJP\tO' -p137991 -aS'for\tfor\tIN\tB-PP\tO' -p137992 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p137993 -aS'on\ton\tIN\tB-PP\tO' -p137994 -aS'2019-10-07\t2019-10-07\tCD\tB-NP\tO' -p137995 -aS'.\t.\t.\tO\tO' -p137996 -asS'Cardiovascular : Complained of chest pain during first few days of admission , a cardiology consult was obtained .' -p137997 -(lp137998 -S'Cardiovascular\tCardiovascular\tJJ\tB-ADJP\tO' -p137999 -aS':\t:\t:\tO\tO' -p138000 -aS'Complained\tComplain\tVBN\tB-VP\tO' -p138001 -aS'of\tof\tIN\tB-PP\tO' -p138002 -aS'chest\tchest\tNN\tB-NP\tO' -p138003 -aS'pain\tpain\tNN\tI-NP\tO' -p138004 -aS'during\tduring\tIN\tB-PP\tO' -p138005 -aS'first\tfirst\tJJ\tB-NP\tO' -p138006 -aS'few\tfew\tJJ\tI-NP\tO' -p138007 -aS'days\tday\tNNS\tI-NP\tO' -p138008 -aS'of\tof\tIN\tB-PP\tO' -p138009 -aS'admission\tadmission\tNN\tB-NP\tO' -p138010 -aS',\t,\t,\tO\tO' -p138011 -aS'a\ta\tDT\tB-NP\tO' -p138012 -aS'cardiology\tcardiology\tNN\tI-NP\tO' -p138013 -aS'consult\tconsult\tNN\tI-NP\tO' -p138014 -aS'was\tbe\tVBD\tB-VP\tO' -p138015 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p138016 -aS'.\t.\t.\tO\tO' -p138017 -asS'She had excellent pancreas graft function immediately .' -p138018 -(lp138019 -S'She\tShe\tPRP\tB-NP\tO' -p138020 -aS'had\thave\tVBD\tB-VP\tO' -p138021 -aS'excellent\texcellent\tJJ\tB-NP\tO' -p138022 -aS'pancreas\tpancreas\tNN\tI-NP\tO' -p138023 -aS'graft\tgraft\tNN\tI-NP\tO' -p138024 -aS'function\tfunction\tNN\tI-NP\tO' -p138025 -aS'immediately\timmediately\tRB\tB-ADVP\tO' -p138026 -aS'.\t.\t.\tO\tO' -p138027 -asS'MITRAL STENOSIS .' -p138028 -(lp138029 -S'MITRAL\tMITRAL\tJJ\tB-NP\tO' -p138030 -aS'STENOSIS\tSTENOSIS\tNN\tI-NP\tO' -p138031 -aS'.\t.\t.\tO\tO' -p138032 -asS'At operation , there was no gross adenopathy or renal vein involvement , and it was felt that the tumor was completely excised .' -p138033 -(lp138034 -S'At\tAt\tIN\tB-PP\tO' -p138035 -aS'operation\toperation\tNN\tB-NP\tO' -p138036 -aS',\t,\t,\tO\tO' -p138037 -aS'there\tthere\tEX\tB-NP\tO' -p138038 -aS'was\tbe\tVBD\tB-VP\tO' -p138039 -aS'no\tno\tDT\tB-NP\tO' -p138040 -aS'gross\tgross\tJJ\tI-NP\tO' -p138041 -aS'adenopathy\tadenopathy\tNN\tI-NP\tO' -p138042 -aS'or\tor\tCC\tO\tO' -p138043 -aS'renal\trenal\tJJ\tB-NP\tO' -p138044 -aS'vein\tvein\tNN\tI-NP\tO' -p138045 -aS'involvement\tinvolvement\tNN\tI-NP\tO' -p138046 -aS',\t,\t,\tO\tO' -p138047 -aS'and\tand\tCC\tO\tO' -p138048 -aS'it\tit\tPRP\tB-NP\tO' -p138049 -aS'was\tbe\tVBD\tB-VP\tO' -p138050 -aS'felt\tfeel\tVBN\tI-VP\tO' -p138051 -aS'that\tthat\tIN\tB-SBAR\tO' -p138052 -aS'the\tthe\tDT\tB-NP\tO' -p138053 -aS'tumor\ttumor\tNN\tI-NP\tO' -p138054 -aS'was\tbe\tVBD\tB-VP\tO' -p138055 -aS'completely\tcompletely\tRB\tI-VP\tO' -p138056 -aS'excised\texcise\tVBN\tI-VP\tO' -p138057 -aS'.\t.\t.\tO\tO' -p138058 -asS'Her nausea was accompanied by abdominal pain for which she was treated with morphine .' -p138059 -(lp138060 -S'Her\tHer\tPRP$\tB-NP\tO' -p138061 -aS'nausea\tnausea\tNN\tI-NP\tO' -p138062 -aS'was\tbe\tVBD\tB-VP\tO' -p138063 -aS'accompanied\taccompany\tVBN\tI-VP\tO' -p138064 -aS'by\tby\tIN\tB-PP\tO' -p138065 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p138066 -aS'pain\tpain\tNN\tI-NP\tO' -p138067 -aS'for\tfor\tIN\tB-PP\tO' -p138068 -aS'which\twhich\tWDT\tB-NP\tO' -p138069 -aS'she\tshe\tPRP\tB-NP\tO' -p138070 -aS'was\tbe\tVBD\tB-VP\tO' -p138071 -aS'treated\ttreat\tVBN\tI-VP\tO' -p138072 -aS'with\twith\tIN\tB-PP\tO' -p138073 -aS'morphine\tmorphine\tNN\tB-NP\tO' -p138074 -aS'.\t.\t.\tO\tO' -p138075 -asS'Aspirin 325 mg p.o. every day .' -p138076 -(lp138077 -S'Aspirin\tAspirin\tNN\tB-NP\tO' -p138078 -aS'325\t325\tCD\tI-NP\tO' -p138079 -aS'mg\tmg\tNN\tI-NP\tO' -p138080 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p138081 -aS'every\tevery\tDT\tB-NP\tO' -p138082 -aS'day\tday\tNN\tI-NP\tO' -p138083 -aS'.\t.\t.\tO\tO' -p138084 -asS'What follows is a summary of her medical problems and their possible relationship to her ataxia .' -p138085 -(lp138086 -S'What\tWhat\tWP\tB-NP\tO' -p138087 -aS'follows\tfollow\tVBZ\tB-VP\tO' -p138088 -aS'is\tbe\tVBZ\tB-VP\tO' -p138089 -aS'a\ta\tDT\tB-NP\tO' -p138090 -aS'summary\tsummary\tNN\tI-NP\tO' -p138091 -aS'of\tof\tIN\tB-PP\tO' -p138092 -aS'her\ther\tPRP$\tB-NP\tO' -p138093 -aS'medical\tmedical\tJJ\tI-NP\tO' -p138094 -aS'problems\tproblem\tNNS\tI-NP\tO' -p138095 -aS'and\tand\tCC\tO\tO' -p138096 -aS'their\ttheir\tPRP$\tB-NP\tO' -p138097 -aS'possible\tpossible\tJJ\tI-NP\tO' -p138098 -aS'relationship\trelationship\tNN\tI-NP\tO' -p138099 -aS'to\tto\tTO\tB-PP\tO' -p138100 -aS'her\ther\tPRP$\tB-NP\tO' -p138101 -aS'ataxia\tataxia\tNN\tI-NP\tO' -p138102 -aS'.\t.\t.\tO\tO' -p138103 -asS'Plavix 75 mg. qday for four weeks .' -p138104 -(lp138105 -S'Plavix\tPlavix\tNN\tB-NP\tO' -p138106 -aS'75\t75\tCD\tI-NP\tO' -p138107 -aS'mg.\tmg.\tNN\tI-NP\tO' -p138108 -aS'qday\tqday\tNN\tI-NP\tO' -p138109 -aS'for\tfor\tIN\tB-PP\tO' -p138110 -aS'four\tfour\tCD\tB-NP\tO' -p138111 -aS'weeks\tweek\tNNS\tI-NP\tO' -p138112 -aS'.\t.\t.\tO\tO' -p138113 -asS'Chem7 showed sodium 138 , potassium 4.1 , chloride 107 , bicarbonate 20 , blood urea nitrogen 49 , creatinine 2.5 , glucose 156 .' -p138114 -(lp138115 -S'Chem7\tChem7\tNN\tB-NP\tB-protein' -p138116 -aS'showed\tshow\tVBD\tB-VP\tO' -p138117 -aS'sodium\tsodium\tNN\tB-NP\tO' -p138118 -aS'138\t138\tCD\tI-NP\tO' -p138119 -aS',\t,\t,\tO\tO' -p138120 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p138121 -aS'4.1\t4.1\tCD\tI-NP\tO' -p138122 -aS',\t,\t,\tO\tO' -p138123 -aS'chloride\tchloride\tNN\tB-NP\tO' -p138124 -aS'107\t107\tCD\tI-NP\tO' -p138125 -aS',\t,\t,\tO\tO' -p138126 -aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' -p138127 -aS'20\t20\tCD\tI-NP\tO' -p138128 -aS',\t,\t,\tO\tO' -p138129 -aS'blood\tblood\tNN\tB-NP\tO' -p138130 -aS'urea\turea\tNN\tI-NP\tO' -p138131 -aS'nitrogen\tnitrogen\tNN\tI-NP\tO' -p138132 -aS'49\t49\tCD\tI-NP\tO' -p138133 -aS',\t,\t,\tO\tO' -p138134 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p138135 -aS'2.5\t2.5\tCD\tI-NP\tO' -p138136 -aS',\t,\t,\tO\tO' -p138137 -aS'glucose\tglucose\tNN\tB-NP\tO' -p138138 -aS'156\t156\tCD\tI-NP\tO' -p138139 -aS'.\t.\t.\tO\tO' -p138140 -asS'IMPRESSION : Linear right temporal calvarial fracture extending into the mastoid process with small associated right posterior convexity subdural hematoma and pneumocephalus .' -p138141 -(lp138142 -S'IMPRESSION\tIMPRESSION\tNN\tB-NP\tO' -p138143 -aS':\t:\t:\tO\tO' -p138144 -aS'Linear\tLinear\tJJ\tB-NP\tO' -p138145 -aS'right\tright\tJJ\tI-NP\tO' -p138146 -aS'temporal\ttemporal\tJJ\tI-NP\tO' -p138147 -aS'calvarial\tcalvarial\tJJ\tI-NP\tO' -p138148 -aS'fracture\tfracture\tNN\tI-NP\tO' -p138149 -aS'extending\textend\tVBG\tB-VP\tO' -p138150 -aS'into\tinto\tIN\tB-PP\tO' -p138151 -aS'the\tthe\tDT\tB-NP\tO' -p138152 -aS'mastoid\tmastoid\tJJ\tI-NP\tO' -p138153 -aS'process\tprocess\tNN\tI-NP\tO' -p138154 -aS'with\twith\tIN\tB-PP\tO' -p138155 -aS'small\tsmall\tJJ\tB-NP\tO' -p138156 -aS'associated\tassociate\tVBN\tI-NP\tO' -p138157 -aS'right\tright\tJJ\tI-NP\tO' -p138158 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p138159 -aS'convexity\tconvexity\tNN\tI-NP\tO' -p138160 -aS'subdural\tsubdural\tJJ\tI-NP\tO' -p138161 -aS'hematoma\thematoma\tNN\tI-NP\tO' -p138162 -aS'and\tand\tCC\tI-NP\tO' -p138163 -aS'pneumocephalus\tpneumocephalus\tNN\tI-NP\tO' -p138164 -aS'.\t.\t.\tO\tO' -p138165 -asS'On the evening prior to admission , the patient was awoken with chest pressure radiating to the neck anginal' -p138166 -(lp138167 -S'On\tOn\tIN\tB-PP\tO' -p138168 -aS'the\tthe\tDT\tB-NP\tO' -p138169 -aS'evening\tevening\tNN\tI-NP\tO' -p138170 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p138171 -aS'to\tto\tTO\tB-PP\tO' -p138172 -aS'admission\tadmission\tNN\tB-NP\tO' -p138173 -aS',\t,\t,\tO\tO' -p138174 -aS'the\tthe\tDT\tB-NP\tO' -p138175 -aS'patient\tpatient\tNN\tI-NP\tO' -p138176 -aS'was\tbe\tVBD\tB-VP\tO' -p138177 -aS'awoken\tawake\tVBN\tI-VP\tO' -p138178 -aS'with\twith\tIN\tB-PP\tO' -p138179 -aS'chest\tchest\tNN\tB-NP\tO' -p138180 -aS'pressure\tpressure\tNN\tI-NP\tO' -p138181 -aS'radiating\tradiate\tVBG\tB-VP\tO' -p138182 -aS'to\tto\tTO\tB-PP\tO' -p138183 -aS'the\tthe\tDT\tB-NP\tO' -p138184 -aS'neck\tneck\tNN\tI-NP\tO' -p138185 -aS'anginal\tanginal\tJJ\tB-ADJP\tO' -p138186 -asS'The patient underwent radical retropubic prostatectomy on 2012-01-20 .' -p138187 -(lp138188 -S'The\tThe\tDT\tB-NP\tO' -p138189 -aS'patient\tpatient\tNN\tI-NP\tO' -p138190 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p138191 -aS'radical\tradical\tJJ\tB-NP\tO' -p138192 -aS'retropubic\tretropubic\tJJ\tI-NP\tO' -p138193 -aS'prostatectomy\tprostatectomy\tNN\tI-NP\tO' -p138194 -aS'on\ton\tIN\tB-PP\tO' -p138195 -aS'2012-01-20\t2012-01-20\tCD\tB-NP\tO' -p138196 -aS'.\t.\t.\tO\tO' -p138197 -asS'The patient was not started on antibiotics , given lack of sepsis risk factors .' -p138198 -(lp138199 -S'The\tThe\tDT\tB-NP\tO' -p138200 -aS'patient\tpatient\tNN\tI-NP\tO' -p138201 -aS'was\tbe\tVBD\tB-VP\tO' -p138202 -aS'not\tnot\tRB\tI-VP\tO' -p138203 -aS'started\tstart\tVBN\tI-VP\tO' -p138204 -aS'on\ton\tIN\tB-PP\tO' -p138205 -aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' -p138206 -aS',\t,\t,\tO\tO' -p138207 -aS'given\tgive\tVBN\tB-VP\tO' -p138208 -aS'lack\tlack\tNN\tB-NP\tO' -p138209 -aS'of\tof\tIN\tB-PP\tO' -p138210 -aS'sepsis\tsepsis\tNN\tB-NP\tB-protein' -p138211 -aS'risk\trisk\tNN\tI-NP\tI-protein' -p138212 -aS'factors\tfactor\tNNS\tI-NP\tI-protein' -p138213 -aS'.\t.\t.\tO\tO' -p138214 -asS'EKG showed tachycardia with a sinus rhythm of 103 , normal axis , normal intervals , no Q-waves , no ST-T wave changes .' -p138215 -(lp138216 -S'EKG\tEKG\tNN\tB-NP\tB-protein' -p138217 -aS'showed\tshow\tVBD\tB-VP\tO' -p138218 -aS'tachycardia\ttachycardia\tNN\tB-NP\tO' -p138219 -aS'with\twith\tIN\tB-PP\tO' -p138220 -aS'a\ta\tDT\tB-NP\tO' -p138221 -aS'sinus\tsinus\tNN\tI-NP\tO' -p138222 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p138223 -aS'of\tof\tIN\tB-PP\tO' -p138224 -aS'103\t103\tCD\tB-NP\tO' -p138225 -aS',\t,\t,\tO\tO' -p138226 -aS'normal\tnormal\tJJ\tB-NP\tO' -p138227 -aS'axis\taxis\tNN\tI-NP\tO' -p138228 -aS',\t,\t,\tO\tO' -p138229 -aS'normal\tnormal\tJJ\tB-NP\tO' -p138230 -aS'intervals\tinterval\tNNS\tI-NP\tO' -p138231 -aS',\t,\t,\tO\tO' -p138232 -aS'no\tno\tDT\tB-NP\tO' -p138233 -aS'Q-waves\tQ-waves\tNNP\tI-NP\tO' -p138234 -aS',\t,\t,\tO\tO' -p138235 -aS'no\tno\tDT\tB-NP\tO' -p138236 -aS'ST-T\tST-T\tNN\tI-NP\tO' -p138237 -aS'wave\twave\tNN\tI-NP\tO' -p138238 -aS'changes\tchange\tNNS\tI-NP\tO' -p138239 -aS'.\t.\t.\tO\tO' -p138240 -asS'2. Captopril 12.5 mg po tid .' -p138241 -(lp138242 -S'2.\t2.\tLS\tB-LST\tO' -p138243 -aS'Captopril\tCaptopril\tNNP\tB-NP\tO' -p138244 -aS'12.5\t12.5\tCD\tI-NP\tO' -p138245 -aS'mg\tmg\tNN\tI-NP\tO' -p138246 -aS'po\tpo\tNN\tI-NP\tO' -p138247 -aS'tid\ttid\tNN\tI-NP\tO' -p138248 -aS'.\t.\t.\tO\tO' -p138249 -asS'Urinalysis revealed 6 to 10 red blood cells , 0 to 2 white blood cells , 4 epithelial cells with Foley in place .' -p138250 -(lp138251 -S'Urinalysis\tUrinalysis\tNN\tB-NP\tO' -p138252 -aS'revealed\treveal\tVBD\tB-VP\tO' -p138253 -aS'6\t6\tCD\tB-NP\tO' -p138254 -aS'to\tto\tTO\tB-PP\tO' -p138255 -aS'10\t10\tCD\tB-NP\tO' -p138256 -aS'red\tred\tJJ\tI-NP\tO' -p138257 -aS'blood\tblood\tNN\tI-NP\tO' -p138258 -aS'cells\tcell\tNNS\tI-NP\tO' -p138259 -aS',\t,\t,\tO\tO' -p138260 -aS'0\t0\tCD\tB-NP\tO' -p138261 -aS'to\tto\tTO\tI-NP\tO' -p138262 -aS'2\t2\tCD\tI-NP\tO' -p138263 -aS'white\twhite\tJJ\tI-NP\tO' -p138264 -aS'blood\tblood\tNN\tI-NP\tO' -p138265 -aS'cells\tcell\tNNS\tI-NP\tO' -p138266 -aS',\t,\t,\tO\tO' -p138267 -aS'4\t4\tCD\tB-NP\tO' -p138268 -aS'epithelial\tepithelial\tJJ\tI-NP\tO' -p138269 -aS'cells\tcell\tNNS\tI-NP\tO' -p138270 -aS'with\twith\tIN\tB-PP\tO' -p138271 -aS'Foley\tFoley\tNNP\tB-NP\tO' -p138272 -aS'in\tin\tIN\tB-PP\tO' -p138273 -aS'place\tplace\tNN\tB-NP\tO' -p138274 -aS'.\t.\t.\tO\tO' -p138275 -asS'Signed electronically by : DR. Santos von der Ross on : Elizabeth 2013-02-21 3:05 PM' -p138276 -(lp138277 -S'Signed\tSign\tVBN\tB-VP\tO' -p138278 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p138279 -aS'by\tby\tIN\tB-PP\tO' -p138280 -aS':\t:\t:\tO\tO' -p138281 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p138282 -aS'Santos\tSantos\tNNP\tI-NP\tO' -p138283 -aS'von\tvon\tNNP\tI-NP\tO' -p138284 -aS'der\tder\tNNP\tI-NP\tO' -p138285 -aS'Ross\tRoss\tNNP\tI-NP\tO' -p138286 -aS'on\ton\tIN\tB-PP\tO' -p138287 -aS':\t:\t:\tO\tO' -p138288 -aS'Elizabeth\tElizabeth\tNNP\tB-NP\tO' -p138289 -aS'2013-02-21\t2013-02-21\tCD\tB-NP\tO' -p138290 -aS'3:05\t3:05\tCD\tI-NP\tO' -p138291 -aS'PM\tPM\tNN\tI-NP\tO' -p138292 -asS'Initial electrocardiogram showed a normal sinus rhythm at 65 , normal axis , 2-mm ST elevations in lead III , 1-mm ST elevations in aVF and V1 , 1-mm ST depressions in I and aVL ; consistent with an inferior and right ventricular infarction .' -p138293 -(lp138294 -S'Initial\tInitial\tJJ\tB-NP\tO' -p138295 -aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' -p138296 -aS'showed\tshow\tVBD\tB-VP\tO' -p138297 -aS'a\ta\tDT\tB-NP\tO' -p138298 -aS'normal\tnormal\tJJ\tI-NP\tO' -p138299 -aS'sinus\tsinus\tNN\tI-NP\tO' -p138300 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p138301 -aS'at\tat\tIN\tB-PP\tO' -p138302 -aS'65\t65\tCD\tB-NP\tO' -p138303 -aS',\t,\t,\tO\tO' -p138304 -aS'normal\tnormal\tJJ\tB-NP\tO' -p138305 -aS'axis\taxis\tNN\tI-NP\tO' -p138306 -aS',\t,\t,\tO\tO' -p138307 -aS'2-mm\t2-mm\tJJ\tB-NP\tO' -p138308 -aS'ST\tST\tJJ\tI-NP\tO' -p138309 -aS'elevations\televation\tNNS\tI-NP\tO' -p138310 -aS'in\tin\tIN\tB-PP\tO' -p138311 -aS'lead\tlead\tNN\tB-NP\tO' -p138312 -aS'III\tIII\tCD\tI-NP\tO' -p138313 -aS',\t,\t,\tO\tO' -p138314 -aS'1-mm\t1-mm\tJJ\tB-NP\tO' -p138315 -aS'ST\tST\tJJ\tI-NP\tO' -p138316 -aS'elevations\televation\tNNS\tI-NP\tO' -p138317 -aS'in\tin\tIN\tB-PP\tO' -p138318 -aS'aVF\taVF\tNN\tB-NP\tO' -p138319 -aS'and\tand\tCC\tI-NP\tO' -p138320 -aS'V1\tV1\tNN\tI-NP\tB-protein' -p138321 -aS',\t,\t,\tO\tO' -p138322 -aS'1-mm\t1-mm\tJJ\tB-NP\tO' -p138323 -aS'ST\tST\tJJ\tI-NP\tO' -p138324 -aS'depressions\tdepression\tNNS\tI-NP\tO' -p138325 -aS'in\tin\tIN\tB-PP\tO' -p138326 -aS'I\tI\tNN\tB-NP\tO' -p138327 -aS'and\tand\tCC\tI-NP\tO' -p138328 -aS'aVL\taVL\tNN\tI-NP\tO' -p138329 -aS';\t;\t:\tO\tO' -p138330 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p138331 -aS'with\twith\tIN\tB-PP\tO' -p138332 -aS'an\tan\tDT\tB-NP\tO' -p138333 -aS'inferior\tinferior\tJJ\tI-NP\tO' -p138334 -aS'and\tand\tCC\tI-NP\tO' -p138335 -aS'right\tright\tJJ\tI-NP\tO' -p138336 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p138337 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p138338 -aS'.\t.\t.\tO\tO' -p138339 -asS'On 06-21 the patient was seen by physical therapy .' -p138340 -(lp138341 -S'On\tOn\tIN\tB-PP\tO' -p138342 -aS'06-21\t06-21\tCD\tB-NP\tO' -p138343 -aS'the\tthe\tDT\tB-NP\tO' -p138344 -aS'patient\tpatient\tNN\tI-NP\tO' -p138345 -aS'was\tbe\tVBD\tB-VP\tO' -p138346 -aS'seen\tsee\tVBN\tI-VP\tO' -p138347 -aS'by\tby\tIN\tB-PP\tO' -p138348 -aS'physical\tphysical\tJJ\tB-NP\tO' -p138349 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p138350 -aS'.\t.\t.\tO\tO' -p138351 -asS'4) Chronic renal insufficiency .' -p138352 -(lp138353 -S'4)\t4)\tLS\tB-NP\tO' -p138354 -aS'Chronic\tChronic\tJJ\tI-NP\tO' -p138355 -aS'renal\trenal\tJJ\tI-NP\tO' -p138356 -aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' -p138357 -aS'.\t.\t.\tO\tO' -p138358 -asS'12. Docusate Sodium 100 mg Capsule Sig : One ( 1 ) Capsule PO BID ( 2 times a day ).' -p138359 -(lp138360 -S'12.\t12.\tLS\tB-NP\tO' -p138361 -aS'Docusate\tDocusate\tNNP\tI-NP\tO' -p138362 -aS'Sodium\tSodium\tNNP\tI-NP\tO' -p138363 -aS'100\t100\tCD\tI-NP\tO' -p138364 -aS'mg\tmg\tNN\tI-NP\tO' -p138365 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p138366 -aS'Sig\tSig\tNNP\tI-NP\tO' -p138367 -aS':\t:\t:\tO\tO' -p138368 -aS'One\tOne\tCD\tB-NP\tO' -p138369 -aS'(\t(\t(\tO\tO' -p138370 -aS'1\t1\tCD\tB-NP\tO' -p138371 -aS')\t)\t)\tO\tO' -p138372 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p138373 -aS'PO\tPO\tNNP\tI-NP\tO' -p138374 -aS'BID\tBID\tNNP\tI-NP\tO' -p138375 -aS'(\t(\t(\tO\tO' -p138376 -aS'2\t2\tCD\tB-NP\tO' -p138377 -aS'times\ttime\tNNS\tI-NP\tO' -p138378 -aS'a\ta\tDT\tB-NP\tO' -p138379 -aS'day\tday\tNN\tI-NP\tO' -p138380 -aS').\t).\t.\tO\tO' -p138381 -asS'The patient is a 75 year old Hispanic male with insulin dependent diabetes mellitus , status post a right above-knee amputation about five years ago , who reportedly approximately four months ago , he developed a small ulceration in the left great toe , which progressively worsened .' -p138382 -(lp138383 -S'The\tThe\tDT\tB-NP\tO' -p138384 -aS'patient\tpatient\tNN\tI-NP\tO' -p138385 -aS'is\tbe\tVBZ\tB-VP\tO' -p138386 -aS'a\ta\tDT\tB-NP\tO' -p138387 -aS'75\t75\tCD\tI-NP\tO' -p138388 -aS'year\tyear\tNN\tI-NP\tO' -p138389 -aS'old\told\tJJ\tI-NP\tO' -p138390 -aS'Hispanic\tHispanic\tJJ\tI-NP\tO' -p138391 -aS'male\tmale\tNN\tI-NP\tO' -p138392 -aS'with\twith\tIN\tB-PP\tO' -p138393 -aS'insulin\tinsulin\tNN\tB-NP\tB-protein' -p138394 -aS'dependent\tdependent\tJJ\tI-NP\tO' -p138395 -aS'diabetes\tdiabete\tNNS\tI-NP\tO' -p138396 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p138397 -aS',\t,\t,\tO\tO' -p138398 -aS'status\tstatus\tNN\tB-NP\tO' -p138399 -aS'post\tpost\tVBD\tB-VP\tO' -p138400 -aS'a\ta\tDT\tB-NP\tO' -p138401 -aS'right\tright\tJJ\tI-NP\tO' -p138402 -aS'above-knee\tabove-knee\tJJ\tI-NP\tO' -p138403 -aS'amputation\tamputation\tNN\tI-NP\tO' -p138404 -aS'about\tabout\tIN\tB-PP\tO' -p138405 -aS'five\tfive\tCD\tB-NP\tO' -p138406 -aS'years\tyear\tNNS\tI-NP\tO' -p138407 -aS'ago\tago\tRB\tB-ADVP\tO' -p138408 -aS',\t,\t,\tO\tO' -p138409 -aS'who\twho\tWP\tB-NP\tO' -p138410 -aS'reportedly\treportedly\tRB\tB-ADVP\tO' -p138411 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p138412 -aS'four\tfour\tCD\tI-NP\tO' -p138413 -aS'months\tmonth\tNNS\tI-NP\tO' -p138414 -aS'ago\tago\tRB\tB-ADVP\tO' -p138415 -aS',\t,\t,\tO\tO' -p138416 -aS'he\the\tPRP\tB-NP\tO' -p138417 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p138418 -aS'a\ta\tDT\tB-NP\tO' -p138419 -aS'small\tsmall\tJJ\tI-NP\tO' -p138420 -aS'ulceration\tulceration\tNN\tI-NP\tO' -p138421 -aS'in\tin\tIN\tB-PP\tO' -p138422 -aS'the\tthe\tDT\tB-NP\tO' -p138423 -aS'left\tleft\tJJ\tI-NP\tO' -p138424 -aS'great\tgreat\tJJ\tI-NP\tO' -p138425 -aS'toe\ttoe\tNN\tI-NP\tO' -p138426 -aS',\t,\t,\tO\tO' -p138427 -aS'which\twhich\tWDT\tB-NP\tO' -p138428 -aS'progressively\tprogressively\tRB\tB-ADVP\tO' -p138429 -aS'worsened\tworsen\tVBD\tB-VP\tO' -p138430 -aS'.\t.\t.\tO\tO' -p138431 -asS'Since admission , she ruled out for MI by enzymes , and had a right sided thoracentesis which yielded transudative fluid .' -p138432 -(lp138433 -S'Since\tSince\tIN\tB-PP\tO' -p138434 -aS'admission\tadmission\tNN\tB-NP\tO' -p138435 -aS',\t,\t,\tO\tO' -p138436 -aS'she\tshe\tPRP\tB-NP\tO' -p138437 -aS'ruled\trule\tVBD\tB-VP\tO' -p138438 -aS'out\tout\tRP\tB-PRT\tO' -p138439 -aS'for\tfor\tIN\tB-PP\tO' -p138440 -aS'MI\tMI\tNN\tB-NP\tO' -p138441 -aS'by\tby\tIN\tB-PP\tO' -p138442 -aS'enzymes\tenzyme\tNNS\tB-NP\tB-protein' -p138443 -aS',\t,\t,\tO\tO' -p138444 -aS'and\tand\tCC\tO\tO' -p138445 -aS'had\thave\tVBD\tB-VP\tO' -p138446 -aS'a\ta\tDT\tB-NP\tO' -p138447 -aS'right\tright\tJJ\tI-NP\tO' -p138448 -aS'sided\tsided\tJJ\tI-NP\tO' -p138449 -aS'thoracentesis\tthoracentesis\tNN\tI-NP\tO' -p138450 -aS'which\twhich\tWDT\tB-NP\tO' -p138451 -aS'yielded\tyield\tVBD\tB-VP\tO' -p138452 -aS'transudative\ttransudative\tJJ\tB-NP\tO' -p138453 -aS'fluid\tfluid\tNN\tI-NP\tO' -p138454 -aS'.\t.\t.\tO\tO' -p138455 -asS'In consultation with the Infectious Disease Service the patient was to stay on long term intravenous antibiotics .' -p138456 -(lp138457 -S'In\tIn\tIN\tB-PP\tO' -p138458 -aS'consultation\tconsultation\tNN\tB-NP\tO' -p138459 -aS'with\twith\tIN\tB-PP\tO' -p138460 -aS'the\tthe\tDT\tB-NP\tO' -p138461 -aS'Infectious\tInfectious\tNNP\tI-NP\tO' -p138462 -aS'Disease\tDisease\tNNP\tI-NP\tO' -p138463 -aS'Service\tService\tNNP\tI-NP\tO' -p138464 -aS'the\tthe\tDT\tB-NP\tO' -p138465 -aS'patient\tpatient\tNN\tI-NP\tO' -p138466 -aS'was\tbe\tVBD\tB-VP\tO' -p138467 -aS'to\tto\tTO\tB-VP\tO' -p138468 -aS'stay\tstay\tVB\tI-VP\tO' -p138469 -aS'on\ton\tIN\tB-PP\tO' -p138470 -aS'long\tlong\tJJ\tB-NP\tO' -p138471 -aS'term\tterm\tNN\tI-NP\tO' -p138472 -aS'intravenous\tintravenous\tJJ\tI-NP\tO' -p138473 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p138474 -aS'.\t.\t.\tO\tO' -p138475 -asS'White blood cell count was 10.2 , hematocrit of 37.5 , platelets of 236 .' -p138476 -(lp138477 -S'White\tWhite\tJJ\tB-NP\tO' -p138478 -aS'blood\tblood\tNN\tI-NP\tO' -p138479 -aS'cell\tcell\tNN\tI-NP\tO' -p138480 -aS'count\tcount\tNN\tI-NP\tO' -p138481 -aS'was\tbe\tVBD\tB-VP\tO' -p138482 -aS'10.2\t10.2\tCD\tB-NP\tO' -p138483 -aS',\t,\t,\tO\tO' -p138484 -aS'hematocrit\thematocrit\tNN\tB-NP\tO' -p138485 -aS'of\tof\tIN\tB-PP\tO' -p138486 -aS'37.5\t37.5\tCD\tB-NP\tO' -p138487 -aS',\t,\t,\tO\tO' -p138488 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p138489 -aS'of\tof\tIN\tB-PP\tO' -p138490 -aS'236\t236\tCD\tB-NP\tO' -p138491 -aS'.\t.\t.\tO\tO' -p138492 -asS'Varicella antibody positive , CMV antibody positive , toxo negative , RPR non reactive .' -p138493 -(lp138494 -S'Varicella\tVaricella\tNN\tB-NP\tO' -p138495 -aS'antibody\tantibody\tNN\tI-NP\tO' -p138496 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p138497 -aS',\t,\t,\tO\tO' -p138498 -aS'CMV\tCMV\tNN\tB-NP\tO' -p138499 -aS'antibody\tantibody\tNN\tI-NP\tO' -p138500 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p138501 -aS',\t,\t,\tO\tO' -p138502 -aS'toxo\ttoxo\tNN\tB-NP\tO' -p138503 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p138504 -aS',\t,\t,\tO\tO' -p138505 -aS'RPR\tRPR\tNN\tB-NP\tB-protein' -p138506 -aS'non\tnon\tAFX\tB-ADJP\tO' -p138507 -aS'reactive\treactive\tJJ\tI-ADJP\tO' -p138508 -aS'.\t.\t.\tO\tO' -p138509 -asS'Diet as tolerated .' -p138510 -(lp138511 -S'Diet\tDiet\tNN\tB-NP\tO' -p138512 -aS'as\tas\tIN\tB-PP\tO' -p138513 -aS'tolerated\ttolerate\tVBN\tB-VP\tO' -p138514 -aS'.\t.\t.\tO\tO' -p138515 -asS'There was normal bulk and tone .' -p138516 -(lp138517 -S'There\tThere\tEX\tB-NP\tO' -p138518 -aS'was\tbe\tVBD\tB-VP\tO' -p138519 -aS'normal\tnormal\tJJ\tB-NP\tO' -p138520 -aS'bulk\tbulk\tNN\tI-NP\tO' -p138521 -aS'and\tand\tCC\tI-NP\tO' -p138522 -aS'tone\ttone\tNN\tI-NP\tO' -p138523 -aS'.\t.\t.\tO\tO' -p138524 -asS'An MRI obtained and reviewed by the Hallmark Health System Radiology Department revealed focal gyral morphology consistent with prematurity , normal midline structures , normal myelination , no lesions , no signal abnormalities or extracerebral collections .' -p138525 -(lp138526 -S'An\tAn\tDT\tB-NP\tO' -p138527 -aS'MRI\tMRI\tNN\tI-NP\tO' -p138528 -aS'obtained\tobtain\tVBN\tB-VP\tO' -p138529 -aS'and\tand\tCC\tI-VP\tO' -p138530 -aS'reviewed\treview\tVBN\tI-VP\tO' -p138531 -aS'by\tby\tIN\tB-PP\tO' -p138532 -aS'the\tthe\tDT\tB-NP\tO' -p138533 -aS'Hallmark\tHallmark\tNNP\tI-NP\tO' -p138534 -aS'Health\tHealth\tNNP\tI-NP\tO' -p138535 -aS'System\tSystem\tNNP\tI-NP\tO' -p138536 -aS'Radiology\tRadiology\tNNP\tI-NP\tO' -p138537 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p138538 -aS'revealed\treveal\tVBD\tB-VP\tO' -p138539 -aS'focal\tfocal\tJJ\tB-NP\tO' -p138540 -aS'gyral\tgyral\tJJ\tI-NP\tO' -p138541 -aS'morphology\tmorphology\tNN\tI-NP\tO' -p138542 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p138543 -aS'with\twith\tIN\tB-PP\tO' -p138544 -aS'prematurity\tprematurity\tNN\tB-NP\tO' -p138545 -aS',\t,\t,\tO\tO' -p138546 -aS'normal\tnormal\tJJ\tB-NP\tO' -p138547 -aS'midline\tmidline\tNN\tI-NP\tO' -p138548 -aS'structures\tstructure\tNNS\tI-NP\tO' -p138549 -aS',\t,\t,\tO\tO' -p138550 -aS'normal\tnormal\tJJ\tB-NP\tO' -p138551 -aS'myelination\tmyelination\tNN\tI-NP\tO' -p138552 -aS',\t,\t,\tO\tO' -p138553 -aS'no\tno\tDT\tB-NP\tO' -p138554 -aS'lesions\tlesion\tNNS\tI-NP\tO' -p138555 -aS',\t,\t,\tO\tO' -p138556 -aS'no\tno\tDT\tB-NP\tO' -p138557 -aS'signal\tsignal\tNN\tI-NP\tO' -p138558 -aS'abnormalities\tabnormality\tNNS\tI-NP\tO' -p138559 -aS'or\tor\tCC\tO\tO' -p138560 -aS'extracerebral\textracerebral\tJJ\tB-NP\tO' -p138561 -aS'collections\tcollection\tNNS\tI-NP\tO' -p138562 -aS'.\t.\t.\tO\tO' -p138563 -asS'Because of the tongue injury and tachycardia as well as possible infection given her fevers or chills the GI Service transferred the patient to the CMED CCU for close observation .' -p138564 -(lp138565 -S'Because\tBecause\tIN\tB-PP\tO' -p138566 -aS'of\tof\tIN\tI-PP\tO' -p138567 -aS'the\tthe\tDT\tB-NP\tO' -p138568 -aS'tongue\ttongue\tNN\tI-NP\tO' -p138569 -aS'injury\tinjury\tNN\tI-NP\tO' -p138570 -aS'and\tand\tCC\tI-NP\tO' -p138571 -aS'tachycardia\ttachycardia\tNN\tI-NP\tO' -p138572 -aS'as\tas\tRB\tB-CONJP\tO' -p138573 -aS'well\twell\tRB\tI-CONJP\tO' -p138574 -aS'as\tas\tIN\tI-CONJP\tO' -p138575 -aS'possible\tpossible\tJJ\tB-NP\tO' -p138576 -aS'infection\tinfection\tNN\tI-NP\tO' -p138577 -aS'given\tgive\tVBN\tB-VP\tO' -p138578 -aS'her\ther\tPRP$\tB-NP\tO' -p138579 -aS'fevers\tfever\tNNS\tI-NP\tO' -p138580 -aS'or\tor\tCC\tI-NP\tO' -p138581 -aS'chills\tchill\tNNS\tI-NP\tO' -p138582 -aS'the\tthe\tDT\tB-NP\tO' -p138583 -aS'GI\tGI\tNNP\tI-NP\tO' -p138584 -aS'Service\tService\tNNP\tI-NP\tO' -p138585 -aS'transferred\ttransfer\tVBD\tB-VP\tO' -p138586 -aS'the\tthe\tDT\tB-NP\tO' -p138587 -aS'patient\tpatient\tNN\tI-NP\tO' -p138588 -aS'to\tto\tTO\tB-PP\tO' -p138589 -aS'the\tthe\tDT\tB-NP\tO' -p138590 -aS'CMED\tCMED\tVBN\tI-NP\tO' -p138591 -aS'CCU\tCCU\tNN\tI-NP\tO' -p138592 -aS'for\tfor\tIN\tB-PP\tO' -p138593 -aS'close\tclose\tJJ\tB-NP\tO' -p138594 -aS'observation\tobservation\tNN\tI-NP\tO' -p138595 -aS'.\t.\t.\tO\tO' -p138596 -asS'Patient denies CP , SOB , light headedness , or dizziness prior to of after the fall .' -p138597 -(lp138598 -S'Patient\tPatient\tNN\tB-NP\tO' -p138599 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p138600 -aS'CP\tCP\tNN\tB-NP\tB-DNA' -p138601 -aS',\t,\t,\tO\tO' -p138602 -aS'SOB\tSOB\tNN\tB-NP\tB-protein' -p138603 -aS',\t,\t,\tO\tO' -p138604 -aS'light\tlight\tJJ\tB-NP\tO' -p138605 -aS'headedness\theadedness\tNN\tI-NP\tO' -p138606 -aS',\t,\t,\tO\tO' -p138607 -aS'or\tor\tCC\tO\tO' -p138608 -aS'dizziness\tdizziness\tNN\tB-NP\tO' -p138609 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p138610 -aS'to\tto\tTO\tB-PP\tO' -p138611 -aS'of\tof\tIN\tB-PP\tO' -p138612 -aS'after\tafter\tIN\tB-PP\tO' -p138613 -aS'the\tthe\tDT\tB-NP\tO' -p138614 -aS'fall\tfall\tNN\tI-NP\tO' -p138615 -aS'.\t.\t.\tO\tO' -p138616 -asS"The patient 's condition on discharge was stable ." -p138617 -(lp138618 -S'The\tThe\tDT\tB-NP\tO' -p138619 -aS'patient\tpatient\tNN\tI-NP\tO' -p138620 -aS"'s\t's\tPOS\tB-NP\tO" -p138621 -aS'condition\tcondition\tNN\tI-NP\tO' -p138622 -aS'on\ton\tIN\tB-PP\tO' -p138623 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p138624 -aS'was\tbe\tVBD\tB-VP\tO' -p138625 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p138626 -aS'.\t.\t.\tO\tO' -p138627 -asS'Hematocrit was 45.2 with a platelet count of 132,000 , falling rapidly to 24,000 .' -p138628 -(lp138629 -S'Hematocrit\tHematocrit\tNN\tB-NP\tB-protein' -p138630 -aS'was\tbe\tVBD\tB-VP\tI-protein' -p138631 -aS'45.2\t45.2\tCD\tB-NP\tI-protein' -p138632 -aS'with\twith\tIN\tB-PP\tO' -p138633 -aS'a\ta\tDT\tB-NP\tO' -p138634 -aS'platelet\tplatelet\tNN\tI-NP\tO' -p138635 -aS'count\tcount\tNN\tI-NP\tO' -p138636 -aS'of\tof\tIN\tB-PP\tO' -p138637 -aS'132,000\t132,000\tCD\tB-NP\tO' -p138638 -aS',\t,\t,\tO\tO' -p138639 -aS'falling\tfall\tVBG\tB-VP\tO' -p138640 -aS'rapidly\trapidly\tRB\tB-ADVP\tO' -p138641 -aS'to\tto\tTO\tB-PP\tO' -p138642 -aS'24,000\t24,000\tCD\tB-NP\tO' -p138643 -aS'.\t.\t.\tO\tO' -p138644 -asS'This is a 60 year old male with new onset chest pain .' -p138645 -(lp138646 -S'This\tThis\tDT\tB-NP\tO' -p138647 -aS'is\tbe\tVBZ\tB-VP\tO' -p138648 -aS'a\ta\tDT\tB-NP\tO' -p138649 -aS'60\t60\tCD\tI-NP\tO' -p138650 -aS'year\tyear\tNN\tI-NP\tO' -p138651 -aS'old\told\tJJ\tI-NP\tO' -p138652 -aS'male\tmale\tNN\tI-NP\tO' -p138653 -aS'with\twith\tIN\tB-PP\tO' -p138654 -aS'new\tnew\tJJ\tB-NP\tO' -p138655 -aS'onset\tonset\tNN\tI-NP\tO' -p138656 -aS'chest\tchest\tNN\tI-NP\tO' -p138657 -aS'pain\tpain\tNN\tI-NP\tO' -p138658 -aS'.\t.\t.\tO\tO' -p138659 -asS'She had medications on transfer which included Synthroid 0.15 mg QD , Zoloft 50 mg QD , Inderal 10 mg BID , Prilosec 20 mg QD , Neomycin 500 TID , Feosol 3 mg and Darvocet PRN .' -p138660 -(lp138661 -S'She\tShe\tPRP\tB-NP\tO' -p138662 -aS'had\thave\tVBD\tB-VP\tO' -p138663 -aS'medications\tmedication\tNNS\tB-NP\tO' -p138664 -aS'on\ton\tIN\tB-PP\tO' -p138665 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p138666 -aS'which\twhich\tWDT\tB-NP\tO' -p138667 -aS'included\tinclude\tVBD\tB-VP\tO' -p138668 -aS'Synthroid\tSynthroid\tJJ\tB-NP\tO' -p138669 -aS'0.15\t0.15\tCD\tI-NP\tO' -p138670 -aS'mg\tmg\tNN\tI-NP\tO' -p138671 -aS'QD\tQD\tNNP\tB-NP\tO' -p138672 -aS',\t,\t,\tO\tO' -p138673 -aS'Zoloft\tZoloft\tNNP\tB-NP\tO' -p138674 -aS'50\t50\tCD\tI-NP\tO' -p138675 -aS'mg\tmg\tNN\tI-NP\tO' -p138676 -aS'QD\tQD\tNNP\tB-NP\tO' -p138677 -aS',\t,\t,\tO\tO' -p138678 -aS'Inderal\tInderal\tNNP\tB-NP\tO' -p138679 -aS'10\t10\tCD\tI-NP\tO' -p138680 -aS'mg\tmg\tNN\tI-NP\tO' -p138681 -aS'BID\tBID\tNNP\tI-NP\tO' -p138682 -aS',\t,\t,\tO\tO' -p138683 -aS'Prilosec\tPrilosec\tNNP\tB-NP\tO' -p138684 -aS'20\t20\tCD\tI-NP\tO' -p138685 -aS'mg\tmg\tNN\tI-NP\tO' -p138686 -aS'QD\tQD\tNN\tI-NP\tO' -p138687 -aS',\t,\t,\tO\tO' -p138688 -aS'Neomycin\tNeomycin\tNN\tB-NP\tO' -p138689 -aS'500\t500\tCD\tI-NP\tO' -p138690 -aS'TID\tTID\tNN\tI-NP\tO' -p138691 -aS',\t,\t,\tO\tO' -p138692 -aS'Feosol\tFeosol\tNN\tB-NP\tO' -p138693 -aS'3\t3\tCD\tI-NP\tO' -p138694 -aS'mg\tmg\tNN\tI-NP\tO' -p138695 -aS'and\tand\tCC\tI-NP\tO' -p138696 -aS'Darvocet\tDarvocet\tNN\tI-NP\tO' -p138697 -aS'PRN\tPRN\tNN\tI-NP\tO' -p138698 -aS'.\t.\t.\tO\tO' -p138699 -asS'A cosyntropin stimulation test revealed cortisol 32.1 --> 36.4 .' -p138700 -(lp138701 -S'A\tA\tDT\tB-NP\tO' -p138702 -aS'cosyntropin\tcosyntropin\tNN\tI-NP\tO' -p138703 -aS'stimulation\tstimulation\tNN\tI-NP\tO' -p138704 -aS'test\ttest\tNN\tI-NP\tO' -p138705 -aS'revealed\treveal\tVBD\tB-VP\tO' -p138706 -aS'cortisol\tcortisol\tNN\tB-NP\tO' -p138707 -aS'32.1\t32.1\tCD\tI-NP\tO' -p138708 -aS'-->\t-->\tSYM\tB-NP\tO' -p138709 -aS'36.4\t36.4\tCD\tI-NP\tO' -p138710 -aS'.\t.\t.\tO\tO' -p138711 -asS'During his subsequent hospital course , he had an additional CHF exacerbation .' -p138712 -(lp138713 -S'During\tDuring\tIN\tB-PP\tO' -p138714 -aS'his\this\tPRP$\tB-NP\tO' -p138715 -aS'subsequent\tsubsequent\tJJ\tI-NP\tO' -p138716 -aS'hospital\thospital\tNN\tI-NP\tO' -p138717 -aS'course\tcourse\tNN\tI-NP\tO' -p138718 -aS',\t,\t,\tO\tO' -p138719 -aS'he\the\tPRP\tB-NP\tO' -p138720 -aS'had\thave\tVBD\tB-VP\tO' -p138721 -aS'an\tan\tDT\tB-NP\tO' -p138722 -aS'additional\tadditional\tJJ\tI-NP\tO' -p138723 -aS'CHF\tCHF\tNN\tI-NP\tO' -p138724 -aS'exacerbation\texacerbation\tNN\tI-NP\tO' -p138725 -aS'.\t.\t.\tO\tO' -p138726 -asS'Extremities - no cyanosis or clubbing , one plus bilateral lower extremity edema with right worse than left .' -p138727 -(lp138728 -S'Extremities\tExtremity\tNNS\tB-NP\tO' -p138729 -aS'-\t-\t:\tO\tO' -p138730 -aS'no\tno\tDT\tB-NP\tO' -p138731 -aS'cyanosis\tcyanosis\tNN\tI-NP\tO' -p138732 -aS'or\tor\tCC\tI-NP\tO' -p138733 -aS'clubbing\tclubbing\tNN\tI-NP\tO' -p138734 -aS',\t,\t,\tO\tO' -p138735 -aS'one\tone\tCD\tB-NP\tO' -p138736 -aS'plus\tplus\tCC\tO\tO' -p138737 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p138738 -aS'lower\tlow\tJJR\tI-NP\tO' -p138739 -aS'extremity\textremity\tNN\tI-NP\tO' -p138740 -aS'edema\tedema\tNN\tI-NP\tO' -p138741 -aS'with\twith\tIN\tB-PP\tO' -p138742 -aS'right\tright\tJJ\tB-NP\tO' -p138743 -aS'worse\tworse\tJJR\tI-NP\tO' -p138744 -aS'than\tthan\tIN\tB-PP\tO' -p138745 -aS'left\tleft\tJJ\tB-ADJP\tO' -p138746 -aS'.\t.\t.\tO\tO' -p138747 -asS'She has known bilateral carotid disease , stated to be greater than 70% bilaterally .' -p138748 -(lp138749 -S'She\tShe\tPRP\tB-NP\tO' -p138750 -aS'has\thave\tVBZ\tB-VP\tO' -p138751 -aS'known\tknow\tVBN\tI-VP\tO' -p138752 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p138753 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p138754 -aS'disease\tdisease\tNN\tI-NP\tO' -p138755 -aS',\t,\t,\tO\tO' -p138756 -aS'stated\tstate\tVBD\tB-VP\tO' -p138757 -aS'to\tto\tTO\tI-VP\tO' -p138758 -aS'be\tbe\tVB\tI-VP\tO' -p138759 -aS'greater\tgreat\tJJR\tB-ADJP\tO' -p138760 -aS'than\tthan\tIN\tB-PP\tO' -p138761 -aS'70%\t70%\tCD\tB-NP\tO' -p138762 -aS'bilaterally\tbilaterally\tRB\tI-NP\tO' -p138763 -aS'.\t.\t.\tO\tO' -p138764 -asS'She is to follow-up with Dr. Para for follow-up .' -p138765 -(lp138766 -S'She\tShe\tPRP\tB-NP\tO' -p138767 -aS'is\tbe\tVBZ\tB-VP\tO' -p138768 -aS'to\tto\tTO\tB-VP\tO' -p138769 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p138770 -aS'with\twith\tIN\tB-PP\tO' -p138771 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p138772 -aS'Para\tPara\tNNP\tI-NP\tO' -p138773 -aS'for\tfor\tIN\tB-PP\tO' -p138774 -aS'follow-up\tfollow-up\tNN\tB-NP\tO' -p138775 -aS'.\t.\t.\tO\tO' -p138776 -asS'The patient remains on Fluconazole .' -p138777 -(lp138778 -S'The\tThe\tDT\tB-NP\tO' -p138779 -aS'patient\tpatient\tNN\tI-NP\tO' -p138780 -aS'remains\tremain\tVBZ\tB-VP\tO' -p138781 -aS'on\ton\tIN\tB-PP\tO' -p138782 -aS'Fluconazole\tFluconazole\tNN\tB-NP\tO' -p138783 -aS'.\t.\t.\tO\tO' -p138784 -asS'EMS found him with agonal respirations and pinpoint pupils .' -p138785 -(lp138786 -S'EMS\tEMS\tNNS\tB-NP\tO' -p138787 -aS'found\tfind\tVBD\tB-VP\tO' -p138788 -aS'him\thim\tPRP\tB-NP\tO' -p138789 -aS'with\twith\tIN\tB-PP\tO' -p138790 -aS'agonal\tagonal\tJJ\tB-NP\tO' -p138791 -aS'respirations\trespiration\tNNS\tI-NP\tO' -p138792 -aS'and\tand\tCC\tO\tO' -p138793 -aS'pinpoint\tpinpoint\tNN\tB-NP\tO' -p138794 -aS'pupils\tpupil\tNNS\tI-NP\tO' -p138795 -aS'.\t.\t.\tO\tO' -p138796 -asS'The postoperative hematocrit was 26% .' -p138797 -(lp138798 -S'The\tThe\tDT\tB-NP\tO' -p138799 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p138800 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p138801 -aS'was\tbe\tVBD\tB-VP\tO' -p138802 -aS'26%\t26%\tCD\tB-NP\tO' -p138803 -aS'.\t.\t.\tO\tO' -p138804 -asS'He will be advanced to soft solids prior to discharge .' -p138805 -(lp138806 -S'He\tHe\tPRP\tB-NP\tO' -p138807 -aS'will\twill\tMD\tB-VP\tO' -p138808 -aS'be\tbe\tVB\tI-VP\tO' -p138809 -aS'advanced\tadvance\tVBN\tI-VP\tO' -p138810 -aS'to\tto\tTO\tB-PP\tO' -p138811 -aS'soft\tsoft\tJJ\tB-NP\tO' -p138812 -aS'solids\tsolid\tNNS\tI-NP\tO' -p138813 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p138814 -aS'to\tto\tTO\tB-VP\tO' -p138815 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p138816 -aS'.\t.\t.\tO\tO' -p138817 -asS'There is no clonus on the right but sustained clonus ( 10-12 beats ) on the left .' -p138818 -(lp138819 -S'There\tThere\tEX\tB-NP\tO' -p138820 -aS'is\tbe\tVBZ\tB-VP\tO' -p138821 -aS'no\tno\tDT\tB-NP\tO' -p138822 -aS'clonus\tclonus\tNN\tI-NP\tO' -p138823 -aS'on\ton\tIN\tB-PP\tO' -p138824 -aS'the\tthe\tDT\tB-NP\tO' -p138825 -aS'right\tright\tNN\tI-NP\tO' -p138826 -aS'but\tbut\tCC\tO\tO' -p138827 -aS'sustained\tsustained\tJJ\tB-NP\tO' -p138828 -aS'clonus\tclonus\tNN\tI-NP\tO' -p138829 -aS'(\t(\t(\tO\tO' -p138830 -aS'10-12\t10-12\tCD\tB-NP\tO' -p138831 -aS'beats\tbeat\tNNS\tI-NP\tO' -p138832 -aS')\t)\t)\tO\tO' -p138833 -aS'on\ton\tIN\tB-PP\tO' -p138834 -aS'the\tthe\tDT\tB-NP\tO' -p138835 -aS'left\tleft\tNN\tI-NP\tO' -p138836 -aS'.\t.\t.\tO\tO' -p138837 -asS'A CT would help for further assessment and exclude proteinaceous material within the sulci .' -p138838 -(lp138839 -S'A\tA\tDT\tB-NP\tO' -p138840 -aS'CT\tCT\tNN\tI-NP\tO' -p138841 -aS'would\twould\tMD\tB-VP\tO' -p138842 -aS'help\thelp\tVB\tI-VP\tO' -p138843 -aS'for\tfor\tIN\tB-PP\tO' -p138844 -aS'further\tfurther\tJJ\tB-NP\tO' -p138845 -aS'assessment\tassessment\tNN\tI-NP\tO' -p138846 -aS'and\tand\tCC\tO\tO' -p138847 -aS'exclude\texclude\tVBP\tB-VP\tO' -p138848 -aS'proteinaceous\tproteinaceous\tJJ\tB-NP\tO' -p138849 -aS'material\tmaterial\tNN\tI-NP\tO' -p138850 -aS'within\twithin\tIN\tB-PP\tO' -p138851 -aS'the\tthe\tDT\tB-NP\tO' -p138852 -aS'sulci\tsulcus\tNNS\tI-NP\tO' -p138853 -aS'.\t.\t.\tO\tO' -p138854 -asS"On the evening of 12-27 , monitoring noted child 's increased preterm contractions , uterine tenderness and mildly increased fetal heart rates , due to concerns of possible chorioamnionitis , the mother was taken for cesarean delivery ." -p138855 -(lp138856 -S'On\tOn\tIN\tB-PP\tO' -p138857 -aS'the\tthe\tDT\tB-NP\tO' -p138858 -aS'evening\tevening\tNN\tI-NP\tO' -p138859 -aS'of\tof\tIN\tB-PP\tO' -p138860 -aS'12-27\t12-27\tCD\tB-NP\tO' -p138861 -aS',\t,\t,\tO\tO' -p138862 -aS'monitoring\tmonitor\tVBG\tB-VP\tO' -p138863 -aS'noted\tnote\tVBN\tB-NP\tO' -p138864 -aS'child\tchild\tNN\tI-NP\tO' -p138865 -aS"'s\t's\tPOS\tB-NP\tO" -p138866 -aS'increased\tincrease\tVBN\tI-NP\tO' -p138867 -aS'preterm\tpreterm\tNN\tI-NP\tO' -p138868 -aS'contractions\tcontraction\tNNS\tI-NP\tO' -p138869 -aS',\t,\t,\tO\tO' -p138870 -aS'uterine\tuterine\tJJ\tB-NP\tO' -p138871 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p138872 -aS'and\tand\tCC\tO\tO' -p138873 -aS'mildly\tmildly\tRB\tB-NP\tO' -p138874 -aS'increased\tincrease\tVBN\tI-NP\tO' -p138875 -aS'fetal\tfetal\tJJ\tI-NP\tO' -p138876 -aS'heart\theart\tNN\tI-NP\tO' -p138877 -aS'rates\trate\tNNS\tI-NP\tO' -p138878 -aS',\t,\t,\tO\tO' -p138879 -aS'due\tdue\tJJ\tB-PP\tO' -p138880 -aS'to\tto\tTO\tI-PP\tO' -p138881 -aS'concerns\tconcern\tNNS\tB-NP\tO' -p138882 -aS'of\tof\tIN\tB-PP\tO' -p138883 -aS'possible\tpossible\tJJ\tB-NP\tO' -p138884 -aS'chorioamnionitis\tchorioamnionitis\tNN\tI-NP\tO' -p138885 -aS',\t,\t,\tO\tO' -p138886 -aS'the\tthe\tDT\tB-NP\tO' -p138887 -aS'mother\tmother\tNN\tI-NP\tO' -p138888 -aS'was\tbe\tVBD\tB-VP\tO' -p138889 -aS'taken\ttake\tVBN\tI-VP\tO' -p138890 -aS'for\tfor\tIN\tB-PP\tO' -p138891 -aS'cesarean\tcesarean\tJJ\tB-NP\tO' -p138892 -aS'delivery\tdelivery\tNN\tI-NP\tO' -p138893 -aS'.\t.\t.\tO\tO' -p138894 -asS'Extremities , no bruit at the left or right femoral arteries .' -p138895 -(lp138896 -S'Extremities\tExtremity\tNNS\tB-NP\tO' -p138897 -aS',\t,\t,\tO\tO' -p138898 -aS'no\tno\tDT\tB-NP\tO' -p138899 -aS'bruit\tbruit\tNN\tI-NP\tO' -p138900 -aS'at\tat\tIN\tB-PP\tO' -p138901 -aS'the\tthe\tDT\tB-NP\tO' -p138902 -aS'left\tleft\tJJ\tI-NP\tO' -p138903 -aS'or\tor\tCC\tI-NP\tO' -p138904 -aS'right\tright\tJJ\tI-NP\tO' -p138905 -aS'femoral\tfemoral\tJJ\tI-NP\tO' -p138906 -aS'arteries\tartery\tNNS\tI-NP\tO' -p138907 -aS'.\t.\t.\tO\tO' -p138908 -asS'Neck with soft tissue prominence of the epiglottitis and uvula consistent with epiglottitis .' -p138909 -(lp138910 -S'Neck\tNeck\tNN\tB-NP\tO' -p138911 -aS'with\twith\tIN\tB-PP\tO' -p138912 -aS'soft\tsoft\tJJ\tB-NP\tO' -p138913 -aS'tissue\ttissue\tNN\tI-NP\tO' -p138914 -aS'prominence\tprominence\tNN\tI-NP\tO' -p138915 -aS'of\tof\tIN\tB-PP\tO' -p138916 -aS'the\tthe\tDT\tB-NP\tO' -p138917 -aS'epiglottitis\tepiglottitis\tNN\tI-NP\tO' -p138918 -aS'and\tand\tCC\tI-NP\tO' -p138919 -aS'uvula\tuvula\tNN\tI-NP\tO' -p138920 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p138921 -aS'with\twith\tIN\tB-PP\tO' -p138922 -aS'epiglottitis\tepiglottitis\tNN\tB-NP\tO' -p138923 -aS'.\t.\t.\tO\tO' -p138924 -asS'The pupils equal , round , reactive to light and accommodation , and the extra ocular movements are intact .' -p138925 -(lp138926 -S'The\tThe\tDT\tB-NP\tO' -p138927 -aS'pupils\tpupil\tNNS\tI-NP\tO' -p138928 -aS'equal\tequal\tJJ\tB-NP\tO' -p138929 -aS',\t,\t,\tI-NP\tO' -p138930 -aS'round\tround\tJJ\tI-NP\tO' -p138931 -aS',\t,\t,\tI-NP\tO' -p138932 -aS'reactive\treactive\tJJ\tI-NP\tO' -p138933 -aS'to\tto\tTO\tB-PP\tO' -p138934 -aS'light\tlight\tNN\tB-NP\tO' -p138935 -aS'and\tand\tCC\tI-NP\tO' -p138936 -aS'accommodation\taccommodation\tNN\tI-NP\tO' -p138937 -aS',\t,\t,\tO\tO' -p138938 -aS'and\tand\tCC\tO\tO' -p138939 -aS'the\tthe\tDT\tB-NP\tO' -p138940 -aS'extra\textra\tJJ\tI-NP\tO' -p138941 -aS'ocular\tocular\tJJ\tI-NP\tO' -p138942 -aS'movements\tmovement\tNNS\tI-NP\tO' -p138943 -aS'are\tbe\tVBP\tB-VP\tO' -p138944 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p138945 -aS'.\t.\t.\tO\tO' -p138946 -asS'The patient is an 84-year-old woman with a history of diverticulitis who was found to have colon cancer on colonoscopy , which was performed in March of 2004 .' -p138947 -(lp138948 -S'The\tThe\tDT\tB-NP\tO' -p138949 -aS'patient\tpatient\tNN\tI-NP\tO' -p138950 -aS'is\tbe\tVBZ\tB-VP\tO' -p138951 -aS'an\tan\tDT\tB-NP\tO' -p138952 -aS'84-year-old\t84-year-old\tJJ\tI-NP\tO' -p138953 -aS'woman\twoman\tNN\tI-NP\tO' -p138954 -aS'with\twith\tIN\tB-PP\tO' -p138955 -aS'a\ta\tDT\tB-NP\tO' -p138956 -aS'history\thistory\tNN\tI-NP\tO' -p138957 -aS'of\tof\tIN\tB-PP\tO' -p138958 -aS'diverticulitis\tdiverticulitis\tNN\tB-NP\tO' -p138959 -aS'who\twho\tWP\tB-NP\tO' -p138960 -aS'was\tbe\tVBD\tB-VP\tO' -p138961 -aS'found\tfind\tVBN\tI-VP\tO' -p138962 -aS'to\tto\tTO\tI-VP\tO' -p138963 -aS'have\thave\tVB\tI-VP\tO' -p138964 -aS'colon\tcolon\tNN\tB-NP\tO' -p138965 -aS'cancer\tcancer\tNN\tI-NP\tO' -p138966 -aS'on\ton\tIN\tB-PP\tO' -p138967 -aS'colonoscopy\tcolonoscopy\tNN\tB-NP\tO' -p138968 -aS',\t,\t,\tO\tO' -p138969 -aS'which\twhich\tWDT\tB-NP\tO' -p138970 -aS'was\tbe\tVBD\tB-VP\tO' -p138971 -aS'performed\tperform\tVBN\tI-VP\tO' -p138972 -aS'in\tin\tIN\tB-PP\tO' -p138973 -aS'March\tMarch\tNNP\tB-NP\tO' -p138974 -aS'of\tof\tIN\tB-PP\tO' -p138975 -aS'2004\t2004\tCD\tB-NP\tO' -p138976 -aS'.\t.\t.\tO\tO' -p138977 -asS'7. Entacapone 200 mg Tablet Sig : One ( 1 ) Tablet PO TID ( 3 times a day ) .' -p138978 -(lp138979 -S'7.\t7.\tCD\tB-NP\tO' -p138980 -aS'Entacapone\tEntacapone\tNN\tI-NP\tO' -p138981 -aS'200\t200\tCD\tB-NP\tO' -p138982 -aS'mg\tmg\tNN\tI-NP\tO' -p138983 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p138984 -aS'Sig\tSig\tNNP\tI-NP\tO' -p138985 -aS':\t:\t:\tO\tO' -p138986 -aS'One\tOne\tCD\tB-NP\tO' -p138987 -aS'(\t(\t(\tO\tO' -p138988 -aS'1\t1\tCD\tB-NP\tO' -p138989 -aS')\t)\t)\tO\tO' -p138990 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p138991 -aS'PO\tPO\tNN\tI-NP\tO' -p138992 -aS'TID\tTID\tNN\tI-NP\tO' -p138993 -aS'(\t(\t(\tO\tO' -p138994 -aS'3\t3\tCD\tB-NP\tO' -p138995 -aS'times\ttime\tNNS\tI-NP\tO' -p138996 -aS'a\ta\tDT\tB-NP\tO' -p138997 -aS'day\tday\tNN\tI-NP\tO' -p138998 -aS')\t)\t)\tO\tO' -p138999 -aS'.\t.\t.\tO\tO' -p139000 -asS'Brother and sister both have asthma .' -p139001 -(lp139002 -S'Brother\tBrother\tNNP\tB-NP\tO' -p139003 -aS'and\tand\tCC\tO\tO' -p139004 -aS'sister\tsister\tVB\tB-VP\tO' -p139005 -aS'both\tboth\tDT\tB-NP\tO' -p139006 -aS'have\thave\tVBP\tB-VP\tO' -p139007 -aS'asthma\tasthma\tNN\tB-NP\tO' -p139008 -aS'.\t.\t.\tO\tO' -p139009 -asS'He reported that he began with difficulty buttoning his shirt for many years since after a stroke but now reports that on occasion she would ask him why he was doing certain things and he could not give a concrete example .' -p139010 -(lp139011 -S'He\tHe\tPRP\tB-NP\tO' -p139012 -aS'reported\treport\tVBD\tB-VP\tO' -p139013 -aS'that\tthat\tIN\tB-SBAR\tO' -p139014 -aS'he\the\tPRP\tB-NP\tO' -p139015 -aS'began\tbegin\tVBD\tB-VP\tO' -p139016 -aS'with\twith\tIN\tB-PP\tO' -p139017 -aS'difficulty\tdifficulty\tNN\tB-NP\tO' -p139018 -aS'buttoning\tbutton\tVBG\tB-VP\tO' -p139019 -aS'his\this\tPRP$\tB-NP\tO' -p139020 -aS'shirt\tshirt\tNN\tI-NP\tO' -p139021 -aS'for\tfor\tIN\tB-PP\tO' -p139022 -aS'many\tmany\tJJ\tB-NP\tO' -p139023 -aS'years\tyear\tNNS\tI-NP\tO' -p139024 -aS'since\tsince\tIN\tB-SBAR\tO' -p139025 -aS'after\tafter\tIN\tB-PP\tO' -p139026 -aS'a\ta\tDT\tB-NP\tO' -p139027 -aS'stroke\tstroke\tNN\tI-NP\tO' -p139028 -aS'but\tbut\tCC\tO\tO' -p139029 -aS'now\tnow\tRB\tB-VP\tO' -p139030 -aS'reports\treport\tVBZ\tI-VP\tO' -p139031 -aS'that\tthat\tIN\tB-SBAR\tO' -p139032 -aS'on\ton\tIN\tB-PP\tO' -p139033 -aS'occasion\toccasion\tNN\tB-NP\tO' -p139034 -aS'she\tshe\tPRP\tB-NP\tO' -p139035 -aS'would\twould\tMD\tB-VP\tO' -p139036 -aS'ask\task\tVB\tI-VP\tO' -p139037 -aS'him\thim\tPRP\tB-NP\tO' -p139038 -aS'why\twhy\tWRB\tB-ADVP\tO' -p139039 -aS'he\the\tPRP\tB-NP\tO' -p139040 -aS'was\tbe\tVBD\tB-VP\tO' -p139041 -aS'doing\tdo\tVBG\tI-VP\tO' -p139042 -aS'certain\tcertain\tJJ\tB-NP\tO' -p139043 -aS'things\tthing\tNNS\tI-NP\tO' -p139044 -aS'and\tand\tCC\tO\tO' -p139045 -aS'he\the\tPRP\tB-NP\tO' -p139046 -aS'could\tcould\tMD\tB-VP\tO' -p139047 -aS'not\tnot\tRB\tI-VP\tO' -p139048 -aS'give\tgive\tVB\tI-VP\tO' -p139049 -aS'a\ta\tDT\tB-NP\tO' -p139050 -aS'concrete\tconcrete\tJJ\tI-NP\tO' -p139051 -aS'example\texample\tNN\tI-NP\tO' -p139052 -aS'.\t.\t.\tO\tO' -p139053 -asS'7. Lasix 40 mg once daily .' -p139054 -(lp139055 -S'7.\t7.\tCD\tB-NP\tO' -p139056 -aS'Lasix\tLasix\tNNP\tI-NP\tO' -p139057 -aS'40\t40\tCD\tI-NP\tO' -p139058 -aS'mg\tmg\tNN\tI-NP\tO' -p139059 -aS'once\tonce\tRB\tB-ADVP\tO' -p139060 -aS'daily\tdaily\tRB\tI-ADVP\tO' -p139061 -aS'.\t.\t.\tO\tO' -p139062 -asS'Signed electronically by : DR. Marcus N Schartz on : Maxine 2017-09-28 9:34 AM' -p139063 -(lp139064 -S'Signed\tSign\tVBN\tB-VP\tO' -p139065 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p139066 -aS'by\tby\tIN\tB-PP\tO' -p139067 -aS':\t:\t:\tO\tO' -p139068 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p139069 -aS'Marcus\tMarcus\tNNP\tI-NP\tO' -p139070 -aS'N\tN\tNNP\tI-NP\tO' -p139071 -aS'Schartz\tSchartz\tNNP\tI-NP\tO' -p139072 -aS'on\ton\tIN\tB-PP\tO' -p139073 -aS':\t:\t:\tO\tO' -p139074 -aS'Maxine\tMaxine\tNN\tB-NP\tO' -p139075 -aS'2017-09-28\t2017-09-28\tCD\tI-NP\tO' -p139076 -aS'9:34\t9:34\tCD\tI-NP\tO' -p139077 -aS'AM\tAM\tNN\tI-NP\tO' -p139078 -asS'She was able to get to bed at which point she passed out .' -p139079 -(lp139080 -S'She\tShe\tPRP\tB-NP\tO' -p139081 -aS'was\tbe\tVBD\tB-VP\tO' -p139082 -aS'able\table\tJJ\tB-ADJP\tO' -p139083 -aS'to\tto\tTO\tB-VP\tO' -p139084 -aS'get\tget\tVB\tI-VP\tO' -p139085 -aS'to\tto\tTO\tB-PP\tO' -p139086 -aS'bed\tbed\tNN\tB-NP\tO' -p139087 -aS'at\tat\tIN\tB-PP\tO' -p139088 -aS'which\twhich\tWDT\tB-NP\tO' -p139089 -aS'point\tpoint\tNN\tI-NP\tO' -p139090 -aS'she\tshe\tPRP\tB-NP\tO' -p139091 -aS'passed\tpass\tVBD\tB-VP\tO' -p139092 -aS'out\tout\tRP\tB-PRT\tO' -p139093 -aS'.\t.\t.\tO\tO' -p139094 -asS"The etiology of these cardiovascular episodes was unclear , but was felt likely secondary to the patient 's tenuous cardiovascular status given the fact that she had clear pulmonary hypertension , was very preload dependent , and had an intact left ventricular function but with cardiac output limited due to left ventricular compression by a dilated left ventricle ." -p139095 -(lp139096 -S'The\tThe\tDT\tB-NP\tO' -p139097 -aS'etiology\tetiology\tNN\tI-NP\tO' -p139098 -aS'of\tof\tIN\tB-PP\tO' -p139099 -aS'these\tthese\tDT\tB-NP\tO' -p139100 -aS'cardiovascular\tcardiovascular\tJJ\tI-NP\tO' -p139101 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p139102 -aS'was\tbe\tVBD\tB-VP\tO' -p139103 -aS'unclear\tunclear\tJJ\tB-ADJP\tO' -p139104 -aS',\t,\t,\tO\tO' -p139105 -aS'but\tbut\tCC\tO\tO' -p139106 -aS'was\tbe\tVBD\tB-VP\tO' -p139107 -aS'felt\tfeel\tVBN\tI-VP\tO' -p139108 -aS'likely\tlikely\tRB\tB-ADJP\tO' -p139109 -aS'secondary\tsecondary\tJJ\tI-ADJP\tO' -p139110 -aS'to\tto\tTO\tB-PP\tO' -p139111 -aS'the\tthe\tDT\tB-NP\tO' -p139112 -aS'patient\tpatient\tNN\tI-NP\tO' -p139113 -aS"'s\t's\tPOS\tB-NP\tO" -p139114 -aS'tenuous\ttenuous\tJJ\tI-NP\tO' -p139115 -aS'cardiovascular\tcardiovascular\tJJ\tI-NP\tO' -p139116 -aS'status\tstatus\tNN\tI-NP\tO' -p139117 -aS'given\tgive\tVBN\tB-PP\tO' -p139118 -aS'the\tthe\tDT\tB-NP\tO' -p139119 -aS'fact\tfact\tNN\tI-NP\tO' -p139120 -aS'that\tthat\tIN\tB-SBAR\tO' -p139121 -aS'she\tshe\tPRP\tB-NP\tO' -p139122 -aS'had\thave\tVBD\tB-VP\tO' -p139123 -aS'clear\tclear\tJJ\tB-NP\tO' -p139124 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p139125 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p139126 -aS',\t,\t,\tO\tO' -p139127 -aS'was\tbe\tVBD\tB-VP\tO' -p139128 -aS'very\tvery\tRB\tB-NP\tO' -p139129 -aS'preload\tpreload\tJJ\tI-NP\tO' -p139130 -aS'dependent\tdependent\tJJ\tI-NP\tO' -p139131 -aS',\t,\t,\tO\tO' -p139132 -aS'and\tand\tCC\tO\tO' -p139133 -aS'had\thave\tVBD\tB-VP\tO' -p139134 -aS'an\tan\tDT\tB-NP\tO' -p139135 -aS'intact\tintact\tJJ\tI-NP\tO' -p139136 -aS'left\tleft\tJJ\tI-NP\tO' -p139137 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p139138 -aS'function\tfunction\tNN\tI-NP\tO' -p139139 -aS'but\tbut\tCC\tB-PP\tO' -p139140 -aS'with\twith\tIN\tB-PP\tO' -p139141 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p139142 -aS'output\toutput\tNN\tI-NP\tO' -p139143 -aS'limited\tlimit\tVBD\tB-VP\tO' -p139144 -aS'due\tdue\tJJ\tB-ADJP\tO' -p139145 -aS'to\tto\tTO\tB-VP\tO' -p139146 -aS'left\tleft\tVB\tI-VP\tO' -p139147 -aS'ventricular\tventricular\tJJ\tB-NP\tO' -p139148 -aS'compression\tcompression\tNN\tI-NP\tO' -p139149 -aS'by\tby\tIN\tB-PP\tO' -p139150 -aS'a\ta\tDT\tB-NP\tO' -p139151 -aS'dilated\tdilated\tJJ\tI-NP\tO' -p139152 -aS'left\tleft\tJJ\tI-NP\tO' -p139153 -aS'ventricle\tventricle\tNN\tI-NP\tO' -p139154 -aS'.\t.\t.\tO\tO' -p139155 -asS'Patient should be started on tube feeds at rehab' -p139156 -(lp139157 -S'Patient\tPatient\tNN\tB-NP\tO' -p139158 -aS'should\tshould\tMD\tB-VP\tO' -p139159 -aS'be\tbe\tVB\tI-VP\tO' -p139160 -aS'started\tstart\tVBN\tI-VP\tO' -p139161 -aS'on\ton\tIN\tB-PP\tO' -p139162 -aS'tube\ttube\tNN\tB-NP\tO' -p139163 -aS'feeds\tfeed\tNNS\tI-NP\tO' -p139164 -aS'at\tat\tIN\tB-PP\tO' -p139165 -aS'rehab\trehab\tNN\tB-NP\tO' -p139166 -asS'His chest tube and Foley catheter were removed on postoperative day number three , and the patient had aggressive chest Physical Therapy and nebulizer treatments .' -p139167 -(lp139168 -S'His\tHis\tPRP$\tB-NP\tO' -p139169 -aS'chest\tchest\tNN\tI-NP\tO' -p139170 -aS'tube\ttube\tNN\tI-NP\tO' -p139171 -aS'and\tand\tCC\tO\tO' -p139172 -aS'Foley\tFoley\tNNP\tB-NP\tO' -p139173 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p139174 -aS'were\tbe\tVBD\tB-VP\tO' -p139175 -aS'removed\tremove\tVBN\tI-VP\tO' -p139176 -aS'on\ton\tIN\tB-PP\tO' -p139177 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p139178 -aS'day\tday\tNN\tI-NP\tO' -p139179 -aS'number\tnumber\tNN\tI-NP\tO' -p139180 -aS'three\tthree\tCD\tI-NP\tO' -p139181 -aS',\t,\t,\tO\tO' -p139182 -aS'and\tand\tCC\tO\tO' -p139183 -aS'the\tthe\tDT\tB-NP\tO' -p139184 -aS'patient\tpatient\tNN\tI-NP\tO' -p139185 -aS'had\thave\tVBD\tB-VP\tO' -p139186 -aS'aggressive\taggressive\tJJ\tB-NP\tO' -p139187 -aS'chest\tchest\tNN\tI-NP\tO' -p139188 -aS'Physical\tPhysical\tJJ\tI-NP\tO' -p139189 -aS'Therapy\tTherapy\tNN\tI-NP\tO' -p139190 -aS'and\tand\tCC\tI-NP\tO' -p139191 -aS'nebulizer\tnebulizer\tNN\tI-NP\tO' -p139192 -aS'treatments\ttreatment\tNNS\tI-NP\tO' -p139193 -aS'.\t.\t.\tO\tO' -p139194 -asS'Back : + ttp of lumbar spine and paraspinal muscles , R > L .' -p139195 -(lp139196 -S'Back\tBack\tRB\tB-ADVP\tO' -p139197 -aS':\t:\t:\tO\tO' -p139198 -aS'+\t+\tJJ\tB-NP\tO' -p139199 -aS'ttp\tttp\tNN\tI-NP\tO' -p139200 -aS'of\tof\tIN\tB-PP\tO' -p139201 -aS'lumbar\tlumbar\tNN\tB-NP\tO' -p139202 -aS'spine\tspine\tNN\tI-NP\tO' -p139203 -aS'and\tand\tCC\tO\tO' -p139204 -aS'paraspinal\tparaspinal\tJJ\tB-NP\tO' -p139205 -aS'muscles\tmuscle\tNNS\tI-NP\tO' -p139206 -aS',\t,\t,\tO\tO' -p139207 -aS'R\tR\tNN\tB-NP\tB-protein' -p139208 -aS'>\t>\tSYM\tI-NP\tO' -p139209 -aS'L\tL\tNN\tI-NP\tO' -p139210 -aS'.\t.\t.\tO\tO' -p139211 -asS'There were no telemetry events , and he ruled out by enzyme .' -p139212 -(lp139213 -S'There\tThere\tEX\tB-NP\tO' -p139214 -aS'were\tbe\tVBD\tB-VP\tO' -p139215 -aS'no\tno\tDT\tB-NP\tO' -p139216 -aS'telemetry\ttelemetry\tNN\tI-NP\tO' -p139217 -aS'events\tevent\tNNS\tI-NP\tO' -p139218 -aS',\t,\t,\tO\tO' -p139219 -aS'and\tand\tCC\tO\tO' -p139220 -aS'he\the\tPRP\tB-NP\tO' -p139221 -aS'ruled\trule\tVBD\tB-VP\tO' -p139222 -aS'out\tout\tRP\tB-PRT\tO' -p139223 -aS'by\tby\tIN\tB-PP\tO' -p139224 -aS'enzyme\tenzyme\tNN\tB-NP\tB-protein' -p139225 -aS'.\t.\t.\tO\tO' -p139226 -asS'He then went to the Operating Room on 2016-03-14 where he had resection of the left face squamous cell cancer by Dr. Langhorne and split thickness and full thickness skin grafting of the defects on 2016-03-14 .' -p139227 -(lp139228 -S'He\tHe\tPRP\tB-NP\tO' -p139229 -aS'then\tthen\tRB\tB-ADVP\tO' -p139230 -aS'went\tgo\tVBD\tB-VP\tO' -p139231 -aS'to\tto\tTO\tB-PP\tO' -p139232 -aS'the\tthe\tDT\tB-NP\tO' -p139233 -aS'Operating\tOperating\tNNP\tI-NP\tO' -p139234 -aS'Room\tRoom\tNNP\tI-NP\tO' -p139235 -aS'on\ton\tIN\tB-PP\tO' -p139236 -aS'2016-03-14\t2016-03-14\tCD\tB-NP\tO' -p139237 -aS'where\twhere\tWRB\tB-ADVP\tO' -p139238 -aS'he\the\tPRP\tB-NP\tO' -p139239 -aS'had\thave\tVBD\tB-VP\tO' -p139240 -aS'resection\tresection\tNN\tB-NP\tO' -p139241 -aS'of\tof\tIN\tB-PP\tO' -p139242 -aS'the\tthe\tDT\tB-NP\tO' -p139243 -aS'left\tleft\tJJ\tI-NP\tO' -p139244 -aS'face\tface\tNN\tI-NP\tO' -p139245 -aS'squamous\tsquamous\tJJ\tI-NP\tO' -p139246 -aS'cell\tcell\tNN\tI-NP\tO' -p139247 -aS'cancer\tcancer\tNN\tI-NP\tO' -p139248 -aS'by\tby\tIN\tB-PP\tO' -p139249 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p139250 -aS'Langhorne\tLanghorne\tNNP\tI-NP\tO' -p139251 -aS'and\tand\tCC\tO\tO' -p139252 -aS'split\tsplit\tVBD\tB-VP\tO' -p139253 -aS'thickness\tthickness\tNN\tB-NP\tO' -p139254 -aS'and\tand\tCC\tO\tO' -p139255 -aS'full\tfull\tJJ\tB-NP\tO' -p139256 -aS'thickness\tthickness\tNN\tI-NP\tO' -p139257 -aS'skin\tskin\tNN\tI-NP\tO' -p139258 -aS'grafting\tgrafting\tNN\tI-NP\tO' -p139259 -aS'of\tof\tIN\tB-PP\tO' -p139260 -aS'the\tthe\tDT\tB-NP\tO' -p139261 -aS'defects\tdefect\tNNS\tI-NP\tO' -p139262 -aS'on\ton\tIN\tB-PP\tO' -p139263 -aS'2016-03-14\t2016-03-14\tCD\tB-NP\tO' -p139264 -aS'.\t.\t.\tO\tO' -p139265 -asS'In addition , the patient had low hematocrits which required a transfusion of packed red blood cells .' -p139266 -(lp139267 -S'In\tIn\tIN\tB-PP\tO' -p139268 -aS'addition\taddition\tNN\tB-NP\tO' -p139269 -aS',\t,\t,\tO\tO' -p139270 -aS'the\tthe\tDT\tB-NP\tO' -p139271 -aS'patient\tpatient\tNN\tI-NP\tO' -p139272 -aS'had\thave\tVBD\tB-VP\tO' -p139273 -aS'low\tlow\tJJ\tB-NP\tO' -p139274 -aS'hematocrits\thematocrit\tNNS\tI-NP\tO' -p139275 -aS'which\twhich\tWDT\tB-NP\tO' -p139276 -aS'required\trequire\tVBD\tB-VP\tO' -p139277 -aS'a\ta\tDT\tB-NP\tO' -p139278 -aS'transfusion\ttransfusion\tNN\tI-NP\tO' -p139279 -aS'of\tof\tIN\tB-PP\tO' -p139280 -aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' -p139281 -aS'red\tred\tJJ\tI-NP\tI-cell_type' -p139282 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p139283 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p139284 -aS'.\t.\t.\tO\tO' -p139285 -asS'Total bilirubin 10.1 , amylase 90 and lipase 112 .' -p139286 -(lp139287 -S'Total\tTotal\tJJ\tB-NP\tO' -p139288 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p139289 -aS'10.1\t10.1\tCD\tI-NP\tO' -p139290 -aS',\t,\t,\tO\tO' -p139291 -aS'amylase\tamylase\tNN\tB-NP\tO' -p139292 -aS'90\t90\tCD\tI-NP\tO' -p139293 -aS'and\tand\tCC\tO\tO' -p139294 -aS'lipase\tlipase\tNN\tB-NP\tO' -p139295 -aS'112\t112\tCD\tI-NP\tO' -p139296 -aS'.\t.\t.\tO\tO' -p139297 -asS'He was treated with Ceftazidime , gentamicin , and Vancomycin and also was started on a Dopamine drip for treatment of his sepsis .' -p139298 -(lp139299 -S'He\tHe\tPRP\tB-NP\tO' -p139300 -aS'was\tbe\tVBD\tB-VP\tO' -p139301 -aS'treated\ttreat\tVBN\tI-VP\tO' -p139302 -aS'with\twith\tIN\tB-PP\tO' -p139303 -aS'Ceftazidime\tCeftazidime\tNN\tB-NP\tO' -p139304 -aS',\t,\t,\tO\tO' -p139305 -aS'gentamicin\tgentamicin\tNN\tB-NP\tO' -p139306 -aS',\t,\t,\tO\tO' -p139307 -aS'and\tand\tCC\tO\tO' -p139308 -aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' -p139309 -aS'and\tand\tCC\tO\tO' -p139310 -aS'also\talso\tRB\tB-ADVP\tO' -p139311 -aS'was\tbe\tVBD\tB-VP\tO' -p139312 -aS'started\tstart\tVBN\tI-VP\tO' -p139313 -aS'on\ton\tIN\tB-PP\tO' -p139314 -aS'a\ta\tDT\tB-NP\tO' -p139315 -aS'Dopamine\tDopamine\tNN\tI-NP\tO' -p139316 -aS'drip\tdrip\tNN\tI-NP\tO' -p139317 -aS'for\tfor\tIN\tB-PP\tO' -p139318 -aS'treatment\ttreatment\tNN\tB-NP\tO' -p139319 -aS'of\tof\tIN\tB-PP\tO' -p139320 -aS'his\this\tPRP$\tB-NP\tO' -p139321 -aS'sepsis\tsepsis\tNN\tI-NP\tO' -p139322 -aS'.\t.\t.\tO\tO' -p139323 -asS'The diagnosis of recurrent bowel ischemia , however , was not ruled out and this will continue to be a concern in the future .' -p139324 -(lp139325 -S'The\tThe\tDT\tB-NP\tO' -p139326 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p139327 -aS'of\tof\tIN\tB-PP\tO' -p139328 -aS'recurrent\trecurrent\tJJ\tB-NP\tO' -p139329 -aS'bowel\tbowel\tNN\tI-NP\tO' -p139330 -aS'ischemia\tischemia\tNN\tI-NP\tO' -p139331 -aS',\t,\t,\tO\tO' -p139332 -aS'however\thowever\tRB\tB-ADVP\tO' -p139333 -aS',\t,\t,\tO\tO' -p139334 -aS'was\tbe\tVBD\tB-VP\tO' -p139335 -aS'not\tnot\tRB\tI-VP\tO' -p139336 -aS'ruled\trule\tVBN\tI-VP\tO' -p139337 -aS'out\tout\tRP\tB-PRT\tO' -p139338 -aS'and\tand\tCC\tO\tO' -p139339 -aS'this\tthis\tDT\tB-NP\tO' -p139340 -aS'will\twill\tMD\tB-VP\tO' -p139341 -aS'continue\tcontinue\tVB\tI-VP\tO' -p139342 -aS'to\tto\tTO\tI-VP\tO' -p139343 -aS'be\tbe\tVB\tI-VP\tO' -p139344 -aS'a\ta\tDT\tB-NP\tO' -p139345 -aS'concern\tconcern\tNN\tI-NP\tO' -p139346 -aS'in\tin\tIN\tB-PP\tO' -p139347 -aS'the\tthe\tDT\tB-NP\tO' -p139348 -aS'future\tfuture\tNN\tI-NP\tO' -p139349 -aS'.\t.\t.\tO\tO' -p139350 -asS'The Foley catheter was removed on 6/29 and she had no difficulties voiding .' -p139351 -(lp139352 -S'The\tThe\tDT\tB-NP\tO' -p139353 -aS'Foley\tFoley\tNNP\tI-NP\tO' -p139354 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p139355 -aS'was\tbe\tVBD\tB-VP\tO' -p139356 -aS'removed\tremove\tVBN\tI-VP\tO' -p139357 -aS'on\ton\tIN\tB-PP\tO' -p139358 -aS'6/29\t6/29\tCD\tB-NP\tO' -p139359 -aS'and\tand\tCC\tO\tO' -p139360 -aS'she\tshe\tPRP\tB-NP\tO' -p139361 -aS'had\thave\tVBD\tB-VP\tO' -p139362 -aS'no\tno\tDT\tB-NP\tO' -p139363 -aS'difficulties\tdifficulty\tNNS\tI-NP\tO' -p139364 -aS'voiding\tvoid\tVBG\tB-VP\tO' -p139365 -aS'.\t.\t.\tO\tO' -p139366 -asS'Right heart catheterization and coronary angiography on October 15 , 1999 .' -p139367 -(lp139368 -S'Right\tRight\tNN\tB-NP\tO' -p139369 -aS'heart\theart\tNN\tI-NP\tO' -p139370 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p139371 -aS'and\tand\tCC\tO\tO' -p139372 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p139373 -aS'angiography\tangiography\tNN\tI-NP\tO' -p139374 -aS'on\ton\tIN\tB-PP\tO' -p139375 -aS'October\tOctober\tNNP\tB-NP\tO' -p139376 -aS'15\t15\tCD\tI-NP\tO' -p139377 -aS',\t,\t,\tI-NP\tO' -p139378 -aS'1999\t1999\tCD\tI-NP\tO' -p139379 -aS'.\t.\t.\tO\tO' -p139380 -asS'The patient was then subsequently taken to the Operating Room on 08/31/98 with the preoperative diagnosis of ascending aortic graft infection .' -p139381 -(lp139382 -S'The\tThe\tDT\tB-NP\tO' -p139383 -aS'patient\tpatient\tNN\tI-NP\tO' -p139384 -aS'was\tbe\tVBD\tB-VP\tO' -p139385 -aS'then\tthen\tRB\tI-VP\tO' -p139386 -aS'subsequently\tsubsequently\tRB\tI-VP\tO' -p139387 -aS'taken\ttake\tVBN\tI-VP\tO' -p139388 -aS'to\tto\tTO\tB-PP\tO' -p139389 -aS'the\tthe\tDT\tB-NP\tO' -p139390 -aS'Operating\tOperating\tNNP\tI-NP\tO' -p139391 -aS'Room\tRoom\tNNP\tI-NP\tO' -p139392 -aS'on\ton\tIN\tB-PP\tO' -p139393 -aS'08/31/98\t08/31/98\tCD\tB-NP\tO' -p139394 -aS'with\twith\tIN\tB-PP\tO' -p139395 -aS'the\tthe\tDT\tB-NP\tO' -p139396 -aS'preoperative\tpreoperative\tJJ\tI-NP\tO' -p139397 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p139398 -aS'of\tof\tIN\tB-PP\tO' -p139399 -aS'ascending\tascend\tVBG\tB-VP\tO' -p139400 -aS'aortic\taortic\tJJ\tB-NP\tO' -p139401 -aS'graft\tgraft\tNN\tI-NP\tO' -p139402 -aS'infection\tinfection\tNN\tI-NP\tO' -p139403 -aS'.\t.\t.\tO\tO' -p139404 -asS'He received O.T. and P.T. consults .' -p139405 -(lp139406 -S'He\tHe\tPRP\tB-NP\tO' -p139407 -aS'received\treceive\tVBD\tB-VP\tO' -p139408 -aS'O.T.\tO.T.\tNNP\tB-NP\tO' -p139409 -aS'and\tand\tCC\tI-NP\tO' -p139410 -aS'P.T.\tP.T.\tNNP\tI-NP\tO' -p139411 -aS'consults\tconsult\tNNS\tI-NP\tO' -p139412 -aS'.\t.\t.\tO\tO' -p139413 -asS'As follows .' -p139414 -(lp139415 -S'As\tAs\tIN\tB-SBAR\tO' -p139416 -aS'follows\tfollow\tVBZ\tB-VP\tO' -p139417 -aS'.\t.\t.\tO\tO' -p139418 -asS'Post-operatively , his course was complicated by respiratory distress necessitating an urgent return to the ICU and was intubated .' -p139419 -(lp139420 -S'Post-operatively\tPost-operatively\tRB\tB-ADVP\tO' -p139421 -aS',\t,\t,\tO\tO' -p139422 -aS'his\this\tPRP$\tB-NP\tO' -p139423 -aS'course\tcourse\tNN\tI-NP\tO' -p139424 -aS'was\tbe\tVBD\tB-VP\tO' -p139425 -aS'complicated\tcomplicate\tVBN\tI-VP\tO' -p139426 -aS'by\tby\tIN\tB-PP\tO' -p139427 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p139428 -aS'distress\tdistress\tNN\tI-NP\tO' -p139429 -aS'necessitating\tnecessitate\tVBG\tB-VP\tO' -p139430 -aS'an\tan\tDT\tB-NP\tO' -p139431 -aS'urgent\turgent\tJJ\tI-NP\tO' -p139432 -aS'return\treturn\tNN\tI-NP\tO' -p139433 -aS'to\tto\tTO\tB-PP\tO' -p139434 -aS'the\tthe\tDT\tB-NP\tO' -p139435 -aS'ICU\tICU\tNN\tI-NP\tB-DNA' -p139436 -aS'and\tand\tCC\tO\tO' -p139437 -aS'was\tbe\tVBD\tB-VP\tO' -p139438 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p139439 -aS'.\t.\t.\tO\tO' -p139440 -asS'Neck exam revealed no jugular venous distention and no masses .' -p139441 -(lp139442 -S'Neck\tNeck\tNN\tB-NP\tO' -p139443 -aS'exam\texam\tNN\tI-NP\tO' -p139444 -aS'revealed\treveal\tVBD\tB-VP\tO' -p139445 -aS'no\tno\tDT\tB-NP\tO' -p139446 -aS'jugular\tjugular\tJJ\tI-NP\tO' -p139447 -aS'venous\tvenous\tJJ\tI-NP\tO' -p139448 -aS'distention\tdistention\tNN\tI-NP\tO' -p139449 -aS'and\tand\tCC\tO\tO' -p139450 -aS'no\tno\tDT\tB-NP\tO' -p139451 -aS'masses\tmass\tNNS\tI-NP\tO' -p139452 -aS'.\t.\t.\tO\tO' -p139453 -asS'Last colonoscopy , five years ago .' -p139454 -(lp139455 -S'Last\tLast\tJJ\tB-NP\tO' -p139456 -aS'colonoscopy\tcolonoscopy\tNN\tI-NP\tO' -p139457 -aS',\t,\t,\tO\tO' -p139458 -aS'five\tfive\tCD\tB-NP\tO' -p139459 -aS'years\tyear\tNNS\tI-NP\tO' -p139460 -aS'ago\tago\tRB\tB-ADVP\tO' -p139461 -aS'.\t.\t.\tO\tO' -p139462 -asS'The patient was given printed instructions for kidney stones ( English ) .' -p139463 -(lp139464 -S'The\tThe\tDT\tB-NP\tO' -p139465 -aS'patient\tpatient\tNN\tI-NP\tO' -p139466 -aS'was\tbe\tVBD\tB-VP\tO' -p139467 -aS'given\tgive\tVBN\tI-VP\tO' -p139468 -aS'printed\tprint\tVBN\tB-NP\tO' -p139469 -aS'instructions\tinstruction\tNNS\tI-NP\tO' -p139470 -aS'for\tfor\tIN\tB-PP\tO' -p139471 -aS'kidney\tkidney\tNN\tB-NP\tO' -p139472 -aS'stones\tstone\tNNS\tI-NP\tO' -p139473 -aS'(\t(\t(\tO\tO' -p139474 -aS'English\tEnglish\tNNS\tB-NP\tO' -p139475 -aS')\t)\t)\tO\tO' -p139476 -aS'.\t.\t.\tO\tO' -p139477 -asS'Tremors of the right hand and foot at rest .' -p139478 -(lp139479 -S'Tremors\tTremor\tNNS\tB-NP\tO' -p139480 -aS'of\tof\tIN\tB-PP\tO' -p139481 -aS'the\tthe\tDT\tB-NP\tO' -p139482 -aS'right\tright\tJJ\tI-NP\tO' -p139483 -aS'hand\thand\tNN\tI-NP\tO' -p139484 -aS'and\tand\tCC\tI-NP\tO' -p139485 -aS'foot\tfoot\tNN\tI-NP\tO' -p139486 -aS'at\tat\tIN\tB-PP\tO' -p139487 -aS'rest\trest\tNN\tB-NP\tO' -p139488 -aS'.\t.\t.\tO\tO' -p139489 -asS'Echo 11-02 : PRE-BYPASS : Left ventricular wall thickness , cavity size , and systolic function are normal ( LVEF>55% ).' -p139490 -(lp139491 -S'Echo\tEcho\tNNP\tB-NP\tO' -p139492 -aS'11-02\t11-02\tCD\tI-NP\tO' -p139493 -aS':\t:\t:\tO\tO' -p139494 -aS'PRE-BYPASS\tPRE-BYPASS\tNN\tB-NP\tO' -p139495 -aS':\t:\t:\tO\tO' -p139496 -aS'Left\tLeft\tJJ\tB-NP\tO' -p139497 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p139498 -aS'wall\twall\tNN\tI-NP\tO' -p139499 -aS'thickness\tthickness\tNN\tI-NP\tO' -p139500 -aS',\t,\t,\tO\tO' -p139501 -aS'cavity\tcavity\tNN\tB-NP\tO' -p139502 -aS'size\tsize\tNN\tI-NP\tO' -p139503 -aS',\t,\t,\tO\tO' -p139504 -aS'and\tand\tCC\tO\tO' -p139505 -aS'systolic\tsystolic\tJJ\tB-NP\tO' -p139506 -aS'function\tfunction\tNN\tI-NP\tO' -p139507 -aS'are\tbe\tVBP\tB-VP\tO' -p139508 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p139509 -aS'(\t(\t(\tO\tO' -p139510 -aS'LVEF>55%\tLVEF>55%\tNN\tB-NP\tO' -p139511 -aS').\t).\t)\tO\tO' -p139512 -asS'1. Lopressor 100 mg po three times a day .' -p139513 -(lp139514 -S'1.\t1.\tLS\tB-NP\tO' -p139515 -aS'Lopressor\tLopressor\tNN\tI-NP\tO' -p139516 -aS'100\t100\tCD\tI-NP\tO' -p139517 -aS'mg\tmg\tNN\tI-NP\tO' -p139518 -aS'po\tpo\tIN\tB-PP\tO' -p139519 -aS'three\tthree\tCD\tB-NP\tO' -p139520 -aS'times\ttime\tNNS\tI-NP\tO' -p139521 -aS'a\ta\tDT\tB-NP\tO' -p139522 -aS'day\tday\tNN\tI-NP\tO' -p139523 -aS'.\t.\t.\tO\tO' -p139524 -asS'3. ETT 4 cm above the carina with NG tube advancement into the stomach .' -p139525 -(lp139526 -S'3.\t3.\tLS\tB-NP\tO' -p139527 -aS'ETT\tETT\tNN\tI-NP\tB-protein' -p139528 -aS'4\t4\tCD\tI-NP\tI-protein' -p139529 -aS'cm\tcm\tNN\tI-NP\tO' -p139530 -aS'above\tabove\tIN\tB-PP\tO' -p139531 -aS'the\tthe\tDT\tB-NP\tO' -p139532 -aS'carina\tcarina\tNN\tI-NP\tO' -p139533 -aS'with\twith\tIN\tB-PP\tO' -p139534 -aS'NG\tNG\tNN\tB-NP\tO' -p139535 -aS'tube\ttube\tNN\tI-NP\tO' -p139536 -aS'advancement\tadvancement\tNN\tI-NP\tO' -p139537 -aS'into\tinto\tIN\tB-PP\tO' -p139538 -aS'the\tthe\tDT\tB-NP\tO' -p139539 -aS'stomach\tstomach\tNN\tI-NP\tO' -p139540 -aS'.\t.\t.\tO\tO' -p139541 -asS'The plan was for urinalysis q d .' -p139542 -(lp139543 -S'The\tThe\tDT\tB-NP\tO' -p139544 -aS'plan\tplan\tNN\tI-NP\tO' -p139545 -aS'was\tbe\tVBD\tB-VP\tO' -p139546 -aS'for\tfor\tIN\tB-PP\tO' -p139547 -aS'urinalysis\turinalysis\tNN\tB-NP\tO' -p139548 -aS'q\tq\tNN\tI-NP\tO' -p139549 -aS'd\td\tNN\tI-NP\tO' -p139550 -aS'.\t.\t.\tO\tO' -p139551 -asS'Please note the patient is only Caucasian speaking and information is second hand .' -p139552 -(lp139553 -S'Please\tPlease\tNN\tB-NP\tB-protein' -p139554 -aS'note\tnote\tVBP\tB-VP\tO' -p139555 -aS'the\tthe\tDT\tB-NP\tO' -p139556 -aS'patient\tpatient\tNN\tI-NP\tO' -p139557 -aS'is\tbe\tVBZ\tB-VP\tO' -p139558 -aS'only\tonly\tRB\tB-NP\tO' -p139559 -aS'Caucasian\tCaucasian\tJJ\tI-NP\tO' -p139560 -aS'speaking\tspeaking\tNN\tI-NP\tO' -p139561 -aS'and\tand\tCC\tI-NP\tO' -p139562 -aS'information\tinformation\tNN\tI-NP\tO' -p139563 -aS'is\tbe\tVBZ\tB-VP\tO' -p139564 -aS'second\tsecond\tJJ\tB-NP\tO' -p139565 -aS'hand\thand\tNN\tI-NP\tO' -p139566 -aS'.\t.\t.\tO\tO' -p139567 -asS'Attending : James I Schultz , M.D.' -p139568 -(lp139569 -S'Attending\tAttend\tVBG\tB-VP\tO' -p139570 -aS':\t:\t:\tO\tO' -p139571 -aS'James\tJames\tNNP\tB-NP\tO' -p139572 -aS'I\tI\tNNP\tI-NP\tO' -p139573 -aS'Schultz\tSchultz\tNNP\tI-NP\tO' -p139574 -aS',\t,\t,\tO\tO' -p139575 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p139576 -asS'4. 01-22 closed fracture of radius s/p closed reduction' -p139577 -(lp139578 -S'4.\t4.\tLS\tB-LST\tO' -p139579 -aS'01-22\t01-22\t:\tO\tO' -p139580 -aS'closed\tclosed\tJJ\tB-NP\tO' -p139581 -aS'fracture\tfracture\tNN\tI-NP\tO' -p139582 -aS'of\tof\tIN\tB-PP\tO' -p139583 -aS'radius\tradius\tNN\tB-NP\tO' -p139584 -aS's/p\ts/p\tNN\tI-NP\tO' -p139585 -aS'closed\tclose\tVBD\tB-VP\tO' -p139586 -aS'reduction\treduction\tNN\tB-NP\tO' -p139587 -asS'Denies any abuse of alcohol .' -p139588 -(lp139589 -S'Denies\tDeny\tNNS\tB-NP\tO' -p139590 -aS'any\tany\tDT\tB-NP\tO' -p139591 -aS'abuse\tabuse\tNN\tI-NP\tO' -p139592 -aS'of\tof\tIN\tB-PP\tO' -p139593 -aS'alcohol\talcohol\tNN\tB-NP\tO' -p139594 -aS'.\t.\t.\tO\tO' -p139595 -asS'Congestive heart failure with bilateral effusions ( R > L ) , with possible underlying consolidation in the RLL and to a lesser degree the RML and LLL .' -p139596 -(lp139597 -S'Congestive\tCongestive\tJJ\tB-NP\tO' -p139598 -aS'heart\theart\tNN\tI-NP\tO' -p139599 -aS'failure\tfailure\tNN\tI-NP\tO' -p139600 -aS'with\twith\tIN\tB-PP\tO' -p139601 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p139602 -aS'effusions\teffusion\tNNS\tI-NP\tO' -p139603 -aS'(\t(\t(\tO\tO' -p139604 -aS'R\tR\tNN\tB-NP\tO' -p139605 -aS'>\t>\tSYM\tO\tO' -p139606 -aS'L\tL\tNN\tB-NP\tO' -p139607 -aS')\t)\t)\tO\tO' -p139608 -aS',\t,\t,\tO\tO' -p139609 -aS'with\twith\tIN\tB-PP\tO' -p139610 -aS'possible\tpossible\tJJ\tB-NP\tO' -p139611 -aS'underlying\tunderlying\tJJ\tI-NP\tO' -p139612 -aS'consolidation\tconsolidation\tNN\tI-NP\tO' -p139613 -aS'in\tin\tIN\tB-PP\tO' -p139614 -aS'the\tthe\tDT\tB-NP\tO' -p139615 -aS'RLL\tRLL\tNN\tI-NP\tO' -p139616 -aS'and\tand\tCC\tB-PP\tO' -p139617 -aS'to\tto\tTO\tB-PP\tO' -p139618 -aS'a\ta\tDT\tB-NP\tO' -p139619 -aS'lesser\tless\tJJR\tI-NP\tO' -p139620 -aS'degree\tdegree\tNN\tI-NP\tO' -p139621 -aS'the\tthe\tDT\tB-NP\tO' -p139622 -aS'RML\tRML\tNN\tI-NP\tO' -p139623 -aS'and\tand\tCC\tI-NP\tO' -p139624 -aS'LLL\tLLL\tNN\tI-NP\tO' -p139625 -aS'.\t.\t.\tO\tO' -p139626 -asS'It was thought that the patient may have been mucous plugging during her stay in the ICU .' -p139627 -(lp139628 -S'It\tIt\tPRP\tB-NP\tO' -p139629 -aS'was\tbe\tVBD\tB-VP\tO' -p139630 -aS'thought\tthink\tVBN\tI-VP\tO' -p139631 -aS'that\tthat\tIN\tB-SBAR\tO' -p139632 -aS'the\tthe\tDT\tB-NP\tO' -p139633 -aS'patient\tpatient\tNN\tI-NP\tO' -p139634 -aS'may\tmay\tMD\tB-VP\tO' -p139635 -aS'have\thave\tVB\tI-VP\tO' -p139636 -aS'been\tbe\tVBN\tI-VP\tO' -p139637 -aS'mucous\tmucous\tJJ\tB-NP\tO' -p139638 -aS'plugging\tplugging\tNN\tI-NP\tO' -p139639 -aS'during\tduring\tIN\tB-PP\tO' -p139640 -aS'her\ther\tPRP$\tB-NP\tO' -p139641 -aS'stay\tstay\tNN\tI-NP\tO' -p139642 -aS'in\tin\tIN\tB-PP\tO' -p139643 -aS'the\tthe\tDT\tB-NP\tO' -p139644 -aS'ICU\tICU\tNN\tI-NP\tB-DNA' -p139645 -aS'.\t.\t.\tO\tO' -p139646 -asS'New moderate and fixed inferior myocardial wall perfusion defect .' -p139647 -(lp139648 -S'New\tNew\tJJ\tB-NP\tO' -p139649 -aS'moderate\tmoderate\tJJ\tI-NP\tO' -p139650 -aS'and\tand\tCC\tI-NP\tO' -p139651 -aS'fixed\tfix\tVBN\tI-NP\tO' -p139652 -aS'inferior\tinferior\tJJ\tI-NP\tO' -p139653 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p139654 -aS'wall\twall\tNN\tI-NP\tO' -p139655 -aS'perfusion\tperfusion\tNN\tI-NP\tO' -p139656 -aS'defect\tdefect\tNN\tI-NP\tO' -p139657 -aS'.\t.\t.\tO\tO' -p139658 -asS'The lungs showed decreased breath sounds at the right base , otherwise were clear .' -p139659 -(lp139660 -S'The\tThe\tDT\tB-NP\tO' -p139661 -aS'lungs\tlung\tNNS\tI-NP\tO' -p139662 -aS'showed\tshow\tVBD\tB-VP\tO' -p139663 -aS'decreased\tdecrease\tVBN\tB-NP\tO' -p139664 -aS'breath\tbreath\tNN\tI-NP\tO' -p139665 -aS'sounds\tsound\tNNS\tI-NP\tO' -p139666 -aS'at\tat\tIN\tB-PP\tO' -p139667 -aS'the\tthe\tDT\tB-NP\tO' -p139668 -aS'right\tright\tJJ\tI-NP\tO' -p139669 -aS'base\tbase\tNN\tI-NP\tO' -p139670 -aS',\t,\t,\tO\tO' -p139671 -aS'otherwise\totherwise\tRB\tB-ADVP\tO' -p139672 -aS'were\tbe\tVBD\tB-VP\tO' -p139673 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p139674 -aS'.\t.\t.\tO\tO' -p139675 -asS'We do not believe that she has any respiratory process going on at the time .' -p139676 -(lp139677 -S'We\tWe\tPRP\tB-NP\tO' -p139678 -aS'do\tdo\tVBP\tB-VP\tO' -p139679 -aS'not\tnot\tRB\tI-VP\tO' -p139680 -aS'believe\tbelieve\tVB\tI-VP\tO' -p139681 -aS'that\tthat\tIN\tB-SBAR\tO' -p139682 -aS'she\tshe\tPRP\tB-NP\tO' -p139683 -aS'has\thave\tVBZ\tB-VP\tO' -p139684 -aS'any\tany\tDT\tB-NP\tO' -p139685 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p139686 -aS'process\tprocess\tNN\tI-NP\tO' -p139687 -aS'going\tgo\tVBG\tB-VP\tO' -p139688 -aS'on\ton\tRP\tB-PRT\tO' -p139689 -aS'at\tat\tIN\tB-PP\tO' -p139690 -aS'the\tthe\tDT\tB-NP\tO' -p139691 -aS'time\ttime\tNN\tI-NP\tO' -p139692 -aS'.\t.\t.\tO\tO' -p139693 -asS'The patient was also started on Doxycycline given the concern for pneumonia on chest x-ray .' -p139694 -(lp139695 -S'The\tThe\tDT\tB-NP\tO' -p139696 -aS'patient\tpatient\tNN\tI-NP\tO' -p139697 -aS'was\tbe\tVBD\tB-VP\tO' -p139698 -aS'also\talso\tRB\tI-VP\tO' -p139699 -aS'started\tstart\tVBN\tI-VP\tO' -p139700 -aS'on\ton\tIN\tB-PP\tO' -p139701 -aS'Doxycycline\tDoxycycline\tNN\tB-NP\tO' -p139702 -aS'given\tgive\tVBN\tB-VP\tO' -p139703 -aS'the\tthe\tDT\tB-NP\tO' -p139704 -aS'concern\tconcern\tNN\tI-NP\tO' -p139705 -aS'for\tfor\tIN\tB-PP\tO' -p139706 -aS'pneumonia\tpneumonia\tNN\tB-NP\tO' -p139707 -aS'on\ton\tIN\tB-PP\tO' -p139708 -aS'chest\tchest\tNN\tB-NP\tO' -p139709 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p139710 -aS'.\t.\t.\tO\tO' -p139711 -asS'Left internal mammary artery to left anterior descending artery , saphenous vein graft to left anterior descending artery to diagonal , saphenous vein graft to right posterior descending artery , and saphenous vein graft to first obtuse marginal .' -p139712 -(lp139713 -S'Left\tLeave\tVBN\tB-NP\tO' -p139714 -aS'internal\tinternal\tJJ\tI-NP\tO' -p139715 -aS'mammary\tmammary\tJJ\tI-NP\tO' -p139716 -aS'artery\tartery\tNN\tI-NP\tO' -p139717 -aS'to\tto\tTO\tB-VP\tO' -p139718 -aS'left\tleft\tVB\tI-VP\tO' -p139719 -aS'anterior\tanterior\tJJ\tB-NP\tO' -p139720 -aS'descending\tdescend\tVBG\tI-NP\tO' -p139721 -aS'artery\tartery\tNN\tI-NP\tO' -p139722 -aS',\t,\t,\tO\tO' -p139723 -aS'saphenous\tsaphenous\tJJ\tB-NP\tO' -p139724 -aS'vein\tvein\tNN\tI-NP\tO' -p139725 -aS'graft\tgraft\tNN\tI-NP\tO' -p139726 -aS'to\tto\tTO\tB-VP\tO' -p139727 -aS'left\tleft\tVB\tI-VP\tO' -p139728 -aS'anterior\tanterior\tJJ\tB-NP\tO' -p139729 -aS'descending\tdescend\tVBG\tI-NP\tO' -p139730 -aS'artery\tartery\tNN\tI-NP\tO' -p139731 -aS'to\tto\tTO\tB-PP\tO' -p139732 -aS'diagonal\tdiagonal\tJJ\tB-NP\tO' -p139733 -aS',\t,\t,\tI-NP\tO' -p139734 -aS'saphenous\tsaphenous\tJJ\tI-NP\tO' -p139735 -aS'vein\tvein\tNN\tI-NP\tO' -p139736 -aS'graft\tgraft\tNN\tI-NP\tO' -p139737 -aS'to\tto\tTO\tB-PP\tO' -p139738 -aS'right\tright\tJJ\tB-NP\tO' -p139739 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p139740 -aS'descending\tdescend\tVBG\tI-NP\tO' -p139741 -aS'artery\tartery\tNN\tI-NP\tO' -p139742 -aS',\t,\t,\tO\tO' -p139743 -aS'and\tand\tCC\tO\tO' -p139744 -aS'saphenous\tsaphenous\tJJ\tB-NP\tO' -p139745 -aS'vein\tvein\tNN\tI-NP\tO' -p139746 -aS'graft\tgraft\tNN\tI-NP\tO' -p139747 -aS'to\tto\tTO\tB-PP\tO' -p139748 -aS'first\tfirst\tJJ\tB-NP\tO' -p139749 -aS'obtuse\tobtuse\tNN\tI-NP\tO' -p139750 -aS'marginal\tmarginal\tJJ\tB-ADJP\tO' -p139751 -aS'.\t.\t.\tO\tO' -p139752 -asS'Tympanic membranes were noted to be clear .' -p139753 -(lp139754 -S'Tympanic\tTympanic\tJJ\tB-NP\tO' -p139755 -aS'membranes\tmembrane\tNNS\tI-NP\tO' -p139756 -aS'were\tbe\tVBD\tB-VP\tO' -p139757 -aS'noted\tnote\tVBN\tI-VP\tO' -p139758 -aS'to\tto\tTO\tI-VP\tO' -p139759 -aS'be\tbe\tVB\tI-VP\tO' -p139760 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p139761 -aS'.\t.\t.\tO\tO' -p139762 -asS'Perhaps his recent falls are related to orthostatic hypotension after dialysis .' -p139763 -(lp139764 -S'Perhaps\tPerhaps\tRB\tB-ADVP\tO' -p139765 -aS'his\this\tPRP$\tB-NP\tO' -p139766 -aS'recent\trecent\tJJ\tI-NP\tO' -p139767 -aS'falls\tfall\tNNS\tI-NP\tO' -p139768 -aS'are\tbe\tVBP\tB-VP\tO' -p139769 -aS'related\trelate\tVBN\tI-VP\tO' -p139770 -aS'to\tto\tTO\tB-PP\tO' -p139771 -aS'orthostatic\torthostatic\tJJ\tB-NP\tO' -p139772 -aS'hypotension\thypotension\tNN\tI-NP\tO' -p139773 -aS'after\tafter\tIN\tB-PP\tO' -p139774 -aS'dialysis\tdialysis\tNN\tB-NP\tO' -p139775 -aS'.\t.\t.\tO\tO' -p139776 -asS'He also has a history of hypertension and diabetes mellitus .' -p139777 -(lp139778 -S'He\tHe\tPRP\tB-NP\tO' -p139779 -aS'also\talso\tRB\tB-ADVP\tO' -p139780 -aS'has\thave\tVBZ\tB-VP\tO' -p139781 -aS'a\ta\tDT\tB-NP\tO' -p139782 -aS'history\thistory\tNN\tI-NP\tO' -p139783 -aS'of\tof\tIN\tB-PP\tO' -p139784 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p139785 -aS'and\tand\tCC\tI-NP\tO' -p139786 -aS'diabetes\tdiabetes\tNN\tI-NP\tO' -p139787 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p139788 -aS'.\t.\t.\tO\tO' -p139789 -asS'She had a Chem-7 which was normal .' -p139790 -(lp139791 -S'She\tShe\tPRP\tB-NP\tO' -p139792 -aS'had\thave\tVBD\tB-VP\tO' -p139793 -aS'a\ta\tDT\tB-NP\tO' -p139794 -aS'Chem-7\tChem-7\tNN\tI-NP\tB-protein' -p139795 -aS'which\twhich\tWDT\tB-NP\tO' -p139796 -aS'was\tbe\tVBD\tB-VP\tO' -p139797 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p139798 -aS'.\t.\t.\tO\tO' -p139799 -asS'Due to mixed bacterial types ( >= 3 colony types ) an abbreviated workup is performed appropriate to the isolates recovered from the site ( including a screen for Pseudomonas aeruginosa , Staphylococcus aureus and beta streptococcus ) .' -p139800 -(lp139801 -S'Due\tDue\tJJ\tB-PP\tO' -p139802 -aS'to\tto\tTO\tB-PP\tO' -p139803 -aS'mixed\tmixed\tJJ\tB-NP\tB-cell_type' -p139804 -aS'bacterial\tbacterial\tJJ\tI-NP\tI-cell_type' -p139805 -aS'types\ttype\tNNS\tI-NP\tI-cell_type' -p139806 -aS'(\t(\t(\tO\tO' -p139807 -aS'>=\t>=\tSYM\tB-NP\tO' -p139808 -aS'3\t3\tCD\tI-NP\tO' -p139809 -aS'colony\tcolony\tNN\tI-NP\tO' -p139810 -aS'types\ttype\tNNS\tI-NP\tO' -p139811 -aS')\t)\t)\tO\tO' -p139812 -aS'an\tan\tDT\tB-NP\tO' -p139813 -aS'abbreviated\tabbreviate\tVBN\tI-NP\tO' -p139814 -aS'workup\tworkup\tNN\tI-NP\tO' -p139815 -aS'is\tbe\tVBZ\tB-VP\tO' -p139816 -aS'performed\tperform\tVBN\tI-VP\tO' -p139817 -aS'appropriate\tappropriate\tJJ\tB-ADJP\tO' -p139818 -aS'to\tto\tTO\tB-PP\tO' -p139819 -aS'the\tthe\tDT\tB-NP\tO' -p139820 -aS'isolates\tisolate\tNNS\tI-NP\tO' -p139821 -aS'recovered\trecover\tVBD\tB-VP\tO' -p139822 -aS'from\tfrom\tIN\tB-PP\tO' -p139823 -aS'the\tthe\tDT\tB-NP\tO' -p139824 -aS'site\tsite\tNN\tI-NP\tO' -p139825 -aS'(\t(\t(\tO\tO' -p139826 -aS'including\tinclude\tVBG\tB-PP\tO' -p139827 -aS'a\ta\tDT\tB-NP\tO' -p139828 -aS'screen\tscreen\tNN\tI-NP\tO' -p139829 -aS'for\tfor\tIN\tB-PP\tO' -p139830 -aS'Pseudomonas\tPseudomonas\tNNP\tB-NP\tO' -p139831 -aS'aeruginosa\taeruginosa\tNN\tI-NP\tO' -p139832 -aS',\t,\t,\tO\tO' -p139833 -aS'Staphylococcus\tStaphylococcus\tNNP\tB-NP\tO' -p139834 -aS'aureus\taureus\tNNP\tI-NP\tO' -p139835 -aS'and\tand\tCC\tO\tO' -p139836 -aS'beta\tbeta\tSYM\tB-NP\tO' -p139837 -aS'streptococcus\tstreptococcus\tNN\tI-NP\tO' -p139838 -aS')\t)\t)\tO\tO' -p139839 -aS'.\t.\t.\tO\tO' -p139840 -asS'Power was mildly diminished in the finger extensors and hand intrinsics on the left , otherwise , power was full throughout .' -p139841 -(lp139842 -S'Power\tPower\tNN\tB-NP\tO' -p139843 -aS'was\tbe\tVBD\tB-VP\tO' -p139844 -aS'mildly\tmildly\tRB\tI-VP\tO' -p139845 -aS'diminished\tdiminish\tVBN\tI-VP\tO' -p139846 -aS'in\tin\tIN\tB-PP\tO' -p139847 -aS'the\tthe\tDT\tB-NP\tO' -p139848 -aS'finger\tfinger\tNN\tI-NP\tO' -p139849 -aS'extensors\textensor\tNNS\tI-NP\tO' -p139850 -aS'and\tand\tCC\tO\tO' -p139851 -aS'hand\thand\tNN\tB-NP\tO' -p139852 -aS'intrinsics\tintrinsic\tNNS\tI-NP\tO' -p139853 -aS'on\ton\tIN\tB-PP\tO' -p139854 -aS'the\tthe\tDT\tB-NP\tO' -p139855 -aS'left\tleft\tNN\tI-NP\tO' -p139856 -aS',\t,\t,\tO\tO' -p139857 -aS'otherwise\totherwise\tRB\tB-ADVP\tO' -p139858 -aS',\t,\t,\tO\tO' -p139859 -aS'power\tpower\tNN\tB-NP\tO' -p139860 -aS'was\tbe\tVBD\tB-VP\tO' -p139861 -aS'full\tfull\tJJ\tB-ADJP\tO' -p139862 -aS'throughout\tthroughout\tIN\tB-ADVP\tO' -p139863 -aS'.\t.\t.\tO\tO' -p139864 -asS'This was performed on 2014-04-01 , postoperative day number 21 .' -p139865 -(lp139866 -S'This\tThis\tDT\tB-NP\tO' -p139867 -aS'was\tbe\tVBD\tB-VP\tO' -p139868 -aS'performed\tperform\tVBN\tI-VP\tO' -p139869 -aS'on\ton\tIN\tB-PP\tO' -p139870 -aS'2014-04-01\t2014-04-01\tCD\tB-NP\tO' -p139871 -aS',\t,\t,\tO\tO' -p139872 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p139873 -aS'day\tday\tNN\tI-NP\tO' -p139874 -aS'number\tnumber\tNN\tI-NP\tO' -p139875 -aS'21\t21\tCD\tI-NP\tO' -p139876 -aS'.\t.\t.\tO\tO' -p139877 -asS"Post-intubation , the pt 's BP acutely dropped to 58/19 in the setting of propofol ." -p139878 -(lp139879 -S'Post-intubation\tPost-intubation\tNN\tB-NP\tO' -p139880 -aS',\t,\t,\tO\tO' -p139881 -aS'the\tthe\tDT\tB-NP\tO' -p139882 -aS'pt\tpt\tNN\tI-NP\tO' -p139883 -aS"'s\t's\tPOS\tB-NP\tO" -p139884 -aS'BP\tBP\tNN\tI-NP\tO' -p139885 -aS'acutely\tacutely\tRB\tB-ADVP\tO' -p139886 -aS'dropped\tdrop\tVBD\tB-VP\tO' -p139887 -aS'to\tto\tTO\tB-PP\tO' -p139888 -aS'58/19\t58/19\tCD\tB-NP\tO' -p139889 -aS'in\tin\tIN\tB-PP\tO' -p139890 -aS'the\tthe\tDT\tB-NP\tO' -p139891 -aS'setting\tsetting\tNN\tI-NP\tO' -p139892 -aS'of\tof\tIN\tB-PP\tO' -p139893 -aS'propofol\tpropofol\tNN\tB-NP\tO' -p139894 -aS'.\t.\t.\tO\tO' -p139895 -asS'New rounded low-density area measuring 2.5 cm in left basal ganglia , which partially extends to the left thalamus , probably representing subacute infarction .' -p139896 -(lp139897 -S'New\tNew\tJJ\tB-NP\tO' -p139898 -aS'rounded\trounded\tJJ\tI-NP\tO' -p139899 -aS'low-density\tlow-density\tJJ\tI-NP\tO' -p139900 -aS'area\tarea\tNN\tI-NP\tO' -p139901 -aS'measuring\tmeasure\tVBG\tB-VP\tO' -p139902 -aS'2.5\t2.5\tCD\tB-NP\tO' -p139903 -aS'cm\tcm\tNN\tI-NP\tO' -p139904 -aS'in\tin\tIN\tB-PP\tO' -p139905 -aS'left\tleft\tJJ\tB-NP\tB-cell_type' -p139906 -aS'basal\tbasal\tJJ\tI-NP\tI-cell_type' -p139907 -aS'ganglia\tganglia\tNNS\tI-NP\tI-cell_type' -p139908 -aS',\t,\t,\tO\tO' -p139909 -aS'which\twhich\tWDT\tB-NP\tO' -p139910 -aS'partially\tpartially\tRB\tB-ADVP\tO' -p139911 -aS'extends\textend\tVBZ\tB-VP\tO' -p139912 -aS'to\tto\tTO\tB-PP\tO' -p139913 -aS'the\tthe\tDT\tB-NP\tO' -p139914 -aS'left\tleft\tJJ\tI-NP\tO' -p139915 -aS'thalamus\tthalamus\tNN\tI-NP\tO' -p139916 -aS',\t,\t,\tO\tO' -p139917 -aS'probably\tprobably\tRB\tB-ADVP\tO' -p139918 -aS'representing\trepresent\tVBG\tB-VP\tO' -p139919 -aS'subacute\tsubacute\tJJ\tB-NP\tO' -p139920 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p139921 -aS'.\t.\t.\tO\tO' -p139922 -asS'She also had significant hydrocephalus .' -p139923 -(lp139924 -S'She\tShe\tPRP\tB-NP\tO' -p139925 -aS'also\talso\tRB\tB-ADVP\tO' -p139926 -aS'had\thave\tVBD\tB-VP\tO' -p139927 -aS'significant\tsignificant\tJJ\tB-NP\tO' -p139928 -aS'hydrocephalus\thydrocephalus\tNN\tI-NP\tO' -p139929 -aS'.\t.\t.\tO\tO' -p139930 -asS'This should continue to be followed as an outpatient to assure that it returns back to normal .' -p139931 -(lp139932 -S'This\tThis\tDT\tB-NP\tO' -p139933 -aS'should\tshould\tMD\tB-VP\tO' -p139934 -aS'continue\tcontinue\tVB\tI-VP\tO' -p139935 -aS'to\tto\tTO\tI-VP\tO' -p139936 -aS'be\tbe\tVB\tI-VP\tO' -p139937 -aS'followed\tfollow\tVBN\tI-VP\tO' -p139938 -aS'as\tas\tIN\tB-PP\tO' -p139939 -aS'an\tan\tDT\tB-NP\tO' -p139940 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p139941 -aS'to\tto\tTO\tB-VP\tO' -p139942 -aS'assure\tassure\tVB\tI-VP\tO' -p139943 -aS'that\tthat\tIN\tB-SBAR\tO' -p139944 -aS'it\tit\tPRP\tB-NP\tO' -p139945 -aS'returns\treturn\tVBZ\tB-VP\tO' -p139946 -aS'back\tback\tRB\tB-ADVP\tO' -p139947 -aS'to\tto\tTO\tB-PP\tO' -p139948 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p139949 -aS'.\t.\t.\tO\tO' -p139950 -asS'no obvious mediastinal widening , but no comp arison film ; wnl' -p139951 -(lp139952 -S'no\tno\tDT\tB-NP\tO' -p139953 -aS'obvious\tobvious\tJJ\tI-NP\tO' -p139954 -aS'mediastinal\tmediastinal\tJJ\tI-NP\tO' -p139955 -aS'widening\twidening\tNN\tI-NP\tO' -p139956 -aS',\t,\t,\tO\tO' -p139957 -aS'but\tbut\tCC\tO\tO' -p139958 -aS'no\tno\tDT\tB-NP\tO' -p139959 -aS'comp\tcomp\tNN\tI-NP\tO' -p139960 -aS'arison\tarison\tNN\tI-NP\tO' -p139961 -aS'film\tfilm\tNN\tI-NP\tO' -p139962 -aS';\t;\t:\tO\tO' -p139963 -aS'wnl\twnl\tNN\tB-NP\tO' -p139964 -asS'07-05 the patient had a J tube placed in interventional radiology for nutritional support .' -p139965 -(lp139966 -S'07-05\t07-05\tCD\tB-NP\tO' -p139967 -aS'the\tthe\tDT\tB-NP\tO' -p139968 -aS'patient\tpatient\tNN\tI-NP\tO' -p139969 -aS'had\thave\tVBD\tB-VP\tO' -p139970 -aS'a\ta\tDT\tB-NP\tO' -p139971 -aS'J\tJ\tNN\tI-NP\tO' -p139972 -aS'tube\ttube\tNN\tI-NP\tO' -p139973 -aS'placed\tplace\tVBN\tB-VP\tO' -p139974 -aS'in\tin\tIN\tB-PP\tO' -p139975 -aS'interventional\tinterventional\tJJ\tB-NP\tO' -p139976 -aS'radiology\tradiology\tNN\tI-NP\tO' -p139977 -aS'for\tfor\tIN\tB-PP\tO' -p139978 -aS'nutritional\tnutritional\tJJ\tB-NP\tO' -p139979 -aS'support\tsupport\tNN\tI-NP\tO' -p139980 -aS'.\t.\t.\tO\tO' -p139981 -asS'The patient presented with a chief complaint of IV FLUIDS .' -p139982 -(lp139983 -S'The\tThe\tDT\tB-NP\tO' -p139984 -aS'patient\tpatient\tNN\tI-NP\tO' -p139985 -aS'presented\tpresent\tVBD\tB-VP\tO' -p139986 -aS'with\twith\tIN\tB-PP\tO' -p139987 -aS'a\ta\tDT\tB-NP\tO' -p139988 -aS'chief\tchief\tJJ\tI-NP\tO' -p139989 -aS'complaint\tcomplaint\tNN\tI-NP\tO' -p139990 -aS'of\tof\tIN\tB-PP\tO' -p139991 -aS'IV\tIV\tCD\tB-NP\tO' -p139992 -aS'FLUIDS\tFLUIDS\tNN\tI-NP\tO' -p139993 -aS'.\t.\t.\tO\tO' -p139994 -asS'Cardiovascular - Normal .' -p139995 -(lp139996 -S'Cardiovascular\tCardiovascular\tJJ\tB-NP\tO' -p139997 -aS'-\t-\tHYPH\tI-NP\tO' -p139998 -aS'Normal\tNormal\tJJ\tB-ADJP\tO' -p139999 -aS'.\t.\t.\tO\tO' -p140000 -asS'Her BUN and creatinine have been normal , and she has always made good urine .' -p140001 -(lp140002 -S'Her\tHer\tPRP$\tB-NP\tO' -p140003 -aS'BUN\tBUN\tNN\tI-NP\tB-protein' -p140004 -aS'and\tand\tCC\tI-NP\tO' -p140005 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p140006 -aS'have\thave\tVBP\tB-VP\tO' -p140007 -aS'been\tbe\tVBN\tI-VP\tO' -p140008 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p140009 -aS',\t,\t,\tO\tO' -p140010 -aS'and\tand\tCC\tO\tO' -p140011 -aS'she\tshe\tPRP\tB-NP\tO' -p140012 -aS'has\thave\tVBZ\tB-VP\tO' -p140013 -aS'always\talways\tRB\tI-VP\tO' -p140014 -aS'made\tmake\tVBN\tI-VP\tO' -p140015 -aS'good\tgood\tJJ\tB-NP\tO' -p140016 -aS'urine\turine\tNN\tI-NP\tO' -p140017 -aS'.\t.\t.\tO\tO' -p140018 -asS'At that point he had a change in mental status and was no longer responsive .' -p140019 -(lp140020 -S'At\tAt\tIN\tB-PP\tO' -p140021 -aS'that\tthat\tDT\tB-NP\tO' -p140022 -aS'point\tpoint\tNN\tI-NP\tO' -p140023 -aS'he\the\tPRP\tB-NP\tO' -p140024 -aS'had\thave\tVBD\tB-VP\tO' -p140025 -aS'a\ta\tDT\tB-NP\tO' -p140026 -aS'change\tchange\tNN\tI-NP\tO' -p140027 -aS'in\tin\tIN\tB-PP\tO' -p140028 -aS'mental\tmental\tJJ\tB-NP\tO' -p140029 -aS'status\tstatus\tNN\tI-NP\tO' -p140030 -aS'and\tand\tCC\tO\tO' -p140031 -aS'was\tbe\tVBD\tB-VP\tO' -p140032 -aS'no\tno\tRB\tB-ADVP\tO' -p140033 -aS'longer\tlonger\tRBR\tI-ADVP\tO' -p140034 -aS'responsive\tresponsive\tJJ\tB-ADJP\tO' -p140035 -aS'.\t.\t.\tO\tO' -p140036 -asS'The patient was started on sips on postop day 2 , and advanced to clear liquids on postop day 3 .' -p140037 -(lp140038 -S'The\tThe\tDT\tB-NP\tO' -p140039 -aS'patient\tpatient\tNN\tI-NP\tO' -p140040 -aS'was\tbe\tVBD\tB-VP\tO' -p140041 -aS'started\tstart\tVBN\tI-VP\tO' -p140042 -aS'on\ton\tIN\tB-PP\tO' -p140043 -aS'sips\tsip\tNNS\tB-NP\tO' -p140044 -aS'on\ton\tIN\tB-PP\tO' -p140045 -aS'postop\tpostop\tNN\tB-NP\tO' -p140046 -aS'day\tday\tNN\tI-NP\tO' -p140047 -aS'2\t2\tCD\tI-NP\tO' -p140048 -aS',\t,\t,\tO\tO' -p140049 -aS'and\tand\tCC\tO\tO' -p140050 -aS'advanced\tadvance\tVBD\tB-VP\tO' -p140051 -aS'to\tto\tTO\tI-VP\tO' -p140052 -aS'clear\tclear\tVB\tI-VP\tO' -p140053 -aS'liquids\tliquid\tNNS\tB-NP\tO' -p140054 -aS'on\ton\tIN\tB-PP\tO' -p140055 -aS'postop\tpostop\tNN\tB-NP\tO' -p140056 -aS'day\tday\tNN\tI-NP\tO' -p140057 -aS'3\t3\tCD\tI-NP\tO' -p140058 -aS'.\t.\t.\tO\tO' -p140059 -asS'Significant for hypertension .' -p140060 -(lp140061 -S'Significant\tSignificant\tJJ\tB-ADJP\tO' -p140062 -aS'for\tfor\tIN\tB-PP\tO' -p140063 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p140064 -aS'.\t.\t.\tO\tO' -p140065 -asS'Medications on transfer : esmopreazole 40 mg iv bid hydrochlorthiazide 25 mg daily lisinopril 5 mg daily loratadine 10 mg daily metprolol 150 mg daily multivitamin niacin 500 mg daily' -p140066 -(lp140067 -S'Medications\tMedication\tNNS\tB-NP\tO' -p140068 -aS'on\ton\tIN\tB-PP\tO' -p140069 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p140070 -aS':\t:\t:\tO\tO' -p140071 -aS'esmopreazole\tesmopreazole\tNN\tB-NP\tO' -p140072 -aS'40\t40\tCD\tI-NP\tO' -p140073 -aS'mg\tmg\tNN\tI-NP\tO' -p140074 -aS'iv\tiv\tJJ\tI-NP\tO' -p140075 -aS'bid\tbid\tNN\tI-NP\tO' -p140076 -aS'hydrochlorthiazide\thydrochlorthiazide\tNN\tI-NP\tO' -p140077 -aS'25\t25\tCD\tI-NP\tO' -p140078 -aS'mg\tmg\tNN\tI-NP\tO' -p140079 -aS'daily\tdaily\tJJ\tI-NP\tO' -p140080 -aS'lisinopril\tlisinopril\tNN\tI-NP\tO' -p140081 -aS'5\t5\tCD\tI-NP\tO' -p140082 -aS'mg\tmg\tNN\tI-NP\tO' -p140083 -aS'daily\tdaily\tJJ\tI-NP\tO' -p140084 -aS'loratadine\tloratadine\tNN\tI-NP\tO' -p140085 -aS'10\t10\tCD\tI-NP\tO' -p140086 -aS'mg\tmg\tNN\tI-NP\tO' -p140087 -aS'daily\tdaily\tJJ\tI-NP\tO' -p140088 -aS'metprolol\tmetprolol\tNN\tI-NP\tO' -p140089 -aS'150\t150\tCD\tI-NP\tO' -p140090 -aS'mg\tmg\tNN\tI-NP\tO' -p140091 -aS'daily\tdaily\tJJ\tI-NP\tO' -p140092 -aS'multivitamin\tmultivitamin\tNN\tI-NP\tO' -p140093 -aS'niacin\tniacin\tNN\tI-NP\tO' -p140094 -aS'500\t500\tCD\tI-NP\tO' -p140095 -aS'mg\tmg\tNN\tI-NP\tO' -p140096 -aS'daily\tdaily\tJJ\tI-NP\tO' -p140097 -asS'The patient has remained stable and is now ready for discharge to home with follow-up in approximately four weeks .' -p140098 -(lp140099 -S'The\tThe\tDT\tB-NP\tO' -p140100 -aS'patient\tpatient\tNN\tI-NP\tO' -p140101 -aS'has\thave\tVBZ\tB-VP\tO' -p140102 -aS'remained\tremain\tVBN\tI-VP\tO' -p140103 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p140104 -aS'and\tand\tCC\tO\tO' -p140105 -aS'is\tbe\tVBZ\tB-VP\tO' -p140106 -aS'now\tnow\tRB\tB-ADJP\tO' -p140107 -aS'ready\tready\tJJ\tI-ADJP\tO' -p140108 -aS'for\tfor\tIN\tB-PP\tO' -p140109 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p140110 -aS'to\tto\tTO\tB-PP\tO' -p140111 -aS'home\thome\tNN\tB-NP\tO' -p140112 -aS'with\twith\tIN\tB-PP\tO' -p140113 -aS'follow-up\tfollow-up\tNN\tB-NP\tO' -p140114 -aS'in\tin\tIN\tB-PP\tO' -p140115 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p140116 -aS'four\tfour\tCD\tI-NP\tO' -p140117 -aS'weeks\tweek\tNNS\tI-NP\tO' -p140118 -aS'.\t.\t.\tO\tO' -p140119 -asS'Seldom ETOH .' -p140120 -(lp140121 -S'Seldom\tSeldom\tNN\tB-NP\tO' -p140122 -aS'ETOH\tETOH\tNN\tI-NP\tO' -p140123 -aS'.\t.\t.\tO\tO' -p140124 -asS'and one of his teeth was chipped .' -p140125 -(lp140126 -S'and\tand\tCC\tO\tO' -p140127 -aS'one\tone\tCD\tB-NP\tO' -p140128 -aS'of\tof\tIN\tB-PP\tO' -p140129 -aS'his\this\tPRP$\tB-NP\tO' -p140130 -aS'teeth\ttooth\tNNS\tI-NP\tO' -p140131 -aS'was\tbe\tVBD\tB-VP\tO' -p140132 -aS'chipped\tchip\tVBN\tI-VP\tO' -p140133 -aS'.\t.\t.\tO\tO' -p140134 -asS'6. Neutra phos 2 tabs BID' -p140135 -(lp140136 -S'6.\t6.\tLS\tB-NP\tO' -p140137 -aS'Neutra\tNeutra\tNNP\tI-NP\tO' -p140138 -aS'phos\tpho\tNNS\tI-NP\tO' -p140139 -aS'2\t2\tCD\tB-NP\tO' -p140140 -aS'tabs\ttab\tNNS\tI-NP\tO' -p140141 -aS'BID\tBID\tNN\tB-NP\tO' -p140142 -asS'He passed away shortly thereafter .' -p140143 -(lp140144 -S'He\tHe\tPRP\tB-NP\tO' -p140145 -aS'passed\tpass\tVBD\tB-VP\tO' -p140146 -aS'away\taway\tRB\tB-ADVP\tO' -p140147 -aS'shortly\tshortly\tRB\tB-ADVP\tO' -p140148 -aS'thereafter\tthereafter\tRB\tI-ADVP\tO' -p140149 -aS'.\t.\t.\tO\tO' -p140150 -asS'She had diffuse ischemic ST segment changes and increased lung uptake and a reversible anterior and lateral defect .' -p140151 -(lp140152 -S'She\tShe\tPRP\tB-NP\tO' -p140153 -aS'had\thave\tVBD\tB-VP\tO' -p140154 -aS'diffuse\tdiffuse\tJJ\tB-NP\tO' -p140155 -aS'ischemic\tischemic\tJJ\tI-NP\tO' -p140156 -aS'ST\tST\tNN\tI-NP\tO' -p140157 -aS'segment\tsegment\tNN\tI-NP\tO' -p140158 -aS'changes\tchange\tNNS\tI-NP\tO' -p140159 -aS'and\tand\tCC\tO\tO' -p140160 -aS'increased\tincrease\tVBN\tB-NP\tO' -p140161 -aS'lung\tlung\tNN\tI-NP\tO' -p140162 -aS'uptake\tuptake\tNN\tI-NP\tO' -p140163 -aS'and\tand\tCC\tO\tO' -p140164 -aS'a\ta\tDT\tB-NP\tO' -p140165 -aS'reversible\treversible\tJJ\tI-NP\tO' -p140166 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p140167 -aS'and\tand\tCC\tI-NP\tO' -p140168 -aS'lateral\tlateral\tJJ\tI-NP\tO' -p140169 -aS'defect\tdefect\tNN\tI-NP\tO' -p140170 -aS'.\t.\t.\tO\tO' -p140171 -asS'Reticulocyte count was performed that was negative .' -p140172 -(lp140173 -S'Reticulocyte\tReticulocyte\tNN\tB-NP\tO' -p140174 -aS'count\tcount\tNN\tI-NP\tO' -p140175 -aS'was\tbe\tVBD\tB-VP\tO' -p140176 -aS'performed\tperform\tVBN\tI-VP\tO' -p140177 -aS'that\tthat\tWDT\tB-NP\tO' -p140178 -aS'was\tbe\tVBD\tB-VP\tO' -p140179 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p140180 -aS'.\t.\t.\tO\tO' -p140181 -asS'A repeat echocardiogram showed a decreased ejection fraction from prior .' -p140182 -(lp140183 -S'A\tA\tDT\tB-NP\tO' -p140184 -aS'repeat\trepeat\tNN\tI-NP\tO' -p140185 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p140186 -aS'showed\tshow\tVBD\tB-VP\tO' -p140187 -aS'a\ta\tDT\tB-NP\tO' -p140188 -aS'decreased\tdecrease\tVBN\tI-NP\tO' -p140189 -aS'ejection\tejection\tNN\tI-NP\tO' -p140190 -aS'fraction\tfraction\tNN\tI-NP\tO' -p140191 -aS'from\tfrom\tIN\tB-PP\tO' -p140192 -aS'prior\tprior\tRB\tB-ADVP\tO' -p140193 -aS'.\t.\t.\tO\tO' -p140194 -asS'Initial opthalmologic exam on 06-05 revealed immature retinas in zone 3 , and repeat exam on 06-26 revealed mature retinas bilaterally .' -p140195 -(lp140196 -S'Initial\tInitial\tJJ\tB-NP\tO' -p140197 -aS'opthalmologic\topthalmologic\tJJ\tI-NP\tO' -p140198 -aS'exam\texam\tNN\tI-NP\tO' -p140199 -aS'on\ton\tIN\tB-PP\tO' -p140200 -aS'06-05\t06-05\tCD\tB-NP\tO' -p140201 -aS'revealed\treveal\tVBD\tB-VP\tO' -p140202 -aS'immature\timmature\tJJ\tB-NP\tO' -p140203 -aS'retinas\tretina\tNNS\tI-NP\tO' -p140204 -aS'in\tin\tIN\tB-PP\tO' -p140205 -aS'zone\tzone\tNN\tB-NP\tO' -p140206 -aS'3\t3\tCD\tI-NP\tO' -p140207 -aS',\t,\t,\tO\tO' -p140208 -aS'and\tand\tCC\tO\tO' -p140209 -aS'repeat\trepeat\tNN\tB-NP\tO' -p140210 -aS'exam\texam\tNN\tI-NP\tO' -p140211 -aS'on\ton\tIN\tB-PP\tO' -p140212 -aS'06-26\t06-26\tCD\tB-NP\tO' -p140213 -aS'revealed\treveal\tVBD\tB-VP\tO' -p140214 -aS'mature\tmature\tJJ\tB-NP\tO' -p140215 -aS'retinas\tretina\tNNS\tI-NP\tO' -p140216 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p140217 -aS'.\t.\t.\tO\tO' -p140218 -asS'The ulcer was managed conservatively at Har Hospital by Dr. Holes with Silvadene b.i.d. lower extremity non-invasive study obtained at that time showed poor distal right extremity perfusion .' -p140219 -(lp140220 -S'The\tThe\tDT\tB-NP\tO' -p140221 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p140222 -aS'was\tbe\tVBD\tB-VP\tO' -p140223 -aS'managed\tmanage\tVBN\tI-VP\tO' -p140224 -aS'conservatively\tconservatively\tRB\tB-ADVP\tO' -p140225 -aS'at\tat\tIN\tB-PP\tO' -p140226 -aS'Har\tHar\tNNP\tB-NP\tO' -p140227 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p140228 -aS'by\tby\tIN\tB-PP\tO' -p140229 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p140230 -aS'Holes\tHoles\tNNP\tI-NP\tO' -p140231 -aS'with\twith\tIN\tB-PP\tO' -p140232 -aS'Silvadene\tSilvadene\tNN\tB-NP\tO' -p140233 -aS'b.i.d.\tb.i.d.\tRB\tB-NP\tO' -p140234 -aS'lower\tlow\tJJR\tI-NP\tO' -p140235 -aS'extremity\textremity\tNN\tI-NP\tO' -p140236 -aS'non-invasive\tnon-invasive\tJJ\tI-NP\tO' -p140237 -aS'study\tstudy\tNN\tI-NP\tO' -p140238 -aS'obtained\tobtain\tVBN\tB-VP\tO' -p140239 -aS'at\tat\tIN\tB-PP\tO' -p140240 -aS'that\tthat\tDT\tB-NP\tO' -p140241 -aS'time\ttime\tNN\tI-NP\tO' -p140242 -aS'showed\tshow\tVBD\tB-VP\tO' -p140243 -aS'poor\tpoor\tJJ\tB-NP\tO' -p140244 -aS'distal\tdistal\tJJ\tI-NP\tO' -p140245 -aS'right\tright\tJJ\tI-NP\tO' -p140246 -aS'extremity\textremity\tNN\tI-NP\tO' -p140247 -aS'perfusion\tperfusion\tNN\tI-NP\tO' -p140248 -aS'.\t.\t.\tO\tO' -p140249 -asS'Patient was alert , oriented x3 .' -p140250 -(lp140251 -S'Patient\tPatient\tNN\tB-NP\tO' -p140252 -aS'was\tbe\tVBD\tB-VP\tO' -p140253 -aS'alert\talert\tJJ\tB-NP\tO' -p140254 -aS',\t,\t,\tI-NP\tO' -p140255 -aS'oriented\toriented\tJJ\tI-NP\tO' -p140256 -aS'x3\tx3\tNN\tI-NP\tO' -p140257 -aS'.\t.\t.\tO\tO' -p140258 -asS'His right hip is irritable with a 10-degree fixed flexion contracture .' -p140259 -(lp140260 -S'His\tHis\tPRP$\tB-NP\tO' -p140261 -aS'right\tright\tJJ\tI-NP\tO' -p140262 -aS'hip\thip\tNN\tI-NP\tO' -p140263 -aS'is\tbe\tVBZ\tB-VP\tO' -p140264 -aS'irritable\tirritable\tJJ\tB-ADJP\tO' -p140265 -aS'with\twith\tIN\tB-PP\tO' -p140266 -aS'a\ta\tDT\tB-NP\tO' -p140267 -aS'10-degree\t10-degree\tJJ\tI-NP\tO' -p140268 -aS'fixed\tfix\tVBN\tI-NP\tO' -p140269 -aS'flexion\tflexion\tNN\tI-NP\tO' -p140270 -aS'contracture\tcontracture\tNN\tI-NP\tO' -p140271 -aS'.\t.\t.\tO\tO' -p140272 -asS'The patient now presents with a three to four week history of shortness of breath and a dry non-productive cough .' -p140273 -(lp140274 -S'The\tThe\tDT\tB-NP\tO' -p140275 -aS'patient\tpatient\tNN\tI-NP\tO' -p140276 -aS'now\tnow\tRB\tB-ADVP\tO' -p140277 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p140278 -aS'with\twith\tIN\tB-PP\tO' -p140279 -aS'a\ta\tDT\tB-NP\tO' -p140280 -aS'three\tthree\tCD\tI-NP\tO' -p140281 -aS'to\tto\tTO\tI-NP\tO' -p140282 -aS'four\tfour\tCD\tI-NP\tO' -p140283 -aS'week\tweek\tNN\tI-NP\tO' -p140284 -aS'history\thistory\tNN\tI-NP\tO' -p140285 -aS'of\tof\tIN\tB-PP\tO' -p140286 -aS'shortness\tshortness\tNN\tB-NP\tO' -p140287 -aS'of\tof\tIN\tB-PP\tO' -p140288 -aS'breath\tbreath\tNN\tB-NP\tO' -p140289 -aS'and\tand\tCC\tO\tO' -p140290 -aS'a\ta\tDT\tB-NP\tO' -p140291 -aS'dry\tdry\tJJ\tI-NP\tO' -p140292 -aS'non-productive\tnon-productive\tJJ\tI-NP\tO' -p140293 -aS'cough\tcough\tNN\tI-NP\tO' -p140294 -aS'.\t.\t.\tO\tO' -p140295 -asS'No hepatosplenomegaly and no CVA tenderness .' -p140296 -(lp140297 -S'No\tNo\tDT\tB-NP\tO' -p140298 -aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tI-NP\tO' -p140299 -aS'and\tand\tCC\tO\tO' -p140300 -aS'no\tno\tDT\tB-NP\tO' -p140301 -aS'CVA\tCVA\tNN\tI-NP\tO' -p140302 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p140303 -aS'.\t.\t.\tO\tO' -p140304 -asS'13. Sertraline 20 mg/mL Concentrate Sig : Two ( 2 ) PO at bedtime .' -p140305 -(lp140306 -S'13.\t13.\tCD\tB-NP\tO' -p140307 -aS'Sertraline\tSertraline\tNN\tI-NP\tO' -p140308 -aS'20\t20\tCD\tB-NP\tO' -p140309 -aS'mg/mL\tmg/mL\tNN\tI-NP\tO' -p140310 -aS'Concentrate\tConcentrate\tNNP\tI-NP\tO' -p140311 -aS'Sig\tSig\tNNP\tI-NP\tO' -p140312 -aS':\t:\t:\tO\tO' -p140313 -aS'Two\tTwo\tCD\tB-NP\tO' -p140314 -aS'(\t(\t(\tO\tO' -p140315 -aS'2\t2\tCD\tB-NP\tO' -p140316 -aS')\t)\t)\tO\tO' -p140317 -aS'PO\tPO\tNN\tB-NP\tO' -p140318 -aS'at\tat\tIN\tB-PP\tO' -p140319 -aS'bedtime\tbedtime\tNN\tB-NP\tO' -p140320 -aS'.\t.\t.\tO\tO' -p140321 -asS'He was seen by cardiology , and toxicology was consulted via telephone .' -p140322 -(lp140323 -S'He\tHe\tPRP\tB-NP\tO' -p140324 -aS'was\tbe\tVBD\tB-VP\tO' -p140325 -aS'seen\tsee\tVBN\tI-VP\tO' -p140326 -aS'by\tby\tIN\tB-PP\tO' -p140327 -aS'cardiology\tcardiology\tNN\tB-NP\tO' -p140328 -aS',\t,\t,\tO\tO' -p140329 -aS'and\tand\tCC\tO\tO' -p140330 -aS'toxicology\ttoxicology\tNN\tB-NP\tO' -p140331 -aS'was\tbe\tVBD\tB-VP\tO' -p140332 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p140333 -aS'via\tvia\tIN\tB-PP\tO' -p140334 -aS'telephone\ttelephone\tNN\tB-NP\tO' -p140335 -aS'.\t.\t.\tO\tO' -p140336 -asS'The patient did receive a significant amount of diuresis postoperatively and is well below his baseline with weight , most likely because of his inability to eat because of his stroke .' -p140337 -(lp140338 -S'The\tThe\tDT\tB-NP\tO' -p140339 -aS'patient\tpatient\tNN\tI-NP\tO' -p140340 -aS'did\tdo\tVBD\tB-VP\tO' -p140341 -aS'receive\treceive\tVB\tI-VP\tO' -p140342 -aS'a\ta\tDT\tB-NP\tO' -p140343 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p140344 -aS'amount\tamount\tNN\tI-NP\tO' -p140345 -aS'of\tof\tIN\tB-PP\tO' -p140346 -aS'diuresis\tdiuresis\tNN\tB-NP\tO' -p140347 -aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' -p140348 -aS'and\tand\tCC\tO\tO' -p140349 -aS'is\tbe\tVBZ\tB-VP\tO' -p140350 -aS'well\twell\tRB\tB-ADVP\tO' -p140351 -aS'below\tbelow\tIN\tB-PP\tO' -p140352 -aS'his\this\tPRP$\tB-NP\tO' -p140353 -aS'baseline\tbaseline\tNN\tI-NP\tO' -p140354 -aS'with\twith\tIN\tB-PP\tO' -p140355 -aS'weight\tweight\tNN\tB-NP\tO' -p140356 -aS',\t,\t,\tO\tO' -p140357 -aS'most\tmost\tRBS\tB-ADVP\tO' -p140358 -aS'likely\tlikely\tRB\tI-ADVP\tO' -p140359 -aS'because\tbecause\tIN\tB-PP\tO' -p140360 -aS'of\tof\tIN\tI-PP\tO' -p140361 -aS'his\this\tPRP$\tB-NP\tO' -p140362 -aS'inability\tinability\tNN\tI-NP\tO' -p140363 -aS'to\tto\tTO\tB-VP\tO' -p140364 -aS'eat\teat\tVB\tI-VP\tO' -p140365 -aS'because\tbecause\tIN\tB-PP\tO' -p140366 -aS'of\tof\tIN\tI-PP\tO' -p140367 -aS'his\this\tPRP$\tB-NP\tO' -p140368 -aS'stroke\tstroke\tNN\tI-NP\tO' -p140369 -aS'.\t.\t.\tO\tO' -p140370 -asS'The patient was also found to have gram negative rod sepsis with blood cultures times two growing E. coli and B. fragilis .' -p140371 -(lp140372 -S'The\tThe\tDT\tB-NP\tO' -p140373 -aS'patient\tpatient\tNN\tI-NP\tO' -p140374 -aS'was\tbe\tVBD\tB-VP\tO' -p140375 -aS'also\talso\tRB\tI-VP\tO' -p140376 -aS'found\tfind\tVBN\tI-VP\tO' -p140377 -aS'to\tto\tTO\tI-VP\tO' -p140378 -aS'have\thave\tVB\tI-VP\tO' -p140379 -aS'gram\tgram\tNN\tB-NP\tO' -p140380 -aS'negative\tnegative\tJJ\tI-NP\tO' -p140381 -aS'rod\trod\tNN\tI-NP\tO' -p140382 -aS'sepsis\tsepsis\tNN\tI-NP\tO' -p140383 -aS'with\twith\tIN\tB-PP\tO' -p140384 -aS'blood\tblood\tNN\tB-NP\tO' -p140385 -aS'cultures\tculture\tNNS\tI-NP\tO' -p140386 -aS'times\ttime\tVBZ\tB-VP\tO' -p140387 -aS'two\ttwo\tCD\tB-NP\tO' -p140388 -aS'growing\tgrow\tVBG\tI-NP\tO' -p140389 -aS'E.\tE.\tNNP\tI-NP\tO' -p140390 -aS'coli\tcoli\tNNP\tI-NP\tO' -p140391 -aS'and\tand\tCC\tI-NP\tO' -p140392 -aS'B.\tB.\tNNP\tI-NP\tO' -p140393 -aS'fragilis\tfragilis\tNN\tI-NP\tO' -p140394 -aS'.\t.\t.\tO\tO' -p140395 -asS'This was done on the evening of 02/18/91 .' -p140396 -(lp140397 -S'This\tThis\tDT\tB-NP\tO' -p140398 -aS'was\tbe\tVBD\tB-VP\tO' -p140399 -aS'done\tdo\tVBN\tI-VP\tO' -p140400 -aS'on\ton\tIN\tB-PP\tO' -p140401 -aS'the\tthe\tDT\tB-NP\tO' -p140402 -aS'evening\tevening\tNN\tI-NP\tO' -p140403 -aS'of\tof\tIN\tB-PP\tO' -p140404 -aS'02/18/91\t02/18/91\tCD\tB-NP\tO' -p140405 -aS'.\t.\t.\tO\tO' -p140406 -asS'pt 's clinical picture was consistent with constipation-related abdominal pain .' -p140407 -(lp140408 -S'pt\tpt\tJJ\tB-NP\tO' -p140409 -aS''s\t'\tNNS\tI-NP\tO' -p140410 -aS'clinical\tclinical\tJJ\tB-NP\tO' -p140411 -aS'picture\tpicture\tNN\tI-NP\tO' -p140412 -aS'was\tbe\tVBD\tB-VP\tO' -p140413 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p140414 -aS'with\twith\tIN\tB-PP\tO' -p140415 -aS'constipation-related\tconstipation-related\tJJ\tB-NP\tB-protein' -p140416 -aS'abdominal\tabdominal\tJJ\tI-NP\tI-protein' -p140417 -aS'pain\tpain\tNN\tI-NP\tI-protein' -p140418 -aS'.\t.\t.\tO\tO' -p140419 -asS'His lungs were clear .' -p140420 -(lp140421 -S'His\tHis\tPRP$\tB-NP\tO' -p140422 -aS'lungs\tlung\tNNS\tI-NP\tO' -p140423 -aS'were\tbe\tVBD\tB-VP\tO' -p140424 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p140425 -aS'.\t.\t.\tO\tO' -p140426 -asS'She was oriented to person , place , time and purpose , she recalled three out of three objects at five minutes , she is able to do calculations .' -p140427 -(lp140428 -S'She\tShe\tPRP\tB-NP\tO' -p140429 -aS'was\tbe\tVBD\tB-VP\tO' -p140430 -aS'oriented\torient\tVBN\tI-VP\tO' -p140431 -aS'to\tto\tTO\tB-PP\tO' -p140432 -aS'person\tperson\tNN\tB-NP\tO' -p140433 -aS',\t,\t,\tO\tO' -p140434 -aS'place\tplace\tNN\tB-NP\tO' -p140435 -aS',\t,\t,\tO\tO' -p140436 -aS'time\ttime\tNN\tB-NP\tO' -p140437 -aS'and\tand\tCC\tO\tO' -p140438 -aS'purpose\tpurpose\tNN\tB-NP\tO' -p140439 -aS',\t,\t,\tO\tO' -p140440 -aS'she\tshe\tPRP\tB-NP\tO' -p140441 -aS'recalled\trecall\tVBD\tB-VP\tO' -p140442 -aS'three\tthree\tCD\tB-NP\tO' -p140443 -aS'out\tout\tIN\tI-NP\tO' -p140444 -aS'of\tof\tIN\tI-NP\tO' -p140445 -aS'three\tthree\tCD\tI-NP\tO' -p140446 -aS'objects\tobject\tNNS\tI-NP\tO' -p140447 -aS'at\tat\tIN\tB-PP\tO' -p140448 -aS'five\tfive\tCD\tB-NP\tO' -p140449 -aS'minutes\tminute\tNNS\tI-NP\tO' -p140450 -aS',\t,\t,\tO\tO' -p140451 -aS'she\tshe\tPRP\tB-NP\tO' -p140452 -aS'is\tbe\tVBZ\tB-VP\tO' -p140453 -aS'able\table\tJJ\tB-ADJP\tO' -p140454 -aS'to\tto\tTO\tB-VP\tO' -p140455 -aS'do\tdo\tVB\tI-VP\tO' -p140456 -aS'calculations\tcalculation\tNNS\tB-NP\tO' -p140457 -aS'.\t.\t.\tO\tO' -p140458 -asS'She does not recall hitting her head .' -p140459 -(lp140460 -S'She\tShe\tPRP\tB-NP\tO' -p140461 -aS'does\tdo\tVBZ\tB-VP\tO' -p140462 -aS'not\tnot\tRB\tI-VP\tO' -p140463 -aS'recall\trecall\tVB\tI-VP\tO' -p140464 -aS'hitting\thit\tVBG\tI-VP\tO' -p140465 -aS'her\ther\tPRP$\tB-NP\tO' -p140466 -aS'head\thead\tNN\tI-NP\tO' -p140467 -aS'.\t.\t.\tO\tO' -p140468 -asS'He had a normal head , eyes , ears , nose and throat exam .' -p140469 -(lp140470 -S'He\tHe\tPRP\tB-NP\tO' -p140471 -aS'had\thave\tVBD\tB-VP\tO' -p140472 -aS'a\ta\tDT\tB-NP\tO' -p140473 -aS'normal\tnormal\tJJ\tI-NP\tO' -p140474 -aS'head\thead\tNN\tI-NP\tO' -p140475 -aS',\t,\t,\tO\tO' -p140476 -aS'eyes\teye\tNNS\tB-NP\tO' -p140477 -aS',\t,\t,\tO\tO' -p140478 -aS'ears\tear\tNNS\tB-NP\tO' -p140479 -aS',\t,\t,\tO\tO' -p140480 -aS'nose\tnose\tNN\tB-NP\tO' -p140481 -aS'and\tand\tCC\tI-NP\tO' -p140482 -aS'throat\tthroat\tNN\tI-NP\tO' -p140483 -aS'exam\texam\tNN\tI-NP\tO' -p140484 -aS'.\t.\t.\tO\tO' -p140485 -asS'She also complained of some loose stools on the day of admission , no nausea or vomiting .' -p140486 -(lp140487 -S'She\tShe\tPRP\tB-NP\tO' -p140488 -aS'also\talso\tRB\tB-ADVP\tO' -p140489 -aS'complained\tcomplain\tVBD\tB-VP\tO' -p140490 -aS'of\tof\tIN\tB-PP\tO' -p140491 -aS'some\tsome\tDT\tB-NP\tO' -p140492 -aS'loose\tloose\tJJ\tI-NP\tO' -p140493 -aS'stools\tstool\tNNS\tI-NP\tO' -p140494 -aS'on\ton\tIN\tB-PP\tO' -p140495 -aS'the\tthe\tDT\tB-NP\tO' -p140496 -aS'day\tday\tNN\tI-NP\tO' -p140497 -aS'of\tof\tIN\tB-PP\tO' -p140498 -aS'admission\tadmission\tNN\tB-NP\tO' -p140499 -aS',\t,\t,\tO\tO' -p140500 -aS'no\tno\tDT\tB-NP\tO' -p140501 -aS'nausea\tnausea\tNN\tI-NP\tO' -p140502 -aS'or\tor\tCC\tI-NP\tO' -p140503 -aS'vomiting\tvomiting\tNN\tI-NP\tO' -p140504 -aS'.\t.\t.\tO\tO' -p140505 -asS'watch for EtOH WD .' -p140506 -(lp140507 -S'watch\twatch\tNN\tB-NP\tO' -p140508 -aS'for\tfor\tIN\tB-PP\tO' -p140509 -aS'EtOH\tEtOH\tNN\tB-NP\tO' -p140510 -aS'WD\tWD\tNN\tI-NP\tO' -p140511 -aS'.\t.\t.\tO\tO' -p140512 -asS'The patient had recently prior to this admission , had a rise in his alpha feta protein and a biopsy of his liver had shown hepatocellular carcinoma .' -p140513 -(lp140514 -S'The\tThe\tDT\tB-NP\tO' -p140515 -aS'patient\tpatient\tNN\tI-NP\tO' -p140516 -aS'had\thave\tVBD\tB-VP\tO' -p140517 -aS'recently\trecently\tRB\tB-ADVP\tO' -p140518 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p140519 -aS'to\tto\tTO\tB-PP\tO' -p140520 -aS'this\tthis\tDT\tB-NP\tO' -p140521 -aS'admission\tadmission\tNN\tI-NP\tO' -p140522 -aS',\t,\t,\tO\tO' -p140523 -aS'had\thave\tVBD\tB-VP\tO' -p140524 -aS'a\ta\tDT\tB-NP\tO' -p140525 -aS'rise\trise\tNN\tI-NP\tO' -p140526 -aS'in\tin\tIN\tB-PP\tO' -p140527 -aS'his\this\tPRP$\tB-NP\tO' -p140528 -aS'alpha\talpha\tNN\tI-NP\tO' -p140529 -aS'feta\tfeta\tNN\tI-NP\tO' -p140530 -aS'protein\tprotein\tNN\tI-NP\tO' -p140531 -aS'and\tand\tCC\tO\tO' -p140532 -aS'a\ta\tDT\tB-NP\tO' -p140533 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p140534 -aS'of\tof\tIN\tB-PP\tO' -p140535 -aS'his\this\tPRP$\tB-NP\tO' -p140536 -aS'liver\tliver\tNN\tI-NP\tO' -p140537 -aS'had\thave\tVBD\tB-VP\tO' -p140538 -aS'shown\tshow\tVBN\tI-VP\tO' -p140539 -aS'hepatocellular\thepatocellular\tJJ\tB-NP\tO' -p140540 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p140541 -aS'.\t.\t.\tO\tO' -p140542 -asS'You should take a stool softener , Colace 100 mg twice daily as needed for constipation .' -p140543 -(lp140544 -S'You\tYou\tPRP\tB-NP\tB-protein' -p140545 -aS'should\tshould\tMD\tB-VP\tO' -p140546 -aS'take\ttake\tVB\tI-VP\tO' -p140547 -aS'a\ta\tDT\tB-NP\tO' -p140548 -aS'stool\tstool\tNN\tI-NP\tO' -p140549 -aS'softener\tsoftener\tNN\tI-NP\tO' -p140550 -aS',\t,\t,\tO\tO' -p140551 -aS'Colace\tColace\tNNP\tB-NP\tO' -p140552 -aS'100\t100\tCD\tI-NP\tO' -p140553 -aS'mg\tmg\tNN\tI-NP\tO' -p140554 -aS'twice\ttwice\tRB\tB-ADVP\tO' -p140555 -aS'daily\tdaily\tRB\tI-ADVP\tO' -p140556 -aS'as\tas\tIN\tB-SBAR\tO' -p140557 -aS'needed\tneed\tVBN\tB-VP\tO' -p140558 -aS'for\tfor\tIN\tB-PP\tO' -p140559 -aS'constipation\tconstipation\tNN\tB-NP\tO' -p140560 -aS'.\t.\t.\tO\tO' -p140561 -asS'Thus , the beta blocker and ACE inhibitor were started to be titrated up .' -p140562 -(lp140563 -S'Thus\tThus\tRB\tB-ADVP\tO' -p140564 -aS',\t,\t,\tO\tO' -p140565 -aS'the\tthe\tDT\tB-NP\tO' -p140566 -aS'beta\tbeta\tNN\tI-NP\tO' -p140567 -aS'blocker\tblocker\tNN\tI-NP\tO' -p140568 -aS'and\tand\tCC\tO\tO' -p140569 -aS'ACE\tACE\tNN\tB-NP\tO' -p140570 -aS'inhibitor\tinhibitor\tNN\tI-NP\tO' -p140571 -aS'were\tbe\tVBD\tB-VP\tO' -p140572 -aS'started\tstart\tVBN\tI-VP\tO' -p140573 -aS'to\tto\tTO\tI-VP\tO' -p140574 -aS'be\tbe\tVB\tI-VP\tO' -p140575 -aS'titrated\ttitrate\tVBN\tI-VP\tO' -p140576 -aS'up\tup\tRP\tB-PRT\tO' -p140577 -aS'.\t.\t.\tO\tO' -p140578 -asS'Strength is 5/5 throughout .' -p140579 -(lp140580 -S'Strength\tStrength\tNNP\tB-NP\tO' -p140581 -aS'is\tbe\tVBZ\tB-VP\tO' -p140582 -aS'5/5\t5/5\tCD\tB-NP\tO' -p140583 -aS'throughout\tthroughout\tIN\tB-ADVP\tO' -p140584 -aS'.\t.\t.\tO\tO' -p140585 -asS'Good pulses bilaterally .' -p140586 -(lp140587 -S'Good\tGood\tJJ\tB-NP\tO' -p140588 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p140589 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p140590 -aS'.\t.\t.\tO\tO' -p140591 -asS'He has been a smoker for the last 50 years and he drinks alcohol occasionally , but stopped in 1987 .' -p140592 -(lp140593 -S'He\tHe\tPRP\tB-NP\tO' -p140594 -aS'has\thave\tVBZ\tB-VP\tO' -p140595 -aS'been\tbe\tVBN\tI-VP\tO' -p140596 -aS'a\ta\tDT\tB-NP\tO' -p140597 -aS'smoker\tsmoker\tNN\tI-NP\tO' -p140598 -aS'for\tfor\tIN\tB-PP\tO' -p140599 -aS'the\tthe\tDT\tB-NP\tO' -p140600 -aS'last\tlast\tJJ\tI-NP\tO' -p140601 -aS'50\t50\tCD\tI-NP\tO' -p140602 -aS'years\tyear\tNNS\tI-NP\tO' -p140603 -aS'and\tand\tCC\tO\tO' -p140604 -aS'he\the\tPRP\tB-NP\tO' -p140605 -aS'drinks\tdrink\tVBZ\tB-VP\tO' -p140606 -aS'alcohol\talcohol\tNN\tB-NP\tO' -p140607 -aS'occasionally\toccasionally\tRB\tB-ADVP\tO' -p140608 -aS',\t,\t,\tO\tO' -p140609 -aS'but\tbut\tCC\tO\tO' -p140610 -aS'stopped\tstop\tVBD\tB-VP\tO' -p140611 -aS'in\tin\tIN\tB-PP\tO' -p140612 -aS'1987\t1987\tCD\tB-NP\tO' -p140613 -aS'.\t.\t.\tO\tO' -p140614 -asS'Regular rate and rhythm , normal S1 , S2 , no murmurs , rubs or gallops .' -p140615 -(lp140616 -S'Regular\tRegular\tJJ\tB-NP\tO' -p140617 -aS'rate\trate\tNN\tI-NP\tO' -p140618 -aS'and\tand\tCC\tI-NP\tO' -p140619 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p140620 -aS',\t,\t,\tO\tO' -p140621 -aS'normal\tnormal\tJJ\tB-NP\tO' -p140622 -aS'S1\tS1\tNN\tI-NP\tO' -p140623 -aS',\t,\t,\tO\tO' -p140624 -aS'S2\tS2\tNN\tB-NP\tB-protein' -p140625 -aS',\t,\t,\tO\tO' -p140626 -aS'no\tno\tDT\tB-NP\tO' -p140627 -aS'murmurs\tmurmur\tNNS\tI-NP\tO' -p140628 -aS',\t,\t,\tI-NP\tO' -p140629 -aS'rubs\trub\tNNS\tI-NP\tO' -p140630 -aS'or\tor\tCC\tI-NP\tO' -p140631 -aS'gallops\tgallop\tNNS\tI-NP\tO' -p140632 -aS'.\t.\t.\tO\tO' -p140633 -asS'The patient has a history of high MCV and megaloblastic cells on smear in the setting of anemia ; question B12 deficiency , the patient also has a history of borderline low B12 levels .' -p140634 -(lp140635 -S'The\tThe\tDT\tB-NP\tO' -p140636 -aS'patient\tpatient\tNN\tI-NP\tO' -p140637 -aS'has\thave\tVBZ\tB-VP\tO' -p140638 -aS'a\ta\tDT\tB-NP\tO' -p140639 -aS'history\thistory\tNN\tI-NP\tO' -p140640 -aS'of\tof\tIN\tB-PP\tO' -p140641 -aS'high\thigh\tJJ\tB-NP\tO' -p140642 -aS'MCV\tMCV\tNN\tI-NP\tO' -p140643 -aS'and\tand\tCC\tO\tO' -p140644 -aS'megaloblastic\tmegaloblastic\tJJ\tB-NP\tO' -p140645 -aS'cells\tcell\tNNS\tI-NP\tO' -p140646 -aS'on\ton\tIN\tB-PP\tO' -p140647 -aS'smear\tsmear\tNN\tB-NP\tO' -p140648 -aS'in\tin\tIN\tB-PP\tO' -p140649 -aS'the\tthe\tDT\tB-NP\tO' -p140650 -aS'setting\tsetting\tNN\tI-NP\tO' -p140651 -aS'of\tof\tIN\tB-PP\tO' -p140652 -aS'anemia\tanemia\tNN\tB-NP\tO' -p140653 -aS';\t;\t:\tO\tO' -p140654 -aS'question\tquestion\tNN\tB-NP\tO' -p140655 -aS'B12\tB12\tNN\tI-NP\tO' -p140656 -aS'deficiency\tdeficiency\tNN\tI-NP\tO' -p140657 -aS',\t,\t,\tO\tO' -p140658 -aS'the\tthe\tDT\tB-NP\tO' -p140659 -aS'patient\tpatient\tNN\tI-NP\tO' -p140660 -aS'also\talso\tRB\tB-ADVP\tO' -p140661 -aS'has\thave\tVBZ\tB-VP\tO' -p140662 -aS'a\ta\tDT\tB-NP\tO' -p140663 -aS'history\thistory\tNN\tI-NP\tO' -p140664 -aS'of\tof\tIN\tB-PP\tO' -p140665 -aS'borderline\tborderline\tJJ\tB-NP\tO' -p140666 -aS'low\tlow\tJJ\tI-NP\tO' -p140667 -aS'B12\tB12\tNN\tI-NP\tB-protein' -p140668 -aS'levels\tlevel\tNNS\tI-NP\tO' -p140669 -aS'.\t.\t.\tO\tO' -p140670 -asS"A Hepatology consult was obtained who felt that the most likely etiology of these cysts were from hepatic candidiasis , although one could not rule out lymphoma involving from Burkitt's ." -p140671 -(lp140672 -S'A\tA\tDT\tB-NP\tO' -p140673 -aS'Hepatology\tHepatology\tNN\tI-NP\tO' -p140674 -aS'consult\tconsult\tNN\tI-NP\tO' -p140675 -aS'was\tbe\tVBD\tB-VP\tO' -p140676 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p140677 -aS'who\twho\tWP\tB-NP\tO' -p140678 -aS'felt\tfeel\tVBD\tB-VP\tO' -p140679 -aS'that\tthat\tIN\tB-SBAR\tO' -p140680 -aS'the\tthe\tDT\tB-NP\tO' -p140681 -aS'most\tmost\tRBS\tI-NP\tO' -p140682 -aS'likely\tlikely\tJJ\tI-NP\tO' -p140683 -aS'etiology\tetiology\tNN\tI-NP\tO' -p140684 -aS'of\tof\tIN\tB-PP\tO' -p140685 -aS'these\tthese\tDT\tB-NP\tO' -p140686 -aS'cysts\tcyst\tNNS\tI-NP\tO' -p140687 -aS'were\tbe\tVBD\tB-VP\tO' -p140688 -aS'from\tfrom\tIN\tB-PP\tO' -p140689 -aS'hepatic\thepatic\tJJ\tB-NP\tO' -p140690 -aS'candidiasis\tcandidiasis\tNN\tI-NP\tO' -p140691 -aS',\t,\t,\tO\tO' -p140692 -aS'although\talthough\tIN\tB-SBAR\tO' -p140693 -aS'one\tone\tPRP\tB-NP\tO' -p140694 -aS'could\tcould\tMD\tB-VP\tO' -p140695 -aS'not\tnot\tRB\tI-VP\tO' -p140696 -aS'rule\trule\tVB\tI-VP\tO' -p140697 -aS'out\tout\tRP\tB-PRT\tO' -p140698 -aS'lymphoma\tlymphoma\tNN\tB-NP\tO' -p140699 -aS'involving\tinvolve\tVBG\tB-VP\tO' -p140700 -aS'from\tfrom\tIN\tB-PP\tO' -p140701 -aS"Burkitt's\tBurkitt'\tNNS\tB-NP\tO" -p140702 -aS'.\t.\t.\tO\tO' -p140703 -asS'The family realizes that the long term outlook for this patient is not very good , but they would like to currently continue to provide him with all support necessary , short of resuscitation measures or heroic measures should he have a cardiopulmonary arrest .' -p140704 -(lp140705 -S'The\tThe\tDT\tB-NP\tO' -p140706 -aS'family\tfamily\tNN\tI-NP\tO' -p140707 -aS'realizes\trealize\tVBZ\tB-VP\tO' -p140708 -aS'that\tthat\tIN\tB-SBAR\tO' -p140709 -aS'the\tthe\tDT\tB-NP\tO' -p140710 -aS'long\tlong\tJJ\tI-NP\tO' -p140711 -aS'term\tterm\tNN\tI-NP\tO' -p140712 -aS'outlook\toutlook\tNN\tI-NP\tO' -p140713 -aS'for\tfor\tIN\tB-PP\tO' -p140714 -aS'this\tthis\tDT\tB-NP\tO' -p140715 -aS'patient\tpatient\tNN\tI-NP\tO' -p140716 -aS'is\tbe\tVBZ\tB-VP\tO' -p140717 -aS'not\tnot\tRB\tO\tO' -p140718 -aS'very\tvery\tRB\tB-ADJP\tO' -p140719 -aS'good\tgood\tJJ\tI-ADJP\tO' -p140720 -aS',\t,\t,\tO\tO' -p140721 -aS'but\tbut\tCC\tO\tO' -p140722 -aS'they\tthey\tPRP\tB-NP\tO' -p140723 -aS'would\twould\tMD\tB-VP\tO' -p140724 -aS'like\tlike\tVB\tI-VP\tO' -p140725 -aS'to\tto\tTO\tI-VP\tO' -p140726 -aS'currently\tcurrently\tRB\tI-VP\tO' -p140727 -aS'continue\tcontinue\tVB\tI-VP\tO' -p140728 -aS'to\tto\tTO\tI-VP\tO' -p140729 -aS'provide\tprovide\tVB\tI-VP\tO' -p140730 -aS'him\thim\tPRP\tB-NP\tO' -p140731 -aS'with\twith\tIN\tB-PP\tO' -p140732 -aS'all\tall\tDT\tB-NP\tO' -p140733 -aS'support\tsupport\tVBP\tB-VP\tO' -p140734 -aS'necessary\tnecessary\tJJ\tB-ADJP\tO' -p140735 -aS',\t,\t,\tO\tO' -p140736 -aS'short\tshort\tJJ\tB-ADJP\tO' -p140737 -aS'of\tof\tIN\tB-PP\tO' -p140738 -aS'resuscitation\tresuscitation\tNN\tB-NP\tO' -p140739 -aS'measures\tmeasure\tNNS\tI-NP\tO' -p140740 -aS'or\tor\tCC\tO\tO' -p140741 -aS'heroic\theroic\tJJ\tB-NP\tO' -p140742 -aS'measures\tmeasure\tNNS\tI-NP\tO' -p140743 -aS'should\tshould\tMD\tO\tO' -p140744 -aS'he\the\tPRP\tB-NP\tO' -p140745 -aS'have\thave\tVB\tB-VP\tO' -p140746 -aS'a\ta\tDT\tB-NP\tO' -p140747 -aS'cardiopulmonary\tcardiopulmonary\tJJ\tI-NP\tO' -p140748 -aS'arrest\tarrest\tNN\tI-NP\tO' -p140749 -aS'.\t.\t.\tO\tO' -p140750 -asS'The patient is a 42 year old gentleman who suffered lower back pain during an accident at work in 1990 .' -p140751 -(lp140752 -S'The\tThe\tDT\tB-NP\tO' -p140753 -aS'patient\tpatient\tNN\tI-NP\tO' -p140754 -aS'is\tbe\tVBZ\tB-VP\tO' -p140755 -aS'a\ta\tDT\tB-NP\tO' -p140756 -aS'42\t42\tCD\tI-NP\tO' -p140757 -aS'year\tyear\tNN\tI-NP\tO' -p140758 -aS'old\told\tJJ\tI-NP\tO' -p140759 -aS'gentleman\tgentleman\tNN\tI-NP\tO' -p140760 -aS'who\twho\tWP\tB-NP\tO' -p140761 -aS'suffered\tsuffer\tVBD\tB-VP\tO' -p140762 -aS'lower\tlow\tJJR\tB-NP\tO' -p140763 -aS'back\tback\tJJ\tI-NP\tO' -p140764 -aS'pain\tpain\tNN\tI-NP\tO' -p140765 -aS'during\tduring\tIN\tB-PP\tO' -p140766 -aS'an\tan\tDT\tB-NP\tO' -p140767 -aS'accident\taccident\tNN\tI-NP\tO' -p140768 -aS'at\tat\tIN\tB-PP\tO' -p140769 -aS'work\twork\tNN\tB-NP\tO' -p140770 -aS'in\tin\tIN\tB-PP\tO' -p140771 -aS'1990\t1990\tCD\tB-NP\tO' -p140772 -aS'.\t.\t.\tO\tO' -p140773 -asS'On physical examination at that time he had bright red blood per rectum and therefore lysis was deferred and he was taken directly to the cardiac catheterization lab .' -p140774 -(lp140775 -S'On\tOn\tIN\tB-PP\tO' -p140776 -aS'physical\tphysical\tJJ\tB-NP\tO' -p140777 -aS'examination\texamination\tNN\tI-NP\tO' -p140778 -aS'at\tat\tIN\tB-PP\tO' -p140779 -aS'that\tthat\tDT\tB-NP\tO' -p140780 -aS'time\ttime\tNN\tI-NP\tO' -p140781 -aS'he\the\tPRP\tB-NP\tO' -p140782 -aS'had\thave\tVBD\tB-VP\tO' -p140783 -aS'bright\tbright\tJJ\tB-NP\tO' -p140784 -aS'red\tred\tJJ\tI-NP\tO' -p140785 -aS'blood\tblood\tNN\tI-NP\tO' -p140786 -aS'per\tper\tIN\tB-PP\tO' -p140787 -aS'rectum\trectum\tNN\tB-NP\tO' -p140788 -aS'and\tand\tCC\tO\tO' -p140789 -aS'therefore\ttherefore\tRB\tB-ADVP\tO' -p140790 -aS'lysis\tlysis\tNN\tB-NP\tO' -p140791 -aS'was\tbe\tVBD\tB-VP\tO' -p140792 -aS'deferred\tdefer\tVBN\tI-VP\tO' -p140793 -aS'and\tand\tCC\tO\tO' -p140794 -aS'he\the\tPRP\tB-NP\tO' -p140795 -aS'was\tbe\tVBD\tB-VP\tO' -p140796 -aS'taken\ttake\tVBN\tI-VP\tO' -p140797 -aS'directly\tdirectly\tRB\tB-ADVP\tO' -p140798 -aS'to\tto\tTO\tB-PP\tO' -p140799 -aS'the\tthe\tDT\tB-NP\tO' -p140800 -aS'cardiac\tcardiac\tJJ\tI-NP\tB-protein' -p140801 -aS'catheterization\tcatheterization\tNN\tI-NP\tI-protein' -p140802 -aS'lab\tlab\tNN\tI-NP\tI-protein' -p140803 -aS'.\t.\t.\tO\tO' -p140804 -asS'Over the next several hours , pt complained of abd pain but this resolved on its own without medication .' -p140805 -(lp140806 -S'Over\tOver\tIN\tB-PP\tO' -p140807 -aS'the\tthe\tDT\tB-NP\tO' -p140808 -aS'next\tnext\tJJ\tI-NP\tO' -p140809 -aS'several\tseveral\tJJ\tI-NP\tO' -p140810 -aS'hours\thour\tNNS\tI-NP\tO' -p140811 -aS',\t,\t,\tO\tO' -p140812 -aS'pt\tpt\tNN\tB-NP\tO' -p140813 -aS'complained\tcomplain\tVBD\tB-VP\tO' -p140814 -aS'of\tof\tIN\tB-PP\tO' -p140815 -aS'abd\tabd\tNN\tB-NP\tO' -p140816 -aS'pain\tpain\tNN\tI-NP\tO' -p140817 -aS'but\tbut\tCC\tO\tO' -p140818 -aS'this\tthis\tDT\tB-NP\tO' -p140819 -aS'resolved\tresolve\tVBD\tB-VP\tO' -p140820 -aS'on\ton\tIN\tB-PP\tO' -p140821 -aS'its\tits\tPRP$\tB-NP\tO' -p140822 -aS'own\town\tJJ\tI-NP\tO' -p140823 -aS'without\twithout\tIN\tB-PP\tO' -p140824 -aS'medication\tmedication\tNN\tB-NP\tO' -p140825 -aS'.\t.\t.\tO\tO' -p140826 -asS'Actually in reviewing the records at this point , it appears that Pentamidine was not started initially so on the antibiotics of Erythromycin and Gentamicin , the patient 's respiratory status worsened and his LDH climbed so he began Pentamidine on 02/10/91 .' -p140827 -(lp140828 -S'Actually\tActually\tRB\tB-ADVP\tO' -p140829 -aS'in\tin\tIN\tB-PP\tO' -p140830 -aS'reviewing\treview\tVBG\tB-VP\tO' -p140831 -aS'the\tthe\tDT\tB-NP\tO' -p140832 -aS'records\trecord\tNNS\tI-NP\tO' -p140833 -aS'at\tat\tIN\tB-PP\tO' -p140834 -aS'this\tthis\tDT\tB-NP\tO' -p140835 -aS'point\tpoint\tNN\tI-NP\tO' -p140836 -aS',\t,\t,\tO\tO' -p140837 -aS'it\tit\tPRP\tB-NP\tO' -p140838 -aS'appears\tappear\tVBZ\tB-VP\tO' -p140839 -aS'that\tthat\tIN\tB-SBAR\tO' -p140840 -aS'Pentamidine\tPentamidine\tNN\tB-NP\tO' -p140841 -aS'was\tbe\tVBD\tB-VP\tO' -p140842 -aS'not\tnot\tRB\tI-VP\tO' -p140843 -aS'started\tstart\tVBN\tI-VP\tO' -p140844 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p140845 -aS'so\tso\tRB\tI-ADVP\tO' -p140846 -aS'on\ton\tIN\tB-PP\tO' -p140847 -aS'the\tthe\tDT\tB-NP\tO' -p140848 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p140849 -aS'of\tof\tIN\tB-PP\tO' -p140850 -aS'Erythromycin\tErythromycin\tNN\tB-NP\tO' -p140851 -aS'and\tand\tCC\tI-NP\tO' -p140852 -aS'Gentamicin\tGentamicin\tNN\tI-NP\tO' -p140853 -aS',\t,\t,\tO\tO' -p140854 -aS'the\tthe\tDT\tB-NP\tO' -p140855 -aS'patient\tpatient\tNN\tI-NP\tO' -p140856 -aS''s\t'\tNNS\tI-NP\tO' -p140857 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p140858 -aS'status\tstatus\tNN\tI-NP\tO' -p140859 -aS'worsened\tworsen\tVBD\tB-VP\tO' -p140860 -aS'and\tand\tCC\tO\tO' -p140861 -aS'his\this\tPRP$\tB-NP\tO' -p140862 -aS'LDH\tLDH\tNN\tI-NP\tB-protein' -p140863 -aS'climbed\tclimb\tVBD\tB-VP\tO' -p140864 -aS'so\tso\tIN\tB-SBAR\tO' -p140865 -aS'he\the\tPRP\tB-NP\tO' -p140866 -aS'began\tbegin\tVBD\tB-VP\tO' -p140867 -aS'Pentamidine\tPentamidine\tNN\tB-NP\tO' -p140868 -aS'on\ton\tIN\tB-PP\tO' -p140869 -aS'02/10/91\t02/10/91\tCD\tB-NP\tO' -p140870 -aS'.\t.\t.\tO\tO' -p140871 -asS'Left parietal subcortical hypodensity , likely ischemic .' -p140872 -(lp140873 -S'Left\tLeave\tVBN\tB-NP\tO' -p140874 -aS'parietal\tparietal\tJJ\tI-NP\tO' -p140875 -aS'subcortical\tsubcortical\tJJ\tI-NP\tO' -p140876 -aS'hypodensity\thypodensity\tNN\tI-NP\tO' -p140877 -aS',\t,\t,\tO\tO' -p140878 -aS'likely\tlikely\tRB\tB-ADJP\tO' -p140879 -aS'ischemic\tischemic\tJJ\tI-ADJP\tO' -p140880 -aS'.\t.\t.\tO\tO' -p140881 -asS'The patient was admitted to the Short Stay Unit and continued to receive antibiotics overnight .' -p140882 -(lp140883 -S'The\tThe\tDT\tB-NP\tO' -p140884 -aS'patient\tpatient\tNN\tI-NP\tO' -p140885 -aS'was\tbe\tVBD\tB-VP\tO' -p140886 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p140887 -aS'to\tto\tTO\tB-PP\tO' -p140888 -aS'the\tthe\tDT\tB-NP\tO' -p140889 -aS'Short\tShort\tNNP\tI-NP\tO' -p140890 -aS'Stay\tStay\tNNP\tI-NP\tO' -p140891 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p140892 -aS'and\tand\tCC\tO\tO' -p140893 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p140894 -aS'to\tto\tTO\tI-VP\tO' -p140895 -aS'receive\treceive\tVB\tI-VP\tO' -p140896 -aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' -p140897 -aS'overnight\tovernight\tRB\tB-ADVP\tO' -p140898 -aS'.\t.\t.\tO\tO' -p140899 -asS'Her last menstrual period was on 2017-08-29 .' -p140900 -(lp140901 -S'Her\tHer\tPRP$\tB-NP\tO' -p140902 -aS'last\tlast\tJJ\tI-NP\tO' -p140903 -aS'menstrual\tmenstrual\tJJ\tI-NP\tO' -p140904 -aS'period\tperiod\tNN\tI-NP\tO' -p140905 -aS'was\tbe\tVBD\tB-VP\tO' -p140906 -aS'on\ton\tIN\tB-PP\tO' -p140907 -aS'2017-08-29\t2017-08-29\tCD\tB-NP\tO' -p140908 -aS'.\t.\t.\tO\tO' -p140909 -asS'A pharmacologic pulmonary vasodilator challenge was performed with a positive response .' -p140910 -(lp140911 -S'A\tA\tDT\tB-NP\tO' -p140912 -aS'pharmacologic\tpharmacologic\tJJ\tI-NP\tO' -p140913 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p140914 -aS'vasodilator\tvasodilator\tNN\tI-NP\tO' -p140915 -aS'challenge\tchallenge\tNN\tI-NP\tO' -p140916 -aS'was\tbe\tVBD\tB-VP\tO' -p140917 -aS'performed\tperform\tVBN\tI-VP\tO' -p140918 -aS'with\twith\tIN\tB-PP\tO' -p140919 -aS'a\ta\tDT\tB-NP\tO' -p140920 -aS'positive\tpositive\tJJ\tI-NP\tO' -p140921 -aS'response\tresponse\tNN\tI-NP\tO' -p140922 -aS'.\t.\t.\tO\tO' -p140923 -asS'She received three stents to the right coronary artery which was complicated by a proximal dissection .' -p140924 -(lp140925 -S'She\tShe\tPRP\tB-NP\tO' -p140926 -aS'received\treceive\tVBD\tB-VP\tO' -p140927 -aS'three\tthree\tCD\tB-NP\tO' -p140928 -aS'stents\tstent\tNNS\tI-NP\tO' -p140929 -aS'to\tto\tTO\tB-PP\tO' -p140930 -aS'the\tthe\tDT\tB-NP\tO' -p140931 -aS'right\tright\tJJ\tI-NP\tO' -p140932 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p140933 -aS'artery\tartery\tNN\tI-NP\tO' -p140934 -aS'which\twhich\tWDT\tB-NP\tO' -p140935 -aS'was\tbe\tVBD\tB-VP\tO' -p140936 -aS'complicated\tcomplicate\tVBN\tI-VP\tO' -p140937 -aS'by\tby\tIN\tB-PP\tO' -p140938 -aS'a\ta\tDT\tB-NP\tO' -p140939 -aS'proximal\tproximal\tJJ\tI-NP\tO' -p140940 -aS'dissection\tdissection\tNN\tI-NP\tO' -p140941 -aS'.\t.\t.\tO\tO' -p140942 -asS'Pulses diminished but symmetric .' -p140943 -(lp140944 -S'Pulses\tPulse\tNNS\tB-NP\tO' -p140945 -aS'diminished\tdiminish\tVBD\tB-VP\tO' -p140946 -aS'but\tbut\tCC\tO\tO' -p140947 -aS'symmetric\tsymmetric\tJJ\tB-ADJP\tO' -p140948 -aS'.\t.\t.\tO\tO' -p140949 -asS'20. Vancomycin HCl in Dextrose 1 g / 200 mL Piggyback Sig : One ( 1 ) Intravenous Q 12H ( Every 12 Hours ) : Last day 08-07 .' -p140950 -(lp140951 -S'20.\t20.\tLS\tB-NP\tO' -p140952 -aS'Vancomycin\tVancomycin\tNN\tI-NP\tO' -p140953 -aS'HCl\tHCl\tNN\tI-NP\tO' -p140954 -aS'in\tin\tIN\tB-PP\tO' -p140955 -aS'Dextrose\tDextrose\tNN\tB-NP\tO' -p140956 -aS'1\t1\tCD\tI-NP\tO' -p140957 -aS'g\tg\tNN\tI-NP\tO' -p140958 -aS'/\t/\tSYM\tO\tO' -p140959 -aS'200\t200\tCD\tB-NP\tO' -p140960 -aS'mL\tmL\tNN\tI-NP\tO' -p140961 -aS'Piggyback\tPiggyback\tNNP\tI-NP\tO' -p140962 -aS'Sig\tSig\tNNP\tI-NP\tO' -p140963 -aS':\t:\t:\tO\tO' -p140964 -aS'One\tOne\tCD\tB-NP\tO' -p140965 -aS'(\t(\t(\tO\tO' -p140966 -aS'1\t1\tCD\tB-NP\tO' -p140967 -aS')\t)\t)\tO\tO' -p140968 -aS'Intravenous\tIntravenous\tJJ\tB-NP\tO' -p140969 -aS'Q\tQ\tNN\tI-NP\tO' -p140970 -aS'12H\t12H\tNN\tI-NP\tO' -p140971 -aS'(\t(\t(\tO\tO' -p140972 -aS'Every\tEvery\tDT\tB-NP\tO' -p140973 -aS'12\t12\tCD\tI-NP\tO' -p140974 -aS'Hours\tHour\tNNPS\tI-NP\tO' -p140975 -aS')\t)\t)\tO\tO' -p140976 -aS':\t:\t:\tO\tO' -p140977 -aS'Last\tLast\tJJ\tB-NP\tO' -p140978 -aS'day\tday\tNN\tI-NP\tO' -p140979 -aS'08-07\t08-07\tCD\tI-NP\tO' -p140980 -aS'.\t.\t.\tO\tO' -p140981 -asS'On day two of admission , the patient ambulated with PT and was moved to the regular floor .' -p140982 -(lp140983 -S'On\tOn\tIN\tB-PP\tO' -p140984 -aS'day\tday\tNN\tB-NP\tO' -p140985 -aS'two\ttwo\tCD\tI-NP\tO' -p140986 -aS'of\tof\tIN\tB-PP\tO' -p140987 -aS'admission\tadmission\tNN\tB-NP\tO' -p140988 -aS',\t,\t,\tO\tO' -p140989 -aS'the\tthe\tDT\tB-NP\tO' -p140990 -aS'patient\tpatient\tNN\tI-NP\tO' -p140991 -aS'ambulated\tambulate\tVBN\tB-VP\tO' -p140992 -aS'with\twith\tIN\tB-PP\tO' -p140993 -aS'PT\tPT\tNN\tB-NP\tO' -p140994 -aS'and\tand\tCC\tO\tO' -p140995 -aS'was\tbe\tVBD\tB-VP\tO' -p140996 -aS'moved\tmove\tVBN\tI-VP\tO' -p140997 -aS'to\tto\tTO\tB-PP\tO' -p140998 -aS'the\tthe\tDT\tB-NP\tO' -p140999 -aS'regular\tregular\tJJ\tI-NP\tO' -p141000 -aS'floor\tfloor\tNN\tI-NP\tO' -p141001 -aS'.\t.\t.\tO\tO' -p141002 -asS'Thus , his nasogastric tube was discontinued on October 19 , 1996 and he tolerated feeding quite well .' -p141003 -(lp141004 -S'Thus\tThus\tRB\tB-ADVP\tO' -p141005 -aS',\t,\t,\tO\tO' -p141006 -aS'his\this\tPRP$\tB-NP\tO' -p141007 -aS'nasogastric\tnasogastric\tJJ\tI-NP\tO' -p141008 -aS'tube\ttube\tNN\tI-NP\tO' -p141009 -aS'was\tbe\tVBD\tB-VP\tO' -p141010 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p141011 -aS'on\ton\tIN\tB-PP\tO' -p141012 -aS'October\tOctober\tNNP\tB-NP\tO' -p141013 -aS'19\t19\tCD\tI-NP\tO' -p141014 -aS',\t,\t,\tI-NP\tO' -p141015 -aS'1996\t1996\tCD\tI-NP\tO' -p141016 -aS'and\tand\tCC\tO\tO' -p141017 -aS'he\the\tPRP\tB-NP\tO' -p141018 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p141019 -aS'feeding\tfeed\tVBG\tI-VP\tO' -p141020 -aS'quite\tquite\tRB\tB-ADVP\tO' -p141021 -aS'well\twell\tRB\tI-ADVP\tO' -p141022 -aS'.\t.\t.\tO\tO' -p141023 -asS'The patient was given two units of packed red blood cells and H2 blockers .' -p141024 -(lp141025 -S'The\tThe\tDT\tB-NP\tO' -p141026 -aS'patient\tpatient\tNN\tI-NP\tO' -p141027 -aS'was\tbe\tVBD\tB-VP\tO' -p141028 -aS'given\tgive\tVBN\tI-VP\tO' -p141029 -aS'two\ttwo\tCD\tB-NP\tO' -p141030 -aS'units\tunit\tNNS\tI-NP\tO' -p141031 -aS'of\tof\tIN\tB-PP\tO' -p141032 -aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' -p141033 -aS'red\tred\tJJ\tI-NP\tI-cell_type' -p141034 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p141035 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p141036 -aS'and\tand\tCC\tO\tO' -p141037 -aS'H2\tH2\tNN\tB-NP\tO' -p141038 -aS'blockers\tblocker\tNNS\tI-NP\tO' -p141039 -aS'.\t.\t.\tO\tO' -p141040 -asS'Her postoperative course was unremarkble .' -p141041 -(lp141042 -S'Her\tHer\tPRP$\tB-NP\tO' -p141043 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p141044 -aS'course\tcourse\tNN\tI-NP\tO' -p141045 -aS'was\tbe\tVBD\tB-VP\tO' -p141046 -aS'unremarkble\tunremarkble\tJJ\tB-ADJP\tO' -p141047 -aS'.\t.\t.\tO\tO' -p141048 -asS'No crepitus .' -p141049 -(lp141050 -S'No\tNo\tDT\tB-NP\tO' -p141051 -aS'crepitus\tcrepitus\tNN\tI-NP\tO' -p141052 -aS'.\t.\t.\tO\tO' -p141053 -asS'For this , a CT angiogram was obtained which demonstrated no pulmonary embolism .' -p141054 -(lp141055 -S'For\tFor\tIN\tB-PP\tO' -p141056 -aS'this\tthis\tDT\tB-NP\tO' -p141057 -aS',\t,\t,\tO\tO' -p141058 -aS'a\ta\tDT\tB-NP\tO' -p141059 -aS'CT\tCT\tNN\tI-NP\tO' -p141060 -aS'angiogram\tangiogram\tNN\tI-NP\tO' -p141061 -aS'was\tbe\tVBD\tB-VP\tO' -p141062 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p141063 -aS'which\twhich\tWDT\tB-NP\tO' -p141064 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p141065 -aS'no\tno\tDT\tB-NP\tO' -p141066 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p141067 -aS'embolism\tembolism\tNN\tI-NP\tO' -p141068 -aS'.\t.\t.\tO\tO' -p141069 -asS'Infant achieved full enteral feedings by day of life 6 .' -p141070 -(lp141071 -S'Infant\tInfant\tNNP\tB-NP\tO' -p141072 -aS'achieved\tachieve\tVBD\tB-VP\tO' -p141073 -aS'full\tfull\tJJ\tB-NP\tO' -p141074 -aS'enteral\tenteral\tJJ\tI-NP\tO' -p141075 -aS'feedings\tfeeding\tNNS\tI-NP\tO' -p141076 -aS'by\tby\tIN\tB-PP\tO' -p141077 -aS'day\tday\tNN\tB-NP\tO' -p141078 -aS'of\tof\tIN\tB-PP\tO' -p141079 -aS'life\tlife\tNN\tB-NP\tB-protein' -p141080 -aS'6\t6\tCD\tI-NP\tI-protein' -p141081 -aS'.\t.\t.\tO\tO' -p141082 -asS'She was placed on a bowel regimen of Dulcolax , Fleet enema , and Colace .' -p141083 -(lp141084 -S'She\tShe\tPRP\tB-NP\tO' -p141085 -aS'was\tbe\tVBD\tB-VP\tO' -p141086 -aS'placed\tplace\tVBN\tI-VP\tO' -p141087 -aS'on\ton\tIN\tB-PP\tO' -p141088 -aS'a\ta\tDT\tB-NP\tO' -p141089 -aS'bowel\tbowel\tNN\tI-NP\tO' -p141090 -aS'regimen\tregimen\tNN\tI-NP\tO' -p141091 -aS'of\tof\tIN\tB-PP\tO' -p141092 -aS'Dulcolax\tDulcolax\tNNP\tB-NP\tO' -p141093 -aS',\t,\t,\tO\tO' -p141094 -aS'Fleet\tFleet\tNNP\tB-NP\tO' -p141095 -aS'enema\tenema\tNN\tI-NP\tO' -p141096 -aS',\t,\t,\tO\tO' -p141097 -aS'and\tand\tCC\tO\tO' -p141098 -aS'Colace\tColace\tNNP\tB-NP\tO' -p141099 -aS'.\t.\t.\tO\tO' -p141100 -asS'2. Azotemia .' -p141101 -(lp141102 -S'2.\t2.\tLS\tB-NP\tO' -p141103 -aS'Azotemia\tAzotemia\tNN\tI-NP\tO' -p141104 -aS'.\t.\t.\tO\tO' -p141105 -asS'No rebound .' -p141106 -(lp141107 -S'No\tNo\tDT\tB-NP\tO' -p141108 -aS'rebound\trebound\tNN\tI-NP\tO' -p141109 -aS'.\t.\t.\tO\tO' -p141110 -asS'Cannot use lamictal or depakote due to reactions .' -p141111 -(lp141112 -S'Cannot\tCannot\tRB\tB-ADVP\tO' -p141113 -aS'use\tuse\tVBP\tB-VP\tO' -p141114 -aS'lamictal\tlamictal\tJJ\tB-ADJP\tO' -p141115 -aS'or\tor\tCC\tO\tO' -p141116 -aS'depakote\tdepakote\tVB\tB-VP\tO' -p141117 -aS'due\tdue\tJJ\tB-ADJP\tO' -p141118 -aS'to\tto\tTO\tB-PP\tO' -p141119 -aS'reactions\treaction\tNNS\tB-NP\tO' -p141120 -aS'.\t.\t.\tO\tO' -p141121 -asS'She has had lower extremity edema for thelast several years with multiple episodes of cellulitis .' -p141122 -(lp141123 -S'She\tShe\tPRP\tB-NP\tO' -p141124 -aS'has\thave\tVBZ\tB-VP\tO' -p141125 -aS'had\thave\tVBD\tI-VP\tO' -p141126 -aS'lower\tlow\tJJR\tB-NP\tO' -p141127 -aS'extremity\textremity\tNN\tI-NP\tO' -p141128 -aS'edema\tedema\tNN\tI-NP\tO' -p141129 -aS'for\tfor\tIN\tB-PP\tO' -p141130 -aS'thelast\tthelast\tJJ\tB-NP\tO' -p141131 -aS'several\tseveral\tJJ\tI-NP\tO' -p141132 -aS'years\tyear\tNNS\tI-NP\tO' -p141133 -aS'with\twith\tIN\tB-PP\tO' -p141134 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p141135 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p141136 -aS'of\tof\tIN\tB-PP\tO' -p141137 -aS'cellulitis\tcellulitis\tNN\tB-NP\tO' -p141138 -aS'.\t.\t.\tO\tO' -p141139 -asS'Overall left ventricular systolic function is severely depressed .' -p141140 -(lp141141 -S'Overall\tOverall\tRB\tB-ADVP\tO' -p141142 -aS'left\tleave\tVBD\tB-VP\tO' -p141143 -aS'ventricular\tventricular\tJJ\tB-NP\tO' -p141144 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p141145 -aS'function\tfunction\tNN\tI-NP\tO' -p141146 -aS'is\tbe\tVBZ\tB-VP\tO' -p141147 -aS'severely\tseverely\tRB\tI-VP\tO' -p141148 -aS'depressed\tdepress\tVBN\tI-VP\tO' -p141149 -aS'.\t.\t.\tO\tO' -p141150 -asS'Her respirations ceased and she died at 10:15 a.m. on April 2 , 1994 .' -p141151 -(lp141152 -S'Her\tHer\tPRP$\tB-NP\tO' -p141153 -aS'respirations\trespiration\tNNS\tI-NP\tO' -p141154 -aS'ceased\tcease\tVBN\tB-VP\tO' -p141155 -aS'and\tand\tCC\tO\tO' -p141156 -aS'she\tshe\tPRP\tB-NP\tO' -p141157 -aS'died\tdie\tVBD\tB-VP\tO' -p141158 -aS'at\tat\tIN\tB-PP\tO' -p141159 -aS'10:15\t10:15\tCD\tB-NP\tO' -p141160 -aS'a.m.\ta.m.\tNN\tI-NP\tO' -p141161 -aS'on\ton\tIN\tB-PP\tO' -p141162 -aS'April\tApril\tNNP\tB-NP\tO' -p141163 -aS'2\t2\tCD\tI-NP\tO' -p141164 -aS',\t,\t,\tI-NP\tO' -p141165 -aS'1994\t1994\tCD\tI-NP\tO' -p141166 -aS'.\t.\t.\tO\tO' -p141167 -asS'Withdraws to painful stimulus .' -p141168 -(lp141169 -S'Withdraws\tWithdraw\tNNS\tB-NP\tO' -p141170 -aS'to\tto\tTO\tB-PP\tO' -p141171 -aS'painful\tpainful\tJJ\tB-NP\tO' -p141172 -aS'stimulus\tstimulus\tNN\tI-NP\tO' -p141173 -aS'.\t.\t.\tO\tO' -p141174 -asS'He is 5 feet , 9 inches , 225 pounds .' -p141175 -(lp141176 -S'He\tHe\tPRP\tB-NP\tO' -p141177 -aS'is\tbe\tVBZ\tB-VP\tO' -p141178 -aS'5\t5\tCD\tB-NP\tO' -p141179 -aS'feet\tfoot\tNNS\tI-NP\tO' -p141180 -aS',\t,\t,\tO\tO' -p141181 -aS'9\t9\tCD\tB-NP\tO' -p141182 -aS'inches\tinch\tNNS\tI-NP\tO' -p141183 -aS',\t,\t,\tO\tO' -p141184 -aS'225\t225\tCD\tB-NP\tO' -p141185 -aS'pounds\tpound\tNNS\tI-NP\tO' -p141186 -aS'.\t.\t.\tO\tO' -p141187 -asS'Allergies to penicillin , sulfa , codeine , morphine sulfate .Medications on transfer included thiamine ; multivitamin ; Pepcid ; ceftizoxime 1 gm intravenously q. eight hours ; Flagyl 500 mg intravenously q. eight hours ; gentamicin 80 mg IV q. 24 hours ; Ventolin inhaler ; Lotrimin cream ; sliding scale nitro paste ; pyridium ; Vancomycin 125 mg p.o. q.i.d. ; and calcium carbonate .' -p141188 -(lp141189 -S'Allergies\tAllergy\tNNS\tB-NP\tO' -p141190 -aS'to\tto\tTO\tB-PP\tO' -p141191 -aS'penicillin\tpenicillin\tNN\tB-NP\tB-protein' -p141192 -aS',\t,\t,\tO\tO' -p141193 -aS'sulfa\tsulfa\tNN\tB-NP\tO' -p141194 -aS',\t,\t,\tO\tO' -p141195 -aS'codeine\tcodeine\tNN\tB-NP\tO' -p141196 -aS',\t,\t,\tO\tO' -p141197 -aS'morphine\tmorphine\tNN\tB-NP\tO' -p141198 -aS'sulfate\tsulfate\tNN\tI-NP\tO' -p141199 -aS'.Medications\t.Medication\tNNS\tI-NP\tO' -p141200 -aS'on\ton\tIN\tB-PP\tO' -p141201 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p141202 -aS'included\tinclude\tVBD\tB-VP\tO' -p141203 -aS'thiamine\tthiamine\tNN\tB-NP\tO' -p141204 -aS';\t;\t:\tO\tO' -p141205 -aS'multivitamin\tmultivitamin\tNN\tB-NP\tO' -p141206 -aS';\t;\t:\tO\tO' -p141207 -aS'Pepcid\tPepcid\tNN\tB-NP\tO' -p141208 -aS';\t;\t:\tO\tO' -p141209 -aS'ceftizoxime\tceftizoxime\tNN\tB-NP\tO' -p141210 -aS'1\t1\tCD\tI-NP\tO' -p141211 -aS'gm\tgm\tNN\tI-NP\tO' -p141212 -aS'intravenously\tintravenously\tRB\tB-NP\tO' -p141213 -aS'q.\tq.\tRB\tI-NP\tO' -p141214 -aS'eight\teight\tCD\tI-NP\tO' -p141215 -aS'hours\thour\tNNS\tI-NP\tO' -p141216 -aS';\t;\t:\tO\tO' -p141217 -aS'Flagyl\tFlagyl\tNN\tB-NP\tO' -p141218 -aS'500\t500\tCD\tI-NP\tO' -p141219 -aS'mg\tmg\tNN\tI-NP\tO' -p141220 -aS'intravenously\tintravenously\tRB\tB-NP\tO' -p141221 -aS'q.\tq.\tRB\tI-NP\tO' -p141222 -aS'eight\teight\tCD\tI-NP\tO' -p141223 -aS'hours\thour\tNNS\tI-NP\tO' -p141224 -aS';\t;\t:\tO\tO' -p141225 -aS'gentamicin\tgentamicin\tNN\tB-NP\tO' -p141226 -aS'80\t80\tCD\tI-NP\tO' -p141227 -aS'mg\tmg\tNN\tI-NP\tO' -p141228 -aS'IV\tIV\tCD\tB-NP\tO' -p141229 -aS'q.\tq.\tNN\tI-NP\tO' -p141230 -aS'24\t24\tCD\tB-NP\tO' -p141231 -aS'hours\thour\tNNS\tI-NP\tO' -p141232 -aS';\t;\t:\tO\tO' -p141233 -aS'Ventolin\tVentolin\tNN\tB-NP\tO' -p141234 -aS'inhaler\tinhaler\tNN\tI-NP\tO' -p141235 -aS';\t;\t:\tO\tO' -p141236 -aS'Lotrimin\tLotrimin\tNNP\tB-NP\tO' -p141237 -aS'cream\tcream\tNN\tI-NP\tO' -p141238 -aS';\t;\t:\tO\tO' -p141239 -aS'sliding\tslide\tVBG\tB-VP\tO' -p141240 -aS'scale\tscale\tNN\tB-NP\tO' -p141241 -aS'nitro\tnitro\tNN\tI-NP\tO' -p141242 -aS'paste\tpaste\tNN\tI-NP\tO' -p141243 -aS';\t;\t:\tO\tO' -p141244 -aS'pyridium\tpyridium\tNN\tB-NP\tO' -p141245 -aS';\t;\t:\tO\tO' -p141246 -aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' -p141247 -aS'125\t125\tCD\tI-NP\tO' -p141248 -aS'mg\tmg\tNN\tI-NP\tO' -p141249 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p141250 -aS'q.i.d.\tq.i.d.\tNN\tI-NP\tO' -p141251 -aS';\t;\t:\tO\tO' -p141252 -aS'and\tand\tCC\tO\tO' -p141253 -aS'calcium\tcalcium\tNN\tB-NP\tO' -p141254 -aS'carbonate\tcarbonate\tNN\tI-NP\tO' -p141255 -aS'.\t.\t.\tO\tO' -p141256 -asS'She will also be seen in the Heart Failure Clinic on 2012-03-28 .' -p141257 -(lp141258 -S'She\tShe\tPRP\tB-NP\tO' -p141259 -aS'will\twill\tMD\tB-VP\tO' -p141260 -aS'also\talso\tRB\tI-VP\tO' -p141261 -aS'be\tbe\tVB\tI-VP\tO' -p141262 -aS'seen\tsee\tVBN\tI-VP\tO' -p141263 -aS'in\tin\tIN\tB-PP\tO' -p141264 -aS'the\tthe\tDT\tB-NP\tO' -p141265 -aS'Heart\tHeart\tNNP\tI-NP\tO' -p141266 -aS'Failure\tFailure\tNNP\tI-NP\tO' -p141267 -aS'Clinic\tClinic\tNNP\tI-NP\tO' -p141268 -aS'on\ton\tIN\tB-PP\tO' -p141269 -aS'2012-03-28\t2012-03-28\tCD\tB-NP\tO' -p141270 -aS'.\t.\t.\tO\tO' -p141271 -asS'Trazodone 25 mg p.o. q h.s. as needed for sleep .' -p141272 -(lp141273 -S'Trazodone\tTrazodone\tNN\tB-NP\tO' -p141274 -aS'25\t25\tCD\tI-NP\tO' -p141275 -aS'mg\tmg\tNN\tI-NP\tO' -p141276 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p141277 -aS'q\tq\tNN\tI-NP\tO' -p141278 -aS'h.s.\th.s.\tNN\tI-NP\tO' -p141279 -aS'as\tas\tIN\tB-SBAR\tO' -p141280 -aS'needed\tneed\tVBN\tB-VP\tO' -p141281 -aS'for\tfor\tIN\tB-PP\tO' -p141282 -aS'sleep\tsleep\tNN\tB-NP\tO' -p141283 -aS'.\t.\t.\tO\tO' -p141284 -asS'It was felt that this potentially had lead to his atrial flutter and atrial fibrillation with rapid ventricular response .' -p141285 -(lp141286 -S'It\tIt\tPRP\tB-NP\tO' -p141287 -aS'was\tbe\tVBD\tB-VP\tO' -p141288 -aS'felt\tfeel\tVBN\tI-VP\tO' -p141289 -aS'that\tthat\tIN\tB-SBAR\tO' -p141290 -aS'this\tthis\tDT\tB-NP\tO' -p141291 -aS'potentially\tpotentially\tRB\tB-ADVP\tO' -p141292 -aS'had\thave\tVBD\tB-VP\tO' -p141293 -aS'lead\tlead\tVBN\tI-VP\tO' -p141294 -aS'to\tto\tTO\tB-PP\tO' -p141295 -aS'his\this\tPRP$\tB-NP\tO' -p141296 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p141297 -aS'flutter\tflutter\tNN\tI-NP\tO' -p141298 -aS'and\tand\tCC\tO\tO' -p141299 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p141300 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p141301 -aS'with\twith\tIN\tB-PP\tO' -p141302 -aS'rapid\trapid\tJJ\tB-NP\tO' -p141303 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p141304 -aS'response\tresponse\tNN\tI-NP\tO' -p141305 -aS'.\t.\t.\tO\tO' -p141306 -asS'The Levophed drip was continued until postoperative day number one .' -p141307 -(lp141308 -S'The\tThe\tDT\tB-NP\tO' -p141309 -aS'Levophed\tLevophed\tNNP\tI-NP\tO' -p141310 -aS'drip\tdrip\tNN\tI-NP\tO' -p141311 -aS'was\tbe\tVBD\tB-VP\tO' -p141312 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p141313 -aS'until\tuntil\tIN\tB-PP\tO' -p141314 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p141315 -aS'day\tday\tNN\tI-NP\tO' -p141316 -aS'number\tnumber\tNN\tI-NP\tO' -p141317 -aS'one\tone\tCD\tB-NP\tO' -p141318 -aS'.\t.\t.\tO\tO' -p141319 -asS'A postoperative MRI was obtained which revealed no remarkable findings but only post surgical changes .' -p141320 -(lp141321 -S'A\tA\tDT\tB-NP\tO' -p141322 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p141323 -aS'MRI\tMRI\tNN\tI-NP\tO' -p141324 -aS'was\tbe\tVBD\tB-VP\tO' -p141325 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p141326 -aS'which\twhich\tWDT\tB-NP\tO' -p141327 -aS'revealed\treveal\tVBD\tB-VP\tO' -p141328 -aS'no\tno\tDT\tB-NP\tO' -p141329 -aS'remarkable\tremarkable\tJJ\tI-NP\tO' -p141330 -aS'findings\tfinding\tNNS\tI-NP\tO' -p141331 -aS'but\tbut\tCC\tO\tO' -p141332 -aS'only\tonly\tRB\tB-VP\tO' -p141333 -aS'post\tpost\tVBP\tI-VP\tO' -p141334 -aS'surgical\tsurgical\tJJ\tB-NP\tO' -p141335 -aS'changes\tchange\tNNS\tI-NP\tO' -p141336 -aS'.\t.\t.\tO\tO' -p141337 -asS'10. Hepatitis B .' -p141338 -(lp141339 -S'10.\t10.\tLS\tB-NP\tO' -p141340 -aS'Hepatitis\tHepatitis\tNN\tI-NP\tB-protein' -p141341 -aS'B\tB\tNN\tI-NP\tI-protein' -p141342 -aS'.\t.\t.\tO\tO' -p141343 -asS'On the night of admission lumbar puncture was attempted on the floor , but we were unable to get cerebral spinal fluid due to difficulty with compliance with the patient who was severely agitated and would not comply with the examination .' -p141344 -(lp141345 -S'On\tOn\tIN\tB-PP\tO' -p141346 -aS'the\tthe\tDT\tB-NP\tO' -p141347 -aS'night\tnight\tNN\tI-NP\tO' -p141348 -aS'of\tof\tIN\tB-PP\tO' -p141349 -aS'admission\tadmission\tNN\tB-NP\tO' -p141350 -aS'lumbar\tlumbar\tNN\tI-NP\tO' -p141351 -aS'puncture\tpuncture\tNN\tI-NP\tO' -p141352 -aS'was\tbe\tVBD\tB-VP\tO' -p141353 -aS'attempted\tattempt\tVBN\tI-VP\tO' -p141354 -aS'on\ton\tIN\tB-PP\tO' -p141355 -aS'the\tthe\tDT\tB-NP\tO' -p141356 -aS'floor\tfloor\tNN\tI-NP\tO' -p141357 -aS',\t,\t,\tO\tO' -p141358 -aS'but\tbut\tCC\tO\tO' -p141359 -aS'we\twe\tPRP\tB-NP\tO' -p141360 -aS'were\tbe\tVBD\tB-VP\tO' -p141361 -aS'unable\tunable\tJJ\tB-ADJP\tO' -p141362 -aS'to\tto\tTO\tB-VP\tO' -p141363 -aS'get\tget\tVB\tI-VP\tO' -p141364 -aS'cerebral\tcerebral\tJJ\tB-NP\tO' -p141365 -aS'spinal\tspinal\tJJ\tI-NP\tO' -p141366 -aS'fluid\tfluid\tNN\tI-NP\tO' -p141367 -aS'due\tdue\tJJ\tB-ADJP\tO' -p141368 -aS'to\tto\tTO\tB-PP\tO' -p141369 -aS'difficulty\tdifficulty\tNN\tB-NP\tO' -p141370 -aS'with\twith\tIN\tB-PP\tO' -p141371 -aS'compliance\tcompliance\tNN\tB-NP\tO' -p141372 -aS'with\twith\tIN\tB-PP\tO' -p141373 -aS'the\tthe\tDT\tB-NP\tO' -p141374 -aS'patient\tpatient\tNN\tI-NP\tO' -p141375 -aS'who\twho\tWP\tB-NP\tO' -p141376 -aS'was\tbe\tVBD\tB-VP\tO' -p141377 -aS'severely\tseverely\tRB\tI-VP\tO' -p141378 -aS'agitated\tagitate\tVBN\tI-VP\tO' -p141379 -aS'and\tand\tCC\tO\tO' -p141380 -aS'would\twould\tMD\tB-VP\tO' -p141381 -aS'not\tnot\tRB\tI-VP\tO' -p141382 -aS'comply\tcomply\tVB\tI-VP\tO' -p141383 -aS'with\twith\tIN\tB-PP\tO' -p141384 -aS'the\tthe\tDT\tB-NP\tO' -p141385 -aS'examination\texamination\tNN\tI-NP\tO' -p141386 -aS'.\t.\t.\tO\tO' -p141387 -asS'On Ct scan , a right psoas mass , most consistent with a hematoma , was seen .' -p141388 -(lp141389 -S'On\tOn\tIN\tB-PP\tO' -p141390 -aS'Ct\tCt\tNN\tB-NP\tO' -p141391 -aS'scan\tscan\tNN\tI-NP\tO' -p141392 -aS',\t,\t,\tO\tO' -p141393 -aS'a\ta\tDT\tB-NP\tO' -p141394 -aS'right\tright\tJJ\tI-NP\tO' -p141395 -aS'psoas\tpsoas\tNN\tI-NP\tO' -p141396 -aS'mass\tmass\tNN\tI-NP\tO' -p141397 -aS',\t,\t,\tO\tO' -p141398 -aS'most\tmost\tRBS\tB-ADJP\tO' -p141399 -aS'consistent\tconsistent\tJJ\tI-ADJP\tO' -p141400 -aS'with\twith\tIN\tB-PP\tO' -p141401 -aS'a\ta\tDT\tB-NP\tO' -p141402 -aS'hematoma\thematoma\tNN\tI-NP\tO' -p141403 -aS',\t,\t,\tO\tO' -p141404 -aS'was\tbe\tVBD\tB-VP\tO' -p141405 -aS'seen\tsee\tVBN\tI-VP\tO' -p141406 -aS'.\t.\t.\tO\tO' -p141407 -asS'Coumadin 2.5 mg / 3 mg' -p141408 -(lp141409 -S'Coumadin\tCoumadin\tNN\tB-NP\tO' -p141410 -aS'2.5\t2.5\tCD\tI-NP\tO' -p141411 -aS'mg\tmg\tNN\tI-NP\tO' -p141412 -aS'/\t/\tSYM\tB-NP\tO' -p141413 -aS'3\t3\tCD\tB-NP\tO' -p141414 -aS'mg\tmg\tNN\tI-NP\tO' -p141415 -asS'1. Cholecalciferol .' -p141416 -(lp141417 -S'1.\t1.\tLS\tB-NP\tO' -p141418 -aS'Cholecalciferol\tCholecalciferol\tNN\tI-NP\tO' -p141419 -aS'.\t.\t.\tO\tO' -p141420 -asS'During the seizure , he bit his tongue , resulting in a large bleed from his tongue , which was sutured by the ENT Service , however , his continued coagulopathy resulted in bleeding from his nasopharynx , which could never be identified , and also upper gastrointestinal bleeding .' -p141421 -(lp141422 -S'During\tDuring\tIN\tB-PP\tO' -p141423 -aS'the\tthe\tDT\tB-NP\tO' -p141424 -aS'seizure\tseizure\tNN\tI-NP\tO' -p141425 -aS',\t,\t,\tO\tO' -p141426 -aS'he\the\tPRP\tB-NP\tO' -p141427 -aS'bit\tbite\tVBD\tB-VP\tO' -p141428 -aS'his\this\tPRP$\tB-NP\tO' -p141429 -aS'tongue\ttongue\tNN\tI-NP\tO' -p141430 -aS',\t,\t,\tO\tO' -p141431 -aS'resulting\tresult\tVBG\tB-VP\tO' -p141432 -aS'in\tin\tIN\tB-PP\tO' -p141433 -aS'a\ta\tDT\tB-NP\tO' -p141434 -aS'large\tlarge\tJJ\tI-NP\tO' -p141435 -aS'bleed\tbleed\tNN\tI-NP\tO' -p141436 -aS'from\tfrom\tIN\tB-PP\tO' -p141437 -aS'his\this\tPRP$\tB-NP\tO' -p141438 -aS'tongue\ttongue\tNN\tI-NP\tO' -p141439 -aS',\t,\t,\tO\tO' -p141440 -aS'which\twhich\tWDT\tB-NP\tO' -p141441 -aS'was\tbe\tVBD\tB-VP\tO' -p141442 -aS'sutured\tsuture\tVBN\tI-VP\tO' -p141443 -aS'by\tby\tIN\tB-PP\tO' -p141444 -aS'the\tthe\tDT\tB-NP\tO' -p141445 -aS'ENT\tENT\tNNP\tI-NP\tO' -p141446 -aS'Service\tService\tNNP\tI-NP\tO' -p141447 -aS',\t,\t,\tO\tO' -p141448 -aS'however\thowever\tRB\tB-ADVP\tO' -p141449 -aS',\t,\t,\tO\tO' -p141450 -aS'his\this\tPRP$\tB-NP\tO' -p141451 -aS'continued\tcontinued\tJJ\tI-NP\tO' -p141452 -aS'coagulopathy\tcoagulopathy\tNN\tI-NP\tO' -p141453 -aS'resulted\tresult\tVBD\tB-VP\tO' -p141454 -aS'in\tin\tIN\tB-PP\tO' -p141455 -aS'bleeding\tbleed\tVBG\tB-VP\tO' -p141456 -aS'from\tfrom\tIN\tB-PP\tO' -p141457 -aS'his\this\tPRP$\tB-NP\tO' -p141458 -aS'nasopharynx\tnasopharynx\tNN\tI-NP\tO' -p141459 -aS',\t,\t,\tO\tO' -p141460 -aS'which\twhich\tWDT\tB-NP\tO' -p141461 -aS'could\tcould\tMD\tB-VP\tO' -p141462 -aS'never\tnever\tRB\tI-VP\tO' -p141463 -aS'be\tbe\tVB\tI-VP\tO' -p141464 -aS'identified\tidentify\tVBN\tI-VP\tO' -p141465 -aS',\t,\t,\tO\tO' -p141466 -aS'and\tand\tCC\tO\tO' -p141467 -aS'also\talso\tRB\tB-ADVP\tO' -p141468 -aS'upper\tupper\tJJ\tB-NP\tO' -p141469 -aS'gastrointestinal\tgastrointestinal\tJJ\tI-NP\tO' -p141470 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p141471 -aS'.\t.\t.\tO\tO' -p141472 -asS'The patient on 2/8/90 underwent a right radical vulvectomy with excellent results and negative margins on frozen section .' -p141473 -(lp141474 -S'The\tThe\tDT\tB-NP\tO' -p141475 -aS'patient\tpatient\tNN\tI-NP\tO' -p141476 -aS'on\ton\tIN\tB-PP\tO' -p141477 -aS'2/8/90\t2/8/90\tCD\tB-NP\tO' -p141478 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p141479 -aS'a\ta\tDT\tB-NP\tO' -p141480 -aS'right\tright\tJJ\tI-NP\tO' -p141481 -aS'radical\tradical\tNN\tI-NP\tO' -p141482 -aS'vulvectomy\tvulvectomy\tNN\tI-NP\tO' -p141483 -aS'with\twith\tIN\tB-PP\tO' -p141484 -aS'excellent\texcellent\tJJ\tB-NP\tO' -p141485 -aS'results\tresult\tNNS\tI-NP\tO' -p141486 -aS'and\tand\tCC\tO\tO' -p141487 -aS'negative\tnegative\tJJ\tB-NP\tO' -p141488 -aS'margins\tmargin\tNNS\tI-NP\tO' -p141489 -aS'on\ton\tIN\tB-PP\tO' -p141490 -aS'frozen\tfrozen\tJJ\tB-NP\tO' -p141491 -aS'section\tsection\tNN\tI-NP\tO' -p141492 -aS'.\t.\t.\tO\tO' -p141493 -asS'The patient was taken to the OR twice with orthopaedics .' -p141494 -(lp141495 -S'The\tThe\tDT\tB-NP\tO' -p141496 -aS'patient\tpatient\tNN\tI-NP\tO' -p141497 -aS'was\tbe\tVBD\tB-VP\tO' -p141498 -aS'taken\ttake\tVBN\tI-VP\tO' -p141499 -aS'to\tto\tTO\tB-PP\tO' -p141500 -aS'the\tthe\tDT\tB-NP\tO' -p141501 -aS'OR\tOR\tNN\tI-NP\tO' -p141502 -aS'twice\ttwice\tRB\tB-ADVP\tO' -p141503 -aS'with\twith\tIN\tB-PP\tO' -p141504 -aS'orthopaedics\torthopaedic\tNNS\tB-NP\tO' -p141505 -aS'.\t.\t.\tO\tO' -p141506 -asS'Temperature 100.1 degrees , blood pressure 134/79 , pulse 100 , respiratory rate 17 , and saturations 95 percent on room air .' -p141507 -(lp141508 -S'Temperature\tTemperature\tNN\tB-NP\tO' -p141509 -aS'100.1\t100.1\tCD\tB-NP\tO' -p141510 -aS'degrees\tdegree\tNNS\tI-NP\tO' -p141511 -aS',\t,\t,\tO\tO' -p141512 -aS'blood\tblood\tNN\tB-NP\tO' -p141513 -aS'pressure\tpressure\tNN\tI-NP\tO' -p141514 -aS'134/79\t134/79\tCD\tI-NP\tO' -p141515 -aS',\t,\t,\tO\tO' -p141516 -aS'pulse\tpulse\tNN\tB-NP\tO' -p141517 -aS'100\t100\tCD\tI-NP\tO' -p141518 -aS',\t,\t,\tO\tO' -p141519 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p141520 -aS'rate\trate\tNN\tI-NP\tO' -p141521 -aS'17\t17\tCD\tI-NP\tO' -p141522 -aS',\t,\t,\tO\tO' -p141523 -aS'and\tand\tCC\tO\tO' -p141524 -aS'saturations\tsaturation\tNNS\tB-NP\tO' -p141525 -aS'95\t95\tCD\tB-NP\tO' -p141526 -aS'percent\tpercent\tNN\tI-NP\tO' -p141527 -aS'on\ton\tIN\tB-PP\tO' -p141528 -aS'room\troom\tNN\tB-NP\tO' -p141529 -aS'air\tair\tNN\tI-NP\tO' -p141530 -aS'.\t.\t.\tO\tO' -p141531 -asS'Notable for a history of trigeminal neuralgia , left shoulder surgery , fibrocystic breast disease , endometriosis and status post total abdominal hysterectomy .' -p141532 -(lp141533 -S'Notable\tNotable\tJJ\tB-ADJP\tO' -p141534 -aS'for\tfor\tIN\tB-PP\tO' -p141535 -aS'a\ta\tDT\tB-NP\tO' -p141536 -aS'history\thistory\tNN\tI-NP\tO' -p141537 -aS'of\tof\tIN\tB-PP\tO' -p141538 -aS'trigeminal\ttrigeminal\tJJ\tB-NP\tO' -p141539 -aS'neuralgia\tneuralgia\tNN\tI-NP\tO' -p141540 -aS',\t,\t,\tO\tO' -p141541 -aS'left\tleave\tVBD\tB-VP\tO' -p141542 -aS'shoulder\tshoulder\tNN\tB-NP\tO' -p141543 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p141544 -aS',\t,\t,\tO\tO' -p141545 -aS'fibrocystic\tfibrocystic\tJJ\tB-NP\tO' -p141546 -aS'breast\tbreast\tNN\tI-NP\tO' -p141547 -aS'disease\tdisease\tNN\tI-NP\tO' -p141548 -aS',\t,\t,\tO\tO' -p141549 -aS'endometriosis\tendometriosis\tNN\tB-NP\tO' -p141550 -aS'and\tand\tCC\tI-NP\tO' -p141551 -aS'status\tstatus\tNN\tI-NP\tO' -p141552 -aS'post\tpost\tVBP\tB-VP\tO' -p141553 -aS'total\ttotal\tJJ\tB-NP\tO' -p141554 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p141555 -aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' -p141556 -aS'.\t.\t.\tO\tO' -p141557 -asS'The patient was in previously good health when he reports starting to notice problems ambulating about six months ago .' -p141558 -(lp141559 -S'The\tThe\tDT\tB-NP\tO' -p141560 -aS'patient\tpatient\tNN\tI-NP\tO' -p141561 -aS'was\tbe\tVBD\tB-VP\tO' -p141562 -aS'in\tin\tIN\tB-PP\tO' -p141563 -aS'previously\tpreviously\tRB\tB-NP\tO' -p141564 -aS'good\tgood\tJJ\tI-NP\tO' -p141565 -aS'health\thealth\tNN\tI-NP\tO' -p141566 -aS'when\twhen\tWRB\tB-ADVP\tO' -p141567 -aS'he\the\tPRP\tB-NP\tO' -p141568 -aS'reports\treport\tVBZ\tB-VP\tO' -p141569 -aS'starting\tstart\tVBG\tI-VP\tO' -p141570 -aS'to\tto\tTO\tI-VP\tO' -p141571 -aS'notice\tnotice\tVB\tI-VP\tO' -p141572 -aS'problems\tproblem\tNNS\tB-NP\tO' -p141573 -aS'ambulating\tambulate\tVBG\tB-VP\tO' -p141574 -aS'about\tabout\tIN\tB-NP\tO' -p141575 -aS'six\tsix\tCD\tI-NP\tO' -p141576 -aS'months\tmonth\tNNS\tI-NP\tO' -p141577 -aS'ago\tago\tRB\tB-ADVP\tO' -p141578 -aS'.\t.\t.\tO\tO' -p141579 -asS'In currently in a relationship with a man whom she met during a previous inpt admission .' -p141580 -(lp141581 -S'In\tIn\tIN\tB-PP\tO' -p141582 -aS'currently\tcurrently\tRB\tB-ADVP\tO' -p141583 -aS'in\tin\tIN\tB-PP\tO' -p141584 -aS'a\ta\tDT\tB-NP\tO' -p141585 -aS'relationship\trelationship\tNN\tI-NP\tO' -p141586 -aS'with\twith\tIN\tB-PP\tO' -p141587 -aS'a\ta\tDT\tB-NP\tO' -p141588 -aS'man\tman\tNN\tI-NP\tO' -p141589 -aS'whom\twhom\tWP\tB-NP\tO' -p141590 -aS'she\tshe\tPRP\tB-NP\tO' -p141591 -aS'met\tmeet\tVBD\tB-VP\tO' -p141592 -aS'during\tduring\tIN\tB-PP\tO' -p141593 -aS'a\ta\tDT\tB-NP\tO' -p141594 -aS'previous\tprevious\tJJ\tI-NP\tO' -p141595 -aS'inpt\tinpt\tJJ\tI-NP\tO' -p141596 -aS'admission\tadmission\tNN\tI-NP\tO' -p141597 -aS'.\t.\t.\tO\tO' -p141598 -asS'There is mild regional left ventricular systolic dysfunction .' -p141599 -(lp141600 -S'There\tThere\tEX\tB-NP\tO' -p141601 -aS'is\tbe\tVBZ\tB-VP\tO' -p141602 -aS'mild\tmild\tJJ\tB-NP\tO' -p141603 -aS'regional\tregional\tJJ\tI-NP\tO' -p141604 -aS'left\tleft\tJJ\tI-NP\tO' -p141605 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p141606 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p141607 -aS'dysfunction\tdysfunction\tNN\tI-NP\tO' -p141608 -aS'.\t.\t.\tO\tO' -p141609 -asS'She was transitioned to a PCA for better pain control .' -p141610 -(lp141611 -S'She\tShe\tPRP\tB-NP\tO' -p141612 -aS'was\tbe\tVBD\tB-VP\tO' -p141613 -aS'transitioned\ttransitione\tVBN\tI-VP\tO' -p141614 -aS'to\tto\tTO\tB-PP\tO' -p141615 -aS'a\ta\tDT\tB-NP\tO' -p141616 -aS'PCA\tPCA\tNN\tI-NP\tB-protein' -p141617 -aS'for\tfor\tIN\tB-PP\tO' -p141618 -aS'better\tgood\tJJR\tB-NP\tO' -p141619 -aS'pain\tpain\tNN\tI-NP\tO' -p141620 -aS'control\tcontrol\tNN\tI-NP\tO' -p141621 -aS'.\t.\t.\tO\tO' -p141622 -asS'His neurologic exam did not change significantly .' -p141623 -(lp141624 -S'His\tHis\tPRP$\tB-NP\tO' -p141625 -aS'neurologic\tneurologic\tJJ\tI-NP\tO' -p141626 -aS'exam\texam\tNN\tI-NP\tO' -p141627 -aS'did\tdo\tVBD\tB-VP\tO' -p141628 -aS'not\tnot\tRB\tI-VP\tO' -p141629 -aS'change\tchange\tVB\tI-VP\tO' -p141630 -aS'significantly\tsignificantly\tRB\tB-ADVP\tO' -p141631 -aS'.\t.\t.\tO\tO' -p141632 -asS'1. Breast cancer left side diagnosed in 1982 status post 1995 mastectomy with 5 out of 9 positive lymph nodes .' -p141633 -(lp141634 -S'1.\t1.\tLS\tB-NP\tO' -p141635 -aS'Breast\tBreast\tNN\tI-NP\tO' -p141636 -aS'cancer\tcancer\tNN\tI-NP\tO' -p141637 -aS'left\tleave\tVBD\tB-VP\tO' -p141638 -aS'side\tside\tNN\tB-NP\tO' -p141639 -aS'diagnosed\tdiagnose\tVBN\tB-VP\tO' -p141640 -aS'in\tin\tIN\tB-PP\tO' -p141641 -aS'1982\t1982\tCD\tB-NP\tO' -p141642 -aS'status\tstatus\tNN\tI-NP\tO' -p141643 -aS'post\tpost\tIN\tB-PP\tO' -p141644 -aS'1995\t1995\tCD\tB-NP\tO' -p141645 -aS'mastectomy\tmastectomy\tNN\tI-NP\tO' -p141646 -aS'with\twith\tIN\tB-PP\tO' -p141647 -aS'5\t5\tCD\tB-NP\tO' -p141648 -aS'out\tout\tIN\tI-NP\tO' -p141649 -aS'of\tof\tIN\tI-NP\tO' -p141650 -aS'9\t9\tCD\tI-NP\tO' -p141651 -aS'positive\tpositive\tJJ\tI-NP\tO' -p141652 -aS'lymph\tlymph\tNN\tI-NP\tO' -p141653 -aS'nodes\tnode\tNNS\tI-NP\tO' -p141654 -aS'.\t.\t.\tO\tO' -p141655 -asS'12. Coumadin 5 mg Tablet Sig : One ( 1 ) Tablet PO once a day : Check INR 11-15 with results called to Dr. Lynn .' -p141656 -(lp141657 -S'12.\t12.\tCD\tB-NP\tO' -p141658 -aS'Coumadin\tCoumadin\tNN\tI-NP\tO' -p141659 -aS'5\t5\tCD\tB-NP\tO' -p141660 -aS'mg\tmg\tNN\tI-NP\tO' -p141661 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p141662 -aS'Sig\tSig\tNNP\tI-NP\tO' -p141663 -aS':\t:\t:\tO\tO' -p141664 -aS'One\tOne\tCD\tB-NP\tO' -p141665 -aS'(\t(\t(\tO\tO' -p141666 -aS'1\t1\tCD\tB-NP\tO' -p141667 -aS')\t)\t)\tO\tO' -p141668 -aS'Tablet\tTablet\tNN\tB-NP\tB-protein' -p141669 -aS'PO\tPO\tNN\tI-NP\tI-protein' -p141670 -aS'once\tonce\tRB\tO\tO' -p141671 -aS'a\ta\tDT\tB-NP\tO' -p141672 -aS'day\tday\tNN\tI-NP\tO' -p141673 -aS':\t:\t:\tO\tO' -p141674 -aS'Check\tCheck\tNNP\tB-NP\tO' -p141675 -aS'INR\tINR\tNNP\tI-NP\tO' -p141676 -aS'11-15\t11-15\tCD\tI-NP\tO' -p141677 -aS'with\twith\tIN\tB-PP\tO' -p141678 -aS'results\tresult\tNNS\tB-NP\tO' -p141679 -aS'called\tcall\tVBN\tB-VP\tO' -p141680 -aS'to\tto\tTO\tB-PP\tO' -p141681 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p141682 -aS'Lynn\tLynn\tNNP\tI-NP\tO' -p141683 -aS'.\t.\t.\tO\tO' -p141684 -asS'She has had no motor weakness , abnormal sensation , numbness , tingling or incontinence of bowel or bladder .' -p141685 -(lp141686 -S'She\tShe\tPRP\tB-NP\tO' -p141687 -aS'has\thave\tVBZ\tB-VP\tO' -p141688 -aS'had\thave\tVBN\tI-VP\tO' -p141689 -aS'no\tno\tDT\tB-NP\tO' -p141690 -aS'motor\tmotor\tNN\tI-NP\tO' -p141691 -aS'weakness\tweakness\tNN\tI-NP\tO' -p141692 -aS',\t,\t,\tO\tO' -p141693 -aS'abnormal\tabnormal\tJJ\tB-NP\tO' -p141694 -aS'sensation\tsensation\tNN\tI-NP\tO' -p141695 -aS',\t,\t,\tO\tO' -p141696 -aS'numbness\tnumbness\tNN\tB-NP\tO' -p141697 -aS',\t,\t,\tO\tO' -p141698 -aS'tingling\ttingling\tNN\tB-NP\tO' -p141699 -aS'or\tor\tCC\tO\tO' -p141700 -aS'incontinence\tincontinence\tNN\tB-NP\tO' -p141701 -aS'of\tof\tIN\tB-PP\tO' -p141702 -aS'bowel\tbowel\tNN\tB-NP\tO' -p141703 -aS'or\tor\tCC\tI-NP\tO' -p141704 -aS'bladder\tbladder\tNN\tI-NP\tO' -p141705 -aS'.\t.\t.\tO\tO' -p141706 -asS'The patient also underwent a negative evaluation for dissecting aortic aneurysm .' -p141707 -(lp141708 -S'The\tThe\tDT\tB-NP\tO' -p141709 -aS'patient\tpatient\tNN\tI-NP\tO' -p141710 -aS'also\talso\tRB\tB-ADVP\tO' -p141711 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p141712 -aS'a\ta\tDT\tB-NP\tO' -p141713 -aS'negative\tnegative\tJJ\tI-NP\tO' -p141714 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p141715 -aS'for\tfor\tIN\tB-PP\tO' -p141716 -aS'dissecting\tdissect\tVBG\tB-VP\tO' -p141717 -aS'aortic\taortic\tJJ\tB-NP\tO' -p141718 -aS'aneurysm\taneurysm\tNN\tI-NP\tO' -p141719 -aS'.\t.\t.\tO\tO' -p141720 -asS'His electrolyte panel of sodium 135 , sodium 4.1 , chloride 99 , bicarb 30 , BUN 15 , creatinine 2.1 , blood glucose of 196 .' -p141721 -(lp141722 -S'His\tHis\tPRP$\tB-NP\tO' -p141723 -aS'electrolyte\telectrolyte\tJJ\tI-NP\tO' -p141724 -aS'panel\tpanel\tNN\tI-NP\tO' -p141725 -aS'of\tof\tIN\tB-PP\tO' -p141726 -aS'sodium\tsodium\tNN\tB-NP\tO' -p141727 -aS'135\t135\tCD\tI-NP\tO' -p141728 -aS',\t,\t,\tO\tO' -p141729 -aS'sodium\tsodium\tNN\tB-NP\tO' -p141730 -aS'4.1\t4.1\tCD\tI-NP\tO' -p141731 -aS',\t,\t,\tO\tO' -p141732 -aS'chloride\tchloride\tNN\tB-NP\tO' -p141733 -aS'99\t99\tCD\tI-NP\tO' -p141734 -aS',\t,\t,\tO\tO' -p141735 -aS'bicarb\tbicarb\tNN\tB-NP\tO' -p141736 -aS'30\t30\tCD\tI-NP\tO' -p141737 -aS',\t,\t,\tO\tO' -p141738 -aS'BUN\tBUN\tNNP\tB-NP\tO' -p141739 -aS'15\t15\tCD\tI-NP\tO' -p141740 -aS',\t,\t,\tO\tO' -p141741 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p141742 -aS'2.1\t2.1\tCD\tI-NP\tO' -p141743 -aS',\t,\t,\tO\tO' -p141744 -aS'blood\tblood\tNN\tB-NP\tO' -p141745 -aS'glucose\tglucose\tNN\tI-NP\tO' -p141746 -aS'of\tof\tIN\tB-PP\tO' -p141747 -aS'196\t196\tCD\tB-NP\tO' -p141748 -aS'.\t.\t.\tO\tO' -p141749 -asS'I 's and O 's were balanced and maintained with IV fluids .' -p141750 -(lp141751 -S'I\tI\tCD\tB-NP\tO' -p141752 -aS''s\t'\tNNS\tI-NP\tO' -p141753 -aS'and\tand\tCC\tO\tO' -p141754 -aS'O\tO\tNN\tB-NP\tO' -p141755 -aS''s\t'\tNNS\tI-NP\tO' -p141756 -aS'were\tbe\tVBD\tB-VP\tO' -p141757 -aS'balanced\tbalance\tVBN\tI-VP\tO' -p141758 -aS'and\tand\tCC\tO\tO' -p141759 -aS'maintained\tmaintain\tVBN\tB-VP\tO' -p141760 -aS'with\twith\tIN\tB-PP\tO' -p141761 -aS'IV\tIV\tCD\tB-NP\tO' -p141762 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p141763 -aS'.\t.\t.\tO\tO' -p141764 -asS'Neuro examination was notable for a patient who was alert and oriented x 1 .' -p141765 -(lp141766 -S'Neuro\tNeuro\tNN\tB-NP\tO' -p141767 -aS'examination\texamination\tNN\tI-NP\tO' -p141768 -aS'was\tbe\tVBD\tB-VP\tO' -p141769 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p141770 -aS'for\tfor\tIN\tB-PP\tO' -p141771 -aS'a\ta\tDT\tB-NP\tO' -p141772 -aS'patient\tpatient\tNN\tI-NP\tO' -p141773 -aS'who\twho\tWP\tB-NP\tO' -p141774 -aS'was\tbe\tVBD\tB-VP\tO' -p141775 -aS'alert\talert\tJJ\tB-ADJP\tO' -p141776 -aS'and\tand\tCC\tO\tO' -p141777 -aS'oriented\torient\tVBN\tB-VP\tB-protein' -p141778 -aS'x\tx\tNN\tB-NP\tI-protein' -p141779 -aS'1\t1\tCD\tI-NP\tI-protein' -p141780 -aS'.\t.\t.\tO\tO' -p141781 -asS'Liver was about 5 cm .' -p141782 -(lp141783 -S'Liver\tLiver\tNN\tB-NP\tO' -p141784 -aS'was\tbe\tVBD\tB-VP\tO' -p141785 -aS'about\tabout\tRB\tB-NP\tO' -p141786 -aS'5\t5\tCD\tI-NP\tO' -p141787 -aS'cm\tcm\tNN\tI-NP\tO' -p141788 -aS'.\t.\t.\tO\tO' -p141789 -asS'night .' -p141790 -(lp141791 -S'night\tnight\tRB\tB-ADVP\tO' -p141792 -aS'.\t.\t.\tO\tO' -p141793 -asS'The patient also complained of intermittent right neck swelling , and recommendations are to consider a CT scan with contrast to evaluate nodes in his neck .' -p141794 -(lp141795 -S'The\tThe\tDT\tB-NP\tO' -p141796 -aS'patient\tpatient\tNN\tI-NP\tO' -p141797 -aS'also\talso\tRB\tB-ADVP\tO' -p141798 -aS'complained\tcomplain\tVBD\tB-VP\tO' -p141799 -aS'of\tof\tIN\tB-PP\tO' -p141800 -aS'intermittent\tintermittent\tJJ\tB-NP\tO' -p141801 -aS'right\tright\tJJ\tI-NP\tO' -p141802 -aS'neck\tneck\tNN\tI-NP\tO' -p141803 -aS'swelling\tswelling\tNN\tI-NP\tO' -p141804 -aS',\t,\t,\tO\tO' -p141805 -aS'and\tand\tCC\tO\tO' -p141806 -aS'recommendations\trecommendation\tNNS\tB-NP\tO' -p141807 -aS'are\tbe\tVBP\tB-VP\tO' -p141808 -aS'to\tto\tTO\tI-VP\tO' -p141809 -aS'consider\tconsider\tVB\tI-VP\tO' -p141810 -aS'a\ta\tDT\tB-NP\tO' -p141811 -aS'CT\tCT\tNN\tI-NP\tO' -p141812 -aS'scan\tscan\tNN\tI-NP\tO' -p141813 -aS'with\twith\tIN\tB-PP\tO' -p141814 -aS'contrast\tcontrast\tNN\tB-NP\tO' -p141815 -aS'to\tto\tTO\tB-VP\tO' -p141816 -aS'evaluate\tevaluate\tVB\tI-VP\tO' -p141817 -aS'nodes\tnode\tNNS\tB-NP\tO' -p141818 -aS'in\tin\tIN\tB-PP\tO' -p141819 -aS'his\this\tPRP$\tB-NP\tO' -p141820 -aS'neck\tneck\tNN\tI-NP\tO' -p141821 -aS'.\t.\t.\tO\tO' -p141822 -asS'Additionally , risk factor modification was continued .' -p141823 -(lp141824 -S'Additionally\tAdditionally\tRB\tB-ADVP\tO' -p141825 -aS',\t,\t,\tO\tO' -p141826 -aS'risk\trisk\tNN\tB-NP\tO' -p141827 -aS'factor\tfactor\tNN\tI-NP\tO' -p141828 -aS'modification\tmodification\tNN\tI-NP\tO' -p141829 -aS'was\tbe\tVBD\tB-VP\tO' -p141830 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p141831 -aS'.\t.\t.\tO\tO' -p141832 -asS'Chest - R base with poor excursion and poor breath sounds .' -p141833 -(lp141834 -S'Chest\tChest\tAFX\tB-NP\tO' -p141835 -aS'-\t-\tHYPH\tI-NP\tB-protein' -p141836 -aS'R\tR\tNN\tI-NP\tI-protein' -p141837 -aS'base\tbase\tNN\tI-NP\tI-protein' -p141838 -aS'with\twith\tIN\tB-PP\tO' -p141839 -aS'poor\tpoor\tJJ\tB-NP\tO' -p141840 -aS'excursion\texcursion\tNN\tI-NP\tO' -p141841 -aS'and\tand\tCC\tO\tO' -p141842 -aS'poor\tpoor\tJJ\tB-NP\tO' -p141843 -aS'breath\tbreath\tNN\tI-NP\tO' -p141844 -aS'sounds\tsound\tNNS\tI-NP\tO' -p141845 -aS'.\t.\t.\tO\tO' -p141846 -asS'She is slightly tachypneic .' -p141847 -(lp141848 -S'She\tShe\tPRP\tB-NP\tO' -p141849 -aS'is\tbe\tVBZ\tB-VP\tO' -p141850 -aS'slightly\tslightly\tRB\tB-ADJP\tO' -p141851 -aS'tachypneic\ttachypneic\tJJ\tI-ADJP\tO' -p141852 -aS'.\t.\t.\tO\tO' -p141853 -asS'GEN : In NAD .' -p141854 -(lp141855 -S'GEN\tGEN\tNN\tB-NP\tO' -p141856 -aS':\t:\t:\tO\tO' -p141857 -aS'In\tIn\tIN\tB-PP\tO' -p141858 -aS'NAD\tNAD\tNN\tB-NP\tO' -p141859 -aS'.\t.\t.\tO\tO' -p141860 -asS'Underlying dementia was possible but difficult to assess with an overlying delerium .' -p141861 -(lp141862 -S'Underlying\tUnderlie\tVBG\tB-VP\tO' -p141863 -aS'dementia\tdementia\tNN\tB-NP\tO' -p141864 -aS'was\tbe\tVBD\tB-VP\tO' -p141865 -aS'possible\tpossible\tJJ\tB-ADJP\tO' -p141866 -aS'but\tbut\tCC\tI-ADJP\tO' -p141867 -aS'difficult\tdifficult\tJJ\tI-ADJP\tO' -p141868 -aS'to\tto\tTO\tB-VP\tO' -p141869 -aS'assess\tassess\tVB\tI-VP\tO' -p141870 -aS'with\twith\tIN\tB-PP\tO' -p141871 -aS'an\tan\tDT\tB-NP\tO' -p141872 -aS'overlying\toverlie\tVBG\tI-NP\tO' -p141873 -aS'delerium\tdelerium\tNN\tI-NP\tO' -p141874 -aS'.\t.\t.\tO\tO' -p141875 -asS'At that time , tumor was found to be studding on the right diaphragm , gross tumor in the omentum and large bowel , tumor through the uterine serosa .' -p141876 -(lp141877 -S'At\tAt\tIN\tB-PP\tO' -p141878 -aS'that\tthat\tDT\tB-NP\tO' -p141879 -aS'time\ttime\tNN\tI-NP\tO' -p141880 -aS',\t,\t,\tO\tO' -p141881 -aS'tumor\ttumor\tNN\tB-NP\tO' -p141882 -aS'was\tbe\tVBD\tB-VP\tO' -p141883 -aS'found\tfind\tVBN\tI-VP\tO' -p141884 -aS'to\tto\tTO\tI-VP\tO' -p141885 -aS'be\tbe\tVB\tI-VP\tO' -p141886 -aS'studding\tstud\tVBG\tI-VP\tO' -p141887 -aS'on\ton\tIN\tB-PP\tO' -p141888 -aS'the\tthe\tDT\tB-NP\tO' -p141889 -aS'right\tright\tJJ\tI-NP\tO' -p141890 -aS'diaphragm\tdiaphragm\tNN\tI-NP\tO' -p141891 -aS',\t,\t,\tO\tO' -p141892 -aS'gross\tgross\tJJ\tB-NP\tO' -p141893 -aS'tumor\ttumor\tNN\tI-NP\tO' -p141894 -aS'in\tin\tIN\tB-PP\tO' -p141895 -aS'the\tthe\tDT\tB-NP\tO' -p141896 -aS'omentum\tomentum\tNN\tI-NP\tO' -p141897 -aS'and\tand\tCC\tO\tO' -p141898 -aS'large\tlarge\tJJ\tB-NP\tO' -p141899 -aS'bowel\tbowel\tNN\tI-NP\tO' -p141900 -aS',\t,\t,\tO\tO' -p141901 -aS'tumor\ttumor\tNN\tB-NP\tO' -p141902 -aS'through\tthrough\tIN\tB-PP\tO' -p141903 -aS'the\tthe\tDT\tB-NP\tO' -p141904 -aS'uterine\tuterine\tJJ\tI-NP\tO' -p141905 -aS'serosa\tserosa\tNN\tI-NP\tO' -p141906 -aS'.\t.\t.\tO\tO' -p141907 -asS'II/VI SEM at LSB with radiation to apex .' -p141908 -(lp141909 -S'II/VI\tII/VI\tLS\tB-NP\tO' -p141910 -aS'SEM\tSEM\tNN\tI-NP\tO' -p141911 -aS'at\tat\tIN\tB-PP\tO' -p141912 -aS'LSB\tLSB\tNN\tB-NP\tB-protein' -p141913 -aS'with\twith\tIN\tB-PP\tO' -p141914 -aS'radiation\tradiation\tNN\tB-NP\tO' -p141915 -aS'to\tto\tTO\tB-PP\tO' -p141916 -aS'apex\tapex\tNN\tB-NP\tO' -p141917 -aS'.\t.\t.\tO\tO' -p141918 -asS'EXTREMITIES - Bilateral radial , dorsalis pedis , posterior tibial , and femoral pulses are all 2+ .' -p141919 -(lp141920 -S'EXTREMITIES\tEXTREMITIES\tNNS\tB-NP\tO' -p141921 -aS'-\t-\tHYPH\tB-NP\tO' -p141922 -aS'Bilateral\tBilateral\tJJ\tI-NP\tO' -p141923 -aS'radial\tradial\tNN\tI-NP\tO' -p141924 -aS',\t,\t,\tO\tO' -p141925 -aS'dorsalis\tdorsalis\tNN\tB-NP\tO' -p141926 -aS'pedis\tpedis\tNN\tI-NP\tO' -p141927 -aS',\t,\t,\tO\tO' -p141928 -aS'posterior\tposterior\tJJ\tB-NP\tO' -p141929 -aS'tibial\ttibial\tJJ\tI-NP\tO' -p141930 -aS',\t,\t,\tO\tO' -p141931 -aS'and\tand\tCC\tO\tO' -p141932 -aS'femoral\tfemoral\tJJ\tB-NP\tO' -p141933 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p141934 -aS'are\tbe\tVBP\tB-VP\tO' -p141935 -aS'all\tall\tDT\tB-NP\tO' -p141936 -aS'2+\t2+\tNN\tI-NP\tO' -p141937 -aS'.\t.\t.\tO\tO' -p141938 -asS'4# Pleural effusions : s/p right thoracentesis on 2017-09-06 , 1600 mL of serosanguinous fluid removed from right pleural space .' -p141939 -(lp141940 -S'4#\t4#\tLS\tB-NP\tO' -p141941 -aS'Pleural\tPleural\tJJ\tI-NP\tO' -p141942 -aS'effusions\teffusion\tNNS\tI-NP\tO' -p141943 -aS':\t:\t:\tO\tO' -p141944 -aS's/p\ts/p\tVB\tB-VP\tO' -p141945 -aS'right\tright\tJJ\tB-NP\tO' -p141946 -aS'thoracentesis\tthoracentesis\tNN\tI-NP\tO' -p141947 -aS'on\ton\tIN\tB-PP\tO' -p141948 -aS'2017-09-06\t2017-09-06\tCD\tB-NP\tO' -p141949 -aS',\t,\t,\tO\tO' -p141950 -aS'1600\t1600\tCD\tB-NP\tO' -p141951 -aS'mL\tmL\tNN\tI-NP\tO' -p141952 -aS'of\tof\tIN\tB-PP\tO' -p141953 -aS'serosanguinous\tserosanguinous\tJJ\tB-NP\tO' -p141954 -aS'fluid\tfluid\tNN\tI-NP\tO' -p141955 -aS'removed\tremove\tVBN\tB-VP\tO' -p141956 -aS'from\tfrom\tIN\tB-PP\tO' -p141957 -aS'right\tright\tJJ\tB-NP\tO' -p141958 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p141959 -aS'space\tspace\tNN\tI-NP\tO' -p141960 -aS'.\t.\t.\tO\tO' -p141961 -asS'No dysarthria , speech fluent .' -p141962 -(lp141963 -S'No\tNo\tDT\tB-NP\tO' -p141964 -aS'dysarthria\tdysarthria\tNN\tI-NP\tO' -p141965 -aS',\t,\t,\tO\tO' -p141966 -aS'speech\tspeech\tNN\tB-NP\tO' -p141967 -aS'fluent\tfluent\tNN\tI-NP\tO' -p141968 -aS'.\t.\t.\tO\tO' -p141969 -asS'During the resuscitation afterwards , it was noted that a patent left chest tube was present in the left chest , so initially neo-decompression was attempted in the right chest .' -p141970 -(lp141971 -S'During\tDuring\tIN\tB-PP\tO' -p141972 -aS'the\tthe\tDT\tB-NP\tO' -p141973 -aS'resuscitation\tresuscitation\tNN\tI-NP\tO' -p141974 -aS'afterwards\tafterwards\tRB\tB-ADVP\tO' -p141975 -aS',\t,\t,\tO\tO' -p141976 -aS'it\tit\tPRP\tB-NP\tO' -p141977 -aS'was\tbe\tVBD\tB-VP\tO' -p141978 -aS'noted\tnote\tVBN\tI-VP\tO' -p141979 -aS'that\tthat\tIN\tB-SBAR\tO' -p141980 -aS'a\ta\tDT\tB-NP\tO' -p141981 -aS'patent\tpatent\tNN\tI-NP\tO' -p141982 -aS'left\tleave\tVBD\tB-VP\tO' -p141983 -aS'chest\tchest\tNN\tB-NP\tO' -p141984 -aS'tube\ttube\tNN\tI-NP\tO' -p141985 -aS'was\tbe\tVBD\tB-VP\tO' -p141986 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p141987 -aS'in\tin\tIN\tB-PP\tO' -p141988 -aS'the\tthe\tDT\tB-NP\tO' -p141989 -aS'left\tleft\tJJ\tI-NP\tO' -p141990 -aS'chest\tchest\tNN\tI-NP\tO' -p141991 -aS',\t,\t,\tO\tO' -p141992 -aS'so\tso\tRB\tO\tO' -p141993 -aS'initially\tinitially\tRB\tB-NP\tO' -p141994 -aS'neo-decompression\tneo-decompression\tNN\tI-NP\tO' -p141995 -aS'was\tbe\tVBD\tB-VP\tO' -p141996 -aS'attempted\tattempt\tVBN\tI-VP\tO' -p141997 -aS'in\tin\tIN\tB-PP\tO' -p141998 -aS'the\tthe\tDT\tB-NP\tO' -p141999 -aS'right\tright\tJJ\tI-NP\tO' -p142000 -aS'chest\tchest\tNN\tI-NP\tO' -p142001 -aS'.\t.\t.\tO\tO' -p142002 -asS'Neurologic examination was normal .' -p142003 -(lp142004 -S'Neurologic\tNeurologic\tJJ\tB-NP\tO' -p142005 -aS'examination\texamination\tNN\tI-NP\tO' -p142006 -aS'was\tbe\tVBD\tB-VP\tO' -p142007 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p142008 -aS'.\t.\t.\tO\tO' -p142009 -asS'Her ataxia is likely due to some cerebellar function , though this is not certain .' -p142010 -(lp142011 -S'Her\tHer\tPRP$\tB-NP\tO' -p142012 -aS'ataxia\tataxia\tNN\tI-NP\tO' -p142013 -aS'is\tbe\tVBZ\tB-VP\tO' -p142014 -aS'likely\tlikely\tRB\tB-ADJP\tO' -p142015 -aS'due\tdue\tJJ\tI-ADJP\tO' -p142016 -aS'to\tto\tTO\tB-PP\tO' -p142017 -aS'some\tsome\tDT\tB-NP\tO' -p142018 -aS'cerebellar\tcerebellar\tJJ\tI-NP\tO' -p142019 -aS'function\tfunction\tNN\tI-NP\tO' -p142020 -aS',\t,\t,\tO\tO' -p142021 -aS'though\tthough\tIN\tB-SBAR\tO' -p142022 -aS'this\tthis\tDT\tB-NP\tO' -p142023 -aS'is\tbe\tVBZ\tB-VP\tO' -p142024 -aS'not\tnot\tRB\tO\tO' -p142025 -aS'certain\tcertain\tJJ\tB-ADJP\tO' -p142026 -aS'.\t.\t.\tO\tO' -p142027 -asS'The musculoskeletal exam showed well developed , symmetrical muscular development with no fasciculations , no joint erythema , no effusions .' -p142028 -(lp142029 -S'The\tThe\tDT\tB-NP\tO' -p142030 -aS'musculoskeletal\tmusculoskeletal\tJJ\tI-NP\tO' -p142031 -aS'exam\texam\tNN\tI-NP\tO' -p142032 -aS'showed\tshow\tVBD\tB-VP\tO' -p142033 -aS'well\twell\tRB\tB-VP\tO' -p142034 -aS'developed\tdevelop\tVBN\tI-VP\tO' -p142035 -aS',\t,\t,\tO\tO' -p142036 -aS'symmetrical\tsymmetrical\tJJ\tB-NP\tO' -p142037 -aS'muscular\tmuscular\tJJ\tI-NP\tO' -p142038 -aS'development\tdevelopment\tNN\tI-NP\tO' -p142039 -aS'with\twith\tIN\tB-PP\tO' -p142040 -aS'no\tno\tDT\tB-NP\tO' -p142041 -aS'fasciculations\tfasciculation\tNNS\tI-NP\tO' -p142042 -aS',\t,\t,\tO\tO' -p142043 -aS'no\tno\tDT\tB-NP\tO' -p142044 -aS'joint\tjoint\tJJ\tI-NP\tO' -p142045 -aS'erythema\terythema\tNN\tI-NP\tO' -p142046 -aS',\t,\t,\tO\tO' -p142047 -aS'no\tno\tDT\tB-NP\tO' -p142048 -aS'effusions\teffusion\tNNS\tI-NP\tO' -p142049 -aS'.\t.\t.\tO\tO' -p142050 -asS'Temperature 98.2 , blood pressure 134/80 , respiratory rate 22 , pulse 102 .' -p142051 -(lp142052 -S'Temperature\tTemperature\tNN\tB-NP\tB-protein' -p142053 -aS'98.2\t98.2\tCD\tI-NP\tI-protein' -p142054 -aS',\t,\t,\tO\tO' -p142055 -aS'blood\tblood\tNN\tB-NP\tO' -p142056 -aS'pressure\tpressure\tNN\tI-NP\tO' -p142057 -aS'134/80\t134/80\tCD\tI-NP\tO' -p142058 -aS',\t,\t,\tO\tO' -p142059 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p142060 -aS'rate\trate\tNN\tI-NP\tO' -p142061 -aS'22\t22\tCD\tI-NP\tO' -p142062 -aS',\t,\t,\tO\tO' -p142063 -aS'pulse\tpulse\tNN\tB-NP\tO' -p142064 -aS'102\t102\tCD\tI-NP\tO' -p142065 -aS'.\t.\t.\tO\tO' -p142066 -asS'There were no spider angiomata .' -p142067 -(lp142068 -S'There\tThere\tEX\tB-NP\tO' -p142069 -aS'were\tbe\tVBD\tB-VP\tO' -p142070 -aS'no\tno\tDT\tB-NP\tO' -p142071 -aS'spider\tspider\tNN\tI-NP\tO' -p142072 -aS'angiomata\tangiomata\tNN\tI-NP\tO' -p142073 -aS'.\t.\t.\tO\tO' -p142074 -asS'Electrocardiogram showed sinus bradycardia at 40 beats per minute .' -p142075 -(lp142076 -S'Electrocardiogram\tElectrocardiogram\tNN\tB-NP\tO' -p142077 -aS'showed\tshow\tVBD\tB-VP\tO' -p142078 -aS'sinus\tsinus\tNN\tB-NP\tO' -p142079 -aS'bradycardia\tbradycardia\tNN\tI-NP\tO' -p142080 -aS'at\tat\tIN\tB-PP\tO' -p142081 -aS'40\t40\tCD\tB-NP\tO' -p142082 -aS'beats\tbeat\tNNS\tI-NP\tO' -p142083 -aS'per\tper\tIN\tB-PP\tO' -p142084 -aS'minute\tminute\tNN\tB-NP\tO' -p142085 -aS'.\t.\t.\tO\tO' -p142086 -asS'Due to dye load required to assess the coronary disease were not visualized .' -p142087 -(lp142088 -S'Due\tDue\tJJ\tB-ADJP\tO' -p142089 -aS'to\tto\tTO\tB-VP\tO' -p142090 -aS'dye\tdye\tVB\tI-VP\tO' -p142091 -aS'load\tload\tNN\tB-NP\tO' -p142092 -aS'required\trequire\tVBN\tB-VP\tO' -p142093 -aS'to\tto\tTO\tB-VP\tO' -p142094 -aS'assess\tassess\tVB\tI-VP\tO' -p142095 -aS'the\tthe\tDT\tB-NP\tO' -p142096 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p142097 -aS'disease\tdisease\tNN\tI-NP\tO' -p142098 -aS'were\tbe\tVBD\tB-VP\tO' -p142099 -aS'not\tnot\tRB\tI-VP\tO' -p142100 -aS'visualized\tvisualize\tVBN\tI-VP\tO' -p142101 -aS'.\t.\t.\tO\tO' -p142102 -asS'He was intubated in the field and brought to the Emergency Department .' -p142103 -(lp142104 -S'He\tHe\tPRP\tB-NP\tO' -p142105 -aS'was\tbe\tVBD\tB-VP\tO' -p142106 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p142107 -aS'in\tin\tIN\tB-PP\tO' -p142108 -aS'the\tthe\tDT\tB-NP\tO' -p142109 -aS'field\tfield\tNN\tI-NP\tO' -p142110 -aS'and\tand\tCC\tO\tO' -p142111 -aS'brought\tbring\tVBN\tB-VP\tO' -p142112 -aS'to\tto\tTO\tB-PP\tO' -p142113 -aS'the\tthe\tDT\tB-NP\tO' -p142114 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p142115 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p142116 -aS'.\t.\t.\tO\tO' -p142117 -asS'Birth weight was 1630 grams .' -p142118 -(lp142119 -S'Birth\tBirth\tNN\tB-NP\tO' -p142120 -aS'weight\tweight\tNN\tI-NP\tO' -p142121 -aS'was\tbe\tVBD\tB-VP\tO' -p142122 -aS'1630\t1630\tCD\tB-NP\tO' -p142123 -aS'grams\tgram\tNNS\tI-NP\tO' -p142124 -aS'.\t.\t.\tO\tO' -p142125 -asS'The patient was on coumadin recently , ? whether for the arrhythmia .' -p142126 -(lp142127 -S'The\tThe\tDT\tB-NP\tO' -p142128 -aS'patient\tpatient\tNN\tI-NP\tO' -p142129 -aS'was\tbe\tVBD\tB-VP\tO' -p142130 -aS'on\ton\tIN\tB-PP\tO' -p142131 -aS'coumadin\tcoumadin\tNN\tB-NP\tO' -p142132 -aS'recently\trecently\tRB\tB-ADVP\tO' -p142133 -aS',\t,\t,\tO\tO' -p142134 -aS'?\t?\t.\tO\tO' -p142135 -aS'whether\twhether\tIN\tB-SBAR\tO' -p142136 -aS'for\tfor\tIN\tB-PP\tO' -p142137 -aS'the\tthe\tDT\tB-NP\tO' -p142138 -aS'arrhythmia\tarrhythmia\tNN\tI-NP\tO' -p142139 -aS'.\t.\t.\tO\tO' -p142140 -asS'On admission the patient 's prothrombin time was 27.7 with a partial thromboplastin time of greater than 100 and a d-dimer positive at 8 with a fibrinogen of 69 .' -p142141 -(lp142142 -S'On\tOn\tIN\tB-PP\tO' -p142143 -aS'admission\tadmission\tNN\tB-NP\tO' -p142144 -aS'the\tthe\tDT\tB-NP\tO' -p142145 -aS'patient\tpatient\tNN\tI-NP\tO' -p142146 -aS''s\t'\tNNS\tI-NP\tO' -p142147 -aS'prothrombin\tprothrombin\tNN\tI-NP\tO' -p142148 -aS'time\ttime\tNN\tI-NP\tO' -p142149 -aS'was\tbe\tVBD\tB-VP\tO' -p142150 -aS'27.7\t27.7\tCD\tB-NP\tO' -p142151 -aS'with\twith\tIN\tB-PP\tO' -p142152 -aS'a\ta\tDT\tB-NP\tO' -p142153 -aS'partial\tpartial\tJJ\tI-NP\tO' -p142154 -aS'thromboplastin\tthromboplastin\tNN\tI-NP\tO' -p142155 -aS'time\ttime\tNN\tI-NP\tO' -p142156 -aS'of\tof\tIN\tB-PP\tO' -p142157 -aS'greater\tgreat\tJJR\tB-NP\tO' -p142158 -aS'than\tthan\tIN\tI-NP\tO' -p142159 -aS'100\t100\tCD\tI-NP\tO' -p142160 -aS'and\tand\tCC\tO\tO' -p142161 -aS'a\ta\tDT\tB-NP\tO' -p142162 -aS'd-dimer\td-dimer\tNN\tI-NP\tO' -p142163 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p142164 -aS'at\tat\tIN\tB-PP\tO' -p142165 -aS'8\t8\tCD\tB-NP\tO' -p142166 -aS'with\twith\tIN\tB-PP\tO' -p142167 -aS'a\ta\tDT\tB-NP\tO' -p142168 -aS'fibrinogen\tfibrinogen\tNN\tI-NP\tB-protein' -p142169 -aS'of\tof\tIN\tB-PP\tO' -p142170 -aS'69\t69\tCD\tB-NP\tO' -p142171 -aS'.\t.\t.\tO\tO' -p142172 -asS'He is on a trach collar this week during the day only and rested on the ventilator at' -p142173 -(lp142174 -S'He\tHe\tPRP\tB-NP\tO' -p142175 -aS'is\tbe\tVBZ\tB-VP\tO' -p142176 -aS'on\ton\tIN\tB-PP\tO' -p142177 -aS'a\ta\tDT\tB-NP\tO' -p142178 -aS'trach\ttrach\tNN\tI-NP\tO' -p142179 -aS'collar\tcollar\tNN\tI-NP\tO' -p142180 -aS'this\tthis\tDT\tB-NP\tO' -p142181 -aS'week\tweek\tNN\tI-NP\tO' -p142182 -aS'during\tduring\tIN\tB-PP\tO' -p142183 -aS'the\tthe\tDT\tB-NP\tO' -p142184 -aS'day\tday\tNN\tI-NP\tO' -p142185 -aS'only\tonly\tRB\tB-ADVP\tO' -p142186 -aS'and\tand\tCC\tO\tO' -p142187 -aS'rested\trest\tVBD\tB-VP\tO' -p142188 -aS'on\ton\tIN\tB-PP\tO' -p142189 -aS'the\tthe\tDT\tB-NP\tO' -p142190 -aS'ventilator\tventilator\tNN\tI-NP\tO' -p142191 -aS'at\tat\tIN\tB-PP\tO' -p142192 -asS'Respiratory .' -p142193 -(lp142194 -S'Respiratory\tRespiratory\tJJ\tB-ADJP\tO' -p142195 -aS'.\t.\t.\tO\tO' -p142196 -asS'Eyes were normal .' -p142197 -(lp142198 -S'Eyes\tEye\tNNS\tB-NP\tO' -p142199 -aS'were\tbe\tVBD\tB-VP\tO' -p142200 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p142201 -aS'.\t.\t.\tO\tO' -p142202 -asS'abd : s/nt/slightly distended , dec BS , no CVA tenderness' -p142203 -(lp142204 -S'abd\tabd\tNN\tB-NP\tO' -p142205 -aS':\t:\t:\tO\tO' -p142206 -aS's/nt/slightly\ts/nt/slightly\tRB\tB-ADJP\tO' -p142207 -aS'distended\tdistend\tVBN\tI-ADJP\tO' -p142208 -aS',\t,\t,\tO\tO' -p142209 -aS'dec\tdec\tNN\tB-NP\tO' -p142210 -aS'BS\tBS\tNNP\tI-NP\tO' -p142211 -aS',\t,\t,\tO\tO' -p142212 -aS'no\tno\tDT\tB-NP\tO' -p142213 -aS'CVA\tCVA\tNN\tI-NP\tO' -p142214 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p142215 -asS'The patient was admitted for her gait disorder with other notable findings on examination including anisocoria , which , by the patient 's report , had been noted several months earlier .' -p142216 -(lp142217 -S'The\tThe\tDT\tB-NP\tO' -p142218 -aS'patient\tpatient\tNN\tI-NP\tO' -p142219 -aS'was\tbe\tVBD\tB-VP\tO' -p142220 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p142221 -aS'for\tfor\tIN\tB-PP\tO' -p142222 -aS'her\ther\tPRP$\tB-NP\tO' -p142223 -aS'gait\tgait\tNN\tI-NP\tO' -p142224 -aS'disorder\tdisorder\tNN\tI-NP\tO' -p142225 -aS'with\twith\tIN\tB-PP\tO' -p142226 -aS'other\tother\tJJ\tB-NP\tO' -p142227 -aS'notable\tnotable\tJJ\tI-NP\tO' -p142228 -aS'findings\tfinding\tNNS\tI-NP\tO' -p142229 -aS'on\ton\tIN\tB-PP\tO' -p142230 -aS'examination\texamination\tNN\tB-NP\tO' -p142231 -aS'including\tinclude\tVBG\tB-PP\tO' -p142232 -aS'anisocoria\tanisocoria\tNN\tB-NP\tO' -p142233 -aS',\t,\t,\tO\tO' -p142234 -aS'which\twhich\tWDT\tB-NP\tO' -p142235 -aS',\t,\t,\tO\tO' -p142236 -aS'by\tby\tIN\tB-PP\tO' -p142237 -aS'the\tthe\tDT\tB-NP\tO' -p142238 -aS'patient\tpatient\tNN\tI-NP\tO' -p142239 -aS''s\t'\tNNS\tI-NP\tO' -p142240 -aS'report\treport\tNN\tI-NP\tO' -p142241 -aS',\t,\t,\tO\tO' -p142242 -aS'had\thave\tVBD\tB-VP\tO' -p142243 -aS'been\tbe\tVBN\tI-VP\tO' -p142244 -aS'noted\tnote\tVBN\tI-VP\tO' -p142245 -aS'several\tseveral\tJJ\tB-NP\tO' -p142246 -aS'months\tmonth\tNNS\tI-NP\tO' -p142247 -aS'earlier\tearlier\tRBR\tB-ADVP\tO' -p142248 -aS'.\t.\t.\tO\tO' -p142249 -asS'She decided to now be discharged home at this time .' -p142250 -(lp142251 -S'She\tShe\tPRP\tB-NP\tO' -p142252 -aS'decided\tdecide\tVBD\tB-VP\tO' -p142253 -aS'to\tto\tTO\tI-VP\tO' -p142254 -aS'now\tnow\tRB\tI-VP\tO' -p142255 -aS'be\tbe\tVB\tI-VP\tO' -p142256 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p142257 -aS'home\thome\tNN\tB-ADVP\tO' -p142258 -aS'at\tat\tIN\tB-PP\tO' -p142259 -aS'this\tthis\tDT\tB-NP\tO' -p142260 -aS'time\ttime\tNN\tI-NP\tO' -p142261 -aS'.\t.\t.\tO\tO' -p142262 -asS'She was intubated for airway protection and received multiple medications prior to her initial neurologic examination .' -p142263 -(lp142264 -S'She\tShe\tPRP\tB-NP\tO' -p142265 -aS'was\tbe\tVBD\tB-VP\tO' -p142266 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p142267 -aS'for\tfor\tIN\tB-PP\tO' -p142268 -aS'airway\tairway\tNN\tB-NP\tO' -p142269 -aS'protection\tprotection\tNN\tI-NP\tO' -p142270 -aS'and\tand\tCC\tO\tO' -p142271 -aS'received\treceive\tVBD\tB-VP\tO' -p142272 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p142273 -aS'medications\tmedication\tNNS\tI-NP\tO' -p142274 -aS'prior\tprior\tRB\tB-ADVP\tO' -p142275 -aS'to\tto\tTO\tB-PP\tO' -p142276 -aS'her\ther\tPRP$\tB-NP\tO' -p142277 -aS'initial\tinitial\tJJ\tI-NP\tO' -p142278 -aS'neurologic\tneurologic\tJJ\tI-NP\tO' -p142279 -aS'examination\texamination\tNN\tI-NP\tO' -p142280 -aS'.\t.\t.\tO\tO' -p142281 -asS'Need to try to control blood pressure .' -p142282 -(lp142283 -S'Need\tNeed\tNN\tB-NP\tO' -p142284 -aS'to\tto\tTO\tB-VP\tO' -p142285 -aS'try\ttry\tVB\tI-VP\tO' -p142286 -aS'to\tto\tTO\tI-VP\tO' -p142287 -aS'control\tcontrol\tVB\tI-VP\tO' -p142288 -aS'blood\tblood\tNN\tB-NP\tO' -p142289 -aS'pressure\tpressure\tNN\tI-NP\tO' -p142290 -aS'.\t.\t.\tO\tO' -p142291 -asS'7 ) Omeprazole 20 mg p.o. q. day .' -p142292 -(lp142293 -S'7\t7\tCD\tB-NP\tO' -p142294 -aS')\t)\t)\tO\tO' -p142295 -aS'Omeprazole\tOmeprazole\tNN\tB-NP\tO' -p142296 -aS'20\t20\tCD\tI-NP\tO' -p142297 -aS'mg\tmg\tNN\tI-NP\tO' -p142298 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p142299 -aS'q.\tq.\tNN\tI-NP\tO' -p142300 -aS'day\tday\tNN\tI-NP\tO' -p142301 -aS'.\t.\t.\tO\tO' -p142302 -asS'There was no pronator drift .' -p142303 -(lp142304 -S'There\tThere\tEX\tB-NP\tO' -p142305 -aS'was\tbe\tVBD\tB-VP\tO' -p142306 -aS'no\tno\tDT\tB-NP\tO' -p142307 -aS'pronator\tpronator\tNN\tI-NP\tO' -p142308 -aS'drift\tdrift\tNN\tI-NP\tO' -p142309 -aS'.\t.\t.\tO\tO' -p142310 -asS'On further questioning , the patient reported that he started to feel " different " several days ago with slowing and difficult ambulation progressing to complete inability to ambulate .' -p142311 -(lp142312 -S'On\tOn\tIN\tB-PP\tO' -p142313 -aS'further\tfurther\tJJ\tB-NP\tO' -p142314 -aS'questioning\tquestioning\tNN\tI-NP\tO' -p142315 -aS',\t,\t,\tO\tO' -p142316 -aS'the\tthe\tDT\tB-NP\tO' -p142317 -aS'patient\tpatient\tNN\tI-NP\tO' -p142318 -aS'reported\treport\tVBD\tB-VP\tO' -p142319 -aS'that\tthat\tIN\tB-SBAR\tO' -p142320 -aS'he\the\tPRP\tB-NP\tO' -p142321 -aS'started\tstart\tVBD\tB-VP\tO' -p142322 -aS'to\tto\tTO\tI-VP\tO' -p142323 -aS'feel\tfeel\tVB\tI-VP\tO' -p142324 -aS'"\t"\tCC\tO\tO' -p142325 -aS'different\tdifferent\tJJ\tB-NP\tO' -p142326 -aS'"\t"\tCC\tI-NP\tO' -p142327 -aS'several\tseveral\tJJ\tI-NP\tO' -p142328 -aS'days\tday\tNNS\tI-NP\tO' -p142329 -aS'ago\tago\tRB\tB-ADVP\tO' -p142330 -aS'with\twith\tIN\tB-PP\tO' -p142331 -aS'slowing\tslow\tVBG\tB-NP\tO' -p142332 -aS'and\tand\tCC\tO\tO' -p142333 -aS'difficult\tdifficult\tJJ\tB-NP\tO' -p142334 -aS'ambulation\tambulation\tNN\tI-NP\tO' -p142335 -aS'progressing\tprogress\tVBG\tB-VP\tO' -p142336 -aS'to\tto\tTO\tB-PP\tO' -p142337 -aS'complete\tcomplete\tJJ\tB-NP\tO' -p142338 -aS'inability\tinability\tNN\tI-NP\tO' -p142339 -aS'to\tto\tTO\tB-VP\tO' -p142340 -aS'ambulate\tambulate\tVB\tI-VP\tO' -p142341 -aS'.\t.\t.\tO\tO' -p142342 -asS'4. A State newborn screen will be done prior to transfer .' -p142343 -(lp142344 -S'4.\t4.\tLS\tB-LST\tO' -p142345 -aS'A\tA\tDT\tB-NP\tO' -p142346 -aS'State\tState\tNN\tI-NP\tO' -p142347 -aS'newborn\tnewborn\tJJ\tI-NP\tO' -p142348 -aS'screen\tscreen\tNN\tI-NP\tO' -p142349 -aS'will\twill\tMD\tB-VP\tO' -p142350 -aS'be\tbe\tVB\tI-VP\tO' -p142351 -aS'done\tdo\tVBN\tI-VP\tO' -p142352 -aS'prior\tprior\tRB\tB-ADVP\tO' -p142353 -aS'to\tto\tTO\tB-VP\tO' -p142354 -aS'transfer\ttransfer\tVB\tI-VP\tO' -p142355 -aS'.\t.\t.\tO\tO' -p142356 -asS'He will need follow-up bloodwork as an outpatient .' -p142357 -(lp142358 -S'He\tHe\tPRP\tB-NP\tO' -p142359 -aS'will\twill\tMD\tB-VP\tO' -p142360 -aS'need\tneed\tVB\tI-VP\tO' -p142361 -aS'follow-up\tfollow-up\tJJ\tB-NP\tO' -p142362 -aS'bloodwork\tbloodwork\tNN\tI-NP\tO' -p142363 -aS'as\tas\tIN\tB-PP\tO' -p142364 -aS'an\tan\tDT\tB-NP\tO' -p142365 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p142366 -aS'.\t.\t.\tO\tO' -p142367 -asS'Pain : Her pain was controlled with IV pain medicines while in ICU .' -p142368 -(lp142369 -S'Pain\tPain\tNN\tB-NP\tO' -p142370 -aS':\t:\t:\tO\tO' -p142371 -aS'Her\tHer\tPRP$\tB-NP\tO' -p142372 -aS'pain\tpain\tNN\tI-NP\tO' -p142373 -aS'was\tbe\tVBD\tB-VP\tO' -p142374 -aS'controlled\tcontrol\tVBN\tI-VP\tO' -p142375 -aS'with\twith\tIN\tB-PP\tO' -p142376 -aS'IV\tIV\tCD\tB-NP\tO' -p142377 -aS'pain\tpain\tNN\tI-NP\tO' -p142378 -aS'medicines\tmedicine\tNNS\tI-NP\tO' -p142379 -aS'while\twhile\tIN\tB-SBAR\tO' -p142380 -aS'in\tin\tIN\tB-PP\tO' -p142381 -aS'ICU\tICU\tNN\tB-NP\tB-protein' -p142382 -aS'.\t.\t.\tO\tO' -p142383 -asS'Bilateral ureteral stent placement .' -p142384 -(lp142385 -S'Bilateral\tBilateral\tJJ\tB-NP\tO' -p142386 -aS'ureteral\tureteral\tJJ\tI-NP\tO' -p142387 -aS'stent\tstent\tJJ\tI-NP\tO' -p142388 -aS'placement\tplacement\tNN\tI-NP\tO' -p142389 -aS'.\t.\t.\tO\tO' -p142390 -asS"For hematology , the patient 's hematocrit and platelets were monitored after the catheterization ." -p142391 -(lp142392 -S'For\tFor\tIN\tB-PP\tO' -p142393 -aS'hematology\thematology\tNN\tB-NP\tO' -p142394 -aS',\t,\t,\tO\tO' -p142395 -aS'the\tthe\tDT\tB-NP\tO' -p142396 -aS'patient\tpatient\tNN\tI-NP\tO' -p142397 -aS"'s\t's\tPOS\tB-NP\tO" -p142398 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p142399 -aS'and\tand\tCC\tI-NP\tO' -p142400 -aS'platelets\tplatelet\tNNS\tI-NP\tB-cell_type' -p142401 -aS'were\tbe\tVBD\tB-VP\tO' -p142402 -aS'monitored\tmonitor\tVBN\tI-VP\tO' -p142403 -aS'after\tafter\tIN\tB-PP\tO' -p142404 -aS'the\tthe\tDT\tB-NP\tO' -p142405 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p142406 -aS'.\t.\t.\tO\tO' -p142407 -asS'She denies numbness or weakness in any part of the body .' -p142408 -(lp142409 -S'She\tShe\tPRP\tB-NP\tO' -p142410 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p142411 -aS'numbness\tnumbness\tNN\tB-NP\tO' -p142412 -aS'or\tor\tCC\tI-NP\tO' -p142413 -aS'weakness\tweakness\tNN\tI-NP\tO' -p142414 -aS'in\tin\tIN\tB-PP\tO' -p142415 -aS'any\tany\tDT\tB-NP\tO' -p142416 -aS'part\tpart\tNN\tI-NP\tO' -p142417 -aS'of\tof\tIN\tB-PP\tO' -p142418 -aS'the\tthe\tDT\tB-NP\tO' -p142419 -aS'body\tbody\tNN\tI-NP\tO' -p142420 -aS'.\t.\t.\tO\tO' -p142421 -asS'He was advised to take all of his medications .' -p142422 -(lp142423 -S'He\tHe\tPRP\tB-NP\tO' -p142424 -aS'was\tbe\tVBD\tB-VP\tO' -p142425 -aS'advised\tadvise\tVBN\tI-VP\tO' -p142426 -aS'to\tto\tTO\tI-VP\tO' -p142427 -aS'take\ttake\tVB\tI-VP\tO' -p142428 -aS'all\tall\tDT\tB-NP\tO' -p142429 -aS'of\tof\tIN\tB-PP\tO' -p142430 -aS'his\this\tPRP$\tB-NP\tO' -p142431 -aS'medications\tmedication\tNNS\tI-NP\tO' -p142432 -aS'.\t.\t.\tO\tO' -p142433 -asS'Strength 5/5 in upper and lower extremities .' -p142434 -(lp142435 -S'Strength\tStrength\tNN\tB-NP\tO' -p142436 -aS'5/5\t5/5\tCD\tI-NP\tO' -p142437 -aS'in\tin\tIN\tB-PP\tO' -p142438 -aS'upper\tupper\tJJ\tB-NP\tO' -p142439 -aS'and\tand\tCC\tI-NP\tO' -p142440 -aS'lower\tlow\tJJR\tI-NP\tO' -p142441 -aS'extremities\textremity\tNNS\tI-NP\tO' -p142442 -aS'.\t.\t.\tO\tO' -p142443 -asS'2. History of colonic polyps times 3 , benign in 2007 , repeat colonoscopy due to in 2010 .' -p142444 -(lp142445 -S'2.\t2.\tLS\tB-NP\tO' -p142446 -aS'History\tHistory\tNN\tI-NP\tO' -p142447 -aS'of\tof\tIN\tB-PP\tO' -p142448 -aS'colonic\tcolonic\tJJ\tB-NP\tO' -p142449 -aS'polyps\tpolyp\tNNS\tI-NP\tO' -p142450 -aS'times\ttime\tNNS\tI-NP\tO' -p142451 -aS'3\t3\tCD\tI-NP\tO' -p142452 -aS',\t,\t,\tO\tO' -p142453 -aS'benign\tbenign\tJJ\tB-ADJP\tO' -p142454 -aS'in\tin\tIN\tB-PP\tO' -p142455 -aS'2007\t2007\tCD\tB-NP\tO' -p142456 -aS',\t,\t,\tO\tO' -p142457 -aS'repeat\trepeat\tNN\tB-NP\tO' -p142458 -aS'colonoscopy\tcolonoscopy\tNN\tI-NP\tO' -p142459 -aS'due\tdue\tJJ\tB-ADJP\tO' -p142460 -aS'to\tto\tTO\tB-PP\tO' -p142461 -aS'in\tin\tIN\tB-PP\tO' -p142462 -aS'2010\t2010\tCD\tB-NP\tO' -p142463 -aS'.\t.\t.\tO\tO' -p142464 -asS'Intubated and sedated for desats on 2014-10-27 .' -p142465 -(lp142466 -S'Intubated\tIntubate\tVBN\tB-VP\tO' -p142467 -aS'and\tand\tCC\tI-VP\tO' -p142468 -aS'sedated\tsedate\tVBN\tI-VP\tO' -p142469 -aS'for\tfor\tIN\tB-PP\tO' -p142470 -aS'desats\tdesat\tNNS\tB-NP\tO' -p142471 -aS'on\ton\tIN\tB-PP\tO' -p142472 -aS'2014-10-27\t2014-10-27\tCD\tB-NP\tO' -p142473 -aS'.\t.\t.\tO\tO' -p142474 -asS'HEENT - mucous membranes slightly dry' -p142475 -(lp142476 -S'HEENT\tHEENT\tNN\tB-NP\tB-protein' -p142477 -aS'-\t-\tHYPH\tI-NP\tO' -p142478 -aS'mucous\tmucous\tJJ\tI-NP\tO' -p142479 -aS'membranes\tmembrane\tNNS\tI-NP\tO' -p142480 -aS'slightly\tslightly\tRB\tB-ADJP\tO' -p142481 -aS'dry\tdry\tJJ\tI-ADJP\tO' -p142482 -asS'Transrectal ultrasound showed a hypoechoic left-sided mass in the peripheral zone .' -p142483 -(lp142484 -S'Transrectal\tTransrectal\tJJ\tB-NP\tO' -p142485 -aS'ultrasound\tultrasound\tNN\tI-NP\tO' -p142486 -aS'showed\tshow\tVBD\tB-VP\tO' -p142487 -aS'a\ta\tDT\tB-NP\tO' -p142488 -aS'hypoechoic\thypoechoic\tJJ\tI-NP\tO' -p142489 -aS'left-sided\tleft-sided\tJJ\tI-NP\tO' -p142490 -aS'mass\tmass\tNN\tI-NP\tO' -p142491 -aS'in\tin\tIN\tB-PP\tO' -p142492 -aS'the\tthe\tDT\tB-NP\tO' -p142493 -aS'peripheral\tperipheral\tJJ\tI-NP\tO' -p142494 -aS'zone\tzone\tNN\tI-NP\tO' -p142495 -aS'.\t.\t.\tO\tO' -p142496 -asS'Disp : *14 Capsule , Sustained Release( s )*' -p142497 -(lp142498 -S'Disp\tDisp\tNN\tB-NP\tO' -p142499 -aS':\t:\t:\tO\tO' -p142500 -aS'*14\t*14\tCD\tB-NP\tO' -p142501 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p142502 -aS',\t,\t,\tO\tO' -p142503 -aS'Sustained\tSustained\tNNP\tB-NP\tO' -p142504 -aS'Release(\tRelease(\tNNP\tI-NP\tO' -p142505 -aS's\ts\tVBZ\tB-VP\tO' -p142506 -aS')*\t)*\tSYM\tB-NP\tO' -p142507 -asS'22. Heparin ( Porcine ) 5,000 unit / mL Solution Sig : 5000 ( 5000 ) units Injection TID ( 3 times a day ) .' -p142508 -(lp142509 -S'22.\t22.\tLS\tB-LST\tO' -p142510 -aS'Heparin\tHeparin\tNN\tB-NP\tB-protein' -p142511 -aS'(\t(\t(\tO\tI-protein' -p142512 -aS'Porcine\tPorcine\tNN\tB-NP\tI-protein' -p142513 -aS')\t)\t)\tO\tI-protein' -p142514 -aS'5,000\t5,000\tCD\tB-NP\tI-protein' -p142515 -aS'unit\tunit\tNN\tI-NP\tI-protein' -p142516 -aS'/\t/\tSYM\tB-NP\tO' -p142517 -aS'mL\tmL\tNN\tI-NP\tO' -p142518 -aS'Solution\tSolution\tNNP\tI-NP\tO' -p142519 -aS'Sig\tSig\tNNP\tI-NP\tO' -p142520 -aS':\t:\t:\tO\tO' -p142521 -aS'5000\t5000\tCD\tB-NP\tO' -p142522 -aS'(\t(\t(\tO\tO' -p142523 -aS'5000\t5000\tCD\tB-NP\tO' -p142524 -aS')\t)\t)\tO\tO' -p142525 -aS'units\tunit\tNNS\tB-NP\tO' -p142526 -aS'Injection\tInjection\tNN\tI-NP\tO' -p142527 -aS'TID\tTID\tNN\tI-NP\tO' -p142528 -aS'(\t(\t(\tO\tO' -p142529 -aS'3\t3\tCD\tB-NP\tO' -p142530 -aS'times\ttime\tNNS\tI-NP\tO' -p142531 -aS'a\ta\tDT\tB-NP\tO' -p142532 -aS'day\tday\tNN\tI-NP\tO' -p142533 -aS')\t)\t)\tO\tO' -p142534 -aS'.\t.\t.\tO\tO' -p142535 -asS'Gardner State Hospital social worker has assisted in working with this family .' -p142536 -(lp142537 -S'Gardner\tGardner\tNNP\tB-NP\tO' -p142538 -aS'State\tState\tNNP\tI-NP\tO' -p142539 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p142540 -aS'social\tsocial\tJJ\tI-NP\tO' -p142541 -aS'worker\tworker\tNN\tI-NP\tO' -p142542 -aS'has\thave\tVBZ\tB-VP\tO' -p142543 -aS'assisted\tassist\tVBN\tI-VP\tO' -p142544 -aS'in\tin\tIN\tB-PP\tO' -p142545 -aS'working\twork\tVBG\tB-VP\tO' -p142546 -aS'with\twith\tIN\tB-PP\tO' -p142547 -aS'this\tthis\tDT\tB-NP\tO' -p142548 -aS'family\tfamily\tNN\tI-NP\tO' -p142549 -aS'.\t.\t.\tO\tO' -p142550 -asS'8. non-insulin dependent diabetes mellitus ,' -p142551 -(lp142552 -S'8.\t8.\tLS\tB-NP\tO' -p142553 -aS'non-insulin\tnon-insulin\tJJ\tI-NP\tO' -p142554 -aS'dependent\tdependent\tJJ\tI-NP\tO' -p142555 -aS'diabetes\tdiabetes\tNN\tI-NP\tO' -p142556 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p142557 -aS',\t,\t,\tO\tO' -p142558 -asS'Her bowel function was slow to develop and she needed to remain n.p.o. until postoperative day number six .' -p142559 -(lp142560 -S'Her\tHer\tPRP$\tB-NP\tO' -p142561 -aS'bowel\tbowel\tNN\tI-NP\tO' -p142562 -aS'function\tfunction\tNN\tI-NP\tO' -p142563 -aS'was\tbe\tVBD\tB-VP\tO' -p142564 -aS'slow\tslow\tJJ\tB-ADJP\tO' -p142565 -aS'to\tto\tTO\tB-VP\tO' -p142566 -aS'develop\tdevelop\tVB\tI-VP\tO' -p142567 -aS'and\tand\tCC\tO\tO' -p142568 -aS'she\tshe\tPRP\tB-NP\tO' -p142569 -aS'needed\tneed\tVBD\tB-VP\tO' -p142570 -aS'to\tto\tTO\tI-VP\tO' -p142571 -aS'remain\tremain\tVB\tI-VP\tO' -p142572 -aS'n.p.o.\tn.p.o.\tNN\tB-NP\tO' -p142573 -aS'until\tuntil\tIN\tB-PP\tO' -p142574 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p142575 -aS'day\tday\tNN\tI-NP\tO' -p142576 -aS'number\tnumber\tNN\tI-NP\tO' -p142577 -aS'six\tsix\tCD\tI-NP\tO' -p142578 -aS'.\t.\t.\tO\tO' -p142579 -asS'Stool 2017-02-07 : c. diff negative' -p142580 -(lp142581 -S'Stool\tStool\tNNP\tB-NP\tO' -p142582 -aS'2017-02-07\t2017-02-07\tCD\tI-NP\tO' -p142583 -aS':\t:\t:\tO\tO' -p142584 -aS'c.\tc.\tNN\tB-NP\tO' -p142585 -aS'diff\tdiff\tNN\tI-NP\tO' -p142586 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p142587 -asS'On post-contrast images , there is a probably stable appearance of a 5 mm linear , focal area of enhancement in the left centrum semiovale , of uncertain etiology .' -p142588 -(lp142589 -S'On\tOn\tIN\tB-PP\tO' -p142590 -aS'post-contrast\tpost-contrast\tJJ\tB-NP\tO' -p142591 -aS'images\timage\tNNS\tI-NP\tO' -p142592 -aS',\t,\t,\tO\tO' -p142593 -aS'there\tthere\tEX\tB-NP\tO' -p142594 -aS'is\tbe\tVBZ\tB-VP\tO' -p142595 -aS'a\ta\tDT\tB-NP\tO' -p142596 -aS'probably\tprobably\tRB\tI-NP\tO' -p142597 -aS'stable\tstable\tJJ\tI-NP\tO' -p142598 -aS'appearance\tappearance\tNN\tI-NP\tO' -p142599 -aS'of\tof\tIN\tB-PP\tO' -p142600 -aS'a\ta\tDT\tB-NP\tO' -p142601 -aS'5\t5\tCD\tI-NP\tO' -p142602 -aS'mm\tmm\tNN\tI-NP\tO' -p142603 -aS'linear\tlinear\tJJ\tI-NP\tO' -p142604 -aS',\t,\t,\tI-NP\tO' -p142605 -aS'focal\tfocal\tJJ\tI-NP\tO' -p142606 -aS'area\tarea\tNN\tI-NP\tO' -p142607 -aS'of\tof\tIN\tB-PP\tO' -p142608 -aS'enhancement\tenhancement\tNN\tB-NP\tO' -p142609 -aS'in\tin\tIN\tB-PP\tO' -p142610 -aS'the\tthe\tDT\tB-NP\tO' -p142611 -aS'left\tleft\tJJ\tI-NP\tO' -p142612 -aS'centrum\tcentrum\tNN\tI-NP\tO' -p142613 -aS'semiovale\tsemiovale\tNN\tI-NP\tO' -p142614 -aS',\t,\t,\tO\tO' -p142615 -aS'of\tof\tIN\tB-PP\tO' -p142616 -aS'uncertain\tuncertain\tJJ\tB-NP\tO' -p142617 -aS'etiology\tetiology\tNN\tI-NP\tO' -p142618 -aS'.\t.\t.\tO\tO' -p142619 -asS'The patient was stable with an unchanged neurological and physical examination and was discharged on aspirin 325 mg po qd , on May 14 , 1995 .' -p142620 -(lp142621 -S'The\tThe\tDT\tB-NP\tO' -p142622 -aS'patient\tpatient\tNN\tI-NP\tO' -p142623 -aS'was\tbe\tVBD\tB-VP\tO' -p142624 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p142625 -aS'with\twith\tIN\tB-PP\tO' -p142626 -aS'an\tan\tDT\tB-NP\tO' -p142627 -aS'unchanged\tunchanged\tJJ\tI-NP\tO' -p142628 -aS'neurological\tneurological\tJJ\tI-NP\tO' -p142629 -aS'and\tand\tCC\tI-NP\tO' -p142630 -aS'physical\tphysical\tJJ\tI-NP\tO' -p142631 -aS'examination\texamination\tNN\tI-NP\tO' -p142632 -aS'and\tand\tCC\tO\tO' -p142633 -aS'was\tbe\tVBD\tB-VP\tO' -p142634 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p142635 -aS'on\ton\tIN\tB-PP\tO' -p142636 -aS'aspirin\taspirin\tNN\tB-NP\tO' -p142637 -aS'325\t325\tCD\tI-NP\tO' -p142638 -aS'mg\tmg\tNN\tI-NP\tO' -p142639 -aS'po\tpo\tNN\tI-NP\tO' -p142640 -aS'qd\tqd\tNN\tI-NP\tO' -p142641 -aS',\t,\t,\tO\tO' -p142642 -aS'on\ton\tIN\tB-PP\tO' -p142643 -aS'May\tMay\tNNP\tB-NP\tO' -p142644 -aS'14\t14\tCD\tI-NP\tO' -p142645 -aS',\t,\t,\tI-NP\tO' -p142646 -aS'1995\t1995\tCD\tI-NP\tO' -p142647 -aS'.\t.\t.\tO\tO' -p142648 -asS'+LOC , GCS:14 .' -p142649 -(lp142650 -S'+LOC\t+LOC\tNN\tB-NP\tB-protein' -p142651 -aS',\t,\t,\tO\tO' -p142652 -aS'GCS:14\tGCS:14\tNN\tB-NP\tB-protein' -p142653 -aS'.\t.\t.\tO\tO' -p142654 -asS'Due to difficult ambulation , the patient developed a small ulcer in the sacral area , which was treated with Duoderm dressing .' -p142655 -(lp142656 -S'Due\tDue\tJJ\tB-PP\tO' -p142657 -aS'to\tto\tTO\tB-PP\tO' -p142658 -aS'difficult\tdifficult\tJJ\tB-NP\tO' -p142659 -aS'ambulation\tambulation\tNN\tI-NP\tO' -p142660 -aS',\t,\t,\tO\tO' -p142661 -aS'the\tthe\tDT\tB-NP\tO' -p142662 -aS'patient\tpatient\tNN\tI-NP\tO' -p142663 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p142664 -aS'a\ta\tDT\tB-NP\tO' -p142665 -aS'small\tsmall\tJJ\tI-NP\tO' -p142666 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p142667 -aS'in\tin\tIN\tB-PP\tO' -p142668 -aS'the\tthe\tDT\tB-NP\tO' -p142669 -aS'sacral\tsacral\tJJ\tI-NP\tO' -p142670 -aS'area\tarea\tNN\tI-NP\tO' -p142671 -aS',\t,\t,\tO\tO' -p142672 -aS'which\twhich\tWDT\tB-NP\tO' -p142673 -aS'was\tbe\tVBD\tB-VP\tO' -p142674 -aS'treated\ttreat\tVBN\tI-VP\tO' -p142675 -aS'with\twith\tIN\tB-PP\tO' -p142676 -aS'Duoderm\tDuoderm\tNN\tB-NP\tO' -p142677 -aS'dressing\tdress\tVBG\tB-VP\tO' -p142678 -aS'.\t.\t.\tO\tO' -p142679 -asS"Cardiology discussed cath however , patient 's family turned down ." -p142680 -(lp142681 -S'Cardiology\tCardiology\tNNP\tB-NP\tO' -p142682 -aS'discussed\tdiscuss\tVBD\tB-VP\tO' -p142683 -aS'cath\tcath\tNN\tB-NP\tO' -p142684 -aS'however\thowever\tRB\tB-ADVP\tO' -p142685 -aS',\t,\t,\tO\tO' -p142686 -aS'patient\tpatient\tNN\tB-NP\tO' -p142687 -aS"'s\t's\tPOS\tB-NP\tO" -p142688 -aS'family\tfamily\tNN\tI-NP\tO' -p142689 -aS'turned\tturn\tVBD\tB-VP\tO' -p142690 -aS'down\tdown\tRB\tB-ADVP\tO' -p142691 -aS'.\t.\t.\tO\tO' -p142692 -asS'10 .' -p142693 -(lp142694 -S'10\t10\tCD\tB-NP\tO' -p142695 -aS'.\t.\t.\tO\tO' -p142696 -asS'However , this issue will need to be re-evaluated in six months time once the hematoma is less prominent to see if there is possibly an underlying tumor or arterial venous malformation that could be currently compressed by the area of hemorrhage .' -p142697 -(lp142698 -S'However\tHowever\tRB\tB-ADVP\tO' -p142699 -aS',\t,\t,\tO\tO' -p142700 -aS'this\tthis\tDT\tB-NP\tO' -p142701 -aS'issue\tissue\tNN\tI-NP\tO' -p142702 -aS'will\twill\tMD\tB-VP\tO' -p142703 -aS'need\tneed\tVB\tI-VP\tO' -p142704 -aS'to\tto\tTO\tI-VP\tO' -p142705 -aS'be\tbe\tVB\tI-VP\tO' -p142706 -aS're-evaluated\tre-evaluate\tVBN\tI-VP\tO' -p142707 -aS'in\tin\tIN\tB-PP\tO' -p142708 -aS'six\tsix\tCD\tB-NP\tO' -p142709 -aS'months\tmonth\tNNS\tI-NP\tO' -p142710 -aS'time\ttime\tNN\tB-NP\tO' -p142711 -aS'once\tonce\tIN\tB-SBAR\tO' -p142712 -aS'the\tthe\tDT\tB-NP\tO' -p142713 -aS'hematoma\thematoma\tNN\tI-NP\tO' -p142714 -aS'is\tbe\tVBZ\tB-VP\tO' -p142715 -aS'less\tless\tRBR\tB-ADJP\tO' -p142716 -aS'prominent\tprominent\tJJ\tI-ADJP\tO' -p142717 -aS'to\tto\tTO\tB-VP\tO' -p142718 -aS'see\tsee\tVB\tI-VP\tO' -p142719 -aS'if\tif\tIN\tB-SBAR\tO' -p142720 -aS'there\tthere\tEX\tB-NP\tO' -p142721 -aS'is\tbe\tVBZ\tB-VP\tO' -p142722 -aS'possibly\tpossibly\tRB\tB-ADVP\tO' -p142723 -aS'an\tan\tDT\tB-NP\tO' -p142724 -aS'underlying\tunderlie\tVBG\tI-NP\tO' -p142725 -aS'tumor\ttumor\tNN\tI-NP\tO' -p142726 -aS'or\tor\tCC\tO\tO' -p142727 -aS'arterial\tarterial\tJJ\tB-NP\tO' -p142728 -aS'venous\tvenous\tJJ\tI-NP\tO' -p142729 -aS'malformation\tmalformation\tNN\tI-NP\tO' -p142730 -aS'that\tthat\tWDT\tB-NP\tO' -p142731 -aS'could\tcould\tMD\tB-VP\tO' -p142732 -aS'be\tbe\tVB\tI-VP\tO' -p142733 -aS'currently\tcurrently\tRB\tI-VP\tO' -p142734 -aS'compressed\tcompress\tVBN\tI-VP\tO' -p142735 -aS'by\tby\tIN\tB-PP\tO' -p142736 -aS'the\tthe\tDT\tB-NP\tO' -p142737 -aS'area\tarea\tNN\tI-NP\tO' -p142738 -aS'of\tof\tIN\tB-PP\tO' -p142739 -aS'hemorrhage\themorrhage\tNN\tB-NP\tO' -p142740 -aS'.\t.\t.\tO\tO' -p142741 -asS'Placed on Reynolds/vanc/fluc/gentamicin for neutropenic fever and thrush initially .' -p142742 -(lp142743 -S'Placed\tPlace\tVBN\tB-VP\tO' -p142744 -aS'on\ton\tIN\tB-PP\tO' -p142745 -aS'Reynolds/vanc/fluc/gentamicin\tReynolds/vanc/fluc/gentamicin\tNN\tB-NP\tO' -p142746 -aS'for\tfor\tIN\tB-PP\tO' -p142747 -aS'neutropenic\tneutropenic\tJJ\tB-NP\tO' -p142748 -aS'fever\tfever\tNN\tI-NP\tO' -p142749 -aS'and\tand\tCC\tI-NP\tO' -p142750 -aS'thrush\tthrush\tNN\tI-NP\tO' -p142751 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p142752 -aS'.\t.\t.\tO\tO' -p142753 -asS'No murmur appreciated .' -p142754 -(lp142755 -S'No\tNo\tDT\tB-NP\tO' -p142756 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p142757 -aS'appreciated\tappreciate\tVBN\tB-VP\tO' -p142758 -aS'.\t.\t.\tO\tO' -p142759 -asS'The transmitral gradient is normal for this prosthesis .' -p142760 -(lp142761 -S'The\tThe\tDT\tB-NP\tO' -p142762 -aS'transmitral\ttransmitral\tJJ\tI-NP\tO' -p142763 -aS'gradient\tgradient\tNN\tI-NP\tO' -p142764 -aS'is\tbe\tVBZ\tB-VP\tO' -p142765 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p142766 -aS'for\tfor\tIN\tB-PP\tO' -p142767 -aS'this\tthis\tDT\tB-NP\tO' -p142768 -aS'prosthesis\tprosthesis\tNN\tI-NP\tO' -p142769 -aS'.\t.\t.\tO\tO' -p142770 -asS'He remained unresponsive despite the administration of Narcan .' -p142771 -(lp142772 -S'He\tHe\tPRP\tB-NP\tO' -p142773 -aS'remained\tremain\tVBD\tB-VP\tO' -p142774 -aS'unresponsive\tunresponsive\tJJ\tB-ADJP\tO' -p142775 -aS'despite\tdespite\tIN\tB-PP\tO' -p142776 -aS'the\tthe\tDT\tB-NP\tO' -p142777 -aS'administration\tadministration\tNN\tI-NP\tO' -p142778 -aS'of\tof\tIN\tB-PP\tO' -p142779 -aS'Narcan\tNarcan\tNNP\tB-NP\tO' -p142780 -aS'.\t.\t.\tO\tO' -p142781 -asS'Significant for chronic atrial fibrillation , managed with an Italian variation of Digoxin , and Amioadrone , hypertension managed with an ACE inhibitor , chronic obstructive pulmonary disease managed with a zanthine preparation and low dose steroids , as well as an occasional inhaler .' -p142782 -(lp142783 -S'Significant\tSignificant\tJJ\tB-ADJP\tO' -p142784 -aS'for\tfor\tIN\tB-PP\tO' -p142785 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p142786 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p142787 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p142788 -aS',\t,\t,\tO\tO' -p142789 -aS'managed\tmanage\tVBD\tB-VP\tO' -p142790 -aS'with\twith\tIN\tB-PP\tO' -p142791 -aS'an\tan\tDT\tB-NP\tO' -p142792 -aS'Italian\tItalian\tJJ\tI-NP\tO' -p142793 -aS'variation\tvariation\tNN\tI-NP\tO' -p142794 -aS'of\tof\tIN\tB-PP\tO' -p142795 -aS'Digoxin\tDigoxin\tNN\tB-NP\tO' -p142796 -aS',\t,\t,\tO\tO' -p142797 -aS'and\tand\tCC\tO\tO' -p142798 -aS'Amioadrone\tAmioadrone\tNN\tB-NP\tO' -p142799 -aS',\t,\t,\tO\tO' -p142800 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p142801 -aS'managed\tmanage\tVBD\tB-VP\tO' -p142802 -aS'with\twith\tIN\tB-PP\tO' -p142803 -aS'an\tan\tDT\tB-NP\tO' -p142804 -aS'ACE\tACE\tNN\tI-NP\tO' -p142805 -aS'inhibitor\tinhibitor\tNN\tI-NP\tO' -p142806 -aS',\t,\t,\tO\tO' -p142807 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p142808 -aS'obstructive\tobstructive\tJJ\tI-NP\tO' -p142809 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p142810 -aS'disease\tdisease\tNN\tI-NP\tO' -p142811 -aS'managed\tmanage\tVBD\tB-VP\tO' -p142812 -aS'with\twith\tIN\tB-PP\tO' -p142813 -aS'a\ta\tDT\tB-NP\tO' -p142814 -aS'zanthine\tzanthine\tNN\tI-NP\tO' -p142815 -aS'preparation\tpreparation\tNN\tI-NP\tO' -p142816 -aS'and\tand\tCC\tO\tO' -p142817 -aS'low\tlow\tJJ\tB-NP\tO' -p142818 -aS'dose\tdose\tNN\tI-NP\tO' -p142819 -aS'steroids\tsteroid\tNNS\tI-NP\tO' -p142820 -aS',\t,\t,\tO\tO' -p142821 -aS'as\tas\tRB\tB-CONJP\tO' -p142822 -aS'well\twell\tRB\tI-CONJP\tO' -p142823 -aS'as\tas\tIN\tI-CONJP\tO' -p142824 -aS'an\tan\tDT\tB-NP\tO' -p142825 -aS'occasional\toccasional\tJJ\tI-NP\tO' -p142826 -aS'inhaler\tinhaler\tNN\tI-NP\tO' -p142827 -aS'.\t.\t.\tO\tO' -p142828 -asS'He was placed on vancomycin , levofloxacin and fluconazole .' -p142829 -(lp142830 -S'He\tHe\tPRP\tB-NP\tO' -p142831 -aS'was\tbe\tVBD\tB-VP\tO' -p142832 -aS'placed\tplace\tVBN\tI-VP\tO' -p142833 -aS'on\ton\tIN\tB-PP\tO' -p142834 -aS'vancomycin\tvancomycin\tNN\tB-NP\tO' -p142835 -aS',\t,\t,\tI-NP\tO' -p142836 -aS'levofloxacin\tlevofloxacin\tNN\tI-NP\tO' -p142837 -aS'and\tand\tCC\tI-NP\tO' -p142838 -aS'fluconazole\tfluconazole\tNN\tI-NP\tO' -p142839 -aS'.\t.\t.\tO\tO' -p142840 -asS'The physical examination was unremarkable and he had no recurrent symptoms of coffee ground emesis .' -p142841 -(lp142842 -S'The\tThe\tDT\tB-NP\tO' -p142843 -aS'physical\tphysical\tJJ\tI-NP\tO' -p142844 -aS'examination\texamination\tNN\tI-NP\tO' -p142845 -aS'was\tbe\tVBD\tB-VP\tO' -p142846 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p142847 -aS'and\tand\tCC\tO\tO' -p142848 -aS'he\the\tPRP\tB-NP\tO' -p142849 -aS'had\thave\tVBD\tB-VP\tO' -p142850 -aS'no\tno\tDT\tB-NP\tO' -p142851 -aS'recurrent\trecurrent\tJJ\tI-NP\tO' -p142852 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p142853 -aS'of\tof\tIN\tB-PP\tO' -p142854 -aS'coffee\tcoffee\tNN\tB-NP\tO' -p142855 -aS'ground\tground\tNN\tI-NP\tO' -p142856 -aS'emesis\temesis\tNN\tI-NP\tO' -p142857 -aS'.\t.\t.\tO\tO' -p142858 -asS'4. Paroxysmal atrial fibrillation in the setting of pulmonary embolism .' -p142859 -(lp142860 -S'4.\t4.\tLS\tB-NP\tO' -p142861 -aS'Paroxysmal\tParoxysmal\tJJ\tI-NP\tO' -p142862 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p142863 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p142864 -aS'in\tin\tIN\tB-PP\tO' -p142865 -aS'the\tthe\tDT\tB-NP\tO' -p142866 -aS'setting\tsetting\tNN\tI-NP\tO' -p142867 -aS'of\tof\tIN\tB-PP\tO' -p142868 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p142869 -aS'embolism\tembolism\tNN\tI-NP\tO' -p142870 -aS'.\t.\t.\tO\tO' -p142871 -asS'She was discharged home in stable condition with prescriptions for Colace , Motrin and Percocet as needed .' -p142872 -(lp142873 -S'She\tShe\tPRP\tB-NP\tO' -p142874 -aS'was\tbe\tVBD\tB-VP\tO' -p142875 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p142876 -aS'home\thome\tNN\tB-ADVP\tO' -p142877 -aS'in\tin\tIN\tB-PP\tO' -p142878 -aS'stable\tstable\tJJ\tB-NP\tO' -p142879 -aS'condition\tcondition\tNN\tI-NP\tO' -p142880 -aS'with\twith\tIN\tB-PP\tO' -p142881 -aS'prescriptions\tprescription\tNNS\tB-NP\tO' -p142882 -aS'for\tfor\tIN\tB-PP\tO' -p142883 -aS'Colace\tColace\tNNP\tB-NP\tO' -p142884 -aS',\t,\t,\tI-NP\tO' -p142885 -aS'Motrin\tMotrin\tNNP\tI-NP\tO' -p142886 -aS'and\tand\tCC\tI-NP\tO' -p142887 -aS'Percocet\tPercocet\tNNP\tI-NP\tO' -p142888 -aS'as\tas\tIN\tB-SBAR\tO' -p142889 -aS'needed\tneed\tVBN\tB-VP\tO' -p142890 -aS'.\t.\t.\tO\tO' -p142891 -asS'He was diuresed initially with one dose of Lasix and subsequently with one dose of torsemide after it was discovered that he developed thrombocytopenia on a prior admission in reaction to Lasix .' -p142892 -(lp142893 -S'He\tHe\tPRP\tB-NP\tO' -p142894 -aS'was\tbe\tVBD\tB-VP\tO' -p142895 -aS'diuresed\tdiurese\tVBN\tI-VP\tO' -p142896 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p142897 -aS'with\twith\tIN\tB-PP\tO' -p142898 -aS'one\tone\tCD\tB-NP\tO' -p142899 -aS'dose\tdose\tNN\tI-NP\tO' -p142900 -aS'of\tof\tIN\tB-PP\tO' -p142901 -aS'Lasix\tLasix\tNNP\tB-NP\tO' -p142902 -aS'and\tand\tCC\tO\tO' -p142903 -aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' -p142904 -aS'with\twith\tIN\tB-PP\tO' -p142905 -aS'one\tone\tCD\tB-NP\tO' -p142906 -aS'dose\tdose\tNN\tI-NP\tO' -p142907 -aS'of\tof\tIN\tB-PP\tO' -p142908 -aS'torsemide\ttorsemide\tNN\tB-NP\tO' -p142909 -aS'after\tafter\tIN\tB-SBAR\tO' -p142910 -aS'it\tit\tPRP\tB-NP\tO' -p142911 -aS'was\tbe\tVBD\tB-VP\tO' -p142912 -aS'discovered\tdiscover\tVBN\tI-VP\tO' -p142913 -aS'that\tthat\tIN\tB-SBAR\tO' -p142914 -aS'he\the\tPRP\tB-NP\tO' -p142915 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p142916 -aS'thrombocytopenia\tthrombocytopenia\tNN\tB-NP\tO' -p142917 -aS'on\ton\tIN\tB-PP\tO' -p142918 -aS'a\ta\tDT\tB-NP\tO' -p142919 -aS'prior\tprior\tJJ\tI-NP\tO' -p142920 -aS'admission\tadmission\tNN\tI-NP\tO' -p142921 -aS'in\tin\tIN\tB-PP\tO' -p142922 -aS'reaction\treaction\tNN\tB-NP\tO' -p142923 -aS'to\tto\tTO\tB-PP\tO' -p142924 -aS'Lasix\tLasix\tNNP\tB-NP\tO' -p142925 -aS'.\t.\t.\tO\tO' -p142926 -asS'The patient was started on Fragmin for DVT prophylaxis and the patient was also started on Dilantin levels .' -p142927 -(lp142928 -S'The\tThe\tDT\tB-NP\tO' -p142929 -aS'patient\tpatient\tNN\tI-NP\tO' -p142930 -aS'was\tbe\tVBD\tB-VP\tO' -p142931 -aS'started\tstart\tVBN\tI-VP\tO' -p142932 -aS'on\ton\tIN\tB-PP\tO' -p142933 -aS'Fragmin\tFragmin\tNNP\tB-NP\tO' -p142934 -aS'for\tfor\tIN\tB-PP\tO' -p142935 -aS'DVT\tDVT\tNN\tB-NP\tO' -p142936 -aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' -p142937 -aS'and\tand\tCC\tO\tO' -p142938 -aS'the\tthe\tDT\tB-NP\tO' -p142939 -aS'patient\tpatient\tNN\tI-NP\tO' -p142940 -aS'was\tbe\tVBD\tB-VP\tO' -p142941 -aS'also\talso\tRB\tI-VP\tO' -p142942 -aS'started\tstart\tVBN\tI-VP\tO' -p142943 -aS'on\ton\tIN\tB-PP\tO' -p142944 -aS'Dilantin\tDilantin\tNN\tB-NP\tO' -p142945 -aS'levels\tlevel\tNNS\tI-NP\tO' -p142946 -aS'.\t.\t.\tO\tO' -p142947 -asS'5. Fluticasone - Salmeterol 250-50 mcg / Dose Disk with Device Sig : One ( 1 ) Disk with Device Inhalation BID ( 2 times a day ) .' -p142948 -(lp142949 -S'5.\t5.\tLS\tB-NP\tO' -p142950 -aS'Fluticasone\tFluticasone\tNN\tI-NP\tO' -p142951 -aS'-\t-\tHYPH\tO\tO' -p142952 -aS'Salmeterol\tSalmeterol\tNN\tB-NP\tO' -p142953 -aS'250-50\t250-50\tCD\tI-NP\tO' -p142954 -aS'mcg\tmcg\tNN\tI-NP\tO' -p142955 -aS'/\t/\tSYM\tB-NP\tO' -p142956 -aS'Dose\tDose\tNN\tI-NP\tO' -p142957 -aS'Disk\tDisk\tNN\tI-NP\tO' -p142958 -aS'with\twith\tIN\tB-PP\tO' -p142959 -aS'Device\tDevice\tNNP\tB-NP\tO' -p142960 -aS'Sig\tSig\tNNP\tI-NP\tO' -p142961 -aS':\t:\t:\tO\tO' -p142962 -aS'One\tOne\tCD\tB-NP\tO' -p142963 -aS'(\t(\t(\tO\tO' -p142964 -aS'1\t1\tCD\tB-NP\tO' -p142965 -aS')\t)\t)\tO\tO' -p142966 -aS'Disk\tDisk\tNN\tB-NP\tO' -p142967 -aS'with\twith\tIN\tB-PP\tO' -p142968 -aS'Device\tDevice\tNN\tB-NP\tO' -p142969 -aS'Inhalation\tInhalation\tNN\tI-NP\tO' -p142970 -aS'BID\tBID\tNN\tI-NP\tO' -p142971 -aS'(\t(\t(\tO\tO' -p142972 -aS'2\t2\tCD\tB-NP\tO' -p142973 -aS'times\ttime\tNNS\tI-NP\tO' -p142974 -aS'a\ta\tDT\tB-NP\tO' -p142975 -aS'day\tday\tNN\tI-NP\tO' -p142976 -aS')\t)\t)\tO\tO' -p142977 -aS'.\t.\t.\tO\tO' -p142978 -asS'7. Pain .' -p142979 -(lp142980 -S'7.\t7.\tCD\tB-NP\tO' -p142981 -aS'Pain\tPain\tNNP\tI-NP\tO' -p142982 -aS'.\t.\t.\tO\tO' -p142983 -asS'It was finally under control with high doses of Captopril , Nifedipine , and hydrochlorothiazide .' -p142984 -(lp142985 -S'It\tIt\tPRP\tB-NP\tO' -p142986 -aS'was\tbe\tVBD\tB-VP\tO' -p142987 -aS'finally\tfinally\tRB\tB-ADVP\tO' -p142988 -aS'under\tunder\tIN\tB-PP\tO' -p142989 -aS'control\tcontrol\tNN\tB-NP\tO' -p142990 -aS'with\twith\tIN\tB-PP\tO' -p142991 -aS'high\thigh\tJJ\tB-NP\tO' -p142992 -aS'doses\tdose\tNNS\tI-NP\tO' -p142993 -aS'of\tof\tIN\tB-PP\tO' -p142994 -aS'Captopril\tCaptopril\tNNP\tB-NP\tO' -p142995 -aS',\t,\t,\tO\tO' -p142996 -aS'Nifedipine\tNifedipine\tNNP\tB-NP\tO' -p142997 -aS',\t,\t,\tO\tO' -p142998 -aS'and\tand\tCC\tO\tO' -p142999 -aS'hydrochlorothiazide\thydrochlorothiazide\tNN\tB-NP\tO' -p143000 -aS'.\t.\t.\tO\tO' -p143001 -asS'3. Community-acquired pneumonia .' -p143002 -(lp143003 -S'3.\t3.\tLS\tB-NP\tO' -p143004 -aS'Community-acquired\tCommunity-acquired\tJJ\tI-NP\tO' -p143005 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p143006 -aS'.\t.\t.\tO\tO' -p143007 -asS'The patient then underwent a transesophageal echocardiogram on 01-24 .' -p143008 -(lp143009 -S'The\tThe\tDT\tB-NP\tO' -p143010 -aS'patient\tpatient\tNN\tI-NP\tO' -p143011 -aS'then\tthen\tRB\tB-ADVP\tO' -p143012 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p143013 -aS'a\ta\tDT\tB-NP\tO' -p143014 -aS'transesophageal\ttransesophageal\tJJ\tI-NP\tO' -p143015 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p143016 -aS'on\ton\tIN\tB-PP\tO' -p143017 -aS'01-24\t01-24\tCD\tB-NP\tO' -p143018 -aS'.\t.\t.\tO\tO' -p143019 -asS'On postoperative day # 6 his low grade temperature resolved .' -p143020 -(lp143021 -S'On\tOn\tIN\tB-PP\tO' -p143022 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p143023 -aS'day\tday\tNN\tI-NP\tO' -p143024 -aS'#\t#\t#\tB-NP\tO' -p143025 -aS'6\t6\tCD\tI-NP\tO' -p143026 -aS'his\this\tPRP$\tB-NP\tO' -p143027 -aS'low\tlow\tJJ\tI-NP\tO' -p143028 -aS'grade\tgrade\tNN\tI-NP\tO' -p143029 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p143030 -aS'resolved\tresolve\tVBN\tB-VP\tO' -p143031 -aS'.\t.\t.\tO\tO' -p143032 -asS'Abdomen was obese with positive bowel sounds , nontender , nondistended .' -p143033 -(lp143034 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p143035 -aS'was\tbe\tVBD\tB-VP\tO' -p143036 -aS'obese\tobese\tJJ\tB-ADJP\tO' -p143037 -aS'with\twith\tIN\tB-PP\tO' -p143038 -aS'positive\tpositive\tJJ\tB-NP\tO' -p143039 -aS'bowel\tbowel\tNN\tI-NP\tO' -p143040 -aS'sounds\tsound\tNNS\tI-NP\tO' -p143041 -aS',\t,\t,\tO\tO' -p143042 -aS'nontender\tnontender\tJJ\tB-NP\tO' -p143043 -aS',\t,\t,\tI-NP\tO' -p143044 -aS'nondistended\tnondistended\tJJ\tI-NP\tO' -p143045 -aS'.\t.\t.\tO\tO' -p143046 -asS'He was found operation be short of breath and was taken to dialysis for apparent fluid overload .' -p143047 -(lp143048 -S'He\tHe\tPRP\tB-NP\tO' -p143049 -aS'was\tbe\tVBD\tB-VP\tO' -p143050 -aS'found\tfind\tVBN\tI-VP\tO' -p143051 -aS'operation\toperation\tNN\tB-NP\tO' -p143052 -aS'be\tbe\tVB\tB-VP\tO' -p143053 -aS'short\tshort\tJJ\tB-ADJP\tO' -p143054 -aS'of\tof\tIN\tB-PP\tO' -p143055 -aS'breath\tbreath\tNN\tB-NP\tO' -p143056 -aS'and\tand\tCC\tO\tO' -p143057 -aS'was\tbe\tVBD\tB-VP\tO' -p143058 -aS'taken\ttake\tVBN\tI-VP\tO' -p143059 -aS'to\tto\tTO\tB-PP\tO' -p143060 -aS'dialysis\tdialysis\tNN\tB-NP\tO' -p143061 -aS'for\tfor\tIN\tB-PP\tO' -p143062 -aS'apparent\tapparent\tJJ\tB-NP\tO' -p143063 -aS'fluid\tfluid\tNN\tI-NP\tO' -p143064 -aS'overload\toverload\tNN\tI-NP\tO' -p143065 -aS'.\t.\t.\tO\tO' -p143066 -asS'4. Ampicillin 2 grams IV q. 6 through 09-08 .' -p143067 -(lp143068 -S'4.\t4.\tLS\tB-NP\tO' -p143069 -aS'Ampicillin\tAmpicillin\tNN\tI-NP\tO' -p143070 -aS'2\t2\tCD\tB-NP\tO' -p143071 -aS'grams\tgram\tNNS\tI-NP\tO' -p143072 -aS'IV\tIV\tCD\tB-NP\tO' -p143073 -aS'q.\tq.\tNN\tI-NP\tO' -p143074 -aS'6\t6\tCD\tB-NP\tO' -p143075 -aS'through\tthrough\tIN\tB-PP\tO' -p143076 -aS'09-08\t09-08\tCD\tB-NP\tO' -p143077 -aS'.\t.\t.\tO\tO' -p143078 -asS'Stable 7 day old former 32-5/7 week and now 33-5/7 weeks age .' -p143079 -(lp143080 -S'Stable\tStable\tJJ\tB-NP\tO' -p143081 -aS'7\t7\tCD\tI-NP\tO' -p143082 -aS'day\tday\tNN\tI-NP\tO' -p143083 -aS'old\told\tJJ\tI-NP\tO' -p143084 -aS'former\tformer\tJJ\tI-NP\tO' -p143085 -aS'32-5/7\t32-5/7\tCD\tI-NP\tO' -p143086 -aS'week\tweek\tNN\tI-NP\tO' -p143087 -aS'and\tand\tCC\tO\tO' -p143088 -aS'now\tnow\tRB\tB-ADVP\tO' -p143089 -aS'33-5/7\t33-5/7\tCD\tB-NP\tO' -p143090 -aS'weeks\tweek\tNNS\tI-NP\tO' -p143091 -aS'age\tage\tNN\tI-NP\tO' -p143092 -aS'.\t.\t.\tO\tO' -p143093 -asS'2. Zoloft 100 mg once daily' -p143094 -(lp143095 -S'2.\t2.\tLS\tB-NP\tO' -p143096 -aS'Zoloft\tZoloft\tNNP\tI-NP\tO' -p143097 -aS'100\t100\tCD\tI-NP\tO' -p143098 -aS'mg\tmg\tNN\tI-NP\tO' -p143099 -aS'once\tonce\tRB\tB-ADVP\tO' -p143100 -aS'daily\tdaily\tRB\tI-ADVP\tO' -p143101 -asS'Differential was polys 59 , bands 3 , lymphs 25 .' -p143102 -(lp143103 -S'Differential\tDifferential\tJJ\tB-NP\tO' -p143104 -aS'was\tbe\tVBD\tB-VP\tO' -p143105 -aS'polys\tpoly\tNNS\tB-NP\tO' -p143106 -aS'59\t59\tCD\tB-NP\tO' -p143107 -aS',\t,\t,\tO\tO' -p143108 -aS'bands\tband\tNNS\tB-NP\tB-protein' -p143109 -aS'3\t3\tCD\tI-NP\tI-protein' -p143110 -aS',\t,\t,\tO\tO' -p143111 -aS'lymphs\tlymph\tNNS\tB-NP\tO' -p143112 -aS'25\t25\tCD\tB-NP\tO' -p143113 -aS'.\t.\t.\tO\tO' -p143114 -asS'4. K-Dur 20 milliequivalents po qd' -p143115 -(lp143116 -S'4.\t4.\tLS\tB-NP\tO' -p143117 -aS'K-Dur\tK-Dur\tNNP\tI-NP\tO' -p143118 -aS'20\t20\tCD\tI-NP\tO' -p143119 -aS'milliequivalents\tmilliequivalent\tNNS\tI-NP\tO' -p143120 -aS'po\tpo\tVBP\tB-VP\tO' -p143121 -aS'qd\tqd\tNN\tB-NP\tO' -p143122 -asS'He had an 80% distal left main , a 90% proximal circumflex , and multiple significant lesions in the LAD .' -p143123 -(lp143124 -S'He\tHe\tPRP\tB-NP\tO' -p143125 -aS'had\thave\tVBD\tB-VP\tO' -p143126 -aS'an\tan\tDT\tB-NP\tO' -p143127 -aS'80%\t80%\tNN\tI-NP\tO' -p143128 -aS'distal\tdistal\tJJ\tI-NP\tO' -p143129 -aS'left\tleft\tJJ\tI-NP\tO' -p143130 -aS'main\tmain\tJJ\tI-NP\tO' -p143131 -aS',\t,\t,\tO\tO' -p143132 -aS'a\ta\tDT\tB-NP\tO' -p143133 -aS'90%\t90%\tNN\tI-NP\tO' -p143134 -aS'proximal\tproximal\tJJ\tI-NP\tO' -p143135 -aS'circumflex\tcircumflex\tNN\tI-NP\tO' -p143136 -aS',\t,\t,\tO\tO' -p143137 -aS'and\tand\tCC\tO\tO' -p143138 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p143139 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p143140 -aS'lesions\tlesion\tNNS\tI-NP\tO' -p143141 -aS'in\tin\tIN\tB-PP\tO' -p143142 -aS'the\tthe\tDT\tB-NP\tO' -p143143 -aS'LAD\tLAD\tNN\tI-NP\tB-protein' -p143144 -aS'.\t.\t.\tO\tO' -p143145 -asS'Abdomen soft , not distended .' -p143146 -(lp143147 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p143148 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p143149 -aS',\t,\t,\tO\tO' -p143150 -aS'not\tnot\tRB\tB-VP\tO' -p143151 -aS'distended\tdistend\tVBN\tI-VP\tO' -p143152 -aS'.\t.\t.\tO\tO' -p143153 -asS'Do no strenuous activity or heavy lifting for the next few days .' -p143154 -(lp143155 -S'Do\tDo\tVBP\tB-VP\tO' -p143156 -aS'no\tno\tDT\tB-NP\tO' -p143157 -aS'strenuous\tstrenuous\tJJ\tI-NP\tO' -p143158 -aS'activity\tactivity\tNN\tI-NP\tO' -p143159 -aS'or\tor\tCC\tO\tO' -p143160 -aS'heavy\theavy\tJJ\tB-NP\tO' -p143161 -aS'lifting\tlifting\tNN\tI-NP\tO' -p143162 -aS'for\tfor\tIN\tB-PP\tO' -p143163 -aS'the\tthe\tDT\tB-NP\tO' -p143164 -aS'next\tnext\tJJ\tI-NP\tO' -p143165 -aS'few\tfew\tJJ\tI-NP\tO' -p143166 -aS'days\tday\tNNS\tI-NP\tO' -p143167 -aS'.\t.\t.\tO\tO' -p143168 -asS'5. Sacral decubitus ulcer .' -p143169 -(lp143170 -S'5.\t5.\tLS\tB-NP\tO' -p143171 -aS'Sacral\tSacral\tNNP\tI-NP\tO' -p143172 -aS'decubitus\tdecubitus\tNN\tI-NP\tO' -p143173 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p143174 -aS'.\t.\t.\tO\tO' -p143175 -asS'Extremities with no edema , one to two pulses in all four extremities .' -p143176 -(lp143177 -S'Extremities\tExtremity\tNNS\tB-NP\tO' -p143178 -aS'with\twith\tIN\tB-PP\tO' -p143179 -aS'no\tno\tDT\tB-NP\tO' -p143180 -aS'edema\tedema\tNN\tI-NP\tO' -p143181 -aS',\t,\t,\tO\tO' -p143182 -aS'one\tone\tCD\tB-NP\tO' -p143183 -aS'to\tto\tTO\tI-NP\tO' -p143184 -aS'two\ttwo\tCD\tI-NP\tO' -p143185 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p143186 -aS'in\tin\tIN\tB-PP\tO' -p143187 -aS'all\tall\tDT\tB-NP\tO' -p143188 -aS'four\tfour\tCD\tI-NP\tO' -p143189 -aS'extremities\textremity\tNNS\tI-NP\tO' -p143190 -aS'.\t.\t.\tO\tO' -p143191 -asS'He was discharged home on post-op day #6 in stable condition with a foley catheter and leg bag .' -p143192 -(lp143193 -S'He\tHe\tPRP\tB-NP\tO' -p143194 -aS'was\tbe\tVBD\tB-VP\tO' -p143195 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p143196 -aS'home\thome\tNN\tB-ADVP\tO' -p143197 -aS'on\ton\tIN\tB-PP\tO' -p143198 -aS'post-op\tpost-op\tJJ\tB-NP\tO' -p143199 -aS'day\tday\tNN\tI-NP\tO' -p143200 -aS'#6\t#6\tCD\tI-NP\tO' -p143201 -aS'in\tin\tIN\tB-PP\tO' -p143202 -aS'stable\tstable\tJJ\tB-NP\tO' -p143203 -aS'condition\tcondition\tNN\tI-NP\tO' -p143204 -aS'with\twith\tIN\tB-PP\tO' -p143205 -aS'a\ta\tDT\tB-NP\tO' -p143206 -aS'foley\tfoley\tJJ\tI-NP\tO' -p143207 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p143208 -aS'and\tand\tCC\tI-NP\tO' -p143209 -aS'leg\tleg\tNN\tI-NP\tO' -p143210 -aS'bag\tbag\tNN\tI-NP\tO' -p143211 -aS'.\t.\t.\tO\tO' -p143212 -asS'Significant for fatigue and increased abdominal discomfort .' -p143213 -(lp143214 -S'Significant\tSignificant\tJJ\tB-ADJP\tO' -p143215 -aS'for\tfor\tIN\tB-PP\tO' -p143216 -aS'fatigue\tfatigue\tNN\tB-NP\tO' -p143217 -aS'and\tand\tCC\tO\tO' -p143218 -aS'increased\tincrease\tVBD\tB-VP\tO' -p143219 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p143220 -aS'discomfort\tdiscomfort\tNN\tI-NP\tO' -p143221 -aS'.\t.\t.\tO\tO' -p143222 -asS'At OSH , sputum cultures grew Pseudomonas and MRSA , and he was restarted on Zosyn ( 08-08 ) and Vancomycin ( 08-09 ).' -p143223 -(lp143224 -S'At\tAt\tIN\tB-PP\tO' -p143225 -aS'OSH\tOSH\tNN\tB-NP\tO' -p143226 -aS',\t,\t,\tO\tO' -p143227 -aS'sputum\tsputum\tNN\tB-NP\tO' -p143228 -aS'cultures\tculture\tNNS\tI-NP\tO' -p143229 -aS'grew\tgrow\tVBD\tB-VP\tO' -p143230 -aS'Pseudomonas\tPseudomonas\tNN\tB-NP\tO' -p143231 -aS'and\tand\tCC\tI-NP\tO' -p143232 -aS'MRSA\tMRSA\tNN\tI-NP\tO' -p143233 -aS',\t,\t,\tO\tO' -p143234 -aS'and\tand\tCC\tO\tO' -p143235 -aS'he\the\tPRP\tB-NP\tO' -p143236 -aS'was\tbe\tVBD\tB-VP\tO' -p143237 -aS'restarted\trestart\tVBN\tI-VP\tO' -p143238 -aS'on\ton\tIN\tB-PP\tO' -p143239 -aS'Zosyn\tZosyn\tNN\tB-NP\tO' -p143240 -aS'(\t(\t(\tO\tO' -p143241 -aS'08-08\t08-08\tCD\tB-NP\tO' -p143242 -aS')\t)\t)\tO\tO' -p143243 -aS'and\tand\tCC\tO\tO' -p143244 -aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' -p143245 -aS'(\t(\t(\tO\tO' -p143246 -aS'08-09\t08-09\tCD\tB-NP\tO' -p143247 -aS').\t).\t)\tO\tO' -p143248 -asS'Explained that despite these invasive measures , she still has a very poor prognosis .' -p143249 -(lp143250 -S'Explained\tExplain\tVBD\tB-VP\tO' -p143251 -aS'that\tthat\tIN\tB-SBAR\tO' -p143252 -aS'despite\tdespite\tIN\tB-PP\tO' -p143253 -aS'these\tthese\tDT\tB-NP\tO' -p143254 -aS'invasive\tinvasive\tJJ\tI-NP\tO' -p143255 -aS'measures\tmeasure\tNNS\tI-NP\tO' -p143256 -aS',\t,\t,\tO\tO' -p143257 -aS'she\tshe\tPRP\tB-NP\tO' -p143258 -aS'still\tstill\tRB\tB-ADVP\tO' -p143259 -aS'has\thave\tVBZ\tB-VP\tO' -p143260 -aS'a\ta\tDT\tB-NP\tO' -p143261 -aS'very\tvery\tRB\tI-NP\tO' -p143262 -aS'poor\tpoor\tJJ\tI-NP\tO' -p143263 -aS'prognosis\tprognosis\tNN\tI-NP\tO' -p143264 -aS'.\t.\t.\tO\tO' -p143265 -asS'Dr. Rosean Fletcher , of the Cardiology Department was consulted , and it was his opinion that the sinus pause was related to increased vagal tone postoperatively , perhaps secondary to the epidural , as well as the patient 's Atenolol use .' -p143266 -(lp143267 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p143268 -aS'Rosean\tRosean\tNNP\tI-NP\tO' -p143269 -aS'Fletcher\tFletcher\tNNP\tI-NP\tO' -p143270 -aS',\t,\t,\tO\tO' -p143271 -aS'of\tof\tIN\tB-PP\tO' -p143272 -aS'the\tthe\tDT\tB-NP\tO' -p143273 -aS'Cardiology\tCardiology\tNNP\tI-NP\tO' -p143274 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p143275 -aS'was\tbe\tVBD\tB-VP\tO' -p143276 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p143277 -aS',\t,\t,\tO\tO' -p143278 -aS'and\tand\tCC\tO\tO' -p143279 -aS'it\tit\tPRP\tB-NP\tO' -p143280 -aS'was\tbe\tVBD\tB-VP\tO' -p143281 -aS'his\this\tPRP$\tB-NP\tO' -p143282 -aS'opinion\topinion\tNN\tI-NP\tO' -p143283 -aS'that\tthat\tIN\tB-SBAR\tO' -p143284 -aS'the\tthe\tDT\tB-NP\tO' -p143285 -aS'sinus\tsinus\tNN\tI-NP\tO' -p143286 -aS'pause\tpause\tNN\tI-NP\tO' -p143287 -aS'was\tbe\tVBD\tB-VP\tO' -p143288 -aS'related\trelate\tVBN\tI-VP\tO' -p143289 -aS'to\tto\tTO\tB-PP\tO' -p143290 -aS'increased\tincrease\tVBN\tB-NP\tO' -p143291 -aS'vagal\tvagal\tJJ\tI-NP\tO' -p143292 -aS'tone\ttone\tNN\tI-NP\tO' -p143293 -aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' -p143294 -aS',\t,\t,\tO\tO' -p143295 -aS'perhaps\tperhaps\tRB\tB-ADVP\tO' -p143296 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p143297 -aS'to\tto\tTO\tB-PP\tO' -p143298 -aS'the\tthe\tDT\tB-NP\tO' -p143299 -aS'epidural\tepidural\tNN\tI-NP\tO' -p143300 -aS',\t,\t,\tO\tO' -p143301 -aS'as\tas\tRB\tB-CONJP\tO' -p143302 -aS'well\twell\tRB\tI-CONJP\tO' -p143303 -aS'as\tas\tIN\tI-CONJP\tO' -p143304 -aS'the\tthe\tDT\tB-NP\tO' -p143305 -aS'patient\tpatient\tNN\tI-NP\tO' -p143306 -aS''s\t'\tNNS\tI-NP\tO' -p143307 -aS'Atenolol\tAtenolol\tNN\tI-NP\tO' -p143308 -aS'use\tuse\tNN\tI-NP\tO' -p143309 -aS'.\t.\t.\tO\tO' -p143310 -asS'MM dry .' -p143311 -(lp143312 -S'MM\tMM\tNN\tB-NP\tO' -p143313 -aS'dry\tdry\tNN\tI-NP\tO' -p143314 -aS'.\t.\t.\tO\tO' -p143315 -asS"At the primary pediatrician 's office on 2018-05-12 his bilirubin had been 23 , at which time he was readmitted to the HealthSouth Rehab Hospital of Western Mass. and double phototherapy was started ." -p143316 -(lp143317 -S'At\tAt\tIN\tB-PP\tO' -p143318 -aS'the\tthe\tDT\tB-NP\tO' -p143319 -aS'primary\tprimary\tJJ\tI-NP\tO' -p143320 -aS'pediatrician\tpediatrician\tNN\tI-NP\tO' -p143321 -aS"'s\t's\tPOS\tB-NP\tO" -p143322 -aS'office\toffice\tNN\tI-NP\tO' -p143323 -aS'on\ton\tIN\tB-PP\tO' -p143324 -aS'2018-05-12\t2018-05-12\tCD\tB-NP\tO' -p143325 -aS'his\this\tPRP$\tB-NP\tO' -p143326 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p143327 -aS'had\thave\tVBD\tB-VP\tO' -p143328 -aS'been\tbe\tVBN\tI-VP\tO' -p143329 -aS'23\t23\tCD\tB-NP\tO' -p143330 -aS',\t,\t,\tO\tO' -p143331 -aS'at\tat\tIN\tB-PP\tO' -p143332 -aS'which\twhich\tWDT\tB-NP\tO' -p143333 -aS'time\ttime\tNN\tI-NP\tO' -p143334 -aS'he\the\tPRP\tB-NP\tO' -p143335 -aS'was\tbe\tVBD\tB-VP\tO' -p143336 -aS'readmitted\treadmitte\tVBN\tI-VP\tO' -p143337 -aS'to\tto\tTO\tB-PP\tO' -p143338 -aS'the\tthe\tDT\tB-NP\tO' -p143339 -aS'HealthSouth\tHealthSouth\tNNP\tI-NP\tO' -p143340 -aS'Rehab\tRehab\tNNP\tI-NP\tO' -p143341 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p143342 -aS'of\tof\tIN\tB-PP\tO' -p143343 -aS'Western\tWestern\tNNP\tB-NP\tO' -p143344 -aS'Mass.\tMass.\tNNP\tI-NP\tO' -p143345 -aS'and\tand\tCC\tO\tO' -p143346 -aS'double\tdouble\tJJ\tB-NP\tO' -p143347 -aS'phototherapy\tphototherapy\tNN\tI-NP\tO' -p143348 -aS'was\tbe\tVBD\tB-VP\tO' -p143349 -aS'started\tstart\tVBN\tI-VP\tO' -p143350 -aS'.\t.\t.\tO\tO' -p143351 -asS'This will be treated empirically with a 10 day course of Keflex .' -p143352 -(lp143353 -S'This\tThis\tDT\tB-NP\tO' -p143354 -aS'will\twill\tMD\tB-VP\tO' -p143355 -aS'be\tbe\tVB\tI-VP\tO' -p143356 -aS'treated\ttreat\tVBN\tI-VP\tO' -p143357 -aS'empirically\tempirically\tRB\tB-ADVP\tO' -p143358 -aS'with\twith\tIN\tB-PP\tO' -p143359 -aS'a\ta\tDT\tB-NP\tO' -p143360 -aS'10\t10\tCD\tI-NP\tO' -p143361 -aS'day\tday\tNN\tI-NP\tO' -p143362 -aS'course\tcourse\tNN\tI-NP\tO' -p143363 -aS'of\tof\tIN\tB-PP\tO' -p143364 -aS'Keflex\tKeflex\tNNP\tB-NP\tO' -p143365 -aS'.\t.\t.\tO\tO' -p143366 -asS'The patient had massive Cocaine induced rhabdomyolysis .' -p143367 -(lp143368 -S'The\tThe\tDT\tB-NP\tO' -p143369 -aS'patient\tpatient\tNN\tI-NP\tO' -p143370 -aS'had\thave\tVBD\tB-VP\tO' -p143371 -aS'massive\tmassive\tJJ\tB-NP\tO' -p143372 -aS'Cocaine\tCocaine\tNN\tI-NP\tO' -p143373 -aS'induced\tinduce\tVBD\tB-VP\tO' -p143374 -aS'rhabdomyolysis\trhabdomyolysis\tNN\tB-NP\tO' -p143375 -aS'.\t.\t.\tO\tO' -p143376 -asS'After transfer to the floor when she was stable .' -p143377 -(lp143378 -S'After\tAfter\tIN\tB-PP\tO' -p143379 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p143380 -aS'to\tto\tTO\tB-PP\tO' -p143381 -aS'the\tthe\tDT\tB-NP\tO' -p143382 -aS'floor\tfloor\tNN\tI-NP\tO' -p143383 -aS'when\twhen\tWRB\tB-ADVP\tO' -p143384 -aS'she\tshe\tPRP\tB-NP\tO' -p143385 -aS'was\tbe\tVBD\tB-VP\tO' -p143386 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p143387 -aS'.\t.\t.\tO\tO' -p143388 -asS'Smokes ~ 1 pk / week .' -p143389 -(lp143390 -S'Smokes\tSmokes\tNNP\tB-NP\tO' -p143391 -aS'~\t~\tIN\tB-NP\tO' -p143392 -aS'1\t1\tCD\tI-NP\tO' -p143393 -aS'pk\tpk\tNN\tI-NP\tO' -p143394 -aS'/\t/\tSYM\tB-NP\tO' -p143395 -aS'week\tweek\tNN\tI-NP\tO' -p143396 -aS'.\t.\t.\tO\tO' -p143397 -asS'HEENT : Flushed cheeks .' -p143398 -(lp143399 -S'HEENT\tHEENT\tNN\tB-NP\tO' -p143400 -aS':\t:\t:\tO\tO' -p143401 -aS'Flushed\tFlushed\tJJ\tB-NP\tO' -p143402 -aS'cheeks\tcheek\tNNS\tI-NP\tO' -p143403 -aS'.\t.\t.\tO\tO' -p143404 -asS'White blood cell count 5.8 , hematocrit 23.5 , platelet count 118 .' -p143405 -(lp143406 -S'White\tWhite\tJJ\tB-NP\tO' -p143407 -aS'blood\tblood\tNN\tI-NP\tO' -p143408 -aS'cell\tcell\tNN\tI-NP\tO' -p143409 -aS'count\tcount\tNN\tI-NP\tO' -p143410 -aS'5.8\t5.8\tCD\tB-NP\tO' -p143411 -aS',\t,\t,\tO\tO' -p143412 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p143413 -aS'23.5\t23.5\tCD\tI-NP\tI-protein' -p143414 -aS',\t,\t,\tO\tO' -p143415 -aS'platelet\tplatelet\tNN\tB-NP\tB-protein' -p143416 -aS'count\tcount\tNN\tI-NP\tI-protein' -p143417 -aS'118\t118\tCD\tI-NP\tI-protein' -p143418 -aS'.\t.\t.\tO\tO' -p143419 -asS'# Hypotension : per referral form .' -p143420 -(lp143421 -S'#\t#\t#\tB-NP\tO' -p143422 -aS'Hypotension\tHypotension\tNN\tI-NP\tO' -p143423 -aS':\t:\t:\tO\tO' -p143424 -aS'per\tper\tIN\tB-PP\tO' -p143425 -aS'referral\treferral\tJJ\tB-NP\tO' -p143426 -aS'form\tform\tNN\tI-NP\tO' -p143427 -aS'.\t.\t.\tO\tO' -p143428 -asS'She ambulated with assistance .' -p143429 -(lp143430 -S'She\tShe\tPRP\tB-NP\tO' -p143431 -aS'ambulated\tambulate\tVBD\tB-VP\tO' -p143432 -aS'with\twith\tIN\tB-PP\tO' -p143433 -aS'assistance\tassistance\tNN\tB-NP\tO' -p143434 -aS'.\t.\t.\tO\tO' -p143435 -asS'9. Ascorbic Acid 500 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ).' -p143436 -(lp143437 -S'9.\t9.\tLS\tB-NP\tO' -p143438 -aS'Ascorbic\tAscorbic\tNNP\tI-NP\tO' -p143439 -aS'Acid\tAcid\tNNP\tI-NP\tO' -p143440 -aS'500\t500\tCD\tI-NP\tO' -p143441 -aS'mg\tmg\tNN\tI-NP\tO' -p143442 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p143443 -aS'Sig\tSig\tNNP\tI-NP\tO' -p143444 -aS':\t:\t:\tO\tO' -p143445 -aS'One\tOne\tCD\tB-NP\tO' -p143446 -aS'(\t(\t(\tO\tO' -p143447 -aS'1\t1\tCD\tB-NP\tO' -p143448 -aS')\t)\t)\tO\tO' -p143449 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p143450 -aS'PO\tPO\tNN\tI-NP\tO' -p143451 -aS'BID\tBID\tNN\tI-NP\tO' -p143452 -aS'(\t(\t(\tO\tO' -p143453 -aS'2\t2\tCD\tB-NP\tO' -p143454 -aS'times\ttime\tNNS\tI-NP\tO' -p143455 -aS'a\ta\tDT\tB-NP\tO' -p143456 -aS'day\tday\tNN\tI-NP\tO' -p143457 -aS').\t).\t.\tO\tO' -p143458 -asS"The patient 's condition at discharge is good ." -p143459 -(lp143460 -S'The\tThe\tDT\tB-NP\tO' -p143461 -aS'patient\tpatient\tNN\tI-NP\tO' -p143462 -aS"'s\t's\tPOS\tB-NP\tO" -p143463 -aS'condition\tcondition\tNN\tI-NP\tO' -p143464 -aS'at\tat\tIN\tB-PP\tO' -p143465 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p143466 -aS'is\tbe\tVBZ\tB-VP\tO' -p143467 -aS'good\tgood\tJJ\tB-ADJP\tO' -p143468 -aS'.\t.\t.\tO\tO' -p143469 -asS'14. Daptomycin 500 mg Recon Soln Sig : Four 90y ( 480 ) mg Intravenous Q24H ( every 24 hours ) : thru 05-02 .' -p143470 -(lp143471 -S'14.\t14.\tCD\tB-NP\tO' -p143472 -aS'Daptomycin\tDaptomycin\tNN\tI-NP\tO' -p143473 -aS'500\t500\tCD\tB-NP\tO' -p143474 -aS'mg\tmg\tNN\tI-NP\tO' -p143475 -aS'Recon\tRecon\tNNP\tI-NP\tO' -p143476 -aS'Soln\tSoln\tNNP\tI-NP\tO' -p143477 -aS'Sig\tSig\tNNP\tI-NP\tO' -p143478 -aS':\t:\t:\tO\tO' -p143479 -aS'Four\tFour\tCD\tB-NP\tO' -p143480 -aS'90y\t90y\tCD\tI-NP\tO' -p143481 -aS'(\t(\t(\tO\tO' -p143482 -aS'480\t480\tCD\tB-NP\tO' -p143483 -aS')\t)\t)\tO\tO' -p143484 -aS'mg\tmg\tNN\tB-NP\tO' -p143485 -aS'Intravenous\tIntravenous\tJJ\tI-NP\tO' -p143486 -aS'Q24H\tQ24H\tNN\tI-NP\tO' -p143487 -aS'(\t(\t(\tO\tO' -p143488 -aS'every\tevery\tDT\tB-NP\tO' -p143489 -aS'24\t24\tCD\tI-NP\tO' -p143490 -aS'hours\thour\tNNS\tI-NP\tO' -p143491 -aS')\t)\t)\tO\tO' -p143492 -aS':\t:\t:\tO\tO' -p143493 -aS'thru\tthru\tNN\tB-NP\tO' -p143494 -aS'05-02\t05-02\tCD\tI-NP\tO' -p143495 -aS'.\t.\t.\tO\tO' -p143496 -asS'Pulmonary was consulted at this time for this difficulty of diuresis and pulmonary edema .' -p143497 -(lp143498 -S'Pulmonary\tPulmonary\tNNP\tB-NP\tO' -p143499 -aS'was\tbe\tVBD\tB-VP\tO' -p143500 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p143501 -aS'at\tat\tIN\tB-PP\tO' -p143502 -aS'this\tthis\tDT\tB-NP\tO' -p143503 -aS'time\ttime\tNN\tI-NP\tO' -p143504 -aS'for\tfor\tIN\tB-PP\tO' -p143505 -aS'this\tthis\tDT\tB-NP\tO' -p143506 -aS'difficulty\tdifficulty\tNN\tI-NP\tO' -p143507 -aS'of\tof\tIN\tB-PP\tO' -p143508 -aS'diuresis\tdiuresis\tNN\tB-NP\tO' -p143509 -aS'and\tand\tCC\tO\tO' -p143510 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p143511 -aS'edema\tedema\tNN\tI-NP\tO' -p143512 -aS'.\t.\t.\tO\tO' -p143513 -asS'She has just finished a ten day course of Ciprofloxacin .' -p143514 -(lp143515 -S'She\tShe\tPRP\tB-NP\tO' -p143516 -aS'has\thave\tVBZ\tB-VP\tO' -p143517 -aS'just\tjust\tRB\tI-VP\tO' -p143518 -aS'finished\tfinish\tVBN\tI-VP\tO' -p143519 -aS'a\ta\tDT\tB-NP\tO' -p143520 -aS'ten\tten\tCD\tI-NP\tO' -p143521 -aS'day\tday\tNN\tI-NP\tO' -p143522 -aS'course\tcourse\tNN\tI-NP\tO' -p143523 -aS'of\tof\tIN\tB-PP\tO' -p143524 -aS'Ciprofloxacin\tCiprofloxacin\tNN\tB-NP\tO' -p143525 -aS'.\t.\t.\tO\tO' -p143526 -asS'The Westwood-Pocasset in his right arm was removed on 2016-11-25 .' -p143527 -(lp143528 -S'The\tThe\tDT\tB-NP\tO' -p143529 -aS'Westwood-Pocasset\tWestwood-Pocasset\tNN\tI-NP\tO' -p143530 -aS'in\tin\tIN\tB-PP\tO' -p143531 -aS'his\this\tPRP$\tB-NP\tO' -p143532 -aS'right\tright\tJJ\tI-NP\tO' -p143533 -aS'arm\tarm\tNN\tI-NP\tO' -p143534 -aS'was\tbe\tVBD\tB-VP\tO' -p143535 -aS'removed\tremove\tVBN\tI-VP\tO' -p143536 -aS'on\ton\tIN\tB-PP\tO' -p143537 -aS'2016-11-25\t2016-11-25\tCD\tB-NP\tO' -p143538 -aS'.\t.\t.\tO\tO' -p143539 -asS'Normal male , testes descended .' -p143540 -(lp143541 -S'Normal\tNormal\tJJ\tB-NP\tO' -p143542 -aS'male\tmale\tJJ\tI-NP\tO' -p143543 -aS',\t,\t,\tO\tO' -p143544 -aS'testes\ttestis\tNNS\tB-NP\tO' -p143545 -aS'descended\tdescend\tVBD\tB-VP\tO' -p143546 -aS'.\t.\t.\tO\tO' -p143547 -asS'Make follow-appointment with Dr. Barber in 4-6 weeks .' -p143548 -(lp143549 -S'Make\tMake\tNN\tB-NP\tO' -p143550 -aS'follow-appointment\tfollow-appointment\tNN\tI-NP\tO' -p143551 -aS'with\twith\tIN\tB-PP\tO' -p143552 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p143553 -aS'Barber\tBarber\tNNP\tI-NP\tO' -p143554 -aS'in\tin\tIN\tB-PP\tO' -p143555 -aS'4-6\t4-6\tCD\tB-NP\tO' -p143556 -aS'weeks\tweek\tNNS\tI-NP\tO' -p143557 -aS'.\t.\t.\tO\tO' -p143558 -asS'Sent as per protocol; one specimen from 2017-05-28 returned with borderline low thyroxine , but repeat was within normal limits .' -p143559 -(lp143560 -S'Sent\tSent\tJJ\tB-ADJP\tO' -p143561 -aS'as\tas\tIN\tB-PP\tO' -p143562 -aS'per\tper\tIN\tB-PP\tO' -p143563 -aS'protocol;\tprotocol;\tNN\tB-NP\tO' -p143564 -aS'one\tone\tCD\tB-NP\tO' -p143565 -aS'specimen\tspecimen\tNN\tI-NP\tO' -p143566 -aS'from\tfrom\tIN\tB-PP\tO' -p143567 -aS'2017-05-28\t2017-05-28\tCD\tB-NP\tO' -p143568 -aS'returned\treturn\tVBD\tB-VP\tO' -p143569 -aS'with\twith\tIN\tB-PP\tO' -p143570 -aS'borderline\tborderline\tJJ\tB-NP\tO' -p143571 -aS'low\tlow\tJJ\tI-NP\tO' -p143572 -aS'thyroxine\tthyroxine\tNN\tI-NP\tO' -p143573 -aS',\t,\t,\tO\tO' -p143574 -aS'but\tbut\tCC\tO\tO' -p143575 -aS'repeat\trepeat\tNN\tB-NP\tO' -p143576 -aS'was\tbe\tVBD\tB-VP\tO' -p143577 -aS'within\twithin\tIN\tB-PP\tO' -p143578 -aS'normal\tnormal\tJJ\tB-NP\tO' -p143579 -aS'limits\tlimit\tNNS\tI-NP\tO' -p143580 -aS'.\t.\t.\tO\tO' -p143581 -asS'All CVVH and the ventilator was removed and the patient spontaneously passed away on 5-2-98 , at 4:55 p.m.' -p143582 -(lp143583 -S'All\tAll\tDT\tB-NP\tO' -p143584 -aS'CVVH\tCVVH\tNN\tI-NP\tB-protein' -p143585 -aS'and\tand\tCC\tO\tO' -p143586 -aS'the\tthe\tDT\tB-NP\tO' -p143587 -aS'ventilator\tventilator\tNN\tI-NP\tO' -p143588 -aS'was\tbe\tVBD\tB-VP\tO' -p143589 -aS'removed\tremove\tVBN\tI-VP\tO' -p143590 -aS'and\tand\tCC\tO\tO' -p143591 -aS'the\tthe\tDT\tB-NP\tO' -p143592 -aS'patient\tpatient\tNN\tI-NP\tO' -p143593 -aS'spontaneously\tspontaneously\tRB\tB-ADVP\tO' -p143594 -aS'passed\tpass\tVBD\tB-VP\tO' -p143595 -aS'away\taway\tRB\tB-ADVP\tO' -p143596 -aS'on\ton\tIN\tB-PP\tO' -p143597 -aS'5-2-98\t5-2-98\tCD\tB-NP\tO' -p143598 -aS',\t,\t,\tO\tO' -p143599 -aS'at\tat\tIN\tB-PP\tO' -p143600 -aS'4:55\t4:55\tCD\tB-NP\tO' -p143601 -aS'p.m.\tp.m.\tNN\tI-NP\tO' -p143602 -asS'The patient was started on heparin .' -p143603 -(lp143604 -S'The\tThe\tDT\tB-NP\tO' -p143605 -aS'patient\tpatient\tNN\tI-NP\tO' -p143606 -aS'was\tbe\tVBD\tB-VP\tO' -p143607 -aS'started\tstart\tVBN\tI-VP\tO' -p143608 -aS'on\ton\tIN\tB-PP\tO' -p143609 -aS'heparin\theparin\tNN\tB-NP\tO' -p143610 -aS'.\t.\t.\tO\tO' -p143611 -asS'Feeds are breast feeding P.O. ad lib .' -p143612 -(lp143613 -S'Feeds\tFeed\tNNS\tB-NP\tO' -p143614 -aS'are\tbe\tVBP\tB-VP\tO' -p143615 -aS'breast\tbreast\tNN\tB-NP\tO' -p143616 -aS'feeding\tfeed\tVBG\tB-VP\tO' -p143617 -aS'P.O.\tP.O.\tNNP\tB-NP\tO' -p143618 -aS'ad\tad\tNN\tI-NP\tO' -p143619 -aS'lib\tlib\tNN\tI-NP\tO' -p143620 -aS'.\t.\t.\tO\tO' -p143621 -asS"As the patient 's early evaluation the patient underwent an aortogram which showed an ascending aortic graft with bulging flaps and a pseudoaneurysm at the anastomosis of the graft and arch just below the great vessels ." -p143622 -(lp143623 -S'As\tAs\tIN\tB-SBAR\tO' -p143624 -aS'the\tthe\tDT\tB-NP\tO' -p143625 -aS'patient\tpatient\tNN\tI-NP\tO' -p143626 -aS"'s\t's\tPOS\tB-NP\tO" -p143627 -aS'early\tearly\tJJ\tI-NP\tO' -p143628 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p143629 -aS'the\tthe\tDT\tB-NP\tO' -p143630 -aS'patient\tpatient\tNN\tI-NP\tO' -p143631 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p143632 -aS'an\tan\tDT\tB-NP\tO' -p143633 -aS'aortogram\taortogram\tNN\tI-NP\tO' -p143634 -aS'which\twhich\tWDT\tB-NP\tO' -p143635 -aS'showed\tshow\tVBD\tB-VP\tO' -p143636 -aS'an\tan\tDT\tB-NP\tO' -p143637 -aS'ascending\tascend\tVBG\tI-NP\tO' -p143638 -aS'aortic\taortic\tJJ\tI-NP\tO' -p143639 -aS'graft\tgraft\tNN\tI-NP\tO' -p143640 -aS'with\twith\tIN\tB-PP\tO' -p143641 -aS'bulging\tbulge\tVBG\tB-NP\tO' -p143642 -aS'flaps\tflap\tNNS\tI-NP\tO' -p143643 -aS'and\tand\tCC\tO\tO' -p143644 -aS'a\ta\tDT\tB-NP\tO' -p143645 -aS'pseudoaneurysm\tpseudoaneurysm\tNN\tI-NP\tO' -p143646 -aS'at\tat\tIN\tB-PP\tO' -p143647 -aS'the\tthe\tDT\tB-NP\tO' -p143648 -aS'anastomosis\tanastomosis\tNN\tI-NP\tO' -p143649 -aS'of\tof\tIN\tB-PP\tO' -p143650 -aS'the\tthe\tDT\tB-NP\tO' -p143651 -aS'graft\tgraft\tNN\tI-NP\tO' -p143652 -aS'and\tand\tCC\tI-NP\tO' -p143653 -aS'arch\tarch\tNN\tI-NP\tO' -p143654 -aS'just\tjust\tRB\tB-PP\tO' -p143655 -aS'below\tbelow\tIN\tI-PP\tO' -p143656 -aS'the\tthe\tDT\tB-NP\tO' -p143657 -aS'great\tgreat\tJJ\tI-NP\tO' -p143658 -aS'vessels\tvessel\tNNS\tI-NP\tO' -p143659 -aS'.\t.\t.\tO\tO' -p143660 -asS'She had slightly slow fine finger motility approximately equal bilaterally , although this was extremely difficult to reproduce .' -p143661 -(lp143662 -S'She\tShe\tPRP\tB-NP\tO' -p143663 -aS'had\thave\tVBD\tB-VP\tO' -p143664 -aS'slightly\tslightly\tRB\tB-NP\tO' -p143665 -aS'slow\tslow\tJJ\tI-NP\tO' -p143666 -aS'fine\tfine\tJJ\tI-NP\tO' -p143667 -aS'finger\tfinger\tNN\tI-NP\tO' -p143668 -aS'motility\tmotility\tNN\tI-NP\tO' -p143669 -aS'approximately\tapproximately\tRB\tB-ADJP\tO' -p143670 -aS'equal\tequal\tJJ\tI-ADJP\tO' -p143671 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p143672 -aS',\t,\t,\tO\tO' -p143673 -aS'although\talthough\tIN\tB-SBAR\tO' -p143674 -aS'this\tthis\tDT\tB-NP\tO' -p143675 -aS'was\tbe\tVBD\tB-VP\tO' -p143676 -aS'extremely\textremely\tRB\tB-ADJP\tO' -p143677 -aS'difficult\tdifficult\tJJ\tI-ADJP\tO' -p143678 -aS'to\tto\tTO\tB-VP\tO' -p143679 -aS'reproduce\treproduce\tVB\tI-VP\tO' -p143680 -aS'.\t.\t.\tO\tO' -p143681 -asS'Test Location : West Echo Lab' -p143682 -(lp143683 -S'Test\tTest\tNNP\tB-NP\tO' -p143684 -aS'Location\tLocation\tNNP\tI-NP\tO' -p143685 -aS':\t:\t:\tO\tO' -p143686 -aS'West\tWest\tNNP\tB-NP\tO' -p143687 -aS'Echo\tEcho\tNNP\tI-NP\tO' -p143688 -aS'Lab\tLab\tNNP\tI-NP\tO' -p143689 -asS'The patient was discharged after one week on iron sulfate .' -p143690 -(lp143691 -S'The\tThe\tDT\tB-NP\tO' -p143692 -aS'patient\tpatient\tNN\tI-NP\tO' -p143693 -aS'was\tbe\tVBD\tB-VP\tO' -p143694 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p143695 -aS'after\tafter\tIN\tB-PP\tO' -p143696 -aS'one\tone\tCD\tB-NP\tO' -p143697 -aS'week\tweek\tNN\tI-NP\tO' -p143698 -aS'on\ton\tIN\tB-PP\tO' -p143699 -aS'iron\tiron\tNN\tB-NP\tO' -p143700 -aS'sulfate\tsulfate\tNN\tI-NP\tO' -p143701 -aS'.\t.\t.\tO\tO' -p143702 -asS'Peripheral pulses intact .' -p143703 -(lp143704 -S'Peripheral\tPeripheral\tJJ\tB-NP\tO' -p143705 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p143706 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p143707 -aS'.\t.\t.\tO\tO' -p143708 -asS'Neck : Supple , no JVD' -p143709 -(lp143710 -S'Neck\tNeck\tNNP\tB-NP\tO' -p143711 -aS':\t:\t:\tO\tO' -p143712 -aS'Supple\tSupple\tNNP\tB-NP\tO' -p143713 -aS',\t,\t,\tO\tO' -p143714 -aS'no\tno\tDT\tB-NP\tO' -p143715 -aS'JVD\tJVD\tNN\tI-NP\tB-protein' -p143716 -asS'Stable .' -p143717 -(lp143718 -S'Stable\tStable\tJJ\tB-ADJP\tO' -p143719 -aS'.\t.\t.\tO\tO' -p143720 -asS'Please continue to wear your C-collar at all times .' -p143721 -(lp143722 -S'Please\tPlease\tNN\tB-NP\tB-protein' -p143723 -aS'continue\tcontinue\tVBP\tB-VP\tO' -p143724 -aS'to\tto\tTO\tI-VP\tO' -p143725 -aS'wear\twear\tVB\tI-VP\tO' -p143726 -aS'your\tyour\tPRP$\tB-NP\tO' -p143727 -aS'C-collar\tC-collar\tNN\tI-NP\tO' -p143728 -aS'at\tat\tIN\tB-PP\tO' -p143729 -aS'all\tall\tDT\tB-NP\tO' -p143730 -aS'times\ttime\tNNS\tI-NP\tO' -p143731 -aS'.\t.\t.\tO\tO' -p143732 -asS'7. Neurological .' -p143733 -(lp143734 -S'7.\t7.\tCD\tB-NP\tO' -p143735 -aS'Neurological\tNeurological\tNNP\tI-NP\tO' -p143736 -aS'.\t.\t.\tO\tO' -p143737 -asS'Once the patient was titrated off dopamine , the beta blocker and ACE inhibitor were restarted .' -p143738 -(lp143739 -S'Once\tOnce\tRB\tO\tO' -p143740 -aS'the\tthe\tDT\tB-NP\tO' -p143741 -aS'patient\tpatient\tNN\tI-NP\tO' -p143742 -aS'was\tbe\tVBD\tB-VP\tO' -p143743 -aS'titrated\ttitrate\tVBN\tI-VP\tO' -p143744 -aS'off\toff\tRP\tB-PRT\tO' -p143745 -aS'dopamine\tdopamine\tNN\tB-NP\tO' -p143746 -aS',\t,\t,\tO\tO' -p143747 -aS'the\tthe\tDT\tB-NP\tO' -p143748 -aS'beta\tbeta\tNN\tI-NP\tO' -p143749 -aS'blocker\tblocker\tNN\tI-NP\tO' -p143750 -aS'and\tand\tCC\tO\tO' -p143751 -aS'ACE\tACE\tNN\tB-NP\tO' -p143752 -aS'inhibitor\tinhibitor\tNN\tI-NP\tO' -p143753 -aS'were\tbe\tVBD\tB-VP\tO' -p143754 -aS'restarted\trestart\tVBN\tI-VP\tO' -p143755 -aS'.\t.\t.\tO\tO' -p143756 -asS'The patient first presented in October 1991 with a tender right axillary mass .' -p143757 -(lp143758 -S'The\tThe\tDT\tB-NP\tO' -p143759 -aS'patient\tpatient\tNN\tI-NP\tO' -p143760 -aS'first\tfirst\tRB\tB-ADVP\tO' -p143761 -aS'presented\tpresent\tVBD\tB-VP\tO' -p143762 -aS'in\tin\tIN\tB-PP\tO' -p143763 -aS'October\tOctober\tNNP\tB-NP\tO' -p143764 -aS'1991\t1991\tCD\tI-NP\tO' -p143765 -aS'with\twith\tIN\tB-PP\tO' -p143766 -aS'a\ta\tDT\tB-NP\tO' -p143767 -aS'tender\ttender\tNN\tI-NP\tO' -p143768 -aS'right\tright\tJJ\tI-NP\tO' -p143769 -aS'axillary\taxillary\tJJ\tI-NP\tO' -p143770 -aS'mass\tmass\tNN\tI-NP\tO' -p143771 -aS'.\t.\t.\tO\tO' -p143772 -asS'Also noted is sclerosis and opacification of the visualized left mastoid air cells and mastoid tip , likely chronic inflammatory' -p143773 -(lp143774 -S'Also\tAlso\tRB\tB-VP\tO' -p143775 -aS'noted\tnote\tVBN\tI-VP\tO' -p143776 -aS'is\tbe\tVBZ\tB-VP\tO' -p143777 -aS'sclerosis\tsclerosis\tNN\tB-NP\tO' -p143778 -aS'and\tand\tCC\tI-NP\tO' -p143779 -aS'opacification\topacification\tNN\tI-NP\tO' -p143780 -aS'of\tof\tIN\tB-PP\tO' -p143781 -aS'the\tthe\tDT\tB-NP\tO' -p143782 -aS'visualized\tvisualize\tVBN\tI-NP\tO' -p143783 -aS'left\tleft\tJJ\tI-NP\tB-cell_type' -p143784 -aS'mastoid\tmastoid\tJJ\tI-NP\tI-cell_type' -p143785 -aS'air\tair\tNN\tI-NP\tI-cell_type' -p143786 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p143787 -aS'and\tand\tCC\tO\tO' -p143788 -aS'mastoid\tmastoid\tJJ\tB-NP\tO' -p143789 -aS'tip\ttip\tNN\tI-NP\tO' -p143790 -aS',\t,\t,\tO\tO' -p143791 -aS'likely\tlikely\tRB\tB-NP\tO' -p143792 -aS'chronic\tchronic\tJJ\tI-NP\tO' -p143793 -aS'inflammatory\tinflammatory\tJJ\tI-NP\tO' -p143794 -asS'This is a 5235 - gram full-term male infant of a diabetic mother born by repeat cesarean section to a 29-year-old gravida 1 , para 2 , woman .' -p143795 -(lp143796 -S'This\tThis\tDT\tB-NP\tO' -p143797 -aS'is\tbe\tVBZ\tB-VP\tO' -p143798 -aS'a\ta\tDT\tB-NP\tO' -p143799 -aS'5235\t5235\tCD\tI-NP\tO' -p143800 -aS'-\t-\tHYPH\tI-NP\tO' -p143801 -aS'gram\tgram\tNN\tI-NP\tO' -p143802 -aS'full-term\tfull-term\tJJ\tI-NP\tO' -p143803 -aS'male\tmale\tJJ\tI-NP\tO' -p143804 -aS'infant\tinfant\tNN\tI-NP\tO' -p143805 -aS'of\tof\tIN\tB-PP\tO' -p143806 -aS'a\ta\tDT\tB-NP\tO' -p143807 -aS'diabetic\tdiabetic\tJJ\tI-NP\tO' -p143808 -aS'mother\tmother\tNN\tI-NP\tO' -p143809 -aS'born\tbear\tVBN\tB-VP\tO' -p143810 -aS'by\tby\tIN\tB-PP\tO' -p143811 -aS'repeat\trepeat\tNN\tB-NP\tO' -p143812 -aS'cesarean\tcesarean\tJJ\tI-NP\tO' -p143813 -aS'section\tsection\tNN\tI-NP\tO' -p143814 -aS'to\tto\tTO\tB-PP\tO' -p143815 -aS'a\ta\tDT\tB-NP\tO' -p143816 -aS'29-year-old\t29-year-old\tJJ\tI-NP\tO' -p143817 -aS'gravida\tgravida\tNN\tI-NP\tO' -p143818 -aS'1\t1\tCD\tI-NP\tO' -p143819 -aS',\t,\t,\tO\tO' -p143820 -aS'para\tpara\tNN\tB-NP\tO' -p143821 -aS'2\t2\tCD\tI-NP\tO' -p143822 -aS',\t,\t,\tO\tO' -p143823 -aS'woman\twoman\tNN\tB-NP\tO' -p143824 -aS'.\t.\t.\tO\tO' -p143825 -asS'The patient was referred to Cambridge Health Alliance for cardiac catheterization .' -p143826 -(lp143827 -S'The\tThe\tDT\tB-NP\tO' -p143828 -aS'patient\tpatient\tNN\tI-NP\tO' -p143829 -aS'was\tbe\tVBD\tB-VP\tO' -p143830 -aS'referred\trefer\tVBN\tI-VP\tO' -p143831 -aS'to\tto\tTO\tB-PP\tO' -p143832 -aS'Cambridge\tCambridge\tNNP\tB-NP\tO' -p143833 -aS'Health\tHealth\tNNP\tI-NP\tO' -p143834 -aS'Alliance\tAlliance\tNNP\tI-NP\tO' -p143835 -aS'for\tfor\tIN\tB-PP\tO' -p143836 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p143837 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p143838 -aS'.\t.\t.\tO\tO' -p143839 -asS'Sodium 138 , potassium 4.9 , chloride 102 , CO2 25 , BUN 24 , creatinine 0.9 , glucose 309 .' -p143840 -(lp143841 -S'Sodium\tSodium\tNN\tB-NP\tB-protein' -p143842 -aS'138\t138\tCD\tI-NP\tI-protein' -p143843 -aS',\t,\t,\tO\tO' -p143844 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p143845 -aS'4.9\t4.9\tCD\tI-NP\tO' -p143846 -aS',\t,\t,\tO\tO' -p143847 -aS'chloride\tchloride\tNN\tB-NP\tO' -p143848 -aS'102\t102\tCD\tI-NP\tO' -p143849 -aS',\t,\t,\tO\tO' -p143850 -aS'CO2\tCO2\tNN\tB-NP\tO' -p143851 -aS'25\t25\tCD\tI-NP\tO' -p143852 -aS',\t,\t,\tO\tO' -p143853 -aS'BUN\tBUN\tNN\tB-NP\tB-DNA' -p143854 -aS'24\t24\tCD\tI-NP\tI-DNA' -p143855 -aS',\t,\t,\tO\tO' -p143856 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p143857 -aS'0.9\t0.9\tCD\tI-NP\tO' -p143858 -aS',\t,\t,\tO\tO' -p143859 -aS'glucose\tglucose\tNN\tB-NP\tO' -p143860 -aS'309\t309\tCD\tI-NP\tO' -p143861 -aS'.\t.\t.\tO\tO' -p143862 -asS'Neurological imaging data was as per the History of Present Illness .' -p143863 -(lp143864 -S'Neurological\tNeurological\tJJ\tB-NP\tO' -p143865 -aS'imaging\timaging\tNN\tI-NP\tO' -p143866 -aS'data\tdatum\tNNS\tI-NP\tO' -p143867 -aS'was\tbe\tVBD\tB-VP\tO' -p143868 -aS'as\tas\tIN\tB-SBAR\tO' -p143869 -aS'per\tper\tIN\tB-PP\tO' -p143870 -aS'the\tthe\tDT\tB-NP\tO' -p143871 -aS'History\tHistory\tNN\tI-NP\tO' -p143872 -aS'of\tof\tIN\tB-PP\tO' -p143873 -aS'Present\tPresent\tNNP\tB-NP\tO' -p143874 -aS'Illness\tIllness\tNNP\tI-NP\tO' -p143875 -aS'.\t.\t.\tO\tO' -p143876 -asS'The patient is a generally healthy 85 year old female , who has had a five year history of right hip pain , worsening over the past several months .' -p143877 -(lp143878 -S'The\tThe\tDT\tB-NP\tO' -p143879 -aS'patient\tpatient\tNN\tI-NP\tO' -p143880 -aS'is\tbe\tVBZ\tB-VP\tO' -p143881 -aS'a\ta\tDT\tB-NP\tO' -p143882 -aS'generally\tgenerally\tRB\tI-NP\tO' -p143883 -aS'healthy\thealthy\tJJ\tI-NP\tO' -p143884 -aS'85\t85\tCD\tI-NP\tO' -p143885 -aS'year\tyear\tNN\tI-NP\tO' -p143886 -aS'old\told\tJJ\tI-NP\tO' -p143887 -aS'female\tfemale\tNN\tI-NP\tO' -p143888 -aS',\t,\t,\tO\tO' -p143889 -aS'who\twho\tWP\tB-NP\tO' -p143890 -aS'has\thave\tVBZ\tB-VP\tO' -p143891 -aS'had\thave\tVBD\tI-VP\tO' -p143892 -aS'a\ta\tDT\tB-NP\tO' -p143893 -aS'five\tfive\tCD\tI-NP\tO' -p143894 -aS'year\tyear\tNN\tI-NP\tO' -p143895 -aS'history\thistory\tNN\tI-NP\tO' -p143896 -aS'of\tof\tIN\tB-PP\tO' -p143897 -aS'right\tright\tJJ\tB-NP\tO' -p143898 -aS'hip\thip\tNN\tI-NP\tO' -p143899 -aS'pain\tpain\tNN\tI-NP\tO' -p143900 -aS',\t,\t,\tO\tO' -p143901 -aS'worsening\tworsen\tVBG\tB-VP\tO' -p143902 -aS'over\tover\tIN\tB-PP\tO' -p143903 -aS'the\tthe\tDT\tB-NP\tO' -p143904 -aS'past\tpast\tJJ\tI-NP\tO' -p143905 -aS'several\tseveral\tJJ\tI-NP\tO' -p143906 -aS'months\tmonth\tNNS\tI-NP\tO' -p143907 -aS'.\t.\t.\tO\tO' -p143908 -asS'Positive for coronary artery disease and MI .' -p143909 -(lp143910 -S'Positive\tPositive\tJJ\tB-ADJP\tO' -p143911 -aS'for\tfor\tIN\tB-PP\tO' -p143912 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p143913 -aS'artery\tartery\tNN\tI-NP\tO' -p143914 -aS'disease\tdisease\tNN\tI-NP\tO' -p143915 -aS'and\tand\tCC\tO\tO' -p143916 -aS'MI\tMI\tNN\tB-NP\tO' -p143917 -aS'.\t.\t.\tO\tO' -p143918 -asS'On the date of September 11 , 1994 , patient underwent a coronary artery bypass grafting with saphenous vein graft to the posterior descending artery , circumflex and diagonal and left internal mammary artery to the left anterior descending .' -p143919 -(lp143920 -S'On\tOn\tIN\tB-PP\tO' -p143921 -aS'the\tthe\tDT\tB-NP\tO' -p143922 -aS'date\tdate\tNN\tI-NP\tO' -p143923 -aS'of\tof\tIN\tB-PP\tO' -p143924 -aS'September\tSeptember\tNNP\tB-NP\tO' -p143925 -aS'11\t11\tCD\tI-NP\tO' -p143926 -aS',\t,\t,\tI-NP\tO' -p143927 -aS'1994\t1994\tCD\tI-NP\tO' -p143928 -aS',\t,\t,\tO\tO' -p143929 -aS'patient\tpatient\tNN\tB-NP\tO' -p143930 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p143931 -aS'a\ta\tDT\tB-NP\tO' -p143932 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p143933 -aS'artery\tartery\tNN\tI-NP\tO' -p143934 -aS'bypass\tbypass\tIN\tB-PP\tO' -p143935 -aS'grafting\tgraft\tVBG\tB-VP\tO' -p143936 -aS'with\twith\tIN\tB-PP\tO' -p143937 -aS'saphenous\tsaphenous\tJJ\tB-NP\tO' -p143938 -aS'vein\tvein\tNN\tI-NP\tO' -p143939 -aS'graft\tgraft\tNN\tI-NP\tO' -p143940 -aS'to\tto\tTO\tB-PP\tO' -p143941 -aS'the\tthe\tDT\tB-NP\tO' -p143942 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p143943 -aS'descending\tdescend\tVBG\tI-NP\tO' -p143944 -aS'artery\tartery\tNN\tI-NP\tO' -p143945 -aS',\t,\t,\tO\tO' -p143946 -aS'circumflex\tcircumflex\tNN\tB-NP\tO' -p143947 -aS'and\tand\tCC\tO\tO' -p143948 -aS'diagonal\tdiagonal\tJJ\tB-NP\tO' -p143949 -aS'and\tand\tCC\tI-NP\tO' -p143950 -aS'left\tleft\tJJ\tI-NP\tO' -p143951 -aS'internal\tinternal\tJJ\tI-NP\tO' -p143952 -aS'mammary\tmammary\tJJ\tI-NP\tO' -p143953 -aS'artery\tartery\tNN\tI-NP\tO' -p143954 -aS'to\tto\tTO\tB-PP\tO' -p143955 -aS'the\tthe\tDT\tB-NP\tO' -p143956 -aS'left\tleft\tJJ\tI-NP\tO' -p143957 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p143958 -aS'descending\tdescending\tNN\tI-NP\tO' -p143959 -aS'.\t.\t.\tO\tO' -p143960 -asS'Also denies tenesmus .' -p143961 -(lp143962 -S'Also\tAlso\tRB\tB-ADVP\tO' -p143963 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p143964 -aS'tenesmus\ttenesmus\tNN\tB-NP\tO' -p143965 -aS'.\t.\t.\tO\tO' -p143966 -asS'An endoscopy was also performed on postoperative day two which showed clean anastomosis .' -p143967 -(lp143968 -S'An\tAn\tDT\tB-NP\tO' -p143969 -aS'endoscopy\tendoscopy\tNN\tI-NP\tO' -p143970 -aS'was\tbe\tVBD\tB-VP\tO' -p143971 -aS'also\talso\tRB\tI-VP\tO' -p143972 -aS'performed\tperform\tVBN\tI-VP\tO' -p143973 -aS'on\ton\tIN\tB-PP\tO' -p143974 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p143975 -aS'day\tday\tNN\tI-NP\tO' -p143976 -aS'two\ttwo\tCD\tI-NP\tO' -p143977 -aS'which\twhich\tWDT\tB-NP\tO' -p143978 -aS'showed\tshow\tVBD\tB-VP\tO' -p143979 -aS'clean\tclean\tJJ\tB-NP\tO' -p143980 -aS'anastomosis\tanastomosis\tNN\tI-NP\tO' -p143981 -aS'.\t.\t.\tO\tO' -p143982 -asS'A bronchoscopy with BAL was performed and a sputum sample eventually grew out MRSA .' -p143983 -(lp143984 -S'A\tA\tDT\tB-NP\tO' -p143985 -aS'bronchoscopy\tbronchoscopy\tNN\tI-NP\tO' -p143986 -aS'with\twith\tIN\tB-PP\tO' -p143987 -aS'BAL\tBAL\tNN\tB-NP\tO' -p143988 -aS'was\tbe\tVBD\tB-VP\tO' -p143989 -aS'performed\tperform\tVBN\tI-VP\tO' -p143990 -aS'and\tand\tCC\tO\tO' -p143991 -aS'a\ta\tDT\tB-NP\tO' -p143992 -aS'sputum\tsputum\tNN\tI-NP\tO' -p143993 -aS'sample\tsample\tNN\tI-NP\tO' -p143994 -aS'eventually\teventually\tRB\tB-ADVP\tO' -p143995 -aS'grew\tgrow\tVBD\tB-VP\tO' -p143996 -aS'out\tout\tRP\tB-PRT\tO' -p143997 -aS'MRSA\tMRSA\tNN\tB-NP\tO' -p143998 -aS'.\t.\t.\tO\tO' -p143999 -asS'He was alert and oriented x 3 , moved all extremities , followed commands .' -p144000 -(lp144001 -S'He\tHe\tPRP\tB-NP\tO' -p144002 -aS'was\tbe\tVBD\tB-VP\tO' -p144003 -aS'alert\talert\tJJ\tB-ADJP\tO' -p144004 -aS'and\tand\tCC\tO\tO' -p144005 -aS'oriented\torient\tVBN\tB-VP\tO' -p144006 -aS'x\tx\tNN\tB-NP\tO' -p144007 -aS'3\t3\tCD\tI-NP\tO' -p144008 -aS',\t,\t,\tO\tO' -p144009 -aS'moved\tmove\tVBD\tB-VP\tO' -p144010 -aS'all\tall\tDT\tB-NP\tO' -p144011 -aS'extremities\textremity\tNNS\tI-NP\tO' -p144012 -aS',\t,\t,\tO\tO' -p144013 -aS'followed\tfollow\tVBD\tB-VP\tO' -p144014 -aS'commands\tcommand\tNNS\tB-NP\tO' -p144015 -aS'.\t.\t.\tO\tO' -p144016 -asS'2. Non-ST elevation myocardial infarction .' -p144017 -(lp144018 -S'2.\t2.\tLS\tB-NP\tO' -p144019 -aS'Non-ST\tNon-ST\tJJ\tI-NP\tO' -p144020 -aS'elevation\televation\tNN\tI-NP\tO' -p144021 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p144022 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p144023 -aS'.\t.\t.\tO\tO' -p144024 -asS'Following evaluation and treatment , the patient 's disposition at the end of the visit was ADMITTED AS AN INPATIENT TO PH UNIVERSITY OF MEDICAL CENTER .' -p144025 -(lp144026 -S'Following\tFollow\tVBG\tB-PP\tO' -p144027 -aS'evaluation\tevaluation\tNN\tB-NP\tO' -p144028 -aS'and\tand\tCC\tI-NP\tO' -p144029 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p144030 -aS',\t,\t,\tO\tO' -p144031 -aS'the\tthe\tDT\tB-NP\tO' -p144032 -aS'patient\tpatient\tNN\tI-NP\tO' -p144033 -aS''s\t'\tNNS\tI-NP\tO' -p144034 -aS'disposition\tdisposition\tNN\tI-NP\tO' -p144035 -aS'at\tat\tIN\tB-PP\tO' -p144036 -aS'the\tthe\tDT\tB-NP\tO' -p144037 -aS'end\tend\tNN\tI-NP\tO' -p144038 -aS'of\tof\tIN\tB-PP\tO' -p144039 -aS'the\tthe\tDT\tB-NP\tO' -p144040 -aS'visit\tvisit\tNN\tI-NP\tO' -p144041 -aS'was\tbe\tVBD\tB-VP\tO' -p144042 -aS'ADMITTED\tADMITTED\tVBN\tI-VP\tO' -p144043 -aS'AS\tAS\tNNP\tB-NP\tO' -p144044 -aS'AN\tAN\tNNP\tI-NP\tO' -p144045 -aS'INPATIENT\tINPATIENT\tNNP\tI-NP\tO' -p144046 -aS'TO\tTO\tNNP\tI-NP\tO' -p144047 -aS'PH\tPH\tNNP\tI-NP\tO' -p144048 -aS'UNIVERSITY\tUNIVERSITY\tNNP\tI-NP\tO' -p144049 -aS'OF\tOF\tIN\tB-PP\tO' -p144050 -aS'MEDICAL\tMEDICAL\tNNP\tB-NP\tO' -p144051 -aS'CENTER\tCENTER\tNNP\tI-NP\tO' -p144052 -aS'.\t.\t.\tO\tO' -p144053 -asS'The patient admits to smoking one pack of cigarettes per day .' -p144054 -(lp144055 -S'The\tThe\tDT\tB-NP\tO' -p144056 -aS'patient\tpatient\tNN\tI-NP\tO' -p144057 -aS'admits\tadmit\tVBZ\tB-VP\tO' -p144058 -aS'to\tto\tTO\tB-PP\tO' -p144059 -aS'smoking\tsmoke\tVBG\tB-VP\tO' -p144060 -aS'one\tone\tCD\tB-NP\tO' -p144061 -aS'pack\tpack\tNN\tI-NP\tO' -p144062 -aS'of\tof\tIN\tB-PP\tO' -p144063 -aS'cigarettes\tcigarette\tNNS\tB-NP\tO' -p144064 -aS'per\tper\tIN\tB-PP\tO' -p144065 -aS'day\tday\tNN\tB-NP\tO' -p144066 -aS'.\t.\t.\tO\tO' -p144067 -asS'Pulm : CTA b/l w/ no crackles or wheezing' -p144068 -(lp144069 -S'Pulm\tPulm\tNN\tB-NP\tO' -p144070 -aS':\t:\t:\tO\tO' -p144071 -aS'CTA\tCTA\tNN\tB-NP\tO' -p144072 -aS'b/l\tb/l\tNN\tI-NP\tO' -p144073 -aS'w/\tw/\tVBD\tB-VP\tO' -p144074 -aS'no\tno\tDT\tB-NP\tO' -p144075 -aS'crackles\tcrackle\tNNS\tI-NP\tO' -p144076 -aS'or\tor\tCC\tO\tO' -p144077 -aS'wheezing\twheeze\tVBG\tB-VP\tO' -p144078 -asS'By postoperative day six , the patient was also tolerating a regular diet and passing flatus .' -p144079 -(lp144080 -S'By\tBy\tIN\tB-PP\tO' -p144081 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p144082 -aS'day\tday\tNN\tI-NP\tO' -p144083 -aS'six\tsix\tCD\tI-NP\tO' -p144084 -aS',\t,\t,\tO\tO' -p144085 -aS'the\tthe\tDT\tB-NP\tO' -p144086 -aS'patient\tpatient\tNN\tI-NP\tO' -p144087 -aS'was\tbe\tVBD\tB-VP\tO' -p144088 -aS'also\talso\tRB\tI-VP\tO' -p144089 -aS'tolerating\ttolerate\tVBG\tI-VP\tO' -p144090 -aS'a\ta\tDT\tB-NP\tO' -p144091 -aS'regular\tregular\tJJ\tI-NP\tO' -p144092 -aS'diet\tdiet\tNN\tI-NP\tO' -p144093 -aS'and\tand\tCC\tO\tO' -p144094 -aS'passing\tpass\tVBG\tB-VP\tO' -p144095 -aS'flatus\tflatus\tNN\tB-NP\tO' -p144096 -aS'.\t.\t.\tO\tO' -p144097 -asS'Serial enzymes were drawn , and Cardiology was consulted .' -p144098 -(lp144099 -S'Serial\tSerial\tJJ\tB-NP\tB-protein' -p144100 -aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' -p144101 -aS'were\tbe\tVBD\tB-VP\tO' -p144102 -aS'drawn\tdraw\tVBN\tI-VP\tO' -p144103 -aS',\t,\t,\tO\tO' -p144104 -aS'and\tand\tCC\tO\tO' -p144105 -aS'Cardiology\tCardiology\tNN\tB-NP\tO' -p144106 -aS'was\tbe\tVBD\tB-VP\tO' -p144107 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p144108 -aS'.\t.\t.\tO\tO' -p144109 -asS'Appointment is on Lyon , 10-30 .' -p144110 -(lp144111 -S'Appointment\tAppointment\tNN\tB-NP\tO' -p144112 -aS'is\tbe\tVBZ\tB-VP\tO' -p144113 -aS'on\ton\tIN\tB-PP\tO' -p144114 -aS'Lyon\tLyon\tNNP\tB-NP\tO' -p144115 -aS',\t,\t,\tO\tO' -p144116 -aS'10-30\t10-30\tCD\tB-NP\tO' -p144117 -aS'.\t.\t.\tO\tO' -p144118 -asS'Orbits are unremarkable .' -p144119 -(lp144120 -S'Orbits\tOrbit\tNNS\tB-NP\tO' -p144121 -aS'are\tbe\tVBP\tB-VP\tO' -p144122 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p144123 -aS'.\t.\t.\tO\tO' -p144124 -asS'She also has follow up with Dr. Savage in the Pulmonary Clinic on 12-25 at 12:15 p.m. for management of her pulmonary hypertension .' -p144125 -(lp144126 -S'She\tShe\tPRP\tB-NP\tO' -p144127 -aS'also\talso\tRB\tB-ADVP\tO' -p144128 -aS'has\thave\tVBZ\tB-VP\tO' -p144129 -aS'follow\tfollow\tVB\tI-VP\tO' -p144130 -aS'up\tup\tRP\tB-PRT\tO' -p144131 -aS'with\twith\tIN\tB-PP\tO' -p144132 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p144133 -aS'Savage\tSavage\tNNP\tI-NP\tO' -p144134 -aS'in\tin\tIN\tB-PP\tO' -p144135 -aS'the\tthe\tDT\tB-NP\tO' -p144136 -aS'Pulmonary\tPulmonary\tNNP\tI-NP\tO' -p144137 -aS'Clinic\tClinic\tNNP\tI-NP\tO' -p144138 -aS'on\ton\tIN\tB-PP\tO' -p144139 -aS'12-25\t12-25\tCD\tB-NP\tO' -p144140 -aS'at\tat\tIN\tB-PP\tO' -p144141 -aS'12:15\t12:15\tCD\tB-NP\tO' -p144142 -aS'p.m.\tp.m.\tNN\tI-NP\tO' -p144143 -aS'for\tfor\tIN\tB-PP\tO' -p144144 -aS'management\tmanagement\tNN\tB-NP\tO' -p144145 -aS'of\tof\tIN\tB-PP\tO' -p144146 -aS'her\ther\tPRP$\tB-NP\tO' -p144147 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p144148 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p144149 -aS'.\t.\t.\tO\tO' -p144150 -asS'This is to notify you that your patient , KOTE , LYFRANKLAPALM arrived in the Emergency Department at Tecal Galecounxopt Community Hospital on 03/16/2003 05:16 PM .' -p144151 -(lp144152 -S'This\tThis\tDT\tB-NP\tO' -p144153 -aS'is\tbe\tVBZ\tB-VP\tO' -p144154 -aS'to\tto\tTO\tB-VP\tO' -p144155 -aS'notify\tnotify\tVB\tI-VP\tO' -p144156 -aS'you\tyou\tPRP\tB-NP\tO' -p144157 -aS'that\tthat\tIN\tB-SBAR\tO' -p144158 -aS'your\tyour\tPRP$\tB-NP\tO' -p144159 -aS'patient\tpatient\tNN\tI-NP\tO' -p144160 -aS',\t,\t,\tO\tO' -p144161 -aS'KOTE\tKOTE\tNN\tB-NP\tO' -p144162 -aS',\t,\t,\tO\tO' -p144163 -aS'LYFRANKLAPALM\tLYFRANKLAPALM\tNN\tB-NP\tO' -p144164 -aS'arrived\tarrive\tVBD\tB-VP\tO' -p144165 -aS'in\tin\tIN\tB-PP\tO' -p144166 -aS'the\tthe\tDT\tB-NP\tO' -p144167 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p144168 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p144169 -aS'at\tat\tIN\tB-PP\tO' -p144170 -aS'Tecal\tTecal\tNNP\tB-NP\tO' -p144171 -aS'Galecounxopt\tGalecounxopt\tNNP\tI-NP\tO' -p144172 -aS'Community\tCommunity\tNNP\tI-NP\tO' -p144173 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p144174 -aS'on\ton\tIN\tB-PP\tO' -p144175 -aS'03/16/2003\t03/16/2003\tCD\tB-NP\tO' -p144176 -aS'05:16\t05:16\tCD\tI-NP\tO' -p144177 -aS'PM\tPM\tNN\tI-NP\tO' -p144178 -aS'.\t.\t.\tO\tO' -p144179 -asS'Since presentation , patient had multiple episodes of cholangitis ( 08-06 in past 3 years with last on 10-18 ), always short lived and treated with antimicrobial therapy .' -p144180 -(lp144181 -S'Since\tSince\tIN\tB-PP\tO' -p144182 -aS'presentation\tpresentation\tNN\tB-NP\tO' -p144183 -aS',\t,\t,\tO\tO' -p144184 -aS'patient\tpatient\tNN\tB-NP\tO' -p144185 -aS'had\thave\tVBD\tB-VP\tO' -p144186 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p144187 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p144188 -aS'of\tof\tIN\tB-PP\tO' -p144189 -aS'cholangitis\tcholangitis\tNN\tB-NP\tO' -p144190 -aS'(\t(\t(\tO\tO' -p144191 -aS'08-06\t08-06\tCD\tB-NP\tO' -p144192 -aS'in\tin\tIN\tB-PP\tO' -p144193 -aS'past\tpast\tJJ\tB-NP\tO' -p144194 -aS'3\t3\tCD\tI-NP\tO' -p144195 -aS'years\tyear\tNNS\tI-NP\tO' -p144196 -aS'with\twith\tIN\tB-PP\tO' -p144197 -aS'last\tlast\tJJ\tB-NP\tO' -p144198 -aS'on\ton\tIN\tB-PP\tO' -p144199 -aS'10-18\t10-18\tCD\tB-NP\tO' -p144200 -aS'),\t),\t)\tO\tO' -p144201 -aS'always\talways\tRB\tB-ADVP\tO' -p144202 -aS'short\tshort\tJJ\tB-NP\tO' -p144203 -aS'lived\tlive\tVBN\tI-NP\tO' -p144204 -aS'and\tand\tCC\tI-NP\tO' -p144205 -aS'treated\ttreat\tVBN\tI-NP\tO' -p144206 -aS'with\twith\tIN\tB-PP\tO' -p144207 -aS'antimicrobial\tantimicrobial\tJJ\tB-NP\tO' -p144208 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p144209 -aS'.\t.\t.\tO\tO' -p144210 -asS'Attending : Sam M Ennis , M.D.' -p144211 -(lp144212 -S'Attending\tAttend\tVBG\tB-VP\tO' -p144213 -aS':\t:\t:\tO\tO' -p144214 -aS'Sam\tSam\tNNP\tB-NP\tO' -p144215 -aS'M\tM\tNNP\tI-NP\tO' -p144216 -aS'Ennis\tEnnis\tNNP\tI-NP\tO' -p144217 -aS',\t,\t,\tO\tO' -p144218 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p144219 -asS'The ankle jerks were one-plus bilaterally .' -p144220 -(lp144221 -S'The\tThe\tDT\tB-NP\tO' -p144222 -aS'ankle\tankle\tNN\tI-NP\tO' -p144223 -aS'jerks\tjerk\tNNS\tI-NP\tO' -p144224 -aS'were\tbe\tVBD\tB-VP\tO' -p144225 -aS'one-plus\tone-plus\tJJ\tB-ADJP\tO' -p144226 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p144227 -aS'.\t.\t.\tO\tO' -p144228 -asS'5 ) Humulin sliding scale q.a.c. and q.h.s.' -p144229 -(lp144230 -S'5\t5\tLS\tB-LST\tO' -p144231 -aS')\t)\t)\tO\tO' -p144232 -aS'Humulin\tHumulin\tNN\tB-NP\tO' -p144233 -aS'sliding\tslide\tVBG\tB-VP\tO' -p144234 -aS'scale\tscale\tNN\tB-NP\tO' -p144235 -aS'q.a.c.\tq.a.c.\tNN\tI-NP\tO' -p144236 -aS'and\tand\tCC\tO\tO' -p144237 -aS'q.h.s.\tq.h.s.\tNN\tB-NP\tO' -p144238 -asS'Tip of the ETT projects roughly 5 cm above the carina .' -p144239 -(lp144240 -S'Tip\tTip\tNN\tB-NP\tB-protein' -p144241 -aS'of\tof\tIN\tB-PP\tO' -p144242 -aS'the\tthe\tDT\tB-NP\tO' -p144243 -aS'ETT\tETT\tNN\tI-NP\tO' -p144244 -aS'projects\tproject\tNNS\tI-NP\tO' -p144245 -aS'roughly\troughly\tRB\tB-NP\tO' -p144246 -aS'5\t5\tCD\tI-NP\tO' -p144247 -aS'cm\tcm\tNN\tI-NP\tO' -p144248 -aS'above\tabove\tIN\tB-PP\tO' -p144249 -aS'the\tthe\tDT\tB-NP\tO' -p144250 -aS'carina\tcarina\tNN\tI-NP\tO' -p144251 -aS'.\t.\t.\tO\tO' -p144252 -asS'He has had four past hospitalizations for attempted suicide with insulin overdosing , usually denied .' -p144253 -(lp144254 -S'He\tHe\tPRP\tB-NP\tO' -p144255 -aS'has\thave\tVBZ\tB-VP\tO' -p144256 -aS'had\thave\tVBD\tI-VP\tO' -p144257 -aS'four\tfour\tCD\tB-NP\tO' -p144258 -aS'past\tpast\tJJ\tI-NP\tO' -p144259 -aS'hospitalizations\thospitalization\tNNS\tI-NP\tO' -p144260 -aS'for\tfor\tIN\tB-PP\tO' -p144261 -aS'attempted\tattempt\tVBN\tB-NP\tO' -p144262 -aS'suicide\tsuicide\tNN\tI-NP\tO' -p144263 -aS'with\twith\tIN\tB-PP\tO' -p144264 -aS'insulin\tinsulin\tNN\tB-NP\tO' -p144265 -aS'overdosing\toverdosing\tNN\tI-NP\tO' -p144266 -aS',\t,\t,\tO\tO' -p144267 -aS'usually\tusually\tRB\tB-VP\tO' -p144268 -aS'denied\tdeny\tVBN\tI-VP\tO' -p144269 -aS'.\t.\t.\tO\tO' -p144270 -asS'There is a non-displaced comminuted fracture of the proximal fibular diaphysis .' -p144271 -(lp144272 -S'There\tThere\tEX\tB-NP\tO' -p144273 -aS'is\tbe\tVBZ\tB-VP\tO' -p144274 -aS'a\ta\tDT\tB-NP\tO' -p144275 -aS'non-displaced\tnon-displaced\tJJ\tI-NP\tO' -p144276 -aS'comminuted\tcomminute\tVBN\tI-NP\tO' -p144277 -aS'fracture\tfracture\tNN\tI-NP\tO' -p144278 -aS'of\tof\tIN\tB-PP\tO' -p144279 -aS'the\tthe\tDT\tB-NP\tO' -p144280 -aS'proximal\tproximal\tJJ\tI-NP\tO' -p144281 -aS'fibular\tfibular\tJJ\tI-NP\tO' -p144282 -aS'diaphysis\tdiaphysis\tNN\tI-NP\tO' -p144283 -aS'.\t.\t.\tO\tO' -p144284 -asS'Married , lives with husband , denies domestic violence .' -p144285 -(lp144286 -S'Married\tMarried\tNNP\tB-NP\tO' -p144287 -aS',\t,\t,\tO\tO' -p144288 -aS'lives\tlive\tVBZ\tB-VP\tO' -p144289 -aS'with\twith\tIN\tB-PP\tO' -p144290 -aS'husband\thusband\tNN\tB-NP\tO' -p144291 -aS',\t,\t,\tO\tO' -p144292 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p144293 -aS'domestic\tdomestic\tJJ\tB-NP\tO' -p144294 -aS'violence\tviolence\tNN\tI-NP\tO' -p144295 -aS'.\t.\t.\tO\tO' -p144296 -asS'Given the likely embolic etiology of infarct , carotid doppler and TTE were performed .' -p144297 -(lp144298 -S'Given\tGive\tVBN\tB-PP\tO' -p144299 -aS'the\tthe\tDT\tB-NP\tO' -p144300 -aS'likely\tlikely\tJJ\tI-NP\tO' -p144301 -aS'embolic\tembolic\tJJ\tI-NP\tO' -p144302 -aS'etiology\tetiology\tNN\tI-NP\tO' -p144303 -aS'of\tof\tIN\tB-PP\tO' -p144304 -aS'infarct\tinfarct\tNN\tB-NP\tO' -p144305 -aS',\t,\t,\tO\tO' -p144306 -aS'carotid\tcarotid\tNN\tB-NP\tO' -p144307 -aS'doppler\tdoppler\tNN\tI-NP\tO' -p144308 -aS'and\tand\tCC\tI-NP\tO' -p144309 -aS'TTE\tTTE\tNN\tI-NP\tO' -p144310 -aS'were\tbe\tVBD\tB-VP\tO' -p144311 -aS'performed\tperform\tVBN\tI-VP\tO' -p144312 -aS'.\t.\t.\tO\tO' -p144313 -asS'Pleasant , well appearing heavy set woman laying in bed .' -p144314 -(lp144315 -S'Pleasant\tPleasant\tNN\tB-NP\tO' -p144316 -aS',\t,\t,\tO\tO' -p144317 -aS'well\twell\tRB\tB-ADVP\tO' -p144318 -aS'appearing\tappear\tVBG\tB-VP\tO' -p144319 -aS'heavy\theavy\tJJ\tB-NP\tO' -p144320 -aS'set\tset\tNN\tI-NP\tO' -p144321 -aS'woman\twoman\tNN\tI-NP\tO' -p144322 -aS'laying\tlay\tVBG\tB-VP\tO' -p144323 -aS'in\tin\tIN\tB-PP\tO' -p144324 -aS'bed\tbed\tNN\tB-NP\tO' -p144325 -aS'.\t.\t.\tO\tO' -p144326 -asS'The tip was cultured with no growth .' -p144327 -(lp144328 -S'The\tThe\tDT\tB-NP\tO' -p144329 -aS'tip\ttip\tNN\tI-NP\tB-protein' -p144330 -aS'was\tbe\tVBD\tB-VP\tO' -p144331 -aS'cultured\tculture\tVBN\tI-VP\tO' -p144332 -aS'with\twith\tIN\tB-PP\tO' -p144333 -aS'no\tno\tDT\tB-NP\tO' -p144334 -aS'growth\tgrowth\tNN\tI-NP\tO' -p144335 -aS'.\t.\t.\tO\tO' -p144336 -asS'The patient was re-evalutated at 2000 and was found to be tacchycardic to 115 with BP 104/50 using a manual cuff .' -p144337 -(lp144338 -S'The\tThe\tDT\tB-NP\tO' -p144339 -aS'patient\tpatient\tNN\tI-NP\tO' -p144340 -aS'was\tbe\tVBD\tB-VP\tO' -p144341 -aS're-evalutated\tre-evalutated\tJJ\tB-ADJP\tO' -p144342 -aS'at\tat\tIN\tB-PP\tO' -p144343 -aS'2000\t2000\tCD\tB-NP\tO' -p144344 -aS'and\tand\tCC\tO\tO' -p144345 -aS'was\tbe\tVBD\tB-VP\tO' -p144346 -aS'found\tfind\tVBN\tI-VP\tO' -p144347 -aS'to\tto\tTO\tI-VP\tO' -p144348 -aS'be\tbe\tVB\tI-VP\tO' -p144349 -aS'tacchycardic\ttacchycardic\tJJ\tB-ADJP\tO' -p144350 -aS'to\tto\tTO\tB-PP\tO' -p144351 -aS'115\t115\tCD\tB-NP\tO' -p144352 -aS'with\twith\tIN\tB-PP\tO' -p144353 -aS'BP\tBP\tNN\tB-NP\tB-DNA' -p144354 -aS'104/50\t104/50\tCD\tI-NP\tI-DNA' -p144355 -aS'using\tuse\tVBG\tB-VP\tO' -p144356 -aS'a\ta\tDT\tB-NP\tO' -p144357 -aS'manual\tmanual\tJJ\tI-NP\tO' -p144358 -aS'cuff\tcuff\tNN\tI-NP\tO' -p144359 -aS'.\t.\t.\tO\tO' -p144360 -asS'A CT angiogram was ordered to evaluate for chronic thromboembolic disease as a potential cause of her pulmonary hypertension .' -p144361 -(lp144362 -S'A\tA\tDT\tB-NP\tO' -p144363 -aS'CT\tCT\tNN\tI-NP\tO' -p144364 -aS'angiogram\tangiogram\tNN\tI-NP\tO' -p144365 -aS'was\tbe\tVBD\tB-VP\tO' -p144366 -aS'ordered\torder\tVBN\tI-VP\tO' -p144367 -aS'to\tto\tTO\tB-VP\tO' -p144368 -aS'evaluate\tevaluate\tVB\tI-VP\tO' -p144369 -aS'for\tfor\tIN\tB-PP\tO' -p144370 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p144371 -aS'thromboembolic\tthromboembolic\tJJ\tI-NP\tO' -p144372 -aS'disease\tdisease\tNN\tI-NP\tO' -p144373 -aS'as\tas\tIN\tB-PP\tO' -p144374 -aS'a\ta\tDT\tB-NP\tO' -p144375 -aS'potential\tpotential\tJJ\tI-NP\tO' -p144376 -aS'cause\tcause\tNN\tI-NP\tO' -p144377 -aS'of\tof\tIN\tB-PP\tO' -p144378 -aS'her\ther\tPRP$\tB-NP\tO' -p144379 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p144380 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p144381 -aS'.\t.\t.\tO\tO' -p144382 -asS'He was given colchicine and prednisone .' -p144383 -(lp144384 -S'He\tHe\tPRP\tB-NP\tO' -p144385 -aS'was\tbe\tVBD\tB-VP\tO' -p144386 -aS'given\tgive\tVBN\tI-VP\tO' -p144387 -aS'colchicine\tcolchicine\tNN\tB-NP\tO' -p144388 -aS'and\tand\tCC\tI-NP\tO' -p144389 -aS'prednisone\tprednisone\tNN\tI-NP\tO' -p144390 -aS'.\t.\t.\tO\tO' -p144391 -asS"Again given the patient 's poor disease prognosis , there was no intervention made at this time ." -p144392 -(lp144393 -S'Again\tAgain\tRB\tB-ADVP\tO' -p144394 -aS'given\tgive\tVBN\tB-PP\tO' -p144395 -aS'the\tthe\tDT\tB-NP\tO' -p144396 -aS'patient\tpatient\tNN\tI-NP\tO' -p144397 -aS"'s\t's\tPOS\tB-NP\tO" -p144398 -aS'poor\tpoor\tJJ\tI-NP\tO' -p144399 -aS'disease\tdisease\tNN\tI-NP\tO' -p144400 -aS'prognosis\tprognosis\tNN\tI-NP\tO' -p144401 -aS',\t,\t,\tO\tO' -p144402 -aS'there\tthere\tEX\tB-NP\tO' -p144403 -aS'was\tbe\tVBD\tB-VP\tO' -p144404 -aS'no\tno\tDT\tB-NP\tO' -p144405 -aS'intervention\tintervention\tNN\tI-NP\tO' -p144406 -aS'made\tmake\tVBN\tB-VP\tO' -p144407 -aS'at\tat\tIN\tB-PP\tO' -p144408 -aS'this\tthis\tDT\tB-NP\tO' -p144409 -aS'time\ttime\tNN\tI-NP\tO' -p144410 -aS'.\t.\t.\tO\tO' -p144411 -asS'4. Creatinine 2.2 to 2.5 .' -p144412 -(lp144413 -S'4.\t4.\tLS\tB-NP\tO' -p144414 -aS'Creatinine\tCreatinine\tNN\tI-NP\tB-protein' -p144415 -aS'2.2\t2.2\tCD\tI-NP\tI-protein' -p144416 -aS'to\tto\tTO\tB-PP\tO' -p144417 -aS'2.5\t2.5\tCD\tB-NP\tO' -p144418 -aS'.\t.\t.\tO\tO' -p144419 -asS'Her extremities are without normal limits with +2 pulses throughout .' -p144420 -(lp144421 -S'Her\tHer\tPRP$\tB-NP\tO' -p144422 -aS'extremities\textremity\tNNS\tI-NP\tO' -p144423 -aS'are\tbe\tVBP\tB-VP\tO' -p144424 -aS'without\twithout\tIN\tB-PP\tO' -p144425 -aS'normal\tnormal\tJJ\tB-NP\tO' -p144426 -aS'limits\tlimit\tNNS\tI-NP\tO' -p144427 -aS'with\twith\tIN\tB-PP\tO' -p144428 -aS'+2\t+2\tCD\tB-NP\tO' -p144429 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p144430 -aS'throughout\tthroughout\tIN\tB-ADVP\tO' -p144431 -aS'.\t.\t.\tO\tO' -p144432 -asS'His pupils were reactive on the right going from 3 mm to 2 mm of light .' -p144433 -(lp144434 -S'His\tHis\tPRP$\tB-NP\tO' -p144435 -aS'pupils\tpupil\tNNS\tI-NP\tO' -p144436 -aS'were\tbe\tVBD\tB-VP\tO' -p144437 -aS'reactive\treactive\tJJ\tB-ADJP\tO' -p144438 -aS'on\ton\tIN\tB-PP\tO' -p144439 -aS'the\tthe\tDT\tB-NP\tO' -p144440 -aS'right\tright\tNN\tI-NP\tO' -p144441 -aS'going\tgo\tVBG\tB-VP\tO' -p144442 -aS'from\tfrom\tIN\tB-PP\tO' -p144443 -aS'3\t3\tCD\tB-NP\tO' -p144444 -aS'mm\tmm\tNN\tI-NP\tO' -p144445 -aS'to\tto\tTO\tB-PP\tO' -p144446 -aS'2\t2\tCD\tB-NP\tO' -p144447 -aS'mm\tmm\tNN\tI-NP\tO' -p144448 -aS'of\tof\tIN\tB-PP\tO' -p144449 -aS'light\tlight\tNN\tB-NP\tO' -p144450 -aS'.\t.\t.\tO\tO' -p144451 -asS'Troponin was 0.07 .' -p144452 -(lp144453 -S'Troponin\tTroponin\tNN\tB-NP\tB-protein' -p144454 -aS'was\tbe\tVBD\tB-VP\tO' -p144455 -aS'0.07\t0.07\tCD\tB-NP\tO' -p144456 -aS'.\t.\t.\tO\tO' -p144457 -asS'9. status post laparoscopic cholecystectomy ,' -p144458 -(lp144459 -S'9.\t9.\tLS\tB-NP\tO' -p144460 -aS'status\tstatus\tNN\tI-NP\tO' -p144461 -aS'post\tpost\tNN\tI-NP\tO' -p144462 -aS'laparoscopic\tlaparoscopic\tJJ\tI-NP\tO' -p144463 -aS'cholecystectomy\tcholecystectomy\tNN\tI-NP\tO' -p144464 -aS',\t,\t,\tO\tO' -p144465 -asS'CT angiogram demonstrates no stenosis or aneurysm in the intracranial circulation .' -p144466 -(lp144467 -S'CT\tCT\tNN\tB-NP\tO' -p144468 -aS'angiogram\tangiogram\tNN\tI-NP\tO' -p144469 -aS'demonstrates\tdemonstrate\tVBZ\tB-VP\tO' -p144470 -aS'no\tno\tDT\tB-NP\tO' -p144471 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p144472 -aS'or\tor\tCC\tI-NP\tO' -p144473 -aS'aneurysm\taneurysm\tNN\tI-NP\tO' -p144474 -aS'in\tin\tIN\tB-PP\tO' -p144475 -aS'the\tthe\tDT\tB-NP\tO' -p144476 -aS'intracranial\tintracranial\tJJ\tI-NP\tO' -p144477 -aS'circulation\tcirculation\tNN\tI-NP\tO' -p144478 -aS'.\t.\t.\tO\tO' -p144479 -asS'ON 5/14/92 , the patient received an arteriogram which demonstrated an embolus in the right profunda / femoral artery .' -p144480 -(lp144481 -S'ON\tON\tNN\tB-NP\tO' -p144482 -aS'5/14/92\t5/14/92\tCD\tI-NP\tO' -p144483 -aS',\t,\t,\tO\tO' -p144484 -aS'the\tthe\tDT\tB-NP\tO' -p144485 -aS'patient\tpatient\tNN\tI-NP\tO' -p144486 -aS'received\treceive\tVBD\tB-VP\tO' -p144487 -aS'an\tan\tDT\tB-NP\tO' -p144488 -aS'arteriogram\tarteriogram\tNN\tI-NP\tO' -p144489 -aS'which\twhich\tWDT\tB-NP\tO' -p144490 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p144491 -aS'an\tan\tDT\tB-NP\tO' -p144492 -aS'embolus\tembolus\tNN\tI-NP\tO' -p144493 -aS'in\tin\tIN\tB-PP\tO' -p144494 -aS'the\tthe\tDT\tB-NP\tO' -p144495 -aS'right\tright\tJJ\tI-NP\tO' -p144496 -aS'profunda\tprofunda\tNN\tI-NP\tO' -p144497 -aS'/\t/\tSYM\tB-NP\tO' -p144498 -aS'femoral\tfemoral\tJJ\tI-NP\tO' -p144499 -aS'artery\tartery\tNN\tI-NP\tO' -p144500 -aS'.\t.\t.\tO\tO' -p144501 -asS'The patient had fairly significant abdominal pain secondary to persistent cough .' -p144502 -(lp144503 -S'The\tThe\tDT\tB-NP\tO' -p144504 -aS'patient\tpatient\tNN\tI-NP\tO' -p144505 -aS'had\thave\tVBD\tB-VP\tO' -p144506 -aS'fairly\tfairly\tRB\tB-NP\tO' -p144507 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p144508 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p144509 -aS'pain\tpain\tNN\tI-NP\tO' -p144510 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p144511 -aS'to\tto\tTO\tB-PP\tO' -p144512 -aS'persistent\tpersistent\tJJ\tB-NP\tO' -p144513 -aS'cough\tcough\tNN\tI-NP\tO' -p144514 -aS'.\t.\t.\tO\tO' -p144515 -asS'Neck veins distended .' -p144516 -(lp144517 -S'Neck\tNeck\tNN\tB-NP\tO' -p144518 -aS'veins\tvein\tNNS\tI-NP\tO' -p144519 -aS'distended\tdistend\tVBN\tB-VP\tO' -p144520 -aS'.\t.\t.\tO\tO' -p144521 -asS'He will be followed up in Cesa , New York .' -p144522 -(lp144523 -S'He\tHe\tPRP\tB-NP\tO' -p144524 -aS'will\twill\tMD\tB-VP\tO' -p144525 -aS'be\tbe\tVB\tI-VP\tO' -p144526 -aS'followed\tfollow\tVBN\tI-VP\tO' -p144527 -aS'up\tup\tRP\tB-PRT\tO' -p144528 -aS'in\tin\tIN\tB-PP\tO' -p144529 -aS'Cesa\tCesa\tNNP\tB-NP\tO' -p144530 -aS',\t,\t,\tO\tO' -p144531 -aS'New\tNew\tNNP\tB-NP\tO' -p144532 -aS'York\tYork\tNNP\tI-NP\tO' -p144533 -aS'.\t.\t.\tO\tO' -p144534 -asS'Hematocrit 24.6 .' -p144535 -(lp144536 -S'Hematocrit\tHematocrit\tNN\tB-NP\tB-protein' -p144537 -aS'24.6\t24.6\tCD\tI-NP\tI-protein' -p144538 -aS'.\t.\t.\tO\tO' -p144539 -asS'She had rheumatoid fever as a child and a heart murmur noted but no further testing .' -p144540 -(lp144541 -S'She\tShe\tPRP\tB-NP\tO' -p144542 -aS'had\thave\tVBD\tB-VP\tO' -p144543 -aS'rheumatoid\trheumatoid\tJJ\tB-NP\tO' -p144544 -aS'fever\tfever\tNN\tI-NP\tO' -p144545 -aS'as\tas\tIN\tB-PP\tO' -p144546 -aS'a\ta\tDT\tB-NP\tO' -p144547 -aS'child\tchild\tNN\tI-NP\tO' -p144548 -aS'and\tand\tCC\tO\tO' -p144549 -aS'a\ta\tDT\tB-NP\tO' -p144550 -aS'heart\theart\tNN\tI-NP\tO' -p144551 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p144552 -aS'noted\tnote\tVBD\tB-VP\tO' -p144553 -aS'but\tbut\tCC\tO\tO' -p144554 -aS'no\tno\tDT\tB-NP\tO' -p144555 -aS'further\tfurther\tJJ\tI-NP\tO' -p144556 -aS'testing\ttesting\tNN\tI-NP\tO' -p144557 -aS'.\t.\t.\tO\tO' -p144558 -asS'The patient was brought to the Emergency Room one day prior to admission where he was evaluated by Urology and had his catheter changed .' -p144559 -(lp144560 -S'The\tThe\tDT\tB-NP\tO' -p144561 -aS'patient\tpatient\tNN\tI-NP\tO' -p144562 -aS'was\tbe\tVBD\tB-VP\tO' -p144563 -aS'brought\tbring\tVBN\tI-VP\tO' -p144564 -aS'to\tto\tTO\tB-PP\tO' -p144565 -aS'the\tthe\tDT\tB-NP\tO' -p144566 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p144567 -aS'Room\tRoom\tNNP\tI-NP\tO' -p144568 -aS'one\tone\tCD\tI-NP\tO' -p144569 -aS'day\tday\tNN\tI-NP\tO' -p144570 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p144571 -aS'to\tto\tTO\tB-PP\tO' -p144572 -aS'admission\tadmission\tNN\tB-NP\tO' -p144573 -aS'where\twhere\tWRB\tB-ADVP\tO' -p144574 -aS'he\the\tPRP\tB-NP\tO' -p144575 -aS'was\tbe\tVBD\tB-VP\tO' -p144576 -aS'evaluated\tevaluate\tVBN\tI-VP\tO' -p144577 -aS'by\tby\tIN\tB-PP\tO' -p144578 -aS'Urology\tUrology\tNNP\tB-NP\tO' -p144579 -aS'and\tand\tCC\tO\tO' -p144580 -aS'had\thave\tVBD\tB-VP\tO' -p144581 -aS'his\this\tPRP$\tB-NP\tO' -p144582 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p144583 -aS'changed\tchange\tVBD\tB-VP\tO' -p144584 -aS'.\t.\t.\tO\tO' -p144585 -asS'decision was made by the family and the medical team to withdraw care .' -p144586 -(lp144587 -S'decision\tdecision\tNN\tB-NP\tO' -p144588 -aS'was\tbe\tVBD\tB-VP\tO' -p144589 -aS'made\tmake\tVBN\tI-VP\tO' -p144590 -aS'by\tby\tIN\tB-PP\tO' -p144591 -aS'the\tthe\tDT\tB-NP\tO' -p144592 -aS'family\tfamily\tNN\tI-NP\tO' -p144593 -aS'and\tand\tCC\tO\tO' -p144594 -aS'the\tthe\tDT\tB-NP\tO' -p144595 -aS'medical\tmedical\tJJ\tI-NP\tO' -p144596 -aS'team\tteam\tNN\tI-NP\tO' -p144597 -aS'to\tto\tTO\tB-VP\tO' -p144598 -aS'withdraw\twithdraw\tVB\tI-VP\tO' -p144599 -aS'care\tcare\tNN\tB-NP\tO' -p144600 -aS'.\t.\t.\tO\tO' -p144601 -asS'Otherwise you need to see a gynecologist to evaluate this bleeding .' -p144602 -(lp144603 -S'Otherwise\tOtherwise\tRB\tB-ADVP\tO' -p144604 -aS'you\tyou\tPRP\tB-NP\tO' -p144605 -aS'need\tneed\tVBP\tB-VP\tO' -p144606 -aS'to\tto\tTO\tI-VP\tO' -p144607 -aS'see\tsee\tVB\tI-VP\tO' -p144608 -aS'a\ta\tDT\tB-NP\tO' -p144609 -aS'gynecologist\tgynecologist\tNN\tI-NP\tO' -p144610 -aS'to\tto\tTO\tB-VP\tO' -p144611 -aS'evaluate\tevaluate\tVB\tI-VP\tO' -p144612 -aS'this\tthis\tDT\tB-NP\tO' -p144613 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p144614 -aS'.\t.\t.\tO\tO' -p144615 -asS'Full range of motion , no lymphadenopathy .' -p144616 -(lp144617 -S'Full\tFull\tJJ\tB-NP\tO' -p144618 -aS'range\trange\tNN\tI-NP\tO' -p144619 -aS'of\tof\tIN\tB-PP\tO' -p144620 -aS'motion\tmotion\tNN\tB-NP\tO' -p144621 -aS',\t,\t,\tO\tO' -p144622 -aS'no\tno\tDT\tB-NP\tO' -p144623 -aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' -p144624 -aS'.\t.\t.\tO\tO' -p144625 -asS'Larry would like everything done .' -p144626 -(lp144627 -S'Larry\tLarry\tNNP\tB-NP\tO' -p144628 -aS'would\twould\tMD\tB-VP\tO' -p144629 -aS'like\tlike\tVB\tI-VP\tO' -p144630 -aS'everything\teverything\tNN\tB-NP\tO' -p144631 -aS'done\tdo\tVBN\tB-ADJP\tO' -p144632 -aS'.\t.\t.\tO\tO' -p144633 -asS'Signed electronically by : DR. Catherine GOLDSTEIN on : Andrea 2012-06-07 8:18 AM' -p144634 -(lp144635 -S'Signed\tSign\tVBN\tB-VP\tO' -p144636 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p144637 -aS'by\tby\tIN\tB-PP\tO' -p144638 -aS':\t:\t:\tO\tO' -p144639 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p144640 -aS'Catherine\tCatherine\tNNP\tI-NP\tO' -p144641 -aS'GOLDSTEIN\tGOLDSTEIN\tNNP\tI-NP\tO' -p144642 -aS'on\ton\tIN\tB-PP\tO' -p144643 -aS':\t:\t:\tO\tO' -p144644 -aS'Andrea\tAndrea\tNNP\tB-NP\tO' -p144645 -aS'2012-06-07\t2012-06-07\tCD\tB-NP\tO' -p144646 -aS'8:18\t8:18\tCD\tI-NP\tO' -p144647 -aS'AM\tAM\tNN\tI-NP\tO' -p144648 -asS'A head CT scan was negative , but an MRI scan of the spine showed an L5 metastasis with a fracture and had with epidural and paraspinal extension .' -p144649 -(lp144650 -S'A\tA\tDT\tB-NP\tO' -p144651 -aS'head\thead\tNN\tI-NP\tO' -p144652 -aS'CT\tCT\tNN\tI-NP\tO' -p144653 -aS'scan\tscan\tNN\tI-NP\tO' -p144654 -aS'was\tbe\tVBD\tB-VP\tO' -p144655 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p144656 -aS',\t,\t,\tO\tO' -p144657 -aS'but\tbut\tCC\tO\tO' -p144658 -aS'an\tan\tDT\tB-NP\tO' -p144659 -aS'MRI\tMRI\tNN\tI-NP\tO' -p144660 -aS'scan\tscan\tNN\tI-NP\tO' -p144661 -aS'of\tof\tIN\tB-PP\tO' -p144662 -aS'the\tthe\tDT\tB-NP\tO' -p144663 -aS'spine\tspine\tNN\tI-NP\tO' -p144664 -aS'showed\tshow\tVBD\tB-VP\tO' -p144665 -aS'an\tan\tDT\tB-NP\tO' -p144666 -aS'L5\tL5\tNN\tI-NP\tB-DNA' -p144667 -aS'metastasis\tmetastasis\tNN\tI-NP\tO' -p144668 -aS'with\twith\tIN\tB-PP\tO' -p144669 -aS'a\ta\tDT\tB-NP\tO' -p144670 -aS'fracture\tfracture\tNN\tI-NP\tO' -p144671 -aS'and\tand\tCC\tO\tO' -p144672 -aS'had\thave\tVBD\tB-VP\tO' -p144673 -aS'with\twith\tIN\tB-PP\tO' -p144674 -aS'epidural\tepidural\tJJ\tB-NP\tO' -p144675 -aS'and\tand\tCC\tI-NP\tO' -p144676 -aS'paraspinal\tparaspinal\tJJ\tI-NP\tO' -p144677 -aS'extension\textension\tNN\tI-NP\tO' -p144678 -aS'.\t.\t.\tO\tO' -p144679 -asS'Sodium 140 , potassium 4 , chloride 105 , bicarbonate 28 , BUN 17 , creatinine 0.8 , glucose 76 .' -p144680 -(lp144681 -S'Sodium\tSodium\tNN\tB-NP\tB-protein' -p144682 -aS'140\t140\tCD\tI-NP\tI-protein' -p144683 -aS',\t,\t,\tO\tO' -p144684 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p144685 -aS'4\t4\tCD\tI-NP\tO' -p144686 -aS',\t,\t,\tO\tO' -p144687 -aS'chloride\tchloride\tNN\tB-NP\tO' -p144688 -aS'105\t105\tCD\tI-NP\tO' -p144689 -aS',\t,\t,\tO\tO' -p144690 -aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' -p144691 -aS'28\t28\tCD\tI-NP\tO' -p144692 -aS',\t,\t,\tO\tO' -p144693 -aS'BUN\tBUN\tNN\tB-NP\tB-DNA' -p144694 -aS'17\t17\tCD\tI-NP\tI-DNA' -p144695 -aS',\t,\t,\tO\tO' -p144696 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p144697 -aS'0.8\t0.8\tCD\tI-NP\tO' -p144698 -aS',\t,\t,\tO\tO' -p144699 -aS'glucose\tglucose\tNN\tB-NP\tO' -p144700 -aS'76\t76\tCD\tI-NP\tO' -p144701 -aS'.\t.\t.\tO\tO' -p144702 -asS'She was transitioned to a nasal cannula on day of life 20 and remains on nasal cannula O2 100 percent at 13 cc flow .' -p144703 -(lp144704 -S'She\tShe\tPRP\tB-NP\tO' -p144705 -aS'was\tbe\tVBD\tB-VP\tO' -p144706 -aS'transitioned\ttransitione\tVBN\tI-VP\tO' -p144707 -aS'to\tto\tTO\tB-PP\tO' -p144708 -aS'a\ta\tDT\tB-NP\tO' -p144709 -aS'nasal\tnasal\tJJ\tI-NP\tO' -p144710 -aS'cannula\tcannula\tNN\tI-NP\tO' -p144711 -aS'on\ton\tIN\tB-PP\tO' -p144712 -aS'day\tday\tNN\tB-NP\tO' -p144713 -aS'of\tof\tIN\tB-PP\tO' -p144714 -aS'life\tlife\tNN\tB-NP\tO' -p144715 -aS'20\t20\tCD\tI-NP\tO' -p144716 -aS'and\tand\tCC\tO\tO' -p144717 -aS'remains\tremain\tVBZ\tB-VP\tO' -p144718 -aS'on\ton\tIN\tB-PP\tO' -p144719 -aS'nasal\tnasal\tJJ\tB-NP\tO' -p144720 -aS'cannula\tcannula\tNN\tI-NP\tO' -p144721 -aS'O2\tO2\tNN\tI-NP\tO' -p144722 -aS'100\t100\tCD\tI-NP\tO' -p144723 -aS'percent\tpercent\tNN\tI-NP\tO' -p144724 -aS'at\tat\tIN\tB-PP\tO' -p144725 -aS'13\t13\tCD\tB-NP\tO' -p144726 -aS'cc\tcc\tNN\tI-NP\tO' -p144727 -aS'flow\tflow\tNN\tI-NP\tO' -p144728 -aS'.\t.\t.\tO\tO' -p144729 -asS'No intracranial hemorrhage is identified .' -p144730 -(lp144731 -S'No\tNo\tDT\tB-NP\tO' -p144732 -aS'intracranial\tintracranial\tJJ\tI-NP\tO' -p144733 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p144734 -aS'is\tbe\tVBZ\tB-VP\tO' -p144735 -aS'identified\tidentify\tVBN\tI-VP\tO' -p144736 -aS'.\t.\t.\tO\tO' -p144737 -asS'The electrocardiogram normal sinus rhythm at 62 beats per minute , small Qwaves in 3 and F , ST elevation in 2 , 3 , and F. ST Depression in 1 , L and V2 and 3 .' -p144738 -(lp144739 -S'The\tThe\tDT\tB-NP\tO' -p144740 -aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' -p144741 -aS'normal\tnormal\tJJ\tI-NP\tO' -p144742 -aS'sinus\tsinus\tNN\tI-NP\tO' -p144743 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p144744 -aS'at\tat\tIN\tB-PP\tO' -p144745 -aS'62\t62\tCD\tB-NP\tO' -p144746 -aS'beats\tbeat\tNNS\tI-NP\tO' -p144747 -aS'per\tper\tIN\tB-PP\tO' -p144748 -aS'minute\tminute\tNN\tB-NP\tO' -p144749 -aS',\t,\t,\tO\tO' -p144750 -aS'small\tsmall\tJJ\tB-NP\tO' -p144751 -aS'Qwaves\tQwave\tNNS\tI-NP\tO' -p144752 -aS'in\tin\tIN\tB-PP\tO' -p144753 -aS'3\t3\tCD\tB-NP\tO' -p144754 -aS'and\tand\tCC\tO\tO' -p144755 -aS'F\tF\tNNP\tB-NP\tO' -p144756 -aS',\t,\t,\tO\tO' -p144757 -aS'ST\tST\tJJ\tB-NP\tO' -p144758 -aS'elevation\televation\tNN\tI-NP\tO' -p144759 -aS'in\tin\tIN\tB-PP\tO' -p144760 -aS'2\t2\tCD\tB-NP\tO' -p144761 -aS',\t,\t,\tI-NP\tO' -p144762 -aS'3\t3\tCD\tI-NP\tO' -p144763 -aS',\t,\t,\tO\tO' -p144764 -aS'and\tand\tCC\tO\tO' -p144765 -aS'F.\tF.\tNNP\tB-NP\tO' -p144766 -aS'ST\tST\tNNP\tI-NP\tO' -p144767 -aS'Depression\tDepression\tNNP\tI-NP\tO' -p144768 -aS'in\tin\tIN\tB-PP\tO' -p144769 -aS'1\t1\tCD\tB-NP\tO' -p144770 -aS',\t,\t,\tO\tO' -p144771 -aS'L\tL\tNN\tB-NP\tO' -p144772 -aS'and\tand\tCC\tI-NP\tO' -p144773 -aS'V2\tV2\tNN\tI-NP\tB-protein' -p144774 -aS'and\tand\tCC\tI-NP\tI-protein' -p144775 -aS'3\t3\tCD\tI-NP\tI-protein' -p144776 -aS'.\t.\t.\tO\tO' -p144777 -asS"As the Hubbard Regional Hospital hospital course went on the patient 's respiratory did not show mild improvement on the ventilator ." -p144778 -(lp144779 -S'As\tAs\tIN\tB-SBAR\tO' -p144780 -aS'the\tthe\tDT\tB-NP\tO' -p144781 -aS'Hubbard\tHubbard\tNNP\tI-NP\tO' -p144782 -aS'Regional\tRegional\tNNP\tI-NP\tO' -p144783 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p144784 -aS'hospital\thospital\tNN\tI-NP\tO' -p144785 -aS'course\tcourse\tNN\tI-NP\tO' -p144786 -aS'went\tgo\tVBD\tB-VP\tO' -p144787 -aS'on\ton\tIN\tB-PP\tO' -p144788 -aS'the\tthe\tDT\tB-NP\tO' -p144789 -aS'patient\tpatient\tNN\tI-NP\tO' -p144790 -aS"'s\t's\tPOS\tB-NP\tO" -p144791 -aS'respiratory\trespiratory\tNN\tI-NP\tO' -p144792 -aS'did\tdo\tVBD\tB-VP\tO' -p144793 -aS'not\tnot\tRB\tI-VP\tO' -p144794 -aS'show\tshow\tVB\tI-VP\tO' -p144795 -aS'mild\tmild\tJJ\tB-NP\tO' -p144796 -aS'improvement\timprovement\tNN\tI-NP\tO' -p144797 -aS'on\ton\tIN\tB-PP\tO' -p144798 -aS'the\tthe\tDT\tB-NP\tO' -p144799 -aS'ventilator\tventilator\tNN\tI-NP\tO' -p144800 -aS'.\t.\t.\tO\tO' -p144801 -asS'In addition , there were at least two lymph nodes within the porta hepatis which were dissected free and taken en bloc with the specimen .' -p144802 -(lp144803 -S'In\tIn\tIN\tB-PP\tO' -p144804 -aS'addition\taddition\tNN\tB-NP\tO' -p144805 -aS',\t,\t,\tO\tO' -p144806 -aS'there\tthere\tEX\tB-NP\tO' -p144807 -aS'were\tbe\tVBD\tB-VP\tO' -p144808 -aS'at\tat\tIN\tB-NP\tO' -p144809 -aS'least\tleast\tJJS\tI-NP\tO' -p144810 -aS'two\ttwo\tCD\tI-NP\tO' -p144811 -aS'lymph\tlymph\tNN\tI-NP\tO' -p144812 -aS'nodes\tnode\tNNS\tI-NP\tO' -p144813 -aS'within\twithin\tIN\tB-PP\tO' -p144814 -aS'the\tthe\tDT\tB-NP\tO' -p144815 -aS'porta\tporta\tNN\tI-NP\tO' -p144816 -aS'hepatis\thepatis\tNN\tI-NP\tO' -p144817 -aS'which\twhich\tWDT\tB-NP\tO' -p144818 -aS'were\tbe\tVBD\tB-VP\tO' -p144819 -aS'dissected\tdissect\tVBN\tI-VP\tO' -p144820 -aS'free\tfree\tJJ\tB-NP\tO' -p144821 -aS'and\tand\tCC\tI-NP\tO' -p144822 -aS'taken\ttake\tVBN\tI-NP\tO' -p144823 -aS'en\ten\tNN\tI-NP\tO' -p144824 -aS'bloc\tbloc\tNN\tI-NP\tO' -p144825 -aS'with\twith\tIN\tB-PP\tO' -p144826 -aS'the\tthe\tDT\tB-NP\tO' -p144827 -aS'specimen\tspecimen\tNN\tI-NP\tO' -p144828 -aS'.\t.\t.\tO\tO' -p144829 -asS'3 ) Consider oncology follow-up if biopsies suggestive of malignancy' -p144830 -(lp144831 -S'3\t3\tLS\tB-LST\tO' -p144832 -aS')\t)\t)\tO\tO' -p144833 -aS'Consider\tConsider\tVB\tB-VP\tO' -p144834 -aS'oncology\toncology\tNN\tB-NP\tO' -p144835 -aS'follow-up\tfollow-up\tNN\tI-NP\tO' -p144836 -aS'if\tif\tIN\tB-SBAR\tO' -p144837 -aS'biopsies\tbiopsy\tNNS\tB-NP\tO' -p144838 -aS'suggestive\tsuggestive\tJJ\tB-ADJP\tO' -p144839 -aS'of\tof\tIN\tB-PP\tO' -p144840 -aS'malignancy\tmalignancy\tNN\tB-NP\tO' -p144841 -asS'The head , eyes , ears , nose and throat , normocephalic , atraumatic , pupils equal , round , reactive to light and accommodation , extraocular muscles intact , sclera anicteric .' -p144842 -(lp144843 -S'The\tThe\tDT\tB-NP\tO' -p144844 -aS'head\thead\tNN\tI-NP\tO' -p144845 -aS',\t,\t,\tO\tO' -p144846 -aS'eyes\teye\tNNS\tB-NP\tO' -p144847 -aS',\t,\t,\tO\tO' -p144848 -aS'ears\tear\tNNS\tB-NP\tO' -p144849 -aS',\t,\t,\tO\tO' -p144850 -aS'nose\tnose\tNN\tB-NP\tO' -p144851 -aS'and\tand\tCC\tI-NP\tO' -p144852 -aS'throat\tthroat\tNN\tI-NP\tO' -p144853 -aS',\t,\t,\tO\tO' -p144854 -aS'normocephalic\tnormocephalic\tJJ\tB-NP\tO' -p144855 -aS',\t,\t,\tI-NP\tO' -p144856 -aS'atraumatic\tatraumatic\tJJ\tI-NP\tO' -p144857 -aS',\t,\t,\tI-NP\tO' -p144858 -aS'pupils\tpupil\tNNS\tI-NP\tO' -p144859 -aS'equal\tequal\tJJ\tI-NP\tO' -p144860 -aS',\t,\t,\tI-NP\tO' -p144861 -aS'round\tround\tJJ\tI-NP\tO' -p144862 -aS',\t,\t,\tI-NP\tO' -p144863 -aS'reactive\treactive\tJJ\tI-NP\tO' -p144864 -aS'to\tto\tTO\tB-PP\tO' -p144865 -aS'light\tlight\tNN\tB-NP\tO' -p144866 -aS'and\tand\tCC\tI-NP\tO' -p144867 -aS'accommodation\taccommodation\tNN\tI-NP\tO' -p144868 -aS',\t,\t,\tO\tO' -p144869 -aS'extraocular\textraocular\tJJ\tB-NP\tO' -p144870 -aS'muscles\tmuscle\tNNS\tI-NP\tO' -p144871 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p144872 -aS',\t,\t,\tO\tO' -p144873 -aS'sclera\tsclera\tNN\tB-NP\tO' -p144874 -aS'anicteric\tanicteric\tNN\tI-NP\tO' -p144875 -aS'.\t.\t.\tO\tO' -p144876 -asS'U/A on 05-27 c/w UTI .' -p144877 -(lp144878 -S'U/A\tU/A\tNN\tB-NP\tO' -p144879 -aS'on\ton\tIN\tB-PP\tO' -p144880 -aS'05-27\t05-27\tCD\tB-NP\tO' -p144881 -aS'c/w\tc/w\tNN\tI-NP\tO' -p144882 -aS'UTI\tUTI\tNN\tI-NP\tO' -p144883 -aS'.\t.\t.\tO\tO' -p144884 -asS'This was relayed to the family ( Kirk ).' -p144885 -(lp144886 -S'This\tThis\tDT\tB-NP\tO' -p144887 -aS'was\tbe\tVBD\tB-VP\tO' -p144888 -aS'relayed\trelay\tVBN\tI-VP\tO' -p144889 -aS'to\tto\tTO\tB-PP\tO' -p144890 -aS'the\tthe\tDT\tB-NP\tO' -p144891 -aS'family\tfamily\tNN\tI-NP\tO' -p144892 -aS'(\t(\t(\tO\tO' -p144893 -aS'Kirk\tKirk\tNNP\tB-NP\tO' -p144894 -aS').\t).\t)\tO\tO' -p144895 -asS'She will be discharged to home and will be seen in follow-up by her regular physicians as well as Dr. Ko .' -p144896 -(lp144897 -S'She\tShe\tPRP\tB-NP\tO' -p144898 -aS'will\twill\tMD\tB-VP\tO' -p144899 -aS'be\tbe\tVB\tI-VP\tO' -p144900 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p144901 -aS'to\tto\tTO\tB-PP\tO' -p144902 -aS'home\thome\tNN\tB-NP\tO' -p144903 -aS'and\tand\tCC\tO\tO' -p144904 -aS'will\twill\tMD\tB-VP\tO' -p144905 -aS'be\tbe\tVB\tI-VP\tO' -p144906 -aS'seen\tsee\tVBN\tI-VP\tO' -p144907 -aS'in\tin\tIN\tB-PP\tO' -p144908 -aS'follow-up\tfollow-up\tNN\tB-NP\tO' -p144909 -aS'by\tby\tIN\tB-PP\tO' -p144910 -aS'her\ther\tPRP$\tB-NP\tO' -p144911 -aS'regular\tregular\tJJ\tI-NP\tO' -p144912 -aS'physicians\tphysician\tNNS\tI-NP\tO' -p144913 -aS'as\tas\tRB\tB-CONJP\tO' -p144914 -aS'well\twell\tRB\tI-CONJP\tO' -p144915 -aS'as\tas\tIN\tI-CONJP\tO' -p144916 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p144917 -aS'Ko\tKo\tNNP\tI-NP\tO' -p144918 -aS'.\t.\t.\tO\tO' -p144919 -asS'Lamictal / Keflex / Navane / Inderal / Depakote' -p144920 -(lp144921 -S'Lamictal\tLamictal\tJJ\tB-NP\tO' -p144922 -aS'/\t/\tSYM\tI-NP\tO' -p144923 -aS'Keflex\tKeflex\tNN\tI-NP\tO' -p144924 -aS'/\t/\tSYM\tB-NP\tO' -p144925 -aS'Navane\tNavane\tNN\tI-NP\tO' -p144926 -aS'/\t/\tSYM\tI-NP\tO' -p144927 -aS'Inderal\tInderal\tNN\tI-NP\tO' -p144928 -aS'/\t/\tSYM\tO\tO' -p144929 -aS'Depakote\tDepakote\tNN\tB-NP\tO' -p144930 -asS'Right ventricular systolic function appears depressed .' -p144931 -(lp144932 -S'Right\tRight\tRB\tB-NP\tO' -p144933 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p144934 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p144935 -aS'function\tfunction\tNN\tI-NP\tO' -p144936 -aS'appears\tappear\tVBZ\tB-VP\tO' -p144937 -aS'depressed\tdepress\tVBN\tI-VP\tO' -p144938 -aS'.\t.\t.\tO\tO' -p144939 -asS'The ostomy was pink with minimal fluid in the ostomy bag .' -p144940 -(lp144941 -S'The\tThe\tDT\tB-NP\tO' -p144942 -aS'ostomy\tostomy\tNN\tI-NP\tO' -p144943 -aS'was\tbe\tVBD\tB-VP\tO' -p144944 -aS'pink\tpink\tJJ\tB-ADJP\tO' -p144945 -aS'with\twith\tIN\tB-PP\tO' -p144946 -aS'minimal\tminimal\tJJ\tB-NP\tO' -p144947 -aS'fluid\tfluid\tNN\tI-NP\tO' -p144948 -aS'in\tin\tIN\tB-PP\tO' -p144949 -aS'the\tthe\tDT\tB-NP\tO' -p144950 -aS'ostomy\tostomy\tNN\tI-NP\tO' -p144951 -aS'bag\tbag\tNN\tI-NP\tO' -p144952 -aS'.\t.\t.\tO\tO' -p144953 -asS'His vital signs were stable .' -p144954 -(lp144955 -S'His\tHis\tPRP$\tB-NP\tO' -p144956 -aS'vital\tvital\tJJ\tI-NP\tO' -p144957 -aS'signs\tsign\tNNS\tI-NP\tO' -p144958 -aS'were\tbe\tVBD\tB-VP\tO' -p144959 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p144960 -aS'.\t.\t.\tO\tO' -p144961 -asS'Tolerated advancement to a soft mechanical diet well .' -p144962 -(lp144963 -S'Tolerated\tTolerate\tVBN\tB-NP\tO' -p144964 -aS'advancement\tadvancement\tNN\tI-NP\tO' -p144965 -aS'to\tto\tTO\tB-PP\tO' -p144966 -aS'a\ta\tDT\tB-NP\tO' -p144967 -aS'soft\tsoft\tJJ\tI-NP\tO' -p144968 -aS'mechanical\tmechanical\tJJ\tI-NP\tO' -p144969 -aS'diet\tdiet\tNN\tI-NP\tO' -p144970 -aS'well\twell\tRB\tB-ADVP\tO' -p144971 -aS'.\t.\t.\tO\tO' -p144972 -asS'Unable to assess JVP .' -p144973 -(lp144974 -S'Unable\tUnable\tJJ\tB-ADJP\tO' -p144975 -aS'to\tto\tTO\tB-VP\tO' -p144976 -aS'assess\tassess\tVB\tI-VP\tO' -p144977 -aS'JVP\tJVP\tNN\tB-NP\tB-protein' -p144978 -aS'.\t.\t.\tO\tO' -p144979 -asS'In addition , she was slow to awaken after her anesthesia was reversed , and in several attempts to wean from the ventilator , she developed a respiratory acidosis .' -p144980 -(lp144981 -S'In\tIn\tIN\tB-PP\tO' -p144982 -aS'addition\taddition\tNN\tB-NP\tO' -p144983 -aS',\t,\t,\tO\tO' -p144984 -aS'she\tshe\tPRP\tB-NP\tO' -p144985 -aS'was\tbe\tVBD\tB-VP\tO' -p144986 -aS'slow\tslow\tJJ\tB-ADJP\tO' -p144987 -aS'to\tto\tTO\tB-VP\tO' -p144988 -aS'awaken\tawaken\tVB\tI-VP\tO' -p144989 -aS'after\tafter\tIN\tB-PP\tO' -p144990 -aS'her\ther\tPRP$\tB-NP\tO' -p144991 -aS'anesthesia\tanesthesia\tNN\tI-NP\tO' -p144992 -aS'was\tbe\tVBD\tB-VP\tO' -p144993 -aS'reversed\treverse\tVBN\tI-VP\tO' -p144994 -aS',\t,\t,\tO\tO' -p144995 -aS'and\tand\tCC\tO\tO' -p144996 -aS'in\tin\tIN\tB-PP\tO' -p144997 -aS'several\tseveral\tJJ\tB-NP\tO' -p144998 -aS'attempts\tattempt\tNNS\tI-NP\tO' -p144999 -aS'to\tto\tTO\tB-VP\tO' -p145000 -aS'wean\twean\tVB\tI-VP\tO' -p145001 -aS'from\tfrom\tIN\tB-PP\tO' -p145002 -aS'the\tthe\tDT\tB-NP\tO' -p145003 -aS'ventilator\tventilator\tNN\tI-NP\tO' -p145004 -aS',\t,\t,\tO\tO' -p145005 -aS'she\tshe\tPRP\tB-NP\tO' -p145006 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p145007 -aS'a\ta\tDT\tB-NP\tO' -p145008 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p145009 -aS'acidosis\tacidosis\tNN\tI-NP\tO' -p145010 -aS'.\t.\t.\tO\tO' -p145011 -asS'GENITALIA : Normal male .' -p145012 -(lp145013 -S'GENITALIA\tGENITALIA\tNN\tB-NP\tO' -p145014 -aS':\t:\t:\tO\tO' -p145015 -aS'Normal\tNormal\tJJ\tB-NP\tO' -p145016 -aS'male\tmale\tNN\tI-NP\tO' -p145017 -aS'.\t.\t.\tO\tO' -p145018 -asS'His UA had 10-17 white blood cells ; trace leukocyte esterase hyaline casts numbering 60-70 .' -p145019 -(lp145020 -S'His\tHis\tPRP$\tB-NP\tB-cell_type' -p145021 -aS'UA\tUA\tNNP\tI-NP\tI-cell_type' -p145022 -aS'had\thave\tVBD\tB-VP\tI-cell_type' -p145023 -aS'10-17\t10-17\tCD\tB-NP\tI-cell_type' -p145024 -aS'white\twhite\tJJ\tI-NP\tI-cell_type' -p145025 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p145026 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p145027 -aS';\t;\t:\tO\tO' -p145028 -aS'trace\ttrace\tNN\tB-NP\tO' -p145029 -aS'leukocyte\tleukocyte\tNN\tI-NP\tO' -p145030 -aS'esterase\testerase\tNN\tI-NP\tO' -p145031 -aS'hyaline\thyaline\tNN\tI-NP\tO' -p145032 -aS'casts\tcast\tVBZ\tB-VP\tO' -p145033 -aS'numbering\tnumbering\tNN\tB-NP\tO' -p145034 -aS'60-70\t60-70\tCD\tI-NP\tO' -p145035 -aS'.\t.\t.\tO\tO' -p145036 -asS'She underwent usual pre-operative testing along with carotid ultrasound .' -p145037 -(lp145038 -S'She\tShe\tPRP\tB-NP\tO' -p145039 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p145040 -aS'usual\tusual\tJJ\tB-NP\tO' -p145041 -aS'pre-operative\tpre-operative\tJJ\tI-NP\tO' -p145042 -aS'testing\ttesting\tNN\tI-NP\tO' -p145043 -aS'along\talong\tIN\tB-PP\tO' -p145044 -aS'with\twith\tIN\tB-PP\tO' -p145045 -aS'carotid\tcarotid\tNN\tB-NP\tO' -p145046 -aS'ultrasound\tultrasound\tNN\tI-NP\tO' -p145047 -aS'.\t.\t.\tO\tO' -p145048 -asS'8. Sciatica .' -p145049 -(lp145050 -S'8.\t8.\tCD\tB-NP\tO' -p145051 -aS'Sciatica\tSciatica\tNNP\tI-NP\tO' -p145052 -aS'.\t.\t.\tO\tO' -p145053 -asS'The blood cultures obtained a Oaksgekesser/ Memorial Hospital were negative .' -p145054 -(lp145055 -S'The\tThe\tDT\tB-NP\tO' -p145056 -aS'blood\tblood\tNN\tI-NP\tO' -p145057 -aS'cultures\tculture\tNNS\tI-NP\tO' -p145058 -aS'obtained\tobtain\tVBD\tB-VP\tO' -p145059 -aS'a\ta\tDT\tB-NP\tO' -p145060 -aS'Oaksgekesser/\tOaksgekesser/\tNNP\tI-NP\tO' -p145061 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p145062 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p145063 -aS'were\tbe\tVBD\tB-VP\tO' -p145064 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p145065 -aS'.\t.\t.\tO\tO' -p145066 -asS'She was discharged from the hospital about 18 days prior to her admission , following a month long stay .' -p145067 -(lp145068 -S'She\tShe\tPRP\tB-NP\tO' -p145069 -aS'was\tbe\tVBD\tB-VP\tO' -p145070 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p145071 -aS'from\tfrom\tIN\tB-PP\tO' -p145072 -aS'the\tthe\tDT\tB-NP\tO' -p145073 -aS'hospital\thospital\tNN\tI-NP\tO' -p145074 -aS'about\tabout\tRB\tB-NP\tO' -p145075 -aS'18\t18\tCD\tI-NP\tO' -p145076 -aS'days\tday\tNNS\tI-NP\tO' -p145077 -aS'prior\tprior\tRB\tB-ADVP\tO' -p145078 -aS'to\tto\tTO\tB-PP\tO' -p145079 -aS'her\ther\tPRP$\tB-NP\tO' -p145080 -aS'admission\tadmission\tNN\tI-NP\tO' -p145081 -aS',\t,\t,\tO\tO' -p145082 -aS'following\tfollow\tVBG\tB-PP\tO' -p145083 -aS'a\ta\tDT\tB-NP\tO' -p145084 -aS'month\tmonth\tNN\tI-NP\tO' -p145085 -aS'long\tlong\tJJ\tI-NP\tO' -p145086 -aS'stay\tstay\tNN\tI-NP\tO' -p145087 -aS'.\t.\t.\tO\tO' -p145088 -asS'Right ventricular systolic function is normal .' -p145089 -(lp145090 -S'Right\tRight\tRB\tB-NP\tO' -p145091 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p145092 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p145093 -aS'function\tfunction\tNN\tI-NP\tO' -p145094 -aS'is\tbe\tVBZ\tB-VP\tO' -p145095 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p145096 -aS'.\t.\t.\tO\tO' -p145097 -asS'2014-04-18 Off Pump Coronary Artery Bypass Grafting utilizing the left internal mammary artery to left anterior descending artery , free right internal mammary to obtuse marginal and vein graft to diagonal .' -p145098 -(lp145099 -S'2014-04-18\t2014-04-18\tCD\tB-NP\tO' -p145100 -aS'Off\tOff\tNNP\tI-NP\tO' -p145101 -aS'Pump\tPump\tNNP\tI-NP\tO' -p145102 -aS'Coronary\tCoronary\tNNP\tI-NP\tO' -p145103 -aS'Artery\tArtery\tNNP\tI-NP\tO' -p145104 -aS'Bypass\tBypass\tNNP\tI-NP\tO' -p145105 -aS'Grafting\tGrafting\tNNP\tI-NP\tO' -p145106 -aS'utilizing\tutilize\tVBG\tB-VP\tO' -p145107 -aS'the\tthe\tDT\tB-NP\tO' -p145108 -aS'left\tleft\tJJ\tI-NP\tO' -p145109 -aS'internal\tinternal\tJJ\tI-NP\tO' -p145110 -aS'mammary\tmammary\tJJ\tI-NP\tO' -p145111 -aS'artery\tartery\tNN\tI-NP\tO' -p145112 -aS'to\tto\tTO\tB-VP\tO' -p145113 -aS'left\tleft\tVB\tI-VP\tO' -p145114 -aS'anterior\tanterior\tJJ\tB-NP\tO' -p145115 -aS'descending\tdescend\tVBG\tI-NP\tO' -p145116 -aS'artery\tartery\tNN\tI-NP\tO' -p145117 -aS',\t,\t,\tO\tO' -p145118 -aS'free\tfree\tJJ\tB-NP\tO' -p145119 -aS'right\tright\tJJ\tI-NP\tO' -p145120 -aS'internal\tinternal\tJJ\tI-NP\tO' -p145121 -aS'mammary\tmammary\tNN\tI-NP\tO' -p145122 -aS'to\tto\tTO\tB-VP\tO' -p145123 -aS'obtuse\tobtuse\tVB\tI-VP\tO' -p145124 -aS'marginal\tmarginal\tJJ\tB-NP\tO' -p145125 -aS'and\tand\tCC\tI-NP\tO' -p145126 -aS'vein\tvein\tNN\tI-NP\tO' -p145127 -aS'graft\tgraft\tNN\tI-NP\tO' -p145128 -aS'to\tto\tTO\tB-PP\tO' -p145129 -aS'diagonal\tdiagonal\tJJ\tB-NP\tO' -p145130 -aS'.\t.\t.\tO\tO' -p145131 -asS'The patient periodically required transfusions of fresh frozen plasma , as well as platelets and red cells .' -p145132 -(lp145133 -S'The\tThe\tDT\tB-NP\tO' -p145134 -aS'patient\tpatient\tNN\tI-NP\tO' -p145135 -aS'periodically\tperiodically\tRB\tB-ADVP\tO' -p145136 -aS'required\trequire\tVBD\tB-VP\tO' -p145137 -aS'transfusions\ttransfusion\tNNS\tB-NP\tO' -p145138 -aS'of\tof\tIN\tB-PP\tO' -p145139 -aS'fresh\tfresh\tJJ\tB-NP\tO' -p145140 -aS'frozen\tfreeze\tVBN\tI-NP\tO' -p145141 -aS'plasma\tplasma\tNN\tI-NP\tO' -p145142 -aS',\t,\t,\tO\tO' -p145143 -aS'as\tas\tRB\tB-CONJP\tO' -p145144 -aS'well\twell\tRB\tI-CONJP\tO' -p145145 -aS'as\tas\tIN\tI-CONJP\tO' -p145146 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p145147 -aS'and\tand\tCC\tO\tO' -p145148 -aS'red\tred\tJJ\tB-NP\tB-cell_type' -p145149 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p145150 -aS'.\t.\t.\tO\tO' -p145151 -asS'He had 3 specimens sent for C. difficile which were negative .' -p145152 -(lp145153 -S'He\tHe\tPRP\tB-NP\tO' -p145154 -aS'had\thave\tVBD\tB-VP\tO' -p145155 -aS'3\t3\tCD\tB-NP\tO' -p145156 -aS'specimens\tspecimen\tNNS\tI-NP\tO' -p145157 -aS'sent\tsend\tVBN\tB-VP\tO' -p145158 -aS'for\tfor\tIN\tB-PP\tO' -p145159 -aS'C.\tC.\tNNP\tB-NP\tO' -p145160 -aS'difficile\tdifficile\tNN\tI-NP\tO' -p145161 -aS'which\twhich\tWDT\tB-NP\tO' -p145162 -aS'were\tbe\tVBD\tB-VP\tO' -p145163 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p145164 -aS'.\t.\t.\tO\tO' -p145165 -asS'Pt was o/w in his USOH until 2-3 weeks ago when he developed a URI with symptoms of dry cough; no fever , chills , sore throat , myalgias .' -p145166 -(lp145167 -S'Pt\tPt\tNN\tB-NP\tO' -p145168 -aS'was\tbe\tVBD\tB-VP\tO' -p145169 -aS'o/w\to/w\tJJ\tB-ADJP\tO' -p145170 -aS'in\tin\tIN\tB-PP\tO' -p145171 -aS'his\this\tPRP$\tB-NP\tO' -p145172 -aS'USOH\tUSOH\tNN\tI-NP\tB-protein' -p145173 -aS'until\tuntil\tIN\tB-PP\tI-protein' -p145174 -aS'2-3\t2-3\tCD\tB-NP\tI-protein' -p145175 -aS'weeks\tweek\tNNS\tI-NP\tI-protein' -p145176 -aS'ago\tago\tRB\tB-ADVP\tO' -p145177 -aS'when\twhen\tWRB\tB-ADVP\tO' -p145178 -aS'he\the\tPRP\tB-NP\tO' -p145179 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p145180 -aS'a\ta\tDT\tB-NP\tO' -p145181 -aS'URI\tURI\tNN\tI-NP\tB-DNA' -p145182 -aS'with\twith\tIN\tB-PP\tO' -p145183 -aS'symptoms\tsymptom\tNNS\tB-NP\tO' -p145184 -aS'of\tof\tIN\tB-PP\tO' -p145185 -aS'dry\tdry\tJJ\tB-NP\tO' -p145186 -aS'cough;\tcough;\tNN\tI-NP\tO' -p145187 -aS'no\tno\tDT\tB-NP\tO' -p145188 -aS'fever\tfever\tNN\tI-NP\tO' -p145189 -aS',\t,\t,\tO\tO' -p145190 -aS'chills\tchill\tNNS\tB-NP\tO' -p145191 -aS',\t,\t,\tO\tO' -p145192 -aS'sore\tsore\tNN\tB-NP\tO' -p145193 -aS'throat\tthroat\tNN\tI-NP\tO' -p145194 -aS',\t,\t,\tO\tO' -p145195 -aS'myalgias\tmyalgia\tNNS\tB-NP\tO' -p145196 -aS'.\t.\t.\tO\tO' -p145197 -asS'On postoperative day 4 , after the initial surgery , the patient had increased shortness of breath and tachycardia with abdominal pain .' -p145198 -(lp145199 -S'On\tOn\tIN\tB-PP\tO' -p145200 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p145201 -aS'day\tday\tNN\tI-NP\tO' -p145202 -aS'4\t4\tCD\tI-NP\tO' -p145203 -aS',\t,\t,\tO\tO' -p145204 -aS'after\tafter\tIN\tB-PP\tO' -p145205 -aS'the\tthe\tDT\tB-NP\tO' -p145206 -aS'initial\tinitial\tJJ\tI-NP\tO' -p145207 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p145208 -aS',\t,\t,\tO\tO' -p145209 -aS'the\tthe\tDT\tB-NP\tO' -p145210 -aS'patient\tpatient\tNN\tI-NP\tO' -p145211 -aS'had\thave\tVBD\tB-VP\tO' -p145212 -aS'increased\tincrease\tVBN\tI-VP\tO' -p145213 -aS'shortness\tshortness\tNN\tB-NP\tO' -p145214 -aS'of\tof\tIN\tB-PP\tO' -p145215 -aS'breath\tbreath\tNN\tB-NP\tO' -p145216 -aS'and\tand\tCC\tI-NP\tO' -p145217 -aS'tachycardia\ttachycardia\tNN\tI-NP\tO' -p145218 -aS'with\twith\tIN\tB-PP\tO' -p145219 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p145220 -aS'pain\tpain\tNN\tI-NP\tO' -p145221 -aS'.\t.\t.\tO\tO' -p145222 -asS'Microscopic exam showed 4+ Staph .' -p145223 -(lp145224 -S'Microscopic\tMicroscopic\tJJ\tB-NP\tO' -p145225 -aS'exam\texam\tNN\tI-NP\tO' -p145226 -aS'showed\tshow\tVBD\tB-VP\tO' -p145227 -aS'4+\t4+\tJJ\tB-NP\tO' -p145228 -aS'Staph\tStaph\tNNP\tI-NP\tO' -p145229 -aS'.\t.\t.\tO\tO' -p145230 -asS'He was then called out to the medical floor on 01-21 .' -p145231 -(lp145232 -S'He\tHe\tPRP\tB-NP\tO' -p145233 -aS'was\tbe\tVBD\tB-VP\tO' -p145234 -aS'then\tthen\tRB\tI-VP\tO' -p145235 -aS'called\tcall\tVBN\tI-VP\tO' -p145236 -aS'out\tout\tRP\tB-PRT\tO' -p145237 -aS'to\tto\tTO\tB-PP\tO' -p145238 -aS'the\tthe\tDT\tB-NP\tO' -p145239 -aS'medical\tmedical\tJJ\tI-NP\tO' -p145240 -aS'floor\tfloor\tNN\tI-NP\tO' -p145241 -aS'on\ton\tIN\tB-PP\tO' -p145242 -aS'01-21\t01-21\tCD\tB-NP\tO' -p145243 -aS'.\t.\t.\tO\tO' -p145244 -asS'There are no pleural effusions or focal consolidations .' -p145245 -(lp145246 -S'There\tThere\tEX\tB-NP\tO' -p145247 -aS'are\tbe\tVBP\tB-VP\tO' -p145248 -aS'no\tno\tDT\tB-NP\tO' -p145249 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p145250 -aS'effusions\teffusion\tNNS\tI-NP\tO' -p145251 -aS'or\tor\tCC\tO\tO' -p145252 -aS'focal\tfocal\tJJ\tB-NP\tO' -p145253 -aS'consolidations\tconsolidation\tNNS\tI-NP\tO' -p145254 -aS'.\t.\t.\tO\tO' -p145255 -asS'Patient underwent a total abdominal hysterectomy in 02/90 for a 4x3.6x2 cm cervical mass felt to be a fibroid at Vanor .' -p145256 -(lp145257 -S'Patient\tPatient\tNN\tB-NP\tO' -p145258 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p145259 -aS'a\ta\tDT\tB-NP\tO' -p145260 -aS'total\ttotal\tJJ\tI-NP\tO' -p145261 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p145262 -aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' -p145263 -aS'in\tin\tIN\tB-PP\tO' -p145264 -aS'02/90\t02/90\tCD\tB-NP\tO' -p145265 -aS'for\tfor\tIN\tB-PP\tO' -p145266 -aS'a\ta\tDT\tB-NP\tO' -p145267 -aS'4x3.6x2\t4x3.6x2\tCD\tI-NP\tO' -p145268 -aS'cm\tcm\tNN\tI-NP\tO' -p145269 -aS'cervical\tcervical\tJJ\tI-NP\tO' -p145270 -aS'mass\tmass\tNN\tI-NP\tO' -p145271 -aS'felt\tfeel\tVBD\tB-VP\tO' -p145272 -aS'to\tto\tTO\tI-VP\tO' -p145273 -aS'be\tbe\tVB\tI-VP\tO' -p145274 -aS'a\ta\tDT\tB-NP\tO' -p145275 -aS'fibroid\tfibroid\tNN\tI-NP\tO' -p145276 -aS'at\tat\tIN\tB-PP\tO' -p145277 -aS'Vanor\tVanor\tNNP\tB-NP\tO' -p145278 -aS'.\t.\t.\tO\tO' -p145279 -asS'The thallium images showed a large region of persistently reduced blood flow involving the apex and inferoposterior segments of the left ventricular wall .' -p145280 -(lp145281 -S'The\tThe\tDT\tB-NP\tO' -p145282 -aS'thallium\tthallium\tNN\tI-NP\tO' -p145283 -aS'images\timage\tNNS\tI-NP\tO' -p145284 -aS'showed\tshow\tVBD\tB-VP\tO' -p145285 -aS'a\ta\tDT\tB-NP\tO' -p145286 -aS'large\tlarge\tJJ\tI-NP\tO' -p145287 -aS'region\tregion\tNN\tI-NP\tO' -p145288 -aS'of\tof\tIN\tB-PP\tO' -p145289 -aS'persistently\tpersistently\tRB\tB-NP\tO' -p145290 -aS'reduced\treduce\tVBN\tI-NP\tO' -p145291 -aS'blood\tblood\tNN\tI-NP\tO' -p145292 -aS'flow\tflow\tNN\tI-NP\tO' -p145293 -aS'involving\tinvolve\tVBG\tB-VP\tO' -p145294 -aS'the\tthe\tDT\tB-NP\tO' -p145295 -aS'apex\tapex\tNN\tI-NP\tO' -p145296 -aS'and\tand\tCC\tO\tO' -p145297 -aS'inferoposterior\tinferoposterior\tJJ\tB-NP\tO' -p145298 -aS'segments\tsegment\tNNS\tI-NP\tO' -p145299 -aS'of\tof\tIN\tB-PP\tO' -p145300 -aS'the\tthe\tDT\tB-NP\tO' -p145301 -aS'left\tleft\tJJ\tI-NP\tO' -p145302 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p145303 -aS'wall\twall\tNN\tI-NP\tO' -p145304 -aS'.\t.\t.\tO\tO' -p145305 -asS'She was weaned off the oxygen and for the remainder of her course her O2sats were stable on room air .' -p145306 -(lp145307 -S'She\tShe\tPRP\tB-NP\tO' -p145308 -aS'was\tbe\tVBD\tB-VP\tO' -p145309 -aS'weaned\twean\tVBN\tI-VP\tO' -p145310 -aS'off\toff\tIN\tB-PP\tO' -p145311 -aS'the\tthe\tDT\tB-NP\tO' -p145312 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p145313 -aS'and\tand\tCC\tB-PP\tO' -p145314 -aS'for\tfor\tIN\tB-PP\tO' -p145315 -aS'the\tthe\tDT\tB-NP\tO' -p145316 -aS'remainder\tremainder\tNN\tI-NP\tO' -p145317 -aS'of\tof\tIN\tB-PP\tO' -p145318 -aS'her\ther\tPRP$\tB-NP\tO' -p145319 -aS'course\tcourse\tNN\tI-NP\tO' -p145320 -aS'her\ther\tPRP$\tB-NP\tO' -p145321 -aS'O2sats\tO2sat\tNNS\tI-NP\tO' -p145322 -aS'were\tbe\tVBD\tB-VP\tO' -p145323 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p145324 -aS'on\ton\tIN\tB-PP\tO' -p145325 -aS'room\troom\tNN\tB-NP\tO' -p145326 -aS'air\tair\tNN\tI-NP\tO' -p145327 -aS'.\t.\t.\tO\tO' -p145328 -asS'There was no erythema or purulence .' -p145329 -(lp145330 -S'There\tThere\tEX\tB-NP\tO' -p145331 -aS'was\tbe\tVBD\tB-VP\tO' -p145332 -aS'no\tno\tDT\tB-NP\tO' -p145333 -aS'erythema\terythema\tNN\tI-NP\tO' -p145334 -aS'or\tor\tCC\tI-NP\tO' -p145335 -aS'purulence\tpurulence\tNN\tI-NP\tO' -p145336 -aS'.\t.\t.\tO\tO' -p145337 -asS'Overnight she became febrile to 102.3 , increasingly tachycardic to 125 , and hypotensive to 80 systolic .' -p145338 -(lp145339 -S'Overnight\tOvernight\tRB\tB-ADVP\tO' -p145340 -aS'she\tshe\tPRP\tB-NP\tO' -p145341 -aS'became\tbecome\tVBD\tB-VP\tO' -p145342 -aS'febrile\tfebrile\tJJ\tB-ADJP\tO' -p145343 -aS'to\tto\tTO\tB-PP\tO' -p145344 -aS'102.3\t102.3\tCD\tB-NP\tO' -p145345 -aS',\t,\t,\tO\tO' -p145346 -aS'increasingly\tincreasingly\tRB\tB-ADJP\tO' -p145347 -aS'tachycardic\ttachycardic\tJJ\tI-ADJP\tO' -p145348 -aS'to\tto\tTO\tB-PP\tO' -p145349 -aS'125\t125\tCD\tB-NP\tO' -p145350 -aS',\t,\t,\tO\tO' -p145351 -aS'and\tand\tCC\tO\tO' -p145352 -aS'hypotensive\thypotensive\tJJ\tB-ADJP\tO' -p145353 -aS'to\tto\tTO\tB-PP\tO' -p145354 -aS'80\t80\tCD\tB-NP\tO' -p145355 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p145356 -aS'.\t.\t.\tO\tO' -p145357 -asS'24. Prednisone 2.5 mg Tablet Sig : One ( 1 ) Tablet PO Q 3PM ( ) .' -p145358 -(lp145359 -S'24.\t24.\tLS\tB-NP\tO' -p145360 -aS'Prednisone\tPrednisone\tNN\tI-NP\tO' -p145361 -aS'2.5\t2.5\tCD\tI-NP\tO' -p145362 -aS'mg\tmg\tNN\tI-NP\tO' -p145363 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p145364 -aS'Sig\tSig\tNNP\tI-NP\tO' -p145365 -aS':\t:\t:\tO\tO' -p145366 -aS'One\tOne\tCD\tB-NP\tO' -p145367 -aS'(\t(\t(\tO\tO' -p145368 -aS'1\t1\tCD\tB-NP\tO' -p145369 -aS')\t)\t)\tO\tO' -p145370 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p145371 -aS'PO\tPO\tNN\tI-NP\tO' -p145372 -aS'Q\tQ\tNN\tI-NP\tO' -p145373 -aS'3PM\t3PM\tNN\tI-NP\tO' -p145374 -aS'(\t(\t(\tO\tO' -p145375 -aS')\t)\t)\tO\tO' -p145376 -aS'.\t.\t.\tO\tO' -p145377 -asS'On admission examination she was a well developed , well nourished female in no apparent distress .' -p145378 -(lp145379 -S'On\tOn\tIN\tB-PP\tO' -p145380 -aS'admission\tadmission\tNN\tB-NP\tO' -p145381 -aS'examination\texamination\tNN\tI-NP\tO' -p145382 -aS'she\tshe\tPRP\tB-NP\tO' -p145383 -aS'was\tbe\tVBD\tB-VP\tO' -p145384 -aS'a\ta\tDT\tB-NP\tO' -p145385 -aS'well\twell\tRB\tI-NP\tO' -p145386 -aS'developed\tdevelop\tVBN\tI-NP\tO' -p145387 -aS',\t,\t,\tO\tO' -p145388 -aS'well\twell\tRB\tB-ADVP\tO' -p145389 -aS'nourished\tnourish\tVBD\tB-VP\tO' -p145390 -aS'female\tfemale\tNN\tB-NP\tO' -p145391 -aS'in\tin\tIN\tB-PP\tO' -p145392 -aS'no\tno\tDT\tB-NP\tO' -p145393 -aS'apparent\tapparent\tJJ\tI-NP\tO' -p145394 -aS'distress\tdistress\tNN\tI-NP\tO' -p145395 -aS'.\t.\t.\tO\tO' -p145396 -asS'2. Right-sided congenital cystic adenomatoid malformation .' -p145397 -(lp145398 -S'2.\t2.\tLS\tB-NP\tO' -p145399 -aS'Right-sided\tRight-sided\tJJ\tI-NP\tO' -p145400 -aS'congenital\tcongenital\tJJ\tI-NP\tO' -p145401 -aS'cystic\tcystic\tJJ\tI-NP\tO' -p145402 -aS'adenomatoid\tadenomatoid\tJJ\tI-NP\tO' -p145403 -aS'malformation\tmalformation\tNN\tI-NP\tO' -p145404 -aS'.\t.\t.\tO\tO' -p145405 -asS'In addition , she will take Ciprofloxacin for nine more days .' -p145406 -(lp145407 -S'In\tIn\tIN\tB-PP\tO' -p145408 -aS'addition\taddition\tNN\tB-NP\tO' -p145409 -aS',\t,\t,\tO\tO' -p145410 -aS'she\tshe\tPRP\tB-NP\tO' -p145411 -aS'will\twill\tMD\tB-VP\tO' -p145412 -aS'take\ttake\tVB\tI-VP\tO' -p145413 -aS'Ciprofloxacin\tCiprofloxacin\tNN\tB-NP\tO' -p145414 -aS'for\tfor\tIN\tB-PP\tO' -p145415 -aS'nine\tnine\tCD\tB-NP\tO' -p145416 -aS'more\tmore\tJJR\tI-NP\tO' -p145417 -aS'days\tday\tNNS\tI-NP\tO' -p145418 -aS'.\t.\t.\tO\tO' -p145419 -asS'# Respiratory failure - She was admitted to the CMED CSRU for her repiratory failure which was thought to be secondary to CHF .' -p145420 -(lp145421 -S'#\t#\t#\tB-NP\tO' -p145422 -aS'Respiratory\tRespiratory\tJJ\tI-NP\tO' -p145423 -aS'failure\tfailure\tNN\tI-NP\tO' -p145424 -aS'-\t-\tHYPH\tO\tO' -p145425 -aS'She\tShe\tNN\tB-NP\tB-protein' -p145426 -aS'was\tbe\tVBD\tB-VP\tO' -p145427 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p145428 -aS'to\tto\tTO\tB-PP\tO' -p145429 -aS'the\tthe\tDT\tB-NP\tO' -p145430 -aS'CMED\tCMED\tNNP\tI-NP\tO' -p145431 -aS'CSRU\tCSRU\tNNP\tI-NP\tO' -p145432 -aS'for\tfor\tIN\tB-PP\tO' -p145433 -aS'her\ther\tPRP$\tB-NP\tO' -p145434 -aS'repiratory\trepiratory\tJJ\tI-NP\tO' -p145435 -aS'failure\tfailure\tNN\tI-NP\tO' -p145436 -aS'which\twhich\tWDT\tB-NP\tO' -p145437 -aS'was\tbe\tVBD\tB-VP\tO' -p145438 -aS'thought\tthink\tVBN\tI-VP\tO' -p145439 -aS'to\tto\tTO\tI-VP\tO' -p145440 -aS'be\tbe\tVB\tI-VP\tO' -p145441 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p145442 -aS'to\tto\tTO\tB-PP\tO' -p145443 -aS'CHF\tCHF\tNN\tB-NP\tB-protein' -p145444 -aS'.\t.\t.\tO\tO' -p145445 -asS'The night of Oct 14 , 1999 the patient developed chest discomfort associated with shortness of breath .' -p145446 -(lp145447 -S'The\tThe\tDT\tB-NP\tO' -p145448 -aS'night\tnight\tNN\tI-NP\tO' -p145449 -aS'of\tof\tIN\tB-PP\tO' -p145450 -aS'Oct\tOct\tNN\tB-NP\tB-protein' -p145451 -aS'14\t14\tCD\tI-NP\tI-protein' -p145452 -aS',\t,\t,\tI-NP\tO' -p145453 -aS'1999\t1999\tCD\tI-NP\tO' -p145454 -aS'the\tthe\tDT\tB-NP\tO' -p145455 -aS'patient\tpatient\tNN\tI-NP\tO' -p145456 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p145457 -aS'chest\tchest\tNN\tB-NP\tO' -p145458 -aS'discomfort\tdiscomfort\tNN\tI-NP\tO' -p145459 -aS'associated\tassociate\tVBN\tB-VP\tO' -p145460 -aS'with\twith\tIN\tB-PP\tO' -p145461 -aS'shortness\tshortness\tNN\tB-NP\tO' -p145462 -aS'of\tof\tIN\tB-PP\tO' -p145463 -aS'breath\tbreath\tNN\tB-NP\tO' -p145464 -aS'.\t.\t.\tO\tO' -p145465 -asS'1. Furosemide 20 mg Tablet Sig : One ( 1 ) Tablet PO once a day for 5 days .' -p145466 -(lp145467 -S'1.\t1.\tLS\tB-NP\tO' -p145468 -aS'Furosemide\tFurosemide\tNN\tI-NP\tO' -p145469 -aS'20\t20\tCD\tI-NP\tO' -p145470 -aS'mg\tmg\tNN\tI-NP\tO' -p145471 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p145472 -aS'Sig\tSig\tNNP\tI-NP\tO' -p145473 -aS':\t:\t:\tO\tO' -p145474 -aS'One\tOne\tCD\tB-NP\tO' -p145475 -aS'(\t(\t(\tO\tO' -p145476 -aS'1\t1\tCD\tB-NP\tO' -p145477 -aS')\t)\t)\tO\tO' -p145478 -aS'Tablet\tTablet\tNN\tB-NP\tB-protein' -p145479 -aS'PO\tPO\tNN\tI-NP\tI-protein' -p145480 -aS'once\tonce\tRB\tO\tO' -p145481 -aS'a\ta\tDT\tB-NP\tO' -p145482 -aS'day\tday\tNN\tI-NP\tO' -p145483 -aS'for\tfor\tIN\tB-PP\tO' -p145484 -aS'5\t5\tCD\tB-NP\tO' -p145485 -aS'days\tday\tNNS\tI-NP\tO' -p145486 -aS'.\t.\t.\tO\tO' -p145487 -asS'Her blood pressure responds well to this .' -p145488 -(lp145489 -S'Her\tHer\tPRP$\tB-NP\tO' -p145490 -aS'blood\tblood\tNN\tI-NP\tO' -p145491 -aS'pressure\tpressure\tNN\tI-NP\tO' -p145492 -aS'responds\trespond\tVBZ\tB-VP\tO' -p145493 -aS'well\twell\tRB\tB-ADVP\tO' -p145494 -aS'to\tto\tTO\tB-PP\tO' -p145495 -aS'this\tthis\tDT\tB-NP\tO' -p145496 -aS'.\t.\t.\tO\tO' -p145497 -asS'CSF leak .' -p145498 -(lp145499 -S'CSF\tCSF\tNN\tB-NP\tB-protein' -p145500 -aS'leak\tleak\tNN\tI-NP\tO' -p145501 -aS'.\t.\t.\tO\tO' -p145502 -asS'It was equally up to 700 cc. an hour and a renal consultation was obtained .' -p145503 -(lp145504 -S'It\tIt\tPRP\tB-NP\tO' -p145505 -aS'was\tbe\tVBD\tB-VP\tO' -p145506 -aS'equally\tequally\tRB\tB-ADVP\tO' -p145507 -aS'up\tup\tIN\tB-NP\tO' -p145508 -aS'to\tto\tTO\tI-NP\tO' -p145509 -aS'700\t700\tCD\tI-NP\tO' -p145510 -aS'cc.\tcc.\tNN\tI-NP\tO' -p145511 -aS'an\tan\tDT\tB-NP\tO' -p145512 -aS'hour\thour\tNN\tI-NP\tO' -p145513 -aS'and\tand\tCC\tO\tO' -p145514 -aS'a\ta\tDT\tB-NP\tO' -p145515 -aS'renal\trenal\tJJ\tI-NP\tO' -p145516 -aS'consultation\tconsultation\tNN\tI-NP\tO' -p145517 -aS'was\tbe\tVBD\tB-VP\tO' -p145518 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p145519 -aS'.\t.\t.\tO\tO' -p145520 -asS'( 3 ) hypertension .' -p145521 -(lp145522 -S'(\t(\t(\tB-LST\tO' -p145523 -aS'3\t3\tLS\tI-LST\tO' -p145524 -aS')\t)\t)\tO\tO' -p145525 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p145526 -aS'.\t.\t.\tO\tO' -p145527 -asS'She weaned to room air on day of life one where she has remained since that time .' -p145528 -(lp145529 -S'She\tShe\tPRP\tB-NP\tO' -p145530 -aS'weaned\twean\tVBD\tB-VP\tO' -p145531 -aS'to\tto\tTO\tB-PP\tO' -p145532 -aS'room\troom\tNN\tB-NP\tO' -p145533 -aS'air\tair\tNN\tI-NP\tO' -p145534 -aS'on\ton\tIN\tB-PP\tO' -p145535 -aS'day\tday\tNN\tB-NP\tO' -p145536 -aS'of\tof\tIN\tB-PP\tO' -p145537 -aS'life\tlife\tNN\tB-NP\tO' -p145538 -aS'one\tone\tCD\tI-NP\tO' -p145539 -aS'where\twhere\tWRB\tB-ADVP\tO' -p145540 -aS'she\tshe\tPRP\tB-NP\tO' -p145541 -aS'has\thave\tVBZ\tB-VP\tO' -p145542 -aS'remained\tremain\tVBN\tI-VP\tO' -p145543 -aS'since\tsince\tIN\tB-PP\tO' -p145544 -aS'that\tthat\tDT\tB-NP\tO' -p145545 -aS'time\ttime\tNN\tI-NP\tO' -p145546 -aS'.\t.\t.\tO\tO' -p145547 -asS'Stable and improved .' -p145548 -(lp145549 -S'Stable\tStable\tJJ\tB-ADJP\tO' -p145550 -aS'and\tand\tCC\tI-ADJP\tO' -p145551 -aS'improved\timprove\tVBN\tI-ADJP\tO' -p145552 -aS'.\t.\t.\tO\tO' -p145553 -asS'The patient was cleared for surgery by Dr. Lupevickette Ca .' -p145554 -(lp145555 -S'The\tThe\tDT\tB-NP\tO' -p145556 -aS'patient\tpatient\tNN\tI-NP\tO' -p145557 -aS'was\tbe\tVBD\tB-VP\tO' -p145558 -aS'cleared\tclear\tVBN\tI-VP\tO' -p145559 -aS'for\tfor\tIN\tB-PP\tO' -p145560 -aS'surgery\tsurgery\tNN\tB-NP\tO' -p145561 -aS'by\tby\tIN\tB-PP\tO' -p145562 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p145563 -aS'Lupevickette\tLupevickette\tNNP\tI-NP\tO' -p145564 -aS'Ca\tCa\tNNP\tI-NP\tO' -p145565 -aS'.\t.\t.\tO\tO' -p145566 -asS'There was no jaw jerk and no Hoffman 's sign .' -p145567 -(lp145568 -S'There\tThere\tEX\tB-NP\tO' -p145569 -aS'was\tbe\tVBD\tB-VP\tO' -p145570 -aS'no\tno\tDT\tB-NP\tO' -p145571 -aS'jaw\tjaw\tNN\tI-NP\tO' -p145572 -aS'jerk\tjerk\tNN\tI-NP\tO' -p145573 -aS'and\tand\tCC\tO\tO' -p145574 -aS'no\tno\tDT\tB-NP\tO' -p145575 -aS'Hoffman\tHoffman\tNNP\tI-NP\tO' -p145576 -aS''s\t'\tNNS\tI-NP\tO' -p145577 -aS'sign\tsign\tNN\tI-NP\tO' -p145578 -aS'.\t.\t.\tO\tO' -p145579 -asS'Hypertension , asthma for 10 years , no hospitalizations , obesity , history of heart murmur , hemorrhoids and whooping cough as a child .' -p145580 -(lp145581 -S'Hypertension\tHypertension\tNN\tB-NP\tO' -p145582 -aS',\t,\t,\tO\tO' -p145583 -aS'asthma\tasthma\tNN\tB-NP\tO' -p145584 -aS'for\tfor\tIN\tB-PP\tO' -p145585 -aS'10\t10\tCD\tB-NP\tO' -p145586 -aS'years\tyear\tNNS\tI-NP\tO' -p145587 -aS',\t,\t,\tO\tO' -p145588 -aS'no\tno\tDT\tB-NP\tO' -p145589 -aS'hospitalizations\thospitalization\tNNS\tI-NP\tO' -p145590 -aS',\t,\t,\tO\tO' -p145591 -aS'obesity\tobesity\tNN\tB-NP\tO' -p145592 -aS',\t,\t,\tO\tO' -p145593 -aS'history\thistory\tNN\tB-NP\tO' -p145594 -aS'of\tof\tIN\tB-PP\tO' -p145595 -aS'heart\theart\tNN\tB-NP\tO' -p145596 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p145597 -aS',\t,\t,\tO\tO' -p145598 -aS'hemorrhoids\themorrhoid\tNNS\tB-NP\tO' -p145599 -aS'and\tand\tCC\tO\tO' -p145600 -aS'whooping\twhooping\tJJ\tB-NP\tO' -p145601 -aS'cough\tcough\tNN\tI-NP\tO' -p145602 -aS'as\tas\tIN\tB-PP\tO' -p145603 -aS'a\ta\tDT\tB-NP\tO' -p145604 -aS'child\tchild\tNN\tI-NP\tO' -p145605 -aS'.\t.\t.\tO\tO' -p145606 -asS'Head magnetic resonance imaging study and magnetic resonance imaging angiogram obtained on May 11 , 1995 , revealed subacute right lateral occipital lobe infarction and decreased flow related enhancement in the left posterior communicating artery with respect to that on the right .' -p145607 -(lp145608 -S'Head\tHead\tJJ\tB-NP\tO' -p145609 -aS'magnetic\tmagnetic\tJJ\tI-NP\tO' -p145610 -aS'resonance\tresonance\tNN\tI-NP\tO' -p145611 -aS'imaging\timaging\tNN\tI-NP\tO' -p145612 -aS'study\tstudy\tNN\tI-NP\tO' -p145613 -aS'and\tand\tCC\tO\tO' -p145614 -aS'magnetic\tmagnetic\tJJ\tB-NP\tO' -p145615 -aS'resonance\tresonance\tNN\tI-NP\tO' -p145616 -aS'imaging\timage\tVBG\tB-VP\tO' -p145617 -aS'angiogram\tangiogram\tNN\tB-NP\tO' -p145618 -aS'obtained\tobtain\tVBN\tB-VP\tO' -p145619 -aS'on\ton\tIN\tB-PP\tO' -p145620 -aS'May\tMay\tNNP\tB-NP\tO' -p145621 -aS'11\t11\tCD\tI-NP\tO' -p145622 -aS',\t,\t,\tI-NP\tO' -p145623 -aS'1995\t1995\tCD\tI-NP\tO' -p145624 -aS',\t,\t,\tO\tO' -p145625 -aS'revealed\treveal\tVBD\tB-VP\tO' -p145626 -aS'subacute\tsubacute\tJJ\tB-NP\tO' -p145627 -aS'right\tright\tJJ\tI-NP\tO' -p145628 -aS'lateral\tlateral\tJJ\tI-NP\tO' -p145629 -aS'occipital\toccipital\tNN\tI-NP\tO' -p145630 -aS'lobe\tlobe\tNN\tI-NP\tO' -p145631 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p145632 -aS'and\tand\tCC\tO\tO' -p145633 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p145634 -aS'flow\tflow\tNN\tB-NP\tO' -p145635 -aS'related\trelated\tJJ\tI-NP\tO' -p145636 -aS'enhancement\tenhancement\tNN\tI-NP\tO' -p145637 -aS'in\tin\tIN\tB-PP\tO' -p145638 -aS'the\tthe\tDT\tB-NP\tO' -p145639 -aS'left\tleft\tJJ\tI-NP\tO' -p145640 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p145641 -aS'communicating\tcommunicate\tVBG\tI-NP\tO' -p145642 -aS'artery\tartery\tNN\tI-NP\tO' -p145643 -aS'with\twith\tIN\tB-PP\tO' -p145644 -aS'respect\trespect\tNN\tB-NP\tO' -p145645 -aS'to\tto\tTO\tB-PP\tO' -p145646 -aS'that\tthat\tDT\tB-NP\tO' -p145647 -aS'on\ton\tIN\tB-PP\tO' -p145648 -aS'the\tthe\tDT\tB-NP\tO' -p145649 -aS'right\tright\tNN\tI-NP\tO' -p145650 -aS'.\t.\t.\tO\tO' -p145651 -asS'Since then , the patient has occasional chest pain with emotional stress , when he is angry or upset .' -p145652 -(lp145653 -S'Since\tSince\tIN\tB-PP\tO' -p145654 -aS'then\tthen\tRB\tB-NP\tO' -p145655 -aS',\t,\t,\tO\tO' -p145656 -aS'the\tthe\tDT\tB-NP\tO' -p145657 -aS'patient\tpatient\tNN\tI-NP\tO' -p145658 -aS'has\thave\tVBZ\tB-VP\tO' -p145659 -aS'occasional\toccasional\tJJ\tB-NP\tO' -p145660 -aS'chest\tchest\tNN\tI-NP\tO' -p145661 -aS'pain\tpain\tNN\tI-NP\tO' -p145662 -aS'with\twith\tIN\tB-PP\tO' -p145663 -aS'emotional\temotional\tJJ\tB-NP\tO' -p145664 -aS'stress\tstress\tNN\tI-NP\tO' -p145665 -aS',\t,\t,\tO\tO' -p145666 -aS'when\twhen\tWRB\tB-ADVP\tO' -p145667 -aS'he\the\tPRP\tB-NP\tO' -p145668 -aS'is\tbe\tVBZ\tB-VP\tO' -p145669 -aS'angry\tangry\tJJ\tB-ADJP\tO' -p145670 -aS'or\tor\tCC\tI-ADJP\tO' -p145671 -aS'upset\tupset\tJJ\tI-ADJP\tO' -p145672 -aS'.\t.\t.\tO\tO' -p145673 -asS'He is status post Avastin plus sorafenib , protocol #04-393 , discontinued in the setting of' -p145674 -(lp145675 -S'He\tHe\tPRP\tB-NP\tO' -p145676 -aS'is\tbe\tVBZ\tB-VP\tO' -p145677 -aS'status\tstatus\tNN\tB-NP\tB-protein' -p145678 -aS'post\tpost\tIN\tB-PP\tI-protein' -p145679 -aS'Avastin\tAvastin\tNNP\tB-NP\tI-protein' -p145680 -aS'plus\tplus\tCC\tO\tO' -p145681 -aS'sorafenib\tsorafenib\tNN\tB-NP\tO' -p145682 -aS',\t,\t,\tO\tO' -p145683 -aS'protocol\tprotocol\tNN\tB-NP\tO' -p145684 -aS'#04-393\t#04-393\tNN\tI-NP\tO' -p145685 -aS',\t,\t,\tO\tO' -p145686 -aS'discontinued\tdiscontinue\tVBN\tB-VP\tO' -p145687 -aS'in\tin\tIN\tB-PP\tO' -p145688 -aS'the\tthe\tDT\tB-NP\tO' -p145689 -aS'setting\tsetting\tNN\tI-NP\tO' -p145690 -aS'of\tof\tIN\tB-PP\tO' -p145691 -asS'In summary this is a 25 year old male with a very complicated history and a patient of Dr. Breunkays 's .' -p145692 -(lp145693 -S'In\tIn\tIN\tB-PP\tO' -p145694 -aS'summary\tsummary\tNN\tB-NP\tO' -p145695 -aS'this\tthis\tDT\tB-NP\tO' -p145696 -aS'is\tbe\tVBZ\tB-VP\tO' -p145697 -aS'a\ta\tDT\tB-NP\tO' -p145698 -aS'25\t25\tCD\tI-NP\tO' -p145699 -aS'year\tyear\tNN\tI-NP\tO' -p145700 -aS'old\told\tJJ\tI-NP\tO' -p145701 -aS'male\tmale\tNN\tI-NP\tO' -p145702 -aS'with\twith\tIN\tB-PP\tO' -p145703 -aS'a\ta\tDT\tB-NP\tO' -p145704 -aS'very\tvery\tRB\tI-NP\tO' -p145705 -aS'complicated\tcomplicate\tVBN\tI-NP\tO' -p145706 -aS'history\thistory\tNN\tI-NP\tO' -p145707 -aS'and\tand\tCC\tO\tO' -p145708 -aS'a\ta\tDT\tB-NP\tO' -p145709 -aS'patient\tpatient\tNN\tI-NP\tO' -p145710 -aS'of\tof\tIN\tB-PP\tO' -p145711 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p145712 -aS'Breunkays\tBreunkays\tNNP\tI-NP\tO' -p145713 -aS''s\t'\tNNS\tI-NP\tO' -p145714 -aS'.\t.\t.\tO\tO' -p145715 -asS'Metamucil 1 teaspoon q.d. , with first bolus of juice , juice 250 cc. down nasogastric tube t.i.d. , tube feeds as above , Lactinex as above , Tagamet 800 mg. nasogastric tube qhs , Nystatin swish and spit 10 cc. five times a day , Cardizem slow release 90 mg. PO q.d. , Folic Acid 1 mg. PO q.d. , Ciprofloxacin 500 mg. PO b.i.d. , discontinue on 12/10/92 KayCiel 30 mEq. down nasogastric tube q.d. , Peridex 10 cc. swish and spit q.i.d. , Coumadin 4 mg. nasogastric tube on odd days , alternating with 5 mg. nasogastric tube on even days , once daily , Tylenol 650 mg. PO and PR q6hours PRN pain , Nystatin powder to axilla and groin as needed .' -p145716 -(lp145717 -S'Metamucil\tMetamucil\tNN\tB-NP\tO' -p145718 -aS'1\t1\tCD\tI-NP\tO' -p145719 -aS'teaspoon\tteaspoon\tNN\tI-NP\tO' -p145720 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p145721 -aS',\t,\t,\tO\tO' -p145722 -aS'with\twith\tIN\tB-PP\tO' -p145723 -aS'first\tfirst\tJJ\tB-NP\tO' -p145724 -aS'bolus\tbolus\tNN\tI-NP\tO' -p145725 -aS'of\tof\tIN\tB-PP\tO' -p145726 -aS'juice\tjuice\tNN\tB-NP\tO' -p145727 -aS',\t,\t,\tO\tO' -p145728 -aS'juice\tjuice\tNN\tB-NP\tO' -p145729 -aS'250\t250\tCD\tI-NP\tO' -p145730 -aS'cc.\tcc.\tNN\tI-NP\tO' -p145731 -aS'down\tdown\tRB\tB-ADVP\tO' -p145732 -aS'nasogastric\tnasogastric\tJJ\tB-NP\tO' -p145733 -aS'tube\ttube\tNN\tI-NP\tO' -p145734 -aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' -p145735 -aS',\t,\t,\tO\tO' -p145736 -aS'tube\ttube\tNN\tB-NP\tO' -p145737 -aS'feeds\tfeed\tNNS\tI-NP\tO' -p145738 -aS'as\tas\tIN\tB-PP\tO' -p145739 -aS'above\tabove\tRB\tB-ADVP\tO' -p145740 -aS',\t,\t,\tO\tO' -p145741 -aS'Lactinex\tLactinex\tNNP\tB-NP\tO' -p145742 -aS'as\tas\tIN\tB-PP\tO' -p145743 -aS'above\tabove\tRB\tB-ADVP\tO' -p145744 -aS',\t,\t,\tO\tO' -p145745 -aS'Tagamet\tTagamet\tNNP\tB-NP\tO' -p145746 -aS'800\t800\tCD\tI-NP\tO' -p145747 -aS'mg.\tmg.\tNN\tI-NP\tO' -p145748 -aS'nasogastric\tnasogastric\tJJ\tI-NP\tO' -p145749 -aS'tube\ttube\tNN\tI-NP\tO' -p145750 -aS'qhs\tqh\tNNS\tI-NP\tO' -p145751 -aS',\t,\t,\tO\tO' -p145752 -aS'Nystatin\tNystatin\tNN\tB-NP\tO' -p145753 -aS'swish\tswish\tNN\tI-NP\tO' -p145754 -aS'and\tand\tCC\tO\tO' -p145755 -aS'spit\tspit\tNN\tB-NP\tO' -p145756 -aS'10\t10\tCD\tI-NP\tO' -p145757 -aS'cc.\tcc.\tNN\tI-NP\tO' -p145758 -aS'five\tfive\tCD\tB-NP\tO' -p145759 -aS'times\ttime\tNNS\tI-NP\tO' -p145760 -aS'a\ta\tDT\tB-NP\tO' -p145761 -aS'day\tday\tNN\tI-NP\tO' -p145762 -aS',\t,\t,\tO\tO' -p145763 -aS'Cardizem\tCardizem\tNNP\tB-NP\tO' -p145764 -aS'slow\tslow\tJJ\tI-NP\tO' -p145765 -aS'release\trelease\tNN\tI-NP\tO' -p145766 -aS'90\t90\tCD\tI-NP\tO' -p145767 -aS'mg.\tmg.\tNN\tI-NP\tO' -p145768 -aS'PO\tPO\tNN\tI-NP\tO' -p145769 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p145770 -aS',\t,\t,\tO\tO' -p145771 -aS'Folic\tFolic\tJJ\tB-NP\tO' -p145772 -aS'Acid\tAcid\tNN\tI-NP\tO' -p145773 -aS'1\t1\tCD\tI-NP\tO' -p145774 -aS'mg.\tmg.\tNN\tI-NP\tO' -p145775 -aS'PO\tPO\tNN\tI-NP\tO' -p145776 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p145777 -aS',\t,\t,\tO\tO' -p145778 -aS'Ciprofloxacin\tCiprofloxacin\tNN\tB-NP\tO' -p145779 -aS'500\t500\tCD\tI-NP\tO' -p145780 -aS'mg.\tmg.\tNN\tI-NP\tO' -p145781 -aS'PO\tPO\tNN\tI-NP\tO' -p145782 -aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' -p145783 -aS',\t,\t,\tO\tO' -p145784 -aS'discontinue\tdiscontinue\tVBP\tB-VP\tO' -p145785 -aS'on\ton\tIN\tB-PP\tO' -p145786 -aS'12/10/92\t12/10/92\tCD\tB-NP\tO' -p145787 -aS'KayCiel\tKayCiel\tNNP\tI-NP\tO' -p145788 -aS'30\t30\tCD\tI-NP\tO' -p145789 -aS'mEq.\tmEq.\tNNP\tI-NP\tO' -p145790 -aS'down\tdown\tIN\tB-PP\tO' -p145791 -aS'nasogastric\tnasogastric\tJJ\tB-NP\tO' -p145792 -aS'tube\ttube\tNN\tI-NP\tO' -p145793 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p145794 -aS',\t,\t,\tO\tO' -p145795 -aS'Peridex\tPeridex\tNNP\tB-NP\tO' -p145796 -aS'10\t10\tCD\tI-NP\tO' -p145797 -aS'cc.\tcc.\tNN\tI-NP\tO' -p145798 -aS'swish\tswish\tNN\tI-NP\tO' -p145799 -aS'and\tand\tCC\tO\tO' -p145800 -aS'spit\tspit\tNN\tB-NP\tO' -p145801 -aS'q.i.d.\tq.i.d.\tNN\tI-NP\tO' -p145802 -aS',\t,\t,\tO\tO' -p145803 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p145804 -aS'4\t4\tCD\tI-NP\tO' -p145805 -aS'mg.\tmg.\tNN\tI-NP\tO' -p145806 -aS'nasogastric\tnasogastric\tJJ\tI-NP\tO' -p145807 -aS'tube\ttube\tNN\tI-NP\tO' -p145808 -aS'on\ton\tIN\tB-PP\tO' -p145809 -aS'odd\todd\tJJ\tB-NP\tO' -p145810 -aS'days\tday\tNNS\tI-NP\tO' -p145811 -aS',\t,\t,\tO\tO' -p145812 -aS'alternating\talternate\tVBG\tB-VP\tO' -p145813 -aS'with\twith\tIN\tB-PP\tO' -p145814 -aS'5\t5\tCD\tB-NP\tO' -p145815 -aS'mg.\tmg.\tNN\tI-NP\tO' -p145816 -aS'nasogastric\tnasogastric\tJJ\tI-NP\tO' -p145817 -aS'tube\ttube\tNN\tI-NP\tO' -p145818 -aS'on\ton\tIN\tB-PP\tO' -p145819 -aS'even\teven\tJJ\tB-NP\tO' -p145820 -aS'days\tday\tNNS\tI-NP\tO' -p145821 -aS',\t,\t,\tO\tO' -p145822 -aS'once\tonce\tRB\tB-ADVP\tO' -p145823 -aS'daily\tdaily\tJJ\tB-ADJP\tO' -p145824 -aS',\t,\t,\tO\tO' -p145825 -aS'Tylenol\tTylenol\tNN\tB-NP\tB-protein' -p145826 -aS'650\t650\tCD\tI-NP\tI-protein' -p145827 -aS'mg.\tmg.\tNN\tI-NP\tI-protein' -p145828 -aS'PO\tPO\tNN\tI-NP\tI-protein' -p145829 -aS'and\tand\tCC\tI-NP\tO' -p145830 -aS'PR\tPR\tNN\tI-NP\tB-protein' -p145831 -aS'q6hours\tq6hour\tNNS\tI-NP\tO' -p145832 -aS'PRN\tPRN\tNN\tI-NP\tO' -p145833 -aS'pain\tpain\tNN\tI-NP\tO' -p145834 -aS',\t,\t,\tO\tO' -p145835 -aS'Nystatin\tNystatin\tNN\tB-NP\tO' -p145836 -aS'powder\tpowder\tNN\tI-NP\tO' -p145837 -aS'to\tto\tTO\tB-PP\tO' -p145838 -aS'axilla\taxilla\tNN\tB-NP\tO' -p145839 -aS'and\tand\tCC\tI-NP\tO' -p145840 -aS'groin\tgroin\tNN\tI-NP\tO' -p145841 -aS'as\tas\tIN\tB-SBAR\tO' -p145842 -aS'needed\tneed\tVBN\tB-VP\tO' -p145843 -aS'.\t.\t.\tO\tO' -p145844 -asS"Mother suffer MI in her 50 's, died at age 59 ." -p145845 -(lp145846 -S'Mother\tMother\tDT\tB-NP\tO' -p145847 -aS'suffer\tsuffer\tVBP\tB-VP\tO' -p145848 -aS'MI\tMI\tNN\tB-NP\tO' -p145849 -aS'in\tin\tIN\tB-PP\tO' -p145850 -aS'her\ther\tPRP$\tB-NP\tB-cell_line' -p145851 -aS'50\t50\tCD\tI-NP\tI-cell_line' -p145852 -aS"'s,\t's,\tPOS\tB-NP\tI-cell_line" -p145853 -aS'died\tdie\tVBD\tB-VP\tO' -p145854 -aS'at\tat\tIN\tB-PP\tO' -p145855 -aS'age\tage\tNN\tB-NP\tO' -p145856 -aS'59\t59\tCD\tI-NP\tO' -p145857 -aS'.\t.\t.\tO\tO' -p145858 -asS'The patient will be followed by the Anticoagulation Clinic for prothrombin time level evaluations and appropriate Coumadin doses .' -p145859 -(lp145860 -S'The\tThe\tDT\tB-NP\tO' -p145861 -aS'patient\tpatient\tNN\tI-NP\tO' -p145862 -aS'will\twill\tMD\tB-VP\tO' -p145863 -aS'be\tbe\tVB\tI-VP\tO' -p145864 -aS'followed\tfollow\tVBN\tI-VP\tO' -p145865 -aS'by\tby\tIN\tB-PP\tO' -p145866 -aS'the\tthe\tDT\tB-NP\tO' -p145867 -aS'Anticoagulation\tAnticoagulation\tNNP\tI-NP\tO' -p145868 -aS'Clinic\tClinic\tNNP\tI-NP\tO' -p145869 -aS'for\tfor\tIN\tB-PP\tO' -p145870 -aS'prothrombin\tprothrombin\tNN\tB-NP\tO' -p145871 -aS'time\ttime\tNN\tI-NP\tO' -p145872 -aS'level\tlevel\tNN\tB-NP\tO' -p145873 -aS'evaluations\tevaluation\tNNS\tI-NP\tO' -p145874 -aS'and\tand\tCC\tO\tO' -p145875 -aS'appropriate\tappropriate\tJJ\tB-NP\tO' -p145876 -aS'Coumadin\tCoumadin\tNN\tI-NP\tO' -p145877 -aS'doses\tdose\tNNS\tI-NP\tO' -p145878 -aS'.\t.\t.\tO\tO' -p145879 -asS'Responsible After Study for Causing Admission ) abdominal pain' -p145880 -(lp145881 -S'Responsible\tResponsible\tJJ\tB-ADJP\tO' -p145882 -aS'After\tAfter\tIN\tB-PP\tO' -p145883 -aS'Study\tStudy\tNN\tB-NP\tO' -p145884 -aS'for\tfor\tIN\tB-PP\tO' -p145885 -aS'Causing\tCause\tVBG\tB-NP\tO' -p145886 -aS'Admission\tAdmission\tNN\tI-NP\tO' -p145887 -aS')\t)\t)\tI-NP\tO' -p145888 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p145889 -aS'pain\tpain\tNN\tI-NP\tO' -p145890 -asS'If severe , then proceed to ER for evaluation .' -p145891 -(lp145892 -S'If\tIf\tIN\tB-SBAR\tO' -p145893 -aS'severe\tsevere\tJJ\tB-ADJP\tO' -p145894 -aS',\t,\t,\tO\tO' -p145895 -aS'then\tthen\tRB\tB-ADVP\tO' -p145896 -aS'proceed\tproceed\tVB\tB-VP\tO' -p145897 -aS'to\tto\tTO\tB-PP\tO' -p145898 -aS'ER\tER\tNN\tB-NP\tB-protein' -p145899 -aS'for\tfor\tIN\tB-PP\tO' -p145900 -aS'evaluation\tevaluation\tNN\tB-NP\tO' -p145901 -aS'.\t.\t.\tO\tO' -p145902 -asS'He was medflighted to The Hospital for Orthopedics for ongoing trauma care .' -p145903 -(lp145904 -S'He\tHe\tPRP\tB-NP\tO' -p145905 -aS'was\tbe\tVBD\tB-VP\tO' -p145906 -aS'medflighted\tmedflighte\tVBN\tI-VP\tO' -p145907 -aS'to\tto\tTO\tB-PP\tO' -p145908 -aS'The\tThe\tDT\tB-NP\tO' -p145909 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p145910 -aS'for\tfor\tIN\tB-PP\tO' -p145911 -aS'Orthopedics\tOrthopedics\tNNP\tB-NP\tO' -p145912 -aS'for\tfor\tIN\tB-PP\tO' -p145913 -aS'ongoing\tongoing\tJJ\tB-NP\tO' -p145914 -aS'trauma\ttrauma\tNN\tI-NP\tO' -p145915 -aS'care\tcare\tNN\tI-NP\tO' -p145916 -aS'.\t.\t.\tO\tO' -p145917 -asS'Atrial fibrillation .' -p145918 -(lp145919 -S'Atrial\tAtrial\tJJ\tB-NP\tO' -p145920 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p145921 -aS'.\t.\t.\tO\tO' -p145922 -asS'7) Positive PPD .' -p145923 -(lp145924 -S'7)\t7)\tLS\tB-NP\tO' -p145925 -aS'Positive\tPositive\tJJ\tI-NP\tO' -p145926 -aS'PPD\tPPD\tNN\tI-NP\tO' -p145927 -aS'.\t.\t.\tO\tO' -p145928 -asS'On 2016-09-03 , the patient began experiencing continuing chest pain of increasing intensity .' -p145929 -(lp145930 -S'On\tOn\tIN\tB-PP\tO' -p145931 -aS'2016-09-03\t2016-09-03\tCD\tB-NP\tO' -p145932 -aS',\t,\t,\tO\tO' -p145933 -aS'the\tthe\tDT\tB-NP\tO' -p145934 -aS'patient\tpatient\tNN\tI-NP\tO' -p145935 -aS'began\tbegin\tVBD\tB-VP\tO' -p145936 -aS'experiencing\texperience\tVBG\tI-VP\tO' -p145937 -aS'continuing\tcontinue\tVBG\tB-NP\tO' -p145938 -aS'chest\tchest\tNN\tI-NP\tO' -p145939 -aS'pain\tpain\tNN\tI-NP\tO' -p145940 -aS'of\tof\tIN\tB-PP\tO' -p145941 -aS'increasing\tincrease\tVBG\tB-VP\tO' -p145942 -aS'intensity\tintensity\tNN\tB-NP\tO' -p145943 -aS'.\t.\t.\tO\tO' -p145944 -asS'He was taken to the Sephsandpot Center where he was hypotensive with a blood pressure of 105/85 , tachycardic with a heart rate to 186 , aneuric , hyperthermic , with a temperature to 105 degrees F , and progressively more confused .' -p145945 -(lp145946 -S'He\tHe\tPRP\tB-NP\tO' -p145947 -aS'was\tbe\tVBD\tB-VP\tO' -p145948 -aS'taken\ttake\tVBN\tI-VP\tO' -p145949 -aS'to\tto\tTO\tB-PP\tO' -p145950 -aS'the\tthe\tDT\tB-NP\tO' -p145951 -aS'Sephsandpot\tSephsandpot\tNNP\tI-NP\tO' -p145952 -aS'Center\tCenter\tNNP\tI-NP\tO' -p145953 -aS'where\twhere\tWRB\tB-ADVP\tO' -p145954 -aS'he\the\tPRP\tB-NP\tO' -p145955 -aS'was\tbe\tVBD\tB-VP\tO' -p145956 -aS'hypotensive\thypotensive\tJJ\tB-ADJP\tO' -p145957 -aS'with\twith\tIN\tB-PP\tO' -p145958 -aS'a\ta\tDT\tB-NP\tO' -p145959 -aS'blood\tblood\tNN\tI-NP\tO' -p145960 -aS'pressure\tpressure\tNN\tI-NP\tO' -p145961 -aS'of\tof\tIN\tB-PP\tO' -p145962 -aS'105/85\t105/85\tCD\tB-NP\tO' -p145963 -aS',\t,\t,\tO\tO' -p145964 -aS'tachycardic\ttachycardic\tJJ\tB-ADJP\tO' -p145965 -aS'with\twith\tIN\tB-PP\tO' -p145966 -aS'a\ta\tDT\tB-NP\tO' -p145967 -aS'heart\theart\tNN\tI-NP\tO' -p145968 -aS'rate\trate\tNN\tI-NP\tO' -p145969 -aS'to\tto\tTO\tB-PP\tO' -p145970 -aS'186\t186\tCD\tB-NP\tO' -p145971 -aS',\t,\t,\tO\tO' -p145972 -aS'aneuric\taneuric\tJJ\tB-NP\tO' -p145973 -aS',\t,\t,\tI-NP\tO' -p145974 -aS'hyperthermic\thyperthermic\tJJ\tI-NP\tO' -p145975 -aS',\t,\t,\tO\tO' -p145976 -aS'with\twith\tIN\tB-PP\tO' -p145977 -aS'a\ta\tDT\tB-NP\tO' -p145978 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p145979 -aS'to\tto\tTO\tB-PP\tO' -p145980 -aS'105\t105\tCD\tB-NP\tO' -p145981 -aS'degrees\tdegree\tNNS\tI-NP\tO' -p145982 -aS'F\tF\tNN\tI-NP\tO' -p145983 -aS',\t,\t,\tO\tO' -p145984 -aS'and\tand\tCC\tO\tO' -p145985 -aS'progressively\tprogressively\tRB\tB-VP\tO' -p145986 -aS'more\tmore\tRBR\tI-VP\tO' -p145987 -aS'confused\tconfuse\tVBN\tI-VP\tO' -p145988 -aS'.\t.\t.\tO\tO' -p145989 -asS'normal sinus rhythm at 72 beats / minute , intraventricular conduction delay , Q - waves seen in II , III , and AVF with probable old inferior myocardial infarction .' -p145990 -(lp145991 -S'normal\tnormal\tJJ\tB-NP\tO' -p145992 -aS'sinus\tsinus\tNN\tI-NP\tO' -p145993 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p145994 -aS'at\tat\tIN\tB-PP\tO' -p145995 -aS'72\t72\tCD\tB-NP\tO' -p145996 -aS'beats\tbeat\tNNS\tI-NP\tO' -p145997 -aS'/\t/\tSYM\tB-NP\tO' -p145998 -aS'minute\tminute\tNN\tI-NP\tO' -p145999 -aS',\t,\t,\tO\tO' -p146000 -aS'intraventricular\tintraventricular\tJJ\tB-NP\tO' -p146001 -aS'conduction\tconduction\tNN\tI-NP\tO' -p146002 -aS'delay\tdelay\tNN\tI-NP\tO' -p146003 -aS',\t,\t,\tO\tO' -p146004 -aS'Q\tQ\tNN\tB-NP\tB-protein' -p146005 -aS'-\t-\tHYPH\tB-NP\tO' -p146006 -aS'waves\twave\tNNS\tI-NP\tO' -p146007 -aS'seen\tsee\tVBN\tB-VP\tO' -p146008 -aS'in\tin\tIN\tB-PP\tO' -p146009 -aS'II\tII\tCD\tB-NP\tO' -p146010 -aS',\t,\t,\tI-NP\tO' -p146011 -aS'III\tIII\tCD\tI-NP\tO' -p146012 -aS',\t,\t,\tO\tO' -p146013 -aS'and\tand\tCC\tO\tO' -p146014 -aS'AVF\tAVF\tNN\tB-NP\tB-protein' -p146015 -aS'with\twith\tIN\tB-PP\tO' -p146016 -aS'probable\tprobable\tJJ\tB-NP\tO' -p146017 -aS'old\told\tJJ\tI-NP\tO' -p146018 -aS'inferior\tinferior\tJJ\tI-NP\tO' -p146019 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p146020 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p146021 -aS'.\t.\t.\tO\tO' -p146022 -asS'thickening consistent with Trisomy 21 in the B co-twin .' -p146023 -(lp146024 -S'thickening\tthicken\tVBG\tB-VP\tO' -p146025 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p146026 -aS'with\twith\tIN\tB-PP\tO' -p146027 -aS'Trisomy\tTrisomy\tNN\tB-NP\tB-protein' -p146028 -aS'21\t21\tCD\tI-NP\tI-protein' -p146029 -aS'in\tin\tIN\tB-PP\tO' -p146030 -aS'the\tthe\tDT\tB-NP\tO' -p146031 -aS'B\tB\tNN\tI-NP\tB-protein' -p146032 -aS'co-twin\tco-twin\tNN\tI-NP\tI-protein' -p146033 -aS'.\t.\t.\tO\tO' -p146034 -asS'Extremities revealed a 2 x 3 cm tender mass in the lateral left calf , medial 1 cm mass above her knee .' -p146035 -(lp146036 -S'Extremities\tExtremity\tNNS\tB-NP\tO' -p146037 -aS'revealed\treveal\tVBD\tB-VP\tO' -p146038 -aS'a\ta\tDT\tB-NP\tO' -p146039 -aS'2\t2\tCD\tI-NP\tO' -p146040 -aS'x\tx\tSYM\tI-NP\tO' -p146041 -aS'3\t3\tCD\tI-NP\tO' -p146042 -aS'cm\tcm\tNN\tI-NP\tO' -p146043 -aS'tender\ttender\tNN\tI-NP\tO' -p146044 -aS'mass\tmass\tNN\tI-NP\tO' -p146045 -aS'in\tin\tIN\tB-PP\tO' -p146046 -aS'the\tthe\tDT\tB-NP\tO' -p146047 -aS'lateral\tlateral\tJJ\tI-NP\tO' -p146048 -aS'left\tleft\tJJ\tI-NP\tO' -p146049 -aS'calf\tcalf\tNN\tI-NP\tO' -p146050 -aS',\t,\t,\tO\tO' -p146051 -aS'medial\tmedial\tJJ\tB-NP\tO' -p146052 -aS'1\t1\tCD\tI-NP\tO' -p146053 -aS'cm\tcm\tNN\tI-NP\tO' -p146054 -aS'mass\tmass\tNN\tI-NP\tO' -p146055 -aS'above\tabove\tIN\tB-PP\tO' -p146056 -aS'her\ther\tPRP$\tB-NP\tO' -p146057 -aS'knee\tknee\tNN\tI-NP\tO' -p146058 -aS'.\t.\t.\tO\tO' -p146059 -asS'Explained to Lewin that pt will likely need to be intubated , as she cannot lie flat , and most likely cannot undergo pericardial drainage , thoracentesis , or right heart cath with BiPAP ( which would have been the next measure after NRB , and prior to intubation ).' -p146060 -(lp146061 -S'Explained\tExplain\tVBN\tB-VP\tO' -p146062 -aS'to\tto\tTO\tB-VP\tO' -p146063 -aS'Lewin\tLewin\tVB\tI-VP\tO' -p146064 -aS'that\tthat\tDT\tB-NP\tO' -p146065 -aS'pt\tpt\tNN\tI-NP\tO' -p146066 -aS'will\twill\tMD\tB-VP\tO' -p146067 -aS'likely\tlikely\tRB\tI-VP\tO' -p146068 -aS'need\tneed\tVB\tI-VP\tO' -p146069 -aS'to\tto\tTO\tI-VP\tO' -p146070 -aS'be\tbe\tVB\tI-VP\tO' -p146071 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p146072 -aS',\t,\t,\tO\tO' -p146073 -aS'as\tas\tIN\tB-SBAR\tO' -p146074 -aS'she\tshe\tPRP\tB-NP\tO' -p146075 -aS'cannot\tcannot\tMD\tB-VP\tO' -p146076 -aS'lie\tlie\tVB\tI-VP\tO' -p146077 -aS'flat\tflat\tJJ\tB-ADJP\tO' -p146078 -aS',\t,\t,\tO\tO' -p146079 -aS'and\tand\tCC\tO\tO' -p146080 -aS'most\tmost\tRBS\tB-ADVP\tO' -p146081 -aS'likely\tlikely\tRB\tI-ADVP\tO' -p146082 -aS'cannot\tcannot\tMD\tB-VP\tO' -p146083 -aS'undergo\tundergo\tVB\tI-VP\tO' -p146084 -aS'pericardial\tpericardial\tJJ\tB-NP\tO' -p146085 -aS'drainage\tdrainage\tNN\tI-NP\tO' -p146086 -aS',\t,\t,\tO\tO' -p146087 -aS'thoracentesis\tthoracentesis\tNN\tB-NP\tO' -p146088 -aS',\t,\t,\tO\tO' -p146089 -aS'or\tor\tCC\tO\tO' -p146090 -aS'right\tright\tJJ\tB-NP\tO' -p146091 -aS'heart\theart\tNN\tI-NP\tO' -p146092 -aS'cath\tcath\tNN\tI-NP\tO' -p146093 -aS'with\twith\tIN\tB-PP\tO' -p146094 -aS'BiPAP\tBiPAP\tNN\tB-NP\tB-protein' -p146095 -aS'(\t(\t(\tO\tO' -p146096 -aS'which\twhich\tWDT\tB-NP\tO' -p146097 -aS'would\twould\tMD\tB-VP\tO' -p146098 -aS'have\thave\tVB\tI-VP\tO' -p146099 -aS'been\tbe\tVBN\tI-VP\tO' -p146100 -aS'the\tthe\tDT\tB-NP\tO' -p146101 -aS'next\tnext\tJJ\tI-NP\tO' -p146102 -aS'measure\tmeasure\tNN\tI-NP\tO' -p146103 -aS'after\tafter\tIN\tB-PP\tO' -p146104 -aS'NRB\tNRB\tNN\tB-NP\tB-protein' -p146105 -aS',\t,\t,\tO\tO' -p146106 -aS'and\tand\tCC\tO\tO' -p146107 -aS'prior\tprior\tRB\tB-ADVP\tO' -p146108 -aS'to\tto\tTO\tB-PP\tO' -p146109 -aS'intubation\tintubation\tNN\tB-NP\tO' -p146110 -aS').\t).\t.\tO\tO' -p146111 -asS'Will plan on ETT .' -p146112 -(lp146113 -S'Will\tWill\tMD\tB-NP\tO' -p146114 -aS'plan\tplan\tNN\tI-NP\tO' -p146115 -aS'on\ton\tIN\tB-PP\tO' -p146116 -aS'ETT\tETT\tNN\tB-NP\tB-protein' -p146117 -aS'.\t.\t.\tO\tO' -p146118 -asS'The patient is a 68 year old with acute leukemia .' -p146119 -(lp146120 -S'The\tThe\tDT\tB-NP\tO' -p146121 -aS'patient\tpatient\tNN\tI-NP\tO' -p146122 -aS'is\tbe\tVBZ\tB-VP\tO' -p146123 -aS'a\ta\tDT\tB-NP\tO' -p146124 -aS'68\t68\tCD\tI-NP\tO' -p146125 -aS'year\tyear\tNN\tI-NP\tO' -p146126 -aS'old\told\tJJ\tB-ADJP\tO' -p146127 -aS'with\twith\tIN\tB-PP\tO' -p146128 -aS'acute\tacute\tJJ\tB-NP\tO' -p146129 -aS'leukemia\tleukemia\tNN\tI-NP\tO' -p146130 -aS'.\t.\t.\tO\tO' -p146131 -asS'A small intimal tear in the arch of the aorta during the angiogram , was without sequelae .' -p146132 -(lp146133 -S'A\tA\tDT\tB-NP\tO' -p146134 -aS'small\tsmall\tJJ\tI-NP\tO' -p146135 -aS'intimal\tintimal\tJJ\tI-NP\tO' -p146136 -aS'tear\ttear\tNN\tI-NP\tO' -p146137 -aS'in\tin\tIN\tB-PP\tO' -p146138 -aS'the\tthe\tDT\tB-NP\tO' -p146139 -aS'arch\tarch\tNN\tI-NP\tO' -p146140 -aS'of\tof\tIN\tB-PP\tO' -p146141 -aS'the\tthe\tDT\tB-NP\tO' -p146142 -aS'aorta\taorta\tNN\tI-NP\tO' -p146143 -aS'during\tduring\tIN\tB-PP\tO' -p146144 -aS'the\tthe\tDT\tB-NP\tO' -p146145 -aS'angiogram\tangiogram\tNN\tI-NP\tO' -p146146 -aS',\t,\t,\tO\tO' -p146147 -aS'was\tbe\tVBD\tB-VP\tO' -p146148 -aS'without\twithout\tIN\tB-PP\tO' -p146149 -aS'sequelae\tsequela\tNNS\tB-NP\tO' -p146150 -aS'.\t.\t.\tO\tO' -p146151 -asS'An autopsy permission was granted .' -p146152 -(lp146153 -S'An\tAn\tDT\tB-NP\tO' -p146154 -aS'autopsy\tautopsy\tNN\tI-NP\tO' -p146155 -aS'permission\tpermission\tNN\tI-NP\tO' -p146156 -aS'was\tbe\tVBD\tB-VP\tO' -p146157 -aS'granted\tgrant\tVBN\tI-VP\tO' -p146158 -aS'.\t.\t.\tO\tO' -p146159 -asS'45M w/no PMH presented to Chelseahospital after a syncopal episode on the morning of admission .' -p146160 -(lp146161 -S'45M\t45M\tNN\tB-NP\tO' -p146162 -aS'w/no\tw/no\tNN\tI-NP\tO' -p146163 -aS'PMH\tPMH\tNN\tI-NP\tO' -p146164 -aS'presented\tpresent\tVBN\tB-VP\tO' -p146165 -aS'to\tto\tTO\tB-PP\tO' -p146166 -aS'Chelseahospital\tChelseahospital\tNNP\tB-NP\tO' -p146167 -aS'after\tafter\tIN\tB-PP\tO' -p146168 -aS'a\ta\tDT\tB-NP\tO' -p146169 -aS'syncopal\tsyncopal\tJJ\tI-NP\tO' -p146170 -aS'episode\tepisode\tNN\tI-NP\tO' -p146171 -aS'on\ton\tIN\tB-PP\tO' -p146172 -aS'the\tthe\tDT\tB-NP\tO' -p146173 -aS'morning\tmorning\tNN\tI-NP\tO' -p146174 -aS'of\tof\tIN\tB-PP\tO' -p146175 -aS'admission\tadmission\tNN\tB-NP\tO' -p146176 -aS'.\t.\t.\tO\tO' -p146177 -asS'On 11-02 she was brought to the operating room where she underwent a coronary artery bypass graft x 2 .' -p146178 -(lp146179 -S'On\tOn\tIN\tB-PP\tO' -p146180 -aS'11-02\t11-02\tCD\tB-NP\tO' -p146181 -aS'she\tshe\tPRP\tB-NP\tO' -p146182 -aS'was\tbe\tVBD\tB-VP\tO' -p146183 -aS'brought\tbring\tVBN\tI-VP\tO' -p146184 -aS'to\tto\tTO\tB-PP\tO' -p146185 -aS'the\tthe\tDT\tB-NP\tO' -p146186 -aS'operating\toperating\tNN\tI-NP\tO' -p146187 -aS'room\troom\tNN\tI-NP\tO' -p146188 -aS'where\twhere\tWRB\tB-ADVP\tO' -p146189 -aS'she\tshe\tPRP\tB-NP\tO' -p146190 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p146191 -aS'a\ta\tDT\tB-NP\tO' -p146192 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p146193 -aS'artery\tartery\tNN\tI-NP\tO' -p146194 -aS'bypass\tbypass\tIN\tB-PP\tO' -p146195 -aS'graft\tgraft\tNN\tB-NP\tB-protein' -p146196 -aS'x\tx\tSYM\tB-NP\tI-protein' -p146197 -aS'2\t2\tCD\tI-NP\tI-protein' -p146198 -aS'.\t.\t.\tO\tO' -p146199 -asS'6. Tiotropium Bromide 18 mcg Capsule , w/ Inhalation Device Sig : One ( 1 ) Cap Inhalation DAILY ( Daily ) .' -p146200 -(lp146201 -S'6.\t6.\tLS\tB-NP\tO' -p146202 -aS'Tiotropium\tTiotropium\tNNP\tI-NP\tO' -p146203 -aS'Bromide\tBromide\tNNP\tI-NP\tO' -p146204 -aS'18\t18\tCD\tI-NP\tO' -p146205 -aS'mcg\tmcg\tNN\tI-NP\tO' -p146206 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p146207 -aS',\t,\t,\tO\tO' -p146208 -aS'w/\tw/\tDT\tB-NP\tO' -p146209 -aS'Inhalation\tInhalation\tNNP\tI-NP\tO' -p146210 -aS'Device\tDevice\tNNP\tI-NP\tO' -p146211 -aS'Sig\tSig\tNNP\tI-NP\tO' -p146212 -aS':\t:\t:\tO\tO' -p146213 -aS'One\tOne\tCD\tB-NP\tO' -p146214 -aS'(\t(\t(\tO\tO' -p146215 -aS'1\t1\tCD\tB-NP\tO' -p146216 -aS')\t)\t)\tO\tO' -p146217 -aS'Cap\tCap\tNN\tB-NP\tO' -p146218 -aS'Inhalation\tInhalation\tNN\tI-NP\tO' -p146219 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p146220 -aS'(\t(\t(\tO\tO' -p146221 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p146222 -aS')\t)\t)\tO\tO' -p146223 -aS'.\t.\t.\tO\tO' -p146224 -asS'The patient did well in the immediate postoperative period .' -p146225 -(lp146226 -S'The\tThe\tDT\tB-NP\tO' -p146227 -aS'patient\tpatient\tNN\tI-NP\tO' -p146228 -aS'did\tdo\tVBD\tB-VP\tO' -p146229 -aS'well\twell\tRB\tB-ADVP\tO' -p146230 -aS'in\tin\tIN\tB-PP\tO' -p146231 -aS'the\tthe\tDT\tB-NP\tO' -p146232 -aS'immediate\timmediate\tJJ\tI-NP\tO' -p146233 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p146234 -aS'period\tperiod\tNN\tI-NP\tO' -p146235 -aS'.\t.\t.\tO\tO' -p146236 -asS'2. Lasix 20 mg p.o. q. 12 hours times seven days .' -p146237 -(lp146238 -S'2.\t2.\tLS\tB-NP\tO' -p146239 -aS'Lasix\tLasix\tNNP\tI-NP\tO' -p146240 -aS'20\t20\tCD\tI-NP\tO' -p146241 -aS'mg\tmg\tNN\tI-NP\tO' -p146242 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p146243 -aS'q.\tq.\tNN\tI-NP\tO' -p146244 -aS'12\t12\tCD\tB-NP\tO' -p146245 -aS'hours\thour\tNNS\tI-NP\tO' -p146246 -aS'times\ttimes\tCC\tO\tO' -p146247 -aS'seven\tseven\tCD\tB-NP\tO' -p146248 -aS'days\tday\tNNS\tI-NP\tO' -p146249 -aS'.\t.\t.\tO\tO' -p146250 -asS'RIGHT CAPSULAR PUTAMENAL HEMORRHAGE .' -p146251 -(lp146252 -S'RIGHT\tRIGHT\tNN\tB-NP\tO' -p146253 -aS'CAPSULAR\tCAPSULAR\tNN\tI-NP\tO' -p146254 -aS'PUTAMENAL\tPUTAMENAL\tNN\tI-NP\tO' -p146255 -aS'HEMORRHAGE\tHEMORRHAGE\tNN\tI-NP\tO' -p146256 -aS'.\t.\t.\tO\tO' -p146257 -asS'However with the help of Albano , his blood glucose began to normalize .' -p146258 -(lp146259 -S'However\tHowever\tRB\tB-ADVP\tO' -p146260 -aS'with\twith\tIN\tB-PP\tO' -p146261 -aS'the\tthe\tDT\tB-NP\tO' -p146262 -aS'help\thelp\tNN\tI-NP\tO' -p146263 -aS'of\tof\tIN\tB-PP\tO' -p146264 -aS'Albano\tAlbano\tNNP\tB-NP\tO' -p146265 -aS',\t,\t,\tO\tO' -p146266 -aS'his\this\tPRP$\tB-NP\tO' -p146267 -aS'blood\tblood\tNN\tI-NP\tO' -p146268 -aS'glucose\tglucose\tNN\tI-NP\tO' -p146269 -aS'began\tbegin\tVBD\tB-VP\tO' -p146270 -aS'to\tto\tTO\tI-VP\tO' -p146271 -aS'normalize\tnormalize\tVB\tI-VP\tO' -p146272 -aS'.\t.\t.\tO\tO' -p146273 -asS'He understands that he does have significant left ventricle dysfunction and requires monitoring of his prothrombin times and his arrhythmias ; these will be done in Grovea Co Terburgperv Portnew .' -p146274 -(lp146275 -S'He\tHe\tPRP\tB-NP\tO' -p146276 -aS'understands\tunderstand\tVBZ\tB-VP\tO' -p146277 -aS'that\tthat\tIN\tB-SBAR\tO' -p146278 -aS'he\the\tPRP\tB-NP\tO' -p146279 -aS'does\tdo\tVBZ\tB-VP\tO' -p146280 -aS'have\thave\tVB\tI-VP\tO' -p146281 -aS'significant\tsignificant\tJJ\tB-NP\tO' -p146282 -aS'left\tleft\tJJ\tI-NP\tO' -p146283 -aS'ventricle\tventricle\tNN\tI-NP\tO' -p146284 -aS'dysfunction\tdysfunction\tNN\tI-NP\tO' -p146285 -aS'and\tand\tCC\tO\tO' -p146286 -aS'requires\trequire\tVBZ\tB-VP\tO' -p146287 -aS'monitoring\tmonitoring\tNN\tB-NP\tO' -p146288 -aS'of\tof\tIN\tB-PP\tO' -p146289 -aS'his\this\tPRP$\tB-NP\tO' -p146290 -aS'prothrombin\tprothrombin\tNN\tI-NP\tO' -p146291 -aS'times\ttime\tNNS\tI-NP\tO' -p146292 -aS'and\tand\tCC\tO\tO' -p146293 -aS'his\this\tPRP$\tB-NP\tO' -p146294 -aS'arrhythmias\tarrhythmia\tNNS\tI-NP\tO' -p146295 -aS';\t;\t:\tO\tO' -p146296 -aS'these\tthese\tDT\tB-NP\tO' -p146297 -aS'will\twill\tMD\tB-VP\tO' -p146298 -aS'be\tbe\tVB\tI-VP\tO' -p146299 -aS'done\tdo\tVBN\tI-VP\tO' -p146300 -aS'in\tin\tIN\tB-PP\tO' -p146301 -aS'Grovea\tGrovea\tNNP\tB-NP\tO' -p146302 -aS'Co\tCo\tNNP\tI-NP\tO' -p146303 -aS'Terburgperv\tTerburgperv\tNNP\tI-NP\tO' -p146304 -aS'Portnew\tPortnew\tNNP\tI-NP\tO' -p146305 -aS'.\t.\t.\tO\tO' -p146306 -asS'1. Decreased size of right posterior subdural hemorrhage .' -p146307 -(lp146308 -S'1.\t1.\tLS\tB-LST\tO' -p146309 -aS'Decreased\tDecrease\tVBD\tB-VP\tO' -p146310 -aS'size\tsize\tNN\tB-NP\tO' -p146311 -aS'of\tof\tIN\tB-PP\tO' -p146312 -aS'right\tright\tJJ\tB-NP\tO' -p146313 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p146314 -aS'subdural\tsubdural\tJJ\tI-NP\tO' -p146315 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p146316 -aS'.\t.\t.\tO\tO' -p146317 -asS'1. Tylenol #3 one to two tablets p.o. q 4-6 hours p.r.n.' -p146318 -(lp146319 -S'1.\t1.\tLS\tB-NP\tO' -p146320 -aS'Tylenol\tTylenol\tNN\tI-NP\tO' -p146321 -aS'#3\t#3\tNN\tI-NP\tO' -p146322 -aS'one\tone\tCD\tB-NP\tO' -p146323 -aS'to\tto\tTO\tI-NP\tO' -p146324 -aS'two\ttwo\tCD\tI-NP\tO' -p146325 -aS'tablets\ttablet\tNNS\tI-NP\tO' -p146326 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p146327 -aS'q\tq\tNN\tI-NP\tO' -p146328 -aS'4-6\t4-6\tCD\tB-NP\tO' -p146329 -aS'hours\thour\tNNS\tI-NP\tO' -p146330 -aS'p.r.n.\tp.r.n.\tRB\tB-ADVP\tO' -p146331 -asS'Her acute bradycardic event was felt likely secondary to her new beta blocker in conjunction with a vagal response .' -p146332 -(lp146333 -S'Her\tHer\tPRP$\tB-NP\tO' -p146334 -aS'acute\tacute\tJJ\tI-NP\tO' -p146335 -aS'bradycardic\tbradycardic\tJJ\tI-NP\tO' -p146336 -aS'event\tevent\tNN\tI-NP\tO' -p146337 -aS'was\tbe\tVBD\tB-VP\tO' -p146338 -aS'felt\tfeel\tVBN\tI-VP\tO' -p146339 -aS'likely\tlikely\tRB\tB-ADJP\tO' -p146340 -aS'secondary\tsecondary\tJJ\tI-ADJP\tO' -p146341 -aS'to\tto\tTO\tB-PP\tO' -p146342 -aS'her\ther\tPRP$\tB-NP\tO' -p146343 -aS'new\tnew\tJJ\tI-NP\tO' -p146344 -aS'beta\tbeta\tNN\tI-NP\tO' -p146345 -aS'blocker\tblocker\tNN\tI-NP\tO' -p146346 -aS'in\tin\tIN\tB-PP\tO' -p146347 -aS'conjunction\tconjunction\tNN\tB-NP\tO' -p146348 -aS'with\twith\tIN\tB-PP\tO' -p146349 -aS'a\ta\tDT\tB-NP\tO' -p146350 -aS'vagal\tvagal\tJJ\tI-NP\tO' -p146351 -aS'response\tresponse\tNN\tI-NP\tO' -p146352 -aS'.\t.\t.\tO\tO' -p146353 -asS'She smokes approximately one pack per day .' -p146354 -(lp146355 -S'She\tShe\tPRP\tB-NP\tO' -p146356 -aS'smokes\tsmoke\tVBZ\tB-VP\tO' -p146357 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p146358 -aS'one\tone\tCD\tI-NP\tO' -p146359 -aS'pack\tpack\tNN\tI-NP\tO' -p146360 -aS'per\tper\tIN\tB-PP\tO' -p146361 -aS'day\tday\tNN\tB-NP\tO' -p146362 -aS'.\t.\t.\tO\tO' -p146363 -asS'Small stroke , nearly recovered , likely embolic from carotid artery .' -p146364 -(lp146365 -S'Small\tSmall\tJJ\tB-NP\tO' -p146366 -aS'stroke\tstroke\tNN\tI-NP\tO' -p146367 -aS',\t,\t,\tO\tO' -p146368 -aS'nearly\tnearly\tRB\tB-VP\tO' -p146369 -aS'recovered\trecover\tVBD\tI-VP\tO' -p146370 -aS',\t,\t,\tO\tO' -p146371 -aS'likely\tlikely\tRB\tB-ADJP\tO' -p146372 -aS'embolic\tembolic\tJJ\tI-ADJP\tO' -p146373 -aS'from\tfrom\tIN\tB-PP\tO' -p146374 -aS'carotid\tcarotid\tJJ\tB-NP\tO' -p146375 -aS'artery\tartery\tNN\tI-NP\tO' -p146376 -aS'.\t.\t.\tO\tO' -p146377 -asS'Nutrition : She was held NPO at admission , and initiated on TPN by HD#3 .' -p146378 -(lp146379 -S'Nutrition\tNutrition\tNN\tB-NP\tO' -p146380 -aS':\t:\t:\tO\tO' -p146381 -aS'She\tShe\tPRP\tB-NP\tO' -p146382 -aS'was\tbe\tVBD\tB-VP\tO' -p146383 -aS'held\thold\tVBN\tI-VP\tO' -p146384 -aS'NPO\tNPO\tNN\tB-NP\tB-protein' -p146385 -aS'at\tat\tIN\tB-PP\tO' -p146386 -aS'admission\tadmission\tNN\tB-NP\tO' -p146387 -aS',\t,\t,\tO\tO' -p146388 -aS'and\tand\tCC\tO\tO' -p146389 -aS'initiated\tinitiate\tVBN\tB-VP\tO' -p146390 -aS'on\ton\tIN\tB-PP\tO' -p146391 -aS'TPN\tTPN\tNN\tB-NP\tB-protein' -p146392 -aS'by\tby\tIN\tB-PP\tO' -p146393 -aS'HD#3\tHD#3\tNN\tB-NP\tB-protein' -p146394 -aS'.\t.\t.\tO\tO' -p146395 -asS'Abdomen soft without hepatosplenomegaly .' -p146396 -(lp146397 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p146398 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p146399 -aS'without\twithout\tIN\tB-PP\tO' -p146400 -aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tB-NP\tO' -p146401 -aS'.\t.\t.\tO\tO' -p146402 -asS'4. Folate .' -p146403 -(lp146404 -S'4.\t4.\tLS\tB-LST\tO' -p146405 -aS'Folate\tFolate\tNNP\tB-NP\tO' -p146406 -aS'.\t.\t.\tO\tO' -p146407 -asS'CARDIAC MONITOR : Showed a generally regular rhythm .' -p146408 -(lp146409 -S'CARDIAC\tCARDIAC\tNN\tB-NP\tO' -p146410 -aS'MONITOR\tMONITOR\tNN\tI-NP\tO' -p146411 -aS':\t:\t:\tO\tO' -p146412 -aS'Showed\tShow\tVBD\tB-VP\tO' -p146413 -aS'a\ta\tDT\tB-NP\tO' -p146414 -aS'generally\tgenerally\tRB\tI-NP\tO' -p146415 -aS'regular\tregular\tJJ\tI-NP\tO' -p146416 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p146417 -aS'.\t.\t.\tO\tO' -p146418 -asS"On admission , the patient 's vital signs were stable ." -p146419 -(lp146420 -S'On\tOn\tIN\tB-PP\tO' -p146421 -aS'admission\tadmission\tNN\tB-NP\tO' -p146422 -aS',\t,\t,\tO\tO' -p146423 -aS'the\tthe\tDT\tB-NP\tO' -p146424 -aS'patient\tpatient\tNN\tI-NP\tO' -p146425 -aS"'s\t's\tPOS\tB-NP\tO" -p146426 -aS'vital\tvital\tJJ\tI-NP\tO' -p146427 -aS'signs\tsign\tNNS\tI-NP\tO' -p146428 -aS'were\tbe\tVBD\tB-VP\tO' -p146429 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p146430 -aS'.\t.\t.\tO\tO' -p146431 -asS'Thus initially he had been started on prednisone and Bactrim , this was discontinued .' -p146432 -(lp146433 -S'Thus\tThus\tRB\tB-ADVP\tO' -p146434 -aS'initially\tinitially\tRB\tI-ADVP\tO' -p146435 -aS'he\the\tPRP\tB-NP\tO' -p146436 -aS'had\thave\tVBD\tB-VP\tO' -p146437 -aS'been\tbe\tVBN\tI-VP\tO' -p146438 -aS'started\tstart\tVBN\tI-VP\tO' -p146439 -aS'on\ton\tIN\tB-PP\tO' -p146440 -aS'prednisone\tprednisone\tNN\tB-NP\tO' -p146441 -aS'and\tand\tCC\tO\tO' -p146442 -aS'Bactrim\tBactrim\tNNP\tB-NP\tO' -p146443 -aS',\t,\t,\tO\tO' -p146444 -aS'this\tthis\tDT\tB-NP\tO' -p146445 -aS'was\tbe\tVBD\tB-VP\tO' -p146446 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p146447 -aS'.\t.\t.\tO\tO' -p146448 -asS'The left atrium is moderately dilated .' -p146449 -(lp146450 -S'The\tThe\tDT\tB-NP\tO' -p146451 -aS'left\tleft\tJJ\tI-NP\tO' -p146452 -aS'atrium\tatrium\tNN\tI-NP\tO' -p146453 -aS'is\tbe\tVBZ\tB-VP\tO' -p146454 -aS'moderately\tmoderately\tRB\tI-VP\tO' -p146455 -aS'dilated\tdilate\tVBN\tI-VP\tO' -p146456 -aS'.\t.\t.\tO\tO' -p146457 -asS"The CMED CSRU Intern called the Murphy , Robert Leigh , to give her the update with regards to the pt 's deteriorating clinical status ." -p146458 -(lp146459 -S'The\tThe\tDT\tB-NP\tO' -p146460 -aS'CMED\tCMED\tNNP\tI-NP\tO' -p146461 -aS'CSRU\tCSRU\tNNP\tI-NP\tO' -p146462 -aS'Intern\tIntern\tNNP\tI-NP\tO' -p146463 -aS'called\tcall\tVBD\tB-VP\tO' -p146464 -aS'the\tthe\tDT\tB-NP\tO' -p146465 -aS'Murphy\tMurphy\tNNP\tI-NP\tO' -p146466 -aS',\t,\t,\tO\tO' -p146467 -aS'Robert\tRobert\tNNP\tB-NP\tO' -p146468 -aS'Leigh\tLeigh\tNNP\tI-NP\tO' -p146469 -aS',\t,\t,\tO\tO' -p146470 -aS'to\tto\tTO\tB-VP\tO' -p146471 -aS'give\tgive\tVB\tI-VP\tO' -p146472 -aS'her\ther\tPRP\tB-NP\tO' -p146473 -aS'the\tthe\tDT\tB-NP\tO' -p146474 -aS'update\tupdate\tNN\tI-NP\tO' -p146475 -aS'with\twith\tIN\tB-PP\tO' -p146476 -aS'regards\tregard\tNNS\tB-NP\tO' -p146477 -aS'to\tto\tTO\tB-PP\tO' -p146478 -aS'the\tthe\tDT\tB-NP\tO' -p146479 -aS'pt\tpt\tNN\tI-NP\tO' -p146480 -aS"'s\t's\tPOS\tB-NP\tO" -p146481 -aS'deteriorating\tdeteriorate\tVBG\tI-NP\tO' -p146482 -aS'clinical\tclinical\tJJ\tI-NP\tO' -p146483 -aS'status\tstatus\tNN\tI-NP\tO' -p146484 -aS'.\t.\t.\tO\tO' -p146485 -asS'Ahead CT scan revealed a metastatic lesion in the right vertex of the calvarium but no intracranial abnormalities .' -p146486 -(lp146487 -S'Ahead\tAhead\tNN\tB-NP\tO' -p146488 -aS'CT\tCT\tNN\tI-NP\tO' -p146489 -aS'scan\tscan\tNN\tI-NP\tO' -p146490 -aS'revealed\treveal\tVBD\tB-VP\tO' -p146491 -aS'a\ta\tDT\tB-NP\tO' -p146492 -aS'metastatic\tmetastatic\tJJ\tI-NP\tO' -p146493 -aS'lesion\tlesion\tNN\tI-NP\tO' -p146494 -aS'in\tin\tIN\tB-PP\tO' -p146495 -aS'the\tthe\tDT\tB-NP\tO' -p146496 -aS'right\tright\tJJ\tI-NP\tO' -p146497 -aS'vertex\tvertex\tNN\tI-NP\tO' -p146498 -aS'of\tof\tIN\tB-PP\tO' -p146499 -aS'the\tthe\tDT\tB-NP\tO' -p146500 -aS'calvarium\tcalvarium\tNN\tI-NP\tO' -p146501 -aS'but\tbut\tCC\tO\tO' -p146502 -aS'no\tno\tDT\tB-NP\tO' -p146503 -aS'intracranial\tintracranial\tJJ\tI-NP\tO' -p146504 -aS'abnormalities\tabnormality\tNNS\tI-NP\tO' -p146505 -aS'.\t.\t.\tO\tO' -p146506 -asS'NPH 70 units q.a.m. , 50 units q.p.m. , regular insulin-sliding scale .' -p146507 -(lp146508 -S'NPH\tNPH\tNN\tB-NP\tB-protein' -p146509 -aS'70\t70\tCD\tB-NP\tI-protein' -p146510 -aS'units\tunit\tNNS\tI-NP\tI-protein' -p146511 -aS'q.a.m.\tq.a.m.\tRB\tB-ADVP\tO' -p146512 -aS',\t,\t,\tO\tO' -p146513 -aS'50\t50\tCD\tB-NP\tO' -p146514 -aS'units\tunit\tNNS\tI-NP\tO' -p146515 -aS'q.p.m.\tq.p.m.\tRB\tB-ADVP\tO' -p146516 -aS',\t,\t,\tO\tO' -p146517 -aS'regular\tregular\tJJ\tB-NP\tO' -p146518 -aS'insulin-sliding\tinsulin-sliding\tJJ\tI-NP\tO' -p146519 -aS'scale\tscale\tNN\tI-NP\tO' -p146520 -aS'.\t.\t.\tO\tO' -p146521 -asS'Disp :* 30 Tablet Sustained Release 24 HR (s)* Refills :* 0 *' -p146522 -(lp146523 -S'Disp\tDisp\tNN\tB-NP\tO' -p146524 -aS':*\t:*\tSYM\tI-NP\tO' -p146525 -aS'30\t30\tCD\tI-NP\tO' -p146526 -aS'Tablet\tTablet\tNN\tI-NP\tO' -p146527 -aS'Sustained\tSustain\tVBD\tB-VP\tO' -p146528 -aS'Release\tRelease\tNN\tB-NP\tB-protein' -p146529 -aS'24\t24\tCD\tI-NP\tI-protein' -p146530 -aS'HR\tHR\tNN\tI-NP\tI-protein' -p146531 -aS'(s)*\t(s)*\tSYM\tB-NP\tI-protein' -p146532 -aS'Refills\tRefill\tNNPS\tI-NP\tO' -p146533 -aS':*\t:*\tSYM\tI-NP\tO' -p146534 -aS'0\t0\tCD\tI-NP\tO' -p146535 -aS'*\t*\tSYM\tB-NP\tO' -p146536 -asS'Resume all of your home medications , but please avoid motrin / advil for 1 week .' -p146537 -(lp146538 -S'Resume\tResume\tVB\tB-VP\tO' -p146539 -aS'all\tall\tDT\tB-NP\tO' -p146540 -aS'of\tof\tIN\tB-PP\tO' -p146541 -aS'your\tyour\tPRP$\tB-NP\tO' -p146542 -aS'home\thome\tNN\tI-NP\tO' -p146543 -aS'medications\tmedication\tNNS\tI-NP\tO' -p146544 -aS',\t,\t,\tO\tO' -p146545 -aS'but\tbut\tCC\tO\tO' -p146546 -aS'please\tplease\tVB\tB-VP\tO' -p146547 -aS'avoid\tavoid\tJJ\tB-NP\tO' -p146548 -aS'motrin\tmotrin\tNN\tI-NP\tO' -p146549 -aS'/\t/\tSYM\tB-NP\tO' -p146550 -aS'advil\tadvil\tNN\tI-NP\tO' -p146551 -aS'for\tfor\tIN\tB-PP\tO' -p146552 -aS'1\t1\tCD\tB-NP\tO' -p146553 -aS'week\tweek\tNN\tI-NP\tO' -p146554 -aS'.\t.\t.\tO\tO' -p146555 -asS'CT revealed hemothorax .' -p146556 -(lp146557 -S'CT\tCT\tNN\tB-NP\tO' -p146558 -aS'revealed\treveal\tVBD\tB-VP\tO' -p146559 -aS'hemothorax\themothorax\tNN\tB-NP\tO' -p146560 -aS'.\t.\t.\tO\tO' -p146561 -asS'2) Diffuse , confluent periventricular white matter hypodensity , which may relate to an underlying demyelinating process ( as suggested in the indication provided for the prior MRI ).' -p146562 -(lp146563 -S'2)\t2)\tLS\tB-LST\tO' -p146564 -aS'Diffuse\tDiffuse\tNNP\tB-NP\tO' -p146565 -aS',\t,\t,\tO\tO' -p146566 -aS'confluent\tconfluent\tJJ\tB-NP\tO' -p146567 -aS'periventricular\tperiventricular\tJJ\tI-NP\tO' -p146568 -aS'white\twhite\tJJ\tI-NP\tO' -p146569 -aS'matter\tmatter\tNN\tI-NP\tO' -p146570 -aS'hypodensity\thypodensity\tNN\tI-NP\tO' -p146571 -aS',\t,\t,\tO\tO' -p146572 -aS'which\twhich\tWDT\tB-NP\tO' -p146573 -aS'may\tmay\tMD\tB-VP\tO' -p146574 -aS'relate\trelate\tVB\tI-VP\tO' -p146575 -aS'to\tto\tTO\tB-PP\tO' -p146576 -aS'an\tan\tDT\tB-NP\tO' -p146577 -aS'underlying\tunderlie\tVBG\tI-NP\tO' -p146578 -aS'demyelinating\tdemyelinate\tVBG\tI-NP\tO' -p146579 -aS'process\tprocess\tNN\tI-NP\tO' -p146580 -aS'(\t(\t(\tO\tO' -p146581 -aS'as\tas\tIN\tB-SBAR\tO' -p146582 -aS'suggested\tsuggest\tVBN\tB-VP\tO' -p146583 -aS'in\tin\tIN\tB-PP\tO' -p146584 -aS'the\tthe\tDT\tB-NP\tO' -p146585 -aS'indication\tindication\tNN\tI-NP\tO' -p146586 -aS'provided\tprovide\tVBN\tB-VP\tO' -p146587 -aS'for\tfor\tIN\tB-PP\tO' -p146588 -aS'the\tthe\tDT\tB-NP\tO' -p146589 -aS'prior\tprior\tJJ\tI-NP\tO' -p146590 -aS'MRI\tMRI\tNN\tI-NP\tO' -p146591 -aS').\t).\t.\tO\tO' -p146592 -asS'Stable , with active problems being respiratory failure , urinary tract infection , and bleeding diathesis .' -p146593 -(lp146594 -S'Stable\tStable\tJJ\tB-ADJP\tO' -p146595 -aS',\t,\t,\tO\tO' -p146596 -aS'with\twith\tIN\tB-PP\tO' -p146597 -aS'active\tactive\tJJ\tB-NP\tO' -p146598 -aS'problems\tproblem\tNNS\tI-NP\tO' -p146599 -aS'being\tbe\tVBG\tB-VP\tO' -p146600 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p146601 -aS'failure\tfailure\tNN\tI-NP\tO' -p146602 -aS',\t,\t,\tO\tO' -p146603 -aS'urinary\turinary\tJJ\tB-NP\tO' -p146604 -aS'tract\ttract\tNN\tI-NP\tO' -p146605 -aS'infection\tinfection\tNN\tI-NP\tO' -p146606 -aS',\t,\t,\tO\tO' -p146607 -aS'and\tand\tCC\tO\tO' -p146608 -aS'bleeding\tbleed\tVBG\tB-VP\tO' -p146609 -aS'diathesis\tdiathesis\tNN\tB-NP\tO' -p146610 -aS'.\t.\t.\tO\tO' -p146611 -asS'13. Lorazepam 1 mg Tablet Sig : One ( 1 ) Tablet PO HS ( at bedtime ) as needed .' -p146612 -(lp146613 -S'13.\t13.\tCD\tB-NP\tO' -p146614 -aS'Lorazepam\tLorazepam\tNNP\tI-NP\tO' -p146615 -aS'1\t1\tCD\tI-NP\tO' -p146616 -aS'mg\tmg\tNN\tI-NP\tO' -p146617 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p146618 -aS'Sig\tSig\tNNP\tI-NP\tO' -p146619 -aS':\t:\t:\tO\tO' -p146620 -aS'One\tOne\tCD\tB-NP\tO' -p146621 -aS'(\t(\t(\tO\tO' -p146622 -aS'1\t1\tCD\tB-NP\tO' -p146623 -aS')\t)\t)\tO\tO' -p146624 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p146625 -aS'PO\tPO\tNN\tI-NP\tO' -p146626 -aS'HS\tHS\tNN\tI-NP\tO' -p146627 -aS'(\t(\t(\tO\tO' -p146628 -aS'at\tat\tIN\tB-PP\tO' -p146629 -aS'bedtime\tbedtime\tNN\tB-NP\tO' -p146630 -aS')\t)\t)\tO\tO' -p146631 -aS'as\tas\tIN\tB-SBAR\tO' -p146632 -aS'needed\tneed\tVBN\tB-VP\tO' -p146633 -aS'.\t.\t.\tO\tO' -p146634 -asS'She has deep pain in intercourse .' -p146635 -(lp146636 -S'She\tShe\tPRP\tB-NP\tO' -p146637 -aS'has\thave\tVBZ\tB-VP\tO' -p146638 -aS'deep\tdeep\tJJ\tB-NP\tO' -p146639 -aS'pain\tpain\tNN\tI-NP\tO' -p146640 -aS'in\tin\tIN\tB-PP\tO' -p146641 -aS'intercourse\tintercourse\tNN\tB-NP\tO' -p146642 -aS'.\t.\t.\tO\tO' -p146643 -asS'the patient is status post thoracotomy and has staples and sutures on his chest .' -p146644 -(lp146645 -S'the\tthe\tDT\tB-NP\tO' -p146646 -aS'patient\tpatient\tNN\tI-NP\tO' -p146647 -aS'is\tbe\tVBZ\tB-VP\tO' -p146648 -aS'status\tstatus\tNN\tB-NP\tO' -p146649 -aS'post\tpost\tNN\tI-NP\tO' -p146650 -aS'thoracotomy\tthoracotomy\tNN\tI-NP\tO' -p146651 -aS'and\tand\tCC\tO\tO' -p146652 -aS'has\thave\tVBZ\tB-VP\tO' -p146653 -aS'staples\tstaple\tNNS\tB-NP\tO' -p146654 -aS'and\tand\tCC\tI-NP\tO' -p146655 -aS'sutures\tsuture\tNNS\tI-NP\tO' -p146656 -aS'on\ton\tIN\tB-PP\tO' -p146657 -aS'his\this\tPRP$\tB-NP\tO' -p146658 -aS'chest\tchest\tNN\tI-NP\tO' -p146659 -aS'.\t.\t.\tO\tO' -p146660 -asS'The patient was discharged to Samfer Street with no autopsy .' -p146661 -(lp146662 -S'The\tThe\tDT\tB-NP\tO' -p146663 -aS'patient\tpatient\tNN\tI-NP\tO' -p146664 -aS'was\tbe\tVBD\tB-VP\tO' -p146665 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p146666 -aS'to\tto\tTO\tB-PP\tO' -p146667 -aS'Samfer\tSamfer\tNNP\tB-NP\tO' -p146668 -aS'Street\tStreet\tNNP\tI-NP\tO' -p146669 -aS'with\twith\tIN\tB-PP\tO' -p146670 -aS'no\tno\tDT\tB-NP\tO' -p146671 -aS'autopsy\tautopsy\tNN\tI-NP\tO' -p146672 -aS'.\t.\t.\tO\tO' -p146673 -asS'30 QID .' -p146674 -(lp146675 -S'30\t30\tCD\tB-NP\tO' -p146676 -aS'QID\tQID\tNN\tI-NP\tO' -p146677 -aS'.\t.\t.\tO\tO' -p146678 -asS'Attending : David U. Johnson , M.D.' -p146679 -(lp146680 -S'Attending\tAttend\tVBG\tB-VP\tO' -p146681 -aS':\t:\t:\tO\tO' -p146682 -aS'David\tDavid\tNNP\tB-NP\tO' -p146683 -aS'U.\tU.\tNNP\tI-NP\tO' -p146684 -aS'Johnson\tJohnson\tNNP\tI-NP\tO' -p146685 -aS',\t,\t,\tO\tO' -p146686 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p146687 -asS'3. Car seat positioning : not yet done .' -p146688 -(lp146689 -S'3.\t3.\tLS\tB-NP\tO' -p146690 -aS'Car\tCar\tNN\tI-NP\tB-protein' -p146691 -aS'seat\tseat\tNN\tI-NP\tO' -p146692 -aS'positioning\tpositioning\tNN\tI-NP\tO' -p146693 -aS':\t:\t:\tO\tO' -p146694 -aS'not\tnot\tRB\tB-VP\tO' -p146695 -aS'yet\tyet\tRB\tI-VP\tO' -p146696 -aS'done\tdo\tVBN\tI-VP\tO' -p146697 -aS'.\t.\t.\tO\tO' -p146698 -asS'No definite apical thrombus seen ( cannot exclude ).' -p146699 -(lp146700 -S'No\tNo\tDT\tB-NP\tO' -p146701 -aS'definite\tdefinite\tJJ\tI-NP\tO' -p146702 -aS'apical\tapical\tJJ\tI-NP\tO' -p146703 -aS'thrombus\tthrombus\tNN\tI-NP\tO' -p146704 -aS'seen\tsee\tVBN\tB-VP\tO' -p146705 -aS'(\t(\t(\tO\tO' -p146706 -aS'cannot\tcannot\tMD\tB-VP\tO' -p146707 -aS'exclude\texclude\tVB\tI-VP\tO' -p146708 -aS').\t).\t)\tO\tO' -p146709 -asS'Family believed pt was becoming dehydrated .' -p146710 -(lp146711 -S'Family\tFamily\tRB\tB-NP\tO' -p146712 -aS'believed\tbelieve\tVBN\tI-NP\tO' -p146713 -aS'pt\tpt\tNN\tI-NP\tO' -p146714 -aS'was\tbe\tVBD\tB-VP\tO' -p146715 -aS'becoming\tbecome\tVBG\tI-VP\tO' -p146716 -aS'dehydrated\tdehydrate\tVBN\tI-VP\tO' -p146717 -aS'.\t.\t.\tO\tO' -p146718 -asS'A chest X-ray showed some left lower lobe atelectasis .' -p146719 -(lp146720 -S'A\tA\tDT\tB-NP\tO' -p146721 -aS'chest\tchest\tNN\tI-NP\tO' -p146722 -aS'X-ray\tX-ray\tNN\tI-NP\tO' -p146723 -aS'showed\tshow\tVBD\tB-VP\tO' -p146724 -aS'some\tsome\tDT\tB-NP\tO' -p146725 -aS'left\tleave\tVBD\tB-VP\tO' -p146726 -aS'lower\tlow\tJJR\tB-NP\tO' -p146727 -aS'lobe\tlobe\tNN\tI-NP\tO' -p146728 -aS'atelectasis\tatelectasis\tNN\tI-NP\tO' -p146729 -aS'.\t.\t.\tO\tO' -p146730 -asS'There is no evidence of gastrointestinal bleed or adrenal insufficiency during the course of her evaluation .' -p146731 -(lp146732 -S'There\tThere\tEX\tB-NP\tO' -p146733 -aS'is\tbe\tVBZ\tB-VP\tO' -p146734 -aS'no\tno\tDT\tB-NP\tO' -p146735 -aS'evidence\tevidence\tNN\tI-NP\tO' -p146736 -aS'of\tof\tIN\tB-PP\tO' -p146737 -aS'gastrointestinal\tgastrointestinal\tJJ\tB-NP\tO' -p146738 -aS'bleed\tbleed\tNN\tI-NP\tO' -p146739 -aS'or\tor\tCC\tO\tO' -p146740 -aS'adrenal\tadrenal\tJJ\tB-NP\tO' -p146741 -aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' -p146742 -aS'during\tduring\tIN\tB-PP\tO' -p146743 -aS'the\tthe\tDT\tB-NP\tO' -p146744 -aS'course\tcourse\tNN\tI-NP\tO' -p146745 -aS'of\tof\tIN\tB-PP\tO' -p146746 -aS'her\ther\tPRP$\tB-NP\tO' -p146747 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p146748 -aS'.\t.\t.\tO\tO' -p146749 -asS'COPD : cont nebs .' -p146750 -(lp146751 -S'COPD\tCOPD\tNN\tB-NP\tO' -p146752 -aS':\t:\t:\tO\tO' -p146753 -aS'cont\tcont\tVB\tB-VP\tO' -p146754 -aS'nebs\tneb\tNNS\tB-NP\tO' -p146755 -aS'.\t.\t.\tO\tO' -p146756 -asS'2. hypertension .' -p146757 -(lp146758 -S'2.\t2.\tLS\tB-NP\tO' -p146759 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p146760 -aS'.\t.\t.\tO\tO' -p146761 -asS'His iv medications were also weaned to off .' -p146762 -(lp146763 -S'His\tHis\tPRP$\tB-NP\tO' -p146764 -aS'iv\tiv\tJJ\tI-NP\tO' -p146765 -aS'medications\tmedication\tNNS\tI-NP\tO' -p146766 -aS'were\tbe\tVBD\tB-VP\tO' -p146767 -aS'also\talso\tRB\tI-VP\tO' -p146768 -aS'weaned\twean\tVBN\tI-VP\tO' -p146769 -aS'to\tto\tTO\tB-PP\tO' -p146770 -aS'off\toff\tRB\tB-ADVP\tO' -p146771 -aS'.\t.\t.\tO\tO' -p146772 -asS'As on prior hospitalization , her HCP was shared by Dianne White .' -p146773 -(lp146774 -S'As\tAs\tIN\tB-PP\tO' -p146775 -aS'on\ton\tIN\tB-PP\tO' -p146776 -aS'prior\tprior\tJJ\tB-NP\tO' -p146777 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p146778 -aS',\t,\t,\tO\tO' -p146779 -aS'her\ther\tPRP$\tB-NP\tO' -p146780 -aS'HCP\tHCP\tNN\tI-NP\tB-DNA' -p146781 -aS'was\tbe\tVBD\tB-VP\tO' -p146782 -aS'shared\tshare\tVBN\tI-VP\tO' -p146783 -aS'by\tby\tIN\tB-PP\tO' -p146784 -aS'Dianne\tDianne\tNNP\tB-NP\tO' -p146785 -aS'White\tWhite\tNNP\tI-NP\tO' -p146786 -aS'.\t.\t.\tO\tO' -p146787 -asS'3. Phenytoin Sodium Extended 100 mg Capsule Sig : One ( 1 ) Capsule PO TID ( 3 times a day ) .' -p146788 -(lp146789 -S'3.\t3.\tLS\tB-NP\tO' -p146790 -aS'Phenytoin\tPhenytoin\tNN\tI-NP\tO' -p146791 -aS'Sodium\tSodium\tNN\tI-NP\tO' -p146792 -aS'Extended\tExtend\tVBD\tB-VP\tO' -p146793 -aS'100\t100\tCD\tB-NP\tO' -p146794 -aS'mg\tmg\tNN\tI-NP\tO' -p146795 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p146796 -aS'Sig\tSig\tNNP\tI-NP\tO' -p146797 -aS':\t:\t:\tO\tO' -p146798 -aS'One\tOne\tCD\tB-NP\tO' -p146799 -aS'(\t(\t(\tO\tO' -p146800 -aS'1\t1\tCD\tB-NP\tO' -p146801 -aS')\t)\t)\tO\tO' -p146802 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p146803 -aS'PO\tPO\tNNP\tI-NP\tO' -p146804 -aS'TID\tTID\tNNP\tI-NP\tO' -p146805 -aS'(\t(\t(\tO\tO' -p146806 -aS'3\t3\tCD\tB-NP\tO' -p146807 -aS'times\ttime\tNNS\tI-NP\tO' -p146808 -aS'a\ta\tDT\tB-NP\tO' -p146809 -aS'day\tday\tNN\tI-NP\tO' -p146810 -aS')\t)\t)\tO\tO' -p146811 -aS'.\t.\t.\tO\tO' -p146812 -asS'He later presented with increasing back pain , and metastatic disease was documented .' -p146813 -(lp146814 -S'He\tHe\tPRP\tB-NP\tO' -p146815 -aS'later\tlater\tRB\tB-ADVP\tO' -p146816 -aS'presented\tpresent\tVBD\tB-VP\tO' -p146817 -aS'with\twith\tIN\tB-PP\tO' -p146818 -aS'increasing\tincrease\tVBG\tB-NP\tO' -p146819 -aS'back\tback\tJJ\tI-NP\tO' -p146820 -aS'pain\tpain\tNN\tI-NP\tO' -p146821 -aS',\t,\t,\tO\tO' -p146822 -aS'and\tand\tCC\tO\tO' -p146823 -aS'metastatic\tmetastatic\tJJ\tB-NP\tO' -p146824 -aS'disease\tdisease\tNN\tI-NP\tO' -p146825 -aS'was\tbe\tVBD\tB-VP\tO' -p146826 -aS'documented\tdocument\tVBN\tI-VP\tO' -p146827 -aS'.\t.\t.\tO\tO' -p146828 -asS'Her O2 requirement has increased despite diuresis .' -p146829 -(lp146830 -S'Her\tHer\tPRP$\tB-NP\tO' -p146831 -aS'O2\tO2\tNN\tI-NP\tO' -p146832 -aS'requirement\trequirement\tNN\tI-NP\tO' -p146833 -aS'has\thave\tVBZ\tB-VP\tO' -p146834 -aS'increased\tincrease\tVBN\tI-VP\tO' -p146835 -aS'despite\tdespite\tIN\tB-PP\tO' -p146836 -aS'diuresis\tdiuresis\tNN\tB-NP\tO' -p146837 -aS'.\t.\t.\tO\tO' -p146838 -asS'The patient has a history four years ago of being admitted to the Etearal Etsystems/ Hospital after suffering an acute anterior myocardial infarction .' -p146839 -(lp146840 -S'The\tThe\tDT\tB-NP\tO' -p146841 -aS'patient\tpatient\tNN\tI-NP\tO' -p146842 -aS'has\thave\tVBZ\tB-VP\tO' -p146843 -aS'a\ta\tDT\tB-NP\tO' -p146844 -aS'history\thistory\tNN\tI-NP\tO' -p146845 -aS'four\tfour\tCD\tB-NP\tO' -p146846 -aS'years\tyear\tNNS\tI-NP\tO' -p146847 -aS'ago\tago\tRB\tB-ADVP\tO' -p146848 -aS'of\tof\tIN\tB-PP\tO' -p146849 -aS'being\tbe\tVBG\tB-VP\tO' -p146850 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p146851 -aS'to\tto\tTO\tB-PP\tO' -p146852 -aS'the\tthe\tDT\tB-NP\tO' -p146853 -aS'Etearal\tEtearal\tNNP\tI-NP\tO' -p146854 -aS'Etsystems/\tEtsystems/\tNNP\tI-NP\tO' -p146855 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p146856 -aS'after\tafter\tIN\tB-PP\tO' -p146857 -aS'suffering\tsuffer\tVBG\tB-VP\tO' -p146858 -aS'an\tan\tDT\tB-NP\tO' -p146859 -aS'acute\tacute\tJJ\tI-NP\tO' -p146860 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p146861 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p146862 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p146863 -aS'.\t.\t.\tO\tO' -p146864 -asS'Palate deferred due to oral intubation .' -p146865 -(lp146866 -S'Palate\tPalate\tNNP\tB-NP\tO' -p146867 -aS'deferred\tdefer\tVBD\tB-VP\tO' -p146868 -aS'due\tdue\tJJ\tB-ADJP\tO' -p146869 -aS'to\tto\tTO\tB-PP\tO' -p146870 -aS'oral\toral\tJJ\tB-NP\tO' -p146871 -aS'intubation\tintubation\tNN\tI-NP\tO' -p146872 -aS'.\t.\t.\tO\tO' -p146873 -asS'1. Cigarette smoking .' -p146874 -(lp146875 -S'1.\t1.\tLS\tB-NP\tO' -p146876 -aS'Cigarette\tCigarette\tNN\tI-NP\tO' -p146877 -aS'smoking\tsmoking\tNN\tI-NP\tO' -p146878 -aS'.\t.\t.\tO\tO' -p146879 -asS'The room spins with no visual changes , no loss of consciousness , no palpitations or chest pain , no shortness of breath or diaphoresis .' -p146880 -(lp146881 -S'The\tThe\tDT\tB-NP\tO' -p146882 -aS'room\troom\tNN\tI-NP\tO' -p146883 -aS'spins\tspin\tNNS\tI-NP\tO' -p146884 -aS'with\twith\tIN\tB-PP\tO' -p146885 -aS'no\tno\tDT\tB-NP\tO' -p146886 -aS'visual\tvisual\tJJ\tI-NP\tO' -p146887 -aS'changes\tchange\tNNS\tI-NP\tO' -p146888 -aS',\t,\t,\tO\tO' -p146889 -aS'no\tno\tDT\tB-NP\tO' -p146890 -aS'loss\tloss\tNN\tI-NP\tO' -p146891 -aS'of\tof\tIN\tB-PP\tO' -p146892 -aS'consciousness\tconsciousness\tNN\tB-NP\tO' -p146893 -aS',\t,\t,\tO\tO' -p146894 -aS'no\tno\tDT\tB-NP\tO' -p146895 -aS'palpitations\tpalpitation\tNNS\tI-NP\tO' -p146896 -aS'or\tor\tCC\tI-NP\tO' -p146897 -aS'chest\tchest\tNN\tI-NP\tO' -p146898 -aS'pain\tpain\tNN\tI-NP\tO' -p146899 -aS',\t,\t,\tO\tO' -p146900 -aS'no\tno\tDT\tB-NP\tO' -p146901 -aS'shortness\tshortness\tNN\tI-NP\tO' -p146902 -aS'of\tof\tIN\tB-PP\tO' -p146903 -aS'breath\tbreath\tNN\tB-NP\tO' -p146904 -aS'or\tor\tCC\tI-NP\tO' -p146905 -aS'diaphoresis\tdiaphoresis\tNN\tI-NP\tO' -p146906 -aS'.\t.\t.\tO\tO' -p146907 -asS'Right ventricular heave .' -p146908 -(lp146909 -S'Right\tRight\tRB\tB-NP\tO' -p146910 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p146911 -aS'heave\theave\tNN\tI-NP\tO' -p146912 -aS'.\t.\t.\tO\tO' -p146913 -asS'The LH was 4.9 , FSH 3.3 .' -p146914 -(lp146915 -S'The\tThe\tDT\tB-NP\tO' -p146916 -aS'LH\tLH\tNN\tI-NP\tO' -p146917 -aS'was\tbe\tVBD\tB-VP\tO' -p146918 -aS'4.9\t4.9\tCD\tB-NP\tO' -p146919 -aS',\t,\t,\tO\tO' -p146920 -aS'FSH\tFSH\tNN\tB-NP\tB-protein' -p146921 -aS'3.3\t3.3\tCD\tI-NP\tI-protein' -p146922 -aS'.\t.\t.\tO\tO' -p146923 -asS'Take the pain medication as directed and do not drive while taking this medication .' -p146924 -(lp146925 -S'Take\tTake\tVB\tB-VP\tO' -p146926 -aS'the\tthe\tDT\tB-NP\tO' -p146927 -aS'pain\tpain\tNN\tI-NP\tO' -p146928 -aS'medication\tmedication\tNN\tI-NP\tO' -p146929 -aS'as\tas\tIN\tB-SBAR\tO' -p146930 -aS'directed\tdirect\tVBN\tB-VP\tO' -p146931 -aS'and\tand\tCC\tO\tO' -p146932 -aS'do\tdo\tVBP\tB-VP\tO' -p146933 -aS'not\tnot\tRB\tI-VP\tO' -p146934 -aS'drive\tdrive\tVB\tI-VP\tO' -p146935 -aS'while\twhile\tIN\tB-SBAR\tO' -p146936 -aS'taking\ttake\tVBG\tB-VP\tO' -p146937 -aS'this\tthis\tDT\tB-NP\tO' -p146938 -aS'medication\tmedication\tNN\tI-NP\tO' -p146939 -aS'.\t.\t.\tO\tO' -p146940 -asS'She has no relief from antacids or H2 blockers .' -p146941 -(lp146942 -S'She\tShe\tPRP\tB-NP\tO' -p146943 -aS'has\thave\tVBZ\tB-VP\tO' -p146944 -aS'no\tno\tDT\tB-NP\tO' -p146945 -aS'relief\trelief\tNN\tI-NP\tO' -p146946 -aS'from\tfrom\tIN\tB-PP\tO' -p146947 -aS'antacids\tantacid\tNNS\tB-NP\tO' -p146948 -aS'or\tor\tCC\tO\tO' -p146949 -aS'H2\tH2\tNN\tB-NP\tO' -p146950 -aS'blockers\tblocker\tNNS\tI-NP\tO' -p146951 -aS'.\t.\t.\tO\tO' -p146952 -asS'He was given explicit instructions to follow-up in clinic with Dr. Liley in 1-2 weeks .' -p146953 -(lp146954 -S'He\tHe\tPRP\tB-NP\tO' -p146955 -aS'was\tbe\tVBD\tB-VP\tO' -p146956 -aS'given\tgive\tVBN\tI-VP\tO' -p146957 -aS'explicit\texplicit\tJJ\tB-NP\tO' -p146958 -aS'instructions\tinstruction\tNNS\tI-NP\tO' -p146959 -aS'to\tto\tTO\tB-PP\tO' -p146960 -aS'follow-up\tfollow-up\tNN\tB-NP\tO' -p146961 -aS'in\tin\tIN\tB-PP\tO' -p146962 -aS'clinic\tclinic\tNN\tB-NP\tO' -p146963 -aS'with\twith\tIN\tB-PP\tO' -p146964 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p146965 -aS'Liley\tLiley\tNNP\tI-NP\tO' -p146966 -aS'in\tin\tIN\tB-PP\tO' -p146967 -aS'1-2\t1-2\tCD\tB-NP\tO' -p146968 -aS'weeks\tweek\tNNS\tI-NP\tO' -p146969 -aS'.\t.\t.\tO\tO' -p146970 -asS'No change from prior EKG .' -p146971 -(lp146972 -S'No\tNo\tDT\tB-NP\tO' -p146973 -aS'change\tchange\tNN\tI-NP\tO' -p146974 -aS'from\tfrom\tIN\tB-PP\tO' -p146975 -aS'prior\tprior\tJJ\tB-NP\tO' -p146976 -aS'EKG\tEKG\tNN\tI-NP\tO' -p146977 -aS'.\t.\t.\tO\tO' -p146978 -asS'Slightly hyperactive bowel sounds throughout .' -p146979 -(lp146980 -S'Slightly\tSlightly\tRB\tB-NP\tO' -p146981 -aS'hyperactive\thyperactive\tJJ\tI-NP\tO' -p146982 -aS'bowel\tbowel\tNN\tI-NP\tO' -p146983 -aS'sounds\tsound\tVBZ\tB-VP\tO' -p146984 -aS'throughout\tthroughout\tIN\tB-ADVP\tO' -p146985 -aS'.\t.\t.\tO\tO' -p146986 -asS'She came back to the floor on 10-14 .' -p146987 -(lp146988 -S'She\tShe\tPRP\tB-NP\tO' -p146989 -aS'came\tcome\tVBD\tB-VP\tO' -p146990 -aS'back\tback\tRB\tB-ADVP\tO' -p146991 -aS'to\tto\tTO\tB-PP\tO' -p146992 -aS'the\tthe\tDT\tB-NP\tO' -p146993 -aS'floor\tfloor\tNN\tI-NP\tO' -p146994 -aS'on\ton\tIN\tB-PP\tO' -p146995 -aS'10-14\t10-14\tCD\tB-NP\tO' -p146996 -aS'.\t.\t.\tO\tO' -p146997 -asS'Vital signs showed his blood pressure to be slightly decreased at 120/60 , pulse 64 , respirations 16 , temperature 98.8 , O2 sat 95 .' -p146998 -(lp146999 -S'Vital\tVital\tJJ\tB-NP\tO' -p147000 -aS'signs\tsign\tNNS\tI-NP\tO' -p147001 -aS'showed\tshow\tVBD\tB-VP\tO' -p147002 -aS'his\this\tPRP$\tB-NP\tO' -p147003 -aS'blood\tblood\tNN\tI-NP\tO' -p147004 -aS'pressure\tpressure\tNN\tI-NP\tO' -p147005 -aS'to\tto\tTO\tB-VP\tO' -p147006 -aS'be\tbe\tVB\tI-VP\tO' -p147007 -aS'slightly\tslightly\tRB\tI-VP\tO' -p147008 -aS'decreased\tdecrease\tVBN\tI-VP\tO' -p147009 -aS'at\tat\tIN\tB-PP\tO' -p147010 -aS'120/60\t120/60\tCD\tB-NP\tO' -p147011 -aS',\t,\t,\tO\tO' -p147012 -aS'pulse\tpulse\tNN\tB-NP\tO' -p147013 -aS'64\t64\tCD\tI-NP\tO' -p147014 -aS',\t,\t,\tO\tO' -p147015 -aS'respirations\trespiration\tNNS\tB-NP\tO' -p147016 -aS'16\t16\tCD\tB-NP\tO' -p147017 -aS',\t,\t,\tO\tO' -p147018 -aS'temperature\ttemperature\tNN\tB-NP\tO' -p147019 -aS'98.8\t98.8\tCD\tI-NP\tO' -p147020 -aS',\t,\t,\tO\tO' -p147021 -aS'O2\tO2\tNN\tB-NP\tO' -p147022 -aS'sat\tsit\tVBD\tB-VP\tO' -p147023 -aS'95\t95\tCD\tB-NP\tO' -p147024 -aS'.\t.\t.\tO\tO' -p147025 -asS'The peripheral pulses were palpable .' -p147026 -(lp147027 -S'The\tThe\tDT\tB-NP\tO' -p147028 -aS'peripheral\tperipheral\tJJ\tI-NP\tO' -p147029 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p147030 -aS'were\tbe\tVBD\tB-VP\tO' -p147031 -aS'palpable\tpalpable\tJJ\tB-ADJP\tO' -p147032 -aS'.\t.\t.\tO\tO' -p147033 -asS'A Vent drain was placed to monitor and CP and relieved fluid .' -p147034 -(lp147035 -S'A\tA\tDT\tB-NP\tO' -p147036 -aS'Vent\tVent\tJJ\tI-NP\tO' -p147037 -aS'drain\tdrain\tNN\tI-NP\tO' -p147038 -aS'was\tbe\tVBD\tB-VP\tO' -p147039 -aS'placed\tplace\tVBN\tI-VP\tO' -p147040 -aS'to\tto\tTO\tB-PP\tO' -p147041 -aS'monitor\tmonitor\tNN\tB-NP\tO' -p147042 -aS'and\tand\tCC\tI-NP\tO' -p147043 -aS'CP\tCP\tNN\tI-NP\tB-DNA' -p147044 -aS'and\tand\tCC\tO\tO' -p147045 -aS'relieved\trelieved\tJJ\tB-NP\tO' -p147046 -aS'fluid\tfluid\tNN\tI-NP\tO' -p147047 -aS'.\t.\t.\tO\tO' -p147048 -asS'He was not following commands .' -p147049 -(lp147050 -S'He\tHe\tPRP\tB-NP\tO' -p147051 -aS'was\tbe\tVBD\tB-VP\tO' -p147052 -aS'not\tnot\tRB\tI-VP\tO' -p147053 -aS'following\tfollow\tVBG\tI-VP\tO' -p147054 -aS'commands\tcommand\tNNS\tB-NP\tO' -p147055 -aS'.\t.\t.\tO\tO' -p147056 -asS'The patient 's emesis was noted to be bilious without evidence of new or old blood .' -p147057 -(lp147058 -S'The\tThe\tDT\tB-NP\tO' -p147059 -aS'patient\tpatient\tNN\tI-NP\tO' -p147060 -aS''s\t'\tNNS\tI-NP\tO' -p147061 -aS'emesis\temesis\tNN\tI-NP\tO' -p147062 -aS'was\tbe\tVBD\tB-VP\tO' -p147063 -aS'noted\tnote\tVBN\tI-VP\tO' -p147064 -aS'to\tto\tTO\tI-VP\tO' -p147065 -aS'be\tbe\tVB\tI-VP\tO' -p147066 -aS'bilious\tbilious\tJJ\tB-ADJP\tO' -p147067 -aS'without\twithout\tIN\tB-PP\tO' -p147068 -aS'evidence\tevidence\tNN\tB-NP\tO' -p147069 -aS'of\tof\tIN\tB-PP\tO' -p147070 -aS'new\tnew\tJJ\tB-NP\tO' -p147071 -aS'or\tor\tCC\tI-NP\tO' -p147072 -aS'old\told\tJJ\tI-NP\tO' -p147073 -aS'blood\tblood\tNN\tI-NP\tO' -p147074 -aS'.\t.\t.\tO\tO' -p147075 -asS'It was decided to direct goals of care towards confort care .' -p147076 -(lp147077 -S'It\tIt\tPRP\tB-NP\tO' -p147078 -aS'was\tbe\tVBD\tB-VP\tO' -p147079 -aS'decided\tdecide\tVBN\tI-VP\tO' -p147080 -aS'to\tto\tTO\tB-PP\tO' -p147081 -aS'direct\tdirect\tJJ\tB-NP\tO' -p147082 -aS'goals\tgoal\tNNS\tI-NP\tO' -p147083 -aS'of\tof\tIN\tB-PP\tO' -p147084 -aS'care\tcare\tNN\tB-NP\tO' -p147085 -aS'towards\ttowards\tIN\tB-PP\tO' -p147086 -aS'confort\tconfort\tNN\tB-NP\tO' -p147087 -aS'care\tcare\tNN\tI-NP\tO' -p147088 -aS'.\t.\t.\tO\tO' -p147089 -asS'The aortic valve leaflets are moderately thickened .' -p147090 -(lp147091 -S'The\tThe\tDT\tB-NP\tO' -p147092 -aS'aortic\taortic\tJJ\tI-NP\tO' -p147093 -aS'valve\tvalve\tNN\tI-NP\tO' -p147094 -aS'leaflets\tleaflet\tNNS\tI-NP\tO' -p147095 -aS'are\tbe\tVBP\tB-VP\tO' -p147096 -aS'moderately\tmoderately\tRB\tI-VP\tO' -p147097 -aS'thickened\tthicken\tVBN\tI-VP\tO' -p147098 -aS'.\t.\t.\tO\tO' -p147099 -asS'Full medical care and managment continued overnight 11/9-11/20/2002 .' -p147100 -(lp147101 -S'Full\tFull\tJJ\tB-NP\tO' -p147102 -aS'medical\tmedical\tJJ\tI-NP\tO' -p147103 -aS'care\tcare\tNN\tI-NP\tO' -p147104 -aS'and\tand\tCC\tI-NP\tO' -p147105 -aS'managment\tmanagment\tNN\tI-NP\tO' -p147106 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p147107 -aS'overnight\tovernight\tJJ\tB-NP\tO' -p147108 -aS'11/9-11/20/2002\t11/9-11/20/2002\tCD\tI-NP\tO' -p147109 -aS'.\t.\t.\tO\tO' -p147110 -asS'She continued to pass blood per rectum and was transfused with one unit of packed red blood cells .' -p147111 -(lp147112 -S'She\tShe\tPRP\tB-NP\tO' -p147113 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p147114 -aS'to\tto\tTO\tI-VP\tO' -p147115 -aS'pass\tpass\tVB\tI-VP\tO' -p147116 -aS'blood\tblood\tNN\tB-NP\tO' -p147117 -aS'per\tper\tIN\tB-PP\tO' -p147118 -aS'rectum\trectum\tNN\tB-NP\tO' -p147119 -aS'and\tand\tCC\tO\tO' -p147120 -aS'was\tbe\tVBD\tB-VP\tO' -p147121 -aS'transfused\ttransfuse\tVBN\tI-VP\tO' -p147122 -aS'with\twith\tIN\tB-PP\tO' -p147123 -aS'one\tone\tCD\tB-NP\tO' -p147124 -aS'unit\tunit\tNN\tI-NP\tO' -p147125 -aS'of\tof\tIN\tB-PP\tO' -p147126 -aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' -p147127 -aS'red\tred\tJJ\tI-NP\tI-cell_type' -p147128 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p147129 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p147130 -aS'.\t.\t.\tO\tO' -p147131 -asS'She had a history of nucleated RBCs likely secondary to stress and hypoxia during this admission .' -p147132 -(lp147133 -S'She\tShe\tPRP\tB-NP\tO' -p147134 -aS'had\thave\tVBD\tB-VP\tO' -p147135 -aS'a\ta\tDT\tB-NP\tO' -p147136 -aS'history\thistory\tNN\tI-NP\tO' -p147137 -aS'of\tof\tIN\tB-PP\tO' -p147138 -aS'nucleated\tnucleated\tJJ\tB-NP\tB-cell_type' -p147139 -aS'RBCs\tRBC\tNNS\tI-NP\tI-cell_type' -p147140 -aS'likely\tlikely\tRB\tB-ADJP\tO' -p147141 -aS'secondary\tsecondary\tJJ\tI-ADJP\tO' -p147142 -aS'to\tto\tTO\tB-PP\tO' -p147143 -aS'stress\tstress\tNN\tB-NP\tO' -p147144 -aS'and\tand\tCC\tI-NP\tO' -p147145 -aS'hypoxia\thypoxia\tNN\tI-NP\tO' -p147146 -aS'during\tduring\tIN\tB-PP\tO' -p147147 -aS'this\tthis\tDT\tB-NP\tO' -p147148 -aS'admission\tadmission\tNN\tI-NP\tO' -p147149 -aS'.\t.\t.\tO\tO' -p147150 -asS'She should return in 6 weeks for removal of biliary stent .' -p147151 -(lp147152 -S'She\tShe\tPRP\tB-NP\tO' -p147153 -aS'should\tshould\tMD\tB-VP\tO' -p147154 -aS'return\treturn\tVB\tI-VP\tO' -p147155 -aS'in\tin\tIN\tB-PP\tO' -p147156 -aS'6\t6\tCD\tB-NP\tO' -p147157 -aS'weeks\tweek\tNNS\tI-NP\tO' -p147158 -aS'for\tfor\tIN\tB-PP\tO' -p147159 -aS'removal\tremoval\tNN\tB-NP\tO' -p147160 -aS'of\tof\tIN\tB-PP\tO' -p147161 -aS'biliary\tbiliary\tJJ\tB-NP\tO' -p147162 -aS'stent\tstent\tNN\tI-NP\tO' -p147163 -aS'.\t.\t.\tO\tO' -p147164 -asS'+ETOH , had 12 cans of beer prior to accident' -p147165 -(lp147166 -S'+ETOH\t+ETOH\tNN\tB-NP\tB-protein' -p147167 -aS',\t,\t,\tO\tO' -p147168 -aS'had\thave\tVBD\tB-VP\tO' -p147169 -aS'12\t12\tCD\tB-NP\tO' -p147170 -aS'cans\tcan\tNNS\tI-NP\tO' -p147171 -aS'of\tof\tIN\tB-PP\tO' -p147172 -aS'beer\tbeer\tNN\tB-NP\tO' -p147173 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p147174 -aS'to\tto\tTO\tB-PP\tO' -p147175 -aS'accident\taccident\tNN\tB-NP\tO' -p147176 -asS'Neurologic examination was nonfocal .' -p147177 -(lp147178 -S'Neurologic\tNeurologic\tJJ\tB-NP\tO' -p147179 -aS'examination\texamination\tNN\tI-NP\tO' -p147180 -aS'was\tbe\tVBD\tB-VP\tO' -p147181 -aS'nonfocal\tnonfocal\tJJ\tB-ADJP\tO' -p147182 -aS'.\t.\t.\tO\tO' -p147183 -asS'Fortunately , these issues were not active during the present admission .' -p147184 -(lp147185 -S'Fortunately\tFortunately\tRB\tB-ADVP\tO' -p147186 -aS',\t,\t,\tO\tO' -p147187 -aS'these\tthese\tDT\tB-NP\tO' -p147188 -aS'issues\tissue\tNNS\tI-NP\tO' -p147189 -aS'were\tbe\tVBD\tB-VP\tO' -p147190 -aS'not\tnot\tRB\tO\tO' -p147191 -aS'active\tactive\tJJ\tB-ADJP\tO' -p147192 -aS'during\tduring\tIN\tB-PP\tO' -p147193 -aS'the\tthe\tDT\tB-NP\tO' -p147194 -aS'present\tpresent\tJJ\tI-NP\tO' -p147195 -aS'admission\tadmission\tNN\tI-NP\tO' -p147196 -aS'.\t.\t.\tO\tO' -p147197 -asS'No evidence of acute bleed in the abdomen or pelvis .' -p147198 -(lp147199 -S'No\tNo\tDT\tB-NP\tO' -p147200 -aS'evidence\tevidence\tNN\tI-NP\tO' -p147201 -aS'of\tof\tIN\tB-PP\tO' -p147202 -aS'acute\tacute\tJJ\tB-NP\tO' -p147203 -aS'bleed\tbleed\tNN\tI-NP\tO' -p147204 -aS'in\tin\tIN\tB-PP\tO' -p147205 -aS'the\tthe\tDT\tB-NP\tO' -p147206 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p147207 -aS'or\tor\tCC\tI-NP\tO' -p147208 -aS'pelvis\tpelvis\tNN\tI-NP\tO' -p147209 -aS'.\t.\t.\tO\tO' -p147210 -asS'Dictated By : David GA Crane , M.D.' -p147211 -(lp147212 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p147213 -aS'By\tBy\tIN\tB-PP\tO' -p147214 -aS':\t:\t:\tO\tO' -p147215 -aS'David\tDavid\tNNP\tB-NP\tO' -p147216 -aS'GA\tGA\tNNP\tI-NP\tO' -p147217 -aS'Crane\tCrane\tNNP\tI-NP\tO' -p147218 -aS',\t,\t,\tO\tO' -p147219 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p147220 -asS'She then began spotting for several months with some constant brown discharge .' -p147221 -(lp147222 -S'She\tShe\tPRP\tB-NP\tO' -p147223 -aS'then\tthen\tRB\tB-ADVP\tO' -p147224 -aS'began\tbegin\tVBD\tB-VP\tO' -p147225 -aS'spotting\tspot\tVBG\tI-VP\tO' -p147226 -aS'for\tfor\tIN\tB-PP\tO' -p147227 -aS'several\tseveral\tJJ\tB-NP\tO' -p147228 -aS'months\tmonth\tNNS\tI-NP\tO' -p147229 -aS'with\twith\tIN\tB-PP\tO' -p147230 -aS'some\tsome\tDT\tB-NP\tO' -p147231 -aS'constant\tconstant\tJJ\tI-NP\tO' -p147232 -aS'brown\tbrown\tJJ\tI-NP\tO' -p147233 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p147234 -aS'.\t.\t.\tO\tO' -p147235 -asS'He was paralyzed and endotracheally intubated , and a 14 gauge catheter was inserted in his left chest because of poor breath sounds .' -p147236 -(lp147237 -S'He\tHe\tPRP\tB-NP\tO' -p147238 -aS'was\tbe\tVBD\tB-VP\tO' -p147239 -aS'paralyzed\tparalyze\tVBN\tI-VP\tO' -p147240 -aS'and\tand\tCC\tO\tO' -p147241 -aS'endotracheally\tendotracheally\tRB\tB-VP\tO' -p147242 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p147243 -aS',\t,\t,\tO\tO' -p147244 -aS'and\tand\tCC\tO\tO' -p147245 -aS'a\ta\tDT\tB-NP\tO' -p147246 -aS'14\t14\tCD\tI-NP\tO' -p147247 -aS'gauge\tgauge\tNN\tI-NP\tO' -p147248 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p147249 -aS'was\tbe\tVBD\tB-VP\tO' -p147250 -aS'inserted\tinsert\tVBN\tI-VP\tO' -p147251 -aS'in\tin\tIN\tB-PP\tO' -p147252 -aS'his\this\tPRP$\tB-NP\tO' -p147253 -aS'left\tleft\tJJ\tI-NP\tO' -p147254 -aS'chest\tchest\tNN\tI-NP\tO' -p147255 -aS'because\tbecause\tIN\tB-PP\tO' -p147256 -aS'of\tof\tIN\tI-PP\tO' -p147257 -aS'poor\tpoor\tJJ\tB-NP\tO' -p147258 -aS'breath\tbreath\tNN\tI-NP\tO' -p147259 -aS'sounds\tsound\tNNS\tI-NP\tO' -p147260 -aS'.\t.\t.\tO\tO' -p147261 -asS'The patient lives at home with her family .' -p147262 -(lp147263 -S'The\tThe\tDT\tB-NP\tO' -p147264 -aS'patient\tpatient\tNN\tI-NP\tO' -p147265 -aS'lives\tlive\tVBZ\tB-VP\tO' -p147266 -aS'at\tat\tIN\tB-PP\tO' -p147267 -aS'home\thome\tNN\tB-NP\tO' -p147268 -aS'with\twith\tIN\tB-PP\tO' -p147269 -aS'her\ther\tPRP$\tB-NP\tB-protein' -p147270 -aS'family\tfamily\tNN\tI-NP\tI-protein' -p147271 -aS'.\t.\t.\tO\tO' -p147272 -asS'The infant was admitted to the Neonatal Intensive Care Unit for treatment of hypoglycemia .' -p147273 -(lp147274 -S'The\tThe\tDT\tB-NP\tO' -p147275 -aS'infant\tinfant\tNN\tI-NP\tO' -p147276 -aS'was\tbe\tVBD\tB-VP\tO' -p147277 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p147278 -aS'to\tto\tTO\tB-PP\tO' -p147279 -aS'the\tthe\tDT\tB-NP\tO' -p147280 -aS'Neonatal\tNeonatal\tNNP\tI-NP\tO' -p147281 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p147282 -aS'Care\tCare\tNNP\tI-NP\tO' -p147283 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p147284 -aS'for\tfor\tIN\tB-PP\tO' -p147285 -aS'treatment\ttreatment\tNN\tB-NP\tO' -p147286 -aS'of\tof\tIN\tB-PP\tO' -p147287 -aS'hypoglycemia\thypoglycemia\tNN\tB-NP\tO' -p147288 -aS'.\t.\t.\tO\tO' -p147289 -asS'A left subclavian vascular catheter terminates in the superior vena cava .' -p147290 -(lp147291 -S'A\tA\tDT\tB-NP\tO' -p147292 -aS'left\tleft\tJJ\tI-NP\tO' -p147293 -aS'subclavian\tsubclavian\tJJ\tI-NP\tO' -p147294 -aS'vascular\tvascular\tJJ\tI-NP\tO' -p147295 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p147296 -aS'terminates\tterminate\tVBZ\tB-VP\tO' -p147297 -aS'in\tin\tIN\tB-PP\tO' -p147298 -aS'the\tthe\tDT\tB-NP\tO' -p147299 -aS'superior\tsuperior\tJJ\tI-NP\tO' -p147300 -aS'vena\tvena\tNN\tI-NP\tO' -p147301 -aS'cava\tcava\tNN\tI-NP\tO' -p147302 -aS'.\t.\t.\tO\tO' -p147303 -asS'1. Colitis .' -p147304 -(lp147305 -S'1.\t1.\tLS\tB-NP\tO' -p147306 -aS'Colitis\tColitis\tNN\tI-NP\tO' -p147307 -aS'.\t.\t.\tO\tO' -p147308 -asS'The patient used the cane in her left hand .' -p147309 -(lp147310 -S'The\tThe\tDT\tB-NP\tO' -p147311 -aS'patient\tpatient\tNN\tI-NP\tO' -p147312 -aS'used\tuse\tVBD\tB-VP\tO' -p147313 -aS'the\tthe\tDT\tB-NP\tO' -p147314 -aS'cane\tcane\tNN\tI-NP\tO' -p147315 -aS'in\tin\tIN\tB-PP\tO' -p147316 -aS'her\ther\tPRP$\tB-NP\tO' -p147317 -aS'left\tleft\tJJ\tI-NP\tO' -p147318 -aS'hand\thand\tNN\tI-NP\tO' -p147319 -aS'.\t.\t.\tO\tO' -p147320 -asS'She was ruled out for myocardial infarction with three sets of normal enzymes and continued to be monitored on telemetry .' -p147321 -(lp147322 -S'She\tShe\tPRP\tB-NP\tO' -p147323 -aS'was\tbe\tVBD\tB-VP\tO' -p147324 -aS'ruled\trule\tVBN\tI-VP\tO' -p147325 -aS'out\tout\tRP\tB-PRT\tO' -p147326 -aS'for\tfor\tIN\tB-PP\tO' -p147327 -aS'myocardial\tmyocardial\tJJ\tB-NP\tO' -p147328 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p147329 -aS'with\twith\tIN\tB-PP\tO' -p147330 -aS'three\tthree\tCD\tB-NP\tO' -p147331 -aS'sets\tset\tNNS\tI-NP\tO' -p147332 -aS'of\tof\tIN\tB-PP\tO' -p147333 -aS'normal\tnormal\tJJ\tB-NP\tB-protein' -p147334 -aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' -p147335 -aS'and\tand\tCC\tO\tO' -p147336 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p147337 -aS'to\tto\tTO\tI-VP\tO' -p147338 -aS'be\tbe\tVB\tI-VP\tO' -p147339 -aS'monitored\tmonitor\tVBN\tI-VP\tO' -p147340 -aS'on\ton\tIN\tB-PP\tO' -p147341 -aS'telemetry\ttelemetry\tNN\tB-NP\tO' -p147342 -aS'.\t.\t.\tO\tO' -p147343 -asS'Patient was able to void and ambulated without assistance as directed by P.T.' -p147344 -(lp147345 -S'Patient\tPatient\tNN\tB-NP\tO' -p147346 -aS'was\tbe\tVBD\tB-VP\tO' -p147347 -aS'able\table\tJJ\tB-ADJP\tO' -p147348 -aS'to\tto\tTO\tB-PP\tO' -p147349 -aS'void\tvoid\tNN\tB-NP\tO' -p147350 -aS'and\tand\tCC\tO\tO' -p147351 -aS'ambulated\tambulate\tVBN\tB-VP\tO' -p147352 -aS'without\twithout\tIN\tB-PP\tO' -p147353 -aS'assistance\tassistance\tNN\tB-NP\tO' -p147354 -aS'as\tas\tIN\tB-SBAR\tO' -p147355 -aS'directed\tdirect\tVBN\tB-VP\tO' -p147356 -aS'by\tby\tIN\tB-PP\tO' -p147357 -aS'P.T.\tP.T.\tNN\tB-NP\tO' -p147358 -asS'She presents now with worsening low back pain radiating down the right leg .' -p147359 -(lp147360 -S'She\tShe\tPRP\tB-NP\tO' -p147361 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p147362 -aS'now\tnow\tRB\tB-ADVP\tO' -p147363 -aS'with\twith\tIN\tB-PP\tO' -p147364 -aS'worsening\tworsen\tVBG\tB-VP\tO' -p147365 -aS'low\tlow\tJJ\tB-NP\tO' -p147366 -aS'back\tback\tJJ\tI-NP\tO' -p147367 -aS'pain\tpain\tNN\tI-NP\tO' -p147368 -aS'radiating\tradiate\tVBG\tB-VP\tO' -p147369 -aS'down\tdown\tIN\tB-PP\tO' -p147370 -aS'the\tthe\tDT\tB-NP\tO' -p147371 -aS'right\tright\tJJ\tI-NP\tO' -p147372 -aS'leg\tleg\tNN\tI-NP\tO' -p147373 -aS'.\t.\t.\tO\tO' -p147374 -asS'Chest x-ray was unremarkable .' -p147375 -(lp147376 -S'Chest\tCh\tJJS\tB-NP\tO' -p147377 -aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' -p147378 -aS'was\tbe\tVBD\tB-VP\tO' -p147379 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p147380 -aS'.\t.\t.\tO\tO' -p147381 -asS'She was asymptomatic .' -p147382 -(lp147383 -S'She\tShe\tPRP\tB-NP\tO' -p147384 -aS'was\tbe\tVBD\tB-VP\tO' -p147385 -aS'asymptomatic\tasymptomatic\tJJ\tB-ADJP\tO' -p147386 -aS'.\t.\t.\tO\tO' -p147387 -asS'Born at less than 32 weeks ; born between 32 and 35 weeks with plans for day care during the RSV season , with a' -p147388 -(lp147389 -S'Born\tBear\tVBN\tB-VP\tO' -p147390 -aS'at\tat\tIN\tB-PP\tO' -p147391 -aS'less\tless\tJJR\tB-NP\tO' -p147392 -aS'than\tthan\tIN\tI-NP\tO' -p147393 -aS'32\t32\tCD\tI-NP\tO' -p147394 -aS'weeks\tweek\tNNS\tI-NP\tO' -p147395 -aS';\t;\t:\tO\tO' -p147396 -aS'born\tbear\tVBN\tB-VP\tO' -p147397 -aS'between\tbetween\tIN\tB-PP\tO' -p147398 -aS'32\t32\tCD\tB-NP\tO' -p147399 -aS'and\tand\tCC\tI-NP\tO' -p147400 -aS'35\t35\tCD\tI-NP\tO' -p147401 -aS'weeks\tweek\tNNS\tI-NP\tO' -p147402 -aS'with\twith\tIN\tB-PP\tO' -p147403 -aS'plans\tplan\tNNS\tB-NP\tO' -p147404 -aS'for\tfor\tIN\tB-PP\tO' -p147405 -aS'day\tday\tNN\tB-NP\tO' -p147406 -aS'care\tcare\tNN\tI-NP\tO' -p147407 -aS'during\tduring\tIN\tB-PP\tO' -p147408 -aS'the\tthe\tDT\tB-NP\tO' -p147409 -aS'RSV\tRSV\tNN\tI-NP\tO' -p147410 -aS'season\tseason\tNN\tI-NP\tO' -p147411 -aS',\t,\t,\tO\tO' -p147412 -aS'with\twith\tIN\tB-PP\tO' -p147413 -aS'a\ta\tDT\tB-NP\tO' -p147414 -asS'While her discharge summary maintains that she was continued on Furosemide / Spirinolactone / Propranolol , the patient did not receive any scripts on discharge and as a result did not take these medications .' -p147415 -(lp147416 -S'While\tWhile\tIN\tB-SBAR\tO' -p147417 -aS'her\ther\tPRP$\tB-NP\tO' -p147418 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p147419 -aS'summary\tsummary\tNN\tI-NP\tO' -p147420 -aS'maintains\tmaintain\tVBZ\tB-VP\tO' -p147421 -aS'that\tthat\tIN\tB-SBAR\tO' -p147422 -aS'she\tshe\tPRP\tB-NP\tO' -p147423 -aS'was\tbe\tVBD\tB-VP\tO' -p147424 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p147425 -aS'on\ton\tIN\tB-PP\tO' -p147426 -aS'Furosemide\tFurosemide\tNN\tB-NP\tO' -p147427 -aS'/\t/\tSYM\tI-NP\tO' -p147428 -aS'Spirinolactone\tSpirinolactone\tNN\tI-NP\tO' -p147429 -aS'/\t/\tSYM\tB-NP\tO' -p147430 -aS'Propranolol\tPropranolol\tNN\tI-NP\tO' -p147431 -aS',\t,\t,\tO\tO' -p147432 -aS'the\tthe\tDT\tB-NP\tO' -p147433 -aS'patient\tpatient\tNN\tI-NP\tO' -p147434 -aS'did\tdo\tVBD\tB-VP\tO' -p147435 -aS'not\tnot\tRB\tI-VP\tO' -p147436 -aS'receive\treceive\tVB\tI-VP\tO' -p147437 -aS'any\tany\tDT\tB-NP\tO' -p147438 -aS'scripts\tscript\tNNS\tI-NP\tO' -p147439 -aS'on\ton\tIN\tB-PP\tO' -p147440 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p147441 -aS'and\tand\tCC\tB-PP\tO' -p147442 -aS'as\tas\tIN\tB-PP\tO' -p147443 -aS'a\ta\tDT\tB-NP\tO' -p147444 -aS'result\tresult\tNN\tI-NP\tO' -p147445 -aS'did\tdo\tVBD\tB-VP\tO' -p147446 -aS'not\tnot\tRB\tI-VP\tO' -p147447 -aS'take\ttake\tVB\tI-VP\tO' -p147448 -aS'these\tthese\tDT\tB-NP\tO' -p147449 -aS'medications\tmedication\tNNS\tI-NP\tO' -p147450 -aS'.\t.\t.\tO\tO' -p147451 -asS'Currently on no medications .' -p147452 -(lp147453 -S'Currently\tCurrently\tRB\tB-ADVP\tO' -p147454 -aS'on\ton\tIN\tB-PP\tO' -p147455 -aS'no\tno\tDT\tB-NP\tO' -p147456 -aS'medications\tmedication\tNNS\tI-NP\tO' -p147457 -aS'.\t.\t.\tO\tO' -p147458 -asS'HEENT examination notable for bilateral arcussenilis but otherwise unremarkable .' -p147459 -(lp147460 -S'HEENT\tHEENT\tNN\tB-NP\tO' -p147461 -aS'examination\texamination\tNN\tI-NP\tO' -p147462 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p147463 -aS'for\tfor\tIN\tB-PP\tO' -p147464 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p147465 -aS'arcussenilis\tarcussenilis\tNN\tI-NP\tO' -p147466 -aS'but\tbut\tCC\tO\tO' -p147467 -aS'otherwise\totherwise\tRB\tB-ADJP\tO' -p147468 -aS'unremarkable\tunremarkable\tJJ\tI-ADJP\tO' -p147469 -aS'.\t.\t.\tO\tO' -p147470 -asS'Upon arrival GCS 15 , alert and oriented x3 .' -p147471 -(lp147472 -S'Upon\tUpon\tIN\tB-PP\tO' -p147473 -aS'arrival\tarrival\tNN\tB-NP\tO' -p147474 -aS'GCS\tGCS\tNNS\tI-NP\tO' -p147475 -aS'15\t15\tCD\tB-NP\tO' -p147476 -aS',\t,\t,\tO\tO' -p147477 -aS'alert\talert\tJJ\tB-NP\tO' -p147478 -aS'and\tand\tCC\tI-NP\tO' -p147479 -aS'oriented\torient\tVBN\tI-NP\tO' -p147480 -aS'x3\tx3\tNN\tI-NP\tO' -p147481 -aS'.\t.\t.\tO\tO' -p147482 -asS'He also started treatment for gallstones with cholestasis on the medication ursodiol .' -p147483 -(lp147484 -S'He\tHe\tPRP\tB-NP\tO' -p147485 -aS'also\talso\tRB\tB-ADVP\tO' -p147486 -aS'started\tstart\tVBD\tB-VP\tO' -p147487 -aS'treatment\ttreatment\tNN\tB-NP\tO' -p147488 -aS'for\tfor\tIN\tB-PP\tO' -p147489 -aS'gallstones\tgallstone\tNNS\tB-NP\tO' -p147490 -aS'with\twith\tIN\tB-PP\tO' -p147491 -aS'cholestasis\tcholestasis\tNN\tB-NP\tO' -p147492 -aS'on\ton\tIN\tB-PP\tO' -p147493 -aS'the\tthe\tDT\tB-NP\tO' -p147494 -aS'medication\tmedication\tNN\tI-NP\tO' -p147495 -aS'ursodiol\tursodiol\tNN\tI-NP\tO' -p147496 -aS'.\t.\t.\tO\tO' -p147497 -asS'10. Tegaserod Hydrogen Maleate 6 mg Tablet Sig : One ( 1 ) Tablet PO bid ( ) .' -p147498 -(lp147499 -S'10.\t10.\tLS\tB-LST\tO' -p147500 -aS'Tegaserod\tTegaserod\tNNP\tB-NP\tO' -p147501 -aS'Hydrogen\tHydrogen\tNNP\tI-NP\tO' -p147502 -aS'Maleate\tMaleate\tNNP\tI-NP\tO' -p147503 -aS'6\t6\tCD\tI-NP\tO' -p147504 -aS'mg\tmg\tNN\tI-NP\tO' -p147505 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p147506 -aS'Sig\tSig\tNNP\tI-NP\tO' -p147507 -aS':\t:\t:\tO\tO' -p147508 -aS'One\tOne\tCD\tB-NP\tO' -p147509 -aS'(\t(\t(\tO\tO' -p147510 -aS'1\t1\tCD\tB-NP\tO' -p147511 -aS')\t)\t)\tO\tO' -p147512 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p147513 -aS'PO\tPO\tNN\tI-NP\tO' -p147514 -aS'bid\tbid\tNN\tI-NP\tO' -p147515 -aS'(\t(\t(\tO\tO' -p147516 -aS')\t)\t)\tO\tO' -p147517 -aS'.\t.\t.\tO\tO' -p147518 -asS"13. oxygen continue 02 at 1L/min continuous to keep sats in 90 's." -p147519 -(lp147520 -S'13.\t13.\tLS\tB-NP\tO' -p147521 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p147522 -aS'continue\tcontinue\tVBP\tB-VP\tO' -p147523 -aS'02\t02\tCD\tB-NP\tO' -p147524 -aS'at\tat\tIN\tB-PP\tO' -p147525 -aS'1L/min\t1L/min\tNN\tB-NP\tO' -p147526 -aS'continuous\tcontinuous\tJJ\tB-ADJP\tO' -p147527 -aS'to\tto\tTO\tB-VP\tO' -p147528 -aS'keep\tkeep\tVB\tI-VP\tO' -p147529 -aS'sats\tsat\tNNS\tB-NP\tO' -p147530 -aS'in\tin\tIN\tB-PP\tO' -p147531 -aS'90\t90\tCD\tB-NP\tO' -p147532 -aS"'s.\t's.\tPOS\tB-NP\tO" -p147533 -asS'No audible extra heart sounds .' -p147534 -(lp147535 -S'No\tNo\tDT\tB-NP\tO' -p147536 -aS'audible\taudible\tJJ\tI-NP\tO' -p147537 -aS'extra\textra\tJJ\tI-NP\tO' -p147538 -aS'heart\theart\tNN\tI-NP\tO' -p147539 -aS'sounds\tsound\tNNS\tI-NP\tO' -p147540 -aS'.\t.\t.\tO\tO' -p147541 -asS'She was unable to tolerate pos .' -p147542 -(lp147543 -S'She\tShe\tPRP\tB-NP\tO' -p147544 -aS'was\tbe\tVBD\tB-VP\tO' -p147545 -aS'unable\tunable\tJJ\tB-ADJP\tO' -p147546 -aS'to\tto\tTO\tB-VP\tO' -p147547 -aS'tolerate\ttolerate\tVB\tI-VP\tO' -p147548 -aS'pos\tpo\tNNS\tB-NP\tB-protein' -p147549 -aS'.\t.\t.\tO\tO' -p147550 -asS'CV : reg s1 , loud s2 , + 2/6 systolic murmur radiating to axilla , no s3/s4/r' -p147551 -(lp147552 -S'CV\tCV\tNN\tB-NP\tO' -p147553 -aS':\t:\t:\tO\tO' -p147554 -aS'reg\treg\tNN\tB-NP\tO' -p147555 -aS's1\ts1\tNN\tI-NP\tO' -p147556 -aS',\t,\t,\tO\tO' -p147557 -aS'loud\tloud\tJJ\tB-NP\tO' -p147558 -aS's2\ts2\tNN\tI-NP\tO' -p147559 -aS',\t,\t,\tO\tO' -p147560 -aS'+\t+\tSYM\tB-NP\tO' -p147561 -aS'2/6\t2/6\tCD\tI-NP\tO' -p147562 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p147563 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p147564 -aS'radiating\tradiate\tVBG\tB-VP\tO' -p147565 -aS'to\tto\tTO\tB-PP\tO' -p147566 -aS'axilla\taxilla\tNN\tB-NP\tO' -p147567 -aS',\t,\t,\tO\tO' -p147568 -aS'no\tno\tDT\tB-NP\tO' -p147569 -aS's3/s4/r\ts3/s4/r\tNN\tI-NP\tB-protein' -p147570 -asS'They therefore felt that she could be continued to be followed by examination .' -p147571 -(lp147572 -S'They\tThey\tPRP\tB-NP\tO' -p147573 -aS'therefore\ttherefore\tRB\tB-ADVP\tO' -p147574 -aS'felt\tfeel\tVBD\tB-VP\tO' -p147575 -aS'that\tthat\tIN\tB-SBAR\tO' -p147576 -aS'she\tshe\tPRP\tB-NP\tO' -p147577 -aS'could\tcould\tMD\tB-VP\tO' -p147578 -aS'be\tbe\tVB\tI-VP\tO' -p147579 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p147580 -aS'to\tto\tTO\tI-VP\tO' -p147581 -aS'be\tbe\tVB\tI-VP\tO' -p147582 -aS'followed\tfollow\tVBN\tI-VP\tO' -p147583 -aS'by\tby\tIN\tB-PP\tO' -p147584 -aS'examination\texamination\tNN\tB-NP\tO' -p147585 -aS'.\t.\t.\tO\tO' -p147586 -asS'On postoperative day number two , an Oncology consult with Dr. Natalie Mcalister was obtained and' -p147587 -(lp147588 -S'On\tOn\tIN\tB-PP\tO' -p147589 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p147590 -aS'day\tday\tNN\tI-NP\tO' -p147591 -aS'number\tnumber\tNN\tI-NP\tO' -p147592 -aS'two\ttwo\tCD\tB-NP\tO' -p147593 -aS',\t,\t,\tO\tO' -p147594 -aS'an\tan\tDT\tB-NP\tO' -p147595 -aS'Oncology\tOncology\tNNP\tI-NP\tO' -p147596 -aS'consult\tconsult\tNN\tI-NP\tO' -p147597 -aS'with\twith\tIN\tB-PP\tO' -p147598 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p147599 -aS'Natalie\tNatalie\tNNP\tI-NP\tO' -p147600 -aS'Mcalister\tMcalister\tNNP\tI-NP\tO' -p147601 -aS'was\tbe\tVBD\tB-VP\tO' -p147602 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p147603 -aS'and\tand\tCC\tO\tO' -p147604 -asS'Medications on Admission : toprol ( unknown dose ) coumadin 1 mg qhs' -p147605 -(lp147606 -S'Medications\tMedication\tNNS\tB-NP\tO' -p147607 -aS'on\ton\tIN\tB-PP\tO' -p147608 -aS'Admission\tAdmission\tNN\tB-NP\tO' -p147609 -aS':\t:\t:\tO\tO' -p147610 -aS'toprol\ttoprol\tNN\tB-NP\tO' -p147611 -aS'(\t(\t(\tO\tO' -p147612 -aS'unknown\tunknown\tJJ\tB-NP\tO' -p147613 -aS'dose\tdose\tNN\tI-NP\tO' -p147614 -aS')\t)\t)\tO\tO' -p147615 -aS'coumadin\tcoumadin\tNN\tB-NP\tO' -p147616 -aS'1\t1\tCD\tI-NP\tO' -p147617 -aS'mg\tmg\tNN\tI-NP\tO' -p147618 -aS'qhs\tqh\tNNS\tI-NP\tO' -p147619 -asS'He was intubated and given Versed and Fentanyl .' -p147620 -(lp147621 -S'He\tHe\tPRP\tB-NP\tO' -p147622 -aS'was\tbe\tVBD\tB-VP\tO' -p147623 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p147624 -aS'and\tand\tCC\tO\tO' -p147625 -aS'given\tgive\tVBN\tB-VP\tO' -p147626 -aS'Versed\tVerse\tVBN\tI-VP\tO' -p147627 -aS'and\tand\tCC\tO\tO' -p147628 -aS'Fentanyl\tFentanyl\tNN\tB-NP\tO' -p147629 -aS'.\t.\t.\tO\tO' -p147630 -asS'He works as an accountant .' -p147631 -(lp147632 -S'He\tHe\tPRP\tB-NP\tO' -p147633 -aS'works\twork\tVBZ\tB-VP\tO' -p147634 -aS'as\tas\tIN\tB-PP\tO' -p147635 -aS'an\tan\tDT\tB-NP\tO' -p147636 -aS'accountant\taccountant\tNN\tI-NP\tO' -p147637 -aS'.\t.\t.\tO\tO' -p147638 -asS'1. status post mitral valve replacement ,' -p147639 -(lp147640 -S'1.\t1.\tLS\tB-NP\tO' -p147641 -aS'status\tstatus\tNN\tI-NP\tO' -p147642 -aS'post\tpost\tNN\tI-NP\tO' -p147643 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p147644 -aS'valve\tvalve\tNN\tI-NP\tO' -p147645 -aS'replacement\treplacement\tNN\tI-NP\tO' -p147646 -aS',\t,\t,\tO\tO' -p147647 -asS'Your patient was admitted under the care of FONG , CONEY N with a preliminary diagnosis of PERFORATION .' -p147648 -(lp147649 -S'Your\tYour\tPRP$\tB-NP\tO' -p147650 -aS'patient\tpatient\tNN\tI-NP\tO' -p147651 -aS'was\tbe\tVBD\tB-VP\tO' -p147652 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p147653 -aS'under\tunder\tIN\tB-PP\tO' -p147654 -aS'the\tthe\tDT\tB-NP\tO' -p147655 -aS'care\tcare\tNN\tI-NP\tO' -p147656 -aS'of\tof\tIN\tB-PP\tO' -p147657 -aS'FONG\tFONG\tNN\tB-NP\tO' -p147658 -aS',\t,\t,\tO\tO' -p147659 -aS'CONEY\tCONEY\tNN\tB-NP\tO' -p147660 -aS'N\tN\tNN\tI-NP\tO' -p147661 -aS'with\twith\tIN\tB-PP\tO' -p147662 -aS'a\ta\tDT\tB-NP\tO' -p147663 -aS'preliminary\tpreliminary\tJJ\tI-NP\tO' -p147664 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p147665 -aS'of\tof\tIN\tB-PP\tO' -p147666 -aS'PERFORATION\tPERFORATION\tNN\tB-NP\tO' -p147667 -aS'.\t.\t.\tO\tO' -p147668 -asS'Sputum grew out Klebsiella pneumoniae , and she was treated with Gentamicin and Ancef for 14 days intravenous ( bug being sensitive to these two drugs ) .' -p147669 -(lp147670 -S'Sputum\tSputum\tNNP\tB-NP\tO' -p147671 -aS'grew\tgrow\tVBD\tB-VP\tO' -p147672 -aS'out\tout\tRP\tB-PRT\tO' -p147673 -aS'Klebsiella\tKlebsiella\tNNP\tB-NP\tO' -p147674 -aS'pneumoniae\tpneumoniae\tNNP\tI-NP\tO' -p147675 -aS',\t,\t,\tO\tO' -p147676 -aS'and\tand\tCC\tO\tO' -p147677 -aS'she\tshe\tPRP\tB-NP\tO' -p147678 -aS'was\tbe\tVBD\tB-VP\tO' -p147679 -aS'treated\ttreat\tVBN\tI-VP\tO' -p147680 -aS'with\twith\tIN\tB-PP\tO' -p147681 -aS'Gentamicin\tGentamicin\tNN\tB-NP\tO' -p147682 -aS'and\tand\tCC\tI-NP\tO' -p147683 -aS'Ancef\tAncef\tNN\tI-NP\tO' -p147684 -aS'for\tfor\tIN\tB-PP\tO' -p147685 -aS'14\t14\tCD\tB-NP\tO' -p147686 -aS'days\tday\tNNS\tI-NP\tO' -p147687 -aS'intravenous\tintravenous\tJJ\tB-ADJP\tO' -p147688 -aS'(\t(\t(\tO\tO' -p147689 -aS'bug\tbug\tNN\tB-NP\tO' -p147690 -aS'being\tbe\tVBG\tB-VP\tO' -p147691 -aS'sensitive\tsensitive\tJJ\tB-ADJP\tO' -p147692 -aS'to\tto\tTO\tB-PP\tO' -p147693 -aS'these\tthese\tDT\tB-NP\tO' -p147694 -aS'two\ttwo\tCD\tI-NP\tO' -p147695 -aS'drugs\tdrug\tNNS\tI-NP\tO' -p147696 -aS')\t)\t)\tO\tO' -p147697 -aS'.\t.\t.\tO\tO' -p147698 -asS'The patient underwent primary low transverse cesarean section on 2014-05-19 at approximately 28 weeks gestation .' -p147699 -(lp147700 -S'The\tThe\tDT\tB-NP\tO' -p147701 -aS'patient\tpatient\tNN\tI-NP\tO' -p147702 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p147703 -aS'primary\tprimary\tJJ\tB-NP\tO' -p147704 -aS'low\tlow\tJJ\tI-NP\tO' -p147705 -aS'transverse\ttransverse\tJJ\tI-NP\tO' -p147706 -aS'cesarean\tcesarean\tJJ\tI-NP\tO' -p147707 -aS'section\tsection\tNN\tI-NP\tO' -p147708 -aS'on\ton\tIN\tB-PP\tO' -p147709 -aS'2014-05-19\t2014-05-19\tCD\tB-NP\tO' -p147710 -aS'at\tat\tIN\tB-PP\tO' -p147711 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p147712 -aS'28\t28\tCD\tI-NP\tO' -p147713 -aS'weeks\tweek\tNNS\tI-NP\tO' -p147714 -aS'gestation\tgestation\tNN\tI-NP\tO' -p147715 -aS'.\t.\t.\tO\tO' -p147716 -asS'The extra ocular muscles were intact bilaterally .' -p147717 -(lp147718 -S'The\tThe\tDT\tB-NP\tO' -p147719 -aS'extra\textra\tJJ\tI-NP\tO' -p147720 -aS'ocular\tocular\tJJ\tI-NP\tO' -p147721 -aS'muscles\tmuscle\tNNS\tI-NP\tO' -p147722 -aS'were\tbe\tVBD\tB-VP\tO' -p147723 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p147724 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p147725 -aS'.\t.\t.\tO\tO' -p147726 -asS'Switched to Arimedex in 2019-02-10 due to vaginal bleeding on Tamoxifen .' -p147727 -(lp147728 -S'Switched\tSwitch\tVBN\tB-VP\tO' -p147729 -aS'to\tto\tTO\tB-PP\tO' -p147730 -aS'Arimedex\tArimedex\tNNP\tB-NP\tO' -p147731 -aS'in\tin\tIN\tB-PP\tO' -p147732 -aS'2019-02-10\t2019-02-10\tCD\tB-NP\tO' -p147733 -aS'due\tdue\tJJ\tB-PP\tO' -p147734 -aS'to\tto\tTO\tB-PP\tO' -p147735 -aS'vaginal\tvaginal\tJJ\tB-NP\tO' -p147736 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p147737 -aS'on\ton\tIN\tB-PP\tO' -p147738 -aS'Tamoxifen\tTamoxifen\tNN\tB-NP\tO' -p147739 -aS'.\t.\t.\tO\tO' -p147740 -asS'lives with wife and oldest son' -p147741 -(lp147742 -S'lives\tlife\tNNS\tB-NP\tO' -p147743 -aS'with\twith\tIN\tB-PP\tO' -p147744 -aS'wife\twife\tNN\tB-NP\tO' -p147745 -aS'and\tand\tCC\tO\tO' -p147746 -aS'oldest\told\tJJS\tB-NP\tO' -p147747 -aS'son\tson\tNN\tI-NP\tO' -p147748 -asS'208 1429 .' -p147749 -(lp147750 -S'208\t208\tCD\tB-NP\tO' -p147751 -aS'1429\t1429\tCD\tI-NP\tO' -p147752 -aS'.\t.\t.\tO\tO' -p147753 -asS'Erythematous nodules on arms at elbows and on right thigh , as previous .' -p147754 -(lp147755 -S'Erythematous\tErythematous\tJJ\tB-NP\tO' -p147756 -aS'nodules\tnodule\tNNS\tI-NP\tO' -p147757 -aS'on\ton\tIN\tB-PP\tO' -p147758 -aS'arms\tarm\tNNS\tB-NP\tO' -p147759 -aS'at\tat\tIN\tB-PP\tO' -p147760 -aS'elbows\telbow\tNNS\tB-NP\tO' -p147761 -aS'and\tand\tCC\tB-PP\tO' -p147762 -aS'on\ton\tIN\tB-PP\tO' -p147763 -aS'right\tright\tJJ\tB-NP\tO' -p147764 -aS'thigh\tthigh\tNN\tI-NP\tO' -p147765 -aS',\t,\t,\tO\tO' -p147766 -aS'as\tas\tIN\tB-PP\tO' -p147767 -aS'previous\tprevious\tJJ\tB-ADJP\tO' -p147768 -aS'.\t.\t.\tO\tO' -p147769 -asS'She was started on a steroid trial at that point .' -p147770 -(lp147771 -S'She\tShe\tPRP\tB-NP\tO' -p147772 -aS'was\tbe\tVBD\tB-VP\tO' -p147773 -aS'started\tstart\tVBN\tI-VP\tO' -p147774 -aS'on\ton\tIN\tB-PP\tO' -p147775 -aS'a\ta\tDT\tB-NP\tO' -p147776 -aS'steroid\tsteroid\tNN\tI-NP\tO' -p147777 -aS'trial\ttrial\tNN\tI-NP\tO' -p147778 -aS'at\tat\tIN\tB-PP\tO' -p147779 -aS'that\tthat\tDT\tB-NP\tO' -p147780 -aS'point\tpoint\tNN\tI-NP\tO' -p147781 -aS'.\t.\t.\tO\tO' -p147782 -asS'9. History of fibroids .' -p147783 -(lp147784 -S'9.\t9.\tLS\tB-NP\tO' -p147785 -aS'History\tHistory\tNN\tI-NP\tO' -p147786 -aS'of\tof\tIN\tB-PP\tO' -p147787 -aS'fibroids\tfibroid\tNNS\tB-NP\tO' -p147788 -aS'.\t.\t.\tO\tO' -p147789 -asS'1. No spontaneous echo contrast or thrombus is seen in the body of the left atrium or left atrial appendage .' -p147790 -(lp147791 -S'1.\t1.\tLS\tB-LST\tO' -p147792 -aS'No\tNo\tDT\tB-NP\tO' -p147793 -aS'spontaneous\tspontaneous\tJJ\tI-NP\tO' -p147794 -aS'echo\techo\tJJ\tI-NP\tO' -p147795 -aS'contrast\tcontrast\tNN\tI-NP\tO' -p147796 -aS'or\tor\tCC\tI-NP\tO' -p147797 -aS'thrombus\tthrombus\tNN\tI-NP\tO' -p147798 -aS'is\tbe\tVBZ\tB-VP\tO' -p147799 -aS'seen\tsee\tVBN\tI-VP\tO' -p147800 -aS'in\tin\tIN\tB-PP\tO' -p147801 -aS'the\tthe\tDT\tB-NP\tO' -p147802 -aS'body\tbody\tNN\tI-NP\tO' -p147803 -aS'of\tof\tIN\tB-PP\tO' -p147804 -aS'the\tthe\tDT\tB-NP\tO' -p147805 -aS'left\tleft\tJJ\tI-NP\tO' -p147806 -aS'atrium\tatrium\tNN\tI-NP\tO' -p147807 -aS'or\tor\tCC\tO\tO' -p147808 -aS'left\tleave\tVBD\tB-VP\tO' -p147809 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p147810 -aS'appendage\tappendage\tNN\tI-NP\tO' -p147811 -aS'.\t.\t.\tO\tO' -p147812 -asS'1. Successful removal of CBD stone and placement of plastic biliary stent for confirmed cystic duct leak .' -p147813 -(lp147814 -S'1.\t1.\tLS\tB-NP\tO' -p147815 -aS'Successful\tSuccessful\tJJ\tI-NP\tO' -p147816 -aS'removal\tremoval\tNN\tI-NP\tO' -p147817 -aS'of\tof\tIN\tB-PP\tO' -p147818 -aS'CBD\tCBD\tNN\tB-NP\tB-protein' -p147819 -aS'stone\tstone\tNN\tI-NP\tI-protein' -p147820 -aS'and\tand\tCC\tI-NP\tO' -p147821 -aS'placement\tplacement\tNN\tI-NP\tO' -p147822 -aS'of\tof\tIN\tB-PP\tO' -p147823 -aS'plastic\tplastic\tJJ\tB-NP\tO' -p147824 -aS'biliary\tbiliary\tJJ\tI-NP\tO' -p147825 -aS'stent\tstent\tNN\tI-NP\tO' -p147826 -aS'for\tfor\tIN\tB-PP\tO' -p147827 -aS'confirmed\tconfirm\tVBN\tB-NP\tO' -p147828 -aS'cystic\tcystic\tJJ\tI-NP\tO' -p147829 -aS'duct\tduct\tNN\tI-NP\tO' -p147830 -aS'leak\tleak\tNN\tI-NP\tO' -p147831 -aS'.\t.\t.\tO\tO' -p147832 -asS'The patient was a direct admission to the operating room on 02-12 , at which time she underwent an' -p147833 -(lp147834 -S'The\tThe\tDT\tB-NP\tO' -p147835 -aS'patient\tpatient\tNN\tI-NP\tO' -p147836 -aS'was\tbe\tVBD\tB-VP\tO' -p147837 -aS'a\ta\tDT\tB-NP\tO' -p147838 -aS'direct\tdirect\tJJ\tI-NP\tO' -p147839 -aS'admission\tadmission\tNN\tI-NP\tO' -p147840 -aS'to\tto\tTO\tB-PP\tO' -p147841 -aS'the\tthe\tDT\tB-NP\tO' -p147842 -aS'operating\toperating\tNN\tI-NP\tO' -p147843 -aS'room\troom\tNN\tI-NP\tO' -p147844 -aS'on\ton\tIN\tB-PP\tO' -p147845 -aS'02-12\t02-12\tCD\tB-NP\tO' -p147846 -aS',\t,\t,\tO\tO' -p147847 -aS'at\tat\tIN\tB-PP\tO' -p147848 -aS'which\twhich\tWDT\tB-NP\tO' -p147849 -aS'time\ttime\tNN\tI-NP\tO' -p147850 -aS'she\tshe\tPRP\tB-NP\tO' -p147851 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p147852 -aS'an\tan\tDT\tO\tO' -p147853 -asS'Repeat CBC on day of life two showed a white blood cell count of 8.4 , platelets 95 , 41% neutrophils , 0 bands .' -p147854 -(lp147855 -S'Repeat\tRepeat\tNN\tB-NP\tO' -p147856 -aS'CBC\tCBC\tNN\tI-NP\tO' -p147857 -aS'on\ton\tIN\tB-PP\tO' -p147858 -aS'day\tday\tNN\tB-NP\tO' -p147859 -aS'of\tof\tIN\tB-PP\tO' -p147860 -aS'life\tlife\tNN\tB-NP\tO' -p147861 -aS'two\ttwo\tCD\tI-NP\tO' -p147862 -aS'showed\tshow\tVBD\tB-VP\tO' -p147863 -aS'a\ta\tDT\tB-NP\tO' -p147864 -aS'white\twhite\tJJ\tI-NP\tO' -p147865 -aS'blood\tblood\tNN\tI-NP\tO' -p147866 -aS'cell\tcell\tNN\tI-NP\tO' -p147867 -aS'count\tcount\tNN\tI-NP\tO' -p147868 -aS'of\tof\tIN\tB-PP\tO' -p147869 -aS'8.4\t8.4\tCD\tB-NP\tO' -p147870 -aS',\t,\t,\tO\tO' -p147871 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p147872 -aS'95\t95\tCD\tB-NP\tO' -p147873 -aS',\t,\t,\tO\tO' -p147874 -aS'41%\t41%\tCD\tB-NP\tO' -p147875 -aS'neutrophils\tneutrophil\tNNS\tI-NP\tB-cell_type' -p147876 -aS',\t,\t,\tO\tO' -p147877 -aS'0\t0\tCD\tB-NP\tO' -p147878 -aS'bands\tband\tNNS\tI-NP\tO' -p147879 -aS'.\t.\t.\tO\tO' -p147880 -asS'Includes a temperature of 99.9 .' -p147881 -(lp147882 -S'Includes\tInclude\tVBZ\tB-VP\tO' -p147883 -aS'a\ta\tDT\tB-NP\tO' -p147884 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p147885 -aS'of\tof\tIN\tB-PP\tO' -p147886 -aS'99.9\t99.9\tCD\tB-NP\tO' -p147887 -aS'.\t.\t.\tO\tO' -p147888 -asS'The patient is medically cleared for a flight to return to her home in the United Kingdom .' -p147889 -(lp147890 -S'The\tThe\tDT\tB-NP\tO' -p147891 -aS'patient\tpatient\tNN\tI-NP\tO' -p147892 -aS'is\tbe\tVBZ\tB-VP\tO' -p147893 -aS'medically\tmedically\tRB\tI-VP\tO' -p147894 -aS'cleared\tclear\tVBN\tI-VP\tO' -p147895 -aS'for\tfor\tIN\tB-PP\tO' -p147896 -aS'a\ta\tDT\tB-NP\tO' -p147897 -aS'flight\tflight\tNN\tI-NP\tO' -p147898 -aS'to\tto\tTO\tB-VP\tO' -p147899 -aS'return\treturn\tVB\tI-VP\tO' -p147900 -aS'to\tto\tTO\tB-PP\tO' -p147901 -aS'her\ther\tPRP$\tB-NP\tO' -p147902 -aS'home\thome\tNN\tI-NP\tO' -p147903 -aS'in\tin\tIN\tB-PP\tO' -p147904 -aS'the\tthe\tDT\tB-NP\tO' -p147905 -aS'United\tUnited\tNNP\tI-NP\tO' -p147906 -aS'Kingdom\tKingdom\tNNP\tI-NP\tO' -p147907 -aS'.\t.\t.\tO\tO' -p147908 -asS'Soreness at his operative sites , for which he was given p.r.n. Tylenol once his delirium had resolved .' -p147909 -(lp147910 -S'Soreness\tSoreness\tNN\tB-NP\tO' -p147911 -aS'at\tat\tIN\tB-PP\tO' -p147912 -aS'his\this\tPRP$\tB-NP\tO' -p147913 -aS'operative\toperative\tJJ\tI-NP\tB-DNA' -p147914 -aS'sites\tsite\tNNS\tI-NP\tI-DNA' -p147915 -aS',\t,\t,\tO\tO' -p147916 -aS'for\tfor\tIN\tB-PP\tO' -p147917 -aS'which\twhich\tWDT\tB-NP\tO' -p147918 -aS'he\the\tPRP\tB-NP\tO' -p147919 -aS'was\tbe\tVBD\tB-VP\tO' -p147920 -aS'given\tgive\tVBN\tI-VP\tO' -p147921 -aS'p.r.n.\tp.r.n.\tNN\tB-NP\tO' -p147922 -aS'Tylenol\tTylenol\tNN\tI-NP\tO' -p147923 -aS'once\tonce\tIN\tB-SBAR\tO' -p147924 -aS'his\this\tPRP$\tB-NP\tO' -p147925 -aS'delirium\tdelirium\tNN\tI-NP\tO' -p147926 -aS'had\thave\tVBD\tB-VP\tO' -p147927 -aS'resolved\tresolve\tVBN\tI-VP\tO' -p147928 -aS'.\t.\t.\tO\tO' -p147929 -asS'Follow up with Dr. Adner in 2 weeks , call 763-9180 for an appointment .' -p147930 -(lp147931 -S'Follow\tFollow\tVB\tB-VP\tO' -p147932 -aS'up\tup\tRP\tB-PRT\tO' -p147933 -aS'with\twith\tIN\tB-PP\tO' -p147934 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p147935 -aS'Adner\tAdner\tNNP\tI-NP\tO' -p147936 -aS'in\tin\tIN\tB-PP\tO' -p147937 -aS'2\t2\tCD\tB-NP\tO' -p147938 -aS'weeks\tweek\tNNS\tI-NP\tO' -p147939 -aS',\t,\t,\tO\tO' -p147940 -aS'call\tcall\tVBP\tB-VP\tO' -p147941 -aS'763-9180\t763-9180\tCD\tB-NP\tO' -p147942 -aS'for\tfor\tIN\tB-PP\tO' -p147943 -aS'an\tan\tDT\tB-NP\tO' -p147944 -aS'appointment\tappointment\tNN\tI-NP\tO' -p147945 -aS'.\t.\t.\tO\tO' -p147946 -asS'Pulmonary - Good air movement , but occasional rhonchi .' -p147947 -(lp147948 -S'Pulmonary\tPulmonary\tJJ\tB-NP\tO' -p147949 -aS'-\t-\tHYPH\tI-NP\tO' -p147950 -aS'Good\tGood\tJJ\tI-NP\tO' -p147951 -aS'air\tair\tNN\tI-NP\tO' -p147952 -aS'movement\tmovement\tNN\tI-NP\tO' -p147953 -aS',\t,\t,\tO\tO' -p147954 -aS'but\tbut\tCC\tO\tO' -p147955 -aS'occasional\toccasional\tJJ\tB-NP\tO' -p147956 -aS'rhonchi\trhonchi\tNN\tI-NP\tO' -p147957 -aS'.\t.\t.\tO\tO' -p147958 -asS'It was recommended to maximize her medical treatment with Beta blockers , aspirin , a statin and an ACE Inhibitor .' -p147959 -(lp147960 -S'It\tIt\tPRP\tB-NP\tO' -p147961 -aS'was\tbe\tVBD\tB-VP\tO' -p147962 -aS'recommended\trecommend\tVBN\tI-VP\tO' -p147963 -aS'to\tto\tTO\tI-VP\tO' -p147964 -aS'maximize\tmaximize\tVB\tI-VP\tO' -p147965 -aS'her\ther\tPRP$\tB-NP\tO' -p147966 -aS'medical\tmedical\tJJ\tI-NP\tO' -p147967 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p147968 -aS'with\twith\tIN\tB-PP\tO' -p147969 -aS'Beta\tBeta\tNN\tB-NP\tO' -p147970 -aS'blockers\tblocker\tNNS\tI-NP\tO' -p147971 -aS',\t,\t,\tO\tO' -p147972 -aS'aspirin\taspirin\tNN\tB-NP\tO' -p147973 -aS',\t,\t,\tO\tO' -p147974 -aS'a\ta\tDT\tB-NP\tO' -p147975 -aS'statin\tstatin\tNN\tI-NP\tO' -p147976 -aS'and\tand\tCC\tO\tO' -p147977 -aS'an\tan\tDT\tB-NP\tO' -p147978 -aS'ACE\tACE\tNN\tI-NP\tO' -p147979 -aS'Inhibitor\tInhibitor\tNN\tI-NP\tO' -p147980 -aS'.\t.\t.\tO\tO' -p147981 -asS'No localizing etiology of delta MS .' -p147982 -(lp147983 -S'No\tNo\tDT\tB-NP\tO' -p147984 -aS'localizing\tlocalize\tVBG\tI-NP\tO' -p147985 -aS'etiology\tetiology\tNN\tI-NP\tO' -p147986 -aS'of\tof\tIN\tB-PP\tO' -p147987 -aS'delta\tdelta\tSYM\tB-NP\tO' -p147988 -aS'MS\tMS\tNN\tI-NP\tO' -p147989 -aS'.\t.\t.\tO\tO' -p147990 -asS'Achest x-ray done at that time showed left pleural effusion and small right pleural effusion , not pulmonary edema and left lower lobe consolidations .' -p147991 -(lp147992 -S'Achest\tAch\tJJS\tB-NP\tO' -p147993 -aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' -p147994 -aS'done\tdo\tVBN\tB-VP\tO' -p147995 -aS'at\tat\tIN\tB-PP\tO' -p147996 -aS'that\tthat\tDT\tB-NP\tO' -p147997 -aS'time\ttime\tNN\tI-NP\tO' -p147998 -aS'showed\tshow\tVBD\tB-VP\tO' -p147999 -aS'left\tleft\tJJ\tB-NP\tO' -p148000 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p148001 -aS'effusion\teffusion\tNN\tI-NP\tO' -p148002 -aS'and\tand\tCC\tO\tO' -p148003 -aS'small\tsmall\tJJ\tB-NP\tO' -p148004 -aS'right\tright\tJJ\tI-NP\tO' -p148005 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p148006 -aS'effusion\teffusion\tNN\tI-NP\tO' -p148007 -aS',\t,\t,\tB-NP\tO' -p148008 -aS'not\tnot\tRB\tI-NP\tO' -p148009 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p148010 -aS'edema\tedema\tNN\tI-NP\tO' -p148011 -aS'and\tand\tCC\tO\tO' -p148012 -aS'left\tleave\tVBD\tB-VP\tO' -p148013 -aS'lower\tlow\tJJR\tB-NP\tO' -p148014 -aS'lobe\tlobe\tNN\tI-NP\tO' -p148015 -aS'consolidations\tconsolidation\tNNS\tI-NP\tO' -p148016 -aS'.\t.\t.\tO\tO' -p148017 -asS'The patient 's past medical history is unremarkable .' -p148018 -(lp148019 -S'The\tThe\tDT\tB-NP\tO' -p148020 -aS'patient\tpatient\tNN\tI-NP\tO' -p148021 -aS''s\t'\tNNS\tI-NP\tO' -p148022 -aS'past\tpast\tIN\tB-PP\tO' -p148023 -aS'medical\tmedical\tJJ\tB-NP\tO' -p148024 -aS'history\thistory\tNN\tI-NP\tO' -p148025 -aS'is\tbe\tVBZ\tB-VP\tO' -p148026 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p148027 -aS'.\t.\t.\tO\tO' -p148028 -asS'Extremities - 1+ edema ; 2+ pulses .' -p148029 -(lp148030 -S'Extremities\tExtremity\tNNS\tB-NP\tO' -p148031 -aS'-\t-\tHYPH\tO\tO' -p148032 -aS'1+\t1+\tJJ\tB-NP\tO' -p148033 -aS'edema\tedema\tNN\tI-NP\tO' -p148034 -aS';\t;\t:\tO\tO' -p148035 -aS'2+\t2+\tJJ\tB-NP\tO' -p148036 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p148037 -aS'.\t.\t.\tO\tO' -p148038 -asS'He was comfortable and erythema continued to decrease with improvemeent in the appearance of the wound .' -p148039 -(lp148040 -S'He\tHe\tPRP\tB-NP\tO' -p148041 -aS'was\tbe\tVBD\tB-VP\tO' -p148042 -aS'comfortable\tcomfortable\tJJ\tB-ADJP\tO' -p148043 -aS'and\tand\tCC\tO\tO' -p148044 -aS'erythema\terythema\tNN\tB-NP\tO' -p148045 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p148046 -aS'to\tto\tTO\tI-VP\tO' -p148047 -aS'decrease\tdecrease\tVB\tI-VP\tO' -p148048 -aS'with\twith\tIN\tB-PP\tO' -p148049 -aS'improvemeent\timprovemeent\tNN\tB-NP\tO' -p148050 -aS'in\tin\tIN\tB-PP\tO' -p148051 -aS'the\tthe\tDT\tB-NP\tO' -p148052 -aS'appearance\tappearance\tNN\tI-NP\tO' -p148053 -aS'of\tof\tIN\tB-PP\tO' -p148054 -aS'the\tthe\tDT\tB-NP\tO' -p148055 -aS'wound\twound\tNN\tI-NP\tO' -p148056 -aS'.\t.\t.\tO\tO' -p148057 -asS'No deformities .' -p148058 -(lp148059 -S'No\tNo\tDT\tB-NP\tO' -p148060 -aS'deformities\tdeformity\tNNS\tI-NP\tO' -p148061 -aS'.\t.\t.\tO\tO' -p148062 -asS'14. Coumadin 5 mg Tablet Sig : One ( 1 ) Tablet PO once a day : as directed for goal INR 2.0-2.5.' -p148063 -(lp148064 -S'14.\t14.\tCD\tB-NP\tO' -p148065 -aS'Coumadin\tCoumadin\tNN\tI-NP\tO' -p148066 -aS'5\t5\tCD\tB-NP\tO' -p148067 -aS'mg\tmg\tNN\tI-NP\tO' -p148068 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p148069 -aS'Sig\tSig\tNNP\tI-NP\tO' -p148070 -aS':\t:\t:\tO\tO' -p148071 -aS'One\tOne\tCD\tB-NP\tO' -p148072 -aS'(\t(\t(\tO\tO' -p148073 -aS'1\t1\tCD\tB-NP\tO' -p148074 -aS')\t)\t)\tO\tO' -p148075 -aS'Tablet\tTablet\tNN\tB-NP\tB-protein' -p148076 -aS'PO\tPO\tNN\tI-NP\tI-protein' -p148077 -aS'once\tonce\tRB\tO\tO' -p148078 -aS'a\ta\tDT\tB-NP\tO' -p148079 -aS'day\tday\tNN\tI-NP\tO' -p148080 -aS':\t:\t:\tO\tO' -p148081 -aS'as\tas\tIN\tB-SBAR\tO' -p148082 -aS'directed\tdirect\tVBN\tB-VP\tO' -p148083 -aS'for\tfor\tIN\tB-PP\tO' -p148084 -aS'goal\tgoal\tNN\tB-NP\tO' -p148085 -aS'INR\tINR\tNN\tI-NP\tO' -p148086 -aS'2.0-2.5.\t2.0-2.5.\tCD\tI-NP\tO' -p148087 -asS'Her sodiums were never below 130 .' -p148088 -(lp148089 -S'Her\tHer\tPRP$\tB-NP\tO' -p148090 -aS'sodiums\tsodium\tNNS\tI-NP\tO' -p148091 -aS'were\tbe\tVBD\tB-VP\tO' -p148092 -aS'never\tnever\tRB\tB-ADVP\tO' -p148093 -aS'below\tbelow\tIN\tB-PP\tO' -p148094 -aS'130\t130\tCD\tB-NP\tO' -p148095 -aS'.\t.\t.\tO\tO' -p148096 -asS'This report was created by TROWELKS , BURLTIS 06/11/2005 09:52 PM' -p148097 -(lp148098 -S'This\tThis\tDT\tB-NP\tO' -p148099 -aS'report\treport\tNN\tI-NP\tO' -p148100 -aS'was\tbe\tVBD\tB-VP\tO' -p148101 -aS'created\tcreate\tVBN\tI-VP\tO' -p148102 -aS'by\tby\tIN\tB-PP\tO' -p148103 -aS'TROWELKS\tTROWELKS\tNN\tB-NP\tB-protein' -p148104 -aS',\t,\t,\tO\tO' -p148105 -aS'BURLTIS\tBURLTIS\tVBZ\tB-VP\tO' -p148106 -aS'06/11/2005\t06/11/2005\tCD\tB-NP\tO' -p148107 -aS'09:52\t09:52\tCD\tI-NP\tO' -p148108 -aS'PM\tPM\tNN\tI-NP\tO' -p148109 -asS'Dr. Gene Hardy from Webster Pediatrics .' -p148110 -(lp148111 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p148112 -aS'Gene\tGene\tNNP\tI-NP\tO' -p148113 -aS'Hardy\tHardy\tNNP\tI-NP\tO' -p148114 -aS'from\tfrom\tIN\tB-PP\tO' -p148115 -aS'Webster\tWebster\tNNP\tB-NP\tO' -p148116 -aS'Pediatrics\tPediatrics\tNNP\tI-NP\tO' -p148117 -aS'.\t.\t.\tO\tO' -p148118 -asS'mitral valve repair .' -p148119 -(lp148120 -S'mitral\tmitral\tJJ\tB-NP\tO' -p148121 -aS'valve\tvalve\tNN\tI-NP\tO' -p148122 -aS'repair\trepair\tNN\tI-NP\tO' -p148123 -aS'.\t.\t.\tO\tO' -p148124 -asS'Additionally , he still had mild dysarthria and mild anterior aphasia .' -p148125 -(lp148126 -S'Additionally\tAdditionally\tRB\tB-ADVP\tO' -p148127 -aS',\t,\t,\tO\tO' -p148128 -aS'he\the\tPRP\tB-NP\tO' -p148129 -aS'still\tstill\tRB\tB-ADVP\tO' -p148130 -aS'had\thave\tVBD\tB-VP\tO' -p148131 -aS'mild\tmild\tJJ\tB-NP\tO' -p148132 -aS'dysarthria\tdysarthria\tNN\tI-NP\tO' -p148133 -aS'and\tand\tCC\tO\tO' -p148134 -aS'mild\tmild\tJJ\tB-NP\tO' -p148135 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p148136 -aS'aphasia\taphasia\tNN\tI-NP\tO' -p148137 -aS'.\t.\t.\tO\tO' -p148138 -asS'However , it did show an anterior mediastinal mass compressing the trachea with a density consistent with a hematoma .' -p148139 -(lp148140 -S'However\tHowever\tRB\tB-ADVP\tO' -p148141 -aS',\t,\t,\tO\tO' -p148142 -aS'it\tit\tPRP\tB-NP\tO' -p148143 -aS'did\tdo\tVBD\tB-VP\tO' -p148144 -aS'show\tshow\tVB\tI-VP\tO' -p148145 -aS'an\tan\tDT\tB-NP\tO' -p148146 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p148147 -aS'mediastinal\tmediastinal\tJJ\tI-NP\tO' -p148148 -aS'mass\tmass\tNN\tI-NP\tO' -p148149 -aS'compressing\tcompress\tVBG\tB-VP\tO' -p148150 -aS'the\tthe\tDT\tB-NP\tO' -p148151 -aS'trachea\ttrachea\tNN\tI-NP\tO' -p148152 -aS'with\twith\tIN\tB-PP\tO' -p148153 -aS'a\ta\tDT\tB-NP\tO' -p148154 -aS'density\tdensity\tNN\tI-NP\tO' -p148155 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p148156 -aS'with\twith\tIN\tB-PP\tO' -p148157 -aS'a\ta\tDT\tB-NP\tO' -p148158 -aS'hematoma\thematoma\tNN\tI-NP\tO' -p148159 -aS'.\t.\t.\tO\tO' -p148160 -asS'Her native right and left anterior descending vessels were occluded as was an obtuse marginal branch .' -p148161 -(lp148162 -S'Her\tHer\tPRP$\tB-NP\tO' -p148163 -aS'native\tnative\tJJ\tI-NP\tO' -p148164 -aS'right\tright\tNN\tI-NP\tO' -p148165 -aS'and\tand\tCC\tO\tO' -p148166 -aS'left\tleave\tVBD\tB-VP\tO' -p148167 -aS'anterior\tanterior\tJJ\tB-NP\tO' -p148168 -aS'descending\tdescend\tVBG\tI-NP\tO' -p148169 -aS'vessels\tvessel\tNNS\tI-NP\tO' -p148170 -aS'were\tbe\tVBD\tB-VP\tO' -p148171 -aS'occluded\tocclude\tVBN\tI-VP\tO' -p148172 -aS'as\tas\tIN\tB-SBAR\tO' -p148173 -aS'was\tbe\tVBD\tB-VP\tO' -p148174 -aS'an\tan\tDT\tB-NP\tO' -p148175 -aS'obtuse\tobtuse\tNN\tI-NP\tO' -p148176 -aS'marginal\tmarginal\tJJ\tI-NP\tO' -p148177 -aS'branch\tbranch\tNN\tI-NP\tO' -p148178 -aS'.\t.\t.\tO\tO' -p148179 -asS'4. Percocet as needed .' -p148180 -(lp148181 -S'4.\t4.\tLS\tB-NP\tO' -p148182 -aS'Percocet\tPercocet\tNN\tI-NP\tO' -p148183 -aS'as\tas\tIN\tB-SBAR\tO' -p148184 -aS'needed\tneed\tVBN\tB-VP\tO' -p148185 -aS'.\t.\t.\tO\tO' -p148186 -asS"The patient was prepared for discharge on 05-29 , when he was sat ' ing in the high 90 's on room air ." -p148187 -(lp148188 -S'The\tThe\tDT\tB-NP\tO' -p148189 -aS'patient\tpatient\tNN\tI-NP\tO' -p148190 -aS'was\tbe\tVBD\tB-VP\tO' -p148191 -aS'prepared\tprepare\tVBN\tI-VP\tO' -p148192 -aS'for\tfor\tIN\tB-PP\tO' -p148193 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p148194 -aS'on\ton\tIN\tB-PP\tO' -p148195 -aS'05-29\t05-29\tCD\tB-NP\tO' -p148196 -aS',\t,\t,\tO\tO' -p148197 -aS'when\twhen\tWRB\tB-ADVP\tO' -p148198 -aS'he\the\tPRP\tB-NP\tO' -p148199 -aS'was\tbe\tVBD\tB-VP\tO' -p148200 -aS'sat\tsat\tNN\tB-NP\tO' -p148201 -aS"'\t'\tPOS\tB-NP\tO" -p148202 -aS'ing\ting\tNN\tI-NP\tO' -p148203 -aS'in\tin\tIN\tB-PP\tO' -p148204 -aS'the\tthe\tDT\tB-NP\tO' -p148205 -aS'high\thigh\tJJ\tI-NP\tO' -p148206 -aS'90\t90\tCD\tI-NP\tO' -p148207 -aS"'s\t's\tPOS\tB-NP\tO" -p148208 -aS'on\ton\tIN\tB-PP\tO' -p148209 -aS'room\troom\tNN\tB-NP\tO' -p148210 -aS'air\tair\tNN\tI-NP\tO' -p148211 -aS'.\t.\t.\tO\tO' -p148212 -asS'weeks .' -p148213 -(lp148214 -S'weeks\tweek\tNNS\tB-NP\tO' -p148215 -aS'.\t.\t.\tO\tO' -p148216 -asS'She was transferred to Providence Behavioral Health Hospital for further management .' -p148217 -(lp148218 -S'She\tShe\tPRP\tB-NP\tO' -p148219 -aS'was\tbe\tVBD\tB-VP\tO' -p148220 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p148221 -aS'to\tto\tTO\tB-PP\tO' -p148222 -aS'Providence\tProvidence\tNNP\tB-NP\tO' -p148223 -aS'Behavioral\tBehavioral\tNNP\tI-NP\tO' -p148224 -aS'Health\tHealth\tNNP\tI-NP\tO' -p148225 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p148226 -aS'for\tfor\tIN\tB-PP\tO' -p148227 -aS'further\tfurther\tJJ\tB-NP\tO' -p148228 -aS'management\tmanagement\tNN\tI-NP\tO' -p148229 -aS'.\t.\t.\tO\tO' -p148230 -asS'In the Emergency Room , the patient was given Lopressor , nitroglycerin , and aspirin .' -p148231 -(lp148232 -S'In\tIn\tIN\tB-PP\tO' -p148233 -aS'the\tthe\tDT\tB-NP\tO' -p148234 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p148235 -aS'Room\tRoom\tNNP\tI-NP\tO' -p148236 -aS',\t,\t,\tO\tO' -p148237 -aS'the\tthe\tDT\tB-NP\tO' -p148238 -aS'patient\tpatient\tNN\tI-NP\tO' -p148239 -aS'was\tbe\tVBD\tB-VP\tO' -p148240 -aS'given\tgive\tVBN\tI-VP\tO' -p148241 -aS'Lopressor\tLopressor\tNN\tB-NP\tO' -p148242 -aS',\t,\t,\tO\tO' -p148243 -aS'nitroglycerin\tnitroglycerin\tNN\tB-NP\tO' -p148244 -aS',\t,\t,\tO\tO' -p148245 -aS'and\tand\tCC\tO\tO' -p148246 -aS'aspirin\taspirin\tNN\tB-NP\tO' -p148247 -aS'.\t.\t.\tO\tO' -p148248 -asS'There are no cardiovascular issues .' -p148249 -(lp148250 -S'There\tThere\tEX\tB-NP\tO' -p148251 -aS'are\tbe\tVBP\tB-VP\tO' -p148252 -aS'no\tno\tDT\tB-NP\tO' -p148253 -aS'cardiovascular\tcardiovascular\tJJ\tI-NP\tO' -p148254 -aS'issues\tissue\tNNS\tI-NP\tO' -p148255 -aS'.\t.\t.\tO\tO' -p148256 -asS'No clubbing , cyanosis or edema .' -p148257 -(lp148258 -S'No\tNo\tDT\tB-NP\tO' -p148259 -aS'clubbing\tclubbing\tNN\tI-NP\tO' -p148260 -aS',\t,\t,\tI-NP\tO' -p148261 -aS'cyanosis\tcyanosis\tNN\tI-NP\tO' -p148262 -aS'or\tor\tCC\tI-NP\tO' -p148263 -aS'edema\tedema\tNN\tI-NP\tO' -p148264 -aS'.\t.\t.\tO\tO' -p148265 -asS'4. Followup with Dr. Rourdrick in four weeks time .' -p148266 -(lp148267 -S'4.\t4.\tLS\tB-LST\tO' -p148268 -aS'Followup\tFollowup\tNNP\tB-NP\tO' -p148269 -aS'with\twith\tIN\tB-PP\tO' -p148270 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p148271 -aS'Rourdrick\tRourdrick\tNNP\tI-NP\tO' -p148272 -aS'in\tin\tIN\tB-PP\tO' -p148273 -aS'four\tfour\tCD\tB-NP\tO' -p148274 -aS'weeks\tweek\tNNS\tI-NP\tO' -p148275 -aS'time\ttime\tNN\tI-NP\tO' -p148276 -aS'.\t.\t.\tO\tO' -p148277 -asS"Recently d/c 'd on 05-15 after admission for hepatic encephalopathy versus opiate abuse ." -p148278 -(lp148279 -S'Recently\tRecently\tRB\tB-NP\tO' -p148280 -aS'd/c\td/c\tNN\tI-NP\tO' -p148281 -aS"'d\t'd\tVBD\tB-VP\tO" -p148282 -aS'on\ton\tIN\tB-PP\tO' -p148283 -aS'05-15\t05-15\tCD\tB-NP\tO' -p148284 -aS'after\tafter\tIN\tB-PP\tO' -p148285 -aS'admission\tadmission\tNN\tB-NP\tO' -p148286 -aS'for\tfor\tIN\tB-PP\tO' -p148287 -aS'hepatic\thepatic\tJJ\tB-NP\tO' -p148288 -aS'encephalopathy\tencephalopathy\tNN\tI-NP\tO' -p148289 -aS'versus\tversus\tIN\tB-PP\tO' -p148290 -aS'opiate\topiate\tNN\tB-NP\tO' -p148291 -aS'abuse\tabuse\tNN\tI-NP\tO' -p148292 -aS'.\t.\t.\tO\tO' -p148293 -asS'retired , lives alone , widowed quit smoking 20+ years ago no ETOH use' -p148294 -(lp148295 -S'retired\tretire\tVBN\tB-VP\tO' -p148296 -aS',\t,\t,\tO\tO' -p148297 -aS'lives\tlive\tVBZ\tB-VP\tO' -p148298 -aS'alone\talone\tRB\tB-ADVP\tO' -p148299 -aS',\t,\t,\tO\tO' -p148300 -aS'widowed\twidow\tVBD\tB-VP\tO' -p148301 -aS'quit\tquit\tNN\tB-NP\tO' -p148302 -aS'smoking\tsmoking\tNN\tI-NP\tO' -p148303 -aS'20+\t20+\tJJ\tB-NP\tO' -p148304 -aS'years\tyear\tNNS\tI-NP\tO' -p148305 -aS'ago\tago\tRB\tB-ADVP\tO' -p148306 -aS'no\tno\tDT\tB-NP\tO' -p148307 -aS'ETOH\tETOH\tNN\tI-NP\tO' -p148308 -aS'use\tuse\tNN\tI-NP\tO' -p148309 -asS'Pulmonary function tests on September 27 , 1997 revealed an FVC of 2.7 which is 112% and FEV1 of 2.23 which is 123% .' -p148310 -(lp148311 -S'Pulmonary\tPulmonary\tJJ\tB-NP\tO' -p148312 -aS'function\tfunction\tNN\tI-NP\tO' -p148313 -aS'tests\ttest\tNNS\tI-NP\tO' -p148314 -aS'on\ton\tIN\tB-PP\tO' -p148315 -aS'September\tSeptember\tNNP\tB-NP\tO' -p148316 -aS'27\t27\tCD\tI-NP\tO' -p148317 -aS',\t,\t,\tI-NP\tO' -p148318 -aS'1997\t1997\tCD\tI-NP\tO' -p148319 -aS'revealed\treveal\tVBD\tB-VP\tO' -p148320 -aS'an\tan\tDT\tB-NP\tO' -p148321 -aS'FVC\tFVC\tNN\tI-NP\tO' -p148322 -aS'of\tof\tIN\tB-PP\tO' -p148323 -aS'2.7\t2.7\tCD\tB-NP\tO' -p148324 -aS'which\twhich\tWDT\tB-NP\tO' -p148325 -aS'is\tbe\tVBZ\tB-VP\tO' -p148326 -aS'112%\t112%\tNN\tB-NP\tO' -p148327 -aS'and\tand\tCC\tI-NP\tO' -p148328 -aS'FEV1\tFEV1\tNN\tI-NP\tO' -p148329 -aS'of\tof\tIN\tB-PP\tO' -p148330 -aS'2.23\t2.23\tCD\tB-NP\tO' -p148331 -aS'which\twhich\tWDT\tB-NP\tO' -p148332 -aS'is\tbe\tVBZ\tB-VP\tO' -p148333 -aS'123%\t123%\tCD\tB-NP\tO' -p148334 -aS'.\t.\t.\tO\tO' -p148335 -asS'Good pedal pulses peripherally .' -p148336 -(lp148337 -S'Good\tGood\tJJ\tB-NP\tO' -p148338 -aS'pedal\tpedal\tJJ\tI-NP\tO' -p148339 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p148340 -aS'peripherally\tperipherally\tRB\tB-ADVP\tO' -p148341 -aS'.\t.\t.\tO\tO' -p148342 -asS'3. Albuterol Sulfate 0.083 % Solution Sig : One ( 1 ) Inhalation Q4H ( every 4 hours ) .' -p148343 -(lp148344 -S'3.\t3.\tLS\tB-LST\tO' -p148345 -aS'Albuterol\tAlbuterol\tNN\tB-NP\tO' -p148346 -aS'Sulfate\tSulfate\tVB\tB-VP\tO' -p148347 -aS'0.083\t0.083\tCD\tB-NP\tO' -p148348 -aS'%\t%\tNN\tI-NP\tO' -p148349 -aS'Solution\tSolution\tNNP\tI-NP\tO' -p148350 -aS'Sig\tSig\tNNP\tI-NP\tO' -p148351 -aS':\t:\t:\tO\tO' -p148352 -aS'One\tOne\tCD\tB-NP\tO' -p148353 -aS'(\t(\t(\tO\tO' -p148354 -aS'1\t1\tCD\tB-NP\tO' -p148355 -aS')\t)\t)\tO\tO' -p148356 -aS'Inhalation\tInhalation\tNN\tB-NP\tO' -p148357 -aS'Q4H\tQ4H\tNN\tI-NP\tO' -p148358 -aS'(\t(\t(\tO\tO' -p148359 -aS'every\tevery\tDT\tB-NP\tO' -p148360 -aS'4\t4\tCD\tI-NP\tO' -p148361 -aS'hours\thour\tNNS\tI-NP\tO' -p148362 -aS')\t)\t)\tO\tO' -p148363 -aS'.\t.\t.\tO\tO' -p148364 -asS'In the emergency room , vitals were temperature 96.4 , pulse 40-50 , blood pressure 154-58 , satting 86% on room air , 99% on 3 liters of 3 liters cannula .' -p148365 -(lp148366 -S'In\tIn\tIN\tB-PP\tO' -p148367 -aS'the\tthe\tDT\tB-NP\tO' -p148368 -aS'emergency\temergency\tNN\tI-NP\tO' -p148369 -aS'room\troom\tNN\tI-NP\tO' -p148370 -aS',\t,\t,\tO\tO' -p148371 -aS'vitals\tvital\tNNS\tB-NP\tO' -p148372 -aS'were\tbe\tVBD\tB-VP\tO' -p148373 -aS'temperature\ttemperature\tNN\tB-NP\tO' -p148374 -aS'96.4\t96.4\tCD\tI-NP\tO' -p148375 -aS',\t,\t,\tO\tO' -p148376 -aS'pulse\tpulse\tNN\tB-NP\tO' -p148377 -aS'40-50\t40-50\tCD\tI-NP\tO' -p148378 -aS',\t,\t,\tO\tO' -p148379 -aS'blood\tblood\tNN\tB-NP\tO' -p148380 -aS'pressure\tpressure\tNN\tI-NP\tO' -p148381 -aS'154-58\t154-58\tCD\tI-NP\tO' -p148382 -aS',\t,\t,\tO\tO' -p148383 -aS'satting\tsatte\tVBG\tB-VP\tO' -p148384 -aS'86%\t86%\tNN\tB-NP\tO' -p148385 -aS'on\ton\tIN\tB-PP\tO' -p148386 -aS'room\troom\tNN\tB-NP\tO' -p148387 -aS'air\tair\tNN\tI-NP\tO' -p148388 -aS',\t,\t,\tO\tO' -p148389 -aS'99%\t99%\tCD\tB-NP\tO' -p148390 -aS'on\ton\tIN\tB-PP\tO' -p148391 -aS'3\t3\tCD\tB-NP\tO' -p148392 -aS'liters\tliter\tNNS\tI-NP\tO' -p148393 -aS'of\tof\tIN\tB-PP\tO' -p148394 -aS'3\t3\tCD\tB-NP\tO' -p148395 -aS'liters\tliter\tNNS\tI-NP\tO' -p148396 -aS'cannula\tcannula\tNN\tI-NP\tO' -p148397 -aS'.\t.\t.\tO\tO' -p148398 -asS'The appointment has already been made .' -p148399 -(lp148400 -S'The\tThe\tDT\tB-NP\tO' -p148401 -aS'appointment\tappointment\tNN\tI-NP\tO' -p148402 -aS'has\thave\tVBZ\tB-VP\tO' -p148403 -aS'already\talready\tRB\tI-VP\tO' -p148404 -aS'been\tbe\tVBN\tI-VP\tO' -p148405 -aS'made\tmake\tVBN\tI-VP\tO' -p148406 -aS'.\t.\t.\tO\tO' -p148407 -asS'passed bilaterally .' -p148408 -(lp148409 -S'passed\tpass\tVBN\tB-VP\tO' -p148410 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p148411 -aS'.\t.\t.\tO\tO' -p148412 -asS'Hematocrit was noted to 47.5 with platelets of 257,000 .' -p148413 -(lp148414 -S'Hematocrit\tHematocrit\tNN\tB-NP\tO' -p148415 -aS'was\tbe\tVBD\tB-VP\tO' -p148416 -aS'noted\tnote\tVBN\tI-VP\tO' -p148417 -aS'to\tto\tTO\tB-PP\tO' -p148418 -aS'47.5\t47.5\tCD\tB-NP\tO' -p148419 -aS'with\twith\tIN\tB-PP\tO' -p148420 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p148421 -aS'of\tof\tIN\tB-PP\tO' -p148422 -aS'257,000\t257,000\tCD\tB-NP\tO' -p148423 -aS'.\t.\t.\tO\tO' -p148424 -asS'12. Chronic muscle spasms .' -p148425 -(lp148426 -S'12.\t12.\tLS\tB-NP\tO' -p148427 -aS'Chronic\tChronic\tJJ\tI-NP\tO' -p148428 -aS'muscle\tmuscle\tNN\tI-NP\tO' -p148429 -aS'spasms\tspasm\tNNS\tI-NP\tO' -p148430 -aS'.\t.\t.\tO\tO' -p148431 -asS'She presented to the Ponta,itri- University Medical Center Emergency Department on 12/01/02 for evaluation of this constipation .' -p148432 -(lp148433 -S'She\tShe\tPRP\tB-NP\tO' -p148434 -aS'presented\tpresent\tVBD\tB-VP\tO' -p148435 -aS'to\tto\tTO\tB-PP\tO' -p148436 -aS'the\tthe\tDT\tB-NP\tO' -p148437 -aS'Ponta,itri-\tPonta,itri-\tNNP\tI-NP\tO' -p148438 -aS'University\tUniversity\tNNP\tI-NP\tO' -p148439 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p148440 -aS'Center\tCenter\tNNP\tI-NP\tO' -p148441 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p148442 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p148443 -aS'on\ton\tIN\tB-PP\tO' -p148444 -aS'12/01/02\t12/01/02\tCD\tB-NP\tO' -p148445 -aS'for\tfor\tIN\tB-PP\tO' -p148446 -aS'evaluation\tevaluation\tNN\tB-NP\tO' -p148447 -aS'of\tof\tIN\tB-PP\tO' -p148448 -aS'this\tthis\tDT\tB-NP\tO' -p148449 -aS'constipation\tconstipation\tNN\tI-NP\tO' -p148450 -aS'.\t.\t.\tO\tO' -p148451 -asS'- Morphine 2-4 mg IV q3-4 prn' -p148452 -(lp148453 -S'-\t-\tHYPH\tB-NP\tO' -p148454 -aS'Morphine\tMorphine\tNN\tI-NP\tO' -p148455 -aS'2-4\t2-4\tCD\tI-NP\tO' -p148456 -aS'mg\tmg\tNN\tI-NP\tO' -p148457 -aS'IV\tIV\tCD\tB-NP\tO' -p148458 -aS'q3-4\tq3-4\tNN\tI-NP\tO' -p148459 -aS'prn\tprn\tNN\tI-NP\tO' -p148460 -asS'She also has a history of an adrenal disorder treated with Prednisone in the past , but not currently .' -p148461 -(lp148462 -S'She\tShe\tPRP\tB-NP\tO' -p148463 -aS'also\talso\tRB\tB-ADVP\tO' -p148464 -aS'has\thave\tVBZ\tB-VP\tO' -p148465 -aS'a\ta\tDT\tB-NP\tO' -p148466 -aS'history\thistory\tNN\tI-NP\tO' -p148467 -aS'of\tof\tIN\tB-PP\tO' -p148468 -aS'an\tan\tDT\tB-NP\tO' -p148469 -aS'adrenal\tadrenal\tJJ\tI-NP\tO' -p148470 -aS'disorder\tdisorder\tNN\tI-NP\tO' -p148471 -aS'treated\ttreat\tVBN\tB-VP\tO' -p148472 -aS'with\twith\tIN\tB-PP\tO' -p148473 -aS'Prednisone\tPrednisone\tNN\tB-NP\tO' -p148474 -aS'in\tin\tIN\tB-PP\tO' -p148475 -aS'the\tthe\tDT\tB-NP\tO' -p148476 -aS'past\tpast\tNN\tI-NP\tO' -p148477 -aS',\t,\t,\tO\tO' -p148478 -aS'but\tbut\tCC\tO\tO' -p148479 -aS'not\tnot\tRB\tO\tO' -p148480 -aS'currently\tcurrently\tRB\tB-ADVP\tO' -p148481 -aS'.\t.\t.\tO\tO' -p148482 -asS'His antibiotics currently are vancomycin , ceftazidime , fluconazole and caspofungin .' -p148483 -(lp148484 -S'His\tHis\tPRP$\tB-NP\tO' -p148485 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p148486 -aS'currently\tcurrently\tRB\tB-ADVP\tO' -p148487 -aS'are\tbe\tVBP\tB-VP\tO' -p148488 -aS'vancomycin\tvancomycin\tNN\tB-NP\tO' -p148489 -aS',\t,\t,\tO\tO' -p148490 -aS'ceftazidime\tceftazidime\tNN\tB-NP\tO' -p148491 -aS',\t,\t,\tO\tO' -p148492 -aS'fluconazole\tfluconazole\tNN\tB-NP\tO' -p148493 -aS'and\tand\tCC\tI-NP\tO' -p148494 -aS'caspofungin\tcaspofungin\tNN\tI-NP\tO' -p148495 -aS'.\t.\t.\tO\tO' -p148496 -asS'The patient was taken down to the endoscopic retrogram cholangiopancreatogram upon admission .' -p148497 -(lp148498 -S'The\tThe\tDT\tB-NP\tO' -p148499 -aS'patient\tpatient\tNN\tI-NP\tO' -p148500 -aS'was\tbe\tVBD\tB-VP\tO' -p148501 -aS'taken\ttake\tVBN\tI-VP\tO' -p148502 -aS'down\tdown\tRP\tB-PRT\tO' -p148503 -aS'to\tto\tTO\tB-PP\tO' -p148504 -aS'the\tthe\tDT\tB-NP\tO' -p148505 -aS'endoscopic\tendoscopic\tJJ\tI-NP\tO' -p148506 -aS'retrogram\tretrogram\tNN\tI-NP\tO' -p148507 -aS'cholangiopancreatogram\tcholangiopancreatogram\tNN\tI-NP\tO' -p148508 -aS'upon\tupon\tIN\tB-PP\tO' -p148509 -aS'admission\tadmission\tNN\tB-NP\tO' -p148510 -aS'.\t.\t.\tO\tO' -p148511 -asS'No cyanosis , clubbing or edema .' -p148512 -(lp148513 -S'No\tNo\tDT\tB-NP\tO' -p148514 -aS'cyanosis\tcyanosis\tNN\tI-NP\tO' -p148515 -aS',\t,\t,\tI-NP\tO' -p148516 -aS'clubbing\tclubbing\tNN\tI-NP\tO' -p148517 -aS'or\tor\tCC\tI-NP\tO' -p148518 -aS'edema\tedema\tNN\tI-NP\tO' -p148519 -aS'.\t.\t.\tO\tO' -p148520 -asS'At that time clear liquids were started .' -p148521 -(lp148522 -S'At\tAt\tIN\tB-PP\tO' -p148523 -aS'that\tthat\tDT\tB-NP\tO' -p148524 -aS'time\ttime\tNN\tI-NP\tO' -p148525 -aS'clear\tclear\tJJ\tB-NP\tO' -p148526 -aS'liquids\tliquid\tNNS\tI-NP\tO' -p148527 -aS'were\tbe\tVBD\tB-VP\tO' -p148528 -aS'started\tstart\tVBN\tI-VP\tO' -p148529 -aS'.\t.\t.\tO\tO' -p148530 -asS'Increasing opacification of the lungs could be due to mild pulmonary edema and multiple micrometastases , worsened slightly since 05-13 at 10:57 p.m.' -p148531 -(lp148532 -S'Increasing\tIncrease\tVBG\tB-VP\tO' -p148533 -aS'opacification\topacification\tNN\tB-NP\tO' -p148534 -aS'of\tof\tIN\tB-PP\tO' -p148535 -aS'the\tthe\tDT\tB-NP\tO' -p148536 -aS'lungs\tlung\tNNS\tI-NP\tO' -p148537 -aS'could\tcould\tMD\tB-VP\tO' -p148538 -aS'be\tbe\tVB\tI-VP\tO' -p148539 -aS'due\tdue\tJJ\tB-ADVP\tO' -p148540 -aS'to\tto\tTO\tB-PP\tO' -p148541 -aS'mild\tmild\tJJ\tB-NP\tO' -p148542 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p148543 -aS'edema\tedema\tNN\tI-NP\tO' -p148544 -aS'and\tand\tCC\tO\tO' -p148545 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p148546 -aS'micrometastases\tmicrometastas\tNNS\tI-NP\tO' -p148547 -aS',\t,\t,\tO\tO' -p148548 -aS'worsened\tworsen\tVBD\tB-VP\tO' -p148549 -aS'slightly\tslightly\tRB\tB-ADVP\tO' -p148550 -aS'since\tsince\tIN\tB-PP\tO' -p148551 -aS'05-13\t05-13\tCD\tB-NP\tO' -p148552 -aS'at\tat\tIN\tB-PP\tO' -p148553 -aS'10:57\t10:57\tCD\tB-NP\tO' -p148554 -aS'p.m.\tp.m.\tNN\tI-NP\tO' -p148555 -asS"On 01-08 , the patient 's central venous line was discontinued ." -p148556 -(lp148557 -S'On\tOn\tIN\tB-PP\tO' -p148558 -aS'01-08\t01-08\tCD\tB-NP\tO' -p148559 -aS',\t,\t,\tO\tO' -p148560 -aS'the\tthe\tDT\tB-NP\tO' -p148561 -aS'patient\tpatient\tNN\tI-NP\tO' -p148562 -aS"'s\t's\tPOS\tB-NP\tO" -p148563 -aS'central\tcentral\tJJ\tI-NP\tO' -p148564 -aS'venous\tvenous\tJJ\tI-NP\tO' -p148565 -aS'line\tline\tNN\tI-NP\tO' -p148566 -aS'was\tbe\tVBD\tB-VP\tO' -p148567 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p148568 -aS'.\t.\t.\tO\tO' -p148569 -asS'8. Nadolol 20 mg Tablet Sig : One ( 1 ) Tablet PO once a day .' -p148570 -(lp148571 -S'8.\t8.\tCD\tB-NP\tO' -p148572 -aS'Nadolol\tNadolol\tNN\tI-NP\tO' -p148573 -aS'20\t20\tCD\tB-NP\tO' -p148574 -aS'mg\tmg\tNN\tI-NP\tO' -p148575 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p148576 -aS'Sig\tSig\tNNP\tI-NP\tO' -p148577 -aS':\t:\t:\tO\tO' -p148578 -aS'One\tOne\tCD\tB-NP\tO' -p148579 -aS'(\t(\t(\tO\tO' -p148580 -aS'1\t1\tCD\tB-NP\tO' -p148581 -aS')\t)\t)\tO\tO' -p148582 -aS'Tablet\tTablet\tNN\tB-NP\tB-protein' -p148583 -aS'PO\tPO\tNN\tI-NP\tI-protein' -p148584 -aS'once\tonce\tRB\tO\tO' -p148585 -aS'a\ta\tDT\tB-NP\tO' -p148586 -aS'day\tday\tNN\tI-NP\tO' -p148587 -aS'.\t.\t.\tO\tO' -p148588 -asS'The telephone number at his office is 236-4518 .' -p148589 -(lp148590 -S'The\tThe\tDT\tB-NP\tO' -p148591 -aS'telephone\ttelephone\tNN\tI-NP\tO' -p148592 -aS'number\tnumber\tNN\tI-NP\tO' -p148593 -aS'at\tat\tIN\tB-PP\tO' -p148594 -aS'his\this\tPRP$\tB-NP\tO' -p148595 -aS'office\toffice\tNN\tI-NP\tO' -p148596 -aS'is\tbe\tVBZ\tB-VP\tO' -p148597 -aS'236-4518\t236-4518\tCD\tB-NP\tO' -p148598 -aS'.\t.\t.\tO\tO' -p148599 -asS'The patient is discharged to home in good condiiton .' -p148600 -(lp148601 -S'The\tThe\tDT\tB-NP\tO' -p148602 -aS'patient\tpatient\tNN\tI-NP\tO' -p148603 -aS'is\tbe\tVBZ\tB-VP\tO' -p148604 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p148605 -aS'to\tto\tTO\tB-PP\tO' -p148606 -aS'home\thome\tNN\tB-NP\tO' -p148607 -aS'in\tin\tIN\tB-PP\tO' -p148608 -aS'good\tgood\tJJ\tB-NP\tO' -p148609 -aS'condiiton\tcondiiton\tNN\tI-NP\tO' -p148610 -aS'.\t.\t.\tO\tO' -p148611 -asS'Multilobar pneumonia with interval worsening in the left lung but slight improvement in the right lower lobe .' -p148612 -(lp148613 -S'Multilobar\tMultilobar\tJJ\tB-NP\tO' -p148614 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p148615 -aS'with\twith\tIN\tB-PP\tO' -p148616 -aS'interval\tinterval\tNN\tB-NP\tO' -p148617 -aS'worsening\tworsen\tVBG\tB-VP\tO' -p148618 -aS'in\tin\tIN\tB-PP\tO' -p148619 -aS'the\tthe\tDT\tB-NP\tO' -p148620 -aS'left\tleft\tJJ\tI-NP\tO' -p148621 -aS'lung\tlung\tNN\tI-NP\tO' -p148622 -aS'but\tbut\tCC\tO\tO' -p148623 -aS'slight\tslight\tJJ\tB-NP\tO' -p148624 -aS'improvement\timprovement\tNN\tI-NP\tO' -p148625 -aS'in\tin\tIN\tB-PP\tO' -p148626 -aS'the\tthe\tDT\tB-NP\tO' -p148627 -aS'right\tright\tJJ\tI-NP\tO' -p148628 -aS'lower\tlow\tJJR\tI-NP\tO' -p148629 -aS'lobe\tlobe\tNN\tI-NP\tO' -p148630 -aS'.\t.\t.\tO\tO' -p148631 -asS'He had no cervical adenopathy and his neck was supple .' -p148632 -(lp148633 -S'He\tHe\tPRP\tB-NP\tO' -p148634 -aS'had\thave\tVBD\tB-VP\tO' -p148635 -aS'no\tno\tDT\tB-NP\tO' -p148636 -aS'cervical\tcervical\tJJ\tI-NP\tO' -p148637 -aS'adenopathy\tadenopathy\tNN\tI-NP\tO' -p148638 -aS'and\tand\tCC\tO\tO' -p148639 -aS'his\this\tPRP$\tB-NP\tO' -p148640 -aS'neck\tneck\tNN\tI-NP\tO' -p148641 -aS'was\tbe\tVBD\tB-VP\tO' -p148642 -aS'supple\tsupple\tNN\tB-NP\tO' -p148643 -aS'.\t.\t.\tO\tO' -p148644 -asS'2. Cerebrovascular disease , status post left carotid endarterectomy in 2008 .' -p148645 -(lp148646 -S'2.\t2.\tLS\tB-NP\tO' -p148647 -aS'Cerebrovascular\tCerebrovascular\tJJ\tI-NP\tO' -p148648 -aS'disease\tdisease\tNN\tI-NP\tO' -p148649 -aS',\t,\t,\tO\tO' -p148650 -aS'status\tstatus\tNN\tB-NP\tO' -p148651 -aS'post\tpost\tNN\tI-NP\tO' -p148652 -aS'left\tleave\tVBD\tB-VP\tO' -p148653 -aS'carotid\tcarotid\tNN\tB-NP\tO' -p148654 -aS'endarterectomy\tendarterectomy\tNN\tI-NP\tO' -p148655 -aS'in\tin\tIN\tB-PP\tO' -p148656 -aS'2008\t2008\tCD\tB-NP\tO' -p148657 -aS'.\t.\t.\tO\tO' -p148658 -asS'He was started on beta blockers .' -p148659 -(lp148660 -S'He\tHe\tPRP\tB-NP\tO' -p148661 -aS'was\tbe\tVBD\tB-VP\tO' -p148662 -aS'started\tstart\tVBN\tI-VP\tO' -p148663 -aS'on\ton\tIN\tB-PP\tO' -p148664 -aS'beta\tbeta\tNN\tB-NP\tO' -p148665 -aS'blockers\tblocker\tNNS\tI-NP\tO' -p148666 -aS'.\t.\t.\tO\tO' -p148667 -asS'6. Amiodarone 200 mg Tablet Sig : Two ( 2 ) Tablet PO once a day for 7 days : 400 mg PO daily for 1 week , then decrease to 200 mg PO daily .' -p148668 -(lp148669 -S'6.\t6.\tCD\tB-NP\tO' -p148670 -aS'Amiodarone\tAmiodarone\tNN\tI-NP\tO' -p148671 -aS'200\t200\tCD\tB-NP\tO' -p148672 -aS'mg\tmg\tNN\tI-NP\tO' -p148673 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p148674 -aS'Sig\tSig\tNNP\tI-NP\tO' -p148675 -aS':\t:\t:\tO\tO' -p148676 -aS'Two\tTwo\tCD\tB-NP\tO' -p148677 -aS'(\t(\t(\tO\tO' -p148678 -aS'2\t2\tCD\tO\tO' -p148679 -aS')\t)\t)\tO\tO' -p148680 -aS'Tablet\tTablet\tNN\tB-NP\tB-protein' -p148681 -aS'PO\tPO\tNN\tI-NP\tI-protein' -p148682 -aS'once\tonce\tRB\tO\tO' -p148683 -aS'a\ta\tDT\tB-NP\tO' -p148684 -aS'day\tday\tNN\tI-NP\tO' -p148685 -aS'for\tfor\tIN\tB-PP\tO' -p148686 -aS'7\t7\tCD\tB-NP\tO' -p148687 -aS'days\tday\tNNS\tI-NP\tO' -p148688 -aS':\t:\t:\tO\tO' -p148689 -aS'400\t400\tCD\tB-NP\tO' -p148690 -aS'mg\tmg\tNN\tI-NP\tO' -p148691 -aS'PO\tPO\tNN\tI-NP\tO' -p148692 -aS'daily\tdaily\tRB\tB-ADVP\tO' -p148693 -aS'for\tfor\tIN\tB-PP\tO' -p148694 -aS'1\t1\tCD\tB-NP\tO' -p148695 -aS'week\tweek\tNN\tI-NP\tO' -p148696 -aS',\t,\t,\tO\tO' -p148697 -aS'then\tthen\tRB\tB-ADVP\tO' -p148698 -aS'decrease\tdecrease\tVB\tB-VP\tO' -p148699 -aS'to\tto\tTO\tB-PP\tO' -p148700 -aS'200\t200\tCD\tB-NP\tO' -p148701 -aS'mg\tmg\tNN\tI-NP\tO' -p148702 -aS'PO\tPO\tNN\tI-NP\tO' -p148703 -aS'daily\tdaily\tRB\tB-ADVP\tO' -p148704 -aS'.\t.\t.\tO\tO' -p148705 -asS'PHYSICAL EXAM ( Examined off of Propofol ):' -p148706 -(lp148707 -S'PHYSICAL\tPHYSICAL\tNN\tB-NP\tO' -p148708 -aS'EXAM\tEXAM\tNN\tI-NP\tO' -p148709 -aS'(\t(\t(\tO\tO' -p148710 -aS'Examined\tExamine\tVBN\tB-VP\tO' -p148711 -aS'off\toff\tRP\tB-PRT\tO' -p148712 -aS'of\tof\tIN\tB-PP\tO' -p148713 -aS'Propofol\tPropofol\tNN\tB-NP\tO' -p148714 -aS'):\t):\t.\tO\tO' -p148715 -asS'He was seen in consultation by the Infectious Disease Service who advised us on antibiotic choices daily .' -p148716 -(lp148717 -S'He\tHe\tPRP\tB-NP\tO' -p148718 -aS'was\tbe\tVBD\tB-VP\tO' -p148719 -aS'seen\tsee\tVBN\tI-VP\tO' -p148720 -aS'in\tin\tIN\tB-PP\tO' -p148721 -aS'consultation\tconsultation\tNN\tB-NP\tO' -p148722 -aS'by\tby\tIN\tB-PP\tO' -p148723 -aS'the\tthe\tDT\tB-NP\tO' -p148724 -aS'Infectious\tInfectious\tNNP\tI-NP\tO' -p148725 -aS'Disease\tDisease\tNNP\tI-NP\tO' -p148726 -aS'Service\tService\tNNP\tI-NP\tO' -p148727 -aS'who\twho\tWP\tB-NP\tO' -p148728 -aS'advised\tadvise\tVBD\tB-VP\tO' -p148729 -aS'us\tus\tPRP\tB-NP\tO' -p148730 -aS'on\ton\tIN\tB-PP\tO' -p148731 -aS'antibiotic\tantibiotic\tJJ\tB-NP\tO' -p148732 -aS'choices\tchoice\tNNS\tI-NP\tO' -p148733 -aS'daily\tdaily\tRB\tB-ADVP\tO' -p148734 -aS'.\t.\t.\tO\tO' -p148735 -asS'Pt is a mouth breather and occasionally needs a face mask .' -p148736 -(lp148737 -S'Pt\tPt\tNN\tB-NP\tO' -p148738 -aS'is\tbe\tVBZ\tB-VP\tO' -p148739 -aS'a\ta\tDT\tB-NP\tO' -p148740 -aS'mouth\tmouth\tNN\tI-NP\tO' -p148741 -aS'breather\tbreather\tNN\tI-NP\tO' -p148742 -aS'and\tand\tCC\tO\tO' -p148743 -aS'occasionally\toccasionally\tRB\tB-VP\tO' -p148744 -aS'needs\tneed\tVBZ\tI-VP\tO' -p148745 -aS'a\ta\tDT\tB-NP\tO' -p148746 -aS'face\tface\tNN\tI-NP\tO' -p148747 -aS'mask\tmask\tNN\tI-NP\tO' -p148748 -aS'.\t.\t.\tO\tO' -p148749 -asS'The heel-shin-test was slightly clumsy bilaterally but the knee tapping was normal bilaterally .' -p148750 -(lp148751 -S'The\tThe\tDT\tB-NP\tO' -p148752 -aS'heel-shin-test\theel-shin-test\tNN\tI-NP\tO' -p148753 -aS'was\tbe\tVBD\tB-VP\tO' -p148754 -aS'slightly\tslightly\tRB\tB-ADJP\tO' -p148755 -aS'clumsy\tclumsy\tJJ\tI-ADJP\tO' -p148756 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p148757 -aS'but\tbut\tCC\tO\tO' -p148758 -aS'the\tthe\tDT\tB-NP\tO' -p148759 -aS'knee\tknee\tNN\tI-NP\tO' -p148760 -aS'tapping\ttapping\tNN\tI-NP\tO' -p148761 -aS'was\tbe\tVBD\tB-VP\tO' -p148762 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p148763 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p148764 -aS'.\t.\t.\tO\tO' -p148765 -asS'1. FREQUENT HEADACHES .' -p148766 -(lp148767 -S'1.\t1.\tLS\tB-NP\tO' -p148768 -aS'FREQUENT\tFREQUENT\tNN\tI-NP\tO' -p148769 -aS'HEADACHES\tHEADACHES\tNN\tI-NP\tO' -p148770 -aS'.\t.\t.\tO\tO' -p148771 -asS'Capillary refill was normal and there was no edema .' -p148772 -(lp148773 -S'Capillary\tCapillary\tJJ\tB-NP\tO' -p148774 -aS'refill\trefill\tNN\tI-NP\tO' -p148775 -aS'was\tbe\tVBD\tB-VP\tO' -p148776 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p148777 -aS'and\tand\tCC\tO\tO' -p148778 -aS'there\tthere\tEX\tB-NP\tO' -p148779 -aS'was\tbe\tVBD\tB-VP\tO' -p148780 -aS'no\tno\tDT\tB-NP\tO' -p148781 -aS'edema\tedema\tNN\tI-NP\tO' -p148782 -aS'.\t.\t.\tO\tO' -p148783 -asS'NOTE : This study was initially performed on 2014-10-21 .' -p148784 -(lp148785 -S'NOTE\tNOTE\tNN\tB-NP\tO' -p148786 -aS':\t:\t:\tO\tO' -p148787 -aS'This\tThis\tDT\tB-NP\tO' -p148788 -aS'study\tstudy\tNN\tI-NP\tO' -p148789 -aS'was\tbe\tVBD\tB-VP\tO' -p148790 -aS'initially\tinitially\tRB\tI-VP\tO' -p148791 -aS'performed\tperform\tVBN\tI-VP\tO' -p148792 -aS'on\ton\tIN\tB-PP\tO' -p148793 -aS'2014-10-21\t2014-10-21\tCD\tB-NP\tO' -p148794 -aS'.\t.\t.\tO\tO' -p148795 -asS"Note that with the documented movements of the patient 's head and mouth , no change on the EEG was seen ." -p148796 -(lp148797 -S'Note\tNote\tVB\tB-VP\tO' -p148798 -aS'that\tthat\tIN\tB-SBAR\tO' -p148799 -aS'with\twith\tIN\tB-PP\tO' -p148800 -aS'the\tthe\tDT\tB-NP\tO' -p148801 -aS'documented\tdocument\tVBN\tI-NP\tO' -p148802 -aS'movements\tmovement\tNNS\tI-NP\tO' -p148803 -aS'of\tof\tIN\tB-PP\tO' -p148804 -aS'the\tthe\tDT\tB-NP\tO' -p148805 -aS'patient\tpatient\tNN\tI-NP\tO' -p148806 -aS"'s\t's\tPOS\tB-NP\tO" -p148807 -aS'head\thead\tNN\tI-NP\tO' -p148808 -aS'and\tand\tCC\tI-NP\tO' -p148809 -aS'mouth\tmouth\tNN\tI-NP\tO' -p148810 -aS',\t,\t,\tO\tO' -p148811 -aS'no\tno\tDT\tB-NP\tO' -p148812 -aS'change\tchange\tNN\tI-NP\tO' -p148813 -aS'on\ton\tIN\tB-PP\tO' -p148814 -aS'the\tthe\tDT\tB-NP\tO' -p148815 -aS'EEG\tEEG\tNN\tI-NP\tB-protein' -p148816 -aS'was\tbe\tVBD\tB-VP\tO' -p148817 -aS'seen\tsee\tVBN\tI-VP\tO' -p148818 -aS'.\t.\t.\tO\tO' -p148819 -asS'6. Gastroesophageal reflux disease .' -p148820 -(lp148821 -S'6.\t6.\tLS\tB-NP\tO' -p148822 -aS'Gastroesophageal\tGastroesophageal\tJJ\tI-NP\tO' -p148823 -aS'reflux\treflux\tNN\tI-NP\tO' -p148824 -aS'disease\tdisease\tNN\tI-NP\tO' -p148825 -aS'.\t.\t.\tO\tO' -p148826 -asS'The mother was followed in the Massachusetts General Hospital Advanced Fetal Care Center and was followed by Dr. Ralph Wilson .' -p148827 -(lp148828 -S'The\tThe\tDT\tB-NP\tO' -p148829 -aS'mother\tmother\tNN\tI-NP\tO' -p148830 -aS'was\tbe\tVBD\tB-VP\tO' -p148831 -aS'followed\tfollow\tVBN\tI-VP\tO' -p148832 -aS'in\tin\tIN\tB-PP\tO' -p148833 -aS'the\tthe\tDT\tB-NP\tO' -p148834 -aS'Massachusetts\tMassachusetts\tNNP\tI-NP\tO' -p148835 -aS'General\tGeneral\tNNP\tI-NP\tO' -p148836 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p148837 -aS'Advanced\tAdvanced\tNNP\tI-NP\tO' -p148838 -aS'Fetal\tFetal\tNNP\tI-NP\tO' -p148839 -aS'Care\tCare\tNNP\tI-NP\tO' -p148840 -aS'Center\tCenter\tNNP\tI-NP\tO' -p148841 -aS'and\tand\tCC\tO\tO' -p148842 -aS'was\tbe\tVBD\tB-VP\tO' -p148843 -aS'followed\tfollow\tVBN\tI-VP\tO' -p148844 -aS'by\tby\tIN\tB-PP\tO' -p148845 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p148846 -aS'Ralph\tRalph\tNNP\tI-NP\tO' -p148847 -aS'Wilson\tWilson\tNNP\tI-NP\tO' -p148848 -aS'.\t.\t.\tO\tO' -p148849 -asS'- will clear with neursurg prior to removing hard collar' -p148850 -(lp148851 -S'-\t-\tHYPH\tB-NP\tO' -p148852 -aS'will\twill\tMD\tB-VP\tO' -p148853 -aS'clear\tclear\tVB\tI-VP\tO' -p148854 -aS'with\twith\tIN\tB-PP\tO' -p148855 -aS'neursurg\tneursurg\tNN\tB-NP\tO' -p148856 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p148857 -aS'to\tto\tTO\tB-PP\tO' -p148858 -aS'removing\tremove\tVBG\tB-VP\tO' -p148859 -aS'hard\thard\tJJ\tB-NP\tO' -p148860 -aS'collar\tcollar\tNN\tI-NP\tO' -p148861 -asS'Stay was uneventful .' -p148862 -(lp148863 -S'Stay\tStay\tNNP\tB-NP\tO' -p148864 -aS'was\tbe\tVBD\tB-VP\tO' -p148865 -aS'uneventful\tuneventful\tJJ\tB-ADJP\tO' -p148866 -aS'.\t.\t.\tO\tO' -p148867 -asS'2) astrocytoma - grade II , as per d/w PMD , Dr. Holscher , pt has poor prognosis , but reasonable for ongoing treatment .' -p148868 -(lp148869 -S'2)\t2)\tLS\tB-NP\tO' -p148870 -aS'astrocytoma\tastrocytoma\tNN\tI-NP\tO' -p148871 -aS'-\t-\tHYPH\tO\tO' -p148872 -aS'grade\tgrade\tNN\tB-NP\tB-protein' -p148873 -aS'II\tII\tCD\tI-NP\tI-protein' -p148874 -aS',\t,\t,\tO\tO' -p148875 -aS'as\tas\tIN\tB-PP\tO' -p148876 -aS'per\tper\tIN\tB-PP\tO' -p148877 -aS'd/w\td/w\tNN\tB-NP\tO' -p148878 -aS'PMD\tPMD\tNNP\tB-NP\tO' -p148879 -aS',\t,\t,\tO\tO' -p148880 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p148881 -aS'Holscher\tHolscher\tNNP\tI-NP\tO' -p148882 -aS',\t,\t,\tO\tO' -p148883 -aS'pt\tpt\tNN\tB-NP\tO' -p148884 -aS'has\thave\tVBZ\tB-VP\tO' -p148885 -aS'poor\tpoor\tJJ\tB-NP\tO' -p148886 -aS'prognosis\tprognosis\tNN\tI-NP\tO' -p148887 -aS',\t,\t,\tO\tO' -p148888 -aS'but\tbut\tCC\tO\tO' -p148889 -aS'reasonable\treasonable\tJJ\tB-ADJP\tO' -p148890 -aS'for\tfor\tIN\tB-PP\tO' -p148891 -aS'ongoing\tongoing\tJJ\tB-NP\tO' -p148892 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p148893 -aS'.\t.\t.\tO\tO' -p148894 -asS"This may be secondary to soft tissue swelling as indicated in the patient 's history , and some may be secondary to secretions above the ETT balloon ." -p148895 -(lp148896 -S'This\tThis\tDT\tB-NP\tO' -p148897 -aS'may\tmay\tMD\tB-VP\tO' -p148898 -aS'be\tbe\tVB\tI-VP\tO' -p148899 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p148900 -aS'to\tto\tTO\tB-PP\tO' -p148901 -aS'soft\tsoft\tJJ\tB-NP\tO' -p148902 -aS'tissue\ttissue\tNN\tI-NP\tO' -p148903 -aS'swelling\tswelling\tNN\tI-NP\tO' -p148904 -aS'as\tas\tIN\tB-SBAR\tO' -p148905 -aS'indicated\tindicate\tVBN\tB-VP\tO' -p148906 -aS'in\tin\tIN\tB-PP\tO' -p148907 -aS'the\tthe\tDT\tB-NP\tO' -p148908 -aS'patient\tpatient\tNN\tI-NP\tO' -p148909 -aS"'s\t's\tPOS\tB-NP\tO" -p148910 -aS'history\thistory\tNN\tI-NP\tO' -p148911 -aS',\t,\t,\tO\tO' -p148912 -aS'and\tand\tCC\tO\tO' -p148913 -aS'some\tsome\tDT\tB-NP\tO' -p148914 -aS'may\tmay\tMD\tB-VP\tO' -p148915 -aS'be\tbe\tVB\tI-VP\tO' -p148916 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p148917 -aS'to\tto\tTO\tB-PP\tO' -p148918 -aS'secretions\tsecretion\tNNS\tB-NP\tO' -p148919 -aS'above\tabove\tIN\tB-PP\tO' -p148920 -aS'the\tthe\tDT\tB-NP\tO' -p148921 -aS'ETT\tETT\tNN\tI-NP\tB-DNA' -p148922 -aS'balloon\tballoon\tNN\tI-NP\tI-DNA' -p148923 -aS'.\t.\t.\tO\tO' -p148924 -asS'The patient is to arrange follow up with a GI doctor in Jotar Boulevard , Cunahtampfordama , South Dakota 62848 through his primary-care physician .' -p148925 -(lp148926 -S'The\tThe\tDT\tB-NP\tO' -p148927 -aS'patient\tpatient\tNN\tI-NP\tO' -p148928 -aS'is\tbe\tVBZ\tB-VP\tO' -p148929 -aS'to\tto\tTO\tB-VP\tO' -p148930 -aS'arrange\tarrange\tVB\tI-VP\tO' -p148931 -aS'follow\tfollow\tVB\tI-VP\tO' -p148932 -aS'up\tup\tRP\tB-PRT\tO' -p148933 -aS'with\twith\tIN\tB-PP\tO' -p148934 -aS'a\ta\tDT\tB-NP\tO' -p148935 -aS'GI\tGI\tNN\tI-NP\tO' -p148936 -aS'doctor\tdoctor\tNN\tI-NP\tO' -p148937 -aS'in\tin\tIN\tB-PP\tO' -p148938 -aS'Jotar\tJotar\tNNP\tB-NP\tO' -p148939 -aS'Boulevard\tBoulevard\tNNP\tI-NP\tO' -p148940 -aS',\t,\t,\tO\tO' -p148941 -aS'Cunahtampfordama\tCunahtampfordama\tNNP\tB-NP\tO' -p148942 -aS',\t,\t,\tO\tO' -p148943 -aS'South\tSouth\tNNP\tB-NP\tO' -p148944 -aS'Dakota\tDakota\tNNP\tI-NP\tO' -p148945 -aS'62848\t62848\tCD\tI-NP\tO' -p148946 -aS'through\tthrough\tIN\tB-PP\tO' -p148947 -aS'his\this\tPRP$\tB-NP\tO' -p148948 -aS'primary-care\tprimary-care\tJJ\tI-NP\tO' -p148949 -aS'physician\tphysician\tNN\tI-NP\tO' -p148950 -aS'.\t.\t.\tO\tO' -p148951 -asS'2ng cytology pending .' -p148952 -(lp148953 -S'2ng\t2ng\tNN\tB-NP\tO' -p148954 -aS'cytology\tcytology\tNN\tI-NP\tO' -p148955 -aS'pending\tpending\tNN\tI-NP\tO' -p148956 -aS'.\t.\t.\tO\tO' -p148957 -asS'Patient was discharged to rehabilitation on 2013-06-25 .' -p148958 -(lp148959 -S'Patient\tPatient\tNN\tB-NP\tO' -p148960 -aS'was\tbe\tVBD\tB-VP\tO' -p148961 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p148962 -aS'to\tto\tTO\tB-PP\tO' -p148963 -aS'rehabilitation\trehabilitation\tNN\tB-NP\tO' -p148964 -aS'on\ton\tIN\tB-PP\tO' -p148965 -aS'2013-06-25\t2013-06-25\tCD\tB-NP\tO' -p148966 -aS'.\t.\t.\tO\tO' -p148967 -asS'1. Aortic stenosis .' -p148968 -(lp148969 -S'1.\t1.\tLS\tB-NP\tO' -p148970 -aS'Aortic\tAortic\tJJ\tI-NP\tO' -p148971 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p148972 -aS'.\t.\t.\tO\tO' -p148973 -asS'The proximal LAD was found to have a 90% lesion with a septal branch with a 95% stenosis and a diagonal branch with 99% stenosis .' -p148974 -(lp148975 -S'The\tThe\tDT\tB-NP\tO' -p148976 -aS'proximal\tproximal\tJJ\tI-NP\tO' -p148977 -aS'LAD\tLAD\tNN\tI-NP\tO' -p148978 -aS'was\tbe\tVBD\tB-VP\tO' -p148979 -aS'found\tfind\tVBN\tI-VP\tO' -p148980 -aS'to\tto\tTO\tI-VP\tO' -p148981 -aS'have\thave\tVB\tI-VP\tO' -p148982 -aS'a\ta\tDT\tB-NP\tO' -p148983 -aS'90%\t90%\tNN\tI-NP\tO' -p148984 -aS'lesion\tlesion\tNN\tI-NP\tO' -p148985 -aS'with\twith\tIN\tB-PP\tO' -p148986 -aS'a\ta\tDT\tB-NP\tO' -p148987 -aS'septal\tseptal\tJJ\tI-NP\tO' -p148988 -aS'branch\tbranch\tNN\tI-NP\tO' -p148989 -aS'with\twith\tIN\tB-PP\tO' -p148990 -aS'a\ta\tDT\tB-NP\tO' -p148991 -aS'95%\t95%\tNN\tI-NP\tO' -p148992 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p148993 -aS'and\tand\tCC\tO\tO' -p148994 -aS'a\ta\tDT\tB-NP\tO' -p148995 -aS'diagonal\tdiagonal\tJJ\tI-NP\tO' -p148996 -aS'branch\tbranch\tNN\tI-NP\tO' -p148997 -aS'with\twith\tIN\tB-PP\tO' -p148998 -aS'99%\t99%\tCD\tB-NP\tO' -p148999 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p149000 -aS'.\t.\t.\tO\tO' -p149001 -asS'She has a family member who is present for approximately 12 hours each day .' -p149002 -(lp149003 -S'She\tShe\tPRP\tB-NP\tO' -p149004 -aS'has\thave\tVBZ\tB-VP\tO' -p149005 -aS'a\ta\tDT\tB-NP\tO' -p149006 -aS'family\tfamily\tNN\tI-NP\tO' -p149007 -aS'member\tmember\tNN\tI-NP\tO' -p149008 -aS'who\twho\tWP\tB-NP\tO' -p149009 -aS'is\tbe\tVBZ\tB-VP\tO' -p149010 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p149011 -aS'for\tfor\tIN\tB-PP\tO' -p149012 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p149013 -aS'12\t12\tCD\tI-NP\tO' -p149014 -aS'hours\thour\tNNS\tI-NP\tO' -p149015 -aS'each\teach\tDT\tB-NP\tO' -p149016 -aS'day\tday\tNN\tI-NP\tO' -p149017 -aS'.\t.\t.\tO\tO' -p149018 -asS'Only multivitamins .' -p149019 -(lp149020 -S'Only\tOnly\tRB\tB-NP\tO' -p149021 -aS'multivitamins\tmultivitamin\tNNS\tI-NP\tO' -p149022 -aS'.\t.\t.\tO\tO' -p149023 -asS'This 22 year old Gravida 4 Para 2012 was admitted to the Naliheall County Memorial Hospital Obstetrical service on 10/29/2003 at 11:14 pm for the indication ( s ) : early labor / rule out labor .' -p149024 -(lp149025 -S'This\tThis\tDT\tB-NP\tO' -p149026 -aS'22\t22\tCD\tI-NP\tO' -p149027 -aS'year\tyear\tNN\tI-NP\tO' -p149028 -aS'old\told\tJJ\tB-ADJP\tO' -p149029 -aS'Gravida\tGravida\tNNP\tB-NP\tO' -p149030 -aS'4\t4\tCD\tI-NP\tO' -p149031 -aS'Para\tPara\tNNP\tI-NP\tO' -p149032 -aS'2012\t2012\tCD\tI-NP\tO' -p149033 -aS'was\tbe\tVBD\tB-VP\tO' -p149034 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p149035 -aS'to\tto\tTO\tB-PP\tO' -p149036 -aS'the\tthe\tDT\tB-NP\tO' -p149037 -aS'Naliheall\tNaliheall\tNNP\tI-NP\tO' -p149038 -aS'County\tCounty\tNNP\tI-NP\tO' -p149039 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p149040 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p149041 -aS'Obstetrical\tObstetrical\tNNP\tI-NP\tO' -p149042 -aS'service\tservice\tNN\tI-NP\tO' -p149043 -aS'on\ton\tIN\tB-PP\tO' -p149044 -aS'10/29/2003\t10/29/2003\tCD\tB-NP\tO' -p149045 -aS'at\tat\tIN\tB-PP\tO' -p149046 -aS'11:14\t11:14\tCD\tB-NP\tO' -p149047 -aS'pm\tpm\tNN\tI-NP\tO' -p149048 -aS'for\tfor\tIN\tB-PP\tO' -p149049 -aS'the\tthe\tDT\tB-NP\tO' -p149050 -aS'indication\tindication\tNN\tI-NP\tO' -p149051 -aS'(\t(\t(\tI-NP\tO' -p149052 -aS's\ts\tNNS\tI-NP\tO' -p149053 -aS')\t)\t)\tO\tO' -p149054 -aS':\t:\t:\tO\tO' -p149055 -aS'early\tearly\tJJ\tB-NP\tO' -p149056 -aS'labor\tlabor\tNN\tI-NP\tO' -p149057 -aS'/\t/\tSYM\tB-NP\tO' -p149058 -aS'rule\trule\tNN\tI-NP\tO' -p149059 -aS'out\tout\tIN\tB-PP\tO' -p149060 -aS'labor\tlabor\tNN\tB-NP\tO' -p149061 -aS'.\t.\t.\tO\tO' -p149062 -asS'Infant was initially started on 80 cc per kilo per day of D10W .' -p149063 -(lp149064 -S'Infant\tInfant\tNN\tB-NP\tO' -p149065 -aS'was\tbe\tVBD\tB-VP\tO' -p149066 -aS'initially\tinitially\tRB\tI-VP\tO' -p149067 -aS'started\tstart\tVBN\tI-VP\tO' -p149068 -aS'on\ton\tIN\tB-PP\tO' -p149069 -aS'80\t80\tCD\tB-NP\tO' -p149070 -aS'cc\tcc\tNN\tI-NP\tO' -p149071 -aS'per\tper\tIN\tB-PP\tO' -p149072 -aS'kilo\tkilo\tNN\tB-NP\tO' -p149073 -aS'per\tper\tIN\tB-PP\tO' -p149074 -aS'day\tday\tNN\tB-NP\tO' -p149075 -aS'of\tof\tIN\tB-PP\tO' -p149076 -aS'D10W\tD10W\tNN\tB-NP\tB-protein' -p149077 -aS'.\t.\t.\tO\tO' -p149078 -asS'Other prenatal screens were unknown at time of delivery .' -p149079 -(lp149080 -S'Other\tOther\tJJ\tB-NP\tO' -p149081 -aS'prenatal\tprenatal\tJJ\tI-NP\tO' -p149082 -aS'screens\tscreen\tNNS\tI-NP\tO' -p149083 -aS'were\tbe\tVBD\tB-VP\tO' -p149084 -aS'unknown\tunknown\tJJ\tB-ADJP\tO' -p149085 -aS'at\tat\tIN\tB-PP\tO' -p149086 -aS'time\ttime\tNN\tB-NP\tO' -p149087 -aS'of\tof\tIN\tB-PP\tO' -p149088 -aS'delivery\tdelivery\tNN\tB-NP\tO' -p149089 -aS'.\t.\t.\tO\tO' -p149090 -asS'2. Albuterol 90 mcg / Actuation Aerosol Sig : 1-2 Puffs Inhalation Q6H ( every 6 hours ) as needed .' -p149091 -(lp149092 -S'2.\t2.\tLS\tB-LST\tO' -p149093 -aS'Albuterol\tAlbuterol\tNNP\tB-NP\tO' -p149094 -aS'90\t90\tCD\tI-NP\tO' -p149095 -aS'mcg\tmcg\tNN\tI-NP\tO' -p149096 -aS'/\t/\tSYM\tB-NP\tO' -p149097 -aS'Actuation\tActuation\tNN\tI-NP\tO' -p149098 -aS'Aerosol\tAerosol\tNNP\tI-NP\tO' -p149099 -aS'Sig\tSig\tNNP\tI-NP\tO' -p149100 -aS':\t:\t:\tO\tO' -p149101 -aS'1-2\t1-2\tCD\tB-NP\tO' -p149102 -aS'Puffs\tPuff\tNNS\tI-NP\tO' -p149103 -aS'Inhalation\tInhalation\tNN\tI-NP\tO' -p149104 -aS'Q6H\tQ6H\tNN\tI-NP\tO' -p149105 -aS'(\t(\t(\tO\tO' -p149106 -aS'every\tevery\tDT\tB-NP\tO' -p149107 -aS'6\t6\tCD\tI-NP\tO' -p149108 -aS'hours\thour\tNNS\tI-NP\tO' -p149109 -aS')\t)\t)\tO\tO' -p149110 -aS'as\tas\tIN\tB-SBAR\tO' -p149111 -aS'needed\tneed\tVBN\tB-VP\tO' -p149112 -aS'.\t.\t.\tO\tO' -p149113 -asS'The patient 's last ultrasound of his aorta revealed a l0 cm aneurysm and he presented at the time of admission for an abdominal aortic aneurysm repair .' -p149114 -(lp149115 -S'The\tThe\tDT\tB-NP\tO' -p149116 -aS'patient\tpatient\tNN\tI-NP\tO' -p149117 -aS''s\t'\tNNS\tI-NP\tO' -p149118 -aS'last\tlast\tJJ\tB-NP\tO' -p149119 -aS'ultrasound\tultrasound\tNN\tI-NP\tO' -p149120 -aS'of\tof\tIN\tB-PP\tO' -p149121 -aS'his\this\tPRP$\tB-NP\tO' -p149122 -aS'aorta\taorta\tNN\tI-NP\tO' -p149123 -aS'revealed\treveal\tVBD\tB-VP\tO' -p149124 -aS'a\ta\tDT\tB-NP\tO' -p149125 -aS'l0\tl0\tNN\tI-NP\tO' -p149126 -aS'cm\tcm\tNN\tI-NP\tO' -p149127 -aS'aneurysm\taneurysm\tNN\tI-NP\tO' -p149128 -aS'and\tand\tCC\tO\tO' -p149129 -aS'he\the\tPRP\tB-NP\tO' -p149130 -aS'presented\tpresent\tVBD\tB-VP\tO' -p149131 -aS'at\tat\tIN\tB-PP\tO' -p149132 -aS'the\tthe\tDT\tB-NP\tO' -p149133 -aS'time\ttime\tNN\tI-NP\tO' -p149134 -aS'of\tof\tIN\tB-PP\tO' -p149135 -aS'admission\tadmission\tNN\tB-NP\tO' -p149136 -aS'for\tfor\tIN\tB-PP\tO' -p149137 -aS'an\tan\tDT\tB-NP\tO' -p149138 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p149139 -aS'aortic\taortic\tJJ\tI-NP\tO' -p149140 -aS'aneurysm\taneurysm\tNN\tI-NP\tO' -p149141 -aS'repair\trepair\tNN\tI-NP\tO' -p149142 -aS'.\t.\t.\tO\tO' -p149143 -asS'Of note , her blood pressure significantly improved in the 120s-130s which assured better perfusion in her kidneys .' -p149144 -(lp149145 -S'Of\tOf\tIN\tB-PP\tO' -p149146 -aS'note\tnote\tNN\tB-NP\tO' -p149147 -aS',\t,\t,\tO\tO' -p149148 -aS'her\ther\tPRP$\tB-NP\tO' -p149149 -aS'blood\tblood\tNN\tI-NP\tO' -p149150 -aS'pressure\tpressure\tNN\tI-NP\tO' -p149151 -aS'significantly\tsignificantly\tRB\tB-ADVP\tO' -p149152 -aS'improved\timprove\tVBD\tB-VP\tO' -p149153 -aS'in\tin\tIN\tB-PP\tO' -p149154 -aS'the\tthe\tDT\tB-NP\tO' -p149155 -aS'120s-130s\t120s-130\tNNS\tI-NP\tO' -p149156 -aS'which\twhich\tWDT\tB-NP\tO' -p149157 -aS'assured\tassure\tVBD\tB-VP\tO' -p149158 -aS'better\tgood\tJJR\tB-NP\tO' -p149159 -aS'perfusion\tperfusion\tNN\tI-NP\tO' -p149160 -aS'in\tin\tIN\tB-PP\tO' -p149161 -aS'her\ther\tPRP$\tB-NP\tO' -p149162 -aS'kidneys\tkidney\tNNS\tI-NP\tO' -p149163 -aS'.\t.\t.\tO\tO' -p149164 -asS'5/5 throughout .' -p149165 -(lp149166 -S'5/5\t5/5\tCD\tB-NP\tO' -p149167 -aS'throughout\tthroughout\tIN\tB-ADVP\tO' -p149168 -aS'.\t.\t.\tO\tO' -p149169 -asS'Sclera mildly icteric .' -p149170 -(lp149171 -S'Sclera\tSclera\tNN\tB-NP\tO' -p149172 -aS'mildly\tmildly\tRB\tB-ADJP\tO' -p149173 -aS'icteric\ticteric\tJJ\tI-ADJP\tO' -p149174 -aS'.\t.\t.\tO\tO' -p149175 -asS'Protein / Soy supplement 2 scoops q 12 hours' -p149176 -(lp149177 -S'Protein\tProtein\tNN\tB-NP\tO' -p149178 -aS'/\t/\tSYM\tI-NP\tO' -p149179 -aS'Soy\tSoy\tNN\tI-NP\tB-protein' -p149180 -aS'supplement\tsupplement\tNN\tI-NP\tI-protein' -p149181 -aS'2\t2\tCD\tI-NP\tI-protein' -p149182 -aS'scoops\tscoop\tVBZ\tB-VP\tO' -p149183 -aS'q\tq\tNN\tB-NP\tO' -p149184 -aS'12\t12\tCD\tI-NP\tO' -p149185 -aS'hours\thour\tNNS\tI-NP\tO' -p149186 -asS'5. Regular insulin sliding scale .' -p149187 -(lp149188 -S'5.\t5.\tLS\tB-NP\tO' -p149189 -aS'Regular\tRegular\tJJ\tI-NP\tB-protein' -p149190 -aS'insulin\tinsulin\tNN\tI-NP\tI-protein' -p149191 -aS'sliding\tslide\tVBG\tB-VP\tO' -p149192 -aS'scale\tscale\tNN\tB-NP\tO' -p149193 -aS'.\t.\t.\tO\tO' -p149194 -asS'LOC was unwitnessed .' -p149195 -(lp149196 -S'LOC\tLOC\tNN\tB-NP\tO' -p149197 -aS'was\tbe\tVBD\tB-VP\tO' -p149198 -aS'unwitnessed\tunwitnessed\tJJ\tB-ADJP\tO' -p149199 -aS'.\t.\t.\tO\tO' -p149200 -asS'This alcohol abuse may be further addressed as an inpatient on the Psychiatry Quincy Medical Center .' -p149201 -(lp149202 -S'This\tThis\tDT\tB-NP\tO' -p149203 -aS'alcohol\talcohol\tNN\tI-NP\tO' -p149204 -aS'abuse\tabuse\tNN\tI-NP\tO' -p149205 -aS'may\tmay\tMD\tB-VP\tO' -p149206 -aS'be\tbe\tVB\tI-VP\tO' -p149207 -aS'further\tfurther\tRBR\tB-ADJP\tO' -p149208 -aS'addressed\taddress\tVBN\tI-ADJP\tO' -p149209 -aS'as\tas\tIN\tB-PP\tO' -p149210 -aS'an\tan\tDT\tB-NP\tO' -p149211 -aS'inpatient\tinpatient\tNN\tI-NP\tO' -p149212 -aS'on\ton\tIN\tB-PP\tO' -p149213 -aS'the\tthe\tDT\tB-NP\tO' -p149214 -aS'Psychiatry\tPsychiatry\tNNP\tI-NP\tO' -p149215 -aS'Quincy\tQuincy\tNNP\tI-NP\tO' -p149216 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p149217 -aS'Center\tCenter\tNNP\tI-NP\tO' -p149218 -aS'.\t.\t.\tO\tO' -p149219 -asS'BIPAP was attempted for 3 nights in a row and the patient did not tolerate this .' -p149220 -(lp149221 -S'BIPAP\tBIPAP\tNN\tB-NP\tB-protein' -p149222 -aS'was\tbe\tVBD\tB-VP\tO' -p149223 -aS'attempted\tattempt\tVBN\tI-VP\tO' -p149224 -aS'for\tfor\tIN\tB-PP\tO' -p149225 -aS'3\t3\tCD\tB-NP\tO' -p149226 -aS'nights\tnight\tNNS\tI-NP\tO' -p149227 -aS'in\tin\tIN\tB-PP\tO' -p149228 -aS'a\ta\tDT\tB-NP\tO' -p149229 -aS'row\trow\tNN\tI-NP\tO' -p149230 -aS'and\tand\tCC\tO\tO' -p149231 -aS'the\tthe\tDT\tB-NP\tO' -p149232 -aS'patient\tpatient\tNN\tI-NP\tO' -p149233 -aS'did\tdo\tVBD\tB-VP\tO' -p149234 -aS'not\tnot\tRB\tI-VP\tO' -p149235 -aS'tolerate\ttolerate\tVB\tI-VP\tO' -p149236 -aS'this\tthis\tDT\tB-NP\tO' -p149237 -aS'.\t.\t.\tO\tO' -p149238 -asS'R thyroid cyst ( as above )' -p149239 -(lp149240 -S'R\tR\tNN\tB-NP\tO' -p149241 -aS'thyroid\tthyroid\tNN\tI-NP\tO' -p149242 -aS'cyst\tcyst\tNN\tI-NP\tO' -p149243 -aS'(\t(\t(\tO\tO' -p149244 -aS'as\tas\tIN\tB-PP\tO' -p149245 -aS'above\tabove\tIN\tI-PP\tO' -p149246 -aS')\t)\t)\tO\tO' -p149247 -asS'He was evaluated by the Neurosurgery service and they did not feel a surgical intervention or ventriculary drain was warranted .' -p149248 -(lp149249 -S'He\tHe\tPRP\tB-NP\tO' -p149250 -aS'was\tbe\tVBD\tB-VP\tO' -p149251 -aS'evaluated\tevaluate\tVBN\tI-VP\tO' -p149252 -aS'by\tby\tIN\tB-PP\tO' -p149253 -aS'the\tthe\tDT\tB-NP\tO' -p149254 -aS'Neurosurgery\tNeurosurgery\tNN\tI-NP\tO' -p149255 -aS'service\tservice\tNN\tI-NP\tO' -p149256 -aS'and\tand\tCC\tO\tO' -p149257 -aS'they\tthey\tPRP\tB-NP\tO' -p149258 -aS'did\tdo\tVBD\tB-VP\tO' -p149259 -aS'not\tnot\tRB\tI-VP\tO' -p149260 -aS'feel\tfeel\tVB\tI-VP\tO' -p149261 -aS'a\ta\tDT\tB-NP\tO' -p149262 -aS'surgical\tsurgical\tJJ\tI-NP\tO' -p149263 -aS'intervention\tintervention\tNN\tI-NP\tO' -p149264 -aS'or\tor\tCC\tI-NP\tO' -p149265 -aS'ventriculary\tventriculary\tNN\tI-NP\tO' -p149266 -aS'drain\tdrain\tNN\tI-NP\tO' -p149267 -aS'was\tbe\tVBD\tB-VP\tO' -p149268 -aS'warranted\twarrant\tVBN\tI-VP\tO' -p149269 -aS'.\t.\t.\tO\tO' -p149270 -asS'3. RHYTHM : The patient was monitored on telemetry throughout her hospitalization with no significant events .' -p149271 -(lp149272 -S'3.\t3.\tCD\tB-NP\tO' -p149273 -aS'RHYTHM\tRHYTHM\tNNP\tI-NP\tO' -p149274 -aS':\t:\t:\tO\tO' -p149275 -aS'The\tThe\tDT\tB-NP\tO' -p149276 -aS'patient\tpatient\tNN\tI-NP\tO' -p149277 -aS'was\tbe\tVBD\tB-VP\tO' -p149278 -aS'monitored\tmonitor\tVBN\tI-VP\tO' -p149279 -aS'on\ton\tIN\tB-PP\tO' -p149280 -aS'telemetry\ttelemetry\tNN\tB-NP\tO' -p149281 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p149282 -aS'her\ther\tPRP$\tB-NP\tO' -p149283 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p149284 -aS'with\twith\tIN\tB-PP\tO' -p149285 -aS'no\tno\tDT\tB-NP\tO' -p149286 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p149287 -aS'events\tevent\tNNS\tI-NP\tO' -p149288 -aS'.\t.\t.\tO\tO' -p149289 -asS'There is no apparent mass lesion or mass effect .' -p149290 -(lp149291 -S'There\tThere\tEX\tB-NP\tO' -p149292 -aS'is\tbe\tVBZ\tB-VP\tO' -p149293 -aS'no\tno\tDT\tB-NP\tO' -p149294 -aS'apparent\tapparent\tJJ\tI-NP\tO' -p149295 -aS'mass\tmass\tNN\tI-NP\tO' -p149296 -aS'lesion\tlesion\tNN\tI-NP\tO' -p149297 -aS'or\tor\tCC\tO\tO' -p149298 -aS'mass\tmass\tNN\tB-NP\tO' -p149299 -aS'effect\teffect\tNN\tI-NP\tO' -p149300 -aS'.\t.\t.\tO\tO' -p149301 -asS'Please call your PCP for an appointment within 1 week - number to call is ( 489 ) 489 0229 ext 7499' -p149302 -(lp149303 -S'Please\tPlease\tVB\tB-VP\tO' -p149304 -aS'call\tcall\tVB\tI-VP\tO' -p149305 -aS'your\tyour\tPRP$\tB-NP\tO' -p149306 -aS'PCP\tPCP\tNN\tI-NP\tB-DNA' -p149307 -aS'for\tfor\tIN\tB-PP\tO' -p149308 -aS'an\tan\tDT\tB-NP\tO' -p149309 -aS'appointment\tappointment\tNN\tI-NP\tO' -p149310 -aS'within\twithin\tIN\tB-PP\tO' -p149311 -aS'1\t1\tCD\tB-NP\tO' -p149312 -aS'week\tweek\tNN\tI-NP\tO' -p149313 -aS'-\t-\tHYPH\tB-NP\tO' -p149314 -aS'number\tnumber\tNN\tI-NP\tO' -p149315 -aS'to\tto\tTO\tB-VP\tO' -p149316 -aS'call\tcall\tVB\tI-VP\tO' -p149317 -aS'is\tbe\tVBZ\tB-VP\tO' -p149318 -aS'(\t(\t(\tO\tO' -p149319 -aS'489\t489\tCD\tB-NP\tO' -p149320 -aS')\t)\t)\tO\tO' -p149321 -aS'489\t489\tCD\tB-NP\tO' -p149322 -aS'0229\t0229\tCD\tI-NP\tO' -p149323 -aS'ext\text\tIN\tB-PP\tO' -p149324 -aS'7499\t7499\tCD\tB-NP\tO' -p149325 -asS'toes are upgoing on the left , down going on the right .' -p149326 -(lp149327 -S'toes\ttoe\tNNS\tB-NP\tO' -p149328 -aS'are\tbe\tVBP\tB-VP\tO' -p149329 -aS'upgoing\tupgoe\tVBG\tI-VP\tO' -p149330 -aS'on\ton\tIN\tB-PP\tO' -p149331 -aS'the\tthe\tDT\tB-NP\tO' -p149332 -aS'left\tleft\tNN\tI-NP\tO' -p149333 -aS',\t,\t,\tO\tO' -p149334 -aS'down\tdown\tRB\tB-ADVP\tO' -p149335 -aS'going\tgo\tVBG\tB-VP\tO' -p149336 -aS'on\ton\tIN\tB-PP\tO' -p149337 -aS'the\tthe\tDT\tB-NP\tO' -p149338 -aS'right\tright\tNN\tI-NP\tO' -p149339 -aS'.\t.\t.\tO\tO' -p149340 -asS'Family meeting held and pt made clear wishes after extubation that she does not want to be intubated again and made DNR / DNI .' -p149341 -(lp149342 -S'Family\tFamily\tRB\tB-NP\tO' -p149343 -aS'meeting\tmeeting\tNN\tI-NP\tO' -p149344 -aS'held\thold\tVBN\tB-VP\tO' -p149345 -aS'and\tand\tCC\tO\tO' -p149346 -aS'pt\tpt\tNN\tB-NP\tO' -p149347 -aS'made\tmake\tVBD\tB-VP\tO' -p149348 -aS'clear\tclear\tJJ\tB-NP\tO' -p149349 -aS'wishes\twish\tNNS\tI-NP\tO' -p149350 -aS'after\tafter\tIN\tB-PP\tO' -p149351 -aS'extubation\textubation\tNN\tB-NP\tO' -p149352 -aS'that\tthat\tIN\tB-SBAR\tO' -p149353 -aS'she\tshe\tPRP\tB-NP\tO' -p149354 -aS'does\tdo\tVBZ\tB-VP\tO' -p149355 -aS'not\tnot\tRB\tI-VP\tO' -p149356 -aS'want\twant\tVB\tI-VP\tO' -p149357 -aS'to\tto\tTO\tI-VP\tO' -p149358 -aS'be\tbe\tVB\tI-VP\tO' -p149359 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p149360 -aS'again\tagain\tRB\tB-ADVP\tO' -p149361 -aS'and\tand\tCC\tO\tO' -p149362 -aS'made\tmake\tVBN\tB-NP\tO' -p149363 -aS'DNR\tDNR\tNN\tI-NP\tB-protein' -p149364 -aS'/\t/\tSYM\tI-NP\tO' -p149365 -aS'DNI\tDNI\tNN\tI-NP\tO' -p149366 -aS'.\t.\t.\tO\tO' -p149367 -asS'The patient has been steroid dependent for two years and has been intubated in the past only once for a surgical repair of trigeminal neuralgia .' -p149368 -(lp149369 -S'The\tThe\tDT\tB-NP\tO' -p149370 -aS'patient\tpatient\tNN\tI-NP\tO' -p149371 -aS'has\thave\tVBZ\tB-VP\tO' -p149372 -aS'been\tbe\tVBN\tI-VP\tO' -p149373 -aS'steroid\tsteroid\tNN\tB-NP\tO' -p149374 -aS'dependent\tdependent\tJJ\tB-ADJP\tO' -p149375 -aS'for\tfor\tIN\tB-PP\tO' -p149376 -aS'two\ttwo\tCD\tB-NP\tO' -p149377 -aS'years\tyear\tNNS\tI-NP\tO' -p149378 -aS'and\tand\tCC\tO\tO' -p149379 -aS'has\thave\tVBZ\tB-VP\tO' -p149380 -aS'been\tbe\tVBN\tI-VP\tO' -p149381 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p149382 -aS'in\tin\tIN\tB-PP\tO' -p149383 -aS'the\tthe\tDT\tB-NP\tO' -p149384 -aS'past\tpast\tNN\tI-NP\tO' -p149385 -aS'only\tonly\tRB\tB-ADVP\tO' -p149386 -aS'once\tonce\tRB\tI-ADVP\tO' -p149387 -aS'for\tfor\tIN\tB-PP\tO' -p149388 -aS'a\ta\tDT\tB-NP\tO' -p149389 -aS'surgical\tsurgical\tJJ\tI-NP\tO' -p149390 -aS'repair\trepair\tNN\tI-NP\tO' -p149391 -aS'of\tof\tIN\tB-PP\tO' -p149392 -aS'trigeminal\ttrigeminal\tJJ\tB-NP\tO' -p149393 -aS'neuralgia\tneuralgia\tNN\tI-NP\tO' -p149394 -aS'.\t.\t.\tO\tO' -p149395 -asS'Due to increasing respiratory distress was intubated , placed on conventional ventilation and pressures of 24/6 , rate of 25 .' -p149396 -(lp149397 -S'Due\tDue\tJJ\tB-ADJP\tO' -p149398 -aS'to\tto\tTO\tB-PP\tO' -p149399 -aS'increasing\tincrease\tVBG\tB-VP\tO' -p149400 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p149401 -aS'distress\tdistress\tNN\tI-NP\tO' -p149402 -aS'was\tbe\tVBD\tB-VP\tO' -p149403 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p149404 -aS',\t,\t,\tO\tO' -p149405 -aS'placed\tplace\tVBN\tB-VP\tO' -p149406 -aS'on\ton\tIN\tB-PP\tO' -p149407 -aS'conventional\tconventional\tJJ\tB-NP\tO' -p149408 -aS'ventilation\tventilation\tNN\tI-NP\tO' -p149409 -aS'and\tand\tCC\tI-NP\tO' -p149410 -aS'pressures\tpressure\tNNS\tI-NP\tO' -p149411 -aS'of\tof\tIN\tB-PP\tO' -p149412 -aS'24/6\t24/6\tCD\tB-NP\tO' -p149413 -aS',\t,\t,\tO\tO' -p149414 -aS'rate\trate\tNN\tB-NP\tO' -p149415 -aS'of\tof\tIN\tB-PP\tO' -p149416 -aS'25\t25\tCD\tB-NP\tO' -p149417 -aS'.\t.\t.\tO\tO' -p149418 -asS'This may due to her central nervous system process or her pulmonary process , with fluids administered as described , she should not have any problems from this .' -p149419 -(lp149420 -S'This\tThis\tDT\tB-NP\tO' -p149421 -aS'may\tmay\tMD\tB-VP\tO' -p149422 -aS'due\tdue\tVB\tI-VP\tO' -p149423 -aS'to\tto\tTO\tB-PP\tO' -p149424 -aS'her\ther\tPRP\tB-NP\tO' -p149425 -aS'central\tcentral\tJJ\tI-NP\tO' -p149426 -aS'nervous\tnervous\tJJ\tI-NP\tO' -p149427 -aS'system\tsystem\tNN\tI-NP\tO' -p149428 -aS'process\tprocess\tNN\tI-NP\tO' -p149429 -aS'or\tor\tCC\tO\tO' -p149430 -aS'her\ther\tPRP$\tB-NP\tO' -p149431 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p149432 -aS'process\tprocess\tNN\tI-NP\tO' -p149433 -aS',\t,\t,\tO\tO' -p149434 -aS'with\twith\tIN\tB-PP\tO' -p149435 -aS'fluids\tfluid\tNNS\tB-NP\tO' -p149436 -aS'administered\tadminister\tVBN\tB-VP\tO' -p149437 -aS'as\tas\tIN\tB-SBAR\tO' -p149438 -aS'described\tdescribe\tVBN\tB-VP\tO' -p149439 -aS',\t,\t,\tO\tO' -p149440 -aS'she\tshe\tPRP\tB-NP\tO' -p149441 -aS'should\tshould\tMD\tB-VP\tO' -p149442 -aS'not\tnot\tRB\tI-VP\tO' -p149443 -aS'have\thave\tVB\tI-VP\tO' -p149444 -aS'any\tany\tDT\tB-NP\tO' -p149445 -aS'problems\tproblem\tNNS\tI-NP\tO' -p149446 -aS'from\tfrom\tIN\tB-PP\tO' -p149447 -aS'this\tthis\tDT\tB-NP\tO' -p149448 -aS'.\t.\t.\tO\tO' -p149449 -asS'History of coronary artery disease with status post two-vessel CABG in 1986 , also he was treated for congestive heart failure , hypertension , aortic valve replacement , and mitral valve replacement with St. Jude 's valve in 09/2001 , atrial fibrillation , history of prior GI bleed requiring blood transfusions during which he also had a colonoscopy on 05/2003 which demonstrated no neoplasia and scattered diverticuli .' -p149450 -(lp149451 -S'History\tHistory\tNN\tB-NP\tO' -p149452 -aS'of\tof\tIN\tB-PP\tO' -p149453 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p149454 -aS'artery\tartery\tNN\tI-NP\tO' -p149455 -aS'disease\tdisease\tNN\tI-NP\tO' -p149456 -aS'with\twith\tIN\tB-PP\tO' -p149457 -aS'status\tstatus\tNN\tB-NP\tB-protein' -p149458 -aS'post\tpost\tNN\tI-NP\tI-protein' -p149459 -aS'two-vessel\ttwo-vessel\tJJ\tI-NP\tI-protein' -p149460 -aS'CABG\tCABG\tNN\tI-NP\tI-protein' -p149461 -aS'in\tin\tIN\tB-PP\tO' -p149462 -aS'1986\t1986\tCD\tB-NP\tO' -p149463 -aS',\t,\t,\tO\tO' -p149464 -aS'also\talso\tRB\tB-ADVP\tO' -p149465 -aS'he\the\tPRP\tB-NP\tO' -p149466 -aS'was\tbe\tVBD\tB-VP\tO' -p149467 -aS'treated\ttreat\tVBN\tI-VP\tO' -p149468 -aS'for\tfor\tIN\tB-PP\tO' -p149469 -aS'congestive\tcongestive\tJJ\tB-NP\tO' -p149470 -aS'heart\theart\tNN\tI-NP\tO' -p149471 -aS'failure\tfailure\tNN\tI-NP\tO' -p149472 -aS',\t,\t,\tO\tO' -p149473 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p149474 -aS',\t,\t,\tO\tO' -p149475 -aS'aortic\taortic\tJJ\tB-NP\tO' -p149476 -aS'valve\tvalve\tNN\tI-NP\tO' -p149477 -aS'replacement\treplacement\tNN\tI-NP\tO' -p149478 -aS',\t,\t,\tO\tO' -p149479 -aS'and\tand\tCC\tO\tO' -p149480 -aS'mitral\tmitral\tJJ\tB-NP\tO' -p149481 -aS'valve\tvalve\tNN\tI-NP\tO' -p149482 -aS'replacement\treplacement\tNN\tI-NP\tO' -p149483 -aS'with\twith\tIN\tB-PP\tO' -p149484 -aS'St.\tSt.\tNNP\tB-NP\tO' -p149485 -aS'Jude\tJude\tNNP\tI-NP\tO' -p149486 -aS''s\t'\tNNS\tI-NP\tO' -p149487 -aS'valve\tvalve\tVBP\tB-VP\tO' -p149488 -aS'in\tin\tIN\tB-PP\tO' -p149489 -aS'09/2001\t09/2001\tCD\tB-NP\tO' -p149490 -aS',\t,\t,\tO\tO' -p149491 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p149492 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p149493 -aS',\t,\t,\tO\tO' -p149494 -aS'history\thistory\tNN\tB-NP\tO' -p149495 -aS'of\tof\tIN\tB-PP\tO' -p149496 -aS'prior\tprior\tJJ\tB-NP\tO' -p149497 -aS'GI\tGI\tNN\tI-NP\tO' -p149498 -aS'bleed\tbleed\tNN\tI-NP\tO' -p149499 -aS'requiring\trequire\tVBG\tB-VP\tO' -p149500 -aS'blood\tblood\tNN\tB-NP\tO' -p149501 -aS'transfusions\ttransfusion\tNNS\tI-NP\tO' -p149502 -aS'during\tduring\tIN\tB-PP\tO' -p149503 -aS'which\twhich\tWDT\tB-NP\tO' -p149504 -aS'he\the\tPRP\tB-NP\tO' -p149505 -aS'also\talso\tRB\tB-ADVP\tO' -p149506 -aS'had\thave\tVBD\tB-VP\tO' -p149507 -aS'a\ta\tDT\tB-NP\tO' -p149508 -aS'colonoscopy\tcolonoscopy\tNN\tI-NP\tO' -p149509 -aS'on\ton\tIN\tB-PP\tO' -p149510 -aS'05/2003\t05/2003\tCD\tB-NP\tO' -p149511 -aS'which\twhich\tWDT\tB-NP\tO' -p149512 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p149513 -aS'no\tno\tDT\tB-NP\tO' -p149514 -aS'neoplasia\tneoplasia\tNN\tI-NP\tO' -p149515 -aS'and\tand\tCC\tO\tO' -p149516 -aS'scattered\tscattered\tJJ\tB-NP\tO' -p149517 -aS'diverticuli\tdiverticuli\tNNS\tI-NP\tO' -p149518 -aS'.\t.\t.\tO\tO' -p149519 -asS'The patient is well-appearing in no acute distress .' -p149520 -(lp149521 -S'The\tThe\tDT\tB-NP\tO' -p149522 -aS'patient\tpatient\tNN\tI-NP\tO' -p149523 -aS'is\tbe\tVBZ\tB-VP\tO' -p149524 -aS'well-appearing\twell-appearing\tJJ\tB-ADJP\tO' -p149525 -aS'in\tin\tIN\tB-PP\tO' -p149526 -aS'no\tno\tDT\tB-NP\tO' -p149527 -aS'acute\tacute\tJJ\tI-NP\tO' -p149528 -aS'distress\tdistress\tNN\tI-NP\tO' -p149529 -aS'.\t.\t.\tO\tO' -p149530 -asS'On sensory testing , the patient withdrew all extremities to pain .' -p149531 -(lp149532 -S'On\tOn\tIN\tB-PP\tO' -p149533 -aS'sensory\tsensory\tJJ\tB-NP\tO' -p149534 -aS'testing\ttesting\tNN\tI-NP\tO' -p149535 -aS',\t,\t,\tO\tO' -p149536 -aS'the\tthe\tDT\tB-NP\tO' -p149537 -aS'patient\tpatient\tNN\tI-NP\tO' -p149538 -aS'withdrew\twithdraw\tVBD\tB-VP\tO' -p149539 -aS'all\tall\tDT\tB-NP\tO' -p149540 -aS'extremities\textremity\tNNS\tI-NP\tO' -p149541 -aS'to\tto\tTO\tB-VP\tO' -p149542 -aS'pain\tpain\tVB\tI-VP\tO' -p149543 -aS'.\t.\t.\tO\tO' -p149544 -asS'8. Levofloxacin day four of 10 to be completed for a full 10-day course , 500 mg p.o. q.d.' -p149545 -(lp149546 -S'8.\t8.\tLS\tB-NP\tO' -p149547 -aS'Levofloxacin\tLevofloxacin\tNN\tI-NP\tO' -p149548 -aS'day\tday\tNN\tI-NP\tO' -p149549 -aS'four\tfour\tCD\tB-NP\tO' -p149550 -aS'of\tof\tIN\tB-PP\tO' -p149551 -aS'10\t10\tCD\tB-NP\tO' -p149552 -aS'to\tto\tTO\tB-VP\tO' -p149553 -aS'be\tbe\tVB\tI-VP\tO' -p149554 -aS'completed\tcomplete\tVBN\tI-VP\tO' -p149555 -aS'for\tfor\tIN\tB-PP\tO' -p149556 -aS'a\ta\tDT\tB-NP\tO' -p149557 -aS'full\tfull\tJJ\tI-NP\tO' -p149558 -aS'10-day\t10-day\tJJ\tI-NP\tO' -p149559 -aS'course\tcourse\tNN\tI-NP\tO' -p149560 -aS',\t,\t,\tO\tO' -p149561 -aS'500\t500\tCD\tB-NP\tO' -p149562 -aS'mg\tmg\tNN\tI-NP\tO' -p149563 -aS'p.o.\tp.o.\tFW\tB-ADVP\tO' -p149564 -aS'q.d.\tq.d.\tFW\tI-ADVP\tO' -p149565 -asS'In 1984 , he had the right knee aspirated and was noted to have some uric acid crystals , although serum uric acid was normal and erythrocyte sedimentation rate .' -p149566 -(lp149567 -S'In\tIn\tIN\tB-PP\tO' -p149568 -aS'1984\t1984\tCD\tB-NP\tO' -p149569 -aS',\t,\t,\tO\tO' -p149570 -aS'he\the\tPRP\tB-NP\tO' -p149571 -aS'had\thave\tVBD\tB-VP\tO' -p149572 -aS'the\tthe\tDT\tB-NP\tO' -p149573 -aS'right\tright\tJJ\tI-NP\tO' -p149574 -aS'knee\tknee\tNN\tI-NP\tO' -p149575 -aS'aspirated\taspirate\tVBD\tB-VP\tO' -p149576 -aS'and\tand\tCC\tO\tO' -p149577 -aS'was\tbe\tVBD\tB-VP\tO' -p149578 -aS'noted\tnote\tVBN\tI-VP\tO' -p149579 -aS'to\tto\tTO\tI-VP\tO' -p149580 -aS'have\thave\tVB\tI-VP\tO' -p149581 -aS'some\tsome\tDT\tB-NP\tO' -p149582 -aS'uric\turic\tJJ\tI-NP\tO' -p149583 -aS'acid\tacid\tNN\tI-NP\tO' -p149584 -aS'crystals\tcrystal\tNNS\tI-NP\tO' -p149585 -aS',\t,\t,\tO\tO' -p149586 -aS'although\talthough\tIN\tB-SBAR\tO' -p149587 -aS'serum\tserum\tNN\tB-NP\tO' -p149588 -aS'uric\turic\tJJ\tI-NP\tO' -p149589 -aS'acid\tacid\tNN\tI-NP\tO' -p149590 -aS'was\tbe\tVBD\tB-VP\tO' -p149591 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p149592 -aS'and\tand\tCC\tO\tO' -p149593 -aS'erythrocyte\terythrocyte\tNN\tB-NP\tO' -p149594 -aS'sedimentation\tsedimentation\tNN\tI-NP\tO' -p149595 -aS'rate\trate\tNN\tI-NP\tO' -p149596 -aS'.\t.\t.\tO\tO' -p149597 -asS'Urinary tract infection , tracheostomy status , diabetes mellitus .' -p149598 -(lp149599 -S'Urinary\tUrinary\tJJ\tB-NP\tO' -p149600 -aS'tract\ttract\tNN\tI-NP\tO' -p149601 -aS'infection\tinfection\tNN\tI-NP\tO' -p149602 -aS',\t,\t,\tO\tO' -p149603 -aS'tracheostomy\ttracheostomy\tNN\tB-NP\tO' -p149604 -aS'status\tstatus\tNN\tI-NP\tO' -p149605 -aS',\t,\t,\tO\tO' -p149606 -aS'diabetes\tdiabetes\tNN\tB-NP\tO' -p149607 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p149608 -aS'.\t.\t.\tO\tO' -p149609 -asS'No splenomegaly appreciated .' -p149610 -(lp149611 -S'No\tNo\tDT\tB-NP\tO' -p149612 -aS'splenomegaly\tsplenomegaly\tNN\tI-NP\tO' -p149613 -aS'appreciated\tappreciate\tVBN\tB-VP\tO' -p149614 -aS'.\t.\t.\tO\tO' -p149615 -asS'GI : BS NA .' -p149616 -(lp149617 -S'GI\tGI\tLS\tB-LST\tO' -p149618 -aS':\t:\t:\tO\tO' -p149619 -aS'BS\tBS\tNN\tB-NP\tO' -p149620 -aS'NA\tNA\tNN\tI-NP\tO' -p149621 -aS'.\t.\t.\tO\tO' -p149622 -asS'There was a possible right gaze preference and the patient did not move his eyes .' -p149623 -(lp149624 -S'There\tThere\tEX\tB-NP\tO' -p149625 -aS'was\tbe\tVBD\tB-VP\tO' -p149626 -aS'a\ta\tDT\tB-NP\tO' -p149627 -aS'possible\tpossible\tJJ\tI-NP\tO' -p149628 -aS'right\tright\tJJ\tI-NP\tO' -p149629 -aS'gaze\tgaze\tNN\tI-NP\tO' -p149630 -aS'preference\tpreference\tNN\tI-NP\tO' -p149631 -aS'and\tand\tCC\tO\tO' -p149632 -aS'the\tthe\tDT\tB-NP\tO' -p149633 -aS'patient\tpatient\tNN\tI-NP\tO' -p149634 -aS'did\tdo\tVBD\tB-VP\tO' -p149635 -aS'not\tnot\tRB\tI-VP\tO' -p149636 -aS'move\tmove\tVB\tI-VP\tO' -p149637 -aS'his\this\tPRP$\tB-NP\tO' -p149638 -aS'eyes\teye\tNNS\tI-NP\tO' -p149639 -aS'.\t.\t.\tO\tO' -p149640 -asS'Naming intact .' -p149641 -(lp149642 -S'Naming\tName\tVBG\tB-VP\tO' -p149643 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p149644 -aS'.\t.\t.\tO\tO' -p149645 -asS'11. Docusate Sodium 100 mg Capsule Sig : One ( 1 ) Capsule PO BID ( 2 times a day ).' -p149646 -(lp149647 -S'11.\t11.\tLS\tB-NP\tO' -p149648 -aS'Docusate\tDocusate\tNNP\tI-NP\tO' -p149649 -aS'Sodium\tSodium\tNNP\tI-NP\tO' -p149650 -aS'100\t100\tCD\tI-NP\tO' -p149651 -aS'mg\tmg\tNN\tI-NP\tO' -p149652 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p149653 -aS'Sig\tSig\tNNP\tI-NP\tO' -p149654 -aS':\t:\t:\tO\tO' -p149655 -aS'One\tOne\tCD\tB-NP\tO' -p149656 -aS'(\t(\t(\tO\tO' -p149657 -aS'1\t1\tCD\tB-NP\tO' -p149658 -aS')\t)\t)\tO\tO' -p149659 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p149660 -aS'PO\tPO\tNNP\tI-NP\tO' -p149661 -aS'BID\tBID\tNNP\tI-NP\tO' -p149662 -aS'(\t(\t(\tO\tO' -p149663 -aS'2\t2\tCD\tB-NP\tO' -p149664 -aS'times\ttime\tNNS\tI-NP\tO' -p149665 -aS'a\ta\tDT\tB-NP\tO' -p149666 -aS'day\tday\tNN\tI-NP\tO' -p149667 -aS').\t).\t.\tO\tO' -p149668 -asS'The patient was admitted was started on clear fluids , tolerated , with D5 normal saline plus 40 mEq per liter of KCL at a rate of 50 cc 's per hour for 9 hours . ( 100 cc's per kilo ) .' -p149669 -(lp149670 -S'The\tThe\tDT\tB-NP\tO' -p149671 -aS'patient\tpatient\tNN\tI-NP\tO' -p149672 -aS'was\tbe\tVBD\tB-VP\tO' -p149673 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p149674 -aS'was\tbe\tVBD\tB-VP\tO' -p149675 -aS'started\tstart\tVBN\tI-VP\tO' -p149676 -aS'on\ton\tIN\tB-PP\tO' -p149677 -aS'clear\tclear\tJJ\tB-NP\tO' -p149678 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p149679 -aS',\t,\t,\tO\tO' -p149680 -aS'tolerated\ttolerate\tVBN\tB-VP\tO' -p149681 -aS',\t,\t,\tO\tO' -p149682 -aS'with\twith\tIN\tB-PP\tO' -p149683 -aS'D5\tD5\tNN\tB-NP\tO' -p149684 -aS'normal\tnormal\tJJ\tI-NP\tO' -p149685 -aS'saline\tsaline\tNN\tI-NP\tO' -p149686 -aS'plus\tplus\tCC\tO\tO' -p149687 -aS'40\t40\tCD\tB-NP\tO' -p149688 -aS'mEq\tmEq\tNN\tI-NP\tO' -p149689 -aS'per\tper\tIN\tB-PP\tO' -p149690 -aS'liter\tliter\tNN\tB-NP\tO' -p149691 -aS'of\tof\tIN\tB-PP\tO' -p149692 -aS'KCL\tKCL\tNN\tB-NP\tB-protein' -p149693 -aS'at\tat\tIN\tB-PP\tO' -p149694 -aS'a\ta\tDT\tB-NP\tO' -p149695 -aS'rate\trate\tNN\tI-NP\tO' -p149696 -aS'of\tof\tIN\tB-PP\tO' -p149697 -aS'50\t50\tCD\tB-NP\tO' -p149698 -aS'cc\tcc\tNN\tI-NP\tO' -p149699 -aS''s\t'\tNNS\tI-NP\tO' -p149700 -aS'per\tper\tIN\tB-PP\tO' -p149701 -aS'hour\thour\tNN\tB-NP\tO' -p149702 -aS'for\tfor\tIN\tB-PP\tO' -p149703 -aS'9\t9\tCD\tB-NP\tO' -p149704 -aS'hours\thour\tNNS\tI-NP\tO' -p149705 -aS'.\t.\t.\tO\tO' -p149706 -aS'(\t(\t(\tO\tO' -p149707 -aS'100\t100\tCD\tB-NP\tO' -p149708 -aS'cc's\tcc'\tNNS\tI-NP\tO' -p149709 -aS'per\tper\tIN\tB-PP\tO' -p149710 -aS'kilo\tkilo\tNN\tB-NP\tO' -p149711 -aS')\t)\t)\tO\tO' -p149712 -aS'.\t.\t.\tO\tO' -p149713 -asS'Within normal limits .' -p149714 -(lp149715 -S'Within\tWithin\tIN\tB-PP\tO' -p149716 -aS'normal\tnormal\tJJ\tB-NP\tO' -p149717 -aS'limits\tlimit\tNNS\tI-NP\tO' -p149718 -aS'.\t.\t.\tO\tO' -p149719 -asS"These facts were confirmed via separate conversations with both the patient 's lawyer and her primary care physician ." -p149720 -(lp149721 -S'These\tThese\tDT\tB-NP\tO' -p149722 -aS'facts\tfact\tNNS\tI-NP\tO' -p149723 -aS'were\tbe\tVBD\tB-VP\tO' -p149724 -aS'confirmed\tconfirm\tVBN\tI-VP\tO' -p149725 -aS'via\tvia\tIN\tB-PP\tO' -p149726 -aS'separate\tseparate\tJJ\tB-NP\tO' -p149727 -aS'conversations\tconversation\tNNS\tI-NP\tO' -p149728 -aS'with\twith\tIN\tB-PP\tO' -p149729 -aS'both\tboth\tCC\tO\tO' -p149730 -aS'the\tthe\tDT\tB-NP\tO' -p149731 -aS'patient\tpatient\tNN\tI-NP\tO' -p149732 -aS"'s\t's\tPOS\tB-NP\tO" -p149733 -aS'lawyer\tlawyer\tNN\tI-NP\tO' -p149734 -aS'and\tand\tCC\tO\tO' -p149735 -aS'her\ther\tPRP$\tB-NP\tO' -p149736 -aS'primary\tprimary\tJJ\tI-NP\tO' -p149737 -aS'care\tcare\tNN\tI-NP\tO' -p149738 -aS'physician\tphysician\tNN\tI-NP\tO' -p149739 -aS'.\t.\t.\tO\tO' -p149740 -asS'Pupils were equal , round , reactive to light at approximately 4 mm .' -p149741 -(lp149742 -S'Pupils\tPupil\tNNS\tB-NP\tO' -p149743 -aS'were\tbe\tVBD\tB-VP\tO' -p149744 -aS'equal\tequal\tJJ\tB-NP\tO' -p149745 -aS',\t,\t,\tI-NP\tO' -p149746 -aS'round\tround\tJJ\tI-NP\tO' -p149747 -aS',\t,\t,\tI-NP\tO' -p149748 -aS'reactive\treactive\tJJ\tI-NP\tO' -p149749 -aS'to\tto\tTO\tB-PP\tO' -p149750 -aS'light\tlight\tNN\tB-NP\tO' -p149751 -aS'at\tat\tIN\tB-PP\tO' -p149752 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p149753 -aS'4\t4\tCD\tI-NP\tO' -p149754 -aS'mm\tmm\tNN\tI-NP\tO' -p149755 -aS'.\t.\t.\tO\tO' -p149756 -asS'8. Chronic renal insufficiency with a baseline creatinine of 2.0 to 2.7.' -p149757 -(lp149758 -S'8.\t8.\tLS\tB-NP\tO' -p149759 -aS'Chronic\tChronic\tJJ\tI-NP\tO' -p149760 -aS'renal\trenal\tJJ\tI-NP\tO' -p149761 -aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' -p149762 -aS'with\twith\tIN\tB-PP\tO' -p149763 -aS'a\ta\tDT\tB-NP\tO' -p149764 -aS'baseline\tbaseline\tNN\tI-NP\tO' -p149765 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p149766 -aS'of\tof\tIN\tB-PP\tO' -p149767 -aS'2.0\t2.0\tCD\tB-NP\tO' -p149768 -aS'to\tto\tTO\tB-PP\tO' -p149769 -aS'2.7.\t2.7.\tCD\tB-NP\tO' -p149770 -asS'Serial head CT studies and neurologic exams were performed but the patient was unchaged , unresponsive with posturing and no spontaneous movement despite ICP being maintained in good range ( < 20 ).' -p149771 -(lp149772 -S'Serial\tSerial\tJJ\tB-NP\tO' -p149773 -aS'head\thead\tNN\tI-NP\tO' -p149774 -aS'CT\tCT\tNN\tI-NP\tO' -p149775 -aS'studies\tstudy\tNNS\tI-NP\tO' -p149776 -aS'and\tand\tCC\tO\tO' -p149777 -aS'neurologic\tneurologic\tJJ\tB-NP\tB-cell_type' -p149778 -aS'exams\texam\tNNS\tI-NP\tI-cell_type' -p149779 -aS'were\tbe\tVBD\tB-VP\tO' -p149780 -aS'performed\tperform\tVBN\tI-VP\tO' -p149781 -aS'but\tbut\tCC\tO\tO' -p149782 -aS'the\tthe\tDT\tB-NP\tO' -p149783 -aS'patient\tpatient\tNN\tI-NP\tO' -p149784 -aS'was\tbe\tVBD\tB-VP\tO' -p149785 -aS'unchaged\tunchaged\tJJ\tB-ADJP\tO' -p149786 -aS',\t,\t,\tO\tO' -p149787 -aS'unresponsive\tunresponsive\tJJ\tB-ADJP\tO' -p149788 -aS'with\twith\tIN\tB-PP\tO' -p149789 -aS'posturing\tposture\tVBG\tB-VP\tO' -p149790 -aS'and\tand\tCC\tO\tO' -p149791 -aS'no\tno\tDT\tB-NP\tO' -p149792 -aS'spontaneous\tspontaneous\tJJ\tI-NP\tO' -p149793 -aS'movement\tmovement\tNN\tI-NP\tO' -p149794 -aS'despite\tdespite\tIN\tB-PP\tO' -p149795 -aS'ICP\tICP\tNN\tB-NP\tB-protein' -p149796 -aS'being\tbe\tVBG\tB-VP\tO' -p149797 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p149798 -aS'in\tin\tIN\tB-PP\tO' -p149799 -aS'good\tgood\tJJ\tB-NP\tO' -p149800 -aS'range\trange\tNN\tI-NP\tO' -p149801 -aS'(\t(\t(\tO\tO' -p149802 -aS'<\t<\tSYM\tB-NP\tO' -p149803 -aS'20\t20\tCD\tI-NP\tO' -p149804 -aS').\t).\t)\tO\tO' -p149805 -asS'The aneurysm at the time of discharge is approximately 2.5 cm .' -p149806 -(lp149807 -S'The\tThe\tDT\tB-NP\tO' -p149808 -aS'aneurysm\taneurysm\tNN\tI-NP\tO' -p149809 -aS'at\tat\tIN\tB-PP\tO' -p149810 -aS'the\tthe\tDT\tB-NP\tO' -p149811 -aS'time\ttime\tNN\tI-NP\tO' -p149812 -aS'of\tof\tIN\tB-PP\tO' -p149813 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p149814 -aS'is\tbe\tVBZ\tB-VP\tO' -p149815 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p149816 -aS'2.5\t2.5\tCD\tI-NP\tO' -p149817 -aS'cm\tcm\tNN\tI-NP\tO' -p149818 -aS'.\t.\t.\tO\tO' -p149819 -asS'09/02/98 sternal debridement .' -p149820 -(lp149821 -S'09/02/98\t09/02/98\tCD\tB-NP\tO' -p149822 -aS'sternal\tsternal\tJJ\tI-NP\tO' -p149823 -aS'debridement\tdebridement\tNN\tI-NP\tO' -p149824 -aS'.\t.\t.\tO\tO' -p149825 -asS'The patient has severe sleep apnea and stops breathing during sleep .' -p149826 -(lp149827 -S'The\tThe\tDT\tB-NP\tO' -p149828 -aS'patient\tpatient\tNN\tI-NP\tO' -p149829 -aS'has\thave\tVBZ\tB-VP\tO' -p149830 -aS'severe\tsevere\tJJ\tB-NP\tO' -p149831 -aS'sleep\tsleep\tNN\tI-NP\tO' -p149832 -aS'apnea\tapnea\tNN\tI-NP\tO' -p149833 -aS'and\tand\tCC\tO\tO' -p149834 -aS'stops\tstop\tVBZ\tB-VP\tO' -p149835 -aS'breathing\tbreathing\tNN\tB-NP\tO' -p149836 -aS'during\tduring\tIN\tB-PP\tO' -p149837 -aS'sleep\tsleep\tNN\tB-NP\tO' -p149838 -aS'.\t.\t.\tO\tO' -p149839 -asS'So she was put on dicloxicillin and we did local wound care with an agent called Santyl , which is a collagenace ondebrided which worked very well for her .' -p149840 -(lp149841 -S'So\tSo\tRB\tO\tO' -p149842 -aS'she\tshe\tPRP\tB-NP\tO' -p149843 -aS'was\tbe\tVBD\tB-VP\tO' -p149844 -aS'put\tput\tVBN\tI-VP\tO' -p149845 -aS'on\ton\tIN\tB-PP\tO' -p149846 -aS'dicloxicillin\tdicloxicillin\tNN\tB-NP\tO' -p149847 -aS'and\tand\tCC\tO\tO' -p149848 -aS'we\twe\tPRP\tB-NP\tO' -p149849 -aS'did\tdo\tVBD\tB-VP\tO' -p149850 -aS'local\tlocal\tJJ\tB-NP\tO' -p149851 -aS'wound\twound\tNN\tI-NP\tO' -p149852 -aS'care\tcare\tNN\tI-NP\tO' -p149853 -aS'with\twith\tIN\tB-PP\tO' -p149854 -aS'an\tan\tDT\tB-NP\tO' -p149855 -aS'agent\tagent\tNN\tI-NP\tO' -p149856 -aS'called\tcall\tVBN\tB-VP\tO' -p149857 -aS'Santyl\tSantyl\tNNP\tB-NP\tO' -p149858 -aS',\t,\t,\tO\tO' -p149859 -aS'which\twhich\tWDT\tB-NP\tO' -p149860 -aS'is\tbe\tVBZ\tB-VP\tO' -p149861 -aS'a\ta\tDT\tB-NP\tO' -p149862 -aS'collagenace\tcollagenace\tNN\tI-NP\tO' -p149863 -aS'ondebrided\tondebride\tVBD\tB-VP\tO' -p149864 -aS'which\twhich\tWDT\tB-NP\tO' -p149865 -aS'worked\twork\tVBD\tB-VP\tO' -p149866 -aS'very\tvery\tRB\tB-ADVP\tO' -p149867 -aS'well\twell\tRB\tI-ADVP\tO' -p149868 -aS'for\tfor\tIN\tB-PP\tO' -p149869 -aS'her\ther\tPRP\tB-NP\tO' -p149870 -aS'.\t.\t.\tO\tO' -p149871 -asS'S1 and S2 .' -p149872 -(lp149873 -S'S1\tS1\tNN\tB-NP\tB-protein' -p149874 -aS'and\tand\tCC\tI-NP\tO' -p149875 -aS'S2\tS2\tNN\tI-NP\tB-protein' -p149876 -aS'.\t.\t.\tO\tO' -p149877 -asS'Endoscopy with biopsy revealed gastric carcinoma , poorly differentiated , within the body of the stomach along the greater curvature .' -p149878 -(lp149879 -S'Endoscopy\tEndoscopy\tNN\tB-NP\tO' -p149880 -aS'with\twith\tIN\tB-PP\tO' -p149881 -aS'biopsy\tbiopsy\tNN\tB-NP\tO' -p149882 -aS'revealed\treveal\tVBD\tB-VP\tO' -p149883 -aS'gastric\tgastric\tJJ\tB-NP\tO' -p149884 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p149885 -aS',\t,\t,\tO\tO' -p149886 -aS'poorly\tpoorly\tRB\tB-VP\tO' -p149887 -aS'differentiated\tdifferentiate\tVBN\tI-VP\tO' -p149888 -aS',\t,\t,\tO\tO' -p149889 -aS'within\twithin\tIN\tB-PP\tO' -p149890 -aS'the\tthe\tDT\tB-NP\tO' -p149891 -aS'body\tbody\tNN\tI-NP\tO' -p149892 -aS'of\tof\tIN\tB-PP\tO' -p149893 -aS'the\tthe\tDT\tB-NP\tO' -p149894 -aS'stomach\tstomach\tNN\tI-NP\tO' -p149895 -aS'along\talong\tIN\tB-PP\tO' -p149896 -aS'the\tthe\tDT\tB-NP\tO' -p149897 -aS'greater\tgreat\tJJR\tI-NP\tO' -p149898 -aS'curvature\tcurvature\tNN\tI-NP\tO' -p149899 -aS'.\t.\t.\tO\tO' -p149900 -asS'The patient was seen at Ph University Of Medical Center for problem regarding his constrictive pericarditis and underwent a surgical procedure to correct this .' -p149901 -(lp149902 -S'The\tThe\tDT\tB-NP\tO' -p149903 -aS'patient\tpatient\tNN\tI-NP\tO' -p149904 -aS'was\tbe\tVBD\tB-VP\tO' -p149905 -aS'seen\tsee\tVBN\tI-VP\tO' -p149906 -aS'at\tat\tIN\tB-PP\tO' -p149907 -aS'Ph\tPh\tNNP\tB-NP\tO' -p149908 -aS'University\tUniversity\tNNP\tI-NP\tO' -p149909 -aS'Of\tOf\tNNP\tI-NP\tO' -p149910 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p149911 -aS'Center\tCenter\tNNP\tI-NP\tO' -p149912 -aS'for\tfor\tIN\tB-PP\tO' -p149913 -aS'problem\tproblem\tNN\tB-NP\tO' -p149914 -aS'regarding\tregard\tVBG\tB-VP\tO' -p149915 -aS'his\this\tPRP$\tB-NP\tO' -p149916 -aS'constrictive\tconstrictive\tJJ\tI-NP\tO' -p149917 -aS'pericarditis\tpericarditis\tNN\tI-NP\tO' -p149918 -aS'and\tand\tCC\tO\tO' -p149919 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p149920 -aS'a\ta\tDT\tB-NP\tO' -p149921 -aS'surgical\tsurgical\tJJ\tI-NP\tO' -p149922 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p149923 -aS'to\tto\tTO\tB-VP\tO' -p149924 -aS'correct\tcorrect\tVB\tI-VP\tO' -p149925 -aS'this\tthis\tDT\tB-NP\tO' -p149926 -aS'.\t.\t.\tO\tO' -p149927 -asS'Her lower extremity edema has increased for the several weeks prior to admission secondary to an inability to elevate her legs due to a broken chair at home .' -p149928 -(lp149929 -S'Her\tHer\tPRP$\tB-NP\tB-protein' -p149930 -aS'lower\tlow\tJJR\tI-NP\tO' -p149931 -aS'extremity\textremity\tNN\tI-NP\tO' -p149932 -aS'edema\tedema\tNN\tI-NP\tO' -p149933 -aS'has\thave\tVBZ\tB-VP\tO' -p149934 -aS'increased\tincrease\tVBN\tI-VP\tO' -p149935 -aS'for\tfor\tIN\tB-PP\tO' -p149936 -aS'the\tthe\tDT\tB-NP\tO' -p149937 -aS'several\tseveral\tJJ\tI-NP\tO' -p149938 -aS'weeks\tweek\tNNS\tI-NP\tO' -p149939 -aS'prior\tprior\tRB\tB-ADVP\tO' -p149940 -aS'to\tto\tTO\tB-PP\tO' -p149941 -aS'admission\tadmission\tNN\tB-NP\tO' -p149942 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p149943 -aS'to\tto\tTO\tB-PP\tO' -p149944 -aS'an\tan\tDT\tB-NP\tO' -p149945 -aS'inability\tinability\tNN\tI-NP\tO' -p149946 -aS'to\tto\tTO\tB-VP\tO' -p149947 -aS'elevate\televate\tVB\tI-VP\tO' -p149948 -aS'her\ther\tPRP$\tB-NP\tO' -p149949 -aS'legs\tleg\tNNS\tI-NP\tO' -p149950 -aS'due\tdue\tJJ\tB-PP\tO' -p149951 -aS'to\tto\tTO\tB-PP\tO' -p149952 -aS'a\ta\tDT\tB-NP\tO' -p149953 -aS'broken\tbroken\tJJ\tI-NP\tO' -p149954 -aS'chair\tchair\tNN\tI-NP\tO' -p149955 -aS'at\tat\tIN\tB-PP\tO' -p149956 -aS'home\thome\tNN\tB-NP\tO' -p149957 -aS'.\t.\t.\tO\tO' -p149958 -asS"The end result of these discussion was that the patient 's wishes would not be consistent with this new level of functioning from which he had little hope of recovery ; the family decided to make him comfort measures only ." -p149959 -(lp149960 -S'The\tThe\tDT\tB-NP\tO' -p149961 -aS'end\tend\tNN\tI-NP\tO' -p149962 -aS'result\tresult\tNN\tI-NP\tO' -p149963 -aS'of\tof\tIN\tB-PP\tO' -p149964 -aS'these\tthese\tDT\tB-NP\tO' -p149965 -aS'discussion\tdiscussion\tNN\tI-NP\tO' -p149966 -aS'was\tbe\tVBD\tB-VP\tO' -p149967 -aS'that\tthat\tIN\tB-SBAR\tO' -p149968 -aS'the\tthe\tDT\tB-NP\tO' -p149969 -aS'patient\tpatient\tNN\tI-NP\tO' -p149970 -aS"'s\t's\tPOS\tB-NP\tO" -p149971 -aS'wishes\twish\tNNS\tI-NP\tO' -p149972 -aS'would\twould\tMD\tB-VP\tO' -p149973 -aS'not\tnot\tRB\tI-VP\tO' -p149974 -aS'be\tbe\tVB\tI-VP\tO' -p149975 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p149976 -aS'with\twith\tIN\tB-PP\tO' -p149977 -aS'this\tthis\tDT\tB-NP\tO' -p149978 -aS'new\tnew\tJJ\tI-NP\tO' -p149979 -aS'level\tlevel\tNN\tI-NP\tO' -p149980 -aS'of\tof\tIN\tB-PP\tO' -p149981 -aS'functioning\tfunction\tVBG\tB-VP\tO' -p149982 -aS'from\tfrom\tIN\tB-PP\tO' -p149983 -aS'which\twhich\tWDT\tB-NP\tO' -p149984 -aS'he\the\tPRP\tB-NP\tO' -p149985 -aS'had\thave\tVBD\tB-VP\tO' -p149986 -aS'little\tlittle\tJJ\tB-NP\tO' -p149987 -aS'hope\thope\tNN\tI-NP\tO' -p149988 -aS'of\tof\tIN\tB-PP\tO' -p149989 -aS'recovery\trecovery\tNN\tB-NP\tO' -p149990 -aS';\t;\t:\tO\tO' -p149991 -aS'the\tthe\tDT\tB-NP\tO' -p149992 -aS'family\tfamily\tNN\tI-NP\tO' -p149993 -aS'decided\tdecide\tVBD\tB-VP\tO' -p149994 -aS'to\tto\tTO\tI-VP\tO' -p149995 -aS'make\tmake\tVB\tI-VP\tO' -p149996 -aS'him\thim\tPRP\tB-NP\tO' -p149997 -aS'comfort\tcomfort\tVB\tB-VP\tO' -p149998 -aS'measures\tmeasure\tNNS\tB-NP\tO' -p149999 -aS'only\tonly\tRB\tB-ADVP\tO' -p150000 -aS'.\t.\t.\tO\tO' -p150001 -asS'On the 14th of January , the patient developed increased shortness of breath and chest x-ray was taken showed a wedge shaped infiltrate in the right upper lobe which was consistent with Hampton 's hump .' -p150002 -(lp150003 -S'On\tOn\tIN\tB-PP\tO' -p150004 -aS'the\tthe\tDT\tB-NP\tO' -p150005 -aS'14th\t14th\tNN\tI-NP\tO' -p150006 -aS'of\tof\tIN\tB-PP\tO' -p150007 -aS'January\tJanuary\tNNP\tB-NP\tO' -p150008 -aS',\t,\t,\tO\tO' -p150009 -aS'the\tthe\tDT\tB-NP\tO' -p150010 -aS'patient\tpatient\tNN\tI-NP\tO' -p150011 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p150012 -aS'increased\tincrease\tVBN\tB-NP\tO' -p150013 -aS'shortness\tshortness\tNN\tI-NP\tO' -p150014 -aS'of\tof\tIN\tB-PP\tO' -p150015 -aS'breath\tbreath\tNN\tB-NP\tO' -p150016 -aS'and\tand\tCC\tI-NP\tO' -p150017 -aS'chest\tchest\tNN\tI-NP\tO' -p150018 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p150019 -aS'was\tbe\tVBD\tB-VP\tO' -p150020 -aS'taken\ttake\tVBN\tI-VP\tO' -p150021 -aS'showed\tshow\tVBD\tB-VP\tO' -p150022 -aS'a\ta\tDT\tB-NP\tO' -p150023 -aS'wedge\twedge\tNN\tI-NP\tO' -p150024 -aS'shaped\tshape\tVBD\tB-VP\tO' -p150025 -aS'infiltrate\tinfiltrate\tNN\tB-NP\tO' -p150026 -aS'in\tin\tIN\tB-PP\tO' -p150027 -aS'the\tthe\tDT\tB-NP\tO' -p150028 -aS'right\tright\tJJ\tI-NP\tO' -p150029 -aS'upper\tupper\tJJ\tI-NP\tO' -p150030 -aS'lobe\tlobe\tNN\tI-NP\tO' -p150031 -aS'which\twhich\tWDT\tB-NP\tO' -p150032 -aS'was\tbe\tVBD\tB-VP\tO' -p150033 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p150034 -aS'with\twith\tIN\tB-PP\tO' -p150035 -aS'Hampton\tHampton\tNNP\tB-NP\tO' -p150036 -aS''s\t'\tNNS\tI-NP\tO' -p150037 -aS'hump\thump\tVBP\tB-VP\tO' -p150038 -aS'.\t.\t.\tO\tO' -p150039 -asS'The staples were removed prior to discharge .' -p150040 -(lp150041 -S'The\tThe\tDT\tB-NP\tO' -p150042 -aS'staples\tstaple\tNNS\tI-NP\tO' -p150043 -aS'were\tbe\tVBD\tB-VP\tO' -p150044 -aS'removed\tremove\tVBN\tI-VP\tO' -p150045 -aS'prior\tprior\tRB\tB-ADVP\tO' -p150046 -aS'to\tto\tTO\tB-VP\tO' -p150047 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p150048 -aS'.\t.\t.\tO\tO' -p150049 -asS'Cardiovascularly , lipitor and amiodarone were continued .' -p150050 -(lp150051 -S'Cardiovascularly\tCardiovascularly\tRB\tB-ADVP\tO' -p150052 -aS',\t,\t,\tO\tO' -p150053 -aS'lipitor\tlipitor\tNN\tB-NP\tO' -p150054 -aS'and\tand\tCC\tI-NP\tO' -p150055 -aS'amiodarone\tamiodarone\tNN\tI-NP\tO' -p150056 -aS'were\tbe\tVBD\tB-VP\tO' -p150057 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p150058 -aS'.\t.\t.\tO\tO' -p150059 -asS'PERRL , EOMI .' -p150060 -(lp150061 -S'PERRL\tPERRL\tNN\tB-NP\tB-protein' -p150062 -aS',\t,\t,\tO\tO' -p150063 -aS'EOMI\tEOMI\tNN\tB-NP\tB-protein' -p150064 -aS'.\t.\t.\tO\tO' -p150065 -asS'Prozac liquid 20 mg q am' -p150066 -(lp150067 -S'Prozac\tProzac\tNN\tB-NP\tO' -p150068 -aS'liquid\tliquid\tNN\tI-NP\tO' -p150069 -aS'20\t20\tCD\tI-NP\tO' -p150070 -aS'mg\tmg\tNN\tI-NP\tO' -p150071 -aS'q\tq\tNN\tI-NP\tO' -p150072 -aS'am\tam\tNN\tI-NP\tO' -p150073 -asS'Heart size is normal .' -p150074 -(lp150075 -S'Heart\tHeart\tNN\tB-NP\tO' -p150076 -aS'size\tsize\tNN\tI-NP\tO' -p150077 -aS'is\tbe\tVBZ\tB-VP\tO' -p150078 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p150079 -aS'.\t.\t.\tO\tO' -p150080 -asS'It was decided to postpone her discharge to rehab and take her back to the operating room for a manipulation under anesthesia .' -p150081 -(lp150082 -S'It\tIt\tPRP\tB-NP\tO' -p150083 -aS'was\tbe\tVBD\tB-VP\tO' -p150084 -aS'decided\tdecide\tVBN\tI-VP\tO' -p150085 -aS'to\tto\tTO\tI-VP\tO' -p150086 -aS'postpone\tpostpone\tVB\tI-VP\tO' -p150087 -aS'her\ther\tPRP$\tB-NP\tO' -p150088 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p150089 -aS'to\tto\tTO\tB-VP\tO' -p150090 -aS'rehab\trehab\tVB\tI-VP\tO' -p150091 -aS'and\tand\tCC\tI-VP\tO' -p150092 -aS'take\ttake\tVB\tI-VP\tO' -p150093 -aS'her\ther\tPRP\tB-NP\tO' -p150094 -aS'back\tback\tRB\tB-ADVP\tO' -p150095 -aS'to\tto\tTO\tB-PP\tO' -p150096 -aS'the\tthe\tDT\tB-NP\tO' -p150097 -aS'operating\toperating\tNN\tI-NP\tO' -p150098 -aS'room\troom\tNN\tI-NP\tO' -p150099 -aS'for\tfor\tIN\tB-PP\tO' -p150100 -aS'a\ta\tDT\tB-NP\tO' -p150101 -aS'manipulation\tmanipulation\tNN\tI-NP\tO' -p150102 -aS'under\tunder\tIN\tB-PP\tO' -p150103 -aS'anesthesia\tanesthesia\tNN\tB-NP\tO' -p150104 -aS'.\t.\t.\tO\tO' -p150105 -asS'regular rate and rhythm with a I/VI systolic ejection murmur .' -p150106 -(lp150107 -S'regular\tregular\tJJ\tB-NP\tO' -p150108 -aS'rate\trate\tNN\tI-NP\tO' -p150109 -aS'and\tand\tCC\tI-NP\tO' -p150110 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p150111 -aS'with\twith\tIN\tB-PP\tO' -p150112 -aS'a\ta\tDT\tB-NP\tO' -p150113 -aS'I/VI\tI/VI\tNN\tI-NP\tB-protein' -p150114 -aS'systolic\tsystolic\tJJ\tI-NP\tI-protein' -p150115 -aS'ejection\tejection\tNN\tI-NP\tI-protein' -p150116 -aS'murmur\tmurmur\tNN\tI-NP\tI-protein' -p150117 -aS'.\t.\t.\tO\tO' -p150118 -asS'Ipratropium Bromide Neb 1 NEB IH Q6H' -p150119 -(lp150120 -S'Ipratropium\tIpratropium\tNNP\tB-NP\tO' -p150121 -aS'Bromide\tBromide\tNNP\tI-NP\tO' -p150122 -aS'Neb\tNeb\tNNP\tI-NP\tO' -p150123 -aS'1\t1\tCD\tI-NP\tO' -p150124 -aS'NEB\tNEB\tNN\tI-NP\tO' -p150125 -aS'IH\tIH\tNN\tI-NP\tO' -p150126 -aS'Q6H\tQ6H\tNN\tI-NP\tO' -p150127 -asS'Rule out seizures .' -p150128 -(lp150129 -S'Rule\tRule\tNNP\tB-NP\tO' -p150130 -aS'out\tout\tRP\tB-PRT\tO' -p150131 -aS'seizures\tseizure\tNNS\tB-NP\tO' -p150132 -aS'.\t.\t.\tO\tO' -p150133 -asS'Patient did report a cough productive of green sputum on admission .' -p150134 -(lp150135 -S'Patient\tPatient\tNN\tB-NP\tO' -p150136 -aS'did\tdo\tVBD\tB-VP\tO' -p150137 -aS'report\treport\tVB\tI-VP\tO' -p150138 -aS'a\ta\tDT\tB-NP\tO' -p150139 -aS'cough\tcough\tNN\tI-NP\tO' -p150140 -aS'productive\tproductive\tJJ\tB-ADJP\tO' -p150141 -aS'of\tof\tIN\tB-PP\tO' -p150142 -aS'green\tgreen\tJJ\tB-NP\tO' -p150143 -aS'sputum\tsputum\tNN\tI-NP\tO' -p150144 -aS'on\ton\tIN\tB-PP\tO' -p150145 -aS'admission\tadmission\tNN\tB-NP\tO' -p150146 -aS'.\t.\t.\tO\tO' -p150147 -asS'Although the patient 's pain and sedation meds were adjusted he continued to be agitated and there was difficulty weaning him off the vent .' -p150148 -(lp150149 -S'Although\tAlthough\tIN\tB-SBAR\tO' -p150150 -aS'the\tthe\tDT\tB-NP\tO' -p150151 -aS'patient\tpatient\tNN\tI-NP\tO' -p150152 -aS''s\t'\tNNS\tI-NP\tO' -p150153 -aS'pain\tpain\tNN\tI-NP\tO' -p150154 -aS'and\tand\tCC\tI-NP\tO' -p150155 -aS'sedation\tsedation\tNN\tI-NP\tO' -p150156 -aS'meds\tmed\tNNS\tI-NP\tO' -p150157 -aS'were\tbe\tVBD\tB-VP\tO' -p150158 -aS'adjusted\tadjust\tVBN\tI-VP\tO' -p150159 -aS'he\the\tPRP\tB-NP\tO' -p150160 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p150161 -aS'to\tto\tTO\tI-VP\tO' -p150162 -aS'be\tbe\tVB\tI-VP\tO' -p150163 -aS'agitated\tagitate\tVBN\tI-VP\tO' -p150164 -aS'and\tand\tCC\tO\tO' -p150165 -aS'there\tthere\tEX\tB-NP\tO' -p150166 -aS'was\tbe\tVBD\tB-VP\tO' -p150167 -aS'difficulty\tdifficulty\tNN\tB-NP\tO' -p150168 -aS'weaning\twean\tVBG\tB-VP\tO' -p150169 -aS'him\thim\tPRP\tB-NP\tO' -p150170 -aS'off\toff\tIN\tB-PP\tO' -p150171 -aS'the\tthe\tDT\tB-NP\tO' -p150172 -aS'vent\tvent\tNN\tI-NP\tO' -p150173 -aS'.\t.\t.\tO\tO' -p150174 -asS'The patient is a 54 year-old female with a history of breast cancer with known brain mets , history of PE , recent radiation therapy and steroids who presented in 2012-04-23 with myopathy presumed secondary to sterids , which have been given for her brain mets .' -p150175 -(lp150176 -S'The\tThe\tDT\tB-NP\tO' -p150177 -aS'patient\tpatient\tNN\tI-NP\tO' -p150178 -aS'is\tbe\tVBZ\tB-VP\tO' -p150179 -aS'a\ta\tDT\tB-NP\tO' -p150180 -aS'54\t54\tCD\tI-NP\tO' -p150181 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p150182 -aS'female\tfemale\tNN\tI-NP\tO' -p150183 -aS'with\twith\tIN\tB-PP\tO' -p150184 -aS'a\ta\tDT\tB-NP\tO' -p150185 -aS'history\thistory\tNN\tI-NP\tO' -p150186 -aS'of\tof\tIN\tB-PP\tO' -p150187 -aS'breast\tbreast\tNN\tB-NP\tO' -p150188 -aS'cancer\tcancer\tNN\tI-NP\tO' -p150189 -aS'with\twith\tIN\tB-PP\tO' -p150190 -aS'known\tknow\tVBN\tB-NP\tO' -p150191 -aS'brain\tbrain\tNN\tI-NP\tO' -p150192 -aS'mets\tmet\tNNS\tI-NP\tO' -p150193 -aS',\t,\t,\tO\tO' -p150194 -aS'history\thistory\tNN\tB-NP\tO' -p150195 -aS'of\tof\tIN\tB-PP\tO' -p150196 -aS'PE\tPE\tNN\tB-NP\tO' -p150197 -aS',\t,\t,\tO\tO' -p150198 -aS'recent\trecent\tJJ\tB-NP\tO' -p150199 -aS'radiation\tradiation\tNN\tI-NP\tO' -p150200 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p150201 -aS'and\tand\tCC\tI-NP\tO' -p150202 -aS'steroids\tsteroid\tNNS\tI-NP\tO' -p150203 -aS'who\twho\tWP\tB-NP\tO' -p150204 -aS'presented\tpresent\tVBD\tB-VP\tO' -p150205 -aS'in\tin\tIN\tB-PP\tO' -p150206 -aS'2012-04-23\t2012-04-23\tCD\tB-NP\tO' -p150207 -aS'with\twith\tIN\tB-PP\tO' -p150208 -aS'myopathy\tmyopathy\tNN\tB-NP\tO' -p150209 -aS'presumed\tpresume\tVBN\tB-VP\tO' -p150210 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p150211 -aS'to\tto\tTO\tB-PP\tO' -p150212 -aS'sterids\tsterid\tNNS\tB-NP\tO' -p150213 -aS',\t,\t,\tO\tO' -p150214 -aS'which\twhich\tWDT\tB-NP\tO' -p150215 -aS'have\thave\tVBP\tB-VP\tO' -p150216 -aS'been\tbe\tVBN\tI-VP\tO' -p150217 -aS'given\tgive\tVBN\tI-VP\tO' -p150218 -aS'for\tfor\tIN\tB-PP\tO' -p150219 -aS'her\ther\tPRP$\tB-NP\tO' -p150220 -aS'brain\tbrain\tNN\tI-NP\tO' -p150221 -aS'mets\tmet\tNNS\tI-NP\tO' -p150222 -aS'.\t.\t.\tO\tO' -p150223 -asS'There was a mild left pronator drift .' -p150224 -(lp150225 -S'There\tThere\tEX\tB-NP\tO' -p150226 -aS'was\tbe\tVBD\tB-VP\tO' -p150227 -aS'a\ta\tDT\tB-NP\tO' -p150228 -aS'mild\tmild\tJJ\tI-NP\tO' -p150229 -aS'left\tleft\tJJ\tI-NP\tO' -p150230 -aS'pronator\tpronator\tNN\tI-NP\tO' -p150231 -aS'drift\tdrift\tNN\tI-NP\tO' -p150232 -aS'.\t.\t.\tO\tO' -p150233 -asS'He also had bilateral arm numbness .' -p150234 -(lp150235 -S'He\tHe\tPRP\tB-NP\tO' -p150236 -aS'also\talso\tRB\tB-ADVP\tO' -p150237 -aS'had\thave\tVBD\tB-VP\tO' -p150238 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p150239 -aS'arm\tarm\tNN\tI-NP\tO' -p150240 -aS'numbness\tnumbness\tNN\tI-NP\tO' -p150241 -aS'.\t.\t.\tO\tO' -p150242 -asS'Amylase was 2304 with lipase being 7116 .' -p150243 -(lp150244 -S'Amylase\tAmylase\tNN\tB-NP\tB-protein' -p150245 -aS'was\tbe\tVBD\tB-VP\tO' -p150246 -aS'2304\t2304\tCD\tB-NP\tO' -p150247 -aS'with\twith\tIN\tB-PP\tO' -p150248 -aS'lipase\tlipase\tNN\tB-NP\tO' -p150249 -aS'being\tbe\tVBG\tB-VP\tO' -p150250 -aS'7116\t7116\tCD\tB-NP\tO' -p150251 -aS'.\t.\t.\tO\tO' -p150252 -asS'The Mass. Mental Health Center hospital course was unremarkable .' -p150253 -(lp150254 -S'The\tThe\tDT\tB-NP\tO' -p150255 -aS'Mass.\tMass.\tNNP\tI-NP\tO' -p150256 -aS'Mental\tMental\tNNP\tI-NP\tO' -p150257 -aS'Health\tHealth\tNNP\tI-NP\tO' -p150258 -aS'Center\tCenter\tNNP\tI-NP\tO' -p150259 -aS'hospital\thospital\tNN\tI-NP\tO' -p150260 -aS'course\tcourse\tNN\tI-NP\tO' -p150261 -aS'was\tbe\tVBD\tB-VP\tO' -p150262 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p150263 -aS'.\t.\t.\tO\tO' -p150264 -asS'Currently denies CP , SOB , abd pain or continued BRBPR .' -p150265 -(lp150266 -S'Currently\tCurrently\tRB\tB-ADVP\tO' -p150267 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p150268 -aS'CP\tCP\tNN\tB-NP\tB-DNA' -p150269 -aS',\t,\t,\tO\tO' -p150270 -aS'SOB\tSOB\tNN\tB-NP\tB-protein' -p150271 -aS',\t,\t,\tO\tO' -p150272 -aS'abd\tabd\tNN\tB-NP\tO' -p150273 -aS'pain\tpain\tNN\tI-NP\tO' -p150274 -aS'or\tor\tCC\tO\tO' -p150275 -aS'continued\tcontinued\tJJ\tB-NP\tO' -p150276 -aS'BRBPR\tBRBPR\tNN\tI-NP\tO' -p150277 -aS'.\t.\t.\tO\tO' -p150278 -asS'She was an anxious female , in no acute distress .' -p150279 -(lp150280 -S'She\tShe\tPRP\tB-NP\tO' -p150281 -aS'was\tbe\tVBD\tB-VP\tO' -p150282 -aS'an\tan\tDT\tB-NP\tO' -p150283 -aS'anxious\tanxious\tJJ\tI-NP\tO' -p150284 -aS'female\tfemale\tNN\tI-NP\tO' -p150285 -aS',\t,\t,\tO\tO' -p150286 -aS'in\tin\tIN\tB-PP\tO' -p150287 -aS'no\tno\tDT\tB-NP\tO' -p150288 -aS'acute\tacute\tJJ\tI-NP\tO' -p150289 -aS'distress\tdistress\tNN\tI-NP\tO' -p150290 -aS'.\t.\t.\tO\tO' -p150291 -asS'The interventional neuro-radiology procedure was performed by Dr. A Skizeis , on August 22 , via the right femoral artery .' -p150292 -(lp150293 -S'The\tThe\tDT\tB-NP\tO' -p150294 -aS'interventional\tinterventional\tJJ\tI-NP\tO' -p150295 -aS'neuro-radiology\tneuro-radiology\tJJ\tI-NP\tO' -p150296 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p150297 -aS'was\tbe\tVBD\tB-VP\tO' -p150298 -aS'performed\tperform\tVBN\tI-VP\tO' -p150299 -aS'by\tby\tIN\tB-PP\tO' -p150300 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p150301 -aS'A\tA\tNNP\tI-NP\tO' -p150302 -aS'Skizeis\tSkizeis\tNNP\tI-NP\tO' -p150303 -aS',\t,\t,\tO\tO' -p150304 -aS'on\ton\tIN\tB-PP\tO' -p150305 -aS'August\tAugust\tNNP\tB-NP\tO' -p150306 -aS'22\t22\tCD\tI-NP\tO' -p150307 -aS',\t,\t,\tO\tO' -p150308 -aS'via\tvia\tIN\tB-PP\tO' -p150309 -aS'the\tthe\tDT\tB-NP\tO' -p150310 -aS'right\tright\tJJ\tI-NP\tO' -p150311 -aS'femoral\tfemoral\tJJ\tI-NP\tO' -p150312 -aS'artery\tartery\tNN\tI-NP\tO' -p150313 -aS'.\t.\t.\tO\tO' -p150314 -asS'The patient was taken to the operating room for bilateral stent placement , resection of the pelvic mass , lysis of adhesions , left ureterolysis , rectosigmoid resection , SBR , removal of a vaginal tumor , omentectomy complicated by an enterotomy and was admitted to the ICU postoperatively on 11/21/03 .' -p150315 -(lp150316 -S'The\tThe\tDT\tB-NP\tO' -p150317 -aS'patient\tpatient\tNN\tI-NP\tO' -p150318 -aS'was\tbe\tVBD\tB-VP\tO' -p150319 -aS'taken\ttake\tVBN\tI-VP\tO' -p150320 -aS'to\tto\tTO\tB-PP\tO' -p150321 -aS'the\tthe\tDT\tB-NP\tO' -p150322 -aS'operating\toperating\tNN\tI-NP\tO' -p150323 -aS'room\troom\tNN\tI-NP\tO' -p150324 -aS'for\tfor\tIN\tB-PP\tO' -p150325 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p150326 -aS'stent\tstent\tJJ\tI-NP\tO' -p150327 -aS'placement\tplacement\tNN\tI-NP\tO' -p150328 -aS',\t,\t,\tO\tO' -p150329 -aS'resection\tresection\tNN\tB-NP\tO' -p150330 -aS'of\tof\tIN\tB-PP\tO' -p150331 -aS'the\tthe\tDT\tB-NP\tO' -p150332 -aS'pelvic\tpelvic\tJJ\tI-NP\tO' -p150333 -aS'mass\tmass\tNN\tI-NP\tO' -p150334 -aS',\t,\t,\tO\tO' -p150335 -aS'lysis\tlysis\tNN\tB-NP\tO' -p150336 -aS'of\tof\tIN\tB-PP\tO' -p150337 -aS'adhesions\tadhesion\tNNS\tB-NP\tO' -p150338 -aS',\t,\t,\tO\tO' -p150339 -aS'left\tleave\tVBD\tB-VP\tO' -p150340 -aS'ureterolysis\tureterolysis\tNN\tB-NP\tO' -p150341 -aS',\t,\t,\tO\tO' -p150342 -aS'rectosigmoid\trectosigmoid\tJJ\tB-NP\tO' -p150343 -aS'resection\tresection\tNN\tI-NP\tO' -p150344 -aS',\t,\t,\tO\tO' -p150345 -aS'SBR\tSBR\tNN\tB-NP\tB-protein' -p150346 -aS',\t,\t,\tO\tO' -p150347 -aS'removal\tremoval\tNN\tB-NP\tO' -p150348 -aS'of\tof\tIN\tB-PP\tO' -p150349 -aS'a\ta\tDT\tB-NP\tO' -p150350 -aS'vaginal\tvaginal\tJJ\tI-NP\tO' -p150351 -aS'tumor\ttumor\tNN\tI-NP\tO' -p150352 -aS',\t,\t,\tO\tO' -p150353 -aS'omentectomy\tomentectomy\tNN\tB-NP\tO' -p150354 -aS'complicated\tcomplicate\tVBN\tB-VP\tO' -p150355 -aS'by\tby\tIN\tB-PP\tO' -p150356 -aS'an\tan\tDT\tB-NP\tO' -p150357 -aS'enterotomy\tenterotomy\tNN\tI-NP\tO' -p150358 -aS'and\tand\tCC\tO\tO' -p150359 -aS'was\tbe\tVBD\tB-VP\tO' -p150360 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p150361 -aS'to\tto\tTO\tB-PP\tO' -p150362 -aS'the\tthe\tDT\tB-NP\tO' -p150363 -aS'ICU\tICU\tNN\tI-NP\tB-DNA' -p150364 -aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' -p150365 -aS'on\ton\tIN\tB-PP\tO' -p150366 -aS'11/21/03\t11/21/03\tCD\tB-NP\tO' -p150367 -aS'.\t.\t.\tO\tO' -p150368 -asS'The patient 's urine was alkalinized with intravenous bicarbonate to maximize the myoglobin secretion .' -p150369 -(lp150370 -S'The\tThe\tDT\tB-NP\tO' -p150371 -aS'patient\tpatient\tNN\tI-NP\tO' -p150372 -aS''s\t'\tNNS\tI-NP\tO' -p150373 -aS'urine\turine\tNN\tI-NP\tO' -p150374 -aS'was\tbe\tVBD\tB-VP\tO' -p150375 -aS'alkalinized\talkalinize\tVBN\tI-VP\tO' -p150376 -aS'with\twith\tIN\tB-PP\tO' -p150377 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p150378 -aS'bicarbonate\tbicarbonate\tNN\tI-NP\tO' -p150379 -aS'to\tto\tTO\tB-VP\tO' -p150380 -aS'maximize\tmaximize\tVB\tI-VP\tO' -p150381 -aS'the\tthe\tDT\tB-NP\tO' -p150382 -aS'myoglobin\tmyoglobin\tNN\tI-NP\tO' -p150383 -aS'secretion\tsecretion\tNN\tI-NP\tO' -p150384 -aS'.\t.\t.\tO\tO' -p150385 -asS'4) Take lasix twice daily with potassium for five days then stop .' -p150386 -(lp150387 -S'4)\t4)\tLS\tB-NP\tO' -p150388 -aS'Take\tTake\tNN\tI-NP\tO' -p150389 -aS'lasix\tlasix\tNN\tI-NP\tO' -p150390 -aS'twice\ttwice\tRB\tB-ADVP\tO' -p150391 -aS'daily\tdaily\tRB\tI-ADVP\tO' -p150392 -aS'with\twith\tIN\tB-PP\tO' -p150393 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p150394 -aS'for\tfor\tIN\tB-PP\tO' -p150395 -aS'five\tfive\tCD\tB-NP\tO' -p150396 -aS'days\tday\tNNS\tI-NP\tO' -p150397 -aS'then\tthen\tRB\tB-ADVP\tO' -p150398 -aS'stop\tstop\tVBP\tB-VP\tO' -p150399 -aS'.\t.\t.\tO\tO' -p150400 -asS'Her right lung field is clear .' -p150401 -(lp150402 -S'Her\tHer\tPRP$\tB-NP\tO' -p150403 -aS'right\tright\tJJ\tI-NP\tO' -p150404 -aS'lung\tlung\tNN\tI-NP\tO' -p150405 -aS'field\tfield\tNN\tI-NP\tO' -p150406 -aS'is\tbe\tVBZ\tB-VP\tO' -p150407 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p150408 -aS'.\t.\t.\tO\tO' -p150409 -asS'Intubated for airway protection at 13:35 after Fentanyl , Etomidate , Vecuronium and Succhinylcholine given .' -p150410 -(lp150411 -S'Intubated\tIntubate\tVBN\tB-VP\tO' -p150412 -aS'for\tfor\tIN\tB-PP\tO' -p150413 -aS'airway\tairway\tNN\tB-NP\tO' -p150414 -aS'protection\tprotection\tNN\tI-NP\tO' -p150415 -aS'at\tat\tIN\tB-PP\tO' -p150416 -aS'13:35\t13:35\tCD\tB-NP\tO' -p150417 -aS'after\tafter\tIN\tB-PP\tO' -p150418 -aS'Fentanyl\tFentanyl\tNN\tB-NP\tO' -p150419 -aS',\t,\t,\tO\tO' -p150420 -aS'Etomidate\tEtomidate\tNN\tB-NP\tO' -p150421 -aS',\t,\t,\tO\tO' -p150422 -aS'Vecuronium\tVecuronium\tNN\tB-NP\tO' -p150423 -aS'and\tand\tCC\tI-NP\tO' -p150424 -aS'Succhinylcholine\tSucchinylcholine\tNN\tI-NP\tO' -p150425 -aS'given\tgive\tVBN\tB-VP\tO' -p150426 -aS'.\t.\t.\tO\tO' -p150427 -asS'Signed electronically by : DR. Yolanda Corona on : WED 2013-12-11 11:46 AM' -p150428 -(lp150429 -S'Signed\tSign\tVBN\tB-VP\tO' -p150430 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p150431 -aS'by\tby\tIN\tB-PP\tO' -p150432 -aS':\t:\t:\tO\tO' -p150433 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p150434 -aS'Yolanda\tYolanda\tNNP\tI-NP\tO' -p150435 -aS'Corona\tCorona\tNNP\tI-NP\tO' -p150436 -aS'on\ton\tIN\tB-PP\tO' -p150437 -aS':\t:\t:\tO\tO' -p150438 -aS'WED\tWED\tVBD\tB-VP\tO' -p150439 -aS'2013-12-11\t2013-12-11\tCD\tB-NP\tO' -p150440 -aS'11:46\t11:46\tCD\tI-NP\tO' -p150441 -aS'AM\tAM\tNN\tI-NP\tO' -p150442 -asS'1. Percutaneous transluminal coronary angioplasty and coronary atherectomy of the left anterior descending , 8-17-93 ,' -p150443 -(lp150444 -S'1.\t1.\tLS\tB-NP\tO' -p150445 -aS'Percutaneous\tPercutaneous\tJJ\tI-NP\tO' -p150446 -aS'transluminal\ttransluminal\tJJ\tI-NP\tO' -p150447 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p150448 -aS'angioplasty\tangioplasty\tJJ\tI-NP\tO' -p150449 -aS'and\tand\tCC\tI-NP\tO' -p150450 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p150451 -aS'atherectomy\tatherectomy\tNN\tI-NP\tO' -p150452 -aS'of\tof\tIN\tB-PP\tO' -p150453 -aS'the\tthe\tDT\tB-NP\tO' -p150454 -aS'left\tleft\tJJ\tI-NP\tO' -p150455 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p150456 -aS'descending\tdescending\tNN\tI-NP\tO' -p150457 -aS',\t,\t,\tO\tO' -p150458 -aS'8-17-93\t8-17-93\tCD\tB-NP\tO' -p150459 -aS',\t,\t,\tO\tO' -p150460 -asS'She was ambulating on her own and tolerating a p.o. diet .' -p150461 -(lp150462 -S'She\tShe\tPRP\tB-NP\tO' -p150463 -aS'was\tbe\tVBD\tB-VP\tO' -p150464 -aS'ambulating\tambulate\tVBG\tI-VP\tO' -p150465 -aS'on\ton\tIN\tB-PP\tO' -p150466 -aS'her\ther\tPRP$\tB-NP\tO' -p150467 -aS'own\town\tJJ\tI-NP\tO' -p150468 -aS'and\tand\tCC\tO\tO' -p150469 -aS'tolerating\ttolerate\tVBG\tB-VP\tO' -p150470 -aS'a\ta\tDT\tB-NP\tO' -p150471 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p150472 -aS'diet\tdiet\tNN\tI-NP\tO' -p150473 -aS'.\t.\t.\tO\tO' -p150474 -asS"After 1 day of chemotherapy , the patient had 8-10 RBC 's in her urine but by the second day of her IFEX infusion , she had 50-80 RBC 's in her urine as well as a few transitional epithelial cells ." -p150475 -(lp150476 -S'After\tAfter\tIN\tB-PP\tO' -p150477 -aS'1\t1\tCD\tB-NP\tO' -p150478 -aS'day\tday\tNN\tI-NP\tO' -p150479 -aS'of\tof\tIN\tB-PP\tO' -p150480 -aS'chemotherapy\tchemotherapy\tNN\tB-NP\tO' -p150481 -aS',\t,\t,\tO\tO' -p150482 -aS'the\tthe\tDT\tB-NP\tO' -p150483 -aS'patient\tpatient\tNN\tI-NP\tO' -p150484 -aS'had\thave\tVBD\tB-VP\tO' -p150485 -aS'8-10\t8-10\tCD\tB-NP\tO' -p150486 -aS'RBC\tRBC\tNNS\tI-NP\tO' -p150487 -aS"'s\t's\tPOS\tB-NP\tO" -p150488 -aS'in\tin\tIN\tB-PP\tO' -p150489 -aS'her\ther\tPRP$\tB-NP\tO' -p150490 -aS'urine\turine\tNN\tI-NP\tO' -p150491 -aS'but\tbut\tCC\tB-PP\tO' -p150492 -aS'by\tby\tIN\tB-PP\tO' -p150493 -aS'the\tthe\tDT\tB-NP\tO' -p150494 -aS'second\tsecond\tJJ\tI-NP\tO' -p150495 -aS'day\tday\tNN\tI-NP\tO' -p150496 -aS'of\tof\tIN\tB-PP\tO' -p150497 -aS'her\ther\tPRP$\tB-NP\tO' -p150498 -aS'IFEX\tIFEX\tNN\tI-NP\tO' -p150499 -aS'infusion\tinfusion\tNN\tI-NP\tO' -p150500 -aS',\t,\t,\tO\tO' -p150501 -aS'she\tshe\tPRP\tB-NP\tO' -p150502 -aS'had\thave\tVBD\tB-VP\tO' -p150503 -aS'50-80\t50-80\tCD\tB-NP\tO' -p150504 -aS'RBC\tRBC\tNNS\tI-NP\tB-cell_type' -p150505 -aS"'s\t's\tPOS\tB-NP\tO" -p150506 -aS'in\tin\tIN\tB-PP\tO' -p150507 -aS'her\ther\tPRP$\tB-NP\tO' -p150508 -aS'urine\turine\tNN\tI-NP\tO' -p150509 -aS'as\tas\tRB\tB-CONJP\tO' -p150510 -aS'well\twell\tRB\tI-CONJP\tO' -p150511 -aS'as\tas\tIN\tI-CONJP\tO' -p150512 -aS'a\ta\tDT\tB-NP\tO' -p150513 -aS'few\tfew\tJJ\tI-NP\tB-cell_type' -p150514 -aS'transitional\ttransitional\tJJ\tI-NP\tI-cell_type' -p150515 -aS'epithelial\tepithelial\tJJ\tI-NP\tI-cell_type' -p150516 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p150517 -aS'.\t.\t.\tO\tO' -p150518 -asS'Mental status improved with the discontinuation of his bensodiazapines .' -p150519 -(lp150520 -S'Mental\tMental\tJJ\tB-NP\tO' -p150521 -aS'status\tstatus\tNN\tI-NP\tO' -p150522 -aS'improved\timprove\tVBN\tB-VP\tO' -p150523 -aS'with\twith\tIN\tB-PP\tO' -p150524 -aS'the\tthe\tDT\tB-NP\tO' -p150525 -aS'discontinuation\tdiscontinuation\tNN\tI-NP\tO' -p150526 -aS'of\tof\tIN\tB-PP\tO' -p150527 -aS'his\this\tPRP$\tB-NP\tO' -p150528 -aS'bensodiazapines\tbensodiazapine\tNNS\tI-NP\tO' -p150529 -aS'.\t.\t.\tO\tO' -p150530 -asS'5. Insulin Regular Human 100 unit/mL Solution Sig : 2-10 units Injection ASDIR ( AS DIRECTED ) : per sliding scale for blood sugars > 150mg/dl .' -p150531 -(lp150532 -S'5.\t5.\tLS\tB-NP\tO' -p150533 -aS'Insulin\tInsulin\tNN\tI-NP\tB-protein' -p150534 -aS'Regular\tRegular\tJJ\tI-NP\tO' -p150535 -aS'Human\tHuman\tJJ\tI-NP\tO' -p150536 -aS'100\t100\tCD\tI-NP\tO' -p150537 -aS'unit/mL\tunit/mL\tNN\tI-NP\tO' -p150538 -aS'Solution\tSolution\tNNP\tI-NP\tO' -p150539 -aS'Sig\tSig\tNNP\tI-NP\tO' -p150540 -aS':\t:\t:\tO\tO' -p150541 -aS'2-10\t2-10\tCD\tB-NP\tO' -p150542 -aS'units\tunit\tNNS\tI-NP\tO' -p150543 -aS'Injection\tInjection\tNN\tB-NP\tO' -p150544 -aS'ASDIR\tASDIR\tNN\tI-NP\tO' -p150545 -aS'(\t(\t(\tO\tO' -p150546 -aS'AS\tAS\tNNP\tB-NP\tO' -p150547 -aS'DIRECTED\tDIRECTED\tNNP\tI-NP\tO' -p150548 -aS')\t)\t)\tO\tO' -p150549 -aS':\t:\t:\tO\tO' -p150550 -aS'per\tper\tIN\tB-PP\tO' -p150551 -aS'sliding\tslide\tVBG\tB-VP\tO' -p150552 -aS'scale\tscale\tNN\tB-NP\tO' -p150553 -aS'for\tfor\tIN\tB-PP\tO' -p150554 -aS'blood\tblood\tNN\tB-NP\tO' -p150555 -aS'sugars\tsugar\tNNS\tI-NP\tO' -p150556 -aS'>\t>\tSYM\tB-VP\tO' -p150557 -aS'150mg/dl\t150mg/dl\tNN\tB-NP\tO' -p150558 -aS'.\t.\t.\tO\tO' -p150559 -asS'The breasts were notable for fibrocystic changes .' -p150560 -(lp150561 -S'The\tThe\tDT\tB-NP\tO' -p150562 -aS'breasts\tbreast\tNNS\tI-NP\tO' -p150563 -aS'were\tbe\tVBD\tB-VP\tO' -p150564 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p150565 -aS'for\tfor\tIN\tB-PP\tO' -p150566 -aS'fibrocystic\tfibrocystic\tJJ\tB-NP\tO' -p150567 -aS'changes\tchange\tNNS\tI-NP\tO' -p150568 -aS'.\t.\t.\tO\tO' -p150569 -asS'He presented with gross hematuria at that time .' -p150570 -(lp150571 -S'He\tHe\tPRP\tB-NP\tO' -p150572 -aS'presented\tpresent\tVBD\tB-VP\tO' -p150573 -aS'with\twith\tIN\tB-PP\tO' -p150574 -aS'gross\tgross\tJJ\tB-NP\tO' -p150575 -aS'hematuria\thematuria\tNN\tI-NP\tO' -p150576 -aS'at\tat\tIN\tB-PP\tO' -p150577 -aS'that\tthat\tDT\tB-NP\tO' -p150578 -aS'time\ttime\tNN\tI-NP\tO' -p150579 -aS'.\t.\t.\tO\tO' -p150580 -asS'The right coronary was prominent , and there appeared to be coronary artery collateral vessels in the posterior apical myocardium .' -p150581 -(lp150582 -S'The\tThe\tDT\tB-NP\tO' -p150583 -aS'right\tright\tJJ\tI-NP\tO' -p150584 -aS'coronary\tcoronary\tNN\tI-NP\tO' -p150585 -aS'was\tbe\tVBD\tB-VP\tO' -p150586 -aS'prominent\tprominent\tJJ\tB-ADJP\tO' -p150587 -aS',\t,\t,\tO\tO' -p150588 -aS'and\tand\tCC\tO\tO' -p150589 -aS'there\tthere\tEX\tB-NP\tO' -p150590 -aS'appeared\tappear\tVBD\tB-VP\tO' -p150591 -aS'to\tto\tTO\tI-VP\tO' -p150592 -aS'be\tbe\tVB\tI-VP\tO' -p150593 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p150594 -aS'artery\tartery\tNN\tI-NP\tO' -p150595 -aS'collateral\tcollateral\tNN\tI-NP\tO' -p150596 -aS'vessels\tvessel\tNNS\tI-NP\tO' -p150597 -aS'in\tin\tIN\tB-PP\tO' -p150598 -aS'the\tthe\tDT\tB-NP\tO' -p150599 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p150600 -aS'apical\tapical\tJJ\tI-NP\tO' -p150601 -aS'myocardium\tmyocardium\tNN\tI-NP\tO' -p150602 -aS'.\t.\t.\tO\tO' -p150603 -asS'His most recent admission was on 08/23/92 to 08/25/92 with fever and chills .' -p150604 -(lp150605 -S'His\tHis\tPRP$\tB-NP\tB-protein' -p150606 -aS'most\tmost\tRBS\tI-NP\tO' -p150607 -aS'recent\trecent\tJJ\tI-NP\tO' -p150608 -aS'admission\tadmission\tNN\tI-NP\tO' -p150609 -aS'was\tbe\tVBD\tB-VP\tO' -p150610 -aS'on\ton\tIN\tB-PP\tO' -p150611 -aS'08/23/92\t08/23/92\tCD\tB-NP\tO' -p150612 -aS'to\tto\tTO\tB-PP\tO' -p150613 -aS'08/25/92\t08/25/92\tCD\tB-NP\tO' -p150614 -aS'with\twith\tIN\tB-PP\tO' -p150615 -aS'fever\tfever\tNN\tB-NP\tO' -p150616 -aS'and\tand\tCC\tI-NP\tO' -p150617 -aS'chills\tchill\tNNS\tI-NP\tO' -p150618 -aS'.\t.\t.\tO\tO' -p150619 -asS'Dictated By : Robert C. Warren , M.D.' -p150620 -(lp150621 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p150622 -aS'By\tBy\tIN\tB-PP\tO' -p150623 -aS':\t:\t:\tO\tO' -p150624 -aS'Robert\tRobert\tNNP\tB-NP\tO' -p150625 -aS'C.\tC.\tNNP\tI-NP\tO' -p150626 -aS'Warren\tWarren\tNNP\tI-NP\tO' -p150627 -aS',\t,\t,\tO\tO' -p150628 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p150629 -asS'Take for 10 days or until drains come out ; whichever is of longer duration .' -p150630 -(lp150631 -S'Take\tTake\tVB\tB-VP\tO' -p150632 -aS'for\tfor\tIN\tB-PP\tO' -p150633 -aS'10\t10\tCD\tB-NP\tO' -p150634 -aS'days\tday\tNNS\tI-NP\tO' -p150635 -aS'or\tor\tCC\tB-PP\tO' -p150636 -aS'until\tuntil\tIN\tB-SBAR\tO' -p150637 -aS'drains\tdrain\tNNS\tB-NP\tO' -p150638 -aS'come\tcome\tVBN\tB-VP\tO' -p150639 -aS'out\tout\tRP\tB-PRT\tO' -p150640 -aS';\t;\t:\tO\tO' -p150641 -aS'whichever\twhichever\tWDT\tB-NP\tO' -p150642 -aS'is\tbe\tVBZ\tB-VP\tO' -p150643 -aS'of\tof\tIN\tB-PP\tO' -p150644 -aS'longer\tlong\tJJR\tB-NP\tO' -p150645 -aS'duration\tduration\tNN\tI-NP\tO' -p150646 -aS'.\t.\t.\tO\tO' -p150647 -asS'Good pedal pulses .' -p150648 -(lp150649 -S'Good\tGood\tJJ\tB-NP\tO' -p150650 -aS'pedal\tpedal\tJJ\tI-NP\tO' -p150651 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p150652 -aS'.\t.\t.\tO\tO' -p150653 -asS'After the patient began on this protocol , his white blood cell count steadily began to climb .' -p150654 -(lp150655 -S'After\tAfter\tIN\tB-PP\tO' -p150656 -aS'the\tthe\tDT\tB-NP\tO' -p150657 -aS'patient\tpatient\tNN\tI-NP\tO' -p150658 -aS'began\tbegin\tVBD\tB-VP\tO' -p150659 -aS'on\ton\tIN\tB-PP\tO' -p150660 -aS'this\tthis\tDT\tB-NP\tO' -p150661 -aS'protocol\tprotocol\tNN\tI-NP\tO' -p150662 -aS',\t,\t,\tO\tO' -p150663 -aS'his\this\tPRP$\tB-NP\tO' -p150664 -aS'white\twhite\tJJ\tI-NP\tO' -p150665 -aS'blood\tblood\tNN\tI-NP\tO' -p150666 -aS'cell\tcell\tNN\tI-NP\tO' -p150667 -aS'count\tcount\tNN\tI-NP\tO' -p150668 -aS'steadily\tsteadily\tRB\tB-ADVP\tO' -p150669 -aS'began\tbegin\tVBD\tB-VP\tO' -p150670 -aS'to\tto\tTO\tI-VP\tO' -p150671 -aS'climb\tclimb\tVB\tI-VP\tO' -p150672 -aS'.\t.\t.\tO\tO' -p150673 -asS'Postoperatively , Mr. Cordano also suffered from low urine output ranges between 25 to 30 cc per hour .' -p150674 -(lp150675 -S'Postoperatively\tPostoperatively\tRB\tB-ADVP\tO' -p150676 -aS',\t,\t,\tO\tO' -p150677 -aS'Mr.\tMr.\tNNP\tB-NP\tO' -p150678 -aS'Cordano\tCordano\tNNP\tI-NP\tO' -p150679 -aS'also\talso\tRB\tB-ADVP\tO' -p150680 -aS'suffered\tsuffer\tVBD\tB-VP\tO' -p150681 -aS'from\tfrom\tIN\tB-PP\tO' -p150682 -aS'low\tlow\tJJ\tB-NP\tO' -p150683 -aS'urine\turine\tNN\tI-NP\tO' -p150684 -aS'output\toutput\tNN\tI-NP\tO' -p150685 -aS'ranges\trange\tNNS\tI-NP\tO' -p150686 -aS'between\tbetween\tIN\tB-PP\tO' -p150687 -aS'25\t25\tCD\tB-NP\tO' -p150688 -aS'to\tto\tTO\tI-NP\tO' -p150689 -aS'30\t30\tCD\tI-NP\tO' -p150690 -aS'cc\tcc\tNN\tI-NP\tO' -p150691 -aS'per\tper\tIN\tB-PP\tO' -p150692 -aS'hour\thour\tNN\tB-NP\tO' -p150693 -aS'.\t.\t.\tO\tO' -p150694 -asS'Three healthy siblings .' -p150695 -(lp150696 -S'Three\tThree\tCD\tB-NP\tO' -p150697 -aS'healthy\thealthy\tJJ\tI-NP\tO' -p150698 -aS'siblings\tsibling\tNNS\tI-NP\tO' -p150699 -aS'.\t.\t.\tO\tO' -p150700 -asS'On the morning of 2014-07-29 , the patient was taken to the Operating Room and underwent a cholecystectomy , partial hepatectomy , partial lymph node dissection , a colocolostomy , partial colectomy , and in addition a gastrostomy and a feeding jejunostomy were also put in place .' -p150701 -(lp150702 -S'On\tOn\tIN\tB-PP\tO' -p150703 -aS'the\tthe\tDT\tB-NP\tO' -p150704 -aS'morning\tmorning\tNN\tI-NP\tO' -p150705 -aS'of\tof\tIN\tB-PP\tO' -p150706 -aS'2014-07-29\t2014-07-29\tCD\tB-NP\tO' -p150707 -aS',\t,\t,\tO\tO' -p150708 -aS'the\tthe\tDT\tB-NP\tO' -p150709 -aS'patient\tpatient\tNN\tI-NP\tO' -p150710 -aS'was\tbe\tVBD\tB-VP\tO' -p150711 -aS'taken\ttake\tVBN\tI-VP\tO' -p150712 -aS'to\tto\tTO\tB-PP\tO' -p150713 -aS'the\tthe\tDT\tB-NP\tO' -p150714 -aS'Operating\tOperating\tNNP\tI-NP\tO' -p150715 -aS'Room\tRoom\tNNP\tI-NP\tO' -p150716 -aS'and\tand\tCC\tO\tO' -p150717 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p150718 -aS'a\ta\tDT\tB-NP\tO' -p150719 -aS'cholecystectomy\tcholecystectomy\tNN\tI-NP\tO' -p150720 -aS',\t,\t,\tO\tO' -p150721 -aS'partial\tpartial\tJJ\tB-NP\tO' -p150722 -aS'hepatectomy\thepatectomy\tNN\tI-NP\tO' -p150723 -aS',\t,\t,\tO\tO' -p150724 -aS'partial\tpartial\tJJ\tB-NP\tO' -p150725 -aS'lymph\tlymph\tNN\tI-NP\tO' -p150726 -aS'node\tnode\tNN\tI-NP\tO' -p150727 -aS'dissection\tdissection\tNN\tI-NP\tO' -p150728 -aS',\t,\t,\tO\tO' -p150729 -aS'a\ta\tDT\tB-NP\tO' -p150730 -aS'colocolostomy\tcolocolostomy\tNN\tI-NP\tO' -p150731 -aS',\t,\t,\tO\tO' -p150732 -aS'partial\tpartial\tJJ\tB-NP\tO' -p150733 -aS'colectomy\tcolectomy\tNN\tI-NP\tO' -p150734 -aS',\t,\t,\tO\tO' -p150735 -aS'and\tand\tCC\tO\tO' -p150736 -aS'in\tin\tIN\tB-PP\tO' -p150737 -aS'addition\taddition\tNN\tB-NP\tO' -p150738 -aS'a\ta\tDT\tB-NP\tO' -p150739 -aS'gastrostomy\tgastrostomy\tNN\tI-NP\tO' -p150740 -aS'and\tand\tCC\tO\tO' -p150741 -aS'a\ta\tDT\tB-NP\tO' -p150742 -aS'feeding\tfeeding\tNN\tI-NP\tO' -p150743 -aS'jejunostomy\tjejunostomy\tNN\tI-NP\tO' -p150744 -aS'were\tbe\tVBD\tB-VP\tO' -p150745 -aS'also\talso\tRB\tI-VP\tO' -p150746 -aS'put\tput\tVBN\tI-VP\tO' -p150747 -aS'in\tin\tIN\tB-PP\tO' -p150748 -aS'place\tplace\tNN\tB-NP\tO' -p150749 -aS'.\t.\t.\tO\tO' -p150750 -asS'On postoperative day #1 , his balloon pump was weaned and the patient was transferred at 2 units of packed red blood cells .' -p150751 -(lp150752 -S'On\tOn\tIN\tB-PP\tO' -p150753 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p150754 -aS'day\tday\tNN\tI-NP\tO' -p150755 -aS'#1\t#1\tNN\tI-NP\tO' -p150756 -aS',\t,\t,\tO\tO' -p150757 -aS'his\this\tPRP$\tB-NP\tO' -p150758 -aS'balloon\tballoon\tNN\tI-NP\tO' -p150759 -aS'pump\tpump\tNN\tI-NP\tO' -p150760 -aS'was\tbe\tVBD\tB-VP\tO' -p150761 -aS'weaned\twean\tVBN\tI-VP\tO' -p150762 -aS'and\tand\tCC\tO\tO' -p150763 -aS'the\tthe\tDT\tB-NP\tO' -p150764 -aS'patient\tpatient\tNN\tI-NP\tO' -p150765 -aS'was\tbe\tVBD\tB-VP\tO' -p150766 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p150767 -aS'at\tat\tIN\tB-PP\tO' -p150768 -aS'2\t2\tCD\tB-NP\tO' -p150769 -aS'units\tunit\tNNS\tI-NP\tO' -p150770 -aS'of\tof\tIN\tB-PP\tO' -p150771 -aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' -p150772 -aS'red\tred\tJJ\tI-NP\tI-cell_type' -p150773 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p150774 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p150775 -aS'.\t.\t.\tO\tO' -p150776 -asS'The patient presented with abdominal pain and bloating and was found to have a large omental mass .' -p150777 -(lp150778 -S'The\tThe\tDT\tB-NP\tO' -p150779 -aS'patient\tpatient\tNN\tI-NP\tO' -p150780 -aS'presented\tpresent\tVBD\tB-VP\tO' -p150781 -aS'with\twith\tIN\tB-PP\tO' -p150782 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p150783 -aS'pain\tpain\tNN\tI-NP\tO' -p150784 -aS'and\tand\tCC\tO\tO' -p150785 -aS'bloating\tbloat\tVBG\tB-VP\tO' -p150786 -aS'and\tand\tCC\tO\tO' -p150787 -aS'was\tbe\tVBD\tB-VP\tO' -p150788 -aS'found\tfind\tVBN\tI-VP\tO' -p150789 -aS'to\tto\tTO\tI-VP\tO' -p150790 -aS'have\thave\tVB\tI-VP\tO' -p150791 -aS'a\ta\tDT\tB-NP\tO' -p150792 -aS'large\tlarge\tJJ\tI-NP\tO' -p150793 -aS'omental\tomental\tJJ\tI-NP\tO' -p150794 -aS'mass\tmass\tNN\tI-NP\tO' -p150795 -aS'.\t.\t.\tO\tO' -p150796 -asS'Because it would be ideal to place a mechanical valve if valve replacement rather that commissurotomy is needed , she was seen by Dr. Ca Shuff of ENT for her history of epistaxis .' -p150797 -(lp150798 -S'Because\tBecause\tIN\tB-SBAR\tO' -p150799 -aS'it\tit\tPRP\tB-NP\tO' -p150800 -aS'would\twould\tMD\tB-VP\tO' -p150801 -aS'be\tbe\tVB\tI-VP\tO' -p150802 -aS'ideal\tideal\tJJ\tB-ADJP\tO' -p150803 -aS'to\tto\tTO\tB-VP\tO' -p150804 -aS'place\tplace\tVB\tI-VP\tO' -p150805 -aS'a\ta\tDT\tB-NP\tO' -p150806 -aS'mechanical\tmechanical\tJJ\tI-NP\tO' -p150807 -aS'valve\tvalve\tNN\tI-NP\tO' -p150808 -aS'if\tif\tIN\tB-SBAR\tO' -p150809 -aS'valve\tvalve\tJJ\tB-NP\tO' -p150810 -aS'replacement\treplacement\tNN\tI-NP\tO' -p150811 -aS'rather\trather\tRB\tB-ADVP\tO' -p150812 -aS'that\tthat\tIN\tB-SBAR\tO' -p150813 -aS'commissurotomy\tcommissurotomy\tNN\tB-NP\tO' -p150814 -aS'is\tbe\tVBZ\tB-VP\tO' -p150815 -aS'needed\tneed\tVBN\tI-VP\tO' -p150816 -aS',\t,\t,\tO\tO' -p150817 -aS'she\tshe\tPRP\tB-NP\tO' -p150818 -aS'was\tbe\tVBD\tB-VP\tO' -p150819 -aS'seen\tsee\tVBN\tI-VP\tO' -p150820 -aS'by\tby\tIN\tB-PP\tO' -p150821 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p150822 -aS'Ca\tCa\tNNP\tI-NP\tO' -p150823 -aS'Shuff\tShuff\tNNP\tI-NP\tO' -p150824 -aS'of\tof\tIN\tB-PP\tO' -p150825 -aS'ENT\tENT\tNNP\tB-NP\tO' -p150826 -aS'for\tfor\tIN\tB-PP\tO' -p150827 -aS'her\ther\tPRP$\tB-NP\tO' -p150828 -aS'history\thistory\tNN\tI-NP\tO' -p150829 -aS'of\tof\tIN\tB-PP\tO' -p150830 -aS'epistaxis\tepistaxis\tNN\tB-NP\tO' -p150831 -aS'.\t.\t.\tO\tO' -p150832 -asS'IMPRESSION : No change vs . prior .' -p150833 -(lp150834 -S'IMPRESSION\tIMPRESSION\tNN\tB-NP\tO' -p150835 -aS':\t:\t:\tO\tO' -p150836 -aS'No\tNo\tDT\tB-NP\tO' -p150837 -aS'change\tchange\tNN\tI-NP\tO' -p150838 -aS'vs\tv\tNNS\tI-NP\tO' -p150839 -aS'.\t.\t.\tO\tO' -p150840 -aS'prior\tprior\tRB\tB-ADVP\tO' -p150841 -aS'.\t.\t.\tO\tO' -p150842 -asS"While on the floor , the patient 's mental status was noted to be improved back at baseline compared to that back to the CMED CCU , and she exhibited no evidence of barbiturate withdrawal ." -p150843 -(lp150844 -S'While\tWhile\tIN\tB-SBAR\tO' -p150845 -aS'on\ton\tIN\tB-PP\tO' -p150846 -aS'the\tthe\tDT\tB-NP\tO' -p150847 -aS'floor\tfloor\tNN\tI-NP\tO' -p150848 -aS',\t,\t,\tO\tO' -p150849 -aS'the\tthe\tDT\tB-NP\tO' -p150850 -aS'patient\tpatient\tNN\tI-NP\tO' -p150851 -aS"'s\t's\tPOS\tB-NP\tO" -p150852 -aS'mental\tmental\tJJ\tI-NP\tO' -p150853 -aS'status\tstatus\tNN\tI-NP\tO' -p150854 -aS'was\tbe\tVBD\tB-VP\tO' -p150855 -aS'noted\tnote\tVBN\tI-VP\tO' -p150856 -aS'to\tto\tTO\tI-VP\tO' -p150857 -aS'be\tbe\tVB\tI-VP\tO' -p150858 -aS'improved\timprove\tVBN\tI-VP\tO' -p150859 -aS'back\tback\tRB\tB-ADVP\tO' -p150860 -aS'at\tat\tIN\tB-PP\tO' -p150861 -aS'baseline\tbaseline\tNN\tB-NP\tO' -p150862 -aS'compared\tcompare\tVBN\tB-VP\tO' -p150863 -aS'to\tto\tTO\tB-PP\tO' -p150864 -aS'that\tthat\tDT\tB-NP\tO' -p150865 -aS'back\tback\tRB\tB-ADVP\tO' -p150866 -aS'to\tto\tTO\tB-PP\tO' -p150867 -aS'the\tthe\tDT\tB-NP\tO' -p150868 -aS'CMED\tCMED\tVBN\tI-NP\tO' -p150869 -aS'CCU\tCCU\tNN\tI-NP\tO' -p150870 -aS',\t,\t,\tO\tO' -p150871 -aS'and\tand\tCC\tO\tO' -p150872 -aS'she\tshe\tPRP\tB-NP\tO' -p150873 -aS'exhibited\texhibit\tVBD\tB-VP\tO' -p150874 -aS'no\tno\tDT\tB-NP\tO' -p150875 -aS'evidence\tevidence\tNN\tI-NP\tO' -p150876 -aS'of\tof\tIN\tB-PP\tO' -p150877 -aS'barbiturate\tbarbiturate\tNN\tB-NP\tO' -p150878 -aS'withdrawal\twithdrawal\tNN\tI-NP\tO' -p150879 -aS'.\t.\t.\tO\tO' -p150880 -asS'The review of systems was notable for anxiety .' -p150881 -(lp150882 -S'The\tThe\tDT\tB-NP\tO' -p150883 -aS'review\treview\tNN\tI-NP\tO' -p150884 -aS'of\tof\tIN\tB-PP\tO' -p150885 -aS'systems\tsystem\tNNS\tB-NP\tO' -p150886 -aS'was\tbe\tVBD\tB-VP\tO' -p150887 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p150888 -aS'for\tfor\tIN\tB-PP\tO' -p150889 -aS'anxiety\tanxiety\tNN\tB-NP\tO' -p150890 -aS'.\t.\t.\tO\tO' -p150891 -asS'The patient remained cardiovascularly stable throughout the admission .' -p150892 -(lp150893 -S'The\tThe\tDT\tB-NP\tO' -p150894 -aS'patient\tpatient\tNN\tI-NP\tO' -p150895 -aS'remained\tremain\tVBD\tB-VP\tO' -p150896 -aS'cardiovascularly\tcardiovascularly\tRB\tB-ADJP\tO' -p150897 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p150898 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p150899 -aS'the\tthe\tDT\tB-NP\tO' -p150900 -aS'admission\tadmission\tNN\tI-NP\tO' -p150901 -aS'.\t.\t.\tO\tO' -p150902 -asS'Several additional ECHOs were performed , including an ECHO in the cardiology department at HealthSouth Rehab Hospital of Western Mass. , but the anatomy of the left coronary artery could not be further defined .' -p150903 -(lp150904 -S'Several\tSeveral\tJJ\tB-NP\tO' -p150905 -aS'additional\tadditional\tJJ\tI-NP\tO' -p150906 -aS'ECHOs\tECHO\tNNS\tI-NP\tO' -p150907 -aS'were\tbe\tVBD\tB-VP\tO' -p150908 -aS'performed\tperform\tVBN\tI-VP\tO' -p150909 -aS',\t,\t,\tO\tO' -p150910 -aS'including\tinclude\tVBG\tB-PP\tO' -p150911 -aS'an\tan\tDT\tB-NP\tO' -p150912 -aS'ECHO\tECHO\tNN\tI-NP\tB-protein' -p150913 -aS'in\tin\tIN\tB-PP\tO' -p150914 -aS'the\tthe\tDT\tB-NP\tO' -p150915 -aS'cardiology\tcardiology\tNN\tI-NP\tO' -p150916 -aS'department\tdepartment\tNN\tI-NP\tO' -p150917 -aS'at\tat\tIN\tB-PP\tO' -p150918 -aS'HealthSouth\tHealthSouth\tNNP\tB-NP\tO' -p150919 -aS'Rehab\tRehab\tNNP\tI-NP\tO' -p150920 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p150921 -aS'of\tof\tIN\tB-PP\tO' -p150922 -aS'Western\tWestern\tNNP\tB-NP\tO' -p150923 -aS'Mass.\tMass.\tNNP\tI-NP\tO' -p150924 -aS',\t,\t,\tO\tO' -p150925 -aS'but\tbut\tCC\tO\tO' -p150926 -aS'the\tthe\tDT\tB-NP\tO' -p150927 -aS'anatomy\tanatomy\tNN\tI-NP\tO' -p150928 -aS'of\tof\tIN\tB-PP\tO' -p150929 -aS'the\tthe\tDT\tB-NP\tO' -p150930 -aS'left\tleft\tJJ\tI-NP\tO' -p150931 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p150932 -aS'artery\tartery\tNN\tI-NP\tO' -p150933 -aS'could\tcould\tMD\tB-VP\tO' -p150934 -aS'not\tnot\tRB\tI-VP\tO' -p150935 -aS'be\tbe\tVB\tI-VP\tO' -p150936 -aS'further\tfurther\tRBR\tB-ADJP\tO' -p150937 -aS'defined\tdefine\tVBN\tI-ADJP\tO' -p150938 -aS'.\t.\t.\tO\tO' -p150939 -asS'Mr. Freeman was admitted to the Nantucket Cottage Hospital on 2014-04-21 for surgical management of his PFO .' -p150940 -(lp150941 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p150942 -aS'Freeman\tFreeman\tNNP\tI-NP\tO' -p150943 -aS'was\tbe\tVBD\tB-VP\tO' -p150944 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p150945 -aS'to\tto\tTO\tB-PP\tO' -p150946 -aS'the\tthe\tDT\tB-NP\tO' -p150947 -aS'Nantucket\tNantucket\tNNP\tI-NP\tO' -p150948 -aS'Cottage\tCottage\tNNP\tI-NP\tO' -p150949 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p150950 -aS'on\ton\tIN\tB-PP\tO' -p150951 -aS'2014-04-21\t2014-04-21\tCD\tB-NP\tO' -p150952 -aS'for\tfor\tIN\tB-PP\tO' -p150953 -aS'surgical\tsurgical\tJJ\tB-NP\tO' -p150954 -aS'management\tmanagement\tNN\tI-NP\tO' -p150955 -aS'of\tof\tIN\tB-PP\tO' -p150956 -aS'his\this\tPRP$\tB-NP\tO' -p150957 -aS'PFO\tPFO\tNN\tI-NP\tB-protein' -p150958 -aS'.\t.\t.\tO\tO' -p150959 -asS'Atrovent , two puffs qid .' -p150960 -(lp150961 -S'Atrovent\tAtrovent\tNNP\tB-NP\tO' -p150962 -aS',\t,\t,\tO\tO' -p150963 -aS'two\ttwo\tCD\tB-NP\tO' -p150964 -aS'puffs\tpuff\tNNS\tI-NP\tO' -p150965 -aS'qid\tqid\tNN\tI-NP\tO' -p150966 -aS'.\t.\t.\tO\tO' -p150967 -asS'Abdomens oft with positive bowel sounds .' -p150968 -(lp150969 -S'Abdomens\tAbdomen\tNNS\tB-NP\tO' -p150970 -aS'oft\toft\tVBP\tB-VP\tO' -p150971 -aS'with\twith\tIN\tB-PP\tO' -p150972 -aS'positive\tpositive\tJJ\tB-NP\tO' -p150973 -aS'bowel\tbowel\tNN\tI-NP\tO' -p150974 -aS'sounds\tsound\tNNS\tI-NP\tO' -p150975 -aS'.\t.\t.\tO\tO' -p150976 -asS'A computerized tomography scan demonstrated a contrast enhancing complex left renal mass .' -p150977 -(lp150978 -S'A\tA\tDT\tB-NP\tO' -p150979 -aS'computerized\tcomputerized\tJJ\tI-NP\tO' -p150980 -aS'tomography\ttomography\tNN\tI-NP\tO' -p150981 -aS'scan\tscan\tNN\tI-NP\tO' -p150982 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p150983 -aS'a\ta\tDT\tB-NP\tO' -p150984 -aS'contrast\tcontrast\tNN\tI-NP\tO' -p150985 -aS'enhancing\tenhance\tVBG\tB-VP\tO' -p150986 -aS'complex\tcomplex\tJJ\tB-NP\tO' -p150987 -aS'left\tleft\tJJ\tI-NP\tO' -p150988 -aS'renal\trenal\tJJ\tI-NP\tO' -p150989 -aS'mass\tmass\tNN\tI-NP\tO' -p150990 -aS'.\t.\t.\tO\tO' -p150991 -asS'Patient is a 73-year-old retired cook with a history of cervical myelopathy , who is admitted for new left hemiparesis .' -p150992 -(lp150993 -S'Patient\tPatient\tNN\tB-NP\tO' -p150994 -aS'is\tbe\tVBZ\tB-VP\tO' -p150995 -aS'a\ta\tDT\tB-NP\tO' -p150996 -aS'73-year-old\t73-year-old\tJJ\tI-NP\tO' -p150997 -aS'retired\tretired\tJJ\tI-NP\tO' -p150998 -aS'cook\tcook\tNN\tI-NP\tO' -p150999 -aS'with\twith\tIN\tB-PP\tO' -p151000 -aS'a\ta\tDT\tB-NP\tO' -p151001 -aS'history\thistory\tNN\tI-NP\tO' -p151002 -aS'of\tof\tIN\tB-PP\tO' -p151003 -aS'cervical\tcervical\tJJ\tB-NP\tO' -p151004 -aS'myelopathy\tmyelopathy\tNN\tI-NP\tO' -p151005 -aS',\t,\t,\tO\tO' -p151006 -aS'who\twho\tWP\tB-NP\tO' -p151007 -aS'is\tbe\tVBZ\tB-VP\tO' -p151008 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p151009 -aS'for\tfor\tIN\tB-PP\tO' -p151010 -aS'new\tnew\tJJ\tB-NP\tO' -p151011 -aS'left\tleft\tJJ\tI-NP\tO' -p151012 -aS'hemiparesis\themiparesis\tNN\tI-NP\tO' -p151013 -aS'.\t.\t.\tO\tO' -p151014 -asS'He was discharged to home on Percocet .' -p151015 -(lp151016 -S'He\tHe\tPRP\tB-NP\tO' -p151017 -aS'was\tbe\tVBD\tB-VP\tO' -p151018 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p151019 -aS'to\tto\tTO\tB-PP\tO' -p151020 -aS'home\thome\tNN\tB-NP\tO' -p151021 -aS'on\ton\tIN\tB-PP\tO' -p151022 -aS'Percocet\tPercocet\tNNP\tB-NP\tO' -p151023 -aS'.\t.\t.\tO\tO' -p151024 -asS'The temp was 99.4 , BP 114/78 , pulse 128 and respirations 20 .' -p151025 -(lp151026 -S'The\tThe\tDT\tB-NP\tO' -p151027 -aS'temp\ttemp\tNN\tI-NP\tO' -p151028 -aS'was\tbe\tVBD\tB-VP\tO' -p151029 -aS'99.4\t99.4\tCD\tB-NP\tO' -p151030 -aS',\t,\t,\tO\tO' -p151031 -aS'BP\tBP\tNN\tB-NP\tB-DNA' -p151032 -aS'114/78\t114/78\tCD\tI-NP\tI-DNA' -p151033 -aS',\t,\t,\tO\tO' -p151034 -aS'pulse\tpulse\tNN\tB-NP\tO' -p151035 -aS'128\t128\tCD\tI-NP\tO' -p151036 -aS'and\tand\tCC\tO\tO' -p151037 -aS'respirations\trespiration\tNNS\tB-NP\tO' -p151038 -aS'20\t20\tCD\tB-NP\tO' -p151039 -aS'.\t.\t.\tO\tO' -p151040 -asS'The lumbar puncture and sinus exploration were unable to be performed given the patient 's persistent coagulopathy .' -p151041 -(lp151042 -S'The\tThe\tDT\tB-NP\tO' -p151043 -aS'lumbar\tlumbar\tNN\tI-NP\tO' -p151044 -aS'puncture\tpuncture\tNN\tI-NP\tO' -p151045 -aS'and\tand\tCC\tO\tO' -p151046 -aS'sinus\tsinus\tNN\tB-NP\tO' -p151047 -aS'exploration\texploration\tNN\tI-NP\tO' -p151048 -aS'were\tbe\tVBD\tB-VP\tO' -p151049 -aS'unable\tunable\tJJ\tB-ADJP\tO' -p151050 -aS'to\tto\tTO\tB-VP\tO' -p151051 -aS'be\tbe\tVB\tI-VP\tO' -p151052 -aS'performed\tperform\tVBN\tI-VP\tO' -p151053 -aS'given\tgive\tVBN\tB-PP\tO' -p151054 -aS'the\tthe\tDT\tB-NP\tO' -p151055 -aS'patient\tpatient\tNN\tI-NP\tO' -p151056 -aS''s\t'\tNNS\tI-NP\tO' -p151057 -aS'persistent\tpersistent\tJJ\tB-NP\tO' -p151058 -aS'coagulopathy\tcoagulopathy\tNN\tI-NP\tO' -p151059 -aS'.\t.\t.\tO\tO' -p151060 -asS'Unable to move right arm but able to lift right leg antigravity for less than 5 seconds' -p151061 -(lp151062 -S'Unable\tUnable\tJJ\tB-ADJP\tO' -p151063 -aS'to\tto\tTO\tB-VP\tO' -p151064 -aS'move\tmove\tVB\tI-VP\tO' -p151065 -aS'right\tright\tJJ\tB-NP\tO' -p151066 -aS'arm\tarm\tNN\tI-NP\tO' -p151067 -aS'but\tbut\tCC\tO\tO' -p151068 -aS'able\table\tJJ\tB-ADJP\tO' -p151069 -aS'to\tto\tTO\tB-VP\tO' -p151070 -aS'lift\tlift\tVB\tI-VP\tO' -p151071 -aS'right\tright\tJJ\tB-NP\tO' -p151072 -aS'leg\tleg\tNN\tI-NP\tO' -p151073 -aS'antigravity\tantigravity\tNN\tI-NP\tO' -p151074 -aS'for\tfor\tIN\tB-PP\tO' -p151075 -aS'less\tless\tJJR\tB-NP\tO' -p151076 -aS'than\tthan\tIN\tI-NP\tO' -p151077 -aS'5\t5\tCD\tI-NP\tO' -p151078 -aS'seconds\tsecond\tNNS\tI-NP\tO' -p151079 -asS'Shortly after his arrival to that hospital he had been intubated for a respiratory rate of 60 .' -p151080 -(lp151081 -S'Shortly\tShortly\tRB\tB-ADVP\tO' -p151082 -aS'after\tafter\tIN\tB-PP\tO' -p151083 -aS'his\this\tPRP$\tB-NP\tO' -p151084 -aS'arrival\tarrival\tNN\tI-NP\tO' -p151085 -aS'to\tto\tTO\tB-PP\tO' -p151086 -aS'that\tthat\tDT\tB-NP\tO' -p151087 -aS'hospital\thospital\tNN\tI-NP\tO' -p151088 -aS'he\the\tPRP\tB-NP\tO' -p151089 -aS'had\thave\tVBD\tB-VP\tO' -p151090 -aS'been\tbe\tVBN\tI-VP\tO' -p151091 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p151092 -aS'for\tfor\tIN\tB-PP\tO' -p151093 -aS'a\ta\tDT\tB-NP\tO' -p151094 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p151095 -aS'rate\trate\tNN\tI-NP\tO' -p151096 -aS'of\tof\tIN\tB-PP\tO' -p151097 -aS'60\t60\tCD\tB-NP\tO' -p151098 -aS'.\t.\t.\tO\tO' -p151099 -asS'There was mild lower thoracic tenderness .' -p151100 -(lp151101 -S'There\tThere\tEX\tB-NP\tO' -p151102 -aS'was\tbe\tVBD\tB-VP\tO' -p151103 -aS'mild\tmild\tJJ\tB-NP\tO' -p151104 -aS'lower\tlow\tJJR\tI-NP\tO' -p151105 -aS'thoracic\tthoracic\tJJ\tI-NP\tO' -p151106 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p151107 -aS'.\t.\t.\tO\tO' -p151108 -asS'Anterior fontanel soft , flat , cap and prong CPAP in place .' -p151109 -(lp151110 -S'Anterior\tAnterior\tJJ\tB-NP\tO' -p151111 -aS'fontanel\tfontanel\tNN\tI-NP\tO' -p151112 -aS'soft\tsoft\tJJ\tI-NP\tO' -p151113 -aS',\t,\t,\tI-NP\tO' -p151114 -aS'flat\tflat\tJJ\tI-NP\tO' -p151115 -aS',\t,\t,\tI-NP\tO' -p151116 -aS'cap\tcap\tNN\tI-NP\tB-protein' -p151117 -aS'and\tand\tCC\tI-NP\tO' -p151118 -aS'prong\tprong\tJJ\tI-NP\tO' -p151119 -aS'CPAP\tCPAP\tNN\tI-NP\tB-protein' -p151120 -aS'in\tin\tIN\tB-PP\tO' -p151121 -aS'place\tplace\tNN\tB-NP\tO' -p151122 -aS'.\t.\t.\tO\tO' -p151123 -asS'8) Anemia - He was admitted with borderline anemia with Fe studies suggestive of anemia of chronic disease and his hct decreased in the setting fluid resucitation .' -p151124 -(lp151125 -S'8)\t8)\tLS\tB-NP\tO' -p151126 -aS'Anemia\tAnemia\tNN\tI-NP\tO' -p151127 -aS'-\t-\tHYPH\tO\tO' -p151128 -aS'He\tHe\tPRP\tB-NP\tO' -p151129 -aS'was\tbe\tVBD\tB-VP\tO' -p151130 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p151131 -aS'with\twith\tIN\tB-PP\tO' -p151132 -aS'borderline\tborderline\tJJ\tB-NP\tO' -p151133 -aS'anemia\tanemia\tNN\tI-NP\tO' -p151134 -aS'with\twith\tIN\tB-PP\tO' -p151135 -aS'Fe\tFe\tNN\tB-NP\tO' -p151136 -aS'studies\tstudy\tNNS\tI-NP\tO' -p151137 -aS'suggestive\tsuggestive\tJJ\tB-ADJP\tO' -p151138 -aS'of\tof\tIN\tB-PP\tO' -p151139 -aS'anemia\tanemia\tNN\tB-NP\tO' -p151140 -aS'of\tof\tIN\tB-PP\tO' -p151141 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p151142 -aS'disease\tdisease\tNN\tI-NP\tO' -p151143 -aS'and\tand\tCC\tO\tO' -p151144 -aS'his\this\tPRP$\tB-NP\tO' -p151145 -aS'hct\thct\tNN\tI-NP\tO' -p151146 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p151147 -aS'in\tin\tIN\tB-PP\tO' -p151148 -aS'the\tthe\tDT\tB-NP\tO' -p151149 -aS'setting\tset\tVBG\tI-NP\tO' -p151150 -aS'fluid\tfluid\tNN\tI-NP\tO' -p151151 -aS'resucitation\tresucitation\tNN\tI-NP\tO' -p151152 -aS'.\t.\t.\tO\tO' -p151153 -asS'2) Linear right temporal calvarial fracture extending into the mastoid with a small right posterior convexity subdural hematoma and pneumocephalus ; see head CT report .' -p151154 -(lp151155 -S'2)\t2)\tLS\tB-NP\tO' -p151156 -aS'Linear\tLinear\tJJ\tI-NP\tO' -p151157 -aS'right\tright\tJJ\tI-NP\tO' -p151158 -aS'temporal\ttemporal\tJJ\tI-NP\tO' -p151159 -aS'calvarial\tcalvarial\tJJ\tI-NP\tO' -p151160 -aS'fracture\tfracture\tNN\tI-NP\tO' -p151161 -aS'extending\textend\tVBG\tB-VP\tO' -p151162 -aS'into\tinto\tIN\tB-PP\tO' -p151163 -aS'the\tthe\tDT\tB-NP\tO' -p151164 -aS'mastoid\tmastoid\tNN\tI-NP\tO' -p151165 -aS'with\twith\tIN\tB-PP\tO' -p151166 -aS'a\ta\tDT\tB-NP\tO' -p151167 -aS'small\tsmall\tJJ\tI-NP\tO' -p151168 -aS'right\tright\tJJ\tI-NP\tO' -p151169 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p151170 -aS'convexity\tconvexity\tNN\tI-NP\tO' -p151171 -aS'subdural\tsubdural\tJJ\tI-NP\tO' -p151172 -aS'hematoma\thematoma\tNN\tI-NP\tO' -p151173 -aS'and\tand\tCC\tI-NP\tO' -p151174 -aS'pneumocephalus\tpneumocephalus\tNN\tI-NP\tO' -p151175 -aS';\t;\t:\tO\tO' -p151176 -aS'see\tsee\tVB\tB-VP\tO' -p151177 -aS'head\thead\tNN\tB-NP\tO' -p151178 -aS'CT\tCT\tNN\tI-NP\tO' -p151179 -aS'report\treport\tNN\tI-NP\tO' -p151180 -aS'.\t.\t.\tO\tO' -p151181 -asS'Dictated By : Frances P Sheets , M.D.' -p151182 -(lp151183 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p151184 -aS'By\tBy\tIN\tB-PP\tO' -p151185 -aS':\t:\t:\tO\tO' -p151186 -aS'Frances\tFrances\tNNP\tB-NP\tO' -p151187 -aS'P\tP\tNNP\tI-NP\tO' -p151188 -aS'Sheets\tSheets\tNNP\tI-NP\tO' -p151189 -aS',\t,\t,\tO\tO' -p151190 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p151191 -asS'Sodium 140 , potassium 3.8 , chloride 100 , bicarbonate of 30 , BUN of 13 , creatinine 0.8 , serum glucose 228 .' -p151192 -(lp151193 -S'Sodium\tSodium\tNN\tB-NP\tB-protein' -p151194 -aS'140\t140\tCD\tI-NP\tI-protein' -p151195 -aS',\t,\t,\tO\tO' -p151196 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p151197 -aS'3.8\t3.8\tCD\tI-NP\tO' -p151198 -aS',\t,\t,\tO\tO' -p151199 -aS'chloride\tchloride\tNN\tB-NP\tO' -p151200 -aS'100\t100\tCD\tI-NP\tO' -p151201 -aS',\t,\t,\tO\tO' -p151202 -aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' -p151203 -aS'of\tof\tIN\tB-PP\tO' -p151204 -aS'30\t30\tCD\tB-NP\tO' -p151205 -aS',\t,\t,\tO\tO' -p151206 -aS'BUN\tBUN\tNN\tB-NP\tO' -p151207 -aS'of\tof\tIN\tB-PP\tO' -p151208 -aS'13\t13\tCD\tB-NP\tO' -p151209 -aS',\t,\t,\tO\tO' -p151210 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p151211 -aS'0.8\t0.8\tCD\tI-NP\tO' -p151212 -aS',\t,\t,\tO\tO' -p151213 -aS'serum\tserum\tNN\tB-NP\tO' -p151214 -aS'glucose\tglucose\tNN\tI-NP\tO' -p151215 -aS'228\t228\tCD\tI-NP\tO' -p151216 -aS'.\t.\t.\tO\tO' -p151217 -asS'The anus was patent .' -p151218 -(lp151219 -S'The\tThe\tDT\tB-NP\tO' -p151220 -aS'anus\tanus\tNN\tI-NP\tO' -p151221 -aS'was\tbe\tVBD\tB-VP\tO' -p151222 -aS'patent\tpatent\tNN\tB-NP\tO' -p151223 -aS'.\t.\t.\tO\tO' -p151224 -asS'The patient had pacing wires and chest tubes in place , both of which over the course of his stay were removed successfully .' -p151225 -(lp151226 -S'The\tThe\tDT\tB-NP\tO' -p151227 -aS'patient\tpatient\tNN\tI-NP\tO' -p151228 -aS'had\thave\tVBD\tB-VP\tO' -p151229 -aS'pacing\tpace\tVBG\tI-VP\tO' -p151230 -aS'wires\twire\tNNS\tB-NP\tO' -p151231 -aS'and\tand\tCC\tO\tO' -p151232 -aS'chest\tchest\tNN\tB-NP\tO' -p151233 -aS'tubes\ttube\tNNS\tI-NP\tO' -p151234 -aS'in\tin\tIN\tB-PP\tO' -p151235 -aS'place\tplace\tNN\tB-NP\tO' -p151236 -aS',\t,\t,\tO\tO' -p151237 -aS'both\tboth\tDT\tB-NP\tO' -p151238 -aS'of\tof\tIN\tB-PP\tO' -p151239 -aS'which\twhich\tWDT\tB-NP\tO' -p151240 -aS'over\tover\tIN\tB-PP\tO' -p151241 -aS'the\tthe\tDT\tB-NP\tO' -p151242 -aS'course\tcourse\tNN\tI-NP\tO' -p151243 -aS'of\tof\tIN\tB-PP\tO' -p151244 -aS'his\this\tPRP$\tB-NP\tO' -p151245 -aS'stay\tstay\tNN\tI-NP\tO' -p151246 -aS'were\tbe\tVBD\tB-VP\tO' -p151247 -aS'removed\tremove\tVBN\tI-VP\tO' -p151248 -aS'successfully\tsuccessfully\tRB\tB-ADVP\tO' -p151249 -aS'.\t.\t.\tO\tO' -p151250 -asS'He was restarted on regular diet on 4/14-4/17 after his extubation' -p151251 -(lp151252 -S'He\tHe\tPRP\tB-NP\tO' -p151253 -aS'was\tbe\tVBD\tB-VP\tO' -p151254 -aS'restarted\trestart\tVBN\tI-VP\tO' -p151255 -aS'on\ton\tIN\tB-PP\tO' -p151256 -aS'regular\tregular\tJJ\tB-NP\tO' -p151257 -aS'diet\tdiet\tNN\tI-NP\tO' -p151258 -aS'on\ton\tIN\tB-PP\tO' -p151259 -aS'4/14-4/17\t4/14-4/17\tCD\tB-NP\tO' -p151260 -aS'after\tafter\tIN\tB-PP\tO' -p151261 -aS'his\this\tPRP$\tB-NP\tO' -p151262 -aS'extubation\textubation\tNN\tI-NP\tO' -p151263 -asS'3.) Insulin 45N/8R qAM and 33N qPM' -p151264 -(lp151265 -S'3.)\t3.)\tLS\tB-NP\tO' -p151266 -aS'Insulin\tInsulin\tNN\tI-NP\tB-protein' -p151267 -aS'45N/8R\t45N/8R\tNN\tI-NP\tO' -p151268 -aS'qAM\tqAM\tNN\tI-NP\tO' -p151269 -aS'and\tand\tCC\tO\tO' -p151270 -aS'33N\t33N\tNN\tB-NP\tO' -p151271 -aS'qPM\tqPM\tNN\tI-NP\tO' -p151272 -asS'State newborn screens were sent on 05-08 and 05-19 .' -p151273 -(lp151274 -S'State\tState\tNN\tB-NP\tO' -p151275 -aS'newborn\tnewborn\tJJ\tI-NP\tO' -p151276 -aS'screens\tscreen\tNNS\tI-NP\tO' -p151277 -aS'were\tbe\tVBD\tB-VP\tO' -p151278 -aS'sent\tsend\tVBN\tI-VP\tO' -p151279 -aS'on\ton\tIN\tB-PP\tO' -p151280 -aS'05-08\t05-08\tCD\tB-NP\tO' -p151281 -aS'and\tand\tCC\tI-NP\tO' -p151282 -aS'05-19\t05-19\tCD\tI-NP\tO' -p151283 -aS'.\t.\t.\tO\tO' -p151284 -asS'Preoperatively , the patient underwent chemo-embolization for his hepatocellular carcinoma .' -p151285 -(lp151286 -S'Preoperatively\tPreoperatively\tRB\tB-ADVP\tO' -p151287 -aS',\t,\t,\tO\tO' -p151288 -aS'the\tthe\tDT\tB-NP\tO' -p151289 -aS'patient\tpatient\tNN\tI-NP\tO' -p151290 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p151291 -aS'chemo-embolization\tchemo-embolization\tNN\tB-NP\tO' -p151292 -aS'for\tfor\tIN\tB-PP\tO' -p151293 -aS'his\this\tPRP$\tB-NP\tO' -p151294 -aS'hepatocellular\thepatocellular\tJJ\tI-NP\tO' -p151295 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p151296 -aS'.\t.\t.\tO\tO' -p151297 -asS'Chronic pulmonary embolus was less likely given her negative CT angiogram .' -p151298 -(lp151299 -S'Chronic\tChronic\tJJ\tB-NP\tO' -p151300 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p151301 -aS'embolus\tembolus\tNN\tI-NP\tO' -p151302 -aS'was\tbe\tVBD\tB-VP\tO' -p151303 -aS'less\tless\tRBR\tB-ADJP\tO' -p151304 -aS'likely\tlikely\tJJ\tI-ADJP\tO' -p151305 -aS'given\tgive\tVBN\tB-PP\tO' -p151306 -aS'her\ther\tPRP$\tB-NP\tO' -p151307 -aS'negative\tnegative\tJJ\tI-NP\tO' -p151308 -aS'CT\tCT\tNN\tI-NP\tO' -p151309 -aS'angiogram\tangiogram\tNN\tI-NP\tO' -p151310 -aS'.\t.\t.\tO\tO' -p151311 -asS'1. The patient was to follow-up with Dr. Ronald in the Transplant Center 3 days following discharge .' -p151312 -(lp151313 -S'1.\t1.\tLS\tB-LST\tO' -p151314 -aS'The\tThe\tDT\tB-NP\tO' -p151315 -aS'patient\tpatient\tNN\tI-NP\tO' -p151316 -aS'was\tbe\tVBD\tB-VP\tO' -p151317 -aS'to\tto\tTO\tB-PP\tO' -p151318 -aS'follow-up\tfollow-up\tNN\tB-NP\tO' -p151319 -aS'with\twith\tIN\tB-PP\tO' -p151320 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p151321 -aS'Ronald\tRonald\tNNP\tI-NP\tO' -p151322 -aS'in\tin\tIN\tB-PP\tO' -p151323 -aS'the\tthe\tDT\tB-NP\tO' -p151324 -aS'Transplant\tTransplant\tNNP\tI-NP\tO' -p151325 -aS'Center\tCenter\tNNP\tI-NP\tO' -p151326 -aS'3\t3\tCD\tI-NP\tO' -p151327 -aS'days\tday\tNNS\tI-NP\tO' -p151328 -aS'following\tfollow\tVBG\tB-PP\tO' -p151329 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p151330 -aS'.\t.\t.\tO\tO' -p151331 -asS'( from OR revision craniotomy )' -p151332 -(lp151333 -S'(\t(\t(\tO\tO' -p151334 -aS'from\tfrom\tIN\tB-PP\tO' -p151335 -aS'OR\tOR\tNN\tB-NP\tO' -p151336 -aS'revision\trevision\tNN\tI-NP\tO' -p151337 -aS'craniotomy\tcraniotomy\tNN\tI-NP\tO' -p151338 -aS')\t)\t)\tO\tO' -p151339 -asS'There were no stents deployed at all throughout the catheterization .' -p151340 -(lp151341 -S'There\tThere\tEX\tB-NP\tO' -p151342 -aS'were\tbe\tVBD\tB-VP\tO' -p151343 -aS'no\tno\tDT\tB-NP\tO' -p151344 -aS'stents\tstent\tNNS\tI-NP\tO' -p151345 -aS'deployed\tdeploy\tVBD\tB-VP\tO' -p151346 -aS'at\tat\tIN\tB-ADVP\tO' -p151347 -aS'all\tall\tDT\tI-ADVP\tO' -p151348 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p151349 -aS'the\tthe\tDT\tB-NP\tO' -p151350 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p151351 -aS'.\t.\t.\tO\tO' -p151352 -asS'Low saturated fat .' -p151353 -(lp151354 -S'Low\tLow\tJJ\tB-NP\tO' -p151355 -aS'saturated\tsaturate\tVBN\tI-NP\tO' -p151356 -aS'fat\tfat\tNN\tI-NP\tO' -p151357 -aS'.\t.\t.\tO\tO' -p151358 -asS'Since there was no more evidence of gram positive infections , vancomycin was discontinued and cefepime was kept .' -p151359 -(lp151360 -S'Since\tSince\tIN\tB-SBAR\tO' -p151361 -aS'there\tthere\tEX\tB-NP\tO' -p151362 -aS'was\tbe\tVBD\tB-VP\tO' -p151363 -aS'no\tno\tDT\tB-NP\tO' -p151364 -aS'more\tmore\tJJR\tI-NP\tO' -p151365 -aS'evidence\tevidence\tNN\tI-NP\tO' -p151366 -aS'of\tof\tIN\tB-PP\tO' -p151367 -aS'gram\tgram\tNN\tB-NP\tO' -p151368 -aS'positive\tpositive\tJJ\tI-NP\tO' -p151369 -aS'infections\tinfection\tNNS\tI-NP\tO' -p151370 -aS',\t,\t,\tO\tO' -p151371 -aS'vancomycin\tvancomycin\tNN\tB-NP\tO' -p151372 -aS'was\tbe\tVBD\tB-VP\tO' -p151373 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p151374 -aS'and\tand\tCC\tO\tO' -p151375 -aS'cefepime\tcefepime\tNN\tB-NP\tO' -p151376 -aS'was\tbe\tVBD\tB-VP\tO' -p151377 -aS'kept\tkeep\tVBN\tI-VP\tO' -p151378 -aS'.\t.\t.\tO\tO' -p151379 -asS'An abdominal CAT scan revealed thickened bowel wall and thumb printing , primarily involving the cecum and right colon greater than the left , consistent with C. difficile colitis .' -p151380 -(lp151381 -S'An\tAn\tDT\tB-NP\tO' -p151382 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p151383 -aS'CAT\tCAT\tNN\tI-NP\tO' -p151384 -aS'scan\tscan\tNN\tI-NP\tO' -p151385 -aS'revealed\treveal\tVBD\tB-VP\tO' -p151386 -aS'thickened\tthicken\tVBN\tB-NP\tO' -p151387 -aS'bowel\tbowel\tNN\tI-NP\tO' -p151388 -aS'wall\twall\tNN\tI-NP\tO' -p151389 -aS'and\tand\tCC\tI-NP\tO' -p151390 -aS'thumb\tthumb\tNN\tI-NP\tO' -p151391 -aS'printing\tprinting\tNN\tI-NP\tO' -p151392 -aS',\t,\t,\tO\tO' -p151393 -aS'primarily\tprimarily\tRB\tB-VP\tO' -p151394 -aS'involving\tinvolve\tVBG\tI-VP\tO' -p151395 -aS'the\tthe\tDT\tB-NP\tO' -p151396 -aS'cecum\tcecum\tNN\tI-NP\tO' -p151397 -aS'and\tand\tCC\tI-NP\tO' -p151398 -aS'right\tright\tJJ\tI-NP\tO' -p151399 -aS'colon\tcolon\tNN\tI-NP\tO' -p151400 -aS'greater\tgreat\tJJR\tB-ADJP\tO' -p151401 -aS'than\tthan\tIN\tB-PP\tO' -p151402 -aS'the\tthe\tDT\tB-NP\tO' -p151403 -aS'left\tleft\tJJ\tI-NP\tO' -p151404 -aS',\t,\t,\tI-NP\tO' -p151405 -aS'consistent\tconsistent\tJJ\tI-NP\tO' -p151406 -aS'with\twith\tIN\tB-PP\tO' -p151407 -aS'C.\tC.\tFW\tB-NP\tO' -p151408 -aS'difficile\tdifficile\tJJ\tI-NP\tO' -p151409 -aS'colitis\tcolitis\tNN\tI-NP\tO' -p151410 -aS'.\t.\t.\tO\tO' -p151411 -asS'On 07-19 , he underwent video swallow evaluation and was able to tolerate ground consistent food and thin liquids .' -p151412 -(lp151413 -S'On\tOn\tIN\tB-PP\tO' -p151414 -aS'07-19\t07-19\tCD\tB-NP\tO' -p151415 -aS',\t,\t,\tO\tO' -p151416 -aS'he\the\tPRP\tB-NP\tO' -p151417 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p151418 -aS'video\tvideo\tNN\tB-NP\tO' -p151419 -aS'swallow\tswallow\tNN\tI-NP\tO' -p151420 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p151421 -aS'and\tand\tCC\tO\tO' -p151422 -aS'was\tbe\tVBD\tB-VP\tO' -p151423 -aS'able\table\tJJ\tB-ADJP\tO' -p151424 -aS'to\tto\tTO\tB-VP\tO' -p151425 -aS'tolerate\ttolerate\tVB\tI-VP\tO' -p151426 -aS'ground\tground\tNN\tB-NP\tO' -p151427 -aS'consistent\tconsistent\tJJ\tI-NP\tO' -p151428 -aS'food\tfood\tNN\tI-NP\tO' -p151429 -aS'and\tand\tCC\tI-NP\tO' -p151430 -aS'thin\tthin\tJJ\tI-NP\tO' -p151431 -aS'liquids\tliquid\tNNS\tI-NP\tO' -p151432 -aS'.\t.\t.\tO\tO' -p151433 -asS'The patient was walking , talking , and was breathing without difficulty on arrival .' -p151434 -(lp151435 -S'The\tThe\tDT\tB-NP\tO' -p151436 -aS'patient\tpatient\tNN\tI-NP\tO' -p151437 -aS'was\tbe\tVBD\tB-VP\tO' -p151438 -aS'walking\twalk\tVBG\tI-VP\tO' -p151439 -aS',\t,\t,\tO\tO' -p151440 -aS'talking\ttalk\tVBG\tB-VP\tO' -p151441 -aS',\t,\t,\tO\tO' -p151442 -aS'and\tand\tCC\tO\tO' -p151443 -aS'was\tbe\tVBD\tB-VP\tO' -p151444 -aS'breathing\tbreathing\tNN\tB-NP\tO' -p151445 -aS'without\twithout\tIN\tB-PP\tO' -p151446 -aS'difficulty\tdifficulty\tNN\tB-NP\tO' -p151447 -aS'on\ton\tIN\tB-PP\tO' -p151448 -aS'arrival\tarrival\tNN\tB-NP\tO' -p151449 -aS'.\t.\t.\tO\tO' -p151450 -asS'To do this , mannitol 25 mg q. 6h. was used .' -p151451 -(lp151452 -S'To\tTo\tTO\tB-VP\tO' -p151453 -aS'do\tdo\tVB\tI-VP\tO' -p151454 -aS'this\tthis\tDT\tB-NP\tO' -p151455 -aS',\t,\t,\tO\tO' -p151456 -aS'mannitol\tmannitol\tNN\tB-NP\tO' -p151457 -aS'25\t25\tCD\tI-NP\tO' -p151458 -aS'mg\tmg\tNN\tI-NP\tO' -p151459 -aS'q.\tq.\tNN\tI-NP\tO' -p151460 -aS'6h.\t6h.\tCD\tI-NP\tO' -p151461 -aS'was\tbe\tVBD\tB-VP\tO' -p151462 -aS'used\tuse\tVBN\tI-VP\tO' -p151463 -aS'.\t.\t.\tO\tO' -p151464 -asS'Subsequently , CMED CCU was consulted and he was transferred to our Service postoperatively .' -p151465 -(lp151466 -S'Subsequently\tSubsequently\tRB\tB-ADVP\tO' -p151467 -aS',\t,\t,\tO\tO' -p151468 -aS'CMED\tCMED\tVBN\tB-NP\tO' -p151469 -aS'CCU\tCCU\tNN\tI-NP\tO' -p151470 -aS'was\tbe\tVBD\tB-VP\tO' -p151471 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p151472 -aS'and\tand\tCC\tO\tO' -p151473 -aS'he\the\tPRP\tB-NP\tO' -p151474 -aS'was\tbe\tVBD\tB-VP\tO' -p151475 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p151476 -aS'to\tto\tTO\tB-PP\tO' -p151477 -aS'our\tour\tPRP$\tB-NP\tO' -p151478 -aS'Service\tService\tNN\tI-NP\tO' -p151479 -aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' -p151480 -aS'.\t.\t.\tO\tO' -p151481 -asS'Her face was symmetric .' -p151482 -(lp151483 -S'Her\tHer\tPRP$\tB-NP\tO' -p151484 -aS'face\tface\tNN\tI-NP\tO' -p151485 -aS'was\tbe\tVBD\tB-VP\tO' -p151486 -aS'symmetric\tsymmetric\tJJ\tB-ADJP\tO' -p151487 -aS'.\t.\t.\tO\tO' -p151488 -asS'Soft and nontender .' -p151489 -(lp151490 -S'Soft\tSoft\tJJ\tB-ADJP\tO' -p151491 -aS'and\tand\tCC\tI-ADJP\tO' -p151492 -aS'nontender\tnontender\tJJ\tI-ADJP\tO' -p151493 -aS'.\t.\t.\tO\tO' -p151494 -asS'Extremities were without clubbing , cyanosis or edema .' -p151495 -(lp151496 -S'Extremities\tExtremity\tNNS\tB-NP\tO' -p151497 -aS'were\tbe\tVBD\tB-VP\tO' -p151498 -aS'without\twithout\tIN\tB-PP\tO' -p151499 -aS'clubbing\tclubbing\tNN\tB-NP\tO' -p151500 -aS',\t,\t,\tI-NP\tO' -p151501 -aS'cyanosis\tcyanosis\tNN\tI-NP\tO' -p151502 -aS'or\tor\tCC\tI-NP\tO' -p151503 -aS'edema\tedema\tNN\tI-NP\tO' -p151504 -aS'.\t.\t.\tO\tO' -p151505 -asS'Colostomy with black stool .' -p151506 -(lp151507 -S'Colostomy\tColostomy\tNN\tB-NP\tO' -p151508 -aS'with\twith\tIN\tB-PP\tO' -p151509 -aS'black\tblack\tJJ\tB-NP\tO' -p151510 -aS'stool\tstool\tNN\tI-NP\tO' -p151511 -aS'.\t.\t.\tO\tO' -p151512 -asS'Generally he was a pleasant man with mild respiratory distress .' -p151513 -(lp151514 -S'Generally\tGenerally\tRB\tB-ADVP\tO' -p151515 -aS'he\the\tPRP\tB-NP\tO' -p151516 -aS'was\tbe\tVBD\tB-VP\tO' -p151517 -aS'a\ta\tDT\tB-NP\tO' -p151518 -aS'pleasant\tpleasant\tJJ\tI-NP\tO' -p151519 -aS'man\tman\tNN\tI-NP\tO' -p151520 -aS'with\twith\tIN\tB-PP\tO' -p151521 -aS'mild\tmild\tJJ\tB-NP\tO' -p151522 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p151523 -aS'distress\tdistress\tNN\tI-NP\tO' -p151524 -aS'.\t.\t.\tO\tO' -p151525 -asS'On postop day 6 , an ID consult noted erythema at the right IJ line site .' -p151526 -(lp151527 -S'On\tOn\tIN\tB-PP\tO' -p151528 -aS'postop\tpostop\tJJ\tB-NP\tO' -p151529 -aS'day\tday\tNN\tI-NP\tO' -p151530 -aS'6\t6\tCD\tI-NP\tO' -p151531 -aS',\t,\t,\tO\tO' -p151532 -aS'an\tan\tDT\tB-NP\tO' -p151533 -aS'ID\tID\tNN\tI-NP\tO' -p151534 -aS'consult\tconsult\tNN\tI-NP\tO' -p151535 -aS'noted\tnote\tVBD\tB-VP\tO' -p151536 -aS'erythema\terythema\tNN\tB-NP\tO' -p151537 -aS'at\tat\tIN\tB-PP\tO' -p151538 -aS'the\tthe\tDT\tB-NP\tO' -p151539 -aS'right\tright\tJJ\tI-NP\tB-DNA' -p151540 -aS'IJ\tIJ\tNN\tI-NP\tI-DNA' -p151541 -aS'line\tline\tNN\tI-NP\tI-DNA' -p151542 -aS'site\tsite\tNN\tI-NP\tI-DNA' -p151543 -aS'.\t.\t.\tO\tO' -p151544 -asS'2) deep venous thrombosis and pulmonary embolus ; the wife states since he was in the infantry in World War II .' -p151545 -(lp151546 -S'2)\t2)\tLS\tB-NP\tO' -p151547 -aS'deep\tdeep\tJJ\tI-NP\tO' -p151548 -aS'venous\tvenous\tJJ\tI-NP\tO' -p151549 -aS'thrombosis\tthrombosis\tNN\tI-NP\tO' -p151550 -aS'and\tand\tCC\tO\tO' -p151551 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p151552 -aS'embolus\tembolus\tNN\tI-NP\tO' -p151553 -aS';\t;\t:\tO\tO' -p151554 -aS'the\tthe\tDT\tB-NP\tO' -p151555 -aS'wife\twife\tNN\tI-NP\tO' -p151556 -aS'states\tstate\tNNS\tI-NP\tO' -p151557 -aS'since\tsince\tIN\tB-SBAR\tO' -p151558 -aS'he\the\tPRP\tB-NP\tO' -p151559 -aS'was\tbe\tVBD\tB-VP\tO' -p151560 -aS'in\tin\tIN\tB-PP\tO' -p151561 -aS'the\tthe\tDT\tB-NP\tO' -p151562 -aS'infantry\tinfantry\tNN\tI-NP\tO' -p151563 -aS'in\tin\tIN\tB-PP\tO' -p151564 -aS'World\tWorld\tNNP\tB-NP\tO' -p151565 -aS'War\tWar\tNNP\tI-NP\tO' -p151566 -aS'II\tII\tNNP\tI-NP\tO' -p151567 -aS'.\t.\t.\tO\tO' -p151568 -asS'This was negative .' -p151569 -(lp151570 -S'This\tThis\tDT\tB-NP\tO' -p151571 -aS'was\tbe\tVBD\tB-VP\tO' -p151572 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p151573 -aS'.\t.\t.\tO\tO' -p151574 -asS'Family Hx : father with lung ca .' -p151575 -(lp151576 -S'Family\tFamily\tRB\tB-NP\tO' -p151577 -aS'Hx\tHx\tNN\tI-NP\tO' -p151578 -aS':\t:\t:\tO\tO' -p151579 -aS'father\tfather\tNN\tB-NP\tO' -p151580 -aS'with\twith\tIN\tB-PP\tO' -p151581 -aS'lung\tlung\tNN\tB-NP\tO' -p151582 -aS'ca\tca\tNN\tI-NP\tO' -p151583 -aS'.\t.\t.\tO\tO' -p151584 -asS'BUN 12 , creatinine 0.6 , glucose 92 , uric acid 3.3. Cholesterol 236 , triglycerides 115 , HDL 99 , LDL 114 , total protein 6.2 , globulin 2.6 , direct bilirubin 0 , total bilirubin 0.2 , alkaline phosphatase 59 , amylase 64 , SGOT 16 , LDH 141 , CPK 57 .' -p151585 -(lp151586 -S'BUN\tBUN\tNN\tB-NP\tB-protein' -p151587 -aS'12\t12\tCD\tI-NP\tI-protein' -p151588 -aS',\t,\t,\tO\tO' -p151589 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p151590 -aS'0.6\t0.6\tCD\tI-NP\tO' -p151591 -aS',\t,\t,\tO\tO' -p151592 -aS'glucose\tglucose\tNN\tB-NP\tB-protein' -p151593 -aS'92\t92\tCD\tI-NP\tI-protein' -p151594 -aS',\t,\t,\tO\tO' -p151595 -aS'uric\turic\tJJ\tB-NP\tO' -p151596 -aS'acid\tacid\tNN\tI-NP\tO' -p151597 -aS'3.3.\t3.3.\tCD\tB-NP\tO' -p151598 -aS'Cholesterol\tCholesterol\tNN\tI-NP\tO' -p151599 -aS'236\t236\tCD\tB-NP\tO' -p151600 -aS',\t,\t,\tO\tO' -p151601 -aS'triglycerides\ttriglyceride\tNNS\tB-NP\tO' -p151602 -aS'115\t115\tCD\tB-NP\tO' -p151603 -aS',\t,\t,\tO\tO' -p151604 -aS'HDL\tHDL\tNN\tB-NP\tB-DNA' -p151605 -aS'99\t99\tCD\tI-NP\tI-DNA' -p151606 -aS',\t,\t,\tO\tO' -p151607 -aS'LDL\tLDL\tNN\tB-NP\tB-protein' -p151608 -aS'114\t114\tCD\tI-NP\tI-protein' -p151609 -aS',\t,\t,\tO\tO' -p151610 -aS'total\ttotal\tJJ\tB-NP\tO' -p151611 -aS'protein\tprotein\tNN\tI-NP\tO' -p151612 -aS'6.2\t6.2\tCD\tI-NP\tO' -p151613 -aS',\t,\t,\tO\tO' -p151614 -aS'globulin\tglobulin\tNN\tB-NP\tB-protein' -p151615 -aS'2.6\t2.6\tCD\tI-NP\tI-protein' -p151616 -aS',\t,\t,\tO\tO' -p151617 -aS'direct\tdirect\tJJ\tB-NP\tO' -p151618 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p151619 -aS'0\t0\tCD\tI-NP\tO' -p151620 -aS',\t,\t,\tO\tO' -p151621 -aS'total\ttotal\tJJ\tB-NP\tO' -p151622 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p151623 -aS'0.2\t0.2\tCD\tI-NP\tO' -p151624 -aS',\t,\t,\tO\tO' -p151625 -aS'alkaline\talkaline\tNN\tB-NP\tO' -p151626 -aS'phosphatase\tphosphatase\tNN\tI-NP\tO' -p151627 -aS'59\t59\tCD\tI-NP\tO' -p151628 -aS',\t,\t,\tO\tO' -p151629 -aS'amylase\tamylase\tNN\tB-NP\tO' -p151630 -aS'64\t64\tCD\tI-NP\tO' -p151631 -aS',\t,\t,\tO\tO' -p151632 -aS'SGOT\tSGOT\tNN\tB-NP\tO' -p151633 -aS'16\t16\tCD\tI-NP\tO' -p151634 -aS',\t,\t,\tO\tO' -p151635 -aS'LDH\tLDH\tNN\tB-NP\tB-protein' -p151636 -aS'141\t141\tCD\tI-NP\tI-protein' -p151637 -aS',\t,\t,\tO\tO' -p151638 -aS'CPK\tCPK\tNN\tB-NP\tB-DNA' -p151639 -aS'57\t57\tCD\tI-NP\tI-DNA' -p151640 -aS'.\t.\t.\tO\tO' -p151641 -asS'He was found to have an abd abcess which was drained via CT guidance on 06-01 .' -p151642 -(lp151643 -S'He\tHe\tPRP\tB-NP\tO' -p151644 -aS'was\tbe\tVBD\tB-VP\tO' -p151645 -aS'found\tfind\tVBN\tI-VP\tO' -p151646 -aS'to\tto\tTO\tI-VP\tO' -p151647 -aS'have\thave\tVB\tI-VP\tO' -p151648 -aS'an\tan\tDT\tB-NP\tO' -p151649 -aS'abd\tabd\tNN\tI-NP\tO' -p151650 -aS'abcess\tabcess\tNN\tI-NP\tO' -p151651 -aS'which\twhich\tWDT\tB-NP\tO' -p151652 -aS'was\tbe\tVBD\tB-VP\tO' -p151653 -aS'drained\tdrain\tVBN\tI-VP\tO' -p151654 -aS'via\tvia\tIN\tB-PP\tO' -p151655 -aS'CT\tCT\tNN\tB-NP\tO' -p151656 -aS'guidance\tguidance\tNN\tI-NP\tO' -p151657 -aS'on\ton\tIN\tB-PP\tO' -p151658 -aS'06-01\t06-01\tCD\tB-NP\tO' -p151659 -aS'.\t.\t.\tO\tO' -p151660 -asS'No other abnormalities were noted .' -p151661 -(lp151662 -S'No\tNo\tDT\tB-NP\tO' -p151663 -aS'other\tother\tJJ\tI-NP\tO' -p151664 -aS'abnormalities\tabnormality\tNNS\tI-NP\tO' -p151665 -aS'were\tbe\tVBD\tB-VP\tO' -p151666 -aS'noted\tnote\tVBN\tI-VP\tO' -p151667 -aS'.\t.\t.\tO\tO' -p151668 -asS'She is unable to lift either foot off the bed .' -p151669 -(lp151670 -S'She\tShe\tPRP\tB-NP\tO' -p151671 -aS'is\tbe\tVBZ\tB-VP\tO' -p151672 -aS'unable\tunable\tJJ\tB-ADJP\tO' -p151673 -aS'to\tto\tTO\tB-PP\tO' -p151674 -aS'lift\tlift\tNN\tB-NP\tO' -p151675 -aS'either\teither\tCC\tI-NP\tO' -p151676 -aS'foot\tfoot\tNN\tI-NP\tO' -p151677 -aS'off\toff\tIN\tB-PP\tO' -p151678 -aS'the\tthe\tDT\tB-NP\tO' -p151679 -aS'bed\tbed\tNN\tI-NP\tO' -p151680 -aS'.\t.\t.\tO\tO' -p151681 -asS"We continued to hold the patient 's home blood pressure medications ." -p151682 -(lp151683 -S'We\tWe\tPRP\tB-NP\tO' -p151684 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p151685 -aS'to\tto\tTO\tI-VP\tO' -p151686 -aS'hold\thold\tVB\tI-VP\tO' -p151687 -aS'the\tthe\tDT\tB-NP\tO' -p151688 -aS'patient\tpatient\tNN\tI-NP\tO' -p151689 -aS"'s\t's\tPOS\tB-NP\tO" -p151690 -aS'home\thome\tNN\tI-NP\tO' -p151691 -aS'blood\tblood\tNN\tI-NP\tO' -p151692 -aS'pressure\tpressure\tNN\tI-NP\tO' -p151693 -aS'medications\tmedication\tNNS\tI-NP\tO' -p151694 -aS'.\t.\t.\tO\tO' -p151695 -asS'The patient was discharged home .' -p151696 -(lp151697 -S'The\tThe\tDT\tB-NP\tO' -p151698 -aS'patient\tpatient\tNN\tI-NP\tO' -p151699 -aS'was\tbe\tVBD\tB-VP\tO' -p151700 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p151701 -aS'home\thome\tNN\tB-ADVP\tO' -p151702 -aS'.\t.\t.\tO\tO' -p151703 -asS'She was out of bed ambulating , tolerating a regular diet , voiding spontaneously .' -p151704 -(lp151705 -S'She\tShe\tPRP\tB-NP\tO' -p151706 -aS'was\tbe\tVBD\tB-VP\tO' -p151707 -aS'out\tout\tIN\tB-PP\tO' -p151708 -aS'of\tof\tIN\tB-PP\tO' -p151709 -aS'bed\tbed\tNN\tB-NP\tO' -p151710 -aS'ambulating\tambulating\tNN\tI-NP\tO' -p151711 -aS',\t,\t,\tO\tO' -p151712 -aS'tolerating\ttolerate\tVBG\tB-VP\tO' -p151713 -aS'a\ta\tDT\tB-NP\tO' -p151714 -aS'regular\tregular\tJJ\tI-NP\tO' -p151715 -aS'diet\tdiet\tNN\tI-NP\tO' -p151716 -aS',\t,\t,\tO\tO' -p151717 -aS'voiding\tvoid\tVBG\tB-VP\tO' -p151718 -aS'spontaneously\tspontaneously\tRB\tB-ADVP\tO' -p151719 -aS'.\t.\t.\tO\tO' -p151720 -asS'Signed electronically by : DR. Susan O. G. Aviles on : Robert 2010-01-14 7:23 PM' -p151721 -(lp151722 -S'Signed\tSign\tVBN\tB-VP\tO' -p151723 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p151724 -aS'by\tby\tIN\tB-PP\tO' -p151725 -aS':\t:\t:\tO\tO' -p151726 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p151727 -aS'Susan\tSusan\tNNP\tI-NP\tO' -p151728 -aS'O.\tO.\tNNP\tI-NP\tO' -p151729 -aS'G.\tG.\tNNP\tI-NP\tO' -p151730 -aS'Aviles\tAviles\tNNP\tI-NP\tO' -p151731 -aS'on\ton\tIN\tB-PP\tO' -p151732 -aS':\t:\t:\tO\tO' -p151733 -aS'Robert\tRobert\tNNP\tB-NP\tO' -p151734 -aS'2010-01-14\t2010-01-14\tCD\tB-NP\tO' -p151735 -aS'7:23\t7:23\tCD\tI-NP\tO' -p151736 -aS'PM\tPM\tNN\tI-NP\tO' -p151737 -asS'1. Positive lupus anti-coagulant .' -p151738 -(lp151739 -S'1.\t1.\tLS\tB-NP\tO' -p151740 -aS'Positive\tPositive\tJJ\tI-NP\tO' -p151741 -aS'lupus\tlupus\tNN\tI-NP\tO' -p151742 -aS'anti-coagulant\tanti-coagulant\tJJ\tB-ADJP\tO' -p151743 -aS'.\t.\t.\tO\tO' -p151744 -asS'No mass or vegetation is seen on the mitral valve .' -p151745 -(lp151746 -S'No\tNo\tDT\tB-NP\tO' -p151747 -aS'mass\tmass\tNN\tI-NP\tO' -p151748 -aS'or\tor\tCC\tI-NP\tO' -p151749 -aS'vegetation\tvegetation\tNN\tI-NP\tO' -p151750 -aS'is\tbe\tVBZ\tB-VP\tO' -p151751 -aS'seen\tsee\tVBN\tI-VP\tO' -p151752 -aS'on\ton\tIN\tB-PP\tO' -p151753 -aS'the\tthe\tDT\tB-NP\tO' -p151754 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p151755 -aS'valve\tvalve\tNN\tI-NP\tO' -p151756 -aS'.\t.\t.\tO\tO' -p151757 -asS'The patient was discharged to home in stable condition .' -p151758 -(lp151759 -S'The\tThe\tDT\tB-NP\tO' -p151760 -aS'patient\tpatient\tNN\tI-NP\tO' -p151761 -aS'was\tbe\tVBD\tB-VP\tO' -p151762 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p151763 -aS'to\tto\tTO\tB-PP\tO' -p151764 -aS'home\thome\tNN\tB-NP\tO' -p151765 -aS'in\tin\tIN\tB-PP\tO' -p151766 -aS'stable\tstable\tJJ\tB-NP\tO' -p151767 -aS'condition\tcondition\tNN\tI-NP\tO' -p151768 -aS'.\t.\t.\tO\tO' -p151769 -asS'visual fields were full o.s. , visual acuity was 20/70 o.s.' -p151770 -(lp151771 -S'visual\tvisual\tJJ\tB-NP\tO' -p151772 -aS'fields\tfield\tNNS\tI-NP\tO' -p151773 -aS'were\tbe\tVBD\tB-VP\tO' -p151774 -aS'full\tfull\tJJ\tB-NP\tO' -p151775 -aS'o.s.\to.s.\tNN\tI-NP\tO' -p151776 -aS',\t,\t,\tO\tO' -p151777 -aS'visual\tvisual\tJJ\tB-NP\tO' -p151778 -aS'acuity\tacuity\tNN\tI-NP\tO' -p151779 -aS'was\tbe\tVBD\tB-VP\tO' -p151780 -aS'20/70\t20/70\tCD\tB-NP\tO' -p151781 -aS'o.s.\to.s.\tNNS\tI-NP\tO' -p151782 -asS'7. Metoprolol Tartrate 25 mg Tablet Sig : 1.5 Tablets PO BID ( 2 times a day ) .' -p151783 -(lp151784 -S'7.\t7.\tCD\tB-NP\tO' -p151785 -aS'Metoprolol\tMetoprolol\tNNP\tI-NP\tO' -p151786 -aS'Tartrate\tTartrate\tNNP\tI-NP\tO' -p151787 -aS'25\t25\tCD\tI-NP\tO' -p151788 -aS'mg\tmg\tNN\tI-NP\tO' -p151789 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p151790 -aS'Sig\tSig\tNNP\tI-NP\tO' -p151791 -aS':\t:\t:\tO\tO' -p151792 -aS'1.5\t1.5\tCD\tB-NP\tO' -p151793 -aS'Tablets\tTablet\tNNS\tI-NP\tO' -p151794 -aS'PO\tPO\tNN\tI-NP\tO' -p151795 -aS'BID\tBID\tNN\tI-NP\tO' -p151796 -aS'(\t(\t(\tO\tO' -p151797 -aS'2\t2\tCD\tB-NP\tO' -p151798 -aS'times\ttime\tNNS\tI-NP\tO' -p151799 -aS'a\ta\tDT\tB-NP\tO' -p151800 -aS'day\tday\tNN\tI-NP\tO' -p151801 -aS')\t)\t)\tO\tO' -p151802 -aS'.\t.\t.\tO\tO' -p151803 -asS'There were no diagnostic electrocardiogram changes during the treadmill exercise test , although he did have 0.5 to 1 mm ST depression in II , III , and AVF .' -p151804 -(lp151805 -S'There\tThere\tEX\tB-NP\tO' -p151806 -aS'were\tbe\tVBD\tB-VP\tO' -p151807 -aS'no\tno\tDT\tB-NP\tO' -p151808 -aS'diagnostic\tdiagnostic\tJJ\tI-NP\tO' -p151809 -aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' -p151810 -aS'changes\tchange\tNNS\tI-NP\tO' -p151811 -aS'during\tduring\tIN\tB-PP\tO' -p151812 -aS'the\tthe\tDT\tB-NP\tO' -p151813 -aS'treadmill\ttreadmill\tNN\tI-NP\tO' -p151814 -aS'exercise\texercise\tNN\tI-NP\tO' -p151815 -aS'test\ttest\tNN\tI-NP\tO' -p151816 -aS',\t,\t,\tO\tO' -p151817 -aS'although\talthough\tIN\tB-SBAR\tO' -p151818 -aS'he\the\tPRP\tB-NP\tO' -p151819 -aS'did\tdo\tVBD\tB-VP\tO' -p151820 -aS'have\thave\tVB\tI-VP\tO' -p151821 -aS'0.5\t0.5\tCD\tB-NP\tO' -p151822 -aS'to\tto\tTO\tI-NP\tO' -p151823 -aS'1\t1\tCD\tI-NP\tO' -p151824 -aS'mm\tmm\tNN\tI-NP\tO' -p151825 -aS'ST\tST\tNN\tI-NP\tO' -p151826 -aS'depression\tdepression\tNN\tI-NP\tO' -p151827 -aS'in\tin\tIN\tB-PP\tO' -p151828 -aS'II\tII\tCD\tB-NP\tO' -p151829 -aS',\t,\t,\tI-NP\tO' -p151830 -aS'III\tIII\tCD\tI-NP\tO' -p151831 -aS',\t,\t,\tO\tO' -p151832 -aS'and\tand\tCC\tO\tO' -p151833 -aS'AVF\tAVF\tNN\tB-NP\tB-protein' -p151834 -aS'.\t.\t.\tO\tO' -p151835 -asS'Former smoker , quit 4 yrs ago , 30 pack year history' -p151836 -(lp151837 -S'Former\tFormer\tJJ\tB-NP\tO' -p151838 -aS'smoker\tsmoker\tNN\tI-NP\tO' -p151839 -aS',\t,\t,\tO\tO' -p151840 -aS'quit\tquit\tNN\tB-NP\tB-protein' -p151841 -aS'4\t4\tCD\tB-NP\tI-protein' -p151842 -aS'yrs\tyr\tNNS\tI-NP\tI-protein' -p151843 -aS'ago\tago\tRB\tB-ADVP\tO' -p151844 -aS',\t,\t,\tO\tO' -p151845 -aS'30\t30\tCD\tB-NP\tO' -p151846 -aS'pack\tpack\tNN\tI-NP\tO' -p151847 -aS'year\tyear\tNN\tI-NP\tO' -p151848 -aS'history\thistory\tNN\tI-NP\tO' -p151849 -asS'The patient currently lives in Son Wooda with his wife .' -p151850 -(lp151851 -S'The\tThe\tDT\tB-NP\tO' -p151852 -aS'patient\tpatient\tNN\tI-NP\tO' -p151853 -aS'currently\tcurrently\tRB\tB-ADVP\tO' -p151854 -aS'lives\tlive\tVBZ\tB-VP\tO' -p151855 -aS'in\tin\tIN\tB-PP\tO' -p151856 -aS'Son\tSon\tNNP\tB-NP\tO' -p151857 -aS'Wooda\tWooda\tNNP\tI-NP\tO' -p151858 -aS'with\twith\tIN\tB-PP\tO' -p151859 -aS'his\this\tPRP$\tB-NP\tO' -p151860 -aS'wife\twife\tNN\tI-NP\tO' -p151861 -aS'.\t.\t.\tO\tO' -p151862 -asS'Cardiovascular shows grade II/VI systolic ejection murmur , regular rate and rhythm .' -p151863 -(lp151864 -S'Cardiovascular\tCardiovascular\tJJ\tB-NP\tO' -p151865 -aS'shows\tshow\tNNS\tI-NP\tO' -p151866 -aS'grade\tgrade\tNN\tI-NP\tO' -p151867 -aS'II/VI\tII/VI\tNN\tI-NP\tO' -p151868 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p151869 -aS'ejection\tejection\tNN\tI-NP\tO' -p151870 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p151871 -aS',\t,\t,\tO\tO' -p151872 -aS'regular\tregular\tJJ\tB-NP\tO' -p151873 -aS'rate\trate\tNN\tI-NP\tO' -p151874 -aS'and\tand\tCC\tI-NP\tO' -p151875 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p151876 -aS'.\t.\t.\tO\tO' -p151877 -asS'He was subsequently started on amiodarone and is scheduled to complete a 10 week course .' -p151878 -(lp151879 -S'He\tHe\tPRP\tB-NP\tO' -p151880 -aS'was\tbe\tVBD\tB-VP\tO' -p151881 -aS'subsequently\tsubsequently\tRB\tI-VP\tO' -p151882 -aS'started\tstart\tVBN\tI-VP\tO' -p151883 -aS'on\ton\tIN\tB-PP\tO' -p151884 -aS'amiodarone\tamiodarone\tNN\tB-NP\tO' -p151885 -aS'and\tand\tCC\tO\tO' -p151886 -aS'is\tbe\tVBZ\tB-VP\tO' -p151887 -aS'scheduled\tschedule\tVBN\tI-VP\tO' -p151888 -aS'to\tto\tTO\tI-VP\tO' -p151889 -aS'complete\tcomplete\tVB\tI-VP\tO' -p151890 -aS'a\ta\tDT\tB-NP\tO' -p151891 -aS'10\t10\tCD\tI-NP\tO' -p151892 -aS'week\tweek\tNN\tI-NP\tO' -p151893 -aS'course\tcourse\tNN\tI-NP\tO' -p151894 -aS'.\t.\t.\tO\tO' -p151895 -asS'Cardiac catheterization and stent placement in the mid left anterior descending artery .' -p151896 -(lp151897 -S'Cardiac\tCardiac\tJJ\tB-NP\tO' -p151898 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p151899 -aS'and\tand\tCC\tO\tO' -p151900 -aS'stent\tstent\tJJ\tB-NP\tO' -p151901 -aS'placement\tplacement\tNN\tI-NP\tO' -p151902 -aS'in\tin\tIN\tB-PP\tO' -p151903 -aS'the\tthe\tDT\tB-NP\tO' -p151904 -aS'mid\tmid\tJJ\tI-NP\tO' -p151905 -aS'left\tleft\tJJ\tI-NP\tO' -p151906 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p151907 -aS'descending\tdescend\tVBG\tI-NP\tO' -p151908 -aS'artery\tartery\tNN\tI-NP\tO' -p151909 -aS'.\t.\t.\tO\tO' -p151910 -asS'The complete blood count on admission showed a white blood count of 14.5 , hematocrit 31.0 , hemoglobin 10.3 and platelet count 478,000 .' -p151911 -(lp151912 -S'The\tThe\tDT\tB-NP\tO' -p151913 -aS'complete\tcomplete\tJJ\tI-NP\tO' -p151914 -aS'blood\tblood\tNN\tI-NP\tO' -p151915 -aS'count\tcount\tNN\tI-NP\tO' -p151916 -aS'on\ton\tIN\tB-PP\tO' -p151917 -aS'admission\tadmission\tNN\tB-NP\tO' -p151918 -aS'showed\tshow\tVBD\tB-VP\tO' -p151919 -aS'a\ta\tDT\tB-NP\tO' -p151920 -aS'white\twhite\tJJ\tI-NP\tO' -p151921 -aS'blood\tblood\tNN\tI-NP\tO' -p151922 -aS'count\tcount\tNN\tI-NP\tO' -p151923 -aS'of\tof\tIN\tB-PP\tO' -p151924 -aS'14.5\t14.5\tCD\tB-NP\tO' -p151925 -aS',\t,\t,\tO\tO' -p151926 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p151927 -aS'31.0\t31.0\tCD\tI-NP\tI-protein' -p151928 -aS',\t,\t,\tO\tO' -p151929 -aS'hemoglobin\themoglobin\tNN\tB-NP\tB-protein' -p151930 -aS'10.3\t10.3\tCD\tI-NP\tI-protein' -p151931 -aS'and\tand\tCC\tO\tO' -p151932 -aS'platelet\tplatelet\tNN\tB-NP\tB-protein' -p151933 -aS'count\tcount\tNN\tI-NP\tI-protein' -p151934 -aS'478,000\t478,000\tCD\tI-NP\tI-protein' -p151935 -aS'.\t.\t.\tO\tO' -p151936 -asS's / p c-section B12 deficiency Anemia' -p151937 -(lp151938 -S's\ts\tNN\tB-NP\tB-protein' -p151939 -aS'/\t/\tSYM\tI-NP\tI-protein' -p151940 -aS'p\tp\tNN\tI-NP\tI-protein' -p151941 -aS'c-section\tc-section\tNN\tI-NP\tI-protein' -p151942 -aS'B12\tB12\tNN\tI-NP\tI-protein' -p151943 -aS'deficiency\tdeficiency\tNN\tI-NP\tO' -p151944 -aS'Anemia\tAnemia\tNN\tI-NP\tO' -p151945 -asS'At 9am the morning of admission he passed a large , bloody bowel movement and came to the Michael . There , his vitals were intially stable with a hct of 36.7 , though he was felt to be hypovolemic and this hemoconcentrated ; his previous hct was 39 about five months ago .' -p151946 -(lp151947 -S'At\tAt\tIN\tB-PP\tO' -p151948 -aS'9am\t9am\tCD\tB-NP\tO' -p151949 -aS'the\tthe\tDT\tB-NP\tO' -p151950 -aS'morning\tmorning\tNN\tI-NP\tO' -p151951 -aS'of\tof\tIN\tB-PP\tO' -p151952 -aS'admission\tadmission\tNN\tB-NP\tO' -p151953 -aS'he\the\tPRP\tB-NP\tO' -p151954 -aS'passed\tpass\tVBD\tB-VP\tO' -p151955 -aS'a\ta\tDT\tB-NP\tO' -p151956 -aS'large\tlarge\tJJ\tI-NP\tO' -p151957 -aS',\t,\t,\tI-NP\tO' -p151958 -aS'bloody\tbloody\tJJ\tI-NP\tO' -p151959 -aS'bowel\tbowel\tNN\tI-NP\tO' -p151960 -aS'movement\tmovement\tNN\tI-NP\tO' -p151961 -aS'and\tand\tCC\tO\tO' -p151962 -aS'came\tcome\tVBD\tB-VP\tO' -p151963 -aS'to\tto\tTO\tB-PP\tO' -p151964 -aS'the\tthe\tDT\tB-NP\tO' -p151965 -aS'Michael\tMichael\tNNP\tI-NP\tO' -p151966 -aS'.\t.\t.\tI-NP\tO' -p151967 -aS'There\tThere\tNNP\tI-NP\tO' -p151968 -aS',\t,\t,\tO\tO' -p151969 -aS'his\this\tPRP$\tB-NP\tO' -p151970 -aS'vitals\tvital\tNNS\tI-NP\tO' -p151971 -aS'were\tbe\tVBD\tB-VP\tO' -p151972 -aS'intially\tintially\tRB\tB-ADJP\tO' -p151973 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p151974 -aS'with\twith\tIN\tB-PP\tO' -p151975 -aS'a\ta\tDT\tB-NP\tO' -p151976 -aS'hct\thct\tNN\tI-NP\tO' -p151977 -aS'of\tof\tIN\tB-PP\tO' -p151978 -aS'36.7\t36.7\tCD\tB-NP\tO' -p151979 -aS',\t,\t,\tO\tO' -p151980 -aS'though\tthough\tIN\tB-SBAR\tO' -p151981 -aS'he\the\tPRP\tB-NP\tO' -p151982 -aS'was\tbe\tVBD\tB-VP\tO' -p151983 -aS'felt\tfeel\tVBN\tI-VP\tO' -p151984 -aS'to\tto\tTO\tI-VP\tO' -p151985 -aS'be\tbe\tVB\tI-VP\tO' -p151986 -aS'hypovolemic\thypovolemic\tJJ\tB-ADJP\tO' -p151987 -aS'and\tand\tCC\tO\tO' -p151988 -aS'this\tthis\tDT\tB-NP\tO' -p151989 -aS'hemoconcentrated\themoconcentrate\tVBN\tB-VP\tO' -p151990 -aS';\t;\t:\tO\tO' -p151991 -aS'his\this\tPRP$\tB-NP\tO' -p151992 -aS'previous\tprevious\tJJ\tI-NP\tO' -p151993 -aS'hct\thct\tNN\tI-NP\tO' -p151994 -aS'was\tbe\tVBD\tB-VP\tO' -p151995 -aS'39\t39\tCD\tB-NP\tO' -p151996 -aS'about\tabout\tIN\tB-NP\tO' -p151997 -aS'five\tfive\tCD\tI-NP\tO' -p151998 -aS'months\tmonth\tNNS\tI-NP\tO' -p151999 -aS'ago\tago\tRB\tB-ADVP\tO' -p152000 -aS'.\t.\t.\tO\tO' -p152001 -asS'Head CT showed a front focal hemorrhage in the left occipital lobe adjacent to the falx with intraparenchymal hemorrhage or epidural or subdural hemorrhage near the falx with no shift .' -p152002 -(lp152003 -S'Head\tHead\tNN\tB-NP\tO' -p152004 -aS'CT\tCT\tNN\tI-NP\tO' -p152005 -aS'showed\tshow\tVBD\tB-VP\tO' -p152006 -aS'a\ta\tDT\tB-NP\tO' -p152007 -aS'front\tfront\tJJ\tI-NP\tO' -p152008 -aS'focal\tfocal\tJJ\tI-NP\tO' -p152009 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p152010 -aS'in\tin\tIN\tB-PP\tO' -p152011 -aS'the\tthe\tDT\tB-NP\tO' -p152012 -aS'left\tleft\tJJ\tI-NP\tO' -p152013 -aS'occipital\toccipital\tNN\tI-NP\tO' -p152014 -aS'lobe\tlobe\tNN\tI-NP\tO' -p152015 -aS'adjacent\tadjacent\tJJ\tB-ADJP\tO' -p152016 -aS'to\tto\tTO\tB-PP\tO' -p152017 -aS'the\tthe\tDT\tB-NP\tO' -p152018 -aS'falx\tfalx\tNN\tI-NP\tO' -p152019 -aS'with\twith\tIN\tB-PP\tO' -p152020 -aS'intraparenchymal\tintraparenchymal\tJJ\tB-NP\tO' -p152021 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p152022 -aS'or\tor\tCC\tO\tO' -p152023 -aS'epidural\tepidural\tJJ\tB-NP\tO' -p152024 -aS'or\tor\tCC\tI-NP\tO' -p152025 -aS'subdural\tsubdural\tJJ\tI-NP\tO' -p152026 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p152027 -aS'near\tnear\tIN\tB-PP\tO' -p152028 -aS'the\tthe\tDT\tB-NP\tO' -p152029 -aS'falx\tfalx\tNN\tI-NP\tO' -p152030 -aS'with\twith\tIN\tB-PP\tO' -p152031 -aS'no\tno\tDT\tB-NP\tO' -p152032 -aS'shift\tshift\tNN\tI-NP\tO' -p152033 -aS'.\t.\t.\tO\tO' -p152034 -asS'1. Laparoscopic cholecystectomy as above .' -p152035 -(lp152036 -S'1.\t1.\tLS\tB-NP\tO' -p152037 -aS'Laparoscopic\tLaparoscopic\tJJ\tI-NP\tO' -p152038 -aS'cholecystectomy\tcholecystectomy\tNN\tI-NP\tO' -p152039 -aS'as\tas\tIN\tB-PP\tO' -p152040 -aS'above\tabove\tRB\tB-ADVP\tO' -p152041 -aS'.\t.\t.\tO\tO' -p152042 -asS'Gen : in NAD , but winces in pain with movements of his back .' -p152043 -(lp152044 -S'Gen\tGen\tNN\tB-NP\tO' -p152045 -aS':\t:\t:\tO\tO' -p152046 -aS'in\tin\tIN\tB-PP\tO' -p152047 -aS'NAD\tNAD\tNN\tB-NP\tO' -p152048 -aS',\t,\t,\tO\tO' -p152049 -aS'but\tbut\tCC\tO\tO' -p152050 -aS'winces\twince\tNNS\tB-NP\tO' -p152051 -aS'in\tin\tIN\tB-PP\tO' -p152052 -aS'pain\tpain\tNN\tB-NP\tO' -p152053 -aS'with\twith\tIN\tB-PP\tO' -p152054 -aS'movements\tmovement\tNNS\tB-NP\tO' -p152055 -aS'of\tof\tIN\tB-PP\tO' -p152056 -aS'his\this\tPRP$\tB-NP\tO' -p152057 -aS'back\tback\tNN\tI-NP\tO' -p152058 -aS'.\t.\t.\tO\tO' -p152059 -asS'The patient developed shortness of breath at home and the EMTs were called and the patient was found to be in respiratory distress .' -p152060 -(lp152061 -S'The\tThe\tDT\tB-NP\tO' -p152062 -aS'patient\tpatient\tNN\tI-NP\tO' -p152063 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p152064 -aS'shortness\tshortness\tNN\tB-NP\tO' -p152065 -aS'of\tof\tIN\tB-PP\tO' -p152066 -aS'breath\tbreath\tNN\tB-NP\tO' -p152067 -aS'at\tat\tIN\tB-PP\tO' -p152068 -aS'home\thome\tNN\tB-NP\tO' -p152069 -aS'and\tand\tCC\tO\tO' -p152070 -aS'the\tthe\tDT\tB-NP\tO' -p152071 -aS'EMTs\tEMT\tNNS\tI-NP\tO' -p152072 -aS'were\tbe\tVBD\tB-VP\tO' -p152073 -aS'called\tcall\tVBN\tI-VP\tO' -p152074 -aS'and\tand\tCC\tO\tO' -p152075 -aS'the\tthe\tDT\tB-NP\tO' -p152076 -aS'patient\tpatient\tNN\tI-NP\tO' -p152077 -aS'was\tbe\tVBD\tB-VP\tO' -p152078 -aS'found\tfind\tVBN\tI-VP\tO' -p152079 -aS'to\tto\tTO\tI-VP\tO' -p152080 -aS'be\tbe\tVB\tI-VP\tO' -p152081 -aS'in\tin\tIN\tB-PP\tO' -p152082 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p152083 -aS'distress\tdistress\tNN\tI-NP\tO' -p152084 -aS'.\t.\t.\tO\tO' -p152085 -asS'each 20 mEq dose to be given with 4 oz of fluid COZAAR ( LOSARTAN ) 50 MG PO QD' -p152086 -(lp152087 -S'each\teach\tDT\tB-NP\tO' -p152088 -aS'20\t20\tCD\tI-NP\tO' -p152089 -aS'mEq\tmEq\tNN\tI-NP\tO' -p152090 -aS'dose\tdose\tNN\tI-NP\tO' -p152091 -aS'to\tto\tTO\tB-VP\tO' -p152092 -aS'be\tbe\tVB\tI-VP\tO' -p152093 -aS'given\tgive\tVBN\tI-VP\tO' -p152094 -aS'with\twith\tIN\tB-PP\tO' -p152095 -aS'4\t4\tCD\tB-NP\tO' -p152096 -aS'oz\toz\tNN\tI-NP\tO' -p152097 -aS'of\tof\tIN\tB-PP\tO' -p152098 -aS'fluid\tfluid\tNN\tB-NP\tO' -p152099 -aS'COZAAR\tCOZAAR\tNN\tI-NP\tO' -p152100 -aS'(\t(\t(\tO\tO' -p152101 -aS'LOSARTAN\tLOSARTAN\tNN\tB-NP\tO' -p152102 -aS')\t)\t)\tO\tO' -p152103 -aS'50\t50\tCD\tB-NP\tO' -p152104 -aS'MG\tMG\tNN\tI-NP\tO' -p152105 -aS'PO\tPO\tNN\tI-NP\tO' -p152106 -aS'QD\tQD\tNN\tI-NP\tO' -p152107 -asS'Coumadin has caused bleeding from the mouth and nose on two occasions , on one occasion with prothrombin time 13 , and has been replaced by anti-platelet agents .' -p152108 -(lp152109 -S'Coumadin\tCoumadin\tNN\tB-NP\tO' -p152110 -aS'has\thave\tVBZ\tB-VP\tO' -p152111 -aS'caused\tcause\tVBN\tI-VP\tO' -p152112 -aS'bleeding\tbleed\tVBG\tI-VP\tO' -p152113 -aS'from\tfrom\tIN\tB-PP\tO' -p152114 -aS'the\tthe\tDT\tB-NP\tO' -p152115 -aS'mouth\tmouth\tNN\tI-NP\tO' -p152116 -aS'and\tand\tCC\tI-NP\tO' -p152117 -aS'nose\tnose\tNN\tI-NP\tO' -p152118 -aS'on\ton\tIN\tB-PP\tO' -p152119 -aS'two\ttwo\tCD\tB-NP\tO' -p152120 -aS'occasions\toccasion\tNNS\tI-NP\tO' -p152121 -aS',\t,\t,\tO\tO' -p152122 -aS'on\ton\tIN\tB-PP\tO' -p152123 -aS'one\tone\tCD\tB-NP\tO' -p152124 -aS'occasion\toccasion\tNN\tI-NP\tO' -p152125 -aS'with\twith\tIN\tB-PP\tO' -p152126 -aS'prothrombin\tprothrombin\tNN\tB-NP\tO' -p152127 -aS'time\ttime\tNN\tI-NP\tO' -p152128 -aS'13\t13\tCD\tB-NP\tO' -p152129 -aS',\t,\t,\tO\tO' -p152130 -aS'and\tand\tCC\tO\tO' -p152131 -aS'has\thave\tVBZ\tB-VP\tO' -p152132 -aS'been\tbe\tVBN\tI-VP\tO' -p152133 -aS'replaced\treplace\tVBN\tI-VP\tO' -p152134 -aS'by\tby\tIN\tB-PP\tO' -p152135 -aS'anti-platelet\tanti-platelet\tJJ\tB-NP\tO' -p152136 -aS'agents\tagent\tNNS\tI-NP\tO' -p152137 -aS'.\t.\t.\tO\tO' -p152138 -asS'He received a partial HD session , limited by hypotension .' -p152139 -(lp152140 -S'He\tHe\tPRP\tB-NP\tO' -p152141 -aS'received\treceive\tVBD\tB-VP\tO' -p152142 -aS'a\ta\tDT\tB-NP\tO' -p152143 -aS'partial\tpartial\tJJ\tI-NP\tO' -p152144 -aS'HD\tHD\tNN\tI-NP\tO' -p152145 -aS'session\tsession\tNN\tI-NP\tO' -p152146 -aS',\t,\t,\tO\tO' -p152147 -aS'limited\tlimit\tVBN\tB-VP\tO' -p152148 -aS'by\tby\tIN\tB-PP\tO' -p152149 -aS'hypotension\thypotension\tNN\tB-NP\tO' -p152150 -aS'.\t.\t.\tO\tO' -p152151 -asS'If more definitive information regarding ventricualr fuynction is needed , a cardiac MRI ( ( 951 ) 247-0244 ) or radionuclide study is suggested .' -p152152 -(lp152153 -S'If\tIf\tIN\tB-SBAR\tO' -p152154 -aS'more\tmore\tRBR\tB-NP\tO' -p152155 -aS'definitive\tdefinitive\tJJ\tI-NP\tO' -p152156 -aS'information\tinformation\tNN\tI-NP\tO' -p152157 -aS'regarding\tregard\tVBG\tB-VP\tO' -p152158 -aS'ventricualr\tventricualr\tNN\tB-NP\tO' -p152159 -aS'fuynction\tfuynction\tNN\tI-NP\tO' -p152160 -aS'is\tbe\tVBZ\tB-VP\tO' -p152161 -aS'needed\tneed\tVBN\tI-VP\tO' -p152162 -aS',\t,\t,\tO\tO' -p152163 -aS'a\ta\tDT\tB-NP\tO' -p152164 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p152165 -aS'MRI\tMRI\tNN\tI-NP\tO' -p152166 -aS'(\t(\t(\tO\tO' -p152167 -aS'(\t(\t(\tO\tO' -p152168 -aS'951\t951\tCD\tB-NP\tO' -p152169 -aS')\t)\t)\tO\tO' -p152170 -aS'247-0244\t247-0244\tCD\tB-NP\tO' -p152171 -aS')\t)\t)\tO\tO' -p152172 -aS'or\tor\tCC\tO\tO' -p152173 -aS'radionuclide\tradionuclide\tNN\tB-NP\tO' -p152174 -aS'study\tstudy\tNN\tI-NP\tO' -p152175 -aS'is\tbe\tVBZ\tB-VP\tO' -p152176 -aS'suggested\tsuggest\tVBN\tI-VP\tO' -p152177 -aS'.\t.\t.\tO\tO' -p152178 -asS'This was discussed with the GI Service who felt that this was not necessary given the recent colonoscopy that he had had in 05/2003 .' -p152179 -(lp152180 -S'This\tThis\tDT\tB-NP\tO' -p152181 -aS'was\tbe\tVBD\tB-VP\tO' -p152182 -aS'discussed\tdiscuss\tVBN\tI-VP\tO' -p152183 -aS'with\twith\tIN\tB-PP\tO' -p152184 -aS'the\tthe\tDT\tB-NP\tO' -p152185 -aS'GI\tGI\tNNP\tI-NP\tO' -p152186 -aS'Service\tService\tNNP\tI-NP\tO' -p152187 -aS'who\twho\tWP\tB-NP\tO' -p152188 -aS'felt\tfeel\tVBD\tB-VP\tO' -p152189 -aS'that\tthat\tIN\tB-SBAR\tO' -p152190 -aS'this\tthis\tDT\tB-NP\tO' -p152191 -aS'was\tbe\tVBD\tB-VP\tO' -p152192 -aS'not\tnot\tRB\tO\tO' -p152193 -aS'necessary\tnecessary\tJJ\tB-ADJP\tO' -p152194 -aS'given\tgive\tVBN\tB-PP\tO' -p152195 -aS'the\tthe\tDT\tB-NP\tO' -p152196 -aS'recent\trecent\tJJ\tI-NP\tO' -p152197 -aS'colonoscopy\tcolonoscopy\tNN\tI-NP\tO' -p152198 -aS'that\tthat\tIN\tB-SBAR\tO' -p152199 -aS'he\the\tPRP\tB-NP\tO' -p152200 -aS'had\thave\tVBD\tB-VP\tO' -p152201 -aS'had\thave\tVBN\tI-VP\tO' -p152202 -aS'in\tin\tIN\tB-PP\tO' -p152203 -aS'05/2003\t05/2003\tCD\tB-NP\tO' -p152204 -aS'.\t.\t.\tO\tO' -p152205 -asS'Ms Crossman was admitted on 2015-02-21 from an outside hospital to the ICU .' -p152206 -(lp152207 -S'Ms\tM\tNNS\tB-NP\tO' -p152208 -aS'Crossman\tCrossman\tNN\tI-NP\tO' -p152209 -aS'was\tbe\tVBD\tB-VP\tO' -p152210 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p152211 -aS'on\ton\tIN\tB-PP\tO' -p152212 -aS'2015-02-21\t2015-02-21\tCD\tB-NP\tO' -p152213 -aS'from\tfrom\tIN\tB-PP\tO' -p152214 -aS'an\tan\tDT\tB-NP\tO' -p152215 -aS'outside\toutside\tJJ\tI-NP\tO' -p152216 -aS'hospital\thospital\tNN\tI-NP\tO' -p152217 -aS'to\tto\tTO\tB-PP\tO' -p152218 -aS'the\tthe\tDT\tB-NP\tO' -p152219 -aS'ICU\tICU\tNN\tI-NP\tB-DNA' -p152220 -aS'.\t.\t.\tO\tO' -p152221 -asS'Following commands , oriented to name , place .' -p152222 -(lp152223 -S'Following\tFollow\tVBG\tB-NP\tO' -p152224 -aS'commands\tcommand\tNNS\tI-NP\tO' -p152225 -aS',\t,\t,\tO\tO' -p152226 -aS'oriented\torient\tVBN\tB-VP\tO' -p152227 -aS'to\tto\tTO\tB-PP\tO' -p152228 -aS'name\tname\tNN\tB-NP\tO' -p152229 -aS',\t,\t,\tO\tO' -p152230 -aS'place\tplace\tNN\tB-NP\tO' -p152231 -aS'.\t.\t.\tO\tO' -p152232 -asS'Chest x-ray was low lung volumes , no consolidation .' -p152233 -(lp152234 -S'Chest\tCh\tJJS\tB-NP\tO' -p152235 -aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' -p152236 -aS'was\tbe\tVBD\tB-VP\tO' -p152237 -aS'low\tlow\tJJ\tB-NP\tO' -p152238 -aS'lung\tlung\tNN\tI-NP\tO' -p152239 -aS'volumes\tvolume\tNNS\tI-NP\tO' -p152240 -aS',\t,\t,\tO\tO' -p152241 -aS'no\tno\tDT\tB-NP\tO' -p152242 -aS'consolidation\tconsolidation\tNN\tI-NP\tO' -p152243 -aS'.\t.\t.\tO\tO' -p152244 -asS'He was not taken to the OR .' -p152245 -(lp152246 -S'He\tHe\tPRP\tB-NP\tO' -p152247 -aS'was\tbe\tVBD\tB-VP\tO' -p152248 -aS'not\tnot\tRB\tI-VP\tO' -p152249 -aS'taken\ttake\tVBN\tI-VP\tO' -p152250 -aS'to\tto\tTO\tB-PP\tO' -p152251 -aS'the\tthe\tDT\tB-NP\tO' -p152252 -aS'OR\tOR\tNN\tI-NP\tB-protein' -p152253 -aS'.\t.\t.\tO\tO' -p152254 -asS'3. Coronary artery disease with a history of angina in the distant past .' -p152255 -(lp152256 -S'3.\t3.\tLS\tB-NP\tO' -p152257 -aS'Coronary\tCoronary\tJJ\tI-NP\tO' -p152258 -aS'artery\tartery\tNN\tI-NP\tO' -p152259 -aS'disease\tdisease\tNN\tI-NP\tO' -p152260 -aS'with\twith\tIN\tB-PP\tO' -p152261 -aS'a\ta\tDT\tB-NP\tO' -p152262 -aS'history\thistory\tNN\tI-NP\tO' -p152263 -aS'of\tof\tIN\tB-PP\tO' -p152264 -aS'angina\tangina\tNN\tB-NP\tO' -p152265 -aS'in\tin\tIN\tB-PP\tO' -p152266 -aS'the\tthe\tDT\tB-NP\tO' -p152267 -aS'distant\tdistant\tJJ\tI-NP\tO' -p152268 -aS'past\tpast\tNN\tI-NP\tO' -p152269 -aS'.\t.\t.\tO\tO' -p152270 -asS'Physical therapy saw the patient and cleared the patient for discharge .' -p152271 -(lp152272 -S'Physical\tPhysical\tJJ\tB-NP\tO' -p152273 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p152274 -aS'saw\tsee\tVBD\tB-VP\tO' -p152275 -aS'the\tthe\tDT\tB-NP\tO' -p152276 -aS'patient\tpatient\tNN\tI-NP\tO' -p152277 -aS'and\tand\tCC\tO\tO' -p152278 -aS'cleared\tclear\tVBD\tB-VP\tO' -p152279 -aS'the\tthe\tDT\tB-NP\tO' -p152280 -aS'patient\tpatient\tNN\tI-NP\tO' -p152281 -aS'for\tfor\tIN\tB-PP\tO' -p152282 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p152283 -aS'.\t.\t.\tO\tO' -p152284 -asS'Responsible After Study for Causing Admission ) s / p Multiple falls' -p152285 -(lp152286 -S'Responsible\tResponsible\tJJ\tB-ADJP\tO' -p152287 -aS'After\tAfter\tIN\tB-PP\tO' -p152288 -aS'Study\tStudy\tNN\tB-NP\tO' -p152289 -aS'for\tfor\tIN\tB-PP\tO' -p152290 -aS'Causing\tCause\tVBG\tB-NP\tO' -p152291 -aS'Admission\tAdmission\tNN\tI-NP\tO' -p152292 -aS')\t)\t)\tI-NP\tO' -p152293 -aS's\ts\tNN\tI-NP\tO' -p152294 -aS'/\t/\tSYM\tB-NP\tO' -p152295 -aS'p\tp\tNN\tI-NP\tO' -p152296 -aS'Multiple\tMultiple\tNN\tI-NP\tO' -p152297 -aS'falls\tfall\tVBZ\tB-VP\tO' -p152298 -asS'Patient reports no significant changes in how he feels over the past week .' -p152299 -(lp152300 -S'Patient\tPatient\tNN\tB-NP\tO' -p152301 -aS'reports\treport\tVBZ\tB-VP\tO' -p152302 -aS'no\tno\tDT\tB-NP\tO' -p152303 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p152304 -aS'changes\tchange\tNNS\tI-NP\tO' -p152305 -aS'in\tin\tIN\tB-PP\tO' -p152306 -aS'how\thow\tWRB\tB-ADVP\tO' -p152307 -aS'he\the\tPRP\tB-NP\tO' -p152308 -aS'feels\tfeel\tVBZ\tB-VP\tO' -p152309 -aS'over\tover\tIN\tB-PP\tO' -p152310 -aS'the\tthe\tDT\tB-NP\tO' -p152311 -aS'past\tpast\tJJ\tI-NP\tO' -p152312 -aS'week\tweek\tNN\tI-NP\tO' -p152313 -aS'.\t.\t.\tO\tO' -p152314 -asS'11. Lap cholecystectomy 7 weeks PTA' -p152315 -(lp152316 -S'11.\t11.\tLS\tB-NP\tO' -p152317 -aS'Lap\tLap\tNN\tI-NP\tB-protein' -p152318 -aS'cholecystectomy\tcholecystectomy\tNN\tI-NP\tO' -p152319 -aS'7\t7\tCD\tB-NP\tO' -p152320 -aS'weeks\tweek\tNNS\tI-NP\tO' -p152321 -aS'PTA\tPTA\tNN\tB-NP\tB-protein' -p152322 -asS'Chest x-ray and sputum culture obtained at the time were negative and the patient was treated with 100% nonrebreather which improved his oxygenation .' -p152323 -(lp152324 -S'Chest\tCh\tJJS\tB-NP\tO' -p152325 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p152326 -aS'and\tand\tCC\tI-NP\tO' -p152327 -aS'sputum\tsputum\tNN\tI-NP\tO' -p152328 -aS'culture\tculture\tNN\tI-NP\tO' -p152329 -aS'obtained\tobtain\tVBN\tB-VP\tO' -p152330 -aS'at\tat\tIN\tB-PP\tO' -p152331 -aS'the\tthe\tDT\tB-NP\tO' -p152332 -aS'time\ttime\tNN\tI-NP\tO' -p152333 -aS'were\tbe\tVBD\tB-VP\tO' -p152334 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p152335 -aS'and\tand\tCC\tO\tO' -p152336 -aS'the\tthe\tDT\tB-NP\tO' -p152337 -aS'patient\tpatient\tNN\tI-NP\tO' -p152338 -aS'was\tbe\tVBD\tB-VP\tO' -p152339 -aS'treated\ttreat\tVBN\tI-VP\tO' -p152340 -aS'with\twith\tIN\tB-PP\tO' -p152341 -aS'100%\t100%\tCD\tB-NP\tO' -p152342 -aS'nonrebreather\tnonrebreather\tNN\tI-NP\tO' -p152343 -aS'which\twhich\tWDT\tB-NP\tO' -p152344 -aS'improved\timprove\tVBD\tB-VP\tO' -p152345 -aS'his\this\tPRP$\tB-NP\tO' -p152346 -aS'oxygenation\toxygenation\tNN\tI-NP\tO' -p152347 -aS'.\t.\t.\tO\tO' -p152348 -asS'He came to the emergency room with chest pain on July 22 , 1994 , relieved with sublingual nitroglycerin .' -p152349 -(lp152350 -S'He\tHe\tPRP\tB-NP\tO' -p152351 -aS'came\tcome\tVBD\tB-VP\tO' -p152352 -aS'to\tto\tTO\tB-PP\tO' -p152353 -aS'the\tthe\tDT\tB-NP\tO' -p152354 -aS'emergency\temergency\tNN\tI-NP\tO' -p152355 -aS'room\troom\tNN\tI-NP\tO' -p152356 -aS'with\twith\tIN\tB-PP\tO' -p152357 -aS'chest\tchest\tNN\tB-NP\tO' -p152358 -aS'pain\tpain\tNN\tI-NP\tO' -p152359 -aS'on\ton\tIN\tB-PP\tO' -p152360 -aS'July\tJuly\tNNP\tB-NP\tO' -p152361 -aS'22\t22\tCD\tI-NP\tO' -p152362 -aS',\t,\t,\tI-NP\tO' -p152363 -aS'1994\t1994\tCD\tI-NP\tO' -p152364 -aS',\t,\t,\tO\tO' -p152365 -aS'relieved\trelieve\tVBN\tB-VP\tO' -p152366 -aS'with\twith\tIN\tB-PP\tO' -p152367 -aS'sublingual\tsublingual\tJJ\tB-NP\tO' -p152368 -aS'nitroglycerin\tnitroglycerin\tNN\tI-NP\tO' -p152369 -aS'.\t.\t.\tO\tO' -p152370 -asS'ALT was 181 , AST was 156 , LDH was 336 , alkaline phosphatase was 214 , and bilirubin was 12.7 total .' -p152371 -(lp152372 -S'ALT\tALT\tNN\tB-NP\tB-protein' -p152373 -aS'was\tbe\tVBD\tB-VP\tO' -p152374 -aS'181\t181\tCD\tB-NP\tO' -p152375 -aS',\t,\t,\tO\tO' -p152376 -aS'AST\tAST\tNN\tB-NP\tO' -p152377 -aS'was\tbe\tVBD\tB-VP\tO' -p152378 -aS'156\t156\tCD\tB-NP\tO' -p152379 -aS',\t,\t,\tO\tO' -p152380 -aS'LDH\tLDH\tNN\tB-NP\tB-protein' -p152381 -aS'was\tbe\tVBD\tB-VP\tO' -p152382 -aS'336\t336\tCD\tB-NP\tO' -p152383 -aS',\t,\t,\tO\tO' -p152384 -aS'alkaline\talkaline\tNN\tB-NP\tB-protein' -p152385 -aS'phosphatase\tphosphatase\tNN\tI-NP\tI-protein' -p152386 -aS'was\tbe\tVBD\tB-VP\tO' -p152387 -aS'214\t214\tCD\tB-NP\tO' -p152388 -aS',\t,\t,\tO\tO' -p152389 -aS'and\tand\tCC\tO\tO' -p152390 -aS'bilirubin\tbilirubin\tNN\tB-NP\tO' -p152391 -aS'was\tbe\tVBD\tB-VP\tO' -p152392 -aS'12.7\t12.7\tCD\tB-NP\tO' -p152393 -aS'total\ttotal\tNN\tI-NP\tO' -p152394 -aS'.\t.\t.\tO\tO' -p152395 -asS'He was continued on his MDI and was at his baseline 02 requirement throughout admission .' -p152396 -(lp152397 -S'He\tHe\tPRP\tB-NP\tO' -p152398 -aS'was\tbe\tVBD\tB-VP\tO' -p152399 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p152400 -aS'on\ton\tIN\tB-PP\tO' -p152401 -aS'his\this\tPRP$\tB-NP\tO' -p152402 -aS'MDI\tMDI\tNN\tI-NP\tB-protein' -p152403 -aS'and\tand\tCC\tO\tO' -p152404 -aS'was\tbe\tVBD\tB-VP\tO' -p152405 -aS'at\tat\tIN\tB-PP\tO' -p152406 -aS'his\this\tPRP$\tB-NP\tO' -p152407 -aS'baseline\tbaseline\tNN\tI-NP\tO' -p152408 -aS'02\t02\tCD\tI-NP\tO' -p152409 -aS'requirement\trequirement\tNN\tI-NP\tO' -p152410 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p152411 -aS'admission\tadmission\tNN\tB-NP\tO' -p152412 -aS'.\t.\t.\tO\tO' -p152413 -asS'The patient had some diarrhea .' -p152414 -(lp152415 -S'The\tThe\tDT\tB-NP\tO' -p152416 -aS'patient\tpatient\tNN\tI-NP\tO' -p152417 -aS'had\thave\tVBD\tB-VP\tO' -p152418 -aS'some\tsome\tDT\tB-NP\tO' -p152419 -aS'diarrhea\tdiarrhea\tNN\tI-NP\tO' -p152420 -aS'.\t.\t.\tO\tO' -p152421 -asS'10. Access - Left IJ placed 12-26 in Juan was discontinued during the hospitilization .' -p152422 -(lp152423 -S'10.\t10.\tLS\tO\tO' -p152424 -aS'Access\tAccess\tNNP\tO\tO' -p152425 -aS'-\t-\tHYPH\tO\tO' -p152426 -aS'Left\tLeft\tNNP\tB-NP\tO' -p152427 -aS'IJ\tIJ\tNNP\tI-NP\tO' -p152428 -aS'placed\tplace\tVBD\tB-VP\tO' -p152429 -aS'12-26\t12-26\tCD\tB-NP\tO' -p152430 -aS'in\tin\tIN\tB-PP\tO' -p152431 -aS'Juan\tJuan\tNNP\tB-NP\tO' -p152432 -aS'was\tbe\tVBD\tB-VP\tO' -p152433 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p152434 -aS'during\tduring\tIN\tB-PP\tO' -p152435 -aS'the\tthe\tDT\tB-NP\tO' -p152436 -aS'hospitilization\thospitilization\tNN\tI-NP\tO' -p152437 -aS'.\t.\t.\tO\tO' -p152438 -asS'No headache , neckpain , nausea , vomiting or focal weakness / numbness .' -p152439 -(lp152440 -S'No\tNo\tDT\tB-NP\tO' -p152441 -aS'headache\theadache\tNN\tI-NP\tO' -p152442 -aS',\t,\t,\tO\tO' -p152443 -aS'neckpain\tneckpain\tNN\tB-NP\tO' -p152444 -aS',\t,\t,\tO\tO' -p152445 -aS'nausea\tnausea\tNN\tB-NP\tO' -p152446 -aS',\t,\t,\tO\tO' -p152447 -aS'vomiting\tvomiting\tNN\tB-NP\tO' -p152448 -aS'or\tor\tCC\tO\tO' -p152449 -aS'focal\tfocal\tJJ\tB-NP\tO' -p152450 -aS'weakness\tweakness\tNN\tI-NP\tO' -p152451 -aS'/\t/\tSYM\tB-NP\tO' -p152452 -aS'numbness\tnumbness\tNN\tI-NP\tO' -p152453 -aS'.\t.\t.\tO\tO' -p152454 -asS'Multiple discussions were held between Dr. Mass , the rest of the surgical team , and the patient 's wife , with this same result .' -p152455 -(lp152456 -S'Multiple\tMultiple\tJJ\tB-NP\tO' -p152457 -aS'discussions\tdiscussion\tNNS\tI-NP\tO' -p152458 -aS'were\tbe\tVBD\tB-VP\tO' -p152459 -aS'held\thold\tVBN\tI-VP\tO' -p152460 -aS'between\tbetween\tIN\tB-PP\tO' -p152461 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p152462 -aS'Mass\tMass\tNNP\tI-NP\tO' -p152463 -aS',\t,\t,\tO\tO' -p152464 -aS'the\tthe\tDT\tB-NP\tO' -p152465 -aS'rest\trest\tNN\tI-NP\tO' -p152466 -aS'of\tof\tIN\tB-PP\tO' -p152467 -aS'the\tthe\tDT\tB-NP\tO' -p152468 -aS'surgical\tsurgical\tJJ\tI-NP\tO' -p152469 -aS'team\tteam\tNN\tI-NP\tO' -p152470 -aS',\t,\t,\tO\tO' -p152471 -aS'and\tand\tCC\tO\tO' -p152472 -aS'the\tthe\tDT\tB-NP\tO' -p152473 -aS'patient\tpatient\tNN\tI-NP\tO' -p152474 -aS''s\t'\tNNS\tI-NP\tO' -p152475 -aS'wife\twife\tNN\tI-NP\tO' -p152476 -aS',\t,\t,\tO\tO' -p152477 -aS'with\twith\tIN\tB-PP\tO' -p152478 -aS'this\tthis\tDT\tB-NP\tO' -p152479 -aS'same\tsame\tJJ\tI-NP\tO' -p152480 -aS'result\tresult\tNN\tI-NP\tO' -p152481 -aS'.\t.\t.\tO\tO' -p152482 -asS'EMS was called and the patient was taken to the emergency room .' -p152483 -(lp152484 -S'EMS\tEMS\tNNS\tB-NP\tO' -p152485 -aS'was\tbe\tVBD\tB-VP\tO' -p152486 -aS'called\tcall\tVBN\tI-VP\tO' -p152487 -aS'and\tand\tCC\tO\tO' -p152488 -aS'the\tthe\tDT\tB-NP\tO' -p152489 -aS'patient\tpatient\tNN\tI-NP\tO' -p152490 -aS'was\tbe\tVBD\tB-VP\tO' -p152491 -aS'taken\ttake\tVBN\tI-VP\tO' -p152492 -aS'to\tto\tTO\tB-PP\tO' -p152493 -aS'the\tthe\tDT\tB-NP\tO' -p152494 -aS'emergency\temergency\tNN\tI-NP\tO' -p152495 -aS'room\troom\tNN\tI-NP\tO' -p152496 -aS'.\t.\t.\tO\tO' -p152497 -asS'CBC was benign and blood cultures remained negative at 48 hours at which time ampicillin and gentamicin were discontinued .' -p152498 -(lp152499 -S'CBC\tCBC\tNN\tB-NP\tB-protein' -p152500 -aS'was\tbe\tVBD\tB-VP\tO' -p152501 -aS'benign\tbenign\tJJ\tB-NP\tO' -p152502 -aS'and\tand\tCC\tI-NP\tO' -p152503 -aS'blood\tblood\tNN\tI-NP\tO' -p152504 -aS'cultures\tculture\tNNS\tI-NP\tO' -p152505 -aS'remained\tremain\tVBD\tB-VP\tO' -p152506 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p152507 -aS'at\tat\tIN\tB-PP\tO' -p152508 -aS'48\t48\tCD\tB-NP\tO' -p152509 -aS'hours\thour\tNNS\tI-NP\tO' -p152510 -aS'at\tat\tIN\tB-PP\tO' -p152511 -aS'which\twhich\tWDT\tB-NP\tO' -p152512 -aS'time\ttime\tNN\tB-NP\tO' -p152513 -aS'ampicillin\tampicillin\tNN\tI-NP\tO' -p152514 -aS'and\tand\tCC\tI-NP\tO' -p152515 -aS'gentamicin\tgentamicin\tNN\tI-NP\tO' -p152516 -aS'were\tbe\tVBD\tB-VP\tO' -p152517 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p152518 -aS'.\t.\t.\tO\tO' -p152519 -asS'4. Halcion 0.25 mg p.o. at night .' -p152520 -(lp152521 -S'4.\t4.\tLS\tB-LST\tO' -p152522 -aS'Halcion\tHalcion\tNNP\tB-NP\tO' -p152523 -aS'0.25\t0.25\tCD\tI-NP\tO' -p152524 -aS'mg\tmg\tNN\tI-NP\tO' -p152525 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p152526 -aS'at\tat\tIN\tB-PP\tO' -p152527 -aS'night\tnight\tNN\tB-NP\tO' -p152528 -aS'.\t.\t.\tO\tO' -p152529 -asS"Other significant issues were the patient 's hematocrit on admission at 31.1 which dwindled down to 26.2 by 9-10 ." -p152530 -(lp152531 -S'Other\tOther\tJJ\tB-NP\tO' -p152532 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p152533 -aS'issues\tissue\tNNS\tI-NP\tO' -p152534 -aS'were\tbe\tVBD\tB-VP\tO' -p152535 -aS'the\tthe\tDT\tB-NP\tO' -p152536 -aS'patient\tpatient\tNN\tI-NP\tO' -p152537 -aS"'s\t's\tPOS\tB-NP\tO" -p152538 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p152539 -aS'on\ton\tIN\tB-PP\tO' -p152540 -aS'admission\tadmission\tNN\tB-NP\tO' -p152541 -aS'at\tat\tIN\tB-PP\tO' -p152542 -aS'31.1\t31.1\tCD\tB-NP\tO' -p152543 -aS'which\twhich\tWDT\tB-NP\tO' -p152544 -aS'dwindled\tdwindle\tVBD\tB-VP\tO' -p152545 -aS'down\tdown\tRB\tB-ADVP\tO' -p152546 -aS'to\tto\tTO\tB-PP\tO' -p152547 -aS'26.2\t26.2\tCD\tB-NP\tO' -p152548 -aS'by\tby\tIN\tB-PP\tO' -p152549 -aS'9-10\t9-10\tCD\tB-NP\tO' -p152550 -aS'.\t.\t.\tO\tO' -p152551 -asS'Initial results were within normal limits .' -p152552 -(lp152553 -S'Initial\tInitial\tJJ\tB-NP\tO' -p152554 -aS'results\tresult\tNNS\tI-NP\tO' -p152555 -aS'were\tbe\tVBD\tB-VP\tO' -p152556 -aS'within\twithin\tIN\tB-PP\tO' -p152557 -aS'normal\tnormal\tJJ\tB-NP\tO' -p152558 -aS'limits\tlimit\tNNS\tI-NP\tO' -p152559 -aS'.\t.\t.\tO\tO' -p152560 -asS'The patient will follow up with her primary care physician , Dr. Stoa Sterpbreutzsterp as has already been scheduled three weeks after the discharge date .' -p152561 -(lp152562 -S'The\tThe\tDT\tB-NP\tO' -p152563 -aS'patient\tpatient\tNN\tI-NP\tO' -p152564 -aS'will\twill\tMD\tB-VP\tO' -p152565 -aS'follow\tfollow\tVB\tI-VP\tO' -p152566 -aS'up\tup\tRP\tB-PRT\tO' -p152567 -aS'with\twith\tIN\tB-PP\tO' -p152568 -aS'her\ther\tPRP$\tB-NP\tO' -p152569 -aS'primary\tprimary\tJJ\tI-NP\tO' -p152570 -aS'care\tcare\tNN\tI-NP\tO' -p152571 -aS'physician\tphysician\tNN\tI-NP\tO' -p152572 -aS',\t,\t,\tO\tO' -p152573 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p152574 -aS'Stoa\tStoa\tNNP\tI-NP\tO' -p152575 -aS'Sterpbreutzsterp\tSterpbreutzsterp\tNNP\tI-NP\tO' -p152576 -aS'as\tas\tIN\tB-SBAR\tO' -p152577 -aS'has\thave\tVBZ\tB-VP\tO' -p152578 -aS'already\talready\tRB\tI-VP\tO' -p152579 -aS'been\tbe\tVBN\tI-VP\tO' -p152580 -aS'scheduled\tschedule\tVBN\tI-VP\tO' -p152581 -aS'three\tthree\tCD\tB-NP\tO' -p152582 -aS'weeks\tweek\tNNS\tI-NP\tO' -p152583 -aS'after\tafter\tIN\tB-SBAR\tO' -p152584 -aS'the\tthe\tDT\tB-NP\tO' -p152585 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p152586 -aS'date\tdate\tNN\tI-NP\tO' -p152587 -aS'.\t.\t.\tO\tO' -p152588 -asS'Language was normal .' -p152589 -(lp152590 -S'Language\tLanguage\tNN\tB-NP\tO' -p152591 -aS'was\tbe\tVBD\tB-VP\tO' -p152592 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p152593 -aS'.\t.\t.\tO\tO' -p152594 -asS'In addition , she developed nausea and decreased PO intake .' -p152595 -(lp152596 -S'In\tIn\tIN\tB-PP\tO' -p152597 -aS'addition\taddition\tNN\tB-NP\tO' -p152598 -aS',\t,\t,\tO\tO' -p152599 -aS'she\tshe\tPRP\tB-NP\tO' -p152600 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p152601 -aS'nausea\tnausea\tNN\tB-NP\tO' -p152602 -aS'and\tand\tCC\tO\tO' -p152603 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p152604 -aS'PO\tPO\tNN\tB-NP\tO' -p152605 -aS'intake\tintake\tNN\tI-NP\tO' -p152606 -aS'.\t.\t.\tO\tO' -p152607 -asS'Initially got steroids upon intubation .' -p152608 -(lp152609 -S'Initially\tInitially\tRB\tB-ADVP\tO' -p152610 -aS'got\tget\tVBD\tB-VP\tO' -p152611 -aS'steroids\tsteroid\tNNS\tB-NP\tO' -p152612 -aS'upon\tupon\tIN\tB-PP\tO' -p152613 -aS'intubation\tintubation\tNN\tB-NP\tO' -p152614 -aS'.\t.\t.\tO\tO' -p152615 -asS'Brought to the OR on 06-26 for CABG , please see OR report for details .' -p152616 -(lp152617 -S'Brought\tBring\tVBN\tB-VP\tO' -p152618 -aS'to\tto\tTO\tB-PP\tO' -p152619 -aS'the\tthe\tDT\tB-NP\tO' -p152620 -aS'OR\tOR\tNN\tI-NP\tO' -p152621 -aS'on\ton\tIN\tB-PP\tO' -p152622 -aS'06-26\t06-26\tCD\tB-NP\tO' -p152623 -aS'for\tfor\tIN\tB-PP\tO' -p152624 -aS'CABG\tCABG\tNN\tB-NP\tB-protein' -p152625 -aS',\t,\t,\tO\tO' -p152626 -aS'please\tplease\tVB\tB-VP\tO' -p152627 -aS'see\tsee\tVBP\tB-VP\tO' -p152628 -aS'OR\tOR\tNN\tB-NP\tO' -p152629 -aS'report\treport\tNN\tI-NP\tO' -p152630 -aS'for\tfor\tIN\tB-PP\tO' -p152631 -aS'details\tdetail\tNNS\tB-NP\tO' -p152632 -aS'.\t.\t.\tO\tO' -p152633 -asS'The study is otherwise unchanged from pre-bypass .' -p152634 -(lp152635 -S'The\tThe\tDT\tB-NP\tO' -p152636 -aS'study\tstudy\tNN\tI-NP\tO' -p152637 -aS'is\tbe\tVBZ\tB-VP\tO' -p152638 -aS'otherwise\totherwise\tRB\tB-ADJP\tO' -p152639 -aS'unchanged\tunchanged\tJJ\tI-ADJP\tO' -p152640 -aS'from\tfrom\tIN\tB-PP\tO' -p152641 -aS'pre-bypass\tpre-bypass\tJJ\tB-ADJP\tO' -p152642 -aS'.\t.\t.\tO\tO' -p152643 -asS'Cardiac catheterization demonstrated elevated right and left-sided filling pressures at rest , with pulmonary hypertension and normal cardiac index .' -p152644 -(lp152645 -S'Cardiac\tCardiac\tJJ\tB-NP\tO' -p152646 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p152647 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p152648 -aS'elevated\televate\tVBN\tI-VP\tO' -p152649 -aS'right\tright\tJJ\tB-NP\tO' -p152650 -aS'and\tand\tCC\tI-NP\tO' -p152651 -aS'left-sided\tleft-sided\tJJ\tI-NP\tO' -p152652 -aS'filling\tfilling\tNN\tI-NP\tO' -p152653 -aS'pressures\tpressure\tNNS\tI-NP\tO' -p152654 -aS'at\tat\tIN\tB-PP\tO' -p152655 -aS'rest\trest\tNN\tB-NP\tO' -p152656 -aS',\t,\t,\tO\tO' -p152657 -aS'with\twith\tIN\tB-PP\tO' -p152658 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p152659 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p152660 -aS'and\tand\tCC\tO\tO' -p152661 -aS'normal\tnormal\tJJ\tB-NP\tO' -p152662 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p152663 -aS'index\tindex\tNN\tI-NP\tO' -p152664 -aS'.\t.\t.\tO\tO' -p152665 -asS'The patient had twin LAD stents to the LAD diagonal and LAD septal branches with Taxus stents .' -p152666 -(lp152667 -S'The\tThe\tDT\tB-NP\tO' -p152668 -aS'patient\tpatient\tNN\tI-NP\tO' -p152669 -aS'had\thave\tVBD\tB-VP\tO' -p152670 -aS'twin\ttwin\tJJ\tB-NP\tO' -p152671 -aS'LAD\tLAD\tNN\tI-NP\tO' -p152672 -aS'stents\tstent\tNNS\tI-NP\tO' -p152673 -aS'to\tto\tTO\tB-PP\tO' -p152674 -aS'the\tthe\tDT\tB-NP\tO' -p152675 -aS'LAD\tLAD\tNN\tI-NP\tO' -p152676 -aS'diagonal\tdiagonal\tJJ\tB-ADJP\tO' -p152677 -aS'and\tand\tCC\tO\tO' -p152678 -aS'LAD\tLAD\tNN\tB-VP\tO' -p152679 -aS'septal\tseptal\tJJ\tB-NP\tO' -p152680 -aS'branches\tbranch\tNNS\tI-NP\tO' -p152681 -aS'with\twith\tIN\tB-PP\tO' -p152682 -aS'Taxus\tTaxus\tNN\tB-NP\tO' -p152683 -aS'stents\tstent\tNNS\tI-NP\tO' -p152684 -aS'.\t.\t.\tO\tO' -p152685 -asS'Sclerae are anicteric .' -p152686 -(lp152687 -S'Sclerae\tSclerae\tNNS\tB-NP\tO' -p152688 -aS'are\tbe\tVBP\tB-VP\tO' -p152689 -aS'anicteric\tanicteric\tJJ\tB-ADJP\tO' -p152690 -aS'.\t.\t.\tO\tO' -p152691 -asS'Serial cardiac enzymes negative .' -p152692 -(lp152693 -S'Serial\tSerial\tJJ\tB-NP\tB-protein' -p152694 -aS'cardiac\tcardiac\tJJ\tI-NP\tI-protein' -p152695 -aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' -p152696 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p152697 -aS'.\t.\t.\tO\tO' -p152698 -asS'1) Multiple myeloma .' -p152699 -(lp152700 -S'1)\t1)\tLS\tB-NP\tO' -p152701 -aS'Multiple\tMultiple\tJJ\tI-NP\tO' -p152702 -aS'myeloma\tmyeloma\tNN\tI-NP\tO' -p152703 -aS'.\t.\t.\tO\tO' -p152704 -asS'She was NPO periodically but maintained a normal diet prior to discharge .' -p152705 -(lp152706 -S'She\tShe\tPRP\tB-NP\tO' -p152707 -aS'was\tbe\tVBD\tB-VP\tO' -p152708 -aS'NPO\tNPO\tNN\tB-NP\tB-protein' -p152709 -aS'periodically\tperiodically\tRB\tB-ADVP\tO' -p152710 -aS'but\tbut\tCC\tO\tO' -p152711 -aS'maintained\tmaintain\tVBD\tB-VP\tO' -p152712 -aS'a\ta\tDT\tB-NP\tO' -p152713 -aS'normal\tnormal\tJJ\tI-NP\tO' -p152714 -aS'diet\tdiet\tNN\tI-NP\tO' -p152715 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p152716 -aS'to\tto\tTO\tB-VP\tO' -p152717 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p152718 -aS'.\t.\t.\tO\tO' -p152719 -asS'Therefore , he went to repeat cardiac catheterization which revealed that the left anterior descending site was patent and revealed a distal PDA lesion and a circumflex lesion after the OM .' -p152720 -(lp152721 -S'Therefore\tTherefore\tRB\tB-ADVP\tO' -p152722 -aS',\t,\t,\tO\tO' -p152723 -aS'he\the\tPRP\tB-NP\tO' -p152724 -aS'went\tgo\tVBD\tB-VP\tO' -p152725 -aS'to\tto\tTO\tI-VP\tO' -p152726 -aS'repeat\trepeat\tVB\tI-VP\tO' -p152727 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p152728 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p152729 -aS'which\twhich\tWDT\tB-NP\tO' -p152730 -aS'revealed\treveal\tVBD\tB-VP\tO' -p152731 -aS'that\tthat\tIN\tB-SBAR\tO' -p152732 -aS'the\tthe\tDT\tB-NP\tO' -p152733 -aS'left\tleft\tJJ\tI-NP\tB-DNA' -p152734 -aS'anterior\tanterior\tJJ\tI-NP\tI-DNA' -p152735 -aS'descending\tdescend\tVBG\tI-NP\tI-DNA' -p152736 -aS'site\tsite\tNN\tI-NP\tI-DNA' -p152737 -aS'was\tbe\tVBD\tB-VP\tO' -p152738 -aS'patent\tpatent\tNN\tB-NP\tO' -p152739 -aS'and\tand\tCC\tO\tO' -p152740 -aS'revealed\treveal\tVBD\tB-VP\tO' -p152741 -aS'a\ta\tDT\tB-NP\tO' -p152742 -aS'distal\tdistal\tJJ\tI-NP\tO' -p152743 -aS'PDA\tPDA\tNN\tI-NP\tO' -p152744 -aS'lesion\tlesion\tNN\tI-NP\tO' -p152745 -aS'and\tand\tCC\tO\tO' -p152746 -aS'a\ta\tDT\tB-NP\tO' -p152747 -aS'circumflex\tcircumflex\tNN\tI-NP\tO' -p152748 -aS'lesion\tlesion\tNN\tI-NP\tO' -p152749 -aS'after\tafter\tIN\tB-PP\tO' -p152750 -aS'the\tthe\tDT\tB-NP\tO' -p152751 -aS'OM\tOM\tNN\tI-NP\tO' -p152752 -aS'.\t.\t.\tO\tO' -p152753 -asS'Post operative fever fever status post Reveision Right craniotomy and revsion of bone flap change in mental status' -p152754 -(lp152755 -S'Post\tPost\tJJ\tB-NP\tO' -p152756 -aS'operative\toperative\tJJ\tI-NP\tO' -p152757 -aS'fever\tfever\tNN\tI-NP\tO' -p152758 -aS'fever\tfever\tNN\tI-NP\tO' -p152759 -aS'status\tstatus\tNN\tI-NP\tO' -p152760 -aS'post\tpost\tNN\tI-NP\tO' -p152761 -aS'Reveision\tReveision\tNN\tI-NP\tO' -p152762 -aS'Right\tRight\tNN\tI-NP\tO' -p152763 -aS'craniotomy\tcraniotomy\tNN\tI-NP\tO' -p152764 -aS'and\tand\tCC\tI-NP\tO' -p152765 -aS'revsion\trevsion\tNN\tI-NP\tO' -p152766 -aS'of\tof\tIN\tB-PP\tO' -p152767 -aS'bone\tbone\tNN\tB-NP\tO' -p152768 -aS'flap\tflap\tNN\tI-NP\tO' -p152769 -aS'change\tchange\tNN\tI-NP\tO' -p152770 -aS'in\tin\tIN\tB-PP\tO' -p152771 -aS'mental\tmental\tJJ\tB-NP\tO' -p152772 -aS'status\tstatus\tNN\tI-NP\tO' -p152773 -asS'2. Cardiomyopathy .' -p152774 -(lp152775 -S'2.\t2.\tLS\tB-NP\tO' -p152776 -aS'Cardiomyopathy\tCardiomyopathy\tNN\tI-NP\tO' -p152777 -aS'.\t.\t.\tO\tO' -p152778 -asS'A bone marrow biopsy revealed the transformation of his CMML to acute myelogenous leukemia , and given his other underlying medical problems , we chose chemotherapy with subcutaneous Cystosine Arabinoside and 6-Thioguanine , which he tolerated without incident and this brought his white blood count down to below 1,000 , and his spleen shrank noticeably , but he still could not maintain a bump in platelet count with platelet transfusions .' -p152779 -(lp152780 -S'A\tA\tDT\tB-NP\tO' -p152781 -aS'bone\tbone\tNN\tI-NP\tO' -p152782 -aS'marrow\tmarrow\tNN\tI-NP\tO' -p152783 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p152784 -aS'revealed\treveal\tVBD\tB-VP\tO' -p152785 -aS'the\tthe\tDT\tB-NP\tO' -p152786 -aS'transformation\ttransformation\tNN\tI-NP\tO' -p152787 -aS'of\tof\tIN\tB-PP\tO' -p152788 -aS'his\this\tPRP$\tB-NP\tO' -p152789 -aS'CMML\tCMML\tNN\tI-NP\tB-protein' -p152790 -aS'to\tto\tTO\tB-PP\tO' -p152791 -aS'acute\tacute\tJJ\tB-NP\tO' -p152792 -aS'myelogenous\tmyelogenous\tJJ\tI-NP\tO' -p152793 -aS'leukemia\tleukemia\tNN\tI-NP\tO' -p152794 -aS',\t,\t,\tO\tO' -p152795 -aS'and\tand\tCC\tO\tO' -p152796 -aS'given\tgive\tVBN\tB-VP\tO' -p152797 -aS'his\this\tPRP$\tB-NP\tO' -p152798 -aS'other\tother\tJJ\tI-NP\tO' -p152799 -aS'underlying\tunderlie\tVBG\tI-NP\tO' -p152800 -aS'medical\tmedical\tJJ\tI-NP\tO' -p152801 -aS'problems\tproblem\tNNS\tI-NP\tO' -p152802 -aS',\t,\t,\tO\tO' -p152803 -aS'we\twe\tPRP\tB-NP\tO' -p152804 -aS'chose\tchoose\tVBD\tB-VP\tO' -p152805 -aS'chemotherapy\tchemotherapy\tNN\tB-NP\tO' -p152806 -aS'with\twith\tIN\tB-PP\tO' -p152807 -aS'subcutaneous\tsubcutaneous\tJJ\tB-NP\tO' -p152808 -aS'Cystosine\tCystosine\tNN\tI-NP\tO' -p152809 -aS'Arabinoside\tArabinoside\tNN\tI-NP\tO' -p152810 -aS'and\tand\tCC\tI-NP\tO' -p152811 -aS'6-Thioguanine\t6-Thioguanine\tNN\tI-NP\tO' -p152812 -aS',\t,\t,\tO\tO' -p152813 -aS'which\twhich\tWDT\tB-NP\tO' -p152814 -aS'he\the\tPRP\tB-NP\tO' -p152815 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p152816 -aS'without\twithout\tIN\tB-PP\tO' -p152817 -aS'incident\tincident\tNN\tB-NP\tO' -p152818 -aS'and\tand\tCC\tO\tO' -p152819 -aS'this\tthis\tDT\tB-NP\tO' -p152820 -aS'brought\tbring\tVBD\tB-VP\tO' -p152821 -aS'his\this\tPRP$\tB-NP\tO' -p152822 -aS'white\twhite\tJJ\tI-NP\tO' -p152823 -aS'blood\tblood\tNN\tI-NP\tO' -p152824 -aS'count\tcount\tNN\tI-NP\tO' -p152825 -aS'down\tdown\tRB\tB-ADVP\tO' -p152826 -aS'to\tto\tTO\tB-PP\tO' -p152827 -aS'below\tbelow\tIN\tB-PP\tO' -p152828 -aS'1,000\t1,000\tCD\tB-NP\tO' -p152829 -aS',\t,\t,\tO\tO' -p152830 -aS'and\tand\tCC\tO\tO' -p152831 -aS'his\this\tPRP$\tB-NP\tO' -p152832 -aS'spleen\tspleen\tNN\tI-NP\tO' -p152833 -aS'shrank\tshrink\tVBD\tB-VP\tO' -p152834 -aS'noticeably\tnoticeably\tRB\tB-ADVP\tO' -p152835 -aS',\t,\t,\tO\tO' -p152836 -aS'but\tbut\tCC\tO\tO' -p152837 -aS'he\the\tPRP\tB-NP\tO' -p152838 -aS'still\tstill\tRB\tB-ADVP\tO' -p152839 -aS'could\tcould\tMD\tB-VP\tO' -p152840 -aS'not\tnot\tRB\tI-VP\tO' -p152841 -aS'maintain\tmaintain\tVB\tI-VP\tO' -p152842 -aS'a\ta\tDT\tB-NP\tO' -p152843 -aS'bump\tbump\tNN\tI-NP\tO' -p152844 -aS'in\tin\tIN\tB-PP\tO' -p152845 -aS'platelet\tplatelet\tNN\tB-NP\tO' -p152846 -aS'count\tcount\tNN\tI-NP\tO' -p152847 -aS'with\twith\tIN\tB-PP\tO' -p152848 -aS'platelet\tplatelet\tNN\tB-NP\tO' -p152849 -aS'transfusions\ttransfusion\tNNS\tI-NP\tO' -p152850 -aS'.\t.\t.\tO\tO' -p152851 -asS'Her dialysis was managed by renal service in house .' -p152852 -(lp152853 -S'Her\tHer\tPRP$\tB-NP\tO' -p152854 -aS'dialysis\tdialysis\tNN\tI-NP\tO' -p152855 -aS'was\tbe\tVBD\tB-VP\tO' -p152856 -aS'managed\tmanage\tVBN\tI-VP\tO' -p152857 -aS'by\tby\tIN\tB-PP\tO' -p152858 -aS'renal\trenal\tJJ\tB-NP\tO' -p152859 -aS'service\tservice\tNN\tI-NP\tO' -p152860 -aS'in\tin\tIN\tB-PP\tO' -p152861 -aS'house\thouse\tNN\tB-NP\tO' -p152862 -aS'.\t.\t.\tO\tO' -p152863 -asS'1) Serratia urosepsis treated with ceftizoxime .' -p152864 -(lp152865 -S'1)\t1)\tLS\tB-NP\tO' -p152866 -aS'Serratia\tSerratia\tNN\tI-NP\tO' -p152867 -aS'urosepsis\turosepsis\tNN\tI-NP\tO' -p152868 -aS'treated\ttreat\tVBN\tB-VP\tO' -p152869 -aS'with\twith\tIN\tB-PP\tO' -p152870 -aS'ceftizoxime\tceftizoxime\tNN\tB-NP\tO' -p152871 -aS'.\t.\t.\tO\tO' -p152872 -asS'With improvements of her ventilation and oxygenation and treatment with levofloxacin of her UTI and pneumonia , her mental status greatly improved on hospital day two without further waxing and waning .' -p152873 -(lp152874 -S'With\tWith\tIN\tB-PP\tO' -p152875 -aS'improvements\timprovement\tNNS\tB-NP\tO' -p152876 -aS'of\tof\tIN\tB-PP\tO' -p152877 -aS'her\ther\tPRP$\tB-NP\tO' -p152878 -aS'ventilation\tventilation\tNN\tI-NP\tO' -p152879 -aS'and\tand\tCC\tI-NP\tO' -p152880 -aS'oxygenation\toxygenation\tNN\tI-NP\tO' -p152881 -aS'and\tand\tCC\tI-NP\tO' -p152882 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p152883 -aS'with\twith\tIN\tB-PP\tO' -p152884 -aS'levofloxacin\tlevofloxacin\tNN\tB-NP\tO' -p152885 -aS'of\tof\tIN\tB-PP\tO' -p152886 -aS'her\ther\tPRP$\tB-NP\tO' -p152887 -aS'UTI\tUTI\tNN\tI-NP\tO' -p152888 -aS'and\tand\tCC\tI-NP\tO' -p152889 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p152890 -aS',\t,\t,\tO\tO' -p152891 -aS'her\ther\tPRP$\tB-NP\tO' -p152892 -aS'mental\tmental\tJJ\tI-NP\tO' -p152893 -aS'status\tstatus\tNN\tI-NP\tO' -p152894 -aS'greatly\tgreatly\tRB\tB-VP\tO' -p152895 -aS'improved\timprove\tVBD\tI-VP\tO' -p152896 -aS'on\ton\tIN\tB-PP\tO' -p152897 -aS'hospital\thospital\tNN\tB-NP\tO' -p152898 -aS'day\tday\tNN\tI-NP\tO' -p152899 -aS'two\ttwo\tCD\tI-NP\tO' -p152900 -aS'without\twithout\tIN\tB-PP\tO' -p152901 -aS'further\tfurther\tJJ\tB-NP\tO' -p152902 -aS'waxing\twaxing\tNN\tI-NP\tO' -p152903 -aS'and\tand\tCC\tI-NP\tO' -p152904 -aS'waning\twaning\tNN\tI-NP\tO' -p152905 -aS'.\t.\t.\tO\tO' -p152906 -asS'# Hypotension : Pt became hypotensive following the large volume paracentesis despite replacement with albumin .' -p152907 -(lp152908 -S'#\t#\t#\tB-NP\tO' -p152909 -aS'Hypotension\tHypotension\tNN\tI-NP\tO' -p152910 -aS':\t:\t:\tO\tO' -p152911 -aS'Pt\tPt\tNN\tB-NP\tO' -p152912 -aS'became\tbecome\tVBD\tB-VP\tO' -p152913 -aS'hypotensive\thypotensive\tJJ\tB-ADJP\tO' -p152914 -aS'following\tfollow\tVBG\tB-PP\tO' -p152915 -aS'the\tthe\tDT\tB-NP\tO' -p152916 -aS'large\tlarge\tJJ\tI-NP\tO' -p152917 -aS'volume\tvolume\tNN\tI-NP\tO' -p152918 -aS'paracentesis\tparacentesis\tNN\tI-NP\tO' -p152919 -aS'despite\tdespite\tIN\tB-PP\tO' -p152920 -aS'replacement\treplacement\tNN\tB-NP\tO' -p152921 -aS'with\twith\tIN\tB-PP\tO' -p152922 -aS'albumin\talbumin\tNN\tB-NP\tB-protein' -p152923 -aS'.\t.\t.\tO\tO' -p152924 -asS'She was given 10 mg. on hospital day # 1 , and 5 mg. on hospital day 2 , and back to 2.5 qhs .' -p152925 -(lp152926 -S'She\tShe\tPRP\tB-NP\tO' -p152927 -aS'was\tbe\tVBD\tB-VP\tO' -p152928 -aS'given\tgive\tVBN\tI-VP\tO' -p152929 -aS'10\t10\tCD\tB-NP\tO' -p152930 -aS'mg.\tmg.\tNN\tI-NP\tO' -p152931 -aS'on\ton\tIN\tB-PP\tO' -p152932 -aS'hospital\thospital\tNN\tB-NP\tO' -p152933 -aS'day\tday\tNN\tI-NP\tO' -p152934 -aS'#\t#\t#\tB-NP\tO' -p152935 -aS'1\t1\tCD\tI-NP\tO' -p152936 -aS',\t,\t,\tO\tO' -p152937 -aS'and\tand\tCC\tO\tO' -p152938 -aS'5\t5\tCD\tB-NP\tO' -p152939 -aS'mg.\tmg.\tNN\tI-NP\tO' -p152940 -aS'on\ton\tIN\tB-PP\tO' -p152941 -aS'hospital\thospital\tNN\tB-NP\tO' -p152942 -aS'day\tday\tNN\tI-NP\tO' -p152943 -aS'2\t2\tCD\tI-NP\tO' -p152944 -aS',\t,\t,\tO\tO' -p152945 -aS'and\tand\tCC\tO\tO' -p152946 -aS'back\tback\tRB\tB-ADVP\tO' -p152947 -aS'to\tto\tTO\tB-PP\tO' -p152948 -aS'2.5\t2.5\tCD\tB-NP\tO' -p152949 -aS'qhs\tqh\tNNS\tI-NP\tO' -p152950 -aS'.\t.\t.\tO\tO' -p152951 -asS'Blood cultures and urine cultures came back negative .' -p152952 -(lp152953 -S'Blood\tBlood\tNN\tB-NP\tO' -p152954 -aS'cultures\tculture\tNNS\tI-NP\tO' -p152955 -aS'and\tand\tCC\tO\tO' -p152956 -aS'urine\turine\tNN\tB-NP\tB-cell_line' -p152957 -aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' -p152958 -aS'came\tcome\tVBD\tB-VP\tO' -p152959 -aS'back\tback\tRB\tB-ADJP\tO' -p152960 -aS'negative\tnegative\tJJ\tI-ADJP\tO' -p152961 -aS'.\t.\t.\tO\tO' -p152962 -asS'She was started on clear fluids with a nasogastric clamped .' -p152963 -(lp152964 -S'She\tShe\tPRP\tB-NP\tO' -p152965 -aS'was\tbe\tVBD\tB-VP\tO' -p152966 -aS'started\tstart\tVBN\tI-VP\tO' -p152967 -aS'on\ton\tIN\tB-PP\tO' -p152968 -aS'clear\tclear\tJJ\tB-NP\tO' -p152969 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p152970 -aS'with\twith\tIN\tB-PP\tO' -p152971 -aS'a\ta\tDT\tB-NP\tO' -p152972 -aS'nasogastric\tnasogastric\tJJ\tI-NP\tO' -p152973 -aS'clamped\tclamped\tNN\tI-NP\tO' -p152974 -aS'.\t.\t.\tO\tO' -p152975 -asS'Head , eyes , ears , nose and throat - Sclera anicteric , conjunctiva injected , the pupils are equal , round and reactive to light and accommodation , the mucous membranes are dry , oropharynx clear .' -p152976 -(lp152977 -S'Head\tHead\tRB\tB-ADVP\tO' -p152978 -aS',\t,\t,\tO\tO' -p152979 -aS'eyes\teye\tNNS\tB-NP\tO' -p152980 -aS',\t,\t,\tI-NP\tO' -p152981 -aS'ears\tear\tNNS\tI-NP\tO' -p152982 -aS',\t,\t,\tI-NP\tO' -p152983 -aS'nose\tnose\tNN\tI-NP\tO' -p152984 -aS'and\tand\tCC\tI-NP\tO' -p152985 -aS'throat\tthroat\tNN\tI-NP\tO' -p152986 -aS'-\t-\tHYPH\tB-NP\tO' -p152987 -aS'Sclera\tSclera\tNN\tI-NP\tO' -p152988 -aS'anicteric\tanicteric\tNN\tI-NP\tO' -p152989 -aS',\t,\t,\tO\tO' -p152990 -aS'conjunctiva\tconjunctiva\tNN\tB-NP\tO' -p152991 -aS'injected\tinject\tVBN\tB-VP\tO' -p152992 -aS',\t,\t,\tO\tO' -p152993 -aS'the\tthe\tDT\tB-NP\tO' -p152994 -aS'pupils\tpupil\tNNS\tI-NP\tO' -p152995 -aS'are\tbe\tVBP\tB-VP\tO' -p152996 -aS'equal\tequal\tJJ\tB-NP\tO' -p152997 -aS',\t,\t,\tI-NP\tO' -p152998 -aS'round\tround\tJJ\tI-NP\tO' -p152999 -aS'and\tand\tCC\tI-NP\tO' -p153000 -aS'reactive\treactive\tJJ\tI-NP\tO' -p153001 -aS'to\tto\tTO\tB-PP\tO' -p153002 -aS'light\tlight\tNN\tB-NP\tO' -p153003 -aS'and\tand\tCC\tI-NP\tO' -p153004 -aS'accommodation\taccommodation\tNN\tI-NP\tO' -p153005 -aS',\t,\t,\tO\tO' -p153006 -aS'the\tthe\tDT\tB-NP\tO' -p153007 -aS'mucous\tmucous\tJJ\tI-NP\tO' -p153008 -aS'membranes\tmembrane\tNNS\tI-NP\tO' -p153009 -aS'are\tbe\tVBP\tB-VP\tO' -p153010 -aS'dry\tdry\tJJ\tB-ADJP\tO' -p153011 -aS',\t,\t,\tO\tO' -p153012 -aS'oropharynx\toropharynx\tNN\tB-NP\tO' -p153013 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p153014 -aS'.\t.\t.\tO\tO' -p153015 -asS'c diff neg : 12-28 , 12-31 , 01-01 , 01-02 .' -p153016 -(lp153017 -S'c\tc\tNN\tB-NP\tO' -p153018 -aS'diff\tdiff\tNN\tI-NP\tO' -p153019 -aS'neg\tneg\tNN\tI-NP\tO' -p153020 -aS':\t:\t:\tO\tO' -p153021 -aS'12-28\t12-28\tCD\tB-NP\tO' -p153022 -aS',\t,\t,\tI-NP\tO' -p153023 -aS'12-31\t12-31\tCD\tI-NP\tO' -p153024 -aS',\t,\t,\tI-NP\tO' -p153025 -aS'01-01\t01-01\tCD\tI-NP\tO' -p153026 -aS',\t,\t,\tI-NP\tO' -p153027 -aS'01-02\t01-02\tCD\tI-NP\tO' -p153028 -aS'.\t.\t.\tO\tO' -p153029 -asS'She has a 10 month old child .' -p153030 -(lp153031 -S'She\tShe\tPRP\tB-NP\tO' -p153032 -aS'has\thave\tVBZ\tB-VP\tO' -p153033 -aS'a\ta\tDT\tB-NP\tO' -p153034 -aS'10\t10\tCD\tI-NP\tO' -p153035 -aS'month\tmonth\tNN\tI-NP\tO' -p153036 -aS'old\told\tJJ\tI-NP\tO' -p153037 -aS'child\tchild\tNN\tI-NP\tO' -p153038 -aS'.\t.\t.\tO\tO' -p153039 -asS"The patient 's urinalysis on admission was significant for red blood cells which were TNTC as well as uric acid ." -p153040 -(lp153041 -S'The\tThe\tDT\tB-NP\tO' -p153042 -aS'patient\tpatient\tNN\tI-NP\tO' -p153043 -aS"'s\t's\tPOS\tB-NP\tO" -p153044 -aS'urinalysis\turinalysis\tNN\tI-NP\tO' -p153045 -aS'on\ton\tIN\tB-PP\tO' -p153046 -aS'admission\tadmission\tNN\tB-NP\tO' -p153047 -aS'was\tbe\tVBD\tB-VP\tO' -p153048 -aS'significant\tsignificant\tJJ\tB-ADJP\tO' -p153049 -aS'for\tfor\tIN\tB-PP\tO' -p153050 -aS'red\tred\tJJ\tB-NP\tB-cell_type' -p153051 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p153052 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p153053 -aS'which\twhich\tWDT\tB-NP\tO' -p153054 -aS'were\tbe\tVBD\tB-VP\tO' -p153055 -aS'TNTC\tTNTC\tNN\tB-NP\tB-protein' -p153056 -aS'as\tas\tRB\tB-CONJP\tO' -p153057 -aS'well\twell\tRB\tI-CONJP\tO' -p153058 -aS'as\tas\tIN\tI-CONJP\tO' -p153059 -aS'uric\turic\tJJ\tB-NP\tO' -p153060 -aS'acid\tacid\tNN\tI-NP\tO' -p153061 -aS'.\t.\t.\tO\tO' -p153062 -asS'The examination of the extremities showed no edema .' -p153063 -(lp153064 -S'The\tThe\tDT\tB-NP\tO' -p153065 -aS'examination\texamination\tNN\tI-NP\tO' -p153066 -aS'of\tof\tIN\tB-PP\tO' -p153067 -aS'the\tthe\tDT\tB-NP\tO' -p153068 -aS'extremities\textremity\tNNS\tI-NP\tO' -p153069 -aS'showed\tshow\tVBD\tB-VP\tO' -p153070 -aS'no\tno\tDT\tB-NP\tO' -p153071 -aS'edema\tedema\tNN\tI-NP\tO' -p153072 -aS'.\t.\t.\tO\tO' -p153073 -asS'Elinor Nicole , New York 12428' -p153074 -(lp153075 -S'Elinor\tElinor\tNNP\tB-NP\tO' -p153076 -aS'Nicole\tNicole\tNNP\tI-NP\tO' -p153077 -aS',\t,\t,\tO\tO' -p153078 -aS'New\tNew\tNNP\tB-NP\tO' -p153079 -aS'York\tYork\tNNP\tI-NP\tO' -p153080 -aS'12428\t12428\t.\tO\tO' -p153081 -asS'he was discharged home with change in his regimen .' -p153082 -(lp153083 -S'he\the\tPRP\tB-NP\tO' -p153084 -aS'was\tbe\tVBD\tB-VP\tO' -p153085 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p153086 -aS'home\thome\tNN\tB-ADVP\tO' -p153087 -aS'with\twith\tIN\tB-PP\tO' -p153088 -aS'change\tchange\tNN\tB-NP\tO' -p153089 -aS'in\tin\tIN\tB-PP\tO' -p153090 -aS'his\this\tPRP$\tB-NP\tO' -p153091 -aS'regimen\tregimen\tNN\tI-NP\tO' -p153092 -aS'.\t.\t.\tO\tO' -p153093 -asS'The family at that point considering the multiple system involvement of her diseases , decided to make the patient DNR and withdraw care .' -p153094 -(lp153095 -S'The\tThe\tDT\tB-NP\tO' -p153096 -aS'family\tfamily\tNN\tI-NP\tO' -p153097 -aS'at\tat\tIN\tB-PP\tO' -p153098 -aS'that\tthat\tDT\tB-NP\tO' -p153099 -aS'point\tpoint\tNN\tI-NP\tO' -p153100 -aS'considering\tconsider\tVBG\tB-VP\tO' -p153101 -aS'the\tthe\tDT\tB-NP\tO' -p153102 -aS'multiple\tmultiple\tJJ\tI-NP\tO' -p153103 -aS'system\tsystem\tNN\tI-NP\tO' -p153104 -aS'involvement\tinvolvement\tNN\tI-NP\tO' -p153105 -aS'of\tof\tIN\tB-PP\tO' -p153106 -aS'her\ther\tPRP$\tB-NP\tO' -p153107 -aS'diseases\tdisease\tNNS\tI-NP\tO' -p153108 -aS',\t,\t,\tO\tO' -p153109 -aS'decided\tdecide\tVBD\tB-VP\tO' -p153110 -aS'to\tto\tTO\tI-VP\tO' -p153111 -aS'make\tmake\tVB\tI-VP\tO' -p153112 -aS'the\tthe\tDT\tB-NP\tO' -p153113 -aS'patient\tpatient\tNN\tI-NP\tO' -p153114 -aS'DNR\tDNR\tNN\tI-NP\tO' -p153115 -aS'and\tand\tCC\tO\tO' -p153116 -aS'withdraw\twithdraw\tNN\tB-NP\tO' -p153117 -aS'care\tcare\tNN\tI-NP\tO' -p153118 -aS'.\t.\t.\tO\tO' -p153119 -asS'Post-procedure he was admitted to the CCU because of the history of left main dissection .' -p153120 -(lp153121 -S'Post-procedure\tPost-procedure\tJJ\tB-ADJP\tO' -p153122 -aS'he\the\tPRP\tB-NP\tO' -p153123 -aS'was\tbe\tVBD\tB-VP\tO' -p153124 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p153125 -aS'to\tto\tTO\tB-PP\tO' -p153126 -aS'the\tthe\tDT\tB-NP\tO' -p153127 -aS'CCU\tCCU\tNN\tI-NP\tB-DNA' -p153128 -aS'because\tbecause\tIN\tB-PP\tO' -p153129 -aS'of\tof\tIN\tI-PP\tO' -p153130 -aS'the\tthe\tDT\tB-NP\tO' -p153131 -aS'history\thistory\tNN\tI-NP\tO' -p153132 -aS'of\tof\tIN\tB-PP\tO' -p153133 -aS'left\tleft\tJJ\tB-NP\tO' -p153134 -aS'main\tmain\tJJ\tI-NP\tO' -p153135 -aS'dissection\tdissection\tNN\tI-NP\tO' -p153136 -aS'.\t.\t.\tO\tO' -p153137 -asS'Unable to do luria .' -p153138 -(lp153139 -S'Unable\tUnable\tJJ\tB-ADJP\tO' -p153140 -aS'to\tto\tTO\tB-VP\tO' -p153141 -aS'do\tdo\tVB\tI-VP\tO' -p153142 -aS'luria\tluria\tNNS\tB-NP\tO' -p153143 -aS'.\t.\t.\tO\tO' -p153144 -asS'ABG done on FiO2 100% 7.36/66/417/98% .' -p153145 -(lp153146 -S'ABG\tABG\tNN\tB-NP\tO' -p153147 -aS'done\tdo\tVBN\tB-VP\tO' -p153148 -aS'on\ton\tIN\tB-PP\tO' -p153149 -aS'FiO2\tFiO2\tNN\tB-NP\tO' -p153150 -aS'100%\t100%\tCD\tI-NP\tO' -p153151 -aS'7.36/66/417/98%\t7.36/66/417/98%\tCD\tI-NP\tO' -p153152 -aS'.\t.\t.\tO\tO' -p153153 -asS'Pt was initially seen at Lahey North , where he was given steroids , with improvement in respiratory status .' -p153154 -(lp153155 -S'Pt\tPt\tNN\tB-NP\tO' -p153156 -aS'was\tbe\tVBD\tB-VP\tO' -p153157 -aS'initially\tinitially\tRB\tI-VP\tO' -p153158 -aS'seen\tsee\tVBN\tI-VP\tO' -p153159 -aS'at\tat\tIN\tB-PP\tO' -p153160 -aS'Lahey\tLahey\tNNP\tB-NP\tO' -p153161 -aS'North\tNorth\tNNP\tI-NP\tO' -p153162 -aS',\t,\t,\tO\tO' -p153163 -aS'where\twhere\tWRB\tB-ADVP\tO' -p153164 -aS'he\the\tPRP\tB-NP\tO' -p153165 -aS'was\tbe\tVBD\tB-VP\tO' -p153166 -aS'given\tgive\tVBN\tI-VP\tO' -p153167 -aS'steroids\tsteroid\tNNS\tB-NP\tO' -p153168 -aS',\t,\t,\tO\tO' -p153169 -aS'with\twith\tIN\tB-PP\tO' -p153170 -aS'improvement\timprovement\tNN\tB-NP\tO' -p153171 -aS'in\tin\tIN\tB-PP\tO' -p153172 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p153173 -aS'status\tstatus\tNN\tI-NP\tO' -p153174 -aS'.\t.\t.\tO\tO' -p153175 -asS'Given that the pt was w/o evidence of DVT it was felt that the risks of anticoagulation in the setting of gross GIB , outweigh the risks of undetected deep vv thrombosis/pe .' -p153176 -(lp153177 -S'Given\tGive\tVBN\tB-VP\tO' -p153178 -aS'that\tthat\tIN\tB-SBAR\tO' -p153179 -aS'the\tthe\tDT\tB-NP\tO' -p153180 -aS'pt\tpt\tNN\tI-NP\tO' -p153181 -aS'was\tbe\tVBD\tB-VP\tO' -p153182 -aS'w/o\tw/o\tJJ\tB-NP\tO' -p153183 -aS'evidence\tevidence\tNN\tI-NP\tO' -p153184 -aS'of\tof\tIN\tB-PP\tO' -p153185 -aS'DVT\tDVT\tNN\tB-NP\tO' -p153186 -aS'it\tit\tPRP\tB-NP\tO' -p153187 -aS'was\tbe\tVBD\tB-VP\tO' -p153188 -aS'felt\tfeel\tVBN\tI-VP\tO' -p153189 -aS'that\tthat\tIN\tB-SBAR\tO' -p153190 -aS'the\tthe\tDT\tB-NP\tO' -p153191 -aS'risks\trisk\tNNS\tI-NP\tO' -p153192 -aS'of\tof\tIN\tB-PP\tO' -p153193 -aS'anticoagulation\tanticoagulation\tNN\tB-NP\tO' -p153194 -aS'in\tin\tIN\tB-PP\tO' -p153195 -aS'the\tthe\tDT\tB-NP\tO' -p153196 -aS'setting\tsetting\tNN\tI-NP\tO' -p153197 -aS'of\tof\tIN\tB-PP\tO' -p153198 -aS'gross\tgross\tJJ\tB-NP\tB-protein' -p153199 -aS'GIB\tGIB\tNN\tI-NP\tI-protein' -p153200 -aS',\t,\t,\tO\tO' -p153201 -aS'outweigh\toutweigh\tVBP\tB-VP\tO' -p153202 -aS'the\tthe\tDT\tB-NP\tO' -p153203 -aS'risks\trisk\tNNS\tI-NP\tO' -p153204 -aS'of\tof\tIN\tB-PP\tO' -p153205 -aS'undetected\tundetected\tJJ\tB-NP\tO' -p153206 -aS'deep\tdeep\tJJ\tI-NP\tO' -p153207 -aS'vv\tvv\tNN\tI-NP\tO' -p153208 -aS'thrombosis/pe\tthrombosis/pe\tNN\tI-NP\tO' -p153209 -aS'.\t.\t.\tO\tO' -p153210 -asS'He came to the Fairm of Ijordcompmac Hospital Emergency Ward where he was noted to be ashen and diaphoretic .' -p153211 -(lp153212 -S'He\tHe\tPRP\tB-NP\tO' -p153213 -aS'came\tcome\tVBD\tB-VP\tO' -p153214 -aS'to\tto\tTO\tB-PP\tO' -p153215 -aS'the\tthe\tDT\tB-NP\tO' -p153216 -aS'Fairm\tFairm\tNNP\tI-NP\tO' -p153217 -aS'of\tof\tIN\tB-PP\tO' -p153218 -aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' -p153219 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p153220 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p153221 -aS'Ward\tWard\tNNP\tI-NP\tO' -p153222 -aS'where\twhere\tWRB\tB-ADVP\tO' -p153223 -aS'he\the\tPRP\tB-NP\tO' -p153224 -aS'was\tbe\tVBD\tB-VP\tO' -p153225 -aS'noted\tnote\tVBN\tI-VP\tO' -p153226 -aS'to\tto\tTO\tI-VP\tO' -p153227 -aS'be\tbe\tVB\tI-VP\tO' -p153228 -aS'ashen\tashen\tJJ\tB-ADJP\tO' -p153229 -aS'and\tand\tCC\tI-ADJP\tO' -p153230 -aS'diaphoretic\tdiaphoretic\tJJ\tI-ADJP\tO' -p153231 -aS'.\t.\t.\tO\tO' -p153232 -asS'This should be titrated after discharge for INR goal of 2-3 .' -p153233 -(lp153234 -S'This\tThis\tDT\tB-NP\tO' -p153235 -aS'should\tshould\tMD\tB-VP\tO' -p153236 -aS'be\tbe\tVB\tI-VP\tO' -p153237 -aS'titrated\ttitrate\tVBN\tI-VP\tO' -p153238 -aS'after\tafter\tIN\tB-PP\tO' -p153239 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p153240 -aS'for\tfor\tIN\tB-PP\tO' -p153241 -aS'INR\tINR\tNN\tB-NP\tO' -p153242 -aS'goal\tgoal\tNN\tI-NP\tO' -p153243 -aS'of\tof\tIN\tB-PP\tO' -p153244 -aS'2-3\t2-3\tNN\tB-NP\tO' -p153245 -aS'.\t.\t.\tO\tO' -p153246 -asS'She has remained hemodynamically stable during the remainder of her hospitalization here .' -p153247 -(lp153248 -S'She\tShe\tPRP\tB-NP\tO' -p153249 -aS'has\thave\tVBZ\tB-VP\tO' -p153250 -aS'remained\tremain\tVBN\tI-VP\tO' -p153251 -aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' -p153252 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p153253 -aS'during\tduring\tIN\tB-PP\tO' -p153254 -aS'the\tthe\tDT\tB-NP\tO' -p153255 -aS'remainder\tremainder\tNN\tI-NP\tO' -p153256 -aS'of\tof\tIN\tB-PP\tO' -p153257 -aS'her\ther\tPRP$\tB-NP\tO' -p153258 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p153259 -aS'here\there\tRB\tB-ADVP\tO' -p153260 -aS'.\t.\t.\tO\tO' -p153261 -asS'The PICC line site was erythematous .' -p153262 -(lp153263 -S'The\tThe\tDT\tB-NP\tO' -p153264 -aS'PICC\tPICC\tNN\tI-NP\tB-DNA' -p153265 -aS'line\tline\tNN\tI-NP\tI-DNA' -p153266 -aS'site\tsite\tNN\tI-NP\tI-DNA' -p153267 -aS'was\tbe\tVBD\tB-VP\tO' -p153268 -aS'erythematous\terythematous\tJJ\tB-ADJP\tO' -p153269 -aS'.\t.\t.\tO\tO' -p153270 -asS'Disp : *30 Tablet( s )*' -p153271 -(lp153272 -S'Disp\tDisp\tNN\tB-NP\tO' -p153273 -aS':\t:\t:\tO\tO' -p153274 -aS'*30\t*30\tCD\tB-NP\tO' -p153275 -aS'Tablet(\tTablet(\t(\tI-NP\tO' -p153276 -aS's\ts\tNN\tI-NP\tO' -p153277 -aS')*\t)*\tSYM\tB-NP\tO' -p153278 -asS'1. Gastrointestinal adenocarcinoma ; primary unknown ( likely hepatobiliary ) .' -p153279 -(lp153280 -S'1.\t1.\tLS\tB-NP\tO' -p153281 -aS'Gastrointestinal\tGastrointestinal\tJJ\tI-NP\tO' -p153282 -aS'adenocarcinoma\tadenocarcinoma\tNN\tI-NP\tO' -p153283 -aS';\t;\t:\tO\tO' -p153284 -aS'primary\tprimary\tJJ\tB-NP\tO' -p153285 -aS'unknown\tunknown\tJJ\tI-NP\tO' -p153286 -aS'(\t(\t(\tO\tO' -p153287 -aS'likely\tlikely\tJJ\tB-NP\tO' -p153288 -aS'hepatobiliary\thepatobiliary\tNN\tI-NP\tO' -p153289 -aS')\t)\t)\tO\tO' -p153290 -aS'.\t.\t.\tO\tO' -p153291 -asS'Conditions , Infections , Complications , affecting Treatment / Stay' -p153292 -(lp153293 -S'Conditions\tCondition\tNNS\tB-NP\tO' -p153294 -aS',\t,\t,\tO\tO' -p153295 -aS'Infections\tInfection\tNNS\tB-NP\tO' -p153296 -aS',\t,\t,\tO\tO' -p153297 -aS'Complications\tComplication\tNNS\tB-NP\tO' -p153298 -aS',\t,\t,\tO\tO' -p153299 -aS'affecting\taffect\tVBG\tB-VP\tO' -p153300 -aS'Treatment\tTreatment\tNN\tB-NP\tO' -p153301 -aS'/\t/\tSYM\tB-VP\tO' -p153302 -aS'Stay\tStay\tNN\tB-NP\tO' -p153303 -asS'Chest : decreased BS at bases with few crackles b/l' -p153304 -(lp153305 -S'Chest\tChest\tNNP\tB-NP\tO' -p153306 -aS':\t:\t:\tO\tO' -p153307 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p153308 -aS'BS\tBS\tNN\tB-NP\tO' -p153309 -aS'at\tat\tIN\tB-PP\tO' -p153310 -aS'bases\tbase\tNNS\tB-NP\tO' -p153311 -aS'with\twith\tIN\tB-PP\tO' -p153312 -aS'few\tfew\tJJ\tB-NP\tO' -p153313 -aS'crackles\tcrackle\tNNS\tI-NP\tO' -p153314 -aS'b/l\tb/l\tNN\tI-NP\tO' -p153315 -asS'2. Twin II .' -p153316 -(lp153317 -S'2.\t2.\tLS\tB-LST\tO' -p153318 -aS'Twin\tTwin\tNN\tB-NP\tB-protein' -p153319 -aS'II\tII\tCD\tI-NP\tI-protein' -p153320 -aS'.\t.\t.\tO\tO' -p153321 -asS'3. Pantoprazole Sodium 40 mg Tablet , Delayed Release ( E.C. ) Sig : One ( 1 ) Tablet , Delayed Release ( E.C. ) PO Q24H ( every 24 hours ) .' -p153322 -(lp153323 -S'3.\t3.\tLS\tB-NP\tO' -p153324 -aS'Pantoprazole\tPantoprazole\tNN\tI-NP\tO' -p153325 -aS'Sodium\tSodium\tNN\tI-NP\tO' -p153326 -aS'40\t40\tCD\tI-NP\tO' -p153327 -aS'mg\tmg\tNN\tI-NP\tO' -p153328 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p153329 -aS',\t,\t,\tO\tO' -p153330 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p153331 -aS'Release\tRelease\tNNP\tI-NP\tO' -p153332 -aS'(\t(\t(\tO\tO' -p153333 -aS'E.C.\tE.C.\tNNP\tB-NP\tO' -p153334 -aS')\t)\t)\tO\tO' -p153335 -aS'Sig\tSig\tNNP\tB-NP\tO' -p153336 -aS':\t:\t:\tO\tO' -p153337 -aS'One\tOne\tCD\tB-NP\tO' -p153338 -aS'(\t(\t(\tO\tO' -p153339 -aS'1\t1\tCD\tB-NP\tO' -p153340 -aS')\t)\t)\tO\tO' -p153341 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p153342 -aS',\t,\t,\tO\tO' -p153343 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p153344 -aS'Release\tRelease\tNNP\tI-NP\tO' -p153345 -aS'(\t(\t(\tO\tO' -p153346 -aS'E.C.\tE.C.\tNNP\tO\tO' -p153347 -aS')\t)\t)\tO\tO' -p153348 -aS'PO\tPO\tNN\tB-NP\tO' -p153349 -aS'Q24H\tQ24H\tNN\tI-NP\tO' -p153350 -aS'(\t(\t(\tO\tO' -p153351 -aS'every\tevery\tDT\tB-NP\tO' -p153352 -aS'24\t24\tCD\tI-NP\tO' -p153353 -aS'hours\thour\tNNS\tI-NP\tO' -p153354 -aS')\t)\t)\tO\tO' -p153355 -aS'.\t.\t.\tO\tO' -p153356 -asS'Then , on 05-29 , she demonstrated bilateral pleural effusions ( reaccumulated ), right lower lobe infiltrate ( started on vanco / zosyn )-> put on face mask , given lasix x 1 bolus 100 mg , responded somewhat and o2 sat stable in low 90 s.' -p153357 -(lp153358 -S'Then\tThen\tRB\tB-ADVP\tO' -p153359 -aS',\t,\t,\tO\tO' -p153360 -aS'on\ton\tIN\tB-PP\tO' -p153361 -aS'05-29\t05-29\tCD\tB-NP\tO' -p153362 -aS',\t,\t,\tO\tO' -p153363 -aS'she\tshe\tPRP\tB-NP\tO' -p153364 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p153365 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p153366 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p153367 -aS'effusions\teffusion\tNNS\tI-NP\tO' -p153368 -aS'(\t(\t(\tO\tO' -p153369 -aS'reaccumulated\treaccumulate\tVBN\tB-VP\tO' -p153370 -aS'),\t),\t)\tO\tO' -p153371 -aS'right\tright\tRB\tB-NP\tO' -p153372 -aS'lower\tlow\tJJR\tI-NP\tO' -p153373 -aS'lobe\tlobe\tNN\tI-NP\tO' -p153374 -aS'infiltrate\tinfiltrate\tNN\tI-NP\tO' -p153375 -aS'(\t(\t(\tO\tO' -p153376 -aS'started\tstart\tVBN\tB-VP\tO' -p153377 -aS'on\ton\tIN\tB-PP\tO' -p153378 -aS'vanco\tvanco\tNN\tB-NP\tO' -p153379 -aS'/\t/\tSYM\tB-NP\tO' -p153380 -aS'zosyn\tzosyn\tNN\tI-NP\tO' -p153381 -aS')->\t)->\tSYM\tB-NP\tO' -p153382 -aS'put\tput\tVBN\tB-VP\tO' -p153383 -aS'on\ton\tIN\tB-PP\tO' -p153384 -aS'face\tface\tNN\tB-NP\tO' -p153385 -aS'mask\tmask\tNN\tI-NP\tO' -p153386 -aS',\t,\t,\tO\tO' -p153387 -aS'given\tgive\tVBN\tB-PP\tO' -p153388 -aS'lasix\tlasix\tCD\tB-NP\tO' -p153389 -aS'x\tx\tSYM\tI-NP\tO' -p153390 -aS'1\t1\tCD\tI-NP\tO' -p153391 -aS'bolus\tbolus\tNN\tI-NP\tO' -p153392 -aS'100\t100\tCD\tB-NP\tO' -p153393 -aS'mg\tmg\tNN\tI-NP\tO' -p153394 -aS',\t,\t,\tO\tO' -p153395 -aS'responded\trespond\tVBD\tB-VP\tO' -p153396 -aS'somewhat\tsomewhat\tRB\tB-ADVP\tO' -p153397 -aS'and\tand\tCC\tO\tO' -p153398 -aS'o2\to2\tNN\tB-NP\tO' -p153399 -aS'sat\tsit\tVBD\tB-VP\tO' -p153400 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p153401 -aS'in\tin\tIN\tB-PP\tO' -p153402 -aS'low\tlow\tJJ\tB-NP\tO' -p153403 -aS'90\t90\tCD\tI-NP\tO' -p153404 -aS's.\ts.\tNNS\tI-NP\tO' -p153405 -asS'Non contributory .' -p153406 -(lp153407 -S'Non\tNon\tNNP\tB-NP\tO' -p153408 -aS'contributory\tcontributory\tNN\tI-NP\tO' -p153409 -aS'.\t.\t.\tO\tO' -p153410 -asS'Received perioperative Vancomycin .' -p153411 -(lp153412 -S'Received\tReceive\tVBN\tB-NP\tO' -p153413 -aS'perioperative\tperioperative\tJJ\tI-NP\tO' -p153414 -aS'Vancomycin\tVancomycin\tNN\tI-NP\tO' -p153415 -aS'.\t.\t.\tO\tO' -p153416 -asS'OB Clinic 2 weeks and 6 weeks , No Known Allergies' -p153417 -(lp153418 -S'OB\tOB\tNN\tB-NP\tO' -p153419 -aS'Clinic\tClinic\tJJ\tI-NP\tO' -p153420 -aS'2\t2\tCD\tI-NP\tO' -p153421 -aS'weeks\tweek\tNNS\tI-NP\tO' -p153422 -aS'and\tand\tCC\tO\tO' -p153423 -aS'6\t6\tCD\tB-NP\tO' -p153424 -aS'weeks\tweek\tNNS\tI-NP\tO' -p153425 -aS',\t,\t,\tO\tO' -p153426 -aS'No\tNo\tNNP\tB-NP\tO' -p153427 -aS'Known\tKnown\tNNP\tI-NP\tO' -p153428 -aS'Allergies\tAllergies\tNNP\tI-NP\tO' -p153429 -asS'He has been ambulating on his own several times a day .' -p153430 -(lp153431 -S'He\tHe\tPRP\tB-NP\tO' -p153432 -aS'has\thave\tVBZ\tB-VP\tO' -p153433 -aS'been\tbe\tVBN\tI-VP\tO' -p153434 -aS'ambulating\tambulate\tVBG\tI-VP\tO' -p153435 -aS'on\ton\tIN\tB-PP\tO' -p153436 -aS'his\this\tPRP$\tB-NP\tO' -p153437 -aS'own\town\tJJ\tI-NP\tO' -p153438 -aS'several\tseveral\tJJ\tI-NP\tO' -p153439 -aS'times\ttime\tNNS\tI-NP\tO' -p153440 -aS'a\ta\tDT\tB-NP\tO' -p153441 -aS'day\tday\tNN\tI-NP\tO' -p153442 -aS'.\t.\t.\tO\tO' -p153443 -asS'Active , well-developed , well-nourished male .' -p153444 -(lp153445 -S'Active\tActive\tJJ\tB-NP\tO' -p153446 -aS',\t,\t,\tI-NP\tO' -p153447 -aS'well-developed\twell-developed\tJJ\tI-NP\tO' -p153448 -aS',\t,\t,\tI-NP\tO' -p153449 -aS'well-nourished\twell-nourished\tJJ\tI-NP\tO' -p153450 -aS'male\tmale\tNN\tI-NP\tO' -p153451 -aS'.\t.\t.\tO\tO' -p153452 -asS'The white blood count was 4.0 , platelet count 190 , with 62% polys .' -p153453 -(lp153454 -S'The\tThe\tDT\tB-NP\tO' -p153455 -aS'white\twhite\tJJ\tI-NP\tO' -p153456 -aS'blood\tblood\tNN\tI-NP\tO' -p153457 -aS'count\tcount\tNN\tI-NP\tO' -p153458 -aS'was\tbe\tVBD\tB-VP\tO' -p153459 -aS'4.0\t4.0\tCD\tB-NP\tO' -p153460 -aS',\t,\t,\tO\tO' -p153461 -aS'platelet\tplatelet\tNN\tB-NP\tB-protein' -p153462 -aS'count\tcount\tNN\tI-NP\tI-protein' -p153463 -aS'190\t190\tCD\tI-NP\tI-protein' -p153464 -aS',\t,\t,\tO\tO' -p153465 -aS'with\twith\tIN\tB-PP\tO' -p153466 -aS'62%\t62%\tCD\tB-NP\tO' -p153467 -aS'polys\tpoly\tNNS\tI-NP\tO' -p153468 -aS'.\t.\t.\tO\tO' -p153469 -asS'These were found in the right cerebellar , occipital and anterior parietal lobes .' -p153470 -(lp153471 -S'These\tThese\tDT\tB-NP\tO' -p153472 -aS'were\tbe\tVBD\tB-VP\tO' -p153473 -aS'found\tfind\tVBN\tI-VP\tO' -p153474 -aS'in\tin\tIN\tB-PP\tO' -p153475 -aS'the\tthe\tDT\tB-NP\tO' -p153476 -aS'right\tright\tJJ\tI-NP\tO' -p153477 -aS'cerebellar\tcerebellar\tNN\tI-NP\tO' -p153478 -aS',\t,\t,\tO\tO' -p153479 -aS'occipital\toccipital\tNN\tB-NP\tO' -p153480 -aS'and\tand\tCC\tO\tO' -p153481 -aS'anterior\tanterior\tJJ\tB-NP\tO' -p153482 -aS'parietal\tparietal\tJJ\tI-NP\tO' -p153483 -aS'lobes\tlobe\tNNS\tI-NP\tO' -p153484 -aS'.\t.\t.\tO\tO' -p153485 -asS'Neurology was consulted due to the concern for seizures in the setting of dusky episodes .' -p153486 -(lp153487 -S'Neurology\tNeurology\tNN\tB-NP\tO' -p153488 -aS'was\tbe\tVBD\tB-VP\tO' -p153489 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p153490 -aS'due\tdue\tJJ\tB-ADJP\tO' -p153491 -aS'to\tto\tTO\tB-PP\tO' -p153492 -aS'the\tthe\tDT\tB-NP\tO' -p153493 -aS'concern\tconcern\tNN\tI-NP\tO' -p153494 -aS'for\tfor\tIN\tB-PP\tO' -p153495 -aS'seizures\tseizure\tNNS\tB-NP\tO' -p153496 -aS'in\tin\tIN\tB-PP\tO' -p153497 -aS'the\tthe\tDT\tB-NP\tO' -p153498 -aS'setting\tsetting\tNN\tI-NP\tO' -p153499 -aS'of\tof\tIN\tB-PP\tO' -p153500 -aS'dusky\tdusky\tJJ\tB-NP\tO' -p153501 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p153502 -aS'.\t.\t.\tO\tO' -p153503 -asS"However , after discussion with patient 's wife , this was postponed with test planned on 2013-11-13 ." -p153504 -(lp153505 -S'However\tHowever\tRB\tB-ADVP\tO' -p153506 -aS',\t,\t,\tO\tO' -p153507 -aS'after\tafter\tIN\tB-PP\tO' -p153508 -aS'discussion\tdiscussion\tNN\tB-NP\tO' -p153509 -aS'with\twith\tIN\tB-PP\tO' -p153510 -aS'patient\tpatient\tNN\tB-NP\tO' -p153511 -aS"'s\t's\tPOS\tB-NP\tO" -p153512 -aS'wife\twife\tNN\tI-NP\tO' -p153513 -aS',\t,\t,\tO\tO' -p153514 -aS'this\tthis\tDT\tB-NP\tO' -p153515 -aS'was\tbe\tVBD\tB-VP\tO' -p153516 -aS'postponed\tpostpone\tVBN\tI-VP\tO' -p153517 -aS'with\twith\tIN\tB-PP\tO' -p153518 -aS'test\ttest\tNN\tB-NP\tO' -p153519 -aS'planned\tplan\tVBN\tB-VP\tO' -p153520 -aS'on\ton\tIN\tB-PP\tO' -p153521 -aS'2013-11-13\t2013-11-13\tCD\tB-NP\tO' -p153522 -aS'.\t.\t.\tO\tO' -p153523 -asS"Brother w/ CAD since age 40 and died in 70 's after cardiac surgery ." -p153524 -(lp153525 -S'Brother\tBrother\tDT\tB-NP\tO' -p153526 -aS'w/\tw/\tNN\tI-NP\tO' -p153527 -aS'CAD\tCAD\tNN\tI-NP\tO' -p153528 -aS'since\tsince\tIN\tB-PP\tO' -p153529 -aS'age\tage\tNN\tB-NP\tO' -p153530 -aS'40\t40\tCD\tI-NP\tO' -p153531 -aS'and\tand\tCC\tO\tO' -p153532 -aS'died\tdie\tVBD\tB-VP\tO' -p153533 -aS'in\tin\tIN\tB-PP\tO' -p153534 -aS'70\t70\tCD\tB-NP\tO' -p153535 -aS"'s\t's\tPOS\tB-NP\tO" -p153536 -aS'after\tafter\tIN\tB-PP\tO' -p153537 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p153538 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p153539 -aS'.\t.\t.\tO\tO' -p153540 -asS'The patient developed severe left lower quadrant pain in 07/24 .' -p153541 -(lp153542 -S'The\tThe\tDT\tB-NP\tO' -p153543 -aS'patient\tpatient\tNN\tI-NP\tO' -p153544 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p153545 -aS'severe\tsevere\tJJ\tB-ADJP\tO' -p153546 -aS'left\tleave\tVBD\tB-VP\tO' -p153547 -aS'lower\tlow\tJJR\tB-NP\tO' -p153548 -aS'quadrant\tquadrant\tJJ\tI-NP\tO' -p153549 -aS'pain\tpain\tNN\tI-NP\tO' -p153550 -aS'in\tin\tIN\tB-PP\tO' -p153551 -aS'07/24\t07/24\tCD\tB-NP\tO' -p153552 -aS'.\t.\t.\tO\tO' -p153553 -asS'Heart is regular rate and rhythm without rub or murmur .' -p153554 -(lp153555 -S'Heart\tHeart\tNNP\tB-NP\tO' -p153556 -aS'is\tbe\tVBZ\tB-VP\tO' -p153557 -aS'regular\tregular\tJJ\tB-NP\tO' -p153558 -aS'rate\trate\tNN\tI-NP\tO' -p153559 -aS'and\tand\tCC\tI-NP\tO' -p153560 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p153561 -aS'without\twithout\tIN\tB-PP\tO' -p153562 -aS'rub\trub\tNN\tB-NP\tO' -p153563 -aS'or\tor\tCC\tI-NP\tO' -p153564 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p153565 -aS'.\t.\t.\tO\tO' -p153566 -asS'Without clubbing , cyanosis or edema .' -p153567 -(lp153568 -S'Without\tWithout\tIN\tB-PP\tO' -p153569 -aS'clubbing\tclubbing\tNN\tB-NP\tO' -p153570 -aS',\t,\t,\tO\tO' -p153571 -aS'cyanosis\tcyanosis\tNN\tB-NP\tO' -p153572 -aS'or\tor\tCC\tI-NP\tO' -p153573 -aS'edema\tedema\tNN\tI-NP\tO' -p153574 -aS'.\t.\t.\tO\tO' -p153575 -asS'Anicteric sclera .' -p153576 -(lp153577 -S'Anicteric\tAnicteric\tJJ\tB-NP\tO' -p153578 -aS'sclera\tsclera\tNN\tI-NP\tO' -p153579 -aS'.\t.\t.\tO\tO' -p153580 -asS'There are focal calcifications in the aortic arch .' -p153581 -(lp153582 -S'There\tThere\tEX\tB-NP\tO' -p153583 -aS'are\tbe\tVBP\tB-VP\tO' -p153584 -aS'focal\tfocal\tJJ\tB-NP\tO' -p153585 -aS'calcifications\tcalcification\tNNS\tI-NP\tO' -p153586 -aS'in\tin\tIN\tB-PP\tO' -p153587 -aS'the\tthe\tDT\tB-NP\tO' -p153588 -aS'aortic\taortic\tJJ\tI-NP\tO' -p153589 -aS'arch\tarch\tNN\tI-NP\tO' -p153590 -aS'.\t.\t.\tO\tO' -p153591 -asS'Antibiotics were discontinued on 05-15 .' -p153592 -(lp153593 -S'Antibiotics\tAntibiotic\tNNS\tB-NP\tO' -p153594 -aS'were\tbe\tVBD\tB-VP\tO' -p153595 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p153596 -aS'on\ton\tIN\tB-PP\tO' -p153597 -aS'05-15\t05-15\tCD\tB-NP\tO' -p153598 -aS'.\t.\t.\tO\tO' -p153599 -asS'He was readmitted tot he CMED CSRU for respiratory distress likely secondary to a recurrent aspiration event .' -p153600 -(lp153601 -S'He\tHe\tPRP\tB-NP\tO' -p153602 -aS'was\tbe\tVBD\tB-VP\tO' -p153603 -aS'readmitted\treadmitte\tVBN\tI-VP\tO' -p153604 -aS'tot\ttot\tNN\tB-NP\tO' -p153605 -aS'he\the\tPRP\tB-NP\tO' -p153606 -aS'CMED\tCMED\tVBD\tB-VP\tO' -p153607 -aS'CSRU\tCSRU\tNN\tB-NP\tO' -p153608 -aS'for\tfor\tIN\tB-PP\tO' -p153609 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p153610 -aS'distress\tdistress\tNN\tI-NP\tO' -p153611 -aS'likely\tlikely\tRB\tB-ADJP\tO' -p153612 -aS'secondary\tsecondary\tJJ\tI-ADJP\tO' -p153613 -aS'to\tto\tTO\tB-PP\tO' -p153614 -aS'a\ta\tDT\tB-NP\tO' -p153615 -aS'recurrent\trecurrent\tJJ\tI-NP\tO' -p153616 -aS'aspiration\taspiration\tNN\tI-NP\tO' -p153617 -aS'event\tevent\tNN\tI-NP\tO' -p153618 -aS'.\t.\t.\tO\tO' -p153619 -asS'The next day the patient was quite confused and disoriented , which gradually disappeared .' -p153620 -(lp153621 -S'The\tThe\tDT\tB-NP\tO' -p153622 -aS'next\tnext\tJJ\tI-NP\tO' -p153623 -aS'day\tday\tNN\tI-NP\tO' -p153624 -aS'the\tthe\tDT\tB-NP\tO' -p153625 -aS'patient\tpatient\tNN\tI-NP\tO' -p153626 -aS'was\tbe\tVBD\tB-VP\tO' -p153627 -aS'quite\tquite\tRB\tI-VP\tO' -p153628 -aS'confused\tconfuse\tVBN\tI-VP\tO' -p153629 -aS'and\tand\tCC\tI-VP\tO' -p153630 -aS'disoriented\tdisorient\tVBN\tI-VP\tO' -p153631 -aS',\t,\t,\tO\tO' -p153632 -aS'which\twhich\tWDT\tB-NP\tO' -p153633 -aS'gradually\tgradually\tRB\tB-ADVP\tO' -p153634 -aS'disappeared\tdisappear\tVBD\tB-VP\tO' -p153635 -aS'.\t.\t.\tO\tO' -p153636 -asS'13. Wellbutrin 100 mg q. day .' -p153637 -(lp153638 -S'13.\t13.\tCD\tB-NP\tO' -p153639 -aS'Wellbutrin\tWellbutrin\tNN\tI-NP\tO' -p153640 -aS'100\t100\tCD\tB-NP\tO' -p153641 -aS'mg\tmg\tNN\tI-NP\tO' -p153642 -aS'q.\tq.\tNN\tI-NP\tO' -p153643 -aS'day\tday\tNN\tI-NP\tO' -p153644 -aS'.\t.\t.\tO\tO' -p153645 -asS'A chest x-ray showed that the ET tube was displaced to very high in the trachea .' -p153646 -(lp153647 -S'A\tA\tDT\tB-NP\tO' -p153648 -aS'chest\tchest\tNN\tI-NP\tO' -p153649 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p153650 -aS'showed\tshow\tVBD\tB-VP\tO' -p153651 -aS'that\tthat\tIN\tB-SBAR\tO' -p153652 -aS'the\tthe\tDT\tB-NP\tO' -p153653 -aS'ET\tET\tNN\tI-NP\tB-DNA' -p153654 -aS'tube\ttube\tNN\tI-NP\tI-DNA' -p153655 -aS'was\tbe\tVBD\tB-VP\tO' -p153656 -aS'displaced\tdisplace\tVBN\tI-VP\tO' -p153657 -aS'to\tto\tTO\tB-PP\tO' -p153658 -aS'very\tvery\tRB\tB-NP\tO' -p153659 -aS'high\thigh\tJJ\tI-NP\tO' -p153660 -aS'in\tin\tIN\tB-PP\tO' -p153661 -aS'the\tthe\tDT\tB-NP\tO' -p153662 -aS'trachea\ttrachea\tNN\tI-NP\tO' -p153663 -aS'.\t.\t.\tO\tO' -p153664 -asS'A. Secretory endometrium .' -p153665 -(lp153666 -S'A.\tA.\tNN\tB-NP\tO' -p153667 -aS'Secretory\tSecretory\tJJ\tI-NP\tO' -p153668 -aS'endometrium\tendometrium\tNN\tI-NP\tO' -p153669 -aS'.\t.\t.\tO\tO' -p153670 -asS'By 08-07 , it was thought there was improvement of his labs .' -p153671 -(lp153672 -S'By\tBy\tIN\tB-PP\tO' -p153673 -aS'08-07\t08-07\tCD\tB-NP\tO' -p153674 -aS',\t,\t,\tO\tO' -p153675 -aS'it\tit\tPRP\tB-NP\tO' -p153676 -aS'was\tbe\tVBD\tB-VP\tO' -p153677 -aS'thought\tthink\tVBN\tI-VP\tO' -p153678 -aS'there\tthere\tEX\tB-NP\tO' -p153679 -aS'was\tbe\tVBD\tB-VP\tO' -p153680 -aS'improvement\timprovement\tNN\tB-NP\tO' -p153681 -aS'of\tof\tIN\tB-PP\tO' -p153682 -aS'his\this\tPRP$\tB-NP\tO' -p153683 -aS'labs\tlab\tNNS\tI-NP\tO' -p153684 -aS'.\t.\t.\tO\tO' -p153685 -asS'The family did consent to a postmortem examination .' -p153686 -(lp153687 -S'The\tThe\tDT\tB-NP\tO' -p153688 -aS'family\tfamily\tNN\tI-NP\tO' -p153689 -aS'did\tdo\tVBD\tB-VP\tO' -p153690 -aS'consent\tconsent\tNN\tB-NP\tO' -p153691 -aS'to\tto\tTO\tB-PP\tO' -p153692 -aS'a\ta\tDT\tB-NP\tO' -p153693 -aS'postmortem\tpostmortem\tJJ\tI-NP\tO' -p153694 -aS'examination\texamination\tNN\tI-NP\tO' -p153695 -aS'.\t.\t.\tO\tO' -p153696 -asS'CTA neg for PE .' -p153697 -(lp153698 -S'CTA\tCTA\tNN\tB-NP\tO' -p153699 -aS'neg\tneg\tNN\tI-NP\tO' -p153700 -aS'for\tfor\tIN\tB-PP\tO' -p153701 -aS'PE\tPE\tNN\tB-NP\tO' -p153702 -aS'.\t.\t.\tO\tO' -p153703 -asS'The face was symmetrical .' -p153704 -(lp153705 -S'The\tThe\tDT\tB-NP\tO' -p153706 -aS'face\tface\tNN\tI-NP\tO' -p153707 -aS'was\tbe\tVBD\tB-VP\tO' -p153708 -aS'symmetrical\tsymmetrical\tJJ\tB-ADJP\tO' -p153709 -aS'.\t.\t.\tO\tO' -p153710 -asS'Temperature maximum 98.7 , temperature current 98.3 , pulse ranged from 82 to 92 , blood pressure 104 to 124/67 to 74 with a mean of 86 to 99 , respiratory rate of 11 to 16 , oxygen saturation 94% to 98% on 2 liters .' -p153711 -(lp153712 -S'Temperature\tTemperature\tNN\tB-NP\tB-protein' -p153713 -aS'maximum\tmaximum\tNN\tI-NP\tI-protein' -p153714 -aS'98.7\t98.7\tCD\tI-NP\tI-protein' -p153715 -aS',\t,\t,\tI-NP\tO' -p153716 -aS'temperature\ttemperature\tNN\tI-NP\tB-protein' -p153717 -aS'current\tcurrent\tNN\tI-NP\tI-protein' -p153718 -aS'98.3\t98.3\tCD\tI-NP\tI-protein' -p153719 -aS',\t,\t,\tO\tO' -p153720 -aS'pulse\tpulse\tNN\tB-NP\tO' -p153721 -aS'ranged\trange\tVBD\tB-VP\tO' -p153722 -aS'from\tfrom\tIN\tB-PP\tO' -p153723 -aS'82\t82\tCD\tB-NP\tO' -p153724 -aS'to\tto\tTO\tB-PP\tO' -p153725 -aS'92\t92\tCD\tB-NP\tO' -p153726 -aS',\t,\t,\tO\tO' -p153727 -aS'blood\tblood\tNN\tB-NP\tO' -p153728 -aS'pressure\tpressure\tNN\tI-NP\tO' -p153729 -aS'104\t104\tCD\tB-NP\tO' -p153730 -aS'to\tto\tTO\tB-PP\tO' -p153731 -aS'124/67\t124/67\tCD\tB-NP\tO' -p153732 -aS'to\tto\tTO\tB-PP\tO' -p153733 -aS'74\t74\tCD\tB-NP\tO' -p153734 -aS'with\twith\tIN\tB-PP\tO' -p153735 -aS'a\ta\tDT\tB-NP\tO' -p153736 -aS'mean\tmean\tNN\tI-NP\tO' -p153737 -aS'of\tof\tIN\tB-PP\tO' -p153738 -aS'86\t86\tCD\tB-NP\tO' -p153739 -aS'to\tto\tTO\tB-PP\tO' -p153740 -aS'99\t99\tCD\tB-NP\tO' -p153741 -aS',\t,\t,\tO\tO' -p153742 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p153743 -aS'rate\trate\tNN\tI-NP\tO' -p153744 -aS'of\tof\tIN\tB-PP\tO' -p153745 -aS'11\t11\tCD\tB-NP\tO' -p153746 -aS'to\tto\tTO\tB-PP\tO' -p153747 -aS'16\t16\tCD\tB-NP\tO' -p153748 -aS',\t,\t,\tO\tO' -p153749 -aS'oxygen\toxygen\tNN\tB-NP\tO' -p153750 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p153751 -aS'94%\t94%\tCD\tB-NP\tO' -p153752 -aS'to\tto\tTO\tB-PP\tO' -p153753 -aS'98%\t98%\tCD\tB-NP\tO' -p153754 -aS'on\ton\tIN\tB-PP\tO' -p153755 -aS'2\t2\tCD\tB-NP\tO' -p153756 -aS'liters\tliter\tNNS\tI-NP\tO' -p153757 -aS'.\t.\t.\tO\tO' -p153758 -asS'Nondysmorphic with overall appearance consistent with gestational age .' -p153759 -(lp153760 -S'Nondysmorphic\tNondysmorphic\tJJ\tB-ADJP\tO' -p153761 -aS'with\twith\tIN\tB-PP\tO' -p153762 -aS'overall\toverall\tJJ\tB-NP\tO' -p153763 -aS'appearance\tappearance\tNN\tI-NP\tO' -p153764 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p153765 -aS'with\twith\tIN\tB-PP\tO' -p153766 -aS'gestational\tgestational\tJJ\tB-NP\tO' -p153767 -aS'age\tage\tNN\tI-NP\tO' -p153768 -aS'.\t.\t.\tO\tO' -p153769 -asS'The patient was evaluated by Physical Therapy , who declared him a suitable candidate for discharge directly to home following resolution of his medical therapy .' -p153770 -(lp153771 -S'The\tThe\tDT\tB-NP\tO' -p153772 -aS'patient\tpatient\tNN\tI-NP\tO' -p153773 -aS'was\tbe\tVBD\tB-VP\tO' -p153774 -aS'evaluated\tevaluate\tVBN\tI-VP\tO' -p153775 -aS'by\tby\tIN\tB-PP\tO' -p153776 -aS'Physical\tPhysical\tJJ\tB-NP\tO' -p153777 -aS'Therapy\tTherapy\tNN\tI-NP\tO' -p153778 -aS',\t,\t,\tO\tO' -p153779 -aS'who\twho\tWP\tB-NP\tO' -p153780 -aS'declared\tdeclare\tVBD\tB-VP\tO' -p153781 -aS'him\thim\tPRP\tB-NP\tO' -p153782 -aS'a\ta\tDT\tB-NP\tO' -p153783 -aS'suitable\tsuitable\tJJ\tI-NP\tO' -p153784 -aS'candidate\tcandidate\tNN\tI-NP\tO' -p153785 -aS'for\tfor\tIN\tB-PP\tO' -p153786 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p153787 -aS'directly\tdirectly\tRB\tB-ADVP\tO' -p153788 -aS'to\tto\tTO\tB-PP\tO' -p153789 -aS'home\thome\tNN\tB-NP\tO' -p153790 -aS'following\tfollow\tVBG\tB-PP\tO' -p153791 -aS'resolution\tresolution\tNN\tB-NP\tO' -p153792 -aS'of\tof\tIN\tB-PP\tO' -p153793 -aS'his\this\tPRP$\tB-NP\tO' -p153794 -aS'medical\tmedical\tJJ\tI-NP\tO' -p153795 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p153796 -aS'.\t.\t.\tO\tO' -p153797 -asS'She received a 7 day course of amoxicillin for which Enterococcus was sensitive but Klebsiella unknown .' -p153798 -(lp153799 -S'She\tShe\tPRP\tB-NP\tO' -p153800 -aS'received\treceive\tVBD\tB-VP\tO' -p153801 -aS'a\ta\tDT\tB-NP\tO' -p153802 -aS'7\t7\tCD\tI-NP\tO' -p153803 -aS'day\tday\tNN\tI-NP\tO' -p153804 -aS'course\tcourse\tNN\tI-NP\tO' -p153805 -aS'of\tof\tIN\tB-PP\tO' -p153806 -aS'amoxicillin\tamoxicillin\tNN\tB-NP\tO' -p153807 -aS'for\tfor\tIN\tB-PP\tO' -p153808 -aS'which\twhich\tWDT\tB-NP\tO' -p153809 -aS'Enterococcus\tEnterococcus\tNNP\tB-NP\tO' -p153810 -aS'was\tbe\tVBD\tB-VP\tO' -p153811 -aS'sensitive\tsensitive\tJJ\tB-ADJP\tO' -p153812 -aS'but\tbut\tCC\tO\tO' -p153813 -aS'Klebsiella\tKlebsiella\tNN\tB-ADJP\tO' -p153814 -aS'unknown\tunknown\tJJ\tI-ADJP\tO' -p153815 -aS'.\t.\t.\tO\tO' -p153816 -asS'The patient presented with a chief complaint of CP SOB .' -p153817 -(lp153818 -S'The\tThe\tDT\tB-NP\tO' -p153819 -aS'patient\tpatient\tNN\tI-NP\tO' -p153820 -aS'presented\tpresent\tVBD\tB-VP\tO' -p153821 -aS'with\twith\tIN\tB-PP\tO' -p153822 -aS'a\ta\tDT\tB-NP\tO' -p153823 -aS'chief\tchief\tJJ\tI-NP\tO' -p153824 -aS'complaint\tcomplaint\tNN\tI-NP\tO' -p153825 -aS'of\tof\tIN\tB-PP\tO' -p153826 -aS'CP\tCP\tNN\tB-NP\tB-protein' -p153827 -aS'SOB\tSOB\tNN\tI-NP\tI-protein' -p153828 -aS'.\t.\t.\tO\tO' -p153829 -asS'He was evaluated by Neurosurgery for his head injury which showed multiple contusions in the frontal lobe .' -p153830 -(lp153831 -S'He\tHe\tPRP\tB-NP\tO' -p153832 -aS'was\tbe\tVBD\tB-VP\tO' -p153833 -aS'evaluated\tevaluate\tVBN\tI-VP\tO' -p153834 -aS'by\tby\tIN\tB-PP\tO' -p153835 -aS'Neurosurgery\tNeurosurgery\tNNP\tB-NP\tO' -p153836 -aS'for\tfor\tIN\tB-PP\tO' -p153837 -aS'his\this\tPRP$\tB-NP\tO' -p153838 -aS'head\thead\tNN\tI-NP\tO' -p153839 -aS'injury\tinjury\tNN\tI-NP\tO' -p153840 -aS'which\twhich\tWDT\tB-NP\tO' -p153841 -aS'showed\tshow\tVBD\tB-VP\tO' -p153842 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p153843 -aS'contusions\tcontusion\tNNS\tI-NP\tO' -p153844 -aS'in\tin\tIN\tB-PP\tO' -p153845 -aS'the\tthe\tDT\tB-NP\tO' -p153846 -aS'frontal\tfrontal\tJJ\tI-NP\tO' -p153847 -aS'lobe\tlobe\tNN\tI-NP\tO' -p153848 -aS'.\t.\t.\tO\tO' -p153849 -asS'We are awaiting results of the lumbar puncture from the outside hospital , but on hospital day two .' -p153850 -(lp153851 -S'We\tWe\tPRP\tB-NP\tO' -p153852 -aS'are\tbe\tVBP\tB-VP\tO' -p153853 -aS'awaiting\tawait\tVBG\tI-VP\tO' -p153854 -aS'results\tresult\tNNS\tB-NP\tO' -p153855 -aS'of\tof\tIN\tB-PP\tO' -p153856 -aS'the\tthe\tDT\tB-NP\tO' -p153857 -aS'lumbar\tlumbar\tJJ\tI-NP\tO' -p153858 -aS'puncture\tpuncture\tNN\tI-NP\tO' -p153859 -aS'from\tfrom\tIN\tB-PP\tO' -p153860 -aS'the\tthe\tDT\tB-NP\tO' -p153861 -aS'outside\toutside\tJJ\tI-NP\tO' -p153862 -aS'hospital\thospital\tNN\tI-NP\tO' -p153863 -aS',\t,\t,\tB-PP\tO' -p153864 -aS'but\tbut\tCC\tI-PP\tO' -p153865 -aS'on\ton\tIN\tB-PP\tO' -p153866 -aS'hospital\thospital\tNN\tB-NP\tO' -p153867 -aS'day\tday\tNN\tI-NP\tO' -p153868 -aS'two\ttwo\tCD\tI-NP\tO' -p153869 -aS'.\t.\t.\tO\tO' -p153870 -asS'This is an 81 year old female with a right breast mass with a discharge .' -p153871 -(lp153872 -S'This\tThis\tDT\tB-NP\tO' -p153873 -aS'is\tbe\tVBZ\tB-VP\tO' -p153874 -aS'an\tan\tDT\tB-NP\tO' -p153875 -aS'81\t81\tCD\tI-NP\tO' -p153876 -aS'year\tyear\tNN\tI-NP\tO' -p153877 -aS'old\told\tJJ\tI-NP\tO' -p153878 -aS'female\tfemale\tNN\tI-NP\tO' -p153879 -aS'with\twith\tIN\tB-PP\tO' -p153880 -aS'a\ta\tDT\tB-NP\tO' -p153881 -aS'right\tright\tJJ\tI-NP\tO' -p153882 -aS'breast\tbreast\tNN\tI-NP\tO' -p153883 -aS'mass\tmass\tNN\tI-NP\tO' -p153884 -aS'with\twith\tIN\tB-PP\tO' -p153885 -aS'a\ta\tDT\tB-NP\tO' -p153886 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p153887 -aS'.\t.\t.\tO\tO' -p153888 -asS'Benadryl 50 mg. intravenous tid prn .' -p153889 -(lp153890 -S'Benadryl\tBenadryl\tNN\tB-NP\tO' -p153891 -aS'50\t50\tCD\tI-NP\tO' -p153892 -aS'mg.\tmg.\tNN\tI-NP\tO' -p153893 -aS'intravenous\tintravenous\tJJ\tI-NP\tO' -p153894 -aS'tid\ttid\tNN\tI-NP\tO' -p153895 -aS'prn\tprn\tNN\tI-NP\tO' -p153896 -aS'.\t.\t.\tO\tO' -p153897 -asS'2 ) Os-Cal 1250 mg p.o. three times a day .' -p153898 -(lp153899 -S'2\t2\tLS\tB-LST\tO' -p153900 -aS')\t)\t)\tO\tO' -p153901 -aS'Os-Cal\tOs-Cal\tJJ\tB-NP\tO' -p153902 -aS'1250\t1250\tCD\tI-NP\tO' -p153903 -aS'mg\tmg\tNN\tI-NP\tO' -p153904 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p153905 -aS'three\tthree\tCD\tB-NP\tO' -p153906 -aS'times\ttime\tNNS\tI-NP\tO' -p153907 -aS'a\ta\tDT\tB-NP\tO' -p153908 -aS'day\tday\tNN\tI-NP\tO' -p153909 -aS'.\t.\t.\tO\tO' -p153910 -asS'When output became < 100 cc the tube was removed .' -p153911 -(lp153912 -S'When\tWhen\tWRB\tB-ADVP\tO' -p153913 -aS'output\toutput\tNN\tB-NP\tO' -p153914 -aS'became\tbecome\tVBD\tB-VP\tO' -p153915 -aS'<\t<\tSYM\tB-ADJP\tO' -p153916 -aS'100\t100\tCD\tB-NP\tO' -p153917 -aS'cc\tcc\tNN\tI-NP\tO' -p153918 -aS'the\tthe\tDT\tB-NP\tO' -p153919 -aS'tube\ttube\tNN\tI-NP\tO' -p153920 -aS'was\tbe\tVBD\tB-VP\tO' -p153921 -aS'removed\tremove\tVBN\tI-VP\tO' -p153922 -aS'.\t.\t.\tO\tO' -p153923 -asS'Later in her hospital course she also had an echocardiogram for question of new ECG findings in her inferior leads .' -p153924 -(lp153925 -S'Later\tLater\tRB\tB-ADVP\tO' -p153926 -aS'in\tin\tIN\tB-PP\tO' -p153927 -aS'her\ther\tPRP$\tB-NP\tO' -p153928 -aS'hospital\thospital\tNN\tI-NP\tO' -p153929 -aS'course\tcourse\tNN\tI-NP\tO' -p153930 -aS'she\tshe\tPRP\tB-NP\tO' -p153931 -aS'also\talso\tRB\tB-ADVP\tO' -p153932 -aS'had\thave\tVBD\tB-VP\tO' -p153933 -aS'an\tan\tDT\tB-NP\tO' -p153934 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p153935 -aS'for\tfor\tIN\tB-PP\tO' -p153936 -aS'question\tquestion\tNN\tB-NP\tO' -p153937 -aS'of\tof\tIN\tB-PP\tO' -p153938 -aS'new\tnew\tJJ\tB-NP\tO' -p153939 -aS'ECG\tECG\tNN\tI-NP\tO' -p153940 -aS'findings\tfinding\tNNS\tI-NP\tO' -p153941 -aS'in\tin\tIN\tB-PP\tO' -p153942 -aS'her\ther\tPRP$\tB-NP\tO' -p153943 -aS'inferior\tinferior\tJJ\tI-NP\tO' -p153944 -aS'leads\tlead\tNNS\tI-NP\tO' -p153945 -aS'.\t.\t.\tO\tO' -p153946 -asS"Postoperative check , the patient 's vital signs were stable ." -p153947 -(lp153948 -S'Postoperative\tPostoperative\tJJ\tB-NP\tO' -p153949 -aS'check\tcheck\tNN\tI-NP\tO' -p153950 -aS',\t,\t,\tO\tO' -p153951 -aS'the\tthe\tDT\tB-NP\tO' -p153952 -aS'patient\tpatient\tNN\tI-NP\tO' -p153953 -aS"'s\t's\tPOS\tB-NP\tO" -p153954 -aS'vital\tvital\tJJ\tI-NP\tO' -p153955 -aS'signs\tsign\tNNS\tI-NP\tO' -p153956 -aS'were\tbe\tVBD\tB-VP\tO' -p153957 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p153958 -aS'.\t.\t.\tO\tO' -p153959 -asS'She does not use drugs .' -p153960 -(lp153961 -S'She\tShe\tPRP\tB-NP\tO' -p153962 -aS'does\tdo\tVBZ\tB-VP\tO' -p153963 -aS'not\tnot\tRB\tI-VP\tO' -p153964 -aS'use\tuse\tVB\tI-VP\tO' -p153965 -aS'drugs\tdrug\tNNS\tB-NP\tO' -p153966 -aS'.\t.\t.\tO\tO' -p153967 -asS'The abdominal CAT scan showed no evidence of hydronephrosis orrenal abscess .' -p153968 -(lp153969 -S'The\tThe\tDT\tB-NP\tO' -p153970 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p153971 -aS'CAT\tCAT\tNN\tI-NP\tO' -p153972 -aS'scan\tscan\tNN\tI-NP\tO' -p153973 -aS'showed\tshow\tVBD\tB-VP\tO' -p153974 -aS'no\tno\tDT\tB-NP\tO' -p153975 -aS'evidence\tevidence\tNN\tI-NP\tO' -p153976 -aS'of\tof\tIN\tB-PP\tO' -p153977 -aS'hydronephrosis\thydronephrosis\tNN\tB-NP\tO' -p153978 -aS'orrenal\torrenal\tJJ\tI-NP\tO' -p153979 -aS'abscess\tabscess\tNN\tI-NP\tO' -p153980 -aS'.\t.\t.\tO\tO' -p153981 -asS'The epidural was placed in the L1-2 region and the catheter was placed in the T7 region using fluoroscope to guide the catheter .' -p153982 -(lp153983 -S'The\tThe\tDT\tB-NP\tO' -p153984 -aS'epidural\tepidural\tNN\tI-NP\tO' -p153985 -aS'was\tbe\tVBD\tB-VP\tO' -p153986 -aS'placed\tplace\tVBN\tI-VP\tO' -p153987 -aS'in\tin\tIN\tB-PP\tO' -p153988 -aS'the\tthe\tDT\tB-NP\tO' -p153989 -aS'L1-2\tL1-2\tNN\tI-NP\tB-DNA' -p153990 -aS'region\tregion\tNN\tI-NP\tI-DNA' -p153991 -aS'and\tand\tCC\tO\tO' -p153992 -aS'the\tthe\tDT\tB-NP\tO' -p153993 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p153994 -aS'was\tbe\tVBD\tB-VP\tO' -p153995 -aS'placed\tplace\tVBN\tI-VP\tO' -p153996 -aS'in\tin\tIN\tB-PP\tO' -p153997 -aS'the\tthe\tDT\tB-NP\tO' -p153998 -aS'T7\tT7\tNN\tI-NP\tB-DNA' -p153999 -aS'region\tregion\tNN\tI-NP\tI-DNA' -p154000 -aS'using\tuse\tVBG\tB-VP\tO' -p154001 -aS'fluoroscope\tfluoroscope\tNN\tB-NP\tO' -p154002 -aS'to\tto\tTO\tB-VP\tO' -p154003 -aS'guide\tguide\tVB\tI-VP\tO' -p154004 -aS'the\tthe\tDT\tB-NP\tO' -p154005 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p154006 -aS'.\t.\t.\tO\tO' -p154007 -asS'The patient is a seventy two year old man who a number of years ago underwent coronary bypass surgery at another institution .' -p154008 -(lp154009 -S'The\tThe\tDT\tB-NP\tO' -p154010 -aS'patient\tpatient\tNN\tI-NP\tO' -p154011 -aS'is\tbe\tVBZ\tB-VP\tO' -p154012 -aS'a\ta\tDT\tB-NP\tO' -p154013 -aS'seventy\tseventy\tJJ\tI-NP\tO' -p154014 -aS'two\ttwo\tCD\tI-NP\tO' -p154015 -aS'year\tyear\tNN\tI-NP\tO' -p154016 -aS'old\told\tJJ\tI-NP\tO' -p154017 -aS'man\tman\tNN\tI-NP\tO' -p154018 -aS'who\twho\tWP\tB-NP\tO' -p154019 -aS'a\ta\tDT\tB-NP\tO' -p154020 -aS'number\tnumber\tNN\tI-NP\tO' -p154021 -aS'of\tof\tIN\tB-PP\tO' -p154022 -aS'years\tyear\tNNS\tB-NP\tO' -p154023 -aS'ago\tago\tRB\tB-ADVP\tO' -p154024 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p154025 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p154026 -aS'bypass\tbypass\tNN\tI-NP\tO' -p154027 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p154028 -aS'at\tat\tIN\tB-PP\tO' -p154029 -aS'another\tanother\tDT\tB-NP\tO' -p154030 -aS'institution\tinstitution\tNN\tI-NP\tO' -p154031 -aS'.\t.\t.\tO\tO' -p154032 -asS'Plan to continue vancomycin for 08-19 day course to treat empiric line infection .' -p154033 -(lp154034 -S'Plan\tPlan\tNN\tB-NP\tO' -p154035 -aS'to\tto\tTO\tB-VP\tO' -p154036 -aS'continue\tcontinue\tVB\tI-VP\tO' -p154037 -aS'vancomycin\tvancomycin\tNN\tB-NP\tO' -p154038 -aS'for\tfor\tIN\tB-PP\tO' -p154039 -aS'08-19\t08-19\tCD\tB-NP\tO' -p154040 -aS'day\tday\tNN\tI-NP\tO' -p154041 -aS'course\tcourse\tNN\tI-NP\tO' -p154042 -aS'to\tto\tTO\tB-VP\tO' -p154043 -aS'treat\ttreat\tVB\tI-VP\tO' -p154044 -aS'empiric\tempiric\tJJ\tB-NP\tO' -p154045 -aS'line\tline\tNN\tI-NP\tO' -p154046 -aS'infection\tinfection\tNN\tI-NP\tO' -p154047 -aS'.\t.\t.\tO\tO' -p154048 -asS'6. Prochlorperazine 10 mg Tablet Sig : One ( 1 ) Tablet PO Q6H ( every 6 hours ) as needed .' -p154049 -(lp154050 -S'6.\t6.\tCD\tB-NP\tO' -p154051 -aS'Prochlorperazine\tProchlorperazine\tNN\tI-NP\tO' -p154052 -aS'10\t10\tCD\tB-NP\tO' -p154053 -aS'mg\tmg\tNN\tI-NP\tO' -p154054 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p154055 -aS'Sig\tSig\tNNP\tI-NP\tO' -p154056 -aS':\t:\t:\tO\tO' -p154057 -aS'One\tOne\tCD\tB-NP\tO' -p154058 -aS'(\t(\t(\tO\tO' -p154059 -aS'1\t1\tCD\tB-NP\tO' -p154060 -aS')\t)\t)\tO\tO' -p154061 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p154062 -aS'PO\tPO\tNN\tI-NP\tO' -p154063 -aS'Q6H\tQ6H\tNN\tI-NP\tO' -p154064 -aS'(\t(\t(\tO\tO' -p154065 -aS'every\tevery\tDT\tB-NP\tO' -p154066 -aS'6\t6\tCD\tI-NP\tO' -p154067 -aS'hours\thour\tNNS\tI-NP\tO' -p154068 -aS')\t)\t)\tO\tO' -p154069 -aS'as\tas\tIN\tB-SBAR\tO' -p154070 -aS'needed\tneed\tVBN\tB-VP\tO' -p154071 -aS'.\t.\t.\tO\tO' -p154072 -asS'No air-fluid levels to suggest occult facial fractures .' -p154073 -(lp154074 -S'No\tNo\tDT\tB-NP\tO' -p154075 -aS'air-fluid\tair-fluid\tJJ\tI-NP\tO' -p154076 -aS'levels\tlevel\tNNS\tI-NP\tO' -p154077 -aS'to\tto\tTO\tB-VP\tO' -p154078 -aS'suggest\tsuggest\tVB\tI-VP\tO' -p154079 -aS'occult\toccult\tJJ\tB-NP\tO' -p154080 -aS'facial\tfacial\tJJ\tI-NP\tO' -p154081 -aS'fractures\tfracture\tNNS\tI-NP\tO' -p154082 -aS'.\t.\t.\tO\tO' -p154083 -asS'These findings are consistent with chronic pancreatitis with pseudocyst formation' -p154084 -(lp154085 -S'These\tThese\tDT\tB-NP\tO' -p154086 -aS'findings\tfinding\tNNS\tI-NP\tO' -p154087 -aS'are\tbe\tVBP\tB-VP\tO' -p154088 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p154089 -aS'with\twith\tIN\tB-PP\tO' -p154090 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p154091 -aS'pancreatitis\tpancreatitis\tNN\tI-NP\tO' -p154092 -aS'with\twith\tIN\tB-PP\tO' -p154093 -aS'pseudocyst\tpseudocyst\tNN\tB-NP\tO' -p154094 -aS'formation\tformation\tNN\tI-NP\tO' -p154095 -asS'She will need close follow up of her renal functioning .' -p154096 -(lp154097 -S'She\tShe\tPRP\tB-NP\tO' -p154098 -aS'will\twill\tMD\tB-VP\tO' -p154099 -aS'need\tneed\tVB\tI-VP\tO' -p154100 -aS'close\tclose\tRB\tB-ADVP\tO' -p154101 -aS'follow\tfollow\tVB\tB-VP\tO' -p154102 -aS'up\tup\tRP\tB-PRT\tO' -p154103 -aS'of\tof\tIN\tB-PP\tO' -p154104 -aS'her\ther\tPRP$\tB-NP\tO' -p154105 -aS'renal\trenal\tJJ\tI-NP\tO' -p154106 -aS'functioning\tfunctioning\tNN\tI-NP\tO' -p154107 -aS'.\t.\t.\tO\tO' -p154108 -asS'The patient was admitted to floor .' -p154109 -(lp154110 -S'The\tThe\tDT\tB-NP\tO' -p154111 -aS'patient\tpatient\tNN\tI-NP\tO' -p154112 -aS'was\tbe\tVBD\tB-VP\tO' -p154113 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p154114 -aS'to\tto\tTO\tB-PP\tO' -p154115 -aS'floor\tfloor\tNN\tB-NP\tO' -p154116 -aS'.\t.\t.\tO\tO' -p154117 -asS'Prenatal screens - A positive , antibody negative , hepatitis surface antigen negative , RPR nonreactive , rubella immune , GBS unknown .' -p154118 -(lp154119 -S'Prenatal\tPrenatal\tJJ\tB-NP\tO' -p154120 -aS'screens\tscreen\tNNS\tI-NP\tO' -p154121 -aS'-\t-\t:\tO\tO' -p154122 -aS'A\tA\tDT\tB-NP\tO' -p154123 -aS'positive\tpositive\tJJ\tI-NP\tO' -p154124 -aS',\t,\t,\tI-NP\tO' -p154125 -aS'antibody\tantibody\tNN\tI-NP\tO' -p154126 -aS'negative\tnegative\tJJ\tI-NP\tO' -p154127 -aS',\t,\t,\tO\tO' -p154128 -aS'hepatitis\thepatitis\tNN\tB-NP\tB-protein' -p154129 -aS'surface\tsurface\tNN\tI-NP\tI-protein' -p154130 -aS'antigen\tantigen\tNN\tI-NP\tI-protein' -p154131 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p154132 -aS',\t,\t,\tO\tO' -p154133 -aS'RPR\tRPR\tNN\tB-NP\tB-protein' -p154134 -aS'nonreactive\tnonreactive\tJJ\tB-ADJP\tO' -p154135 -aS',\t,\t,\tO\tO' -p154136 -aS'rubella\trubella\tNN\tB-NP\tO' -p154137 -aS'immune\timmune\tJJ\tI-NP\tO' -p154138 -aS',\t,\t,\tO\tO' -p154139 -aS'GBS\tGBS\tNNP\tB-NP\tO' -p154140 -aS'unknown\tunknown\tJJ\tB-ADJP\tO' -p154141 -aS'.\t.\t.\tO\tO' -p154142 -asS'The babies were born by elective cesarean section at 34 weeks gestation .' -p154143 -(lp154144 -S'The\tThe\tDT\tB-NP\tO' -p154145 -aS'babies\tbaby\tNNS\tI-NP\tO' -p154146 -aS'were\tbe\tVBD\tB-VP\tO' -p154147 -aS'born\tbear\tVBN\tI-VP\tO' -p154148 -aS'by\tby\tIN\tB-PP\tO' -p154149 -aS'elective\telective\tJJ\tB-NP\tO' -p154150 -aS'cesarean\tcesarean\tJJ\tI-NP\tO' -p154151 -aS'section\tsection\tNN\tI-NP\tO' -p154152 -aS'at\tat\tIN\tB-PP\tO' -p154153 -aS'34\t34\tCD\tB-NP\tO' -p154154 -aS'weeks\tweek\tNNS\tI-NP\tO' -p154155 -aS'gestation\tgestation\tNN\tI-NP\tO' -p154156 -aS'.\t.\t.\tO\tO' -p154157 -asS'10. Celexa 10 mg Tablet Sig : One ( 1 ) Tablet PO once a day .' -p154158 -(lp154159 -S'10.\t10.\tCD\tB-NP\tO' -p154160 -aS'Celexa\tCelexa\tNNP\tI-NP\tO' -p154161 -aS'10\t10\tCD\tI-NP\tO' -p154162 -aS'mg\tmg\tNN\tI-NP\tO' -p154163 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p154164 -aS'Sig\tSig\tNNP\tI-NP\tO' -p154165 -aS':\t:\t:\tO\tO' -p154166 -aS'One\tOne\tCD\tB-NP\tO' -p154167 -aS'(\t(\t(\tO\tO' -p154168 -aS'1\t1\tCD\tB-NP\tO' -p154169 -aS')\t)\t)\tO\tO' -p154170 -aS'Tablet\tTablet\tNN\tB-NP\tB-protein' -p154171 -aS'PO\tPO\tNN\tI-NP\tI-protein' -p154172 -aS'once\tonce\tRB\tO\tO' -p154173 -aS'a\ta\tDT\tB-NP\tO' -p154174 -aS'day\tday\tNN\tI-NP\tO' -p154175 -aS'.\t.\t.\tO\tO' -p154176 -asS'She takes an albuterol and Atrovent inhalers as well as Serevent and Flovent .' -p154177 -(lp154178 -S'She\tShe\tPRP\tB-NP\tO' -p154179 -aS'takes\ttake\tVBZ\tB-VP\tO' -p154180 -aS'an\tan\tDT\tB-NP\tO' -p154181 -aS'albuterol\talbuterol\tNN\tI-NP\tO' -p154182 -aS'and\tand\tCC\tI-NP\tO' -p154183 -aS'Atrovent\tAtrovent\tNN\tI-NP\tO' -p154184 -aS'inhalers\tinhaler\tNNS\tI-NP\tO' -p154185 -aS'as\tas\tRB\tB-CONJP\tO' -p154186 -aS'well\twell\tRB\tI-CONJP\tO' -p154187 -aS'as\tas\tIN\tI-CONJP\tO' -p154188 -aS'Serevent\tSerevent\tNNP\tB-NP\tO' -p154189 -aS'and\tand\tCC\tI-NP\tO' -p154190 -aS'Flovent\tFlovent\tNNP\tI-NP\tO' -p154191 -aS'.\t.\t.\tO\tO' -p154192 -asS'She can be given prn lasix for weight gain or shortness of breath .' -p154193 -(lp154194 -S'She\tShe\tPRP\tB-NP\tO' -p154195 -aS'can\tcan\tMD\tB-VP\tO' -p154196 -aS'be\tbe\tVB\tI-VP\tO' -p154197 -aS'given\tgive\tVBN\tI-VP\tO' -p154198 -aS'prn\tprn\tNN\tB-NP\tO' -p154199 -aS'lasix\tlasix\tNN\tI-NP\tO' -p154200 -aS'for\tfor\tIN\tB-PP\tO' -p154201 -aS'weight\tweight\tNN\tB-NP\tO' -p154202 -aS'gain\tgain\tNN\tI-NP\tO' -p154203 -aS'or\tor\tCC\tO\tO' -p154204 -aS'shortness\tshortness\tNN\tB-NP\tO' -p154205 -aS'of\tof\tIN\tB-PP\tO' -p154206 -aS'breath\tbreath\tNN\tB-NP\tO' -p154207 -aS'.\t.\t.\tO\tO' -p154208 -asS'He was more alert and engaged with activity .' -p154209 -(lp154210 -S'He\tHe\tPRP\tB-NP\tO' -p154211 -aS'was\tbe\tVBD\tB-VP\tO' -p154212 -aS'more\tmore\tRBR\tB-ADJP\tO' -p154213 -aS'alert\talert\tJJ\tI-ADJP\tO' -p154214 -aS'and\tand\tCC\tO\tO' -p154215 -aS'engaged\tengage\tVBN\tB-VP\tO' -p154216 -aS'with\twith\tIN\tB-PP\tO' -p154217 -aS'activity\tactivity\tNN\tB-NP\tO' -p154218 -aS'.\t.\t.\tO\tO' -p154219 -asS'His tronponin quickly trended down and he did not have EKG evidence of ischemia .' -p154220 -(lp154221 -S'His\tHis\tPRP$\tB-NP\tO' -p154222 -aS'tronponin\ttronponin\tNN\tI-NP\tO' -p154223 -aS'quickly\tquickly\tRB\tB-ADVP\tO' -p154224 -aS'trended\ttrend\tVBD\tB-VP\tO' -p154225 -aS'down\tdown\tRB\tB-PRT\tO' -p154226 -aS'and\tand\tCC\tO\tO' -p154227 -aS'he\the\tPRP\tB-NP\tO' -p154228 -aS'did\tdo\tVBD\tB-VP\tO' -p154229 -aS'not\tnot\tRB\tI-VP\tO' -p154230 -aS'have\thave\tVB\tI-VP\tO' -p154231 -aS'EKG\tEKG\tNN\tB-NP\tO' -p154232 -aS'evidence\tevidence\tNN\tI-NP\tO' -p154233 -aS'of\tof\tIN\tB-PP\tO' -p154234 -aS'ischemia\tischemia\tNN\tB-NP\tO' -p154235 -aS'.\t.\t.\tO\tO' -p154236 -asS'--- no need for steroids now' -p154237 -(lp154238 -S'---\t---\tSYM\tO\tO' -p154239 -aS'no\tno\tDT\tB-NP\tO' -p154240 -aS'need\tneed\tNN\tI-NP\tO' -p154241 -aS'for\tfor\tIN\tB-PP\tO' -p154242 -aS'steroids\tsteroid\tNNS\tB-NP\tO' -p154243 -aS'now\tnow\tRB\tB-ADVP\tO' -p154244 -asS'Denies tobacco or ETOH use .' -p154245 -(lp154246 -S'Denies\tDeny\tNNS\tB-NP\tO' -p154247 -aS'tobacco\ttobacco\tNN\tI-NP\tO' -p154248 -aS'or\tor\tCC\tI-NP\tO' -p154249 -aS'ETOH\tETOH\tNN\tI-NP\tO' -p154250 -aS'use\tuse\tNN\tI-NP\tO' -p154251 -aS'.\t.\t.\tO\tO' -p154252 -asS'It is important that you complete the antibiotic course as prescribed .' -p154253 -(lp154254 -S'It\tIt\tPRP\tB-NP\tO' -p154255 -aS'is\tbe\tVBZ\tB-VP\tO' -p154256 -aS'important\timportant\tJJ\tB-ADJP\tO' -p154257 -aS'that\tthat\tIN\tB-SBAR\tO' -p154258 -aS'you\tyou\tPRP\tB-NP\tO' -p154259 -aS'complete\tcomplete\tVBP\tB-VP\tO' -p154260 -aS'the\tthe\tDT\tB-NP\tO' -p154261 -aS'antibiotic\tantibiotic\tJJ\tI-NP\tO' -p154262 -aS'course\tcourse\tNN\tI-NP\tO' -p154263 -aS'as\tas\tIN\tB-SBAR\tO' -p154264 -aS'prescribed\tprescribe\tVBN\tB-VP\tO' -p154265 -aS'.\t.\t.\tO\tO' -p154266 -asS'2. Lasix 20 mg p.o. q. day times seven days .' -p154267 -(lp154268 -S'2.\t2.\tLS\tB-NP\tO' -p154269 -aS'Lasix\tLasix\tNNP\tI-NP\tO' -p154270 -aS'20\t20\tCD\tI-NP\tO' -p154271 -aS'mg\tmg\tNN\tI-NP\tO' -p154272 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p154273 -aS'q.\tq.\tNN\tI-NP\tO' -p154274 -aS'day\tday\tNN\tI-NP\tO' -p154275 -aS'times\ttime\tNNS\tI-NP\tO' -p154276 -aS'seven\tseven\tCD\tB-NP\tO' -p154277 -aS'days\tday\tNNS\tI-NP\tO' -p154278 -aS'.\t.\t.\tO\tO' -p154279 -asS'Size appropriate for gestational age , 32 week female .' -p154280 -(lp154281 -S'Size\tSize\tVB\tB-VP\tO' -p154282 -aS'appropriate\tappropriate\tJJ\tB-ADJP\tO' -p154283 -aS'for\tfor\tIN\tB-PP\tO' -p154284 -aS'gestational\tgestational\tJJ\tB-NP\tO' -p154285 -aS'age\tage\tNN\tI-NP\tO' -p154286 -aS',\t,\t,\tO\tO' -p154287 -aS'32\t32\tCD\tB-NP\tO' -p154288 -aS'week\tweek\tNN\tI-NP\tO' -p154289 -aS'female\tfemale\tJJ\tB-ADJP\tO' -p154290 -aS'.\t.\t.\tO\tO' -p154291 -asS'ERCP report : Four fluoroscopic images and ERCP are provided .' -p154292 -(lp154293 -S'ERCP\tERCP\tNN\tB-NP\tO' -p154294 -aS'report\treport\tNN\tI-NP\tO' -p154295 -aS':\t:\t:\tO\tO' -p154296 -aS'Four\tFour\tCD\tB-NP\tO' -p154297 -aS'fluoroscopic\tfluoroscopic\tJJ\tI-NP\tO' -p154298 -aS'images\timage\tNNS\tI-NP\tO' -p154299 -aS'and\tand\tCC\tI-NP\tO' -p154300 -aS'ERCP\tERCP\tNN\tI-NP\tB-protein' -p154301 -aS'are\tbe\tVBP\tB-VP\tO' -p154302 -aS'provided\tprovide\tVBN\tI-VP\tO' -p154303 -aS'.\t.\t.\tO\tO' -p154304 -asS'- Procrit 40,000 units SC q Friday' -p154305 -(lp154306 -S'-\t-\tHYPH\tB-NP\tO' -p154307 -aS'Procrit\tProcrit\tNN\tI-NP\tO' -p154308 -aS'40,000\t40,000\tCD\tB-NP\tO' -p154309 -aS'units\tunit\tNNS\tI-NP\tO' -p154310 -aS'SC\tSC\tNNP\tB-NP\tO' -p154311 -aS'q\tq\tNN\tI-NP\tO' -p154312 -aS'Friday\tFriday\tNNP\tB-NP\tO' -p154313 -asS'Abdomen had decreased bowel sounds , soft , nontender , and nondistended .' -p154314 -(lp154315 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p154316 -aS'had\thave\tVBD\tB-VP\tO' -p154317 -aS'decreased\tdecrease\tVBN\tI-VP\tO' -p154318 -aS'bowel\tbowel\tNN\tB-NP\tO' -p154319 -aS'sounds\tsound\tNNS\tI-NP\tO' -p154320 -aS',\t,\t,\tO\tO' -p154321 -aS'soft\tsoft\tJJ\tB-NP\tO' -p154322 -aS',\t,\t,\tI-NP\tO' -p154323 -aS'nontender\tnontender\tJJ\tI-NP\tO' -p154324 -aS',\t,\t,\tI-NP\tO' -p154325 -aS'and\tand\tCC\tI-NP\tO' -p154326 -aS'nondistended\tnondistended\tJJ\tI-NP\tO' -p154327 -aS'.\t.\t.\tO\tO' -p154328 -asS'He had three Westwood-Pocasset drains - two in the neck and one in his right arm .' -p154329 -(lp154330 -S'He\tHe\tPRP\tB-NP\tO' -p154331 -aS'had\thave\tVBD\tB-VP\tO' -p154332 -aS'three\tthree\tCD\tB-NP\tO' -p154333 -aS'Westwood-Pocasset\tWestwood-Pocasset\tJJ\tI-NP\tO' -p154334 -aS'drains\tdrain\tNNS\tI-NP\tO' -p154335 -aS'-\t-\tHYPH\tO\tO' -p154336 -aS'two\ttwo\tCD\tB-NP\tO' -p154337 -aS'in\tin\tIN\tB-PP\tO' -p154338 -aS'the\tthe\tDT\tB-NP\tO' -p154339 -aS'neck\tneck\tNN\tI-NP\tO' -p154340 -aS'and\tand\tCC\tO\tO' -p154341 -aS'one\tone\tCD\tB-NP\tO' -p154342 -aS'in\tin\tIN\tB-PP\tO' -p154343 -aS'his\this\tPRP$\tB-NP\tO' -p154344 -aS'right\tright\tJJ\tI-NP\tO' -p154345 -aS'arm\tarm\tNN\tI-NP\tO' -p154346 -aS'.\t.\t.\tO\tO' -p154347 -asS'5. Multivitamin one p.o. q. day .' -p154348 -(lp154349 -S'5.\t5.\tLS\tB-NP\tO' -p154350 -aS'Multivitamin\tMultivitamin\tNN\tI-NP\tO' -p154351 -aS'one\tone\tCD\tB-NP\tO' -p154352 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p154353 -aS'q.\tq.\tNN\tI-NP\tO' -p154354 -aS'day\tday\tNN\tI-NP\tO' -p154355 -aS'.\t.\t.\tO\tO' -p154356 -asS'09-08-93 PATIENT DIED ON 9/8/93 .' -p154357 -(lp154358 -S'09-08-93\t09-08-93\tCD\tB-NP\tO' -p154359 -aS'PATIENT\tPATIENT\tNN\tI-NP\tO' -p154360 -aS'DIED\tDIED\tVBD\tB-VP\tO' -p154361 -aS'ON\tON\tNN\tB-NP\tO' -p154362 -aS'9/8/93\t9/8/93\tCD\tI-NP\tO' -p154363 -aS'.\t.\t.\tO\tO' -p154364 -asS'Etiology most likely a combination of contraction alkalosis and / or post-hypercapnia .' -p154365 -(lp154366 -S'Etiology\tEtiology\tNN\tB-NP\tO' -p154367 -aS'most\tmost\tRBS\tB-ADVP\tO' -p154368 -aS'likely\tlikely\tRB\tI-ADVP\tO' -p154369 -aS'a\ta\tDT\tB-NP\tO' -p154370 -aS'combination\tcombination\tNN\tI-NP\tO' -p154371 -aS'of\tof\tIN\tB-PP\tO' -p154372 -aS'contraction\tcontraction\tNN\tB-NP\tO' -p154373 -aS'alkalosis\talkalosis\tNN\tI-NP\tO' -p154374 -aS'and\tand\tCC\tO\tO' -p154375 -aS'/\t/\tSYM\tB-NP\tO' -p154376 -aS'or\tor\tCC\tO\tO' -p154377 -aS'post-hypercapnia\tpost-hypercapnia\tJJ\tB-ADJP\tO' -p154378 -aS'.\t.\t.\tO\tO' -p154379 -asS'You will need to follow up with your primary care physician / urologist prior to removal of your urinary catheter .' -p154380 -(lp154381 -S'You\tYou\tPRP\tB-NP\tB-protein' -p154382 -aS'will\twill\tMD\tB-VP\tO' -p154383 -aS'need\tneed\tVB\tI-VP\tO' -p154384 -aS'to\tto\tTO\tI-VP\tO' -p154385 -aS'follow\tfollow\tVB\tI-VP\tO' -p154386 -aS'up\tup\tRP\tB-PRT\tO' -p154387 -aS'with\twith\tIN\tB-PP\tO' -p154388 -aS'your\tyour\tPRP$\tB-NP\tO' -p154389 -aS'primary\tprimary\tJJ\tI-NP\tO' -p154390 -aS'care\tcare\tNN\tI-NP\tO' -p154391 -aS'physician\tphysician\tNN\tI-NP\tO' -p154392 -aS'/\t/\tSYM\tB-NP\tO' -p154393 -aS'urologist\turologist\tNN\tI-NP\tO' -p154394 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p154395 -aS'to\tto\tTO\tB-PP\tO' -p154396 -aS'removal\tremoval\tNN\tB-NP\tO' -p154397 -aS'of\tof\tIN\tB-PP\tO' -p154398 -aS'your\tyour\tPRP$\tB-NP\tO' -p154399 -aS'urinary\turinary\tJJ\tI-NP\tO' -p154400 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p154401 -aS'.\t.\t.\tO\tO' -p154402 -asS'No fever , no fetal tachycardia , rupture of membranes at delivery .' -p154403 -(lp154404 -S'No\tNo\tDT\tB-NP\tO' -p154405 -aS'fever\tfever\tNN\tI-NP\tO' -p154406 -aS',\t,\t,\tO\tO' -p154407 -aS'no\tno\tDT\tB-NP\tO' -p154408 -aS'fetal\tfetal\tJJ\tI-NP\tO' -p154409 -aS'tachycardia\ttachycardia\tNN\tI-NP\tO' -p154410 -aS',\t,\t,\tO\tO' -p154411 -aS'rupture\trupture\tNN\tB-NP\tO' -p154412 -aS'of\tof\tIN\tB-PP\tO' -p154413 -aS'membranes\tmembrane\tNNS\tB-NP\tO' -p154414 -aS'at\tat\tIN\tB-PP\tO' -p154415 -aS'delivery\tdelivery\tNN\tB-NP\tO' -p154416 -aS'.\t.\t.\tO\tO' -p154417 -asS'1. Lipitor 10 mg three times a week .' -p154418 -(lp154419 -S'1.\t1.\tLS\tB-LST\tO' -p154420 -aS'Lipitor\tLipitor\tNNP\tB-NP\tO' -p154421 -aS'10\t10\tCD\tI-NP\tO' -p154422 -aS'mg\tmg\tNN\tI-NP\tO' -p154423 -aS'three\tthree\tCD\tB-NP\tO' -p154424 -aS'times\ttime\tNNS\tI-NP\tO' -p154425 -aS'a\ta\tDT\tB-NP\tO' -p154426 -aS'week\tweek\tNN\tI-NP\tO' -p154427 -aS'.\t.\t.\tO\tO' -p154428 -asS'She is being transferred to Arbour-Fuller Hospital for cardiac catheterization .' -p154429 -(lp154430 -S'She\tShe\tPRP\tB-NP\tO' -p154431 -aS'is\tbe\tVBZ\tB-VP\tO' -p154432 -aS'being\tbe\tVBG\tI-VP\tO' -p154433 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p154434 -aS'to\tto\tTO\tB-PP\tO' -p154435 -aS'Arbour-Fuller\tArbour-Fuller\tNNP\tB-NP\tO' -p154436 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p154437 -aS'for\tfor\tIN\tB-PP\tO' -p154438 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p154439 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p154440 -aS'.\t.\t.\tO\tO' -p154441 -asS'Vital signs showed temperature 96.3 , pulse 64 , blood pressure 170/70 , respiratory rate 20 , oxygen saturation 98% in room air .' -p154442 -(lp154443 -S'Vital\tVital\tJJ\tB-NP\tB-protein' -p154444 -aS'signs\tsign\tNNS\tI-NP\tI-protein' -p154445 -aS'showed\tshow\tVBD\tB-VP\tI-protein' -p154446 -aS'temperature\ttemperature\tNN\tB-NP\tI-protein' -p154447 -aS'96.3\t96.3\tCD\tI-NP\tI-protein' -p154448 -aS',\t,\t,\tO\tO' -p154449 -aS'pulse\tpulse\tNN\tB-NP\tO' -p154450 -aS'64\t64\tCD\tI-NP\tO' -p154451 -aS',\t,\t,\tO\tO' -p154452 -aS'blood\tblood\tNN\tB-NP\tO' -p154453 -aS'pressure\tpressure\tNN\tI-NP\tO' -p154454 -aS'170/70\t170/70\tCD\tI-NP\tO' -p154455 -aS',\t,\t,\tO\tO' -p154456 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p154457 -aS'rate\trate\tNN\tI-NP\tO' -p154458 -aS'20\t20\tCD\tI-NP\tO' -p154459 -aS',\t,\t,\tO\tO' -p154460 -aS'oxygen\toxygen\tNN\tB-NP\tO' -p154461 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p154462 -aS'98%\t98%\tNN\tI-NP\tO' -p154463 -aS'in\tin\tIN\tB-PP\tO' -p154464 -aS'room\troom\tNN\tB-NP\tO' -p154465 -aS'air\tair\tNN\tI-NP\tO' -p154466 -aS'.\t.\t.\tO\tO' -p154467 -asS'If you experience CP , SOB , dizzyness , or any other symptoms that concern you please call your PCP or return to the ER .' -p154468 -(lp154469 -S'If\tIf\tIN\tB-SBAR\tO' -p154470 -aS'you\tyou\tPRP\tB-NP\tO' -p154471 -aS'experience\texperience\tVBP\tB-VP\tO' -p154472 -aS'CP\tCP\tNN\tB-NP\tB-DNA' -p154473 -aS',\t,\t,\tO\tO' -p154474 -aS'SOB\tSOB\tNN\tB-NP\tB-protein' -p154475 -aS',\t,\t,\tO\tO' -p154476 -aS'dizzyness\tdizzyness\tNN\tB-NP\tO' -p154477 -aS',\t,\t,\tO\tO' -p154478 -aS'or\tor\tCC\tO\tO' -p154479 -aS'any\tany\tDT\tB-NP\tO' -p154480 -aS'other\tother\tJJ\tI-NP\tO' -p154481 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p154482 -aS'that\tthat\tWDT\tB-NP\tO' -p154483 -aS'concern\tconcern\tVBP\tB-VP\tO' -p154484 -aS'you\tyou\tPRP\tB-NP\tO' -p154485 -aS'please\tplease\tVB\tB-VP\tO' -p154486 -aS'call\tcall\tVB\tI-VP\tO' -p154487 -aS'your\tyour\tPRP$\tB-NP\tO' -p154488 -aS'PCP\tPCP\tNN\tI-NP\tB-DNA' -p154489 -aS'or\tor\tCC\tO\tO' -p154490 -aS'return\treturn\tVB\tB-VP\tO' -p154491 -aS'to\tto\tTO\tB-PP\tO' -p154492 -aS'the\tthe\tDT\tB-NP\tO' -p154493 -aS'ER\tER\tNN\tI-NP\tB-protein' -p154494 -aS'.\t.\t.\tO\tO' -p154495 -asS'The patient was admitted to the surgical intensive care unit , where a continued cerebral angiogram was done that was essentially normal , without evidence of any obvious aneurysm .' -p154496 -(lp154497 -S'The\tThe\tDT\tB-NP\tO' -p154498 -aS'patient\tpatient\tNN\tI-NP\tO' -p154499 -aS'was\tbe\tVBD\tB-VP\tO' -p154500 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p154501 -aS'to\tto\tTO\tB-PP\tO' -p154502 -aS'the\tthe\tDT\tB-NP\tO' -p154503 -aS'surgical\tsurgical\tJJ\tI-NP\tO' -p154504 -aS'intensive\tintensive\tJJ\tI-NP\tO' -p154505 -aS'care\tcare\tNN\tI-NP\tO' -p154506 -aS'unit\tunit\tNN\tI-NP\tO' -p154507 -aS',\t,\t,\tO\tO' -p154508 -aS'where\twhere\tWRB\tB-ADVP\tO' -p154509 -aS'a\ta\tDT\tB-NP\tO' -p154510 -aS'continued\tcontinue\tVBN\tI-NP\tO' -p154511 -aS'cerebral\tcerebral\tJJ\tI-NP\tO' -p154512 -aS'angiogram\tangiogram\tNN\tI-NP\tO' -p154513 -aS'was\tbe\tVBD\tB-VP\tO' -p154514 -aS'done\tdo\tVBN\tI-VP\tO' -p154515 -aS'that\tthat\tWDT\tB-NP\tO' -p154516 -aS'was\tbe\tVBD\tB-VP\tO' -p154517 -aS'essentially\tessentially\tRB\tB-ADJP\tO' -p154518 -aS'normal\tnormal\tJJ\tI-ADJP\tO' -p154519 -aS',\t,\t,\tO\tO' -p154520 -aS'without\twithout\tIN\tB-PP\tO' -p154521 -aS'evidence\tevidence\tNN\tB-NP\tO' -p154522 -aS'of\tof\tIN\tB-PP\tO' -p154523 -aS'any\tany\tDT\tB-NP\tO' -p154524 -aS'obvious\tobvious\tJJ\tI-NP\tO' -p154525 -aS'aneurysm\taneurysm\tNN\tI-NP\tO' -p154526 -aS'.\t.\t.\tO\tO' -p154527 -asS'10 ) Omeprazole 20 mg p.o. q. day .' -p154528 -(lp154529 -S'10\t10\tCD\tB-NP\tO' -p154530 -aS')\t)\t)\tO\tO' -p154531 -aS'Omeprazole\tOmeprazole\tNN\tB-NP\tO' -p154532 -aS'20\t20\tCD\tI-NP\tO' -p154533 -aS'mg\tmg\tNN\tI-NP\tO' -p154534 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p154535 -aS'q.\tq.\tNN\tI-NP\tO' -p154536 -aS'day\tday\tNN\tI-NP\tO' -p154537 -aS'.\t.\t.\tO\tO' -p154538 -asS'Reason : Effusion ? Pntx ?' -p154539 -(lp154540 -S'Reason\tReason\tNNP\tB-NP\tO' -p154541 -aS':\t:\t:\tO\tO' -p154542 -aS'Effusion\tEffusion\tNNP\tB-NP\tO' -p154543 -aS'?\t?\t.\tO\tO' -p154544 -aS'Pntx\tPntx\tNNP\tB-NP\tO' -p154545 -aS'?\t?\t.\tO\tO' -p154546 -asS'On HD#6 , colonscopy was performed for decompression , and revealed pseudomembrane and friable colonic tissue .' -p154547 -(lp154548 -S'On\tOn\tIN\tB-PP\tO' -p154549 -aS'HD#6\tHD#6\tNN\tB-NP\tB-protein' -p154550 -aS',\t,\t,\tO\tO' -p154551 -aS'colonscopy\tcolonscopy\tNN\tB-NP\tO' -p154552 -aS'was\tbe\tVBD\tB-VP\tO' -p154553 -aS'performed\tperform\tVBN\tI-VP\tO' -p154554 -aS'for\tfor\tIN\tB-PP\tO' -p154555 -aS'decompression\tdecompression\tNN\tB-NP\tO' -p154556 -aS',\t,\t,\tO\tO' -p154557 -aS'and\tand\tCC\tO\tO' -p154558 -aS'revealed\treveal\tVBD\tB-VP\tO' -p154559 -aS'pseudomembrane\tpseudomembrane\tNN\tB-NP\tO' -p154560 -aS'and\tand\tCC\tO\tO' -p154561 -aS'friable\tfriable\tJJ\tB-NP\tO' -p154562 -aS'colonic\tcolonic\tJJ\tI-NP\tO' -p154563 -aS'tissue\ttissue\tNN\tI-NP\tO' -p154564 -aS'.\t.\t.\tO\tO' -p154565 -asS'He also got ifosfamide 3.6 grams a day with mesna .' -p154566 -(lp154567 -S'He\tHe\tPRP\tB-NP\tO' -p154568 -aS'also\talso\tRB\tB-ADVP\tO' -p154569 -aS'got\tget\tVBD\tB-VP\tO' -p154570 -aS'ifosfamide\tifosfamide\tIN\tB-NP\tO' -p154571 -aS'3.6\t3.6\tCD\tI-NP\tO' -p154572 -aS'grams\tgram\tNNS\tI-NP\tO' -p154573 -aS'a\ta\tDT\tB-NP\tO' -p154574 -aS'day\tday\tNN\tI-NP\tO' -p154575 -aS'with\twith\tIN\tB-PP\tO' -p154576 -aS'mesna\tmesna\tNN\tB-NP\tO' -p154577 -aS'.\t.\t.\tO\tO' -p154578 -asS'There was a dense hemianopsia on the left side .' -p154579 -(lp154580 -S'There\tThere\tEX\tB-NP\tO' -p154581 -aS'was\tbe\tVBD\tB-VP\tO' -p154582 -aS'a\ta\tDT\tB-NP\tO' -p154583 -aS'dense\tdense\tJJ\tI-NP\tO' -p154584 -aS'hemianopsia\themianopsia\tNN\tI-NP\tO' -p154585 -aS'on\ton\tIN\tB-PP\tO' -p154586 -aS'the\tthe\tDT\tB-NP\tO' -p154587 -aS'left\tleft\tJJ\tI-NP\tO' -p154588 -aS'side\tside\tNN\tI-NP\tO' -p154589 -aS'.\t.\t.\tO\tO' -p154590 -asS'If you experience fever > 100.4 , bleeding > 1 pad / hour , foul smelling discharge , abdominal pain , or other worrisome symptoms , please call your doctor or return to the hospital .' -p154591 -(lp154592 -S'If\tIf\tIN\tB-SBAR\tO' -p154593 -aS'you\tyou\tPRP\tB-NP\tO' -p154594 -aS'experience\texperience\tVBP\tB-VP\tO' -p154595 -aS'fever\tfever\tNN\tB-NP\tO' -p154596 -aS'>\t>\tCC\tO\tO' -p154597 -aS'100.4\t100.4\tCD\tB-NP\tO' -p154598 -aS',\t,\t,\tO\tO' -p154599 -aS'bleeding\tbleed\tVBG\tB-VP\tO' -p154600 -aS'>\t>\tCC\tB-NP\tO' -p154601 -aS'1\t1\tCD\tI-NP\tO' -p154602 -aS'pad\tpad\tNN\tI-NP\tO' -p154603 -aS'/\t/\tSYM\tB-NP\tO' -p154604 -aS'hour\thour\tNN\tI-NP\tO' -p154605 -aS',\t,\t,\tO\tO' -p154606 -aS'foul\tfoul\tJJ\tB-NP\tO' -p154607 -aS'smelling\tsmell\tVBG\tI-NP\tO' -p154608 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p154609 -aS',\t,\t,\tO\tO' -p154610 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p154611 -aS'pain\tpain\tNN\tI-NP\tO' -p154612 -aS',\t,\t,\tO\tO' -p154613 -aS'or\tor\tCC\tO\tO' -p154614 -aS'other\tother\tJJ\tB-NP\tO' -p154615 -aS'worrisome\tworrisome\tJJ\tI-NP\tO' -p154616 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p154617 -aS',\t,\t,\tO\tO' -p154618 -aS'please\tplease\tVB\tB-INTJ\tO' -p154619 -aS'call\tcall\tVB\tB-VP\tO' -p154620 -aS'your\tyour\tPRP$\tB-NP\tO' -p154621 -aS'doctor\tdoctor\tNN\tI-NP\tO' -p154622 -aS'or\tor\tCC\tO\tO' -p154623 -aS'return\treturn\tVB\tB-VP\tO' -p154624 -aS'to\tto\tTO\tB-PP\tO' -p154625 -aS'the\tthe\tDT\tB-NP\tO' -p154626 -aS'hospital\thospital\tNN\tI-NP\tO' -p154627 -aS'.\t.\t.\tO\tO' -p154628 -asS'On 12-18 flagyl and cefepime were discontinued as all culture data negative to date .' -p154629 -(lp154630 -S'On\tOn\tIN\tB-PP\tO' -p154631 -aS'12-18\t12-18\tCD\tB-NP\tO' -p154632 -aS'flagyl\tflagyl\tNN\tI-NP\tO' -p154633 -aS'and\tand\tCC\tI-NP\tO' -p154634 -aS'cefepime\tcefepime\tNN\tI-NP\tO' -p154635 -aS'were\tbe\tVBD\tB-VP\tO' -p154636 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p154637 -aS'as\tas\tIN\tB-PP\tO' -p154638 -aS'all\tall\tDT\tB-NP\tO' -p154639 -aS'culture\tculture\tNN\tI-NP\tO' -p154640 -aS'data\tdatum\tNNS\tI-NP\tO' -p154641 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p154642 -aS'to\tto\tTO\tB-PP\tO' -p154643 -aS'date\tdate\tNN\tB-NP\tO' -p154644 -aS'.\t.\t.\tO\tO' -p154645 -asS'The patient has strong narcotic seeking behavior .' -p154646 -(lp154647 -S'The\tThe\tDT\tB-NP\tO' -p154648 -aS'patient\tpatient\tNN\tI-NP\tO' -p154649 -aS'has\thave\tVBZ\tB-VP\tO' -p154650 -aS'strong\tstrong\tJJ\tB-NP\tO' -p154651 -aS'narcotic\tnarcotic\tJJ\tI-NP\tO' -p154652 -aS'seeking\tseek\tVBG\tI-NP\tO' -p154653 -aS'behavior\tbehavior\tNN\tI-NP\tO' -p154654 -aS'.\t.\t.\tO\tO' -p154655 -asS'Also , the patient has a past medical history of hypertension , glucose intolerance , peripheral neuropathy .' -p154656 -(lp154657 -S'Also\tAlso\tRB\tB-ADVP\tO' -p154658 -aS',\t,\t,\tO\tO' -p154659 -aS'the\tthe\tDT\tB-NP\tO' -p154660 -aS'patient\tpatient\tNN\tI-NP\tO' -p154661 -aS'has\thave\tVBZ\tB-VP\tO' -p154662 -aS'a\ta\tDT\tB-NP\tO' -p154663 -aS'past\tpast\tJJ\tI-NP\tO' -p154664 -aS'medical\tmedical\tJJ\tI-NP\tO' -p154665 -aS'history\thistory\tNN\tI-NP\tO' -p154666 -aS'of\tof\tIN\tB-PP\tO' -p154667 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p154668 -aS',\t,\t,\tO\tO' -p154669 -aS'glucose\tglucose\tNN\tB-NP\tO' -p154670 -aS'intolerance\tintolerance\tNN\tI-NP\tO' -p154671 -aS',\t,\t,\tO\tO' -p154672 -aS'peripheral\tperipheral\tJJ\tB-NP\tO' -p154673 -aS'neuropathy\tneuropathy\tNN\tI-NP\tO' -p154674 -aS'.\t.\t.\tO\tO' -p154675 -asS'The patient was medically managed initially and then underwent on 2013-08-09 , coronary artery bypass grafting x2 and a mitral valve annuloplasty with placement of intra-aortic balloon pump .' -p154676 -(lp154677 -S'The\tThe\tDT\tB-NP\tO' -p154678 -aS'patient\tpatient\tNN\tI-NP\tO' -p154679 -aS'was\tbe\tVBD\tB-VP\tO' -p154680 -aS'medically\tmedically\tRB\tI-VP\tO' -p154681 -aS'managed\tmanage\tVBN\tI-VP\tO' -p154682 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p154683 -aS'and\tand\tCC\tO\tO' -p154684 -aS'then\tthen\tRB\tO\tO' -p154685 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p154686 -aS'on\ton\tIN\tB-PP\tO' -p154687 -aS'2013-08-09\t2013-08-09\tCD\tB-NP\tO' -p154688 -aS',\t,\t,\tO\tO' -p154689 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p154690 -aS'artery\tartery\tNN\tI-NP\tO' -p154691 -aS'bypass\tbypass\tIN\tB-PP\tO' -p154692 -aS'grafting\tgraft\tVBG\tB-VP\tO' -p154693 -aS'x2\tx2\tNN\tB-NP\tB-DNA' -p154694 -aS'and\tand\tCC\tO\tO' -p154695 -aS'a\ta\tDT\tB-NP\tO' -p154696 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p154697 -aS'valve\tvalve\tNN\tI-NP\tO' -p154698 -aS'annuloplasty\tannuloplasty\tJJ\tB-ADJP\tO' -p154699 -aS'with\twith\tIN\tB-PP\tO' -p154700 -aS'placement\tplacement\tNN\tB-NP\tO' -p154701 -aS'of\tof\tIN\tB-PP\tO' -p154702 -aS'intra-aortic\tintra-aortic\tJJ\tB-NP\tO' -p154703 -aS'balloon\tballoon\tNN\tI-NP\tO' -p154704 -aS'pump\tpump\tNN\tI-NP\tO' -p154705 -aS'.\t.\t.\tO\tO' -p154706 -asS'Completed by : Michael Melvin Kinzer MD 51-991 2012-03-26 @ 1709' -p154707 -(lp154708 -S'Completed\tComplete\tVBN\tB-VP\tO' -p154709 -aS'by\tby\tIN\tB-PP\tO' -p154710 -aS':\t:\t:\tO\tO' -p154711 -aS'Michael\tMichael\tNNP\tB-NP\tO' -p154712 -aS'Melvin\tMelvin\tNNP\tI-NP\tO' -p154713 -aS'Kinzer\tKinzer\tNNP\tI-NP\tO' -p154714 -aS'MD\tMD\tNNP\tI-NP\tO' -p154715 -aS'51-991\t51-991\tCD\tI-NP\tO' -p154716 -aS'2012-03-26\t2012-03-26\tCD\tI-NP\tO' -p154717 -aS'@\t@\tNN\tI-NP\tO' -p154718 -aS'1709\t1709\tCD\tB-NP\tO' -p154719 -asS'Her gait remained severely ataxic , likely secondary to sensory deafferentation , as well as involvement of crossing pontine cerebellar fibers .' -p154720 -(lp154721 -S'Her\tHer\tPRP$\tB-NP\tO' -p154722 -aS'gait\tgait\tNN\tI-NP\tO' -p154723 -aS'remained\tremain\tVBD\tB-VP\tO' -p154724 -aS'severely\tseverely\tRB\tB-ADJP\tO' -p154725 -aS'ataxic\tataxic\tJJ\tI-ADJP\tO' -p154726 -aS',\t,\t,\tO\tO' -p154727 -aS'likely\tlikely\tRB\tB-ADJP\tO' -p154728 -aS'secondary\tsecondary\tJJ\tI-ADJP\tO' -p154729 -aS'to\tto\tTO\tB-PP\tO' -p154730 -aS'sensory\tsensory\tJJ\tB-NP\tO' -p154731 -aS'deafferentation\tdeafferentation\tNN\tI-NP\tO' -p154732 -aS',\t,\t,\tO\tO' -p154733 -aS'as\tas\tRB\tB-CONJP\tO' -p154734 -aS'well\twell\tRB\tI-CONJP\tO' -p154735 -aS'as\tas\tIN\tI-CONJP\tO' -p154736 -aS'involvement\tinvolvement\tNN\tB-NP\tO' -p154737 -aS'of\tof\tIN\tB-PP\tO' -p154738 -aS'crossing\tcross\tVBG\tB-VP\tO' -p154739 -aS'pontine\tpontine\tJJ\tB-NP\tO' -p154740 -aS'cerebellar\tcerebellar\tJJ\tI-NP\tO' -p154741 -aS'fibers\tfiber\tNNS\tI-NP\tO' -p154742 -aS'.\t.\t.\tO\tO' -p154743 -asS'He can climb approximately three flights of stairs before becoming short of breath .' -p154744 -(lp154745 -S'He\tHe\tPRP\tB-NP\tO' -p154746 -aS'can\tcan\tMD\tB-VP\tO' -p154747 -aS'climb\tclimb\tVB\tI-VP\tO' -p154748 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p154749 -aS'three\tthree\tCD\tI-NP\tO' -p154750 -aS'flights\tflight\tNNS\tI-NP\tO' -p154751 -aS'of\tof\tIN\tB-PP\tO' -p154752 -aS'stairs\tstair\tNNS\tB-NP\tO' -p154753 -aS'before\tbefore\tIN\tB-PP\tO' -p154754 -aS'becoming\tbecome\tVBG\tB-VP\tO' -p154755 -aS'short\tshort\tRB\tB-ADVP\tO' -p154756 -aS'of\tof\tIN\tB-PP\tO' -p154757 -aS'breath\tbreath\tNN\tB-NP\tO' -p154758 -aS'.\t.\t.\tO\tO' -p154759 -asS'As she was doing well without evidence of stridor , the steroids were stopped .' -p154760 -(lp154761 -S'As\tAs\tIN\tB-SBAR\tO' -p154762 -aS'she\tshe\tPRP\tB-NP\tO' -p154763 -aS'was\tbe\tVBD\tB-VP\tO' -p154764 -aS'doing\tdo\tVBG\tI-VP\tO' -p154765 -aS'well\twell\tRB\tB-ADVP\tO' -p154766 -aS'without\twithout\tIN\tB-PP\tO' -p154767 -aS'evidence\tevidence\tNN\tB-NP\tO' -p154768 -aS'of\tof\tIN\tB-PP\tO' -p154769 -aS'stridor\tstridor\tNN\tB-NP\tO' -p154770 -aS',\t,\t,\tO\tO' -p154771 -aS'the\tthe\tDT\tB-NP\tO' -p154772 -aS'steroids\tsteroid\tNNS\tI-NP\tO' -p154773 -aS'were\tbe\tVBD\tB-VP\tO' -p154774 -aS'stopped\tstop\tVBN\tI-VP\tO' -p154775 -aS'.\t.\t.\tO\tO' -p154776 -asS'5) status post CABG surgery in 11/97 .' -p154777 -(lp154778 -S'5)\t5)\tLS\tB-NP\tO' -p154779 -aS'status\tstatus\tNN\tI-NP\tO' -p154780 -aS'post\tpost\tNN\tI-NP\tO' -p154781 -aS'CABG\tCABG\tNN\tI-NP\tO' -p154782 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p154783 -aS'in\tin\tIN\tB-PP\tO' -p154784 -aS'11/97\t11/97\tCD\tB-NP\tO' -p154785 -aS'.\t.\t.\tO\tO' -p154786 -asS'Has a history of cocaine abuse - in remission for 6 years , with one relapse 2.5 years ago .' -p154787 -(lp154788 -S'Has\tHas\tIN\tB-PP\tO' -p154789 -aS'a\ta\tDT\tB-NP\tO' -p154790 -aS'history\thistory\tNN\tI-NP\tO' -p154791 -aS'of\tof\tIN\tB-PP\tO' -p154792 -aS'cocaine\tcocaine\tNN\tB-NP\tO' -p154793 -aS'abuse\tabuse\tNN\tI-NP\tO' -p154794 -aS'-\t-\tHYPH\tB-VP\tO' -p154795 -aS'in\tin\tIN\tB-PP\tO' -p154796 -aS'remission\tremission\tNN\tB-NP\tO' -p154797 -aS'for\tfor\tIN\tB-PP\tO' -p154798 -aS'6\t6\tCD\tB-NP\tO' -p154799 -aS'years\tyear\tNNS\tI-NP\tO' -p154800 -aS',\t,\t,\tO\tO' -p154801 -aS'with\twith\tIN\tB-PP\tO' -p154802 -aS'one\tone\tCD\tB-NP\tO' -p154803 -aS'relapse\trelapse\tNN\tI-NP\tO' -p154804 -aS'2.5\t2.5\tCD\tB-NP\tO' -p154805 -aS'years\tyear\tNNS\tI-NP\tO' -p154806 -aS'ago\tago\tRB\tB-ADVP\tO' -p154807 -aS'.\t.\t.\tO\tO' -p154808 -asS'Ophthalmologist is Dr. Cruea Franklin .' -p154809 -(lp154810 -S'Ophthalmologist\tOphthalmologist\tNN\tB-NP\tO' -p154811 -aS'is\tbe\tVBZ\tB-VP\tO' -p154812 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p154813 -aS'Cruea\tCruea\tNNP\tI-NP\tO' -p154814 -aS'Franklin\tFranklin\tNNP\tI-NP\tO' -p154815 -aS'.\t.\t.\tO\tO' -p154816 -asS'His anesthesia was reversed .' -p154817 -(lp154818 -S'His\tHis\tPRP$\tB-NP\tO' -p154819 -aS'anesthesia\tanesthesia\tNN\tI-NP\tO' -p154820 -aS'was\tbe\tVBD\tB-VP\tO' -p154821 -aS'reversed\treverse\tVBN\tI-VP\tO' -p154822 -aS'.\t.\t.\tO\tO' -p154823 -asS'INR 3.0 .' -p154824 -(lp154825 -S'INR\tINR\tNN\tB-NP\tO' -p154826 -aS'3.0\t3.0\tCD\tI-NP\tO' -p154827 -aS'.\t.\t.\tO\tO' -p154828 -asS'4. Subcentimeter attenuation lesion within the lower pole of the right kidney , too small to characterize .' -p154829 -(lp154830 -S'4.\t4.\tLS\tB-NP\tO' -p154831 -aS'Subcentimeter\tSubcentimeter\tNN\tI-NP\tO' -p154832 -aS'attenuation\tattenuation\tNN\tI-NP\tO' -p154833 -aS'lesion\tlesion\tNN\tI-NP\tO' -p154834 -aS'within\twithin\tIN\tB-PP\tO' -p154835 -aS'the\tthe\tDT\tB-NP\tO' -p154836 -aS'lower\tlow\tJJR\tI-NP\tO' -p154837 -aS'pole\tpole\tNN\tI-NP\tO' -p154838 -aS'of\tof\tIN\tB-PP\tO' -p154839 -aS'the\tthe\tDT\tB-NP\tO' -p154840 -aS'right\tright\tJJ\tI-NP\tO' -p154841 -aS'kidney\tkidney\tNN\tI-NP\tO' -p154842 -aS',\t,\t,\tO\tO' -p154843 -aS'too\ttoo\tRB\tB-ADJP\tO' -p154844 -aS'small\tsmall\tJJ\tI-ADJP\tO' -p154845 -aS'to\tto\tTO\tB-VP\tO' -p154846 -aS'characterize\tcharacterize\tVB\tI-VP\tO' -p154847 -aS'.\t.\t.\tO\tO' -p154848 -asS'The rash appeared to be resolving by the time of discharge .' -p154849 -(lp154850 -S'The\tThe\tDT\tB-NP\tO' -p154851 -aS'rash\trash\tNN\tI-NP\tO' -p154852 -aS'appeared\tappear\tVBD\tB-VP\tO' -p154853 -aS'to\tto\tTO\tI-VP\tO' -p154854 -aS'be\tbe\tVB\tI-VP\tO' -p154855 -aS'resolving\tresolve\tVBG\tI-VP\tO' -p154856 -aS'by\tby\tIN\tB-PP\tO' -p154857 -aS'the\tthe\tDT\tB-NP\tO' -p154858 -aS'time\ttime\tNN\tI-NP\tO' -p154859 -aS'of\tof\tIN\tB-PP\tO' -p154860 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p154861 -aS'.\t.\t.\tO\tO' -p154862 -asS'Liver function tests were checked , only total bilirubin was slightly elevated at 1.6 .' -p154863 -(lp154864 -S'Liver\tLiver\tNN\tB-NP\tO' -p154865 -aS'function\tfunction\tNN\tI-NP\tO' -p154866 -aS'tests\ttest\tNNS\tI-NP\tO' -p154867 -aS'were\tbe\tVBD\tB-VP\tO' -p154868 -aS'checked\tcheck\tVBN\tI-VP\tO' -p154869 -aS',\t,\t,\tO\tO' -p154870 -aS'only\tonly\tRB\tB-NP\tO' -p154871 -aS'total\ttotal\tJJ\tI-NP\tO' -p154872 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p154873 -aS'was\tbe\tVBD\tB-VP\tO' -p154874 -aS'slightly\tslightly\tRB\tB-ADJP\tO' -p154875 -aS'elevated\televated\tJJ\tI-ADJP\tO' -p154876 -aS'at\tat\tIN\tB-PP\tO' -p154877 -aS'1.6\t1.6\tCD\tB-NP\tO' -p154878 -aS'.\t.\t.\tO\tO' -p154879 -asS'The patient will be discharged to rehabilitation in Brain Tree Maryland .' -p154880 -(lp154881 -S'The\tThe\tDT\tB-NP\tO' -p154882 -aS'patient\tpatient\tNN\tI-NP\tO' -p154883 -aS'will\twill\tMD\tB-VP\tO' -p154884 -aS'be\tbe\tVB\tI-VP\tO' -p154885 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p154886 -aS'to\tto\tTO\tB-PP\tO' -p154887 -aS'rehabilitation\trehabilitation\tNN\tB-NP\tO' -p154888 -aS'in\tin\tIN\tB-PP\tO' -p154889 -aS'Brain\tBrain\tNNP\tB-NP\tO' -p154890 -aS'Tree\tTree\tNNP\tI-NP\tO' -p154891 -aS'Maryland\tMaryland\tNNP\tI-NP\tO' -p154892 -aS'.\t.\t.\tO\tO' -p154893 -asS'Moderate pulmonary arterial hypertension .' -p154894 -(lp154895 -S'Moderate\tModerate\tJJ\tB-NP\tO' -p154896 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p154897 -aS'arterial\tarterial\tJJ\tI-NP\tO' -p154898 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p154899 -aS'.\t.\t.\tO\tO' -p154900 -asS'Due to the persistent fevers , the patient underwent vancomycin desensitization in the surgical Intensive Care Unit followed by a change of antibiotics to vancomycin and levofloxacin .' -p154901 -(lp154902 -S'Due\tDue\tJJ\tB-PP\tO' -p154903 -aS'to\tto\tTO\tI-PP\tO' -p154904 -aS'the\tthe\tDT\tB-NP\tO' -p154905 -aS'persistent\tpersistent\tJJ\tI-NP\tO' -p154906 -aS'fevers\tfever\tNNS\tI-NP\tO' -p154907 -aS',\t,\t,\tO\tO' -p154908 -aS'the\tthe\tDT\tB-NP\tO' -p154909 -aS'patient\tpatient\tNN\tI-NP\tO' -p154910 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p154911 -aS'vancomycin\tvancomycin\tNN\tB-NP\tO' -p154912 -aS'desensitization\tdesensitization\tNN\tI-NP\tO' -p154913 -aS'in\tin\tIN\tB-PP\tO' -p154914 -aS'the\tthe\tDT\tB-NP\tO' -p154915 -aS'surgical\tsurgical\tJJ\tI-NP\tO' -p154916 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p154917 -aS'Care\tCare\tNNP\tI-NP\tO' -p154918 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p154919 -aS'followed\tfollow\tVBN\tB-VP\tO' -p154920 -aS'by\tby\tIN\tB-PP\tO' -p154921 -aS'a\ta\tDT\tB-NP\tO' -p154922 -aS'change\tchange\tNN\tI-NP\tO' -p154923 -aS'of\tof\tIN\tB-PP\tO' -p154924 -aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' -p154925 -aS'to\tto\tTO\tB-PP\tO' -p154926 -aS'vancomycin\tvancomycin\tNN\tB-NP\tO' -p154927 -aS'and\tand\tCC\tI-NP\tO' -p154928 -aS'levofloxacin\tlevofloxacin\tNN\tI-NP\tO' -p154929 -aS'.\t.\t.\tO\tO' -p154930 -asS'He remained unresponsive with poor airway protection .' -p154931 -(lp154932 -S'He\tHe\tPRP\tB-NP\tO' -p154933 -aS'remained\tremain\tVBD\tB-VP\tO' -p154934 -aS'unresponsive\tunresponsive\tJJ\tB-ADJP\tO' -p154935 -aS'with\twith\tIN\tB-PP\tO' -p154936 -aS'poor\tpoor\tJJ\tB-NP\tO' -p154937 -aS'airway\tairway\tNN\tI-NP\tO' -p154938 -aS'protection\tprotection\tNN\tI-NP\tO' -p154939 -aS'.\t.\t.\tO\tO' -p154940 -asS'Her doctor there is Dr. Gerald Jones .' -p154941 -(lp154942 -S'Her\tHer\tPRP$\tB-NP\tO' -p154943 -aS'doctor\tdoctor\tNN\tI-NP\tO' -p154944 -aS'there\tthere\tEX\tB-NP\tO' -p154945 -aS'is\tbe\tVBZ\tB-VP\tO' -p154946 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p154947 -aS'Gerald\tGerald\tNNP\tI-NP\tO' -p154948 -aS'Jones\tJones\tNNP\tI-NP\tO' -p154949 -aS'.\t.\t.\tO\tO' -p154950 -asS'8. Acyclovir 800 mg Tablet Sig : 0.5 Tablet PO 5X/D ( 5 times a day ) for 5 days : Then decrease dose to 800 mg PO daily .' -p154951 -(lp154952 -S'8.\t8.\tCD\tB-NP\tO' -p154953 -aS'Acyclovir\tAcyclovir\tNN\tI-NP\tO' -p154954 -aS'800\t800\tCD\tB-NP\tO' -p154955 -aS'mg\tmg\tNN\tI-NP\tO' -p154956 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p154957 -aS'Sig\tSig\tNNP\tI-NP\tO' -p154958 -aS':\t:\t:\tO\tO' -p154959 -aS'0.5\t0.5\tCD\tB-NP\tO' -p154960 -aS'Tablet\tTablet\tNN\tI-NP\tO' -p154961 -aS'PO\tPO\tNN\tI-NP\tO' -p154962 -aS'5X/D\t5X/D\tNN\tI-NP\tO' -p154963 -aS'(\t(\t(\tO\tO' -p154964 -aS'5\t5\tCD\tB-NP\tO' -p154965 -aS'times\ttime\tNNS\tI-NP\tO' -p154966 -aS'a\ta\tDT\tB-NP\tO' -p154967 -aS'day\tday\tNN\tI-NP\tO' -p154968 -aS')\t)\t)\tO\tO' -p154969 -aS'for\tfor\tIN\tB-PP\tO' -p154970 -aS'5\t5\tCD\tB-NP\tO' -p154971 -aS'days\tday\tNNS\tI-NP\tO' -p154972 -aS':\t:\t:\tO\tO' -p154973 -aS'Then\tThen\tRB\tB-ADVP\tO' -p154974 -aS'decrease\tdecrease\tVB\tB-VP\tO' -p154975 -aS'dose\tdose\tNN\tB-NP\tO' -p154976 -aS'to\tto\tTO\tB-PP\tO' -p154977 -aS'800\t800\tCD\tB-NP\tO' -p154978 -aS'mg\tmg\tNN\tI-NP\tO' -p154979 -aS'PO\tPO\tNN\tI-NP\tO' -p154980 -aS'daily\tdaily\tRB\tB-ADVP\tO' -p154981 -aS'.\t.\t.\tO\tO' -p154982 -asS'9) Sarna topical b.i.d. p.r.n. itching .' -p154983 -(lp154984 -S'9)\t9)\tLS\tB-NP\tO' -p154985 -aS'Sarna\tSarna\tNNP\tI-NP\tO' -p154986 -aS'topical\ttopical\tJJ\tI-NP\tO' -p154987 -aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' -p154988 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p154989 -aS'itching\titching\tNN\tI-NP\tO' -p154990 -aS'.\t.\t.\tO\tO' -p154991 -asS'PT was asked to see him for this gait problem .' -p154992 -(lp154993 -S'PT\tPT\tNN\tB-NP\tO' -p154994 -aS'was\tbe\tVBD\tB-VP\tO' -p154995 -aS'asked\task\tVBN\tI-VP\tO' -p154996 -aS'to\tto\tTO\tI-VP\tO' -p154997 -aS'see\tsee\tVB\tI-VP\tO' -p154998 -aS'him\thim\tPRP\tB-NP\tO' -p154999 -aS'for\tfor\tIN\tB-PP\tO' -p155000 -aS'this\tthis\tDT\tB-NP\tO' -p155001 -aS'gait\tgait\tNN\tI-NP\tO' -p155002 -aS'problem\tproblem\tNN\tI-NP\tO' -p155003 -aS'.\t.\t.\tO\tO' -p155004 -asS'5. Status post umbilical hernia repair .' -p155005 -(lp155006 -S'5.\t5.\tLS\tB-LST\tO' -p155007 -aS'Status\tStatus\tNNP\tB-NP\tO' -p155008 -aS'post\tpost\tIN\tB-PP\tO' -p155009 -aS'umbilical\tumbilical\tJJ\tB-NP\tO' -p155010 -aS'hernia\thernia\tNN\tI-NP\tO' -p155011 -aS'repair\trepair\tNN\tI-NP\tO' -p155012 -aS'.\t.\t.\tO\tO' -p155013 -asS'An arch aortogram was normal .' -p155014 -(lp155015 -S'An\tAn\tDT\tB-NP\tO' -p155016 -aS'arch\tarch\tJJ\tI-NP\tO' -p155017 -aS'aortogram\taortogram\tNN\tI-NP\tO' -p155018 -aS'was\tbe\tVBD\tB-VP\tO' -p155019 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p155020 -aS'.\t.\t.\tO\tO' -p155021 -asS'Duration of his coumadin therapy to be determined by hematology , but likely to be at least 6 months in duration .' -p155022 -(lp155023 -S'Duration\tDuration\tNN\tB-NP\tO' -p155024 -aS'of\tof\tIN\tB-PP\tO' -p155025 -aS'his\this\tPRP$\tB-NP\tO' -p155026 -aS'coumadin\tcoumadin\tNN\tI-NP\tO' -p155027 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p155028 -aS'to\tto\tTO\tB-VP\tO' -p155029 -aS'be\tbe\tVB\tI-VP\tO' -p155030 -aS'determined\tdetermine\tVBN\tI-VP\tO' -p155031 -aS'by\tby\tIN\tB-PP\tO' -p155032 -aS'hematology\thematology\tNN\tB-NP\tO' -p155033 -aS',\t,\t,\tO\tO' -p155034 -aS'but\tbut\tCC\tO\tO' -p155035 -aS'likely\tlikely\tJJ\tB-ADJP\tO' -p155036 -aS'to\tto\tTO\tB-VP\tO' -p155037 -aS'be\tbe\tVB\tI-VP\tO' -p155038 -aS'at\tat\tIN\tB-NP\tO' -p155039 -aS'least\tleast\tJJS\tI-NP\tO' -p155040 -aS'6\t6\tCD\tI-NP\tO' -p155041 -aS'months\tmonth\tNNS\tI-NP\tO' -p155042 -aS'in\tin\tIN\tB-PP\tO' -p155043 -aS'duration\tduration\tNN\tB-NP\tO' -p155044 -aS'.\t.\t.\tO\tO' -p155045 -asS'Patient was continued on BID PPI , H .' -p155046 -(lp155047 -S'Patient\tPatient\tNN\tB-NP\tO' -p155048 -aS'was\tbe\tVBD\tB-VP\tO' -p155049 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p155050 -aS'on\ton\tIN\tB-PP\tO' -p155051 -aS'BID\tBID\tNNP\tB-NP\tO' -p155052 -aS'PPI\tPPI\tNNP\tI-NP\tO' -p155053 -aS',\t,\t,\tO\tO' -p155054 -aS'H\tH\tNNP\tB-NP\tO' -p155055 -aS'.\t.\tVBD\tB-VP\tO' -p155056 -asS'A repeat head ultrasound on day of life 33 06-07 showed a slight increase of echogenicity in the caudothalamic groove , which may represent tiny bilateral germinal matrix hemorrhages , no periventricular leukomalacia .' -p155057 -(lp155058 -S'A\tA\tDT\tB-NP\tO' -p155059 -aS'repeat\trepeat\tNN\tI-NP\tO' -p155060 -aS'head\thead\tNN\tI-NP\tO' -p155061 -aS'ultrasound\tultrasound\tVBN\tB-VP\tO' -p155062 -aS'on\ton\tIN\tB-PP\tO' -p155063 -aS'day\tday\tNN\tB-NP\tO' -p155064 -aS'of\tof\tIN\tB-PP\tO' -p155065 -aS'life\tlife\tNN\tB-NP\tO' -p155066 -aS'33\t33\tCD\tB-NP\tO' -p155067 -aS'06-07\t06-07\tCD\tI-NP\tO' -p155068 -aS'showed\tshow\tVBD\tB-VP\tO' -p155069 -aS'a\ta\tDT\tB-NP\tO' -p155070 -aS'slight\tslight\tJJ\tI-NP\tO' -p155071 -aS'increase\tincrease\tNN\tI-NP\tO' -p155072 -aS'of\tof\tIN\tB-PP\tO' -p155073 -aS'echogenicity\techogenicity\tNN\tB-NP\tO' -p155074 -aS'in\tin\tIN\tB-PP\tO' -p155075 -aS'the\tthe\tDT\tB-NP\tO' -p155076 -aS'caudothalamic\tcaudothalamic\tJJ\tI-NP\tO' -p155077 -aS'groove\tgroove\tNN\tI-NP\tO' -p155078 -aS',\t,\t,\tO\tO' -p155079 -aS'which\twhich\tWDT\tB-NP\tO' -p155080 -aS'may\tmay\tMD\tB-VP\tO' -p155081 -aS'represent\trepresent\tVB\tI-VP\tO' -p155082 -aS'tiny\ttiny\tJJ\tB-NP\tO' -p155083 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p155084 -aS'germinal\tgerminal\tJJ\tI-NP\tO' -p155085 -aS'matrix\tmatrix\tNN\tI-NP\tO' -p155086 -aS'hemorrhages\themorrhage\tNNS\tI-NP\tO' -p155087 -aS',\t,\t,\tO\tO' -p155088 -aS'no\tno\tDT\tB-NP\tO' -p155089 -aS'periventricular\tperiventricular\tJJ\tI-NP\tO' -p155090 -aS'leukomalacia\tleukomalacia\tNN\tI-NP\tO' -p155091 -aS'.\t.\t.\tO\tO' -p155092 -asS'Neuro exam was normal .' -p155093 -(lp155094 -S'Neuro\tNeuro\tNN\tB-NP\tO' -p155095 -aS'exam\texam\tNN\tI-NP\tO' -p155096 -aS'was\tbe\tVBD\tB-VP\tO' -p155097 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p155098 -aS'.\t.\t.\tO\tO' -p155099 -asS'She is growing Enterobacter cloacae that is sensitive only to Macrodantin from her urine cultures .' -p155100 -(lp155101 -S'She\tShe\tPRP\tB-NP\tO' -p155102 -aS'is\tbe\tVBZ\tB-VP\tO' -p155103 -aS'growing\tgrow\tVBG\tI-VP\tO' -p155104 -aS'Enterobacter\tEnterobacter\tNNP\tB-NP\tO' -p155105 -aS'cloacae\tcloaca\tNNS\tI-NP\tO' -p155106 -aS'that\tthat\tWDT\tB-NP\tO' -p155107 -aS'is\tbe\tVBZ\tB-VP\tO' -p155108 -aS'sensitive\tsensitive\tJJ\tB-ADJP\tO' -p155109 -aS'only\tonly\tRB\tI-ADJP\tO' -p155110 -aS'to\tto\tTO\tB-PP\tO' -p155111 -aS'Macrodantin\tMacrodantin\tNNP\tB-NP\tO' -p155112 -aS'from\tfrom\tIN\tB-PP\tO' -p155113 -aS'her\ther\tPRP$\tB-NP\tB-cell_line' -p155114 -aS'urine\turine\tNN\tI-NP\tI-cell_line' -p155115 -aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' -p155116 -aS'.\t.\t.\tO\tO' -p155117 -asS'3. Mycophenolate Mofetil 500 mg Tablet Sig : Two ( 2 ) Tablet PO BID ( 2 times a day ) .' -p155118 -(lp155119 -S'3.\t3.\tLS\tB-NP\tO' -p155120 -aS'Mycophenolate\tMycophenolate\tNN\tI-NP\tO' -p155121 -aS'Mofetil\tMofetil\tNN\tI-NP\tO' -p155122 -aS'500\t500\tCD\tI-NP\tO' -p155123 -aS'mg\tmg\tNN\tI-NP\tO' -p155124 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p155125 -aS'Sig\tSig\tNNP\tI-NP\tO' -p155126 -aS':\t:\t:\tO\tO' -p155127 -aS'Two\tTwo\tCD\tB-NP\tO' -p155128 -aS'(\t(\t(\tO\tO' -p155129 -aS'2\t2\tCD\tO\tO' -p155130 -aS')\t)\t)\tO\tO' -p155131 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p155132 -aS'PO\tPO\tNN\tI-NP\tO' -p155133 -aS'BID\tBID\tNN\tI-NP\tO' -p155134 -aS'(\t(\t(\tO\tO' -p155135 -aS'2\t2\tCD\tB-NP\tO' -p155136 -aS'times\ttime\tNNS\tI-NP\tO' -p155137 -aS'a\ta\tDT\tB-NP\tO' -p155138 -aS'day\tday\tNN\tI-NP\tO' -p155139 -aS')\t)\t)\tO\tO' -p155140 -aS'.\t.\t.\tO\tO' -p155141 -asS'Signed electronically by : DR. Elizabeth Fernandez on : MON 2014-02-10 4:27 PM' -p155142 -(lp155143 -S'Signed\tSign\tVBN\tB-VP\tO' -p155144 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p155145 -aS'by\tby\tIN\tB-PP\tO' -p155146 -aS':\t:\t:\tO\tO' -p155147 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p155148 -aS'Elizabeth\tElizabeth\tNNP\tI-NP\tO' -p155149 -aS'Fernandez\tFernandez\tNNP\tI-NP\tO' -p155150 -aS'on\ton\tIN\tB-PP\tO' -p155151 -aS':\t:\t:\tO\tO' -p155152 -aS'MON\tMON\tNN\tB-NP\tO' -p155153 -aS'2014-02-10\t2014-02-10\tCD\tI-NP\tO' -p155154 -aS'4:27\t4:27\tCD\tI-NP\tO' -p155155 -aS'PM\tPM\tNN\tI-NP\tO' -p155156 -asS'A similar episode happened at 2 a.m. the same night and at 07:45 on the day of admission , the patient lost consciousness once again when he was trying to sit up .' -p155157 -(lp155158 -S'A\tA\tDT\tB-NP\tO' -p155159 -aS'similar\tsimilar\tJJ\tI-NP\tO' -p155160 -aS'episode\tepisode\tNN\tI-NP\tO' -p155161 -aS'happened\thappen\tVBD\tB-VP\tO' -p155162 -aS'at\tat\tIN\tB-PP\tO' -p155163 -aS'2\t2\tCD\tB-NP\tO' -p155164 -aS'a.m.\ta.m.\tNN\tI-NP\tO' -p155165 -aS'the\tthe\tDT\tB-NP\tO' -p155166 -aS'same\tsame\tJJ\tI-NP\tO' -p155167 -aS'night\tnight\tNN\tI-NP\tO' -p155168 -aS'and\tand\tCC\tB-PP\tO' -p155169 -aS'at\tat\tIN\tB-PP\tO' -p155170 -aS'07:45\t07:45\tCD\tB-NP\tO' -p155171 -aS'on\ton\tIN\tB-PP\tO' -p155172 -aS'the\tthe\tDT\tB-NP\tO' -p155173 -aS'day\tday\tNN\tI-NP\tO' -p155174 -aS'of\tof\tIN\tB-PP\tO' -p155175 -aS'admission\tadmission\tNN\tB-NP\tO' -p155176 -aS',\t,\t,\tO\tO' -p155177 -aS'the\tthe\tDT\tB-NP\tO' -p155178 -aS'patient\tpatient\tNN\tI-NP\tO' -p155179 -aS'lost\tlose\tVBD\tB-VP\tO' -p155180 -aS'consciousness\tconsciousness\tNN\tB-NP\tO' -p155181 -aS'once\tonce\tRB\tB-ADVP\tO' -p155182 -aS'again\tagain\tRB\tI-ADVP\tO' -p155183 -aS'when\twhen\tWRB\tB-ADVP\tO' -p155184 -aS'he\the\tPRP\tB-NP\tO' -p155185 -aS'was\tbe\tVBD\tB-VP\tO' -p155186 -aS'trying\ttry\tVBG\tI-VP\tO' -p155187 -aS'to\tto\tTO\tI-VP\tO' -p155188 -aS'sit\tsit\tVB\tI-VP\tO' -p155189 -aS'up\tup\tRP\tB-PRT\tO' -p155190 -aS'.\t.\t.\tO\tO' -p155191 -asS'The patient is a seventy-one year old female with a history of hypertension who now presents with a right occipital hemorrhagic stroke .' -p155192 -(lp155193 -S'The\tThe\tDT\tB-NP\tO' -p155194 -aS'patient\tpatient\tNN\tI-NP\tO' -p155195 -aS'is\tbe\tVBZ\tB-VP\tO' -p155196 -aS'a\ta\tDT\tB-NP\tO' -p155197 -aS'seventy-one\tseventy-one\tJJ\tI-NP\tO' -p155198 -aS'year\tyear\tNN\tI-NP\tO' -p155199 -aS'old\told\tJJ\tI-NP\tO' -p155200 -aS'female\tfemale\tNN\tI-NP\tO' -p155201 -aS'with\twith\tIN\tB-PP\tO' -p155202 -aS'a\ta\tDT\tB-NP\tO' -p155203 -aS'history\thistory\tNN\tI-NP\tO' -p155204 -aS'of\tof\tIN\tB-PP\tO' -p155205 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p155206 -aS'who\twho\tWP\tB-NP\tO' -p155207 -aS'now\tnow\tRB\tB-ADVP\tO' -p155208 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p155209 -aS'with\twith\tIN\tB-PP\tO' -p155210 -aS'a\ta\tDT\tB-NP\tO' -p155211 -aS'right\tright\tJJ\tI-NP\tO' -p155212 -aS'occipital\toccipital\tNN\tI-NP\tO' -p155213 -aS'hemorrhagic\themorrhagic\tJJ\tI-NP\tO' -p155214 -aS'stroke\tstroke\tNN\tI-NP\tO' -p155215 -aS'.\t.\t.\tO\tO' -p155216 -asS'She exhibited no drift .' -p155217 -(lp155218 -S'She\tShe\tPRP\tB-NP\tO' -p155219 -aS'exhibited\texhibit\tVBD\tB-VP\tO' -p155220 -aS'no\tno\tDT\tB-NP\tO' -p155221 -aS'drift\tdrift\tNN\tI-NP\tO' -p155222 -aS'.\t.\t.\tO\tO' -p155223 -asS'10. Pioglitazone 15 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) as needed for DM .' -p155224 -(lp155225 -S'10.\t10.\tCD\tB-NP\tO' -p155226 -aS'Pioglitazone\tPioglitazone\tNNP\tI-NP\tO' -p155227 -aS'15\t15\tCD\tI-NP\tO' -p155228 -aS'mg\tmg\tNN\tI-NP\tO' -p155229 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p155230 -aS'Sig\tSig\tNNP\tI-NP\tO' -p155231 -aS':\t:\t:\tO\tO' -p155232 -aS'One\tOne\tCD\tB-NP\tO' -p155233 -aS'(\t(\t(\tO\tO' -p155234 -aS'1\t1\tCD\tB-NP\tO' -p155235 -aS')\t)\t)\tO\tO' -p155236 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p155237 -aS'PO\tPO\tNN\tI-NP\tO' -p155238 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p155239 -aS'(\t(\t(\tO\tO' -p155240 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p155241 -aS')\t)\t)\tO\tO' -p155242 -aS'as\tas\tIN\tB-SBAR\tO' -p155243 -aS'needed\tneed\tVBN\tB-VP\tO' -p155244 -aS'for\tfor\tIN\tB-PP\tO' -p155245 -aS'DM\tDM\tNN\tB-NP\tO' -p155246 -aS'.\t.\t.\tO\tO' -p155247 -asS'A Swan was placed and initial readings were CVP of 6 , wedge pressure of 10 to 12 , cardiac index of 4.7 , and SVR of 438 all consistent with a Pseudomonas sepsis picture .' -p155248 -(lp155249 -S'A\tA\tDT\tB-NP\tO' -p155250 -aS'Swan\tSwan\tNN\tI-NP\tO' -p155251 -aS'was\tbe\tVBD\tB-VP\tO' -p155252 -aS'placed\tplace\tVBN\tI-VP\tO' -p155253 -aS'and\tand\tCC\tO\tO' -p155254 -aS'initial\tinitial\tJJ\tB-NP\tO' -p155255 -aS'readings\treading\tNNS\tI-NP\tO' -p155256 -aS'were\tbe\tVBD\tB-VP\tO' -p155257 -aS'CVP\tCVP\tNN\tB-NP\tO' -p155258 -aS'of\tof\tIN\tB-PP\tO' -p155259 -aS'6\t6\tCD\tB-NP\tO' -p155260 -aS',\t,\t,\tO\tO' -p155261 -aS'wedge\twedge\tJJ\tB-NP\tO' -p155262 -aS'pressure\tpressure\tNN\tI-NP\tO' -p155263 -aS'of\tof\tIN\tB-PP\tO' -p155264 -aS'10\t10\tCD\tB-NP\tO' -p155265 -aS'to\tto\tTO\tI-NP\tO' -p155266 -aS'12\t12\tCD\tI-NP\tO' -p155267 -aS',\t,\t,\tO\tO' -p155268 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p155269 -aS'index\tindex\tNN\tI-NP\tO' -p155270 -aS'of\tof\tIN\tB-PP\tO' -p155271 -aS'4.7\t4.7\tCD\tB-NP\tO' -p155272 -aS',\t,\t,\tO\tO' -p155273 -aS'and\tand\tCC\tO\tO' -p155274 -aS'SVR\tSVR\tNN\tB-NP\tB-protein' -p155275 -aS'of\tof\tIN\tB-PP\tO' -p155276 -aS'438\t438\tCD\tB-NP\tO' -p155277 -aS'all\tall\tDT\tB-NP\tO' -p155278 -aS'consistent\tconsistent\tJJ\tI-NP\tO' -p155279 -aS'with\twith\tIN\tB-PP\tO' -p155280 -aS'a\ta\tDT\tB-NP\tO' -p155281 -aS'Pseudomonas\tPseudomonas\tNNP\tI-NP\tO' -p155282 -aS'sepsis\tsepsis\tNN\tI-NP\tO' -p155283 -aS'picture\tpicture\tNN\tI-NP\tO' -p155284 -aS'.\t.\t.\tO\tO' -p155285 -asS'Overall left ventricle systolic function moderately impaired with and estimated ejection fraction of 35% .' -p155286 -(lp155287 -S'Overall\tOverall\tRB\tB-ADVP\tO' -p155288 -aS'left\tleave\tVBD\tB-VP\tO' -p155289 -aS'ventricle\tventricle\tNN\tB-NP\tO' -p155290 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p155291 -aS'function\tfunction\tNN\tI-NP\tO' -p155292 -aS'moderately\tmoderately\tRB\tB-ADJP\tO' -p155293 -aS'impaired\timpaired\tJJ\tI-ADJP\tO' -p155294 -aS'with\twith\tIN\tB-PP\tO' -p155295 -aS'and\tand\tCC\tB-NP\tO' -p155296 -aS'estimated\testimate\tVBN\tI-NP\tO' -p155297 -aS'ejection\tejection\tNN\tI-NP\tO' -p155298 -aS'fraction\tfraction\tNN\tI-NP\tO' -p155299 -aS'of\tof\tIN\tB-PP\tO' -p155300 -aS'35%\t35%\tNN\tB-NP\tO' -p155301 -aS'.\t.\t.\tO\tO' -p155302 -asS'42 yom with h/o NSAID use transferred from OSH with black tarry stools at home .' -p155303 -(lp155304 -S'42\t42\tCD\tB-NP\tO' -p155305 -aS'yom\tyom\tNN\tI-NP\tO' -p155306 -aS'with\twith\tIN\tB-PP\tO' -p155307 -aS'h/o\th/o\tNN\tB-NP\tO' -p155308 -aS'NSAID\tNSAID\tNN\tI-NP\tO' -p155309 -aS'use\tuse\tNN\tI-NP\tO' -p155310 -aS'transferred\ttransfer\tVBN\tB-VP\tO' -p155311 -aS'from\tfrom\tIN\tB-PP\tO' -p155312 -aS'OSH\tOSH\tNN\tB-NP\tO' -p155313 -aS'with\twith\tIN\tB-PP\tO' -p155314 -aS'black\tblack\tJJ\tB-NP\tO' -p155315 -aS'tarry\ttarry\tNN\tI-NP\tO' -p155316 -aS'stools\tstool\tNNS\tI-NP\tO' -p155317 -aS'at\tat\tIN\tB-PP\tO' -p155318 -aS'home\thome\tNN\tB-NP\tO' -p155319 -aS'.\t.\t.\tO\tO' -p155320 -asS'Testes descended bilaterally .' -p155321 -(lp155322 -S'Testes\tTestis\tNNS\tB-NP\tO' -p155323 -aS'descended\tdescend\tVBD\tB-VP\tO' -p155324 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p155325 -aS'.\t.\t.\tO\tO' -p155326 -asS'He received a normal saline bolus of 2 liters of good blood pressure response .' -p155327 -(lp155328 -S'He\tHe\tPRP\tB-NP\tO' -p155329 -aS'received\treceive\tVBD\tB-VP\tO' -p155330 -aS'a\ta\tDT\tB-NP\tO' -p155331 -aS'normal\tnormal\tJJ\tI-NP\tO' -p155332 -aS'saline\tsaline\tNN\tI-NP\tO' -p155333 -aS'bolus\tbolus\tNN\tI-NP\tO' -p155334 -aS'of\tof\tIN\tB-PP\tO' -p155335 -aS'2\t2\tCD\tB-NP\tO' -p155336 -aS'liters\tliter\tNNS\tI-NP\tO' -p155337 -aS'of\tof\tIN\tB-PP\tO' -p155338 -aS'good\tgood\tJJ\tB-NP\tO' -p155339 -aS'blood\tblood\tNN\tI-NP\tO' -p155340 -aS'pressure\tpressure\tNN\tI-NP\tO' -p155341 -aS'response\tresponse\tNN\tI-NP\tO' -p155342 -aS'.\t.\t.\tO\tO' -p155343 -asS'Patient had no right upper quadrant pain .' -p155344 -(lp155345 -S'Patient\tPatient\tNN\tB-NP\tO' -p155346 -aS'had\thave\tVBD\tB-VP\tO' -p155347 -aS'no\tno\tDT\tB-NP\tO' -p155348 -aS'right\tright\tJJ\tI-NP\tB-protein' -p155349 -aS'upper\tupper\tJJ\tI-NP\tI-protein' -p155350 -aS'quadrant\tquadrant\tJJ\tI-NP\tI-protein' -p155351 -aS'pain\tpain\tNN\tI-NP\tI-protein' -p155352 -aS'.\t.\t.\tO\tO' -p155353 -asS'White blood cell count was 5.1 , 22 polys , zero bands with a hematocrit of 39.3 and platelets of 313,000 .' -p155354 -(lp155355 -S'White\tWhite\tJJ\tB-NP\tO' -p155356 -aS'blood\tblood\tNN\tI-NP\tO' -p155357 -aS'cell\tcell\tNN\tI-NP\tO' -p155358 -aS'count\tcount\tNN\tI-NP\tO' -p155359 -aS'was\tbe\tVBD\tB-VP\tO' -p155360 -aS'5.1\t5.1\tCD\tB-NP\tO' -p155361 -aS',\t,\t,\tO\tO' -p155362 -aS'22\t22\tCD\tB-NP\tO' -p155363 -aS'polys\tpoly\tNNS\tI-NP\tO' -p155364 -aS',\t,\t,\tO\tO' -p155365 -aS'zero\tzero\tCD\tB-NP\tO' -p155366 -aS'bands\tband\tNNS\tI-NP\tO' -p155367 -aS'with\twith\tIN\tB-PP\tO' -p155368 -aS'a\ta\tDT\tB-NP\tO' -p155369 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p155370 -aS'of\tof\tIN\tB-PP\tO' -p155371 -aS'39.3\t39.3\tCD\tB-NP\tO' -p155372 -aS'and\tand\tCC\tO\tO' -p155373 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p155374 -aS'of\tof\tIN\tB-PP\tO' -p155375 -aS'313,000\t313,000\tCD\tB-NP\tO' -p155376 -aS'.\t.\t.\tO\tO' -p155377 -asS'The patient was maintained on Percocet p.r.n. for pain relief .' -p155378 -(lp155379 -S'The\tThe\tDT\tB-NP\tO' -p155380 -aS'patient\tpatient\tNN\tI-NP\tO' -p155381 -aS'was\tbe\tVBD\tB-VP\tO' -p155382 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p155383 -aS'on\ton\tIN\tB-PP\tO' -p155384 -aS'Percocet\tPercocet\tNNP\tB-NP\tO' -p155385 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p155386 -aS'for\tfor\tIN\tB-PP\tO' -p155387 -aS'pain\tpain\tNN\tB-NP\tO' -p155388 -aS'relief\trelief\tNN\tI-NP\tO' -p155389 -aS'.\t.\t.\tO\tO' -p155390 -asS'9. Albuterol Sulfate 0.083 % ( 0.83 mg / mL ) Solution Sig : One ( 1 ) Inhalation Q2H ( every 2 hours ) as needed .' -p155391 -(lp155392 -S'9.\t9.\tLS\tB-NP\tO' -p155393 -aS'Albuterol\tAlbuterol\tNNP\tI-NP\tO' -p155394 -aS'Sulfate\tSulfate\tNNP\tI-NP\tO' -p155395 -aS'0.083\t0.083\tCD\tI-NP\tO' -p155396 -aS'%\t%\tNN\tI-NP\tO' -p155397 -aS'(\t(\t(\tO\tO' -p155398 -aS'0.83\t0.83\tCD\tB-NP\tO' -p155399 -aS'mg\tmg\tNN\tI-NP\tO' -p155400 -aS'/\t/\tSYM\tB-NP\tO' -p155401 -aS'mL\tmL\tNN\tI-NP\tO' -p155402 -aS')\t)\t)\tO\tO' -p155403 -aS'Solution\tSolution\tNNP\tB-NP\tO' -p155404 -aS'Sig\tSig\tNNP\tI-NP\tO' -p155405 -aS':\t:\t:\tO\tO' -p155406 -aS'One\tOne\tCD\tB-NP\tO' -p155407 -aS'(\t(\t(\tO\tO' -p155408 -aS'1\t1\tCD\tB-NP\tO' -p155409 -aS')\t)\t)\tO\tO' -p155410 -aS'Inhalation\tInhalation\tNN\tB-NP\tO' -p155411 -aS'Q2H\tQ2H\tNN\tI-NP\tO' -p155412 -aS'(\t(\t(\tO\tO' -p155413 -aS'every\tevery\tDT\tB-NP\tO' -p155414 -aS'2\t2\tCD\tI-NP\tO' -p155415 -aS'hours\thour\tNNS\tI-NP\tO' -p155416 -aS')\t)\t)\tO\tO' -p155417 -aS'as\tas\tIN\tB-SBAR\tO' -p155418 -aS'needed\tneed\tVBN\tB-VP\tO' -p155419 -aS'.\t.\t.\tO\tO' -p155420 -asS'Subsequently on postoperative day no. 8 in the Intensive Care Unit the patient was felt to be ready for transfer to the Cardiac Surgical Inpatient Service .' -p155421 -(lp155422 -S'Subsequently\tSubsequently\tRB\tB-ADVP\tO' -p155423 -aS'on\ton\tIN\tB-PP\tO' -p155424 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p155425 -aS'day\tday\tNN\tI-NP\tO' -p155426 -aS'no.\tno.\tRB\tB-ADVP\tO' -p155427 -aS'8\t8\tCD\tB-NP\tO' -p155428 -aS'in\tin\tIN\tB-PP\tO' -p155429 -aS'the\tthe\tDT\tB-NP\tO' -p155430 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p155431 -aS'Care\tCare\tNNP\tI-NP\tO' -p155432 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p155433 -aS'the\tthe\tDT\tB-NP\tO' -p155434 -aS'patient\tpatient\tNN\tI-NP\tO' -p155435 -aS'was\tbe\tVBD\tB-VP\tO' -p155436 -aS'felt\tfeel\tVBN\tI-VP\tO' -p155437 -aS'to\tto\tTO\tI-VP\tO' -p155438 -aS'be\tbe\tVB\tI-VP\tO' -p155439 -aS'ready\tready\tJJ\tB-ADJP\tO' -p155440 -aS'for\tfor\tIN\tB-PP\tO' -p155441 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p155442 -aS'to\tto\tTO\tB-PP\tO' -p155443 -aS'the\tthe\tDT\tB-NP\tO' -p155444 -aS'Cardiac\tCardiac\tNNP\tI-NP\tO' -p155445 -aS'Surgical\tSurgical\tNNP\tI-NP\tO' -p155446 -aS'Inpatient\tInpatient\tNNP\tI-NP\tO' -p155447 -aS'Service\tService\tNNP\tI-NP\tO' -p155448 -aS'.\t.\t.\tO\tO' -p155449 -asS'The patient is a 74 year old female with metastatic papillary carcinoma of the thyroid who presented to the Fairm of Ijordcompmac Hospital on 4/28/93 with progressive weakness , weight loss and shortness of breath .' -p155450 -(lp155451 -S'The\tThe\tDT\tB-NP\tO' -p155452 -aS'patient\tpatient\tNN\tI-NP\tO' -p155453 -aS'is\tbe\tVBZ\tB-VP\tO' -p155454 -aS'a\ta\tDT\tB-NP\tO' -p155455 -aS'74\t74\tCD\tI-NP\tO' -p155456 -aS'year\tyear\tNN\tI-NP\tO' -p155457 -aS'old\told\tJJ\tI-NP\tO' -p155458 -aS'female\tfemale\tNN\tI-NP\tO' -p155459 -aS'with\twith\tIN\tB-PP\tO' -p155460 -aS'metastatic\tmetastatic\tJJ\tB-NP\tO' -p155461 -aS'papillary\tpapillary\tJJ\tI-NP\tO' -p155462 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p155463 -aS'of\tof\tIN\tB-PP\tO' -p155464 -aS'the\tthe\tDT\tB-NP\tO' -p155465 -aS'thyroid\tthyroid\tNN\tI-NP\tO' -p155466 -aS'who\twho\tWP\tB-NP\tO' -p155467 -aS'presented\tpresent\tVBD\tB-VP\tO' -p155468 -aS'to\tto\tTO\tB-PP\tO' -p155469 -aS'the\tthe\tDT\tB-NP\tO' -p155470 -aS'Fairm\tFairm\tNNP\tI-NP\tO' -p155471 -aS'of\tof\tIN\tB-PP\tO' -p155472 -aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' -p155473 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p155474 -aS'on\ton\tIN\tB-PP\tO' -p155475 -aS'4/28/93\t4/28/93\tCD\tB-NP\tO' -p155476 -aS'with\twith\tIN\tB-PP\tO' -p155477 -aS'progressive\tprogressive\tJJ\tB-NP\tO' -p155478 -aS'weakness\tweakness\tNN\tI-NP\tO' -p155479 -aS',\t,\t,\tO\tO' -p155480 -aS'weight\tweight\tNN\tB-NP\tO' -p155481 -aS'loss\tloss\tNN\tI-NP\tO' -p155482 -aS'and\tand\tCC\tO\tO' -p155483 -aS'shortness\tshortness\tNN\tB-NP\tO' -p155484 -aS'of\tof\tIN\tB-PP\tO' -p155485 -aS'breath\tbreath\tNN\tB-NP\tO' -p155486 -aS'.\t.\t.\tO\tO' -p155487 -asS'On day of life two , she was also loaded with caffeine and continues on caffeine at time of transfer .' -p155488 -(lp155489 -S'On\tOn\tIN\tB-PP\tO' -p155490 -aS'day\tday\tNN\tB-NP\tO' -p155491 -aS'of\tof\tIN\tB-PP\tO' -p155492 -aS'life\tlife\tNN\tB-NP\tO' -p155493 -aS'two\ttwo\tCD\tI-NP\tO' -p155494 -aS',\t,\t,\tO\tO' -p155495 -aS'she\tshe\tPRP\tB-NP\tO' -p155496 -aS'was\tbe\tVBD\tB-VP\tO' -p155497 -aS'also\talso\tRB\tI-VP\tO' -p155498 -aS'loaded\tload\tVBN\tI-VP\tO' -p155499 -aS'with\twith\tIN\tB-PP\tO' -p155500 -aS'caffeine\tcaffeine\tNN\tB-NP\tO' -p155501 -aS'and\tand\tCC\tO\tO' -p155502 -aS'continues\tcontinue\tVBZ\tB-VP\tO' -p155503 -aS'on\ton\tIN\tB-PP\tO' -p155504 -aS'caffeine\tcaffeine\tNN\tB-NP\tO' -p155505 -aS'at\tat\tIN\tB-PP\tO' -p155506 -aS'time\ttime\tNN\tB-NP\tO' -p155507 -aS'of\tof\tIN\tB-PP\tO' -p155508 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p155509 -aS'.\t.\t.\tO\tO' -p155510 -asS'Attending : Marcus W. Kelley , M.D.' -p155511 -(lp155512 -S'Attending\tAttend\tVBG\tB-VP\tO' -p155513 -aS':\t:\t:\tO\tO' -p155514 -aS'Marcus\tMarcus\tNNP\tB-NP\tO' -p155515 -aS'W.\tW.\tNNP\tI-NP\tO' -p155516 -aS'Kelley\tKelley\tNNP\tI-NP\tO' -p155517 -aS',\t,\t,\tO\tO' -p155518 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p155519 -asS'He was afebrile with stable vital signs on presentation to' -p155520 -(lp155521 -S'He\tHe\tPRP\tB-NP\tO' -p155522 -aS'was\tbe\tVBD\tB-VP\tO' -p155523 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p155524 -aS'with\twith\tIN\tB-PP\tO' -p155525 -aS'stable\tstable\tJJ\tB-NP\tO' -p155526 -aS'vital\tvital\tJJ\tI-NP\tO' -p155527 -aS'signs\tsign\tNNS\tI-NP\tO' -p155528 -aS'on\ton\tIN\tB-PP\tO' -p155529 -aS'presentation\tpresentation\tNN\tB-NP\tO' -p155530 -aS'to\tto\tTO\tB-PP\tO' -p155531 -asS'7) mild chronic renal insufficiency .' -p155532 -(lp155533 -S'7)\t7)\tLS\tB-NP\tO' -p155534 -aS'mild\tmild\tJJ\tI-NP\tO' -p155535 -aS'chronic\tchronic\tJJ\tI-NP\tO' -p155536 -aS'renal\trenal\tJJ\tI-NP\tO' -p155537 -aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' -p155538 -aS'.\t.\t.\tO\tO' -p155539 -asS'An NG lavage was performed and there was bilious return .' -p155540 -(lp155541 -S'An\tAn\tDT\tB-NP\tO' -p155542 -aS'NG\tNG\tNN\tI-NP\tO' -p155543 -aS'lavage\tlavage\tNN\tI-NP\tO' -p155544 -aS'was\tbe\tVBD\tB-VP\tO' -p155545 -aS'performed\tperform\tVBN\tI-VP\tO' -p155546 -aS'and\tand\tCC\tO\tO' -p155547 -aS'there\tthere\tEX\tB-NP\tO' -p155548 -aS'was\tbe\tVBD\tB-VP\tO' -p155549 -aS'bilious\tbilious\tJJ\tB-NP\tO' -p155550 -aS'return\treturn\tNN\tI-NP\tO' -p155551 -aS'.\t.\t.\tO\tO' -p155552 -asS'Non-insulin dependent diabetes mellitus , history of gastric ulcer , and history of ETOH abuse .' -p155553 -(lp155554 -S'Non-insulin\tNon-insulin\tNN\tB-NP\tB-protein' -p155555 -aS'dependent\tdependent\tJJ\tI-NP\tO' -p155556 -aS'diabetes\tdiabete\tNNS\tI-NP\tO' -p155557 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p155558 -aS',\t,\t,\tO\tO' -p155559 -aS'history\thistory\tNN\tB-NP\tO' -p155560 -aS'of\tof\tIN\tB-PP\tO' -p155561 -aS'gastric\tgastric\tJJ\tB-NP\tO' -p155562 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p155563 -aS',\t,\t,\tO\tO' -p155564 -aS'and\tand\tCC\tO\tO' -p155565 -aS'history\thistory\tNN\tB-NP\tO' -p155566 -aS'of\tof\tIN\tB-PP\tO' -p155567 -aS'ETOH\tETOH\tNN\tB-NP\tO' -p155568 -aS'abuse\tabuse\tNN\tI-NP\tO' -p155569 -aS'.\t.\t.\tO\tO' -p155570 -asS'Further Cardiologic work-up was suggested as an outpatient at four to six weeks post discharge .' -p155571 -(lp155572 -S'Further\tFurther\tJJ\tB-NP\tO' -p155573 -aS'Cardiologic\tCardiologic\tJJ\tI-NP\tO' -p155574 -aS'work-up\twork-up\tNN\tI-NP\tO' -p155575 -aS'was\tbe\tVBD\tB-VP\tO' -p155576 -aS'suggested\tsuggest\tVBN\tI-VP\tO' -p155577 -aS'as\tas\tIN\tB-PP\tO' -p155578 -aS'an\tan\tDT\tB-NP\tO' -p155579 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p155580 -aS'at\tat\tIN\tB-PP\tO' -p155581 -aS'four\tfour\tCD\tB-NP\tO' -p155582 -aS'to\tto\tTO\tI-NP\tO' -p155583 -aS'six\tsix\tCD\tI-NP\tO' -p155584 -aS'weeks\tweek\tNNS\tI-NP\tO' -p155585 -aS'post\tpost\tJJ\tI-NP\tO' -p155586 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p155587 -aS'.\t.\t.\tO\tO' -p155588 -asS'7. Vitamin B complex 1 tab daily' -p155589 -(lp155590 -S'7.\t7.\tLS\tB-NP\tO' -p155591 -aS'Vitamin\tVitamin\tNN\tI-NP\tO' -p155592 -aS'B\tB\tNN\tI-NP\tO' -p155593 -aS'complex\tcomplex\tNN\tI-NP\tO' -p155594 -aS'1\t1\tCD\tI-NP\tO' -p155595 -aS'tab\ttab\tNN\tI-NP\tO' -p155596 -aS'daily\tdaily\tJJ\tI-NP\tO' -p155597 -asS'Lungs revealed occasional wheezing bilaterally at both bases .' -p155598 -(lp155599 -S'Lungs\tLung\tNNS\tB-NP\tO' -p155600 -aS'revealed\treveal\tVBD\tB-VP\tO' -p155601 -aS'occasional\toccasional\tJJ\tB-NP\tO' -p155602 -aS'wheezing\twheezing\tNN\tI-NP\tO' -p155603 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p155604 -aS'at\tat\tIN\tB-PP\tO' -p155605 -aS'both\tboth\tDT\tB-NP\tO' -p155606 -aS'bases\tbase\tNNS\tI-NP\tO' -p155607 -aS'.\t.\t.\tO\tO' -p155608 -asS'Anterior fontanel open , level and soft .' -p155609 -(lp155610 -S'Anterior\tAnterior\tJJ\tB-NP\tO' -p155611 -aS'fontanel\tfontanel\tNN\tI-NP\tO' -p155612 -aS'open\topen\tJJ\tI-NP\tO' -p155613 -aS',\t,\t,\tI-NP\tO' -p155614 -aS'level\tlevel\tNN\tI-NP\tO' -p155615 -aS'and\tand\tCC\tI-NP\tO' -p155616 -aS'soft\tsoft\tJJ\tI-NP\tO' -p155617 -aS'.\t.\t.\tO\tO' -p155618 -asS'On discharge included tetracycline , 250 mg po q.i.d. ; cyclosporin , 325 mg po b.i.d. ; prednisone , 30 mg po q day ; Bactrim DS , one po q.o.d. ; diltiazem , 30 mg po q.i.d. ; Mycostatin , 15 cc swish and swallow q.i.d. ; Lasix , 40 mg po q day ; Colace , 100 mg po q.i.d. ; Carafate , 1 gram po q.i.d. ; Imuran , 50 mg po t.i.d. ; NPH insulin , 44 units and 10 units of regular q a.m. ; NPH , 22 units and 8 units of regular q p.m.' -p155619 -(lp155620 -S'On\tOn\tIN\tB-PP\tO' -p155621 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p155622 -aS'included\tinclude\tVBD\tB-VP\tO' -p155623 -aS'tetracycline\ttetracycline\tNN\tB-NP\tO' -p155624 -aS',\t,\t,\tO\tO' -p155625 -aS'250\t250\tCD\tB-NP\tO' -p155626 -aS'mg\tmg\tNN\tI-NP\tO' -p155627 -aS'po\tpo\tNN\tI-NP\tO' -p155628 -aS'q.i.d.\tq.i.d.\tNN\tI-NP\tO' -p155629 -aS';\t;\t:\tO\tO' -p155630 -aS'cyclosporin\tcyclosporin\tNN\tB-NP\tO' -p155631 -aS',\t,\t,\tO\tO' -p155632 -aS'325\t325\tCD\tB-NP\tO' -p155633 -aS'mg\tmg\tNN\tI-NP\tO' -p155634 -aS'po\tpo\tNN\tI-NP\tO' -p155635 -aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' -p155636 -aS';\t;\t:\tO\tO' -p155637 -aS'prednisone\tprednisone\tNN\tB-NP\tO' -p155638 -aS',\t,\t,\tO\tO' -p155639 -aS'30\t30\tCD\tB-NP\tO' -p155640 -aS'mg\tmg\tNN\tI-NP\tO' -p155641 -aS'po\tpo\tNN\tI-NP\tO' -p155642 -aS'q\tq\tNN\tI-NP\tO' -p155643 -aS'day\tday\tNN\tI-NP\tO' -p155644 -aS';\t;\t:\tO\tO' -p155645 -aS'Bactrim\tBactrim\tNNP\tB-NP\tO' -p155646 -aS'DS\tDS\tNNP\tI-NP\tO' -p155647 -aS',\t,\t,\tO\tO' -p155648 -aS'one\tone\tCD\tB-NP\tO' -p155649 -aS'po\tpo\tNN\tI-NP\tO' -p155650 -aS'q.o.d.\tq.o.d.\tNN\tI-NP\tO' -p155651 -aS';\t;\t:\tO\tO' -p155652 -aS'diltiazem\tdiltiazem\tNN\tB-NP\tO' -p155653 -aS',\t,\t,\tO\tO' -p155654 -aS'30\t30\tCD\tB-NP\tO' -p155655 -aS'mg\tmg\tNN\tI-NP\tO' -p155656 -aS'po\tpo\tNN\tI-NP\tO' -p155657 -aS'q.i.d.\tq.i.d.\tNN\tI-NP\tO' -p155658 -aS';\t;\t:\tO\tO' -p155659 -aS'Mycostatin\tMycostatin\tNN\tB-NP\tO' -p155660 -aS',\t,\t,\tO\tO' -p155661 -aS'15\t15\tCD\tB-NP\tO' -p155662 -aS'cc\tcc\tNN\tI-NP\tO' -p155663 -aS'swish\tswish\tVB\tB-VP\tO' -p155664 -aS'and\tand\tCC\tO\tO' -p155665 -aS'swallow\tswallow\tVB\tB-VP\tO' -p155666 -aS'q.i.d.\tq.i.d.\tNN\tB-NP\tO' -p155667 -aS';\t;\t:\tO\tO' -p155668 -aS'Lasix\tLasix\tNN\tB-NP\tO' -p155669 -aS',\t,\t,\tO\tO' -p155670 -aS'40\t40\tCD\tB-NP\tO' -p155671 -aS'mg\tmg\tNN\tI-NP\tO' -p155672 -aS'po\tpo\tNN\tI-NP\tO' -p155673 -aS'q\tq\tNN\tI-NP\tO' -p155674 -aS'day\tday\tNN\tI-NP\tO' -p155675 -aS';\t;\t:\tO\tO' -p155676 -aS'Colace\tColace\tNNP\tB-NP\tO' -p155677 -aS',\t,\t,\tO\tO' -p155678 -aS'100\t100\tCD\tB-NP\tO' -p155679 -aS'mg\tmg\tNN\tI-NP\tO' -p155680 -aS'po\tpo\tNN\tI-NP\tO' -p155681 -aS'q.i.d.\tq.i.d.\tNN\tI-NP\tO' -p155682 -aS';\t;\t:\tO\tO' -p155683 -aS'Carafate\tCarafate\tNN\tB-NP\tO' -p155684 -aS',\t,\t,\tO\tO' -p155685 -aS'1\t1\tCD\tB-NP\tO' -p155686 -aS'gram\tgram\tNN\tI-NP\tO' -p155687 -aS'po\tpo\tNN\tI-NP\tO' -p155688 -aS'q.i.d.\tq.i.d.\tNN\tI-NP\tO' -p155689 -aS';\t;\t:\tO\tO' -p155690 -aS'Imuran\tImuran\tNN\tB-NP\tO' -p155691 -aS',\t,\t,\tO\tO' -p155692 -aS'50\t50\tCD\tB-NP\tO' -p155693 -aS'mg\tmg\tNN\tI-NP\tO' -p155694 -aS'po\tpo\tNN\tI-NP\tO' -p155695 -aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' -p155696 -aS';\t;\t:\tO\tO' -p155697 -aS'NPH\tNPH\tNN\tB-NP\tB-protein' -p155698 -aS'insulin\tinsulin\tNN\tI-NP\tI-protein' -p155699 -aS',\t,\t,\tO\tO' -p155700 -aS'44\t44\tCD\tB-NP\tO' -p155701 -aS'units\tunit\tNNS\tI-NP\tO' -p155702 -aS'and\tand\tCC\tO\tO' -p155703 -aS'10\t10\tCD\tB-NP\tO' -p155704 -aS'units\tunit\tNNS\tI-NP\tO' -p155705 -aS'of\tof\tIN\tB-PP\tO' -p155706 -aS'regular\tregular\tJJ\tB-NP\tO' -p155707 -aS'q\tq\tNN\tI-NP\tO' -p155708 -aS'a.m.\ta.m.\tNN\tI-NP\tO' -p155709 -aS';\t;\t:\tO\tO' -p155710 -aS'NPH\tNPH\tNN\tB-NP\tO' -p155711 -aS',\t,\t,\tO\tO' -p155712 -aS'22\t22\tCD\tB-NP\tO' -p155713 -aS'units\tunit\tNNS\tI-NP\tO' -p155714 -aS'and\tand\tCC\tO\tO' -p155715 -aS'8\t8\tCD\tB-NP\tO' -p155716 -aS'units\tunit\tNNS\tI-NP\tO' -p155717 -aS'of\tof\tIN\tB-PP\tO' -p155718 -aS'regular\tregular\tJJ\tB-NP\tO' -p155719 -aS'q\tq\tNN\tI-NP\tO' -p155720 -aS'p.m.\tp.m.\tNN\tI-NP\tO' -p155721 -asS'The infant was placed on a cardiopulmonary monitor upon admission to the Newborn Intensive Care Unit with pulse oximetry .' -p155722 -(lp155723 -S'The\tThe\tDT\tB-NP\tO' -p155724 -aS'infant\tinfant\tNN\tI-NP\tO' -p155725 -aS'was\tbe\tVBD\tB-VP\tO' -p155726 -aS'placed\tplace\tVBN\tI-VP\tO' -p155727 -aS'on\ton\tIN\tB-PP\tO' -p155728 -aS'a\ta\tDT\tB-NP\tO' -p155729 -aS'cardiopulmonary\tcardiopulmonary\tJJ\tI-NP\tO' -p155730 -aS'monitor\tmonitor\tNN\tI-NP\tO' -p155731 -aS'upon\tupon\tIN\tB-PP\tO' -p155732 -aS'admission\tadmission\tNN\tB-NP\tO' -p155733 -aS'to\tto\tTO\tB-PP\tO' -p155734 -aS'the\tthe\tDT\tB-NP\tO' -p155735 -aS'Newborn\tNewborn\tNNP\tI-NP\tO' -p155736 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p155737 -aS'Care\tCare\tNNP\tI-NP\tO' -p155738 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p155739 -aS'with\twith\tIN\tB-PP\tO' -p155740 -aS'pulse\tpulse\tNN\tB-NP\tO' -p155741 -aS'oximetry\toximetry\tNN\tI-NP\tO' -p155742 -aS'.\t.\t.\tO\tO' -p155743 -asS'A Physical Therapy consultation was obtained to initiate a 6 - minute walk test .' -p155744 -(lp155745 -S'A\tA\tDT\tB-NP\tO' -p155746 -aS'Physical\tPhysical\tJJ\tI-NP\tO' -p155747 -aS'Therapy\tTherapy\tNN\tI-NP\tO' -p155748 -aS'consultation\tconsultation\tNN\tI-NP\tO' -p155749 -aS'was\tbe\tVBD\tB-VP\tO' -p155750 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p155751 -aS'to\tto\tTO\tI-VP\tO' -p155752 -aS'initiate\tinitiate\tVB\tI-VP\tO' -p155753 -aS'a\ta\tDT\tB-NP\tO' -p155754 -aS'6\t6\tCD\tI-NP\tO' -p155755 -aS'-\t-\tHYPH\tI-NP\tO' -p155756 -aS'minute\tminute\tNN\tI-NP\tO' -p155757 -aS'walk\twalk\tNN\tI-NP\tO' -p155758 -aS'test\ttest\tNN\tI-NP\tO' -p155759 -aS'.\t.\t.\tO\tO' -p155760 -asS'The patient was treated with intravenous antibiotics .' -p155761 -(lp155762 -S'The\tThe\tDT\tB-NP\tO' -p155763 -aS'patient\tpatient\tNN\tI-NP\tO' -p155764 -aS'was\tbe\tVBD\tB-VP\tO' -p155765 -aS'treated\ttreat\tVBN\tI-VP\tO' -p155766 -aS'with\twith\tIN\tB-PP\tO' -p155767 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p155768 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p155769 -aS'.\t.\t.\tO\tO' -p155770 -asS'This rate was maintained for 11 hours .' -p155771 -(lp155772 -S'This\tThis\tDT\tB-NP\tO' -p155773 -aS'rate\trate\tNN\tI-NP\tO' -p155774 -aS'was\tbe\tVBD\tB-VP\tO' -p155775 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p155776 -aS'for\tfor\tIN\tB-PP\tO' -p155777 -aS'11\t11\tCD\tB-NP\tO' -p155778 -aS'hours\thour\tNNS\tI-NP\tO' -p155779 -aS'.\t.\t.\tO\tO' -p155780 -asS'EKG shows normal sinus rhythm at 70 beats per minute with normal axis and intervals , borderline LVH .' -p155781 -(lp155782 -S'EKG\tEKG\tNN\tB-NP\tB-protein' -p155783 -aS'shows\tshow\tVBZ\tB-VP\tO' -p155784 -aS'normal\tnormal\tJJ\tB-NP\tO' -p155785 -aS'sinus\tsinus\tNN\tI-NP\tO' -p155786 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p155787 -aS'at\tat\tIN\tB-PP\tO' -p155788 -aS'70\t70\tCD\tB-NP\tO' -p155789 -aS'beats\tbeat\tNNS\tI-NP\tO' -p155790 -aS'per\tper\tIN\tB-PP\tO' -p155791 -aS'minute\tminute\tNN\tB-NP\tO' -p155792 -aS'with\twith\tIN\tB-PP\tO' -p155793 -aS'normal\tnormal\tJJ\tB-NP\tO' -p155794 -aS'axis\taxis\tNN\tI-NP\tO' -p155795 -aS'and\tand\tCC\tI-NP\tO' -p155796 -aS'intervals\tinterval\tNNS\tI-NP\tO' -p155797 -aS',\t,\t,\tO\tO' -p155798 -aS'borderline\tborderline\tJJ\tB-NP\tO' -p155799 -aS'LVH\tLVH\tNN\tI-NP\tO' -p155800 -aS'.\t.\t.\tO\tO' -p155801 -asS'Cor - rrr , no m/r/g' -p155802 -(lp155803 -S'Cor\tCor\tNN\tB-NP\tB-protein' -p155804 -aS'-\t-\tHYPH\tI-NP\tO' -p155805 -aS'rrr\trrr\tNN\tI-NP\tB-protein' -p155806 -aS',\t,\t,\tO\tO' -p155807 -aS'no\tno\tDT\tB-NP\tO' -p155808 -aS'm/r/g\tm/r/g\tNN\tI-NP\tO' -p155809 -asS'Will need to call for outpatient MRA and HIDA with CCK challenge to evaluate biliary system and mesenteric vasculature .' -p155810 -(lp155811 -S'Will\tWill\tMD\tB-VP\tO' -p155812 -aS'need\tneed\tVB\tI-VP\tO' -p155813 -aS'to\tto\tTO\tI-VP\tO' -p155814 -aS'call\tcall\tVB\tI-VP\tO' -p155815 -aS'for\tfor\tIN\tB-PP\tO' -p155816 -aS'outpatient\toutpatient\tNN\tB-NP\tO' -p155817 -aS'MRA\tMRA\tNN\tI-NP\tO' -p155818 -aS'and\tand\tCC\tO\tO' -p155819 -aS'HIDA\tHIDA\tNN\tB-NP\tB-protein' -p155820 -aS'with\twith\tIN\tB-PP\tO' -p155821 -aS'CCK\tCCK\tNN\tB-NP\tO' -p155822 -aS'challenge\tchallenge\tNN\tI-NP\tO' -p155823 -aS'to\tto\tTO\tB-VP\tO' -p155824 -aS'evaluate\tevaluate\tVB\tI-VP\tO' -p155825 -aS'biliary\tbiliary\tJJ\tB-NP\tO' -p155826 -aS'system\tsystem\tNN\tI-NP\tO' -p155827 -aS'and\tand\tCC\tO\tO' -p155828 -aS'mesenteric\tmesenteric\tJJ\tB-NP\tO' -p155829 -aS'vasculature\tvasculature\tNN\tI-NP\tO' -p155830 -aS'.\t.\t.\tO\tO' -p155831 -asS'The patient complained of fevers .' -p155832 -(lp155833 -S'The\tThe\tDT\tB-NP\tO' -p155834 -aS'patient\tpatient\tNN\tI-NP\tO' -p155835 -aS'complained\tcomplain\tVBD\tB-VP\tO' -p155836 -aS'of\tof\tIN\tB-PP\tO' -p155837 -aS'fevers\tfever\tNNS\tB-NP\tO' -p155838 -aS'.\t.\t.\tO\tO' -p155839 -asS'Blood , urine and sputum culutres were sent .' -p155840 -(lp155841 -S'Blood\tBlood\tNN\tB-NP\tO' -p155842 -aS',\t,\t,\tI-NP\tO' -p155843 -aS'urine\turine\tNN\tI-NP\tO' -p155844 -aS'and\tand\tCC\tI-NP\tO' -p155845 -aS'sputum\tsputum\tNN\tI-NP\tO' -p155846 -aS'culutres\tculutre\tNNS\tI-NP\tO' -p155847 -aS'were\tbe\tVBD\tB-VP\tO' -p155848 -aS'sent\tsend\tVBN\tI-VP\tO' -p155849 -aS'.\t.\t.\tO\tO' -p155850 -asS'Delta MS Rachel Rohrer .' -p155851 -(lp155852 -S'Delta\tDelta\tNNP\tB-NP\tO' -p155853 -aS'MS\tMS\tNNP\tI-NP\tO' -p155854 -aS'Rachel\tRachel\tNNP\tI-NP\tO' -p155855 -aS'Rohrer\tRohrer\tNNP\tI-NP\tO' -p155856 -aS'.\t.\t.\tO\tO' -p155857 -asS'There was no additional history of breast , ovarian or uterine cancer in her family .' -p155858 -(lp155859 -S'There\tThere\tEX\tB-NP\tO' -p155860 -aS'was\tbe\tVBD\tB-VP\tO' -p155861 -aS'no\tno\tDT\tB-NP\tO' -p155862 -aS'additional\tadditional\tJJ\tI-NP\tO' -p155863 -aS'history\thistory\tNN\tI-NP\tO' -p155864 -aS'of\tof\tIN\tB-PP\tO' -p155865 -aS'breast\tbreast\tNN\tB-NP\tO' -p155866 -aS',\t,\t,\tO\tO' -p155867 -aS'ovarian\tovarian\tJJ\tB-NP\tO' -p155868 -aS'or\tor\tCC\tI-NP\tO' -p155869 -aS'uterine\tuterine\tJJ\tI-NP\tO' -p155870 -aS'cancer\tcancer\tNN\tI-NP\tO' -p155871 -aS'in\tin\tIN\tB-PP\tO' -p155872 -aS'her\ther\tPRP$\tB-NP\tO' -p155873 -aS'family\tfamily\tNN\tI-NP\tO' -p155874 -aS'.\t.\t.\tO\tO' -p155875 -asS'Calories were gradually increased to breast milk 30 calories with ProMod consisting of four of human milk fortifier , four of MCT and two of Polycose with a 12-28 teaspoon of ProMod per 50 ml of breast milk or 60 ml of formula .' -p155876 -(lp155877 -S'Calories\tCalorie\tNNS\tB-NP\tO' -p155878 -aS'were\tbe\tVBD\tB-VP\tO' -p155879 -aS'gradually\tgradually\tRB\tI-VP\tO' -p155880 -aS'increased\tincrease\tVBN\tI-VP\tO' -p155881 -aS'to\tto\tTO\tB-PP\tO' -p155882 -aS'breast\tbreast\tNN\tB-NP\tO' -p155883 -aS'milk\tmilk\tNN\tI-NP\tO' -p155884 -aS'30\t30\tCD\tB-NP\tO' -p155885 -aS'calories\tcalorie\tNNS\tI-NP\tO' -p155886 -aS'with\twith\tIN\tB-PP\tO' -p155887 -aS'ProMod\tProMod\tNN\tB-NP\tO' -p155888 -aS'consisting\tconsist\tVBG\tB-VP\tO' -p155889 -aS'of\tof\tIN\tB-PP\tO' -p155890 -aS'four\tfour\tCD\tB-NP\tO' -p155891 -aS'of\tof\tIN\tB-PP\tO' -p155892 -aS'human\thuman\tJJ\tB-NP\tO' -p155893 -aS'milk\tmilk\tNN\tI-NP\tO' -p155894 -aS'fortifier\tfortifier\tNN\tI-NP\tO' -p155895 -aS',\t,\t,\tO\tO' -p155896 -aS'four\tfour\tCD\tB-NP\tO' -p155897 -aS'of\tof\tIN\tB-PP\tO' -p155898 -aS'MCT\tMCT\tNN\tB-NP\tB-protein' -p155899 -aS'and\tand\tCC\tO\tO' -p155900 -aS'two\ttwo\tCD\tB-NP\tO' -p155901 -aS'of\tof\tIN\tB-PP\tO' -p155902 -aS'Polycose\tPolycose\tNN\tB-NP\tO' -p155903 -aS'with\twith\tIN\tB-PP\tO' -p155904 -aS'a\ta\tDT\tB-NP\tO' -p155905 -aS'12-28\t12-28\tJJ\tI-NP\tO' -p155906 -aS'teaspoon\tteaspoon\tNN\tI-NP\tO' -p155907 -aS'of\tof\tIN\tB-PP\tO' -p155908 -aS'ProMod\tProMod\tNN\tB-NP\tO' -p155909 -aS'per\tper\tIN\tB-PP\tO' -p155910 -aS'50\t50\tCD\tB-NP\tO' -p155911 -aS'ml\tml\tNN\tI-NP\tO' -p155912 -aS'of\tof\tIN\tB-PP\tO' -p155913 -aS'breast\tbreast\tNN\tB-NP\tO' -p155914 -aS'milk\tmilk\tNN\tI-NP\tO' -p155915 -aS'or\tor\tCC\tO\tO' -p155916 -aS'60\t60\tCD\tB-NP\tO' -p155917 -aS'ml\tml\tNN\tI-NP\tO' -p155918 -aS'of\tof\tIN\tB-PP\tO' -p155919 -aS'formula\tformula\tNN\tB-NP\tO' -p155920 -aS'.\t.\t.\tO\tO' -p155921 -asS'Influenza immunization is recommended annually in the fall for all infants once they reach six months of age .' -p155922 -(lp155923 -S'Influenza\tInfluenza\tNN\tB-NP\tO' -p155924 -aS'immunization\timmunization\tNN\tI-NP\tO' -p155925 -aS'is\tbe\tVBZ\tB-VP\tO' -p155926 -aS'recommended\trecommend\tVBN\tI-VP\tO' -p155927 -aS'annually\tannually\tRB\tB-ADVP\tO' -p155928 -aS'in\tin\tIN\tB-PP\tO' -p155929 -aS'the\tthe\tDT\tB-NP\tO' -p155930 -aS'fall\tfall\tNN\tI-NP\tO' -p155931 -aS'for\tfor\tIN\tB-PP\tO' -p155932 -aS'all\tall\tDT\tB-NP\tO' -p155933 -aS'infants\tinfant\tNNS\tI-NP\tO' -p155934 -aS'once\tonce\tIN\tB-SBAR\tO' -p155935 -aS'they\tthey\tPRP\tB-NP\tO' -p155936 -aS'reach\treach\tVBP\tB-VP\tO' -p155937 -aS'six\tsix\tCD\tB-NP\tO' -p155938 -aS'months\tmonth\tNNS\tI-NP\tO' -p155939 -aS'of\tof\tIN\tB-PP\tO' -p155940 -aS'age\tage\tNN\tB-NP\tO' -p155941 -aS'.\t.\t.\tO\tO' -p155942 -asS"Heart block - As noted previously , the patient 's electrocardiogram was significant for a 2:1 heart block and cardiology consult service was contacted for evaluation ." -p155943 -(lp155944 -S'Heart\tHeart\tNN\tB-NP\tO' -p155945 -aS'block\tblock\tNN\tI-NP\tO' -p155946 -aS'-\t-\tHYPH\tO\tO' -p155947 -aS'As\tAs\tIN\tB-SBAR\tO' -p155948 -aS'noted\tnote\tVBN\tB-VP\tO' -p155949 -aS'previously\tpreviously\tRB\tB-ADVP\tO' -p155950 -aS',\t,\t,\tO\tO' -p155951 -aS'the\tthe\tDT\tB-NP\tO' -p155952 -aS'patient\tpatient\tNN\tI-NP\tO' -p155953 -aS"'s\t's\tPOS\tB-NP\tO" -p155954 -aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' -p155955 -aS'was\tbe\tVBD\tB-VP\tO' -p155956 -aS'significant\tsignificant\tJJ\tB-ADJP\tO' -p155957 -aS'for\tfor\tIN\tB-PP\tO' -p155958 -aS'a\ta\tDT\tB-NP\tO' -p155959 -aS'2:1\t2:1\tCD\tI-NP\tO' -p155960 -aS'heart\theart\tNN\tI-NP\tO' -p155961 -aS'block\tblock\tNN\tI-NP\tO' -p155962 -aS'and\tand\tCC\tO\tO' -p155963 -aS'cardiology\tcardiology\tNN\tB-NP\tO' -p155964 -aS'consult\tconsult\tNN\tI-NP\tO' -p155965 -aS'service\tservice\tNN\tI-NP\tO' -p155966 -aS'was\tbe\tVBD\tB-VP\tO' -p155967 -aS'contacted\tcontact\tVBN\tI-VP\tO' -p155968 -aS'for\tfor\tIN\tB-PP\tO' -p155969 -aS'evaluation\tevaluation\tNN\tB-NP\tO' -p155970 -aS'.\t.\t.\tO\tO' -p155971 -asS'The patient presented with a chief complaint of SDH .' -p155972 -(lp155973 -S'The\tThe\tDT\tB-NP\tO' -p155974 -aS'patient\tpatient\tNN\tI-NP\tO' -p155975 -aS'presented\tpresent\tVBD\tB-VP\tO' -p155976 -aS'with\twith\tIN\tB-PP\tO' -p155977 -aS'a\ta\tDT\tB-NP\tO' -p155978 -aS'chief\tchief\tJJ\tI-NP\tO' -p155979 -aS'complaint\tcomplaint\tNN\tI-NP\tO' -p155980 -aS'of\tof\tIN\tB-PP\tO' -p155981 -aS'SDH\tSDH\tNN\tB-NP\tB-protein' -p155982 -aS'.\t.\t.\tO\tO' -p155983 -asS'Is significant for spinal stenosis and a series of operations including repair of a ureteral stricture ; cataract implants ; two partial hysterectomies ; and an appendectomy .' -p155984 -(lp155985 -S'Is\tBe\tVBZ\tO\tO' -p155986 -aS'significant\tsignificant\tJJ\tB-ADJP\tO' -p155987 -aS'for\tfor\tIN\tB-PP\tO' -p155988 -aS'spinal\tspinal\tJJ\tB-NP\tO' -p155989 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p155990 -aS'and\tand\tCC\tO\tO' -p155991 -aS'a\ta\tDT\tB-NP\tO' -p155992 -aS'series\tseries\tNN\tI-NP\tO' -p155993 -aS'of\tof\tIN\tB-PP\tO' -p155994 -aS'operations\toperation\tNNS\tB-NP\tO' -p155995 -aS'including\tinclude\tVBG\tB-PP\tO' -p155996 -aS'repair\trepair\tNN\tB-NP\tO' -p155997 -aS'of\tof\tIN\tB-PP\tO' -p155998 -aS'a\ta\tDT\tB-NP\tO' -p155999 -aS'ureteral\tureteral\tJJ\tI-NP\tO' -p156000 -aS'stricture\tstricture\tNN\tI-NP\tO' -p156001 -aS';\t;\t:\tO\tO' -p156002 -aS'cataract\tcataract\tNN\tB-NP\tO' -p156003 -aS'implants\timplant\tNNS\tI-NP\tO' -p156004 -aS';\t;\t:\tO\tO' -p156005 -aS'two\ttwo\tCD\tB-NP\tO' -p156006 -aS'partial\tpartial\tJJ\tI-NP\tO' -p156007 -aS'hysterectomies\thysterectomy\tNNS\tI-NP\tO' -p156008 -aS';\t;\t:\tO\tO' -p156009 -aS'and\tand\tCC\tO\tO' -p156010 -aS'an\tan\tDT\tB-NP\tO' -p156011 -aS'appendectomy\tappendectomy\tNN\tI-NP\tO' -p156012 -aS'.\t.\t.\tO\tO' -p156013 -asS'The overall prognosis was guarded .' -p156014 -(lp156015 -S'The\tThe\tDT\tB-NP\tO' -p156016 -aS'overall\toverall\tJJ\tI-NP\tO' -p156017 -aS'prognosis\tprognosis\tNN\tI-NP\tO' -p156018 -aS'was\tbe\tVBD\tB-VP\tO' -p156019 -aS'guarded\tguard\tVBN\tI-VP\tO' -p156020 -aS'.\t.\t.\tO\tO' -p156021 -asS'She received a full course of betamethasone on 03-28 and was treated with magnesium sulfate until 04-12 .' -p156022 -(lp156023 -S'She\tShe\tPRP\tB-NP\tO' -p156024 -aS'received\treceive\tVBD\tB-VP\tO' -p156025 -aS'a\ta\tDT\tB-NP\tO' -p156026 -aS'full\tfull\tJJ\tI-NP\tO' -p156027 -aS'course\tcourse\tNN\tI-NP\tO' -p156028 -aS'of\tof\tIN\tB-PP\tO' -p156029 -aS'betamethasone\tbetamethasone\tNN\tB-NP\tO' -p156030 -aS'on\ton\tIN\tB-PP\tO' -p156031 -aS'03-28\t03-28\tCD\tB-NP\tO' -p156032 -aS'and\tand\tCC\tO\tO' -p156033 -aS'was\tbe\tVBD\tB-VP\tO' -p156034 -aS'treated\ttreat\tVBN\tI-VP\tO' -p156035 -aS'with\twith\tIN\tB-PP\tO' -p156036 -aS'magnesium\tmagnesium\tNN\tB-NP\tO' -p156037 -aS'sulfate\tsulfate\tNN\tI-NP\tO' -p156038 -aS'until\tuntil\tIN\tB-PP\tO' -p156039 -aS'04-12\t04-12\tCD\tB-NP\tO' -p156040 -aS'.\t.\t.\tO\tO' -p156041 -asS'So far no secondary causes of hypertension were identified but causes like lymphocytic ? chromocytoma or renal artery stenosis have not been ruled out yet .' -p156042 -(lp156043 -S'So\tSo\tRB\tB-ADVP\tO' -p156044 -aS'far\tfar\tRB\tI-ADVP\tO' -p156045 -aS'no\tno\tDT\tB-NP\tO' -p156046 -aS'secondary\tsecondary\tJJ\tI-NP\tO' -p156047 -aS'causes\tcause\tNNS\tI-NP\tO' -p156048 -aS'of\tof\tIN\tB-PP\tO' -p156049 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p156050 -aS'were\tbe\tVBD\tB-VP\tO' -p156051 -aS'identified\tidentify\tVBN\tI-VP\tO' -p156052 -aS'but\tbut\tCC\tO\tO' -p156053 -aS'causes\tcause\tVBZ\tB-VP\tO' -p156054 -aS'like\tlike\tIN\tB-PP\tO' -p156055 -aS'lymphocytic\tlymphocytic\tJJ\tB-ADJP\tO' -p156056 -aS'?\t?\t.\tO\tO' -p156057 -aS'chromocytoma\tchromocytoma\tNN\tB-NP\tO' -p156058 -aS'or\tor\tCC\tO\tO' -p156059 -aS'renal\trenal\tJJ\tB-NP\tO' -p156060 -aS'artery\tartery\tNN\tI-NP\tO' -p156061 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p156062 -aS'have\thave\tVBP\tB-VP\tO' -p156063 -aS'not\tnot\tRB\tI-VP\tO' -p156064 -aS'been\tbe\tVBN\tI-VP\tO' -p156065 -aS'ruled\trule\tVBN\tI-VP\tO' -p156066 -aS'out\tout\tRP\tB-PRT\tO' -p156067 -aS'yet\tyet\tRB\tB-ADVP\tO' -p156068 -aS'.\t.\t.\tO\tO' -p156069 -asS'This is an unfortunate case but Mr. Po does have an incredibly supportive family who have been here consistently to visit him and that offers him an important source of comfort .' -p156070 -(lp156071 -S'This\tThis\tDT\tB-NP\tO' -p156072 -aS'is\tbe\tVBZ\tB-VP\tO' -p156073 -aS'an\tan\tDT\tB-NP\tO' -p156074 -aS'unfortunate\tunfortunate\tJJ\tI-NP\tO' -p156075 -aS'case\tcase\tNN\tI-NP\tO' -p156076 -aS'but\tbut\tCC\tO\tO' -p156077 -aS'Mr.\tMr.\tNNP\tB-NP\tO' -p156078 -aS'Po\tPo\tNNP\tI-NP\tO' -p156079 -aS'does\tdo\tVBZ\tB-VP\tO' -p156080 -aS'have\thave\tVB\tI-VP\tO' -p156081 -aS'an\tan\tDT\tB-NP\tO' -p156082 -aS'incredibly\tincredibly\tRB\tI-NP\tO' -p156083 -aS'supportive\tsupportive\tJJ\tI-NP\tO' -p156084 -aS'family\tfamily\tNN\tI-NP\tO' -p156085 -aS'who\twho\tWP\tB-NP\tO' -p156086 -aS'have\thave\tVBP\tB-VP\tO' -p156087 -aS'been\tbe\tVBN\tI-VP\tO' -p156088 -aS'here\there\tRB\tB-ADVP\tO' -p156089 -aS'consistently\tconsistently\tRB\tB-ADVP\tO' -p156090 -aS'to\tto\tTO\tB-VP\tO' -p156091 -aS'visit\tvisit\tVB\tI-VP\tO' -p156092 -aS'him\thim\tPRP\tB-NP\tO' -p156093 -aS'and\tand\tCC\tO\tO' -p156094 -aS'that\tthat\tDT\tB-NP\tO' -p156095 -aS'offers\toffer\tVBZ\tB-VP\tO' -p156096 -aS'him\thim\tPRP\tB-NP\tO' -p156097 -aS'an\tan\tDT\tB-NP\tO' -p156098 -aS'important\timportant\tJJ\tI-NP\tO' -p156099 -aS'source\tsource\tNN\tI-NP\tO' -p156100 -aS'of\tof\tIN\tB-PP\tO' -p156101 -aS'comfort\tcomfort\tNN\tB-NP\tO' -p156102 -aS'.\t.\t.\tO\tO' -p156103 -asS'Na : 135 , K 4.5 , Cl 96 , CO2 27 , BUN 12 , Cr 0.7 , Glu 167 , Ca 8.4 , Vanco trough 13 , WBC 5.3 , Hct 32.0 , plt 330 , INR 1.0 .' -p156104 -(lp156105 -S'Na\tNa\tNN\tB-NP\tO' -p156106 -aS':\t:\t:\tO\tO' -p156107 -aS'135\t135\tCD\tB-NP\tO' -p156108 -aS',\t,\t,\tO\tO' -p156109 -aS'K\tK\tNN\tB-NP\tB-cell_line' -p156110 -aS'4.5\t4.5\tCD\tI-NP\tI-cell_line' -p156111 -aS',\t,\t,\tO\tO' -p156112 -aS'Cl\tCl\tNN\tB-NP\tO' -p156113 -aS'96\t96\tCD\tI-NP\tO' -p156114 -aS',\t,\t,\tO\tO' -p156115 -aS'CO2\tCO2\tNN\tB-NP\tO' -p156116 -aS'27\t27\tCD\tI-NP\tO' -p156117 -aS',\t,\t,\tO\tO' -p156118 -aS'BUN\tBUN\tNN\tB-NP\tB-DNA' -p156119 -aS'12\t12\tCD\tI-NP\tI-DNA' -p156120 -aS',\t,\t,\tO\tO' -p156121 -aS'Cr\tCr\tNNP\tB-NP\tO' -p156122 -aS'0.7\t0.7\tCD\tI-NP\tO' -p156123 -aS',\t,\t,\tO\tO' -p156124 -aS'Glu\tGlu\tNN\tB-NP\tB-protein' -p156125 -aS'167\t167\tCD\tI-NP\tI-protein' -p156126 -aS',\t,\t,\tO\tO' -p156127 -aS'Ca\tCa\tNNP\tB-NP\tO' -p156128 -aS'8.4\t8.4\tCD\tI-NP\tO' -p156129 -aS',\t,\t,\tO\tO' -p156130 -aS'Vanco\tVanco\tNNP\tB-NP\tO' -p156131 -aS'trough\ttrough\tIN\tB-PP\tO' -p156132 -aS'13\t13\tCD\tB-NP\tO' -p156133 -aS',\t,\t,\tO\tO' -p156134 -aS'WBC\tWBC\tNNP\tB-NP\tB-cell_line' -p156135 -aS'5.3\t5.3\tCD\tI-NP\tI-cell_line' -p156136 -aS',\t,\t,\tO\tO' -p156137 -aS'Hct\tHct\tNN\tB-NP\tB-protein' -p156138 -aS'32.0\t32.0\tCD\tI-NP\tI-protein' -p156139 -aS',\t,\t,\tO\tO' -p156140 -aS'plt\tplt\tNN\tB-NP\tB-protein' -p156141 -aS'330\t330\tCD\tI-NP\tI-protein' -p156142 -aS',\t,\t,\tO\tO' -p156143 -aS'INR\tINR\tNN\tB-NP\tB-protein' -p156144 -aS'1.0\t1.0\tCD\tI-NP\tI-protein' -p156145 -aS'.\t.\t.\tO\tO' -p156146 -asS'Cholesterol 197 , triglycerides 118 , HDL 31 , LDL 142 , total protein 6.2 , bilirubin 1.0 , alkaline phosphatase 72 , SGOT 23 .' -p156147 -(lp156148 -S'Cholesterol\tCholesterol\tNN\tB-NP\tB-protein' -p156149 -aS'197\t197\tCD\tI-NP\tI-protein' -p156150 -aS',\t,\t,\tO\tO' -p156151 -aS'triglycerides\ttriglyceride\tNNS\tB-NP\tO' -p156152 -aS'118\t118\tCD\tB-NP\tO' -p156153 -aS',\t,\t,\tO\tO' -p156154 -aS'HDL\tHDL\tNN\tB-NP\tB-DNA' -p156155 -aS'31\t31\tCD\tI-NP\tI-DNA' -p156156 -aS',\t,\t,\tO\tO' -p156157 -aS'LDL\tLDL\tNN\tB-NP\tB-protein' -p156158 -aS'142\t142\tCD\tI-NP\tI-protein' -p156159 -aS',\t,\t,\tO\tO' -p156160 -aS'total\ttotal\tJJ\tB-NP\tO' -p156161 -aS'protein\tprotein\tNN\tI-NP\tO' -p156162 -aS'6.2\t6.2\tCD\tI-NP\tO' -p156163 -aS',\t,\t,\tO\tO' -p156164 -aS'bilirubin\tbilirubin\tNN\tB-NP\tO' -p156165 -aS'1.0\t1.0\tCD\tI-NP\tO' -p156166 -aS',\t,\t,\tO\tO' -p156167 -aS'alkaline\talkaline\tNN\tB-NP\tO' -p156168 -aS'phosphatase\tphosphatase\tNN\tI-NP\tO' -p156169 -aS'72\t72\tCD\tI-NP\tO' -p156170 -aS',\t,\t,\tO\tO' -p156171 -aS'SGOT\tSGOT\tNN\tB-NP\tO' -p156172 -aS'23\t23\tCD\tI-NP\tO' -p156173 -aS'.\t.\t.\tO\tO' -p156174 -asS'The patient has no lower extremity ulcers , and all former leg excoriations are healing well .' -p156175 -(lp156176 -S'The\tThe\tDT\tB-NP\tO' -p156177 -aS'patient\tpatient\tNN\tI-NP\tO' -p156178 -aS'has\thave\tVBZ\tB-VP\tO' -p156179 -aS'no\tno\tDT\tB-NP\tO' -p156180 -aS'lower\tlow\tJJR\tI-NP\tO' -p156181 -aS'extremity\textremity\tNN\tI-NP\tO' -p156182 -aS'ulcers\tulcer\tNNS\tI-NP\tO' -p156183 -aS',\t,\t,\tO\tO' -p156184 -aS'and\tand\tCC\tO\tO' -p156185 -aS'all\tall\tDT\tB-NP\tO' -p156186 -aS'former\tformer\tJJ\tI-NP\tO' -p156187 -aS'leg\tleg\tNN\tI-NP\tO' -p156188 -aS'excoriations\texcoriation\tNNS\tI-NP\tO' -p156189 -aS'are\tbe\tVBP\tB-VP\tO' -p156190 -aS'healing\theal\tVBG\tI-VP\tO' -p156191 -aS'well\twell\tRB\tB-ADVP\tO' -p156192 -aS'.\t.\t.\tO\tO' -p156193 -asS'It was decided to treat her conservatively with bowel and IV antibiotics .' -p156194 -(lp156195 -S'It\tIt\tPRP\tB-NP\tO' -p156196 -aS'was\tbe\tVBD\tB-VP\tO' -p156197 -aS'decided\tdecide\tVBN\tI-VP\tO' -p156198 -aS'to\tto\tTO\tI-VP\tO' -p156199 -aS'treat\ttreat\tVB\tI-VP\tO' -p156200 -aS'her\ther\tPRP\tB-NP\tO' -p156201 -aS'conservatively\tconservatively\tRB\tB-ADVP\tO' -p156202 -aS'with\twith\tIN\tB-PP\tO' -p156203 -aS'bowel\tbowel\tNN\tB-NP\tO' -p156204 -aS'and\tand\tCC\tO\tO' -p156205 -aS'IV\tIV\tCD\tB-NP\tO' -p156206 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p156207 -aS'.\t.\t.\tO\tO' -p156208 -asS'THe patient was stable and remained intubated .' -p156209 -(lp156210 -S'THe\tTHe\tNN\tB-NP\tO' -p156211 -aS'patient\tpatient\tNN\tI-NP\tO' -p156212 -aS'was\tbe\tVBD\tB-VP\tO' -p156213 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p156214 -aS'and\tand\tCC\tO\tO' -p156215 -aS'remained\tremain\tVBD\tB-VP\tO' -p156216 -aS'intubated\tintubated\tJJ\tB-ADJP\tO' -p156217 -aS'.\t.\t.\tO\tO' -p156218 -asS'However , on a routine chest x-ray shot on hospital day three , a mediastinum was noted .' -p156219 -(lp156220 -S'However\tHowever\tRB\tB-ADVP\tO' -p156221 -aS',\t,\t,\tO\tO' -p156222 -aS'on\ton\tIN\tB-PP\tO' -p156223 -aS'a\ta\tDT\tB-NP\tO' -p156224 -aS'routine\troutine\tJJ\tI-NP\tO' -p156225 -aS'chest\tchest\tNN\tI-NP\tO' -p156226 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p156227 -aS'shot\tshoot\tVBN\tB-VP\tO' -p156228 -aS'on\ton\tIN\tB-PP\tO' -p156229 -aS'hospital\thospital\tNN\tB-NP\tO' -p156230 -aS'day\tday\tNN\tI-NP\tO' -p156231 -aS'three\tthree\tCD\tI-NP\tO' -p156232 -aS',\t,\t,\tO\tO' -p156233 -aS'a\ta\tDT\tB-NP\tO' -p156234 -aS'mediastinum\tmediastinum\tNN\tI-NP\tO' -p156235 -aS'was\tbe\tVBD\tB-VP\tO' -p156236 -aS'noted\tnote\tVBN\tI-VP\tO' -p156237 -aS'.\t.\t.\tO\tO' -p156238 -asS'Vitamin K , 10 mg. , IM , q-week .' -p156239 -(lp156240 -S'Vitamin\tVitamin\tNN\tB-NP\tO' -p156241 -aS'K\tK\tNN\tI-NP\tO' -p156242 -aS',\t,\t,\tO\tO' -p156243 -aS'10\t10\tCD\tB-NP\tO' -p156244 -aS'mg.\tmg.\tNN\tI-NP\tO' -p156245 -aS',\t,\t,\tO\tO' -p156246 -aS'IM\tIM\tNN\tB-NP\tO' -p156247 -aS',\t,\t,\tO\tO' -p156248 -aS'q-week\tq-week\tNN\tB-NP\tO' -p156249 -aS'.\t.\t.\tO\tO' -p156250 -asS'3. Humalog insulin sliding scale with meals and at bedtime .' -p156251 -(lp156252 -S'3.\t3.\tLS\tB-NP\tO' -p156253 -aS'Humalog\tHumalog\tNN\tI-NP\tB-protein' -p156254 -aS'insulin\tinsulin\tNN\tI-NP\tI-protein' -p156255 -aS'sliding\tslide\tVBG\tB-VP\tO' -p156256 -aS'scale\tscale\tNN\tB-NP\tO' -p156257 -aS'with\twith\tIN\tB-PP\tO' -p156258 -aS'meals\tmeal\tNNS\tB-NP\tO' -p156259 -aS'and\tand\tCC\tB-PP\tO' -p156260 -aS'at\tat\tIN\tB-PP\tO' -p156261 -aS'bedtime\tbedtime\tNN\tB-NP\tO' -p156262 -aS'.\t.\t.\tO\tO' -p156263 -asS'Electrocardiogram showed atrial fibrillation with rapid ventricular response and atrial flutter .' -p156264 -(lp156265 -S'Electrocardiogram\tElectrocardiogram\tNN\tB-NP\tO' -p156266 -aS'showed\tshow\tVBD\tB-VP\tO' -p156267 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p156268 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p156269 -aS'with\twith\tIN\tB-PP\tO' -p156270 -aS'rapid\trapid\tJJ\tB-NP\tO' -p156271 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p156272 -aS'response\tresponse\tNN\tI-NP\tO' -p156273 -aS'and\tand\tCC\tO\tO' -p156274 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p156275 -aS'flutter\tflutter\tNN\tI-NP\tO' -p156276 -aS'.\t.\t.\tO\tO' -p156277 -asS'Dictated By : Levi G. Savage , M.D.' -p156278 -(lp156279 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p156280 -aS'By\tBy\tIN\tB-PP\tO' -p156281 -aS':\t:\t:\tO\tO' -p156282 -aS'Levi\tLevi\tNNP\tB-NP\tO' -p156283 -aS'G.\tG.\tNNP\tI-NP\tO' -p156284 -aS'Savage\tSavage\tNNP\tI-NP\tO' -p156285 -aS',\t,\t,\tO\tO' -p156286 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p156287 -asS'The abdominal tap was grossly positive for blood .' -p156288 -(lp156289 -S'The\tThe\tDT\tB-NP\tO' -p156290 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p156291 -aS'tap\ttap\tNN\tI-NP\tO' -p156292 -aS'was\tbe\tVBD\tB-VP\tO' -p156293 -aS'grossly\tgrossly\tRB\tB-ADJP\tO' -p156294 -aS'positive\tpositive\tJJ\tI-ADJP\tO' -p156295 -aS'for\tfor\tIN\tB-PP\tO' -p156296 -aS'blood\tblood\tNN\tB-NP\tO' -p156297 -aS'.\t.\t.\tO\tO' -p156298 -asS'He will call the Cardiology Division at Addison Gilbert Hospital Greenfield to schedule a follow-up with his cardiologist there within the next week .' -p156299 -(lp156300 -S'He\tHe\tPRP\tB-NP\tO' -p156301 -aS'will\twill\tMD\tB-VP\tO' -p156302 -aS'call\tcall\tVB\tI-VP\tO' -p156303 -aS'the\tthe\tDT\tB-NP\tO' -p156304 -aS'Cardiology\tCardiology\tNNP\tI-NP\tO' -p156305 -aS'Division\tDivision\tNNP\tI-NP\tO' -p156306 -aS'at\tat\tIN\tB-PP\tO' -p156307 -aS'Addison\tAddison\tNNP\tB-NP\tO' -p156308 -aS'Gilbert\tGilbert\tNNP\tI-NP\tO' -p156309 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p156310 -aS'Greenfield\tGreenfield\tNNP\tI-NP\tO' -p156311 -aS'to\tto\tTO\tB-VP\tO' -p156312 -aS'schedule\tschedule\tVB\tI-VP\tO' -p156313 -aS'a\ta\tDT\tB-NP\tO' -p156314 -aS'follow-up\tfollow-up\tNN\tI-NP\tO' -p156315 -aS'with\twith\tIN\tB-PP\tO' -p156316 -aS'his\this\tPRP$\tB-NP\tO' -p156317 -aS'cardiologist\tcardiologist\tNN\tI-NP\tO' -p156318 -aS'there\tthere\tRB\tB-ADVP\tO' -p156319 -aS'within\twithin\tIN\tB-PP\tO' -p156320 -aS'the\tthe\tDT\tB-NP\tO' -p156321 -aS'next\tnext\tJJ\tI-NP\tO' -p156322 -aS'week\tweek\tNN\tI-NP\tO' -p156323 -aS'.\t.\t.\tO\tO' -p156324 -asS'Cr 0.8 , stress incontinence by symptoms with increased cough , no evidence of uti , cont to closely monitor' -p156325 -(lp156326 -S'Cr\tCr\tNN\tB-NP\tO' -p156327 -aS'0.8\t0.8\tCD\tI-NP\tO' -p156328 -aS',\t,\t,\tO\tO' -p156329 -aS'stress\tstress\tNN\tB-NP\tO' -p156330 -aS'incontinence\tincontinence\tNN\tI-NP\tO' -p156331 -aS'by\tby\tIN\tB-PP\tO' -p156332 -aS'symptoms\tsymptom\tNNS\tB-NP\tO' -p156333 -aS'with\twith\tIN\tB-PP\tO' -p156334 -aS'increased\tincrease\tVBN\tB-NP\tO' -p156335 -aS'cough\tcough\tNN\tI-NP\tO' -p156336 -aS',\t,\t,\tO\tO' -p156337 -aS'no\tno\tDT\tB-NP\tO' -p156338 -aS'evidence\tevidence\tNN\tI-NP\tO' -p156339 -aS'of\tof\tIN\tB-PP\tO' -p156340 -aS'uti\tuti\tNNS\tB-NP\tO' -p156341 -aS',\t,\t,\tO\tO' -p156342 -aS'cont\tcont\tVBP\tB-VP\tO' -p156343 -aS'to\tto\tTO\tI-VP\tO' -p156344 -aS'closely\tclosely\tRB\tI-VP\tO' -p156345 -aS'monitor\tmonitor\tVB\tI-VP\tO' -p156346 -asS'PAF h/o rectal bleeding s/p cauterization' -p156347 -(lp156348 -S'PAF\tPAF\tNN\tB-NP\tB-protein' -p156349 -aS'h/o\th/o\tNN\tI-NP\tO' -p156350 -aS'rectal\trectal\tJJ\tI-NP\tO' -p156351 -aS'bleeding\tbleed\tVBG\tI-NP\tO' -p156352 -aS's/p\ts/p\tNN\tI-NP\tO' -p156353 -aS'cauterization\tcauterization\tNN\tI-NP\tO' -p156354 -asS'The patient was continued on his outpatient dose of Levothyroxine .' -p156355 -(lp156356 -S'The\tThe\tDT\tB-NP\tO' -p156357 -aS'patient\tpatient\tNN\tI-NP\tO' -p156358 -aS'was\tbe\tVBD\tB-VP\tO' -p156359 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p156360 -aS'on\ton\tIN\tB-PP\tO' -p156361 -aS'his\this\tPRP$\tB-NP\tO' -p156362 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p156363 -aS'dose\tdose\tNN\tI-NP\tO' -p156364 -aS'of\tof\tIN\tB-PP\tO' -p156365 -aS'Levothyroxine\tLevothyroxine\tNN\tB-NP\tO' -p156366 -aS'.\t.\t.\tO\tO' -p156367 -asS'Abdominal examination revealed an abdomen that is nondistended , nontender .' -p156368 -(lp156369 -S'Abdominal\tAbdominal\tJJ\tB-NP\tO' -p156370 -aS'examination\texamination\tNN\tI-NP\tO' -p156371 -aS'revealed\treveal\tVBD\tB-VP\tO' -p156372 -aS'an\tan\tDT\tB-NP\tO' -p156373 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p156374 -aS'that\tthat\tWDT\tB-NP\tO' -p156375 -aS'is\tbe\tVBZ\tB-VP\tO' -p156376 -aS'nondistended\tnondistended\tJJ\tB-ADJP\tO' -p156377 -aS',\t,\t,\tO\tO' -p156378 -aS'nontender\tnontender\tJJ\tB-ADJP\tO' -p156379 -aS'.\t.\t.\tO\tO' -p156380 -asS'On admission , temperature was 96.2 , blood pressure 150/80 , heart rate 92 , respiratory rate 16 .' -p156381 -(lp156382 -S'On\tOn\tIN\tB-PP\tO' -p156383 -aS'admission\tadmission\tNN\tB-NP\tO' -p156384 -aS',\t,\t,\tO\tO' -p156385 -aS'temperature\ttemperature\tNN\tB-NP\tO' -p156386 -aS'was\tbe\tVBD\tB-VP\tO' -p156387 -aS'96.2\t96.2\tCD\tB-NP\tO' -p156388 -aS',\t,\t,\tO\tO' -p156389 -aS'blood\tblood\tNN\tB-NP\tO' -p156390 -aS'pressure\tpressure\tNN\tI-NP\tO' -p156391 -aS'150/80\t150/80\tCD\tI-NP\tO' -p156392 -aS',\t,\t,\tO\tO' -p156393 -aS'heart\theart\tNN\tB-NP\tO' -p156394 -aS'rate\trate\tNN\tI-NP\tO' -p156395 -aS'92\t92\tCD\tI-NP\tO' -p156396 -aS',\t,\t,\tI-NP\tO' -p156397 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p156398 -aS'rate\trate\tNN\tI-NP\tO' -p156399 -aS'16\t16\tCD\tI-NP\tO' -p156400 -aS'.\t.\t.\tO\tO' -p156401 -asS'+ sensation , movment , pulses , some pain with ROM' -p156402 -(lp156403 -S'+\t+\tSYM\tO\tO' -p156404 -aS'sensation\tsensation\tNN\tB-NP\tO' -p156405 -aS',\t,\t,\tO\tO' -p156406 -aS'movment\tmovment\tNN\tB-NP\tO' -p156407 -aS',\t,\t,\tO\tO' -p156408 -aS'pulses\tpulse\tNNS\tB-NP\tO' -p156409 -aS',\t,\t,\tO\tO' -p156410 -aS'some\tsome\tDT\tB-NP\tO' -p156411 -aS'pain\tpain\tNN\tI-NP\tO' -p156412 -aS'with\twith\tIN\tB-PP\tO' -p156413 -aS'ROM\tROM\tNN\tB-NP\tO' -p156414 -asS'The patient was found to be allergic to Percocet and Percodan during his hospital course .' -p156415 -(lp156416 -S'The\tThe\tDT\tB-NP\tO' -p156417 -aS'patient\tpatient\tNN\tI-NP\tO' -p156418 -aS'was\tbe\tVBD\tB-VP\tO' -p156419 -aS'found\tfind\tVBN\tI-VP\tO' -p156420 -aS'to\tto\tTO\tI-VP\tO' -p156421 -aS'be\tbe\tVB\tI-VP\tO' -p156422 -aS'allergic\tallergic\tJJ\tB-ADJP\tO' -p156423 -aS'to\tto\tTO\tB-PP\tO' -p156424 -aS'Percocet\tPercocet\tNNP\tB-NP\tO' -p156425 -aS'and\tand\tCC\tI-NP\tO' -p156426 -aS'Percodan\tPercodan\tNNP\tI-NP\tO' -p156427 -aS'during\tduring\tIN\tB-PP\tO' -p156428 -aS'his\this\tPRP$\tB-NP\tO' -p156429 -aS'hospital\thospital\tNN\tI-NP\tO' -p156430 -aS'course\tcourse\tNN\tI-NP\tO' -p156431 -aS'.\t.\t.\tO\tO' -p156432 -asS'Heme - anemic .' -p156433 -(lp156434 -S'Heme\tHeme\tNN\tB-NP\tB-protein' -p156435 -aS'-\t-\tHYPH\tB-PP\tO' -p156436 -aS'anemic\tanemic\tJJ\tB-ADJP\tO' -p156437 -aS'.\t.\t.\tO\tO' -p156438 -asS'The patient is a 71-year-old police chief who presents with painless jaundice x1 day .' -p156439 -(lp156440 -S'The\tThe\tDT\tB-NP\tO' -p156441 -aS'patient\tpatient\tNN\tI-NP\tO' -p156442 -aS'is\tbe\tVBZ\tB-VP\tO' -p156443 -aS'a\ta\tDT\tB-NP\tO' -p156444 -aS'71-year-old\t71-year-old\tJJ\tI-NP\tO' -p156445 -aS'police\tpolice\tNN\tI-NP\tO' -p156446 -aS'chief\tchief\tNN\tI-NP\tO' -p156447 -aS'who\twho\tWP\tB-NP\tO' -p156448 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p156449 -aS'with\twith\tIN\tB-PP\tO' -p156450 -aS'painless\tpainless\tJJ\tB-NP\tO' -p156451 -aS'jaundice\tjaundice\tNN\tI-NP\tO' -p156452 -aS'x1\tx1\tNN\tI-NP\tO' -p156453 -aS'day\tday\tNN\tI-NP\tO' -p156454 -aS'.\t.\t.\tO\tO' -p156455 -asS"Nonoperative treatment was elected for the patient 's left clavicular fracture ." -p156456 -(lp156457 -S'Nonoperative\tNonoperative\tJJ\tB-NP\tO' -p156458 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p156459 -aS'was\tbe\tVBD\tB-VP\tO' -p156460 -aS'elected\telect\tVBN\tI-VP\tO' -p156461 -aS'for\tfor\tIN\tB-PP\tO' -p156462 -aS'the\tthe\tDT\tB-NP\tO' -p156463 -aS'patient\tpatient\tNN\tI-NP\tO' -p156464 -aS"'s\t's\tPOS\tB-NP\tO" -p156465 -aS'left\tleft\tJJ\tI-NP\tO' -p156466 -aS'clavicular\tclavicular\tJJ\tI-NP\tO' -p156467 -aS'fracture\tfracture\tNN\tI-NP\tO' -p156468 -aS'.\t.\t.\tO\tO' -p156469 -asS'hypertension .' -p156470 -(lp156471 -S'hypertension\thypertension\tNN\tB-NP\tO' -p156472 -aS'.\t.\t.\tO\tO' -p156473 -asS'On 05-04-92 she was evaluated by the neurology service , who recommended a CT scan , however no evidence of infarction was detected .' -p156474 -(lp156475 -S'On\tOn\tIN\tB-PP\tO' -p156476 -aS'05-04-92\t05-04-92\tCD\tB-NP\tO' -p156477 -aS'she\tshe\tPRP\tB-NP\tO' -p156478 -aS'was\tbe\tVBD\tB-VP\tO' -p156479 -aS'evaluated\tevaluate\tVBN\tI-VP\tO' -p156480 -aS'by\tby\tIN\tB-PP\tO' -p156481 -aS'the\tthe\tDT\tB-NP\tO' -p156482 -aS'neurology\tneurology\tNN\tI-NP\tO' -p156483 -aS'service\tservice\tNN\tI-NP\tO' -p156484 -aS',\t,\t,\tO\tO' -p156485 -aS'who\twho\tWP\tB-NP\tO' -p156486 -aS'recommended\trecommend\tVBD\tB-VP\tO' -p156487 -aS'a\ta\tDT\tB-NP\tO' -p156488 -aS'CT\tCT\tNN\tI-NP\tO' -p156489 -aS'scan\tscan\tNN\tI-NP\tO' -p156490 -aS',\t,\t,\tO\tO' -p156491 -aS'however\thowever\tRB\tB-NP\tO' -p156492 -aS'no\tno\tDT\tI-NP\tO' -p156493 -aS'evidence\tevidence\tNN\tI-NP\tO' -p156494 -aS'of\tof\tIN\tB-PP\tO' -p156495 -aS'infarction\tinfarction\tNN\tB-NP\tO' -p156496 -aS'was\tbe\tVBD\tB-VP\tO' -p156497 -aS'detected\tdetect\tVBN\tI-VP\tO' -p156498 -aS'.\t.\t.\tO\tO' -p156499 -asS'The patient received his bone marrow transplant on 06/12/00 .' -p156500 -(lp156501 -S'The\tThe\tDT\tB-NP\tO' -p156502 -aS'patient\tpatient\tNN\tI-NP\tO' -p156503 -aS'received\treceive\tVBD\tB-VP\tO' -p156504 -aS'his\this\tPRP$\tB-NP\tO' -p156505 -aS'bone\tbone\tNN\tI-NP\tO' -p156506 -aS'marrow\tmarrow\tNN\tI-NP\tO' -p156507 -aS'transplant\ttransplant\tNN\tI-NP\tO' -p156508 -aS'on\ton\tIN\tB-PP\tO' -p156509 -aS'06/12/00\t06/12/00\tCD\tB-NP\tO' -p156510 -aS'.\t.\t.\tO\tO' -p156511 -asS'Signed electronically by : DR. Ann Nguyen on : TUE 2017-06-27 8:40 AM' -p156512 -(lp156513 -S'Signed\tSign\tVBN\tB-VP\tO' -p156514 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p156515 -aS'by\tby\tIN\tB-PP\tO' -p156516 -aS':\t:\t:\tO\tO' -p156517 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p156518 -aS'Ann\tAnn\tNNP\tI-NP\tO' -p156519 -aS'Nguyen\tNguyen\tNNP\tI-NP\tO' -p156520 -aS'on\ton\tIN\tB-PP\tO' -p156521 -aS':\t:\t:\tO\tO' -p156522 -aS'TUE\tTUE\tNN\tB-NP\tO' -p156523 -aS'2017-06-27\t2017-06-27\tCD\tI-NP\tO' -p156524 -aS'8:40\t8:40\tCD\tI-NP\tO' -p156525 -aS'AM\tAM\tNN\tI-NP\tO' -p156526 -asS'He was a well appearing male in no acute distress .' -p156527 -(lp156528 -S'He\tHe\tPRP\tB-NP\tO' -p156529 -aS'was\tbe\tVBD\tB-VP\tO' -p156530 -aS'a\ta\tDT\tB-NP\tO' -p156531 -aS'well\twell\tRB\tI-NP\tO' -p156532 -aS'appearing\tappear\tVBG\tI-NP\tO' -p156533 -aS'male\tmale\tJJ\tB-ADJP\tO' -p156534 -aS'in\tin\tIN\tB-PP\tO' -p156535 -aS'no\tno\tDT\tB-NP\tO' -p156536 -aS'acute\tacute\tJJ\tI-NP\tO' -p156537 -aS'distress\tdistress\tNN\tI-NP\tO' -p156538 -aS'.\t.\t.\tO\tO' -p156539 -asS'HPI: Pt is a 71 y/o male with h/o dm2 , cad s/p cabg , DVT/PE on long term anti-coagulation , ulcerative colitis on Asacol presents with brbpr starting at 9am of the morning of admission .' -p156540 -(lp156541 -S'HPI:\tHPI:\tNN\tB-NP\tB-protein' -p156542 -aS'Pt\tPt\tNN\tI-NP\tI-protein' -p156543 -aS'is\tbe\tVBZ\tB-VP\tO' -p156544 -aS'a\ta\tDT\tB-NP\tO' -p156545 -aS'71\t71\tCD\tI-NP\tO' -p156546 -aS'y/o\ty/o\tNN\tI-NP\tO' -p156547 -aS'male\tmale\tJJ\tB-ADJP\tO' -p156548 -aS'with\twith\tIN\tB-PP\tO' -p156549 -aS'h/o\th/o\tNN\tB-NP\tO' -p156550 -aS'dm2\tdm2\tNN\tI-NP\tO' -p156551 -aS',\t,\t,\tO\tO' -p156552 -aS'cad\tcad\tNN\tB-NP\tO' -p156553 -aS's/p\ts/p\tNN\tI-NP\tO' -p156554 -aS'cabg\tcabg\tNN\tI-NP\tO' -p156555 -aS',\t,\t,\tO\tO' -p156556 -aS'DVT/PE\tDVT/PE\tNN\tB-NP\tO' -p156557 -aS'on\ton\tIN\tB-PP\tO' -p156558 -aS'long\tlong\tJJ\tB-NP\tO' -p156559 -aS'term\tterm\tNN\tI-NP\tO' -p156560 -aS'anti-coagulation\tanti-coagulation\tNN\tI-NP\tO' -p156561 -aS',\t,\t,\tO\tO' -p156562 -aS'ulcerative\tulcerative\tJJ\tB-NP\tO' -p156563 -aS'colitis\tcolitis\tNN\tI-NP\tO' -p156564 -aS'on\ton\tIN\tB-PP\tO' -p156565 -aS'Asacol\tAsacol\tNN\tB-NP\tO' -p156566 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p156567 -aS'with\twith\tIN\tB-PP\tO' -p156568 -aS'brbpr\tbrbpr\tNN\tB-NP\tO' -p156569 -aS'starting\tstart\tVBG\tB-VP\tO' -p156570 -aS'at\tat\tIN\tB-PP\tO' -p156571 -aS'9am\t9am\tNN\tB-NP\tO' -p156572 -aS'of\tof\tIN\tB-PP\tO' -p156573 -aS'the\tthe\tDT\tB-NP\tO' -p156574 -aS'morning\tmorning\tNN\tI-NP\tO' -p156575 -aS'of\tof\tIN\tB-PP\tO' -p156576 -aS'admission\tadmission\tNN\tB-NP\tO' -p156577 -aS'.\t.\t.\tO\tO' -p156578 -asS'Ultrasound was performed on 2014-04-01 demonstrating severe portal hypertension with massive peri splenic varices and splenorenal shunt .' -p156579 -(lp156580 -S'Ultrasound\tUltrasound\tNN\tB-NP\tO' -p156581 -aS'was\tbe\tVBD\tB-VP\tO' -p156582 -aS'performed\tperform\tVBN\tI-VP\tO' -p156583 -aS'on\ton\tIN\tB-PP\tO' -p156584 -aS'2014-04-01\t2014-04-01\tCD\tB-NP\tO' -p156585 -aS'demonstrating\tdemonstrate\tVBG\tB-VP\tO' -p156586 -aS'severe\tsevere\tJJ\tB-NP\tO' -p156587 -aS'portal\tportal\tJJ\tI-NP\tO' -p156588 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p156589 -aS'with\twith\tIN\tB-PP\tO' -p156590 -aS'massive\tmassive\tJJ\tB-NP\tO' -p156591 -aS'peri\tperi\tJJ\tI-NP\tO' -p156592 -aS'splenic\tsplenic\tJJ\tI-NP\tO' -p156593 -aS'varices\tvarix\tNNS\tI-NP\tO' -p156594 -aS'and\tand\tCC\tO\tO' -p156595 -aS'splenorenal\tsplenorenal\tJJ\tB-NP\tO' -p156596 -aS'shunt\tshunt\tNN\tI-NP\tO' -p156597 -aS'.\t.\t.\tO\tO' -p156598 -asS'The last hematocrit was on 05-16 of 54.5 .' -p156599 -(lp156600 -S'The\tThe\tDT\tB-NP\tO' -p156601 -aS'last\tlast\tJJ\tI-NP\tO' -p156602 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p156603 -aS'was\tbe\tVBD\tB-VP\tO' -p156604 -aS'on\ton\tIN\tB-PP\tO' -p156605 -aS'05-16\t05-16\tCD\tB-NP\tO' -p156606 -aS'of\tof\tIN\tB-PP\tO' -p156607 -aS'54.5\t54.5\tCD\tB-NP\tO' -p156608 -aS'.\t.\t.\tO\tO' -p156609 -asS'Responsible After Study for Causing Admission ) cellulitis' -p156610 -(lp156611 -S'Responsible\tResponsible\tJJ\tB-ADJP\tO' -p156612 -aS'After\tAfter\tIN\tB-PP\tO' -p156613 -aS'Study\tStudy\tNN\tB-NP\tO' -p156614 -aS'for\tfor\tIN\tB-PP\tO' -p156615 -aS'Causing\tCause\tVBG\tB-VP\tO' -p156616 -aS'Admission\tAdmission\tNN\tB-NP\tO' -p156617 -aS')\t)\t)\tO\tO' -p156618 -aS'cellulitis\tcellulitis\tNN\tB-NP\tO' -p156619 -asS'This is a 56-year-old menopausal female G3 , P3 who presented initially for evaluation of a pelvic mass while recently vacationing in An Saintcafield Terland .' -p156620 -(lp156621 -S'This\tThis\tDT\tB-NP\tO' -p156622 -aS'is\tbe\tVBZ\tB-VP\tO' -p156623 -aS'a\ta\tDT\tB-NP\tO' -p156624 -aS'56-year-old\t56-year-old\tJJ\tI-NP\tO' -p156625 -aS'menopausal\tmenopausal\tJJ\tI-NP\tO' -p156626 -aS'female\tfemale\tJJ\tI-NP\tO' -p156627 -aS'G3\tG3\tNN\tI-NP\tO' -p156628 -aS',\t,\t,\tO\tO' -p156629 -aS'P3\tP3\tNN\tB-NP\tB-DNA' -p156630 -aS'who\twho\tWP\tB-NP\tO' -p156631 -aS'presented\tpresent\tVBD\tB-VP\tO' -p156632 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p156633 -aS'for\tfor\tIN\tB-PP\tO' -p156634 -aS'evaluation\tevaluation\tNN\tB-NP\tO' -p156635 -aS'of\tof\tIN\tB-PP\tO' -p156636 -aS'a\ta\tDT\tB-NP\tO' -p156637 -aS'pelvic\tpelvic\tJJ\tI-NP\tO' -p156638 -aS'mass\tmass\tNN\tI-NP\tO' -p156639 -aS'while\twhile\tIN\tB-SBAR\tO' -p156640 -aS'recently\trecently\tRB\tB-ADVP\tO' -p156641 -aS'vacationing\tvacation\tVBG\tB-VP\tO' -p156642 -aS'in\tin\tIN\tB-PP\tO' -p156643 -aS'An\tAn\tNNP\tB-NP\tO' -p156644 -aS'Saintcafield\tSaintcafield\tNNP\tI-NP\tO' -p156645 -aS'Terland\tTerland\tNNP\tI-NP\tO' -p156646 -aS'.\t.\t.\tO\tO' -p156647 -asS'05-11- Blood cultures : no growth to date on 2/2 bottles' -p156648 -(lp156649 -S'05-11-\t05-11-\tCD\tB-NP\tO' -p156650 -aS'Blood\tBlood\tNNP\tI-NP\tO' -p156651 -aS'cultures\tculture\tNNS\tI-NP\tO' -p156652 -aS':\t:\t:\tO\tO' -p156653 -aS'no\tno\tDT\tB-NP\tO' -p156654 -aS'growth\tgrowth\tNN\tI-NP\tO' -p156655 -aS'to\tto\tTO\tB-PP\tO' -p156656 -aS'date\tdate\tNN\tB-NP\tO' -p156657 -aS'on\ton\tIN\tB-PP\tO' -p156658 -aS'2/2\t2/2\tCD\tB-NP\tO' -p156659 -aS'bottles\tbottle\tNNS\tI-NP\tO' -p156660 -asS'Her cardiac examination was unremarkable .' -p156661 -(lp156662 -S'Her\tHer\tPRP$\tB-NP\tO' -p156663 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p156664 -aS'examination\texamination\tNN\tI-NP\tO' -p156665 -aS'was\tbe\tVBD\tB-VP\tO' -p156666 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p156667 -aS'.\t.\t.\tO\tO' -p156668 -asS'3. Right ventricular chamber size is normal .' -p156669 -(lp156670 -S'3.\t3.\tLS\tB-NP\tO' -p156671 -aS'Right\tRight\tNN\tI-NP\tO' -p156672 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p156673 -aS'chamber\tchamber\tNN\tI-NP\tO' -p156674 -aS'size\tsize\tNN\tI-NP\tO' -p156675 -aS'is\tbe\tVBZ\tB-VP\tO' -p156676 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p156677 -aS'.\t.\t.\tO\tO' -p156678 -asS'ALT was elevated at 240 , AST 85 , LDH 305 , alk phos 85 , total bilirubin was 1.3 , direct bili was .8 .' -p156679 -(lp156680 -S'ALT\tALT\tNN\tB-NP\tB-protein' -p156681 -aS'was\tbe\tVBD\tB-VP\tO' -p156682 -aS'elevated\televate\tVBN\tI-VP\tO' -p156683 -aS'at\tat\tIN\tB-PP\tO' -p156684 -aS'240\t240\tCD\tB-NP\tO' -p156685 -aS',\t,\t,\tO\tO' -p156686 -aS'AST\tAST\tNN\tB-NP\tB-DNA' -p156687 -aS'85\t85\tCD\tI-NP\tI-DNA' -p156688 -aS',\t,\t,\tO\tO' -p156689 -aS'LDH\tLDH\tNN\tB-NP\tB-protein' -p156690 -aS'305\t305\tCD\tI-NP\tI-protein' -p156691 -aS',\t,\t,\tO\tO' -p156692 -aS'alk\talk\tNN\tB-NP\tO' -p156693 -aS'phos\tpho\tNNS\tI-NP\tO' -p156694 -aS'85\t85\tCD\tB-NP\tO' -p156695 -aS',\t,\t,\tO\tO' -p156696 -aS'total\ttotal\tJJ\tB-NP\tO' -p156697 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p156698 -aS'was\tbe\tVBD\tB-VP\tO' -p156699 -aS'1.3\t1.3\tCD\tB-NP\tO' -p156700 -aS',\t,\t,\tO\tO' -p156701 -aS'direct\tdirect\tJJ\tB-NP\tO' -p156702 -aS'bili\tbili\tNN\tI-NP\tO' -p156703 -aS'was\tbe\tVBD\tB-VP\tO' -p156704 -aS'.8\t.8\tCD\tB-NP\tO' -p156705 -aS'.\t.\t.\tO\tO' -p156706 -asS'Lungs : CTA bilaterally , no w/r/r' -p156707 -(lp156708 -S'Lungs\tLung\tNNS\tB-NP\tO' -p156709 -aS':\t:\t:\tO\tO' -p156710 -aS'CTA\tCTA\tNN\tB-NP\tB-protein' -p156711 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p156712 -aS',\t,\t,\tO\tO' -p156713 -aS'no\tno\tDT\tB-NP\tO' -p156714 -aS'w/r/r\tw/r/r\tNN\tI-NP\tO' -p156715 -asS'EKG LBBB NSR .' -p156716 -(lp156717 -S'EKG\tEKG\tNNP\tB-NP\tO' -p156718 -aS'LBBB\tLBBB\tNNP\tI-NP\tO' -p156719 -aS'NSR\tNSR\tNNP\tI-NP\tO' -p156720 -aS'.\t.\t.\tO\tO' -p156721 -asS'4. Peripheral vascular disease status post left iliac stent and right femoral stent .' -p156722 -(lp156723 -S'4.\t4.\tLS\tB-NP\tO' -p156724 -aS'Peripheral\tPeripheral\tJJ\tI-NP\tO' -p156725 -aS'vascular\tvascular\tJJ\tI-NP\tO' -p156726 -aS'disease\tdisease\tNN\tI-NP\tO' -p156727 -aS'status\tstatus\tNN\tI-NP\tO' -p156728 -aS'post\tpost\tNN\tI-NP\tO' -p156729 -aS'left\tleave\tVBD\tB-VP\tO' -p156730 -aS'iliac\tiliac\tJJ\tB-NP\tO' -p156731 -aS'stent\tstent\tJJ\tI-NP\tO' -p156732 -aS'and\tand\tCC\tI-NP\tO' -p156733 -aS'right\tright\tJJ\tI-NP\tO' -p156734 -aS'femoral\tfemoral\tJJ\tI-NP\tO' -p156735 -aS'stent\tstent\tNN\tI-NP\tO' -p156736 -aS'.\t.\t.\tO\tO' -p156737 -asS'Laboratories revealed white blood cell count was 12.7 , hematocrit was 32.4 , platelets were 140 , and mean cell volume was 80 .' -p156738 -(lp156739 -S'Laboratories\tLaboratory\tNNS\tB-NP\tO' -p156740 -aS'revealed\treveal\tVBD\tB-VP\tO' -p156741 -aS'white\twhite\tJJ\tB-NP\tO' -p156742 -aS'blood\tblood\tNN\tI-NP\tO' -p156743 -aS'cell\tcell\tNN\tI-NP\tO' -p156744 -aS'count\tcount\tNN\tI-NP\tO' -p156745 -aS'was\tbe\tVBD\tB-VP\tO' -p156746 -aS'12.7\t12.7\tCD\tB-NP\tO' -p156747 -aS',\t,\t,\tO\tO' -p156748 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p156749 -aS'was\tbe\tVBD\tB-VP\tI-protein' -p156750 -aS'32.4\t32.4\tCD\tB-NP\tI-protein' -p156751 -aS',\t,\t,\tO\tO' -p156752 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p156753 -aS'were\tbe\tVBD\tB-VP\tO' -p156754 -aS'140\t140\tCD\tB-NP\tO' -p156755 -aS',\t,\t,\tO\tO' -p156756 -aS'and\tand\tCC\tO\tO' -p156757 -aS'mean\tmean\tJJ\tB-NP\tO' -p156758 -aS'cell\tcell\tNN\tI-NP\tO' -p156759 -aS'volume\tvolume\tNN\tI-NP\tO' -p156760 -aS'was\tbe\tVBD\tB-VP\tO' -p156761 -aS'80\t80\tCD\tB-NP\tO' -p156762 -aS'.\t.\t.\tO\tO' -p156763 -asS'Nasal washings for influenza were negative ; culture pending .' -p156764 -(lp156765 -S'Nasal\tNasal\tJJ\tB-NP\tO' -p156766 -aS'washings\twashing\tNNS\tI-NP\tO' -p156767 -aS'for\tfor\tIN\tB-PP\tO' -p156768 -aS'influenza\tinfluenza\tNN\tB-NP\tO' -p156769 -aS'were\tbe\tVBD\tB-VP\tO' -p156770 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p156771 -aS';\t;\t:\tO\tO' -p156772 -aS'culture\tculture\tNN\tB-NP\tO' -p156773 -aS'pending\tpending\tNN\tI-NP\tO' -p156774 -aS'.\t.\t.\tO\tO' -p156775 -asS'4. Vancomycin 1 gm IV bid .' -p156776 -(lp156777 -S'4.\t4.\tLS\tB-LST\tO' -p156778 -aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' -p156779 -aS'1\t1\tCD\tI-NP\tO' -p156780 -aS'gm\tgm\tNN\tI-NP\tO' -p156781 -aS'IV\tIV\tCD\tB-NP\tO' -p156782 -aS'bid\tbid\tNN\tI-NP\tO' -p156783 -aS'.\t.\t.\tO\tO' -p156784 -asS'The patient continued to progress from cardiac rehabilitation and physical therapy standpoint while on the floor .' -p156785 -(lp156786 -S'The\tThe\tDT\tB-NP\tO' -p156787 -aS'patient\tpatient\tNN\tI-NP\tO' -p156788 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p156789 -aS'to\tto\tTO\tI-VP\tO' -p156790 -aS'progress\tprogress\tVB\tI-VP\tO' -p156791 -aS'from\tfrom\tIN\tB-PP\tO' -p156792 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p156793 -aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' -p156794 -aS'and\tand\tCC\tO\tO' -p156795 -aS'physical\tphysical\tJJ\tB-NP\tO' -p156796 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p156797 -aS'standpoint\tstandpoint\tNN\tI-NP\tO' -p156798 -aS'while\twhile\tIN\tB-SBAR\tO' -p156799 -aS'on\ton\tIN\tB-PP\tO' -p156800 -aS'the\tthe\tDT\tB-NP\tO' -p156801 -aS'floor\tfloor\tNN\tI-NP\tO' -p156802 -aS'.\t.\t.\tO\tO' -p156803 -asS'Question of Tyrone esophagus .' -p156804 -(lp156805 -S'Question\tQuestion\tNN\tB-NP\tO' -p156806 -aS'of\tof\tIN\tB-PP\tO' -p156807 -aS'Tyrone\tTyrone\tNN\tB-NP\tO' -p156808 -aS'esophagus\tesophagus\tNN\tI-NP\tO' -p156809 -aS'.\t.\t.\tO\tO' -p156810 -asS'The next day , she underwent a cardiac echo ( transthoracic echocardiogram ) .' -p156811 -(lp156812 -S'The\tThe\tDT\tB-NP\tO' -p156813 -aS'next\tnext\tJJ\tI-NP\tO' -p156814 -aS'day\tday\tNN\tI-NP\tO' -p156815 -aS',\t,\t,\tO\tO' -p156816 -aS'she\tshe\tPRP\tB-NP\tO' -p156817 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p156818 -aS'a\ta\tDT\tB-NP\tO' -p156819 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p156820 -aS'echo\techo\tNN\tI-NP\tO' -p156821 -aS'(\t(\t(\tO\tO' -p156822 -aS'transthoracic\ttransthoracic\tJJ\tB-NP\tO' -p156823 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p156824 -aS')\t)\t)\tO\tO' -p156825 -aS'.\t.\t.\tO\tO' -p156826 -asS'1) Please take all medications as listed in the discharge instructions .' -p156827 -(lp156828 -S'1)\t1)\tLS\tB-NP\tO' -p156829 -aS'Please\tPlease\tNN\tI-NP\tB-protein' -p156830 -aS'take\ttake\tVB\tB-VP\tO' -p156831 -aS'all\tall\tDT\tB-NP\tO' -p156832 -aS'medications\tmedication\tNNS\tI-NP\tO' -p156833 -aS'as\tas\tIN\tB-SBAR\tO' -p156834 -aS'listed\tlist\tVBN\tB-VP\tO' -p156835 -aS'in\tin\tIN\tB-PP\tO' -p156836 -aS'the\tthe\tDT\tB-NP\tO' -p156837 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p156838 -aS'instructions\tinstruction\tNNS\tI-NP\tO' -p156839 -aS'.\t.\t.\tO\tO' -p156840 -asS'The patient did well on postoperative day five and six .' -p156841 -(lp156842 -S'The\tThe\tDT\tB-NP\tO' -p156843 -aS'patient\tpatient\tNN\tI-NP\tO' -p156844 -aS'did\tdo\tVBD\tB-VP\tO' -p156845 -aS'well\twell\tRB\tB-ADVP\tO' -p156846 -aS'on\ton\tIN\tB-PP\tO' -p156847 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p156848 -aS'day\tday\tNN\tI-NP\tO' -p156849 -aS'five\tfive\tCD\tB-NP\tO' -p156850 -aS'and\tand\tCC\tI-NP\tO' -p156851 -aS'six\tsix\tCD\tI-NP\tO' -p156852 -aS'.\t.\t.\tO\tO' -p156853 -asS'Initial capillary blood gas was pH 7.29 , CO2 47 .' -p156854 -(lp156855 -S'Initial\tInitial\tJJ\tB-NP\tO' -p156856 -aS'capillary\tcapillary\tJJ\tI-NP\tO' -p156857 -aS'blood\tblood\tNN\tI-NP\tO' -p156858 -aS'gas\tgas\tNN\tI-NP\tO' -p156859 -aS'was\tbe\tVBD\tB-VP\tO' -p156860 -aS'pH\tpH\tNN\tB-NP\tO' -p156861 -aS'7.29\t7.29\tCD\tI-NP\tO' -p156862 -aS',\t,\t,\tO\tO' -p156863 -aS'CO2\tCO2\tNN\tB-NP\tO' -p156864 -aS'47\t47\tCD\tI-NP\tO' -p156865 -aS'.\t.\t.\tO\tO' -p156866 -asS'The patient became no longer neutropenic .' -p156867 -(lp156868 -S'The\tThe\tDT\tB-NP\tO' -p156869 -aS'patient\tpatient\tNN\tI-NP\tO' -p156870 -aS'became\tbecome\tVBD\tB-VP\tO' -p156871 -aS'no\tno\tRB\tB-ADJP\tO' -p156872 -aS'longer\tlonger\tRBR\tI-ADJP\tO' -p156873 -aS'neutropenic\tneutropenic\tJJ\tI-ADJP\tO' -p156874 -aS'.\t.\t.\tO\tO' -p156875 -asS'He reports that he felt fatigued during the week prior to the current admission .' -p156876 -(lp156877 -S'He\tHe\tPRP\tB-NP\tO' -p156878 -aS'reports\treport\tVBZ\tB-VP\tO' -p156879 -aS'that\tthat\tIN\tB-SBAR\tO' -p156880 -aS'he\the\tPRP\tB-NP\tO' -p156881 -aS'felt\tfeel\tVBD\tB-VP\tO' -p156882 -aS'fatigued\tfatigue\tVBN\tI-VP\tO' -p156883 -aS'during\tduring\tIN\tB-PP\tO' -p156884 -aS'the\tthe\tDT\tB-NP\tO' -p156885 -aS'week\tweek\tNN\tI-NP\tO' -p156886 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p156887 -aS'to\tto\tTO\tB-PP\tO' -p156888 -aS'the\tthe\tDT\tB-NP\tO' -p156889 -aS'current\tcurrent\tJJ\tI-NP\tO' -p156890 -aS'admission\tadmission\tNN\tI-NP\tO' -p156891 -aS'.\t.\t.\tO\tO' -p156892 -asS'On postoperative day three , lower extremity noninvasive ultrasounds were performed , which showed no evidence of deep venous thrombosis in the lower extremities .' -p156893 -(lp156894 -S'On\tOn\tIN\tB-PP\tO' -p156895 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p156896 -aS'day\tday\tNN\tI-NP\tO' -p156897 -aS'three\tthree\tCD\tI-NP\tO' -p156898 -aS',\t,\t,\tO\tO' -p156899 -aS'lower\tlow\tJJR\tB-NP\tO' -p156900 -aS'extremity\textremity\tNN\tI-NP\tO' -p156901 -aS'noninvasive\tnoninvasive\tJJ\tI-NP\tO' -p156902 -aS'ultrasounds\tultrasound\tNNS\tI-NP\tO' -p156903 -aS'were\tbe\tVBD\tB-VP\tO' -p156904 -aS'performed\tperform\tVBN\tI-VP\tO' -p156905 -aS',\t,\t,\tO\tO' -p156906 -aS'which\twhich\tWDT\tB-NP\tO' -p156907 -aS'showed\tshow\tVBD\tB-VP\tO' -p156908 -aS'no\tno\tDT\tB-NP\tO' -p156909 -aS'evidence\tevidence\tNN\tI-NP\tO' -p156910 -aS'of\tof\tIN\tB-PP\tO' -p156911 -aS'deep\tdeep\tJJ\tB-NP\tO' -p156912 -aS'venous\tvenous\tJJ\tI-NP\tO' -p156913 -aS'thrombosis\tthrombosis\tNN\tI-NP\tO' -p156914 -aS'in\tin\tIN\tB-PP\tO' -p156915 -aS'the\tthe\tDT\tB-NP\tO' -p156916 -aS'lower\tlow\tJJR\tI-NP\tO' -p156917 -aS'extremities\textremity\tNNS\tI-NP\tO' -p156918 -aS'.\t.\t.\tO\tO' -p156919 -asS'2. Sick Sinus Syndrome status post PM/ICD placement' -p156920 -(lp156921 -S'2.\t2.\tLS\tB-LST\tO' -p156922 -aS'Sick\tSick\tNNP\tB-NP\tO' -p156923 -aS'Sinus\tSinus\tNNP\tI-NP\tO' -p156924 -aS'Syndrome\tSyndrome\tNNP\tI-NP\tO' -p156925 -aS'status\tstatus\tNN\tI-NP\tO' -p156926 -aS'post\tpost\tNN\tI-NP\tO' -p156927 -aS'PM/ICD\tPM/ICD\tNN\tI-NP\tO' -p156928 -aS'placement\tplacement\tNN\tI-NP\tO' -p156929 -asS'His liver was 10 cm and was felt three finger breadths below the costal margin .' -p156930 -(lp156931 -S'His\tHis\tPRP$\tB-NP\tO' -p156932 -aS'liver\tliver\tNN\tI-NP\tO' -p156933 -aS'was\tbe\tVBD\tB-VP\tO' -p156934 -aS'10\t10\tCD\tB-NP\tO' -p156935 -aS'cm\tcm\tNN\tI-NP\tO' -p156936 -aS'and\tand\tCC\tO\tO' -p156937 -aS'was\tbe\tVBD\tB-VP\tO' -p156938 -aS'felt\tfeel\tVBN\tI-VP\tO' -p156939 -aS'three\tthree\tCD\tB-NP\tO' -p156940 -aS'finger\tfinger\tNN\tI-NP\tO' -p156941 -aS'breadths\tbreadth\tNNS\tI-NP\tO' -p156942 -aS'below\tbelow\tIN\tB-PP\tO' -p156943 -aS'the\tthe\tDT\tB-NP\tO' -p156944 -aS'costal\tcostal\tJJ\tI-NP\tO' -p156945 -aS'margin\tmargin\tNN\tI-NP\tO' -p156946 -aS'.\t.\t.\tO\tO' -p156947 -asS'He has a I / VI systolic murmur at the right upper sternal border .' -p156948 -(lp156949 -S'He\tHe\tPRP\tB-NP\tO' -p156950 -aS'has\thave\tVBZ\tB-VP\tO' -p156951 -aS'a\ta\tDT\tB-NP\tO' -p156952 -aS'I\tI\tNN\tI-NP\tO' -p156953 -aS'/\t/\tSYM\tB-NP\tO' -p156954 -aS'VI\tVI\tNN\tI-NP\tO' -p156955 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p156956 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p156957 -aS'at\tat\tIN\tB-PP\tO' -p156958 -aS'the\tthe\tDT\tB-NP\tO' -p156959 -aS'right\tright\tJJ\tI-NP\tO' -p156960 -aS'upper\tupper\tJJ\tI-NP\tO' -p156961 -aS'sternal\tsternal\tJJ\tI-NP\tO' -p156962 -aS'border\tborder\tNN\tI-NP\tO' -p156963 -aS'.\t.\t.\tO\tO' -p156964 -asS'L upper lip / L nostril abscess' -p156965 -(lp156966 -S'L\tL\tNN\tB-NP\tO' -p156967 -aS'upper\tupper\tJJ\tI-NP\tO' -p156968 -aS'lip\tlip\tNN\tI-NP\tO' -p156969 -aS'/\t/\tSYM\tB-NP\tO' -p156970 -aS'L\tL\tNN\tI-NP\tO' -p156971 -aS'nostril\tnostril\tNN\tI-NP\tO' -p156972 -aS'abscess\tabscess\tNN\tI-NP\tO' -p156973 -asS'Abdomen was otherwise soft and nontender .' -p156974 -(lp156975 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p156976 -aS'was\tbe\tVBD\tB-VP\tO' -p156977 -aS'otherwise\totherwise\tRB\tB-ADJP\tO' -p156978 -aS'soft\tsoft\tJJ\tI-ADJP\tO' -p156979 -aS'and\tand\tCC\tI-ADJP\tO' -p156980 -aS'nontender\tnontender\tJJ\tI-ADJP\tO' -p156981 -aS'.\t.\t.\tO\tO' -p156982 -asS'14. Acyclovir Sodium 500 mg Recon Soln Sig : 200mg Recon Solns Intravenous Q12H ( every 12 hours ) .' -p156983 -(lp156984 -S'14.\t14.\tLS\tB-NP\tO' -p156985 -aS'Acyclovir\tAcyclovir\tNNP\tI-NP\tO' -p156986 -aS'Sodium\tSodium\tNNP\tI-NP\tO' -p156987 -aS'500\t500\tCD\tI-NP\tO' -p156988 -aS'mg\tmg\tNN\tI-NP\tO' -p156989 -aS'Recon\tRecon\tNNP\tI-NP\tO' -p156990 -aS'Soln\tSoln\tNNP\tI-NP\tO' -p156991 -aS'Sig\tSig\tNNP\tI-NP\tO' -p156992 -aS':\t:\t:\tO\tO' -p156993 -aS'200mg\t200mg\tCD\tB-NP\tO' -p156994 -aS'Recon\tRecon\tNNP\tI-NP\tO' -p156995 -aS'Solns\tSolns\tNNP\tI-NP\tO' -p156996 -aS'Intravenous\tIntravenous\tJJ\tI-NP\tO' -p156997 -aS'Q12H\tQ12H\tNN\tI-NP\tO' -p156998 -aS'(\t(\t(\tO\tO' -p156999 -aS'every\tevery\tDT\tB-NP\tO' -p157000 -aS'12\t12\tCD\tI-NP\tO' -p157001 -aS'hours\thour\tNNS\tI-NP\tO' -p157002 -aS')\t)\t)\tO\tO' -p157003 -aS'.\t.\t.\tO\tO' -p157004 -asS'Her prothrombin time will be rechecked on August 27 by her primary care physician , Dr. Naka Gift .' -p157005 -(lp157006 -S'Her\tHer\tPRP$\tB-NP\tO' -p157007 -aS'prothrombin\tprothrombin\tNN\tI-NP\tO' -p157008 -aS'time\ttime\tNN\tI-NP\tO' -p157009 -aS'will\twill\tMD\tB-VP\tO' -p157010 -aS'be\tbe\tVB\tI-VP\tO' -p157011 -aS'rechecked\trechecke\tVBN\tI-VP\tO' -p157012 -aS'on\ton\tIN\tB-PP\tO' -p157013 -aS'August\tAugust\tNNP\tB-NP\tO' -p157014 -aS'27\t27\tCD\tI-NP\tO' -p157015 -aS'by\tby\tIN\tB-PP\tO' -p157016 -aS'her\ther\tPRP$\tB-NP\tO' -p157017 -aS'primary\tprimary\tJJ\tI-NP\tO' -p157018 -aS'care\tcare\tNN\tI-NP\tO' -p157019 -aS'physician\tphysician\tNN\tI-NP\tO' -p157020 -aS',\t,\t,\tO\tO' -p157021 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p157022 -aS'Naka\tNaka\tNNP\tI-NP\tO' -p157023 -aS'Gift\tGift\tNNP\tI-NP\tO' -p157024 -aS'.\t.\t.\tO\tO' -p157025 -asS'She lost contaol of her car , she hit the Barnes rails then the car stopped .' -p157026 -(lp157027 -S'She\tShe\tPRP\tB-NP\tO' -p157028 -aS'lost\tlose\tVBD\tB-VP\tO' -p157029 -aS'contaol\tcontaol\tNN\tB-NP\tO' -p157030 -aS'of\tof\tIN\tB-PP\tO' -p157031 -aS'her\ther\tPRP$\tB-NP\tO' -p157032 -aS'car\tcar\tNN\tI-NP\tB-protein' -p157033 -aS',\t,\t,\tO\tO' -p157034 -aS'she\tshe\tPRP\tB-NP\tO' -p157035 -aS'hit\thit\tVBD\tB-VP\tO' -p157036 -aS'the\tthe\tDT\tB-NP\tO' -p157037 -aS'Barnes\tBarnes\tNNP\tI-NP\tO' -p157038 -aS'rails\trail\tVBZ\tB-VP\tO' -p157039 -aS'then\tthen\tRB\tB-ADVP\tO' -p157040 -aS'the\tthe\tDT\tB-NP\tO' -p157041 -aS'car\tcar\tNN\tI-NP\tO' -p157042 -aS'stopped\tstop\tVBD\tB-VP\tO' -p157043 -aS'.\t.\t.\tO\tO' -p157044 -asS'Currently on Nasal cannula 02 + hemodymamically stable .' -p157045 -(lp157046 -S'Currently\tCurrently\tRB\tB-ADVP\tO' -p157047 -aS'on\ton\tIN\tB-PP\tO' -p157048 -aS'Nasal\tNasal\tJJ\tB-NP\tO' -p157049 -aS'cannula\tcannula\tNN\tI-NP\tO' -p157050 -aS'02\t02\tCD\tI-NP\tO' -p157051 -aS'+\t+\tSYM\tO\tO' -p157052 -aS'hemodymamically\themodymamically\tRB\tB-ADJP\tO' -p157053 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p157054 -aS'.\t.\t.\tO\tO' -p157055 -asS'Her hematocrit was 34.2 and stable from her preoperative value .' -p157056 -(lp157057 -S'Her\tHer\tPRP$\tB-NP\tO' -p157058 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p157059 -aS'was\tbe\tVBD\tB-VP\tO' -p157060 -aS'34.2\t34.2\tCD\tB-NP\tO' -p157061 -aS'and\tand\tCC\tO\tO' -p157062 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p157063 -aS'from\tfrom\tIN\tB-PP\tO' -p157064 -aS'her\ther\tPRP$\tB-NP\tO' -p157065 -aS'preoperative\tpreoperative\tJJ\tI-NP\tO' -p157066 -aS'value\tvalue\tNN\tI-NP\tO' -p157067 -aS'.\t.\t.\tO\tO' -p157068 -asS'It appears from the Discharge summary that the patient was placed on Unasyn 3 grams intravenously every six hours after his ERCP .' -p157069 -(lp157070 -S'It\tIt\tPRP\tB-NP\tO' -p157071 -aS'appears\tappear\tVBZ\tB-VP\tO' -p157072 -aS'from\tfrom\tIN\tB-PP\tO' -p157073 -aS'the\tthe\tDT\tB-NP\tO' -p157074 -aS'Discharge\tDischarge\tNNP\tI-NP\tO' -p157075 -aS'summary\tsummary\tNN\tI-NP\tO' -p157076 -aS'that\tthat\tIN\tB-SBAR\tO' -p157077 -aS'the\tthe\tDT\tB-NP\tO' -p157078 -aS'patient\tpatient\tNN\tI-NP\tO' -p157079 -aS'was\tbe\tVBD\tB-VP\tO' -p157080 -aS'placed\tplace\tVBN\tI-VP\tO' -p157081 -aS'on\ton\tIN\tB-PP\tO' -p157082 -aS'Unasyn\tUnasyn\tNN\tB-NP\tO' -p157083 -aS'3\t3\tCD\tI-NP\tO' -p157084 -aS'grams\tgram\tNNS\tI-NP\tO' -p157085 -aS'intravenously\tintravenously\tRB\tB-NP\tO' -p157086 -aS'every\tevery\tDT\tI-NP\tO' -p157087 -aS'six\tsix\tCD\tI-NP\tO' -p157088 -aS'hours\thour\tNNS\tI-NP\tO' -p157089 -aS'after\tafter\tIN\tB-PP\tO' -p157090 -aS'his\this\tPRP$\tB-NP\tO' -p157091 -aS'ERCP\tERCP\tNN\tI-NP\tB-protein' -p157092 -aS'.\t.\t.\tO\tO' -p157093 -asS'Her hematocrit remained stable in the low to mid 30 's and she did not require a transfusion .' -p157094 -(lp157095 -S'Her\tHer\tPRP$\tB-NP\tO' -p157096 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p157097 -aS'remained\tremain\tVBD\tB-VP\tO' -p157098 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p157099 -aS'in\tin\tIN\tB-PP\tO' -p157100 -aS'the\tthe\tDT\tB-NP\tO' -p157101 -aS'low\tlow\tJJ\tI-NP\tO' -p157102 -aS'to\tto\tTO\tB-VP\tO' -p157103 -aS'mid\tmid\tVB\tI-VP\tO' -p157104 -aS'30\t30\tCD\tB-NP\tO' -p157105 -aS''s\t'\tNNS\tI-NP\tO' -p157106 -aS'and\tand\tCC\tO\tO' -p157107 -aS'she\tshe\tPRP\tB-NP\tO' -p157108 -aS'did\tdo\tVBD\tB-VP\tO' -p157109 -aS'not\tnot\tRB\tI-VP\tO' -p157110 -aS'require\trequire\tVB\tI-VP\tO' -p157111 -aS'a\ta\tDT\tB-NP\tO' -p157112 -aS'transfusion\ttransfusion\tNN\tI-NP\tO' -p157113 -aS'.\t.\t.\tO\tO' -p157114 -asS'An ERCP was also done , showing a filling defect from a narrowed donor duct , but no strictures .' -p157115 -(lp157116 -S'An\tAn\tDT\tB-NP\tO' -p157117 -aS'ERCP\tERCP\tNN\tI-NP\tB-protein' -p157118 -aS'was\tbe\tVBD\tB-VP\tO' -p157119 -aS'also\talso\tRB\tI-VP\tO' -p157120 -aS'done\tdo\tVBN\tI-VP\tO' -p157121 -aS',\t,\t,\tO\tO' -p157122 -aS'showing\tshow\tVBG\tB-VP\tO' -p157123 -aS'a\ta\tDT\tB-NP\tO' -p157124 -aS'filling\tfilling\tNN\tI-NP\tO' -p157125 -aS'defect\tdefect\tNN\tI-NP\tO' -p157126 -aS'from\tfrom\tIN\tB-PP\tO' -p157127 -aS'a\ta\tDT\tB-NP\tO' -p157128 -aS'narrowed\tnarrow\tVBN\tI-NP\tO' -p157129 -aS'donor\tdonor\tNN\tI-NP\tO' -p157130 -aS'duct\tduct\tNN\tI-NP\tO' -p157131 -aS',\t,\t,\tO\tO' -p157132 -aS'but\tbut\tCC\tO\tO' -p157133 -aS'no\tno\tDT\tB-NP\tO' -p157134 -aS'strictures\tstricture\tNNS\tI-NP\tO' -p157135 -aS'.\t.\t.\tO\tO' -p157136 -asS'EEG was w/o evidence of epileptiform activity and c/w toxic encephalopathy .' -p157137 -(lp157138 -S'EEG\tEEG\tNN\tB-NP\tB-protein' -p157139 -aS'was\tbe\tVBD\tB-VP\tO' -p157140 -aS'w/o\tw/o\tJJ\tB-NP\tO' -p157141 -aS'evidence\tevidence\tNN\tI-NP\tO' -p157142 -aS'of\tof\tIN\tB-PP\tO' -p157143 -aS'epileptiform\tepileptiform\tNN\tB-NP\tO' -p157144 -aS'activity\tactivity\tNN\tI-NP\tO' -p157145 -aS'and\tand\tCC\tO\tO' -p157146 -aS'c/w\tc/w\tNN\tB-NP\tO' -p157147 -aS'toxic\ttoxic\tJJ\tI-NP\tO' -p157148 -aS'encephalopathy\tencephalopathy\tNN\tI-NP\tO' -p157149 -aS'.\t.\t.\tO\tO' -p157150 -asS'S/P Exploratory laparotomy , resection of small intestine with primary anastomosis , Sigmoid colectomy , repair of colovesicular fistula' -p157151 -(lp157152 -S'S/P\tS/P\tNN\tB-NP\tO' -p157153 -aS'Exploratory\tExploratory\tNN\tI-NP\tO' -p157154 -aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' -p157155 -aS',\t,\t,\tO\tO' -p157156 -aS'resection\tresection\tNN\tB-NP\tO' -p157157 -aS'of\tof\tIN\tB-PP\tO' -p157158 -aS'small\tsmall\tJJ\tB-NP\tO' -p157159 -aS'intestine\tintestine\tNN\tI-NP\tO' -p157160 -aS'with\twith\tIN\tB-PP\tO' -p157161 -aS'primary\tprimary\tJJ\tB-NP\tO' -p157162 -aS'anastomosis\tanastomosis\tNN\tI-NP\tO' -p157163 -aS',\t,\t,\tO\tO' -p157164 -aS'Sigmoid\tSigmoid\tJJ\tB-NP\tO' -p157165 -aS'colectomy\tcolectomy\tNN\tI-NP\tO' -p157166 -aS',\t,\t,\tO\tO' -p157167 -aS'repair\trepair\tNN\tB-NP\tO' -p157168 -aS'of\tof\tIN\tB-PP\tO' -p157169 -aS'colovesicular\tcolovesicular\tJJ\tB-NP\tO' -p157170 -aS'fistula\tfistula\tNNS\tI-NP\tO' -p157171 -asS'She was ambulating by postoperative day number two .' -p157172 -(lp157173 -S'She\tShe\tPRP\tB-NP\tO' -p157174 -aS'was\tbe\tVBD\tB-VP\tO' -p157175 -aS'ambulating\tambulate\tVBG\tI-VP\tO' -p157176 -aS'by\tby\tIN\tB-PP\tO' -p157177 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p157178 -aS'day\tday\tNN\tI-NP\tO' -p157179 -aS'number\tnumber\tNN\tI-NP\tO' -p157180 -aS'two\ttwo\tCD\tI-NP\tO' -p157181 -aS'.\t.\t.\tO\tO' -p157182 -asS'The Neonatal Intensive Care Unit was notified and the baby was transferred to the Newborn Intensive Care Unit for further evaluation .' -p157183 -(lp157184 -S'The\tThe\tDT\tB-NP\tO' -p157185 -aS'Neonatal\tNeonatal\tNNP\tI-NP\tO' -p157186 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p157187 -aS'Care\tCare\tNNP\tI-NP\tO' -p157188 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p157189 -aS'was\tbe\tVBD\tB-VP\tO' -p157190 -aS'notified\tnotify\tVBN\tI-VP\tO' -p157191 -aS'and\tand\tCC\tO\tO' -p157192 -aS'the\tthe\tDT\tB-NP\tO' -p157193 -aS'baby\tbaby\tNN\tI-NP\tO' -p157194 -aS'was\tbe\tVBD\tB-VP\tO' -p157195 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p157196 -aS'to\tto\tTO\tB-PP\tO' -p157197 -aS'the\tthe\tDT\tB-NP\tO' -p157198 -aS'Newborn\tNewborn\tNNP\tI-NP\tO' -p157199 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p157200 -aS'Care\tCare\tNNP\tI-NP\tO' -p157201 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p157202 -aS'for\tfor\tIN\tB-PP\tO' -p157203 -aS'further\tfurther\tJJ\tB-NP\tO' -p157204 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p157205 -aS'.\t.\t.\tO\tO' -p157206 -asS'Insulin NPH 2 units Subcutaneous twice a day .' -p157207 -(lp157208 -S'Insulin\tInsulin\tNN\tB-NP\tB-protein' -p157209 -aS'NPH\tNPH\tNN\tI-NP\tI-protein' -p157210 -aS'2\t2\tCD\tB-NP\tI-protein' -p157211 -aS'units\tunit\tNNS\tI-NP\tI-protein' -p157212 -aS'Subcutaneous\tSubcutaneous\tJJ\tB-ADJP\tO' -p157213 -aS'twice\ttwice\tRB\tB-NP\tO' -p157214 -aS'a\ta\tDT\tI-NP\tO' -p157215 -aS'day\tday\tNN\tI-NP\tO' -p157216 -aS'.\t.\t.\tO\tO' -p157217 -asS'Continued on asa , bblocker , Hicks , statin , plavix .' -p157218 -(lp157219 -S'Continued\tContinue\tVBN\tB-VP\tO' -p157220 -aS'on\ton\tIN\tB-PP\tO' -p157221 -aS'asa\tasa\tNN\tB-NP\tO' -p157222 -aS',\t,\t,\tO\tO' -p157223 -aS'bblocker\tbblocker\tNN\tB-NP\tO' -p157224 -aS',\t,\t,\tO\tO' -p157225 -aS'Hicks\tHick\tNNS\tB-NP\tO' -p157226 -aS',\t,\t,\tO\tO' -p157227 -aS'statin\tstatin\tNN\tB-NP\tO' -p157228 -aS',\t,\t,\tO\tO' -p157229 -aS'plavix\tplavix\tNN\tB-NP\tO' -p157230 -aS'.\t.\t.\tO\tO' -p157231 -asS'No known drug allergies .' -p157232 -(lp157233 -S'No\tNo\tDT\tB-NP\tO' -p157234 -aS'known\tknow\tVBN\tI-NP\tO' -p157235 -aS'drug\tdrug\tNN\tI-NP\tO' -p157236 -aS'allergies\tallergy\tNNS\tI-NP\tO' -p157237 -aS'.\t.\t.\tO\tO' -p157238 -asS'Images demonstrate diffusely small caliber vasculature consistent with shock .' -p157239 -(lp157240 -S'Images\tImage\tNNS\tB-NP\tO' -p157241 -aS'demonstrate\tdemonstrate\tVBP\tB-VP\tO' -p157242 -aS'diffusely\tdiffusely\tRB\tB-NP\tO' -p157243 -aS'small\tsmall\tJJ\tI-NP\tO' -p157244 -aS'caliber\tcaliber\tNN\tI-NP\tO' -p157245 -aS'vasculature\tvasculature\tNN\tI-NP\tO' -p157246 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p157247 -aS'with\twith\tIN\tB-PP\tO' -p157248 -aS'shock\tshock\tNN\tB-NP\tO' -p157249 -aS'.\t.\t.\tO\tO' -p157250 -asS'The patient was admitted for work-up of his cholestatic jaundice picture along with work-up for his pulmonary process and treatment of both .' -p157251 -(lp157252 -S'The\tThe\tDT\tB-NP\tO' -p157253 -aS'patient\tpatient\tNN\tI-NP\tO' -p157254 -aS'was\tbe\tVBD\tB-VP\tO' -p157255 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p157256 -aS'for\tfor\tIN\tB-PP\tO' -p157257 -aS'work-up\twork-up\tNN\tB-NP\tO' -p157258 -aS'of\tof\tIN\tB-PP\tO' -p157259 -aS'his\this\tPRP$\tB-NP\tO' -p157260 -aS'cholestatic\tcholestatic\tJJ\tI-NP\tO' -p157261 -aS'jaundice\tjaundice\tNN\tI-NP\tO' -p157262 -aS'picture\tpicture\tNN\tI-NP\tO' -p157263 -aS'along\talong\tIN\tB-PP\tO' -p157264 -aS'with\twith\tIN\tB-PP\tO' -p157265 -aS'work-up\twork-up\tNN\tB-NP\tO' -p157266 -aS'for\tfor\tIN\tB-PP\tO' -p157267 -aS'his\this\tPRP$\tB-NP\tO' -p157268 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p157269 -aS'process\tprocess\tNN\tI-NP\tO' -p157270 -aS'and\tand\tCC\tI-NP\tO' -p157271 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p157272 -aS'of\tof\tIN\tB-PP\tO' -p157273 -aS'both\tboth\tDT\tB-NP\tO' -p157274 -aS'.\t.\t.\tO\tO' -p157275 -asS'She will complete a 14 day course of levofloxacin for her bacteremia on 2019-07-30 .' -p157276 -(lp157277 -S'She\tShe\tPRP\tB-NP\tO' -p157278 -aS'will\twill\tMD\tB-VP\tO' -p157279 -aS'complete\tcomplete\tVB\tI-VP\tO' -p157280 -aS'a\ta\tDT\tB-NP\tO' -p157281 -aS'14\t14\tCD\tI-NP\tO' -p157282 -aS'day\tday\tNN\tI-NP\tO' -p157283 -aS'course\tcourse\tNN\tI-NP\tO' -p157284 -aS'of\tof\tIN\tB-PP\tO' -p157285 -aS'levofloxacin\tlevofloxacin\tNN\tB-NP\tO' -p157286 -aS'for\tfor\tIN\tB-PP\tO' -p157287 -aS'her\ther\tPRP$\tB-NP\tO' -p157288 -aS'bacteremia\tbacteremia\tNN\tI-NP\tO' -p157289 -aS'on\ton\tIN\tB-PP\tO' -p157290 -aS'2019-07-30\t2019-07-30\tCD\tB-NP\tO' -p157291 -aS'.\t.\t.\tO\tO' -p157292 -asS'He is very active .' -p157293 -(lp157294 -S'He\tHe\tPRP\tB-NP\tO' -p157295 -aS'is\tbe\tVBZ\tB-VP\tO' -p157296 -aS'very\tvery\tRB\tB-ADJP\tO' -p157297 -aS'active\tactive\tJJ\tI-ADJP\tO' -p157298 -aS'.\t.\t.\tO\tO' -p157299 -asS'PT was 12.9 .' -p157300 -(lp157301 -S'PT\tPT\tNN\tB-NP\tO' -p157302 -aS'was\tbe\tVBD\tB-VP\tO' -p157303 -aS'12.9\t12.9\tCD\tB-NP\tO' -p157304 -aS'.\t.\t.\tO\tO' -p157305 -asS'A surgicel dressing was placed and prolonged pressure resulted in resolution of the bleeding .' -p157306 -(lp157307 -S'A\tA\tDT\tB-NP\tO' -p157308 -aS'surgicel\tsurgicel\tNN\tI-NP\tO' -p157309 -aS'dressing\tdressing\tNN\tI-NP\tO' -p157310 -aS'was\tbe\tVBD\tB-VP\tO' -p157311 -aS'placed\tplace\tVBN\tI-VP\tO' -p157312 -aS'and\tand\tCC\tO\tO' -p157313 -aS'prolonged\tprolong\tVBN\tB-NP\tO' -p157314 -aS'pressure\tpressure\tNN\tI-NP\tO' -p157315 -aS'resulted\tresult\tVBD\tB-VP\tO' -p157316 -aS'in\tin\tIN\tB-PP\tO' -p157317 -aS'resolution\tresolution\tNN\tB-NP\tO' -p157318 -aS'of\tof\tIN\tB-PP\tO' -p157319 -aS'the\tthe\tDT\tB-NP\tO' -p157320 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p157321 -aS'.\t.\t.\tO\tO' -p157322 -asS'NAD .' -p157323 -(lp157324 -S'NAD\tNAD\tNN\tB-NP\tO' -p157325 -aS'.\t.\t.\tO\tO' -p157326 -asS'For this , we have given her 10 mg of hydralazine .' -p157327 -(lp157328 -S'For\tFor\tIN\tB-PP\tO' -p157329 -aS'this\tthis\tDT\tB-NP\tO' -p157330 -aS',\t,\t,\tO\tO' -p157331 -aS'we\twe\tPRP\tB-NP\tO' -p157332 -aS'have\thave\tVBP\tB-VP\tO' -p157333 -aS'given\tgive\tVBN\tI-VP\tO' -p157334 -aS'her\ther\tPRP$\tB-NP\tO' -p157335 -aS'10\t10\tCD\tI-NP\tO' -p157336 -aS'mg\tmg\tNN\tI-NP\tO' -p157337 -aS'of\tof\tIN\tB-PP\tO' -p157338 -aS'hydralazine\thydralazine\tNN\tB-NP\tO' -p157339 -aS'.\t.\t.\tO\tO' -p157340 -asS'Her BP was then noted to be decreased at 80/40 which improved mildly to 90/30 with 1.5L of NS .' -p157341 -(lp157342 -S'Her\tHer\tPRP$\tB-NP\tB-protein' -p157343 -aS'BP\tBP\tNN\tI-NP\tI-protein' -p157344 -aS'was\tbe\tVBD\tB-VP\tO' -p157345 -aS'then\tthen\tRB\tI-VP\tO' -p157346 -aS'noted\tnote\tVBN\tI-VP\tO' -p157347 -aS'to\tto\tTO\tI-VP\tO' -p157348 -aS'be\tbe\tVB\tI-VP\tO' -p157349 -aS'decreased\tdecrease\tVBN\tI-VP\tO' -p157350 -aS'at\tat\tIN\tB-PP\tO' -p157351 -aS'80/40\t80/40\tCD\tB-NP\tO' -p157352 -aS'which\twhich\tWDT\tB-NP\tO' -p157353 -aS'improved\timprove\tVBD\tB-VP\tO' -p157354 -aS'mildly\tmildly\tRB\tB-ADVP\tO' -p157355 -aS'to\tto\tTO\tB-PP\tO' -p157356 -aS'90/30\t90/30\tCD\tB-NP\tO' -p157357 -aS'with\twith\tIN\tB-PP\tO' -p157358 -aS'1.5L\t1.5L\tNN\tB-NP\tO' -p157359 -aS'of\tof\tIN\tB-PP\tO' -p157360 -aS'NS\tNS\tNN\tB-NP\tB-protein' -p157361 -aS'.\t.\t.\tO\tO' -p157362 -asS'There is no pneumothorax .' -p157363 -(lp157364 -S'There\tThere\tEX\tB-NP\tO' -p157365 -aS'is\tbe\tVBZ\tB-VP\tO' -p157366 -aS'no\tno\tDT\tB-NP\tO' -p157367 -aS'pneumothorax\tpneumothorax\tNN\tI-NP\tO' -p157368 -aS'.\t.\t.\tO\tO' -p157369 -asS'After being transferred to the floor , the patient did well .' -p157370 -(lp157371 -S'After\tAfter\tIN\tB-PP\tO' -p157372 -aS'being\tbe\tVBG\tB-VP\tO' -p157373 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p157374 -aS'to\tto\tTO\tB-PP\tO' -p157375 -aS'the\tthe\tDT\tB-NP\tO' -p157376 -aS'floor\tfloor\tNN\tI-NP\tO' -p157377 -aS',\t,\t,\tO\tO' -p157378 -aS'the\tthe\tDT\tB-NP\tO' -p157379 -aS'patient\tpatient\tNN\tI-NP\tO' -p157380 -aS'did\tdo\tVBD\tB-VP\tO' -p157381 -aS'well\twell\tRB\tB-ADVP\tO' -p157382 -aS'.\t.\t.\tO\tO' -p157383 -asS'On 07-24 , he had an emesis x 1 , and had aspiration pneumonia ( + interstital markings on the left on CXR , fever , leukocytosis ) .' -p157384 -(lp157385 -S'On\tOn\tIN\tB-PP\tO' -p157386 -aS'07-24\t07-24\tCD\tB-NP\tO' -p157387 -aS',\t,\t,\tO\tO' -p157388 -aS'he\the\tPRP\tB-NP\tO' -p157389 -aS'had\thave\tVBD\tB-VP\tO' -p157390 -aS'an\tan\tDT\tB-NP\tO' -p157391 -aS'emesis\temesis\tNN\tI-NP\tO' -p157392 -aS'x\tx\tNN\tI-NP\tO' -p157393 -aS'1\t1\tCD\tI-NP\tO' -p157394 -aS',\t,\t,\tO\tO' -p157395 -aS'and\tand\tCC\tO\tO' -p157396 -aS'had\thave\tVBD\tB-VP\tO' -p157397 -aS'aspiration\taspiration\tNN\tB-NP\tO' -p157398 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p157399 -aS'(\t(\t(\tO\tO' -p157400 -aS'+\t+\tSYM\tB-NP\tO' -p157401 -aS'interstital\tinterstital\tJJ\tI-NP\tO' -p157402 -aS'markings\tmarking\tNNS\tI-NP\tO' -p157403 -aS'on\ton\tIN\tB-PP\tO' -p157404 -aS'the\tthe\tDT\tB-NP\tO' -p157405 -aS'left\tleft\tNN\tI-NP\tO' -p157406 -aS'on\ton\tIN\tB-PP\tO' -p157407 -aS'CXR\tCXR\tNN\tB-NP\tB-protein' -p157408 -aS',\t,\t,\tO\tO' -p157409 -aS'fever\tfever\tNN\tB-NP\tO' -p157410 -aS',\t,\t,\tO\tO' -p157411 -aS'leukocytosis\tleukocytosis\tNN\tB-NP\tO' -p157412 -aS')\t)\t)\tO\tO' -p157413 -aS'.\t.\t.\tO\tO' -p157414 -asS'Early Labor / Rule Out Labor' -p157415 -(lp157416 -S'Early\tEarly\tRB\tB-NP\tO' -p157417 -aS'Labor\tLabor\tNN\tI-NP\tO' -p157418 -aS'/\t/\tSYM\tB-NP\tO' -p157419 -aS'Rule\tRule\tNN\tI-NP\tO' -p157420 -aS'Out\tOut\tNNP\tI-NP\tO' -p157421 -aS'Labor\tLabor\tNNP\tI-NP\tO' -p157422 -asS'Coronary - irregular PVCs , S1 , S2 normal , positive systolic murmur at the left upper sternal border radiating throughout .' -p157423 -(lp157424 -S'Coronary\tCoronary\tJJ\tB-NP\tO' -p157425 -aS'-\t-\tHYPH\tI-NP\tO' -p157426 -aS'irregular\tirregular\tJJ\tI-NP\tO' -p157427 -aS'PVCs\tPVC\tNNS\tI-NP\tO' -p157428 -aS',\t,\t,\tO\tO' -p157429 -aS'S1\tS1\tNN\tB-NP\tB-protein' -p157430 -aS',\t,\t,\tO\tO' -p157431 -aS'S2\tS2\tNN\tB-NP\tB-protein' -p157432 -aS'normal\tnormal\tJJ\tI-NP\tO' -p157433 -aS',\t,\t,\tI-NP\tO' -p157434 -aS'positive\tpositive\tJJ\tI-NP\tO' -p157435 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p157436 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p157437 -aS'at\tat\tIN\tB-PP\tO' -p157438 -aS'the\tthe\tDT\tB-NP\tO' -p157439 -aS'left\tleft\tJJ\tI-NP\tO' -p157440 -aS'upper\tupper\tJJ\tI-NP\tO' -p157441 -aS'sternal\tsternal\tJJ\tI-NP\tO' -p157442 -aS'border\tborder\tNN\tI-NP\tO' -p157443 -aS'radiating\tradiate\tVBG\tB-VP\tO' -p157444 -aS'throughout\tthroughout\tIN\tB-ADVP\tO' -p157445 -aS'.\t.\t.\tO\tO' -p157446 -asS'Anesthesia by epidural .' -p157447 -(lp157448 -S'Anesthesia\tAnesthesia\tNN\tB-NP\tO' -p157449 -aS'by\tby\tIN\tB-PP\tO' -p157450 -aS'epidural\tepidural\tNN\tB-NP\tO' -p157451 -aS'.\t.\t.\tO\tO' -p157452 -asS'Anticoagulaiton held during hemothorax .' -p157453 -(lp157454 -S'Anticoagulaiton\tAnticoagulaiton\tNNP\tB-NP\tO' -p157455 -aS'held\thold\tVBD\tB-VP\tO' -p157456 -aS'during\tduring\tIN\tB-PP\tO' -p157457 -aS'hemothorax\themothorax\tNN\tB-NP\tO' -p157458 -aS'.\t.\t.\tO\tO' -p157459 -asS'On the day prior to discharge she complained of some dysuria , a urine specimen was obtained , which showed numerous white cells consistent with a urinary tract infection .' -p157460 -(lp157461 -S'On\tOn\tIN\tB-PP\tO' -p157462 -aS'the\tthe\tDT\tB-NP\tO' -p157463 -aS'day\tday\tNN\tI-NP\tO' -p157464 -aS'prior\tprior\tRB\tB-ADVP\tO' -p157465 -aS'to\tto\tTO\tB-VP\tO' -p157466 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p157467 -aS'she\tshe\tPRP\tB-NP\tO' -p157468 -aS'complained\tcomplain\tVBD\tB-VP\tO' -p157469 -aS'of\tof\tIN\tB-PP\tO' -p157470 -aS'some\tsome\tDT\tB-NP\tO' -p157471 -aS'dysuria\tdysuria\tNN\tI-NP\tO' -p157472 -aS',\t,\t,\tO\tO' -p157473 -aS'a\ta\tDT\tB-NP\tO' -p157474 -aS'urine\turine\tNN\tI-NP\tO' -p157475 -aS'specimen\tspecimen\tNN\tI-NP\tO' -p157476 -aS'was\tbe\tVBD\tB-VP\tO' -p157477 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p157478 -aS',\t,\t,\tO\tO' -p157479 -aS'which\twhich\tWDT\tB-NP\tO' -p157480 -aS'showed\tshow\tVBD\tB-VP\tO' -p157481 -aS'numerous\tnumerous\tJJ\tB-NP\tO' -p157482 -aS'white\twhite\tJJ\tI-NP\tO' -p157483 -aS'cells\tcell\tNNS\tI-NP\tO' -p157484 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p157485 -aS'with\twith\tIN\tB-PP\tO' -p157486 -aS'a\ta\tDT\tB-NP\tO' -p157487 -aS'urinary\turinary\tJJ\tI-NP\tO' -p157488 -aS'tract\ttract\tNN\tI-NP\tO' -p157489 -aS'infection\tinfection\tNN\tI-NP\tO' -p157490 -aS'.\t.\t.\tO\tO' -p157491 -asS'She received 36gm of albumin following the tap .' -p157492 -(lp157493 -S'She\tShe\tPRP\tB-NP\tO' -p157494 -aS'received\treceive\tVBD\tB-VP\tO' -p157495 -aS'36gm\t36gm\tNN\tB-NP\tO' -p157496 -aS'of\tof\tIN\tB-PP\tO' -p157497 -aS'albumin\talbumin\tNN\tB-NP\tB-protein' -p157498 -aS'following\tfollow\tVBG\tB-PP\tO' -p157499 -aS'the\tthe\tDT\tB-NP\tO' -p157500 -aS'tap\ttap\tNN\tI-NP\tB-protein' -p157501 -aS'.\t.\t.\tO\tO' -p157502 -asS'Her heart is regular rate and rhythm .' -p157503 -(lp157504 -S'Her\tHer\tPRP$\tB-NP\tO' -p157505 -aS'heart\theart\tNN\tI-NP\tO' -p157506 -aS'is\tbe\tVBZ\tB-VP\tO' -p157507 -aS'regular\tregular\tJJ\tB-NP\tO' -p157508 -aS'rate\trate\tNN\tI-NP\tO' -p157509 -aS'and\tand\tCC\tI-NP\tO' -p157510 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p157511 -aS'.\t.\t.\tO\tO' -p157512 -asS'His estimated blood loss was 2 liters .' -p157513 -(lp157514 -S'His\tHis\tPRP$\tB-NP\tB-protein' -p157515 -aS'estimated\testimate\tVBN\tI-NP\tO' -p157516 -aS'blood\tblood\tNN\tI-NP\tO' -p157517 -aS'loss\tloss\tNN\tI-NP\tO' -p157518 -aS'was\tbe\tVBD\tB-VP\tO' -p157519 -aS'2\t2\tCD\tB-NP\tO' -p157520 -aS'liters\tliter\tNNS\tI-NP\tO' -p157521 -aS'.\t.\t.\tO\tO' -p157522 -asS'Follow up as mentioned will be with Dr. Sterp .' -p157523 -(lp157524 -S'Follow\tFollow\tVB\tB-VP\tO' -p157525 -aS'up\tup\tRP\tB-PRT\tO' -p157526 -aS'as\tas\tIN\tB-SBAR\tO' -p157527 -aS'mentioned\tmention\tVBN\tB-VP\tO' -p157528 -aS'will\twill\tMD\tB-VP\tO' -p157529 -aS'be\tbe\tVB\tI-VP\tO' -p157530 -aS'with\twith\tIN\tB-PP\tO' -p157531 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p157532 -aS'Sterp\tSterp\tNNP\tI-NP\tO' -p157533 -aS'.\t.\t.\tO\tO' -p157534 -asS'Social History : lives in VA Hospital Northampton .' -p157535 -(lp157536 -S'Social\tSocial\tNNP\tB-NP\tO' -p157537 -aS'History\tHistory\tNNP\tI-NP\tO' -p157538 -aS':\t:\t:\tO\tO' -p157539 -aS'lives\tlife\tNNS\tB-NP\tO' -p157540 -aS'in\tin\tIN\tB-PP\tO' -p157541 -aS'VA\tVA\tNNP\tB-NP\tO' -p157542 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p157543 -aS'Northampton\tNorthampton\tNNP\tI-NP\tO' -p157544 -aS'.\t.\t.\tO\tO' -p157545 -asS'The patient was directly admitted to the cardiac catheterization laboratory .' -p157546 -(lp157547 -S'The\tThe\tDT\tB-NP\tO' -p157548 -aS'patient\tpatient\tNN\tI-NP\tO' -p157549 -aS'was\tbe\tVBD\tB-VP\tO' -p157550 -aS'directly\tdirectly\tRB\tI-VP\tO' -p157551 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p157552 -aS'to\tto\tTO\tB-PP\tO' -p157553 -aS'the\tthe\tDT\tB-NP\tO' -p157554 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p157555 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p157556 -aS'laboratory\tlaboratory\tNN\tI-NP\tO' -p157557 -aS'.\t.\t.\tO\tO' -p157558 -asS'Only significant for excessive alcohol use .' -p157559 -(lp157560 -S'Only\tOnly\tRB\tB-ADJP\tO' -p157561 -aS'significant\tsignificant\tJJ\tI-ADJP\tO' -p157562 -aS'for\tfor\tIN\tB-PP\tO' -p157563 -aS'excessive\texcessive\tJJ\tB-NP\tO' -p157564 -aS'alcohol\talcohol\tNN\tI-NP\tO' -p157565 -aS'use\tuse\tNN\tI-NP\tO' -p157566 -aS'.\t.\t.\tO\tO' -p157567 -asS'2. atypical MS : discussed with her outpt neurologist ( Dr. Ford in Boston Medical Center ); no current role for MS medications .' -p157568 -(lp157569 -S'2.\t2.\tLS\tB-NP\tO' -p157570 -aS'atypical\tatypical\tJJ\tI-NP\tO' -p157571 -aS'MS\tMS\tNN\tI-NP\tO' -p157572 -aS':\t:\t:\tO\tO' -p157573 -aS'discussed\tdiscuss\tVBN\tB-VP\tO' -p157574 -aS'with\twith\tIN\tB-PP\tO' -p157575 -aS'her\ther\tPRP$\tB-NP\tO' -p157576 -aS'outpt\toutpt\tJJ\tI-NP\tO' -p157577 -aS'neurologist\tneurologist\tNN\tI-NP\tO' -p157578 -aS'(\t(\t(\tO\tO' -p157579 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p157580 -aS'Ford\tFord\tNNP\tI-NP\tO' -p157581 -aS'in\tin\tIN\tB-PP\tO' -p157582 -aS'Boston\tBoston\tNNP\tB-NP\tO' -p157583 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p157584 -aS'Center\tCenter\tNNP\tI-NP\tO' -p157585 -aS');\t);\t:\tO\tO' -p157586 -aS'no\tno\tDT\tB-NP\tO' -p157587 -aS'current\tcurrent\tJJ\tI-NP\tO' -p157588 -aS'role\trole\tNN\tI-NP\tO' -p157589 -aS'for\tfor\tIN\tB-PP\tO' -p157590 -aS'MS\tMS\tNN\tB-NP\tO' -p157591 -aS'medications\tmedication\tNNS\tI-NP\tO' -p157592 -aS'.\t.\t.\tO\tO' -p157593 -asS'IFEX 1.2 grams per meter squared x 3 days , MESNA 1.2 grams per meter squared x 3 days continuous IV infusion .' -p157594 -(lp157595 -S'IFEX\tIFEX\tNN\tB-NP\tO' -p157596 -aS'1.2\t1.2\tCD\tB-NP\tO' -p157597 -aS'grams\tgram\tNNS\tI-NP\tO' -p157598 -aS'per\tper\tIN\tB-PP\tO' -p157599 -aS'meter\tmeter\tNN\tB-NP\tO' -p157600 -aS'squared\tsquare\tVBD\tB-VP\tO' -p157601 -aS'x\tx\tSYM\tB-NP\tO' -p157602 -aS'3\t3\tCD\tB-NP\tO' -p157603 -aS'days\tday\tNNS\tI-NP\tO' -p157604 -aS',\t,\t,\tO\tO' -p157605 -aS'MESNA\tMESNA\tNN\tB-NP\tO' -p157606 -aS'1.2\t1.2\tCD\tB-NP\tO' -p157607 -aS'grams\tgram\tNNS\tI-NP\tO' -p157608 -aS'per\tper\tIN\tB-PP\tO' -p157609 -aS'meter\tmeter\tNN\tB-NP\tO' -p157610 -aS'squared\tsquare\tVBD\tB-VP\tO' -p157611 -aS'x\tx\tSYM\tB-NP\tO' -p157612 -aS'3\t3\tCD\tB-NP\tO' -p157613 -aS'days\tday\tNNS\tI-NP\tO' -p157614 -aS'continuous\tcontinuous\tJJ\tB-NP\tO' -p157615 -aS'IV\tIV\tCD\tI-NP\tO' -p157616 -aS'infusion\tinfusion\tNN\tI-NP\tO' -p157617 -aS'.\t.\t.\tO\tO' -p157618 -asS'The GI service was consulted and they felt that her symptoms were all gastroparesis .' -p157619 -(lp157620 -S'The\tThe\tDT\tB-NP\tO' -p157621 -aS'GI\tGI\tNN\tI-NP\tO' -p157622 -aS'service\tservice\tNN\tI-NP\tO' -p157623 -aS'was\tbe\tVBD\tB-VP\tO' -p157624 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p157625 -aS'and\tand\tCC\tO\tO' -p157626 -aS'they\tthey\tPRP\tB-NP\tO' -p157627 -aS'felt\tfeel\tVBD\tB-VP\tO' -p157628 -aS'that\tthat\tIN\tB-SBAR\tO' -p157629 -aS'her\ther\tPRP$\tB-NP\tO' -p157630 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p157631 -aS'were\tbe\tVBD\tB-VP\tO' -p157632 -aS'all\tall\tDT\tB-NP\tO' -p157633 -aS'gastroparesis\tgastroparesis\tNN\tI-NP\tO' -p157634 -aS'.\t.\t.\tO\tO' -p157635 -asS'6. Infectious disease - No sepsis risk factors .' -p157636 -(lp157637 -S'6.\t6.\tLS\tB-NP\tO' -p157638 -aS'Infectious\tInfectious\tJJ\tI-NP\tO' -p157639 -aS'disease\tdisease\tNN\tI-NP\tO' -p157640 -aS'-\t-\tHYPH\tO\tO' -p157641 -aS'No\tNo\tDT\tB-NP\tO' -p157642 -aS'sepsis\tsepsis\tNN\tI-NP\tO' -p157643 -aS'risk\trisk\tNN\tI-NP\tO' -p157644 -aS'factors\tfactor\tNNS\tI-NP\tO' -p157645 -aS'.\t.\t.\tO\tO' -p157646 -asS'History is obtained from her sister , William from Lawrence General Hospital , and from her primary neurologist , Dr. Brian .' -p157647 -(lp157648 -S'History\tHistory\tNN\tB-NP\tO' -p157649 -aS'is\tbe\tVBZ\tB-VP\tO' -p157650 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p157651 -aS'from\tfrom\tIN\tB-PP\tO' -p157652 -aS'her\ther\tPRP$\tB-NP\tO' -p157653 -aS'sister\tsister\tNN\tI-NP\tO' -p157654 -aS',\t,\t,\tO\tO' -p157655 -aS'William\tWilliam\tNNP\tB-NP\tO' -p157656 -aS'from\tfrom\tIN\tB-PP\tO' -p157657 -aS'Lawrence\tLawrence\tNNP\tB-NP\tO' -p157658 -aS'General\tGeneral\tNNP\tI-NP\tO' -p157659 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p157660 -aS',\t,\t,\tB-PP\tO' -p157661 -aS'and\tand\tCC\tI-PP\tO' -p157662 -aS'from\tfrom\tIN\tB-PP\tO' -p157663 -aS'her\ther\tPRP$\tB-NP\tO' -p157664 -aS'primary\tprimary\tJJ\tI-NP\tO' -p157665 -aS'neurologist\tneurologist\tNN\tI-NP\tO' -p157666 -aS',\t,\t,\tO\tO' -p157667 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p157668 -aS'Brian\tBrian\tNNP\tI-NP\tO' -p157669 -aS'.\t.\t.\tO\tO' -p157670 -asS'An electroencephalogram revealed generalized slowing without ictal events .' -p157671 -(lp157672 -S'An\tAn\tDT\tB-NP\tO' -p157673 -aS'electroencephalogram\telectroencephalogram\tNN\tI-NP\tO' -p157674 -aS'revealed\treveal\tVBD\tB-VP\tO' -p157675 -aS'generalized\tgeneralize\tVBN\tI-VP\tO' -p157676 -aS'slowing\tslow\tVBG\tB-VP\tO' -p157677 -aS'without\twithout\tIN\tB-PP\tO' -p157678 -aS'ictal\tictal\tJJ\tB-NP\tO' -p157679 -aS'events\tevent\tNNS\tI-NP\tO' -p157680 -aS'.\t.\t.\tO\tO' -p157681 -asS'Postoperatively , the patient was transferred to the ICU .' -p157682 -(lp157683 -S'Postoperatively\tPostoperatively\tRB\tB-ADVP\tO' -p157684 -aS',\t,\t,\tO\tO' -p157685 -aS'the\tthe\tDT\tB-NP\tO' -p157686 -aS'patient\tpatient\tNN\tI-NP\tO' -p157687 -aS'was\tbe\tVBD\tB-VP\tO' -p157688 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p157689 -aS'to\tto\tTO\tB-PP\tO' -p157690 -aS'the\tthe\tDT\tB-NP\tO' -p157691 -aS'ICU\tICU\tNN\tI-NP\tB-DNA' -p157692 -aS'.\t.\t.\tO\tO' -p157693 -asS'The patient is a 25 year old who has a history of a gunshot wound many years ago and has had multiple surgical procedures since then .' -p157694 -(lp157695 -S'The\tThe\tDT\tB-NP\tO' -p157696 -aS'patient\tpatient\tNN\tI-NP\tO' -p157697 -aS'is\tbe\tVBZ\tB-VP\tO' -p157698 -aS'a\ta\tDT\tB-NP\tO' -p157699 -aS'25\t25\tCD\tI-NP\tO' -p157700 -aS'year\tyear\tNN\tI-NP\tO' -p157701 -aS'old\told\tJJ\tB-ADJP\tO' -p157702 -aS'who\twho\tWP\tB-NP\tO' -p157703 -aS'has\thave\tVBZ\tB-VP\tO' -p157704 -aS'a\ta\tDT\tB-NP\tO' -p157705 -aS'history\thistory\tNN\tI-NP\tO' -p157706 -aS'of\tof\tIN\tB-PP\tO' -p157707 -aS'a\ta\tDT\tB-NP\tO' -p157708 -aS'gunshot\tgunshot\tNN\tI-NP\tO' -p157709 -aS'wound\twind\tVBD\tB-VP\tO' -p157710 -aS'many\tmany\tJJ\tB-NP\tO' -p157711 -aS'years\tyear\tNNS\tI-NP\tO' -p157712 -aS'ago\tago\tRB\tB-ADVP\tO' -p157713 -aS'and\tand\tCC\tO\tO' -p157714 -aS'has\thave\tVBZ\tB-VP\tO' -p157715 -aS'had\thave\tVBN\tI-VP\tO' -p157716 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p157717 -aS'surgical\tsurgical\tJJ\tI-NP\tO' -p157718 -aS'procedures\tprocedure\tNNS\tI-NP\tO' -p157719 -aS'since\tsince\tIN\tB-PP\tO' -p157720 -aS'then\tthen\tRB\tB-NP\tO' -p157721 -aS'.\t.\t.\tO\tO' -p157722 -asS'In the Emergency Department , she had labile blood pressure with systolic blood pressure in the 80 s .' -p157723 -(lp157724 -S'In\tIn\tIN\tB-PP\tO' -p157725 -aS'the\tthe\tDT\tB-NP\tO' -p157726 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p157727 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p157728 -aS',\t,\t,\tO\tO' -p157729 -aS'she\tshe\tPRP\tB-NP\tO' -p157730 -aS'had\thave\tVBD\tB-VP\tO' -p157731 -aS'labile\tlabile\tJJ\tB-NP\tO' -p157732 -aS'blood\tblood\tNN\tI-NP\tO' -p157733 -aS'pressure\tpressure\tNN\tI-NP\tO' -p157734 -aS'with\twith\tIN\tB-PP\tO' -p157735 -aS'systolic\tsystolic\tJJ\tB-NP\tO' -p157736 -aS'blood\tblood\tNN\tI-NP\tO' -p157737 -aS'pressure\tpressure\tNN\tI-NP\tO' -p157738 -aS'in\tin\tIN\tB-PP\tO' -p157739 -aS'the\tthe\tDT\tB-NP\tO' -p157740 -aS'80\t80\tCD\tI-NP\tO' -p157741 -aS's\ts\tNN\tI-NP\tO' -p157742 -aS'.\t.\t.\tO\tO' -p157743 -asS'Later patient told CMED CCU that she was feeling down and impulsively ingested 5 days worth of medications , she states that her intent at that time was to end her life .' -p157744 -(lp157745 -S'Later\tLater\tJJ\tB-NP\tO' -p157746 -aS'patient\tpatient\tNN\tI-NP\tO' -p157747 -aS'told\ttell\tVBD\tB-VP\tO' -p157748 -aS'CMED\tCMED\tVBN\tB-NP\tO' -p157749 -aS'CCU\tCCU\tNN\tI-NP\tO' -p157750 -aS'that\tthat\tIN\tB-SBAR\tO' -p157751 -aS'she\tshe\tPRP\tB-NP\tO' -p157752 -aS'was\tbe\tVBD\tB-VP\tO' -p157753 -aS'feeling\tfeel\tVBG\tI-VP\tO' -p157754 -aS'down\tdown\tRB\tB-ADVP\tO' -p157755 -aS'and\tand\tCC\tO\tO' -p157756 -aS'impulsively\timpulsively\tRB\tB-VP\tO' -p157757 -aS'ingested\tingest\tVBN\tI-VP\tO' -p157758 -aS'5\t5\tCD\tB-NP\tO' -p157759 -aS'days\tday\tNNS\tI-NP\tO' -p157760 -aS'worth\tworth\tJJ\tB-ADJP\tO' -p157761 -aS'of\tof\tIN\tB-PP\tO' -p157762 -aS'medications\tmedication\tNNS\tB-NP\tO' -p157763 -aS',\t,\t,\tO\tO' -p157764 -aS'she\tshe\tPRP\tB-NP\tO' -p157765 -aS'states\tstate\tVBZ\tB-VP\tO' -p157766 -aS'that\tthat\tIN\tB-SBAR\tO' -p157767 -aS'her\ther\tPRP$\tB-NP\tO' -p157768 -aS'intent\tintent\tNN\tI-NP\tO' -p157769 -aS'at\tat\tIN\tB-PP\tO' -p157770 -aS'that\tthat\tDT\tB-NP\tO' -p157771 -aS'time\ttime\tNN\tI-NP\tO' -p157772 -aS'was\tbe\tVBD\tB-VP\tO' -p157773 -aS'to\tto\tTO\tB-VP\tO' -p157774 -aS'end\tend\tVB\tI-VP\tO' -p157775 -aS'her\ther\tPRP$\tB-NP\tO' -p157776 -aS'life\tlife\tNN\tI-NP\tO' -p157777 -aS'.\t.\t.\tO\tO' -p157778 -asS'1. Sepsis - The patient was septic in the ER and her blood cultures eventually grew proteus .' -p157779 -(lp157780 -S'1.\t1.\tLS\tB-NP\tO' -p157781 -aS'Sepsis\tSepsis\tNN\tI-NP\tO' -p157782 -aS'-\t-\tHYPH\tO\tO' -p157783 -aS'The\tThe\tDT\tB-NP\tO' -p157784 -aS'patient\tpatient\tNN\tI-NP\tO' -p157785 -aS'was\tbe\tVBD\tB-VP\tO' -p157786 -aS'septic\tseptic\tJJ\tB-ADJP\tO' -p157787 -aS'in\tin\tIN\tB-PP\tO' -p157788 -aS'the\tthe\tDT\tB-NP\tO' -p157789 -aS'ER\tER\tNN\tI-NP\tB-protein' -p157790 -aS'and\tand\tCC\tO\tO' -p157791 -aS'her\ther\tPRP$\tB-NP\tO' -p157792 -aS'blood\tblood\tNN\tI-NP\tO' -p157793 -aS'cultures\tculture\tNNS\tI-NP\tO' -p157794 -aS'eventually\teventually\tRB\tB-ADVP\tO' -p157795 -aS'grew\tgrow\tVBD\tB-VP\tO' -p157796 -aS'proteus\tproteus\tNN\tB-NP\tO' -p157797 -aS'.\t.\t.\tO\tO' -p157798 -asS'There was no rigidity , but the neck was slightly painful at extreme flexion .' -p157799 -(lp157800 -S'There\tThere\tEX\tB-NP\tO' -p157801 -aS'was\tbe\tVBD\tB-VP\tO' -p157802 -aS'no\tno\tDT\tB-NP\tO' -p157803 -aS'rigidity\trigidity\tNN\tI-NP\tO' -p157804 -aS',\t,\t,\tO\tO' -p157805 -aS'but\tbut\tCC\tO\tO' -p157806 -aS'the\tthe\tDT\tB-NP\tO' -p157807 -aS'neck\tneck\tNN\tI-NP\tO' -p157808 -aS'was\tbe\tVBD\tB-VP\tO' -p157809 -aS'slightly\tslightly\tRB\tB-ADJP\tO' -p157810 -aS'painful\tpainful\tJJ\tI-ADJP\tO' -p157811 -aS'at\tat\tIN\tB-PP\tO' -p157812 -aS'extreme\textreme\tJJ\tB-NP\tO' -p157813 -aS'flexion\tflexion\tNN\tI-NP\tO' -p157814 -aS'.\t.\t.\tO\tO' -p157815 -asS'He continued to undergo BID dressing changes .' -p157816 -(lp157817 -S'He\tHe\tPRP\tB-NP\tO' -p157818 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p157819 -aS'to\tto\tTO\tI-VP\tO' -p157820 -aS'undergo\tundergo\tVB\tI-VP\tO' -p157821 -aS'BID\tBID\tNN\tB-NP\tO' -p157822 -aS'dressing\tdress\tVBG\tB-VP\tO' -p157823 -aS'changes\tchange\tNNS\tB-NP\tO' -p157824 -aS'.\t.\t.\tO\tO' -p157825 -asS'The patient will also follow-up with Electrophysiology with Dr. Welch on 2015-07-24 .' -p157826 -(lp157827 -S'The\tThe\tDT\tB-NP\tO' -p157828 -aS'patient\tpatient\tNN\tI-NP\tO' -p157829 -aS'will\twill\tMD\tB-VP\tO' -p157830 -aS'also\talso\tRB\tI-VP\tO' -p157831 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p157832 -aS'with\twith\tIN\tB-PP\tO' -p157833 -aS'Electrophysiology\tElectrophysiology\tNNP\tB-NP\tO' -p157834 -aS'with\twith\tIN\tB-PP\tO' -p157835 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p157836 -aS'Welch\tWelch\tNNP\tI-NP\tO' -p157837 -aS'on\ton\tIN\tB-PP\tO' -p157838 -aS'2015-07-24\t2015-07-24\tCD\tB-NP\tO' -p157839 -aS'.\t.\t.\tO\tO' -p157840 -asS'On admission revealed a cachetic woman in no acute distress with stable vital signs .' -p157841 -(lp157842 -S'On\tOn\tIN\tB-PP\tO' -p157843 -aS'admission\tadmission\tNN\tB-NP\tO' -p157844 -aS'revealed\treveal\tVBD\tB-VP\tO' -p157845 -aS'a\ta\tDT\tB-NP\tO' -p157846 -aS'cachetic\tcachetic\tJJ\tI-NP\tO' -p157847 -aS'woman\twoman\tNN\tI-NP\tO' -p157848 -aS'in\tin\tIN\tB-PP\tO' -p157849 -aS'no\tno\tDT\tB-NP\tO' -p157850 -aS'acute\tacute\tJJ\tI-NP\tO' -p157851 -aS'distress\tdistress\tNN\tI-NP\tO' -p157852 -aS'with\twith\tIN\tB-PP\tO' -p157853 -aS'stable\tstable\tJJ\tB-NP\tO' -p157854 -aS'vital\tvital\tJJ\tI-NP\tO' -p157855 -aS'signs\tsign\tNNS\tI-NP\tO' -p157856 -aS'.\t.\t.\tO\tO' -p157857 -asS'A NG tube was placed for decompression given the signs of early obstruction the day of transfer .' -p157858 -(lp157859 -S'A\tA\tDT\tB-NP\tO' -p157860 -aS'NG\tNG\tNN\tI-NP\tB-DNA' -p157861 -aS'tube\ttube\tNN\tI-NP\tI-DNA' -p157862 -aS'was\tbe\tVBD\tB-VP\tO' -p157863 -aS'placed\tplace\tVBN\tI-VP\tO' -p157864 -aS'for\tfor\tIN\tB-PP\tO' -p157865 -aS'decompression\tdecompression\tNN\tB-NP\tO' -p157866 -aS'given\tgive\tVBN\tB-PP\tO' -p157867 -aS'the\tthe\tDT\tB-NP\tO' -p157868 -aS'signs\tsign\tNNS\tI-NP\tO' -p157869 -aS'of\tof\tIN\tB-PP\tO' -p157870 -aS'early\tearly\tJJ\tB-NP\tO' -p157871 -aS'obstruction\tobstruction\tNN\tI-NP\tO' -p157872 -aS'the\tthe\tDT\tB-NP\tO' -p157873 -aS'day\tday\tNN\tI-NP\tO' -p157874 -aS'of\tof\tIN\tB-PP\tO' -p157875 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p157876 -aS'.\t.\t.\tO\tO' -p157877 -asS"1. Crohn 's disease , dx 1974 s/p three bowel resections and eventual ileostomy , resulting in short gut syndrome" -p157878 -(lp157879 -S'1.\t1.\tLS\tB-NP\tO' -p157880 -aS'Crohn\tCrohn\tNN\tI-NP\tO' -p157881 -aS"'s\t's\tPOS\tB-NP\tO" -p157882 -aS'disease\tdisease\tNN\tI-NP\tO' -p157883 -aS',\t,\t,\tO\tO' -p157884 -aS'dx\tdx\tNN\tB-NP\tO' -p157885 -aS'1974\t1974\tCD\tI-NP\tO' -p157886 -aS's/p\ts/p\tNN\tI-NP\tO' -p157887 -aS'three\tthree\tCD\tB-NP\tO' -p157888 -aS'bowel\tbowel\tNN\tI-NP\tO' -p157889 -aS'resections\tresection\tNNS\tI-NP\tO' -p157890 -aS'and\tand\tCC\tO\tO' -p157891 -aS'eventual\teventual\tJJ\tB-NP\tO' -p157892 -aS'ileostomy\tileostomy\tNN\tI-NP\tO' -p157893 -aS',\t,\t,\tO\tO' -p157894 -aS'resulting\tresult\tVBG\tB-VP\tO' -p157895 -aS'in\tin\tIN\tB-PP\tO' -p157896 -aS'short\tshort\tJJ\tB-NP\tO' -p157897 -aS'gut\tgut\tNN\tI-NP\tO' -p157898 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p157899 -asS'Urinalysis demonstrated a likely urinary tract infection .' -p157900 -(lp157901 -S'Urinalysis\tUrinalysis\tNN\tB-NP\tO' -p157902 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p157903 -aS'a\ta\tDT\tB-NP\tO' -p157904 -aS'likely\tlikely\tJJ\tI-NP\tO' -p157905 -aS'urinary\turinary\tJJ\tI-NP\tO' -p157906 -aS'tract\ttract\tNN\tI-NP\tO' -p157907 -aS'infection\tinfection\tNN\tI-NP\tO' -p157908 -aS'.\t.\t.\tO\tO' -p157909 -asS'6. Home oxygen at two liters a minute when she is at home ; she does not use the oxygen when she is in a wheelchair or is out of the house .' -p157910 -(lp157911 -S'6.\t6.\tLS\tB-NP\tO' -p157912 -aS'Home\tHome\tNN\tI-NP\tO' -p157913 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p157914 -aS'at\tat\tIN\tB-PP\tO' -p157915 -aS'two\ttwo\tCD\tB-NP\tO' -p157916 -aS'liters\tliter\tNNS\tI-NP\tO' -p157917 -aS'a\ta\tDT\tB-NP\tO' -p157918 -aS'minute\tminute\tNN\tI-NP\tO' -p157919 -aS'when\twhen\tWRB\tB-ADVP\tO' -p157920 -aS'she\tshe\tPRP\tB-NP\tO' -p157921 -aS'is\tbe\tVBZ\tB-VP\tO' -p157922 -aS'at\tat\tIN\tB-PP\tO' -p157923 -aS'home\thome\tNN\tB-NP\tO' -p157924 -aS';\t;\t:\tO\tO' -p157925 -aS'she\tshe\tPRP\tB-NP\tO' -p157926 -aS'does\tdo\tVBZ\tB-VP\tO' -p157927 -aS'not\tnot\tRB\tI-VP\tO' -p157928 -aS'use\tuse\tVB\tI-VP\tO' -p157929 -aS'the\tthe\tDT\tB-NP\tO' -p157930 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p157931 -aS'when\twhen\tWRB\tB-ADVP\tO' -p157932 -aS'she\tshe\tPRP\tB-NP\tO' -p157933 -aS'is\tbe\tVBZ\tB-VP\tO' -p157934 -aS'in\tin\tIN\tB-PP\tO' -p157935 -aS'a\ta\tDT\tB-NP\tO' -p157936 -aS'wheelchair\twheelchair\tNN\tI-NP\tO' -p157937 -aS'or\tor\tCC\tO\tO' -p157938 -aS'is\tbe\tVBZ\tB-VP\tO' -p157939 -aS'out\tout\tIN\tB-PP\tO' -p157940 -aS'of\tof\tIN\tB-PP\tO' -p157941 -aS'the\tthe\tDT\tB-NP\tO' -p157942 -aS'house\thouse\tNN\tI-NP\tO' -p157943 -aS'.\t.\t.\tO\tO' -p157944 -asS"Maternal hypertension was noted in the doctor 's office and Mom was referred to nonreassuring fetal tracing , necessitating an urgent cesarean section ." -p157945 -(lp157946 -S'Maternal\tMaternal\tJJ\tB-NP\tO' -p157947 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p157948 -aS'was\tbe\tVBD\tB-VP\tO' -p157949 -aS'noted\tnote\tVBN\tI-VP\tO' -p157950 -aS'in\tin\tIN\tB-PP\tO' -p157951 -aS'the\tthe\tDT\tB-NP\tO' -p157952 -aS'doctor\tdoctor\tNN\tI-NP\tO' -p157953 -aS"'s\t's\tPOS\tB-NP\tO" -p157954 -aS'office\toffice\tNN\tI-NP\tO' -p157955 -aS'and\tand\tCC\tI-NP\tO' -p157956 -aS'Mom\tMom\tNN\tI-NP\tO' -p157957 -aS'was\tbe\tVBD\tB-VP\tO' -p157958 -aS'referred\trefer\tVBN\tI-VP\tO' -p157959 -aS'to\tto\tTO\tB-PP\tO' -p157960 -aS'nonreassuring\tnonreassuring\tJJ\tB-NP\tO' -p157961 -aS'fetal\tfetal\tJJ\tI-NP\tO' -p157962 -aS'tracing\ttracing\tNN\tI-NP\tO' -p157963 -aS',\t,\t,\tO\tO' -p157964 -aS'necessitating\tnecessitate\tVBG\tB-VP\tO' -p157965 -aS'an\tan\tDT\tB-NP\tO' -p157966 -aS'urgent\turgent\tJJ\tI-NP\tO' -p157967 -aS'cesarean\tcesarean\tJJ\tI-NP\tO' -p157968 -aS'section\tsection\tNN\tI-NP\tO' -p157969 -aS'.\t.\t.\tO\tO' -p157970 -asS'An ionized calcium was drawn which was low at 1.0 .' -p157971 -(lp157972 -S'An\tAn\tDT\tB-NP\tO' -p157973 -aS'ionized\tionize\tVBN\tI-NP\tO' -p157974 -aS'calcium\tcalcium\tNN\tI-NP\tO' -p157975 -aS'was\tbe\tVBD\tB-VP\tO' -p157976 -aS'drawn\tdraw\tVBN\tI-VP\tO' -p157977 -aS'which\twhich\tWDT\tB-NP\tO' -p157978 -aS'was\tbe\tVBD\tB-VP\tO' -p157979 -aS'low\tlow\tJJ\tB-ADJP\tO' -p157980 -aS'at\tat\tIN\tB-PP\tO' -p157981 -aS'1.0\t1.0\tCD\tB-NP\tO' -p157982 -aS'.\t.\t.\tO\tO' -p157983 -asS'Coronary artery disease , status post non-ST elevation myocardial infarction with 80 percent mid LAD lesion , now status post angioplasty .' -p157984 -(lp157985 -S'Coronary\tCoronary\tJJ\tB-NP\tO' -p157986 -aS'artery\tartery\tNN\tI-NP\tO' -p157987 -aS'disease\tdisease\tNN\tI-NP\tO' -p157988 -aS',\t,\t,\tO\tO' -p157989 -aS'status\tstatus\tNN\tB-NP\tO' -p157990 -aS'post\tpost\tNN\tI-NP\tO' -p157991 -aS'non-ST\tnon-ST\tJJ\tI-NP\tO' -p157992 -aS'elevation\televation\tNN\tI-NP\tO' -p157993 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p157994 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p157995 -aS'with\twith\tIN\tB-PP\tO' -p157996 -aS'80\t80\tCD\tB-NP\tO' -p157997 -aS'percent\tpercent\tNN\tI-NP\tO' -p157998 -aS'mid\tmid\tJJ\tI-NP\tO' -p157999 -aS'LAD\tLAD\tNN\tI-NP\tO' -p158000 -aS'lesion\tlesion\tNN\tI-NP\tO' -p158001 -aS',\t,\t,\tO\tO' -p158002 -aS'now\tnow\tRB\tB-ADVP\tO' -p158003 -aS'status\tstatus\tNN\tB-NP\tO' -p158004 -aS'post\tpost\tNN\tI-NP\tO' -p158005 -aS'angioplasty\tangioplasty\tNN\tI-NP\tO' -p158006 -aS'.\t.\t.\tO\tO' -p158007 -asS'The patient was removed from the ventilator and placed on a T-piece in her trachea only and was made comfortable with narcotics .' -p158008 -(lp158009 -S'The\tThe\tDT\tB-NP\tO' -p158010 -aS'patient\tpatient\tNN\tI-NP\tO' -p158011 -aS'was\tbe\tVBD\tB-VP\tO' -p158012 -aS'removed\tremove\tVBN\tI-VP\tO' -p158013 -aS'from\tfrom\tIN\tB-PP\tO' -p158014 -aS'the\tthe\tDT\tB-NP\tO' -p158015 -aS'ventilator\tventilator\tNN\tI-NP\tO' -p158016 -aS'and\tand\tCC\tO\tO' -p158017 -aS'placed\tplace\tVBN\tB-VP\tO' -p158018 -aS'on\ton\tIN\tB-PP\tO' -p158019 -aS'a\ta\tDT\tB-NP\tO' -p158020 -aS'T-piece\tT-piece\tNN\tI-NP\tO' -p158021 -aS'in\tin\tIN\tB-PP\tO' -p158022 -aS'her\ther\tPRP$\tB-NP\tO' -p158023 -aS'trachea\ttrachea\tNN\tI-NP\tO' -p158024 -aS'only\tonly\tRB\tB-ADVP\tO' -p158025 -aS'and\tand\tCC\tO\tO' -p158026 -aS'was\tbe\tVBD\tB-VP\tO' -p158027 -aS'made\tmake\tVBN\tI-VP\tO' -p158028 -aS'comfortable\tcomfortable\tJJ\tB-ADJP\tO' -p158029 -aS'with\twith\tIN\tB-PP\tO' -p158030 -aS'narcotics\tnarcotic\tNNS\tB-NP\tO' -p158031 -aS'.\t.\t.\tO\tO' -p158032 -asS'Distant peptic ulcer disease , thumb and middle finger lost secondary to lawnmower accident at age five years , no peripheral vascular disease .' -p158033 -(lp158034 -S'Distant\tDistant\tJJ\tB-NP\tO' -p158035 -aS'peptic\tpeptic\tJJ\tI-NP\tO' -p158036 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p158037 -aS'disease\tdisease\tNN\tI-NP\tO' -p158038 -aS',\t,\t,\tO\tO' -p158039 -aS'thumb\tthumb\tNN\tB-NP\tO' -p158040 -aS'and\tand\tCC\tO\tO' -p158041 -aS'middle\tmiddle\tJJ\tB-NP\tO' -p158042 -aS'finger\tfinger\tNN\tI-NP\tO' -p158043 -aS'lost\tlose\tVBD\tB-VP\tO' -p158044 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p158045 -aS'to\tto\tTO\tB-PP\tO' -p158046 -aS'lawnmower\tlawnmow\tJJR\tB-NP\tO' -p158047 -aS'accident\taccident\tNN\tI-NP\tO' -p158048 -aS'at\tat\tIN\tB-PP\tO' -p158049 -aS'age\tage\tNN\tB-NP\tO' -p158050 -aS'five\tfive\tCD\tB-NP\tO' -p158051 -aS'years\tyear\tNNS\tI-NP\tO' -p158052 -aS',\t,\t,\tO\tO' -p158053 -aS'no\tno\tDT\tB-NP\tO' -p158054 -aS'peripheral\tperipheral\tJJ\tI-NP\tO' -p158055 -aS'vascular\tvascular\tJJ\tI-NP\tO' -p158056 -aS'disease\tdisease\tNN\tI-NP\tO' -p158057 -aS'.\t.\t.\tO\tO' -p158058 -asS'#. Communication : Guardian Robert Fitzgerald ( 520 ) 328 5499 .' -p158059 -(lp158060 -S'#.\t#.\tRB\tB-ADVP\tO' -p158061 -aS'Communication\tCommunication\tNNP\tB-NP\tO' -p158062 -aS':\t:\t:\tO\tO' -p158063 -aS'Guardian\tGuardian\tNNP\tB-NP\tO' -p158064 -aS'Robert\tRobert\tNNP\tI-NP\tO' -p158065 -aS'Fitzgerald\tFitzgerald\tNNP\tI-NP\tO' -p158066 -aS'(\t(\t(\tO\tO' -p158067 -aS'520\t520\tCD\tB-NP\tO' -p158068 -aS')\t)\t)\tO\tO' -p158069 -aS'328\t328\tCD\tB-NP\tO' -p158070 -aS'5499\t5499\tCD\tI-NP\tO' -p158071 -aS'.\t.\t.\tO\tO' -p158072 -asS'The oropharynx was benign .' -p158073 -(lp158074 -S'The\tThe\tDT\tB-NP\tO' -p158075 -aS'oropharynx\toropharynx\tNN\tI-NP\tO' -p158076 -aS'was\tbe\tVBD\tB-VP\tO' -p158077 -aS'benign\tbenign\tJJ\tB-ADJP\tO' -p158078 -aS'.\t.\t.\tO\tO' -p158079 -asS'Nexium 40 mg p.o. q. day .' -p158080 -(lp158081 -S'Nexium\tNexium\tNN\tB-NP\tO' -p158082 -aS'40\t40\tCD\tI-NP\tO' -p158083 -aS'mg\tmg\tNN\tI-NP\tO' -p158084 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p158085 -aS'q.\tq.\tNN\tI-NP\tO' -p158086 -aS'day\tday\tNN\tI-NP\tO' -p158087 -aS'.\t.\t.\tO\tO' -p158088 -asS'The mass appears to be cystic in nature and has been aspirated at least 3 times , which decrease in size each time .' -p158089 -(lp158090 -S'The\tThe\tDT\tB-NP\tO' -p158091 -aS'mass\tmass\tNN\tI-NP\tO' -p158092 -aS'appears\tappear\tVBZ\tB-VP\tO' -p158093 -aS'to\tto\tTO\tI-VP\tO' -p158094 -aS'be\tbe\tVB\tI-VP\tO' -p158095 -aS'cystic\tcystic\tJJ\tB-ADJP\tO' -p158096 -aS'in\tin\tIN\tB-PP\tO' -p158097 -aS'nature\tnature\tNN\tB-NP\tO' -p158098 -aS'and\tand\tCC\tO\tO' -p158099 -aS'has\thave\tVBZ\tB-VP\tO' -p158100 -aS'been\tbe\tVBN\tI-VP\tO' -p158101 -aS'aspirated\taspirate\tVBN\tI-VP\tO' -p158102 -aS'at\tat\tIN\tB-NP\tO' -p158103 -aS'least\tleast\tJJS\tI-NP\tO' -p158104 -aS'3\t3\tCD\tI-NP\tO' -p158105 -aS'times\ttime\tNNS\tI-NP\tO' -p158106 -aS',\t,\t,\tO\tO' -p158107 -aS'which\twhich\tWDT\tB-NP\tO' -p158108 -aS'decrease\tdecrease\tVBP\tB-VP\tO' -p158109 -aS'in\tin\tIN\tB-PP\tO' -p158110 -aS'size\tsize\tNN\tB-NP\tO' -p158111 -aS'each\teach\tDT\tB-NP\tO' -p158112 -aS'time\ttime\tNN\tI-NP\tO' -p158113 -aS'.\t.\t.\tO\tO' -p158114 -asS'No spontaneous echo contrast is seen in the body of the right atrium .' -p158115 -(lp158116 -S'No\tNo\tDT\tB-NP\tO' -p158117 -aS'spontaneous\tspontaneous\tJJ\tI-NP\tO' -p158118 -aS'echo\techo\tJJ\tI-NP\tO' -p158119 -aS'contrast\tcontrast\tNN\tI-NP\tO' -p158120 -aS'is\tbe\tVBZ\tB-VP\tO' -p158121 -aS'seen\tsee\tVBN\tI-VP\tO' -p158122 -aS'in\tin\tIN\tB-PP\tO' -p158123 -aS'the\tthe\tDT\tB-NP\tO' -p158124 -aS'body\tbody\tNN\tI-NP\tO' -p158125 -aS'of\tof\tIN\tB-PP\tO' -p158126 -aS'the\tthe\tDT\tB-NP\tO' -p158127 -aS'right\tright\tJJ\tI-NP\tO' -p158128 -aS'atrium\tatrium\tNN\tI-NP\tO' -p158129 -aS'.\t.\t.\tO\tO' -p158130 -asS'Lipase was within normal limits .' -p158131 -(lp158132 -S'Lipase\tLipase\tNN\tB-NP\tB-protein' -p158133 -aS'was\tbe\tVBD\tB-VP\tO' -p158134 -aS'within\twithin\tIN\tB-PP\tO' -p158135 -aS'normal\tnormal\tJJ\tB-NP\tO' -p158136 -aS'limits\tlimit\tNNS\tI-NP\tO' -p158137 -aS'.\t.\t.\tO\tO' -p158138 -asS'The patient developed a left femoral artery pseudoaneurysm after placement of a Greenfield filter .' -p158139 -(lp158140 -S'The\tThe\tDT\tB-NP\tO' -p158141 -aS'patient\tpatient\tNN\tI-NP\tO' -p158142 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p158143 -aS'a\ta\tDT\tB-NP\tO' -p158144 -aS'left\tleft\tJJ\tI-NP\tO' -p158145 -aS'femoral\tfemoral\tJJ\tI-NP\tO' -p158146 -aS'artery\tartery\tNN\tI-NP\tO' -p158147 -aS'pseudoaneurysm\tpseudoaneurysm\tNN\tI-NP\tO' -p158148 -aS'after\tafter\tIN\tB-PP\tO' -p158149 -aS'placement\tplacement\tNN\tB-NP\tO' -p158150 -aS'of\tof\tIN\tB-PP\tO' -p158151 -aS'a\ta\tDT\tB-NP\tO' -p158152 -aS'Greenfield\tGreenfield\tNNP\tI-NP\tO' -p158153 -aS'filter\tfilter\tNN\tI-NP\tO' -p158154 -aS'.\t.\t.\tO\tO' -p158155 -asS'Fixation and saccades are normal .' -p158156 -(lp158157 -S'Fixation\tFixation\tNN\tB-NP\tO' -p158158 -aS'and\tand\tCC\tI-NP\tO' -p158159 -aS'saccades\tsaccade\tNNS\tI-NP\tO' -p158160 -aS'are\tbe\tVBP\tB-VP\tO' -p158161 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p158162 -aS'.\t.\t.\tO\tO' -p158163 -asS'Patient was found to have a troponin of 0.71 on admission with a CK of 46 and CKMB of 3.4 .' -p158164 -(lp158165 -S'Patient\tPatient\tNN\tB-NP\tO' -p158166 -aS'was\tbe\tVBD\tB-VP\tO' -p158167 -aS'found\tfind\tVBN\tI-VP\tO' -p158168 -aS'to\tto\tTO\tI-VP\tO' -p158169 -aS'have\thave\tVB\tI-VP\tO' -p158170 -aS'a\ta\tDT\tB-NP\tO' -p158171 -aS'troponin\ttroponin\tNN\tI-NP\tO' -p158172 -aS'of\tof\tIN\tB-PP\tO' -p158173 -aS'0.71\t0.71\tCD\tB-NP\tO' -p158174 -aS'on\ton\tIN\tB-PP\tO' -p158175 -aS'admission\tadmission\tNN\tB-NP\tO' -p158176 -aS'with\twith\tIN\tB-PP\tO' -p158177 -aS'a\ta\tDT\tB-NP\tO' -p158178 -aS'CK\tCK\tNN\tI-NP\tO' -p158179 -aS'of\tof\tIN\tB-PP\tO' -p158180 -aS'46\t46\tCD\tB-NP\tO' -p158181 -aS'and\tand\tCC\tO\tO' -p158182 -aS'CKMB\tCKMB\tNN\tB-NP\tB-protein' -p158183 -aS'of\tof\tIN\tB-PP\tO' -p158184 -aS'3.4\t3.4\tCD\tB-NP\tO' -p158185 -aS'.\t.\t.\tO\tO' -p158186 -asS'The infant is a 32 and 03-05 week male , twin A , who was admitted to the Neonatal Intensive Care Unit for management of prematurity .' -p158187 -(lp158188 -S'The\tThe\tDT\tB-NP\tO' -p158189 -aS'infant\tinfant\tNN\tI-NP\tO' -p158190 -aS'is\tbe\tVBZ\tB-VP\tO' -p158191 -aS'a\ta\tDT\tB-NP\tO' -p158192 -aS'32\t32\tCD\tI-NP\tO' -p158193 -aS'and\tand\tCC\tI-NP\tO' -p158194 -aS'03-05\t03-05\tCD\tI-NP\tO' -p158195 -aS'week\tweek\tNN\tI-NP\tO' -p158196 -aS'male\tmale\tJJ\tB-ADJP\tO' -p158197 -aS',\t,\t,\tO\tO' -p158198 -aS'twin\ttwin\tNN\tB-NP\tO' -p158199 -aS'A\tA\tNNP\tI-NP\tO' -p158200 -aS',\t,\t,\tO\tO' -p158201 -aS'who\twho\tWP\tB-NP\tO' -p158202 -aS'was\tbe\tVBD\tB-VP\tO' -p158203 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p158204 -aS'to\tto\tTO\tB-PP\tO' -p158205 -aS'the\tthe\tDT\tB-NP\tO' -p158206 -aS'Neonatal\tNeonatal\tNNP\tI-NP\tO' -p158207 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p158208 -aS'Care\tCare\tNNP\tI-NP\tO' -p158209 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p158210 -aS'for\tfor\tIN\tB-PP\tO' -p158211 -aS'management\tmanagement\tNN\tB-NP\tO' -p158212 -aS'of\tof\tIN\tB-PP\tO' -p158213 -aS'prematurity\tprematurity\tNN\tB-NP\tO' -p158214 -aS'.\t.\t.\tO\tO' -p158215 -asS'Please call your primary care doctor next week and arrange for follow up next week .' -p158216 -(lp158217 -S'Please\tPlease\tVB\tB-VP\tO' -p158218 -aS'call\tcall\tVB\tI-VP\tO' -p158219 -aS'your\tyour\tPRP$\tB-NP\tO' -p158220 -aS'primary\tprimary\tJJ\tI-NP\tO' -p158221 -aS'care\tcare\tNN\tI-NP\tO' -p158222 -aS'doctor\tdoctor\tNN\tI-NP\tO' -p158223 -aS'next\tnext\tIN\tB-NP\tO' -p158224 -aS'week\tweek\tNN\tI-NP\tO' -p158225 -aS'and\tand\tCC\tI-NP\tO' -p158226 -aS'arrange\tarrange\tNN\tI-NP\tO' -p158227 -aS'for\tfor\tIN\tB-PP\tO' -p158228 -aS'follow\tfollow\tVB\tB-VP\tO' -p158229 -aS'up\tup\tRP\tB-PRT\tO' -p158230 -aS'next\tnext\tJJ\tB-NP\tO' -p158231 -aS'week\tweek\tNN\tI-NP\tO' -p158232 -aS'.\t.\t.\tO\tO' -p158233 -asS'Protonix , 40 daily .' -p158234 -(lp158235 -S'Protonix\tProtonix\tNNP\tB-NP\tO' -p158236 -aS',\t,\t,\tO\tO' -p158237 -aS'40\t40\tCD\tB-NP\tO' -p158238 -aS'daily\tdaily\tRB\tI-NP\tO' -p158239 -aS'.\t.\t.\tO\tO' -p158240 -asS'The glenoid fossa was intact .' -p158241 -(lp158242 -S'The\tThe\tDT\tB-NP\tO' -p158243 -aS'glenoid\tglenoid\tNN\tI-NP\tO' -p158244 -aS'fossa\tfossa\tNN\tI-NP\tO' -p158245 -aS'was\tbe\tVBD\tB-VP\tO' -p158246 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p158247 -aS'.\t.\t.\tO\tO' -p158248 -asS'3. HYPERTENSION .' -p158249 -(lp158250 -S'3.\t3.\tLS\tB-NP\tO' -p158251 -aS'HYPERTENSION\tHYPERTENSION\tNN\tI-NP\tO' -p158252 -aS'.\t.\t.\tO\tO' -p158253 -asS'She underwent a TAH-BSO which was uncomplicated .' -p158254 -(lp158255 -S'She\tShe\tPRP\tB-NP\tO' -p158256 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p158257 -aS'a\ta\tDT\tB-NP\tO' -p158258 -aS'TAH-BSO\tTAH-BSO\tNN\tI-NP\tB-protein' -p158259 -aS'which\twhich\tWDT\tB-NP\tO' -p158260 -aS'was\tbe\tVBD\tB-VP\tO' -p158261 -aS'uncomplicated\tuncomplicated\tJJ\tB-ADJP\tO' -p158262 -aS'.\t.\t.\tO\tO' -p158263 -asS'A biopsy of this mass was consistent with hematoma .' -p158264 -(lp158265 -S'A\tA\tDT\tB-NP\tO' -p158266 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p158267 -aS'of\tof\tIN\tB-PP\tO' -p158268 -aS'this\tthis\tDT\tB-NP\tO' -p158269 -aS'mass\tmass\tNN\tI-NP\tO' -p158270 -aS'was\tbe\tVBD\tB-VP\tO' -p158271 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p158272 -aS'with\twith\tIN\tB-PP\tO' -p158273 -aS'hematoma\thematoma\tNN\tB-NP\tO' -p158274 -aS'.\t.\t.\tO\tO' -p158275 -asS'Following her recovery from chemotherapy , she will proceed to surgical resection .' -p158276 -(lp158277 -S'Following\tFollow\tVBG\tB-PP\tO' -p158278 -aS'her\ther\tPRP$\tB-NP\tO' -p158279 -aS'recovery\trecovery\tNN\tI-NP\tO' -p158280 -aS'from\tfrom\tIN\tB-PP\tO' -p158281 -aS'chemotherapy\tchemotherapy\tNN\tB-NP\tO' -p158282 -aS',\t,\t,\tO\tO' -p158283 -aS'she\tshe\tPRP\tB-NP\tO' -p158284 -aS'will\twill\tMD\tB-VP\tO' -p158285 -aS'proceed\tproceed\tVB\tI-VP\tO' -p158286 -aS'to\tto\tTO\tB-PP\tO' -p158287 -aS'surgical\tsurgical\tJJ\tB-NP\tO' -p158288 -aS'resection\tresection\tNN\tI-NP\tO' -p158289 -aS'.\t.\t.\tO\tO' -p158290 -asS'Within the fist few days after the surgery , his liver function tests were elevated to as high as 1484 for ALT , 915 for AST , and 7.6 for total bilirubin .' -p158291 -(lp158292 -S'Within\tWithin\tIN\tB-PP\tO' -p158293 -aS'the\tthe\tDT\tB-NP\tO' -p158294 -aS'fist\tfist\tNN\tI-NP\tO' -p158295 -aS'few\tfew\tJJ\tI-NP\tO' -p158296 -aS'days\tday\tNNS\tI-NP\tO' -p158297 -aS'after\tafter\tIN\tB-PP\tO' -p158298 -aS'the\tthe\tDT\tB-NP\tO' -p158299 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p158300 -aS',\t,\t,\tO\tO' -p158301 -aS'his\this\tPRP$\tB-NP\tO' -p158302 -aS'liver\tliver\tNN\tI-NP\tO' -p158303 -aS'function\tfunction\tNN\tI-NP\tO' -p158304 -aS'tests\ttest\tNNS\tI-NP\tO' -p158305 -aS'were\tbe\tVBD\tB-VP\tO' -p158306 -aS'elevated\televate\tVBN\tI-VP\tO' -p158307 -aS'to\tto\tTO\tB-PP\tO' -p158308 -aS'as\tas\tRB\tB-ADVP\tO' -p158309 -aS'high\thigh\tJJ\tI-ADVP\tO' -p158310 -aS'as\tas\tIN\tB-PP\tO' -p158311 -aS'1484\t1484\tCD\tB-NP\tO' -p158312 -aS'for\tfor\tIN\tB-PP\tO' -p158313 -aS'ALT\tALT\tNN\tB-NP\tO' -p158314 -aS',\t,\t,\tO\tO' -p158315 -aS'915\t915\tCD\tB-NP\tO' -p158316 -aS'for\tfor\tIN\tB-PP\tO' -p158317 -aS'AST\tAST\tNN\tB-NP\tO' -p158318 -aS',\t,\t,\tO\tO' -p158319 -aS'and\tand\tCC\tO\tO' -p158320 -aS'7.6\t7.6\tCD\tB-NP\tO' -p158321 -aS'for\tfor\tIN\tB-PP\tO' -p158322 -aS'total\ttotal\tJJ\tB-NP\tO' -p158323 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p158324 -aS'.\t.\t.\tO\tO' -p158325 -asS'The heart was regular with an S1 and S2 .' -p158326 -(lp158327 -S'The\tThe\tDT\tB-NP\tO' -p158328 -aS'heart\theart\tNN\tI-NP\tO' -p158329 -aS'was\tbe\tVBD\tB-VP\tO' -p158330 -aS'regular\tregular\tJJ\tB-ADJP\tO' -p158331 -aS'with\twith\tIN\tB-PP\tO' -p158332 -aS'an\tan\tDT\tB-NP\tO' -p158333 -aS'S1\tS1\tNN\tI-NP\tB-protein' -p158334 -aS'and\tand\tCC\tI-NP\tO' -p158335 -aS'S2\tS2\tNN\tI-NP\tB-protein' -p158336 -aS'.\t.\t.\tO\tO' -p158337 -asS'His lower extremity edema improved with diuresis .' -p158338 -(lp158339 -S'His\tHis\tPRP$\tB-NP\tB-protein' -p158340 -aS'lower\tlow\tJJR\tI-NP\tO' -p158341 -aS'extremity\textremity\tNN\tI-NP\tO' -p158342 -aS'edema\tedema\tNN\tI-NP\tO' -p158343 -aS'improved\timprove\tVBN\tB-VP\tO' -p158344 -aS'with\twith\tIN\tB-PP\tO' -p158345 -aS'diuresis\tdiuresis\tNN\tB-NP\tO' -p158346 -aS'.\t.\t.\tO\tO' -p158347 -asS'Influenza immunization is recommended annually in the Fall for all infants once they reach 6 months of age .' -p158348 -(lp158349 -S'Influenza\tInfluenza\tNN\tB-NP\tO' -p158350 -aS'immunization\timmunization\tNN\tI-NP\tO' -p158351 -aS'is\tbe\tVBZ\tB-VP\tO' -p158352 -aS'recommended\trecommend\tVBN\tI-VP\tO' -p158353 -aS'annually\tannually\tRB\tB-ADVP\tO' -p158354 -aS'in\tin\tIN\tB-PP\tO' -p158355 -aS'the\tthe\tDT\tB-NP\tO' -p158356 -aS'Fall\tFall\tNNP\tI-NP\tO' -p158357 -aS'for\tfor\tIN\tB-PP\tO' -p158358 -aS'all\tall\tDT\tB-NP\tO' -p158359 -aS'infants\tinfant\tNNS\tI-NP\tO' -p158360 -aS'once\tonce\tIN\tB-SBAR\tO' -p158361 -aS'they\tthey\tPRP\tB-NP\tO' -p158362 -aS'reach\treach\tVBP\tB-VP\tO' -p158363 -aS'6\t6\tCD\tB-NP\tO' -p158364 -aS'months\tmonth\tNNS\tI-NP\tO' -p158365 -aS'of\tof\tIN\tB-PP\tO' -p158366 -aS'age\tage\tNN\tB-NP\tO' -p158367 -aS'.\t.\t.\tO\tO' -p158368 -asS'Fine crackles in the bases , otherwise clear .' -p158369 -(lp158370 -S'Fine\tFine\tJJ\tB-NP\tO' -p158371 -aS'crackles\tcrackle\tNNS\tI-NP\tO' -p158372 -aS'in\tin\tIN\tB-PP\tO' -p158373 -aS'the\tthe\tDT\tB-NP\tO' -p158374 -aS'bases\tbase\tNNS\tI-NP\tO' -p158375 -aS',\t,\t,\tO\tO' -p158376 -aS'otherwise\totherwise\tRB\tB-ADJP\tO' -p158377 -aS'clear\tclear\tJJ\tI-ADJP\tO' -p158378 -aS'.\t.\t.\tO\tO' -p158379 -asS'They felt that there was obstruction and possible obstruction to airflow generating some obstructive apnea , as well as partial obstructive events .' -p158380 -(lp158381 -S'They\tThey\tPRP\tB-NP\tO' -p158382 -aS'felt\tfeel\tVBD\tB-VP\tO' -p158383 -aS'that\tthat\tIN\tB-SBAR\tO' -p158384 -aS'there\tthere\tEX\tB-NP\tO' -p158385 -aS'was\tbe\tVBD\tB-VP\tO' -p158386 -aS'obstruction\tobstruction\tNN\tB-NP\tO' -p158387 -aS'and\tand\tCC\tO\tO' -p158388 -aS'possible\tpossible\tJJ\tB-NP\tO' -p158389 -aS'obstruction\tobstruction\tNN\tI-NP\tO' -p158390 -aS'to\tto\tTO\tB-VP\tO' -p158391 -aS'airflow\tairflow\tVB\tI-VP\tO' -p158392 -aS'generating\tgenerate\tVBG\tI-VP\tO' -p158393 -aS'some\tsome\tDT\tB-NP\tO' -p158394 -aS'obstructive\tobstructive\tJJ\tI-NP\tO' -p158395 -aS'apnea\tapnea\tNN\tI-NP\tO' -p158396 -aS',\t,\t,\tO\tO' -p158397 -aS'as\tas\tRB\tB-CONJP\tO' -p158398 -aS'well\twell\tRB\tI-CONJP\tO' -p158399 -aS'as\tas\tIN\tI-CONJP\tO' -p158400 -aS'partial\tpartial\tJJ\tB-NP\tO' -p158401 -aS'obstructive\tobstructive\tJJ\tI-NP\tO' -p158402 -aS'events\tevent\tNNS\tI-NP\tO' -p158403 -aS'.\t.\t.\tO\tO' -p158404 -asS'The splenic flexure had a purulent exudative process along the antimesenteric surface .' -p158405 -(lp158406 -S'The\tThe\tDT\tB-NP\tO' -p158407 -aS'splenic\tsplenic\tJJ\tI-NP\tO' -p158408 -aS'flexure\tflexure\tNN\tI-NP\tO' -p158409 -aS'had\thave\tVBD\tB-VP\tO' -p158410 -aS'a\ta\tDT\tB-NP\tO' -p158411 -aS'purulent\tpurulent\tJJ\tI-NP\tO' -p158412 -aS'exudative\texudative\tJJ\tI-NP\tO' -p158413 -aS'process\tprocess\tNN\tI-NP\tO' -p158414 -aS'along\talong\tIN\tB-PP\tO' -p158415 -aS'the\tthe\tDT\tB-NP\tO' -p158416 -aS'antimesenteric\tantimesenteric\tJJ\tI-NP\tO' -p158417 -aS'surface\tsurface\tNN\tI-NP\tO' -p158418 -aS'.\t.\t.\tO\tO' -p158419 -asS'The patient was afebrile , her vital signs were stable and she maintained a good urine output .' -p158420 -(lp158421 -S'The\tThe\tDT\tB-NP\tO' -p158422 -aS'patient\tpatient\tNN\tI-NP\tO' -p158423 -aS'was\tbe\tVBD\tB-VP\tO' -p158424 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p158425 -aS',\t,\t,\tO\tO' -p158426 -aS'her\ther\tPRP$\tB-NP\tO' -p158427 -aS'vital\tvital\tJJ\tI-NP\tO' -p158428 -aS'signs\tsign\tNNS\tI-NP\tO' -p158429 -aS'were\tbe\tVBD\tB-VP\tO' -p158430 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p158431 -aS'and\tand\tCC\tO\tO' -p158432 -aS'she\tshe\tPRP\tB-NP\tO' -p158433 -aS'maintained\tmaintain\tVBD\tB-VP\tO' -p158434 -aS'a\ta\tDT\tB-NP\tO' -p158435 -aS'good\tgood\tJJ\tI-NP\tO' -p158436 -aS'urine\turine\tNN\tI-NP\tO' -p158437 -aS'output\toutput\tNN\tI-NP\tO' -p158438 -aS'.\t.\t.\tO\tO' -p158439 -asS'She remained intermittently febrile despite numerous antibiotics .' -p158440 -(lp158441 -S'She\tShe\tPRP\tB-NP\tO' -p158442 -aS'remained\tremain\tVBD\tB-VP\tO' -p158443 -aS'intermittently\tintermittently\tRB\tB-ADJP\tO' -p158444 -aS'febrile\tfebrile\tJJ\tI-ADJP\tO' -p158445 -aS'despite\tdespite\tIN\tB-PP\tO' -p158446 -aS'numerous\tnumerous\tJJ\tB-NP\tO' -p158447 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p158448 -aS'.\t.\t.\tO\tO' -p158449 -asS'She is alert and following commands .' -p158450 -(lp158451 -S'She\tShe\tPRP\tB-NP\tO' -p158452 -aS'is\tbe\tVBZ\tB-VP\tO' -p158453 -aS'alert\talert\tJJ\tB-ADJP\tO' -p158454 -aS'and\tand\tCC\tO\tO' -p158455 -aS'following\tfollow\tVBG\tB-VP\tO' -p158456 -aS'commands\tcommand\tNNS\tB-NP\tO' -p158457 -aS'.\t.\t.\tO\tO' -p158458 -asS'In the CMED CCU he became hypotensive to SBP 80 s.' -p158459 -(lp158460 -S'In\tIn\tIN\tB-PP\tO' -p158461 -aS'the\tthe\tDT\tB-NP\tO' -p158462 -aS'CMED\tCMED\tVBN\tI-NP\tO' -p158463 -aS'CCU\tCCU\tNN\tI-NP\tO' -p158464 -aS'he\the\tPRP\tB-NP\tO' -p158465 -aS'became\tbecome\tVBD\tB-VP\tO' -p158466 -aS'hypotensive\thypotensive\tJJ\tB-ADJP\tO' -p158467 -aS'to\tto\tTO\tB-PP\tO' -p158468 -aS'SBP\tSBP\tNN\tB-NP\tO' -p158469 -aS'80\t80\tCD\tI-NP\tO' -p158470 -aS's.\ts.\tNNS\tI-NP\tO' -p158471 -asS'1. Percocet 5/325 mg one to two q. four hours p.r.n.' -p158472 -(lp158473 -S'1.\t1.\tLS\tB-NP\tO' -p158474 -aS'Percocet\tPercocet\tNNP\tI-NP\tO' -p158475 -aS'5/325\t5/325\tCD\tI-NP\tO' -p158476 -aS'mg\tmg\tNN\tI-NP\tO' -p158477 -aS'one\tone\tCD\tB-NP\tO' -p158478 -aS'to\tto\tTO\tI-NP\tO' -p158479 -aS'two\ttwo\tCD\tI-NP\tO' -p158480 -aS'q.\tq.\tNN\tI-NP\tO' -p158481 -aS'four\tfour\tCD\tB-NP\tO' -p158482 -aS'hours\thour\tNNS\tI-NP\tO' -p158483 -aS'p.r.n.\tp.r.n.\tRB\tB-ADVP\tO' -p158484 -asS'Therefore , she was monitored over the next few days for any further bleeding events .' -p158485 -(lp158486 -S'Therefore\tTherefore\tRB\tB-ADVP\tO' -p158487 -aS',\t,\t,\tO\tO' -p158488 -aS'she\tshe\tPRP\tB-NP\tO' -p158489 -aS'was\tbe\tVBD\tB-VP\tO' -p158490 -aS'monitored\tmonitor\tVBN\tI-VP\tO' -p158491 -aS'over\tover\tIN\tB-PP\tO' -p158492 -aS'the\tthe\tDT\tB-NP\tO' -p158493 -aS'next\tnext\tJJ\tI-NP\tO' -p158494 -aS'few\tfew\tJJ\tI-NP\tO' -p158495 -aS'days\tday\tNNS\tI-NP\tO' -p158496 -aS'for\tfor\tIN\tB-PP\tO' -p158497 -aS'any\tany\tDT\tB-NP\tO' -p158498 -aS'further\tfurther\tJJ\tI-NP\tO' -p158499 -aS'bleeding\tbleed\tVBG\tI-NP\tO' -p158500 -aS'events\tevent\tNNS\tI-NP\tO' -p158501 -aS'.\t.\t.\tO\tO' -p158502 -asS'This is to notify you that your patient , FREIREKOTE , SONYLA arrived in the Emergency Department at Bri Health on 02/10/2000 03:19 PM .' -p158503 -(lp158504 -S'This\tThis\tDT\tB-NP\tO' -p158505 -aS'is\tbe\tVBZ\tB-VP\tO' -p158506 -aS'to\tto\tTO\tB-VP\tO' -p158507 -aS'notify\tnotify\tVB\tI-VP\tO' -p158508 -aS'you\tyou\tPRP\tB-NP\tO' -p158509 -aS'that\tthat\tIN\tB-SBAR\tO' -p158510 -aS'your\tyour\tPRP$\tB-NP\tO' -p158511 -aS'patient\tpatient\tNN\tI-NP\tO' -p158512 -aS',\t,\t,\tO\tO' -p158513 -aS'FREIREKOTE\tFREIREKOTE\tNN\tB-NP\tO' -p158514 -aS',\t,\t,\tO\tO' -p158515 -aS'SONYLA\tSONYLA\tNN\tB-NP\tO' -p158516 -aS'arrived\tarrive\tVBD\tB-VP\tO' -p158517 -aS'in\tin\tIN\tB-PP\tO' -p158518 -aS'the\tthe\tDT\tB-NP\tO' -p158519 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p158520 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p158521 -aS'at\tat\tIN\tB-PP\tO' -p158522 -aS'Bri\tBri\tNNP\tB-NP\tO' -p158523 -aS'Health\tHealth\tNNP\tI-NP\tO' -p158524 -aS'on\ton\tIN\tB-PP\tO' -p158525 -aS'02/10/2000\t02/10/2000\tCD\tB-NP\tO' -p158526 -aS'03:19\t03:19\tCD\tI-NP\tO' -p158527 -aS'PM\tPM\tNN\tI-NP\tO' -p158528 -aS'.\t.\t.\tO\tO' -p158529 -asS'Her admission physical revealed a birth weight of 901 gm , 20th percentile ; length 34 cm , 25th percentile ; head circumference 25 cm , 25th percentile .' -p158530 -(lp158531 -S'Her\tHer\tPRP$\tB-NP\tO' -p158532 -aS'admission\tadmission\tNN\tI-NP\tO' -p158533 -aS'physical\tphysical\tNN\tI-NP\tO' -p158534 -aS'revealed\treveal\tVBD\tB-VP\tO' -p158535 -aS'a\ta\tDT\tB-NP\tO' -p158536 -aS'birth\tbirth\tNN\tI-NP\tO' -p158537 -aS'weight\tweight\tNN\tI-NP\tO' -p158538 -aS'of\tof\tIN\tB-PP\tO' -p158539 -aS'901\t901\tCD\tB-NP\tO' -p158540 -aS'gm\tgm\tNN\tI-NP\tO' -p158541 -aS',\t,\t,\tO\tO' -p158542 -aS'20th\t20th\tJJ\tB-NP\tO' -p158543 -aS'percentile\tpercentile\tNN\tI-NP\tO' -p158544 -aS';\t;\t:\tO\tO' -p158545 -aS'length\tlength\tNN\tB-NP\tO' -p158546 -aS'34\t34\tCD\tI-NP\tO' -p158547 -aS'cm\tcm\tNN\tI-NP\tO' -p158548 -aS',\t,\t,\tO\tO' -p158549 -aS'25th\t25th\tJJ\tB-NP\tO' -p158550 -aS'percentile\tpercentile\tNN\tI-NP\tO' -p158551 -aS';\t;\t:\tO\tO' -p158552 -aS'head\thead\tNN\tB-NP\tO' -p158553 -aS'circumference\tcircumference\tNN\tI-NP\tO' -p158554 -aS'25\t25\tCD\tB-NP\tO' -p158555 -aS'cm\tcm\tNN\tI-NP\tO' -p158556 -aS',\t,\t,\tO\tO' -p158557 -aS'25th\t25th\tJJ\tB-NP\tO' -p158558 -aS'percentile\tpercentile\tNN\tI-NP\tO' -p158559 -aS'.\t.\t.\tO\tO' -p158560 -asS'He also currently has an SPEP / UPEP/Beta 2 microglobulin / ACE test that are currently pending .' -p158561 -(lp158562 -S'He\tHe\tPRP\tB-NP\tO' -p158563 -aS'also\talso\tRB\tB-ADVP\tO' -p158564 -aS'currently\tcurrently\tRB\tB-ADVP\tO' -p158565 -aS'has\thave\tVBZ\tB-VP\tO' -p158566 -aS'an\tan\tDT\tB-NP\tO' -p158567 -aS'SPEP\tSPEP\tNN\tI-NP\tB-protein' -p158568 -aS'/\t/\tSYM\tO\tO' -p158569 -aS'UPEP/Beta\tUPEP/Beta\tNN\tB-NP\tB-protein' -p158570 -aS'2\t2\tCD\tI-NP\tI-protein' -p158571 -aS'microglobulin\tmicroglobulin\tNN\tI-NP\tI-protein' -p158572 -aS'/\t/\tSYM\tB-NP\tO' -p158573 -aS'ACE\tACE\tNN\tI-NP\tO' -p158574 -aS'test\ttest\tNN\tI-NP\tO' -p158575 -aS'that\tthat\tWDT\tB-NP\tO' -p158576 -aS'are\tbe\tVBP\tB-VP\tO' -p158577 -aS'currently\tcurrently\tRB\tI-VP\tO' -p158578 -aS'pending\tpende\tVBG\tI-VP\tO' -p158579 -aS'.\t.\t.\tO\tO' -p158580 -asS'8. Tubes , lines , and drains .' -p158581 -(lp158582 -S'8.\t8.\tCD\tB-NP\tO' -p158583 -aS'Tubes\tTube\tNNS\tI-NP\tO' -p158584 -aS',\t,\t,\tO\tO' -p158585 -aS'lines\tline\tNNS\tB-NP\tO' -p158586 -aS',\t,\t,\tO\tO' -p158587 -aS'and\tand\tCC\tO\tO' -p158588 -aS'drains\tdrain\tNNS\tB-NP\tO' -p158589 -aS'.\t.\t.\tO\tO' -p158590 -asS'After a discussion with both Radiology and Neurosurgery , the decision was made that the worsening did not appear significant , and this was not accompanied by a change in his clinical condition .' -p158591 -(lp158592 -S'After\tAfter\tIN\tB-PP\tO' -p158593 -aS'a\ta\tDT\tB-NP\tO' -p158594 -aS'discussion\tdiscussion\tNN\tI-NP\tO' -p158595 -aS'with\twith\tIN\tB-PP\tO' -p158596 -aS'both\tboth\tDT\tB-NP\tO' -p158597 -aS'Radiology\tRadiology\tNNP\tI-NP\tO' -p158598 -aS'and\tand\tCC\tI-NP\tO' -p158599 -aS'Neurosurgery\tNeurosurgery\tNNP\tI-NP\tO' -p158600 -aS',\t,\t,\tO\tO' -p158601 -aS'the\tthe\tDT\tB-NP\tO' -p158602 -aS'decision\tdecision\tNN\tI-NP\tO' -p158603 -aS'was\tbe\tVBD\tB-VP\tO' -p158604 -aS'made\tmake\tVBN\tI-VP\tO' -p158605 -aS'that\tthat\tIN\tB-SBAR\tO' -p158606 -aS'the\tthe\tDT\tB-NP\tO' -p158607 -aS'worsening\tworsening\tNN\tI-NP\tO' -p158608 -aS'did\tdo\tVBD\tB-VP\tO' -p158609 -aS'not\tnot\tRB\tI-VP\tO' -p158610 -aS'appear\tappear\tVB\tI-VP\tO' -p158611 -aS'significant\tsignificant\tJJ\tB-ADJP\tO' -p158612 -aS',\t,\t,\tO\tO' -p158613 -aS'and\tand\tCC\tO\tO' -p158614 -aS'this\tthis\tDT\tB-NP\tO' -p158615 -aS'was\tbe\tVBD\tB-VP\tO' -p158616 -aS'not\tnot\tRB\tI-VP\tO' -p158617 -aS'accompanied\taccompany\tVBN\tI-VP\tO' -p158618 -aS'by\tby\tIN\tB-PP\tO' -p158619 -aS'a\ta\tDT\tB-NP\tO' -p158620 -aS'change\tchange\tNN\tI-NP\tO' -p158621 -aS'in\tin\tIN\tB-PP\tO' -p158622 -aS'his\this\tPRP$\tB-NP\tO' -p158623 -aS'clinical\tclinical\tJJ\tI-NP\tO' -p158624 -aS'condition\tcondition\tNN\tI-NP\tO' -p158625 -aS'.\t.\t.\tO\tO' -p158626 -asS'7. Lisinopril .' -p158627 -(lp158628 -S'7.\t7.\tCD\tB-NP\tO' -p158629 -aS'Lisinopril\tLisinopril\tNNP\tI-NP\tO' -p158630 -aS'.\t.\t.\tO\tO' -p158631 -asS'Heart revealed a regular rate and rhythm .' -p158632 -(lp158633 -S'Heart\tHeart\tNNP\tB-NP\tO' -p158634 -aS'revealed\treveal\tVBD\tB-VP\tO' -p158635 -aS'a\ta\tDT\tB-NP\tO' -p158636 -aS'regular\tregular\tJJ\tI-NP\tO' -p158637 -aS'rate\trate\tNN\tI-NP\tO' -p158638 -aS'and\tand\tCC\tI-NP\tO' -p158639 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p158640 -aS'.\t.\t.\tO\tO' -p158641 -asS'Over the course of his Intensive Care Unit stay , the patient received six units of packed red blood cells for a low hematocrit .' -p158642 -(lp158643 -S'Over\tOver\tIN\tB-PP\tO' -p158644 -aS'the\tthe\tDT\tB-NP\tO' -p158645 -aS'course\tcourse\tNN\tI-NP\tO' -p158646 -aS'of\tof\tIN\tB-PP\tO' -p158647 -aS'his\this\tPRP$\tB-NP\tO' -p158648 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p158649 -aS'Care\tCare\tNNP\tI-NP\tO' -p158650 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p158651 -aS'stay\tstay\tNN\tI-NP\tO' -p158652 -aS',\t,\t,\tO\tO' -p158653 -aS'the\tthe\tDT\tB-NP\tO' -p158654 -aS'patient\tpatient\tNN\tI-NP\tO' -p158655 -aS'received\treceive\tVBD\tB-VP\tO' -p158656 -aS'six\tsix\tCD\tB-NP\tO' -p158657 -aS'units\tunit\tNNS\tI-NP\tO' -p158658 -aS'of\tof\tIN\tB-PP\tO' -p158659 -aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' -p158660 -aS'red\tred\tJJ\tI-NP\tI-cell_type' -p158661 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p158662 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p158663 -aS'for\tfor\tIN\tB-PP\tO' -p158664 -aS'a\ta\tDT\tB-NP\tO' -p158665 -aS'low\tlow\tJJ\tI-NP\tO' -p158666 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p158667 -aS'.\t.\t.\tO\tO' -p158668 -asS'May shower , no baths or swimming' -p158669 -(lp158670 -S'May\tMay\tNNP\tB-NP\tO' -p158671 -aS'shower\tshower\tNN\tI-NP\tO' -p158672 -aS',\t,\t,\tO\tO' -p158673 -aS'no\tno\tDT\tB-NP\tO' -p158674 -aS'baths\tbath\tNNS\tI-NP\tO' -p158675 -aS'or\tor\tCC\tI-NP\tO' -p158676 -aS'swimming\tswimming\tNN\tI-NP\tO' -p158677 -asS'At this point , the left ventricular thrombus ( for which she was initially started therapy for ) was no longer present .' -p158678 -(lp158679 -S'At\tAt\tIN\tB-PP\tO' -p158680 -aS'this\tthis\tDT\tB-NP\tO' -p158681 -aS'point\tpoint\tNN\tI-NP\tO' -p158682 -aS',\t,\t,\tO\tO' -p158683 -aS'the\tthe\tDT\tB-NP\tO' -p158684 -aS'left\tleft\tJJ\tI-NP\tO' -p158685 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p158686 -aS'thrombus\tthrombus\tNN\tI-NP\tO' -p158687 -aS'(\t(\t(\tO\tO' -p158688 -aS'for\tfor\tIN\tB-PP\tO' -p158689 -aS'which\twhich\tWDT\tB-NP\tO' -p158690 -aS'she\tshe\tPRP\tB-NP\tO' -p158691 -aS'was\tbe\tVBD\tB-VP\tO' -p158692 -aS'initially\tinitially\tRB\tI-VP\tO' -p158693 -aS'started\tstart\tVBN\tI-VP\tO' -p158694 -aS'therapy\ttherapy\tNN\tB-NP\tO' -p158695 -aS'for\tfor\tIN\tB-PP\tO' -p158696 -aS')\t)\t)\tO\tO' -p158697 -aS'was\tbe\tVBD\tB-VP\tO' -p158698 -aS'no\tno\tRB\tB-ADVP\tO' -p158699 -aS'longer\tlonger\tRBR\tI-ADVP\tO' -p158700 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p158701 -aS'.\t.\t.\tO\tO' -p158702 -asS'Also , HCT on admission 21 from 25 .' -p158703 -(lp158704 -S'Also\tAlso\tRB\tB-ADVP\tO' -p158705 -aS',\t,\t,\tO\tO' -p158706 -aS'HCT\tHCT\tNN\tB-NP\tO' -p158707 -aS'on\ton\tIN\tB-PP\tO' -p158708 -aS'admission\tadmission\tNN\tB-NP\tO' -p158709 -aS'21\t21\tCD\tI-NP\tO' -p158710 -aS'from\tfrom\tIN\tB-PP\tO' -p158711 -aS'25\t25\tCD\tB-NP\tO' -p158712 -aS'.\t.\t.\tO\tO' -p158713 -asS'Her postoperative course was complicated by serosanguineous pleural effusion on the left .' -p158714 -(lp158715 -S'Her\tHer\tPRP$\tB-NP\tO' -p158716 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p158717 -aS'course\tcourse\tNN\tI-NP\tO' -p158718 -aS'was\tbe\tVBD\tB-VP\tO' -p158719 -aS'complicated\tcomplicate\tVBN\tI-VP\tO' -p158720 -aS'by\tby\tIN\tB-PP\tO' -p158721 -aS'serosanguineous\tserosanguineous\tJJ\tB-NP\tO' -p158722 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p158723 -aS'effusion\teffusion\tNN\tI-NP\tO' -p158724 -aS'on\ton\tIN\tB-PP\tO' -p158725 -aS'the\tthe\tDT\tB-NP\tO' -p158726 -aS'left\tleft\tNN\tI-NP\tO' -p158727 -aS'.\t.\t.\tO\tO' -p158728 -asS'Methadone 10 bid .' -p158729 -(lp158730 -S'Methadone\tMethadone\tNN\tB-NP\tO' -p158731 -aS'10\t10\tCD\tI-NP\tO' -p158732 -aS'bid\tbid\tNN\tI-NP\tO' -p158733 -aS'.\t.\t.\tO\tO' -p158734 -asS'Seen by Dr. Laura of cardiac surgery and underwent redo AVR with aortic root enlargement on 05-11 .' -p158735 -(lp158736 -S'Seen\tSeen\tNNP\tB-NP\tO' -p158737 -aS'by\tby\tIN\tB-PP\tO' -p158738 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p158739 -aS'Laura\tLaura\tNNP\tI-NP\tO' -p158740 -aS'of\tof\tIN\tB-PP\tO' -p158741 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p158742 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p158743 -aS'and\tand\tCC\tO\tO' -p158744 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p158745 -aS'redo\tredo\tNN\tB-NP\tO' -p158746 -aS'AVR\tAVR\tNN\tI-NP\tO' -p158747 -aS'with\twith\tIN\tB-PP\tO' -p158748 -aS'aortic\taortic\tJJ\tB-NP\tO' -p158749 -aS'root\troot\tNN\tI-NP\tO' -p158750 -aS'enlargement\tenlargement\tNN\tI-NP\tO' -p158751 -aS'on\ton\tIN\tB-PP\tO' -p158752 -aS'05-11\t05-11\tNN\tB-NP\tO' -p158753 -aS'.\t.\t.\tO\tO' -p158754 -asS'Also , a long discussion was taken with the patient as most of his chest discomfort happens when he is quite anxious .' -p158755 -(lp158756 -S'Also\tAlso\tRB\tB-ADVP\tO' -p158757 -aS',\t,\t,\tO\tO' -p158758 -aS'a\ta\tDT\tB-NP\tO' -p158759 -aS'long\tlong\tJJ\tI-NP\tO' -p158760 -aS'discussion\tdiscussion\tNN\tI-NP\tO' -p158761 -aS'was\tbe\tVBD\tB-VP\tO' -p158762 -aS'taken\ttake\tVBN\tI-VP\tO' -p158763 -aS'with\twith\tIN\tB-PP\tO' -p158764 -aS'the\tthe\tDT\tB-NP\tO' -p158765 -aS'patient\tpatient\tNN\tI-NP\tO' -p158766 -aS'as\tas\tIN\tB-PP\tO' -p158767 -aS'most\tmost\tJJS\tB-NP\tO' -p158768 -aS'of\tof\tIN\tB-PP\tO' -p158769 -aS'his\this\tPRP$\tB-NP\tO' -p158770 -aS'chest\tchest\tNN\tI-NP\tO' -p158771 -aS'discomfort\tdiscomfort\tNN\tI-NP\tO' -p158772 -aS'happens\thappen\tVBZ\tB-VP\tO' -p158773 -aS'when\twhen\tWRB\tB-ADVP\tO' -p158774 -aS'he\the\tPRP\tB-NP\tO' -p158775 -aS'is\tbe\tVBZ\tB-VP\tO' -p158776 -aS'quite\tquite\tRB\tB-ADJP\tO' -p158777 -aS'anxious\tanxious\tJJ\tI-ADJP\tO' -p158778 -aS'.\t.\t.\tO\tO' -p158779 -asS'Three vessel cord .' -p158780 -(lp158781 -S'Three\tThree\tCD\tB-NP\tO' -p158782 -aS'vessel\tvessel\tNN\tI-NP\tO' -p158783 -aS'cord\tcord\tNN\tI-NP\tO' -p158784 -aS'.\t.\t.\tO\tO' -p158785 -asS'She had PICC line placed on the day prior to discharge for home vancomycin administration .' -p158786 -(lp158787 -S'She\tShe\tPRP\tB-NP\tO' -p158788 -aS'had\thave\tVBD\tB-VP\tO' -p158789 -aS'PICC\tPICC\tNN\tB-NP\tO' -p158790 -aS'line\tline\tNN\tI-NP\tO' -p158791 -aS'placed\tplace\tVBN\tB-VP\tO' -p158792 -aS'on\ton\tIN\tB-PP\tO' -p158793 -aS'the\tthe\tDT\tB-NP\tO' -p158794 -aS'day\tday\tNN\tI-NP\tO' -p158795 -aS'prior\tprior\tRB\tB-ADVP\tO' -p158796 -aS'to\tto\tTO\tB-VP\tO' -p158797 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p158798 -aS'for\tfor\tIN\tB-PP\tO' -p158799 -aS'home\thome\tNN\tB-NP\tO' -p158800 -aS'vancomycin\tvancomycin\tNN\tI-NP\tO' -p158801 -aS'administration\tadministration\tNN\tI-NP\tO' -p158802 -aS'.\t.\t.\tO\tO' -p158803 -asS"1. Hypotension : The patient 'd pm BP meds were held 11-14 and she was administered 1.5L NS over the course of the day with subsequent SBP s in the high 90 s, low 100 s,." -p158804 -(lp158805 -S'1.\t1.\tCD\tB-NP\tO' -p158806 -aS'Hypotension\tHypotension\tNN\tI-NP\tO' -p158807 -aS':\t:\t:\tO\tO' -p158808 -aS'The\tThe\tDT\tB-NP\tO' -p158809 -aS'patient\tpatient\tNN\tI-NP\tO' -p158810 -aS"'d\t'd\tPOS\tB-NP\tO" -p158811 -aS'pm\tpm\tNN\tI-NP\tO' -p158812 -aS'BP\tBP\tNN\tI-NP\tO' -p158813 -aS'meds\tmed\tNNS\tI-NP\tO' -p158814 -aS'were\tbe\tVBD\tB-VP\tO' -p158815 -aS'held\thold\tVBN\tI-VP\tO' -p158816 -aS'11-14\t11-14\tCD\tB-NP\tO' -p158817 -aS'and\tand\tCC\tO\tO' -p158818 -aS'she\tshe\tPRP\tB-NP\tO' -p158819 -aS'was\tbe\tVBD\tB-VP\tO' -p158820 -aS'administered\tadminister\tVBN\tI-VP\tO' -p158821 -aS'1.5L\t1.5L\tNN\tB-NP\tO' -p158822 -aS'NS\tNS\tNN\tI-NP\tO' -p158823 -aS'over\tover\tIN\tB-PP\tO' -p158824 -aS'the\tthe\tDT\tB-NP\tO' -p158825 -aS'course\tcourse\tNN\tI-NP\tO' -p158826 -aS'of\tof\tIN\tB-PP\tO' -p158827 -aS'the\tthe\tDT\tB-NP\tO' -p158828 -aS'day\tday\tNN\tI-NP\tO' -p158829 -aS'with\twith\tIN\tB-PP\tO' -p158830 -aS'subsequent\tsubsequent\tJJ\tB-NP\tO' -p158831 -aS'SBP\tSBP\tNN\tI-NP\tO' -p158832 -aS's\ts\tNNS\tI-NP\tO' -p158833 -aS'in\tin\tIN\tB-PP\tO' -p158834 -aS'the\tthe\tDT\tB-NP\tO' -p158835 -aS'high\thigh\tJJ\tI-NP\tO' -p158836 -aS'90\t90\tCD\tI-NP\tO' -p158837 -aS's,\ts,\tNN\tI-NP\tO' -p158838 -aS'low\tlow\tJJ\tI-NP\tO' -p158839 -aS'100\t100\tCD\tI-NP\tO' -p158840 -aS's,.\ts,.\tNN\tI-NP\tO' -p158841 -asS'She is a single female who lives in Mifayston .' -p158842 -(lp158843 -S'She\tShe\tPRP\tB-NP\tO' -p158844 -aS'is\tbe\tVBZ\tB-VP\tO' -p158845 -aS'a\ta\tDT\tB-NP\tO' -p158846 -aS'single\tsingle\tJJ\tI-NP\tO' -p158847 -aS'female\tfemale\tNN\tI-NP\tO' -p158848 -aS'who\twho\tWP\tB-NP\tO' -p158849 -aS'lives\tlive\tVBZ\tB-VP\tO' -p158850 -aS'in\tin\tIN\tB-PP\tO' -p158851 -aS'Mifayston\tMifayston\tNNP\tB-NP\tO' -p158852 -aS'.\t.\t.\tO\tO' -p158853 -asS'A&Ox3 , no asterixis , strength 4+ / 5 equal throughout , sensation light touch intact , toes upgoing bilaterally , no pronator drift .' -p158854 -(lp158855 -S'A&Ox3\tA&Ox3\tNN\tB-NP\tB-protein' -p158856 -aS',\t,\t,\tO\tO' -p158857 -aS'no\tno\tDT\tB-NP\tO' -p158858 -aS'asterixis\tasterixis\tNN\tI-NP\tO' -p158859 -aS',\t,\t,\tO\tO' -p158860 -aS'strength\tstrength\tNN\tB-NP\tO' -p158861 -aS'4+\t4+\tCD\tI-NP\tO' -p158862 -aS'/\t/\tSYM\tO\tO' -p158863 -aS'5\t5\tCD\tB-NP\tO' -p158864 -aS'equal\tequal\tJJ\tI-NP\tO' -p158865 -aS'throughout\tthroughout\tNN\tI-NP\tO' -p158866 -aS',\t,\t,\tO\tO' -p158867 -aS'sensation\tsensation\tNN\tB-NP\tO' -p158868 -aS'light\tlight\tNN\tI-NP\tO' -p158869 -aS'touch\ttouch\tNN\tI-NP\tO' -p158870 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p158871 -aS',\t,\t,\tO\tO' -p158872 -aS'toes\ttoe\tNNS\tB-NP\tO' -p158873 -aS'upgoing\tupgoe\tVBG\tB-VP\tO' -p158874 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p158875 -aS',\t,\t,\tO\tO' -p158876 -aS'no\tno\tDT\tB-NP\tO' -p158877 -aS'pronator\tpronator\tNN\tI-NP\tO' -p158878 -aS'drift\tdrift\tNN\tI-NP\tO' -p158879 -aS'.\t.\t.\tO\tO' -p158880 -asS'Mr. Williams was admitted to Hallmark Health System on 05-08 and taken to the operating room with Dr. Barber for a CABGx2 and AVR w/ 25 mm pericardial valve .' -p158881 -(lp158882 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p158883 -aS'Williams\tWilliams\tNNP\tI-NP\tO' -p158884 -aS'was\tbe\tVBD\tB-VP\tO' -p158885 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p158886 -aS'to\tto\tTO\tB-PP\tO' -p158887 -aS'Hallmark\tHallmark\tNNP\tB-NP\tO' -p158888 -aS'Health\tHealth\tNNP\tI-NP\tO' -p158889 -aS'System\tSystem\tNNP\tI-NP\tO' -p158890 -aS'on\ton\tIN\tB-PP\tO' -p158891 -aS'05-08\t05-08\tCD\tB-NP\tO' -p158892 -aS'and\tand\tCC\tO\tO' -p158893 -aS'taken\ttake\tVBN\tB-VP\tO' -p158894 -aS'to\tto\tTO\tB-PP\tO' -p158895 -aS'the\tthe\tDT\tB-NP\tO' -p158896 -aS'operating\toperating\tNN\tI-NP\tO' -p158897 -aS'room\troom\tNN\tI-NP\tO' -p158898 -aS'with\twith\tIN\tB-PP\tO' -p158899 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p158900 -aS'Barber\tBarber\tNNP\tI-NP\tO' -p158901 -aS'for\tfor\tIN\tB-PP\tO' -p158902 -aS'a\ta\tDT\tB-NP\tO' -p158903 -aS'CABGx2\tCABGx2\tNN\tI-NP\tB-protein' -p158904 -aS'and\tand\tCC\tI-NP\tO' -p158905 -aS'AVR\tAVR\tNN\tI-NP\tO' -p158906 -aS'w/\tw/\tNN\tI-NP\tO' -p158907 -aS'25\t25\tCD\tI-NP\tO' -p158908 -aS'mm\tmm\tNN\tI-NP\tO' -p158909 -aS'pericardial\tpericardial\tJJ\tI-NP\tO' -p158910 -aS'valve\tvalve\tNN\tI-NP\tO' -p158911 -aS'.\t.\t.\tO\tO' -p158912 -asS'The patient has chronic renal insufficiency with baseline creatinine 1.8-2 .' -p158913 -(lp158914 -S'The\tThe\tDT\tB-NP\tO' -p158915 -aS'patient\tpatient\tNN\tI-NP\tO' -p158916 -aS'has\thave\tVBZ\tB-VP\tO' -p158917 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p158918 -aS'renal\trenal\tJJ\tI-NP\tO' -p158919 -aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' -p158920 -aS'with\twith\tIN\tB-PP\tO' -p158921 -aS'baseline\tbaseline\tNN\tB-NP\tO' -p158922 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p158923 -aS'1.8-2\t1.8-2\tCD\tI-NP\tO' -p158924 -aS'.\t.\t.\tO\tO' -p158925 -asS'The patient was transferred on the evening of 2012-05-22 to the ICU given persistent carbon dioxide retention and respiratory acidosis and the intermittent mental status changes .' -p158926 -(lp158927 -S'The\tThe\tDT\tB-NP\tO' -p158928 -aS'patient\tpatient\tNN\tI-NP\tO' -p158929 -aS'was\tbe\tVBD\tB-VP\tO' -p158930 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p158931 -aS'on\ton\tIN\tB-PP\tO' -p158932 -aS'the\tthe\tDT\tB-NP\tO' -p158933 -aS'evening\tevening\tNN\tI-NP\tO' -p158934 -aS'of\tof\tIN\tB-PP\tO' -p158935 -aS'2012-05-22\t2012-05-22\tCD\tB-NP\tO' -p158936 -aS'to\tto\tTO\tB-PP\tO' -p158937 -aS'the\tthe\tDT\tB-NP\tO' -p158938 -aS'ICU\tICU\tNN\tI-NP\tB-DNA' -p158939 -aS'given\tgive\tVBN\tB-VP\tO' -p158940 -aS'persistent\tpersistent\tJJ\tB-NP\tO' -p158941 -aS'carbon\tcarbon\tNN\tI-NP\tO' -p158942 -aS'dioxide\tdioxide\tNN\tI-NP\tO' -p158943 -aS'retention\tretention\tNN\tI-NP\tO' -p158944 -aS'and\tand\tCC\tO\tO' -p158945 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p158946 -aS'acidosis\tacidosis\tNN\tI-NP\tO' -p158947 -aS'and\tand\tCC\tO\tO' -p158948 -aS'the\tthe\tDT\tB-NP\tO' -p158949 -aS'intermittent\tintermittent\tJJ\tI-NP\tO' -p158950 -aS'mental\tmental\tJJ\tI-NP\tO' -p158951 -aS'status\tstatus\tNN\tI-NP\tO' -p158952 -aS'changes\tchange\tNNS\tI-NP\tO' -p158953 -aS'.\t.\t.\tO\tO' -p158954 -asS'Blood pressure was 155/60 , heart rate 70 with occasional premature ventricular contractions , respirations 14 .' -p158955 -(lp158956 -S'Blood\tBlood\tNN\tB-NP\tO' -p158957 -aS'pressure\tpressure\tNN\tI-NP\tO' -p158958 -aS'was\tbe\tVBD\tB-VP\tO' -p158959 -aS'155/60\t155/60\tCD\tB-NP\tO' -p158960 -aS',\t,\t,\tO\tO' -p158961 -aS'heart\theart\tNN\tB-NP\tO' -p158962 -aS'rate\trate\tNN\tI-NP\tO' -p158963 -aS'70\t70\tCD\tI-NP\tO' -p158964 -aS'with\twith\tIN\tB-PP\tO' -p158965 -aS'occasional\toccasional\tJJ\tB-NP\tO' -p158966 -aS'premature\tpremature\tJJ\tI-NP\tO' -p158967 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p158968 -aS'contractions\tcontraction\tNNS\tI-NP\tO' -p158969 -aS',\t,\t,\tO\tO' -p158970 -aS'respirations\trespiration\tNNS\tB-NP\tO' -p158971 -aS'14\t14\tCD\tB-NP\tO' -p158972 -aS'.\t.\t.\tO\tO' -p158973 -asS'1. Status post CABG times four .' -p158974 -(lp158975 -S'1.\t1.\tLS\tB-NP\tO' -p158976 -aS'Status\tStatus\tNNP\tI-NP\tO' -p158977 -aS'post\tpost\tNN\tI-NP\tO' -p158978 -aS'CABG\tCABG\tNN\tI-NP\tO' -p158979 -aS'times\ttime\tNNS\tI-NP\tO' -p158980 -aS'four\tfour\tCD\tB-NP\tO' -p158981 -aS'.\t.\t.\tO\tO' -p158982 -asS'She was therefore given ceftriaxone 1 g IV x1 and azithromycin 500 mg PO x1 in the Deanna .' -p158983 -(lp158984 -S'She\tShe\tPRP\tB-NP\tO' -p158985 -aS'was\tbe\tVBD\tB-VP\tO' -p158986 -aS'therefore\ttherefore\tRB\tI-VP\tO' -p158987 -aS'given\tgive\tVBN\tI-VP\tO' -p158988 -aS'ceftriaxone\tceftriaxone\tNN\tB-NP\tO' -p158989 -aS'1\t1\tCD\tI-NP\tO' -p158990 -aS'g\tg\tNN\tI-NP\tO' -p158991 -aS'IV\tIV\tCD\tB-NP\tO' -p158992 -aS'x1\tx1\tNN\tI-NP\tO' -p158993 -aS'and\tand\tCC\tO\tO' -p158994 -aS'azithromycin\tazithromycin\tNN\tB-NP\tB-protein' -p158995 -aS'500\t500\tCD\tI-NP\tI-protein' -p158996 -aS'mg\tmg\tNN\tI-NP\tI-protein' -p158997 -aS'PO\tPO\tNN\tI-NP\tI-protein' -p158998 -aS'x1\tx1\tNN\tI-NP\tI-protein' -p158999 -aS'in\tin\tIN\tB-PP\tO' -p159000 -aS'the\tthe\tDT\tB-NP\tO' -p159001 -aS'Deanna\tDeanna\tNNP\tI-NP\tO' -p159002 -aS'.\t.\t.\tO\tO' -p159003 -asS'Decreased bulk throughout ; tone normal bilaterally .' -p159004 -(lp159005 -S'Decreased\tDecrease\tVBN\tB-NP\tO' -p159006 -aS'bulk\tbulk\tNN\tI-NP\tO' -p159007 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p159008 -aS';\t;\t:\tO\tO' -p159009 -aS'tone\ttone\tNN\tB-NP\tO' -p159010 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p159011 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p159012 -aS'.\t.\t.\tO\tO' -p159013 -asS'Effusion ? Pntx ?' -p159014 -(lp159015 -S'Effusion\tEffusion\tNN\tB-NP\tO' -p159016 -aS'?\t?\t.\tO\tO' -p159017 -aS'Pntx\tPntx\tNNP\tB-NP\tO' -p159018 -aS'?\t?\t.\tO\tO' -p159019 -asS'Vitamin D and parathyroid tests were pending at the time of discharge .' -p159020 -(lp159021 -S'Vitamin\tVitamin\tNN\tB-NP\tO' -p159022 -aS'D\tD\tNN\tI-NP\tO' -p159023 -aS'and\tand\tCC\tO\tO' -p159024 -aS'parathyroid\tparathyroid\tJJ\tB-NP\tO' -p159025 -aS'tests\ttest\tNNS\tI-NP\tO' -p159026 -aS'were\tbe\tVBD\tB-VP\tO' -p159027 -aS'pending\tpende\tVBG\tI-VP\tO' -p159028 -aS'at\tat\tIN\tB-PP\tO' -p159029 -aS'the\tthe\tDT\tB-NP\tO' -p159030 -aS'time\ttime\tNN\tI-NP\tO' -p159031 -aS'of\tof\tIN\tB-PP\tO' -p159032 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p159033 -aS'.\t.\t.\tO\tO' -p159034 -asS'There was decreased hearing bilaterally .' -p159035 -(lp159036 -S'There\tThere\tEX\tB-NP\tO' -p159037 -aS'was\tbe\tVBD\tB-VP\tO' -p159038 -aS'decreased\tdecrease\tVBN\tI-VP\tO' -p159039 -aS'hearing\thear\tVBG\tB-VP\tO' -p159040 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p159041 -aS'.\t.\t.\tO\tO' -p159042 -asS'Call our office for sternal drainage , temp > 101.5' -p159043 -(lp159044 -S'Call\tCall\tVB\tB-VP\tO' -p159045 -aS'our\tour\tPRP$\tB-NP\tO' -p159046 -aS'office\toffice\tNN\tI-NP\tO' -p159047 -aS'for\tfor\tIN\tB-PP\tO' -p159048 -aS'sternal\tsternal\tJJ\tB-NP\tO' -p159049 -aS'drainage\tdrainage\tNN\tI-NP\tO' -p159050 -aS',\t,\t,\tO\tO' -p159051 -aS'temp\ttemp\tNN\tB-NP\tO' -p159052 -aS'>\t>\tSYM\tO\tO' -p159053 -aS'101.5\t101.5\tCD\tB-NP\tO' -p159054 -asS'Signed electronically by : DR. Katherin Toth on : MON 2013-10-14 3:05 PM' -p159055 -(lp159056 -S'Signed\tSign\tVBN\tB-VP\tO' -p159057 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p159058 -aS'by\tby\tIN\tB-PP\tO' -p159059 -aS':\t:\t:\tO\tO' -p159060 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p159061 -aS'Katherin\tKatherin\tNNP\tI-NP\tO' -p159062 -aS'Toth\tToth\tNNP\tI-NP\tO' -p159063 -aS'on\ton\tIN\tB-PP\tO' -p159064 -aS':\t:\t:\tO\tO' -p159065 -aS'MON\tMON\tNN\tB-NP\tO' -p159066 -aS'2013-10-14\t2013-10-14\tCD\tI-NP\tO' -p159067 -aS'3:05\t3:05\tCD\tI-NP\tO' -p159068 -aS'PM\tPM\tNN\tI-NP\tO' -p159069 -asS'3. Methylphenidate 10 mg Tablet Sig : Two ( 2 ) Tablet PO DAILY ( Daily ) .' -p159070 -(lp159071 -S'3.\t3.\tLS\tB-LST\tO' -p159072 -aS'Methylphenidate\tMethylphenidate\tNN\tB-NP\tO' -p159073 -aS'10\t10\tCD\tI-NP\tO' -p159074 -aS'mg\tmg\tNN\tI-NP\tO' -p159075 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p159076 -aS'Sig\tSig\tNNP\tI-NP\tO' -p159077 -aS':\t:\t:\tO\tO' -p159078 -aS'Two\tTwo\tCD\tB-NP\tO' -p159079 -aS'(\t(\t(\tO\tO' -p159080 -aS'2\t2\tCD\tO\tO' -p159081 -aS')\t)\t)\tO\tO' -p159082 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p159083 -aS'PO\tPO\tNN\tI-NP\tO' -p159084 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p159085 -aS'(\t(\t(\tO\tO' -p159086 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p159087 -aS')\t)\t)\tO\tO' -p159088 -aS'.\t.\t.\tO\tO' -p159089 -asS'She received 2 units of plts and 1 unit of PRBC s.' -p159090 -(lp159091 -S'She\tShe\tPRP\tB-NP\tO' -p159092 -aS'received\treceive\tVBD\tB-VP\tO' -p159093 -aS'2\t2\tCD\tB-NP\tO' -p159094 -aS'units\tunit\tNNS\tI-NP\tO' -p159095 -aS'of\tof\tIN\tB-PP\tO' -p159096 -aS'plts\tplt\tNNS\tB-NP\tO' -p159097 -aS'and\tand\tCC\tO\tO' -p159098 -aS'1\t1\tCD\tB-NP\tO' -p159099 -aS'unit\tunit\tNN\tI-NP\tO' -p159100 -aS'of\tof\tIN\tB-PP\tO' -p159101 -aS'PRBC\tPRBC\tNN\tB-NP\tB-protein' -p159102 -aS's.\ts.\tNN\tI-NP\tI-protein' -p159103 -asS'Per Dr. John C. Corrigan Mental Health Center , at baseline , patient not interactive .' -p159104 -(lp159105 -S'Per\tPer\tNNP\tB-NP\tO' -p159106 -aS'Dr.\tDr.\tNNP\tI-NP\tO' -p159107 -aS'John\tJohn\tNNP\tI-NP\tO' -p159108 -aS'C.\tC.\tNNP\tI-NP\tO' -p159109 -aS'Corrigan\tCorrigan\tNNP\tI-NP\tO' -p159110 -aS'Mental\tMental\tNNP\tI-NP\tO' -p159111 -aS'Health\tHealth\tNNP\tI-NP\tO' -p159112 -aS'Center\tCenter\tNNP\tI-NP\tO' -p159113 -aS',\t,\t,\tO\tO' -p159114 -aS'at\tat\tIN\tB-PP\tO' -p159115 -aS'baseline\tbaseline\tNN\tB-NP\tO' -p159116 -aS',\t,\t,\tO\tO' -p159117 -aS'patient\tpatient\tNN\tB-NP\tO' -p159118 -aS'not\tnot\tRB\tB-ADJP\tO' -p159119 -aS'interactive\tinteractive\tJJ\tI-ADJP\tO' -p159120 -aS'.\t.\t.\tO\tO' -p159121 -asS'As per CMED CCU , pt requires emergent repair of intertrochanteric fracture to preserve neurovascular function .' -p159122 -(lp159123 -S'As\tAs\tIN\tB-PP\tO' -p159124 -aS'per\tper\tIN\tB-PP\tO' -p159125 -aS'CMED\tCMED\tNN\tB-NP\tO' -p159126 -aS'CCU\tCCU\tNN\tI-NP\tO' -p159127 -aS',\t,\t,\tO\tO' -p159128 -aS'pt\tpt\tNN\tB-NP\tO' -p159129 -aS'requires\trequire\tVBZ\tB-VP\tO' -p159130 -aS'emergent\temergent\tJJ\tB-NP\tO' -p159131 -aS'repair\trepair\tNN\tI-NP\tO' -p159132 -aS'of\tof\tIN\tB-PP\tO' -p159133 -aS'intertrochanteric\tintertrochanteric\tJJ\tB-NP\tO' -p159134 -aS'fracture\tfracture\tNN\tI-NP\tO' -p159135 -aS'to\tto\tTO\tB-VP\tO' -p159136 -aS'preserve\tpreserve\tVB\tI-VP\tO' -p159137 -aS'neurovascular\tneurovascular\tJJ\tB-NP\tO' -p159138 -aS'function\tfunction\tNN\tI-NP\tO' -p159139 -aS'.\t.\t.\tO\tO' -p159140 -asS'No Mumur / regurgiation / gallop' -p159141 -(lp159142 -S'No\tNo\tDT\tB-NP\tO' -p159143 -aS'Mumur\tMumur\tNN\tI-NP\tO' -p159144 -aS'/\t/\tSYM\tB-NP\tO' -p159145 -aS'regurgiation\tregurgiation\tNN\tI-NP\tO' -p159146 -aS'/\t/\tSYM\tO\tO' -p159147 -aS'gallop\tgallop\tNN\tB-NP\tO' -p159148 -asS'His neck was rigid ; 1+ carotids without bruits .' -p159149 -(lp159150 -S'His\tHis\tPRP$\tB-NP\tO' -p159151 -aS'neck\tneck\tNN\tI-NP\tO' -p159152 -aS'was\tbe\tVBD\tB-VP\tO' -p159153 -aS'rigid\trigid\tJJ\tB-ADJP\tO' -p159154 -aS';\t;\t:\tO\tO' -p159155 -aS'1+\t1+\tJJ\tB-NP\tO' -p159156 -aS'carotids\tcarotid\tNNS\tI-NP\tO' -p159157 -aS'without\twithout\tIN\tB-PP\tO' -p159158 -aS'bruits\tbruit\tNNS\tB-NP\tO' -p159159 -aS'.\t.\t.\tO\tO' -p159160 -asS'Per OMR , the patient is currently not in contact with her family .' -p159161 -(lp159162 -S'Per\tPer\tNNP\tB-NP\tO' -p159163 -aS'OMR\tOMR\tNNP\tI-NP\tO' -p159164 -aS',\t,\t,\tO\tO' -p159165 -aS'the\tthe\tDT\tB-NP\tO' -p159166 -aS'patient\tpatient\tNN\tI-NP\tO' -p159167 -aS'is\tbe\tVBZ\tB-VP\tO' -p159168 -aS'currently\tcurrently\tRB\tB-ADVP\tO' -p159169 -aS'not\tnot\tRB\tO\tO' -p159170 -aS'in\tin\tIN\tB-PP\tO' -p159171 -aS'contact\tcontact\tNN\tB-NP\tO' -p159172 -aS'with\twith\tIN\tB-PP\tO' -p159173 -aS'her\ther\tPRP$\tB-NP\tB-protein' -p159174 -aS'family\tfamily\tNN\tI-NP\tI-protein' -p159175 -aS'.\t.\t.\tO\tO' -p159176 -asS"This is an 82 - year-old male with a history of prior tobacco use , hypertension , chronic renal insufficiency , COPD , gastritis , and TIA who initially presented to Braintree with a non-ST elevation MI and Guaiac positive stools , transferred to St. Margaret's Center for Women & Infants for cardiac catheterization with PTCA to mid LAD lesion complicated by hypotension and bradycardia requiring Atropine , IV fluids and transient dopamine possibly secondary to vagal reaction , subsequently transferred to CCU for close monitoring , hemodynamically stable at the time of admission to the CCU ." -p159177 -(lp159178 -S'This\tThis\tDT\tB-NP\tO' -p159179 -aS'is\tbe\tVBZ\tB-VP\tO' -p159180 -aS'an\tan\tDT\tB-NP\tO' -p159181 -aS'82\t82\tCD\tI-NP\tO' -p159182 -aS'-\t-\tHYPH\tI-NP\tO' -p159183 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p159184 -aS'male\tmale\tNN\tI-NP\tO' -p159185 -aS'with\twith\tIN\tB-PP\tO' -p159186 -aS'a\ta\tDT\tB-NP\tO' -p159187 -aS'history\thistory\tNN\tI-NP\tO' -p159188 -aS'of\tof\tIN\tB-PP\tO' -p159189 -aS'prior\tprior\tJJ\tB-NP\tO' -p159190 -aS'tobacco\ttobacco\tNN\tI-NP\tO' -p159191 -aS'use\tuse\tNN\tI-NP\tO' -p159192 -aS',\t,\t,\tO\tO' -p159193 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p159194 -aS',\t,\t,\tO\tO' -p159195 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p159196 -aS'renal\trenal\tJJ\tI-NP\tO' -p159197 -aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' -p159198 -aS',\t,\t,\tO\tO' -p159199 -aS'COPD\tCOPD\tNN\tB-NP\tO' -p159200 -aS',\t,\t,\tO\tO' -p159201 -aS'gastritis\tgastritis\tNN\tB-NP\tO' -p159202 -aS',\t,\t,\tO\tO' -p159203 -aS'and\tand\tCC\tO\tO' -p159204 -aS'TIA\tTIA\tNN\tB-NP\tB-protein' -p159205 -aS'who\twho\tWP\tB-NP\tO' -p159206 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p159207 -aS'presented\tpresent\tVBD\tB-VP\tO' -p159208 -aS'to\tto\tTO\tB-PP\tO' -p159209 -aS'Braintree\tBraintree\tNNP\tB-NP\tO' -p159210 -aS'with\twith\tIN\tB-PP\tO' -p159211 -aS'a\ta\tDT\tB-NP\tO' -p159212 -aS'non-ST\tnon-ST\tJJ\tI-NP\tO' -p159213 -aS'elevation\televation\tNN\tI-NP\tO' -p159214 -aS'MI\tMI\tNN\tI-NP\tO' -p159215 -aS'and\tand\tCC\tO\tO' -p159216 -aS'Guaiac\tGuaiac\tJJ\tB-NP\tO' -p159217 -aS'positive\tpositive\tJJ\tI-NP\tO' -p159218 -aS'stools\tstool\tNNS\tI-NP\tO' -p159219 -aS',\t,\t,\tO\tO' -p159220 -aS'transferred\ttransfer\tVBN\tB-VP\tO' -p159221 -aS'to\tto\tTO\tB-PP\tO' -p159222 -aS'St.\tSt.\tNNP\tB-NP\tO' -p159223 -aS"Margaret's\tMargaret's\tNNP\tI-NP\tO" -p159224 -aS'Center\tCenter\tNNP\tI-NP\tO' -p159225 -aS'for\tfor\tIN\tB-PP\tO' -p159226 -aS'Women\tWomen\tNNP\tB-NP\tO' -p159227 -aS'&\t&\tCC\tI-NP\tO' -p159228 -aS'Infants\tInfant\tNNPS\tI-NP\tO' -p159229 -aS'for\tfor\tIN\tB-PP\tO' -p159230 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p159231 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p159232 -aS'with\twith\tIN\tB-PP\tO' -p159233 -aS'PTCA\tPTCA\tNN\tB-NP\tB-protein' -p159234 -aS'to\tto\tTO\tB-PP\tO' -p159235 -aS'mid\tmid\tJJ\tB-NP\tO' -p159236 -aS'LAD\tLAD\tNN\tI-NP\tO' -p159237 -aS'lesion\tlesion\tNN\tI-NP\tO' -p159238 -aS'complicated\tcomplicate\tVBN\tB-VP\tO' -p159239 -aS'by\tby\tIN\tB-PP\tO' -p159240 -aS'hypotension\thypotension\tNN\tB-NP\tO' -p159241 -aS'and\tand\tCC\tI-NP\tO' -p159242 -aS'bradycardia\tbradycardia\tNN\tI-NP\tO' -p159243 -aS'requiring\trequire\tVBG\tI-NP\tO' -p159244 -aS'Atropine\tAtropine\tNN\tI-NP\tO' -p159245 -aS',\t,\t,\tO\tO' -p159246 -aS'IV\tIV\tCD\tB-NP\tO' -p159247 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p159248 -aS'and\tand\tCC\tO\tO' -p159249 -aS'transient\ttransient\tJJ\tB-NP\tO' -p159250 -aS'dopamine\tdopamine\tNN\tI-NP\tO' -p159251 -aS'possibly\tpossibly\tRB\tB-ADJP\tO' -p159252 -aS'secondary\tsecondary\tJJ\tI-ADJP\tO' -p159253 -aS'to\tto\tTO\tB-PP\tO' -p159254 -aS'vagal\tvagal\tJJ\tB-NP\tO' -p159255 -aS'reaction\treaction\tNN\tI-NP\tO' -p159256 -aS',\t,\t,\tO\tO' -p159257 -aS'subsequently\tsubsequently\tRB\tB-VP\tO' -p159258 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p159259 -aS'to\tto\tTO\tB-PP\tO' -p159260 -aS'CCU\tCCU\tNN\tB-NP\tB-protein' -p159261 -aS'for\tfor\tIN\tB-PP\tO' -p159262 -aS'close\tclose\tJJ\tB-NP\tO' -p159263 -aS'monitoring\tmonitoring\tNN\tI-NP\tO' -p159264 -aS',\t,\t,\tO\tO' -p159265 -aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' -p159266 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p159267 -aS'at\tat\tIN\tB-PP\tO' -p159268 -aS'the\tthe\tDT\tB-NP\tO' -p159269 -aS'time\ttime\tNN\tI-NP\tO' -p159270 -aS'of\tof\tIN\tB-PP\tO' -p159271 -aS'admission\tadmission\tNN\tB-NP\tO' -p159272 -aS'to\tto\tTO\tB-PP\tO' -p159273 -aS'the\tthe\tDT\tB-NP\tO' -p159274 -aS'CCU\tCCU\tNN\tI-NP\tB-DNA' -p159275 -aS'.\t.\t.\tO\tO' -p159276 -asS'Changes of small vessel disease and chronic lacunes bilaterally in basal ganglia .' -p159277 -(lp159278 -S'Changes\tChange\tNNS\tB-NP\tO' -p159279 -aS'of\tof\tIN\tB-PP\tO' -p159280 -aS'small\tsmall\tJJ\tB-NP\tO' -p159281 -aS'vessel\tvessel\tNN\tI-NP\tO' -p159282 -aS'disease\tdisease\tNN\tI-NP\tO' -p159283 -aS'and\tand\tCC\tO\tO' -p159284 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p159285 -aS'lacunes\tlacune\tNNS\tI-NP\tO' -p159286 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p159287 -aS'in\tin\tIN\tB-PP\tO' -p159288 -aS'basal\tbasal\tJJ\tB-NP\tB-cell_type' -p159289 -aS'ganglia\tganglia\tNNS\tI-NP\tI-cell_type' -p159290 -aS'.\t.\t.\tO\tO' -p159291 -asS'For the left chest wound , they recommended cleansing with commercial wound cleanser , pat dry , pack aquacel AG rope and moisten with saline , cover with dry gauze and change daily .' -p159292 -(lp159293 -S'For\tFor\tIN\tB-PP\tO' -p159294 -aS'the\tthe\tDT\tB-NP\tO' -p159295 -aS'left\tleft\tJJ\tI-NP\tO' -p159296 -aS'chest\tchest\tNN\tI-NP\tO' -p159297 -aS'wound\twound\tNN\tI-NP\tO' -p159298 -aS',\t,\t,\tO\tO' -p159299 -aS'they\tthey\tPRP\tB-NP\tO' -p159300 -aS'recommended\trecommend\tVBD\tB-VP\tO' -p159301 -aS'cleansing\tcleanse\tVBG\tI-VP\tO' -p159302 -aS'with\twith\tIN\tB-PP\tO' -p159303 -aS'commercial\tcommercial\tJJ\tB-NP\tO' -p159304 -aS'wound\twound\tNN\tI-NP\tO' -p159305 -aS'cleanser\tcleanser\tNN\tI-NP\tO' -p159306 -aS',\t,\t,\tO\tO' -p159307 -aS'pat\tpat\tNN\tB-NP\tO' -p159308 -aS'dry\tdry\tJJ\tB-ADJP\tO' -p159309 -aS',\t,\t,\tO\tO' -p159310 -aS'pack\tpack\tNN\tB-NP\tO' -p159311 -aS'aquacel\taquacel\tNN\tI-NP\tO' -p159312 -aS'AG\tAG\tNN\tI-NP\tO' -p159313 -aS'rope\trope\tNN\tI-NP\tO' -p159314 -aS'and\tand\tCC\tO\tO' -p159315 -aS'moisten\tmoisten\tVB\tB-VP\tO' -p159316 -aS'with\twith\tIN\tB-PP\tO' -p159317 -aS'saline\tsaline\tNN\tB-NP\tO' -p159318 -aS',\t,\t,\tO\tO' -p159319 -aS'cover\tcover\tVBP\tB-VP\tO' -p159320 -aS'with\twith\tIN\tB-PP\tO' -p159321 -aS'dry\tdry\tJJ\tB-NP\tO' -p159322 -aS'gauze\tgauze\tNN\tI-NP\tO' -p159323 -aS'and\tand\tCC\tI-NP\tO' -p159324 -aS'change\tchange\tNN\tI-NP\tO' -p159325 -aS'daily\tdaily\tRB\tB-ADVP\tO' -p159326 -aS'.\t.\t.\tO\tO' -p159327 -asS'The patient lives on the first floor of her home with her daughter living upstairs .' -p159328 -(lp159329 -S'The\tThe\tDT\tB-NP\tO' -p159330 -aS'patient\tpatient\tNN\tI-NP\tO' -p159331 -aS'lives\tlive\tVBZ\tB-VP\tO' -p159332 -aS'on\ton\tIN\tB-PP\tO' -p159333 -aS'the\tthe\tDT\tB-NP\tO' -p159334 -aS'first\tfirst\tJJ\tI-NP\tO' -p159335 -aS'floor\tfloor\tNN\tI-NP\tO' -p159336 -aS'of\tof\tIN\tB-PP\tO' -p159337 -aS'her\ther\tPRP$\tB-NP\tO' -p159338 -aS'home\thome\tNN\tI-NP\tO' -p159339 -aS'with\twith\tIN\tB-PP\tO' -p159340 -aS'her\ther\tPRP$\tB-NP\tO' -p159341 -aS'daughter\tdaughter\tNN\tI-NP\tO' -p159342 -aS'living\tlive\tVBG\tI-NP\tO' -p159343 -aS'upstairs\tupstairs\tNN\tI-NP\tO' -p159344 -aS'.\t.\t.\tO\tO' -p159345 -asS'Mult family meetings given poor prognosis .' -p159346 -(lp159347 -S'Mult\tMult\tNN\tB-NP\tO' -p159348 -aS'family\tfamily\tNN\tI-NP\tO' -p159349 -aS'meetings\tmeeting\tNNS\tI-NP\tO' -p159350 -aS'given\tgive\tVBN\tB-VP\tO' -p159351 -aS'poor\tpoor\tJJ\tB-NP\tO' -p159352 -aS'prognosis\tprognosis\tNN\tI-NP\tO' -p159353 -aS'.\t.\t.\tO\tO' -p159354 -asS'1) No intracranial hemorrhage or mass effect ; no significant interval change from CT of 2015-07-20 .' -p159355 -(lp159356 -S'1)\t1)\tLS\tB-LST\tO' -p159357 -aS'No\tNo\tDT\tB-NP\tO' -p159358 -aS'intracranial\tintracranial\tJJ\tI-NP\tO' -p159359 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p159360 -aS'or\tor\tCC\tI-NP\tO' -p159361 -aS'mass\tmass\tNN\tI-NP\tO' -p159362 -aS'effect\teffect\tNN\tI-NP\tO' -p159363 -aS';\t;\t:\tO\tO' -p159364 -aS'no\tno\tDT\tB-NP\tO' -p159365 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p159366 -aS'interval\tinterval\tNN\tI-NP\tO' -p159367 -aS'change\tchange\tNN\tI-NP\tO' -p159368 -aS'from\tfrom\tIN\tB-PP\tO' -p159369 -aS'CT\tCT\tNN\tB-NP\tO' -p159370 -aS'of\tof\tIN\tB-PP\tO' -p159371 -aS'2015-07-20\t2015-07-20\tCD\tB-NP\tO' -p159372 -aS'.\t.\t.\tO\tO' -p159373 -asS'Whidden Memorial Hospital for the Aged - LTC' -p159374 -(lp159375 -S'Whidden\tWhidden\tNNP\tB-NP\tO' -p159376 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p159377 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p159378 -aS'for\tfor\tIN\tB-PP\tO' -p159379 -aS'the\tthe\tDT\tB-NP\tO' -p159380 -aS'Aged\tAge\tVBN\tI-NP\tO' -p159381 -aS'-\t-\tHYPH\tI-NP\tO' -p159382 -aS'LTC\tLTC\tNN\tI-NP\tB-protein' -p159383 -asS'As above , made CMO after meeting with NF team and family and reconfirmed with primary medical team on 04-02 .' -p159384 -(lp159385 -S'As\tAs\tIN\tB-PP\tO' -p159386 -aS'above\tabove\tRB\tB-ADVP\tO' -p159387 -aS',\t,\t,\tO\tO' -p159388 -aS'made\tmake\tVBD\tB-VP\tO' -p159389 -aS'CMO\tCMO\tNN\tB-NP\tB-protein' -p159390 -aS'after\tafter\tIN\tB-PP\tO' -p159391 -aS'meeting\tmeeting\tNN\tB-NP\tO' -p159392 -aS'with\twith\tIN\tB-PP\tO' -p159393 -aS'NF\tNF\tNN\tB-NP\tB-protein' -p159394 -aS'team\tteam\tNN\tI-NP\tI-protein' -p159395 -aS'and\tand\tCC\tI-NP\tO' -p159396 -aS'family\tfamily\tNN\tI-NP\tO' -p159397 -aS'and\tand\tCC\tO\tO' -p159398 -aS'reconfirmed\treconfirm\tVBN\tB-VP\tO' -p159399 -aS'with\twith\tIN\tB-PP\tO' -p159400 -aS'primary\tprimary\tJJ\tB-NP\tO' -p159401 -aS'medical\tmedical\tJJ\tI-NP\tO' -p159402 -aS'team\tteam\tNN\tI-NP\tO' -p159403 -aS'on\ton\tIN\tB-PP\tO' -p159404 -aS'04-02\t04-02\tCD\tB-NP\tO' -p159405 -aS'.\t.\t.\tO\tO' -p159406 -asS'She is a widow for 20 years and retired 18 years from Palmci' -p159407 -(lp159408 -S'She\tShe\tPRP\tB-NP\tO' -p159409 -aS'is\tbe\tVBZ\tB-VP\tO' -p159410 -aS'a\ta\tDT\tB-NP\tO' -p159411 -aS'widow\twidow\tNN\tI-NP\tO' -p159412 -aS'for\tfor\tIN\tB-PP\tO' -p159413 -aS'20\t20\tCD\tB-NP\tO' -p159414 -aS'years\tyear\tNNS\tI-NP\tO' -p159415 -aS'and\tand\tCC\tO\tO' -p159416 -aS'retired\tretire\tVBD\tB-VP\tO' -p159417 -aS'18\t18\tCD\tB-NP\tO' -p159418 -aS'years\tyear\tNNS\tI-NP\tO' -p159419 -aS'from\tfrom\tIN\tB-PP\tO' -p159420 -aS'Palmci\tPalmci\tNNP\tB-NP\tO' -p159421 -asS'Please follow up with Dr. Mallard in one week , call 421-3721 for an appointment .' -p159422 -(lp159423 -S'Please\tPlease\tVB\tB-VP\tO' -p159424 -aS'follow\tfollow\tVB\tI-VP\tO' -p159425 -aS'up\tup\tRP\tB-PRT\tO' -p159426 -aS'with\twith\tIN\tB-PP\tO' -p159427 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p159428 -aS'Mallard\tMallard\tNNP\tI-NP\tO' -p159429 -aS'in\tin\tIN\tB-PP\tO' -p159430 -aS'one\tone\tCD\tB-NP\tO' -p159431 -aS'week\tweek\tNN\tI-NP\tO' -p159432 -aS',\t,\t,\tO\tO' -p159433 -aS'call\tcall\tNN\tB-NP\tO' -p159434 -aS'421-3721\t421-3721\tCD\tI-NP\tO' -p159435 -aS'for\tfor\tIN\tB-PP\tO' -p159436 -aS'an\tan\tDT\tB-NP\tO' -p159437 -aS'appointment\tappointment\tNN\tI-NP\tO' -p159438 -aS'.\t.\t.\tO\tO' -p159439 -asS'2. Sertraline HCl 50 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' -p159440 -(lp159441 -S'2.\t2.\tLS\tB-NP\tO' -p159442 -aS'Sertraline\tSertraline\tNN\tI-NP\tO' -p159443 -aS'HCl\tHCl\tNN\tI-NP\tO' -p159444 -aS'50\t50\tCD\tI-NP\tO' -p159445 -aS'mg\tmg\tNN\tI-NP\tO' -p159446 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p159447 -aS'Sig\tSig\tNNP\tI-NP\tO' -p159448 -aS':\t:\t:\tO\tO' -p159449 -aS'One\tOne\tCD\tB-NP\tO' -p159450 -aS'(\t(\t(\tO\tO' -p159451 -aS'1\t1\tCD\tB-NP\tO' -p159452 -aS')\t)\t)\tO\tO' -p159453 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p159454 -aS'PO\tPO\tNN\tI-NP\tO' -p159455 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p159456 -aS'(\t(\t(\tO\tO' -p159457 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p159458 -aS')\t)\t)\tO\tO' -p159459 -aS'.\t.\t.\tO\tO' -p159460 -asS'* Leukocytosis- She developed mild elevated WBC .' -p159461 -(lp159462 -S'*\t*\tSYM\tB-NP\tO' -p159463 -aS'Leukocytosis-\tLeukocytosis-\t:\tO\tO' -p159464 -aS'She\tShe\tPRP\tB-NP\tO' -p159465 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p159466 -aS'mild\tmild\tJJ\tB-NP\tO' -p159467 -aS'elevated\televate\tVBN\tI-NP\tO' -p159468 -aS'WBC\tWBC\tNNP\tI-NP\tO' -p159469 -aS'.\t.\t.\tO\tO' -p159470 -asS'LIVES IN A NURSING HOME , HAS A BROTHER WHO IS THE HEALTH CARE PROXY .' -p159471 -(lp159472 -S'LIVES\tLIVES\tNNS\tB-NP\tO' -p159473 -aS'IN\tIN\tIN\tB-PP\tO' -p159474 -aS'A\tA\tNNP\tB-NP\tO' -p159475 -aS'NURSING\tNURSING\tNNP\tI-NP\tO' -p159476 -aS'HOME\tHOME\tNNP\tI-NP\tO' -p159477 -aS',\t,\t,\tO\tO' -p159478 -aS'HAS\tHAS\tVBZ\tB-VP\tO' -p159479 -aS'A\tA\tNN\tB-NP\tO' -p159480 -aS'BROTHER\tBROTHER\tNN\tI-NP\tO' -p159481 -aS'WHO\tWHO\tWP\tB-NP\tO' -p159482 -aS'IS\tIS\tVBZ\tB-VP\tO' -p159483 -aS'THE\tTHE\tDT\tB-NP\tO' -p159484 -aS'HEALTH\tHEALTH\tNN\tI-NP\tO' -p159485 -aS'CARE\tCARE\tNN\tI-NP\tO' -p159486 -aS'PROXY\tPROXY\tNN\tI-NP\tO' -p159487 -aS'.\t.\t.\tO\tO' -p159488 -asS'This with no electrocardiogram changes .' -p159489 -(lp159490 -S'This\tThis\tDT\tB-NP\tO' -p159491 -aS'with\twith\tIN\tB-PP\tO' -p159492 -aS'no\tno\tDT\tB-NP\tO' -p159493 -aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' -p159494 -aS'changes\tchange\tNNS\tI-NP\tO' -p159495 -aS'.\t.\t.\tO\tO' -p159496 -asS'Please f / u with PCP D 2 weeks .' -p159497 -(lp159498 -S'Please\tPlease\tNN\tB-NP\tO' -p159499 -aS'f\tf\tNN\tI-NP\tO' -p159500 -aS'/\t/\tSYM\tB-NP\tO' -p159501 -aS'u\tu\tNN\tI-NP\tO' -p159502 -aS'with\twith\tIN\tB-PP\tO' -p159503 -aS'PCP\tPCP\tNN\tB-NP\tB-protein' -p159504 -aS'D\tD\tNN\tI-NP\tI-protein' -p159505 -aS'2\t2\tCD\tB-NP\tI-protein' -p159506 -aS'weeks\tweek\tNNS\tI-NP\tI-protein' -p159507 -aS'.\t.\t.\tO\tO' -p159508 -asS'She has never smoked and does not drink .' -p159509 -(lp159510 -S'She\tShe\tPRP\tB-NP\tO' -p159511 -aS'has\thave\tVBZ\tB-VP\tO' -p159512 -aS'never\tnever\tRB\tI-VP\tO' -p159513 -aS'smoked\tsmoke\tVBN\tI-VP\tO' -p159514 -aS'and\tand\tCC\tO\tO' -p159515 -aS'does\tdo\tVBZ\tB-VP\tO' -p159516 -aS'not\tnot\tRB\tI-VP\tO' -p159517 -aS'drink\tdrink\tVB\tI-VP\tO' -p159518 -aS'.\t.\t.\tO\tO' -p159519 -asS'He had repeated episodes of hypotension to 80-90 systolic/40-50 diastolic .' -p159520 -(lp159521 -S'He\tHe\tPRP\tB-NP\tO' -p159522 -aS'had\thave\tVBD\tB-VP\tO' -p159523 -aS'repeated\trepeat\tVBN\tI-VP\tO' -p159524 -aS'episodes\tepisode\tNNS\tB-NP\tO' -p159525 -aS'of\tof\tIN\tB-PP\tO' -p159526 -aS'hypotension\thypotension\tNN\tB-NP\tO' -p159527 -aS'to\tto\tTO\tB-PP\tO' -p159528 -aS'80-90\t80-90\tCD\tB-NP\tO' -p159529 -aS'systolic/40-50\tsystolic/40-50\tNN\tI-NP\tO' -p159530 -aS'diastolic\tdiastolic\tJJ\tB-ADJP\tO' -p159531 -aS'.\t.\t.\tO\tO' -p159532 -asS'Dr. Demmert at Wareham Taunton State Hospital Clinic Thursday 2015-08-27 10:30am and follow-up as scheduled by the VA in their coumadin clinic .' -p159533 -(lp159534 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p159535 -aS'Demmert\tDemmert\tNNP\tI-NP\tO' -p159536 -aS'at\tat\tIN\tB-PP\tO' -p159537 -aS'Wareham\tWareham\tNNP\tB-NP\tO' -p159538 -aS'Taunton\tTaunton\tNNP\tI-NP\tO' -p159539 -aS'State\tState\tNNP\tI-NP\tO' -p159540 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p159541 -aS'Clinic\tClinic\tNNP\tI-NP\tO' -p159542 -aS'Thursday\tThursday\tNNP\tB-NP\tO' -p159543 -aS'2015-08-27\t2015-08-27\tCD\tB-NP\tO' -p159544 -aS'10:30am\t10:30am\tCD\tI-NP\tO' -p159545 -aS'and\tand\tCC\tO\tO' -p159546 -aS'follow-up\tfollow-up\tJJ\tB-ADJP\tO' -p159547 -aS'as\tas\tIN\tB-SBAR\tO' -p159548 -aS'scheduled\tschedule\tVBN\tB-VP\tO' -p159549 -aS'by\tby\tIN\tB-PP\tO' -p159550 -aS'the\tthe\tDT\tB-NP\tO' -p159551 -aS'VA\tVA\tNN\tI-NP\tB-protein' -p159552 -aS'in\tin\tIN\tB-PP\tO' -p159553 -aS'their\ttheir\tPRP$\tB-NP\tO' -p159554 -aS'coumadin\tcoumadin\tNN\tI-NP\tO' -p159555 -aS'clinic\tclinic\tNN\tI-NP\tO' -p159556 -aS'.\t.\t.\tO\tO' -p159557 -asS'HEENT examination demonstrated that the pupils were equal , round and reactive to light .' -p159558 -(lp159559 -S'HEENT\tHEENT\tNN\tB-NP\tO' -p159560 -aS'examination\texamination\tNN\tI-NP\tO' -p159561 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p159562 -aS'that\tthat\tIN\tB-SBAR\tO' -p159563 -aS'the\tthe\tDT\tB-NP\tO' -p159564 -aS'pupils\tpupil\tNNS\tI-NP\tO' -p159565 -aS'were\tbe\tVBD\tB-VP\tO' -p159566 -aS'equal\tequal\tJJ\tB-NP\tO' -p159567 -aS',\t,\t,\tI-NP\tO' -p159568 -aS'round\tround\tJJ\tI-NP\tO' -p159569 -aS'and\tand\tCC\tI-NP\tO' -p159570 -aS'reactive\treactive\tJJ\tI-NP\tO' -p159571 -aS'to\tto\tTO\tB-PP\tO' -p159572 -aS'light\tlight\tNN\tB-NP\tO' -p159573 -aS'.\t.\t.\tO\tO' -p159574 -asS'A Foley catheter was placed at that time with the recovery of approximately 800 cc of urine .' -p159575 -(lp159576 -S'A\tA\tDT\tB-NP\tO' -p159577 -aS'Foley\tFoley\tNNP\tI-NP\tO' -p159578 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p159579 -aS'was\tbe\tVBD\tB-VP\tO' -p159580 -aS'placed\tplace\tVBN\tI-VP\tO' -p159581 -aS'at\tat\tIN\tB-PP\tO' -p159582 -aS'that\tthat\tDT\tB-NP\tO' -p159583 -aS'time\ttime\tNN\tI-NP\tO' -p159584 -aS'with\twith\tIN\tB-PP\tO' -p159585 -aS'the\tthe\tDT\tB-NP\tO' -p159586 -aS'recovery\trecovery\tNN\tI-NP\tO' -p159587 -aS'of\tof\tIN\tB-PP\tO' -p159588 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p159589 -aS'800\t800\tCD\tI-NP\tO' -p159590 -aS'cc\tcc\tNN\tI-NP\tO' -p159591 -aS'of\tof\tIN\tB-PP\tO' -p159592 -aS'urine\turine\tNN\tB-NP\tO' -p159593 -aS'.\t.\t.\tO\tO' -p159594 -asS'10-Anemia .' -p159595 -(lp159596 -S'10-Anemia\t10-Anemia\tNN\tB-NP\tO' -p159597 -aS'.\t.\t.\tO\tO' -p159598 -asS'Patient febrile in the Amanda .' -p159599 -(lp159600 -S'Patient\tPatient\tNN\tB-NP\tO' -p159601 -aS'febrile\tfebrile\tNN\tI-NP\tO' -p159602 -aS'in\tin\tIN\tB-PP\tO' -p159603 -aS'the\tthe\tDT\tB-NP\tO' -p159604 -aS'Amanda\tAmanda\tNNP\tI-NP\tO' -p159605 -aS'.\t.\t.\tO\tO' -p159606 -asS'She had no complaints of nausea or vomiting and was tolerating PO's well .' -p159607 -(lp159608 -S'She\tShe\tPRP\tB-NP\tO' -p159609 -aS'had\thave\tVBD\tB-VP\tO' -p159610 -aS'no\tno\tDT\tB-NP\tO' -p159611 -aS'complaints\tcomplaint\tNNS\tI-NP\tO' -p159612 -aS'of\tof\tIN\tB-PP\tO' -p159613 -aS'nausea\tnausea\tNN\tB-NP\tO' -p159614 -aS'or\tor\tCC\tI-NP\tO' -p159615 -aS'vomiting\tvomiting\tNN\tI-NP\tO' -p159616 -aS'and\tand\tCC\tO\tO' -p159617 -aS'was\tbe\tVBD\tB-VP\tO' -p159618 -aS'tolerating\ttolerate\tVBG\tI-VP\tO' -p159619 -aS'PO's\tPO'\tNNS\tB-NP\tO' -p159620 -aS'well\twell\tRB\tB-ADVP\tO' -p159621 -aS'.\t.\t.\tO\tO' -p159622 -asS'He was given ativan a total of 4 mg of ativan , 6 mg of dilaudid , labetolol 20 mg IV x 1 and hydralazine 10 mg IV x 1 without good response ( 200/99 ).' -p159623 -(lp159624 -S'He\tHe\tPRP\tB-NP\tO' -p159625 -aS'was\tbe\tVBD\tB-VP\tO' -p159626 -aS'given\tgive\tVBN\tI-VP\tO' -p159627 -aS'ativan\tativan\tIN\tB-PP\tO' -p159628 -aS'a\ta\tDT\tB-NP\tO' -p159629 -aS'total\ttotal\tNN\tI-NP\tO' -p159630 -aS'of\tof\tIN\tB-PP\tO' -p159631 -aS'4\t4\tCD\tB-NP\tO' -p159632 -aS'mg\tmg\tNN\tI-NP\tO' -p159633 -aS'of\tof\tIN\tB-PP\tO' -p159634 -aS'ativan\tativan\tNN\tB-NP\tO' -p159635 -aS',\t,\t,\tO\tO' -p159636 -aS'6\t6\tCD\tB-NP\tO' -p159637 -aS'mg\tmg\tNN\tI-NP\tO' -p159638 -aS'of\tof\tIN\tB-PP\tO' -p159639 -aS'dilaudid\tdilaudid\tNN\tB-NP\tO' -p159640 -aS',\t,\t,\tO\tO' -p159641 -aS'labetolol\tlabetolol\tNN\tB-NP\tB-protein' -p159642 -aS'20\t20\tCD\tI-NP\tI-protein' -p159643 -aS'mg\tmg\tNN\tI-NP\tI-protein' -p159644 -aS'IV\tIV\tCD\tB-NP\tI-protein' -p159645 -aS'x\tx\tNN\tI-NP\tI-protein' -p159646 -aS'1\t1\tCD\tB-NP\tI-protein' -p159647 -aS'and\tand\tCC\tI-NP\tO' -p159648 -aS'hydralazine\thydralazine\tNN\tI-NP\tB-protein' -p159649 -aS'10\t10\tCD\tI-NP\tI-protein' -p159650 -aS'mg\tmg\tNN\tI-NP\tI-protein' -p159651 -aS'IV\tIV\tCD\tB-NP\tI-protein' -p159652 -aS'x\tx\tNN\tI-NP\tI-protein' -p159653 -aS'1\t1\tCD\tI-NP\tI-protein' -p159654 -aS'without\twithout\tIN\tB-PP\tO' -p159655 -aS'good\tgood\tJJ\tB-NP\tO' -p159656 -aS'response\tresponse\tNN\tI-NP\tO' -p159657 -aS'(\t(\t(\tO\tO' -p159658 -aS'200/99\t200/99\tCD\tB-NP\tO' -p159659 -aS').\t).\t)\tO\tO' -p159660 -asS'We checked fingerstick glucoses q.i.d. and at 3:00 a.m.' -p159661 -(lp159662 -S'We\tWe\tPRP\tB-NP\tO' -p159663 -aS'checked\tcheck\tVBD\tB-VP\tO' -p159664 -aS'fingerstick\tfingerstick\tNN\tB-NP\tO' -p159665 -aS'glucoses\tglucose\tNNS\tI-NP\tO' -p159666 -aS'q.i.d.\tq.i.d.\tNN\tI-NP\tO' -p159667 -aS'and\tand\tCC\tO\tO' -p159668 -aS'at\tat\tIN\tB-PP\tO' -p159669 -aS'3:00\t3:00\tCD\tB-NP\tO' -p159670 -aS'a.m.\ta.m.\tNN\tI-NP\tO' -p159671 -asS'Dr Miller in 1 week ( 262-575-0600 ) please call for appointment' -p159672 -(lp159673 -S'Dr\tDr\tNNP\tB-NP\tO' -p159674 -aS'Miller\tMiller\tNNP\tI-NP\tO' -p159675 -aS'in\tin\tIN\tB-PP\tO' -p159676 -aS'1\t1\tCD\tB-NP\tO' -p159677 -aS'week\tweek\tNN\tI-NP\tO' -p159678 -aS'(\t(\t(\tO\tO' -p159679 -aS'262-575-0600\t262-575-0600\tCD\tB-NP\tO' -p159680 -aS')\t)\t)\tO\tO' -p159681 -aS'please\tplease\tNN\tB-NP\tO' -p159682 -aS'call\tcall\tVBP\tB-VP\tO' -p159683 -aS'for\tfor\tIN\tB-PP\tO' -p159684 -aS'appointment\tappointment\tNN\tB-NP\tO' -p159685 -asS'No ethanol use , remote pipe smoking use which he discontinued 20 years ago , no illicit drug use .' -p159686 -(lp159687 -S'No\tNo\tDT\tB-NP\tO' -p159688 -aS'ethanol\tethanol\tNN\tI-NP\tO' -p159689 -aS'use\tuse\tNN\tI-NP\tO' -p159690 -aS',\t,\t,\tO\tO' -p159691 -aS'remote\tremote\tJJ\tB-NP\tO' -p159692 -aS'pipe\tpipe\tNN\tI-NP\tO' -p159693 -aS'smoking\tsmoking\tNN\tI-NP\tO' -p159694 -aS'use\tuse\tNN\tI-NP\tO' -p159695 -aS'which\twhich\tWDT\tB-NP\tO' -p159696 -aS'he\the\tPRP\tB-NP\tO' -p159697 -aS'discontinued\tdiscontinue\tVBD\tB-VP\tO' -p159698 -aS'20\t20\tCD\tB-NP\tO' -p159699 -aS'years\tyear\tNNS\tI-NP\tO' -p159700 -aS'ago\tago\tRB\tB-ADVP\tO' -p159701 -aS',\t,\t,\tO\tO' -p159702 -aS'no\tno\tDT\tB-NP\tO' -p159703 -aS'illicit\tillicit\tJJ\tI-NP\tO' -p159704 -aS'drug\tdrug\tNN\tI-NP\tO' -p159705 -aS'use\tuse\tNN\tI-NP\tO' -p159706 -aS'.\t.\t.\tO\tO' -p159707 -asS'The patient was initially admitted with platelet count of 28 , hematocrit of 32 , LDH of 496 with 2+ schistocytes and 2+ spherocytes on her smear .' -p159708 -(lp159709 -S'The\tThe\tDT\tB-NP\tO' -p159710 -aS'patient\tpatient\tNN\tI-NP\tO' -p159711 -aS'was\tbe\tVBD\tB-VP\tO' -p159712 -aS'initially\tinitially\tRB\tI-VP\tO' -p159713 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p159714 -aS'with\twith\tIN\tB-PP\tO' -p159715 -aS'platelet\tplatelet\tNN\tB-NP\tO' -p159716 -aS'count\tcount\tNN\tI-NP\tO' -p159717 -aS'of\tof\tIN\tB-PP\tO' -p159718 -aS'28\t28\tCD\tB-NP\tO' -p159719 -aS',\t,\t,\tO\tO' -p159720 -aS'hematocrit\thematocrit\tNN\tB-NP\tO' -p159721 -aS'of\tof\tIN\tB-PP\tO' -p159722 -aS'32\t32\tCD\tB-NP\tO' -p159723 -aS',\t,\t,\tO\tO' -p159724 -aS'LDH\tLDH\tNN\tB-NP\tO' -p159725 -aS'of\tof\tIN\tB-PP\tO' -p159726 -aS'496\t496\tCD\tB-NP\tO' -p159727 -aS'with\twith\tIN\tB-PP\tO' -p159728 -aS'2+\t2+\tJJ\tB-NP\tB-cell_type' -p159729 -aS'schistocytes\tschistocyte\tNNS\tI-NP\tI-cell_type' -p159730 -aS'and\tand\tCC\tO\tO' -p159731 -aS'2+\t2+\tJJ\tB-NP\tB-cell_type' -p159732 -aS'spherocytes\tspherocyte\tNNS\tI-NP\tI-cell_type' -p159733 -aS'on\ton\tIN\tB-PP\tO' -p159734 -aS'her\ther\tPRP$\tB-NP\tO' -p159735 -aS'smear\tsmear\tNN\tI-NP\tO' -p159736 -aS'.\t.\t.\tO\tO' -p159737 -asS'5. HEMATOLOGY : The patient was discharged on Coumadin for apical akinesis and stroke risk .' -p159738 -(lp159739 -S'5.\t5.\tCD\tB-NP\tO' -p159740 -aS'HEMATOLOGY\tHEMATOLOGY\tNN\tI-NP\tO' -p159741 -aS':\t:\t:\tO\tO' -p159742 -aS'The\tThe\tDT\tB-NP\tO' -p159743 -aS'patient\tpatient\tNN\tI-NP\tO' -p159744 -aS'was\tbe\tVBD\tB-VP\tO' -p159745 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p159746 -aS'on\ton\tIN\tB-PP\tO' -p159747 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p159748 -aS'for\tfor\tIN\tB-PP\tO' -p159749 -aS'apical\tapical\tJJ\tB-NP\tO' -p159750 -aS'akinesis\takinesis\tNN\tI-NP\tO' -p159751 -aS'and\tand\tCC\tI-NP\tO' -p159752 -aS'stroke\tstroke\tNN\tI-NP\tO' -p159753 -aS'risk\trisk\tNN\tI-NP\tO' -p159754 -aS'.\t.\t.\tO\tO' -p159755 -asS'She will need a repeat echo in 3-6 months ( since this echo showed a question of focal wall motion abnormality ).' -p159756 -(lp159757 -S'She\tShe\tPRP\tB-NP\tO' -p159758 -aS'will\twill\tMD\tB-VP\tO' -p159759 -aS'need\tneed\tVB\tI-VP\tO' -p159760 -aS'a\ta\tDT\tB-NP\tO' -p159761 -aS'repeat\trepeat\tNN\tI-NP\tO' -p159762 -aS'echo\techo\tNN\tI-NP\tO' -p159763 -aS'in\tin\tIN\tB-PP\tO' -p159764 -aS'3-6\t3-6\tCD\tB-NP\tO' -p159765 -aS'months\tmonth\tNNS\tI-NP\tO' -p159766 -aS'(\t(\t(\tO\tO' -p159767 -aS'since\tsince\tIN\tB-SBAR\tO' -p159768 -aS'this\tthis\tDT\tB-NP\tO' -p159769 -aS'echo\techo\tNN\tI-NP\tO' -p159770 -aS'showed\tshow\tVBD\tB-VP\tO' -p159771 -aS'a\ta\tDT\tB-NP\tO' -p159772 -aS'question\tquestion\tNN\tI-NP\tO' -p159773 -aS'of\tof\tIN\tB-PP\tO' -p159774 -aS'focal\tfocal\tJJ\tB-NP\tO' -p159775 -aS'wall\twall\tNN\tI-NP\tO' -p159776 -aS'motion\tmotion\tNN\tI-NP\tO' -p159777 -aS'abnormality\tabnormality\tNN\tI-NP\tO' -p159778 -aS').\t).\t.\tO\tO' -p159779 -asS'Signed electronically by : DR. William Spencer on : WED 2009-05-06 12:20 PM' -p159780 -(lp159781 -S'Signed\tSign\tVBN\tB-VP\tO' -p159782 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p159783 -aS'by\tby\tIN\tB-PP\tO' -p159784 -aS':\t:\t:\tO\tO' -p159785 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p159786 -aS'William\tWilliam\tNNP\tI-NP\tO' -p159787 -aS'Spencer\tSpencer\tNNP\tI-NP\tO' -p159788 -aS'on\ton\tIN\tB-PP\tO' -p159789 -aS':\t:\t:\tO\tO' -p159790 -aS'WED\tWED\tVBD\tB-VP\tO' -p159791 -aS'2009-05-06\t2009-05-06\tCD\tB-NP\tO' -p159792 -aS'12:20\t12:20\tCD\tI-NP\tO' -p159793 -aS'PM\tPM\tNN\tI-NP\tO' -p159794 -asS'An inferior vena cava filter was placed ; lower extremity noninvasive studies were negative .' -p159795 -(lp159796 -S'An\tAn\tDT\tB-NP\tO' -p159797 -aS'inferior\tinferior\tJJ\tI-NP\tO' -p159798 -aS'vena\tvena\tNN\tI-NP\tO' -p159799 -aS'cava\tcava\tNN\tI-NP\tO' -p159800 -aS'filter\tfilter\tNN\tI-NP\tO' -p159801 -aS'was\tbe\tVBD\tB-VP\tO' -p159802 -aS'placed\tplace\tVBN\tI-VP\tO' -p159803 -aS';\t;\t:\tO\tO' -p159804 -aS'lower\tlow\tJJR\tB-NP\tO' -p159805 -aS'extremity\textremity\tNN\tI-NP\tO' -p159806 -aS'noninvasive\tnoninvasive\tJJ\tI-NP\tO' -p159807 -aS'studies\tstudy\tNNS\tI-NP\tO' -p159808 -aS'were\tbe\tVBD\tB-VP\tO' -p159809 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p159810 -aS'.\t.\t.\tO\tO' -p159811 -asS'Chest x-ray was relatively unrevealing for interstitial or alveolar edema and with clinical improvement ensued with the immediate therapy in the Emergency Room as noted .' -p159812 -(lp159813 -S'Chest\tCh\tJJS\tB-NP\tO' -p159814 -aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' -p159815 -aS'was\tbe\tVBD\tB-VP\tO' -p159816 -aS'relatively\trelatively\tRB\tB-ADJP\tO' -p159817 -aS'unrevealing\tunrevealing\tJJ\tI-ADJP\tO' -p159818 -aS'for\tfor\tIN\tB-PP\tO' -p159819 -aS'interstitial\tinterstitial\tJJ\tB-NP\tO' -p159820 -aS'or\tor\tCC\tI-NP\tO' -p159821 -aS'alveolar\talveolar\tJJ\tI-NP\tO' -p159822 -aS'edema\tedema\tNN\tI-NP\tO' -p159823 -aS'and\tand\tCC\tB-PP\tO' -p159824 -aS'with\twith\tIN\tB-PP\tO' -p159825 -aS'clinical\tclinical\tJJ\tB-NP\tO' -p159826 -aS'improvement\timprovement\tNN\tI-NP\tO' -p159827 -aS'ensued\tensue\tVBD\tB-VP\tO' -p159828 -aS'with\twith\tIN\tB-PP\tO' -p159829 -aS'the\tthe\tDT\tB-NP\tO' -p159830 -aS'immediate\timmediate\tJJ\tI-NP\tO' -p159831 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p159832 -aS'in\tin\tIN\tB-PP\tO' -p159833 -aS'the\tthe\tDT\tB-NP\tO' -p159834 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p159835 -aS'Room\tRoom\tNNP\tI-NP\tO' -p159836 -aS'as\tas\tIN\tB-SBAR\tO' -p159837 -aS'noted\tnote\tVBN\tB-VP\tO' -p159838 -aS'.\t.\t.\tO\tO' -p159839 -asS'The exam is remarkable for a mild leftsided face , arm and leg weakness and sensory deficit that should further improve with physical therapy and occupational therapy help .' -p159840 -(lp159841 -S'The\tThe\tDT\tB-NP\tO' -p159842 -aS'exam\texam\tNN\tI-NP\tO' -p159843 -aS'is\tbe\tVBZ\tB-VP\tO' -p159844 -aS'remarkable\tremarkable\tJJ\tB-ADJP\tO' -p159845 -aS'for\tfor\tIN\tB-PP\tO' -p159846 -aS'a\ta\tDT\tB-NP\tO' -p159847 -aS'mild\tmild\tJJ\tI-NP\tO' -p159848 -aS'leftsided\tleftsided\tJJ\tI-NP\tO' -p159849 -aS'face\tface\tNN\tI-NP\tO' -p159850 -aS',\t,\t,\tO\tO' -p159851 -aS'arm\tarm\tNN\tB-NP\tO' -p159852 -aS'and\tand\tCC\tO\tO' -p159853 -aS'leg\tleg\tNN\tB-NP\tO' -p159854 -aS'weakness\tweakness\tNN\tI-NP\tO' -p159855 -aS'and\tand\tCC\tO\tO' -p159856 -aS'sensory\tsensory\tJJ\tB-NP\tO' -p159857 -aS'deficit\tdeficit\tNN\tI-NP\tO' -p159858 -aS'that\tthat\tWDT\tB-NP\tO' -p159859 -aS'should\tshould\tMD\tB-VP\tO' -p159860 -aS'further\tfurther\tRB\tI-VP\tO' -p159861 -aS'improve\timprove\tVB\tI-VP\tO' -p159862 -aS'with\twith\tIN\tB-PP\tO' -p159863 -aS'physical\tphysical\tJJ\tB-NP\tO' -p159864 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p159865 -aS'and\tand\tCC\tO\tO' -p159866 -aS'occupational\toccupational\tJJ\tB-NP\tO' -p159867 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p159868 -aS'help\thelp\tNN\tI-NP\tO' -p159869 -aS'.\t.\t.\tO\tO' -p159870 -asS"He became hypotensive in the emergency room with a systolic blood pressure in the 80 's and had decreased respiratory rate ." -p159871 -(lp159872 -S'He\tHe\tPRP\tB-NP\tO' -p159873 -aS'became\tbecome\tVBD\tB-VP\tO' -p159874 -aS'hypotensive\thypotensive\tJJ\tB-ADJP\tO' -p159875 -aS'in\tin\tIN\tB-PP\tO' -p159876 -aS'the\tthe\tDT\tB-NP\tO' -p159877 -aS'emergency\temergency\tNN\tI-NP\tO' -p159878 -aS'room\troom\tNN\tI-NP\tO' -p159879 -aS'with\twith\tIN\tB-PP\tO' -p159880 -aS'a\ta\tDT\tB-NP\tO' -p159881 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p159882 -aS'blood\tblood\tNN\tI-NP\tO' -p159883 -aS'pressure\tpressure\tNN\tI-NP\tO' -p159884 -aS'in\tin\tIN\tB-PP\tO' -p159885 -aS'the\tthe\tDT\tB-NP\tO' -p159886 -aS'80\t80\tCD\tI-NP\tO' -p159887 -aS"'s\t's\tPOS\tB-NP\tO" -p159888 -aS'and\tand\tCC\tO\tO' -p159889 -aS'had\thave\tVBD\tB-VP\tO' -p159890 -aS'decreased\tdecrease\tVBN\tI-VP\tO' -p159891 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p159892 -aS'rate\trate\tNN\tI-NP\tO' -p159893 -aS'.\t.\t.\tO\tO' -p159894 -asS'2. Significant segmental stenosis ( approx. 5-6 cm long ) in the mid right superficial femoral artery .' -p159895 -(lp159896 -S'2.\t2.\tLS\tB-NP\tO' -p159897 -aS'Significant\tSignificant\tJJ\tI-NP\tO' -p159898 -aS'segmental\tsegmental\tJJ\tI-NP\tO' -p159899 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p159900 -aS'(\t(\t(\tO\tO' -p159901 -aS'approx.\tapprox.\tRB\tB-NP\tO' -p159902 -aS'5-6\t5-6\tCD\tI-NP\tO' -p159903 -aS'cm\tcm\tNN\tI-NP\tO' -p159904 -aS'long\tlong\tRB\tB-ADVP\tO' -p159905 -aS')\t)\t)\tO\tO' -p159906 -aS'in\tin\tIN\tB-PP\tO' -p159907 -aS'the\tthe\tDT\tB-NP\tO' -p159908 -aS'mid\tmid\tJJ\tI-NP\tO' -p159909 -aS'right\tright\tJJ\tI-NP\tO' -p159910 -aS'superficial\tsuperficial\tJJ\tI-NP\tO' -p159911 -aS'femoral\tfemoral\tJJ\tI-NP\tO' -p159912 -aS'artery\tartery\tNN\tI-NP\tO' -p159913 -aS'.\t.\t.\tO\tO' -p159914 -asS'Postoperatively , he has done well .' -p159915 -(lp159916 -S'Postoperatively\tPostoperatively\tRB\tB-ADVP\tO' -p159917 -aS',\t,\t,\tO\tO' -p159918 -aS'he\the\tPRP\tB-NP\tO' -p159919 -aS'has\thave\tVBZ\tB-VP\tO' -p159920 -aS'done\tdo\tVBN\tI-VP\tO' -p159921 -aS'well\twell\tRB\tB-ADVP\tO' -p159922 -aS'.\t.\t.\tO\tO' -p159923 -asS'He arrived at the Fairm of Ijordcompmac Hospital at 02:30 with a blood pressure of 86 and a heart rate of 170 .' -p159924 -(lp159925 -S'He\tHe\tPRP\tB-NP\tO' -p159926 -aS'arrived\tarrive\tVBD\tB-VP\tO' -p159927 -aS'at\tat\tIN\tB-PP\tO' -p159928 -aS'the\tthe\tDT\tB-NP\tO' -p159929 -aS'Fairm\tFairm\tNNP\tI-NP\tO' -p159930 -aS'of\tof\tIN\tB-PP\tO' -p159931 -aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' -p159932 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p159933 -aS'at\tat\tIN\tB-PP\tO' -p159934 -aS'02:30\t02:30\tCD\tB-NP\tO' -p159935 -aS'with\twith\tIN\tB-PP\tO' -p159936 -aS'a\ta\tDT\tB-NP\tO' -p159937 -aS'blood\tblood\tNN\tI-NP\tO' -p159938 -aS'pressure\tpressure\tNN\tI-NP\tO' -p159939 -aS'of\tof\tIN\tB-PP\tO' -p159940 -aS'86\t86\tCD\tB-NP\tO' -p159941 -aS'and\tand\tCC\tO\tO' -p159942 -aS'a\ta\tDT\tB-NP\tO' -p159943 -aS'heart\theart\tNN\tI-NP\tO' -p159944 -aS'rate\trate\tNN\tI-NP\tO' -p159945 -aS'of\tof\tIN\tB-PP\tO' -p159946 -aS'170\t170\tCD\tB-NP\tO' -p159947 -aS'.\t.\t.\tO\tO' -p159948 -asS'2. Coumadin 7.5 mg p.o. q.d. for an INR goal of 2.0 to 3.0 and adjust the dose accordingly .' -p159949 -(lp159950 -S'2.\t2.\tLS\tB-LST\tO' -p159951 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p159952 -aS'7.5\t7.5\tCD\tI-NP\tO' -p159953 -aS'mg\tmg\tNN\tI-NP\tO' -p159954 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p159955 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p159956 -aS'for\tfor\tIN\tB-PP\tO' -p159957 -aS'an\tan\tDT\tB-NP\tO' -p159958 -aS'INR\tINR\tNN\tI-NP\tO' -p159959 -aS'goal\tgoal\tNN\tI-NP\tO' -p159960 -aS'of\tof\tIN\tB-PP\tO' -p159961 -aS'2.0\t2.0\tCD\tB-NP\tO' -p159962 -aS'to\tto\tTO\tB-PP\tO' -p159963 -aS'3.0\t3.0\tCD\tB-NP\tO' -p159964 -aS'and\tand\tCC\tO\tO' -p159965 -aS'adjust\tadjust\tVB\tB-VP\tO' -p159966 -aS'the\tthe\tDT\tB-NP\tO' -p159967 -aS'dose\tdose\tNN\tI-NP\tO' -p159968 -aS'accordingly\taccordingly\tRB\tB-ADVP\tO' -p159969 -aS'.\t.\t.\tO\tO' -p159970 -asS'Admitted to Bay State Medical Center Hospital in 2012-10-22 in congestive heart failure at that time .' -p159971 -(lp159972 -S'Admitted\tAdmit\tVBN\tB-VP\tO' -p159973 -aS'to\tto\tTO\tB-PP\tO' -p159974 -aS'Bay\tBay\tNNP\tB-NP\tO' -p159975 -aS'State\tState\tNNP\tI-NP\tO' -p159976 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p159977 -aS'Center\tCenter\tNNP\tI-NP\tO' -p159978 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p159979 -aS'in\tin\tIN\tB-PP\tO' -p159980 -aS'2012-10-22\t2012-10-22\tCD\tB-NP\tO' -p159981 -aS'in\tin\tIN\tB-PP\tO' -p159982 -aS'congestive\tcongestive\tJJ\tB-NP\tO' -p159983 -aS'heart\theart\tNN\tI-NP\tO' -p159984 -aS'failure\tfailure\tNN\tI-NP\tO' -p159985 -aS'at\tat\tIN\tB-PP\tO' -p159986 -aS'that\tthat\tDT\tB-NP\tO' -p159987 -aS'time\ttime\tNN\tI-NP\tO' -p159988 -aS'.\t.\t.\tO\tO' -p159989 -asS'He denies LOC .' -p159990 -(lp159991 -S'He\tHe\tPRP\tB-NP\tO' -p159992 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p159993 -aS'LOC\tLOC\tNN\tB-NP\tB-protein' -p159994 -aS'.\t.\t.\tO\tO' -p159995 -asS'Calcium 9.1 .' -p159996 -(lp159997 -S'Calcium\tCalcium\tNN\tB-NP\tO' -p159998 -aS'9.1\t9.1\tCD\tI-NP\tO' -p159999 -aS'.\t.\t.\tO\tO' -p160000 -asS'This injury had been reduced and casted at the outside institution .' -p160001 -(lp160002 -S'This\tThis\tDT\tB-NP\tO' -p160003 -aS'injury\tinjury\tNN\tI-NP\tO' -p160004 -aS'had\thave\tVBD\tB-VP\tO' -p160005 -aS'been\tbe\tVBN\tI-VP\tO' -p160006 -aS'reduced\treduce\tVBN\tI-VP\tO' -p160007 -aS'and\tand\tCC\tI-VP\tO' -p160008 -aS'casted\tcast\tVBN\tI-VP\tO' -p160009 -aS'at\tat\tIN\tB-PP\tO' -p160010 -aS'the\tthe\tDT\tB-NP\tO' -p160011 -aS'outside\toutside\tJJ\tI-NP\tO' -p160012 -aS'institution\tinstitution\tNN\tI-NP\tO' -p160013 -aS'.\t.\t.\tO\tO' -p160014 -asS'liver massively enlarged down 15 cm .' -p160015 -(lp160016 -S'liver\tliver\tNN\tB-NP\tO' -p160017 -aS'massively\tmassively\tRB\tB-ADVP\tO' -p160018 -aS'enlarged\tenlarge\tVBD\tB-VP\tO' -p160019 -aS'down\tdown\tIN\tB-ADVP\tO' -p160020 -aS'15\t15\tCD\tB-NP\tO' -p160021 -aS'cm\tcm\tNN\tI-NP\tO' -p160022 -aS'.\t.\t.\tO\tO' -p160023 -asS'Assess for hemorrhage .' -p160024 -(lp160025 -S'Assess\tAssess\tNN\tB-NP\tO' -p160026 -aS'for\tfor\tIN\tB-PP\tO' -p160027 -aS'hemorrhage\themorrhage\tNN\tB-NP\tO' -p160028 -aS'.\t.\t.\tO\tO' -p160029 -asS'7. Rosuvastatin 20 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' -p160030 -(lp160031 -S'7.\t7.\tCD\tB-NP\tO' -p160032 -aS'Rosuvastatin\tRosuvastatin\tNN\tI-NP\tO' -p160033 -aS'20\t20\tCD\tB-NP\tO' -p160034 -aS'mg\tmg\tNN\tI-NP\tO' -p160035 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p160036 -aS'Sig\tSig\tNNP\tI-NP\tO' -p160037 -aS':\t:\t:\tO\tO' -p160038 -aS'One\tOne\tCD\tB-NP\tO' -p160039 -aS'(\t(\t(\tO\tO' -p160040 -aS'1\t1\tCD\tB-NP\tO' -p160041 -aS')\t)\t)\tO\tO' -p160042 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p160043 -aS'PO\tPO\tNN\tI-NP\tO' -p160044 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p160045 -aS'(\t(\t(\tO\tO' -p160046 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p160047 -aS')\t)\t)\tO\tO' -p160048 -aS'.\t.\t.\tO\tO' -p160049 -asS'He was born by repeat C-section .' -p160050 -(lp160051 -S'He\tHe\tPRP\tB-NP\tO' -p160052 -aS'was\tbe\tVBD\tB-VP\tO' -p160053 -aS'born\tbear\tVBN\tI-VP\tO' -p160054 -aS'by\tby\tIN\tB-PP\tO' -p160055 -aS'repeat\trepeat\tNN\tB-NP\tO' -p160056 -aS'C-section\tC-section\tNN\tI-NP\tO' -p160057 -aS'.\t.\t.\tO\tO' -p160058 -asS'3. Activity ad lib , with restrictions as indicated by the Psychiatry Transfer Note .' -p160059 -(lp160060 -S'3.\t3.\tLS\tB-NP\tO' -p160061 -aS'Activity\tActivity\tNN\tI-NP\tO' -p160062 -aS'ad\tad\tNN\tI-NP\tO' -p160063 -aS'lib\tlib\tNN\tI-NP\tO' -p160064 -aS',\t,\t,\tO\tO' -p160065 -aS'with\twith\tIN\tB-PP\tO' -p160066 -aS'restrictions\trestriction\tNNS\tB-NP\tO' -p160067 -aS'as\tas\tIN\tB-SBAR\tO' -p160068 -aS'indicated\tindicate\tVBN\tB-VP\tO' -p160069 -aS'by\tby\tIN\tB-PP\tO' -p160070 -aS'the\tthe\tDT\tB-NP\tO' -p160071 -aS'Psychiatry\tPsychiatry\tNNP\tI-NP\tO' -p160072 -aS'Transfer\tTransfer\tNNP\tI-NP\tO' -p160073 -aS'Note\tNote\tNNP\tI-NP\tO' -p160074 -aS'.\t.\t.\tO\tO' -p160075 -asS'The patient was initially on Cimetidine and Carafate here at Bri Health , and then switched to Prilosec 20 mg bid .' -p160076 -(lp160077 -S'The\tThe\tDT\tB-NP\tO' -p160078 -aS'patient\tpatient\tNN\tI-NP\tO' -p160079 -aS'was\tbe\tVBD\tB-VP\tO' -p160080 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p160081 -aS'on\ton\tIN\tB-PP\tO' -p160082 -aS'Cimetidine\tCimetidine\tNN\tB-NP\tO' -p160083 -aS'and\tand\tCC\tI-NP\tO' -p160084 -aS'Carafate\tCarafate\tNN\tI-NP\tO' -p160085 -aS'here\there\tRB\tB-ADVP\tO' -p160086 -aS'at\tat\tIN\tB-PP\tO' -p160087 -aS'Bri\tBri\tNNP\tB-NP\tO' -p160088 -aS'Health\tHealth\tNNP\tI-NP\tO' -p160089 -aS',\t,\t,\tO\tO' -p160090 -aS'and\tand\tCC\tO\tO' -p160091 -aS'then\tthen\tRB\tB-ADVP\tO' -p160092 -aS'switched\tswitch\tVBD\tB-VP\tO' -p160093 -aS'to\tto\tTO\tB-PP\tO' -p160094 -aS'Prilosec\tPrilosec\tNNP\tB-NP\tO' -p160095 -aS'20\t20\tCD\tI-NP\tO' -p160096 -aS'mg\tmg\tNN\tI-NP\tO' -p160097 -aS'bid\tbid\tRB\tB-ADVP\tO' -p160098 -aS'.\t.\t.\tO\tO' -p160099 -asS'Chronic obstructive pulmonary disease .' -p160100 -(lp160101 -S'Chronic\tChronic\tJJ\tB-NP\tO' -p160102 -aS'obstructive\tobstructive\tJJ\tI-NP\tO' -p160103 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p160104 -aS'disease\tdisease\tNN\tI-NP\tO' -p160105 -aS'.\t.\t.\tO\tO' -p160106 -asS'Slight confustion with place but oriented with some re-direction .' -p160107 -(lp160108 -S'Slight\tSlight\tJJ\tB-NP\tO' -p160109 -aS'confustion\tconfustion\tNN\tI-NP\tO' -p160110 -aS'with\twith\tIN\tB-PP\tO' -p160111 -aS'place\tplace\tNN\tB-NP\tO' -p160112 -aS'but\tbut\tCC\tO\tO' -p160113 -aS'oriented\torient\tVBD\tB-VP\tO' -p160114 -aS'with\twith\tIN\tB-PP\tO' -p160115 -aS'some\tsome\tDT\tB-NP\tO' -p160116 -aS're-direction\tre-direction\tNN\tI-NP\tO' -p160117 -aS'.\t.\t.\tO\tO' -p160118 -asS'She is a healthy appearing female , 5 foot 120 pounds .' -p160119 -(lp160120 -S'She\tShe\tPRP\tB-NP\tO' -p160121 -aS'is\tbe\tVBZ\tB-VP\tO' -p160122 -aS'a\ta\tDT\tB-NP\tO' -p160123 -aS'healthy\thealthy\tJJ\tI-NP\tO' -p160124 -aS'appearing\tappear\tVBG\tI-NP\tO' -p160125 -aS'female\tfemale\tJJ\tI-NP\tO' -p160126 -aS',\t,\t,\tO\tO' -p160127 -aS'5\t5\tCD\tB-NP\tO' -p160128 -aS'foot\tfoot\tNN\tI-NP\tO' -p160129 -aS'120\t120\tCD\tB-NP\tO' -p160130 -aS'pounds\tpound\tNNS\tI-NP\tO' -p160131 -aS'.\t.\t.\tO\tO' -p160132 -asS'She was very responsive , somewhat sleepy , she complained of chest pain , which was diffuse , non-localizing without electrocardiogram changes and persisted for several days and then went away completely .' -p160133 -(lp160134 -S'She\tShe\tPRP\tB-NP\tO' -p160135 -aS'was\tbe\tVBD\tB-VP\tO' -p160136 -aS'very\tvery\tRB\tB-ADJP\tO' -p160137 -aS'responsive\tresponsive\tJJ\tI-ADJP\tO' -p160138 -aS',\t,\t,\tO\tO' -p160139 -aS'somewhat\tsomewhat\tRB\tB-ADJP\tO' -p160140 -aS'sleepy\tsleepy\tJJ\tI-ADJP\tO' -p160141 -aS',\t,\t,\tO\tO' -p160142 -aS'she\tshe\tPRP\tB-NP\tO' -p160143 -aS'complained\tcomplain\tVBD\tB-VP\tO' -p160144 -aS'of\tof\tIN\tB-PP\tO' -p160145 -aS'chest\tchest\tNN\tB-NP\tO' -p160146 -aS'pain\tpain\tNN\tI-NP\tO' -p160147 -aS',\t,\t,\tO\tO' -p160148 -aS'which\twhich\tWDT\tB-NP\tO' -p160149 -aS'was\tbe\tVBD\tB-VP\tO' -p160150 -aS'diffuse\tdiffuse\tJJ\tB-ADJP\tO' -p160151 -aS',\t,\t,\tO\tO' -p160152 -aS'non-localizing\tnon-localizing\tJJ\tB-ADJP\tO' -p160153 -aS'without\twithout\tIN\tB-PP\tO' -p160154 -aS'electrocardiogram\telectrocardiogram\tNN\tB-NP\tO' -p160155 -aS'changes\tchange\tNNS\tI-NP\tO' -p160156 -aS'and\tand\tCC\tO\tO' -p160157 -aS'persisted\tpersist\tVBD\tB-VP\tO' -p160158 -aS'for\tfor\tIN\tB-PP\tO' -p160159 -aS'several\tseveral\tJJ\tB-NP\tO' -p160160 -aS'days\tday\tNNS\tI-NP\tO' -p160161 -aS'and\tand\tCC\tO\tO' -p160162 -aS'then\tthen\tRB\tB-ADVP\tO' -p160163 -aS'went\tgo\tVBD\tB-VP\tO' -p160164 -aS'away\taway\tRB\tB-ADVP\tO' -p160165 -aS'completely\tcompletely\tRB\tB-ADVP\tO' -p160166 -aS'.\t.\t.\tO\tO' -p160167 -asS'As above .' -p160168 -(lp160169 -S'As\tAs\tIN\tB-PP\tO' -p160170 -aS'above\tabove\tRB\tB-ADVP\tO' -p160171 -aS'.\t.\t.\tO\tO' -p160172 -asS'We would like to discontinue her Isordil to improve upon some orthostatic hypotension , but we are not certain whether her heart will tolerate this .' -p160173 -(lp160174 -S'We\tWe\tPRP\tB-NP\tO' -p160175 -aS'would\twould\tMD\tB-VP\tO' -p160176 -aS'like\tlike\tVB\tI-VP\tO' -p160177 -aS'to\tto\tTO\tI-VP\tO' -p160178 -aS'discontinue\tdiscontinue\tVB\tI-VP\tO' -p160179 -aS'her\ther\tPRP$\tB-NP\tO' -p160180 -aS'Isordil\tIsordil\tNN\tI-NP\tO' -p160181 -aS'to\tto\tTO\tB-VP\tO' -p160182 -aS'improve\timprove\tVB\tI-VP\tO' -p160183 -aS'upon\tupon\tIN\tB-PP\tO' -p160184 -aS'some\tsome\tDT\tB-NP\tO' -p160185 -aS'orthostatic\torthostatic\tJJ\tI-NP\tO' -p160186 -aS'hypotension\thypotension\tNN\tI-NP\tO' -p160187 -aS',\t,\t,\tO\tO' -p160188 -aS'but\tbut\tCC\tO\tO' -p160189 -aS'we\twe\tPRP\tB-NP\tO' -p160190 -aS'are\tbe\tVBP\tB-VP\tO' -p160191 -aS'not\tnot\tRB\tO\tO' -p160192 -aS'certain\tcertain\tJJ\tB-ADJP\tO' -p160193 -aS'whether\twhether\tIN\tB-SBAR\tO' -p160194 -aS'her\ther\tPRP$\tB-NP\tO' -p160195 -aS'heart\theart\tNN\tI-NP\tO' -p160196 -aS'will\twill\tMD\tB-VP\tO' -p160197 -aS'tolerate\ttolerate\tVB\tI-VP\tO' -p160198 -aS'this\tthis\tDT\tB-NP\tO' -p160199 -aS'.\t.\t.\tO\tO' -p160200 -asS'8. Cepacol 2 mg Lozenge Sig : One ( 1 ) Lozenge Mucous membrane PRN ( as needed ).' -p160201 -(lp160202 -S'8.\t8.\tCD\tB-NP\tO' -p160203 -aS'Cepacol\tCepacol\tNN\tI-NP\tO' -p160204 -aS'2\t2\tCD\tB-NP\tO' -p160205 -aS'mg\tmg\tNN\tI-NP\tO' -p160206 -aS'Lozenge\tLozenge\tNNP\tI-NP\tO' -p160207 -aS'Sig\tSig\tNNP\tI-NP\tO' -p160208 -aS':\t:\t:\tO\tO' -p160209 -aS'One\tOne\tCD\tB-NP\tO' -p160210 -aS'(\t(\t(\tO\tO' -p160211 -aS'1\t1\tCD\tB-NP\tO' -p160212 -aS')\t)\t)\tO\tO' -p160213 -aS'Lozenge\tLozenge\tNN\tB-NP\tO' -p160214 -aS'Mucous\tMucous\tJJ\tI-NP\tO' -p160215 -aS'membrane\tmembrane\tNN\tI-NP\tO' -p160216 -aS'PRN\tPRN\tNN\tI-NP\tO' -p160217 -aS'(\t(\t(\tO\tO' -p160218 -aS'as\tas\tIN\tB-SBAR\tO' -p160219 -aS'needed\tneed\tVBN\tB-VP\tO' -p160220 -aS').\t).\t)\tO\tO' -p160221 -asS'Elavil by mouth 15 mg every night , Dulcolax rectally 10 mg once a day , Tegretol by mouth 100 mg twice a day , Benadryl by mouth 25 mg three times a day , Colace by mouth 200 mg twice a day , Vasotec by mouth 10 mg twice a day , EOC / LOC p.r./p.o. one each once a day as needed for constipation , Lasix by mouth 80 mg every morning , insulin regular according to insulin scale , Synthroid by mouth 25 mcg once a day , Maalox Plus Extra Strength by mouth 15 ml every six hours as needed for indigestion , Milk of Magnesia by mouth 30 ml once a day as needed for constipation , Asacol by mouth 400 mg every morning , Asacol 800 mg every night , Lopressor by mouth 25 mg twice a day , Miracle cream topically on skin once a day , nystatin swish and swallow by mouth 5 ml four times a day , Percocet by mouth one tab every four hours as needed for pain , and vancomycin by infusion 1 gm every 18 hours ; instructions in 250 ml slow IV infusion over one hour .' -p160222 -(lp160223 -S'Elavil\tElavil\tNN\tB-NP\tO' -p160224 -aS'by\tby\tIN\tB-PP\tO' -p160225 -aS'mouth\tmouth\tNN\tB-NP\tO' -p160226 -aS'15\t15\tCD\tI-NP\tO' -p160227 -aS'mg\tmg\tNN\tI-NP\tO' -p160228 -aS'every\tevery\tDT\tB-NP\tO' -p160229 -aS'night\tnight\tNN\tI-NP\tO' -p160230 -aS',\t,\t,\tO\tO' -p160231 -aS'Dulcolax\tDulcolax\tNNP\tB-NP\tO' -p160232 -aS'rectally\trectally\tRB\tB-NP\tO' -p160233 -aS'10\t10\tCD\tI-NP\tO' -p160234 -aS'mg\tmg\tNN\tI-NP\tO' -p160235 -aS'once\tonce\tRB\tB-ADVP\tO' -p160236 -aS'a\ta\tDT\tB-NP\tO' -p160237 -aS'day\tday\tNN\tI-NP\tO' -p160238 -aS',\t,\t,\tO\tO' -p160239 -aS'Tegretol\tTegretol\tNN\tB-NP\tO' -p160240 -aS'by\tby\tIN\tB-PP\tO' -p160241 -aS'mouth\tmouth\tNN\tB-NP\tO' -p160242 -aS'100\t100\tCD\tI-NP\tO' -p160243 -aS'mg\tmg\tNN\tI-NP\tO' -p160244 -aS'twice\ttwice\tRB\tB-NP\tO' -p160245 -aS'a\ta\tDT\tI-NP\tO' -p160246 -aS'day\tday\tNN\tI-NP\tO' -p160247 -aS',\t,\t,\tO\tO' -p160248 -aS'Benadryl\tBenadryl\tNN\tB-NP\tO' -p160249 -aS'by\tby\tIN\tB-PP\tO' -p160250 -aS'mouth\tmouth\tNN\tB-NP\tO' -p160251 -aS'25\t25\tCD\tI-NP\tO' -p160252 -aS'mg\tmg\tNN\tI-NP\tO' -p160253 -aS'three\tthree\tCD\tB-NP\tO' -p160254 -aS'times\ttime\tNNS\tI-NP\tO' -p160255 -aS'a\ta\tDT\tB-NP\tO' -p160256 -aS'day\tday\tNN\tI-NP\tO' -p160257 -aS',\t,\t,\tO\tO' -p160258 -aS'Colace\tColace\tNNP\tB-NP\tO' -p160259 -aS'by\tby\tIN\tB-PP\tO' -p160260 -aS'mouth\tmouth\tNN\tB-NP\tO' -p160261 -aS'200\t200\tCD\tI-NP\tO' -p160262 -aS'mg\tmg\tNN\tI-NP\tO' -p160263 -aS'twice\ttwice\tRB\tB-NP\tO' -p160264 -aS'a\ta\tDT\tI-NP\tO' -p160265 -aS'day\tday\tNN\tI-NP\tO' -p160266 -aS',\t,\t,\tO\tO' -p160267 -aS'Vasotec\tVasotec\tNNP\tB-NP\tO' -p160268 -aS'by\tby\tIN\tB-PP\tO' -p160269 -aS'mouth\tmouth\tNN\tB-NP\tO' -p160270 -aS'10\t10\tCD\tI-NP\tO' -p160271 -aS'mg\tmg\tNN\tI-NP\tO' -p160272 -aS'twice\ttwice\tRB\tB-NP\tO' -p160273 -aS'a\ta\tDT\tI-NP\tO' -p160274 -aS'day\tday\tNN\tI-NP\tO' -p160275 -aS',\t,\t,\tO\tO' -p160276 -aS'EOC\tEOC\tNN\tB-NP\tB-protein' -p160277 -aS'/\t/\tSYM\tB-VP\tO' -p160278 -aS'LOC\tLOC\tNN\tB-NP\tO' -p160279 -aS'p.r./p.o.\tp.r./p.o.\tNN\tI-NP\tO' -p160280 -aS'one\tone\tCD\tB-NP\tO' -p160281 -aS'each\teach\tDT\tB-NP\tO' -p160282 -aS'once\tonce\tRB\tI-NP\tO' -p160283 -aS'a\ta\tDT\tB-NP\tO' -p160284 -aS'day\tday\tNN\tI-NP\tO' -p160285 -aS'as\tas\tIN\tB-SBAR\tO' -p160286 -aS'needed\tneed\tVBN\tB-VP\tO' -p160287 -aS'for\tfor\tIN\tB-PP\tO' -p160288 -aS'constipation\tconstipation\tNN\tB-NP\tO' -p160289 -aS',\t,\t,\tO\tO' -p160290 -aS'Lasix\tLasix\tNN\tB-NP\tO' -p160291 -aS'by\tby\tIN\tB-PP\tO' -p160292 -aS'mouth\tmouth\tNN\tB-NP\tO' -p160293 -aS'80\t80\tCD\tI-NP\tO' -p160294 -aS'mg\tmg\tNN\tI-NP\tO' -p160295 -aS'every\tevery\tDT\tB-NP\tO' -p160296 -aS'morning\tmorning\tNN\tI-NP\tO' -p160297 -aS',\t,\t,\tO\tO' -p160298 -aS'insulin\tinsulin\tNN\tB-NP\tO' -p160299 -aS'regular\tregular\tJJ\tB-ADJP\tO' -p160300 -aS'according\taccord\tVBG\tB-PP\tO' -p160301 -aS'to\tto\tTO\tB-PP\tO' -p160302 -aS'insulin\tinsulin\tNN\tB-NP\tO' -p160303 -aS'scale\tscale\tNN\tI-NP\tO' -p160304 -aS',\t,\t,\tO\tO' -p160305 -aS'Synthroid\tSynthroid\tJJ\tB-ADJP\tO' -p160306 -aS'by\tby\tIN\tB-PP\tO' -p160307 -aS'mouth\tmouth\tNN\tB-NP\tO' -p160308 -aS'25\t25\tCD\tI-NP\tO' -p160309 -aS'mcg\tmcg\tNN\tI-NP\tO' -p160310 -aS'once\tonce\tRB\tB-ADVP\tO' -p160311 -aS'a\ta\tDT\tB-NP\tO' -p160312 -aS'day\tday\tNN\tI-NP\tO' -p160313 -aS',\t,\t,\tO\tO' -p160314 -aS'Maalox\tMaalox\tNNP\tB-NP\tO' -p160315 -aS'Plus\tPlus\tNNP\tI-NP\tO' -p160316 -aS'Extra\tExtra\tNNP\tI-NP\tO' -p160317 -aS'Strength\tStrength\tNNP\tI-NP\tO' -p160318 -aS'by\tby\tIN\tB-PP\tO' -p160319 -aS'mouth\tmouth\tNN\tB-NP\tO' -p160320 -aS'15\t15\tCD\tI-NP\tO' -p160321 -aS'ml\tml\tNN\tI-NP\tO' -p160322 -aS'every\tevery\tDT\tB-NP\tO' -p160323 -aS'six\tsix\tCD\tI-NP\tO' -p160324 -aS'hours\thour\tNNS\tI-NP\tO' -p160325 -aS'as\tas\tIN\tB-SBAR\tO' -p160326 -aS'needed\tneed\tVBN\tB-VP\tO' -p160327 -aS'for\tfor\tIN\tB-PP\tO' -p160328 -aS'indigestion\tindigestion\tNN\tB-NP\tO' -p160329 -aS',\t,\t,\tO\tO' -p160330 -aS'Milk\tMilk\tNNP\tB-NP\tO' -p160331 -aS'of\tof\tIN\tB-PP\tO' -p160332 -aS'Magnesia\tMagnesia\tNNP\tB-NP\tO' -p160333 -aS'by\tby\tIN\tB-PP\tO' -p160334 -aS'mouth\tmouth\tNN\tB-NP\tO' -p160335 -aS'30\t30\tCD\tI-NP\tO' -p160336 -aS'ml\tml\tNN\tI-NP\tO' -p160337 -aS'once\tonce\tRB\tB-ADVP\tO' -p160338 -aS'a\ta\tDT\tB-NP\tO' -p160339 -aS'day\tday\tNN\tI-NP\tO' -p160340 -aS'as\tas\tIN\tB-SBAR\tO' -p160341 -aS'needed\tneed\tVBN\tB-VP\tO' -p160342 -aS'for\tfor\tIN\tB-PP\tO' -p160343 -aS'constipation\tconstipation\tNN\tB-NP\tO' -p160344 -aS',\t,\t,\tO\tO' -p160345 -aS'Asacol\tAsacol\tNN\tB-NP\tO' -p160346 -aS'by\tby\tIN\tB-PP\tO' -p160347 -aS'mouth\tmouth\tNN\tB-NP\tO' -p160348 -aS'400\t400\tCD\tI-NP\tO' -p160349 -aS'mg\tmg\tNN\tI-NP\tO' -p160350 -aS'every\tevery\tDT\tB-NP\tO' -p160351 -aS'morning\tmorning\tNN\tI-NP\tO' -p160352 -aS',\t,\t,\tO\tO' -p160353 -aS'Asacol\tAsacol\tNN\tB-NP\tO' -p160354 -aS'800\t800\tCD\tI-NP\tO' -p160355 -aS'mg\tmg\tNN\tI-NP\tO' -p160356 -aS'every\tevery\tDT\tB-NP\tO' -p160357 -aS'night\tnight\tNN\tI-NP\tO' -p160358 -aS',\t,\t,\tO\tO' -p160359 -aS'Lopressor\tLopressor\tNN\tB-NP\tO' -p160360 -aS'by\tby\tIN\tB-PP\tO' -p160361 -aS'mouth\tmouth\tNN\tB-NP\tO' -p160362 -aS'25\t25\tCD\tI-NP\tO' -p160363 -aS'mg\tmg\tNN\tI-NP\tO' -p160364 -aS'twice\ttwice\tRB\tB-NP\tO' -p160365 -aS'a\ta\tDT\tI-NP\tO' -p160366 -aS'day\tday\tNN\tI-NP\tO' -p160367 -aS',\t,\t,\tO\tO' -p160368 -aS'Miracle\tMiracle\tNNP\tB-NP\tO' -p160369 -aS'cream\tcream\tVBP\tB-VP\tO' -p160370 -aS'topically\ttopically\tRB\tB-ADVP\tO' -p160371 -aS'on\ton\tIN\tB-PP\tO' -p160372 -aS'skin\tskin\tNN\tB-NP\tO' -p160373 -aS'once\tonce\tRB\tB-ADVP\tO' -p160374 -aS'a\ta\tDT\tB-NP\tO' -p160375 -aS'day\tday\tNN\tI-NP\tO' -p160376 -aS',\t,\t,\tO\tO' -p160377 -aS'nystatin\tnystatin\tNN\tB-NP\tO' -p160378 -aS'swish\tswish\tVB\tB-VP\tO' -p160379 -aS'and\tand\tCC\tI-VP\tO' -p160380 -aS'swallow\tswallow\tVB\tI-VP\tO' -p160381 -aS'by\tby\tIN\tB-PP\tO' -p160382 -aS'mouth\tmouth\tNN\tB-NP\tO' -p160383 -aS'5\t5\tCD\tI-NP\tO' -p160384 -aS'ml\tml\tNN\tI-NP\tO' -p160385 -aS'four\tfour\tCD\tB-NP\tO' -p160386 -aS'times\ttime\tNNS\tI-NP\tO' -p160387 -aS'a\ta\tDT\tB-NP\tO' -p160388 -aS'day\tday\tNN\tI-NP\tO' -p160389 -aS',\t,\t,\tO\tO' -p160390 -aS'Percocet\tPercocet\tNN\tB-NP\tO' -p160391 -aS'by\tby\tIN\tB-PP\tO' -p160392 -aS'mouth\tmouth\tNN\tB-NP\tO' -p160393 -aS'one\tone\tCD\tI-NP\tO' -p160394 -aS'tab\ttab\tNN\tI-NP\tB-protein' -p160395 -aS'every\tevery\tDT\tB-NP\tO' -p160396 -aS'four\tfour\tCD\tI-NP\tO' -p160397 -aS'hours\thour\tNNS\tI-NP\tO' -p160398 -aS'as\tas\tIN\tB-SBAR\tO' -p160399 -aS'needed\tneed\tVBN\tB-VP\tO' -p160400 -aS'for\tfor\tIN\tB-PP\tO' -p160401 -aS'pain\tpain\tNN\tB-NP\tO' -p160402 -aS',\t,\t,\tO\tO' -p160403 -aS'and\tand\tCC\tO\tO' -p160404 -aS'vancomycin\tvancomycin\tNN\tB-NP\tO' -p160405 -aS'by\tby\tIN\tB-PP\tO' -p160406 -aS'infusion\tinfusion\tNN\tB-NP\tO' -p160407 -aS'1\t1\tCD\tI-NP\tO' -p160408 -aS'gm\tgm\tNN\tI-NP\tO' -p160409 -aS'every\tevery\tDT\tB-NP\tO' -p160410 -aS'18\t18\tCD\tI-NP\tO' -p160411 -aS'hours\thour\tNNS\tI-NP\tO' -p160412 -aS';\t;\t:\tO\tO' -p160413 -aS'instructions\tinstruction\tNNS\tB-NP\tO' -p160414 -aS'in\tin\tIN\tB-PP\tO' -p160415 -aS'250\t250\tCD\tB-NP\tO' -p160416 -aS'ml\tml\tNN\tI-NP\tO' -p160417 -aS'slow\tslow\tJJ\tI-NP\tO' -p160418 -aS'IV\tIV\tCD\tI-NP\tO' -p160419 -aS'infusion\tinfusion\tNN\tI-NP\tO' -p160420 -aS'over\tover\tIN\tB-PP\tO' -p160421 -aS'one\tone\tCD\tB-NP\tO' -p160422 -aS'hour\thour\tNN\tI-NP\tO' -p160423 -aS'.\t.\t.\tO\tO' -p160424 -asS'Corneals diminished on the left side .' -p160425 -(lp160426 -S'Corneals\tCorneal\tNNS\tB-NP\tO' -p160427 -aS'diminished\tdiminish\tVBN\tB-VP\tO' -p160428 -aS'on\ton\tIN\tB-PP\tO' -p160429 -aS'the\tthe\tDT\tB-NP\tO' -p160430 -aS'left\tleft\tJJ\tI-NP\tO' -p160431 -aS'side\tside\tNN\tI-NP\tO' -p160432 -aS'.\t.\t.\tO\tO' -p160433 -asS'1. Ascorbic acid 500 mg BID' -p160434 -(lp160435 -S'1.\t1.\tLS\tB-NP\tO' -p160436 -aS'Ascorbic\tAscorbic\tJJ\tI-NP\tO' -p160437 -aS'acid\tacid\tNN\tI-NP\tO' -p160438 -aS'500\t500\tCD\tI-NP\tO' -p160439 -aS'mg\tmg\tNN\tI-NP\tO' -p160440 -aS'BID\tBID\tNN\tI-NP\tO' -p160441 -asS'Physical therapy was consulted for strength and mobility .' -p160442 -(lp160443 -S'Physical\tPhysical\tJJ\tB-NP\tO' -p160444 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p160445 -aS'was\tbe\tVBD\tB-VP\tO' -p160446 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p160447 -aS'for\tfor\tIN\tB-PP\tO' -p160448 -aS'strength\tstrength\tNN\tB-NP\tO' -p160449 -aS'and\tand\tCC\tI-NP\tO' -p160450 -aS'mobility\tmobility\tNN\tI-NP\tO' -p160451 -aS'.\t.\t.\tO\tO' -p160452 -asS'Significant for having had a cholecystectomy and hysterectomy , tonsillectomy and adenoidectomy , and mastoidectomy .' -p160453 -(lp160454 -S'Significant\tSignificant\tJJ\tB-ADJP\tO' -p160455 -aS'for\tfor\tIN\tB-PP\tO' -p160456 -aS'having\thave\tVBG\tB-VP\tO' -p160457 -aS'had\thave\tVBD\tI-VP\tO' -p160458 -aS'a\ta\tDT\tB-NP\tO' -p160459 -aS'cholecystectomy\tcholecystectomy\tNN\tI-NP\tO' -p160460 -aS'and\tand\tCC\tI-NP\tO' -p160461 -aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' -p160462 -aS',\t,\t,\tI-NP\tO' -p160463 -aS'tonsillectomy\ttonsillectomy\tNN\tI-NP\tO' -p160464 -aS'and\tand\tCC\tI-NP\tO' -p160465 -aS'adenoidectomy\tadenoidectomy\tNN\tI-NP\tO' -p160466 -aS',\t,\t,\tO\tO' -p160467 -aS'and\tand\tCC\tO\tO' -p160468 -aS'mastoidectomy\tmastoidectomy\tNN\tB-NP\tO' -p160469 -aS'.\t.\t.\tO\tO' -p160470 -asS'To nursing home for follow up with Dr. Hipp ( urology ) this coming Monday , 12-08 at 1:30pm and with her PCP at the nursing home' -p160471 -(lp160472 -S'To\tTo\tTO\tB-PP\tO' -p160473 -aS'nursing\tnurse\tVBG\tB-VP\tO' -p160474 -aS'home\thome\tNN\tB-ADVP\tO' -p160475 -aS'for\tfor\tIN\tB-PP\tO' -p160476 -aS'follow\tfollow\tVB\tB-VP\tO' -p160477 -aS'up\tup\tRP\tB-PRT\tO' -p160478 -aS'with\twith\tIN\tB-PP\tO' -p160479 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p160480 -aS'Hipp\tHipp\tNNP\tI-NP\tO' -p160481 -aS'(\t(\t(\tO\tO' -p160482 -aS'urology\turology\tNN\tB-NP\tO' -p160483 -aS')\t)\t)\tO\tO' -p160484 -aS'this\tthis\tDT\tB-NP\tO' -p160485 -aS'coming\tcome\tVBG\tI-NP\tO' -p160486 -aS'Monday\tMonday\tNNP\tB-NP\tO' -p160487 -aS',\t,\t,\tO\tO' -p160488 -aS'12-08\t12-08\tCD\tB-NP\tO' -p160489 -aS'at\tat\tIN\tB-PP\tO' -p160490 -aS'1:30pm\t1:30pm\tNN\tB-NP\tO' -p160491 -aS'and\tand\tCC\tB-PP\tO' -p160492 -aS'with\twith\tIN\tB-PP\tO' -p160493 -aS'her\ther\tPRP$\tB-NP\tO' -p160494 -aS'PCP\tPCP\tNN\tI-NP\tB-DNA' -p160495 -aS'at\tat\tIN\tB-PP\tO' -p160496 -aS'the\tthe\tDT\tB-NP\tO' -p160497 -aS'nursing\tnursing\tNN\tI-NP\tO' -p160498 -aS'home\thome\tNN\tI-NP\tO' -p160499 -asS'The pulse was 75 , blood pressure 120/80 , respirations 18 , and he was afebrile .' -p160500 -(lp160501 -S'The\tThe\tDT\tB-NP\tO' -p160502 -aS'pulse\tpulse\tNN\tI-NP\tO' -p160503 -aS'was\tbe\tVBD\tB-VP\tO' -p160504 -aS'75\t75\tCD\tB-NP\tO' -p160505 -aS',\t,\t,\tO\tO' -p160506 -aS'blood\tblood\tNN\tB-NP\tO' -p160507 -aS'pressure\tpressure\tNN\tI-NP\tO' -p160508 -aS'120/80\t120/80\tCD\tI-NP\tO' -p160509 -aS',\t,\t,\tO\tO' -p160510 -aS'respirations\trespiration\tNNS\tB-NP\tO' -p160511 -aS'18\t18\tCD\tB-NP\tO' -p160512 -aS',\t,\t,\tO\tO' -p160513 -aS'and\tand\tCC\tO\tO' -p160514 -aS'he\the\tPRP\tB-NP\tO' -p160515 -aS'was\tbe\tVBD\tB-VP\tO' -p160516 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p160517 -aS'.\t.\t.\tO\tO' -p160518 -asS'He received a PICC on POD#7 for his long-term antibiotic therapy .' -p160519 -(lp160520 -S'He\tHe\tPRP\tB-NP\tO' -p160521 -aS'received\treceive\tVBD\tB-VP\tO' -p160522 -aS'a\ta\tDT\tB-NP\tO' -p160523 -aS'PICC\tPICC\tNN\tI-NP\tB-protein' -p160524 -aS'on\ton\tIN\tB-PP\tO' -p160525 -aS'POD#7\tPOD#7\tNN\tB-NP\tB-protein' -p160526 -aS'for\tfor\tIN\tB-PP\tO' -p160527 -aS'his\this\tPRP$\tB-NP\tO' -p160528 -aS'long-term\tlong-term\tJJ\tI-NP\tO' -p160529 -aS'antibiotic\tantibiotic\tJJ\tI-NP\tO' -p160530 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p160531 -aS'.\t.\t.\tO\tO' -p160532 -asS'She is able to wiggle her toes bilaterally .' -p160533 -(lp160534 -S'She\tShe\tPRP\tB-NP\tO' -p160535 -aS'is\tbe\tVBZ\tB-VP\tO' -p160536 -aS'able\table\tJJ\tB-ADJP\tO' -p160537 -aS'to\tto\tTO\tB-VP\tO' -p160538 -aS'wiggle\twiggle\tVB\tI-VP\tO' -p160539 -aS'her\ther\tPRP$\tB-NP\tO' -p160540 -aS'toes\ttoe\tNNS\tI-NP\tO' -p160541 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p160542 -aS'.\t.\t.\tO\tO' -p160543 -asS'He had no blink to threat .' -p160544 -(lp160545 -S'He\tHe\tPRP\tB-NP\tO' -p160546 -aS'had\thave\tVBD\tB-VP\tO' -p160547 -aS'no\tno\tDT\tB-NP\tO' -p160548 -aS'blink\tblink\tNN\tI-NP\tO' -p160549 -aS'to\tto\tTO\tB-PP\tO' -p160550 -aS'threat\tthreat\tNN\tB-NP\tO' -p160551 -aS'.\t.\t.\tO\tO' -p160552 -asS'Briefly , this 68 year old male with a history of coronary artery disease , diabetes mellitus , peripheral vascular disease , was admitted originally to the Podiatry Service for a left patellar mid-foot ulcer .' -p160553 -(lp160554 -S'Briefly\tBriefly\tNNP\tB-NP\tO' -p160555 -aS',\t,\t,\tO\tO' -p160556 -aS'this\tthis\tDT\tB-NP\tO' -p160557 -aS'68\t68\tCD\tI-NP\tO' -p160558 -aS'year\tyear\tNN\tI-NP\tO' -p160559 -aS'old\told\tJJ\tI-NP\tO' -p160560 -aS'male\tmale\tNN\tI-NP\tO' -p160561 -aS'with\twith\tIN\tB-PP\tO' -p160562 -aS'a\ta\tDT\tB-NP\tO' -p160563 -aS'history\thistory\tNN\tI-NP\tO' -p160564 -aS'of\tof\tIN\tB-PP\tO' -p160565 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p160566 -aS'artery\tartery\tNN\tI-NP\tO' -p160567 -aS'disease\tdisease\tNN\tI-NP\tO' -p160568 -aS',\t,\t,\tO\tO' -p160569 -aS'diabetes\tdiabetes\tNN\tB-NP\tO' -p160570 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p160571 -aS',\t,\t,\tO\tO' -p160572 -aS'peripheral\tperipheral\tJJ\tB-NP\tO' -p160573 -aS'vascular\tvascular\tJJ\tI-NP\tO' -p160574 -aS'disease\tdisease\tNN\tI-NP\tO' -p160575 -aS',\t,\t,\tO\tO' -p160576 -aS'was\tbe\tVBD\tB-VP\tO' -p160577 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p160578 -aS'originally\toriginally\tRB\tB-ADVP\tO' -p160579 -aS'to\tto\tTO\tB-PP\tO' -p160580 -aS'the\tthe\tDT\tB-NP\tO' -p160581 -aS'Podiatry\tPodiatry\tNNP\tI-NP\tO' -p160582 -aS'Service\tService\tNNP\tI-NP\tO' -p160583 -aS'for\tfor\tIN\tB-PP\tO' -p160584 -aS'a\ta\tDT\tB-NP\tO' -p160585 -aS'left\tleft\tJJ\tI-NP\tB-protein' -p160586 -aS'patellar\tpatellar\tJJ\tI-NP\tI-protein' -p160587 -aS'mid-foot\tmid-foot\tJJ\tI-NP\tI-protein' -p160588 -aS'ulcer\tulcer\tNN\tI-NP\tI-protein' -p160589 -aS'.\t.\t.\tO\tO' -p160590 -asS'As summarized above , the patient had a non-ST elevation MI with evidence of an 80 percent mid LAD lesion for which he underwent angioplasty without stent placement .' -p160591 -(lp160592 -S'As\tAs\tIN\tB-SBAR\tO' -p160593 -aS'summarized\tsummarize\tVBN\tB-VP\tO' -p160594 -aS'above\tabove\tRB\tB-ADVP\tO' -p160595 -aS',\t,\t,\tO\tO' -p160596 -aS'the\tthe\tDT\tB-NP\tO' -p160597 -aS'patient\tpatient\tNN\tI-NP\tO' -p160598 -aS'had\thave\tVBD\tB-VP\tO' -p160599 -aS'a\ta\tDT\tB-NP\tO' -p160600 -aS'non-ST\tnon-ST\tJJ\tI-NP\tO' -p160601 -aS'elevation\televation\tNN\tI-NP\tO' -p160602 -aS'MI\tMI\tNN\tI-NP\tO' -p160603 -aS'with\twith\tIN\tB-PP\tO' -p160604 -aS'evidence\tevidence\tNN\tB-NP\tO' -p160605 -aS'of\tof\tIN\tB-PP\tO' -p160606 -aS'an\tan\tDT\tB-NP\tO' -p160607 -aS'80\t80\tCD\tI-NP\tO' -p160608 -aS'percent\tpercent\tNN\tI-NP\tO' -p160609 -aS'mid\tmid\tJJ\tI-NP\tO' -p160610 -aS'LAD\tLAD\tNN\tI-NP\tO' -p160611 -aS'lesion\tlesion\tNN\tI-NP\tO' -p160612 -aS'for\tfor\tIN\tB-PP\tO' -p160613 -aS'which\twhich\tWDT\tB-NP\tO' -p160614 -aS'he\the\tPRP\tB-NP\tO' -p160615 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p160616 -aS'angioplasty\tangioplasty\tJJ\tB-ADJP\tO' -p160617 -aS'without\twithout\tIN\tB-PP\tO' -p160618 -aS'stent\tstent\tJJ\tB-NP\tO' -p160619 -aS'placement\tplacement\tNN\tI-NP\tO' -p160620 -aS'.\t.\t.\tO\tO' -p160621 -asS'9. Cyclosporin 75 mg twice a day .' -p160622 -(lp160623 -S'9.\t9.\tCD\tB-NP\tO' -p160624 -aS'Cyclosporin\tCyclosporin\tNN\tI-NP\tO' -p160625 -aS'75\t75\tCD\tB-NP\tO' -p160626 -aS'mg\tmg\tNN\tI-NP\tO' -p160627 -aS'twice\ttwice\tRB\tB-NP\tO' -p160628 -aS'a\ta\tDT\tI-NP\tO' -p160629 -aS'day\tday\tNN\tI-NP\tO' -p160630 -aS'.\t.\t.\tO\tO' -p160631 -asS'The LAD showed a 40% stenosis in the proximal segment .' -p160632 -(lp160633 -S'The\tThe\tDT\tB-NP\tO' -p160634 -aS'LAD\tLAD\tNN\tI-NP\tO' -p160635 -aS'showed\tshow\tVBD\tB-VP\tO' -p160636 -aS'a\ta\tDT\tB-NP\tO' -p160637 -aS'40%\t40%\tJJ\tI-NP\tO' -p160638 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p160639 -aS'in\tin\tIN\tB-PP\tO' -p160640 -aS'the\tthe\tDT\tB-NP\tO' -p160641 -aS'proximal\tproximal\tJJ\tI-NP\tB-DNA' -p160642 -aS'segment\tsegment\tNN\tI-NP\tI-DNA' -p160643 -aS'.\t.\t.\tO\tO' -p160644 -asS'A repeat ABG was performed which was 7.03/129/148 .' -p160645 -(lp160646 -S'A\tA\tDT\tB-NP\tO' -p160647 -aS'repeat\trepeat\tNN\tI-NP\tO' -p160648 -aS'ABG\tABG\tNN\tI-NP\tO' -p160649 -aS'was\tbe\tVBD\tB-VP\tO' -p160650 -aS'performed\tperform\tVBN\tI-VP\tO' -p160651 -aS'which\twhich\tWDT\tB-NP\tO' -p160652 -aS'was\tbe\tVBD\tB-VP\tO' -p160653 -aS'7.03/129/148\t7.03/129/148\tCD\tB-NP\tO' -p160654 -aS'.\t.\t.\tO\tO' -p160655 -asS'Face was symmetrical .' -p160656 -(lp160657 -S'Face\tFace\tNNP\tB-NP\tO' -p160658 -aS'was\tbe\tVBD\tB-VP\tO' -p160659 -aS'symmetrical\tsymmetrical\tJJ\tB-ADJP\tO' -p160660 -aS'.\t.\t.\tO\tO' -p160661 -asS'14. Heparin ( Porcine ) 5,000 unit / mL Solution Sig : One ( 1 ) injection Injection BID ( 2 times a day ).' -p160662 -(lp160663 -S'14.\t14.\tLS\tB-LST\tO' -p160664 -aS'Heparin\tHeparin\tNN\tB-NP\tB-protein' -p160665 -aS'(\t(\t(\tO\tI-protein' -p160666 -aS'Porcine\tPorcine\tNN\tB-NP\tI-protein' -p160667 -aS')\t)\t)\tO\tI-protein' -p160668 -aS'5,000\t5,000\tCD\tB-NP\tI-protein' -p160669 -aS'unit\tunit\tNN\tI-NP\tI-protein' -p160670 -aS'/\t/\tSYM\tB-NP\tO' -p160671 -aS'mL\tmL\tNN\tI-NP\tO' -p160672 -aS'Solution\tSolution\tNNP\tI-NP\tO' -p160673 -aS'Sig\tSig\tNNP\tI-NP\tO' -p160674 -aS':\t:\t:\tO\tO' -p160675 -aS'One\tOne\tCD\tB-NP\tO' -p160676 -aS'(\t(\t(\tO\tO' -p160677 -aS'1\t1\tCD\tB-NP\tO' -p160678 -aS')\t)\t)\tO\tO' -p160679 -aS'injection\tinjection\tNN\tB-NP\tO' -p160680 -aS'Injection\tInjection\tNN\tI-NP\tO' -p160681 -aS'BID\tBID\tNN\tI-NP\tO' -p160682 -aS'(\t(\t(\tO\tO' -p160683 -aS'2\t2\tCD\tB-NP\tO' -p160684 -aS'times\ttime\tNNS\tI-NP\tO' -p160685 -aS'a\ta\tDT\tB-NP\tO' -p160686 -aS'day\tday\tNN\tI-NP\tO' -p160687 -aS').\t).\t.\tO\tO' -p160688 -asS'He is on Lopressor 100 mg twice a day .' -p160689 -(lp160690 -S'He\tHe\tPRP\tB-NP\tO' -p160691 -aS'is\tbe\tVBZ\tB-VP\tO' -p160692 -aS'on\ton\tIN\tB-PP\tO' -p160693 -aS'Lopressor\tLopressor\tNN\tB-NP\tO' -p160694 -aS'100\t100\tCD\tI-NP\tO' -p160695 -aS'mg\tmg\tNN\tI-NP\tO' -p160696 -aS'twice\ttwice\tRB\tB-NP\tO' -p160697 -aS'a\ta\tDT\tI-NP\tO' -p160698 -aS'day\tday\tNN\tI-NP\tO' -p160699 -aS'.\t.\t.\tO\tO' -p160700 -asS'Patient developed a diffuse erythematous rash , though to be an ID reaction to a recent fungal infection .' -p160701 -(lp160702 -S'Patient\tPatient\tNN\tB-NP\tO' -p160703 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p160704 -aS'a\ta\tDT\tB-NP\tO' -p160705 -aS'diffuse\tdiffuse\tJJ\tI-NP\tO' -p160706 -aS'erythematous\terythematous\tJJ\tI-NP\tO' -p160707 -aS'rash\trash\tNN\tI-NP\tO' -p160708 -aS',\t,\t,\tO\tO' -p160709 -aS'though\tthough\tIN\tB-SBAR\tO' -p160710 -aS'to\tto\tTO\tB-VP\tO' -p160711 -aS'be\tbe\tVB\tI-VP\tO' -p160712 -aS'an\tan\tDT\tB-NP\tO' -p160713 -aS'ID\tID\tNN\tI-NP\tO' -p160714 -aS'reaction\treaction\tNN\tI-NP\tO' -p160715 -aS'to\tto\tTO\tB-PP\tO' -p160716 -aS'a\ta\tDT\tB-NP\tO' -p160717 -aS'recent\trecent\tJJ\tI-NP\tO' -p160718 -aS'fungal\tfungal\tJJ\tI-NP\tO' -p160719 -aS'infection\tinfection\tNN\tI-NP\tO' -p160720 -aS'.\t.\t.\tO\tO' -p160721 -asS'One of his brothers has had a myocardial infarction .' -p160722 -(lp160723 -S'One\tOne\tCD\tB-NP\tO' -p160724 -aS'of\tof\tIN\tB-PP\tO' -p160725 -aS'his\this\tPRP$\tB-NP\tO' -p160726 -aS'brothers\tbrother\tNNS\tI-NP\tO' -p160727 -aS'has\thave\tVBZ\tB-VP\tO' -p160728 -aS'had\thave\tVBD\tI-VP\tO' -p160729 -aS'a\ta\tDT\tB-NP\tO' -p160730 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p160731 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p160732 -aS'.\t.\t.\tO\tO' -p160733 -asS'The patient presented with a chief complaint of PAIN / ASSAULT .' -p160734 -(lp160735 -S'The\tThe\tDT\tB-NP\tO' -p160736 -aS'patient\tpatient\tNN\tI-NP\tO' -p160737 -aS'presented\tpresent\tVBD\tB-VP\tO' -p160738 -aS'with\twith\tIN\tB-PP\tO' -p160739 -aS'a\ta\tDT\tB-NP\tO' -p160740 -aS'chief\tchief\tJJ\tI-NP\tO' -p160741 -aS'complaint\tcomplaint\tNN\tI-NP\tO' -p160742 -aS'of\tof\tIN\tB-PP\tO' -p160743 -aS'PAIN\tPAIN\tNN\tB-NP\tB-protein' -p160744 -aS'/\t/\tSYM\tB-NP\tO' -p160745 -aS'ASSAULT\tASSAULT\tNN\tI-NP\tO' -p160746 -aS'.\t.\t.\tO\tO' -p160747 -asS'--- Pt to OR in early AM' -p160748 -(lp160749 -S'---\t---\tSYM\tO\tO' -p160750 -aS'Pt\tPt\tNN\tB-NP\tO' -p160751 -aS'to\tto\tTO\tB-PP\tO' -p160752 -aS'OR\tOR\tNN\tB-NP\tB-protein' -p160753 -aS'in\tin\tIN\tB-PP\tO' -p160754 -aS'early\tearly\tJJ\tB-NP\tO' -p160755 -aS'AM\tAM\tNN\tI-NP\tO' -p160756 -asS"On 06-23 the patient 's tube feed were changed from Respalor to Deliver 2.0 to give increased calories ." -p160757 -(lp160758 -S'On\tOn\tIN\tB-PP\tO' -p160759 -aS'06-23\t06-23\tCD\tB-NP\tO' -p160760 -aS'the\tthe\tDT\tB-NP\tO' -p160761 -aS'patient\tpatient\tNN\tI-NP\tO' -p160762 -aS"'s\t's\tPOS\tB-NP\tO" -p160763 -aS'tube\ttube\tNN\tI-NP\tO' -p160764 -aS'feed\tfeed\tNN\tI-NP\tO' -p160765 -aS'were\tbe\tVBD\tB-VP\tO' -p160766 -aS'changed\tchange\tVBN\tI-VP\tO' -p160767 -aS'from\tfrom\tIN\tB-PP\tO' -p160768 -aS'Respalor\tRespalor\tNNP\tB-NP\tO' -p160769 -aS'to\tto\tTO\tB-VP\tO' -p160770 -aS'Deliver\tDeliver\tVB\tI-VP\tO' -p160771 -aS'2.0\t2.0\tCD\tB-NP\tO' -p160772 -aS'to\tto\tTO\tB-VP\tO' -p160773 -aS'give\tgive\tVB\tI-VP\tO' -p160774 -aS'increased\tincrease\tVBN\tB-NP\tO' -p160775 -aS'calories\tcalorie\tNNS\tI-NP\tO' -p160776 -aS'.\t.\t.\tO\tO' -p160777 -asS'2. Alpha Streptococcus septicemia .' -p160778 -(lp160779 -S'2.\t2.\tLS\tB-LST\tO' -p160780 -aS'Alpha\tAlpha\tNNP\tB-NP\tO' -p160781 -aS'Streptococcus\tStreptococcus\tNNP\tI-NP\tO' -p160782 -aS'septicemia\tsepticemia\tNNP\tI-NP\tO' -p160783 -aS'.\t.\t.\tO\tO' -p160784 -asS'Signed electronically by : DR. James GRAY on : Roger 2014-04-03 3:20 PM' -p160785 -(lp160786 -S'Signed\tSign\tVBN\tB-VP\tO' -p160787 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p160788 -aS'by\tby\tIN\tB-PP\tO' -p160789 -aS':\t:\t:\tO\tO' -p160790 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p160791 -aS'James\tJames\tNNP\tI-NP\tO' -p160792 -aS'GRAY\tGRAY\tNNP\tI-NP\tO' -p160793 -aS'on\ton\tIN\tB-PP\tO' -p160794 -aS':\t:\t:\tO\tO' -p160795 -aS'Roger\tRoger\tNNP\tB-NP\tO' -p160796 -aS'2014-04-03\t2014-04-03\tCD\tB-NP\tO' -p160797 -aS'3:20\t3:20\tCD\tI-NP\tO' -p160798 -aS'PM\tPM\tNN\tI-NP\tO' -p160799 -asS'Chronic obstructive pulmonary disease with asthmatic component .' -p160800 -(lp160801 -S'Chronic\tChronic\tJJ\tB-NP\tO' -p160802 -aS'obstructive\tobstructive\tJJ\tI-NP\tO' -p160803 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p160804 -aS'disease\tdisease\tNN\tI-NP\tO' -p160805 -aS'with\twith\tIN\tB-PP\tO' -p160806 -aS'asthmatic\tasthmatic\tJJ\tB-NP\tO' -p160807 -aS'component\tcomponent\tNN\tI-NP\tO' -p160808 -aS'.\t.\t.\tO\tO' -p160809 -asS'This was drained with a left chest tube .' -p160810 -(lp160811 -S'This\tThis\tDT\tB-NP\tO' -p160812 -aS'was\tbe\tVBD\tB-VP\tO' -p160813 -aS'drained\tdrain\tVBN\tI-VP\tO' -p160814 -aS'with\twith\tIN\tB-PP\tO' -p160815 -aS'a\ta\tDT\tB-NP\tO' -p160816 -aS'left\tleft\tJJ\tI-NP\tO' -p160817 -aS'chest\tchest\tNN\tI-NP\tO' -p160818 -aS'tube\ttube\tNN\tI-NP\tO' -p160819 -aS'.\t.\t.\tO\tO' -p160820 -asS'Cultures were pending on her aspirate and will be treated with po doxycycline .' -p160821 -(lp160822 -S'Cultures\tCulture\tNNS\tB-NP\tO' -p160823 -aS'were\tbe\tVBD\tB-VP\tO' -p160824 -aS'pending\tpende\tVBG\tI-VP\tO' -p160825 -aS'on\ton\tIN\tB-PP\tO' -p160826 -aS'her\ther\tPRP$\tB-NP\tO' -p160827 -aS'aspirate\taspirate\tNN\tI-NP\tO' -p160828 -aS'and\tand\tCC\tO\tO' -p160829 -aS'will\twill\tMD\tB-VP\tO' -p160830 -aS'be\tbe\tVB\tI-VP\tO' -p160831 -aS'treated\ttreat\tVBN\tI-VP\tO' -p160832 -aS'with\twith\tIN\tB-PP\tO' -p160833 -aS'po\tpo\tNN\tB-NP\tO' -p160834 -aS'doxycycline\tdoxycycline\tNN\tI-NP\tO' -p160835 -aS'.\t.\t.\tO\tO' -p160836 -asS'Aortic arch aneurysm , status post aortic arch graft .' -p160837 -(lp160838 -S'Aortic\tAortic\tJJ\tB-NP\tO' -p160839 -aS'arch\tarch\tNN\tI-NP\tO' -p160840 -aS'aneurysm\taneurysm\tNN\tI-NP\tO' -p160841 -aS',\t,\t,\tO\tO' -p160842 -aS'status\tstatus\tNN\tB-NP\tO' -p160843 -aS'post\tpost\tNN\tI-NP\tO' -p160844 -aS'aortic\taortic\tJJ\tI-NP\tO' -p160845 -aS'arch\tarch\tNN\tI-NP\tO' -p160846 -aS'graft\tgraft\tNN\tI-NP\tO' -p160847 -aS'.\t.\t.\tO\tO' -p160848 -asS'He is 71 inches tall , 196 lbs .' -p160849 -(lp160850 -S'He\tHe\tPRP\tB-NP\tO' -p160851 -aS'is\tbe\tVBZ\tB-VP\tO' -p160852 -aS'71\t71\tCD\tB-NP\tO' -p160853 -aS'inches\tinch\tNNS\tI-NP\tO' -p160854 -aS'tall\ttall\tJJ\tB-ADJP\tO' -p160855 -aS',\t,\t,\tO\tO' -p160856 -aS'196\t196\tCD\tB-NP\tO' -p160857 -aS'lbs\tlb\tNNS\tI-NP\tO' -p160858 -aS'.\t.\t.\tO\tO' -p160859 -asS'This responded to fluid bolus .' -p160860 -(lp160861 -S'This\tThis\tDT\tB-NP\tO' -p160862 -aS'responded\trespond\tVBD\tB-VP\tO' -p160863 -aS'to\tto\tTO\tI-VP\tO' -p160864 -aS'fluid\tfluid\tVB\tI-VP\tO' -p160865 -aS'bolus\tbolus\tNN\tB-NP\tO' -p160866 -aS'.\t.\t.\tO\tO' -p160867 -asS'Since discharge pt has continued at rehab on ps vent settings but pigtail catheter fell out today so pt was referred here for monitoring .' -p160868 -(lp160869 -S'Since\tSince\tIN\tB-SBAR\tO' -p160870 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p160871 -aS'pt\tpt\tNN\tI-NP\tO' -p160872 -aS'has\thave\tVBZ\tB-VP\tO' -p160873 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p160874 -aS'at\tat\tIN\tB-PP\tO' -p160875 -aS'rehab\trehab\tNN\tB-NP\tO' -p160876 -aS'on\ton\tIN\tB-PP\tO' -p160877 -aS'ps\tp\tNNS\tB-NP\tO' -p160878 -aS'vent\tvent\tNN\tI-NP\tO' -p160879 -aS'settings\tsetting\tNNS\tI-NP\tO' -p160880 -aS'but\tbut\tCC\tO\tO' -p160881 -aS'pigtail\tpigtail\tNN\tB-NP\tO' -p160882 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p160883 -aS'fell\tfall\tVBD\tB-VP\tO' -p160884 -aS'out\tout\tRP\tB-PRT\tO' -p160885 -aS'today\ttoday\tNN\tB-NP\tO' -p160886 -aS'so\tso\tIN\tB-SBAR\tO' -p160887 -aS'pt\tpt\tNN\tB-NP\tO' -p160888 -aS'was\tbe\tVBD\tB-VP\tO' -p160889 -aS'referred\trefer\tVBN\tI-VP\tO' -p160890 -aS'here\there\tRB\tB-ADVP\tO' -p160891 -aS'for\tfor\tIN\tB-PP\tO' -p160892 -aS'monitoring\tmonitoring\tNN\tB-NP\tO' -p160893 -aS'.\t.\t.\tO\tO' -p160894 -asS'7. Enteric-coated aspirin .' -p160895 -(lp160896 -S'7.\t7.\tLS\tB-NP\tO' -p160897 -aS'Enteric-coated\tEnteric-coated\tJJ\tI-NP\tO' -p160898 -aS'aspirin\taspirin\tNN\tI-NP\tO' -p160899 -aS'.\t.\t.\tO\tO' -p160900 -asS'It was suboptimally imaged , so there was no RVSP given .' -p160901 -(lp160902 -S'It\tIt\tPRP\tB-NP\tO' -p160903 -aS'was\tbe\tVBD\tB-VP\tO' -p160904 -aS'suboptimally\tsuboptimally\tRB\tI-VP\tO' -p160905 -aS'imaged\timage\tVBN\tI-VP\tO' -p160906 -aS',\t,\t,\tO\tO' -p160907 -aS'so\tso\tIN\tO\tO' -p160908 -aS'there\tthere\tEX\tB-NP\tO' -p160909 -aS'was\tbe\tVBD\tB-VP\tO' -p160910 -aS'no\tno\tDT\tB-NP\tO' -p160911 -aS'RVSP\tRVSP\tNN\tI-NP\tB-protein' -p160912 -aS'given\tgive\tVBN\tB-VP\tO' -p160913 -aS'.\t.\t.\tO\tO' -p160914 -asS'Take codeine prescribed by PCP with food and water to prevent nausea and constipation .' -p160915 -(lp160916 -S'Take\tTake\tVB\tB-VP\tO' -p160917 -aS'codeine\tcodeine\tNN\tB-NP\tO' -p160918 -aS'prescribed\tprescribe\tVBN\tB-VP\tO' -p160919 -aS'by\tby\tIN\tB-PP\tO' -p160920 -aS'PCP\tPCP\tNN\tB-NP\tO' -p160921 -aS'with\twith\tIN\tB-PP\tO' -p160922 -aS'food\tfood\tNN\tB-NP\tO' -p160923 -aS'and\tand\tCC\tI-NP\tO' -p160924 -aS'water\twater\tNN\tI-NP\tO' -p160925 -aS'to\tto\tTO\tB-VP\tO' -p160926 -aS'prevent\tprevent\tVB\tI-VP\tO' -p160927 -aS'nausea\tnausea\tNN\tB-NP\tO' -p160928 -aS'and\tand\tCC\tI-NP\tO' -p160929 -aS'constipation\tconstipation\tNN\tI-NP\tO' -p160930 -aS'.\t.\t.\tO\tO' -p160931 -asS'At the time of her discharge , the patient was still requiring two liters of supplemental oxygen to maintain her oxygen saturations in the mid 90% .' -p160932 -(lp160933 -S'At\tAt\tIN\tB-PP\tO' -p160934 -aS'the\tthe\tDT\tB-NP\tO' -p160935 -aS'time\ttime\tNN\tI-NP\tO' -p160936 -aS'of\tof\tIN\tB-PP\tO' -p160937 -aS'her\ther\tPRP$\tB-NP\tO' -p160938 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p160939 -aS',\t,\t,\tO\tO' -p160940 -aS'the\tthe\tDT\tB-NP\tO' -p160941 -aS'patient\tpatient\tNN\tI-NP\tO' -p160942 -aS'was\tbe\tVBD\tB-VP\tO' -p160943 -aS'still\tstill\tRB\tI-VP\tO' -p160944 -aS'requiring\trequire\tVBG\tI-VP\tO' -p160945 -aS'two\ttwo\tCD\tB-NP\tO' -p160946 -aS'liters\tliter\tNNS\tI-NP\tO' -p160947 -aS'of\tof\tIN\tB-PP\tO' -p160948 -aS'supplemental\tsupplemental\tJJ\tB-NP\tO' -p160949 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p160950 -aS'to\tto\tTO\tB-VP\tO' -p160951 -aS'maintain\tmaintain\tVB\tI-VP\tO' -p160952 -aS'her\ther\tPRP$\tB-NP\tO' -p160953 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p160954 -aS'saturations\tsaturation\tNNS\tI-NP\tO' -p160955 -aS'in\tin\tIN\tB-PP\tO' -p160956 -aS'the\tthe\tDT\tB-NP\tO' -p160957 -aS'mid\tmid\tJJ\tI-NP\tB-protein' -p160958 -aS'90%\t90%\tNN\tI-NP\tI-protein' -p160959 -aS'.\t.\t.\tO\tO' -p160960 -asS'By 6-26-94 , the patient was felt to be ready for discharge .' -p160961 -(lp160962 -S'By\tBy\tIN\tB-PP\tO' -p160963 -aS'6-26-94\t6-26-94\tCD\tB-NP\tO' -p160964 -aS',\t,\t,\tO\tO' -p160965 -aS'the\tthe\tDT\tB-NP\tO' -p160966 -aS'patient\tpatient\tNN\tI-NP\tO' -p160967 -aS'was\tbe\tVBD\tB-VP\tO' -p160968 -aS'felt\tfeel\tVBN\tI-VP\tO' -p160969 -aS'to\tto\tTO\tI-VP\tO' -p160970 -aS'be\tbe\tVB\tI-VP\tO' -p160971 -aS'ready\tready\tJJ\tB-ADJP\tO' -p160972 -aS'for\tfor\tIN\tB-PP\tO' -p160973 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p160974 -aS'.\t.\t.\tO\tO' -p160975 -asS'The patient expired at 6 p.m. on 05-14 .' -p160976 -(lp160977 -S'The\tThe\tDT\tB-NP\tO' -p160978 -aS'patient\tpatient\tNN\tI-NP\tO' -p160979 -aS'expired\texpire\tVBD\tB-VP\tO' -p160980 -aS'at\tat\tIN\tB-PP\tO' -p160981 -aS'6\t6\tCD\tB-NP\tO' -p160982 -aS'p.m.\tp.m.\tNN\tI-NP\tO' -p160983 -aS'on\ton\tIN\tB-PP\tO' -p160984 -aS'05-14\t05-14\tCD\tB-NP\tO' -p160985 -aS'.\t.\t.\tO\tO' -p160986 -asS'She was maintained on intravenous antibiotics .' -p160987 -(lp160988 -S'She\tShe\tPRP\tB-NP\tO' -p160989 -aS'was\tbe\tVBD\tB-VP\tO' -p160990 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p160991 -aS'on\ton\tIN\tB-PP\tO' -p160992 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p160993 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p160994 -aS'.\t.\t.\tO\tO' -p160995 -asS'He is confused , has had hallucinations .' -p160996 -(lp160997 -S'He\tHe\tPRP\tB-NP\tO' -p160998 -aS'is\tbe\tVBZ\tB-VP\tO' -p160999 -aS'confused\tconfuse\tVBN\tI-VP\tO' -p161000 -aS',\t,\t,\tO\tO' -p161001 -aS'has\thave\tVBZ\tB-VP\tO' -p161002 -aS'had\thave\tVBN\tI-VP\tO' -p161003 -aS'hallucinations\thallucination\tNNS\tB-NP\tO' -p161004 -aS'.\t.\t.\tO\tO' -p161005 -asS'Intra-aortic balloon pump augmented systole was 109 , augmented diastole was 111 .' -p161006 -(lp161007 -S'Intra-aortic\tIntra-aortic\tJJ\tB-NP\tO' -p161008 -aS'balloon\tballoon\tNN\tI-NP\tO' -p161009 -aS'pump\tpump\tNN\tI-NP\tO' -p161010 -aS'augmented\taugment\tVBD\tB-VP\tO' -p161011 -aS'systole\tsystole\tNN\tB-NP\tO' -p161012 -aS'was\tbe\tVBD\tB-VP\tO' -p161013 -aS'109\t109\tCD\tB-NP\tO' -p161014 -aS',\t,\t,\tO\tO' -p161015 -aS'augmented\taugmented\tJJ\tB-NP\tO' -p161016 -aS'diastole\tdiastole\tNN\tI-NP\tO' -p161017 -aS'was\tbe\tVBD\tB-VP\tO' -p161018 -aS'111\t111\tCD\tB-NP\tO' -p161019 -aS'.\t.\t.\tO\tO' -p161020 -asS'Dictated By : Dorothy Y. Madore , M.D.' -p161021 -(lp161022 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p161023 -aS'By\tBy\tIN\tB-PP\tO' -p161024 -aS':\t:\t:\tO\tO' -p161025 -aS'Dorothy\tDorothy\tNNP\tB-NP\tO' -p161026 -aS'Y.\tY.\tNNP\tI-NP\tO' -p161027 -aS'Madore\tMadore\tNNP\tI-NP\tO' -p161028 -aS',\t,\t,\tO\tO' -p161029 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p161030 -asS'CMED and to the ICU .' -p161031 -(lp161032 -S'CMED\tCMED\tVBN\tB-VP\tO' -p161033 -aS'and\tand\tCC\tB-PP\tO' -p161034 -aS'to\tto\tTO\tB-PP\tO' -p161035 -aS'the\tthe\tDT\tB-NP\tO' -p161036 -aS'ICU\tICU\tNN\tI-NP\tB-DNA' -p161037 -aS'.\t.\t.\tO\tO' -p161038 -asS'The patient remained afebrile until day +11 when he spiked and was started on ceftazidime .' -p161039 -(lp161040 -S'The\tThe\tDT\tB-NP\tO' -p161041 -aS'patient\tpatient\tNN\tI-NP\tO' -p161042 -aS'remained\tremain\tVBD\tB-VP\tO' -p161043 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p161044 -aS'until\tuntil\tIN\tB-SBAR\tO' -p161045 -aS'day\tday\tNN\tB-NP\tO' -p161046 -aS'+11\t+11\tCD\tI-NP\tO' -p161047 -aS'when\twhen\tWRB\tB-ADVP\tO' -p161048 -aS'he\the\tPRP\tB-NP\tO' -p161049 -aS'spiked\tspike\tVBD\tB-VP\tO' -p161050 -aS'and\tand\tCC\tO\tO' -p161051 -aS'was\tbe\tVBD\tB-VP\tO' -p161052 -aS'started\tstart\tVBN\tI-VP\tO' -p161053 -aS'on\ton\tIN\tB-PP\tO' -p161054 -aS'ceftazidime\tceftazidime\tNN\tB-NP\tO' -p161055 -aS'.\t.\t.\tO\tO' -p161056 -asS'From a GI point of view , he is receiving Promote tube feeds through his jejunostomy tube .' -p161057 -(lp161058 -S'From\tFrom\tIN\tB-PP\tO' -p161059 -aS'a\ta\tDT\tB-NP\tO' -p161060 -aS'GI\tGI\tNN\tI-NP\tO' -p161061 -aS'point\tpoint\tNN\tI-NP\tO' -p161062 -aS'of\tof\tIN\tB-PP\tO' -p161063 -aS'view\tview\tNN\tB-NP\tO' -p161064 -aS',\t,\t,\tO\tO' -p161065 -aS'he\the\tPRP\tB-NP\tO' -p161066 -aS'is\tbe\tVBZ\tB-VP\tO' -p161067 -aS'receiving\treceive\tVBG\tI-VP\tO' -p161068 -aS'Promote\tPromote\tJJ\tB-NP\tO' -p161069 -aS'tube\ttube\tNN\tI-NP\tO' -p161070 -aS'feeds\tfeed\tNNS\tI-NP\tO' -p161071 -aS'through\tthrough\tIN\tB-PP\tO' -p161072 -aS'his\this\tPRP$\tB-NP\tO' -p161073 -aS'jejunostomy\tjejunostomy\tNN\tI-NP\tO' -p161074 -aS'tube\ttube\tNN\tI-NP\tO' -p161075 -aS'.\t.\t.\tO\tO' -p161076 -asS'The patient was a nonsmoker and used no ethanol .' -p161077 -(lp161078 -S'The\tThe\tDT\tB-NP\tO' -p161079 -aS'patient\tpatient\tNN\tI-NP\tO' -p161080 -aS'was\tbe\tVBD\tB-VP\tO' -p161081 -aS'a\ta\tDT\tB-NP\tO' -p161082 -aS'nonsmoker\tnonsmoker\tJJ\tI-NP\tO' -p161083 -aS'and\tand\tCC\tI-NP\tO' -p161084 -aS'used\tuse\tVBN\tI-NP\tO' -p161085 -aS'no\tno\tDT\tB-NP\tO' -p161086 -aS'ethanol\tethanol\tNN\tI-NP\tO' -p161087 -aS'.\t.\t.\tO\tO' -p161088 -asS'He had dressing changes twice a day .' -p161089 -(lp161090 -S'He\tHe\tPRP\tB-NP\tO' -p161091 -aS'had\thave\tVBD\tB-VP\tO' -p161092 -aS'dressing\tdress\tVBG\tI-VP\tO' -p161093 -aS'changes\tchange\tNNS\tB-NP\tO' -p161094 -aS'twice\ttwice\tRB\tB-NP\tO' -p161095 -aS'a\ta\tDT\tI-NP\tO' -p161096 -aS'day\tday\tNN\tI-NP\tO' -p161097 -aS'.\t.\t.\tO\tO' -p161098 -asS'Peripheral pulses were 2+ and symmetrical bilaterally .' -p161099 -(lp161100 -S'Peripheral\tPeripheral\tJJ\tB-NP\tO' -p161101 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p161102 -aS'were\tbe\tVBD\tB-VP\tO' -p161103 -aS'2+\t2+\tJJ\tB-ADJP\tO' -p161104 -aS'and\tand\tCC\tI-ADJP\tO' -p161105 -aS'symmetrical\tsymmetrical\tJJ\tI-ADJP\tO' -p161106 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p161107 -aS'.\t.\t.\tO\tO' -p161108 -asS'Mr. Morton then developed more pain and warmth to his right foot later in the week and presented to the Youville Hospital - Woody Monica .' -p161109 -(lp161110 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p161111 -aS'Morton\tMorton\tNNP\tI-NP\tO' -p161112 -aS'then\tthen\tRB\tB-ADVP\tO' -p161113 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p161114 -aS'more\tmore\tJJR\tB-NP\tO' -p161115 -aS'pain\tpain\tNN\tI-NP\tO' -p161116 -aS'and\tand\tCC\tI-NP\tO' -p161117 -aS'warmth\twarmth\tNN\tI-NP\tO' -p161118 -aS'to\tto\tTO\tB-PP\tO' -p161119 -aS'his\this\tPRP$\tB-NP\tO' -p161120 -aS'right\tright\tJJ\tI-NP\tO' -p161121 -aS'foot\tfoot\tNN\tI-NP\tO' -p161122 -aS'later\tlater\tRB\tB-ADVP\tO' -p161123 -aS'in\tin\tIN\tB-PP\tO' -p161124 -aS'the\tthe\tDT\tB-NP\tO' -p161125 -aS'week\tweek\tNN\tI-NP\tO' -p161126 -aS'and\tand\tCC\tO\tO' -p161127 -aS'presented\tpresent\tVBN\tB-VP\tO' -p161128 -aS'to\tto\tTO\tB-PP\tO' -p161129 -aS'the\tthe\tDT\tB-NP\tO' -p161130 -aS'Youville\tYouville\tNNP\tI-NP\tO' -p161131 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p161132 -aS'-\t-\tHYPH\tI-NP\tO' -p161133 -aS'Woody\tWoody\tNNP\tB-NP\tO' -p161134 -aS'Monica\tMonica\tNNP\tI-NP\tO' -p161135 -aS'.\t.\t.\tO\tO' -p161136 -asS'2) Azotemia presumed secondary to sepsis and dehydration , creatinine decreased to 2.1 with intravenous fluids and antibiotics .' -p161137 -(lp161138 -S'2)\t2)\tLS\tB-NP\tO' -p161139 -aS'Azotemia\tAzotemia\tNN\tI-NP\tO' -p161140 -aS'presumed\tpresume\tVBN\tB-VP\tO' -p161141 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p161142 -aS'to\tto\tTO\tB-PP\tO' -p161143 -aS'sepsis\tsepsis\tNN\tB-NP\tO' -p161144 -aS'and\tand\tCC\tI-NP\tO' -p161145 -aS'dehydration\tdehydration\tNN\tI-NP\tO' -p161146 -aS',\t,\t,\tO\tO' -p161147 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p161148 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p161149 -aS'to\tto\tTO\tB-PP\tO' -p161150 -aS'2.1\t2.1\tCD\tB-NP\tO' -p161151 -aS'with\twith\tIN\tB-PP\tO' -p161152 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p161153 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p161154 -aS'and\tand\tCC\tI-NP\tO' -p161155 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p161156 -aS'.\t.\t.\tO\tO' -p161157 -asS'Flat , soft and nontender abdomen without hepatosplenomegaly .' -p161158 -(lp161159 -S'Flat\tFlat\tRB\tB-ADVP\tO' -p161160 -aS',\t,\t,\tO\tO' -p161161 -aS'soft\tsoft\tJJ\tB-NP\tO' -p161162 -aS'and\tand\tCC\tI-NP\tO' -p161163 -aS'nontender\tnontender\tJJ\tI-NP\tO' -p161164 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p161165 -aS'without\twithout\tIN\tB-PP\tO' -p161166 -aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tB-NP\tO' -p161167 -aS'.\t.\t.\tO\tO' -p161168 -asS'6. Fluticasone 110 mcg / Actuation Aerosol Sig : Two ( 2 ) Puff Inhalation BID ( 2 times a day ).' -p161169 -(lp161170 -S'6.\t6.\tLS\tB-NP\tO' -p161171 -aS'Fluticasone\tFluticasone\tNN\tI-NP\tO' -p161172 -aS'110\t110\tCD\tI-NP\tO' -p161173 -aS'mcg\tmcg\tNN\tI-NP\tO' -p161174 -aS'/\t/\tSYM\tB-NP\tO' -p161175 -aS'Actuation\tActuation\tNN\tI-NP\tO' -p161176 -aS'Aerosol\tAerosol\tNNP\tI-NP\tO' -p161177 -aS'Sig\tSig\tNNP\tI-NP\tO' -p161178 -aS':\t:\t:\tO\tO' -p161179 -aS'Two\tTwo\tCD\tB-NP\tO' -p161180 -aS'(\t(\t(\tO\tO' -p161181 -aS'2\t2\tCD\tO\tO' -p161182 -aS')\t)\t)\tO\tO' -p161183 -aS'Puff\tPuff\tNN\tB-NP\tO' -p161184 -aS'Inhalation\tInhalation\tNN\tI-NP\tO' -p161185 -aS'BID\tBID\tNN\tI-NP\tO' -p161186 -aS'(\t(\t(\tO\tO' -p161187 -aS'2\t2\tCD\tB-NP\tO' -p161188 -aS'times\ttime\tNNS\tI-NP\tO' -p161189 -aS'a\ta\tDT\tB-NP\tO' -p161190 -aS'day\tday\tNN\tI-NP\tO' -p161191 -aS').\t).\t.\tO\tO' -p161192 -asS'2) Probable obstructing 5 mm right mid ureteral calculus causing mild hydroureter , though it is difficult to tell definitively if this stone is within or just medial to the right ureter on this CT without IV contrast .' -p161193 -(lp161194 -S'2)\t2)\tLS\tB-LST\tO' -p161195 -aS'Probable\tProbable\tJJ\tB-PP\tO' -p161196 -aS'obstructing\tobstruct\tVBG\tB-VP\tO' -p161197 -aS'5\t5\tCD\tB-NP\tO' -p161198 -aS'mm\tmm\tNN\tI-NP\tO' -p161199 -aS'right\tright\tJJ\tI-NP\tO' -p161200 -aS'mid\tmid\tJJ\tI-NP\tO' -p161201 -aS'ureteral\tureteral\tJJ\tI-NP\tO' -p161202 -aS'calculus\tcalculus\tNN\tI-NP\tO' -p161203 -aS'causing\tcause\tVBG\tB-VP\tO' -p161204 -aS'mild\tmild\tJJ\tB-NP\tO' -p161205 -aS'hydroureter\thydroureter\tNN\tI-NP\tO' -p161206 -aS',\t,\t,\tO\tO' -p161207 -aS'though\tthough\tIN\tB-SBAR\tO' -p161208 -aS'it\tit\tPRP\tB-NP\tO' -p161209 -aS'is\tbe\tVBZ\tB-VP\tO' -p161210 -aS'difficult\tdifficult\tJJ\tB-ADJP\tO' -p161211 -aS'to\tto\tTO\tB-VP\tO' -p161212 -aS'tell\ttell\tVB\tI-VP\tO' -p161213 -aS'definitively\tdefinitively\tRB\tB-ADVP\tO' -p161214 -aS'if\tif\tIN\tB-SBAR\tO' -p161215 -aS'this\tthis\tDT\tB-NP\tO' -p161216 -aS'stone\tstone\tNN\tI-NP\tO' -p161217 -aS'is\tbe\tVBZ\tB-VP\tO' -p161218 -aS'within\twithin\tIN\tB-PP\tO' -p161219 -aS'or\tor\tCC\tO\tO' -p161220 -aS'just\tjust\tRB\tB-ADJP\tO' -p161221 -aS'medial\tmedial\tJJ\tI-ADJP\tO' -p161222 -aS'to\tto\tTO\tB-PP\tO' -p161223 -aS'the\tthe\tDT\tB-NP\tO' -p161224 -aS'right\tright\tJJ\tI-NP\tO' -p161225 -aS'ureter\tureter\tNN\tI-NP\tO' -p161226 -aS'on\ton\tIN\tB-PP\tO' -p161227 -aS'this\tthis\tDT\tB-NP\tO' -p161228 -aS'CT\tCT\tNN\tI-NP\tB-protein' -p161229 -aS'without\twithout\tIN\tB-PP\tO' -p161230 -aS'IV\tIV\tCD\tB-NP\tO' -p161231 -aS'contrast\tcontrast\tNN\tI-NP\tO' -p161232 -aS'.\t.\t.\tO\tO' -p161233 -asS"Single , lives with her daughter , doesn 't smoke , doesn 't drink , worked for bag company" -p161234 -(lp161235 -S'Single\tSingle\tNNP\tB-NP\tO' -p161236 -aS',\t,\t,\tO\tO' -p161237 -aS'lives\tlive\tVBZ\tB-VP\tO' -p161238 -aS'with\twith\tIN\tB-PP\tO' -p161239 -aS'her\ther\tPRP$\tB-NP\tO' -p161240 -aS'daughter\tdaughter\tNN\tI-NP\tO' -p161241 -aS',\t,\t,\tO\tO' -p161242 -aS'doesn\tdoesn\tNN\tB-NP\tO' -p161243 -aS"'t\t't\tNN\tI-NP\tO" -p161244 -aS'smoke\tsmoke\tNN\tI-NP\tO' -p161245 -aS',\t,\t,\tO\tO' -p161246 -aS'doesn\tdoesn\tNN\tB-NP\tO' -p161247 -aS"'t\t't\tNN\tI-NP\tO" -p161248 -aS'drink\tdrink\tNN\tI-NP\tO' -p161249 -aS',\t,\t,\tO\tO' -p161250 -aS'worked\twork\tVBD\tB-VP\tO' -p161251 -aS'for\tfor\tIN\tB-PP\tO' -p161252 -aS'bag\tbag\tNN\tB-NP\tO' -p161253 -aS'company\tcompany\tNN\tI-NP\tO' -p161254 -asS'Influenza vaccination should be considered annually in the fall for preterm infants with chronic lung disease once they reach six months of age .' -p161255 -(lp161256 -S'Influenza\tInfluenza\tNN\tB-NP\tO' -p161257 -aS'vaccination\tvaccination\tNN\tI-NP\tO' -p161258 -aS'should\tshould\tMD\tB-VP\tO' -p161259 -aS'be\tbe\tVB\tI-VP\tO' -p161260 -aS'considered\tconsider\tVBN\tI-VP\tO' -p161261 -aS'annually\tannually\tRB\tB-ADVP\tO' -p161262 -aS'in\tin\tIN\tB-PP\tO' -p161263 -aS'the\tthe\tDT\tB-NP\tO' -p161264 -aS'fall\tfall\tNN\tI-NP\tO' -p161265 -aS'for\tfor\tIN\tB-PP\tO' -p161266 -aS'preterm\tpreterm\tJJ\tB-NP\tO' -p161267 -aS'infants\tinfant\tNNS\tI-NP\tO' -p161268 -aS'with\twith\tIN\tB-PP\tO' -p161269 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p161270 -aS'lung\tlung\tNN\tI-NP\tO' -p161271 -aS'disease\tdisease\tNN\tI-NP\tO' -p161272 -aS'once\tonce\tIN\tB-SBAR\tO' -p161273 -aS'they\tthey\tPRP\tB-NP\tO' -p161274 -aS'reach\treach\tVBP\tB-VP\tO' -p161275 -aS'six\tsix\tCD\tB-NP\tO' -p161276 -aS'months\tmonth\tNNS\tI-NP\tO' -p161277 -aS'of\tof\tIN\tB-PP\tO' -p161278 -aS'age\tage\tNN\tB-NP\tO' -p161279 -aS'.\t.\t.\tO\tO' -p161280 -asS'His temperature raised from 98.6 F. , to 101.0 F.' -p161281 -(lp161282 -S'His\tHis\tPRP$\tB-NP\tO' -p161283 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p161284 -aS'raised\traise\tVBN\tB-VP\tO' -p161285 -aS'from\tfrom\tIN\tB-PP\tO' -p161286 -aS'98.6\t98.6\tCD\tB-NP\tO' -p161287 -aS'F.\tF.\tNNP\tI-NP\tO' -p161288 -aS',\t,\t,\tO\tO' -p161289 -aS'to\tto\tTO\tB-PP\tO' -p161290 -aS'101.0\t101.0\tCD\tB-NP\tO' -p161291 -aS'F.\tF.\tNNP\tB-NP\tO' -p161292 -asS'He is being maintained with twice daily Xeroform with Betadine changes .' -p161293 -(lp161294 -S'He\tHe\tPRP\tB-NP\tO' -p161295 -aS'is\tbe\tVBZ\tB-VP\tO' -p161296 -aS'being\tbe\tVBG\tI-VP\tO' -p161297 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p161298 -aS'with\twith\tIN\tB-PP\tO' -p161299 -aS'twice\ttwice\tRB\tB-NP\tO' -p161300 -aS'daily\tdaily\tJJ\tI-NP\tO' -p161301 -aS'Xeroform\tXeroform\tNN\tI-NP\tO' -p161302 -aS'with\twith\tIN\tB-PP\tO' -p161303 -aS'Betadine\tBetadine\tNN\tB-NP\tO' -p161304 -aS'changes\tchange\tNNS\tI-NP\tO' -p161305 -aS'.\t.\t.\tO\tO' -p161306 -asS'He tolerated the procedure well with no complications except postoperatively , his voice was hoarse .' -p161307 -(lp161308 -S'He\tHe\tPRP\tB-NP\tO' -p161309 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p161310 -aS'the\tthe\tDT\tB-NP\tO' -p161311 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p161312 -aS'well\twell\tRB\tB-ADVP\tO' -p161313 -aS'with\twith\tIN\tB-PP\tO' -p161314 -aS'no\tno\tDT\tB-NP\tO' -p161315 -aS'complications\tcomplication\tNNS\tI-NP\tO' -p161316 -aS'except\texcept\tIN\tB-PP\tO' -p161317 -aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' -p161318 -aS',\t,\t,\tO\tO' -p161319 -aS'his\this\tPRP$\tB-NP\tO' -p161320 -aS'voice\tvoice\tNN\tI-NP\tO' -p161321 -aS'was\tbe\tVBD\tB-VP\tO' -p161322 -aS'hoarse\thoarse\tNN\tB-NP\tO' -p161323 -aS'.\t.\t.\tO\tO' -p161324 -asS'The head CT scan revealed a large right occipital infarct without midline shift , but positive mass effect on the temporal horn , on the right ventricle and some effacement of the sulci in the right parietal area .' -p161325 -(lp161326 -S'The\tThe\tDT\tB-NP\tO' -p161327 -aS'head\thead\tNN\tI-NP\tO' -p161328 -aS'CT\tCT\tNN\tI-NP\tO' -p161329 -aS'scan\tscan\tNN\tI-NP\tO' -p161330 -aS'revealed\treveal\tVBD\tB-VP\tO' -p161331 -aS'a\ta\tDT\tB-NP\tO' -p161332 -aS'large\tlarge\tJJ\tI-NP\tO' -p161333 -aS'right\tright\tJJ\tI-NP\tO' -p161334 -aS'occipital\toccipital\tNN\tI-NP\tO' -p161335 -aS'infarct\tinfarct\tNN\tI-NP\tO' -p161336 -aS'without\twithout\tIN\tB-PP\tO' -p161337 -aS'midline\tmidline\tNN\tB-NP\tO' -p161338 -aS'shift\tshift\tNN\tI-NP\tO' -p161339 -aS',\t,\t,\tO\tO' -p161340 -aS'but\tbut\tCC\tO\tO' -p161341 -aS'positive\tpositive\tJJ\tB-NP\tO' -p161342 -aS'mass\tmass\tNN\tI-NP\tO' -p161343 -aS'effect\teffect\tNN\tI-NP\tO' -p161344 -aS'on\ton\tIN\tB-PP\tO' -p161345 -aS'the\tthe\tDT\tB-NP\tO' -p161346 -aS'temporal\ttemporal\tJJ\tI-NP\tO' -p161347 -aS'horn\thorn\tNN\tI-NP\tO' -p161348 -aS',\t,\t,\tO\tO' -p161349 -aS'on\ton\tIN\tB-PP\tO' -p161350 -aS'the\tthe\tDT\tB-NP\tO' -p161351 -aS'right\tright\tJJ\tI-NP\tO' -p161352 -aS'ventricle\tventricle\tNN\tI-NP\tO' -p161353 -aS'and\tand\tCC\tO\tO' -p161354 -aS'some\tsome\tDT\tB-NP\tO' -p161355 -aS'effacement\teffacement\tNN\tI-NP\tO' -p161356 -aS'of\tof\tIN\tB-PP\tO' -p161357 -aS'the\tthe\tDT\tB-NP\tO' -p161358 -aS'sulci\tsulci\tNN\tI-NP\tO' -p161359 -aS'in\tin\tIN\tB-PP\tO' -p161360 -aS'the\tthe\tDT\tB-NP\tO' -p161361 -aS'right\tright\tJJ\tI-NP\tO' -p161362 -aS'parietal\tparietal\tJJ\tI-NP\tO' -p161363 -aS'area\tarea\tNN\tI-NP\tO' -p161364 -aS'.\t.\t.\tO\tO' -p161365 -asS'He had left greater than right nasal stimulation to grimace .' -p161366 -(lp161367 -S'He\tHe\tPRP\tB-NP\tO' -p161368 -aS'had\thave\tVBD\tB-VP\tO' -p161369 -aS'left\tleave\tVBN\tI-VP\tO' -p161370 -aS'greater\tgreat\tJJR\tB-ADJP\tO' -p161371 -aS'than\tthan\tIN\tB-PP\tO' -p161372 -aS'right\tright\tJJ\tB-NP\tO' -p161373 -aS'nasal\tnasal\tJJ\tI-NP\tO' -p161374 -aS'stimulation\tstimulation\tNN\tI-NP\tO' -p161375 -aS'to\tto\tTO\tB-PP\tO' -p161376 -aS'grimace\tgrimace\tNN\tB-NP\tO' -p161377 -aS'.\t.\t.\tO\tO' -p161378 -asS'Blood coagulation times are normal .' -p161379 -(lp161380 -S'Blood\tBlood\tNN\tB-NP\tO' -p161381 -aS'coagulation\tcoagulation\tNN\tI-NP\tO' -p161382 -aS'times\ttime\tNNS\tI-NP\tO' -p161383 -aS'are\tbe\tVBP\tB-VP\tO' -p161384 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p161385 -aS'.\t.\t.\tO\tO' -p161386 -asS'Additionally , he had a perfusion , diffusion MR study earlier on , which suggested the presence of viable penumbra , including the overlying cortex .' -p161387 -(lp161388 -S'Additionally\tAdditionally\tRB\tB-ADVP\tO' -p161389 -aS',\t,\t,\tO\tO' -p161390 -aS'he\the\tPRP\tB-NP\tO' -p161391 -aS'had\thave\tVBD\tB-VP\tO' -p161392 -aS'a\ta\tDT\tB-NP\tO' -p161393 -aS'perfusion\tperfusion\tNN\tI-NP\tO' -p161394 -aS',\t,\t,\tO\tO' -p161395 -aS'diffusion\tdiffusion\tNN\tB-NP\tO' -p161396 -aS'MR\tMR\tNN\tI-NP\tO' -p161397 -aS'study\tstudy\tNN\tI-NP\tO' -p161398 -aS'earlier\tearlier\tRB\tB-ADVP\tO' -p161399 -aS'on\ton\tIN\tB-PP\tO' -p161400 -aS',\t,\t,\tO\tO' -p161401 -aS'which\twhich\tWDT\tB-NP\tO' -p161402 -aS'suggested\tsuggest\tVBD\tB-VP\tO' -p161403 -aS'the\tthe\tDT\tB-NP\tO' -p161404 -aS'presence\tpresence\tNN\tI-NP\tO' -p161405 -aS'of\tof\tIN\tB-PP\tO' -p161406 -aS'viable\tviable\tJJ\tB-NP\tO' -p161407 -aS'penumbra\tpenumbra\tNN\tI-NP\tO' -p161408 -aS',\t,\t,\tO\tO' -p161409 -aS'including\tinclude\tVBG\tB-PP\tO' -p161410 -aS'the\tthe\tDT\tB-NP\tO' -p161411 -aS'overlying\toverlie\tVBG\tI-NP\tO' -p161412 -aS'cortex\tcortex\tNN\tI-NP\tO' -p161413 -aS'.\t.\t.\tO\tO' -p161414 -asS'6. Prednisone 20 mg po qd .' -p161415 -(lp161416 -S'6.\t6.\tLS\tB-NP\tO' -p161417 -aS'Prednisone\tPrednisone\tNN\tI-NP\tO' -p161418 -aS'20\t20\tCD\tI-NP\tO' -p161419 -aS'mg\tmg\tNN\tI-NP\tO' -p161420 -aS'po\tpo\tNN\tI-NP\tO' -p161421 -aS'qd\tqd\tNN\tI-NP\tO' -p161422 -aS'.\t.\t.\tO\tO' -p161423 -asS'5. State newborn screens were sent on 2018-12-31 , and the results are pending .' -p161424 -(lp161425 -S'5.\t5.\tLS\tB-NP\tO' -p161426 -aS'State\tState\tNN\tI-NP\tO' -p161427 -aS'newborn\tnewborn\tJJ\tI-NP\tO' -p161428 -aS'screens\tscreen\tNNS\tI-NP\tO' -p161429 -aS'were\tbe\tVBD\tB-VP\tO' -p161430 -aS'sent\tsend\tVBN\tI-VP\tO' -p161431 -aS'on\ton\tIN\tB-PP\tO' -p161432 -aS'2018-12-31\t2018-12-31\tCD\tB-NP\tO' -p161433 -aS',\t,\t,\tO\tO' -p161434 -aS'and\tand\tCC\tO\tO' -p161435 -aS'the\tthe\tDT\tB-NP\tO' -p161436 -aS'results\tresult\tNNS\tI-NP\tO' -p161437 -aS'are\tbe\tVBP\tB-VP\tO' -p161438 -aS'pending\tpende\tVBG\tI-VP\tO' -p161439 -aS'.\t.\t.\tO\tO' -p161440 -asS'Other-Expired .' -p161441 -(lp161442 -S'Other-Expired\tOther-Expired\tJJ\tB-ADJP\tO' -p161443 -aS'.\t.\t.\tO\tO' -p161444 -asS'47 yo F w/ h/o steroid-induced hyperglycemia , SLE w/ h/o pericarditis , transverse myelitis w/ paraplegia and neurogenic bladder s/p urostomy w/ ileal conduit , h/o ureteropelvic stone and urosepsis , and h/o RLE DVT a/w F 2014-11-29 transferred to CMED 2014-11-30 for hypotn resistant to IVFs and stress steroids .' -p161445 -(lp161446 -S'47\t47\tCD\tB-NP\tO' -p161447 -aS'yo\tyo\tNN\tI-NP\tO' -p161448 -aS'F\tF\tNN\tI-NP\tO' -p161449 -aS'w/\tw/\tNN\tI-NP\tO' -p161450 -aS'h/o\th/o\tNN\tI-NP\tO' -p161451 -aS'steroid-induced\tsteroid-induced\tJJ\tI-NP\tO' -p161452 -aS'hyperglycemia\thyperglycemia\tNN\tI-NP\tO' -p161453 -aS',\t,\t,\tO\tO' -p161454 -aS'SLE\tSLE\tNN\tB-NP\tO' -p161455 -aS'w/\tw/\tNN\tI-NP\tO' -p161456 -aS'h/o\th/o\tNN\tI-NP\tO' -p161457 -aS'pericarditis\tpericarditis\tNN\tI-NP\tO' -p161458 -aS',\t,\t,\tO\tO' -p161459 -aS'transverse\ttransverse\tJJ\tB-NP\tO' -p161460 -aS'myelitis\tmyelitis\tNN\tI-NP\tO' -p161461 -aS'w/\tw/\tNN\tI-NP\tO' -p161462 -aS'paraplegia\tparaplegia\tNN\tI-NP\tO' -p161463 -aS'and\tand\tCC\tO\tO' -p161464 -aS'neurogenic\tneurogenic\tJJ\tB-NP\tO' -p161465 -aS'bladder\tbladder\tNN\tI-NP\tO' -p161466 -aS's/p\ts/p\tNN\tI-NP\tO' -p161467 -aS'urostomy\turostomy\tNN\tI-NP\tO' -p161468 -aS'w/\tw/\tNN\tI-NP\tO' -p161469 -aS'ileal\tileal\tJJ\tI-NP\tO' -p161470 -aS'conduit\tconduit\tNN\tI-NP\tO' -p161471 -aS',\t,\t,\tO\tO' -p161472 -aS'h/o\th/o\tNN\tB-NP\tO' -p161473 -aS'ureteropelvic\tureteropelvic\tJJ\tI-NP\tO' -p161474 -aS'stone\tstone\tNN\tI-NP\tO' -p161475 -aS'and\tand\tCC\tI-NP\tO' -p161476 -aS'urosepsis\turosepsis\tNN\tI-NP\tO' -p161477 -aS',\t,\t,\tO\tO' -p161478 -aS'and\tand\tCC\tO\tO' -p161479 -aS'h/o\th/o\tNN\tB-NP\tO' -p161480 -aS'RLE\tRLE\tNN\tI-NP\tO' -p161481 -aS'DVT\tDVT\tNN\tI-NP\tO' -p161482 -aS'a/w\ta/w\tNN\tI-NP\tO' -p161483 -aS'F\tF\tNN\tI-NP\tO' -p161484 -aS'2014-11-29\t2014-11-29\tCD\tI-NP\tO' -p161485 -aS'transferred\ttransfer\tVBD\tB-VP\tO' -p161486 -aS'to\tto\tTO\tI-VP\tO' -p161487 -aS'CMED\tCMED\tVB\tI-VP\tO' -p161488 -aS'2014-11-30\t2014-11-30\tCD\tB-NP\tO' -p161489 -aS'for\tfor\tIN\tB-PP\tO' -p161490 -aS'hypotn\thypotn\tNN\tB-NP\tO' -p161491 -aS'resistant\tresistant\tJJ\tB-ADJP\tO' -p161492 -aS'to\tto\tTO\tB-PP\tO' -p161493 -aS'IVFs\tIVF\tNNS\tB-NP\tB-protein' -p161494 -aS'and\tand\tCC\tO\tO' -p161495 -aS'stress\tstress\tNN\tB-NP\tO' -p161496 -aS'steroids\tsteroid\tNNS\tI-NP\tO' -p161497 -aS'.\t.\t.\tO\tO' -p161498 -asS'The left upper extremity shows reduction in motor power ranging from 2/5 in the triceps , 4/5 in the biceps , and 3-4/5 in the wrists and hand intrinsics .' -p161499 -(lp161500 -S'The\tThe\tDT\tB-NP\tO' -p161501 -aS'left\tleft\tJJ\tI-NP\tO' -p161502 -aS'upper\tupper\tJJ\tI-NP\tO' -p161503 -aS'extremity\textremity\tNN\tI-NP\tO' -p161504 -aS'shows\tshow\tVBZ\tB-VP\tO' -p161505 -aS'reduction\treduction\tNN\tB-NP\tO' -p161506 -aS'in\tin\tIN\tB-PP\tO' -p161507 -aS'motor\tmotor\tNN\tB-NP\tO' -p161508 -aS'power\tpower\tNN\tI-NP\tO' -p161509 -aS'ranging\trange\tVBG\tB-VP\tO' -p161510 -aS'from\tfrom\tIN\tB-PP\tO' -p161511 -aS'2/5\t2/5\tCD\tB-NP\tO' -p161512 -aS'in\tin\tIN\tB-PP\tO' -p161513 -aS'the\tthe\tDT\tB-NP\tO' -p161514 -aS'triceps\ttricep\tNNS\tI-NP\tO' -p161515 -aS',\t,\t,\tO\tO' -p161516 -aS'4/5\t4/5\tCD\tB-NP\tO' -p161517 -aS'in\tin\tIN\tB-PP\tO' -p161518 -aS'the\tthe\tDT\tB-NP\tO' -p161519 -aS'biceps\tbicep\tNNS\tI-NP\tO' -p161520 -aS',\t,\t,\tO\tO' -p161521 -aS'and\tand\tCC\tO\tO' -p161522 -aS'3-4/5\t3-4/5\tCD\tB-NP\tO' -p161523 -aS'in\tin\tIN\tB-PP\tO' -p161524 -aS'the\tthe\tDT\tB-NP\tO' -p161525 -aS'wrists\twrist\tNNS\tI-NP\tO' -p161526 -aS'and\tand\tCC\tI-NP\tO' -p161527 -aS'hand\thand\tNN\tI-NP\tO' -p161528 -aS'intrinsics\tintrinsic\tNNS\tI-NP\tO' -p161529 -aS'.\t.\t.\tO\tO' -p161530 -asS'Good air entry bilaterally .' -p161531 -(lp161532 -S'Good\tGood\tJJ\tB-NP\tO' -p161533 -aS'air\tair\tNN\tI-NP\tO' -p161534 -aS'entry\tentry\tNN\tI-NP\tO' -p161535 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p161536 -aS'.\t.\t.\tO\tO' -p161537 -asS'Serax p.r.n. insomnia ; iron ; MVI .' -p161538 -(lp161539 -S'Serax\tSerax\tNN\tB-NP\tO' -p161540 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p161541 -aS'insomnia\tinsomnia\tNN\tI-NP\tO' -p161542 -aS';\t;\t:\tO\tO' -p161543 -aS'iron\tiron\tNN\tB-NP\tO' -p161544 -aS';\t;\t:\tO\tO' -p161545 -aS'MVI\tMVI\tNN\tB-NP\tO' -p161546 -aS'.\t.\t.\tO\tO' -p161547 -asS'Serial EKG and CK were obtained which were negative .' -p161548 -(lp161549 -S'Serial\tSerial\tJJ\tB-NP\tO' -p161550 -aS'EKG\tEKG\tNN\tI-NP\tO' -p161551 -aS'and\tand\tCC\tI-NP\tO' -p161552 -aS'CK\tCK\tNN\tI-NP\tB-protein' -p161553 -aS'were\tbe\tVBD\tB-VP\tO' -p161554 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p161555 -aS'which\twhich\tWDT\tB-NP\tO' -p161556 -aS'were\tbe\tVBD\tB-VP\tO' -p161557 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p161558 -aS'.\t.\t.\tO\tO' -p161559 -asS'She had VP-16 mixed with 250 cc IV fluid given over 1 hour each day for 3 days .' -p161560 -(lp161561 -S'She\tShe\tPRP\tB-NP\tO' -p161562 -aS'had\thave\tVBD\tB-VP\tO' -p161563 -aS'VP-16\tVP-16\tNN\tB-NP\tB-protein' -p161564 -aS'mixed\tmix\tVBN\tB-VP\tO' -p161565 -aS'with\twith\tIN\tB-PP\tO' -p161566 -aS'250\t250\tCD\tB-NP\tO' -p161567 -aS'cc\tcc\tNN\tI-NP\tO' -p161568 -aS'IV\tIV\tCD\tB-NP\tO' -p161569 -aS'fluid\tfluid\tNN\tI-NP\tO' -p161570 -aS'given\tgive\tVBN\tB-VP\tO' -p161571 -aS'over\tover\tIN\tB-NP\tO' -p161572 -aS'1\t1\tCD\tI-NP\tO' -p161573 -aS'hour\thour\tNN\tI-NP\tO' -p161574 -aS'each\teach\tDT\tB-NP\tO' -p161575 -aS'day\tday\tNN\tI-NP\tO' -p161576 -aS'for\tfor\tIN\tB-PP\tO' -p161577 -aS'3\t3\tCD\tB-NP\tO' -p161578 -aS'days\tday\tNNS\tI-NP\tO' -p161579 -aS'.\t.\t.\tO\tO' -p161580 -asS'Oriented to person and time .' -p161581 -(lp161582 -S'Oriented\tOrient\tVBN\tB-VP\tO' -p161583 -aS'to\tto\tTO\tB-PP\tO' -p161584 -aS'person\tperson\tNN\tB-NP\tO' -p161585 -aS'and\tand\tCC\tI-NP\tO' -p161586 -aS'time\ttime\tNN\tI-NP\tO' -p161587 -aS'.\t.\t.\tO\tO' -p161588 -asS'An MRI without gadolinium done on 11/20/94 of the spine showed a right posterior lateral epidural mass extending from T9 to T12 .' -p161589 -(lp161590 -S'An\tAn\tDT\tB-NP\tO' -p161591 -aS'MRI\tMRI\tNN\tI-NP\tO' -p161592 -aS'without\twithout\tIN\tB-PP\tO' -p161593 -aS'gadolinium\tgadolinium\tNN\tB-NP\tO' -p161594 -aS'done\tdo\tVBN\tB-VP\tO' -p161595 -aS'on\ton\tIN\tB-PP\tO' -p161596 -aS'11/20/94\t11/20/94\tCD\tB-NP\tO' -p161597 -aS'of\tof\tIN\tB-PP\tO' -p161598 -aS'the\tthe\tDT\tB-NP\tO' -p161599 -aS'spine\tspine\tNN\tI-NP\tO' -p161600 -aS'showed\tshow\tVBD\tB-VP\tO' -p161601 -aS'a\ta\tDT\tB-NP\tO' -p161602 -aS'right\tright\tJJ\tI-NP\tO' -p161603 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p161604 -aS'lateral\tlateral\tJJ\tI-NP\tO' -p161605 -aS'epidural\tepidural\tJJ\tI-NP\tO' -p161606 -aS'mass\tmass\tNN\tI-NP\tO' -p161607 -aS'extending\textend\tVBG\tB-VP\tO' -p161608 -aS'from\tfrom\tIN\tB-PP\tO' -p161609 -aS'T9\tT9\tNN\tB-NP\tB-DNA' -p161610 -aS'to\tto\tTO\tB-PP\tO' -p161611 -aS'T12\tT12\tNN\tB-NP\tB-protein' -p161612 -aS'.\t.\t.\tO\tO' -p161613 -asS'The lack of EEG correlate to the facial twitching does not exclude a central cause ( and , indeed , this appeared most likely based on the clinical and video observations ).' -p161614 -(lp161615 -S'The\tThe\tDT\tB-NP\tO' -p161616 -aS'lack\tlack\tNN\tI-NP\tO' -p161617 -aS'of\tof\tIN\tB-PP\tO' -p161618 -aS'EEG\tEEG\tNN\tB-NP\tB-protein' -p161619 -aS'correlate\tcorrelate\tVBP\tB-VP\tO' -p161620 -aS'to\tto\tTO\tB-PP\tO' -p161621 -aS'the\tthe\tDT\tB-NP\tO' -p161622 -aS'facial\tfacial\tJJ\tI-NP\tO' -p161623 -aS'twitching\ttwitching\tNN\tI-NP\tO' -p161624 -aS'does\tdo\tVBZ\tB-VP\tO' -p161625 -aS'not\tnot\tRB\tI-VP\tO' -p161626 -aS'exclude\texclude\tVB\tI-VP\tO' -p161627 -aS'a\ta\tDT\tB-NP\tO' -p161628 -aS'central\tcentral\tJJ\tI-NP\tO' -p161629 -aS'cause\tcause\tNN\tI-NP\tO' -p161630 -aS'(\t(\t(\tO\tO' -p161631 -aS'and\tand\tCC\tO\tO' -p161632 -aS',\t,\t,\tO\tO' -p161633 -aS'indeed\tindeed\tRB\tB-ADVP\tO' -p161634 -aS',\t,\t,\tO\tO' -p161635 -aS'this\tthis\tDT\tB-NP\tO' -p161636 -aS'appeared\tappear\tVBD\tB-VP\tO' -p161637 -aS'most\tmost\tRBS\tB-ADVP\tO' -p161638 -aS'likely\tlikely\tRB\tI-ADVP\tO' -p161639 -aS'based\tbase\tVBN\tB-PP\tO' -p161640 -aS'on\ton\tIN\tB-PP\tO' -p161641 -aS'the\tthe\tDT\tB-NP\tO' -p161642 -aS'clinical\tclinical\tJJ\tI-NP\tO' -p161643 -aS'and\tand\tCC\tI-NP\tO' -p161644 -aS'video\tvideo\tJJ\tI-NP\tO' -p161645 -aS'observations\tobservation\tNNS\tI-NP\tO' -p161646 -aS').\t).\t)\tO\tO' -p161647 -asS'6. Aspirin 325 mg p.o. once per day .' -p161648 -(lp161649 -S'6.\t6.\tLS\tB-NP\tO' -p161650 -aS'Aspirin\tAspirin\tNN\tI-NP\tO' -p161651 -aS'325\t325\tCD\tI-NP\tO' -p161652 -aS'mg\tmg\tNN\tI-NP\tO' -p161653 -aS'p.o.\tp.o.\tRB\tB-ADVP\tO' -p161654 -aS'once\tonce\tRB\tI-ADVP\tO' -p161655 -aS'per\tper\tIN\tB-PP\tO' -p161656 -aS'day\tday\tNN\tB-NP\tO' -p161657 -aS'.\t.\t.\tO\tO' -p161658 -asS'His chest showed bilateral rhonchi .' -p161659 -(lp161660 -S'His\tHis\tPRP$\tB-NP\tO' -p161661 -aS'chest\tchest\tNN\tI-NP\tO' -p161662 -aS'showed\tshow\tVBD\tB-VP\tO' -p161663 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p161664 -aS'rhonchi\trhonchi\tNN\tI-NP\tO' -p161665 -aS'.\t.\t.\tO\tO' -p161666 -asS'Systolic murmur in right upper sternal border .' -p161667 -(lp161668 -S'Systolic\tSystolic\tJJ\tB-NP\tO' -p161669 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p161670 -aS'in\tin\tIN\tB-PP\tO' -p161671 -aS'right\tright\tJJ\tB-NP\tO' -p161672 -aS'upper\tupper\tJJ\tI-NP\tO' -p161673 -aS'sternal\tsternal\tJJ\tI-NP\tO' -p161674 -aS'border\tborder\tNN\tI-NP\tO' -p161675 -aS'.\t.\t.\tO\tO' -p161676 -asS'Central Venous Catheter and Swan Ganz catheter placement' -p161677 -(lp161678 -S'Central\tCentral\tNNP\tB-NP\tO' -p161679 -aS'Venous\tVenous\tNNP\tI-NP\tO' -p161680 -aS'Catheter\tCatheter\tNNP\tI-NP\tO' -p161681 -aS'and\tand\tCC\tO\tO' -p161682 -aS'Swan\tSwan\tNNP\tB-NP\tO' -p161683 -aS'Ganz\tGanz\tNNP\tI-NP\tO' -p161684 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p161685 -aS'placement\tplacement\tNN\tI-NP\tO' -p161686 -asS'3. High bifurcation of the popliteal artery at the knee level .' -p161687 -(lp161688 -S'3.\t3.\tLS\tB-NP\tO' -p161689 -aS'High\tHigh\tJJ\tI-NP\tO' -p161690 -aS'bifurcation\tbifurcation\tNN\tI-NP\tO' -p161691 -aS'of\tof\tIN\tB-PP\tO' -p161692 -aS'the\tthe\tDT\tB-NP\tO' -p161693 -aS'popliteal\tpopliteal\tJJ\tI-NP\tO' -p161694 -aS'artery\tartery\tNN\tI-NP\tO' -p161695 -aS'at\tat\tIN\tB-PP\tO' -p161696 -aS'the\tthe\tDT\tB-NP\tO' -p161697 -aS'knee\tknee\tNN\tI-NP\tO' -p161698 -aS'level\tlevel\tNN\tI-NP\tO' -p161699 -aS'.\t.\t.\tO\tO' -p161700 -asS'Large ~6 x 6 cm sized right thyroid mass , soft , possibly cystic , non-tender.' -p161701 -(lp161702 -S'Large\tLarge\tJJ\tB-NP\tO' -p161703 -aS'~6\t~6\tCD\tI-NP\tO' -p161704 -aS'x\tx\tSYM\tI-NP\tO' -p161705 -aS'6\t6\tCD\tI-NP\tO' -p161706 -aS'cm\tcm\tNN\tI-NP\tO' -p161707 -aS'sized\tsized\tJJ\tI-NP\tO' -p161708 -aS'right\tright\tJJ\tI-NP\tO' -p161709 -aS'thyroid\tthyroid\tNN\tI-NP\tO' -p161710 -aS'mass\tmass\tNN\tI-NP\tO' -p161711 -aS',\t,\t,\tO\tO' -p161712 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p161713 -aS',\t,\t,\tO\tO' -p161714 -aS'possibly\tpossibly\tRB\tB-ADJP\tO' -p161715 -aS'cystic\tcystic\tJJ\tI-ADJP\tO' -p161716 -aS',\t,\t,\tO\tO' -p161717 -aS'non-tender.\tnon-tender.\tJJ\tB-ADJP\tO' -p161718 -asS'21. Gabapentin 300 mg Capsule Sig : One ( 1 ) Capsule PO TID ( 3 times a day ) .' -p161719 -(lp161720 -S'21.\t21.\tLS\tB-NP\tO' -p161721 -aS'Gabapentin\tGabapentin\tNN\tI-NP\tB-protein' -p161722 -aS'300\t300\tCD\tI-NP\tI-protein' -p161723 -aS'mg\tmg\tNN\tI-NP\tI-protein' -p161724 -aS'Capsule\tCapsule\tNNP\tI-NP\tI-protein' -p161725 -aS'Sig\tSig\tNNP\tI-NP\tI-protein' -p161726 -aS':\t:\t:\tO\tO' -p161727 -aS'One\tOne\tCD\tB-NP\tO' -p161728 -aS'(\t(\t(\tO\tO' -p161729 -aS'1\t1\tCD\tB-NP\tO' -p161730 -aS')\t)\t)\tO\tO' -p161731 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p161732 -aS'PO\tPO\tNNP\tI-NP\tO' -p161733 -aS'TID\tTID\tNNP\tI-NP\tO' -p161734 -aS'(\t(\t(\tO\tO' -p161735 -aS'3\t3\tCD\tB-NP\tO' -p161736 -aS'times\ttime\tNNS\tI-NP\tO' -p161737 -aS'a\ta\tDT\tB-NP\tO' -p161738 -aS'day\tday\tNN\tI-NP\tO' -p161739 -aS')\t)\t)\tO\tO' -p161740 -aS'.\t.\t.\tO\tO' -p161741 -asS'Head CT showed diffuse subarachnoid hemorrhage .' -p161742 -(lp161743 -S'Head\tHead\tNN\tB-NP\tO' -p161744 -aS'CT\tCT\tNN\tI-NP\tO' -p161745 -aS'showed\tshow\tVBD\tB-VP\tO' -p161746 -aS'diffuse\tdiffuse\tJJ\tB-NP\tO' -p161747 -aS'subarachnoid\tsubarachnoid\tJJ\tI-NP\tO' -p161748 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p161749 -aS'.\t.\t.\tO\tO' -p161750 -asS'She will need to have a repeat MRI in several months for further evaluation .' -p161751 -(lp161752 -S'She\tShe\tPRP\tB-NP\tO' -p161753 -aS'will\twill\tMD\tB-VP\tO' -p161754 -aS'need\tneed\tVB\tI-VP\tO' -p161755 -aS'to\tto\tTO\tI-VP\tO' -p161756 -aS'have\thave\tVB\tI-VP\tO' -p161757 -aS'a\ta\tDT\tB-NP\tO' -p161758 -aS'repeat\trepeat\tNN\tI-NP\tO' -p161759 -aS'MRI\tMRI\tNN\tI-NP\tO' -p161760 -aS'in\tin\tIN\tB-PP\tO' -p161761 -aS'several\tseveral\tJJ\tB-NP\tO' -p161762 -aS'months\tmonth\tNNS\tI-NP\tO' -p161763 -aS'for\tfor\tIN\tB-PP\tO' -p161764 -aS'further\tfurther\tJJ\tB-NP\tO' -p161765 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p161766 -aS'.\t.\t.\tO\tO' -p161767 -asS'Admission to the Pediatric Intensive Care Unit at Fairm of Ijordcompmac Hospital was 9/7/93 , 11:15 a.m.' -p161768 -(lp161769 -S'Admission\tAdmission\tNN\tB-NP\tO' -p161770 -aS'to\tto\tTO\tB-PP\tO' -p161771 -aS'the\tthe\tDT\tB-NP\tO' -p161772 -aS'Pediatric\tPediatric\tNNP\tI-NP\tO' -p161773 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p161774 -aS'Care\tCare\tNNP\tI-NP\tO' -p161775 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p161776 -aS'at\tat\tIN\tB-PP\tO' -p161777 -aS'Fairm\tFairm\tNNP\tB-NP\tO' -p161778 -aS'of\tof\tIN\tB-PP\tO' -p161779 -aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' -p161780 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p161781 -aS'was\tbe\tVBD\tB-VP\tO' -p161782 -aS'9/7/93\t9/7/93\tCD\tB-NP\tO' -p161783 -aS',\t,\t,\tO\tO' -p161784 -aS'11:15\t11:15\tCD\tB-NP\tO' -p161785 -aS'a.m.\ta.m.\tRB\tB-ADVP\tO' -p161786 -asS'STATUS POST TOTAL ABDOMINAL HYSTERECTOMY AND BILATERAL SALPINGO-OOPHORECTOMY .' -p161787 -(lp161788 -S'STATUS\tSTATUS\tNNP\tB-NP\tO' -p161789 -aS'POST\tPOST\tNNP\tI-NP\tO' -p161790 -aS'TOTAL\tTOTAL\tNNP\tI-NP\tO' -p161791 -aS'ABDOMINAL\tABDOMINAL\tNNP\tI-NP\tO' -p161792 -aS'HYSTERECTOMY\tHYSTERECTOMY\tNNP\tI-NP\tO' -p161793 -aS'AND\tAND\tCC\tO\tO' -p161794 -aS'BILATERAL\tBILATERAL\tNNP\tB-NP\tO' -p161795 -aS'SALPINGO-OOPHORECTOMY\tSALPINGO-OOPHORECTOMY\tNNP\tI-NP\tO' -p161796 -aS'.\t.\t.\tO\tO' -p161797 -asS'Therefore , he did have unstable angina with his critical coronary anatomy .' -p161798 -(lp161799 -S'Therefore\tTherefore\tRB\tB-ADVP\tO' -p161800 -aS',\t,\t,\tO\tO' -p161801 -aS'he\the\tPRP\tB-NP\tO' -p161802 -aS'did\tdo\tVBD\tB-VP\tO' -p161803 -aS'have\thave\tVB\tI-VP\tO' -p161804 -aS'unstable\tunstable\tJJ\tB-NP\tO' -p161805 -aS'angina\tangina\tNN\tI-NP\tO' -p161806 -aS'with\twith\tIN\tB-PP\tO' -p161807 -aS'his\this\tPRP$\tB-NP\tO' -p161808 -aS'critical\tcritical\tJJ\tI-NP\tO' -p161809 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p161810 -aS'anatomy\tanatomy\tNN\tI-NP\tO' -p161811 -aS'.\t.\t.\tO\tO' -p161812 -asS'Afferent limb of the roux en y anastamosis was visualized however the efferent limb could not be explored .' -p161813 -(lp161814 -S'Afferent\tAfferent\tJJ\tB-NP\tO' -p161815 -aS'limb\tlimb\tNN\tI-NP\tO' -p161816 -aS'of\tof\tIN\tB-PP\tO' -p161817 -aS'the\tthe\tDT\tB-NP\tO' -p161818 -aS'roux\troux\tNN\tI-NP\tO' -p161819 -aS'en\ten\tIN\tB-PP\tO' -p161820 -aS'y\ty\tNN\tB-NP\tO' -p161821 -aS'anastamosis\tanastamosis\tNN\tI-NP\tO' -p161822 -aS'was\tbe\tVBD\tB-VP\tO' -p161823 -aS'visualized\tvisualize\tVBN\tI-VP\tO' -p161824 -aS'however\thowever\tRB\tB-ADVP\tO' -p161825 -aS'the\tthe\tDT\tB-NP\tO' -p161826 -aS'efferent\tefferent\tJJ\tI-NP\tO' -p161827 -aS'limb\tlimb\tNN\tI-NP\tO' -p161828 -aS'could\tcould\tMD\tB-VP\tO' -p161829 -aS'not\tnot\tRB\tI-VP\tO' -p161830 -aS'be\tbe\tVB\tI-VP\tO' -p161831 -aS'explored\texplore\tVBN\tI-VP\tO' -p161832 -aS'.\t.\t.\tO\tO' -p161833 -asS'This is a 70 year old gentleman with metastatic rectal cancer who presented with biliary obstruction .' -p161834 -(lp161835 -S'This\tThis\tDT\tB-NP\tO' -p161836 -aS'is\tbe\tVBZ\tB-VP\tO' -p161837 -aS'a\ta\tDT\tB-NP\tO' -p161838 -aS'70\t70\tCD\tI-NP\tO' -p161839 -aS'year\tyear\tNN\tI-NP\tO' -p161840 -aS'old\told\tJJ\tI-NP\tO' -p161841 -aS'gentleman\tgentleman\tNN\tI-NP\tO' -p161842 -aS'with\twith\tIN\tB-PP\tO' -p161843 -aS'metastatic\tmetastatic\tJJ\tB-NP\tO' -p161844 -aS'rectal\trectal\tJJ\tI-NP\tO' -p161845 -aS'cancer\tcancer\tNN\tI-NP\tO' -p161846 -aS'who\twho\tWP\tB-NP\tO' -p161847 -aS'presented\tpresent\tVBD\tB-VP\tO' -p161848 -aS'with\twith\tIN\tB-PP\tO' -p161849 -aS'biliary\tbiliary\tJJ\tB-NP\tO' -p161850 -aS'obstruction\tobstruction\tNN\tI-NP\tO' -p161851 -aS'.\t.\t.\tO\tO' -p161852 -asS'CBC 14.9 , 29.2 ( which is stable ) , and 398 .' -p161853 -(lp161854 -S'CBC\tCBC\tNN\tB-NP\tB-protein' -p161855 -aS'14.9\t14.9\tCD\tI-NP\tI-protein' -p161856 -aS',\t,\t,\tI-NP\tO' -p161857 -aS'29.2\t29.2\tCD\tI-NP\tO' -p161858 -aS'(\t(\t(\tO\tO' -p161859 -aS'which\twhich\tWDT\tB-NP\tO' -p161860 -aS'is\tbe\tVBZ\tB-VP\tO' -p161861 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p161862 -aS')\t)\t)\tO\tO' -p161863 -aS',\t,\t,\tO\tO' -p161864 -aS'and\tand\tCC\tO\tO' -p161865 -aS'398\t398\tCD\tB-NP\tO' -p161866 -aS'.\t.\t.\tO\tO' -p161867 -asS'Ears were displaced forward .' -p161868 -(lp161869 -S'Ears\tEar\tNNS\tB-NP\tO' -p161870 -aS'were\tbe\tVBD\tB-VP\tO' -p161871 -aS'displaced\tdisplace\tVBN\tI-VP\tO' -p161872 -aS'forward\tforward\tRB\tB-ADVP\tO' -p161873 -aS'.\t.\t.\tO\tO' -p161874 -asS'Please follow up with a repeat MRI in several months to evaluate new lesions in the brain .' -p161875 -(lp161876 -S'Please\tPlease\tVB\tB-VP\tO' -p161877 -aS'follow\tfollow\tVB\tI-VP\tO' -p161878 -aS'up\tup\tRP\tB-PRT\tO' -p161879 -aS'with\twith\tIN\tB-PP\tO' -p161880 -aS'a\ta\tDT\tB-NP\tO' -p161881 -aS'repeat\trepeat\tNN\tI-NP\tO' -p161882 -aS'MRI\tMRI\tNN\tI-NP\tO' -p161883 -aS'in\tin\tIN\tB-PP\tO' -p161884 -aS'several\tseveral\tJJ\tB-NP\tO' -p161885 -aS'months\tmonth\tNNS\tI-NP\tO' -p161886 -aS'to\tto\tTO\tB-VP\tO' -p161887 -aS'evaluate\tevaluate\tVB\tI-VP\tO' -p161888 -aS'new\tnew\tJJ\tB-NP\tO' -p161889 -aS'lesions\tlesion\tNNS\tI-NP\tO' -p161890 -aS'in\tin\tIN\tB-PP\tO' -p161891 -aS'the\tthe\tDT\tB-NP\tO' -p161892 -aS'brain\tbrain\tNN\tI-NP\tO' -p161893 -aS'.\t.\t.\tO\tO' -p161894 -asS'The patient will have these symptoms only when the eyes are closed .' -p161895 -(lp161896 -S'The\tThe\tDT\tB-NP\tO' -p161897 -aS'patient\tpatient\tNN\tI-NP\tO' -p161898 -aS'will\twill\tMD\tB-VP\tO' -p161899 -aS'have\thave\tVB\tI-VP\tO' -p161900 -aS'these\tthese\tDT\tB-NP\tO' -p161901 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p161902 -aS'only\tonly\tRB\tB-ADVP\tO' -p161903 -aS'when\twhen\tWRB\tB-ADVP\tO' -p161904 -aS'the\tthe\tDT\tB-NP\tO' -p161905 -aS'eyes\teye\tNNS\tI-NP\tO' -p161906 -aS'are\tbe\tVBP\tB-VP\tO' -p161907 -aS'closed\tclose\tVBN\tI-VP\tO' -p161908 -aS'.\t.\t.\tO\tO' -p161909 -asS'Negative .' -p161910 -(lp161911 -S'Negative\tNegative\tJJ\tB-ADJP\tO' -p161912 -aS'.\t.\t.\tO\tO' -p161913 -asS'The hematocrit on 01-02 , was 61 with a reticulocyte of 2.6% .' -p161914 -(lp161915 -S'The\tThe\tDT\tB-NP\tO' -p161916 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p161917 -aS'on\ton\tIN\tB-PP\tO' -p161918 -aS'01-02\t01-02\tCD\tB-NP\tO' -p161919 -aS',\t,\t,\tO\tO' -p161920 -aS'was\tbe\tVBD\tB-VP\tO' -p161921 -aS'61\t61\tCD\tB-NP\tO' -p161922 -aS'with\twith\tIN\tB-PP\tO' -p161923 -aS'a\ta\tDT\tB-NP\tO' -p161924 -aS'reticulocyte\treticulocyte\tNN\tI-NP\tO' -p161925 -aS'of\tof\tIN\tB-PP\tO' -p161926 -aS'2.6%\t2.6%\tCD\tB-NP\tO' -p161927 -aS'.\t.\t.\tO\tO' -p161928 -asS'Fair .' -p161929 -(lp161930 -S'Fair\tFair\tNN\tB-NP\tO' -p161931 -aS'.\t.\t.\tO\tO' -p161932 -asS'Very small circumferential pericardial effusion .' -p161933 -(lp161934 -S'Very\tVery\tRB\tB-NP\tO' -p161935 -aS'small\tsmall\tJJ\tI-NP\tO' -p161936 -aS'circumferential\tcircumferential\tJJ\tI-NP\tO' -p161937 -aS'pericardial\tpericardial\tJJ\tI-NP\tO' -p161938 -aS'effusion\teffusion\tNN\tI-NP\tO' -p161939 -aS'.\t.\t.\tO\tO' -p161940 -asS'Disp : *10 Capsule , Sustained Release( s )*' -p161941 -(lp161942 -S'Disp\tDisp\tNN\tB-NP\tO' -p161943 -aS':\t:\t:\tO\tO' -p161944 -aS'*10\t*10\tCD\tB-NP\tO' -p161945 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p161946 -aS',\t,\t,\tO\tO' -p161947 -aS'Sustained\tSustained\tNNP\tB-NP\tO' -p161948 -aS'Release(\tRelease(\tNNP\tI-NP\tO' -p161949 -aS's\ts\tVBZ\tB-VP\tO' -p161950 -aS')*\t)*\tSYM\tB-NP\tO' -p161951 -asS'The patient was admitted to the Service of Dr. Fede A. Duhenile .' -p161952 -(lp161953 -S'The\tThe\tDT\tB-NP\tO' -p161954 -aS'patient\tpatient\tNN\tI-NP\tO' -p161955 -aS'was\tbe\tVBD\tB-VP\tO' -p161956 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p161957 -aS'to\tto\tTO\tB-PP\tO' -p161958 -aS'the\tthe\tDT\tB-NP\tO' -p161959 -aS'Service\tService\tNNP\tI-NP\tO' -p161960 -aS'of\tof\tIN\tB-PP\tO' -p161961 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p161962 -aS'Fede\tFede\tNNP\tI-NP\tO' -p161963 -aS'A.\tA.\tNNP\tI-NP\tO' -p161964 -aS'Duhenile\tDuhenile\tNNP\tI-NP\tO' -p161965 -aS'.\t.\t.\tO\tO' -p161966 -asS'Social History: lives w/ her husband in John area ; smokes 05-04 cig /d ( 30 pack year history ); no alcohol or recreational drug use , has had addiction to benzodiazepines and opioids in the past' -p161967 -(lp161968 -S'Social\tSocial\tNNP\tB-NP\tO' -p161969 -aS'History:\tHistory:\tNNP\tI-NP\tO' -p161970 -aS'lives\tlive\tVBZ\tB-VP\tO' -p161971 -aS'w/\tw/\tPDT\tB-NP\tO' -p161972 -aS'her\ther\tPRP$\tI-NP\tO' -p161973 -aS'husband\thusband\tNN\tI-NP\tO' -p161974 -aS'in\tin\tIN\tB-PP\tO' -p161975 -aS'John\tJohn\tNNP\tB-NP\tO' -p161976 -aS'area\tarea\tNN\tI-NP\tO' -p161977 -aS';\t;\t:\tO\tO' -p161978 -aS'smokes\tsmoke\tVBZ\tB-VP\tO' -p161979 -aS'05-04\t05-04\tCD\tB-NP\tO' -p161980 -aS'cig\tcig\tNN\tI-NP\tO' -p161981 -aS'/d\t/d\tNN\tI-NP\tO' -p161982 -aS'(\t(\t(\tO\tO' -p161983 -aS'30\t30\tCD\tB-NP\tO' -p161984 -aS'pack\tpack\tNN\tI-NP\tO' -p161985 -aS'year\tyear\tNN\tI-NP\tO' -p161986 -aS'history\thistory\tNN\tI-NP\tO' -p161987 -aS');\t);\t:\tO\tO' -p161988 -aS'no\tno\tDT\tB-NP\tO' -p161989 -aS'alcohol\talcohol\tNN\tI-NP\tO' -p161990 -aS'or\tor\tCC\tI-NP\tO' -p161991 -aS'recreational\trecreational\tJJ\tI-NP\tO' -p161992 -aS'drug\tdrug\tNN\tI-NP\tO' -p161993 -aS'use\tuse\tNN\tI-NP\tO' -p161994 -aS',\t,\t,\tO\tO' -p161995 -aS'has\thave\tVBZ\tB-VP\tO' -p161996 -aS'had\thave\tVBN\tI-VP\tO' -p161997 -aS'addiction\taddiction\tNN\tB-NP\tO' -p161998 -aS'to\tto\tTO\tB-PP\tO' -p161999 -aS'benzodiazepines\tbenzodiazepine\tNNS\tB-NP\tO' -p162000 -aS'and\tand\tCC\tI-NP\tO' -p162001 -aS'opioids\topioid\tNNS\tI-NP\tO' -p162002 -aS'in\tin\tIN\tB-PP\tO' -p162003 -aS'the\tthe\tDT\tB-NP\tO' -p162004 -aS'past\tpast\tNN\tI-NP\tO' -p162005 -asS'If you have chest pain , shortness of breath , abdominal pain , nausea or other concerning symptoms please call your MD or come to the emergency room .' -p162006 -(lp162007 -S'If\tIf\tIN\tB-SBAR\tO' -p162008 -aS'you\tyou\tPRP\tB-NP\tO' -p162009 -aS'have\thave\tVBP\tB-VP\tO' -p162010 -aS'chest\tchest\tNN\tB-NP\tO' -p162011 -aS'pain\tpain\tNN\tI-NP\tO' -p162012 -aS',\t,\t,\tO\tO' -p162013 -aS'shortness\tshortness\tNN\tB-NP\tO' -p162014 -aS'of\tof\tIN\tB-PP\tO' -p162015 -aS'breath\tbreath\tNN\tB-NP\tO' -p162016 -aS',\t,\t,\tO\tO' -p162017 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p162018 -aS'pain\tpain\tNN\tI-NP\tO' -p162019 -aS',\t,\t,\tO\tO' -p162020 -aS'nausea\tnausea\tNN\tB-NP\tO' -p162021 -aS'or\tor\tCC\tO\tO' -p162022 -aS'other\tother\tJJ\tB-NP\tO' -p162023 -aS'concerning\tconcern\tVBG\tI-NP\tO' -p162024 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p162025 -aS'please\tplease\tVB\tB-VP\tO' -p162026 -aS'call\tcall\tVB\tI-VP\tO' -p162027 -aS'your\tyour\tPRP$\tB-NP\tO' -p162028 -aS'MD\tMD\tNN\tI-NP\tO' -p162029 -aS'or\tor\tCC\tO\tO' -p162030 -aS'come\tcome\tVBN\tB-VP\tO' -p162031 -aS'to\tto\tTO\tB-PP\tO' -p162032 -aS'the\tthe\tDT\tB-NP\tO' -p162033 -aS'emergency\temergency\tNN\tI-NP\tO' -p162034 -aS'room\troom\tNN\tI-NP\tO' -p162035 -aS'.\t.\t.\tO\tO' -p162036 -asS'Sensory limb of the right eye corneal reflex is slowed , otherwise normal .' -p162037 -(lp162038 -S'Sensory\tSensory\tJJ\tB-NP\tO' -p162039 -aS'limb\tlimb\tNN\tI-NP\tO' -p162040 -aS'of\tof\tIN\tB-PP\tO' -p162041 -aS'the\tthe\tDT\tB-NP\tO' -p162042 -aS'right\tright\tJJ\tI-NP\tO' -p162043 -aS'eye\teye\tNN\tI-NP\tO' -p162044 -aS'corneal\tcorneal\tNN\tI-NP\tO' -p162045 -aS'reflex\treflex\tNN\tI-NP\tO' -p162046 -aS'is\tbe\tVBZ\tB-VP\tO' -p162047 -aS'slowed\tslow\tVBN\tI-VP\tO' -p162048 -aS',\t,\t,\tO\tO' -p162049 -aS'otherwise\totherwise\tRB\tB-ADJP\tO' -p162050 -aS'normal\tnormal\tJJ\tI-ADJP\tO' -p162051 -aS'.\t.\t.\tO\tO' -p162052 -asS'Patient is a 26 - year-old female with a past medical history significant for nonischemic dilated cardiomyopathy with an ejection fraction of 15-20% , who presents with a one-week history of progressive shortness of breath .' -p162053 -(lp162054 -S'Patient\tPatient\tNN\tB-NP\tO' -p162055 -aS'is\tbe\tVBZ\tB-VP\tO' -p162056 -aS'a\ta\tDT\tB-NP\tO' -p162057 -aS'26\t26\tCD\tI-NP\tO' -p162058 -aS'-\t-\tHYPH\tI-NP\tO' -p162059 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p162060 -aS'female\tfemale\tNN\tI-NP\tO' -p162061 -aS'with\twith\tIN\tB-PP\tO' -p162062 -aS'a\ta\tDT\tB-NP\tO' -p162063 -aS'past\tpast\tJJ\tI-NP\tO' -p162064 -aS'medical\tmedical\tJJ\tI-NP\tO' -p162065 -aS'history\thistory\tNN\tI-NP\tO' -p162066 -aS'significant\tsignificant\tJJ\tB-ADJP\tO' -p162067 -aS'for\tfor\tIN\tB-PP\tO' -p162068 -aS'nonischemic\tnonischemic\tJJ\tB-NP\tO' -p162069 -aS'dilated\tdilated\tJJ\tI-NP\tO' -p162070 -aS'cardiomyopathy\tcardiomyopathy\tNN\tI-NP\tO' -p162071 -aS'with\twith\tIN\tB-PP\tO' -p162072 -aS'an\tan\tDT\tB-NP\tO' -p162073 -aS'ejection\tejection\tNN\tI-NP\tO' -p162074 -aS'fraction\tfraction\tNN\tI-NP\tO' -p162075 -aS'of\tof\tIN\tB-PP\tO' -p162076 -aS'15-20%\t15-20%\tNN\tB-NP\tO' -p162077 -aS',\t,\t,\tO\tO' -p162078 -aS'who\twho\tWP\tB-NP\tO' -p162079 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p162080 -aS'with\twith\tIN\tB-PP\tO' -p162081 -aS'a\ta\tDT\tB-NP\tO' -p162082 -aS'one-week\tone-week\tJJ\tI-NP\tO' -p162083 -aS'history\thistory\tNN\tI-NP\tO' -p162084 -aS'of\tof\tIN\tB-PP\tO' -p162085 -aS'progressive\tprogressive\tJJ\tB-NP\tO' -p162086 -aS'shortness\tshortness\tNN\tI-NP\tO' -p162087 -aS'of\tof\tIN\tB-PP\tO' -p162088 -aS'breath\tbreath\tNN\tB-NP\tO' -p162089 -aS'.\t.\t.\tO\tO' -p162090 -asS'Visual fields are full to confrontation , pupils equally round and reactive to light both directly and consensually , 2.5 --> 2 mm bilaterally .' -p162091 -(lp162092 -S'Visual\tVisual\tJJ\tB-NP\tO' -p162093 -aS'fields\tfield\tNNS\tI-NP\tO' -p162094 -aS'are\tbe\tVBP\tB-VP\tO' -p162095 -aS'full\tfull\tJJ\tB-ADJP\tO' -p162096 -aS'to\tto\tTO\tB-PP\tO' -p162097 -aS'confrontation\tconfrontation\tNN\tB-NP\tO' -p162098 -aS',\t,\t,\tO\tO' -p162099 -aS'pupils\tpupil\tVBZ\tB-VP\tO' -p162100 -aS'equally\tequally\tRB\tB-ADJP\tO' -p162101 -aS'round\tround\tJJ\tI-ADJP\tO' -p162102 -aS'and\tand\tCC\tI-ADJP\tO' -p162103 -aS'reactive\treactive\tJJ\tI-ADJP\tO' -p162104 -aS'to\tto\tTO\tB-PP\tO' -p162105 -aS'light\tlight\tJJ\tB-ADJP\tO' -p162106 -aS'both\tboth\tCC\tO\tO' -p162107 -aS'directly\tdirectly\tRB\tB-ADVP\tO' -p162108 -aS'and\tand\tCC\tI-ADVP\tO' -p162109 -aS'consensually\tconsensually\tRB\tI-ADVP\tO' -p162110 -aS',\t,\t,\tO\tO' -p162111 -aS'2.5\t2.5\tCD\tB-NP\tO' -p162112 -aS'-->\t-->\tSYM\tI-NP\tO' -p162113 -aS'2\t2\tCD\tI-NP\tO' -p162114 -aS'mm\tmm\tNN\tI-NP\tO' -p162115 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p162116 -aS'.\t.\t.\tO\tO' -p162117 -asS'Chest pain and back pain .' -p162118 -(lp162119 -S'Chest\tCh\tJJS\tB-NP\tO' -p162120 -aS'pain\tpain\tNN\tI-NP\tO' -p162121 -aS'and\tand\tCC\tI-NP\tO' -p162122 -aS'back\tback\tJJ\tI-NP\tO' -p162123 -aS'pain\tpain\tNN\tI-NP\tO' -p162124 -aS'.\t.\t.\tO\tO' -p162125 -asS'She was evaluated upon presentation by the Maternal Fetal Medicine attending on call as well as by Cardiology .' -p162126 -(lp162127 -S'She\tShe\tPRP\tB-NP\tO' -p162128 -aS'was\tbe\tVBD\tB-VP\tO' -p162129 -aS'evaluated\tevaluate\tVBN\tI-VP\tO' -p162130 -aS'upon\tupon\tIN\tB-PP\tO' -p162131 -aS'presentation\tpresentation\tNN\tB-NP\tO' -p162132 -aS'by\tby\tIN\tB-PP\tO' -p162133 -aS'the\tthe\tDT\tB-NP\tO' -p162134 -aS'Maternal\tMaternal\tNNP\tI-NP\tO' -p162135 -aS'Fetal\tFetal\tNNP\tI-NP\tO' -p162136 -aS'Medicine\tMedicine\tNNP\tI-NP\tO' -p162137 -aS'attending\tattend\tVBG\tB-VP\tO' -p162138 -aS'on\ton\tIN\tB-PP\tO' -p162139 -aS'call\tcall\tNN\tB-NP\tO' -p162140 -aS'as\tas\tRB\tB-CONJP\tO' -p162141 -aS'well\twell\tRB\tI-CONJP\tO' -p162142 -aS'as\tas\tIN\tI-CONJP\tO' -p162143 -aS'by\tby\tIN\tB-PP\tO' -p162144 -aS'Cardiology\tCardiology\tNNP\tB-NP\tO' -p162145 -aS'.\t.\t.\tO\tO' -p162146 -asS'Substance Use : Social work saw patient and counceled him regarding substance abuse .' -p162147 -(lp162148 -S'Substance\tSubstance\tNNP\tB-NP\tO' -p162149 -aS'Use\tUse\tNNP\tI-NP\tO' -p162150 -aS':\t:\t:\tO\tO' -p162151 -aS'Social\tSocial\tNNP\tB-NP\tO' -p162152 -aS'work\twork\tNN\tI-NP\tO' -p162153 -aS'saw\tsee\tVBD\tB-VP\tO' -p162154 -aS'patient\tpatient\tNN\tB-NP\tO' -p162155 -aS'and\tand\tCC\tO\tO' -p162156 -aS'counceled\tcouncele\tVBD\tB-VP\tO' -p162157 -aS'him\thim\tPRP\tB-NP\tO' -p162158 -aS'regarding\tregard\tVBG\tB-VP\tO' -p162159 -aS'substance\tsubstance\tNN\tB-NP\tO' -p162160 -aS'abuse\tabuse\tNN\tI-NP\tO' -p162161 -aS'.\t.\t.\tO\tO' -p162162 -asS'During her hospitalization , we confirmed the presence of this , even when she was hydrated with saline , to a fractional excretion of sodium of 2% .' -p162163 -(lp162164 -S'During\tDuring\tIN\tB-PP\tO' -p162165 -aS'her\ther\tPRP$\tB-NP\tO' -p162166 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p162167 -aS',\t,\t,\tO\tO' -p162168 -aS'we\twe\tPRP\tB-NP\tO' -p162169 -aS'confirmed\tconfirm\tVBD\tB-VP\tO' -p162170 -aS'the\tthe\tDT\tB-NP\tO' -p162171 -aS'presence\tpresence\tNN\tI-NP\tO' -p162172 -aS'of\tof\tIN\tB-PP\tO' -p162173 -aS'this\tthis\tDT\tB-NP\tO' -p162174 -aS',\t,\t,\tO\tO' -p162175 -aS'even\teven\tRB\tB-ADVP\tO' -p162176 -aS'when\twhen\tWRB\tI-ADVP\tO' -p162177 -aS'she\tshe\tPRP\tB-NP\tO' -p162178 -aS'was\tbe\tVBD\tB-VP\tO' -p162179 -aS'hydrated\thydrate\tVBN\tI-VP\tO' -p162180 -aS'with\twith\tIN\tB-PP\tO' -p162181 -aS'saline\tsaline\tNN\tB-NP\tO' -p162182 -aS',\t,\t,\tO\tO' -p162183 -aS'to\tto\tTO\tB-PP\tO' -p162184 -aS'a\ta\tDT\tB-NP\tO' -p162185 -aS'fractional\tfractional\tJJ\tI-NP\tO' -p162186 -aS'excretion\texcretion\tNN\tI-NP\tO' -p162187 -aS'of\tof\tIN\tB-PP\tO' -p162188 -aS'sodium\tsodium\tNN\tB-NP\tO' -p162189 -aS'of\tof\tIN\tB-PP\tO' -p162190 -aS'2%\t2%\tNN\tB-NP\tO' -p162191 -aS'.\t.\t.\tO\tO' -p162192 -asS'Small ( 0.6 cm ) circumferential pericardial effusion , largest around the left atrium .' -p162193 -(lp162194 -S'Small\tSmall\tJJ\tB-ADJP\tO' -p162195 -aS'(\t(\t(\tO\tO' -p162196 -aS'0.6\t0.6\tCD\tB-NP\tO' -p162197 -aS'cm\tcm\tNN\tI-NP\tO' -p162198 -aS')\t)\t)\tO\tO' -p162199 -aS'circumferential\tcircumferential\tJJ\tB-NP\tO' -p162200 -aS'pericardial\tpericardial\tJJ\tI-NP\tO' -p162201 -aS'effusion\teffusion\tNN\tI-NP\tO' -p162202 -aS',\t,\t,\tO\tO' -p162203 -aS'largest\tlarge\tJJS\tB-ADJP\tO' -p162204 -aS'around\taround\tIN\tB-PP\tO' -p162205 -aS'the\tthe\tDT\tB-NP\tO' -p162206 -aS'left\tleft\tJJ\tI-NP\tO' -p162207 -aS'atrium\tatrium\tNN\tI-NP\tO' -p162208 -aS'.\t.\t.\tO\tO' -p162209 -asS'We encouraged activity and patient out of bed .' -p162210 -(lp162211 -S'We\tWe\tPRP\tB-NP\tO' -p162212 -aS'encouraged\tencourage\tVBD\tB-VP\tO' -p162213 -aS'activity\tactivity\tNN\tB-NP\tO' -p162214 -aS'and\tand\tCC\tI-NP\tO' -p162215 -aS'patient\tpatient\tNN\tI-NP\tO' -p162216 -aS'out\tout\tIN\tB-PP\tO' -p162217 -aS'of\tof\tIN\tB-PP\tO' -p162218 -aS'bed\tbed\tNN\tB-NP\tO' -p162219 -aS'.\t.\t.\tO\tO' -p162220 -asS'The patient is on oxygen .' -p162221 -(lp162222 -S'The\tThe\tDT\tB-NP\tO' -p162223 -aS'patient\tpatient\tNN\tI-NP\tO' -p162224 -aS'is\tbe\tVBZ\tB-VP\tO' -p162225 -aS'on\ton\tIN\tB-PP\tO' -p162226 -aS'oxygen\toxygen\tNN\tB-NP\tO' -p162227 -aS'.\t.\t.\tO\tO' -p162228 -asS'He was also seen by the Orthopedics Service and Neurosurgical Service .' -p162229 -(lp162230 -S'He\tHe\tPRP\tB-NP\tO' -p162231 -aS'was\tbe\tVBD\tB-VP\tO' -p162232 -aS'also\talso\tRB\tI-VP\tO' -p162233 -aS'seen\tsee\tVBN\tI-VP\tO' -p162234 -aS'by\tby\tIN\tB-PP\tO' -p162235 -aS'the\tthe\tDT\tB-NP\tO' -p162236 -aS'Orthopedics\tOrthopedics\tNNP\tI-NP\tO' -p162237 -aS'Service\tService\tNNP\tI-NP\tO' -p162238 -aS'and\tand\tCC\tO\tO' -p162239 -aS'Neurosurgical\tNeurosurgical\tNNP\tB-NP\tO' -p162240 -aS'Service\tService\tNNP\tI-NP\tO' -p162241 -aS'.\t.\t.\tO\tO' -p162242 -asS'7. Oxycodone - Acetaminophen 5-325 mg Tablet Sig : 1-2 Tablets PO every 4-6 hours as needed for pain .' -p162243 -(lp162244 -S'7.\t7.\tLS\tB-NP\tO' -p162245 -aS'Oxycodone\tOxycodone\tNN\tI-NP\tO' -p162246 -aS'-\t-\tHYPH\tO\tO' -p162247 -aS'Acetaminophen\tAcetaminophen\tNN\tB-NP\tO' -p162248 -aS'5-325\t5-325\tCD\tI-NP\tO' -p162249 -aS'mg\tmg\tNN\tI-NP\tO' -p162250 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p162251 -aS'Sig\tSig\tNNP\tI-NP\tO' -p162252 -aS':\t:\t:\tO\tO' -p162253 -aS'1-2\t1-2\tCD\tB-NP\tO' -p162254 -aS'Tablets\tTablet\tNNS\tI-NP\tO' -p162255 -aS'PO\tPO\tNN\tI-NP\tO' -p162256 -aS'every\tevery\tDT\tB-NP\tO' -p162257 -aS'4-6\t4-6\tCD\tI-NP\tO' -p162258 -aS'hours\thour\tNNS\tI-NP\tO' -p162259 -aS'as\tas\tIN\tB-SBAR\tO' -p162260 -aS'needed\tneed\tVBN\tB-VP\tO' -p162261 -aS'for\tfor\tIN\tB-PP\tO' -p162262 -aS'pain\tpain\tNN\tB-NP\tO' -p162263 -aS'.\t.\t.\tO\tO' -p162264 -asS'At OSH initial Hct = 26 , and 22 upon repeat .' -p162265 -(lp162266 -S'At\tAt\tIN\tB-PP\tO' -p162267 -aS'OSH\tOSH\tNN\tB-NP\tO' -p162268 -aS'initial\tinitial\tJJ\tI-NP\tO' -p162269 -aS'Hct\tHct\tNN\tI-NP\tO' -p162270 -aS'=\t=\tSYM\tB-VP\tO' -p162271 -aS'26\t26\tCD\tB-NP\tO' -p162272 -aS',\t,\t,\tO\tO' -p162273 -aS'and\tand\tCC\tO\tO' -p162274 -aS'22\t22\tCD\tB-NP\tB-DNA' -p162275 -aS'upon\tupon\tIN\tB-PP\tI-DNA' -p162276 -aS'repeat\trepeat\tNN\tB-NP\tI-DNA' -p162277 -aS'.\t.\t.\tO\tO' -p162278 -asS'Extremities are warm , well perfused , no cyanosis , clubbing or' -p162279 -(lp162280 -S'Extremities\tExtremity\tNNS\tB-NP\tO' -p162281 -aS'are\tbe\tVBP\tB-VP\tO' -p162282 -aS'warm\twarm\tJJ\tB-ADJP\tO' -p162283 -aS',\t,\t,\tO\tO' -p162284 -aS'well\twell\tRB\tB-VP\tO' -p162285 -aS'perfused\tperfuse\tVBN\tI-VP\tO' -p162286 -aS',\t,\t,\tO\tO' -p162287 -aS'no\tno\tDT\tB-NP\tO' -p162288 -aS'cyanosis\tcyanosis\tNN\tI-NP\tO' -p162289 -aS',\t,\t,\tO\tO' -p162290 -aS'clubbing\tclubbing\tNN\tB-NP\tO' -p162291 -aS'or\tor\tCC\tO\tO' -p162292 -asS'Dressing c/d/i over R LE ulcer .' -p162293 -(lp162294 -S'Dressing\tDress\tVBG\tB-VP\tO' -p162295 -aS'c/d/i\tc/d/i\tNNS\tB-NP\tO' -p162296 -aS'over\tover\tIN\tB-PP\tO' -p162297 -aS'R\tR\tNN\tB-NP\tB-protein' -p162298 -aS'LE\tLE\tNN\tI-NP\tI-protein' -p162299 -aS'ulcer\tulcer\tNN\tI-NP\tI-protein' -p162300 -aS'.\t.\t.\tO\tO' -p162301 -asS'Treatments Frequency : splint to left arm' -p162302 -(lp162303 -S'Treatments\tTreatment\tNNS\tB-NP\tO' -p162304 -aS'Frequency\tFrequency\tNN\tI-NP\tO' -p162305 -aS':\t:\t:\tO\tO' -p162306 -aS'splint\tsplint\tNN\tB-NP\tO' -p162307 -aS'to\tto\tTO\tB-VP\tO' -p162308 -aS'left\tleft\tVB\tI-VP\tO' -p162309 -aS'arm\tarm\tNN\tB-NP\tO' -p162310 -asS'GENERAL - The patient is a pleasant older woman in no acute distress .' -p162311 -(lp162312 -S'GENERAL\tGENERAL\tNNP\tB-NP\tO' -p162313 -aS'-\t-\t:\tO\tO' -p162314 -aS'The\tThe\tDT\tB-NP\tO' -p162315 -aS'patient\tpatient\tNN\tI-NP\tO' -p162316 -aS'is\tbe\tVBZ\tB-VP\tO' -p162317 -aS'a\ta\tDT\tB-NP\tO' -p162318 -aS'pleasant\tpleasant\tNN\tI-NP\tO' -p162319 -aS'older\told\tJJR\tB-NP\tO' -p162320 -aS'woman\twoman\tNN\tI-NP\tO' -p162321 -aS'in\tin\tIN\tB-PP\tO' -p162322 -aS'no\tno\tDT\tB-NP\tO' -p162323 -aS'acute\tacute\tJJ\tI-NP\tO' -p162324 -aS'distress\tdistress\tNN\tI-NP\tO' -p162325 -aS'.\t.\t.\tO\tO' -p162326 -asS'On admission , chest x-ray with no acute cardiopulmonary process .' -p162327 -(lp162328 -S'On\tOn\tIN\tB-PP\tO' -p162329 -aS'admission\tadmission\tNN\tB-NP\tO' -p162330 -aS',\t,\t,\tO\tO' -p162331 -aS'chest\tchest\tNN\tB-NP\tO' -p162332 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p162333 -aS'with\twith\tIN\tB-PP\tO' -p162334 -aS'no\tno\tDT\tB-NP\tO' -p162335 -aS'acute\tacute\tJJ\tI-NP\tO' -p162336 -aS'cardiopulmonary\tcardiopulmonary\tJJ\tI-NP\tO' -p162337 -aS'process\tprocess\tNN\tI-NP\tO' -p162338 -aS'.\t.\t.\tO\tO' -p162339 -asS'She stated her symptoms improved with rest , and she denied any symptoms beginning when she was at rest .' -p162340 -(lp162341 -S'She\tShe\tPRP\tB-NP\tO' -p162342 -aS'stated\tstate\tVBD\tB-VP\tO' -p162343 -aS'her\ther\tPRP$\tB-NP\tO' -p162344 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p162345 -aS'improved\timprove\tVBN\tB-VP\tO' -p162346 -aS'with\twith\tIN\tB-PP\tO' -p162347 -aS'rest\trest\tNN\tB-NP\tO' -p162348 -aS',\t,\t,\tO\tO' -p162349 -aS'and\tand\tCC\tO\tO' -p162350 -aS'she\tshe\tPRP\tB-NP\tO' -p162351 -aS'denied\tdeny\tVBD\tB-VP\tO' -p162352 -aS'any\tany\tDT\tB-NP\tO' -p162353 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p162354 -aS'beginning\tbegin\tVBG\tB-VP\tO' -p162355 -aS'when\twhen\tWRB\tB-ADVP\tO' -p162356 -aS'she\tshe\tPRP\tB-NP\tO' -p162357 -aS'was\tbe\tVBD\tB-VP\tO' -p162358 -aS'at\tat\tIN\tB-PP\tO' -p162359 -aS'rest\trest\tNN\tB-NP\tO' -p162360 -aS'.\t.\t.\tO\tO' -p162361 -asS'3. Respiratory distress syndrome resolved .' -p162362 -(lp162363 -S'3.\t3.\tLS\tB-NP\tO' -p162364 -aS'Respiratory\tRespiratory\tJJ\tI-NP\tO' -p162365 -aS'distress\tdistress\tNN\tI-NP\tO' -p162366 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p162367 -aS'resolved\tresolve\tVBN\tB-VP\tO' -p162368 -aS'.\t.\t.\tO\tO' -p162369 -asS'Multiple bronchoscopies , chest tube insertion .' -p162370 -(lp162371 -S'Multiple\tMultiple\tJJ\tB-NP\tO' -p162372 -aS'bronchoscopies\tbronchoscopy\tNNS\tI-NP\tO' -p162373 -aS',\t,\t,\tO\tO' -p162374 -aS'chest\tchest\tNN\tB-NP\tO' -p162375 -aS'tube\ttube\tNN\tI-NP\tO' -p162376 -aS'insertion\tinsertion\tNN\tI-NP\tO' -p162377 -aS'.\t.\t.\tO\tO' -p162378 -asS'Lasix 20 mg p.o. q. day for one week .' -p162379 -(lp162380 -S'Lasix\tLasix\tRB\tB-NP\tO' -p162381 -aS'20\t20\tCD\tI-NP\tO' -p162382 -aS'mg\tmg\tNN\tI-NP\tO' -p162383 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p162384 -aS'q.\tq.\tNN\tI-NP\tO' -p162385 -aS'day\tday\tNN\tI-NP\tO' -p162386 -aS'for\tfor\tIN\tB-PP\tO' -p162387 -aS'one\tone\tCD\tB-NP\tO' -p162388 -aS'week\tweek\tNN\tI-NP\tO' -p162389 -aS'.\t.\t.\tO\tO' -p162390 -asS'Initially , he had been placed on clindamycin to cover his drain , but his cultures became positive , and his white blood cell count increased .' -p162391 -(lp162392 -S'Initially\tInitially\tRB\tB-ADVP\tO' -p162393 -aS',\t,\t,\tO\tO' -p162394 -aS'he\the\tPRP\tB-NP\tO' -p162395 -aS'had\thave\tVBD\tB-VP\tO' -p162396 -aS'been\tbe\tVBN\tI-VP\tO' -p162397 -aS'placed\tplace\tVBN\tI-VP\tO' -p162398 -aS'on\ton\tIN\tB-PP\tO' -p162399 -aS'clindamycin\tclindamycin\tNN\tB-NP\tO' -p162400 -aS'to\tto\tTO\tB-VP\tO' -p162401 -aS'cover\tcover\tVB\tI-VP\tO' -p162402 -aS'his\this\tPRP$\tB-NP\tO' -p162403 -aS'drain\tdrain\tNN\tI-NP\tO' -p162404 -aS',\t,\t,\tO\tO' -p162405 -aS'but\tbut\tCC\tO\tO' -p162406 -aS'his\this\tPRP$\tB-NP\tO' -p162407 -aS'cultures\tculture\tNNS\tI-NP\tO' -p162408 -aS'became\tbecome\tVBD\tB-VP\tO' -p162409 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p162410 -aS',\t,\t,\tO\tO' -p162411 -aS'and\tand\tCC\tO\tO' -p162412 -aS'his\this\tPRP$\tB-NP\tO' -p162413 -aS'white\twhite\tJJ\tI-NP\tO' -p162414 -aS'blood\tblood\tNN\tI-NP\tO' -p162415 -aS'cell\tcell\tNN\tI-NP\tO' -p162416 -aS'count\tcount\tNN\tI-NP\tO' -p162417 -aS'increased\tincrease\tVBD\tB-VP\tO' -p162418 -aS'.\t.\t.\tO\tO' -p162419 -asS'Ferrous sulfate 25 mg per ml , 2 mg per kilogram per day .' -p162420 -(lp162421 -S'Ferrous\tFerrous\tJJ\tB-NP\tO' -p162422 -aS'sulfate\tsulfate\tNN\tI-NP\tO' -p162423 -aS'25\t25\tCD\tI-NP\tO' -p162424 -aS'mg\tmg\tNN\tI-NP\tO' -p162425 -aS'per\tper\tIN\tB-PP\tO' -p162426 -aS'ml\tml\tNN\tB-NP\tO' -p162427 -aS',\t,\t,\tO\tO' -p162428 -aS'2\t2\tCD\tB-NP\tO' -p162429 -aS'mg\tmg\tNN\tI-NP\tO' -p162430 -aS'per\tper\tIN\tB-PP\tO' -p162431 -aS'kilogram\tkilogram\tNN\tB-NP\tO' -p162432 -aS'per\tper\tIN\tB-PP\tO' -p162433 -aS'day\tday\tNN\tB-NP\tO' -p162434 -aS'.\t.\t.\tO\tO' -p162435 -asS'Currently , 03-14 blood cx are growing GNR in both anaerobic bottles .' -p162436 -(lp162437 -S'Currently\tCurrently\tRB\tB-ADVP\tO' -p162438 -aS',\t,\t,\tO\tO' -p162439 -aS'03-14\t03-14\tCD\tB-NP\tO' -p162440 -aS'blood\tblood\tNN\tI-NP\tO' -p162441 -aS'cx\tcx\tNN\tI-NP\tO' -p162442 -aS'are\tbe\tVBP\tB-VP\tO' -p162443 -aS'growing\tgrow\tVBG\tI-VP\tO' -p162444 -aS'GNR\tGNR\tNN\tB-NP\tB-protein' -p162445 -aS'in\tin\tIN\tB-PP\tO' -p162446 -aS'both\tboth\tCC\tB-NP\tO' -p162447 -aS'anaerobic\tanaerobic\tJJ\tI-NP\tO' -p162448 -aS'bottles\tbottle\tNNS\tI-NP\tO' -p162449 -aS'.\t.\t.\tO\tO' -p162450 -asS'5) depression requiring ECT therapy in the past' -p162451 -(lp162452 -S'5)\t5)\tLS\tB-LST\tO' -p162453 -aS'depression\tdepression\tNN\tB-NP\tO' -p162454 -aS'requiring\trequire\tVBG\tB-VP\tO' -p162455 -aS'ECT\tECT\tNN\tB-NP\tO' -p162456 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p162457 -aS'in\tin\tIN\tB-PP\tO' -p162458 -aS'the\tthe\tDT\tB-NP\tO' -p162459 -aS'past\tpast\tNN\tI-NP\tO' -p162460 -asS'He has been breast feeding or taking 20 calorie per ounce formula until the increased respiratory distress so that at the time of transfer he is NPO with a peripheral IV with total fluids of 150 ml / kg / day of 10% dextrose with electrolytes .' -p162461 -(lp162462 -S'He\tHe\tPRP\tB-NP\tO' -p162463 -aS'has\thave\tVBZ\tB-VP\tO' -p162464 -aS'been\tbe\tVBN\tI-VP\tO' -p162465 -aS'breast\tbreast\tNN\tB-NP\tO' -p162466 -aS'feeding\tfeed\tVBG\tB-VP\tO' -p162467 -aS'or\tor\tCC\tI-VP\tO' -p162468 -aS'taking\ttake\tVBG\tI-VP\tO' -p162469 -aS'20\t20\tCD\tB-NP\tO' -p162470 -aS'calorie\tcalorie\tNN\tI-NP\tO' -p162471 -aS'per\tper\tIN\tB-PP\tO' -p162472 -aS'ounce\tounce\tNN\tB-NP\tO' -p162473 -aS'formula\tformula\tNN\tB-NP\tO' -p162474 -aS'until\tuntil\tIN\tB-PP\tO' -p162475 -aS'the\tthe\tDT\tB-NP\tO' -p162476 -aS'increased\tincrease\tVBN\tI-NP\tO' -p162477 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p162478 -aS'distress\tdistress\tNN\tI-NP\tO' -p162479 -aS'so\tso\tIN\tB-SBAR\tO' -p162480 -aS'that\tthat\tIN\tI-SBAR\tO' -p162481 -aS'at\tat\tIN\tB-PP\tO' -p162482 -aS'the\tthe\tDT\tB-NP\tO' -p162483 -aS'time\ttime\tNN\tI-NP\tO' -p162484 -aS'of\tof\tIN\tB-PP\tO' -p162485 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p162486 -aS'he\the\tPRP\tB-NP\tO' -p162487 -aS'is\tbe\tVBZ\tB-VP\tO' -p162488 -aS'NPO\tNPO\tNN\tB-NP\tB-protein' -p162489 -aS'with\twith\tIN\tB-PP\tO' -p162490 -aS'a\ta\tDT\tB-NP\tO' -p162491 -aS'peripheral\tperipheral\tJJ\tI-NP\tO' -p162492 -aS'IV\tIV\tCD\tI-NP\tO' -p162493 -aS'with\twith\tIN\tB-PP\tO' -p162494 -aS'total\ttotal\tJJ\tB-NP\tO' -p162495 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p162496 -aS'of\tof\tIN\tB-PP\tO' -p162497 -aS'150\t150\tCD\tB-NP\tO' -p162498 -aS'ml\tml\tNN\tI-NP\tO' -p162499 -aS'/\t/\tSYM\tB-NP\tO' -p162500 -aS'kg\tkg\tNN\tI-NP\tO' -p162501 -aS'/\t/\tSYM\tB-NP\tO' -p162502 -aS'day\tday\tNN\tI-NP\tO' -p162503 -aS'of\tof\tIN\tB-PP\tO' -p162504 -aS'10%\t10%\tCD\tB-NP\tO' -p162505 -aS'dextrose\tdextrose\tNN\tI-NP\tO' -p162506 -aS'with\twith\tIN\tB-PP\tO' -p162507 -aS'electrolytes\telectrolyte\tNNS\tB-NP\tO' -p162508 -aS'.\t.\t.\tO\tO' -p162509 -asS'Stable - Swelling in hands reduced and range of motion continue to improve .' -p162510 -(lp162511 -S'Stable\tStable\tJJ\tB-NP\tO' -p162512 -aS'-\t-\tHYPH\tI-NP\tO' -p162513 -aS'Swelling\tSwelling\tNN\tI-NP\tO' -p162514 -aS'in\tin\tIN\tB-PP\tO' -p162515 -aS'hands\thand\tNNS\tB-NP\tO' -p162516 -aS'reduced\treduce\tVBN\tB-VP\tO' -p162517 -aS'and\tand\tCC\tO\tO' -p162518 -aS'range\trange\tNN\tB-NP\tO' -p162519 -aS'of\tof\tIN\tB-PP\tO' -p162520 -aS'motion\tmotion\tNN\tB-NP\tO' -p162521 -aS'continue\tcontinue\tVBP\tB-VP\tO' -p162522 -aS'to\tto\tTO\tI-VP\tO' -p162523 -aS'improve\timprove\tVB\tI-VP\tO' -p162524 -aS'.\t.\t.\tO\tO' -p162525 -asS'Of note incidental finding on x-ray , the infant has a hemivertebra at T11 .' -p162526 -(lp162527 -S'Of\tOf\tIN\tB-PP\tO' -p162528 -aS'note\tnote\tNN\tB-NP\tO' -p162529 -aS'incidental\tincidental\tJJ\tI-NP\tO' -p162530 -aS'finding\tfinding\tNN\tI-NP\tO' -p162531 -aS'on\ton\tIN\tB-PP\tO' -p162532 -aS'x-ray\tx-ray\tNN\tB-NP\tB-DNA' -p162533 -aS',\t,\t,\tO\tO' -p162534 -aS'the\tthe\tDT\tB-NP\tO' -p162535 -aS'infant\tinfant\tNN\tI-NP\tO' -p162536 -aS'has\thave\tVBZ\tB-VP\tO' -p162537 -aS'a\ta\tDT\tB-NP\tO' -p162538 -aS'hemivertebra\themivertebra\tNN\tI-NP\tO' -p162539 -aS'at\tat\tIN\tB-PP\tO' -p162540 -aS'T11\tT11\tNN\tB-NP\tB-protein' -p162541 -aS'.\t.\t.\tO\tO' -p162542 -asS'The plan is to continue the Digoxin and to recheck an echocardiogram to assess his ejection fraction when he is clinically better .' -p162543 -(lp162544 -S'The\tThe\tDT\tB-NP\tO' -p162545 -aS'plan\tplan\tNN\tI-NP\tO' -p162546 -aS'is\tbe\tVBZ\tB-VP\tO' -p162547 -aS'to\tto\tTO\tB-VP\tO' -p162548 -aS'continue\tcontinue\tVB\tI-VP\tO' -p162549 -aS'the\tthe\tDT\tB-NP\tO' -p162550 -aS'Digoxin\tDigoxin\tNN\tI-NP\tO' -p162551 -aS'and\tand\tCC\tO\tO' -p162552 -aS'to\tto\tTO\tB-VP\tO' -p162553 -aS'recheck\trecheck\tVB\tI-VP\tO' -p162554 -aS'an\tan\tDT\tB-NP\tO' -p162555 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p162556 -aS'to\tto\tTO\tB-VP\tO' -p162557 -aS'assess\tassess\tVB\tI-VP\tO' -p162558 -aS'his\this\tPRP$\tB-NP\tO' -p162559 -aS'ejection\tejection\tNN\tI-NP\tO' -p162560 -aS'fraction\tfraction\tNN\tI-NP\tO' -p162561 -aS'when\twhen\tWRB\tB-ADVP\tO' -p162562 -aS'he\the\tPRP\tB-NP\tO' -p162563 -aS'is\tbe\tVBZ\tB-VP\tO' -p162564 -aS'clinically\tclinically\tRB\tB-ADJP\tO' -p162565 -aS'better\tgood\tJJR\tI-ADJP\tO' -p162566 -aS'.\t.\t.\tO\tO' -p162567 -asS'By the 7th hospital day , the patient was medically stable .' -p162568 -(lp162569 -S'By\tBy\tIN\tB-PP\tO' -p162570 -aS'the\tthe\tDT\tB-NP\tO' -p162571 -aS'7th\t7th\tJJ\tI-NP\tO' -p162572 -aS'hospital\thospital\tNN\tI-NP\tO' -p162573 -aS'day\tday\tNN\tI-NP\tO' -p162574 -aS',\t,\t,\tO\tO' -p162575 -aS'the\tthe\tDT\tB-NP\tO' -p162576 -aS'patient\tpatient\tNN\tI-NP\tO' -p162577 -aS'was\tbe\tVBD\tB-VP\tO' -p162578 -aS'medically\tmedically\tRB\tB-ADJP\tO' -p162579 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p162580 -aS'.\t.\t.\tO\tO' -p162581 -asS'The tumor is composed of a relatively monotonous proliferation of spindle cells which grow in sheets with a prominent vascular pattern .' -p162582 -(lp162583 -S'The\tThe\tDT\tB-NP\tO' -p162584 -aS'tumor\ttumor\tNN\tI-NP\tO' -p162585 -aS'is\tbe\tVBZ\tB-VP\tO' -p162586 -aS'composed\tcompose\tVBN\tI-VP\tO' -p162587 -aS'of\tof\tIN\tB-PP\tO' -p162588 -aS'a\ta\tDT\tB-NP\tO' -p162589 -aS'relatively\trelatively\tRB\tI-NP\tO' -p162590 -aS'monotonous\tmonotonous\tJJ\tI-NP\tO' -p162591 -aS'proliferation\tproliferation\tNN\tI-NP\tO' -p162592 -aS'of\tof\tIN\tB-PP\tO' -p162593 -aS'spindle\tspindle\tNN\tB-NP\tB-cell_type' -p162594 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p162595 -aS'which\twhich\tWDT\tB-NP\tO' -p162596 -aS'grow\tgrow\tVBP\tB-VP\tO' -p162597 -aS'in\tin\tIN\tB-PP\tO' -p162598 -aS'sheets\tsheet\tNNS\tB-NP\tO' -p162599 -aS'with\twith\tIN\tB-PP\tO' -p162600 -aS'a\ta\tDT\tB-NP\tO' -p162601 -aS'prominent\tprominent\tJJ\tI-NP\tO' -p162602 -aS'vascular\tvascular\tJJ\tI-NP\tO' -p162603 -aS'pattern\tpattern\tNN\tI-NP\tO' -p162604 -aS'.\t.\t.\tO\tO' -p162605 -asS'Mychelia demonstrated slow gastrointestinal motility and abdominal distention felt to be due to CPAP .' -p162606 -(lp162607 -S'Mychelia\tMychelia\tNNP\tB-NP\tO' -p162608 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p162609 -aS'slow\tslow\tJJ\tB-NP\tO' -p162610 -aS'gastrointestinal\tgastrointestinal\tJJ\tI-NP\tO' -p162611 -aS'motility\tmotility\tNN\tI-NP\tO' -p162612 -aS'and\tand\tCC\tO\tO' -p162613 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p162614 -aS'distention\tdistention\tNN\tI-NP\tO' -p162615 -aS'felt\tfeel\tVBD\tB-VP\tO' -p162616 -aS'to\tto\tTO\tI-VP\tO' -p162617 -aS'be\tbe\tVB\tI-VP\tO' -p162618 -aS'due\tdue\tIN\tB-PP\tO' -p162619 -aS'to\tto\tTO\tB-PP\tO' -p162620 -aS'CPAP\tCPAP\tNN\tB-NP\tB-protein' -p162621 -aS'.\t.\t.\tO\tO' -p162622 -asS'She was discharged to home in good condition on the following medications .' -p162623 -(lp162624 -S'She\tShe\tPRP\tB-NP\tO' -p162625 -aS'was\tbe\tVBD\tB-VP\tO' -p162626 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p162627 -aS'to\tto\tTO\tB-PP\tO' -p162628 -aS'home\thome\tNN\tB-NP\tO' -p162629 -aS'in\tin\tIN\tB-PP\tO' -p162630 -aS'good\tgood\tJJ\tB-NP\tO' -p162631 -aS'condition\tcondition\tNN\tI-NP\tO' -p162632 -aS'on\ton\tIN\tB-PP\tO' -p162633 -aS'the\tthe\tDT\tB-NP\tO' -p162634 -aS'following\tfollow\tVBG\tI-NP\tO' -p162635 -aS'medications\tmedication\tNNS\tI-NP\tO' -p162636 -aS'.\t.\t.\tO\tO' -p162637 -asS'With this in mind , when obtaining a CT scan it was determined that contrast would not be the best option .' -p162638 -(lp162639 -S'With\tWith\tIN\tB-PP\tO' -p162640 -aS'this\tthis\tDT\tB-NP\tO' -p162641 -aS'in\tin\tIN\tB-PP\tO' -p162642 -aS'mind\tmind\tNN\tB-NP\tO' -p162643 -aS',\t,\t,\tO\tO' -p162644 -aS'when\twhen\tWRB\tB-ADVP\tO' -p162645 -aS'obtaining\tobtain\tVBG\tB-VP\tO' -p162646 -aS'a\ta\tDT\tB-NP\tO' -p162647 -aS'CT\tCT\tNN\tI-NP\tO' -p162648 -aS'scan\tscan\tNN\tI-NP\tO' -p162649 -aS'it\tit\tPRP\tB-NP\tO' -p162650 -aS'was\tbe\tVBD\tB-VP\tO' -p162651 -aS'determined\tdetermine\tVBN\tI-VP\tO' -p162652 -aS'that\tthat\tIN\tB-SBAR\tO' -p162653 -aS'contrast\tcontrast\tNN\tB-NP\tO' -p162654 -aS'would\twould\tMD\tB-VP\tO' -p162655 -aS'not\tnot\tRB\tI-VP\tO' -p162656 -aS'be\tbe\tVB\tI-VP\tO' -p162657 -aS'the\tthe\tDT\tB-NP\tO' -p162658 -aS'best\tgood\tJJS\tI-NP\tO' -p162659 -aS'option\toption\tNN\tI-NP\tO' -p162660 -aS'.\t.\t.\tO\tO' -p162661 -asS'2. Pantoprazole 40 mg Tablet , Delayed Release ( E.C. ) Sig : One ( 1 ) Tablet , Delayed Release ( E.C. ) PO Q24H ( every 24 hours ) .' -p162662 -(lp162663 -S'2.\t2.\tLS\tB-NP\tO' -p162664 -aS'Pantoprazole\tPantoprazole\tNN\tI-NP\tO' -p162665 -aS'40\t40\tCD\tI-NP\tO' -p162666 -aS'mg\tmg\tNN\tI-NP\tO' -p162667 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p162668 -aS',\t,\t,\tO\tO' -p162669 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p162670 -aS'Release\tRelease\tNNP\tI-NP\tO' -p162671 -aS'(\t(\t(\tO\tO' -p162672 -aS'E.C.\tE.C.\tNNP\tB-NP\tO' -p162673 -aS')\t)\t)\tO\tO' -p162674 -aS'Sig\tSig\tNNP\tB-NP\tO' -p162675 -aS':\t:\t:\tO\tO' -p162676 -aS'One\tOne\tCD\tB-NP\tO' -p162677 -aS'(\t(\t(\tO\tO' -p162678 -aS'1\t1\tCD\tB-NP\tO' -p162679 -aS')\t)\t)\tO\tO' -p162680 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p162681 -aS',\t,\t,\tO\tO' -p162682 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p162683 -aS'Release\tRelease\tNNP\tI-NP\tO' -p162684 -aS'(\t(\t(\tO\tO' -p162685 -aS'E.C.\tE.C.\tNNP\tO\tO' -p162686 -aS')\t)\t)\tO\tO' -p162687 -aS'PO\tPO\tNN\tB-NP\tO' -p162688 -aS'Q24H\tQ24H\tNN\tI-NP\tO' -p162689 -aS'(\t(\t(\tO\tO' -p162690 -aS'every\tevery\tDT\tB-NP\tO' -p162691 -aS'24\t24\tCD\tI-NP\tO' -p162692 -aS'hours\thour\tNNS\tI-NP\tO' -p162693 -aS')\t)\t)\tO\tO' -p162694 -aS'.\t.\t.\tO\tO' -p162695 -asS'bisoprolol 5 mg daily crestor 20 mg daily' -p162696 -(lp162697 -S'bisoprolol\tbisoprolol\tNN\tB-NP\tO' -p162698 -aS'5\t5\tCD\tI-NP\tO' -p162699 -aS'mg\tmg\tNN\tI-NP\tO' -p162700 -aS'daily\tdaily\tJJ\tI-NP\tO' -p162701 -aS'crestor\tcrestor\tNN\tI-NP\tO' -p162702 -aS'20\t20\tCD\tI-NP\tO' -p162703 -aS'mg\tmg\tNN\tI-NP\tO' -p162704 -aS'daily\tdaily\tJJ\tI-NP\tO' -p162705 -asS'Significant for hypertension , hyperlipidemia .' -p162706 -(lp162707 -S'Significant\tSignificant\tJJ\tB-ADJP\tO' -p162708 -aS'for\tfor\tIN\tB-PP\tO' -p162709 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p162710 -aS',\t,\t,\tO\tO' -p162711 -aS'hyperlipidemia\thyperlipidemia\tNN\tB-NP\tO' -p162712 -aS'.\t.\t.\tO\tO' -p162713 -asS'Crackles halfway up lung fields B/L .' -p162714 -(lp162715 -S'Crackles\tCrackles\tNNP\tB-NP\tO' -p162716 -aS'halfway\thalfway\tVB\tB-VP\tO' -p162717 -aS'up\tup\tRP\tB-PRT\tO' -p162718 -aS'lung\tlung\tNN\tB-NP\tO' -p162719 -aS'fields\tfield\tNNS\tI-NP\tO' -p162720 -aS'B/L\tB/L\tNN\tI-NP\tO' -p162721 -aS'.\t.\t.\tO\tO' -p162722 -asS'The patient was bolused with intravenous heparin due to concern for pulmonary embolism .' -p162723 -(lp162724 -S'The\tThe\tDT\tB-NP\tO' -p162725 -aS'patient\tpatient\tNN\tI-NP\tO' -p162726 -aS'was\tbe\tVBD\tB-VP\tO' -p162727 -aS'bolused\tboluse\tVBN\tI-VP\tO' -p162728 -aS'with\twith\tIN\tB-PP\tO' -p162729 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p162730 -aS'heparin\theparin\tNN\tI-NP\tO' -p162731 -aS'due\tdue\tJJ\tB-ADJP\tO' -p162732 -aS'to\tto\tTO\tB-PP\tO' -p162733 -aS'concern\tconcern\tNN\tB-NP\tO' -p162734 -aS'for\tfor\tIN\tB-PP\tO' -p162735 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p162736 -aS'embolism\tembolism\tNN\tI-NP\tO' -p162737 -aS'.\t.\t.\tO\tO' -p162738 -asS'9. Imdur 30 mg Tablet Sustained Release 24 HR Sig : One ( 1 ) Tablet Sustained Release 24HR PO once a day .' -p162739 -(lp162740 -S'9.\t9.\tCD\tB-NP\tO' -p162741 -aS'Imdur\tImdur\tNNP\tI-NP\tO' -p162742 -aS'30\t30\tCD\tI-NP\tO' -p162743 -aS'mg\tmg\tNN\tI-NP\tO' -p162744 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p162745 -aS'Sustained\tSustain\tVBD\tB-VP\tO' -p162746 -aS'Release\tRelease\tNNP\tB-NP\tO' -p162747 -aS'24\t24\tCD\tI-NP\tO' -p162748 -aS'HR\tHR\tNN\tI-NP\tO' -p162749 -aS'Sig\tSig\tNNP\tI-NP\tO' -p162750 -aS':\t:\t:\tO\tO' -p162751 -aS'One\tOne\tCD\tB-NP\tO' -p162752 -aS'(\t(\t(\tO\tO' -p162753 -aS'1\t1\tCD\tB-NP\tO' -p162754 -aS')\t)\t)\tO\tO' -p162755 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p162756 -aS'Sustained\tSustain\tVBD\tB-VP\tO' -p162757 -aS'Release\tRelease\tNN\tB-NP\tB-protein' -p162758 -aS'24HR\t24HR\tNN\tI-NP\tI-protein' -p162759 -aS'PO\tPO\tNN\tI-NP\tI-protein' -p162760 -aS'once\tonce\tRB\tO\tO' -p162761 -aS'a\ta\tDT\tB-NP\tO' -p162762 -aS'day\tday\tNN\tI-NP\tO' -p162763 -aS'.\t.\t.\tO\tO' -p162764 -asS'Patient was able to be extubated on hospital day three .' -p162765 -(lp162766 -S'Patient\tPatient\tNN\tB-NP\tO' -p162767 -aS'was\tbe\tVBD\tB-VP\tO' -p162768 -aS'able\table\tJJ\tB-ADJP\tO' -p162769 -aS'to\tto\tTO\tB-VP\tO' -p162770 -aS'be\tbe\tVB\tI-VP\tO' -p162771 -aS'extubated\textubate\tVBN\tI-VP\tO' -p162772 -aS'on\ton\tIN\tB-PP\tO' -p162773 -aS'hospital\thospital\tNN\tB-NP\tO' -p162774 -aS'day\tday\tNN\tI-NP\tO' -p162775 -aS'three\tthree\tCD\tI-NP\tO' -p162776 -aS'.\t.\t.\tO\tO' -p162777 -asS'The CEA was less than 0.7 .' -p162778 -(lp162779 -S'The\tThe\tDT\tB-NP\tO' -p162780 -aS'CEA\tCEA\tNN\tI-NP\tB-protein' -p162781 -aS'was\tbe\tVBD\tB-VP\tO' -p162782 -aS'less\tless\tJJR\tB-ADJP\tO' -p162783 -aS'than\tthan\tIN\tB-PP\tO' -p162784 -aS'0.7\t0.7\tCD\tB-NP\tO' -p162785 -aS'.\t.\t.\tO\tO' -p162786 -asS'5. Prednisone 40 mg p.o. q.d. with taper .' -p162787 -(lp162788 -S'5.\t5.\tLS\tB-NP\tO' -p162789 -aS'Prednisone\tPrednisone\tNN\tI-NP\tO' -p162790 -aS'40\t40\tCD\tI-NP\tO' -p162791 -aS'mg\tmg\tNN\tI-NP\tO' -p162792 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p162793 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p162794 -aS'with\twith\tIN\tB-PP\tO' -p162795 -aS'taper\ttaper\tNN\tB-NP\tO' -p162796 -aS'.\t.\t.\tO\tO' -p162797 -asS'Head CT 2014-01-09 - Ordered to evaluate for changes to explain delta MS' -p162798 -(lp162799 -S'Head\tHead\tNN\tB-NP\tO' -p162800 -aS'CT\tCT\tNN\tI-NP\tO' -p162801 -aS'2014-01-09\t2014-01-09\tCD\tI-NP\tO' -p162802 -aS'-\t-\tHYPH\tB-VP\tO' -p162803 -aS'Ordered\tOrder\tVBN\tI-VP\tO' -p162804 -aS'to\tto\tTO\tI-VP\tO' -p162805 -aS'evaluate\tevaluate\tVB\tI-VP\tO' -p162806 -aS'for\tfor\tIN\tB-PP\tO' -p162807 -aS'changes\tchange\tNNS\tB-NP\tO' -p162808 -aS'to\tto\tTO\tB-VP\tO' -p162809 -aS'explain\texplain\tVB\tI-VP\tO' -p162810 -aS'delta\tdelta\tNN\tB-NP\tO' -p162811 -aS'MS\tMS\tNN\tI-NP\tO' -p162812 -asS'The EKG was prior to catheterization and the one post PTCA was no different .' -p162813 -(lp162814 -S'The\tThe\tDT\tB-NP\tO' -p162815 -aS'EKG\tEKG\tNN\tI-NP\tB-protein' -p162816 -aS'was\tbe\tVBD\tB-VP\tO' -p162817 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p162818 -aS'to\tto\tTO\tB-PP\tO' -p162819 -aS'catheterization\tcatheterization\tNN\tB-NP\tO' -p162820 -aS'and\tand\tCC\tO\tO' -p162821 -aS'the\tthe\tDT\tB-NP\tO' -p162822 -aS'one\tone\tCD\tI-NP\tO' -p162823 -aS'post\tpost\tNN\tI-NP\tO' -p162824 -aS'PTCA\tPTCA\tNN\tI-NP\tO' -p162825 -aS'was\tbe\tVBD\tB-VP\tO' -p162826 -aS'no\tno\tDT\tB-NP\tO' -p162827 -aS'different\tdifferent\tJJ\tI-NP\tO' -p162828 -aS'.\t.\t.\tO\tO' -p162829 -asS'ON transfer to the floor she remained hemodynamically stable with stable Hct and declining bilirubin .' -p162830 -(lp162831 -S'ON\tON\tNN\tB-NP\tO' -p162832 -aS'transfer\ttransfer\tNN\tI-NP\tO' -p162833 -aS'to\tto\tTO\tB-PP\tO' -p162834 -aS'the\tthe\tDT\tB-NP\tO' -p162835 -aS'floor\tfloor\tNN\tI-NP\tO' -p162836 -aS'she\tshe\tPRP\tB-NP\tO' -p162837 -aS'remained\tremain\tVBD\tB-VP\tO' -p162838 -aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' -p162839 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p162840 -aS'with\twith\tIN\tB-PP\tO' -p162841 -aS'stable\tstable\tJJ\tB-NP\tO' -p162842 -aS'Hct\tHct\tNN\tI-NP\tO' -p162843 -aS'and\tand\tCC\tO\tO' -p162844 -aS'declining\tdecline\tVBG\tB-NP\tO' -p162845 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p162846 -aS'.\t.\t.\tO\tO' -p162847 -asS'6 ) The patient will continue her Prednisone at 40 mg p.o. q. day times one month ( this was started on July 27 , 1999 ) and then she will begin a slow taper as guided by Pulmonary .' -p162848 -(lp162849 -S'6\t6\tLS\tB-LST\tO' -p162850 -aS')\t)\t)\tO\tO' -p162851 -aS'The\tThe\tDT\tB-NP\tO' -p162852 -aS'patient\tpatient\tNN\tI-NP\tO' -p162853 -aS'will\twill\tMD\tB-VP\tO' -p162854 -aS'continue\tcontinue\tVB\tI-VP\tO' -p162855 -aS'her\ther\tPRP$\tB-NP\tO' -p162856 -aS'Prednisone\tPrednisone\tNN\tI-NP\tO' -p162857 -aS'at\tat\tIN\tB-PP\tO' -p162858 -aS'40\t40\tCD\tB-NP\tO' -p162859 -aS'mg\tmg\tNN\tI-NP\tO' -p162860 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p162861 -aS'q.\tq.\tNN\tI-NP\tO' -p162862 -aS'day\tday\tNN\tI-NP\tO' -p162863 -aS'times\ttime\tVBZ\tB-VP\tO' -p162864 -aS'one\tone\tCD\tB-NP\tO' -p162865 -aS'month\tmonth\tNN\tI-NP\tO' -p162866 -aS'(\t(\t(\tO\tO' -p162867 -aS'this\tthis\tDT\tB-NP\tO' -p162868 -aS'was\tbe\tVBD\tB-VP\tO' -p162869 -aS'started\tstart\tVBN\tI-VP\tO' -p162870 -aS'on\ton\tIN\tB-PP\tO' -p162871 -aS'July\tJuly\tNNP\tB-NP\tO' -p162872 -aS'27\t27\tCD\tI-NP\tO' -p162873 -aS',\t,\t,\tI-NP\tO' -p162874 -aS'1999\t1999\tCD\tI-NP\tO' -p162875 -aS')\t)\t)\tO\tO' -p162876 -aS'and\tand\tCC\tO\tO' -p162877 -aS'then\tthen\tRB\tO\tO' -p162878 -aS'she\tshe\tPRP\tB-NP\tO' -p162879 -aS'will\twill\tMD\tB-VP\tO' -p162880 -aS'begin\tbegin\tVB\tI-VP\tO' -p162881 -aS'a\ta\tDT\tB-NP\tO' -p162882 -aS'slow\tslow\tJJ\tI-NP\tO' -p162883 -aS'taper\ttaper\tNN\tI-NP\tO' -p162884 -aS'as\tas\tIN\tB-SBAR\tO' -p162885 -aS'guided\tguide\tVBN\tB-VP\tO' -p162886 -aS'by\tby\tIN\tB-PP\tO' -p162887 -aS'Pulmonary\tPulmonary\tNNP\tB-NP\tO' -p162888 -aS'.\t.\t.\tO\tO' -p162889 -asS'She was transferred to Arbour Hospital on 2015-02-21 for bowel obstruction , ischemia and worsening abdominal distention and pain .' -p162890 -(lp162891 -S'She\tShe\tPRP\tB-NP\tO' -p162892 -aS'was\tbe\tVBD\tB-VP\tO' -p162893 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p162894 -aS'to\tto\tTO\tB-PP\tO' -p162895 -aS'Arbour\tArbour\tNNP\tB-NP\tO' -p162896 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p162897 -aS'on\ton\tIN\tB-PP\tO' -p162898 -aS'2015-02-21\t2015-02-21\tCD\tB-NP\tO' -p162899 -aS'for\tfor\tIN\tB-PP\tO' -p162900 -aS'bowel\tbowel\tNN\tB-NP\tO' -p162901 -aS'obstruction\tobstruction\tNN\tI-NP\tO' -p162902 -aS',\t,\t,\tO\tO' -p162903 -aS'ischemia\tischemia\tNN\tB-NP\tO' -p162904 -aS'and\tand\tCC\tO\tO' -p162905 -aS'worsening\tworsen\tVBG\tB-VP\tO' -p162906 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p162907 -aS'distention\tdistention\tNN\tI-NP\tO' -p162908 -aS'and\tand\tCC\tI-NP\tO' -p162909 -aS'pain\tpain\tNN\tI-NP\tO' -p162910 -aS'.\t.\t.\tO\tO' -p162911 -asS'White count 13.9 , hematocrit 35.9 , platelet count 81,000 .' -p162912 -(lp162913 -S'White\tWhite\tJJ\tB-NP\tO' -p162914 -aS'count\tcount\tNN\tI-NP\tO' -p162915 -aS'13.9\t13.9\tCD\tI-NP\tO' -p162916 -aS',\t,\t,\tO\tO' -p162917 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p162918 -aS'35.9\t35.9\tCD\tI-NP\tI-protein' -p162919 -aS',\t,\t,\tO\tO' -p162920 -aS'platelet\tplatelet\tNN\tB-NP\tB-protein' -p162921 -aS'count\tcount\tNN\tI-NP\tI-protein' -p162922 -aS'81,000\t81,000\tCD\tI-NP\tI-protein' -p162923 -aS'.\t.\t.\tO\tO' -p162924 -asS'She spiked a fever to 103 with blood pressures hypertensive into the systolic 80 s and with rigors .' -p162925 -(lp162926 -S'She\tShe\tPRP\tB-NP\tO' -p162927 -aS'spiked\tspike\tVBD\tB-VP\tO' -p162928 -aS'a\ta\tDT\tB-NP\tO' -p162929 -aS'fever\tfever\tNN\tI-NP\tO' -p162930 -aS'to\tto\tTO\tB-PP\tO' -p162931 -aS'103\t103\tCD\tB-NP\tO' -p162932 -aS'with\twith\tIN\tB-PP\tO' -p162933 -aS'blood\tblood\tNN\tB-NP\tO' -p162934 -aS'pressures\tpressure\tNNS\tI-NP\tO' -p162935 -aS'hypertensive\thypertensive\tJJ\tB-ADJP\tO' -p162936 -aS'into\tinto\tIN\tB-PP\tO' -p162937 -aS'the\tthe\tDT\tB-NP\tO' -p162938 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p162939 -aS'80\t80\tCD\tI-NP\tO' -p162940 -aS's\ts\tNN\tI-NP\tO' -p162941 -aS'and\tand\tCC\tB-PP\tO' -p162942 -aS'with\twith\tIN\tB-PP\tO' -p162943 -aS'rigors\trigor\tNNS\tB-NP\tO' -p162944 -aS'.\t.\t.\tO\tO' -p162945 -asS'Chest x-ray rotated low lung volumes , hazy opacities at bases .' -p162946 -(lp162947 -S'Chest\tChest\tNNP\tB-NP\tO' -p162948 -aS'x-ray\tx-ray\tNNP\tI-NP\tO' -p162949 -aS'rotated\trotate\tVBD\tB-VP\tO' -p162950 -aS'low\tlow\tJJ\tB-NP\tO' -p162951 -aS'lung\tlung\tNN\tI-NP\tO' -p162952 -aS'volumes\tvolume\tNNS\tI-NP\tO' -p162953 -aS',\t,\t,\tO\tO' -p162954 -aS'hazy\thazy\tJJ\tB-NP\tO' -p162955 -aS'opacities\topacity\tNNS\tI-NP\tO' -p162956 -aS'at\tat\tIN\tB-PP\tO' -p162957 -aS'bases\tbase\tNNS\tB-NP\tO' -p162958 -aS'.\t.\t.\tO\tO' -p162959 -asS'Dr. Kim Adams .' -p162960 -(lp162961 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p162962 -aS'Kim\tKim\tNNP\tI-NP\tO' -p162963 -aS'Adams\tAdams\tNNP\tI-NP\tO' -p162964 -aS'.\t.\t.\tO\tO' -p162965 -asS'He remained chest pain free throughout his admission .' -p162966 -(lp162967 -S'He\tHe\tPRP\tB-NP\tO' -p162968 -aS'remained\tremain\tVBD\tB-VP\tO' -p162969 -aS'chest\tchest\tNN\tB-NP\tO' -p162970 -aS'pain\tpain\tNN\tI-NP\tO' -p162971 -aS'free\tfree\tJJ\tB-ADJP\tO' -p162972 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p162973 -aS'his\this\tPRP$\tB-NP\tO' -p162974 -aS'admission\tadmission\tNN\tI-NP\tO' -p162975 -aS'.\t.\t.\tO\tO' -p162976 -asS'There is no lymphadenopathy .' -p162977 -(lp162978 -S'There\tThere\tEX\tB-NP\tO' -p162979 -aS'is\tbe\tVBZ\tB-VP\tO' -p162980 -aS'no\tno\tDT\tB-NP\tO' -p162981 -aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' -p162982 -aS'.\t.\t.\tO\tO' -p162983 -asS'There were no rales .' -p162984 -(lp162985 -S'There\tThere\tEX\tB-NP\tO' -p162986 -aS'were\tbe\tVBD\tB-VP\tO' -p162987 -aS'no\tno\tDT\tB-NP\tO' -p162988 -aS'rales\trale\tNNS\tI-NP\tO' -p162989 -aS'.\t.\t.\tO\tO' -p162990 -asS"non-contributory for premature CAD ; father had MI in his 70 's" -p162991 -(lp162992 -S'non-contributory\tnon-contributory\tJJ\tB-ADJP\tO' -p162993 -aS'for\tfor\tIN\tB-PP\tO' -p162994 -aS'premature\tpremature\tJJ\tB-NP\tO' -p162995 -aS'CAD\tCAD\tNN\tI-NP\tO' -p162996 -aS';\t;\t:\tO\tO' -p162997 -aS'father\tfather\tNN\tB-NP\tO' -p162998 -aS'had\thave\tVBD\tB-VP\tO' -p162999 -aS'MI\tMI\tNN\tB-NP\tO' -p163000 -aS'in\tin\tIN\tB-PP\tO' -p163001 -aS'his\this\tPRP$\tB-NP\tO' -p163002 -aS'70\t70\tCD\tI-NP\tO' -p163003 -aS"'s\t's\tPOS\tB-NP\tO" -p163004 -asS"The PICC was d/c 'ed and pt was continued on vancomycin ( for course of 6 weeks ) and meropenem was added on 02-09 ( for 3 week course )." -p163005 -(lp163006 -S'The\tThe\tDT\tB-NP\tO' -p163007 -aS'PICC\tPICC\tNN\tI-NP\tO' -p163008 -aS'was\tbe\tVBD\tB-VP\tO' -p163009 -aS'd/c\td/c\tNN\tI-VP\tO' -p163010 -aS"'ed\t'e\tVBN\tI-VP\tO" -p163011 -aS'and\tand\tCC\tO\tO' -p163012 -aS'pt\tpt\tNN\tB-NP\tO' -p163013 -aS'was\tbe\tVBD\tB-VP\tO' -p163014 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p163015 -aS'on\ton\tIN\tB-PP\tO' -p163016 -aS'vancomycin\tvancomycin\tNN\tB-NP\tO' -p163017 -aS'(\t(\t(\tO\tO' -p163018 -aS'for\tfor\tIN\tB-PP\tO' -p163019 -aS'course\tcourse\tNN\tB-NP\tO' -p163020 -aS'of\tof\tIN\tB-PP\tO' -p163021 -aS'6\t6\tCD\tB-NP\tO' -p163022 -aS'weeks\tweek\tNNS\tI-NP\tO' -p163023 -aS')\t)\t)\tO\tO' -p163024 -aS'and\tand\tCC\tO\tO' -p163025 -aS'meropenem\tmeropenem\tNN\tB-NP\tO' -p163026 -aS'was\tbe\tVBD\tB-VP\tO' -p163027 -aS'added\tadd\tVBN\tI-VP\tO' -p163028 -aS'on\ton\tIN\tB-PP\tO' -p163029 -aS'02-09\t02-09\tCD\tB-NP\tO' -p163030 -aS'(\t(\t(\tO\tO' -p163031 -aS'for\tfor\tIN\tB-PP\tO' -p163032 -aS'3\t3\tCD\tB-NP\tO' -p163033 -aS'week\tweek\tNN\tI-NP\tO' -p163034 -aS'course\tcourse\tNN\tI-NP\tO' -p163035 -aS').\t).\t.\tO\tO' -p163036 -asS'On the right side his strength was 5 out 5 .' -p163037 -(lp163038 -S'On\tOn\tIN\tB-PP\tO' -p163039 -aS'the\tthe\tDT\tB-NP\tO' -p163040 -aS'right\tright\tJJ\tI-NP\tB-protein' -p163041 -aS'side\tside\tNN\tI-NP\tI-protein' -p163042 -aS'his\this\tPRP$\tB-NP\tI-protein' -p163043 -aS'strength\tstrength\tNN\tI-NP\tI-protein' -p163044 -aS'was\tbe\tVBD\tB-VP\tI-protein' -p163045 -aS'5\t5\tCD\tB-NP\tI-protein' -p163046 -aS'out\tout\tIN\tB-PP\tI-protein' -p163047 -aS'5\t5\tCD\tB-NP\tI-protein' -p163048 -aS'.\t.\t.\tO\tO' -p163049 -asS'1. Hepatitis C .' -p163050 -(lp163051 -S'1.\t1.\tLS\tB-NP\tO' -p163052 -aS'Hepatitis\tHepatitis\tNN\tI-NP\tO' -p163053 -aS'C\tC\tNN\tI-NP\tO' -p163054 -aS'.\t.\t.\tO\tO' -p163055 -asS'5) h/o lower extremity cellulitis .' -p163056 -(lp163057 -S'5)\t5)\tLS\tB-NP\tO' -p163058 -aS'h/o\th/o\tNN\tI-NP\tO' -p163059 -aS'lower\tlow\tJJR\tB-NP\tO' -p163060 -aS'extremity\textremity\tNN\tI-NP\tO' -p163061 -aS'cellulitis\tcellulitis\tNN\tI-NP\tO' -p163062 -aS'.\t.\t.\tO\tO' -p163063 -asS'There is no peripheral edema .' -p163064 -(lp163065 -S'There\tThere\tEX\tB-NP\tO' -p163066 -aS'is\tbe\tVBZ\tB-VP\tO' -p163067 -aS'no\tno\tDT\tB-NP\tO' -p163068 -aS'peripheral\tperipheral\tJJ\tI-NP\tO' -p163069 -aS'edema\tedema\tNN\tI-NP\tO' -p163070 -aS'.\t.\t.\tO\tO' -p163071 -asS'No masses and guaiac negative .' -p163072 -(lp163073 -S'No\tNo\tDT\tB-NP\tO' -p163074 -aS'masses\tmass\tNNS\tI-NP\tO' -p163075 -aS'and\tand\tCC\tI-NP\tO' -p163076 -aS'guaiac\tguaiac\tNN\tI-NP\tO' -p163077 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p163078 -aS'.\t.\t.\tO\tO' -p163079 -asS'Coronary artery disease - s/p CABG' -p163080 -(lp163081 -S'Coronary\tCoronary\tJJ\tB-NP\tO' -p163082 -aS'artery\tartery\tNN\tI-NP\tO' -p163083 -aS'disease\tdisease\tNN\tI-NP\tO' -p163084 -aS'-\t-\tHYPH\tB-NP\tO' -p163085 -aS's/p\ts/p\tNN\tI-NP\tO' -p163086 -aS'CABG\tCABG\tNN\tI-NP\tO' -p163087 -asS'NAD , awake , alert , blind , able to hear loud voices at L ear' -p163088 -(lp163089 -S'NAD\tNAD\tNN\tB-NP\tO' -p163090 -aS',\t,\t,\tO\tO' -p163091 -aS'awake\tawake\tNN\tB-NP\tO' -p163092 -aS',\t,\t,\tO\tO' -p163093 -aS'alert\talert\tJJ\tB-NP\tO' -p163094 -aS',\t,\t,\tI-NP\tO' -p163095 -aS'blind\tblind\tJJ\tI-NP\tO' -p163096 -aS',\t,\t,\tI-NP\tO' -p163097 -aS'able\table\tJJ\tI-NP\tO' -p163098 -aS'to\tto\tTO\tB-VP\tO' -p163099 -aS'hear\thear\tVB\tI-VP\tO' -p163100 -aS'loud\tloud\tJJ\tB-NP\tO' -p163101 -aS'voices\tvoice\tNNS\tI-NP\tO' -p163102 -aS'at\tat\tIN\tB-PP\tO' -p163103 -aS'L\tL\tNN\tB-NP\tO' -p163104 -aS'ear\tear\tNN\tI-NP\tO' -p163105 -asS'4. Status post left arteriovenous graft placement for hemodialysis .' -p163106 -(lp163107 -S'4.\t4.\tLS\tB-NP\tO' -p163108 -aS'Status\tStatus\tNNP\tI-NP\tO' -p163109 -aS'post\tpost\tNN\tI-NP\tO' -p163110 -aS'left\tleave\tVBD\tB-VP\tO' -p163111 -aS'arteriovenous\tarteriovenous\tJJ\tB-NP\tO' -p163112 -aS'graft\tgraft\tNN\tI-NP\tO' -p163113 -aS'placement\tplacement\tNN\tI-NP\tO' -p163114 -aS'for\tfor\tIN\tB-PP\tO' -p163115 -aS'hemodialysis\themodialysis\tNN\tB-NP\tO' -p163116 -aS'.\t.\t.\tO\tO' -p163117 -asS'Comfortable , conversational , appears same as week prior , no apparent distress .' -p163118 -(lp163119 -S'Comfortable\tComfortable\tJJ\tB-NP\tO' -p163120 -aS',\t,\t,\tI-NP\tO' -p163121 -aS'conversational\tconversational\tJJ\tI-NP\tO' -p163122 -aS',\t,\t,\tO\tO' -p163123 -aS'appears\tappear\tVBZ\tB-VP\tO' -p163124 -aS'same\tsame\tJJ\tB-ADJP\tO' -p163125 -aS'as\tas\tIN\tB-PP\tO' -p163126 -aS'week\tweek\tNN\tB-NP\tO' -p163127 -aS'prior\tprior\tRB\tB-ADVP\tO' -p163128 -aS',\t,\t,\tO\tO' -p163129 -aS'no\tno\tDT\tB-NP\tO' -p163130 -aS'apparent\tapparent\tJJ\tI-NP\tO' -p163131 -aS'distress\tdistress\tNN\tI-NP\tO' -p163132 -aS'.\t.\t.\tO\tO' -p163133 -asS'Distended , positive bowel sounds , soft , mild tenderness in the left lower quadrant , no rebound .' -p163134 -(lp163135 -S'Distended\tDistend\tVBN\tB-NP\tO' -p163136 -aS',\t,\t,\tI-NP\tO' -p163137 -aS'positive\tpositive\tJJ\tI-NP\tO' -p163138 -aS'bowel\tbowel\tNN\tI-NP\tO' -p163139 -aS'sounds\tsound\tNNS\tI-NP\tO' -p163140 -aS',\t,\t,\tO\tO' -p163141 -aS'soft\tsoft\tJJ\tB-NP\tO' -p163142 -aS',\t,\t,\tI-NP\tO' -p163143 -aS'mild\tmild\tJJ\tI-NP\tO' -p163144 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p163145 -aS'in\tin\tIN\tB-PP\tO' -p163146 -aS'the\tthe\tDT\tB-NP\tO' -p163147 -aS'left\tleft\tJJ\tI-NP\tO' -p163148 -aS'lower\tlow\tJJR\tI-NP\tO' -p163149 -aS'quadrant\tquadrant\tNN\tI-NP\tO' -p163150 -aS',\t,\t,\tO\tO' -p163151 -aS'no\tno\tDT\tB-NP\tO' -p163152 -aS'rebound\trebound\tNN\tI-NP\tO' -p163153 -aS'.\t.\t.\tO\tO' -p163154 -asS'None .' -p163155 -(lp163156 -S'None\tNone\tNN\tB-NP\tO' -p163157 -aS'.\t.\t.\tO\tO' -p163158 -asS'The patient was able to spell world backwards on the third attempt .' -p163159 -(lp163160 -S'The\tThe\tDT\tB-NP\tO' -p163161 -aS'patient\tpatient\tNN\tI-NP\tO' -p163162 -aS'was\tbe\tVBD\tB-VP\tO' -p163163 -aS'able\table\tJJ\tB-ADJP\tO' -p163164 -aS'to\tto\tTO\tB-VP\tO' -p163165 -aS'spell\tspell\tVB\tI-VP\tO' -p163166 -aS'world\tworld\tNN\tB-NP\tO' -p163167 -aS'backwards\tbackward\tNNS\tI-NP\tO' -p163168 -aS'on\ton\tIN\tB-PP\tO' -p163169 -aS'the\tthe\tDT\tB-NP\tO' -p163170 -aS'third\tthird\tJJ\tI-NP\tO' -p163171 -aS'attempt\tattempt\tNN\tI-NP\tO' -p163172 -aS'.\t.\t.\tO\tO' -p163173 -asS'Following evaluation and treatment , the patient 's disposition at the end of the visit was ADMITTED AS AN INPATIENT TO WELL GENERAL HOSPITAL .' -p163174 -(lp163175 -S'Following\tFollow\tVBG\tB-PP\tO' -p163176 -aS'evaluation\tevaluation\tNN\tB-NP\tO' -p163177 -aS'and\tand\tCC\tI-NP\tO' -p163178 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p163179 -aS',\t,\t,\tO\tO' -p163180 -aS'the\tthe\tDT\tB-NP\tO' -p163181 -aS'patient\tpatient\tNN\tI-NP\tO' -p163182 -aS''s\t'\tNNS\tI-NP\tO' -p163183 -aS'disposition\tdisposition\tNN\tI-NP\tO' -p163184 -aS'at\tat\tIN\tB-PP\tO' -p163185 -aS'the\tthe\tDT\tB-NP\tO' -p163186 -aS'end\tend\tNN\tI-NP\tO' -p163187 -aS'of\tof\tIN\tB-PP\tO' -p163188 -aS'the\tthe\tDT\tB-NP\tO' -p163189 -aS'visit\tvisit\tNN\tI-NP\tO' -p163190 -aS'was\tbe\tVBD\tB-VP\tO' -p163191 -aS'ADMITTED\tADMITTED\tVBN\tI-VP\tO' -p163192 -aS'AS\tAS\tNNP\tB-NP\tO' -p163193 -aS'AN\tAN\tNNP\tI-NP\tO' -p163194 -aS'INPATIENT\tINPATIENT\tNNP\tI-NP\tO' -p163195 -aS'TO\tTO\tNNP\tI-NP\tO' -p163196 -aS'WELL\tWELL\tNNP\tI-NP\tO' -p163197 -aS'GENERAL\tGENERAL\tNNP\tI-NP\tO' -p163198 -aS'HOSPITAL\tHOSPITAL\tNNP\tI-NP\tO' -p163199 -aS'.\t.\t.\tO\tO' -p163200 -asS'On the evening of the 22nd , the patient became acutely agitated , threatening to leave , and also threatening to harm those nurses and physicians that were attempting to prevent him from leaving .' -p163201 -(lp163202 -S'On\tOn\tIN\tB-PP\tO' -p163203 -aS'the\tthe\tDT\tB-NP\tO' -p163204 -aS'evening\tevening\tNN\tI-NP\tO' -p163205 -aS'of\tof\tIN\tB-PP\tO' -p163206 -aS'the\tthe\tDT\tB-NP\tO' -p163207 -aS'22nd\t22nd\tNN\tI-NP\tO' -p163208 -aS',\t,\t,\tO\tO' -p163209 -aS'the\tthe\tDT\tB-NP\tO' -p163210 -aS'patient\tpatient\tNN\tI-NP\tO' -p163211 -aS'became\tbecome\tVBD\tB-VP\tO' -p163212 -aS'acutely\tacutely\tRB\tB-ADJP\tO' -p163213 -aS'agitated\tagitate\tVBN\tI-ADJP\tO' -p163214 -aS',\t,\t,\tO\tO' -p163215 -aS'threatening\tthreaten\tVBG\tB-VP\tO' -p163216 -aS'to\tto\tTO\tI-VP\tO' -p163217 -aS'leave\tleave\tVB\tI-VP\tO' -p163218 -aS',\t,\t,\tO\tO' -p163219 -aS'and\tand\tCC\tO\tO' -p163220 -aS'also\talso\tRB\tB-VP\tO' -p163221 -aS'threatening\tthreaten\tVBG\tI-VP\tO' -p163222 -aS'to\tto\tTO\tI-VP\tO' -p163223 -aS'harm\tharm\tVB\tI-VP\tO' -p163224 -aS'those\tthose\tDT\tB-NP\tO' -p163225 -aS'nurses\tnurse\tNNS\tI-NP\tO' -p163226 -aS'and\tand\tCC\tI-NP\tO' -p163227 -aS'physicians\tphysician\tNNS\tI-NP\tO' -p163228 -aS'that\tthat\tWDT\tB-NP\tO' -p163229 -aS'were\tbe\tVBD\tB-VP\tO' -p163230 -aS'attempting\tattempt\tVBG\tI-VP\tO' -p163231 -aS'to\tto\tTO\tI-VP\tO' -p163232 -aS'prevent\tprevent\tVB\tI-VP\tO' -p163233 -aS'him\thim\tPRP\tB-NP\tO' -p163234 -aS'from\tfrom\tIN\tB-PP\tO' -p163235 -aS'leaving\tleave\tVBG\tB-NP\tO' -p163236 -aS'.\t.\t.\tO\tO' -p163237 -asS'Edith AI .' -p163238 -(lp163239 -S'Edith\tEdith\tNNP\tB-NP\tO' -p163240 -aS'AI\tAI\tNNP\tI-NP\tO' -p163241 -aS'.\t.\t.\tO\tO' -p163242 -asS"On postoperative day number eight , the patient 's oxygen saturation dropped to 85% on room air and he was transferred to the Surgical Intensive Care Unit for fluid management ." -p163243 -(lp163244 -S'On\tOn\tIN\tB-PP\tO' -p163245 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p163246 -aS'day\tday\tNN\tI-NP\tO' -p163247 -aS'number\tnumber\tNN\tI-NP\tO' -p163248 -aS'eight\teight\tCD\tI-NP\tO' -p163249 -aS',\t,\t,\tO\tO' -p163250 -aS'the\tthe\tDT\tB-NP\tO' -p163251 -aS'patient\tpatient\tNN\tI-NP\tO' -p163252 -aS"'s\t's\tPOS\tB-NP\tO" -p163253 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p163254 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p163255 -aS'dropped\tdrop\tVBD\tB-VP\tO' -p163256 -aS'to\tto\tTO\tI-VP\tO' -p163257 -aS'85%\t85%\tVB\tI-VP\tO' -p163258 -aS'on\ton\tIN\tB-PP\tO' -p163259 -aS'room\troom\tNN\tB-NP\tO' -p163260 -aS'air\tair\tNN\tI-NP\tO' -p163261 -aS'and\tand\tCC\tO\tO' -p163262 -aS'he\the\tPRP\tB-NP\tO' -p163263 -aS'was\tbe\tVBD\tB-VP\tO' -p163264 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p163265 -aS'to\tto\tTO\tB-PP\tO' -p163266 -aS'the\tthe\tDT\tB-NP\tO' -p163267 -aS'Surgical\tSurgical\tNNP\tI-NP\tO' -p163268 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p163269 -aS'Care\tCare\tNNP\tI-NP\tO' -p163270 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p163271 -aS'for\tfor\tIN\tB-PP\tO' -p163272 -aS'fluid\tfluid\tJJ\tB-NP\tO' -p163273 -aS'management\tmanagement\tNN\tI-NP\tO' -p163274 -aS'.\t.\t.\tO\tO' -p163275 -asS'Total bilirubin was 2.1 .' -p163276 -(lp163277 -S'Total\tTotal\tJJ\tB-NP\tO' -p163278 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p163279 -aS'was\tbe\tVBD\tB-VP\tO' -p163280 -aS'2.1\t2.1\tCD\tB-NP\tO' -p163281 -aS'.\t.\t.\tO\tO' -p163282 -asS'Mammogram was normal 7/92 , and 5/92 .' -p163283 -(lp163284 -S'Mammogram\tMammogram\tNNP\tB-NP\tO' -p163285 -aS'was\tbe\tVBD\tB-VP\tO' -p163286 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p163287 -aS'7/92\t7/92\tCD\tB-NP\tO' -p163288 -aS',\t,\t,\tO\tO' -p163289 -aS'and\tand\tCC\tO\tO' -p163290 -aS'5/92\t5/92\tCD\tB-NP\tO' -p163291 -aS'.\t.\t.\tO\tO' -p163292 -asS'There is no mass effect or shift of the normally midline structures .' -p163293 -(lp163294 -S'There\tThere\tEX\tB-NP\tO' -p163295 -aS'is\tbe\tVBZ\tB-VP\tO' -p163296 -aS'no\tno\tDT\tB-NP\tO' -p163297 -aS'mass\tmass\tNN\tI-NP\tO' -p163298 -aS'effect\teffect\tNN\tI-NP\tO' -p163299 -aS'or\tor\tCC\tI-NP\tO' -p163300 -aS'shift\tshift\tNN\tI-NP\tO' -p163301 -aS'of\tof\tIN\tB-PP\tO' -p163302 -aS'the\tthe\tDT\tB-NP\tO' -p163303 -aS'normally\tnormally\tRB\tI-NP\tO' -p163304 -aS'midline\tmidline\tNN\tI-NP\tO' -p163305 -aS'structures\tstructure\tNNS\tI-NP\tO' -p163306 -aS'.\t.\t.\tO\tO' -p163307 -asS'9. Right below the knee amputation in 2008 .' -p163308 -(lp163309 -S'9.\t9.\tLS\tB-NP\tO' -p163310 -aS'Right\tRight\tNN\tI-NP\tO' -p163311 -aS'below\tbelow\tIN\tB-PP\tO' -p163312 -aS'the\tthe\tDT\tB-NP\tO' -p163313 -aS'knee\tknee\tNN\tI-NP\tO' -p163314 -aS'amputation\tamputation\tNN\tI-NP\tO' -p163315 -aS'in\tin\tIN\tB-PP\tO' -p163316 -aS'2008\t2008\tCD\tB-NP\tO' -p163317 -aS'.\t.\t.\tO\tO' -p163318 -asS'The cardiac examination demonstrated single S1 , S2 , no murmurs .' -p163319 -(lp163320 -S'The\tThe\tDT\tB-NP\tO' -p163321 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p163322 -aS'examination\texamination\tNN\tI-NP\tO' -p163323 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p163324 -aS'single\tsingle\tJJ\tB-NP\tO' -p163325 -aS'S1\tS1\tNN\tI-NP\tO' -p163326 -aS',\t,\t,\tO\tO' -p163327 -aS'S2\tS2\tNN\tB-NP\tB-protein' -p163328 -aS',\t,\t,\tO\tO' -p163329 -aS'no\tno\tDT\tB-NP\tO' -p163330 -aS'murmurs\tmurmur\tNNS\tI-NP\tO' -p163331 -aS'.\t.\t.\tO\tO' -p163332 -asS'Blood cultures drawn on 12/01/03 were negative .' -p163333 -(lp163334 -S'Blood\tBlood\tNN\tB-NP\tO' -p163335 -aS'cultures\tculture\tNNS\tI-NP\tO' -p163336 -aS'drawn\tdraw\tVBN\tB-VP\tO' -p163337 -aS'on\ton\tIN\tB-PP\tO' -p163338 -aS'12/01/03\t12/01/03\tCD\tB-NP\tO' -p163339 -aS'were\tbe\tVBD\tB-VP\tO' -p163340 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p163341 -aS'.\t.\t.\tO\tO' -p163342 -asS'17) h/o breast CA s/p mastectomies' -p163343 -(lp163344 -S'17)\t17)\tLS\tB-NP\tO' -p163345 -aS'h/o\th/o\tNN\tI-NP\tO' -p163346 -aS'breast\tbreast\tNN\tI-NP\tO' -p163347 -aS'CA\tCA\tNN\tI-NP\tO' -p163348 -aS's/p\ts/p\tNN\tI-NP\tO' -p163349 -aS'mastectomies\tmastectomy\tNNS\tI-NP\tO' -p163350 -asS'Her epidural catheter was removed on 6/29 .' -p163351 -(lp163352 -S'Her\tHer\tPRP$\tB-NP\tO' -p163353 -aS'epidural\tepidural\tJJ\tI-NP\tO' -p163354 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p163355 -aS'was\tbe\tVBD\tB-VP\tO' -p163356 -aS'removed\tremove\tVBN\tI-VP\tO' -p163357 -aS'on\ton\tIN\tB-PP\tO' -p163358 -aS'6/29\t6/29\tCD\tB-NP\tO' -p163359 -aS'.\t.\t.\tO\tO' -p163360 -asS'Comfortable with good aeration , clear breath sounds , does grunt intermittently when disturbed .' -p163361 -(lp163362 -S'Comfortable\tComfortable\tJJ\tB-ADJP\tO' -p163363 -aS'with\twith\tIN\tB-PP\tO' -p163364 -aS'good\tgood\tJJ\tB-NP\tO' -p163365 -aS'aeration\taeration\tNN\tI-NP\tO' -p163366 -aS',\t,\t,\tO\tO' -p163367 -aS'clear\tclear\tJJ\tB-NP\tO' -p163368 -aS'breath\tbreath\tNN\tI-NP\tO' -p163369 -aS'sounds\tsound\tNNS\tI-NP\tO' -p163370 -aS',\t,\t,\tO\tO' -p163371 -aS'does\tdo\tVBZ\tB-VP\tO' -p163372 -aS'grunt\tgrunt\tNN\tB-NP\tO' -p163373 -aS'intermittently\tintermittently\tRB\tB-ADVP\tO' -p163374 -aS'when\twhen\tWRB\tB-ADVP\tO' -p163375 -aS'disturbed\tdisturb\tVBN\tB-VP\tO' -p163376 -aS'.\t.\t.\tO\tO' -p163377 -asS'Aspirin under which she develops worsening of her shortness of breath and asthma flare , tetracycline , sulfa ,' -p163378 -(lp163379 -S'Aspirin\tAspirin\tNN\tB-NP\tO' -p163380 -aS'under\tunder\tIN\tB-PP\tO' -p163381 -aS'which\twhich\tWDT\tB-NP\tO' -p163382 -aS'she\tshe\tPRP\tB-NP\tO' -p163383 -aS'develops\tdevelop\tVBZ\tB-VP\tO' -p163384 -aS'worsening\tworsen\tVBG\tI-VP\tO' -p163385 -aS'of\tof\tIN\tB-PP\tO' -p163386 -aS'her\ther\tPRP$\tB-NP\tO' -p163387 -aS'shortness\tshortness\tNN\tI-NP\tO' -p163388 -aS'of\tof\tIN\tB-PP\tO' -p163389 -aS'breath\tbreath\tNN\tB-NP\tO' -p163390 -aS'and\tand\tCC\tI-NP\tO' -p163391 -aS'asthma\tasthma\tNN\tI-NP\tO' -p163392 -aS'flare\tflare\tNN\tI-NP\tO' -p163393 -aS',\t,\t,\tO\tO' -p163394 -aS'tetracycline\ttetracycline\tNN\tB-NP\tO' -p163395 -aS',\t,\t,\tO\tO' -p163396 -aS'sulfa\tsulfa\tNN\tB-NP\tO' -p163397 -aS',\t,\t,\tO\tO' -p163398 -asS'She did not complain of headache , diplopia , or any other neurological symptoms .' -p163399 -(lp163400 -S'She\tShe\tPRP\tB-NP\tO' -p163401 -aS'did\tdo\tVBD\tB-VP\tO' -p163402 -aS'not\tnot\tRB\tI-VP\tO' -p163403 -aS'complain\tcomplain\tVB\tI-VP\tO' -p163404 -aS'of\tof\tIN\tB-PP\tO' -p163405 -aS'headache\theadache\tNN\tB-NP\tO' -p163406 -aS',\t,\t,\tO\tO' -p163407 -aS'diplopia\tdiplopia\tNN\tB-NP\tO' -p163408 -aS',\t,\t,\tO\tO' -p163409 -aS'or\tor\tCC\tO\tO' -p163410 -aS'any\tany\tDT\tB-NP\tO' -p163411 -aS'other\tother\tJJ\tI-NP\tO' -p163412 -aS'neurological\tneurological\tJJ\tI-NP\tO' -p163413 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p163414 -aS'.\t.\t.\tO\tO' -p163415 -asS'No murmurs have been noted .' -p163416 -(lp163417 -S'No\tNo\tDT\tB-NP\tO' -p163418 -aS'murmurs\tmurmur\tNNS\tI-NP\tO' -p163419 -aS'have\thave\tVBP\tB-VP\tO' -p163420 -aS'been\tbe\tVBN\tI-VP\tO' -p163421 -aS'noted\tnote\tVBN\tI-VP\tO' -p163422 -aS'.\t.\t.\tO\tO' -p163423 -asS'Ext : warm , no edema , no varicosities' -p163424 -(lp163425 -S'Ext\tExt\tNNP\tB-NP\tO' -p163426 -aS':\t:\t:\tO\tO' -p163427 -aS'warm\twarm\tNN\tB-NP\tO' -p163428 -aS',\t,\t,\tO\tO' -p163429 -aS'no\tno\tDT\tB-NP\tO' -p163430 -aS'edema\tedema\tNN\tI-NP\tO' -p163431 -aS',\t,\t,\tO\tO' -p163432 -aS'no\tno\tDT\tB-NP\tO' -p163433 -aS'varicosities\tvaricosity\tNNS\tI-NP\tO' -p163434 -asS'The patient was admitted to the Surgical Intensive Care Unit postoperatively .' -p163435 -(lp163436 -S'The\tThe\tDT\tB-NP\tO' -p163437 -aS'patient\tpatient\tNN\tI-NP\tO' -p163438 -aS'was\tbe\tVBD\tB-VP\tO' -p163439 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p163440 -aS'to\tto\tTO\tB-PP\tO' -p163441 -aS'the\tthe\tDT\tB-NP\tO' -p163442 -aS'Surgical\tSurgical\tNNP\tI-NP\tO' -p163443 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p163444 -aS'Care\tCare\tNNP\tI-NP\tO' -p163445 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p163446 -aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' -p163447 -aS'.\t.\t.\tO\tO' -p163448 -asS'On 06/24/00 the patient was found to have pulmonary infiltrates and some hemoptysis .' -p163449 -(lp163450 -S'On\tOn\tIN\tB-PP\tO' -p163451 -aS'06/24/00\t06/24/00\tCD\tB-NP\tO' -p163452 -aS'the\tthe\tDT\tB-NP\tO' -p163453 -aS'patient\tpatient\tNN\tI-NP\tO' -p163454 -aS'was\tbe\tVBD\tB-VP\tO' -p163455 -aS'found\tfind\tVBN\tI-VP\tO' -p163456 -aS'to\tto\tTO\tI-VP\tO' -p163457 -aS'have\thave\tVB\tI-VP\tO' -p163458 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p163459 -aS'infiltrates\tinfiltrate\tNNS\tI-NP\tO' -p163460 -aS'and\tand\tCC\tO\tO' -p163461 -aS'some\tsome\tDT\tB-NP\tO' -p163462 -aS'hemoptysis\themoptysis\tNN\tI-NP\tO' -p163463 -aS'.\t.\t.\tO\tO' -p163464 -asS'Bun / Cr were stable .' -p163465 -(lp163466 -S'Bun\tBun\tNN\tB-NP\tB-protein' -p163467 -aS'/\t/\tSYM\tI-NP\tO' -p163468 -aS'Cr\tCr\tNN\tI-NP\tO' -p163469 -aS'were\tbe\tVBD\tB-VP\tO' -p163470 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p163471 -aS'.\t.\t.\tO\tO' -p163472 -asS'Physical therapy was consulted on 2014-04-01 .' -p163473 -(lp163474 -S'Physical\tPhysical\tJJ\tB-NP\tO' -p163475 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p163476 -aS'was\tbe\tVBD\tB-VP\tO' -p163477 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p163478 -aS'on\ton\tIN\tB-PP\tO' -p163479 -aS'2014-04-01\t2014-04-01\tCD\tB-NP\tO' -p163480 -aS'.\t.\t.\tO\tO' -p163481 -asS"Mr. Lockley is a 73 yo male with a complicated past medical history , recently discharged from St. Margaret 's Center for Women & Infants on 08-02 following a prolonged admission for STEMI , respiratory failure felt secondary to pulmonary edema requiring intubation and subsequent tracheostomy 02-22 failure to wean , sepsis and C.difficile colitis treated with Vancomycin and Flagyl with a course of Levophed ." -p163482 -(lp163483 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p163484 -aS'Lockley\tLockley\tNNP\tI-NP\tO' -p163485 -aS'is\tbe\tVBZ\tB-VP\tO' -p163486 -aS'a\ta\tDT\tB-NP\tO' -p163487 -aS'73\t73\tCD\tI-NP\tO' -p163488 -aS'yo\tyo\tNN\tI-NP\tO' -p163489 -aS'male\tmale\tNN\tI-NP\tO' -p163490 -aS'with\twith\tIN\tB-PP\tO' -p163491 -aS'a\ta\tDT\tB-NP\tO' -p163492 -aS'complicated\tcomplicated\tJJ\tI-NP\tO' -p163493 -aS'past\tpast\tJJ\tI-NP\tO' -p163494 -aS'medical\tmedical\tJJ\tI-NP\tO' -p163495 -aS'history\thistory\tNN\tI-NP\tO' -p163496 -aS',\t,\t,\tO\tO' -p163497 -aS'recently\trecently\tRB\tB-ADVP\tO' -p163498 -aS'discharged\tdischarge\tVBN\tB-VP\tO' -p163499 -aS'from\tfrom\tIN\tB-PP\tO' -p163500 -aS'St.\tSt.\tNNP\tB-NP\tO' -p163501 -aS'Margaret\tMargaret\tNNP\tI-NP\tO' -p163502 -aS"'s\t's\tPOS\tB-NP\tO" -p163503 -aS'Center\tCenter\tNNP\tI-NP\tO' -p163504 -aS'for\tfor\tIN\tB-PP\tO' -p163505 -aS'Women\tWomen\tNNP\tB-NP\tO' -p163506 -aS'&\t&\tCC\tI-NP\tO' -p163507 -aS'Infants\tInfant\tNNPS\tI-NP\tO' -p163508 -aS'on\ton\tIN\tB-PP\tO' -p163509 -aS'08-02\t08-02\tCD\tB-NP\tO' -p163510 -aS'following\tfollow\tVBG\tB-PP\tO' -p163511 -aS'a\ta\tDT\tB-NP\tO' -p163512 -aS'prolonged\tprolong\tVBN\tI-NP\tO' -p163513 -aS'admission\tadmission\tNN\tI-NP\tO' -p163514 -aS'for\tfor\tIN\tB-PP\tO' -p163515 -aS'STEMI\tSTEMI\tNN\tB-NP\tB-protein' -p163516 -aS',\t,\t,\tO\tO' -p163517 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p163518 -aS'failure\tfailure\tNN\tI-NP\tO' -p163519 -aS'felt\tfeel\tVBD\tB-VP\tO' -p163520 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p163521 -aS'to\tto\tTO\tB-PP\tO' -p163522 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p163523 -aS'edema\tedema\tNN\tI-NP\tO' -p163524 -aS'requiring\trequire\tVBG\tB-VP\tO' -p163525 -aS'intubation\tintubation\tNN\tB-NP\tO' -p163526 -aS'and\tand\tCC\tO\tO' -p163527 -aS'subsequent\tsubsequent\tJJ\tB-NP\tO' -p163528 -aS'tracheostomy\ttracheostomy\tNN\tI-NP\tO' -p163529 -aS'02-22\t02-22\tCD\tI-NP\tO' -p163530 -aS'failure\tfailure\tNN\tI-NP\tO' -p163531 -aS'to\tto\tTO\tB-VP\tO' -p163532 -aS'wean\twean\tVB\tI-VP\tO' -p163533 -aS',\t,\t,\tO\tO' -p163534 -aS'sepsis\tsepsis\tNN\tB-NP\tO' -p163535 -aS'and\tand\tCC\tI-NP\tO' -p163536 -aS'C.difficile\tC.difficile\tNN\tI-NP\tO' -p163537 -aS'colitis\tcolitis\tNN\tI-NP\tO' -p163538 -aS'treated\ttreat\tVBN\tB-VP\tO' -p163539 -aS'with\twith\tIN\tB-PP\tO' -p163540 -aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' -p163541 -aS'and\tand\tCC\tI-NP\tO' -p163542 -aS'Flagyl\tFlagyl\tNN\tI-NP\tO' -p163543 -aS'with\twith\tIN\tB-PP\tO' -p163544 -aS'a\ta\tDT\tB-NP\tO' -p163545 -aS'course\tcourse\tNN\tI-NP\tO' -p163546 -aS'of\tof\tIN\tB-PP\tO' -p163547 -aS'Levophed\tLevophed\tNNP\tB-NP\tO' -p163548 -aS'.\t.\t.\tO\tO' -p163549 -asS'In addition , the patient was given magnesium to bring his level above 2 .' -p163550 -(lp163551 -S'In\tIn\tIN\tB-PP\tO' -p163552 -aS'addition\taddition\tNN\tB-NP\tO' -p163553 -aS',\t,\t,\tO\tO' -p163554 -aS'the\tthe\tDT\tB-NP\tO' -p163555 -aS'patient\tpatient\tNN\tI-NP\tO' -p163556 -aS'was\tbe\tVBD\tB-VP\tO' -p163557 -aS'given\tgive\tVBN\tI-VP\tO' -p163558 -aS'magnesium\tmagnesium\tNN\tB-NP\tO' -p163559 -aS'to\tto\tTO\tB-VP\tO' -p163560 -aS'bring\tbring\tVB\tI-VP\tO' -p163561 -aS'his\this\tPRP$\tB-NP\tO' -p163562 -aS'level\tlevel\tNN\tI-NP\tO' -p163563 -aS'above\tabove\tIN\tB-PP\tO' -p163564 -aS'2\t2\tCD\tB-NP\tO' -p163565 -aS'.\t.\t.\tO\tO' -p163566 -asS'Pt discharged with instructions to continue coumadin 1.5 mg po q daily with goal INR 02-09 .' -p163567 -(lp163568 -S'Pt\tPt\tNN\tB-NP\tO' -p163569 -aS'discharged\tdischarge\tVBD\tB-VP\tO' -p163570 -aS'with\twith\tIN\tB-PP\tO' -p163571 -aS'instructions\tinstruction\tNNS\tB-NP\tO' -p163572 -aS'to\tto\tTO\tB-VP\tO' -p163573 -aS'continue\tcontinue\tVB\tI-VP\tO' -p163574 -aS'coumadin\tcoumadin\tNN\tB-NP\tO' -p163575 -aS'1.5\t1.5\tCD\tI-NP\tO' -p163576 -aS'mg\tmg\tNN\tI-NP\tO' -p163577 -aS'po\tpo\tNN\tI-NP\tO' -p163578 -aS'q\tq\tNN\tI-NP\tO' -p163579 -aS'daily\tdaily\tRB\tB-ADVP\tO' -p163580 -aS'with\twith\tIN\tB-PP\tO' -p163581 -aS'goal\tgoal\tNN\tB-NP\tO' -p163582 -aS'INR\tINR\tNN\tI-NP\tO' -p163583 -aS'02-09\t02-09\tCD\tI-NP\tO' -p163584 -aS'.\t.\t.\tO\tO' -p163585 -asS'Gastrointestinal was consulted .' -p163586 -(lp163587 -S'Gastrointestinal\tGastrointestinal\tNNP\tB-NP\tO' -p163588 -aS'was\tbe\tVBD\tB-VP\tO' -p163589 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p163590 -aS'.\t.\t.\tO\tO' -p163591 -asS'Ext : no c/c/e , no edema' -p163592 -(lp163593 -S'Ext\tExt\tNN\tB-NP\tO' -p163594 -aS':\t:\t:\tO\tO' -p163595 -aS'no\tno\tDT\tB-NP\tO' -p163596 -aS'c/c/e\tc/c/e\tNN\tI-NP\tO' -p163597 -aS',\t,\t,\tO\tO' -p163598 -aS'no\tno\tDT\tB-NP\tO' -p163599 -aS'edema\tedema\tNN\tI-NP\tO' -p163600 -asS'His neurologist was contacted , Dr. Cap , and the exact of his problems was not demonstrated during this hospitalization , however , they felt that this could possibly be an autonomic type neuropathy maybe secondary to some underlying diabetic process .' -p163601 -(lp163602 -S'His\tHis\tPRP$\tB-NP\tO' -p163603 -aS'neurologist\tneurologist\tNN\tI-NP\tO' -p163604 -aS'was\tbe\tVBD\tB-VP\tO' -p163605 -aS'contacted\tcontact\tVBN\tI-VP\tO' -p163606 -aS',\t,\t,\tO\tO' -p163607 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p163608 -aS'Cap\tCap\tNNP\tI-NP\tO' -p163609 -aS',\t,\t,\tO\tO' -p163610 -aS'and\tand\tCC\tO\tO' -p163611 -aS'the\tthe\tDT\tB-NP\tO' -p163612 -aS'exact\texact\tNN\tI-NP\tO' -p163613 -aS'of\tof\tIN\tB-PP\tO' -p163614 -aS'his\this\tPRP$\tB-NP\tO' -p163615 -aS'problems\tproblem\tNNS\tI-NP\tO' -p163616 -aS'was\tbe\tVBD\tB-VP\tO' -p163617 -aS'not\tnot\tRB\tI-VP\tO' -p163618 -aS'demonstrated\tdemonstrate\tVBN\tI-VP\tO' -p163619 -aS'during\tduring\tIN\tB-PP\tO' -p163620 -aS'this\tthis\tDT\tB-NP\tO' -p163621 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p163622 -aS',\t,\t,\tO\tO' -p163623 -aS'however\thowever\tRB\tB-ADVP\tO' -p163624 -aS',\t,\t,\tO\tO' -p163625 -aS'they\tthey\tPRP\tB-NP\tO' -p163626 -aS'felt\tfeel\tVBD\tB-VP\tO' -p163627 -aS'that\tthat\tIN\tB-SBAR\tO' -p163628 -aS'this\tthis\tDT\tB-NP\tO' -p163629 -aS'could\tcould\tMD\tB-VP\tO' -p163630 -aS'possibly\tpossibly\tRB\tI-VP\tO' -p163631 -aS'be\tbe\tVB\tI-VP\tO' -p163632 -aS'an\tan\tDT\tB-NP\tO' -p163633 -aS'autonomic\tautonomic\tJJ\tI-NP\tO' -p163634 -aS'type\ttype\tNN\tI-NP\tO' -p163635 -aS'neuropathy\tneuropathy\tNN\tI-NP\tO' -p163636 -aS'maybe\tmaybe\tRB\tB-ADJP\tO' -p163637 -aS'secondary\tsecondary\tJJ\tI-ADJP\tO' -p163638 -aS'to\tto\tTO\tB-PP\tO' -p163639 -aS'some\tsome\tDT\tB-NP\tO' -p163640 -aS'underlying\tunderlie\tVBG\tI-NP\tO' -p163641 -aS'diabetic\tdiabetic\tJJ\tI-NP\tO' -p163642 -aS'process\tprocess\tNN\tI-NP\tO' -p163643 -aS'.\t.\t.\tO\tO' -p163644 -asS'3. Plavix 75 mg p.o. q.d. times 30 days .' -p163645 -(lp163646 -S'3.\t3.\tLS\tB-NP\tO' -p163647 -aS'Plavix\tPlavix\tNN\tI-NP\tO' -p163648 -aS'75\t75\tCD\tI-NP\tO' -p163649 -aS'mg\tmg\tNN\tI-NP\tO' -p163650 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p163651 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p163652 -aS'times\ttime\tNNS\tI-NP\tO' -p163653 -aS'30\t30\tCD\tB-NP\tO' -p163654 -aS'days\tday\tNNS\tI-NP\tO' -p163655 -aS'.\t.\t.\tO\tO' -p163656 -asS'Pupils are reactive to light .' -p163657 -(lp163658 -S'Pupils\tPupil\tNNS\tB-NP\tO' -p163659 -aS'are\tbe\tVBP\tB-VP\tO' -p163660 -aS'reactive\treactive\tJJ\tB-ADJP\tO' -p163661 -aS'to\tto\tTO\tB-PP\tO' -p163662 -aS'light\tlight\tNN\tB-NP\tO' -p163663 -aS'.\t.\t.\tO\tO' -p163664 -asS'FINDINGS : The lung volumes are Moderate bilateral pleural effusions are unchanged .' -p163665 -(lp163666 -S'FINDINGS\tFINDINGS\tNNS\tB-NP\tO' -p163667 -aS':\t:\t:\tO\tO' -p163668 -aS'The\tThe\tDT\tB-NP\tO' -p163669 -aS'lung\tlung\tNN\tI-NP\tO' -p163670 -aS'volumes\tvolume\tNNS\tI-NP\tO' -p163671 -aS'are\tbe\tVBP\tB-VP\tO' -p163672 -aS'Moderate\tModerate\tJJ\tB-NP\tO' -p163673 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p163674 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p163675 -aS'effusions\teffusion\tNNS\tI-NP\tO' -p163676 -aS'are\tbe\tVBP\tB-VP\tO' -p163677 -aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' -p163678 -aS'.\t.\t.\tO\tO' -p163679 -asS'The patient had KUB that showed multiple dilated loops of small bowel and was admitted for a partial small bowel obstruction .' -p163680 -(lp163681 -S'The\tThe\tDT\tB-NP\tO' -p163682 -aS'patient\tpatient\tNN\tI-NP\tO' -p163683 -aS'had\thave\tVBD\tB-VP\tO' -p163684 -aS'KUB\tKUB\tNN\tB-NP\tB-protein' -p163685 -aS'that\tthat\tWDT\tB-NP\tO' -p163686 -aS'showed\tshow\tVBD\tB-VP\tO' -p163687 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p163688 -aS'dilated\tdilated\tJJ\tI-NP\tO' -p163689 -aS'loops\tloop\tNNS\tI-NP\tO' -p163690 -aS'of\tof\tIN\tB-PP\tO' -p163691 -aS'small\tsmall\tJJ\tB-NP\tO' -p163692 -aS'bowel\tbowel\tNN\tI-NP\tO' -p163693 -aS'and\tand\tCC\tO\tO' -p163694 -aS'was\tbe\tVBD\tB-VP\tO' -p163695 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p163696 -aS'for\tfor\tIN\tB-PP\tO' -p163697 -aS'a\ta\tDT\tB-NP\tO' -p163698 -aS'partial\tpartial\tJJ\tI-NP\tO' -p163699 -aS'small\tsmall\tJJ\tI-NP\tO' -p163700 -aS'bowel\tbowel\tNN\tI-NP\tO' -p163701 -aS'obstruction\tobstruction\tNN\tI-NP\tO' -p163702 -aS'.\t.\t.\tO\tO' -p163703 -asS'The patient was ultimately deemed ready for discharge on postoperative day 8 .' -p163704 -(lp163705 -S'The\tThe\tDT\tB-NP\tO' -p163706 -aS'patient\tpatient\tNN\tI-NP\tO' -p163707 -aS'was\tbe\tVBD\tB-VP\tO' -p163708 -aS'ultimately\tultimately\tRB\tI-VP\tO' -p163709 -aS'deemed\tdeem\tVBN\tI-VP\tO' -p163710 -aS'ready\tready\tJJ\tB-ADJP\tO' -p163711 -aS'for\tfor\tIN\tB-PP\tO' -p163712 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p163713 -aS'on\ton\tIN\tB-PP\tO' -p163714 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p163715 -aS'day\tday\tNN\tI-NP\tO' -p163716 -aS'8\t8\tCD\tI-NP\tO' -p163717 -aS'.\t.\t.\tO\tO' -p163718 -asS'His postoperative course was complicated by hypertension which was managed medically .' -p163719 -(lp163720 -S'His\tHis\tPRP$\tB-NP\tO' -p163721 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p163722 -aS'course\tcourse\tNN\tI-NP\tO' -p163723 -aS'was\tbe\tVBD\tB-VP\tO' -p163724 -aS'complicated\tcomplicate\tVBN\tI-VP\tO' -p163725 -aS'by\tby\tIN\tB-PP\tO' -p163726 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p163727 -aS'which\twhich\tWDT\tB-NP\tO' -p163728 -aS'was\tbe\tVBD\tB-VP\tO' -p163729 -aS'managed\tmanage\tVBN\tI-VP\tO' -p163730 -aS'medically\tmedically\tRB\tB-ADVP\tO' -p163731 -aS'.\t.\t.\tO\tO' -p163732 -asS'The computerized tomography scan showed the catheter tip in good position .' -p163733 -(lp163734 -S'The\tThe\tDT\tB-NP\tO' -p163735 -aS'computerized\tcomputerized\tJJ\tI-NP\tO' -p163736 -aS'tomography\ttomography\tNN\tI-NP\tO' -p163737 -aS'scan\tscan\tNN\tI-NP\tO' -p163738 -aS'showed\tshow\tVBD\tB-VP\tO' -p163739 -aS'the\tthe\tDT\tB-NP\tO' -p163740 -aS'catheter\tcatheter\tNN\tI-NP\tB-protein' -p163741 -aS'tip\ttip\tNN\tI-NP\tI-protein' -p163742 -aS'in\tin\tIN\tB-PP\tO' -p163743 -aS'good\tgood\tJJ\tB-NP\tO' -p163744 -aS'position\tposition\tNN\tI-NP\tO' -p163745 -aS'.\t.\t.\tO\tO' -p163746 -asS'History of lower gastrointestinal bleed .' -p163747 -(lp163748 -S'History\tHistory\tNN\tB-NP\tO' -p163749 -aS'of\tof\tIN\tB-PP\tO' -p163750 -aS'lower\tlow\tJJR\tB-NP\tO' -p163751 -aS'gastrointestinal\tgastrointestinal\tJJ\tI-NP\tO' -p163752 -aS'bleed\tbleed\tNN\tI-NP\tO' -p163753 -aS'.\t.\t.\tO\tO' -p163754 -asS'Her admission laboratory data includes serum chemistries with a sodium of 144 , potassium 4.1 , chloride 101 , bicarbonate 28 , BUN 10 , creatinine 0.9 and glucose of 93 .' -p163755 -(lp163756 -S'Her\tHer\tPRP$\tB-NP\tO' -p163757 -aS'admission\tadmission\tNN\tI-NP\tO' -p163758 -aS'laboratory\tlaboratory\tNN\tI-NP\tO' -p163759 -aS'data\tdatum\tNNS\tI-NP\tO' -p163760 -aS'includes\tinclude\tVBZ\tB-VP\tO' -p163761 -aS'serum\tserum\tNN\tB-NP\tO' -p163762 -aS'chemistries\tchemistry\tNNS\tI-NP\tO' -p163763 -aS'with\twith\tIN\tB-PP\tO' -p163764 -aS'a\ta\tDT\tB-NP\tO' -p163765 -aS'sodium\tsodium\tNN\tI-NP\tO' -p163766 -aS'of\tof\tIN\tB-PP\tO' -p163767 -aS'144\t144\tCD\tB-NP\tO' -p163768 -aS',\t,\t,\tO\tO' -p163769 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p163770 -aS'4.1\t4.1\tCD\tI-NP\tO' -p163771 -aS',\t,\t,\tO\tO' -p163772 -aS'chloride\tchloride\tNN\tB-NP\tO' -p163773 -aS'101\t101\tCD\tI-NP\tO' -p163774 -aS',\t,\t,\tO\tO' -p163775 -aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' -p163776 -aS'28\t28\tCD\tI-NP\tO' -p163777 -aS',\t,\t,\tO\tO' -p163778 -aS'BUN\tBUN\tNN\tB-NP\tB-DNA' -p163779 -aS'10\t10\tCD\tI-NP\tI-DNA' -p163780 -aS',\t,\t,\tO\tO' -p163781 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p163782 -aS'0.9\t0.9\tCD\tI-NP\tO' -p163783 -aS'and\tand\tCC\tO\tO' -p163784 -aS'glucose\tglucose\tNN\tB-NP\tO' -p163785 -aS'of\tof\tIN\tB-PP\tO' -p163786 -aS'93\t93\tCD\tB-NP\tO' -p163787 -aS'.\t.\t.\tO\tO' -p163788 -asS'His pupils were three down to two on the right and five down to four on the left .' -p163789 -(lp163790 -S'His\tHis\tPRP$\tB-NP\tO' -p163791 -aS'pupils\tpupil\tNNS\tI-NP\tO' -p163792 -aS'were\tbe\tVBD\tB-VP\tO' -p163793 -aS'three\tthree\tCD\tB-NP\tO' -p163794 -aS'down\tdown\tIN\tB-ADVP\tO' -p163795 -aS'to\tto\tTO\tB-PP\tO' -p163796 -aS'two\ttwo\tCD\tB-NP\tO' -p163797 -aS'on\ton\tIN\tB-PP\tO' -p163798 -aS'the\tthe\tDT\tB-NP\tO' -p163799 -aS'right\tright\tJJ\tI-NP\tO' -p163800 -aS'and\tand\tCC\tO\tO' -p163801 -aS'five\tfive\tCD\tB-NP\tO' -p163802 -aS'down\tdown\tRB\tB-ADVP\tO' -p163803 -aS'to\tto\tTO\tB-PP\tO' -p163804 -aS'four\tfour\tCD\tB-NP\tO' -p163805 -aS'on\ton\tIN\tB-PP\tO' -p163806 -aS'the\tthe\tDT\tB-NP\tO' -p163807 -aS'left\tleft\tNN\tI-NP\tO' -p163808 -aS'.\t.\t.\tO\tO' -p163809 -asS'7. Nystatin 100,000 unit / mL Suspension Sig : Five ( 5 ) mL PO four times a day : Swish and swallow .' -p163810 -(lp163811 -S'7.\t7.\tCD\tB-NP\tO' -p163812 -aS'Nystatin\tNystatin\tNN\tI-NP\tO' -p163813 -aS'100,000\t100,000\tCD\tB-NP\tO' -p163814 -aS'unit\tunit\tNN\tI-NP\tO' -p163815 -aS'/\t/\tSYM\tB-NP\tO' -p163816 -aS'mL\tmL\tNN\tI-NP\tO' -p163817 -aS'Suspension\tSuspension\tNNP\tI-NP\tO' -p163818 -aS'Sig\tSig\tNNP\tI-NP\tO' -p163819 -aS':\t:\t:\tO\tO' -p163820 -aS'Five\tFive\tCD\tB-NP\tO' -p163821 -aS'(\t(\t(\tO\tO' -p163822 -aS'5\t5\tCD\tB-NP\tO' -p163823 -aS')\t)\t)\tO\tO' -p163824 -aS'mL\tmL\tNN\tB-NP\tO' -p163825 -aS'PO\tPO\tNN\tI-NP\tO' -p163826 -aS'four\tfour\tCD\tB-NP\tO' -p163827 -aS'times\ttime\tNNS\tI-NP\tO' -p163828 -aS'a\ta\tDT\tB-NP\tO' -p163829 -aS'day\tday\tNN\tI-NP\tO' -p163830 -aS':\t:\t:\tO\tO' -p163831 -aS'Swish\tSwish\tVB\tB-VP\tO' -p163832 -aS'and\tand\tCC\tI-VP\tO' -p163833 -aS'swallow\tswallow\tVB\tI-VP\tO' -p163834 -aS'.\t.\t.\tO\tO' -p163835 -asS'She was then referred to Cardiothoracic Surgery for aortic valve replacement .' -p163836 -(lp163837 -S'She\tShe\tPRP\tB-NP\tO' -p163838 -aS'was\tbe\tVBD\tB-VP\tO' -p163839 -aS'then\tthen\tRB\tI-VP\tO' -p163840 -aS'referred\trefer\tVBN\tI-VP\tO' -p163841 -aS'to\tto\tTO\tB-PP\tO' -p163842 -aS'Cardiothoracic\tCardiothoracic\tNNP\tB-NP\tO' -p163843 -aS'Surgery\tSurgery\tNNP\tI-NP\tO' -p163844 -aS'for\tfor\tIN\tB-PP\tO' -p163845 -aS'aortic\taortic\tJJ\tB-NP\tO' -p163846 -aS'valve\tvalve\tNN\tI-NP\tO' -p163847 -aS'replacement\treplacement\tNN\tI-NP\tO' -p163848 -aS'.\t.\t.\tO\tO' -p163849 -asS'Mom separated .' -p163850 -(lp163851 -S'Mom\tMom\tNNP\tB-NP\tO' -p163852 -aS'separated\tseparate\tVBD\tB-VP\tO' -p163853 -aS'.\t.\t.\tO\tO' -p163854 -asS'As he was receiving his third unit of packed red blood cells , the patient became tachycardic and short of breath .' -p163855 -(lp163856 -S'As\tAs\tIN\tB-SBAR\tO' -p163857 -aS'he\the\tPRP\tB-NP\tO' -p163858 -aS'was\tbe\tVBD\tB-VP\tO' -p163859 -aS'receiving\treceive\tVBG\tI-VP\tO' -p163860 -aS'his\this\tPRP$\tB-NP\tO' -p163861 -aS'third\tthird\tJJ\tI-NP\tO' -p163862 -aS'unit\tunit\tNN\tI-NP\tO' -p163863 -aS'of\tof\tIN\tB-PP\tO' -p163864 -aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' -p163865 -aS'red\tred\tJJ\tI-NP\tI-cell_type' -p163866 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p163867 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p163868 -aS',\t,\t,\tO\tO' -p163869 -aS'the\tthe\tDT\tB-NP\tO' -p163870 -aS'patient\tpatient\tNN\tI-NP\tO' -p163871 -aS'became\tbecome\tVBD\tB-VP\tO' -p163872 -aS'tachycardic\ttachycardic\tJJ\tB-ADJP\tO' -p163873 -aS'and\tand\tCC\tI-ADJP\tO' -p163874 -aS'short\tshort\tJJ\tI-ADJP\tO' -p163875 -aS'of\tof\tIN\tB-PP\tO' -p163876 -aS'breath\tbreath\tNN\tB-NP\tO' -p163877 -aS'.\t.\t.\tO\tO' -p163878 -asS'LEFT PROXIMAL HUMERUS FRACTURE .' -p163879 -(lp163880 -S'LEFT\tLEFT\tNN\tB-NP\tO' -p163881 -aS'PROXIMAL\tPROXIMAL\tNN\tI-NP\tO' -p163882 -aS'HUMERUS\tHUMERUS\tNN\tI-NP\tO' -p163883 -aS'FRACTURE\tFRACTURE\tNN\tI-NP\tO' -p163884 -aS'.\t.\t.\tO\tO' -p163885 -asS'There was no obvious GIor pancreatic tumor identified .' -p163886 -(lp163887 -S'There\tThere\tEX\tB-NP\tO' -p163888 -aS'was\tbe\tVBD\tB-VP\tO' -p163889 -aS'no\tno\tDT\tB-NP\tO' -p163890 -aS'obvious\tobvious\tJJ\tI-NP\tO' -p163891 -aS'GIor\tGIor\tNN\tI-NP\tO' -p163892 -aS'pancreatic\tpancreatic\tJJ\tI-NP\tO' -p163893 -aS'tumor\ttumor\tNN\tI-NP\tO' -p163894 -aS'identified\tidentify\tVBN\tB-VP\tO' -p163895 -aS'.\t.\t.\tO\tO' -p163896 -asS'Was initially NPO on receiving D10-W by peripheral intravenous .' -p163897 -(lp163898 -S'Was\tBe\tVBD\tB-VP\tO' -p163899 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p163900 -aS'NPO\tNPO\tNN\tB-NP\tB-protein' -p163901 -aS'on\ton\tIN\tB-PP\tO' -p163902 -aS'receiving\treceive\tVBG\tB-VP\tO' -p163903 -aS'D10-W\tD10-W\tNN\tB-NP\tO' -p163904 -aS'by\tby\tIN\tB-PP\tO' -p163905 -aS'peripheral\tperipheral\tJJ\tB-NP\tO' -p163906 -aS'intravenous\tintravenous\tJJ\tI-NP\tO' -p163907 -aS'.\t.\t.\tO\tO' -p163908 -asS'The patient remained pressor dependent throughout his hospitalization .' -p163909 -(lp163910 -S'The\tThe\tDT\tB-NP\tO' -p163911 -aS'patient\tpatient\tNN\tI-NP\tO' -p163912 -aS'remained\tremain\tVBD\tB-VP\tO' -p163913 -aS'pressor\tpressor\tNN\tB-NP\tO' -p163914 -aS'dependent\tdependent\tJJ\tB-ADJP\tO' -p163915 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p163916 -aS'his\this\tPRP$\tB-NP\tO' -p163917 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p163918 -aS'.\t.\t.\tO\tO' -p163919 -asS'She is currently on Vicodin , one to two tablets every four hours p.r.n. , Fentanyl patch 25 mcg an hour , change of patch every 72 hours , Elavil 50 mgq .h.s. , Neurontin 600 mg p.o. t.i.d. with still what she reports as stabbing left-sided chest pain that can be as severe as a 7/10.' -p163920 -(lp163921 -S'She\tShe\tPRP\tB-NP\tO' -p163922 -aS'is\tbe\tVBZ\tB-VP\tO' -p163923 -aS'currently\tcurrently\tRB\tB-ADVP\tO' -p163924 -aS'on\ton\tIN\tB-PP\tO' -p163925 -aS'Vicodin\tVicodin\tNNP\tB-NP\tO' -p163926 -aS',\t,\t,\tO\tO' -p163927 -aS'one\tone\tCD\tB-NP\tO' -p163928 -aS'to\tto\tTO\tI-NP\tO' -p163929 -aS'two\ttwo\tCD\tI-NP\tO' -p163930 -aS'tablets\ttablet\tNNS\tI-NP\tO' -p163931 -aS'every\tevery\tDT\tB-NP\tO' -p163932 -aS'four\tfour\tCD\tI-NP\tO' -p163933 -aS'hours\thour\tNNS\tI-NP\tO' -p163934 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p163935 -aS',\t,\t,\tO\tO' -p163936 -aS'Fentanyl\tFentanyl\tNN\tB-NP\tO' -p163937 -aS'patch\tpatch\tNN\tI-NP\tO' -p163938 -aS'25\t25\tCD\tB-NP\tO' -p163939 -aS'mcg\tmcg\tNN\tI-NP\tO' -p163940 -aS'an\tan\tDT\tB-NP\tO' -p163941 -aS'hour\thour\tNN\tI-NP\tO' -p163942 -aS',\t,\t,\tO\tO' -p163943 -aS'change\tchange\tNN\tB-NP\tO' -p163944 -aS'of\tof\tIN\tB-PP\tO' -p163945 -aS'patch\tpatch\tNN\tB-NP\tO' -p163946 -aS'every\tevery\tDT\tB-NP\tO' -p163947 -aS'72\t72\tCD\tI-NP\tO' -p163948 -aS'hours\thour\tNNS\tI-NP\tO' -p163949 -aS',\t,\t,\tO\tO' -p163950 -aS'Elavil\tElavil\tNNP\tB-NP\tO' -p163951 -aS'50\t50\tCD\tI-NP\tO' -p163952 -aS'mgq\tmgq\tNN\tI-NP\tO' -p163953 -aS'.h.s.\t.h.s.\tNN\tI-NP\tO' -p163954 -aS',\t,\t,\tO\tO' -p163955 -aS'Neurontin\tNeurontin\tNNP\tB-NP\tO' -p163956 -aS'600\t600\tCD\tI-NP\tO' -p163957 -aS'mg\tmg\tNN\tI-NP\tO' -p163958 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p163959 -aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' -p163960 -aS'with\twith\tIN\tB-PP\tO' -p163961 -aS'still\tstill\tRB\tB-ADVP\tO' -p163962 -aS'what\twhat\tWP\tB-NP\tO' -p163963 -aS'she\tshe\tPRP\tB-NP\tO' -p163964 -aS'reports\treport\tVBZ\tB-VP\tO' -p163965 -aS'as\tas\tIN\tB-PP\tO' -p163966 -aS'stabbing\tstab\tVBG\tB-VP\tO' -p163967 -aS'left-sided\tleft-sided\tJJ\tB-NP\tB-protein' -p163968 -aS'chest\tchest\tNN\tI-NP\tI-protein' -p163969 -aS'pain\tpain\tNN\tI-NP\tI-protein' -p163970 -aS'that\tthat\tWDT\tB-NP\tO' -p163971 -aS'can\tcan\tMD\tB-VP\tO' -p163972 -aS'be\tbe\tVB\tI-VP\tO' -p163973 -aS'as\tas\tRB\tB-ADJP\tO' -p163974 -aS'severe\tsevere\tJJ\tI-ADJP\tO' -p163975 -aS'as\tas\tIN\tB-PP\tO' -p163976 -aS'a\ta\tDT\tB-NP\tO' -p163977 -aS'7/10.\t7/10.\tCD\tI-NP\tO' -p163978 -asS'Cytology was negative .' -p163979 -(lp163980 -S'Cytology\tCytology\tNN\tB-NP\tO' -p163981 -aS'was\tbe\tVBD\tB-VP\tO' -p163982 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p163983 -aS'.\t.\t.\tO\tO' -p163984 -asS'Please follow-up with your Primary care doctor Larry Bock 2019-01-16 at 8:30 AM .' -p163985 -(lp163986 -S'Please\tPlease\tNN\tB-NP\tO' -p163987 -aS'follow-up\tfollow-up\tNN\tI-NP\tO' -p163988 -aS'with\twith\tIN\tB-PP\tO' -p163989 -aS'your\tyour\tPRP$\tB-NP\tO' -p163990 -aS'Primary\tPrimary\tJJ\tI-NP\tO' -p163991 -aS'care\tcare\tNN\tI-NP\tO' -p163992 -aS'doctor\tdoctor\tNN\tI-NP\tO' -p163993 -aS'Larry\tLarry\tNNP\tI-NP\tO' -p163994 -aS'Bock\tBock\tNNP\tI-NP\tO' -p163995 -aS'2019-01-16\t2019-01-16\tCD\tI-NP\tO' -p163996 -aS'at\tat\tIN\tB-PP\tO' -p163997 -aS'8:30\t8:30\tCD\tB-NP\tO' -p163998 -aS'AM\tAM\tNN\tI-NP\tO' -p163999 -aS'.\t.\t.\tO\tO' -p164000 -asS'No issues on this admission .' -p164001 -(lp164002 -S'No\tNo\tDT\tB-NP\tO' -p164003 -aS'issues\tissue\tNNS\tI-NP\tO' -p164004 -aS'on\ton\tIN\tB-PP\tO' -p164005 -aS'this\tthis\tDT\tB-NP\tO' -p164006 -aS'admission\tadmission\tNN\tI-NP\tO' -p164007 -aS'.\t.\t.\tO\tO' -p164008 -asS'However , as wife had not seen patient before he became symptomatic , there was some concern that he had symptoms earlier than 6 am , and therefore would be outside the 3 hour window for TPA .' -p164009 -(lp164010 -S'However\tHowever\tRB\tB-ADVP\tO' -p164011 -aS',\t,\t,\tO\tO' -p164012 -aS'as\tas\tIN\tB-SBAR\tO' -p164013 -aS'wife\twife\tNN\tB-NP\tO' -p164014 -aS'had\thave\tVBD\tB-VP\tO' -p164015 -aS'not\tnot\tRB\tI-VP\tO' -p164016 -aS'seen\tsee\tVBN\tI-VP\tO' -p164017 -aS'patient\tpatient\tNN\tB-NP\tO' -p164018 -aS'before\tbefore\tIN\tB-SBAR\tO' -p164019 -aS'he\the\tPRP\tB-NP\tO' -p164020 -aS'became\tbecome\tVBD\tB-VP\tO' -p164021 -aS'symptomatic\tsymptomatic\tJJ\tB-ADJP\tO' -p164022 -aS',\t,\t,\tO\tO' -p164023 -aS'there\tthere\tEX\tB-NP\tO' -p164024 -aS'was\tbe\tVBD\tB-VP\tO' -p164025 -aS'some\tsome\tDT\tB-NP\tO' -p164026 -aS'concern\tconcern\tNN\tI-NP\tO' -p164027 -aS'that\tthat\tIN\tB-SBAR\tO' -p164028 -aS'he\the\tPRP\tB-NP\tO' -p164029 -aS'had\thave\tVBD\tB-VP\tO' -p164030 -aS'symptoms\tsymptom\tNNS\tB-NP\tO' -p164031 -aS'earlier\tearlier\tRBR\tB-ADVP\tO' -p164032 -aS'than\tthan\tIN\tB-PP\tO' -p164033 -aS'6\t6\tCD\tB-NP\tO' -p164034 -aS'am\tam\tNN\tI-NP\tO' -p164035 -aS',\t,\t,\tO\tO' -p164036 -aS'and\tand\tCC\tO\tO' -p164037 -aS'therefore\ttherefore\tRB\tB-VP\tO' -p164038 -aS'would\twould\tMD\tI-VP\tO' -p164039 -aS'be\tbe\tVB\tI-VP\tO' -p164040 -aS'outside\toutside\tIN\tB-PP\tO' -p164041 -aS'the\tthe\tDT\tB-NP\tO' -p164042 -aS'3\t3\tCD\tI-NP\tO' -p164043 -aS'hour\thour\tNN\tI-NP\tO' -p164044 -aS'window\twindow\tNN\tI-NP\tO' -p164045 -aS'for\tfor\tIN\tB-PP\tO' -p164046 -aS'TPA\tTPA\tNN\tB-NP\tO' -p164047 -aS'.\t.\t.\tO\tO' -p164048 -asS'5. Multivitamin .' -p164049 -(lp164050 -S'5.\t5.\tLS\tB-NP\tO' -p164051 -aS'Multivitamin\tMultivitamin\tNN\tI-NP\tO' -p164052 -aS'.\t.\t.\tO\tO' -p164053 -asS'His heart sounds were regular rate rhythm .' -p164054 -(lp164055 -S'His\tHis\tPRP$\tB-NP\tO' -p164056 -aS'heart\theart\tNN\tI-NP\tO' -p164057 -aS'sounds\tsound\tNNS\tI-NP\tO' -p164058 -aS'were\tbe\tVBD\tB-VP\tO' -p164059 -aS'regular\tregular\tJJ\tB-NP\tO' -p164060 -aS'rate\trate\tNN\tI-NP\tO' -p164061 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p164062 -aS'.\t.\t.\tO\tO' -p164063 -asS"2. Hashimoto 's thyroiditis ." -p164064 -(lp164065 -S'2.\t2.\tLS\tB-NP\tO' -p164066 -aS'Hashimoto\tHashimoto\tNN\tI-NP\tO' -p164067 -aS"'s\t's\tPOS\tB-NP\tO" -p164068 -aS'thyroiditis\tthyroiditis\tNN\tI-NP\tO' -p164069 -aS'.\t.\t.\tO\tO' -p164070 -asS'5. Ferrous Sulfate 300 mg / 5 mL Liquid Sig : One ( 1 ) PO DAILY ( Daily ) .' -p164071 -(lp164072 -S'5.\t5.\tLS\tB-LST\tO' -p164073 -aS'Ferrous\tFerrous\tNNP\tB-NP\tO' -p164074 -aS'Sulfate\tSulfate\tVB\tB-VP\tO' -p164075 -aS'300\t300\tCD\tB-NP\tO' -p164076 -aS'mg\tmg\tNN\tI-NP\tO' -p164077 -aS'/\t/\tSYM\tB-NP\tO' -p164078 -aS'5\t5\tCD\tB-NP\tO' -p164079 -aS'mL\tmL\tNN\tI-NP\tO' -p164080 -aS'Liquid\tLiquid\tNNP\tI-NP\tO' -p164081 -aS'Sig\tSig\tNNP\tI-NP\tO' -p164082 -aS':\t:\t:\tO\tO' -p164083 -aS'One\tOne\tCD\tB-NP\tO' -p164084 -aS'(\t(\t(\tO\tO' -p164085 -aS'1\t1\tCD\tB-NP\tO' -p164086 -aS')\t)\t)\tO\tO' -p164087 -aS'PO\tPO\tNN\tB-NP\tO' -p164088 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p164089 -aS'(\t(\t(\tO\tO' -p164090 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p164091 -aS')\t)\t)\tO\tO' -p164092 -aS'.\t.\t.\tO\tO' -p164093 -asS'Coronary artery disease .' -p164094 -(lp164095 -S'Coronary\tCoronary\tJJ\tB-NP\tO' -p164096 -aS'artery\tartery\tNN\tI-NP\tO' -p164097 -aS'disease\tdisease\tNN\tI-NP\tO' -p164098 -aS'.\t.\t.\tO\tO' -p164099 -asS'The team decided that the patient was ready for discharge .' -p164100 -(lp164101 -S'The\tThe\tDT\tB-NP\tO' -p164102 -aS'team\tteam\tNN\tI-NP\tO' -p164103 -aS'decided\tdecide\tVBD\tB-VP\tO' -p164104 -aS'that\tthat\tIN\tB-SBAR\tO' -p164105 -aS'the\tthe\tDT\tB-NP\tO' -p164106 -aS'patient\tpatient\tNN\tI-NP\tO' -p164107 -aS'was\tbe\tVBD\tB-VP\tO' -p164108 -aS'ready\tready\tJJ\tB-ADJP\tO' -p164109 -aS'for\tfor\tIN\tB-PP\tO' -p164110 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p164111 -aS'.\t.\t.\tO\tO' -p164112 -asS'The patient notes he developed worsening foot pain and ulcers four months ago .' -p164113 -(lp164114 -S'The\tThe\tDT\tB-NP\tO' -p164115 -aS'patient\tpatient\tNN\tI-NP\tO' -p164116 -aS'notes\tnote\tVBZ\tB-VP\tO' -p164117 -aS'he\the\tPRP\tB-NP\tO' -p164118 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p164119 -aS'worsening\tworsen\tVBG\tI-VP\tO' -p164120 -aS'foot\tfoot\tNN\tB-NP\tO' -p164121 -aS'pain\tpain\tNN\tI-NP\tO' -p164122 -aS'and\tand\tCC\tO\tO' -p164123 -aS'ulcers\tulcer\tNNS\tB-NP\tO' -p164124 -aS'four\tfour\tCD\tB-NP\tO' -p164125 -aS'months\tmonth\tNNS\tI-NP\tO' -p164126 -aS'ago\tago\tRB\tB-ADVP\tO' -p164127 -aS'.\t.\t.\tO\tO' -p164128 -asS'The patient was started on cefotaxime 1 gm IV for empiric antibiotic treatment .' -p164129 -(lp164130 -S'The\tThe\tDT\tB-NP\tO' -p164131 -aS'patient\tpatient\tNN\tI-NP\tO' -p164132 -aS'was\tbe\tVBD\tB-VP\tO' -p164133 -aS'started\tstart\tVBN\tI-VP\tO' -p164134 -aS'on\ton\tIN\tB-PP\tO' -p164135 -aS'cefotaxime\tcefotaxime\tNN\tB-NP\tO' -p164136 -aS'1\t1\tCD\tI-NP\tO' -p164137 -aS'gm\tgm\tNN\tI-NP\tO' -p164138 -aS'IV\tIV\tCD\tI-NP\tO' -p164139 -aS'for\tfor\tIN\tB-PP\tO' -p164140 -aS'empiric\tempiric\tJJ\tB-NP\tO' -p164141 -aS'antibiotic\tantibiotic\tJJ\tI-NP\tO' -p164142 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p164143 -aS'.\t.\t.\tO\tO' -p164144 -asS'2. Heparin ( Porcine ) 5,000 unit / mL Solution Sig : One ( 1 ) Injection TID ( 3 times a day ) .' -p164145 -(lp164146 -S'2.\t2.\tLS\tB-LST\tO' -p164147 -aS'Heparin\tHeparin\tNN\tB-NP\tB-protein' -p164148 -aS'(\t(\t(\tO\tI-protein' -p164149 -aS'Porcine\tPorcine\tNN\tB-NP\tI-protein' -p164150 -aS')\t)\t)\tO\tI-protein' -p164151 -aS'5,000\t5,000\tCD\tB-NP\tI-protein' -p164152 -aS'unit\tunit\tNN\tI-NP\tI-protein' -p164153 -aS'/\t/\tSYM\tB-NP\tO' -p164154 -aS'mL\tmL\tNN\tI-NP\tO' -p164155 -aS'Solution\tSolution\tNNP\tI-NP\tO' -p164156 -aS'Sig\tSig\tNNP\tI-NP\tO' -p164157 -aS':\t:\t:\tO\tO' -p164158 -aS'One\tOne\tCD\tB-NP\tO' -p164159 -aS'(\t(\t(\tO\tO' -p164160 -aS'1\t1\tCD\tB-NP\tO' -p164161 -aS')\t)\t)\tO\tO' -p164162 -aS'Injection\tInjection\tNN\tB-NP\tO' -p164163 -aS'TID\tTID\tNN\tI-NP\tO' -p164164 -aS'(\t(\t(\tO\tO' -p164165 -aS'3\t3\tCD\tB-NP\tO' -p164166 -aS'times\ttime\tNNS\tI-NP\tO' -p164167 -aS'a\ta\tDT\tB-NP\tO' -p164168 -aS'day\tday\tNN\tI-NP\tO' -p164169 -aS')\t)\t)\tO\tO' -p164170 -aS'.\t.\t.\tO\tO' -p164171 -asS'6. All findings discussed with surgeon at the time of the exam .' -p164172 -(lp164173 -S'6.\t6.\tLS\tB-LST\tO' -p164174 -aS'All\tAll\tDT\tB-NP\tO' -p164175 -aS'findings\tfinding\tNNS\tI-NP\tO' -p164176 -aS'discussed\tdiscuss\tVBN\tB-VP\tO' -p164177 -aS'with\twith\tIN\tB-PP\tO' -p164178 -aS'surgeon\tsurgeon\tNN\tB-NP\tO' -p164179 -aS'at\tat\tIN\tB-PP\tO' -p164180 -aS'the\tthe\tDT\tB-NP\tO' -p164181 -aS'time\ttime\tNN\tI-NP\tO' -p164182 -aS'of\tof\tIN\tB-PP\tO' -p164183 -aS'the\tthe\tDT\tB-NP\tO' -p164184 -aS'exam\texam\tNN\tI-NP\tO' -p164185 -aS'.\t.\t.\tO\tO' -p164186 -asS'No hemoptysis , hematemesis , abdominal pain , black or tarry stools , dysuria / frequency/urgency .' -p164187 -(lp164188 -S'No\tNo\tDT\tB-NP\tO' -p164189 -aS'hemoptysis\themoptysis\tNN\tI-NP\tO' -p164190 -aS',\t,\t,\tO\tO' -p164191 -aS'hematemesis\thematemesis\tNN\tB-NP\tO' -p164192 -aS',\t,\t,\tO\tO' -p164193 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p164194 -aS'pain\tpain\tNN\tI-NP\tO' -p164195 -aS',\t,\t,\tO\tO' -p164196 -aS'black\tblack\tJJ\tB-NP\tO' -p164197 -aS'or\tor\tCC\tI-NP\tO' -p164198 -aS'tarry\ttarry\tJJ\tI-NP\tO' -p164199 -aS'stools\tstool\tNNS\tI-NP\tO' -p164200 -aS',\t,\t,\tO\tO' -p164201 -aS'dysuria\tdysuria\tNN\tB-NP\tO' -p164202 -aS'/\t/\tSYM\tI-NP\tO' -p164203 -aS'frequency/urgency\tfrequency/urgency\tNN\tI-NP\tO' -p164204 -aS'.\t.\t.\tO\tO' -p164205 -asS'admission of 40.5 cm .' -p164206 -(lp164207 -S'admission\tadmission\tNN\tB-NP\tO' -p164208 -aS'of\tof\tIN\tB-PP\tO' -p164209 -aS'40.5\t40.5\tCD\tB-NP\tO' -p164210 -aS'cm\tcm\tNN\tI-NP\tO' -p164211 -aS'.\t.\t.\tO\tO' -p164212 -asS'1. Continue breast feeding with post-feed supplemental EBM .' -p164213 -(lp164214 -S'1.\t1.\tLS\tB-NP\tO' -p164215 -aS'Continue\tContinue\tJJ\tI-NP\tO' -p164216 -aS'breast\tbreast\tNN\tI-NP\tO' -p164217 -aS'feeding\tfeeding\tNN\tI-NP\tO' -p164218 -aS'with\twith\tIN\tB-PP\tO' -p164219 -aS'post-feed\tpost-feed\tJJ\tB-NP\tO' -p164220 -aS'supplemental\tsupplemental\tJJ\tI-NP\tO' -p164221 -aS'EBM\tEBM\tNN\tI-NP\tO' -p164222 -aS'.\t.\t.\tO\tO' -p164223 -asS'6. Allegra 60 mg po bid .' -p164224 -(lp164225 -S'6.\t6.\tCD\tB-NP\tO' -p164226 -aS'Allegra\tAllegra\tNNP\tI-NP\tO' -p164227 -aS'60\t60\tCD\tI-NP\tO' -p164228 -aS'mg\tmg\tNN\tI-NP\tO' -p164229 -aS'po\tpo\tNN\tI-NP\tO' -p164230 -aS'bid\tbid\tNN\tI-NP\tO' -p164231 -aS'.\t.\t.\tO\tO' -p164232 -asS'Increased work of breathing prior to intubation , but presently comfortable .' -p164233 -(lp164234 -S'Increased\tIncrease\tVBN\tB-NP\tO' -p164235 -aS'work\twork\tNN\tI-NP\tO' -p164236 -aS'of\tof\tIN\tB-PP\tO' -p164237 -aS'breathing\tbreathing\tNN\tB-NP\tO' -p164238 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p164239 -aS'to\tto\tTO\tB-PP\tO' -p164240 -aS'intubation\tintubation\tNN\tB-NP\tO' -p164241 -aS',\t,\t,\tO\tO' -p164242 -aS'but\tbut\tCC\tO\tO' -p164243 -aS'presently\tpresently\tRB\tB-ADJP\tO' -p164244 -aS'comfortable\tcomfortable\tJJ\tI-ADJP\tO' -p164245 -aS'.\t.\t.\tO\tO' -p164246 -asS'These were initially continued as above and later , when she became hypotensive and febrile , stress dose steroids were started and planned for a 7 day course followed by a return to her prior dose of prednisone .' -p164247 -(lp164248 -S'These\tThese\tDT\tB-NP\tO' -p164249 -aS'were\tbe\tVBD\tB-VP\tO' -p164250 -aS'initially\tinitially\tRB\tI-VP\tO' -p164251 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p164252 -aS'as\tas\tIN\tB-PP\tO' -p164253 -aS'above\tabove\tJJ\tB-ADJP\tO' -p164254 -aS'and\tand\tCC\tI-ADJP\tO' -p164255 -aS'later\tlater\tJJ\tI-ADJP\tO' -p164256 -aS',\t,\t,\tO\tO' -p164257 -aS'when\twhen\tWRB\tB-ADVP\tO' -p164258 -aS'she\tshe\tPRP\tB-NP\tO' -p164259 -aS'became\tbecome\tVBD\tB-VP\tO' -p164260 -aS'hypotensive\thypotensive\tJJ\tB-ADJP\tO' -p164261 -aS'and\tand\tCC\tI-ADJP\tO' -p164262 -aS'febrile\tfebrile\tJJ\tI-ADJP\tO' -p164263 -aS',\t,\t,\tO\tO' -p164264 -aS'stress\tstress\tNN\tB-NP\tO' -p164265 -aS'dose\tdose\tNN\tI-NP\tO' -p164266 -aS'steroids\tsteroid\tNNS\tI-NP\tO' -p164267 -aS'were\tbe\tVBD\tB-VP\tO' -p164268 -aS'started\tstart\tVBN\tI-VP\tO' -p164269 -aS'and\tand\tCC\tO\tO' -p164270 -aS'planned\tplan\tVBN\tB-VP\tO' -p164271 -aS'for\tfor\tIN\tB-PP\tO' -p164272 -aS'a\ta\tDT\tB-NP\tO' -p164273 -aS'7\t7\tCD\tI-NP\tO' -p164274 -aS'day\tday\tNN\tI-NP\tO' -p164275 -aS'course\tcourse\tNN\tI-NP\tO' -p164276 -aS'followed\tfollow\tVBN\tB-VP\tO' -p164277 -aS'by\tby\tIN\tB-PP\tO' -p164278 -aS'a\ta\tDT\tB-NP\tO' -p164279 -aS'return\treturn\tNN\tI-NP\tO' -p164280 -aS'to\tto\tTO\tB-PP\tO' -p164281 -aS'her\ther\tPRP$\tB-NP\tO' -p164282 -aS'prior\tprior\tJJ\tI-NP\tO' -p164283 -aS'dose\tdose\tNN\tI-NP\tO' -p164284 -aS'of\tof\tIN\tB-PP\tO' -p164285 -aS'prednisone\tprednisone\tNN\tB-NP\tO' -p164286 -aS'.\t.\t.\tO\tO' -p164287 -asS'He also noted a 23 pound weight loss in the past 11 months despite having an increased appetite .' -p164288 -(lp164289 -S'He\tHe\tPRP\tB-NP\tO' -p164290 -aS'also\talso\tRB\tB-ADVP\tO' -p164291 -aS'noted\tnote\tVBD\tB-VP\tO' -p164292 -aS'a\ta\tDT\tB-NP\tO' -p164293 -aS'23\t23\tCD\tI-NP\tO' -p164294 -aS'pound\tpound\tNN\tI-NP\tO' -p164295 -aS'weight\tweight\tNN\tI-NP\tO' -p164296 -aS'loss\tloss\tNN\tI-NP\tO' -p164297 -aS'in\tin\tIN\tB-PP\tO' -p164298 -aS'the\tthe\tDT\tB-NP\tO' -p164299 -aS'past\tpast\tJJ\tI-NP\tO' -p164300 -aS'11\t11\tCD\tI-NP\tO' -p164301 -aS'months\tmonth\tNNS\tI-NP\tO' -p164302 -aS'despite\tdespite\tIN\tB-PP\tO' -p164303 -aS'having\thave\tVBG\tB-VP\tO' -p164304 -aS'an\tan\tDT\tB-NP\tO' -p164305 -aS'increased\tincrease\tVBN\tI-NP\tO' -p164306 -aS'appetite\tappetite\tNN\tI-NP\tO' -p164307 -aS'.\t.\t.\tO\tO' -p164308 -asS'He responded to intravenous Lasix with 3.2 liters of urine output as well as marked clinical improvement .' -p164309 -(lp164310 -S'He\tHe\tPRP\tB-NP\tO' -p164311 -aS'responded\trespond\tVBD\tB-VP\tO' -p164312 -aS'to\tto\tTO\tB-PP\tO' -p164313 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p164314 -aS'Lasix\tLasix\tNN\tI-NP\tO' -p164315 -aS'with\twith\tIN\tB-PP\tO' -p164316 -aS'3.2\t3.2\tCD\tB-NP\tO' -p164317 -aS'liters\tliter\tNNS\tI-NP\tO' -p164318 -aS'of\tof\tIN\tB-PP\tO' -p164319 -aS'urine\turine\tNN\tB-NP\tO' -p164320 -aS'output\toutput\tNN\tI-NP\tO' -p164321 -aS'as\tas\tRB\tB-CONJP\tO' -p164322 -aS'well\twell\tRB\tI-CONJP\tO' -p164323 -aS'as\tas\tIN\tI-CONJP\tO' -p164324 -aS'marked\tmarked\tJJ\tB-NP\tO' -p164325 -aS'clinical\tclinical\tJJ\tI-NP\tO' -p164326 -aS'improvement\timprovement\tNN\tI-NP\tO' -p164327 -aS'.\t.\t.\tO\tO' -p164328 -asS'He denies any abdominal pain .' -p164329 -(lp164330 -S'He\tHe\tPRP\tB-NP\tO' -p164331 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p164332 -aS'any\tany\tDT\tB-NP\tO' -p164333 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p164334 -aS'pain\tpain\tNN\tI-NP\tO' -p164335 -aS'.\t.\t.\tO\tO' -p164336 -asS'He remained hemodynamically stable throughout his admission .' -p164337 -(lp164338 -S'He\tHe\tPRP\tB-NP\tO' -p164339 -aS'remained\tremain\tVBD\tB-VP\tO' -p164340 -aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' -p164341 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p164342 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p164343 -aS'his\this\tPRP$\tB-NP\tO' -p164344 -aS'admission\tadmission\tNN\tI-NP\tO' -p164345 -aS'.\t.\t.\tO\tO' -p164346 -asS'His weight was 3.505 ( 7 pounds / 12 ounces ) on readmission .' -p164347 -(lp164348 -S'His\tHis\tPRP$\tB-NP\tO' -p164349 -aS'weight\tweight\tNN\tI-NP\tO' -p164350 -aS'was\tbe\tVBD\tB-VP\tO' -p164351 -aS'3.505\t3.505\tCD\tB-NP\tO' -p164352 -aS'(\t(\t(\tO\tO' -p164353 -aS'7\t7\tCD\tB-NP\tO' -p164354 -aS'pounds\tpound\tNNS\tI-NP\tO' -p164355 -aS'/\t/\tSYM\tB-NP\tO' -p164356 -aS'12\t12\tCD\tB-NP\tO' -p164357 -aS'ounces\tounce\tNNS\tI-NP\tO' -p164358 -aS')\t)\t)\tO\tO' -p164359 -aS'on\ton\tIN\tB-PP\tO' -p164360 -aS'readmission\treadmission\tNN\tB-NP\tO' -p164361 -aS'.\t.\t.\tO\tO' -p164362 -asS'She had mild increase in her hypertension during the hospitalization , likely secondary to fluid overload .' -p164363 -(lp164364 -S'She\tShe\tPRP\tB-NP\tO' -p164365 -aS'had\thave\tVBD\tB-VP\tO' -p164366 -aS'mild\tmild\tJJ\tB-NP\tO' -p164367 -aS'increase\tincrease\tNN\tI-NP\tO' -p164368 -aS'in\tin\tIN\tB-PP\tO' -p164369 -aS'her\ther\tPRP$\tB-NP\tO' -p164370 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p164371 -aS'during\tduring\tIN\tB-PP\tO' -p164372 -aS'the\tthe\tDT\tB-NP\tO' -p164373 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p164374 -aS',\t,\t,\tO\tO' -p164375 -aS'likely\tlikely\tRB\tB-ADJP\tO' -p164376 -aS'secondary\tsecondary\tJJ\tI-ADJP\tO' -p164377 -aS'to\tto\tTO\tB-PP\tO' -p164378 -aS'fluid\tfluid\tNN\tB-NP\tO' -p164379 -aS'overload\toverload\tNN\tI-NP\tO' -p164380 -aS'.\t.\t.\tO\tO' -p164381 -asS'The results of these studies suggested that the patient 's symptoms were not due to subclavian steal phenomenon , and therefore , it was decided that the patient would not go further to angio and / or surgical or percutaneous intervention .' -p164382 -(lp164383 -S'The\tThe\tDT\tB-NP\tO' -p164384 -aS'results\tresult\tNNS\tI-NP\tO' -p164385 -aS'of\tof\tIN\tB-PP\tO' -p164386 -aS'these\tthese\tDT\tB-NP\tO' -p164387 -aS'studies\tstudy\tNNS\tI-NP\tO' -p164388 -aS'suggested\tsuggest\tVBD\tB-VP\tO' -p164389 -aS'that\tthat\tIN\tB-SBAR\tO' -p164390 -aS'the\tthe\tDT\tB-NP\tO' -p164391 -aS'patient\tpatient\tNN\tI-NP\tO' -p164392 -aS''s\t'\tNNS\tI-NP\tO' -p164393 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p164394 -aS'were\tbe\tVBD\tB-VP\tO' -p164395 -aS'not\tnot\tRB\tO\tO' -p164396 -aS'due\tdue\tJJ\tB-ADJP\tO' -p164397 -aS'to\tto\tTO\tB-PP\tO' -p164398 -aS'subclavian\tsubclavian\tJJ\tB-NP\tO' -p164399 -aS'steal\tsteal\tJJ\tI-NP\tO' -p164400 -aS'phenomenon\tphenomenon\tNN\tI-NP\tO' -p164401 -aS',\t,\t,\tO\tO' -p164402 -aS'and\tand\tCC\tO\tO' -p164403 -aS'therefore\ttherefore\tRB\tB-ADVP\tO' -p164404 -aS',\t,\t,\tO\tO' -p164405 -aS'it\tit\tPRP\tB-NP\tO' -p164406 -aS'was\tbe\tVBD\tB-VP\tO' -p164407 -aS'decided\tdecide\tVBN\tI-VP\tO' -p164408 -aS'that\tthat\tIN\tB-SBAR\tO' -p164409 -aS'the\tthe\tDT\tB-NP\tO' -p164410 -aS'patient\tpatient\tNN\tI-NP\tO' -p164411 -aS'would\twould\tMD\tB-VP\tO' -p164412 -aS'not\tnot\tRB\tI-VP\tO' -p164413 -aS'go\tgo\tVB\tI-VP\tO' -p164414 -aS'further\tfurther\tRBR\tB-ADVP\tO' -p164415 -aS'to\tto\tTO\tB-PP\tO' -p164416 -aS'angio\tangio\tNN\tB-NP\tO' -p164417 -aS'and\tand\tCC\tO\tO' -p164418 -aS'/\t/\tSYM\tB-NP\tO' -p164419 -aS'or\tor\tCC\tO\tO' -p164420 -aS'surgical\tsurgical\tJJ\tB-NP\tO' -p164421 -aS'or\tor\tCC\tI-NP\tO' -p164422 -aS'percutaneous\tpercutaneous\tJJ\tI-NP\tO' -p164423 -aS'intervention\tintervention\tNN\tI-NP\tO' -p164424 -aS'.\t.\t.\tO\tO' -p164425 -asS'She is now coming for surgical treatment , wound debridement , and possible wound closure with bilateral pectoralis flap .' -p164426 -(lp164427 -S'She\tShe\tPRP\tB-NP\tO' -p164428 -aS'is\tbe\tVBZ\tB-VP\tO' -p164429 -aS'now\tnow\tRB\tI-VP\tO' -p164430 -aS'coming\tcome\tVBG\tI-VP\tO' -p164431 -aS'for\tfor\tIN\tB-PP\tO' -p164432 -aS'surgical\tsurgical\tJJ\tB-NP\tO' -p164433 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p164434 -aS',\t,\t,\tO\tO' -p164435 -aS'wound\twound\tNN\tB-NP\tO' -p164436 -aS'debridement\tdebridement\tNN\tI-NP\tO' -p164437 -aS',\t,\t,\tO\tO' -p164438 -aS'and\tand\tCC\tO\tO' -p164439 -aS'possible\tpossible\tJJ\tB-NP\tO' -p164440 -aS'wound\twound\tNN\tI-NP\tO' -p164441 -aS'closure\tclosure\tNN\tI-NP\tO' -p164442 -aS'with\twith\tIN\tB-PP\tO' -p164443 -aS'bilateral\tbilateral\tJJ\tB-NP\tB-protein' -p164444 -aS'pectoralis\tpectoralis\tNN\tI-NP\tI-protein' -p164445 -aS'flap\tflap\tNN\tI-NP\tI-protein' -p164446 -aS'.\t.\t.\tO\tO' -p164447 -asS'Upon admission it was unclear whether or not the patient was volume overloaded or volume depleted .' -p164448 -(lp164449 -S'Upon\tUpon\tIN\tB-PP\tO' -p164450 -aS'admission\tadmission\tNN\tB-NP\tO' -p164451 -aS'it\tit\tPRP\tB-NP\tO' -p164452 -aS'was\tbe\tVBD\tB-VP\tO' -p164453 -aS'unclear\tunclear\tJJ\tB-ADJP\tO' -p164454 -aS'whether\twhether\tIN\tB-SBAR\tO' -p164455 -aS'or\tor\tCC\tO\tO' -p164456 -aS'not\tnot\tRB\tO\tO' -p164457 -aS'the\tthe\tDT\tB-NP\tO' -p164458 -aS'patient\tpatient\tNN\tI-NP\tO' -p164459 -aS'was\tbe\tVBD\tB-VP\tO' -p164460 -aS'volume\tvolume\tNN\tB-NP\tO' -p164461 -aS'overloaded\toverloaded\tJJ\tB-ADJP\tO' -p164462 -aS'or\tor\tCC\tO\tO' -p164463 -aS'volume\tvolume\tNN\tB-NP\tO' -p164464 -aS'depleted\tdeplete\tVBN\tB-VP\tO' -p164465 -aS'.\t.\t.\tO\tO' -p164466 -asS'His mother is in her 50 s and has hypertension .' -p164467 -(lp164468 -S'His\tHis\tPRP$\tB-NP\tO' -p164469 -aS'mother\tmother\tNN\tI-NP\tO' -p164470 -aS'is\tbe\tVBZ\tB-VP\tO' -p164471 -aS'in\tin\tIN\tB-PP\tO' -p164472 -aS'her\ther\tPRP$\tB-NP\tO' -p164473 -aS'50\t50\tCD\tI-NP\tO' -p164474 -aS's\ts\tNN\tI-NP\tO' -p164475 -aS'and\tand\tCC\tO\tO' -p164476 -aS'has\thave\tVBZ\tB-VP\tO' -p164477 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p164478 -aS'.\t.\t.\tO\tO' -p164479 -asS'Her right foot was without capillary refill , with a marked change of temperature at a level of the mid calf .' -p164480 -(lp164481 -S'Her\tHer\tPRP$\tB-NP\tO' -p164482 -aS'right\tright\tJJ\tI-NP\tO' -p164483 -aS'foot\tfoot\tNN\tI-NP\tO' -p164484 -aS'was\tbe\tVBD\tB-VP\tO' -p164485 -aS'without\twithout\tIN\tB-PP\tO' -p164486 -aS'capillary\tcapillary\tJJ\tB-NP\tO' -p164487 -aS'refill\trefill\tNN\tI-NP\tO' -p164488 -aS',\t,\t,\tO\tO' -p164489 -aS'with\twith\tIN\tB-PP\tO' -p164490 -aS'a\ta\tDT\tB-NP\tO' -p164491 -aS'marked\tmarked\tJJ\tI-NP\tO' -p164492 -aS'change\tchange\tNN\tI-NP\tO' -p164493 -aS'of\tof\tIN\tB-PP\tO' -p164494 -aS'temperature\ttemperature\tNN\tB-NP\tO' -p164495 -aS'at\tat\tIN\tB-PP\tO' -p164496 -aS'a\ta\tDT\tB-NP\tO' -p164497 -aS'level\tlevel\tNN\tI-NP\tO' -p164498 -aS'of\tof\tIN\tB-PP\tO' -p164499 -aS'the\tthe\tDT\tB-NP\tO' -p164500 -aS'mid\tmid\tJJ\tI-NP\tO' -p164501 -aS'calf\tcalf\tNN\tI-NP\tO' -p164502 -aS'.\t.\t.\tO\tO' -p164503 -asS'There , she made great progress .' -p164504 -(lp164505 -S'There\tThere\tRB\tB-ADVP\tO' -p164506 -aS',\t,\t,\tO\tO' -p164507 -aS'she\tshe\tPRP\tB-NP\tO' -p164508 -aS'made\tmake\tVBD\tB-VP\tO' -p164509 -aS'great\tgreat\tJJ\tB-NP\tO' -p164510 -aS'progress\tprogress\tNN\tI-NP\tO' -p164511 -aS'.\t.\t.\tO\tO' -p164512 -asS'Lives independently , but in the same building with daughter .' -p164513 -(lp164514 -S'Lives\tLife\tNNS\tB-NP\tO' -p164515 -aS'independently\tindependently\tRB\tB-ADVP\tO' -p164516 -aS',\t,\t,\tO\tO' -p164517 -aS'but\tbut\tCC\tO\tO' -p164518 -aS'in\tin\tIN\tB-PP\tO' -p164519 -aS'the\tthe\tDT\tB-NP\tO' -p164520 -aS'same\tsame\tJJ\tI-NP\tO' -p164521 -aS'building\tbuilding\tNN\tI-NP\tO' -p164522 -aS'with\twith\tIN\tB-PP\tO' -p164523 -aS'daughter\tdaughter\tNN\tB-NP\tO' -p164524 -aS'.\t.\t.\tO\tO' -p164525 -asS'Gen - Alert , no acute distress' -p164526 -(lp164527 -S'Gen\tGen\tNNP\tB-NP\tO' -p164528 -aS'-\t-\tHYPH\tO\tO' -p164529 -aS'Alert\tAlert\tNNP\tB-NP\tO' -p164530 -aS',\t,\t,\tO\tO' -p164531 -aS'no\tno\tDT\tB-NP\tO' -p164532 -aS'acute\tacute\tJJ\tI-NP\tO' -p164533 -aS'distress\tdistress\tNN\tI-NP\tO' -p164534 -asS'Renal was consulted .' -p164535 -(lp164536 -S'Renal\tRenal\tJJ\tB-NP\tO' -p164537 -aS'was\tbe\tVBD\tB-VP\tO' -p164538 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p164539 -aS'.\t.\t.\tO\tO' -p164540 -asS'MENTAL STATUS CHANGES .' -p164541 -(lp164542 -S'MENTAL\tMENTAL\tNNP\tB-NP\tO' -p164543 -aS'STATUS\tSTATUS\tNNP\tI-NP\tO' -p164544 -aS'CHANGES\tCHANGES\tNNP\tI-NP\tO' -p164545 -aS'.\t.\t.\tO\tO' -p164546 -asS'Bleeding from the liver was controlled with sutures .' -p164547 -(lp164548 -S'Bleeding\tBleed\tVBG\tB-VP\tO' -p164549 -aS'from\tfrom\tIN\tB-PP\tO' -p164550 -aS'the\tthe\tDT\tB-NP\tO' -p164551 -aS'liver\tliver\tNN\tI-NP\tO' -p164552 -aS'was\tbe\tVBD\tB-VP\tO' -p164553 -aS'controlled\tcontrol\tVBN\tI-VP\tO' -p164554 -aS'with\twith\tIN\tB-PP\tO' -p164555 -aS'sutures\tsuture\tNNS\tB-NP\tO' -p164556 -aS'.\t.\t.\tO\tO' -p164557 -asS'Enteral feedings were initiated on day of life No.1 .' -p164558 -(lp164559 -S'Enteral\tEnteral\tJJ\tB-NP\tO' -p164560 -aS'feedings\tfeeding\tNNS\tI-NP\tO' -p164561 -aS'were\tbe\tVBD\tB-VP\tO' -p164562 -aS'initiated\tinitiate\tVBN\tI-VP\tO' -p164563 -aS'on\ton\tIN\tB-PP\tO' -p164564 -aS'day\tday\tNN\tB-NP\tO' -p164565 -aS'of\tof\tIN\tB-PP\tO' -p164566 -aS'life\tlife\tNN\tB-NP\tB-protein' -p164567 -aS'No.1\tNo.1\tNN\tI-NP\tI-protein' -p164568 -aS'.\t.\t.\tO\tO' -p164569 -asS'There is no pericardial effusion .' -p164570 -(lp164571 -S'There\tThere\tEX\tB-NP\tO' -p164572 -aS'is\tbe\tVBZ\tB-VP\tO' -p164573 -aS'no\tno\tDT\tB-NP\tO' -p164574 -aS'pericardial\tpericardial\tJJ\tI-NP\tO' -p164575 -aS'effusion\teffusion\tNN\tI-NP\tO' -p164576 -aS'.\t.\t.\tO\tO' -p164577 -asS'She is the first twin to go home .' -p164578 -(lp164579 -S'She\tShe\tPRP\tB-NP\tO' -p164580 -aS'is\tbe\tVBZ\tB-VP\tO' -p164581 -aS'the\tthe\tDT\tB-NP\tO' -p164582 -aS'first\tfirst\tJJ\tI-NP\tO' -p164583 -aS'twin\ttwin\tNN\tI-NP\tO' -p164584 -aS'to\tto\tTO\tB-VP\tO' -p164585 -aS'go\tgo\tVB\tI-VP\tO' -p164586 -aS'home\thome\tNN\tB-NP\tO' -p164587 -aS'.\t.\t.\tO\tO' -p164588 -asS'Her blood pressure was 102/82 .' -p164589 -(lp164590 -S'Her\tHer\tPRP$\tB-NP\tO' -p164591 -aS'blood\tblood\tNN\tI-NP\tO' -p164592 -aS'pressure\tpressure\tNN\tI-NP\tO' -p164593 -aS'was\tbe\tVBD\tB-VP\tO' -p164594 -aS'102/82\t102/82\tCD\tB-NP\tO' -p164595 -aS'.\t.\t.\tO\tO' -p164596 -asS'1. Pulmonary and right iliac bone metastases .' -p164597 -(lp164598 -S'1.\t1.\tLS\tB-NP\tO' -p164599 -aS'Pulmonary\tPulmonary\tJJ\tI-NP\tO' -p164600 -aS'and\tand\tCC\tI-NP\tO' -p164601 -aS'right\tright\tJJ\tI-NP\tB-protein' -p164602 -aS'iliac\tiliac\tJJ\tI-NP\tI-protein' -p164603 -aS'bone\tbone\tNN\tI-NP\tI-protein' -p164604 -aS'metastases\tmetastasis\tNNS\tI-NP\tI-protein' -p164605 -aS'.\t.\t.\tO\tO' -p164606 -asS'Blood pressure was 98/64 .' -p164607 -(lp164608 -S'Blood\tBlood\tNN\tB-NP\tO' -p164609 -aS'pressure\tpressure\tNN\tI-NP\tO' -p164610 -aS'was\tbe\tVBD\tB-VP\tO' -p164611 -aS'98/64\t98/64\tCD\tB-NP\tO' -p164612 -aS'.\t.\t.\tO\tO' -p164613 -asS'The patient was seen by Onc Psychiatry consult , who recommended imipramine 75 mg ; that was subsequently increased to 150 mg p.o. q.h.s. , trazadone 100 mg q.h.s. and Ambien 10 mg q.h.s.' -p164614 -(lp164615 -S'The\tThe\tDT\tB-NP\tO' -p164616 -aS'patient\tpatient\tNN\tI-NP\tO' -p164617 -aS'was\tbe\tVBD\tB-VP\tO' -p164618 -aS'seen\tsee\tVBN\tI-VP\tO' -p164619 -aS'by\tby\tIN\tB-PP\tO' -p164620 -aS'Onc\tOnc\tNNP\tB-NP\tO' -p164621 -aS'Psychiatry\tPsychiatry\tNNP\tI-NP\tO' -p164622 -aS'consult\tconsult\tNN\tI-NP\tO' -p164623 -aS',\t,\t,\tO\tO' -p164624 -aS'who\twho\tWP\tB-NP\tO' -p164625 -aS'recommended\trecommend\tVBD\tB-VP\tO' -p164626 -aS'imipramine\timipramine\tNN\tB-NP\tO' -p164627 -aS'75\t75\tCD\tI-NP\tO' -p164628 -aS'mg\tmg\tNN\tI-NP\tO' -p164629 -aS';\t;\t:\tO\tO' -p164630 -aS'that\tthat\tDT\tB-NP\tO' -p164631 -aS'was\tbe\tVBD\tB-VP\tO' -p164632 -aS'subsequently\tsubsequently\tRB\tI-VP\tO' -p164633 -aS'increased\tincrease\tVBN\tI-VP\tO' -p164634 -aS'to\tto\tTO\tB-PP\tO' -p164635 -aS'150\t150\tCD\tB-NP\tO' -p164636 -aS'mg\tmg\tNN\tI-NP\tO' -p164637 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p164638 -aS'q.h.s.\tq.h.s.\tNN\tI-NP\tO' -p164639 -aS',\t,\t,\tO\tO' -p164640 -aS'trazadone\ttrazadone\tNN\tB-NP\tO' -p164641 -aS'100\t100\tCD\tI-NP\tO' -p164642 -aS'mg\tmg\tNN\tI-NP\tO' -p164643 -aS'q.h.s.\tq.h.s.\tNN\tI-NP\tO' -p164644 -aS'and\tand\tCC\tO\tO' -p164645 -aS'Ambien\tAmbien\tIN\tB-NP\tO' -p164646 -aS'10\t10\tCD\tI-NP\tO' -p164647 -aS'mg\tmg\tNN\tI-NP\tO' -p164648 -aS'q.h.s.\tq.h.s.\tNNS\tI-NP\tO' -p164649 -asS'The infant was initially started on 60 cc per kg per day of D10W .' -p164650 -(lp164651 -S'The\tThe\tDT\tB-NP\tO' -p164652 -aS'infant\tinfant\tNN\tI-NP\tO' -p164653 -aS'was\tbe\tVBD\tB-VP\tO' -p164654 -aS'initially\tinitially\tRB\tI-VP\tO' -p164655 -aS'started\tstart\tVBN\tI-VP\tO' -p164656 -aS'on\ton\tIN\tB-PP\tO' -p164657 -aS'60\t60\tCD\tB-NP\tO' -p164658 -aS'cc\tcc\tNN\tI-NP\tO' -p164659 -aS'per\tper\tIN\tB-PP\tO' -p164660 -aS'kg\tkg\tNN\tB-NP\tO' -p164661 -aS'per\tper\tIN\tB-PP\tO' -p164662 -aS'day\tday\tNN\tB-NP\tO' -p164663 -aS'of\tof\tIN\tB-PP\tO' -p164664 -aS'D10W\tD10W\tNN\tB-NP\tB-protein' -p164665 -aS'.\t.\t.\tO\tO' -p164666 -asS'Her only medication is Thyrolar for her relative hypothyroidism following resection .' -p164667 -(lp164668 -S'Her\tHer\tPRP$\tB-NP\tO' -p164669 -aS'only\tonly\tJJ\tI-NP\tO' -p164670 -aS'medication\tmedication\tNN\tI-NP\tO' -p164671 -aS'is\tbe\tVBZ\tB-VP\tO' -p164672 -aS'Thyrolar\tThyrolar\tJJ\tB-ADJP\tO' -p164673 -aS'for\tfor\tIN\tB-PP\tO' -p164674 -aS'her\ther\tPRP$\tB-NP\tO' -p164675 -aS'relative\trelative\tJJ\tI-NP\tO' -p164676 -aS'hypothyroidism\thypothyroidism\tNN\tI-NP\tO' -p164677 -aS'following\tfollow\tVBG\tB-PP\tO' -p164678 -aS'resection\tresection\tNN\tB-NP\tO' -p164679 -aS'.\t.\t.\tO\tO' -p164680 -asS'Due to concerns for dementia , neurology consult was obtained .' -p164681 -(lp164682 -S'Due\tDue\tJJ\tB-ADJP\tO' -p164683 -aS'to\tto\tTO\tB-PP\tO' -p164684 -aS'concerns\tconcern\tNNS\tB-NP\tO' -p164685 -aS'for\tfor\tIN\tB-PP\tO' -p164686 -aS'dementia\tdementia\tNN\tB-NP\tO' -p164687 -aS',\t,\t,\tO\tO' -p164688 -aS'neurology\tneurology\tNN\tB-NP\tO' -p164689 -aS'consult\tconsult\tNN\tI-NP\tO' -p164690 -aS'was\tbe\tVBD\tB-VP\tO' -p164691 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p164692 -aS'.\t.\t.\tO\tO' -p164693 -asS'Patchy consolidation of the right lung is stable .' -p164694 -(lp164695 -S'Patchy\tPatchy\tJJ\tB-NP\tO' -p164696 -aS'consolidation\tconsolidation\tNN\tI-NP\tO' -p164697 -aS'of\tof\tIN\tB-PP\tO' -p164698 -aS'the\tthe\tDT\tB-NP\tO' -p164699 -aS'right\tright\tJJ\tI-NP\tO' -p164700 -aS'lung\tlung\tNN\tI-NP\tO' -p164701 -aS'is\tbe\tVBZ\tB-VP\tO' -p164702 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p164703 -aS'.\t.\t.\tO\tO' -p164704 -asS'--- no need fortransfusion currently , keep Hct > 30' -p164705 -(lp164706 -S'---\t---\tSYM\tO\tO' -p164707 -aS'no\tno\tDT\tB-NP\tO' -p164708 -aS'need\tneed\tNN\tI-NP\tO' -p164709 -aS'fortransfusion\tfortransfusion\tNN\tI-NP\tO' -p164710 -aS'currently\tcurrently\tRB\tB-ADVP\tO' -p164711 -aS',\t,\t,\tO\tO' -p164712 -aS'keep\tkeep\tVB\tB-VP\tO' -p164713 -aS'Hct\tHct\tNNP\tB-NP\tO' -p164714 -aS'>\t>\tJJR\tB-NP\tO' -p164715 -aS'30\t30\tCD\tI-NP\tO' -p164716 -asS'She did well during the remainder of her postoperative course and was continued on her medication regimen that she had been on during the antepartum period .' -p164717 -(lp164718 -S'She\tShe\tPRP\tB-NP\tO' -p164719 -aS'did\tdo\tVBD\tB-VP\tO' -p164720 -aS'well\twell\tRB\tB-ADVP\tO' -p164721 -aS'during\tduring\tIN\tB-PP\tO' -p164722 -aS'the\tthe\tDT\tB-NP\tO' -p164723 -aS'remainder\tremainder\tNN\tI-NP\tO' -p164724 -aS'of\tof\tIN\tB-PP\tO' -p164725 -aS'her\ther\tPRP$\tB-NP\tO' -p164726 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p164727 -aS'course\tcourse\tNN\tI-NP\tO' -p164728 -aS'and\tand\tCC\tO\tO' -p164729 -aS'was\tbe\tVBD\tB-VP\tO' -p164730 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p164731 -aS'on\ton\tIN\tB-PP\tO' -p164732 -aS'her\ther\tPRP$\tB-NP\tO' -p164733 -aS'medication\tmedication\tNN\tI-NP\tO' -p164734 -aS'regimen\tregimen\tNN\tI-NP\tO' -p164735 -aS'that\tthat\tIN\tB-NP\tO' -p164736 -aS'she\tshe\tPRP\tB-NP\tO' -p164737 -aS'had\thave\tVBD\tB-VP\tO' -p164738 -aS'been\tbe\tVBN\tI-VP\tO' -p164739 -aS'on\ton\tRP\tB-PRT\tO' -p164740 -aS'during\tduring\tIN\tB-PP\tO' -p164741 -aS'the\tthe\tDT\tB-NP\tO' -p164742 -aS'antepartum\tantepartum\tNN\tI-NP\tO' -p164743 -aS'period\tperiod\tNN\tI-NP\tO' -p164744 -aS'.\t.\t.\tO\tO' -p164745 -asS'On exam , pt lethargic , responsive to pain but not voice , with NRB in place ; obvious inc wob .' -p164746 -(lp164747 -S'On\tOn\tIN\tB-PP\tO' -p164748 -aS'exam\texam\tNN\tB-NP\tO' -p164749 -aS',\t,\t,\tO\tO' -p164750 -aS'pt\tpt\tNN\tB-NP\tO' -p164751 -aS'lethargic\tlethargic\tJJ\tB-ADJP\tO' -p164752 -aS',\t,\t,\tO\tO' -p164753 -aS'responsive\tresponsive\tJJ\tB-ADJP\tO' -p164754 -aS'to\tto\tTO\tB-VP\tO' -p164755 -aS'pain\tpain\tVB\tI-VP\tO' -p164756 -aS'but\tbut\tCC\tB-NP\tO' -p164757 -aS'not\tnot\tRB\tI-NP\tO' -p164758 -aS'voice\tvoice\tNN\tB-NP\tO' -p164759 -aS',\t,\t,\tO\tO' -p164760 -aS'with\twith\tIN\tB-PP\tO' -p164761 -aS'NRB\tNRB\tNN\tB-NP\tB-protein' -p164762 -aS'in\tin\tIN\tB-PP\tO' -p164763 -aS'place\tplace\tNN\tB-NP\tO' -p164764 -aS';\t;\t:\tO\tO' -p164765 -aS'obvious\tobvious\tJJ\tB-NP\tO' -p164766 -aS'inc\tinc\tNN\tI-NP\tO' -p164767 -aS'wob\twob\tNN\tI-NP\tO' -p164768 -aS'.\t.\t.\tO\tO' -p164769 -asS'There were normal prothetic valves .' -p164770 -(lp164771 -S'There\tThere\tEX\tB-NP\tO' -p164772 -aS'were\tbe\tVBD\tB-VP\tO' -p164773 -aS'normal\tnormal\tJJ\tB-NP\tO' -p164774 -aS'prothetic\tprothetic\tJJ\tI-NP\tO' -p164775 -aS'valves\tvalve\tNNS\tI-NP\tO' -p164776 -aS'.\t.\t.\tO\tO' -p164777 -asS'The patient was afebrile , heart rate 73 , blood pressure 158/53 , respiratory rate 16-20 , oxygen saturation 97% on three liters .' -p164778 -(lp164779 -S'The\tThe\tDT\tB-NP\tO' -p164780 -aS'patient\tpatient\tNN\tI-NP\tO' -p164781 -aS'was\tbe\tVBD\tB-VP\tO' -p164782 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p164783 -aS',\t,\t,\tO\tO' -p164784 -aS'heart\theart\tNN\tB-NP\tO' -p164785 -aS'rate\trate\tNN\tI-NP\tO' -p164786 -aS'73\t73\tCD\tI-NP\tO' -p164787 -aS',\t,\t,\tO\tO' -p164788 -aS'blood\tblood\tNN\tB-NP\tO' -p164789 -aS'pressure\tpressure\tNN\tI-NP\tO' -p164790 -aS'158/53\t158/53\tCD\tI-NP\tO' -p164791 -aS',\t,\t,\tO\tO' -p164792 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p164793 -aS'rate\trate\tNN\tI-NP\tO' -p164794 -aS'16-20\t16-20\tCD\tI-NP\tO' -p164795 -aS',\t,\t,\tO\tO' -p164796 -aS'oxygen\toxygen\tNN\tB-NP\tO' -p164797 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p164798 -aS'97%\t97%\tCD\tI-NP\tO' -p164799 -aS'on\ton\tIN\tB-PP\tO' -p164800 -aS'three\tthree\tCD\tB-NP\tO' -p164801 -aS'liters\tliter\tNNS\tI-NP\tO' -p164802 -aS'.\t.\t.\tO\tO' -p164803 -asS'He was taken to bone marrow harvest in 08/22 at which time insufficient cells were obtained to proceed .' -p164804 -(lp164805 -S'He\tHe\tPRP\tB-NP\tO' -p164806 -aS'was\tbe\tVBD\tB-VP\tO' -p164807 -aS'taken\ttake\tVBN\tI-VP\tO' -p164808 -aS'to\tto\tTO\tB-PP\tO' -p164809 -aS'bone\tbone\tNN\tB-NP\tO' -p164810 -aS'marrow\tmarrow\tNN\tI-NP\tO' -p164811 -aS'harvest\tharvest\tNN\tI-NP\tO' -p164812 -aS'in\tin\tIN\tB-PP\tO' -p164813 -aS'08/22\t08/22\tCD\tB-NP\tO' -p164814 -aS'at\tat\tIN\tB-PP\tO' -p164815 -aS'which\twhich\tWDT\tB-NP\tO' -p164816 -aS'time\ttime\tNN\tB-VP\tB-cell_type' -p164817 -aS'insufficient\tinsufficient\tJJ\tB-NP\tI-cell_type' -p164818 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p164819 -aS'were\tbe\tVBD\tB-VP\tO' -p164820 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p164821 -aS'to\tto\tTO\tB-VP\tO' -p164822 -aS'proceed\tproceed\tVB\tI-VP\tO' -p164823 -aS'.\t.\t.\tO\tO' -p164824 -asS'The patient will get rehabilitation and continue to get care for his fluid status .' -p164825 -(lp164826 -S'The\tThe\tDT\tB-NP\tO' -p164827 -aS'patient\tpatient\tNN\tI-NP\tO' -p164828 -aS'will\twill\tMD\tB-VP\tO' -p164829 -aS'get\tget\tVB\tI-VP\tO' -p164830 -aS'rehabilitation\trehabilitation\tNN\tB-NP\tO' -p164831 -aS'and\tand\tCC\tO\tO' -p164832 -aS'continue\tcontinue\tVBP\tB-VP\tO' -p164833 -aS'to\tto\tTO\tI-VP\tO' -p164834 -aS'get\tget\tVB\tI-VP\tO' -p164835 -aS'care\tcare\tVB\tI-VP\tO' -p164836 -aS'for\tfor\tIN\tB-PP\tO' -p164837 -aS'his\this\tPRP$\tB-NP\tO' -p164838 -aS'fluid\tfluid\tNN\tI-NP\tO' -p164839 -aS'status\tstatus\tNN\tI-NP\tO' -p164840 -aS'.\t.\t.\tO\tO' -p164841 -asS'The patient continued to demonstrate seizure activity despite this .' -p164842 -(lp164843 -S'The\tThe\tDT\tB-NP\tO' -p164844 -aS'patient\tpatient\tNN\tI-NP\tO' -p164845 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p164846 -aS'to\tto\tTO\tI-VP\tO' -p164847 -aS'demonstrate\tdemonstrate\tVB\tI-VP\tO' -p164848 -aS'seizure\tseizure\tNN\tB-NP\tO' -p164849 -aS'activity\tactivity\tNN\tI-NP\tO' -p164850 -aS'despite\tdespite\tIN\tB-PP\tO' -p164851 -aS'this\tthis\tDT\tB-NP\tO' -p164852 -aS'.\t.\t.\tO\tO' -p164853 -asS'The patient is a 57 - year-old female with a history of hypertension and hypercholesterolemia but no prior coronary artery disease history who presented with chest pain .' -p164854 -(lp164855 -S'The\tThe\tDT\tB-NP\tO' -p164856 -aS'patient\tpatient\tNN\tI-NP\tO' -p164857 -aS'is\tbe\tVBZ\tB-VP\tO' -p164858 -aS'a\ta\tDT\tB-NP\tO' -p164859 -aS'57\t57\tCD\tI-NP\tO' -p164860 -aS'-\t-\tHYPH\tI-NP\tO' -p164861 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p164862 -aS'female\tfemale\tNN\tI-NP\tO' -p164863 -aS'with\twith\tIN\tB-PP\tO' -p164864 -aS'a\ta\tDT\tB-NP\tO' -p164865 -aS'history\thistory\tNN\tI-NP\tO' -p164866 -aS'of\tof\tIN\tB-PP\tO' -p164867 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p164868 -aS'and\tand\tCC\tI-NP\tO' -p164869 -aS'hypercholesterolemia\thypercholesterolemia\tNN\tI-NP\tO' -p164870 -aS'but\tbut\tCC\tO\tO' -p164871 -aS'no\tno\tDT\tB-NP\tO' -p164872 -aS'prior\tprior\tJJ\tI-NP\tO' -p164873 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p164874 -aS'artery\tartery\tNN\tI-NP\tO' -p164875 -aS'disease\tdisease\tNN\tI-NP\tO' -p164876 -aS'history\thistory\tNN\tI-NP\tO' -p164877 -aS'who\twho\tWP\tB-NP\tO' -p164878 -aS'presented\tpresent\tVBD\tB-VP\tO' -p164879 -aS'with\twith\tIN\tB-PP\tO' -p164880 -aS'chest\tchest\tNN\tB-NP\tO' -p164881 -aS'pain\tpain\tNN\tI-NP\tO' -p164882 -aS'.\t.\t.\tO\tO' -p164883 -asS'1. Multiple trauma with severe frontal head injury .' -p164884 -(lp164885 -S'1.\t1.\tLS\tB-NP\tO' -p164886 -aS'Multiple\tMultiple\tJJ\tI-NP\tO' -p164887 -aS'trauma\ttrauma\tNN\tI-NP\tO' -p164888 -aS'with\twith\tIN\tB-PP\tO' -p164889 -aS'severe\tsevere\tJJ\tB-NP\tO' -p164890 -aS'frontal\tfrontal\tJJ\tI-NP\tO' -p164891 -aS'head\thead\tNN\tI-NP\tO' -p164892 -aS'injury\tinjury\tNN\tI-NP\tO' -p164893 -aS'.\t.\t.\tO\tO' -p164894 -asS'There is moderate global left ventricular hypokinesis .' -p164895 -(lp164896 -S'There\tThere\tEX\tB-NP\tO' -p164897 -aS'is\tbe\tVBZ\tB-VP\tO' -p164898 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p164899 -aS'global\tglobal\tJJ\tI-NP\tO' -p164900 -aS'left\tleft\tJJ\tI-NP\tO' -p164901 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p164902 -aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' -p164903 -aS'.\t.\t.\tO\tO' -p164904 -asS"As previously mentioned , the patient 's creatinine at the time of admission was up to 3.6 from 1.9 at the time of his discharge 3 days prior ." -p164905 -(lp164906 -S'As\tAs\tIN\tB-SBAR\tO' -p164907 -aS'previously\tpreviously\tRB\tB-ADVP\tO' -p164908 -aS'mentioned\tmention\tVBN\tB-VP\tO' -p164909 -aS',\t,\t,\tO\tO' -p164910 -aS'the\tthe\tDT\tB-NP\tO' -p164911 -aS'patient\tpatient\tNN\tI-NP\tO' -p164912 -aS"'s\t's\tPOS\tB-NP\tO" -p164913 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p164914 -aS'at\tat\tIN\tB-PP\tO' -p164915 -aS'the\tthe\tDT\tB-NP\tO' -p164916 -aS'time\ttime\tNN\tI-NP\tO' -p164917 -aS'of\tof\tIN\tB-PP\tO' -p164918 -aS'admission\tadmission\tNN\tB-NP\tO' -p164919 -aS'was\tbe\tVBD\tB-VP\tO' -p164920 -aS'up\tup\tRB\tB-ADVP\tO' -p164921 -aS'to\tto\tTO\tB-PP\tO' -p164922 -aS'3.6\t3.6\tCD\tB-NP\tO' -p164923 -aS'from\tfrom\tIN\tB-PP\tO' -p164924 -aS'1.9\t1.9\tCD\tB-NP\tO' -p164925 -aS'at\tat\tIN\tB-PP\tO' -p164926 -aS'the\tthe\tDT\tB-NP\tO' -p164927 -aS'time\ttime\tNN\tI-NP\tO' -p164928 -aS'of\tof\tIN\tB-PP\tO' -p164929 -aS'his\this\tPRP$\tB-NP\tO' -p164930 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p164931 -aS'3\t3\tCD\tB-NP\tO' -p164932 -aS'days\tday\tNNS\tI-NP\tO' -p164933 -aS'prior\tprior\tRB\tB-ADVP\tO' -p164934 -aS'.\t.\t.\tO\tO' -p164935 -asS'Admission hematocrit 44 , BUN and creatinine of 13 and 0.9 , prothrombin time and partial thromboplastin time normal .' -p164936 -(lp164937 -S'Admission\tAdmission\tNN\tB-NP\tO' -p164938 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p164939 -aS'44\t44\tCD\tI-NP\tO' -p164940 -aS',\t,\t,\tI-NP\tO' -p164941 -aS'BUN\tBUN\tNN\tI-NP\tO' -p164942 -aS'and\tand\tCC\tI-NP\tO' -p164943 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p164944 -aS'of\tof\tIN\tB-PP\tO' -p164945 -aS'13\t13\tCD\tB-NP\tO' -p164946 -aS'and\tand\tCC\tI-NP\tO' -p164947 -aS'0.9\t0.9\tCD\tI-NP\tO' -p164948 -aS',\t,\t,\tO\tO' -p164949 -aS'prothrombin\tprothrombin\tNN\tB-NP\tO' -p164950 -aS'time\ttime\tNN\tI-NP\tO' -p164951 -aS'and\tand\tCC\tO\tO' -p164952 -aS'partial\tpartial\tJJ\tB-NP\tO' -p164953 -aS'thromboplastin\tthromboplastin\tNN\tI-NP\tO' -p164954 -aS'time\ttime\tNN\tI-NP\tO' -p164955 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p164956 -aS'.\t.\t.\tO\tO' -p164957 -asS'The patient ambulated extensively on the FIH 20 floor each day without any episodes of chest pain or shortness of breath .' -p164958 -(lp164959 -S'The\tThe\tDT\tB-NP\tO' -p164960 -aS'patient\tpatient\tNN\tI-NP\tO' -p164961 -aS'ambulated\tambulate\tVBN\tB-VP\tO' -p164962 -aS'extensively\textensively\tRB\tB-ADVP\tO' -p164963 -aS'on\ton\tIN\tB-PP\tO' -p164964 -aS'the\tthe\tDT\tB-NP\tO' -p164965 -aS'FIH\tFIH\tNN\tI-NP\tO' -p164966 -aS'20\t20\tCD\tI-NP\tO' -p164967 -aS'floor\tfloor\tNN\tI-NP\tO' -p164968 -aS'each\teach\tDT\tB-NP\tO' -p164969 -aS'day\tday\tNN\tI-NP\tO' -p164970 -aS'without\twithout\tIN\tB-PP\tO' -p164971 -aS'any\tany\tDT\tB-NP\tO' -p164972 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p164973 -aS'of\tof\tIN\tB-PP\tO' -p164974 -aS'chest\tchest\tNN\tB-NP\tO' -p164975 -aS'pain\tpain\tNN\tI-NP\tO' -p164976 -aS'or\tor\tCC\tI-NP\tO' -p164977 -aS'shortness\tshortness\tNN\tI-NP\tO' -p164978 -aS'of\tof\tIN\tB-PP\tO' -p164979 -aS'breath\tbreath\tNN\tB-NP\tO' -p164980 -aS'.\t.\t.\tO\tO' -p164981 -asS'He did drop below 1.5 at one time , at which time he was placed on heparin intravenous to carry him through that period , but his discharge INR was around 2 and he was off of heparin at that time .' -p164982 -(lp164983 -S'He\tHe\tPRP\tB-NP\tO' -p164984 -aS'did\tdo\tVBD\tB-VP\tO' -p164985 -aS'drop\tdrop\tNN\tB-NP\tO' -p164986 -aS'below\tbelow\tIN\tB-PP\tO' -p164987 -aS'1.5\t1.5\tCD\tB-NP\tO' -p164988 -aS'at\tat\tIN\tB-PP\tO' -p164989 -aS'one\tone\tCD\tB-NP\tO' -p164990 -aS'time\ttime\tNN\tI-NP\tO' -p164991 -aS',\t,\t,\tO\tO' -p164992 -aS'at\tat\tIN\tB-PP\tO' -p164993 -aS'which\twhich\tWDT\tB-NP\tO' -p164994 -aS'time\ttime\tNN\tI-NP\tO' -p164995 -aS'he\the\tPRP\tB-NP\tO' -p164996 -aS'was\tbe\tVBD\tB-VP\tO' -p164997 -aS'placed\tplace\tVBN\tI-VP\tO' -p164998 -aS'on\ton\tIN\tB-PP\tO' -p164999 -aS'heparin\theparin\tNN\tB-NP\tO' -p165000 -aS'intravenous\tintravenous\tJJ\tB-ADJP\tO' -p165001 -aS'to\tto\tTO\tB-VP\tO' -p165002 -aS'carry\tcarry\tVB\tI-VP\tO' -p165003 -aS'him\thim\tPRP\tB-NP\tO' -p165004 -aS'through\tthrough\tIN\tB-PP\tO' -p165005 -aS'that\tthat\tDT\tB-NP\tO' -p165006 -aS'period\tperiod\tNN\tI-NP\tO' -p165007 -aS',\t,\t,\tO\tO' -p165008 -aS'but\tbut\tCC\tO\tO' -p165009 -aS'his\this\tPRP$\tB-NP\tO' -p165010 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p165011 -aS'INR\tINR\tNN\tI-NP\tO' -p165012 -aS'was\tbe\tVBD\tB-VP\tO' -p165013 -aS'around\taround\tRB\tB-ADVP\tO' -p165014 -aS'2\t2\tCD\tB-NP\tO' -p165015 -aS'and\tand\tCC\tO\tO' -p165016 -aS'he\the\tPRP\tB-NP\tO' -p165017 -aS'was\tbe\tVBD\tB-VP\tO' -p165018 -aS'off\toff\tRB\tB-ADVP\tO' -p165019 -aS'of\tof\tIN\tB-PP\tO' -p165020 -aS'heparin\theparin\tNN\tB-NP\tO' -p165021 -aS'at\tat\tIN\tB-PP\tO' -p165022 -aS'that\tthat\tDT\tB-NP\tO' -p165023 -aS'time\ttime\tNN\tI-NP\tO' -p165024 -aS'.\t.\t.\tO\tO' -p165025 -asS'6) Failed autologous bone marrow transplant in 10/92 .' -p165026 -(lp165027 -S'6)\t6)\tLS\tB-LST\tO' -p165028 -aS'Failed\tFail\tVBD\tB-VP\tO' -p165029 -aS'autologous\tautologous\tJJ\tB-NP\tO' -p165030 -aS'bone\tbone\tNN\tI-NP\tO' -p165031 -aS'marrow\tmarrow\tNN\tI-NP\tO' -p165032 -aS'transplant\ttransplant\tNN\tI-NP\tO' -p165033 -aS'in\tin\tIN\tB-PP\tO' -p165034 -aS'10/92\t10/92\tCD\tB-NP\tO' -p165035 -aS'.\t.\t.\tO\tO' -p165036 -asS'Sinus bradycardia , left bundle branch block , prolonged QRS .' -p165037 -(lp165038 -S'Sinus\tSinus\tNNP\tB-NP\tO' -p165039 -aS'bradycardia\tbradycardia\tNNP\tI-NP\tO' -p165040 -aS',\t,\t,\tO\tO' -p165041 -aS'left\tleave\tVBD\tB-VP\tO' -p165042 -aS'bundle\tbundle\tNN\tB-NP\tO' -p165043 -aS'branch\tbranch\tNN\tI-NP\tO' -p165044 -aS'block\tblock\tNN\tI-NP\tO' -p165045 -aS',\t,\t,\tO\tO' -p165046 -aS'prolonged\tprolong\tVBD\tB-VP\tO' -p165047 -aS'QRS\tQRS\tNNP\tB-NP\tB-protein' -p165048 -aS'.\t.\t.\tO\tO' -p165049 -asS'Retired 15 years ago .' -p165050 -(lp165051 -S'Retired\tRetire\tVBN\tB-VP\tO' -p165052 -aS'15\t15\tCD\tB-NP\tO' -p165053 -aS'years\tyear\tNNS\tI-NP\tO' -p165054 -aS'ago\tago\tRB\tB-ADVP\tO' -p165055 -aS'.\t.\t.\tO\tO' -p165056 -asS'The patient was admitted for further management of his pulmonary edema .' -p165057 -(lp165058 -S'The\tThe\tDT\tB-NP\tO' -p165059 -aS'patient\tpatient\tNN\tI-NP\tO' -p165060 -aS'was\tbe\tVBD\tB-VP\tO' -p165061 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p165062 -aS'for\tfor\tIN\tB-PP\tO' -p165063 -aS'further\tfurther\tJJ\tB-NP\tO' -p165064 -aS'management\tmanagement\tNN\tI-NP\tO' -p165065 -aS'of\tof\tIN\tB-PP\tO' -p165066 -aS'his\this\tPRP$\tB-NP\tO' -p165067 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p165068 -aS'edema\tedema\tNN\tI-NP\tO' -p165069 -aS'.\t.\t.\tO\tO' -p165070 -asS'He had been anticoagulated during his stay at rehabilitation for atrial fibrillation .' -p165071 -(lp165072 -S'He\tHe\tPRP\tB-NP\tO' -p165073 -aS'had\thave\tVBD\tB-VP\tO' -p165074 -aS'been\tbe\tVBN\tI-VP\tO' -p165075 -aS'anticoagulated\tanticoagulate\tVBN\tI-VP\tO' -p165076 -aS'during\tduring\tIN\tB-PP\tO' -p165077 -aS'his\this\tPRP$\tB-NP\tO' -p165078 -aS'stay\tstay\tNN\tI-NP\tO' -p165079 -aS'at\tat\tIN\tB-PP\tO' -p165080 -aS'rehabilitation\trehabilitation\tNN\tB-NP\tO' -p165081 -aS'for\tfor\tIN\tB-PP\tO' -p165082 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p165083 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p165084 -aS'.\t.\t.\tO\tO' -p165085 -asS'Electrician .' -p165086 -(lp165087 -S'Electrician\tElectrician\tNN\tB-NP\tO' -p165088 -aS'.\t.\t.\tO\tO' -p165089 -asS'Chest : Mild intercostal and sternal retractions .' -p165090 -(lp165091 -S'Chest\tChest\tNNP\tB-NP\tO' -p165092 -aS':\t:\t:\tO\tO' -p165093 -aS'Mild\tMild\tNNP\tB-NP\tO' -p165094 -aS'intercostal\tintercostal\tJJ\tI-NP\tO' -p165095 -aS'and\tand\tCC\tI-NP\tO' -p165096 -aS'sternal\tsternal\tJJ\tI-NP\tO' -p165097 -aS'retractions\tretraction\tNNS\tI-NP\tO' -p165098 -aS'.\t.\t.\tO\tO' -p165099 -asS'Motor exam normal tone , positive asterixis , no drift .' -p165100 -(lp165101 -S'Motor\tMotor\tNNP\tB-NP\tO' -p165102 -aS'exam\texam\tVBP\tB-VP\tO' -p165103 -aS'normal\tnormal\tJJ\tB-NP\tO' -p165104 -aS'tone\ttone\tNN\tI-NP\tO' -p165105 -aS',\t,\t,\tO\tO' -p165106 -aS'positive\tpositive\tJJ\tB-NP\tO' -p165107 -aS'asterixis\tasterixis\tNN\tI-NP\tO' -p165108 -aS',\t,\t,\tO\tO' -p165109 -aS'no\tno\tDT\tB-NP\tO' -p165110 -aS'drift\tdrift\tNN\tI-NP\tO' -p165111 -aS'.\t.\t.\tO\tO' -p165112 -asS'Patient was having seizures , twitching of face and rapid movements of eyes .' -p165113 -(lp165114 -S'Patient\tPatient\tNN\tB-NP\tO' -p165115 -aS'was\tbe\tVBD\tB-VP\tO' -p165116 -aS'having\thave\tVBG\tI-VP\tO' -p165117 -aS'seizures\tseizure\tNNS\tB-NP\tO' -p165118 -aS',\t,\t,\tO\tO' -p165119 -aS'twitching\ttwitch\tVBG\tB-VP\tO' -p165120 -aS'of\tof\tIN\tB-PP\tO' -p165121 -aS'face\tface\tNN\tB-NP\tO' -p165122 -aS'and\tand\tCC\tO\tO' -p165123 -aS'rapid\trapid\tJJ\tB-NP\tO' -p165124 -aS'movements\tmovement\tNNS\tI-NP\tO' -p165125 -aS'of\tof\tIN\tB-PP\tO' -p165126 -aS'eyes\teye\tNNS\tB-NP\tO' -p165127 -aS'.\t.\t.\tO\tO' -p165128 -asS'Discharged to Sonpathcermu Jords Hospital .' -p165129 -(lp165130 -S'Discharged\tDischarge\tVBN\tB-VP\tO' -p165131 -aS'to\tto\tTO\tB-PP\tO' -p165132 -aS'Sonpathcermu\tSonpathcermu\tNNP\tB-NP\tO' -p165133 -aS'Jords\tJords\tNNP\tI-NP\tO' -p165134 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p165135 -aS'.\t.\t.\tO\tO' -p165136 -asS'Compared with the findings of the prior study ( images reviewed ) of 2013-06-18 , the pressure gradient across the mitral valve prosthesis is increased .' -p165137 -(lp165138 -S'Compared\tCompare\tVBN\tB-PP\tO' -p165139 -aS'with\twith\tIN\tB-PP\tO' -p165140 -aS'the\tthe\tDT\tB-NP\tO' -p165141 -aS'findings\tfinding\tNNS\tI-NP\tO' -p165142 -aS'of\tof\tIN\tB-PP\tO' -p165143 -aS'the\tthe\tDT\tB-NP\tO' -p165144 -aS'prior\tprior\tJJ\tI-NP\tO' -p165145 -aS'study\tstudy\tNN\tI-NP\tO' -p165146 -aS'(\t(\t(\tO\tO' -p165147 -aS'images\timage\tNNS\tB-NP\tO' -p165148 -aS'reviewed\treview\tVBN\tB-VP\tO' -p165149 -aS')\t)\t)\tO\tO' -p165150 -aS'of\tof\tIN\tB-PP\tO' -p165151 -aS'2013-06-18\t2013-06-18\tCD\tB-NP\tO' -p165152 -aS',\t,\t,\tO\tO' -p165153 -aS'the\tthe\tDT\tB-NP\tO' -p165154 -aS'pressure\tpressure\tNN\tI-NP\tO' -p165155 -aS'gradient\tgradient\tNN\tI-NP\tO' -p165156 -aS'across\tacross\tIN\tB-PP\tO' -p165157 -aS'the\tthe\tDT\tB-NP\tO' -p165158 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p165159 -aS'valve\tvalve\tNN\tI-NP\tO' -p165160 -aS'prosthesis\tprosthesis\tNN\tI-NP\tO' -p165161 -aS'is\tbe\tVBZ\tB-VP\tO' -p165162 -aS'increased\tincrease\tVBN\tI-VP\tO' -p165163 -aS'.\t.\t.\tO\tO' -p165164 -asS'Do not take the aspirin unless you see Dr Pannell .' -p165165 -(lp165166 -S'Do\tDo\tVBP\tB-VP\tO' -p165167 -aS'not\tnot\tRB\tI-VP\tO' -p165168 -aS'take\ttake\tVB\tI-VP\tO' -p165169 -aS'the\tthe\tDT\tB-NP\tO' -p165170 -aS'aspirin\taspirin\tNN\tI-NP\tO' -p165171 -aS'unless\tunless\tIN\tB-SBAR\tO' -p165172 -aS'you\tyou\tPRP\tB-NP\tO' -p165173 -aS'see\tsee\tVBP\tB-VP\tO' -p165174 -aS'Dr\tDr\tNNP\tB-NP\tO' -p165175 -aS'Pannell\tPannell\tNNP\tI-NP\tO' -p165176 -aS'.\t.\t.\tO\tO' -p165177 -asS'The patient 's HIV risk factors include history of intravenous drug abuse , prostitution , and a former prisoner .' -p165178 -(lp165179 -S'The\tThe\tDT\tB-NP\tO' -p165180 -aS'patient\tpatient\tNN\tI-NP\tO' -p165181 -aS''s\t'\tNNS\tI-NP\tO' -p165182 -aS'HIV\tHIV\tNN\tI-NP\tO' -p165183 -aS'risk\trisk\tNN\tI-NP\tO' -p165184 -aS'factors\tfactor\tNNS\tI-NP\tO' -p165185 -aS'include\tinclude\tVBP\tB-VP\tO' -p165186 -aS'history\thistory\tNN\tB-NP\tO' -p165187 -aS'of\tof\tIN\tB-PP\tO' -p165188 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p165189 -aS'drug\tdrug\tNN\tI-NP\tO' -p165190 -aS'abuse\tabuse\tNN\tI-NP\tO' -p165191 -aS',\t,\t,\tO\tO' -p165192 -aS'prostitution\tprostitution\tNN\tB-NP\tO' -p165193 -aS',\t,\t,\tO\tO' -p165194 -aS'and\tand\tCC\tO\tO' -p165195 -aS'a\ta\tDT\tB-NP\tO' -p165196 -aS'former\tformer\tJJ\tI-NP\tO' -p165197 -aS'prisoner\tprisoner\tNN\tI-NP\tO' -p165198 -aS'.\t.\t.\tO\tO' -p165199 -asS'4) old right frontal infarct .' -p165200 -(lp165201 -S'4)\t4)\tLS\tB-LST\tO' -p165202 -aS'old\told\tJJ\tB-NP\tO' -p165203 -aS'right\tright\tJJ\tI-NP\tO' -p165204 -aS'frontal\tfrontal\tJJ\tI-NP\tO' -p165205 -aS'infarct\tinfarct\tNN\tI-NP\tO' -p165206 -aS'.\t.\t.\tO\tO' -p165207 -asS'health until about three weeks ago when the daughter noted she was sleeping more .' -p165208 -(lp165209 -S'health\thealth\tNN\tB-NP\tO' -p165210 -aS'until\tuntil\tIN\tB-PP\tO' -p165211 -aS'about\tabout\tIN\tB-NP\tO' -p165212 -aS'three\tthree\tCD\tI-NP\tO' -p165213 -aS'weeks\tweek\tNNS\tI-NP\tO' -p165214 -aS'ago\tago\tRB\tB-ADVP\tO' -p165215 -aS'when\twhen\tWRB\tB-ADVP\tO' -p165216 -aS'the\tthe\tDT\tB-NP\tO' -p165217 -aS'daughter\tdaughter\tNN\tI-NP\tO' -p165218 -aS'noted\tnote\tVBD\tB-VP\tO' -p165219 -aS'she\tshe\tPRP\tB-NP\tO' -p165220 -aS'was\tbe\tVBD\tB-VP\tO' -p165221 -aS'sleeping\tsleep\tVBG\tI-VP\tO' -p165222 -aS'more\tmore\tJJR\tB-NP\tO' -p165223 -aS'.\t.\t.\tO\tO' -p165224 -asS'Total parenteral nutrition was started on July 5 .' -p165225 -(lp165226 -S'Total\tTotal\tJJ\tB-NP\tO' -p165227 -aS'parenteral\tparenteral\tJJ\tI-NP\tO' -p165228 -aS'nutrition\tnutrition\tNN\tI-NP\tO' -p165229 -aS'was\tbe\tVBD\tB-VP\tO' -p165230 -aS'started\tstart\tVBN\tI-VP\tO' -p165231 -aS'on\ton\tIN\tB-PP\tO' -p165232 -aS'July\tJuly\tNNP\tB-NP\tB-protein' -p165233 -aS'5\t5\tCD\tI-NP\tI-protein' -p165234 -aS'.\t.\t.\tO\tO' -p165235 -asS'He was given Lasix to continue to diurese the excess volume .' -p165236 -(lp165237 -S'He\tHe\tPRP\tB-NP\tO' -p165238 -aS'was\tbe\tVBD\tB-VP\tO' -p165239 -aS'given\tgive\tVBN\tI-VP\tO' -p165240 -aS'Lasix\tLasix\tNNP\tB-NP\tO' -p165241 -aS'to\tto\tTO\tB-VP\tO' -p165242 -aS'continue\tcontinue\tVB\tI-VP\tO' -p165243 -aS'to\tto\tTO\tI-VP\tO' -p165244 -aS'diurese\tdiurese\tVB\tI-VP\tO' -p165245 -aS'the\tthe\tDT\tB-NP\tO' -p165246 -aS'excess\texcess\tJJ\tI-NP\tO' -p165247 -aS'volume\tvolume\tNN\tI-NP\tO' -p165248 -aS'.\t.\t.\tO\tO' -p165249 -asS'Patient had an echocardiogram in 2012 which demonstrated an EF of 60-65% .' -p165250 -(lp165251 -S'Patient\tPatient\tNN\tB-NP\tO' -p165252 -aS'had\thave\tVBD\tB-VP\tO' -p165253 -aS'an\tan\tDT\tB-NP\tO' -p165254 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p165255 -aS'in\tin\tIN\tB-PP\tO' -p165256 -aS'2012\t2012\tCD\tB-NP\tO' -p165257 -aS'which\twhich\tWDT\tB-NP\tO' -p165258 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p165259 -aS'an\tan\tDT\tB-NP\tO' -p165260 -aS'EF\tEF\tNN\tI-NP\tB-protein' -p165261 -aS'of\tof\tIN\tB-PP\tO' -p165262 -aS'60-65%\t60-65%\tNN\tB-NP\tB-protein' -p165263 -aS'.\t.\t.\tO\tO' -p165264 -asS'Renal tubular acidosis distal type I ; shock ; seizure disorder ; severe acidosis and severe electrolyte imbalance ; rule out sepsis .' -p165265 -(lp165266 -S'Renal\tRenal\tJJ\tB-NP\tO' -p165267 -aS'tubular\ttubular\tJJ\tI-NP\tO' -p165268 -aS'acidosis\tacidosis\tNN\tI-NP\tO' -p165269 -aS'distal\tdistal\tJJ\tI-NP\tO' -p165270 -aS'type\ttype\tNN\tI-NP\tO' -p165271 -aS'I\tI\tCD\tI-NP\tO' -p165272 -aS';\t;\t:\tO\tO' -p165273 -aS'shock\tshock\tNN\tB-NP\tO' -p165274 -aS';\t;\t:\tO\tO' -p165275 -aS'seizure\tseizure\tNN\tB-NP\tO' -p165276 -aS'disorder\tdisorder\tNN\tI-NP\tO' -p165277 -aS';\t;\t:\tO\tO' -p165278 -aS'severe\tsevere\tJJ\tB-NP\tO' -p165279 -aS'acidosis\tacidosis\tNN\tI-NP\tO' -p165280 -aS'and\tand\tCC\tO\tO' -p165281 -aS'severe\tsevere\tJJ\tB-NP\tO' -p165282 -aS'electrolyte\telectrolyte\tNN\tI-NP\tO' -p165283 -aS'imbalance\timbalance\tNN\tI-NP\tO' -p165284 -aS';\t;\t:\tO\tO' -p165285 -aS'rule\trule\tNN\tB-VP\tO' -p165286 -aS'out\tout\tRP\tB-PRT\tO' -p165287 -aS'sepsis\tsepsis\tNN\tB-NP\tO' -p165288 -aS'.\t.\t.\tO\tO' -p165289 -asS'His postoperative course was remarkable for a low grade temperature to 101.7 .' -p165290 -(lp165291 -S'His\tHis\tPRP$\tB-NP\tO' -p165292 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p165293 -aS'course\tcourse\tNN\tI-NP\tO' -p165294 -aS'was\tbe\tVBD\tB-VP\tO' -p165295 -aS'remarkable\tremarkable\tJJ\tB-ADJP\tO' -p165296 -aS'for\tfor\tIN\tB-PP\tO' -p165297 -aS'a\ta\tDT\tB-NP\tO' -p165298 -aS'low\tlow\tJJ\tI-NP\tO' -p165299 -aS'grade\tgrade\tNN\tI-NP\tO' -p165300 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p165301 -aS'to\tto\tTO\tB-PP\tO' -p165302 -aS'101.7\t101.7\tCD\tB-NP\tO' -p165303 -aS'.\t.\t.\tO\tO' -p165304 -asS'The serum albumin gradient was 1.8 consistent with portal hypertension .' -p165305 -(lp165306 -S'The\tThe\tDT\tB-NP\tO' -p165307 -aS'serum\tserum\tNN\tI-NP\tO' -p165308 -aS'albumin\talbumin\tNN\tI-NP\tO' -p165309 -aS'gradient\tgradient\tNN\tI-NP\tO' -p165310 -aS'was\tbe\tVBD\tB-VP\tO' -p165311 -aS'1.8\t1.8\tCD\tB-ADJP\tO' -p165312 -aS'consistent\tconsistent\tJJ\tI-ADJP\tO' -p165313 -aS'with\twith\tIN\tB-PP\tO' -p165314 -aS'portal\tportal\tJJ\tB-NP\tO' -p165315 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p165316 -aS'.\t.\t.\tO\tO' -p165317 -asS'His initial arterial blood gas at the Sephsandpot Center revealed a p02 of 76 , pC02 14 , and a pH of 7.44 on room air .' -p165318 -(lp165319 -S'His\tHis\tPRP$\tB-NP\tO' -p165320 -aS'initial\tinitial\tJJ\tI-NP\tO' -p165321 -aS'arterial\tarterial\tJJ\tI-NP\tO' -p165322 -aS'blood\tblood\tNN\tI-NP\tO' -p165323 -aS'gas\tgas\tNN\tI-NP\tO' -p165324 -aS'at\tat\tIN\tB-PP\tO' -p165325 -aS'the\tthe\tDT\tB-NP\tO' -p165326 -aS'Sephsandpot\tSephsandpot\tNNP\tI-NP\tO' -p165327 -aS'Center\tCenter\tNNP\tI-NP\tO' -p165328 -aS'revealed\treveal\tVBD\tB-VP\tO' -p165329 -aS'a\ta\tDT\tB-NP\tO' -p165330 -aS'p02\tp02\tNN\tI-NP\tB-protein' -p165331 -aS'of\tof\tIN\tB-PP\tO' -p165332 -aS'76\t76\tCD\tB-NP\tO' -p165333 -aS',\t,\t,\tO\tO' -p165334 -aS'pC02\tpC02\tNN\tB-NP\tO' -p165335 -aS'14\t14\tCD\tI-NP\tO' -p165336 -aS',\t,\t,\tO\tO' -p165337 -aS'and\tand\tCC\tO\tO' -p165338 -aS'a\ta\tDT\tB-NP\tO' -p165339 -aS'pH\tpH\tNN\tI-NP\tO' -p165340 -aS'of\tof\tIN\tB-PP\tO' -p165341 -aS'7.44\t7.44\tCD\tB-NP\tO' -p165342 -aS'on\ton\tIN\tB-PP\tO' -p165343 -aS'room\troom\tNN\tB-NP\tO' -p165344 -aS'air\tair\tNN\tI-NP\tO' -p165345 -aS'.\t.\t.\tO\tO' -p165346 -asS'Patient is an 88 year old female with fatigue and decreased short term memory for the past six months .' -p165347 -(lp165348 -S'Patient\tPatient\tNN\tB-NP\tO' -p165349 -aS'is\tbe\tVBZ\tB-VP\tO' -p165350 -aS'an\tan\tDT\tB-NP\tO' -p165351 -aS'88\t88\tCD\tI-NP\tO' -p165352 -aS'year\tyear\tNN\tI-NP\tO' -p165353 -aS'old\told\tJJ\tI-NP\tO' -p165354 -aS'female\tfemale\tNN\tI-NP\tO' -p165355 -aS'with\twith\tIN\tB-PP\tO' -p165356 -aS'fatigue\tfatigue\tNN\tB-NP\tO' -p165357 -aS'and\tand\tCC\tO\tO' -p165358 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p165359 -aS'short\tshort\tJJ\tB-NP\tO' -p165360 -aS'term\tterm\tNN\tI-NP\tO' -p165361 -aS'memory\tmemory\tNN\tI-NP\tO' -p165362 -aS'for\tfor\tIN\tB-PP\tO' -p165363 -aS'the\tthe\tDT\tB-NP\tO' -p165364 -aS'past\tpast\tJJ\tI-NP\tO' -p165365 -aS'six\tsix\tCD\tI-NP\tO' -p165366 -aS'months\tmonth\tNNS\tI-NP\tO' -p165367 -aS'.\t.\t.\tO\tO' -p165368 -asS'The patient was guaiac negative per the emergency room .' -p165369 -(lp165370 -S'The\tThe\tDT\tB-NP\tO' -p165371 -aS'patient\tpatient\tNN\tI-NP\tO' -p165372 -aS'was\tbe\tVBD\tB-VP\tO' -p165373 -aS'guaiac\tguaiac\tJJ\tB-ADJP\tO' -p165374 -aS'negative\tnegative\tJJ\tI-ADJP\tO' -p165375 -aS'per\tper\tIN\tB-PP\tO' -p165376 -aS'the\tthe\tDT\tB-NP\tO' -p165377 -aS'emergency\temergency\tNN\tI-NP\tO' -p165378 -aS'room\troom\tNN\tI-NP\tO' -p165379 -aS'.\t.\t.\tO\tO' -p165380 -asS'The arterial circulation is adequate for healing of his left great toe ulcer , noncompressible left thigh and calf pressures highly calcified arterial system .' -p165381 -(lp165382 -S'The\tThe\tDT\tB-NP\tO' -p165383 -aS'arterial\tarterial\tJJ\tI-NP\tO' -p165384 -aS'circulation\tcirculation\tNN\tI-NP\tO' -p165385 -aS'is\tbe\tVBZ\tB-VP\tO' -p165386 -aS'adequate\tadequate\tJJ\tB-ADJP\tO' -p165387 -aS'for\tfor\tIN\tB-PP\tO' -p165388 -aS'healing\theal\tVBG\tB-NP\tO' -p165389 -aS'of\tof\tIN\tB-PP\tO' -p165390 -aS'his\this\tPRP$\tB-NP\tO' -p165391 -aS'left\tleft\tJJ\tI-NP\tO' -p165392 -aS'great\tgreat\tJJ\tI-NP\tO' -p165393 -aS'toe\ttoe\tNN\tI-NP\tO' -p165394 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p165395 -aS',\t,\t,\tO\tO' -p165396 -aS'noncompressible\tnoncompressible\tJJ\tB-NP\tO' -p165397 -aS'left\tleft\tJJ\tI-NP\tO' -p165398 -aS'thigh\tthigh\tNN\tI-NP\tO' -p165399 -aS'and\tand\tCC\tI-NP\tO' -p165400 -aS'calf\tcalf\tNN\tI-NP\tO' -p165401 -aS'pressures\tpressure\tNNS\tI-NP\tO' -p165402 -aS'highly\thighly\tRB\tB-ADVP\tO' -p165403 -aS'calcified\tcalcify\tVBD\tB-VP\tO' -p165404 -aS'arterial\tarterial\tJJ\tB-NP\tO' -p165405 -aS'system\tsystem\tNN\tI-NP\tO' -p165406 -aS'.\t.\t.\tO\tO' -p165407 -asS'3. Status post hernia repair .' -p165408 -(lp165409 -S'3.\t3.\tLS\tB-NP\tO' -p165410 -aS'Status\tStatus\tNNP\tI-NP\tO' -p165411 -aS'post\tpost\tNN\tI-NP\tO' -p165412 -aS'hernia\thernia\tNN\tI-NP\tO' -p165413 -aS'repair\trepair\tNN\tI-NP\tO' -p165414 -aS'.\t.\t.\tO\tO' -p165415 -asS'This revealed maturation of leukocytes to all stages with markedly increased eosinophilic proliferation .' -p165416 -(lp165417 -S'This\tThis\tDT\tB-NP\tO' -p165418 -aS'revealed\treveal\tVBD\tB-VP\tO' -p165419 -aS'maturation\tmaturation\tNN\tB-NP\tO' -p165420 -aS'of\tof\tIN\tB-PP\tO' -p165421 -aS'leukocytes\tleukocyte\tNNS\tB-NP\tB-cell_type' -p165422 -aS'to\tto\tTO\tB-PP\tO' -p165423 -aS'all\tall\tDT\tB-NP\tO' -p165424 -aS'stages\tstage\tNNS\tI-NP\tO' -p165425 -aS'with\twith\tIN\tB-PP\tO' -p165426 -aS'markedly\tmarkedly\tRB\tB-NP\tO' -p165427 -aS'increased\tincrease\tVBN\tI-NP\tO' -p165428 -aS'eosinophilic\teosinophilic\tJJ\tI-NP\tO' -p165429 -aS'proliferation\tproliferation\tNN\tI-NP\tO' -p165430 -aS'.\t.\t.\tO\tO' -p165431 -asS'( neurologist : Dr. Heaton , UMass Memorial Medical Center ) - ( steroids increased to 40 qd in Renee for concern for recurrent optic neuritis which turned out to be capsular ossification )' -p165432 -(lp165433 -S'(\t(\t(\tO\tO' -p165434 -aS'neurologist\tneurologist\tNN\tB-NP\tO' -p165435 -aS':\t:\t:\tO\tO' -p165436 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p165437 -aS'Heaton\tHeaton\tNNP\tI-NP\tO' -p165438 -aS',\t,\t,\tO\tO' -p165439 -aS'UMass\tUMass\tNNP\tB-NP\tO' -p165440 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p165441 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p165442 -aS'Center\tCenter\tNNP\tI-NP\tO' -p165443 -aS')\t)\t)\tO\tO' -p165444 -aS'-\t-\tHYPH\tO\tO' -p165445 -aS'(\t(\t(\tO\tO' -p165446 -aS'steroids\tsteroid\tNNS\tB-NP\tO' -p165447 -aS'increased\tincrease\tVBD\tB-VP\tO' -p165448 -aS'to\tto\tTO\tB-PP\tO' -p165449 -aS'40\t40\tCD\tB-NP\tO' -p165450 -aS'qd\tqd\tNN\tI-NP\tO' -p165451 -aS'in\tin\tIN\tB-PP\tO' -p165452 -aS'Renee\tRenee\tNNP\tB-NP\tO' -p165453 -aS'for\tfor\tIN\tB-PP\tO' -p165454 -aS'concern\tconcern\tNN\tB-NP\tO' -p165455 -aS'for\tfor\tIN\tB-PP\tO' -p165456 -aS'recurrent\trecurrent\tJJ\tB-NP\tO' -p165457 -aS'optic\toptic\tJJ\tI-NP\tO' -p165458 -aS'neuritis\tneuritis\tNN\tI-NP\tO' -p165459 -aS'which\twhich\tWDT\tB-NP\tO' -p165460 -aS'turned\tturn\tVBD\tB-VP\tO' -p165461 -aS'out\tout\tRP\tB-PRT\tO' -p165462 -aS'to\tto\tTO\tB-VP\tO' -p165463 -aS'be\tbe\tVB\tI-VP\tO' -p165464 -aS'capsular\tcapsular\tJJ\tB-NP\tO' -p165465 -aS'ossification\tossification\tNN\tI-NP\tO' -p165466 -aS')\t)\t)\tO\tO' -p165467 -asS'Extremities - Babinski reflex was equivocal bilaterally .' -p165468 -(lp165469 -S'Extremities\tExtremity\tNNS\tB-NP\tO' -p165470 -aS'-\t-\tHYPH\tB-NP\tO' -p165471 -aS'Babinski\tBabinski\tNNP\tI-NP\tO' -p165472 -aS'reflex\treflex\tNN\tI-NP\tO' -p165473 -aS'was\tbe\tVBD\tB-VP\tO' -p165474 -aS'equivocal\tequivocal\tJJ\tB-ADJP\tO' -p165475 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p165476 -aS'.\t.\t.\tO\tO' -p165477 -asS'Presented to Taunton and found to have R humerus and R hip fx .' -p165478 -(lp165479 -S'Presented\tPresent\tVBN\tB-VP\tO' -p165480 -aS'to\tto\tTO\tB-PP\tO' -p165481 -aS'Taunton\tTaunton\tNNP\tB-NP\tO' -p165482 -aS'and\tand\tCC\tO\tO' -p165483 -aS'found\tfind\tVBN\tB-VP\tO' -p165484 -aS'to\tto\tTO\tI-VP\tO' -p165485 -aS'have\thave\tVB\tI-VP\tO' -p165486 -aS'R\tR\tNN\tB-NP\tO' -p165487 -aS'humerus\thumerus\tNN\tI-NP\tO' -p165488 -aS'and\tand\tCC\tO\tO' -p165489 -aS'R\tR\tNN\tB-NP\tB-protein' -p165490 -aS'hip\thip\tNN\tI-NP\tI-protein' -p165491 -aS'fx\tfx\tNN\tI-NP\tI-protein' -p165492 -aS'.\t.\t.\tO\tO' -p165493 -asS'Cardiac monitor was placed on the patient , given the bigeminy , and he did rule out for myocardial infarction .' -p165494 -(lp165495 -S'Cardiac\tCardiac\tJJ\tB-NP\tO' -p165496 -aS'monitor\tmonitor\tNN\tI-NP\tO' -p165497 -aS'was\tbe\tVBD\tB-VP\tO' -p165498 -aS'placed\tplace\tVBN\tI-VP\tO' -p165499 -aS'on\ton\tIN\tB-PP\tO' -p165500 -aS'the\tthe\tDT\tB-NP\tO' -p165501 -aS'patient\tpatient\tNN\tI-NP\tO' -p165502 -aS',\t,\t,\tO\tO' -p165503 -aS'given\tgive\tVBN\tB-PP\tO' -p165504 -aS'the\tthe\tDT\tB-NP\tO' -p165505 -aS'bigeminy\tbigeminy\tJJ\tI-NP\tO' -p165506 -aS',\t,\t,\tO\tO' -p165507 -aS'and\tand\tCC\tO\tO' -p165508 -aS'he\the\tPRP\tB-NP\tO' -p165509 -aS'did\tdo\tVBD\tB-VP\tO' -p165510 -aS'rule\trule\tVB\tI-VP\tO' -p165511 -aS'out\tout\tRP\tB-PRT\tO' -p165512 -aS'for\tfor\tIN\tB-PP\tO' -p165513 -aS'myocardial\tmyocardial\tJJ\tB-NP\tO' -p165514 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p165515 -aS'.\t.\t.\tO\tO' -p165516 -asS'Abdominal examination was soft , non-tender , positive bowel sounds .' -p165517 -(lp165518 -S'Abdominal\tAbdominal\tJJ\tB-NP\tO' -p165519 -aS'examination\texamination\tNN\tI-NP\tO' -p165520 -aS'was\tbe\tVBD\tB-VP\tO' -p165521 -aS'soft\tsoft\tJJ\tB-NP\tO' -p165522 -aS',\t,\t,\tI-NP\tO' -p165523 -aS'non-tender\tnon-tender\tJJ\tI-NP\tO' -p165524 -aS',\t,\t,\tI-NP\tO' -p165525 -aS'positive\tpositive\tJJ\tI-NP\tO' -p165526 -aS'bowel\tbowel\tNN\tI-NP\tO' -p165527 -aS'sounds\tsound\tNNS\tI-NP\tO' -p165528 -aS'.\t.\t.\tO\tO' -p165529 -asS'NT .' -p165530 -(lp165531 -S'NT\tNT\tNN\tB-NP\tO' -p165532 -aS'.\t.\t.\tO\tO' -p165533 -asS'Chest / respiratory : clear to auscultation bilaterally' -p165534 -(lp165535 -S'Chest\tChest\tNN\tB-NP\tO' -p165536 -aS'/\t/\tSYM\tI-NP\tO' -p165537 -aS'respiratory\trespiratory\tNN\tI-NP\tO' -p165538 -aS':\t:\t:\tO\tO' -p165539 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p165540 -aS'to\tto\tTO\tB-PP\tO' -p165541 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p165542 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p165543 -asS'3. Nortriptyline .' -p165544 -(lp165545 -S'3.\t3.\tLS\tB-NP\tO' -p165546 -aS'Nortriptyline\tNortriptyline\tNN\tI-NP\tO' -p165547 -aS'.\t.\t.\tO\tO' -p165548 -asS'Extremities reveal the right lower extremity was tense , purple-red , swollen , and was warm from the knee to the ankle and extremely tender .' -p165549 -(lp165550 -S'Extremities\tExtremity\tNNS\tB-NP\tO' -p165551 -aS'reveal\treveal\tVBP\tB-VP\tO' -p165552 -aS'the\tthe\tDT\tB-NP\tO' -p165553 -aS'right\tright\tJJ\tI-NP\tO' -p165554 -aS'lower\tlow\tJJR\tI-NP\tO' -p165555 -aS'extremity\textremity\tNN\tI-NP\tO' -p165556 -aS'was\tbe\tVBD\tB-VP\tO' -p165557 -aS'tense\ttense\tJJ\tB-ADJP\tO' -p165558 -aS',\t,\t,\tO\tO' -p165559 -aS'purple-red\tpurple-red\tJJ\tB-ADJP\tO' -p165560 -aS',\t,\t,\tO\tO' -p165561 -aS'swollen\tswell\tVBN\tB-VP\tO' -p165562 -aS',\t,\t,\tO\tO' -p165563 -aS'and\tand\tCC\tO\tO' -p165564 -aS'was\tbe\tVBD\tB-VP\tO' -p165565 -aS'warm\twarm\tJJ\tB-ADJP\tO' -p165566 -aS'from\tfrom\tIN\tB-PP\tO' -p165567 -aS'the\tthe\tDT\tB-NP\tO' -p165568 -aS'knee\tknee\tNN\tI-NP\tO' -p165569 -aS'to\tto\tTO\tB-PP\tO' -p165570 -aS'the\tthe\tDT\tB-NP\tO' -p165571 -aS'ankle\tankle\tNN\tI-NP\tO' -p165572 -aS'and\tand\tCC\tO\tO' -p165573 -aS'extremely\textremely\tRB\tB-NP\tO' -p165574 -aS'tender\ttender\tNN\tI-NP\tO' -p165575 -aS'.\t.\t.\tO\tO' -p165576 -asS'This is a 37-year-old female who presents on an elective basis for a living-related kidney transplant .' -p165577 -(lp165578 -S'This\tThis\tDT\tB-NP\tO' -p165579 -aS'is\tbe\tVBZ\tB-VP\tO' -p165580 -aS'a\ta\tDT\tB-NP\tO' -p165581 -aS'37-year-old\t37-year-old\tJJ\tI-NP\tO' -p165582 -aS'female\tfemale\tNN\tI-NP\tO' -p165583 -aS'who\twho\tWP\tB-NP\tO' -p165584 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p165585 -aS'on\ton\tIN\tB-PP\tO' -p165586 -aS'an\tan\tDT\tB-NP\tO' -p165587 -aS'elective\telective\tJJ\tI-NP\tO' -p165588 -aS'basis\tbasis\tNN\tI-NP\tO' -p165589 -aS'for\tfor\tIN\tB-PP\tO' -p165590 -aS'a\ta\tDT\tB-NP\tO' -p165591 -aS'living-related\tliving-related\tJJ\tI-NP\tO' -p165592 -aS'kidney\tkidney\tNN\tI-NP\tO' -p165593 -aS'transplant\ttransplant\tNN\tI-NP\tO' -p165594 -aS'.\t.\t.\tO\tO' -p165595 -asS'This gradually increased until June 1992 where he had recurrent severe right sided sciatica .' -p165596 -(lp165597 -S'This\tThis\tDT\tB-NP\tO' -p165598 -aS'gradually\tgradually\tRB\tI-NP\tO' -p165599 -aS'increased\tincreased\tJJ\tI-NP\tO' -p165600 -aS'until\tuntil\tIN\tB-PP\tO' -p165601 -aS'June\tJune\tNNP\tB-NP\tO' -p165602 -aS'1992\t1992\tCD\tI-NP\tO' -p165603 -aS'where\twhere\tWRB\tB-ADVP\tO' -p165604 -aS'he\the\tPRP\tB-NP\tO' -p165605 -aS'had\thave\tVBD\tB-VP\tO' -p165606 -aS'recurrent\trecurrent\tJJ\tB-NP\tO' -p165607 -aS'severe\tsevere\tJJ\tI-NP\tO' -p165608 -aS'right\tright\tJJ\tI-NP\tO' -p165609 -aS'sided\tsided\tJJ\tI-NP\tO' -p165610 -aS'sciatica\tsciatica\tNN\tI-NP\tO' -p165611 -aS'.\t.\t.\tO\tO' -p165612 -asS'At an outside hospital , head CT revealed a 1.5 cm diameter hyperdense mass in the pons , slightly off center to the right .' -p165613 -(lp165614 -S'At\tAt\tIN\tB-PP\tO' -p165615 -aS'an\tan\tDT\tB-NP\tO' -p165616 -aS'outside\toutside\tJJ\tI-NP\tO' -p165617 -aS'hospital\thospital\tNN\tI-NP\tO' -p165618 -aS',\t,\t,\tO\tO' -p165619 -aS'head\thead\tNN\tB-NP\tO' -p165620 -aS'CT\tCT\tNN\tI-NP\tO' -p165621 -aS'revealed\treveal\tVBD\tB-VP\tO' -p165622 -aS'a\ta\tDT\tB-NP\tO' -p165623 -aS'1.5\t1.5\tCD\tI-NP\tO' -p165624 -aS'cm\tcm\tNN\tI-NP\tO' -p165625 -aS'diameter\tdiameter\tNN\tI-NP\tO' -p165626 -aS'hyperdense\thyperdense\tNN\tI-NP\tO' -p165627 -aS'mass\tmass\tNN\tI-NP\tO' -p165628 -aS'in\tin\tIN\tB-PP\tO' -p165629 -aS'the\tthe\tDT\tB-NP\tO' -p165630 -aS'pons\tpon\tNNS\tI-NP\tO' -p165631 -aS',\t,\t,\tO\tO' -p165632 -aS'slightly\tslightly\tRB\tB-ADVP\tO' -p165633 -aS'off\toff\tIN\tB-PP\tO' -p165634 -aS'center\tcenter\tNN\tB-NP\tO' -p165635 -aS'to\tto\tTO\tB-PP\tO' -p165636 -aS'the\tthe\tDT\tB-NP\tO' -p165637 -aS'right\tright\tNN\tI-NP\tO' -p165638 -aS'.\t.\t.\tO\tO' -p165639 -asS'PT 13.8 with an INR of 1.3 , PTT 25.5 , total protein was 6.2 , albumin 3.4 , globulin of 2.8 , calcium of 9.1 , phos 2.7 , mag 2.1 , urea 3.7 .' -p165640 -(lp165641 -S'PT\tPT\tNN\tB-NP\tO' -p165642 -aS'13.8\t13.8\tCD\tI-NP\tO' -p165643 -aS'with\twith\tIN\tB-PP\tO' -p165644 -aS'an\tan\tDT\tB-NP\tO' -p165645 -aS'INR\tINR\tNN\tI-NP\tB-protein' -p165646 -aS'of\tof\tIN\tB-PP\tO' -p165647 -aS'1.3\t1.3\tCD\tB-NP\tO' -p165648 -aS',\t,\t,\tO\tO' -p165649 -aS'PTT\tPTT\tNN\tB-NP\tB-protein' -p165650 -aS'25.5\t25.5\tCD\tI-NP\tI-protein' -p165651 -aS',\t,\t,\tO\tO' -p165652 -aS'total\ttotal\tJJ\tB-NP\tO' -p165653 -aS'protein\tprotein\tNN\tI-NP\tO' -p165654 -aS'was\tbe\tVBD\tB-VP\tO' -p165655 -aS'6.2\t6.2\tCD\tB-NP\tO' -p165656 -aS',\t,\t,\tO\tO' -p165657 -aS'albumin\talbumin\tNN\tB-NP\tB-protein' -p165658 -aS'3.4\t3.4\tCD\tI-NP\tI-protein' -p165659 -aS',\t,\t,\tO\tO' -p165660 -aS'globulin\tglobulin\tNN\tB-NP\tO' -p165661 -aS'of\tof\tIN\tB-PP\tO' -p165662 -aS'2.8\t2.8\tCD\tB-NP\tO' -p165663 -aS',\t,\t,\tO\tO' -p165664 -aS'calcium\tcalcium\tNN\tB-NP\tO' -p165665 -aS'of\tof\tIN\tB-PP\tO' -p165666 -aS'9.1\t9.1\tCD\tB-NP\tO' -p165667 -aS',\t,\t,\tO\tO' -p165668 -aS'phos\tpho\tNNS\tB-NP\tO' -p165669 -aS'2.7\t2.7\tCD\tB-NP\tO' -p165670 -aS',\t,\t,\tO\tO' -p165671 -aS'mag\tmag\tNN\tB-NP\tO' -p165672 -aS'2.1\t2.1\tCD\tI-NP\tO' -p165673 -aS',\t,\t,\tO\tO' -p165674 -aS'urea\turea\tNN\tB-NP\tO' -p165675 -aS'3.7\t3.7\tCD\tI-NP\tO' -p165676 -aS'.\t.\t.\tO\tO' -p165677 -asS'The patient was upgraded to Prilosec 20 mg per day for possible treatment of gastritis or gastroesophageal reflux disease .' -p165678 -(lp165679 -S'The\tThe\tDT\tB-NP\tO' -p165680 -aS'patient\tpatient\tNN\tI-NP\tO' -p165681 -aS'was\tbe\tVBD\tB-VP\tO' -p165682 -aS'upgraded\tupgrade\tVBN\tI-VP\tO' -p165683 -aS'to\tto\tTO\tB-PP\tO' -p165684 -aS'Prilosec\tPrilosec\tNNP\tB-NP\tO' -p165685 -aS'20\t20\tCD\tI-NP\tO' -p165686 -aS'mg\tmg\tNN\tI-NP\tO' -p165687 -aS'per\tper\tIN\tB-PP\tO' -p165688 -aS'day\tday\tNN\tB-NP\tO' -p165689 -aS'for\tfor\tIN\tB-PP\tO' -p165690 -aS'possible\tpossible\tJJ\tB-NP\tO' -p165691 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p165692 -aS'of\tof\tIN\tB-PP\tO' -p165693 -aS'gastritis\tgastritis\tNN\tB-NP\tO' -p165694 -aS'or\tor\tCC\tO\tO' -p165695 -aS'gastroesophageal\tgastroesophageal\tJJ\tB-NP\tO' -p165696 -aS'reflux\treflux\tNN\tI-NP\tO' -p165697 -aS'disease\tdisease\tNN\tI-NP\tO' -p165698 -aS'.\t.\t.\tO\tO' -p165699 -asS'4) HISTORY OF TRANSIENT ISCHEMIC ATTACK / CEREBROVASCULAR ACCIDENT .' -p165700 -(lp165701 -S'4)\t4)\tLS\tB-NP\tO' -p165702 -aS'HISTORY\tHISTORY\tNN\tI-NP\tO' -p165703 -aS'OF\tOF\tIN\tB-PP\tO' -p165704 -aS'TRANSIENT\tTRANSIENT\tNN\tB-NP\tB-protein' -p165705 -aS'ISCHEMIC\tISCHEMIC\tNN\tI-NP\tI-protein' -p165706 -aS'ATTACK\tATTACK\tNN\tI-NP\tI-protein' -p165707 -aS'/\t/\tSYM\tB-NP\tO' -p165708 -aS'CEREBROVASCULAR\tCEREBROVASCULAR\tNN\tI-NP\tO' -p165709 -aS'ACCIDENT\tACCIDENT\tNN\tI-NP\tO' -p165710 -aS'.\t.\t.\tO\tO' -p165711 -asS'She has not complained of any fever , shaking , or chills .' -p165712 -(lp165713 -S'She\tShe\tPRP\tB-NP\tO' -p165714 -aS'has\thave\tVBZ\tB-VP\tO' -p165715 -aS'not\tnot\tRB\tI-VP\tO' -p165716 -aS'complained\tcomplain\tVBN\tI-VP\tO' -p165717 -aS'of\tof\tIN\tB-PP\tO' -p165718 -aS'any\tany\tDT\tB-NP\tO' -p165719 -aS'fever\tfever\tNN\tI-NP\tO' -p165720 -aS',\t,\t,\tO\tO' -p165721 -aS'shaking\tshaking\tNN\tB-NP\tO' -p165722 -aS',\t,\t,\tO\tO' -p165723 -aS'or\tor\tCC\tO\tO' -p165724 -aS'chills\tchill\tNNS\tB-NP\tO' -p165725 -aS'.\t.\t.\tO\tO' -p165726 -asS'Vulva and right labia replaced by reddish lesion , somewhat raised in the center extending from adjacent to the cuterus to the posterior forchette .' -p165727 -(lp165728 -S'Vulva\tVulva\tNN\tB-NP\tO' -p165729 -aS'and\tand\tCC\tI-NP\tO' -p165730 -aS'right\tright\tJJ\tI-NP\tO' -p165731 -aS'labia\tlabia\tNN\tI-NP\tO' -p165732 -aS'replaced\treplace\tVBN\tB-VP\tO' -p165733 -aS'by\tby\tIN\tB-PP\tO' -p165734 -aS'reddish\treddish\tJJ\tB-NP\tO' -p165735 -aS'lesion\tlesion\tNN\tI-NP\tO' -p165736 -aS',\t,\t,\tO\tO' -p165737 -aS'somewhat\tsomewhat\tRB\tB-VP\tO' -p165738 -aS'raised\traise\tVBN\tI-VP\tO' -p165739 -aS'in\tin\tIN\tB-PP\tO' -p165740 -aS'the\tthe\tDT\tB-NP\tO' -p165741 -aS'center\tcenter\tNN\tI-NP\tO' -p165742 -aS'extending\textend\tVBG\tB-VP\tO' -p165743 -aS'from\tfrom\tIN\tB-PP\tO' -p165744 -aS'adjacent\tadjacent\tJJ\tB-ADJP\tO' -p165745 -aS'to\tto\tTO\tB-PP\tO' -p165746 -aS'the\tthe\tDT\tB-NP\tO' -p165747 -aS'cuterus\tcuterus\tNN\tI-NP\tO' -p165748 -aS'to\tto\tTO\tB-PP\tO' -p165749 -aS'the\tthe\tDT\tB-NP\tO' -p165750 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p165751 -aS'forchette\tforchette\tNN\tI-NP\tO' -p165752 -aS'.\t.\t.\tO\tO' -p165753 -asS'She was discharged to home with services including tube feedings for her home care .' -p165754 -(lp165755 -S'She\tShe\tPRP\tB-NP\tO' -p165756 -aS'was\tbe\tVBD\tB-VP\tO' -p165757 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p165758 -aS'to\tto\tTO\tB-PP\tO' -p165759 -aS'home\thome\tNN\tB-NP\tO' -p165760 -aS'with\twith\tIN\tB-PP\tO' -p165761 -aS'services\tservice\tNNS\tB-NP\tO' -p165762 -aS'including\tinclude\tVBG\tB-PP\tO' -p165763 -aS'tube\ttube\tNN\tB-NP\tO' -p165764 -aS'feedings\tfeeding\tNNS\tI-NP\tO' -p165765 -aS'for\tfor\tIN\tB-PP\tO' -p165766 -aS'her\ther\tPRP$\tB-NP\tO' -p165767 -aS'home\thome\tNN\tI-NP\tO' -p165768 -aS'care\tcare\tNN\tI-NP\tO' -p165769 -aS'.\t.\t.\tO\tO' -p165770 -asS'His INR continued to flucuate .' -p165771 -(lp165772 -S'His\tHis\tPRP$\tB-NP\tO' -p165773 -aS'INR\tINR\tNN\tI-NP\tB-protein' -p165774 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p165775 -aS'to\tto\tTO\tI-VP\tO' -p165776 -aS'flucuate\tflucuate\tVB\tI-VP\tO' -p165777 -aS'.\t.\t.\tO\tO' -p165778 -asS'As previously noted on day of life six with hyperglycemia , abdominal distention , a CBC and blood culture were again obtained revealing a white count of 9.1 with 30 polys , 0 bands and 58 lymphs .' -p165779 -(lp165780 -S'As\tAs\tIN\tB-SBAR\tO' -p165781 -aS'previously\tpreviously\tRB\tB-ADVP\tO' -p165782 -aS'noted\tnote\tVBN\tB-VP\tO' -p165783 -aS'on\ton\tIN\tB-PP\tO' -p165784 -aS'day\tday\tNN\tB-NP\tO' -p165785 -aS'of\tof\tIN\tB-PP\tO' -p165786 -aS'life\tlife\tNN\tB-NP\tO' -p165787 -aS'six\tsix\tCD\tI-NP\tO' -p165788 -aS'with\twith\tIN\tB-PP\tO' -p165789 -aS'hyperglycemia\thyperglycemia\tNN\tB-NP\tO' -p165790 -aS',\t,\t,\tO\tO' -p165791 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p165792 -aS'distention\tdistention\tNN\tI-NP\tO' -p165793 -aS',\t,\t,\tO\tO' -p165794 -aS'a\ta\tDT\tB-NP\tO' -p165795 -aS'CBC\tCBC\tNN\tI-NP\tB-protein' -p165796 -aS'and\tand\tCC\tI-NP\tO' -p165797 -aS'blood\tblood\tNN\tI-NP\tO' -p165798 -aS'culture\tculture\tNN\tI-NP\tO' -p165799 -aS'were\tbe\tVBD\tB-VP\tO' -p165800 -aS'again\tagain\tRB\tI-VP\tO' -p165801 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p165802 -aS'revealing\treveal\tVBG\tI-VP\tO' -p165803 -aS'a\ta\tDT\tB-NP\tO' -p165804 -aS'white\twhite\tJJ\tI-NP\tO' -p165805 -aS'count\tcount\tNN\tI-NP\tO' -p165806 -aS'of\tof\tIN\tB-PP\tO' -p165807 -aS'9.1\t9.1\tCD\tB-NP\tO' -p165808 -aS'with\twith\tIN\tB-PP\tO' -p165809 -aS'30\t30\tCD\tB-NP\tO' -p165810 -aS'polys\tpoly\tNNS\tI-NP\tO' -p165811 -aS',\t,\t,\tO\tO' -p165812 -aS'0\t0\tCD\tB-NP\tO' -p165813 -aS'bands\tband\tNNS\tI-NP\tO' -p165814 -aS'and\tand\tCC\tO\tO' -p165815 -aS'58\t58\tCD\tB-NP\tO' -p165816 -aS'lymphs\tlymph\tNNS\tI-NP\tO' -p165817 -aS'.\t.\t.\tO\tO' -p165818 -asS'Call your general surgeon if you experience increased abdominal pain , vomiting , decreased or increased ostomy output .' -p165819 -(lp165820 -S'Call\tCall\tVB\tB-VP\tO' -p165821 -aS'your\tyour\tPRP$\tB-NP\tO' -p165822 -aS'general\tgeneral\tJJ\tI-NP\tO' -p165823 -aS'surgeon\tsurgeon\tNN\tI-NP\tO' -p165824 -aS'if\tif\tIN\tB-SBAR\tO' -p165825 -aS'you\tyou\tPRP\tB-NP\tO' -p165826 -aS'experience\texperience\tVBP\tB-VP\tO' -p165827 -aS'increased\tincrease\tVBN\tI-VP\tO' -p165828 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p165829 -aS'pain\tpain\tNN\tI-NP\tO' -p165830 -aS',\t,\t,\tO\tO' -p165831 -aS'vomiting\tvomiting\tNN\tB-NP\tO' -p165832 -aS',\t,\t,\tO\tO' -p165833 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p165834 -aS'or\tor\tCC\tI-VP\tO' -p165835 -aS'increased\tincrease\tVBD\tI-VP\tO' -p165836 -aS'ostomy\tostomy\tNN\tB-NP\tO' -p165837 -aS'output\toutput\tNN\tI-NP\tO' -p165838 -aS'.\t.\t.\tO\tO' -p165839 -asS'2. The patient was to follow-up with Dr. Lueras of hepatology following discharge .' -p165840 -(lp165841 -S'2.\t2.\tLS\tB-LST\tO' -p165842 -aS'The\tThe\tDT\tB-NP\tO' -p165843 -aS'patient\tpatient\tNN\tI-NP\tO' -p165844 -aS'was\tbe\tVBD\tB-VP\tO' -p165845 -aS'to\tto\tTO\tB-PP\tO' -p165846 -aS'follow-up\tfollow-up\tNN\tB-NP\tO' -p165847 -aS'with\twith\tIN\tB-PP\tO' -p165848 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p165849 -aS'Lueras\tLueras\tNNP\tI-NP\tO' -p165850 -aS'of\tof\tIN\tB-PP\tO' -p165851 -aS'hepatology\thepatology\tNN\tB-NP\tO' -p165852 -aS'following\tfollow\tVBG\tB-PP\tO' -p165853 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p165854 -aS'.\t.\t.\tO\tO' -p165855 -asS'However , there were hemodynamic changes which raised the question of right siphon disease .' -p165856 -(lp165857 -S'However\tHowever\tRB\tB-ADVP\tO' -p165858 -aS',\t,\t,\tO\tO' -p165859 -aS'there\tthere\tEX\tB-NP\tO' -p165860 -aS'were\tbe\tVBD\tB-VP\tO' -p165861 -aS'hemodynamic\themodynamic\tJJ\tB-NP\tO' -p165862 -aS'changes\tchange\tNNS\tI-NP\tO' -p165863 -aS'which\twhich\tWDT\tB-NP\tO' -p165864 -aS'raised\traise\tVBD\tB-VP\tO' -p165865 -aS'the\tthe\tDT\tB-NP\tO' -p165866 -aS'question\tquestion\tNN\tI-NP\tO' -p165867 -aS'of\tof\tIN\tB-PP\tO' -p165868 -aS'right\tright\tJJ\tB-NP\tO' -p165869 -aS'siphon\tsiphon\tNN\tI-NP\tO' -p165870 -aS'disease\tdisease\tNN\tI-NP\tO' -p165871 -aS'.\t.\t.\tO\tO' -p165872 -asS'Cardiac workup prior to left lower lobe resection led to cardiac catheterization which found severe three vessel disease with 04-05+ mitral regurgitation .' -p165873 -(lp165874 -S'Cardiac\tCardiac\tJJ\tB-NP\tO' -p165875 -aS'workup\tworkup\tNN\tI-NP\tO' -p165876 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p165877 -aS'to\tto\tTO\tB-VP\tO' -p165878 -aS'left\tleft\tVB\tI-VP\tO' -p165879 -aS'lower\tlow\tJJR\tB-NP\tO' -p165880 -aS'lobe\tlobe\tNN\tI-NP\tO' -p165881 -aS'resection\tresection\tNN\tI-NP\tO' -p165882 -aS'led\tlead\tVBD\tB-VP\tO' -p165883 -aS'to\tto\tTO\tB-PP\tO' -p165884 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p165885 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p165886 -aS'which\twhich\tWDT\tB-NP\tO' -p165887 -aS'found\tfind\tVBD\tB-VP\tO' -p165888 -aS'severe\tsevere\tJJ\tB-NP\tO' -p165889 -aS'three\tthree\tCD\tI-NP\tO' -p165890 -aS'vessel\tvessel\tNN\tI-NP\tO' -p165891 -aS'disease\tdisease\tNN\tI-NP\tO' -p165892 -aS'with\twith\tIN\tB-PP\tO' -p165893 -aS'04-05+\t04-05+\tJJ\tB-NP\tO' -p165894 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p165895 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p165896 -aS'.\t.\t.\tO\tO' -p165897 -asS'Upon arrival by the physician the patient was awake , alert , and oriented with a pulse in the 80 s, with pressure in the 80 s, and satting 100% on room air .' -p165898 -(lp165899 -S'Upon\tUpon\tIN\tB-PP\tO' -p165900 -aS'arrival\tarrival\tNN\tB-NP\tO' -p165901 -aS'by\tby\tIN\tB-PP\tO' -p165902 -aS'the\tthe\tDT\tB-NP\tO' -p165903 -aS'physician\tphysician\tNN\tI-NP\tO' -p165904 -aS'the\tthe\tDT\tB-NP\tO' -p165905 -aS'patient\tpatient\tNN\tI-NP\tO' -p165906 -aS'was\tbe\tVBD\tB-VP\tO' -p165907 -aS'awake\tawake\tRB\tB-ADVP\tO' -p165908 -aS',\t,\t,\tO\tO' -p165909 -aS'alert\talert\tNN\tB-NP\tO' -p165910 -aS',\t,\t,\tO\tO' -p165911 -aS'and\tand\tCC\tO\tO' -p165912 -aS'oriented\torient\tVBN\tB-VP\tO' -p165913 -aS'with\twith\tIN\tB-PP\tO' -p165914 -aS'a\ta\tDT\tB-NP\tO' -p165915 -aS'pulse\tpulse\tNN\tI-NP\tO' -p165916 -aS'in\tin\tIN\tB-PP\tO' -p165917 -aS'the\tthe\tDT\tB-NP\tO' -p165918 -aS'80\t80\tCD\tI-NP\tO' -p165919 -aS's,\ts,\tNN\tI-NP\tO' -p165920 -aS'with\twith\tIN\tB-PP\tO' -p165921 -aS'pressure\tpressure\tNN\tB-NP\tO' -p165922 -aS'in\tin\tIN\tB-PP\tO' -p165923 -aS'the\tthe\tDT\tB-NP\tO' -p165924 -aS'80\t80\tCD\tI-NP\tO' -p165925 -aS's,\ts,\tNN\tI-NP\tO' -p165926 -aS'and\tand\tCC\tO\tO' -p165927 -aS'satting\tsatte\tVBG\tB-VP\tO' -p165928 -aS'100%\t100%\tCD\tB-NP\tO' -p165929 -aS'on\ton\tIN\tB-PP\tO' -p165930 -aS'room\troom\tNN\tB-NP\tO' -p165931 -aS'air\tair\tNN\tI-NP\tO' -p165932 -aS'.\t.\t.\tO\tO' -p165933 -asS'Underlying infectious consolidation in the right lower lobe not excluded .' -p165934 -(lp165935 -S'Underlying\tUnderlie\tVBG\tB-VP\tO' -p165936 -aS'infectious\tinfectious\tJJ\tB-NP\tO' -p165937 -aS'consolidation\tconsolidation\tNN\tI-NP\tO' -p165938 -aS'in\tin\tIN\tB-PP\tO' -p165939 -aS'the\tthe\tDT\tB-NP\tO' -p165940 -aS'right\tright\tJJ\tI-NP\tO' -p165941 -aS'lower\tlow\tJJR\tB-NP\tO' -p165942 -aS'lobe\tlobe\tNN\tI-NP\tO' -p165943 -aS'not\tnot\tRB\tB-VP\tO' -p165944 -aS'excluded\texclude\tVBN\tI-VP\tO' -p165945 -aS'.\t.\t.\tO\tO' -p165946 -asS'Reason : Please eval for perf / ischemic bowel' -p165947 -(lp165948 -S'Reason\tReason\tNNP\tB-NP\tO' -p165949 -aS':\t:\t:\tO\tO' -p165950 -aS'Please\tPlease\tNN\tB-NP\tO' -p165951 -aS'eval\teval\tNN\tI-NP\tO' -p165952 -aS'for\tfor\tIN\tB-PP\tO' -p165953 -aS'perf\tperf\tNN\tB-NP\tO' -p165954 -aS'/\t/\tSYM\tB-VP\tO' -p165955 -aS'ischemic\tischemic\tJJ\tB-NP\tO' -p165956 -aS'bowel\tbowel\tNN\tI-NP\tO' -p165957 -asS'Cytology on these nodules was suspicious for hepatocellular carcinoma .' -p165958 -(lp165959 -S'Cytology\tCytology\tNN\tB-NP\tO' -p165960 -aS'on\ton\tIN\tB-PP\tO' -p165961 -aS'these\tthese\tDT\tB-NP\tO' -p165962 -aS'nodules\tnodule\tNNS\tI-NP\tO' -p165963 -aS'was\tbe\tVBD\tB-VP\tO' -p165964 -aS'suspicious\tsuspicious\tJJ\tB-ADJP\tO' -p165965 -aS'for\tfor\tIN\tB-PP\tO' -p165966 -aS'hepatocellular\thepatocellular\tJJ\tB-NP\tO' -p165967 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p165968 -aS'.\t.\t.\tO\tO' -p165969 -asS'Cardiovascular is regular rate and rhythm .' -p165970 -(lp165971 -S'Cardiovascular\tCardiovascular\tNNP\tB-NP\tO' -p165972 -aS'is\tbe\tVBZ\tB-VP\tO' -p165973 -aS'regular\tregular\tJJ\tB-NP\tO' -p165974 -aS'rate\trate\tNN\tI-NP\tO' -p165975 -aS'and\tand\tCC\tI-NP\tO' -p165976 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p165977 -aS'.\t.\t.\tO\tO' -p165978 -asS'He also complained of dizziness at the time of headache onset .' -p165979 -(lp165980 -S'He\tHe\tPRP\tB-NP\tO' -p165981 -aS'also\talso\tRB\tB-ADVP\tO' -p165982 -aS'complained\tcomplain\tVBD\tB-VP\tO' -p165983 -aS'of\tof\tIN\tB-PP\tO' -p165984 -aS'dizziness\tdizziness\tNN\tB-NP\tO' -p165985 -aS'at\tat\tIN\tB-PP\tO' -p165986 -aS'the\tthe\tDT\tB-NP\tO' -p165987 -aS'time\ttime\tNN\tI-NP\tO' -p165988 -aS'of\tof\tIN\tB-PP\tO' -p165989 -aS'headache\theadache\tNN\tB-NP\tO' -p165990 -aS'onset\tonset\tNN\tI-NP\tO' -p165991 -aS'.\t.\t.\tO\tO' -p165992 -asS'At home , Aggrenox 250 mg po q day .' -p165993 -(lp165994 -S'At\tAt\tIN\tB-PP\tO' -p165995 -aS'home\thome\tNN\tB-NP\tO' -p165996 -aS',\t,\t,\tO\tO' -p165997 -aS'Aggrenox\tAggrenox\tNN\tB-NP\tO' -p165998 -aS'250\t250\tCD\tI-NP\tO' -p165999 -aS'mg\tmg\tNN\tI-NP\tO' -p166000 -aS'po\tpo\tNN\tI-NP\tO' -p166001 -aS'q\tq\tNN\tI-NP\tO' -p166002 -aS'day\tday\tNN\tI-NP\tO' -p166003 -aS'.\t.\t.\tO\tO' -p166004 -asS'4. Prempro as the patient was formerly taking .' -p166005 -(lp166006 -S'4.\t4.\tLS\tB-LST\tO' -p166007 -aS'Prempro\tPrempro\tNNP\tB-NP\tO' -p166008 -aS'as\tas\tIN\tB-PP\tO' -p166009 -aS'the\tthe\tDT\tB-NP\tO' -p166010 -aS'patient\tpatient\tNN\tI-NP\tO' -p166011 -aS'was\tbe\tVBD\tB-VP\tO' -p166012 -aS'formerly\tformerly\tRB\tI-VP\tO' -p166013 -aS'taking\ttake\tVBG\tI-VP\tO' -p166014 -aS'.\t.\t.\tO\tO' -p166015 -asS'3. Diabetes mellitus .' -p166016 -(lp166017 -S'3.\t3.\tLS\tB-NP\tO' -p166018 -aS'Diabetes\tDiabetes\tNN\tI-NP\tO' -p166019 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p166020 -aS'.\t.\t.\tO\tO' -p166021 -asS'The patient was admitted and was initially started on intravenous ampicillin , gentamicin and clindamycin .' -p166022 -(lp166023 -S'The\tThe\tDT\tB-NP\tO' -p166024 -aS'patient\tpatient\tNN\tI-NP\tO' -p166025 -aS'was\tbe\tVBD\tB-VP\tO' -p166026 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p166027 -aS'and\tand\tCC\tO\tO' -p166028 -aS'was\tbe\tVBD\tB-VP\tO' -p166029 -aS'initially\tinitially\tRB\tI-VP\tO' -p166030 -aS'started\tstart\tVBN\tI-VP\tO' -p166031 -aS'on\ton\tIN\tB-PP\tO' -p166032 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p166033 -aS'ampicillin\tampicillin\tNN\tI-NP\tO' -p166034 -aS',\t,\t,\tI-NP\tO' -p166035 -aS'gentamicin\tgentamicin\tNN\tI-NP\tO' -p166036 -aS'and\tand\tCC\tI-NP\tO' -p166037 -aS'clindamycin\tclindamycin\tNN\tI-NP\tO' -p166038 -aS'.\t.\t.\tO\tO' -p166039 -asS'Tracheostomy tube was in good position .' -p166040 -(lp166041 -S'Tracheostomy\tTracheostomy\tNN\tB-NP\tO' -p166042 -aS'tube\ttube\tNN\tI-NP\tO' -p166043 -aS'was\tbe\tVBD\tB-VP\tO' -p166044 -aS'in\tin\tIN\tB-PP\tO' -p166045 -aS'good\tgood\tJJ\tB-NP\tO' -p166046 -aS'position\tposition\tNN\tI-NP\tO' -p166047 -aS'.\t.\t.\tO\tO' -p166048 -asS'Later during her Intensive Care Unit course she was felt to be somewhat overloaded and intravenous fluids were cut back .' -p166049 -(lp166050 -S'Later\tLater\tRB\tB-ADVP\tO' -p166051 -aS'during\tduring\tIN\tB-PP\tO' -p166052 -aS'her\ther\tPRP$\tB-NP\tO' -p166053 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p166054 -aS'Care\tCare\tNNP\tI-NP\tO' -p166055 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p166056 -aS'course\tcourse\tNN\tI-NP\tO' -p166057 -aS'she\tshe\tPRP\tB-NP\tO' -p166058 -aS'was\tbe\tVBD\tB-VP\tO' -p166059 -aS'felt\tfeel\tVBN\tI-VP\tO' -p166060 -aS'to\tto\tTO\tI-VP\tO' -p166061 -aS'be\tbe\tVB\tI-VP\tO' -p166062 -aS'somewhat\tsomewhat\tRB\tB-NP\tO' -p166063 -aS'overloaded\toverloaded\tJJ\tI-NP\tO' -p166064 -aS'and\tand\tCC\tI-NP\tO' -p166065 -aS'intravenous\tintravenous\tJJ\tI-NP\tO' -p166066 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p166067 -aS'were\tbe\tVBD\tB-VP\tO' -p166068 -aS'cut\tcut\tVBN\tI-VP\tO' -p166069 -aS'back\tback\tRB\tB-PRT\tO' -p166070 -aS'.\t.\t.\tO\tO' -p166071 -asS'magnetic resonance imaging of the brain on 10/18/96 .' -p166072 -(lp166073 -S'magnetic\tmagnetic\tJJ\tB-NP\tO' -p166074 -aS'resonance\tresonance\tNN\tI-NP\tO' -p166075 -aS'imaging\timaging\tNN\tI-NP\tO' -p166076 -aS'of\tof\tIN\tB-PP\tO' -p166077 -aS'the\tthe\tDT\tB-NP\tO' -p166078 -aS'brain\tbrain\tNN\tI-NP\tO' -p166079 -aS'on\ton\tIN\tB-PP\tO' -p166080 -aS'10/18/96\t10/18/96\tCD\tB-NP\tO' -p166081 -aS'.\t.\t.\tO\tO' -p166082 -asS'In the Deanna , his BP was 230/170 .' -p166083 -(lp166084 -S'In\tIn\tIN\tB-PP\tO' -p166085 -aS'the\tthe\tDT\tB-NP\tO' -p166086 -aS'Deanna\tDeanna\tNNP\tI-NP\tO' -p166087 -aS',\t,\t,\tO\tO' -p166088 -aS'his\this\tPRP$\tB-NP\tO' -p166089 -aS'BP\tBP\tNN\tI-NP\tO' -p166090 -aS'was\tbe\tVBD\tB-VP\tO' -p166091 -aS'230/170\t230/170\tCD\tB-NP\tO' -p166092 -aS'.\t.\t.\tO\tO' -p166093 -asS'The abdomen was negative and there was no edema of the feet .' -p166094 -(lp166095 -S'The\tThe\tDT\tB-NP\tO' -p166096 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p166097 -aS'was\tbe\tVBD\tB-VP\tO' -p166098 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p166099 -aS'and\tand\tCC\tO\tO' -p166100 -aS'there\tthere\tEX\tB-NP\tO' -p166101 -aS'was\tbe\tVBD\tB-VP\tO' -p166102 -aS'no\tno\tDT\tB-NP\tO' -p166103 -aS'edema\tedema\tNN\tI-NP\tO' -p166104 -aS'of\tof\tIN\tB-PP\tO' -p166105 -aS'the\tthe\tDT\tB-NP\tO' -p166106 -aS'feet\tfoot\tNNS\tI-NP\tO' -p166107 -aS'.\t.\t.\tO\tO' -p166108 -asS'Factor 8 boluses at 75 units / kg / day .' -p166109 -(lp166110 -S'Factor\tFactor\tNN\tB-NP\tO' -p166111 -aS'8\t8\tCD\tB-NP\tO' -p166112 -aS'boluses\tbolus\tNNS\tI-NP\tO' -p166113 -aS'at\tat\tIN\tB-PP\tO' -p166114 -aS'75\t75\tCD\tB-NP\tB-DNA' -p166115 -aS'units\tunit\tNNS\tI-NP\tI-DNA' -p166116 -aS'/\t/\tSYM\tB-NP\tO' -p166117 -aS'kg\tkg\tNN\tI-NP\tO' -p166118 -aS'/\t/\tSYM\tB-NP\tO' -p166119 -aS'day\tday\tNN\tI-NP\tO' -p166120 -aS'.\t.\t.\tO\tO' -p166121 -asS'There is a large region of high attenuation within the right frontal lobe and the region of the right basal ganglia .' -p166122 -(lp166123 -S'There\tThere\tEX\tB-NP\tO' -p166124 -aS'is\tbe\tVBZ\tB-VP\tO' -p166125 -aS'a\ta\tDT\tB-NP\tO' -p166126 -aS'large\tlarge\tJJ\tI-NP\tO' -p166127 -aS'region\tregion\tNN\tI-NP\tO' -p166128 -aS'of\tof\tIN\tB-PP\tO' -p166129 -aS'high\thigh\tJJ\tB-NP\tO' -p166130 -aS'attenuation\tattenuation\tNN\tI-NP\tO' -p166131 -aS'within\twithin\tIN\tB-PP\tO' -p166132 -aS'the\tthe\tDT\tB-NP\tO' -p166133 -aS'right\tright\tJJ\tI-NP\tO' -p166134 -aS'frontal\tfrontal\tJJ\tI-NP\tO' -p166135 -aS'lobe\tlobe\tNN\tI-NP\tO' -p166136 -aS'and\tand\tCC\tO\tO' -p166137 -aS'the\tthe\tDT\tB-NP\tO' -p166138 -aS'region\tregion\tNN\tI-NP\tO' -p166139 -aS'of\tof\tIN\tB-PP\tO' -p166140 -aS'the\tthe\tDT\tB-NP\tO' -p166141 -aS'right\tright\tJJ\tI-NP\tB-cell_type' -p166142 -aS'basal\tbasal\tJJ\tI-NP\tI-cell_type' -p166143 -aS'ganglia\tganglia\tNNS\tI-NP\tI-cell_type' -p166144 -aS'.\t.\t.\tO\tO' -p166145 -asS'Her CA-125 was 20 and she had a chest X-Ray that showed no infiltrates and a mammogram that showed a left upper quadrant large calcified fibroadenoma and right upper mid area of calcification .' -p166146 -(lp166147 -S'Her\tHer\tPRP$\tB-NP\tO' -p166148 -aS'CA-125\tCA-125\tNN\tI-NP\tB-protein' -p166149 -aS'was\tbe\tVBD\tB-VP\tO' -p166150 -aS'20\t20\tCD\tB-NP\tO' -p166151 -aS'and\tand\tCC\tO\tO' -p166152 -aS'she\tshe\tPRP\tB-NP\tO' -p166153 -aS'had\thave\tVBD\tB-VP\tO' -p166154 -aS'a\ta\tDT\tB-NP\tO' -p166155 -aS'chest\tchest\tNN\tI-NP\tO' -p166156 -aS'X-Ray\tX-Ray\tNN\tI-NP\tO' -p166157 -aS'that\tthat\tWDT\tB-NP\tO' -p166158 -aS'showed\tshow\tVBD\tB-VP\tO' -p166159 -aS'no\tno\tDT\tB-NP\tO' -p166160 -aS'infiltrates\tinfiltrate\tNNS\tI-NP\tO' -p166161 -aS'and\tand\tCC\tO\tO' -p166162 -aS'a\ta\tDT\tB-NP\tO' -p166163 -aS'mammogram\tmammogram\tNN\tI-NP\tO' -p166164 -aS'that\tthat\tWDT\tB-NP\tO' -p166165 -aS'showed\tshow\tVBD\tB-VP\tO' -p166166 -aS'a\ta\tDT\tB-NP\tO' -p166167 -aS'left\tleft\tJJ\tI-NP\tO' -p166168 -aS'upper\tupper\tJJ\tI-NP\tO' -p166169 -aS'quadrant\tquadrant\tNN\tI-NP\tO' -p166170 -aS'large\tlarge\tJJ\tI-NP\tO' -p166171 -aS'calcified\tcalcify\tVBN\tI-NP\tO' -p166172 -aS'fibroadenoma\tfibroadenoma\tNN\tI-NP\tO' -p166173 -aS'and\tand\tCC\tI-NP\tO' -p166174 -aS'right\tright\tJJ\tI-NP\tO' -p166175 -aS'upper\tupper\tJJ\tI-NP\tO' -p166176 -aS'mid\tmid\tJJ\tI-NP\tO' -p166177 -aS'area\tarea\tNN\tI-NP\tO' -p166178 -aS'of\tof\tIN\tB-PP\tO' -p166179 -aS'calcification\tcalcification\tNN\tB-NP\tO' -p166180 -aS'.\t.\t.\tO\tO' -p166181 -asS'Electrocardiogram showed sinus tachycardia at a rate of 123 beats per minute compared to previous electrocardiogram of 1/29 there were no significant changes .' -p166182 -(lp166183 -S'Electrocardiogram\tElectrocardiogram\tNN\tB-NP\tO' -p166184 -aS'showed\tshow\tVBD\tB-VP\tO' -p166185 -aS'sinus\tsinus\tNN\tB-NP\tO' -p166186 -aS'tachycardia\ttachycardia\tNN\tI-NP\tO' -p166187 -aS'at\tat\tIN\tB-PP\tO' -p166188 -aS'a\ta\tDT\tB-NP\tO' -p166189 -aS'rate\trate\tNN\tI-NP\tO' -p166190 -aS'of\tof\tIN\tB-PP\tO' -p166191 -aS'123\t123\tCD\tB-NP\tO' -p166192 -aS'beats\tbeat\tNNS\tI-NP\tO' -p166193 -aS'per\tper\tIN\tB-PP\tO' -p166194 -aS'minute\tminute\tNN\tB-NP\tO' -p166195 -aS'compared\tcompare\tVBN\tB-VP\tO' -p166196 -aS'to\tto\tTO\tB-PP\tO' -p166197 -aS'previous\tprevious\tJJ\tB-NP\tO' -p166198 -aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' -p166199 -aS'of\tof\tIN\tB-PP\tO' -p166200 -aS'1/29\t1/29\tCD\tB-NP\tO' -p166201 -aS'there\tthere\tEX\tB-NP\tO' -p166202 -aS'were\tbe\tVBD\tB-VP\tO' -p166203 -aS'no\tno\tDT\tB-NP\tO' -p166204 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p166205 -aS'changes\tchange\tNNS\tI-NP\tO' -p166206 -aS'.\t.\t.\tO\tO' -p166207 -asS'Dictated By : Kurt S Imperato , M.D.' -p166208 -(lp166209 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p166210 -aS'By\tBy\tIN\tB-PP\tO' -p166211 -aS':\t:\t:\tO\tO' -p166212 -aS'Kurt\tKurt\tNNP\tB-NP\tO' -p166213 -aS'S\tS\tNNP\tI-NP\tO' -p166214 -aS'Imperato\tImperato\tNNP\tI-NP\tO' -p166215 -aS',\t,\t,\tO\tO' -p166216 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p166217 -asS'Papanicolaou smear positive for somomabodies , incontinence .' -p166218 -(lp166219 -S'Papanicolaou\tPapanicolaou\tPRP\tB-NP\tO' -p166220 -aS'smear\tsmear\tVBP\tB-VP\tO' -p166221 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p166222 -aS'for\tfor\tIN\tB-PP\tO' -p166223 -aS'somomabodies\tsomomabody\tNNS\tB-NP\tO' -p166224 -aS',\t,\t,\tO\tO' -p166225 -aS'incontinence\tincontinence\tNN\tB-NP\tO' -p166226 -aS'.\t.\t.\tO\tO' -p166227 -asS'This is a 62 year old gentleman who underwent an exercise treadmill test for screening through the Beth Israel Deaconess Hospital-Needham Clinic .' -p166228 -(lp166229 -S'This\tThis\tDT\tB-NP\tO' -p166230 -aS'is\tbe\tVBZ\tB-VP\tO' -p166231 -aS'a\ta\tDT\tB-NP\tO' -p166232 -aS'62\t62\tCD\tI-NP\tO' -p166233 -aS'year\tyear\tNN\tI-NP\tO' -p166234 -aS'old\told\tJJ\tI-NP\tO' -p166235 -aS'gentleman\tgentleman\tNN\tI-NP\tO' -p166236 -aS'who\twho\tWP\tB-NP\tO' -p166237 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p166238 -aS'an\tan\tDT\tB-NP\tO' -p166239 -aS'exercise\texercise\tNN\tI-NP\tO' -p166240 -aS'treadmill\ttreadmill\tNN\tI-NP\tO' -p166241 -aS'test\ttest\tNN\tI-NP\tO' -p166242 -aS'for\tfor\tIN\tB-PP\tO' -p166243 -aS'screening\tscreen\tVBG\tB-VP\tO' -p166244 -aS'through\tthrough\tIN\tB-PP\tO' -p166245 -aS'the\tthe\tDT\tB-NP\tO' -p166246 -aS'Beth\tBeth\tNNP\tI-NP\tO' -p166247 -aS'Israel\tIsrael\tNNP\tI-NP\tO' -p166248 -aS'Deaconess\tDeaconess\tNNP\tI-NP\tO' -p166249 -aS'Hospital-Needham\tHospital-Needham\tNNP\tI-NP\tO' -p166250 -aS'Clinic\tClinic\tNNP\tI-NP\tO' -p166251 -aS'.\t.\t.\tO\tO' -p166252 -asS'3. Ascorbic acid 500 mg p.o. q.d.' -p166253 -(lp166254 -S'3.\t3.\tLS\tB-NP\tO' -p166255 -aS'Ascorbic\tAscorbic\tJJ\tI-NP\tO' -p166256 -aS'acid\tacid\tNN\tI-NP\tO' -p166257 -aS'500\t500\tCD\tI-NP\tO' -p166258 -aS'mg\tmg\tNN\tI-NP\tO' -p166259 -aS'p.o.\tp.o.\tFW\tB-ADVP\tO' -p166260 -aS'q.d.\tq.d.\tFW\tI-ADVP\tO' -p166261 -asS'Acute respiratory distress syndrome .' -p166262 -(lp166263 -S'Acute\tAcute\tJJ\tB-NP\tO' -p166264 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p166265 -aS'distress\tdistress\tNN\tI-NP\tO' -p166266 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p166267 -aS'.\t.\t.\tO\tO' -p166268 -asS'Specifically , no extravasation of contrast , obstruction of blood flow , AV fistulization or intimal injury was observed .' -p166269 -(lp166270 -S'Specifically\tSpecifically\tRB\tB-ADVP\tO' -p166271 -aS',\t,\t,\tO\tO' -p166272 -aS'no\tno\tDT\tB-NP\tO' -p166273 -aS'extravasation\textravasation\tNN\tI-NP\tO' -p166274 -aS'of\tof\tIN\tB-PP\tO' -p166275 -aS'contrast\tcontrast\tNN\tB-NP\tO' -p166276 -aS',\t,\t,\tO\tO' -p166277 -aS'obstruction\tobstruction\tNN\tB-NP\tO' -p166278 -aS'of\tof\tIN\tB-PP\tO' -p166279 -aS'blood\tblood\tNN\tB-NP\tO' -p166280 -aS'flow\tflow\tNN\tI-NP\tO' -p166281 -aS',\t,\t,\tO\tO' -p166282 -aS'AV\tAV\tNN\tB-NP\tO' -p166283 -aS'fistulization\tfistulization\tNN\tI-NP\tO' -p166284 -aS'or\tor\tCC\tO\tO' -p166285 -aS'intimal\tintimal\tJJ\tB-NP\tO' -p166286 -aS'injury\tinjury\tNN\tI-NP\tO' -p166287 -aS'was\tbe\tVBD\tB-VP\tO' -p166288 -aS'observed\tobserve\tVBN\tI-VP\tO' -p166289 -aS'.\t.\t.\tO\tO' -p166290 -asS'Neck was supple .' -p166291 -(lp166292 -S'Neck\tNeck\tNN\tB-NP\tO' -p166293 -aS'was\tbe\tVBD\tB-VP\tO' -p166294 -aS'supple\tsupple\tNN\tB-NP\tO' -p166295 -aS'.\t.\t.\tO\tO' -p166296 -asS'ACE team consulted who arranged for pt to have outpt follow up .' -p166297 -(lp166298 -S'ACE\tACE\tNN\tB-NP\tO' -p166299 -aS'team\tteam\tNN\tI-NP\tO' -p166300 -aS'consulted\tconsult\tVBD\tB-VP\tO' -p166301 -aS'who\twho\tWP\tB-NP\tO' -p166302 -aS'arranged\tarrange\tVBD\tB-VP\tO' -p166303 -aS'for\tfor\tIN\tB-PP\tO' -p166304 -aS'pt\tpt\tNN\tB-NP\tO' -p166305 -aS'to\tto\tTO\tB-VP\tO' -p166306 -aS'have\thave\tVB\tI-VP\tO' -p166307 -aS'outpt\toutpt\tJJ\tB-VP\tO' -p166308 -aS'follow\tfollow\tVB\tI-VP\tO' -p166309 -aS'up\tup\tIN\tB-PRT\tO' -p166310 -aS'.\t.\t.\tO\tO' -p166311 -asS'Cath revealed severe 3 vessel disease .' -p166312 -(lp166313 -S'Cath\tCath\tNNP\tB-NP\tO' -p166314 -aS'revealed\treveal\tVBD\tB-VP\tO' -p166315 -aS'severe\tsevere\tJJ\tB-NP\tO' -p166316 -aS'3\t3\tCD\tI-NP\tO' -p166317 -aS'vessel\tvessel\tNN\tI-NP\tO' -p166318 -aS'disease\tdisease\tNN\tI-NP\tO' -p166319 -aS'.\t.\t.\tO\tO' -p166320 -asS'The tympanic membranes were clear .' -p166321 -(lp166322 -S'The\tThe\tDT\tB-NP\tO' -p166323 -aS'tympanic\ttympanic\tJJ\tI-NP\tO' -p166324 -aS'membranes\tmembrane\tNNS\tI-NP\tO' -p166325 -aS'were\tbe\tVBD\tB-VP\tO' -p166326 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p166327 -aS'.\t.\t.\tO\tO' -p166328 -asS'cataracts s/p removal c/b enucleated left CMED CSRU' -p166329 -(lp166330 -S'cataracts\tcataract\tNNS\tB-NP\tO' -p166331 -aS's/p\ts/p\tVBP\tB-VP\tO' -p166332 -aS'removal\tremoval\tNN\tB-NP\tO' -p166333 -aS'c/b\tc/b\tNN\tI-NP\tO' -p166334 -aS'enucleated\tenucleate\tVBN\tB-VP\tO' -p166335 -aS'left\tleave\tVBD\tB-VP\tO' -p166336 -aS'CMED\tCMED\tNNP\tB-NP\tO' -p166337 -aS'CSRU\tCSRU\tNNP\tI-NP\tO' -p166338 -asS'IMPRESSION : Increased tracer activity demonstrated within the left lower quadrant , most likely sigmoid colonic loops of bowel , consistent with active bleeding .' -p166339 -(lp166340 -S'IMPRESSION\tIMPRESSION\tNN\tB-NP\tO' -p166341 -aS':\t:\t:\tO\tO' -p166342 -aS'Increased\tIncrease\tVBN\tB-NP\tO' -p166343 -aS'tracer\ttracer\tNN\tI-NP\tO' -p166344 -aS'activity\tactivity\tNN\tI-NP\tO' -p166345 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p166346 -aS'within\twithin\tIN\tB-PP\tO' -p166347 -aS'the\tthe\tDT\tB-NP\tO' -p166348 -aS'left\tleft\tJJ\tI-NP\tO' -p166349 -aS'lower\tlow\tJJR\tI-NP\tO' -p166350 -aS'quadrant\tquadrant\tNN\tI-NP\tO' -p166351 -aS',\t,\t,\tO\tO' -p166352 -aS'most\tmost\tRBS\tB-NP\tO' -p166353 -aS'likely\tlikely\tJJ\tI-NP\tO' -p166354 -aS'sigmoid\tsigmoid\tJJ\tI-NP\tO' -p166355 -aS'colonic\tcolonic\tJJ\tI-NP\tO' -p166356 -aS'loops\tloop\tNNS\tI-NP\tO' -p166357 -aS'of\tof\tIN\tB-PP\tO' -p166358 -aS'bowel\tbowel\tNN\tB-NP\tO' -p166359 -aS',\t,\t,\tO\tO' -p166360 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p166361 -aS'with\twith\tIN\tB-PP\tO' -p166362 -aS'active\tactive\tJJ\tB-NP\tO' -p166363 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p166364 -aS'.\t.\t.\tO\tO' -p166365 -asS'The wound cultures demonstrated gram-positive cocci in clusters and gram-negative rods .' -p166366 -(lp166367 -S'The\tThe\tDT\tB-NP\tO' -p166368 -aS'wound\twound\tJJ\tI-NP\tB-cell_line' -p166369 -aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' -p166370 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p166371 -aS'gram-positive\tgram-positive\tJJ\tB-NP\tO' -p166372 -aS'cocci\tcoccus\tNNS\tI-NP\tO' -p166373 -aS'in\tin\tIN\tB-PP\tO' -p166374 -aS'clusters\tcluster\tNNS\tB-NP\tO' -p166375 -aS'and\tand\tCC\tO\tO' -p166376 -aS'gram-negative\tgram-negative\tJJ\tB-NP\tO' -p166377 -aS'rods\trod\tNNS\tI-NP\tO' -p166378 -aS'.\t.\t.\tO\tO' -p166379 -asS'IgG deficiency .' -p166380 -(lp166381 -S'IgG\tIgG\tNN\tB-NP\tB-protein' -p166382 -aS'deficiency\tdeficiency\tNN\tI-NP\tO' -p166383 -aS'.\t.\t.\tO\tO' -p166384 -asS'3. State newborn screening sent per protocol and no abnormal reports have been received .' -p166385 -(lp166386 -S'3.\t3.\tLS\tB-NP\tO' -p166387 -aS'State\tState\tNN\tI-NP\tO' -p166388 -aS'newborn\tnewborn\tJJ\tI-NP\tO' -p166389 -aS'screening\tscreening\tNN\tI-NP\tO' -p166390 -aS'sent\tsend\tVBN\tB-VP\tO' -p166391 -aS'per\tper\tIN\tB-PP\tO' -p166392 -aS'protocol\tprotocol\tNN\tB-NP\tO' -p166393 -aS'and\tand\tCC\tO\tO' -p166394 -aS'no\tno\tDT\tB-NP\tO' -p166395 -aS'abnormal\tabnormal\tJJ\tI-NP\tO' -p166396 -aS'reports\treport\tNNS\tI-NP\tO' -p166397 -aS'have\thave\tVBP\tB-VP\tO' -p166398 -aS'been\tbe\tVBN\tI-VP\tO' -p166399 -aS'received\treceive\tVBN\tI-VP\tO' -p166400 -aS'.\t.\t.\tO\tO' -p166401 -asS'She was maintained on an epidural and PCA for pain control .' -p166402 -(lp166403 -S'She\tShe\tPRP\tB-NP\tO' -p166404 -aS'was\tbe\tVBD\tB-VP\tO' -p166405 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p166406 -aS'on\ton\tIN\tB-PP\tO' -p166407 -aS'an\tan\tDT\tB-NP\tO' -p166408 -aS'epidural\tepidural\tJJ\tI-NP\tO' -p166409 -aS'and\tand\tCC\tI-NP\tO' -p166410 -aS'PCA\tPCA\tNN\tI-NP\tB-protein' -p166411 -aS'for\tfor\tIN\tB-PP\tO' -p166412 -aS'pain\tpain\tNN\tB-NP\tO' -p166413 -aS'control\tcontrol\tNN\tI-NP\tO' -p166414 -aS'.\t.\t.\tO\tO' -p166415 -asS'The patient states that he is occasionally constipated .' -p166416 -(lp166417 -S'The\tThe\tDT\tB-NP\tO' -p166418 -aS'patient\tpatient\tNN\tI-NP\tO' -p166419 -aS'states\tstate\tVBZ\tB-VP\tO' -p166420 -aS'that\tthat\tIN\tB-SBAR\tO' -p166421 -aS'he\the\tPRP\tB-NP\tO' -p166422 -aS'is\tbe\tVBZ\tB-VP\tO' -p166423 -aS'occasionally\toccasionally\tRB\tI-VP\tO' -p166424 -aS'constipated\tconstipate\tVBN\tI-VP\tO' -p166425 -aS'.\t.\t.\tO\tO' -p166426 -asS'Pt was continued on keppra during admission for sz px .' -p166427 -(lp166428 -S'Pt\tPt\tNN\tB-NP\tO' -p166429 -aS'was\tbe\tVBD\tB-VP\tO' -p166430 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p166431 -aS'on\ton\tIN\tB-PP\tO' -p166432 -aS'keppra\tkeppra\tNN\tB-NP\tO' -p166433 -aS'during\tduring\tIN\tB-PP\tO' -p166434 -aS'admission\tadmission\tNN\tB-NP\tO' -p166435 -aS'for\tfor\tIN\tB-PP\tO' -p166436 -aS'sz\tsz\tNN\tB-NP\tO' -p166437 -aS'px\tpx\tNN\tI-NP\tO' -p166438 -aS'.\t.\t.\tO\tO' -p166439 -asS'Stable microvascular ischemic changes in the periventricular white matter .' -p166440 -(lp166441 -S'Stable\tStable\tJJ\tB-NP\tO' -p166442 -aS'microvascular\tmicrovascular\tJJ\tI-NP\tO' -p166443 -aS'ischemic\tischemic\tJJ\tI-NP\tO' -p166444 -aS'changes\tchange\tNNS\tI-NP\tO' -p166445 -aS'in\tin\tIN\tB-PP\tO' -p166446 -aS'the\tthe\tDT\tB-NP\tO' -p166447 -aS'periventricular\tperiventricular\tJJ\tI-NP\tO' -p166448 -aS'white\twhite\tJJ\tI-NP\tO' -p166449 -aS'matter\tmatter\tNN\tI-NP\tO' -p166450 -aS'.\t.\t.\tO\tO' -p166451 -asS'Lives with son who is very involved and well informed regarding her care needs .' -p166452 -(lp166453 -S'Lives\tLife\tNNS\tB-NP\tO' -p166454 -aS'with\twith\tIN\tB-PP\tO' -p166455 -aS'son\tson\tNN\tB-NP\tO' -p166456 -aS'who\twho\tWP\tB-NP\tO' -p166457 -aS'is\tbe\tVBZ\tB-VP\tO' -p166458 -aS'very\tvery\tRB\tB-ADJP\tO' -p166459 -aS'involved\tinvolve\tVBN\tI-ADJP\tO' -p166460 -aS'and\tand\tCC\tO\tO' -p166461 -aS'well\twell\tRB\tB-ADJP\tO' -p166462 -aS'informed\tinformed\tJJ\tI-ADJP\tO' -p166463 -aS'regarding\tregard\tVBG\tB-PP\tO' -p166464 -aS'her\ther\tPRP$\tB-NP\tO' -p166465 -aS'care\tcare\tNN\tI-NP\tO' -p166466 -aS'needs\tneed\tNNS\tI-NP\tO' -p166467 -aS'.\t.\t.\tO\tO' -p166468 -asS"This resolved spontaneously when the bottle was pulled from the baby 's mouth ." -p166469 -(lp166470 -S'This\tThis\tDT\tB-NP\tO' -p166471 -aS'resolved\tresolve\tVBD\tB-VP\tO' -p166472 -aS'spontaneously\tspontaneously\tRB\tB-ADVP\tO' -p166473 -aS'when\twhen\tWRB\tB-ADVP\tO' -p166474 -aS'the\tthe\tDT\tB-NP\tO' -p166475 -aS'bottle\tbottle\tNN\tI-NP\tO' -p166476 -aS'was\tbe\tVBD\tB-VP\tO' -p166477 -aS'pulled\tpull\tVBN\tI-VP\tO' -p166478 -aS'from\tfrom\tIN\tB-PP\tO' -p166479 -aS'the\tthe\tDT\tB-NP\tO' -p166480 -aS'baby\tbaby\tNN\tI-NP\tO' -p166481 -aS"'s\t's\tPOS\tB-NP\tO" -p166482 -aS'mouth\tmouth\tNN\tI-NP\tO' -p166483 -aS'.\t.\t.\tO\tO' -p166484 -asS'Ceftazidime 1 gram intravenous q 8 .' -p166485 -(lp166486 -S'Ceftazidime\tCeftazidime\tNN\tB-NP\tB-protein' -p166487 -aS'1\t1\tCD\tI-NP\tI-protein' -p166488 -aS'gram\tgram\tNN\tI-NP\tI-protein' -p166489 -aS'intravenous\tintravenous\tJJ\tI-NP\tI-protein' -p166490 -aS'q\tq\tNN\tI-NP\tI-protein' -p166491 -aS'8\t8\tCD\tI-NP\tI-protein' -p166492 -aS'.\t.\t.\tO\tO' -p166493 -asS'Lungs : Clear to auscultation bilaterally .' -p166494 -(lp166495 -S'Lungs\tLung\tNNS\tB-NP\tO' -p166496 -aS':\t:\t:\tO\tO' -p166497 -aS'Clear\tClear\tJJ\tB-ADJP\tO' -p166498 -aS'to\tto\tTO\tB-PP\tO' -p166499 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p166500 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p166501 -aS'.\t.\t.\tO\tO' -p166502 -asS'Lab two antibiotics were added considering the patient was thought to be a relatively high risk for PCP Douglas .' -p166503 -(lp166504 -S'Lab\tLab\tNN\tB-NP\tO' -p166505 -aS'two\ttwo\tCD\tB-NP\tO' -p166506 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p166507 -aS'were\tbe\tVBD\tB-VP\tO' -p166508 -aS'added\tadd\tVBN\tI-VP\tO' -p166509 -aS'considering\tconsider\tVBG\tI-VP\tO' -p166510 -aS'the\tthe\tDT\tB-NP\tO' -p166511 -aS'patient\tpatient\tNN\tI-NP\tO' -p166512 -aS'was\tbe\tVBD\tB-VP\tO' -p166513 -aS'thought\tthink\tVBN\tI-VP\tO' -p166514 -aS'to\tto\tTO\tI-VP\tO' -p166515 -aS'be\tbe\tVB\tI-VP\tO' -p166516 -aS'a\ta\tDT\tB-NP\tO' -p166517 -aS'relatively\trelatively\tRB\tI-NP\tO' -p166518 -aS'high\thigh\tJJ\tI-NP\tO' -p166519 -aS'risk\trisk\tNN\tI-NP\tO' -p166520 -aS'for\tfor\tIN\tB-PP\tO' -p166521 -aS'PCP\tPCP\tNN\tB-NP\tO' -p166522 -aS'Douglas\tDouglas\tNNP\tI-NP\tO' -p166523 -aS'.\t.\t.\tO\tO' -p166524 -asS'Father with MI/CABG died at age 60 .' -p166525 -(lp166526 -S'Father\tFather\tRB\tB-ADVP\tO' -p166527 -aS'with\twith\tIN\tB-PP\tO' -p166528 -aS'MI/CABG\tMI/CABG\tNN\tB-NP\tO' -p166529 -aS'died\tdie\tVBD\tB-VP\tO' -p166530 -aS'at\tat\tIN\tB-PP\tO' -p166531 -aS'age\tage\tNN\tB-NP\tO' -p166532 -aS'60\t60\tCD\tI-NP\tO' -p166533 -aS'.\t.\t.\tO\tO' -p166534 -asS'No significant history .' -p166535 -(lp166536 -S'No\tNo\tDT\tB-NP\tO' -p166537 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p166538 -aS'history\thistory\tNN\tI-NP\tO' -p166539 -aS'.\t.\t.\tO\tO' -p166540 -asS'Major Surgical or Invasive Procedure : persantine MIBI cardiac stress test thoracentesis' -p166541 -(lp166542 -S'Major\tMajor\tJJ\tB-NP\tO' -p166543 -aS'Surgical\tSurgical\tJJ\tI-NP\tO' -p166544 -aS'or\tor\tCC\tI-NP\tO' -p166545 -aS'Invasive\tInvasive\tJJ\tI-NP\tO' -p166546 -aS'Procedure\tProcedure\tNN\tI-NP\tO' -p166547 -aS':\t:\t:\tO\tO' -p166548 -aS'persantine\tpersantine\tJJ\tB-NP\tO' -p166549 -aS'MIBI\tMIBI\tNN\tI-NP\tO' -p166550 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p166551 -aS'stress\tstress\tNN\tI-NP\tO' -p166552 -aS'test\ttest\tNN\tI-NP\tO' -p166553 -aS'thoracentesis\tthoracentesis\tNN\tI-NP\tO' -p166554 -asS'On 02/13/91 , the patient had a bronchoalveolar lavage performed which showed a toluidine blue with many pneumocysts noted .' -p166555 -(lp166556 -S'On\tOn\tIN\tB-PP\tO' -p166557 -aS'02/13/91\t02/13/91\tCD\tB-NP\tO' -p166558 -aS',\t,\t,\tO\tO' -p166559 -aS'the\tthe\tDT\tB-NP\tO' -p166560 -aS'patient\tpatient\tNN\tI-NP\tO' -p166561 -aS'had\thave\tVBD\tB-VP\tO' -p166562 -aS'a\ta\tDT\tB-NP\tO' -p166563 -aS'bronchoalveolar\tbronchoalveolar\tJJ\tI-NP\tO' -p166564 -aS'lavage\tlavage\tNN\tI-NP\tO' -p166565 -aS'performed\tperform\tVBN\tB-VP\tO' -p166566 -aS'which\twhich\tWDT\tB-NP\tO' -p166567 -aS'showed\tshow\tVBD\tB-VP\tO' -p166568 -aS'a\ta\tDT\tB-NP\tO' -p166569 -aS'toluidine\ttoluidine\tNN\tI-NP\tO' -p166570 -aS'blue\tblue\tJJ\tB-ADJP\tO' -p166571 -aS'with\twith\tIN\tB-PP\tO' -p166572 -aS'many\tmany\tJJ\tB-NP\tO' -p166573 -aS'pneumocysts\tpneumocyst\tNNS\tI-NP\tO' -p166574 -aS'noted\tnote\tVBD\tB-VP\tO' -p166575 -aS'.\t.\t.\tO\tO' -p166576 -asS'Over the next several days , the patient remained hemodynamically stable on the ventilator .' -p166577 -(lp166578 -S'Over\tOver\tIN\tB-PP\tO' -p166579 -aS'the\tthe\tDT\tB-NP\tO' -p166580 -aS'next\tnext\tJJ\tI-NP\tO' -p166581 -aS'several\tseveral\tJJ\tI-NP\tO' -p166582 -aS'days\tday\tNNS\tI-NP\tO' -p166583 -aS',\t,\t,\tO\tO' -p166584 -aS'the\tthe\tDT\tB-NP\tO' -p166585 -aS'patient\tpatient\tNN\tI-NP\tO' -p166586 -aS'remained\tremain\tVBD\tB-VP\tO' -p166587 -aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' -p166588 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p166589 -aS'on\ton\tIN\tB-PP\tO' -p166590 -aS'the\tthe\tDT\tB-NP\tO' -p166591 -aS'ventilator\tventilator\tNN\tI-NP\tO' -p166592 -aS'.\t.\t.\tO\tO' -p166593 -asS'Status post cholecystectomy , lumbar diskectomy , and tonsillectomy with adenoidectomy .' -p166594 -(lp166595 -S'Status\tStatus\tNNP\tB-NP\tO' -p166596 -aS'post\tpost\tNN\tI-NP\tO' -p166597 -aS'cholecystectomy\tcholecystectomy\tNN\tI-NP\tO' -p166598 -aS',\t,\t,\tO\tO' -p166599 -aS'lumbar\tlumbar\tNN\tB-NP\tO' -p166600 -aS'diskectomy\tdiskectomy\tNN\tI-NP\tO' -p166601 -aS',\t,\t,\tO\tO' -p166602 -aS'and\tand\tCC\tO\tO' -p166603 -aS'tonsillectomy\ttonsillectomy\tNN\tB-NP\tO' -p166604 -aS'with\twith\tIN\tB-PP\tO' -p166605 -aS'adenoidectomy\tadenoidectomy\tNN\tB-NP\tO' -p166606 -aS'.\t.\t.\tO\tO' -p166607 -asS'Clamping continued until postoperative day six .' -p166608 -(lp166609 -S'Clamping\tClamp\tVBG\tB-VP\tO' -p166610 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p166611 -aS'until\tuntil\tIN\tB-PP\tO' -p166612 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p166613 -aS'day\tday\tNN\tI-NP\tO' -p166614 -aS'six\tsix\tCD\tI-NP\tO' -p166615 -aS'.\t.\t.\tO\tO' -p166616 -asS'The patient was also started on Solu-Medrol IV for active airway disease component of her shortness of breath .' -p166617 -(lp166618 -S'The\tThe\tDT\tB-NP\tO' -p166619 -aS'patient\tpatient\tNN\tI-NP\tO' -p166620 -aS'was\tbe\tVBD\tB-VP\tO' -p166621 -aS'also\talso\tRB\tI-VP\tO' -p166622 -aS'started\tstart\tVBN\tI-VP\tO' -p166623 -aS'on\ton\tIN\tB-PP\tO' -p166624 -aS'Solu-Medrol\tSolu-Medrol\tNN\tB-NP\tO' -p166625 -aS'IV\tIV\tCD\tI-NP\tO' -p166626 -aS'for\tfor\tIN\tB-PP\tO' -p166627 -aS'active\tactive\tJJ\tB-NP\tO' -p166628 -aS'airway\tairway\tNN\tI-NP\tO' -p166629 -aS'disease\tdisease\tNN\tI-NP\tO' -p166630 -aS'component\tcomponent\tNN\tI-NP\tO' -p166631 -aS'of\tof\tIN\tB-PP\tO' -p166632 -aS'her\ther\tPRP$\tB-NP\tO' -p166633 -aS'shortness\tshortness\tNN\tI-NP\tO' -p166634 -aS'of\tof\tIN\tB-PP\tO' -p166635 -aS'breath\tbreath\tNN\tB-NP\tO' -p166636 -aS'.\t.\t.\tO\tO' -p166637 -asS'Neck : no LAD ; no carotid bruits ; limited range neck movements bilaterally' -p166638 -(lp166639 -S'Neck\tNeck\tNN\tB-NP\tO' -p166640 -aS':\t:\t:\tO\tO' -p166641 -aS'no\tno\tDT\tB-NP\tO' -p166642 -aS'LAD\tLAD\tNN\tI-NP\tB-protein' -p166643 -aS';\t;\t:\tO\tO' -p166644 -aS'no\tno\tDT\tB-NP\tO' -p166645 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p166646 -aS'bruits\tbruit\tNNS\tI-NP\tO' -p166647 -aS';\t;\t:\tO\tO' -p166648 -aS'limited\tlimited\tJJ\tB-NP\tO' -p166649 -aS'range\trange\tNN\tI-NP\tO' -p166650 -aS'neck\tneck\tNN\tI-NP\tO' -p166651 -aS'movements\tmovement\tNNS\tI-NP\tO' -p166652 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p166653 -asS'It has not been done yet .' -p166654 -(lp166655 -S'It\tIt\tPRP\tB-NP\tO' -p166656 -aS'has\thave\tVBZ\tB-VP\tO' -p166657 -aS'not\tnot\tRB\tI-VP\tO' -p166658 -aS'been\tbe\tVBN\tI-VP\tO' -p166659 -aS'done\tdo\tVBN\tI-VP\tO' -p166660 -aS'yet\tyet\tRB\tB-ADVP\tO' -p166661 -aS'.\t.\t.\tO\tO' -p166662 -asS'At the time of discharge , it was 1.9 , for which she received 4 mg.' -p166663 -(lp166664 -S'At\tAt\tIN\tB-PP\tO' -p166665 -aS'the\tthe\tDT\tB-NP\tO' -p166666 -aS'time\ttime\tNN\tI-NP\tO' -p166667 -aS'of\tof\tIN\tB-PP\tO' -p166668 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p166669 -aS',\t,\t,\tO\tO' -p166670 -aS'it\tit\tPRP\tB-NP\tO' -p166671 -aS'was\tbe\tVBD\tB-VP\tO' -p166672 -aS'1.9\t1.9\tCD\tB-NP\tO' -p166673 -aS',\t,\t,\tO\tO' -p166674 -aS'for\tfor\tIN\tB-PP\tO' -p166675 -aS'which\twhich\tWDT\tB-NP\tO' -p166676 -aS'she\tshe\tPRP\tB-NP\tO' -p166677 -aS'received\treceive\tVBD\tB-VP\tO' -p166678 -aS'4\t4\tCD\tB-NP\tO' -p166679 -aS'mg.\tmg.\tNN\tI-NP\tO' -p166680 -asS'Neurologically , the patient is alert and oriented times three with normal speech , language and repetition .' -p166681 -(lp166682 -S'Neurologically\tNeurologically\tRB\tB-ADVP\tO' -p166683 -aS',\t,\t,\tO\tO' -p166684 -aS'the\tthe\tDT\tB-NP\tO' -p166685 -aS'patient\tpatient\tNN\tI-NP\tO' -p166686 -aS'is\tbe\tVBZ\tB-VP\tO' -p166687 -aS'alert\talert\tJJ\tB-ADJP\tO' -p166688 -aS'and\tand\tCC\tO\tO' -p166689 -aS'oriented\torient\tVBN\tB-VP\tO' -p166690 -aS'times\ttime\tNNS\tB-NP\tO' -p166691 -aS'three\tthree\tCD\tB-NP\tO' -p166692 -aS'with\twith\tIN\tB-PP\tO' -p166693 -aS'normal\tnormal\tJJ\tB-NP\tO' -p166694 -aS'speech\tspeech\tNN\tI-NP\tO' -p166695 -aS',\t,\t,\tI-NP\tO' -p166696 -aS'language\tlanguage\tNN\tI-NP\tO' -p166697 -aS'and\tand\tCC\tI-NP\tO' -p166698 -aS'repetition\trepetition\tNN\tI-NP\tO' -p166699 -aS'.\t.\t.\tO\tO' -p166700 -asS'2. Metformin .' -p166701 -(lp166702 -S'2.\t2.\tLS\tB-NP\tO' -p166703 -aS'Metformin\tMetformin\tNN\tI-NP\tO' -p166704 -aS'.\t.\t.\tO\tO' -p166705 -asS'If you have any bladder incontinence , bowel incontinence , worse numbness , any weakness , or any other concerns , call your doctor or return to the emergency department immediately .' -p166706 -(lp166707 -S'If\tIf\tIN\tB-SBAR\tO' -p166708 -aS'you\tyou\tPRP\tB-NP\tO' -p166709 -aS'have\thave\tVBP\tB-VP\tO' -p166710 -aS'any\tany\tDT\tB-NP\tO' -p166711 -aS'bladder\tbladder\tNN\tI-NP\tO' -p166712 -aS'incontinence\tincontinence\tNN\tI-NP\tO' -p166713 -aS',\t,\t,\tO\tO' -p166714 -aS'bowel\tbowel\tNN\tB-NP\tO' -p166715 -aS'incontinence\tincontinence\tNN\tI-NP\tO' -p166716 -aS',\t,\t,\tO\tO' -p166717 -aS'worse\tworse\tJJR\tB-NP\tO' -p166718 -aS'numbness\tnumbness\tNN\tI-NP\tO' -p166719 -aS',\t,\t,\tO\tO' -p166720 -aS'any\tany\tDT\tB-NP\tO' -p166721 -aS'weakness\tweakness\tNN\tI-NP\tO' -p166722 -aS',\t,\t,\tO\tO' -p166723 -aS'or\tor\tCC\tO\tO' -p166724 -aS'any\tany\tDT\tB-NP\tO' -p166725 -aS'other\tother\tJJ\tI-NP\tO' -p166726 -aS'concerns\tconcern\tNNS\tI-NP\tO' -p166727 -aS',\t,\t,\tO\tO' -p166728 -aS'call\tcall\tVB\tB-VP\tO' -p166729 -aS'your\tyour\tPRP$\tB-NP\tO' -p166730 -aS'doctor\tdoctor\tNN\tI-NP\tO' -p166731 -aS'or\tor\tCC\tO\tO' -p166732 -aS'return\treturn\tVB\tB-VP\tO' -p166733 -aS'to\tto\tTO\tB-PP\tO' -p166734 -aS'the\tthe\tDT\tB-NP\tO' -p166735 -aS'emergency\temergency\tNN\tI-NP\tO' -p166736 -aS'department\tdepartment\tNN\tI-NP\tO' -p166737 -aS'immediately\timmediately\tRB\tB-ADVP\tO' -p166738 -aS'.\t.\t.\tO\tO' -p166739 -asS'After discussion with the patient 's primary doctor , Dr. Douet at Vassdiysey Medical Center , it was felt that the patient and his family would be best served if the patient were transferred to Vassdiysey Medical Center .' -p166740 -(lp166741 -S'After\tAfter\tIN\tB-PP\tO' -p166742 -aS'discussion\tdiscussion\tNN\tB-NP\tO' -p166743 -aS'with\twith\tIN\tB-PP\tO' -p166744 -aS'the\tthe\tDT\tB-NP\tO' -p166745 -aS'patient\tpatient\tNN\tI-NP\tO' -p166746 -aS''s\t'\tNNS\tI-NP\tO' -p166747 -aS'primary\tprimary\tJJ\tB-NP\tO' -p166748 -aS'doctor\tdoctor\tNN\tI-NP\tO' -p166749 -aS',\t,\t,\tO\tO' -p166750 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p166751 -aS'Douet\tDouet\tNNP\tI-NP\tO' -p166752 -aS'at\tat\tIN\tB-PP\tO' -p166753 -aS'Vassdiysey\tVassdiysey\tNNP\tB-NP\tO' -p166754 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p166755 -aS'Center\tCenter\tNNP\tI-NP\tO' -p166756 -aS',\t,\t,\tO\tO' -p166757 -aS'it\tit\tPRP\tB-NP\tO' -p166758 -aS'was\tbe\tVBD\tB-VP\tO' -p166759 -aS'felt\tfeel\tVBN\tI-VP\tO' -p166760 -aS'that\tthat\tIN\tB-SBAR\tO' -p166761 -aS'the\tthe\tDT\tB-NP\tO' -p166762 -aS'patient\tpatient\tNN\tI-NP\tO' -p166763 -aS'and\tand\tCC\tO\tO' -p166764 -aS'his\this\tPRP$\tB-NP\tO' -p166765 -aS'family\tfamily\tNN\tI-NP\tO' -p166766 -aS'would\twould\tMD\tB-VP\tO' -p166767 -aS'be\tbe\tVB\tI-VP\tO' -p166768 -aS'best\twell\tRBS\tI-VP\tO' -p166769 -aS'served\tserve\tVBN\tI-VP\tO' -p166770 -aS'if\tif\tIN\tB-SBAR\tO' -p166771 -aS'the\tthe\tDT\tB-NP\tO' -p166772 -aS'patient\tpatient\tNN\tI-NP\tO' -p166773 -aS'were\tbe\tVBD\tB-VP\tO' -p166774 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p166775 -aS'to\tto\tTO\tB-PP\tO' -p166776 -aS'Vassdiysey\tVassdiysey\tNNP\tB-NP\tO' -p166777 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p166778 -aS'Center\tCenter\tNNP\tI-NP\tO' -p166779 -aS'.\t.\t.\tO\tO' -p166780 -asS'Her temperature was 96.3 degrees , blood pressure was 128/63 .' -p166781 -(lp166782 -S'Her\tHer\tPRP$\tB-NP\tO' -p166783 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p166784 -aS'was\tbe\tVBD\tB-VP\tO' -p166785 -aS'96.3\t96.3\tCD\tB-NP\tO' -p166786 -aS'degrees\tdegree\tNNS\tI-NP\tO' -p166787 -aS',\t,\t,\tO\tO' -p166788 -aS'blood\tblood\tNN\tB-NP\tO' -p166789 -aS'pressure\tpressure\tNN\tI-NP\tO' -p166790 -aS'was\tbe\tVBD\tB-VP\tO' -p166791 -aS'128/63\t128/63\tCD\tB-NP\tO' -p166792 -aS'.\t.\t.\tO\tO' -p166793 -asS'Supple with a normal thyroid gland .' -p166794 -(lp166795 -S'Supple\tSupple\tNN\tB-NP\tO' -p166796 -aS'with\twith\tIN\tB-PP\tO' -p166797 -aS'a\ta\tDT\tB-NP\tO' -p166798 -aS'normal\tnormal\tJJ\tI-NP\tO' -p166799 -aS'thyroid\tthyroid\tNN\tI-NP\tO' -p166800 -aS'gland\tgland\tNN\tI-NP\tO' -p166801 -aS'.\t.\t.\tO\tO' -p166802 -asS'She is neurologically intact .' -p166803 -(lp166804 -S'She\tShe\tPRP\tB-NP\tO' -p166805 -aS'is\tbe\tVBZ\tB-VP\tO' -p166806 -aS'neurologically\tneurologically\tRB\tB-ADJP\tO' -p166807 -aS'intact\tintact\tJJ\tI-ADJP\tO' -p166808 -aS'.\t.\t.\tO\tO' -p166809 -asS'On POD2 the patient remained hemodynamically stable and was transferred from the ICU to F2 for continued postop care .' -p166810 -(lp166811 -S'On\tOn\tIN\tB-PP\tO' -p166812 -aS'POD2\tPOD2\tNN\tB-NP\tB-protein' -p166813 -aS'the\tthe\tDT\tB-NP\tO' -p166814 -aS'patient\tpatient\tNN\tI-NP\tO' -p166815 -aS'remained\tremain\tVBD\tB-VP\tO' -p166816 -aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' -p166817 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p166818 -aS'and\tand\tCC\tO\tO' -p166819 -aS'was\tbe\tVBD\tB-VP\tO' -p166820 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p166821 -aS'from\tfrom\tIN\tB-PP\tO' -p166822 -aS'the\tthe\tDT\tB-NP\tO' -p166823 -aS'ICU\tICU\tNN\tI-NP\tB-protein' -p166824 -aS'to\tto\tTO\tB-PP\tO' -p166825 -aS'F2\tF2\tNN\tB-NP\tB-protein' -p166826 -aS'for\tfor\tIN\tB-PP\tO' -p166827 -aS'continued\tcontinue\tVBN\tB-NP\tO' -p166828 -aS'postop\tpostop\tJJ\tI-NP\tO' -p166829 -aS'care\tcare\tNN\tI-NP\tO' -p166830 -aS'.\t.\t.\tO\tO' -p166831 -asS'98.4 , 94 , 22 , 120/96 , 98% on 2L. NAD , using scalenes , AT / NC , no oral lesions , Bibasilar rales otherwise clear , good air movement , RRR , no MRG , NTND +BS , no CCE , 2+ DPs .' -p166832 -(lp166833 -S'98.4\t98.4\tCD\tB-NP\tO' -p166834 -aS',\t,\t,\tI-NP\tO' -p166835 -aS'94\t94\tCD\tI-NP\tO' -p166836 -aS',\t,\t,\tI-NP\tO' -p166837 -aS'22\t22\tCD\tI-NP\tO' -p166838 -aS',\t,\t,\tI-NP\tO' -p166839 -aS'120/96\t120/96\tCD\tI-NP\tO' -p166840 -aS',\t,\t,\tI-NP\tO' -p166841 -aS'98%\t98%\tCD\tI-NP\tO' -p166842 -aS'on\ton\tIN\tB-PP\tO' -p166843 -aS'2L.\t2L.\tNN\tB-NP\tO' -p166844 -aS'NAD\tNAD\tNN\tI-NP\tO' -p166845 -aS',\t,\t,\tO\tO' -p166846 -aS'using\tuse\tVBG\tB-VP\tO' -p166847 -aS'scalenes\tscalene\tNNS\tB-NP\tO' -p166848 -aS',\t,\t,\tO\tO' -p166849 -aS'AT\tAT\tNN\tB-NP\tO' -p166850 -aS'/\t/\tSYM\tI-NP\tO' -p166851 -aS'NC\tNC\tNN\tI-NP\tO' -p166852 -aS',\t,\t,\tO\tO' -p166853 -aS'no\tno\tDT\tB-NP\tO' -p166854 -aS'oral\toral\tJJ\tI-NP\tO' -p166855 -aS'lesions\tlesion\tNNS\tI-NP\tO' -p166856 -aS',\t,\t,\tO\tO' -p166857 -aS'Bibasilar\tBibasilar\tJJ\tB-NP\tO' -p166858 -aS'rales\trale\tNNS\tI-NP\tO' -p166859 -aS'otherwise\totherwise\tRB\tB-NP\tO' -p166860 -aS'clear\tclear\tJJ\tI-NP\tO' -p166861 -aS',\t,\t,\tI-NP\tO' -p166862 -aS'good\tgood\tJJ\tI-NP\tO' -p166863 -aS'air\tair\tNN\tI-NP\tO' -p166864 -aS'movement\tmovement\tNN\tI-NP\tO' -p166865 -aS',\t,\t,\tO\tO' -p166866 -aS'RRR\tRRR\tNN\tB-NP\tB-protein' -p166867 -aS',\t,\t,\tO\tO' -p166868 -aS'no\tno\tDT\tB-NP\tO' -p166869 -aS'MRG\tMRG\tNNP\tI-NP\tO' -p166870 -aS',\t,\t,\tO\tO' -p166871 -aS'NTND\tNTND\tNNP\tB-NP\tO' -p166872 -aS'+BS\t+BS\tNNP\tI-NP\tO' -p166873 -aS',\t,\t,\tO\tO' -p166874 -aS'no\tno\tDT\tB-NP\tO' -p166875 -aS'CCE\tCCE\tNN\tI-NP\tO' -p166876 -aS',\t,\t,\tO\tO' -p166877 -aS'2+\t2+\tJJ\tB-NP\tO' -p166878 -aS'DPs\tDP\tNNS\tI-NP\tO' -p166879 -aS'.\t.\t.\tO\tO' -p166880 -asS'JVD difficult to access 02-23 increased neck girth .' -p166881 -(lp166882 -S'JVD\tJVD\tNN\tB-NP\tO' -p166883 -aS'difficult\tdifficult\tJJ\tB-ADJP\tO' -p166884 -aS'to\tto\tTO\tB-PP\tO' -p166885 -aS'access\taccess\tNN\tB-NP\tO' -p166886 -aS'02-23\t02-23\tCD\tI-NP\tO' -p166887 -aS'increased\tincrease\tVBD\tB-VP\tO' -p166888 -aS'neck\tneck\tNN\tB-NP\tO' -p166889 -aS'girth\tgirth\tNN\tI-NP\tO' -p166890 -aS'.\t.\t.\tO\tO' -p166891 -asS'An ANA and rheumatoid factor were negative .' -p166892 -(lp166893 -S'An\tAn\tDT\tB-NP\tO' -p166894 -aS'ANA\tANA\tNN\tI-NP\tO' -p166895 -aS'and\tand\tCC\tO\tO' -p166896 -aS'rheumatoid\trheumatoid\tJJ\tB-NP\tO' -p166897 -aS'factor\tfactor\tNN\tI-NP\tO' -p166898 -aS'were\tbe\tVBD\tB-VP\tO' -p166899 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p166900 -aS'.\t.\t.\tO\tO' -p166901 -asS'He had been noted to have an ulcer and ultimately when he stabilized it was our feeling that he most likely had a gastric pericardial ulcer and he was transferred here for further management .' -p166902 -(lp166903 -S'He\tHe\tPRP\tB-NP\tO' -p166904 -aS'had\thave\tVBD\tB-VP\tO' -p166905 -aS'been\tbe\tVBN\tI-VP\tO' -p166906 -aS'noted\tnote\tVBN\tI-VP\tO' -p166907 -aS'to\tto\tTO\tI-VP\tO' -p166908 -aS'have\thave\tVB\tI-VP\tO' -p166909 -aS'an\tan\tDT\tB-NP\tO' -p166910 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p166911 -aS'and\tand\tCC\tO\tO' -p166912 -aS'ultimately\tultimately\tRB\tB-ADVP\tO' -p166913 -aS'when\twhen\tWRB\tB-ADVP\tO' -p166914 -aS'he\the\tPRP\tB-NP\tO' -p166915 -aS'stabilized\tstabilize\tVBD\tB-VP\tO' -p166916 -aS'it\tit\tPRP\tB-NP\tO' -p166917 -aS'was\tbe\tVBD\tB-VP\tO' -p166918 -aS'our\tour\tPRP$\tB-NP\tO' -p166919 -aS'feeling\tfeeling\tNN\tI-NP\tO' -p166920 -aS'that\tthat\tIN\tB-SBAR\tO' -p166921 -aS'he\the\tPRP\tB-NP\tO' -p166922 -aS'most\tmost\tRBS\tB-ADVP\tO' -p166923 -aS'likely\tlikely\tRB\tI-ADVP\tO' -p166924 -aS'had\thave\tVBD\tB-VP\tO' -p166925 -aS'a\ta\tDT\tB-NP\tO' -p166926 -aS'gastric\tgastric\tJJ\tI-NP\tO' -p166927 -aS'pericardial\tpericardial\tJJ\tI-NP\tO' -p166928 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p166929 -aS'and\tand\tCC\tO\tO' -p166930 -aS'he\the\tPRP\tB-NP\tO' -p166931 -aS'was\tbe\tVBD\tB-VP\tO' -p166932 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p166933 -aS'here\there\tRB\tB-ADVP\tO' -p166934 -aS'for\tfor\tIN\tB-PP\tO' -p166935 -aS'further\tfurther\tJJ\tB-NP\tO' -p166936 -aS'management\tmanagement\tNN\tI-NP\tO' -p166937 -aS'.\t.\t.\tO\tO' -p166938 -asS'In 05-92 , the patient was admitted to Wellla Uxinny : mount Medical Center with left leg DVT and started on Heparin therapy .' -p166939 -(lp166940 -S'In\tIn\tIN\tB-PP\tO' -p166941 -aS'05-92\t05-92\tCD\tB-NP\tO' -p166942 -aS',\t,\t,\tO\tO' -p166943 -aS'the\tthe\tDT\tB-NP\tO' -p166944 -aS'patient\tpatient\tNN\tI-NP\tO' -p166945 -aS'was\tbe\tVBD\tB-VP\tO' -p166946 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p166947 -aS'to\tto\tTO\tB-PP\tO' -p166948 -aS'Wellla\tWellla\tNNP\tB-NP\tO' -p166949 -aS'Uxinny\tUxinny\tNNP\tI-NP\tO' -p166950 -aS':\t:\t:\tO\tO' -p166951 -aS'mount\tmount\tNNP\tB-NP\tO' -p166952 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p166953 -aS'Center\tCenter\tNNP\tI-NP\tO' -p166954 -aS'with\twith\tIN\tB-PP\tO' -p166955 -aS'left\tleft\tJJ\tB-NP\tO' -p166956 -aS'leg\tleg\tNN\tI-NP\tO' -p166957 -aS'DVT\tDVT\tNN\tI-NP\tO' -p166958 -aS'and\tand\tCC\tO\tO' -p166959 -aS'started\tstart\tVBN\tB-VP\tO' -p166960 -aS'on\ton\tIN\tB-PP\tO' -p166961 -aS'Heparin\tHeparin\tNN\tB-NP\tO' -p166962 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p166963 -aS'.\t.\t.\tO\tO' -p166964 -asS'Pelvic mass .' -p166965 -(lp166966 -S'Pelvic\tPelvic\tJJ\tB-NP\tO' -p166967 -aS'mass\tmass\tNN\tI-NP\tO' -p166968 -aS'.\t.\t.\tO\tO' -p166969 -asS'Generalized and marked callosal atrophy ( on the MR ) also suggest advanced , irreversible disease .' -p166970 -(lp166971 -S'Generalized\tGeneralize\tVBN\tB-NP\tO' -p166972 -aS'and\tand\tCC\tI-NP\tO' -p166973 -aS'marked\tmarked\tJJ\tI-NP\tO' -p166974 -aS'callosal\tcallosal\tJJ\tI-NP\tO' -p166975 -aS'atrophy\tatrophy\tNN\tI-NP\tO' -p166976 -aS'(\t(\t(\tO\tO' -p166977 -aS'on\ton\tIN\tB-PP\tO' -p166978 -aS'the\tthe\tDT\tB-NP\tO' -p166979 -aS'MR\tMR\tNN\tI-NP\tB-protein' -p166980 -aS')\t)\t)\tO\tO' -p166981 -aS'also\talso\tRB\tB-ADVP\tO' -p166982 -aS'suggest\tsuggest\tVBP\tB-VP\tO' -p166983 -aS'advanced\tadvanced\tJJ\tB-NP\tO' -p166984 -aS',\t,\t,\tI-NP\tO' -p166985 -aS'irreversible\tirreversible\tJJ\tI-NP\tO' -p166986 -aS'disease\tdisease\tNN\tI-NP\tO' -p166987 -aS'.\t.\t.\tO\tO' -p166988 -asS'She was brought to the emergency room where she was evaluated and determined to have had a cerebrovascular accident .' -p166989 -(lp166990 -S'She\tShe\tPRP\tB-NP\tO' -p166991 -aS'was\tbe\tVBD\tB-VP\tO' -p166992 -aS'brought\tbring\tVBN\tI-VP\tO' -p166993 -aS'to\tto\tTO\tB-PP\tO' -p166994 -aS'the\tthe\tDT\tB-NP\tO' -p166995 -aS'emergency\temergency\tNN\tI-NP\tO' -p166996 -aS'room\troom\tNN\tI-NP\tO' -p166997 -aS'where\twhere\tWRB\tB-ADVP\tO' -p166998 -aS'she\tshe\tPRP\tB-NP\tO' -p166999 -aS'was\tbe\tVBD\tB-VP\tO' -p167000 -aS'evaluated\tevaluate\tVBN\tI-VP\tO' -p167001 -aS'and\tand\tCC\tO\tO' -p167002 -aS'determined\tdetermine\tVBN\tB-VP\tO' -p167003 -aS'to\tto\tTO\tI-VP\tO' -p167004 -aS'have\thave\tVB\tI-VP\tO' -p167005 -aS'had\thave\tVBN\tI-VP\tO' -p167006 -aS'a\ta\tDT\tB-NP\tO' -p167007 -aS'cerebrovascular\tcerebrovascular\tJJ\tI-NP\tO' -p167008 -aS'accident\taccident\tNN\tI-NP\tO' -p167009 -aS'.\t.\t.\tO\tO' -p167010 -asS'She underwent angiography on 5-9-92 which showed the right internal carotid artery to be patent , however there was highly significant stenosis of the left carotid artery and she was taken to the operating room later that day for a left carotid endarterectomy .' -p167011 -(lp167012 -S'She\tShe\tPRP\tB-NP\tO' -p167013 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p167014 -aS'angiography\tangiography\tNN\tB-NP\tO' -p167015 -aS'on\ton\tIN\tB-PP\tO' -p167016 -aS'5-9-92\t5-9-92\tNN\tB-NP\tO' -p167017 -aS'which\twhich\tWDT\tB-NP\tO' -p167018 -aS'showed\tshow\tVBD\tB-VP\tO' -p167019 -aS'the\tthe\tDT\tB-NP\tO' -p167020 -aS'right\tright\tJJ\tI-NP\tO' -p167021 -aS'internal\tinternal\tJJ\tI-NP\tO' -p167022 -aS'carotid\tcarotid\tJJ\tI-NP\tO' -p167023 -aS'artery\tartery\tNN\tI-NP\tO' -p167024 -aS'to\tto\tTO\tB-VP\tO' -p167025 -aS'be\tbe\tVB\tI-VP\tO' -p167026 -aS'patent\tpatent\tNN\tB-NP\tO' -p167027 -aS',\t,\t,\tO\tO' -p167028 -aS'however\thowever\tRB\tB-ADVP\tO' -p167029 -aS'there\tthere\tEX\tB-NP\tO' -p167030 -aS'was\tbe\tVBD\tB-VP\tO' -p167031 -aS'highly\thighly\tRB\tB-NP\tO' -p167032 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p167033 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p167034 -aS'of\tof\tIN\tB-PP\tO' -p167035 -aS'the\tthe\tDT\tB-NP\tO' -p167036 -aS'left\tleft\tJJ\tI-NP\tO' -p167037 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p167038 -aS'artery\tartery\tNN\tI-NP\tO' -p167039 -aS'and\tand\tCC\tO\tO' -p167040 -aS'she\tshe\tPRP\tB-NP\tO' -p167041 -aS'was\tbe\tVBD\tB-VP\tO' -p167042 -aS'taken\ttake\tVBN\tI-VP\tO' -p167043 -aS'to\tto\tTO\tB-PP\tO' -p167044 -aS'the\tthe\tDT\tB-NP\tO' -p167045 -aS'operating\toperating\tNN\tI-NP\tO' -p167046 -aS'room\troom\tNN\tI-NP\tO' -p167047 -aS'later\tlater\tRB\tB-ADVP\tO' -p167048 -aS'that\tthat\tDT\tB-NP\tO' -p167049 -aS'day\tday\tNN\tI-NP\tO' -p167050 -aS'for\tfor\tIN\tB-PP\tO' -p167051 -aS'a\ta\tDT\tB-NP\tO' -p167052 -aS'left\tleft\tJJ\tI-NP\tO' -p167053 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p167054 -aS'endarterectomy\tendarterectomy\tNN\tI-NP\tO' -p167055 -aS'.\t.\t.\tO\tO' -p167056 -asS'His bilirubin peaked on day of life three at 5.4 with a subsequent bilirubin of 4.6 at which time phototherapy was discontinued .' -p167057 -(lp167058 -S'His\tHis\tPRP$\tB-NP\tO' -p167059 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p167060 -aS'peaked\tpeak\tVBD\tB-VP\tO' -p167061 -aS'on\ton\tIN\tB-PP\tO' -p167062 -aS'day\tday\tNN\tB-NP\tO' -p167063 -aS'of\tof\tIN\tB-PP\tO' -p167064 -aS'life\tlife\tNN\tB-NP\tO' -p167065 -aS'three\tthree\tCD\tI-NP\tO' -p167066 -aS'at\tat\tIN\tB-PP\tO' -p167067 -aS'5.4\t5.4\tCD\tB-NP\tO' -p167068 -aS'with\twith\tIN\tB-PP\tO' -p167069 -aS'a\ta\tDT\tB-NP\tO' -p167070 -aS'subsequent\tsubsequent\tJJ\tI-NP\tO' -p167071 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p167072 -aS'of\tof\tIN\tB-PP\tO' -p167073 -aS'4.6\t4.6\tCD\tB-NP\tO' -p167074 -aS'at\tat\tIN\tB-PP\tO' -p167075 -aS'which\twhich\tWDT\tB-NP\tO' -p167076 -aS'time\ttime\tNN\tB-NP\tO' -p167077 -aS'phototherapy\tphototherapy\tNN\tI-NP\tO' -p167078 -aS'was\tbe\tVBD\tB-VP\tO' -p167079 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p167080 -aS'.\t.\t.\tO\tO' -p167081 -asS'OTHER DIAGNOSIS ; Conditions , Infections , Complications , affecting Treatment / Stay s / p cesarean' -p167082 -(lp167083 -S'OTHER\tOTHER\tNN\tB-NP\tO' -p167084 -aS'DIAGNOSIS\tDIAGNOSIS\tNN\tI-NP\tO' -p167085 -aS';\t;\t:\tO\tO' -p167086 -aS'Conditions\tCondition\tNNS\tB-NP\tO' -p167087 -aS',\t,\t,\tO\tO' -p167088 -aS'Infections\tInfection\tNNS\tB-NP\tO' -p167089 -aS',\t,\t,\tO\tO' -p167090 -aS'Complications\tComplication\tNNS\tB-NP\tO' -p167091 -aS',\t,\t,\tO\tO' -p167092 -aS'affecting\taffect\tVBG\tB-VP\tO' -p167093 -aS'Treatment\tTreatment\tNN\tB-NP\tO' -p167094 -aS'/\t/\tSYM\tI-NP\tO' -p167095 -aS'Stay\tStay\tNN\tI-NP\tO' -p167096 -aS's\ts\tNN\tI-NP\tO' -p167097 -aS'/\t/\tSYM\tB-NP\tO' -p167098 -aS'p\tp\tNN\tI-NP\tO' -p167099 -aS'cesarean\tcesarean\tJJ\tB-ADJP\tO' -p167100 -asS'Bone scan , head CT and other staging studies were all negative for evidence of metastatic disease .' -p167101 -(lp167102 -S'Bone\tBone\tNN\tB-NP\tO' -p167103 -aS'scan\tscan\tNN\tI-NP\tO' -p167104 -aS',\t,\t,\tO\tO' -p167105 -aS'head\thead\tNN\tB-NP\tO' -p167106 -aS'CT\tCT\tNN\tI-NP\tO' -p167107 -aS'and\tand\tCC\tO\tO' -p167108 -aS'other\tother\tJJ\tB-NP\tO' -p167109 -aS'staging\tstag\tVBG\tI-NP\tO' -p167110 -aS'studies\tstudy\tNNS\tI-NP\tO' -p167111 -aS'were\tbe\tVBD\tB-VP\tO' -p167112 -aS'all\tall\tDT\tB-NP\tO' -p167113 -aS'negative\tnegative\tJJ\tI-NP\tO' -p167114 -aS'for\tfor\tIN\tB-PP\tO' -p167115 -aS'evidence\tevidence\tNN\tB-NP\tO' -p167116 -aS'of\tof\tIN\tB-PP\tO' -p167117 -aS'metastatic\tmetastatic\tJJ\tB-NP\tO' -p167118 -aS'disease\tdisease\tNN\tI-NP\tO' -p167119 -aS'.\t.\t.\tO\tO' -p167120 -asS'Postoperatively , she developed ileus , then finally she recovered and she was discharged to the nursing home .' -p167121 -(lp167122 -S'Postoperatively\tPostoperatively\tRB\tB-ADVP\tO' -p167123 -aS',\t,\t,\tO\tO' -p167124 -aS'she\tshe\tPRP\tB-NP\tO' -p167125 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p167126 -aS'ileus\tileus\tNN\tB-NP\tO' -p167127 -aS',\t,\t,\tO\tO' -p167128 -aS'then\tthen\tRB\tO\tO' -p167129 -aS'finally\tfinally\tRB\tB-ADVP\tO' -p167130 -aS'she\tshe\tPRP\tB-NP\tO' -p167131 -aS'recovered\trecover\tVBD\tB-VP\tO' -p167132 -aS'and\tand\tCC\tO\tO' -p167133 -aS'she\tshe\tPRP\tB-NP\tO' -p167134 -aS'was\tbe\tVBD\tB-VP\tO' -p167135 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p167136 -aS'to\tto\tTO\tB-PP\tO' -p167137 -aS'the\tthe\tDT\tB-NP\tO' -p167138 -aS'nursing\tnursing\tNN\tI-NP\tO' -p167139 -aS'home\thome\tNN\tI-NP\tO' -p167140 -aS'.\t.\t.\tO\tO' -p167141 -asS'On 4/16 the pulmonary artery catheter was placed which revealed a wedge pressure of 8 , cardiac index of 4.5 , and an SVR of 5.8 .' -p167142 -(lp167143 -S'On\tOn\tIN\tB-PP\tO' -p167144 -aS'4/16\t4/16\tCD\tB-NP\tO' -p167145 -aS'the\tthe\tDT\tB-NP\tO' -p167146 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p167147 -aS'artery\tartery\tNN\tI-NP\tO' -p167148 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p167149 -aS'was\tbe\tVBD\tB-VP\tO' -p167150 -aS'placed\tplace\tVBN\tI-VP\tO' -p167151 -aS'which\twhich\tWDT\tB-NP\tO' -p167152 -aS'revealed\treveal\tVBD\tB-VP\tO' -p167153 -aS'a\ta\tDT\tB-NP\tO' -p167154 -aS'wedge\twedge\tNN\tI-NP\tO' -p167155 -aS'pressure\tpressure\tNN\tI-NP\tO' -p167156 -aS'of\tof\tIN\tB-PP\tO' -p167157 -aS'8\t8\tCD\tB-NP\tO' -p167158 -aS',\t,\t,\tO\tO' -p167159 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p167160 -aS'index\tindex\tNN\tI-NP\tO' -p167161 -aS'of\tof\tIN\tB-PP\tO' -p167162 -aS'4.5\t4.5\tCD\tB-NP\tO' -p167163 -aS',\t,\t,\tO\tO' -p167164 -aS'and\tand\tCC\tO\tO' -p167165 -aS'an\tan\tDT\tB-NP\tO' -p167166 -aS'SVR\tSVR\tNN\tI-NP\tB-protein' -p167167 -aS'of\tof\tIN\tB-PP\tO' -p167168 -aS'5.8\t5.8\tCD\tB-NP\tO' -p167169 -aS'.\t.\t.\tO\tO' -p167170 -asS'Mild inferior wall hypokinesis .' -p167171 -(lp167172 -S'Mild\tMild\tJJ\tB-NP\tO' -p167173 -aS'inferior\tinferior\tJJ\tI-NP\tO' -p167174 -aS'wall\twall\tNN\tI-NP\tO' -p167175 -aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' -p167176 -aS'.\t.\t.\tO\tO' -p167177 -asS'Signed electronically by : DR. Joyce Arney on : MON 2018-12-03 10:55 PM' -p167178 -(lp167179 -S'Signed\tSign\tVBN\tB-VP\tO' -p167180 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p167181 -aS'by\tby\tIN\tB-PP\tO' -p167182 -aS':\t:\t:\tO\tO' -p167183 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p167184 -aS'Joyce\tJoyce\tNNP\tI-NP\tO' -p167185 -aS'Arney\tArney\tNNP\tI-NP\tO' -p167186 -aS'on\ton\tIN\tB-PP\tO' -p167187 -aS':\t:\t:\tO\tO' -p167188 -aS'MON\tMON\tNN\tB-NP\tO' -p167189 -aS'2018-12-03\t2018-12-03\tCD\tI-NP\tO' -p167190 -aS'10:55\t10:55\tCD\tI-NP\tO' -p167191 -aS'PM\tPM\tNN\tI-NP\tO' -p167192 -asS'She was transferred to the CMED CCU for observation .' -p167193 -(lp167194 -S'She\tShe\tPRP\tB-NP\tO' -p167195 -aS'was\tbe\tVBD\tB-VP\tO' -p167196 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p167197 -aS'to\tto\tTO\tB-PP\tO' -p167198 -aS'the\tthe\tDT\tB-NP\tO' -p167199 -aS'CMED\tCMED\tVBN\tI-NP\tO' -p167200 -aS'CCU\tCCU\tNN\tI-NP\tO' -p167201 -aS'for\tfor\tIN\tB-PP\tO' -p167202 -aS'observation\tobservation\tNN\tB-NP\tO' -p167203 -aS'.\t.\t.\tO\tO' -p167204 -asS'PAPILLARY ADENOCARCINOMA OF THE LUNG .' -p167205 -(lp167206 -S'PAPILLARY\tPAPILLARY\tNN\tB-NP\tO' -p167207 -aS'ADENOCARCINOMA\tADENOCARCINOMA\tNN\tI-NP\tO' -p167208 -aS'OF\tOF\tIN\tB-PP\tO' -p167209 -aS'THE\tTHE\tDT\tB-NP\tO' -p167210 -aS'LUNG\tLUNG\tNN\tI-NP\tB-protein' -p167211 -aS'.\t.\t.\tO\tO' -p167212 -asS'Disp :* 180 Tablet , Chewable (s)* Refills :* 0 *' -p167213 -(lp167214 -S'Disp\tDisp\tNN\tB-NP\tO' -p167215 -aS':*\t:*\tSYM\tI-NP\tO' -p167216 -aS'180\t180\tCD\tI-NP\tO' -p167217 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p167218 -aS',\t,\t,\tO\tO' -p167219 -aS'Chewable\tChewable\tNNP\tB-NP\tO' -p167220 -aS'(s)*\t(s)*\tSYM\tB-NP\tO' -p167221 -aS'Refills\tRefill\tNNPS\tI-NP\tO' -p167222 -aS':*\t:*\tSYM\tI-NP\tO' -p167223 -aS'0\t0\tCD\tI-NP\tO' -p167224 -aS'*\t*\tSYM\tB-NP\tO' -p167225 -asS'His Westwood-Pocasset output for postoperative day one on the left was 60 , right neck 93 , in the arm 20 .' -p167226 -(lp167227 -S'His\tHis\tPRP$\tB-NP\tO' -p167228 -aS'Westwood-Pocasset\tWestwood-Pocasset\tJJ\tI-NP\tO' -p167229 -aS'output\toutput\tNN\tI-NP\tO' -p167230 -aS'for\tfor\tIN\tB-PP\tO' -p167231 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p167232 -aS'day\tday\tNN\tI-NP\tO' -p167233 -aS'one\tone\tCD\tI-NP\tO' -p167234 -aS'on\ton\tIN\tB-PP\tO' -p167235 -aS'the\tthe\tDT\tB-NP\tO' -p167236 -aS'left\tleft\tNN\tI-NP\tO' -p167237 -aS'was\tbe\tVBD\tB-VP\tO' -p167238 -aS'60\t60\tCD\tB-NP\tO' -p167239 -aS',\t,\t,\tO\tO' -p167240 -aS'right\tright\tJJ\tB-NP\tO' -p167241 -aS'neck\tneck\tNN\tI-NP\tO' -p167242 -aS'93\t93\tCD\tI-NP\tO' -p167243 -aS',\t,\t,\tO\tO' -p167244 -aS'in\tin\tIN\tB-PP\tO' -p167245 -aS'the\tthe\tDT\tB-NP\tO' -p167246 -aS'arm\tarm\tNN\tI-NP\tO' -p167247 -aS'20\t20\tCD\tI-NP\tO' -p167248 -aS'.\t.\t.\tO\tO' -p167249 -asS'Crackles bilaterally one-third to one-half the way up .' -p167250 -(lp167251 -S'Crackles\tCrackle\tNNS\tB-NP\tO' -p167252 -aS'bilaterally\tbilaterally\tRB\tB-ADJP\tO' -p167253 -aS'one-third\tone-third\tJJ\tI-ADJP\tO' -p167254 -aS'to\tto\tTO\tB-PP\tO' -p167255 -aS'one-half\tone-half\tJJ\tB-ADJP\tO' -p167256 -aS'the\tthe\tDT\tB-NP\tO' -p167257 -aS'way\tway\tNN\tI-NP\tO' -p167258 -aS'up\tup\tRP\tB-PRT\tO' -p167259 -aS'.\t.\t.\tO\tO' -p167260 -asS'Signed electronically by : DR. Kathy Tillis on : MON 2010-06-07 4:00 PM' -p167261 -(lp167262 -S'Signed\tSign\tVBN\tB-VP\tO' -p167263 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p167264 -aS'by\tby\tIN\tB-PP\tO' -p167265 -aS':\t:\t:\tO\tO' -p167266 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p167267 -aS'Kathy\tKathy\tNNP\tI-NP\tO' -p167268 -aS'Tillis\tTillis\tNNP\tI-NP\tO' -p167269 -aS'on\ton\tIN\tB-PP\tO' -p167270 -aS':\t:\t:\tO\tO' -p167271 -aS'MON\tMON\tNN\tB-NP\tO' -p167272 -aS'2010-06-07\t2010-06-07\tCD\tI-NP\tO' -p167273 -aS'4:00\t4:00\tCD\tI-NP\tO' -p167274 -aS'PM\tPM\tNN\tI-NP\tO' -p167275 -asS'The PICC line was placed on 12-29 .' -p167276 -(lp167277 -S'The\tThe\tDT\tB-NP\tO' -p167278 -aS'PICC\tPICC\tNN\tI-NP\tB-cell_line' -p167279 -aS'line\tline\tNN\tI-NP\tI-cell_line' -p167280 -aS'was\tbe\tVBD\tB-VP\tO' -p167281 -aS'placed\tplace\tVBN\tI-VP\tO' -p167282 -aS'on\ton\tIN\tB-PP\tO' -p167283 -aS'12-29\t12-29\tCD\tB-NP\tO' -p167284 -aS'.\t.\t.\tO\tO' -p167285 -asS'The patient is also treated with shots of morphine for intermittent pain .' -p167286 -(lp167287 -S'The\tThe\tDT\tB-NP\tO' -p167288 -aS'patient\tpatient\tNN\tI-NP\tO' -p167289 -aS'is\tbe\tVBZ\tB-VP\tO' -p167290 -aS'also\talso\tRB\tI-VP\tO' -p167291 -aS'treated\ttreat\tVBN\tI-VP\tO' -p167292 -aS'with\twith\tIN\tB-PP\tO' -p167293 -aS'shots\tshot\tNNS\tB-NP\tO' -p167294 -aS'of\tof\tIN\tB-PP\tO' -p167295 -aS'morphine\tmorphine\tNN\tB-NP\tO' -p167296 -aS'for\tfor\tIN\tB-PP\tO' -p167297 -aS'intermittent\tintermittent\tJJ\tB-NP\tO' -p167298 -aS'pain\tpain\tNN\tI-NP\tO' -p167299 -aS'.\t.\t.\tO\tO' -p167300 -asS'His nurse is going to contact you at home to schedule a time for a repeat procedure to remove that stent .' -p167301 -(lp167302 -S'His\tHis\tPRP$\tB-NP\tO' -p167303 -aS'nurse\tnurse\tNN\tI-NP\tO' -p167304 -aS'is\tbe\tVBZ\tB-VP\tO' -p167305 -aS'going\tgo\tVBG\tI-VP\tO' -p167306 -aS'to\tto\tTO\tI-VP\tO' -p167307 -aS'contact\tcontact\tVB\tI-VP\tO' -p167308 -aS'you\tyou\tPRP\tB-NP\tO' -p167309 -aS'at\tat\tIN\tB-PP\tO' -p167310 -aS'home\thome\tNN\tB-NP\tO' -p167311 -aS'to\tto\tTO\tB-VP\tO' -p167312 -aS'schedule\tschedule\tVB\tI-VP\tO' -p167313 -aS'a\ta\tDT\tB-NP\tO' -p167314 -aS'time\ttime\tNN\tI-NP\tO' -p167315 -aS'for\tfor\tIN\tB-PP\tO' -p167316 -aS'a\ta\tDT\tB-NP\tO' -p167317 -aS'repeat\trepeat\tNN\tI-NP\tO' -p167318 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p167319 -aS'to\tto\tTO\tB-VP\tO' -p167320 -aS'remove\tremove\tVB\tI-VP\tO' -p167321 -aS'that\tthat\tDT\tB-NP\tO' -p167322 -aS'stent\tstent\tNN\tI-NP\tO' -p167323 -aS'.\t.\t.\tO\tO' -p167324 -asS'Patient noted to be without corneal reflexes , spontaneous breathing , heart sounds , or palpable pulses .' -p167325 -(lp167326 -S'Patient\tPatient\tNN\tB-NP\tO' -p167327 -aS'noted\tnote\tVBD\tB-VP\tO' -p167328 -aS'to\tto\tTO\tI-VP\tO' -p167329 -aS'be\tbe\tVB\tI-VP\tO' -p167330 -aS'without\twithout\tIN\tB-PP\tO' -p167331 -aS'corneal\tcorneal\tJJ\tB-NP\tO' -p167332 -aS'reflexes\treflex\tNNS\tI-NP\tO' -p167333 -aS',\t,\t,\tO\tO' -p167334 -aS'spontaneous\tspontaneous\tJJ\tB-NP\tO' -p167335 -aS'breathing\tbreathing\tNN\tI-NP\tO' -p167336 -aS',\t,\t,\tO\tO' -p167337 -aS'heart\theart\tNN\tB-NP\tO' -p167338 -aS'sounds\tsound\tNNS\tI-NP\tO' -p167339 -aS',\t,\t,\tO\tO' -p167340 -aS'or\tor\tCC\tO\tO' -p167341 -aS'palpable\tpalpable\tJJ\tB-NP\tO' -p167342 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p167343 -aS'.\t.\t.\tO\tO' -p167344 -asS'Positive guarding .' -p167345 -(lp167346 -S'Positive\tPositive\tJJ\tB-NP\tO' -p167347 -aS'guarding\tguarding\tNN\tI-NP\tO' -p167348 -aS'.\t.\t.\tO\tO' -p167349 -asS'A blood culture obtained prior to starting antibiotics was no growth at 48 hours .' -p167350 -(lp167351 -S'A\tA\tDT\tB-NP\tO' -p167352 -aS'blood\tblood\tNN\tI-NP\tO' -p167353 -aS'culture\tculture\tNN\tI-NP\tO' -p167354 -aS'obtained\tobtain\tVBN\tB-VP\tO' -p167355 -aS'prior\tprior\tRB\tB-ADVP\tO' -p167356 -aS'to\tto\tTO\tB-PP\tO' -p167357 -aS'starting\tstart\tVBG\tB-NP\tO' -p167358 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p167359 -aS'was\tbe\tVBD\tB-VP\tO' -p167360 -aS'no\tno\tDT\tB-NP\tO' -p167361 -aS'growth\tgrowth\tNN\tI-NP\tO' -p167362 -aS'at\tat\tIN\tB-PP\tO' -p167363 -aS'48\t48\tCD\tB-NP\tO' -p167364 -aS'hours\thour\tNNS\tI-NP\tO' -p167365 -aS'.\t.\t.\tO\tO' -p167366 -asS'The blood culture was negative .' -p167367 -(lp167368 -S'The\tThe\tDT\tB-NP\tO' -p167369 -aS'blood\tblood\tNN\tI-NP\tO' -p167370 -aS'culture\tculture\tNN\tI-NP\tO' -p167371 -aS'was\tbe\tVBD\tB-VP\tO' -p167372 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p167373 -aS'.\t.\t.\tO\tO' -p167374 -asS'The patient was felt to have an underlying hypercoagulable state , thought to be the source for the repeated clots .' -p167375 -(lp167376 -S'The\tThe\tDT\tB-NP\tO' -p167377 -aS'patient\tpatient\tNN\tI-NP\tO' -p167378 -aS'was\tbe\tVBD\tB-VP\tO' -p167379 -aS'felt\tfeel\tVBN\tI-VP\tO' -p167380 -aS'to\tto\tTO\tI-VP\tO' -p167381 -aS'have\thave\tVB\tI-VP\tO' -p167382 -aS'an\tan\tDT\tB-NP\tO' -p167383 -aS'underlying\tunderlie\tVBG\tI-NP\tO' -p167384 -aS'hypercoagulable\thypercoagulable\tJJ\tI-NP\tO' -p167385 -aS'state\tstate\tNN\tI-NP\tO' -p167386 -aS',\t,\t,\tO\tO' -p167387 -aS'thought\tthink\tVBN\tB-VP\tO' -p167388 -aS'to\tto\tTO\tI-VP\tO' -p167389 -aS'be\tbe\tVB\tI-VP\tO' -p167390 -aS'the\tthe\tDT\tB-NP\tO' -p167391 -aS'source\tsource\tNN\tI-NP\tO' -p167392 -aS'for\tfor\tIN\tB-PP\tO' -p167393 -aS'the\tthe\tDT\tB-NP\tO' -p167394 -aS'repeated\trepeated\tJJ\tI-NP\tO' -p167395 -aS'clots\tclot\tNNS\tI-NP\tO' -p167396 -aS'.\t.\t.\tO\tO' -p167397 -asS'He still needs much intensive rehabilitation , encouragement to eat and encouragement to get out of bed to use the bathroom rather than abed pain or a diaper .' -p167398 -(lp167399 -S'He\tHe\tPRP\tB-NP\tO' -p167400 -aS'still\tstill\tRB\tB-ADVP\tO' -p167401 -aS'needs\tneed\tVBZ\tB-VP\tO' -p167402 -aS'much\tmuch\tJJ\tB-NP\tO' -p167403 -aS'intensive\tintensive\tJJ\tI-NP\tO' -p167404 -aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' -p167405 -aS',\t,\t,\tO\tO' -p167406 -aS'encouragement\tencouragement\tNN\tB-NP\tO' -p167407 -aS'to\tto\tTO\tB-VP\tO' -p167408 -aS'eat\teat\tVB\tI-VP\tO' -p167409 -aS'and\tand\tCC\tO\tO' -p167410 -aS'encouragement\tencouragement\tVB\tB-VP\tO' -p167411 -aS'to\tto\tTO\tI-VP\tO' -p167412 -aS'get\tget\tVB\tI-VP\tO' -p167413 -aS'out\tout\tIN\tB-PP\tO' -p167414 -aS'of\tof\tIN\tB-PP\tO' -p167415 -aS'bed\tbed\tNN\tB-NP\tO' -p167416 -aS'to\tto\tTO\tB-VP\tO' -p167417 -aS'use\tuse\tVB\tI-VP\tO' -p167418 -aS'the\tthe\tDT\tB-NP\tO' -p167419 -aS'bathroom\tbathroom\tNN\tI-NP\tO' -p167420 -aS'rather\trather\tRB\tB-PP\tO' -p167421 -aS'than\tthan\tIN\tI-PP\tO' -p167422 -aS'abed\tabed\tJJ\tB-NP\tO' -p167423 -aS'pain\tpain\tNN\tI-NP\tO' -p167424 -aS'or\tor\tCC\tO\tO' -p167425 -aS'a\ta\tDT\tB-NP\tO' -p167426 -aS'diaper\tdiaper\tNN\tI-NP\tO' -p167427 -aS'.\t.\t.\tO\tO' -p167428 -asS'CXR - Increased right pleural effusion and partial collapse of the right upper lung .' -p167429 -(lp167430 -S'CXR\tCXR\tNN\tB-NP\tB-protein' -p167431 -aS'-\t-\tHYPH\tO\tO' -p167432 -aS'Increased\tIncrease\tVBN\tB-VP\tO' -p167433 -aS'right\tright\tJJ\tB-NP\tO' -p167434 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p167435 -aS'effusion\teffusion\tNN\tI-NP\tO' -p167436 -aS'and\tand\tCC\tO\tO' -p167437 -aS'partial\tpartial\tJJ\tB-NP\tO' -p167438 -aS'collapse\tcollapse\tNN\tI-NP\tO' -p167439 -aS'of\tof\tIN\tB-PP\tO' -p167440 -aS'the\tthe\tDT\tB-NP\tO' -p167441 -aS'right\tright\tJJ\tI-NP\tO' -p167442 -aS'upper\tupper\tJJ\tI-NP\tO' -p167443 -aS'lung\tlung\tNN\tI-NP\tO' -p167444 -aS'.\t.\t.\tO\tO' -p167445 -asS'PERRL .' -p167446 -(lp167447 -S'PERRL\tPERRL\tNN\tB-NP\tB-protein' -p167448 -aS'.\t.\t.\tO\tO' -p167449 -asS'G3 , P3 , spontaneous vaginal delivery x3 .' -p167450 -(lp167451 -S'G3\tG3\tNN\tB-NP\tO' -p167452 -aS',\t,\t,\tO\tO' -p167453 -aS'P3\tP3\tNN\tB-NP\tB-DNA' -p167454 -aS',\t,\t,\tO\tO' -p167455 -aS'spontaneous\tspontaneous\tJJ\tB-NP\tO' -p167456 -aS'vaginal\tvaginal\tJJ\tI-NP\tO' -p167457 -aS'delivery\tdelivery\tNN\tI-NP\tO' -p167458 -aS'x3\tx3\tNN\tI-NP\tO' -p167459 -aS'.\t.\t.\tO\tO' -p167460 -asS'Attending : Pamela I Wickman , M.D.' -p167461 -(lp167462 -S'Attending\tAttend\tVBG\tB-VP\tO' -p167463 -aS':\t:\t:\tO\tO' -p167464 -aS'Pamela\tPamela\tNNP\tB-NP\tO' -p167465 -aS'I\tI\tNNP\tI-NP\tO' -p167466 -aS'Wickman\tWickman\tNNP\tI-NP\tO' -p167467 -aS',\t,\t,\tO\tO' -p167468 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p167469 -asS'After transfer to the Floor , the patient was continued on Levofloxacin for a ten to 14 day course for presumptive pneumonia .' -p167470 -(lp167471 -S'After\tAfter\tIN\tB-PP\tO' -p167472 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p167473 -aS'to\tto\tTO\tB-PP\tO' -p167474 -aS'the\tthe\tDT\tB-NP\tO' -p167475 -aS'Floor\tFloor\tNNP\tI-NP\tO' -p167476 -aS',\t,\t,\tO\tO' -p167477 -aS'the\tthe\tDT\tB-NP\tO' -p167478 -aS'patient\tpatient\tNN\tI-NP\tO' -p167479 -aS'was\tbe\tVBD\tB-VP\tO' -p167480 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p167481 -aS'on\ton\tIN\tB-PP\tO' -p167482 -aS'Levofloxacin\tLevofloxacin\tNN\tB-NP\tO' -p167483 -aS'for\tfor\tIN\tB-PP\tO' -p167484 -aS'a\ta\tDT\tB-NP\tO' -p167485 -aS'ten\tten\tCD\tI-NP\tO' -p167486 -aS'to\tto\tTO\tI-NP\tO' -p167487 -aS'14\t14\tCD\tI-NP\tO' -p167488 -aS'day\tday\tNN\tI-NP\tO' -p167489 -aS'course\tcourse\tNN\tI-NP\tO' -p167490 -aS'for\tfor\tIN\tB-PP\tO' -p167491 -aS'presumptive\tpresumptive\tJJ\tB-NP\tO' -p167492 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p167493 -aS'.\t.\t.\tO\tO' -p167494 -asS'2. 80-99% stenosis of the left internal carotid artery .' -p167495 -(lp167496 -S'2.\t2.\tLS\tB-LST\tO' -p167497 -aS'80-99%\t80-99%\t:\tO\tO' -p167498 -aS'stenosis\tstenosis\tNN\tB-NP\tO' -p167499 -aS'of\tof\tIN\tB-PP\tO' -p167500 -aS'the\tthe\tDT\tB-NP\tO' -p167501 -aS'left\tleft\tJJ\tI-NP\tO' -p167502 -aS'internal\tinternal\tJJ\tI-NP\tO' -p167503 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p167504 -aS'artery\tartery\tNN\tI-NP\tO' -p167505 -aS'.\t.\t.\tO\tO' -p167506 -asS'She has five grown children .' -p167507 -(lp167508 -S'She\tShe\tPRP\tB-NP\tO' -p167509 -aS'has\thave\tVBZ\tB-VP\tO' -p167510 -aS'five\tfive\tCD\tB-NP\tO' -p167511 -aS'grown\tgrown\tJJ\tI-NP\tO' -p167512 -aS'children\tchild\tNNS\tI-NP\tO' -p167513 -aS'.\t.\t.\tO\tO' -p167514 -asS'Therefore , it was recommended that she have aggressive Physical Therapy at an Acute Rehabilitation Center .' -p167515 -(lp167516 -S'Therefore\tTherefore\tRB\tB-ADVP\tO' -p167517 -aS',\t,\t,\tO\tO' -p167518 -aS'it\tit\tPRP\tB-NP\tO' -p167519 -aS'was\tbe\tVBD\tB-VP\tO' -p167520 -aS'recommended\trecommend\tVBN\tI-VP\tO' -p167521 -aS'that\tthat\tIN\tB-SBAR\tO' -p167522 -aS'she\tshe\tPRP\tB-NP\tO' -p167523 -aS'have\thave\tVBP\tB-VP\tO' -p167524 -aS'aggressive\taggressive\tJJ\tB-NP\tO' -p167525 -aS'Physical\tPhysical\tJJ\tI-NP\tO' -p167526 -aS'Therapy\tTherapy\tNN\tI-NP\tO' -p167527 -aS'at\tat\tIN\tB-PP\tO' -p167528 -aS'an\tan\tDT\tB-NP\tO' -p167529 -aS'Acute\tAcute\tNNP\tI-NP\tO' -p167530 -aS'Rehabilitation\tRehabilitation\tNNP\tI-NP\tO' -p167531 -aS'Center\tCenter\tNNP\tI-NP\tO' -p167532 -aS'.\t.\t.\tO\tO' -p167533 -asS'Future adjustments will be made at home pending his blood pressure measures .' -p167534 -(lp167535 -S'Future\tFuture\tJJ\tB-NP\tO' -p167536 -aS'adjustments\tadjustment\tNNS\tI-NP\tO' -p167537 -aS'will\twill\tMD\tB-VP\tO' -p167538 -aS'be\tbe\tVB\tI-VP\tO' -p167539 -aS'made\tmake\tVBN\tI-VP\tO' -p167540 -aS'at\tat\tIN\tB-PP\tO' -p167541 -aS'home\thome\tNN\tB-NP\tO' -p167542 -aS'pending\tpende\tVBG\tB-VP\tO' -p167543 -aS'his\this\tPRP$\tB-NP\tO' -p167544 -aS'blood\tblood\tNN\tI-NP\tO' -p167545 -aS'pressure\tpressure\tNN\tI-NP\tO' -p167546 -aS'measures\tmeasure\tNNS\tI-NP\tO' -p167547 -aS'.\t.\t.\tO\tO' -p167548 -asS'The patient was begun on Coumadin and he stayed several days for Coumadinization and was finally discharged on therapeutic Coumadin .' -p167549 -(lp167550 -S'The\tThe\tDT\tB-NP\tO' -p167551 -aS'patient\tpatient\tNN\tI-NP\tO' -p167552 -aS'was\tbe\tVBD\tB-VP\tO' -p167553 -aS'begun\tbegin\tVBN\tI-VP\tO' -p167554 -aS'on\ton\tIN\tB-PP\tO' -p167555 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p167556 -aS'and\tand\tCC\tO\tO' -p167557 -aS'he\the\tPRP\tB-NP\tO' -p167558 -aS'stayed\tstay\tVBD\tB-VP\tO' -p167559 -aS'several\tseveral\tJJ\tB-NP\tO' -p167560 -aS'days\tday\tNNS\tI-NP\tO' -p167561 -aS'for\tfor\tIN\tB-PP\tO' -p167562 -aS'Coumadinization\tCoumadinization\tNN\tB-NP\tO' -p167563 -aS'and\tand\tCC\tO\tO' -p167564 -aS'was\tbe\tVBD\tB-VP\tO' -p167565 -aS'finally\tfinally\tRB\tI-VP\tO' -p167566 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p167567 -aS'on\ton\tIN\tB-PP\tO' -p167568 -aS'therapeutic\ttherapeutic\tJJ\tB-NP\tO' -p167569 -aS'Coumadin\tCoumadin\tNN\tI-NP\tO' -p167570 -aS'.\t.\t.\tO\tO' -p167571 -asS'On that day she was taken to the operating room where she underwent an exam under anesthesia , an exploratory laparotomy with lysis of adhesions , tumor debulking and bilateral pelvic lymph node dissection .' -p167572 -(lp167573 -S'On\tOn\tIN\tB-PP\tO' -p167574 -aS'that\tthat\tDT\tB-NP\tO' -p167575 -aS'day\tday\tNN\tI-NP\tO' -p167576 -aS'she\tshe\tPRP\tB-NP\tO' -p167577 -aS'was\tbe\tVBD\tB-VP\tO' -p167578 -aS'taken\ttake\tVBN\tI-VP\tO' -p167579 -aS'to\tto\tTO\tB-PP\tO' -p167580 -aS'the\tthe\tDT\tB-NP\tO' -p167581 -aS'operating\toperating\tNN\tI-NP\tO' -p167582 -aS'room\troom\tNN\tI-NP\tO' -p167583 -aS'where\twhere\tWRB\tB-ADVP\tO' -p167584 -aS'she\tshe\tPRP\tB-NP\tO' -p167585 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p167586 -aS'an\tan\tDT\tB-NP\tO' -p167587 -aS'exam\texam\tNN\tI-NP\tO' -p167588 -aS'under\tunder\tIN\tB-PP\tO' -p167589 -aS'anesthesia\tanesthesia\tNN\tB-NP\tO' -p167590 -aS',\t,\t,\tO\tO' -p167591 -aS'an\tan\tDT\tB-NP\tO' -p167592 -aS'exploratory\texploratory\tJJ\tI-NP\tO' -p167593 -aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' -p167594 -aS'with\twith\tIN\tB-PP\tO' -p167595 -aS'lysis\tlysis\tNN\tB-NP\tO' -p167596 -aS'of\tof\tIN\tB-PP\tO' -p167597 -aS'adhesions\tadhesion\tNNS\tB-NP\tO' -p167598 -aS',\t,\t,\tO\tO' -p167599 -aS'tumor\ttumor\tNN\tB-NP\tO' -p167600 -aS'debulking\tdebulking\tNN\tI-NP\tO' -p167601 -aS'and\tand\tCC\tO\tO' -p167602 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p167603 -aS'pelvic\tpelvic\tJJ\tI-NP\tO' -p167604 -aS'lymph\tlymph\tNN\tI-NP\tO' -p167605 -aS'node\tnode\tNN\tI-NP\tO' -p167606 -aS'dissection\tdissection\tNN\tI-NP\tO' -p167607 -aS'.\t.\t.\tO\tO' -p167608 -asS'Supported on TPN for nutrition then switched to tube feeds .' -p167609 -(lp167610 -S'Supported\tSupport\tVBN\tB-VP\tO' -p167611 -aS'on\ton\tIN\tB-PP\tO' -p167612 -aS'TPN\tTPN\tNN\tB-NP\tB-protein' -p167613 -aS'for\tfor\tIN\tB-PP\tO' -p167614 -aS'nutrition\tnutrition\tNN\tB-NP\tO' -p167615 -aS'then\tthen\tRB\tB-ADVP\tO' -p167616 -aS'switched\tswitch\tVBD\tB-VP\tO' -p167617 -aS'to\tto\tTO\tI-VP\tO' -p167618 -aS'tube\ttube\tVB\tI-VP\tO' -p167619 -aS'feeds\tfeed\tNNS\tB-NP\tO' -p167620 -aS'.\t.\t.\tO\tO' -p167621 -asS'As of 4/7 , her electrocardiogram had reverted back to normal and there is no evidence of congestive heart failure or continued electrocardiogram changes , and chest pain is absent .' -p167622 -(lp167623 -S'As\tAs\tIN\tB-PP\tO' -p167624 -aS'of\tof\tIN\tB-PP\tO' -p167625 -aS'4/7\t4/7\tCD\tB-NP\tO' -p167626 -aS',\t,\t,\tO\tO' -p167627 -aS'her\ther\tPRP$\tB-NP\tO' -p167628 -aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' -p167629 -aS'had\thave\tVBD\tB-VP\tO' -p167630 -aS'reverted\trevert\tVBN\tI-VP\tO' -p167631 -aS'back\tback\tRB\tB-ADVP\tO' -p167632 -aS'to\tto\tTO\tB-PP\tO' -p167633 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p167634 -aS'and\tand\tCC\tO\tO' -p167635 -aS'there\tthere\tEX\tB-NP\tO' -p167636 -aS'is\tbe\tVBZ\tB-VP\tO' -p167637 -aS'no\tno\tDT\tB-NP\tO' -p167638 -aS'evidence\tevidence\tNN\tI-NP\tO' -p167639 -aS'of\tof\tIN\tB-PP\tO' -p167640 -aS'congestive\tcongestive\tJJ\tB-NP\tO' -p167641 -aS'heart\theart\tNN\tI-NP\tO' -p167642 -aS'failure\tfailure\tNN\tI-NP\tO' -p167643 -aS'or\tor\tCC\tO\tO' -p167644 -aS'continued\tcontinued\tJJ\tB-NP\tO' -p167645 -aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' -p167646 -aS'changes\tchange\tNNS\tI-NP\tO' -p167647 -aS',\t,\t,\tO\tO' -p167648 -aS'and\tand\tCC\tO\tO' -p167649 -aS'chest\tchest\tNN\tB-NP\tO' -p167650 -aS'pain\tpain\tNN\tI-NP\tO' -p167651 -aS'is\tbe\tVBZ\tB-VP\tO' -p167652 -aS'absent\tabsent\tJJ\tB-ADJP\tO' -p167653 -aS'.\t.\t.\tO\tO' -p167654 -asS'severe COPD Pneumonia recovering alcoholic recovering barbituate abuse unexplained hct drop poor appetite x 1 week' -p167655 -(lp167656 -S'severe\tsevere\tJJ\tB-NP\tO' -p167657 -aS'COPD\tCOPD\tNN\tI-NP\tO' -p167658 -aS'Pneumonia\tPneumonia\tNN\tI-NP\tO' -p167659 -aS'recovering\trecover\tVBG\tB-VP\tO' -p167660 -aS'alcoholic\talcoholic\tJJ\tB-NP\tO' -p167661 -aS'recovering\trecover\tVBG\tI-NP\tO' -p167662 -aS'barbituate\tbarbituate\tNN\tI-NP\tO' -p167663 -aS'abuse\tabuse\tNN\tI-NP\tO' -p167664 -aS'unexplained\tunexplained\tJJ\tI-NP\tO' -p167665 -aS'hct\thct\tNN\tI-NP\tO' -p167666 -aS'drop\tdrop\tNN\tI-NP\tO' -p167667 -aS'poor\tpoor\tJJ\tI-NP\tO' -p167668 -aS'appetite\tappetite\tNN\tI-NP\tO' -p167669 -aS'x\tx\tSYM\tO\tO' -p167670 -aS'1\t1\tCD\tB-NP\tO' -p167671 -aS'week\tweek\tNN\tI-NP\tO' -p167672 -asS'She is usually managed on an insulin pump .' -p167673 -(lp167674 -S'She\tShe\tPRP\tB-NP\tO' -p167675 -aS'is\tbe\tVBZ\tB-VP\tO' -p167676 -aS'usually\tusually\tRB\tI-VP\tO' -p167677 -aS'managed\tmanage\tVBN\tI-VP\tO' -p167678 -aS'on\ton\tIN\tB-PP\tO' -p167679 -aS'an\tan\tDT\tB-NP\tO' -p167680 -aS'insulin\tinsulin\tNN\tI-NP\tO' -p167681 -aS'pump\tpump\tNN\tI-NP\tO' -p167682 -aS'.\t.\t.\tO\tO' -p167683 -asS'The patient 's recent history is also notable for a Papanicolaou smear which revealed somomabodies .' -p167684 -(lp167685 -S'The\tThe\tDT\tB-NP\tO' -p167686 -aS'patient\tpatient\tNN\tI-NP\tO' -p167687 -aS''s\t'\tNNS\tI-NP\tO' -p167688 -aS'recent\trecent\tJJ\tB-NP\tO' -p167689 -aS'history\thistory\tNN\tI-NP\tO' -p167690 -aS'is\tbe\tVBZ\tB-VP\tO' -p167691 -aS'also\talso\tRB\tB-ADVP\tO' -p167692 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p167693 -aS'for\tfor\tIN\tB-PP\tO' -p167694 -aS'a\ta\tDT\tB-NP\tO' -p167695 -aS'Papanicolaou\tPapanicolaou\tNN\tI-NP\tO' -p167696 -aS'smear\tsmear\tNN\tI-NP\tO' -p167697 -aS'which\twhich\tWDT\tB-NP\tO' -p167698 -aS'revealed\treveal\tVBD\tB-VP\tO' -p167699 -aS'somomabodies\tsomomabody\tNNS\tB-NP\tO' -p167700 -aS'.\t.\t.\tO\tO' -p167701 -asS'8) Miracle Creamtopical q day p.r.n. skin irritation .' -p167702 -(lp167703 -S'8)\t8)\tLS\tB-NP\tO' -p167704 -aS'Miracle\tMiracle\tNNP\tI-NP\tO' -p167705 -aS'Creamtopical\tCreamtopical\tNNP\tI-NP\tO' -p167706 -aS'q\tq\tNN\tI-NP\tO' -p167707 -aS'day\tday\tNN\tI-NP\tO' -p167708 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p167709 -aS'skin\tskin\tNN\tI-NP\tO' -p167710 -aS'irritation\tirritation\tNN\tI-NP\tO' -p167711 -aS'.\t.\t.\tO\tO' -p167712 -asS'She denies any tobacco .' -p167713 -(lp167714 -S'She\tShe\tPRP\tB-NP\tO' -p167715 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p167716 -aS'any\tany\tDT\tB-NP\tO' -p167717 -aS'tobacco\ttobacco\tNN\tI-NP\tO' -p167718 -aS'.\t.\t.\tO\tO' -p167719 -asS'The aortic valve leaflets appear structurally normal with good leaflet excursion .' -p167720 -(lp167721 -S'The\tThe\tDT\tB-NP\tO' -p167722 -aS'aortic\taortic\tJJ\tI-NP\tO' -p167723 -aS'valve\tvalve\tNN\tI-NP\tO' -p167724 -aS'leaflets\tleaflet\tNNS\tI-NP\tO' -p167725 -aS'appear\tappear\tVBP\tB-VP\tO' -p167726 -aS'structurally\tstructurally\tRB\tB-ADJP\tO' -p167727 -aS'normal\tnormal\tJJ\tI-ADJP\tO' -p167728 -aS'with\twith\tIN\tB-PP\tO' -p167729 -aS'good\tgood\tJJ\tB-NP\tO' -p167730 -aS'leaflet\tleaflet\tNN\tI-NP\tO' -p167731 -aS'excursion\texcursion\tNN\tI-NP\tO' -p167732 -aS'.\t.\t.\tO\tO' -p167733 -asS'DILATED CARDIOMYOPATHY .' -p167734 -(lp167735 -S'DILATED\tDILATED\tVBN\tB-NP\tO' -p167736 -aS'CARDIOMYOPATHY\tCARDIOMYOPATHY\tNN\tI-NP\tO' -p167737 -aS'.\t.\t.\tO\tO' -p167738 -asS'Menarche at 13 , regular menses to the age of 46 .' -p167739 -(lp167740 -S'Menarche\tMenarche\tNNP\tB-NP\tO' -p167741 -aS'at\tat\tIN\tB-PP\tO' -p167742 -aS'13\t13\tCD\tB-NP\tO' -p167743 -aS',\t,\t,\tO\tO' -p167744 -aS'regular\tregular\tJJ\tB-NP\tO' -p167745 -aS'menses\tmens\tNNS\tI-NP\tO' -p167746 -aS'to\tto\tTO\tB-PP\tO' -p167747 -aS'the\tthe\tDT\tB-NP\tO' -p167748 -aS'age\tage\tNN\tI-NP\tO' -p167749 -aS'of\tof\tIN\tB-PP\tO' -p167750 -aS'46\t46\tCD\tB-NP\tO' -p167751 -aS'.\t.\t.\tO\tO' -p167752 -asS'baseline LFTs wnl ; taking cardiac / ADA diet as glu remains elevated' -p167753 -(lp167754 -S'baseline\tbaseline\tNN\tB-NP\tO' -p167755 -aS'LFTs\tLFT\tNNS\tI-NP\tO' -p167756 -aS'wnl\twnl\tNN\tI-NP\tO' -p167757 -aS';\t;\t:\tO\tO' -p167758 -aS'taking\ttake\tVBG\tB-VP\tO' -p167759 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p167760 -aS'/\t/\tSYM\tI-NP\tO' -p167761 -aS'ADA\tADA\tNN\tI-NP\tO' -p167762 -aS'diet\tdiet\tNN\tI-NP\tO' -p167763 -aS'as\tas\tIN\tB-SBAR\tO' -p167764 -aS'glu\tglu\tNN\tB-NP\tO' -p167765 -aS'remains\tremain\tVBZ\tB-VP\tO' -p167766 -aS'elevated\televated\tJJ\tB-ADJP\tO' -p167767 -asS'Mild pulmonary edema is unchanged .' -p167768 -(lp167769 -S'Mild\tMild\tJJ\tB-NP\tO' -p167770 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p167771 -aS'edema\tedema\tNN\tI-NP\tO' -p167772 -aS'is\tbe\tVBZ\tB-VP\tO' -p167773 -aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' -p167774 -aS'.\t.\t.\tO\tO' -p167775 -asS'He was noted to be cardiogenic shock requiring pressors .' -p167776 -(lp167777 -S'He\tHe\tPRP\tB-NP\tO' -p167778 -aS'was\tbe\tVBD\tB-VP\tO' -p167779 -aS'noted\tnote\tVBN\tI-VP\tO' -p167780 -aS'to\tto\tTO\tI-VP\tO' -p167781 -aS'be\tbe\tVB\tI-VP\tO' -p167782 -aS'cardiogenic\tcardiogenic\tJJ\tB-NP\tB-protein' -p167783 -aS'shock\tshock\tNN\tI-NP\tI-protein' -p167784 -aS'requiring\trequire\tVBG\tB-VP\tI-protein' -p167785 -aS'pressors\tpressor\tNNS\tB-NP\tI-protein' -p167786 -aS'.\t.\t.\tO\tO' -p167787 -asS'It was felt that her symptoms were secondary to gastroparesis .' -p167788 -(lp167789 -S'It\tIt\tPRP\tB-NP\tO' -p167790 -aS'was\tbe\tVBD\tB-VP\tO' -p167791 -aS'felt\tfeel\tVBN\tI-VP\tO' -p167792 -aS'that\tthat\tIN\tB-SBAR\tO' -p167793 -aS'her\ther\tPRP$\tB-NP\tO' -p167794 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p167795 -aS'were\tbe\tVBD\tB-VP\tO' -p167796 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p167797 -aS'to\tto\tTO\tB-PP\tO' -p167798 -aS'gastroparesis\tgastroparesis\tNN\tB-NP\tO' -p167799 -aS'.\t.\t.\tO\tO' -p167800 -asS'Urine and serum toxicology screen negative .' -p167801 -(lp167802 -S'Urine\tUrine\tNN\tB-NP\tO' -p167803 -aS'and\tand\tCC\tI-NP\tO' -p167804 -aS'serum\tserum\tNN\tI-NP\tO' -p167805 -aS'toxicology\ttoxicology\tNN\tI-NP\tO' -p167806 -aS'screen\tscreen\tNN\tI-NP\tO' -p167807 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p167808 -aS'.\t.\t.\tO\tO' -p167809 -asS'CV - Ischemia ASA , lisinopril Pump no evidence of failure' -p167810 -(lp167811 -S'CV\tCV\tNN\tB-NP\tO' -p167812 -aS'-\t-\tHYPH\tI-NP\tO' -p167813 -aS'Ischemia\tIschemia\tNN\tI-NP\tO' -p167814 -aS'ASA\tASA\tNN\tI-NP\tO' -p167815 -aS',\t,\t,\tO\tO' -p167816 -aS'lisinopril\tlisinopril\tNN\tB-NP\tO' -p167817 -aS'Pump\tPump\tNNP\tI-NP\tO' -p167818 -aS'no\tno\tDT\tB-NP\tO' -p167819 -aS'evidence\tevidence\tNN\tI-NP\tO' -p167820 -aS'of\tof\tIN\tB-PP\tO' -p167821 -aS'failure\tfailure\tNN\tB-NP\tO' -p167822 -asS'He was neurovascularly intact .' -p167823 -(lp167824 -S'He\tHe\tPRP\tB-NP\tO' -p167825 -aS'was\tbe\tVBD\tB-VP\tO' -p167826 -aS'neurovascularly\tneurovascularly\tRB\tB-ADJP\tO' -p167827 -aS'intact\tintact\tJJ\tI-ADJP\tO' -p167828 -aS'.\t.\t.\tO\tO' -p167829 -asS'12. Pacemaker - DDD dual chamber rate response pacemaker 2011-08-22 for symptomatic bradycardia' -p167830 -(lp167831 -S'12.\t12.\tLS\tB-NP\tO' -p167832 -aS'Pacemaker\tPacemaker\tNN\tI-NP\tO' -p167833 -aS'-\t-\tHYPH\tB-NP\tO' -p167834 -aS'DDD\tDDD\tNN\tI-NP\tO' -p167835 -aS'dual\tdual\tJJ\tI-NP\tO' -p167836 -aS'chamber\tchamber\tNN\tI-NP\tO' -p167837 -aS'rate\trate\tNN\tI-NP\tO' -p167838 -aS'response\tresponse\tNN\tI-NP\tO' -p167839 -aS'pacemaker\tpacemaker\tNN\tI-NP\tO' -p167840 -aS'2011-08-22\t2011-08-22\tCD\tI-NP\tO' -p167841 -aS'for\tfor\tIN\tB-PP\tO' -p167842 -aS'symptomatic\tsymptomatic\tJJ\tB-NP\tO' -p167843 -aS'bradycardia\tbradycardia\tNNS\tI-NP\tO' -p167844 -asS'1. A small amount of free air and free fluid in the pelvis and abdomen , mostly along the right pericolic gutter and surrounding the ascending colon , concerning for perforation .' -p167845 -(lp167846 -S'1.\t1.\tLS\tB-LST\tO' -p167847 -aS'A\tA\tDT\tB-NP\tO' -p167848 -aS'small\tsmall\tJJ\tI-NP\tO' -p167849 -aS'amount\tamount\tNN\tI-NP\tO' -p167850 -aS'of\tof\tIN\tB-PP\tO' -p167851 -aS'free\tfree\tJJ\tB-NP\tO' -p167852 -aS'air\tair\tNN\tI-NP\tO' -p167853 -aS'and\tand\tCC\tO\tO' -p167854 -aS'free\tfree\tJJ\tB-NP\tO' -p167855 -aS'fluid\tfluid\tNN\tI-NP\tO' -p167856 -aS'in\tin\tIN\tB-PP\tO' -p167857 -aS'the\tthe\tDT\tB-NP\tO' -p167858 -aS'pelvis\tpelvis\tNN\tI-NP\tO' -p167859 -aS'and\tand\tCC\tI-NP\tO' -p167860 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p167861 -aS',\t,\t,\tO\tO' -p167862 -aS'mostly\tmostly\tRB\tB-PP\tO' -p167863 -aS'along\talong\tIN\tI-PP\tO' -p167864 -aS'the\tthe\tDT\tB-NP\tO' -p167865 -aS'right\tright\tJJ\tI-NP\tO' -p167866 -aS'pericolic\tpericolic\tJJ\tI-NP\tO' -p167867 -aS'gutter\tgutter\tNN\tI-NP\tO' -p167868 -aS'and\tand\tCC\tO\tO' -p167869 -aS'surrounding\tsurround\tVBG\tB-VP\tO' -p167870 -aS'the\tthe\tDT\tB-NP\tO' -p167871 -aS'ascending\tascend\tVBG\tI-NP\tO' -p167872 -aS'colon\tcolon\tNN\tI-NP\tO' -p167873 -aS',\t,\t,\tO\tO' -p167874 -aS'concerning\tconcern\tVBG\tB-VP\tO' -p167875 -aS'for\tfor\tIN\tB-PP\tO' -p167876 -aS'perforation\tperforation\tNN\tB-NP\tO' -p167877 -aS'.\t.\t.\tO\tO' -p167878 -asS'The patient was started on Amiodarone and diuresed .' -p167879 -(lp167880 -S'The\tThe\tDT\tB-NP\tO' -p167881 -aS'patient\tpatient\tNN\tI-NP\tO' -p167882 -aS'was\tbe\tVBD\tB-VP\tO' -p167883 -aS'started\tstart\tVBN\tI-VP\tO' -p167884 -aS'on\ton\tIN\tB-PP\tO' -p167885 -aS'Amiodarone\tAmiodarone\tNN\tB-NP\tO' -p167886 -aS'and\tand\tCC\tO\tO' -p167887 -aS'diuresed\tdiurese\tVBN\tB-VP\tO' -p167888 -aS'.\t.\t.\tO\tO' -p167889 -asS'The patient will be transferred to the Inpatient Psychiatry Unit on Springfield Municipal Hospital IV for further evaluation and treatment of his depression and possible suicidal ideation .' -p167890 -(lp167891 -S'The\tThe\tDT\tB-NP\tO' -p167892 -aS'patient\tpatient\tNN\tI-NP\tO' -p167893 -aS'will\twill\tMD\tB-VP\tO' -p167894 -aS'be\tbe\tVB\tI-VP\tO' -p167895 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p167896 -aS'to\tto\tTO\tB-PP\tO' -p167897 -aS'the\tthe\tDT\tB-NP\tO' -p167898 -aS'Inpatient\tInpatient\tNNP\tI-NP\tO' -p167899 -aS'Psychiatry\tPsychiatry\tNNP\tI-NP\tO' -p167900 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p167901 -aS'on\ton\tIN\tB-PP\tO' -p167902 -aS'Springfield\tSpringfield\tNNP\tB-NP\tO' -p167903 -aS'Municipal\tMunicipal\tNNP\tI-NP\tO' -p167904 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p167905 -aS'IV\tIV\tNNP\tI-NP\tO' -p167906 -aS'for\tfor\tIN\tB-PP\tO' -p167907 -aS'further\tfurther\tJJ\tB-NP\tO' -p167908 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p167909 -aS'and\tand\tCC\tI-NP\tO' -p167910 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p167911 -aS'of\tof\tIN\tB-PP\tO' -p167912 -aS'his\this\tPRP$\tB-NP\tO' -p167913 -aS'depression\tdepression\tNN\tI-NP\tO' -p167914 -aS'and\tand\tCC\tI-NP\tO' -p167915 -aS'possible\tpossible\tJJ\tI-NP\tO' -p167916 -aS'suicidal\tsuicidal\tJJ\tI-NP\tO' -p167917 -aS'ideation\tideation\tNN\tI-NP\tO' -p167918 -aS'.\t.\t.\tO\tO' -p167919 -asS'8. Flonase 2 puffs twice per day .' -p167920 -(lp167921 -S'8.\t8.\tCD\tB-NP\tO' -p167922 -aS'Flonase\tFlonase\tNN\tI-NP\tO' -p167923 -aS'2\t2\tCD\tB-NP\tO' -p167924 -aS'puffs\tpuff\tNNS\tI-NP\tO' -p167925 -aS'twice\ttwice\tRB\tB-ADVP\tO' -p167926 -aS'per\tper\tIN\tB-PP\tO' -p167927 -aS'day\tday\tNN\tB-NP\tO' -p167928 -aS'.\t.\t.\tO\tO' -p167929 -asS'This is a 56 year-old gentleman with severe aortic stenosis , reports having been told he had a heart murmur many years ago but just recently diagnosed with aortic stenosis .' -p167930 -(lp167931 -S'This\tThis\tDT\tB-NP\tO' -p167932 -aS'is\tbe\tVBZ\tB-VP\tO' -p167933 -aS'a\ta\tDT\tB-NP\tO' -p167934 -aS'56\t56\tCD\tI-NP\tO' -p167935 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p167936 -aS'gentleman\tgentleman\tNN\tI-NP\tO' -p167937 -aS'with\twith\tIN\tB-PP\tO' -p167938 -aS'severe\tsevere\tJJ\tB-NP\tO' -p167939 -aS'aortic\taortic\tJJ\tI-NP\tO' -p167940 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p167941 -aS',\t,\t,\tO\tO' -p167942 -aS'reports\treport\tNNS\tB-NP\tO' -p167943 -aS'having\thave\tVBG\tB-VP\tO' -p167944 -aS'been\tbe\tVBN\tI-VP\tO' -p167945 -aS'told\ttell\tVBN\tI-VP\tO' -p167946 -aS'he\the\tPRP\tB-NP\tO' -p167947 -aS'had\thave\tVBD\tB-VP\tO' -p167948 -aS'a\ta\tDT\tB-NP\tO' -p167949 -aS'heart\theart\tNN\tI-NP\tO' -p167950 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p167951 -aS'many\tmany\tJJ\tB-NP\tO' -p167952 -aS'years\tyear\tNNS\tI-NP\tO' -p167953 -aS'ago\tago\tRB\tB-ADVP\tO' -p167954 -aS'but\tbut\tCC\tB-VP\tO' -p167955 -aS'just\tjust\tRB\tI-VP\tO' -p167956 -aS'recently\trecently\tRB\tI-VP\tO' -p167957 -aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' -p167958 -aS'with\twith\tIN\tB-PP\tO' -p167959 -aS'aortic\taortic\tJJ\tB-NP\tO' -p167960 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p167961 -aS'.\t.\t.\tO\tO' -p167962 -asS'Nothing in the vagina for 6 weeks' -p167963 -(lp167964 -S'Nothing\tNothing\tNN\tB-NP\tO' -p167965 -aS'in\tin\tIN\tB-PP\tO' -p167966 -aS'the\tthe\tDT\tB-NP\tO' -p167967 -aS'vagina\tvagina\tNN\tI-NP\tO' -p167968 -aS'for\tfor\tIN\tB-PP\tO' -p167969 -aS'6\t6\tCD\tB-NP\tO' -p167970 -aS'weeks\tweek\tNNS\tI-NP\tO' -p167971 -asS'Mr. Andersen is a 71-year-old male with worsening anginal symptoms who underwent catheterization that showed severe three-vessel disease .' -p167972 -(lp167973 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p167974 -aS'Andersen\tAndersen\tNNP\tI-NP\tO' -p167975 -aS'is\tbe\tVBZ\tB-VP\tO' -p167976 -aS'a\ta\tDT\tB-NP\tO' -p167977 -aS'71-year-old\t71-year-old\tJJ\tI-NP\tO' -p167978 -aS'male\tmale\tNN\tI-NP\tO' -p167979 -aS'with\twith\tIN\tB-PP\tO' -p167980 -aS'worsening\tworsen\tVBG\tB-VP\tO' -p167981 -aS'anginal\tanginal\tJJ\tB-NP\tO' -p167982 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p167983 -aS'who\twho\tWP\tB-NP\tO' -p167984 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p167985 -aS'catheterization\tcatheterization\tNN\tB-NP\tO' -p167986 -aS'that\tthat\tWDT\tB-NP\tO' -p167987 -aS'showed\tshow\tVBD\tB-VP\tO' -p167988 -aS'severe\tsevere\tJJ\tB-NP\tO' -p167989 -aS'three-vessel\tthree-vessel\tJJ\tI-NP\tO' -p167990 -aS'disease\tdisease\tNN\tI-NP\tO' -p167991 -aS'.\t.\t.\tO\tO' -p167992 -asS'She was found to have symptoms of congestive heart failure as well as decreased fetal movement .' -p167993 -(lp167994 -S'She\tShe\tPRP\tB-NP\tO' -p167995 -aS'was\tbe\tVBD\tB-VP\tO' -p167996 -aS'found\tfind\tVBN\tI-VP\tO' -p167997 -aS'to\tto\tTO\tI-VP\tO' -p167998 -aS'have\thave\tVB\tI-VP\tO' -p167999 -aS'symptoms\tsymptom\tNNS\tB-NP\tO' -p168000 -aS'of\tof\tIN\tB-PP\tO' -p168001 -aS'congestive\tcongestive\tJJ\tB-NP\tO' -p168002 -aS'heart\theart\tNN\tI-NP\tO' -p168003 -aS'failure\tfailure\tNN\tI-NP\tO' -p168004 -aS'as\tas\tRB\tB-CONJP\tO' -p168005 -aS'well\twell\tRB\tI-CONJP\tO' -p168006 -aS'as\tas\tIN\tI-CONJP\tO' -p168007 -aS'decreased\tdecrease\tVBN\tB-NP\tO' -p168008 -aS'fetal\tfetal\tJJ\tI-NP\tO' -p168009 -aS'movement\tmovement\tNN\tI-NP\tO' -p168010 -aS'.\t.\t.\tO\tO' -p168011 -asS'The patient is a jaundiced looking gentlemen in no acute distress .' -p168012 -(lp168013 -S'The\tThe\tDT\tB-NP\tO' -p168014 -aS'patient\tpatient\tNN\tI-NP\tO' -p168015 -aS'is\tbe\tVBZ\tB-VP\tO' -p168016 -aS'a\ta\tDT\tB-NP\tO' -p168017 -aS'jaundiced\tjaundice\tVBN\tI-NP\tO' -p168018 -aS'looking\tlook\tVBG\tI-NP\tO' -p168019 -aS'gentlemen\tgentleman\tNNS\tI-NP\tO' -p168020 -aS'in\tin\tIN\tB-PP\tO' -p168021 -aS'no\tno\tDT\tB-NP\tO' -p168022 -aS'acute\tacute\tJJ\tI-NP\tO' -p168023 -aS'distress\tdistress\tNN\tI-NP\tO' -p168024 -aS'.\t.\t.\tO\tO' -p168025 -asS'1 hour and 48 minutes .' -p168026 -(lp168027 -S'1\t1\tCD\tB-NP\tO' -p168028 -aS'hour\thour\tNN\tI-NP\tO' -p168029 -aS'and\tand\tCC\tO\tO' -p168030 -aS'48\t48\tCD\tB-NP\tO' -p168031 -aS'minutes\tminute\tNNS\tI-NP\tO' -p168032 -aS'.\t.\t.\tO\tO' -p168033 -asS'Adenosine stress MIBI revealed a small reversible defect in the PDA territory and the patient underwent coronary catheterisation on 1/6/0004 which revealed a 70% lesion in the SVG to PDA -> cypher stented successfully .' -p168034 -(lp168035 -S'Adenosine\tAdenosine\tNN\tB-NP\tO' -p168036 -aS'stress\tstress\tNN\tI-NP\tO' -p168037 -aS'MIBI\tMIBI\tNNP\tI-NP\tO' -p168038 -aS'revealed\treveal\tVBD\tB-VP\tO' -p168039 -aS'a\ta\tDT\tB-NP\tO' -p168040 -aS'small\tsmall\tJJ\tI-NP\tO' -p168041 -aS'reversible\treversible\tJJ\tI-NP\tO' -p168042 -aS'defect\tdefect\tNN\tI-NP\tO' -p168043 -aS'in\tin\tIN\tB-PP\tO' -p168044 -aS'the\tthe\tDT\tB-NP\tO' -p168045 -aS'PDA\tPDA\tNN\tI-NP\tO' -p168046 -aS'territory\tterritory\tNN\tI-NP\tO' -p168047 -aS'and\tand\tCC\tO\tO' -p168048 -aS'the\tthe\tDT\tB-NP\tO' -p168049 -aS'patient\tpatient\tNN\tI-NP\tO' -p168050 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p168051 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p168052 -aS'catheterisation\tcatheterisation\tNN\tI-NP\tO' -p168053 -aS'on\ton\tIN\tB-PP\tO' -p168054 -aS'1/6/0004\t1/6/0004\tCD\tB-NP\tO' -p168055 -aS'which\twhich\tWDT\tB-NP\tO' -p168056 -aS'revealed\treveal\tVBD\tB-VP\tO' -p168057 -aS'a\ta\tDT\tB-NP\tO' -p168058 -aS'70%\t70%\tJJ\tI-NP\tO' -p168059 -aS'lesion\tlesion\tNN\tI-NP\tO' -p168060 -aS'in\tin\tIN\tB-PP\tO' -p168061 -aS'the\tthe\tDT\tB-NP\tO' -p168062 -aS'SVG\tSVG\tNN\tI-NP\tO' -p168063 -aS'to\tto\tTO\tB-PP\tO' -p168064 -aS'PDA\tPDA\tNN\tB-NP\tB-protein' -p168065 -aS'->\t->\tSYM\tB-NP\tO' -p168066 -aS'cypher\tcypher\tNN\tI-NP\tO' -p168067 -aS'stented\tstente\tVBD\tB-VP\tO' -p168068 -aS'successfully\tsuccessfully\tRB\tB-ADVP\tO' -p168069 -aS'.\t.\t.\tO\tO' -p168070 -asS'INR of 1.3 , PTT of 30.3 .' -p168071 -(lp168072 -S'INR\tINR\tNN\tB-NP\tB-protein' -p168073 -aS'of\tof\tIN\tB-PP\tO' -p168074 -aS'1.3\t1.3\tCD\tB-NP\tO' -p168075 -aS',\t,\t,\tO\tO' -p168076 -aS'PTT\tPTT\tNN\tB-NP\tO' -p168077 -aS'of\tof\tIN\tB-PP\tO' -p168078 -aS'30.3\t30.3\tCD\tB-NP\tO' -p168079 -aS'.\t.\t.\tO\tO' -p168080 -asS'7. Hyoscyamine Sulfate 0.125 mg Tablet Sig : One ( 1 ) Tablet PO QID ( 4 times a day ) .' -p168081 -(lp168082 -S'7.\t7.\tLS\tB-NP\tO' -p168083 -aS'Hyoscyamine\tHyoscyamine\tNN\tI-NP\tO' -p168084 -aS'Sulfate\tSulfate\tNN\tI-NP\tO' -p168085 -aS'0.125\t0.125\tCD\tI-NP\tO' -p168086 -aS'mg\tmg\tNN\tI-NP\tO' -p168087 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p168088 -aS'Sig\tSig\tNNP\tI-NP\tO' -p168089 -aS':\t:\t:\tO\tO' -p168090 -aS'One\tOne\tCD\tB-NP\tO' -p168091 -aS'(\t(\t(\tO\tO' -p168092 -aS'1\t1\tCD\tB-NP\tO' -p168093 -aS')\t)\t)\tO\tO' -p168094 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p168095 -aS'PO\tPO\tNN\tI-NP\tO' -p168096 -aS'QID\tQID\tNN\tI-NP\tO' -p168097 -aS'(\t(\t(\tO\tO' -p168098 -aS'4\t4\tCD\tB-NP\tO' -p168099 -aS'times\ttime\tNNS\tI-NP\tO' -p168100 -aS'a\ta\tDT\tB-NP\tO' -p168101 -aS'day\tday\tNN\tI-NP\tO' -p168102 -aS')\t)\t)\tO\tO' -p168103 -aS'.\t.\t.\tO\tO' -p168104 -asS'5. Ancef .' -p168105 -(lp168106 -S'5.\t5.\tLS\tB-NP\tO' -p168107 -aS'Ancef\tAncef\tNN\tI-NP\tO' -p168108 -aS'.\t.\t.\tO\tO' -p168109 -asS"The patient 's bed rest status was changed to out of bed , and oral intake was started ." -p168110 -(lp168111 -S'The\tThe\tDT\tB-NP\tO' -p168112 -aS'patient\tpatient\tNN\tI-NP\tO' -p168113 -aS"'s\t's\tPOS\tB-NP\tO" -p168114 -aS'bed\tbed\tNN\tI-NP\tO' -p168115 -aS'rest\trest\tNN\tI-NP\tO' -p168116 -aS'status\tstatus\tNN\tI-NP\tO' -p168117 -aS'was\tbe\tVBD\tB-VP\tO' -p168118 -aS'changed\tchange\tVBN\tI-VP\tO' -p168119 -aS'to\tto\tTO\tB-PP\tO' -p168120 -aS'out\tout\tIN\tB-PP\tO' -p168121 -aS'of\tof\tIN\tB-PP\tO' -p168122 -aS'bed\tbed\tNN\tB-NP\tO' -p168123 -aS',\t,\t,\tO\tO' -p168124 -aS'and\tand\tCC\tO\tO' -p168125 -aS'oral\toral\tJJ\tB-NP\tO' -p168126 -aS'intake\tintake\tNN\tI-NP\tO' -p168127 -aS'was\tbe\tVBD\tB-VP\tO' -p168128 -aS'started\tstart\tVBN\tI-VP\tO' -p168129 -aS'.\t.\t.\tO\tO' -p168130 -asS'ECG showed new diffuse TWI in all leads .' -p168131 -(lp168132 -S'ECG\tECG\tNN\tB-NP\tO' -p168133 -aS'showed\tshow\tVBD\tB-VP\tO' -p168134 -aS'new\tnew\tJJ\tB-NP\tO' -p168135 -aS'diffuse\tdiffuse\tJJ\tI-NP\tO' -p168136 -aS'TWI\tTWI\tNN\tI-NP\tO' -p168137 -aS'in\tin\tIN\tB-PP\tO' -p168138 -aS'all\tall\tDT\tB-NP\tO' -p168139 -aS'leads\tlead\tNNS\tI-NP\tO' -p168140 -aS'.\t.\t.\tO\tO' -p168141 -asS'Gen - lying in bed unresponsive' -p168142 -(lp168143 -S'Gen\tGen\tNN\tB-NP\tB-protein' -p168144 -aS'-\t-\tHYPH\tO\tO' -p168145 -aS'lying\tlie\tVBG\tB-VP\tO' -p168146 -aS'in\tin\tIN\tB-PP\tO' -p168147 -aS'bed\tbed\tNN\tB-NP\tO' -p168148 -aS'unresponsive\tunresponsive\tJJ\tB-NP\tO' -p168149 -asS'11. Prilosec 20 mg per day .' -p168150 -(lp168151 -S'11.\t11.\tCD\tB-NP\tO' -p168152 -aS'Prilosec\tPrilosec\tNNP\tI-NP\tO' -p168153 -aS'20\t20\tCD\tI-NP\tO' -p168154 -aS'mg\tmg\tNN\tI-NP\tO' -p168155 -aS'per\tper\tIN\tB-PP\tO' -p168156 -aS'day\tday\tNN\tB-NP\tO' -p168157 -aS'.\t.\t.\tO\tO' -p168158 -asS'Completed course of Flagyl 07-25 --> 08-10 .' -p168159 -(lp168160 -S'Completed\tComplete\tVBN\tB-NP\tO' -p168161 -aS'course\tcourse\tNN\tI-NP\tO' -p168162 -aS'of\tof\tIN\tB-PP\tO' -p168163 -aS'Flagyl\tFlagyl\tNN\tB-NP\tO' -p168164 -aS'07-25\t07-25\tCD\tI-NP\tO' -p168165 -aS'-->\t-->\tSYM\tB-NP\tO' -p168166 -aS'08-10\t08-10\tCD\tI-NP\tO' -p168167 -aS'.\t.\t.\tO\tO' -p168168 -asS'He has required no phototherapy .' -p168169 -(lp168170 -S'He\tHe\tPRP\tB-NP\tO' -p168171 -aS'has\thave\tVBZ\tB-VP\tO' -p168172 -aS'required\trequire\tVBN\tI-VP\tO' -p168173 -aS'no\tno\tDT\tB-NP\tO' -p168174 -aS'phototherapy\tphototherapy\tNN\tI-NP\tO' -p168175 -aS'.\t.\t.\tO\tO' -p168176 -asS'Pt was seen by Rad Onc , who recommended transfer to the East Campus for XRT .' -p168177 -(lp168178 -S'Pt\tPt\tNN\tB-NP\tO' -p168179 -aS'was\tbe\tVBD\tB-VP\tO' -p168180 -aS'seen\tsee\tVBN\tI-VP\tO' -p168181 -aS'by\tby\tIN\tB-PP\tO' -p168182 -aS'Rad\tRad\tNNP\tB-NP\tO' -p168183 -aS'Onc\tOnc\tNNP\tI-NP\tO' -p168184 -aS',\t,\t,\tO\tO' -p168185 -aS'who\twho\tWP\tB-NP\tO' -p168186 -aS'recommended\trecommend\tVBD\tB-VP\tO' -p168187 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p168188 -aS'to\tto\tTO\tB-PP\tO' -p168189 -aS'the\tthe\tDT\tB-NP\tO' -p168190 -aS'East\tEast\tNNP\tI-NP\tO' -p168191 -aS'Campus\tCampus\tNNP\tI-NP\tO' -p168192 -aS'for\tfor\tIN\tB-PP\tO' -p168193 -aS'XRT\tXRT\tNNP\tB-NP\tO' -p168194 -aS'.\t.\t.\tO\tO' -p168195 -asS'Was loaded on Dilantin .' -p168196 -(lp168197 -S'Was\tBe\tVBD\tB-VP\tO' -p168198 -aS'loaded\tload\tVBN\tI-VP\tO' -p168199 -aS'on\ton\tIN\tB-PP\tO' -p168200 -aS'Dilantin\tDilantin\tNN\tB-NP\tB-protein' -p168201 -aS'.\t.\t.\tO\tO' -p168202 -asS'Iron-deficiency anemia .' -p168203 -(lp168204 -S'Iron-deficiency\tIron-deficiency\tNN\tB-NP\tO' -p168205 -aS'anemia\tanemia\tNN\tI-NP\tO' -p168206 -aS'.\t.\t.\tO\tO' -p168207 -asS'3. Type 2 diabetes mellitus .' -p168208 -(lp168209 -S'3.\t3.\tLS\tO\tO' -p168210 -aS'Type\tType\tNN\tB-NP\tO' -p168211 -aS'2\t2\tCD\tI-NP\tO' -p168212 -aS'diabetes\tdiabetes\tNN\tI-NP\tO' -p168213 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p168214 -aS'.\t.\t.\tO\tO' -p168215 -asS'There was a 1 cm firm nodule at the left upper thoracic region of the back between the midline and the scapula .' -p168216 -(lp168217 -S'There\tThere\tEX\tB-NP\tO' -p168218 -aS'was\tbe\tVBD\tB-VP\tO' -p168219 -aS'a\ta\tDT\tB-NP\tO' -p168220 -aS'1\t1\tCD\tI-NP\tO' -p168221 -aS'cm\tcm\tNN\tI-NP\tO' -p168222 -aS'firm\tfirm\tJJ\tI-NP\tO' -p168223 -aS'nodule\tnodule\tNN\tI-NP\tO' -p168224 -aS'at\tat\tIN\tB-PP\tO' -p168225 -aS'the\tthe\tDT\tB-NP\tO' -p168226 -aS'left\tleft\tJJ\tI-NP\tB-protein' -p168227 -aS'upper\tupper\tJJ\tI-NP\tI-protein' -p168228 -aS'thoracic\tthoracic\tJJ\tI-NP\tI-protein' -p168229 -aS'region\tregion\tNN\tI-NP\tI-protein' -p168230 -aS'of\tof\tIN\tB-PP\tO' -p168231 -aS'the\tthe\tDT\tB-NP\tO' -p168232 -aS'back\tback\tNN\tI-NP\tO' -p168233 -aS'between\tbetween\tIN\tB-PP\tO' -p168234 -aS'the\tthe\tDT\tB-NP\tO' -p168235 -aS'midline\tmidline\tNN\tI-NP\tO' -p168236 -aS'and\tand\tCC\tO\tO' -p168237 -aS'the\tthe\tDT\tB-NP\tO' -p168238 -aS'scapula\tscapula\tNN\tI-NP\tO' -p168239 -aS'.\t.\t.\tO\tO' -p168240 -asS'This is an 81-year-old who presented with postmenopausal spotting and had an endometrial biopsy which was read at the Etearal Etsystems/ Hospital as showing grade I adenocarcinoma .' -p168241 -(lp168242 -S'This\tThis\tDT\tB-NP\tO' -p168243 -aS'is\tbe\tVBZ\tB-VP\tO' -p168244 -aS'an\tan\tDT\tB-NP\tO' -p168245 -aS'81-year-old\t81-year-old\tNN\tI-NP\tO' -p168246 -aS'who\twho\tWP\tB-NP\tO' -p168247 -aS'presented\tpresent\tVBD\tB-VP\tO' -p168248 -aS'with\twith\tIN\tB-PP\tO' -p168249 -aS'postmenopausal\tpostmenopausal\tJJ\tB-NP\tO' -p168250 -aS'spotting\tspotting\tNN\tI-NP\tO' -p168251 -aS'and\tand\tCC\tO\tO' -p168252 -aS'had\thave\tVBD\tB-VP\tO' -p168253 -aS'an\tan\tDT\tB-NP\tO' -p168254 -aS'endometrial\tendometrial\tJJ\tI-NP\tO' -p168255 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p168256 -aS'which\twhich\tWDT\tB-NP\tO' -p168257 -aS'was\tbe\tVBD\tB-VP\tO' -p168258 -aS'read\tread\tVBN\tI-VP\tO' -p168259 -aS'at\tat\tIN\tB-PP\tO' -p168260 -aS'the\tthe\tDT\tB-NP\tO' -p168261 -aS'Etearal\tEtearal\tNNP\tI-NP\tO' -p168262 -aS'Etsystems/\tEtsystems/\tNNP\tI-NP\tO' -p168263 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p168264 -aS'as\tas\tIN\tB-PP\tO' -p168265 -aS'showing\tshow\tVBG\tB-VP\tO' -p168266 -aS'grade\tgrade\tNN\tB-NP\tO' -p168267 -aS'I\tI\tCD\tI-NP\tO' -p168268 -aS'adenocarcinoma\tadenocarcinoma\tNN\tI-NP\tO' -p168269 -aS'.\t.\t.\tO\tO' -p168270 -asS'The family did not want postmortem examination .' -p168271 -(lp168272 -S'The\tThe\tDT\tB-NP\tO' -p168273 -aS'family\tfamily\tNN\tI-NP\tO' -p168274 -aS'did\tdo\tVBD\tB-VP\tO' -p168275 -aS'not\tnot\tRB\tI-VP\tO' -p168276 -aS'want\twant\tVB\tI-VP\tO' -p168277 -aS'postmortem\tpostmortem\tJJ\tB-NP\tO' -p168278 -aS'examination\texamination\tNN\tI-NP\tO' -p168279 -aS'.\t.\t.\tO\tO' -p168280 -asS"10-29 she was transfused another 3U PRBC 's with hct bump to 31.9 and antibiotic coverage broadend to Unasyn , Ceftriaxone , Flagyl because she continued to spike , and for SBP prophylaxis ." -p168281 -(lp168282 -S'10-29\t10-29\tCD\tB-NP\tO' -p168283 -aS'she\tshe\tPRP\tB-NP\tO' -p168284 -aS'was\tbe\tVBD\tB-VP\tO' -p168285 -aS'transfused\ttransfuse\tVBN\tI-VP\tO' -p168286 -aS'another\tanother\tDT\tB-NP\tO' -p168287 -aS'3U\t3U\tNN\tI-NP\tO' -p168288 -aS'PRBC\tPRBC\tNNP\tB-NP\tO' -p168289 -aS"'s\t's\tPOS\tB-NP\tO" -p168290 -aS'with\twith\tIN\tB-PP\tO' -p168291 -aS'hct\thct\tNN\tB-NP\tO' -p168292 -aS'bump\tbump\tNN\tI-NP\tO' -p168293 -aS'to\tto\tTO\tB-PP\tO' -p168294 -aS'31.9\t31.9\tCD\tB-NP\tO' -p168295 -aS'and\tand\tCC\tO\tO' -p168296 -aS'antibiotic\tantibiotic\tJJ\tB-NP\tO' -p168297 -aS'coverage\tcoverage\tNN\tI-NP\tO' -p168298 -aS'broadend\tbroadend\tNN\tI-NP\tO' -p168299 -aS'to\tto\tTO\tB-PP\tO' -p168300 -aS'Unasyn\tUnasyn\tNN\tB-NP\tO' -p168301 -aS',\t,\t,\tO\tO' -p168302 -aS'Ceftriaxone\tCeftriaxone\tNN\tB-NP\tO' -p168303 -aS',\t,\t,\tO\tO' -p168304 -aS'Flagyl\tFlagyl\tNN\tB-NP\tO' -p168305 -aS'because\tbecause\tIN\tB-SBAR\tO' -p168306 -aS'she\tshe\tPRP\tB-NP\tO' -p168307 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p168308 -aS'to\tto\tTO\tI-VP\tO' -p168309 -aS'spike\tspike\tVB\tI-VP\tO' -p168310 -aS',\t,\t,\tO\tO' -p168311 -aS'and\tand\tCC\tO\tO' -p168312 -aS'for\tfor\tIN\tB-PP\tO' -p168313 -aS'SBP\tSBP\tNN\tB-NP\tO' -p168314 -aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' -p168315 -aS'.\t.\t.\tO\tO' -p168316 -asS'Pleural effusion : s/p pigtail cath drain .' -p168317 -(lp168318 -S'Pleural\tPleural\tJJ\tB-NP\tO' -p168319 -aS'effusion\teffusion\tNN\tI-NP\tO' -p168320 -aS':\t:\t:\tO\tO' -p168321 -aS's/p\ts/p\tNN\tB-NP\tO' -p168322 -aS'pigtail\tpigtail\tNN\tI-NP\tO' -p168323 -aS'cath\tcath\tNN\tI-NP\tO' -p168324 -aS'drain\tdrain\tNN\tI-NP\tO' -p168325 -aS'.\t.\t.\tO\tO' -p168326 -asS'She knows to return to her local physician for her routine care with her condition unchanged at the time of discharge .' -p168327 -(lp168328 -S'She\tShe\tPRP\tB-NP\tO' -p168329 -aS'knows\tknow\tVBZ\tB-VP\tO' -p168330 -aS'to\tto\tTO\tI-VP\tO' -p168331 -aS'return\treturn\tVB\tI-VP\tO' -p168332 -aS'to\tto\tTO\tB-PP\tO' -p168333 -aS'her\ther\tPRP$\tB-NP\tO' -p168334 -aS'local\tlocal\tJJ\tI-NP\tO' -p168335 -aS'physician\tphysician\tNN\tI-NP\tO' -p168336 -aS'for\tfor\tIN\tB-PP\tO' -p168337 -aS'her\ther\tPRP$\tB-NP\tO' -p168338 -aS'routine\troutine\tJJ\tI-NP\tO' -p168339 -aS'care\tcare\tNN\tI-NP\tO' -p168340 -aS'with\twith\tIN\tB-PP\tO' -p168341 -aS'her\ther\tPRP$\tB-NP\tO' -p168342 -aS'condition\tcondition\tNN\tI-NP\tO' -p168343 -aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' -p168344 -aS'at\tat\tIN\tB-PP\tO' -p168345 -aS'the\tthe\tDT\tB-NP\tO' -p168346 -aS'time\ttime\tNN\tI-NP\tO' -p168347 -aS'of\tof\tIN\tB-PP\tO' -p168348 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p168349 -aS'.\t.\t.\tO\tO' -p168350 -asS'Family History : sister who is 26 also has ESRD on HD ( ? etiology )' -p168351 -(lp168352 -S'Family\tFamily\tRB\tB-NP\tO' -p168353 -aS'History\tHistory\tNN\tI-NP\tO' -p168354 -aS':\t:\t:\tO\tO' -p168355 -aS'sister\tsister\tNN\tB-NP\tO' -p168356 -aS'who\twho\tWP\tB-NP\tO' -p168357 -aS'is\tbe\tVBZ\tB-VP\tO' -p168358 -aS'26\t26\tCD\tB-NP\tO' -p168359 -aS'also\talso\tRB\tB-ADVP\tO' -p168360 -aS'has\thave\tVBZ\tB-VP\tO' -p168361 -aS'ESRD\tESRD\tNN\tB-NP\tO' -p168362 -aS'on\ton\tIN\tB-PP\tO' -p168363 -aS'HD\tHD\tNN\tB-NP\tO' -p168364 -aS'(\t(\t(\tO\tO' -p168365 -aS'?\t?\t.\tO\tO' -p168366 -aS'etiology\tetiology\tNN\tB-NP\tO' -p168367 -aS')\t)\t)\tO\tO' -p168368 -asS'The next day she developed a fever and she was started on levofloxacin for a potential UTI .' -p168369 -(lp168370 -S'The\tThe\tDT\tB-NP\tO' -p168371 -aS'next\tnext\tJJ\tI-NP\tO' -p168372 -aS'day\tday\tNN\tI-NP\tO' -p168373 -aS'she\tshe\tPRP\tB-NP\tO' -p168374 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p168375 -aS'a\ta\tDT\tB-NP\tO' -p168376 -aS'fever\tfever\tNN\tI-NP\tO' -p168377 -aS'and\tand\tCC\tO\tO' -p168378 -aS'she\tshe\tPRP\tB-NP\tO' -p168379 -aS'was\tbe\tVBD\tB-VP\tO' -p168380 -aS'started\tstart\tVBN\tI-VP\tO' -p168381 -aS'on\ton\tIN\tB-PP\tO' -p168382 -aS'levofloxacin\tlevofloxacin\tNN\tB-NP\tO' -p168383 -aS'for\tfor\tIN\tB-PP\tO' -p168384 -aS'a\ta\tDT\tB-NP\tO' -p168385 -aS'potential\tpotential\tJJ\tI-NP\tO' -p168386 -aS'UTI\tUTI\tNN\tI-NP\tO' -p168387 -aS'.\t.\t.\tO\tO' -p168388 -asS'cataract surgery .' -p168389 -(lp168390 -S'cataract\tcataract\tNN\tB-NP\tO' -p168391 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p168392 -aS'.\t.\t.\tO\tO' -p168393 -asS'She was discharged to home on a regular diet .' -p168394 -(lp168395 -S'She\tShe\tPRP\tB-NP\tO' -p168396 -aS'was\tbe\tVBD\tB-VP\tO' -p168397 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p168398 -aS'to\tto\tTO\tB-PP\tO' -p168399 -aS'home\thome\tNN\tB-NP\tO' -p168400 -aS'on\ton\tIN\tB-PP\tO' -p168401 -aS'a\ta\tDT\tB-NP\tO' -p168402 -aS'regular\tregular\tJJ\tI-NP\tO' -p168403 -aS'diet\tdiet\tNN\tI-NP\tO' -p168404 -aS'.\t.\t.\tO\tO' -p168405 -asS'Mother and father died of heart failure .' -p168406 -(lp168407 -S'Mother\tMother\tNN\tB-NP\tO' -p168408 -aS'and\tand\tCC\tI-NP\tO' -p168409 -aS'father\tfather\tNN\tI-NP\tO' -p168410 -aS'died\tdie\tVBD\tB-VP\tO' -p168411 -aS'of\tof\tIN\tB-PP\tO' -p168412 -aS'heart\theart\tNN\tB-NP\tO' -p168413 -aS'failure\tfailure\tNN\tI-NP\tO' -p168414 -aS'.\t.\t.\tO\tO' -p168415 -asS'She remained mostly in a normal sinus rhythm and transitioned to oral Amiodarone which will need to continue for three months postop .' -p168416 -(lp168417 -S'She\tShe\tPRP\tB-NP\tO' -p168418 -aS'remained\tremain\tVBD\tB-VP\tO' -p168419 -aS'mostly\tmostly\tRB\tB-ADVP\tO' -p168420 -aS'in\tin\tIN\tB-PP\tO' -p168421 -aS'a\ta\tDT\tB-NP\tO' -p168422 -aS'normal\tnormal\tJJ\tI-NP\tO' -p168423 -aS'sinus\tsinus\tNN\tI-NP\tO' -p168424 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p168425 -aS'and\tand\tCC\tO\tO' -p168426 -aS'transitioned\ttransitione\tVBN\tB-VP\tO' -p168427 -aS'to\tto\tTO\tB-PP\tO' -p168428 -aS'oral\toral\tJJ\tB-NP\tO' -p168429 -aS'Amiodarone\tAmiodarone\tNN\tI-NP\tO' -p168430 -aS'which\twhich\tWDT\tB-NP\tO' -p168431 -aS'will\twill\tMD\tB-VP\tO' -p168432 -aS'need\tneed\tVB\tI-VP\tO' -p168433 -aS'to\tto\tTO\tI-VP\tO' -p168434 -aS'continue\tcontinue\tVB\tI-VP\tO' -p168435 -aS'for\tfor\tIN\tB-PP\tO' -p168436 -aS'three\tthree\tCD\tB-NP\tO' -p168437 -aS'months\tmonth\tNNS\tI-NP\tO' -p168438 -aS'postop\tpostop\tVBP\tB-VP\tO' -p168439 -aS'.\t.\t.\tO\tO' -p168440 -asS'Her past medical history is notable for bilateral lower extremity venous insufficiency with edema , hypertension .' -p168441 -(lp168442 -S'Her\tHer\tPRP$\tB-NP\tO' -p168443 -aS'past\tpast\tJJ\tI-NP\tO' -p168444 -aS'medical\tmedical\tJJ\tI-NP\tO' -p168445 -aS'history\thistory\tNN\tI-NP\tO' -p168446 -aS'is\tbe\tVBZ\tB-VP\tO' -p168447 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p168448 -aS'for\tfor\tIN\tB-PP\tO' -p168449 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p168450 -aS'lower\tlow\tJJR\tI-NP\tO' -p168451 -aS'extremity\textremity\tNN\tI-NP\tO' -p168452 -aS'venous\tvenous\tJJ\tI-NP\tO' -p168453 -aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' -p168454 -aS'with\twith\tIN\tB-PP\tO' -p168455 -aS'edema\tedema\tNN\tB-NP\tO' -p168456 -aS',\t,\t,\tO\tO' -p168457 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p168458 -aS'.\t.\t.\tO\tO' -p168459 -asS'ORIF with repair of neck fracture 2016-03-23 .' -p168460 -(lp168461 -S'ORIF\tORIF\tNN\tB-NP\tB-protein' -p168462 -aS'with\twith\tIN\tB-PP\tO' -p168463 -aS'repair\trepair\tNN\tB-NP\tO' -p168464 -aS'of\tof\tIN\tB-PP\tO' -p168465 -aS'neck\tneck\tNN\tB-NP\tO' -p168466 -aS'fracture\tfracture\tNN\tI-NP\tO' -p168467 -aS'2016-03-23\t2016-03-23\tCD\tI-NP\tO' -p168468 -aS'.\t.\t.\tO\tO' -p168469 -asS'He complied with Linda Chad diet while hospitalized .' -p168470 -(lp168471 -S'He\tHe\tPRP\tB-NP\tO' -p168472 -aS'complied\tcomply\tVBD\tB-VP\tO' -p168473 -aS'with\twith\tIN\tB-PP\tO' -p168474 -aS'Linda\tLinda\tNNP\tB-NP\tO' -p168475 -aS'Chad\tChad\tNNP\tI-NP\tO' -p168476 -aS'diet\tdiet\tNN\tI-NP\tO' -p168477 -aS'while\twhile\tIN\tB-SBAR\tO' -p168478 -aS'hospitalized\thospitalize\tVBN\tB-VP\tO' -p168479 -aS'.\t.\t.\tO\tO' -p168480 -asS'The patient was subsequently admitted to the cardiothoracic service under the direction of Dr. Brenda Hummer .' -p168481 -(lp168482 -S'The\tThe\tDT\tB-NP\tO' -p168483 -aS'patient\tpatient\tNN\tI-NP\tO' -p168484 -aS'was\tbe\tVBD\tB-VP\tO' -p168485 -aS'subsequently\tsubsequently\tRB\tI-VP\tO' -p168486 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p168487 -aS'to\tto\tTO\tB-PP\tO' -p168488 -aS'the\tthe\tDT\tB-NP\tO' -p168489 -aS'cardiothoracic\tcardiothoracic\tJJ\tI-NP\tO' -p168490 -aS'service\tservice\tNN\tI-NP\tO' -p168491 -aS'under\tunder\tIN\tB-PP\tO' -p168492 -aS'the\tthe\tDT\tB-NP\tO' -p168493 -aS'direction\tdirection\tNN\tI-NP\tO' -p168494 -aS'of\tof\tIN\tB-PP\tO' -p168495 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p168496 -aS'Brenda\tBrenda\tNNP\tI-NP\tO' -p168497 -aS'Hummer\tHummer\tNNP\tI-NP\tO' -p168498 -aS'.\t.\t.\tO\tO' -p168499 -asS'PLEASE CALL DR. Barnett OFFICE ( ( 443 ) 316 6447 FOR A FOLLOW-UP APPOINTMENT IN 1-2 WEEKS .' -p168500 -(lp168501 -S'PLEASE\tPLEASE\tNNP\tB-NP\tO' -p168502 -aS'CALL\tCALL\tNNP\tI-NP\tO' -p168503 -aS'DR.\tDR.\tNNP\tI-NP\tO' -p168504 -aS'Barnett\tBarnett\tNNP\tI-NP\tO' -p168505 -aS'OFFICE\tOFFICE\tNNP\tI-NP\tO' -p168506 -aS'(\t(\t(\tO\tO' -p168507 -aS'(\t(\t(\tO\tO' -p168508 -aS'443\t443\tCD\tB-NP\tO' -p168509 -aS')\t)\t)\tO\tO' -p168510 -aS'316\t316\tCD\tB-NP\tO' -p168511 -aS'6447\t6447\tCD\tI-NP\tO' -p168512 -aS'FOR\tFOR\tNN\tI-NP\tO' -p168513 -aS'A\tA\tNN\tI-NP\tO' -p168514 -aS'FOLLOW-UP\tFOLLOW-UP\tNN\tI-NP\tO' -p168515 -aS'APPOINTMENT\tAPPOINTMENT\tNN\tI-NP\tO' -p168516 -aS'IN\tIN\tIN\tB-PP\tO' -p168517 -aS'1-2\t1-2\tCD\tB-NP\tO' -p168518 -aS'WEEKS\tWEEKS\tNNS\tI-NP\tO' -p168519 -aS'.\t.\t.\tO\tO' -p168520 -asS'She had a postoperative CT scan that revealed partial decompression of the spinal canal and good placement of her hardware .' -p168521 -(lp168522 -S'She\tShe\tPRP\tB-NP\tO' -p168523 -aS'had\thave\tVBD\tB-VP\tO' -p168524 -aS'a\ta\tDT\tB-NP\tO' -p168525 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p168526 -aS'CT\tCT\tNN\tI-NP\tO' -p168527 -aS'scan\tscan\tNN\tI-NP\tO' -p168528 -aS'that\tthat\tWDT\tB-NP\tO' -p168529 -aS'revealed\treveal\tVBD\tB-VP\tO' -p168530 -aS'partial\tpartial\tJJ\tB-NP\tO' -p168531 -aS'decompression\tdecompression\tNN\tI-NP\tO' -p168532 -aS'of\tof\tIN\tB-PP\tO' -p168533 -aS'the\tthe\tDT\tB-NP\tO' -p168534 -aS'spinal\tspinal\tJJ\tI-NP\tO' -p168535 -aS'canal\tcanal\tNN\tI-NP\tO' -p168536 -aS'and\tand\tCC\tO\tO' -p168537 -aS'good\tgood\tJJ\tB-NP\tO' -p168538 -aS'placement\tplacement\tNN\tI-NP\tO' -p168539 -aS'of\tof\tIN\tB-PP\tO' -p168540 -aS'her\ther\tPRP$\tB-NP\tO' -p168541 -aS'hardware\thardware\tNN\tI-NP\tO' -p168542 -aS'.\t.\t.\tO\tO' -p168543 -asS'Over the course of the first hospital day , the patient 's exam deteriorated in a manner that appeared to be blood pressure dependent .' -p168544 -(lp168545 -S'Over\tOver\tIN\tB-PP\tO' -p168546 -aS'the\tthe\tDT\tB-NP\tO' -p168547 -aS'course\tcourse\tNN\tI-NP\tO' -p168548 -aS'of\tof\tIN\tB-PP\tO' -p168549 -aS'the\tthe\tDT\tB-NP\tO' -p168550 -aS'first\tfirst\tJJ\tI-NP\tO' -p168551 -aS'hospital\thospital\tNN\tI-NP\tO' -p168552 -aS'day\tday\tNN\tI-NP\tO' -p168553 -aS',\t,\t,\tO\tO' -p168554 -aS'the\tthe\tDT\tB-NP\tO' -p168555 -aS'patient\tpatient\tNN\tI-NP\tO' -p168556 -aS''s\t'\tNNS\tI-NP\tO' -p168557 -aS'exam\texam\tNN\tI-NP\tO' -p168558 -aS'deteriorated\tdeteriorate\tVBN\tB-VP\tO' -p168559 -aS'in\tin\tIN\tB-PP\tO' -p168560 -aS'a\ta\tDT\tB-NP\tO' -p168561 -aS'manner\tmanner\tNN\tI-NP\tO' -p168562 -aS'that\tthat\tWDT\tB-NP\tO' -p168563 -aS'appeared\tappear\tVBD\tB-VP\tO' -p168564 -aS'to\tto\tTO\tI-VP\tO' -p168565 -aS'be\tbe\tVB\tI-VP\tO' -p168566 -aS'blood\tblood\tNN\tB-NP\tO' -p168567 -aS'pressure\tpressure\tNN\tI-NP\tO' -p168568 -aS'dependent\tdependent\tJJ\tB-ADJP\tO' -p168569 -aS'.\t.\t.\tO\tO' -p168570 -asS"The patient 's arterial blood gases in the Emergency Department were 7.19 , 22 and 109 with a bicarbonate of 9 and a fingerstick of greater than 500 ." -p168571 -(lp168572 -S'The\tThe\tDT\tB-NP\tO' -p168573 -aS'patient\tpatient\tNN\tI-NP\tO' -p168574 -aS"'s\t's\tPOS\tB-NP\tO" -p168575 -aS'arterial\tarterial\tJJ\tI-NP\tO' -p168576 -aS'blood\tblood\tNN\tI-NP\tO' -p168577 -aS'gases\tgas\tNNS\tI-NP\tO' -p168578 -aS'in\tin\tIN\tB-PP\tO' -p168579 -aS'the\tthe\tDT\tB-NP\tO' -p168580 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p168581 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p168582 -aS'were\tbe\tVBD\tB-VP\tO' -p168583 -aS'7.19\t7.19\tCD\tB-NP\tO' -p168584 -aS',\t,\t,\tI-NP\tO' -p168585 -aS'22\t22\tCD\tI-NP\tO' -p168586 -aS'and\tand\tCC\tI-NP\tO' -p168587 -aS'109\t109\tCD\tI-NP\tO' -p168588 -aS'with\twith\tIN\tB-PP\tO' -p168589 -aS'a\ta\tDT\tB-NP\tO' -p168590 -aS'bicarbonate\tbicarbonate\tNN\tI-NP\tO' -p168591 -aS'of\tof\tIN\tB-PP\tO' -p168592 -aS'9\t9\tCD\tB-NP\tO' -p168593 -aS'and\tand\tCC\tO\tO' -p168594 -aS'a\ta\tDT\tB-NP\tO' -p168595 -aS'fingerstick\tfingerstick\tNN\tI-NP\tO' -p168596 -aS'of\tof\tIN\tB-PP\tO' -p168597 -aS'greater\tgreat\tJJR\tB-NP\tO' -p168598 -aS'than\tthan\tIN\tI-NP\tO' -p168599 -aS'500\t500\tCD\tI-NP\tO' -p168600 -aS'.\t.\t.\tO\tO' -p168601 -asS'Telemetry was notable for episodes of sinus tachycardia to 120s to 140s only .' -p168602 -(lp168603 -S'Telemetry\tTelemetry\tNNP\tB-NP\tO' -p168604 -aS'was\tbe\tVBD\tB-VP\tO' -p168605 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p168606 -aS'for\tfor\tIN\tB-PP\tO' -p168607 -aS'episodes\tepisode\tNNS\tB-NP\tO' -p168608 -aS'of\tof\tIN\tB-PP\tO' -p168609 -aS'sinus\tsinus\tNN\tB-NP\tO' -p168610 -aS'tachycardia\ttachycardia\tNN\tI-NP\tO' -p168611 -aS'to\tto\tTO\tB-PP\tO' -p168612 -aS'120s\t120s\tCD\tB-NP\tO' -p168613 -aS'to\tto\tTO\tB-PP\tO' -p168614 -aS'140s\t140s\tCD\tB-NP\tO' -p168615 -aS'only\tonly\tRB\tB-ADVP\tO' -p168616 -aS'.\t.\t.\tO\tO' -p168617 -asS'4. 7-12-93 , 7-14 , 7-20 , 7-22 , and 7-24 , were the same as 7-10-93 , and 7-17 was the same with the addition of tracheostomy were same as 7-10 ,' -p168618 -(lp168619 -S'4.\t4.\tLS\tB-NP\tO' -p168620 -aS'7-12-93\t7-12-93\tCD\tI-NP\tO' -p168621 -aS',\t,\t,\tI-NP\tO' -p168622 -aS'7-14\t7-14\tCD\tI-NP\tO' -p168623 -aS',\t,\t,\tI-NP\tO' -p168624 -aS'7-20\t7-20\tCD\tI-NP\tO' -p168625 -aS',\t,\t,\tI-NP\tO' -p168626 -aS'7-22\t7-22\tCD\tI-NP\tO' -p168627 -aS',\t,\t,\tO\tO' -p168628 -aS'and\tand\tCC\tO\tO' -p168629 -aS'7-24\t7-24\tCD\tB-NP\tO' -p168630 -aS',\t,\t,\tO\tO' -p168631 -aS'were\tbe\tVBD\tB-VP\tO' -p168632 -aS'the\tthe\tDT\tB-NP\tO' -p168633 -aS'same\tsame\tJJ\tI-NP\tO' -p168634 -aS'as\tas\tIN\tB-PP\tO' -p168635 -aS'7-10-93\t7-10-93\tNN\tB-NP\tO' -p168636 -aS',\t,\t,\tO\tO' -p168637 -aS'and\tand\tCC\tO\tO' -p168638 -aS'7-17\t7-17\tCD\tB-NP\tO' -p168639 -aS'was\tbe\tVBD\tB-VP\tO' -p168640 -aS'the\tthe\tDT\tB-NP\tO' -p168641 -aS'same\tsame\tJJ\tI-NP\tO' -p168642 -aS'with\twith\tIN\tB-PP\tO' -p168643 -aS'the\tthe\tDT\tB-NP\tO' -p168644 -aS'addition\taddition\tNN\tI-NP\tO' -p168645 -aS'of\tof\tIN\tB-PP\tO' -p168646 -aS'tracheostomy\ttracheostomy\tNN\tB-NP\tO' -p168647 -aS'were\tbe\tVBD\tB-VP\tO' -p168648 -aS'same\tsame\tJJ\tB-ADJP\tO' -p168649 -aS'as\tas\tIN\tB-PP\tO' -p168650 -aS'7-10\t7-10\tCD\tB-NP\tO' -p168651 -aS',\t,\t,\tO\tO' -p168652 -asS'There was no evidence of any middle compartment lymphadenopathy or spread of the tumor outside the thyroid .' -p168653 -(lp168654 -S'There\tThere\tEX\tB-NP\tO' -p168655 -aS'was\tbe\tVBD\tB-VP\tO' -p168656 -aS'no\tno\tDT\tB-NP\tO' -p168657 -aS'evidence\tevidence\tNN\tI-NP\tO' -p168658 -aS'of\tof\tIN\tB-PP\tO' -p168659 -aS'any\tany\tDT\tB-NP\tO' -p168660 -aS'middle\tmiddle\tJJ\tI-NP\tO' -p168661 -aS'compartment\tcompartment\tNN\tI-NP\tO' -p168662 -aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' -p168663 -aS'or\tor\tCC\tI-NP\tO' -p168664 -aS'spread\tspread\tNN\tI-NP\tO' -p168665 -aS'of\tof\tIN\tB-PP\tO' -p168666 -aS'the\tthe\tDT\tB-NP\tO' -p168667 -aS'tumor\ttumor\tNN\tI-NP\tO' -p168668 -aS'outside\toutside\tIN\tB-PP\tO' -p168669 -aS'the\tthe\tDT\tB-NP\tO' -p168670 -aS'thyroid\tthyroid\tNN\tI-NP\tO' -p168671 -aS'.\t.\t.\tO\tO' -p168672 -asS'CMI ; then to Medcine ; then transferred to CCU' -p168673 -(lp168674 -S'CMI\tCMI\tNN\tB-NP\tO' -p168675 -aS';\t;\t:\tO\tO' -p168676 -aS'then\tthen\tRB\tB-ADVP\tO' -p168677 -aS'to\tto\tTO\tB-PP\tO' -p168678 -aS'Medcine\tMedcine\tNN\tB-NP\tO' -p168679 -aS';\t;\t:\tO\tO' -p168680 -aS'then\tthen\tRB\tB-ADVP\tO' -p168681 -aS'transferred\ttransfer\tVBN\tB-VP\tO' -p168682 -aS'to\tto\tTO\tB-PP\tO' -p168683 -aS'CCU\tCCU\tNN\tB-NP\tO' -p168684 -asS'There was no nystagmus and no ptosis .' -p168685 -(lp168686 -S'There\tThere\tEX\tB-NP\tO' -p168687 -aS'was\tbe\tVBD\tB-VP\tO' -p168688 -aS'no\tno\tDT\tB-NP\tO' -p168689 -aS'nystagmus\tnystagmus\tNN\tI-NP\tO' -p168690 -aS'and\tand\tCC\tO\tO' -p168691 -aS'no\tno\tDT\tB-NP\tO' -p168692 -aS'ptosis\tptosis\tNN\tI-NP\tO' -p168693 -aS'.\t.\t.\tO\tO' -p168694 -asS'She was taken to the OR for exploration and drainage .' -p168695 -(lp168696 -S'She\tShe\tPRP\tB-NP\tO' -p168697 -aS'was\tbe\tVBD\tB-VP\tO' -p168698 -aS'taken\ttake\tVBN\tI-VP\tO' -p168699 -aS'to\tto\tTO\tB-PP\tO' -p168700 -aS'the\tthe\tDT\tB-NP\tO' -p168701 -aS'OR\tOR\tNN\tI-NP\tO' -p168702 -aS'for\tfor\tIN\tB-PP\tO' -p168703 -aS'exploration\texploration\tNN\tB-NP\tO' -p168704 -aS'and\tand\tCC\tI-NP\tO' -p168705 -aS'drainage\tdrainage\tNN\tI-NP\tO' -p168706 -aS'.\t.\t.\tO\tO' -p168707 -asS'In summary , he had a coronary artery bypass graft times 4 with a LIMA to the LAD , saphenous vein graft OM1 , saphenous vein graft OM2 and saphenous vein graft of the diagonal .' -p168708 -(lp168709 -S'In\tIn\tIN\tB-PP\tO' -p168710 -aS'summary\tsummary\tNN\tB-NP\tO' -p168711 -aS',\t,\t,\tO\tO' -p168712 -aS'he\the\tPRP\tB-NP\tO' -p168713 -aS'had\thave\tVBD\tB-VP\tO' -p168714 -aS'a\ta\tDT\tB-NP\tO' -p168715 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p168716 -aS'artery\tartery\tNN\tI-NP\tO' -p168717 -aS'bypass\tbypass\tIN\tB-PP\tO' -p168718 -aS'graft\tgraft\tNN\tB-NP\tO' -p168719 -aS'times\ttime\tNNS\tI-NP\tO' -p168720 -aS'4\t4\tCD\tB-NP\tO' -p168721 -aS'with\twith\tIN\tB-PP\tO' -p168722 -aS'a\ta\tDT\tB-NP\tO' -p168723 -aS'LIMA\tLIMA\tNN\tI-NP\tO' -p168724 -aS'to\tto\tTO\tB-PP\tO' -p168725 -aS'the\tthe\tDT\tB-NP\tO' -p168726 -aS'LAD\tLAD\tNN\tI-NP\tO' -p168727 -aS',\t,\t,\tO\tO' -p168728 -aS'saphenous\tsaphenous\tJJ\tB-NP\tO' -p168729 -aS'vein\tvein\tNN\tI-NP\tO' -p168730 -aS'graft\tgraft\tNN\tI-NP\tO' -p168731 -aS'OM1\tOM1\tNN\tI-NP\tO' -p168732 -aS',\t,\t,\tO\tO' -p168733 -aS'saphenous\tsaphenous\tJJ\tB-NP\tO' -p168734 -aS'vein\tvein\tNN\tI-NP\tO' -p168735 -aS'graft\tgraft\tNN\tI-NP\tO' -p168736 -aS'OM2\tOM2\tNN\tI-NP\tO' -p168737 -aS'and\tand\tCC\tO\tO' -p168738 -aS'saphenous\tsaphenous\tJJ\tB-NP\tO' -p168739 -aS'vein\tvein\tNN\tI-NP\tO' -p168740 -aS'graft\tgraft\tNN\tI-NP\tO' -p168741 -aS'of\tof\tIN\tB-PP\tO' -p168742 -aS'the\tthe\tDT\tB-NP\tO' -p168743 -aS'diagonal\tdiagonal\tNN\tI-NP\tO' -p168744 -aS'.\t.\t.\tO\tO' -p168745 -asS'2. Mycophenolate Mofetil 500 mg Tablet Sig : Three ( 3 ) Tablet PO BID ( 2 times a day ) .' -p168746 -(lp168747 -S'2.\t2.\tLS\tB-NP\tO' -p168748 -aS'Mycophenolate\tMycophenolate\tNN\tI-NP\tO' -p168749 -aS'Mofetil\tMofetil\tNN\tI-NP\tO' -p168750 -aS'500\t500\tCD\tI-NP\tO' -p168751 -aS'mg\tmg\tNN\tI-NP\tO' -p168752 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p168753 -aS'Sig\tSig\tNNP\tI-NP\tO' -p168754 -aS':\t:\t:\tO\tO' -p168755 -aS'Three\tThree\tCD\tB-NP\tO' -p168756 -aS'(\t(\t(\tO\tO' -p168757 -aS'3\t3\tCD\tB-NP\tO' -p168758 -aS')\t)\t)\tO\tO' -p168759 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p168760 -aS'PO\tPO\tNN\tI-NP\tO' -p168761 -aS'BID\tBID\tNN\tI-NP\tO' -p168762 -aS'(\t(\t(\tO\tO' -p168763 -aS'2\t2\tCD\tB-NP\tO' -p168764 -aS'times\ttime\tNNS\tI-NP\tO' -p168765 -aS'a\ta\tDT\tB-NP\tO' -p168766 -aS'day\tday\tNN\tI-NP\tO' -p168767 -aS')\t)\t)\tO\tO' -p168768 -aS'.\t.\t.\tO\tO' -p168769 -asS'Pylori serology checked ( pending at time of discharge ) .' -p168770 -(lp168771 -S'Pylori\tPylori\tNN\tB-NP\tO' -p168772 -aS'serology\tserology\tNN\tI-NP\tO' -p168773 -aS'checked\tcheck\tVBD\tB-VP\tO' -p168774 -aS'(\t(\t(\tO\tO' -p168775 -aS'pending\tpende\tVBG\tB-VP\tO' -p168776 -aS'at\tat\tIN\tB-PP\tO' -p168777 -aS'time\ttime\tNN\tB-NP\tO' -p168778 -aS'of\tof\tIN\tB-PP\tO' -p168779 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p168780 -aS')\t)\t)\tO\tO' -p168781 -aS'.\t.\t.\tO\tO' -p168782 -asS'By the time of discharge , infant is feedign BM or enfamil 24 cals / oz PO ad lib , with adequate intake and adequate weight gain .' -p168783 -(lp168784 -S'By\tBy\tIN\tB-PP\tO' -p168785 -aS'the\tthe\tDT\tB-NP\tO' -p168786 -aS'time\ttime\tNN\tI-NP\tO' -p168787 -aS'of\tof\tIN\tB-PP\tO' -p168788 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p168789 -aS',\t,\t,\tO\tO' -p168790 -aS'infant\tinfant\tNN\tB-NP\tO' -p168791 -aS'is\tbe\tVBZ\tB-VP\tO' -p168792 -aS'feedign\tfeedign\tNN\tB-NP\tO' -p168793 -aS'BM\tBM\tNN\tI-NP\tO' -p168794 -aS'or\tor\tCC\tO\tO' -p168795 -aS'enfamil\tenfamil\tNN\tB-NP\tO' -p168796 -aS'24\t24\tCD\tB-NP\tO' -p168797 -aS'cals\tcal\tNNS\tI-NP\tO' -p168798 -aS'/\t/\tSYM\tB-NP\tO' -p168799 -aS'oz\toz\tNN\tI-NP\tO' -p168800 -aS'PO\tPO\tNN\tI-NP\tO' -p168801 -aS'ad\tad\tNN\tI-NP\tO' -p168802 -aS'lib\tlib\tNN\tI-NP\tO' -p168803 -aS',\t,\t,\tO\tO' -p168804 -aS'with\twith\tIN\tB-PP\tO' -p168805 -aS'adequate\tadequate\tJJ\tB-NP\tO' -p168806 -aS'intake\tintake\tNN\tI-NP\tO' -p168807 -aS'and\tand\tCC\tO\tO' -p168808 -aS'adequate\tadequate\tJJ\tB-NP\tO' -p168809 -aS'weight\tweight\tNN\tI-NP\tO' -p168810 -aS'gain\tgain\tNN\tI-NP\tO' -p168811 -aS'.\t.\t.\tO\tO' -p168812 -asS'However he had a report of emesis of coffee grounds on postoperative night #1 .' -p168813 -(lp168814 -S'However\tHowever\tRB\tB-ADVP\tO' -p168815 -aS'he\the\tPRP\tB-NP\tO' -p168816 -aS'had\thave\tVBD\tB-VP\tO' -p168817 -aS'a\ta\tDT\tB-NP\tO' -p168818 -aS'report\treport\tNN\tI-NP\tO' -p168819 -aS'of\tof\tIN\tB-PP\tO' -p168820 -aS'emesis\temesis\tNN\tB-NP\tO' -p168821 -aS'of\tof\tIN\tB-PP\tO' -p168822 -aS'coffee\tcoffee\tNN\tB-NP\tO' -p168823 -aS'grounds\tground\tNNS\tI-NP\tO' -p168824 -aS'on\ton\tIN\tB-PP\tO' -p168825 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p168826 -aS'night\tnight\tNN\tI-NP\tO' -p168827 -aS'#1\t#1\tNN\tI-NP\tO' -p168828 -aS'.\t.\t.\tO\tO' -p168829 -asS'5. Pyridoxine 50 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' -p168830 -(lp168831 -S'5.\t5.\tLS\tB-NP\tO' -p168832 -aS'Pyridoxine\tPyridoxine\tNN\tI-NP\tO' -p168833 -aS'50\t50\tCD\tI-NP\tO' -p168834 -aS'mg\tmg\tNN\tI-NP\tO' -p168835 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p168836 -aS'Sig\tSig\tNNP\tI-NP\tO' -p168837 -aS':\t:\t:\tO\tO' -p168838 -aS'One\tOne\tCD\tB-NP\tO' -p168839 -aS'(\t(\t(\tO\tO' -p168840 -aS'1\t1\tCD\tB-NP\tO' -p168841 -aS')\t)\t)\tO\tO' -p168842 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p168843 -aS'PO\tPO\tNN\tI-NP\tO' -p168844 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p168845 -aS'(\t(\t(\tO\tO' -p168846 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p168847 -aS')\t)\t)\tO\tO' -p168848 -aS'.\t.\t.\tO\tO' -p168849 -asS'We recommend daily physical therapy and occupational therapy to maximize functional capacity with optimization of pharmacological regimen for spasticity including Baclofen , Valium and adequate analgesia .' -p168850 -(lp168851 -S'We\tWe\tPRP\tB-NP\tO' -p168852 -aS'recommend\trecommend\tVBP\tB-VP\tO' -p168853 -aS'daily\tdaily\tRB\tB-NP\tO' -p168854 -aS'physical\tphysical\tJJ\tI-NP\tO' -p168855 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p168856 -aS'and\tand\tCC\tO\tO' -p168857 -aS'occupational\toccupational\tJJ\tB-NP\tO' -p168858 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p168859 -aS'to\tto\tTO\tB-VP\tO' -p168860 -aS'maximize\tmaximize\tVB\tI-VP\tO' -p168861 -aS'functional\tfunctional\tJJ\tB-NP\tO' -p168862 -aS'capacity\tcapacity\tNN\tI-NP\tO' -p168863 -aS'with\twith\tIN\tB-PP\tO' -p168864 -aS'optimization\toptimization\tNN\tB-NP\tO' -p168865 -aS'of\tof\tIN\tB-PP\tO' -p168866 -aS'pharmacological\tpharmacological\tJJ\tB-NP\tO' -p168867 -aS'regimen\tregimen\tNN\tI-NP\tO' -p168868 -aS'for\tfor\tIN\tB-PP\tO' -p168869 -aS'spasticity\tspasticity\tNN\tB-NP\tO' -p168870 -aS'including\tinclude\tVBG\tB-PP\tO' -p168871 -aS'Baclofen\tBaclofen\tNN\tB-NP\tO' -p168872 -aS',\t,\t,\tO\tO' -p168873 -aS'Valium\tValium\tNN\tB-NP\tO' -p168874 -aS'and\tand\tCC\tO\tO' -p168875 -aS'adequate\tadequate\tJJ\tB-NP\tO' -p168876 -aS'analgesia\tanalgesia\tNN\tI-NP\tO' -p168877 -aS'.\t.\t.\tO\tO' -p168878 -asS'The patient was continued on Synthroid for her chronic hypothyroidism .' -p168879 -(lp168880 -S'The\tThe\tDT\tB-NP\tO' -p168881 -aS'patient\tpatient\tNN\tI-NP\tO' -p168882 -aS'was\tbe\tVBD\tB-VP\tO' -p168883 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p168884 -aS'on\ton\tIN\tB-PP\tO' -p168885 -aS'Synthroid\tSynthroid\tNNP\tB-NP\tO' -p168886 -aS'for\tfor\tIN\tB-PP\tO' -p168887 -aS'her\ther\tPRP$\tB-NP\tO' -p168888 -aS'chronic\tchronic\tJJ\tI-NP\tO' -p168889 -aS'hypothyroidism\thypothyroidism\tNN\tI-NP\tO' -p168890 -aS'.\t.\t.\tO\tO' -p168891 -asS'Mr. State is an 81-year-old man with a history of restrictive and obstructive lung disease , dilated cardiomyopathy , inferior myocardial infarction , and anterior mediastinal masses admitted with acute onset of pulmonary edema .' -p168892 -(lp168893 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p168894 -aS'State\tState\tNNP\tI-NP\tO' -p168895 -aS'is\tbe\tVBZ\tB-VP\tO' -p168896 -aS'an\tan\tDT\tB-NP\tO' -p168897 -aS'81-year-old\t81-year-old\tJJ\tI-NP\tO' -p168898 -aS'man\tman\tNN\tI-NP\tO' -p168899 -aS'with\twith\tIN\tB-PP\tO' -p168900 -aS'a\ta\tDT\tB-NP\tO' -p168901 -aS'history\thistory\tNN\tI-NP\tO' -p168902 -aS'of\tof\tIN\tB-PP\tO' -p168903 -aS'restrictive\trestrictive\tJJ\tB-NP\tO' -p168904 -aS'and\tand\tCC\tI-NP\tO' -p168905 -aS'obstructive\tobstructive\tJJ\tI-NP\tO' -p168906 -aS'lung\tlung\tNN\tI-NP\tO' -p168907 -aS'disease\tdisease\tNN\tI-NP\tO' -p168908 -aS',\t,\t,\tO\tO' -p168909 -aS'dilated\tdilated\tJJ\tB-NP\tO' -p168910 -aS'cardiomyopathy\tcardiomyopathy\tNN\tI-NP\tO' -p168911 -aS',\t,\t,\tO\tO' -p168912 -aS'inferior\tinferior\tJJ\tB-NP\tO' -p168913 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p168914 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p168915 -aS',\t,\t,\tO\tO' -p168916 -aS'and\tand\tCC\tO\tO' -p168917 -aS'anterior\tanterior\tJJ\tB-NP\tO' -p168918 -aS'mediastinal\tmediastinal\tJJ\tI-NP\tO' -p168919 -aS'masses\tmass\tNNS\tI-NP\tO' -p168920 -aS'admitted\tadmit\tVBN\tB-VP\tO' -p168921 -aS'with\twith\tIN\tB-PP\tO' -p168922 -aS'acute\tacute\tJJ\tB-NP\tO' -p168923 -aS'onset\tonset\tNN\tI-NP\tO' -p168924 -aS'of\tof\tIN\tB-PP\tO' -p168925 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p168926 -aS'edema\tedema\tNN\tI-NP\tO' -p168927 -aS'.\t.\t.\tO\tO' -p168928 -asS'9 ) Prednisone 40 mg p.o. q. day times thirty days beginning on July 27 , 1999 to be followed by a slow taper as directed by the pulmonologist .' -p168929 -(lp168930 -S'9\t9\tCD\tB-NP\tO' -p168931 -aS')\t)\t)\tO\tO' -p168932 -aS'Prednisone\tPrednisone\tNN\tB-NP\tO' -p168933 -aS'40\t40\tCD\tI-NP\tO' -p168934 -aS'mg\tmg\tNN\tI-NP\tO' -p168935 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p168936 -aS'q.\tq.\tNN\tI-NP\tO' -p168937 -aS'day\tday\tNN\tI-NP\tO' -p168938 -aS'times\ttime\tNNS\tI-NP\tO' -p168939 -aS'thirty\tthirty\tCD\tB-NP\tO' -p168940 -aS'days\tday\tNNS\tI-NP\tO' -p168941 -aS'beginning\tbegin\tVBG\tB-PP\tO' -p168942 -aS'on\ton\tIN\tB-PP\tO' -p168943 -aS'July\tJuly\tNNP\tB-NP\tO' -p168944 -aS'27\t27\tCD\tI-NP\tO' -p168945 -aS',\t,\t,\tI-NP\tO' -p168946 -aS'1999\t1999\tCD\tI-NP\tO' -p168947 -aS'to\tto\tTO\tB-VP\tO' -p168948 -aS'be\tbe\tVB\tI-VP\tO' -p168949 -aS'followed\tfollow\tVBN\tI-VP\tO' -p168950 -aS'by\tby\tIN\tB-PP\tO' -p168951 -aS'a\ta\tDT\tB-NP\tO' -p168952 -aS'slow\tslow\tJJ\tI-NP\tO' -p168953 -aS'taper\ttaper\tNN\tI-NP\tO' -p168954 -aS'as\tas\tIN\tB-SBAR\tO' -p168955 -aS'directed\tdirect\tVBN\tB-VP\tO' -p168956 -aS'by\tby\tIN\tB-PP\tO' -p168957 -aS'the\tthe\tDT\tB-NP\tO' -p168958 -aS'pulmonologist\tpulmonologist\tNN\tI-NP\tO' -p168959 -aS'.\t.\t.\tO\tO' -p168960 -asS'At the time of discharge , Mr. Morton had good pain control , was tolerating a regular diet , had a well-healing wound treated with a VAC dressing , and was to continue his IV PCN G and Clindamycin .' -p168961 -(lp168962 -S'At\tAt\tIN\tB-PP\tO' -p168963 -aS'the\tthe\tDT\tB-NP\tO' -p168964 -aS'time\ttime\tNN\tI-NP\tO' -p168965 -aS'of\tof\tIN\tB-PP\tO' -p168966 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p168967 -aS',\t,\t,\tO\tO' -p168968 -aS'Mr.\tMr.\tNNP\tB-NP\tO' -p168969 -aS'Morton\tMorton\tNNP\tI-NP\tO' -p168970 -aS'had\thave\tVBD\tB-VP\tO' -p168971 -aS'good\tgood\tJJ\tB-NP\tO' -p168972 -aS'pain\tpain\tNN\tI-NP\tO' -p168973 -aS'control\tcontrol\tNN\tI-NP\tO' -p168974 -aS',\t,\t,\tO\tO' -p168975 -aS'was\tbe\tVBD\tB-VP\tO' -p168976 -aS'tolerating\ttolerate\tVBG\tI-VP\tO' -p168977 -aS'a\ta\tDT\tB-NP\tO' -p168978 -aS'regular\tregular\tJJ\tI-NP\tO' -p168979 -aS'diet\tdiet\tNN\tI-NP\tO' -p168980 -aS',\t,\t,\tO\tO' -p168981 -aS'had\thave\tVBD\tB-VP\tO' -p168982 -aS'a\ta\tDT\tB-NP\tO' -p168983 -aS'well-healing\twell-healing\tJJ\tI-NP\tO' -p168984 -aS'wound\twound\tNN\tI-NP\tO' -p168985 -aS'treated\ttreat\tVBN\tB-VP\tO' -p168986 -aS'with\twith\tIN\tB-PP\tO' -p168987 -aS'a\ta\tDT\tB-NP\tO' -p168988 -aS'VAC\tVAC\tNN\tI-NP\tO' -p168989 -aS'dressing\tdressing\tNN\tI-NP\tO' -p168990 -aS',\t,\t,\tO\tO' -p168991 -aS'and\tand\tCC\tO\tO' -p168992 -aS'was\tbe\tVBD\tB-VP\tO' -p168993 -aS'to\tto\tTO\tI-VP\tO' -p168994 -aS'continue\tcontinue\tVB\tI-VP\tO' -p168995 -aS'his\this\tPRP$\tB-NP\tO' -p168996 -aS'IV\tIV\tCD\tI-NP\tO' -p168997 -aS'PCN\tPCN\tNN\tI-NP\tO' -p168998 -aS'G\tG\tNN\tI-NP\tO' -p168999 -aS'and\tand\tCC\tI-NP\tO' -p169000 -aS'Clindamycin\tClindamycin\tNN\tI-NP\tO' -p169001 -aS'.\t.\t.\tO\tO' -p169002 -asS'He had a past history of ischemic cardiomyopathy with an ejection fraction of 10 , mild aortic stenosis and a right middle cerebral artery territory stroke in 07/94 .' -p169003 -(lp169004 -S'He\tHe\tPRP\tB-NP\tO' -p169005 -aS'had\thave\tVBD\tB-VP\tO' -p169006 -aS'a\ta\tDT\tB-NP\tO' -p169007 -aS'past\tpast\tJJ\tI-NP\tO' -p169008 -aS'history\thistory\tNN\tI-NP\tO' -p169009 -aS'of\tof\tIN\tB-PP\tO' -p169010 -aS'ischemic\tischemic\tJJ\tB-NP\tO' -p169011 -aS'cardiomyopathy\tcardiomyopathy\tNN\tI-NP\tO' -p169012 -aS'with\twith\tIN\tB-PP\tO' -p169013 -aS'an\tan\tDT\tB-NP\tO' -p169014 -aS'ejection\tejection\tNN\tI-NP\tO' -p169015 -aS'fraction\tfraction\tNN\tI-NP\tO' -p169016 -aS'of\tof\tIN\tB-PP\tO' -p169017 -aS'10\t10\tCD\tB-NP\tO' -p169018 -aS',\t,\t,\tO\tO' -p169019 -aS'mild\tmild\tJJ\tB-NP\tO' -p169020 -aS'aortic\taortic\tJJ\tI-NP\tO' -p169021 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p169022 -aS'and\tand\tCC\tO\tO' -p169023 -aS'a\ta\tDT\tB-NP\tO' -p169024 -aS'right\tright\tJJ\tI-NP\tO' -p169025 -aS'middle\tmiddle\tJJ\tI-NP\tO' -p169026 -aS'cerebral\tcerebral\tJJ\tI-NP\tO' -p169027 -aS'artery\tartery\tNN\tI-NP\tO' -p169028 -aS'territory\tterritory\tNN\tI-NP\tO' -p169029 -aS'stroke\tstroke\tVBD\tB-VP\tO' -p169030 -aS'in\tin\tIN\tB-PP\tO' -p169031 -aS'07/94\t07/94\tCD\tB-NP\tO' -p169032 -aS'.\t.\t.\tO\tO' -p169033 -asS'No BIPAP .' -p169034 -(lp169035 -S'No\tNo\tDT\tB-NP\tO' -p169036 -aS'BIPAP\tBIPAP\tNN\tI-NP\tB-protein' -p169037 -aS'.\t.\t.\tO\tO' -p169038 -asS'In summary the patient is a 59 year-old female who was admitted to Quincy Medical Center for an endoscopic retrograde cholangiopancreatography for possible stent placement for a bile leak secondary to cholecystectomy performed four days prior to admission .' -p169039 -(lp169040 -S'In\tIn\tIN\tB-PP\tO' -p169041 -aS'summary\tsummary\tNN\tB-NP\tO' -p169042 -aS'the\tthe\tDT\tB-NP\tO' -p169043 -aS'patient\tpatient\tNN\tI-NP\tO' -p169044 -aS'is\tbe\tVBZ\tB-VP\tO' -p169045 -aS'a\ta\tDT\tB-NP\tO' -p169046 -aS'59\t59\tCD\tI-NP\tO' -p169047 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p169048 -aS'female\tfemale\tNN\tI-NP\tO' -p169049 -aS'who\twho\tWP\tB-NP\tO' -p169050 -aS'was\tbe\tVBD\tB-VP\tO' -p169051 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p169052 -aS'to\tto\tTO\tB-PP\tO' -p169053 -aS'Quincy\tQuincy\tNNP\tB-NP\tO' -p169054 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p169055 -aS'Center\tCenter\tNNP\tI-NP\tO' -p169056 -aS'for\tfor\tIN\tB-PP\tO' -p169057 -aS'an\tan\tDT\tB-NP\tO' -p169058 -aS'endoscopic\tendoscopic\tJJ\tI-NP\tO' -p169059 -aS'retrograde\tretrograde\tJJ\tI-NP\tO' -p169060 -aS'cholangiopancreatography\tcholangiopancreatography\tNN\tI-NP\tO' -p169061 -aS'for\tfor\tIN\tB-PP\tO' -p169062 -aS'possible\tpossible\tJJ\tB-NP\tO' -p169063 -aS'stent\tstent\tJJ\tI-NP\tO' -p169064 -aS'placement\tplacement\tNN\tI-NP\tO' -p169065 -aS'for\tfor\tIN\tB-PP\tO' -p169066 -aS'a\ta\tDT\tB-NP\tO' -p169067 -aS'bile\tbile\tNN\tI-NP\tO' -p169068 -aS'leak\tleak\tNN\tI-NP\tO' -p169069 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p169070 -aS'to\tto\tTO\tB-PP\tO' -p169071 -aS'cholecystectomy\tcholecystectomy\tNN\tB-NP\tO' -p169072 -aS'performed\tperform\tVBD\tB-VP\tO' -p169073 -aS'four\tfour\tCD\tB-NP\tO' -p169074 -aS'days\tday\tNNS\tI-NP\tO' -p169075 -aS'prior\tprior\tRB\tB-ADVP\tO' -p169076 -aS'to\tto\tTO\tB-PP\tO' -p169077 -aS'admission\tadmission\tNN\tB-NP\tO' -p169078 -aS'.\t.\t.\tO\tO' -p169079 -asS'Do not drive if taking narcotics Call doctor if fever > 101.5 , worsening pain , swelling , or redness of wound , numbness or tingling in extremities or face or any other concerns .' -p169080 -(lp169081 -S'Do\tDo\tVBP\tB-VP\tO' -p169082 -aS'not\tnot\tRB\tI-VP\tO' -p169083 -aS'drive\tdrive\tVB\tI-VP\tO' -p169084 -aS'if\tif\tIN\tB-SBAR\tO' -p169085 -aS'taking\ttake\tVBG\tB-VP\tO' -p169086 -aS'narcotics\tnarcotic\tNNS\tB-NP\tO' -p169087 -aS'Call\tCall\tVB\tB-VP\tO' -p169088 -aS'doctor\tdoctor\tNN\tB-NP\tO' -p169089 -aS'if\tif\tIN\tB-SBAR\tO' -p169090 -aS'fever\tfever\tNN\tB-NP\tO' -p169091 -aS'>\t>\tCC\tO\tO' -p169092 -aS'101.5\t101.5\tCD\tB-NP\tO' -p169093 -aS',\t,\t,\tO\tO' -p169094 -aS'worsening\tworsen\tVBG\tB-VP\tO' -p169095 -aS'pain\tpain\tNN\tB-NP\tO' -p169096 -aS',\t,\t,\tO\tO' -p169097 -aS'swelling\tswelling\tNN\tB-NP\tO' -p169098 -aS',\t,\t,\tO\tO' -p169099 -aS'or\tor\tCC\tO\tO' -p169100 -aS'redness\tredness\tNN\tB-NP\tO' -p169101 -aS'of\tof\tIN\tB-PP\tO' -p169102 -aS'wound\twound\tNN\tB-NP\tO' -p169103 -aS',\t,\t,\tI-NP\tO' -p169104 -aS'numbness\tnumbness\tNN\tI-NP\tO' -p169105 -aS'or\tor\tCC\tI-NP\tO' -p169106 -aS'tingling\ttingling\tNN\tI-NP\tO' -p169107 -aS'in\tin\tIN\tB-PP\tO' -p169108 -aS'extremities\textremity\tNNS\tB-NP\tO' -p169109 -aS'or\tor\tCC\tO\tO' -p169110 -aS'face\tface\tNN\tB-NP\tO' -p169111 -aS'or\tor\tCC\tO\tO' -p169112 -aS'any\tany\tDT\tB-NP\tO' -p169113 -aS'other\tother\tJJ\tI-NP\tO' -p169114 -aS'concerns\tconcern\tNNS\tI-NP\tO' -p169115 -aS'.\t.\t.\tO\tO' -p169116 -asS'The catheterization tip also grew out Serratia .' -p169117 -(lp169118 -S'The\tThe\tDT\tB-NP\tO' -p169119 -aS'catheterization\tcatheterization\tNN\tI-NP\tB-protein' -p169120 -aS'tip\ttip\tNN\tI-NP\tI-protein' -p169121 -aS'also\talso\tRB\tB-ADVP\tO' -p169122 -aS'grew\tgrow\tVBD\tB-VP\tO' -p169123 -aS'out\tout\tRP\tB-PRT\tO' -p169124 -aS'Serratia\tSerratia\tNNP\tB-NP\tO' -p169125 -aS'.\t.\t.\tO\tO' -p169126 -asS'Hearing screen passed on 2016-06-07 .' -p169127 -(lp169128 -S'Hearing\tHear\tVBG\tB-VP\tO' -p169129 -aS'screen\tscreen\tNN\tB-NP\tO' -p169130 -aS'passed\tpass\tVBN\tB-VP\tO' -p169131 -aS'on\ton\tIN\tB-PP\tO' -p169132 -aS'2016-06-07\t2016-06-07\tCD\tB-NP\tO' -p169133 -aS'.\t.\t.\tO\tO' -p169134 -asS'1) Hypertension .' -p169135 -(lp169136 -S'1)\t1)\tLS\tB-NP\tO' -p169137 -aS'Hypertension\tHypertension\tNN\tI-NP\tO' -p169138 -aS'.\t.\t.\tO\tO' -p169139 -asS'She smoked a half pack a day for eight years and quit in 2011-11-19 .' -p169140 -(lp169141 -S'She\tShe\tPRP\tB-NP\tO' -p169142 -aS'smoked\tsmoke\tVBD\tB-VP\tO' -p169143 -aS'a\ta\tDT\tB-NP\tO' -p169144 -aS'half\thalf\tJJ\tI-NP\tO' -p169145 -aS'pack\tpack\tNN\tI-NP\tO' -p169146 -aS'a\ta\tDT\tB-NP\tO' -p169147 -aS'day\tday\tNN\tI-NP\tO' -p169148 -aS'for\tfor\tIN\tB-PP\tO' -p169149 -aS'eight\teight\tCD\tB-NP\tO' -p169150 -aS'years\tyear\tNNS\tI-NP\tO' -p169151 -aS'and\tand\tCC\tO\tO' -p169152 -aS'quit\tquit\tVB\tB-VP\tO' -p169153 -aS'in\tin\tIN\tB-PP\tO' -p169154 -aS'2011-11-19\t2011-11-19\tCD\tB-NP\tO' -p169155 -aS'.\t.\t.\tO\tO' -p169156 -asS'Hauth is a very complicated patient and it was our pleasure to provide care for him at Ph University Of Medical Center .' -p169157 -(lp169158 -S'Hauth\tHauth\tNNP\tB-NP\tO' -p169159 -aS'is\tbe\tVBZ\tB-VP\tO' -p169160 -aS'a\ta\tDT\tB-NP\tO' -p169161 -aS'very\tvery\tRB\tI-NP\tO' -p169162 -aS'complicated\tcomplicate\tVBN\tI-NP\tO' -p169163 -aS'patient\tpatient\tNN\tI-NP\tO' -p169164 -aS'and\tand\tCC\tO\tO' -p169165 -aS'it\tit\tPRP\tB-NP\tO' -p169166 -aS'was\tbe\tVBD\tB-VP\tO' -p169167 -aS'our\tour\tPRP$\tB-NP\tO' -p169168 -aS'pleasure\tpleasure\tNN\tI-NP\tO' -p169169 -aS'to\tto\tTO\tB-VP\tO' -p169170 -aS'provide\tprovide\tVB\tI-VP\tO' -p169171 -aS'care\tcare\tNN\tB-NP\tO' -p169172 -aS'for\tfor\tIN\tB-PP\tO' -p169173 -aS'him\thim\tPRP\tB-NP\tO' -p169174 -aS'at\tat\tIN\tB-PP\tO' -p169175 -aS'Ph\tPh\tNNP\tB-NP\tO' -p169176 -aS'University\tUniversity\tNNP\tI-NP\tO' -p169177 -aS'Of\tOf\tNNP\tI-NP\tO' -p169178 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p169179 -aS'Center\tCenter\tNNP\tI-NP\tO' -p169180 -aS'.\t.\t.\tO\tO' -p169181 -asS'Neurology was consulted and the patient was treated very aggressively , loaded with multiple drugs , including Ativan and Propofol drips .' -p169182 -(lp169183 -S'Neurology\tNeurology\tNN\tB-NP\tO' -p169184 -aS'was\tbe\tVBD\tB-VP\tO' -p169185 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p169186 -aS'and\tand\tCC\tO\tO' -p169187 -aS'the\tthe\tDT\tB-NP\tO' -p169188 -aS'patient\tpatient\tNN\tI-NP\tO' -p169189 -aS'was\tbe\tVBD\tB-VP\tO' -p169190 -aS'treated\ttreat\tVBN\tI-VP\tO' -p169191 -aS'very\tvery\tRB\tB-ADVP\tO' -p169192 -aS'aggressively\taggressively\tRB\tI-ADVP\tO' -p169193 -aS',\t,\t,\tO\tO' -p169194 -aS'loaded\tload\tVBN\tB-VP\tO' -p169195 -aS'with\twith\tIN\tB-PP\tO' -p169196 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p169197 -aS'drugs\tdrug\tNNS\tI-NP\tO' -p169198 -aS',\t,\t,\tO\tO' -p169199 -aS'including\tinclude\tVBG\tB-PP\tO' -p169200 -aS'Ativan\tAtivan\tNN\tB-NP\tO' -p169201 -aS'and\tand\tCC\tI-NP\tO' -p169202 -aS'Propofol\tPropofol\tNN\tI-NP\tO' -p169203 -aS'drips\tdrip\tNNS\tI-NP\tO' -p169204 -aS'.\t.\t.\tO\tO' -p169205 -asS'7. Lisinopril 5 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' -p169206 -(lp169207 -S'7.\t7.\tCD\tB-NP\tO' -p169208 -aS'Lisinopril\tLisinopril\tNNP\tI-NP\tO' -p169209 -aS'5\t5\tCD\tI-NP\tO' -p169210 -aS'mg\tmg\tNN\tI-NP\tO' -p169211 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p169212 -aS'Sig\tSig\tNNP\tI-NP\tO' -p169213 -aS':\t:\t:\tO\tO' -p169214 -aS'One\tOne\tCD\tB-NP\tO' -p169215 -aS'(\t(\t(\tO\tO' -p169216 -aS'1\t1\tCD\tB-NP\tO' -p169217 -aS')\t)\t)\tO\tO' -p169218 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p169219 -aS'PO\tPO\tNN\tI-NP\tO' -p169220 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p169221 -aS'(\t(\t(\tO\tO' -p169222 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p169223 -aS')\t)\t)\tO\tO' -p169224 -aS'.\t.\t.\tO\tO' -p169225 -asS'Twin B with normal fetal survey was transferred to Boston Medical Center at 26 and 2/7 weeks with IUGR of twin A was first noted , presented with preterm labor at 31 weeks .' -p169226 -(lp169227 -S'Twin\tTwin\tNN\tB-NP\tO' -p169228 -aS'B\tB\tNN\tI-NP\tO' -p169229 -aS'with\twith\tIN\tB-PP\tO' -p169230 -aS'normal\tnormal\tJJ\tB-NP\tO' -p169231 -aS'fetal\tfetal\tJJ\tI-NP\tO' -p169232 -aS'survey\tsurvey\tNN\tI-NP\tO' -p169233 -aS'was\tbe\tVBD\tB-VP\tO' -p169234 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p169235 -aS'to\tto\tTO\tB-PP\tO' -p169236 -aS'Boston\tBoston\tNNP\tB-NP\tO' -p169237 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p169238 -aS'Center\tCenter\tNNP\tI-NP\tO' -p169239 -aS'at\tat\tIN\tB-PP\tO' -p169240 -aS'26\t26\tCD\tB-NP\tO' -p169241 -aS'and\tand\tCC\tI-NP\tO' -p169242 -aS'2/7\t2/7\tCD\tI-NP\tO' -p169243 -aS'weeks\tweek\tNNS\tI-NP\tO' -p169244 -aS'with\twith\tIN\tB-PP\tO' -p169245 -aS'IUGR\tIUGR\tNN\tB-NP\tB-protein' -p169246 -aS'of\tof\tIN\tB-PP\tO' -p169247 -aS'twin\ttwin\tNN\tB-NP\tO' -p169248 -aS'A\tA\tNN\tI-NP\tO' -p169249 -aS'was\tbe\tVBD\tB-VP\tO' -p169250 -aS'first\tfirst\tRB\tI-VP\tO' -p169251 -aS'noted\tnote\tVBN\tI-VP\tO' -p169252 -aS',\t,\t,\tO\tO' -p169253 -aS'presented\tpresent\tVBN\tB-VP\tO' -p169254 -aS'with\twith\tIN\tB-PP\tO' -p169255 -aS'preterm\tpreterm\tJJ\tB-NP\tO' -p169256 -aS'labor\tlabor\tNN\tI-NP\tO' -p169257 -aS'at\tat\tIN\tB-PP\tO' -p169258 -aS'31\t31\tCD\tB-NP\tO' -p169259 -aS'weeks\tweek\tNNS\tI-NP\tO' -p169260 -aS'.\t.\t.\tO\tO' -p169261 -asS'6. Warfarin 2 mg Tablet Sig : 1.5 Tablets PO as directed : 3 mg 1943-05-29 and 6/1 then as directed by Dr Mace .' -p169262 -(lp169263 -S'6.\t6.\tCD\tB-NP\tO' -p169264 -aS'Warfarin\tWarfarin\tNN\tI-NP\tO' -p169265 -aS'2\t2\tCD\tB-NP\tO' -p169266 -aS'mg\tmg\tNN\tI-NP\tO' -p169267 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p169268 -aS'Sig\tSig\tNNP\tI-NP\tO' -p169269 -aS':\t:\t:\tO\tO' -p169270 -aS'1.5\t1.5\tCD\tB-NP\tO' -p169271 -aS'Tablets\tTablet\tNNS\tI-NP\tO' -p169272 -aS'PO\tPO\tNN\tI-NP\tO' -p169273 -aS'as\tas\tIN\tB-SBAR\tO' -p169274 -aS'directed\tdirect\tVBN\tB-VP\tO' -p169275 -aS':\t:\t:\tO\tO' -p169276 -aS'3\t3\tCD\tB-NP\tO' -p169277 -aS'mg\tmg\tNN\tI-NP\tO' -p169278 -aS'1943-05-29\t1943-05-29\tCD\tB-NP\tO' -p169279 -aS'and\tand\tCC\tI-NP\tO' -p169280 -aS'6/1\t6/1\tCD\tI-NP\tO' -p169281 -aS'then\tthen\tRB\tB-ADVP\tO' -p169282 -aS'as\tas\tIN\tB-SBAR\tO' -p169283 -aS'directed\tdirect\tVBN\tB-VP\tO' -p169284 -aS'by\tby\tIN\tB-PP\tO' -p169285 -aS'Dr\tDr\tNNP\tB-NP\tO' -p169286 -aS'Mace\tMace\tNNP\tI-NP\tO' -p169287 -aS'.\t.\t.\tO\tO' -p169288 -asS'Review of systems was significant for progressive abdominal discomfort , decreased oral intake , and weakness in the past nine weeks .' -p169289 -(lp169290 -S'Review\tReview\tNN\tB-NP\tO' -p169291 -aS'of\tof\tIN\tB-PP\tO' -p169292 -aS'systems\tsystem\tNNS\tB-NP\tO' -p169293 -aS'was\tbe\tVBD\tB-VP\tO' -p169294 -aS'significant\tsignificant\tJJ\tB-ADJP\tO' -p169295 -aS'for\tfor\tIN\tB-PP\tO' -p169296 -aS'progressive\tprogressive\tJJ\tB-NP\tO' -p169297 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p169298 -aS'discomfort\tdiscomfort\tNN\tI-NP\tO' -p169299 -aS',\t,\t,\tO\tO' -p169300 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p169301 -aS'oral\toral\tJJ\tB-NP\tO' -p169302 -aS'intake\tintake\tNN\tI-NP\tO' -p169303 -aS',\t,\t,\tO\tO' -p169304 -aS'and\tand\tCC\tO\tO' -p169305 -aS'weakness\tweakness\tNN\tB-NP\tO' -p169306 -aS'in\tin\tIN\tB-PP\tO' -p169307 -aS'the\tthe\tDT\tB-NP\tO' -p169308 -aS'past\tpast\tJJ\tI-NP\tO' -p169309 -aS'nine\tnine\tCD\tI-NP\tO' -p169310 -aS'weeks\tweek\tNNS\tI-NP\tO' -p169311 -aS'.\t.\t.\tO\tO' -p169312 -asS'25. Chlorothiazide 250 mg Tablet Sig : Two ( 2 ) Tablet PO DAILY ( Daily ) .' -p169313 -(lp169314 -S'25.\t25.\tLS\tB-NP\tO' -p169315 -aS'Chlorothiazide\tChlorothiazide\tNN\tI-NP\tO' -p169316 -aS'250\t250\tCD\tI-NP\tO' -p169317 -aS'mg\tmg\tNN\tI-NP\tO' -p169318 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p169319 -aS'Sig\tSig\tNNP\tI-NP\tO' -p169320 -aS':\t:\t:\tO\tO' -p169321 -aS'Two\tTwo\tCD\tB-NP\tO' -p169322 -aS'(\t(\t(\tO\tO' -p169323 -aS'2\t2\tCD\tO\tO' -p169324 -aS')\t)\t)\tO\tO' -p169325 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p169326 -aS'PO\tPO\tNN\tI-NP\tO' -p169327 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p169328 -aS'(\t(\t(\tO\tO' -p169329 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p169330 -aS')\t)\t)\tO\tO' -p169331 -aS'.\t.\t.\tO\tO' -p169332 -asS'A CAT scan of the abdomen showed air-fluid levels in the gallbladder .' -p169333 -(lp169334 -S'A\tA\tDT\tB-NP\tO' -p169335 -aS'CAT\tCAT\tNN\tI-NP\tB-protein' -p169336 -aS'scan\tscan\tNN\tI-NP\tO' -p169337 -aS'of\tof\tIN\tB-PP\tO' -p169338 -aS'the\tthe\tDT\tB-NP\tO' -p169339 -aS'abdomen\tabdoman\tNNS\tI-NP\tO' -p169340 -aS'showed\tshow\tVBD\tB-VP\tO' -p169341 -aS'air-fluid\tair-fluid\tJJ\tB-NP\tO' -p169342 -aS'levels\tlevel\tNNS\tI-NP\tO' -p169343 -aS'in\tin\tIN\tB-PP\tO' -p169344 -aS'the\tthe\tDT\tB-NP\tO' -p169345 -aS'gallbladder\tgallbladder\tNN\tI-NP\tO' -p169346 -aS'.\t.\t.\tO\tO' -p169347 -asS'IVC filter placement .' -p169348 -(lp169349 -S'IVC\tIVC\tNN\tB-NP\tO' -p169350 -aS'filter\tfilter\tNN\tI-NP\tO' -p169351 -aS'placement\tplacement\tNN\tI-NP\tO' -p169352 -aS'.\t.\t.\tO\tO' -p169353 -asS'Frozen section sent to pathology revealing invasive squamous cell carcinoma .' -p169354 -(lp169355 -S'Frozen\tFrozen\tJJ\tB-NP\tO' -p169356 -aS'section\tsection\tNN\tI-NP\tO' -p169357 -aS'sent\tsend\tVBN\tB-VP\tO' -p169358 -aS'to\tto\tTO\tB-PP\tO' -p169359 -aS'pathology\tpathology\tNN\tB-NP\tO' -p169360 -aS'revealing\treveal\tVBG\tB-VP\tO' -p169361 -aS'invasive\tinvasive\tJJ\tB-NP\tO' -p169362 -aS'squamous\tsquamous\tJJ\tI-NP\tO' -p169363 -aS'cell\tcell\tNN\tI-NP\tO' -p169364 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p169365 -aS'.\t.\t.\tO\tO' -p169366 -asS'Discharge Diagnosis : s/p fall from 15-20 feet' -p169367 -(lp169368 -S'Discharge\tDischarge\tNNP\tB-NP\tO' -p169369 -aS'Diagnosis\tDiagnosis\tNNP\tI-NP\tO' -p169370 -aS':\t:\t:\tO\tO' -p169371 -aS's/p\ts/p\tNN\tB-NP\tO' -p169372 -aS'fall\tfall\tNN\tI-NP\tO' -p169373 -aS'from\tfrom\tIN\tB-PP\tO' -p169374 -aS'15-20\t15-20\tCD\tB-NP\tO' -p169375 -aS'feet\tfoot\tNNS\tI-NP\tO' -p169376 -asS'No murmurs were noted , although normal heart rates and blood pressures .' -p169377 -(lp169378 -S'No\tNo\tDT\tB-NP\tO' -p169379 -aS'murmurs\tmurmur\tNNS\tI-NP\tO' -p169380 -aS'were\tbe\tVBD\tB-VP\tO' -p169381 -aS'noted\tnote\tVBN\tI-VP\tO' -p169382 -aS',\t,\t,\tO\tO' -p169383 -aS'although\talthough\tIN\tB-SBAR\tO' -p169384 -aS'normal\tnormal\tJJ\tB-NP\tO' -p169385 -aS'heart\theart\tNN\tI-NP\tO' -p169386 -aS'rates\trate\tNNS\tI-NP\tO' -p169387 -aS'and\tand\tCC\tO\tO' -p169388 -aS'blood\tblood\tNN\tB-NP\tO' -p169389 -aS'pressures\tpressure\tNNS\tI-NP\tO' -p169390 -aS'.\t.\t.\tO\tO' -p169391 -asS'Extremities - Feet mildly cool .' -p169392 -(lp169393 -S'Extremities\tExtremity\tNNS\tB-NP\tO' -p169394 -aS'-\t-\t:\tO\tO' -p169395 -aS'Feet\tFeet\tNN\tB-NP\tO' -p169396 -aS'mildly\tmildly\tRB\tB-ADVP\tO' -p169397 -aS'cool\tcool\tVBP\tB-VP\tO' -p169398 -aS'.\t.\t.\tO\tO' -p169399 -asS'The patient was advanced to regular diet on postoperative day one .' -p169400 -(lp169401 -S'The\tThe\tDT\tB-NP\tO' -p169402 -aS'patient\tpatient\tNN\tI-NP\tO' -p169403 -aS'was\tbe\tVBD\tB-VP\tO' -p169404 -aS'advanced\tadvance\tVBN\tI-VP\tO' -p169405 -aS'to\tto\tTO\tB-PP\tO' -p169406 -aS'regular\tregular\tJJ\tB-NP\tO' -p169407 -aS'diet\tdiet\tNN\tI-NP\tO' -p169408 -aS'on\ton\tIN\tB-PP\tO' -p169409 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p169410 -aS'day\tday\tNN\tI-NP\tO' -p169411 -aS'one\tone\tCD\tI-NP\tO' -p169412 -aS'.\t.\t.\tO\tO' -p169413 -asS'The patient will follow-up in the wound care clinic in two weeks .' -p169414 -(lp169415 -S'The\tThe\tDT\tB-NP\tO' -p169416 -aS'patient\tpatient\tNN\tI-NP\tO' -p169417 -aS'will\twill\tMD\tB-VP\tO' -p169418 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p169419 -aS'in\tin\tIN\tB-PP\tO' -p169420 -aS'the\tthe\tDT\tB-NP\tO' -p169421 -aS'wound\twound\tNN\tI-NP\tO' -p169422 -aS'care\tcare\tNN\tI-NP\tO' -p169423 -aS'clinic\tclinic\tNN\tI-NP\tO' -p169424 -aS'in\tin\tIN\tB-PP\tO' -p169425 -aS'two\ttwo\tCD\tB-NP\tO' -p169426 -aS'weeks\tweek\tNNS\tI-NP\tO' -p169427 -aS'.\t.\t.\tO\tO' -p169428 -asS'Chest x-ray .' -p169429 -(lp169430 -S'Chest\tCh\tJJS\tB-NP\tO' -p169431 -aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' -p169432 -aS'.\t.\t.\tO\tO' -p169433 -asS'The patient was discharged on 09-02 .' -p169434 -(lp169435 -S'The\tThe\tDT\tB-NP\tO' -p169436 -aS'patient\tpatient\tNN\tI-NP\tO' -p169437 -aS'was\tbe\tVBD\tB-VP\tO' -p169438 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p169439 -aS'on\ton\tIN\tB-PP\tO' -p169440 -aS'09-02\t09-02\tCD\tB-NP\tO' -p169441 -aS'.\t.\t.\tO\tO' -p169442 -asS'He was noted to have an erythematous perianal rash and for this was started on Nystatin powder .' -p169443 -(lp169444 -S'He\tHe\tPRP\tB-NP\tO' -p169445 -aS'was\tbe\tVBD\tB-VP\tO' -p169446 -aS'noted\tnote\tVBN\tI-VP\tO' -p169447 -aS'to\tto\tTO\tI-VP\tO' -p169448 -aS'have\thave\tVB\tI-VP\tO' -p169449 -aS'an\tan\tDT\tB-NP\tO' -p169450 -aS'erythematous\terythematous\tJJ\tI-NP\tO' -p169451 -aS'perianal\tperianal\tJJ\tI-NP\tO' -p169452 -aS'rash\trash\tNN\tI-NP\tO' -p169453 -aS'and\tand\tCC\tB-PP\tO' -p169454 -aS'for\tfor\tIN\tB-PP\tO' -p169455 -aS'this\tthis\tDT\tB-NP\tO' -p169456 -aS'was\tbe\tVBD\tB-VP\tO' -p169457 -aS'started\tstart\tVBN\tI-VP\tO' -p169458 -aS'on\ton\tIN\tB-PP\tO' -p169459 -aS'Nystatin\tNystatin\tNN\tB-NP\tO' -p169460 -aS'powder\tpowder\tNN\tI-NP\tO' -p169461 -aS'.\t.\t.\tO\tO' -p169462 -asS'Amy 3 children , 2 daughters and 1 son .' -p169463 -(lp169464 -S'Amy\tAmy\tNNP\tB-NP\tO' -p169465 -aS'3\t3\tCD\tI-NP\tO' -p169466 -aS'children\tchild\tNNS\tI-NP\tO' -p169467 -aS',\t,\t,\tO\tO' -p169468 -aS'2\t2\tCD\tB-NP\tO' -p169469 -aS'daughters\tdaughter\tNNS\tI-NP\tO' -p169470 -aS'and\tand\tCC\tO\tO' -p169471 -aS'1\t1\tCD\tB-NP\tO' -p169472 -aS'son\tson\tNN\tI-NP\tO' -p169473 -aS'.\t.\t.\tO\tO' -p169474 -asS'Following the operation , she was brought to the CSRU .' -p169475 -(lp169476 -S'Following\tFollow\tVBG\tB-PP\tO' -p169477 -aS'the\tthe\tDT\tB-NP\tO' -p169478 -aS'operation\toperation\tNN\tI-NP\tO' -p169479 -aS',\t,\t,\tO\tO' -p169480 -aS'she\tshe\tPRP\tB-NP\tO' -p169481 -aS'was\tbe\tVBD\tB-VP\tO' -p169482 -aS'brought\tbring\tVBN\tI-VP\tO' -p169483 -aS'to\tto\tTO\tB-PP\tO' -p169484 -aS'the\tthe\tDT\tB-NP\tO' -p169485 -aS'CSRU\tCSRU\tNN\tI-NP\tB-DNA' -p169486 -aS'.\t.\t.\tO\tO' -p169487 -asS'LDH 806 .' -p169488 -(lp169489 -S'LDH\tLDH\tNN\tB-NP\tB-protein' -p169490 -aS'806\t806\tCD\tI-NP\tI-protein' -p169491 -aS'.\t.\t.\tO\tO' -p169492 -asS'The family decided to pursue comfort measures .' -p169493 -(lp169494 -S'The\tThe\tDT\tB-NP\tO' -p169495 -aS'family\tfamily\tNN\tI-NP\tO' -p169496 -aS'decided\tdecide\tVBD\tB-VP\tO' -p169497 -aS'to\tto\tTO\tI-VP\tO' -p169498 -aS'pursue\tpursue\tVB\tI-VP\tO' -p169499 -aS'comfort\tcomfort\tNN\tB-NP\tO' -p169500 -aS'measures\tmeasure\tNNS\tI-NP\tO' -p169501 -aS'.\t.\t.\tO\tO' -p169502 -asS'On POD#9 , the patient was afebrile , tolerating a regular diet , ambultating without difficulty and voiding spontaneously .' -p169503 -(lp169504 -S'On\tOn\tIN\tB-PP\tO' -p169505 -aS'POD#9\tPOD#9\tNN\tB-NP\tB-protein' -p169506 -aS',\t,\t,\tO\tO' -p169507 -aS'the\tthe\tDT\tB-NP\tO' -p169508 -aS'patient\tpatient\tNN\tI-NP\tO' -p169509 -aS'was\tbe\tVBD\tB-VP\tO' -p169510 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p169511 -aS',\t,\t,\tO\tO' -p169512 -aS'tolerating\ttolerate\tVBG\tB-VP\tO' -p169513 -aS'a\ta\tDT\tB-NP\tO' -p169514 -aS'regular\tregular\tJJ\tI-NP\tO' -p169515 -aS'diet\tdiet\tNN\tI-NP\tO' -p169516 -aS',\t,\t,\tO\tO' -p169517 -aS'ambultating\tambultate\tVBG\tB-VP\tO' -p169518 -aS'without\twithout\tIN\tB-PP\tO' -p169519 -aS'difficulty\tdifficulty\tNN\tB-NP\tO' -p169520 -aS'and\tand\tCC\tO\tO' -p169521 -aS'voiding\tvoid\tVBG\tB-VP\tO' -p169522 -aS'spontaneously\tspontaneously\tRB\tB-ADVP\tO' -p169523 -aS'.\t.\t.\tO\tO' -p169524 -asS'- transfuse 2 units today , with lasix' -p169525 -(lp169526 -S'-\t-\tHYPH\tB-NP\tO' -p169527 -aS'transfuse\ttransfuse\tNN\tI-NP\tO' -p169528 -aS'2\t2\tCD\tB-NP\tO' -p169529 -aS'units\tunit\tNNS\tI-NP\tO' -p169530 -aS'today\ttoday\tNN\tB-NP\tO' -p169531 -aS',\t,\t,\tO\tO' -p169532 -aS'with\twith\tIN\tB-PP\tO' -p169533 -aS'lasix\tlasix\tNN\tB-NP\tO' -p169534 -asS'Another car was coming behind her did not see her car , hit again , the person checked the car , she was not inside .' -p169535 -(lp169536 -S'Another\tAnother\tDT\tB-NP\tO' -p169537 -aS'car\tcar\tNN\tI-NP\tB-protein' -p169538 -aS'was\tbe\tVBD\tB-VP\tO' -p169539 -aS'coming\tcome\tVBG\tI-VP\tO' -p169540 -aS'behind\tbehind\tIN\tB-ADVP\tO' -p169541 -aS'her\ther\tPRP\tB-NP\tO' -p169542 -aS'did\tdo\tVBD\tB-VP\tO' -p169543 -aS'not\tnot\tRB\tI-VP\tO' -p169544 -aS'see\tsee\tVB\tI-VP\tO' -p169545 -aS'her\ther\tPRP$\tB-NP\tO' -p169546 -aS'car\tcar\tNN\tI-NP\tB-protein' -p169547 -aS',\t,\t,\tO\tO' -p169548 -aS'hit\thit\tVBD\tB-VP\tO' -p169549 -aS'again\tagain\tRB\tB-ADVP\tO' -p169550 -aS',\t,\t,\tO\tO' -p169551 -aS'the\tthe\tDT\tB-NP\tO' -p169552 -aS'person\tperson\tNN\tI-NP\tO' -p169553 -aS'checked\tcheck\tVBD\tB-VP\tO' -p169554 -aS'the\tthe\tDT\tB-NP\tO' -p169555 -aS'car\tcar\tNN\tI-NP\tB-protein' -p169556 -aS',\t,\t,\tO\tO' -p169557 -aS'she\tshe\tPRP\tB-NP\tO' -p169558 -aS'was\tbe\tVBD\tB-VP\tO' -p169559 -aS'not\tnot\tRB\tO\tO' -p169560 -aS'inside\tinside\tRB\tB-ADVP\tO' -p169561 -aS'.\t.\t.\tO\tO' -p169562 -asS'Russell von der Hassler , M.D.' -p169563 -(lp169564 -S'Russell\tRussell\tNNP\tB-NP\tO' -p169565 -aS'von\tvon\tNNP\tI-NP\tO' -p169566 -aS'der\tder\tNNP\tI-NP\tO' -p169567 -aS'Hassler\tHassler\tNNP\tI-NP\tO' -p169568 -aS',\t,\t,\tO\tO' -p169569 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p169570 -asS'Is married but " separated " from his wife , although they still help each other -' -p169571 -(lp169572 -S'Is\tBe\tVBZ\tO\tO' -p169573 -aS'married\tmarried\tJJ\tO\tO' -p169574 -aS'but\tbut\tCC\tO\tO' -p169575 -aS'"\t"\t``\tO\tB-cell_type' -p169576 -aS'separated\tseparate\tVBN\tB-ADJP\tI-cell_type' -p169577 -aS'"\t"\t\'\'\tO\tI-cell_type' -p169578 -aS'from\tfrom\tIN\tB-PP\tO' -p169579 -aS'his\this\tPRP$\tB-NP\tO' -p169580 -aS'wife\twife\tNN\tI-NP\tO' -p169581 -aS',\t,\t,\tO\tO' -p169582 -aS'although\talthough\tIN\tB-SBAR\tO' -p169583 -aS'they\tthey\tPRP\tB-NP\tO' -p169584 -aS'still\tstill\tRB\tB-ADVP\tO' -p169585 -aS'help\thelp\tVBP\tB-VP\tO' -p169586 -aS'each\teach\tDT\tB-NP\tO' -p169587 -aS'other\tother\tJJ\tI-NP\tO' -p169588 -aS'-\t-\tHYPH\tO\tO' -p169589 -asS'within normal .' -p169590 -(lp169591 -S'within\twithin\tIN\tB-PP\tO' -p169592 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p169593 -aS'.\t.\t.\tO\tO' -p169594 -asS'Birth weight was 3850 grams .' -p169595 -(lp169596 -S'Birth\tBirth\tNN\tB-NP\tO' -p169597 -aS'weight\tweight\tNN\tI-NP\tO' -p169598 -aS'was\tbe\tVBD\tB-VP\tO' -p169599 -aS'3850\t3850\tCD\tB-NP\tO' -p169600 -aS'grams\tgram\tNNS\tI-NP\tO' -p169601 -aS'.\t.\t.\tO\tO' -p169602 -asS'The patient was observed for two days with a repeat CT scan showing no changes from the previous examination .' -p169603 -(lp169604 -S'The\tThe\tDT\tB-NP\tO' -p169605 -aS'patient\tpatient\tNN\tI-NP\tO' -p169606 -aS'was\tbe\tVBD\tB-VP\tO' -p169607 -aS'observed\tobserve\tVBN\tI-VP\tO' -p169608 -aS'for\tfor\tIN\tB-PP\tO' -p169609 -aS'two\ttwo\tCD\tB-NP\tO' -p169610 -aS'days\tday\tNNS\tI-NP\tO' -p169611 -aS'with\twith\tIN\tB-PP\tO' -p169612 -aS'a\ta\tDT\tB-NP\tO' -p169613 -aS'repeat\trepeat\tNN\tI-NP\tO' -p169614 -aS'CT\tCT\tNN\tI-NP\tO' -p169615 -aS'scan\tscan\tNN\tI-NP\tO' -p169616 -aS'showing\tshow\tVBG\tB-VP\tO' -p169617 -aS'no\tno\tDT\tB-NP\tO' -p169618 -aS'changes\tchange\tNNS\tI-NP\tO' -p169619 -aS'from\tfrom\tIN\tB-PP\tO' -p169620 -aS'the\tthe\tDT\tB-NP\tO' -p169621 -aS'previous\tprevious\tJJ\tI-NP\tO' -p169622 -aS'examination\texamination\tNN\tI-NP\tO' -p169623 -aS'.\t.\t.\tO\tO' -p169624 -asS'Small posterior tibial occlusion on the distal calf and a small peroneal goes down to the ankle .' -p169625 -(lp169626 -S'Small\tSmall\tJJ\tB-NP\tO' -p169627 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p169628 -aS'tibial\ttibial\tJJ\tI-NP\tO' -p169629 -aS'occlusion\tocclusion\tNN\tI-NP\tO' -p169630 -aS'on\ton\tIN\tB-PP\tO' -p169631 -aS'the\tthe\tDT\tB-NP\tO' -p169632 -aS'distal\tdistal\tJJ\tI-NP\tO' -p169633 -aS'calf\tcalf\tNN\tI-NP\tO' -p169634 -aS'and\tand\tCC\tO\tO' -p169635 -aS'a\ta\tDT\tB-NP\tO' -p169636 -aS'small\tsmall\tJJ\tI-NP\tO' -p169637 -aS'peroneal\tperoneal\tNN\tI-NP\tO' -p169638 -aS'goes\tgo\tVBZ\tB-VP\tO' -p169639 -aS'down\tdown\tRB\tB-ADVP\tO' -p169640 -aS'to\tto\tTO\tB-PP\tO' -p169641 -aS'the\tthe\tDT\tB-NP\tO' -p169642 -aS'ankle\tankle\tNN\tI-NP\tO' -p169643 -aS'.\t.\t.\tO\tO' -p169644 -asS'Past Medical History : see dc summary' -p169645 -(lp169646 -S'Past\tPast\tNNP\tB-NP\tO' -p169647 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p169648 -aS'History\tHistory\tNNP\tI-NP\tO' -p169649 -aS':\t:\t:\tO\tO' -p169650 -aS'see\tsee\tVB\tB-VP\tO' -p169651 -aS'dc\tdc\tNN\tB-NP\tO' -p169652 -aS'summary\tsummary\tNN\tI-NP\tO' -p169653 -asS'Patient tolerated the procedure well without any complications and was taken to the Recovery Room awake and stable then subsequently transferred to the floor .' -p169654 -(lp169655 -S'Patient\tPatient\tNN\tB-NP\tO' -p169656 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p169657 -aS'the\tthe\tDT\tB-NP\tO' -p169658 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p169659 -aS'well\twell\tRB\tB-ADVP\tO' -p169660 -aS'without\twithout\tIN\tB-PP\tO' -p169661 -aS'any\tany\tDT\tB-NP\tO' -p169662 -aS'complications\tcomplication\tNNS\tI-NP\tO' -p169663 -aS'and\tand\tCC\tO\tO' -p169664 -aS'was\tbe\tVBD\tB-VP\tO' -p169665 -aS'taken\ttake\tVBN\tI-VP\tO' -p169666 -aS'to\tto\tTO\tB-PP\tO' -p169667 -aS'the\tthe\tDT\tB-NP\tO' -p169668 -aS'Recovery\tRecovery\tNNP\tI-NP\tO' -p169669 -aS'Room\tRoom\tNNP\tI-NP\tO' -p169670 -aS'awake\tawake\tNN\tI-NP\tO' -p169671 -aS'and\tand\tCC\tO\tO' -p169672 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p169673 -aS'then\tthen\tRB\tB-ADVP\tO' -p169674 -aS'subsequently\tsubsequently\tRB\tB-VP\tO' -p169675 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p169676 -aS'to\tto\tTO\tB-PP\tO' -p169677 -aS'the\tthe\tDT\tB-NP\tO' -p169678 -aS'floor\tfloor\tNN\tI-NP\tO' -p169679 -aS'.\t.\t.\tO\tO' -p169680 -asS'Pediatric Associate , 8219 W. Eighth Rd. , Terry , Illinois 72097 , phone 482-5289 .' -p169681 -(lp169682 -S'Pediatric\tPediatric\tNNP\tB-NP\tO' -p169683 -aS'Associate\tAssociate\tNNP\tI-NP\tO' -p169684 -aS',\t,\t,\tO\tO' -p169685 -aS'8219\t8219\tCD\tB-NP\tO' -p169686 -aS'W.\tW.\tNNP\tI-NP\tO' -p169687 -aS'Eighth\tEighth\tNNP\tI-NP\tO' -p169688 -aS'Rd.\tRd.\tNNP\tI-NP\tO' -p169689 -aS',\t,\t,\tO\tO' -p169690 -aS'Terry\tTerry\tNNP\tB-NP\tO' -p169691 -aS',\t,\t,\tO\tO' -p169692 -aS'Illinois\tIllinois\tNNP\tB-NP\tO' -p169693 -aS'72097\t72097\tCD\tI-NP\tO' -p169694 -aS',\t,\t,\tO\tO' -p169695 -aS'phone\tphone\tNN\tB-NP\tO' -p169696 -aS'482-5289\t482-5289\tCD\tI-NP\tO' -p169697 -aS'.\t.\t.\tO\tO' -p169698 -asS'Given this finding the patient was therefore felt to be ready for discharge to a rehabilitation facility on 09/13/1998 .' -p169699 -(lp169700 -S'Given\tGive\tVBN\tB-PP\tO' -p169701 -aS'this\tthis\tDT\tB-NP\tO' -p169702 -aS'finding\tfinding\tNN\tI-NP\tO' -p169703 -aS'the\tthe\tDT\tB-NP\tO' -p169704 -aS'patient\tpatient\tNN\tI-NP\tO' -p169705 -aS'was\tbe\tVBD\tB-VP\tO' -p169706 -aS'therefore\ttherefore\tRB\tI-VP\tO' -p169707 -aS'felt\tfeel\tVBN\tI-VP\tO' -p169708 -aS'to\tto\tTO\tI-VP\tO' -p169709 -aS'be\tbe\tVB\tI-VP\tO' -p169710 -aS'ready\tready\tJJ\tB-ADJP\tO' -p169711 -aS'for\tfor\tIN\tB-PP\tO' -p169712 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p169713 -aS'to\tto\tTO\tB-PP\tO' -p169714 -aS'a\ta\tDT\tB-NP\tO' -p169715 -aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' -p169716 -aS'facility\tfacility\tNN\tI-NP\tO' -p169717 -aS'on\ton\tIN\tB-PP\tO' -p169718 -aS'09/13/1998\t09/13/1998\tCD\tB-NP\tO' -p169719 -aS'.\t.\t.\tO\tO' -p169720 -asS'The patient will follow up with Dr. Falccouette to schedule for excision and closure of her left ischial sacral decubitus .' -p169721 -(lp169722 -S'The\tThe\tDT\tB-NP\tO' -p169723 -aS'patient\tpatient\tNN\tI-NP\tO' -p169724 -aS'will\twill\tMD\tB-VP\tO' -p169725 -aS'follow\tfollow\tVB\tI-VP\tO' -p169726 -aS'up\tup\tRP\tB-PRT\tO' -p169727 -aS'with\twith\tIN\tB-PP\tO' -p169728 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p169729 -aS'Falccouette\tFalccouette\tNNP\tI-NP\tO' -p169730 -aS'to\tto\tTO\tB-VP\tO' -p169731 -aS'schedule\tschedule\tVB\tI-VP\tO' -p169732 -aS'for\tfor\tIN\tB-PP\tO' -p169733 -aS'excision\texcision\tNN\tB-NP\tO' -p169734 -aS'and\tand\tCC\tI-NP\tO' -p169735 -aS'closure\tclosure\tNN\tI-NP\tO' -p169736 -aS'of\tof\tIN\tB-PP\tO' -p169737 -aS'her\ther\tPRP$\tB-NP\tO' -p169738 -aS'left\tleft\tJJ\tI-NP\tO' -p169739 -aS'ischial\tischial\tJJ\tI-NP\tO' -p169740 -aS'sacral\tsacral\tJJ\tI-NP\tO' -p169741 -aS'decubitus\tdecubitus\tNN\tI-NP\tO' -p169742 -aS'.\t.\t.\tO\tO' -p169743 -asS'1. Prozac .' -p169744 -(lp169745 -S'1.\t1.\tLS\tB-NP\tO' -p169746 -aS'Prozac\tProzac\tNN\tI-NP\tO' -p169747 -aS'.\t.\t.\tO\tO' -p169748 -asS'He presented to Gaanvantsir on 04-17-92 with abdominal pain and bloody diarrhea .' -p169749 -(lp169750 -S'He\tHe\tPRP\tB-NP\tO' -p169751 -aS'presented\tpresent\tVBD\tB-VP\tO' -p169752 -aS'to\tto\tTO\tB-PP\tO' -p169753 -aS'Gaanvantsir\tGaanvantsir\tNNP\tB-NP\tO' -p169754 -aS'on\ton\tIN\tB-PP\tO' -p169755 -aS'04-17-92\t04-17-92\tCD\tB-NP\tO' -p169756 -aS'with\twith\tIN\tB-PP\tO' -p169757 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p169758 -aS'pain\tpain\tNN\tI-NP\tO' -p169759 -aS'and\tand\tCC\tO\tO' -p169760 -aS'bloody\tbloody\tJJ\tB-NP\tO' -p169761 -aS'diarrhea\tdiarrhea\tNN\tI-NP\tO' -p169762 -aS'.\t.\t.\tO\tO' -p169763 -asS'Two major fracture fragments were seen at the humeral head , articulating with the glenoid fossa .' -p169764 -(lp169765 -S'Two\tTwo\tCD\tB-NP\tO' -p169766 -aS'major\tmajor\tJJ\tI-NP\tB-DNA' -p169767 -aS'fracture\tfracture\tNN\tI-NP\tI-DNA' -p169768 -aS'fragments\tfragment\tNNS\tI-NP\tI-DNA' -p169769 -aS'were\tbe\tVBD\tB-VP\tO' -p169770 -aS'seen\tsee\tVBN\tI-VP\tO' -p169771 -aS'at\tat\tIN\tB-PP\tO' -p169772 -aS'the\tthe\tDT\tB-NP\tO' -p169773 -aS'humeral\thumeral\tJJ\tI-NP\tO' -p169774 -aS'head\thead\tNN\tI-NP\tO' -p169775 -aS',\t,\t,\tO\tO' -p169776 -aS'articulating\tarticulate\tVBG\tB-VP\tO' -p169777 -aS'with\twith\tIN\tB-PP\tO' -p169778 -aS'the\tthe\tDT\tB-NP\tO' -p169779 -aS'glenoid\tglenoid\tJJ\tI-NP\tO' -p169780 -aS'fossa\tfossa\tNN\tI-NP\tO' -p169781 -aS'.\t.\t.\tO\tO' -p169782 -asS'Family history is not significant for any early history of coronary artery disease .' -p169783 -(lp169784 -S'Family\tFamily\tRB\tB-NP\tO' -p169785 -aS'history\thistory\tNN\tI-NP\tO' -p169786 -aS'is\tbe\tVBZ\tB-VP\tO' -p169787 -aS'not\tnot\tRB\tO\tO' -p169788 -aS'significant\tsignificant\tJJ\tB-ADJP\tO' -p169789 -aS'for\tfor\tIN\tB-PP\tO' -p169790 -aS'any\tany\tDT\tB-NP\tO' -p169791 -aS'early\tearly\tJJ\tI-NP\tO' -p169792 -aS'history\thistory\tNN\tI-NP\tO' -p169793 -aS'of\tof\tIN\tB-PP\tO' -p169794 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p169795 -aS'artery\tartery\tNN\tI-NP\tO' -p169796 -aS'disease\tdisease\tNN\tI-NP\tO' -p169797 -aS'.\t.\t.\tO\tO' -p169798 -asS'Over the next several days the patient was maintained on Argatrobanwhile coumadin therapy was initiated .' -p169799 -(lp169800 -S'Over\tOver\tIN\tB-PP\tO' -p169801 -aS'the\tthe\tDT\tB-NP\tO' -p169802 -aS'next\tnext\tJJ\tI-NP\tO' -p169803 -aS'several\tseveral\tJJ\tI-NP\tO' -p169804 -aS'days\tday\tNNS\tI-NP\tO' -p169805 -aS'the\tthe\tDT\tB-NP\tO' -p169806 -aS'patient\tpatient\tNN\tI-NP\tO' -p169807 -aS'was\tbe\tVBD\tB-VP\tO' -p169808 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p169809 -aS'on\ton\tIN\tB-PP\tO' -p169810 -aS'Argatrobanwhile\tArgatrobanwhile\tNN\tB-NP\tO' -p169811 -aS'coumadin\tcoumadin\tNN\tI-NP\tO' -p169812 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p169813 -aS'was\tbe\tVBD\tB-VP\tO' -p169814 -aS'initiated\tinitiate\tVBN\tI-VP\tO' -p169815 -aS'.\t.\t.\tO\tO' -p169816 -asS'90 yo F with MMP ( see below ) who sustained a mechanical fall down stairs resulting in a hip and arm fracture .' -p169817 -(lp169818 -S'90\t90\tCD\tB-NP\tO' -p169819 -aS'yo\tyo\tNN\tI-NP\tO' -p169820 -aS'F\tF\tNN\tI-NP\tO' -p169821 -aS'with\twith\tIN\tB-PP\tO' -p169822 -aS'MMP\tMMP\tNN\tB-NP\tB-protein' -p169823 -aS'(\t(\t(\tO\tO' -p169824 -aS'see\tsee\tVB\tB-VP\tO' -p169825 -aS'below\tbelow\tIN\tB-PP\tO' -p169826 -aS')\t)\t)\tO\tO' -p169827 -aS'who\twho\tWP\tB-NP\tO' -p169828 -aS'sustained\tsustain\tVBD\tB-VP\tO' -p169829 -aS'a\ta\tDT\tB-NP\tO' -p169830 -aS'mechanical\tmechanical\tJJ\tI-NP\tO' -p169831 -aS'fall\tfall\tNN\tI-NP\tO' -p169832 -aS'down\tdown\tIN\tB-PP\tO' -p169833 -aS'stairs\tstair\tNNS\tB-NP\tO' -p169834 -aS'resulting\tresult\tVBG\tB-VP\tO' -p169835 -aS'in\tin\tIN\tB-PP\tO' -p169836 -aS'a\ta\tDT\tB-NP\tO' -p169837 -aS'hip\thip\tNN\tI-NP\tO' -p169838 -aS'and\tand\tCC\tI-NP\tO' -p169839 -aS'arm\tarm\tNN\tI-NP\tO' -p169840 -aS'fracture\tfracture\tNN\tI-NP\tO' -p169841 -aS'.\t.\t.\tO\tO' -p169842 -asS'Blood type A positive , antibody negative , rubella immune , RPR nonreactive , hepatitis B surface antigen negative , group beta Strep status unknown .' -p169843 -(lp169844 -S'Blood\tBlood\tNN\tB-NP\tO' -p169845 -aS'type\ttype\tNN\tI-NP\tO' -p169846 -aS'A\tA\tNN\tI-NP\tO' -p169847 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p169848 -aS',\t,\t,\tO\tO' -p169849 -aS'antibody\tantibody\tNN\tB-NP\tO' -p169850 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p169851 -aS',\t,\t,\tO\tO' -p169852 -aS'rubella\trubella\tNN\tB-NP\tO' -p169853 -aS'immune\timmune\tJJ\tB-ADJP\tO' -p169854 -aS',\t,\t,\tO\tO' -p169855 -aS'RPR\tRPR\tNN\tB-NP\tB-protein' -p169856 -aS'nonreactive\tnonreactive\tJJ\tB-ADJP\tO' -p169857 -aS',\t,\t,\tO\tO' -p169858 -aS'hepatitis\thepatitis\tNN\tB-NP\tB-protein' -p169859 -aS'B\tB\tNN\tI-NP\tI-protein' -p169860 -aS'surface\tsurface\tNN\tI-NP\tI-protein' -p169861 -aS'antigen\tantigen\tNN\tI-NP\tI-protein' -p169862 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p169863 -aS',\t,\t,\tO\tO' -p169864 -aS'group\tgroup\tNN\tB-NP\tO' -p169865 -aS'beta\tbeta\tNN\tI-NP\tO' -p169866 -aS'Strep\tStrep\tNN\tI-NP\tO' -p169867 -aS'status\tstatus\tNN\tI-NP\tO' -p169868 -aS'unknown\tunknown\tJJ\tB-ADJP\tO' -p169869 -aS'.\t.\t.\tO\tO' -p169870 -asS'sodium 140 , potassium 4.4 , BUN and creatinine 14/.9 , glucose 95 , prothrombin time 10.0 , with a control of 10.2 , partial thromboplastin time 26.9 , urinalysis negative , white blood count 5.8 , hematocrit 37.5 , hemoglobin 13.4 , platelet count 274,000 .' -p169871 -(lp169872 -S'sodium\tsodium\tNN\tB-NP\tO' -p169873 -aS'140\t140\tCD\tI-NP\tO' -p169874 -aS',\t,\t,\tO\tO' -p169875 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p169876 -aS'4.4\t4.4\tCD\tI-NP\tO' -p169877 -aS',\t,\t,\tO\tO' -p169878 -aS'BUN\tBUN\tNN\tB-NP\tB-protein' -p169879 -aS'and\tand\tCC\tO\tO' -p169880 -aS'creatinine\tcreatinine\tNN\tB-NP\tB-protein' -p169881 -aS'14/.9\t14/.9\tCD\tI-NP\tI-protein' -p169882 -aS',\t,\t,\tO\tO' -p169883 -aS'glucose\tglucose\tNN\tB-NP\tB-protein' -p169884 -aS'95\t95\tCD\tI-NP\tI-protein' -p169885 -aS',\t,\t,\tO\tO' -p169886 -aS'prothrombin\tprothrombin\tNN\tB-NP\tO' -p169887 -aS'time\ttime\tNN\tI-NP\tO' -p169888 -aS'10.0\t10.0\tCD\tB-NP\tO' -p169889 -aS',\t,\t,\tO\tO' -p169890 -aS'with\twith\tIN\tB-PP\tO' -p169891 -aS'a\ta\tDT\tB-NP\tO' -p169892 -aS'control\tcontrol\tNN\tI-NP\tO' -p169893 -aS'of\tof\tIN\tB-PP\tO' -p169894 -aS'10.2\t10.2\tCD\tB-NP\tO' -p169895 -aS',\t,\t,\tO\tO' -p169896 -aS'partial\tpartial\tJJ\tB-NP\tO' -p169897 -aS'thromboplastin\tthromboplastin\tNN\tI-NP\tO' -p169898 -aS'time\ttime\tNN\tI-NP\tO' -p169899 -aS'26.9\t26.9\tCD\tB-NP\tO' -p169900 -aS',\t,\t,\tO\tO' -p169901 -aS'urinalysis\turinalysis\tNN\tB-NP\tO' -p169902 -aS'negative\tnegative\tJJ\tI-NP\tO' -p169903 -aS',\t,\t,\tI-NP\tO' -p169904 -aS'white\twhite\tJJ\tI-NP\tO' -p169905 -aS'blood\tblood\tNN\tI-NP\tO' -p169906 -aS'count\tcount\tNN\tI-NP\tO' -p169907 -aS'5.8\t5.8\tCD\tI-NP\tO' -p169908 -aS',\t,\t,\tO\tO' -p169909 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p169910 -aS'37.5\t37.5\tCD\tI-NP\tI-protein' -p169911 -aS',\t,\t,\tO\tO' -p169912 -aS'hemoglobin\themoglobin\tNN\tB-NP\tB-protein' -p169913 -aS'13.4\t13.4\tCD\tI-NP\tI-protein' -p169914 -aS',\t,\t,\tO\tO' -p169915 -aS'platelet\tplatelet\tNN\tB-NP\tB-protein' -p169916 -aS'count\tcount\tNN\tI-NP\tI-protein' -p169917 -aS'274,000\t274,000\tCD\tI-NP\tI-protein' -p169918 -aS'.\t.\t.\tO\tO' -p169919 -asS'" 1. 7 cm linear fluid collection running between the anterior and lateral muscle compartments , extending from a large area of soft tissue loss seen in the distal lateral foreleg to roughly the mid tibia / fibula , 18 cm distal to the knee joint line .' -p169920 -(lp169921 -S'"\t"\t``\tO\tO' -p169922 -aS'1.\t1.\tCD\tB-NP\tO' -p169923 -aS'7\t7\tCD\tI-NP\tO' -p169924 -aS'cm\tcm\tNN\tI-NP\tO' -p169925 -aS'linear\tlinear\tJJ\tI-NP\tO' -p169926 -aS'fluid\tfluid\tNN\tI-NP\tO' -p169927 -aS'collection\tcollection\tNN\tI-NP\tO' -p169928 -aS'running\trun\tVBG\tB-VP\tO' -p169929 -aS'between\tbetween\tIN\tB-PP\tO' -p169930 -aS'the\tthe\tDT\tB-NP\tO' -p169931 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p169932 -aS'and\tand\tCC\tI-NP\tO' -p169933 -aS'lateral\tlateral\tJJ\tI-NP\tO' -p169934 -aS'muscle\tmuscle\tNN\tI-NP\tO' -p169935 -aS'compartments\tcompartment\tNNS\tI-NP\tO' -p169936 -aS',\t,\t,\tO\tO' -p169937 -aS'extending\textend\tVBG\tB-VP\tO' -p169938 -aS'from\tfrom\tIN\tB-PP\tO' -p169939 -aS'a\ta\tDT\tB-NP\tO' -p169940 -aS'large\tlarge\tJJ\tI-NP\tO' -p169941 -aS'area\tarea\tNN\tI-NP\tO' -p169942 -aS'of\tof\tIN\tB-PP\tO' -p169943 -aS'soft\tsoft\tJJ\tB-NP\tO' -p169944 -aS'tissue\ttissue\tNN\tI-NP\tO' -p169945 -aS'loss\tloss\tNN\tI-NP\tO' -p169946 -aS'seen\tsee\tVBN\tB-VP\tO' -p169947 -aS'in\tin\tIN\tB-PP\tO' -p169948 -aS'the\tthe\tDT\tB-NP\tO' -p169949 -aS'distal\tdistal\tJJ\tI-NP\tO' -p169950 -aS'lateral\tlateral\tJJ\tI-NP\tO' -p169951 -aS'foreleg\tforeleg\tNN\tI-NP\tO' -p169952 -aS'to\tto\tTO\tB-PP\tO' -p169953 -aS'roughly\troughly\tRB\tB-NP\tO' -p169954 -aS'the\tthe\tDT\tI-NP\tO' -p169955 -aS'mid\tmid\tJJ\tI-NP\tO' -p169956 -aS'tibia\ttibia\tNN\tI-NP\tO' -p169957 -aS'/\t/\tSYM\tB-NP\tO' -p169958 -aS'fibula\tfibula\tNN\tI-NP\tO' -p169959 -aS',\t,\t,\tO\tO' -p169960 -aS'18\t18\tCD\tB-NP\tO' -p169961 -aS'cm\tcm\tNN\tI-NP\tO' -p169962 -aS'distal\tdistal\tJJ\tB-ADJP\tO' -p169963 -aS'to\tto\tTO\tB-PP\tO' -p169964 -aS'the\tthe\tDT\tB-NP\tO' -p169965 -aS'knee\tknee\tNN\tI-NP\tB-cell_line' -p169966 -aS'joint\tjoint\tNN\tI-NP\tI-cell_line' -p169967 -aS'line\tline\tNN\tI-NP\tI-cell_line' -p169968 -aS'.\t.\t.\tO\tO' -p169969 -asS'Also with multiple cystic hypodensities in liver seen in previous scans .' -p169970 -(lp169971 -S'Also\tAlso\tRB\tB-ADVP\tO' -p169972 -aS'with\twith\tIN\tB-PP\tO' -p169973 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p169974 -aS'cystic\tcystic\tJJ\tI-NP\tO' -p169975 -aS'hypodensities\thypodensity\tNNS\tI-NP\tO' -p169976 -aS'in\tin\tIN\tB-PP\tO' -p169977 -aS'liver\tliver\tNN\tB-NP\tO' -p169978 -aS'seen\tsee\tVBN\tB-VP\tO' -p169979 -aS'in\tin\tIN\tB-PP\tO' -p169980 -aS'previous\tprevious\tJJ\tB-NP\tO' -p169981 -aS'scans\tscan\tNNS\tI-NP\tO' -p169982 -aS'.\t.\t.\tO\tO' -p169983 -asS'She responded to 1 liter of IV fluids , normal saline and blood pressure remained stable .' -p169984 -(lp169985 -S'She\tShe\tPRP\tB-NP\tO' -p169986 -aS'responded\trespond\tVBD\tB-VP\tO' -p169987 -aS'to\tto\tTO\tB-PP\tO' -p169988 -aS'1\t1\tCD\tB-NP\tO' -p169989 -aS'liter\tliter\tNN\tI-NP\tO' -p169990 -aS'of\tof\tIN\tB-PP\tO' -p169991 -aS'IV\tIV\tCD\tB-NP\tO' -p169992 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p169993 -aS',\t,\t,\tO\tO' -p169994 -aS'normal\tnormal\tJJ\tB-NP\tO' -p169995 -aS'saline\tsaline\tNN\tI-NP\tO' -p169996 -aS'and\tand\tCC\tI-NP\tO' -p169997 -aS'blood\tblood\tNN\tI-NP\tO' -p169998 -aS'pressure\tpressure\tNN\tI-NP\tO' -p169999 -aS'remained\tremain\tVBD\tB-VP\tO' -p170000 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p170001 -aS'.\t.\t.\tO\tO' -p170002 -asS'It is hoped with good blood pressure control and use of an ACE-I with follow up in addition to cocaine abstaining will improved his cardiac function .' -p170003 -(lp170004 -S'It\tIt\tPRP\tB-NP\tO' -p170005 -aS'is\tbe\tVBZ\tB-VP\tO' -p170006 -aS'hoped\thop\tVBN\tI-VP\tO' -p170007 -aS'with\twith\tIN\tB-PP\tO' -p170008 -aS'good\tgood\tJJ\tB-NP\tO' -p170009 -aS'blood\tblood\tNN\tI-NP\tO' -p170010 -aS'pressure\tpressure\tNN\tI-NP\tO' -p170011 -aS'control\tcontrol\tNN\tI-NP\tO' -p170012 -aS'and\tand\tCC\tO\tO' -p170013 -aS'use\tuse\tNN\tB-NP\tO' -p170014 -aS'of\tof\tIN\tB-PP\tO' -p170015 -aS'an\tan\tDT\tB-NP\tO' -p170016 -aS'ACE-I\tACE-I\tNN\tI-NP\tB-protein' -p170017 -aS'with\twith\tIN\tB-PP\tO' -p170018 -aS'follow\tfollow\tVB\tB-VP\tO' -p170019 -aS'up\tup\tRP\tB-PRT\tO' -p170020 -aS'in\tin\tIN\tB-PP\tO' -p170021 -aS'addition\taddition\tNN\tB-NP\tO' -p170022 -aS'to\tto\tTO\tB-PP\tO' -p170023 -aS'cocaine\tcocaine\tNN\tB-NP\tO' -p170024 -aS'abstaining\tabstaining\tNN\tI-NP\tO' -p170025 -aS'will\twill\tMD\tB-VP\tO' -p170026 -aS'improved\timproved\tVB\tI-VP\tO' -p170027 -aS'his\this\tPRP$\tB-NP\tO' -p170028 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p170029 -aS'function\tfunction\tNN\tI-NP\tO' -p170030 -aS'.\t.\t.\tO\tO' -p170031 -asS'She never required phototherapy .' -p170032 -(lp170033 -S'She\tShe\tPRP\tB-NP\tO' -p170034 -aS'never\tnever\tRB\tB-ADVP\tO' -p170035 -aS'required\trequire\tVBD\tB-VP\tO' -p170036 -aS'phototherapy\tphototherapy\tNN\tB-NP\tO' -p170037 -aS'.\t.\t.\tO\tO' -p170038 -asS'The patient was admitted and begun on cefotetan and Flagyl , as well as heparin .' -p170039 -(lp170040 -S'The\tThe\tDT\tB-NP\tO' -p170041 -aS'patient\tpatient\tNN\tI-NP\tO' -p170042 -aS'was\tbe\tVBD\tB-VP\tO' -p170043 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p170044 -aS'and\tand\tCC\tO\tO' -p170045 -aS'begun\tbegin\tVBN\tB-VP\tO' -p170046 -aS'on\ton\tIN\tB-PP\tO' -p170047 -aS'cefotetan\tcefotetan\tNN\tB-NP\tO' -p170048 -aS'and\tand\tCC\tI-NP\tO' -p170049 -aS'Flagyl\tFlagyl\tNN\tI-NP\tO' -p170050 -aS',\t,\t,\tO\tO' -p170051 -aS'as\tas\tRB\tB-CONJP\tO' -p170052 -aS'well\twell\tRB\tI-CONJP\tO' -p170053 -aS'as\tas\tIN\tI-CONJP\tO' -p170054 -aS'heparin\theparin\tNN\tB-NP\tO' -p170055 -aS'.\t.\t.\tO\tO' -p170056 -asS'7. Alendronate 70 mg Tablet Sig : One ( 1 ) Tablet PO QSUN ( every Sunday ) .' -p170057 -(lp170058 -S'7.\t7.\tCD\tB-NP\tO' -p170059 -aS'Alendronate\tAlendronate\tNN\tI-NP\tO' -p170060 -aS'70\t70\tCD\tB-NP\tO' -p170061 -aS'mg\tmg\tNN\tI-NP\tO' -p170062 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p170063 -aS'Sig\tSig\tNNP\tI-NP\tO' -p170064 -aS':\t:\t:\tO\tO' -p170065 -aS'One\tOne\tCD\tB-NP\tO' -p170066 -aS'(\t(\t(\tO\tO' -p170067 -aS'1\t1\tCD\tB-NP\tO' -p170068 -aS')\t)\t)\tO\tO' -p170069 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p170070 -aS'PO\tPO\tNN\tI-NP\tO' -p170071 -aS'QSUN\tQSUN\tNN\tI-NP\tO' -p170072 -aS'(\t(\t(\tO\tO' -p170073 -aS'every\tevery\tDT\tB-NP\tO' -p170074 -aS'Sunday\tSunday\tNNP\tI-NP\tO' -p170075 -aS')\t)\t)\tO\tO' -p170076 -aS'.\t.\t.\tO\tO' -p170077 -asS'There was a very slight inward pronator drift of the left hand .' -p170078 -(lp170079 -S'There\tThere\tEX\tB-NP\tO' -p170080 -aS'was\tbe\tVBD\tB-VP\tO' -p170081 -aS'a\ta\tDT\tB-NP\tO' -p170082 -aS'very\tvery\tRB\tI-NP\tO' -p170083 -aS'slight\tslight\tJJ\tI-NP\tO' -p170084 -aS'inward\tinward\tJJ\tI-NP\tO' -p170085 -aS'pronator\tpronator\tNN\tI-NP\tO' -p170086 -aS'drift\tdrift\tNN\tI-NP\tO' -p170087 -aS'of\tof\tIN\tB-PP\tO' -p170088 -aS'the\tthe\tDT\tB-NP\tO' -p170089 -aS'left\tleft\tJJ\tI-NP\tO' -p170090 -aS'hand\thand\tNN\tI-NP\tO' -p170091 -aS'.\t.\t.\tO\tO' -p170092 -asS'Also noted to have low-grade temperature of 99 to 100 degrees with productive cough and yellow sputum times 1 day with' -p170093 -(lp170094 -S'Also\tAlso\tRB\tB-ADVP\tO' -p170095 -aS'noted\tnote\tVBN\tB-VP\tO' -p170096 -aS'to\tto\tTO\tI-VP\tO' -p170097 -aS'have\thave\tVB\tI-VP\tO' -p170098 -aS'low-grade\tlow-grade\tJJ\tB-NP\tO' -p170099 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p170100 -aS'of\tof\tIN\tB-PP\tO' -p170101 -aS'99\t99\tCD\tB-NP\tO' -p170102 -aS'to\tto\tTO\tI-NP\tO' -p170103 -aS'100\t100\tCD\tI-NP\tO' -p170104 -aS'degrees\tdegree\tNNS\tI-NP\tO' -p170105 -aS'with\twith\tIN\tB-PP\tO' -p170106 -aS'productive\tproductive\tJJ\tB-NP\tO' -p170107 -aS'cough\tcough\tNN\tI-NP\tO' -p170108 -aS'and\tand\tCC\tO\tO' -p170109 -aS'yellow\tyellow\tJJ\tB-NP\tO' -p170110 -aS'sputum\tsputum\tNN\tI-NP\tO' -p170111 -aS'times\ttime\tNNS\tI-NP\tO' -p170112 -aS'1\t1\tCD\tI-NP\tO' -p170113 -aS'day\tday\tNN\tI-NP\tO' -p170114 -aS'with\twith\tIN\tB-PP\tO' -p170115 -asS'Therefore , the patient was started on levofloxacin therapy to complete a 10 - day course .' -p170116 -(lp170117 -S'Therefore\tTherefore\tRB\tB-ADVP\tO' -p170118 -aS',\t,\t,\tO\tO' -p170119 -aS'the\tthe\tDT\tB-NP\tO' -p170120 -aS'patient\tpatient\tNN\tI-NP\tO' -p170121 -aS'was\tbe\tVBD\tB-VP\tO' -p170122 -aS'started\tstart\tVBN\tI-VP\tO' -p170123 -aS'on\ton\tIN\tB-PP\tO' -p170124 -aS'levofloxacin\tlevofloxacin\tNN\tB-NP\tO' -p170125 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p170126 -aS'to\tto\tTO\tB-VP\tO' -p170127 -aS'complete\tcomplete\tVB\tI-VP\tO' -p170128 -aS'a\ta\tDT\tB-NP\tO' -p170129 -aS'10\t10\tCD\tI-NP\tO' -p170130 -aS'-\t-\tHYPH\tI-NP\tO' -p170131 -aS'day\tday\tNN\tI-NP\tO' -p170132 -aS'course\tcourse\tNN\tI-NP\tO' -p170133 -aS'.\t.\t.\tO\tO' -p170134 -asS'The patient also noticed a loss of weight of approximately 25 pounds over a few months with increased fatigue and lower extremity weakness .' -p170135 -(lp170136 -S'The\tThe\tDT\tB-NP\tO' -p170137 -aS'patient\tpatient\tNN\tI-NP\tO' -p170138 -aS'also\talso\tRB\tB-ADVP\tO' -p170139 -aS'noticed\tnotice\tVBD\tB-VP\tO' -p170140 -aS'a\ta\tDT\tB-NP\tO' -p170141 -aS'loss\tloss\tNN\tI-NP\tO' -p170142 -aS'of\tof\tIN\tB-PP\tO' -p170143 -aS'weight\tweight\tNN\tB-NP\tO' -p170144 -aS'of\tof\tIN\tB-PP\tO' -p170145 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p170146 -aS'25\t25\tCD\tI-NP\tO' -p170147 -aS'pounds\tpound\tNNS\tI-NP\tO' -p170148 -aS'over\tover\tIN\tB-PP\tO' -p170149 -aS'a\ta\tDT\tB-NP\tO' -p170150 -aS'few\tfew\tJJ\tI-NP\tO' -p170151 -aS'months\tmonth\tNNS\tI-NP\tO' -p170152 -aS'with\twith\tIN\tB-PP\tO' -p170153 -aS'increased\tincrease\tVBN\tB-NP\tO' -p170154 -aS'fatigue\tfatigue\tNN\tI-NP\tO' -p170155 -aS'and\tand\tCC\tO\tO' -p170156 -aS'lower\tlow\tJJR\tB-NP\tO' -p170157 -aS'extremity\textremity\tNN\tI-NP\tO' -p170158 -aS'weakness\tweakness\tNN\tI-NP\tO' -p170159 -aS'.\t.\t.\tO\tO' -p170160 -asS'House / ADA 1800 cals / dy' -p170161 -(lp170162 -S'House\tHouse\tNN\tB-NP\tO' -p170163 -aS'/\t/\tSYM\tI-NP\tO' -p170164 -aS'ADA\tADA\tNN\tI-NP\tO' -p170165 -aS'1800\t1800\tCD\tB-NP\tO' -p170166 -aS'cals\tcal\tNNS\tI-NP\tO' -p170167 -aS'/\t/\tSYM\tB-NP\tO' -p170168 -aS'dy\tdy\tNN\tB-NP\tO' -p170169 -asS'The patient 's Coumadin was thus stopped and she was switched to Bufferin .' -p170170 -(lp170171 -S'The\tThe\tDT\tB-NP\tO' -p170172 -aS'patient\tpatient\tNN\tI-NP\tO' -p170173 -aS''s\t'\tNNS\tI-NP\tO' -p170174 -aS'Coumadin\tCoumadin\tNN\tI-NP\tO' -p170175 -aS'was\tbe\tVBD\tB-VP\tO' -p170176 -aS'thus\tthus\tRB\tI-VP\tO' -p170177 -aS'stopped\tstop\tVBN\tI-VP\tO' -p170178 -aS'and\tand\tCC\tO\tO' -p170179 -aS'she\tshe\tPRP\tB-NP\tO' -p170180 -aS'was\tbe\tVBD\tB-VP\tO' -p170181 -aS'switched\tswitch\tVBN\tI-VP\tO' -p170182 -aS'to\tto\tTO\tB-PP\tO' -p170183 -aS'Bufferin\tBufferin\tNN\tB-NP\tO' -p170184 -aS'.\t.\t.\tO\tO' -p170185 -asS'She is somewhat obese elderly female .' -p170186 -(lp170187 -S'She\tShe\tPRP\tB-NP\tO' -p170188 -aS'is\tbe\tVBZ\tB-VP\tO' -p170189 -aS'somewhat\tsomewhat\tRB\tB-NP\tO' -p170190 -aS'obese\tobese\tJJ\tI-NP\tO' -p170191 -aS'elderly\telderly\tJJ\tI-NP\tO' -p170192 -aS'female\tfemale\tNN\tI-NP\tO' -p170193 -aS'.\t.\t.\tO\tO' -p170194 -asS'Twenty-four urine for catecholamine , metanephrines , and VMA pending at the time of discharge .' -p170195 -(lp170196 -S'Twenty-four\tTwenty-four\tCD\tB-NP\tO' -p170197 -aS'urine\turine\tNN\tI-NP\tO' -p170198 -aS'for\tfor\tIN\tB-PP\tO' -p170199 -aS'catecholamine\tcatecholamine\tNN\tB-NP\tO' -p170200 -aS',\t,\t,\tO\tO' -p170201 -aS'metanephrines\tmetanephrine\tNNS\tB-NP\tO' -p170202 -aS',\t,\t,\tO\tO' -p170203 -aS'and\tand\tCC\tO\tO' -p170204 -aS'VMA\tVMA\tNN\tB-NP\tB-protein' -p170205 -aS'pending\tpende\tVBG\tB-VP\tO' -p170206 -aS'at\tat\tIN\tB-PP\tO' -p170207 -aS'the\tthe\tDT\tB-NP\tO' -p170208 -aS'time\ttime\tNN\tI-NP\tO' -p170209 -aS'of\tof\tIN\tB-PP\tO' -p170210 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p170211 -aS'.\t.\t.\tO\tO' -p170212 -asS'Folate 1 mg q day .' -p170213 -(lp170214 -S'Folate\tFolate\tNN\tB-NP\tO' -p170215 -aS'1\t1\tCD\tI-NP\tO' -p170216 -aS'mg\tmg\tNN\tI-NP\tO' -p170217 -aS'q\tq\tNN\tI-NP\tO' -p170218 -aS'day\tday\tNN\tI-NP\tO' -p170219 -aS'.\t.\t.\tO\tO' -p170220 -asS'These problems resolved by the 4th or 5th postoperative day and she remained lucid and alert for the remainder of her hospital stay .' -p170221 -(lp170222 -S'These\tThese\tDT\tB-NP\tO' -p170223 -aS'problems\tproblem\tNNS\tI-NP\tO' -p170224 -aS'resolved\tresolve\tVBN\tB-VP\tO' -p170225 -aS'by\tby\tIN\tB-PP\tO' -p170226 -aS'the\tthe\tDT\tB-NP\tO' -p170227 -aS'4th\t4th\tJJ\tI-NP\tO' -p170228 -aS'or\tor\tCC\tI-NP\tO' -p170229 -aS'5th\t5th\tJJ\tI-NP\tO' -p170230 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p170231 -aS'day\tday\tNN\tI-NP\tO' -p170232 -aS'and\tand\tCC\tO\tO' -p170233 -aS'she\tshe\tPRP\tB-NP\tO' -p170234 -aS'remained\tremain\tVBD\tB-VP\tO' -p170235 -aS'lucid\tlucid\tNN\tB-NP\tO' -p170236 -aS'and\tand\tCC\tI-NP\tO' -p170237 -aS'alert\talert\tNN\tI-NP\tO' -p170238 -aS'for\tfor\tIN\tB-PP\tO' -p170239 -aS'the\tthe\tDT\tB-NP\tO' -p170240 -aS'remainder\tremainder\tNN\tI-NP\tO' -p170241 -aS'of\tof\tIN\tB-PP\tO' -p170242 -aS'her\ther\tPRP$\tB-NP\tO' -p170243 -aS'hospital\thospital\tNN\tI-NP\tO' -p170244 -aS'stay\tstay\tNN\tI-NP\tO' -p170245 -aS'.\t.\t.\tO\tO' -p170246 -asS'complications .' -p170247 -(lp170248 -S'complications\tcomplication\tNNS\tB-NP\tO' -p170249 -aS'.\t.\t.\tO\tO' -p170250 -asS'PEEP was increased and a chest x-ray checked the following morning .' -p170251 -(lp170252 -S'PEEP\tPEEP\tNN\tB-NP\tB-protein' -p170253 -aS'was\tbe\tVBD\tB-VP\tO' -p170254 -aS'increased\tincrease\tVBN\tI-VP\tO' -p170255 -aS'and\tand\tCC\tO\tO' -p170256 -aS'a\ta\tDT\tB-NP\tO' -p170257 -aS'chest\tchest\tNN\tI-NP\tO' -p170258 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p170259 -aS'checked\tcheck\tVBD\tB-VP\tO' -p170260 -aS'the\tthe\tDT\tB-NP\tO' -p170261 -aS'following\tfollow\tVBG\tI-NP\tO' -p170262 -aS'morning\tmorning\tNN\tI-NP\tO' -p170263 -aS'.\t.\t.\tO\tO' -p170264 -asS'9. Heparin 5,000 units subcutaneously q. 12 hours .' -p170265 -(lp170266 -S'9.\t9.\tCD\tB-NP\tO' -p170267 -aS'Heparin\tHeparin\tNN\tI-NP\tO' -p170268 -aS'5,000\t5,000\tCD\tB-NP\tO' -p170269 -aS'units\tunit\tNNS\tI-NP\tO' -p170270 -aS'subcutaneously\tsubcutaneously\tRB\tB-ADVP\tO' -p170271 -aS'q.\tq.\tVBP\tB-VP\tO' -p170272 -aS'12\t12\tCD\tB-NP\tO' -p170273 -aS'hours\thour\tNNS\tI-NP\tO' -p170274 -aS'.\t.\t.\tO\tO' -p170275 -asS'She had an MRI in 2014 that showed multiple plaque-like lesions , but these were entirely stable since 2010 .' -p170276 -(lp170277 -S'She\tShe\tPRP\tB-NP\tO' -p170278 -aS'had\thave\tVBD\tB-VP\tO' -p170279 -aS'an\tan\tDT\tB-NP\tO' -p170280 -aS'MRI\tMRI\tNN\tI-NP\tB-protein' -p170281 -aS'in\tin\tIN\tB-PP\tO' -p170282 -aS'2014\t2014\tCD\tB-NP\tO' -p170283 -aS'that\tthat\tWDT\tB-NP\tO' -p170284 -aS'showed\tshow\tVBD\tB-VP\tO' -p170285 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p170286 -aS'plaque-like\tplaque-like\tJJ\tI-NP\tO' -p170287 -aS'lesions\tlesion\tNNS\tI-NP\tO' -p170288 -aS',\t,\t,\tO\tO' -p170289 -aS'but\tbut\tCC\tO\tO' -p170290 -aS'these\tthese\tDT\tB-NP\tO' -p170291 -aS'were\tbe\tVBD\tB-VP\tO' -p170292 -aS'entirely\tentirely\tRB\tB-ADJP\tO' -p170293 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p170294 -aS'since\tsince\tIN\tB-PP\tO' -p170295 -aS'2010\t2010\tCD\tB-NP\tO' -p170296 -aS'.\t.\t.\tO\tO' -p170297 -asS'The past surgical history is negative .' -p170298 -(lp170299 -S'The\tThe\tDT\tB-NP\tO' -p170300 -aS'past\tpast\tJJ\tI-NP\tO' -p170301 -aS'surgical\tsurgical\tJJ\tI-NP\tO' -p170302 -aS'history\thistory\tNN\tI-NP\tO' -p170303 -aS'is\tbe\tVBZ\tB-VP\tO' -p170304 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p170305 -aS'.\t.\t.\tO\tO' -p170306 -asS'She also has a heart murmur since childhood .' -p170307 -(lp170308 -S'She\tShe\tPRP\tB-NP\tO' -p170309 -aS'also\talso\tRB\tB-ADVP\tO' -p170310 -aS'has\thave\tVBZ\tB-VP\tO' -p170311 -aS'a\ta\tDT\tB-NP\tO' -p170312 -aS'heart\theart\tNN\tI-NP\tO' -p170313 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p170314 -aS'since\tsince\tIN\tB-PP\tO' -p170315 -aS'childhood\tchildhood\tNN\tB-NP\tO' -p170316 -aS'.\t.\t.\tO\tO' -p170317 -asS'3. Lipitor 10 mg p.o. q. day .' -p170318 -(lp170319 -S'3.\t3.\tLS\tB-LST\tO' -p170320 -aS'Lipitor\tLipitor\tNN\tB-NP\tO' -p170321 -aS'10\t10\tCD\tI-NP\tO' -p170322 -aS'mg\tmg\tNN\tI-NP\tO' -p170323 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p170324 -aS'q.\tq.\tNN\tI-NP\tO' -p170325 -aS'day\tday\tNN\tI-NP\tO' -p170326 -aS'.\t.\t.\tO\tO' -p170327 -asS'Coronary angiography , right heart catheterization and percutaneous intervention of the RCA were performed from the right groin without complications .' -p170328 -(lp170329 -S'Coronary\tCoronary\tJJ\tB-NP\tO' -p170330 -aS'angiography\tangiography\tNN\tI-NP\tO' -p170331 -aS',\t,\t,\tO\tO' -p170332 -aS'right\tright\tJJ\tB-NP\tO' -p170333 -aS'heart\theart\tNN\tI-NP\tO' -p170334 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p170335 -aS'and\tand\tCC\tO\tO' -p170336 -aS'percutaneous\tpercutaneous\tJJ\tB-NP\tO' -p170337 -aS'intervention\tintervention\tNN\tI-NP\tO' -p170338 -aS'of\tof\tIN\tB-PP\tO' -p170339 -aS'the\tthe\tDT\tB-NP\tO' -p170340 -aS'RCA\tRCA\tNN\tI-NP\tB-protein' -p170341 -aS'were\tbe\tVBD\tB-VP\tO' -p170342 -aS'performed\tperform\tVBN\tI-VP\tO' -p170343 -aS'from\tfrom\tIN\tB-PP\tO' -p170344 -aS'the\tthe\tDT\tB-NP\tO' -p170345 -aS'right\tright\tJJ\tI-NP\tO' -p170346 -aS'groin\tgroin\tNN\tI-NP\tO' -p170347 -aS'without\twithout\tIN\tB-PP\tO' -p170348 -aS'complications\tcomplication\tNNS\tB-NP\tO' -p170349 -aS'.\t.\t.\tO\tO' -p170350 -asS'Asthma , history of atrial fibrillation , non-small-cell lung cancer removed from his right lung by Dr. Vital four years prior to admission , status post chemotherapy and radiation for the non-small-cell lung cancer , gastroesophageal reflux disease , and history of constipation .' -p170351 -(lp170352 -S'Asthma\tAsthma\tNN\tB-NP\tO' -p170353 -aS',\t,\t,\tO\tO' -p170354 -aS'history\thistory\tNN\tB-NP\tO' -p170355 -aS'of\tof\tIN\tB-PP\tO' -p170356 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p170357 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p170358 -aS',\t,\t,\tO\tO' -p170359 -aS'non-small-cell\tnon-small-cell\tJJ\tB-NP\tO' -p170360 -aS'lung\tlung\tNN\tI-NP\tO' -p170361 -aS'cancer\tcancer\tNN\tI-NP\tO' -p170362 -aS'removed\tremove\tVBN\tB-VP\tO' -p170363 -aS'from\tfrom\tIN\tB-PP\tO' -p170364 -aS'his\this\tPRP$\tB-NP\tO' -p170365 -aS'right\tright\tJJ\tI-NP\tO' -p170366 -aS'lung\tlung\tNN\tI-NP\tO' -p170367 -aS'by\tby\tIN\tB-PP\tO' -p170368 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p170369 -aS'Vital\tVital\tNNP\tI-NP\tO' -p170370 -aS'four\tfour\tCD\tB-NP\tO' -p170371 -aS'years\tyear\tNNS\tI-NP\tO' -p170372 -aS'prior\tprior\tRB\tB-ADVP\tO' -p170373 -aS'to\tto\tTO\tB-PP\tO' -p170374 -aS'admission\tadmission\tNN\tB-NP\tO' -p170375 -aS',\t,\t,\tO\tO' -p170376 -aS'status\tstatus\tNN\tB-NP\tO' -p170377 -aS'post\tpost\tNN\tI-NP\tO' -p170378 -aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' -p170379 -aS'and\tand\tCC\tI-NP\tO' -p170380 -aS'radiation\tradiation\tNN\tI-NP\tO' -p170381 -aS'for\tfor\tIN\tB-PP\tO' -p170382 -aS'the\tthe\tDT\tB-NP\tO' -p170383 -aS'non-small-cell\tnon-small-cell\tJJ\tI-NP\tO' -p170384 -aS'lung\tlung\tNN\tI-NP\tO' -p170385 -aS'cancer\tcancer\tNN\tI-NP\tO' -p170386 -aS',\t,\t,\tO\tO' -p170387 -aS'gastroesophageal\tgastroesophageal\tJJ\tB-NP\tO' -p170388 -aS'reflux\treflux\tNN\tI-NP\tO' -p170389 -aS'disease\tdisease\tNN\tI-NP\tO' -p170390 -aS',\t,\t,\tO\tO' -p170391 -aS'and\tand\tCC\tO\tO' -p170392 -aS'history\thistory\tNN\tB-NP\tO' -p170393 -aS'of\tof\tIN\tB-PP\tO' -p170394 -aS'constipation\tconstipation\tNN\tB-NP\tO' -p170395 -aS'.\t.\t.\tO\tO' -p170396 -asS'Discharge Condition : stable , eating , on room air' -p170397 -(lp170398 -S'Discharge\tDischarge\tNNP\tB-NP\tO' -p170399 -aS'Condition\tCondition\tNNP\tI-NP\tO' -p170400 -aS':\t:\t:\tO\tO' -p170401 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p170402 -aS',\t,\t,\tO\tO' -p170403 -aS'eating\teat\tVBG\tB-VP\tO' -p170404 -aS',\t,\t,\tO\tO' -p170405 -aS'on\ton\tIN\tB-PP\tO' -p170406 -aS'room\troom\tNN\tB-NP\tO' -p170407 -aS'air\tair\tNN\tI-NP\tO' -p170408 -asS'On admission medications included Lasix and iron .' -p170409 -(lp170410 -S'On\tOn\tIN\tB-PP\tO' -p170411 -aS'admission\tadmission\tNN\tB-NP\tO' -p170412 -aS'medications\tmedication\tNNS\tI-NP\tO' -p170413 -aS'included\tinclude\tVBD\tB-VP\tO' -p170414 -aS'Lasix\tLasix\tNN\tB-NP\tO' -p170415 -aS'and\tand\tCC\tI-NP\tO' -p170416 -aS'iron\tiron\tNN\tI-NP\tO' -p170417 -aS'.\t.\t.\tO\tO' -p170418 -asS'She had a thoracic aortic aneurysm repaired in the past and subsequently developed neuropathic pain at the incision site .' -p170419 -(lp170420 -S'She\tShe\tPRP\tB-NP\tO' -p170421 -aS'had\thave\tVBD\tB-VP\tO' -p170422 -aS'a\ta\tDT\tB-NP\tO' -p170423 -aS'thoracic\tthoracic\tJJ\tI-NP\tO' -p170424 -aS'aortic\taortic\tJJ\tI-NP\tO' -p170425 -aS'aneurysm\taneurysm\tNN\tI-NP\tO' -p170426 -aS'repaired\trepair\tVBN\tB-VP\tO' -p170427 -aS'in\tin\tIN\tB-PP\tO' -p170428 -aS'the\tthe\tDT\tB-NP\tO' -p170429 -aS'past\tpast\tNN\tI-NP\tO' -p170430 -aS'and\tand\tCC\tO\tO' -p170431 -aS'subsequently\tsubsequently\tRB\tB-VP\tO' -p170432 -aS'developed\tdevelop\tVBD\tI-VP\tO' -p170433 -aS'neuropathic\tneuropathic\tJJ\tB-NP\tO' -p170434 -aS'pain\tpain\tNN\tI-NP\tO' -p170435 -aS'at\tat\tIN\tB-PP\tO' -p170436 -aS'the\tthe\tDT\tB-NP\tO' -p170437 -aS'incision\tincision\tNN\tI-NP\tB-DNA' -p170438 -aS'site\tsite\tNN\tI-NP\tI-DNA' -p170439 -aS'.\t.\t.\tO\tO' -p170440 -asS'The patient does not smoke or drink .' -p170441 -(lp170442 -S'The\tThe\tDT\tB-NP\tO' -p170443 -aS'patient\tpatient\tNN\tI-NP\tO' -p170444 -aS'does\tdo\tVBZ\tB-VP\tO' -p170445 -aS'not\tnot\tRB\tI-VP\tO' -p170446 -aS'smoke\tsmoke\tVB\tI-VP\tO' -p170447 -aS'or\tor\tCC\tI-VP\tO' -p170448 -aS'drink\tdrink\tVB\tI-VP\tO' -p170449 -aS'.\t.\t.\tO\tO' -p170450 -asS'4. Prilosec 30 mg p.o. q. day .' -p170451 -(lp170452 -S'4.\t4.\tLS\tB-LST\tO' -p170453 -aS'Prilosec\tPrilosec\tNNP\tB-NP\tO' -p170454 -aS'30\t30\tCD\tI-NP\tO' -p170455 -aS'mg\tmg\tNN\tI-NP\tO' -p170456 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p170457 -aS'q.\tq.\tNN\tI-NP\tO' -p170458 -aS'day\tday\tNN\tI-NP\tO' -p170459 -aS'.\t.\t.\tO\tO' -p170460 -asS'Family History : no kids , no bleeds or strokes in other family members' -p170461 -(lp170462 -S'Family\tFamily\tRB\tB-NP\tO' -p170463 -aS'History\tHistory\tNN\tI-NP\tO' -p170464 -aS':\t:\t:\tO\tO' -p170465 -aS'no\tno\tDT\tB-NP\tO' -p170466 -aS'kids\tkid\tNNS\tI-NP\tO' -p170467 -aS',\t,\t,\tO\tO' -p170468 -aS'no\tno\tDT\tB-NP\tO' -p170469 -aS'bleeds\tbleed\tNNS\tI-NP\tO' -p170470 -aS'or\tor\tCC\tI-NP\tO' -p170471 -aS'strokes\tstroke\tNNS\tI-NP\tO' -p170472 -aS'in\tin\tIN\tB-PP\tO' -p170473 -aS'other\tother\tJJ\tB-NP\tO' -p170474 -aS'family\tfamily\tNN\tI-NP\tO' -p170475 -aS'members\tmember\tNNS\tI-NP\tO' -p170476 -asS'She feels light headed when getting up .' -p170477 -(lp170478 -S'She\tShe\tPRP\tB-NP\tO' -p170479 -aS'feels\tfeel\tVBZ\tB-VP\tO' -p170480 -aS'light\tlight\tNN\tB-NP\tO' -p170481 -aS'headed\thead\tVBN\tB-VP\tO' -p170482 -aS'when\twhen\tWRB\tB-ADVP\tO' -p170483 -aS'getting\tget\tVBG\tB-VP\tO' -p170484 -aS'up\tup\tRP\tB-PRT\tO' -p170485 -aS'.\t.\t.\tO\tO' -p170486 -asS'# Anemia : His HCT remained stable post-surgery .' -p170487 -(lp170488 -S'#\t#\t#\tB-NP\tO' -p170489 -aS'Anemia\tAnemia\tNNP\tI-NP\tO' -p170490 -aS':\t:\t:\tO\tO' -p170491 -aS'His\tHis\tPRP$\tB-NP\tO' -p170492 -aS'HCT\tHCT\tNN\tI-NP\tO' -p170493 -aS'remained\tremain\tVBD\tB-VP\tO' -p170494 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p170495 -aS'post-surgery\tpost-surgery\tJJ\tI-ADJP\tO' -p170496 -aS'.\t.\t.\tO\tO' -p170497 -asS"Pt 's vancomycin was stopped after 14 days of treatment ." -p170498 -(lp170499 -S'Pt\tPt\tNN\tB-NP\tO' -p170500 -aS"'s\t's\tPOS\tB-NP\tO" -p170501 -aS'vancomycin\tvancomycin\tNN\tI-NP\tO' -p170502 -aS'was\tbe\tVBD\tB-VP\tO' -p170503 -aS'stopped\tstop\tVBN\tI-VP\tO' -p170504 -aS'after\tafter\tIN\tB-PP\tO' -p170505 -aS'14\t14\tCD\tB-NP\tO' -p170506 -aS'days\tday\tNNS\tI-NP\tO' -p170507 -aS'of\tof\tIN\tB-PP\tO' -p170508 -aS'treatment\ttreatment\tNN\tB-NP\tO' -p170509 -aS'.\t.\t.\tO\tO' -p170510 -asS'JVD not appreciated 03-07 to deep inspiratory breaths .' -p170511 -(lp170512 -S'JVD\tJVD\tNN\tB-NP\tO' -p170513 -aS'not\tnot\tRB\tB-VP\tO' -p170514 -aS'appreciated\tappreciate\tVBN\tI-VP\tO' -p170515 -aS'03-07\t03-07\tCD\tB-NP\tO' -p170516 -aS'to\tto\tTO\tB-VP\tO' -p170517 -aS'deep\tdeep\tVB\tI-VP\tO' -p170518 -aS'inspiratory\tinspiratory\tJJ\tB-NP\tO' -p170519 -aS'breaths\tbreath\tNNS\tI-NP\tO' -p170520 -aS'.\t.\t.\tO\tO' -p170521 -asS'Chest x-ray revealed a left pneumothorax which resolved on its own without intervention .' -p170522 -(lp170523 -S'Chest\tCh\tJJS\tB-NP\tO' -p170524 -aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' -p170525 -aS'revealed\treveal\tVBD\tB-VP\tO' -p170526 -aS'a\ta\tDT\tB-NP\tO' -p170527 -aS'left\tleft\tJJ\tI-NP\tO' -p170528 -aS'pneumothorax\tpneumothorax\tNN\tI-NP\tO' -p170529 -aS'which\twhich\tWDT\tB-NP\tO' -p170530 -aS'resolved\tresolve\tVBD\tB-VP\tO' -p170531 -aS'on\ton\tIN\tB-PP\tO' -p170532 -aS'its\tits\tPRP$\tB-NP\tO' -p170533 -aS'own\town\tJJ\tI-NP\tO' -p170534 -aS'without\twithout\tIN\tB-PP\tO' -p170535 -aS'intervention\tintervention\tNN\tB-NP\tO' -p170536 -aS'.\t.\t.\tO\tO' -p170537 -asS'Lungs - diffuse expiratory wheezes with bibasilar rales , left over right .' -p170538 -(lp170539 -S'Lungs\tLung\tNNS\tB-NP\tO' -p170540 -aS'-\t-\tHYPH\tB-NP\tO' -p170541 -aS'diffuse\tdiffuse\tJJ\tI-NP\tO' -p170542 -aS'expiratory\texpiratory\tNN\tI-NP\tO' -p170543 -aS'wheezes\twheeze\tVBZ\tB-VP\tO' -p170544 -aS'with\twith\tIN\tB-PP\tO' -p170545 -aS'bibasilar\tbibasilar\tJJ\tB-NP\tO' -p170546 -aS'rales\trale\tNNS\tI-NP\tO' -p170547 -aS',\t,\t,\tO\tO' -p170548 -aS'left\tleave\tVBD\tB-VP\tO' -p170549 -aS'over\tover\tRP\tB-PRT\tO' -p170550 -aS'right\tright\tJJ\tB-ADVP\tO' -p170551 -aS'.\t.\t.\tO\tO' -p170552 -asS'6. Sick sinus syndrome status post pacer placement' -p170553 -(lp170554 -S'6.\t6.\tLS\tB-NP\tO' -p170555 -aS'Sick\tSick\tNNP\tI-NP\tO' -p170556 -aS'sinus\tsinus\tNN\tI-NP\tO' -p170557 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p170558 -aS'status\tstatus\tNN\tI-NP\tO' -p170559 -aS'post\tpost\tNN\tI-NP\tO' -p170560 -aS'pacer\tpacer\tNN\tI-NP\tO' -p170561 -aS'placement\tplacement\tNN\tI-NP\tO' -p170562 -asS'Mitral and possibly tricuspid valve surgery is scheduled for Labor Day by Dr. Riemund C. Kennedy .' -p170563 -(lp170564 -S'Mitral\tMitral\tJJ\tB-NP\tO' -p170565 -aS'and\tand\tCC\tI-NP\tO' -p170566 -aS'possibly\tpossibly\tRB\tI-NP\tO' -p170567 -aS'tricuspid\ttricuspid\tJJ\tI-NP\tO' -p170568 -aS'valve\tvalve\tNN\tI-NP\tO' -p170569 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p170570 -aS'is\tbe\tVBZ\tB-VP\tO' -p170571 -aS'scheduled\tschedule\tVBN\tI-VP\tO' -p170572 -aS'for\tfor\tIN\tB-PP\tO' -p170573 -aS'Labor\tLabor\tNNP\tB-NP\tO' -p170574 -aS'Day\tDay\tNNP\tI-NP\tO' -p170575 -aS'by\tby\tIN\tB-PP\tO' -p170576 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p170577 -aS'Riemund\tRiemund\tNNP\tI-NP\tO' -p170578 -aS'C.\tC.\tNNP\tI-NP\tO' -p170579 -aS'Kennedy\tKennedy\tNNP\tI-NP\tO' -p170580 -aS'.\t.\t.\tO\tO' -p170581 -asS'He does limp .' -p170582 -(lp170583 -S'He\tHe\tPRP\tB-NP\tO' -p170584 -aS'does\tdo\tVBZ\tB-VP\tO' -p170585 -aS'limp\tlimp\tVB\tI-VP\tO' -p170586 -aS'.\t.\t.\tO\tO' -p170587 -asS'There were no intraoperative complications and the surgical field was hemostatic at the conclusion of the case ( see operative report for full description ) .' -p170588 -(lp170589 -S'There\tThere\tEX\tB-NP\tO' -p170590 -aS'were\tbe\tVBD\tB-VP\tO' -p170591 -aS'no\tno\tDT\tB-NP\tO' -p170592 -aS'intraoperative\tintraoperative\tJJ\tI-NP\tO' -p170593 -aS'complications\tcomplication\tNNS\tI-NP\tO' -p170594 -aS'and\tand\tCC\tO\tO' -p170595 -aS'the\tthe\tDT\tB-NP\tO' -p170596 -aS'surgical\tsurgical\tJJ\tI-NP\tO' -p170597 -aS'field\tfield\tNN\tI-NP\tO' -p170598 -aS'was\tbe\tVBD\tB-VP\tO' -p170599 -aS'hemostatic\themostatic\tJJ\tB-ADJP\tO' -p170600 -aS'at\tat\tIN\tB-PP\tO' -p170601 -aS'the\tthe\tDT\tB-NP\tO' -p170602 -aS'conclusion\tconclusion\tNN\tI-NP\tO' -p170603 -aS'of\tof\tIN\tB-PP\tO' -p170604 -aS'the\tthe\tDT\tB-NP\tO' -p170605 -aS'case\tcase\tNN\tI-NP\tO' -p170606 -aS'(\t(\t(\tO\tO' -p170607 -aS'see\tsee\tVB\tB-VP\tO' -p170608 -aS'operative\toperative\tJJ\tB-NP\tO' -p170609 -aS'report\treport\tNN\tI-NP\tO' -p170610 -aS'for\tfor\tIN\tB-PP\tO' -p170611 -aS'full\tfull\tJJ\tB-NP\tO' -p170612 -aS'description\tdescription\tNN\tI-NP\tO' -p170613 -aS')\t)\t)\tO\tO' -p170614 -aS'.\t.\t.\tO\tO' -p170615 -asS'Presented w / epigastric pain , SOB at work .' -p170616 -(lp170617 -S'Presented\tPresent\tVBN\tB-NP\tO' -p170618 -aS'w\tw\tNN\tI-NP\tO' -p170619 -aS'/\t/\tSYM\tB-NP\tO' -p170620 -aS'epigastric\tepigastric\tJJ\tB-NP\tO' -p170621 -aS'pain\tpain\tNN\tI-NP\tO' -p170622 -aS',\t,\t,\tO\tO' -p170623 -aS'SOB\tSOB\tNN\tB-NP\tB-protein' -p170624 -aS'at\tat\tIN\tB-PP\tO' -p170625 -aS'work\twork\tNN\tB-NP\tO' -p170626 -aS'.\t.\t.\tO\tO' -p170627 -asS'Abdominal examination ; soft , non-tender , non-distended , normal active bowel sounds .' -p170628 -(lp170629 -S'Abdominal\tAbdominal\tJJ\tB-NP\tO' -p170630 -aS'examination\texamination\tNN\tI-NP\tO' -p170631 -aS';\t;\t:\tO\tO' -p170632 -aS'soft\tsoft\tJJ\tB-NP\tO' -p170633 -aS',\t,\t,\tI-NP\tO' -p170634 -aS'non-tender\tnon-tender\tJJ\tI-NP\tO' -p170635 -aS',\t,\t,\tI-NP\tO' -p170636 -aS'non-distended\tnon-distended\tJJ\tI-NP\tO' -p170637 -aS',\t,\t,\tI-NP\tO' -p170638 -aS'normal\tnormal\tJJ\tI-NP\tO' -p170639 -aS'active\tactive\tJJ\tI-NP\tO' -p170640 -aS'bowel\tbowel\tNN\tI-NP\tO' -p170641 -aS'sounds\tsound\tNNS\tI-NP\tO' -p170642 -aS'.\t.\t.\tO\tO' -p170643 -asS'Felt secondary to low platelets with no surgical intervention indicated .' -p170644 -(lp170645 -S'Felt\tFelt\tNN\tB-NP\tO' -p170646 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p170647 -aS'to\tto\tTO\tB-PP\tO' -p170648 -aS'low\tlow\tJJ\tB-NP\tB-cell_type' -p170649 -aS'platelets\tplatelet\tNNS\tI-NP\tI-cell_type' -p170650 -aS'with\twith\tIN\tB-PP\tO' -p170651 -aS'no\tno\tDT\tB-NP\tO' -p170652 -aS'surgical\tsurgical\tJJ\tI-NP\tO' -p170653 -aS'intervention\tintervention\tNN\tI-NP\tO' -p170654 -aS'indicated\tindicate\tVBD\tB-VP\tO' -p170655 -aS'.\t.\t.\tO\tO' -p170656 -asS'The status of Mr. Nina pulmonary system necessitated a prolonged postoperative intubation .' -p170657 -(lp170658 -S'The\tThe\tDT\tB-NP\tO' -p170659 -aS'status\tstatus\tNN\tI-NP\tO' -p170660 -aS'of\tof\tIN\tB-PP\tO' -p170661 -aS'Mr.\tMr.\tNNP\tB-NP\tO' -p170662 -aS'Nina\tNina\tNNP\tI-NP\tO' -p170663 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p170664 -aS'system\tsystem\tNN\tI-NP\tO' -p170665 -aS'necessitated\tnecessitate\tVBD\tB-VP\tO' -p170666 -aS'a\ta\tDT\tB-NP\tO' -p170667 -aS'prolonged\tprolonged\tJJ\tI-NP\tO' -p170668 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p170669 -aS'intubation\tintubation\tNN\tI-NP\tO' -p170670 -aS'.\t.\t.\tO\tO' -p170671 -asS'Abdomen : obese , soft , mild epigastric tenderness , NABS' -p170672 -(lp170673 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p170674 -aS':\t:\t:\tO\tO' -p170675 -aS'obese\tobese\tJJ\tB-NP\tO' -p170676 -aS',\t,\t,\tI-NP\tO' -p170677 -aS'soft\tsoft\tJJ\tI-NP\tO' -p170678 -aS',\t,\t,\tI-NP\tO' -p170679 -aS'mild\tmild\tJJ\tI-NP\tO' -p170680 -aS'epigastric\tepigastric\tJJ\tI-NP\tO' -p170681 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p170682 -aS',\t,\t,\tO\tO' -p170683 -aS'NABS\tNABS\tNNP\tB-NP\tO' -p170684 -asS'Her chest tube was pulled on postoperative day number one and the patient did quite well and remained inhouse for observation until December 7 , 1997 and the patient was discharged to home in stable condition .' -p170685 -(lp170686 -S'Her\tHer\tPRP$\tB-NP\tO' -p170687 -aS'chest\tchest\tNN\tI-NP\tO' -p170688 -aS'tube\ttube\tNN\tI-NP\tO' -p170689 -aS'was\tbe\tVBD\tB-VP\tO' -p170690 -aS'pulled\tpull\tVBN\tI-VP\tO' -p170691 -aS'on\ton\tIN\tB-PP\tO' -p170692 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p170693 -aS'day\tday\tNN\tI-NP\tO' -p170694 -aS'number\tnumber\tNN\tI-NP\tO' -p170695 -aS'one\tone\tCD\tB-NP\tO' -p170696 -aS'and\tand\tCC\tO\tO' -p170697 -aS'the\tthe\tDT\tB-NP\tO' -p170698 -aS'patient\tpatient\tNN\tI-NP\tO' -p170699 -aS'did\tdo\tVBD\tB-VP\tO' -p170700 -aS'quite\tquite\tRB\tB-ADVP\tO' -p170701 -aS'well\twell\tRB\tI-ADVP\tO' -p170702 -aS'and\tand\tCC\tO\tO' -p170703 -aS'remained\tremain\tVBD\tB-VP\tO' -p170704 -aS'inhouse\tinhouse\tNN\tB-NP\tO' -p170705 -aS'for\tfor\tIN\tB-PP\tO' -p170706 -aS'observation\tobservation\tNN\tB-NP\tO' -p170707 -aS'until\tuntil\tIN\tB-PP\tO' -p170708 -aS'December\tDecember\tNNP\tB-NP\tO' -p170709 -aS'7\t7\tCD\tI-NP\tO' -p170710 -aS',\t,\t,\tO\tO' -p170711 -aS'1997\t1997\tCD\tB-NP\tO' -p170712 -aS'and\tand\tCC\tO\tO' -p170713 -aS'the\tthe\tDT\tB-NP\tO' -p170714 -aS'patient\tpatient\tNN\tI-NP\tO' -p170715 -aS'was\tbe\tVBD\tB-VP\tO' -p170716 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p170717 -aS'to\tto\tTO\tB-PP\tO' -p170718 -aS'home\thome\tNN\tB-NP\tO' -p170719 -aS'in\tin\tIN\tB-PP\tO' -p170720 -aS'stable\tstable\tJJ\tB-NP\tO' -p170721 -aS'condition\tcondition\tNN\tI-NP\tO' -p170722 -aS'.\t.\t.\tO\tO' -p170723 -asS'The patient intermittently tolerated diet advancement , but then would vomit and would have the NG tube replaced .' -p170724 -(lp170725 -S'The\tThe\tDT\tB-NP\tO' -p170726 -aS'patient\tpatient\tNN\tI-NP\tO' -p170727 -aS'intermittently\tintermittently\tRB\tB-ADVP\tO' -p170728 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p170729 -aS'diet\tdiet\tNN\tB-NP\tO' -p170730 -aS'advancement\tadvancement\tNN\tI-NP\tO' -p170731 -aS',\t,\t,\tO\tO' -p170732 -aS'but\tbut\tCC\tO\tO' -p170733 -aS'then\tthen\tRB\tB-VP\tO' -p170734 -aS'would\twould\tMD\tI-VP\tO' -p170735 -aS'vomit\tvomit\tVB\tI-VP\tO' -p170736 -aS'and\tand\tCC\tO\tO' -p170737 -aS'would\twould\tMD\tB-VP\tO' -p170738 -aS'have\thave\tVB\tI-VP\tO' -p170739 -aS'the\tthe\tDT\tB-NP\tO' -p170740 -aS'NG\tNG\tNN\tI-NP\tO' -p170741 -aS'tube\ttube\tNN\tI-NP\tO' -p170742 -aS'replaced\treplace\tVBN\tB-VP\tO' -p170743 -aS'.\t.\t.\tO\tO' -p170744 -asS'5. Physiologic jaundice .' -p170745 -(lp170746 -S'5.\t5.\tLS\tB-NP\tO' -p170747 -aS'Physiologic\tPhysiologic\tJJ\tI-NP\tO' -p170748 -aS'jaundice\tjaundice\tNN\tI-NP\tO' -p170749 -aS'.\t.\t.\tO\tO' -p170750 -asS'no , tob , no etoh , no drugs' -p170751 -(lp170752 -S'no\tno\tRB\tB-ADVP\tO' -p170753 -aS',\t,\t,\tO\tO' -p170754 -aS'tob\ttob\tNN\tB-NP\tB-protein' -p170755 -aS',\t,\t,\tO\tO' -p170756 -aS'no\tno\tDT\tB-NP\tO' -p170757 -aS'etoh\tetoh\tNN\tI-NP\tO' -p170758 -aS',\t,\t,\tO\tO' -p170759 -aS'no\tno\tDT\tB-NP\tO' -p170760 -aS'drugs\tdrug\tNNS\tI-NP\tO' -p170761 -asS'xray - no evidence of effusion or fracture' -p170762 -(lp170763 -S'xray\txray\tSYM\tB-NP\tO' -p170764 -aS'-\t-\t:\tO\tO' -p170765 -aS'no\tno\tDT\tB-NP\tO' -p170766 -aS'evidence\tevidence\tNN\tI-NP\tO' -p170767 -aS'of\tof\tIN\tB-PP\tO' -p170768 -aS'effusion\teffusion\tNN\tB-NP\tO' -p170769 -aS'or\tor\tCC\tI-NP\tO' -p170770 -aS'fracture\tfracture\tNN\tI-NP\tO' -p170771 -asS'Chest x-ray revealed no pneumonia , no congestive heart failure .' -p170772 -(lp170773 -S'Chest\tCh\tJJS\tB-NP\tO' -p170774 -aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' -p170775 -aS'revealed\treveal\tVBD\tB-VP\tO' -p170776 -aS'no\tno\tDT\tB-NP\tO' -p170777 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p170778 -aS',\t,\t,\tO\tO' -p170779 -aS'no\tno\tDT\tB-NP\tO' -p170780 -aS'congestive\tcongestive\tJJ\tI-NP\tO' -p170781 -aS'heart\theart\tNN\tI-NP\tO' -p170782 -aS'failure\tfailure\tNN\tI-NP\tO' -p170783 -aS'.\t.\t.\tO\tO' -p170784 -asS'She was guiaic negative .' -p170785 -(lp170786 -S'She\tShe\tPRP\tB-NP\tO' -p170787 -aS'was\tbe\tVBD\tB-VP\tO' -p170788 -aS'guiaic\tguiaic\tJJ\tB-ADJP\tO' -p170789 -aS'negative\tnegative\tJJ\tI-ADJP\tO' -p170790 -aS'.\t.\t.\tO\tO' -p170791 -asS'Dictated By : John V.E. Jameson , M.D.' -p170792 -(lp170793 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p170794 -aS'By\tBy\tIN\tB-PP\tO' -p170795 -aS':\t:\t:\tO\tO' -p170796 -aS'John\tJohn\tNNP\tB-NP\tO' -p170797 -aS'V.E.\tV.E.\tNNP\tI-NP\tO' -p170798 -aS'Jameson\tJameson\tNNP\tI-NP\tO' -p170799 -aS',\t,\t,\tO\tO' -p170800 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p170801 -asS'3. Bilateral renal artery stenosis status post stent left renal artery .' -p170802 -(lp170803 -S'3.\t3.\tLS\tB-NP\tO' -p170804 -aS'Bilateral\tBilateral\tJJ\tI-NP\tO' -p170805 -aS'renal\trenal\tJJ\tI-NP\tO' -p170806 -aS'artery\tartery\tNN\tI-NP\tO' -p170807 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p170808 -aS'status\tstatus\tNN\tI-NP\tO' -p170809 -aS'post\tpost\tIN\tB-PP\tO' -p170810 -aS'stent\tstent\tJJ\tB-NP\tO' -p170811 -aS'left\tleft\tJJ\tI-NP\tO' -p170812 -aS'renal\trenal\tJJ\tI-NP\tO' -p170813 -aS'artery\tartery\tNN\tI-NP\tO' -p170814 -aS'.\t.\t.\tO\tO' -p170815 -asS'There was no gag .' -p170816 -(lp170817 -S'There\tThere\tEX\tB-NP\tO' -p170818 -aS'was\tbe\tVBD\tB-VP\tO' -p170819 -aS'no\tno\tDT\tB-NP\tO' -p170820 -aS'gag\tgag\tNN\tI-NP\tO' -p170821 -aS'.\t.\t.\tO\tO' -p170822 -asS'Dr. Donald Carrion , telephone number ( 861 ) 840 7928 .' -p170823 -(lp170824 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p170825 -aS'Donald\tDonald\tNNP\tI-NP\tO' -p170826 -aS'Carrion\tCarrion\tNNP\tI-NP\tO' -p170827 -aS',\t,\t,\tO\tO' -p170828 -aS'telephone\ttelephone\tNN\tB-NP\tO' -p170829 -aS'number\tnumber\tNN\tI-NP\tO' -p170830 -aS'(\t(\t(\tO\tO' -p170831 -aS'861\t861\tCD\tB-NP\tO' -p170832 -aS')\t)\t)\tO\tO' -p170833 -aS'840\t840\tCD\tB-NP\tO' -p170834 -aS'7928\t7928\tCD\tI-NP\tO' -p170835 -aS'.\t.\t.\tO\tO' -p170836 -asS'Catheter tip 01-05 , NG .' -p170837 -(lp170838 -S'Catheter\tCatheter\tNN\tB-NP\tO' -p170839 -aS'tip\ttip\tNN\tI-NP\tO' -p170840 -aS'01-05\t01-05\tCD\tI-NP\tO' -p170841 -aS',\t,\t,\tO\tO' -p170842 -aS'NG\tNG\tNN\tB-NP\tO' -p170843 -aS'.\t.\t.\tO\tO' -p170844 -asS'A physical therapy evaluation was obtained for assistance and mobility .' -p170845 -(lp170846 -S'A\tA\tDT\tB-NP\tO' -p170847 -aS'physical\tphysical\tJJ\tI-NP\tO' -p170848 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p170849 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p170850 -aS'was\tbe\tVBD\tB-VP\tO' -p170851 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p170852 -aS'for\tfor\tIN\tB-PP\tO' -p170853 -aS'assistance\tassistance\tNN\tB-NP\tO' -p170854 -aS'and\tand\tCC\tI-NP\tO' -p170855 -aS'mobility\tmobility\tNN\tI-NP\tO' -p170856 -aS'.\t.\t.\tO\tO' -p170857 -asS'CBC on admission showed a white count of 9.3 with 37 polys , 0 bands , platelets 399,000 .' -p170858 -(lp170859 -S'CBC\tCBC\tNN\tB-NP\tB-protein' -p170860 -aS'on\ton\tIN\tB-PP\tO' -p170861 -aS'admission\tadmission\tNN\tB-NP\tO' -p170862 -aS'showed\tshow\tVBD\tB-VP\tO' -p170863 -aS'a\ta\tDT\tB-NP\tO' -p170864 -aS'white\twhite\tJJ\tI-NP\tO' -p170865 -aS'count\tcount\tNN\tI-NP\tO' -p170866 -aS'of\tof\tIN\tB-PP\tO' -p170867 -aS'9.3\t9.3\tCD\tB-NP\tO' -p170868 -aS'with\twith\tIN\tB-PP\tO' -p170869 -aS'37\t37\tCD\tB-NP\tO' -p170870 -aS'polys\tpoly\tNNS\tI-NP\tO' -p170871 -aS',\t,\t,\tO\tO' -p170872 -aS'0\t0\tCD\tB-NP\tO' -p170873 -aS'bands\tband\tNNS\tI-NP\tO' -p170874 -aS',\t,\t,\tO\tO' -p170875 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p170876 -aS'399,000\t399,000\tCD\tB-NP\tO' -p170877 -aS'.\t.\t.\tO\tO' -p170878 -asS'Neuro - PERRL , corneal reflex , gag reflex , Dolls eyes , spont mvt of head with out purpose side to side' -p170879 -(lp170880 -S'Neuro\tNeuro\tAFX\tB-NP\tB-cell_type' -p170881 -aS'-\t-\tHYPH\tI-NP\tO' -p170882 -aS'PERRL\tPERRL\tNN\tI-NP\tB-protein' -p170883 -aS',\t,\t,\tO\tO' -p170884 -aS'corneal\tcorneal\tJJ\tB-NP\tO' -p170885 -aS'reflex\treflex\tNN\tI-NP\tO' -p170886 -aS',\t,\t,\tO\tO' -p170887 -aS'gag\tgag\tNN\tB-NP\tO' -p170888 -aS'reflex\treflex\tNN\tI-NP\tO' -p170889 -aS',\t,\t,\tO\tO' -p170890 -aS'Dolls\tDolls\tNNP\tB-NP\tO' -p170891 -aS'eyes\teye\tNNS\tI-NP\tO' -p170892 -aS',\t,\t,\tO\tO' -p170893 -aS'spont\tspont\tJJ\tB-NP\tO' -p170894 -aS'mvt\tmvt\tNN\tI-NP\tO' -p170895 -aS'of\tof\tIN\tB-PP\tO' -p170896 -aS'head\thead\tNN\tB-NP\tO' -p170897 -aS'with\twith\tIN\tB-PP\tO' -p170898 -aS'out\tout\tIN\tB-PP\tO' -p170899 -aS'purpose\tpurpose\tNN\tB-NP\tO' -p170900 -aS'side\tside\tNN\tI-NP\tO' -p170901 -aS'to\tto\tTO\tB-PP\tO' -p170902 -aS'side\tside\tNN\tB-NP\tO' -p170903 -asS'Had vascular clinic f/u on day of admission .' -p170904 -(lp170905 -S'Had\tHave\tVBD\tB-VP\tO' -p170906 -aS'vascular\tvascular\tJJ\tB-NP\tO' -p170907 -aS'clinic\tclinic\tNN\tI-NP\tO' -p170908 -aS'f/u\tf/u\tNN\tI-NP\tO' -p170909 -aS'on\ton\tIN\tB-PP\tO' -p170910 -aS'day\tday\tNN\tB-NP\tO' -p170911 -aS'of\tof\tIN\tB-PP\tO' -p170912 -aS'admission\tadmission\tNN\tB-NP\tO' -p170913 -aS'.\t.\t.\tO\tO' -p170914 -asS'This is a 67 - year-old male with a history of high cholesterol who was in his usual state of health until 2016-04-03 .' -p170915 -(lp170916 -S'This\tThis\tDT\tB-NP\tO' -p170917 -aS'is\tbe\tVBZ\tB-VP\tO' -p170918 -aS'a\ta\tDT\tB-NP\tO' -p170919 -aS'67\t67\tCD\tI-NP\tO' -p170920 -aS'-\t-\tHYPH\tI-NP\tO' -p170921 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p170922 -aS'male\tmale\tNN\tI-NP\tO' -p170923 -aS'with\twith\tIN\tB-PP\tO' -p170924 -aS'a\ta\tDT\tB-NP\tO' -p170925 -aS'history\thistory\tNN\tI-NP\tO' -p170926 -aS'of\tof\tIN\tB-PP\tO' -p170927 -aS'high\thigh\tJJ\tB-NP\tO' -p170928 -aS'cholesterol\tcholesterol\tNN\tI-NP\tO' -p170929 -aS'who\twho\tWP\tB-NP\tO' -p170930 -aS'was\tbe\tVBD\tB-VP\tO' -p170931 -aS'in\tin\tIN\tB-PP\tO' -p170932 -aS'his\this\tPRP$\tB-NP\tO' -p170933 -aS'usual\tusual\tJJ\tI-NP\tO' -p170934 -aS'state\tstate\tNN\tI-NP\tO' -p170935 -aS'of\tof\tIN\tB-PP\tO' -p170936 -aS'health\thealth\tNN\tB-NP\tO' -p170937 -aS'until\tuntil\tIN\tB-PP\tO' -p170938 -aS'2016-04-03\t2016-04-03\tCD\tB-NP\tO' -p170939 -aS'.\t.\t.\tO\tO' -p170940 -asS'By the end of June , it became clear that Mr. Mass would require aggressive surgical intervention in order to eradicate his intra-abdominal bursts of intermittent sepsis ; however , long discussions with the patient and his wife , who was his health-care proxy , revealed that they felt that no further aggressive intervention be attempted .' -p170941 -(lp170942 -S'By\tBy\tIN\tB-PP\tO' -p170943 -aS'the\tthe\tDT\tB-NP\tO' -p170944 -aS'end\tend\tNN\tI-NP\tO' -p170945 -aS'of\tof\tIN\tB-PP\tO' -p170946 -aS'June\tJune\tNNP\tB-NP\tO' -p170947 -aS',\t,\t,\tO\tO' -p170948 -aS'it\tit\tPRP\tB-NP\tO' -p170949 -aS'became\tbecome\tVBD\tB-VP\tO' -p170950 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p170951 -aS'that\tthat\tIN\tB-SBAR\tO' -p170952 -aS'Mr.\tMr.\tNNP\tB-NP\tO' -p170953 -aS'Mass\tMass\tNNP\tI-NP\tO' -p170954 -aS'would\twould\tMD\tB-VP\tO' -p170955 -aS'require\trequire\tVB\tI-VP\tO' -p170956 -aS'aggressive\taggressive\tJJ\tB-NP\tO' -p170957 -aS'surgical\tsurgical\tJJ\tI-NP\tO' -p170958 -aS'intervention\tintervention\tNN\tI-NP\tO' -p170959 -aS'in\tin\tIN\tB-SBAR\tO' -p170960 -aS'order\torder\tNN\tO\tO' -p170961 -aS'to\tto\tTO\tB-VP\tO' -p170962 -aS'eradicate\teradicate\tVB\tI-VP\tO' -p170963 -aS'his\this\tPRP$\tB-NP\tO' -p170964 -aS'intra-abdominal\tintra-abdominal\tJJ\tI-NP\tO' -p170965 -aS'bursts\tburst\tNNS\tI-NP\tO' -p170966 -aS'of\tof\tIN\tB-PP\tO' -p170967 -aS'intermittent\tintermittent\tJJ\tB-NP\tO' -p170968 -aS'sepsis\tsepsis\tNN\tI-NP\tO' -p170969 -aS';\t;\t:\tO\tO' -p170970 -aS'however\thowever\tRB\tB-ADVP\tO' -p170971 -aS',\t,\t,\tO\tO' -p170972 -aS'long\tlong\tJJ\tB-NP\tO' -p170973 -aS'discussions\tdiscussion\tNNS\tI-NP\tO' -p170974 -aS'with\twith\tIN\tB-PP\tO' -p170975 -aS'the\tthe\tDT\tB-NP\tO' -p170976 -aS'patient\tpatient\tNN\tI-NP\tO' -p170977 -aS'and\tand\tCC\tO\tO' -p170978 -aS'his\this\tPRP$\tB-NP\tO' -p170979 -aS'wife\twife\tNN\tI-NP\tO' -p170980 -aS',\t,\t,\tO\tO' -p170981 -aS'who\twho\tWP\tB-NP\tO' -p170982 -aS'was\tbe\tVBD\tB-VP\tO' -p170983 -aS'his\this\tPRP$\tB-NP\tO' -p170984 -aS'health-care\thealth-care\tNN\tI-NP\tO' -p170985 -aS'proxy\tproxy\tNN\tI-NP\tO' -p170986 -aS',\t,\t,\tO\tO' -p170987 -aS'revealed\treveal\tVBD\tB-VP\tO' -p170988 -aS'that\tthat\tIN\tB-SBAR\tO' -p170989 -aS'they\tthey\tPRP\tB-NP\tO' -p170990 -aS'felt\tfeel\tVBD\tB-VP\tO' -p170991 -aS'that\tthat\tIN\tB-SBAR\tO' -p170992 -aS'no\tno\tDT\tB-NP\tO' -p170993 -aS'further\tfurther\tJJ\tI-NP\tO' -p170994 -aS'aggressive\taggressive\tJJ\tI-NP\tO' -p170995 -aS'intervention\tintervention\tNN\tI-NP\tO' -p170996 -aS'be\tbe\tVB\tB-VP\tO' -p170997 -aS'attempted\tattempt\tVBN\tI-VP\tO' -p170998 -aS'.\t.\t.\tO\tO' -p170999 -asS'No evidence of DVT in either lower limb .' -p171000 -(lp171001 -S'No\tNo\tDT\tB-NP\tO' -p171002 -aS'evidence\tevidence\tNN\tI-NP\tO' -p171003 -aS'of\tof\tIN\tB-PP\tO' -p171004 -aS'DVT\tDVT\tNN\tB-NP\tB-protein' -p171005 -aS'in\tin\tIN\tB-PP\tO' -p171006 -aS'either\teither\tCC\tB-NP\tO' -p171007 -aS'lower\tlow\tJJR\tI-NP\tO' -p171008 -aS'limb\tlimb\tNN\tI-NP\tO' -p171009 -aS'.\t.\t.\tO\tO' -p171010 -asS'The vascular team recommended a femoral-peroneal bypass for revascularization and performed this operation on HD#5 .' -p171011 -(lp171012 -S'The\tThe\tDT\tB-NP\tO' -p171013 -aS'vascular\tvascular\tJJ\tI-NP\tO' -p171014 -aS'team\tteam\tNN\tI-NP\tO' -p171015 -aS'recommended\trecommend\tVBD\tB-VP\tO' -p171016 -aS'a\ta\tDT\tB-NP\tO' -p171017 -aS'femoral-peroneal\tfemoral-peroneal\tJJ\tI-NP\tO' -p171018 -aS'bypass\tbypass\tNN\tI-NP\tO' -p171019 -aS'for\tfor\tIN\tB-PP\tO' -p171020 -aS'revascularization\trevascularization\tNN\tB-NP\tO' -p171021 -aS'and\tand\tCC\tO\tO' -p171022 -aS'performed\tperform\tVBD\tB-VP\tO' -p171023 -aS'this\tthis\tDT\tB-NP\tO' -p171024 -aS'operation\toperation\tNN\tI-NP\tO' -p171025 -aS'on\ton\tIN\tB-PP\tO' -p171026 -aS'HD#5\tHD#5\tNN\tB-NP\tB-protein' -p171027 -aS'.\t.\t.\tO\tO' -p171028 -asS'Cardiac enzymes BID while actively having leak , ASA' -p171029 -(lp171030 -S'Cardiac\tCardiac\tJJ\tB-NP\tO' -p171031 -aS'enzymes\tenzyme\tNNS\tI-NP\tO' -p171032 -aS'BID\tBID\tNN\tI-NP\tO' -p171033 -aS'while\twhile\tIN\tB-SBAR\tO' -p171034 -aS'actively\tactively\tRB\tB-ADVP\tO' -p171035 -aS'having\thave\tVBG\tB-VP\tO' -p171036 -aS'leak\tleak\tNN\tB-NP\tO' -p171037 -aS',\t,\t,\tO\tO' -p171038 -aS'ASA\tASA\tNNP\tB-NP\tO' -p171039 -asS'Dictated By : Ehtel Z Ebert , M.D.' -p171040 -(lp171041 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p171042 -aS'By\tBy\tIN\tB-PP\tO' -p171043 -aS':\t:\t:\tO\tO' -p171044 -aS'Ehtel\tEhtel\tNNP\tB-NP\tO' -p171045 -aS'Z\tZ\tNNP\tI-NP\tO' -p171046 -aS'Ebert\tEbert\tNNP\tI-NP\tO' -p171047 -aS',\t,\t,\tO\tO' -p171048 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p171049 -asS'She underwent an extensive workup by Hematology that revealed a bleeding diatheses of unknown etiology .' -p171050 -(lp171051 -S'She\tShe\tPRP\tB-NP\tO' -p171052 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p171053 -aS'an\tan\tDT\tB-NP\tO' -p171054 -aS'extensive\textensive\tJJ\tI-NP\tO' -p171055 -aS'workup\tworkup\tNN\tI-NP\tO' -p171056 -aS'by\tby\tIN\tB-PP\tO' -p171057 -aS'Hematology\tHematology\tNNP\tB-NP\tO' -p171058 -aS'that\tthat\tWDT\tB-NP\tO' -p171059 -aS'revealed\treveal\tVBD\tB-VP\tO' -p171060 -aS'a\ta\tDT\tB-NP\tO' -p171061 -aS'bleeding\tbleeding\tJJ\tI-NP\tO' -p171062 -aS'diatheses\tdiathes\tNNS\tI-NP\tO' -p171063 -aS'of\tof\tIN\tB-PP\tO' -p171064 -aS'unknown\tunknown\tJJ\tB-NP\tO' -p171065 -aS'etiology\tetiology\tNN\tI-NP\tO' -p171066 -aS'.\t.\t.\tO\tO' -p171067 -asS'However , he did develop significant ecchymosis in both groins , extending down into his scrotum .' -p171068 -(lp171069 -S'However\tHowever\tRB\tB-ADVP\tO' -p171070 -aS',\t,\t,\tO\tO' -p171071 -aS'he\the\tPRP\tB-NP\tO' -p171072 -aS'did\tdo\tVBD\tB-VP\tO' -p171073 -aS'develop\tdevelop\tVB\tI-VP\tO' -p171074 -aS'significant\tsignificant\tJJ\tB-NP\tO' -p171075 -aS'ecchymosis\tecchymosis\tNN\tI-NP\tO' -p171076 -aS'in\tin\tIN\tB-PP\tO' -p171077 -aS'both\tboth\tDT\tB-NP\tO' -p171078 -aS'groins\tgroin\tNNS\tI-NP\tO' -p171079 -aS',\t,\t,\tO\tO' -p171080 -aS'extending\textend\tVBG\tB-VP\tO' -p171081 -aS'down\tdown\tRP\tB-PRT\tO' -p171082 -aS'into\tinto\tIN\tB-PP\tO' -p171083 -aS'his\this\tPRP$\tB-NP\tO' -p171084 -aS'scrotum\tscrotum\tNN\tI-NP\tO' -p171085 -aS'.\t.\t.\tO\tO' -p171086 -asS'The patient is admitted to this hospital through the Podiatry Service ; however , the stress test showed multi-vessel disease .' -p171087 -(lp171088 -S'The\tThe\tDT\tB-NP\tO' -p171089 -aS'patient\tpatient\tNN\tI-NP\tO' -p171090 -aS'is\tbe\tVBZ\tB-VP\tO' -p171091 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p171092 -aS'to\tto\tTO\tB-PP\tO' -p171093 -aS'this\tthis\tDT\tB-NP\tO' -p171094 -aS'hospital\thospital\tNN\tI-NP\tO' -p171095 -aS'through\tthrough\tIN\tB-PP\tO' -p171096 -aS'the\tthe\tDT\tB-NP\tO' -p171097 -aS'Podiatry\tPodiatry\tNNP\tI-NP\tO' -p171098 -aS'Service\tService\tNNP\tI-NP\tO' -p171099 -aS';\t;\t:\tO\tO' -p171100 -aS'however\thowever\tRB\tB-ADVP\tO' -p171101 -aS',\t,\t,\tO\tO' -p171102 -aS'the\tthe\tDT\tB-NP\tO' -p171103 -aS'stress\tstress\tNN\tI-NP\tO' -p171104 -aS'test\ttest\tNN\tI-NP\tO' -p171105 -aS'showed\tshow\tVBD\tB-VP\tO' -p171106 -aS'multi-vessel\tmulti-vessel\tJJ\tB-NP\tO' -p171107 -aS'disease\tdisease\tNN\tI-NP\tO' -p171108 -aS'.\t.\t.\tO\tO' -p171109 -asS's / p inferior STEMI ( 2/17 ) with stent to RCA ; TTE ( 2/17 ) - LVEF 55-60% , inferobasal HK ; cervical spinal stenosis ; hypothyroidism ; GERD ; endometriosis s / p laparotomy and L oophorectomy .' -p171110 -(lp171111 -S's\ts\tNN\tB-NP\tB-protein' -p171112 -aS'/\t/\tSYM\tI-NP\tI-protein' -p171113 -aS'p\tp\tNN\tI-NP\tI-protein' -p171114 -aS'inferior\tinferior\tJJ\tI-NP\tI-protein' -p171115 -aS'STEMI\tSTEMI\tNN\tI-NP\tI-protein' -p171116 -aS'(\t(\t(\tO\tO' -p171117 -aS'2/17\t2/17\tCD\tB-NP\tO' -p171118 -aS')\t)\t)\tO\tO' -p171119 -aS'with\twith\tIN\tB-PP\tO' -p171120 -aS'stent\tstent\tNN\tB-NP\tO' -p171121 -aS'to\tto\tTO\tB-PP\tO' -p171122 -aS'RCA\tRCA\tNN\tB-NP\tB-protein' -p171123 -aS';\t;\t:\tO\tO' -p171124 -aS'TTE\tTTE\tNN\tB-NP\tO' -p171125 -aS'(\t(\t(\tO\tO' -p171126 -aS'2/17\t2/17\tCD\tB-NP\tO' -p171127 -aS')\t)\t)\tO\tO' -p171128 -aS'-\t-\tHYPH\tO\tO' -p171129 -aS'LVEF\tLVEF\tNN\tB-NP\tB-DNA' -p171130 -aS'55-60%\t55-60%\tCD\tI-NP\tI-DNA' -p171131 -aS',\t,\t,\tO\tO' -p171132 -aS'inferobasal\tinferobasal\tJJ\tB-NP\tO' -p171133 -aS'HK\tHK\tNN\tI-NP\tO' -p171134 -aS';\t;\t:\tO\tO' -p171135 -aS'cervical\tcervical\tJJ\tB-NP\tO' -p171136 -aS'spinal\tspinal\tJJ\tI-NP\tO' -p171137 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p171138 -aS';\t;\t:\tO\tO' -p171139 -aS'hypothyroidism\thypothyroidism\tNN\tB-NP\tO' -p171140 -aS';\t;\t:\tO\tO' -p171141 -aS'GERD\tGERD\tNN\tB-NP\tO' -p171142 -aS';\t;\t:\tO\tO' -p171143 -aS'endometriosis\tendometriosis\tNN\tB-NP\tO' -p171144 -aS's\ts\tNN\tI-NP\tO' -p171145 -aS'/\t/\tSYM\tB-VP\tO' -p171146 -aS'p\tp\tNN\tB-NP\tO' -p171147 -aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' -p171148 -aS'and\tand\tCC\tO\tO' -p171149 -aS'L\tL\tNN\tB-NP\tO' -p171150 -aS'oophorectomy\toophorectomy\tNN\tI-NP\tO' -p171151 -aS'.\t.\t.\tO\tO' -p171152 -asS'46 - yo-man w/ cocaine abuse presents w/ LE edema and DOE likely from diastolic heart failure in the setting of cocaine use complicated by hypertensive urgency .' -p171153 -(lp171154 -S'46\t46\tCD\tB-NP\tO' -p171155 -aS'-\t-\tHYPH\tI-NP\tO' -p171156 -aS'yo-man\tyo-man\tNN\tI-NP\tO' -p171157 -aS'w/\tw/\tNN\tI-NP\tO' -p171158 -aS'cocaine\tcocaine\tNN\tI-NP\tO' -p171159 -aS'abuse\tabuse\tNN\tI-NP\tO' -p171160 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p171161 -aS'w/\tw/\tNN\tB-NP\tO' -p171162 -aS'LE\tLE\tNN\tI-NP\tO' -p171163 -aS'edema\tedema\tNN\tI-NP\tO' -p171164 -aS'and\tand\tCC\tI-NP\tO' -p171165 -aS'DOE\tDOE\tNN\tI-NP\tO' -p171166 -aS'likely\tlikely\tRB\tB-ADJP\tO' -p171167 -aS'from\tfrom\tIN\tB-PP\tO' -p171168 -aS'diastolic\tdiastolic\tJJ\tB-NP\tO' -p171169 -aS'heart\theart\tNN\tI-NP\tO' -p171170 -aS'failure\tfailure\tNN\tI-NP\tO' -p171171 -aS'in\tin\tIN\tB-PP\tO' -p171172 -aS'the\tthe\tDT\tB-NP\tO' -p171173 -aS'setting\tsetting\tNN\tI-NP\tO' -p171174 -aS'of\tof\tIN\tB-PP\tO' -p171175 -aS'cocaine\tcocaine\tNN\tB-NP\tO' -p171176 -aS'use\tuse\tNN\tI-NP\tO' -p171177 -aS'complicated\tcomplicate\tVBN\tB-VP\tO' -p171178 -aS'by\tby\tIN\tB-PP\tO' -p171179 -aS'hypertensive\thypertensive\tJJ\tB-NP\tO' -p171180 -aS'urgency\turgency\tNN\tI-NP\tO' -p171181 -aS'.\t.\t.\tO\tO' -p171182 -asS'Telshey K. Swatlleebtik , M.D. Rinime Hawnspantkote Arkansas' -p171183 -(lp171184 -S'Telshey\tTelshey\tNNP\tB-NP\tO' -p171185 -aS'K.\tK.\tNNP\tI-NP\tO' -p171186 -aS'Swatlleebtik\tSwatlleebtik\tNNP\tI-NP\tO' -p171187 -aS',\t,\t,\tO\tO' -p171188 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p171189 -aS'Rinime\tRinime\tNNP\tI-NP\tO' -p171190 -aS'Hawnspantkote\tHawnspantkote\tNNP\tI-NP\tO' -p171191 -aS'Arkansas\tArkansas\tNNP\tI-NP\tO' -p171192 -asS'- DM2 , with mild background diabetic retinopathy' -p171193 -(lp171194 -S'-\t-\tHYPH\tB-NP\tO' -p171195 -aS'DM2\tDM2\tNN\tI-NP\tB-protein' -p171196 -aS',\t,\t,\tO\tO' -p171197 -aS'with\twith\tIN\tB-PP\tO' -p171198 -aS'mild\tmild\tJJ\tB-NP\tO' -p171199 -aS'background\tbackground\tNN\tI-NP\tO' -p171200 -aS'diabetic\tdiabetic\tJJ\tI-NP\tO' -p171201 -aS'retinopathy\tretinopathy\tNN\tI-NP\tO' -p171202 -asS'Diffuse psoriasis over trunk and arms .' -p171203 -(lp171204 -S'Diffuse\tDiffuse\tNN\tB-NP\tO' -p171205 -aS'psoriasis\tpsoriasis\tNN\tI-NP\tO' -p171206 -aS'over\tover\tIN\tB-PP\tO' -p171207 -aS'trunk\ttrunk\tNN\tB-NP\tO' -p171208 -aS'and\tand\tCC\tI-NP\tO' -p171209 -aS'arms\tarm\tNNS\tI-NP\tO' -p171210 -aS'.\t.\t.\tO\tO' -p171211 -asS'Accompanying this during this period were elevations in liver function studies and amylase and lipase consistent with pancreatic inflammation .' -p171212 -(lp171213 -S'Accompanying\tAccompany\tVBG\tB-VP\tO' -p171214 -aS'this\tthis\tDT\tB-NP\tO' -p171215 -aS'during\tduring\tIN\tB-PP\tO' -p171216 -aS'this\tthis\tDT\tB-NP\tO' -p171217 -aS'period\tperiod\tNN\tI-NP\tO' -p171218 -aS'were\tbe\tVBD\tB-VP\tO' -p171219 -aS'elevations\televation\tNNS\tB-NP\tO' -p171220 -aS'in\tin\tIN\tB-PP\tO' -p171221 -aS'liver\tliver\tNN\tB-NP\tO' -p171222 -aS'function\tfunction\tNN\tI-NP\tO' -p171223 -aS'studies\tstudy\tNNS\tI-NP\tO' -p171224 -aS'and\tand\tCC\tO\tO' -p171225 -aS'amylase\tamylase\tNN\tB-NP\tB-protein' -p171226 -aS'and\tand\tCC\tI-NP\tO' -p171227 -aS'lipase\tlipase\tNN\tI-NP\tO' -p171228 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p171229 -aS'with\twith\tIN\tB-PP\tO' -p171230 -aS'pancreatic\tpancreatic\tJJ\tB-NP\tO' -p171231 -aS'inflammation\tinflammation\tNN\tI-NP\tO' -p171232 -aS'.\t.\t.\tO\tO' -p171233 -asS'3. Nephrolithiasis .' -p171234 -(lp171235 -S'3.\t3.\tLS\tB-NP\tO' -p171236 -aS'Nephrolithiasis\tNephrolithiasis\tNN\tI-NP\tO' -p171237 -aS'.\t.\t.\tO\tO' -p171238 -asS'NCAT , no tenderness to palpation of scalp , PERRL , EOMI , alopecia , no scleral icterus , mucus membranes moderately dry , slight amount of crusted blood on tip of R nostril from fall injury' -p171239 -(lp171240 -S'NCAT\tNCAT\tNN\tB-NP\tB-protein' -p171241 -aS',\t,\t,\tO\tO' -p171242 -aS'no\tno\tDT\tB-NP\tO' -p171243 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p171244 -aS'to\tto\tTO\tB-PP\tO' -p171245 -aS'palpation\tpalpation\tNN\tB-NP\tO' -p171246 -aS'of\tof\tIN\tB-PP\tO' -p171247 -aS'scalp\tscalp\tNN\tB-NP\tO' -p171248 -aS',\t,\t,\tO\tO' -p171249 -aS'PERRL\tPERRL\tNN\tB-NP\tB-protein' -p171250 -aS',\t,\t,\tO\tO' -p171251 -aS'EOMI\tEOMI\tNN\tB-NP\tB-protein' -p171252 -aS',\t,\t,\tO\tO' -p171253 -aS'alopecia\talopecia\tNN\tB-NP\tO' -p171254 -aS',\t,\t,\tO\tO' -p171255 -aS'no\tno\tDT\tB-NP\tO' -p171256 -aS'scleral\tscleral\tJJ\tI-NP\tO' -p171257 -aS'icterus\ticterus\tNN\tI-NP\tO' -p171258 -aS',\t,\t,\tO\tO' -p171259 -aS'mucus\tmucus\tNN\tB-NP\tO' -p171260 -aS'membranes\tmembrane\tNNS\tI-NP\tO' -p171261 -aS'moderately\tmoderately\tRB\tB-NP\tO' -p171262 -aS'dry\tdry\tJJ\tI-NP\tO' -p171263 -aS',\t,\t,\tI-NP\tO' -p171264 -aS'slight\tslight\tJJ\tI-NP\tO' -p171265 -aS'amount\tamount\tNN\tI-NP\tO' -p171266 -aS'of\tof\tIN\tB-PP\tO' -p171267 -aS'crusted\tcrust\tVBN\tB-NP\tO' -p171268 -aS'blood\tblood\tNN\tI-NP\tO' -p171269 -aS'on\ton\tIN\tB-PP\tO' -p171270 -aS'tip\ttip\tNN\tB-NP\tO' -p171271 -aS'of\tof\tIN\tB-PP\tO' -p171272 -aS'R\tR\tNN\tB-NP\tO' -p171273 -aS'nostril\tnostril\tNN\tI-NP\tO' -p171274 -aS'from\tfrom\tIN\tB-PP\tO' -p171275 -aS'fall\tfall\tNN\tB-NP\tO' -p171276 -aS'injury\tinjury\tNN\tI-NP\tO' -p171277 -asS'He was transferred to the CCU for observation .' -p171278 -(lp171279 -S'He\tHe\tPRP\tB-NP\tO' -p171280 -aS'was\tbe\tVBD\tB-VP\tO' -p171281 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p171282 -aS'to\tto\tTO\tB-PP\tO' -p171283 -aS'the\tthe\tDT\tB-NP\tO' -p171284 -aS'CCU\tCCU\tNN\tI-NP\tO' -p171285 -aS'for\tfor\tIN\tB-PP\tO' -p171286 -aS'observation\tobservation\tNN\tB-NP\tO' -p171287 -aS'.\t.\t.\tO\tO' -p171288 -asS'Over the course of the day he continued to decline .' -p171289 -(lp171290 -S'Over\tOver\tIN\tB-PP\tO' -p171291 -aS'the\tthe\tDT\tB-NP\tO' -p171292 -aS'course\tcourse\tNN\tI-NP\tO' -p171293 -aS'of\tof\tIN\tB-PP\tO' -p171294 -aS'the\tthe\tDT\tB-NP\tO' -p171295 -aS'day\tday\tNN\tI-NP\tO' -p171296 -aS'he\the\tPRP\tB-NP\tO' -p171297 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p171298 -aS'to\tto\tTO\tI-VP\tO' -p171299 -aS'decline\tdecline\tVB\tI-VP\tO' -p171300 -aS'.\t.\t.\tO\tO' -p171301 -asS'His liver span was 8 cm .' -p171302 -(lp171303 -S'His\tHis\tPRP$\tB-NP\tO' -p171304 -aS'liver\tliver\tNN\tI-NP\tO' -p171305 -aS'span\tspan\tNN\tI-NP\tO' -p171306 -aS'was\tbe\tVBD\tB-VP\tO' -p171307 -aS'8\t8\tCD\tB-NP\tO' -p171308 -aS'cm\tcm\tNN\tI-NP\tO' -p171309 -aS'.\t.\t.\tO\tO' -p171310 -asS'The patient remained hemodynamically stable with good urine output .' -p171311 -(lp171312 -S'The\tThe\tDT\tB-NP\tO' -p171313 -aS'patient\tpatient\tNN\tI-NP\tO' -p171314 -aS'remained\tremain\tVBD\tB-VP\tO' -p171315 -aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' -p171316 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p171317 -aS'with\twith\tIN\tB-PP\tO' -p171318 -aS'good\tgood\tJJ\tB-NP\tO' -p171319 -aS'urine\turine\tNN\tI-NP\tO' -p171320 -aS'output\toutput\tNN\tI-NP\tO' -p171321 -aS'.\t.\t.\tO\tO' -p171322 -asS'Discharge disposition is to level 2 nursery at Jordan Hospital Hospital .' -p171323 -(lp171324 -S'Discharge\tDischarge\tNN\tB-NP\tO' -p171325 -aS'disposition\tdisposition\tNN\tI-NP\tO' -p171326 -aS'is\tbe\tVBZ\tB-VP\tO' -p171327 -aS'to\tto\tTO\tB-PP\tO' -p171328 -aS'level\tlevel\tNN\tB-NP\tO' -p171329 -aS'2\t2\tCD\tI-NP\tO' -p171330 -aS'nursery\tnursery\tNN\tI-NP\tO' -p171331 -aS'at\tat\tIN\tB-PP\tO' -p171332 -aS'Jordan\tJordan\tNNP\tB-NP\tO' -p171333 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p171334 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p171335 -aS'.\t.\t.\tO\tO' -p171336 -asS'The patient initially presented with hypercalcemia and underwent a parathyroidectomy on June 22 , 1993 .' -p171337 -(lp171338 -S'The\tThe\tDT\tB-NP\tO' -p171339 -aS'patient\tpatient\tNN\tI-NP\tO' -p171340 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p171341 -aS'presented\tpresent\tVBD\tB-VP\tO' -p171342 -aS'with\twith\tIN\tB-PP\tO' -p171343 -aS'hypercalcemia\thypercalcemia\tNN\tB-NP\tO' -p171344 -aS'and\tand\tCC\tO\tO' -p171345 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p171346 -aS'a\ta\tDT\tB-NP\tO' -p171347 -aS'parathyroidectomy\tparathyroidectomy\tNN\tI-NP\tO' -p171348 -aS'on\ton\tIN\tB-PP\tO' -p171349 -aS'June\tJune\tNNP\tB-NP\tO' -p171350 -aS'22\t22\tCD\tI-NP\tO' -p171351 -aS',\t,\t,\tI-NP\tO' -p171352 -aS'1993\t1993\tCD\tI-NP\tO' -p171353 -aS'.\t.\t.\tO\tO' -p171354 -asS'The patient resolved , however , Lasix was also given due to some pulmonary edema and increasing oxygen need .' -p171355 -(lp171356 -S'The\tThe\tDT\tB-NP\tO' -p171357 -aS'patient\tpatient\tNN\tI-NP\tO' -p171358 -aS'resolved\tresolve\tVBD\tB-VP\tO' -p171359 -aS',\t,\t,\tO\tO' -p171360 -aS'however\thowever\tRB\tB-ADVP\tO' -p171361 -aS',\t,\t,\tO\tO' -p171362 -aS'Lasix\tLasix\tNN\tB-NP\tO' -p171363 -aS'was\tbe\tVBD\tB-VP\tO' -p171364 -aS'also\talso\tRB\tI-VP\tO' -p171365 -aS'given\tgive\tVBN\tI-VP\tO' -p171366 -aS'due\tdue\tJJ\tB-ADJP\tO' -p171367 -aS'to\tto\tTO\tB-PP\tO' -p171368 -aS'some\tsome\tDT\tB-NP\tO' -p171369 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p171370 -aS'edema\tedema\tNN\tI-NP\tO' -p171371 -aS'and\tand\tCC\tO\tO' -p171372 -aS'increasing\tincrease\tVBG\tB-VP\tO' -p171373 -aS'oxygen\toxygen\tNN\tB-NP\tO' -p171374 -aS'need\tneed\tNN\tI-NP\tO' -p171375 -aS'.\t.\t.\tO\tO' -p171376 -asS'3. Levofloxacin 500 mg Tablet Sig : One ( 1 ) Tablet PO Q24H ( every 24 hours ) for 7 days .' -p171377 -(lp171378 -S'3.\t3.\tLS\tB-NP\tO' -p171379 -aS'Levofloxacin\tLevofloxacin\tNN\tI-NP\tO' -p171380 -aS'500\t500\tCD\tI-NP\tO' -p171381 -aS'mg\tmg\tNN\tI-NP\tO' -p171382 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p171383 -aS'Sig\tSig\tNNP\tI-NP\tO' -p171384 -aS':\t:\t:\tO\tO' -p171385 -aS'One\tOne\tCD\tB-NP\tO' -p171386 -aS'(\t(\t(\tO\tO' -p171387 -aS'1\t1\tCD\tB-NP\tO' -p171388 -aS')\t)\t)\tO\tO' -p171389 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p171390 -aS'PO\tPO\tNN\tI-NP\tO' -p171391 -aS'Q24H\tQ24H\tNN\tI-NP\tO' -p171392 -aS'(\t(\t(\tO\tO' -p171393 -aS'every\tevery\tDT\tB-NP\tO' -p171394 -aS'24\t24\tCD\tI-NP\tO' -p171395 -aS'hours\thour\tNNS\tI-NP\tO' -p171396 -aS')\t)\t)\tO\tO' -p171397 -aS'for\tfor\tIN\tB-PP\tO' -p171398 -aS'7\t7\tCD\tB-NP\tO' -p171399 -aS'days\tday\tNNS\tI-NP\tO' -p171400 -aS'.\t.\t.\tO\tO' -p171401 -asS'If the patient does not have a history of a primary malignancy , followup CT of the chest in 1 year is recommended to evaluate for stability of this finding .' -p171402 -(lp171403 -S'If\tIf\tIN\tB-SBAR\tO' -p171404 -aS'the\tthe\tDT\tB-NP\tO' -p171405 -aS'patient\tpatient\tNN\tI-NP\tO' -p171406 -aS'does\tdo\tVBZ\tB-VP\tO' -p171407 -aS'not\tnot\tRB\tI-VP\tO' -p171408 -aS'have\thave\tVB\tI-VP\tO' -p171409 -aS'a\ta\tDT\tB-NP\tO' -p171410 -aS'history\thistory\tNN\tI-NP\tO' -p171411 -aS'of\tof\tIN\tB-PP\tO' -p171412 -aS'a\ta\tDT\tB-NP\tO' -p171413 -aS'primary\tprimary\tJJ\tI-NP\tO' -p171414 -aS'malignancy\tmalignancy\tNN\tI-NP\tO' -p171415 -aS',\t,\t,\tO\tO' -p171416 -aS'followup\tfollowup\tNN\tB-NP\tO' -p171417 -aS'CT\tCT\tNN\tI-NP\tO' -p171418 -aS'of\tof\tIN\tB-PP\tO' -p171419 -aS'the\tthe\tDT\tB-NP\tO' -p171420 -aS'chest\tchest\tNN\tI-NP\tO' -p171421 -aS'in\tin\tIN\tB-PP\tO' -p171422 -aS'1\t1\tCD\tB-NP\tO' -p171423 -aS'year\tyear\tNN\tI-NP\tO' -p171424 -aS'is\tbe\tVBZ\tB-VP\tO' -p171425 -aS'recommended\trecommend\tVBN\tI-VP\tO' -p171426 -aS'to\tto\tTO\tI-VP\tO' -p171427 -aS'evaluate\tevaluate\tVB\tI-VP\tO' -p171428 -aS'for\tfor\tIN\tB-PP\tO' -p171429 -aS'stability\tstability\tNN\tB-NP\tO' -p171430 -aS'of\tof\tIN\tB-PP\tO' -p171431 -aS'this\tthis\tDT\tB-NP\tO' -p171432 -aS'finding\tfinding\tNN\tI-NP\tO' -p171433 -aS'.\t.\t.\tO\tO' -p171434 -asS'At the time of admission , his temperature was 101 , blood pressure 110/60 , pulse 96 , respirations 16 .' -p171435 -(lp171436 -S'At\tAt\tIN\tB-PP\tO' -p171437 -aS'the\tthe\tDT\tB-NP\tO' -p171438 -aS'time\ttime\tNN\tI-NP\tO' -p171439 -aS'of\tof\tIN\tB-PP\tO' -p171440 -aS'admission\tadmission\tNN\tB-NP\tO' -p171441 -aS',\t,\t,\tO\tO' -p171442 -aS'his\this\tPRP$\tB-NP\tO' -p171443 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p171444 -aS'was\tbe\tVBD\tB-VP\tO' -p171445 -aS'101\t101\tCD\tB-NP\tO' -p171446 -aS',\t,\t,\tO\tO' -p171447 -aS'blood\tblood\tNN\tB-NP\tO' -p171448 -aS'pressure\tpressure\tNN\tI-NP\tO' -p171449 -aS'110/60\t110/60\tCD\tI-NP\tO' -p171450 -aS',\t,\t,\tO\tO' -p171451 -aS'pulse\tpulse\tNN\tB-NP\tO' -p171452 -aS'96\t96\tCD\tI-NP\tO' -p171453 -aS',\t,\t,\tO\tO' -p171454 -aS'respirations\trespiration\tNNS\tB-NP\tO' -p171455 -aS'16\t16\tCD\tB-NP\tO' -p171456 -aS'.\t.\t.\tO\tO' -p171457 -asS'The patient 's postoperative Hct was 34 .' -p171458 -(lp171459 -S'The\tThe\tDT\tB-NP\tO' -p171460 -aS'patient\tpatient\tNN\tI-NP\tO' -p171461 -aS''s\t'\tNNS\tI-NP\tO' -p171462 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p171463 -aS'Hct\tHct\tNN\tI-NP\tO' -p171464 -aS'was\tbe\tVBD\tB-VP\tO' -p171465 -aS'34\t34\tCD\tB-NP\tO' -p171466 -aS'.\t.\t.\tO\tO' -p171467 -asS'His home hypertensive medications were held while in the hospital to help increase cerebral perfusion and prevent further ischemia .' -p171468 -(lp171469 -S'His\tHis\tPRP$\tB-NP\tO' -p171470 -aS'home\thome\tNN\tI-NP\tO' -p171471 -aS'hypertensive\thypertensive\tJJ\tI-NP\tO' -p171472 -aS'medications\tmedication\tNNS\tI-NP\tO' -p171473 -aS'were\tbe\tVBD\tB-VP\tO' -p171474 -aS'held\thold\tVBN\tI-VP\tO' -p171475 -aS'while\twhile\tIN\tB-SBAR\tO' -p171476 -aS'in\tin\tIN\tB-PP\tO' -p171477 -aS'the\tthe\tDT\tB-NP\tO' -p171478 -aS'hospital\thospital\tNN\tI-NP\tO' -p171479 -aS'to\tto\tTO\tB-VP\tO' -p171480 -aS'help\thelp\tVB\tI-VP\tO' -p171481 -aS'increase\tincrease\tVB\tI-VP\tO' -p171482 -aS'cerebral\tcerebral\tJJ\tB-NP\tO' -p171483 -aS'perfusion\tperfusion\tNN\tI-NP\tO' -p171484 -aS'and\tand\tCC\tO\tO' -p171485 -aS'prevent\tprevent\tVB\tB-VP\tO' -p171486 -aS'further\tfurther\tJJ\tB-NP\tO' -p171487 -aS'ischemia\tischemia\tNN\tI-NP\tO' -p171488 -aS'.\t.\t.\tO\tO' -p171489 -asS'At OSH ABG 7.19/94/110 , BiPAP started .' -p171490 -(lp171491 -S'At\tAt\tIN\tB-PP\tO' -p171492 -aS'OSH\tOSH\tNNP\tB-NP\tO' -p171493 -aS'ABG\tABG\tNNP\tI-NP\tO' -p171494 -aS'7.19/94/110\t7.19/94/110\tCD\tI-NP\tO' -p171495 -aS',\t,\t,\tO\tO' -p171496 -aS'BiPAP\tBiPAP\tNNP\tB-NP\tO' -p171497 -aS'started\tstart\tVBD\tB-VP\tO' -p171498 -aS'.\t.\t.\tO\tO' -p171499 -asS'Cranial nerves notable for bilateral esotropia .' -p171500 -(lp171501 -S'Cranial\tCranial\tJJ\tB-NP\tO' -p171502 -aS'nerves\tnerve\tNNS\tI-NP\tO' -p171503 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p171504 -aS'for\tfor\tIN\tB-PP\tO' -p171505 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p171506 -aS'esotropia\tesotropia\tNN\tI-NP\tO' -p171507 -aS'.\t.\t.\tO\tO' -p171508 -asS'Baby Barbara Stead is a term infant admitted with increasing head circumference and bruising .' -p171509 -(lp171510 -S'Baby\tBaby\tNNP\tB-NP\tO' -p171511 -aS'Barbara\tBarbara\tNNP\tI-NP\tO' -p171512 -aS'Stead\tStead\tNNP\tI-NP\tO' -p171513 -aS'is\tbe\tVBZ\tB-VP\tO' -p171514 -aS'a\ta\tDT\tB-NP\tO' -p171515 -aS'term\tterm\tNN\tI-NP\tO' -p171516 -aS'infant\tinfant\tNN\tI-NP\tO' -p171517 -aS'admitted\tadmit\tVBN\tB-VP\tO' -p171518 -aS'with\twith\tIN\tB-PP\tO' -p171519 -aS'increasing\tincrease\tVBG\tB-NP\tO' -p171520 -aS'head\thead\tNN\tI-NP\tO' -p171521 -aS'circumference\tcircumference\tNN\tI-NP\tO' -p171522 -aS'and\tand\tCC\tI-NP\tO' -p171523 -aS'bruising\tbruising\tNN\tI-NP\tO' -p171524 -aS'.\t.\t.\tO\tO' -p171525 -asS'She was then made CMO .' -p171526 -(lp171527 -S'She\tShe\tPRP\tB-NP\tO' -p171528 -aS'was\tbe\tVBD\tB-VP\tO' -p171529 -aS'then\tthen\tRB\tI-VP\tO' -p171530 -aS'made\tmake\tVBN\tI-VP\tO' -p171531 -aS'CMO\tCMO\tNN\tB-NP\tB-protein' -p171532 -aS'.\t.\t.\tO\tO' -p171533 -asS'She was found by family and friends to be somewhat confused and was therefore taken to Newton-Wellesley Hospital thereafter .' -p171534 -(lp171535 -S'She\tShe\tPRP\tB-NP\tO' -p171536 -aS'was\tbe\tVBD\tB-VP\tO' -p171537 -aS'found\tfind\tVBN\tI-VP\tO' -p171538 -aS'by\tby\tIN\tB-PP\tO' -p171539 -aS'family\tfamily\tNN\tB-NP\tO' -p171540 -aS'and\tand\tCC\tO\tO' -p171541 -aS'friends\tfriend\tVBZ\tB-VP\tO' -p171542 -aS'to\tto\tTO\tI-VP\tO' -p171543 -aS'be\tbe\tVB\tI-VP\tO' -p171544 -aS'somewhat\tsomewhat\tRB\tI-VP\tO' -p171545 -aS'confused\tconfuse\tVBN\tI-VP\tO' -p171546 -aS'and\tand\tCC\tO\tO' -p171547 -aS'was\tbe\tVBD\tB-VP\tO' -p171548 -aS'therefore\ttherefore\tRB\tI-VP\tO' -p171549 -aS'taken\ttake\tVBN\tI-VP\tO' -p171550 -aS'to\tto\tTO\tB-PP\tO' -p171551 -aS'Newton-Wellesley\tNewton-Wellesley\tNNP\tB-NP\tO' -p171552 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p171553 -aS'thereafter\tthereafter\tRB\tB-ADVP\tO' -p171554 -aS'.\t.\t.\tO\tO' -p171555 -asS'3) Cirrhosis .' -p171556 -(lp171557 -S'3)\t3)\tLS\tB-NP\tO' -p171558 -aS'Cirrhosis\tCirrhosis\tNN\tI-NP\tO' -p171559 -aS'.\t.\t.\tO\tO' -p171560 -asS'She responds well to this .' -p171561 -(lp171562 -S'She\tShe\tPRP\tB-NP\tO' -p171563 -aS'responds\trespond\tVBZ\tB-VP\tO' -p171564 -aS'well\twell\tRB\tB-ADVP\tO' -p171565 -aS'to\tto\tTO\tB-PP\tO' -p171566 -aS'this\tthis\tDT\tB-NP\tO' -p171567 -aS'.\t.\t.\tO\tO' -p171568 -asS'He also has had a prior inguinal hernia repair .' -p171569 -(lp171570 -S'He\tHe\tPRP\tB-NP\tO' -p171571 -aS'also\talso\tRB\tB-ADVP\tO' -p171572 -aS'has\thave\tVBZ\tB-VP\tO' -p171573 -aS'had\thave\tVBN\tI-VP\tO' -p171574 -aS'a\ta\tDT\tB-NP\tO' -p171575 -aS'prior\tprior\tJJ\tI-NP\tO' -p171576 -aS'inguinal\tinguinal\tJJ\tI-NP\tO' -p171577 -aS'hernia\thernia\tNN\tI-NP\tO' -p171578 -aS'repair\trepair\tNN\tI-NP\tO' -p171579 -aS'.\t.\t.\tO\tO' -p171580 -asS'She called 911 and he was brought to Hahnemann General Hospital Lydia .' -p171581 -(lp171582 -S'She\tShe\tPRP\tB-NP\tO' -p171583 -aS'called\tcall\tVBD\tB-VP\tO' -p171584 -aS'911\t911\tCD\tB-NP\tO' -p171585 -aS'and\tand\tCC\tO\tO' -p171586 -aS'he\the\tPRP\tB-NP\tO' -p171587 -aS'was\tbe\tVBD\tB-VP\tO' -p171588 -aS'brought\tbring\tVBN\tI-VP\tO' -p171589 -aS'to\tto\tTO\tB-PP\tO' -p171590 -aS'Hahnemann\tHahnemann\tNNP\tB-NP\tO' -p171591 -aS'General\tGeneral\tNNP\tI-NP\tO' -p171592 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p171593 -aS'Lydia\tLydia\tNNP\tI-NP\tO' -p171594 -aS'.\t.\t.\tO\tO' -p171595 -asS'On postoperative day 1 , his Swan-Ganz catheter was removed as well .' -p171596 -(lp171597 -S'On\tOn\tIN\tB-PP\tO' -p171598 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p171599 -aS'day\tday\tNN\tI-NP\tO' -p171600 -aS'1\t1\tCD\tI-NP\tO' -p171601 -aS',\t,\t,\tO\tO' -p171602 -aS'his\this\tPRP$\tB-NP\tO' -p171603 -aS'Swan-Ganz\tSwan-Ganz\tNNP\tI-NP\tO' -p171604 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p171605 -aS'was\tbe\tVBD\tB-VP\tO' -p171606 -aS'removed\tremove\tVBN\tI-VP\tO' -p171607 -aS'as\tas\tRB\tB-ADVP\tO' -p171608 -aS'well\twell\tRB\tI-ADVP\tO' -p171609 -aS'.\t.\t.\tO\tO' -p171610 -asS'Dictated By : Inez Q Hubbard , M.D.' -p171611 -(lp171612 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p171613 -aS'By\tBy\tIN\tB-PP\tO' -p171614 -aS':\t:\t:\tO\tO' -p171615 -aS'Inez\tInez\tNNP\tB-NP\tO' -p171616 -aS'Q\tQ\tNNP\tI-NP\tO' -p171617 -aS'Hubbard\tHubbard\tNNP\tI-NP\tO' -p171618 -aS',\t,\t,\tO\tO' -p171619 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p171620 -asS'She eventually underwent a cardiac cath to assess coronary disease which revealed three vessel coronary artery disease .' -p171621 -(lp171622 -S'She\tShe\tPRP\tB-NP\tO' -p171623 -aS'eventually\teventually\tRB\tB-ADVP\tO' -p171624 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p171625 -aS'a\ta\tDT\tB-NP\tO' -p171626 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p171627 -aS'cath\tcath\tNN\tI-NP\tO' -p171628 -aS'to\tto\tTO\tB-VP\tO' -p171629 -aS'assess\tassess\tVB\tI-VP\tO' -p171630 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p171631 -aS'disease\tdisease\tNN\tI-NP\tO' -p171632 -aS'which\twhich\tWDT\tB-NP\tO' -p171633 -aS'revealed\treveal\tVBD\tB-VP\tO' -p171634 -aS'three\tthree\tCD\tB-NP\tO' -p171635 -aS'vessel\tvessel\tNN\tI-NP\tO' -p171636 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p171637 -aS'artery\tartery\tNN\tI-NP\tO' -p171638 -aS'disease\tdisease\tNN\tI-NP\tO' -p171639 -aS'.\t.\t.\tO\tO' -p171640 -asS'Please take all medications as prescribed .' -p171641 -(lp171642 -S'Please\tPlease\tVB\tB-VP\tO' -p171643 -aS'take\ttake\tVB\tI-VP\tO' -p171644 -aS'all\tall\tDT\tB-NP\tO' -p171645 -aS'medications\tmedication\tNNS\tI-NP\tO' -p171646 -aS'as\tas\tIN\tB-SBAR\tO' -p171647 -aS'prescribed\tprescribe\tVBN\tB-VP\tO' -p171648 -aS'.\t.\t.\tO\tO' -p171649 -asS'Lopressor 50 mg q.a.m. , 25 mg q.p.m. , and 25 mg q.h.s.; Synthroid 88 mcg q.d.; Norvasc 5 mg q.d.; Lescol 20 mg q.p.m. with meal ; Coumadin is usually 4 mg p.o. 3x a week and 3 mg 4x a week .' -p171650 -(lp171651 -S'Lopressor\tLopressor\tNN\tB-NP\tO' -p171652 -aS'50\t50\tCD\tI-NP\tO' -p171653 -aS'mg\tmg\tNN\tI-NP\tO' -p171654 -aS'q.a.m.\tq.a.m.\tNN\tI-NP\tO' -p171655 -aS',\t,\t,\tO\tO' -p171656 -aS'25\t25\tCD\tB-NP\tO' -p171657 -aS'mg\tmg\tNN\tI-NP\tO' -p171658 -aS'q.p.m.\tq.p.m.\tNN\tI-NP\tO' -p171659 -aS',\t,\t,\tO\tO' -p171660 -aS'and\tand\tCC\tO\tO' -p171661 -aS'25\t25\tCD\tB-NP\tO' -p171662 -aS'mg\tmg\tNN\tI-NP\tO' -p171663 -aS'q.h.s.;\tq.h.s.;\tNN\tI-NP\tO' -p171664 -aS'Synthroid\tSynthroid\tJJ\tI-NP\tO' -p171665 -aS'88\t88\tCD\tI-NP\tO' -p171666 -aS'mcg\tmcg\tNN\tI-NP\tO' -p171667 -aS'q.d.;\tq.d.;\tNN\tI-NP\tO' -p171668 -aS'Norvasc\tNorvasc\tNN\tI-NP\tO' -p171669 -aS'5\t5\tCD\tI-NP\tO' -p171670 -aS'mg\tmg\tNN\tI-NP\tO' -p171671 -aS'q.d.;\tq.d.;\tNN\tI-NP\tO' -p171672 -aS'Lescol\tLescol\tNNP\tB-NP\tO' -p171673 -aS'20\t20\tCD\tI-NP\tO' -p171674 -aS'mg\tmg\tNN\tI-NP\tO' -p171675 -aS'q.p.m.\tq.p.m.\tNN\tI-NP\tO' -p171676 -aS'with\twith\tIN\tB-PP\tO' -p171677 -aS'meal\tmeal\tNN\tB-NP\tO' -p171678 -aS';\t;\t:\tO\tO' -p171679 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p171680 -aS'is\tbe\tVBZ\tB-VP\tO' -p171681 -aS'usually\tusually\tRB\tB-ADVP\tO' -p171682 -aS'4\t4\tCD\tB-NP\tO' -p171683 -aS'mg\tmg\tNN\tI-NP\tO' -p171684 -aS'p.o.\tp.o.\tFW\tB-ADVP\tO' -p171685 -aS'3x\t3x\tFW\tI-ADVP\tO' -p171686 -aS'a\ta\tDT\tB-NP\tO' -p171687 -aS'week\tweek\tNN\tI-NP\tO' -p171688 -aS'and\tand\tCC\tO\tO' -p171689 -aS'3\t3\tCD\tB-NP\tO' -p171690 -aS'mg\tmg\tNN\tI-NP\tO' -p171691 -aS'4x\t4x\tCD\tB-NP\tO' -p171692 -aS'a\ta\tDT\tB-NP\tO' -p171693 -aS'week\tweek\tNN\tI-NP\tO' -p171694 -aS'.\t.\t.\tO\tO' -p171695 -asS'A right IJ central venous line is at the level of the mid SVC .' -p171696 -(lp171697 -S'A\tA\tDT\tB-NP\tO' -p171698 -aS'right\tright\tJJ\tI-NP\tB-cell_line' -p171699 -aS'IJ\tIJ\tNN\tI-NP\tI-cell_line' -p171700 -aS'central\tcentral\tJJ\tI-NP\tI-cell_line' -p171701 -aS'venous\tvenous\tJJ\tI-NP\tI-cell_line' -p171702 -aS'line\tline\tNN\tI-NP\tI-cell_line' -p171703 -aS'is\tbe\tVBZ\tB-VP\tO' -p171704 -aS'at\tat\tIN\tB-PP\tO' -p171705 -aS'the\tthe\tDT\tB-NP\tO' -p171706 -aS'level\tlevel\tNN\tI-NP\tO' -p171707 -aS'of\tof\tIN\tB-PP\tO' -p171708 -aS'the\tthe\tDT\tB-NP\tO' -p171709 -aS'mid\tmid\tJJ\tI-NP\tO' -p171710 -aS'SVC\tSVC\tNN\tI-NP\tO' -p171711 -aS'.\t.\t.\tO\tO' -p171712 -asS'08/15/98 bilateral heart catheterization ; 08/15/98 left ventriculography ; 08/15/98 bilateral coronary angiography ; 08/15/98 bypass graft angiography ; 08/15/98 internal mammary artery angiography .' -p171713 -(lp171714 -S'08/15/98\t08/15/98\tCD\tB-NP\tO' -p171715 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p171716 -aS'heart\theart\tNN\tI-NP\tO' -p171717 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p171718 -aS';\t;\t:\tO\tO' -p171719 -aS'08/15/98\t08/15/98\tCD\tB-NP\tO' -p171720 -aS'left\tleft\tJJ\tI-NP\tO' -p171721 -aS'ventriculography\tventriculography\tNN\tI-NP\tO' -p171722 -aS';\t;\t:\tO\tO' -p171723 -aS'08/15/98\t08/15/98\tCD\tB-NP\tO' -p171724 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p171725 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p171726 -aS'angiography\tangiography\tNN\tI-NP\tO' -p171727 -aS';\t;\t:\tO\tO' -p171728 -aS'08/15/98\t08/15/98\tCD\tB-NP\tO' -p171729 -aS'bypass\tbypass\tIN\tB-PP\tO' -p171730 -aS'graft\tgraft\tNN\tB-NP\tO' -p171731 -aS'angiography\tangiography\tNN\tI-NP\tO' -p171732 -aS';\t;\t:\tO\tO' -p171733 -aS'08/15/98\t08/15/98\tCD\tB-NP\tO' -p171734 -aS'internal\tinternal\tJJ\tI-NP\tO' -p171735 -aS'mammary\tmammary\tJJ\tI-NP\tO' -p171736 -aS'artery\tartery\tNN\tI-NP\tO' -p171737 -aS'angiography\tangiography\tNN\tI-NP\tO' -p171738 -aS'.\t.\t.\tO\tO' -p171739 -asS'Her blood pressures and all of her vital signs are stable .' -p171740 -(lp171741 -S'Her\tHer\tPRP$\tB-NP\tO' -p171742 -aS'blood\tblood\tNN\tI-NP\tO' -p171743 -aS'pressures\tpressure\tNNS\tI-NP\tO' -p171744 -aS'and\tand\tCC\tO\tO' -p171745 -aS'all\tall\tDT\tB-NP\tO' -p171746 -aS'of\tof\tIN\tB-PP\tO' -p171747 -aS'her\ther\tPRP$\tB-NP\tO' -p171748 -aS'vital\tvital\tJJ\tI-NP\tO' -p171749 -aS'signs\tsign\tNNS\tI-NP\tO' -p171750 -aS'are\tbe\tVBP\tB-VP\tO' -p171751 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p171752 -aS'.\t.\t.\tO\tO' -p171753 -asS'In the Emergency Department , she was started on a nesiritide drip and responded well with 2000 cc urine output .' -p171754 -(lp171755 -S'In\tIn\tIN\tB-PP\tO' -p171756 -aS'the\tthe\tDT\tB-NP\tO' -p171757 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p171758 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p171759 -aS',\t,\t,\tO\tO' -p171760 -aS'she\tshe\tPRP\tB-NP\tO' -p171761 -aS'was\tbe\tVBD\tB-VP\tO' -p171762 -aS'started\tstart\tVBN\tI-VP\tO' -p171763 -aS'on\ton\tIN\tB-PP\tO' -p171764 -aS'a\ta\tDT\tB-NP\tO' -p171765 -aS'nesiritide\tnesiritide\tNN\tI-NP\tO' -p171766 -aS'drip\tdrip\tNN\tI-NP\tO' -p171767 -aS'and\tand\tCC\tO\tO' -p171768 -aS'responded\trespond\tVBD\tB-VP\tO' -p171769 -aS'well\twell\tRB\tB-ADVP\tO' -p171770 -aS'with\twith\tIN\tB-PP\tO' -p171771 -aS'2000\t2000\tCD\tB-NP\tO' -p171772 -aS'cc\tcc\tNN\tI-NP\tO' -p171773 -aS'urine\turine\tNN\tI-NP\tO' -p171774 -aS'output\toutput\tNN\tI-NP\tO' -p171775 -aS'.\t.\t.\tO\tO' -p171776 -asS'The left main was normal .' -p171777 -(lp171778 -S'The\tThe\tDT\tB-NP\tO' -p171779 -aS'left\tleft\tJJ\tI-NP\tO' -p171780 -aS'main\tmain\tNN\tI-NP\tO' -p171781 -aS'was\tbe\tVBD\tB-VP\tO' -p171782 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p171783 -aS'.\t.\t.\tO\tO' -p171784 -asS'INFECTIOUS DISEASE : CBC and blood culture were screened on admission .' -p171785 -(lp171786 -S'INFECTIOUS\tINFECTIOUS\tJJ\tB-NP\tO' -p171787 -aS'DISEASE\tDISEASE\tNN\tI-NP\tO' -p171788 -aS':\t:\t:\tO\tO' -p171789 -aS'CBC\tCBC\tNN\tB-NP\tB-protein' -p171790 -aS'and\tand\tCC\tI-NP\tO' -p171791 -aS'blood\tblood\tNN\tI-NP\tO' -p171792 -aS'culture\tculture\tNN\tI-NP\tO' -p171793 -aS'were\tbe\tVBD\tB-VP\tO' -p171794 -aS'screened\tscreen\tVBN\tI-VP\tO' -p171795 -aS'on\ton\tIN\tB-PP\tO' -p171796 -aS'admission\tadmission\tNN\tB-NP\tO' -p171797 -aS'.\t.\t.\tO\tO' -p171798 -asS'His gait was unsteady and he was unable to stand on his own .' -p171799 -(lp171800 -S'His\tHis\tPRP$\tB-NP\tO' -p171801 -aS'gait\tgait\tNN\tI-NP\tO' -p171802 -aS'was\tbe\tVBD\tB-VP\tO' -p171803 -aS'unsteady\tunsteady\tJJ\tB-ADJP\tO' -p171804 -aS'and\tand\tCC\tO\tO' -p171805 -aS'he\the\tPRP\tB-NP\tO' -p171806 -aS'was\tbe\tVBD\tB-VP\tO' -p171807 -aS'unable\tunable\tJJ\tB-ADJP\tO' -p171808 -aS'to\tto\tTO\tB-VP\tO' -p171809 -aS'stand\tstand\tVB\tI-VP\tO' -p171810 -aS'on\ton\tIN\tB-PP\tO' -p171811 -aS'his\this\tPRP$\tB-NP\tO' -p171812 -aS'own\town\tJJ\tI-NP\tO' -p171813 -aS'.\t.\t.\tO\tO' -p171814 -asS'She concomitantly had loose stools which were C. diff negative .' -p171815 -(lp171816 -S'She\tShe\tPRP\tB-NP\tO' -p171817 -aS'concomitantly\tconcomitantly\tRB\tB-ADVP\tO' -p171818 -aS'had\thave\tVBD\tB-VP\tO' -p171819 -aS'loose\tloose\tJJ\tB-NP\tO' -p171820 -aS'stools\tstool\tNNS\tI-NP\tO' -p171821 -aS'which\twhich\tWDT\tB-NP\tO' -p171822 -aS'were\tbe\tVBD\tB-VP\tO' -p171823 -aS'C.\tC.\tNNP\tB-NP\tO' -p171824 -aS'diff\tdiff\tNN\tI-NP\tO' -p171825 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p171826 -aS'.\t.\t.\tO\tO' -p171827 -asS'The largest single lesion measures 3.7 x 3.4 cm .' -p171828 -(lp171829 -S'The\tThe\tDT\tB-NP\tO' -p171830 -aS'largest\tlarge\tJJS\tI-NP\tO' -p171831 -aS'single\tsingle\tJJ\tI-NP\tO' -p171832 -aS'lesion\tlesion\tNN\tI-NP\tO' -p171833 -aS'measures\tmeasure\tNNS\tI-NP\tO' -p171834 -aS'3.7\t3.7\tCD\tB-NP\tO' -p171835 -aS'x\tx\tSYM\tI-NP\tO' -p171836 -aS'3.4\t3.4\tCD\tI-NP\tO' -p171837 -aS'cm\tcm\tNN\tI-NP\tO' -p171838 -aS'.\t.\t.\tO\tO' -p171839 -asS'# CAD - pt denied cp / sob throughout hospitalization .' -p171840 -(lp171841 -S'#\t#\t#\tB-NP\tO' -p171842 -aS'CAD\tCAD\tNN\tI-NP\tB-protein' -p171843 -aS'-\t-\tHYPH\tO\tO' -p171844 -aS'pt\tpt\tNN\tB-NP\tO' -p171845 -aS'denied\tdeny\tVBN\tB-VP\tO' -p171846 -aS'cp\tcp\tNN\tB-NP\tB-DNA' -p171847 -aS'/\t/\tSYM\tO\tO' -p171848 -aS'sob\tsob\tNN\tB-NP\tB-protein' -p171849 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p171850 -aS'hospitalization\thospitalization\tNN\tB-NP\tO' -p171851 -aS'.\t.\t.\tO\tO' -p171852 -asS'On discharge the patient has stable O2 req , 90% on RA .' -p171853 -(lp171854 -S'On\tOn\tIN\tB-PP\tO' -p171855 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p171856 -aS'the\tthe\tDT\tB-NP\tO' -p171857 -aS'patient\tpatient\tNN\tI-NP\tO' -p171858 -aS'has\thave\tVBZ\tB-VP\tO' -p171859 -aS'stable\tstable\tJJ\tB-NP\tO' -p171860 -aS'O2\tO2\tNN\tI-NP\tO' -p171861 -aS'req\treq\tNN\tI-NP\tO' -p171862 -aS',\t,\t,\tO\tO' -p171863 -aS'90%\t90%\tCD\tB-NP\tO' -p171864 -aS'on\ton\tIN\tB-PP\tO' -p171865 -aS'RA\tRA\tNN\tB-NP\tB-protein' -p171866 -aS'.\t.\t.\tO\tO' -p171867 -asS'includes and abdominoperineal resection in 1989 .' -p171868 -(lp171869 -S'includes\tinclude\tNNS\tB-NP\tO' -p171870 -aS'and\tand\tCC\tO\tO' -p171871 -aS'abdominoperineal\tabdominoperineal\tJJ\tB-NP\tO' -p171872 -aS'resection\tresection\tNN\tI-NP\tO' -p171873 -aS'in\tin\tIN\tB-PP\tO' -p171874 -aS'1989\t1989\tCD\tB-NP\tO' -p171875 -aS'.\t.\t.\tO\tO' -p171876 -asS'Chest was clear to auscultation and percussion .' -p171877 -(lp171878 -S'Chest\tChest\tNNP\tB-NP\tO' -p171879 -aS'was\tbe\tVBD\tB-VP\tO' -p171880 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p171881 -aS'to\tto\tTO\tB-PP\tO' -p171882 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p171883 -aS'and\tand\tCC\tI-NP\tO' -p171884 -aS'percussion\tpercussion\tNN\tI-NP\tO' -p171885 -aS'.\t.\t.\tO\tO' -p171886 -asS'Comparison is made to a previous study from 2014-10-27 .' -p171887 -(lp171888 -S'Comparison\tComparison\tNN\tB-NP\tO' -p171889 -aS'is\tbe\tVBZ\tB-VP\tO' -p171890 -aS'made\tmake\tVBN\tI-VP\tO' -p171891 -aS'to\tto\tTO\tB-PP\tO' -p171892 -aS'a\ta\tDT\tB-NP\tO' -p171893 -aS'previous\tprevious\tJJ\tI-NP\tO' -p171894 -aS'study\tstudy\tNN\tI-NP\tO' -p171895 -aS'from\tfrom\tIN\tB-PP\tO' -p171896 -aS'2014-10-27\t2014-10-27\tCD\tB-NP\tO' -p171897 -aS'.\t.\t.\tO\tO' -p171898 -asS'Ms. Cassata has a history of " passing out " in August of 2004 , ( ? 7 hours ) , and reports that this episode did not feel similar .' -p171899 -(lp171900 -S'Ms.\tMs.\tNNP\tB-NP\tO' -p171901 -aS'Cassata\tCassata\tNNP\tI-NP\tO' -p171902 -aS'has\thave\tVBZ\tB-VP\tO' -p171903 -aS'a\ta\tDT\tB-NP\tO' -p171904 -aS'history\thistory\tNN\tI-NP\tO' -p171905 -aS'of\tof\tIN\tB-PP\tO' -p171906 -aS'"\t"\t\'\'\tO\tB-cell_type' -p171907 -aS'passing\tpass\tVBG\tB-VP\tI-cell_type' -p171908 -aS'out\tout\tRP\tB-PRT\tI-cell_type' -p171909 -aS'"\t"\t\'\'\tO\tI-cell_type' -p171910 -aS'in\tin\tIN\tB-PP\tO' -p171911 -aS'August\tAugust\tNNP\tB-NP\tO' -p171912 -aS'of\tof\tIN\tB-PP\tO' -p171913 -aS'2004\t2004\tCD\tB-NP\tO' -p171914 -aS',\t,\t,\tO\tO' -p171915 -aS'(\t(\t(\tO\tO' -p171916 -aS'?\t?\t.\tO\tO' -p171917 -aS'7\t7\tCD\tB-NP\tO' -p171918 -aS'hours\thour\tNNS\tI-NP\tO' -p171919 -aS')\t)\t)\tO\tO' -p171920 -aS',\t,\t,\tO\tO' -p171921 -aS'and\tand\tCC\tO\tO' -p171922 -aS'reports\treport\tNNS\tB-NP\tO' -p171923 -aS'that\tthat\tIN\tB-SBAR\tO' -p171924 -aS'this\tthis\tDT\tB-NP\tO' -p171925 -aS'episode\tepisode\tNN\tI-NP\tO' -p171926 -aS'did\tdo\tVBD\tB-VP\tO' -p171927 -aS'not\tnot\tRB\tI-VP\tO' -p171928 -aS'feel\tfeel\tVB\tI-VP\tO' -p171929 -aS'similar\tsimilar\tJJ\tB-ADJP\tO' -p171930 -aS'.\t.\t.\tO\tO' -p171931 -asS'Blood pressure is 150/90 , heart rate of 90 , respiratory rate 20 with saturation of 98% .' -p171932 -(lp171933 -S'Blood\tBlood\tNN\tB-NP\tO' -p171934 -aS'pressure\tpressure\tNN\tI-NP\tO' -p171935 -aS'is\tbe\tVBZ\tB-VP\tO' -p171936 -aS'150/90\t150/90\tCD\tB-NP\tO' -p171937 -aS',\t,\t,\tO\tO' -p171938 -aS'heart\theart\tNN\tB-NP\tO' -p171939 -aS'rate\trate\tNN\tI-NP\tO' -p171940 -aS'of\tof\tIN\tB-PP\tO' -p171941 -aS'90\t90\tCD\tB-NP\tO' -p171942 -aS',\t,\t,\tO\tO' -p171943 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p171944 -aS'rate\trate\tNN\tI-NP\tO' -p171945 -aS'20\t20\tCD\tI-NP\tO' -p171946 -aS'with\twith\tIN\tB-PP\tO' -p171947 -aS'saturation\tsaturation\tNN\tB-NP\tO' -p171948 -aS'of\tof\tIN\tB-PP\tO' -p171949 -aS'98%\t98%\tNN\tB-NP\tO' -p171950 -aS'.\t.\t.\tO\tO' -p171951 -asS'She was very fatigued .' -p171952 -(lp171953 -S'She\tShe\tPRP\tB-NP\tO' -p171954 -aS'was\tbe\tVBD\tB-VP\tO' -p171955 -aS'very\tvery\tRB\tI-VP\tO' -p171956 -aS'fatigued\tfatigue\tVBN\tI-VP\tO' -p171957 -aS'.\t.\t.\tO\tO' -p171958 -asS'He continued to complain of shortness of breath with an episode of respiratory failure in the hospital requiring 100% nonrebreather .' -p171959 -(lp171960 -S'He\tHe\tPRP\tB-NP\tO' -p171961 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p171962 -aS'to\tto\tTO\tI-VP\tO' -p171963 -aS'complain\tcomplain\tVB\tI-VP\tO' -p171964 -aS'of\tof\tIN\tB-PP\tO' -p171965 -aS'shortness\tshortness\tNN\tB-NP\tO' -p171966 -aS'of\tof\tIN\tB-PP\tO' -p171967 -aS'breath\tbreath\tNN\tB-NP\tO' -p171968 -aS'with\twith\tIN\tB-PP\tO' -p171969 -aS'an\tan\tDT\tB-NP\tO' -p171970 -aS'episode\tepisode\tNN\tI-NP\tO' -p171971 -aS'of\tof\tIN\tB-PP\tO' -p171972 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p171973 -aS'failure\tfailure\tNN\tI-NP\tO' -p171974 -aS'in\tin\tIN\tB-PP\tO' -p171975 -aS'the\tthe\tDT\tB-NP\tO' -p171976 -aS'hospital\thospital\tNN\tI-NP\tO' -p171977 -aS'requiring\trequire\tVBG\tB-VP\tO' -p171978 -aS'100%\t100%\tCD\tB-NP\tO' -p171979 -aS'nonrebreather\tnonrebreather\tNN\tI-NP\tO' -p171980 -aS'.\t.\t.\tO\tO' -p171981 -asS'Dr Day in 4 weeks (( 469 ) 587-0462 ) please call for appointment' -p171982 -(lp171983 -S'Dr\tDr\tNNP\tB-NP\tO' -p171984 -aS'Day\tDay\tNNP\tI-NP\tO' -p171985 -aS'in\tin\tIN\tB-PP\tO' -p171986 -aS'4\t4\tCD\tB-NP\tO' -p171987 -aS'weeks\tweek\tNNS\tI-NP\tO' -p171988 -aS'((\t((\t(\tO\tO' -p171989 -aS'469\t469\tCD\tB-NP\tO' -p171990 -aS')\t)\t)\tO\tO' -p171991 -aS'587-0462\t587-0462\tCD\tB-NP\tO' -p171992 -aS')\t)\t)\tO\tO' -p171993 -aS'please\tplease\tNN\tB-NP\tO' -p171994 -aS'call\tcall\tVBP\tB-VP\tO' -p171995 -aS'for\tfor\tIN\tB-PP\tO' -p171996 -aS'appointment\tappointment\tNN\tB-NP\tO' -p171997 -asS'The patient on the date of postoperative day number one , September 13 , 1994 , was transferred from the Surgical Intensive Care Unit up to the FIH 18 floor .' -p171998 -(lp171999 -S'The\tThe\tDT\tB-NP\tO' -p172000 -aS'patient\tpatient\tNN\tI-NP\tO' -p172001 -aS'on\ton\tIN\tB-PP\tO' -p172002 -aS'the\tthe\tDT\tB-NP\tO' -p172003 -aS'date\tdate\tNN\tI-NP\tO' -p172004 -aS'of\tof\tIN\tB-PP\tO' -p172005 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p172006 -aS'day\tday\tNN\tI-NP\tO' -p172007 -aS'number\tnumber\tNN\tI-NP\tO' -p172008 -aS'one\tone\tCD\tB-NP\tO' -p172009 -aS',\t,\t,\tO\tO' -p172010 -aS'September\tSeptember\tNNP\tB-NP\tO' -p172011 -aS'13\t13\tCD\tI-NP\tO' -p172012 -aS',\t,\t,\tI-NP\tO' -p172013 -aS'1994\t1994\tCD\tI-NP\tO' -p172014 -aS',\t,\t,\tO\tO' -p172015 -aS'was\tbe\tVBD\tB-VP\tO' -p172016 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p172017 -aS'from\tfrom\tIN\tB-PP\tO' -p172018 -aS'the\tthe\tDT\tB-NP\tO' -p172019 -aS'Surgical\tSurgical\tNNP\tI-NP\tO' -p172020 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p172021 -aS'Care\tCare\tNNP\tI-NP\tO' -p172022 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p172023 -aS'up\tup\tIN\tB-PP\tO' -p172024 -aS'to\tto\tTO\tB-PP\tO' -p172025 -aS'the\tthe\tDT\tB-NP\tO' -p172026 -aS'FIH\tFIH\tNN\tI-NP\tO' -p172027 -aS'18\t18\tCD\tI-NP\tO' -p172028 -aS'floor\tfloor\tNN\tI-NP\tO' -p172029 -aS'.\t.\t.\tO\tO' -p172030 -asS'She would not sense the atrial contraction and the fire and this occasionally led to competition of firing .' -p172031 -(lp172032 -S'She\tShe\tPRP\tB-NP\tO' -p172033 -aS'would\twould\tMD\tB-VP\tO' -p172034 -aS'not\tnot\tRB\tI-VP\tO' -p172035 -aS'sense\tsense\tVB\tI-VP\tO' -p172036 -aS'the\tthe\tDT\tB-NP\tO' -p172037 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p172038 -aS'contraction\tcontraction\tNN\tI-NP\tO' -p172039 -aS'and\tand\tCC\tO\tO' -p172040 -aS'the\tthe\tDT\tB-NP\tO' -p172041 -aS'fire\tfire\tNN\tI-NP\tO' -p172042 -aS'and\tand\tCC\tO\tO' -p172043 -aS'this\tthis\tDT\tB-NP\tO' -p172044 -aS'occasionally\toccasionally\tRB\tB-ADVP\tO' -p172045 -aS'led\tlead\tVBN\tB-VP\tO' -p172046 -aS'to\tto\tTO\tB-PP\tO' -p172047 -aS'competition\tcompetition\tNN\tB-NP\tO' -p172048 -aS'of\tof\tIN\tB-PP\tO' -p172049 -aS'firing\tfiring\tNN\tB-NP\tO' -p172050 -aS'.\t.\t.\tO\tO' -p172051 -asS'5. Asthma .' -p172052 -(lp172053 -S'5.\t5.\tLS\tB-NP\tO' -p172054 -aS'Asthma\tAsthma\tNN\tI-NP\tO' -p172055 -aS'.\t.\t.\tO\tO' -p172056 -asS'Then referred to ER for Tx' -p172057 -(lp172058 -S'Then\tThen\tRB\tO\tO' -p172059 -aS'referred\trefer\tVBN\tB-VP\tO' -p172060 -aS'to\tto\tTO\tB-PP\tO' -p172061 -aS'ER\tER\tNN\tB-NP\tB-protein' -p172062 -aS'for\tfor\tIN\tB-PP\tO' -p172063 -aS'Tx\tTx\tNN\tB-NP\tO' -p172064 -asS'She has had a constant runny nose and has had no sick contacts .' -p172065 -(lp172066 -S'She\tShe\tPRP\tB-NP\tO' -p172067 -aS'has\thave\tVBZ\tB-VP\tO' -p172068 -aS'had\thave\tVBN\tI-VP\tO' -p172069 -aS'a\ta\tDT\tB-NP\tO' -p172070 -aS'constant\tconstant\tJJ\tI-NP\tO' -p172071 -aS'runny\trunny\tJJ\tI-NP\tO' -p172072 -aS'nose\tnose\tNN\tI-NP\tO' -p172073 -aS'and\tand\tCC\tO\tO' -p172074 -aS'has\thave\tVBZ\tB-VP\tO' -p172075 -aS'had\thave\tVBN\tI-VP\tO' -p172076 -aS'no\tno\tDT\tB-NP\tO' -p172077 -aS'sick\tsick\tJJ\tI-NP\tO' -p172078 -aS'contacts\tcontact\tNNS\tI-NP\tO' -p172079 -aS'.\t.\t.\tO\tO' -p172080 -asS'2. SSS status post PM/ICD placement' -p172081 -(lp172082 -S'2.\t2.\tLS\tB-NP\tO' -p172083 -aS'SSS\tSSS\tNN\tI-NP\tO' -p172084 -aS'status\tstatus\tNN\tI-NP\tO' -p172085 -aS'post\tpost\tNN\tI-NP\tO' -p172086 -aS'PM/ICD\tPM/ICD\tNN\tI-NP\tO' -p172087 -aS'placement\tplacement\tNN\tI-NP\tO' -p172088 -asS'Vitamin B12 100 mcg IM q.month .' -p172089 -(lp172090 -S'Vitamin\tVitamin\tNN\tB-NP\tO' -p172091 -aS'B12\tB12\tNN\tI-NP\tO' -p172092 -aS'100\t100\tCD\tI-NP\tO' -p172093 -aS'mcg\tmcg\tNN\tI-NP\tO' -p172094 -aS'IM\tIM\tNN\tI-NP\tO' -p172095 -aS'q.month\tq.month\tNN\tI-NP\tO' -p172096 -aS'.\t.\t.\tO\tO' -p172097 -asS'# Pleural effusion : The patient was noted have an effusion on CXR .' -p172098 -(lp172099 -S'#\t#\t#\tB-NP\tO' -p172100 -aS'Pleural\tPleural\tJJ\tI-NP\tO' -p172101 -aS'effusion\teffusion\tNN\tI-NP\tO' -p172102 -aS':\t:\t:\tO\tO' -p172103 -aS'The\tThe\tDT\tB-NP\tO' -p172104 -aS'patient\tpatient\tNN\tI-NP\tO' -p172105 -aS'was\tbe\tVBD\tB-VP\tO' -p172106 -aS'noted\tnote\tVBN\tI-VP\tO' -p172107 -aS'have\thave\tVBP\tB-VP\tO' -p172108 -aS'an\tan\tDT\tB-NP\tO' -p172109 -aS'effusion\teffusion\tNN\tI-NP\tO' -p172110 -aS'on\ton\tIN\tB-PP\tO' -p172111 -aS'CXR\tCXR\tNN\tB-NP\tB-protein' -p172112 -aS'.\t.\t.\tO\tO' -p172113 -asS'His past medical history is also remarkable for non-insulin dependent diabetes and hypertension .' -p172114 -(lp172115 -S'His\tHis\tPRP$\tB-NP\tO' -p172116 -aS'past\tpast\tJJ\tI-NP\tO' -p172117 -aS'medical\tmedical\tJJ\tI-NP\tO' -p172118 -aS'history\thistory\tNN\tI-NP\tO' -p172119 -aS'is\tbe\tVBZ\tB-VP\tO' -p172120 -aS'also\talso\tRB\tB-ADVP\tO' -p172121 -aS'remarkable\tremarkable\tJJ\tB-ADJP\tO' -p172122 -aS'for\tfor\tIN\tB-PP\tO' -p172123 -aS'non-insulin\tnon-insulin\tJJ\tB-NP\tO' -p172124 -aS'dependent\tdependent\tJJ\tI-NP\tO' -p172125 -aS'diabetes\tdiabetes\tNN\tI-NP\tO' -p172126 -aS'and\tand\tCC\tI-NP\tO' -p172127 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p172128 -aS'.\t.\t.\tO\tO' -p172129 -asS'The ECHO revealed an anomalous left coronary , with one end entering the right ventricular outflow tract and the other end not clearly defined .' -p172130 -(lp172131 -S'The\tThe\tDT\tB-NP\tO' -p172132 -aS'ECHO\tECHO\tNN\tI-NP\tB-protein' -p172133 -aS'revealed\treveal\tVBD\tB-VP\tO' -p172134 -aS'an\tan\tDT\tB-NP\tO' -p172135 -aS'anomalous\tanomalous\tJJ\tI-NP\tO' -p172136 -aS'left\tleft\tNN\tI-NP\tO' -p172137 -aS'coronary\tcoronary\tJJ\tB-ADJP\tO' -p172138 -aS',\t,\t,\tO\tO' -p172139 -aS'with\twith\tIN\tB-PP\tO' -p172140 -aS'one\tone\tCD\tB-NP\tO' -p172141 -aS'end\tend\tNN\tI-NP\tO' -p172142 -aS'entering\tenter\tVBG\tB-VP\tO' -p172143 -aS'the\tthe\tDT\tB-NP\tO' -p172144 -aS'right\tright\tJJ\tI-NP\tO' -p172145 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p172146 -aS'outflow\toutflow\tNN\tI-NP\tO' -p172147 -aS'tract\ttract\tNN\tI-NP\tO' -p172148 -aS'and\tand\tCC\tO\tO' -p172149 -aS'the\tthe\tDT\tB-NP\tO' -p172150 -aS'other\tother\tJJ\tI-NP\tO' -p172151 -aS'end\tend\tNN\tI-NP\tO' -p172152 -aS'not\tnot\tRB\tB-VP\tO' -p172153 -aS'clearly\tclearly\tRB\tI-VP\tO' -p172154 -aS'defined\tdefine\tVBN\tI-VP\tO' -p172155 -aS'.\t.\t.\tO\tO' -p172156 -asS'Infant emerged from the breech position .' -p172157 -(lp172158 -S'Infant\tInfant\tNNP\tB-NP\tO' -p172159 -aS'emerged\temerge\tVBD\tB-VP\tO' -p172160 -aS'from\tfrom\tIN\tB-PP\tO' -p172161 -aS'the\tthe\tDT\tB-NP\tO' -p172162 -aS'breech\tbreech\tNN\tI-NP\tO' -p172163 -aS'position\tposition\tNN\tI-NP\tO' -p172164 -aS'.\t.\t.\tO\tO' -p172165 -asS'The patient was admitted on 9/14/93 , and underwent on that same day , a left axillary lymph nodes dissection , by Dr. Ausguall .' -p172166 -(lp172167 -S'The\tThe\tDT\tB-NP\tO' -p172168 -aS'patient\tpatient\tNN\tI-NP\tO' -p172169 -aS'was\tbe\tVBD\tB-VP\tO' -p172170 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p172171 -aS'on\ton\tIN\tB-PP\tO' -p172172 -aS'9/14/93\t9/14/93\tCD\tB-NP\tO' -p172173 -aS',\t,\t,\tO\tO' -p172174 -aS'and\tand\tCC\tO\tO' -p172175 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p172176 -aS'on\ton\tIN\tB-PP\tO' -p172177 -aS'that\tthat\tDT\tB-NP\tO' -p172178 -aS'same\tsame\tJJ\tI-NP\tO' -p172179 -aS'day\tday\tNN\tI-NP\tO' -p172180 -aS',\t,\t,\tO\tO' -p172181 -aS'a\ta\tDT\tB-NP\tO' -p172182 -aS'left\tleft\tJJ\tI-NP\tO' -p172183 -aS'axillary\taxillary\tJJ\tI-NP\tO' -p172184 -aS'lymph\tlymph\tNN\tI-NP\tO' -p172185 -aS'nodes\tnode\tNNS\tI-NP\tO' -p172186 -aS'dissection\tdissection\tNN\tI-NP\tO' -p172187 -aS',\t,\t,\tO\tO' -p172188 -aS'by\tby\tIN\tB-PP\tO' -p172189 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p172190 -aS'Ausguall\tAusguall\tNNP\tI-NP\tO' -p172191 -aS'.\t.\t.\tO\tO' -p172192 -asS'On February 10 , 1994 , flexible bronchoscopy , flexible esophagoscopy , rigid bronchoscopy , transhiatal esophagectomy ( partial ) , substernal gastric interposition and jejunostomy .' -p172193 -(lp172194 -S'On\tOn\tIN\tB-PP\tO' -p172195 -aS'February\tFebruary\tNNP\tB-NP\tO' -p172196 -aS'10\t10\tCD\tI-NP\tO' -p172197 -aS',\t,\t,\tI-NP\tO' -p172198 -aS'1994\t1994\tCD\tI-NP\tO' -p172199 -aS',\t,\t,\tO\tO' -p172200 -aS'flexible\tflexible\tJJ\tB-NP\tO' -p172201 -aS'bronchoscopy\tbronchoscopy\tNN\tI-NP\tO' -p172202 -aS',\t,\t,\tO\tO' -p172203 -aS'flexible\tflexible\tJJ\tB-NP\tO' -p172204 -aS'esophagoscopy\tesophagoscopy\tNN\tI-NP\tO' -p172205 -aS',\t,\t,\tO\tO' -p172206 -aS'rigid\trigid\tJJ\tB-NP\tO' -p172207 -aS'bronchoscopy\tbronchoscopy\tNN\tI-NP\tO' -p172208 -aS',\t,\t,\tO\tO' -p172209 -aS'transhiatal\ttranshiatal\tJJ\tB-NP\tO' -p172210 -aS'esophagectomy\tesophagectomy\tNN\tI-NP\tO' -p172211 -aS'(\t(\t(\tO\tO' -p172212 -aS'partial\tpartial\tJJ\tB-ADVP\tO' -p172213 -aS')\t)\t)\tO\tO' -p172214 -aS',\t,\t,\tO\tO' -p172215 -aS'substernal\tsubsternal\tJJ\tB-NP\tO' -p172216 -aS'gastric\tgastric\tJJ\tI-NP\tO' -p172217 -aS'interposition\tinterposition\tNN\tI-NP\tO' -p172218 -aS'and\tand\tCC\tI-NP\tO' -p172219 -aS'jejunostomy\tjejunostomy\tNN\tI-NP\tO' -p172220 -aS'.\t.\t.\tO\tO' -p172221 -asS'It showed a right kidney size of 6.3 cm and a left kidney size of 8.4 cm .' -p172222 -(lp172223 -S'It\tIt\tPRP\tB-NP\tO' -p172224 -aS'showed\tshow\tVBD\tB-VP\tO' -p172225 -aS'a\ta\tDT\tB-NP\tO' -p172226 -aS'right\tright\tJJ\tI-NP\tO' -p172227 -aS'kidney\tkidney\tNN\tI-NP\tO' -p172228 -aS'size\tsize\tNN\tI-NP\tO' -p172229 -aS'of\tof\tIN\tB-PP\tO' -p172230 -aS'6.3\t6.3\tCD\tB-NP\tO' -p172231 -aS'cm\tcm\tNN\tI-NP\tO' -p172232 -aS'and\tand\tCC\tO\tO' -p172233 -aS'a\ta\tDT\tB-NP\tO' -p172234 -aS'left\tleft\tJJ\tI-NP\tO' -p172235 -aS'kidney\tkidney\tNN\tI-NP\tO' -p172236 -aS'size\tsize\tNN\tI-NP\tO' -p172237 -aS'of\tof\tIN\tB-PP\tO' -p172238 -aS'8.4\t8.4\tCD\tB-NP\tO' -p172239 -aS'cm\tcm\tNN\tI-NP\tO' -p172240 -aS'.\t.\t.\tO\tO' -p172241 -asS'The patient lives with his two sons .' -p172242 -(lp172243 -S'The\tThe\tDT\tB-NP\tO' -p172244 -aS'patient\tpatient\tNN\tI-NP\tO' -p172245 -aS'lives\tlive\tVBZ\tB-VP\tO' -p172246 -aS'with\twith\tIN\tB-PP\tO' -p172247 -aS'his\this\tPRP$\tB-NP\tO' -p172248 -aS'two\ttwo\tCD\tI-NP\tO' -p172249 -aS'sons\tson\tNNS\tI-NP\tO' -p172250 -aS'.\t.\t.\tO\tO' -p172251 -asS'The gag reflex was intact .' -p172252 -(lp172253 -S'The\tThe\tDT\tB-NP\tO' -p172254 -aS'gag\tgag\tNN\tI-NP\tO' -p172255 -aS'reflex\treflex\tNN\tI-NP\tO' -p172256 -aS'was\tbe\tVBD\tB-VP\tO' -p172257 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p172258 -aS'.\t.\t.\tO\tO' -p172259 -asS'4. State Screens were sent on 04-27 and 2013-05-08 .' -p172260 -(lp172261 -S'4.\t4.\tLS\tB-NP\tO' -p172262 -aS'State\tState\tNN\tI-NP\tO' -p172263 -aS'Screens\tScreen\tNNS\tI-NP\tO' -p172264 -aS'were\tbe\tVBD\tB-VP\tO' -p172265 -aS'sent\tsend\tVBN\tI-VP\tO' -p172266 -aS'on\ton\tIN\tB-PP\tO' -p172267 -aS'04-27\t04-27\tCD\tB-NP\tO' -p172268 -aS'and\tand\tCC\tI-NP\tO' -p172269 -aS'2013-05-08\t2013-05-08\tCD\tI-NP\tO' -p172270 -aS'.\t.\t.\tO\tO' -p172271 -asS'The general physical examination did not reveal any abnormality .' -p172272 -(lp172273 -S'The\tThe\tDT\tB-NP\tO' -p172274 -aS'general\tgeneral\tJJ\tI-NP\tO' -p172275 -aS'physical\tphysical\tJJ\tI-NP\tO' -p172276 -aS'examination\texamination\tNN\tI-NP\tO' -p172277 -aS'did\tdo\tVBD\tB-VP\tO' -p172278 -aS'not\tnot\tRB\tI-VP\tO' -p172279 -aS'reveal\treveal\tVB\tI-VP\tO' -p172280 -aS'any\tany\tDT\tB-NP\tO' -p172281 -aS'abnormality\tabnormality\tNN\tI-NP\tO' -p172282 -aS'.\t.\t.\tO\tO' -p172283 -asS'The patient denies shortness of breath , dizziness , diaphoresis , or nausea .' -p172284 -(lp172285 -S'The\tThe\tDT\tB-NP\tO' -p172286 -aS'patient\tpatient\tNN\tI-NP\tO' -p172287 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p172288 -aS'shortness\tshortness\tNN\tB-NP\tO' -p172289 -aS'of\tof\tIN\tB-PP\tO' -p172290 -aS'breath\tbreath\tNN\tB-NP\tO' -p172291 -aS',\t,\t,\tO\tO' -p172292 -aS'dizziness\tdizziness\tNN\tB-NP\tO' -p172293 -aS',\t,\t,\tO\tO' -p172294 -aS'diaphoresis\tdiaphoresis\tNN\tB-NP\tO' -p172295 -aS',\t,\t,\tO\tO' -p172296 -aS'or\tor\tCC\tO\tO' -p172297 -aS'nausea\tnausea\tNN\tB-NP\tO' -p172298 -aS'.\t.\t.\tO\tO' -p172299 -asS'Total protein was 8 , albumin 4.3 , globulin 3.7 , calcium 9.9 , phosphate 2.7 , magnesium 2.0. White blood cell count was 7 , hemoglobin 14.1 , hematocrit 43.6 , platelet count 241 .' -p172300 -(lp172301 -S'Total\tTotal\tJJ\tB-NP\tO' -p172302 -aS'protein\tprotein\tNN\tI-NP\tO' -p172303 -aS'was\tbe\tVBD\tB-VP\tO' -p172304 -aS'8\t8\tCD\tB-NP\tO' -p172305 -aS',\t,\t,\tO\tO' -p172306 -aS'albumin\talbumin\tNN\tB-NP\tO' -p172307 -aS'4.3\t4.3\tCD\tI-NP\tO' -p172308 -aS',\t,\t,\tO\tO' -p172309 -aS'globulin\tglobulin\tNN\tB-NP\tB-protein' -p172310 -aS'3.7\t3.7\tCD\tI-NP\tI-protein' -p172311 -aS',\t,\t,\tO\tO' -p172312 -aS'calcium\tcalcium\tNN\tB-NP\tO' -p172313 -aS'9.9\t9.9\tCD\tI-NP\tO' -p172314 -aS',\t,\t,\tO\tO' -p172315 -aS'phosphate\tphosphate\tNN\tB-NP\tO' -p172316 -aS'2.7\t2.7\tCD\tI-NP\tO' -p172317 -aS',\t,\t,\tO\tO' -p172318 -aS'magnesium\tmagnesium\tNN\tB-NP\tO' -p172319 -aS'2.0.\t2.0.\tCD\tI-NP\tO' -p172320 -aS'White\tWhite\tJJ\tI-NP\tO' -p172321 -aS'blood\tblood\tNN\tI-NP\tO' -p172322 -aS'cell\tcell\tNN\tI-NP\tO' -p172323 -aS'count\tcount\tNN\tI-NP\tO' -p172324 -aS'was\tbe\tVBD\tB-VP\tO' -p172325 -aS'7\t7\tCD\tB-NP\tO' -p172326 -aS',\t,\t,\tO\tO' -p172327 -aS'hemoglobin\themoglobin\tNN\tB-NP\tB-protein' -p172328 -aS'14.1\t14.1\tCD\tI-NP\tI-protein' -p172329 -aS',\t,\t,\tO\tO' -p172330 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p172331 -aS'43.6\t43.6\tCD\tI-NP\tI-protein' -p172332 -aS',\t,\t,\tO\tO' -p172333 -aS'platelet\tplatelet\tNN\tB-NP\tB-protein' -p172334 -aS'count\tcount\tNN\tI-NP\tI-protein' -p172335 -aS'241\t241\tCD\tI-NP\tI-protein' -p172336 -aS'.\t.\t.\tO\tO' -p172337 -asS'Her bowel regimen is prn .' -p172338 -(lp172339 -S'Her\tHer\tPRP$\tB-NP\tO' -p172340 -aS'bowel\tbowel\tNN\tI-NP\tO' -p172341 -aS'regimen\tregimen\tNN\tI-NP\tO' -p172342 -aS'is\tbe\tVBZ\tB-VP\tO' -p172343 -aS'prn\tprn\tNN\tB-NP\tO' -p172344 -aS'.\t.\t.\tO\tO' -p172345 -asS'On 5-29-00 , she underwent thyroidectomy with removal of a 3.3 centimeter right lobe microfollicular adenoma and left lobe 6 mm .' -p172346 -(lp172347 -S'On\tOn\tIN\tB-PP\tO' -p172348 -aS'5-29-00\t5-29-00\tCD\tB-NP\tO' -p172349 -aS',\t,\t,\tO\tO' -p172350 -aS'she\tshe\tPRP\tB-NP\tO' -p172351 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p172352 -aS'thyroidectomy\tthyroidectomy\tNN\tB-NP\tO' -p172353 -aS'with\twith\tIN\tB-PP\tO' -p172354 -aS'removal\tremoval\tNN\tB-NP\tO' -p172355 -aS'of\tof\tIN\tB-PP\tO' -p172356 -aS'a\ta\tDT\tB-NP\tO' -p172357 -aS'3.3\t3.3\tCD\tI-NP\tO' -p172358 -aS'centimeter\tcentimeter\tNN\tI-NP\tO' -p172359 -aS'right\tright\tJJ\tI-NP\tO' -p172360 -aS'lobe\tlobe\tNN\tI-NP\tO' -p172361 -aS'microfollicular\tmicrofollicular\tJJ\tI-NP\tO' -p172362 -aS'adenoma\tadenoma\tNN\tI-NP\tO' -p172363 -aS'and\tand\tCC\tO\tO' -p172364 -aS'left\tleave\tVBD\tB-VP\tO' -p172365 -aS'lobe\tlobe\tNN\tB-NP\tO' -p172366 -aS'6\t6\tCD\tI-NP\tO' -p172367 -aS'mm\tmm\tNN\tI-NP\tO' -p172368 -aS'.\t.\t.\tO\tO' -p172369 -asS'Pulmonlologically , his chest xray was negative and he complained of no breathing problems .' -p172370 -(lp172371 -S'Pulmonlologically\tPulmonlologically\tRB\tB-ADVP\tO' -p172372 -aS',\t,\t,\tO\tO' -p172373 -aS'his\this\tPRP$\tB-NP\tB-DNA' -p172374 -aS'chest\tch\tJJS\tI-NP\tO' -p172375 -aS'xray\txray\tNN\tI-NP\tO' -p172376 -aS'was\tbe\tVBD\tB-VP\tO' -p172377 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p172378 -aS'and\tand\tCC\tO\tO' -p172379 -aS'he\the\tPRP\tB-NP\tO' -p172380 -aS'complained\tcomplain\tVBD\tB-VP\tO' -p172381 -aS'of\tof\tIN\tB-PP\tO' -p172382 -aS'no\tno\tDT\tB-NP\tO' -p172383 -aS'breathing\tbreathing\tNN\tI-NP\tO' -p172384 -aS'problems\tproblem\tNNS\tI-NP\tO' -p172385 -aS'.\t.\t.\tO\tO' -p172386 -asS'New perihilar and basilar opacities may reflect pulmonary edema sparing the upper lobes in the setting of emphysema , but it is difficult to exclude underlying aspiration or infectious pneumonia in the lung bases .' -p172387 -(lp172388 -S'New\tNew\tJJ\tB-NP\tO' -p172389 -aS'perihilar\tperihilar\tJJ\tI-NP\tO' -p172390 -aS'and\tand\tCC\tI-NP\tO' -p172391 -aS'basilar\tbasilar\tJJ\tI-NP\tO' -p172392 -aS'opacities\topacity\tNNS\tI-NP\tO' -p172393 -aS'may\tmay\tMD\tB-VP\tO' -p172394 -aS'reflect\treflect\tVB\tI-VP\tO' -p172395 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p172396 -aS'edema\tedema\tNN\tI-NP\tO' -p172397 -aS'sparing\tspar\tVBG\tB-VP\tO' -p172398 -aS'the\tthe\tDT\tB-NP\tO' -p172399 -aS'upper\tupper\tJJ\tI-NP\tO' -p172400 -aS'lobes\tlobe\tNNS\tI-NP\tO' -p172401 -aS'in\tin\tIN\tB-PP\tO' -p172402 -aS'the\tthe\tDT\tB-NP\tO' -p172403 -aS'setting\tsetting\tNN\tI-NP\tO' -p172404 -aS'of\tof\tIN\tB-PP\tO' -p172405 -aS'emphysema\temphysema\tNN\tB-NP\tO' -p172406 -aS',\t,\t,\tO\tO' -p172407 -aS'but\tbut\tCC\tO\tO' -p172408 -aS'it\tit\tPRP\tB-NP\tO' -p172409 -aS'is\tbe\tVBZ\tB-VP\tO' -p172410 -aS'difficult\tdifficult\tJJ\tB-ADJP\tO' -p172411 -aS'to\tto\tTO\tB-VP\tO' -p172412 -aS'exclude\texclude\tVB\tI-VP\tO' -p172413 -aS'underlying\tunderlie\tVBG\tI-VP\tO' -p172414 -aS'aspiration\taspiration\tNN\tB-NP\tO' -p172415 -aS'or\tor\tCC\tO\tO' -p172416 -aS'infectious\tinfectious\tJJ\tB-NP\tO' -p172417 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p172418 -aS'in\tin\tIN\tB-PP\tO' -p172419 -aS'the\tthe\tDT\tB-NP\tO' -p172420 -aS'lung\tlung\tNN\tI-NP\tB-protein' -p172421 -aS'bases\tbase\tNNS\tI-NP\tI-protein' -p172422 -aS'.\t.\t.\tO\tO' -p172423 -asS'Pt. to make all follow-up appts. per discharge instructions .' -p172424 -(lp172425 -S'Pt.\tPt.\tNN\tB-NP\tO' -p172426 -aS'to\tto\tTO\tB-VP\tO' -p172427 -aS'make\tmake\tVB\tI-VP\tO' -p172428 -aS'all\tall\tDT\tB-NP\tO' -p172429 -aS'follow-up\tfollow-up\tJJ\tI-NP\tO' -p172430 -aS'appts.\tappts.\tNN\tI-NP\tO' -p172431 -aS'per\tper\tIN\tB-PP\tO' -p172432 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p172433 -aS'instructions\tinstruction\tNNS\tI-NP\tO' -p172434 -aS'.\t.\t.\tO\tO' -p172435 -asS'Neurologic checks were followed initially every one hour and then every two hours to monitor for change in neurologic examination .' -p172436 -(lp172437 -S'Neurologic\tNeurologic\tJJ\tB-NP\tO' -p172438 -aS'checks\tcheck\tNNS\tI-NP\tO' -p172439 -aS'were\tbe\tVBD\tB-VP\tO' -p172440 -aS'followed\tfollow\tVBN\tI-VP\tO' -p172441 -aS'initially\tinitially\tRB\tB-NP\tO' -p172442 -aS'every\tevery\tDT\tI-NP\tO' -p172443 -aS'one\tone\tCD\tI-NP\tO' -p172444 -aS'hour\thour\tNN\tI-NP\tO' -p172445 -aS'and\tand\tCC\tO\tO' -p172446 -aS'then\tthen\tRB\tB-ADVP\tO' -p172447 -aS'every\tevery\tDT\tB-NP\tO' -p172448 -aS'two\ttwo\tCD\tI-NP\tO' -p172449 -aS'hours\thour\tNNS\tI-NP\tO' -p172450 -aS'to\tto\tTO\tB-VP\tO' -p172451 -aS'monitor\tmonitor\tVB\tI-VP\tO' -p172452 -aS'for\tfor\tIN\tB-PP\tO' -p172453 -aS'change\tchange\tNN\tB-NP\tO' -p172454 -aS'in\tin\tIN\tB-PP\tO' -p172455 -aS'neurologic\tneurologic\tJJ\tB-NP\tO' -p172456 -aS'examination\texamination\tNN\tI-NP\tO' -p172457 -aS'.\t.\t.\tO\tO' -p172458 -asS'It is likely that he required a much greater amount of insulin as an outpatient due to poor compliance with Richard Natalie diet .' -p172459 -(lp172460 -S'It\tIt\tPRP\tB-NP\tO' -p172461 -aS'is\tbe\tVBZ\tB-VP\tO' -p172462 -aS'likely\tlikely\tJJ\tB-ADJP\tO' -p172463 -aS'that\tthat\tIN\tB-SBAR\tO' -p172464 -aS'he\the\tPRP\tB-NP\tO' -p172465 -aS'required\trequire\tVBD\tB-VP\tO' -p172466 -aS'a\ta\tDT\tB-NP\tO' -p172467 -aS'much\tmuch\tRB\tI-NP\tO' -p172468 -aS'greater\tgreat\tJJR\tI-NP\tO' -p172469 -aS'amount\tamount\tNN\tI-NP\tO' -p172470 -aS'of\tof\tIN\tB-PP\tO' -p172471 -aS'insulin\tinsulin\tNN\tB-NP\tB-protein' -p172472 -aS'as\tas\tIN\tB-PP\tO' -p172473 -aS'an\tan\tDT\tB-NP\tO' -p172474 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p172475 -aS'due\tdue\tJJ\tB-ADJP\tO' -p172476 -aS'to\tto\tTO\tB-PP\tO' -p172477 -aS'poor\tpoor\tJJ\tB-NP\tO' -p172478 -aS'compliance\tcompliance\tNN\tI-NP\tO' -p172479 -aS'with\twith\tIN\tB-PP\tO' -p172480 -aS'Richard\tRichard\tNNP\tB-NP\tO' -p172481 -aS'Natalie\tNatalie\tNNP\tI-NP\tO' -p172482 -aS'diet\tdiet\tNN\tI-NP\tO' -p172483 -aS'.\t.\t.\tO\tO' -p172484 -asS'A peripheral blood smear showed mature eosinophils in increased numbers .' -p172485 -(lp172486 -S'A\tA\tDT\tB-NP\tO' -p172487 -aS'peripheral\tperipheral\tJJ\tI-NP\tO' -p172488 -aS'blood\tblood\tNN\tI-NP\tO' -p172489 -aS'smear\tsmear\tNN\tI-NP\tO' -p172490 -aS'showed\tshow\tVBD\tB-VP\tO' -p172491 -aS'mature\tmature\tJJ\tB-NP\tB-cell_type' -p172492 -aS'eosinophils\teosinophil\tNNS\tI-NP\tI-cell_type' -p172493 -aS'in\tin\tIN\tB-PP\tO' -p172494 -aS'increased\tincrease\tVBN\tB-NP\tO' -p172495 -aS'numbers\tnumber\tNNS\tI-NP\tO' -p172496 -aS'.\t.\t.\tO\tO' -p172497 -asS'His oxygen saturation at that time was only 86% on room air and he was admitted .' -p172498 -(lp172499 -S'His\tHis\tPRP$\tB-NP\tO' -p172500 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p172501 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p172502 -aS'at\tat\tIN\tB-PP\tO' -p172503 -aS'that\tthat\tDT\tB-NP\tO' -p172504 -aS'time\ttime\tNN\tI-NP\tO' -p172505 -aS'was\tbe\tVBD\tB-VP\tO' -p172506 -aS'only\tonly\tRB\tB-NP\tO' -p172507 -aS'86%\t86%\tCD\tI-NP\tO' -p172508 -aS'on\ton\tIN\tB-PP\tO' -p172509 -aS'room\troom\tNN\tB-NP\tO' -p172510 -aS'air\tair\tNN\tI-NP\tO' -p172511 -aS'and\tand\tCC\tO\tO' -p172512 -aS'he\the\tPRP\tB-NP\tO' -p172513 -aS'was\tbe\tVBD\tB-VP\tO' -p172514 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p172515 -aS'.\t.\t.\tO\tO' -p172516 -asS'Please call ( 881-6997 to set up follow up cardiology appointment in 2-3 months .' -p172517 -(lp172518 -S'Please\tPlease\tNN\tB-NP\tO' -p172519 -aS'call\tcall\tNN\tI-NP\tO' -p172520 -aS'(\t(\t(\tO\tO' -p172521 -aS'881-6997\t881-6997\tCD\tB-NP\tO' -p172522 -aS'to\tto\tTO\tB-VP\tO' -p172523 -aS'set\tset\tVB\tI-VP\tO' -p172524 -aS'up\tup\tRP\tB-PRT\tO' -p172525 -aS'follow\tfollow\tVB\tB-VP\tO' -p172526 -aS'up\tup\tRP\tB-PRT\tO' -p172527 -aS'cardiology\tcardiology\tNN\tB-NP\tO' -p172528 -aS'appointment\tappointment\tNN\tI-NP\tO' -p172529 -aS'in\tin\tIN\tB-PP\tO' -p172530 -aS'2-3\t2-3\tCD\tB-NP\tO' -p172531 -aS'months\tmonth\tNNS\tI-NP\tO' -p172532 -aS'.\t.\t.\tO\tO' -p172533 -asS'He was successfully resuscitated after fifteen minutes of cardiopulmonary resuscitation and he was taken to the RICU .' -p172534 -(lp172535 -S'He\tHe\tPRP\tB-NP\tO' -p172536 -aS'was\tbe\tVBD\tB-VP\tO' -p172537 -aS'successfully\tsuccessfully\tRB\tI-VP\tO' -p172538 -aS'resuscitated\tresuscitate\tVBN\tI-VP\tO' -p172539 -aS'after\tafter\tIN\tB-PP\tO' -p172540 -aS'fifteen\tfifteen\tCD\tB-NP\tO' -p172541 -aS'minutes\tminute\tNNS\tI-NP\tO' -p172542 -aS'of\tof\tIN\tB-PP\tO' -p172543 -aS'cardiopulmonary\tcardiopulmonary\tJJ\tB-NP\tO' -p172544 -aS'resuscitation\tresuscitation\tNN\tI-NP\tO' -p172545 -aS'and\tand\tCC\tO\tO' -p172546 -aS'he\the\tPRP\tB-NP\tO' -p172547 -aS'was\tbe\tVBD\tB-VP\tO' -p172548 -aS'taken\ttake\tVBN\tI-VP\tO' -p172549 -aS'to\tto\tTO\tB-PP\tO' -p172550 -aS'the\tthe\tDT\tB-NP\tO' -p172551 -aS'RICU\tRICU\tNNP\tI-NP\tO' -p172552 -aS'.\t.\t.\tO\tO' -p172553 -asS'Although Dr. Ray will be covering pt today , Dr. Stephanie Wilson spoke with family this morning and has noted that pt is CMO .' -p172554 -(lp172555 -S'Although\tAlthough\tIN\tB-SBAR\tO' -p172556 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p172557 -aS'Ray\tRay\tNNP\tI-NP\tO' -p172558 -aS'will\twill\tMD\tB-VP\tO' -p172559 -aS'be\tbe\tVB\tI-VP\tO' -p172560 -aS'covering\tcover\tVBG\tI-VP\tO' -p172561 -aS'pt\tpt\tNN\tB-NP\tO' -p172562 -aS'today\ttoday\tNN\tB-NP\tO' -p172563 -aS',\t,\t,\tO\tO' -p172564 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p172565 -aS'Stephanie\tStephanie\tNNP\tI-NP\tO' -p172566 -aS'Wilson\tWilson\tNNP\tI-NP\tO' -p172567 -aS'spoke\tspeak\tVBD\tB-VP\tO' -p172568 -aS'with\twith\tIN\tB-PP\tO' -p172569 -aS'family\tfamily\tNN\tB-NP\tO' -p172570 -aS'this\tthis\tDT\tB-NP\tO' -p172571 -aS'morning\tmorning\tNN\tI-NP\tO' -p172572 -aS'and\tand\tCC\tO\tO' -p172573 -aS'has\thave\tVBZ\tB-VP\tO' -p172574 -aS'noted\tnote\tVBN\tI-VP\tO' -p172575 -aS'that\tthat\tIN\tB-SBAR\tO' -p172576 -aS'pt\tpt\tNN\tB-NP\tO' -p172577 -aS'is\tbe\tVBZ\tB-VP\tO' -p172578 -aS'CMO\tCMO\tNN\tB-NP\tB-protein' -p172579 -aS'.\t.\t.\tO\tO' -p172580 -asS'Vit.C 500 mg daily prevacid 15 mg daily coumadin ( held ) toprol XL 100 mg daily zocor 40 mg daily' -p172581 -(lp172582 -S'Vit.C\tVit.C\tNN\tB-NP\tB-protein' -p172583 -aS'500\t500\tCD\tI-NP\tI-protein' -p172584 -aS'mg\tmg\tNN\tI-NP\tI-protein' -p172585 -aS'daily\tdaily\tJJ\tI-NP\tI-protein' -p172586 -aS'prevacid\tprevacid\tNN\tI-NP\tI-protein' -p172587 -aS'15\t15\tCD\tI-NP\tI-protein' -p172588 -aS'mg\tmg\tNN\tI-NP\tI-protein' -p172589 -aS'daily\tdaily\tJJ\tI-NP\tI-protein' -p172590 -aS'coumadin\tcoumadin\tNN\tI-NP\tI-protein' -p172591 -aS'(\t(\t(\tO\tO' -p172592 -aS'held\thold\tVBN\tB-VP\tO' -p172593 -aS')\t)\t)\tO\tO' -p172594 -aS'toprol\ttoprol\tNN\tB-NP\tO' -p172595 -aS'XL\tXL\tNN\tI-NP\tO' -p172596 -aS'100\t100\tCD\tI-NP\tO' -p172597 -aS'mg\tmg\tNN\tI-NP\tO' -p172598 -aS'daily\tdaily\tJJ\tI-NP\tO' -p172599 -aS'zocor\tzocor\tNN\tI-NP\tO' -p172600 -aS'40\t40\tCD\tI-NP\tO' -p172601 -aS'mg\tmg\tNN\tI-NP\tO' -p172602 -aS'daily\tdaily\tJJ\tI-NP\tO' -p172603 -asS'1. Respiratory : Lincoln required nasal cannula O2 for approximately the first 8-12 hours of life .' -p172604 -(lp172605 -S'1.\t1.\tCD\tB-NP\tO' -p172606 -aS'Respiratory\tRespiratory\tNNP\tI-NP\tO' -p172607 -aS':\t:\t:\tO\tO' -p172608 -aS'Lincoln\tLincoln\tNNP\tB-NP\tO' -p172609 -aS'required\trequire\tVBD\tB-VP\tO' -p172610 -aS'nasal\tnasal\tJJ\tB-NP\tO' -p172611 -aS'cannula\tcannula\tNN\tI-NP\tO' -p172612 -aS'O2\tO2\tNN\tI-NP\tO' -p172613 -aS'for\tfor\tIN\tB-PP\tO' -p172614 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p172615 -aS'the\tthe\tDT\tI-NP\tO' -p172616 -aS'first\tfirst\tJJ\tI-NP\tO' -p172617 -aS'8-12\t8-12\tCD\tI-NP\tO' -p172618 -aS'hours\thour\tNNS\tI-NP\tO' -p172619 -aS'of\tof\tIN\tB-PP\tO' -p172620 -aS'life\tlife\tNN\tB-NP\tO' -p172621 -aS'.\t.\t.\tO\tO' -p172622 -asS'Recommended prior to discharge .' -p172623 -(lp172624 -S'Recommended\tRecommend\tVBN\tB-VP\tO' -p172625 -aS'prior\tprior\tRB\tB-ADVP\tO' -p172626 -aS'to\tto\tTO\tB-VP\tO' -p172627 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p172628 -aS'.\t.\t.\tO\tO' -p172629 -asS'At that time had UE duplex which revealed RUE DVT involving IJ , Axillary , subclav , brachial , and basilic veins .' -p172630 -(lp172631 -S'At\tAt\tIN\tB-PP\tO' -p172632 -aS'that\tthat\tDT\tB-NP\tO' -p172633 -aS'time\ttime\tNN\tI-NP\tO' -p172634 -aS'had\thave\tVBD\tB-VP\tO' -p172635 -aS'UE\tUE\tNN\tB-NP\tO' -p172636 -aS'duplex\tduplex\tNN\tI-NP\tO' -p172637 -aS'which\twhich\tWDT\tB-NP\tO' -p172638 -aS'revealed\treveal\tVBD\tB-VP\tO' -p172639 -aS'RUE\tRUE\tNN\tB-NP\tB-protein' -p172640 -aS'DVT\tDVT\tNN\tI-NP\tI-protein' -p172641 -aS'involving\tinvolve\tVBG\tB-VP\tI-protein' -p172642 -aS'IJ\tIJ\tNN\tB-NP\tI-protein' -p172643 -aS',\t,\t,\tO\tO' -p172644 -aS'Axillary\tAxillary\tNN\tB-NP\tO' -p172645 -aS',\t,\t,\tO\tO' -p172646 -aS'subclav\tsubclav\tNN\tB-NP\tO' -p172647 -aS',\t,\t,\tO\tO' -p172648 -aS'brachial\tbrachial\tNN\tB-NP\tO' -p172649 -aS',\t,\t,\tO\tO' -p172650 -aS'and\tand\tCC\tO\tO' -p172651 -aS'basilic\tbasilic\tJJ\tB-NP\tO' -p172652 -aS'veins\tvein\tNNS\tI-NP\tO' -p172653 -aS'.\t.\t.\tO\tO' -p172654 -asS'The patient is a 60 year old diabetic who underwent an APR in 1989 for rectal carcinoma and has been doing following radiation therapy and 5FU .' -p172655 -(lp172656 -S'The\tThe\tDT\tB-NP\tO' -p172657 -aS'patient\tpatient\tNN\tI-NP\tO' -p172658 -aS'is\tbe\tVBZ\tB-VP\tO' -p172659 -aS'a\ta\tDT\tB-NP\tO' -p172660 -aS'60\t60\tCD\tI-NP\tO' -p172661 -aS'year\tyear\tNN\tI-NP\tO' -p172662 -aS'old\told\tJJ\tI-NP\tO' -p172663 -aS'diabetic\tdiabetic\tNN\tI-NP\tO' -p172664 -aS'who\twho\tWP\tB-NP\tO' -p172665 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p172666 -aS'an\tan\tDT\tB-NP\tO' -p172667 -aS'APR\tAPR\tNN\tI-NP\tB-protein' -p172668 -aS'in\tin\tIN\tB-PP\tO' -p172669 -aS'1989\t1989\tCD\tB-NP\tO' -p172670 -aS'for\tfor\tIN\tB-PP\tO' -p172671 -aS'rectal\trectal\tJJ\tB-NP\tO' -p172672 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p172673 -aS'and\tand\tCC\tO\tO' -p172674 -aS'has\thave\tVBZ\tB-VP\tO' -p172675 -aS'been\tbe\tVBN\tI-VP\tO' -p172676 -aS'doing\tdo\tVBG\tI-VP\tO' -p172677 -aS'following\tfollow\tVBG\tB-PP\tO' -p172678 -aS'radiation\tradiation\tNN\tB-NP\tO' -p172679 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p172680 -aS'and\tand\tCC\tI-NP\tO' -p172681 -aS'5FU\t5FU\tNN\tI-NP\tO' -p172682 -aS'.\t.\t.\tO\tO' -p172683 -asS'Subsequent to that the patients abdomen was significantly less distended and her pain decreased as well .' -p172684 -(lp172685 -S'Subsequent\tSubsequent\tJJ\tB-ADJP\tO' -p172686 -aS'to\tto\tTO\tB-PP\tO' -p172687 -aS'that\tthat\tIN\tB-SBAR\tO' -p172688 -aS'the\tthe\tDT\tB-NP\tO' -p172689 -aS'patients\tpatient\tNNS\tI-NP\tO' -p172690 -aS'abdomen\tabdoman\tNNS\tI-NP\tO' -p172691 -aS'was\tbe\tVBD\tB-VP\tO' -p172692 -aS'significantly\tsignificantly\tRB\tB-ADJP\tO' -p172693 -aS'less\tless\tRBR\tI-ADJP\tO' -p172694 -aS'distended\tdistended\tJJ\tI-ADJP\tO' -p172695 -aS'and\tand\tCC\tO\tO' -p172696 -aS'her\ther\tPRP$\tB-NP\tO' -p172697 -aS'pain\tpain\tNN\tI-NP\tO' -p172698 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p172699 -aS'as\tas\tRB\tB-ADVP\tO' -p172700 -aS'well\twell\tRB\tI-ADVP\tO' -p172701 -aS'.\t.\t.\tO\tO' -p172702 -asS'Bibasilar crackles .' -p172703 -(lp172704 -S'Bibasilar\tBibasilar\tJJ\tB-NP\tO' -p172705 -aS'crackles\tcrackle\tNNS\tI-NP\tO' -p172706 -aS'.\t.\t.\tO\tO' -p172707 -asS'Diovan 80 qd prednisone 40 qd bactrim ds qmwf baclofen pump 2-3yrs' -p172708 -(lp172709 -S'Diovan\tDiovan\tNNP\tB-NP\tO' -p172710 -aS'80\t80\tCD\tI-NP\tO' -p172711 -aS'qd\tqd\tNN\tI-NP\tO' -p172712 -aS'prednisone\tprednisone\tNN\tI-NP\tO' -p172713 -aS'40\t40\tCD\tI-NP\tO' -p172714 -aS'qd\tqd\tNN\tI-NP\tO' -p172715 -aS'bactrim\tbactrim\tNN\tI-NP\tO' -p172716 -aS'ds\td\tVBZ\tB-VP\tO' -p172717 -aS'qmwf\tqmwf\tNN\tB-NP\tB-protein' -p172718 -aS'baclofen\tbaclofen\tNN\tI-NP\tI-protein' -p172719 -aS'pump\tpump\tNN\tI-NP\tI-protein' -p172720 -aS'2-3yrs\t2-3yr\tNNS\tI-NP\tI-protein' -p172721 -asS'There is at least moderate aortic valve stenosis .' -p172722 -(lp172723 -S'There\tThere\tEX\tB-NP\tO' -p172724 -aS'is\tbe\tVBZ\tB-VP\tO' -p172725 -aS'at\tat\tIN\tB-NP\tO' -p172726 -aS'least\tleast\tJJS\tI-NP\tO' -p172727 -aS'moderate\tmoderate\tJJ\tI-NP\tO' -p172728 -aS'aortic\taortic\tJJ\tI-NP\tO' -p172729 -aS'valve\tvalve\tNN\tI-NP\tO' -p172730 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p172731 -aS'.\t.\t.\tO\tO' -p172732 -asS'- Please do not drive or consume alcohol while taking pain medications .' -p172733 -(lp172734 -S'-\t-\tHYPH\tB-NP\tO' -p172735 -aS'Please\tPlease\tNN\tI-NP\tB-protein' -p172736 -aS'do\tdo\tVBP\tB-VP\tO' -p172737 -aS'not\tnot\tRB\tI-VP\tO' -p172738 -aS'drive\tdrive\tVB\tI-VP\tO' -p172739 -aS'or\tor\tCC\tI-VP\tO' -p172740 -aS'consume\tconsume\tVB\tI-VP\tO' -p172741 -aS'alcohol\talcohol\tNN\tB-NP\tO' -p172742 -aS'while\twhile\tIN\tB-SBAR\tO' -p172743 -aS'taking\ttake\tVBG\tB-VP\tO' -p172744 -aS'pain\tpain\tNN\tB-NP\tO' -p172745 -aS'medications\tmedication\tNNS\tI-NP\tO' -p172746 -aS'.\t.\t.\tO\tO' -p172747 -asS'He responded well to lasix w/ good UOP , but diastolic BP remained elevated at 170 , prompting initiation of nitroprusside gtt .' -p172748 -(lp172749 -S'He\tHe\tPRP\tB-NP\tO' -p172750 -aS'responded\trespond\tVBD\tB-VP\tO' -p172751 -aS'well\twell\tRB\tB-ADVP\tO' -p172752 -aS'to\tto\tTO\tB-VP\tO' -p172753 -aS'lasix\tlasix\tVB\tI-VP\tO' -p172754 -aS'w/\tw/\tNN\tB-NP\tO' -p172755 -aS'good\tgood\tJJ\tI-NP\tO' -p172756 -aS'UOP\tUOP\tNN\tI-NP\tO' -p172757 -aS',\t,\t,\tO\tO' -p172758 -aS'but\tbut\tCC\tO\tO' -p172759 -aS'diastolic\tdiastolic\tJJ\tB-NP\tO' -p172760 -aS'BP\tBP\tNN\tI-NP\tO' -p172761 -aS'remained\tremain\tVBD\tB-VP\tO' -p172762 -aS'elevated\televated\tJJ\tB-ADJP\tO' -p172763 -aS'at\tat\tIN\tB-PP\tO' -p172764 -aS'170\t170\tCD\tB-NP\tO' -p172765 -aS',\t,\t,\tO\tO' -p172766 -aS'prompting\tprompt\tVBG\tB-VP\tO' -p172767 -aS'initiation\tinitiation\tNN\tB-NP\tO' -p172768 -aS'of\tof\tIN\tB-PP\tO' -p172769 -aS'nitroprusside\tnitroprusside\tNN\tB-NP\tO' -p172770 -aS'gtt\tgtt\tNN\tI-NP\tO' -p172771 -aS'.\t.\t.\tO\tO' -p172772 -asS'Her abdomen was soft with well-healed incisions .' -p172773 -(lp172774 -S'Her\tHer\tPRP$\tB-NP\tO' -p172775 -aS'abdomen\tabdoman\tNNS\tI-NP\tO' -p172776 -aS'was\tbe\tVBD\tB-VP\tO' -p172777 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p172778 -aS'with\twith\tIN\tB-PP\tO' -p172779 -aS'well-healed\twell-healed\tJJ\tB-NP\tO' -p172780 -aS'incisions\tincision\tNNS\tI-NP\tO' -p172781 -aS'.\t.\t.\tO\tO' -p172782 -asS'She has a 24 hour caregiver .' -p172783 -(lp172784 -S'She\tShe\tPRP\tB-NP\tO' -p172785 -aS'has\thave\tVBZ\tB-VP\tO' -p172786 -aS'a\ta\tDT\tB-NP\tO' -p172787 -aS'24\t24\tCD\tI-NP\tO' -p172788 -aS'hour\thour\tNN\tI-NP\tO' -p172789 -aS'caregiver\tcaregiver\tNN\tI-NP\tO' -p172790 -aS'.\t.\t.\tO\tO' -p172791 -asS'His wound remained clean and dry and showed no signs of infection and healed well .' -p172792 -(lp172793 -S'His\tHis\tPRP$\tB-NP\tO' -p172794 -aS'wound\twound\tNN\tI-NP\tO' -p172795 -aS'remained\tremain\tVBD\tB-VP\tO' -p172796 -aS'clean\tclean\tJJ\tB-ADJP\tO' -p172797 -aS'and\tand\tCC\tI-ADJP\tO' -p172798 -aS'dry\tdry\tJJ\tI-ADJP\tO' -p172799 -aS'and\tand\tCC\tO\tO' -p172800 -aS'showed\tshow\tVBD\tB-VP\tO' -p172801 -aS'no\tno\tDT\tB-NP\tO' -p172802 -aS'signs\tsign\tNNS\tI-NP\tO' -p172803 -aS'of\tof\tIN\tB-PP\tO' -p172804 -aS'infection\tinfection\tNN\tB-NP\tO' -p172805 -aS'and\tand\tCC\tO\tO' -p172806 -aS'healed\theal\tVBD\tB-VP\tO' -p172807 -aS'well\twell\tRB\tB-ADVP\tO' -p172808 -aS'.\t.\t.\tO\tO' -p172809 -asS'PSH : RIH repair , s/p TURP , s/p thyroid excision' -p172810 -(lp172811 -S'PSH\tPSH\tNN\tB-NP\tO' -p172812 -aS':\t:\t:\tO\tO' -p172813 -aS'RIH\tRIH\tNN\tB-NP\tO' -p172814 -aS'repair\trepair\tNN\tI-NP\tO' -p172815 -aS',\t,\t,\tO\tO' -p172816 -aS's/p\ts/p\tNN\tB-NP\tO' -p172817 -aS'TURP\tTURP\tNN\tI-NP\tO' -p172818 -aS',\t,\t,\tO\tO' -p172819 -aS's/p\ts/p\tNN\tB-NP\tO' -p172820 -aS'thyroid\tthyroid\tNN\tI-NP\tO' -p172821 -aS'excision\texcision\tNN\tI-NP\tO' -p172822 -asS'Small cell lung cancer .' -p172823 -(lp172824 -S'Small\tSmall\tJJ\tB-NP\tO' -p172825 -aS'cell\tcell\tNN\tI-NP\tO' -p172826 -aS'lung\tlung\tNN\tI-NP\tO' -p172827 -aS'cancer\tcancer\tNN\tI-NP\tO' -p172828 -aS'.\t.\t.\tO\tO' -p172829 -asS'4. Shoulder fracture - Patient is s/p a left hip fracture ( decision not to operate ) and a left shoulder fracture with hemiarthroplasty 11-14 .' -p172830 -(lp172831 -S'4.\t4.\tLS\tB-LST\tO' -p172832 -aS'Shoulder\tShoulder\tNNP\tB-NP\tO' -p172833 -aS'fracture\tfracture\tNN\tI-NP\tO' -p172834 -aS'-\t-\tHYPH\tB-NP\tO' -p172835 -aS'Patient\tPatient\tNN\tI-NP\tO' -p172836 -aS'is\tbe\tVBZ\tB-VP\tO' -p172837 -aS's/p\ts/p\tVB\tI-VP\tO' -p172838 -aS'a\ta\tDT\tB-NP\tO' -p172839 -aS'left\tleft\tJJ\tI-NP\tO' -p172840 -aS'hip\thip\tNN\tI-NP\tO' -p172841 -aS'fracture\tfracture\tNN\tI-NP\tO' -p172842 -aS'(\t(\t(\tO\tO' -p172843 -aS'decision\tdecision\tNN\tB-NP\tO' -p172844 -aS'not\tnot\tRB\tO\tO' -p172845 -aS'to\tto\tTO\tB-VP\tO' -p172846 -aS'operate\toperate\tVB\tI-VP\tO' -p172847 -aS')\t)\t)\tO\tO' -p172848 -aS'and\tand\tCC\tO\tO' -p172849 -aS'a\ta\tDT\tB-NP\tO' -p172850 -aS'left\tleft\tJJ\tI-NP\tO' -p172851 -aS'shoulder\tshoulder\tNN\tI-NP\tO' -p172852 -aS'fracture\tfracture\tNN\tI-NP\tO' -p172853 -aS'with\twith\tIN\tB-PP\tO' -p172854 -aS'hemiarthroplasty\themiarthroplasty\tJJ\tB-NP\tO' -p172855 -aS'11-14\t11-14\tCD\tI-NP\tO' -p172856 -aS'.\t.\t.\tO\tO' -p172857 -asS'On admission showed a temperature of 97.1 F. ; heart rate of 65 ; blood pressure of 146/74 ; respiratory rate of 20 ; oxygen saturation 98% on three liters and 95% on room air .' -p172858 -(lp172859 -S'On\tOn\tIN\tB-PP\tO' -p172860 -aS'admission\tadmission\tNN\tB-NP\tO' -p172861 -aS'showed\tshow\tVBD\tB-VP\tO' -p172862 -aS'a\ta\tDT\tB-NP\tO' -p172863 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p172864 -aS'of\tof\tIN\tB-PP\tO' -p172865 -aS'97.1\t97.1\tCD\tB-NP\tO' -p172866 -aS'F.\tF.\tNNP\tI-NP\tO' -p172867 -aS';\t;\t:\tO\tO' -p172868 -aS'heart\theart\tNN\tB-NP\tO' -p172869 -aS'rate\trate\tNN\tI-NP\tO' -p172870 -aS'of\tof\tIN\tB-PP\tO' -p172871 -aS'65\t65\tCD\tB-NP\tO' -p172872 -aS';\t;\t:\tO\tO' -p172873 -aS'blood\tblood\tNN\tB-NP\tO' -p172874 -aS'pressure\tpressure\tNN\tI-NP\tO' -p172875 -aS'of\tof\tIN\tB-PP\tO' -p172876 -aS'146/74\t146/74\tCD\tB-NP\tO' -p172877 -aS';\t;\t:\tO\tO' -p172878 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p172879 -aS'rate\trate\tNN\tI-NP\tO' -p172880 -aS'of\tof\tIN\tB-PP\tO' -p172881 -aS'20\t20\tCD\tB-NP\tO' -p172882 -aS';\t;\t:\tO\tO' -p172883 -aS'oxygen\toxygen\tNN\tB-NP\tO' -p172884 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p172885 -aS'98%\t98%\tCD\tI-NP\tO' -p172886 -aS'on\ton\tIN\tB-PP\tO' -p172887 -aS'three\tthree\tCD\tB-NP\tO' -p172888 -aS'liters\tliter\tNNS\tI-NP\tO' -p172889 -aS'and\tand\tCC\tI-NP\tO' -p172890 -aS'95%\t95%\tNN\tI-NP\tO' -p172891 -aS'on\ton\tIN\tB-PP\tO' -p172892 -aS'room\troom\tNN\tB-NP\tO' -p172893 -aS'air\tair\tNN\tI-NP\tO' -p172894 -aS'.\t.\t.\tO\tO' -p172895 -asS'h , p, labs , mylanta / viscous lidocaine' -p172896 -(lp172897 -S'h\th\tNN\tB-NP\tO' -p172898 -aS',\t,\t,\tO\tO' -p172899 -aS'p,\tp,\tNN\tB-NP\tO' -p172900 -aS'labs\tlab\tNNS\tI-NP\tO' -p172901 -aS',\t,\t,\tO\tO' -p172902 -aS'mylanta\tmylanta\tNN\tB-NP\tO' -p172903 -aS'/\t/\tSYM\tB-VP\tO' -p172904 -aS'viscous\tviscous\tJJ\tB-NP\tO' -p172905 -aS'lidocaine\tlidocaine\tNN\tI-NP\tO' -p172906 -asS'Signed electronically by : DR. Phillip Garcia on : WED 2015-09-16 5:10 PM' -p172907 -(lp172908 -S'Signed\tSign\tVBN\tB-VP\tO' -p172909 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p172910 -aS'by\tby\tIN\tB-PP\tO' -p172911 -aS':\t:\t:\tO\tO' -p172912 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p172913 -aS'Phillip\tPhillip\tNNP\tI-NP\tO' -p172914 -aS'Garcia\tGarcia\tNNP\tI-NP\tO' -p172915 -aS'on\ton\tIN\tB-PP\tO' -p172916 -aS':\t:\t:\tO\tO' -p172917 -aS'WED\tWED\tVBD\tB-VP\tO' -p172918 -aS'2015-09-16\t2015-09-16\tCD\tB-NP\tO' -p172919 -aS'5:10\t5:10\tCD\tI-NP\tO' -p172920 -aS'PM\tPM\tNN\tI-NP\tO' -p172921 -asS'She was on 4 liters ; now she is on 5 liters , sating 94 to 96% on 5 liters .' -p172922 -(lp172923 -S'She\tShe\tPRP\tB-NP\tO' -p172924 -aS'was\tbe\tVBD\tB-VP\tO' -p172925 -aS'on\ton\tIN\tB-PP\tO' -p172926 -aS'4\t4\tCD\tB-NP\tO' -p172927 -aS'liters\tliter\tNNS\tI-NP\tO' -p172928 -aS';\t;\t:\tO\tO' -p172929 -aS'now\tnow\tRB\tB-ADVP\tO' -p172930 -aS'she\tshe\tPRP\tB-NP\tO' -p172931 -aS'is\tbe\tVBZ\tB-VP\tO' -p172932 -aS'on\ton\tIN\tB-PP\tO' -p172933 -aS'5\t5\tCD\tB-NP\tO' -p172934 -aS'liters\tliter\tNNS\tI-NP\tO' -p172935 -aS',\t,\t,\tO\tO' -p172936 -aS'sating\tsate\tVBG\tB-VP\tO' -p172937 -aS'94\t94\tCD\tB-NP\tO' -p172938 -aS'to\tto\tTO\tB-PP\tO' -p172939 -aS'96%\t96%\tCD\tB-NP\tO' -p172940 -aS'on\ton\tIN\tB-PP\tO' -p172941 -aS'5\t5\tCD\tB-NP\tO' -p172942 -aS'liters\tliter\tNNS\tI-NP\tO' -p172943 -aS'.\t.\t.\tO\tO' -p172944 -asS'Likely NSTEMI .' -p172945 -(lp172946 -S'Likely\tLikely\tRB\tB-NP\tO' -p172947 -aS'NSTEMI\tNSTEMI\tNNP\tI-NP\tO' -p172948 -aS'.\t.\t.\tO\tO' -p172949 -asS'6. Lasix 40 mg per day .' -p172950 -(lp172951 -S'6.\t6.\tCD\tB-NP\tO' -p172952 -aS'Lasix\tLasix\tNNP\tI-NP\tO' -p172953 -aS'40\t40\tCD\tI-NP\tO' -p172954 -aS'mg\tmg\tNN\tI-NP\tO' -p172955 -aS'per\tper\tIN\tB-PP\tO' -p172956 -aS'day\tday\tNN\tB-NP\tO' -p172957 -aS'.\t.\t.\tO\tO' -p172958 -asS'3. Advair 550 mcg two puffs b.i.d.' -p172959 -(lp172960 -S'3.\t3.\tLS\tB-LST\tO' -p172961 -aS'Advair\tAdvair\tNNP\tB-NP\tO' -p172962 -aS'550\t550\tCD\tB-NP\tO' -p172963 -aS'mcg\tmcg\tNN\tI-NP\tO' -p172964 -aS'two\ttwo\tCD\tB-NP\tO' -p172965 -aS'puffs\tpuff\tNNS\tI-NP\tO' -p172966 -aS'b.i.d.\tb.i.d.\tRB\tB-ADVP\tO' -p172967 -asS'Upon obtaining more information from Rehab Hospital of the Cape & Islands Hospital , it appears that the patient had two out of four bottles growing out Streptococcus sanguis in the outside hospital .' -p172968 -(lp172969 -S'Upon\tUpon\tIN\tB-PP\tO' -p172970 -aS'obtaining\tobtain\tVBG\tB-VP\tO' -p172971 -aS'more\tmore\tJJR\tB-NP\tO' -p172972 -aS'information\tinformation\tNN\tI-NP\tO' -p172973 -aS'from\tfrom\tIN\tB-PP\tO' -p172974 -aS'Rehab\tRehab\tNNP\tB-NP\tO' -p172975 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p172976 -aS'of\tof\tIN\tB-PP\tO' -p172977 -aS'the\tthe\tDT\tB-NP\tO' -p172978 -aS'Cape\tCape\tNNP\tI-NP\tO' -p172979 -aS'&\t&\tCC\tI-NP\tO' -p172980 -aS'Islands\tIslands\tNNP\tI-NP\tO' -p172981 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p172982 -aS',\t,\t,\tO\tO' -p172983 -aS'it\tit\tPRP\tB-NP\tO' -p172984 -aS'appears\tappear\tVBZ\tB-VP\tO' -p172985 -aS'that\tthat\tIN\tB-SBAR\tO' -p172986 -aS'the\tthe\tDT\tB-NP\tO' -p172987 -aS'patient\tpatient\tNN\tI-NP\tO' -p172988 -aS'had\thave\tVBD\tB-VP\tO' -p172989 -aS'two\ttwo\tCD\tB-NP\tO' -p172990 -aS'out\tout\tIN\tI-NP\tO' -p172991 -aS'of\tof\tIN\tI-NP\tO' -p172992 -aS'four\tfour\tCD\tI-NP\tO' -p172993 -aS'bottles\tbottle\tNNS\tI-NP\tO' -p172994 -aS'growing\tgrow\tVBG\tB-VP\tO' -p172995 -aS'out\tout\tRP\tB-PRT\tO' -p172996 -aS'Streptococcus\tStreptococcus\tNNP\tB-NP\tO' -p172997 -aS'sanguis\tsanguis\tNNP\tI-NP\tO' -p172998 -aS'in\tin\tIN\tB-PP\tO' -p172999 -aS'the\tthe\tDT\tB-NP\tO' -p173000 -aS'outside\toutside\tJJ\tI-NP\tO' -p173001 -aS'hospital\thospital\tNN\tI-NP\tO' -p173002 -aS'.\t.\t.\tO\tO' -p173003 -asS'Mr. Mass was a 56 year old white male who was transferred from Vassdiysey Medical Center for rule out pancreatic pseudocyst .' -p173004 -(lp173005 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p173006 -aS'Mass\tMass\tNNP\tI-NP\tO' -p173007 -aS'was\tbe\tVBD\tB-VP\tO' -p173008 -aS'a\ta\tDT\tB-NP\tO' -p173009 -aS'56\t56\tCD\tI-NP\tO' -p173010 -aS'year\tyear\tNN\tI-NP\tO' -p173011 -aS'old\told\tJJ\tI-NP\tO' -p173012 -aS'white\twhite\tJJ\tI-NP\tO' -p173013 -aS'male\tmale\tNN\tI-NP\tO' -p173014 -aS'who\twho\tWP\tB-NP\tO' -p173015 -aS'was\tbe\tVBD\tB-VP\tO' -p173016 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p173017 -aS'from\tfrom\tIN\tB-PP\tO' -p173018 -aS'Vassdiysey\tVassdiysey\tNNP\tB-NP\tO' -p173019 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p173020 -aS'Center\tCenter\tNNP\tI-NP\tO' -p173021 -aS'for\tfor\tIN\tB-PP\tO' -p173022 -aS'rule\trule\tNN\tB-NP\tO' -p173023 -aS'out\tout\tIN\tB-PP\tO' -p173024 -aS'pancreatic\tpancreatic\tJJ\tB-NP\tO' -p173025 -aS'pseudocyst\tpseudocyst\tNN\tI-NP\tO' -p173026 -aS'.\t.\t.\tO\tO' -p173027 -asS'Mild left lower perihilar opacification has improved , probably resolving edema .' -p173028 -(lp173029 -S'Mild\tMild\tNNP\tB-NP\tO' -p173030 -aS'left\tleave\tVBD\tB-VP\tO' -p173031 -aS'lower\tlow\tJJR\tB-NP\tO' -p173032 -aS'perihilar\tperihilar\tJJ\tI-NP\tO' -p173033 -aS'opacification\topacification\tNN\tI-NP\tO' -p173034 -aS'has\thave\tVBZ\tB-VP\tO' -p173035 -aS'improved\timprove\tVBN\tI-VP\tO' -p173036 -aS',\t,\t,\tO\tO' -p173037 -aS'probably\tprobably\tRB\tB-ADVP\tO' -p173038 -aS'resolving\tresolve\tVBG\tB-VP\tO' -p173039 -aS'edema\tedema\tNN\tB-NP\tO' -p173040 -aS'.\t.\t.\tO\tO' -p173041 -asS'Calories were increased to Similac 24 calories per ounce .' -p173042 -(lp173043 -S'Calories\tCalorie\tNNS\tB-NP\tO' -p173044 -aS'were\tbe\tVBD\tB-VP\tO' -p173045 -aS'increased\tincrease\tVBN\tI-VP\tO' -p173046 -aS'to\tto\tTO\tB-PP\tO' -p173047 -aS'Similac\tSimilac\tNN\tB-NP\tO' -p173048 -aS'24\t24\tCD\tB-NP\tO' -p173049 -aS'calories\tcalorie\tNNS\tI-NP\tO' -p173050 -aS'per\tper\tIN\tB-PP\tO' -p173051 -aS'ounce\tounce\tNN\tB-NP\tO' -p173052 -aS'.\t.\t.\tO\tO' -p173053 -asS'Pupils were 2 millimeters down to 1 millimeter by direct and consensual stimuli .' -p173054 -(lp173055 -S'Pupils\tPupil\tNNS\tB-NP\tO' -p173056 -aS'were\tbe\tVBD\tB-VP\tO' -p173057 -aS'2\t2\tCD\tB-NP\tO' -p173058 -aS'millimeters\tmillimeter\tNNS\tI-NP\tO' -p173059 -aS'down\tdown\tRB\tB-ADVP\tO' -p173060 -aS'to\tto\tTO\tB-PP\tO' -p173061 -aS'1\t1\tCD\tB-NP\tO' -p173062 -aS'millimeter\tmillimeter\tNN\tI-NP\tO' -p173063 -aS'by\tby\tIN\tB-PP\tO' -p173064 -aS'direct\tdirect\tJJ\tB-NP\tO' -p173065 -aS'and\tand\tCC\tI-NP\tO' -p173066 -aS'consensual\tconsensual\tJJ\tI-NP\tO' -p173067 -aS'stimuli\tstimulus\tNNS\tI-NP\tO' -p173068 -aS'.\t.\t.\tO\tO' -p173069 -asS'There is no ventricular septal defect .' -p173070 -(lp173071 -S'There\tThere\tEX\tB-NP\tO' -p173072 -aS'is\tbe\tVBZ\tB-VP\tO' -p173073 -aS'no\tno\tDT\tB-NP\tO' -p173074 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p173075 -aS'septal\tseptal\tJJ\tI-NP\tO' -p173076 -aS'defect\tdefect\tNN\tI-NP\tO' -p173077 -aS'.\t.\t.\tO\tO' -p173078 -asS'2. Left ventricular wall thickness , cavity size , and systolic function are normal ( LVEF > 55% ) .' -p173079 -(lp173080 -S'2.\t2.\tLS\tB-NP\tO' -p173081 -aS'Left\tLeft\tJJ\tI-NP\tO' -p173082 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p173083 -aS'wall\twall\tNN\tI-NP\tO' -p173084 -aS'thickness\tthickness\tNN\tI-NP\tO' -p173085 -aS',\t,\t,\tO\tO' -p173086 -aS'cavity\tcavity\tNN\tB-NP\tO' -p173087 -aS'size\tsize\tNN\tI-NP\tO' -p173088 -aS',\t,\t,\tO\tO' -p173089 -aS'and\tand\tCC\tO\tO' -p173090 -aS'systolic\tsystolic\tJJ\tB-NP\tO' -p173091 -aS'function\tfunction\tNN\tI-NP\tO' -p173092 -aS'are\tbe\tVBP\tB-VP\tO' -p173093 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p173094 -aS'(\t(\t(\tO\tO' -p173095 -aS'LVEF\tLVEF\tNN\tB-NP\tB-protein' -p173096 -aS'>\t>\tSYM\tO\tO' -p173097 -aS'55%\t55%\tCD\tB-NP\tO' -p173098 -aS')\t)\t)\tO\tO' -p173099 -aS'.\t.\t.\tO\tO' -p173100 -asS'On 01-12 , one day prior to discharge , he was cleared by the swallow team to eat' -p173101 -(lp173102 -S'On\tOn\tIN\tB-PP\tO' -p173103 -aS'01-12\t01-12\tCD\tB-NP\tO' -p173104 -aS',\t,\t,\tO\tO' -p173105 -aS'one\tone\tCD\tB-NP\tO' -p173106 -aS'day\tday\tNN\tI-NP\tO' -p173107 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p173108 -aS'to\tto\tTO\tB-VP\tO' -p173109 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p173110 -aS',\t,\t,\tO\tO' -p173111 -aS'he\the\tPRP\tB-NP\tO' -p173112 -aS'was\tbe\tVBD\tB-VP\tO' -p173113 -aS'cleared\tclear\tVBN\tI-VP\tO' -p173114 -aS'by\tby\tIN\tB-PP\tO' -p173115 -aS'the\tthe\tDT\tB-NP\tO' -p173116 -aS'swallow\tswallow\tJJ\tI-NP\tO' -p173117 -aS'team\tteam\tNN\tI-NP\tO' -p173118 -aS'to\tto\tTO\tB-VP\tO' -p173119 -aS'eat\teat\tVB\tI-VP\tO' -p173120 -asS'debridement of mass from tracheal lumen by interventional pulmonary' -p173121 -(lp173122 -S'debridement\tdebridement\tNN\tB-NP\tO' -p173123 -aS'of\tof\tIN\tB-PP\tO' -p173124 -aS'mass\tmass\tNN\tB-NP\tO' -p173125 -aS'from\tfrom\tIN\tB-PP\tO' -p173126 -aS'tracheal\ttracheal\tJJ\tB-NP\tO' -p173127 -aS'lumen\tluman\tNNS\tI-NP\tO' -p173128 -aS'by\tby\tIN\tB-PP\tO' -p173129 -aS'interventional\tinterventional\tJJ\tB-NP\tO' -p173130 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p173131 -asS'She is followed by Dr. Alonso Naugle .' -p173132 -(lp173133 -S'She\tShe\tPRP\tB-NP\tO' -p173134 -aS'is\tbe\tVBZ\tB-VP\tO' -p173135 -aS'followed\tfollow\tVBN\tI-VP\tO' -p173136 -aS'by\tby\tIN\tB-PP\tO' -p173137 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p173138 -aS'Alonso\tAlonso\tNNP\tI-NP\tO' -p173139 -aS'Naugle\tNaugle\tNNP\tI-NP\tO' -p173140 -aS'.\t.\t.\tO\tO' -p173141 -asS'During this time the patient 's coagulation status had improved with Vitamin K therapy with PTs normalizing .' -p173142 -(lp173143 -S'During\tDuring\tIN\tB-PP\tO' -p173144 -aS'this\tthis\tDT\tB-NP\tO' -p173145 -aS'time\ttime\tNN\tI-NP\tO' -p173146 -aS'the\tthe\tDT\tB-NP\tO' -p173147 -aS'patient\tpatient\tNN\tI-NP\tO' -p173148 -aS''s\t'\tNNS\tI-NP\tO' -p173149 -aS'coagulation\tcoagulation\tNN\tI-NP\tO' -p173150 -aS'status\tstatus\tNN\tI-NP\tO' -p173151 -aS'had\thave\tVBD\tB-VP\tO' -p173152 -aS'improved\timprove\tVBN\tI-VP\tO' -p173153 -aS'with\twith\tIN\tB-PP\tO' -p173154 -aS'Vitamin\tVitamin\tNN\tB-NP\tO' -p173155 -aS'K\tK\tNN\tI-NP\tO' -p173156 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p173157 -aS'with\twith\tIN\tB-PP\tO' -p173158 -aS'PTs\tPT\tNNS\tB-NP\tO' -p173159 -aS'normalizing\tnormalize\tVBG\tB-VP\tO' -p173160 -aS'.\t.\t.\tO\tO' -p173161 -asS'The patient is to call to schedule all appointments .' -p173162 -(lp173163 -S'The\tThe\tDT\tB-NP\tO' -p173164 -aS'patient\tpatient\tNN\tI-NP\tO' -p173165 -aS'is\tbe\tVBZ\tB-VP\tO' -p173166 -aS'to\tto\tTO\tB-VP\tO' -p173167 -aS'call\tcall\tVB\tI-VP\tO' -p173168 -aS'to\tto\tTO\tB-VP\tO' -p173169 -aS'schedule\tschedule\tVB\tI-VP\tO' -p173170 -aS'all\tall\tDT\tB-NP\tO' -p173171 -aS'appointments\tappointment\tNNS\tI-NP\tO' -p173172 -aS'.\t.\t.\tO\tO' -p173173 -asS'Sensation intact .' -p173174 -(lp173175 -S'Sensation\tSensation\tNN\tB-NP\tO' -p173176 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p173177 -aS'.\t.\t.\tO\tO' -p173178 -asS'This is a 56 - year-old man without any significant past medical history who presented to the emergency room after the sudden onset of headache while he was riding a bicycle .' -p173179 -(lp173180 -S'This\tThis\tDT\tB-NP\tO' -p173181 -aS'is\tbe\tVBZ\tB-VP\tO' -p173182 -aS'a\ta\tDT\tB-NP\tO' -p173183 -aS'56\t56\tCD\tI-NP\tO' -p173184 -aS'-\t-\tHYPH\tI-NP\tO' -p173185 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p173186 -aS'man\tman\tNN\tI-NP\tO' -p173187 -aS'without\twithout\tIN\tB-PP\tO' -p173188 -aS'any\tany\tDT\tB-NP\tO' -p173189 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p173190 -aS'past\tpast\tJJ\tI-NP\tO' -p173191 -aS'medical\tmedical\tJJ\tI-NP\tO' -p173192 -aS'history\thistory\tNN\tI-NP\tO' -p173193 -aS'who\twho\tWP\tB-NP\tO' -p173194 -aS'presented\tpresent\tVBD\tB-VP\tO' -p173195 -aS'to\tto\tTO\tB-PP\tO' -p173196 -aS'the\tthe\tDT\tB-NP\tO' -p173197 -aS'emergency\temergency\tNN\tI-NP\tO' -p173198 -aS'room\troom\tNN\tI-NP\tO' -p173199 -aS'after\tafter\tIN\tB-PP\tO' -p173200 -aS'the\tthe\tDT\tB-NP\tO' -p173201 -aS'sudden\tsudden\tJJ\tI-NP\tO' -p173202 -aS'onset\tonset\tNN\tI-NP\tO' -p173203 -aS'of\tof\tIN\tB-PP\tO' -p173204 -aS'headache\theadache\tNN\tB-NP\tO' -p173205 -aS'while\twhile\tIN\tB-SBAR\tO' -p173206 -aS'he\the\tPRP\tB-NP\tO' -p173207 -aS'was\tbe\tVBD\tB-VP\tO' -p173208 -aS'riding\tride\tVBG\tI-VP\tO' -p173209 -aS'a\ta\tDT\tB-NP\tO' -p173210 -aS'bicycle\tbicycle\tNN\tI-NP\tO' -p173211 -aS'.\t.\t.\tO\tO' -p173212 -asS'Cardiac : RRR .' -p173213 -(lp173214 -S'Cardiac\tCardiac\tJJ\tB-ADJP\tO' -p173215 -aS':\t:\t:\tO\tO' -p173216 -aS'RRR\tRRR\tNN\tB-NP\tB-protein' -p173217 -aS'.\t.\t.\tO\tO' -p173218 -asS'standpoint .' -p173219 -(lp173220 -S'standpoint\tstandpoint\tNN\tB-NP\tO' -p173221 -aS'.\t.\t.\tO\tO' -p173222 -asS'He had a good response to preoperative therapy and negative nodes , and is admitted for the final portion of his postoperative cycles .' -p173223 -(lp173224 -S'He\tHe\tPRP\tB-NP\tO' -p173225 -aS'had\thave\tVBD\tB-VP\tO' -p173226 -aS'a\ta\tDT\tB-NP\tO' -p173227 -aS'good\tgood\tJJ\tI-NP\tO' -p173228 -aS'response\tresponse\tNN\tI-NP\tO' -p173229 -aS'to\tto\tTO\tB-PP\tO' -p173230 -aS'preoperative\tpreoperative\tJJ\tB-NP\tO' -p173231 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p173232 -aS'and\tand\tCC\tO\tO' -p173233 -aS'negative\tnegative\tJJ\tB-NP\tO' -p173234 -aS'nodes\tnode\tNNS\tI-NP\tO' -p173235 -aS',\t,\t,\tO\tO' -p173236 -aS'and\tand\tCC\tO\tO' -p173237 -aS'is\tbe\tVBZ\tB-VP\tO' -p173238 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p173239 -aS'for\tfor\tIN\tB-PP\tO' -p173240 -aS'the\tthe\tDT\tB-NP\tO' -p173241 -aS'final\tfinal\tJJ\tI-NP\tO' -p173242 -aS'portion\tportion\tNN\tI-NP\tO' -p173243 -aS'of\tof\tIN\tB-PP\tO' -p173244 -aS'his\this\tPRP$\tB-NP\tO' -p173245 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p173246 -aS'cycles\tcycle\tNNS\tI-NP\tO' -p173247 -aS'.\t.\t.\tO\tO' -p173248 -asS'She was also found to have a differential systolic blood pressure and ecchymosis on her anterior chest .' -p173249 -(lp173250 -S'She\tShe\tPRP\tB-NP\tO' -p173251 -aS'was\tbe\tVBD\tB-VP\tO' -p173252 -aS'also\talso\tRB\tI-VP\tO' -p173253 -aS'found\tfind\tVBN\tI-VP\tO' -p173254 -aS'to\tto\tTO\tI-VP\tO' -p173255 -aS'have\thave\tVB\tI-VP\tO' -p173256 -aS'a\ta\tDT\tB-NP\tO' -p173257 -aS'differential\tdifferential\tJJ\tI-NP\tO' -p173258 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p173259 -aS'blood\tblood\tNN\tI-NP\tO' -p173260 -aS'pressure\tpressure\tNN\tI-NP\tO' -p173261 -aS'and\tand\tCC\tI-NP\tO' -p173262 -aS'ecchymosis\tecchymosis\tNN\tI-NP\tO' -p173263 -aS'on\ton\tIN\tB-PP\tO' -p173264 -aS'her\ther\tPRP$\tB-NP\tO' -p173265 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p173266 -aS'chest\tchest\tNN\tI-NP\tO' -p173267 -aS'.\t.\t.\tO\tO' -p173268 -asS'Good , with no motor deficits , mild dysarthria and mild anterior aphasia' -p173269 -(lp173270 -S'Good\tGood\tNNP\tB-NP\tO' -p173271 -aS',\t,\t,\tO\tO' -p173272 -aS'with\twith\tIN\tB-PP\tO' -p173273 -aS'no\tno\tDT\tB-NP\tO' -p173274 -aS'motor\tmotor\tNN\tI-NP\tO' -p173275 -aS'deficits\tdeficit\tNNS\tI-NP\tO' -p173276 -aS',\t,\t,\tO\tO' -p173277 -aS'mild\tmild\tJJ\tB-NP\tO' -p173278 -aS'dysarthria\tdysarthria\tNN\tI-NP\tO' -p173279 -aS'and\tand\tCC\tO\tO' -p173280 -aS'mild\tmild\tJJ\tB-NP\tO' -p173281 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p173282 -aS'aphasia\taphasia\tNN\tI-NP\tO' -p173283 -asS'soft , nontender , normoactive bowel sounds' -p173284 -(lp173285 -S'soft\tsoft\tJJ\tB-NP\tO' -p173286 -aS',\t,\t,\tI-NP\tO' -p173287 -aS'nontender\tnontender\tJJ\tI-NP\tO' -p173288 -aS',\t,\t,\tI-NP\tO' -p173289 -aS'normoactive\tnormoactive\tJJ\tI-NP\tO' -p173290 -aS'bowel\tbowel\tNN\tI-NP\tO' -p173291 -aS'sounds\tsound\tNNS\tI-NP\tO' -p173292 -asS'The CT showed increased soft tissues within the pharynx which was felt to be secondary to prolonged intubation / trauma .' -p173293 -(lp173294 -S'The\tThe\tDT\tB-NP\tO' -p173295 -aS'CT\tCT\tNN\tI-NP\tO' -p173296 -aS'showed\tshow\tVBD\tB-VP\tO' -p173297 -aS'increased\tincrease\tVBN\tB-NP\tO' -p173298 -aS'soft\tsoft\tJJ\tI-NP\tO' -p173299 -aS'tissues\ttissue\tNNS\tI-NP\tO' -p173300 -aS'within\twithin\tIN\tB-PP\tO' -p173301 -aS'the\tthe\tDT\tB-NP\tO' -p173302 -aS'pharynx\tpharynx\tNN\tI-NP\tO' -p173303 -aS'which\twhich\tWDT\tB-NP\tO' -p173304 -aS'was\tbe\tVBD\tB-VP\tO' -p173305 -aS'felt\tfeel\tVBN\tI-VP\tO' -p173306 -aS'to\tto\tTO\tI-VP\tO' -p173307 -aS'be\tbe\tVB\tI-VP\tO' -p173308 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p173309 -aS'to\tto\tTO\tB-PP\tO' -p173310 -aS'prolonged\tprolong\tVBN\tB-NP\tO' -p173311 -aS'intubation\tintubation\tNN\tI-NP\tO' -p173312 -aS'/\t/\tSYM\tB-NP\tO' -p173313 -aS'trauma\ttrauma\tNN\tI-NP\tO' -p173314 -aS'.\t.\t.\tO\tO' -p173315 -asS'3. Cholelithiasis without evidence of acute cholecystitis .' -p173316 -(lp173317 -S'3.\t3.\tLS\tB-NP\tO' -p173318 -aS'Cholelithiasis\tCholelithiasis\tNN\tI-NP\tO' -p173319 -aS'without\twithout\tIN\tB-PP\tO' -p173320 -aS'evidence\tevidence\tNN\tB-NP\tO' -p173321 -aS'of\tof\tIN\tB-PP\tO' -p173322 -aS'acute\tacute\tJJ\tB-NP\tO' -p173323 -aS'cholecystitis\tcholecystitis\tNN\tI-NP\tO' -p173324 -aS'.\t.\t.\tO\tO' -p173325 -asS'The patient had a stable hematocrit of 30% with CPK 's postoperatively maximum MB fraction of 78 .' -p173326 -(lp173327 -S'The\tThe\tDT\tB-NP\tO' -p173328 -aS'patient\tpatient\tNN\tI-NP\tO' -p173329 -aS'had\thave\tVBD\tB-VP\tO' -p173330 -aS'a\ta\tDT\tB-NP\tO' -p173331 -aS'stable\tstable\tJJ\tI-NP\tO' -p173332 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p173333 -aS'of\tof\tIN\tB-PP\tO' -p173334 -aS'30%\t30%\tCD\tB-NP\tO' -p173335 -aS'with\twith\tIN\tB-PP\tO' -p173336 -aS'CPK\tCPK\tNN\tB-NP\tB-protein' -p173337 -aS''s\t'\tNNS\tI-NP\tI-protein' -p173338 -aS'postoperatively\tpostoperatively\tRB\tB-NP\tO' -p173339 -aS'maximum\tmaximum\tJJ\tI-NP\tO' -p173340 -aS'MB\tMB\tNN\tI-NP\tO' -p173341 -aS'fraction\tfraction\tNN\tI-NP\tO' -p173342 -aS'of\tof\tIN\tB-PP\tO' -p173343 -aS'78\t78\tCD\tB-NP\tO' -p173344 -aS'.\t.\t.\tO\tO' -p173345 -asS'The patient is a full code .' -p173346 -(lp173347 -S'The\tThe\tDT\tB-NP\tO' -p173348 -aS'patient\tpatient\tNN\tI-NP\tO' -p173349 -aS'is\tbe\tVBZ\tB-VP\tO' -p173350 -aS'a\ta\tDT\tB-NP\tO' -p173351 -aS'full\tfull\tJJ\tI-NP\tO' -p173352 -aS'code\tcode\tNN\tI-NP\tO' -p173353 -aS'.\t.\t.\tO\tO' -p173354 -asS'By virtue of discussions on 06-28 the patient was deemed to be CMO and all antibiotics were withdrawn at this point .' -p173355 -(lp173356 -S'By\tBy\tIN\tB-PP\tO' -p173357 -aS'virtue\tvirtue\tNN\tB-NP\tO' -p173358 -aS'of\tof\tIN\tB-PP\tO' -p173359 -aS'discussions\tdiscussion\tNNS\tB-NP\tO' -p173360 -aS'on\ton\tIN\tB-PP\tO' -p173361 -aS'06-28\t06-28\tCD\tB-NP\tO' -p173362 -aS'the\tthe\tDT\tB-NP\tO' -p173363 -aS'patient\tpatient\tNN\tI-NP\tO' -p173364 -aS'was\tbe\tVBD\tB-VP\tO' -p173365 -aS'deemed\tdeem\tVBN\tI-VP\tO' -p173366 -aS'to\tto\tTO\tI-VP\tO' -p173367 -aS'be\tbe\tVB\tI-VP\tO' -p173368 -aS'CMO\tCMO\tNN\tB-NP\tB-protein' -p173369 -aS'and\tand\tCC\tO\tO' -p173370 -aS'all\tall\tDT\tB-NP\tO' -p173371 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p173372 -aS'were\tbe\tVBD\tB-VP\tO' -p173373 -aS'withdrawn\twithdraw\tVBN\tI-VP\tO' -p173374 -aS'at\tat\tIN\tB-PP\tO' -p173375 -aS'this\tthis\tDT\tB-NP\tO' -p173376 -aS'point\tpoint\tNN\tI-NP\tO' -p173377 -aS'.\t.\t.\tO\tO' -p173378 -asS'No heavy lifting , greater than 10 pounds .' -p173379 -(lp173380 -S'No\tNo\tDT\tB-NP\tO' -p173381 -aS'heavy\theavy\tJJ\tI-NP\tO' -p173382 -aS'lifting\tlifting\tNN\tI-NP\tO' -p173383 -aS',\t,\t,\tO\tO' -p173384 -aS'greater\tgreat\tJJR\tB-NP\tO' -p173385 -aS'than\tthan\tIN\tI-NP\tO' -p173386 -aS'10\t10\tCD\tI-NP\tO' -p173387 -aS'pounds\tpound\tNNS\tI-NP\tO' -p173388 -aS'.\t.\t.\tO\tO' -p173389 -asS'Thallium images revealed a moderate sized region of ischemic but viable myocardium involving the anteroseptal and lateral segments of the left ventricle .' -p173390 -(lp173391 -S'Thallium\tThallium\tNN\tB-NP\tO' -p173392 -aS'images\timage\tNNS\tI-NP\tO' -p173393 -aS'revealed\treveal\tVBD\tB-VP\tO' -p173394 -aS'a\ta\tDT\tB-NP\tO' -p173395 -aS'moderate\tmoderate\tJJ\tI-NP\tO' -p173396 -aS'sized\tsized\tJJ\tI-NP\tO' -p173397 -aS'region\tregion\tNN\tI-NP\tO' -p173398 -aS'of\tof\tIN\tB-PP\tO' -p173399 -aS'ischemic\tischemic\tJJ\tB-NP\tO' -p173400 -aS'but\tbut\tCC\tI-NP\tO' -p173401 -aS'viable\tviable\tJJ\tI-NP\tO' -p173402 -aS'myocardium\tmyocardium\tNN\tI-NP\tO' -p173403 -aS'involving\tinvolve\tVBG\tB-VP\tO' -p173404 -aS'the\tthe\tDT\tB-NP\tO' -p173405 -aS'anteroseptal\tanteroseptal\tJJ\tI-NP\tO' -p173406 -aS'and\tand\tCC\tI-NP\tO' -p173407 -aS'lateral\tlateral\tJJ\tI-NP\tO' -p173408 -aS'segments\tsegment\tNNS\tI-NP\tO' -p173409 -aS'of\tof\tIN\tB-PP\tO' -p173410 -aS'the\tthe\tDT\tB-NP\tO' -p173411 -aS'left\tleft\tJJ\tI-NP\tO' -p173412 -aS'ventricle\tventricle\tNN\tI-NP\tO' -p173413 -aS'.\t.\t.\tO\tO' -p173414 -asS'2. Dr Fisher in General surgery , 1 week , call his office for an appointment .' -p173415 -(lp173416 -S'2.\t2.\tLS\tB-NP\tO' -p173417 -aS'Dr\tDr\tNNP\tI-NP\tO' -p173418 -aS'Fisher\tFisher\tNNP\tI-NP\tO' -p173419 -aS'in\tin\tIN\tB-PP\tO' -p173420 -aS'General\tGeneral\tNNP\tB-NP\tO' -p173421 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p173422 -aS',\t,\t,\tO\tO' -p173423 -aS'1\t1\tCD\tB-NP\tO' -p173424 -aS'week\tweek\tNN\tI-NP\tO' -p173425 -aS',\t,\t,\tO\tO' -p173426 -aS'call\tcall\tVB\tB-VP\tO' -p173427 -aS'his\this\tPRP$\tB-NP\tO' -p173428 -aS'office\toffice\tNN\tI-NP\tO' -p173429 -aS'for\tfor\tIN\tB-PP\tO' -p173430 -aS'an\tan\tDT\tB-NP\tO' -p173431 -aS'appointment\tappointment\tNN\tI-NP\tO' -p173432 -aS'.\t.\t.\tO\tO' -p173433 -asS'1. Sertraline 100 mg Tablet Sig : Two ( 2 ) Tablet PO DAILY ( Daily ) .' -p173434 -(lp173435 -S'1.\t1.\tLS\tB-NP\tO' -p173436 -aS'Sertraline\tSertraline\tNN\tI-NP\tO' -p173437 -aS'100\t100\tCD\tI-NP\tO' -p173438 -aS'mg\tmg\tNN\tI-NP\tO' -p173439 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p173440 -aS'Sig\tSig\tNNP\tI-NP\tO' -p173441 -aS':\t:\t:\tO\tO' -p173442 -aS'Two\tTwo\tCD\tB-NP\tO' -p173443 -aS'(\t(\t(\tO\tO' -p173444 -aS'2\t2\tCD\tO\tO' -p173445 -aS')\t)\t)\tO\tO' -p173446 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p173447 -aS'PO\tPO\tNN\tI-NP\tO' -p173448 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p173449 -aS'(\t(\t(\tO\tO' -p173450 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p173451 -aS')\t)\t)\tO\tO' -p173452 -aS'.\t.\t.\tO\tO' -p173453 -asS'regular rate , normal s1s2 , no murmur' -p173454 -(lp173455 -S'regular\tregular\tJJ\tB-NP\tO' -p173456 -aS'rate\trate\tNN\tI-NP\tO' -p173457 -aS',\t,\t,\tO\tO' -p173458 -aS'normal\tnormal\tJJ\tB-NP\tO' -p173459 -aS's1s2\ts1s2\tNN\tI-NP\tO' -p173460 -aS',\t,\t,\tO\tO' -p173461 -aS'no\tno\tDT\tB-NP\tO' -p173462 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p173463 -asS'LUNGS - Clear .' -p173464 -(lp173465 -S'LUNGS\tLUNGS\tNN\tB-NP\tB-protein' -p173466 -aS'-\t-\tHYPH\tI-NP\tO' -p173467 -aS'Clear\tClear\tNN\tI-NP\tO' -p173468 -aS'.\t.\t.\tO\tO' -p173469 -asS'hydrochlorothiazide 50 mg. PO qday , KayCiel 40 mEq. b.i.d. , Ecotrin 1 tablet qday , Ferrous sulfate 325 mg. PO b.i.d. , Folate 1 mg. PO qday , multivitamins one tablet qday , Tylenol # 3 1 to 2 PO q3hours PRN .' -p173470 -(lp173471 -S'hydrochlorothiazide\thydrochlorothiazide\tNN\tB-NP\tO' -p173472 -aS'50\t50\tCD\tI-NP\tO' -p173473 -aS'mg.\tmg.\tNN\tI-NP\tO' -p173474 -aS'PO\tPO\tNN\tI-NP\tO' -p173475 -aS'qday\tqday\tNN\tI-NP\tO' -p173476 -aS',\t,\t,\tO\tO' -p173477 -aS'KayCiel\tKayCiel\tNNP\tB-NP\tO' -p173478 -aS'40\t40\tCD\tI-NP\tO' -p173479 -aS'mEq.\tmEq.\tNNP\tI-NP\tO' -p173480 -aS'b.i.d.\tb.i.d.\tNNP\tI-NP\tO' -p173481 -aS',\t,\t,\tO\tO' -p173482 -aS'Ecotrin\tEcotrin\tNN\tB-NP\tO' -p173483 -aS'1\t1\tCD\tI-NP\tO' -p173484 -aS'tablet\ttablet\tNN\tI-NP\tO' -p173485 -aS'qday\tqday\tNN\tI-NP\tO' -p173486 -aS',\t,\t,\tO\tO' -p173487 -aS'Ferrous\tFerrous\tJJ\tB-NP\tO' -p173488 -aS'sulfate\tsulfate\tNN\tI-NP\tO' -p173489 -aS'325\t325\tCD\tI-NP\tO' -p173490 -aS'mg.\tmg.\tNN\tI-NP\tO' -p173491 -aS'PO\tPO\tNN\tI-NP\tO' -p173492 -aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' -p173493 -aS',\t,\t,\tO\tO' -p173494 -aS'Folate\tFolate\tNNP\tB-NP\tO' -p173495 -aS'1\t1\tCD\tI-NP\tO' -p173496 -aS'mg.\tmg.\tNN\tI-NP\tO' -p173497 -aS'PO\tPO\tNN\tI-NP\tO' -p173498 -aS'qday\tqday\tNN\tI-NP\tO' -p173499 -aS',\t,\t,\tO\tO' -p173500 -aS'multivitamins\tmultivitamin\tVBZ\tB-VP\tO' -p173501 -aS'one\tone\tCD\tB-NP\tO' -p173502 -aS'tablet\ttablet\tNN\tI-NP\tO' -p173503 -aS'qday\tqday\tNN\tI-NP\tO' -p173504 -aS',\t,\t,\tO\tO' -p173505 -aS'Tylenol\tTylenol\tNN\tB-NP\tB-protein' -p173506 -aS'#\t#\t#\tB-NP\tI-protein' -p173507 -aS'3\t3\tCD\tI-NP\tI-protein' -p173508 -aS'1\t1\tCD\tI-NP\tI-protein' -p173509 -aS'to\tto\tTO\tI-NP\tO' -p173510 -aS'2\t2\tCD\tI-NP\tO' -p173511 -aS'PO\tPO\tNN\tI-NP\tO' -p173512 -aS'q3hours\tq3hour\tNNS\tI-NP\tO' -p173513 -aS'PRN\tPRN\tNN\tI-NP\tO' -p173514 -aS'.\t.\t.\tO\tO' -p173515 -asS'The patient was initially diagnosed in 1978 with atypical small cell carcinoma of the lung and treated with chemotherapy and radiation therapy until 1980 .' -p173516 -(lp173517 -S'The\tThe\tDT\tB-NP\tO' -p173518 -aS'patient\tpatient\tNN\tI-NP\tO' -p173519 -aS'was\tbe\tVBD\tB-VP\tO' -p173520 -aS'initially\tinitially\tRB\tI-VP\tO' -p173521 -aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' -p173522 -aS'in\tin\tIN\tB-PP\tO' -p173523 -aS'1978\t1978\tCD\tB-NP\tO' -p173524 -aS'with\twith\tIN\tB-PP\tO' -p173525 -aS'atypical\tatypical\tJJ\tB-NP\tO' -p173526 -aS'small\tsmall\tJJ\tI-NP\tO' -p173527 -aS'cell\tcell\tNN\tI-NP\tO' -p173528 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p173529 -aS'of\tof\tIN\tB-PP\tO' -p173530 -aS'the\tthe\tDT\tB-NP\tO' -p173531 -aS'lung\tlung\tNN\tI-NP\tO' -p173532 -aS'and\tand\tCC\tO\tO' -p173533 -aS'treated\ttreat\tVBN\tB-VP\tO' -p173534 -aS'with\twith\tIN\tB-PP\tO' -p173535 -aS'chemotherapy\tchemotherapy\tNN\tB-NP\tO' -p173536 -aS'and\tand\tCC\tI-NP\tO' -p173537 -aS'radiation\tradiation\tNN\tI-NP\tO' -p173538 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p173539 -aS'until\tuntil\tIN\tB-PP\tO' -p173540 -aS'1980\t1980\tCD\tB-NP\tO' -p173541 -aS'.\t.\t.\tO\tO' -p173542 -asS'As will be discussed in the Infectious Disease section , he developed an episode of what appeared to be sepsis , and his white blood cell count peaked at 23 .' -p173543 -(lp173544 -S'As\tAs\tIN\tB-SBAR\tO' -p173545 -aS'will\twill\tMD\tB-VP\tO' -p173546 -aS'be\tbe\tVB\tI-VP\tO' -p173547 -aS'discussed\tdiscuss\tVBN\tI-VP\tO' -p173548 -aS'in\tin\tIN\tB-PP\tO' -p173549 -aS'the\tthe\tDT\tB-NP\tO' -p173550 -aS'Infectious\tInfectious\tJJ\tI-NP\tO' -p173551 -aS'Disease\tDisease\tNN\tI-NP\tO' -p173552 -aS'section\tsection\tNN\tI-NP\tO' -p173553 -aS',\t,\t,\tO\tO' -p173554 -aS'he\the\tPRP\tB-NP\tO' -p173555 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p173556 -aS'an\tan\tDT\tB-NP\tO' -p173557 -aS'episode\tepisode\tNN\tI-NP\tO' -p173558 -aS'of\tof\tIN\tB-PP\tO' -p173559 -aS'what\twhat\tWP\tB-NP\tO' -p173560 -aS'appeared\tappear\tVBD\tB-VP\tO' -p173561 -aS'to\tto\tTO\tI-VP\tO' -p173562 -aS'be\tbe\tVB\tI-VP\tO' -p173563 -aS'sepsis\tsepsis\tNN\tB-NP\tO' -p173564 -aS',\t,\t,\tO\tO' -p173565 -aS'and\tand\tCC\tO\tO' -p173566 -aS'his\this\tPRP$\tB-NP\tO' -p173567 -aS'white\twhite\tJJ\tI-NP\tO' -p173568 -aS'blood\tblood\tNN\tI-NP\tO' -p173569 -aS'cell\tcell\tNN\tI-NP\tO' -p173570 -aS'count\tcount\tNN\tI-NP\tO' -p173571 -aS'peaked\tpeak\tVBD\tB-VP\tO' -p173572 -aS'at\tat\tIN\tB-PP\tO' -p173573 -aS'23\t23\tCD\tB-NP\tO' -p173574 -aS'.\t.\t.\tO\tO' -p173575 -asS'It is recommended that you receive follow-up care with the Department of Orthopaedics if your symptoms are not improved in 5-7 days .' -p173576 -(lp173577 -S'It\tIt\tPRP\tB-NP\tO' -p173578 -aS'is\tbe\tVBZ\tB-VP\tO' -p173579 -aS'recommended\trecommend\tVBN\tI-VP\tO' -p173580 -aS'that\tthat\tIN\tB-SBAR\tO' -p173581 -aS'you\tyou\tPRP\tB-NP\tO' -p173582 -aS'receive\treceive\tVBP\tB-VP\tO' -p173583 -aS'follow-up\tfollow-up\tJJ\tB-NP\tO' -p173584 -aS'care\tcare\tNN\tI-NP\tO' -p173585 -aS'with\twith\tIN\tB-PP\tO' -p173586 -aS'the\tthe\tDT\tB-NP\tO' -p173587 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p173588 -aS'of\tof\tIN\tB-PP\tO' -p173589 -aS'Orthopaedics\tOrthopaedics\tNNP\tB-NP\tO' -p173590 -aS'if\tif\tIN\tB-SBAR\tO' -p173591 -aS'your\tyour\tPRP$\tB-NP\tO' -p173592 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p173593 -aS'are\tbe\tVBP\tB-VP\tO' -p173594 -aS'not\tnot\tRB\tI-VP\tO' -p173595 -aS'improved\timprove\tVBN\tI-VP\tO' -p173596 -aS'in\tin\tIN\tB-PP\tO' -p173597 -aS'5-7\t5-7\tCD\tB-NP\tO' -p173598 -aS'days\tday\tNNS\tI-NP\tO' -p173599 -aS'.\t.\t.\tO\tO' -p173600 -asS'No arteriovenous malformations are identified ; there is no evidence of recurrence of her former vascular malformation .' -p173601 -(lp173602 -S'No\tNo\tDT\tB-NP\tO' -p173603 -aS'arteriovenous\tarteriovenous\tJJ\tI-NP\tO' -p173604 -aS'malformations\tmalformation\tNNS\tI-NP\tO' -p173605 -aS'are\tbe\tVBP\tB-VP\tO' -p173606 -aS'identified\tidentify\tVBN\tI-VP\tO' -p173607 -aS';\t;\t:\tO\tO' -p173608 -aS'there\tthere\tEX\tB-NP\tO' -p173609 -aS'is\tbe\tVBZ\tB-VP\tO' -p173610 -aS'no\tno\tDT\tB-NP\tO' -p173611 -aS'evidence\tevidence\tNN\tI-NP\tO' -p173612 -aS'of\tof\tIN\tB-PP\tO' -p173613 -aS'recurrence\trecurrence\tNN\tB-NP\tO' -p173614 -aS'of\tof\tIN\tB-PP\tO' -p173615 -aS'her\ther\tPRP$\tB-NP\tO' -p173616 -aS'former\tformer\tJJ\tI-NP\tO' -p173617 -aS'vascular\tvascular\tJJ\tI-NP\tO' -p173618 -aS'malformation\tmalformation\tNN\tI-NP\tO' -p173619 -aS'.\t.\t.\tO\tO' -p173620 -asS'Social History : see dc summary' -p173621 -(lp173622 -S'Social\tSocial\tNNP\tB-NP\tO' -p173623 -aS'History\tHistory\tNNP\tI-NP\tO' -p173624 -aS':\t:\t:\tO\tO' -p173625 -aS'see\tsee\tVB\tB-VP\tO' -p173626 -aS'dc\tdc\tNN\tB-NP\tO' -p173627 -aS'summary\tsummary\tNN\tI-NP\tO' -p173628 -asS'His blood pressure was 220/110 there .' -p173629 -(lp173630 -S'His\tHis\tPRP$\tB-NP\tO' -p173631 -aS'blood\tblood\tNN\tI-NP\tO' -p173632 -aS'pressure\tpressure\tNN\tI-NP\tO' -p173633 -aS'was\tbe\tVBD\tB-VP\tO' -p173634 -aS'220/110\t220/110\tCD\tB-NP\tO' -p173635 -aS'there\tthere\tRB\tB-ADVP\tO' -p173636 -aS'.\t.\t.\tO\tO' -p173637 -asS'He works as a jeweler .' -p173638 -(lp173639 -S'He\tHe\tPRP\tB-NP\tO' -p173640 -aS'works\twork\tVBZ\tB-VP\tO' -p173641 -aS'as\tas\tIN\tB-PP\tO' -p173642 -aS'a\ta\tDT\tB-NP\tO' -p173643 -aS'jeweler\tjeweler\tNN\tI-NP\tO' -p173644 -aS'.\t.\t.\tO\tO' -p173645 -asS'She did not have any untoward affects or allergic reactions to the procedure .' -p173646 -(lp173647 -S'She\tShe\tPRP\tB-NP\tO' -p173648 -aS'did\tdo\tVBD\tB-VP\tO' -p173649 -aS'not\tnot\tRB\tI-VP\tO' -p173650 -aS'have\thave\tVB\tI-VP\tO' -p173651 -aS'any\tany\tDT\tB-NP\tO' -p173652 -aS'untoward\tuntoward\tJJ\tI-NP\tO' -p173653 -aS'affects\taffect\tNNS\tI-NP\tO' -p173654 -aS'or\tor\tCC\tO\tO' -p173655 -aS'allergic\tallergic\tJJ\tB-NP\tO' -p173656 -aS'reactions\treaction\tNNS\tI-NP\tO' -p173657 -aS'to\tto\tTO\tB-PP\tO' -p173658 -aS'the\tthe\tDT\tB-NP\tO' -p173659 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p173660 -aS'.\t.\t.\tO\tO' -p173661 -asS'The patient was a robust white female in no acute distress , afebrile , blood pressure 165/80 .' -p173662 -(lp173663 -S'The\tThe\tDT\tB-NP\tO' -p173664 -aS'patient\tpatient\tNN\tI-NP\tO' -p173665 -aS'was\tbe\tVBD\tB-VP\tO' -p173666 -aS'a\ta\tDT\tB-NP\tO' -p173667 -aS'robust\trobust\tJJ\tI-NP\tO' -p173668 -aS'white\twhite\tJJ\tI-NP\tO' -p173669 -aS'female\tfemale\tNN\tI-NP\tO' -p173670 -aS'in\tin\tIN\tB-PP\tO' -p173671 -aS'no\tno\tDT\tB-NP\tO' -p173672 -aS'acute\tacute\tJJ\tI-NP\tO' -p173673 -aS'distress\tdistress\tNN\tI-NP\tO' -p173674 -aS',\t,\t,\tO\tO' -p173675 -aS'afebrile\tafebrile\tNN\tB-NP\tO' -p173676 -aS',\t,\t,\tO\tO' -p173677 -aS'blood\tblood\tNN\tB-NP\tO' -p173678 -aS'pressure\tpressure\tNN\tI-NP\tO' -p173679 -aS'165/80\t165/80\tCD\tI-NP\tO' -p173680 -aS'.\t.\t.\tO\tO' -p173681 -asS'Her oropharynx is clear .' -p173682 -(lp173683 -S'Her\tHer\tPRP$\tB-NP\tO' -p173684 -aS'oropharynx\toropharynx\tNN\tI-NP\tO' -p173685 -aS'is\tbe\tVBZ\tB-VP\tO' -p173686 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p173687 -aS'.\t.\t.\tO\tO' -p173688 -asS'Total body volume overloaded .' -p173689 -(lp173690 -S'Total\tTotal\tJJ\tB-NP\tO' -p173691 -aS'body\tbody\tNN\tI-NP\tO' -p173692 -aS'volume\tvolume\tNN\tI-NP\tO' -p173693 -aS'overloaded\toverload\tVBD\tB-VP\tO' -p173694 -aS'.\t.\t.\tO\tO' -p173695 -asS'The patient had an extensive estimated blood loss requiring multiple blood products and fluid resuscitation therapy .' -p173696 -(lp173697 -S'The\tThe\tDT\tB-NP\tO' -p173698 -aS'patient\tpatient\tNN\tI-NP\tO' -p173699 -aS'had\thave\tVBD\tB-VP\tO' -p173700 -aS'an\tan\tDT\tB-NP\tO' -p173701 -aS'extensive\textensive\tJJ\tI-NP\tO' -p173702 -aS'estimated\testimate\tVBN\tI-NP\tO' -p173703 -aS'blood\tblood\tNN\tI-NP\tO' -p173704 -aS'loss\tloss\tNN\tI-NP\tO' -p173705 -aS'requiring\trequire\tVBG\tB-VP\tO' -p173706 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p173707 -aS'blood\tblood\tNN\tI-NP\tO' -p173708 -aS'products\tproduct\tNNS\tI-NP\tO' -p173709 -aS'and\tand\tCC\tO\tO' -p173710 -aS'fluid\tfluid\tNN\tB-NP\tO' -p173711 -aS'resuscitation\tresuscitation\tNN\tI-NP\tO' -p173712 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p173713 -aS'.\t.\t.\tO\tO' -p173714 -asS'The patient is to followup in Neurology clinic , Verg Medical Center with Dr. Deida K. Areke and / or Dr. Istranmuna Cord in 4-6 weeks time .' -p173715 -(lp173716 -S'The\tThe\tDT\tB-NP\tO' -p173717 -aS'patient\tpatient\tNN\tI-NP\tO' -p173718 -aS'is\tbe\tVBZ\tB-VP\tO' -p173719 -aS'to\tto\tTO\tB-VP\tO' -p173720 -aS'followup\tfollowup\tVB\tI-VP\tO' -p173721 -aS'in\tin\tIN\tB-PP\tO' -p173722 -aS'Neurology\tNeurology\tNNP\tB-NP\tO' -p173723 -aS'clinic\tclinic\tNN\tI-NP\tO' -p173724 -aS',\t,\t,\tO\tO' -p173725 -aS'Verg\tVerg\tNNP\tB-NP\tO' -p173726 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p173727 -aS'Center\tCenter\tNNP\tI-NP\tO' -p173728 -aS'with\twith\tIN\tB-PP\tO' -p173729 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p173730 -aS'Deida\tDeida\tNNP\tI-NP\tO' -p173731 -aS'K.\tK.\tNNP\tI-NP\tO' -p173732 -aS'Areke\tAreke\tNNP\tI-NP\tO' -p173733 -aS'and\tand\tCC\tO\tO' -p173734 -aS'/\t/\tSYM\tB-NP\tO' -p173735 -aS'or\tor\tCC\tO\tO' -p173736 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p173737 -aS'Istranmuna\tIstranmuna\tNNP\tI-NP\tO' -p173738 -aS'Cord\tCord\tNNP\tI-NP\tO' -p173739 -aS'in\tin\tIN\tB-PP\tO' -p173740 -aS'4-6\t4-6\tCD\tB-NP\tO' -p173741 -aS'weeks\tweek\tNNS\tI-NP\tO' -p173742 -aS'time\ttime\tNN\tI-NP\tO' -p173743 -aS'.\t.\t.\tO\tO' -p173744 -asS'She will be actively involved in encouraging the patient to comply with this medical regimen and also to follow up with Dr. Amesin as well as Dr. Lfsquarc on the outside .' -p173745 -(lp173746 -S'She\tShe\tPRP\tB-NP\tO' -p173747 -aS'will\twill\tMD\tB-VP\tO' -p173748 -aS'be\tbe\tVB\tI-VP\tO' -p173749 -aS'actively\tactively\tRB\tI-VP\tO' -p173750 -aS'involved\tinvolve\tVBN\tI-VP\tO' -p173751 -aS'in\tin\tIN\tB-PP\tO' -p173752 -aS'encouraging\tencourage\tVBG\tB-VP\tO' -p173753 -aS'the\tthe\tDT\tB-NP\tO' -p173754 -aS'patient\tpatient\tNN\tI-NP\tO' -p173755 -aS'to\tto\tTO\tB-VP\tO' -p173756 -aS'comply\tcomply\tVB\tI-VP\tO' -p173757 -aS'with\twith\tIN\tB-PP\tO' -p173758 -aS'this\tthis\tDT\tB-NP\tO' -p173759 -aS'medical\tmedical\tJJ\tI-NP\tO' -p173760 -aS'regimen\tregimen\tNN\tI-NP\tO' -p173761 -aS'and\tand\tCC\tO\tO' -p173762 -aS'also\talso\tRB\tB-ADVP\tO' -p173763 -aS'to\tto\tTO\tB-VP\tO' -p173764 -aS'follow\tfollow\tVB\tI-VP\tO' -p173765 -aS'up\tup\tRP\tB-PRT\tO' -p173766 -aS'with\twith\tIN\tB-PP\tO' -p173767 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p173768 -aS'Amesin\tAmesin\tNNP\tI-NP\tO' -p173769 -aS'as\tas\tRB\tB-CONJP\tO' -p173770 -aS'well\twell\tRB\tI-CONJP\tO' -p173771 -aS'as\tas\tIN\tI-CONJP\tO' -p173772 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p173773 -aS'Lfsquarc\tLfsquarc\tNNP\tI-NP\tO' -p173774 -aS'on\ton\tIN\tB-PP\tO' -p173775 -aS'the\tthe\tDT\tB-NP\tO' -p173776 -aS'outside\toutside\tNN\tI-NP\tO' -p173777 -aS'.\t.\t.\tO\tO' -p173778 -asS'Hytrin 2mg at bedtime .' -p173779 -(lp173780 -S'Hytrin\tHytrin\tNN\tB-NP\tO' -p173781 -aS'2mg\t2mg\tNN\tI-NP\tO' -p173782 -aS'at\tat\tIN\tB-PP\tO' -p173783 -aS'bedtime\tbedtime\tNN\tB-NP\tO' -p173784 -aS'.\t.\t.\tO\tO' -p173785 -asS'The skin was normal .' -p173786 -(lp173787 -S'The\tThe\tDT\tB-NP\tO' -p173788 -aS'skin\tskin\tNN\tI-NP\tO' -p173789 -aS'was\tbe\tVBD\tB-VP\tO' -p173790 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p173791 -aS'.\t.\t.\tO\tO' -p173792 -asS'2. Exposure and wide drainage of perforated posterior duodenal ulcer with internal and external drainage .' -p173793 -(lp173794 -S'2.\t2.\tLS\tB-NP\tO' -p173795 -aS'Exposure\tExposure\tNN\tI-NP\tO' -p173796 -aS'and\tand\tCC\tO\tO' -p173797 -aS'wide\twide\tJJ\tB-NP\tO' -p173798 -aS'drainage\tdrainage\tNN\tI-NP\tO' -p173799 -aS'of\tof\tIN\tB-PP\tO' -p173800 -aS'perforated\tperforate\tVBN\tB-NP\tO' -p173801 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p173802 -aS'duodenal\tduodenal\tJJ\tI-NP\tO' -p173803 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p173804 -aS'with\twith\tIN\tB-PP\tO' -p173805 -aS'internal\tinternal\tJJ\tB-NP\tO' -p173806 -aS'and\tand\tCC\tI-NP\tO' -p173807 -aS'external\texternal\tJJ\tI-NP\tO' -p173808 -aS'drainage\tdrainage\tNN\tI-NP\tO' -p173809 -aS'.\t.\t.\tO\tO' -p173810 -asS'the jugular venous pressure was seven centimeters , carotid upstroke normal .' -p173811 -(lp173812 -S'the\tthe\tDT\tB-NP\tO' -p173813 -aS'jugular\tjugular\tJJ\tI-NP\tO' -p173814 -aS'venous\tvenous\tJJ\tI-NP\tO' -p173815 -aS'pressure\tpressure\tNN\tI-NP\tO' -p173816 -aS'was\tbe\tVBD\tB-VP\tO' -p173817 -aS'seven\tseven\tCD\tB-NP\tO' -p173818 -aS'centimeters\tcentimeter\tNNS\tI-NP\tO' -p173819 -aS',\t,\t,\tO\tO' -p173820 -aS'carotid\tcarotid\tVBD\tB-VP\tO' -p173821 -aS'upstroke\tupstroke\tRB\tB-ADJP\tO' -p173822 -aS'normal\tnormal\tJJ\tI-ADJP\tO' -p173823 -aS'.\t.\t.\tO\tO' -p173824 -asS'Overnight he spiked a fever to 103 and his WBC climbed from 11 to 13 .' -p173825 -(lp173826 -S'Overnight\tOvernight\tRB\tB-ADVP\tO' -p173827 -aS'he\the\tPRP\tB-NP\tO' -p173828 -aS'spiked\tspike\tVBD\tB-VP\tO' -p173829 -aS'a\ta\tDT\tB-NP\tO' -p173830 -aS'fever\tfever\tNN\tI-NP\tO' -p173831 -aS'to\tto\tTO\tB-PP\tO' -p173832 -aS'103\t103\tCD\tB-NP\tO' -p173833 -aS'and\tand\tCC\tO\tO' -p173834 -aS'his\this\tPRP$\tB-NP\tO' -p173835 -aS'WBC\tWBC\tNNP\tI-NP\tB-cell_type' -p173836 -aS'climbed\tclimb\tVBD\tB-VP\tO' -p173837 -aS'from\tfrom\tIN\tB-PP\tO' -p173838 -aS'11\t11\tCD\tB-NP\tO' -p173839 -aS'to\tto\tTO\tB-PP\tO' -p173840 -aS'13\t13\tCD\tB-NP\tO' -p173841 -aS'.\t.\t.\tO\tO' -p173842 -asS'The patient was currently at Hubbard Regional Hospital and began to develop worsening SOB for the past 5 days .' -p173843 -(lp173844 -S'The\tThe\tDT\tB-NP\tO' -p173845 -aS'patient\tpatient\tNN\tI-NP\tO' -p173846 -aS'was\tbe\tVBD\tB-VP\tO' -p173847 -aS'currently\tcurrently\tRB\tB-ADVP\tO' -p173848 -aS'at\tat\tIN\tB-PP\tO' -p173849 -aS'Hubbard\tHubbard\tNNP\tB-NP\tO' -p173850 -aS'Regional\tRegional\tNNP\tI-NP\tO' -p173851 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p173852 -aS'and\tand\tCC\tO\tO' -p173853 -aS'began\tbegin\tVBD\tB-VP\tO' -p173854 -aS'to\tto\tTO\tI-VP\tO' -p173855 -aS'develop\tdevelop\tVB\tI-VP\tO' -p173856 -aS'worsening\tworsen\tVBG\tI-VP\tO' -p173857 -aS'SOB\tSOB\tNN\tB-NP\tB-protein' -p173858 -aS'for\tfor\tIN\tB-PP\tO' -p173859 -aS'the\tthe\tDT\tB-NP\tO' -p173860 -aS'past\tpast\tJJ\tI-NP\tO' -p173861 -aS'5\t5\tCD\tI-NP\tO' -p173862 -aS'days\tday\tNNS\tI-NP\tO' -p173863 -aS'.\t.\t.\tO\tO' -p173864 -asS'He works as a counselor at an alcohol and drug treatment facility for teenagers .' -p173865 -(lp173866 -S'He\tHe\tPRP\tB-NP\tO' -p173867 -aS'works\twork\tVBZ\tB-VP\tO' -p173868 -aS'as\tas\tIN\tB-PP\tO' -p173869 -aS'a\ta\tDT\tB-NP\tO' -p173870 -aS'counselor\tcounselor\tNN\tI-NP\tO' -p173871 -aS'at\tat\tIN\tB-PP\tO' -p173872 -aS'an\tan\tDT\tB-NP\tO' -p173873 -aS'alcohol\talcohol\tNN\tI-NP\tO' -p173874 -aS'and\tand\tCC\tI-NP\tO' -p173875 -aS'drug\tdrug\tNN\tI-NP\tO' -p173876 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p173877 -aS'facility\tfacility\tNN\tI-NP\tO' -p173878 -aS'for\tfor\tIN\tB-PP\tO' -p173879 -aS'teenagers\tteenager\tNNS\tB-NP\tO' -p173880 -aS'.\t.\t.\tO\tO' -p173881 -asS'He had 2+ dorsalis pedis and posterior tibial pulses bilaterally .' -p173882 -(lp173883 -S'He\tHe\tPRP\tB-NP\tO' -p173884 -aS'had\thave\tVBD\tB-VP\tO' -p173885 -aS'2+\t2+\tJJ\tB-NP\tO' -p173886 -aS'dorsalis\tdorsalis\tNN\tI-NP\tO' -p173887 -aS'pedis\tpedis\tNN\tI-NP\tO' -p173888 -aS'and\tand\tCC\tO\tO' -p173889 -aS'posterior\tposterior\tJJ\tB-NP\tO' -p173890 -aS'tibial\ttibial\tJJ\tI-NP\tO' -p173891 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p173892 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p173893 -aS'.\t.\t.\tO\tO' -p173894 -asS'Regular rate and rhythm , normal S1 and S2 , no murmurs , gallops and rubs .' -p173895 -(lp173896 -S'Regular\tRegular\tJJ\tB-NP\tO' -p173897 -aS'rate\trate\tNN\tI-NP\tO' -p173898 -aS'and\tand\tCC\tI-NP\tO' -p173899 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p173900 -aS',\t,\t,\tO\tO' -p173901 -aS'normal\tnormal\tJJ\tB-NP\tO' -p173902 -aS'S1\tS1\tNN\tI-NP\tB-protein' -p173903 -aS'and\tand\tCC\tO\tO' -p173904 -aS'S2\tS2\tNN\tB-NP\tB-protein' -p173905 -aS',\t,\t,\tO\tO' -p173906 -aS'no\tno\tDT\tB-NP\tO' -p173907 -aS'murmurs\tmurmur\tNNS\tI-NP\tO' -p173908 -aS',\t,\t,\tI-NP\tO' -p173909 -aS'gallops\tgallop\tNNS\tI-NP\tO' -p173910 -aS'and\tand\tCC\tI-NP\tO' -p173911 -aS'rubs\trub\tNNS\tI-NP\tO' -p173912 -aS'.\t.\t.\tO\tO' -p173913 -asS'The patient had follow-up transthoracic echocardiogram on 11-04 which revealed a slightly large effusion .' -p173914 -(lp173915 -S'The\tThe\tDT\tB-NP\tO' -p173916 -aS'patient\tpatient\tNN\tI-NP\tO' -p173917 -aS'had\thave\tVBD\tB-VP\tO' -p173918 -aS'follow-up\tfollow-up\tJJ\tB-NP\tO' -p173919 -aS'transthoracic\ttransthoracic\tJJ\tI-NP\tO' -p173920 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p173921 -aS'on\ton\tIN\tB-PP\tO' -p173922 -aS'11-04\t11-04\tCD\tB-NP\tO' -p173923 -aS'which\twhich\tWDT\tB-NP\tO' -p173924 -aS'revealed\treveal\tVBD\tB-VP\tO' -p173925 -aS'a\ta\tDT\tB-NP\tO' -p173926 -aS'slightly\tslightly\tRB\tI-NP\tO' -p173927 -aS'large\tlarge\tJJ\tI-NP\tO' -p173928 -aS'effusion\teffusion\tNN\tI-NP\tO' -p173929 -aS'.\t.\t.\tO\tO' -p173930 -asS'He was extubated on postoperative day two .' -p173931 -(lp173932 -S'He\tHe\tPRP\tB-NP\tO' -p173933 -aS'was\tbe\tVBD\tB-VP\tO' -p173934 -aS'extubated\textubate\tVBN\tI-VP\tO' -p173935 -aS'on\ton\tIN\tB-PP\tO' -p173936 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p173937 -aS'day\tday\tNN\tI-NP\tO' -p173938 -aS'two\ttwo\tCD\tI-NP\tO' -p173939 -aS'.\t.\t.\tO\tO' -p173940 -asS'He is being transferred back to the Per Naplesspecrycet Hospital in stable condition on the same medications which he was on preoperatively .' -p173941 -(lp173942 -S'He\tHe\tPRP\tB-NP\tO' -p173943 -aS'is\tbe\tVBZ\tB-VP\tO' -p173944 -aS'being\tbe\tVBG\tI-VP\tO' -p173945 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p173946 -aS'back\tback\tRB\tB-ADVP\tO' -p173947 -aS'to\tto\tTO\tB-PP\tO' -p173948 -aS'the\tthe\tDT\tB-NP\tO' -p173949 -aS'Per\tPer\tNNP\tI-NP\tO' -p173950 -aS'Naplesspecrycet\tNaplesspecrycet\tNNP\tI-NP\tO' -p173951 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p173952 -aS'in\tin\tIN\tB-PP\tO' -p173953 -aS'stable\tstable\tJJ\tB-NP\tO' -p173954 -aS'condition\tcondition\tNN\tI-NP\tO' -p173955 -aS'on\ton\tIN\tB-PP\tO' -p173956 -aS'the\tthe\tDT\tB-NP\tO' -p173957 -aS'same\tsame\tJJ\tI-NP\tO' -p173958 -aS'medications\tmedication\tNNS\tI-NP\tO' -p173959 -aS'which\twhich\tWDT\tB-NP\tO' -p173960 -aS'he\the\tPRP\tB-NP\tO' -p173961 -aS'was\tbe\tVBD\tB-VP\tO' -p173962 -aS'on\ton\tIN\tB-PP\tO' -p173963 -aS'preoperatively\tpreoperatively\tRB\tB-ADVP\tO' -p173964 -aS'.\t.\t.\tO\tO' -p173965 -asS'Speaks in full sentences .' -p173966 -(lp173967 -S'Speaks\tSpeak\tNNS\tB-NP\tO' -p173968 -aS'in\tin\tIN\tB-PP\tO' -p173969 -aS'full\tfull\tJJ\tB-NP\tO' -p173970 -aS'sentences\tsentence\tNNS\tI-NP\tO' -p173971 -aS'.\t.\t.\tO\tO' -p173972 -asS'The patient , during this admission , required transfusion of three units of packed red blood cells to maintain adequate hematocrit .' -p173973 -(lp173974 -S'The\tThe\tDT\tB-NP\tO' -p173975 -aS'patient\tpatient\tNN\tI-NP\tO' -p173976 -aS',\t,\t,\tO\tO' -p173977 -aS'during\tduring\tIN\tB-PP\tO' -p173978 -aS'this\tthis\tDT\tB-NP\tO' -p173979 -aS'admission\tadmission\tNN\tI-NP\tO' -p173980 -aS',\t,\t,\tO\tO' -p173981 -aS'required\trequire\tVBD\tB-VP\tO' -p173982 -aS'transfusion\ttransfusion\tNN\tB-NP\tO' -p173983 -aS'of\tof\tIN\tB-PP\tO' -p173984 -aS'three\tthree\tCD\tB-NP\tO' -p173985 -aS'units\tunit\tNNS\tI-NP\tO' -p173986 -aS'of\tof\tIN\tB-PP\tO' -p173987 -aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' -p173988 -aS'red\tred\tJJ\tI-NP\tI-cell_type' -p173989 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p173990 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p173991 -aS'to\tto\tTO\tB-VP\tO' -p173992 -aS'maintain\tmaintain\tVB\tI-VP\tO' -p173993 -aS'adequate\tadequate\tJJ\tB-NP\tO' -p173994 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p173995 -aS'.\t.\t.\tO\tO' -p173996 -asS'Gastroesophageal reflux disease .' -p173997 -(lp173998 -S'Gastroesophageal\tGastroesophageal\tJJ\tB-NP\tO' -p173999 -aS'reflux\treflux\tNN\tI-NP\tO' -p174000 -aS'disease\tdisease\tNN\tI-NP\tO' -p174001 -aS'.\t.\t.\tO\tO' -p174002 -asS'The patient continued to do well and did not require restraints after that event .' -p174003 -(lp174004 -S'The\tThe\tDT\tB-NP\tO' -p174005 -aS'patient\tpatient\tNN\tI-NP\tO' -p174006 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p174007 -aS'to\tto\tTO\tI-VP\tO' -p174008 -aS'do\tdo\tVB\tI-VP\tO' -p174009 -aS'well\twell\tRB\tB-ADVP\tO' -p174010 -aS'and\tand\tCC\tO\tO' -p174011 -aS'did\tdo\tVBD\tB-VP\tO' -p174012 -aS'not\tnot\tRB\tI-VP\tO' -p174013 -aS'require\trequire\tVB\tI-VP\tO' -p174014 -aS'restraints\trestraint\tNNS\tB-NP\tO' -p174015 -aS'after\tafter\tIN\tB-PP\tO' -p174016 -aS'that\tthat\tDT\tB-NP\tO' -p174017 -aS'event\tevent\tNN\tI-NP\tO' -p174018 -aS'.\t.\t.\tO\tO' -p174019 -asS'The abdomen was distended and firm .' -p174020 -(lp174021 -S'The\tThe\tDT\tB-NP\tO' -p174022 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p174023 -aS'was\tbe\tVBD\tB-VP\tO' -p174024 -aS'distended\tdistend\tVBN\tI-VP\tO' -p174025 -aS'and\tand\tCC\tO\tO' -p174026 -aS'firm\tfirm\tNN\tB-NP\tO' -p174027 -aS'.\t.\t.\tO\tO' -p174028 -asS'Prilosec 20 mg Capsule , Delayed Release ( E.C. ) Sig : One ( 1 ) Capsule , Delayed Release ( E.C. ) PO once a day .' -p174029 -(lp174030 -S'Prilosec\tPrilosec\tRB\tB-NP\tO' -p174031 -aS'20\t20\tCD\tI-NP\tO' -p174032 -aS'mg\tmg\tNN\tI-NP\tO' -p174033 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p174034 -aS',\t,\t,\tO\tO' -p174035 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p174036 -aS'Release\tRelease\tNNP\tI-NP\tO' -p174037 -aS'(\t(\t(\tO\tO' -p174038 -aS'E.C.\tE.C.\tNNP\tB-NP\tO' -p174039 -aS')\t)\t)\tO\tO' -p174040 -aS'Sig\tSig\tNNP\tB-NP\tO' -p174041 -aS':\t:\t:\tO\tO' -p174042 -aS'One\tOne\tCD\tB-NP\tO' -p174043 -aS'(\t(\t(\tO\tO' -p174044 -aS'1\t1\tCD\tB-NP\tO' -p174045 -aS')\t)\t)\tO\tO' -p174046 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p174047 -aS',\t,\t,\tO\tO' -p174048 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p174049 -aS'Release\tRelease\tNNP\tI-NP\tO' -p174050 -aS'(\t(\t(\tO\tO' -p174051 -aS'E.C.\tE.C.\tNNP\tO\tO' -p174052 -aS')\t)\t)\tO\tO' -p174053 -aS'PO\tPO\tNN\tB-NP\tO' -p174054 -aS'once\tonce\tRB\tB-ADVP\tO' -p174055 -aS'a\ta\tDT\tB-NP\tO' -p174056 -aS'day\tday\tNN\tI-NP\tO' -p174057 -aS'.\t.\t.\tO\tO' -p174058 -asS'The patient began having generalized tonic - clonic seizures in 1988 , which at the time were thought to be related to asthma medications .' -p174059 -(lp174060 -S'The\tThe\tDT\tB-NP\tO' -p174061 -aS'patient\tpatient\tNN\tI-NP\tO' -p174062 -aS'began\tbegin\tVBD\tB-VP\tO' -p174063 -aS'having\thave\tVBG\tI-VP\tO' -p174064 -aS'generalized\tgeneralize\tVBN\tI-VP\tO' -p174065 -aS'tonic\ttonic\tJJ\tB-NP\tO' -p174066 -aS'-\t-\tHYPH\tI-NP\tO' -p174067 -aS'clonic\tclonic\tJJ\tI-NP\tO' -p174068 -aS'seizures\tseizure\tNNS\tI-NP\tO' -p174069 -aS'in\tin\tIN\tB-PP\tO' -p174070 -aS'1988\t1988\tCD\tB-NP\tO' -p174071 -aS',\t,\t,\tO\tO' -p174072 -aS'which\twhich\tWDT\tB-NP\tO' -p174073 -aS'at\tat\tIN\tB-PP\tO' -p174074 -aS'the\tthe\tDT\tB-NP\tO' -p174075 -aS'time\ttime\tNN\tI-NP\tO' -p174076 -aS'were\tbe\tVBD\tB-VP\tO' -p174077 -aS'thought\tthink\tVBN\tI-VP\tO' -p174078 -aS'to\tto\tTO\tI-VP\tO' -p174079 -aS'be\tbe\tVB\tI-VP\tO' -p174080 -aS'related\trelate\tVBN\tI-VP\tO' -p174081 -aS'to\tto\tTO\tB-PP\tO' -p174082 -aS'asthma\tasthma\tNN\tB-NP\tO' -p174083 -aS'medications\tmedication\tNNS\tI-NP\tO' -p174084 -aS'.\t.\t.\tO\tO' -p174085 -asS'Head and neck exam was unremarkable , except for the right eye being patched over .' -p174086 -(lp174087 -S'Head\tHead\tNN\tB-NP\tO' -p174088 -aS'and\tand\tCC\tI-NP\tO' -p174089 -aS'neck\tneck\tNN\tI-NP\tO' -p174090 -aS'exam\texam\tNN\tI-NP\tO' -p174091 -aS'was\tbe\tVBD\tB-VP\tO' -p174092 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p174093 -aS',\t,\t,\tO\tO' -p174094 -aS'except\texcept\tIN\tB-PP\tO' -p174095 -aS'for\tfor\tIN\tB-PP\tO' -p174096 -aS'the\tthe\tDT\tB-NP\tO' -p174097 -aS'right\tright\tJJ\tI-NP\tO' -p174098 -aS'eye\teye\tNN\tI-NP\tO' -p174099 -aS'being\tbe\tVBG\tB-VP\tO' -p174100 -aS'patched\tpatch\tVBN\tI-VP\tO' -p174101 -aS'over\tover\tRP\tB-PRT\tO' -p174102 -aS'.\t.\t.\tO\tO' -p174103 -asS'3. Hyperthyroidism , status post radioactive iodine ablation .' -p174104 -(lp174105 -S'3.\t3.\tLS\tB-LST\tO' -p174106 -aS'Hyperthyroidism\tHyperthyroidism\tNN\tB-NP\tO' -p174107 -aS',\t,\t,\tO\tO' -p174108 -aS'status\tstatus\tNN\tB-NP\tO' -p174109 -aS'post\tpost\tNN\tI-NP\tO' -p174110 -aS'radioactive\tradioactive\tJJ\tI-NP\tO' -p174111 -aS'iodine\tiodine\tNN\tI-NP\tO' -p174112 -aS'ablation\tablation\tNN\tI-NP\tO' -p174113 -aS'.\t.\t.\tO\tO' -p174114 -asS'Pelvic exam revealed normal vulva , vagina normal , cervix normal , uterus anteverted , small , nontender .' -p174115 -(lp174116 -S'Pelvic\tPelvic\tJJ\tB-NP\tO' -p174117 -aS'exam\texam\tNN\tI-NP\tO' -p174118 -aS'revealed\treveal\tVBD\tB-VP\tO' -p174119 -aS'normal\tnormal\tJJ\tB-NP\tO' -p174120 -aS'vulva\tvulva\tNN\tI-NP\tO' -p174121 -aS',\t,\t,\tO\tO' -p174122 -aS'vagina\tvagina\tNN\tB-NP\tO' -p174123 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p174124 -aS',\t,\t,\tO\tO' -p174125 -aS'cervix\tcervix\tNN\tB-NP\tO' -p174126 -aS'normal\tnormal\tJJ\tI-NP\tO' -p174127 -aS',\t,\t,\tI-NP\tO' -p174128 -aS'uterus\tuterus\tJJ\tI-NP\tO' -p174129 -aS'anteverted\tanteverted\tJJ\tI-NP\tO' -p174130 -aS',\t,\t,\tI-NP\tO' -p174131 -aS'small\tsmall\tJJ\tI-NP\tO' -p174132 -aS',\t,\t,\tI-NP\tO' -p174133 -aS'nontender\tnontender\tJJ\tI-NP\tO' -p174134 -aS'.\t.\t.\tO\tO' -p174135 -asS'The patient was thrombocytopenic with a platelet count of 49 on the 23 .' -p174136 -(lp174137 -S'The\tThe\tDT\tB-NP\tO' -p174138 -aS'patient\tpatient\tNN\tI-NP\tO' -p174139 -aS'was\tbe\tVBD\tB-VP\tO' -p174140 -aS'thrombocytopenic\tthrombocytopenic\tJJ\tB-ADJP\tO' -p174141 -aS'with\twith\tIN\tB-PP\tO' -p174142 -aS'a\ta\tDT\tB-NP\tO' -p174143 -aS'platelet\tplatelet\tNN\tI-NP\tO' -p174144 -aS'count\tcount\tNN\tI-NP\tO' -p174145 -aS'of\tof\tIN\tB-PP\tO' -p174146 -aS'49\t49\tCD\tB-NP\tO' -p174147 -aS'on\ton\tIN\tB-PP\tO' -p174148 -aS'the\tthe\tDT\tB-NP\tO' -p174149 -aS'23\t23\tCD\tI-NP\tO' -p174150 -aS'.\t.\t.\tO\tO' -p174151 -asS'3 - Follow up with PCP' -p174152 -(lp174153 -S'3\t3\tCD\tB-NP\tO' -p174154 -aS'-\t-\tHYPH\tI-NP\tO' -p174155 -aS'Follow\tFollow\tNNP\tI-NP\tO' -p174156 -aS'up\tup\tRP\tB-PRT\tO' -p174157 -aS'with\twith\tIN\tB-PP\tO' -p174158 -aS'PCP\tPCP\tNN\tB-NP\tO' -p174159 -asS'For possible COPD , pt was started on steroids and nebs on 08-03 .' -p174160 -(lp174161 -S'For\tFor\tIN\tB-PP\tO' -p174162 -aS'possible\tpossible\tJJ\tB-NP\tO' -p174163 -aS'COPD\tCOPD\tNN\tI-NP\tO' -p174164 -aS',\t,\t,\tO\tO' -p174165 -aS'pt\tpt\tNN\tB-NP\tO' -p174166 -aS'was\tbe\tVBD\tB-VP\tO' -p174167 -aS'started\tstart\tVBN\tI-VP\tO' -p174168 -aS'on\ton\tIN\tB-PP\tO' -p174169 -aS'steroids\tsteroid\tNNS\tB-NP\tO' -p174170 -aS'and\tand\tCC\tI-NP\tO' -p174171 -aS'nebs\tneb\tNNS\tI-NP\tO' -p174172 -aS'on\ton\tIN\tB-PP\tO' -p174173 -aS'08-03\t08-03\tCD\tB-NP\tO' -p174174 -aS'.\t.\t.\tO\tO' -p174175 -asS'Furosemide .' -p174176 -(lp174177 -S'Furosemide\tFurosemide\tNN\tB-NP\tO' -p174178 -aS'.\t.\t.\tO\tO' -p174179 -asS"The patient 's initial hematocrit was 35.8 ." -p174180 -(lp174181 -S'The\tThe\tDT\tB-NP\tO' -p174182 -aS'patient\tpatient\tNN\tI-NP\tO' -p174183 -aS"'s\t's\tPOS\tB-NP\tO" -p174184 -aS'initial\tinitial\tJJ\tI-NP\tO' -p174185 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p174186 -aS'was\tbe\tVBD\tB-VP\tO' -p174187 -aS'35.8\t35.8\tCD\tB-NP\tO' -p174188 -aS'.\t.\t.\tO\tO' -p174189 -asS'records from that hospitalization indicate she may have only had a very mild injury ) and has been managed on dilantin and keppra .' -p174190 -(lp174191 -S'records\trecord\tNNS\tB-NP\tO' -p174192 -aS'from\tfrom\tIN\tB-PP\tO' -p174193 -aS'that\tthat\tDT\tB-NP\tO' -p174194 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p174195 -aS'indicate\tindicate\tVBP\tB-VP\tO' -p174196 -aS'she\tshe\tPRP\tB-NP\tO' -p174197 -aS'may\tmay\tMD\tB-VP\tO' -p174198 -aS'have\thave\tVB\tI-VP\tO' -p174199 -aS'only\tonly\tRB\tB-ADVP\tO' -p174200 -aS'had\thave\tVBD\tB-VP\tO' -p174201 -aS'a\ta\tDT\tB-NP\tO' -p174202 -aS'very\tvery\tRB\tI-NP\tO' -p174203 -aS'mild\tmild\tJJ\tI-NP\tO' -p174204 -aS'injury\tinjury\tNN\tI-NP\tO' -p174205 -aS')\t)\t)\tO\tO' -p174206 -aS'and\tand\tCC\tO\tO' -p174207 -aS'has\thave\tVBZ\tB-VP\tO' -p174208 -aS'been\tbe\tVBN\tI-VP\tO' -p174209 -aS'managed\tmanage\tVBN\tI-VP\tO' -p174210 -aS'on\ton\tIN\tB-PP\tO' -p174211 -aS'dilantin\tdilantin\tNN\tB-NP\tO' -p174212 -aS'and\tand\tCC\tI-NP\tO' -p174213 -aS'keppra\tkeppra\tNN\tI-NP\tO' -p174214 -aS'.\t.\t.\tO\tO' -p174215 -asS'An intra-aortic balloon pump was placed at this time as well .' -p174216 -(lp174217 -S'An\tAn\tDT\tB-NP\tO' -p174218 -aS'intra-aortic\tintra-aortic\tJJ\tI-NP\tO' -p174219 -aS'balloon\tballoon\tNN\tI-NP\tO' -p174220 -aS'pump\tpump\tNN\tI-NP\tO' -p174221 -aS'was\tbe\tVBD\tB-VP\tO' -p174222 -aS'placed\tplace\tVBN\tI-VP\tO' -p174223 -aS'at\tat\tIN\tB-PP\tO' -p174224 -aS'this\tthis\tDT\tB-NP\tO' -p174225 -aS'time\ttime\tNN\tI-NP\tO' -p174226 -aS'as\tas\tRB\tB-ADVP\tO' -p174227 -aS'well\twell\tRB\tI-ADVP\tO' -p174228 -aS'.\t.\t.\tO\tO' -p174229 -asS'A clear transit point is not visualized .' -p174230 -(lp174231 -S'A\tA\tDT\tB-NP\tO' -p174232 -aS'clear\tclear\tJJ\tI-NP\tO' -p174233 -aS'transit\ttransit\tNN\tI-NP\tO' -p174234 -aS'point\tpoint\tNN\tI-NP\tO' -p174235 -aS'is\tbe\tVBZ\tB-VP\tO' -p174236 -aS'not\tnot\tRB\tI-VP\tO' -p174237 -aS'visualized\tvisualize\tVBN\tI-VP\tO' -p174238 -aS'.\t.\t.\tO\tO' -p174239 -asS'3. Moderate intraabdominal ascites .' -p174240 -(lp174241 -S'3.\t3.\tLS\tB-NP\tO' -p174242 -aS'Moderate\tModerate\tJJ\tI-NP\tO' -p174243 -aS'intraabdominal\tintraabdominal\tJJ\tI-NP\tO' -p174244 -aS'ascites\tascite\tNNS\tI-NP\tO' -p174245 -aS'.\t.\t.\tO\tO' -p174246 -asS'extrm - trace edema at ankles , no cyanosis , warm/dry' -p174247 -(lp174248 -S'extrm\textrm\tNN\tB-NP\tO' -p174249 -aS'-\t-\tHYPH\tI-NP\tO' -p174250 -aS'trace\ttrace\tNN\tI-NP\tO' -p174251 -aS'edema\tedema\tNN\tI-NP\tO' -p174252 -aS'at\tat\tIN\tB-PP\tO' -p174253 -aS'ankles\tankle\tNNS\tB-NP\tO' -p174254 -aS',\t,\t,\tO\tO' -p174255 -aS'no\tno\tDT\tB-NP\tO' -p174256 -aS'cyanosis\tcyanosis\tNN\tI-NP\tO' -p174257 -aS',\t,\t,\tO\tO' -p174258 -aS'warm/dry\twarm/dry\tNN\tB-NP\tO' -p174259 -asS'Signed electronically by : DR. Dolly D.F. Sipes on: Roxane 2017-02-21 11:52 AM' -p174260 -(lp174261 -S'Signed\tSign\tVBN\tB-VP\tO' -p174262 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p174263 -aS'by\tby\tIN\tB-PP\tO' -p174264 -aS':\t:\t:\tO\tO' -p174265 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p174266 -aS'Dolly\tDolly\tNNP\tI-NP\tO' -p174267 -aS'D.F.\tD.F.\tNNP\tI-NP\tO' -p174268 -aS'Sipes\tSipes\tNNP\tI-NP\tO' -p174269 -aS'on:\ton:\tIN\tB-PP\tO' -p174270 -aS'Roxane\tRoxane\tNNP\tB-NP\tO' -p174271 -aS'2017-02-21\t2017-02-21\tCD\tI-NP\tO' -p174272 -aS'11:52\t11:52\tCD\tI-NP\tO' -p174273 -aS'AM\tAM\tNN\tI-NP\tO' -p174274 -asS'Denies alcohol or drugs .' -p174275 -(lp174276 -S'Denies\tDeny\tNNS\tB-NP\tO' -p174277 -aS'alcohol\talcohol\tNN\tI-NP\tO' -p174278 -aS'or\tor\tCC\tI-NP\tO' -p174279 -aS'drugs\tdrug\tNNS\tI-NP\tO' -p174280 -aS'.\t.\t.\tO\tO' -p174281 -asS'She also received a Radiation Therapy consult for local control of her invasive carcinoma .' -p174282 -(lp174283 -S'She\tShe\tPRP\tB-NP\tO' -p174284 -aS'also\talso\tRB\tB-ADVP\tO' -p174285 -aS'received\treceive\tVBD\tB-VP\tO' -p174286 -aS'a\ta\tDT\tB-NP\tO' -p174287 -aS'Radiation\tRadiation\tNN\tI-NP\tO' -p174288 -aS'Therapy\tTherapy\tNN\tI-NP\tO' -p174289 -aS'consult\tconsult\tNN\tI-NP\tO' -p174290 -aS'for\tfor\tIN\tB-PP\tO' -p174291 -aS'local\tlocal\tJJ\tB-NP\tO' -p174292 -aS'control\tcontrol\tNN\tI-NP\tO' -p174293 -aS'of\tof\tIN\tB-PP\tO' -p174294 -aS'her\ther\tPRP$\tB-NP\tO' -p174295 -aS'invasive\tinvasive\tJJ\tI-NP\tO' -p174296 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p174297 -aS'.\t.\t.\tO\tO' -p174298 -asS'Urinalysis was within normal limits with 6 to 10 red blood cells .' -p174299 -(lp174300 -S'Urinalysis\tUrinalysis\tNN\tB-NP\tO' -p174301 -aS'was\tbe\tVBD\tB-VP\tO' -p174302 -aS'within\twithin\tIN\tB-PP\tO' -p174303 -aS'normal\tnormal\tJJ\tB-NP\tO' -p174304 -aS'limits\tlimit\tNNS\tI-NP\tO' -p174305 -aS'with\twith\tIN\tB-PP\tO' -p174306 -aS'6\t6\tCD\tB-NP\tO' -p174307 -aS'to\tto\tTO\tI-NP\tO' -p174308 -aS'10\t10\tCD\tI-NP\tO' -p174309 -aS'red\tred\tJJ\tI-NP\tO' -p174310 -aS'blood\tblood\tNN\tI-NP\tO' -p174311 -aS'cells\tcell\tNNS\tI-NP\tO' -p174312 -aS'.\t.\t.\tO\tO' -p174313 -asS'His chest incision is granulating in well .' -p174314 -(lp174315 -S'His\tHis\tPRP$\tB-NP\tO' -p174316 -aS'chest\tchest\tNN\tI-NP\tO' -p174317 -aS'incision\tincision\tNN\tI-NP\tO' -p174318 -aS'is\tbe\tVBZ\tB-VP\tO' -p174319 -aS'granulating\tgranulate\tVBG\tI-VP\tO' -p174320 -aS'in\tin\tRP\tB-PRT\tO' -p174321 -aS'well\twell\tRB\tB-ADVP\tO' -p174322 -aS'.\t.\t.\tO\tO' -p174323 -asS'5. Aluminum-Magnesium Hydroxide 225-200 mg/5 mL Suspension Sig : 15-30 MLs PO QID ( 4 times a day ) as needed for indigestion .' -p174324 -(lp174325 -S'5.\t5.\tLS\tB-NP\tO' -p174326 -aS'Aluminum-Magnesium\tAluminum-Magnesium\tNN\tI-NP\tO' -p174327 -aS'Hydroxide\tHydroxide\tNN\tI-NP\tO' -p174328 -aS'225-200\t225-200\tCD\tI-NP\tO' -p174329 -aS'mg/5\tmg/5\tNN\tI-NP\tO' -p174330 -aS'mL\tmL\tNN\tI-NP\tO' -p174331 -aS'Suspension\tSuspension\tNNP\tI-NP\tO' -p174332 -aS'Sig\tSig\tNNP\tI-NP\tO' -p174333 -aS':\t:\t:\tO\tO' -p174334 -aS'15-30\t15-30\tCD\tB-NP\tO' -p174335 -aS'MLs\tML\tNNS\tI-NP\tO' -p174336 -aS'PO\tPO\tNN\tI-NP\tO' -p174337 -aS'QID\tQID\tNN\tI-NP\tO' -p174338 -aS'(\t(\t(\tO\tO' -p174339 -aS'4\t4\tCD\tB-NP\tO' -p174340 -aS'times\ttime\tNNS\tI-NP\tO' -p174341 -aS'a\ta\tDT\tB-NP\tO' -p174342 -aS'day\tday\tNN\tI-NP\tO' -p174343 -aS')\t)\t)\tO\tO' -p174344 -aS'as\tas\tIN\tB-SBAR\tO' -p174345 -aS'needed\tneed\tVBN\tB-VP\tO' -p174346 -aS'for\tfor\tIN\tB-PP\tO' -p174347 -aS'indigestion\tindigestion\tNN\tB-NP\tO' -p174348 -aS'.\t.\t.\tO\tO' -p174349 -asS'Electrophysiology service , started on Procainamide and Coumadin .' -p174350 -(lp174351 -S'Electrophysiology\tElectrophysiology\tNN\tB-NP\tO' -p174352 -aS'service\tservice\tNN\tI-NP\tO' -p174353 -aS',\t,\t,\tO\tO' -p174354 -aS'started\tstart\tVBN\tB-VP\tO' -p174355 -aS'on\ton\tIN\tB-PP\tO' -p174356 -aS'Procainamide\tProcainamide\tNN\tB-NP\tO' -p174357 -aS'and\tand\tCC\tI-NP\tO' -p174358 -aS'Coumadin\tCoumadin\tNN\tI-NP\tO' -p174359 -aS'.\t.\t.\tO\tO' -p174360 -asS'6. Fungal cystitis .' -p174361 -(lp174362 -S'6.\t6.\tLS\tB-NP\tO' -p174363 -aS'Fungal\tFungal\tJJ\tI-NP\tO' -p174364 -aS'cystitis\tcystitis\tNN\tI-NP\tO' -p174365 -aS'.\t.\t.\tO\tO' -p174366 -asS'She has been taking from 130 to 160 cc. per kilo per day on an ad lib feeding plan .' -p174367 -(lp174368 -S'She\tShe\tPRP\tB-NP\tO' -p174369 -aS'has\thave\tVBZ\tB-VP\tO' -p174370 -aS'been\tbe\tVBN\tI-VP\tO' -p174371 -aS'taking\ttake\tVBG\tI-VP\tO' -p174372 -aS'from\tfrom\tIN\tB-PP\tO' -p174373 -aS'130\t130\tCD\tB-NP\tO' -p174374 -aS'to\tto\tTO\tI-NP\tO' -p174375 -aS'160\t160\tCD\tI-NP\tO' -p174376 -aS'cc.\tcc.\tNN\tI-NP\tO' -p174377 -aS'per\tper\tIN\tB-PP\tO' -p174378 -aS'kilo\tkilo\tNN\tB-NP\tO' -p174379 -aS'per\tper\tIN\tB-PP\tO' -p174380 -aS'day\tday\tNN\tB-NP\tO' -p174381 -aS'on\ton\tIN\tB-PP\tO' -p174382 -aS'an\tan\tDT\tB-NP\tO' -p174383 -aS'ad\tad\tNN\tI-NP\tO' -p174384 -aS'lib\tlib\tNN\tI-NP\tO' -p174385 -aS'feeding\tfeeding\tNN\tI-NP\tO' -p174386 -aS'plan\tplan\tNN\tI-NP\tO' -p174387 -aS'.\t.\t.\tO\tO' -p174388 -asS'Upon discharge the patient was changed to a BID protonix regimen .' -p174389 -(lp174390 -S'Upon\tUpon\tIN\tB-PP\tO' -p174391 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p174392 -aS'the\tthe\tDT\tB-NP\tO' -p174393 -aS'patient\tpatient\tNN\tI-NP\tO' -p174394 -aS'was\tbe\tVBD\tB-VP\tO' -p174395 -aS'changed\tchange\tVBN\tI-VP\tO' -p174396 -aS'to\tto\tTO\tB-PP\tO' -p174397 -aS'a\ta\tDT\tB-NP\tO' -p174398 -aS'BID\tBID\tNN\tI-NP\tO' -p174399 -aS'protonix\tprotonix\tNN\tI-NP\tO' -p174400 -aS'regimen\tregimen\tNN\tI-NP\tO' -p174401 -aS'.\t.\t.\tO\tO' -p174402 -asS'She has a well healed umbilical hernia scar for approximately 2 1/2 cm .' -p174403 -(lp174404 -S'She\tShe\tPRP\tB-NP\tO' -p174405 -aS'has\thave\tVBZ\tB-VP\tO' -p174406 -aS'a\ta\tDT\tB-NP\tO' -p174407 -aS'well\twell\tRB\tI-NP\tO' -p174408 -aS'healed\theal\tVBN\tI-NP\tO' -p174409 -aS'umbilical\tumbilical\tJJ\tI-NP\tO' -p174410 -aS'hernia\thernia\tNN\tI-NP\tO' -p174411 -aS'scar\tscar\tNN\tI-NP\tO' -p174412 -aS'for\tfor\tIN\tB-PP\tO' -p174413 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p174414 -aS'2\t2\tCD\tI-NP\tO' -p174415 -aS'1/2\t1/2\tCD\tI-NP\tO' -p174416 -aS'cm\tcm\tNN\tI-NP\tO' -p174417 -aS'.\t.\t.\tO\tO' -p174418 -asS'If the patient achieves above adequate weight gain of 18-20 grams per kilogram per day , consider decreasing calories to standard 20 kilocalories per ounce .' -p174419 -(lp174420 -S'If\tIf\tIN\tB-SBAR\tO' -p174421 -aS'the\tthe\tDT\tB-NP\tO' -p174422 -aS'patient\tpatient\tNN\tI-NP\tO' -p174423 -aS'achieves\tachieve\tVBZ\tB-VP\tO' -p174424 -aS'above\tabove\tIN\tB-PP\tO' -p174425 -aS'adequate\tadequate\tJJ\tB-NP\tO' -p174426 -aS'weight\tweight\tNN\tI-NP\tO' -p174427 -aS'gain\tgain\tNN\tI-NP\tO' -p174428 -aS'of\tof\tIN\tB-PP\tO' -p174429 -aS'18-20\t18-20\tCD\tB-NP\tO' -p174430 -aS'grams\tgram\tNNS\tI-NP\tO' -p174431 -aS'per\tper\tIN\tB-PP\tO' -p174432 -aS'kilogram\tkilogram\tNN\tB-NP\tO' -p174433 -aS'per\tper\tIN\tB-PP\tO' -p174434 -aS'day\tday\tNN\tB-NP\tO' -p174435 -aS',\t,\t,\tO\tO' -p174436 -aS'consider\tconsider\tVB\tB-VP\tO' -p174437 -aS'decreasing\tdecrease\tVBG\tI-VP\tO' -p174438 -aS'calories\tcalorie\tNNS\tB-NP\tO' -p174439 -aS'to\tto\tTO\tB-VP\tO' -p174440 -aS'standard\tstandard\tVB\tI-VP\tO' -p174441 -aS'20\t20\tCD\tB-NP\tO' -p174442 -aS'kilocalories\tkilocalorie\tNNS\tI-NP\tO' -p174443 -aS'per\tper\tIN\tB-PP\tO' -p174444 -aS'ounce\tounce\tNN\tB-NP\tO' -p174445 -aS'.\t.\t.\tO\tO' -p174446 -asS'The left anterior descending had moderate plaques with a 50% proximal stenosis of the right anterior oblique caudal view .' -p174447 -(lp174448 -S'The\tThe\tDT\tB-NP\tO' -p174449 -aS'left\tleft\tJJ\tI-NP\tO' -p174450 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p174451 -aS'descending\tdescending\tNN\tI-NP\tO' -p174452 -aS'had\thave\tVBD\tB-VP\tO' -p174453 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p174454 -aS'plaques\tplaque\tNNS\tI-NP\tO' -p174455 -aS'with\twith\tIN\tB-PP\tO' -p174456 -aS'a\ta\tDT\tB-NP\tO' -p174457 -aS'50%\t50%\tCD\tI-NP\tO' -p174458 -aS'proximal\tproximal\tJJ\tI-NP\tO' -p174459 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p174460 -aS'of\tof\tIN\tB-PP\tO' -p174461 -aS'the\tthe\tDT\tB-NP\tO' -p174462 -aS'right\tright\tJJ\tI-NP\tO' -p174463 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p174464 -aS'oblique\toblique\tJJ\tI-NP\tO' -p174465 -aS'caudal\tcaudal\tJJ\tI-NP\tO' -p174466 -aS'view\tview\tNN\tI-NP\tO' -p174467 -aS'.\t.\t.\tO\tO' -p174468 -asS'Postop he has had numerous visits to the ED for co fevers , sweats , and SOB .' -p174469 -(lp174470 -S'Postop\tPostop\tVB\tB-VP\tO' -p174471 -aS'he\the\tPRP\tB-NP\tO' -p174472 -aS'has\thave\tVBZ\tB-VP\tO' -p174473 -aS'had\thave\tVBN\tI-VP\tO' -p174474 -aS'numerous\tnumerous\tJJ\tB-NP\tO' -p174475 -aS'visits\tvisit\tNNS\tI-NP\tO' -p174476 -aS'to\tto\tTO\tB-PP\tO' -p174477 -aS'the\tthe\tDT\tB-NP\tO' -p174478 -aS'ED\tED\tNN\tI-NP\tO' -p174479 -aS'for\tfor\tIN\tB-PP\tO' -p174480 -aS'co\tco\tNN\tB-NP\tO' -p174481 -aS'fevers\tfever\tNNS\tI-NP\tO' -p174482 -aS',\t,\t,\tO\tO' -p174483 -aS'sweats\tsweat\tNNS\tB-NP\tO' -p174484 -aS',\t,\t,\tO\tO' -p174485 -aS'and\tand\tCC\tO\tO' -p174486 -aS'SOB\tSOB\tNN\tB-NP\tB-protein' -p174487 -aS'.\t.\t.\tO\tO' -p174488 -asS'The patient was a 71 year old white female with a history of carcinoid lung cancer who presented for evaluation of a tracheoesophageal fistula .' -p174489 -(lp174490 -S'The\tThe\tDT\tB-NP\tO' -p174491 -aS'patient\tpatient\tNN\tI-NP\tO' -p174492 -aS'was\tbe\tVBD\tB-VP\tO' -p174493 -aS'a\ta\tDT\tB-NP\tO' -p174494 -aS'71\t71\tCD\tI-NP\tO' -p174495 -aS'year\tyear\tNN\tI-NP\tO' -p174496 -aS'old\told\tJJ\tI-NP\tO' -p174497 -aS'white\twhite\tJJ\tI-NP\tO' -p174498 -aS'female\tfemale\tNN\tI-NP\tO' -p174499 -aS'with\twith\tIN\tB-PP\tO' -p174500 -aS'a\ta\tDT\tB-NP\tO' -p174501 -aS'history\thistory\tNN\tI-NP\tO' -p174502 -aS'of\tof\tIN\tB-PP\tO' -p174503 -aS'carcinoid\tcarcinoid\tJJ\tB-NP\tO' -p174504 -aS'lung\tlung\tNN\tI-NP\tO' -p174505 -aS'cancer\tcancer\tNN\tI-NP\tO' -p174506 -aS'who\twho\tWP\tB-NP\tO' -p174507 -aS'presented\tpresent\tVBD\tB-VP\tO' -p174508 -aS'for\tfor\tIN\tB-PP\tO' -p174509 -aS'evaluation\tevaluation\tNN\tB-NP\tO' -p174510 -aS'of\tof\tIN\tB-PP\tO' -p174511 -aS'a\ta\tDT\tB-NP\tO' -p174512 -aS'tracheoesophageal\ttracheoesophageal\tJJ\tI-NP\tO' -p174513 -aS'fistula\tfistula\tNN\tI-NP\tO' -p174514 -aS'.\t.\t.\tO\tO' -p174515 -asS'At that time he was made NPO with IVF , placed on Ampicillin / Levofloxacin / Flagyl and underwent IR placement of a drainage catheter for his abdominopelvic fluid collection .' -p174516 -(lp174517 -S'At\tAt\tIN\tB-PP\tO' -p174518 -aS'that\tthat\tDT\tB-NP\tO' -p174519 -aS'time\ttime\tNN\tI-NP\tO' -p174520 -aS'he\the\tPRP\tB-NP\tO' -p174521 -aS'was\tbe\tVBD\tB-VP\tO' -p174522 -aS'made\tmake\tVBN\tI-VP\tO' -p174523 -aS'NPO\tNPO\tNN\tB-NP\tB-protein' -p174524 -aS'with\twith\tIN\tB-PP\tO' -p174525 -aS'IVF\tIVF\tNN\tB-NP\tB-protein' -p174526 -aS',\t,\t,\tO\tO' -p174527 -aS'placed\tplace\tVBN\tB-VP\tO' -p174528 -aS'on\ton\tIN\tB-PP\tO' -p174529 -aS'Ampicillin\tAmpicillin\tNN\tB-NP\tB-protein' -p174530 -aS'/\t/\tSYM\tI-NP\tO' -p174531 -aS'Levofloxacin\tLevofloxacin\tNN\tI-NP\tO' -p174532 -aS'/\t/\tSYM\tB-NP\tO' -p174533 -aS'Flagyl\tFlagyl\tNN\tI-NP\tO' -p174534 -aS'and\tand\tCC\tO\tO' -p174535 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p174536 -aS'IR\tIR\tNN\tB-NP\tO' -p174537 -aS'placement\tplacement\tNN\tI-NP\tO' -p174538 -aS'of\tof\tIN\tB-PP\tO' -p174539 -aS'a\ta\tDT\tB-NP\tO' -p174540 -aS'drainage\tdrainage\tNN\tI-NP\tO' -p174541 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p174542 -aS'for\tfor\tIN\tB-PP\tO' -p174543 -aS'his\this\tPRP$\tB-NP\tO' -p174544 -aS'abdominopelvic\tabdominopelvic\tJJ\tI-NP\tO' -p174545 -aS'fluid\tfluid\tNN\tI-NP\tO' -p174546 -aS'collection\tcollection\tNN\tI-NP\tO' -p174547 -aS'.\t.\t.\tO\tO' -p174548 -asS'mixed mesodermal cancer .' -p174549 -(lp174550 -S'mixed\tmixed\tJJ\tB-NP\tO' -p174551 -aS'mesodermal\tmesodermal\tJJ\tI-NP\tO' -p174552 -aS'cancer\tcancer\tNN\tI-NP\tO' -p174553 -aS'.\t.\t.\tO\tO' -p174554 -asS'The patient expressed a desire to be full code , so he was transferred to the Intensive Care Unit .' -p174555 -(lp174556 -S'The\tThe\tDT\tB-NP\tO' -p174557 -aS'patient\tpatient\tNN\tI-NP\tO' -p174558 -aS'expressed\texpress\tVBD\tB-VP\tO' -p174559 -aS'a\ta\tDT\tB-NP\tO' -p174560 -aS'desire\tdesire\tNN\tI-NP\tO' -p174561 -aS'to\tto\tTO\tB-VP\tO' -p174562 -aS'be\tbe\tVB\tI-VP\tO' -p174563 -aS'full\tfull\tJJ\tB-NP\tO' -p174564 -aS'code\tcode\tNN\tI-NP\tO' -p174565 -aS',\t,\t,\tO\tO' -p174566 -aS'so\tso\tIN\tB-SBAR\tO' -p174567 -aS'he\the\tPRP\tB-NP\tO' -p174568 -aS'was\tbe\tVBD\tB-VP\tO' -p174569 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p174570 -aS'to\tto\tTO\tB-PP\tO' -p174571 -aS'the\tthe\tDT\tB-NP\tO' -p174572 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p174573 -aS'Care\tCare\tNNP\tI-NP\tO' -p174574 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p174575 -aS'.\t.\t.\tO\tO' -p174576 -asS'Her alkaline phosphatase was 1514 .' -p174577 -(lp174578 -S'Her\tHer\tPRP$\tB-NP\tO' -p174579 -aS'alkaline\talkaline\tNN\tI-NP\tB-protein' -p174580 -aS'phosphatase\tphosphatase\tNN\tI-NP\tI-protein' -p174581 -aS'was\tbe\tVBD\tB-VP\tO' -p174582 -aS'1514\t1514\tCD\tB-NP\tO' -p174583 -aS'.\t.\t.\tO\tO' -p174584 -asS'The heart sounds are regular rate and rhythm and no murmur , rub or gallop are appreciated .' -p174585 -(lp174586 -S'The\tThe\tDT\tB-NP\tO' -p174587 -aS'heart\theart\tNN\tI-NP\tO' -p174588 -aS'sounds\tsound\tNNS\tI-NP\tO' -p174589 -aS'are\tbe\tVBP\tB-VP\tO' -p174590 -aS'regular\tregular\tJJ\tB-NP\tO' -p174591 -aS'rate\trate\tNN\tI-NP\tO' -p174592 -aS'and\tand\tCC\tI-NP\tO' -p174593 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p174594 -aS'and\tand\tCC\tO\tO' -p174595 -aS'no\tno\tDT\tB-NP\tO' -p174596 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p174597 -aS',\t,\t,\tI-NP\tO' -p174598 -aS'rub\trub\tNN\tI-NP\tO' -p174599 -aS'or\tor\tCC\tI-NP\tO' -p174600 -aS'gallop\tgallop\tNN\tI-NP\tO' -p174601 -aS'are\tbe\tVBP\tB-VP\tO' -p174602 -aS'appreciated\tappreciate\tVBN\tI-VP\tO' -p174603 -aS'.\t.\t.\tO\tO' -p174604 -asS'He was discharged home on Percocet and Keflex .' -p174605 -(lp174606 -S'He\tHe\tPRP\tB-NP\tO' -p174607 -aS'was\tbe\tVBD\tB-VP\tO' -p174608 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p174609 -aS'home\thome\tNN\tB-ADVP\tO' -p174610 -aS'on\ton\tIN\tB-PP\tO' -p174611 -aS'Percocet\tPercocet\tNNP\tB-NP\tO' -p174612 -aS'and\tand\tCC\tI-NP\tO' -p174613 -aS'Keflex\tKeflex\tNNP\tI-NP\tO' -p174614 -aS'.\t.\t.\tO\tO' -p174615 -asS'5. Overall stability in metastatic burden .' -p174616 -(lp174617 -S'5.\t5.\tLS\tB-NP\tO' -p174618 -aS'Overall\tOverall\tJJ\tI-NP\tO' -p174619 -aS'stability\tstability\tNN\tI-NP\tO' -p174620 -aS'in\tin\tIN\tB-PP\tO' -p174621 -aS'metastatic\tmetastatic\tJJ\tB-NP\tO' -p174622 -aS'burden\tburden\tNN\tI-NP\tO' -p174623 -aS'.\t.\t.\tO\tO' -p174624 -asS'Extremities were normal .' -p174625 -(lp174626 -S'Extremities\tExtremity\tNNS\tB-NP\tO' -p174627 -aS'were\tbe\tVBD\tB-VP\tO' -p174628 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p174629 -aS'.\t.\t.\tO\tO' -p174630 -asS'the fine motor movements of the left hand were diminished , there was a mild dysmetria on the left side to finger / nose and heel / shin .' -p174631 -(lp174632 -S'the\tthe\tDT\tB-NP\tO' -p174633 -aS'fine\tfine\tJJ\tI-NP\tO' -p174634 -aS'motor\tmotor\tNN\tI-NP\tO' -p174635 -aS'movements\tmovement\tNNS\tI-NP\tO' -p174636 -aS'of\tof\tIN\tB-PP\tO' -p174637 -aS'the\tthe\tDT\tB-NP\tO' -p174638 -aS'left\tleft\tJJ\tI-NP\tO' -p174639 -aS'hand\thand\tNN\tI-NP\tO' -p174640 -aS'were\tbe\tVBD\tB-VP\tO' -p174641 -aS'diminished\tdiminish\tVBN\tI-VP\tO' -p174642 -aS',\t,\t,\tO\tO' -p174643 -aS'there\tthere\tEX\tB-NP\tO' -p174644 -aS'was\tbe\tVBD\tB-VP\tO' -p174645 -aS'a\ta\tDT\tB-NP\tO' -p174646 -aS'mild\tmild\tJJ\tI-NP\tO' -p174647 -aS'dysmetria\tdysmetria\tNN\tI-NP\tO' -p174648 -aS'on\ton\tIN\tB-PP\tO' -p174649 -aS'the\tthe\tDT\tB-NP\tO' -p174650 -aS'left\tleft\tJJ\tI-NP\tO' -p174651 -aS'side\tside\tNN\tI-NP\tO' -p174652 -aS'to\tto\tTO\tB-PP\tO' -p174653 -aS'finger\tfinger\tNN\tB-NP\tO' -p174654 -aS'/\t/\tSYM\tB-NP\tO' -p174655 -aS'nose\tnose\tNN\tI-NP\tO' -p174656 -aS'and\tand\tCC\tI-NP\tO' -p174657 -aS'heel\theel\tNN\tI-NP\tO' -p174658 -aS'/\t/\tSYM\tB-NP\tO' -p174659 -aS'shin\tshin\tNN\tI-NP\tO' -p174660 -aS'.\t.\t.\tO\tO' -p174661 -asS'Patient says pain is similar in location and quality to the pain she had with her MI , although with her MI the pain was much more intense ( 20x worse ) .' -p174662 -(lp174663 -S'Patient\tPatient\tNN\tB-NP\tO' -p174664 -aS'says\tsay\tVBZ\tB-VP\tO' -p174665 -aS'pain\tpain\tNN\tB-NP\tO' -p174666 -aS'is\tbe\tVBZ\tB-VP\tO' -p174667 -aS'similar\tsimilar\tJJ\tB-ADJP\tO' -p174668 -aS'in\tin\tIN\tB-PP\tO' -p174669 -aS'location\tlocation\tNN\tB-NP\tO' -p174670 -aS'and\tand\tCC\tO\tO' -p174671 -aS'quality\tquality\tNN\tB-NP\tO' -p174672 -aS'to\tto\tTO\tB-PP\tO' -p174673 -aS'the\tthe\tDT\tB-NP\tO' -p174674 -aS'pain\tpain\tNN\tI-NP\tO' -p174675 -aS'she\tshe\tPRP\tB-NP\tO' -p174676 -aS'had\thave\tVBD\tB-VP\tO' -p174677 -aS'with\twith\tIN\tB-PP\tO' -p174678 -aS'her\ther\tPRP$\tB-NP\tO' -p174679 -aS'MI\tMI\tNN\tI-NP\tO' -p174680 -aS',\t,\t,\tO\tO' -p174681 -aS'although\talthough\tIN\tB-SBAR\tO' -p174682 -aS'with\twith\tIN\tB-PP\tO' -p174683 -aS'her\ther\tPRP$\tB-NP\tO' -p174684 -aS'MI\tMI\tNN\tI-NP\tO' -p174685 -aS'the\tthe\tDT\tB-NP\tO' -p174686 -aS'pain\tpain\tNN\tI-NP\tO' -p174687 -aS'was\tbe\tVBD\tB-VP\tO' -p174688 -aS'much\tmuch\tRB\tB-ADJP\tO' -p174689 -aS'more\tmore\tRBR\tI-ADJP\tO' -p174690 -aS'intense\tintense\tJJ\tI-ADJP\tO' -p174691 -aS'(\t(\t(\tO\tO' -p174692 -aS'20x\t20x\tCD\tB-NP\tO' -p174693 -aS'worse\tworse\tJJR\tB-ADJP\tO' -p174694 -aS')\t)\t)\tO\tO' -p174695 -aS'.\t.\t.\tO\tO' -p174696 -asS'Her dopamine was weaned off the following day , and her heparin was discontinued secondary to a right groin hematoma which had developed after the sheath had been pulled out by the fellow .' -p174697 -(lp174698 -S'Her\tHer\tPRP$\tB-NP\tO' -p174699 -aS'dopamine\tdopamine\tNN\tI-NP\tO' -p174700 -aS'was\tbe\tVBD\tB-VP\tO' -p174701 -aS'weaned\twean\tVBN\tI-VP\tO' -p174702 -aS'off\toff\tRP\tB-PRT\tO' -p174703 -aS'the\tthe\tDT\tB-NP\tO' -p174704 -aS'following\tfollow\tVBG\tI-NP\tO' -p174705 -aS'day\tday\tNN\tI-NP\tO' -p174706 -aS',\t,\t,\tO\tO' -p174707 -aS'and\tand\tCC\tO\tO' -p174708 -aS'her\ther\tPRP$\tB-NP\tO' -p174709 -aS'heparin\theparin\tNN\tI-NP\tO' -p174710 -aS'was\tbe\tVBD\tB-VP\tO' -p174711 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p174712 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p174713 -aS'to\tto\tTO\tB-PP\tO' -p174714 -aS'a\ta\tDT\tB-NP\tO' -p174715 -aS'right\tright\tJJ\tI-NP\tO' -p174716 -aS'groin\tgroin\tNN\tI-NP\tO' -p174717 -aS'hematoma\thematoma\tNN\tI-NP\tO' -p174718 -aS'which\twhich\tWDT\tB-NP\tO' -p174719 -aS'had\thave\tVBD\tB-VP\tO' -p174720 -aS'developed\tdevelop\tVBN\tI-VP\tO' -p174721 -aS'after\tafter\tIN\tB-PP\tO' -p174722 -aS'the\tthe\tDT\tB-NP\tO' -p174723 -aS'sheath\tsheath\tNN\tI-NP\tO' -p174724 -aS'had\thave\tVBD\tB-VP\tO' -p174725 -aS'been\tbe\tVBN\tI-VP\tO' -p174726 -aS'pulled\tpull\tVBN\tI-VP\tO' -p174727 -aS'out\tout\tRP\tB-PRT\tO' -p174728 -aS'by\tby\tIN\tB-PP\tO' -p174729 -aS'the\tthe\tDT\tB-NP\tO' -p174730 -aS'fellow\tfellow\tNN\tI-NP\tO' -p174731 -aS'.\t.\t.\tO\tO' -p174732 -asS'She has 3 kids who live far away .' -p174733 -(lp174734 -S'She\tShe\tPRP\tB-NP\tO' -p174735 -aS'has\thave\tVBZ\tB-VP\tO' -p174736 -aS'3\t3\tCD\tB-NP\tO' -p174737 -aS'kids\tkid\tNNS\tI-NP\tO' -p174738 -aS'who\twho\tWP\tB-NP\tO' -p174739 -aS'live\tlive\tVBP\tB-VP\tO' -p174740 -aS'far\tfar\tRB\tB-ADVP\tO' -p174741 -aS'away\taway\tRB\tI-ADVP\tO' -p174742 -aS'.\t.\t.\tO\tO' -p174743 -asS'He previously underwent bronchoscopy with washings which showed to be negative for malignant cells and showed atypical bronchial epithelial cells , likely to be reactive .' -p174744 -(lp174745 -S'He\tHe\tPRP\tB-NP\tO' -p174746 -aS'previously\tpreviously\tRB\tB-ADVP\tO' -p174747 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p174748 -aS'bronchoscopy\tbronchoscopy\tNN\tB-NP\tO' -p174749 -aS'with\twith\tIN\tB-PP\tO' -p174750 -aS'washings\twashing\tNNS\tB-NP\tO' -p174751 -aS'which\twhich\tWDT\tB-NP\tO' -p174752 -aS'showed\tshow\tVBD\tB-VP\tO' -p174753 -aS'to\tto\tTO\tI-VP\tO' -p174754 -aS'be\tbe\tVB\tI-VP\tO' -p174755 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p174756 -aS'for\tfor\tIN\tB-PP\tO' -p174757 -aS'malignant\tmalignant\tJJ\tB-NP\tB-cell_type' -p174758 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p174759 -aS'and\tand\tCC\tO\tO' -p174760 -aS'showed\tshow\tVBD\tB-VP\tO' -p174761 -aS'atypical\tatypical\tJJ\tB-NP\tB-cell_type' -p174762 -aS'bronchial\tbronchial\tJJ\tI-NP\tI-cell_type' -p174763 -aS'epithelial\tepithelial\tJJ\tI-NP\tI-cell_type' -p174764 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p174765 -aS',\t,\t,\tO\tO' -p174766 -aS'likely\tlikely\tJJ\tB-ADJP\tO' -p174767 -aS'to\tto\tTO\tB-VP\tO' -p174768 -aS'be\tbe\tVB\tI-VP\tO' -p174769 -aS'reactive\treactive\tJJ\tB-ADJP\tO' -p174770 -aS'.\t.\t.\tO\tO' -p174771 -asS'She was initially noted to have a slow ventricular response in atrial fibrillation , but this gradually improved over time .' -p174772 -(lp174773 -S'She\tShe\tPRP\tB-NP\tO' -p174774 -aS'was\tbe\tVBD\tB-VP\tO' -p174775 -aS'initially\tinitially\tRB\tI-VP\tO' -p174776 -aS'noted\tnote\tVBN\tI-VP\tO' -p174777 -aS'to\tto\tTO\tI-VP\tO' -p174778 -aS'have\thave\tVB\tI-VP\tO' -p174779 -aS'a\ta\tDT\tB-NP\tO' -p174780 -aS'slow\tslow\tJJ\tI-NP\tO' -p174781 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p174782 -aS'response\tresponse\tNN\tI-NP\tO' -p174783 -aS'in\tin\tIN\tB-PP\tO' -p174784 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p174785 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p174786 -aS',\t,\t,\tO\tO' -p174787 -aS'but\tbut\tCC\tO\tO' -p174788 -aS'this\tthis\tDT\tB-NP\tO' -p174789 -aS'gradually\tgradually\tRB\tI-NP\tO' -p174790 -aS'improved\timprove\tVBN\tB-VP\tO' -p174791 -aS'over\tover\tIN\tB-PP\tO' -p174792 -aS'time\ttime\tNN\tB-NP\tO' -p174793 -aS'.\t.\t.\tO\tO' -p174794 -asS'Work-up for the source of the primary tumor which is still unknown included a mammogram which identified no suspicious microcalcifications and no dominant masses .' -p174795 -(lp174796 -S'Work-up\tWork-up\tJJ\tB-ADJP\tO' -p174797 -aS'for\tfor\tIN\tB-PP\tO' -p174798 -aS'the\tthe\tDT\tB-NP\tO' -p174799 -aS'source\tsource\tNN\tI-NP\tO' -p174800 -aS'of\tof\tIN\tB-PP\tO' -p174801 -aS'the\tthe\tDT\tB-NP\tO' -p174802 -aS'primary\tprimary\tJJ\tI-NP\tO' -p174803 -aS'tumor\ttumor\tNN\tI-NP\tO' -p174804 -aS'which\twhich\tWDT\tB-NP\tO' -p174805 -aS'is\tbe\tVBZ\tB-VP\tO' -p174806 -aS'still\tstill\tRB\tB-ADVP\tO' -p174807 -aS'unknown\tunknown\tJJ\tB-ADJP\tO' -p174808 -aS'included\tinclude\tVBD\tB-VP\tO' -p174809 -aS'a\ta\tDT\tB-NP\tO' -p174810 -aS'mammogram\tmammogram\tNN\tI-NP\tO' -p174811 -aS'which\twhich\tWDT\tB-NP\tO' -p174812 -aS'identified\tidentify\tVBD\tB-VP\tO' -p174813 -aS'no\tno\tDT\tB-NP\tO' -p174814 -aS'suspicious\tsuspicious\tJJ\tI-NP\tO' -p174815 -aS'microcalcifications\tmicrocalcification\tNNS\tI-NP\tO' -p174816 -aS'and\tand\tCC\tO\tO' -p174817 -aS'no\tno\tDT\tB-NP\tO' -p174818 -aS'dominant\tdominant\tJJ\tI-NP\tO' -p174819 -aS'masses\tmass\tNNS\tI-NP\tO' -p174820 -aS'.\t.\t.\tO\tO' -p174821 -asS'Neck - Tender on the leftside with no lymphadenopathy or thyromegaly .' -p174822 -(lp174823 -S'Neck\tNeck\tNN\tB-NP\tO' -p174824 -aS'-\t-\tHYPH\tI-NP\tO' -p174825 -aS'Tender\tTender\tNN\tI-NP\tO' -p174826 -aS'on\ton\tIN\tB-PP\tO' -p174827 -aS'the\tthe\tDT\tB-NP\tO' -p174828 -aS'leftside\tleftside\tNN\tI-NP\tO' -p174829 -aS'with\twith\tIN\tB-PP\tO' -p174830 -aS'no\tno\tDT\tB-NP\tO' -p174831 -aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' -p174832 -aS'or\tor\tCC\tO\tO' -p174833 -aS'thyromegaly\tthyromegaly\tRB\tB-ADVP\tO' -p174834 -aS'.\t.\t.\tO\tO' -p174835 -asS'The organism grown at this institution was sensitive to Imipenem , Ceftazidime , Amikacin , gentamicin , Ciprofloxacin , Tobramycin but was resistant to Cefotetan , Ceftriaxone , Mezlocillin , Bactrim , Ampicillin , chloramphenicol , and sulbactam .' -p174836 -(lp174837 -S'The\tThe\tDT\tB-NP\tO' -p174838 -aS'organism\torganism\tNN\tI-NP\tO' -p174839 -aS'grown\tgrow\tVBN\tB-VP\tO' -p174840 -aS'at\tat\tIN\tB-PP\tO' -p174841 -aS'this\tthis\tDT\tB-NP\tO' -p174842 -aS'institution\tinstitution\tNN\tI-NP\tO' -p174843 -aS'was\tbe\tVBD\tB-VP\tO' -p174844 -aS'sensitive\tsensitive\tJJ\tB-ADJP\tO' -p174845 -aS'to\tto\tTO\tB-PP\tO' -p174846 -aS'Imipenem\tImipenem\tNN\tB-NP\tO' -p174847 -aS',\t,\t,\tO\tO' -p174848 -aS'Ceftazidime\tCeftazidime\tNN\tB-NP\tO' -p174849 -aS',\t,\t,\tO\tO' -p174850 -aS'Amikacin\tAmikacin\tNN\tB-NP\tO' -p174851 -aS',\t,\t,\tO\tO' -p174852 -aS'gentamicin\tgentamicin\tNN\tB-NP\tO' -p174853 -aS',\t,\t,\tO\tO' -p174854 -aS'Ciprofloxacin\tCiprofloxacin\tNN\tB-NP\tO' -p174855 -aS',\t,\t,\tO\tO' -p174856 -aS'Tobramycin\tTobramycin\tNN\tB-NP\tO' -p174857 -aS'but\tbut\tCC\tO\tO' -p174858 -aS'was\tbe\tVBD\tB-VP\tO' -p174859 -aS'resistant\tresistant\tJJ\tB-ADJP\tO' -p174860 -aS'to\tto\tTO\tB-PP\tO' -p174861 -aS'Cefotetan\tCefotetan\tNNP\tB-NP\tO' -p174862 -aS',\t,\t,\tO\tO' -p174863 -aS'Ceftriaxone\tCeftriaxone\tNNP\tB-NP\tO' -p174864 -aS',\t,\t,\tO\tO' -p174865 -aS'Mezlocillin\tMezlocillin\tNNP\tB-NP\tO' -p174866 -aS',\t,\t,\tO\tO' -p174867 -aS'Bactrim\tBactrim\tNNP\tB-NP\tO' -p174868 -aS',\t,\t,\tO\tO' -p174869 -aS'Ampicillin\tAmpicillin\tNNP\tB-NP\tO' -p174870 -aS',\t,\t,\tO\tO' -p174871 -aS'chloramphenicol\tchloramphenicol\tNN\tB-NP\tO' -p174872 -aS',\t,\t,\tO\tO' -p174873 -aS'and\tand\tCC\tO\tO' -p174874 -aS'sulbactam\tsulbactam\tNN\tB-NP\tO' -p174875 -aS'.\t.\t.\tO\tO' -p174876 -asS'Blood pressure 150/82 , heart rate 88 , respiratory rate 18 .' -p174877 -(lp174878 -S'Blood\tBlood\tNN\tB-NP\tO' -p174879 -aS'pressure\tpressure\tNN\tI-NP\tO' -p174880 -aS'150/82\t150/82\tCD\tI-NP\tO' -p174881 -aS',\t,\t,\tO\tO' -p174882 -aS'heart\theart\tNN\tB-NP\tO' -p174883 -aS'rate\trate\tNN\tI-NP\tO' -p174884 -aS'88\t88\tCD\tI-NP\tO' -p174885 -aS',\t,\t,\tI-NP\tO' -p174886 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p174887 -aS'rate\trate\tNN\tI-NP\tO' -p174888 -aS'18\t18\tCD\tI-NP\tO' -p174889 -aS'.\t.\t.\tO\tO' -p174890 -asS'For this reason , her normal Lopressor and Norvasc were held .' -p174891 -(lp174892 -S'For\tFor\tIN\tB-PP\tO' -p174893 -aS'this\tthis\tDT\tB-NP\tO' -p174894 -aS'reason\treason\tNN\tI-NP\tO' -p174895 -aS',\t,\t,\tO\tO' -p174896 -aS'her\ther\tPRP$\tB-NP\tO' -p174897 -aS'normal\tnormal\tJJ\tI-NP\tO' -p174898 -aS'Lopressor\tLopressor\tNN\tI-NP\tO' -p174899 -aS'and\tand\tCC\tI-NP\tO' -p174900 -aS'Norvasc\tNorvasc\tNN\tI-NP\tO' -p174901 -aS'were\tbe\tVBD\tB-VP\tO' -p174902 -aS'held\thold\tVBN\tI-VP\tO' -p174903 -aS'.\t.\t.\tO\tO' -p174904 -asS'Aspirin , Folate , Multivitamin , Amiodarone , Lasix , Imdur , Celexa , Lipitor , Potassium .' -p174905 -(lp174906 -S'Aspirin\tAspirin\tNN\tB-NP\tO' -p174907 -aS',\t,\t,\tO\tO' -p174908 -aS'Folate\tFolate\tNNP\tB-NP\tO' -p174909 -aS',\t,\t,\tO\tO' -p174910 -aS'Multivitamin\tMultivitamin\tNNP\tB-NP\tO' -p174911 -aS',\t,\t,\tO\tO' -p174912 -aS'Amiodarone\tAmiodarone\tNNP\tB-NP\tO' -p174913 -aS',\t,\t,\tO\tO' -p174914 -aS'Lasix\tLasix\tNNP\tB-NP\tO' -p174915 -aS',\t,\t,\tO\tO' -p174916 -aS'Imdur\tImdur\tNNP\tB-NP\tO' -p174917 -aS',\t,\t,\tO\tO' -p174918 -aS'Celexa\tCelexa\tNNP\tB-NP\tO' -p174919 -aS',\t,\t,\tO\tO' -p174920 -aS'Lipitor\tLipitor\tNNP\tB-NP\tO' -p174921 -aS',\t,\t,\tO\tO' -p174922 -aS'Potassium\tPotassium\tNNP\tB-NP\tO' -p174923 -aS'.\t.\t.\tO\tO' -p174924 -asS'Discussions were held with the patient 's family with regard to her previously expressed wishes not to be maintained on artificial life support for extended period of time with little or no hope for recovery .' -p174925 -(lp174926 -S'Discussions\tDiscussion\tNNS\tB-NP\tO' -p174927 -aS'were\tbe\tVBD\tB-VP\tO' -p174928 -aS'held\thold\tVBN\tI-VP\tO' -p174929 -aS'with\twith\tIN\tB-PP\tO' -p174930 -aS'the\tthe\tDT\tB-NP\tO' -p174931 -aS'patient\tpatient\tNN\tI-NP\tO' -p174932 -aS''s\t'\tNNS\tI-NP\tO' -p174933 -aS'family\tfamily\tNN\tI-NP\tO' -p174934 -aS'with\twith\tIN\tB-PP\tO' -p174935 -aS'regard\tregard\tNN\tB-NP\tO' -p174936 -aS'to\tto\tTO\tB-PP\tO' -p174937 -aS'her\ther\tPRP\tB-NP\tO' -p174938 -aS'previously\tpreviously\tRB\tB-VP\tO' -p174939 -aS'expressed\texpress\tVBN\tI-VP\tO' -p174940 -aS'wishes\twish\tVBZ\tB-VP\tO' -p174941 -aS'not\tnot\tRB\tO\tO' -p174942 -aS'to\tto\tTO\tB-VP\tO' -p174943 -aS'be\tbe\tVB\tI-VP\tO' -p174944 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p174945 -aS'on\ton\tIN\tB-PP\tO' -p174946 -aS'artificial\tartificial\tJJ\tB-NP\tO' -p174947 -aS'life\tlife\tNN\tI-NP\tO' -p174948 -aS'support\tsupport\tNN\tI-NP\tO' -p174949 -aS'for\tfor\tIN\tB-PP\tO' -p174950 -aS'extended\textended\tJJ\tB-NP\tO' -p174951 -aS'period\tperiod\tNN\tI-NP\tO' -p174952 -aS'of\tof\tIN\tB-PP\tO' -p174953 -aS'time\ttime\tNN\tB-NP\tO' -p174954 -aS'with\twith\tIN\tB-PP\tO' -p174955 -aS'little\tlittle\tJJ\tB-NP\tO' -p174956 -aS'or\tor\tCC\tI-NP\tO' -p174957 -aS'no\tno\tDT\tI-NP\tO' -p174958 -aS'hope\thope\tNN\tI-NP\tO' -p174959 -aS'for\tfor\tIN\tB-PP\tO' -p174960 -aS'recovery\trecovery\tNN\tB-NP\tO' -p174961 -aS'.\t.\t.\tO\tO' -p174962 -asS'5. Cellulitis .' -p174963 -(lp174964 -S'5.\t5.\tLS\tB-NP\tO' -p174965 -aS'Cellulitis\tCellulitis\tNN\tI-NP\tO' -p174966 -aS'.\t.\t.\tO\tO' -p174967 -asS'Serial CT head revealed decreased blood through 2014-11-14 .' -p174968 -(lp174969 -S'Serial\tSerial\tJJ\tB-NP\tO' -p174970 -aS'CT\tCT\tNN\tI-NP\tO' -p174971 -aS'head\thead\tNN\tI-NP\tO' -p174972 -aS'revealed\treveal\tVBD\tB-VP\tO' -p174973 -aS'decreased\tdecrease\tVBN\tB-NP\tO' -p174974 -aS'blood\tblood\tNN\tI-NP\tO' -p174975 -aS'through\tthrough\tIN\tB-PP\tO' -p174976 -aS'2014-11-14\t2014-11-14\tCD\tB-NP\tO' -p174977 -aS'.\t.\t.\tO\tO' -p174978 -asS'Notably , intracranial pressure was 17 when the bolt was placed .' -p174979 -(lp174980 -S'Notably\tNotably\tRB\tB-ADVP\tO' -p174981 -aS',\t,\t,\tO\tO' -p174982 -aS'intracranial\tintracranial\tJJ\tB-NP\tO' -p174983 -aS'pressure\tpressure\tNN\tI-NP\tO' -p174984 -aS'was\tbe\tVBD\tB-VP\tO' -p174985 -aS'17\t17\tCD\tB-NP\tO' -p174986 -aS'when\twhen\tWRB\tB-ADVP\tO' -p174987 -aS'the\tthe\tDT\tB-NP\tO' -p174988 -aS'bolt\tbolt\tNN\tI-NP\tO' -p174989 -aS'was\tbe\tVBD\tB-VP\tO' -p174990 -aS'placed\tplace\tVBN\tI-VP\tO' -p174991 -aS'.\t.\t.\tO\tO' -p174992 -asS'The patient was also started on a clear diet .' -p174993 -(lp174994 -S'The\tThe\tDT\tB-NP\tO' -p174995 -aS'patient\tpatient\tNN\tI-NP\tO' -p174996 -aS'was\tbe\tVBD\tB-VP\tO' -p174997 -aS'also\talso\tRB\tI-VP\tO' -p174998 -aS'started\tstart\tVBN\tI-VP\tO' -p174999 -aS'on\ton\tIN\tB-PP\tO' -p175000 -aS'a\ta\tDT\tB-NP\tO' -p175001 -aS'clear\tclear\tJJ\tI-NP\tO' -p175002 -aS'diet\tdiet\tNN\tI-NP\tO' -p175003 -aS'.\t.\t.\tO\tO' -p175004 -asS'11. Amlodipine 10 mg p.o. q. day .' -p175005 -(lp175006 -S'11.\t11.\tCD\tB-NP\tO' -p175007 -aS'Amlodipine\tAmlodipine\tNN\tI-NP\tO' -p175008 -aS'10\t10\tCD\tB-NP\tO' -p175009 -aS'mg\tmg\tNN\tI-NP\tO' -p175010 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p175011 -aS'q.\tq.\tNN\tI-NP\tO' -p175012 -aS'day\tday\tNN\tI-NP\tO' -p175013 -aS'.\t.\t.\tO\tO' -p175014 -asS'Pt found to be hypothermic w/ WBC 17 ( pt on steroids ) pnuemobilia and thickening of sigmoid .' -p175015 -(lp175016 -S'Pt\tPt\tNN\tB-NP\tO' -p175017 -aS'found\tfind\tVBN\tB-VP\tO' -p175018 -aS'to\tto\tTO\tI-VP\tO' -p175019 -aS'be\tbe\tVB\tI-VP\tO' -p175020 -aS'hypothermic\thypothermic\tJJ\tB-NP\tO' -p175021 -aS'w/\tw/\tNN\tI-NP\tO' -p175022 -aS'WBC\tWBC\tNN\tI-NP\tO' -p175023 -aS'17\t17\tCD\tI-NP\tO' -p175024 -aS'(\t(\t(\tO\tO' -p175025 -aS'pt\tpt\tNN\tB-NP\tO' -p175026 -aS'on\ton\tIN\tB-PP\tO' -p175027 -aS'steroids\tsteroid\tNNS\tB-NP\tO' -p175028 -aS')\t)\t)\tO\tO' -p175029 -aS'pnuemobilia\tpnuemobilia\tNN\tB-NP\tO' -p175030 -aS'and\tand\tCC\tI-NP\tO' -p175031 -aS'thickening\tthickening\tNN\tI-NP\tO' -p175032 -aS'of\tof\tIN\tB-PP\tO' -p175033 -aS'sigmoid\tsigmoid\tNN\tB-NP\tO' -p175034 -aS'.\t.\t.\tO\tO' -p175035 -asS'Status post CVA times two in 2010 , arthritis , hypertension , hypercholesterolemia , status post remote pneumonia , status post remote pleurisy , psoriasis .' -p175036 -(lp175037 -S'Status\tStatus\tNNP\tB-NP\tO' -p175038 -aS'post\tpost\tIN\tB-PP\tO' -p175039 -aS'CVA\tCVA\tNNP\tB-NP\tO' -p175040 -aS'times\ttime\tNNS\tI-NP\tO' -p175041 -aS'two\ttwo\tCD\tB-NP\tO' -p175042 -aS'in\tin\tIN\tB-PP\tO' -p175043 -aS'2010\t2010\tCD\tB-NP\tO' -p175044 -aS',\t,\t,\tO\tO' -p175045 -aS'arthritis\tarthritis\tNN\tB-NP\tO' -p175046 -aS',\t,\t,\tO\tO' -p175047 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p175048 -aS',\t,\t,\tO\tO' -p175049 -aS'hypercholesterolemia\thypercholesterolemia\tNN\tB-NP\tO' -p175050 -aS',\t,\t,\tO\tO' -p175051 -aS'status\tstatus\tNN\tB-NP\tO' -p175052 -aS'post\tpost\tNN\tI-NP\tO' -p175053 -aS'remote\tremote\tJJ\tI-NP\tO' -p175054 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p175055 -aS',\t,\t,\tO\tO' -p175056 -aS'status\tstatus\tNN\tB-NP\tO' -p175057 -aS'post\tpost\tNN\tI-NP\tO' -p175058 -aS'remote\tremote\tJJ\tI-NP\tO' -p175059 -aS'pleurisy\tpleurisy\tNN\tI-NP\tO' -p175060 -aS',\t,\t,\tO\tO' -p175061 -aS'psoriasis\tpsoriasis\tNN\tB-NP\tO' -p175062 -aS'.\t.\t.\tO\tO' -p175063 -asS'She initially received a treatment of BiPAP on arrival as she was barely able to speak .' -p175064 -(lp175065 -S'She\tShe\tPRP\tB-NP\tO' -p175066 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p175067 -aS'received\treceive\tVBD\tB-VP\tO' -p175068 -aS'a\ta\tDT\tB-NP\tO' -p175069 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p175070 -aS'of\tof\tIN\tB-PP\tO' -p175071 -aS'BiPAP\tBiPAP\tNN\tB-NP\tB-protein' -p175072 -aS'on\ton\tIN\tB-PP\tO' -p175073 -aS'arrival\tarrival\tNN\tB-NP\tO' -p175074 -aS'as\tas\tIN\tB-SBAR\tO' -p175075 -aS'she\tshe\tPRP\tB-NP\tO' -p175076 -aS'was\tbe\tVBD\tB-VP\tO' -p175077 -aS'barely\tbarely\tRB\tB-ADJP\tO' -p175078 -aS'able\table\tJJ\tI-ADJP\tO' -p175079 -aS'to\tto\tTO\tB-VP\tO' -p175080 -aS'speak\tspeak\tVB\tI-VP\tO' -p175081 -aS'.\t.\t.\tO\tO' -p175082 -asS'He was discharged in good condition .' -p175083 -(lp175084 -S'He\tHe\tPRP\tB-NP\tO' -p175085 -aS'was\tbe\tVBD\tB-VP\tO' -p175086 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p175087 -aS'in\tin\tIN\tB-PP\tO' -p175088 -aS'good\tgood\tJJ\tB-NP\tO' -p175089 -aS'condition\tcondition\tNN\tI-NP\tO' -p175090 -aS'.\t.\t.\tO\tO' -p175091 -asS'It was presumed high-speed motor vehicle collision .' -p175092 -(lp175093 -S'It\tIt\tPRP\tB-NP\tO' -p175094 -aS'was\tbe\tVBD\tB-VP\tO' -p175095 -aS'presumed\tpresume\tVBN\tI-VP\tO' -p175096 -aS'high-speed\thigh-speed\tJJ\tB-NP\tO' -p175097 -aS'motor\tmotor\tNN\tI-NP\tO' -p175098 -aS'vehicle\tvehicle\tNN\tI-NP\tO' -p175099 -aS'collision\tcollision\tNN\tI-NP\tO' -p175100 -aS'.\t.\t.\tO\tO' -p175101 -asS'He was subsequently restared on Vancomycin for Corynebacterium in blood cx from Fri ; Followup cx has been NGTD .' -p175102 -(lp175103 -S'He\tHe\tPRP\tB-NP\tO' -p175104 -aS'was\tbe\tVBD\tB-VP\tO' -p175105 -aS'subsequently\tsubsequently\tRB\tI-VP\tO' -p175106 -aS'restared\trestare\tVBN\tI-VP\tO' -p175107 -aS'on\ton\tIN\tB-PP\tO' -p175108 -aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' -p175109 -aS'for\tfor\tIN\tB-PP\tO' -p175110 -aS'Corynebacterium\tCorynebacterium\tNN\tB-NP\tO' -p175111 -aS'in\tin\tIN\tB-PP\tO' -p175112 -aS'blood\tblood\tNN\tB-NP\tO' -p175113 -aS'cx\tcx\tNN\tI-NP\tO' -p175114 -aS'from\tfrom\tIN\tB-PP\tO' -p175115 -aS'Fri\tFri\tNNP\tB-NP\tO' -p175116 -aS';\t;\t:\tO\tO' -p175117 -aS'Followup\tFollowup\tNN\tB-NP\tO' -p175118 -aS'cx\tcx\tNN\tI-NP\tO' -p175119 -aS'has\thave\tVBZ\tB-VP\tO' -p175120 -aS'been\tbe\tVBN\tI-VP\tO' -p175121 -aS'NGTD\tNGTD\tNN\tB-NP\tO' -p175122 -aS'.\t.\t.\tO\tO' -p175123 -asS'BS present , hypoactive .' -p175124 -(lp175125 -S'BS\tBS\tNN\tB-NP\tO' -p175126 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p175127 -aS',\t,\t,\tO\tO' -p175128 -aS'hypoactive\thypoactive\tJJ\tB-ADJP\tO' -p175129 -aS'.\t.\t.\tO\tO' -p175130 -asS'There was no evidence of bleeding .' -p175131 -(lp175132 -S'There\tThere\tEX\tB-NP\tO' -p175133 -aS'was\tbe\tVBD\tB-VP\tO' -p175134 -aS'no\tno\tDT\tB-NP\tO' -p175135 -aS'evidence\tevidence\tNN\tI-NP\tO' -p175136 -aS'of\tof\tIN\tB-PP\tO' -p175137 -aS'bleeding\tbleed\tVBG\tB-NP\tO' -p175138 -aS'.\t.\t.\tO\tO' -p175139 -asS'Toxicology consulted and felt that patient most likely had benzo overdose .' -p175140 -(lp175141 -S'Toxicology\tToxicology\tNNP\tB-NP\tO' -p175142 -aS'consulted\tconsult\tVBD\tB-VP\tO' -p175143 -aS'and\tand\tCC\tO\tO' -p175144 -aS'felt\tfeel\tVBD\tB-VP\tO' -p175145 -aS'that\tthat\tIN\tB-SBAR\tO' -p175146 -aS'patient\tpatient\tNN\tB-NP\tO' -p175147 -aS'most\tmost\tRBS\tB-ADVP\tO' -p175148 -aS'likely\tlikely\tRB\tI-ADVP\tO' -p175149 -aS'had\thave\tVBD\tB-VP\tO' -p175150 -aS'benzo\tbenzo\tNN\tB-NP\tO' -p175151 -aS'overdose\toverdose\tNN\tI-NP\tO' -p175152 -aS'.\t.\t.\tO\tO' -p175153 -asS'Currently , the patient is postoperative day #6 .' -p175154 -(lp175155 -S'Currently\tCurrently\tRB\tB-ADVP\tO' -p175156 -aS',\t,\t,\tO\tO' -p175157 -aS'the\tthe\tDT\tB-NP\tO' -p175158 -aS'patient\tpatient\tNN\tI-NP\tO' -p175159 -aS'is\tbe\tVBZ\tB-VP\tO' -p175160 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p175161 -aS'day\tday\tNN\tI-NP\tO' -p175162 -aS'#6\t#6\tCD\tI-NP\tO' -p175163 -aS'.\t.\t.\tO\tO' -p175164 -asS'In April 1994 he presented with an acute inferior myocardial infarction and was given Streptokinase .' -p175165 -(lp175166 -S'In\tIn\tIN\tB-PP\tO' -p175167 -aS'April\tApril\tNNP\tB-NP\tO' -p175168 -aS'1994\t1994\tCD\tI-NP\tO' -p175169 -aS'he\the\tPRP\tB-NP\tO' -p175170 -aS'presented\tpresent\tVBD\tB-VP\tO' -p175171 -aS'with\twith\tIN\tB-PP\tO' -p175172 -aS'an\tan\tDT\tB-NP\tO' -p175173 -aS'acute\tacute\tJJ\tI-NP\tO' -p175174 -aS'inferior\tinferior\tJJ\tI-NP\tO' -p175175 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p175176 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p175177 -aS'and\tand\tCC\tO\tO' -p175178 -aS'was\tbe\tVBD\tB-VP\tO' -p175179 -aS'given\tgive\tVBN\tI-VP\tO' -p175180 -aS'Streptokinase\tStreptokinase\tNNP\tB-NP\tO' -p175181 -aS'.\t.\t.\tO\tO' -p175182 -asS'Patient should remain on this medication .' -p175183 -(lp175184 -S'Patient\tPatient\tNN\tB-NP\tO' -p175185 -aS'should\tshould\tMD\tB-VP\tO' -p175186 -aS'remain\tremain\tVB\tI-VP\tO' -p175187 -aS'on\ton\tIN\tB-PP\tO' -p175188 -aS'this\tthis\tDT\tB-NP\tO' -p175189 -aS'medication\tmedication\tNN\tI-NP\tO' -p175190 -aS'.\t.\t.\tO\tO' -p175191 -asS'A repeat chest x-ray done for dyspnea showed persistent pleural effusion with atelectasis versus pneumonia .' -p175192 -(lp175193 -S'A\tA\tDT\tB-NP\tO' -p175194 -aS'repeat\trepeat\tNN\tI-NP\tO' -p175195 -aS'chest\tchest\tNN\tI-NP\tO' -p175196 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p175197 -aS'done\tdo\tVBN\tB-VP\tO' -p175198 -aS'for\tfor\tIN\tB-PP\tO' -p175199 -aS'dyspnea\tdyspnea\tNN\tB-NP\tO' -p175200 -aS'showed\tshow\tVBD\tB-VP\tO' -p175201 -aS'persistent\tpersistent\tJJ\tB-NP\tO' -p175202 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p175203 -aS'effusion\teffusion\tNN\tI-NP\tO' -p175204 -aS'with\twith\tIN\tB-PP\tO' -p175205 -aS'atelectasis\tatelectasis\tNN\tB-NP\tO' -p175206 -aS'versus\tversus\tIN\tB-PP\tO' -p175207 -aS'pneumonia\tpneumonia\tNN\tB-NP\tO' -p175208 -aS'.\t.\t.\tO\tO' -p175209 -asS"The patient was also seen in consultation by the Infectious Disease Service as well as the Cardiology Service who assisted in managing the patient 's intermittent hypertension ." -p175210 -(lp175211 -S'The\tThe\tDT\tB-NP\tO' -p175212 -aS'patient\tpatient\tNN\tI-NP\tO' -p175213 -aS'was\tbe\tVBD\tB-VP\tO' -p175214 -aS'also\talso\tRB\tI-VP\tO' -p175215 -aS'seen\tsee\tVBN\tI-VP\tO' -p175216 -aS'in\tin\tIN\tB-PP\tO' -p175217 -aS'consultation\tconsultation\tNN\tB-NP\tO' -p175218 -aS'by\tby\tIN\tB-PP\tO' -p175219 -aS'the\tthe\tDT\tB-NP\tO' -p175220 -aS'Infectious\tInfectious\tNNP\tI-NP\tO' -p175221 -aS'Disease\tDisease\tNNP\tI-NP\tO' -p175222 -aS'Service\tService\tNNP\tI-NP\tO' -p175223 -aS'as\tas\tRB\tB-CONJP\tO' -p175224 -aS'well\twell\tRB\tI-CONJP\tO' -p175225 -aS'as\tas\tIN\tI-CONJP\tO' -p175226 -aS'the\tthe\tDT\tB-NP\tO' -p175227 -aS'Cardiology\tCardiology\tNNP\tI-NP\tO' -p175228 -aS'Service\tService\tNNP\tI-NP\tO' -p175229 -aS'who\twho\tWP\tB-NP\tO' -p175230 -aS'assisted\tassist\tVBD\tB-VP\tO' -p175231 -aS'in\tin\tIN\tB-PP\tO' -p175232 -aS'managing\tmanage\tVBG\tB-VP\tO' -p175233 -aS'the\tthe\tDT\tB-NP\tO' -p175234 -aS'patient\tpatient\tNN\tI-NP\tO' -p175235 -aS"'s\t's\tPOS\tB-NP\tO" -p175236 -aS'intermittent\tintermittent\tJJ\tI-NP\tO' -p175237 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p175238 -aS'.\t.\t.\tO\tO' -p175239 -asS'She denies any fever , BRBPR , melena , dysuria .' -p175240 -(lp175241 -S'She\tShe\tPRP\tB-NP\tO' -p175242 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p175243 -aS'any\tany\tDT\tB-NP\tO' -p175244 -aS'fever\tfever\tNN\tI-NP\tO' -p175245 -aS',\t,\t,\tO\tO' -p175246 -aS'BRBPR\tBRBPR\tNN\tB-NP\tB-protein' -p175247 -aS',\t,\t,\tO\tO' -p175248 -aS'melena\tmelena\tNN\tB-NP\tO' -p175249 -aS',\t,\t,\tO\tO' -p175250 -aS'dysuria\tdysuria\tNN\tB-NP\tO' -p175251 -aS'.\t.\t.\tO\tO' -p175252 -asS'Patient is able to ambulate without any chest pain or discomfort .' -p175253 -(lp175254 -S'Patient\tPatient\tNN\tB-NP\tO' -p175255 -aS'is\tbe\tVBZ\tB-VP\tO' -p175256 -aS'able\table\tJJ\tB-ADJP\tO' -p175257 -aS'to\tto\tTO\tB-VP\tO' -p175258 -aS'ambulate\tambulate\tVB\tI-VP\tO' -p175259 -aS'without\twithout\tIN\tB-PP\tO' -p175260 -aS'any\tany\tDT\tB-NP\tO' -p175261 -aS'chest\tchest\tNN\tI-NP\tO' -p175262 -aS'pain\tpain\tNN\tI-NP\tO' -p175263 -aS'or\tor\tCC\tI-NP\tO' -p175264 -aS'discomfort\tdiscomfort\tNN\tI-NP\tO' -p175265 -aS'.\t.\t.\tO\tO' -p175266 -asS'He is feeding well .' -p175267 -(lp175268 -S'He\tHe\tPRP\tB-NP\tO' -p175269 -aS'is\tbe\tVBZ\tB-VP\tO' -p175270 -aS'feeding\tfeed\tVBG\tI-VP\tO' -p175271 -aS'well\twell\tRB\tB-ADVP\tO' -p175272 -aS'.\t.\t.\tO\tO' -p175273 -asS'2. Flomax 4 mg p.o. q. day .' -p175274 -(lp175275 -S'2.\t2.\tLS\tB-LST\tO' -p175276 -aS'Flomax\tFlomax\tNN\tB-NP\tO' -p175277 -aS'4\t4\tCD\tI-NP\tO' -p175278 -aS'mg\tmg\tNN\tI-NP\tO' -p175279 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p175280 -aS'q.\tq.\tNN\tI-NP\tO' -p175281 -aS'day\tday\tNN\tI-NP\tO' -p175282 -aS'.\t.\t.\tO\tO' -p175283 -asS'CPAP at 5 was attempted , but pt did not tolerate this .' -p175284 -(lp175285 -S'CPAP\tCPAP\tNN\tB-NP\tB-protein' -p175286 -aS'at\tat\tIN\tB-PP\tO' -p175287 -aS'5\t5\tCD\tB-NP\tO' -p175288 -aS'was\tbe\tVBD\tB-VP\tO' -p175289 -aS'attempted\tattempt\tVBN\tI-VP\tO' -p175290 -aS',\t,\t,\tO\tO' -p175291 -aS'but\tbut\tCC\tO\tO' -p175292 -aS'pt\tpt\tNN\tB-NP\tO' -p175293 -aS'did\tdo\tVBD\tB-VP\tO' -p175294 -aS'not\tnot\tRB\tI-VP\tO' -p175295 -aS'tolerate\ttolerate\tVB\tI-VP\tO' -p175296 -aS'this\tthis\tDT\tB-NP\tO' -p175297 -aS'.\t.\t.\tO\tO' -p175298 -asS'He was sent to the Emergency Department for further evaluation .' -p175299 -(lp175300 -S'He\tHe\tPRP\tB-NP\tO' -p175301 -aS'was\tbe\tVBD\tB-VP\tO' -p175302 -aS'sent\tsend\tVBN\tI-VP\tO' -p175303 -aS'to\tto\tTO\tB-PP\tO' -p175304 -aS'the\tthe\tDT\tB-NP\tO' -p175305 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p175306 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p175307 -aS'for\tfor\tIN\tB-PP\tO' -p175308 -aS'further\tfurther\tJJ\tB-NP\tO' -p175309 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p175310 -aS'.\t.\t.\tO\tO' -p175311 -asS'+ S4 .' -p175312 -(lp175313 -S'+\t+\tSYM\tB-NP\tO' -p175314 -aS'S4\tS4\tNN\tI-NP\tB-protein' -p175315 -aS'.\t.\t.\tO\tO' -p175316 -asS'The patient is a 65 year old male who sustained a small myocardial infarction first in 1978 , with course thereafter including a coronary artery bypass graft by Dr. Wierst ______________at Noughwell Entanbon Health in 1986 .' -p175317 -(lp175318 -S'The\tThe\tDT\tB-NP\tO' -p175319 -aS'patient\tpatient\tNN\tI-NP\tO' -p175320 -aS'is\tbe\tVBZ\tB-VP\tO' -p175321 -aS'a\ta\tDT\tB-NP\tO' -p175322 -aS'65\t65\tCD\tI-NP\tO' -p175323 -aS'year\tyear\tNN\tI-NP\tO' -p175324 -aS'old\told\tJJ\tI-NP\tO' -p175325 -aS'male\tmale\tNN\tI-NP\tO' -p175326 -aS'who\twho\tWP\tB-NP\tO' -p175327 -aS'sustained\tsustain\tVBD\tB-VP\tO' -p175328 -aS'a\ta\tDT\tB-NP\tO' -p175329 -aS'small\tsmall\tJJ\tI-NP\tO' -p175330 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p175331 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p175332 -aS'first\tfirst\tRB\tB-ADVP\tO' -p175333 -aS'in\tin\tIN\tB-PP\tO' -p175334 -aS'1978\t1978\tCD\tB-NP\tO' -p175335 -aS',\t,\t,\tO\tO' -p175336 -aS'with\twith\tIN\tB-PP\tO' -p175337 -aS'course\tcourse\tNN\tB-NP\tO' -p175338 -aS'thereafter\tthereafter\tRB\tB-VP\tO' -p175339 -aS'including\tinclude\tVBG\tI-VP\tO' -p175340 -aS'a\ta\tDT\tB-NP\tO' -p175341 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p175342 -aS'artery\tartery\tNN\tI-NP\tO' -p175343 -aS'bypass\tbypass\tIN\tB-PP\tO' -p175344 -aS'graft\tgraft\tNN\tB-NP\tO' -p175345 -aS'by\tby\tIN\tB-PP\tO' -p175346 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p175347 -aS'Wierst\tWierst\tNNP\tI-NP\tO' -p175348 -aS'______________at\t______________at\tNNP\tI-NP\tO' -p175349 -aS'Noughwell\tNoughwell\tNNP\tI-NP\tO' -p175350 -aS'Entanbon\tEntanbon\tNNP\tI-NP\tO' -p175351 -aS'Health\tHealth\tNNP\tI-NP\tO' -p175352 -aS'in\tin\tIN\tB-PP\tO' -p175353 -aS'1986\t1986\tCD\tB-NP\tO' -p175354 -aS'.\t.\t.\tO\tO' -p175355 -asS'For lunch blood glucose of 101 to 150 equals 4 units , 151 to 200 equals 7 units , 201 to 250 equals 8 units , 251 to 350 equals 12 units , greater than 350 equals 15 units .' -p175356 -(lp175357 -S'For\tFor\tIN\tB-PP\tO' -p175358 -aS'lunch\tlunch\tNN\tB-NP\tO' -p175359 -aS'blood\tblood\tNN\tI-NP\tO' -p175360 -aS'glucose\tglucose\tNN\tI-NP\tO' -p175361 -aS'of\tof\tIN\tB-PP\tO' -p175362 -aS'101\t101\tCD\tB-NP\tB-DNA' -p175363 -aS'to\tto\tTO\tI-NP\tI-DNA' -p175364 -aS'150\t150\tCD\tI-NP\tI-DNA' -p175365 -aS'equals\tequal\tNNS\tI-NP\tI-DNA' -p175366 -aS'4\t4\tCD\tB-NP\tI-DNA' -p175367 -aS'units\tunit\tNNS\tI-NP\tI-DNA' -p175368 -aS',\t,\t,\tO\tO' -p175369 -aS'151\t151\tCD\tB-NP\tB-DNA' -p175370 -aS'to\tto\tTO\tI-NP\tI-DNA' -p175371 -aS'200\t200\tCD\tI-NP\tI-DNA' -p175372 -aS'equals\tequal\tNNS\tI-NP\tI-DNA' -p175373 -aS'7\t7\tCD\tB-NP\tI-DNA' -p175374 -aS'units\tunit\tNNS\tI-NP\tI-DNA' -p175375 -aS',\t,\t,\tO\tO' -p175376 -aS'201\t201\tCD\tB-NP\tB-DNA' -p175377 -aS'to\tto\tTO\tI-NP\tI-DNA' -p175378 -aS'250\t250\tCD\tI-NP\tI-DNA' -p175379 -aS'equals\tequal\tNNS\tI-NP\tI-DNA' -p175380 -aS'8\t8\tCD\tB-NP\tI-DNA' -p175381 -aS'units\tunit\tNNS\tI-NP\tI-DNA' -p175382 -aS',\t,\t,\tO\tO' -p175383 -aS'251\t251\tCD\tB-NP\tB-DNA' -p175384 -aS'to\tto\tTO\tI-NP\tI-DNA' -p175385 -aS'350\t350\tCD\tI-NP\tI-DNA' -p175386 -aS'equals\tequal\tNNS\tI-NP\tI-DNA' -p175387 -aS'12\t12\tCD\tB-NP\tI-DNA' -p175388 -aS'units\tunit\tNNS\tI-NP\tI-DNA' -p175389 -aS',\t,\t,\tO\tO' -p175390 -aS'greater\tgreat\tJJR\tB-NP\tO' -p175391 -aS'than\tthan\tIN\tI-NP\tO' -p175392 -aS'350\t350\tCD\tI-NP\tB-DNA' -p175393 -aS'equals\tequal\tNNS\tI-NP\tI-DNA' -p175394 -aS'15\t15\tCD\tB-NP\tI-DNA' -p175395 -aS'units\tunit\tNNS\tI-NP\tI-DNA' -p175396 -aS'.\t.\t.\tO\tO' -p175397 -asS'The patient also received a unit of packed red blood cells in an additional attempt to wean from Neo-Synephrine .' -p175398 -(lp175399 -S'The\tThe\tDT\tB-NP\tO' -p175400 -aS'patient\tpatient\tNN\tI-NP\tO' -p175401 -aS'also\talso\tRB\tB-ADVP\tO' -p175402 -aS'received\treceive\tVBD\tB-VP\tO' -p175403 -aS'a\ta\tDT\tB-NP\tO' -p175404 -aS'unit\tunit\tNN\tI-NP\tO' -p175405 -aS'of\tof\tIN\tB-PP\tO' -p175406 -aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' -p175407 -aS'red\tred\tJJ\tI-NP\tI-cell_type' -p175408 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p175409 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p175410 -aS'in\tin\tIN\tB-PP\tO' -p175411 -aS'an\tan\tDT\tB-NP\tO' -p175412 -aS'additional\tadditional\tJJ\tI-NP\tO' -p175413 -aS'attempt\tattempt\tNN\tI-NP\tO' -p175414 -aS'to\tto\tTO\tB-VP\tO' -p175415 -aS'wean\twean\tVB\tI-VP\tO' -p175416 -aS'from\tfrom\tIN\tB-PP\tO' -p175417 -aS'Neo-Synephrine\tNeo-Synephrine\tNN\tB-NP\tO' -p175418 -aS'.\t.\t.\tO\tO' -p175419 -asS'Humalog Max 75/25 , 20 units subcutaneous once a day in the morning .' -p175420 -(lp175421 -S'Humalog\tHumalog\tNNP\tB-NP\tO' -p175422 -aS'Max\tMax\tNNP\tI-NP\tO' -p175423 -aS'75/25\t75/25\tCD\tI-NP\tO' -p175424 -aS',\t,\t,\tI-NP\tO' -p175425 -aS'20\t20\tCD\tI-NP\tO' -p175426 -aS'units\tunit\tNNS\tI-NP\tO' -p175427 -aS'subcutaneous\tsubcutaneous\tJJ\tB-ADJP\tO' -p175428 -aS'once\tonce\tIN\tB-SBAR\tO' -p175429 -aS'a\ta\tDT\tB-NP\tO' -p175430 -aS'day\tday\tNN\tI-NP\tO' -p175431 -aS'in\tin\tIN\tB-PP\tO' -p175432 -aS'the\tthe\tDT\tB-NP\tO' -p175433 -aS'morning\tmorning\tNN\tI-NP\tO' -p175434 -aS'.\t.\t.\tO\tO' -p175435 -asS'Has lived in 896 Lokatspur Pkwy , Ingrich Vepobuffh , Indiana for 25 years and works as a teaching assistant in a second grade in Satlnonew Rollglend Pabridrham .' -p175436 -(lp175437 -S'Has\tHas\tNNP\tB-NP\tO' -p175438 -aS'lived\tlive\tVBD\tB-VP\tO' -p175439 -aS'in\tin\tIN\tB-PP\tO' -p175440 -aS'896\t896\tCD\tB-NP\tO' -p175441 -aS'Lokatspur\tLokatspur\tNNP\tI-NP\tO' -p175442 -aS'Pkwy\tPkwy\tNNP\tI-NP\tO' -p175443 -aS',\t,\t,\tO\tO' -p175444 -aS'Ingrich\tIngrich\tNNP\tB-NP\tO' -p175445 -aS'Vepobuffh\tVepobuffh\tNNP\tI-NP\tO' -p175446 -aS',\t,\t,\tO\tO' -p175447 -aS'Indiana\tIndiana\tNNP\tB-NP\tO' -p175448 -aS'for\tfor\tIN\tB-PP\tO' -p175449 -aS'25\t25\tCD\tB-NP\tO' -p175450 -aS'years\tyear\tNNS\tI-NP\tO' -p175451 -aS'and\tand\tCC\tI-NP\tO' -p175452 -aS'works\twork\tNNS\tI-NP\tO' -p175453 -aS'as\tas\tIN\tB-PP\tO' -p175454 -aS'a\ta\tDT\tB-NP\tO' -p175455 -aS'teaching\tteaching\tNN\tI-NP\tO' -p175456 -aS'assistant\tassistant\tNN\tI-NP\tO' -p175457 -aS'in\tin\tIN\tB-PP\tO' -p175458 -aS'a\ta\tDT\tB-NP\tO' -p175459 -aS'second\tsecond\tJJ\tI-NP\tO' -p175460 -aS'grade\tgrade\tNN\tI-NP\tO' -p175461 -aS'in\tin\tIN\tB-PP\tO' -p175462 -aS'Satlnonew\tSatlnonew\tNNP\tB-NP\tO' -p175463 -aS'Rollglend\tRollglend\tNNP\tI-NP\tO' -p175464 -aS'Pabridrham\tPabridrham\tNNP\tI-NP\tO' -p175465 -aS'.\t.\t.\tO\tO' -p175466 -asS'Her temperature was 102.2 ; blood pressure 135/64 ; pulse rate 108 ; respirations 24 ; oxygen saturations on room air 94% .' -p175467 -(lp175468 -S'Her\tHer\tPRP$\tB-NP\tO' -p175469 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p175470 -aS'was\tbe\tVBD\tB-VP\tO' -p175471 -aS'102.2\t102.2\tCD\tB-NP\tO' -p175472 -aS';\t;\t:\tO\tO' -p175473 -aS'blood\tblood\tNN\tB-NP\tO' -p175474 -aS'pressure\tpressure\tNN\tI-NP\tO' -p175475 -aS'135/64\t135/64\tCD\tI-NP\tO' -p175476 -aS';\t;\t:\tO\tO' -p175477 -aS'pulse\tpulse\tNN\tB-NP\tO' -p175478 -aS'rate\trate\tNN\tI-NP\tO' -p175479 -aS'108\t108\tCD\tI-NP\tO' -p175480 -aS';\t;\t:\tO\tO' -p175481 -aS'respirations\trespiration\tNNS\tB-NP\tO' -p175482 -aS'24\t24\tCD\tB-NP\tO' -p175483 -aS';\t;\t:\tO\tO' -p175484 -aS'oxygen\toxygen\tNN\tB-NP\tO' -p175485 -aS'saturations\tsaturation\tNNS\tI-NP\tO' -p175486 -aS'on\ton\tIN\tB-PP\tO' -p175487 -aS'room\troom\tNN\tB-NP\tB-DNA' -p175488 -aS'air\tair\tNN\tI-NP\tI-DNA' -p175489 -aS'94%\t94%\tCD\tI-NP\tI-DNA' -p175490 -aS'.\t.\t.\tO\tO' -p175491 -asS'Extraocular movements were intact .' -p175492 -(lp175493 -S'Extraocular\tExtraocular\tJJ\tB-NP\tO' -p175494 -aS'movements\tmovement\tNNS\tI-NP\tO' -p175495 -aS'were\tbe\tVBD\tB-VP\tO' -p175496 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p175497 -aS'.\t.\t.\tO\tO' -p175498 -asS'It was thought that the blood in the esophagus was secondary to a possible Mallory-Weiss tear .' -p175499 -(lp175500 -S'It\tIt\tPRP\tB-NP\tO' -p175501 -aS'was\tbe\tVBD\tB-VP\tO' -p175502 -aS'thought\tthink\tVBN\tI-VP\tO' -p175503 -aS'that\tthat\tIN\tB-SBAR\tO' -p175504 -aS'the\tthe\tDT\tB-NP\tO' -p175505 -aS'blood\tblood\tNN\tI-NP\tO' -p175506 -aS'in\tin\tIN\tB-PP\tO' -p175507 -aS'the\tthe\tDT\tB-NP\tO' -p175508 -aS'esophagus\tesophagus\tNN\tI-NP\tO' -p175509 -aS'was\tbe\tVBD\tB-VP\tO' -p175510 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p175511 -aS'to\tto\tTO\tB-PP\tO' -p175512 -aS'a\ta\tDT\tB-NP\tO' -p175513 -aS'possible\tpossible\tJJ\tI-NP\tO' -p175514 -aS'Mallory-Weiss\tMallory-Weiss\tJJ\tI-NP\tO' -p175515 -aS'tear\ttear\tNN\tI-NP\tO' -p175516 -aS'.\t.\t.\tO\tO' -p175517 -asS'5. Rheumatoid arthritis .' -p175518 -(lp175519 -S'5.\t5.\tLS\tB-NP\tO' -p175520 -aS'Rheumatoid\tRheumatoid\tJJ\tI-NP\tO' -p175521 -aS'arthritis\tarthritis\tNN\tI-NP\tO' -p175522 -aS'.\t.\t.\tO\tO' -p175523 -asS'On admission , the patient was diagnosed with acute pancreatitis .' -p175524 -(lp175525 -S'On\tOn\tIN\tB-PP\tO' -p175526 -aS'admission\tadmission\tNN\tB-NP\tO' -p175527 -aS',\t,\t,\tO\tO' -p175528 -aS'the\tthe\tDT\tB-NP\tO' -p175529 -aS'patient\tpatient\tNN\tI-NP\tO' -p175530 -aS'was\tbe\tVBD\tB-VP\tO' -p175531 -aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' -p175532 -aS'with\twith\tIN\tB-PP\tO' -p175533 -aS'acute\tacute\tJJ\tB-NP\tO' -p175534 -aS'pancreatitis\tpancreatitis\tNN\tI-NP\tO' -p175535 -aS'.\t.\t.\tO\tO' -p175536 -asS'Question mild erythema and warmth of left LE .' -p175537 -(lp175538 -S'Question\tQuestion\tNN\tB-NP\tO' -p175539 -aS'mild\tmild\tJJ\tI-NP\tO' -p175540 -aS'erythema\terythema\tNN\tI-NP\tO' -p175541 -aS'and\tand\tCC\tI-NP\tO' -p175542 -aS'warmth\twarmth\tNN\tI-NP\tO' -p175543 -aS'of\tof\tIN\tB-PP\tO' -p175544 -aS'left\tleft\tJJ\tB-NP\tO' -p175545 -aS'LE\tLE\tNN\tI-NP\tO' -p175546 -aS'.\t.\t.\tO\tO' -p175547 -asS'The patient was to arrange for Pulmonary and Medicine followup through her primary care physician upon discharge as she has not been seen in the Pulmonary Clinic in two years .' -p175548 -(lp175549 -S'The\tThe\tDT\tB-NP\tO' -p175550 -aS'patient\tpatient\tNN\tI-NP\tO' -p175551 -aS'was\tbe\tVBD\tB-VP\tO' -p175552 -aS'to\tto\tTO\tB-VP\tO' -p175553 -aS'arrange\tarrange\tVB\tI-VP\tO' -p175554 -aS'for\tfor\tIN\tB-PP\tO' -p175555 -aS'Pulmonary\tPulmonary\tNNP\tB-NP\tO' -p175556 -aS'and\tand\tCC\tI-NP\tO' -p175557 -aS'Medicine\tMedicine\tNNP\tI-NP\tO' -p175558 -aS'followup\tfollowup\tVBP\tB-VP\tO' -p175559 -aS'through\tthrough\tIN\tB-PP\tO' -p175560 -aS'her\ther\tPRP$\tB-NP\tO' -p175561 -aS'primary\tprimary\tJJ\tI-NP\tO' -p175562 -aS'care\tcare\tNN\tI-NP\tO' -p175563 -aS'physician\tphysician\tNN\tI-NP\tO' -p175564 -aS'upon\tupon\tIN\tB-PP\tO' -p175565 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p175566 -aS'as\tas\tIN\tB-SBAR\tO' -p175567 -aS'she\tshe\tPRP\tB-NP\tO' -p175568 -aS'has\thave\tVBZ\tB-VP\tO' -p175569 -aS'not\tnot\tRB\tI-VP\tO' -p175570 -aS'been\tbe\tVBN\tI-VP\tO' -p175571 -aS'seen\tsee\tVBN\tI-VP\tO' -p175572 -aS'in\tin\tIN\tB-PP\tO' -p175573 -aS'the\tthe\tDT\tB-NP\tO' -p175574 -aS'Pulmonary\tPulmonary\tNNP\tI-NP\tO' -p175575 -aS'Clinic\tClinic\tNNP\tI-NP\tO' -p175576 -aS'in\tin\tIN\tB-PP\tO' -p175577 -aS'two\ttwo\tCD\tB-NP\tO' -p175578 -aS'years\tyear\tNNS\tI-NP\tO' -p175579 -aS'.\t.\t.\tO\tO' -p175580 -asS"On postoperative day seven , the patient was refusing to be discharged to a rehabilitation facility despite his doctor 's insistence that he would do much better in an assisted environment ." -p175581 -(lp175582 -S'On\tOn\tIN\tB-PP\tO' -p175583 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p175584 -aS'day\tday\tNN\tI-NP\tO' -p175585 -aS'seven\tseven\tCD\tI-NP\tO' -p175586 -aS',\t,\t,\tO\tO' -p175587 -aS'the\tthe\tDT\tB-NP\tO' -p175588 -aS'patient\tpatient\tNN\tI-NP\tO' -p175589 -aS'was\tbe\tVBD\tB-VP\tO' -p175590 -aS'refusing\trefuse\tVBG\tI-VP\tO' -p175591 -aS'to\tto\tTO\tI-VP\tO' -p175592 -aS'be\tbe\tVB\tI-VP\tO' -p175593 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p175594 -aS'to\tto\tTO\tB-PP\tO' -p175595 -aS'a\ta\tDT\tB-NP\tO' -p175596 -aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' -p175597 -aS'facility\tfacility\tNN\tI-NP\tO' -p175598 -aS'despite\tdespite\tIN\tB-PP\tO' -p175599 -aS'his\this\tPRP$\tB-NP\tO' -p175600 -aS'doctor\tdoctor\tNN\tI-NP\tO' -p175601 -aS"'s\t's\tPOS\tB-NP\tO" -p175602 -aS'insistence\tinsistence\tNN\tI-NP\tO' -p175603 -aS'that\tthat\tIN\tB-SBAR\tO' -p175604 -aS'he\the\tPRP\tB-NP\tO' -p175605 -aS'would\twould\tMD\tB-VP\tO' -p175606 -aS'do\tdo\tVB\tI-VP\tO' -p175607 -aS'much\tmuch\tRB\tB-ADJP\tO' -p175608 -aS'better\tgood\tJJR\tI-ADJP\tO' -p175609 -aS'in\tin\tIN\tB-PP\tO' -p175610 -aS'an\tan\tDT\tB-NP\tO' -p175611 -aS'assisted\tassist\tVBN\tI-NP\tO' -p175612 -aS'environment\tenvironment\tNN\tI-NP\tO' -p175613 -aS'.\t.\t.\tO\tO' -p175614 -asS'Laparoscopy with biopsy for diagnosis .' -p175615 -(lp175616 -S'Laparoscopy\tLaparoscopy\tNN\tB-NP\tO' -p175617 -aS'with\twith\tIN\tB-PP\tO' -p175618 -aS'biopsy\tbiopsy\tNN\tB-NP\tO' -p175619 -aS'for\tfor\tIN\tB-PP\tO' -p175620 -aS'diagnosis\tdiagnosis\tNN\tB-NP\tO' -p175621 -aS'.\t.\t.\tO\tO' -p175622 -asS'He is to follow-up with Dr. Ellis in four weeks , Dr. Joseph Overstreet in one to two weeks .' -p175623 -(lp175624 -S'He\tHe\tPRP\tB-NP\tO' -p175625 -aS'is\tbe\tVBZ\tB-VP\tO' -p175626 -aS'to\tto\tTO\tB-VP\tO' -p175627 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p175628 -aS'with\twith\tIN\tB-PP\tO' -p175629 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p175630 -aS'Ellis\tEllis\tNNP\tI-NP\tO' -p175631 -aS'in\tin\tIN\tB-PP\tO' -p175632 -aS'four\tfour\tCD\tB-NP\tO' -p175633 -aS'weeks\tweek\tNNS\tI-NP\tO' -p175634 -aS',\t,\t,\tO\tO' -p175635 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p175636 -aS'Joseph\tJoseph\tNNP\tI-NP\tO' -p175637 -aS'Overstreet\tOverstreet\tNNP\tI-NP\tO' -p175638 -aS'in\tin\tIN\tB-PP\tO' -p175639 -aS'one\tone\tCD\tB-NP\tO' -p175640 -aS'to\tto\tTO\tI-NP\tO' -p175641 -aS'two\ttwo\tCD\tI-NP\tO' -p175642 -aS'weeks\tweek\tNNS\tI-NP\tO' -p175643 -aS'.\t.\t.\tO\tO' -p175644 -asS'2. Surfactant deficiency .' -p175645 -(lp175646 -S'2.\t2.\tLS\tB-NP\tO' -p175647 -aS'Surfactant\tSurfactant\tJJ\tI-NP\tO' -p175648 -aS'deficiency\tdeficiency\tNN\tI-NP\tO' -p175649 -aS'.\t.\t.\tO\tO' -p175650 -asS'She had followup with her primary cardiologist in Shaugnessy-Kaplan Rehab Hospital scheduled for 1 week postoperatively .' -p175651 -(lp175652 -S'She\tShe\tPRP\tB-NP\tO' -p175653 -aS'had\thave\tVBD\tB-VP\tO' -p175654 -aS'followup\tfollowup\tNN\tB-NP\tO' -p175655 -aS'with\twith\tIN\tB-PP\tO' -p175656 -aS'her\ther\tPRP$\tB-NP\tO' -p175657 -aS'primary\tprimary\tJJ\tI-NP\tO' -p175658 -aS'cardiologist\tcardiologist\tNN\tI-NP\tO' -p175659 -aS'in\tin\tIN\tB-PP\tO' -p175660 -aS'Shaugnessy-Kaplan\tShaugnessy-Kaplan\tNNP\tB-NP\tO' -p175661 -aS'Rehab\tRehab\tNNP\tI-NP\tO' -p175662 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p175663 -aS'scheduled\tschedule\tVBD\tB-VP\tO' -p175664 -aS'for\tfor\tIN\tB-PP\tO' -p175665 -aS'1\t1\tCD\tB-NP\tO' -p175666 -aS'week\tweek\tNN\tI-NP\tO' -p175667 -aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' -p175668 -aS'.\t.\t.\tO\tO' -p175669 -asS'8. Lisinopril 2.5 mg once a day .' -p175670 -(lp175671 -S'8.\t8.\tCD\tB-NP\tO' -p175672 -aS'Lisinopril\tLisinopril\tNNP\tI-NP\tO' -p175673 -aS'2.5\t2.5\tCD\tI-NP\tO' -p175674 -aS'mg\tmg\tNN\tI-NP\tO' -p175675 -aS'once\tonce\tRB\tB-ADVP\tO' -p175676 -aS'a\ta\tDT\tB-NP\tO' -p175677 -aS'day\tday\tNN\tI-NP\tO' -p175678 -aS'.\t.\t.\tO\tO' -p175679 -asS'Bilateral pleural effusions are unchanged .' -p175680 -(lp175681 -S'Bilateral\tBilateral\tJJ\tB-NP\tO' -p175682 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p175683 -aS'effusions\teffusion\tNNS\tI-NP\tO' -p175684 -aS'are\tbe\tVBP\tB-VP\tO' -p175685 -aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' -p175686 -aS'.\t.\t.\tO\tO' -p175687 -asS'The patient will continue on his antibiotics for pseudomonas pneumonia to complete the fourteen day course which was completed on 09/06/92 .' -p175688 -(lp175689 -S'The\tThe\tDT\tB-NP\tO' -p175690 -aS'patient\tpatient\tNN\tI-NP\tO' -p175691 -aS'will\twill\tMD\tB-VP\tO' -p175692 -aS'continue\tcontinue\tVB\tI-VP\tO' -p175693 -aS'on\ton\tIN\tB-PP\tO' -p175694 -aS'his\this\tPRP$\tB-NP\tO' -p175695 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p175696 -aS'for\tfor\tIN\tB-PP\tO' -p175697 -aS'pseudomonas\tpseudomonas\tNN\tB-NP\tO' -p175698 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p175699 -aS'to\tto\tTO\tB-VP\tO' -p175700 -aS'complete\tcomplete\tVB\tI-VP\tO' -p175701 -aS'the\tthe\tDT\tB-NP\tO' -p175702 -aS'fourteen\tfourteen\tCD\tI-NP\tO' -p175703 -aS'day\tday\tNN\tI-NP\tO' -p175704 -aS'course\tcourse\tNN\tI-NP\tO' -p175705 -aS'which\twhich\tWDT\tB-NP\tO' -p175706 -aS'was\tbe\tVBD\tB-VP\tO' -p175707 -aS'completed\tcomplete\tVBN\tI-VP\tO' -p175708 -aS'on\ton\tIN\tB-PP\tO' -p175709 -aS'09/06/92\t09/06/92\tCD\tB-NP\tO' -p175710 -aS'.\t.\t.\tO\tO' -p175711 -asS'Review of systems shows that the patient denies any orthopnea , paroxysmal nocturnal dyspnea .' -p175712 -(lp175713 -S'Review\tReview\tNN\tB-NP\tO' -p175714 -aS'of\tof\tIN\tB-PP\tO' -p175715 -aS'systems\tsystem\tNNS\tB-NP\tO' -p175716 -aS'shows\tshow\tVBZ\tB-VP\tO' -p175717 -aS'that\tthat\tIN\tB-SBAR\tO' -p175718 -aS'the\tthe\tDT\tB-NP\tO' -p175719 -aS'patient\tpatient\tNN\tI-NP\tO' -p175720 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p175721 -aS'any\tany\tDT\tB-NP\tO' -p175722 -aS'orthopnea\torthopnea\tJJ\tI-NP\tO' -p175723 -aS',\t,\t,\tI-NP\tO' -p175724 -aS'paroxysmal\tparoxysmal\tJJ\tI-NP\tO' -p175725 -aS'nocturnal\tnocturnal\tJJ\tI-NP\tO' -p175726 -aS'dyspnea\tdyspnea\tNN\tI-NP\tO' -p175727 -aS'.\t.\t.\tO\tO' -p175728 -asS'2. Medications : Not applicable .' -p175729 -(lp175730 -S'2.\t2.\tCD\tB-NP\tO' -p175731 -aS'Medications\tMedication\tNNS\tI-NP\tO' -p175732 -aS':\t:\t:\tO\tO' -p175733 -aS'Not\tNot\tRB\tB-ADJP\tO' -p175734 -aS'applicable\tapplicable\tJJ\tI-ADJP\tO' -p175735 -aS'.\t.\t.\tO\tO' -p175736 -asS'The patient received MMF 1 gram b.i.d. , Flagyl 500 mg IV x1 .' -p175737 -(lp175738 -S'The\tThe\tDT\tB-NP\tO' -p175739 -aS'patient\tpatient\tNN\tI-NP\tO' -p175740 -aS'received\treceive\tVBD\tB-VP\tO' -p175741 -aS'MMF\tMMF\tNN\tB-NP\tB-protein' -p175742 -aS'1\t1\tCD\tI-NP\tI-protein' -p175743 -aS'gram\tgram\tNN\tI-NP\tO' -p175744 -aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' -p175745 -aS',\t,\t,\tO\tO' -p175746 -aS'Flagyl\tFlagyl\tNNP\tB-NP\tO' -p175747 -aS'500\t500\tCD\tI-NP\tO' -p175748 -aS'mg\tmg\tNN\tI-NP\tO' -p175749 -aS'IV\tIV\tCD\tB-NP\tO' -p175750 -aS'x1\tx1\tNN\tI-NP\tO' -p175751 -aS'.\t.\t.\tO\tO' -p175752 -asS'The patient was also started on Mannitol .' -p175753 -(lp175754 -S'The\tThe\tDT\tB-NP\tO' -p175755 -aS'patient\tpatient\tNN\tI-NP\tO' -p175756 -aS'was\tbe\tVBD\tB-VP\tO' -p175757 -aS'also\talso\tRB\tI-VP\tO' -p175758 -aS'started\tstart\tVBN\tI-VP\tO' -p175759 -aS'on\ton\tIN\tB-PP\tO' -p175760 -aS'Mannitol\tMannitol\tNNP\tB-NP\tO' -p175761 -aS'.\t.\t.\tO\tO' -p175762 -asS'Fevers also may be from head bleed , cancer , or drug .' -p175763 -(lp175764 -S'Fevers\tFever\tNNS\tB-NP\tO' -p175765 -aS'also\talso\tRB\tB-ADVP\tO' -p175766 -aS'may\tmay\tMD\tB-VP\tO' -p175767 -aS'be\tbe\tVB\tI-VP\tO' -p175768 -aS'from\tfrom\tIN\tB-PP\tO' -p175769 -aS'head\thead\tNN\tB-NP\tO' -p175770 -aS'bleed\tbleed\tNN\tI-NP\tO' -p175771 -aS',\t,\t,\tO\tO' -p175772 -aS'cancer\tcancer\tNN\tB-NP\tO' -p175773 -aS',\t,\t,\tO\tO' -p175774 -aS'or\tor\tCC\tO\tO' -p175775 -aS'drug\tdrug\tNN\tB-NP\tO' -p175776 -aS'.\t.\t.\tO\tO' -p175777 -asS'The episode of potential seizure activity occurred in the setting of a bowel movement and may have been associated with vasovagal activity .' -p175778 -(lp175779 -S'The\tThe\tDT\tB-NP\tO' -p175780 -aS'episode\tepisode\tNN\tI-NP\tO' -p175781 -aS'of\tof\tIN\tB-PP\tO' -p175782 -aS'potential\tpotential\tJJ\tB-NP\tO' -p175783 -aS'seizure\tseizure\tNN\tI-NP\tO' -p175784 -aS'activity\tactivity\tNN\tI-NP\tO' -p175785 -aS'occurred\toccur\tVBD\tB-VP\tO' -p175786 -aS'in\tin\tIN\tB-PP\tO' -p175787 -aS'the\tthe\tDT\tB-NP\tO' -p175788 -aS'setting\tsetting\tNN\tI-NP\tO' -p175789 -aS'of\tof\tIN\tB-PP\tO' -p175790 -aS'a\ta\tDT\tB-NP\tO' -p175791 -aS'bowel\tbowel\tNN\tI-NP\tO' -p175792 -aS'movement\tmovement\tNN\tI-NP\tO' -p175793 -aS'and\tand\tCC\tO\tO' -p175794 -aS'may\tmay\tMD\tB-VP\tO' -p175795 -aS'have\thave\tVB\tI-VP\tO' -p175796 -aS'been\tbe\tVBN\tI-VP\tO' -p175797 -aS'associated\tassociate\tVBN\tI-VP\tO' -p175798 -aS'with\twith\tIN\tB-PP\tO' -p175799 -aS'vasovagal\tvasovagal\tJJ\tB-NP\tO' -p175800 -aS'activity\tactivity\tNN\tI-NP\tO' -p175801 -aS'.\t.\t.\tO\tO' -p175802 -asS'Urine cultures pending .' -p175803 -(lp175804 -S'Urine\tUrine\tNN\tB-NP\tB-cell_line' -p175805 -aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' -p175806 -aS'pending\tpende\tVBG\tB-VP\tO' -p175807 -aS'.\t.\t.\tO\tO' -p175808 -asS'His lungs were clear to auscultation .' -p175809 -(lp175810 -S'His\tHis\tPRP$\tB-NP\tO' -p175811 -aS'lungs\tlung\tNNS\tI-NP\tO' -p175812 -aS'were\tbe\tVBD\tB-VP\tO' -p175813 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p175814 -aS'to\tto\tTO\tB-PP\tO' -p175815 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p175816 -aS'.\t.\t.\tO\tO' -p175817 -asS'Floxin 200 mg po bid was begun .' -p175818 -(lp175819 -S'Floxin\tFloxin\tNN\tB-NP\tO' -p175820 -aS'200\t200\tCD\tI-NP\tO' -p175821 -aS'mg\tmg\tNN\tI-NP\tO' -p175822 -aS'po\tpo\tNN\tI-NP\tO' -p175823 -aS'bid\tbid\tNN\tI-NP\tO' -p175824 -aS'was\tbe\tVBD\tB-VP\tO' -p175825 -aS'begun\tbegin\tVBN\tI-VP\tO' -p175826 -aS'.\t.\t.\tO\tO' -p175827 -asS'Ampicillin and gentamycin were initiated on admission and an LP was done due to the clinical issues of respiratory distress and fever on admission to the CMED .' -p175828 -(lp175829 -S'Ampicillin\tAmpicillin\tNN\tB-NP\tO' -p175830 -aS'and\tand\tCC\tI-NP\tO' -p175831 -aS'gentamycin\tgentamycin\tNN\tI-NP\tO' -p175832 -aS'were\tbe\tVBD\tB-VP\tO' -p175833 -aS'initiated\tinitiate\tVBN\tI-VP\tO' -p175834 -aS'on\ton\tIN\tB-PP\tO' -p175835 -aS'admission\tadmission\tNN\tB-NP\tO' -p175836 -aS'and\tand\tCC\tO\tO' -p175837 -aS'an\tan\tDT\tB-NP\tO' -p175838 -aS'LP\tLP\tNN\tI-NP\tO' -p175839 -aS'was\tbe\tVBD\tB-VP\tO' -p175840 -aS'done\tdo\tVBN\tI-VP\tO' -p175841 -aS'due\tdue\tJJ\tB-ADJP\tO' -p175842 -aS'to\tto\tTO\tB-PP\tO' -p175843 -aS'the\tthe\tDT\tB-NP\tO' -p175844 -aS'clinical\tclinical\tJJ\tI-NP\tO' -p175845 -aS'issues\tissue\tNNS\tI-NP\tO' -p175846 -aS'of\tof\tIN\tB-PP\tO' -p175847 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p175848 -aS'distress\tdistress\tNN\tI-NP\tO' -p175849 -aS'and\tand\tCC\tI-NP\tO' -p175850 -aS'fever\tfever\tNN\tI-NP\tO' -p175851 -aS'on\ton\tIN\tB-PP\tO' -p175852 -aS'admission\tadmission\tNN\tB-NP\tO' -p175853 -aS'to\tto\tTO\tB-PP\tO' -p175854 -aS'the\tthe\tDT\tB-NP\tO' -p175855 -aS'CMED\tCMED\tNN\tI-NP\tO' -p175856 -aS'.\t.\t.\tO\tO' -p175857 -asS'8. Lipitor 20 mg Tablet Sig : One ( 1 ) Tablet PO once a day .' -p175858 -(lp175859 -S'8.\t8.\tCD\tB-NP\tO' -p175860 -aS'Lipitor\tLipitor\tNN\tI-NP\tO' -p175861 -aS'20\t20\tCD\tB-NP\tO' -p175862 -aS'mg\tmg\tNN\tI-NP\tO' -p175863 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p175864 -aS'Sig\tSig\tNNP\tI-NP\tO' -p175865 -aS':\t:\t:\tO\tO' -p175866 -aS'One\tOne\tCD\tB-NP\tO' -p175867 -aS'(\t(\t(\tO\tO' -p175868 -aS'1\t1\tCD\tB-NP\tO' -p175869 -aS')\t)\t)\tO\tO' -p175870 -aS'Tablet\tTablet\tNN\tB-NP\tB-protein' -p175871 -aS'PO\tPO\tNN\tI-NP\tI-protein' -p175872 -aS'once\tonce\tRB\tO\tO' -p175873 -aS'a\ta\tDT\tB-NP\tO' -p175874 -aS'day\tday\tNN\tI-NP\tO' -p175875 -aS'.\t.\t.\tO\tO' -p175876 -asS'Family at bedside .' -p175877 -(lp175878 -S'Family\tFamily\tRB\tB-ADVP\tO' -p175879 -aS'at\tat\tIN\tB-PP\tO' -p175880 -aS'bedside\tbedside\tNN\tB-NP\tO' -p175881 -aS'.\t.\t.\tO\tO' -p175882 -asS'Prostate cancer .' -p175883 -(lp175884 -S'Prostate\tProstate\tNN\tB-NP\tO' -p175885 -aS'cancer\tcancer\tNN\tI-NP\tO' -p175886 -aS'.\t.\t.\tO\tO' -p175887 -asS'He was started on Bactrim for that .' -p175888 -(lp175889 -S'He\tHe\tPRP\tB-NP\tO' -p175890 -aS'was\tbe\tVBD\tB-VP\tO' -p175891 -aS'started\tstart\tVBN\tI-VP\tO' -p175892 -aS'on\ton\tIN\tB-PP\tO' -p175893 -aS'Bactrim\tBactrim\tNNP\tB-NP\tO' -p175894 -aS'for\tfor\tIN\tB-PP\tO' -p175895 -aS'that\tthat\tDT\tB-NP\tO' -p175896 -aS'.\t.\t.\tO\tO' -p175897 -asS'The patient will be followed by Dr. Ketyvi Liftjesc of the Neurology Service at Ph University Of Medical Center on May 17 , 1995 , for randomization on the Wars study .' -p175898 -(lp175899 -S'The\tThe\tDT\tB-NP\tO' -p175900 -aS'patient\tpatient\tNN\tI-NP\tO' -p175901 -aS'will\twill\tMD\tB-VP\tO' -p175902 -aS'be\tbe\tVB\tI-VP\tO' -p175903 -aS'followed\tfollow\tVBN\tI-VP\tO' -p175904 -aS'by\tby\tIN\tB-PP\tO' -p175905 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p175906 -aS'Ketyvi\tKetyvi\tNNP\tI-NP\tO' -p175907 -aS'Liftjesc\tLiftjesc\tNNP\tI-NP\tO' -p175908 -aS'of\tof\tIN\tB-PP\tO' -p175909 -aS'the\tthe\tDT\tB-NP\tO' -p175910 -aS'Neurology\tNeurology\tNNP\tI-NP\tO' -p175911 -aS'Service\tService\tNNP\tI-NP\tO' -p175912 -aS'at\tat\tIN\tB-PP\tO' -p175913 -aS'Ph\tPh\tNNP\tB-NP\tO' -p175914 -aS'University\tUniversity\tNNP\tI-NP\tO' -p175915 -aS'Of\tOf\tNNP\tI-NP\tO' -p175916 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p175917 -aS'Center\tCenter\tNNP\tI-NP\tO' -p175918 -aS'on\ton\tIN\tB-PP\tO' -p175919 -aS'May\tMay\tNNP\tB-NP\tO' -p175920 -aS'17\t17\tCD\tI-NP\tO' -p175921 -aS',\t,\t,\tI-NP\tO' -p175922 -aS'1995\t1995\tCD\tI-NP\tO' -p175923 -aS',\t,\t,\tO\tO' -p175924 -aS'for\tfor\tIN\tB-PP\tO' -p175925 -aS'randomization\trandomization\tNN\tB-NP\tO' -p175926 -aS'on\ton\tIN\tB-PP\tO' -p175927 -aS'the\tthe\tDT\tB-NP\tO' -p175928 -aS'Wars\tWars\tNNP\tI-NP\tO' -p175929 -aS'study\tstudy\tNN\tI-NP\tO' -p175930 -aS'.\t.\t.\tO\tO' -p175931 -asS'There was an audible air leak .' -p175932 -(lp175933 -S'There\tThere\tEX\tB-NP\tO' -p175934 -aS'was\tbe\tVBD\tB-VP\tO' -p175935 -aS'an\tan\tDT\tB-NP\tO' -p175936 -aS'audible\taudible\tJJ\tI-NP\tO' -p175937 -aS'air\tair\tNN\tI-NP\tO' -p175938 -aS'leak\tleak\tNN\tI-NP\tO' -p175939 -aS'.\t.\t.\tO\tO' -p175940 -asS'Bacitracin oint .' -p175941 -(lp175942 -S'Bacitracin\tBacitracin\tNN\tB-NP\tO' -p175943 -aS'oint\toint\tNN\tI-NP\tO' -p175944 -aS'.\t.\t.\tO\tO' -p175945 -asS'Initial chest x-ray showed a left retrocardiac opacity and prominent interstitium though his lung volumes were low .' -p175946 -(lp175947 -S'Initial\tInitial\tJJ\tB-NP\tO' -p175948 -aS'chest\tchest\tNN\tI-NP\tO' -p175949 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p175950 -aS'showed\tshow\tVBD\tB-VP\tO' -p175951 -aS'a\ta\tDT\tB-NP\tO' -p175952 -aS'left\tleft\tJJ\tI-NP\tO' -p175953 -aS'retrocardiac\tretrocardiac\tJJ\tI-NP\tO' -p175954 -aS'opacity\topacity\tNN\tI-NP\tO' -p175955 -aS'and\tand\tCC\tO\tO' -p175956 -aS'prominent\tprominent\tJJ\tB-NP\tO' -p175957 -aS'interstitium\tinterstitium\tNN\tI-NP\tO' -p175958 -aS'though\tthough\tIN\tB-SBAR\tO' -p175959 -aS'his\this\tPRP$\tB-NP\tO' -p175960 -aS'lung\tlung\tNN\tI-NP\tO' -p175961 -aS'volumes\tvolume\tNNS\tI-NP\tO' -p175962 -aS'were\tbe\tVBD\tB-VP\tO' -p175963 -aS'low\tlow\tJJ\tB-ADJP\tO' -p175964 -aS'.\t.\t.\tO\tO' -p175965 -asS'In addition , she was given aspirin , Plavix , heparin , and morphine .' -p175966 -(lp175967 -S'In\tIn\tIN\tB-PP\tO' -p175968 -aS'addition\taddition\tNN\tB-NP\tO' -p175969 -aS',\t,\t,\tO\tO' -p175970 -aS'she\tshe\tPRP\tB-NP\tO' -p175971 -aS'was\tbe\tVBD\tB-VP\tO' -p175972 -aS'given\tgive\tVBN\tI-VP\tO' -p175973 -aS'aspirin\taspirin\tNN\tB-NP\tO' -p175974 -aS',\t,\t,\tO\tO' -p175975 -aS'Plavix\tPlavix\tNN\tB-NP\tO' -p175976 -aS',\t,\t,\tO\tO' -p175977 -aS'heparin\theparin\tNN\tB-NP\tO' -p175978 -aS',\t,\t,\tO\tO' -p175979 -aS'and\tand\tCC\tO\tO' -p175980 -aS'morphine\tmorphine\tNN\tB-NP\tO' -p175981 -aS'.\t.\t.\tO\tO' -p175982 -asS'Please continue to take antibiotics as directed for urinary tract infection for 3 more days .' -p175983 -(lp175984 -S'Please\tPlease\tNN\tB-NP\tB-protein' -p175985 -aS'continue\tcontinue\tVBP\tB-VP\tO' -p175986 -aS'to\tto\tTO\tI-VP\tO' -p175987 -aS'take\ttake\tVB\tI-VP\tO' -p175988 -aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' -p175989 -aS'as\tas\tIN\tB-SBAR\tO' -p175990 -aS'directed\tdirect\tVBN\tB-VP\tO' -p175991 -aS'for\tfor\tIN\tB-PP\tO' -p175992 -aS'urinary\turinary\tJJ\tB-NP\tO' -p175993 -aS'tract\ttract\tNN\tI-NP\tO' -p175994 -aS'infection\tinfection\tNN\tI-NP\tO' -p175995 -aS'for\tfor\tIN\tB-PP\tO' -p175996 -aS'3\t3\tCD\tB-NP\tO' -p175997 -aS'more\tmore\tJJR\tI-NP\tO' -p175998 -aS'days\tday\tNNS\tI-NP\tO' -p175999 -aS'.\t.\t.\tO\tO' -p176000 -asS'Film of the left humerus was also negative .' -p176001 -(lp176002 -S'Film\tFilm\tNN\tB-NP\tO' -p176003 -aS'of\tof\tIN\tB-PP\tO' -p176004 -aS'the\tthe\tDT\tB-NP\tO' -p176005 -aS'left\tleft\tJJ\tI-NP\tO' -p176006 -aS'humerus\thumerus\tNN\tI-NP\tO' -p176007 -aS'was\tbe\tVBD\tB-VP\tO' -p176008 -aS'also\talso\tRB\tB-ADVP\tO' -p176009 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p176010 -aS'.\t.\t.\tO\tO' -p176011 -asS'Lungs were clear to auscultation bilaterally with faint lower lobe crackles on the left .' -p176012 -(lp176013 -S'Lungs\tLung\tNNS\tB-NP\tO' -p176014 -aS'were\tbe\tVBD\tB-VP\tO' -p176015 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p176016 -aS'to\tto\tTO\tB-PP\tO' -p176017 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p176018 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p176019 -aS'with\twith\tIN\tB-PP\tO' -p176020 -aS'faint\tfaint\tJJ\tB-NP\tO' -p176021 -aS'lower\tlow\tJJR\tI-NP\tO' -p176022 -aS'lobe\tlobe\tNN\tI-NP\tO' -p176023 -aS'crackles\tcrackle\tNNS\tI-NP\tO' -p176024 -aS'on\ton\tIN\tB-PP\tO' -p176025 -aS'the\tthe\tDT\tB-NP\tO' -p176026 -aS'left\tleft\tNN\tI-NP\tO' -p176027 -aS'.\t.\t.\tO\tO' -p176028 -asS'The TEE was negative for thrombus and the patient was successfully cardioverted to normal sinus rhythm with ibutilide .' -p176029 -(lp176030 -S'The\tThe\tDT\tB-NP\tO' -p176031 -aS'TEE\tTEE\tNN\tI-NP\tO' -p176032 -aS'was\tbe\tVBD\tB-VP\tO' -p176033 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p176034 -aS'for\tfor\tIN\tB-PP\tO' -p176035 -aS'thrombus\tthrombus\tNN\tB-NP\tO' -p176036 -aS'and\tand\tCC\tO\tO' -p176037 -aS'the\tthe\tDT\tB-NP\tO' -p176038 -aS'patient\tpatient\tNN\tI-NP\tO' -p176039 -aS'was\tbe\tVBD\tB-VP\tO' -p176040 -aS'successfully\tsuccessfully\tRB\tI-VP\tO' -p176041 -aS'cardioverted\tcardioverte\tVBN\tI-VP\tO' -p176042 -aS'to\tto\tTO\tB-PP\tO' -p176043 -aS'normal\tnormal\tJJ\tB-NP\tO' -p176044 -aS'sinus\tsinus\tNN\tI-NP\tO' -p176045 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p176046 -aS'with\twith\tIN\tB-PP\tO' -p176047 -aS'ibutilide\tibutilide\tNN\tB-NP\tO' -p176048 -aS'.\t.\t.\tO\tO' -p176049 -asS'Dental consult was negative .' -p176050 -(lp176051 -S'Dental\tDental\tJJ\tB-NP\tO' -p176052 -aS'consult\tconsult\tNN\tI-NP\tO' -p176053 -aS'was\tbe\tVBD\tB-VP\tO' -p176054 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p176055 -aS'.\t.\t.\tO\tO' -p176056 -asS'Rectal exam showed no masses and is guaiac negative .' -p176057 -(lp176058 -S'Rectal\tRectal\tJJ\tB-NP\tO' -p176059 -aS'exam\texam\tNN\tI-NP\tO' -p176060 -aS'showed\tshow\tVBD\tB-VP\tO' -p176061 -aS'no\tno\tDT\tB-NP\tO' -p176062 -aS'masses\tmass\tNNS\tI-NP\tO' -p176063 -aS'and\tand\tCC\tO\tO' -p176064 -aS'is\tbe\tVBZ\tB-VP\tO' -p176065 -aS'guaiac\tguaiac\tNN\tB-NP\tO' -p176066 -aS'negative\tnegative\tJJ\tI-NP\tO' -p176067 -aS'.\t.\t.\tO\tO' -p176068 -asS'There is no bruising about the eyes or mastoid sinuses , and there is no fluid from the nose or ears .' -p176069 -(lp176070 -S'There\tThere\tEX\tB-NP\tO' -p176071 -aS'is\tbe\tVBZ\tB-VP\tO' -p176072 -aS'no\tno\tDT\tB-NP\tO' -p176073 -aS'bruising\tbruise\tVBG\tI-NP\tO' -p176074 -aS'about\tabout\tIN\tB-PP\tO' -p176075 -aS'the\tthe\tDT\tB-NP\tO' -p176076 -aS'eyes\teye\tNNS\tI-NP\tO' -p176077 -aS'or\tor\tCC\tO\tO' -p176078 -aS'mastoid\tmastoid\tJJ\tB-NP\tO' -p176079 -aS'sinuses\tsinus\tNNS\tI-NP\tO' -p176080 -aS',\t,\t,\tO\tO' -p176081 -aS'and\tand\tCC\tO\tO' -p176082 -aS'there\tthere\tEX\tB-NP\tO' -p176083 -aS'is\tbe\tVBZ\tB-VP\tO' -p176084 -aS'no\tno\tDT\tB-NP\tO' -p176085 -aS'fluid\tfluid\tNN\tI-NP\tO' -p176086 -aS'from\tfrom\tIN\tB-PP\tO' -p176087 -aS'the\tthe\tDT\tB-NP\tO' -p176088 -aS'nose\tnose\tNN\tI-NP\tO' -p176089 -aS'or\tor\tCC\tI-NP\tO' -p176090 -aS'ears\tear\tNNS\tI-NP\tO' -p176091 -aS'.\t.\t.\tO\tO' -p176092 -asS'He presented to an outside hops where he was noted to be leukopenic with a white blood cell count of 0.6 , 0 neutrophils , a hematocrit of 32 , platelets of 326 , a MCV of 79 , and RDW of 22 .' -p176093 -(lp176094 -S'He\tHe\tPRP\tB-NP\tO' -p176095 -aS'presented\tpresent\tVBD\tB-VP\tO' -p176096 -aS'to\tto\tTO\tB-PP\tO' -p176097 -aS'an\tan\tDT\tB-NP\tO' -p176098 -aS'outside\toutside\tNN\tI-NP\tO' -p176099 -aS'hops\thop\tVBZ\tB-VP\tO' -p176100 -aS'where\twhere\tWRB\tB-ADVP\tO' -p176101 -aS'he\the\tPRP\tB-NP\tO' -p176102 -aS'was\tbe\tVBD\tB-VP\tO' -p176103 -aS'noted\tnote\tVBN\tI-VP\tO' -p176104 -aS'to\tto\tTO\tI-VP\tO' -p176105 -aS'be\tbe\tVB\tI-VP\tO' -p176106 -aS'leukopenic\tleukopenic\tJJ\tB-ADJP\tO' -p176107 -aS'with\twith\tIN\tB-PP\tO' -p176108 -aS'a\ta\tDT\tB-NP\tO' -p176109 -aS'white\twhite\tJJ\tI-NP\tO' -p176110 -aS'blood\tblood\tNN\tI-NP\tO' -p176111 -aS'cell\tcell\tNN\tI-NP\tO' -p176112 -aS'count\tcount\tNN\tI-NP\tO' -p176113 -aS'of\tof\tIN\tB-PP\tO' -p176114 -aS'0.6\t0.6\tCD\tB-NP\tO' -p176115 -aS',\t,\t,\tO\tO' -p176116 -aS'0\t0\tCD\tB-NP\tO' -p176117 -aS'neutrophils\tneutrophil\tNNS\tI-NP\tB-cell_type' -p176118 -aS',\t,\t,\tO\tO' -p176119 -aS'a\ta\tDT\tB-NP\tO' -p176120 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p176121 -aS'of\tof\tIN\tB-PP\tO' -p176122 -aS'32\t32\tCD\tB-NP\tO' -p176123 -aS',\t,\t,\tO\tO' -p176124 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p176125 -aS'of\tof\tIN\tB-PP\tO' -p176126 -aS'326\t326\tCD\tB-NP\tO' -p176127 -aS',\t,\t,\tO\tO' -p176128 -aS'a\ta\tDT\tB-NP\tO' -p176129 -aS'MCV\tMCV\tNN\tI-NP\tO' -p176130 -aS'of\tof\tIN\tB-PP\tO' -p176131 -aS'79\t79\tCD\tB-NP\tO' -p176132 -aS',\t,\t,\tO\tO' -p176133 -aS'and\tand\tCC\tO\tO' -p176134 -aS'RDW\tRDW\tNN\tB-NP\tB-protein' -p176135 -aS'of\tof\tIN\tB-PP\tO' -p176136 -aS'22\t22\tCD\tB-NP\tO' -p176137 -aS'.\t.\t.\tO\tO' -p176138 -asS'Hydrocortisone , 1% topical cream q 6 to 8 hours prn itching .' -p176139 -(lp176140 -S'Hydrocortisone\tHydrocortisone\tNN\tB-NP\tO' -p176141 -aS',\t,\t,\tO\tO' -p176142 -aS'1%\t1%\tCD\tB-NP\tO' -p176143 -aS'topical\ttopical\tJJ\tI-NP\tO' -p176144 -aS'cream\tcream\tNN\tI-NP\tO' -p176145 -aS'q\tq\tNN\tI-NP\tO' -p176146 -aS'6\t6\tCD\tB-NP\tO' -p176147 -aS'to\tto\tTO\tI-NP\tO' -p176148 -aS'8\t8\tCD\tI-NP\tO' -p176149 -aS'hours\thour\tNNS\tI-NP\tO' -p176150 -aS'prn\tprn\tVBP\tB-VP\tO' -p176151 -aS'itching\titch\tVBG\tI-VP\tO' -p176152 -aS'.\t.\t.\tO\tO' -p176153 -asS'At the time of discharge , the patient 's electrolytes were within normal limits .' -p176154 -(lp176155 -S'At\tAt\tIN\tB-PP\tO' -p176156 -aS'the\tthe\tDT\tB-NP\tO' -p176157 -aS'time\ttime\tNN\tI-NP\tO' -p176158 -aS'of\tof\tIN\tB-PP\tO' -p176159 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p176160 -aS',\t,\t,\tO\tO' -p176161 -aS'the\tthe\tDT\tB-NP\tO' -p176162 -aS'patient\tpatient\tNN\tI-NP\tO' -p176163 -aS''s\t'\tNNS\tI-NP\tO' -p176164 -aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' -p176165 -aS'were\tbe\tVBD\tB-VP\tO' -p176166 -aS'within\twithin\tIN\tB-PP\tO' -p176167 -aS'normal\tnormal\tJJ\tB-NP\tO' -p176168 -aS'limits\tlimit\tNNS\tI-NP\tO' -p176169 -aS'.\t.\t.\tO\tO' -p176170 -asS'The diagnosis of adenocarcinoma was already established prior to her admission at this hospital .' -p176171 -(lp176172 -S'The\tThe\tDT\tB-NP\tO' -p176173 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p176174 -aS'of\tof\tIN\tB-PP\tO' -p176175 -aS'adenocarcinoma\tadenocarcinoma\tNN\tB-NP\tO' -p176176 -aS'was\tbe\tVBD\tB-VP\tO' -p176177 -aS'already\talready\tRB\tI-VP\tO' -p176178 -aS'established\testablish\tVBN\tI-VP\tO' -p176179 -aS'prior\tprior\tRB\tB-ADVP\tO' -p176180 -aS'to\tto\tTO\tB-PP\tO' -p176181 -aS'her\ther\tPRP$\tB-NP\tO' -p176182 -aS'admission\tadmission\tNN\tI-NP\tO' -p176183 -aS'at\tat\tIN\tB-PP\tO' -p176184 -aS'this\tthis\tDT\tB-NP\tO' -p176185 -aS'hospital\thospital\tNN\tI-NP\tO' -p176186 -aS'.\t.\t.\tO\tO' -p176187 -asS'Continue on Rifaximine .' -p176188 -(lp176189 -S'Continue\tContinue\tNN\tB-NP\tO' -p176190 -aS'on\ton\tIN\tB-PP\tO' -p176191 -aS'Rifaximine\tRifaximine\tNN\tB-NP\tO' -p176192 -aS'.\t.\t.\tO\tO' -p176193 -asS'The patient has an ulcer on his penis that has been treated with dressing changes .' -p176194 -(lp176195 -S'The\tThe\tDT\tB-NP\tO' -p176196 -aS'patient\tpatient\tNN\tI-NP\tO' -p176197 -aS'has\thave\tVBZ\tB-VP\tO' -p176198 -aS'an\tan\tDT\tB-NP\tO' -p176199 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p176200 -aS'on\ton\tIN\tB-PP\tO' -p176201 -aS'his\this\tPRP$\tB-NP\tO' -p176202 -aS'penis\tpenis\tNN\tI-NP\tO' -p176203 -aS'that\tthat\tWDT\tB-NP\tO' -p176204 -aS'has\thave\tVBZ\tB-VP\tO' -p176205 -aS'been\tbe\tVBN\tI-VP\tO' -p176206 -aS'treated\ttreat\tVBN\tI-VP\tO' -p176207 -aS'with\twith\tIN\tB-PP\tO' -p176208 -aS'dressing\tdress\tVBG\tB-NP\tO' -p176209 -aS'changes\tchange\tNNS\tI-NP\tO' -p176210 -aS'.\t.\t.\tO\tO' -p176211 -asS'Positive red reflex bilaterally .' -p176212 -(lp176213 -S'Positive\tPositive\tJJ\tB-NP\tO' -p176214 -aS'red\tred\tJJ\tI-NP\tO' -p176215 -aS'reflex\treflex\tNN\tI-NP\tO' -p176216 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p176217 -aS'.\t.\t.\tO\tO' -p176218 -asS'Creatine kinase on admission was 309 , with a MB of 19.6 , an index of 6.3 , and an initial troponin of 0.73 .' -p176219 -(lp176220 -S'Creatine\tCreatine\tNN\tB-NP\tB-protein' -p176221 -aS'kinase\tkinase\tNN\tI-NP\tI-protein' -p176222 -aS'on\ton\tIN\tB-PP\tO' -p176223 -aS'admission\tadmission\tNN\tB-NP\tO' -p176224 -aS'was\tbe\tVBD\tB-VP\tO' -p176225 -aS'309\t309\tCD\tB-NP\tO' -p176226 -aS',\t,\t,\tO\tO' -p176227 -aS'with\twith\tIN\tB-PP\tO' -p176228 -aS'a\ta\tDT\tB-NP\tO' -p176229 -aS'MB\tMB\tNN\tI-NP\tO' -p176230 -aS'of\tof\tIN\tB-PP\tO' -p176231 -aS'19.6\t19.6\tCD\tB-NP\tO' -p176232 -aS',\t,\t,\tO\tO' -p176233 -aS'an\tan\tDT\tB-NP\tO' -p176234 -aS'index\tindex\tNN\tI-NP\tO' -p176235 -aS'of\tof\tIN\tB-PP\tO' -p176236 -aS'6.3\t6.3\tCD\tB-NP\tO' -p176237 -aS',\t,\t,\tO\tO' -p176238 -aS'and\tand\tCC\tO\tO' -p176239 -aS'an\tan\tDT\tB-NP\tO' -p176240 -aS'initial\tinitial\tJJ\tI-NP\tO' -p176241 -aS'troponin\ttroponin\tNN\tI-NP\tO' -p176242 -aS'of\tof\tIN\tB-PP\tO' -p176243 -aS'0.73\t0.73\tCD\tB-NP\tO' -p176244 -aS'.\t.\t.\tO\tO' -p176245 -asS'proper use .' -p176246 -(lp176247 -S'proper\tproper\tJJ\tB-NP\tO' -p176248 -aS'use\tuse\tNN\tI-NP\tO' -p176249 -aS'.\t.\t.\tO\tO' -p176250 -asS'vasospasm .' -p176251 -(lp176252 -S'vasospasm\tvasospasm\tNN\tB-NP\tO' -p176253 -aS'.\t.\t.\tO\tO' -p176254 -asS'11. Bisacodyl 5 mg Tablet Sig : One ( 1 ) Tablet PO once a day as needed for constipation .' -p176255 -(lp176256 -S'11.\t11.\tLS\tB-NP\tO' -p176257 -aS'Bisacodyl\tBisacodyl\tNN\tI-NP\tO' -p176258 -aS'5\t5\tCD\tI-NP\tO' -p176259 -aS'mg\tmg\tNN\tI-NP\tO' -p176260 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p176261 -aS'Sig\tSig\tNNP\tI-NP\tO' -p176262 -aS':\t:\t:\tO\tO' -p176263 -aS'One\tOne\tCD\tB-NP\tO' -p176264 -aS'(\t(\t(\tO\tO' -p176265 -aS'1\t1\tCD\tB-NP\tO' -p176266 -aS')\t)\t)\tO\tO' -p176267 -aS'Tablet\tTablet\tNN\tB-NP\tB-protein' -p176268 -aS'PO\tPO\tNN\tI-NP\tI-protein' -p176269 -aS'once\tonce\tRB\tO\tO' -p176270 -aS'a\ta\tDT\tB-NP\tO' -p176271 -aS'day\tday\tNN\tI-NP\tO' -p176272 -aS'as\tas\tIN\tB-SBAR\tO' -p176273 -aS'needed\tneed\tVBN\tB-VP\tO' -p176274 -aS'for\tfor\tIN\tB-PP\tO' -p176275 -aS'constipation\tconstipation\tNN\tB-NP\tO' -p176276 -aS'.\t.\t.\tO\tO' -p176277 -asS'Shortly after his mental status changed ; he became disoriented and euphoric and continued to be in this state for two more hours .' -p176278 -(lp176279 -S'Shortly\tShortly\tRB\tB-ADVP\tO' -p176280 -aS'after\tafter\tIN\tB-PP\tO' -p176281 -aS'his\this\tPRP$\tB-NP\tO' -p176282 -aS'mental\tmental\tJJ\tI-NP\tO' -p176283 -aS'status\tstatus\tNN\tI-NP\tO' -p176284 -aS'changed\tchange\tVBD\tB-VP\tO' -p176285 -aS';\t;\t:\tO\tO' -p176286 -aS'he\the\tPRP\tB-NP\tO' -p176287 -aS'became\tbecome\tVBD\tB-VP\tO' -p176288 -aS'disoriented\tdisoriented\tJJ\tB-ADJP\tO' -p176289 -aS'and\tand\tCC\tI-ADJP\tO' -p176290 -aS'euphoric\teuphoric\tJJ\tI-ADJP\tO' -p176291 -aS'and\tand\tCC\tO\tO' -p176292 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p176293 -aS'to\tto\tTO\tI-VP\tO' -p176294 -aS'be\tbe\tVB\tI-VP\tO' -p176295 -aS'in\tin\tIN\tB-PP\tO' -p176296 -aS'this\tthis\tDT\tB-NP\tO' -p176297 -aS'state\tstate\tNN\tI-NP\tO' -p176298 -aS'for\tfor\tIN\tB-PP\tO' -p176299 -aS'two\ttwo\tCD\tB-NP\tO' -p176300 -aS'more\tmore\tJJR\tI-NP\tO' -p176301 -aS'hours\thour\tNNS\tI-NP\tO' -p176302 -aS'.\t.\t.\tO\tO' -p176303 -asS'Her tongue , uvula and palate were midline .' -p176304 -(lp176305 -S'Her\tHer\tPRP$\tB-NP\tO' -p176306 -aS'tongue\ttongue\tNN\tI-NP\tO' -p176307 -aS',\t,\t,\tI-NP\tO' -p176308 -aS'uvula\tuvula\tNN\tI-NP\tO' -p176309 -aS'and\tand\tCC\tI-NP\tO' -p176310 -aS'palate\tpalate\tNN\tI-NP\tO' -p176311 -aS'were\tbe\tVBD\tB-VP\tO' -p176312 -aS'midline\tmidline\tNN\tB-NP\tO' -p176313 -aS'.\t.\t.\tO\tO' -p176314 -asS'Hypercholesterolemia .' -p176315 -(lp176316 -S'Hypercholesterolemia\tHypercholesterolemia\tNN\tB-NP\tO' -p176317 -aS'.\t.\t.\tO\tO' -p176318 -asS"A progress note in the patient 's chart from her assisted living facility indicates that the patient has had shortness of breath and cough for one day with chills but no fever ." -p176319 -(lp176320 -S'A\tA\tDT\tB-NP\tO' -p176321 -aS'progress\tprogress\tNN\tI-NP\tO' -p176322 -aS'note\tnote\tNN\tI-NP\tO' -p176323 -aS'in\tin\tIN\tB-PP\tO' -p176324 -aS'the\tthe\tDT\tB-NP\tO' -p176325 -aS'patient\tpatient\tNN\tI-NP\tO' -p176326 -aS"'s\t's\tPOS\tB-NP\tO" -p176327 -aS'chart\tchart\tNN\tI-NP\tO' -p176328 -aS'from\tfrom\tIN\tB-PP\tO' -p176329 -aS'her\ther\tPRP$\tB-NP\tO' -p176330 -aS'assisted\tassisted\tJJ\tI-NP\tO' -p176331 -aS'living\tliving\tNN\tI-NP\tO' -p176332 -aS'facility\tfacility\tNN\tI-NP\tO' -p176333 -aS'indicates\tindicate\tVBZ\tB-VP\tO' -p176334 -aS'that\tthat\tIN\tB-SBAR\tO' -p176335 -aS'the\tthe\tDT\tB-NP\tO' -p176336 -aS'patient\tpatient\tNN\tI-NP\tO' -p176337 -aS'has\thave\tVBZ\tB-VP\tO' -p176338 -aS'had\thave\tVBN\tI-VP\tO' -p176339 -aS'shortness\tshortness\tNN\tB-NP\tO' -p176340 -aS'of\tof\tIN\tB-PP\tO' -p176341 -aS'breath\tbreath\tNN\tB-NP\tO' -p176342 -aS'and\tand\tCC\tI-NP\tO' -p176343 -aS'cough\tcough\tNN\tI-NP\tO' -p176344 -aS'for\tfor\tIN\tB-PP\tO' -p176345 -aS'one\tone\tCD\tB-NP\tO' -p176346 -aS'day\tday\tNN\tI-NP\tO' -p176347 -aS'with\twith\tIN\tB-PP\tO' -p176348 -aS'chills\tchill\tNNS\tB-NP\tO' -p176349 -aS'but\tbut\tCC\tO\tO' -p176350 -aS'no\tno\tDT\tB-NP\tO' -p176351 -aS'fever\tfever\tNN\tI-NP\tO' -p176352 -aS'.\t.\t.\tO\tO' -p176353 -asS'Please call hospice for questions .' -p176354 -(lp176355 -S'Please\tPlease\tVB\tB-VP\tO' -p176356 -aS'call\tcall\tNN\tB-NP\tO' -p176357 -aS'hospice\thospice\tNN\tI-NP\tO' -p176358 -aS'for\tfor\tIN\tB-PP\tO' -p176359 -aS'questions\tquestion\tNNS\tB-NP\tO' -p176360 -aS'.\t.\t.\tO\tO' -p176361 -asS'His hospital course was otherwise uneventful and the patient was discharged in stable condition on postoperative day , afebrile .' -p176362 -(lp176363 -S'His\tHis\tPRP$\tB-NP\tO' -p176364 -aS'hospital\thospital\tNN\tI-NP\tO' -p176365 -aS'course\tcourse\tNN\tI-NP\tO' -p176366 -aS'was\tbe\tVBD\tB-VP\tO' -p176367 -aS'otherwise\totherwise\tRB\tB-ADJP\tO' -p176368 -aS'uneventful\tuneventful\tJJ\tI-ADJP\tO' -p176369 -aS'and\tand\tCC\tO\tO' -p176370 -aS'the\tthe\tDT\tB-NP\tO' -p176371 -aS'patient\tpatient\tNN\tI-NP\tO' -p176372 -aS'was\tbe\tVBD\tB-VP\tO' -p176373 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p176374 -aS'in\tin\tIN\tB-PP\tO' -p176375 -aS'stable\tstable\tJJ\tB-NP\tO' -p176376 -aS'condition\tcondition\tNN\tI-NP\tO' -p176377 -aS'on\ton\tIN\tB-PP\tO' -p176378 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p176379 -aS'day\tday\tNN\tI-NP\tO' -p176380 -aS',\t,\t,\tO\tO' -p176381 -aS'afebrile\tafebrile\tRB\tB-ADVP\tO' -p176382 -aS'.\t.\t.\tO\tO' -p176383 -asS'4. Brimonidine 1 gtt left eye three times a day .' -p176384 -(lp176385 -S'4.\t4.\tLS\tB-LST\tO' -p176386 -aS'Brimonidine\tBrimonidine\tNN\tB-NP\tO' -p176387 -aS'1\t1\tCD\tI-NP\tO' -p176388 -aS'gtt\tgtt\tNN\tI-NP\tO' -p176389 -aS'left\tleave\tVBD\tB-VP\tO' -p176390 -aS'eye\teye\tNN\tB-NP\tO' -p176391 -aS'three\tthree\tCD\tB-NP\tO' -p176392 -aS'times\ttime\tNNS\tI-NP\tO' -p176393 -aS'a\ta\tDT\tB-NP\tO' -p176394 -aS'day\tday\tNN\tI-NP\tO' -p176395 -aS'.\t.\t.\tO\tO' -p176396 -asS'He had no murmurs , rubs , or gallops .' -p176397 -(lp176398 -S'He\tHe\tPRP\tB-NP\tO' -p176399 -aS'had\thave\tVBD\tB-VP\tO' -p176400 -aS'no\tno\tDT\tB-NP\tO' -p176401 -aS'murmurs\tmurmur\tNNS\tI-NP\tO' -p176402 -aS',\t,\t,\tO\tO' -p176403 -aS'rubs\trub\tNNS\tB-NP\tO' -p176404 -aS',\t,\t,\tO\tO' -p176405 -aS'or\tor\tCC\tO\tO' -p176406 -aS'gallops\tgallop\tNNS\tB-NP\tO' -p176407 -aS'.\t.\t.\tO\tO' -p176408 -asS'The infant was started on enteral feedings of Enfamil 20 calories per ounce by mouth ad lib and maintained glucoses in the middle to high 40 s taking by mouth feedings every two to three hours by mouth ad lib .' -p176409 -(lp176410 -S'The\tThe\tDT\tB-NP\tO' -p176411 -aS'infant\tinfant\tNN\tI-NP\tO' -p176412 -aS'was\tbe\tVBD\tB-VP\tO' -p176413 -aS'started\tstart\tVBN\tI-VP\tO' -p176414 -aS'on\ton\tIN\tB-PP\tO' -p176415 -aS'enteral\tenteral\tJJ\tB-NP\tO' -p176416 -aS'feedings\tfeeding\tNNS\tI-NP\tO' -p176417 -aS'of\tof\tIN\tB-PP\tO' -p176418 -aS'Enfamil\tEnfamil\tNNP\tB-NP\tO' -p176419 -aS'20\t20\tCD\tI-NP\tO' -p176420 -aS'calories\tcalorie\tNNS\tI-NP\tO' -p176421 -aS'per\tper\tIN\tB-PP\tO' -p176422 -aS'ounce\tounce\tNN\tB-NP\tO' -p176423 -aS'by\tby\tIN\tB-PP\tO' -p176424 -aS'mouth\tmouth\tNN\tB-NP\tO' -p176425 -aS'ad\tad\tNN\tI-NP\tO' -p176426 -aS'lib\tlib\tNN\tI-NP\tO' -p176427 -aS'and\tand\tCC\tO\tO' -p176428 -aS'maintained\tmaintain\tVBD\tB-VP\tO' -p176429 -aS'glucoses\tglucose\tNNS\tB-NP\tO' -p176430 -aS'in\tin\tIN\tB-PP\tO' -p176431 -aS'the\tthe\tDT\tB-NP\tO' -p176432 -aS'middle\tmiddle\tJJ\tI-NP\tO' -p176433 -aS'to\tto\tTO\tI-NP\tO' -p176434 -aS'high\thigh\tJJ\tI-NP\tO' -p176435 -aS'40\t40\tCD\tI-NP\tO' -p176436 -aS's\ts\tNN\tI-NP\tO' -p176437 -aS'taking\ttake\tVBG\tB-VP\tO' -p176438 -aS'by\tby\tIN\tB-PP\tO' -p176439 -aS'mouth\tmouth\tNN\tB-NP\tO' -p176440 -aS'feedings\tfeeding\tNNS\tI-NP\tO' -p176441 -aS'every\tevery\tDT\tO\tO' -p176442 -aS'two\ttwo\tCD\tB-NP\tO' -p176443 -aS'to\tto\tTO\tI-NP\tO' -p176444 -aS'three\tthree\tCD\tI-NP\tO' -p176445 -aS'hours\thour\tNNS\tI-NP\tO' -p176446 -aS'by\tby\tIN\tB-PP\tO' -p176447 -aS'mouth\tmouth\tNN\tB-NP\tO' -p176448 -aS'ad\tad\tNN\tI-NP\tO' -p176449 -aS'lib\tlib\tNN\tI-NP\tO' -p176450 -aS'.\t.\t.\tO\tO' -p176451 -asS'The Discharge Date of 2013-09-17 is pending .' -p176452 -(lp176453 -S'The\tThe\tDT\tB-NP\tO' -p176454 -aS'Discharge\tDischarge\tNNP\tI-NP\tO' -p176455 -aS'Date\tDate\tNNP\tI-NP\tO' -p176456 -aS'of\tof\tIN\tB-PP\tO' -p176457 -aS'2013-09-17\t2013-09-17\tCD\tB-NP\tO' -p176458 -aS'is\tbe\tVBZ\tB-VP\tO' -p176459 -aS'pending\tpende\tVBG\tB-ADJP\tO' -p176460 -aS'.\t.\t.\tO\tO' -p176461 -asS'Electroencephalogram revealed the patient was experiencing persistent seizure activity .' -p176462 -(lp176463 -S'Electroencephalogram\tElectroencephalogram\tNN\tB-NP\tO' -p176464 -aS'revealed\treveal\tVBD\tB-VP\tO' -p176465 -aS'the\tthe\tDT\tB-NP\tO' -p176466 -aS'patient\tpatient\tNN\tI-NP\tO' -p176467 -aS'was\tbe\tVBD\tB-VP\tO' -p176468 -aS'experiencing\texperience\tVBG\tI-VP\tO' -p176469 -aS'persistent\tpersistent\tJJ\tB-NP\tO' -p176470 -aS'seizure\tseizure\tNN\tI-NP\tO' -p176471 -aS'activity\tactivity\tNN\tI-NP\tO' -p176472 -aS'.\t.\t.\tO\tO' -p176473 -asS'Stent was placed and patient was treated with antibiotics ( Zosyn - > Ciprofloxacin ).' -p176474 -(lp176475 -S'Stent\tStent\tNN\tB-NP\tO' -p176476 -aS'was\tbe\tVBD\tB-VP\tO' -p176477 -aS'placed\tplace\tVBN\tI-VP\tO' -p176478 -aS'and\tand\tCC\tO\tO' -p176479 -aS'patient\tpatient\tNN\tB-NP\tO' -p176480 -aS'was\tbe\tVBD\tB-VP\tO' -p176481 -aS'treated\ttreat\tVBN\tI-VP\tO' -p176482 -aS'with\twith\tIN\tB-PP\tO' -p176483 -aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' -p176484 -aS'(\t(\t(\tO\tO' -p176485 -aS'Zosyn\tZosyn\tNN\tB-NP\tO' -p176486 -aS'-\t-\tHYPH\tO\tO' -p176487 -aS'>\t>\tSYM\tB-NP\tO' -p176488 -aS'Ciprofloxacin\tCiprofloxacin\tNN\tI-NP\tO' -p176489 -aS').\t).\t)\tO\tO' -p176490 -asS'At 5 hours of life he was noted to have grunting and flaring and E.C. Bovell consult was done .' -p176491 -(lp176492 -S'At\tAt\tIN\tB-PP\tO' -p176493 -aS'5\t5\tCD\tB-NP\tO' -p176494 -aS'hours\thour\tNNS\tI-NP\tO' -p176495 -aS'of\tof\tIN\tB-PP\tO' -p176496 -aS'life\tlife\tNN\tB-NP\tO' -p176497 -aS'he\the\tPRP\tB-NP\tO' -p176498 -aS'was\tbe\tVBD\tB-VP\tO' -p176499 -aS'noted\tnote\tVBN\tI-VP\tO' -p176500 -aS'to\tto\tTO\tI-VP\tO' -p176501 -aS'have\thave\tVB\tI-VP\tO' -p176502 -aS'grunting\tgrunt\tVBG\tI-VP\tO' -p176503 -aS'and\tand\tCC\tI-VP\tO' -p176504 -aS'flaring\tflare\tVBG\tI-VP\tO' -p176505 -aS'and\tand\tCC\tO\tO' -p176506 -aS'E.C.\tE.C.\tNNP\tB-NP\tO' -p176507 -aS'Bovell\tBovell\tNNP\tI-NP\tO' -p176508 -aS'consult\tconsult\tNN\tI-NP\tO' -p176509 -aS'was\tbe\tVBD\tB-VP\tO' -p176510 -aS'done\tdo\tVBN\tI-VP\tO' -p176511 -aS'.\t.\t.\tO\tO' -p176512 -asS'Discharge medications - Baclofen 10 p.o. t.i.d. , MVI one tablet p.o. q.d. , Mycostatin powder TP q.d. to be applied to the rash in her left groin area , also dilaudid 8 mg p.o. q2h , Colace 100 mg p.o. b.i.d. , coumadin 2.5 mg p.o. q.h.s. fentanyl patch 75 micrograms per hour topical q72 hours , atenolol 100 mg p.o. q.d.' -p176513 -(lp176514 -S'Discharge\tDischarge\tNN\tB-NP\tO' -p176515 -aS'medications\tmedication\tNNS\tI-NP\tO' -p176516 -aS'-\t-\t:\tO\tO' -p176517 -aS'Baclofen\tBaclofen\tNN\tB-NP\tO' -p176518 -aS'10\t10\tCD\tI-NP\tO' -p176519 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p176520 -aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' -p176521 -aS',\t,\t,\tO\tO' -p176522 -aS'MVI\tMVI\tNN\tB-NP\tO' -p176523 -aS'one\tone\tCD\tI-NP\tO' -p176524 -aS'tablet\ttablet\tNN\tI-NP\tO' -p176525 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p176526 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p176527 -aS',\t,\t,\tO\tO' -p176528 -aS'Mycostatin\tMycostatin\tNN\tB-NP\tO' -p176529 -aS'powder\tpowder\tNN\tI-NP\tO' -p176530 -aS'TP\tTP\tNN\tI-NP\tO' -p176531 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p176532 -aS'to\tto\tTO\tB-VP\tO' -p176533 -aS'be\tbe\tVB\tI-VP\tO' -p176534 -aS'applied\tapply\tVBN\tI-VP\tO' -p176535 -aS'to\tto\tTO\tB-PP\tO' -p176536 -aS'the\tthe\tDT\tB-NP\tO' -p176537 -aS'rash\trash\tNN\tI-NP\tO' -p176538 -aS'in\tin\tIN\tB-PP\tO' -p176539 -aS'her\ther\tPRP$\tB-NP\tO' -p176540 -aS'left\tleft\tJJ\tI-NP\tO' -p176541 -aS'groin\tgroin\tNN\tI-NP\tO' -p176542 -aS'area\tarea\tNN\tI-NP\tO' -p176543 -aS',\t,\t,\tO\tO' -p176544 -aS'also\talso\tRB\tB-ADVP\tO' -p176545 -aS'dilaudid\tdilaudid\tVBD\tB-VP\tO' -p176546 -aS'8\t8\tCD\tB-NP\tO' -p176547 -aS'mg\tmg\tNN\tI-NP\tO' -p176548 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p176549 -aS'q2h\tq2h\tNN\tI-NP\tO' -p176550 -aS',\t,\t,\tO\tO' -p176551 -aS'Colace\tColace\tNNP\tB-NP\tO' -p176552 -aS'100\t100\tCD\tI-NP\tO' -p176553 -aS'mg\tmg\tNN\tI-NP\tO' -p176554 -aS'p.o.\tp.o.\tFW\tB-ADVP\tO' -p176555 -aS'b.i.d.\tb.i.d.\tFW\tI-ADVP\tO' -p176556 -aS',\t,\t,\tO\tO' -p176557 -aS'coumadin\tcoumadin\tNN\tB-NP\tO' -p176558 -aS'2.5\t2.5\tCD\tI-NP\tO' -p176559 -aS'mg\tmg\tNN\tI-NP\tO' -p176560 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p176561 -aS'q.h.s.\tq.h.s.\tNN\tI-NP\tO' -p176562 -aS'fentanyl\tfentanyl\tNN\tI-NP\tO' -p176563 -aS'patch\tpatch\tNN\tI-NP\tO' -p176564 -aS'75\t75\tCD\tB-NP\tO' -p176565 -aS'micrograms\tmicrogram\tNNS\tI-NP\tO' -p176566 -aS'per\tper\tIN\tB-PP\tO' -p176567 -aS'hour\thour\tNN\tB-NP\tO' -p176568 -aS'topical\ttopical\tJJ\tB-NP\tO' -p176569 -aS'q72\tq72\tNN\tI-NP\tO' -p176570 -aS'hours\thour\tNNS\tI-NP\tO' -p176571 -aS',\t,\t,\tO\tO' -p176572 -aS'atenolol\tatenolol\tNN\tB-NP\tO' -p176573 -aS'100\t100\tCD\tI-NP\tO' -p176574 -aS'mg\tmg\tNN\tI-NP\tO' -p176575 -aS'p.o.\tp.o.\tFW\tB-ADVP\tO' -p176576 -aS'q.d.\tq.d.\tFW\tI-ADVP\tO' -p176577 -asS'Stress dose steroids were planned for a 7 day course , antibiotics were peeled back to levofloxacin alone , and a R hip film revealed no loosening nor inflammation .' -p176578 -(lp176579 -S'Stress\tStress\tNN\tB-NP\tO' -p176580 -aS'dose\tdose\tNN\tI-NP\tO' -p176581 -aS'steroids\tsteroid\tNNS\tI-NP\tO' -p176582 -aS'were\tbe\tVBD\tB-VP\tO' -p176583 -aS'planned\tplan\tVBN\tI-VP\tO' -p176584 -aS'for\tfor\tIN\tB-PP\tO' -p176585 -aS'a\ta\tDT\tB-NP\tO' -p176586 -aS'7\t7\tCD\tI-NP\tO' -p176587 -aS'day\tday\tNN\tI-NP\tO' -p176588 -aS'course\tcourse\tNN\tI-NP\tO' -p176589 -aS',\t,\t,\tO\tO' -p176590 -aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' -p176591 -aS'were\tbe\tVBD\tB-VP\tO' -p176592 -aS'peeled\tpeel\tVBN\tI-VP\tO' -p176593 -aS'back\tback\tRB\tB-ADVP\tO' -p176594 -aS'to\tto\tTO\tB-PP\tO' -p176595 -aS'levofloxacin\tlevofloxacin\tNN\tB-NP\tO' -p176596 -aS'alone\talone\tRB\tB-ADVP\tO' -p176597 -aS',\t,\t,\tO\tO' -p176598 -aS'and\tand\tCC\tO\tO' -p176599 -aS'a\ta\tDT\tB-NP\tO' -p176600 -aS'R\tR\tNN\tI-NP\tO' -p176601 -aS'hip\thip\tNN\tI-NP\tO' -p176602 -aS'film\tfilm\tNN\tI-NP\tO' -p176603 -aS'revealed\treveal\tVBD\tB-VP\tO' -p176604 -aS'no\tno\tDT\tB-NP\tO' -p176605 -aS'loosening\tloosening\tNN\tI-NP\tO' -p176606 -aS'nor\tnor\tCC\tI-NP\tO' -p176607 -aS'inflammation\tinflammation\tNN\tI-NP\tO' -p176608 -aS'.\t.\t.\tO\tO' -p176609 -asS'Please call your doctor at the rehabilitation if you develop any shortness of breath , chest pain , nausea , vomiting , or any other concerning symptoms .' -p176610 -(lp176611 -S'Please\tPlease\tVB\tB-VP\tO' -p176612 -aS'call\tcall\tVB\tI-VP\tO' -p176613 -aS'your\tyour\tPRP$\tB-NP\tO' -p176614 -aS'doctor\tdoctor\tNN\tI-NP\tO' -p176615 -aS'at\tat\tIN\tB-PP\tO' -p176616 -aS'the\tthe\tDT\tB-NP\tO' -p176617 -aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' -p176618 -aS'if\tif\tIN\tB-SBAR\tO' -p176619 -aS'you\tyou\tPRP\tB-NP\tO' -p176620 -aS'develop\tdevelop\tVBP\tB-VP\tO' -p176621 -aS'any\tany\tDT\tB-NP\tO' -p176622 -aS'shortness\tshortness\tNN\tI-NP\tO' -p176623 -aS'of\tof\tIN\tB-PP\tO' -p176624 -aS'breath\tbreath\tNN\tB-NP\tO' -p176625 -aS',\t,\t,\tO\tO' -p176626 -aS'chest\tchest\tNN\tB-NP\tO' -p176627 -aS'pain\tpain\tNN\tI-NP\tO' -p176628 -aS',\t,\t,\tO\tO' -p176629 -aS'nausea\tnausea\tNN\tB-NP\tO' -p176630 -aS',\t,\t,\tO\tO' -p176631 -aS'vomiting\tvomiting\tNN\tB-NP\tO' -p176632 -aS',\t,\t,\tO\tO' -p176633 -aS'or\tor\tCC\tO\tO' -p176634 -aS'any\tany\tDT\tB-NP\tO' -p176635 -aS'other\tother\tJJ\tI-NP\tO' -p176636 -aS'concerning\tconcern\tVBG\tI-NP\tO' -p176637 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p176638 -aS'.\t.\t.\tO\tO' -p176639 -asS'He was to follow-up with his primary care physician within two to three days for repeat laboratory studies and blood cultures .' -p176640 -(lp176641 -S'He\tHe\tPRP\tB-NP\tO' -p176642 -aS'was\tbe\tVBD\tB-VP\tO' -p176643 -aS'to\tto\tTO\tB-VP\tO' -p176644 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p176645 -aS'with\twith\tIN\tB-PP\tO' -p176646 -aS'his\this\tPRP$\tB-NP\tO' -p176647 -aS'primary\tprimary\tJJ\tI-NP\tO' -p176648 -aS'care\tcare\tNN\tI-NP\tO' -p176649 -aS'physician\tphysician\tNN\tI-NP\tO' -p176650 -aS'within\twithin\tIN\tB-PP\tO' -p176651 -aS'two\ttwo\tCD\tB-NP\tO' -p176652 -aS'to\tto\tTO\tI-NP\tO' -p176653 -aS'three\tthree\tCD\tI-NP\tO' -p176654 -aS'days\tday\tNNS\tI-NP\tO' -p176655 -aS'for\tfor\tIN\tB-PP\tO' -p176656 -aS'repeat\trepeat\tNN\tB-NP\tO' -p176657 -aS'laboratory\tlaboratory\tNN\tI-NP\tO' -p176658 -aS'studies\tstudy\tNNS\tI-NP\tO' -p176659 -aS'and\tand\tCC\tO\tO' -p176660 -aS'blood\tblood\tNN\tB-NP\tO' -p176661 -aS'cultures\tculture\tNNS\tI-NP\tO' -p176662 -aS'.\t.\t.\tO\tO' -p176663 -asS'He does have diaphoresis and weakness with orthostatic changes .' -p176664 -(lp176665 -S'He\tHe\tPRP\tB-NP\tO' -p176666 -aS'does\tdo\tVBZ\tB-VP\tO' -p176667 -aS'have\thave\tVB\tI-VP\tO' -p176668 -aS'diaphoresis\tdiaphoresis\tNN\tB-NP\tO' -p176669 -aS'and\tand\tCC\tI-NP\tO' -p176670 -aS'weakness\tweakness\tNN\tI-NP\tO' -p176671 -aS'with\twith\tIN\tB-PP\tO' -p176672 -aS'orthostatic\torthostatic\tJJ\tB-NP\tO' -p176673 -aS'changes\tchange\tNNS\tI-NP\tO' -p176674 -aS'.\t.\t.\tO\tO' -p176675 -asS'The patient developed a low grade fever to 100.1 on POD#1 which persisted to POD#2 and imperic treatment with gent/clinda was started .' -p176676 -(lp176677 -S'The\tThe\tDT\tB-NP\tO' -p176678 -aS'patient\tpatient\tNN\tI-NP\tO' -p176679 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p176680 -aS'a\ta\tDT\tB-NP\tO' -p176681 -aS'low\tlow\tJJ\tI-NP\tO' -p176682 -aS'grade\tgrade\tNN\tI-NP\tO' -p176683 -aS'fever\tfever\tNN\tI-NP\tO' -p176684 -aS'to\tto\tTO\tB-PP\tO' -p176685 -aS'100.1\t100.1\tCD\tB-NP\tO' -p176686 -aS'on\ton\tIN\tB-PP\tO' -p176687 -aS'POD#1\tPOD#1\tNN\tB-NP\tB-protein' -p176688 -aS'which\twhich\tWDT\tB-NP\tO' -p176689 -aS'persisted\tpersist\tVBD\tB-VP\tO' -p176690 -aS'to\tto\tTO\tB-PP\tO' -p176691 -aS'POD#2\tPOD#2\tNN\tB-NP\tB-protein' -p176692 -aS'and\tand\tCC\tO\tO' -p176693 -aS'imperic\timperic\tJJ\tB-NP\tO' -p176694 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p176695 -aS'with\twith\tIN\tB-PP\tO' -p176696 -aS'gent/clinda\tgent/clinda\tNN\tB-NP\tO' -p176697 -aS'was\tbe\tVBD\tB-VP\tO' -p176698 -aS'started\tstart\tVBN\tI-VP\tO' -p176699 -aS'.\t.\t.\tO\tO' -p176700 -asS'No complications .' -p176701 -(lp176702 -S'No\tNo\tDT\tB-NP\tO' -p176703 -aS'complications\tcomplication\tNNS\tI-NP\tO' -p176704 -aS'.\t.\t.\tO\tO' -p176705 -asS'In general , the patient was a thin white male , lying in bed , in no acute distress , with a hoarse voice .' -p176706 -(lp176707 -S'In\tIn\tIN\tB-PP\tO' -p176708 -aS'general\tgeneral\tJJ\tB-ADJP\tO' -p176709 -aS',\t,\t,\tO\tO' -p176710 -aS'the\tthe\tDT\tB-NP\tO' -p176711 -aS'patient\tpatient\tNN\tI-NP\tO' -p176712 -aS'was\tbe\tVBD\tB-VP\tO' -p176713 -aS'a\ta\tDT\tB-NP\tO' -p176714 -aS'thin\tthin\tJJ\tI-NP\tO' -p176715 -aS'white\twhite\tJJ\tI-NP\tO' -p176716 -aS'male\tmale\tNN\tI-NP\tO' -p176717 -aS',\t,\t,\tO\tO' -p176718 -aS'lying\tlie\tVBG\tB-VP\tO' -p176719 -aS'in\tin\tIN\tB-PP\tO' -p176720 -aS'bed\tbed\tNN\tB-NP\tO' -p176721 -aS',\t,\t,\tO\tO' -p176722 -aS'in\tin\tIN\tB-PP\tO' -p176723 -aS'no\tno\tDT\tB-NP\tO' -p176724 -aS'acute\tacute\tJJ\tI-NP\tO' -p176725 -aS'distress\tdistress\tNN\tI-NP\tO' -p176726 -aS',\t,\t,\tO\tO' -p176727 -aS'with\twith\tIN\tB-PP\tO' -p176728 -aS'a\ta\tDT\tB-NP\tO' -p176729 -aS'hoarse\thoarse\tJJ\tI-NP\tO' -p176730 -aS'voice\tvoice\tNN\tI-NP\tO' -p176731 -aS'.\t.\t.\tO\tO' -p176732 -asS"History is difficult to obtain from patient d/t somnolence and lack of desire to participate in interview , but per Frank note he was diaphoretic and ' writing in pain ', vomiting clear substance ." -p176733 -(lp176734 -S'History\tHistory\tNN\tB-NP\tO' -p176735 -aS'is\tbe\tVBZ\tB-VP\tO' -p176736 -aS'difficult\tdifficult\tJJ\tB-ADJP\tO' -p176737 -aS'to\tto\tTO\tB-VP\tO' -p176738 -aS'obtain\tobtain\tVB\tI-VP\tO' -p176739 -aS'from\tfrom\tIN\tB-PP\tO' -p176740 -aS'patient\tpatient\tNN\tB-NP\tO' -p176741 -aS'd/t\td/t\tNN\tI-NP\tO' -p176742 -aS'somnolence\tsomnolence\tNN\tI-NP\tO' -p176743 -aS'and\tand\tCC\tO\tO' -p176744 -aS'lack\tlack\tNN\tB-NP\tO' -p176745 -aS'of\tof\tIN\tB-PP\tO' -p176746 -aS'desire\tdesire\tNN\tB-NP\tO' -p176747 -aS'to\tto\tTO\tB-VP\tO' -p176748 -aS'participate\tparticipate\tVB\tI-VP\tO' -p176749 -aS'in\tin\tIN\tB-PP\tO' -p176750 -aS'interview\tinterview\tNN\tB-NP\tO' -p176751 -aS',\t,\t,\tO\tO' -p176752 -aS'but\tbut\tCC\tO\tO' -p176753 -aS'per\tper\tIN\tB-PP\tO' -p176754 -aS'Frank\tFrank\tNNP\tB-NP\tO' -p176755 -aS'note\tnote\tNN\tB-VP\tO' -p176756 -aS'he\the\tPRP\tB-NP\tO' -p176757 -aS'was\tbe\tVBD\tB-VP\tO' -p176758 -aS'diaphoretic\tdiaphoretic\tJJ\tB-ADJP\tO' -p176759 -aS'and\tand\tCC\tO\tO' -p176760 -aS"'\t'\t''\tB-NP\tO" -p176761 -aS'writing\twriting\tNN\tI-NP\tO' -p176762 -aS'in\tin\tIN\tB-PP\tO' -p176763 -aS'pain\tpain\tNN\tB-NP\tO' -p176764 -aS"',\t',\tPOS\tB-NP\tO" -p176765 -aS'vomiting\tvomit\tVBG\tI-NP\tO' -p176766 -aS'clear\tclear\tJJ\tI-NP\tO' -p176767 -aS'substance\tsubstance\tNN\tI-NP\tO' -p176768 -aS'.\t.\t.\tO\tO' -p176769 -asS'The patient was given printed instructions for chest pain ( English ) .' -p176770 -(lp176771 -S'The\tThe\tDT\tB-NP\tO' -p176772 -aS'patient\tpatient\tNN\tI-NP\tO' -p176773 -aS'was\tbe\tVBD\tB-VP\tO' -p176774 -aS'given\tgive\tVBN\tI-VP\tO' -p176775 -aS'printed\tprint\tVBN\tB-NP\tO' -p176776 -aS'instructions\tinstruction\tNNS\tI-NP\tO' -p176777 -aS'for\tfor\tIN\tB-PP\tO' -p176778 -aS'chest\tchest\tNN\tB-NP\tO' -p176779 -aS'pain\tpain\tNN\tI-NP\tO' -p176780 -aS'(\t(\t(\tO\tO' -p176781 -aS'English\tEnglish\tNN\tB-NP\tO' -p176782 -aS')\t)\t)\tO\tO' -p176783 -aS'.\t.\t.\tO\tO' -p176784 -asS'Pregnancy complicated by insulin-dependent gestational diabetes .' -p176785 -(lp176786 -S'Pregnancy\tPregnancy\tNN\tB-NP\tO' -p176787 -aS'complicated\tcomplicate\tVBN\tB-VP\tO' -p176788 -aS'by\tby\tIN\tB-PP\tO' -p176789 -aS'insulin-dependent\tinsulin-dependent\tJJ\tB-NP\tO' -p176790 -aS'gestational\tgestational\tJJ\tI-NP\tO' -p176791 -aS'diabetes\tdiabete\tNNS\tI-NP\tO' -p176792 -aS'.\t.\t.\tO\tO' -p176793 -asS'However she was able to void .' -p176794 -(lp176795 -S'However\tHowever\tRB\tB-ADVP\tO' -p176796 -aS'she\tshe\tPRP\tB-NP\tO' -p176797 -aS'was\tbe\tVBD\tB-VP\tO' -p176798 -aS'able\table\tJJ\tB-ADJP\tO' -p176799 -aS'to\tto\tTO\tB-VP\tO' -p176800 -aS'void\tvoid\tVB\tI-VP\tO' -p176801 -aS'.\t.\t.\tO\tO' -p176802 -asS'40F with hurtle cell tumor of thyroid had total thyroidectomy without complication .' -p176803 -(lp176804 -S'40F\t40F\tNN\tB-NP\tO' -p176805 -aS'with\twith\tIN\tB-PP\tO' -p176806 -aS'hurtle\thurtle\tNN\tB-NP\tO' -p176807 -aS'cell\tcell\tNN\tI-NP\tO' -p176808 -aS'tumor\ttumor\tNN\tI-NP\tO' -p176809 -aS'of\tof\tIN\tB-PP\tO' -p176810 -aS'thyroid\tthyroid\tNN\tB-NP\tO' -p176811 -aS'had\thave\tVBD\tB-VP\tO' -p176812 -aS'total\ttotal\tJJ\tB-NP\tO' -p176813 -aS'thyroidectomy\tthyroidectomy\tNN\tI-NP\tO' -p176814 -aS'without\twithout\tIN\tB-PP\tO' -p176815 -aS'complication\tcomplication\tNN\tB-NP\tO' -p176816 -aS'.\t.\t.\tO\tO' -p176817 -asS'After the patient 's procedure , he was felt to be volume overloaded .' -p176818 -(lp176819 -S'After\tAfter\tIN\tB-PP\tO' -p176820 -aS'the\tthe\tDT\tB-NP\tO' -p176821 -aS'patient\tpatient\tNN\tI-NP\tO' -p176822 -aS''s\t'\tNNS\tI-NP\tO' -p176823 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p176824 -aS',\t,\t,\tO\tO' -p176825 -aS'he\the\tPRP\tB-NP\tO' -p176826 -aS'was\tbe\tVBD\tB-VP\tO' -p176827 -aS'felt\tfeel\tVBN\tI-VP\tO' -p176828 -aS'to\tto\tTO\tI-VP\tO' -p176829 -aS'be\tbe\tVB\tI-VP\tO' -p176830 -aS'volume\tvolume\tNN\tB-NP\tO' -p176831 -aS'overloaded\toverload\tVBN\tB-VP\tO' -p176832 -aS'.\t.\t.\tO\tO' -p176833 -asS'Finally , he went asystolic .' -p176834 -(lp176835 -S'Finally\tFinally\tRB\tB-ADVP\tO' -p176836 -aS',\t,\t,\tO\tO' -p176837 -aS'he\the\tPRP\tB-NP\tO' -p176838 -aS'went\tgo\tVBD\tB-VP\tO' -p176839 -aS'asystolic\tasystolic\tJJ\tB-ADJP\tO' -p176840 -aS'.\t.\t.\tO\tO' -p176841 -asS'Positive flatus .' -p176842 -(lp176843 -S'Positive\tPositive\tJJ\tB-NP\tO' -p176844 -aS'flatus\tflatus\tNN\tI-NP\tO' -p176845 -aS'.\t.\t.\tO\tO' -p176846 -asS'On April 2 , 1994 , she had several episodes of bradycardia and asystole , which responded only to manual ventilation .' -p176847 -(lp176848 -S'On\tOn\tIN\tB-PP\tO' -p176849 -aS'April\tApril\tNNP\tB-NP\tO' -p176850 -aS'2\t2\tCD\tI-NP\tO' -p176851 -aS',\t,\t,\tI-NP\tO' -p176852 -aS'1994\t1994\tCD\tI-NP\tO' -p176853 -aS',\t,\t,\tO\tO' -p176854 -aS'she\tshe\tPRP\tB-NP\tO' -p176855 -aS'had\thave\tVBD\tB-VP\tO' -p176856 -aS'several\tseveral\tJJ\tB-NP\tO' -p176857 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p176858 -aS'of\tof\tIN\tB-PP\tO' -p176859 -aS'bradycardia\tbradycardia\tNN\tB-NP\tO' -p176860 -aS'and\tand\tCC\tI-NP\tO' -p176861 -aS'asystole\tasystole\tNN\tI-NP\tO' -p176862 -aS',\t,\t,\tO\tO' -p176863 -aS'which\twhich\tWDT\tB-NP\tO' -p176864 -aS'responded\trespond\tVBD\tB-VP\tO' -p176865 -aS'only\tonly\tRB\tB-ADVP\tO' -p176866 -aS'to\tto\tTO\tB-PP\tO' -p176867 -aS'manual\tmanual\tJJ\tB-NP\tO' -p176868 -aS'ventilation\tventilation\tNN\tI-NP\tO' -p176869 -aS'.\t.\t.\tO\tO' -p176870 -asS'He was found at that time to have 3-4 mm ST segment elevations in V1 through V4 at Pre Health .' -p176871 -(lp176872 -S'He\tHe\tPRP\tB-NP\tO' -p176873 -aS'was\tbe\tVBD\tB-VP\tO' -p176874 -aS'found\tfind\tVBN\tI-VP\tO' -p176875 -aS'at\tat\tIN\tB-PP\tO' -p176876 -aS'that\tthat\tDT\tB-NP\tO' -p176877 -aS'time\ttime\tNN\tI-NP\tO' -p176878 -aS'to\tto\tTO\tB-VP\tO' -p176879 -aS'have\thave\tVB\tI-VP\tO' -p176880 -aS'3-4\t3-4\tCD\tB-NP\tO' -p176881 -aS'mm\tmm\tNN\tI-NP\tO' -p176882 -aS'ST\tST\tNN\tI-NP\tO' -p176883 -aS'segment\tsegment\tNN\tI-NP\tO' -p176884 -aS'elevations\televation\tNNS\tI-NP\tO' -p176885 -aS'in\tin\tIN\tB-PP\tO' -p176886 -aS'V1\tV1\tNN\tB-NP\tO' -p176887 -aS'through\tthrough\tIN\tB-PP\tO' -p176888 -aS'V4\tV4\tNN\tB-NP\tB-protein' -p176889 -aS'at\tat\tIN\tB-PP\tO' -p176890 -aS'Pre\tPre\tNNP\tB-NP\tO' -p176891 -aS'Health\tHealth\tNNP\tI-NP\tO' -p176892 -aS'.\t.\t.\tO\tO' -p176893 -asS'Adlib po Enfamil with iron .' -p176894 -(lp176895 -S'Adlib\tAdlib\tNN\tB-NP\tO' -p176896 -aS'po\tpo\tNN\tI-NP\tO' -p176897 -aS'Enfamil\tEnfamil\tNN\tI-NP\tO' -p176898 -aS'with\twith\tIN\tB-PP\tO' -p176899 -aS'iron\tiron\tNN\tB-NP\tO' -p176900 -aS'.\t.\t.\tO\tO' -p176901 -asS"Given the innumerable number of AVM 's , it is diffcult to assess which the culprit lesion is and GI may start APL from the fundus of stomach ." -p176902 -(lp176903 -S'Given\tGive\tVBN\tB-PP\tO' -p176904 -aS'the\tthe\tDT\tB-NP\tO' -p176905 -aS'innumerable\tinnumerable\tJJ\tI-NP\tO' -p176906 -aS'number\tnumber\tNN\tI-NP\tO' -p176907 -aS'of\tof\tIN\tB-PP\tO' -p176908 -aS'AVM\tAVM\tNNP\tB-NP\tO' -p176909 -aS"'s\t's\tPOS\tB-NP\tO" -p176910 -aS',\t,\t,\tO\tO' -p176911 -aS'it\tit\tPRP\tB-NP\tO' -p176912 -aS'is\tbe\tVBZ\tB-VP\tO' -p176913 -aS'diffcult\tdiffcult\tJJ\tB-ADJP\tO' -p176914 -aS'to\tto\tTO\tB-VP\tO' -p176915 -aS'assess\tassess\tVB\tI-VP\tO' -p176916 -aS'which\twhich\tWDT\tB-NP\tO' -p176917 -aS'the\tthe\tDT\tB-NP\tO' -p176918 -aS'culprit\tculprit\tNN\tI-NP\tO' -p176919 -aS'lesion\tlesion\tNN\tI-NP\tO' -p176920 -aS'is\tbe\tVBZ\tB-VP\tO' -p176921 -aS'and\tand\tCC\tO\tO' -p176922 -aS'GI\tGI\tNN\tB-NP\tO' -p176923 -aS'may\tmay\tMD\tB-VP\tO' -p176924 -aS'start\tstart\tVB\tI-VP\tO' -p176925 -aS'APL\tAPL\tNN\tB-NP\tO' -p176926 -aS'from\tfrom\tIN\tB-PP\tO' -p176927 -aS'the\tthe\tDT\tB-NP\tO' -p176928 -aS'fundus\tfundus\tNN\tI-NP\tO' -p176929 -aS'of\tof\tIN\tB-PP\tO' -p176930 -aS'stomach\tstomach\tNN\tB-NP\tO' -p176931 -aS'.\t.\t.\tO\tO' -p176932 -asS'The patient has never had these symptoms in the past .' -p176933 -(lp176934 -S'The\tThe\tDT\tB-NP\tO' -p176935 -aS'patient\tpatient\tNN\tI-NP\tO' -p176936 -aS'has\thave\tVBZ\tB-VP\tO' -p176937 -aS'never\tnever\tRB\tI-VP\tO' -p176938 -aS'had\thave\tVBD\tI-VP\tO' -p176939 -aS'these\tthese\tDT\tB-NP\tO' -p176940 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p176941 -aS'in\tin\tIN\tB-PP\tO' -p176942 -aS'the\tthe\tDT\tB-NP\tO' -p176943 -aS'past\tpast\tNN\tI-NP\tO' -p176944 -aS'.\t.\t.\tO\tO' -p176945 -asS'Since that time she has experience occasional episodes of the same focal chest pain but finds that it spontaneously remits .' -p176946 -(lp176947 -S'Since\tSince\tIN\tB-PP\tO' -p176948 -aS'that\tthat\tDT\tB-NP\tO' -p176949 -aS'time\ttime\tNN\tI-NP\tO' -p176950 -aS'she\tshe\tPRP\tB-NP\tO' -p176951 -aS'has\thave\tVBZ\tB-VP\tO' -p176952 -aS'experience\texperience\tNN\tB-NP\tO' -p176953 -aS'occasional\toccasional\tJJ\tI-NP\tO' -p176954 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p176955 -aS'of\tof\tIN\tB-PP\tO' -p176956 -aS'the\tthe\tDT\tB-NP\tO' -p176957 -aS'same\tsame\tJJ\tI-NP\tO' -p176958 -aS'focal\tfocal\tJJ\tI-NP\tO' -p176959 -aS'chest\tchest\tNN\tI-NP\tO' -p176960 -aS'pain\tpain\tNN\tI-NP\tO' -p176961 -aS'but\tbut\tCC\tO\tO' -p176962 -aS'finds\tfind\tVBZ\tB-VP\tO' -p176963 -aS'that\tthat\tIN\tB-SBAR\tO' -p176964 -aS'it\tit\tPRP\tB-NP\tO' -p176965 -aS'spontaneously\tspontaneously\tRB\tB-ADVP\tO' -p176966 -aS'remits\tremit\tVBZ\tB-VP\tO' -p176967 -aS'.\t.\t.\tO\tO' -p176968 -asS'3. Lisinopril 5 mg p.o. daily .' -p176969 -(lp176970 -S'3.\t3.\tLS\tB-LST\tO' -p176971 -aS'Lisinopril\tLisinopril\tNNP\tB-NP\tO' -p176972 -aS'5\t5\tCD\tI-NP\tO' -p176973 -aS'mg\tmg\tNN\tI-NP\tO' -p176974 -aS'p.o.\tp.o.\tRB\tB-ADVP\tO' -p176975 -aS'daily\tdaily\tRB\tI-ADVP\tO' -p176976 -aS'.\t.\t.\tO\tO' -p176977 -asS'Left foot with a dry crusted ulcer over the medial aspect of the first metatarsal head and the lateral posterior heel .' -p176978 -(lp176979 -S'Left\tLeft\tJJ\tB-NP\tO' -p176980 -aS'foot\tfoot\tNN\tI-NP\tO' -p176981 -aS'with\twith\tIN\tB-PP\tO' -p176982 -aS'a\ta\tDT\tB-NP\tO' -p176983 -aS'dry\tdry\tJJ\tI-NP\tO' -p176984 -aS'crusted\tcrusted\tJJ\tI-NP\tO' -p176985 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p176986 -aS'over\tover\tIN\tB-PP\tO' -p176987 -aS'the\tthe\tDT\tB-NP\tO' -p176988 -aS'medial\tmedial\tJJ\tI-NP\tO' -p176989 -aS'aspect\taspect\tNN\tI-NP\tO' -p176990 -aS'of\tof\tIN\tB-PP\tO' -p176991 -aS'the\tthe\tDT\tB-NP\tO' -p176992 -aS'first\tfirst\tJJ\tI-NP\tO' -p176993 -aS'metatarsal\tmetatarsal\tJJ\tI-NP\tO' -p176994 -aS'head\thead\tNN\tI-NP\tO' -p176995 -aS'and\tand\tCC\tO\tO' -p176996 -aS'the\tthe\tDT\tB-NP\tO' -p176997 -aS'lateral\tlateral\tJJ\tI-NP\tO' -p176998 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p176999 -aS'heel\theel\tNN\tI-NP\tO' -p177000 -aS'.\t.\t.\tO\tO' -p177001 -asS'The patient underwent coiling and stent placement without complications .' -p177002 -(lp177003 -S'The\tThe\tDT\tB-NP\tO' -p177004 -aS'patient\tpatient\tNN\tI-NP\tO' -p177005 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p177006 -aS'coiling\tcoiling\tNN\tB-NP\tO' -p177007 -aS'and\tand\tCC\tO\tO' -p177008 -aS'stent\tstent\tJJ\tB-NP\tO' -p177009 -aS'placement\tplacement\tNN\tI-NP\tO' -p177010 -aS'without\twithout\tIN\tB-PP\tO' -p177011 -aS'complications\tcomplication\tNNS\tB-NP\tO' -p177012 -aS'.\t.\t.\tO\tO' -p177013 -asS'His chest radiograph had fluffy bilateral infiltrates .' -p177014 -(lp177015 -S'His\tHis\tPRP$\tB-NP\tO' -p177016 -aS'chest\tchest\tNN\tI-NP\tO' -p177017 -aS'radiograph\tradiograph\tNN\tI-NP\tO' -p177018 -aS'had\thave\tVBD\tB-VP\tO' -p177019 -aS'fluffy\tfluffy\tJJ\tB-NP\tO' -p177020 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p177021 -aS'infiltrates\tinfiltrate\tNNS\tI-NP\tO' -p177022 -aS'.\t.\t.\tO\tO' -p177023 -asS'2. Propanolol .' -p177024 -(lp177025 -S'2.\t2.\tLS\tB-NP\tO' -p177026 -aS'Propanolol\tPropanolol\tNN\tI-NP\tO' -p177027 -aS'.\t.\t.\tO\tO' -p177028 -asS'Calcium levels remained 7.2 to 7.5 postoperatively .' -p177029 -(lp177030 -S'Calcium\tCalcium\tNN\tB-NP\tO' -p177031 -aS'levels\tlevel\tNNS\tI-NP\tO' -p177032 -aS'remained\tremain\tVBD\tB-VP\tO' -p177033 -aS'7.2\t7.2\tCD\tB-NP\tO' -p177034 -aS'to\tto\tTO\tB-PP\tO' -p177035 -aS'7.5\t7.5\tCD\tB-NP\tO' -p177036 -aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' -p177037 -aS'.\t.\t.\tO\tO' -p177038 -asS'The patient was not anxious or ill-appearing .' -p177039 -(lp177040 -S'The\tThe\tDT\tB-NP\tO' -p177041 -aS'patient\tpatient\tNN\tI-NP\tO' -p177042 -aS'was\tbe\tVBD\tB-VP\tO' -p177043 -aS'not\tnot\tRB\tO\tO' -p177044 -aS'anxious\tanxious\tJJ\tB-ADJP\tO' -p177045 -aS'or\tor\tCC\tI-ADJP\tO' -p177046 -aS'ill-appearing\till-appearing\tJJ\tI-ADJP\tO' -p177047 -aS'.\t.\t.\tO\tO' -p177048 -asS'Both were easily reducible .' -p177049 -(lp177050 -S'Both\tBoth\tDT\tB-NP\tO' -p177051 -aS'were\tbe\tVBD\tB-VP\tO' -p177052 -aS'easily\teasily\tRB\tB-ADJP\tO' -p177053 -aS'reducible\treducible\tJJ\tI-ADJP\tO' -p177054 -aS'.\t.\t.\tO\tO' -p177055 -asS'Regular rate and rhythm , S1 and S2 , no extra heart sounds , abdomen distended with an epigastric mass noted , mildly tender to palpation , no guarding .' -p177056 -(lp177057 -S'Regular\tRegular\tJJ\tB-NP\tO' -p177058 -aS'rate\trate\tNN\tI-NP\tO' -p177059 -aS'and\tand\tCC\tO\tO' -p177060 -aS'rhythm\trhythm\tNN\tB-NP\tO' -p177061 -aS',\t,\t,\tO\tO' -p177062 -aS'S1\tS1\tNN\tB-NP\tB-protein' -p177063 -aS'and\tand\tCC\tO\tO' -p177064 -aS'S2\tS2\tNN\tB-NP\tB-protein' -p177065 -aS',\t,\t,\tO\tO' -p177066 -aS'no\tno\tDT\tB-NP\tO' -p177067 -aS'extra\textra\tJJ\tI-NP\tO' -p177068 -aS'heart\theart\tNN\tI-NP\tO' -p177069 -aS'sounds\tsound\tNNS\tI-NP\tO' -p177070 -aS',\t,\t,\tO\tO' -p177071 -aS'abdomen\tabdoman\tNNS\tB-NP\tO' -p177072 -aS'distended\tdistend\tVBN\tB-VP\tO' -p177073 -aS'with\twith\tIN\tB-PP\tO' -p177074 -aS'an\tan\tDT\tB-NP\tO' -p177075 -aS'epigastric\tepigastric\tJJ\tI-NP\tO' -p177076 -aS'mass\tmass\tNN\tI-NP\tO' -p177077 -aS'noted\tnote\tVBD\tB-VP\tO' -p177078 -aS',\t,\t,\tO\tO' -p177079 -aS'mildly\tmildly\tRB\tB-NP\tO' -p177080 -aS'tender\ttender\tNN\tI-NP\tO' -p177081 -aS'to\tto\tTO\tB-PP\tO' -p177082 -aS'palpation\tpalpation\tNN\tB-NP\tO' -p177083 -aS',\t,\t,\tO\tO' -p177084 -aS'no\tno\tDT\tB-NP\tO' -p177085 -aS'guarding\tguarding\tNN\tI-NP\tO' -p177086 -aS'.\t.\t.\tO\tO' -p177087 -asS'The patient is now transferred to Cambridge Health Alliance for cardiac catheterization .' -p177088 -(lp177089 -S'The\tThe\tDT\tB-NP\tO' -p177090 -aS'patient\tpatient\tNN\tI-NP\tO' -p177091 -aS'is\tbe\tVBZ\tB-VP\tO' -p177092 -aS'now\tnow\tRB\tI-VP\tO' -p177093 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p177094 -aS'to\tto\tTO\tB-PP\tO' -p177095 -aS'Cambridge\tCambridge\tNNP\tB-NP\tO' -p177096 -aS'Health\tHealth\tNNP\tI-NP\tO' -p177097 -aS'Alliance\tAlliance\tNNP\tI-NP\tO' -p177098 -aS'for\tfor\tIN\tB-PP\tO' -p177099 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p177100 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p177101 -aS'.\t.\t.\tO\tO' -p177102 -asS'Please return to the Deanna if you experience SOB , chest pain , fevers , chills , dizziness , decreased urine output .' -p177103 -(lp177104 -S'Please\tPlease\tVB\tB-VP\tO' -p177105 -aS'return\treturn\tVB\tI-VP\tO' -p177106 -aS'to\tto\tTO\tB-PP\tO' -p177107 -aS'the\tthe\tDT\tB-NP\tO' -p177108 -aS'Deanna\tDeanna\tNNP\tI-NP\tO' -p177109 -aS'if\tif\tIN\tB-SBAR\tO' -p177110 -aS'you\tyou\tPRP\tB-NP\tO' -p177111 -aS'experience\texperience\tVBP\tB-VP\tO' -p177112 -aS'SOB\tSOB\tNN\tB-NP\tB-protein' -p177113 -aS',\t,\t,\tO\tO' -p177114 -aS'chest\tchest\tNN\tB-NP\tO' -p177115 -aS'pain\tpain\tNN\tI-NP\tO' -p177116 -aS',\t,\t,\tO\tO' -p177117 -aS'fevers\tfever\tNNS\tB-NP\tO' -p177118 -aS',\t,\t,\tO\tO' -p177119 -aS'chills\tchill\tNNS\tB-NP\tO' -p177120 -aS',\t,\t,\tO\tO' -p177121 -aS'dizziness\tdizziness\tNN\tB-NP\tO' -p177122 -aS',\t,\t,\tO\tO' -p177123 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p177124 -aS'urine\turine\tNN\tB-NP\tO' -p177125 -aS'output\toutput\tNN\tI-NP\tO' -p177126 -aS'.\t.\t.\tO\tO' -p177127 -asS'The patient was bolused with NS and did not required pressors .' -p177128 -(lp177129 -S'The\tThe\tDT\tB-NP\tO' -p177130 -aS'patient\tpatient\tNN\tI-NP\tO' -p177131 -aS'was\tbe\tVBD\tB-VP\tO' -p177132 -aS'bolused\tboluse\tVBN\tI-VP\tO' -p177133 -aS'with\twith\tIN\tB-PP\tO' -p177134 -aS'NS\tNS\tNN\tB-NP\tO' -p177135 -aS'and\tand\tCC\tO\tO' -p177136 -aS'did\tdo\tVBD\tB-VP\tO' -p177137 -aS'not\tnot\tRB\tI-VP\tO' -p177138 -aS'required\trequire\tVBN\tI-VP\tO' -p177139 -aS'pressors\tpressor\tNNS\tB-NP\tO' -p177140 -aS'.\t.\t.\tO\tO' -p177141 -asS'She will complete two more days of Levaquin therapy as an outpatient .' -p177142 -(lp177143 -S'She\tShe\tPRP\tB-NP\tO' -p177144 -aS'will\twill\tMD\tB-VP\tO' -p177145 -aS'complete\tcomplete\tVB\tI-VP\tO' -p177146 -aS'two\ttwo\tCD\tB-NP\tO' -p177147 -aS'more\tmore\tJJR\tI-NP\tO' -p177148 -aS'days\tday\tNNS\tI-NP\tO' -p177149 -aS'of\tof\tIN\tB-PP\tO' -p177150 -aS'Levaquin\tLevaquin\tNN\tB-NP\tO' -p177151 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p177152 -aS'as\tas\tIN\tB-PP\tO' -p177153 -aS'an\tan\tDT\tB-NP\tO' -p177154 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p177155 -aS'.\t.\t.\tO\tO' -p177156 -asS'A few days later she complained of dizziness .' -p177157 -(lp177158 -S'A\tA\tDT\tB-NP\tO' -p177159 -aS'few\tfew\tJJ\tI-NP\tO' -p177160 -aS'days\tday\tNNS\tI-NP\tO' -p177161 -aS'later\tlater\tRB\tB-ADVP\tO' -p177162 -aS'she\tshe\tPRP\tB-NP\tO' -p177163 -aS'complained\tcomplain\tVBD\tB-VP\tO' -p177164 -aS'of\tof\tIN\tB-PP\tO' -p177165 -aS'dizziness\tdizziness\tNN\tB-NP\tO' -p177166 -aS'.\t.\t.\tO\tO' -p177167 -asS'4. No evidence of abnormal bone marrow signal intensity or intraosseous abscess ."' -p177168 -(lp177169 -S'4.\t4.\tLS\tB-LST\tO' -p177170 -aS'No\tNo\tDT\tB-NP\tO' -p177171 -aS'evidence\tevidence\tNN\tI-NP\tO' -p177172 -aS'of\tof\tIN\tB-PP\tO' -p177173 -aS'abnormal\tabnormal\tJJ\tB-NP\tO' -p177174 -aS'bone\tbone\tNN\tI-NP\tO' -p177175 -aS'marrow\tmarrow\tNN\tI-NP\tO' -p177176 -aS'signal\tsignal\tNN\tI-NP\tO' -p177177 -aS'intensity\tintensity\tNN\tI-NP\tO' -p177178 -aS'or\tor\tCC\tO\tO' -p177179 -aS'intraosseous\tintraosseous\tJJ\tB-NP\tO' -p177180 -aS'abscess\tabscess\tNN\tI-NP\tO' -p177181 -aS'."\t."\t.\tO\tO' -p177182 -asS'Attending : Christopher KJ Cater , M.D.' -p177183 -(lp177184 -S'Attending\tAttend\tVBG\tB-VP\tO' -p177185 -aS':\t:\t:\tO\tO' -p177186 -aS'Christopher\tChristopher\tNNP\tB-NP\tO' -p177187 -aS'KJ\tKJ\tNNP\tI-NP\tO' -p177188 -aS'Cater\tCater\tNNP\tI-NP\tO' -p177189 -aS',\t,\t,\tO\tO' -p177190 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p177191 -asS'She was started on Decadron and on 1/17 began the first of ten radiation treatments to two fields ( T2 to T5 and T9 to T11 ) .' -p177192 -(lp177193 -S'She\tShe\tPRP\tB-NP\tO' -p177194 -aS'was\tbe\tVBD\tB-VP\tO' -p177195 -aS'started\tstart\tVBN\tI-VP\tO' -p177196 -aS'on\ton\tIN\tB-PP\tO' -p177197 -aS'Decadron\tDecadron\tNNP\tB-NP\tO' -p177198 -aS'and\tand\tCC\tB-PP\tO' -p177199 -aS'on\ton\tIN\tB-PP\tO' -p177200 -aS'1/17\t1/17\tCD\tB-NP\tO' -p177201 -aS'began\tbegin\tVBD\tB-VP\tO' -p177202 -aS'the\tthe\tDT\tB-NP\tO' -p177203 -aS'first\tfirst\tJJ\tI-NP\tO' -p177204 -aS'of\tof\tIN\tB-PP\tO' -p177205 -aS'ten\tten\tCD\tB-NP\tO' -p177206 -aS'radiation\tradiation\tNN\tI-NP\tO' -p177207 -aS'treatments\ttreatment\tNNS\tI-NP\tO' -p177208 -aS'to\tto\tTO\tB-PP\tO' -p177209 -aS'two\ttwo\tCD\tB-NP\tO' -p177210 -aS'fields\tfield\tNNS\tI-NP\tO' -p177211 -aS'(\t(\t(\tO\tO' -p177212 -aS'T2\tT2\tNN\tB-NP\tO' -p177213 -aS'to\tto\tTO\tB-PP\tO' -p177214 -aS'T5\tT5\tNN\tB-NP\tB-DNA' -p177215 -aS'and\tand\tCC\tI-NP\tO' -p177216 -aS'T9\tT9\tNN\tI-NP\tO' -p177217 -aS'to\tto\tTO\tB-PP\tO' -p177218 -aS'T11\tT11\tNN\tB-NP\tB-protein' -p177219 -aS')\t)\t)\tO\tO' -p177220 -aS'.\t.\t.\tO\tO' -p177221 -asS'He was essentially bed bound for 3 days prior to admission , unable to ambulate .' -p177222 -(lp177223 -S'He\tHe\tPRP\tB-NP\tO' -p177224 -aS'was\tbe\tVBD\tB-VP\tO' -p177225 -aS'essentially\tessentially\tRB\tI-VP\tO' -p177226 -aS'bed\tbed\tVBN\tI-VP\tO' -p177227 -aS'bound\tbind\tVBN\tI-VP\tO' -p177228 -aS'for\tfor\tIN\tB-PP\tO' -p177229 -aS'3\t3\tCD\tB-NP\tO' -p177230 -aS'days\tday\tNNS\tI-NP\tO' -p177231 -aS'prior\tprior\tRB\tB-ADVP\tO' -p177232 -aS'to\tto\tTO\tB-PP\tO' -p177233 -aS'admission\tadmission\tNN\tB-NP\tO' -p177234 -aS',\t,\t,\tO\tO' -p177235 -aS'unable\tunable\tJJ\tB-ADJP\tO' -p177236 -aS'to\tto\tTO\tB-VP\tO' -p177237 -aS'ambulate\tambulate\tVB\tI-VP\tO' -p177238 -aS'.\t.\t.\tO\tO' -p177239 -asS'He gets cold easily but denies fevers .' -p177240 -(lp177241 -S'He\tHe\tPRP\tB-NP\tO' -p177242 -aS'gets\tget\tVBZ\tB-VP\tO' -p177243 -aS'cold\tcold\tJJ\tB-ADJP\tO' -p177244 -aS'easily\teasily\tRB\tB-ADVP\tO' -p177245 -aS'but\tbut\tCC\tO\tO' -p177246 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p177247 -aS'fevers\tfever\tNNS\tB-NP\tO' -p177248 -aS'.\t.\t.\tO\tO' -p177249 -asS'His neck has a well-healed right carotid endarterectomy scar .' -p177250 -(lp177251 -S'His\tHis\tPRP$\tB-NP\tO' -p177252 -aS'neck\tneck\tNN\tI-NP\tO' -p177253 -aS'has\thave\tVBZ\tB-VP\tO' -p177254 -aS'a\ta\tDT\tB-NP\tO' -p177255 -aS'well-healed\twell-healed\tJJ\tI-NP\tO' -p177256 -aS'right\tright\tJJ\tI-NP\tO' -p177257 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p177258 -aS'endarterectomy\tendarterectomy\tNN\tI-NP\tO' -p177259 -aS'scar\tscar\tNN\tI-NP\tO' -p177260 -aS'.\t.\t.\tO\tO' -p177261 -asS'By discharge , she was returned to 40 mg of Prednisone q. day times one month to be followed by a slow taper .' -p177262 -(lp177263 -S'By\tBy\tIN\tB-PP\tO' -p177264 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p177265 -aS',\t,\t,\tO\tO' -p177266 -aS'she\tshe\tPRP\tB-NP\tO' -p177267 -aS'was\tbe\tVBD\tB-VP\tO' -p177268 -aS'returned\treturn\tVBN\tI-VP\tO' -p177269 -aS'to\tto\tTO\tB-PP\tO' -p177270 -aS'40\t40\tCD\tB-NP\tO' -p177271 -aS'mg\tmg\tNN\tI-NP\tO' -p177272 -aS'of\tof\tIN\tB-PP\tO' -p177273 -aS'Prednisone\tPrednisone\tNN\tB-NP\tO' -p177274 -aS'q.\tq.\tNN\tI-NP\tO' -p177275 -aS'day\tday\tNN\tI-NP\tO' -p177276 -aS'times\ttime\tVBZ\tB-VP\tO' -p177277 -aS'one\tone\tCD\tB-NP\tO' -p177278 -aS'month\tmonth\tNN\tI-NP\tO' -p177279 -aS'to\tto\tTO\tB-VP\tO' -p177280 -aS'be\tbe\tVB\tI-VP\tO' -p177281 -aS'followed\tfollow\tVBN\tI-VP\tO' -p177282 -aS'by\tby\tIN\tB-PP\tO' -p177283 -aS'a\ta\tDT\tB-NP\tO' -p177284 -aS'slow\tslow\tJJ\tI-NP\tO' -p177285 -aS'taper\ttaper\tNN\tI-NP\tO' -p177286 -aS'.\t.\t.\tO\tO' -p177287 -asS'The patient was begun on Nafcillin due to continued spiking .' -p177288 -(lp177289 -S'The\tThe\tDT\tB-NP\tO' -p177290 -aS'patient\tpatient\tNN\tI-NP\tO' -p177291 -aS'was\tbe\tVBD\tB-VP\tO' -p177292 -aS'begun\tbegin\tVBN\tI-VP\tO' -p177293 -aS'on\ton\tIN\tB-PP\tO' -p177294 -aS'Nafcillin\tNafcillin\tNN\tB-NP\tO' -p177295 -aS'due\tdue\tJJ\tB-PP\tO' -p177296 -aS'to\tto\tTO\tB-PP\tO' -p177297 -aS'continued\tcontinue\tVBN\tB-NP\tO' -p177298 -aS'spiking\tspiking\tNN\tI-NP\tO' -p177299 -aS'.\t.\t.\tO\tO' -p177300 -asS'1. Normal liver .' -p177301 -(lp177302 -S'1.\t1.\tLS\tB-LST\tO' -p177303 -aS'Normal\tNormal\tJJ\tB-NP\tO' -p177304 -aS'liver\tliver\tNN\tI-NP\tO' -p177305 -aS'.\t.\t.\tO\tO' -p177306 -asS'Family at bedside and aware and in agreement of plan .' -p177307 -(lp177308 -S'Family\tFamily\tRB\tB-ADVP\tO' -p177309 -aS'at\tat\tIN\tB-PP\tO' -p177310 -aS'bedside\tbedside\tNN\tB-NP\tO' -p177311 -aS'and\tand\tCC\tO\tO' -p177312 -aS'aware\taware\tJJ\tB-ADJP\tO' -p177313 -aS'and\tand\tCC\tO\tO' -p177314 -aS'in\tin\tIN\tB-PP\tO' -p177315 -aS'agreement\tagreement\tNN\tB-NP\tO' -p177316 -aS'of\tof\tIN\tB-PP\tO' -p177317 -aS'plan\tplan\tNN\tB-NP\tO' -p177318 -aS'.\t.\t.\tO\tO' -p177319 -asS'Dr. Ee , patient to arrange , No Known Allergies' -p177320 -(lp177321 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p177322 -aS'Ee\tEe\tNNP\tI-NP\tO' -p177323 -aS',\t,\t,\tO\tO' -p177324 -aS'patient\tpatient\tNN\tB-NP\tO' -p177325 -aS'to\tto\tTO\tB-VP\tO' -p177326 -aS'arrange\tarrange\tVB\tI-VP\tO' -p177327 -aS',\t,\t,\tO\tO' -p177328 -aS'No\tNo\tNNP\tB-NP\tO' -p177329 -aS'Known\tKnown\tNNP\tI-NP\tO' -p177330 -aS'Allergies\tAllergies\tNNP\tI-NP\tO' -p177331 -asS'a. Day Care during RSV season .' -p177332 -(lp177333 -S'a.\ta.\tRB\tB-ADVP\tO' -p177334 -aS'Day\tDay\tNNP\tB-NP\tO' -p177335 -aS'Care\tCare\tNNP\tI-NP\tO' -p177336 -aS'during\tduring\tIN\tB-PP\tO' -p177337 -aS'RSV\tRSV\tNN\tB-NP\tO' -p177338 -aS'season\tseason\tNN\tI-NP\tO' -p177339 -aS'.\t.\t.\tO\tO' -p177340 -asS'Pacemaker implantation .' -p177341 -(lp177342 -S'Pacemaker\tPacemaker\tNN\tB-NP\tO' -p177343 -aS'implantation\timplantation\tNN\tI-NP\tO' -p177344 -aS'.\t.\t.\tO\tO' -p177345 -asS'1. Interval development of a moderate amount of hemorrhage within the right pleural effusion .' -p177346 -(lp177347 -S'1.\t1.\tLS\tB-NP\tO' -p177348 -aS'Interval\tInterval\tNN\tI-NP\tO' -p177349 -aS'development\tdevelopment\tNN\tI-NP\tO' -p177350 -aS'of\tof\tIN\tB-PP\tO' -p177351 -aS'a\ta\tDT\tB-NP\tO' -p177352 -aS'moderate\tmoderate\tJJ\tI-NP\tO' -p177353 -aS'amount\tamount\tNN\tI-NP\tO' -p177354 -aS'of\tof\tIN\tB-PP\tO' -p177355 -aS'hemorrhage\themorrhage\tNN\tB-NP\tO' -p177356 -aS'within\twithin\tIN\tB-PP\tO' -p177357 -aS'the\tthe\tDT\tB-NP\tO' -p177358 -aS'right\tright\tJJ\tI-NP\tO' -p177359 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p177360 -aS'effusion\teffusion\tNN\tI-NP\tO' -p177361 -aS'.\t.\t.\tO\tO' -p177362 -asS'The patient subsequently deteriorated over time , was started on CVVH and suffered significant complications without improvement of his pulmonary / renal situation .' -p177363 -(lp177364 -S'The\tThe\tDT\tB-NP\tO' -p177365 -aS'patient\tpatient\tNN\tI-NP\tO' -p177366 -aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' -p177367 -aS'deteriorated\tdeteriorate\tVBD\tB-VP\tO' -p177368 -aS'over\tover\tIN\tB-PP\tO' -p177369 -aS'time\ttime\tNN\tB-NP\tO' -p177370 -aS',\t,\t,\tO\tO' -p177371 -aS'was\tbe\tVBD\tB-VP\tO' -p177372 -aS'started\tstart\tVBN\tI-VP\tO' -p177373 -aS'on\ton\tIN\tB-PP\tO' -p177374 -aS'CVVH\tCVVH\tNN\tB-NP\tO' -p177375 -aS'and\tand\tCC\tO\tO' -p177376 -aS'suffered\tsuffer\tVBD\tB-VP\tO' -p177377 -aS'significant\tsignificant\tJJ\tB-NP\tO' -p177378 -aS'complications\tcomplication\tNNS\tI-NP\tO' -p177379 -aS'without\twithout\tIN\tB-PP\tO' -p177380 -aS'improvement\timprovement\tNN\tB-NP\tO' -p177381 -aS'of\tof\tIN\tB-PP\tO' -p177382 -aS'his\this\tPRP$\tB-NP\tO' -p177383 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p177384 -aS'/\t/\tSYM\tI-NP\tO' -p177385 -aS'renal\trenal\tJJ\tI-NP\tO' -p177386 -aS'situation\tsituation\tNN\tI-NP\tO' -p177387 -aS'.\t.\t.\tO\tO' -p177388 -asS'Pt was then initiated on the sepsis protocol .' -p177389 -(lp177390 -S'Pt\tPt\tNN\tB-NP\tO' -p177391 -aS'was\tbe\tVBD\tB-VP\tO' -p177392 -aS'then\tthen\tRB\tI-VP\tO' -p177393 -aS'initiated\tinitiate\tVBN\tI-VP\tO' -p177394 -aS'on\ton\tIN\tB-PP\tO' -p177395 -aS'the\tthe\tDT\tB-NP\tO' -p177396 -aS'sepsis\tsepsis\tNN\tI-NP\tO' -p177397 -aS'protocol\tprotocol\tNN\tI-NP\tO' -p177398 -aS'.\t.\t.\tO\tO' -p177399 -asS'Subsequently overnight , she developed a fever to 102.3 and recurrent hypotension in the setting of fevers and tachycardia that was concerning for an infectious source .' -p177400 -(lp177401 -S'Subsequently\tSubsequently\tRB\tB-ADVP\tO' -p177402 -aS'overnight\tovernight\tRB\tI-ADVP\tO' -p177403 -aS',\t,\t,\tO\tO' -p177404 -aS'she\tshe\tPRP\tB-NP\tO' -p177405 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p177406 -aS'a\ta\tDT\tB-NP\tO' -p177407 -aS'fever\tfever\tNN\tI-NP\tO' -p177408 -aS'to\tto\tTO\tB-PP\tO' -p177409 -aS'102.3\t102.3\tCD\tB-NP\tO' -p177410 -aS'and\tand\tCC\tO\tO' -p177411 -aS'recurrent\trecurrent\tJJ\tB-NP\tO' -p177412 -aS'hypotension\thypotension\tNN\tI-NP\tO' -p177413 -aS'in\tin\tIN\tB-PP\tO' -p177414 -aS'the\tthe\tDT\tB-NP\tO' -p177415 -aS'setting\tsetting\tNN\tI-NP\tO' -p177416 -aS'of\tof\tIN\tB-PP\tO' -p177417 -aS'fevers\tfever\tNNS\tB-NP\tO' -p177418 -aS'and\tand\tCC\tI-NP\tO' -p177419 -aS'tachycardia\ttachycardia\tNN\tI-NP\tO' -p177420 -aS'that\tthat\tWDT\tB-NP\tO' -p177421 -aS'was\tbe\tVBD\tB-VP\tO' -p177422 -aS'concerning\tconcern\tVBG\tI-VP\tO' -p177423 -aS'for\tfor\tIN\tB-PP\tO' -p177424 -aS'an\tan\tDT\tB-NP\tO' -p177425 -aS'infectious\tinfectious\tJJ\tI-NP\tO' -p177426 -aS'source\tsource\tNN\tI-NP\tO' -p177427 -aS'.\t.\t.\tO\tO' -p177428 -asS'Being discharged to home .' -p177429 -(lp177430 -S'Being\tBe\tVBG\tB-VP\tO' -p177431 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p177432 -aS'to\tto\tTO\tB-PP\tO' -p177433 -aS'home\thome\tNN\tB-NP\tO' -p177434 -aS'.\t.\t.\tO\tO' -p177435 -asS'Spontaneous vaginal delivery Laceration 2 degrees' -p177436 -(lp177437 -S'Spontaneous\tSpontaneous\tJJ\tB-NP\tO' -p177438 -aS'vaginal\tvaginal\tJJ\tI-NP\tO' -p177439 -aS'delivery\tdelivery\tNN\tI-NP\tO' -p177440 -aS'Laceration\tLaceration\tNN\tI-NP\tO' -p177441 -aS'2\t2\tCD\tB-NP\tO' -p177442 -aS'degrees\tdegree\tNNS\tI-NP\tO' -p177443 -asS'The patient was a 53-year-old male with a longstanding history of renal disease with multiple complications and problems related to vascular access and hypercoagulable state .' -p177444 -(lp177445 -S'The\tThe\tDT\tB-NP\tO' -p177446 -aS'patient\tpatient\tNN\tI-NP\tO' -p177447 -aS'was\tbe\tVBD\tB-VP\tO' -p177448 -aS'a\ta\tDT\tB-NP\tO' -p177449 -aS'53-year-old\t53-year-old\tJJ\tI-NP\tO' -p177450 -aS'male\tmale\tNN\tI-NP\tO' -p177451 -aS'with\twith\tIN\tB-PP\tO' -p177452 -aS'a\ta\tDT\tB-NP\tO' -p177453 -aS'longstanding\tlongstanding\tJJ\tI-NP\tO' -p177454 -aS'history\thistory\tNN\tI-NP\tO' -p177455 -aS'of\tof\tIN\tB-PP\tO' -p177456 -aS'renal\trenal\tJJ\tB-NP\tO' -p177457 -aS'disease\tdisease\tNN\tI-NP\tO' -p177458 -aS'with\twith\tIN\tB-PP\tO' -p177459 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p177460 -aS'complications\tcomplication\tNNS\tI-NP\tO' -p177461 -aS'and\tand\tCC\tI-NP\tO' -p177462 -aS'problems\tproblem\tNNS\tI-NP\tO' -p177463 -aS'related\trelate\tVBN\tB-VP\tO' -p177464 -aS'to\tto\tTO\tB-PP\tO' -p177465 -aS'vascular\tvascular\tJJ\tB-NP\tO' -p177466 -aS'access\taccess\tNN\tI-NP\tO' -p177467 -aS'and\tand\tCC\tO\tO' -p177468 -aS'hypercoagulable\thypercoagulable\tJJ\tB-NP\tO' -p177469 -aS'state\tstate\tNN\tI-NP\tO' -p177470 -aS'.\t.\t.\tO\tO' -p177471 -asS'Chest clear to auscultation with a few fine crackles at the left base .' -p177472 -(lp177473 -S'Chest\tChest\tRBS\tB-ADJP\tO' -p177474 -aS'clear\tclear\tJJ\tI-ADJP\tO' -p177475 -aS'to\tto\tTO\tB-PP\tO' -p177476 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p177477 -aS'with\twith\tIN\tB-PP\tO' -p177478 -aS'a\ta\tDT\tB-NP\tO' -p177479 -aS'few\tfew\tJJ\tI-NP\tO' -p177480 -aS'fine\tfine\tJJ\tI-NP\tO' -p177481 -aS'crackles\tcrackle\tNNS\tI-NP\tO' -p177482 -aS'at\tat\tIN\tB-PP\tO' -p177483 -aS'the\tthe\tDT\tB-NP\tO' -p177484 -aS'left\tleft\tJJ\tI-NP\tO' -p177485 -aS'base\tbase\tNN\tI-NP\tO' -p177486 -aS'.\t.\t.\tO\tO' -p177487 -asS'5. osteoarthritis ; she is to receive bilateral total knee replacements at some time in the near future ,' -p177488 -(lp177489 -S'5.\t5.\tCD\tB-NP\tO' -p177490 -aS'osteoarthritis\tosteoarthritis\tNN\tI-NP\tO' -p177491 -aS';\t;\t:\tO\tO' -p177492 -aS'she\tshe\tPRP\tB-NP\tO' -p177493 -aS'is\tbe\tVBZ\tB-VP\tO' -p177494 -aS'to\tto\tTO\tI-VP\tO' -p177495 -aS'receive\treceive\tVB\tI-VP\tO' -p177496 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p177497 -aS'total\ttotal\tJJ\tI-NP\tO' -p177498 -aS'knee\tknee\tNN\tI-NP\tO' -p177499 -aS'replacements\treplacement\tNNS\tI-NP\tO' -p177500 -aS'at\tat\tIN\tB-PP\tO' -p177501 -aS'some\tsome\tDT\tB-NP\tO' -p177502 -aS'time\ttime\tNN\tI-NP\tO' -p177503 -aS'in\tin\tIN\tB-PP\tO' -p177504 -aS'the\tthe\tDT\tB-NP\tO' -p177505 -aS'near\tnear\tJJ\tI-NP\tO' -p177506 -aS'future\tfuture\tNN\tI-NP\tO' -p177507 -aS',\t,\t,\tO\tO' -p177508 -asS'The patient was in mild to moderate respiratory distress .' -p177509 -(lp177510 -S'The\tThe\tDT\tB-NP\tO' -p177511 -aS'patient\tpatient\tNN\tI-NP\tO' -p177512 -aS'was\tbe\tVBD\tB-VP\tO' -p177513 -aS'in\tin\tIN\tB-PP\tO' -p177514 -aS'mild\tmild\tJJ\tB-ADJP\tO' -p177515 -aS'to\tto\tTO\tB-PP\tO' -p177516 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p177517 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p177518 -aS'distress\tdistress\tNN\tI-NP\tO' -p177519 -aS'.\t.\t.\tO\tO' -p177520 -asS'However , a lumbar puncture was done , in which tube 1 showed 4800 red blood cells and tube 4 showed 4000 red blood cells .' -p177521 -(lp177522 -S'However\tHowever\tRB\tB-ADVP\tO' -p177523 -aS',\t,\t,\tO\tO' -p177524 -aS'a\ta\tDT\tB-NP\tO' -p177525 -aS'lumbar\tlumbar\tNN\tI-NP\tO' -p177526 -aS'puncture\tpuncture\tNN\tI-NP\tO' -p177527 -aS'was\tbe\tVBD\tB-VP\tO' -p177528 -aS'done\tdo\tVBN\tI-VP\tO' -p177529 -aS',\t,\t,\tO\tO' -p177530 -aS'in\tin\tIN\tB-PP\tO' -p177531 -aS'which\twhich\tWDT\tB-NP\tO' -p177532 -aS'tube\ttube\tNN\tB-NP\tB-cell_type' -p177533 -aS'1\t1\tCD\tI-NP\tI-cell_type' -p177534 -aS'showed\tshow\tVBD\tB-VP\tI-cell_type' -p177535 -aS'4800\t4800\tCD\tB-NP\tI-cell_type' -p177536 -aS'red\tred\tJJ\tI-NP\tI-cell_type' -p177537 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p177538 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p177539 -aS'and\tand\tCC\tO\tO' -p177540 -aS'tube\ttube\tNN\tB-NP\tB-cell_type' -p177541 -aS'4\t4\tCD\tI-NP\tI-cell_type' -p177542 -aS'showed\tshow\tVBD\tB-VP\tI-cell_type' -p177543 -aS'4000\t4000\tCD\tB-NP\tI-cell_type' -p177544 -aS'red\tred\tJJ\tI-NP\tI-cell_type' -p177545 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p177546 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p177547 -aS'.\t.\t.\tO\tO' -p177548 -asS'A second intravenous was started and given normal saline bolus , change in intravenous fluids to D5 water with 80 mEq of bicarbonate , plus 40 mEq of KCL at 45 cc's per hour , bicarbonate given 2 mEq per kilo , attempted to start dopa for poor perfusion but worsening perfusion .' -p177549 -(lp177550 -S'A\tA\tDT\tB-NP\tO' -p177551 -aS'second\tsecond\tJJ\tI-NP\tO' -p177552 -aS'intravenous\tintravenous\tJJ\tI-NP\tO' -p177553 -aS'was\tbe\tVBD\tB-VP\tO' -p177554 -aS'started\tstart\tVBN\tI-VP\tO' -p177555 -aS'and\tand\tCC\tI-VP\tO' -p177556 -aS'given\tgive\tVBN\tI-VP\tO' -p177557 -aS'normal\tnormal\tJJ\tB-NP\tO' -p177558 -aS'saline\tsaline\tNN\tI-NP\tO' -p177559 -aS'bolus\tbolus\tNN\tI-NP\tO' -p177560 -aS',\t,\t,\tO\tO' -p177561 -aS'change\tchange\tNN\tB-NP\tO' -p177562 -aS'in\tin\tIN\tB-PP\tO' -p177563 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p177564 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p177565 -aS'to\tto\tTO\tB-PP\tO' -p177566 -aS'D5\tD5\tNN\tB-NP\tO' -p177567 -aS'water\twater\tNN\tI-NP\tO' -p177568 -aS'with\twith\tIN\tB-PP\tO' -p177569 -aS'80\t80\tCD\tB-NP\tO' -p177570 -aS'mEq\tmEq\tNN\tI-NP\tO' -p177571 -aS'of\tof\tIN\tB-PP\tO' -p177572 -aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' -p177573 -aS',\t,\t,\tO\tO' -p177574 -aS'plus\tplus\tCC\tO\tO' -p177575 -aS'40\t40\tCD\tB-NP\tO' -p177576 -aS'mEq\tmEq\tNN\tI-NP\tO' -p177577 -aS'of\tof\tIN\tB-PP\tO' -p177578 -aS'KCL\tKCL\tNN\tB-NP\tB-protein' -p177579 -aS'at\tat\tIN\tB-PP\tO' -p177580 -aS'45\t45\tCD\tB-NP\tO' -p177581 -aS'cc's\tcc'\tNNS\tI-NP\tO' -p177582 -aS'per\tper\tIN\tB-PP\tO' -p177583 -aS'hour\thour\tNN\tB-NP\tO' -p177584 -aS',\t,\t,\tO\tO' -p177585 -aS'bicarbonate\tbicarbonate\tNN\tB-NP\tB-protein' -p177586 -aS'given\tgive\tVBN\tB-VP\tI-protein' -p177587 -aS'2\t2\tCD\tB-NP\tI-protein' -p177588 -aS'mEq\tmEq\tNN\tI-NP\tI-protein' -p177589 -aS'per\tper\tIN\tB-PP\tI-protein' -p177590 -aS'kilo\tkilo\tNN\tB-NP\tI-protein' -p177591 -aS',\t,\t,\tO\tO' -p177592 -aS'attempted\tattempt\tVBD\tB-VP\tO' -p177593 -aS'to\tto\tTO\tI-VP\tO' -p177594 -aS'start\tstart\tVB\tI-VP\tO' -p177595 -aS'dopa\tdopa\tNN\tB-NP\tO' -p177596 -aS'for\tfor\tIN\tB-PP\tO' -p177597 -aS'poor\tpoor\tJJ\tB-NP\tO' -p177598 -aS'perfusion\tperfusion\tNN\tI-NP\tO' -p177599 -aS'but\tbut\tCC\tO\tO' -p177600 -aS'worsening\tworsen\tVBG\tB-VP\tO' -p177601 -aS'perfusion\tperfusion\tNN\tB-NP\tO' -p177602 -aS'.\t.\t.\tO\tO' -p177603 -asS'Pupils were equal , round , and reactive to light and accommodation .' -p177604 -(lp177605 -S'Pupils\tPupil\tNNS\tB-NP\tO' -p177606 -aS'were\tbe\tVBD\tB-VP\tO' -p177607 -aS'equal\tequal\tJJ\tB-ADJP\tO' -p177608 -aS',\t,\t,\tO\tO' -p177609 -aS'round\tround\tJJ\tB-ADJP\tO' -p177610 -aS',\t,\t,\tO\tO' -p177611 -aS'and\tand\tCC\tO\tO' -p177612 -aS'reactive\treactive\tJJ\tB-ADJP\tO' -p177613 -aS'to\tto\tTO\tB-PP\tO' -p177614 -aS'light\tlight\tNN\tB-NP\tO' -p177615 -aS'and\tand\tCC\tI-NP\tO' -p177616 -aS'accommodation\taccommodation\tNN\tI-NP\tO' -p177617 -aS'.\t.\t.\tO\tO' -p177618 -asS'infl A and B 12-27 : negative' -p177619 -(lp177620 -S'infl\tinfl\tNN\tB-NP\tO' -p177621 -aS'A\tA\tNN\tI-NP\tO' -p177622 -aS'and\tand\tCC\tO\tO' -p177623 -aS'B\tB\tNN\tB-NP\tO' -p177624 -aS'12-27\t12-27\tCD\tI-NP\tO' -p177625 -aS':\t:\t:\tO\tO' -p177626 -aS'negative\tnegative\tJJ\tB-NP\tO' -p177627 -asS'Patient was evaluated by the orthopedic service .' -p177628 -(lp177629 -S'Patient\tPatient\tNN\tB-NP\tO' -p177630 -aS'was\tbe\tVBD\tB-VP\tO' -p177631 -aS'evaluated\tevaluate\tVBN\tI-VP\tO' -p177632 -aS'by\tby\tIN\tB-PP\tO' -p177633 -aS'the\tthe\tDT\tB-NP\tO' -p177634 -aS'orthopedic\torthopedic\tJJ\tI-NP\tO' -p177635 -aS'service\tservice\tNN\tI-NP\tO' -p177636 -aS'.\t.\t.\tO\tO' -p177637 -asS'1-Rhabdomyolysis .' -p177638 -(lp177639 -S'1-Rhabdomyolysis\t1-Rhabdomyolysis\tNN\tB-NP\tO' -p177640 -aS'.\t.\t.\tO\tO' -p177641 -asS'There was a touch an anosognosia .' -p177642 -(lp177643 -S'There\tThere\tEX\tB-NP\tO' -p177644 -aS'was\tbe\tVBD\tB-VP\tO' -p177645 -aS'a\ta\tDT\tB-NP\tO' -p177646 -aS'touch\ttouch\tNN\tI-NP\tO' -p177647 -aS'an\tan\tDT\tB-NP\tO' -p177648 -aS'anosognosia\tanosognosia\tNN\tI-NP\tO' -p177649 -aS'.\t.\t.\tO\tO' -p177650 -asS'Attending : Terry T Trott , M.D.' -p177651 -(lp177652 -S'Attending\tAttend\tVBG\tB-VP\tO' -p177653 -aS':\t:\t:\tO\tO' -p177654 -aS'Terry\tTerry\tNNP\tB-NP\tO' -p177655 -aS'T\tT\tNNP\tI-NP\tO' -p177656 -aS'Trott\tTrott\tNNP\tI-NP\tO' -p177657 -aS',\t,\t,\tO\tO' -p177658 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p177659 -asS'EGD 08/08/01 showed mulitple non-bleeding linear erosions with an irregular circumfrencial ulcer at the GE junction .' -p177660 -(lp177661 -S'EGD\tEGD\tNN\tB-NP\tB-DNA' -p177662 -aS'08/08/01\t08/08/01\tCD\tI-NP\tI-DNA' -p177663 -aS'showed\tshow\tVBD\tB-VP\tO' -p177664 -aS'mulitple\tmulitple\tJJ\tB-NP\tO' -p177665 -aS'non-bleeding\tnon-bleeding\tJJ\tI-NP\tO' -p177666 -aS'linear\tlinear\tJJ\tI-NP\tO' -p177667 -aS'erosions\terosion\tNNS\tI-NP\tO' -p177668 -aS'with\twith\tIN\tB-PP\tO' -p177669 -aS'an\tan\tDT\tB-NP\tO' -p177670 -aS'irregular\tirregular\tJJ\tI-NP\tO' -p177671 -aS'circumfrencial\tcircumfrencial\tJJ\tI-NP\tO' -p177672 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p177673 -aS'at\tat\tIN\tB-PP\tO' -p177674 -aS'the\tthe\tDT\tB-NP\tO' -p177675 -aS'GE\tGE\tNNP\tI-NP\tO' -p177676 -aS'junction\tjunction\tNN\tI-NP\tO' -p177677 -aS'.\t.\t.\tO\tO' -p177678 -asS'EXT : R foot with erythema / swelling ; muscle and tendons exposed , with necrotic edges , some fibrinous exudate' -p177679 -(lp177680 -S'EXT\tEXT\tNN\tB-NP\tO' -p177681 -aS':\t:\t:\tO\tO' -p177682 -aS'R\tR\tNN\tB-NP\tO' -p177683 -aS'foot\tfoot\tNN\tI-NP\tO' -p177684 -aS'with\twith\tIN\tB-PP\tO' -p177685 -aS'erythema\terythema\tNN\tB-NP\tO' -p177686 -aS'/\t/\tSYM\tB-NP\tO' -p177687 -aS'swelling\tswelling\tNN\tI-NP\tO' -p177688 -aS';\t;\t:\tO\tO' -p177689 -aS'muscle\tmuscle\tNN\tB-NP\tO' -p177690 -aS'and\tand\tCC\tI-NP\tO' -p177691 -aS'tendons\ttendon\tNNS\tI-NP\tO' -p177692 -aS'exposed\texpose\tVBN\tB-VP\tO' -p177693 -aS',\t,\t,\tO\tO' -p177694 -aS'with\twith\tIN\tB-PP\tO' -p177695 -aS'necrotic\tnecrotic\tJJ\tB-NP\tO' -p177696 -aS'edges\tedge\tNNS\tI-NP\tO' -p177697 -aS',\t,\t,\tO\tO' -p177698 -aS'some\tsome\tDT\tB-NP\tO' -p177699 -aS'fibrinous\tfibrinous\tJJ\tI-NP\tO' -p177700 -aS'exudate\texudate\tNN\tI-NP\tO' -p177701 -asS'The patient was immediately given 400 mg. of Calcium Chloride i.v. push and ventilator disconnected and the patient manually ventilated .' -p177702 -(lp177703 -S'The\tThe\tDT\tB-NP\tO' -p177704 -aS'patient\tpatient\tNN\tI-NP\tO' -p177705 -aS'was\tbe\tVBD\tB-VP\tO' -p177706 -aS'immediately\timmediately\tRB\tI-VP\tO' -p177707 -aS'given\tgive\tVBN\tI-VP\tO' -p177708 -aS'400\t400\tCD\tB-NP\tO' -p177709 -aS'mg.\tmg.\tNN\tI-NP\tO' -p177710 -aS'of\tof\tIN\tB-PP\tO' -p177711 -aS'Calcium\tCalcium\tNN\tB-NP\tO' -p177712 -aS'Chloride\tChloride\tNN\tI-NP\tO' -p177713 -aS'i.v.\ti.v.\tJJ\tI-NP\tO' -p177714 -aS'push\tpush\tNN\tI-NP\tO' -p177715 -aS'and\tand\tCC\tI-NP\tO' -p177716 -aS'ventilator\tventilator\tNN\tI-NP\tO' -p177717 -aS'disconnected\tdisconnect\tVBN\tB-VP\tO' -p177718 -aS'and\tand\tCC\tO\tO' -p177719 -aS'the\tthe\tDT\tB-NP\tO' -p177720 -aS'patient\tpatient\tNN\tI-NP\tO' -p177721 -aS'manually\tmanually\tRB\tB-VP\tO' -p177722 -aS'ventilated\tventilate\tVBN\tI-VP\tO' -p177723 -aS'.\t.\t.\tO\tO' -p177724 -asS'The throat was clear .' -p177725 -(lp177726 -S'The\tThe\tDT\tB-NP\tO' -p177727 -aS'throat\tthroat\tNN\tI-NP\tO' -p177728 -aS'was\tbe\tVBD\tB-VP\tO' -p177729 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p177730 -aS'.\t.\t.\tO\tO' -p177731 -asS'A chest x-ray was obtained post thoracentesis which revealed a significant decrease in the size of the left pleural effusion .' -p177732 -(lp177733 -S'A\tA\tDT\tB-NP\tO' -p177734 -aS'chest\tchest\tNN\tI-NP\tO' -p177735 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p177736 -aS'was\tbe\tVBD\tB-VP\tO' -p177737 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p177738 -aS'post\tpost\tNN\tB-NP\tO' -p177739 -aS'thoracentesis\tthoracentesis\tNN\tI-NP\tO' -p177740 -aS'which\twhich\tWDT\tB-NP\tO' -p177741 -aS'revealed\treveal\tVBD\tB-VP\tO' -p177742 -aS'a\ta\tDT\tB-NP\tO' -p177743 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p177744 -aS'decrease\tdecrease\tNN\tI-NP\tO' -p177745 -aS'in\tin\tIN\tB-PP\tO' -p177746 -aS'the\tthe\tDT\tB-NP\tO' -p177747 -aS'size\tsize\tNN\tI-NP\tO' -p177748 -aS'of\tof\tIN\tB-PP\tO' -p177749 -aS'the\tthe\tDT\tB-NP\tO' -p177750 -aS'left\tleft\tJJ\tI-NP\tO' -p177751 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p177752 -aS'effusion\teffusion\tNN\tI-NP\tO' -p177753 -aS'.\t.\t.\tO\tO' -p177754 -asS'CP protocol .' -p177755 -(lp177756 -S'CP\tCP\tNN\tB-NP\tO' -p177757 -aS'protocol\tprotocol\tNN\tI-NP\tO' -p177758 -aS'.\t.\t.\tO\tO' -p177759 -asS'1. Atenolol 25 .' -p177760 -(lp177761 -S'1.\t1.\tLS\tB-LST\tO' -p177762 -aS'Atenolol\tAtenolol\tNN\tB-NP\tO' -p177763 -aS'25\t25\tCD\tI-NP\tO' -p177764 -aS'.\t.\t.\tO\tO' -p177765 -asS'Rectal exam was guaiac negative .' -p177766 -(lp177767 -S'Rectal\tRectal\tJJ\tB-NP\tO' -p177768 -aS'exam\texam\tNN\tI-NP\tO' -p177769 -aS'was\tbe\tVBD\tB-VP\tO' -p177770 -aS'guaiac\tguaiac\tNN\tB-NP\tO' -p177771 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p177772 -aS'.\t.\t.\tO\tO' -p177773 -asS'Patient was admitted to CMED CCU with tid Hct check .' -p177774 -(lp177775 -S'Patient\tPatient\tNN\tB-NP\tO' -p177776 -aS'was\tbe\tVBD\tB-VP\tO' -p177777 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p177778 -aS'to\tto\tTO\tB-PP\tO' -p177779 -aS'CMED\tCMED\tVBN\tB-NP\tO' -p177780 -aS'CCU\tCCU\tNN\tI-NP\tO' -p177781 -aS'with\twith\tIN\tB-PP\tO' -p177782 -aS'tid\ttid\tNN\tB-NP\tO' -p177783 -aS'Hct\tHct\tNN\tI-NP\tO' -p177784 -aS'check\tcheck\tNN\tI-NP\tO' -p177785 -aS'.\t.\t.\tO\tO' -p177786 -asS'The patient was admitted for the lap coli with an intraoperative cholangiogram by Dr. Sterp under general anesthesia .' -p177787 -(lp177788 -S'The\tThe\tDT\tB-NP\tO' -p177789 -aS'patient\tpatient\tNN\tI-NP\tO' -p177790 -aS'was\tbe\tVBD\tB-VP\tO' -p177791 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p177792 -aS'for\tfor\tIN\tB-PP\tO' -p177793 -aS'the\tthe\tDT\tB-NP\tO' -p177794 -aS'lap\tlap\tNN\tI-NP\tO' -p177795 -aS'coli\tcoli\tNN\tI-NP\tO' -p177796 -aS'with\twith\tIN\tB-PP\tO' -p177797 -aS'an\tan\tDT\tB-NP\tO' -p177798 -aS'intraoperative\tintraoperative\tJJ\tI-NP\tO' -p177799 -aS'cholangiogram\tcholangiogram\tNN\tI-NP\tO' -p177800 -aS'by\tby\tIN\tB-PP\tO' -p177801 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p177802 -aS'Sterp\tSterp\tNNP\tI-NP\tO' -p177803 -aS'under\tunder\tIN\tB-PP\tO' -p177804 -aS'general\tgeneral\tJJ\tB-NP\tO' -p177805 -aS'anesthesia\tanesthesia\tNN\tI-NP\tO' -p177806 -aS'.\t.\t.\tO\tO' -p177807 -asS'He was returned to the operating room on July 4 .' -p177808 -(lp177809 -S'He\tHe\tPRP\tB-NP\tO' -p177810 -aS'was\tbe\tVBD\tB-VP\tO' -p177811 -aS'returned\treturn\tVBN\tI-VP\tO' -p177812 -aS'to\tto\tTO\tB-PP\tO' -p177813 -aS'the\tthe\tDT\tB-NP\tO' -p177814 -aS'operating\toperating\tNN\tI-NP\tO' -p177815 -aS'room\troom\tNN\tI-NP\tO' -p177816 -aS'on\ton\tIN\tB-PP\tO' -p177817 -aS'July\tJuly\tNNP\tB-NP\tB-protein' -p177818 -aS'4\t4\tCD\tI-NP\tI-protein' -p177819 -aS'.\t.\t.\tO\tO' -p177820 -asS'Her cervical spine was cleared .' -p177821 -(lp177822 -S'Her\tHer\tPRP$\tB-NP\tO' -p177823 -aS'cervical\tcervical\tJJ\tI-NP\tO' -p177824 -aS'spine\tspine\tNN\tI-NP\tO' -p177825 -aS'was\tbe\tVBD\tB-VP\tO' -p177826 -aS'cleared\tclear\tVBN\tI-VP\tO' -p177827 -aS'.\t.\t.\tO\tO' -p177828 -asS'Community-acquired pneumonia .' -p177829 -(lp177830 -S'Community-acquired\tCommunity-acquired\tJJ\tB-NP\tO' -p177831 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p177832 -aS'.\t.\t.\tO\tO' -p177833 -asS'The patient underwent a left colectomy with end transverse colostomy , and oversewing of the descending colon .' -p177834 -(lp177835 -S'The\tThe\tDT\tB-NP\tO' -p177836 -aS'patient\tpatient\tNN\tI-NP\tO' -p177837 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p177838 -aS'a\ta\tDT\tB-NP\tO' -p177839 -aS'left\tleft\tJJ\tI-NP\tO' -p177840 -aS'colectomy\tcolectomy\tNN\tI-NP\tO' -p177841 -aS'with\twith\tIN\tB-PP\tO' -p177842 -aS'end\tend\tNN\tB-NP\tO' -p177843 -aS'transverse\ttransverse\tJJ\tI-NP\tO' -p177844 -aS'colostomy\tcolostomy\tNN\tI-NP\tO' -p177845 -aS',\t,\t,\tO\tO' -p177846 -aS'and\tand\tCC\tO\tO' -p177847 -aS'oversewing\toversew\tVBG\tB-VP\tO' -p177848 -aS'of\tof\tIN\tB-PP\tO' -p177849 -aS'the\tthe\tDT\tB-NP\tO' -p177850 -aS'descending\tdescend\tVBG\tI-NP\tO' -p177851 -aS'colon\tcolon\tNN\tI-NP\tO' -p177852 -aS'.\t.\t.\tO\tO' -p177853 -asS'On admission vital signs were temperature 100.1 , heart rate 83 and sinus rhythm , blood pressure 108/50 , respiratory rate 25 , oxygen saturation 97% on three liters .' -p177854 -(lp177855 -S'On\tOn\tIN\tB-PP\tO' -p177856 -aS'admission\tadmission\tNN\tB-NP\tO' -p177857 -aS'vital\tvital\tJJ\tI-NP\tO' -p177858 -aS'signs\tsign\tNNS\tI-NP\tO' -p177859 -aS'were\tbe\tVBD\tB-VP\tO' -p177860 -aS'temperature\ttemperature\tNN\tB-NP\tO' -p177861 -aS'100.1\t100.1\tCD\tI-NP\tO' -p177862 -aS',\t,\t,\tO\tO' -p177863 -aS'heart\theart\tNN\tB-NP\tO' -p177864 -aS'rate\trate\tNN\tI-NP\tO' -p177865 -aS'83\t83\tCD\tB-NP\tO' -p177866 -aS'and\tand\tCC\tI-NP\tO' -p177867 -aS'sinus\tsinus\tNN\tI-NP\tO' -p177868 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p177869 -aS',\t,\t,\tO\tO' -p177870 -aS'blood\tblood\tNN\tB-NP\tO' -p177871 -aS'pressure\tpressure\tNN\tI-NP\tO' -p177872 -aS'108/50\t108/50\tCD\tI-NP\tO' -p177873 -aS',\t,\t,\tO\tO' -p177874 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p177875 -aS'rate\trate\tNN\tI-NP\tO' -p177876 -aS'25\t25\tCD\tI-NP\tO' -p177877 -aS',\t,\t,\tO\tO' -p177878 -aS'oxygen\toxygen\tNN\tB-NP\tO' -p177879 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p177880 -aS'97%\t97%\tCD\tI-NP\tO' -p177881 -aS'on\ton\tIN\tB-PP\tO' -p177882 -aS'three\tthree\tCD\tB-NP\tO' -p177883 -aS'liters\tliter\tNNS\tI-NP\tO' -p177884 -aS'.\t.\t.\tO\tO' -p177885 -asS'Married and lives with his wife in Forda Minsas Ve , Wyoming .' -p177886 -(lp177887 -S'Married\tMarry\tVBN\tB-VP\tO' -p177888 -aS'and\tand\tCC\tO\tO' -p177889 -aS'lives\tlive\tVBZ\tB-VP\tO' -p177890 -aS'with\twith\tIN\tB-PP\tO' -p177891 -aS'his\this\tPRP$\tB-NP\tO' -p177892 -aS'wife\twife\tNN\tI-NP\tO' -p177893 -aS'in\tin\tIN\tB-PP\tO' -p177894 -aS'Forda\tForda\tNNP\tB-NP\tO' -p177895 -aS'Minsas\tMinsas\tNNP\tI-NP\tO' -p177896 -aS'Ve\tVe\tNNP\tI-NP\tO' -p177897 -aS',\t,\t,\tO\tO' -p177898 -aS'Wyoming\tWyoming\tNNP\tB-NP\tO' -p177899 -aS'.\t.\t.\tO\tO' -p177900 -asS'6. Prozac 20 mg Capsule Sig : One ( 1 ) Capsule PO once a day .' -p177901 -(lp177902 -S'6.\t6.\tCD\tB-NP\tO' -p177903 -aS'Prozac\tProzac\tNN\tI-NP\tO' -p177904 -aS'20\t20\tCD\tB-NP\tO' -p177905 -aS'mg\tmg\tNN\tI-NP\tO' -p177906 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p177907 -aS'Sig\tSig\tNNP\tI-NP\tO' -p177908 -aS':\t:\t:\tO\tO' -p177909 -aS'One\tOne\tCD\tB-NP\tO' -p177910 -aS'(\t(\t(\tO\tO' -p177911 -aS'1\t1\tCD\tB-NP\tO' -p177912 -aS')\t)\t)\tO\tO' -p177913 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p177914 -aS'PO\tPO\tNNP\tI-NP\tO' -p177915 -aS'once\tonce\tRB\tB-ADVP\tO' -p177916 -aS'a\ta\tDT\tB-NP\tO' -p177917 -aS'day\tday\tNN\tI-NP\tO' -p177918 -aS'.\t.\t.\tO\tO' -p177919 -asS'He was followed by the CMED CSRU Service and was started on IV Decadron initially in addition to IV Unasyn , which he tolerated well .' -p177920 -(lp177921 -S'He\tHe\tPRP\tB-NP\tO' -p177922 -aS'was\tbe\tVBD\tB-VP\tO' -p177923 -aS'followed\tfollow\tVBN\tI-VP\tO' -p177924 -aS'by\tby\tIN\tB-PP\tO' -p177925 -aS'the\tthe\tDT\tB-NP\tO' -p177926 -aS'CMED\tCMED\tNNP\tI-NP\tO' -p177927 -aS'CSRU\tCSRU\tNNP\tI-NP\tO' -p177928 -aS'Service\tService\tNNP\tI-NP\tO' -p177929 -aS'and\tand\tCC\tO\tO' -p177930 -aS'was\tbe\tVBD\tB-VP\tO' -p177931 -aS'started\tstart\tVBN\tI-VP\tO' -p177932 -aS'on\ton\tIN\tB-PP\tO' -p177933 -aS'IV\tIV\tNNP\tB-NP\tO' -p177934 -aS'Decadron\tDecadron\tNNP\tI-NP\tO' -p177935 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p177936 -aS'in\tin\tIN\tB-PP\tO' -p177937 -aS'addition\taddition\tNN\tB-NP\tO' -p177938 -aS'to\tto\tTO\tB-PP\tO' -p177939 -aS'IV\tIV\tCD\tB-NP\tO' -p177940 -aS'Unasyn\tUnasyn\tNN\tI-NP\tO' -p177941 -aS',\t,\t,\tO\tO' -p177942 -aS'which\twhich\tWDT\tB-NP\tO' -p177943 -aS'he\the\tPRP\tB-NP\tO' -p177944 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p177945 -aS'well\twell\tRB\tB-ADVP\tO' -p177946 -aS'.\t.\t.\tO\tO' -p177947 -asS'Blood typing has been done on this infant .' -p177948 -(lp177949 -S'Blood\tBlood\tNN\tB-NP\tO' -p177950 -aS'typing\ttyping\tNN\tI-NP\tO' -p177951 -aS'has\thave\tVBZ\tB-VP\tO' -p177952 -aS'been\tbe\tVBN\tI-VP\tO' -p177953 -aS'done\tdo\tVBN\tI-VP\tO' -p177954 -aS'on\ton\tIN\tB-PP\tO' -p177955 -aS'this\tthis\tDT\tB-NP\tO' -p177956 -aS'infant\tinfant\tNN\tI-NP\tO' -p177957 -aS'.\t.\t.\tO\tO' -p177958 -asS'The abdominal examination was within normal limits .' -p177959 -(lp177960 -S'The\tThe\tDT\tB-NP\tO' -p177961 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p177962 -aS'examination\texamination\tNN\tI-NP\tO' -p177963 -aS'was\tbe\tVBD\tB-VP\tO' -p177964 -aS'within\twithin\tIN\tB-PP\tO' -p177965 -aS'normal\tnormal\tJJ\tB-NP\tO' -p177966 -aS'limits\tlimit\tNNS\tI-NP\tO' -p177967 -aS'.\t.\t.\tO\tO' -p177968 -asS'The patient had an echocardiogram on 2013-04-26 , which showed a normal ejection fraction and trivial mitral regurgitation ; otherwise no obvious abnormalities were seen .' -p177969 -(lp177970 -S'The\tThe\tDT\tB-NP\tO' -p177971 -aS'patient\tpatient\tNN\tI-NP\tO' -p177972 -aS'had\thave\tVBD\tB-VP\tO' -p177973 -aS'an\tan\tDT\tB-NP\tO' -p177974 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p177975 -aS'on\ton\tIN\tB-PP\tO' -p177976 -aS'2013-04-26\t2013-04-26\tCD\tB-NP\tO' -p177977 -aS',\t,\t,\tO\tO' -p177978 -aS'which\twhich\tWDT\tB-NP\tO' -p177979 -aS'showed\tshow\tVBD\tB-VP\tO' -p177980 -aS'a\ta\tDT\tB-NP\tO' -p177981 -aS'normal\tnormal\tJJ\tI-NP\tO' -p177982 -aS'ejection\tejection\tNN\tI-NP\tO' -p177983 -aS'fraction\tfraction\tNN\tI-NP\tO' -p177984 -aS'and\tand\tCC\tO\tO' -p177985 -aS'trivial\ttrivial\tJJ\tB-NP\tO' -p177986 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p177987 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p177988 -aS';\t;\t:\tO\tO' -p177989 -aS'otherwise\totherwise\tRB\tB-NP\tO' -p177990 -aS'no\tno\tDT\tI-NP\tO' -p177991 -aS'obvious\tobvious\tJJ\tI-NP\tO' -p177992 -aS'abnormalities\tabnormality\tNNS\tI-NP\tO' -p177993 -aS'were\tbe\tVBD\tB-VP\tO' -p177994 -aS'seen\tsee\tVBN\tI-VP\tO' -p177995 -aS'.\t.\t.\tO\tO' -p177996 -asS'The right lower extremity was positive for abrasions .' -p177997 -(lp177998 -S'The\tThe\tDT\tB-NP\tO' -p177999 -aS'right\tright\tJJ\tI-NP\tO' -p178000 -aS'lower\tlow\tJJR\tI-NP\tO' -p178001 -aS'extremity\textremity\tNN\tI-NP\tO' -p178002 -aS'was\tbe\tVBD\tB-VP\tO' -p178003 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p178004 -aS'for\tfor\tIN\tB-PP\tO' -p178005 -aS'abrasions\tabrasion\tNNS\tB-NP\tO' -p178006 -aS'.\t.\t.\tO\tO' -p178007 -asS'8. Right bundle branch block .' -p178008 -(lp178009 -S'8.\t8.\tLS\tB-NP\tO' -p178010 -aS'Right\tRight\tNN\tI-NP\tO' -p178011 -aS'bundle\tbundle\tNN\tI-NP\tO' -p178012 -aS'branch\tbranch\tNN\tI-NP\tO' -p178013 -aS'block\tblock\tNN\tI-NP\tO' -p178014 -aS'.\t.\t.\tO\tO' -p178015 -asS'Pupils equal , round and reactive to light , extraocular movements intact , anicteric , not injected .' -p178016 -(lp178017 -S'Pupils\tPupil\tNNS\tB-NP\tO' -p178018 -aS'equal\tequal\tJJ\tI-NP\tO' -p178019 -aS',\t,\t,\tI-NP\tO' -p178020 -aS'round\tround\tJJ\tI-NP\tO' -p178021 -aS'and\tand\tCC\tI-NP\tO' -p178022 -aS'reactive\treactive\tJJ\tI-NP\tO' -p178023 -aS'to\tto\tTO\tB-PP\tO' -p178024 -aS'light\tlight\tJJ\tB-NP\tO' -p178025 -aS',\t,\t,\tI-NP\tO' -p178026 -aS'extraocular\textraocular\tJJ\tI-NP\tO' -p178027 -aS'movements\tmovement\tNNS\tI-NP\tO' -p178028 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p178029 -aS',\t,\t,\tO\tO' -p178030 -aS'anicteric\tanicteric\tJJ\tB-ADJP\tO' -p178031 -aS',\t,\t,\tO\tO' -p178032 -aS'not\tnot\tRB\tB-VP\tO' -p178033 -aS'injected\tinject\tVBN\tI-VP\tO' -p178034 -aS'.\t.\t.\tO\tO' -p178035 -asS'The patient was transferred to the medicine service at the Retelk County Medical Center and underwent cardiac catheterization which was negative for disease .' -p178036 -(lp178037 -S'The\tThe\tDT\tB-NP\tO' -p178038 -aS'patient\tpatient\tNN\tI-NP\tO' -p178039 -aS'was\tbe\tVBD\tB-VP\tO' -p178040 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p178041 -aS'to\tto\tTO\tB-PP\tO' -p178042 -aS'the\tthe\tDT\tB-NP\tO' -p178043 -aS'medicine\tmedicine\tNN\tI-NP\tO' -p178044 -aS'service\tservice\tNN\tI-NP\tO' -p178045 -aS'at\tat\tIN\tB-PP\tO' -p178046 -aS'the\tthe\tDT\tB-NP\tO' -p178047 -aS'Retelk\tRetelk\tNNP\tI-NP\tO' -p178048 -aS'County\tCounty\tNNP\tI-NP\tO' -p178049 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p178050 -aS'Center\tCenter\tNNP\tI-NP\tO' -p178051 -aS'and\tand\tCC\tO\tO' -p178052 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p178053 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p178054 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p178055 -aS'which\twhich\tWDT\tB-NP\tO' -p178056 -aS'was\tbe\tVBD\tB-VP\tO' -p178057 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p178058 -aS'for\tfor\tIN\tB-PP\tO' -p178059 -aS'disease\tdisease\tNN\tB-NP\tO' -p178060 -aS'.\t.\t.\tO\tO' -p178061 -asS'There is no significant prevertebral soft tissue swelling .' -p178062 -(lp178063 -S'There\tThere\tEX\tB-NP\tO' -p178064 -aS'is\tbe\tVBZ\tB-VP\tO' -p178065 -aS'no\tno\tDT\tB-NP\tO' -p178066 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p178067 -aS'prevertebral\tprevertebral\tJJ\tI-NP\tO' -p178068 -aS'soft\tsoft\tJJ\tI-NP\tO' -p178069 -aS'tissue\ttissue\tNN\tI-NP\tO' -p178070 -aS'swelling\tswelling\tNN\tI-NP\tO' -p178071 -aS'.\t.\t.\tO\tO' -p178072 -asS'5. Metoprolol Tartrate 25 mg Tablet Sig : One ( 1 ) Tablet PO TID ( 3 times a day ).' -p178073 -(lp178074 -S'5.\t5.\tLS\tB-NP\tO' -p178075 -aS'Metoprolol\tMetoprolol\tNN\tI-NP\tO' -p178076 -aS'Tartrate\tTartrate\tNN\tI-NP\tO' -p178077 -aS'25\t25\tCD\tI-NP\tO' -p178078 -aS'mg\tmg\tNN\tI-NP\tO' -p178079 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p178080 -aS'Sig\tSig\tNNP\tI-NP\tO' -p178081 -aS':\t:\t:\tO\tO' -p178082 -aS'One\tOne\tCD\tB-NP\tO' -p178083 -aS'(\t(\t(\tO\tO' -p178084 -aS'1\t1\tCD\tB-NP\tO' -p178085 -aS')\t)\t)\tO\tO' -p178086 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p178087 -aS'PO\tPO\tNN\tI-NP\tO' -p178088 -aS'TID\tTID\tNN\tI-NP\tO' -p178089 -aS'(\t(\t(\tO\tO' -p178090 -aS'3\t3\tCD\tB-NP\tO' -p178091 -aS'times\ttime\tNNS\tI-NP\tO' -p178092 -aS'a\ta\tDT\tB-NP\tO' -p178093 -aS'day\tday\tNN\tI-NP\tO' -p178094 -aS').\t).\t.\tO\tO' -p178095 -asS'Abdomen was soft , non-tender , bowel sounds present .' -p178096 -(lp178097 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p178098 -aS'was\tbe\tVBD\tB-VP\tO' -p178099 -aS'soft\tsoft\tJJ\tB-NP\tO' -p178100 -aS',\t,\t,\tI-NP\tO' -p178101 -aS'non-tender\tnon-tender\tJJ\tI-NP\tO' -p178102 -aS',\t,\t,\tI-NP\tO' -p178103 -aS'bowel\tbowel\tNN\tI-NP\tO' -p178104 -aS'sounds\tsound\tVBZ\tB-VP\tO' -p178105 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p178106 -aS'.\t.\t.\tO\tO' -p178107 -asS'Rectal examination was guaiac-negative .' -p178108 -(lp178109 -S'Rectal\tRectal\tJJ\tB-NP\tO' -p178110 -aS'examination\texamination\tNN\tI-NP\tO' -p178111 -aS'was\tbe\tVBD\tB-VP\tO' -p178112 -aS'guaiac-negative\tguaiac-negative\tJJ\tB-ADJP\tO' -p178113 -aS'.\t.\t.\tO\tO' -p178114 -asS'Temperature maximum 99.8 F. ; pulse 76 and sinus rhythm ; blood pressure 107/61 ; respiratory rate 18 ; room air oxygen saturation 95% .' -p178115 -(lp178116 -S'Temperature\tTemperature\tNN\tB-NP\tO' -p178117 -aS'maximum\tmaximum\tNN\tI-NP\tO' -p178118 -aS'99.8\t99.8\tCD\tI-NP\tO' -p178119 -aS'F.\tF.\tNNP\tI-NP\tO' -p178120 -aS';\t;\t:\tO\tO' -p178121 -aS'pulse\tpulse\tNN\tB-NP\tO' -p178122 -aS'76\t76\tCD\tI-NP\tO' -p178123 -aS'and\tand\tCC\tO\tO' -p178124 -aS'sinus\tsinus\tNN\tB-NP\tO' -p178125 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p178126 -aS';\t;\t:\tO\tO' -p178127 -aS'blood\tblood\tNN\tB-NP\tO' -p178128 -aS'pressure\tpressure\tNN\tI-NP\tO' -p178129 -aS'107/61\t107/61\tCD\tI-NP\tO' -p178130 -aS';\t;\t:\tO\tO' -p178131 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p178132 -aS'rate\trate\tNN\tI-NP\tO' -p178133 -aS'18\t18\tCD\tI-NP\tO' -p178134 -aS';\t;\t:\tO\tO' -p178135 -aS'room\troom\tNN\tB-NP\tO' -p178136 -aS'air\tair\tNN\tI-NP\tO' -p178137 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p178138 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p178139 -aS'95%\t95%\tCD\tI-NP\tO' -p178140 -aS'.\t.\t.\tO\tO' -p178141 -asS'5. Pantoprazole 40 mg Tablet , Delayed Release ( E.C. ) Sig : One ( 1 ) Tablet , Delayed Release ( E.C. ) PO Q24H ( every 24 hours ) .' -p178142 -(lp178143 -S'5.\t5.\tLS\tB-NP\tO' -p178144 -aS'Pantoprazole\tPantoprazole\tNN\tI-NP\tO' -p178145 -aS'40\t40\tCD\tI-NP\tO' -p178146 -aS'mg\tmg\tNN\tI-NP\tO' -p178147 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p178148 -aS',\t,\t,\tO\tO' -p178149 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p178150 -aS'Release\tRelease\tNNP\tI-NP\tO' -p178151 -aS'(\t(\t(\tO\tO' -p178152 -aS'E.C.\tE.C.\tNNP\tB-NP\tO' -p178153 -aS')\t)\t)\tO\tO' -p178154 -aS'Sig\tSig\tNNP\tB-NP\tO' -p178155 -aS':\t:\t:\tO\tO' -p178156 -aS'One\tOne\tCD\tB-NP\tO' -p178157 -aS'(\t(\t(\tO\tO' -p178158 -aS'1\t1\tCD\tB-NP\tO' -p178159 -aS')\t)\t)\tO\tO' -p178160 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p178161 -aS',\t,\t,\tO\tO' -p178162 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p178163 -aS'Release\tRelease\tNNP\tI-NP\tO' -p178164 -aS'(\t(\t(\tO\tO' -p178165 -aS'E.C.\tE.C.\tNNP\tO\tO' -p178166 -aS')\t)\t)\tO\tO' -p178167 -aS'PO\tPO\tNN\tB-NP\tO' -p178168 -aS'Q24H\tQ24H\tNN\tI-NP\tO' -p178169 -aS'(\t(\t(\tO\tO' -p178170 -aS'every\tevery\tDT\tB-NP\tO' -p178171 -aS'24\t24\tCD\tI-NP\tO' -p178172 -aS'hours\thour\tNNS\tI-NP\tO' -p178173 -aS')\t)\t)\tO\tO' -p178174 -aS'.\t.\t.\tO\tO' -p178175 -asS'Gastroenteritis is possible but she has no vomiting and only occ nausea with meds .' -p178176 -(lp178177 -S'Gastroenteritis\tGastroenteritis\tNN\tB-NP\tO' -p178178 -aS'is\tbe\tVBZ\tB-VP\tO' -p178179 -aS'possible\tpossible\tJJ\tB-ADJP\tO' -p178180 -aS'but\tbut\tCC\tO\tO' -p178181 -aS'she\tshe\tPRP\tB-NP\tO' -p178182 -aS'has\thave\tVBZ\tB-VP\tO' -p178183 -aS'no\tno\tDT\tB-NP\tO' -p178184 -aS'vomiting\tvomiting\tNN\tI-NP\tO' -p178185 -aS'and\tand\tCC\tO\tO' -p178186 -aS'only\tonly\tRB\tB-NP\tO' -p178187 -aS'occ\tocc\tNN\tI-NP\tO' -p178188 -aS'nausea\tnausea\tNN\tI-NP\tO' -p178189 -aS'with\twith\tIN\tB-PP\tO' -p178190 -aS'meds\tmed\tNNS\tB-NP\tO' -p178191 -aS'.\t.\t.\tO\tO' -p178192 -asS'In addition Dr. Blincarour from Radiation Oncology saw the patient and recommended pelvic radiation therapy .' -p178193 -(lp178194 -S'In\tIn\tIN\tB-PP\tO' -p178195 -aS'addition\taddition\tNN\tB-NP\tO' -p178196 -aS'Dr.\tDr.\tNNP\tI-NP\tO' -p178197 -aS'Blincarour\tBlincarour\tNNP\tI-NP\tO' -p178198 -aS'from\tfrom\tIN\tB-PP\tO' -p178199 -aS'Radiation\tRadiation\tNNP\tB-NP\tO' -p178200 -aS'Oncology\tOncology\tNNP\tI-NP\tO' -p178201 -aS'saw\tsee\tVBD\tB-VP\tO' -p178202 -aS'the\tthe\tDT\tB-NP\tO' -p178203 -aS'patient\tpatient\tNN\tI-NP\tO' -p178204 -aS'and\tand\tCC\tO\tO' -p178205 -aS'recommended\trecommend\tVBD\tB-VP\tO' -p178206 -aS'pelvic\tpelvic\tJJ\tB-NP\tO' -p178207 -aS'radiation\tradiation\tNN\tI-NP\tO' -p178208 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p178209 -aS'.\t.\t.\tO\tO' -p178210 -asS'Her past medical history is remarkable for a history of Parkinson 's disease .' -p178211 -(lp178212 -S'Her\tHer\tPRP$\tB-NP\tO' -p178213 -aS'past\tpast\tJJ\tI-NP\tO' -p178214 -aS'medical\tmedical\tJJ\tI-NP\tO' -p178215 -aS'history\thistory\tNN\tI-NP\tO' -p178216 -aS'is\tbe\tVBZ\tB-VP\tO' -p178217 -aS'remarkable\tremarkable\tJJ\tB-ADJP\tO' -p178218 -aS'for\tfor\tIN\tB-PP\tO' -p178219 -aS'a\ta\tDT\tB-NP\tO' -p178220 -aS'history\thistory\tNN\tI-NP\tO' -p178221 -aS'of\tof\tIN\tB-PP\tO' -p178222 -aS'Parkinson\tParkinson\tNNP\tB-NP\tO' -p178223 -aS''s\t'\tNNS\tI-NP\tO' -p178224 -aS'disease\tdisease\tNN\tI-NP\tO' -p178225 -aS'.\t.\t.\tO\tO' -p178226 -asS'Not done , taken to OR direct from ambulance transfer .' -p178227 -(lp178228 -S'Not\tNot\tRB\tB-ADJP\tO' -p178229 -aS'done\tdo\tVBN\tI-ADJP\tO' -p178230 -aS',\t,\t,\tO\tO' -p178231 -aS'taken\ttake\tVBN\tB-VP\tO' -p178232 -aS'to\tto\tTO\tB-PP\tO' -p178233 -aS'OR\tOR\tNN\tB-NP\tO' -p178234 -aS'direct\tdirect\tJJ\tB-ADJP\tO' -p178235 -aS'from\tfrom\tIN\tB-PP\tO' -p178236 -aS'ambulance\tambulance\tNN\tB-NP\tO' -p178237 -aS'transfer\ttransfer\tNN\tI-NP\tO' -p178238 -aS'.\t.\t.\tO\tO' -p178239 -asS'The vital signs were blood pressure 155/82 , pulse 88 , temperature 96.0.' -p178240 -(lp178241 -S'The\tThe\tDT\tB-NP\tO' -p178242 -aS'vital\tvital\tJJ\tI-NP\tO' -p178243 -aS'signs\tsign\tNNS\tI-NP\tO' -p178244 -aS'were\tbe\tVBD\tB-VP\tO' -p178245 -aS'blood\tblood\tNN\tB-NP\tO' -p178246 -aS'pressure\tpressure\tNN\tI-NP\tO' -p178247 -aS'155/82\t155/82\tCD\tI-NP\tO' -p178248 -aS',\t,\t,\tO\tO' -p178249 -aS'pulse\tpulse\tNN\tB-NP\tO' -p178250 -aS'88\t88\tCD\tI-NP\tO' -p178251 -aS',\t,\t,\tO\tO' -p178252 -aS'temperature\ttemperature\tNN\tB-NP\tO' -p178253 -aS'96.0.\t96.0.\tCD\tI-NP\tO' -p178254 -asS'Mets to spine , femur .' -p178255 -(lp178256 -S'Mets\tMet\tNNS\tB-NP\tO' -p178257 -aS'to\tto\tTO\tB-PP\tO' -p178258 -aS'spine\tspine\tNN\tB-NP\tO' -p178259 -aS',\t,\t,\tO\tO' -p178260 -aS'femur\tfemur\tNN\tB-NP\tO' -p178261 -aS'.\t.\t.\tO\tO' -p178262 -asS'Epistaxis .' -p178263 -(lp178264 -S'Epistaxis\tEpistaxis\tNNP\tB-NP\tO' -p178265 -aS'.\t.\t.\tO\tO' -p178266 -asS'On 1/14/96 , she had a dialysis catheter .' -p178267 -(lp178268 -S'On\tOn\tIN\tB-PP\tO' -p178269 -aS'1/14/96\t1/14/96\tCD\tB-NP\tO' -p178270 -aS',\t,\t,\tO\tO' -p178271 -aS'she\tshe\tPRP\tB-NP\tO' -p178272 -aS'had\thave\tVBD\tB-VP\tO' -p178273 -aS'a\ta\tDT\tB-NP\tO' -p178274 -aS'dialysis\tdialysis\tNN\tI-NP\tO' -p178275 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p178276 -aS'.\t.\t.\tO\tO' -p178277 -asS'During this period he had also been weaned off of his Digoxin starting early in February .' -p178278 -(lp178279 -S'During\tDuring\tIN\tB-PP\tO' -p178280 -aS'this\tthis\tDT\tB-NP\tO' -p178281 -aS'period\tperiod\tNN\tI-NP\tO' -p178282 -aS'he\the\tPRP\tB-NP\tO' -p178283 -aS'had\thave\tVBD\tB-VP\tO' -p178284 -aS'also\talso\tRB\tI-VP\tO' -p178285 -aS'been\tbe\tVBN\tI-VP\tO' -p178286 -aS'weaned\twean\tVBN\tI-VP\tO' -p178287 -aS'off\toff\tRP\tB-PRT\tO' -p178288 -aS'of\tof\tIN\tB-PP\tO' -p178289 -aS'his\this\tPRP$\tB-NP\tO' -p178290 -aS'Digoxin\tDigoxin\tNN\tI-NP\tO' -p178291 -aS'starting\tstart\tVBG\tB-VP\tO' -p178292 -aS'early\tearly\tRB\tB-ADVP\tO' -p178293 -aS'in\tin\tIN\tB-PP\tO' -p178294 -aS'February\tFebruary\tNNP\tB-NP\tO' -p178295 -aS'.\t.\t.\tO\tO' -p178296 -asS'After that , he was pain-free .' -p178297 -(lp178298 -S'After\tAfter\tIN\tB-PP\tO' -p178299 -aS'that\tthat\tDT\tB-NP\tO' -p178300 -aS',\t,\t,\tO\tO' -p178301 -aS'he\the\tPRP\tB-NP\tO' -p178302 -aS'was\tbe\tVBD\tB-VP\tO' -p178303 -aS'pain-free\tpain-free\tJJ\tB-ADJP\tO' -p178304 -aS'.\t.\t.\tO\tO' -p178305 -asS'e. a school age sibling .' -p178306 -(lp178307 -S'e.\te.\tLS\tB-LST\tO' -p178308 -aS'a\ta\tDT\tB-NP\tO' -p178309 -aS'school\tschool\tNN\tI-NP\tO' -p178310 -aS'age\tage\tNN\tI-NP\tO' -p178311 -aS'sibling\tsibling\tNN\tI-NP\tO' -p178312 -aS'.\t.\t.\tO\tO' -p178313 -asS'Recurrent transverse myelitis with sequelae of paraplegia-exacerbation in 93 Recurrent bilateral optic neuritis with legal' -p178314 -(lp178315 -S'Recurrent\tRecurrent\tJJ\tB-NP\tO' -p178316 -aS'transverse\ttransverse\tJJ\tI-NP\tO' -p178317 -aS'myelitis\tmyelitis\tNN\tI-NP\tO' -p178318 -aS'with\twith\tIN\tB-PP\tO' -p178319 -aS'sequelae\tsequela\tNNS\tB-NP\tO' -p178320 -aS'of\tof\tIN\tB-PP\tO' -p178321 -aS'paraplegia-exacerbation\tparaplegia-exacerbation\tNN\tB-NP\tO' -p178322 -aS'in\tin\tIN\tB-PP\tO' -p178323 -aS'93\t93\tCD\tB-NP\tO' -p178324 -aS'Recurrent\tRecurrent\tJJ\tI-NP\tO' -p178325 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p178326 -aS'optic\toptic\tJJ\tI-NP\tO' -p178327 -aS'neuritis\tneuritis\tNN\tI-NP\tO' -p178328 -aS'with\twith\tIN\tB-PP\tO' -p178329 -aS'legal\tlegal\tJJ\tB-NP\tO' -p178330 -asS'Firmert Hospital 11/6 at 9am scheduled , Cialneinsisters Hospital And Medical Center 11/16 at 8:15pm scheduled , Dr. Condnort 12/04 at 2pm scheduled , Dr. Lila Spielbjaque 12/01 at 1:50pm scheduled , No Known Allergies' -p178331 -(lp178332 -S'Firmert\tFirmert\tNNP\tB-NP\tO' -p178333 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p178334 -aS'11/6\t11/6\tCD\tI-NP\tO' -p178335 -aS'at\tat\tIN\tB-PP\tO' -p178336 -aS'9am\t9am\tCD\tB-NP\tO' -p178337 -aS'scheduled\tschedule\tVBN\tB-VP\tO' -p178338 -aS',\t,\t,\tO\tO' -p178339 -aS'Cialneinsisters\tCialneinsisters\tNNP\tB-NP\tO' -p178340 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p178341 -aS'And\tAnd\tNNP\tI-NP\tO' -p178342 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p178343 -aS'Center\tCenter\tNNP\tI-NP\tO' -p178344 -aS'11/16\t11/16\tCD\tI-NP\tO' -p178345 -aS'at\tat\tIN\tB-PP\tO' -p178346 -aS'8:15pm\t8:15pm\tCD\tB-NP\tO' -p178347 -aS'scheduled\tschedule\tVBN\tB-VP\tO' -p178348 -aS',\t,\t,\tO\tO' -p178349 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p178350 -aS'Condnort\tCondnort\tNNP\tI-NP\tO' -p178351 -aS'12/04\t12/04\tCD\tI-NP\tO' -p178352 -aS'at\tat\tIN\tB-PP\tO' -p178353 -aS'2pm\t2pm\tNN\tB-NP\tO' -p178354 -aS'scheduled\tschedule\tVBN\tB-VP\tO' -p178355 -aS',\t,\t,\tO\tO' -p178356 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p178357 -aS'Lila\tLila\tNNP\tI-NP\tO' -p178358 -aS'Spielbjaque\tSpielbjaque\tNNP\tI-NP\tO' -p178359 -aS'12/01\t12/01\tCD\tI-NP\tO' -p178360 -aS'at\tat\tIN\tB-PP\tO' -p178361 -aS'1:50pm\t1:50pm\tNN\tB-NP\tO' -p178362 -aS'scheduled\tschedule\tVBN\tB-VP\tO' -p178363 -aS',\t,\t,\tO\tO' -p178364 -aS'No\tNo\tNNP\tB-NP\tO' -p178365 -aS'Known\tKnown\tNNP\tI-NP\tO' -p178366 -aS'Allergies\tAllergies\tNNP\tI-NP\tO' -p178367 -asS'Extremities were pink and well perfused .' -p178368 -(lp178369 -S'Extremities\tExtremity\tNNS\tB-NP\tO' -p178370 -aS'were\tbe\tVBD\tB-VP\tO' -p178371 -aS'pink\tpink\tJJ\tB-ADJP\tO' -p178372 -aS'and\tand\tCC\tO\tO' -p178373 -aS'well\twell\tRB\tB-ADJP\tO' -p178374 -aS'perfused\tperfuse\tVBN\tI-ADJP\tO' -p178375 -aS'.\t.\t.\tO\tO' -p178376 -asS'The patient has a known history of pancreatic adenocarcinoma .' -p178377 -(lp178378 -S'The\tThe\tDT\tB-NP\tO' -p178379 -aS'patient\tpatient\tNN\tI-NP\tO' -p178380 -aS'has\thave\tVBZ\tB-VP\tO' -p178381 -aS'a\ta\tDT\tB-NP\tO' -p178382 -aS'known\tknown\tJJ\tI-NP\tO' -p178383 -aS'history\thistory\tNN\tI-NP\tO' -p178384 -aS'of\tof\tIN\tB-PP\tO' -p178385 -aS'pancreatic\tpancreatic\tJJ\tB-NP\tO' -p178386 -aS'adenocarcinoma\tadenocarcinoma\tNN\tI-NP\tO' -p178387 -aS'.\t.\t.\tO\tO' -p178388 -asS'bilateral coronary angiography .' -p178389 -(lp178390 -S'bilateral\tbilateral\tJJ\tB-NP\tO' -p178391 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p178392 -aS'angiography\tangiography\tNN\tI-NP\tO' -p178393 -aS'.\t.\t.\tO\tO' -p178394 -asS'In the Emergency Department , the patient received Zithromax , ceftriaxone , and Flagyl .' -p178395 -(lp178396 -S'In\tIn\tIN\tB-PP\tO' -p178397 -aS'the\tthe\tDT\tB-NP\tO' -p178398 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p178399 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p178400 -aS',\t,\t,\tO\tO' -p178401 -aS'the\tthe\tDT\tB-NP\tO' -p178402 -aS'patient\tpatient\tNN\tI-NP\tO' -p178403 -aS'received\treceive\tVBD\tB-VP\tO' -p178404 -aS'Zithromax\tZithromax\tNN\tB-NP\tO' -p178405 -aS',\t,\t,\tO\tO' -p178406 -aS'ceftriaxone\tceftriaxone\tNN\tB-NP\tO' -p178407 -aS',\t,\t,\tO\tO' -p178408 -aS'and\tand\tCC\tO\tO' -p178409 -aS'Flagyl\tFlagyl\tNN\tB-NP\tO' -p178410 -aS'.\t.\t.\tO\tO' -p178411 -asS'Dictated By : Michael S Bonham , M.D.' -p178412 -(lp178413 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p178414 -aS'By\tBy\tIN\tB-PP\tO' -p178415 -aS':\t:\t:\tO\tO' -p178416 -aS'Michael\tMichael\tNNP\tB-NP\tO' -p178417 -aS'S\tS\tNNP\tI-NP\tO' -p178418 -aS'Bonham\tBonham\tNNP\tI-NP\tO' -p178419 -aS',\t,\t,\tO\tO' -p178420 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p178421 -asS'Call our office for sternal drainage , temp .> 101.5' -p178422 -(lp178423 -S'Call\tCall\tVB\tB-VP\tO' -p178424 -aS'our\tour\tPRP$\tB-NP\tO' -p178425 -aS'office\toffice\tNN\tI-NP\tO' -p178426 -aS'for\tfor\tIN\tB-PP\tO' -p178427 -aS'sternal\tsternal\tJJ\tB-NP\tO' -p178428 -aS'drainage\tdrainage\tNN\tI-NP\tO' -p178429 -aS',\t,\t,\tO\tO' -p178430 -aS'temp\ttemp\tNN\tB-NP\tO' -p178431 -aS'.>\t.>\tNN\tI-NP\tO' -p178432 -aS'101.5\t101.5\tCD\tI-NP\tO' -p178433 -asS'The patient subsequently underwent a CT scan angiogram with Pancreas protocol to assess the pseudocyst versus enlarged pancreas head .' -p178434 -(lp178435 -S'The\tThe\tDT\tB-NP\tO' -p178436 -aS'patient\tpatient\tNN\tI-NP\tO' -p178437 -aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' -p178438 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p178439 -aS'a\ta\tDT\tB-NP\tO' -p178440 -aS'CT\tCT\tNN\tI-NP\tO' -p178441 -aS'scan\tscan\tNN\tI-NP\tO' -p178442 -aS'angiogram\tangiogram\tNN\tI-NP\tO' -p178443 -aS'with\twith\tIN\tB-PP\tO' -p178444 -aS'Pancreas\tPancreas\tNN\tB-NP\tO' -p178445 -aS'protocol\tprotocol\tNN\tI-NP\tO' -p178446 -aS'to\tto\tTO\tB-VP\tO' -p178447 -aS'assess\tassess\tVB\tI-VP\tO' -p178448 -aS'the\tthe\tDT\tB-NP\tO' -p178449 -aS'pseudocyst\tpseudocyst\tNN\tI-NP\tO' -p178450 -aS'versus\tversus\tIN\tB-PP\tO' -p178451 -aS'enlarged\tenlarged\tJJ\tB-NP\tO' -p178452 -aS'pancreas\tpancreas\tNN\tI-NP\tO' -p178453 -aS'head\thead\tNN\tI-NP\tO' -p178454 -aS'.\t.\t.\tO\tO' -p178455 -asS'Her pH was 7.23 , PCO2 73 , PO2 146 on a nonrebreather .' -p178456 -(lp178457 -S'Her\tHer\tPRP$\tB-NP\tO' -p178458 -aS'pH\tpH\tNN\tI-NP\tO' -p178459 -aS'was\tbe\tVBD\tB-VP\tO' -p178460 -aS'7.23\t7.23\tCD\tB-NP\tO' -p178461 -aS',\t,\t,\tO\tO' -p178462 -aS'PCO2\tPCO2\tNN\tB-NP\tO' -p178463 -aS'73\t73\tCD\tI-NP\tO' -p178464 -aS',\t,\t,\tO\tO' -p178465 -aS'PO2\tPO2\tNN\tB-NP\tO' -p178466 -aS'146\t146\tCD\tI-NP\tO' -p178467 -aS'on\ton\tIN\tB-PP\tO' -p178468 -aS'a\ta\tDT\tB-NP\tO' -p178469 -aS'nonrebreather\tnonrebreather\tNN\tI-NP\tO' -p178470 -aS'.\t.\t.\tO\tO' -p178471 -asS"Please contact the Microbiology Laboratory ( 2313-08-31 ) immediately if sensitivity to clindamycin is required on this patient 's isolate ." -p178472 -(lp178473 -S'Please\tPlease\tVB\tB-VP\tO' -p178474 -aS'contact\tcontact\tVB\tI-VP\tO' -p178475 -aS'the\tthe\tDT\tB-NP\tO' -p178476 -aS'Microbiology\tMicrobiology\tNNP\tI-NP\tO' -p178477 -aS'Laboratory\tLaboratory\tNNP\tI-NP\tO' -p178478 -aS'(\t(\t(\tO\tO' -p178479 -aS'2313-08-31\t2313-08-31\tCD\tB-NP\tO' -p178480 -aS')\t)\t)\tO\tO' -p178481 -aS'immediately\timmediately\tRB\tB-ADVP\tO' -p178482 -aS'if\tif\tIN\tB-SBAR\tO' -p178483 -aS'sensitivity\tsensitivity\tNN\tB-NP\tO' -p178484 -aS'to\tto\tTO\tB-PP\tO' -p178485 -aS'clindamycin\tclindamycin\tNN\tB-NP\tO' -p178486 -aS'is\tbe\tVBZ\tB-VP\tO' -p178487 -aS'required\trequire\tVBN\tI-VP\tO' -p178488 -aS'on\ton\tIN\tB-PP\tO' -p178489 -aS'this\tthis\tDT\tB-NP\tO' -p178490 -aS'patient\tpatient\tNN\tI-NP\tO' -p178491 -aS"'s\t's\tPOS\tB-NP\tO" -p178492 -aS'isolate\tisolate\tNN\tI-NP\tO' -p178493 -aS'.\t.\t.\tO\tO' -p178494 -asS'2 ) HISTORY OF DIASTOLIC DYSFUNCTION WITH AN ECHOCARDIOGRAM IN February OF 1998 DEMONSTRATING A NORMAL EJECTION FRACTION WITH LEFT VENTRICULAR HYPERTROPHY , STATUS POST ADMISSION AT LYMPNANIER HEALTH SERVICES IN January OF 1999 FOR DIASTOLIC CONGESTIVE HEART FAILURE REQUIRING AN ADMISSION TO THE CORONARY CARE UNIT .' -p178495 -(lp178496 -S'2\t2\tLS\tB-LST\tO' -p178497 -aS')\t)\t)\tO\tO' -p178498 -aS'HISTORY\tHISTORY\tNN\tB-NP\tO' -p178499 -aS'OF\tOF\tIN\tB-PP\tO' -p178500 -aS'DIASTOLIC\tDIASTOLIC\tNNP\tB-NP\tO' -p178501 -aS'DYSFUNCTION\tDYSFUNCTION\tNNP\tI-NP\tO' -p178502 -aS'WITH\tWITH\tNNP\tI-NP\tO' -p178503 -aS'AN\tAN\tNNP\tI-NP\tO' -p178504 -aS'ECHOCARDIOGRAM\tECHOCARDIOGRAM\tNNP\tI-NP\tO' -p178505 -aS'IN\tIN\tNNP\tI-NP\tO' -p178506 -aS'February\tFebruary\tNNP\tI-NP\tO' -p178507 -aS'OF\tOF\tIN\tB-NP\tO' -p178508 -aS'1998\t1998\tCD\tI-NP\tO' -p178509 -aS'DEMONSTRATING\tDEMONSTRATING\tNN\tI-NP\tO' -p178510 -aS'A\tA\tNN\tI-NP\tO' -p178511 -aS'NORMAL\tNORMAL\tNN\tI-NP\tO' -p178512 -aS'EJECTION\tEJECTION\tNN\tI-NP\tO' -p178513 -aS'FRACTION\tFRACTION\tNN\tI-NP\tO' -p178514 -aS'WITH\tWITH\tNN\tI-NP\tO' -p178515 -aS'LEFT\tLEFT\tNN\tI-NP\tO' -p178516 -aS'VENTRICULAR\tVENTRICULAR\tNN\tI-NP\tO' -p178517 -aS'HYPERTROPHY\tHYPERTROPHY\tNN\tI-NP\tO' -p178518 -aS',\t,\t,\tO\tO' -p178519 -aS'STATUS\tSTATUS\tNN\tB-NP\tO' -p178520 -aS'POST\tPOST\tNN\tI-NP\tO' -p178521 -aS'ADMISSION\tADMISSION\tNN\tI-NP\tO' -p178522 -aS'AT\tAT\tNN\tI-NP\tO' -p178523 -aS'LYMPNANIER\tLYMPNANIER\tNN\tI-NP\tO' -p178524 -aS'HEALTH\tHEALTH\tNN\tI-NP\tO' -p178525 -aS'SERVICES\tSERVICES\tNNS\tI-NP\tO' -p178526 -aS'IN\tIN\tIN\tB-PP\tO' -p178527 -aS'January\tJanuary\tNNP\tB-NP\tO' -p178528 -aS'OF\tOF\tIN\tB-PP\tO' -p178529 -aS'1999\t1999\tCD\tB-NP\tO' -p178530 -aS'FOR\tFOR\tIN\tB-PP\tO' -p178531 -aS'DIASTOLIC\tDIASTOLIC\tNNP\tB-NP\tO' -p178532 -aS'CONGESTIVE\tCONGESTIVE\tNNP\tI-NP\tO' -p178533 -aS'HEART\tHEART\tNNP\tI-NP\tO' -p178534 -aS'FAILURE\tFAILURE\tNNP\tI-NP\tO' -p178535 -aS'REQUIRING\tREQUIRING\tNNP\tI-NP\tO' -p178536 -aS'AN\tAN\tNN\tI-NP\tO' -p178537 -aS'ADMISSION\tADMISSION\tNN\tI-NP\tO' -p178538 -aS'TO\tTO\tTO\tB-PP\tO' -p178539 -aS'THE\tTHE\tDT\tB-NP\tO' -p178540 -aS'CORONARY\tCORONARY\tNNP\tI-NP\tO' -p178541 -aS'CARE\tCARE\tNNP\tI-NP\tO' -p178542 -aS'UNIT\tUNIT\tNNP\tI-NP\tO' -p178543 -aS'.\t.\t.\tO\tO' -p178544 -asS'Four large flat Jackson-Pratt drains were placed , and gastrostomy , jejunostomy , and cholecystostomy tubes , as well as a right subclavian Quinton catheter were placed .' -p178545 -(lp178546 -S'Four\tFour\tCD\tB-NP\tO' -p178547 -aS'large\tlarge\tJJ\tI-NP\tO' -p178548 -aS'flat\tflat\tJJ\tI-NP\tO' -p178549 -aS'Jackson-Pratt\tJackson-Pratt\tJJ\tI-NP\tO' -p178550 -aS'drains\tdrain\tNNS\tI-NP\tO' -p178551 -aS'were\tbe\tVBD\tB-VP\tO' -p178552 -aS'placed\tplace\tVBN\tI-VP\tO' -p178553 -aS',\t,\t,\tO\tO' -p178554 -aS'and\tand\tCC\tO\tO' -p178555 -aS'gastrostomy\tgastrostomy\tNN\tB-NP\tO' -p178556 -aS',\t,\t,\tO\tO' -p178557 -aS'jejunostomy\tjejunostomy\tNN\tB-NP\tO' -p178558 -aS',\t,\t,\tO\tO' -p178559 -aS'and\tand\tCC\tO\tO' -p178560 -aS'cholecystostomy\tcholecystostomy\tNN\tB-NP\tO' -p178561 -aS'tubes\ttube\tNNS\tI-NP\tO' -p178562 -aS',\t,\t,\tO\tO' -p178563 -aS'as\tas\tRB\tB-CONJP\tO' -p178564 -aS'well\twell\tRB\tI-CONJP\tO' -p178565 -aS'as\tas\tIN\tI-CONJP\tO' -p178566 -aS'a\ta\tDT\tB-NP\tO' -p178567 -aS'right\tright\tJJ\tI-NP\tO' -p178568 -aS'subclavian\tsubclavian\tJJ\tI-NP\tO' -p178569 -aS'Quinton\tQuinton\tNNP\tI-NP\tO' -p178570 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p178571 -aS'were\tbe\tVBD\tB-VP\tO' -p178572 -aS'placed\tplace\tVBN\tI-VP\tO' -p178573 -aS'.\t.\t.\tO\tO' -p178574 -asS'She was transferred from an outside hospital for evaluation and treatment of adenocarcinoma involving the transverse colon and gallbladder .' -p178575 -(lp178576 -S'She\tShe\tPRP\tB-NP\tO' -p178577 -aS'was\tbe\tVBD\tB-VP\tO' -p178578 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p178579 -aS'from\tfrom\tIN\tB-PP\tO' -p178580 -aS'an\tan\tDT\tB-NP\tO' -p178581 -aS'outside\toutside\tJJ\tI-NP\tO' -p178582 -aS'hospital\thospital\tNN\tI-NP\tO' -p178583 -aS'for\tfor\tIN\tB-PP\tO' -p178584 -aS'evaluation\tevaluation\tNN\tB-NP\tO' -p178585 -aS'and\tand\tCC\tI-NP\tO' -p178586 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p178587 -aS'of\tof\tIN\tB-PP\tO' -p178588 -aS'adenocarcinoma\tadenocarcinoma\tNN\tB-NP\tO' -p178589 -aS'involving\tinvolve\tVBG\tB-VP\tO' -p178590 -aS'the\tthe\tDT\tB-NP\tO' -p178591 -aS'transverse\ttransverse\tJJ\tI-NP\tO' -p178592 -aS'colon\tcolon\tNN\tI-NP\tO' -p178593 -aS'and\tand\tCC\tI-NP\tO' -p178594 -aS'gallbladder\tgallbladder\tNN\tI-NP\tO' -p178595 -aS'.\t.\t.\tO\tO' -p178596 -asS'# Neurologic - The patient was seen by the Neurology consult service and underwent MRI head which revealed lesions suspicious for metastases , possible hemorrhages , and findings consistent with hypoxic brain injury .' -p178597 -(lp178598 -S'#\t#\t#\tB-NP\tO' -p178599 -aS'Neurologic\tNeurologic\tJJ\tI-NP\tO' -p178600 -aS'-\t-\tHYPH\tO\tO' -p178601 -aS'The\tThe\tDT\tB-NP\tO' -p178602 -aS'patient\tpatient\tNN\tI-NP\tO' -p178603 -aS'was\tbe\tVBD\tB-VP\tO' -p178604 -aS'seen\tsee\tVBN\tI-VP\tO' -p178605 -aS'by\tby\tIN\tB-PP\tO' -p178606 -aS'the\tthe\tDT\tB-NP\tO' -p178607 -aS'Neurology\tNeurology\tNNP\tI-NP\tO' -p178608 -aS'consult\tconsult\tNN\tI-NP\tO' -p178609 -aS'service\tservice\tNN\tI-NP\tO' -p178610 -aS'and\tand\tCC\tO\tO' -p178611 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p178612 -aS'MRI\tMRI\tNN\tB-NP\tO' -p178613 -aS'head\thead\tNN\tI-NP\tO' -p178614 -aS'which\twhich\tWDT\tB-NP\tO' -p178615 -aS'revealed\treveal\tVBD\tB-VP\tO' -p178616 -aS'lesions\tlesion\tNNS\tB-NP\tO' -p178617 -aS'suspicious\tsuspicious\tJJ\tB-ADJP\tO' -p178618 -aS'for\tfor\tIN\tB-PP\tO' -p178619 -aS'metastases\tmetastasis\tNNS\tB-NP\tO' -p178620 -aS',\t,\t,\tO\tO' -p178621 -aS'possible\tpossible\tJJ\tB-NP\tO' -p178622 -aS'hemorrhages\themorrhage\tNNS\tI-NP\tO' -p178623 -aS',\t,\t,\tO\tO' -p178624 -aS'and\tand\tCC\tO\tO' -p178625 -aS'findings\tfinding\tNNS\tB-NP\tO' -p178626 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p178627 -aS'with\twith\tIN\tB-PP\tO' -p178628 -aS'hypoxic\thypoxic\tJJ\tB-NP\tO' -p178629 -aS'brain\tbrain\tNN\tI-NP\tO' -p178630 -aS'injury\tinjury\tNN\tI-NP\tO' -p178631 -aS'.\t.\t.\tO\tO' -p178632 -asS'It continued to be somewhat difficult to control his activity and Rehabilitation Screen was in place but there was difficulty finding the appropriate facility .' -p178633 -(lp178634 -S'It\tIt\tPRP\tB-NP\tO' -p178635 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p178636 -aS'to\tto\tTO\tI-VP\tO' -p178637 -aS'be\tbe\tVB\tI-VP\tO' -p178638 -aS'somewhat\tsomewhat\tRB\tB-ADJP\tO' -p178639 -aS'difficult\tdifficult\tJJ\tI-ADJP\tO' -p178640 -aS'to\tto\tTO\tB-VP\tO' -p178641 -aS'control\tcontrol\tVB\tI-VP\tO' -p178642 -aS'his\this\tPRP$\tB-NP\tO' -p178643 -aS'activity\tactivity\tNN\tI-NP\tO' -p178644 -aS'and\tand\tCC\tI-NP\tO' -p178645 -aS'Rehabilitation\tRehabilitation\tNN\tI-NP\tO' -p178646 -aS'Screen\tScreen\tNN\tI-NP\tO' -p178647 -aS'was\tbe\tVBD\tB-VP\tO' -p178648 -aS'in\tin\tIN\tB-PP\tO' -p178649 -aS'place\tplace\tNN\tB-NP\tO' -p178650 -aS'but\tbut\tCC\tO\tO' -p178651 -aS'there\tthere\tEX\tB-NP\tO' -p178652 -aS'was\tbe\tVBD\tB-VP\tO' -p178653 -aS'difficulty\tdifficulty\tNN\tB-NP\tO' -p178654 -aS'finding\tfind\tVBG\tB-VP\tO' -p178655 -aS'the\tthe\tDT\tB-NP\tO' -p178656 -aS'appropriate\tappropriate\tJJ\tI-NP\tO' -p178657 -aS'facility\tfacility\tNN\tI-NP\tO' -p178658 -aS'.\t.\t.\tO\tO' -p178659 -asS'He was an elderly frail gentleman in moderate respiratory distress .' -p178660 -(lp178661 -S'He\tHe\tPRP\tB-NP\tO' -p178662 -aS'was\tbe\tVBD\tB-VP\tO' -p178663 -aS'an\tan\tDT\tB-NP\tO' -p178664 -aS'elderly\telderly\tJJ\tI-NP\tO' -p178665 -aS'frail\tfrail\tNN\tI-NP\tO' -p178666 -aS'gentleman\tgentleman\tNN\tI-NP\tO' -p178667 -aS'in\tin\tIN\tB-PP\tO' -p178668 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p178669 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p178670 -aS'distress\tdistress\tNN\tI-NP\tO' -p178671 -aS'.\t.\t.\tO\tO' -p178672 -asS'General : young male in nad , awake alert oriented' -p178673 -(lp178674 -S'General\tGeneral\tJJ\tB-ADJP\tO' -p178675 -aS':\t:\t:\tO\tO' -p178676 -aS'young\tyoung\tJJ\tB-NP\tO' -p178677 -aS'male\tmale\tNN\tI-NP\tO' -p178678 -aS'in\tin\tIN\tB-PP\tO' -p178679 -aS'nad\tnad\tNN\tB-NP\tO' -p178680 -aS',\t,\t,\tO\tO' -p178681 -aS'awake\tawake\tVBP\tB-VP\tO' -p178682 -aS'alert\talert\tRB\tI-VP\tO' -p178683 -aS'oriented\torient\tVBN\tI-VP\tO' -p178684 -asS'Potassium was 3.9 .' -p178685 -(lp178686 -S'Potassium\tPotassium\tNN\tB-NP\tO' -p178687 -aS'was\tbe\tVBD\tB-VP\tO' -p178688 -aS'3.9\t3.9\tCD\tB-NP\tO' -p178689 -aS'.\t.\t.\tO\tO' -p178690 -asS'He was given 1.5 grams of Dilantin in the emergency room as well as 2 mgs of intravenous Ativan which did little to stop his rhythmic blinking that he showed from time to time on examination .' -p178691 -(lp178692 -S'He\tHe\tPRP\tB-NP\tO' -p178693 -aS'was\tbe\tVBD\tB-VP\tO' -p178694 -aS'given\tgive\tVBN\tI-VP\tO' -p178695 -aS'1.5\t1.5\tCD\tB-NP\tO' -p178696 -aS'grams\tgram\tNNS\tI-NP\tO' -p178697 -aS'of\tof\tIN\tB-PP\tO' -p178698 -aS'Dilantin\tDilantin\tNN\tB-NP\tB-protein' -p178699 -aS'in\tin\tIN\tB-PP\tO' -p178700 -aS'the\tthe\tDT\tB-NP\tO' -p178701 -aS'emergency\temergency\tNN\tI-NP\tO' -p178702 -aS'room\troom\tNN\tI-NP\tO' -p178703 -aS'as\tas\tRB\tB-CONJP\tO' -p178704 -aS'well\twell\tRB\tI-CONJP\tO' -p178705 -aS'as\tas\tIN\tI-CONJP\tO' -p178706 -aS'2\t2\tCD\tB-NP\tO' -p178707 -aS'mgs\tmg\tNNS\tI-NP\tO' -p178708 -aS'of\tof\tIN\tB-PP\tO' -p178709 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p178710 -aS'Ativan\tAtivan\tNNP\tI-NP\tO' -p178711 -aS'which\twhich\tWDT\tB-NP\tO' -p178712 -aS'did\tdo\tVBD\tB-VP\tO' -p178713 -aS'little\tlittle\tJJ\tB-NP\tO' -p178714 -aS'to\tto\tTO\tB-VP\tO' -p178715 -aS'stop\tstop\tVB\tI-VP\tO' -p178716 -aS'his\this\tPRP$\tB-NP\tO' -p178717 -aS'rhythmic\trhythmic\tJJ\tI-NP\tO' -p178718 -aS'blinking\tblinking\tNN\tI-NP\tO' -p178719 -aS'that\tthat\tIN\tB-NP\tO' -p178720 -aS'he\the\tPRP\tB-NP\tO' -p178721 -aS'showed\tshow\tVBD\tB-VP\tO' -p178722 -aS'from\tfrom\tIN\tB-PP\tO' -p178723 -aS'time\ttime\tNN\tB-NP\tO' -p178724 -aS'to\tto\tTO\tB-PP\tO' -p178725 -aS'time\ttime\tNN\tB-NP\tO' -p178726 -aS'on\ton\tIN\tB-PP\tO' -p178727 -aS'examination\texamination\tNN\tB-NP\tO' -p178728 -aS'.\t.\t.\tO\tO' -p178729 -asS'17. Ferrous Sulfate 325 ( 65 ) mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' -p178730 -(lp178731 -S'17.\t17.\tCD\tB-NP\tO' -p178732 -aS'Ferrous\tFerrous\tNNP\tI-NP\tO' -p178733 -aS'Sulfate\tSulfate\tNNP\tI-NP\tO' -p178734 -aS'325\t325\tCD\tI-NP\tO' -p178735 -aS'(\t(\t(\tO\tO' -p178736 -aS'65\t65\tCD\tB-NP\tO' -p178737 -aS')\t)\t)\tO\tO' -p178738 -aS'mg\tmg\tNN\tB-NP\tO' -p178739 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p178740 -aS'Sig\tSig\tNNP\tI-NP\tO' -p178741 -aS':\t:\t:\tO\tO' -p178742 -aS'One\tOne\tCD\tB-NP\tO' -p178743 -aS'(\t(\t(\tO\tO' -p178744 -aS'1\t1\tCD\tB-NP\tO' -p178745 -aS')\t)\t)\tO\tO' -p178746 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p178747 -aS'PO\tPO\tNN\tI-NP\tO' -p178748 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p178749 -aS'(\t(\t(\tO\tO' -p178750 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p178751 -aS')\t)\t)\tO\tO' -p178752 -aS'.\t.\t.\tO\tO' -p178753 -asS'7. Aspirin 81 mg Tablet , Delayed Release ( E.C. ) Sig : One ( 1 ) Tablet , Delayed Release ( E.C. ) PO DAILY ( Daily ) .' -p178754 -(lp178755 -S'7.\t7.\tCD\tB-NP\tO' -p178756 -aS'Aspirin\tAspirin\tNN\tI-NP\tO' -p178757 -aS'81\t81\tCD\tB-NP\tO' -p178758 -aS'mg\tmg\tNN\tI-NP\tO' -p178759 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p178760 -aS',\t,\t,\tO\tO' -p178761 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p178762 -aS'Release\tRelease\tNNP\tI-NP\tO' -p178763 -aS'(\t(\t(\tO\tO' -p178764 -aS'E.C.\tE.C.\tNNP\tB-NP\tO' -p178765 -aS')\t)\t)\tO\tO' -p178766 -aS'Sig\tSig\tNNP\tB-NP\tO' -p178767 -aS':\t:\t:\tO\tO' -p178768 -aS'One\tOne\tCD\tB-NP\tO' -p178769 -aS'(\t(\t(\tO\tO' -p178770 -aS'1\t1\tCD\tB-NP\tO' -p178771 -aS')\t)\t)\tO\tO' -p178772 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p178773 -aS',\t,\t,\tO\tO' -p178774 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p178775 -aS'Release\tRelease\tNNP\tI-NP\tO' -p178776 -aS'(\t(\t(\tO\tO' -p178777 -aS'E.C.\tE.C.\tNNP\tO\tO' -p178778 -aS')\t)\t)\tO\tO' -p178779 -aS'PO\tPO\tNN\tB-NP\tO' -p178780 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p178781 -aS'(\t(\t(\tO\tO' -p178782 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p178783 -aS')\t)\t)\tO\tO' -p178784 -aS'.\t.\t.\tO\tO' -p178785 -asS'Workup at the outside hospital included a CT scan of the head revealing a possible parietal subdural bleed on the right side .' -p178786 -(lp178787 -S'Workup\tWorkup\tNN\tB-NP\tO' -p178788 -aS'at\tat\tIN\tB-PP\tO' -p178789 -aS'the\tthe\tDT\tB-NP\tO' -p178790 -aS'outside\toutside\tJJ\tI-NP\tO' -p178791 -aS'hospital\thospital\tNN\tI-NP\tO' -p178792 -aS'included\tinclude\tVBD\tB-VP\tO' -p178793 -aS'a\ta\tDT\tB-NP\tO' -p178794 -aS'CT\tCT\tNN\tI-NP\tO' -p178795 -aS'scan\tscan\tNN\tI-NP\tO' -p178796 -aS'of\tof\tIN\tB-PP\tO' -p178797 -aS'the\tthe\tDT\tB-NP\tO' -p178798 -aS'head\thead\tNN\tI-NP\tO' -p178799 -aS'revealing\treveal\tVBG\tB-VP\tO' -p178800 -aS'a\ta\tDT\tB-NP\tO' -p178801 -aS'possible\tpossible\tJJ\tI-NP\tO' -p178802 -aS'parietal\tparietal\tJJ\tI-NP\tO' -p178803 -aS'subdural\tsubdural\tJJ\tI-NP\tO' -p178804 -aS'bleed\tbleed\tNN\tI-NP\tO' -p178805 -aS'on\ton\tIN\tB-PP\tO' -p178806 -aS'the\tthe\tDT\tB-NP\tO' -p178807 -aS'right\tright\tJJ\tI-NP\tO' -p178808 -aS'side\tside\tNN\tI-NP\tO' -p178809 -aS'.\t.\t.\tO\tO' -p178810 -asS'The abdomen is soft and nontender with no hepatosplenomegaly .' -p178811 -(lp178812 -S'The\tThe\tDT\tB-NP\tO' -p178813 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p178814 -aS'is\tbe\tVBZ\tB-VP\tO' -p178815 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p178816 -aS'and\tand\tCC\tI-ADJP\tO' -p178817 -aS'nontender\tnontender\tJJ\tI-ADJP\tO' -p178818 -aS'with\twith\tIN\tB-PP\tO' -p178819 -aS'no\tno\tDT\tB-NP\tO' -p178820 -aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tI-NP\tO' -p178821 -aS'.\t.\t.\tO\tO' -p178822 -asS'Most recently , he was on a 28 day course of Vancomycin , ofloxacin , and Flagyl , for blood cultures that were positive for gram positive cocci and enteric and non-enteric gram negative rods .' -p178823 -(lp178824 -S'Most\tMost\tRBS\tB-ADVP\tO' -p178825 -aS'recently\trecently\tRB\tI-ADVP\tO' -p178826 -aS',\t,\t,\tO\tO' -p178827 -aS'he\the\tPRP\tB-NP\tO' -p178828 -aS'was\tbe\tVBD\tB-VP\tO' -p178829 -aS'on\ton\tIN\tB-PP\tO' -p178830 -aS'a\ta\tDT\tB-NP\tO' -p178831 -aS'28\t28\tCD\tI-NP\tO' -p178832 -aS'day\tday\tNN\tI-NP\tO' -p178833 -aS'course\tcourse\tNN\tI-NP\tO' -p178834 -aS'of\tof\tIN\tB-PP\tO' -p178835 -aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' -p178836 -aS',\t,\t,\tO\tO' -p178837 -aS'ofloxacin\tofloxacin\tNN\tB-NP\tO' -p178838 -aS',\t,\t,\tO\tO' -p178839 -aS'and\tand\tCC\tO\tO' -p178840 -aS'Flagyl\tFlagyl\tNN\tB-NP\tO' -p178841 -aS',\t,\t,\tO\tO' -p178842 -aS'for\tfor\tIN\tB-PP\tO' -p178843 -aS'blood\tblood\tNN\tB-NP\tO' -p178844 -aS'cultures\tculture\tNNS\tI-NP\tO' -p178845 -aS'that\tthat\tWDT\tB-NP\tO' -p178846 -aS'were\tbe\tVBD\tB-VP\tO' -p178847 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p178848 -aS'for\tfor\tIN\tB-PP\tO' -p178849 -aS'gram\tgram\tNN\tB-NP\tO' -p178850 -aS'positive\tpositive\tJJ\tI-NP\tO' -p178851 -aS'cocci\tcoccus\tNNS\tI-NP\tO' -p178852 -aS'and\tand\tCC\tO\tO' -p178853 -aS'enteric\tenteric\tJJ\tB-NP\tO' -p178854 -aS'and\tand\tCC\tI-NP\tO' -p178855 -aS'non-enteric\tnon-enteric\tJJ\tI-NP\tO' -p178856 -aS'gram\tgram\tNN\tI-NP\tO' -p178857 -aS'negative\tnegative\tJJ\tI-NP\tO' -p178858 -aS'rods\trod\tNNS\tI-NP\tO' -p178859 -aS'.\t.\t.\tO\tO' -p178860 -asS'There was no evidence of tamponade .' -p178861 -(lp178862 -S'There\tThere\tEX\tB-NP\tO' -p178863 -aS'was\tbe\tVBD\tB-VP\tO' -p178864 -aS'no\tno\tDT\tB-NP\tO' -p178865 -aS'evidence\tevidence\tNN\tI-NP\tO' -p178866 -aS'of\tof\tIN\tB-PP\tO' -p178867 -aS'tamponade\ttamponade\tNN\tB-NP\tO' -p178868 -aS'.\t.\t.\tO\tO' -p178869 -asS'No murmur or rub .' -p178870 -(lp178871 -S'No\tNo\tDT\tB-NP\tO' -p178872 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p178873 -aS'or\tor\tCC\tI-NP\tO' -p178874 -aS'rub\trub\tNN\tI-NP\tB-protein' -p178875 -aS'.\t.\t.\tO\tO' -p178876 -asS'Birth weight was 1670 grams 50 th percentile , length 43 cm 50 th percentile .' -p178877 -(lp178878 -S'Birth\tBirth\tNN\tB-NP\tO' -p178879 -aS'weight\tweight\tNN\tI-NP\tO' -p178880 -aS'was\tbe\tVBD\tB-VP\tO' -p178881 -aS'1670\t1670\tCD\tB-NP\tO' -p178882 -aS'grams\tgram\tNNS\tI-NP\tO' -p178883 -aS'50\t50\tCD\tB-NP\tO' -p178884 -aS'th\tth\tJJ\tI-NP\tO' -p178885 -aS'percentile\tpercentile\tNN\tI-NP\tO' -p178886 -aS',\t,\t,\tO\tO' -p178887 -aS'length\tlength\tNN\tB-NP\tO' -p178888 -aS'43\t43\tCD\tI-NP\tO' -p178889 -aS'cm\tcm\tNN\tI-NP\tO' -p178890 -aS'50\t50\tCD\tB-NP\tO' -p178891 -aS'th\tth\tNN\tI-NP\tO' -p178892 -aS'percentile\tpercentile\tNN\tI-NP\tO' -p178893 -aS'.\t.\t.\tO\tO' -p178894 -asS'Heart was regular in rate and rhythm .' -p178895 -(lp178896 -S'Heart\tHeart\tNNP\tB-NP\tO' -p178897 -aS'was\tbe\tVBD\tB-VP\tO' -p178898 -aS'regular\tregular\tJJ\tB-ADJP\tO' -p178899 -aS'in\tin\tIN\tB-PP\tO' -p178900 -aS'rate\trate\tNN\tB-NP\tO' -p178901 -aS'and\tand\tCC\tI-NP\tO' -p178902 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p178903 -aS'.\t.\t.\tO\tO' -p178904 -asS'Examination of his shoulder revealed the patient to be able to flex his right arm to 170 degrees , internally rotate to 10 degrees and externally rotate to 40 degrees with positive joint tenderness .' -p178905 -(lp178906 -S'Examination\tExamination\tNN\tB-NP\tO' -p178907 -aS'of\tof\tIN\tB-PP\tO' -p178908 -aS'his\this\tPRP$\tB-NP\tO' -p178909 -aS'shoulder\tshoulder\tNN\tI-NP\tO' -p178910 -aS'revealed\treveal\tVBD\tB-VP\tO' -p178911 -aS'the\tthe\tDT\tB-NP\tO' -p178912 -aS'patient\tpatient\tNN\tI-NP\tO' -p178913 -aS'to\tto\tTO\tB-VP\tO' -p178914 -aS'be\tbe\tVB\tI-VP\tO' -p178915 -aS'able\table\tJJ\tB-ADJP\tO' -p178916 -aS'to\tto\tTO\tB-VP\tO' -p178917 -aS'flex\tflex\tVB\tI-VP\tO' -p178918 -aS'his\this\tPRP$\tB-NP\tO' -p178919 -aS'right\tright\tJJ\tI-NP\tO' -p178920 -aS'arm\tarm\tNN\tI-NP\tO' -p178921 -aS'to\tto\tTO\tB-PP\tO' -p178922 -aS'170\t170\tCD\tB-NP\tO' -p178923 -aS'degrees\tdegree\tNNS\tI-NP\tO' -p178924 -aS',\t,\t,\tO\tO' -p178925 -aS'internally\tinternally\tRB\tB-NP\tO' -p178926 -aS'rotate\trotate\tNN\tI-NP\tO' -p178927 -aS'to\tto\tTO\tB-PP\tO' -p178928 -aS'10\t10\tCD\tB-NP\tO' -p178929 -aS'degrees\tdegree\tNNS\tI-NP\tO' -p178930 -aS'and\tand\tCC\tO\tO' -p178931 -aS'externally\texternally\tRB\tB-ADVP\tO' -p178932 -aS'rotate\trotate\tNN\tB-NP\tO' -p178933 -aS'to\tto\tTO\tB-PP\tO' -p178934 -aS'40\t40\tCD\tB-NP\tO' -p178935 -aS'degrees\tdegree\tNNS\tI-NP\tO' -p178936 -aS'with\twith\tIN\tB-PP\tO' -p178937 -aS'positive\tpositive\tJJ\tB-NP\tO' -p178938 -aS'joint\tjoint\tJJ\tI-NP\tO' -p178939 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p178940 -aS'.\t.\t.\tO\tO' -p178941 -asS'To Kindred Hospital Special Care Nursery .' -p178942 -(lp178943 -S'To\tTo\tTO\tB-PP\tO' -p178944 -aS'Kindred\tKindred\tNNP\tB-NP\tO' -p178945 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p178946 -aS'Special\tSpecial\tNNP\tI-NP\tO' -p178947 -aS'Care\tCare\tNNP\tI-NP\tO' -p178948 -aS'Nursery\tNursery\tNNP\tI-NP\tO' -p178949 -aS'.\t.\t.\tO\tO' -p178950 -asS'Because of the bleeding problems , however , it was felt that full heparinization would not be prudent , and the patient was treated with pneumo-boots and subcutaneous heparin .' -p178951 -(lp178952 -S'Because\tBecause\tIN\tB-PP\tO' -p178953 -aS'of\tof\tIN\tI-PP\tO' -p178954 -aS'the\tthe\tDT\tB-NP\tO' -p178955 -aS'bleeding\tbleeding\tJJ\tI-NP\tO' -p178956 -aS'problems\tproblem\tNNS\tI-NP\tO' -p178957 -aS',\t,\t,\tO\tO' -p178958 -aS'however\thowever\tRB\tB-ADVP\tO' -p178959 -aS',\t,\t,\tO\tO' -p178960 -aS'it\tit\tPRP\tB-NP\tO' -p178961 -aS'was\tbe\tVBD\tB-VP\tO' -p178962 -aS'felt\tfeel\tVBN\tI-VP\tO' -p178963 -aS'that\tthat\tIN\tB-SBAR\tO' -p178964 -aS'full\tfull\tJJ\tB-NP\tO' -p178965 -aS'heparinization\theparinization\tNN\tI-NP\tO' -p178966 -aS'would\twould\tMD\tB-VP\tO' -p178967 -aS'not\tnot\tRB\tI-VP\tO' -p178968 -aS'be\tbe\tVB\tI-VP\tO' -p178969 -aS'prudent\tprudent\tJJ\tB-ADJP\tO' -p178970 -aS',\t,\t,\tO\tO' -p178971 -aS'and\tand\tCC\tO\tO' -p178972 -aS'the\tthe\tDT\tB-NP\tO' -p178973 -aS'patient\tpatient\tNN\tI-NP\tO' -p178974 -aS'was\tbe\tVBD\tB-VP\tO' -p178975 -aS'treated\ttreat\tVBN\tI-VP\tO' -p178976 -aS'with\twith\tIN\tB-PP\tO' -p178977 -aS'pneumo-boots\tpneumo-boot\tNNS\tB-NP\tO' -p178978 -aS'and\tand\tCC\tO\tO' -p178979 -aS'subcutaneous\tsubcutaneous\tJJ\tB-NP\tO' -p178980 -aS'heparin\theparin\tNN\tI-NP\tO' -p178981 -aS'.\t.\t.\tO\tO' -p178982 -asS'Atrial pacing .' -p178983 -(lp178984 -S'Atrial\tAtrial\tJJ\tB-NP\tO' -p178985 -aS'pacing\tpacing\tNN\tI-NP\tO' -p178986 -aS'.\t.\t.\tO\tO' -p178987 -asS'She has orthopnea as well but noparoxysmal nocturnal dyspnea .' -p178988 -(lp178989 -S'She\tShe\tPRP\tB-NP\tO' -p178990 -aS'has\thave\tVBZ\tB-VP\tO' -p178991 -aS'orthopnea\torthopnea\tNN\tB-NP\tO' -p178992 -aS'as\tas\tRB\tB-ADVP\tO' -p178993 -aS'well\twell\tRB\tI-ADVP\tO' -p178994 -aS'but\tbut\tCC\tO\tO' -p178995 -aS'noparoxysmal\tnoparoxysmal\tJJ\tB-NP\tO' -p178996 -aS'nocturnal\tnocturnal\tJJ\tI-NP\tO' -p178997 -aS'dyspnea\tdyspnea\tNN\tI-NP\tO' -p178998 -aS'.\t.\t.\tO\tO' -p178999 -asS'in the future .' -p179000 -(lp179001 -S'in\tin\tIN\tB-PP\tO' -p179002 -aS'the\tthe\tDT\tB-NP\tO' -p179003 -aS'future\tfuture\tNN\tI-NP\tO' -p179004 -aS'.\t.\t.\tO\tO' -p179005 -asS'15. Acetaminophen 325 mg Tablet Sig : Two ( 2 ) Tablet PO Q6H ( every 6 hours ) .' -p179006 -(lp179007 -S'15.\t15.\tCD\tB-NP\tO' -p179008 -aS'Acetaminophen\tAcetaminophen\tNN\tI-NP\tO' -p179009 -aS'325\t325\tCD\tB-NP\tO' -p179010 -aS'mg\tmg\tNN\tI-NP\tO' -p179011 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p179012 -aS'Sig\tSig\tNNP\tI-NP\tO' -p179013 -aS':\t:\t:\tO\tO' -p179014 -aS'Two\tTwo\tCD\tB-NP\tO' -p179015 -aS'(\t(\t(\tO\tO' -p179016 -aS'2\t2\tCD\tO\tO' -p179017 -aS')\t)\t)\tO\tO' -p179018 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p179019 -aS'PO\tPO\tNN\tI-NP\tO' -p179020 -aS'Q6H\tQ6H\tNN\tI-NP\tO' -p179021 -aS'(\t(\t(\tO\tO' -p179022 -aS'every\tevery\tDT\tB-NP\tO' -p179023 -aS'6\t6\tCD\tI-NP\tO' -p179024 -aS'hours\thour\tNNS\tI-NP\tO' -p179025 -aS')\t)\t)\tO\tO' -p179026 -aS'.\t.\t.\tO\tO' -p179027 -asS'He had an ongoing requirement for high volume resuscitation and was persistently acidotic despite CV-VVH in the face of bicarbonate replenishment .' -p179028 -(lp179029 -S'He\tHe\tPRP\tB-NP\tO' -p179030 -aS'had\thave\tVBD\tB-VP\tO' -p179031 -aS'an\tan\tDT\tB-NP\tO' -p179032 -aS'ongoing\tongoing\tJJ\tI-NP\tO' -p179033 -aS'requirement\trequirement\tNN\tI-NP\tO' -p179034 -aS'for\tfor\tIN\tB-PP\tO' -p179035 -aS'high\thigh\tJJ\tB-NP\tO' -p179036 -aS'volume\tvolume\tNN\tI-NP\tO' -p179037 -aS'resuscitation\tresuscitation\tNN\tI-NP\tO' -p179038 -aS'and\tand\tCC\tO\tO' -p179039 -aS'was\tbe\tVBD\tB-VP\tO' -p179040 -aS'persistently\tpersistently\tRB\tB-ADJP\tO' -p179041 -aS'acidotic\tacidotic\tJJ\tI-ADJP\tO' -p179042 -aS'despite\tdespite\tIN\tB-PP\tO' -p179043 -aS'CV-VVH\tCV-VVH\tNN\tB-NP\tB-protein' -p179044 -aS'in\tin\tIN\tB-PP\tO' -p179045 -aS'the\tthe\tDT\tB-NP\tO' -p179046 -aS'face\tface\tNN\tI-NP\tO' -p179047 -aS'of\tof\tIN\tB-PP\tO' -p179048 -aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' -p179049 -aS'replenishment\treplenishment\tNN\tI-NP\tO' -p179050 -aS'.\t.\t.\tO\tO' -p179051 -asS'Patient improved over the next few days .' -p179052 -(lp179053 -S'Patient\tPatient\tNN\tB-NP\tO' -p179054 -aS'improved\timprove\tVBD\tB-VP\tO' -p179055 -aS'over\tover\tIN\tB-PP\tO' -p179056 -aS'the\tthe\tDT\tB-NP\tO' -p179057 -aS'next\tnext\tJJ\tI-NP\tO' -p179058 -aS'few\tfew\tJJ\tI-NP\tO' -p179059 -aS'days\tday\tNNS\tI-NP\tO' -p179060 -aS'.\t.\t.\tO\tO' -p179061 -asS'She has had several prior bleeding events and presented with a subacute bleed in the mid to lower pons .' -p179062 -(lp179063 -S'She\tShe\tPRP\tB-NP\tO' -p179064 -aS'has\thave\tVBZ\tB-VP\tO' -p179065 -aS'had\thave\tVBD\tI-VP\tO' -p179066 -aS'several\tseveral\tJJ\tB-NP\tO' -p179067 -aS'prior\tprior\tJJ\tI-NP\tO' -p179068 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p179069 -aS'events\tevent\tNNS\tI-NP\tO' -p179070 -aS'and\tand\tCC\tO\tO' -p179071 -aS'presented\tpresent\tVBD\tB-VP\tO' -p179072 -aS'with\twith\tIN\tB-PP\tO' -p179073 -aS'a\ta\tDT\tB-NP\tO' -p179074 -aS'subacute\tsubacute\tJJ\tI-NP\tO' -p179075 -aS'bleed\tbleed\tNN\tI-NP\tO' -p179076 -aS'in\tin\tIN\tB-PP\tO' -p179077 -aS'the\tthe\tDT\tB-NP\tO' -p179078 -aS'mid\tmid\tNN\tI-NP\tO' -p179079 -aS'to\tto\tTO\tB-PP\tO' -p179080 -aS'lower\tlow\tJJR\tB-NP\tO' -p179081 -aS'pons\tpon\tNNS\tI-NP\tO' -p179082 -aS'.\t.\t.\tO\tO' -p179083 -asS'An electrocardiogram showed acute inferior myocardial infarction .' -p179084 -(lp179085 -S'An\tAn\tDT\tB-NP\tO' -p179086 -aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' -p179087 -aS'showed\tshow\tVBD\tB-VP\tO' -p179088 -aS'acute\tacute\tJJ\tB-NP\tO' -p179089 -aS'inferior\tinferior\tJJ\tI-NP\tO' -p179090 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p179091 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p179092 -aS'.\t.\t.\tO\tO' -p179093 -asS'Initially , pt was noted to be dry with low FeNa and given IVF .' -p179094 -(lp179095 -S'Initially\tInitially\tRB\tB-ADVP\tO' -p179096 -aS',\t,\t,\tO\tO' -p179097 -aS'pt\tpt\tNN\tB-NP\tO' -p179098 -aS'was\tbe\tVBD\tB-VP\tO' -p179099 -aS'noted\tnote\tVBN\tI-VP\tO' -p179100 -aS'to\tto\tTO\tI-VP\tO' -p179101 -aS'be\tbe\tVB\tI-VP\tO' -p179102 -aS'dry\tdry\tJJ\tB-ADJP\tO' -p179103 -aS'with\twith\tIN\tB-PP\tO' -p179104 -aS'low\tlow\tJJ\tB-NP\tO' -p179105 -aS'FeNa\tFeNa\tNN\tI-NP\tO' -p179106 -aS'and\tand\tCC\tO\tO' -p179107 -aS'given\tgive\tVBN\tB-VP\tO' -p179108 -aS'IVF\tIVF\tNN\tB-NP\tB-protein' -p179109 -aS'.\t.\t.\tO\tO' -p179110 -asS'2. Colace 100 mg po b.i.d.' -p179111 -(lp179112 -S'2.\t2.\tLS\tB-NP\tO' -p179113 -aS'Colace\tColace\tNNP\tI-NP\tO' -p179114 -aS'100\t100\tCD\tI-NP\tO' -p179115 -aS'mg\tmg\tNN\tI-NP\tO' -p179116 -aS'po\tpo\tNN\tI-NP\tO' -p179117 -aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' -p179118 -asS'The proximal diagonal D1 had a 50% stenosis .' -p179119 -(lp179120 -S'The\tThe\tDT\tB-NP\tO' -p179121 -aS'proximal\tproximal\tJJ\tI-NP\tO' -p179122 -aS'diagonal\tdiagonal\tJJ\tI-NP\tO' -p179123 -aS'D1\tD1\tNN\tI-NP\tO' -p179124 -aS'had\thave\tVBD\tB-VP\tO' -p179125 -aS'a\ta\tDT\tB-NP\tO' -p179126 -aS'50%\t50%\tJJ\tI-NP\tO' -p179127 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p179128 -aS'.\t.\t.\tO\tO' -p179129 -asS'He has been maintained on tube feeds and that should be continued .' -p179130 -(lp179131 -S'He\tHe\tPRP\tB-NP\tO' -p179132 -aS'has\thave\tVBZ\tB-VP\tO' -p179133 -aS'been\tbe\tVBN\tI-VP\tO' -p179134 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p179135 -aS'on\ton\tIN\tB-PP\tO' -p179136 -aS'tube\ttube\tNN\tB-NP\tO' -p179137 -aS'feeds\tfeed\tNNS\tI-NP\tO' -p179138 -aS'and\tand\tCC\tO\tO' -p179139 -aS'that\tthat\tDT\tB-NP\tO' -p179140 -aS'should\tshould\tMD\tB-VP\tO' -p179141 -aS'be\tbe\tVB\tI-VP\tO' -p179142 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p179143 -aS'.\t.\t.\tO\tO' -p179144 -asS'Once on the floor , the patient had one episode of afib w/ RVR that responded immediately to IV metoprolol .' -p179145 -(lp179146 -S'Once\tOnce\tRB\tO\tO' -p179147 -aS'on\ton\tIN\tB-PP\tO' -p179148 -aS'the\tthe\tDT\tB-NP\tO' -p179149 -aS'floor\tfloor\tNN\tI-NP\tO' -p179150 -aS',\t,\t,\tO\tO' -p179151 -aS'the\tthe\tDT\tB-NP\tO' -p179152 -aS'patient\tpatient\tNN\tI-NP\tO' -p179153 -aS'had\thave\tVBD\tB-VP\tO' -p179154 -aS'one\tone\tCD\tB-NP\tO' -p179155 -aS'episode\tepisode\tNN\tI-NP\tO' -p179156 -aS'of\tof\tIN\tB-PP\tO' -p179157 -aS'afib\tafib\tJJ\tB-NP\tO' -p179158 -aS'w/\tw/\tNN\tI-NP\tO' -p179159 -aS'RVR\tRVR\tNN\tI-NP\tO' -p179160 -aS'that\tthat\tWDT\tB-NP\tO' -p179161 -aS'responded\trespond\tVBD\tB-VP\tO' -p179162 -aS'immediately\timmediately\tRB\tB-ADVP\tO' -p179163 -aS'to\tto\tTO\tB-PP\tO' -p179164 -aS'IV\tIV\tCD\tB-NP\tO' -p179165 -aS'metoprolol\tmetoprolol\tNN\tI-NP\tO' -p179166 -aS'.\t.\t.\tO\tO' -p179167 -asS'53 yo woman with h/o seizure disorder , demyelinating disease , and brain injury , presents with prolonged seizure , now unresponsive with persistent twitching of right arm and face .' -p179168 -(lp179169 -S'53\t53\tCD\tB-NP\tO' -p179170 -aS'yo\tyo\tNN\tI-NP\tO' -p179171 -aS'woman\twoman\tNN\tI-NP\tO' -p179172 -aS'with\twith\tIN\tB-PP\tO' -p179173 -aS'h/o\th/o\tNN\tB-NP\tO' -p179174 -aS'seizure\tseizure\tNN\tI-NP\tO' -p179175 -aS'disorder\tdisorder\tNN\tI-NP\tO' -p179176 -aS',\t,\t,\tO\tO' -p179177 -aS'demyelinating\tdemyelinate\tVBG\tB-VP\tO' -p179178 -aS'disease\tdisease\tNN\tB-NP\tO' -p179179 -aS',\t,\t,\tO\tO' -p179180 -aS'and\tand\tCC\tO\tO' -p179181 -aS'brain\tbrain\tNN\tB-NP\tO' -p179182 -aS'injury\tinjury\tNN\tI-NP\tO' -p179183 -aS',\t,\t,\tO\tO' -p179184 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p179185 -aS'with\twith\tIN\tB-PP\tO' -p179186 -aS'prolonged\tprolong\tVBN\tB-NP\tO' -p179187 -aS'seizure\tseizure\tNN\tI-NP\tO' -p179188 -aS',\t,\t,\tO\tO' -p179189 -aS'now\tnow\tRB\tB-ADJP\tO' -p179190 -aS'unresponsive\tunresponsive\tJJ\tI-ADJP\tO' -p179191 -aS'with\twith\tIN\tB-PP\tO' -p179192 -aS'persistent\tpersistent\tJJ\tB-NP\tO' -p179193 -aS'twitching\ttwitching\tNN\tI-NP\tO' -p179194 -aS'of\tof\tIN\tB-PP\tO' -p179195 -aS'right\tright\tJJ\tB-NP\tO' -p179196 -aS'arm\tarm\tNN\tI-NP\tO' -p179197 -aS'and\tand\tCC\tI-NP\tO' -p179198 -aS'face\tface\tNN\tI-NP\tO' -p179199 -aS'.\t.\t.\tO\tO' -p179200 -asS'The patient will be discharged to home .' -p179201 -(lp179202 -S'The\tThe\tDT\tB-NP\tO' -p179203 -aS'patient\tpatient\tNN\tI-NP\tO' -p179204 -aS'will\twill\tMD\tB-VP\tO' -p179205 -aS'be\tbe\tVB\tI-VP\tO' -p179206 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p179207 -aS'to\tto\tTO\tB-PP\tO' -p179208 -aS'home\thome\tNN\tB-NP\tO' -p179209 -aS'.\t.\t.\tO\tO' -p179210 -asS'Cardiac examination showed regular rate and rhythm , S1 and S2 .' -p179211 -(lp179212 -S'Cardiac\tCardiac\tJJ\tB-NP\tO' -p179213 -aS'examination\texamination\tNN\tI-NP\tO' -p179214 -aS'showed\tshow\tVBD\tB-VP\tO' -p179215 -aS'regular\tregular\tJJ\tB-NP\tO' -p179216 -aS'rate\trate\tNN\tI-NP\tO' -p179217 -aS'and\tand\tCC\tO\tO' -p179218 -aS'rhythm\trhythm\tNN\tB-NP\tO' -p179219 -aS',\t,\t,\tO\tO' -p179220 -aS'S1\tS1\tNN\tB-NP\tB-protein' -p179221 -aS'and\tand\tCC\tO\tO' -p179222 -aS'S2\tS2\tNN\tB-NP\tB-protein' -p179223 -aS'.\t.\t.\tO\tO' -p179224 -asS'Weight preoperatively was 88.5 kilos , at discharge was 90.4 kilos .' -p179225 -(lp179226 -S'Weight\tWeight\tNN\tB-NP\tO' -p179227 -aS'preoperatively\tpreoperatively\tRB\tB-ADVP\tO' -p179228 -aS'was\tbe\tVBD\tB-VP\tO' -p179229 -aS'88.5\t88.5\tCD\tB-NP\tO' -p179230 -aS'kilos\tkilo\tNNS\tI-NP\tO' -p179231 -aS',\t,\t,\tO\tO' -p179232 -aS'at\tat\tIN\tB-PP\tO' -p179233 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p179234 -aS'was\tbe\tVBD\tB-VP\tO' -p179235 -aS'90.4\t90.4\tCD\tB-NP\tO' -p179236 -aS'kilos\tkilo\tNNS\tI-NP\tO' -p179237 -aS'.\t.\t.\tO\tO' -p179238 -asS'She was able to move her foot and toes .' -p179239 -(lp179240 -S'She\tShe\tPRP\tB-NP\tO' -p179241 -aS'was\tbe\tVBD\tB-VP\tO' -p179242 -aS'able\table\tJJ\tB-ADJP\tO' -p179243 -aS'to\tto\tTO\tB-VP\tO' -p179244 -aS'move\tmove\tVB\tI-VP\tO' -p179245 -aS'her\ther\tPRP$\tB-NP\tO' -p179246 -aS'foot\tfoot\tNN\tI-NP\tO' -p179247 -aS'and\tand\tCC\tI-NP\tO' -p179248 -aS'toes\ttoe\tNNS\tI-NP\tO' -p179249 -aS'.\t.\t.\tO\tO' -p179250 -asS'1. Rectal fissure .' -p179251 -(lp179252 -S'1.\t1.\tLS\tB-NP\tO' -p179253 -aS'Rectal\tRectal\tJJ\tI-NP\tO' -p179254 -aS'fissure\tfissure\tNN\tI-NP\tO' -p179255 -aS'.\t.\t.\tO\tO' -p179256 -asS'The patient is diuresing well , negative 2 liters again per day .' -p179257 -(lp179258 -S'The\tThe\tDT\tB-NP\tO' -p179259 -aS'patient\tpatient\tNN\tI-NP\tO' -p179260 -aS'is\tbe\tVBZ\tB-VP\tO' -p179261 -aS'diuresing\tdiurese\tVBG\tI-VP\tO' -p179262 -aS'well\twell\tRB\tB-ADVP\tO' -p179263 -aS',\t,\t,\tO\tO' -p179264 -aS'negative\tnegative\tJJ\tB-NP\tO' -p179265 -aS'2\t2\tCD\tI-NP\tO' -p179266 -aS'liters\tliter\tNNS\tI-NP\tO' -p179267 -aS'again\tagain\tRB\tB-ADVP\tO' -p179268 -aS'per\tper\tIN\tB-PP\tO' -p179269 -aS'day\tday\tNN\tB-NP\tO' -p179270 -aS'.\t.\t.\tO\tO' -p179271 -asS'A repeat chest x-ray showed resolution of that pneumothorax .' -p179272 -(lp179273 -S'A\tA\tDT\tB-NP\tO' -p179274 -aS'repeat\trepeat\tNN\tI-NP\tO' -p179275 -aS'chest\tchest\tNN\tI-NP\tO' -p179276 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p179277 -aS'showed\tshow\tVBD\tB-VP\tO' -p179278 -aS'resolution\tresolution\tNN\tB-NP\tO' -p179279 -aS'of\tof\tIN\tB-PP\tO' -p179280 -aS'that\tthat\tDT\tB-NP\tO' -p179281 -aS'pneumothorax\tpneumothorax\tNN\tI-NP\tO' -p179282 -aS'.\t.\t.\tO\tO' -p179283 -asS'He remains afebrile with stable vital signs and the patient is ambulating to a level 5 with physical therapy and wishes to be discharged home today .' -p179284 -(lp179285 -S'He\tHe\tPRP\tB-NP\tO' -p179286 -aS'remains\tremain\tVBZ\tB-VP\tO' -p179287 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p179288 -aS'with\twith\tIN\tB-PP\tO' -p179289 -aS'stable\tstable\tJJ\tB-NP\tO' -p179290 -aS'vital\tvital\tJJ\tI-NP\tO' -p179291 -aS'signs\tsign\tNNS\tI-NP\tO' -p179292 -aS'and\tand\tCC\tO\tO' -p179293 -aS'the\tthe\tDT\tB-NP\tO' -p179294 -aS'patient\tpatient\tNN\tI-NP\tO' -p179295 -aS'is\tbe\tVBZ\tB-VP\tO' -p179296 -aS'ambulating\tambulate\tVBG\tI-VP\tO' -p179297 -aS'to\tto\tTO\tB-PP\tO' -p179298 -aS'a\ta\tDT\tB-NP\tO' -p179299 -aS'level\tlevel\tNN\tI-NP\tO' -p179300 -aS'5\t5\tCD\tI-NP\tO' -p179301 -aS'with\twith\tIN\tB-PP\tO' -p179302 -aS'physical\tphysical\tJJ\tB-NP\tO' -p179303 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p179304 -aS'and\tand\tCC\tO\tO' -p179305 -aS'wishes\twish\tVBZ\tB-VP\tO' -p179306 -aS'to\tto\tTO\tI-VP\tO' -p179307 -aS'be\tbe\tVB\tI-VP\tO' -p179308 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p179309 -aS'home\thome\tNN\tB-ADVP\tO' -p179310 -aS'today\ttoday\tNN\tB-NP\tO' -p179311 -aS'.\t.\t.\tO\tO' -p179312 -asS'+Endotracheal tube .' -p179313 -(lp179314 -S'+Endotracheal\t+Endotracheal\tJJ\tB-NP\tO' -p179315 -aS'tube\ttube\tNN\tI-NP\tO' -p179316 -aS'.\t.\t.\tO\tO' -p179317 -asS'Rectal examination was guaiac negative .' -p179318 -(lp179319 -S'Rectal\tRectal\tJJ\tB-NP\tO' -p179320 -aS'examination\texamination\tNN\tI-NP\tO' -p179321 -aS'was\tbe\tVBD\tB-VP\tO' -p179322 -aS'guaiac\tguaiac\tNN\tB-NP\tO' -p179323 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p179324 -aS'.\t.\t.\tO\tO' -p179325 -asS'Neurological examination was non-focal .' -p179326 -(lp179327 -S'Neurological\tNeurological\tJJ\tB-NP\tO' -p179328 -aS'examination\texamination\tNN\tI-NP\tO' -p179329 -aS'was\tbe\tVBD\tB-VP\tO' -p179330 -aS'non-focal\tnon-focal\tJJ\tB-ADJP\tO' -p179331 -aS'.\t.\t.\tO\tO' -p179332 -asS'Chem-7 revealed sodium of 136 , potassium 4.7 , chloride 103 , bicarbonate 22 , BUN 16 , creatinine 0.8 , glucose 284 .' -p179333 -(lp179334 -S'Chem-7\tChem-7\tNN\tB-NP\tO' -p179335 -aS'revealed\treveal\tVBD\tB-VP\tO' -p179336 -aS'sodium\tsodium\tNN\tB-NP\tO' -p179337 -aS'of\tof\tIN\tB-PP\tO' -p179338 -aS'136\t136\tCD\tB-NP\tO' -p179339 -aS',\t,\t,\tO\tO' -p179340 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p179341 -aS'4.7\t4.7\tCD\tI-NP\tO' -p179342 -aS',\t,\t,\tO\tO' -p179343 -aS'chloride\tchloride\tNN\tB-NP\tO' -p179344 -aS'103\t103\tCD\tI-NP\tO' -p179345 -aS',\t,\t,\tO\tO' -p179346 -aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' -p179347 -aS'22\t22\tCD\tI-NP\tO' -p179348 -aS',\t,\t,\tO\tO' -p179349 -aS'BUN\tBUN\tNN\tB-NP\tB-DNA' -p179350 -aS'16\t16\tCD\tI-NP\tI-DNA' -p179351 -aS',\t,\t,\tO\tO' -p179352 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p179353 -aS'0.8\t0.8\tCD\tI-NP\tO' -p179354 -aS',\t,\t,\tO\tO' -p179355 -aS'glucose\tglucose\tNN\tB-NP\tO' -p179356 -aS'284\t284\tCD\tI-NP\tO' -p179357 -aS'.\t.\t.\tO\tO' -p179358 -asS'If you need additional information please call 834-226-3369 .' -p179359 -(lp179360 -S'If\tIf\tIN\tB-SBAR\tO' -p179361 -aS'you\tyou\tPRP\tB-NP\tO' -p179362 -aS'need\tneed\tVBP\tB-VP\tO' -p179363 -aS'additional\tadditional\tJJ\tB-NP\tO' -p179364 -aS'information\tinformation\tNN\tI-NP\tO' -p179365 -aS'please\tplease\tNN\tI-NP\tO' -p179366 -aS'call\tcall\tNN\tI-NP\tO' -p179367 -aS'834-226-3369\t834-226-3369\tCD\tI-NP\tO' -p179368 -aS'.\t.\t.\tO\tO' -p179369 -asS'He had been discharged on one aspirin a day with 20 of Prilosec b.i.d.' -p179370 -(lp179371 -S'He\tHe\tPRP\tB-NP\tO' -p179372 -aS'had\thave\tVBD\tB-VP\tO' -p179373 -aS'been\tbe\tVBN\tI-VP\tO' -p179374 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p179375 -aS'on\ton\tIN\tB-PP\tO' -p179376 -aS'one\tone\tCD\tB-NP\tO' -p179377 -aS'aspirin\taspirin\tNN\tI-NP\tO' -p179378 -aS'a\ta\tDT\tB-NP\tO' -p179379 -aS'day\tday\tNN\tI-NP\tO' -p179380 -aS'with\twith\tIN\tB-PP\tO' -p179381 -aS'20\t20\tCD\tB-NP\tO' -p179382 -aS'of\tof\tIN\tB-PP\tO' -p179383 -aS'Prilosec\tPrilosec\tNNP\tB-NP\tO' -p179384 -aS'b.i.d.\tb.i.d.\t.\tO\tO' -p179385 -asS'Raymond has maintained normal neurological examination throughout admission and there were no concerns at the time of discharge .' -p179386 -(lp179387 -S'Raymond\tRaymond\tNNP\tB-NP\tO' -p179388 -aS'has\thave\tVBZ\tB-VP\tO' -p179389 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p179390 -aS'normal\tnormal\tJJ\tB-NP\tO' -p179391 -aS'neurological\tneurological\tJJ\tI-NP\tO' -p179392 -aS'examination\texamination\tNN\tI-NP\tO' -p179393 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p179394 -aS'admission\tadmission\tNN\tB-NP\tO' -p179395 -aS'and\tand\tCC\tO\tO' -p179396 -aS'there\tthere\tEX\tB-NP\tO' -p179397 -aS'were\tbe\tVBD\tB-VP\tO' -p179398 -aS'no\tno\tDT\tB-NP\tO' -p179399 -aS'concerns\tconcern\tNNS\tI-NP\tO' -p179400 -aS'at\tat\tIN\tB-PP\tO' -p179401 -aS'the\tthe\tDT\tB-NP\tO' -p179402 -aS'time\ttime\tNN\tI-NP\tO' -p179403 -aS'of\tof\tIN\tB-PP\tO' -p179404 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p179405 -aS'.\t.\t.\tO\tO' -p179406 -asS'His angiogram in the operating room , revealed no evidence of an endo leak .' -p179407 -(lp179408 -S'His\tHis\tPRP$\tB-NP\tO' -p179409 -aS'angiogram\tangiogram\tNN\tI-NP\tO' -p179410 -aS'in\tin\tIN\tB-PP\tO' -p179411 -aS'the\tthe\tDT\tB-NP\tO' -p179412 -aS'operating\toperating\tNN\tI-NP\tO' -p179413 -aS'room\troom\tNN\tI-NP\tO' -p179414 -aS',\t,\t,\tO\tO' -p179415 -aS'revealed\treveal\tVBD\tB-VP\tO' -p179416 -aS'no\tno\tDT\tB-NP\tO' -p179417 -aS'evidence\tevidence\tNN\tI-NP\tO' -p179418 -aS'of\tof\tIN\tB-PP\tO' -p179419 -aS'an\tan\tDT\tB-NP\tO' -p179420 -aS'endo\tendo\tNN\tI-NP\tO' -p179421 -aS'leak\tleak\tNN\tI-NP\tO' -p179422 -aS'.\t.\t.\tO\tO' -p179423 -asS'The liver edge was 2 cm below the right costal margin , but smooth and nontender .' -p179424 -(lp179425 -S'The\tThe\tDT\tB-NP\tO' -p179426 -aS'liver\tliver\tNN\tI-NP\tO' -p179427 -aS'edge\tedge\tNN\tI-NP\tO' -p179428 -aS'was\tbe\tVBD\tB-VP\tO' -p179429 -aS'2\t2\tCD\tB-NP\tO' -p179430 -aS'cm\tcm\tNN\tI-NP\tO' -p179431 -aS'below\tbelow\tIN\tB-PP\tO' -p179432 -aS'the\tthe\tDT\tB-NP\tO' -p179433 -aS'right\tright\tJJ\tI-NP\tO' -p179434 -aS'costal\tcostal\tJJ\tI-NP\tO' -p179435 -aS'margin\tmargin\tNN\tI-NP\tO' -p179436 -aS',\t,\t,\tO\tO' -p179437 -aS'but\tbut\tCC\tO\tO' -p179438 -aS'smooth\tsmooth\tJJ\tB-ADJP\tO' -p179439 -aS'and\tand\tCC\tI-ADJP\tO' -p179440 -aS'nontender\tnontender\tJJ\tI-ADJP\tO' -p179441 -aS'.\t.\t.\tO\tO' -p179442 -asS'Prednisone 60 mg daily for 4 days .' -p179443 -(lp179444 -S'Prednisone\tPrednisone\tNN\tB-NP\tO' -p179445 -aS'60\t60\tCD\tI-NP\tO' -p179446 -aS'mg\tmg\tNN\tI-NP\tO' -p179447 -aS'daily\tdaily\tRB\tB-ADVP\tO' -p179448 -aS'for\tfor\tIN\tB-PP\tO' -p179449 -aS'4\t4\tCD\tB-NP\tO' -p179450 -aS'days\tday\tNNS\tI-NP\tO' -p179451 -aS'.\t.\t.\tO\tO' -p179452 -asS'Her white count remained elevated despite discontinuing her G-CSF .' -p179453 -(lp179454 -S'Her\tHer\tPRP$\tB-NP\tO' -p179455 -aS'white\twhite\tJJ\tI-NP\tO' -p179456 -aS'count\tcount\tNN\tI-NP\tO' -p179457 -aS'remained\tremain\tVBD\tB-VP\tO' -p179458 -aS'elevated\televated\tJJ\tB-ADJP\tO' -p179459 -aS'despite\tdespite\tIN\tB-PP\tO' -p179460 -aS'discontinuing\tdiscontinue\tVBG\tB-VP\tO' -p179461 -aS'her\ther\tPRP$\tB-NP\tO' -p179462 -aS'G-CSF\tG-CSF\tNN\tI-NP\tB-protein' -p179463 -aS'.\t.\t.\tO\tO' -p179464 -asS'The patient received a temporary pacing wire on the evening of hospital day number two and on hospital day number three received a dual chamber pacemaker .' -p179465 -(lp179466 -S'The\tThe\tDT\tB-NP\tO' -p179467 -aS'patient\tpatient\tNN\tI-NP\tO' -p179468 -aS'received\treceive\tVBD\tB-VP\tO' -p179469 -aS'a\ta\tDT\tB-NP\tO' -p179470 -aS'temporary\ttemporary\tJJ\tI-NP\tO' -p179471 -aS'pacing\tpacing\tNN\tI-NP\tO' -p179472 -aS'wire\twire\tNN\tI-NP\tO' -p179473 -aS'on\ton\tIN\tB-PP\tO' -p179474 -aS'the\tthe\tDT\tB-NP\tO' -p179475 -aS'evening\tevening\tNN\tI-NP\tO' -p179476 -aS'of\tof\tIN\tB-PP\tO' -p179477 -aS'hospital\thospital\tNN\tB-NP\tO' -p179478 -aS'day\tday\tNN\tI-NP\tO' -p179479 -aS'number\tnumber\tNN\tI-NP\tO' -p179480 -aS'two\ttwo\tCD\tB-NP\tO' -p179481 -aS'and\tand\tCC\tI-NP\tO' -p179482 -aS'on\ton\tIN\tB-PP\tO' -p179483 -aS'hospital\thospital\tNN\tB-NP\tO' -p179484 -aS'day\tday\tNN\tI-NP\tO' -p179485 -aS'number\tnumber\tNN\tI-NP\tO' -p179486 -aS'three\tthree\tCD\tI-NP\tO' -p179487 -aS'received\treceive\tVBD\tB-VP\tO' -p179488 -aS'a\ta\tDT\tB-NP\tO' -p179489 -aS'dual\tdual\tJJ\tI-NP\tO' -p179490 -aS'chamber\tchamber\tNN\tI-NP\tO' -p179491 -aS'pacemaker\tpacemaker\tNN\tI-NP\tO' -p179492 -aS'.\t.\t.\tO\tO' -p179493 -asS'Signed electronically by : DR. Kathy Brendel on : TUE 2017-05-02 8:08 AM' -p179494 -(lp179495 -S'Signed\tSign\tVBN\tB-VP\tO' -p179496 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p179497 -aS'by\tby\tIN\tB-PP\tO' -p179498 -aS':\t:\t:\tO\tO' -p179499 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p179500 -aS'Kathy\tKathy\tNNP\tI-NP\tO' -p179501 -aS'Brendel\tBrendel\tNNP\tI-NP\tO' -p179502 -aS'on\ton\tIN\tB-PP\tO' -p179503 -aS':\t:\t:\tO\tO' -p179504 -aS'TUE\tTUE\tNN\tB-NP\tO' -p179505 -aS'2017-05-02\t2017-05-02\tCD\tI-NP\tO' -p179506 -aS'8:08\t8:08\tCD\tI-NP\tO' -p179507 -aS'AM\tAM\tNN\tI-NP\tO' -p179508 -asS'Pump / HTN : pt had episodes of both hypertension and hypotension during his stay .' -p179509 -(lp179510 -S'Pump\tPump\tNN\tB-NP\tO' -p179511 -aS'/\t/\tSYM\tI-NP\tO' -p179512 -aS'HTN\tHTN\tNN\tI-NP\tB-protein' -p179513 -aS':\t:\t:\tO\tO' -p179514 -aS'pt\tpt\tNN\tB-NP\tO' -p179515 -aS'had\thave\tVBD\tB-VP\tO' -p179516 -aS'episodes\tepisode\tNNS\tB-NP\tO' -p179517 -aS'of\tof\tIN\tB-PP\tO' -p179518 -aS'both\tboth\tCC\tO\tO' -p179519 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p179520 -aS'and\tand\tCC\tI-NP\tO' -p179521 -aS'hypotension\thypotension\tNN\tI-NP\tO' -p179522 -aS'during\tduring\tIN\tB-PP\tO' -p179523 -aS'his\this\tPRP$\tB-NP\tO' -p179524 -aS'stay\tstay\tNN\tI-NP\tO' -p179525 -aS'.\t.\t.\tO\tO' -p179526 -asS'PMH GERD , HTN , Gout , Meningioma , liver hemangioma , episodic vertigo , colon cancer .' -p179527 -(lp179528 -S'PMH\tPMH\tNN\tB-NP\tO' -p179529 -aS'GERD\tGERD\tNN\tI-NP\tO' -p179530 -aS',\t,\t,\tO\tO' -p179531 -aS'HTN\tHTN\tNN\tB-NP\tB-protein' -p179532 -aS',\t,\t,\tO\tO' -p179533 -aS'Gout\tGout\tNN\tB-NP\tO' -p179534 -aS',\t,\t,\tO\tO' -p179535 -aS'Meningioma\tMeningioma\tNN\tB-NP\tO' -p179536 -aS',\t,\t,\tO\tO' -p179537 -aS'liver\tliver\tNN\tB-NP\tO' -p179538 -aS'hemangioma\themangioma\tNN\tI-NP\tO' -p179539 -aS',\t,\t,\tO\tO' -p179540 -aS'episodic\tepisodic\tJJ\tB-NP\tO' -p179541 -aS'vertigo\tvertigo\tNN\tI-NP\tO' -p179542 -aS',\t,\t,\tO\tO' -p179543 -aS'colon\tcolon\tNN\tB-NP\tO' -p179544 -aS'cancer\tcancer\tNN\tI-NP\tO' -p179545 -aS'.\t.\t.\tO\tO' -p179546 -asS'Neurologic - The patient is unresponsive to verbal stimuli , withdrawals the left extremities to noxious stimulation .' -p179547 -(lp179548 -S'Neurologic\tNeurologic\tJJ\tB-ADJP\tO' -p179549 -aS'-\t-\tHYPH\tO\tO' -p179550 -aS'The\tThe\tDT\tB-NP\tO' -p179551 -aS'patient\tpatient\tNN\tI-NP\tO' -p179552 -aS'is\tbe\tVBZ\tB-VP\tO' -p179553 -aS'unresponsive\tunresponsive\tJJ\tB-ADJP\tO' -p179554 -aS'to\tto\tTO\tB-PP\tO' -p179555 -aS'verbal\tverbal\tJJ\tB-NP\tO' -p179556 -aS'stimuli\tstimulus\tNNS\tI-NP\tO' -p179557 -aS',\t,\t,\tO\tO' -p179558 -aS'withdrawals\twithdrawal\tVBZ\tB-VP\tO' -p179559 -aS'the\tthe\tDT\tB-NP\tO' -p179560 -aS'left\tleft\tJJ\tI-NP\tO' -p179561 -aS'extremities\textremity\tNNS\tI-NP\tO' -p179562 -aS'to\tto\tTO\tB-PP\tO' -p179563 -aS'noxious\tnoxious\tJJ\tB-NP\tO' -p179564 -aS'stimulation\tstimulation\tNN\tI-NP\tO' -p179565 -aS'.\t.\t.\tO\tO' -p179566 -asS'Left Arm continue with elevation , ice , and complete all antibiotics' -p179567 -(lp179568 -S'Left\tLeft\tNNP\tB-NP\tO' -p179569 -aS'Arm\tArm\tNNP\tI-NP\tO' -p179570 -aS'continue\tcontinue\tVBP\tB-VP\tO' -p179571 -aS'with\twith\tIN\tB-PP\tO' -p179572 -aS'elevation\televation\tNN\tB-NP\tO' -p179573 -aS',\t,\t,\tO\tO' -p179574 -aS'ice\tice\tNN\tB-NP\tO' -p179575 -aS',\t,\t,\tO\tO' -p179576 -aS'and\tand\tCC\tO\tO' -p179577 -aS'complete\tcomplete\tVB\tB-VP\tO' -p179578 -aS'all\tall\tDT\tB-NP\tO' -p179579 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p179580 -asS'He was given some prn Morphine for comfort .' -p179581 -(lp179582 -S'He\tHe\tPRP\tB-NP\tO' -p179583 -aS'was\tbe\tVBD\tB-VP\tO' -p179584 -aS'given\tgive\tVBN\tI-VP\tO' -p179585 -aS'some\tsome\tDT\tB-NP\tO' -p179586 -aS'prn\tprn\tJJ\tI-NP\tO' -p179587 -aS'Morphine\tMorphine\tNN\tI-NP\tO' -p179588 -aS'for\tfor\tIN\tB-PP\tO' -p179589 -aS'comfort\tcomfort\tNN\tB-NP\tO' -p179590 -aS'.\t.\t.\tO\tO' -p179591 -asS'Chest CT showed bibasilar diffuse infiltrates , PCP was negative .' -p179592 -(lp179593 -S'Chest\tCh\tJJS\tB-NP\tO' -p179594 -aS'CT\tCT\tNN\tI-NP\tB-protein' -p179595 -aS'showed\tshow\tVBD\tB-VP\tO' -p179596 -aS'bibasilar\tbibasilar\tJJ\tB-NP\tB-cell_type' -p179597 -aS'diffuse\tdiffuse\tJJ\tI-NP\tI-cell_type' -p179598 -aS'infiltrates\tinfiltrate\tNNS\tI-NP\tI-cell_type' -p179599 -aS',\t,\t,\tO\tO' -p179600 -aS'PCP\tPCP\tNN\tB-NP\tB-protein' -p179601 -aS'was\tbe\tVBD\tB-VP\tO' -p179602 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p179603 -aS'.\t.\t.\tO\tO' -p179604 -asS'Hypertension , atrial fibrillation , gout .' -p179605 -(lp179606 -S'Hypertension\tHypertension\tNN\tB-NP\tO' -p179607 -aS',\t,\t,\tO\tO' -p179608 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p179609 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p179610 -aS',\t,\t,\tO\tO' -p179611 -aS'gout\tgout\tNN\tB-NP\tO' -p179612 -aS'.\t.\t.\tO\tO' -p179613 -asS'She was then started on ceftriaxone and azithromycin .' -p179614 -(lp179615 -S'She\tShe\tPRP\tB-NP\tO' -p179616 -aS'was\tbe\tVBD\tB-VP\tO' -p179617 -aS'then\tthen\tRB\tI-VP\tO' -p179618 -aS'started\tstart\tVBN\tI-VP\tO' -p179619 -aS'on\ton\tIN\tB-PP\tO' -p179620 -aS'ceftriaxone\tceftriaxone\tNN\tB-NP\tO' -p179621 -aS'and\tand\tCC\tI-NP\tO' -p179622 -aS'azithromycin\tazithromycin\tNN\tI-NP\tO' -p179623 -aS'.\t.\t.\tO\tO' -p179624 -asS'The patient remained hemodynamically stable throughout the course of his hospital stay , and his hematocrit was relatively stable with a gradual drop due to dilutional changes .' -p179625 -(lp179626 -S'The\tThe\tDT\tB-NP\tO' -p179627 -aS'patient\tpatient\tNN\tI-NP\tO' -p179628 -aS'remained\tremain\tVBD\tB-VP\tO' -p179629 -aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' -p179630 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p179631 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p179632 -aS'the\tthe\tDT\tB-NP\tO' -p179633 -aS'course\tcourse\tNN\tI-NP\tO' -p179634 -aS'of\tof\tIN\tB-PP\tO' -p179635 -aS'his\this\tPRP$\tB-NP\tO' -p179636 -aS'hospital\thospital\tNN\tI-NP\tO' -p179637 -aS'stay\tstay\tNN\tI-NP\tO' -p179638 -aS',\t,\t,\tO\tO' -p179639 -aS'and\tand\tCC\tO\tO' -p179640 -aS'his\this\tPRP$\tB-NP\tO' -p179641 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p179642 -aS'was\tbe\tVBD\tB-VP\tO' -p179643 -aS'relatively\trelatively\tRB\tB-ADJP\tO' -p179644 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p179645 -aS'with\twith\tIN\tB-PP\tO' -p179646 -aS'a\ta\tDT\tB-NP\tO' -p179647 -aS'gradual\tgradual\tJJ\tI-NP\tO' -p179648 -aS'drop\tdrop\tNN\tI-NP\tO' -p179649 -aS'due\tdue\tJJ\tB-PP\tO' -p179650 -aS'to\tto\tTO\tB-PP\tO' -p179651 -aS'dilutional\tdilutional\tJJ\tB-NP\tO' -p179652 -aS'changes\tchange\tNNS\tI-NP\tO' -p179653 -aS'.\t.\t.\tO\tO' -p179654 -asS'Moderate pulmonary hypertension was present with a PA of 52/28 .' -p179655 -(lp179656 -S'Moderate\tModerate\tJJ\tB-NP\tO' -p179657 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p179658 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p179659 -aS'was\tbe\tVBD\tB-VP\tO' -p179660 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p179661 -aS'with\twith\tIN\tB-PP\tO' -p179662 -aS'a\ta\tDT\tB-NP\tO' -p179663 -aS'PA\tPA\tNN\tI-NP\tO' -p179664 -aS'of\tof\tIN\tB-PP\tO' -p179665 -aS'52/28\t52/28\tCD\tB-NP\tO' -p179666 -aS'.\t.\t.\tO\tO' -p179667 -asS'He was started on heparin and coumadin for anticoagulation on POD#5 .' -p179668 -(lp179669 -S'He\tHe\tPRP\tB-NP\tO' -p179670 -aS'was\tbe\tVBD\tB-VP\tO' -p179671 -aS'started\tstart\tVBN\tI-VP\tO' -p179672 -aS'on\ton\tIN\tB-PP\tO' -p179673 -aS'heparin\theparin\tNN\tB-NP\tO' -p179674 -aS'and\tand\tCC\tI-NP\tO' -p179675 -aS'coumadin\tcoumadin\tNN\tI-NP\tO' -p179676 -aS'for\tfor\tIN\tB-PP\tO' -p179677 -aS'anticoagulation\tanticoagulation\tNN\tB-NP\tO' -p179678 -aS'on\ton\tIN\tB-PP\tO' -p179679 -aS'POD#5\tPOD#5\tNN\tB-NP\tB-protein' -p179680 -aS'.\t.\t.\tO\tO' -p179681 -asS'While her po intake was minimal she was maintained on supplemental IV dextrose to suppress ketosis .' -p179682 -(lp179683 -S'While\tWhile\tIN\tB-SBAR\tO' -p179684 -aS'her\ther\tPRP$\tB-NP\tO' -p179685 -aS'po\tpo\tNN\tI-NP\tO' -p179686 -aS'intake\tintake\tNN\tI-NP\tO' -p179687 -aS'was\tbe\tVBD\tB-VP\tO' -p179688 -aS'minimal\tminimal\tJJ\tB-ADJP\tO' -p179689 -aS'she\tshe\tPRP\tB-NP\tO' -p179690 -aS'was\tbe\tVBD\tB-VP\tO' -p179691 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p179692 -aS'on\ton\tIN\tB-PP\tO' -p179693 -aS'supplemental\tsupplemental\tJJ\tB-NP\tO' -p179694 -aS'IV\tIV\tCD\tI-NP\tO' -p179695 -aS'dextrose\tdextrose\tNN\tI-NP\tO' -p179696 -aS'to\tto\tTO\tB-VP\tO' -p179697 -aS'suppress\tsuppress\tVB\tI-VP\tO' -p179698 -aS'ketosis\tketosis\tNN\tB-NP\tO' -p179699 -aS'.\t.\t.\tO\tO' -p179700 -asS'Discussion , at that point in time , should occur with the family about comfort measures and about weaning him from his medications to make him more comfortable .' -p179701 -(lp179702 -S'Discussion\tDiscussion\tNN\tB-NP\tO' -p179703 -aS',\t,\t,\tO\tO' -p179704 -aS'at\tat\tIN\tB-PP\tO' -p179705 -aS'that\tthat\tDT\tB-NP\tO' -p179706 -aS'point\tpoint\tNN\tI-NP\tO' -p179707 -aS'in\tin\tIN\tB-PP\tO' -p179708 -aS'time\ttime\tNN\tB-NP\tO' -p179709 -aS',\t,\t,\tO\tO' -p179710 -aS'should\tshould\tMD\tB-VP\tO' -p179711 -aS'occur\toccur\tVB\tI-VP\tO' -p179712 -aS'with\twith\tIN\tB-PP\tO' -p179713 -aS'the\tthe\tDT\tB-NP\tO' -p179714 -aS'family\tfamily\tNN\tI-NP\tO' -p179715 -aS'about\tabout\tIN\tB-PP\tO' -p179716 -aS'comfort\tcomfort\tNN\tB-NP\tO' -p179717 -aS'measures\tmeasure\tNNS\tI-NP\tO' -p179718 -aS'and\tand\tCC\tB-PP\tO' -p179719 -aS'about\tabout\tIN\tB-PP\tO' -p179720 -aS'weaning\twean\tVBG\tB-VP\tO' -p179721 -aS'him\thim\tPRP\tB-NP\tO' -p179722 -aS'from\tfrom\tIN\tB-PP\tO' -p179723 -aS'his\this\tPRP$\tB-NP\tO' -p179724 -aS'medications\tmedication\tNNS\tI-NP\tO' -p179725 -aS'to\tto\tTO\tB-VP\tO' -p179726 -aS'make\tmake\tVB\tI-VP\tO' -p179727 -aS'him\thim\tPRP\tB-NP\tO' -p179728 -aS'more\tmore\tRBR\tB-ADJP\tO' -p179729 -aS'comfortable\tcomfortable\tJJ\tI-ADJP\tO' -p179730 -aS'.\t.\t.\tO\tO' -p179731 -asS'Fs was also checked 179 .' -p179732 -(lp179733 -S'Fs\tF\tNNS\tB-NP\tB-protein' -p179734 -aS'was\tbe\tVBD\tB-VP\tO' -p179735 -aS'also\talso\tRB\tI-VP\tO' -p179736 -aS'checked\tcheck\tVBN\tI-VP\tO' -p179737 -aS'179\t179\tCD\tB-NP\tO' -p179738 -aS'.\t.\t.\tO\tO' -p179739 -asS'2. Hematology .' -p179740 -(lp179741 -S'2.\t2.\tLS\tB-LST\tO' -p179742 -aS'Hematology\tHematology\tNNP\tB-NP\tO' -p179743 -aS'.\t.\t.\tO\tO' -p179744 -asS'16. Acetaminophen 325 mg Tablet Sig : 1-2 Tablets PO Q4-6H ( every 4 to 6 hours ) as needed for pain .' -p179745 -(lp179746 -S'16.\t16.\tCD\tB-NP\tO' -p179747 -aS'Acetaminophen\tAcetaminophen\tNN\tI-NP\tO' -p179748 -aS'325\t325\tCD\tB-NP\tO' -p179749 -aS'mg\tmg\tNN\tI-NP\tO' -p179750 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p179751 -aS'Sig\tSig\tNNP\tI-NP\tO' -p179752 -aS':\t:\t:\tO\tO' -p179753 -aS'1-2\t1-2\tCD\tB-NP\tO' -p179754 -aS'Tablets\tTablet\tNNS\tI-NP\tO' -p179755 -aS'PO\tPO\tNN\tI-NP\tO' -p179756 -aS'Q4-6H\tQ4-6H\tNN\tI-NP\tO' -p179757 -aS'(\t(\t(\tO\tO' -p179758 -aS'every\tevery\tDT\tB-NP\tO' -p179759 -aS'4\t4\tCD\tI-NP\tO' -p179760 -aS'to\tto\tTO\tI-NP\tO' -p179761 -aS'6\t6\tCD\tI-NP\tO' -p179762 -aS'hours\thour\tNNS\tI-NP\tO' -p179763 -aS')\t)\t)\tO\tO' -p179764 -aS'as\tas\tIN\tB-SBAR\tO' -p179765 -aS'needed\tneed\tVBN\tB-VP\tO' -p179766 -aS'for\tfor\tIN\tB-PP\tO' -p179767 -aS'pain\tpain\tNN\tB-NP\tO' -p179768 -aS'.\t.\t.\tO\tO' -p179769 -asS'She has had at least two generalized seizures in the past , but she has not had one since she was 26 years old .' -p179770 -(lp179771 -S'She\tShe\tPRP\tB-NP\tO' -p179772 -aS'has\thave\tVBZ\tB-VP\tO' -p179773 -aS'had\thave\tVBN\tI-VP\tO' -p179774 -aS'at\tat\tIN\tB-NP\tO' -p179775 -aS'least\tleast\tJJS\tI-NP\tO' -p179776 -aS'two\ttwo\tCD\tI-NP\tO' -p179777 -aS'generalized\tgeneralize\tVBN\tI-NP\tO' -p179778 -aS'seizures\tseizure\tNNS\tI-NP\tO' -p179779 -aS'in\tin\tIN\tB-PP\tO' -p179780 -aS'the\tthe\tDT\tB-NP\tO' -p179781 -aS'past\tpast\tNN\tI-NP\tO' -p179782 -aS',\t,\t,\tO\tO' -p179783 -aS'but\tbut\tCC\tO\tO' -p179784 -aS'she\tshe\tPRP\tB-NP\tO' -p179785 -aS'has\thave\tVBZ\tB-VP\tO' -p179786 -aS'not\tnot\tRB\tI-VP\tO' -p179787 -aS'had\thave\tVBN\tI-VP\tO' -p179788 -aS'one\tone\tCD\tB-NP\tO' -p179789 -aS'since\tsince\tIN\tB-SBAR\tO' -p179790 -aS'she\tshe\tPRP\tB-NP\tO' -p179791 -aS'was\tbe\tVBD\tB-VP\tO' -p179792 -aS'26\t26\tCD\tB-NP\tO' -p179793 -aS'years\tyear\tNNS\tI-NP\tO' -p179794 -aS'old\told\tJJ\tB-ADJP\tO' -p179795 -aS'.\t.\t.\tO\tO' -p179796 -asS'EXT : Without edema .' -p179797 -(lp179798 -S'EXT\tEXT\tNN\tB-NP\tO' -p179799 -aS':\t:\t:\tO\tO' -p179800 -aS'Without\tWithout\tIN\tB-PP\tO' -p179801 -aS'edema\tedema\tNN\tB-NP\tO' -p179802 -aS'.\t.\t.\tO\tO' -p179803 -asS'HEENT exam was unremarkable .' -p179804 -(lp179805 -S'HEENT\tHEENT\tNN\tB-NP\tO' -p179806 -aS'exam\texam\tNN\tI-NP\tO' -p179807 -aS'was\tbe\tVBD\tB-VP\tO' -p179808 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p179809 -aS'.\t.\t.\tO\tO' -p179810 -asS'RUPTURED PARATHYROID ADENOMA .' -p179811 -(lp179812 -S'RUPTURED\tRUPTURED\tNNP\tB-NP\tO' -p179813 -aS'PARATHYROID\tPARATHYROID\tNNP\tI-NP\tO' -p179814 -aS'ADENOMA\tADENOMA\tNNP\tI-NP\tO' -p179815 -aS'.\t.\t.\tO\tO' -p179816 -asS'Wound care should be continued as described after discharge .' -p179817 -(lp179818 -S'Wound\tWound\tJJ\tB-NP\tO' -p179819 -aS'care\tcare\tNN\tI-NP\tO' -p179820 -aS'should\tshould\tMD\tB-VP\tO' -p179821 -aS'be\tbe\tVB\tI-VP\tO' -p179822 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p179823 -aS'as\tas\tIN\tB-SBAR\tO' -p179824 -aS'described\tdescribe\tVBN\tB-VP\tO' -p179825 -aS'after\tafter\tIN\tB-PP\tO' -p179826 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p179827 -aS'.\t.\t.\tO\tO' -p179828 -asS'She needs to be given 5 mg of Coumadin tonight , 5/22/92 .' -p179829 -(lp179830 -S'She\tShe\tPRP\tB-NP\tO' -p179831 -aS'needs\tneed\tVBZ\tB-VP\tO' -p179832 -aS'to\tto\tTO\tI-VP\tO' -p179833 -aS'be\tbe\tVB\tI-VP\tO' -p179834 -aS'given\tgive\tVBN\tI-VP\tO' -p179835 -aS'5\t5\tCD\tB-NP\tO' -p179836 -aS'mg\tmg\tNN\tI-NP\tO' -p179837 -aS'of\tof\tIN\tB-PP\tO' -p179838 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p179839 -aS'tonight\ttonight\tNN\tI-NP\tO' -p179840 -aS',\t,\t,\tO\tO' -p179841 -aS'5/22/92\t5/22/92\tCD\tB-NP\tO' -p179842 -aS'.\t.\t.\tO\tO' -p179843 -asS'10. Potassium Chloride 20 mEq Packet Sig : One ( 1 ) Packet PO BID ( 2 times a day ) .' -p179844 -(lp179845 -S'10.\t10.\tLS\tB-NP\tO' -p179846 -aS'Potassium\tPotassium\tNNP\tI-NP\tO' -p179847 -aS'Chloride\tChloride\tNNP\tI-NP\tO' -p179848 -aS'20\t20\tCD\tI-NP\tO' -p179849 -aS'mEq\tmEq\tNNP\tI-NP\tO' -p179850 -aS'Packet\tPacket\tNNP\tI-NP\tO' -p179851 -aS'Sig\tSig\tNNP\tI-NP\tO' -p179852 -aS':\t:\t:\tO\tO' -p179853 -aS'One\tOne\tCD\tB-NP\tO' -p179854 -aS'(\t(\t(\tO\tO' -p179855 -aS'1\t1\tCD\tB-NP\tO' -p179856 -aS')\t)\t)\tO\tO' -p179857 -aS'Packet\tPacket\tNN\tB-NP\tO' -p179858 -aS'PO\tPO\tNN\tI-NP\tO' -p179859 -aS'BID\tBID\tNN\tI-NP\tO' -p179860 -aS'(\t(\t(\tO\tO' -p179861 -aS'2\t2\tCD\tB-NP\tO' -p179862 -aS'times\ttime\tNNS\tI-NP\tO' -p179863 -aS'a\ta\tDT\tB-NP\tO' -p179864 -aS'day\tday\tNN\tI-NP\tO' -p179865 -aS')\t)\t)\tO\tO' -p179866 -aS'.\t.\t.\tO\tO' -p179867 -asS'The patient uses alcohol socially ; was a smoker , used tobacco , she quit 4 years ago ; denies using recreational drug .' -p179868 -(lp179869 -S'The\tThe\tDT\tB-NP\tO' -p179870 -aS'patient\tpatient\tNN\tI-NP\tO' -p179871 -aS'uses\tuse\tVBZ\tB-VP\tO' -p179872 -aS'alcohol\talcohol\tNN\tB-NP\tO' -p179873 -aS'socially\tsocially\tRB\tB-ADVP\tO' -p179874 -aS';\t;\t:\tO\tO' -p179875 -aS'was\tbe\tVBD\tB-VP\tO' -p179876 -aS'a\ta\tDT\tB-NP\tO' -p179877 -aS'smoker\tsmoker\tNN\tI-NP\tO' -p179878 -aS',\t,\t,\tO\tO' -p179879 -aS'used\tuse\tVBN\tB-VP\tO' -p179880 -aS'tobacco\ttobacco\tNN\tB-NP\tO' -p179881 -aS',\t,\t,\tO\tO' -p179882 -aS'she\tshe\tPRP\tB-NP\tO' -p179883 -aS'quit\tquit\tVBD\tB-VP\tO' -p179884 -aS'4\t4\tCD\tB-NP\tO' -p179885 -aS'years\tyear\tNNS\tI-NP\tO' -p179886 -aS'ago\tago\tRB\tB-ADVP\tO' -p179887 -aS';\t;\t:\tO\tO' -p179888 -aS'denies\tdeny\tNNS\tB-NP\tO' -p179889 -aS'using\tuse\tVBG\tB-VP\tO' -p179890 -aS'recreational\trecreational\tJJ\tB-NP\tO' -p179891 -aS'drug\tdrug\tNN\tI-NP\tO' -p179892 -aS'.\t.\t.\tO\tO' -p179893 -asS'3. Benign prostatic hypertrophy , status post transurethral resection of prostate .' -p179894 -(lp179895 -S'3.\t3.\tLS\tB-NP\tO' -p179896 -aS'Benign\tBenign\tJJ\tI-NP\tO' -p179897 -aS'prostatic\tprostatic\tJJ\tI-NP\tO' -p179898 -aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' -p179899 -aS',\t,\t,\tO\tO' -p179900 -aS'status\tstatus\tNN\tB-NP\tO' -p179901 -aS'post\tpost\tNN\tI-NP\tO' -p179902 -aS'transurethral\ttransurethral\tJJ\tI-NP\tO' -p179903 -aS'resection\tresection\tNN\tI-NP\tO' -p179904 -aS'of\tof\tIN\tB-PP\tO' -p179905 -aS'prostate\tprostate\tNN\tB-NP\tO' -p179906 -aS'.\t.\t.\tO\tO' -p179907 -asS'All other systems were negative .' -p179908 -(lp179909 -S'All\tAll\tDT\tB-NP\tO' -p179910 -aS'other\tother\tJJ\tI-NP\tO' -p179911 -aS'systems\tsystem\tNNS\tI-NP\tO' -p179912 -aS'were\tbe\tVBD\tB-VP\tO' -p179913 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p179914 -aS'.\t.\t.\tO\tO' -p179915 -asS'However , he was given aggressive pulmonary toilets including chest physical therapy and aspiration precautions and the patient did not develop any pulmonary symptoms during his admission .' -p179916 -(lp179917 -S'However\tHowever\tRB\tB-ADVP\tO' -p179918 -aS',\t,\t,\tO\tO' -p179919 -aS'he\the\tPRP\tB-NP\tO' -p179920 -aS'was\tbe\tVBD\tB-VP\tO' -p179921 -aS'given\tgive\tVBN\tI-VP\tO' -p179922 -aS'aggressive\taggressive\tJJ\tB-NP\tO' -p179923 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p179924 -aS'toilets\ttoilet\tNNS\tI-NP\tO' -p179925 -aS'including\tinclude\tVBG\tB-PP\tO' -p179926 -aS'chest\tchest\tNN\tB-NP\tO' -p179927 -aS'physical\tphysical\tJJ\tI-NP\tO' -p179928 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p179929 -aS'and\tand\tCC\tI-NP\tO' -p179930 -aS'aspiration\taspiration\tNN\tI-NP\tO' -p179931 -aS'precautions\tprecaution\tNNS\tI-NP\tO' -p179932 -aS'and\tand\tCC\tO\tO' -p179933 -aS'the\tthe\tDT\tB-NP\tO' -p179934 -aS'patient\tpatient\tNN\tI-NP\tO' -p179935 -aS'did\tdo\tVBD\tB-VP\tO' -p179936 -aS'not\tnot\tRB\tI-VP\tO' -p179937 -aS'develop\tdevelop\tVB\tI-VP\tO' -p179938 -aS'any\tany\tDT\tB-NP\tO' -p179939 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p179940 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p179941 -aS'during\tduring\tIN\tB-PP\tO' -p179942 -aS'his\this\tPRP$\tB-NP\tO' -p179943 -aS'admission\tadmission\tNN\tI-NP\tO' -p179944 -aS'.\t.\t.\tO\tO' -p179945 -asS'Patient has never had a pessary and refused one and denies nausea , fever , chills , dysuria , or stress incontinence on her current admission .' -p179946 -(lp179947 -S'Patient\tPatient\tNN\tB-NP\tO' -p179948 -aS'has\thave\tVBZ\tB-VP\tO' -p179949 -aS'never\tnever\tRB\tI-VP\tO' -p179950 -aS'had\thave\tVBD\tI-VP\tO' -p179951 -aS'a\ta\tDT\tB-NP\tO' -p179952 -aS'pessary\tpessary\tJJ\tI-NP\tO' -p179953 -aS'and\tand\tCC\tO\tO' -p179954 -aS'refused\trefuse\tVBD\tB-VP\tO' -p179955 -aS'one\tone\tCD\tB-NP\tO' -p179956 -aS'and\tand\tCC\tO\tO' -p179957 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p179958 -aS'nausea\tnausea\tNN\tB-NP\tO' -p179959 -aS',\t,\t,\tO\tO' -p179960 -aS'fever\tfever\tNN\tB-NP\tO' -p179961 -aS',\t,\t,\tO\tO' -p179962 -aS'chills\tchill\tNNS\tB-NP\tO' -p179963 -aS',\t,\t,\tO\tO' -p179964 -aS'dysuria\tdysuria\tNN\tB-NP\tO' -p179965 -aS',\t,\t,\tO\tO' -p179966 -aS'or\tor\tCC\tO\tO' -p179967 -aS'stress\tstress\tNN\tB-NP\tO' -p179968 -aS'incontinence\tincontinence\tNN\tI-NP\tO' -p179969 -aS'on\ton\tIN\tB-PP\tO' -p179970 -aS'her\ther\tPRP$\tB-NP\tO' -p179971 -aS'current\tcurrent\tJJ\tI-NP\tO' -p179972 -aS'admission\tadmission\tNN\tI-NP\tO' -p179973 -aS'.\t.\t.\tO\tO' -p179974 -asS'2. Cardiac .' -p179975 -(lp179976 -S'2.\t2.\tLS\tB-LST\tO' -p179977 -aS'Cardiac\tCardiac\tNNP\tB-NP\tO' -p179978 -aS'.\t.\t.\tO\tO' -p179979 -asS'Vancomycin was also added to his regimen on 11/28/94 and this was primarily to provide improved MRSA coverage as he continued to have erythema along the lateral right lower extremity .' -p179980 -(lp179981 -S'Vancomycin\tVancomycin\tNN\tB-NP\tO' -p179982 -aS'was\tbe\tVBD\tB-VP\tO' -p179983 -aS'also\talso\tRB\tI-VP\tO' -p179984 -aS'added\tadd\tVBN\tI-VP\tO' -p179985 -aS'to\tto\tTO\tB-PP\tO' -p179986 -aS'his\this\tPRP$\tB-NP\tO' -p179987 -aS'regimen\tregimen\tNN\tI-NP\tO' -p179988 -aS'on\ton\tIN\tB-PP\tO' -p179989 -aS'11/28/94\t11/28/94\tCD\tB-NP\tO' -p179990 -aS'and\tand\tCC\tO\tO' -p179991 -aS'this\tthis\tDT\tB-NP\tO' -p179992 -aS'was\tbe\tVBD\tB-VP\tO' -p179993 -aS'primarily\tprimarily\tRB\tB-ADVP\tO' -p179994 -aS'to\tto\tTO\tB-VP\tO' -p179995 -aS'provide\tprovide\tVB\tI-VP\tO' -p179996 -aS'improved\timproved\tJJ\tB-NP\tO' -p179997 -aS'MRSA\tMRSA\tNN\tI-NP\tO' -p179998 -aS'coverage\tcoverage\tNN\tI-NP\tO' -p179999 -aS'as\tas\tIN\tB-SBAR\tO' -p180000 -aS'he\the\tPRP\tB-NP\tO' -p180001 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p180002 -aS'to\tto\tTO\tI-VP\tO' -p180003 -aS'have\thave\tVB\tI-VP\tO' -p180004 -aS'erythema\terythema\tNN\tB-NP\tO' -p180005 -aS'along\talong\tIN\tB-PP\tO' -p180006 -aS'the\tthe\tDT\tB-NP\tO' -p180007 -aS'lateral\tlateral\tJJ\tI-NP\tO' -p180008 -aS'right\tright\tNN\tI-NP\tO' -p180009 -aS'lower\tlow\tJJR\tB-NP\tO' -p180010 -aS'extremity\textremity\tNN\tI-NP\tO' -p180011 -aS'.\t.\t.\tO\tO' -p180012 -asS'9. Vistaril 50 mg once a day as needed for nausea .' -p180013 -(lp180014 -S'9.\t9.\tCD\tB-NP\tO' -p180015 -aS'Vistaril\tVistaril\tNNP\tI-NP\tO' -p180016 -aS'50\t50\tCD\tI-NP\tO' -p180017 -aS'mg\tmg\tNN\tI-NP\tO' -p180018 -aS'once\tonce\tRB\tB-ADVP\tO' -p180019 -aS'a\ta\tDT\tB-NP\tO' -p180020 -aS'day\tday\tNN\tI-NP\tO' -p180021 -aS'as\tas\tIN\tB-SBAR\tO' -p180022 -aS'needed\tneed\tVBN\tB-VP\tO' -p180023 -aS'for\tfor\tIN\tB-PP\tO' -p180024 -aS'nausea\tnausea\tNN\tB-NP\tO' -p180025 -aS'.\t.\t.\tO\tO' -p180026 -asS'5. Percocet 1-2 tablets p.o. q. 4 p.r.n. pain .' -p180027 -(lp180028 -S'5.\t5.\tLS\tB-LST\tO' -p180029 -aS'Percocet\tPercocet\tNNP\tB-NP\tO' -p180030 -aS'1-2\t1-2\tCD\tI-NP\tO' -p180031 -aS'tablets\ttablet\tNNS\tI-NP\tO' -p180032 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p180033 -aS'q.\tq.\tNN\tI-NP\tO' -p180034 -aS'4\t4\tCD\tI-NP\tO' -p180035 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p180036 -aS'pain\tpain\tNN\tI-NP\tO' -p180037 -aS'.\t.\t.\tO\tO' -p180038 -asS'Heart was regular rate and rhythm .' -p180039 -(lp180040 -S'Heart\tHeart\tNNP\tB-NP\tO' -p180041 -aS'was\tbe\tVBD\tB-VP\tO' -p180042 -aS'regular\tregular\tJJ\tB-NP\tO' -p180043 -aS'rate\trate\tNN\tI-NP\tO' -p180044 -aS'and\tand\tCC\tI-NP\tO' -p180045 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p180046 -aS'.\t.\t.\tO\tO' -p180047 -asS'RPR evaluating for possible neurologic syphilis was also checked .' -p180048 -(lp180049 -S'RPR\tRPR\tNN\tB-NP\tB-protein' -p180050 -aS'evaluating\tevaluate\tVBG\tB-VP\tO' -p180051 -aS'for\tfor\tIN\tB-PP\tO' -p180052 -aS'possible\tpossible\tJJ\tB-NP\tO' -p180053 -aS'neurologic\tneurologic\tJJ\tI-NP\tO' -p180054 -aS'syphilis\tsyphilis\tNN\tI-NP\tO' -p180055 -aS'was\tbe\tVBD\tB-VP\tO' -p180056 -aS'also\talso\tRB\tI-VP\tO' -p180057 -aS'checked\tcheck\tVBN\tI-VP\tO' -p180058 -aS'.\t.\t.\tO\tO' -p180059 -asS'There is no interval loss of focal gray - white matter differentiation to suggest acute infarction , though CT is not sensitive in the early stages .' -p180060 -(lp180061 -S'There\tThere\tEX\tB-NP\tO' -p180062 -aS'is\tbe\tVBZ\tB-VP\tO' -p180063 -aS'no\tno\tDT\tB-NP\tO' -p180064 -aS'interval\tinterval\tJJ\tI-NP\tO' -p180065 -aS'loss\tloss\tNN\tI-NP\tO' -p180066 -aS'of\tof\tIN\tB-PP\tO' -p180067 -aS'focal\tfocal\tJJ\tB-NP\tO' -p180068 -aS'gray\tgray\tJJ\tI-NP\tO' -p180069 -aS'-\t-\tHYPH\tI-NP\tO' -p180070 -aS'white\twhite\tJJ\tI-NP\tO' -p180071 -aS'matter\tmatter\tNN\tI-NP\tO' -p180072 -aS'differentiation\tdifferentiation\tNN\tI-NP\tO' -p180073 -aS'to\tto\tTO\tB-VP\tO' -p180074 -aS'suggest\tsuggest\tVB\tI-VP\tO' -p180075 -aS'acute\tacute\tJJ\tB-NP\tO' -p180076 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p180077 -aS',\t,\t,\tO\tO' -p180078 -aS'though\tthough\tIN\tB-SBAR\tO' -p180079 -aS'CT\tCT\tNN\tB-NP\tB-protein' -p180080 -aS'is\tbe\tVBZ\tB-VP\tO' -p180081 -aS'not\tnot\tRB\tO\tO' -p180082 -aS'sensitive\tsensitive\tJJ\tB-ADJP\tO' -p180083 -aS'in\tin\tIN\tB-PP\tO' -p180084 -aS'the\tthe\tDT\tB-NP\tO' -p180085 -aS'early\tearly\tJJ\tI-NP\tO' -p180086 -aS'stages\tstage\tNNS\tI-NP\tO' -p180087 -aS'.\t.\t.\tO\tO' -p180088 -asS'Cardiovascular : Regular rate and rhythm , no murmurs .' -p180089 -(lp180090 -S'Cardiovascular\tCardiovascular\tJJ\tB-ADJP\tO' -p180091 -aS':\t:\t:\tO\tO' -p180092 -aS'Regular\tRegular\tJJ\tB-NP\tO' -p180093 -aS'rate\trate\tNN\tI-NP\tO' -p180094 -aS'and\tand\tCC\tI-NP\tO' -p180095 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p180096 -aS',\t,\t,\tO\tO' -p180097 -aS'no\tno\tDT\tB-NP\tO' -p180098 -aS'murmurs\tmurmur\tNNS\tI-NP\tO' -p180099 -aS'.\t.\t.\tO\tO' -p180100 -asS'extubated .' -p180101 -(lp180102 -S'extubated\textubate\tVBN\tB-VP\tO' -p180103 -aS'.\t.\t.\tO\tO' -p180104 -asS'Followup Instructions : see dc summary' -p180105 -(lp180106 -S'Followup\tFollowup\tNNP\tB-NP\tO' -p180107 -aS'Instructions\tInstruction\tNNPS\tI-NP\tO' -p180108 -aS':\t:\t:\tO\tO' -p180109 -aS'see\tsee\tVB\tB-VP\tO' -p180110 -aS'dc\tdc\tNN\tB-NP\tO' -p180111 -aS'summary\tsummary\tNN\tI-NP\tO' -p180112 -asS'Nasal cannula was weaned off on day of life 3 and he initially was maintaining O2 sat above 94% and breathing comfortably .' -p180113 -(lp180114 -S'Nasal\tNasal\tJJ\tB-NP\tO' -p180115 -aS'cannula\tcannula\tNN\tI-NP\tO' -p180116 -aS'was\tbe\tVBD\tB-VP\tO' -p180117 -aS'weaned\twean\tVBN\tI-VP\tO' -p180118 -aS'off\toff\tRP\tB-PRT\tO' -p180119 -aS'on\ton\tIN\tB-PP\tO' -p180120 -aS'day\tday\tNN\tB-NP\tO' -p180121 -aS'of\tof\tIN\tB-PP\tO' -p180122 -aS'life\tlife\tNN\tB-NP\tB-protein' -p180123 -aS'3\t3\tCD\tI-NP\tI-protein' -p180124 -aS'and\tand\tCC\tO\tO' -p180125 -aS'he\the\tPRP\tB-NP\tO' -p180126 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p180127 -aS'was\tbe\tVBD\tB-VP\tO' -p180128 -aS'maintaining\tmaintain\tVBG\tI-VP\tO' -p180129 -aS'O2\tO2\tNN\tB-NP\tO' -p180130 -aS'sat\tsit\tVBD\tB-VP\tO' -p180131 -aS'above\tabove\tIN\tB-PP\tO' -p180132 -aS'94%\t94%\tNN\tB-NP\tO' -p180133 -aS'and\tand\tCC\tI-NP\tO' -p180134 -aS'breathing\tbreathing\tNN\tI-NP\tO' -p180135 -aS'comfortably\tcomfortably\tRB\tB-ADVP\tO' -p180136 -aS'.\t.\t.\tO\tO' -p180137 -asS'This also did not help in the attempt to wean from Neo-Synephrine .' -p180138 -(lp180139 -S'This\tThis\tDT\tB-NP\tO' -p180140 -aS'also\talso\tRB\tB-ADVP\tO' -p180141 -aS'did\tdo\tVBD\tB-VP\tO' -p180142 -aS'not\tnot\tRB\tI-VP\tO' -p180143 -aS'help\thelp\tVB\tI-VP\tO' -p180144 -aS'in\tin\tIN\tB-PP\tO' -p180145 -aS'the\tthe\tDT\tB-NP\tO' -p180146 -aS'attempt\tattempt\tNN\tI-NP\tO' -p180147 -aS'to\tto\tTO\tB-VP\tO' -p180148 -aS'wean\twean\tVB\tI-VP\tO' -p180149 -aS'from\tfrom\tIN\tB-PP\tO' -p180150 -aS'Neo-Synephrine\tNeo-Synephrine\tNN\tB-NP\tO' -p180151 -aS'.\t.\t.\tO\tO' -p180152 -asS'Infant was started on double phototherapy on day of life two for a maximum bilirubin level of 8.1 with a direct of 0.3 .' -p180153 -(lp180154 -S'Infant\tInfant\tNN\tB-NP\tO' -p180155 -aS'was\tbe\tVBD\tB-VP\tO' -p180156 -aS'started\tstart\tVBN\tI-VP\tO' -p180157 -aS'on\ton\tIN\tB-PP\tO' -p180158 -aS'double\tdouble\tJJ\tB-NP\tO' -p180159 -aS'phototherapy\tphototherapy\tNN\tI-NP\tO' -p180160 -aS'on\ton\tIN\tB-PP\tO' -p180161 -aS'day\tday\tNN\tB-NP\tO' -p180162 -aS'of\tof\tIN\tB-PP\tO' -p180163 -aS'life\tlife\tNN\tB-NP\tO' -p180164 -aS'two\ttwo\tCD\tI-NP\tO' -p180165 -aS'for\tfor\tIN\tB-PP\tO' -p180166 -aS'a\ta\tDT\tB-NP\tO' -p180167 -aS'maximum\tmaximum\tNN\tI-NP\tO' -p180168 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p180169 -aS'level\tlevel\tNN\tI-NP\tO' -p180170 -aS'of\tof\tIN\tB-PP\tO' -p180171 -aS'8.1\t8.1\tCD\tB-NP\tO' -p180172 -aS'with\twith\tIN\tB-PP\tO' -p180173 -aS'a\ta\tDT\tB-NP\tO' -p180174 -aS'direct\tdirect\tNN\tI-NP\tO' -p180175 -aS'of\tof\tIN\tB-PP\tO' -p180176 -aS'0.3\t0.3\tCD\tB-NP\tO' -p180177 -aS'.\t.\t.\tO\tO' -p180178 -asS'This biopsy came back as positive for adenocarcinoma .' -p180179 -(lp180180 -S'This\tThis\tDT\tB-NP\tO' -p180181 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p180182 -aS'came\tcome\tVBD\tB-VP\tO' -p180183 -aS'back\tback\tRB\tB-ADVP\tO' -p180184 -aS'as\tas\tRB\tB-ADJP\tO' -p180185 -aS'positive\tpositive\tJJ\tI-ADJP\tO' -p180186 -aS'for\tfor\tIN\tB-PP\tO' -p180187 -aS'adenocarcinoma\tadenocarcinoma\tNN\tB-NP\tO' -p180188 -aS'.\t.\t.\tO\tO' -p180189 -asS'The patient was sent to rehabilitation on Levofloxacin orally .' -p180190 -(lp180191 -S'The\tThe\tDT\tB-NP\tO' -p180192 -aS'patient\tpatient\tNN\tI-NP\tO' -p180193 -aS'was\tbe\tVBD\tB-VP\tO' -p180194 -aS'sent\tsend\tVBN\tI-VP\tO' -p180195 -aS'to\tto\tTO\tB-PP\tO' -p180196 -aS'rehabilitation\trehabilitation\tNN\tB-NP\tO' -p180197 -aS'on\ton\tIN\tB-PP\tO' -p180198 -aS'Levofloxacin\tLevofloxacin\tNN\tB-NP\tO' -p180199 -aS'orally\torally\tRB\tB-ADVP\tO' -p180200 -aS'.\t.\t.\tO\tO' -p180201 -asS'Phosphate was 3.6 and magnesium was 2.2 .' -p180202 -(lp180203 -S'Phosphate\tPhosphate\tNN\tB-NP\tO' -p180204 -aS'was\tbe\tVBD\tB-VP\tO' -p180205 -aS'3.6\t3.6\tCD\tB-NP\tO' -p180206 -aS'and\tand\tCC\tO\tO' -p180207 -aS'magnesium\tmagnesium\tNN\tB-NP\tO' -p180208 -aS'was\tbe\tVBD\tB-VP\tO' -p180209 -aS'2.2\t2.2\tCD\tB-NP\tO' -p180210 -aS'.\t.\t.\tO\tO' -p180211 -asS'The patient apparently did well until June 1998 when he noted a bulge in his sternal area .' -p180212 -(lp180213 -S'The\tThe\tDT\tB-NP\tO' -p180214 -aS'patient\tpatient\tNN\tI-NP\tO' -p180215 -aS'apparently\tapparently\tRB\tB-ADVP\tO' -p180216 -aS'did\tdo\tVBD\tB-VP\tO' -p180217 -aS'well\twell\tRB\tB-ADVP\tO' -p180218 -aS'until\tuntil\tIN\tB-PP\tO' -p180219 -aS'June\tJune\tNNP\tB-NP\tO' -p180220 -aS'1998\t1998\tCD\tI-NP\tO' -p180221 -aS'when\twhen\tWRB\tB-ADVP\tO' -p180222 -aS'he\the\tPRP\tB-NP\tO' -p180223 -aS'noted\tnote\tVBD\tB-VP\tO' -p180224 -aS'a\ta\tDT\tB-NP\tO' -p180225 -aS'bulge\tbulge\tNN\tI-NP\tO' -p180226 -aS'in\tin\tIN\tB-PP\tO' -p180227 -aS'his\this\tPRP$\tB-NP\tO' -p180228 -aS'sternal\tsternal\tJJ\tI-NP\tO' -p180229 -aS'area\tarea\tNN\tI-NP\tO' -p180230 -aS'.\t.\t.\tO\tO' -p180231 -asS'The patient was alert , awake and oriented , pleasant , and in no acute distress .' -p180232 -(lp180233 -S'The\tThe\tDT\tB-NP\tO' -p180234 -aS'patient\tpatient\tNN\tI-NP\tO' -p180235 -aS'was\tbe\tVBD\tB-VP\tO' -p180236 -aS'alert\talert\tJJ\tB-NP\tO' -p180237 -aS',\t,\t,\tI-NP\tO' -p180238 -aS'awake\tawake\tJJ\tI-NP\tO' -p180239 -aS'and\tand\tCC\tI-NP\tO' -p180240 -aS'oriented\torient\tVBN\tI-NP\tO' -p180241 -aS',\t,\t,\tO\tO' -p180242 -aS'pleasant\tpleasant\tNN\tB-NP\tO' -p180243 -aS',\t,\t,\tO\tO' -p180244 -aS'and\tand\tCC\tO\tO' -p180245 -aS'in\tin\tIN\tB-PP\tO' -p180246 -aS'no\tno\tDT\tB-NP\tO' -p180247 -aS'acute\tacute\tJJ\tI-NP\tO' -p180248 -aS'distress\tdistress\tNN\tI-NP\tO' -p180249 -aS'.\t.\t.\tO\tO' -p180250 -asS'General : The patient was a well appearing female in no acute distress .' -p180251 -(lp180252 -S'General\tGeneral\tNNP\tB-NP\tO' -p180253 -aS':\t:\t:\tO\tO' -p180254 -aS'The\tThe\tDT\tB-NP\tO' -p180255 -aS'patient\tpatient\tNN\tI-NP\tO' -p180256 -aS'was\tbe\tVBD\tB-VP\tO' -p180257 -aS'a\ta\tDT\tB-NP\tO' -p180258 -aS'well\twell\tRB\tI-NP\tO' -p180259 -aS'appearing\tappear\tVBG\tI-NP\tO' -p180260 -aS'female\tfemale\tJJ\tB-ADJP\tO' -p180261 -aS'in\tin\tIN\tB-PP\tO' -p180262 -aS'no\tno\tDT\tB-NP\tO' -p180263 -aS'acute\tacute\tJJ\tI-NP\tO' -p180264 -aS'distress\tdistress\tNN\tI-NP\tO' -p180265 -aS'.\t.\t.\tO\tO' -p180266 -asS'He denies any emesis , melena , diarrhea or constipation .' -p180267 -(lp180268 -S'He\tHe\tPRP\tB-NP\tO' -p180269 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p180270 -aS'any\tany\tDT\tB-NP\tO' -p180271 -aS'emesis\temesis\tNN\tI-NP\tO' -p180272 -aS',\t,\t,\tI-NP\tO' -p180273 -aS'melena\tmelena\tNN\tI-NP\tO' -p180274 -aS',\t,\t,\tI-NP\tO' -p180275 -aS'diarrhea\tdiarrhea\tNN\tI-NP\tO' -p180276 -aS'or\tor\tCC\tI-NP\tO' -p180277 -aS'constipation\tconstipation\tNN\tI-NP\tO' -p180278 -aS'.\t.\t.\tO\tO' -p180279 -asS'Graft versus host disease , recently on cyclosporine 50 b.i.d. and prednisone 60 q.d.' -p180280 -(lp180281 -S'Graft\tGraft\tNN\tB-NP\tO' -p180282 -aS'versus\tversus\tCC\tI-NP\tO' -p180283 -aS'host\thost\tNN\tI-NP\tO' -p180284 -aS'disease\tdisease\tNN\tI-NP\tO' -p180285 -aS',\t,\t,\tO\tO' -p180286 -aS'recently\trecently\tRB\tB-ADVP\tO' -p180287 -aS'on\ton\tIN\tB-PP\tO' -p180288 -aS'cyclosporine\tcyclosporine\tNN\tB-NP\tO' -p180289 -aS'50\t50\tCD\tI-NP\tO' -p180290 -aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' -p180291 -aS'and\tand\tCC\tI-NP\tO' -p180292 -aS'prednisone\tprednisone\tNN\tI-NP\tO' -p180293 -aS'60\t60\tCD\tB-NP\tO' -p180294 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p180295 -asS'Significant for depression .' -p180296 -(lp180297 -S'Significant\tSignificant\tJJ\tB-ADJP\tO' -p180298 -aS'for\tfor\tIN\tB-PP\tO' -p180299 -aS'depression\tdepression\tNN\tB-NP\tO' -p180300 -aS'.\t.\t.\tO\tO' -p180301 -asS'BP 90s-118/47-59 , HR 80-90s .' -p180302 -(lp180303 -S'BP\tBP\tNN\tB-NP\tO' -p180304 -aS'90s-118/47-59\t90s-118/47-59\tCD\tI-NP\tO' -p180305 -aS',\t,\t,\tO\tO' -p180306 -aS'HR\tHR\tNN\tB-NP\tO' -p180307 -aS'80-90s\t80-90\tNNS\tI-NP\tO' -p180308 -aS'.\t.\t.\tO\tO' -p180309 -asS'The patient was admitted on February 5 , 1994 and had a central venous line placed in her right subclavian .' -p180310 -(lp180311 -S'The\tThe\tDT\tB-NP\tO' -p180312 -aS'patient\tpatient\tNN\tI-NP\tO' -p180313 -aS'was\tbe\tVBD\tB-VP\tO' -p180314 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p180315 -aS'on\ton\tIN\tB-PP\tO' -p180316 -aS'February\tFebruary\tNNP\tB-NP\tO' -p180317 -aS'5\t5\tCD\tI-NP\tO' -p180318 -aS',\t,\t,\tI-NP\tO' -p180319 -aS'1994\t1994\tCD\tI-NP\tO' -p180320 -aS'and\tand\tCC\tO\tO' -p180321 -aS'had\thave\tVBD\tB-VP\tO' -p180322 -aS'a\ta\tDT\tB-NP\tO' -p180323 -aS'central\tcentral\tJJ\tI-NP\tO' -p180324 -aS'venous\tvenous\tJJ\tI-NP\tO' -p180325 -aS'line\tline\tNN\tI-NP\tO' -p180326 -aS'placed\tplace\tVBN\tB-VP\tO' -p180327 -aS'in\tin\tIN\tB-PP\tO' -p180328 -aS'her\ther\tPRP$\tB-NP\tO' -p180329 -aS'right\tright\tJJ\tI-NP\tO' -p180330 -aS'subclavian\tsubclavian\tNN\tI-NP\tO' -p180331 -aS'.\t.\t.\tO\tO' -p180332 -asS'He had atelectasis in the right lower lobe by chest x-ray .' -p180333 -(lp180334 -S'He\tHe\tPRP\tB-NP\tO' -p180335 -aS'had\thave\tVBD\tB-VP\tO' -p180336 -aS'atelectasis\tatelectasis\tNN\tB-NP\tO' -p180337 -aS'in\tin\tIN\tB-PP\tO' -p180338 -aS'the\tthe\tDT\tB-NP\tO' -p180339 -aS'right\tright\tJJ\tI-NP\tO' -p180340 -aS'lower\tlow\tJJR\tI-NP\tO' -p180341 -aS'lobe\tlobe\tNN\tI-NP\tO' -p180342 -aS'by\tby\tIN\tB-PP\tO' -p180343 -aS'chest\tchest\tNN\tB-NP\tO' -p180344 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p180345 -aS'.\t.\t.\tO\tO' -p180346 -asS'Nortriptyline 10 mg q. h.s. ; Flomax 0.4 mg q. h.s. ; Neurontin 600 mg three times a day .' -p180347 -(lp180348 -S'Nortriptyline\tNortriptyline\tNN\tB-NP\tO' -p180349 -aS'10\t10\tCD\tI-NP\tO' -p180350 -aS'mg\tmg\tNN\tI-NP\tO' -p180351 -aS'q.\tq.\tNN\tI-NP\tO' -p180352 -aS'h.s.\th.s.\tNN\tI-NP\tO' -p180353 -aS';\t;\t:\tO\tO' -p180354 -aS'Flomax\tFlomax\tNN\tB-NP\tO' -p180355 -aS'0.4\t0.4\tCD\tI-NP\tO' -p180356 -aS'mg\tmg\tNN\tI-NP\tO' -p180357 -aS'q.\tq.\tNN\tI-NP\tO' -p180358 -aS'h.s.\th.s.\tNN\tI-NP\tO' -p180359 -aS';\t;\t:\tO\tO' -p180360 -aS'Neurontin\tNeurontin\tNN\tB-NP\tO' -p180361 -aS'600\t600\tCD\tI-NP\tO' -p180362 -aS'mg\tmg\tNN\tI-NP\tO' -p180363 -aS'three\tthree\tCD\tB-NP\tO' -p180364 -aS'times\ttime\tNNS\tI-NP\tO' -p180365 -aS'a\ta\tDT\tB-NP\tO' -p180366 -aS'day\tday\tNN\tI-NP\tO' -p180367 -aS'.\t.\t.\tO\tO' -p180368 -asS'He may observe regular activity although he should avoid strenuous activity and should not drive while on pain medications .' -p180369 -(lp180370 -S'He\tHe\tPRP\tB-NP\tO' -p180371 -aS'may\tmay\tMD\tB-VP\tO' -p180372 -aS'observe\tobserve\tVB\tI-VP\tO' -p180373 -aS'regular\tregular\tJJ\tB-NP\tO' -p180374 -aS'activity\tactivity\tNN\tI-NP\tO' -p180375 -aS'although\talthough\tIN\tB-SBAR\tO' -p180376 -aS'he\the\tPRP\tB-NP\tO' -p180377 -aS'should\tshould\tMD\tB-VP\tO' -p180378 -aS'avoid\tavoid\tVB\tI-VP\tO' -p180379 -aS'strenuous\tstrenuous\tJJ\tB-NP\tO' -p180380 -aS'activity\tactivity\tNN\tI-NP\tO' -p180381 -aS'and\tand\tCC\tO\tO' -p180382 -aS'should\tshould\tMD\tB-VP\tO' -p180383 -aS'not\tnot\tRB\tI-VP\tO' -p180384 -aS'drive\tdrive\tVB\tI-VP\tO' -p180385 -aS'while\twhile\tIN\tB-SBAR\tO' -p180386 -aS'on\ton\tIN\tB-PP\tO' -p180387 -aS'pain\tpain\tNN\tB-NP\tO' -p180388 -aS'medications\tmedication\tNNS\tI-NP\tO' -p180389 -aS'.\t.\t.\tO\tO' -p180390 -asS'The cast was replaced by a plaster splint .' -p180391 -(lp180392 -S'The\tThe\tDT\tB-NP\tO' -p180393 -aS'cast\tcast\tNN\tI-NP\tO' -p180394 -aS'was\tbe\tVBD\tB-VP\tO' -p180395 -aS'replaced\treplace\tVBN\tI-VP\tO' -p180396 -aS'by\tby\tIN\tB-PP\tO' -p180397 -aS'a\ta\tDT\tB-NP\tO' -p180398 -aS'plaster\tplaster\tNN\tI-NP\tO' -p180399 -aS'splint\tsplint\tNN\tI-NP\tO' -p180400 -aS'.\t.\t.\tO\tO' -p180401 -asS'Failed swallow study x 2 in early November .' -p180402 -(lp180403 -S'Failed\tFail\tVBN\tB-NP\tO' -p180404 -aS'swallow\tswallow\tJJ\tI-NP\tO' -p180405 -aS'study\tstudy\tNN\tI-NP\tO' -p180406 -aS'x\tx\tSYM\tB-NP\tO' -p180407 -aS'2\t2\tCD\tI-NP\tO' -p180408 -aS'in\tin\tIN\tB-PP\tO' -p180409 -aS'early\tearly\tJJ\tB-NP\tO' -p180410 -aS'November\tNovember\tNNP\tI-NP\tO' -p180411 -aS'.\t.\t.\tO\tO' -p180412 -asS'The patient is a 67 year old white male with a recent history of urinary frequency Q2-3H , stranguria , nocturia x 3-4 per night .' -p180413 -(lp180414 -S'The\tThe\tDT\tB-NP\tO' -p180415 -aS'patient\tpatient\tNN\tI-NP\tO' -p180416 -aS'is\tbe\tVBZ\tB-VP\tO' -p180417 -aS'a\ta\tDT\tB-NP\tO' -p180418 -aS'67\t67\tCD\tI-NP\tO' -p180419 -aS'year\tyear\tNN\tI-NP\tO' -p180420 -aS'old\told\tJJ\tI-NP\tO' -p180421 -aS'white\twhite\tJJ\tI-NP\tO' -p180422 -aS'male\tmale\tNN\tI-NP\tO' -p180423 -aS'with\twith\tIN\tB-PP\tO' -p180424 -aS'a\ta\tDT\tB-NP\tO' -p180425 -aS'recent\trecent\tJJ\tI-NP\tO' -p180426 -aS'history\thistory\tNN\tI-NP\tO' -p180427 -aS'of\tof\tIN\tB-PP\tO' -p180428 -aS'urinary\turinary\tJJ\tB-NP\tO' -p180429 -aS'frequency\tfrequency\tNN\tI-NP\tO' -p180430 -aS'Q2-3H\tQ2-3H\tNN\tI-NP\tO' -p180431 -aS',\t,\t,\tO\tO' -p180432 -aS'stranguria\tstranguria\tNN\tB-NP\tO' -p180433 -aS',\t,\t,\tO\tO' -p180434 -aS'nocturia\tnocturia\tNN\tB-NP\tO' -p180435 -aS'x\tx\tSYM\tB-NP\tO' -p180436 -aS'3-4\t3-4\tNN\tI-NP\tO' -p180437 -aS'per\tper\tIN\tB-PP\tO' -p180438 -aS'night\tnight\tNN\tB-NP\tO' -p180439 -aS'.\t.\t.\tO\tO' -p180440 -asS'On day of life two , the infant began to wean off intravenous fluids , and this was completed by day of life four .' -p180441 -(lp180442 -S'On\tOn\tIN\tB-PP\tO' -p180443 -aS'day\tday\tNN\tB-NP\tO' -p180444 -aS'of\tof\tIN\tB-PP\tO' -p180445 -aS'life\tlife\tNN\tB-NP\tO' -p180446 -aS'two\ttwo\tCD\tI-NP\tO' -p180447 -aS',\t,\t,\tO\tO' -p180448 -aS'the\tthe\tDT\tB-NP\tO' -p180449 -aS'infant\tinfant\tNN\tI-NP\tO' -p180450 -aS'began\tbegin\tVBD\tB-VP\tO' -p180451 -aS'to\tto\tTO\tI-VP\tO' -p180452 -aS'wean\twean\tVB\tI-VP\tO' -p180453 -aS'off\toff\tRP\tB-PRT\tO' -p180454 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p180455 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p180456 -aS',\t,\t,\tO\tO' -p180457 -aS'and\tand\tCC\tO\tO' -p180458 -aS'this\tthis\tDT\tB-NP\tO' -p180459 -aS'was\tbe\tVBD\tB-VP\tO' -p180460 -aS'completed\tcomplete\tVBN\tI-VP\tO' -p180461 -aS'by\tby\tIN\tB-PP\tO' -p180462 -aS'day\tday\tNN\tB-NP\tO' -p180463 -aS'of\tof\tIN\tB-PP\tO' -p180464 -aS'life\tlife\tNN\tB-NP\tO' -p180465 -aS'four\tfour\tCD\tI-NP\tO' -p180466 -aS'.\t.\t.\tO\tO' -p180467 -asS'She was discharged to inpatient rehabilitation where she made significant progress toward recovery .' -p180468 -(lp180469 -S'She\tShe\tPRP\tB-NP\tO' -p180470 -aS'was\tbe\tVBD\tB-VP\tO' -p180471 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p180472 -aS'to\tto\tTO\tB-PP\tO' -p180473 -aS'inpatient\tinpatient\tNN\tB-NP\tO' -p180474 -aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' -p180475 -aS'where\twhere\tWRB\tB-ADVP\tO' -p180476 -aS'she\tshe\tPRP\tB-NP\tO' -p180477 -aS'made\tmake\tVBD\tB-VP\tO' -p180478 -aS'significant\tsignificant\tJJ\tB-NP\tO' -p180479 -aS'progress\tprogress\tNN\tI-NP\tO' -p180480 -aS'toward\ttoward\tIN\tB-PP\tO' -p180481 -aS'recovery\trecovery\tNN\tB-NP\tO' -p180482 -aS'.\t.\t.\tO\tO' -p180483 -asS'was soft , nontender , with good bowel sounds .' -p180484 -(lp180485 -S'was\tbe\tVBD\tB-VP\tO' -p180486 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p180487 -aS',\t,\t,\tO\tO' -p180488 -aS'nontender\tnontender\tJJ\tB-ADJP\tO' -p180489 -aS',\t,\t,\tO\tO' -p180490 -aS'with\twith\tIN\tB-PP\tO' -p180491 -aS'good\tgood\tJJ\tB-NP\tO' -p180492 -aS'bowel\tbowel\tNN\tI-NP\tO' -p180493 -aS'sounds\tsound\tNNS\tI-NP\tO' -p180494 -aS'.\t.\t.\tO\tO' -p180495 -asS'He does not smoke , and there is no history of IV drug abuse .' -p180496 -(lp180497 -S'He\tHe\tPRP\tB-NP\tO' -p180498 -aS'does\tdo\tVBZ\tB-VP\tO' -p180499 -aS'not\tnot\tRB\tI-VP\tO' -p180500 -aS'smoke\tsmoke\tVB\tI-VP\tO' -p180501 -aS',\t,\t,\tO\tO' -p180502 -aS'and\tand\tCC\tO\tO' -p180503 -aS'there\tthere\tEX\tB-NP\tO' -p180504 -aS'is\tbe\tVBZ\tB-VP\tO' -p180505 -aS'no\tno\tDT\tB-NP\tO' -p180506 -aS'history\thistory\tNN\tI-NP\tO' -p180507 -aS'of\tof\tIN\tB-PP\tO' -p180508 -aS'IV\tIV\tCD\tB-NP\tO' -p180509 -aS'drug\tdrug\tNN\tI-NP\tO' -p180510 -aS'abuse\tabuse\tNN\tI-NP\tO' -p180511 -aS'.\t.\t.\tO\tO' -p180512 -asS'2. Diovan 160 mg p.o. q. day .' -p180513 -(lp180514 -S'2.\t2.\tLS\tB-LST\tO' -p180515 -aS'Diovan\tDiovan\tNNP\tB-NP\tO' -p180516 -aS'160\t160\tCD\tI-NP\tO' -p180517 -aS'mg\tmg\tNN\tI-NP\tO' -p180518 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p180519 -aS'q.\tq.\tNN\tI-NP\tO' -p180520 -aS'day\tday\tNN\tI-NP\tO' -p180521 -aS'.\t.\t.\tO\tO' -p180522 -asS'He had marked voluntary guarding without rigidity and no masses were felt .' -p180523 -(lp180524 -S'He\tHe\tPRP\tB-NP\tO' -p180525 -aS'had\thave\tVBD\tB-VP\tO' -p180526 -aS'marked\tmark\tVBN\tI-VP\tO' -p180527 -aS'voluntary\tvoluntary\tJJ\tB-NP\tO' -p180528 -aS'guarding\tguarding\tNN\tI-NP\tO' -p180529 -aS'without\twithout\tIN\tB-PP\tO' -p180530 -aS'rigidity\trigidity\tNN\tB-NP\tO' -p180531 -aS'and\tand\tCC\tO\tO' -p180532 -aS'no\tno\tDT\tB-NP\tO' -p180533 -aS'masses\tmass\tNNS\tI-NP\tO' -p180534 -aS'were\tbe\tVBD\tB-VP\tO' -p180535 -aS'felt\tfeel\tVBN\tI-VP\tO' -p180536 -aS'.\t.\t.\tO\tO' -p180537 -asS'He had a predischarge biopsy .' -p180538 -(lp180539 -S'He\tHe\tPRP\tB-NP\tO' -p180540 -aS'had\thave\tVBD\tB-VP\tO' -p180541 -aS'a\ta\tDT\tB-NP\tO' -p180542 -aS'predischarge\tpredischarge\tNN\tI-NP\tO' -p180543 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p180544 -aS'.\t.\t.\tO\tO' -p180545 -asS'Sister with lung ca .' -p180546 -(lp180547 -S'Sister\tSister\tNN\tB-NP\tO' -p180548 -aS'with\twith\tIN\tB-PP\tO' -p180549 -aS'lung\tlung\tNN\tB-NP\tO' -p180550 -aS'ca\tca\tNN\tI-NP\tO' -p180551 -aS'.\t.\t.\tO\tO' -p180552 -asS'Regular , rate , and rhythm .' -p180553 -(lp180554 -S'Regular\tRegular\tJJ\tB-NP\tO' -p180555 -aS',\t,\t,\tI-NP\tO' -p180556 -aS'rate\trate\tNN\tI-NP\tO' -p180557 -aS',\t,\t,\tO\tO' -p180558 -aS'and\tand\tCC\tO\tO' -p180559 -aS'rhythm\trhythm\tNN\tB-NP\tO' -p180560 -aS'.\t.\t.\tO\tO' -p180561 -asS'STAPH AUREUS COAG + .' -p180562 -(lp180563 -S'STAPH\tSTAPH\tNN\tB-NP\tB-protein' -p180564 -aS'AUREUS\tAUREUS\tVBZ\tB-VP\tO' -p180565 -aS'COAG\tCOAG\tNN\tB-NP\tB-protein' -p180566 -aS'+\t+\tSYM\tB-NP\tO' -p180567 -aS'.\t.\t.\tO\tO' -p180568 -asS'Robert the shortness of breath gets worse please return to emergency room .' -p180569 -(lp180570 -S'Robert\tRobert\tNNP\tB-NP\tO' -p180571 -aS'the\tthe\tDT\tB-NP\tO' -p180572 -aS'shortness\tshortness\tNN\tI-NP\tO' -p180573 -aS'of\tof\tIN\tB-PP\tO' -p180574 -aS'breath\tbreath\tNN\tB-NP\tO' -p180575 -aS'gets\tget\tVBZ\tB-VP\tO' -p180576 -aS'worse\tworse\tJJR\tB-NP\tO' -p180577 -aS'please\tplease\tNN\tI-NP\tO' -p180578 -aS'return\treturn\tNN\tI-NP\tO' -p180579 -aS'to\tto\tTO\tB-PP\tO' -p180580 -aS'emergency\temergency\tNN\tB-NP\tO' -p180581 -aS'room\troom\tNN\tI-NP\tO' -p180582 -aS'.\t.\t.\tO\tO' -p180583 -asS'Extremity pulses revealed a right radial of 2+ , left radial of 1+ , 2+ distal pulses in the lower extremities bilaterally .' -p180584 -(lp180585 -S'Extremity\tExtremity\tNN\tB-NP\tO' -p180586 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p180587 -aS'revealed\treveal\tVBD\tB-VP\tO' -p180588 -aS'a\ta\tDT\tB-NP\tO' -p180589 -aS'right\tright\tJJ\tI-NP\tO' -p180590 -aS'radial\tradial\tNN\tI-NP\tO' -p180591 -aS'of\tof\tIN\tB-PP\tO' -p180592 -aS'2+\t2+\tJJ\tB-NP\tO' -p180593 -aS',\t,\t,\tI-NP\tO' -p180594 -aS'left\tleft\tJJ\tI-NP\tO' -p180595 -aS'radial\tradial\tNN\tI-NP\tO' -p180596 -aS'of\tof\tIN\tB-PP\tO' -p180597 -aS'1+\t1+\tJJ\tB-NP\tO' -p180598 -aS',\t,\t,\tI-NP\tO' -p180599 -aS'2+\t2+\tJJ\tI-NP\tO' -p180600 -aS'distal\tdistal\tJJ\tI-NP\tO' -p180601 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p180602 -aS'in\tin\tIN\tB-PP\tO' -p180603 -aS'the\tthe\tDT\tB-NP\tO' -p180604 -aS'lower\tlow\tJJR\tI-NP\tO' -p180605 -aS'extremities\textremity\tNNS\tI-NP\tO' -p180606 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p180607 -aS'.\t.\t.\tO\tO' -p180608 -asS'He was treated with supportive medical therapy for his cough .' -p180609 -(lp180610 -S'He\tHe\tPRP\tB-NP\tO' -p180611 -aS'was\tbe\tVBD\tB-VP\tO' -p180612 -aS'treated\ttreat\tVBN\tI-VP\tO' -p180613 -aS'with\twith\tIN\tB-PP\tO' -p180614 -aS'supportive\tsupportive\tJJ\tB-NP\tO' -p180615 -aS'medical\tmedical\tJJ\tI-NP\tO' -p180616 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p180617 -aS'for\tfor\tIN\tB-PP\tO' -p180618 -aS'his\this\tPRP$\tB-NP\tO' -p180619 -aS'cough\tcough\tNN\tI-NP\tO' -p180620 -aS'.\t.\t.\tO\tO' -p180621 -asS'She has no clubbing , cyanosis or edema on her extremities .' -p180622 -(lp180623 -S'She\tShe\tPRP\tB-NP\tO' -p180624 -aS'has\thave\tVBZ\tB-VP\tO' -p180625 -aS'no\tno\tDT\tB-NP\tO' -p180626 -aS'clubbing\tclubbing\tNN\tI-NP\tO' -p180627 -aS',\t,\t,\tI-NP\tO' -p180628 -aS'cyanosis\tcyanosis\tNN\tI-NP\tO' -p180629 -aS'or\tor\tCC\tI-NP\tO' -p180630 -aS'edema\tedema\tNN\tI-NP\tO' -p180631 -aS'on\ton\tIN\tB-PP\tO' -p180632 -aS'her\ther\tPRP$\tB-NP\tO' -p180633 -aS'extremities\textremity\tNNS\tI-NP\tO' -p180634 -aS'.\t.\t.\tO\tO' -p180635 -asS'The results of the PFTs are unavailable at the time of this dictation .' -p180636 -(lp180637 -S'The\tThe\tDT\tB-NP\tO' -p180638 -aS'results\tresult\tNNS\tI-NP\tO' -p180639 -aS'of\tof\tIN\tB-PP\tO' -p180640 -aS'the\tthe\tDT\tB-NP\tO' -p180641 -aS'PFTs\tPFT\tNNS\tI-NP\tB-DNA' -p180642 -aS'are\tbe\tVBP\tB-VP\tO' -p180643 -aS'unavailable\tunavailable\tJJ\tB-ADJP\tO' -p180644 -aS'at\tat\tIN\tB-PP\tO' -p180645 -aS'the\tthe\tDT\tB-NP\tO' -p180646 -aS'time\ttime\tNN\tI-NP\tO' -p180647 -aS'of\tof\tIN\tB-PP\tO' -p180648 -aS'this\tthis\tDT\tB-NP\tO' -p180649 -aS'dictation\tdictation\tNN\tI-NP\tO' -p180650 -aS'.\t.\t.\tO\tO' -p180651 -asS'2. Pulmonary .' -p180652 -(lp180653 -S'2.\t2.\tLS\tB-LST\tO' -p180654 -aS'Pulmonary\tPulmonary\tNNP\tB-NP\tO' -p180655 -aS'.\t.\t.\tO\tO' -p180656 -asS'A social work consult was also obtained and deemed that the patient has appropriate support at home and is safe at home .' -p180657 -(lp180658 -S'A\tA\tDT\tB-NP\tO' -p180659 -aS'social\tsocial\tJJ\tI-NP\tO' -p180660 -aS'work\twork\tNN\tI-NP\tO' -p180661 -aS'consult\tconsult\tNN\tI-NP\tO' -p180662 -aS'was\tbe\tVBD\tB-VP\tO' -p180663 -aS'also\talso\tRB\tI-VP\tO' -p180664 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p180665 -aS'and\tand\tCC\tI-VP\tO' -p180666 -aS'deemed\tdeem\tVBN\tI-VP\tO' -p180667 -aS'that\tthat\tIN\tB-SBAR\tO' -p180668 -aS'the\tthe\tDT\tB-NP\tO' -p180669 -aS'patient\tpatient\tNN\tI-NP\tO' -p180670 -aS'has\thave\tVBZ\tB-VP\tO' -p180671 -aS'appropriate\tappropriate\tJJ\tB-NP\tO' -p180672 -aS'support\tsupport\tNN\tI-NP\tO' -p180673 -aS'at\tat\tIN\tB-PP\tO' -p180674 -aS'home\thome\tNN\tB-NP\tO' -p180675 -aS'and\tand\tCC\tO\tO' -p180676 -aS'is\tbe\tVBZ\tB-VP\tO' -p180677 -aS'safe\tsafe\tJJ\tB-ADJP\tO' -p180678 -aS'at\tat\tIN\tB-PP\tO' -p180679 -aS'home\thome\tNN\tB-NP\tO' -p180680 -aS'.\t.\t.\tO\tO' -p180681 -asS'Full range of motion with no lymphadenopathy .' -p180682 -(lp180683 -S'Full\tFull\tJJ\tB-NP\tO' -p180684 -aS'range\trange\tNN\tI-NP\tO' -p180685 -aS'of\tof\tIN\tB-PP\tO' -p180686 -aS'motion\tmotion\tNN\tB-NP\tO' -p180687 -aS'with\twith\tIN\tB-PP\tO' -p180688 -aS'no\tno\tDT\tB-NP\tO' -p180689 -aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' -p180690 -aS'.\t.\t.\tO\tO' -p180691 -asS'MB fractionations of the CPKs were all negative and were thought to be secondary to the patient 's beginning physical therapy on 10/19/97 , and all muscular in origin .' -p180692 -(lp180693 -S'MB\tMB\tNN\tB-NP\tO' -p180694 -aS'fractionations\tfractionation\tNNS\tI-NP\tO' -p180695 -aS'of\tof\tIN\tB-PP\tO' -p180696 -aS'the\tthe\tDT\tB-NP\tO' -p180697 -aS'CPKs\tCPK\tNNS\tI-NP\tB-protein' -p180698 -aS'were\tbe\tVBD\tB-VP\tO' -p180699 -aS'all\tall\tDT\tB-NP\tO' -p180700 -aS'negative\tnegative\tJJ\tI-NP\tO' -p180701 -aS'and\tand\tCC\tO\tO' -p180702 -aS'were\tbe\tVBD\tB-VP\tO' -p180703 -aS'thought\tthink\tVBN\tI-VP\tO' -p180704 -aS'to\tto\tTO\tI-VP\tO' -p180705 -aS'be\tbe\tVB\tI-VP\tO' -p180706 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p180707 -aS'to\tto\tTO\tB-PP\tO' -p180708 -aS'the\tthe\tDT\tB-NP\tO' -p180709 -aS'patient\tpatient\tNN\tI-NP\tO' -p180710 -aS''s\t'\tNNS\tI-NP\tO' -p180711 -aS'beginning\tbegin\tVBG\tB-VP\tO' -p180712 -aS'physical\tphysical\tJJ\tB-NP\tO' -p180713 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p180714 -aS'on\ton\tIN\tB-PP\tO' -p180715 -aS'10/19/97\t10/19/97\tCD\tB-NP\tO' -p180716 -aS',\t,\t,\tO\tO' -p180717 -aS'and\tand\tCC\tO\tO' -p180718 -aS'all\tall\tDT\tB-NP\tO' -p180719 -aS'muscular\tmuscular\tJJ\tI-NP\tO' -p180720 -aS'in\tin\tIN\tB-PP\tO' -p180721 -aS'origin\torigin\tNN\tB-NP\tO' -p180722 -aS'.\t.\t.\tO\tO' -p180723 -asS'Dictated By : Stan C. Haaz , M.D.' -p180724 -(lp180725 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p180726 -aS'By\tBy\tIN\tB-PP\tO' -p180727 -aS':\t:\t:\tO\tO' -p180728 -aS'Stan\tStan\tNNP\tB-NP\tO' -p180729 -aS'C.\tC.\tNNP\tI-NP\tO' -p180730 -aS'Haaz\tHaaz\tNNP\tI-NP\tO' -p180731 -aS',\t,\t,\tO\tO' -p180732 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p180733 -asS'Cardiopulmonary exercise study results are pending .' -p180734 -(lp180735 -S'Cardiopulmonary\tCardiopulmonary\tJJ\tB-NP\tO' -p180736 -aS'exercise\texercise\tNN\tI-NP\tO' -p180737 -aS'study\tstudy\tNN\tI-NP\tO' -p180738 -aS'results\tresult\tNNS\tI-NP\tO' -p180739 -aS'are\tbe\tVBP\tB-VP\tO' -p180740 -aS'pending\tpende\tVBG\tI-VP\tO' -p180741 -aS'.\t.\t.\tO\tO' -p180742 -asS'An EKG showed ST segment depression along the lateral pre-cordial leads .' -p180743 -(lp180744 -S'An\tAn\tDT\tB-NP\tO' -p180745 -aS'EKG\tEKG\tNN\tI-NP\tO' -p180746 -aS'showed\tshow\tVBD\tB-VP\tO' -p180747 -aS'ST\tST\tJJ\tB-NP\tO' -p180748 -aS'segment\tsegment\tNN\tI-NP\tO' -p180749 -aS'depression\tdepression\tNN\tI-NP\tO' -p180750 -aS'along\talong\tIN\tB-PP\tO' -p180751 -aS'the\tthe\tDT\tB-NP\tO' -p180752 -aS'lateral\tlateral\tJJ\tI-NP\tO' -p180753 -aS'pre-cordial\tpre-cordial\tJJ\tI-NP\tO' -p180754 -aS'leads\tlead\tNNS\tI-NP\tO' -p180755 -aS'.\t.\t.\tO\tO' -p180756 -asS'The metoprolol was held during acute bleeding phase and restarted prior to discharge as her BP stabilized .' -p180757 -(lp180758 -S'The\tThe\tDT\tB-NP\tO' -p180759 -aS'metoprolol\tmetoprolol\tNN\tI-NP\tO' -p180760 -aS'was\tbe\tVBD\tB-VP\tO' -p180761 -aS'held\thold\tVBN\tI-VP\tO' -p180762 -aS'during\tduring\tIN\tB-PP\tO' -p180763 -aS'acute\tacute\tJJ\tB-NP\tO' -p180764 -aS'bleeding\tbleeding\tJJ\tI-NP\tO' -p180765 -aS'phase\tphase\tNN\tI-NP\tO' -p180766 -aS'and\tand\tCC\tO\tO' -p180767 -aS'restarted\trestart\tVBD\tB-VP\tO' -p180768 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p180769 -aS'to\tto\tTO\tB-VP\tO' -p180770 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p180771 -aS'as\tas\tIN\tB-PP\tO' -p180772 -aS'her\ther\tPRP$\tB-NP\tO' -p180773 -aS'BP\tBP\tNN\tI-NP\tO' -p180774 -aS'stabilized\tstabilize\tVBD\tB-VP\tO' -p180775 -aS'.\t.\t.\tO\tO' -p180776 -asS'The flap was pink with a strong Doppler signal .' -p180777 -(lp180778 -S'The\tThe\tDT\tB-NP\tO' -p180779 -aS'flap\tflap\tNN\tI-NP\tO' -p180780 -aS'was\tbe\tVBD\tB-VP\tO' -p180781 -aS'pink\tpink\tJJ\tB-ADJP\tO' -p180782 -aS'with\twith\tIN\tB-PP\tO' -p180783 -aS'a\ta\tDT\tB-NP\tO' -p180784 -aS'strong\tstrong\tJJ\tI-NP\tO' -p180785 -aS'Doppler\tDoppler\tNNP\tI-NP\tO' -p180786 -aS'signal\tsignal\tNN\tI-NP\tO' -p180787 -aS'.\t.\t.\tO\tO' -p180788 -asS'There was no appreciable cervical , supraclavicular , axillary , or inguinal adenopathy .' -p180789 -(lp180790 -S'There\tThere\tEX\tB-NP\tO' -p180791 -aS'was\tbe\tVBD\tB-VP\tO' -p180792 -aS'no\tno\tDT\tB-NP\tO' -p180793 -aS'appreciable\tappreciable\tJJ\tI-NP\tO' -p180794 -aS'cervical\tcervical\tJJ\tI-NP\tO' -p180795 -aS',\t,\t,\tI-NP\tO' -p180796 -aS'supraclavicular\tsupraclavicular\tJJ\tI-NP\tO' -p180797 -aS',\t,\t,\tI-NP\tO' -p180798 -aS'axillary\taxillary\tJJ\tI-NP\tO' -p180799 -aS',\t,\t,\tI-NP\tO' -p180800 -aS'or\tor\tCC\tI-NP\tO' -p180801 -aS'inguinal\tinguinal\tJJ\tI-NP\tO' -p180802 -aS'adenopathy\tadenopathy\tNN\tI-NP\tO' -p180803 -aS'.\t.\t.\tO\tO' -p180804 -asS'10. Trazodone HCl 100 mg Tablet Sig : Two ( 2 ) Tablet PO HS ( at bedtime ) as needed .' -p180805 -(lp180806 -S'10.\t10.\tLS\tB-NP\tO' -p180807 -aS'Trazodone\tTrazodone\tNN\tI-NP\tB-protein' -p180808 -aS'HCl\tHCl\tNN\tI-NP\tI-protein' -p180809 -aS'100\t100\tCD\tI-NP\tI-protein' -p180810 -aS'mg\tmg\tNN\tI-NP\tI-protein' -p180811 -aS'Tablet\tTablet\tNNP\tI-NP\tI-protein' -p180812 -aS'Sig\tSig\tNNP\tI-NP\tI-protein' -p180813 -aS':\t:\t:\tO\tO' -p180814 -aS'Two\tTwo\tCD\tB-NP\tO' -p180815 -aS'(\t(\t(\tO\tO' -p180816 -aS'2\t2\tCD\tO\tO' -p180817 -aS')\t)\t)\tO\tO' -p180818 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p180819 -aS'PO\tPO\tNN\tI-NP\tO' -p180820 -aS'HS\tHS\tNN\tI-NP\tO' -p180821 -aS'(\t(\t(\tO\tO' -p180822 -aS'at\tat\tIN\tB-PP\tO' -p180823 -aS'bedtime\tbedtime\tNN\tB-NP\tO' -p180824 -aS')\t)\t)\tO\tO' -p180825 -aS'as\tas\tIN\tB-SBAR\tO' -p180826 -aS'needed\tneed\tVBN\tB-VP\tO' -p180827 -aS'.\t.\t.\tO\tO' -p180828 -asS"The infant 's maternal grandparents have been very involved in her care ." -p180829 -(lp180830 -S'The\tThe\tDT\tB-NP\tO' -p180831 -aS'infant\tinfant\tNN\tI-NP\tO' -p180832 -aS"'s\t's\tPOS\tB-NP\tO" -p180833 -aS'maternal\tmaternal\tJJ\tI-NP\tO' -p180834 -aS'grandparents\tgrandparent\tNNS\tI-NP\tO' -p180835 -aS'have\thave\tVBP\tB-VP\tO' -p180836 -aS'been\tbe\tVBN\tI-VP\tO' -p180837 -aS'very\tvery\tRB\tB-ADJP\tO' -p180838 -aS'involved\tinvolve\tVBN\tI-ADJP\tO' -p180839 -aS'in\tin\tIN\tB-PP\tO' -p180840 -aS'her\ther\tPRP$\tB-NP\tO' -p180841 -aS'care\tcare\tNN\tI-NP\tO' -p180842 -aS'.\t.\t.\tO\tO' -p180843 -asS'2. Lamotrigine 100 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ) .' -p180844 -(lp180845 -S'2.\t2.\tLS\tB-NP\tO' -p180846 -aS'Lamotrigine\tLamotrigine\tNN\tI-NP\tO' -p180847 -aS'100\t100\tCD\tI-NP\tO' -p180848 -aS'mg\tmg\tNN\tI-NP\tO' -p180849 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p180850 -aS'Sig\tSig\tNNP\tI-NP\tO' -p180851 -aS':\t:\t:\tO\tO' -p180852 -aS'One\tOne\tCD\tB-NP\tO' -p180853 -aS'(\t(\t(\tO\tO' -p180854 -aS'1\t1\tCD\tB-NP\tO' -p180855 -aS')\t)\t)\tO\tO' -p180856 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p180857 -aS'PO\tPO\tNN\tI-NP\tO' -p180858 -aS'BID\tBID\tNN\tI-NP\tO' -p180859 -aS'(\t(\t(\tO\tO' -p180860 -aS'2\t2\tCD\tB-NP\tO' -p180861 -aS'times\ttime\tNNS\tI-NP\tO' -p180862 -aS'a\ta\tDT\tB-NP\tO' -p180863 -aS'day\tday\tNN\tI-NP\tO' -p180864 -aS')\t)\t)\tO\tO' -p180865 -aS'.\t.\t.\tO\tO' -p180866 -asS'The patient was admitted to the hospital and received two units of packed red blood cells for her hematocrit of 26 , and had a magnesium repleted .' -p180867 -(lp180868 -S'The\tThe\tDT\tB-NP\tO' -p180869 -aS'patient\tpatient\tNN\tI-NP\tO' -p180870 -aS'was\tbe\tVBD\tB-VP\tO' -p180871 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p180872 -aS'to\tto\tTO\tB-PP\tO' -p180873 -aS'the\tthe\tDT\tB-NP\tO' -p180874 -aS'hospital\thospital\tNN\tI-NP\tO' -p180875 -aS'and\tand\tCC\tO\tO' -p180876 -aS'received\treceive\tVBD\tB-VP\tO' -p180877 -aS'two\ttwo\tCD\tB-NP\tO' -p180878 -aS'units\tunit\tNNS\tI-NP\tO' -p180879 -aS'of\tof\tIN\tB-PP\tO' -p180880 -aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' -p180881 -aS'red\tred\tJJ\tI-NP\tI-cell_type' -p180882 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p180883 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p180884 -aS'for\tfor\tIN\tB-PP\tO' -p180885 -aS'her\ther\tPRP$\tB-NP\tO' -p180886 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p180887 -aS'of\tof\tIN\tB-PP\tO' -p180888 -aS'26\t26\tCD\tB-NP\tO' -p180889 -aS',\t,\t,\tO\tO' -p180890 -aS'and\tand\tCC\tO\tO' -p180891 -aS'had\thave\tVBD\tB-VP\tO' -p180892 -aS'a\ta\tDT\tB-NP\tO' -p180893 -aS'magnesium\tmagnesium\tNN\tI-NP\tO' -p180894 -aS'repleted\treplete\tVBD\tB-VP\tO' -p180895 -aS'.\t.\t.\tO\tO' -p180896 -asS'Mahoney had been following with their appreciated recommendations on glucose control .' -p180897 -(lp180898 -S'Mahoney\tMahoney\tNN\tB-NP\tO' -p180899 -aS'had\thave\tVBD\tB-VP\tO' -p180900 -aS'been\tbe\tVBN\tI-VP\tO' -p180901 -aS'following\tfollow\tVBG\tI-VP\tO' -p180902 -aS'with\twith\tIN\tB-PP\tO' -p180903 -aS'their\ttheir\tPRP$\tB-NP\tO' -p180904 -aS'appreciated\tappreciate\tVBN\tI-NP\tO' -p180905 -aS'recommendations\trecommendation\tNNS\tI-NP\tO' -p180906 -aS'on\ton\tIN\tB-PP\tO' -p180907 -aS'glucose\tglucose\tNN\tB-NP\tO' -p180908 -aS'control\tcontrol\tNN\tI-NP\tO' -p180909 -aS'.\t.\t.\tO\tO' -p180910 -asS'Pancreatic carcinoma .' -p180911 -(lp180912 -S'Pancreatic\tPancreatic\tJJ\tB-NP\tO' -p180913 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p180914 -aS'.\t.\t.\tO\tO' -p180915 -asS'The patient was admitted to the hospital as a postoperative admit on December 7 for total hip replacement .' -p180916 -(lp180917 -S'The\tThe\tDT\tB-NP\tO' -p180918 -aS'patient\tpatient\tNN\tI-NP\tO' -p180919 -aS'was\tbe\tVBD\tB-VP\tO' -p180920 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p180921 -aS'to\tto\tTO\tB-PP\tO' -p180922 -aS'the\tthe\tDT\tB-NP\tO' -p180923 -aS'hospital\thospital\tNN\tI-NP\tO' -p180924 -aS'as\tas\tIN\tB-PP\tO' -p180925 -aS'a\ta\tDT\tB-NP\tO' -p180926 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p180927 -aS'admit\tadmit\tNN\tI-NP\tO' -p180928 -aS'on\ton\tIN\tB-PP\tO' -p180929 -aS'December\tDecember\tNNP\tB-NP\tO' -p180930 -aS'7\t7\tCD\tI-NP\tO' -p180931 -aS'for\tfor\tIN\tB-PP\tO' -p180932 -aS'total\ttotal\tJJ\tB-NP\tO' -p180933 -aS'hip\thip\tNN\tI-NP\tO' -p180934 -aS'replacement\treplacement\tNN\tI-NP\tO' -p180935 -aS'.\t.\t.\tO\tO' -p180936 -asS'62 yo m w / IgA nephropathy , developmental delay , began HD 7/31 .' -p180937 -(lp180938 -S'62\t62\tCD\tB-NP\tO' -p180939 -aS'yo\tyo\tNN\tI-NP\tO' -p180940 -aS'm\tm\tNN\tI-NP\tO' -p180941 -aS'w\tw\tNN\tI-NP\tO' -p180942 -aS'/\t/\tSYM\tB-NP\tO' -p180943 -aS'IgA\tIgA\tNN\tI-NP\tB-protein' -p180944 -aS'nephropathy\tnephropathy\tNN\tI-NP\tO' -p180945 -aS',\t,\t,\tO\tO' -p180946 -aS'developmental\tdevelopmental\tJJ\tB-NP\tO' -p180947 -aS'delay\tdelay\tNN\tI-NP\tO' -p180948 -aS',\t,\t,\tO\tO' -p180949 -aS'began\tbegin\tVBD\tB-VP\tO' -p180950 -aS'HD\tHD\tNN\tB-NP\tO' -p180951 -aS'7/31\t7/31\tCD\tI-NP\tO' -p180952 -aS'.\t.\t.\tO\tO' -p180953 -asS'He c/o of abd pain and distension on 05-25 he had a kub done which was negative .' -p180954 -(lp180955 -S'He\tHe\tPRP\tB-NP\tO' -p180956 -aS'c/o\tc/o\tNN\tI-NP\tO' -p180957 -aS'of\tof\tIN\tB-PP\tO' -p180958 -aS'abd\tabd\tNN\tB-NP\tO' -p180959 -aS'pain\tpain\tNN\tI-NP\tO' -p180960 -aS'and\tand\tCC\tI-NP\tO' -p180961 -aS'distension\tdistension\tNN\tI-NP\tO' -p180962 -aS'on\ton\tIN\tB-PP\tO' -p180963 -aS'05-25\t05-25\tCD\tB-NP\tO' -p180964 -aS'he\the\tPRP\tB-NP\tO' -p180965 -aS'had\thave\tVBD\tB-VP\tO' -p180966 -aS'a\ta\tDT\tB-NP\tO' -p180967 -aS'kub\tkub\tNN\tI-NP\tO' -p180968 -aS'done\tdone\tNN\tI-NP\tO' -p180969 -aS'which\twhich\tWDT\tB-NP\tO' -p180970 -aS'was\tbe\tVBD\tB-VP\tO' -p180971 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p180972 -aS'.\t.\t.\tO\tO' -p180973 -asS'Her urine lytes consistent with ATN , FENA 4% .' -p180974 -(lp180975 -S'Her\tHer\tPRP$\tB-NP\tO' -p180976 -aS'urine\turine\tNN\tI-NP\tO' -p180977 -aS'lytes\tlyte\tNNS\tI-NP\tO' -p180978 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p180979 -aS'with\twith\tIN\tB-PP\tO' -p180980 -aS'ATN\tATN\tNN\tB-NP\tB-protein' -p180981 -aS',\t,\t,\tO\tO' -p180982 -aS'FENA\tFENA\tNN\tB-NP\tB-protein' -p180983 -aS'4%\t4%\tNN\tI-NP\tI-protein' -p180984 -aS'.\t.\t.\tO\tO' -p180985 -asS'The patient was admitted originally for airway monitoring status post endoscopic retrograde' -p180986 -(lp180987 -S'The\tThe\tDT\tB-NP\tO' -p180988 -aS'patient\tpatient\tNN\tI-NP\tO' -p180989 -aS'was\tbe\tVBD\tB-VP\tO' -p180990 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p180991 -aS'originally\toriginally\tRB\tB-ADVP\tO' -p180992 -aS'for\tfor\tIN\tB-PP\tO' -p180993 -aS'airway\tairway\tNN\tB-NP\tO' -p180994 -aS'monitoring\tmonitoring\tNN\tI-NP\tO' -p180995 -aS'status\tstatus\tNN\tI-NP\tO' -p180996 -aS'post\tpost\tNN\tI-NP\tO' -p180997 -aS'endoscopic\tendoscopic\tJJ\tI-NP\tO' -p180998 -aS'retrograde\tretrograde\tNN\tI-NP\tO' -p180999 -asS'The patient awoke with chest pressure radiating to the right chest associated with diaphoresis .' -p181000 -(lp181001 -S'The\tThe\tDT\tB-NP\tO' -p181002 -aS'patient\tpatient\tNN\tI-NP\tO' -p181003 -aS'awoke\tawoke\tNN\tI-NP\tO' -p181004 -aS'with\twith\tIN\tB-PP\tO' -p181005 -aS'chest\tchest\tNN\tB-NP\tO' -p181006 -aS'pressure\tpressure\tNN\tI-NP\tO' -p181007 -aS'radiating\tradiate\tVBG\tB-VP\tO' -p181008 -aS'to\tto\tTO\tB-PP\tO' -p181009 -aS'the\tthe\tDT\tB-NP\tO' -p181010 -aS'right\tright\tJJ\tI-NP\tO' -p181011 -aS'chest\tchest\tNN\tI-NP\tO' -p181012 -aS'associated\tassociate\tVBN\tB-VP\tO' -p181013 -aS'with\twith\tIN\tB-PP\tO' -p181014 -aS'diaphoresis\tdiaphoresis\tNN\tB-NP\tO' -p181015 -aS'.\t.\t.\tO\tO' -p181016 -asS'Blood pressure 156/67 , pulse 80 and respiratory rate 14 .' -p181017 -(lp181018 -S'Blood\tBlood\tNN\tB-NP\tO' -p181019 -aS'pressure\tpressure\tNN\tI-NP\tO' -p181020 -aS'156/67\t156/67\tCD\tI-NP\tO' -p181021 -aS',\t,\t,\tO\tO' -p181022 -aS'pulse\tpulse\tNN\tB-NP\tO' -p181023 -aS'80\t80\tCD\tI-NP\tO' -p181024 -aS'and\tand\tCC\tO\tO' -p181025 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p181026 -aS'rate\trate\tNN\tI-NP\tO' -p181027 -aS'14\t14\tCD\tI-NP\tO' -p181028 -aS'.\t.\t.\tO\tO' -p181029 -asS'The patient 's preliminary admitting physician is BRITTSFYFEAST , SHER T and the preliminary diagnosis is S / SOB .' -p181030 -(lp181031 -S'The\tThe\tDT\tB-NP\tO' -p181032 -aS'patient\tpatient\tNN\tI-NP\tO' -p181033 -aS''s\t'\tNNS\tI-NP\tO' -p181034 -aS'preliminary\tpreliminary\tJJ\tB-NP\tO' -p181035 -aS'admitting\tadmit\tVBG\tI-NP\tO' -p181036 -aS'physician\tphysician\tNN\tI-NP\tO' -p181037 -aS'is\tbe\tVBZ\tB-VP\tO' -p181038 -aS'BRITTSFYFEAST\tBRITTSFYFEAST\tNN\tB-NP\tO' -p181039 -aS',\t,\t,\tO\tO' -p181040 -aS'SHER\tSHER\tNN\tB-NP\tB-protein' -p181041 -aS'T\tT\tNN\tI-NP\tI-protein' -p181042 -aS'and\tand\tCC\tO\tO' -p181043 -aS'the\tthe\tDT\tB-NP\tO' -p181044 -aS'preliminary\tpreliminary\tJJ\tI-NP\tO' -p181045 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p181046 -aS'is\tbe\tVBZ\tB-VP\tO' -p181047 -aS'S\tS\tNN\tB-NP\tB-protein' -p181048 -aS'/\t/\tSYM\tI-NP\tI-protein' -p181049 -aS'SOB\tSOB\tNN\tI-NP\tI-protein' -p181050 -aS'.\t.\t.\tO\tO' -p181051 -asS'No new issues .' -p181052 -(lp181053 -S'No\tNo\tDT\tB-NP\tO' -p181054 -aS'new\tnew\tJJ\tI-NP\tO' -p181055 -aS'issues\tissue\tNNS\tI-NP\tO' -p181056 -aS'.\t.\t.\tO\tO' -p181057 -asS'On admission demonstrated a well-developed , well-nourished female in no apparent distress dragging her right foot .' -p181058 -(lp181059 -S'On\tOn\tIN\tB-PP\tO' -p181060 -aS'admission\tadmission\tNN\tB-NP\tO' -p181061 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p181062 -aS'a\ta\tDT\tB-NP\tO' -p181063 -aS'well-developed\twell-developed\tJJ\tI-NP\tO' -p181064 -aS',\t,\t,\tI-NP\tO' -p181065 -aS'well-nourished\twell-nourished\tJJ\tI-NP\tO' -p181066 -aS'female\tfemale\tNN\tI-NP\tO' -p181067 -aS'in\tin\tIN\tB-PP\tO' -p181068 -aS'no\tno\tDT\tB-NP\tO' -p181069 -aS'apparent\tapparent\tJJ\tI-NP\tO' -p181070 -aS'distress\tdistress\tNN\tI-NP\tO' -p181071 -aS'dragging\tdrag\tVBG\tB-VP\tO' -p181072 -aS'her\ther\tPRP$\tB-NP\tO' -p181073 -aS'right\tright\tJJ\tI-NP\tO' -p181074 -aS'foot\tfoot\tNN\tI-NP\tO' -p181075 -aS'.\t.\t.\tO\tO' -p181076 -asS'On prednisone or sometime after it was discontinued , depending on the version , the patient developed worsening lower extremity edema which has been a Vega problem for her and was started on dyazide as an outpatient .' -p181077 -(lp181078 -S'On\tOn\tIN\tB-PP\tO' -p181079 -aS'prednisone\tprednisone\tNN\tB-NP\tO' -p181080 -aS'or\tor\tCC\tO\tO' -p181081 -aS'sometime\tsometime\tRB\tB-ADVP\tO' -p181082 -aS'after\tafter\tIN\tB-SBAR\tO' -p181083 -aS'it\tit\tPRP\tB-NP\tO' -p181084 -aS'was\tbe\tVBD\tB-VP\tO' -p181085 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p181086 -aS',\t,\t,\tO\tO' -p181087 -aS'depending\tdepend\tVBG\tB-PP\tO' -p181088 -aS'on\ton\tIN\tB-PP\tO' -p181089 -aS'the\tthe\tDT\tB-NP\tO' -p181090 -aS'version\tversion\tNN\tI-NP\tO' -p181091 -aS',\t,\t,\tO\tO' -p181092 -aS'the\tthe\tDT\tB-NP\tO' -p181093 -aS'patient\tpatient\tNN\tI-NP\tO' -p181094 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p181095 -aS'worsening\tworsen\tVBG\tI-VP\tO' -p181096 -aS'lower\tlow\tJJR\tB-NP\tO' -p181097 -aS'extremity\textremity\tNN\tI-NP\tO' -p181098 -aS'edema\tedema\tNN\tI-NP\tO' -p181099 -aS'which\twhich\tWDT\tB-NP\tO' -p181100 -aS'has\thave\tVBZ\tB-VP\tO' -p181101 -aS'been\tbe\tVBN\tI-VP\tO' -p181102 -aS'a\ta\tDT\tB-NP\tO' -p181103 -aS'Vega\tVega\tNNP\tI-NP\tO' -p181104 -aS'problem\tproblem\tNN\tI-NP\tO' -p181105 -aS'for\tfor\tIN\tB-PP\tO' -p181106 -aS'her\ther\tPRP\tB-NP\tO' -p181107 -aS'and\tand\tCC\tO\tO' -p181108 -aS'was\tbe\tVBD\tB-VP\tO' -p181109 -aS'started\tstart\tVBN\tI-VP\tO' -p181110 -aS'on\ton\tIN\tB-PP\tO' -p181111 -aS'dyazide\tdyazide\tNN\tB-NP\tO' -p181112 -aS'as\tas\tIN\tB-PP\tO' -p181113 -aS'an\tan\tDT\tB-NP\tO' -p181114 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p181115 -aS'.\t.\t.\tO\tO' -p181116 -asS'1. No definite pulmonary embolism is identified .' -p181117 -(lp181118 -S'1.\t1.\tLS\tB-LST\tO' -p181119 -aS'No\tNo\tDT\tB-NP\tO' -p181120 -aS'definite\tdefinite\tJJ\tI-NP\tO' -p181121 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p181122 -aS'embolism\tembolism\tNN\tI-NP\tO' -p181123 -aS'is\tbe\tVBZ\tB-VP\tO' -p181124 -aS'identified\tidentify\tVBN\tI-VP\tO' -p181125 -aS'.\t.\t.\tO\tO' -p181126 -asS'Mrs. Mandelbaum was admitted and underwent three vessel coronary artery bypass grafting by Dr. Larry Mckinney .' -p181127 -(lp181128 -S'Mrs.\tMrs.\tNNP\tB-NP\tO' -p181129 -aS'Mandelbaum\tMandelbaum\tNNP\tI-NP\tO' -p181130 -aS'was\tbe\tVBD\tB-VP\tO' -p181131 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p181132 -aS'and\tand\tCC\tO\tO' -p181133 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p181134 -aS'three\tthree\tCD\tB-NP\tO' -p181135 -aS'vessel\tvessel\tNN\tI-NP\tO' -p181136 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p181137 -aS'artery\tartery\tNN\tI-NP\tO' -p181138 -aS'bypass\tbypass\tIN\tB-PP\tO' -p181139 -aS'grafting\tgrafting\tNN\tB-NP\tO' -p181140 -aS'by\tby\tIN\tB-PP\tO' -p181141 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p181142 -aS'Larry\tLarry\tNNP\tI-NP\tO' -p181143 -aS'Mckinney\tMckinney\tNNP\tI-NP\tO' -p181144 -aS'.\t.\t.\tO\tO' -p181145 -asS"Infant 's blood type was O positive and Coombs was noted to be negative ." -p181146 -(lp181147 -S'Infant\tInfant\tNNP\tB-NP\tO' -p181148 -aS"'s\t's\tPOS\tB-NP\tO" -p181149 -aS'blood\tblood\tNN\tI-NP\tO' -p181150 -aS'type\ttype\tNN\tI-NP\tO' -p181151 -aS'was\tbe\tVBD\tB-VP\tO' -p181152 -aS'O\tO\tNN\tB-NP\tO' -p181153 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p181154 -aS'and\tand\tCC\tO\tO' -p181155 -aS'Coombs\tCoombs\tNNP\tB-NP\tO' -p181156 -aS'was\tbe\tVBD\tB-VP\tO' -p181157 -aS'noted\tnote\tVBN\tI-VP\tO' -p181158 -aS'to\tto\tTO\tI-VP\tO' -p181159 -aS'be\tbe\tVB\tI-VP\tO' -p181160 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p181161 -aS'.\t.\t.\tO\tO' -p181162 -asS'Signed electronically by : DR. Charles Mcwilliams on : Daniel 2012-07-05 3:09 PM' -p181163 -(lp181164 -S'Signed\tSign\tVBN\tB-VP\tO' -p181165 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p181166 -aS'by\tby\tIN\tB-PP\tO' -p181167 -aS':\t:\t:\tO\tO' -p181168 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p181169 -aS'Charles\tCharles\tNNP\tI-NP\tO' -p181170 -aS'Mcwilliams\tMcwilliams\tNNP\tI-NP\tO' -p181171 -aS'on\ton\tIN\tB-PP\tO' -p181172 -aS':\t:\t:\tO\tO' -p181173 -aS'Daniel\tDaniel\tNNP\tB-NP\tO' -p181174 -aS'2012-07-05\t2012-07-05\tCD\tB-NP\tO' -p181175 -aS'3:09\t3:09\tCD\tI-NP\tO' -p181176 -aS'PM\tPM\tNN\tB-NP\tO' -p181177 -asS'1. Tracheostomy .' -p181178 -(lp181179 -S'1.\t1.\tLS\tB-NP\tO' -p181180 -aS'Tracheostomy\tTracheostomy\tNN\tI-NP\tO' -p181181 -aS'.\t.\t.\tO\tO' -p181182 -asS'She had a CT from the 29th of her abdomen and pelvis showing marked increased consolidations at the left lung base and question of new left sided pleural effusion .' -p181183 -(lp181184 -S'She\tShe\tPRP\tB-NP\tO' -p181185 -aS'had\thave\tVBD\tB-VP\tO' -p181186 -aS'a\ta\tDT\tB-NP\tO' -p181187 -aS'CT\tCT\tNN\tI-NP\tB-protein' -p181188 -aS'from\tfrom\tIN\tB-PP\tO' -p181189 -aS'the\tthe\tDT\tB-NP\tO' -p181190 -aS'29th\t29th\tCD\tI-NP\tO' -p181191 -aS'of\tof\tIN\tB-PP\tO' -p181192 -aS'her\ther\tPRP$\tB-NP\tO' -p181193 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p181194 -aS'and\tand\tCC\tI-NP\tO' -p181195 -aS'pelvis\tpelvis\tNN\tI-NP\tO' -p181196 -aS'showing\tshow\tVBG\tB-VP\tO' -p181197 -aS'marked\tmark\tVBN\tI-VP\tO' -p181198 -aS'increased\tincrease\tVBN\tB-NP\tO' -p181199 -aS'consolidations\tconsolidation\tNNS\tI-NP\tO' -p181200 -aS'at\tat\tIN\tB-PP\tO' -p181201 -aS'the\tthe\tDT\tB-NP\tO' -p181202 -aS'left\tleft\tJJ\tI-NP\tO' -p181203 -aS'lung\tlung\tNN\tI-NP\tO' -p181204 -aS'base\tbase\tNN\tI-NP\tO' -p181205 -aS'and\tand\tCC\tI-NP\tO' -p181206 -aS'question\tquestion\tNN\tI-NP\tO' -p181207 -aS'of\tof\tIN\tB-PP\tO' -p181208 -aS'new\tnew\tJJ\tB-NP\tO' -p181209 -aS'left\tleft\tJJ\tI-NP\tO' -p181210 -aS'sided\tsided\tJJ\tI-NP\tO' -p181211 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p181212 -aS'effusion\teffusion\tNN\tI-NP\tO' -p181213 -aS'.\t.\t.\tO\tO' -p181214 -asS'Type 1 diabetes in twin brother , type 2 diabetes in mother and brother .' -p181215 -(lp181216 -S'Type\tType\tNN\tB-NP\tO' -p181217 -aS'1\t1\tCD\tI-NP\tO' -p181218 -aS'diabetes\tdiabetes\tNN\tI-NP\tO' -p181219 -aS'in\tin\tIN\tB-PP\tO' -p181220 -aS'twin\ttwin\tNN\tB-NP\tO' -p181221 -aS'brother\tbrother\tNN\tI-NP\tO' -p181222 -aS',\t,\t,\tO\tO' -p181223 -aS'type\ttype\tNN\tB-NP\tO' -p181224 -aS'2\t2\tCD\tI-NP\tO' -p181225 -aS'diabetes\tdiabete\tNNS\tI-NP\tO' -p181226 -aS'in\tin\tIN\tB-PP\tO' -p181227 -aS'mother\tmother\tNN\tB-NP\tO' -p181228 -aS'and\tand\tCC\tI-NP\tO' -p181229 -aS'brother\tbrother\tNN\tI-NP\tO' -p181230 -aS'.\t.\t.\tO\tO' -p181231 -asS'Were unremarkable with normal electrolytes and complete blood count parameters .' -p181232 -(lp181233 -S'Were\tWere\tWRB\tB-ADJP\tO' -p181234 -aS'unremarkable\tunremarkable\tJJ\tI-ADJP\tO' -p181235 -aS'with\twith\tIN\tB-PP\tO' -p181236 -aS'normal\tnormal\tJJ\tB-NP\tO' -p181237 -aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' -p181238 -aS'and\tand\tCC\tO\tO' -p181239 -aS'complete\tcomplete\tJJ\tB-NP\tO' -p181240 -aS'blood\tblood\tNN\tI-NP\tO' -p181241 -aS'count\tcount\tNN\tI-NP\tO' -p181242 -aS'parameters\tparameter\tNNS\tI-NP\tO' -p181243 -aS'.\t.\t.\tO\tO' -p181244 -asS'3. Colace 100 mg po bid .' -p181245 -(lp181246 -S'3.\t3.\tLS\tB-NP\tO' -p181247 -aS'Colace\tColace\tNNP\tI-NP\tO' -p181248 -aS'100\t100\tCD\tI-NP\tO' -p181249 -aS'mg\tmg\tNN\tI-NP\tO' -p181250 -aS'po\tpo\tNN\tI-NP\tO' -p181251 -aS'bid\tbid\tNN\tI-NP\tO' -p181252 -aS'.\t.\t.\tO\tO' -p181253 -asS'Heart rate 86 , irregularly irregular , blood pressure 142/86 .' -p181254 -(lp181255 -S'Heart\tHeart\tNN\tB-NP\tO' -p181256 -aS'rate\trate\tNN\tI-NP\tO' -p181257 -aS'86\t86\tCD\tI-NP\tO' -p181258 -aS',\t,\t,\tO\tO' -p181259 -aS'irregularly\tirregularly\tRB\tB-NP\tO' -p181260 -aS'irregular\tirregular\tJJ\tI-NP\tO' -p181261 -aS',\t,\t,\tI-NP\tO' -p181262 -aS'blood\tblood\tNN\tI-NP\tO' -p181263 -aS'pressure\tpressure\tNN\tI-NP\tO' -p181264 -aS'142/86\t142/86\tCD\tI-NP\tO' -p181265 -aS'.\t.\t.\tO\tO' -p181266 -asS'6) Intubation : Pt was 97% on room air on arrival to Cindy , developed rapid ventricular reponse to a fib which was treated , but after that period of time required oxygen , presumably for pulmonary edema .' -p181267 -(lp181268 -S'6)\t6)\tCD\tB-NP\tO' -p181269 -aS'Intubation\tIntubation\tNNP\tI-NP\tO' -p181270 -aS':\t:\t:\tO\tO' -p181271 -aS'Pt\tPt\tNN\tB-NP\tO' -p181272 -aS'was\tbe\tVBD\tB-VP\tO' -p181273 -aS'97%\t97%\tCD\tB-NP\tO' -p181274 -aS'on\ton\tIN\tB-PP\tO' -p181275 -aS'room\troom\tNN\tB-NP\tO' -p181276 -aS'air\tair\tNN\tI-NP\tO' -p181277 -aS'on\ton\tIN\tB-PP\tO' -p181278 -aS'arrival\tarrival\tNN\tB-NP\tO' -p181279 -aS'to\tto\tTO\tB-PP\tO' -p181280 -aS'Cindy\tCindy\tNNP\tB-NP\tO' -p181281 -aS',\t,\t,\tO\tO' -p181282 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p181283 -aS'rapid\trapid\tJJ\tB-NP\tO' -p181284 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p181285 -aS'reponse\treponse\tNN\tI-NP\tO' -p181286 -aS'to\tto\tTO\tB-PP\tO' -p181287 -aS'a\ta\tDT\tB-NP\tO' -p181288 -aS'fib\tfib\tNN\tI-NP\tB-protein' -p181289 -aS'which\twhich\tWDT\tB-NP\tO' -p181290 -aS'was\tbe\tVBD\tB-VP\tO' -p181291 -aS'treated\ttreat\tVBN\tI-VP\tO' -p181292 -aS',\t,\t,\tO\tO' -p181293 -aS'but\tbut\tCC\tO\tO' -p181294 -aS'after\tafter\tIN\tB-PP\tO' -p181295 -aS'that\tthat\tDT\tB-NP\tO' -p181296 -aS'period\tperiod\tNN\tI-NP\tO' -p181297 -aS'of\tof\tIN\tB-PP\tO' -p181298 -aS'time\ttime\tNN\tB-NP\tO' -p181299 -aS'required\trequire\tVBD\tB-VP\tO' -p181300 -aS'oxygen\toxygen\tNN\tB-NP\tO' -p181301 -aS',\t,\t,\tO\tO' -p181302 -aS'presumably\tpresumably\tRB\tB-ADVP\tO' -p181303 -aS'for\tfor\tIN\tB-PP\tO' -p181304 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p181305 -aS'edema\tedema\tNN\tI-NP\tO' -p181306 -aS'.\t.\t.\tO\tO' -p181307 -asS'Milk of Magnesia 60 ml PO QTHUR 06-21 @ 1600 View' -p181308 -(lp181309 -S'Milk\tMilk\tNN\tB-NP\tO' -p181310 -aS'of\tof\tIN\tB-PP\tO' -p181311 -aS'Magnesia\tMagnesia\tNNP\tB-NP\tO' -p181312 -aS'60\t60\tCD\tI-NP\tO' -p181313 -aS'ml\tml\tNN\tI-NP\tO' -p181314 -aS'PO\tPO\tNN\tI-NP\tO' -p181315 -aS'QTHUR\tQTHUR\tNN\tI-NP\tO' -p181316 -aS'06-21\t06-21\tCD\tI-NP\tO' -p181317 -aS'@\t@\tNN\tI-NP\tO' -p181318 -aS'1600\t1600\tCD\tB-NP\tO' -p181319 -aS'View\tView\tNNP\tI-NP\tO' -p181320 -asS'The patient is to follow-up with Dr. Leanne Larimore in Cardiology within two to three weeks following discharge .' -p181321 -(lp181322 -S'The\tThe\tDT\tB-NP\tO' -p181323 -aS'patient\tpatient\tNN\tI-NP\tO' -p181324 -aS'is\tbe\tVBZ\tB-VP\tO' -p181325 -aS'to\tto\tTO\tB-VP\tO' -p181326 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p181327 -aS'with\twith\tIN\tB-PP\tO' -p181328 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p181329 -aS'Leanne\tLeanne\tNNP\tI-NP\tO' -p181330 -aS'Larimore\tLarimore\tNNP\tI-NP\tO' -p181331 -aS'in\tin\tIN\tB-PP\tO' -p181332 -aS'Cardiology\tCardiology\tNNP\tB-NP\tO' -p181333 -aS'within\twithin\tIN\tB-PP\tO' -p181334 -aS'two\ttwo\tCD\tB-NP\tO' -p181335 -aS'to\tto\tTO\tI-NP\tO' -p181336 -aS'three\tthree\tCD\tI-NP\tO' -p181337 -aS'weeks\tweek\tNNS\tI-NP\tO' -p181338 -aS'following\tfollow\tVBG\tB-PP\tO' -p181339 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p181340 -aS'.\t.\t.\tO\tO' -p181341 -asS'Baby was delivered by repeat C-section with rupture of membranes at delivery .' -p181342 -(lp181343 -S'Baby\tBaby\tNNP\tB-NP\tO' -p181344 -aS'was\tbe\tVBD\tB-VP\tO' -p181345 -aS'delivered\tdeliver\tVBN\tI-VP\tO' -p181346 -aS'by\tby\tIN\tB-PP\tO' -p181347 -aS'repeat\trepeat\tNN\tB-NP\tO' -p181348 -aS'C-section\tC-section\tNN\tI-NP\tO' -p181349 -aS'with\twith\tIN\tB-PP\tO' -p181350 -aS'rupture\trupture\tNN\tB-NP\tO' -p181351 -aS'of\tof\tIN\tB-PP\tO' -p181352 -aS'membranes\tmembrane\tNNS\tB-NP\tO' -p181353 -aS'at\tat\tIN\tB-PP\tO' -p181354 -aS'delivery\tdelivery\tNN\tB-NP\tO' -p181355 -aS'.\t.\t.\tO\tO' -p181356 -asS'He had a history of alcohol abuse but has been sober for 30 years .' -p181357 -(lp181358 -S'He\tHe\tPRP\tB-NP\tO' -p181359 -aS'had\thave\tVBD\tB-VP\tO' -p181360 -aS'a\ta\tDT\tB-NP\tO' -p181361 -aS'history\thistory\tNN\tI-NP\tO' -p181362 -aS'of\tof\tIN\tB-PP\tO' -p181363 -aS'alcohol\talcohol\tNN\tB-NP\tO' -p181364 -aS'abuse\tabuse\tNN\tI-NP\tO' -p181365 -aS'but\tbut\tCC\tO\tO' -p181366 -aS'has\thave\tVBZ\tB-VP\tO' -p181367 -aS'been\tbe\tVBN\tI-VP\tO' -p181368 -aS'sober\tsober\tRB\tB-ADVP\tO' -p181369 -aS'for\tfor\tIN\tB-PP\tO' -p181370 -aS'30\t30\tCD\tB-NP\tO' -p181371 -aS'years\tyear\tNNS\tI-NP\tO' -p181372 -aS'.\t.\t.\tO\tO' -p181373 -asS'A cardiology consult was obtained .' -p181374 -(lp181375 -S'A\tA\tDT\tB-NP\tO' -p181376 -aS'cardiology\tcardiology\tNN\tI-NP\tO' -p181377 -aS'consult\tconsult\tNN\tI-NP\tO' -p181378 -aS'was\tbe\tVBD\tB-VP\tO' -p181379 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p181380 -aS'.\t.\t.\tO\tO' -p181381 -asS'She had an uncomplicated postoperative recovery period .' -p181382 -(lp181383 -S'She\tShe\tPRP\tB-NP\tO' -p181384 -aS'had\thave\tVBD\tB-VP\tO' -p181385 -aS'an\tan\tDT\tB-NP\tO' -p181386 -aS'uncomplicated\tuncomplicated\tJJ\tI-NP\tO' -p181387 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p181388 -aS'recovery\trecovery\tNN\tI-NP\tO' -p181389 -aS'period\tperiod\tNN\tI-NP\tO' -p181390 -aS'.\t.\t.\tO\tO' -p181391 -asS'4. End stage renal disease .' -p181392 -(lp181393 -S'4.\t4.\tLS\tB-NP\tO' -p181394 -aS'End\tEnd\tNN\tI-NP\tO' -p181395 -aS'stage\tstage\tNN\tI-NP\tO' -p181396 -aS'renal\trenal\tJJ\tI-NP\tO' -p181397 -aS'disease\tdisease\tNN\tI-NP\tO' -p181398 -aS'.\t.\t.\tO\tO' -p181399 -asS'Following evaluation and treatment , the patient 's disposition at the end of the visit was ADMITTED TO OBSERVATION AT PH UNIVERSITY OF MEDICAL CENTER .' -p181400 -(lp181401 -S'Following\tFollow\tVBG\tB-PP\tO' -p181402 -aS'evaluation\tevaluation\tNN\tB-NP\tO' -p181403 -aS'and\tand\tCC\tI-NP\tO' -p181404 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p181405 -aS',\t,\t,\tO\tO' -p181406 -aS'the\tthe\tDT\tB-NP\tO' -p181407 -aS'patient\tpatient\tNN\tI-NP\tO' -p181408 -aS''s\t'\tNNS\tI-NP\tO' -p181409 -aS'disposition\tdisposition\tNN\tI-NP\tO' -p181410 -aS'at\tat\tIN\tB-PP\tO' -p181411 -aS'the\tthe\tDT\tB-NP\tO' -p181412 -aS'end\tend\tNN\tI-NP\tO' -p181413 -aS'of\tof\tIN\tB-PP\tO' -p181414 -aS'the\tthe\tDT\tB-NP\tO' -p181415 -aS'visit\tvisit\tNN\tI-NP\tO' -p181416 -aS'was\tbe\tVBD\tB-VP\tO' -p181417 -aS'ADMITTED\tADMITTED\tVBN\tI-VP\tO' -p181418 -aS'TO\tTO\tNNP\tB-NP\tO' -p181419 -aS'OBSERVATION\tOBSERVATION\tNNP\tI-NP\tO' -p181420 -aS'AT\tAT\tNNP\tI-NP\tO' -p181421 -aS'PH\tPH\tNNP\tI-NP\tO' -p181422 -aS'UNIVERSITY\tUNIVERSITY\tNNP\tI-NP\tO' -p181423 -aS'OF\tOF\tIN\tB-PP\tO' -p181424 -aS'MEDICAL\tMEDICAL\tNNP\tB-NP\tO' -p181425 -aS'CENTER\tCENTER\tNNP\tI-NP\tO' -p181426 -aS'.\t.\t.\tO\tO' -p181427 -asS'The liver enzimes come down , no signs of biliary stasis .' -p181428 -(lp181429 -S'The\tThe\tDT\tB-NP\tO' -p181430 -aS'liver\tliver\tNN\tI-NP\tO' -p181431 -aS'enzimes\tenzime\tNNS\tI-NP\tO' -p181432 -aS'come\tcome\tVBP\tB-VP\tO' -p181433 -aS'down\tdown\tRP\tB-PRT\tO' -p181434 -aS',\t,\t,\tO\tO' -p181435 -aS'no\tno\tDT\tB-NP\tO' -p181436 -aS'signs\tsign\tNNS\tI-NP\tO' -p181437 -aS'of\tof\tIN\tB-PP\tO' -p181438 -aS'biliary\tbiliary\tJJ\tB-NP\tO' -p181439 -aS'stasis\tstasis\tNN\tI-NP\tO' -p181440 -aS'.\t.\t.\tO\tO' -p181441 -asS'Without issues on this admission .' -p181442 -(lp181443 -S'Without\tWithout\tIN\tB-PP\tO' -p181444 -aS'issues\tissue\tNNS\tB-NP\tO' -p181445 -aS'on\ton\tIN\tB-PP\tO' -p181446 -aS'this\tthis\tDT\tB-NP\tO' -p181447 -aS'admission\tadmission\tNN\tI-NP\tO' -p181448 -aS'.\t.\t.\tO\tO' -p181449 -asS'No h/o tobacco , alcohol , or IVDA .' -p181450 -(lp181451 -S'No\tNo\tDT\tB-NP\tO' -p181452 -aS'h/o\th/o\tNN\tI-NP\tO' -p181453 -aS'tobacco\ttobacco\tNN\tI-NP\tO' -p181454 -aS',\t,\t,\tO\tO' -p181455 -aS'alcohol\talcohol\tNN\tB-NP\tO' -p181456 -aS',\t,\t,\tO\tO' -p181457 -aS'or\tor\tCC\tO\tO' -p181458 -aS'IVDA\tIVDA\tNN\tB-NP\tB-protein' -p181459 -aS'.\t.\t.\tO\tO' -p181460 -asS'4. Oxycodone - Acetaminophen 5-325 mg Tablet Sig : 1-2 Tablets PO Q4H ( every 4 hours ) as needed for pain .' -p181461 -(lp181462 -S'4.\t4.\tLS\tB-NP\tO' -p181463 -aS'Oxycodone\tOxycodone\tNN\tI-NP\tO' -p181464 -aS'-\t-\tHYPH\tO\tO' -p181465 -aS'Acetaminophen\tAcetaminophen\tNN\tB-NP\tO' -p181466 -aS'5-325\t5-325\tCD\tI-NP\tO' -p181467 -aS'mg\tmg\tNN\tI-NP\tO' -p181468 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p181469 -aS'Sig\tSig\tNNP\tI-NP\tO' -p181470 -aS':\t:\t:\tO\tO' -p181471 -aS'1-2\t1-2\tCD\tB-NP\tO' -p181472 -aS'Tablets\tTablet\tNNS\tI-NP\tO' -p181473 -aS'PO\tPO\tNN\tI-NP\tO' -p181474 -aS'Q4H\tQ4H\tNN\tI-NP\tO' -p181475 -aS'(\t(\t(\tO\tO' -p181476 -aS'every\tevery\tDT\tB-NP\tO' -p181477 -aS'4\t4\tCD\tI-NP\tO' -p181478 -aS'hours\thour\tNNS\tI-NP\tO' -p181479 -aS')\t)\t)\tO\tO' -p181480 -aS'as\tas\tIN\tB-SBAR\tO' -p181481 -aS'needed\tneed\tVBN\tB-VP\tO' -p181482 -aS'for\tfor\tIN\tB-PP\tO' -p181483 -aS'pain\tpain\tNN\tB-NP\tO' -p181484 -aS'.\t.\t.\tO\tO' -p181485 -asS'He had a lumbar drain placed .' -p181486 -(lp181487 -S'He\tHe\tPRP\tB-NP\tO' -p181488 -aS'had\thave\tVBD\tB-VP\tO' -p181489 -aS'a\ta\tDT\tB-NP\tO' -p181490 -aS'lumbar\tlumbar\tJJ\tI-NP\tO' -p181491 -aS'drain\tdrain\tNN\tI-NP\tO' -p181492 -aS'placed\tplace\tVBN\tB-VP\tO' -p181493 -aS'.\t.\t.\tO\tO' -p181494 -asS'His abdomen is soft , nontender , nondistended .' -p181495 -(lp181496 -S'His\tHis\tPRP$\tB-NP\tO' -p181497 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p181498 -aS'is\tbe\tVBZ\tB-VP\tO' -p181499 -aS'soft\tsoft\tJJ\tB-NP\tO' -p181500 -aS',\t,\t,\tI-NP\tO' -p181501 -aS'nontender\tnontender\tJJ\tI-NP\tO' -p181502 -aS',\t,\t,\tI-NP\tO' -p181503 -aS'nondistended\tnondistended\tJJ\tI-NP\tO' -p181504 -aS'.\t.\t.\tO\tO' -p181505 -asS'However , today around 17:45 , while being moved by the nursing staff , Mr. Lockley Bosche started coughing .' -p181506 -(lp181507 -S'However\tHowever\tRB\tB-ADVP\tO' -p181508 -aS',\t,\t,\tO\tO' -p181509 -aS'today\ttoday\tNN\tB-NP\tB-protein' -p181510 -aS'around\taround\tIN\tB-PP\tI-protein' -p181511 -aS'17:45\t17:45\tCD\tB-NP\tI-protein' -p181512 -aS',\t,\t,\tO\tO' -p181513 -aS'while\twhile\tIN\tB-SBAR\tO' -p181514 -aS'being\tbe\tVBG\tB-VP\tO' -p181515 -aS'moved\tmove\tVBN\tI-VP\tO' -p181516 -aS'by\tby\tIN\tB-PP\tO' -p181517 -aS'the\tthe\tDT\tB-NP\tO' -p181518 -aS'nursing\tnursing\tNN\tI-NP\tO' -p181519 -aS'staff\tstaff\tNN\tI-NP\tO' -p181520 -aS',\t,\t,\tO\tO' -p181521 -aS'Mr.\tMr.\tNNP\tB-NP\tO' -p181522 -aS'Lockley\tLockley\tNNP\tI-NP\tO' -p181523 -aS'Bosche\tBosche\tNNP\tI-NP\tO' -p181524 -aS'started\tstart\tVBD\tB-VP\tO' -p181525 -aS'coughing\tcough\tVBG\tI-VP\tO' -p181526 -aS'.\t.\t.\tO\tO' -p181527 -asS'The patient 's liver function tests began to rise and she began to experience pulmonary symptoms including increased crackles .' -p181528 -(lp181529 -S'The\tThe\tDT\tB-NP\tO' -p181530 -aS'patient\tpatient\tNN\tI-NP\tO' -p181531 -aS''s\t'\tNNS\tI-NP\tO' -p181532 -aS'liver\tliver\tNN\tI-NP\tO' -p181533 -aS'function\tfunction\tNN\tI-NP\tO' -p181534 -aS'tests\ttest\tNNS\tI-NP\tO' -p181535 -aS'began\tbegin\tVBD\tB-VP\tO' -p181536 -aS'to\tto\tTO\tI-VP\tO' -p181537 -aS'rise\trise\tVB\tI-VP\tO' -p181538 -aS'and\tand\tCC\tO\tO' -p181539 -aS'she\tshe\tPRP\tB-NP\tO' -p181540 -aS'began\tbegin\tVBD\tB-VP\tO' -p181541 -aS'to\tto\tTO\tI-VP\tO' -p181542 -aS'experience\texperience\tVB\tI-VP\tO' -p181543 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p181544 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p181545 -aS'including\tinclude\tVBG\tB-PP\tO' -p181546 -aS'increased\tincrease\tVBN\tB-NP\tO' -p181547 -aS'crackles\tcrackle\tNNS\tI-NP\tO' -p181548 -aS'.\t.\t.\tO\tO' -p181549 -asS'In 1980 , the patient had a left axillary recurrence that was treated with radiation therapy .' -p181550 -(lp181551 -S'In\tIn\tIN\tB-PP\tO' -p181552 -aS'1980\t1980\tCD\tB-NP\tO' -p181553 -aS',\t,\t,\tO\tO' -p181554 -aS'the\tthe\tDT\tB-NP\tO' -p181555 -aS'patient\tpatient\tNN\tI-NP\tO' -p181556 -aS'had\thave\tVBD\tB-VP\tO' -p181557 -aS'a\ta\tDT\tB-NP\tO' -p181558 -aS'left\tleft\tJJ\tI-NP\tO' -p181559 -aS'axillary\taxillary\tJJ\tI-NP\tO' -p181560 -aS'recurrence\trecurrence\tNN\tI-NP\tO' -p181561 -aS'that\tthat\tWDT\tB-NP\tO' -p181562 -aS'was\tbe\tVBD\tB-VP\tO' -p181563 -aS'treated\ttreat\tVBN\tI-VP\tO' -p181564 -aS'with\twith\tIN\tB-PP\tO' -p181565 -aS'radiation\tradiation\tNN\tB-NP\tO' -p181566 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p181567 -aS'.\t.\t.\tO\tO' -p181568 -asS'3) No driving while on narcotics .' -p181569 -(lp181570 -S'3)\t3)\tLS\tB-LST\tO' -p181571 -aS'No\tNo\tDT\tB-NP\tO' -p181572 -aS'driving\tdriving\tNN\tI-NP\tO' -p181573 -aS'while\twhile\tIN\tB-SBAR\tO' -p181574 -aS'on\ton\tIN\tB-PP\tO' -p181575 -aS'narcotics\tnarcotic\tNNS\tB-NP\tO' -p181576 -aS'.\t.\t.\tO\tO' -p181577 -asS'05-12- Stool : negative for Cdiff toxin' -p181578 -(lp181579 -S'05-12-\t05-12-\tCD\tB-NP\tO' -p181580 -aS'Stool\tStool\tNNP\tI-NP\tO' -p181581 -aS':\t:\t:\tO\tO' -p181582 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p181583 -aS'for\tfor\tIN\tB-PP\tO' -p181584 -aS'Cdiff\tCdiff\tNN\tB-NP\tB-protein' -p181585 -aS'toxin\ttoxin\tNN\tI-NP\tI-protein' -p181586 -asS'10. Ascorbic Acid 500 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ) .' -p181587 -(lp181588 -S'10.\t10.\tLS\tB-NP\tO' -p181589 -aS'Ascorbic\tAscorbic\tNNP\tI-NP\tO' -p181590 -aS'Acid\tAcid\tNNP\tI-NP\tO' -p181591 -aS'500\t500\tCD\tI-NP\tO' -p181592 -aS'mg\tmg\tNN\tI-NP\tO' -p181593 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p181594 -aS'Sig\tSig\tNNP\tI-NP\tO' -p181595 -aS':\t:\t:\tO\tO' -p181596 -aS'One\tOne\tCD\tB-NP\tO' -p181597 -aS'(\t(\t(\tO\tO' -p181598 -aS'1\t1\tCD\tB-NP\tO' -p181599 -aS')\t)\t)\tO\tO' -p181600 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p181601 -aS'PO\tPO\tNN\tI-NP\tO' -p181602 -aS'BID\tBID\tNN\tI-NP\tO' -p181603 -aS'(\t(\t(\tO\tO' -p181604 -aS'2\t2\tCD\tB-NP\tO' -p181605 -aS'times\ttime\tNNS\tI-NP\tO' -p181606 -aS'a\ta\tDT\tB-NP\tO' -p181607 -aS'day\tday\tNN\tI-NP\tO' -p181608 -aS')\t)\t)\tO\tO' -p181609 -aS'.\t.\t.\tO\tO' -p181610 -asS'Cardiology was consulted and thought MS Harold Holcomb to her pulm edema and pulm HTN .' -p181611 -(lp181612 -S'Cardiology\tCardiology\tNN\tB-NP\tO' -p181613 -aS'was\tbe\tVBD\tB-VP\tO' -p181614 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p181615 -aS'and\tand\tCC\tO\tO' -p181616 -aS'thought\tthink\tVBD\tB-VP\tO' -p181617 -aS'MS\tMS\tNNP\tB-NP\tO' -p181618 -aS'Harold\tHarold\tNNP\tI-NP\tO' -p181619 -aS'Holcomb\tHolcomb\tNNP\tI-NP\tO' -p181620 -aS'to\tto\tTO\tB-PP\tO' -p181621 -aS'her\ther\tPRP$\tB-NP\tO' -p181622 -aS'pulm\tpulm\tNN\tI-NP\tO' -p181623 -aS'edema\tedema\tNN\tI-NP\tO' -p181624 -aS'and\tand\tCC\tO\tO' -p181625 -aS'pulm\tpulm\tNN\tB-NP\tO' -p181626 -aS'HTN\tHTN\tNN\tI-NP\tO' -p181627 -aS'.\t.\t.\tO\tO' -p181628 -asS'She was then referred to the Fairm of Ijordcompmac Hospital under the El Memorial and was seen by Dr. Blinjesc , who scheduled her for an exploratory laparoscopy .' -p181629 -(lp181630 -S'She\tShe\tPRP\tB-NP\tO' -p181631 -aS'was\tbe\tVBD\tB-VP\tO' -p181632 -aS'then\tthen\tRB\tI-VP\tO' -p181633 -aS'referred\trefer\tVBN\tI-VP\tO' -p181634 -aS'to\tto\tTO\tB-PP\tO' -p181635 -aS'the\tthe\tDT\tB-NP\tO' -p181636 -aS'Fairm\tFairm\tNNP\tI-NP\tO' -p181637 -aS'of\tof\tIN\tB-PP\tO' -p181638 -aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' -p181639 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p181640 -aS'under\tunder\tIN\tB-PP\tO' -p181641 -aS'the\tthe\tDT\tB-NP\tO' -p181642 -aS'El\tEl\tNNP\tI-NP\tO' -p181643 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p181644 -aS'and\tand\tCC\tO\tO' -p181645 -aS'was\tbe\tVBD\tB-VP\tO' -p181646 -aS'seen\tsee\tVBN\tI-VP\tO' -p181647 -aS'by\tby\tIN\tB-PP\tO' -p181648 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p181649 -aS'Blinjesc\tBlinjesc\tNNP\tI-NP\tO' -p181650 -aS',\t,\t,\tO\tO' -p181651 -aS'who\twho\tWP\tB-NP\tO' -p181652 -aS'scheduled\tschedule\tVBD\tB-VP\tO' -p181653 -aS'her\ther\tPRP\tB-NP\tO' -p181654 -aS'for\tfor\tIN\tB-PP\tO' -p181655 -aS'an\tan\tDT\tB-NP\tO' -p181656 -aS'exploratory\texploratory\tJJ\tI-NP\tO' -p181657 -aS'laparoscopy\tlaparoscopy\tNN\tI-NP\tO' -p181658 -aS'.\t.\t.\tO\tO' -p181659 -asS'Mild postoperative widening of the cardiomediastinal silhouette is stable .' -p181660 -(lp181661 -S'Mild\tMild\tJJ\tB-NP\tO' -p181662 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p181663 -aS'widening\twidening\tNN\tI-NP\tO' -p181664 -aS'of\tof\tIN\tB-PP\tO' -p181665 -aS'the\tthe\tDT\tB-NP\tO' -p181666 -aS'cardiomediastinal\tcardiomediastinal\tJJ\tI-NP\tO' -p181667 -aS'silhouette\tsilhouette\tNN\tI-NP\tO' -p181668 -aS'is\tbe\tVBZ\tB-VP\tO' -p181669 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p181670 -aS'.\t.\t.\tO\tO' -p181671 -asS'Fort short-term memory the patient was able to recall one object out of thee at five minute , two out of three with clues and three out of three with multiple choice .' -p181672 -(lp181673 -S'Fort\tFort\tNN\tB-NP\tO' -p181674 -aS'short-term\tshort-term\tJJ\tI-NP\tO' -p181675 -aS'memory\tmemory\tNN\tI-NP\tO' -p181676 -aS'the\tthe\tDT\tB-NP\tO' -p181677 -aS'patient\tpatient\tNN\tI-NP\tO' -p181678 -aS'was\tbe\tVBD\tB-VP\tO' -p181679 -aS'able\table\tJJ\tB-ADJP\tO' -p181680 -aS'to\tto\tTO\tB-VP\tO' -p181681 -aS'recall\trecall\tVB\tI-VP\tO' -p181682 -aS'one\tone\tCD\tB-NP\tO' -p181683 -aS'object\tobject\tNN\tI-NP\tO' -p181684 -aS'out\tout\tIN\tB-PP\tO' -p181685 -aS'of\tof\tIN\tB-PP\tO' -p181686 -aS'thee\tthee\tNN\tB-NP\tO' -p181687 -aS'at\tat\tIN\tB-PP\tO' -p181688 -aS'five\tfive\tCD\tB-NP\tO' -p181689 -aS'minute\tminute\tNN\tI-NP\tO' -p181690 -aS',\t,\t,\tO\tO' -p181691 -aS'two\ttwo\tCD\tB-NP\tO' -p181692 -aS'out\tout\tIN\tI-NP\tO' -p181693 -aS'of\tof\tIN\tB-PP\tO' -p181694 -aS'three\tthree\tCD\tB-NP\tO' -p181695 -aS'with\twith\tIN\tB-PP\tO' -p181696 -aS'clues\tclue\tNNS\tB-NP\tO' -p181697 -aS'and\tand\tCC\tO\tO' -p181698 -aS'three\tthree\tCD\tB-NP\tO' -p181699 -aS'out\tout\tIN\tI-NP\tO' -p181700 -aS'of\tof\tIN\tB-PP\tO' -p181701 -aS'three\tthree\tCD\tB-NP\tO' -p181702 -aS'with\twith\tIN\tB-PP\tO' -p181703 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p181704 -aS'choice\tchoice\tNN\tI-NP\tO' -p181705 -aS'.\t.\t.\tO\tO' -p181706 -asS'Hemolysis laboratories were negative .' -p181707 -(lp181708 -S'Hemolysis\tHemolysis\tNN\tB-NP\tO' -p181709 -aS'laboratories\tlaboratory\tNNS\tI-NP\tO' -p181710 -aS'were\tbe\tVBD\tB-VP\tO' -p181711 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p181712 -aS'.\t.\t.\tO\tO' -p181713 -asS'There was normal muscle power .' -p181714 -(lp181715 -S'There\tThere\tEX\tB-NP\tO' -p181716 -aS'was\tbe\tVBD\tB-VP\tO' -p181717 -aS'normal\tnormal\tJJ\tB-NP\tO' -p181718 -aS'muscle\tmuscle\tNN\tI-NP\tO' -p181719 -aS'power\tpower\tNN\tI-NP\tO' -p181720 -aS'.\t.\t.\tO\tO' -p181721 -asS'Currently no sx of active disease .' -p181722 -(lp181723 -S'Currently\tCurrently\tRB\tB-ADVP\tO' -p181724 -aS'no\tno\tDT\tB-NP\tO' -p181725 -aS'sx\tsx\tNN\tI-NP\tO' -p181726 -aS'of\tof\tIN\tB-PP\tO' -p181727 -aS'active\tactive\tJJ\tB-NP\tO' -p181728 -aS'disease\tdisease\tNN\tI-NP\tO' -p181729 -aS'.\t.\t.\tO\tO' -p181730 -asS'No other lower quadrant tenderness .' -p181731 -(lp181732 -S'No\tNo\tDT\tB-NP\tO' -p181733 -aS'other\tother\tJJ\tI-NP\tO' -p181734 -aS'lower\tlow\tJJR\tI-NP\tO' -p181735 -aS'quadrant\tquadrant\tNN\tI-NP\tO' -p181736 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p181737 -aS'.\t.\t.\tO\tO' -p181738 -asS'This 53-year-old with a history of multiple transient ischemic attacks in the past was investigated and was found to have a small patent foramen ovale , and he was electively admitted for closure of the same .' -p181739 -(lp181740 -S'This\tThis\tDT\tB-NP\tO' -p181741 -aS'53-year-old\t53-year-old\tJJ\tI-NP\tO' -p181742 -aS'with\twith\tIN\tB-PP\tO' -p181743 -aS'a\ta\tDT\tB-NP\tO' -p181744 -aS'history\thistory\tNN\tI-NP\tO' -p181745 -aS'of\tof\tIN\tB-PP\tO' -p181746 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p181747 -aS'transient\ttransient\tJJ\tI-NP\tO' -p181748 -aS'ischemic\tischemic\tJJ\tI-NP\tO' -p181749 -aS'attacks\tattack\tNNS\tI-NP\tO' -p181750 -aS'in\tin\tIN\tB-PP\tO' -p181751 -aS'the\tthe\tDT\tB-NP\tO' -p181752 -aS'past\tpast\tNN\tI-NP\tO' -p181753 -aS'was\tbe\tVBD\tB-VP\tO' -p181754 -aS'investigated\tinvestigate\tVBN\tI-VP\tO' -p181755 -aS'and\tand\tCC\tO\tO' -p181756 -aS'was\tbe\tVBD\tB-VP\tO' -p181757 -aS'found\tfind\tVBN\tI-VP\tO' -p181758 -aS'to\tto\tTO\tI-VP\tO' -p181759 -aS'have\thave\tVB\tI-VP\tO' -p181760 -aS'a\ta\tDT\tB-NP\tO' -p181761 -aS'small\tsmall\tJJ\tI-NP\tO' -p181762 -aS'patent\tpatent\tNN\tI-NP\tO' -p181763 -aS'foramen\tforaman\tNNS\tI-NP\tO' -p181764 -aS'ovale\tovale\tNN\tI-NP\tO' -p181765 -aS',\t,\t,\tO\tO' -p181766 -aS'and\tand\tCC\tO\tO' -p181767 -aS'he\the\tPRP\tB-NP\tO' -p181768 -aS'was\tbe\tVBD\tB-VP\tO' -p181769 -aS'electively\telectively\tRB\tI-VP\tO' -p181770 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p181771 -aS'for\tfor\tIN\tB-PP\tO' -p181772 -aS'closure\tclosure\tNN\tB-NP\tO' -p181773 -aS'of\tof\tIN\tB-PP\tO' -p181774 -aS'the\tthe\tDT\tB-NP\tO' -p181775 -aS'same\tsame\tJJ\tI-NP\tO' -p181776 -aS'.\t.\t.\tO\tO' -p181777 -asS'The patient will also follow-up with Dr. Fairchild , her primary care physician in three weeks .' -p181778 -(lp181779 -S'The\tThe\tDT\tB-NP\tO' -p181780 -aS'patient\tpatient\tNN\tI-NP\tO' -p181781 -aS'will\twill\tMD\tB-VP\tO' -p181782 -aS'also\talso\tRB\tI-VP\tO' -p181783 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p181784 -aS'with\twith\tIN\tB-PP\tO' -p181785 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p181786 -aS'Fairchild\tFairchild\tNNP\tI-NP\tO' -p181787 -aS',\t,\t,\tO\tO' -p181788 -aS'her\ther\tPRP$\tB-NP\tO' -p181789 -aS'primary\tprimary\tJJ\tI-NP\tO' -p181790 -aS'care\tcare\tNN\tI-NP\tO' -p181791 -aS'physician\tphysician\tNN\tI-NP\tO' -p181792 -aS'in\tin\tIN\tB-PP\tO' -p181793 -aS'three\tthree\tCD\tB-NP\tO' -p181794 -aS'weeks\tweek\tNNS\tI-NP\tO' -p181795 -aS'.\t.\t.\tO\tO' -p181796 -asS'Metformin 1000 mg extended release p.o. q. day .' -p181797 -(lp181798 -S'Metformin\tMetformin\tNN\tB-NP\tO' -p181799 -aS'1000\t1000\tCD\tI-NP\tO' -p181800 -aS'mg\tmg\tNN\tI-NP\tO' -p181801 -aS'extended\textend\tVBD\tB-VP\tO' -p181802 -aS'release\trelease\tNN\tB-NP\tO' -p181803 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p181804 -aS'q.\tq.\tNN\tI-NP\tO' -p181805 -aS'day\tday\tNN\tI-NP\tO' -p181806 -aS'.\t.\t.\tO\tO' -p181807 -asS'TN WNL .' -p181808 -(lp181809 -S'TN\tTN\tNN\tB-NP\tB-protein' -p181810 -aS'WNL\tWNL\tNN\tI-NP\tI-protein' -p181811 -aS'.\t.\t.\tO\tO' -p181812 -asS'4. serosal tear of transverse colon ,' -p181813 -(lp181814 -S'4.\t4.\tLS\tB-NP\tO' -p181815 -aS'serosal\tserosal\tJJ\tI-NP\tO' -p181816 -aS'tear\ttear\tNN\tI-NP\tO' -p181817 -aS'of\tof\tIN\tB-PP\tO' -p181818 -aS'transverse\ttransverse\tJJ\tB-NP\tO' -p181819 -aS'colon\tcolon\tNN\tI-NP\tO' -p181820 -aS',\t,\t,\tO\tO' -p181821 -asS'She was taken postoperatively the ICU where she was extubated on postoperative day number one and by 5-11-92 she was noted to have markedly increased use of her right side , resolving aphasia and she was transferred to the floor with the residual deficit only noted to be some left upper extremity weakness .' -p181822 -(lp181823 -S'She\tShe\tPRP\tB-NP\tO' -p181824 -aS'was\tbe\tVBD\tB-VP\tO' -p181825 -aS'taken\ttake\tVBN\tI-VP\tO' -p181826 -aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' -p181827 -aS'the\tthe\tDT\tB-NP\tO' -p181828 -aS'ICU\tICU\tNN\tI-NP\tB-DNA' -p181829 -aS'where\twhere\tWRB\tB-ADVP\tI-DNA' -p181830 -aS'she\tshe\tPRP\tB-NP\tO' -p181831 -aS'was\tbe\tVBD\tB-VP\tO' -p181832 -aS'extubated\textubate\tVBN\tI-VP\tO' -p181833 -aS'on\ton\tIN\tB-PP\tO' -p181834 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p181835 -aS'day\tday\tNN\tI-NP\tO' -p181836 -aS'number\tnumber\tNN\tI-NP\tO' -p181837 -aS'one\tone\tCD\tB-NP\tO' -p181838 -aS'and\tand\tCC\tO\tO' -p181839 -aS'by\tby\tIN\tB-PP\tO' -p181840 -aS'5-11-92\t5-11-92\tCD\tB-NP\tO' -p181841 -aS'she\tshe\tPRP\tB-NP\tO' -p181842 -aS'was\tbe\tVBD\tB-VP\tO' -p181843 -aS'noted\tnote\tVBN\tI-VP\tO' -p181844 -aS'to\tto\tTO\tI-VP\tO' -p181845 -aS'have\thave\tVB\tI-VP\tO' -p181846 -aS'markedly\tmarkedly\tRB\tI-VP\tO' -p181847 -aS'increased\tincrease\tVBN\tI-VP\tO' -p181848 -aS'use\tuse\tNN\tB-NP\tO' -p181849 -aS'of\tof\tIN\tB-PP\tO' -p181850 -aS'her\ther\tPRP$\tB-NP\tO' -p181851 -aS'right\tright\tJJ\tI-NP\tO' -p181852 -aS'side\tside\tNN\tI-NP\tO' -p181853 -aS',\t,\t,\tO\tO' -p181854 -aS'resolving\tresolve\tVBG\tB-VP\tO' -p181855 -aS'aphasia\taphasia\tNN\tB-NP\tO' -p181856 -aS'and\tand\tCC\tO\tO' -p181857 -aS'she\tshe\tPRP\tB-NP\tO' -p181858 -aS'was\tbe\tVBD\tB-VP\tO' -p181859 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p181860 -aS'to\tto\tTO\tB-PP\tO' -p181861 -aS'the\tthe\tDT\tB-NP\tO' -p181862 -aS'floor\tfloor\tNN\tI-NP\tO' -p181863 -aS'with\twith\tIN\tB-PP\tO' -p181864 -aS'the\tthe\tDT\tB-NP\tO' -p181865 -aS'residual\tresidual\tJJ\tI-NP\tO' -p181866 -aS'deficit\tdeficit\tNN\tI-NP\tO' -p181867 -aS'only\tonly\tRB\tB-ADVP\tO' -p181868 -aS'noted\tnote\tVBD\tB-VP\tO' -p181869 -aS'to\tto\tTO\tI-VP\tO' -p181870 -aS'be\tbe\tVB\tI-VP\tO' -p181871 -aS'some\tsome\tDT\tB-NP\tO' -p181872 -aS'left\tleft\tJJ\tI-NP\tO' -p181873 -aS'upper\tupper\tJJ\tI-NP\tO' -p181874 -aS'extremity\textremity\tNN\tI-NP\tO' -p181875 -aS'weakness\tweakness\tNN\tI-NP\tO' -p181876 -aS'.\t.\t.\tO\tO' -p181877 -asS'Occasional lower extremity edema , left greater than right .' -p181878 -(lp181879 -S'Occasional\tOccasional\tJJ\tB-NP\tO' -p181880 -aS'lower\tlow\tJJR\tI-NP\tO' -p181881 -aS'extremity\textremity\tNN\tI-NP\tO' -p181882 -aS'edema\tedema\tNN\tI-NP\tO' -p181883 -aS',\t,\t,\tO\tO' -p181884 -aS'left\tleave\tVBD\tB-VP\tO' -p181885 -aS'greater\tgreat\tJJR\tB-ADJP\tO' -p181886 -aS'than\tthan\tIN\tB-PP\tO' -p181887 -aS'right\tright\tJJ\tB-ADJP\tO' -p181888 -aS'.\t.\t.\tO\tO' -p181889 -asS'4. Baby aspirin 81 mg p.o. q.d.' -p181890 -(lp181891 -S'4.\t4.\tLS\tB-NP\tO' -p181892 -aS'Baby\tBaby\tNNP\tI-NP\tO' -p181893 -aS'aspirin\taspirin\tNN\tI-NP\tO' -p181894 -aS'81\t81\tCD\tI-NP\tO' -p181895 -aS'mg\tmg\tNN\tI-NP\tO' -p181896 -aS'p.o.\tp.o.\tFW\tB-ADVP\tO' -p181897 -aS'q.d.\tq.d.\tFW\tI-ADVP\tO' -p181898 -asS'4. Coumadin 2.5 mg PO q.day which was last taken two days prior to admission ,' -p181899 -(lp181900 -S'4.\t4.\tLS\tB-LST\tO' -p181901 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p181902 -aS'2.5\t2.5\tCD\tI-NP\tO' -p181903 -aS'mg\tmg\tNN\tI-NP\tO' -p181904 -aS'PO\tPO\tNN\tI-NP\tO' -p181905 -aS'q.day\tq.day\tNN\tI-NP\tO' -p181906 -aS'which\twhich\tWDT\tB-NP\tO' -p181907 -aS'was\tbe\tVBD\tB-VP\tO' -p181908 -aS'last\tlast\tRB\tI-VP\tO' -p181909 -aS'taken\ttake\tVBN\tI-VP\tO' -p181910 -aS'two\ttwo\tCD\tB-NP\tO' -p181911 -aS'days\tday\tNNS\tI-NP\tO' -p181912 -aS'prior\tprior\tRB\tB-ADVP\tO' -p181913 -aS'to\tto\tTO\tB-PP\tO' -p181914 -aS'admission\tadmission\tNN\tB-NP\tO' -p181915 -aS',\t,\t,\tO\tO' -p181916 -asS'She has used antibiotic prophylaxis since 1980 .' -p181917 -(lp181918 -S'She\tShe\tPRP\tB-NP\tO' -p181919 -aS'has\thave\tVBZ\tB-VP\tO' -p181920 -aS'used\tuse\tVBN\tI-VP\tO' -p181921 -aS'antibiotic\tantibiotic\tJJ\tB-NP\tO' -p181922 -aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' -p181923 -aS'since\tsince\tIN\tB-PP\tO' -p181924 -aS'1980\t1980\tCD\tB-NP\tO' -p181925 -aS'.\t.\t.\tO\tO' -p181926 -asS'9. History of syncope and first degree A-V heart block with beta blocker therapy .' -p181927 -(lp181928 -S'9.\t9.\tLS\tB-NP\tO' -p181929 -aS'History\tHistory\tNN\tI-NP\tO' -p181930 -aS'of\tof\tIN\tB-PP\tO' -p181931 -aS'syncope\tsyncope\tNN\tB-NP\tO' -p181932 -aS'and\tand\tCC\tO\tO' -p181933 -aS'first\tfirst\tJJ\tB-NP\tO' -p181934 -aS'degree\tdegree\tNN\tI-NP\tO' -p181935 -aS'A-V\tA-V\tNN\tI-NP\tO' -p181936 -aS'heart\theart\tNN\tI-NP\tO' -p181937 -aS'block\tblock\tNN\tI-NP\tO' -p181938 -aS'with\twith\tIN\tB-PP\tO' -p181939 -aS'beta\tbeta\tSYM\tB-NP\tO' -p181940 -aS'blocker\tblocker\tNN\tI-NP\tO' -p181941 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p181942 -aS'.\t.\t.\tO\tO' -p181943 -asS'He denies nausea and vomiting .' -p181944 -(lp181945 -S'He\tHe\tPRP\tB-NP\tO' -p181946 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p181947 -aS'nausea\tnausea\tNN\tB-NP\tO' -p181948 -aS'and\tand\tCC\tI-NP\tO' -p181949 -aS'vomiting\tvomiting\tNN\tI-NP\tO' -p181950 -aS'.\t.\t.\tO\tO' -p181951 -asS'However , she had several dilantin levels drawn since her last visit , with 15.4 in 05 - 23.5 in Theresa , and 3.09 - 18 .' -p181952 -(lp181953 -S'However\tHowever\tRB\tB-ADVP\tO' -p181954 -aS',\t,\t,\tO\tO' -p181955 -aS'she\tshe\tPRP\tB-NP\tO' -p181956 -aS'had\thave\tVBD\tB-VP\tO' -p181957 -aS'several\tseveral\tJJ\tB-NP\tO' -p181958 -aS'dilantin\tdilantin\tNN\tI-NP\tO' -p181959 -aS'levels\tlevel\tNNS\tI-NP\tO' -p181960 -aS'drawn\tdraw\tVBN\tB-VP\tO' -p181961 -aS'since\tsince\tIN\tB-PP\tO' -p181962 -aS'her\ther\tPRP$\tB-NP\tO' -p181963 -aS'last\tlast\tJJ\tI-NP\tO' -p181964 -aS'visit\tvisit\tNN\tI-NP\tO' -p181965 -aS',\t,\t,\tO\tO' -p181966 -aS'with\twith\tIN\tB-PP\tO' -p181967 -aS'15.4\t15.4\tCD\tB-NP\tO' -p181968 -aS'in\tin\tIN\tB-PP\tO' -p181969 -aS'05\t05\tCD\tB-NP\tO' -p181970 -aS'-\t-\tHYPH\tI-NP\tO' -p181971 -aS'23.5\t23.5\tCD\tI-NP\tO' -p181972 -aS'in\tin\tIN\tB-PP\tO' -p181973 -aS'Theresa\tTheresa\tNNP\tB-NP\tO' -p181974 -aS',\t,\t,\tO\tO' -p181975 -aS'and\tand\tCC\tO\tO' -p181976 -aS'3.09\t3.09\tCD\tB-NP\tO' -p181977 -aS'-\t-\tHYPH\tI-NP\tO' -p181978 -aS'18\t18\tCD\tI-NP\tO' -p181979 -aS'.\t.\t.\tO\tO' -p181980 -asS'5. Diabetes mellitus .' -p181981 -(lp181982 -S'5.\t5.\tLS\tB-NP\tO' -p181983 -aS'Diabetes\tDiabetes\tNN\tI-NP\tO' -p181984 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p181985 -aS'.\t.\t.\tO\tO' -p181986 -asS'Red reflex not checked .' -p181987 -(lp181988 -S'Red\tRed\tJJ\tB-NP\tO' -p181989 -aS'reflex\treflex\tNN\tI-NP\tO' -p181990 -aS'not\tnot\tRB\tB-VP\tO' -p181991 -aS'checked\tcheck\tVBN\tI-VP\tO' -p181992 -aS'.\t.\t.\tO\tO' -p181993 -asS'Also possible source sinus infections given findings on intial CT ( see summary in significant studies ). He did not spike any fevers after being transfer to the CMED from the Amanda .' -p181994 -(lp181995 -S'Also\tAlso\tRB\tB-NP\tO' -p181996 -aS'possible\tpossible\tJJ\tI-NP\tO' -p181997 -aS'source\tsource\tNN\tI-NP\tO' -p181998 -aS'sinus\tsinus\tNN\tI-NP\tO' -p181999 -aS'infections\tinfection\tNNS\tI-NP\tO' -p182000 -aS'given\tgive\tVBN\tB-PP\tO' -p182001 -aS'findings\tfinding\tNNS\tB-NP\tO' -p182002 -aS'on\ton\tIN\tB-PP\tO' -p182003 -aS'intial\tintial\tJJ\tB-NP\tO' -p182004 -aS'CT\tCT\tNN\tI-NP\tO' -p182005 -aS'(\t(\t(\tO\tO' -p182006 -aS'see\tsee\tVB\tB-VP\tO' -p182007 -aS'summary\tsummary\tNN\tB-NP\tO' -p182008 -aS'in\tin\tIN\tB-PP\tO' -p182009 -aS'significant\tsignificant\tJJ\tB-NP\tO' -p182010 -aS'studies\tstudy\tNNS\tI-NP\tO' -p182011 -aS').\t).\tVBP\tB-VP\tO' -p182012 -aS'He\tHe\tPRP\tB-NP\tO' -p182013 -aS'did\tdo\tVBD\tB-VP\tO' -p182014 -aS'not\tnot\tRB\tI-VP\tO' -p182015 -aS'spike\tspike\tVB\tI-VP\tO' -p182016 -aS'any\tany\tDT\tB-NP\tO' -p182017 -aS'fevers\tfever\tNNS\tI-NP\tO' -p182018 -aS'after\tafter\tIN\tB-PP\tO' -p182019 -aS'being\tbe\tVBG\tB-VP\tO' -p182020 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p182021 -aS'to\tto\tTO\tB-PP\tO' -p182022 -aS'the\tthe\tDT\tB-NP\tO' -p182023 -aS'CMED\tCMED\tNN\tI-NP\tO' -p182024 -aS'from\tfrom\tIN\tB-PP\tO' -p182025 -aS'the\tthe\tDT\tB-NP\tO' -p182026 -aS'Amanda\tAmanda\tNNP\tI-NP\tO' -p182027 -aS'.\t.\t.\tO\tO' -p182028 -asS'The patient was continued on vancomycin therapy for his previously diagnosed Methicillin resistant , coagulase negative Staph bacteremia .' -p182029 -(lp182030 -S'The\tThe\tDT\tB-NP\tO' -p182031 -aS'patient\tpatient\tNN\tI-NP\tO' -p182032 -aS'was\tbe\tVBD\tB-VP\tO' -p182033 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p182034 -aS'on\ton\tIN\tB-PP\tO' -p182035 -aS'vancomycin\tvancomycin\tNN\tB-NP\tO' -p182036 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p182037 -aS'for\tfor\tIN\tB-PP\tO' -p182038 -aS'his\this\tPRP$\tB-NP\tB-DNA' -p182039 -aS'previously\tpreviously\tRB\tI-NP\tO' -p182040 -aS'diagnosed\tdiagnose\tVBN\tI-NP\tO' -p182041 -aS'Methicillin\tMethicillin\tNN\tI-NP\tO' -p182042 -aS'resistant\tresistant\tJJ\tB-ADJP\tO' -p182043 -aS',\t,\t,\tO\tO' -p182044 -aS'coagulase\tcoagulase\tNN\tB-NP\tO' -p182045 -aS'negative\tnegative\tJJ\tI-NP\tO' -p182046 -aS'Staph\tStaph\tNNP\tI-NP\tO' -p182047 -aS'bacteremia\tbacteremia\tNN\tI-NP\tO' -p182048 -aS'.\t.\t.\tO\tO' -p182049 -asS'She had dropped her BUN and creatinine to normal and she was found to have may be metastatic disease to her skin on the right paraumbilical area .' -p182050 -(lp182051 -S'She\tShe\tPRP\tB-NP\tO' -p182052 -aS'had\thave\tVBD\tB-VP\tO' -p182053 -aS'dropped\tdrop\tVBN\tI-VP\tO' -p182054 -aS'her\ther\tPRP$\tB-NP\tO' -p182055 -aS'BUN\tBUN\tNN\tI-NP\tB-protein' -p182056 -aS'and\tand\tCC\tI-NP\tO' -p182057 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p182058 -aS'to\tto\tTO\tB-PP\tO' -p182059 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p182060 -aS'and\tand\tCC\tO\tO' -p182061 -aS'she\tshe\tPRP\tB-NP\tO' -p182062 -aS'was\tbe\tVBD\tB-VP\tO' -p182063 -aS'found\tfind\tVBN\tI-VP\tO' -p182064 -aS'to\tto\tTO\tI-VP\tO' -p182065 -aS'have\thave\tVB\tI-VP\tO' -p182066 -aS'may\tmay\tMD\tB-VP\tO' -p182067 -aS'be\tbe\tVB\tI-VP\tO' -p182068 -aS'metastatic\tmetastatic\tJJ\tB-NP\tO' -p182069 -aS'disease\tdisease\tNN\tI-NP\tO' -p182070 -aS'to\tto\tTO\tB-PP\tO' -p182071 -aS'her\ther\tPRP$\tB-NP\tO' -p182072 -aS'skin\tskin\tNN\tI-NP\tO' -p182073 -aS'on\ton\tIN\tB-PP\tO' -p182074 -aS'the\tthe\tDT\tB-NP\tO' -p182075 -aS'right\tright\tJJ\tI-NP\tO' -p182076 -aS'paraumbilical\tparaumbilical\tJJ\tI-NP\tO' -p182077 -aS'area\tarea\tNN\tI-NP\tO' -p182078 -aS'.\t.\t.\tO\tO' -p182079 -asS'Neck hematoma secondary to pulmonary artery line placement requiring transfusion , catheter tip infection .' -p182080 -(lp182081 -S'Neck\tNeck\tNN\tB-NP\tO' -p182082 -aS'hematoma\thematoma\tNN\tI-NP\tO' -p182083 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p182084 -aS'to\tto\tTO\tB-PP\tO' -p182085 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p182086 -aS'artery\tartery\tNN\tI-NP\tO' -p182087 -aS'line\tline\tNN\tI-NP\tO' -p182088 -aS'placement\tplacement\tNN\tI-NP\tO' -p182089 -aS'requiring\trequire\tVBG\tB-VP\tO' -p182090 -aS'transfusion\ttransfusion\tNN\tB-NP\tO' -p182091 -aS',\t,\t,\tO\tO' -p182092 -aS'catheter\tcatheter\tNN\tB-NP\tO' -p182093 -aS'tip\ttip\tNN\tI-NP\tO' -p182094 -aS'infection\tinfection\tNN\tI-NP\tO' -p182095 -aS'.\t.\t.\tO\tO' -p182096 -asS'Patient arrived in Daniel within 3 hours of symptom onset and head CT showed no evidence of bleed .' -p182097 -(lp182098 -S'Patient\tPatient\tNN\tB-NP\tO' -p182099 -aS'arrived\tarrive\tVBD\tB-VP\tO' -p182100 -aS'in\tin\tIN\tB-PP\tO' -p182101 -aS'Daniel\tDaniel\tNNP\tB-NP\tO' -p182102 -aS'within\twithin\tIN\tB-PP\tO' -p182103 -aS'3\t3\tCD\tB-NP\tO' -p182104 -aS'hours\thour\tNNS\tI-NP\tO' -p182105 -aS'of\tof\tIN\tB-PP\tO' -p182106 -aS'symptom\tsymptom\tNN\tB-NP\tO' -p182107 -aS'onset\tonset\tNN\tI-NP\tO' -p182108 -aS'and\tand\tCC\tO\tO' -p182109 -aS'head\thead\tNN\tB-NP\tO' -p182110 -aS'CT\tCT\tNN\tI-NP\tO' -p182111 -aS'showed\tshow\tVBD\tB-VP\tO' -p182112 -aS'no\tno\tDT\tB-NP\tO' -p182113 -aS'evidence\tevidence\tNN\tI-NP\tO' -p182114 -aS'of\tof\tIN\tB-PP\tO' -p182115 -aS'bleed\tbleed\tNN\tB-NP\tO' -p182116 -aS'.\t.\t.\tO\tO' -p182117 -asS'Small residual collection anterior to the rectum , smaller than on the prior study , and without substantial fluid components to allow drainage .' -p182118 -(lp182119 -S'Small\tSmall\tJJ\tB-NP\tO' -p182120 -aS'residual\tresidual\tJJ\tI-NP\tO' -p182121 -aS'collection\tcollection\tNN\tI-NP\tO' -p182122 -aS'anterior\tanterior\tJJ\tB-ADJP\tO' -p182123 -aS'to\tto\tTO\tB-PP\tO' -p182124 -aS'the\tthe\tDT\tB-NP\tO' -p182125 -aS'rectum\trectum\tNN\tI-NP\tO' -p182126 -aS',\t,\t,\tO\tO' -p182127 -aS'smaller\tsmall\tJJR\tB-ADJP\tO' -p182128 -aS'than\tthan\tIN\tB-PP\tO' -p182129 -aS'on\ton\tIN\tB-PP\tO' -p182130 -aS'the\tthe\tDT\tB-NP\tO' -p182131 -aS'prior\tprior\tJJ\tI-NP\tO' -p182132 -aS'study\tstudy\tNN\tI-NP\tO' -p182133 -aS',\t,\t,\tO\tO' -p182134 -aS'and\tand\tCC\tO\tO' -p182135 -aS'without\twithout\tIN\tB-PP\tO' -p182136 -aS'substantial\tsubstantial\tJJ\tB-NP\tO' -p182137 -aS'fluid\tfluid\tNN\tI-NP\tO' -p182138 -aS'components\tcomponent\tNNS\tI-NP\tO' -p182139 -aS'to\tto\tTO\tB-VP\tO' -p182140 -aS'allow\tallow\tVB\tI-VP\tO' -p182141 -aS'drainage\tdrainage\tNN\tB-NP\tO' -p182142 -aS'.\t.\t.\tO\tO' -p182143 -asS'There she should received physical therapy to consist of a routine post total hip replacement rehabilitation protocol , with emphasis on gait training , partial weight bearing on the right lower extremity , using a walker or crutches .' -p182144 -(lp182145 -S'There\tThere\tEX\tB-NP\tO' -p182146 -aS'she\tshe\tPRP\tB-NP\tO' -p182147 -aS'should\tshould\tMD\tB-VP\tO' -p182148 -aS'received\treceive\tVBD\tI-VP\tO' -p182149 -aS'physical\tphysical\tJJ\tB-NP\tO' -p182150 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p182151 -aS'to\tto\tTO\tB-VP\tO' -p182152 -aS'consist\tconsist\tVB\tI-VP\tO' -p182153 -aS'of\tof\tIN\tB-PP\tO' -p182154 -aS'a\ta\tDT\tB-NP\tO' -p182155 -aS'routine\troutine\tJJ\tI-NP\tO' -p182156 -aS'post\tpost\tNN\tI-NP\tO' -p182157 -aS'total\ttotal\tJJ\tI-NP\tO' -p182158 -aS'hip\thip\tNN\tI-NP\tO' -p182159 -aS'replacement\treplacement\tNN\tI-NP\tO' -p182160 -aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' -p182161 -aS'protocol\tprotocol\tNN\tI-NP\tO' -p182162 -aS',\t,\t,\tO\tO' -p182163 -aS'with\twith\tIN\tB-PP\tO' -p182164 -aS'emphasis\temphasis\tNN\tB-NP\tO' -p182165 -aS'on\ton\tIN\tB-PP\tO' -p182166 -aS'gait\tgait\tNN\tB-NP\tO' -p182167 -aS'training\ttraining\tNN\tI-NP\tO' -p182168 -aS',\t,\t,\tO\tO' -p182169 -aS'partial\tpartial\tJJ\tB-NP\tO' -p182170 -aS'weight\tweight\tNN\tI-NP\tO' -p182171 -aS'bearing\tbear\tVBG\tB-VP\tO' -p182172 -aS'on\ton\tIN\tB-PP\tO' -p182173 -aS'the\tthe\tDT\tB-NP\tO' -p182174 -aS'right\tright\tJJ\tI-NP\tO' -p182175 -aS'lower\tlow\tJJR\tI-NP\tO' -p182176 -aS'extremity\textremity\tNN\tI-NP\tO' -p182177 -aS',\t,\t,\tO\tO' -p182178 -aS'using\tuse\tVBG\tB-VP\tO' -p182179 -aS'a\ta\tDT\tB-NP\tO' -p182180 -aS'walker\twalker\tNN\tI-NP\tO' -p182181 -aS'or\tor\tCC\tI-NP\tO' -p182182 -aS'crutches\tcrutch\tNNS\tI-NP\tO' -p182183 -aS'.\t.\t.\tO\tO' -p182184 -asS'2. Influenza immunization should be considered annually in the fall for preterm infants with chronic lung disease once they reach six months of age .' -p182185 -(lp182186 -S'2.\t2.\tLS\tB-NP\tO' -p182187 -aS'Influenza\tInfluenza\tNN\tI-NP\tO' -p182188 -aS'immunization\timmunization\tNN\tI-NP\tO' -p182189 -aS'should\tshould\tMD\tB-VP\tO' -p182190 -aS'be\tbe\tVB\tI-VP\tO' -p182191 -aS'considered\tconsider\tVBN\tI-VP\tO' -p182192 -aS'annually\tannually\tRB\tB-ADVP\tO' -p182193 -aS'in\tin\tIN\tB-PP\tO' -p182194 -aS'the\tthe\tDT\tB-NP\tO' -p182195 -aS'fall\tfall\tNN\tI-NP\tO' -p182196 -aS'for\tfor\tIN\tB-PP\tO' -p182197 -aS'preterm\tpreterm\tJJ\tB-NP\tO' -p182198 -aS'infants\tinfant\tNNS\tI-NP\tO' -p182199 -aS'with\twith\tIN\tB-PP\tO' -p182200 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p182201 -aS'lung\tlung\tNN\tI-NP\tO' -p182202 -aS'disease\tdisease\tNN\tI-NP\tO' -p182203 -aS'once\tonce\tIN\tB-SBAR\tO' -p182204 -aS'they\tthey\tPRP\tB-NP\tO' -p182205 -aS'reach\treach\tVBP\tB-VP\tO' -p182206 -aS'six\tsix\tCD\tB-NP\tO' -p182207 -aS'months\tmonth\tNNS\tI-NP\tO' -p182208 -aS'of\tof\tIN\tB-PP\tO' -p182209 -aS'age\tage\tNN\tB-NP\tO' -p182210 -aS'.\t.\t.\tO\tO' -p182211 -asS'He had a normal male phallus and bilaterally descended testes .' -p182212 -(lp182213 -S'He\tHe\tPRP\tB-NP\tO' -p182214 -aS'had\thave\tVBD\tB-VP\tO' -p182215 -aS'a\ta\tDT\tB-NP\tO' -p182216 -aS'normal\tnormal\tJJ\tI-NP\tO' -p182217 -aS'male\tmale\tJJ\tI-NP\tO' -p182218 -aS'phallus\tphallus\tNN\tI-NP\tO' -p182219 -aS'and\tand\tCC\tO\tO' -p182220 -aS'bilaterally\tbilaterally\tRB\tB-NP\tO' -p182221 -aS'descended\tdescend\tVBN\tI-NP\tO' -p182222 -aS'testes\ttestis\tNNS\tI-NP\tO' -p182223 -aS'.\t.\t.\tO\tO' -p182224 -asS'3. Diabetes type 2 .' -p182225 -(lp182226 -S'3.\t3.\tLS\tB-NP\tO' -p182227 -aS'Diabetes\tDiabetes\tNN\tI-NP\tO' -p182228 -aS'type\ttype\tNN\tI-NP\tO' -p182229 -aS'2\t2\tCD\tI-NP\tO' -p182230 -aS'.\t.\t.\tO\tO' -p182231 -asS'Regular rate and rhythm with tachycardia and no rubs or murmur .' -p182232 -(lp182233 -S'Regular\tRegular\tJJ\tB-NP\tO' -p182234 -aS'rate\trate\tNN\tI-NP\tO' -p182235 -aS'and\tand\tCC\tI-NP\tO' -p182236 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p182237 -aS'with\twith\tIN\tB-PP\tO' -p182238 -aS'tachycardia\ttachycardia\tNN\tB-NP\tO' -p182239 -aS'and\tand\tCC\tO\tO' -p182240 -aS'no\tno\tDT\tB-NP\tO' -p182241 -aS'rubs\trub\tNNS\tI-NP\tO' -p182242 -aS'or\tor\tCC\tI-NP\tO' -p182243 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p182244 -aS'.\t.\t.\tO\tO' -p182245 -asS'Of note , after interview with HCP , at around 07-23 , patient started having episodes of dizziness , and had unstable gait .' -p182246 -(lp182247 -S'Of\tOf\tIN\tB-PP\tO' -p182248 -aS'note\tnote\tNN\tB-NP\tO' -p182249 -aS',\t,\t,\tO\tO' -p182250 -aS'after\tafter\tIN\tB-PP\tO' -p182251 -aS'interview\tinterview\tNN\tB-NP\tO' -p182252 -aS'with\twith\tIN\tB-PP\tO' -p182253 -aS'HCP\tHCP\tNN\tB-NP\tB-protein' -p182254 -aS',\t,\t,\tO\tO' -p182255 -aS'at\tat\tIN\tB-PP\tO' -p182256 -aS'around\taround\tIN\tB-NP\tO' -p182257 -aS'07-23\t07-23\tCD\tI-NP\tO' -p182258 -aS',\t,\t,\tO\tO' -p182259 -aS'patient\tpatient\tNN\tB-NP\tO' -p182260 -aS'started\tstart\tVBD\tB-VP\tO' -p182261 -aS'having\thave\tVBG\tI-VP\tO' -p182262 -aS'episodes\tepisode\tNNS\tB-NP\tO' -p182263 -aS'of\tof\tIN\tB-PP\tO' -p182264 -aS'dizziness\tdizziness\tNN\tB-NP\tO' -p182265 -aS',\t,\t,\tO\tO' -p182266 -aS'and\tand\tCC\tO\tO' -p182267 -aS'had\thave\tVBD\tB-VP\tO' -p182268 -aS'unstable\tunstable\tJJ\tB-NP\tO' -p182269 -aS'gait\tgait\tNN\tI-NP\tO' -p182270 -aS'.\t.\t.\tO\tO' -p182271 -asS'The patient has a sinus tract that was studied with a fistulogram on December 25 , 1995 .' -p182272 -(lp182273 -S'The\tThe\tDT\tB-NP\tO' -p182274 -aS'patient\tpatient\tNN\tI-NP\tO' -p182275 -aS'has\thave\tVBZ\tB-VP\tO' -p182276 -aS'a\ta\tDT\tB-NP\tO' -p182277 -aS'sinus\tsinus\tNN\tI-NP\tO' -p182278 -aS'tract\ttract\tNN\tI-NP\tO' -p182279 -aS'that\tthat\tWDT\tB-NP\tO' -p182280 -aS'was\tbe\tVBD\tB-VP\tO' -p182281 -aS'studied\tstudy\tVBN\tI-VP\tO' -p182282 -aS'with\twith\tIN\tB-PP\tO' -p182283 -aS'a\ta\tDT\tB-NP\tO' -p182284 -aS'fistulogram\tfistulogram\tNN\tI-NP\tO' -p182285 -aS'on\ton\tIN\tB-PP\tO' -p182286 -aS'December\tDecember\tNNP\tB-NP\tO' -p182287 -aS'25\t25\tCD\tI-NP\tO' -p182288 -aS',\t,\t,\tI-NP\tO' -p182289 -aS'1995\t1995\tCD\tI-NP\tO' -p182290 -aS'.\t.\t.\tO\tO' -p182291 -asS'This was done , and the patient appeared to be comfortable at the time of death with his family at his side on 1/16/98 .' -p182292 -(lp182293 -S'This\tThis\tDT\tB-NP\tO' -p182294 -aS'was\tbe\tVBD\tB-VP\tO' -p182295 -aS'done\tdo\tVBN\tI-VP\tO' -p182296 -aS',\t,\t,\tO\tO' -p182297 -aS'and\tand\tCC\tO\tO' -p182298 -aS'the\tthe\tDT\tB-NP\tO' -p182299 -aS'patient\tpatient\tNN\tI-NP\tO' -p182300 -aS'appeared\tappear\tVBD\tB-VP\tO' -p182301 -aS'to\tto\tTO\tI-VP\tO' -p182302 -aS'be\tbe\tVB\tI-VP\tO' -p182303 -aS'comfortable\tcomfortable\tJJ\tB-ADJP\tO' -p182304 -aS'at\tat\tIN\tB-PP\tO' -p182305 -aS'the\tthe\tDT\tB-NP\tO' -p182306 -aS'time\ttime\tNN\tI-NP\tO' -p182307 -aS'of\tof\tIN\tB-PP\tO' -p182308 -aS'death\tdeath\tNN\tB-NP\tO' -p182309 -aS'with\twith\tIN\tB-PP\tO' -p182310 -aS'his\this\tPRP$\tB-NP\tO' -p182311 -aS'family\tfamily\tNN\tI-NP\tO' -p182312 -aS'at\tat\tIN\tB-PP\tO' -p182313 -aS'his\this\tPRP$\tB-NP\tO' -p182314 -aS'side\tside\tNN\tI-NP\tO' -p182315 -aS'on\ton\tIN\tB-PP\tO' -p182316 -aS'1/16/98\t1/16/98\tCD\tB-NP\tO' -p182317 -aS'.\t.\t.\tO\tO' -p182318 -asS'The patient gets hives to aspirin and tomatoes also cause her hives .' -p182319 -(lp182320 -S'The\tThe\tDT\tB-NP\tO' -p182321 -aS'patient\tpatient\tNN\tI-NP\tO' -p182322 -aS'gets\tget\tVBZ\tB-VP\tO' -p182323 -aS'hives\thive\tNNS\tB-NP\tO' -p182324 -aS'to\tto\tTO\tB-PP\tO' -p182325 -aS'aspirin\taspirin\tNN\tB-NP\tO' -p182326 -aS'and\tand\tCC\tO\tO' -p182327 -aS'tomatoes\ttomatoe\tVBZ\tB-VP\tO' -p182328 -aS'also\talso\tRB\tI-VP\tO' -p182329 -aS'cause\tcause\tVB\tI-VP\tO' -p182330 -aS'her\ther\tPRP$\tB-NP\tO' -p182331 -aS'hives\thive\tNNS\tI-NP\tO' -p182332 -aS'.\t.\t.\tO\tO' -p182333 -asS'NO KNOWN DRUG ALLERGIES .' -p182334 -(lp182335 -S'NO\tNO\tNNP\tB-NP\tO' -p182336 -aS'KNOWN\tKNOWN\tNNP\tI-NP\tO' -p182337 -aS'DRUG\tDRUG\tNNP\tI-NP\tO' -p182338 -aS'ALLERGIES\tALLERGIES\tNNP\tI-NP\tO' -p182339 -aS'.\t.\t.\tO\tO' -p182340 -asS'A PICC line was placed in his left antecubital fossa and on the day of New Years Eve he developed a fever of 102 and became lethargic .' -p182341 -(lp182342 -S'A\tA\tDT\tB-NP\tO' -p182343 -aS'PICC\tPICC\tNN\tI-NP\tB-cell_line' -p182344 -aS'line\tline\tNN\tI-NP\tI-cell_line' -p182345 -aS'was\tbe\tVBD\tB-VP\tO' -p182346 -aS'placed\tplace\tVBN\tI-VP\tO' -p182347 -aS'in\tin\tIN\tB-PP\tO' -p182348 -aS'his\this\tPRP$\tB-NP\tO' -p182349 -aS'left\tleft\tJJ\tI-NP\tO' -p182350 -aS'antecubital\tantecubital\tJJ\tI-NP\tO' -p182351 -aS'fossa\tfossa\tNN\tI-NP\tO' -p182352 -aS'and\tand\tCC\tB-PP\tO' -p182353 -aS'on\ton\tIN\tB-PP\tO' -p182354 -aS'the\tthe\tDT\tB-NP\tO' -p182355 -aS'day\tday\tNN\tI-NP\tO' -p182356 -aS'of\tof\tIN\tB-PP\tO' -p182357 -aS'New\tNew\tNNP\tB-NP\tO' -p182358 -aS'Years\tYears\tNNP\tI-NP\tO' -p182359 -aS'Eve\tEve\tNNP\tI-NP\tO' -p182360 -aS'he\the\tPRP\tB-NP\tO' -p182361 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p182362 -aS'a\ta\tDT\tB-NP\tO' -p182363 -aS'fever\tfever\tNN\tI-NP\tO' -p182364 -aS'of\tof\tIN\tB-PP\tO' -p182365 -aS'102\t102\tCD\tB-NP\tO' -p182366 -aS'and\tand\tCC\tO\tO' -p182367 -aS'became\tbecome\tVBD\tB-VP\tO' -p182368 -aS'lethargic\tlethargic\tJJ\tB-ADJP\tO' -p182369 -aS'.\t.\t.\tO\tO' -p182370 -asS'Signed electronically by : DR. Jennifer Green on : FRI 2017-09-01 1:04 PM' -p182371 -(lp182372 -S'Signed\tSign\tVBN\tB-VP\tO' -p182373 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p182374 -aS'by\tby\tIN\tB-PP\tO' -p182375 -aS':\t:\t:\tO\tO' -p182376 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p182377 -aS'Jennifer\tJennifer\tNNP\tI-NP\tO' -p182378 -aS'Green\tGreen\tNNP\tI-NP\tO' -p182379 -aS'on\ton\tIN\tB-PP\tO' -p182380 -aS':\t:\t:\tO\tO' -p182381 -aS'FRI\tFRI\tCD\tB-NP\tO' -p182382 -aS'2017-09-01\t2017-09-01\tCD\tI-NP\tO' -p182383 -aS'1:04\t1:04\tCD\tI-NP\tO' -p182384 -aS'PM\tPM\tNN\tI-NP\tO' -p182385 -asS'He had 2+ femoral pulses bilaterally .' -p182386 -(lp182387 -S'He\tHe\tPRP\tB-NP\tO' -p182388 -aS'had\thave\tVBD\tB-VP\tO' -p182389 -aS'2+\t2+\tJJ\tB-NP\tO' -p182390 -aS'femoral\tfemoral\tJJ\tI-NP\tO' -p182391 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p182392 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p182393 -aS'.\t.\t.\tO\tO' -p182394 -asS'Right pupil ERRL .' -p182395 -(lp182396 -S'Right\tRight\tNN\tB-NP\tO' -p182397 -aS'pupil\tpupil\tNN\tI-NP\tO' -p182398 -aS'ERRL\tERRL\tNN\tI-NP\tO' -p182399 -aS'.\t.\t.\tO\tO' -p182400 -asS'Trazodone stopped .' -p182401 -(lp182402 -S'Trazodone\tTrazodone\tNN\tB-NP\tO' -p182403 -aS'stopped\tstop\tVBD\tB-VP\tO' -p182404 -aS'.\t.\t.\tO\tO' -p182405 -asS"Patient 's weight on admission was 250 pounds , and on the day of discharge was 244 pounds which was back to her dry weight ." -p182406 -(lp182407 -S'Patient\tPatient\tNN\tB-NP\tO' -p182408 -aS"'s\t's\tPOS\tB-NP\tO" -p182409 -aS'weight\tweight\tNN\tI-NP\tO' -p182410 -aS'on\ton\tIN\tB-PP\tO' -p182411 -aS'admission\tadmission\tNN\tB-NP\tO' -p182412 -aS'was\tbe\tVBD\tB-VP\tO' -p182413 -aS'250\t250\tCD\tB-NP\tO' -p182414 -aS'pounds\tpound\tNNS\tI-NP\tO' -p182415 -aS',\t,\t,\tO\tO' -p182416 -aS'and\tand\tCC\tO\tO' -p182417 -aS'on\ton\tIN\tB-PP\tO' -p182418 -aS'the\tthe\tDT\tB-NP\tO' -p182419 -aS'day\tday\tNN\tI-NP\tO' -p182420 -aS'of\tof\tIN\tB-PP\tO' -p182421 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p182422 -aS'was\tbe\tVBD\tB-VP\tO' -p182423 -aS'244\t244\tCD\tB-NP\tO' -p182424 -aS'pounds\tpound\tNNS\tI-NP\tO' -p182425 -aS'which\twhich\tWDT\tB-NP\tO' -p182426 -aS'was\tbe\tVBD\tB-VP\tO' -p182427 -aS'back\tback\tRB\tB-ADVP\tO' -p182428 -aS'to\tto\tTO\tB-PP\tO' -p182429 -aS'her\ther\tPRP$\tB-NP\tO' -p182430 -aS'dry\tdry\tJJ\tI-NP\tO' -p182431 -aS'weight\tweight\tNN\tI-NP\tO' -p182432 -aS'.\t.\t.\tO\tO' -p182433 -asS'His white blood count was 7100 , hematocrit 35.9 , platelet count 258,000 .' -p182434 -(lp182435 -S'His\tHis\tPRP$\tB-NP\tO' -p182436 -aS'white\twhite\tJJ\tI-NP\tO' -p182437 -aS'blood\tblood\tNN\tI-NP\tO' -p182438 -aS'count\tcount\tNN\tI-NP\tO' -p182439 -aS'was\tbe\tVBD\tB-VP\tO' -p182440 -aS'7100\t7100\tCD\tB-NP\tO' -p182441 -aS',\t,\t,\tO\tO' -p182442 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p182443 -aS'35.9\t35.9\tCD\tI-NP\tI-protein' -p182444 -aS',\t,\t,\tO\tO' -p182445 -aS'platelet\tplatelet\tNN\tB-NP\tB-protein' -p182446 -aS'count\tcount\tNN\tI-NP\tI-protein' -p182447 -aS'258,000\t258,000\tCD\tI-NP\tI-protein' -p182448 -aS'.\t.\t.\tO\tO' -p182449 -asS'Signed electronically by : DR. Exie Culbreath on : MON 2013-11-18 10:06 AM' -p182450 -(lp182451 -S'Signed\tSign\tVBN\tB-VP\tO' -p182452 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p182453 -aS'by\tby\tIN\tB-PP\tO' -p182454 -aS':\t:\t:\tO\tO' -p182455 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p182456 -aS'Exie\tExie\tNNP\tI-NP\tO' -p182457 -aS'Culbreath\tCulbreath\tNNP\tI-NP\tO' -p182458 -aS'on\ton\tIN\tB-PP\tO' -p182459 -aS':\t:\t:\tO\tO' -p182460 -aS'MON\tMON\tNN\tB-NP\tO' -p182461 -aS'2013-11-18\t2013-11-18\tCD\tI-NP\tO' -p182462 -aS'10:06\t10:06\tCD\tI-NP\tO' -p182463 -aS'AM\tAM\tNN\tI-NP\tO' -p182464 -asS'Her varices had stigmata of recent bleeding , were banded successfully .' -p182465 -(lp182466 -S'Her\tHer\tPRP$\tB-NP\tO' -p182467 -aS'varices\tvarix\tNNS\tI-NP\tO' -p182468 -aS'had\thave\tVBD\tB-VP\tO' -p182469 -aS'stigmata\tstigma\tNNS\tB-NP\tO' -p182470 -aS'of\tof\tIN\tB-PP\tO' -p182471 -aS'recent\trecent\tJJ\tB-NP\tO' -p182472 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p182473 -aS',\t,\t,\tO\tO' -p182474 -aS'were\tbe\tVBD\tB-VP\tO' -p182475 -aS'banded\tband\tVBN\tI-VP\tO' -p182476 -aS'successfully\tsuccessfully\tRB\tB-ADVP\tO' -p182477 -aS'.\t.\t.\tO\tO' -p182478 -asS'The patient had no evidence for weakness on examination with good proximal and distal strength in the lower extremities as well as intact sensation .' -p182479 -(lp182480 -S'The\tThe\tDT\tB-NP\tO' -p182481 -aS'patient\tpatient\tNN\tI-NP\tO' -p182482 -aS'had\thave\tVBD\tB-VP\tO' -p182483 -aS'no\tno\tDT\tB-NP\tO' -p182484 -aS'evidence\tevidence\tNN\tI-NP\tO' -p182485 -aS'for\tfor\tIN\tB-PP\tO' -p182486 -aS'weakness\tweakness\tNN\tB-NP\tO' -p182487 -aS'on\ton\tIN\tB-PP\tO' -p182488 -aS'examination\texamination\tNN\tB-NP\tO' -p182489 -aS'with\twith\tIN\tB-PP\tO' -p182490 -aS'good\tgood\tJJ\tB-NP\tO' -p182491 -aS'proximal\tproximal\tJJ\tI-NP\tO' -p182492 -aS'and\tand\tCC\tI-NP\tO' -p182493 -aS'distal\tdistal\tJJ\tI-NP\tO' -p182494 -aS'strength\tstrength\tNN\tI-NP\tO' -p182495 -aS'in\tin\tIN\tB-PP\tO' -p182496 -aS'the\tthe\tDT\tB-NP\tO' -p182497 -aS'lower\tlow\tJJR\tI-NP\tO' -p182498 -aS'extremities\textremity\tNNS\tI-NP\tO' -p182499 -aS'as\tas\tRB\tB-CONJP\tO' -p182500 -aS'well\twell\tRB\tI-CONJP\tO' -p182501 -aS'as\tas\tIN\tI-CONJP\tO' -p182502 -aS'intact\tintact\tJJ\tB-NP\tO' -p182503 -aS'sensation\tsensation\tNN\tI-NP\tO' -p182504 -aS'.\t.\t.\tO\tO' -p182505 -asS'She remained hemodynamically stable with good UOP in the setting of being started on abx and stress dose steroids .' -p182506 -(lp182507 -S'She\tShe\tPRP\tB-NP\tO' -p182508 -aS'remained\tremain\tVBD\tB-VP\tO' -p182509 -aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' -p182510 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p182511 -aS'with\twith\tIN\tB-PP\tO' -p182512 -aS'good\tgood\tJJ\tB-NP\tO' -p182513 -aS'UOP\tUOP\tNN\tI-NP\tO' -p182514 -aS'in\tin\tIN\tB-PP\tO' -p182515 -aS'the\tthe\tDT\tB-NP\tO' -p182516 -aS'setting\tsetting\tNN\tI-NP\tO' -p182517 -aS'of\tof\tIN\tB-PP\tO' -p182518 -aS'being\tbe\tVBG\tB-VP\tO' -p182519 -aS'started\tstart\tVBN\tI-VP\tO' -p182520 -aS'on\ton\tIN\tB-PP\tO' -p182521 -aS'abx\tabx\tNN\tB-NP\tO' -p182522 -aS'and\tand\tCC\tI-NP\tO' -p182523 -aS'stress\tstress\tNN\tI-NP\tO' -p182524 -aS'dose\tdose\tNN\tI-NP\tO' -p182525 -aS'steroids\tsteroid\tNNS\tI-NP\tO' -p182526 -aS'.\t.\t.\tO\tO' -p182527 -asS'Mr. Roach was transported to Intensive Care Unit from the trauma bay .' -p182528 -(lp182529 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p182530 -aS'Roach\tRoach\tNNP\tI-NP\tO' -p182531 -aS'was\tbe\tVBD\tB-VP\tO' -p182532 -aS'transported\ttransport\tVBN\tI-VP\tO' -p182533 -aS'to\tto\tTO\tB-PP\tO' -p182534 -aS'Intensive\tIntensive\tJJ\tB-NP\tO' -p182535 -aS'Care\tCare\tNNP\tI-NP\tO' -p182536 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p182537 -aS'from\tfrom\tIN\tB-PP\tO' -p182538 -aS'the\tthe\tDT\tB-NP\tO' -p182539 -aS'trauma\ttrauma\tNN\tI-NP\tO' -p182540 -aS'bay\tbay\tNN\tI-NP\tO' -p182541 -aS'.\t.\t.\tO\tO' -p182542 -asS'The patient was conscious on the scene when evaluated by EMT 's but at the scene , the patient was apparently paraplegic below the umbilicus with absence of movement and sensation below the umbilicus .' -p182543 -(lp182544 -S'The\tThe\tDT\tB-NP\tO' -p182545 -aS'patient\tpatient\tNN\tI-NP\tO' -p182546 -aS'was\tbe\tVBD\tB-VP\tO' -p182547 -aS'conscious\tconscious\tJJ\tB-ADJP\tO' -p182548 -aS'on\ton\tIN\tB-PP\tO' -p182549 -aS'the\tthe\tDT\tB-NP\tO' -p182550 -aS'scene\tscene\tNN\tI-NP\tO' -p182551 -aS'when\twhen\tWRB\tB-ADVP\tO' -p182552 -aS'evaluated\tevaluate\tVBN\tB-VP\tO' -p182553 -aS'by\tby\tIN\tB-PP\tO' -p182554 -aS'EMT\tEMT\tNN\tB-NP\tB-protein' -p182555 -aS''s\t'\tNNS\tI-NP\tI-protein' -p182556 -aS'but\tbut\tCC\tB-PP\tO' -p182557 -aS'at\tat\tIN\tB-PP\tO' -p182558 -aS'the\tthe\tDT\tB-NP\tO' -p182559 -aS'scene\tscene\tNN\tI-NP\tO' -p182560 -aS',\t,\t,\tO\tO' -p182561 -aS'the\tthe\tDT\tB-NP\tO' -p182562 -aS'patient\tpatient\tNN\tI-NP\tO' -p182563 -aS'was\tbe\tVBD\tB-VP\tO' -p182564 -aS'apparently\tapparently\tRB\tB-ADJP\tO' -p182565 -aS'paraplegic\tparaplegic\tJJ\tI-ADJP\tO' -p182566 -aS'below\tbelow\tIN\tB-PP\tO' -p182567 -aS'the\tthe\tDT\tB-NP\tO' -p182568 -aS'umbilicus\tumbilicus\tNN\tI-NP\tO' -p182569 -aS'with\twith\tIN\tB-PP\tO' -p182570 -aS'absence\tabsence\tNN\tB-NP\tO' -p182571 -aS'of\tof\tIN\tB-PP\tO' -p182572 -aS'movement\tmovement\tNN\tB-NP\tO' -p182573 -aS'and\tand\tCC\tI-NP\tO' -p182574 -aS'sensation\tsensation\tNN\tI-NP\tO' -p182575 -aS'below\tbelow\tIN\tB-PP\tO' -p182576 -aS'the\tthe\tDT\tB-NP\tO' -p182577 -aS'umbilicus\tumbilicus\tNN\tI-NP\tO' -p182578 -aS'.\t.\t.\tO\tO' -p182579 -asS'TECHNIQUE : Axial MDCT images of the cervical spine with coronal and sagittal reformats without IV contrast .' -p182580 -(lp182581 -S'TECHNIQUE\tTECHNIQUE\tNN\tB-NP\tO' -p182582 -aS':\t:\t:\tO\tO' -p182583 -aS'Axial\tAxial\tJJ\tB-NP\tO' -p182584 -aS'MDCT\tMDCT\tNN\tI-NP\tO' -p182585 -aS'images\timage\tNNS\tI-NP\tO' -p182586 -aS'of\tof\tIN\tB-PP\tO' -p182587 -aS'the\tthe\tDT\tB-NP\tO' -p182588 -aS'cervical\tcervical\tJJ\tI-NP\tO' -p182589 -aS'spine\tspine\tNN\tI-NP\tO' -p182590 -aS'with\twith\tIN\tB-PP\tO' -p182591 -aS'coronal\tcoronal\tJJ\tB-NP\tO' -p182592 -aS'and\tand\tCC\tI-NP\tO' -p182593 -aS'sagittal\tsagittal\tJJ\tI-NP\tO' -p182594 -aS'reformats\treformat\tNNS\tI-NP\tO' -p182595 -aS'without\twithout\tIN\tB-PP\tO' -p182596 -aS'IV\tIV\tCD\tB-NP\tO' -p182597 -aS'contrast\tcontrast\tNN\tI-NP\tO' -p182598 -aS'.\t.\t.\tO\tO' -p182599 -asS'She will have follow-up with Dr. Lako Coma .' -p182600 -(lp182601 -S'She\tShe\tPRP\tB-NP\tO' -p182602 -aS'will\twill\tMD\tB-VP\tO' -p182603 -aS'have\thave\tVB\tI-VP\tO' -p182604 -aS'follow-up\tfollow-up\tNN\tB-NP\tO' -p182605 -aS'with\twith\tIN\tB-PP\tO' -p182606 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p182607 -aS'Lako\tLako\tNNP\tI-NP\tO' -p182608 -aS'Coma\tComa\tNNP\tI-NP\tO' -p182609 -aS'.\t.\t.\tO\tO' -p182610 -asS'Gastrointestinal : Her initial CT scan showed dilated Turner colon , wall thickening and pneumatosis see pertinent results .' -p182611 -(lp182612 -S'Gastrointestinal\tGastrointestinal\tJJ\tB-ADJP\tO' -p182613 -aS':\t:\t:\tO\tO' -p182614 -aS'Her\tHer\tPRP$\tB-NP\tO' -p182615 -aS'initial\tinitial\tJJ\tI-NP\tO' -p182616 -aS'CT\tCT\tNN\tI-NP\tO' -p182617 -aS'scan\tscan\tNN\tI-NP\tO' -p182618 -aS'showed\tshow\tVBD\tB-VP\tO' -p182619 -aS'dilated\tdilate\tVBN\tI-VP\tO' -p182620 -aS'Turner\tTurner\tNNP\tB-NP\tO' -p182621 -aS'colon\tcolon\tNN\tI-NP\tO' -p182622 -aS',\t,\t,\tO\tO' -p182623 -aS'wall\twall\tNN\tB-NP\tO' -p182624 -aS'thickening\tthickening\tNN\tI-NP\tO' -p182625 -aS'and\tand\tCC\tI-NP\tO' -p182626 -aS'pneumatosis\tpneumatosis\tNN\tI-NP\tO' -p182627 -aS'see\tsee\tVBP\tB-VP\tO' -p182628 -aS'pertinent\tpertinent\tJJ\tB-NP\tO' -p182629 -aS'results\tresult\tNNS\tI-NP\tO' -p182630 -aS'.\t.\t.\tO\tO' -p182631 -asS'Asthma .' -p182632 -(lp182633 -S'Asthma\tAsthma\tNN\tB-NP\tO' -p182634 -aS'.\t.\t.\tO\tO' -p182635 -asS'1. Lipitor 40 mg po every day .' -p182636 -(lp182637 -S'1.\t1.\tLS\tB-NP\tO' -p182638 -aS'Lipitor\tLipitor\tNNP\tI-NP\tO' -p182639 -aS'40\t40\tCD\tI-NP\tO' -p182640 -aS'mg\tmg\tNN\tI-NP\tO' -p182641 -aS'po\tpo\tRB\tB-ADVP\tO' -p182642 -aS'every\tevery\tDT\tB-NP\tO' -p182643 -aS'day\tday\tNN\tI-NP\tO' -p182644 -aS'.\t.\t.\tO\tO' -p182645 -asS'Advised to contact Pain service for repeat injections , F / U with Neurology , explore PT , massage therapy .' -p182646 -(lp182647 -S'Advised\tAdvise\tVBN\tB-VP\tO' -p182648 -aS'to\tto\tTO\tB-VP\tO' -p182649 -aS'contact\tcontact\tVB\tI-VP\tO' -p182650 -aS'Pain\tPain\tNNP\tB-NP\tO' -p182651 -aS'service\tservice\tNN\tI-NP\tO' -p182652 -aS'for\tfor\tIN\tB-PP\tO' -p182653 -aS'repeat\trepeat\tNN\tB-NP\tO' -p182654 -aS'injections\tinjection\tNNS\tI-NP\tO' -p182655 -aS',\t,\t,\tO\tO' -p182656 -aS'F\tF\tNN\tB-NP\tO' -p182657 -aS'/\t/\tSYM\tO\tO' -p182658 -aS'U\tU\tNN\tB-NP\tO' -p182659 -aS'with\twith\tIN\tB-PP\tO' -p182660 -aS'Neurology\tNeurology\tNNP\tB-NP\tO' -p182661 -aS',\t,\t,\tO\tO' -p182662 -aS'explore\texplore\tNN\tB-NP\tO' -p182663 -aS'PT\tPT\tNN\tI-NP\tO' -p182664 -aS',\t,\t,\tO\tO' -p182665 -aS'massage\tmassage\tNN\tB-NP\tO' -p182666 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p182667 -aS'.\t.\t.\tO\tO' -p182668 -asS'She also had some modest anemia , at the time of discharge her hematocrit was 30.9 .' -p182669 -(lp182670 -S'She\tShe\tPRP\tB-NP\tO' -p182671 -aS'also\talso\tRB\tB-ADVP\tO' -p182672 -aS'had\thave\tVBD\tB-VP\tO' -p182673 -aS'some\tsome\tDT\tB-NP\tO' -p182674 -aS'modest\tmodest\tJJ\tI-NP\tO' -p182675 -aS'anemia\tanemia\tNN\tI-NP\tO' -p182676 -aS',\t,\t,\tO\tO' -p182677 -aS'at\tat\tIN\tB-PP\tO' -p182678 -aS'the\tthe\tDT\tB-NP\tO' -p182679 -aS'time\ttime\tNN\tI-NP\tO' -p182680 -aS'of\tof\tIN\tB-PP\tO' -p182681 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p182682 -aS'her\ther\tPRP$\tB-NP\tO' -p182683 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p182684 -aS'was\tbe\tVBD\tB-VP\tO' -p182685 -aS'30.9\t30.9\tCD\tB-NP\tO' -p182686 -aS'.\t.\t.\tO\tO' -p182687 -asS'It was tested with no voluntary movement except at the finger tips .' -p182688 -(lp182689 -S'It\tIt\tPRP\tB-NP\tO' -p182690 -aS'was\tbe\tVBD\tB-VP\tO' -p182691 -aS'tested\ttest\tVBN\tI-VP\tO' -p182692 -aS'with\twith\tIN\tB-PP\tO' -p182693 -aS'no\tno\tDT\tB-NP\tO' -p182694 -aS'voluntary\tvoluntary\tJJ\tI-NP\tO' -p182695 -aS'movement\tmovement\tNN\tI-NP\tO' -p182696 -aS'except\texcept\tIN\tB-PP\tO' -p182697 -aS'at\tat\tIN\tB-PP\tO' -p182698 -aS'the\tthe\tDT\tB-NP\tO' -p182699 -aS'finger\tfinger\tNN\tI-NP\tO' -p182700 -aS'tips\ttip\tNNS\tI-NP\tO' -p182701 -aS'.\t.\t.\tO\tO' -p182702 -asS'Please refer to the previously dictated operative notes for the details of this surgery .' -p182703 -(lp182704 -S'Please\tPlease\tNN\tB-NP\tB-protein' -p182705 -aS'refer\trefer\tVBP\tB-VP\tO' -p182706 -aS'to\tto\tTO\tB-PP\tO' -p182707 -aS'the\tthe\tDT\tB-NP\tO' -p182708 -aS'previously\tpreviously\tRB\tI-NP\tO' -p182709 -aS'dictated\tdictate\tVBN\tI-NP\tO' -p182710 -aS'operative\toperative\tJJ\tI-NP\tO' -p182711 -aS'notes\tnote\tNNS\tI-NP\tO' -p182712 -aS'for\tfor\tIN\tB-PP\tO' -p182713 -aS'the\tthe\tDT\tB-NP\tO' -p182714 -aS'details\tdetail\tNNS\tI-NP\tO' -p182715 -aS'of\tof\tIN\tB-PP\tO' -p182716 -aS'this\tthis\tDT\tB-NP\tO' -p182717 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p182718 -aS'.\t.\t.\tO\tO' -p182719 -asS'There was no purulence or discharge noted .' -p182720 -(lp182721 -S'There\tThere\tEX\tB-NP\tO' -p182722 -aS'was\tbe\tVBD\tB-VP\tO' -p182723 -aS'no\tno\tDT\tB-NP\tO' -p182724 -aS'purulence\tpurulence\tNN\tI-NP\tO' -p182725 -aS'or\tor\tCC\tI-NP\tO' -p182726 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p182727 -aS'noted\tnote\tVBD\tB-VP\tO' -p182728 -aS'.\t.\t.\tO\tO' -p182729 -asS'In addition , she has some dysphagia , particularly has had some difficulties with swallowing .' -p182730 -(lp182731 -S'In\tIn\tIN\tB-PP\tO' -p182732 -aS'addition\taddition\tNN\tB-NP\tO' -p182733 -aS',\t,\t,\tO\tO' -p182734 -aS'she\tshe\tPRP\tB-NP\tO' -p182735 -aS'has\thave\tVBZ\tB-VP\tO' -p182736 -aS'some\tsome\tDT\tB-NP\tO' -p182737 -aS'dysphagia\tdysphagia\tNN\tI-NP\tO' -p182738 -aS',\t,\t,\tO\tO' -p182739 -aS'particularly\tparticularly\tRB\tB-ADVP\tO' -p182740 -aS'has\thave\tVBZ\tB-VP\tO' -p182741 -aS'had\thave\tVBN\tI-VP\tO' -p182742 -aS'some\tsome\tDT\tB-NP\tO' -p182743 -aS'difficulties\tdifficulty\tNNS\tI-NP\tO' -p182744 -aS'with\twith\tIN\tB-PP\tO' -p182745 -aS'swallowing\tswallow\tVBG\tB-NP\tO' -p182746 -aS'.\t.\t.\tO\tO' -p182747 -asS'She was discharged with PO Keflex that she was to take for the next ten days .' -p182748 -(lp182749 -S'She\tShe\tPRP\tB-NP\tO' -p182750 -aS'was\tbe\tVBD\tB-VP\tO' -p182751 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p182752 -aS'with\twith\tIN\tB-PP\tO' -p182753 -aS'PO\tPO\tNNP\tB-NP\tO' -p182754 -aS'Keflex\tKeflex\tNNP\tI-NP\tO' -p182755 -aS'that\tthat\tIN\tB-SBAR\tO' -p182756 -aS'she\tshe\tPRP\tB-NP\tO' -p182757 -aS'was\tbe\tVBD\tB-VP\tO' -p182758 -aS'to\tto\tTO\tB-VP\tO' -p182759 -aS'take\ttake\tVB\tI-VP\tO' -p182760 -aS'for\tfor\tIN\tB-PP\tO' -p182761 -aS'the\tthe\tDT\tB-NP\tO' -p182762 -aS'next\tnext\tJJ\tI-NP\tO' -p182763 -aS'ten\tten\tCD\tI-NP\tO' -p182764 -aS'days\tday\tNNS\tI-NP\tO' -p182765 -aS'.\t.\t.\tO\tO' -p182766 -asS'Denies fevers , pleuritic chest pain or cough .' -p182767 -(lp182768 -S'Denies\tDeny\tNNS\tB-NP\tO' -p182769 -aS'fevers\tfever\tNNS\tI-NP\tO' -p182770 -aS',\t,\t,\tO\tO' -p182771 -aS'pleuritic\tpleuritic\tJJ\tB-NP\tO' -p182772 -aS'chest\tchest\tNN\tI-NP\tO' -p182773 -aS'pain\tpain\tNN\tI-NP\tO' -p182774 -aS'or\tor\tCC\tI-NP\tO' -p182775 -aS'cough\tcough\tNN\tI-NP\tO' -p182776 -aS'.\t.\t.\tO\tO' -p182777 -asS'Include Librax 1 PO before meals , Pancrease 2 tabs before meals , Synthroid 0.125 mg PO qd .' -p182778 -(lp182779 -S'Include\tInclude\tNN\tB-NP\tO' -p182780 -aS'Librax\tLibrax\tNN\tI-NP\tO' -p182781 -aS'1\t1\tCD\tI-NP\tO' -p182782 -aS'PO\tPO\tNN\tI-NP\tO' -p182783 -aS'before\tbefore\tIN\tB-PP\tO' -p182784 -aS'meals\tmeal\tNNS\tB-NP\tO' -p182785 -aS',\t,\t,\tO\tO' -p182786 -aS'Pancrease\tPancrease\tNN\tB-NP\tB-protein' -p182787 -aS'2\t2\tCD\tB-NP\tI-protein' -p182788 -aS'tabs\ttab\tNNS\tI-NP\tI-protein' -p182789 -aS'before\tbefore\tIN\tB-PP\tO' -p182790 -aS'meals\tmeal\tNNS\tB-NP\tO' -p182791 -aS',\t,\t,\tO\tO' -p182792 -aS'Synthroid\tSynthroid\tJJ\tB-NP\tO' -p182793 -aS'0.125\t0.125\tCD\tI-NP\tO' -p182794 -aS'mg\tmg\tNN\tI-NP\tO' -p182795 -aS'PO\tPO\tNN\tI-NP\tO' -p182796 -aS'qd\tqd\tNN\tI-NP\tO' -p182797 -aS'.\t.\t.\tO\tO' -p182798 -asS'4. Rule out myocardial infarction .' -p182799 -(lp182800 -S'4.\t4.\tLS\tB-LST\tO' -p182801 -aS'Rule\tRule\tNNP\tB-NP\tO' -p182802 -aS'out\tout\tIN\tB-PP\tO' -p182803 -aS'myocardial\tmyocardial\tJJ\tB-NP\tO' -p182804 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p182805 -aS'.\t.\t.\tO\tO' -p182806 -asS'father with ? Mi at unknown age' -p182807 -(lp182808 -S'father\tfather\tVB\tB-VP\tO' -p182809 -aS'with\twith\tIN\tB-PP\tO' -p182810 -aS'?\t?\t.\tO\tB-DNA' -p182811 -aS'Mi\tMi\tNNP\tB-NP\tI-DNA' -p182812 -aS'at\tat\tIN\tB-PP\tO' -p182813 -aS'unknown\tunknown\tJJ\tB-NP\tO' -p182814 -aS'age\tage\tNN\tI-NP\tO' -p182815 -asS'Also , three years prior in 1993 , she had an attack of diverticulitis .' -p182816 -(lp182817 -S'Also\tAlso\tRB\tB-ADVP\tO' -p182818 -aS',\t,\t,\tO\tO' -p182819 -aS'three\tthree\tCD\tB-NP\tO' -p182820 -aS'years\tyear\tNNS\tI-NP\tO' -p182821 -aS'prior\tprior\tRB\tB-ADVP\tO' -p182822 -aS'in\tin\tIN\tB-PP\tO' -p182823 -aS'1993\t1993\tCD\tB-NP\tO' -p182824 -aS',\t,\t,\tO\tO' -p182825 -aS'she\tshe\tPRP\tB-NP\tO' -p182826 -aS'had\thave\tVBD\tB-VP\tO' -p182827 -aS'an\tan\tDT\tB-NP\tO' -p182828 -aS'attack\tattack\tNN\tI-NP\tO' -p182829 -aS'of\tof\tIN\tB-PP\tO' -p182830 -aS'diverticulitis\tdiverticulitis\tNN\tB-NP\tO' -p182831 -aS'.\t.\t.\tO\tO' -p182832 -asS'Relatively unknown other than Lipitor .' -p182833 -(lp182834 -S'Relatively\tRelatively\tRB\tB-NP\tO' -p182835 -aS'unknown\tunknown\tJJ\tI-NP\tO' -p182836 -aS'other\tother\tJJ\tB-ADJP\tO' -p182837 -aS'than\tthan\tIN\tB-PP\tO' -p182838 -aS'Lipitor\tLipitor\tNN\tB-NP\tO' -p182839 -aS'.\t.\t.\tO\tO' -p182840 -asS'At 9/7/93 at 5:00 a.m. , sodium bicarbonate given 60 mEq , calcium bolus 10 cc's given .' -p182841 -(lp182842 -S'At\tAt\tIN\tB-PP\tO' -p182843 -aS'9/7/93\t9/7/93\tCD\tB-NP\tO' -p182844 -aS'at\tat\tIN\tB-PP\tO' -p182845 -aS'5:00\t5:00\tCD\tB-NP\tO' -p182846 -aS'a.m.\ta.m.\tNN\tI-NP\tO' -p182847 -aS',\t,\t,\tO\tO' -p182848 -aS'sodium\tsodium\tNN\tB-NP\tB-protein' -p182849 -aS'bicarbonate\tbicarbonate\tNN\tI-NP\tI-protein' -p182850 -aS'given\tgive\tVBN\tB-VP\tI-protein' -p182851 -aS'60\t60\tCD\tB-NP\tI-protein' -p182852 -aS'mEq\tmEq\tNN\tI-NP\tI-protein' -p182853 -aS',\t,\t,\tO\tO' -p182854 -aS'calcium\tcalcium\tNN\tB-NP\tB-protein' -p182855 -aS'bolus\tbolus\tNN\tI-NP\tI-protein' -p182856 -aS'10\t10\tCD\tB-NP\tI-protein' -p182857 -aS'cc's\tcc'\tNNS\tI-NP\tI-protein' -p182858 -aS'given\tgive\tVBN\tB-VP\tO' -p182859 -aS'.\t.\t.\tO\tO' -p182860 -asS'Diastolic rumble at the apex .' -p182861 -(lp182862 -S'Diastolic\tDiastolic\tJJ\tB-NP\tO' -p182863 -aS'rumble\trumble\tNN\tI-NP\tO' -p182864 -aS'at\tat\tIN\tB-PP\tO' -p182865 -aS'the\tthe\tDT\tB-NP\tO' -p182866 -aS'apex\tapex\tNN\tI-NP\tO' -p182867 -aS'.\t.\t.\tO\tO' -p182868 -asS'She was seen by Psychiatry at the outside hospital , but noted there was no psychoses , but delirium .' -p182869 -(lp182870 -S'She\tShe\tPRP\tB-NP\tO' -p182871 -aS'was\tbe\tVBD\tB-VP\tO' -p182872 -aS'seen\tsee\tVBN\tI-VP\tO' -p182873 -aS'by\tby\tIN\tB-PP\tO' -p182874 -aS'Psychiatry\tPsychiatry\tNN\tB-NP\tO' -p182875 -aS'at\tat\tIN\tB-PP\tO' -p182876 -aS'the\tthe\tDT\tB-NP\tO' -p182877 -aS'outside\toutside\tJJ\tI-NP\tO' -p182878 -aS'hospital\thospital\tNN\tI-NP\tO' -p182879 -aS',\t,\t,\tO\tO' -p182880 -aS'but\tbut\tCC\tO\tO' -p182881 -aS'noted\tnote\tVBD\tB-VP\tO' -p182882 -aS'there\tthere\tEX\tB-NP\tO' -p182883 -aS'was\tbe\tVBD\tB-VP\tO' -p182884 -aS'no\tno\tDT\tB-NP\tO' -p182885 -aS'psychoses\tpsychos\tNNS\tI-NP\tO' -p182886 -aS',\t,\t,\tO\tO' -p182887 -aS'but\tbut\tCC\tO\tO' -p182888 -aS'delirium\tdelirium\tNN\tB-NP\tO' -p182889 -aS'.\t.\t.\tO\tO' -p182890 -asS'ANA results were also nonsuggestive .' -p182891 -(lp182892 -S'ANA\tANA\tNN\tB-NP\tO' -p182893 -aS'results\tresult\tNNS\tI-NP\tO' -p182894 -aS'were\tbe\tVBD\tB-VP\tO' -p182895 -aS'also\talso\tRB\tB-ADVP\tO' -p182896 -aS'nonsuggestive\tnonsuggestive\tJJ\tB-ADJP\tO' -p182897 -aS'.\t.\t.\tO\tO' -p182898 -asS'9. Albuterol Sulfate 0.083 % Solution Sig : One ( 1 ) puff Inhalation Q6H ( every 6 hours ) as needed for shortness of breath or wheezing .' -p182899 -(lp182900 -S'9.\t9.\tLS\tB-NP\tO' -p182901 -aS'Albuterol\tAlbuterol\tNNP\tI-NP\tO' -p182902 -aS'Sulfate\tSulfate\tNNP\tI-NP\tO' -p182903 -aS'0.083\t0.083\tCD\tI-NP\tO' -p182904 -aS'%\t%\tNN\tI-NP\tO' -p182905 -aS'Solution\tSolution\tNNP\tI-NP\tO' -p182906 -aS'Sig\tSig\tNNP\tI-NP\tO' -p182907 -aS':\t:\t:\tO\tO' -p182908 -aS'One\tOne\tCD\tB-NP\tO' -p182909 -aS'(\t(\t(\tO\tO' -p182910 -aS'1\t1\tCD\tB-NP\tO' -p182911 -aS')\t)\t)\tO\tO' -p182912 -aS'puff\tpuff\tNN\tB-NP\tO' -p182913 -aS'Inhalation\tInhalation\tNN\tI-NP\tO' -p182914 -aS'Q6H\tQ6H\tNN\tI-NP\tO' -p182915 -aS'(\t(\t(\tO\tO' -p182916 -aS'every\tevery\tDT\tB-NP\tO' -p182917 -aS'6\t6\tCD\tI-NP\tO' -p182918 -aS'hours\thour\tNNS\tI-NP\tO' -p182919 -aS')\t)\t)\tO\tO' -p182920 -aS'as\tas\tIN\tB-SBAR\tO' -p182921 -aS'needed\tneed\tVBN\tB-VP\tO' -p182922 -aS'for\tfor\tIN\tB-PP\tO' -p182923 -aS'shortness\tshortness\tNN\tB-NP\tO' -p182924 -aS'of\tof\tIN\tB-PP\tO' -p182925 -aS'breath\tbreath\tNN\tB-NP\tO' -p182926 -aS'or\tor\tCC\tI-NP\tO' -p182927 -aS'wheezing\twheezing\tNN\tI-NP\tO' -p182928 -aS'.\t.\t.\tO\tO' -p182929 -asS'Chem-7 notable for potassium of 3.2 and bicarbonate of 30 .' -p182930 -(lp182931 -S'Chem-7\tChem-7\tNN\tB-NP\tO' -p182932 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p182933 -aS'for\tfor\tIN\tB-PP\tO' -p182934 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p182935 -aS'of\tof\tIN\tB-PP\tO' -p182936 -aS'3.2\t3.2\tCD\tB-NP\tO' -p182937 -aS'and\tand\tCC\tO\tO' -p182938 -aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' -p182939 -aS'of\tof\tIN\tB-PP\tO' -p182940 -aS'30\t30\tCD\tB-NP\tO' -p182941 -aS'.\t.\t.\tO\tO' -p182942 -asS'Electrocardiogram showed sinus tachycardia at 115 with a normal axis , intermittent Q wave in III; a wavy baseline .' -p182943 -(lp182944 -S'Electrocardiogram\tElectrocardiogram\tNN\tB-NP\tO' -p182945 -aS'showed\tshow\tVBD\tB-VP\tO' -p182946 -aS'sinus\tsinus\tNN\tB-NP\tO' -p182947 -aS'tachycardia\ttachycardia\tNN\tI-NP\tO' -p182948 -aS'at\tat\tIN\tB-PP\tO' -p182949 -aS'115\t115\tCD\tB-NP\tO' -p182950 -aS'with\twith\tIN\tB-PP\tO' -p182951 -aS'a\ta\tDT\tB-NP\tO' -p182952 -aS'normal\tnormal\tJJ\tI-NP\tO' -p182953 -aS'axis\taxis\tNN\tI-NP\tO' -p182954 -aS',\t,\t,\tO\tO' -p182955 -aS'intermittent\tintermittent\tJJ\tB-NP\tO' -p182956 -aS'Q\tQ\tNN\tI-NP\tO' -p182957 -aS'wave\twave\tNN\tI-NP\tO' -p182958 -aS'in\tin\tIN\tB-PP\tO' -p182959 -aS'III;\tIII;\tNN\tB-NP\tB-protein' -p182960 -aS'a\ta\tDT\tB-NP\tO' -p182961 -aS'wavy\twavy\tNN\tI-NP\tO' -p182962 -aS'baseline\tbaseline\tNN\tI-NP\tO' -p182963 -aS'.\t.\t.\tO\tO' -p182964 -asS'He was to have f/u INR check with Dr Lewis on 05-31 .' -p182965 -(lp182966 -S'He\tHe\tPRP\tB-NP\tO' -p182967 -aS'was\tbe\tVBD\tB-VP\tO' -p182968 -aS'to\tto\tTO\tI-VP\tO' -p182969 -aS'have\thave\tVB\tI-VP\tO' -p182970 -aS'f/u\tf/u\tNN\tB-NP\tO' -p182971 -aS'INR\tINR\tNN\tI-NP\tO' -p182972 -aS'check\tcheck\tNN\tI-NP\tO' -p182973 -aS'with\twith\tIN\tB-PP\tO' -p182974 -aS'Dr\tDr\tNNP\tB-NP\tO' -p182975 -aS'Lewis\tLewis\tNNP\tI-NP\tO' -p182976 -aS'on\ton\tIN\tB-PP\tO' -p182977 -aS'05-31\t05-31\tCD\tB-NP\tO' -p182978 -aS'.\t.\t.\tO\tO' -p182979 -asS'Retired RN .' -p182980 -(lp182981 -S'Retired\tRetire\tVBN\tB-NP\tO' -p182982 -aS'RN\tRN\tNN\tI-NP\tO' -p182983 -aS'.\t.\t.\tO\tO' -p182984 -asS'History of cocaine use , most recent use day of admission' -p182985 -(lp182986 -S'History\tHistory\tNN\tB-NP\tO' -p182987 -aS'of\tof\tIN\tB-PP\tO' -p182988 -aS'cocaine\tcocaine\tNN\tB-NP\tO' -p182989 -aS'use\tuse\tNN\tI-NP\tO' -p182990 -aS',\t,\t,\tO\tO' -p182991 -aS'most\tmost\tRBS\tB-NP\tO' -p182992 -aS'recent\trecent\tJJ\tI-NP\tO' -p182993 -aS'use\tuse\tNN\tI-NP\tO' -p182994 -aS'day\tday\tNN\tI-NP\tO' -p182995 -aS'of\tof\tIN\tB-PP\tO' -p182996 -aS'admission\tadmission\tNN\tB-NP\tO' -p182997 -asS'Signed electronically by : DR. William Lawson on : MON 2013-10-14 8:51 PM' -p182998 -(lp182999 -S'Signed\tSign\tVBN\tB-VP\tO' -p183000 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p183001 -aS'by\tby\tIN\tB-PP\tO' -p183002 -aS':\t:\t:\tO\tO' -p183003 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p183004 -aS'William\tWilliam\tNNP\tI-NP\tO' -p183005 -aS'Lawson\tLawson\tNNP\tI-NP\tO' -p183006 -aS'on\ton\tIN\tB-PP\tO' -p183007 -aS':\t:\t:\tO\tO' -p183008 -aS'MON\tMON\tNN\tB-NP\tO' -p183009 -aS'2013-10-14\t2013-10-14\tCD\tI-NP\tO' -p183010 -aS'8:51\t8:51\tCD\tI-NP\tO' -p183011 -aS'PM\tPM\tNN\tI-NP\tO' -p183012 -asS'Patient without chest pain , heart rate and BP stable .' -p183013 -(lp183014 -S'Patient\tPatient\tNN\tB-NP\tO' -p183015 -aS'without\twithout\tIN\tB-PP\tO' -p183016 -aS'chest\tchest\tNN\tB-NP\tO' -p183017 -aS'pain\tpain\tNN\tI-NP\tO' -p183018 -aS',\t,\t,\tO\tO' -p183019 -aS'heart\theart\tNN\tB-NP\tO' -p183020 -aS'rate\trate\tNN\tI-NP\tO' -p183021 -aS'and\tand\tCC\tO\tO' -p183022 -aS'BP\tBP\tNN\tB-NP\tO' -p183023 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p183024 -aS'.\t.\t.\tO\tO' -p183025 -asS'12. Tylenol 325 mg , one to two tablets q. four to six hours p.r.n.' -p183026 -(lp183027 -S'12.\t12.\tCD\tB-NP\tO' -p183028 -aS'Tylenol\tTylenol\tNN\tI-NP\tO' -p183029 -aS'325\t325\tCD\tB-NP\tO' -p183030 -aS'mg\tmg\tNN\tI-NP\tO' -p183031 -aS',\t,\t,\tO\tO' -p183032 -aS'one\tone\tCD\tB-NP\tO' -p183033 -aS'to\tto\tTO\tI-NP\tO' -p183034 -aS'two\ttwo\tCD\tI-NP\tO' -p183035 -aS'tablets\ttablet\tNNS\tI-NP\tO' -p183036 -aS'q.\tq.\tRB\tB-NP\tO' -p183037 -aS'four\tfour\tCD\tI-NP\tO' -p183038 -aS'to\tto\tTO\tI-NP\tO' -p183039 -aS'six\tsix\tCD\tI-NP\tO' -p183040 -aS'hours\thour\tNNS\tI-NP\tO' -p183041 -aS'p.r.n.\tp.r.n.\tRB\tB-ADVP\tO' -p183042 -asS'Dictated By : Rodolfo X Gifford , M.D.' -p183043 -(lp183044 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p183045 -aS'By\tBy\tIN\tB-PP\tO' -p183046 -aS':\t:\t:\tO\tO' -p183047 -aS'Rodolfo\tRodolfo\tNNP\tB-NP\tO' -p183048 -aS'X\tX\tNNP\tI-NP\tO' -p183049 -aS'Gifford\tGifford\tNNP\tI-NP\tO' -p183050 -aS',\t,\t,\tO\tO' -p183051 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p183052 -asS'She had a strong popliteal doppler pulse intraoperatively and good PVR on the right postoperatively .' -p183053 -(lp183054 -S'She\tShe\tPRP\tB-NP\tO' -p183055 -aS'had\thave\tVBD\tB-VP\tO' -p183056 -aS'a\ta\tDT\tB-NP\tO' -p183057 -aS'strong\tstrong\tJJ\tI-NP\tO' -p183058 -aS'popliteal\tpopliteal\tJJ\tI-NP\tO' -p183059 -aS'doppler\tdoppler\tNN\tI-NP\tO' -p183060 -aS'pulse\tpulse\tNN\tI-NP\tO' -p183061 -aS'intraoperatively\tintraoperatively\tRB\tB-ADVP\tO' -p183062 -aS'and\tand\tCC\tO\tO' -p183063 -aS'good\tgood\tJJ\tB-NP\tO' -p183064 -aS'PVR\tPVR\tNN\tI-NP\tB-protein' -p183065 -aS'on\ton\tIN\tB-PP\tO' -p183066 -aS'the\tthe\tDT\tB-NP\tO' -p183067 -aS'right\tright\tNN\tI-NP\tO' -p183068 -aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' -p183069 -aS'.\t.\t.\tO\tO' -p183070 -asS'2. Completion sigmoid colectomy , repair of colovesicular fistula , small bowel repair' -p183071 -(lp183072 -S'2.\t2.\tLS\tB-NP\tO' -p183073 -aS'Completion\tCompletion\tNN\tI-NP\tO' -p183074 -aS'sigmoid\tsigmoid\tJJ\tI-NP\tO' -p183075 -aS'colectomy\tcolectomy\tNN\tI-NP\tO' -p183076 -aS',\t,\t,\tO\tO' -p183077 -aS'repair\trepair\tNN\tB-NP\tO' -p183078 -aS'of\tof\tIN\tB-PP\tO' -p183079 -aS'colovesicular\tcolovesicular\tJJ\tB-NP\tO' -p183080 -aS'fistula\tfistula\tNN\tI-NP\tO' -p183081 -aS',\t,\t,\tO\tO' -p183082 -aS'small\tsmall\tJJ\tB-NP\tO' -p183083 -aS'bowel\tbowel\tNN\tI-NP\tO' -p183084 -aS'repair\trepair\tNN\tI-NP\tO' -p183085 -asS'Chest - reduced breath sounds at the bases with faint inspiratory rhonchi anteriorly .' -p183086 -(lp183087 -S'Chest\tChest\tNNP\tB-NP\tO' -p183088 -aS'-\t-\tHYPH\tB-PP\tO' -p183089 -aS'reduced\treduce\tVBN\tB-NP\tO' -p183090 -aS'breath\tbreath\tNN\tI-NP\tO' -p183091 -aS'sounds\tsound\tNNS\tI-NP\tO' -p183092 -aS'at\tat\tIN\tB-PP\tO' -p183093 -aS'the\tthe\tDT\tB-NP\tO' -p183094 -aS'bases\tbase\tNNS\tI-NP\tO' -p183095 -aS'with\twith\tIN\tB-PP\tO' -p183096 -aS'faint\tfaint\tJJ\tB-NP\tO' -p183097 -aS'inspiratory\tinspiratory\tJJ\tI-NP\tO' -p183098 -aS'rhonchi\trhonchi\tNN\tI-NP\tO' -p183099 -aS'anteriorly\tanteriorly\tRB\tB-ADVP\tO' -p183100 -aS'.\t.\t.\tO\tO' -p183101 -asS'Occupational therapy became involved initially and he remained on patient controlled analgesia secondary to problems with left shoulder pain .' -p183102 -(lp183103 -S'Occupational\tOccupational\tJJ\tB-NP\tO' -p183104 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p183105 -aS'became\tbecome\tVBD\tB-VP\tO' -p183106 -aS'involved\tinvolve\tVBN\tB-ADJP\tO' -p183107 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p183108 -aS'and\tand\tCC\tO\tO' -p183109 -aS'he\the\tPRP\tB-NP\tO' -p183110 -aS'remained\tremain\tVBD\tB-VP\tO' -p183111 -aS'on\ton\tIN\tB-PP\tO' -p183112 -aS'patient\tpatient\tNN\tB-NP\tO' -p183113 -aS'controlled\tcontrolled\tJJ\tI-NP\tO' -p183114 -aS'analgesia\tanalgesia\tNN\tI-NP\tO' -p183115 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p183116 -aS'to\tto\tTO\tB-PP\tO' -p183117 -aS'problems\tproblem\tNNS\tB-NP\tO' -p183118 -aS'with\twith\tIN\tB-PP\tO' -p183119 -aS'left\tleft\tJJ\tB-NP\tB-protein' -p183120 -aS'shoulder\tshoulder\tNN\tI-NP\tI-protein' -p183121 -aS'pain\tpain\tNN\tI-NP\tI-protein' -p183122 -aS'.\t.\t.\tO\tO' -p183123 -asS'FINDINGS : The previously noted subdural hemorrhage in the right posterior fossa appears less conspicuous .' -p183124 -(lp183125 -S'FINDINGS\tFINDINGS\tNNS\tB-NP\tO' -p183126 -aS':\t:\t:\tO\tO' -p183127 -aS'The\tThe\tDT\tB-NP\tO' -p183128 -aS'previously\tpreviously\tRB\tI-NP\tO' -p183129 -aS'noted\tnote\tVBN\tI-NP\tO' -p183130 -aS'subdural\tsubdural\tJJ\tI-NP\tO' -p183131 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p183132 -aS'in\tin\tIN\tB-PP\tO' -p183133 -aS'the\tthe\tDT\tB-NP\tO' -p183134 -aS'right\tright\tJJ\tI-NP\tO' -p183135 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p183136 -aS'fossa\tfossa\tNN\tI-NP\tO' -p183137 -aS'appears\tappear\tVBZ\tB-VP\tO' -p183138 -aS'less\tless\tRBR\tB-ADJP\tO' -p183139 -aS'conspicuous\tconspicuous\tJJ\tI-ADJP\tO' -p183140 -aS'.\t.\t.\tO\tO' -p183141 -asS'Zosyn 4.5 gm IV q 8 hours ( last dose on 08-14 at 1400 ) , started 08-08 .' -p183142 -(lp183143 -S'Zosyn\tZosyn\tNN\tB-NP\tO' -p183144 -aS'4.5\t4.5\tCD\tI-NP\tO' -p183145 -aS'gm\tgm\tNN\tI-NP\tO' -p183146 -aS'IV\tIV\tCD\tB-NP\tO' -p183147 -aS'q\tq\tNN\tI-NP\tO' -p183148 -aS'8\t8\tCD\tB-NP\tO' -p183149 -aS'hours\thour\tNNS\tI-NP\tO' -p183150 -aS'(\t(\t(\tO\tO' -p183151 -aS'last\tlast\tJJ\tB-NP\tO' -p183152 -aS'dose\tdose\tNN\tI-NP\tO' -p183153 -aS'on\ton\tIN\tB-PP\tO' -p183154 -aS'08-14\t08-14\tCD\tB-NP\tO' -p183155 -aS'at\tat\tIN\tB-PP\tO' -p183156 -aS'1400\t1400\tCD\tB-NP\tO' -p183157 -aS')\t)\t)\tO\tO' -p183158 -aS',\t,\t,\tO\tO' -p183159 -aS'started\tstart\tVBD\tB-VP\tO' -p183160 -aS'08-08\t08-08\tCD\tB-NP\tO' -p183161 -aS'.\t.\t.\tO\tO' -p183162 -asS'4. In the proximal calf , severe stenosis or occlusion of the two terminal branches arising from this popliteal bifurcation ( likely the anterior tibial and the peroneal arteries ).' -p183163 -(lp183164 -S'4.\t4.\tLS\tB-LST\tO' -p183165 -aS'In\tIn\tIN\tB-PP\tO' -p183166 -aS'the\tthe\tDT\tB-NP\tO' -p183167 -aS'proximal\tproximal\tJJ\tI-NP\tO' -p183168 -aS'calf\tcalf\tNN\tI-NP\tO' -p183169 -aS',\t,\t,\tO\tO' -p183170 -aS'severe\tsevere\tJJ\tB-NP\tO' -p183171 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p183172 -aS'or\tor\tCC\tI-NP\tO' -p183173 -aS'occlusion\tocclusion\tNN\tI-NP\tO' -p183174 -aS'of\tof\tIN\tB-PP\tO' -p183175 -aS'the\tthe\tDT\tB-NP\tO' -p183176 -aS'two\ttwo\tCD\tI-NP\tO' -p183177 -aS'terminal\tterminal\tJJ\tI-NP\tO' -p183178 -aS'branches\tbranch\tNNS\tI-NP\tO' -p183179 -aS'arising\tarise\tVBG\tB-VP\tO' -p183180 -aS'from\tfrom\tIN\tB-PP\tO' -p183181 -aS'this\tthis\tDT\tB-NP\tO' -p183182 -aS'popliteal\tpopliteal\tJJ\tI-NP\tO' -p183183 -aS'bifurcation\tbifurcation\tNN\tI-NP\tO' -p183184 -aS'(\t(\t(\tO\tO' -p183185 -aS'likely\tlikely\tRB\tB-ADVP\tO' -p183186 -aS'the\tthe\tDT\tB-NP\tO' -p183187 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p183188 -aS'tibial\ttibial\tNN\tI-NP\tO' -p183189 -aS'and\tand\tCC\tO\tO' -p183190 -aS'the\tthe\tDT\tB-NP\tO' -p183191 -aS'peroneal\tperoneal\tJJ\tI-NP\tO' -p183192 -aS'arteries\tartery\tNNS\tI-NP\tO' -p183193 -aS').\t).\t)\tO\tO' -p183194 -asS'10. Seizure history on Neurontin .' -p183195 -(lp183196 -S'10.\t10.\tLS\tB-NP\tO' -p183197 -aS'Seizure\tSeizure\tNN\tI-NP\tO' -p183198 -aS'history\thistory\tNN\tI-NP\tO' -p183199 -aS'on\ton\tIN\tB-PP\tO' -p183200 -aS'Neurontin\tNeurontin\tNN\tB-NP\tB-protein' -p183201 -aS'.\t.\t.\tO\tO' -p183202 -asS'Dictated By : Crystal K. Carter , M.D.' -p183203 -(lp183204 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p183205 -aS'By\tBy\tIN\tB-PP\tO' -p183206 -aS':\t:\t:\tO\tO' -p183207 -aS'Crystal\tCrystal\tNNP\tB-NP\tO' -p183208 -aS'K.\tK.\tNNP\tI-NP\tO' -p183209 -aS'Carter\tCarter\tNNP\tI-NP\tO' -p183210 -aS',\t,\t,\tO\tO' -p183211 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p183212 -asS'The patient continued to pull out his doboff tube .' -p183213 -(lp183214 -S'The\tThe\tDT\tB-NP\tO' -p183215 -aS'patient\tpatient\tNN\tI-NP\tO' -p183216 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p183217 -aS'to\tto\tTO\tI-VP\tO' -p183218 -aS'pull\tpull\tVB\tI-VP\tO' -p183219 -aS'out\tout\tRP\tB-PRT\tO' -p183220 -aS'his\this\tPRP$\tB-NP\tO' -p183221 -aS'doboff\tdoboff\tNN\tI-NP\tO' -p183222 -aS'tube\ttube\tNN\tI-NP\tO' -p183223 -aS'.\t.\t.\tO\tO' -p183224 -asS'His head , eyes , ears , nose , throat was benign .' -p183225 -(lp183226 -S'His\tHis\tPRP$\tB-NP\tO' -p183227 -aS'head\thead\tNN\tI-NP\tO' -p183228 -aS',\t,\t,\tO\tO' -p183229 -aS'eyes\teye\tNNS\tB-NP\tO' -p183230 -aS',\t,\t,\tO\tO' -p183231 -aS'ears\tear\tNNS\tB-NP\tO' -p183232 -aS',\t,\t,\tO\tO' -p183233 -aS'nose\tnose\tNN\tB-NP\tO' -p183234 -aS',\t,\t,\tO\tO' -p183235 -aS'throat\tthroat\tNN\tB-NP\tO' -p183236 -aS'was\tbe\tVBD\tB-VP\tO' -p183237 -aS'benign\tbenign\tJJ\tB-ADJP\tO' -p183238 -aS'.\t.\t.\tO\tO' -p183239 -asS'He works as an airline pilot for Vent' -p183240 -(lp183241 -S'He\tHe\tPRP\tB-NP\tO' -p183242 -aS'works\twork\tVBZ\tB-VP\tO' -p183243 -aS'as\tas\tIN\tB-PP\tO' -p183244 -aS'an\tan\tDT\tB-NP\tO' -p183245 -aS'airline\tairline\tNN\tI-NP\tO' -p183246 -aS'pilot\tpilot\tNN\tI-NP\tO' -p183247 -aS'for\tfor\tIN\tB-PP\tO' -p183248 -aS'Vent\tVent\tNNP\tB-NP\tO' -p183249 -asS'Head , eyes , ears , nose , and throat revealed pupils were equally round and reactive to light and accommodation .' -p183250 -(lp183251 -S'Head\tHead\tRB\tB-ADVP\tO' -p183252 -aS',\t,\t,\tO\tO' -p183253 -aS'eyes\teye\tNNS\tB-NP\tO' -p183254 -aS',\t,\t,\tO\tO' -p183255 -aS'ears\tear\tNNS\tB-NP\tO' -p183256 -aS',\t,\t,\tO\tO' -p183257 -aS'nose\tnose\tNN\tB-NP\tO' -p183258 -aS',\t,\t,\tO\tO' -p183259 -aS'and\tand\tCC\tO\tO' -p183260 -aS'throat\tthroat\tNN\tB-NP\tB-protein' -p183261 -aS'revealed\treveal\tVBD\tB-VP\tI-protein' -p183262 -aS'pupils\tpupil\tNNS\tB-NP\tI-protein' -p183263 -aS'were\tbe\tVBD\tB-VP\tO' -p183264 -aS'equally\tequally\tRB\tB-ADJP\tO' -p183265 -aS'round\tround\tJJ\tI-ADJP\tO' -p183266 -aS'and\tand\tCC\tI-ADJP\tO' -p183267 -aS'reactive\treactive\tJJ\tI-ADJP\tO' -p183268 -aS'to\tto\tTO\tB-PP\tO' -p183269 -aS'light\tlight\tNN\tB-NP\tO' -p183270 -aS'and\tand\tCC\tI-NP\tO' -p183271 -aS'accommodation\taccommodation\tNN\tI-NP\tO' -p183272 -aS'.\t.\t.\tO\tO' -p183273 -asS'She had been placed on heparin initially , but this was discontinued after the magnetic resonance imaging results were obtained .' -p183274 -(lp183275 -S'She\tShe\tPRP\tB-NP\tO' -p183276 -aS'had\thave\tVBD\tB-VP\tO' -p183277 -aS'been\tbe\tVBN\tI-VP\tO' -p183278 -aS'placed\tplace\tVBN\tI-VP\tO' -p183279 -aS'on\ton\tIN\tB-PP\tO' -p183280 -aS'heparin\theparin\tNN\tB-NP\tO' -p183281 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p183282 -aS',\t,\t,\tO\tO' -p183283 -aS'but\tbut\tCC\tO\tO' -p183284 -aS'this\tthis\tDT\tB-NP\tO' -p183285 -aS'was\tbe\tVBD\tB-VP\tO' -p183286 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p183287 -aS'after\tafter\tIN\tB-PP\tO' -p183288 -aS'the\tthe\tDT\tB-NP\tO' -p183289 -aS'magnetic\tmagnetic\tJJ\tI-NP\tO' -p183290 -aS'resonance\tresonance\tNN\tI-NP\tO' -p183291 -aS'imaging\timaging\tNN\tI-NP\tO' -p183292 -aS'results\tresult\tNNS\tI-NP\tO' -p183293 -aS'were\tbe\tVBD\tB-VP\tO' -p183294 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p183295 -aS'.\t.\t.\tO\tO' -p183296 -asS'by private physician .' -p183297 -(lp183298 -S'by\tby\tIN\tB-PP\tO' -p183299 -aS'private\tprivate\tJJ\tB-NP\tO' -p183300 -aS'physician\tphysician\tNN\tI-NP\tO' -p183301 -aS'.\t.\t.\tO\tO' -p183302 -asS'Please go to Dr. Colombo office later this week to have your labs drawn and sent to Dr. Powell .' -p183303 -(lp183304 -S'Please\tPlease\tVB\tB-INTJ\tO' -p183305 -aS'go\tgo\tVB\tB-VP\tO' -p183306 -aS'to\tto\tTO\tB-PP\tO' -p183307 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p183308 -aS'Colombo\tColombo\tNNP\tI-NP\tO' -p183309 -aS'office\toffice\tNN\tI-NP\tO' -p183310 -aS'later\tlater\tRB\tB-NP\tO' -p183311 -aS'this\tthis\tDT\tI-NP\tO' -p183312 -aS'week\tweek\tNN\tI-NP\tO' -p183313 -aS'to\tto\tTO\tB-VP\tO' -p183314 -aS'have\thave\tVB\tI-VP\tO' -p183315 -aS'your\tyour\tPRP$\tB-NP\tO' -p183316 -aS'labs\tlab\tNNS\tI-NP\tO' -p183317 -aS'drawn\tdraw\tVBN\tB-VP\tO' -p183318 -aS'and\tand\tCC\tO\tO' -p183319 -aS'sent\tsend\tVBN\tB-VP\tO' -p183320 -aS'to\tto\tTO\tB-PP\tO' -p183321 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p183322 -aS'Powell\tPowell\tNNP\tI-NP\tO' -p183323 -aS'.\t.\t.\tO\tO' -p183324 -asS'2. PULMONARY EMBOLUS , 1-14-94 .' -p183325 -(lp183326 -S'2.\t2.\tLS\tB-NP\tO' -p183327 -aS'PULMONARY\tPULMONARY\tNN\tI-NP\tO' -p183328 -aS'EMBOLUS\tEMBOLUS\tNNS\tI-NP\tO' -p183329 -aS',\t,\t,\tO\tO' -p183330 -aS'1-14-94\t1-14-94\tCD\tB-NP\tO' -p183331 -aS'.\t.\t.\tO\tO' -p183332 -asS'301-320 mg / dL 21 Units' -p183333 -(lp183334 -S'301-320\t301-320\tCD\tB-NP\tO' -p183335 -aS'mg\tmg\tNN\tI-NP\tO' -p183336 -aS'/\t/\tSYM\tB-NP\tO' -p183337 -aS'dL\tdL\tNN\tI-NP\tO' -p183338 -aS'21\t21\tCD\tB-NP\tO' -p183339 -aS'Units\tUnit\tNNS\tI-NP\tO' -p183340 -asS'2. Medications : Ferrous sulfate 0.15 cc po q day 25 mg / ml dilution .' -p183341 -(lp183342 -S'2.\t2.\tCD\tB-NP\tO' -p183343 -aS'Medications\tMedication\tNNS\tI-NP\tO' -p183344 -aS':\t:\t:\tO\tO' -p183345 -aS'Ferrous\tFerrous\tJJ\tB-NP\tO' -p183346 -aS'sulfate\tsulfate\tNN\tI-NP\tO' -p183347 -aS'0.15\t0.15\tCD\tI-NP\tO' -p183348 -aS'cc\tcc\tNN\tI-NP\tO' -p183349 -aS'po\tpo\tNN\tI-NP\tO' -p183350 -aS'q\tq\tNN\tI-NP\tO' -p183351 -aS'day\tday\tNN\tI-NP\tO' -p183352 -aS'25\t25\tCD\tB-NP\tO' -p183353 -aS'mg\tmg\tNN\tI-NP\tO' -p183354 -aS'/\t/\tSYM\tB-NP\tO' -p183355 -aS'ml\tml\tNN\tI-NP\tO' -p183356 -aS'dilution\tdilution\tNN\tI-NP\tO' -p183357 -aS'.\t.\t.\tO\tO' -p183358 -asS'However , we would leave it at 2.5 for now .' -p183359 -(lp183360 -S'However\tHowever\tRB\tB-ADVP\tO' -p183361 -aS',\t,\t,\tO\tO' -p183362 -aS'we\twe\tPRP\tB-NP\tO' -p183363 -aS'would\twould\tMD\tB-VP\tO' -p183364 -aS'leave\tleave\tVB\tI-VP\tO' -p183365 -aS'it\tit\tPRP\tB-NP\tO' -p183366 -aS'at\tat\tIN\tB-PP\tO' -p183367 -aS'2.5\t2.5\tCD\tB-NP\tO' -p183368 -aS'for\tfor\tIN\tB-PP\tO' -p183369 -aS'now\tnow\tRB\tB-NP\tO' -p183370 -aS'.\t.\t.\tO\tO' -p183371 -asS'His hematocrit was 31 on discharge .' -p183372 -(lp183373 -S'His\tHis\tPRP$\tB-NP\tO' -p183374 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p183375 -aS'was\tbe\tVBD\tB-VP\tO' -p183376 -aS'31\t31\tCD\tB-NP\tO' -p183377 -aS'on\ton\tIN\tB-PP\tO' -p183378 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p183379 -aS'.\t.\t.\tO\tO' -p183380 -asS'He has no JVD , no edema in legs ( other than swelling from DVT ) .' -p183381 -(lp183382 -S'He\tHe\tPRP\tB-NP\tO' -p183383 -aS'has\thave\tVBZ\tB-VP\tO' -p183384 -aS'no\tno\tDT\tB-NP\tO' -p183385 -aS'JVD\tJVD\tNN\tI-NP\tB-protein' -p183386 -aS',\t,\t,\tO\tO' -p183387 -aS'no\tno\tDT\tB-NP\tO' -p183388 -aS'edema\tedema\tNN\tI-NP\tO' -p183389 -aS'in\tin\tIN\tB-PP\tO' -p183390 -aS'legs\tleg\tNNS\tB-NP\tO' -p183391 -aS'(\t(\t(\tO\tO' -p183392 -aS'other\tother\tJJ\tB-ADJP\tO' -p183393 -aS'than\tthan\tIN\tB-PP\tO' -p183394 -aS'swelling\tswell\tVBG\tB-VP\tO' -p183395 -aS'from\tfrom\tIN\tB-PP\tO' -p183396 -aS'DVT\tDVT\tNN\tB-NP\tO' -p183397 -aS')\t)\t)\tO\tO' -p183398 -aS'.\t.\t.\tO\tO' -p183399 -asS'Of note the pelvic lymph nodes which were dissected were positive for tumor by frozen section analysis .' -p183400 -(lp183401 -S'Of\tOf\tIN\tB-PP\tO' -p183402 -aS'note\tnote\tNN\tB-NP\tO' -p183403 -aS'the\tthe\tDT\tB-NP\tO' -p183404 -aS'pelvic\tpelvic\tJJ\tI-NP\tO' -p183405 -aS'lymph\tlymph\tNN\tI-NP\tO' -p183406 -aS'nodes\tnode\tNNS\tI-NP\tO' -p183407 -aS'which\twhich\tWDT\tB-NP\tO' -p183408 -aS'were\tbe\tVBD\tB-VP\tO' -p183409 -aS'dissected\tdissect\tVBN\tI-VP\tO' -p183410 -aS'were\tbe\tVBD\tB-VP\tO' -p183411 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p183412 -aS'for\tfor\tIN\tB-PP\tO' -p183413 -aS'tumor\ttumor\tNN\tB-NP\tO' -p183414 -aS'by\tby\tIN\tB-PP\tO' -p183415 -aS'frozen\tfrozen\tJJ\tB-NP\tO' -p183416 -aS'section\tsection\tNN\tI-NP\tO' -p183417 -aS'analysis\tanalysis\tNN\tI-NP\tO' -p183418 -aS'.\t.\t.\tO\tO' -p183419 -asS'The patient did have heparin subcutaneously while on the medical floor and in the ICU .' -p183420 -(lp183421 -S'The\tThe\tDT\tB-NP\tO' -p183422 -aS'patient\tpatient\tNN\tI-NP\tO' -p183423 -aS'did\tdo\tVBD\tB-VP\tO' -p183424 -aS'have\thave\tVB\tI-VP\tO' -p183425 -aS'heparin\theparin\tNN\tB-NP\tO' -p183426 -aS'subcutaneously\tsubcutaneously\tRB\tB-ADVP\tO' -p183427 -aS'while\twhile\tIN\tB-SBAR\tO' -p183428 -aS'on\ton\tIN\tB-PP\tO' -p183429 -aS'the\tthe\tDT\tB-NP\tO' -p183430 -aS'medical\tmedical\tJJ\tI-NP\tO' -p183431 -aS'floor\tfloor\tNN\tI-NP\tO' -p183432 -aS'and\tand\tCC\tB-PP\tO' -p183433 -aS'in\tin\tIN\tB-PP\tO' -p183434 -aS'the\tthe\tDT\tB-NP\tO' -p183435 -aS'ICU\tICU\tNN\tI-NP\tB-DNA' -p183436 -aS'.\t.\t.\tO\tO' -p183437 -asS'There were no abnormal findings in abdominal exam .' -p183438 -(lp183439 -S'There\tThere\tEX\tB-NP\tO' -p183440 -aS'were\tbe\tVBD\tB-VP\tO' -p183441 -aS'no\tno\tDT\tB-NP\tO' -p183442 -aS'abnormal\tabnormal\tJJ\tI-NP\tO' -p183443 -aS'findings\tfinding\tNNS\tI-NP\tO' -p183444 -aS'in\tin\tIN\tB-PP\tO' -p183445 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p183446 -aS'exam\texam\tNN\tI-NP\tO' -p183447 -aS'.\t.\t.\tO\tO' -p183448 -asS'Awake , oriented to person and place' -p183449 -(lp183450 -S'Awake\tAwake\tNNP\tB-NP\tO' -p183451 -aS',\t,\t,\tO\tO' -p183452 -aS'oriented\torient\tVBN\tB-VP\tO' -p183453 -aS'to\tto\tTO\tB-PP\tO' -p183454 -aS'person\tperson\tNN\tB-NP\tO' -p183455 -aS'and\tand\tCC\tI-NP\tO' -p183456 -aS'place\tplace\tNN\tI-NP\tO' -p183457 -asS'The patient will need to have a followup sleep study done as above per the recommendations based on the results .' -p183458 -(lp183459 -S'The\tThe\tDT\tB-NP\tO' -p183460 -aS'patient\tpatient\tNN\tI-NP\tO' -p183461 -aS'will\twill\tMD\tB-VP\tO' -p183462 -aS'need\tneed\tVB\tI-VP\tO' -p183463 -aS'to\tto\tTO\tI-VP\tO' -p183464 -aS'have\thave\tVB\tI-VP\tO' -p183465 -aS'a\ta\tDT\tB-NP\tO' -p183466 -aS'followup\tfollowup\tNN\tI-NP\tO' -p183467 -aS'sleep\tsleep\tNN\tI-NP\tO' -p183468 -aS'study\tstudy\tNN\tI-NP\tO' -p183469 -aS'done\tdo\tVBN\tB-VP\tO' -p183470 -aS'as\tas\tIN\tB-PP\tO' -p183471 -aS'above\tabove\tRB\tI-PP\tO' -p183472 -aS'per\tper\tIN\tB-PP\tO' -p183473 -aS'the\tthe\tDT\tB-NP\tO' -p183474 -aS'recommendations\trecommendation\tNNS\tI-NP\tO' -p183475 -aS'based\tbase\tVBN\tB-VP\tO' -p183476 -aS'on\ton\tIN\tB-PP\tO' -p183477 -aS'the\tthe\tDT\tB-NP\tO' -p183478 -aS'results\tresult\tNNS\tI-NP\tO' -p183479 -aS'.\t.\t.\tO\tO' -p183480 -asS'Her history has been well documented in her previous notes .' -p183481 -(lp183482 -S'Her\tHer\tPRP$\tB-NP\tO' -p183483 -aS'history\thistory\tNN\tI-NP\tO' -p183484 -aS'has\thave\tVBZ\tB-VP\tO' -p183485 -aS'been\tbe\tVBN\tI-VP\tO' -p183486 -aS'well\twell\tRB\tI-VP\tO' -p183487 -aS'documented\tdocument\tVBN\tI-VP\tO' -p183488 -aS'in\tin\tIN\tB-PP\tO' -p183489 -aS'her\ther\tPRP$\tB-NP\tO' -p183490 -aS'previous\tprevious\tJJ\tI-NP\tO' -p183491 -aS'notes\tnote\tNNS\tI-NP\tO' -p183492 -aS'.\t.\t.\tO\tO' -p183493 -asS'Laboratory values on admission included a sodium of 142 , potassium 4.8 , chloride 106 , bicarbonate 27 , BUN and creatinine of 39 and 1.6 respectively , glucose 113 .' -p183494 -(lp183495 -S'Laboratory\tLaboratory\tNN\tB-NP\tO' -p183496 -aS'values\tvalue\tNNS\tI-NP\tO' -p183497 -aS'on\ton\tIN\tB-PP\tO' -p183498 -aS'admission\tadmission\tNN\tB-NP\tO' -p183499 -aS'included\tinclude\tVBD\tB-VP\tO' -p183500 -aS'a\ta\tDT\tB-NP\tO' -p183501 -aS'sodium\tsodium\tNN\tI-NP\tO' -p183502 -aS'of\tof\tIN\tB-PP\tO' -p183503 -aS'142\t142\tCD\tB-NP\tO' -p183504 -aS',\t,\t,\tO\tO' -p183505 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p183506 -aS'4.8\t4.8\tCD\tI-NP\tO' -p183507 -aS',\t,\t,\tO\tO' -p183508 -aS'chloride\tchloride\tNN\tB-NP\tO' -p183509 -aS'106\t106\tCD\tI-NP\tO' -p183510 -aS',\t,\t,\tO\tO' -p183511 -aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' -p183512 -aS'27\t27\tCD\tI-NP\tO' -p183513 -aS',\t,\t,\tO\tO' -p183514 -aS'BUN\tBUN\tNN\tB-NP\tO' -p183515 -aS'and\tand\tCC\tI-NP\tO' -p183516 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p183517 -aS'of\tof\tIN\tB-PP\tO' -p183518 -aS'39\t39\tCD\tB-NP\tO' -p183519 -aS'and\tand\tCC\tI-NP\tO' -p183520 -aS'1.6\t1.6\tCD\tI-NP\tO' -p183521 -aS'respectively\trespectively\tRB\tB-ADVP\tO' -p183522 -aS',\t,\t,\tO\tO' -p183523 -aS'glucose\tglucose\tNN\tB-NP\tO' -p183524 -aS'113\t113\tCD\tI-NP\tO' -p183525 -aS'.\t.\t.\tO\tO' -p183526 -asS'The WBC was 0.9 , the ANC was 540 , platelets were 156,000 .' -p183527 -(lp183528 -S'The\tThe\tDT\tB-NP\tO' -p183529 -aS'WBC\tWBC\tNNP\tI-NP\tO' -p183530 -aS'was\tbe\tVBD\tB-VP\tO' -p183531 -aS'0.9\t0.9\tCD\tB-NP\tO' -p183532 -aS',\t,\t,\tO\tO' -p183533 -aS'the\tthe\tDT\tB-NP\tO' -p183534 -aS'ANC\tANC\tNNP\tI-NP\tO' -p183535 -aS'was\tbe\tVBD\tB-VP\tO' -p183536 -aS'540\t540\tCD\tB-NP\tO' -p183537 -aS',\t,\t,\tO\tO' -p183538 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p183539 -aS'were\tbe\tVBD\tB-VP\tO' -p183540 -aS'156,000\t156,000\tCD\tB-NP\tO' -p183541 -aS'.\t.\t.\tO\tO' -p183542 -asS'Her oxygen saturation was 96% on RA but she was tachypneic to 31 .' -p183543 -(lp183544 -S'Her\tHer\tPRP$\tB-NP\tO' -p183545 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p183546 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p183547 -aS'was\tbe\tVBD\tB-VP\tO' -p183548 -aS'96%\t96%\tCD\tB-NP\tO' -p183549 -aS'on\ton\tIN\tB-PP\tO' -p183550 -aS'RA\tRA\tNN\tB-NP\tO' -p183551 -aS'but\tbut\tCC\tO\tO' -p183552 -aS'she\tshe\tPRP\tB-NP\tO' -p183553 -aS'was\tbe\tVBD\tB-VP\tO' -p183554 -aS'tachypneic\ttachypneic\tJJ\tB-ADJP\tO' -p183555 -aS'to\tto\tTO\tB-PP\tO' -p183556 -aS'31\t31\tCD\tB-NP\tO' -p183557 -aS'.\t.\t.\tO\tO' -p183558 -asS'5. Aspirin 325 mg po qd .' -p183559 -(lp183560 -S'5.\t5.\tLS\tB-LST\tO' -p183561 -aS'Aspirin\tAspirin\tNN\tB-NP\tO' -p183562 -aS'325\t325\tCD\tI-NP\tO' -p183563 -aS'mg\tmg\tNN\tI-NP\tO' -p183564 -aS'po\tpo\tNN\tI-NP\tO' -p183565 -aS'qd\tqd\tNN\tI-NP\tO' -p183566 -aS'.\t.\t.\tO\tO' -p183567 -asS'Left lower extremity warm and well-perfused' -p183568 -(lp183569 -S'Left\tLeave\tVBN\tB-VP\tO' -p183570 -aS'lower\tlow\tJJR\tB-NP\tO' -p183571 -aS'extremity\textremity\tNN\tI-NP\tO' -p183572 -aS'warm\twarm\tNN\tI-NP\tO' -p183573 -aS'and\tand\tCC\tO\tO' -p183574 -aS'well-perfused\twell-perfused\tJJ\tB-ADJP\tO' -p183575 -asS'She was kept NPO until January 26 when she began to feel hungry .' -p183576 -(lp183577 -S'She\tShe\tPRP\tB-NP\tO' -p183578 -aS'was\tbe\tVBD\tB-VP\tO' -p183579 -aS'kept\tkeep\tVBN\tI-VP\tO' -p183580 -aS'NPO\tNPO\tNNP\tB-NP\tO' -p183581 -aS'until\tuntil\tIN\tB-PP\tO' -p183582 -aS'January\tJanuary\tNNP\tB-NP\tO' -p183583 -aS'26\t26\tCD\tI-NP\tO' -p183584 -aS'when\twhen\tWRB\tB-ADVP\tO' -p183585 -aS'she\tshe\tPRP\tB-NP\tO' -p183586 -aS'began\tbegin\tVBD\tB-VP\tO' -p183587 -aS'to\tto\tTO\tI-VP\tO' -p183588 -aS'feel\tfeel\tVB\tI-VP\tO' -p183589 -aS'hungry\thungry\tJJ\tB-ADJP\tO' -p183590 -aS'.\t.\t.\tO\tO' -p183591 -asS'She has a history of of angina without myocardial infarction that has not been worked up .' -p183592 -(lp183593 -S'She\tShe\tPRP\tB-NP\tO' -p183594 -aS'has\thave\tVBZ\tB-VP\tO' -p183595 -aS'a\ta\tDT\tB-NP\tO' -p183596 -aS'history\thistory\tNN\tI-NP\tO' -p183597 -aS'of\tof\tIN\tB-PP\tO' -p183598 -aS'of\tof\tIN\tB-PP\tO' -p183599 -aS'angina\tangina\tNN\tB-NP\tO' -p183600 -aS'without\twithout\tIN\tB-PP\tO' -p183601 -aS'myocardial\tmyocardial\tJJ\tB-NP\tO' -p183602 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p183603 -aS'that\tthat\tWDT\tB-NP\tO' -p183604 -aS'has\thave\tVBZ\tB-VP\tO' -p183605 -aS'not\tnot\tRB\tI-VP\tO' -p183606 -aS'been\tbe\tVBN\tI-VP\tO' -p183607 -aS'worked\twork\tVBN\tI-VP\tO' -p183608 -aS'up\tup\tIN\tB-PRT\tO' -p183609 -aS'.\t.\t.\tO\tO' -p183610 -asS'Denies tobacco , alcohol or drug use .' -p183611 -(lp183612 -S'Denies\tDeny\tNNS\tB-NP\tO' -p183613 -aS'tobacco\ttobacco\tNN\tI-NP\tO' -p183614 -aS',\t,\t,\tI-NP\tO' -p183615 -aS'alcohol\talcohol\tNN\tI-NP\tO' -p183616 -aS'or\tor\tCC\tI-NP\tO' -p183617 -aS'drug\tdrug\tNN\tI-NP\tO' -p183618 -aS'use\tuse\tNN\tI-NP\tO' -p183619 -aS'.\t.\t.\tO\tO' -p183620 -asS'At that time , he spiked a temperature to 103 .' -p183621 -(lp183622 -S'At\tAt\tIN\tB-PP\tO' -p183623 -aS'that\tthat\tDT\tB-NP\tO' -p183624 -aS'time\ttime\tNN\tI-NP\tO' -p183625 -aS',\t,\t,\tO\tO' -p183626 -aS'he\the\tPRP\tB-NP\tO' -p183627 -aS'spiked\tspike\tVBD\tB-VP\tO' -p183628 -aS'a\ta\tDT\tB-NP\tO' -p183629 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p183630 -aS'to\tto\tTO\tB-PP\tO' -p183631 -aS'103\t103\tCD\tB-NP\tO' -p183632 -aS'.\t.\t.\tO\tO' -p183633 -asS'St. Jude prosthesis , and tricuspid valve reconstruction by ring anuloplasty .' -p183634 -(lp183635 -S'St.\tSt.\tNNP\tB-NP\tO' -p183636 -aS'Jude\tJude\tNNP\tI-NP\tO' -p183637 -aS'prosthesis\tprosthesis\tNN\tI-NP\tO' -p183638 -aS',\t,\t,\tO\tO' -p183639 -aS'and\tand\tCC\tO\tO' -p183640 -aS'tricuspid\ttricuspid\tJJ\tB-NP\tO' -p183641 -aS'valve\tvalve\tNN\tI-NP\tO' -p183642 -aS'reconstruction\treconstruction\tNN\tI-NP\tO' -p183643 -aS'by\tby\tIN\tB-PP\tO' -p183644 -aS'ring\tring\tNN\tB-NP\tO' -p183645 -aS'anuloplasty\tanuloplasty\tNN\tI-NP\tO' -p183646 -aS'.\t.\t.\tO\tO' -p183647 -asS'There was no tricuspid valve gradient .' -p183648 -(lp183649 -S'There\tThere\tEX\tB-NP\tO' -p183650 -aS'was\tbe\tVBD\tB-VP\tO' -p183651 -aS'no\tno\tDT\tB-NP\tO' -p183652 -aS'tricuspid\ttricuspid\tJJ\tI-NP\tO' -p183653 -aS'valve\tvalve\tNN\tI-NP\tO' -p183654 -aS'gradient\tgradient\tNN\tI-NP\tO' -p183655 -aS'.\t.\t.\tO\tO' -p183656 -asS'13. Metoprolol Tartrate 25 mg Tablet Sig : 1.5 Tablets PO BID ( 2 times a day ).' -p183657 -(lp183658 -S'13.\t13.\tLS\tB-NP\tO' -p183659 -aS'Metoprolol\tMetoprolol\tNN\tI-NP\tO' -p183660 -aS'Tartrate\tTartrate\tNN\tI-NP\tO' -p183661 -aS'25\t25\tCD\tI-NP\tO' -p183662 -aS'mg\tmg\tNN\tI-NP\tO' -p183663 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p183664 -aS'Sig\tSig\tNNP\tI-NP\tO' -p183665 -aS':\t:\t:\tO\tO' -p183666 -aS'1.5\t1.5\tCD\tB-NP\tO' -p183667 -aS'Tablets\tTablet\tNNS\tI-NP\tO' -p183668 -aS'PO\tPO\tNN\tI-NP\tO' -p183669 -aS'BID\tBID\tNN\tI-NP\tO' -p183670 -aS'(\t(\t(\tO\tO' -p183671 -aS'2\t2\tCD\tB-NP\tO' -p183672 -aS'times\ttime\tNNS\tI-NP\tO' -p183673 -aS'a\ta\tDT\tB-NP\tO' -p183674 -aS'day\tday\tNN\tI-NP\tO' -p183675 -aS').\t).\t.\tO\tO' -p183676 -asS'Head ultrasound not indicated .' -p183677 -(lp183678 -S'Head\tHead\tNNP\tB-NP\tO' -p183679 -aS'ultrasound\tultrasound\tVBD\tB-VP\tO' -p183680 -aS'not\tnot\tRB\tI-VP\tO' -p183681 -aS'indicated\tindicate\tVBN\tI-VP\tO' -p183682 -aS'.\t.\t.\tO\tO' -p183683 -asS'It was felt that this was re-equalibration after being sedentary and mostly in bed following the operation .' -p183684 -(lp183685 -S'It\tIt\tPRP\tB-NP\tO' -p183686 -aS'was\tbe\tVBD\tB-VP\tO' -p183687 -aS'felt\tfeel\tVBN\tI-VP\tO' -p183688 -aS'that\tthat\tIN\tB-SBAR\tO' -p183689 -aS'this\tthis\tDT\tB-NP\tO' -p183690 -aS'was\tbe\tVBD\tB-VP\tO' -p183691 -aS're-equalibration\tre-equalibration\tNN\tB-NP\tO' -p183692 -aS'after\tafter\tIN\tB-PP\tO' -p183693 -aS'being\tbe\tVBG\tB-VP\tO' -p183694 -aS'sedentary\tsedentary\tJJ\tB-ADJP\tO' -p183695 -aS'and\tand\tCC\tO\tO' -p183696 -aS'mostly\tmostly\tRB\tB-ADVP\tO' -p183697 -aS'in\tin\tIN\tB-PP\tO' -p183698 -aS'bed\tbed\tNN\tB-NP\tO' -p183699 -aS'following\tfollow\tVBG\tB-PP\tO' -p183700 -aS'the\tthe\tDT\tB-NP\tO' -p183701 -aS'operation\toperation\tNN\tI-NP\tO' -p183702 -aS'.\t.\t.\tO\tO' -p183703 -asS'Dictated By : Alden B. Edwards , M.D.' -p183704 -(lp183705 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p183706 -aS'By\tBy\tIN\tB-PP\tO' -p183707 -aS':\t:\t:\tO\tO' -p183708 -aS'Alden\tAlden\tNNP\tB-NP\tO' -p183709 -aS'B.\tB.\tNNP\tI-NP\tO' -p183710 -aS'Edwards\tEdwards\tNNP\tI-NP\tO' -p183711 -aS',\t,\t,\tO\tO' -p183712 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p183713 -asS'She lives alone in Burg Chi Sternafre , Massachusetts .' -p183714 -(lp183715 -S'She\tShe\tPRP\tB-NP\tO' -p183716 -aS'lives\tlive\tVBZ\tB-VP\tO' -p183717 -aS'alone\talone\tRB\tB-ADVP\tO' -p183718 -aS'in\tin\tIN\tB-PP\tO' -p183719 -aS'Burg\tBurg\tNNP\tB-NP\tO' -p183720 -aS'Chi\tChi\tNNP\tI-NP\tO' -p183721 -aS'Sternafre\tSternafre\tNNP\tI-NP\tO' -p183722 -aS',\t,\t,\tO\tO' -p183723 -aS'Massachusetts\tMassachusetts\tNNP\tB-NP\tO' -p183724 -aS'.\t.\t.\tO\tO' -p183725 -asS'- PVD , s/p femoral-popliteal bypass' -p183726 -(lp183727 -S'-\t-\tHYPH\tB-NP\tO' -p183728 -aS'PVD\tPVD\tNN\tI-NP\tO' -p183729 -aS',\t,\t,\tO\tO' -p183730 -aS's/p\ts/p\tNN\tB-NP\tO' -p183731 -aS'femoral-popliteal\tfemoral-popliteal\tJJ\tI-NP\tO' -p183732 -aS'bypass\tbypass\tNN\tI-NP\tO' -p183733 -asS'The skin examination revealed the right breast had a dark two centimeter ecchymosis and the left medial thigh had two pale blue two centimeter macules .' -p183734 -(lp183735 -S'The\tThe\tDT\tB-NP\tO' -p183736 -aS'skin\tskin\tNN\tI-NP\tO' -p183737 -aS'examination\texamination\tNN\tI-NP\tO' -p183738 -aS'revealed\treveal\tVBD\tB-VP\tO' -p183739 -aS'the\tthe\tDT\tB-NP\tO' -p183740 -aS'right\tright\tJJ\tI-NP\tO' -p183741 -aS'breast\tbreast\tNN\tI-NP\tO' -p183742 -aS'had\thave\tVBD\tB-VP\tO' -p183743 -aS'a\ta\tDT\tB-NP\tO' -p183744 -aS'dark\tdark\tJJ\tI-NP\tO' -p183745 -aS'two\ttwo\tCD\tI-NP\tO' -p183746 -aS'centimeter\tcentimeter\tNN\tI-NP\tO' -p183747 -aS'ecchymosis\tecchymosis\tNN\tI-NP\tO' -p183748 -aS'and\tand\tCC\tO\tO' -p183749 -aS'the\tthe\tDT\tB-NP\tO' -p183750 -aS'left\tleft\tJJ\tI-NP\tO' -p183751 -aS'medial\tmedial\tJJ\tI-NP\tO' -p183752 -aS'thigh\tthigh\tNN\tI-NP\tO' -p183753 -aS'had\thave\tVBD\tB-VP\tO' -p183754 -aS'two\ttwo\tCD\tB-NP\tO' -p183755 -aS'pale\tpale\tNN\tI-NP\tO' -p183756 -aS'blue\tblue\tJJ\tB-NP\tO' -p183757 -aS'two\ttwo\tCD\tI-NP\tO' -p183758 -aS'centimeter\tcentimeter\tNN\tI-NP\tO' -p183759 -aS'macules\tmacule\tNNS\tI-NP\tO' -p183760 -aS'.\t.\t.\tO\tO' -p183761 -asS'On the day of admission , he was involved in a minor motor vehicle accident , and there was some apparent controversy with the driver of the other vehicle , during the course of which he developed substernal chest pain radiating to the left arm and shoulder .' -p183762 -(lp183763 -S'On\tOn\tIN\tB-PP\tO' -p183764 -aS'the\tthe\tDT\tB-NP\tO' -p183765 -aS'day\tday\tNN\tI-NP\tO' -p183766 -aS'of\tof\tIN\tB-PP\tO' -p183767 -aS'admission\tadmission\tNN\tB-NP\tO' -p183768 -aS',\t,\t,\tO\tO' -p183769 -aS'he\the\tPRP\tB-NP\tO' -p183770 -aS'was\tbe\tVBD\tB-VP\tO' -p183771 -aS'involved\tinvolve\tVBN\tI-VP\tO' -p183772 -aS'in\tin\tIN\tB-PP\tO' -p183773 -aS'a\ta\tDT\tB-NP\tO' -p183774 -aS'minor\tminor\tJJ\tI-NP\tO' -p183775 -aS'motor\tmotor\tNN\tI-NP\tO' -p183776 -aS'vehicle\tvehicle\tNN\tI-NP\tO' -p183777 -aS'accident\taccident\tNN\tI-NP\tO' -p183778 -aS',\t,\t,\tO\tO' -p183779 -aS'and\tand\tCC\tO\tO' -p183780 -aS'there\tthere\tEX\tB-NP\tO' -p183781 -aS'was\tbe\tVBD\tB-VP\tO' -p183782 -aS'some\tsome\tDT\tB-NP\tO' -p183783 -aS'apparent\tapparent\tJJ\tI-NP\tO' -p183784 -aS'controversy\tcontroversy\tNN\tI-NP\tO' -p183785 -aS'with\twith\tIN\tB-PP\tO' -p183786 -aS'the\tthe\tDT\tB-NP\tO' -p183787 -aS'driver\tdriver\tNN\tI-NP\tO' -p183788 -aS'of\tof\tIN\tB-PP\tO' -p183789 -aS'the\tthe\tDT\tB-NP\tO' -p183790 -aS'other\tother\tJJ\tI-NP\tO' -p183791 -aS'vehicle\tvehicle\tNN\tI-NP\tO' -p183792 -aS',\t,\t,\tO\tO' -p183793 -aS'during\tduring\tIN\tB-PP\tO' -p183794 -aS'the\tthe\tDT\tB-NP\tO' -p183795 -aS'course\tcourse\tNN\tI-NP\tO' -p183796 -aS'of\tof\tIN\tB-PP\tO' -p183797 -aS'which\twhich\tWDT\tB-NP\tO' -p183798 -aS'he\the\tPRP\tB-NP\tO' -p183799 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p183800 -aS'substernal\tsubsternal\tJJ\tB-NP\tO' -p183801 -aS'chest\tchest\tNN\tI-NP\tO' -p183802 -aS'pain\tpain\tNN\tI-NP\tO' -p183803 -aS'radiating\tradiate\tVBG\tB-VP\tO' -p183804 -aS'to\tto\tTO\tB-PP\tO' -p183805 -aS'the\tthe\tDT\tB-NP\tO' -p183806 -aS'left\tleft\tJJ\tI-NP\tO' -p183807 -aS'arm\tarm\tNN\tI-NP\tO' -p183808 -aS'and\tand\tCC\tI-NP\tO' -p183809 -aS'shoulder\tshoulder\tNN\tI-NP\tO' -p183810 -aS'.\t.\t.\tO\tO' -p183811 -asS'The head , eyes , ears , nose , throat examination was unremarkable .' -p183812 -(lp183813 -S'The\tThe\tDT\tB-NP\tO' -p183814 -aS'head\thead\tNN\tI-NP\tO' -p183815 -aS',\t,\t,\tO\tO' -p183816 -aS'eyes\teye\tNNS\tB-NP\tO' -p183817 -aS',\t,\t,\tO\tO' -p183818 -aS'ears\tear\tNNS\tB-NP\tO' -p183819 -aS',\t,\t,\tO\tO' -p183820 -aS'nose\tnose\tNN\tB-NP\tO' -p183821 -aS',\t,\t,\tO\tO' -p183822 -aS'throat\tthroat\tDT\tB-NP\tO' -p183823 -aS'examination\texamination\tNN\tI-NP\tO' -p183824 -aS'was\tbe\tVBD\tB-VP\tO' -p183825 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p183826 -aS'.\t.\t.\tO\tO' -p183827 -asS'SHE WENT TO SURGERY THE NEXT MORNING AND TOLERATED THE SURGERY WELL .' -p183828 -(lp183829 -S'SHE\tSHE\tNNP\tB-NP\tO' -p183830 -aS'WENT\tWENT\tNNP\tI-NP\tO' -p183831 -aS'TO\tTO\tTO\tB-VP\tO' -p183832 -aS'SURGERY\tSURGERY\tNNP\tI-VP\tO' -p183833 -aS'THE\tTHE\tDT\tB-NP\tO' -p183834 -aS'NEXT\tNEXT\tNNP\tI-NP\tO' -p183835 -aS'MORNING\tMORNING\tNNP\tI-NP\tO' -p183836 -aS'AND\tAND\tCC\tI-NP\tO' -p183837 -aS'TOLERATED\tTOLERATED\tNNP\tI-NP\tO' -p183838 -aS'THE\tTHE\tDT\tB-NP\tO' -p183839 -aS'SURGERY\tSURGERY\tNNP\tI-NP\tO' -p183840 -aS'WELL\tWELL\tNNP\tI-NP\tO' -p183841 -aS'.\t.\t.\tO\tO' -p183842 -asS'At the time of discharge , he is breastfeeding or taking Enfamil fortified to 24 calories / ounce with intake approximately 150 cc / kg / day .' -p183843 -(lp183844 -S'At\tAt\tIN\tB-PP\tO' -p183845 -aS'the\tthe\tDT\tB-NP\tO' -p183846 -aS'time\ttime\tNN\tI-NP\tO' -p183847 -aS'of\tof\tIN\tB-PP\tO' -p183848 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p183849 -aS',\t,\t,\tO\tO' -p183850 -aS'he\the\tPRP\tB-NP\tO' -p183851 -aS'is\tbe\tVBZ\tB-VP\tO' -p183852 -aS'breastfeeding\tbreastfeed\tVBG\tI-VP\tO' -p183853 -aS'or\tor\tCC\tI-VP\tO' -p183854 -aS'taking\ttake\tVBG\tI-VP\tO' -p183855 -aS'Enfamil\tEnfamil\tNNP\tB-NP\tO' -p183856 -aS'fortified\tfortify\tVBD\tB-VP\tO' -p183857 -aS'to\tto\tTO\tB-PP\tO' -p183858 -aS'24\t24\tCD\tB-NP\tO' -p183859 -aS'calories\tcalorie\tNNS\tI-NP\tO' -p183860 -aS'/\t/\tSYM\tB-NP\tO' -p183861 -aS'ounce\tounce\tNN\tI-NP\tO' -p183862 -aS'with\twith\tIN\tB-PP\tO' -p183863 -aS'intake\tintake\tNN\tB-NP\tO' -p183864 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p183865 -aS'150\t150\tCD\tI-NP\tO' -p183866 -aS'cc\tcc\tNN\tI-NP\tO' -p183867 -aS'/\t/\tSYM\tB-NP\tO' -p183868 -aS'kg\tkg\tNN\tI-NP\tO' -p183869 -aS'/\t/\tSYM\tB-NP\tO' -p183870 -aS'day\tday\tNN\tI-NP\tO' -p183871 -aS'.\t.\t.\tO\tO' -p183872 -asS'She had hyperreflexia in both the bilateral upper and lower extremities .' -p183873 -(lp183874 -S'She\tShe\tPRP\tB-NP\tO' -p183875 -aS'had\thave\tVBD\tB-VP\tO' -p183876 -aS'hyperreflexia\thyperreflexia\tNN\tB-NP\tO' -p183877 -aS'in\tin\tIN\tB-PP\tO' -p183878 -aS'both\tboth\tCC\tB-NP\tO' -p183879 -aS'the\tthe\tDT\tI-NP\tO' -p183880 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p183881 -aS'upper\tupper\tJJ\tI-NP\tO' -p183882 -aS'and\tand\tCC\tI-NP\tO' -p183883 -aS'lower\tlow\tJJR\tI-NP\tO' -p183884 -aS'extremities\textremity\tNNS\tI-NP\tO' -p183885 -aS'.\t.\t.\tO\tO' -p183886 -asS'Blood cultures x two sent off with no growth .' -p183887 -(lp183888 -S'Blood\tBlood\tNN\tB-NP\tO' -p183889 -aS'cultures\tculture\tNNS\tI-NP\tO' -p183890 -aS'x\tx\tSYM\tO\tO' -p183891 -aS'two\ttwo\tCD\tB-NP\tO' -p183892 -aS'sent\tsend\tVBN\tB-VP\tO' -p183893 -aS'off\toff\tRP\tB-PRT\tO' -p183894 -aS'with\twith\tIN\tB-PP\tO' -p183895 -aS'no\tno\tDT\tB-NP\tO' -p183896 -aS'growth\tgrowth\tNN\tI-NP\tO' -p183897 -aS'.\t.\t.\tO\tO' -p183898 -asS'Probably sigmoid volvulus .' -p183899 -(lp183900 -S'Probably\tProbably\tRB\tB-NP\tO' -p183901 -aS'sigmoid\tsigmoid\tJJ\tI-NP\tO' -p183902 -aS'volvulus\tvolvulus\tNN\tI-NP\tO' -p183903 -aS'.\t.\t.\tO\tO' -p183904 -asS'Bilateral pleural effusion small on the right and moderate on the left is stable .' -p183905 -(lp183906 -S'Bilateral\tBilateral\tJJ\tB-NP\tO' -p183907 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p183908 -aS'effusion\teffusion\tNN\tI-NP\tO' -p183909 -aS'small\tsmall\tJJ\tB-ADJP\tO' -p183910 -aS'on\ton\tIN\tB-PP\tO' -p183911 -aS'the\tthe\tDT\tB-NP\tO' -p183912 -aS'right\tright\tJJ\tI-NP\tO' -p183913 -aS'and\tand\tCC\tI-NP\tO' -p183914 -aS'moderate\tmoderate\tJJ\tI-NP\tO' -p183915 -aS'on\ton\tIN\tB-PP\tO' -p183916 -aS'the\tthe\tDT\tB-NP\tO' -p183917 -aS'left\tleft\tNN\tI-NP\tO' -p183918 -aS'is\tbe\tVBZ\tB-VP\tO' -p183919 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p183920 -aS'.\t.\t.\tO\tO' -p183921 -asS'The patient was admitted and many cultures were sent which were all negative .' -p183922 -(lp183923 -S'The\tThe\tDT\tB-NP\tO' -p183924 -aS'patient\tpatient\tNN\tI-NP\tO' -p183925 -aS'was\tbe\tVBD\tB-VP\tO' -p183926 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p183927 -aS'and\tand\tCC\tO\tO' -p183928 -aS'many\tmany\tJJ\tB-NP\tO' -p183929 -aS'cultures\tculture\tNNS\tI-NP\tO' -p183930 -aS'were\tbe\tVBD\tB-VP\tO' -p183931 -aS'sent\tsend\tVBN\tI-VP\tO' -p183932 -aS'which\twhich\tWDT\tB-NP\tO' -p183933 -aS'were\tbe\tVBD\tB-VP\tO' -p183934 -aS'all\tall\tDT\tO\tO' -p183935 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p183936 -aS'.\t.\t.\tO\tO' -p183937 -asS'No CPR / No defib / No intubation / No pressors' -p183938 -(lp183939 -S'No\tNo\tDT\tB-NP\tO' -p183940 -aS'CPR\tCPR\tNN\tI-NP\tB-protein' -p183941 -aS'/\t/\tSYM\tB-NP\tO' -p183942 -aS'No\tNo\tNN\tI-NP\tO' -p183943 -aS'defib\tdefib\tNN\tI-NP\tO' -p183944 -aS'/\t/\tSYM\tB-NP\tO' -p183945 -aS'No\tNo\tNN\tI-NP\tO' -p183946 -aS'intubation\tintubation\tNN\tI-NP\tO' -p183947 -aS'/\t/\tSYM\tB-NP\tO' -p183948 -aS'No\tNo\tNN\tI-NP\tB-protein' -p183949 -aS'pressors\tpressor\tNNS\tI-NP\tI-protein' -p183950 -asS'She was received in the Respiratory Intensive Care Unit immediately postoperatively in stable condition .' -p183951 -(lp183952 -S'She\tShe\tPRP\tB-NP\tO' -p183953 -aS'was\tbe\tVBD\tB-VP\tO' -p183954 -aS'received\treceive\tVBN\tI-VP\tO' -p183955 -aS'in\tin\tIN\tB-PP\tO' -p183956 -aS'the\tthe\tDT\tB-NP\tO' -p183957 -aS'Respiratory\tRespiratory\tNNP\tI-NP\tO' -p183958 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p183959 -aS'Care\tCare\tNNP\tI-NP\tO' -p183960 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p183961 -aS'immediately\timmediately\tRB\tB-ADVP\tO' -p183962 -aS'postoperatively\tpostoperatively\tRB\tI-ADVP\tO' -p183963 -aS'in\tin\tIN\tB-PP\tO' -p183964 -aS'stable\tstable\tJJ\tB-NP\tO' -p183965 -aS'condition\tcondition\tNN\tI-NP\tO' -p183966 -aS'.\t.\t.\tO\tO' -p183967 -asS'However , on postoperative day number two , the patient in the afternoon noticed some tingling in her hands and also some tingling hear her perioral region .' -p183968 -(lp183969 -S'However\tHowever\tRB\tB-ADVP\tO' -p183970 -aS',\t,\t,\tO\tO' -p183971 -aS'on\ton\tIN\tB-PP\tO' -p183972 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p183973 -aS'day\tday\tNN\tI-NP\tO' -p183974 -aS'number\tnumber\tNN\tI-NP\tO' -p183975 -aS'two\ttwo\tCD\tB-NP\tO' -p183976 -aS',\t,\t,\tO\tO' -p183977 -aS'the\tthe\tDT\tB-NP\tO' -p183978 -aS'patient\tpatient\tNN\tI-NP\tO' -p183979 -aS'in\tin\tIN\tB-PP\tO' -p183980 -aS'the\tthe\tDT\tB-NP\tO' -p183981 -aS'afternoon\tafternoon\tNN\tI-NP\tO' -p183982 -aS'noticed\tnotice\tVBD\tB-VP\tO' -p183983 -aS'some\tsome\tDT\tB-NP\tO' -p183984 -aS'tingling\ttingling\tNN\tI-NP\tO' -p183985 -aS'in\tin\tIN\tB-PP\tO' -p183986 -aS'her\ther\tPRP$\tB-NP\tO' -p183987 -aS'hands\thand\tNNS\tI-NP\tO' -p183988 -aS'and\tand\tCC\tO\tO' -p183989 -aS'also\talso\tRB\tB-ADVP\tO' -p183990 -aS'some\tsome\tDT\tB-NP\tO' -p183991 -aS'tingling\ttingling\tNN\tI-NP\tO' -p183992 -aS'hear\thear\tVBP\tB-VP\tO' -p183993 -aS'her\ther\tPRP$\tB-NP\tO' -p183994 -aS'perioral\tperioral\tJJ\tI-NP\tB-DNA' -p183995 -aS'region\tregion\tNN\tI-NP\tI-DNA' -p183996 -aS'.\t.\t.\tO\tO' -p183997 -asS'361-400 mg / dL 11 Units 11 Units 10 Units 4 Units' -p183998 -(lp183999 -S'361-400\t361-400\tCD\tB-NP\tO' -p184000 -aS'mg\tmg\tNN\tI-NP\tO' -p184001 -aS'/\t/\tSYM\tB-NP\tO' -p184002 -aS'dL\tdL\tNN\tB-NP\tB-protein' -p184003 -aS'11\t11\tCD\tI-NP\tI-protein' -p184004 -aS'Units\tUnits\tNNP\tI-NP\tI-protein' -p184005 -aS'11\t11\tCD\tI-NP\tI-protein' -p184006 -aS'Units\tUnits\tNNP\tI-NP\tI-protein' -p184007 -aS'10\t10\tCD\tI-NP\tI-protein' -p184008 -aS'Units\tUnits\tNNP\tI-NP\tI-protein' -p184009 -aS'4\t4\tCD\tI-NP\tI-protein' -p184010 -aS'Units\tUnit\tNNS\tI-NP\tI-protein' -p184011 -asS'She will follow up with Dr. Perez in two weeks with repeat head CT .' -p184012 -(lp184013 -S'She\tShe\tPRP\tB-NP\tO' -p184014 -aS'will\twill\tMD\tB-VP\tO' -p184015 -aS'follow\tfollow\tVB\tI-VP\tO' -p184016 -aS'up\tup\tRP\tB-PRT\tO' -p184017 -aS'with\twith\tIN\tB-PP\tO' -p184018 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p184019 -aS'Perez\tPerez\tNNP\tI-NP\tO' -p184020 -aS'in\tin\tIN\tB-PP\tO' -p184021 -aS'two\ttwo\tCD\tB-NP\tO' -p184022 -aS'weeks\tweek\tNNS\tI-NP\tO' -p184023 -aS'with\twith\tIN\tB-PP\tO' -p184024 -aS'repeat\trepeat\tNN\tB-NP\tO' -p184025 -aS'head\thead\tNN\tI-NP\tO' -p184026 -aS'CT\tCT\tNN\tI-NP\tO' -p184027 -aS'.\t.\t.\tO\tO' -p184028 -asS'The patient described the pain as " knife-like " with a severity of 1/25 at its worse .' -p184029 -(lp184030 -S'The\tThe\tDT\tB-NP\tO' -p184031 -aS'patient\tpatient\tNN\tI-NP\tO' -p184032 -aS'described\tdescribe\tVBD\tB-VP\tO' -p184033 -aS'the\tthe\tDT\tB-NP\tO' -p184034 -aS'pain\tpain\tNN\tI-NP\tO' -p184035 -aS'as\tas\tIN\tB-PP\tO' -p184036 -aS'"\t"\tCC\tB-NP\tO' -p184037 -aS'knife-like\tknife-like\tJJ\tI-NP\tO' -p184038 -aS'"\t"\tNN\tI-NP\tO' -p184039 -aS'with\twith\tIN\tB-PP\tO' -p184040 -aS'a\ta\tDT\tB-NP\tO' -p184041 -aS'severity\tseverity\tNN\tI-NP\tO' -p184042 -aS'of\tof\tIN\tB-PP\tO' -p184043 -aS'1/25\t1/25\tCD\tB-NP\tO' -p184044 -aS'at\tat\tIN\tB-PP\tO' -p184045 -aS'its\tits\tPRP$\tB-NP\tO' -p184046 -aS'worse\tworse\tJJR\tI-NP\tO' -p184047 -aS'.\t.\t.\tO\tO' -p184048 -asS'Then , this morning she developed fatigue and did not eat well .' -p184049 -(lp184050 -S'Then\tThen\tRB\tO\tO' -p184051 -aS',\t,\t,\tO\tO' -p184052 -aS'this\tthis\tDT\tB-NP\tO' -p184053 -aS'morning\tmorning\tNN\tI-NP\tO' -p184054 -aS'she\tshe\tPRP\tB-NP\tO' -p184055 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p184056 -aS'fatigue\tfatigue\tNN\tB-NP\tO' -p184057 -aS'and\tand\tCC\tO\tO' -p184058 -aS'did\tdo\tVBD\tB-VP\tO' -p184059 -aS'not\tnot\tRB\tI-VP\tO' -p184060 -aS'eat\teat\tVB\tI-VP\tO' -p184061 -aS'well\twell\tRB\tB-ADVP\tO' -p184062 -aS'.\t.\t.\tO\tO' -p184063 -asS'She was noted to have apnea of prematurity , treated with caffeine until 2017-06-04 .' -p184064 -(lp184065 -S'She\tShe\tPRP\tB-NP\tO' -p184066 -aS'was\tbe\tVBD\tB-VP\tO' -p184067 -aS'noted\tnote\tVBN\tI-VP\tO' -p184068 -aS'to\tto\tTO\tI-VP\tO' -p184069 -aS'have\thave\tVB\tI-VP\tO' -p184070 -aS'apnea\tapnea\tNN\tB-NP\tO' -p184071 -aS'of\tof\tIN\tB-PP\tO' -p184072 -aS'prematurity\tprematurity\tNN\tB-NP\tO' -p184073 -aS',\t,\t,\tO\tO' -p184074 -aS'treated\ttreat\tVBN\tB-VP\tO' -p184075 -aS'with\twith\tIN\tB-PP\tO' -p184076 -aS'caffeine\tcaffeine\tNN\tB-NP\tO' -p184077 -aS'until\tuntil\tIN\tB-PP\tO' -p184078 -aS'2017-06-04\t2017-06-04\tCD\tB-NP\tO' -p184079 -aS'.\t.\t.\tO\tO' -p184080 -asS'Cranial nerves II through XII intact .' -p184081 -(lp184082 -S'Cranial\tCranial\tNNP\tB-NP\tO' -p184083 -aS'nerves\tnerve\tVBZ\tB-VP\tO' -p184084 -aS'II\tII\tCD\tB-NP\tO' -p184085 -aS'through\tthrough\tIN\tB-PP\tO' -p184086 -aS'XII\tXII\tCD\tB-NP\tO' -p184087 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p184088 -aS'.\t.\t.\tO\tO' -p184089 -asS'The common duct is dilated .' -p184090 -(lp184091 -S'The\tThe\tDT\tB-NP\tO' -p184092 -aS'common\tcommon\tJJ\tI-NP\tO' -p184093 -aS'duct\tduct\tNN\tI-NP\tO' -p184094 -aS'is\tbe\tVBZ\tB-VP\tO' -p184095 -aS'dilated\tdilate\tVBN\tI-VP\tO' -p184096 -aS'.\t.\t.\tO\tO' -p184097 -asS'HISTORY : Trauma , congestive heart failure , fever , pneumonia .' -p184098 -(lp184099 -S'HISTORY\tHISTORY\tNN\tB-NP\tO' -p184100 -aS':\t:\t:\tO\tO' -p184101 -aS'Trauma\tTrauma\tNNP\tB-NP\tO' -p184102 -aS',\t,\t,\tO\tO' -p184103 -aS'congestive\tcongestive\tJJ\tB-NP\tO' -p184104 -aS'heart\theart\tNN\tI-NP\tO' -p184105 -aS'failure\tfailure\tNN\tI-NP\tO' -p184106 -aS',\t,\t,\tO\tO' -p184107 -aS'fever\tfever\tNN\tB-NP\tO' -p184108 -aS',\t,\t,\tO\tO' -p184109 -aS'pneumonia\tpneumonia\tNN\tB-NP\tO' -p184110 -aS'.\t.\t.\tO\tO' -p184111 -asS'Admission laboratories were notable for a white count of 13.1 , hematocrit 34.0 , platelet count 280,000 .' -p184112 -(lp184113 -S'Admission\tAdmission\tNN\tB-NP\tO' -p184114 -aS'laboratories\tlaboratory\tNNS\tI-NP\tO' -p184115 -aS'were\tbe\tVBD\tB-VP\tO' -p184116 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p184117 -aS'for\tfor\tIN\tB-PP\tO' -p184118 -aS'a\ta\tDT\tB-NP\tO' -p184119 -aS'white\twhite\tJJ\tI-NP\tO' -p184120 -aS'count\tcount\tNN\tI-NP\tO' -p184121 -aS'of\tof\tIN\tB-PP\tO' -p184122 -aS'13.1\t13.1\tNN\tB-NP\tB-protein' -p184123 -aS',\t,\t,\tO\tO' -p184124 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p184125 -aS'34.0\t34.0\tCD\tI-NP\tI-protein' -p184126 -aS',\t,\t,\tO\tO' -p184127 -aS'platelet\tplatelet\tNN\tB-NP\tB-protein' -p184128 -aS'count\tcount\tNN\tI-NP\tI-protein' -p184129 -aS'280,000\t280,000\tCD\tI-NP\tI-protein' -p184130 -aS'.\t.\t.\tO\tO' -p184131 -asS'Neck : supple , no JVD' -p184132 -(lp184133 -S'Neck\tNeck\tNN\tB-NP\tO' -p184134 -aS':\t:\t:\tO\tO' -p184135 -aS'supple\tsupple\tNN\tB-NP\tO' -p184136 -aS',\t,\t,\tO\tO' -p184137 -aS'no\tno\tDT\tB-NP\tO' -p184138 -aS'JVD\tJVD\tNN\tI-NP\tB-protein' -p184139 -asS'In the a.m. of 01/08 , the patient experienced episode of tongue biting , unresponsiveness , disorientation .' -p184140 -(lp184141 -S'In\tIn\tIN\tB-PP\tO' -p184142 -aS'the\tthe\tDT\tB-NP\tO' -p184143 -aS'a.m.\ta.m.\tNN\tI-NP\tO' -p184144 -aS'of\tof\tIN\tB-PP\tO' -p184145 -aS'01/08\t01/08\tCD\tB-NP\tO' -p184146 -aS',\t,\t,\tO\tO' -p184147 -aS'the\tthe\tDT\tB-NP\tO' -p184148 -aS'patient\tpatient\tNN\tI-NP\tO' -p184149 -aS'experienced\texperience\tVBD\tB-VP\tO' -p184150 -aS'episode\tepisode\tNN\tB-NP\tO' -p184151 -aS'of\tof\tIN\tB-PP\tO' -p184152 -aS'tongue\ttongue\tNN\tB-NP\tO' -p184153 -aS'biting\tbiting\tNN\tI-NP\tO' -p184154 -aS',\t,\t,\tO\tO' -p184155 -aS'unresponsiveness\tunresponsiveness\tNN\tB-NP\tO' -p184156 -aS',\t,\t,\tO\tO' -p184157 -aS'disorientation\tdisorientation\tNN\tB-NP\tO' -p184158 -aS'.\t.\t.\tO\tO' -p184159 -asS'Harsher holosystolic murmur at the apex heard best with bell .' -p184160 -(lp184161 -S'Harsher\tHarsher\tNNP\tB-NP\tO' -p184162 -aS'holosystolic\tholosystolic\tJJ\tI-NP\tO' -p184163 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p184164 -aS'at\tat\tIN\tB-PP\tO' -p184165 -aS'the\tthe\tDT\tB-NP\tO' -p184166 -aS'apex\tapex\tNN\tI-NP\tO' -p184167 -aS'heard\thear\tVBD\tB-VP\tO' -p184168 -aS'best\tgood\tJJS\tB-ADVP\tO' -p184169 -aS'with\twith\tIN\tB-PP\tO' -p184170 -aS'bell\tbell\tNN\tB-NP\tO' -p184171 -aS'.\t.\t.\tO\tO' -p184172 -asS'3) CORD COMPRESSION .' -p184173 -(lp184174 -S'3)\t3)\tLS\tB-NP\tO' -p184175 -aS'CORD\tCORD\tNN\tI-NP\tO' -p184176 -aS'COMPRESSION\tCOMPRESSION\tNN\tI-NP\tO' -p184177 -aS'.\t.\t.\tO\tO' -p184178 -asS'He used to be a heavy drinker in the past , no drugs .' -p184179 -(lp184180 -S'He\tHe\tPRP\tB-NP\tO' -p184181 -aS'used\tuse\tVBD\tB-VP\tO' -p184182 -aS'to\tto\tTO\tI-VP\tO' -p184183 -aS'be\tbe\tVB\tI-VP\tO' -p184184 -aS'a\ta\tDT\tB-NP\tO' -p184185 -aS'heavy\theavy\tJJ\tI-NP\tO' -p184186 -aS'drinker\tdrinker\tNN\tI-NP\tO' -p184187 -aS'in\tin\tIN\tB-PP\tO' -p184188 -aS'the\tthe\tDT\tB-NP\tO' -p184189 -aS'past\tpast\tNN\tI-NP\tO' -p184190 -aS',\t,\t,\tO\tO' -p184191 -aS'no\tno\tDT\tB-NP\tO' -p184192 -aS'drugs\tdrug\tNNS\tI-NP\tO' -p184193 -aS'.\t.\t.\tO\tO' -p184194 -asS'Right atrial pressure was 12 with a wave form consistent with tricuspid regurgitation .' -p184195 -(lp184196 -S'Right\tRight\tRB\tB-NP\tO' -p184197 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p184198 -aS'pressure\tpressure\tNN\tI-NP\tO' -p184199 -aS'was\tbe\tVBD\tB-VP\tO' -p184200 -aS'12\t12\tCD\tB-NP\tO' -p184201 -aS'with\twith\tIN\tB-PP\tO' -p184202 -aS'a\ta\tDT\tB-NP\tO' -p184203 -aS'wave\twave\tNN\tI-NP\tO' -p184204 -aS'form\tform\tNN\tI-NP\tO' -p184205 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p184206 -aS'with\twith\tIN\tB-PP\tO' -p184207 -aS'tricuspid\ttricuspid\tJJ\tB-NP\tO' -p184208 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p184209 -aS'.\t.\t.\tO\tO' -p184210 -asS'He continued to require very high FIO2 .' -p184211 -(lp184212 -S'He\tHe\tPRP\tB-NP\tO' -p184213 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p184214 -aS'to\tto\tTO\tI-VP\tO' -p184215 -aS'require\trequire\tVB\tI-VP\tO' -p184216 -aS'very\tvery\tRB\tB-NP\tO' -p184217 -aS'high\thigh\tJJ\tI-NP\tO' -p184218 -aS'FIO2\tFIO2\tNN\tI-NP\tB-protein' -p184219 -aS'.\t.\t.\tO\tO' -p184220 -asS'Sensory is intact to soft touch throughout .' -p184221 -(lp184222 -S'Sensory\tSensory\tNNP\tB-NP\tO' -p184223 -aS'is\tbe\tVBZ\tB-VP\tO' -p184224 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p184225 -aS'to\tto\tTO\tB-PP\tO' -p184226 -aS'soft\tsoft\tJJ\tB-NP\tO' -p184227 -aS'touch\ttouch\tNN\tI-NP\tO' -p184228 -aS'throughout\tthroughout\tIN\tB-ADVP\tO' -p184229 -aS'.\t.\t.\tO\tO' -p184230 -asS'Oral cyanosis and shallow respirations were noted on 9/7/93 at 2:45 a.m.' -p184231 -(lp184232 -S'Oral\tOral\tJJ\tB-NP\tO' -p184233 -aS'cyanosis\tcyanosis\tNN\tI-NP\tO' -p184234 -aS'and\tand\tCC\tI-NP\tO' -p184235 -aS'shallow\tshallow\tNN\tI-NP\tO' -p184236 -aS'respirations\trespiration\tNNS\tI-NP\tO' -p184237 -aS'were\tbe\tVBD\tB-VP\tO' -p184238 -aS'noted\tnote\tVBN\tI-VP\tO' -p184239 -aS'on\ton\tIN\tB-PP\tO' -p184240 -aS'9/7/93\t9/7/93\tCD\tB-NP\tO' -p184241 -aS'at\tat\tIN\tB-PP\tO' -p184242 -aS'2:45\t2:45\tCD\tB-NP\tO' -p184243 -aS'a.m.\ta.m.\tNN\tI-NP\tO' -p184244 -asS'CTAB aside from slightly dull breath sounds at the bases' -p184245 -(lp184246 -S'CTAB\tCTAB\tNN\tB-NP\tB-protein' -p184247 -aS'aside\taside\tRB\tB-ADVP\tO' -p184248 -aS'from\tfrom\tIN\tB-PP\tO' -p184249 -aS'slightly\tslightly\tRB\tB-NP\tO' -p184250 -aS'dull\tdull\tJJ\tI-NP\tO' -p184251 -aS'breath\tbreath\tNN\tI-NP\tO' -p184252 -aS'sounds\tsound\tVBZ\tB-VP\tO' -p184253 -aS'at\tat\tIN\tB-PP\tO' -p184254 -aS'the\tthe\tDT\tB-NP\tO' -p184255 -aS'bases\tbase\tNNS\tI-NP\tO' -p184256 -asS'Repeat CT was neg. for abcess or fascitis .' -p184257 -(lp184258 -S'Repeat\tRepeat\tNN\tB-NP\tO' -p184259 -aS'CT\tCT\tNN\tI-NP\tO' -p184260 -aS'was\tbe\tVBD\tB-VP\tO' -p184261 -aS'neg.\tneg.\tNN\tB-NP\tO' -p184262 -aS'for\tfor\tIN\tB-PP\tO' -p184263 -aS'abcess\tabcess\tNN\tB-NP\tO' -p184264 -aS'or\tor\tCC\tI-NP\tO' -p184265 -aS'fascitis\tfascitis\tNN\tI-NP\tO' -p184266 -aS'.\t.\t.\tO\tO' -p184267 -asS'Based on a chest x-ray that showed a small hydro-pneumothorax on the left lower lobe of the lung , a thoracic surgery consult was obtained , though no specific interventions were warranted at the time .' -p184268 -(lp184269 -S'Based\tBase\tVBN\tB-PP\tO' -p184270 -aS'on\ton\tIN\tB-PP\tO' -p184271 -aS'a\ta\tDT\tB-NP\tO' -p184272 -aS'chest\tchest\tNN\tI-NP\tO' -p184273 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p184274 -aS'that\tthat\tWDT\tB-NP\tO' -p184275 -aS'showed\tshow\tVBD\tB-VP\tO' -p184276 -aS'a\ta\tDT\tB-NP\tO' -p184277 -aS'small\tsmall\tJJ\tI-NP\tO' -p184278 -aS'hydro-pneumothorax\thydro-pneumothorax\tNN\tI-NP\tO' -p184279 -aS'on\ton\tIN\tB-PP\tO' -p184280 -aS'the\tthe\tDT\tB-NP\tO' -p184281 -aS'left\tleft\tJJ\tI-NP\tO' -p184282 -aS'lower\tlow\tJJR\tI-NP\tO' -p184283 -aS'lobe\tlobe\tNN\tI-NP\tO' -p184284 -aS'of\tof\tIN\tB-PP\tO' -p184285 -aS'the\tthe\tDT\tB-NP\tO' -p184286 -aS'lung\tlung\tNN\tI-NP\tO' -p184287 -aS',\t,\t,\tO\tO' -p184288 -aS'a\ta\tDT\tB-NP\tO' -p184289 -aS'thoracic\tthoracic\tJJ\tI-NP\tO' -p184290 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p184291 -aS'consult\tconsult\tNN\tI-NP\tO' -p184292 -aS'was\tbe\tVBD\tB-VP\tO' -p184293 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p184294 -aS',\t,\t,\tO\tO' -p184295 -aS'though\tthough\tIN\tB-SBAR\tO' -p184296 -aS'no\tno\tDT\tB-NP\tO' -p184297 -aS'specific\tspecific\tJJ\tI-NP\tO' -p184298 -aS'interventions\tintervention\tNNS\tI-NP\tO' -p184299 -aS'were\tbe\tVBD\tB-VP\tO' -p184300 -aS'warranted\twarrant\tVBN\tI-VP\tO' -p184301 -aS'at\tat\tIN\tB-PP\tO' -p184302 -aS'the\tthe\tDT\tB-NP\tO' -p184303 -aS'time\ttime\tNN\tI-NP\tO' -p184304 -aS'.\t.\t.\tO\tO' -p184305 -asS'Admits to 03-08 ETOH drinks per week .' -p184306 -(lp184307 -S'Admits\tAdmit\tNNS\tB-NP\tO' -p184308 -aS'to\tto\tTO\tB-PP\tO' -p184309 -aS'03-08\t03-08\tCD\tB-NP\tO' -p184310 -aS'ETOH\tETOH\tNN\tI-NP\tO' -p184311 -aS'drinks\tdrink\tNNS\tI-NP\tO' -p184312 -aS'per\tper\tIN\tB-PP\tO' -p184313 -aS'week\tweek\tNN\tB-NP\tO' -p184314 -aS'.\t.\t.\tO\tO' -p184315 -asS'Fatigue secondary to worsening dyspnea .' -p184316 -(lp184317 -S'Fatigue\tFatigue\tNN\tB-NP\tO' -p184318 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p184319 -aS'to\tto\tTO\tB-PP\tO' -p184320 -aS'worsening\tworsen\tVBG\tB-VP\tO' -p184321 -aS'dyspnea\tdyspnea\tNN\tB-NP\tO' -p184322 -aS'.\t.\t.\tO\tO' -p184323 -asS'She has a comfortable respiratory rate and good air exchange .' -p184324 -(lp184325 -S'She\tShe\tPRP\tB-NP\tO' -p184326 -aS'has\thave\tVBZ\tB-VP\tO' -p184327 -aS'a\ta\tDT\tB-NP\tO' -p184328 -aS'comfortable\tcomfortable\tJJ\tI-NP\tO' -p184329 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p184330 -aS'rate\trate\tNN\tI-NP\tO' -p184331 -aS'and\tand\tCC\tO\tO' -p184332 -aS'good\tgood\tJJ\tB-NP\tO' -p184333 -aS'air\tair\tNN\tI-NP\tO' -p184334 -aS'exchange\texchange\tNN\tI-NP\tO' -p184335 -aS'.\t.\t.\tO\tO' -p184336 -asS'The patient is a 47-year-old man with advanced stage chronic lymphocytic leukemia who was admitted for autologous bone marrow transplant as per protocol 94-055 of the Santusli Hospital .' -p184337 -(lp184338 -S'The\tThe\tDT\tB-NP\tO' -p184339 -aS'patient\tpatient\tNN\tI-NP\tO' -p184340 -aS'is\tbe\tVBZ\tB-VP\tO' -p184341 -aS'a\ta\tDT\tB-NP\tO' -p184342 -aS'47-year-old\t47-year-old\tJJ\tI-NP\tO' -p184343 -aS'man\tman\tNN\tI-NP\tO' -p184344 -aS'with\twith\tIN\tB-PP\tO' -p184345 -aS'advanced\tadvance\tVBN\tB-NP\tO' -p184346 -aS'stage\tstage\tNN\tI-NP\tO' -p184347 -aS'chronic\tchronic\tJJ\tI-NP\tO' -p184348 -aS'lymphocytic\tlymphocytic\tJJ\tI-NP\tO' -p184349 -aS'leukemia\tleukemia\tNN\tI-NP\tO' -p184350 -aS'who\twho\tWP\tB-NP\tO' -p184351 -aS'was\tbe\tVBD\tB-VP\tO' -p184352 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p184353 -aS'for\tfor\tIN\tB-PP\tO' -p184354 -aS'autologous\tautologous\tJJ\tB-NP\tO' -p184355 -aS'bone\tbone\tNN\tI-NP\tO' -p184356 -aS'marrow\tmarrow\tNN\tI-NP\tO' -p184357 -aS'transplant\ttransplant\tNN\tI-NP\tO' -p184358 -aS'as\tas\tIN\tB-PP\tO' -p184359 -aS'per\tper\tIN\tB-PP\tO' -p184360 -aS'protocol\tprotocol\tNN\tB-NP\tO' -p184361 -aS'94-055\t94-055\tCD\tB-NP\tO' -p184362 -aS'of\tof\tIN\tB-PP\tO' -p184363 -aS'the\tthe\tDT\tB-NP\tO' -p184364 -aS'Santusli\tSantusli\tNNP\tI-NP\tO' -p184365 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p184366 -aS'.\t.\t.\tO\tO' -p184367 -asS'Zofran 8 mg 1 as directed' -p184368 -(lp184369 -S'Zofran\tZofran\tNN\tB-NP\tB-protein' -p184370 -aS'8\t8\tCD\tI-NP\tI-protein' -p184371 -aS'mg\tmg\tNN\tI-NP\tI-protein' -p184372 -aS'1\t1\tCD\tI-NP\tI-protein' -p184373 -aS'as\tas\tIN\tB-SBAR\tO' -p184374 -aS'directed\tdirect\tVBN\tB-VP\tO' -p184375 -asS'9. Metoprolol Tartrate 25 mg Tablet Sig : Three ( 3 ) Tablet PO TID ( 3 times a day ) .' -p184376 -(lp184377 -S'9.\t9.\tLS\tB-NP\tO' -p184378 -aS'Metoprolol\tMetoprolol\tNNP\tI-NP\tO' -p184379 -aS'Tartrate\tTartrate\tNNP\tI-NP\tO' -p184380 -aS'25\t25\tCD\tI-NP\tO' -p184381 -aS'mg\tmg\tNN\tI-NP\tO' -p184382 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p184383 -aS'Sig\tSig\tNNP\tI-NP\tO' -p184384 -aS':\t:\t:\tO\tO' -p184385 -aS'Three\tThree\tCD\tB-NP\tO' -p184386 -aS'(\t(\t(\tO\tO' -p184387 -aS'3\t3\tCD\tB-NP\tO' -p184388 -aS')\t)\t)\tO\tO' -p184389 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p184390 -aS'PO\tPO\tNN\tI-NP\tO' -p184391 -aS'TID\tTID\tNN\tI-NP\tO' -p184392 -aS'(\t(\t(\tO\tO' -p184393 -aS'3\t3\tCD\tB-NP\tO' -p184394 -aS'times\ttime\tNNS\tI-NP\tO' -p184395 -aS'a\ta\tDT\tB-NP\tO' -p184396 -aS'day\tday\tNN\tI-NP\tO' -p184397 -aS')\t)\t)\tO\tO' -p184398 -aS'.\t.\t.\tO\tO' -p184399 -asS'No abnormal results have been reported .' -p184400 -(lp184401 -S'No\tNo\tDT\tB-NP\tO' -p184402 -aS'abnormal\tabnormal\tJJ\tI-NP\tO' -p184403 -aS'results\tresult\tNNS\tI-NP\tO' -p184404 -aS'have\thave\tVBP\tB-VP\tO' -p184405 -aS'been\tbe\tVBN\tI-VP\tO' -p184406 -aS'reported\treport\tVBN\tI-VP\tO' -p184407 -aS'.\t.\t.\tO\tO' -p184408 -asS'The patient is married and lives with his wife .' -p184409 -(lp184410 -S'The\tThe\tDT\tB-NP\tO' -p184411 -aS'patient\tpatient\tNN\tI-NP\tO' -p184412 -aS'is\tbe\tVBZ\tB-VP\tO' -p184413 -aS'married\tmarry\tVBN\tI-VP\tO' -p184414 -aS'and\tand\tCC\tO\tO' -p184415 -aS'lives\tlive\tVBZ\tB-VP\tO' -p184416 -aS'with\twith\tIN\tB-PP\tO' -p184417 -aS'his\this\tPRP$\tB-NP\tO' -p184418 -aS'wife\twife\tNN\tI-NP\tO' -p184419 -aS'.\t.\t.\tO\tO' -p184420 -asS'She was also evaluated by Physical Therapy and Speech and Swallow because of some report of dysphagia .' -p184421 -(lp184422 -S'She\tShe\tPRP\tB-NP\tO' -p184423 -aS'was\tbe\tVBD\tB-VP\tO' -p184424 -aS'also\talso\tRB\tI-VP\tO' -p184425 -aS'evaluated\tevaluate\tVBN\tI-VP\tO' -p184426 -aS'by\tby\tIN\tB-PP\tO' -p184427 -aS'Physical\tPhysical\tJJ\tB-NP\tO' -p184428 -aS'Therapy\tTherapy\tNN\tI-NP\tO' -p184429 -aS'and\tand\tCC\tI-NP\tO' -p184430 -aS'Speech\tSpeech\tNN\tI-NP\tO' -p184431 -aS'and\tand\tCC\tI-NP\tO' -p184432 -aS'Swallow\tSwallow\tNN\tI-NP\tO' -p184433 -aS'because\tbecause\tIN\tB-PP\tO' -p184434 -aS'of\tof\tIN\tI-PP\tO' -p184435 -aS'some\tsome\tDT\tB-NP\tO' -p184436 -aS'report\treport\tNN\tI-NP\tO' -p184437 -aS'of\tof\tIN\tB-PP\tO' -p184438 -aS'dysphagia\tdysphagia\tNN\tB-NP\tO' -p184439 -aS'.\t.\t.\tO\tO' -p184440 -asS'So pain control was a big issue so she was on MS Contin and MSIR at home she thought that clouded her thinking , so we tried different things for pain management .' -p184441 -(lp184442 -S'So\tSo\tIN\tO\tO' -p184443 -aS'pain\tpain\tNN\tB-NP\tO' -p184444 -aS'control\tcontrol\tNN\tI-NP\tO' -p184445 -aS'was\tbe\tVBD\tB-VP\tO' -p184446 -aS'a\ta\tDT\tB-NP\tO' -p184447 -aS'big\tbig\tJJ\tI-NP\tO' -p184448 -aS'issue\tissue\tNN\tI-NP\tO' -p184449 -aS'so\tso\tIN\tB-SBAR\tO' -p184450 -aS'she\tshe\tPRP\tB-NP\tO' -p184451 -aS'was\tbe\tVBD\tB-VP\tO' -p184452 -aS'on\ton\tIN\tB-PP\tO' -p184453 -aS'MS\tMS\tNN\tB-NP\tB-protein' -p184454 -aS'Contin\tContin\tNN\tI-NP\tI-protein' -p184455 -aS'and\tand\tCC\tI-NP\tO' -p184456 -aS'MSIR\tMSIR\tNN\tI-NP\tB-protein' -p184457 -aS'at\tat\tIN\tB-PP\tO' -p184458 -aS'home\thome\tNN\tB-NP\tO' -p184459 -aS'she\tshe\tPRP\tB-NP\tO' -p184460 -aS'thought\tthink\tVBD\tB-VP\tO' -p184461 -aS'that\tthat\tIN\tB-SBAR\tO' -p184462 -aS'clouded\tcloud\tVBD\tB-VP\tO' -p184463 -aS'her\ther\tPRP$\tB-NP\tO' -p184464 -aS'thinking\tthinking\tNN\tI-NP\tO' -p184465 -aS',\t,\t,\tO\tO' -p184466 -aS'so\tso\tIN\tO\tO' -p184467 -aS'we\twe\tPRP\tB-NP\tO' -p184468 -aS'tried\ttry\tVBD\tB-VP\tO' -p184469 -aS'different\tdifferent\tJJ\tB-NP\tO' -p184470 -aS'things\tthing\tNNS\tI-NP\tO' -p184471 -aS'for\tfor\tIN\tB-PP\tO' -p184472 -aS'pain\tpain\tNN\tB-NP\tO' -p184473 -aS'management\tmanagement\tNN\tI-NP\tO' -p184474 -aS'.\t.\t.\tO\tO' -p184475 -asS'Cranial nerves were intact except for paresthesias on the left in the VII and VIII distribution .' -p184476 -(lp184477 -S'Cranial\tCranial\tJJ\tB-NP\tO' -p184478 -aS'nerves\tnerve\tNNS\tI-NP\tO' -p184479 -aS'were\tbe\tVBD\tB-VP\tO' -p184480 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p184481 -aS'except\texcept\tIN\tB-PP\tO' -p184482 -aS'for\tfor\tIN\tB-PP\tO' -p184483 -aS'paresthesias\tparesthesia\tNNS\tB-NP\tO' -p184484 -aS'on\ton\tIN\tB-PP\tO' -p184485 -aS'the\tthe\tDT\tB-NP\tO' -p184486 -aS'left\tleft\tNN\tI-NP\tO' -p184487 -aS'in\tin\tIN\tB-PP\tO' -p184488 -aS'the\tthe\tDT\tB-NP\tO' -p184489 -aS'VII\tVII\tCD\tI-NP\tO' -p184490 -aS'and\tand\tCC\tI-NP\tO' -p184491 -aS'VIII\tVIII\tCD\tI-NP\tO' -p184492 -aS'distribution\tdistribution\tNN\tI-NP\tO' -p184493 -aS'.\t.\t.\tO\tO' -p184494 -asS'Laboratory values were as per the History of Present Illness .' -p184495 -(lp184496 -S'Laboratory\tLaboratory\tNN\tB-NP\tO' -p184497 -aS'values\tvalue\tNNS\tI-NP\tO' -p184498 -aS'were\tbe\tVBD\tB-VP\tO' -p184499 -aS'as\tas\tIN\tB-SBAR\tO' -p184500 -aS'per\tper\tIN\tB-PP\tO' -p184501 -aS'the\tthe\tDT\tB-NP\tO' -p184502 -aS'History\tHistory\tNN\tI-NP\tO' -p184503 -aS'of\tof\tIN\tB-PP\tO' -p184504 -aS'Present\tPresent\tNNP\tB-NP\tO' -p184505 -aS'Illness\tIllness\tNNP\tI-NP\tO' -p184506 -aS'.\t.\t.\tO\tO' -p184507 -asS'The extremities revealed no clubbing , cyanosis or edema .' -p184508 -(lp184509 -S'The\tThe\tDT\tB-NP\tO' -p184510 -aS'extremities\textremity\tNNS\tI-NP\tO' -p184511 -aS'revealed\treveal\tVBD\tB-VP\tO' -p184512 -aS'no\tno\tDT\tB-NP\tO' -p184513 -aS'clubbing\tclubbing\tNN\tI-NP\tO' -p184514 -aS',\t,\t,\tI-NP\tO' -p184515 -aS'cyanosis\tcyanosis\tNN\tI-NP\tO' -p184516 -aS'or\tor\tCC\tI-NP\tO' -p184517 -aS'edema\tedema\tNN\tI-NP\tO' -p184518 -aS'.\t.\t.\tO\tO' -p184519 -asS'She has pain with straight leg raise , left greater than right and 5/5 strength in right quads compared to 4/5 on the left .' -p184520 -(lp184521 -S'She\tShe\tPRP\tB-NP\tO' -p184522 -aS'has\thave\tVBZ\tB-VP\tO' -p184523 -aS'pain\tpain\tVBN\tI-VP\tO' -p184524 -aS'with\twith\tIN\tB-PP\tO' -p184525 -aS'straight\tstraight\tJJ\tB-NP\tO' -p184526 -aS'leg\tleg\tNN\tI-NP\tO' -p184527 -aS'raise\traise\tNN\tI-NP\tO' -p184528 -aS',\t,\t,\tO\tO' -p184529 -aS'left\tleave\tVBD\tB-VP\tO' -p184530 -aS'greater\tgreat\tJJR\tB-ADJP\tO' -p184531 -aS'than\tthan\tIN\tB-PP\tO' -p184532 -aS'right\tright\tJJ\tB-ADJP\tO' -p184533 -aS'and\tand\tCC\tO\tO' -p184534 -aS'5/5\t5/5\tCD\tB-NP\tO' -p184535 -aS'strength\tstrength\tNN\tI-NP\tO' -p184536 -aS'in\tin\tIN\tB-PP\tO' -p184537 -aS'right\tright\tJJ\tB-NP\tO' -p184538 -aS'quads\tquad\tNNS\tI-NP\tO' -p184539 -aS'compared\tcompare\tVBN\tB-VP\tO' -p184540 -aS'to\tto\tTO\tB-PP\tO' -p184541 -aS'4/5\t4/5\tCD\tB-NP\tO' -p184542 -aS'on\ton\tIN\tB-PP\tO' -p184543 -aS'the\tthe\tDT\tB-NP\tO' -p184544 -aS'left\tleft\tNN\tI-NP\tO' -p184545 -aS'.\t.\t.\tO\tO' -p184546 -asS'We also tried to contact her physician at Va Sit Namar Healthcare and was unsuccessful .' -p184547 -(lp184548 -S'We\tWe\tPRP\tB-NP\tO' -p184549 -aS'also\talso\tRB\tB-ADVP\tO' -p184550 -aS'tried\ttry\tVBD\tB-VP\tO' -p184551 -aS'to\tto\tTO\tI-VP\tO' -p184552 -aS'contact\tcontact\tVB\tI-VP\tO' -p184553 -aS'her\ther\tPRP$\tB-NP\tO' -p184554 -aS'physician\tphysician\tNN\tI-NP\tO' -p184555 -aS'at\tat\tIN\tB-PP\tO' -p184556 -aS'Va\tVa\tNNP\tB-NP\tO' -p184557 -aS'Sit\tSit\tNNP\tI-NP\tO' -p184558 -aS'Namar\tNamar\tNNP\tI-NP\tO' -p184559 -aS'Healthcare\tHealthcare\tNNP\tI-NP\tO' -p184560 -aS'and\tand\tCC\tO\tO' -p184561 -aS'was\tbe\tVBD\tB-VP\tO' -p184562 -aS'unsuccessful\tunsuccessful\tJJ\tB-ADJP\tO' -p184563 -aS'.\t.\t.\tO\tO' -p184564 -asS'3) Topical steroids for eczema p.r.n.' -p184565 -(lp184566 -S'3)\t3)\tLS\tB-NP\tO' -p184567 -aS'Topical\tTopical\tJJ\tI-NP\tO' -p184568 -aS'steroids\tsteroid\tNNS\tI-NP\tO' -p184569 -aS'for\tfor\tIN\tB-PP\tO' -p184570 -aS'eczema\teczema\tNN\tB-NP\tO' -p184571 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p184572 -asS'regular S1 and S2 ; no murmurs .' -p184573 -(lp184574 -S'regular\tregular\tJJ\tB-NP\tO' -p184575 -aS'S1\tS1\tNN\tI-NP\tB-protein' -p184576 -aS'and\tand\tCC\tI-NP\tO' -p184577 -aS'S2\tS2\tNN\tI-NP\tB-protein' -p184578 -aS';\t;\t:\tO\tO' -p184579 -aS'no\tno\tDT\tB-NP\tO' -p184580 -aS'murmurs\tmurmur\tNNS\tI-NP\tO' -p184581 -aS'.\t.\t.\tO\tO' -p184582 -asS'On 12/03/02 the patient underwent a repeat KUB which was suggestive of volvulus .' -p184583 -(lp184584 -S'On\tOn\tIN\tB-PP\tO' -p184585 -aS'12/03/02\t12/03/02\tCD\tB-NP\tO' -p184586 -aS'the\tthe\tDT\tB-NP\tO' -p184587 -aS'patient\tpatient\tNN\tI-NP\tO' -p184588 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p184589 -aS'a\ta\tDT\tB-NP\tO' -p184590 -aS'repeat\trepeat\tNN\tI-NP\tO' -p184591 -aS'KUB\tKUB\tNN\tI-NP\tO' -p184592 -aS'which\twhich\tWDT\tB-NP\tO' -p184593 -aS'was\tbe\tVBD\tB-VP\tO' -p184594 -aS'suggestive\tsuggestive\tJJ\tB-ADJP\tO' -p184595 -aS'of\tof\tIN\tB-PP\tO' -p184596 -aS'volvulus\tvolvulus\tNN\tB-NP\tO' -p184597 -aS'.\t.\t.\tO\tO' -p184598 -asS'He describes mild reflux symptoms at night .' -p184599 -(lp184600 -S'He\tHe\tPRP\tB-NP\tO' -p184601 -aS'describes\tdescribe\tVBZ\tB-VP\tO' -p184602 -aS'mild\tmild\tJJ\tB-NP\tO' -p184603 -aS'reflux\treflux\tNN\tI-NP\tO' -p184604 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p184605 -aS'at\tat\tIN\tB-PP\tO' -p184606 -aS'night\tnight\tNN\tB-NP\tO' -p184607 -aS'.\t.\t.\tO\tO' -p184608 -asS'At approximately 06:00 on 2013-11-13 , the patient became bradycardic .' -p184609 -(lp184610 -S'At\tAt\tIN\tB-PP\tO' -p184611 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p184612 -aS'06:00\t06:00\tCD\tI-NP\tO' -p184613 -aS'on\ton\tIN\tB-PP\tO' -p184614 -aS'2013-11-13\t2013-11-13\tCD\tB-NP\tO' -p184615 -aS',\t,\t,\tO\tO' -p184616 -aS'the\tthe\tDT\tB-NP\tO' -p184617 -aS'patient\tpatient\tNN\tI-NP\tO' -p184618 -aS'became\tbecome\tVBD\tB-VP\tO' -p184619 -aS'bradycardic\tbradycardic\tJJ\tB-ADJP\tO' -p184620 -aS'.\t.\t.\tO\tO' -p184621 -asS'Glucophage 25 mg once a day .' -p184622 -(lp184623 -S'Glucophage\tGlucophage\tNN\tB-NP\tO' -p184624 -aS'25\t25\tCD\tI-NP\tO' -p184625 -aS'mg\tmg\tNN\tI-NP\tO' -p184626 -aS'once\tonce\tRB\tB-ADVP\tO' -p184627 -aS'a\ta\tDT\tB-NP\tO' -p184628 -aS'day\tday\tNN\tI-NP\tO' -p184629 -aS'.\t.\t.\tO\tO' -p184630 -asS'12. Miconazole Nitrate 2 % Powder Sig : One ( 1 ) Appl Topical BID ( 2 times a day ) as needed .' -p184631 -(lp184632 -S'12.\t12.\tLS\tB-NP\tO' -p184633 -aS'Miconazole\tMiconazole\tNN\tI-NP\tO' -p184634 -aS'Nitrate\tNitrate\tNN\tI-NP\tO' -p184635 -aS'2\t2\tCD\tB-NP\tO' -p184636 -aS'%\t%\tNN\tI-NP\tO' -p184637 -aS'Powder\tPowder\tNNP\tI-NP\tO' -p184638 -aS'Sig\tSig\tNNP\tI-NP\tO' -p184639 -aS':\t:\t:\tO\tO' -p184640 -aS'One\tOne\tCD\tB-NP\tO' -p184641 -aS'(\t(\t(\tO\tO' -p184642 -aS'1\t1\tCD\tB-NP\tO' -p184643 -aS')\t)\t)\tO\tO' -p184644 -aS'Appl\tAppl\tNNP\tB-NP\tO' -p184645 -aS'Topical\tTopical\tJJ\tI-NP\tO' -p184646 -aS'BID\tBID\tNN\tI-NP\tO' -p184647 -aS'(\t(\t(\tO\tO' -p184648 -aS'2\t2\tCD\tB-NP\tO' -p184649 -aS'times\ttime\tNNS\tI-NP\tO' -p184650 -aS'a\ta\tDT\tB-NP\tO' -p184651 -aS'day\tday\tNN\tI-NP\tO' -p184652 -aS')\t)\t)\tO\tO' -p184653 -aS'as\tas\tIN\tB-SBAR\tO' -p184654 -aS'needed\tneed\tVBN\tB-VP\tO' -p184655 -aS'.\t.\t.\tO\tO' -p184656 -asS'Diabeta 10 mg. po. bid .' -p184657 -(lp184658 -S'Diabeta\tDiabeta\tNN\tB-NP\tO' -p184659 -aS'10\t10\tCD\tI-NP\tO' -p184660 -aS'mg.\tmg.\tNN\tI-NP\tO' -p184661 -aS'po.\tpo.\tNN\tI-NP\tO' -p184662 -aS'bid\tbid\tNN\tI-NP\tO' -p184663 -aS'.\t.\t.\tO\tO' -p184664 -asS'On postoperative day three , the patient had an episode of shortness of breath that was evaluated by both the Renal and surgical residents .' -p184665 -(lp184666 -S'On\tOn\tIN\tB-PP\tO' -p184667 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p184668 -aS'day\tday\tNN\tI-NP\tO' -p184669 -aS'three\tthree\tCD\tI-NP\tO' -p184670 -aS',\t,\t,\tO\tO' -p184671 -aS'the\tthe\tDT\tB-NP\tO' -p184672 -aS'patient\tpatient\tNN\tI-NP\tO' -p184673 -aS'had\thave\tVBD\tB-VP\tO' -p184674 -aS'an\tan\tDT\tB-NP\tO' -p184675 -aS'episode\tepisode\tNN\tI-NP\tO' -p184676 -aS'of\tof\tIN\tB-PP\tO' -p184677 -aS'shortness\tshortness\tNN\tB-NP\tO' -p184678 -aS'of\tof\tIN\tB-PP\tO' -p184679 -aS'breath\tbreath\tNN\tB-NP\tO' -p184680 -aS'that\tthat\tWDT\tB-NP\tO' -p184681 -aS'was\tbe\tVBD\tB-VP\tO' -p184682 -aS'evaluated\tevaluate\tVBN\tI-VP\tO' -p184683 -aS'by\tby\tIN\tB-PP\tO' -p184684 -aS'both\tboth\tCC\tO\tO' -p184685 -aS'the\tthe\tDT\tB-NP\tO' -p184686 -aS'Renal\tRenal\tJJ\tI-NP\tO' -p184687 -aS'and\tand\tCC\tI-NP\tO' -p184688 -aS'surgical\tsurgical\tJJ\tI-NP\tO' -p184689 -aS'residents\tresident\tNNS\tI-NP\tO' -p184690 -aS'.\t.\t.\tO\tO' -p184691 -asS'She did receive intravenous nitroglycerin in the Emergency Room for blood pressure controlled to the 170s .' -p184692 -(lp184693 -S'She\tShe\tPRP\tB-NP\tO' -p184694 -aS'did\tdo\tVBD\tB-VP\tO' -p184695 -aS'receive\treceive\tVB\tI-VP\tO' -p184696 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p184697 -aS'nitroglycerin\tnitroglycerin\tNN\tI-NP\tO' -p184698 -aS'in\tin\tIN\tB-PP\tO' -p184699 -aS'the\tthe\tDT\tB-NP\tO' -p184700 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p184701 -aS'Room\tRoom\tNNP\tI-NP\tO' -p184702 -aS'for\tfor\tIN\tB-PP\tO' -p184703 -aS'blood\tblood\tNN\tB-NP\tO' -p184704 -aS'pressure\tpressure\tNN\tI-NP\tO' -p184705 -aS'controlled\tcontrol\tVBN\tB-VP\tO' -p184706 -aS'to\tto\tTO\tB-PP\tO' -p184707 -aS'the\tthe\tDT\tB-NP\tO' -p184708 -aS'170s\t170\tNNS\tI-NP\tB-DNA' -p184709 -aS'.\t.\t.\tO\tO' -p184710 -asS'On discharge , the patient was given Lovenox injections which should be continued until the patient reaches a therapeutic dose of Coumadin .' -p184711 -(lp184712 -S'On\tOn\tIN\tB-PP\tO' -p184713 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p184714 -aS',\t,\t,\tO\tO' -p184715 -aS'the\tthe\tDT\tB-NP\tO' -p184716 -aS'patient\tpatient\tNN\tI-NP\tO' -p184717 -aS'was\tbe\tVBD\tB-VP\tO' -p184718 -aS'given\tgive\tVBN\tI-VP\tO' -p184719 -aS'Lovenox\tLovenox\tNNP\tB-NP\tO' -p184720 -aS'injections\tinjection\tNNS\tI-NP\tO' -p184721 -aS'which\twhich\tWDT\tB-NP\tO' -p184722 -aS'should\tshould\tMD\tB-VP\tO' -p184723 -aS'be\tbe\tVB\tI-VP\tO' -p184724 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p184725 -aS'until\tuntil\tIN\tB-SBAR\tO' -p184726 -aS'the\tthe\tDT\tB-NP\tO' -p184727 -aS'patient\tpatient\tNN\tI-NP\tO' -p184728 -aS'reaches\treach\tVBZ\tB-VP\tO' -p184729 -aS'a\ta\tDT\tB-NP\tO' -p184730 -aS'therapeutic\ttherapeutic\tJJ\tI-NP\tO' -p184731 -aS'dose\tdose\tNN\tI-NP\tO' -p184732 -aS'of\tof\tIN\tB-PP\tO' -p184733 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p184734 -aS'.\t.\t.\tO\tO' -p184735 -asS'If there is clear drainage from your incisions , cover with a dry dressing .' -p184736 -(lp184737 -S'If\tIf\tIN\tB-SBAR\tO' -p184738 -aS'there\tthere\tEX\tB-NP\tO' -p184739 -aS'is\tbe\tVBZ\tB-VP\tO' -p184740 -aS'clear\tclear\tJJ\tB-NP\tO' -p184741 -aS'drainage\tdrainage\tNN\tI-NP\tO' -p184742 -aS'from\tfrom\tIN\tB-PP\tO' -p184743 -aS'your\tyour\tPRP$\tB-NP\tO' -p184744 -aS'incisions\tincision\tNNS\tI-NP\tO' -p184745 -aS',\t,\t,\tO\tO' -p184746 -aS'cover\tcover\tVBP\tB-VP\tO' -p184747 -aS'with\twith\tIN\tB-PP\tO' -p184748 -aS'a\ta\tDT\tB-NP\tO' -p184749 -aS'dry\tdry\tJJ\tI-NP\tO' -p184750 -aS'dressing\tdressing\tNN\tI-NP\tO' -p184751 -aS'.\t.\t.\tO\tO' -p184752 -asS'No heavy lifting or exertion for at least 6 weeks .' -p184753 -(lp184754 -S'No\tNo\tDT\tB-NP\tO' -p184755 -aS'heavy\theavy\tJJ\tI-NP\tO' -p184756 -aS'lifting\tlifting\tNN\tI-NP\tO' -p184757 -aS'or\tor\tCC\tI-NP\tO' -p184758 -aS'exertion\texertion\tNN\tI-NP\tO' -p184759 -aS'for\tfor\tIN\tB-PP\tO' -p184760 -aS'at\tat\tIN\tB-NP\tO' -p184761 -aS'least\tleast\tJJS\tI-NP\tO' -p184762 -aS'6\t6\tCD\tI-NP\tO' -p184763 -aS'weeks\tweek\tNNS\tI-NP\tO' -p184764 -aS'.\t.\t.\tO\tO' -p184765 -asS'He is currently retired .' -p184766 -(lp184767 -S'He\tHe\tPRP\tB-NP\tO' -p184768 -aS'is\tbe\tVBZ\tB-VP\tO' -p184769 -aS'currently\tcurrently\tRB\tI-VP\tO' -p184770 -aS'retired\tretire\tVBN\tI-VP\tO' -p184771 -aS'.\t.\t.\tO\tO' -p184772 -asS'On 01-01 , his bilirubin was 17.3 / 0.4 at which time triple phototherapy was started and then his subsequent bilirubins are 16.5 / 0.4 on 2019-01-01 , and 16.2 / 0.5 on 2019-01-02 .' -p184773 -(lp184774 -S'On\tOn\tIN\tB-PP\tO' -p184775 -aS'01-01\t01-01\tCD\tB-NP\tO' -p184776 -aS',\t,\t,\tO\tO' -p184777 -aS'his\this\tPRP$\tB-NP\tO' -p184778 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p184779 -aS'was\tbe\tVBD\tB-VP\tO' -p184780 -aS'17.3\t17.3\tCD\tB-NP\tO' -p184781 -aS'/\t/\tSYM\tB-NP\tO' -p184782 -aS'0.4\t0.4\tCD\tI-NP\tO' -p184783 -aS'at\tat\tIN\tB-PP\tO' -p184784 -aS'which\twhich\tWDT\tB-NP\tO' -p184785 -aS'time\ttime\tNN\tB-NP\tO' -p184786 -aS'triple\ttriple\tJJ\tB-NP\tO' -p184787 -aS'phototherapy\tphototherapy\tNN\tI-NP\tO' -p184788 -aS'was\tbe\tVBD\tB-VP\tO' -p184789 -aS'started\tstart\tVBN\tI-VP\tO' -p184790 -aS'and\tand\tCC\tO\tO' -p184791 -aS'then\tthen\tRB\tO\tO' -p184792 -aS'his\this\tPRP$\tB-NP\tO' -p184793 -aS'subsequent\tsubsequent\tJJ\tI-NP\tO' -p184794 -aS'bilirubins\tbilirubin\tNNS\tI-NP\tO' -p184795 -aS'are\tbe\tVBP\tB-VP\tO' -p184796 -aS'16.5\t16.5\tCD\tB-NP\tO' -p184797 -aS'/\t/\tSYM\tO\tO' -p184798 -aS'0.4\t0.4\tCD\tB-NP\tO' -p184799 -aS'on\ton\tIN\tB-PP\tO' -p184800 -aS'2019-01-01\t2019-01-01\tCD\tB-NP\tO' -p184801 -aS',\t,\t,\tO\tO' -p184802 -aS'and\tand\tCC\tO\tO' -p184803 -aS'16.2\t16.2\tCD\tB-NP\tO' -p184804 -aS'/\t/\tSYM\tI-NP\tO' -p184805 -aS'0.5\t0.5\tCD\tI-NP\tO' -p184806 -aS'on\ton\tIN\tB-PP\tO' -p184807 -aS'2019-01-02\t2019-01-02\tCD\tB-NP\tO' -p184808 -aS'.\t.\t.\tO\tO' -p184809 -asS'no heavy lifting ; nothing in the vagina for 6 weeks -- no intercourse , no douching , no tampons ; call for fever above 100.5 , worsening abdominal pain , heavy bleeding , or any other concern ; no driving while taking percocet' -p184810 -(lp184811 -S'no\tno\tDT\tB-NP\tO' -p184812 -aS'heavy\theavy\tJJ\tI-NP\tO' -p184813 -aS'lifting\tlifting\tNN\tI-NP\tO' -p184814 -aS';\t;\t:\tO\tO' -p184815 -aS'nothing\tnothing\tNN\tB-NP\tO' -p184816 -aS'in\tin\tIN\tB-PP\tO' -p184817 -aS'the\tthe\tDT\tB-NP\tO' -p184818 -aS'vagina\tvagina\tNN\tI-NP\tO' -p184819 -aS'for\tfor\tIN\tB-PP\tO' -p184820 -aS'6\t6\tCD\tB-NP\tO' -p184821 -aS'weeks\tweek\tNNS\tI-NP\tO' -p184822 -aS'--\t--\t:\tO\tO' -p184823 -aS'no\tno\tDT\tB-NP\tO' -p184824 -aS'intercourse\tintercourse\tNN\tI-NP\tO' -p184825 -aS',\t,\t,\tO\tO' -p184826 -aS'no\tno\tDT\tB-NP\tO' -p184827 -aS'douching\tdouching\tNN\tI-NP\tO' -p184828 -aS',\t,\t,\tO\tO' -p184829 -aS'no\tno\tDT\tB-NP\tO' -p184830 -aS'tampons\ttampon\tNNS\tI-NP\tO' -p184831 -aS';\t;\t:\tO\tO' -p184832 -aS'call\tcall\tNN\tB-NP\tO' -p184833 -aS'for\tfor\tIN\tB-PP\tO' -p184834 -aS'fever\tfever\tNN\tB-NP\tO' -p184835 -aS'above\tabove\tIN\tB-PP\tO' -p184836 -aS'100.5\t100.5\tCD\tB-NP\tO' -p184837 -aS',\t,\t,\tO\tO' -p184838 -aS'worsening\tworsen\tVBG\tB-VP\tO' -p184839 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p184840 -aS'pain\tpain\tNN\tI-NP\tO' -p184841 -aS',\t,\t,\tO\tO' -p184842 -aS'heavy\theavy\tJJ\tB-NP\tO' -p184843 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p184844 -aS',\t,\t,\tO\tO' -p184845 -aS'or\tor\tCC\tO\tO' -p184846 -aS'any\tany\tDT\tB-NP\tO' -p184847 -aS'other\tother\tJJ\tI-NP\tO' -p184848 -aS'concern\tconcern\tNN\tI-NP\tO' -p184849 -aS';\t;\t:\tO\tO' -p184850 -aS'no\tno\tDT\tB-NP\tO' -p184851 -aS'driving\tdriving\tNN\tI-NP\tO' -p184852 -aS'while\twhile\tIN\tB-SBAR\tO' -p184853 -aS'taking\ttake\tVBG\tB-VP\tO' -p184854 -aS'percocet\tpercocet\tNN\tB-NP\tO' -p184855 -asS"While on the floor patient 's urinalysis suggestive of UTI and was put on 6 day course of levofloxacin ." -p184856 -(lp184857 -S'While\tWhile\tIN\tB-SBAR\tO' -p184858 -aS'on\ton\tIN\tB-PP\tO' -p184859 -aS'the\tthe\tDT\tB-NP\tO' -p184860 -aS'floor\tfloor\tNN\tI-NP\tO' -p184861 -aS'patient\tpatient\tNN\tI-NP\tO' -p184862 -aS"'s\t's\tPOS\tB-NP\tO" -p184863 -aS'urinalysis\turinalysis\tNN\tI-NP\tO' -p184864 -aS'suggestive\tsuggestive\tJJ\tI-NP\tO' -p184865 -aS'of\tof\tIN\tB-PP\tO' -p184866 -aS'UTI\tUTI\tNN\tB-NP\tB-DNA' -p184867 -aS'and\tand\tCC\tO\tO' -p184868 -aS'was\tbe\tVBD\tB-VP\tO' -p184869 -aS'put\tput\tVBN\tI-VP\tO' -p184870 -aS'on\ton\tIN\tB-PP\tO' -p184871 -aS'6\t6\tCD\tB-NP\tO' -p184872 -aS'day\tday\tNN\tI-NP\tO' -p184873 -aS'course\tcourse\tNN\tI-NP\tO' -p184874 -aS'of\tof\tIN\tB-PP\tO' -p184875 -aS'levofloxacin\tlevofloxacin\tNN\tB-NP\tO' -p184876 -aS'.\t.\t.\tO\tO' -p184877 -asS'Cardiac catheterization done on 01-07 showed an aortic valve area of .38 cm.sq. , with a mean gradient of 62 , and a peak gradient of 85 .' -p184878 -(lp184879 -S'Cardiac\tCardiac\tJJ\tB-NP\tO' -p184880 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p184881 -aS'done\tdo\tVBN\tB-VP\tO' -p184882 -aS'on\ton\tIN\tB-PP\tO' -p184883 -aS'01-07\t01-07\tCD\tB-NP\tO' -p184884 -aS'showed\tshow\tVBD\tB-VP\tO' -p184885 -aS'an\tan\tDT\tB-NP\tO' -p184886 -aS'aortic\taortic\tJJ\tI-NP\tO' -p184887 -aS'valve\tvalve\tNN\tI-NP\tO' -p184888 -aS'area\tarea\tNN\tI-NP\tO' -p184889 -aS'of\tof\tIN\tB-PP\tO' -p184890 -aS'.38\t.38\tCD\tB-NP\tO' -p184891 -aS'cm.sq.\tcm.sq.\tNN\tI-NP\tO' -p184892 -aS',\t,\t,\tO\tO' -p184893 -aS'with\twith\tIN\tB-PP\tO' -p184894 -aS'a\ta\tDT\tB-NP\tO' -p184895 -aS'mean\tmean\tJJ\tI-NP\tO' -p184896 -aS'gradient\tgradient\tNN\tI-NP\tO' -p184897 -aS'of\tof\tIN\tB-PP\tO' -p184898 -aS'62\t62\tCD\tB-NP\tO' -p184899 -aS',\t,\t,\tO\tO' -p184900 -aS'and\tand\tCC\tO\tO' -p184901 -aS'a\ta\tDT\tB-NP\tO' -p184902 -aS'peak\tpeak\tJJ\tI-NP\tO' -p184903 -aS'gradient\tgradient\tNN\tI-NP\tO' -p184904 -aS'of\tof\tIN\tB-PP\tO' -p184905 -aS'85\t85\tCD\tB-NP\tO' -p184906 -aS'.\t.\t.\tO\tO' -p184907 -asS'He was recently arrested for altering a prescription according to his pharmacy .' -p184908 -(lp184909 -S'He\tHe\tPRP\tB-NP\tO' -p184910 -aS'was\tbe\tVBD\tB-VP\tO' -p184911 -aS'recently\trecently\tRB\tI-VP\tO' -p184912 -aS'arrested\tarrest\tVBN\tI-VP\tO' -p184913 -aS'for\tfor\tIN\tB-PP\tO' -p184914 -aS'altering\talter\tVBG\tB-VP\tO' -p184915 -aS'a\ta\tDT\tB-NP\tO' -p184916 -aS'prescription\tprescription\tNN\tI-NP\tO' -p184917 -aS'according\taccord\tVBG\tB-PP\tO' -p184918 -aS'to\tto\tTO\tB-PP\tO' -p184919 -aS'his\this\tPRP$\tB-NP\tO' -p184920 -aS'pharmacy\tpharmacy\tNN\tI-NP\tO' -p184921 -aS'.\t.\t.\tO\tO' -p184922 -asS'Posterior transcranial Doppler studies showed normal studies of both vertebral arteries , and carotid non-invasive studies showed normal right and left carotid bifurcations .' -p184923 -(lp184924 -S'Posterior\tPosterior\tJJ\tB-NP\tO' -p184925 -aS'transcranial\ttranscranial\tJJ\tI-NP\tO' -p184926 -aS'Doppler\tDoppler\tNNP\tI-NP\tO' -p184927 -aS'studies\tstudy\tNNS\tI-NP\tO' -p184928 -aS'showed\tshow\tVBD\tB-VP\tO' -p184929 -aS'normal\tnormal\tJJ\tB-NP\tO' -p184930 -aS'studies\tstudy\tNNS\tI-NP\tO' -p184931 -aS'of\tof\tIN\tB-PP\tO' -p184932 -aS'both\tboth\tCC\tB-NP\tO' -p184933 -aS'vertebral\tvertebral\tJJ\tI-NP\tO' -p184934 -aS'arteries\tartery\tNNS\tI-NP\tO' -p184935 -aS',\t,\t,\tO\tO' -p184936 -aS'and\tand\tCC\tO\tO' -p184937 -aS'carotid\tcarotid\tVBD\tB-VP\tO' -p184938 -aS'non-invasive\tnon-invasive\tJJ\tB-NP\tO' -p184939 -aS'studies\tstudy\tNNS\tI-NP\tO' -p184940 -aS'showed\tshow\tVBD\tB-VP\tO' -p184941 -aS'normal\tnormal\tJJ\tB-NP\tO' -p184942 -aS'right\tright\tNN\tI-NP\tO' -p184943 -aS'and\tand\tCC\tO\tO' -p184944 -aS'left\tleave\tVBD\tB-VP\tO' -p184945 -aS'carotid\tcarotid\tNN\tB-NP\tO' -p184946 -aS'bifurcations\tbifurcation\tNNS\tI-NP\tO' -p184947 -aS'.\t.\t.\tO\tO' -p184948 -asS'Three-vessel cord , clamped .' -p184949 -(lp184950 -S'Three-vessel\tThree-vessel\tJJ\tB-NP\tO' -p184951 -aS'cord\tcord\tNN\tI-NP\tO' -p184952 -aS',\t,\t,\tO\tO' -p184953 -aS'clamped\tclamp\tVBD\tB-VP\tO' -p184954 -aS'.\t.\t.\tO\tO' -p184955 -asS'He has had no blood work except for blood glucose checks and he has been euglycemic throughout his CMED stay with his blood glucose being in the 70s .' -p184956 -(lp184957 -S'He\tHe\tPRP\tB-NP\tO' -p184958 -aS'has\thave\tVBZ\tB-VP\tO' -p184959 -aS'had\thave\tVBN\tI-VP\tO' -p184960 -aS'no\tno\tDT\tB-NP\tO' -p184961 -aS'blood\tblood\tNN\tI-NP\tO' -p184962 -aS'work\twork\tNN\tI-NP\tO' -p184963 -aS'except\texcept\tIN\tB-PP\tO' -p184964 -aS'for\tfor\tIN\tB-PP\tO' -p184965 -aS'blood\tblood\tNN\tB-NP\tO' -p184966 -aS'glucose\tglucose\tNN\tI-NP\tO' -p184967 -aS'checks\tcheck\tNNS\tI-NP\tO' -p184968 -aS'and\tand\tCC\tO\tO' -p184969 -aS'he\the\tPRP\tB-NP\tO' -p184970 -aS'has\thave\tVBZ\tB-VP\tO' -p184971 -aS'been\tbe\tVBN\tI-VP\tO' -p184972 -aS'euglycemic\teuglycemic\tJJ\tB-ADJP\tO' -p184973 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p184974 -aS'his\this\tPRP$\tB-NP\tO' -p184975 -aS'CMED\tCMED\tJJ\tI-NP\tO' -p184976 -aS'stay\tstay\tNN\tI-NP\tO' -p184977 -aS'with\twith\tIN\tB-PP\tO' -p184978 -aS'his\this\tPRP$\tB-NP\tO' -p184979 -aS'blood\tblood\tNN\tI-NP\tO' -p184980 -aS'glucose\tglucose\tNN\tI-NP\tO' -p184981 -aS'being\tbe\tVBG\tB-VP\tO' -p184982 -aS'in\tin\tIN\tB-PP\tO' -p184983 -aS'the\tthe\tDT\tB-NP\tO' -p184984 -aS'70s\t70\tNNS\tI-NP\tO' -p184985 -aS'.\t.\t.\tO\tO' -p184986 -asS'INDICATION : Postoperative fever .' -p184987 -(lp184988 -S'INDICATION\tINDICATION\tNN\tB-NP\tO' -p184989 -aS':\t:\t:\tO\tO' -p184990 -aS'Postoperative\tPostoperative\tJJ\tB-NP\tO' -p184991 -aS'fever\tfever\tNN\tI-NP\tO' -p184992 -aS'.\t.\t.\tO\tO' -p184993 -asS'She continued to make clinical improvements and was cleared for discharge to rehab on postoperative day 10 .' -p184994 -(lp184995 -S'She\tShe\tPRP\tB-NP\tO' -p184996 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p184997 -aS'to\tto\tTO\tI-VP\tO' -p184998 -aS'make\tmake\tVB\tI-VP\tO' -p184999 -aS'clinical\tclinical\tJJ\tB-NP\tO' -p185000 -aS'improvements\timprovement\tNNS\tI-NP\tO' -p185001 -aS'and\tand\tCC\tO\tO' -p185002 -aS'was\tbe\tVBD\tB-VP\tO' -p185003 -aS'cleared\tclear\tVBN\tI-VP\tO' -p185004 -aS'for\tfor\tIN\tB-PP\tO' -p185005 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p185006 -aS'to\tto\tTO\tB-VP\tO' -p185007 -aS'rehab\trehab\tVB\tI-VP\tO' -p185008 -aS'on\ton\tIN\tB-PP\tO' -p185009 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p185010 -aS'day\tday\tNN\tI-NP\tO' -p185011 -aS'10\t10\tCD\tI-NP\tO' -p185012 -aS'.\t.\t.\tO\tO' -p185013 -asS'Bilaterally without stridor .' -p185014 -(lp185015 -S'Bilaterally\tBilaterally\tRB\tB-ADVP\tO' -p185016 -aS'without\twithout\tIN\tB-PP\tO' -p185017 -aS'stridor\tstridor\tNN\tB-NP\tO' -p185018 -aS'.\t.\t.\tO\tO' -p185019 -asS'He was given Percocet for back pain , Lasix 80 mg IV , and Combivent neb .' -p185020 -(lp185021 -S'He\tHe\tPRP\tB-NP\tO' -p185022 -aS'was\tbe\tVBD\tB-VP\tO' -p185023 -aS'given\tgive\tVBN\tI-VP\tO' -p185024 -aS'Percocet\tPercocet\tNNP\tB-NP\tO' -p185025 -aS'for\tfor\tIN\tB-PP\tO' -p185026 -aS'back\tback\tJJ\tB-NP\tO' -p185027 -aS'pain\tpain\tNN\tI-NP\tO' -p185028 -aS',\t,\t,\tO\tO' -p185029 -aS'Lasix\tLasix\tNN\tB-NP\tB-protein' -p185030 -aS'80\t80\tCD\tI-NP\tI-protein' -p185031 -aS'mg\tmg\tNN\tI-NP\tI-protein' -p185032 -aS'IV\tIV\tCD\tB-NP\tI-protein' -p185033 -aS',\t,\t,\tO\tO' -p185034 -aS'and\tand\tCC\tO\tO' -p185035 -aS'Combivent\tCombivent\tNNP\tB-NP\tO' -p185036 -aS'neb\tneb\tNN\tI-NP\tO' -p185037 -aS'.\t.\t.\tO\tO' -p185038 -asS'79 - year-old M recently diagnosed by biopsy with gliomatosis cerebri ( grade II astrocytoma ) in 8/04 , being treated with XRT , timidar .' -p185039 -(lp185040 -S'79\t79\tCD\tB-NP\tO' -p185041 -aS'-\t-\tHYPH\tI-NP\tO' -p185042 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p185043 -aS'M\tM\tNN\tI-NP\tO' -p185044 -aS'recently\trecently\tRB\tB-VP\tO' -p185045 -aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' -p185046 -aS'by\tby\tIN\tB-PP\tO' -p185047 -aS'biopsy\tbiopsy\tNN\tB-NP\tO' -p185048 -aS'with\twith\tIN\tB-PP\tO' -p185049 -aS'gliomatosis\tgliomatosis\tNN\tB-NP\tO' -p185050 -aS'cerebri\tcerebri\tNN\tI-NP\tO' -p185051 -aS'(\t(\t(\tO\tO' -p185052 -aS'grade\tgrade\tNN\tB-NP\tO' -p185053 -aS'II\tII\tCD\tI-NP\tO' -p185054 -aS'astrocytoma\tastrocytoma\tNN\tI-NP\tO' -p185055 -aS')\t)\t)\tO\tO' -p185056 -aS'in\tin\tIN\tB-PP\tO' -p185057 -aS'8/04\t8/04\tCD\tB-NP\tO' -p185058 -aS',\t,\t,\tO\tO' -p185059 -aS'being\tbe\tVBG\tB-VP\tO' -p185060 -aS'treated\ttreat\tVBN\tI-VP\tO' -p185061 -aS'with\twith\tIN\tB-PP\tO' -p185062 -aS'XRT\tXRT\tNN\tB-NP\tB-protein' -p185063 -aS',\t,\t,\tO\tO' -p185064 -aS'timidar\ttimidar\tNN\tB-NP\tO' -p185065 -aS'.\t.\t.\tO\tO' -p185066 -asS'BUN and creatinine was 18 and 0.9 .' -p185067 -(lp185068 -S'BUN\tBUN\tNN\tB-NP\tO' -p185069 -aS'and\tand\tCC\tI-NP\tO' -p185070 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p185071 -aS'was\tbe\tVBD\tB-VP\tO' -p185072 -aS'18\t18\tCD\tB-NP\tO' -p185073 -aS'and\tand\tCC\tI-NP\tO' -p185074 -aS'0.9\t0.9\tCD\tI-NP\tO' -p185075 -aS'.\t.\t.\tO\tO' -p185076 -asS'To go by systems , currently he is neurologically alert and follows commands .' -p185077 -(lp185078 -S'To\tTo\tTO\tB-VP\tO' -p185079 -aS'go\tgo\tVB\tI-VP\tO' -p185080 -aS'by\tby\tIN\tB-PP\tO' -p185081 -aS'systems\tsystem\tNNS\tB-NP\tO' -p185082 -aS',\t,\t,\tO\tO' -p185083 -aS'currently\tcurrently\tRB\tB-ADVP\tO' -p185084 -aS'he\the\tPRP\tB-NP\tO' -p185085 -aS'is\tbe\tVBZ\tB-VP\tO' -p185086 -aS'neurologically\tneurologically\tRB\tB-ADJP\tO' -p185087 -aS'alert\talert\tJJ\tI-ADJP\tO' -p185088 -aS'and\tand\tCC\tO\tO' -p185089 -aS'follows\tfollow\tVBZ\tB-VP\tO' -p185090 -aS'commands\tcommand\tNNS\tB-NP\tO' -p185091 -aS'.\t.\t.\tO\tO' -p185092 -asS'Pulmonary artery pressure was 29/15 with a mean of 22 .' -p185093 -(lp185094 -S'Pulmonary\tPulmonary\tJJ\tB-NP\tO' -p185095 -aS'artery\tartery\tNN\tI-NP\tO' -p185096 -aS'pressure\tpressure\tNN\tI-NP\tO' -p185097 -aS'was\tbe\tVBD\tB-VP\tO' -p185098 -aS'29/15\t29/15\tCD\tB-NP\tO' -p185099 -aS'with\twith\tIN\tB-PP\tO' -p185100 -aS'a\ta\tDT\tB-NP\tO' -p185101 -aS'mean\tmean\tNN\tI-NP\tO' -p185102 -aS'of\tof\tIN\tB-PP\tO' -p185103 -aS'22\t22\tCD\tB-NP\tO' -p185104 -aS'.\t.\t.\tO\tO' -p185105 -asS'Labwork every Monday and Thursday per Transplant clinic : CBC , Chem 7 , Ca , Phos , AST , T Bili , U/A and Trough Prograf level .' -p185106 -(lp185107 -S'Labwork\tLabwork\tVB\tB-VP\tO' -p185108 -aS'every\tevery\tDT\tB-NP\tO' -p185109 -aS'Monday\tMonday\tNNP\tI-NP\tO' -p185110 -aS'and\tand\tCC\tO\tO' -p185111 -aS'Thursday\tThursday\tNNP\tB-NP\tO' -p185112 -aS'per\tper\tIN\tB-PP\tO' -p185113 -aS'Transplant\tTransplant\tNNP\tB-NP\tO' -p185114 -aS'clinic\tclinic\tNN\tI-NP\tO' -p185115 -aS':\t:\t:\tO\tO' -p185116 -aS'CBC\tCBC\tNNP\tB-NP\tO' -p185117 -aS',\t,\t,\tO\tO' -p185118 -aS'Chem\tChem\tNNP\tB-NP\tO' -p185119 -aS'7\t7\tCD\tI-NP\tO' -p185120 -aS',\t,\t,\tO\tO' -p185121 -aS'Ca\tCa\tNNP\tB-NP\tO' -p185122 -aS',\t,\t,\tO\tO' -p185123 -aS'Phos\tPhos\tNNP\tB-NP\tO' -p185124 -aS',\t,\t,\tO\tO' -p185125 -aS'AST\tAST\tNNP\tB-NP\tO' -p185126 -aS',\t,\t,\tO\tO' -p185127 -aS'T\tT\tNNP\tB-NP\tO' -p185128 -aS'Bili\tBili\tNNP\tI-NP\tO' -p185129 -aS',\t,\t,\tO\tO' -p185130 -aS'U/A\tU/A\tNNP\tB-NP\tO' -p185131 -aS'and\tand\tCC\tI-NP\tO' -p185132 -aS'Trough\tTrough\tNNP\tI-NP\tO' -p185133 -aS'Prograf\tPrograf\tNNP\tI-NP\tO' -p185134 -aS'level\tlevel\tNN\tI-NP\tO' -p185135 -aS'.\t.\t.\tO\tO' -p185136 -asS'Of note at time of death , patient was DNR / DNI .' -p185137 -(lp185138 -S'Of\tOf\tIN\tB-PP\tO' -p185139 -aS'note\tnote\tNN\tB-NP\tO' -p185140 -aS'at\tat\tIN\tB-PP\tO' -p185141 -aS'time\ttime\tNN\tB-NP\tO' -p185142 -aS'of\tof\tIN\tB-PP\tO' -p185143 -aS'death\tdeath\tNN\tB-NP\tO' -p185144 -aS',\t,\t,\tO\tO' -p185145 -aS'patient\tpatient\tNN\tB-NP\tO' -p185146 -aS'was\tbe\tVBD\tB-VP\tO' -p185147 -aS'DNR\tDNR\tNN\tB-NP\tB-protein' -p185148 -aS'/\t/\tSYM\tB-NP\tO' -p185149 -aS'DNI\tDNI\tNN\tI-NP\tO' -p185150 -aS'.\t.\t.\tO\tO' -p185151 -asS'Upon extubation and transfer to the floor he pulled out the NG tube time several times and required restraints .' -p185152 -(lp185153 -S'Upon\tUpon\tIN\tB-PP\tO' -p185154 -aS'extubation\textubation\tNN\tB-NP\tO' -p185155 -aS'and\tand\tCC\tI-NP\tO' -p185156 -aS'transfer\ttransfer\tNN\tI-NP\tO' -p185157 -aS'to\tto\tTO\tB-PP\tO' -p185158 -aS'the\tthe\tDT\tB-NP\tO' -p185159 -aS'floor\tfloor\tNN\tI-NP\tO' -p185160 -aS'he\the\tPRP\tB-NP\tO' -p185161 -aS'pulled\tpull\tVBD\tB-VP\tO' -p185162 -aS'out\tout\tRP\tB-PRT\tO' -p185163 -aS'the\tthe\tDT\tB-NP\tO' -p185164 -aS'NG\tNG\tNN\tI-NP\tO' -p185165 -aS'tube\ttube\tNN\tI-NP\tO' -p185166 -aS'time\ttime\tNN\tI-NP\tO' -p185167 -aS'several\tseveral\tJJ\tB-NP\tO' -p185168 -aS'times\ttime\tNNS\tI-NP\tO' -p185169 -aS'and\tand\tCC\tO\tO' -p185170 -aS'required\trequired\tJJ\tB-NP\tO' -p185171 -aS'restraints\trestraint\tNNS\tI-NP\tO' -p185172 -aS'.\t.\t.\tO\tO' -p185173 -asS'Attending : Christopher Q Thompson , M.D.' -p185174 -(lp185175 -S'Attending\tAttend\tVBG\tB-VP\tO' -p185176 -aS':\t:\t:\tO\tO' -p185177 -aS'Christopher\tChristopher\tNNP\tB-NP\tO' -p185178 -aS'Q\tQ\tNNP\tI-NP\tO' -p185179 -aS'Thompson\tThompson\tNNP\tI-NP\tO' -p185180 -aS',\t,\t,\tO\tO' -p185181 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p185182 -asS'LVEF 25% .' -p185183 -(lp185184 -S'LVEF\tLVEF\tNN\tB-NP\tB-protein' -p185185 -aS'25%\t25%\tNN\tI-NP\tI-protein' -p185186 -aS'.\t.\t.\tO\tO' -p185187 -asS'He was sent with a King of Hearts monitor and scheduled for follow-up with cardiology and his primary care physician .' -p185188 -(lp185189 -S'He\tHe\tPRP\tB-NP\tO' -p185190 -aS'was\tbe\tVBD\tB-VP\tO' -p185191 -aS'sent\tsend\tVBN\tI-VP\tO' -p185192 -aS'with\twith\tIN\tB-PP\tO' -p185193 -aS'a\ta\tDT\tB-NP\tO' -p185194 -aS'King\tKing\tNNP\tI-NP\tO' -p185195 -aS'of\tof\tIN\tB-PP\tO' -p185196 -aS'Hearts\tHearts\tNNP\tB-NP\tO' -p185197 -aS'monitor\tmonitor\tNN\tI-NP\tO' -p185198 -aS'and\tand\tCC\tO\tO' -p185199 -aS'scheduled\tschedule\tVBN\tB-VP\tO' -p185200 -aS'for\tfor\tIN\tB-PP\tO' -p185201 -aS'follow-up\tfollow-up\tNN\tB-NP\tO' -p185202 -aS'with\twith\tIN\tB-PP\tO' -p185203 -aS'cardiology\tcardiology\tNN\tB-NP\tO' -p185204 -aS'and\tand\tCC\tO\tO' -p185205 -aS'his\this\tPRP$\tB-NP\tO' -p185206 -aS'primary\tprimary\tJJ\tI-NP\tO' -p185207 -aS'care\tcare\tNN\tI-NP\tO' -p185208 -aS'physician\tphysician\tNN\tI-NP\tO' -p185209 -aS'.\t.\t.\tO\tO' -p185210 -asS'The visualized osseous structures and paranasal sinuses are unremarkable .' -p185211 -(lp185212 -S'The\tThe\tDT\tB-NP\tO' -p185213 -aS'visualized\tvisualize\tVBN\tI-NP\tO' -p185214 -aS'osseous\tosseous\tJJ\tI-NP\tO' -p185215 -aS'structures\tstructure\tNNS\tI-NP\tO' -p185216 -aS'and\tand\tCC\tO\tO' -p185217 -aS'paranasal\tparanasal\tJJ\tB-NP\tO' -p185218 -aS'sinuses\tsinus\tNNS\tI-NP\tO' -p185219 -aS'are\tbe\tVBP\tB-VP\tO' -p185220 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p185221 -aS'.\t.\t.\tO\tO' -p185222 -asS'The patient required intubation in the setting of hypotension and ventricular tachycardia .' -p185223 -(lp185224 -S'The\tThe\tDT\tB-NP\tO' -p185225 -aS'patient\tpatient\tNN\tI-NP\tO' -p185226 -aS'required\trequire\tVBD\tB-VP\tO' -p185227 -aS'intubation\tintubation\tNN\tB-NP\tO' -p185228 -aS'in\tin\tIN\tB-PP\tO' -p185229 -aS'the\tthe\tDT\tB-NP\tO' -p185230 -aS'setting\tsetting\tNN\tI-NP\tO' -p185231 -aS'of\tof\tIN\tB-PP\tO' -p185232 -aS'hypotension\thypotension\tNN\tB-NP\tO' -p185233 -aS'and\tand\tCC\tO\tO' -p185234 -aS'ventricular\tventricular\tJJ\tB-NP\tO' -p185235 -aS'tachycardia\ttachycardia\tNN\tI-NP\tO' -p185236 -aS'.\t.\t.\tO\tO' -p185237 -asS'An exploratory laparotomy was performed .' -p185238 -(lp185239 -S'An\tAn\tDT\tB-NP\tO' -p185240 -aS'exploratory\texploratory\tJJ\tI-NP\tO' -p185241 -aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' -p185242 -aS'was\tbe\tVBD\tB-VP\tO' -p185243 -aS'performed\tperform\tVBN\tI-VP\tO' -p185244 -aS'.\t.\t.\tO\tO' -p185245 -asS'CSF gram stain was notable for no polys and no organisms seen .' -p185246 -(lp185247 -S'CSF\tCSF\tNN\tB-NP\tB-protein' -p185248 -aS'gram\tgram\tNN\tI-NP\tI-protein' -p185249 -aS'stain\tstain\tNN\tI-NP\tI-protein' -p185250 -aS'was\tbe\tVBD\tB-VP\tO' -p185251 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p185252 -aS'for\tfor\tIN\tB-PP\tO' -p185253 -aS'no\tno\tDT\tB-NP\tO' -p185254 -aS'polys\tpoly\tNNS\tI-NP\tO' -p185255 -aS'and\tand\tCC\tO\tO' -p185256 -aS'no\tno\tDT\tB-NP\tO' -p185257 -aS'organisms\torganism\tNNS\tI-NP\tO' -p185258 -aS'seen\tsee\tVBN\tB-VP\tO' -p185259 -aS'.\t.\t.\tO\tO' -p185260 -asS'There is a lump in the right parietal region , which corresponds with the bullet seen on the computerized tomography scan .' -p185261 -(lp185262 -S'There\tThere\tEX\tB-NP\tO' -p185263 -aS'is\tbe\tVBZ\tB-VP\tO' -p185264 -aS'a\ta\tDT\tB-NP\tO' -p185265 -aS'lump\tlump\tNN\tI-NP\tO' -p185266 -aS'in\tin\tIN\tB-PP\tO' -p185267 -aS'the\tthe\tDT\tB-NP\tO' -p185268 -aS'right\tright\tJJ\tI-NP\tB-DNA' -p185269 -aS'parietal\tparietal\tJJ\tI-NP\tI-DNA' -p185270 -aS'region\tregion\tNN\tI-NP\tI-DNA' -p185271 -aS',\t,\t,\tO\tO' -p185272 -aS'which\twhich\tWDT\tB-NP\tO' -p185273 -aS'corresponds\tcorrespond\tVBZ\tB-VP\tO' -p185274 -aS'with\twith\tIN\tB-PP\tO' -p185275 -aS'the\tthe\tDT\tB-NP\tO' -p185276 -aS'bullet\tbullet\tNN\tI-NP\tO' -p185277 -aS'seen\tsee\tVBN\tB-VP\tO' -p185278 -aS'on\ton\tIN\tB-PP\tO' -p185279 -aS'the\tthe\tDT\tB-NP\tO' -p185280 -aS'computerized\tcomputerized\tJJ\tI-NP\tO' -p185281 -aS'tomography\ttomography\tNN\tI-NP\tO' -p185282 -aS'scan\tscan\tNN\tI-NP\tO' -p185283 -aS'.\t.\t.\tO\tO' -p185284 -asS'She was also able to ascend stairs without difficulty .' -p185285 -(lp185286 -S'She\tShe\tPRP\tB-NP\tO' -p185287 -aS'was\tbe\tVBD\tB-VP\tO' -p185288 -aS'also\talso\tRB\tB-ADVP\tO' -p185289 -aS'able\table\tJJ\tB-ADJP\tO' -p185290 -aS'to\tto\tTO\tB-VP\tO' -p185291 -aS'ascend\tascend\tVB\tI-VP\tO' -p185292 -aS'stairs\tstair\tNNS\tB-NP\tO' -p185293 -aS'without\twithout\tIN\tB-PP\tO' -p185294 -aS'difficulty\tdifficulty\tNN\tB-NP\tO' -p185295 -aS'.\t.\t.\tO\tO' -p185296 -asS'Signed electronically by : DR. Jacob Butler on : WED 2016-11-16 7:45 AM' -p185297 -(lp185298 -S'Signed\tSign\tVBN\tB-VP\tO' -p185299 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p185300 -aS'by\tby\tIN\tB-PP\tO' -p185301 -aS':\t:\t:\tO\tO' -p185302 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p185303 -aS'Jacob\tJacob\tNNP\tI-NP\tO' -p185304 -aS'Butler\tButler\tNNP\tI-NP\tO' -p185305 -aS'on\ton\tIN\tB-PP\tO' -p185306 -aS':\t:\t:\tO\tO' -p185307 -aS'WED\tWED\tVBD\tB-VP\tO' -p185308 -aS'2016-11-16\t2016-11-16\tCD\tB-NP\tO' -p185309 -aS'7:45\t7:45\tCD\tI-NP\tO' -p185310 -aS'AM\tAM\tNN\tI-NP\tO' -p185311 -asS'He had right knee aspirations done in 1986 , otherwise , he does not suffer from any other medical problems .' -p185312 -(lp185313 -S'He\tHe\tPRP\tB-NP\tO' -p185314 -aS'had\thave\tVBD\tB-VP\tO' -p185315 -aS'right\tright\tJJ\tB-NP\tO' -p185316 -aS'knee\tknee\tNN\tI-NP\tO' -p185317 -aS'aspirations\taspiration\tNNS\tI-NP\tO' -p185318 -aS'done\tdo\tVBN\tB-VP\tO' -p185319 -aS'in\tin\tIN\tB-PP\tO' -p185320 -aS'1986\t1986\tCD\tB-NP\tO' -p185321 -aS',\t,\t,\tO\tO' -p185322 -aS'otherwise\totherwise\tRB\tB-ADVP\tO' -p185323 -aS',\t,\t,\tO\tO' -p185324 -aS'he\the\tPRP\tB-NP\tO' -p185325 -aS'does\tdo\tVBZ\tB-VP\tO' -p185326 -aS'not\tnot\tRB\tI-VP\tO' -p185327 -aS'suffer\tsuffer\tVB\tI-VP\tO' -p185328 -aS'from\tfrom\tIN\tB-PP\tO' -p185329 -aS'any\tany\tDT\tB-NP\tO' -p185330 -aS'other\tother\tJJ\tI-NP\tO' -p185331 -aS'medical\tmedical\tJJ\tI-NP\tO' -p185332 -aS'problems\tproblem\tNNS\tI-NP\tO' -p185333 -aS'.\t.\t.\tO\tO' -p185334 -asS'At that time , therefore , ventilator support was withdrawn under the comfort measures of morphine .' -p185335 -(lp185336 -S'At\tAt\tIN\tB-PP\tO' -p185337 -aS'that\tthat\tDT\tB-NP\tO' -p185338 -aS'time\ttime\tNN\tI-NP\tO' -p185339 -aS',\t,\t,\tO\tO' -p185340 -aS'therefore\ttherefore\tRB\tB-ADVP\tO' -p185341 -aS',\t,\t,\tO\tO' -p185342 -aS'ventilator\tventilator\tNN\tB-NP\tO' -p185343 -aS'support\tsupport\tNN\tI-NP\tO' -p185344 -aS'was\tbe\tVBD\tB-VP\tO' -p185345 -aS'withdrawn\twithdraw\tVBN\tI-VP\tO' -p185346 -aS'under\tunder\tIN\tB-PP\tO' -p185347 -aS'the\tthe\tDT\tB-NP\tO' -p185348 -aS'comfort\tcomfort\tNN\tI-NP\tO' -p185349 -aS'measures\tmeasure\tNNS\tI-NP\tO' -p185350 -aS'of\tof\tIN\tB-PP\tO' -p185351 -aS'morphine\tmorphine\tNN\tB-NP\tO' -p185352 -aS'.\t.\t.\tO\tO' -p185353 -asS'VITAL SIGNS - Temp 98.8 , pulse 60 , BP 150/94 , respiratory rate 18 , and saturation 96% on room air .' -p185354 -(lp185355 -S'VITAL\tVITAL\tJJ\tB-NP\tO' -p185356 -aS'SIGNS\tSIGNS\tNNP\tI-NP\tO' -p185357 -aS'-\t-\tHYPH\tO\tO' -p185358 -aS'Temp\tTemp\tNNP\tB-NP\tO' -p185359 -aS'98.8\t98.8\tCD\tI-NP\tO' -p185360 -aS',\t,\t,\tO\tO' -p185361 -aS'pulse\tpulse\tNN\tB-NP\tO' -p185362 -aS'60\t60\tCD\tI-NP\tO' -p185363 -aS',\t,\t,\tO\tO' -p185364 -aS'BP\tBP\tNN\tB-NP\tB-DNA' -p185365 -aS'150/94\t150/94\tCD\tI-NP\tI-DNA' -p185366 -aS',\t,\t,\tO\tO' -p185367 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p185368 -aS'rate\trate\tNN\tI-NP\tO' -p185369 -aS'18\t18\tCD\tI-NP\tO' -p185370 -aS',\t,\t,\tO\tO' -p185371 -aS'and\tand\tCC\tO\tO' -p185372 -aS'saturation\tsaturation\tNN\tB-NP\tB-protein' -p185373 -aS'96%\t96%\tNN\tI-NP\tI-protein' -p185374 -aS'on\ton\tIN\tB-PP\tO' -p185375 -aS'room\troom\tNN\tB-NP\tO' -p185376 -aS'air\tair\tNN\tI-NP\tO' -p185377 -aS'.\t.\t.\tO\tO' -p185378 -asS'If you need additional information please call 442-025-0303 .' -p185379 -(lp185380 -S'If\tIf\tIN\tB-SBAR\tO' -p185381 -aS'you\tyou\tPRP\tB-NP\tO' -p185382 -aS'need\tneed\tVBP\tB-VP\tO' -p185383 -aS'additional\tadditional\tJJ\tB-NP\tO' -p185384 -aS'information\tinformation\tNN\tI-NP\tO' -p185385 -aS'please\tplease\tNN\tI-NP\tO' -p185386 -aS'call\tcall\tNN\tI-NP\tO' -p185387 -aS'442-025-0303\t442-025-0303\tCD\tI-NP\tO' -p185388 -aS'.\t.\t.\tO\tO' -p185389 -asS'Urine output of 30 cc to 100 cc per hour over the last four hours .' -p185390 -(lp185391 -S'Urine\tUrine\tNN\tB-NP\tO' -p185392 -aS'output\toutput\tNN\tI-NP\tO' -p185393 -aS'of\tof\tIN\tB-PP\tO' -p185394 -aS'30\t30\tCD\tB-NP\tO' -p185395 -aS'cc\tcc\tNN\tI-NP\tO' -p185396 -aS'to\tto\tTO\tB-PP\tO' -p185397 -aS'100\t100\tCD\tB-NP\tO' -p185398 -aS'cc\tcc\tNN\tI-NP\tO' -p185399 -aS'per\tper\tIN\tB-PP\tO' -p185400 -aS'hour\thour\tNN\tB-NP\tO' -p185401 -aS'over\tover\tIN\tB-PP\tO' -p185402 -aS'the\tthe\tDT\tB-NP\tO' -p185403 -aS'last\tlast\tJJ\tI-NP\tO' -p185404 -aS'four\tfour\tCD\tI-NP\tO' -p185405 -aS'hours\thour\tNNS\tI-NP\tO' -p185406 -aS'.\t.\t.\tO\tO' -p185407 -asS'Dr. Joan Derringer .' -p185408 -(lp185409 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p185410 -aS'Joan\tJoan\tNNP\tI-NP\tO' -p185411 -aS'Derringer\tDerringer\tNNP\tI-NP\tO' -p185412 -aS'.\t.\t.\tO\tO' -p185413 -asS'3. Bilateral supraomohyoid neck dissection .' -p185414 -(lp185415 -S'3.\t3.\tLS\tB-NP\tO' -p185416 -aS'Bilateral\tBilateral\tJJ\tI-NP\tO' -p185417 -aS'supraomohyoid\tsupraomohyoid\tJJ\tI-NP\tO' -p185418 -aS'neck\tneck\tNN\tI-NP\tO' -p185419 -aS'dissection\tdissection\tNN\tI-NP\tO' -p185420 -aS'.\t.\t.\tO\tO' -p185421 -asS'Her steroids were weaned and the patient was brought to the Operating Room on February 10 , 1994 where she underwent once again flexible bronchoscopy and flexible esophagoscopy , as well as rigid bronchoscopy .' -p185422 -(lp185423 -S'Her\tHer\tPRP$\tB-NP\tO' -p185424 -aS'steroids\tsteroid\tNNS\tI-NP\tO' -p185425 -aS'were\tbe\tVBD\tB-VP\tO' -p185426 -aS'weaned\twean\tVBN\tI-VP\tO' -p185427 -aS'and\tand\tCC\tO\tO' -p185428 -aS'the\tthe\tDT\tB-NP\tO' -p185429 -aS'patient\tpatient\tNN\tI-NP\tO' -p185430 -aS'was\tbe\tVBD\tB-VP\tO' -p185431 -aS'brought\tbring\tVBN\tI-VP\tO' -p185432 -aS'to\tto\tTO\tB-PP\tO' -p185433 -aS'the\tthe\tDT\tB-NP\tO' -p185434 -aS'Operating\tOperating\tNNP\tI-NP\tO' -p185435 -aS'Room\tRoom\tNNP\tI-NP\tO' -p185436 -aS'on\ton\tIN\tB-PP\tO' -p185437 -aS'February\tFebruary\tNNP\tB-NP\tO' -p185438 -aS'10\t10\tCD\tI-NP\tO' -p185439 -aS',\t,\t,\tI-NP\tO' -p185440 -aS'1994\t1994\tCD\tI-NP\tO' -p185441 -aS'where\twhere\tWRB\tB-ADVP\tO' -p185442 -aS'she\tshe\tPRP\tB-NP\tO' -p185443 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p185444 -aS'once\tonce\tRB\tB-ADVP\tO' -p185445 -aS'again\tagain\tRB\tI-ADVP\tO' -p185446 -aS'flexible\tflexible\tJJ\tB-NP\tO' -p185447 -aS'bronchoscopy\tbronchoscopy\tNN\tI-NP\tO' -p185448 -aS'and\tand\tCC\tO\tO' -p185449 -aS'flexible\tflexible\tJJ\tB-NP\tO' -p185450 -aS'esophagoscopy\tesophagoscopy\tNN\tI-NP\tO' -p185451 -aS',\t,\t,\tO\tO' -p185452 -aS'as\tas\tRB\tB-CONJP\tO' -p185453 -aS'well\twell\tRB\tI-CONJP\tO' -p185454 -aS'as\tas\tIN\tI-CONJP\tO' -p185455 -aS'rigid\trigid\tJJ\tB-NP\tO' -p185456 -aS'bronchoscopy\tbronchoscopy\tNN\tI-NP\tO' -p185457 -aS'.\t.\t.\tO\tO' -p185458 -asS'Heparin 5000 units subcutaneous twice a day .' -p185459 -(lp185460 -S'Heparin\tHeparin\tNN\tB-NP\tO' -p185461 -aS'5000\t5000\tCD\tB-NP\tO' -p185462 -aS'units\tunit\tNNS\tI-NP\tO' -p185463 -aS'subcutaneous\tsubcutaneous\tJJ\tB-ADJP\tO' -p185464 -aS'twice\ttwice\tRB\tB-NP\tO' -p185465 -aS'a\ta\tDT\tI-NP\tO' -p185466 -aS'day\tday\tNN\tI-NP\tO' -p185467 -aS'.\t.\t.\tO\tO' -p185468 -asS'2. CHF with an ejection fraction of 40-45% 02-09' -p185469 -(lp185470 -S'2.\t2.\tLS\tB-NP\tO' -p185471 -aS'CHF\tCHF\tNN\tI-NP\tB-protein' -p185472 -aS'with\twith\tIN\tB-PP\tO' -p185473 -aS'an\tan\tDT\tB-NP\tO' -p185474 -aS'ejection\tejection\tNN\tI-NP\tO' -p185475 -aS'fraction\tfraction\tNN\tI-NP\tO' -p185476 -aS'of\tof\tIN\tB-PP\tO' -p185477 -aS'40-45%\t40-45%\tJJ\tB-NP\tO' -p185478 -aS'02-09\t02-09\tCD\tI-NP\tO' -p185479 -asS'She was fitted for Verholl Aet over leg brace and mobilized out of the bed in the brace with physical therapy .' -p185480 -(lp185481 -S'She\tShe\tPRP\tB-NP\tO' -p185482 -aS'was\tbe\tVBD\tB-VP\tO' -p185483 -aS'fitted\tfit\tVBN\tI-VP\tO' -p185484 -aS'for\tfor\tIN\tB-PP\tO' -p185485 -aS'Verholl\tVerholl\tNNP\tB-NP\tO' -p185486 -aS'Aet\tAet\tNNP\tI-NP\tO' -p185487 -aS'over\tover\tIN\tB-PP\tO' -p185488 -aS'leg\tleg\tNN\tB-NP\tO' -p185489 -aS'brace\tbrace\tNN\tI-NP\tO' -p185490 -aS'and\tand\tCC\tO\tO' -p185491 -aS'mobilized\tmobilize\tVBN\tB-VP\tO' -p185492 -aS'out\tout\tIN\tB-PP\tO' -p185493 -aS'of\tof\tIN\tB-PP\tO' -p185494 -aS'the\tthe\tDT\tB-NP\tO' -p185495 -aS'bed\tbed\tNN\tI-NP\tO' -p185496 -aS'in\tin\tIN\tB-PP\tO' -p185497 -aS'the\tthe\tDT\tB-NP\tO' -p185498 -aS'brace\tbrace\tNN\tI-NP\tO' -p185499 -aS'with\twith\tIN\tB-PP\tO' -p185500 -aS'physical\tphysical\tJJ\tB-NP\tO' -p185501 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p185502 -aS'.\t.\t.\tO\tO' -p185503 -asS'4. Allopurinol 100 mg p.o. once daily .' -p185504 -(lp185505 -S'4.\t4.\tLS\tB-NP\tO' -p185506 -aS'Allopurinol\tAllopurinol\tNN\tI-NP\tO' -p185507 -aS'100\t100\tCD\tI-NP\tO' -p185508 -aS'mg\tmg\tNN\tI-NP\tO' -p185509 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p185510 -aS'once\tonce\tRB\tB-ADVP\tO' -p185511 -aS'daily\tdaily\tRB\tI-ADVP\tO' -p185512 -aS'.\t.\t.\tO\tO' -p185513 -asS'There was decreased excursion of the right mouth and flattening of the right nasolabial fold ( mild ) .' -p185514 -(lp185515 -S'There\tThere\tEX\tB-NP\tO' -p185516 -aS'was\tbe\tVBD\tB-VP\tO' -p185517 -aS'decreased\tdecrease\tVBN\tI-VP\tO' -p185518 -aS'excursion\texcursion\tNN\tB-NP\tO' -p185519 -aS'of\tof\tIN\tB-PP\tO' -p185520 -aS'the\tthe\tDT\tB-NP\tO' -p185521 -aS'right\tright\tJJ\tI-NP\tO' -p185522 -aS'mouth\tmouth\tNN\tI-NP\tO' -p185523 -aS'and\tand\tCC\tI-NP\tO' -p185524 -aS'flattening\tflattening\tNN\tI-NP\tO' -p185525 -aS'of\tof\tIN\tB-PP\tO' -p185526 -aS'the\tthe\tDT\tB-NP\tO' -p185527 -aS'right\tright\tJJ\tI-NP\tO' -p185528 -aS'nasolabial\tnasolabial\tJJ\tI-NP\tO' -p185529 -aS'fold\tfold\tJJ\tI-NP\tO' -p185530 -aS'(\t(\t(\tO\tO' -p185531 -aS'mild\tmild\tJJ\tB-ADJP\tO' -p185532 -aS')\t)\t)\tO\tO' -p185533 -aS'.\t.\t.\tO\tO' -p185534 -asS'It was felt that this cardiac catheterization was not significantly changed from his previous catheterization .' -p185535 -(lp185536 -S'It\tIt\tPRP\tB-NP\tO' -p185537 -aS'was\tbe\tVBD\tB-VP\tO' -p185538 -aS'felt\tfeel\tVBN\tI-VP\tO' -p185539 -aS'that\tthat\tIN\tB-SBAR\tO' -p185540 -aS'this\tthis\tDT\tB-NP\tO' -p185541 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p185542 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p185543 -aS'was\tbe\tVBD\tB-VP\tO' -p185544 -aS'not\tnot\tRB\tO\tO' -p185545 -aS'significantly\tsignificantly\tRB\tB-ADJP\tO' -p185546 -aS'changed\tchange\tVBN\tI-ADJP\tO' -p185547 -aS'from\tfrom\tIN\tB-PP\tO' -p185548 -aS'his\this\tPRP$\tB-NP\tO' -p185549 -aS'previous\tprevious\tJJ\tI-NP\tO' -p185550 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p185551 -aS'.\t.\t.\tO\tO' -p185552 -asS'She was in her usual state of health until one day prior to admission when she felt increasing fatigue , nausea and vomiting productive of bright red blood and coffee ground emesis .' -p185553 -(lp185554 -S'She\tShe\tPRP\tB-NP\tO' -p185555 -aS'was\tbe\tVBD\tB-VP\tO' -p185556 -aS'in\tin\tIN\tB-PP\tO' -p185557 -aS'her\ther\tPRP$\tB-NP\tO' -p185558 -aS'usual\tusual\tJJ\tI-NP\tO' -p185559 -aS'state\tstate\tNN\tI-NP\tO' -p185560 -aS'of\tof\tIN\tB-PP\tO' -p185561 -aS'health\thealth\tNN\tB-NP\tO' -p185562 -aS'until\tuntil\tIN\tB-PP\tO' -p185563 -aS'one\tone\tCD\tB-NP\tO' -p185564 -aS'day\tday\tNN\tI-NP\tO' -p185565 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p185566 -aS'to\tto\tTO\tB-PP\tO' -p185567 -aS'admission\tadmission\tNN\tB-NP\tO' -p185568 -aS'when\twhen\tWRB\tB-ADVP\tO' -p185569 -aS'she\tshe\tPRP\tB-NP\tO' -p185570 -aS'felt\tfeel\tVBD\tB-VP\tO' -p185571 -aS'increasing\tincrease\tVBG\tB-NP\tO' -p185572 -aS'fatigue\tfatigue\tNN\tI-NP\tO' -p185573 -aS',\t,\t,\tI-NP\tO' -p185574 -aS'nausea\tnausea\tNN\tI-NP\tO' -p185575 -aS'and\tand\tCC\tI-NP\tO' -p185576 -aS'vomiting\tvomiting\tNN\tI-NP\tO' -p185577 -aS'productive\tproductive\tJJ\tB-ADJP\tO' -p185578 -aS'of\tof\tIN\tB-PP\tO' -p185579 -aS'bright\tbright\tJJ\tB-NP\tO' -p185580 -aS'red\tred\tJJ\tI-NP\tO' -p185581 -aS'blood\tblood\tNN\tI-NP\tO' -p185582 -aS'and\tand\tCC\tI-NP\tO' -p185583 -aS'coffee\tcoffee\tNN\tI-NP\tO' -p185584 -aS'ground\tground\tNN\tI-NP\tO' -p185585 -aS'emesis\temesis\tNN\tI-NP\tO' -p185586 -aS'.\t.\t.\tO\tO' -p185587 -asS'The cardiac output was five liters per minute with an index at 2.9 liters per minute per meter 2 which is normal .' -p185588 -(lp185589 -S'The\tThe\tDT\tB-NP\tO' -p185590 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p185591 -aS'output\toutput\tNN\tI-NP\tO' -p185592 -aS'was\tbe\tVBD\tB-VP\tO' -p185593 -aS'five\tfive\tCD\tB-NP\tO' -p185594 -aS'liters\tliter\tNNS\tI-NP\tO' -p185595 -aS'per\tper\tIN\tB-PP\tO' -p185596 -aS'minute\tminute\tNN\tB-NP\tO' -p185597 -aS'with\twith\tIN\tB-PP\tO' -p185598 -aS'an\tan\tDT\tB-NP\tO' -p185599 -aS'index\tindex\tNN\tI-NP\tO' -p185600 -aS'at\tat\tIN\tB-PP\tO' -p185601 -aS'2.9\t2.9\tCD\tB-NP\tO' -p185602 -aS'liters\tliter\tNNS\tI-NP\tO' -p185603 -aS'per\tper\tIN\tB-PP\tO' -p185604 -aS'minute\tminute\tNN\tB-NP\tO' -p185605 -aS'per\tper\tIN\tB-PP\tO' -p185606 -aS'meter\tmeter\tNN\tB-NP\tO' -p185607 -aS'2\t2\tCD\tB-NP\tO' -p185608 -aS'which\twhich\tWDT\tB-NP\tO' -p185609 -aS'is\tbe\tVBZ\tB-VP\tO' -p185610 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p185611 -aS'.\t.\t.\tO\tO' -p185612 -asS'There are several areas of hyperintensities at the convexity which could be intraaxial and could be related to hemorrhage within the metastatic lesions but in absence of gradient echo images , this could not be further confirmed .' -p185613 -(lp185614 -S'There\tThere\tEX\tB-NP\tO' -p185615 -aS'are\tbe\tVBP\tB-VP\tO' -p185616 -aS'several\tseveral\tJJ\tB-NP\tO' -p185617 -aS'areas\tarea\tNNS\tI-NP\tO' -p185618 -aS'of\tof\tIN\tB-PP\tO' -p185619 -aS'hyperintensities\thyperintensity\tNNS\tB-NP\tO' -p185620 -aS'at\tat\tIN\tB-PP\tO' -p185621 -aS'the\tthe\tDT\tB-NP\tO' -p185622 -aS'convexity\tconvexity\tNN\tI-NP\tO' -p185623 -aS'which\twhich\tWDT\tB-NP\tO' -p185624 -aS'could\tcould\tMD\tB-VP\tO' -p185625 -aS'be\tbe\tVB\tI-VP\tO' -p185626 -aS'intraaxial\tintraaxial\tJJ\tB-ADJP\tO' -p185627 -aS'and\tand\tCC\tO\tO' -p185628 -aS'could\tcould\tMD\tB-VP\tO' -p185629 -aS'be\tbe\tVB\tI-VP\tO' -p185630 -aS'related\trelate\tVBN\tI-VP\tO' -p185631 -aS'to\tto\tTO\tI-VP\tO' -p185632 -aS'hemorrhage\themorrhage\tVB\tI-VP\tO' -p185633 -aS'within\twithin\tIN\tB-PP\tO' -p185634 -aS'the\tthe\tDT\tB-NP\tO' -p185635 -aS'metastatic\tmetastatic\tJJ\tI-NP\tO' -p185636 -aS'lesions\tlesion\tNNS\tI-NP\tO' -p185637 -aS'but\tbut\tCC\tB-PP\tO' -p185638 -aS'in\tin\tIN\tB-PP\tO' -p185639 -aS'absence\tabsence\tNN\tB-NP\tO' -p185640 -aS'of\tof\tIN\tB-PP\tO' -p185641 -aS'gradient\tgradient\tJJ\tB-NP\tO' -p185642 -aS'echo\techo\tJJ\tI-NP\tO' -p185643 -aS'images\timage\tNNS\tI-NP\tO' -p185644 -aS',\t,\t,\tO\tO' -p185645 -aS'this\tthis\tDT\tB-NP\tO' -p185646 -aS'could\tcould\tMD\tB-VP\tO' -p185647 -aS'not\tnot\tRB\tI-VP\tO' -p185648 -aS'be\tbe\tVB\tI-VP\tO' -p185649 -aS'further\tfurther\tRBR\tB-ADJP\tO' -p185650 -aS'confirmed\tconfirm\tVBN\tI-ADJP\tO' -p185651 -aS'.\t.\t.\tO\tO' -p185652 -asS'CN 02-17 grossly intact .' -p185653 -(lp185654 -S'CN\tCN\tNN\tB-NP\tO' -p185655 -aS'02-17\t02-17\tCD\tI-NP\tO' -p185656 -aS'grossly\tgrossly\tRB\tB-ADJP\tO' -p185657 -aS'intact\tintact\tJJ\tI-ADJP\tO' -p185658 -aS'.\t.\t.\tO\tO' -p185659 -asS'The 1 cm cyst which was seen in 10/92 was still present .' -p185660 -(lp185661 -S'The\tThe\tDT\tB-NP\tO' -p185662 -aS'1\t1\tCD\tI-NP\tO' -p185663 -aS'cm\tcm\tNN\tI-NP\tO' -p185664 -aS'cyst\tcyst\tNN\tI-NP\tO' -p185665 -aS'which\twhich\tWDT\tB-NP\tO' -p185666 -aS'was\tbe\tVBD\tB-VP\tO' -p185667 -aS'seen\tsee\tVBN\tI-VP\tO' -p185668 -aS'in\tin\tIN\tB-PP\tO' -p185669 -aS'10/92\t10/92\tCD\tB-NP\tO' -p185670 -aS'was\tbe\tVBD\tB-VP\tO' -p185671 -aS'still\tstill\tRB\tB-ADVP\tO' -p185672 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p185673 -aS'.\t.\t.\tO\tO' -p185674 -asS'2. Docusate 100 mg p.o. twice per day .' -p185675 -(lp185676 -S'2.\t2.\tLS\tB-NP\tO' -p185677 -aS'Docusate\tDocusate\tNNP\tI-NP\tO' -p185678 -aS'100\t100\tCD\tI-NP\tO' -p185679 -aS'mg\tmg\tNN\tI-NP\tO' -p185680 -aS'p.o.\tp.o.\tRB\tB-ADVP\tO' -p185681 -aS'twice\ttwice\tRB\tI-ADVP\tO' -p185682 -aS'per\tper\tIN\tB-PP\tO' -p185683 -aS'day\tday\tNN\tB-NP\tO' -p185684 -aS'.\t.\t.\tO\tO' -p185685 -asS'Trauma series demonstrated no evidence of a pelvic fracture .' -p185686 -(lp185687 -S'Trauma\tTrauma\tNN\tB-NP\tO' -p185688 -aS'series\tseries\tNN\tI-NP\tO' -p185689 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p185690 -aS'no\tno\tDT\tB-NP\tO' -p185691 -aS'evidence\tevidence\tNN\tI-NP\tO' -p185692 -aS'of\tof\tIN\tB-PP\tO' -p185693 -aS'a\ta\tDT\tB-NP\tO' -p185694 -aS'pelvic\tpelvic\tJJ\tI-NP\tO' -p185695 -aS'fracture\tfracture\tNN\tI-NP\tO' -p185696 -aS'.\t.\t.\tO\tO' -p185697 -asS'Hearing screening is recommended prior to discharge .' -p185698 -(lp185699 -S'Hearing\tHear\tVBG\tB-VP\tO' -p185700 -aS'screening\tscreening\tNN\tB-NP\tO' -p185701 -aS'is\tbe\tVBZ\tB-VP\tO' -p185702 -aS'recommended\trecommend\tVBN\tI-VP\tO' -p185703 -aS'prior\tprior\tRB\tB-ADVP\tO' -p185704 -aS'to\tto\tTO\tB-VP\tO' -p185705 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p185706 -aS'.\t.\t.\tO\tO' -p185707 -asS'2 plus reflexes in the upper extremities symmetrically bilaterally .' -p185708 -(lp185709 -S'2\t2\tCD\tB-NP\tO' -p185710 -aS'plus\tplus\tCC\tO\tO' -p185711 -aS'reflexes\treflex\tNNS\tB-NP\tO' -p185712 -aS'in\tin\tIN\tB-PP\tO' -p185713 -aS'the\tthe\tDT\tB-NP\tO' -p185714 -aS'upper\tupper\tJJ\tI-NP\tO' -p185715 -aS'extremities\textremity\tNNS\tI-NP\tO' -p185716 -aS'symmetrically\tsymmetrically\tRB\tB-ADVP\tO' -p185717 -aS'bilaterally\tbilaterally\tRB\tI-ADVP\tO' -p185718 -aS'.\t.\t.\tO\tO' -p185719 -asS'Patient was a 75 year old right handed male with past medical history of atrial fibrillation on coumadin , coronary artery disease , hyperlipidemia , dementia with sudden onset left sided weakness , dysarthria .' -p185720 -(lp185721 -S'Patient\tPatient\tNN\tB-NP\tO' -p185722 -aS'was\tbe\tVBD\tB-VP\tO' -p185723 -aS'a\ta\tDT\tB-NP\tO' -p185724 -aS'75\t75\tCD\tI-NP\tO' -p185725 -aS'year\tyear\tNN\tI-NP\tO' -p185726 -aS'old\told\tJJ\tI-NP\tO' -p185727 -aS'right\tright\tJJ\tI-NP\tO' -p185728 -aS'handed\thand\tVBN\tB-VP\tO' -p185729 -aS'male\tmale\tJJ\tB-ADJP\tO' -p185730 -aS'with\twith\tIN\tB-PP\tO' -p185731 -aS'past\tpast\tJJ\tB-NP\tO' -p185732 -aS'medical\tmedical\tJJ\tI-NP\tO' -p185733 -aS'history\thistory\tNN\tI-NP\tO' -p185734 -aS'of\tof\tIN\tB-PP\tO' -p185735 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p185736 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p185737 -aS'on\ton\tIN\tB-PP\tO' -p185738 -aS'coumadin\tcoumadin\tNN\tB-NP\tO' -p185739 -aS',\t,\t,\tO\tO' -p185740 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p185741 -aS'artery\tartery\tNN\tI-NP\tO' -p185742 -aS'disease\tdisease\tNN\tI-NP\tO' -p185743 -aS',\t,\t,\tO\tO' -p185744 -aS'hyperlipidemia\thyperlipidemia\tNN\tB-NP\tO' -p185745 -aS',\t,\t,\tO\tO' -p185746 -aS'dementia\tdementia\tNN\tB-NP\tO' -p185747 -aS'with\twith\tIN\tB-PP\tO' -p185748 -aS'sudden\tsudden\tJJ\tB-NP\tO' -p185749 -aS'onset\tonset\tNN\tI-NP\tO' -p185750 -aS'left\tleave\tVBD\tB-VP\tO' -p185751 -aS'sided\tsided\tJJ\tB-NP\tO' -p185752 -aS'weakness\tweakness\tNN\tI-NP\tO' -p185753 -aS',\t,\t,\tO\tO' -p185754 -aS'dysarthria\tdysarthria\tNN\tB-NP\tO' -p185755 -aS'.\t.\t.\tO\tO' -p185756 -asS'Attending : Ross Z Kenmore , M.D.' -p185757 -(lp185758 -S'Attending\tAttend\tVBG\tB-VP\tO' -p185759 -aS':\t:\t:\tO\tO' -p185760 -aS'Ross\tRoss\tNNP\tB-NP\tO' -p185761 -aS'Z\tZ\tNNP\tI-NP\tO' -p185762 -aS'Kenmore\tKenmore\tNNP\tI-NP\tO' -p185763 -aS',\t,\t,\tO\tO' -p185764 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p185765 -asS'The patient was also given Valium 5-10 mg p.o. t.i.d. for muscle spasm .' -p185766 -(lp185767 -S'The\tThe\tDT\tB-NP\tO' -p185768 -aS'patient\tpatient\tNN\tI-NP\tO' -p185769 -aS'was\tbe\tVBD\tB-VP\tO' -p185770 -aS'also\talso\tRB\tI-VP\tO' -p185771 -aS'given\tgive\tVBN\tI-VP\tO' -p185772 -aS'Valium\tValium\tNN\tB-NP\tO' -p185773 -aS'5-10\t5-10\tCD\tI-NP\tO' -p185774 -aS'mg\tmg\tNN\tI-NP\tO' -p185775 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p185776 -aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' -p185777 -aS'for\tfor\tIN\tB-PP\tO' -p185778 -aS'muscle\tmuscle\tNN\tB-NP\tO' -p185779 -aS'spasm\tspasm\tNN\tI-NP\tO' -p185780 -aS'.\t.\t.\tO\tO' -p185781 -asS'Good breath sounds .' -p185782 -(lp185783 -S'Good\tGood\tJJ\tB-NP\tO' -p185784 -aS'breath\tbreath\tNN\tI-NP\tO' -p185785 -aS'sounds\tsound\tNNS\tI-NP\tO' -p185786 -aS'.\t.\t.\tO\tO' -p185787 -asS'R lower 01-20 with coarse BS and rales ; L side clear ; no wheezing' -p185788 -(lp185789 -S'R\tR\tNN\tB-NP\tB-protein' -p185790 -aS'lower\tlow\tJJR\tB-NP\tO' -p185791 -aS'01-20\t01-20\tCD\tI-NP\tO' -p185792 -aS'with\twith\tIN\tB-PP\tO' -p185793 -aS'coarse\tcoarse\tNN\tB-NP\tB-protein' -p185794 -aS'BS\tBS\tNNS\tI-NP\tI-protein' -p185795 -aS'and\tand\tCC\tI-NP\tO' -p185796 -aS'rales\trale\tNNS\tI-NP\tO' -p185797 -aS';\t;\t:\tO\tO' -p185798 -aS'L\tL\tNN\tB-NP\tO' -p185799 -aS'side\tside\tNN\tI-NP\tO' -p185800 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p185801 -aS';\t;\t:\tO\tO' -p185802 -aS'no\tno\tDT\tB-NP\tO' -p185803 -aS'wheezing\twheezing\tNN\tI-NP\tO' -p185804 -asS'Free calcium was 0.95 on 03-30 .' -p185805 -(lp185806 -S'Free\tFree\tJJ\tB-NP\tO' -p185807 -aS'calcium\tcalcium\tNN\tI-NP\tO' -p185808 -aS'was\tbe\tVBD\tB-VP\tO' -p185809 -aS'0.95\t0.95\tCD\tB-NP\tO' -p185810 -aS'on\ton\tIN\tB-PP\tO' -p185811 -aS'03-30\t03-30\tCD\tB-NP\tO' -p185812 -aS'.\t.\t.\tO\tO' -p185813 -asS'- flex / ext films done' -p185814 -(lp185815 -S'-\t-\tHYPH\tB-NP\tO' -p185816 -aS'flex\tflex\tNN\tI-NP\tO' -p185817 -aS'/\t/\tSYM\tB-NP\tO' -p185818 -aS'ext\text\tNN\tB-NP\tO' -p185819 -aS'films\tfilm\tNNS\tI-NP\tO' -p185820 -aS'done\tdo\tVBN\tB-VP\tO' -p185821 -asS'Loud S4 and a II / VI regurgitant murmur .' -p185822 -(lp185823 -S'Loud\tLoud\tJJ\tB-NP\tO' -p185824 -aS'S4\tS4\tNN\tI-NP\tB-protein' -p185825 -aS'and\tand\tCC\tO\tO' -p185826 -aS'a\ta\tDT\tB-NP\tO' -p185827 -aS'II\tII\tCD\tI-NP\tO' -p185828 -aS'/\t/\tSYM\tI-NP\tO' -p185829 -aS'VI\tVI\tCD\tI-NP\tO' -p185830 -aS'regurgitant\tregurgitant\tJJ\tI-NP\tO' -p185831 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p185832 -aS'.\t.\t.\tO\tO' -p185833 -asS'IP found endotracheal obstructing tumor and extrinsic compression of the high trachea by thyroid mass .' -p185834 -(lp185835 -S'IP\tIP\tNN\tB-NP\tO' -p185836 -aS'found\tfind\tVBD\tB-VP\tO' -p185837 -aS'endotracheal\tendotracheal\tJJ\tB-NP\tO' -p185838 -aS'obstructing\tobstruct\tVBG\tI-NP\tO' -p185839 -aS'tumor\ttumor\tNN\tI-NP\tO' -p185840 -aS'and\tand\tCC\tO\tO' -p185841 -aS'extrinsic\textrinsic\tJJ\tB-NP\tO' -p185842 -aS'compression\tcompression\tNN\tI-NP\tO' -p185843 -aS'of\tof\tIN\tB-PP\tO' -p185844 -aS'the\tthe\tDT\tB-NP\tO' -p185845 -aS'high\thigh\tJJ\tI-NP\tO' -p185846 -aS'trachea\ttrachea\tNN\tI-NP\tO' -p185847 -aS'by\tby\tIN\tB-PP\tO' -p185848 -aS'thyroid\tthyroid\tJJ\tB-NP\tO' -p185849 -aS'mass\tmass\tNN\tI-NP\tO' -p185850 -aS'.\t.\t.\tO\tO' -p185851 -asS'17 yo male pedestrian who was struck by auto at unknown speed ; +LOC .' -p185852 -(lp185853 -S'17\t17\tCD\tB-NP\tO' -p185854 -aS'yo\tyo\tNN\tI-NP\tO' -p185855 -aS'male\tmale\tJJ\tI-NP\tO' -p185856 -aS'pedestrian\tpedestrian\tNN\tI-NP\tO' -p185857 -aS'who\twho\tWP\tB-NP\tO' -p185858 -aS'was\tbe\tVBD\tB-VP\tO' -p185859 -aS'struck\tstrike\tVBN\tI-VP\tO' -p185860 -aS'by\tby\tIN\tB-PP\tO' -p185861 -aS'auto\tauto\tNN\tB-NP\tO' -p185862 -aS'at\tat\tIN\tB-PP\tO' -p185863 -aS'unknown\tunknown\tJJ\tB-NP\tO' -p185864 -aS'speed\tspeed\tNN\tI-NP\tO' -p185865 -aS';\t;\t:\tO\tO' -p185866 -aS'+LOC\t+LOC\tNN\tB-NP\tB-protein' -p185867 -aS'.\t.\t.\tO\tO' -p185868 -asS'7. Vicodin as needed .' -p185869 -(lp185870 -S'7.\t7.\tLS\tB-LST\tO' -p185871 -aS'Vicodin\tVicodin\tNNP\tB-NP\tO' -p185872 -aS'as\tas\tIN\tB-SBAR\tO' -p185873 -aS'needed\tneed\tVBN\tB-VP\tO' -p185874 -aS'.\t.\t.\tO\tO' -p185875 -asS'The patient is a 47 year old male , with end stage liver disease secondary to hepatitis C cirrhosis diagnosed about 5 years prior to admission .' -p185876 -(lp185877 -S'The\tThe\tDT\tB-NP\tO' -p185878 -aS'patient\tpatient\tNN\tI-NP\tO' -p185879 -aS'is\tbe\tVBZ\tB-VP\tO' -p185880 -aS'a\ta\tDT\tB-NP\tO' -p185881 -aS'47\t47\tCD\tI-NP\tO' -p185882 -aS'year\tyear\tNN\tI-NP\tO' -p185883 -aS'old\told\tJJ\tI-NP\tO' -p185884 -aS'male\tmale\tNN\tI-NP\tO' -p185885 -aS',\t,\t,\tO\tO' -p185886 -aS'with\twith\tIN\tB-PP\tO' -p185887 -aS'end\tend\tNN\tB-NP\tO' -p185888 -aS'stage\tstage\tNN\tI-NP\tO' -p185889 -aS'liver\tliver\tNN\tI-NP\tO' -p185890 -aS'disease\tdisease\tNN\tI-NP\tO' -p185891 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p185892 -aS'to\tto\tTO\tB-PP\tO' -p185893 -aS'hepatitis\thepatitis\tNN\tB-NP\tB-protein' -p185894 -aS'C\tC\tNN\tI-NP\tI-protein' -p185895 -aS'cirrhosis\tcirrhosis\tNN\tI-NP\tI-protein' -p185896 -aS'diagnosed\tdiagnose\tVBN\tB-VP\tI-protein' -p185897 -aS'about\tabout\tIN\tB-NP\tI-protein' -p185898 -aS'5\t5\tCD\tI-NP\tI-protein' -p185899 -aS'years\tyear\tNNS\tI-NP\tI-protein' -p185900 -aS'prior\tprior\tRB\tB-ADVP\tO' -p185901 -aS'to\tto\tTO\tB-PP\tO' -p185902 -aS'admission\tadmission\tNN\tB-NP\tO' -p185903 -aS'.\t.\t.\tO\tO' -p185904 -asS'Please call your PCP X. Neuse at ( 536 ) 671-1515 to set up an appointment by Friday this week .' -p185905 -(lp185906 -S'Please\tPlease\tVB\tB-VP\tO' -p185907 -aS'call\tcall\tVB\tI-VP\tO' -p185908 -aS'your\tyour\tPRP$\tB-NP\tO' -p185909 -aS'PCP\tPCP\tNN\tI-NP\tO' -p185910 -aS'X.\tX.\tNNP\tI-NP\tO' -p185911 -aS'Neuse\tNeuse\tNN\tI-NP\tO' -p185912 -aS'at\tat\tIN\tB-PP\tO' -p185913 -aS'(\t(\t(\tO\tO' -p185914 -aS'536\t536\tCD\tB-NP\tO' -p185915 -aS')\t)\t)\tO\tO' -p185916 -aS'671-1515\t671-1515\tCD\tB-NP\tO' -p185917 -aS'to\tto\tTO\tB-VP\tO' -p185918 -aS'set\tset\tVB\tI-VP\tO' -p185919 -aS'up\tup\tRP\tB-PRT\tO' -p185920 -aS'an\tan\tDT\tB-NP\tO' -p185921 -aS'appointment\tappointment\tNN\tI-NP\tO' -p185922 -aS'by\tby\tIN\tB-PP\tO' -p185923 -aS'Friday\tFriday\tNNP\tB-NP\tO' -p185924 -aS'this\tthis\tDT\tB-NP\tO' -p185925 -aS'week\tweek\tNN\tI-NP\tO' -p185926 -aS'.\t.\t.\tO\tO' -p185927 -asS'76-year-old male with right hip pain X five years .' -p185928 -(lp185929 -S'76-year-old\t76-year-old\tJJ\tB-NP\tO' -p185930 -aS'male\tmale\tNN\tI-NP\tO' -p185931 -aS'with\twith\tIN\tB-PP\tO' -p185932 -aS'right\tright\tJJ\tB-NP\tO' -p185933 -aS'hip\thip\tNN\tI-NP\tO' -p185934 -aS'pain\tpain\tNN\tI-NP\tO' -p185935 -aS'X\tX\tSYM\tO\tO' -p185936 -aS'five\tfive\tCD\tB-NP\tO' -p185937 -aS'years\tyear\tNNS\tI-NP\tO' -p185938 -aS'.\t.\t.\tO\tO' -p185939 -asS'A CT revealed a large amount of free air .' -p185940 -(lp185941 -S'A\tA\tDT\tB-NP\tO' -p185942 -aS'CT\tCT\tNN\tI-NP\tO' -p185943 -aS'revealed\treveal\tVBD\tB-VP\tO' -p185944 -aS'a\ta\tDT\tB-NP\tO' -p185945 -aS'large\tlarge\tJJ\tI-NP\tO' -p185946 -aS'amount\tamount\tNN\tI-NP\tO' -p185947 -aS'of\tof\tIN\tB-PP\tO' -p185948 -aS'free\tfree\tJJ\tB-NP\tO' -p185949 -aS'air\tair\tNN\tI-NP\tO' -p185950 -aS'.\t.\t.\tO\tO' -p185951 -asS'He responded somewhat to lactulose for hepatic encephalopathy .' -p185952 -(lp185953 -S'He\tHe\tPRP\tB-NP\tO' -p185954 -aS'responded\trespond\tVBD\tB-VP\tO' -p185955 -aS'somewhat\tsomewhat\tRB\tB-ADVP\tO' -p185956 -aS'to\tto\tTO\tB-VP\tO' -p185957 -aS'lactulose\tlactulose\tVB\tI-VP\tO' -p185958 -aS'for\tfor\tIN\tB-PP\tO' -p185959 -aS'hepatic\thepatic\tJJ\tB-NP\tO' -p185960 -aS'encephalopathy\tencephalopathy\tNN\tI-NP\tO' -p185961 -aS'.\t.\t.\tO\tO' -p185962 -asS'Her oropharynx was clear .' -p185963 -(lp185964 -S'Her\tHer\tPRP$\tB-NP\tO' -p185965 -aS'oropharynx\toropharynx\tNN\tI-NP\tO' -p185966 -aS'was\tbe\tVBD\tB-VP\tO' -p185967 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p185968 -aS'.\t.\t.\tO\tO' -p185969 -asS'PERRL , anicteric , EOMI .' -p185970 -(lp185971 -S'PERRL\tPERRL\tNN\tB-NP\tB-protein' -p185972 -aS',\t,\t,\tO\tO' -p185973 -aS'anicteric\tanicteric\tNN\tB-NP\tO' -p185974 -aS',\t,\t,\tO\tO' -p185975 -aS'EOMI\tEOMI\tNNP\tB-NP\tO' -p185976 -aS'.\t.\t.\tO\tO' -p185977 -asS'Of note on 5/9/05 the patient was seen by Urology due to an inability to void and a 16 French Coude catheter was placed .' -p185978 -(lp185979 -S'Of\tOf\tIN\tB-PP\tO' -p185980 -aS'note\tnote\tNN\tB-NP\tO' -p185981 -aS'on\ton\tIN\tB-PP\tO' -p185982 -aS'5/9/05\t5/9/05\tCD\tB-NP\tO' -p185983 -aS'the\tthe\tDT\tB-NP\tO' -p185984 -aS'patient\tpatient\tNN\tI-NP\tO' -p185985 -aS'was\tbe\tVBD\tB-VP\tO' -p185986 -aS'seen\tsee\tVBN\tI-VP\tO' -p185987 -aS'by\tby\tIN\tB-PP\tO' -p185988 -aS'Urology\tUrology\tNNP\tB-NP\tO' -p185989 -aS'due\tdue\tIN\tB-PP\tO' -p185990 -aS'to\tto\tTO\tB-PP\tO' -p185991 -aS'an\tan\tDT\tB-NP\tO' -p185992 -aS'inability\tinability\tNN\tI-NP\tO' -p185993 -aS'to\tto\tTO\tB-PP\tO' -p185994 -aS'void\tvoid\tNN\tB-NP\tO' -p185995 -aS'and\tand\tCC\tO\tO' -p185996 -aS'a\ta\tDT\tB-NP\tO' -p185997 -aS'16\t16\tCD\tI-NP\tO' -p185998 -aS'French\tFrench\tJJ\tI-NP\tO' -p185999 -aS'Coude\tCoude\tNNP\tI-NP\tO' -p186000 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p186001 -aS'was\tbe\tVBD\tB-VP\tO' -p186002 -aS'placed\tplace\tVBN\tI-VP\tO' -p186003 -aS'.\t.\t.\tO\tO' -p186004 -asS"Mother 's medical history was notable for depression treated with Zoloft ." -p186005 -(lp186006 -S'Mother\tMother\tNNP\tB-NP\tO' -p186007 -aS"'s\t's\tPOS\tB-NP\tO" -p186008 -aS'medical\tmedical\tJJ\tI-NP\tO' -p186009 -aS'history\thistory\tNN\tI-NP\tO' -p186010 -aS'was\tbe\tVBD\tB-VP\tO' -p186011 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p186012 -aS'for\tfor\tIN\tB-PP\tO' -p186013 -aS'depression\tdepression\tNN\tB-NP\tO' -p186014 -aS'treated\ttreat\tVBN\tB-VP\tO' -p186015 -aS'with\twith\tIN\tB-PP\tO' -p186016 -aS'Zoloft\tZoloft\tNNP\tB-NP\tO' -p186017 -aS'.\t.\t.\tO\tO' -p186018 -asS'No AMS .' -p186019 -(lp186020 -S'No\tNo\tDT\tB-NP\tO' -p186021 -aS'AMS\tAMS\tNN\tI-NP\tB-protein' -p186022 -aS'.\t.\t.\tO\tO' -p186023 -asS'Received lorazepam prior to CT scan .' -p186024 -(lp186025 -S'Received\tReceive\tVBN\tB-NP\tO' -p186026 -aS'lorazepam\tlorazepam\tNN\tI-NP\tO' -p186027 -aS'prior\tprior\tRB\tB-ADVP\tO' -p186028 -aS'to\tto\tTO\tB-PP\tO' -p186029 -aS'CT\tCT\tNN\tB-NP\tO' -p186030 -aS'scan\tscan\tNN\tI-NP\tO' -p186031 -aS'.\t.\t.\tO\tO' -p186032 -asS'Anticoagulation has not been given this admission .' -p186033 -(lp186034 -S'Anticoagulation\tAnticoagulation\tNN\tB-NP\tO' -p186035 -aS'has\thave\tVBZ\tB-VP\tO' -p186036 -aS'not\tnot\tRB\tI-VP\tO' -p186037 -aS'been\tbe\tVBN\tI-VP\tO' -p186038 -aS'given\tgive\tVBN\tI-VP\tO' -p186039 -aS'this\tthis\tDT\tB-NP\tO' -p186040 -aS'admission\tadmission\tNN\tI-NP\tO' -p186041 -aS'.\t.\t.\tO\tO' -p186042 -asS'It is possible that this is secondary to her underlying demyelinating disease , but per report this has not been very active .' -p186043 -(lp186044 -S'It\tIt\tPRP\tB-NP\tO' -p186045 -aS'is\tbe\tVBZ\tB-VP\tO' -p186046 -aS'possible\tpossible\tJJ\tB-ADJP\tO' -p186047 -aS'that\tthat\tIN\tB-SBAR\tO' -p186048 -aS'this\tthis\tDT\tB-NP\tO' -p186049 -aS'is\tbe\tVBZ\tB-VP\tO' -p186050 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p186051 -aS'to\tto\tTO\tB-PP\tO' -p186052 -aS'her\ther\tPRP\tB-NP\tO' -p186053 -aS'underlying\tunderlie\tVBG\tB-VP\tO' -p186054 -aS'demyelinating\tdemyelinate\tVBG\tB-NP\tO' -p186055 -aS'disease\tdisease\tNN\tI-NP\tO' -p186056 -aS',\t,\t,\tO\tO' -p186057 -aS'but\tbut\tCC\tO\tO' -p186058 -aS'per\tper\tIN\tB-PP\tO' -p186059 -aS'report\treport\tNN\tB-NP\tO' -p186060 -aS'this\tthis\tDT\tB-NP\tO' -p186061 -aS'has\thave\tVBZ\tB-VP\tO' -p186062 -aS'not\tnot\tRB\tI-VP\tO' -p186063 -aS'been\tbe\tVBN\tI-VP\tO' -p186064 -aS'very\tvery\tRB\tB-ADJP\tO' -p186065 -aS'active\tactive\tJJ\tI-ADJP\tO' -p186066 -aS'.\t.\t.\tO\tO' -p186067 -asS'His voice improved during the course of his stay and was talking clearly by the time of discharge .' -p186068 -(lp186069 -S'His\tHis\tPRP$\tB-NP\tO' -p186070 -aS'voice\tvoice\tNN\tI-NP\tO' -p186071 -aS'improved\timprove\tVBN\tB-VP\tO' -p186072 -aS'during\tduring\tIN\tB-PP\tO' -p186073 -aS'the\tthe\tDT\tB-NP\tO' -p186074 -aS'course\tcourse\tNN\tI-NP\tO' -p186075 -aS'of\tof\tIN\tB-PP\tO' -p186076 -aS'his\this\tPRP$\tB-NP\tO' -p186077 -aS'stay\tstay\tNN\tI-NP\tO' -p186078 -aS'and\tand\tCC\tO\tO' -p186079 -aS'was\tbe\tVBD\tB-VP\tO' -p186080 -aS'talking\ttalk\tVBG\tI-VP\tO' -p186081 -aS'clearly\tclearly\tRB\tB-ADVP\tO' -p186082 -aS'by\tby\tIN\tB-PP\tO' -p186083 -aS'the\tthe\tDT\tB-NP\tO' -p186084 -aS'time\ttime\tNN\tI-NP\tO' -p186085 -aS'of\tof\tIN\tB-PP\tO' -p186086 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p186087 -aS'.\t.\t.\tO\tO' -p186088 -asS'Attending : Melissa P Lowery , M.D.' -p186089 -(lp186090 -S'Attending\tAttend\tVBG\tB-VP\tO' -p186091 -aS':\t:\t:\tO\tO' -p186092 -aS'Melissa\tMelissa\tNNP\tB-NP\tO' -p186093 -aS'P\tP\tNNP\tI-NP\tO' -p186094 -aS'Lowery\tLowery\tNNP\tI-NP\tO' -p186095 -aS',\t,\t,\tO\tO' -p186096 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p186097 -asS"The EP Service was consulted regarding the patient 's atrial fibrillation ." -p186098 -(lp186099 -S'The\tThe\tDT\tB-NP\tO' -p186100 -aS'EP\tEP\tNNP\tI-NP\tO' -p186101 -aS'Service\tService\tNNP\tI-NP\tO' -p186102 -aS'was\tbe\tVBD\tB-VP\tO' -p186103 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p186104 -aS'regarding\tregard\tVBG\tI-VP\tO' -p186105 -aS'the\tthe\tDT\tB-NP\tO' -p186106 -aS'patient\tpatient\tNN\tI-NP\tO' -p186107 -aS"'s\t's\tPOS\tB-NP\tO" -p186108 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p186109 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p186110 -aS'.\t.\t.\tO\tO' -p186111 -asS'On 03-27 , pt was noted to have significantly depressed M.S. off propol improved off sedation .' -p186112 -(lp186113 -S'On\tOn\tIN\tB-PP\tO' -p186114 -aS'03-27\t03-27\tCD\tB-NP\tO' -p186115 -aS',\t,\t,\tO\tO' -p186116 -aS'pt\tpt\tNN\tB-NP\tO' -p186117 -aS'was\tbe\tVBD\tB-VP\tO' -p186118 -aS'noted\tnote\tVBN\tI-VP\tO' -p186119 -aS'to\tto\tTO\tI-VP\tO' -p186120 -aS'have\thave\tVB\tI-VP\tO' -p186121 -aS'significantly\tsignificantly\tRB\tI-VP\tO' -p186122 -aS'depressed\tdepress\tVBN\tI-VP\tO' -p186123 -aS'M.S.\tM.S.\tNNP\tB-NP\tO' -p186124 -aS'off\toff\tIN\tB-PP\tO' -p186125 -aS'propol\tpropol\tNN\tB-NP\tO' -p186126 -aS'improved\timprove\tVBD\tB-VP\tO' -p186127 -aS'off\toff\tRP\tB-PRT\tO' -p186128 -aS'sedation\tsedation\tNN\tB-NP\tO' -p186129 -aS'.\t.\t.\tO\tO' -p186130 -asS'Warm , noncyanotic , nonedematous times four .' -p186131 -(lp186132 -S'Warm\tWarm\tNNP\tB-NP\tO' -p186133 -aS',\t,\t,\tO\tO' -p186134 -aS'noncyanotic\tnoncyanotic\tJJ\tB-NP\tO' -p186135 -aS',\t,\t,\tI-NP\tO' -p186136 -aS'nonedematous\tnonedematous\tJJ\tI-NP\tO' -p186137 -aS'times\ttime\tNNS\tI-NP\tO' -p186138 -aS'four\tfour\tCD\tB-NP\tO' -p186139 -aS'.\t.\t.\tO\tO' -p186140 -asS'The patient failed multiple attempts at cardioversion .' -p186141 -(lp186142 -S'The\tThe\tDT\tB-NP\tO' -p186143 -aS'patient\tpatient\tNN\tI-NP\tO' -p186144 -aS'failed\tfail\tVBD\tB-VP\tO' -p186145 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p186146 -aS'attempts\tattempt\tNNS\tI-NP\tO' -p186147 -aS'at\tat\tIN\tB-PP\tO' -p186148 -aS'cardioversion\tcardioversion\tNN\tB-NP\tO' -p186149 -aS'.\t.\t.\tO\tO' -p186150 -asS'The patient has one to two pack x20 year history of smoking that was 30 years ago .' -p186151 -(lp186152 -S'The\tThe\tDT\tB-NP\tO' -p186153 -aS'patient\tpatient\tNN\tI-NP\tO' -p186154 -aS'has\thave\tVBZ\tB-VP\tO' -p186155 -aS'one\tone\tCD\tB-NP\tO' -p186156 -aS'to\tto\tTO\tI-NP\tO' -p186157 -aS'two\ttwo\tCD\tI-NP\tO' -p186158 -aS'pack\tpack\tNN\tI-NP\tO' -p186159 -aS'x20\tx20\tNN\tI-NP\tO' -p186160 -aS'year\tyear\tNN\tI-NP\tO' -p186161 -aS'history\thistory\tNN\tI-NP\tO' -p186162 -aS'of\tof\tIN\tB-PP\tO' -p186163 -aS'smoking\tsmoking\tNN\tB-NP\tO' -p186164 -aS'that\tthat\tWDT\tB-NP\tO' -p186165 -aS'was\tbe\tVBD\tB-VP\tO' -p186166 -aS'30\t30\tCD\tB-NP\tO' -p186167 -aS'years\tyear\tNNS\tI-NP\tO' -p186168 -aS'ago\tago\tRB\tB-ADVP\tO' -p186169 -aS'.\t.\t.\tO\tO' -p186170 -asS'Scattered rhonchi with diminished breath sounds in the bases .' -p186171 -(lp186172 -S'Scattered\tScatter\tVBN\tB-NP\tO' -p186173 -aS'rhonchi\trhonchi\tNN\tI-NP\tO' -p186174 -aS'with\twith\tIN\tB-PP\tO' -p186175 -aS'diminished\tdiminish\tVBN\tB-NP\tO' -p186176 -aS'breath\tbreath\tNN\tI-NP\tO' -p186177 -aS'sounds\tsound\tNNS\tI-NP\tO' -p186178 -aS'in\tin\tIN\tB-PP\tO' -p186179 -aS'the\tthe\tDT\tB-NP\tO' -p186180 -aS'bases\tbase\tNNS\tI-NP\tO' -p186181 -aS'.\t.\t.\tO\tO' -p186182 -asS'Daycare during RSV season , a smoker in the household , neuromuscular disease , airway abnormalities or school age sibling , or 3. With chronic lung disease .' -p186183 -(lp186184 -S'Daycare\tDaycare\tNN\tB-NP\tO' -p186185 -aS'during\tduring\tIN\tB-PP\tO' -p186186 -aS'RSV\tRSV\tNN\tB-NP\tO' -p186187 -aS'season\tseason\tNN\tI-NP\tO' -p186188 -aS',\t,\t,\tO\tO' -p186189 -aS'a\ta\tDT\tB-NP\tO' -p186190 -aS'smoker\tsmoker\tNN\tI-NP\tO' -p186191 -aS'in\tin\tIN\tB-PP\tO' -p186192 -aS'the\tthe\tDT\tB-NP\tO' -p186193 -aS'household\thousehold\tNN\tI-NP\tO' -p186194 -aS',\t,\t,\tO\tO' -p186195 -aS'neuromuscular\tneuromuscular\tJJ\tB-NP\tO' -p186196 -aS'disease\tdisease\tNN\tI-NP\tO' -p186197 -aS',\t,\t,\tO\tO' -p186198 -aS'airway\tairway\tNN\tB-NP\tO' -p186199 -aS'abnormalities\tabnormality\tNNS\tI-NP\tO' -p186200 -aS'or\tor\tCC\tO\tO' -p186201 -aS'school\tschool\tNN\tB-NP\tO' -p186202 -aS'age\tage\tNN\tI-NP\tO' -p186203 -aS'sibling\tsibling\tNN\tI-NP\tO' -p186204 -aS',\t,\t,\tO\tO' -p186205 -aS'or\tor\tCC\tO\tO' -p186206 -aS'3.\t3.\tLS\tO\tO' -p186207 -aS'With\tWith\tIN\tB-PP\tO' -p186208 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p186209 -aS'lung\tlung\tNN\tI-NP\tO' -p186210 -aS'disease\tdisease\tNN\tI-NP\tO' -p186211 -aS'.\t.\t.\tO\tO' -p186212 -asS'As mentioned above patient initially hypotension , febrile and in respiratory distress presumed to be septic source likely pulmonary .' -p186213 -(lp186214 -S'As\tAs\tIN\tB-SBAR\tO' -p186215 -aS'mentioned\tmention\tVBN\tB-VP\tO' -p186216 -aS'above\tabove\tIN\tB-PP\tO' -p186217 -aS'patient\tpatient\tNN\tB-NP\tO' -p186218 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p186219 -aS'hypotension\thypotension\tNN\tB-NP\tO' -p186220 -aS',\t,\t,\tO\tO' -p186221 -aS'febrile\tfebrile\tNN\tB-NP\tO' -p186222 -aS'and\tand\tCC\tB-PP\tO' -p186223 -aS'in\tin\tIN\tB-PP\tO' -p186224 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p186225 -aS'distress\tdistress\tNN\tI-NP\tO' -p186226 -aS'presumed\tpresume\tVBN\tB-VP\tO' -p186227 -aS'to\tto\tTO\tI-VP\tO' -p186228 -aS'be\tbe\tVB\tI-VP\tO' -p186229 -aS'septic\tseptic\tJJ\tB-NP\tO' -p186230 -aS'source\tsource\tNN\tI-NP\tO' -p186231 -aS'likely\tlikely\tRB\tB-ADJP\tO' -p186232 -aS'pulmonary\tpulmonary\tJJ\tI-ADJP\tO' -p186233 -aS'.\t.\t.\tO\tO' -p186234 -asS'Positive weakness , otherwise negative .' -p186235 -(lp186236 -S'Positive\tPositive\tJJ\tB-NP\tO' -p186237 -aS'weakness\tweakness\tNN\tI-NP\tO' -p186238 -aS',\t,\t,\tO\tO' -p186239 -aS'otherwise\totherwise\tRB\tB-ADJP\tO' -p186240 -aS'negative\tnegative\tJJ\tI-ADJP\tO' -p186241 -aS'.\t.\t.\tO\tO' -p186242 -asS'For this reason , Mr. Knueppel was kept in the Intensive Care Unit where very close monitoring could be performed .' -p186243 -(lp186244 -S'For\tFor\tIN\tB-PP\tO' -p186245 -aS'this\tthis\tDT\tB-NP\tO' -p186246 -aS'reason\treason\tNN\tI-NP\tO' -p186247 -aS',\t,\t,\tO\tO' -p186248 -aS'Mr.\tMr.\tNNP\tB-NP\tO' -p186249 -aS'Knueppel\tKnueppel\tNNP\tI-NP\tO' -p186250 -aS'was\tbe\tVBD\tB-VP\tO' -p186251 -aS'kept\tkeep\tVBN\tI-VP\tO' -p186252 -aS'in\tin\tIN\tB-PP\tO' -p186253 -aS'the\tthe\tDT\tB-NP\tO' -p186254 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p186255 -aS'Care\tCare\tNNP\tI-NP\tO' -p186256 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p186257 -aS'where\twhere\tWRB\tB-ADVP\tO' -p186258 -aS'very\tvery\tRB\tB-NP\tO' -p186259 -aS'close\tclose\tJJ\tI-NP\tO' -p186260 -aS'monitoring\tmonitoring\tNN\tI-NP\tO' -p186261 -aS'could\tcould\tMD\tB-VP\tO' -p186262 -aS'be\tbe\tVB\tI-VP\tO' -p186263 -aS'performed\tperform\tVBN\tI-VP\tO' -p186264 -aS'.\t.\t.\tO\tO' -p186265 -asS'On postoperative day number three , the patient was transferred to the floor .' -p186266 -(lp186267 -S'On\tOn\tIN\tB-PP\tO' -p186268 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p186269 -aS'day\tday\tNN\tI-NP\tO' -p186270 -aS'number\tnumber\tNN\tI-NP\tO' -p186271 -aS'three\tthree\tCD\tB-NP\tO' -p186272 -aS',\t,\t,\tO\tO' -p186273 -aS'the\tthe\tDT\tB-NP\tO' -p186274 -aS'patient\tpatient\tNN\tI-NP\tO' -p186275 -aS'was\tbe\tVBD\tB-VP\tO' -p186276 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p186277 -aS'to\tto\tTO\tB-PP\tO' -p186278 -aS'the\tthe\tDT\tB-NP\tO' -p186279 -aS'floor\tfloor\tNN\tI-NP\tO' -p186280 -aS'.\t.\t.\tO\tO' -p186281 -asS'Her CPress dissappeared over the same timeframe .' -p186282 -(lp186283 -S'Her\tHer\tPRP$\tB-NP\tO' -p186284 -aS'CPress\tCPress\tNNP\tI-NP\tO' -p186285 -aS'dissappeared\tdissappeare\tVBD\tB-VP\tO' -p186286 -aS'over\tover\tIN\tB-PP\tO' -p186287 -aS'the\tthe\tDT\tB-NP\tO' -p186288 -aS'same\tsame\tJJ\tI-NP\tO' -p186289 -aS'timeframe\ttimeframe\tNN\tI-NP\tO' -p186290 -aS'.\t.\t.\tO\tO' -p186291 -asS'He did complain of frequent headaches .' -p186292 -(lp186293 -S'He\tHe\tPRP\tB-NP\tO' -p186294 -aS'did\tdo\tVBD\tB-VP\tO' -p186295 -aS'complain\tcomplain\tNN\tB-NP\tO' -p186296 -aS'of\tof\tIN\tB-PP\tO' -p186297 -aS'frequent\tfrequent\tJJ\tB-NP\tO' -p186298 -aS'headaches\theadache\tNNS\tI-NP\tO' -p186299 -aS'.\t.\t.\tO\tO' -p186300 -asS'In August of 1996 while the patient was at Retelk County Medical Center for replacement of her knees bilaterally , and on preoperative evaluation she was noted to have a high calcium and therefore the surgery was canceled .' -p186301 -(lp186302 -S'In\tIn\tIN\tB-PP\tO' -p186303 -aS'August\tAugust\tNNP\tB-NP\tO' -p186304 -aS'of\tof\tIN\tB-PP\tO' -p186305 -aS'1996\t1996\tCD\tB-NP\tO' -p186306 -aS'while\twhile\tIN\tB-SBAR\tO' -p186307 -aS'the\tthe\tDT\tB-NP\tO' -p186308 -aS'patient\tpatient\tNN\tI-NP\tO' -p186309 -aS'was\tbe\tVBD\tB-VP\tO' -p186310 -aS'at\tat\tIN\tB-PP\tO' -p186311 -aS'Retelk\tRetelk\tNNP\tB-NP\tO' -p186312 -aS'County\tCounty\tNNP\tI-NP\tO' -p186313 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p186314 -aS'Center\tCenter\tNNP\tI-NP\tO' -p186315 -aS'for\tfor\tIN\tB-PP\tO' -p186316 -aS'replacement\treplacement\tNN\tB-NP\tO' -p186317 -aS'of\tof\tIN\tB-PP\tO' -p186318 -aS'her\ther\tPRP$\tB-NP\tO' -p186319 -aS'knees\tknee\tNNS\tI-NP\tO' -p186320 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p186321 -aS',\t,\t,\tB-PP\tO' -p186322 -aS'and\tand\tCC\tI-PP\tO' -p186323 -aS'on\ton\tIN\tB-PP\tO' -p186324 -aS'preoperative\tpreoperative\tJJ\tB-NP\tO' -p186325 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p186326 -aS'she\tshe\tPRP\tB-NP\tO' -p186327 -aS'was\tbe\tVBD\tB-VP\tO' -p186328 -aS'noted\tnote\tVBN\tI-VP\tO' -p186329 -aS'to\tto\tTO\tI-VP\tO' -p186330 -aS'have\thave\tVB\tI-VP\tO' -p186331 -aS'a\ta\tDT\tB-NP\tO' -p186332 -aS'high\thigh\tJJ\tI-NP\tO' -p186333 -aS'calcium\tcalcium\tNN\tI-NP\tO' -p186334 -aS'and\tand\tCC\tO\tO' -p186335 -aS'therefore\ttherefore\tRB\tB-ADVP\tO' -p186336 -aS'the\tthe\tDT\tB-NP\tO' -p186337 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p186338 -aS'was\tbe\tVBD\tB-VP\tO' -p186339 -aS'canceled\tcancel\tVBN\tI-VP\tO' -p186340 -aS'.\t.\t.\tO\tO' -p186341 -asS'Her amylase and lipase on the day following the endoscopic retrograde cholangiopancreatography' -p186342 -(lp186343 -S'Her\tHer\tPRP$\tB-NP\tO' -p186344 -aS'amylase\tamylase\tNN\tI-NP\tB-protein' -p186345 -aS'and\tand\tCC\tI-NP\tO' -p186346 -aS'lipase\tlipase\tNN\tI-NP\tO' -p186347 -aS'on\ton\tIN\tB-PP\tO' -p186348 -aS'the\tthe\tDT\tB-NP\tO' -p186349 -aS'day\tday\tNN\tI-NP\tO' -p186350 -aS'following\tfollow\tVBG\tB-PP\tO' -p186351 -aS'the\tthe\tDT\tB-NP\tO' -p186352 -aS'endoscopic\tendoscopic\tJJ\tI-NP\tO' -p186353 -aS'retrograde\tretrograde\tNN\tI-NP\tO' -p186354 -aS'cholangiopancreatography\tcholangiopancreatography\tNN\tI-NP\tO' -p186355 -asS'Significant for BUN and creatinine 33/2.4 .' -p186356 -(lp186357 -S'Significant\tSignificant\tJJ\tB-ADJP\tO' -p186358 -aS'for\tfor\tIN\tB-PP\tO' -p186359 -aS'BUN\tBUN\tNN\tB-NP\tB-protein' -p186360 -aS'and\tand\tCC\tO\tO' -p186361 -aS'creatinine\tcreatinine\tNN\tB-NP\tB-protein' -p186362 -aS'33/2.4\t33/2.4\tCD\tI-NP\tI-protein' -p186363 -aS'.\t.\t.\tO\tO' -p186364 -asS"However there was dissent among neurologists about patient 's ability to recover from the SAH while awaiting family members and the patient was changed to full code ." -p186365 -(lp186366 -S'However\tHowever\tRB\tB-ADVP\tO' -p186367 -aS'there\tthere\tEX\tB-NP\tO' -p186368 -aS'was\tbe\tVBD\tB-VP\tO' -p186369 -aS'dissent\tdissent\tJJ\tB-ADJP\tO' -p186370 -aS'among\tamong\tIN\tB-PP\tO' -p186371 -aS'neurologists\tneurologist\tNNS\tB-NP\tO' -p186372 -aS'about\tabout\tIN\tB-PP\tO' -p186373 -aS'patient\tpatient\tNN\tB-NP\tO' -p186374 -aS"'s\t's\tPOS\tB-NP\tO" -p186375 -aS'ability\tability\tNN\tI-NP\tO' -p186376 -aS'to\tto\tTO\tB-VP\tO' -p186377 -aS'recover\trecover\tVB\tI-VP\tO' -p186378 -aS'from\tfrom\tIN\tB-PP\tO' -p186379 -aS'the\tthe\tDT\tB-NP\tO' -p186380 -aS'SAH\tSAH\tNN\tI-NP\tB-protein' -p186381 -aS'while\twhile\tIN\tB-SBAR\tI-protein' -p186382 -aS'awaiting\tawait\tVBG\tB-VP\tI-protein' -p186383 -aS'family\tfamily\tNN\tB-NP\tI-protein' -p186384 -aS'members\tmember\tNNS\tI-NP\tI-protein' -p186385 -aS'and\tand\tCC\tO\tO' -p186386 -aS'the\tthe\tDT\tB-NP\tO' -p186387 -aS'patient\tpatient\tNN\tI-NP\tO' -p186388 -aS'was\tbe\tVBD\tB-VP\tO' -p186389 -aS'changed\tchange\tVBN\tI-VP\tO' -p186390 -aS'to\tto\tTO\tB-PP\tO' -p186391 -aS'full\tfull\tJJ\tB-NP\tO' -p186392 -aS'code\tcode\tNN\tI-NP\tO' -p186393 -aS'.\t.\t.\tO\tO' -p186394 -asS'She received 48 hours of ampicillin and gentamycin with negative blood cultures and antibiotics were discontinued .' -p186395 -(lp186396 -S'She\tShe\tPRP\tB-NP\tO' -p186397 -aS'received\treceive\tVBD\tB-VP\tO' -p186398 -aS'48\t48\tCD\tB-NP\tO' -p186399 -aS'hours\thour\tNNS\tI-NP\tO' -p186400 -aS'of\tof\tIN\tB-PP\tO' -p186401 -aS'ampicillin\tampicillin\tNN\tB-NP\tO' -p186402 -aS'and\tand\tCC\tI-NP\tO' -p186403 -aS'gentamycin\tgentamycin\tNN\tI-NP\tO' -p186404 -aS'with\twith\tIN\tB-PP\tO' -p186405 -aS'negative\tnegative\tJJ\tB-NP\tO' -p186406 -aS'blood\tblood\tNN\tI-NP\tO' -p186407 -aS'cultures\tculture\tNNS\tI-NP\tO' -p186408 -aS'and\tand\tCC\tI-NP\tO' -p186409 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p186410 -aS'were\tbe\tVBD\tB-VP\tO' -p186411 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p186412 -aS'.\t.\t.\tO\tO' -p186413 -asS'His blood pressure was fairly low with a maximum of 130s systolic during his admission , thus we did not continue his lisinopril which he had been on in the past .' -p186414 -(lp186415 -S'His\tHis\tPRP$\tB-NP\tO' -p186416 -aS'blood\tblood\tNN\tI-NP\tO' -p186417 -aS'pressure\tpressure\tNN\tI-NP\tO' -p186418 -aS'was\tbe\tVBD\tB-VP\tO' -p186419 -aS'fairly\tfairly\tRB\tB-ADJP\tO' -p186420 -aS'low\tlow\tJJ\tI-ADJP\tO' -p186421 -aS'with\twith\tIN\tB-PP\tO' -p186422 -aS'a\ta\tDT\tB-NP\tO' -p186423 -aS'maximum\tmaximum\tNN\tI-NP\tO' -p186424 -aS'of\tof\tIN\tB-PP\tO' -p186425 -aS'130s\t130\tNNS\tB-NP\tO' -p186426 -aS'systolic\tsystolic\tJJ\tB-ADJP\tO' -p186427 -aS'during\tduring\tIN\tB-PP\tO' -p186428 -aS'his\this\tPRP$\tB-NP\tO' -p186429 -aS'admission\tadmission\tNN\tI-NP\tO' -p186430 -aS',\t,\t,\tO\tO' -p186431 -aS'thus\tthus\tRB\tB-ADVP\tO' -p186432 -aS'we\twe\tPRP\tB-NP\tO' -p186433 -aS'did\tdo\tVBD\tB-VP\tO' -p186434 -aS'not\tnot\tRB\tI-VP\tO' -p186435 -aS'continue\tcontinue\tVB\tI-VP\tO' -p186436 -aS'his\this\tPRP$\tB-NP\tO' -p186437 -aS'lisinopril\tlisinopril\tNN\tI-NP\tO' -p186438 -aS'which\twhich\tWDT\tB-NP\tO' -p186439 -aS'he\the\tPRP\tB-NP\tO' -p186440 -aS'had\thave\tVBD\tB-VP\tO' -p186441 -aS'been\tbe\tVBN\tI-VP\tO' -p186442 -aS'on\ton\tRP\tB-PRT\tO' -p186443 -aS'in\tin\tIN\tB-PP\tO' -p186444 -aS'the\tthe\tDT\tB-NP\tO' -p186445 -aS'past\tpast\tNN\tI-NP\tO' -p186446 -aS'.\t.\t.\tO\tO' -p186447 -asS'10. status post dilation and curettage ,' -p186448 -(lp186449 -S'10.\t10.\tLS\tB-NP\tO' -p186450 -aS'status\tstatus\tNN\tI-NP\tO' -p186451 -aS'post\tpost\tNN\tI-NP\tO' -p186452 -aS'dilation\tdilation\tNN\tI-NP\tO' -p186453 -aS'and\tand\tCC\tI-NP\tO' -p186454 -aS'curettage\tcurettage\tNN\tI-NP\tO' -p186455 -aS',\t,\t,\tO\tO' -p186456 -asS'Patient was transfused 2 units of packed red blood cells overnight , the first night after admission and his hematocrit bumped up appropriately .' -p186457 -(lp186458 -S'Patient\tPatient\tNN\tB-NP\tO' -p186459 -aS'was\tbe\tVBD\tB-VP\tO' -p186460 -aS'transfused\ttransfuse\tVBN\tI-VP\tO' -p186461 -aS'2\t2\tCD\tB-NP\tO' -p186462 -aS'units\tunit\tNNS\tI-NP\tO' -p186463 -aS'of\tof\tIN\tB-PP\tO' -p186464 -aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' -p186465 -aS'red\tred\tJJ\tI-NP\tI-cell_type' -p186466 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p186467 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p186468 -aS'overnight\tovernight\tRB\tB-ADVP\tO' -p186469 -aS',\t,\t,\tO\tO' -p186470 -aS'the\tthe\tDT\tB-NP\tO' -p186471 -aS'first\tfirst\tJJ\tI-NP\tO' -p186472 -aS'night\tnight\tNN\tI-NP\tO' -p186473 -aS'after\tafter\tIN\tB-PP\tO' -p186474 -aS'admission\tadmission\tNN\tB-NP\tO' -p186475 -aS'and\tand\tCC\tO\tO' -p186476 -aS'his\this\tPRP$\tB-NP\tO' -p186477 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p186478 -aS'bumped\tbump\tVBD\tB-VP\tO' -p186479 -aS'up\tup\tRP\tB-PRT\tO' -p186480 -aS'appropriately\tappropriately\tRB\tB-ADVP\tO' -p186481 -aS'.\t.\t.\tO\tO' -p186482 -asS'Disp :* 14 Tablet (s)* Refills :* 0 *' -p186483 -(lp186484 -S'Disp\tDisp\tNN\tB-NP\tO' -p186485 -aS':*\t:*\tSYM\tI-NP\tO' -p186486 -aS'14\t14\tCD\tI-NP\tO' -p186487 -aS'Tablet\tTablet\tNN\tI-NP\tO' -p186488 -aS'(s)*\t(s)*\tSYM\tI-NP\tO' -p186489 -aS'Refills\tRefill\tNNPS\tI-NP\tO' -p186490 -aS':*\t:*\tSYM\tB-NP\tO' -p186491 -aS'0\t0\tCD\tI-NP\tO' -p186492 -aS'*\t*\tSYM\tB-NP\tO' -p186493 -asS'The patient is a 68 year old male status post three and a half cycles of adjuvant EAP chemotherapy .' -p186494 -(lp186495 -S'The\tThe\tDT\tB-NP\tO' -p186496 -aS'patient\tpatient\tNN\tI-NP\tO' -p186497 -aS'is\tbe\tVBZ\tB-VP\tO' -p186498 -aS'a\ta\tDT\tB-NP\tO' -p186499 -aS'68\t68\tCD\tI-NP\tO' -p186500 -aS'year\tyear\tNN\tI-NP\tO' -p186501 -aS'old\told\tJJ\tI-NP\tO' -p186502 -aS'male\tmale\tJJ\tI-NP\tO' -p186503 -aS'status\tstatus\tNN\tI-NP\tO' -p186504 -aS'post\tpost\tNN\tI-NP\tO' -p186505 -aS'three\tthree\tCD\tB-NP\tO' -p186506 -aS'and\tand\tCC\tI-NP\tO' -p186507 -aS'a\ta\tDT\tI-NP\tO' -p186508 -aS'half\thalf\tJJ\tI-NP\tO' -p186509 -aS'cycles\tcycle\tNNS\tI-NP\tO' -p186510 -aS'of\tof\tIN\tB-PP\tO' -p186511 -aS'adjuvant\tadjuvant\tJJ\tB-NP\tO' -p186512 -aS'EAP\tEAP\tNN\tI-NP\tO' -p186513 -aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' -p186514 -aS'.\t.\t.\tO\tO' -p186515 -asS'Clindamycin and _______________ was discontinued early in hospital course .' -p186516 -(lp186517 -S'Clindamycin\tClindamycin\tNN\tB-NP\tO' -p186518 -aS'and\tand\tCC\tI-NP\tO' -p186519 -aS'_______________\t_______________\tNN\tI-NP\tO' -p186520 -aS'was\tbe\tVBD\tB-VP\tO' -p186521 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p186522 -aS'early\tearly\tRB\tB-ADVP\tO' -p186523 -aS'in\tin\tIN\tB-PP\tO' -p186524 -aS'hospital\thospital\tNN\tB-NP\tO' -p186525 -aS'course\tcourse\tNN\tI-NP\tO' -p186526 -aS'.\t.\t.\tO\tO' -p186527 -asS'calcium levels were followed with a goal to keep them around 8.0 by continuing Calcium carbonate , calcitriol .' -p186528 -(lp186529 -S'calcium\tcalcium\tNN\tB-NP\tO' -p186530 -aS'levels\tlevel\tNNS\tI-NP\tO' -p186531 -aS'were\tbe\tVBD\tB-VP\tO' -p186532 -aS'followed\tfollow\tVBN\tI-VP\tO' -p186533 -aS'with\twith\tIN\tB-PP\tO' -p186534 -aS'a\ta\tDT\tB-NP\tO' -p186535 -aS'goal\tgoal\tNN\tI-NP\tO' -p186536 -aS'to\tto\tTO\tB-VP\tO' -p186537 -aS'keep\tkeep\tVB\tI-VP\tO' -p186538 -aS'them\tthem\tPRP\tB-NP\tO' -p186539 -aS'around\taround\tIN\tB-PP\tO' -p186540 -aS'8.0\t8.0\tCD\tB-NP\tO' -p186541 -aS'by\tby\tIN\tB-PP\tO' -p186542 -aS'continuing\tcontinue\tVBG\tB-NP\tO' -p186543 -aS'Calcium\tCalcium\tNN\tI-NP\tO' -p186544 -aS'carbonate\tcarbonate\tNN\tI-NP\tO' -p186545 -aS',\t,\t,\tO\tO' -p186546 -aS'calcitriol\tcalcitriol\tNN\tB-NP\tO' -p186547 -aS'.\t.\t.\tO\tO' -p186548 -asS'He is being transferred to Linghs County Medical Center for further care .' -p186549 -(lp186550 -S'He\tHe\tPRP\tB-NP\tO' -p186551 -aS'is\tbe\tVBZ\tB-VP\tO' -p186552 -aS'being\tbe\tVBG\tI-VP\tO' -p186553 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p186554 -aS'to\tto\tTO\tB-PP\tO' -p186555 -aS'Linghs\tLinghs\tNNP\tB-NP\tO' -p186556 -aS'County\tCounty\tNNP\tI-NP\tO' -p186557 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p186558 -aS'Center\tCenter\tNNP\tI-NP\tO' -p186559 -aS'for\tfor\tIN\tB-PP\tO' -p186560 -aS'further\tfurther\tJJ\tB-NP\tO' -p186561 -aS'care\tcare\tNN\tI-NP\tO' -p186562 -aS'.\t.\t.\tO\tO' -p186563 -asS'Source of primary pediatric care is David Bull at 1899 S. Fifth Rd. , Salem , Florida 92564 .' -p186564 -(lp186565 -S'Source\tSource\tNN\tB-NP\tO' -p186566 -aS'of\tof\tIN\tB-PP\tO' -p186567 -aS'primary\tprimary\tJJ\tB-NP\tO' -p186568 -aS'pediatric\tpediatric\tJJ\tI-NP\tO' -p186569 -aS'care\tcare\tNN\tI-NP\tO' -p186570 -aS'is\tbe\tVBZ\tB-VP\tO' -p186571 -aS'David\tDavid\tNNP\tB-NP\tO' -p186572 -aS'Bull\tBull\tNNP\tI-NP\tO' -p186573 -aS'at\tat\tIN\tB-PP\tO' -p186574 -aS'1899\t1899\tCD\tB-NP\tO' -p186575 -aS'S.\tS.\tNNP\tI-NP\tO' -p186576 -aS'Fifth\tFifth\tNNP\tI-NP\tO' -p186577 -aS'Rd.\tRd.\tNNP\tI-NP\tO' -p186578 -aS',\t,\t,\tO\tO' -p186579 -aS'Salem\tSalem\tNNP\tB-NP\tO' -p186580 -aS',\t,\t,\tO\tO' -p186581 -aS'Florida\tFlorida\tNNP\tB-NP\tO' -p186582 -aS'92564\t92564\tCD\tI-NP\tO' -p186583 -aS'.\t.\t.\tO\tO' -p186584 -asS'Trental 400 milligrams t.i.d. , Cytotec 100 milligrams t.i.d. , Ativan 2 milligrams q.h.s. Darvon 65 milligrams two q.i.d , Relafen 500 milligrams b.i.d , Vitamin E , Prilosec 20 milligrams once a day , Zantac 150 milligrams b.i.d , Lasix 120 milligrams every other day PRN edema .' -p186585 -(lp186586 -S'Trental\tTrental\tJJ\tB-NP\tO' -p186587 -aS'400\t400\tCD\tI-NP\tO' -p186588 -aS'milligrams\tmilligram\tNNS\tI-NP\tO' -p186589 -aS't.i.d.\tt.i.d.\tRB\tB-ADVP\tO' -p186590 -aS',\t,\t,\tO\tO' -p186591 -aS'Cytotec\tCytotec\tNNP\tB-NP\tO' -p186592 -aS'100\t100\tCD\tI-NP\tO' -p186593 -aS'milligrams\tmilligram\tNNS\tI-NP\tO' -p186594 -aS't.i.d.\tt.i.d.\tRB\tB-ADVP\tO' -p186595 -aS',\t,\t,\tO\tO' -p186596 -aS'Ativan\tAtivan\tNNP\tB-NP\tO' -p186597 -aS'2\t2\tCD\tI-NP\tO' -p186598 -aS'milligrams\tmilligram\tNNS\tI-NP\tO' -p186599 -aS'q.h.s.\tq.h.s.\tNN\tI-NP\tO' -p186600 -aS'Darvon\tDarvon\tNNP\tB-NP\tO' -p186601 -aS'65\t65\tCD\tI-NP\tO' -p186602 -aS'milligrams\tmilligram\tNNS\tI-NP\tO' -p186603 -aS'two\ttwo\tCD\tB-NP\tO' -p186604 -aS'q.i.d\tq.i.d\tNN\tI-NP\tO' -p186605 -aS',\t,\t,\tO\tO' -p186606 -aS'Relafen\tRelafen\tNN\tB-NP\tO' -p186607 -aS'500\t500\tCD\tI-NP\tO' -p186608 -aS'milligrams\tmilligram\tNNS\tI-NP\tO' -p186609 -aS'b.i.d\tb.i.d\tNN\tI-NP\tO' -p186610 -aS',\t,\t,\tO\tO' -p186611 -aS'Vitamin\tVitamin\tNNP\tB-NP\tO' -p186612 -aS'E\tE\tNNP\tI-NP\tO' -p186613 -aS',\t,\t,\tO\tO' -p186614 -aS'Prilosec\tPrilosec\tNNP\tB-NP\tO' -p186615 -aS'20\t20\tCD\tI-NP\tO' -p186616 -aS'milligrams\tmilligram\tNNS\tI-NP\tO' -p186617 -aS'once\tonce\tIN\tB-SBAR\tO' -p186618 -aS'a\ta\tDT\tB-NP\tO' -p186619 -aS'day\tday\tNN\tI-NP\tO' -p186620 -aS',\t,\t,\tO\tO' -p186621 -aS'Zantac\tZantac\tNN\tB-NP\tO' -p186622 -aS'150\t150\tCD\tI-NP\tO' -p186623 -aS'milligrams\tmilligram\tNNS\tI-NP\tO' -p186624 -aS'b.i.d\tb.i.d\tNN\tI-NP\tO' -p186625 -aS',\t,\t,\tO\tO' -p186626 -aS'Lasix\tLasix\tNNP\tB-NP\tO' -p186627 -aS'120\t120\tCD\tI-NP\tO' -p186628 -aS'milligrams\tmilligram\tNNS\tI-NP\tO' -p186629 -aS'every\tevery\tDT\tB-NP\tO' -p186630 -aS'other\tother\tJJ\tI-NP\tO' -p186631 -aS'day\tday\tNN\tI-NP\tO' -p186632 -aS'PRN\tPRN\tNN\tI-NP\tO' -p186633 -aS'edema\tedema\tNN\tI-NP\tO' -p186634 -aS'.\t.\t.\tO\tO' -p186635 -asS'However , on 05-07-92 there was a a question of a new event with addition to the left upper extremity weakness , some noted right upper and right lower extremity discoordination .' -p186636 -(lp186637 -S'However\tHowever\tRB\tB-ADVP\tO' -p186638 -aS',\t,\t,\tO\tO' -p186639 -aS'on\ton\tIN\tB-PP\tO' -p186640 -aS'05-07-92\t05-07-92\tCD\tB-NP\tO' -p186641 -aS'there\tthere\tEX\tB-NP\tO' -p186642 -aS'was\tbe\tVBD\tB-VP\tO' -p186643 -aS'a\ta\tDT\tB-NP\tO' -p186644 -aS'a\ta\tDT\tI-NP\tO' -p186645 -aS'question\tquestion\tNN\tI-NP\tO' -p186646 -aS'of\tof\tIN\tB-PP\tO' -p186647 -aS'a\ta\tDT\tB-NP\tO' -p186648 -aS'new\tnew\tJJ\tI-NP\tO' -p186649 -aS'event\tevent\tNN\tI-NP\tO' -p186650 -aS'with\twith\tIN\tB-PP\tO' -p186651 -aS'addition\taddition\tNN\tB-NP\tO' -p186652 -aS'to\tto\tTO\tB-PP\tO' -p186653 -aS'the\tthe\tDT\tB-NP\tO' -p186654 -aS'left\tleft\tJJ\tI-NP\tO' -p186655 -aS'upper\tupper\tJJ\tI-NP\tO' -p186656 -aS'extremity\textremity\tNN\tI-NP\tO' -p186657 -aS'weakness\tweakness\tNN\tI-NP\tO' -p186658 -aS',\t,\t,\tO\tO' -p186659 -aS'some\tsome\tDT\tB-NP\tO' -p186660 -aS'noted\tnote\tVBN\tI-NP\tO' -p186661 -aS'right\tright\tJJ\tI-NP\tO' -p186662 -aS'upper\tupper\tJJ\tI-NP\tO' -p186663 -aS'and\tand\tCC\tI-NP\tO' -p186664 -aS'right\tright\tJJ\tI-NP\tO' -p186665 -aS'lower\tlow\tJJR\tI-NP\tO' -p186666 -aS'extremity\textremity\tNN\tI-NP\tO' -p186667 -aS'discoordination\tdiscoordination\tNN\tI-NP\tO' -p186668 -aS'.\t.\t.\tO\tO' -p186669 -asS'The patient was asked to follow up with his PCP , Dr. Cora Belbsnil , at Necrestneysagiles Medical Center in a period of 1 to 2 weeks .' -p186670 -(lp186671 -S'The\tThe\tDT\tB-NP\tO' -p186672 -aS'patient\tpatient\tNN\tI-NP\tO' -p186673 -aS'was\tbe\tVBD\tB-VP\tO' -p186674 -aS'asked\task\tVBN\tI-VP\tO' -p186675 -aS'to\tto\tTO\tI-VP\tO' -p186676 -aS'follow\tfollow\tVB\tI-VP\tO' -p186677 -aS'up\tup\tRP\tB-PRT\tO' -p186678 -aS'with\twith\tIN\tB-PP\tO' -p186679 -aS'his\this\tPRP$\tB-NP\tO' -p186680 -aS'PCP\tPCP\tNN\tI-NP\tB-DNA' -p186681 -aS',\t,\t,\tO\tO' -p186682 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p186683 -aS'Cora\tCora\tNNP\tI-NP\tO' -p186684 -aS'Belbsnil\tBelbsnil\tNNP\tI-NP\tO' -p186685 -aS',\t,\t,\tO\tO' -p186686 -aS'at\tat\tIN\tB-PP\tO' -p186687 -aS'Necrestneysagiles\tNecrestneysagiles\tNNP\tB-NP\tO' -p186688 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p186689 -aS'Center\tCenter\tNNP\tI-NP\tO' -p186690 -aS'in\tin\tIN\tB-PP\tO' -p186691 -aS'a\ta\tDT\tB-NP\tO' -p186692 -aS'period\tperiod\tNN\tI-NP\tO' -p186693 -aS'of\tof\tIN\tB-PP\tO' -p186694 -aS'1\t1\tCD\tB-NP\tO' -p186695 -aS'to\tto\tTO\tI-NP\tO' -p186696 -aS'2\t2\tCD\tI-NP\tO' -p186697 -aS'weeks\tweek\tNNS\tI-NP\tO' -p186698 -aS'.\t.\t.\tO\tO' -p186699 -asS'Occasional paroxysmal nocturnal dyspnea in the past but none recently .' -p186700 -(lp186701 -S'Occasional\tOccasional\tJJ\tB-NP\tO' -p186702 -aS'paroxysmal\tparoxysmal\tJJ\tI-NP\tO' -p186703 -aS'nocturnal\tnocturnal\tJJ\tI-NP\tO' -p186704 -aS'dyspnea\tdyspnea\tNN\tI-NP\tO' -p186705 -aS'in\tin\tIN\tB-PP\tO' -p186706 -aS'the\tthe\tDT\tB-NP\tO' -p186707 -aS'past\tpast\tNN\tI-NP\tO' -p186708 -aS'but\tbut\tCC\tO\tO' -p186709 -aS'none\tnone\tNN\tB-NP\tO' -p186710 -aS'recently\trecently\tRB\tB-ADVP\tO' -p186711 -aS'.\t.\t.\tO\tO' -p186712 -asS'Here , had T wave flattening laterally and inferiorly with pain that resolved pain free , but not clear that lead placement is the same .' -p186713 -(lp186714 -S'Here\tHere\tRB\tB-ADVP\tO' -p186715 -aS',\t,\t,\tO\tO' -p186716 -aS'had\thave\tVBD\tB-VP\tO' -p186717 -aS'T\tT\tNN\tB-NP\tO' -p186718 -aS'wave\twave\tNN\tI-NP\tO' -p186719 -aS'flattening\tflatten\tVBG\tB-VP\tO' -p186720 -aS'laterally\tlaterally\tRB\tB-ADVP\tO' -p186721 -aS'and\tand\tCC\tI-ADVP\tO' -p186722 -aS'inferiorly\tinferiorly\tRB\tI-ADVP\tO' -p186723 -aS'with\twith\tIN\tB-PP\tO' -p186724 -aS'pain\tpain\tNN\tB-NP\tO' -p186725 -aS'that\tthat\tWDT\tB-NP\tO' -p186726 -aS'resolved\tresolve\tVBD\tB-VP\tO' -p186727 -aS'pain\tpain\tNN\tB-NP\tO' -p186728 -aS'free\tfree\tJJ\tB-ADJP\tO' -p186729 -aS',\t,\t,\tO\tO' -p186730 -aS'but\tbut\tCC\tO\tO' -p186731 -aS'not\tnot\tRB\tO\tO' -p186732 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p186733 -aS'that\tthat\tIN\tB-SBAR\tO' -p186734 -aS'lead\tlead\tNN\tB-NP\tO' -p186735 -aS'placement\tplacement\tNN\tI-NP\tO' -p186736 -aS'is\tbe\tVBZ\tB-VP\tO' -p186737 -aS'the\tthe\tDT\tB-NP\tO' -p186738 -aS'same\tsame\tJJ\tI-NP\tO' -p186739 -aS'.\t.\t.\tO\tO' -p186740 -asS'3. Ascites , and intraperitoneal carcinomatosis , which can arise from either of the two processes described above .' -p186741 -(lp186742 -S'3.\t3.\tLS\tB-NP\tO' -p186743 -aS'Ascites\tAscites\tNN\tI-NP\tO' -p186744 -aS',\t,\t,\tO\tO' -p186745 -aS'and\tand\tCC\tO\tO' -p186746 -aS'intraperitoneal\tintraperitoneal\tJJ\tB-NP\tO' -p186747 -aS'carcinomatosis\tcarcinomatosis\tNN\tI-NP\tO' -p186748 -aS',\t,\t,\tO\tO' -p186749 -aS'which\twhich\tWDT\tB-NP\tO' -p186750 -aS'can\tcan\tMD\tB-VP\tO' -p186751 -aS'arise\tarise\tVB\tI-VP\tO' -p186752 -aS'from\tfrom\tIN\tB-PP\tO' -p186753 -aS'either\teither\tDT\tB-NP\tO' -p186754 -aS'of\tof\tIN\tB-PP\tO' -p186755 -aS'the\tthe\tDT\tB-NP\tO' -p186756 -aS'two\ttwo\tCD\tI-NP\tO' -p186757 -aS'processes\tprocess\tNNS\tI-NP\tO' -p186758 -aS'described\tdescribe\tVBN\tB-VP\tO' -p186759 -aS'above\tabove\tRB\tB-ADVP\tO' -p186760 -aS'.\t.\t.\tO\tO' -p186761 -asS'pt without stigmata of SBE .' -p186762 -(lp186763 -S'pt\tpt\tNN\tB-NP\tO' -p186764 -aS'without\twithout\tIN\tB-PP\tO' -p186765 -aS'stigmata\tstigma\tNNS\tB-NP\tO' -p186766 -aS'of\tof\tIN\tB-PP\tO' -p186767 -aS'SBE\tSBE\tNN\tB-NP\tB-protein' -p186768 -aS'.\t.\t.\tO\tO' -p186769 -asS'1. Non-Q wave myocardial infarction .' -p186770 -(lp186771 -S'1.\t1.\tLS\tB-NP\tO' -p186772 -aS'Non-Q\tNon-Q\tNN\tI-NP\tB-protein' -p186773 -aS'wave\twave\tVB\tB-VP\tO' -p186774 -aS'myocardial\tmyocardial\tJJ\tB-NP\tO' -p186775 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p186776 -aS'.\t.\t.\tO\tO' -p186777 -asS'Portable chest x-ray was without evidence of congestive heart failure or pneumonia .' -p186778 -(lp186779 -S'Portable\tPortable\tJJ\tB-NP\tO' -p186780 -aS'chest\tchest\tNN\tI-NP\tO' -p186781 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p186782 -aS'was\tbe\tVBD\tB-VP\tO' -p186783 -aS'without\twithout\tIN\tB-PP\tO' -p186784 -aS'evidence\tevidence\tNN\tB-NP\tO' -p186785 -aS'of\tof\tIN\tB-PP\tO' -p186786 -aS'congestive\tcongestive\tJJ\tB-NP\tO' -p186787 -aS'heart\theart\tNN\tI-NP\tO' -p186788 -aS'failure\tfailure\tNN\tI-NP\tO' -p186789 -aS'or\tor\tCC\tI-NP\tO' -p186790 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p186791 -aS'.\t.\t.\tO\tO' -p186792 -asS'There is opacification of the mastoid air cells , greater on the left than the right .' -p186793 -(lp186794 -S'There\tThere\tEX\tB-NP\tO' -p186795 -aS'is\tbe\tVBZ\tB-VP\tO' -p186796 -aS'opacification\topacification\tNN\tB-NP\tO' -p186797 -aS'of\tof\tIN\tB-PP\tO' -p186798 -aS'the\tthe\tDT\tB-NP\tO' -p186799 -aS'mastoid\tmastoid\tJJ\tI-NP\tB-cell_type' -p186800 -aS'air\tair\tNN\tI-NP\tI-cell_type' -p186801 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p186802 -aS',\t,\t,\tO\tO' -p186803 -aS'greater\tgreat\tJJR\tB-ADJP\tO' -p186804 -aS'on\ton\tIN\tB-PP\tO' -p186805 -aS'the\tthe\tDT\tB-NP\tO' -p186806 -aS'left\tleft\tNN\tI-NP\tO' -p186807 -aS'than\tthan\tIN\tB-PP\tO' -p186808 -aS'the\tthe\tDT\tB-NP\tO' -p186809 -aS'right\tright\tNN\tI-NP\tO' -p186810 -aS'.\t.\t.\tO\tO' -p186811 -asS'Group home states that patient " may have taken too many Xanax .' -p186812 -(lp186813 -S'Group\tGroup\tNN\tB-NP\tO' -p186814 -aS'home\thome\tNN\tI-NP\tO' -p186815 -aS'states\tstate\tNNS\tI-NP\tO' -p186816 -aS'that\tthat\tIN\tB-SBAR\tO' -p186817 -aS'patient\tpatient\tNN\tB-NP\tO' -p186818 -aS'"\t"\t\'\'\tO\tO' -p186819 -aS'may\tmay\tMD\tB-VP\tO' -p186820 -aS'have\thave\tVB\tI-VP\tO' -p186821 -aS'taken\ttake\tVBN\tI-VP\tO' -p186822 -aS'too\ttoo\tRB\tB-NP\tO' -p186823 -aS'many\tmany\tJJ\tI-NP\tO' -p186824 -aS'Xanax\tXanax\tNN\tI-NP\tO' -p186825 -aS'.\t.\t.\tO\tO' -p186826 -asS'1. Right parietal subdural bleed , status post fall from standing position with no loss of consciousness and no neurologic deficits or progression .' -p186827 -(lp186828 -S'1.\t1.\tLS\tB-NP\tO' -p186829 -aS'Right\tRight\tNN\tI-NP\tO' -p186830 -aS'parietal\tparietal\tJJ\tI-NP\tO' -p186831 -aS'subdural\tsubdural\tJJ\tI-NP\tO' -p186832 -aS'bleed\tbleed\tNN\tI-NP\tO' -p186833 -aS',\t,\t,\tO\tO' -p186834 -aS'status\tstatus\tNN\tB-NP\tO' -p186835 -aS'post\tpost\tNN\tI-NP\tO' -p186836 -aS'fall\tfall\tNN\tI-NP\tO' -p186837 -aS'from\tfrom\tIN\tB-PP\tO' -p186838 -aS'standing\tstand\tVBG\tB-VP\tO' -p186839 -aS'position\tposition\tNN\tB-NP\tO' -p186840 -aS'with\twith\tIN\tB-PP\tO' -p186841 -aS'no\tno\tDT\tB-NP\tO' -p186842 -aS'loss\tloss\tNN\tI-NP\tO' -p186843 -aS'of\tof\tIN\tB-PP\tO' -p186844 -aS'consciousness\tconsciousness\tNN\tB-NP\tO' -p186845 -aS'and\tand\tCC\tO\tO' -p186846 -aS'no\tno\tDT\tB-NP\tO' -p186847 -aS'neurologic\tneurologic\tJJ\tI-NP\tO' -p186848 -aS'deficits\tdeficit\tNNS\tI-NP\tO' -p186849 -aS'or\tor\tCC\tI-NP\tO' -p186850 -aS'progression\tprogression\tNN\tI-NP\tO' -p186851 -aS'.\t.\t.\tO\tO' -p186852 -asS'no driving for one month no lifting greater than 10 pounds for 10 weeks no lotions , creams or powders on any incision may shower over incisions and pat dry call for fever greater than 100.5 , redness or drainage' -p186853 -(lp186854 -S'no\tno\tDT\tB-NP\tO' -p186855 -aS'driving\tdriving\tNN\tI-NP\tO' -p186856 -aS'for\tfor\tIN\tB-PP\tO' -p186857 -aS'one\tone\tCD\tB-NP\tO' -p186858 -aS'month\tmonth\tNN\tI-NP\tO' -p186859 -aS'no\tno\tDT\tB-NP\tO' -p186860 -aS'lifting\tlifting\tNN\tI-NP\tO' -p186861 -aS'greater\tgreat\tJJR\tB-ADJP\tO' -p186862 -aS'than\tthan\tIN\tB-PP\tO' -p186863 -aS'10\t10\tCD\tB-NP\tO' -p186864 -aS'pounds\tpound\tNNS\tI-NP\tO' -p186865 -aS'for\tfor\tIN\tB-PP\tO' -p186866 -aS'10\t10\tCD\tB-NP\tO' -p186867 -aS'weeks\tweek\tNNS\tI-NP\tO' -p186868 -aS'no\tno\tDT\tB-NP\tO' -p186869 -aS'lotions\tlotion\tNNS\tI-NP\tO' -p186870 -aS',\t,\t,\tO\tO' -p186871 -aS'creams\tcream\tNNS\tB-NP\tO' -p186872 -aS'or\tor\tCC\tI-NP\tO' -p186873 -aS'powders\tpowder\tNNS\tI-NP\tO' -p186874 -aS'on\ton\tIN\tB-PP\tO' -p186875 -aS'any\tany\tDT\tB-NP\tO' -p186876 -aS'incision\tincision\tNN\tI-NP\tO' -p186877 -aS'may\tmay\tMD\tB-VP\tO' -p186878 -aS'shower\tshower\tVB\tI-VP\tO' -p186879 -aS'over\tover\tIN\tB-PP\tO' -p186880 -aS'incisions\tincision\tNNS\tB-NP\tO' -p186881 -aS'and\tand\tCC\tO\tO' -p186882 -aS'pat\tpat\tNN\tB-NP\tO' -p186883 -aS'dry\tdry\tJJ\tI-NP\tO' -p186884 -aS'call\tcall\tNN\tI-NP\tO' -p186885 -aS'for\tfor\tIN\tB-PP\tO' -p186886 -aS'fever\tfever\tNN\tB-NP\tO' -p186887 -aS'greater\tgreat\tJJR\tB-ADJP\tO' -p186888 -aS'than\tthan\tIN\tB-PP\tO' -p186889 -aS'100.5\t100.5\tCD\tB-NP\tO' -p186890 -aS',\t,\t,\tO\tO' -p186891 -aS'redness\tredness\tNN\tB-NP\tO' -p186892 -aS'or\tor\tCC\tO\tO' -p186893 -aS'drainage\tdrainage\tNN\tB-NP\tO' -p186894 -asS'An electrocardiogram was checked which revealed no ST changes , and there was no increase in her downward trending creatine phosphokinases .' -p186895 -(lp186896 -S'An\tAn\tDT\tB-NP\tO' -p186897 -aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' -p186898 -aS'was\tbe\tVBD\tB-VP\tO' -p186899 -aS'checked\tcheck\tVBN\tI-VP\tO' -p186900 -aS'which\twhich\tWDT\tB-NP\tO' -p186901 -aS'revealed\treveal\tVBD\tB-VP\tO' -p186902 -aS'no\tno\tDT\tB-NP\tO' -p186903 -aS'ST\tST\tNN\tI-NP\tO' -p186904 -aS'changes\tchange\tNNS\tI-NP\tO' -p186905 -aS',\t,\t,\tO\tO' -p186906 -aS'and\tand\tCC\tO\tO' -p186907 -aS'there\tthere\tEX\tB-NP\tO' -p186908 -aS'was\tbe\tVBD\tB-VP\tO' -p186909 -aS'no\tno\tDT\tB-NP\tO' -p186910 -aS'increase\tincrease\tNN\tI-NP\tO' -p186911 -aS'in\tin\tIN\tB-PP\tO' -p186912 -aS'her\ther\tPRP$\tB-NP\tB-protein' -p186913 -aS'downward\tdownward\tJJ\tI-NP\tI-protein' -p186914 -aS'trending\ttrending\tNN\tI-NP\tI-protein' -p186915 -aS'creatine\tcreatine\tNN\tI-NP\tI-protein' -p186916 -aS'phosphokinases\tphosphokinas\tNNS\tI-NP\tI-protein' -p186917 -aS'.\t.\t.\tO\tO' -p186918 -asS'Vital signs stabilized and she was transfered back to the medical floor after 2 days in the ICU .' -p186919 -(lp186920 -S'Vital\tVital\tJJ\tB-NP\tO' -p186921 -aS'signs\tsign\tNNS\tI-NP\tO' -p186922 -aS'stabilized\tstabilize\tVBN\tB-VP\tO' -p186923 -aS'and\tand\tCC\tO\tO' -p186924 -aS'she\tshe\tPRP\tB-NP\tO' -p186925 -aS'was\tbe\tVBD\tB-VP\tO' -p186926 -aS'transfered\ttransfer\tVBN\tI-VP\tO' -p186927 -aS'back\tback\tRB\tB-ADVP\tO' -p186928 -aS'to\tto\tTO\tB-PP\tO' -p186929 -aS'the\tthe\tDT\tB-NP\tO' -p186930 -aS'medical\tmedical\tJJ\tI-NP\tO' -p186931 -aS'floor\tfloor\tNN\tI-NP\tO' -p186932 -aS'after\tafter\tIN\tB-PP\tO' -p186933 -aS'2\t2\tCD\tB-NP\tO' -p186934 -aS'days\tday\tNNS\tI-NP\tO' -p186935 -aS'in\tin\tIN\tB-PP\tO' -p186936 -aS'the\tthe\tDT\tB-NP\tO' -p186937 -aS'ICU\tICU\tNN\tI-NP\tB-DNA' -p186938 -aS'.\t.\t.\tO\tO' -p186939 -asS'Non contributory and unavailable as she is adopted .' -p186940 -(lp186941 -S'Non\tNon\tJJ\tB-NP\tO' -p186942 -aS'contributory\tcontributory\tJJ\tI-NP\tO' -p186943 -aS'and\tand\tCC\tI-NP\tO' -p186944 -aS'unavailable\tunavailable\tJJ\tI-NP\tO' -p186945 -aS'as\tas\tIN\tB-SBAR\tO' -p186946 -aS'she\tshe\tPRP\tB-NP\tO' -p186947 -aS'is\tbe\tVBZ\tB-VP\tO' -p186948 -aS'adopted\tadopt\tVBN\tI-VP\tO' -p186949 -aS'.\t.\t.\tO\tO' -p186950 -asS'In the course of preoperative workup , Mr. Has was evaluated completely by Psychiatry with diagnoses including underlying chronic depression well-controlled on Prozac , underlying organ brain vulnerability of unclear etiology , possibly microvascular infarct , acute paranoid and belligerent behavior , possibly due to medications .' -p186951 -(lp186952 -S'In\tIn\tIN\tB-PP\tO' -p186953 -aS'the\tthe\tDT\tB-NP\tO' -p186954 -aS'course\tcourse\tNN\tI-NP\tO' -p186955 -aS'of\tof\tIN\tB-PP\tO' -p186956 -aS'preoperative\tpreoperative\tJJ\tB-NP\tO' -p186957 -aS'workup\tworkup\tNN\tI-NP\tO' -p186958 -aS',\t,\t,\tO\tO' -p186959 -aS'Mr.\tMr.\tNNP\tB-NP\tO' -p186960 -aS'Has\tHas\tNNP\tI-NP\tO' -p186961 -aS'was\tbe\tVBD\tB-VP\tO' -p186962 -aS'evaluated\tevaluate\tVBN\tI-VP\tO' -p186963 -aS'completely\tcompletely\tRB\tB-ADVP\tO' -p186964 -aS'by\tby\tIN\tB-PP\tO' -p186965 -aS'Psychiatry\tPsychiatry\tNN\tB-NP\tO' -p186966 -aS'with\twith\tIN\tB-PP\tO' -p186967 -aS'diagnoses\tdiagnosis\tNNS\tB-NP\tO' -p186968 -aS'including\tinclude\tVBG\tB-PP\tO' -p186969 -aS'underlying\tunderlie\tVBG\tB-VP\tO' -p186970 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p186971 -aS'depression\tdepression\tNN\tI-NP\tO' -p186972 -aS'well-controlled\twell-controlled\tJJ\tB-ADJP\tO' -p186973 -aS'on\ton\tIN\tB-PP\tO' -p186974 -aS'Prozac\tProzac\tNNP\tB-NP\tO' -p186975 -aS',\t,\t,\tO\tO' -p186976 -aS'underlying\tunderlie\tVBG\tB-VP\tO' -p186977 -aS'organ\torgan\tNN\tB-NP\tO' -p186978 -aS'brain\tbrain\tNN\tI-NP\tO' -p186979 -aS'vulnerability\tvulnerability\tNN\tI-NP\tO' -p186980 -aS'of\tof\tIN\tB-PP\tO' -p186981 -aS'unclear\tunclear\tJJ\tB-NP\tO' -p186982 -aS'etiology\tetiology\tNN\tI-NP\tO' -p186983 -aS',\t,\t,\tO\tO' -p186984 -aS'possibly\tpossibly\tRB\tB-NP\tO' -p186985 -aS'microvascular\tmicrovascular\tJJ\tI-NP\tO' -p186986 -aS'infarct\tinfarct\tNN\tI-NP\tO' -p186987 -aS',\t,\t,\tO\tO' -p186988 -aS'acute\tacute\tJJ\tB-NP\tO' -p186989 -aS'paranoid\tparanoid\tJJ\tI-NP\tO' -p186990 -aS'and\tand\tCC\tI-NP\tO' -p186991 -aS'belligerent\tbelligerent\tJJ\tI-NP\tO' -p186992 -aS'behavior\tbehavior\tNN\tI-NP\tO' -p186993 -aS',\t,\t,\tO\tO' -p186994 -aS'possibly\tpossibly\tRB\tB-ADVP\tO' -p186995 -aS'due\tdue\tJJ\tB-PP\tO' -p186996 -aS'to\tto\tTO\tB-PP\tO' -p186997 -aS'medications\tmedication\tNNS\tB-NP\tO' -p186998 -aS'.\t.\t.\tO\tO' -p186999 -asS'# Fevers/Infection - Per outside hospital records , the patient grew pseudomonas from blood and urine .' -p187000 -(lp187001 -S'#\t#\t#\tB-NP\tO' -p187002 -aS'Fevers/Infection\tFevers/Infection\tNN\tI-NP\tO' -p187003 -aS'-\t-\tHYPH\tI-NP\tO' -p187004 -aS'Per\tPer\tNN\tI-NP\tB-protein' -p187005 -aS'outside\toutside\tIN\tB-PP\tO' -p187006 -aS'hospital\thospital\tNN\tB-NP\tO' -p187007 -aS'records\trecord\tNNS\tI-NP\tO' -p187008 -aS',\t,\t,\tO\tO' -p187009 -aS'the\tthe\tDT\tB-NP\tO' -p187010 -aS'patient\tpatient\tNN\tI-NP\tO' -p187011 -aS'grew\tgrow\tVBD\tB-VP\tO' -p187012 -aS'pseudomonas\tpseudomona\tNNS\tB-NP\tO' -p187013 -aS'from\tfrom\tIN\tB-PP\tO' -p187014 -aS'blood\tblood\tNN\tB-NP\tO' -p187015 -aS'and\tand\tCC\tI-NP\tO' -p187016 -aS'urine\turine\tNN\tI-NP\tO' -p187017 -aS'.\t.\t.\tO\tO' -p187018 -asS'She was a poor anticoagulation candidate .' -p187019 -(lp187020 -S'She\tShe\tPRP\tB-NP\tO' -p187021 -aS'was\tbe\tVBD\tB-VP\tO' -p187022 -aS'a\ta\tDT\tB-NP\tO' -p187023 -aS'poor\tpoor\tJJ\tI-NP\tO' -p187024 -aS'anticoagulation\tanticoagulation\tNN\tI-NP\tO' -p187025 -aS'candidate\tcandidate\tNN\tI-NP\tO' -p187026 -aS'.\t.\t.\tO\tO' -p187027 -asS'He underwent an echocardiogram , which showed an EF of 60% .' -p187028 -(lp187029 -S'He\tHe\tPRP\tB-NP\tO' -p187030 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p187031 -aS'an\tan\tDT\tB-NP\tO' -p187032 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p187033 -aS',\t,\t,\tO\tO' -p187034 -aS'which\twhich\tWDT\tB-NP\tO' -p187035 -aS'showed\tshow\tVBD\tB-VP\tO' -p187036 -aS'an\tan\tDT\tB-NP\tO' -p187037 -aS'EF\tEF\tNN\tI-NP\tB-protein' -p187038 -aS'of\tof\tIN\tB-PP\tO' -p187039 -aS'60%\t60%\tNN\tB-NP\tO' -p187040 -aS'.\t.\t.\tO\tO' -p187041 -asS'Normal intervals .' -p187042 -(lp187043 -S'Normal\tNormal\tJJ\tB-NP\tO' -p187044 -aS'intervals\tinterval\tNNS\tI-NP\tO' -p187045 -aS'.\t.\t.\tO\tO' -p187046 -asS'- glipizide 5 mg po bid' -p187047 -(lp187048 -S'-\t-\tHYPH\tB-NP\tO' -p187049 -aS'glipizide\tglipizide\tNN\tI-NP\tO' -p187050 -aS'5\t5\tCD\tI-NP\tO' -p187051 -aS'mg\tmg\tNN\tI-NP\tO' -p187052 -aS'po\tpo\tNN\tI-NP\tO' -p187053 -aS'bid\tbid\tNN\tI-NP\tO' -p187054 -asS'Enteral feeds were started on day of life one and she advanced to full volume feeds of breast milk or special care formula on day of life six ( 2013-07-29 ) without problems .' -p187055 -(lp187056 -S'Enteral\tEnteral\tJJ\tB-NP\tO' -p187057 -aS'feeds\tfeed\tNNS\tI-NP\tO' -p187058 -aS'were\tbe\tVBD\tB-VP\tO' -p187059 -aS'started\tstart\tVBN\tI-VP\tO' -p187060 -aS'on\ton\tIN\tB-PP\tO' -p187061 -aS'day\tday\tNN\tB-NP\tO' -p187062 -aS'of\tof\tIN\tB-PP\tO' -p187063 -aS'life\tlife\tNN\tB-NP\tO' -p187064 -aS'one\tone\tCD\tI-NP\tO' -p187065 -aS'and\tand\tCC\tO\tO' -p187066 -aS'she\tshe\tPRP\tB-NP\tO' -p187067 -aS'advanced\tadvance\tVBD\tB-VP\tO' -p187068 -aS'to\tto\tTO\tB-PP\tO' -p187069 -aS'full\tfull\tJJ\tB-NP\tO' -p187070 -aS'volume\tvolume\tNN\tI-NP\tO' -p187071 -aS'feeds\tfeed\tNNS\tI-NP\tO' -p187072 -aS'of\tof\tIN\tB-PP\tO' -p187073 -aS'breast\tbreast\tNN\tB-NP\tO' -p187074 -aS'milk\tmilk\tNN\tI-NP\tO' -p187075 -aS'or\tor\tCC\tO\tO' -p187076 -aS'special\tspecial\tJJ\tB-NP\tO' -p187077 -aS'care\tcare\tNN\tI-NP\tO' -p187078 -aS'formula\tformula\tNN\tI-NP\tO' -p187079 -aS'on\ton\tIN\tB-PP\tO' -p187080 -aS'day\tday\tNN\tB-NP\tO' -p187081 -aS'of\tof\tIN\tB-PP\tO' -p187082 -aS'life\tlife\tNN\tB-NP\tO' -p187083 -aS'six\tsix\tCD\tI-NP\tO' -p187084 -aS'(\t(\t(\tO\tO' -p187085 -aS'2013-07-29\t2013-07-29\tCD\tB-NP\tO' -p187086 -aS')\t)\t)\tO\tO' -p187087 -aS'without\twithout\tIN\tB-PP\tO' -p187088 -aS'problems\tproblem\tNNS\tB-NP\tO' -p187089 -aS'.\t.\t.\tO\tO' -p187090 -asS'The infant has remained hemodynamically stable throughout this hospitalization , no murmur .' -p187091 -(lp187092 -S'The\tThe\tDT\tB-NP\tO' -p187093 -aS'infant\tinfant\tNN\tI-NP\tO' -p187094 -aS'has\thave\tVBZ\tB-VP\tO' -p187095 -aS'remained\tremain\tVBN\tI-VP\tO' -p187096 -aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' -p187097 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p187098 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p187099 -aS'this\tthis\tDT\tB-NP\tO' -p187100 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p187101 -aS',\t,\t,\tO\tO' -p187102 -aS'no\tno\tDT\tB-NP\tO' -p187103 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p187104 -aS'.\t.\t.\tO\tO' -p187105 -asS'PROGRESSIVE ACANTHAMOEBA INFECTION .' -p187106 -(lp187107 -S'PROGRESSIVE\tPROGRESSIVE\tNN\tB-NP\tO' -p187108 -aS'ACANTHAMOEBA\tACANTHAMOEBA\tNN\tI-NP\tO' -p187109 -aS'INFECTION\tINFECTION\tNN\tI-NP\tO' -p187110 -aS'.\t.\t.\tO\tO' -p187111 -asS'Mother with pacemaker , alive at 91 years old .' -p187112 -(lp187113 -S'Mother\tMother\tDT\tB-NP\tO' -p187114 -aS'with\twith\tIN\tB-PP\tO' -p187115 -aS'pacemaker\tpacemaker\tNN\tB-NP\tO' -p187116 -aS',\t,\t,\tO\tO' -p187117 -aS'alive\talive\tJJ\tB-ADJP\tO' -p187118 -aS'at\tat\tIN\tB-PP\tO' -p187119 -aS'91\t91\tCD\tB-NP\tO' -p187120 -aS'years\tyear\tNNS\tI-NP\tO' -p187121 -aS'old\told\tJJ\tB-ADJP\tO' -p187122 -aS'.\t.\t.\tO\tO' -p187123 -asS'Stable condition .' -p187124 -(lp187125 -S'Stable\tStable\tJJ\tB-NP\tO' -p187126 -aS'condition\tcondition\tNN\tI-NP\tO' -p187127 -aS'.\t.\t.\tO\tO' -p187128 -asS'Fundi were flat .' -p187129 -(lp187130 -S'Fundi\tFundi\tNNP\tB-NP\tO' -p187131 -aS'were\tbe\tVBD\tB-VP\tO' -p187132 -aS'flat\tflat\tJJ\tB-ADJP\tO' -p187133 -aS'.\t.\t.\tO\tO' -p187134 -asS'Having failed conservative management , the patient presented for elective right total hip replacement .' -p187135 -(lp187136 -S'Having\tHave\tVBG\tB-VP\tO' -p187137 -aS'failed\tfail\tVBN\tI-VP\tO' -p187138 -aS'conservative\tconservative\tJJ\tB-NP\tO' -p187139 -aS'management\tmanagement\tNN\tI-NP\tO' -p187140 -aS',\t,\t,\tO\tO' -p187141 -aS'the\tthe\tDT\tB-NP\tO' -p187142 -aS'patient\tpatient\tNN\tI-NP\tO' -p187143 -aS'presented\tpresent\tVBD\tB-VP\tO' -p187144 -aS'for\tfor\tIN\tB-PP\tO' -p187145 -aS'elective\telective\tJJ\tB-NP\tO' -p187146 -aS'right\tright\tJJ\tI-NP\tO' -p187147 -aS'total\ttotal\tJJ\tI-NP\tO' -p187148 -aS'hip\thip\tNN\tI-NP\tO' -p187149 -aS'replacement\treplacement\tNN\tI-NP\tO' -p187150 -aS'.\t.\t.\tO\tO' -p187151 -asS'The patient smokes two packs per day and has an approximately a 75-pack-year history of smoking .' -p187152 -(lp187153 -S'The\tThe\tDT\tB-NP\tO' -p187154 -aS'patient\tpatient\tNN\tI-NP\tO' -p187155 -aS'smokes\tsmoke\tVBZ\tB-VP\tO' -p187156 -aS'two\ttwo\tCD\tB-NP\tO' -p187157 -aS'packs\tpack\tNNS\tI-NP\tO' -p187158 -aS'per\tper\tIN\tB-PP\tO' -p187159 -aS'day\tday\tNN\tB-NP\tO' -p187160 -aS'and\tand\tCC\tO\tO' -p187161 -aS'has\thave\tVBZ\tB-VP\tO' -p187162 -aS'an\tan\tDT\tB-NP\tO' -p187163 -aS'approximately\tapproximately\tRB\tI-NP\tO' -p187164 -aS'a\ta\tDT\tI-NP\tO' -p187165 -aS'75-pack-year\t75-pack-year\tJJ\tI-NP\tO' -p187166 -aS'history\thistory\tNN\tI-NP\tO' -p187167 -aS'of\tof\tIN\tB-PP\tO' -p187168 -aS'smoking\tsmoking\tNN\tB-NP\tO' -p187169 -aS'.\t.\t.\tO\tO' -p187170 -asS'Primary cesarean section with previous pregnancy for arrest of descent .' -p187171 -(lp187172 -S'Primary\tPrimary\tJJ\tB-NP\tO' -p187173 -aS'cesarean\tcesarean\tJJ\tI-NP\tO' -p187174 -aS'section\tsection\tNN\tI-NP\tO' -p187175 -aS'with\twith\tIN\tB-PP\tO' -p187176 -aS'previous\tprevious\tJJ\tB-NP\tO' -p187177 -aS'pregnancy\tpregnancy\tNN\tI-NP\tO' -p187178 -aS'for\tfor\tIN\tB-PP\tO' -p187179 -aS'arrest\tarrest\tNN\tB-NP\tO' -p187180 -aS'of\tof\tIN\tB-PP\tO' -p187181 -aS'descent\tdescent\tNN\tB-NP\tO' -p187182 -aS'.\t.\t.\tO\tO' -p187183 -asS'The patient is an 85-year-old white male with a history of ischemic bowel status post recent admission for urosepsis and C. difficile colitis .' -p187184 -(lp187185 -S'The\tThe\tDT\tB-NP\tO' -p187186 -aS'patient\tpatient\tNN\tI-NP\tO' -p187187 -aS'is\tbe\tVBZ\tB-VP\tO' -p187188 -aS'an\tan\tDT\tB-NP\tO' -p187189 -aS'85-year-old\t85-year-old\tJJ\tI-NP\tO' -p187190 -aS'white\twhite\tJJ\tI-NP\tO' -p187191 -aS'male\tmale\tNN\tI-NP\tO' -p187192 -aS'with\twith\tIN\tB-PP\tO' -p187193 -aS'a\ta\tDT\tB-NP\tO' -p187194 -aS'history\thistory\tNN\tI-NP\tO' -p187195 -aS'of\tof\tIN\tB-PP\tO' -p187196 -aS'ischemic\tischemic\tJJ\tB-NP\tO' -p187197 -aS'bowel\tbowel\tNN\tI-NP\tO' -p187198 -aS'status\tstatus\tNN\tI-NP\tO' -p187199 -aS'post\tpost\tIN\tB-PP\tO' -p187200 -aS'recent\trecent\tJJ\tB-NP\tO' -p187201 -aS'admission\tadmission\tNN\tI-NP\tO' -p187202 -aS'for\tfor\tIN\tB-PP\tO' -p187203 -aS'urosepsis\turosepsis\tNN\tB-NP\tO' -p187204 -aS'and\tand\tCC\tO\tO' -p187205 -aS'C.\tC.\tFW\tB-NP\tO' -p187206 -aS'difficile\tdifficile\tJJ\tI-NP\tO' -p187207 -aS'colitis\tcolitis\tNN\tI-NP\tO' -p187208 -aS'.\t.\t.\tO\tO' -p187209 -asS'This showed no communication with the intestines and was simply a sinus tract .' -p187210 -(lp187211 -S'This\tThis\tDT\tB-NP\tO' -p187212 -aS'showed\tshow\tVBD\tB-VP\tO' -p187213 -aS'no\tno\tDT\tB-NP\tO' -p187214 -aS'communication\tcommunication\tNN\tI-NP\tO' -p187215 -aS'with\twith\tIN\tB-PP\tO' -p187216 -aS'the\tthe\tDT\tB-NP\tO' -p187217 -aS'intestines\tintestine\tNNS\tI-NP\tO' -p187218 -aS'and\tand\tCC\tO\tO' -p187219 -aS'was\tbe\tVBD\tB-VP\tO' -p187220 -aS'simply\tsimply\tRB\tB-ADVP\tO' -p187221 -aS'a\ta\tDT\tB-NP\tO' -p187222 -aS'sinus\tsinus\tNN\tI-NP\tO' -p187223 -aS'tract\ttract\tNN\tI-NP\tO' -p187224 -aS'.\t.\t.\tO\tO' -p187225 -asS'Hematocrit 39 percent , white blood cell count 4500 , PT and PTT normal .' -p187226 -(lp187227 -S'Hematocrit\tHematocrit\tNN\tB-NP\tO' -p187228 -aS'39\t39\tCD\tI-NP\tO' -p187229 -aS'percent\tpercent\tNN\tI-NP\tO' -p187230 -aS',\t,\t,\tO\tO' -p187231 -aS'white\twhite\tJJ\tB-NP\tO' -p187232 -aS'blood\tblood\tNN\tI-NP\tO' -p187233 -aS'cell\tcell\tNN\tI-NP\tO' -p187234 -aS'count\tcount\tNN\tI-NP\tO' -p187235 -aS'4500\t4500\tCD\tI-NP\tO' -p187236 -aS',\t,\t,\tI-NP\tO' -p187237 -aS'PT\tPT\tNN\tI-NP\tO' -p187238 -aS'and\tand\tCC\tI-NP\tO' -p187239 -aS'PTT\tPTT\tNN\tI-NP\tO' -p187240 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p187241 -aS'.\t.\t.\tO\tO' -p187242 -asS'Coagulation studies revealed a PT of 17.4 seconds with an INR of 2.1 , PTT 25.5 .' -p187243 -(lp187244 -S'Coagulation\tCoagulation\tNN\tB-NP\tO' -p187245 -aS'studies\tstudy\tNNS\tI-NP\tO' -p187246 -aS'revealed\treveal\tVBD\tB-VP\tO' -p187247 -aS'a\ta\tDT\tB-NP\tO' -p187248 -aS'PT\tPT\tNN\tI-NP\tO' -p187249 -aS'of\tof\tIN\tB-PP\tO' -p187250 -aS'17.4\t17.4\tCD\tB-NP\tO' -p187251 -aS'seconds\tsecond\tNNS\tI-NP\tO' -p187252 -aS'with\twith\tIN\tB-PP\tO' -p187253 -aS'an\tan\tDT\tB-NP\tO' -p187254 -aS'INR\tINR\tNN\tI-NP\tB-protein' -p187255 -aS'of\tof\tIN\tB-PP\tO' -p187256 -aS'2.1\t2.1\tCD\tB-NP\tO' -p187257 -aS',\t,\t,\tO\tO' -p187258 -aS'PTT\tPTT\tNN\tB-NP\tB-protein' -p187259 -aS'25.5\t25.5\tCD\tI-NP\tI-protein' -p187260 -aS'.\t.\t.\tO\tO' -p187261 -asS'On postop day 8 , the right IJ line was pulled .' -p187262 -(lp187263 -S'On\tOn\tIN\tB-PP\tO' -p187264 -aS'postop\tpostop\tJJ\tB-NP\tO' -p187265 -aS'day\tday\tNN\tI-NP\tO' -p187266 -aS'8\t8\tCD\tI-NP\tO' -p187267 -aS',\t,\t,\tO\tO' -p187268 -aS'the\tthe\tDT\tB-NP\tO' -p187269 -aS'right\tright\tJJ\tI-NP\tB-cell_line' -p187270 -aS'IJ\tIJ\tNN\tI-NP\tI-cell_line' -p187271 -aS'line\tline\tNN\tI-NP\tI-cell_line' -p187272 -aS'was\tbe\tVBD\tB-VP\tO' -p187273 -aS'pulled\tpull\tVBN\tI-VP\tO' -p187274 -aS'.\t.\t.\tO\tO' -p187275 -asS'HEENT : MMM , OP clear , dried blood in nasal mucosa' -p187276 -(lp187277 -S'HEENT\tHEENT\tNN\tB-NP\tO' -p187278 -aS':\t:\t:\tO\tO' -p187279 -aS'MMM\tMMM\tNN\tB-NP\tO' -p187280 -aS',\t,\t,\tO\tO' -p187281 -aS'OP\tOP\tNN\tB-NP\tO' -p187282 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p187283 -aS',\t,\t,\tO\tO' -p187284 -aS'dried\tdry\tVBD\tB-VP\tO' -p187285 -aS'blood\tblood\tNN\tB-NP\tO' -p187286 -aS'in\tin\tIN\tB-PP\tO' -p187287 -aS'nasal\tnasal\tJJ\tB-NP\tO' -p187288 -aS'mucosa\tmucosa\tNN\tI-NP\tO' -p187289 -asS'Disp :* 105 Tablet (s)* Refills :* 0 *' -p187290 -(lp187291 -S'Disp\tDisp\tNN\tB-NP\tO' -p187292 -aS':*\t:*\tSYM\tI-NP\tO' -p187293 -aS'105\t105\tCD\tI-NP\tO' -p187294 -aS'Tablet\tTablet\tNN\tI-NP\tO' -p187295 -aS'(s)*\t(s)*\tSYM\tB-NP\tO' -p187296 -aS'Refills\tRefill\tNNPS\tI-NP\tO' -p187297 -aS':*\t:*\tSYM\tI-NP\tO' -p187298 -aS'0\t0\tCD\tI-NP\tO' -p187299 -aS'*\t*\tSYM\tB-NP\tO' -p187300 -asS'The patient was taken to the Operating Room the day of admission .' -p187301 -(lp187302 -S'The\tThe\tDT\tB-NP\tO' -p187303 -aS'patient\tpatient\tNN\tI-NP\tO' -p187304 -aS'was\tbe\tVBD\tB-VP\tO' -p187305 -aS'taken\ttake\tVBN\tI-VP\tO' -p187306 -aS'to\tto\tTO\tB-PP\tO' -p187307 -aS'the\tthe\tDT\tB-NP\tO' -p187308 -aS'Operating\tOperating\tNNP\tI-NP\tO' -p187309 -aS'Room\tRoom\tNNP\tI-NP\tO' -p187310 -aS'the\tthe\tDT\tB-NP\tO' -p187311 -aS'day\tday\tNN\tI-NP\tO' -p187312 -aS'of\tof\tIN\tB-PP\tO' -p187313 -aS'admission\tadmission\tNN\tB-NP\tO' -p187314 -aS'.\t.\t.\tO\tO' -p187315 -asS'Attending : Angie CM Johnson , M.D.' -p187316 -(lp187317 -S'Attending\tAttend\tVBG\tB-VP\tO' -p187318 -aS':\t:\t:\tO\tO' -p187319 -aS'Angie\tAngie\tNNP\tB-NP\tO' -p187320 -aS'CM\tCM\tNNP\tI-NP\tO' -p187321 -aS'Johnson\tJohnson\tNNP\tI-NP\tO' -p187322 -aS',\t,\t,\tO\tO' -p187323 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p187324 -asS'The patient had a temperature of 100.9 .' -p187325 -(lp187326 -S'The\tThe\tDT\tB-NP\tO' -p187327 -aS'patient\tpatient\tNN\tI-NP\tO' -p187328 -aS'had\thave\tVBD\tB-VP\tO' -p187329 -aS'a\ta\tDT\tB-NP\tO' -p187330 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p187331 -aS'of\tof\tIN\tB-PP\tO' -p187332 -aS'100.9\t100.9\tCD\tB-NP\tO' -p187333 -aS'.\t.\t.\tO\tO' -p187334 -asS'In addition , the patient was prepared for an attempted percutaneous endoscopic gastrostomy tube .' -p187335 -(lp187336 -S'In\tIn\tIN\tB-PP\tO' -p187337 -aS'addition\taddition\tNN\tB-NP\tO' -p187338 -aS',\t,\t,\tO\tO' -p187339 -aS'the\tthe\tDT\tB-NP\tO' -p187340 -aS'patient\tpatient\tNN\tI-NP\tO' -p187341 -aS'was\tbe\tVBD\tB-VP\tO' -p187342 -aS'prepared\tprepare\tVBN\tI-VP\tO' -p187343 -aS'for\tfor\tIN\tB-PP\tO' -p187344 -aS'an\tan\tDT\tB-NP\tO' -p187345 -aS'attempted\tattempt\tVBN\tI-NP\tO' -p187346 -aS'percutaneous\tpercutaneous\tJJ\tI-NP\tO' -p187347 -aS'endoscopic\tendoscopic\tJJ\tI-NP\tO' -p187348 -aS'gastrostomy\tgastrostomy\tNN\tI-NP\tO' -p187349 -aS'tube\ttube\tNN\tI-NP\tO' -p187350 -aS'.\t.\t.\tO\tO' -p187351 -asS'He did undergo a CT-guided aspiration / biopsy at the L3-4 disc space on 2020-03-11 and the pt was transferred to Mediplex Rehab Hospital immediately following this .' -p187352 -(lp187353 -S'He\tHe\tPRP\tB-NP\tO' -p187354 -aS'did\tdo\tVBD\tB-VP\tO' -p187355 -aS'undergo\tundergo\tVB\tI-VP\tO' -p187356 -aS'a\ta\tDT\tB-NP\tO' -p187357 -aS'CT-guided\tCT-guided\tJJ\tI-NP\tO' -p187358 -aS'aspiration\taspiration\tNN\tI-NP\tO' -p187359 -aS'/\t/\tSYM\tB-NP\tO' -p187360 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p187361 -aS'at\tat\tIN\tB-PP\tO' -p187362 -aS'the\tthe\tDT\tB-NP\tO' -p187363 -aS'L3-4\tL3-4\tNN\tI-NP\tO' -p187364 -aS'disc\tdisc\tNN\tI-NP\tO' -p187365 -aS'space\tspace\tNN\tI-NP\tO' -p187366 -aS'on\ton\tIN\tB-PP\tO' -p187367 -aS'2020-03-11\t2020-03-11\tNN\tB-NP\tO' -p187368 -aS'and\tand\tCC\tO\tO' -p187369 -aS'the\tthe\tDT\tB-NP\tO' -p187370 -aS'pt\tpt\tNN\tI-NP\tO' -p187371 -aS'was\tbe\tVBD\tB-VP\tO' -p187372 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p187373 -aS'to\tto\tTO\tB-PP\tO' -p187374 -aS'Mediplex\tMediplex\tNNP\tB-NP\tO' -p187375 -aS'Rehab\tRehab\tNNP\tI-NP\tO' -p187376 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p187377 -aS'immediately\timmediately\tRB\tB-ADVP\tO' -p187378 -aS'following\tfollow\tVBG\tB-PP\tO' -p187379 -aS'this\tthis\tDT\tB-NP\tO' -p187380 -aS'.\t.\t.\tO\tO' -p187381 -asS'1. HYPOTHYROIDISM .' -p187382 -(lp187383 -S'1.\t1.\tLS\tB-NP\tO' -p187384 -aS'HYPOTHYROIDISM\tHYPOTHYROIDISM\tNN\tI-NP\tO' -p187385 -aS'.\t.\t.\tO\tO' -p187386 -asS'A TTE showed an ejection fraction of 60% , mild mitral regurgitation , left atrial enlargement , mild tricuspid regurgitation , pulmonary artery pressures of 44 plus right atrial pressure .' -p187387 -(lp187388 -S'A\tA\tDT\tB-NP\tO' -p187389 -aS'TTE\tTTE\tNN\tI-NP\tO' -p187390 -aS'showed\tshow\tVBD\tB-VP\tO' -p187391 -aS'an\tan\tDT\tB-NP\tO' -p187392 -aS'ejection\tejection\tNN\tI-NP\tO' -p187393 -aS'fraction\tfraction\tNN\tI-NP\tO' -p187394 -aS'of\tof\tIN\tB-PP\tO' -p187395 -aS'60%\t60%\tNN\tB-NP\tO' -p187396 -aS',\t,\t,\tO\tO' -p187397 -aS'mild\tmild\tJJ\tB-NP\tO' -p187398 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p187399 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p187400 -aS',\t,\t,\tO\tO' -p187401 -aS'left\tleave\tVBD\tB-VP\tO' -p187402 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p187403 -aS'enlargement\tenlargement\tNN\tI-NP\tO' -p187404 -aS',\t,\t,\tO\tO' -p187405 -aS'mild\tmild\tJJ\tB-NP\tO' -p187406 -aS'tricuspid\ttricuspid\tJJ\tI-NP\tO' -p187407 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p187408 -aS',\t,\t,\tO\tO' -p187409 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p187410 -aS'artery\tartery\tNN\tI-NP\tO' -p187411 -aS'pressures\tpressure\tNNS\tI-NP\tO' -p187412 -aS'of\tof\tIN\tB-PP\tO' -p187413 -aS'44\t44\tCD\tB-NP\tO' -p187414 -aS'plus\tplus\tCC\tO\tO' -p187415 -aS'right\tright\tJJ\tB-NP\tO' -p187416 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p187417 -aS'pressure\tpressure\tNN\tI-NP\tO' -p187418 -aS'.\t.\t.\tO\tO' -p187419 -asS'4. Lipitor , 10 mg PO daily .' -p187420 -(lp187421 -S'4.\t4.\tLS\tB-NP\tO' -p187422 -aS'Lipitor\tLipitor\tNN\tI-NP\tO' -p187423 -aS',\t,\t,\tO\tO' -p187424 -aS'10\t10\tCD\tB-NP\tO' -p187425 -aS'mg\tmg\tNN\tI-NP\tO' -p187426 -aS'PO\tPO\tNN\tI-NP\tO' -p187427 -aS'daily\tdaily\tRB\tB-ADVP\tO' -p187428 -aS'.\t.\t.\tO\tO' -p187429 -asS'1. Zonisamide 100 mg Capsule Sig : One ( 1 ) Capsule PO DAILY ( Daily ): Increase by 50 mg every other week ( next increase 2015-10-12 ).' -p187430 -(lp187431 -S'1.\t1.\tLS\tB-NP\tO' -p187432 -aS'Zonisamide\tZonisamide\tNN\tI-NP\tO' -p187433 -aS'100\t100\tCD\tI-NP\tO' -p187434 -aS'mg\tmg\tNN\tI-NP\tO' -p187435 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p187436 -aS'Sig\tSig\tNNP\tI-NP\tO' -p187437 -aS':\t:\t:\tO\tO' -p187438 -aS'One\tOne\tCD\tB-NP\tO' -p187439 -aS'(\t(\t(\tO\tO' -p187440 -aS'1\t1\tCD\tB-NP\tO' -p187441 -aS')\t)\t)\tO\tO' -p187442 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p187443 -aS'PO\tPO\tNNP\tI-NP\tO' -p187444 -aS'DAILY\tDAILY\tNNP\tI-NP\tO' -p187445 -aS'(\t(\t(\tO\tO' -p187446 -aS'Daily\tDaily\tNNP\tB-NP\tO' -p187447 -aS'):\t):\tNNP\tI-NP\tO' -p187448 -aS'Increase\tIncrease\tNNP\tI-NP\tO' -p187449 -aS'by\tby\tIN\tB-PP\tO' -p187450 -aS'50\t50\tCD\tB-NP\tO' -p187451 -aS'mg\tmg\tNN\tI-NP\tO' -p187452 -aS'every\tevery\tDT\tB-NP\tO' -p187453 -aS'other\tother\tJJ\tI-NP\tO' -p187454 -aS'week\tweek\tNN\tI-NP\tO' -p187455 -aS'(\t(\t(\tO\tO' -p187456 -aS'next\tnext\tJJ\tB-NP\tO' -p187457 -aS'increase\tincrease\tNN\tI-NP\tO' -p187458 -aS'2015-10-12\t2015-10-12\tCD\tI-NP\tO' -p187459 -aS').\t).\t.\tO\tO' -p187460 -asS'The complications that I have listed include the hyponatremia , pulmonary embolus and also the elevatd blood pressure .' -p187461 -(lp187462 -S'The\tThe\tDT\tB-NP\tO' -p187463 -aS'complications\tcomplication\tNNS\tI-NP\tO' -p187464 -aS'that\tthat\tIN\tB-NP\tO' -p187465 -aS'I\tI\tPRP\tB-NP\tO' -p187466 -aS'have\thave\tVBP\tB-VP\tO' -p187467 -aS'listed\tlist\tVBN\tI-VP\tO' -p187468 -aS'include\tinclude\tVBP\tB-VP\tO' -p187469 -aS'the\tthe\tDT\tB-NP\tO' -p187470 -aS'hyponatremia\thyponatremia\tNN\tI-NP\tO' -p187471 -aS',\t,\t,\tO\tO' -p187472 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p187473 -aS'embolus\tembolus\tNN\tI-NP\tO' -p187474 -aS'and\tand\tCC\tO\tO' -p187475 -aS'also\talso\tRB\tB-ADVP\tO' -p187476 -aS'the\tthe\tDT\tB-NP\tO' -p187477 -aS'elevatd\televatd\tNN\tI-NP\tO' -p187478 -aS'blood\tblood\tNN\tI-NP\tO' -p187479 -aS'pressure\tpressure\tNN\tI-NP\tO' -p187480 -aS'.\t.\t.\tO\tO' -p187481 -asS"This study will need to be repeated once she is tolerating po 's ." -p187482 -(lp187483 -S'This\tThis\tDT\tB-NP\tO' -p187484 -aS'study\tstudy\tNN\tI-NP\tO' -p187485 -aS'will\twill\tMD\tB-VP\tO' -p187486 -aS'need\tneed\tVB\tI-VP\tO' -p187487 -aS'to\tto\tTO\tI-VP\tO' -p187488 -aS'be\tbe\tVB\tI-VP\tO' -p187489 -aS'repeated\trepeat\tVBN\tI-VP\tO' -p187490 -aS'once\tonce\tIN\tB-SBAR\tO' -p187491 -aS'she\tshe\tPRP\tB-NP\tO' -p187492 -aS'is\tbe\tVBZ\tB-VP\tO' -p187493 -aS'tolerating\ttolerate\tVBG\tI-VP\tO' -p187494 -aS'po\tpo\tNN\tB-NP\tO' -p187495 -aS"'s\t's\tPOS\tB-NP\tO" -p187496 -aS'.\t.\t.\tO\tO' -p187497 -asS'2. Insulin-dependent diabetes mellitus .' -p187498 -(lp187499 -S'2.\t2.\tLS\tB-NP\tO' -p187500 -aS'Insulin-dependent\tInsulin-dependent\tJJ\tI-NP\tO' -p187501 -aS'diabetes\tdiabetes\tNN\tI-NP\tO' -p187502 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p187503 -aS'.\t.\t.\tO\tO' -p187504 -asS'It was felt to be within normal limits .' -p187505 -(lp187506 -S'It\tIt\tPRP\tB-NP\tO' -p187507 -aS'was\tbe\tVBD\tB-VP\tO' -p187508 -aS'felt\tfeel\tVBN\tI-VP\tO' -p187509 -aS'to\tto\tTO\tI-VP\tO' -p187510 -aS'be\tbe\tVB\tI-VP\tO' -p187511 -aS'within\twithin\tIN\tB-PP\tO' -p187512 -aS'normal\tnormal\tJJ\tB-NP\tO' -p187513 -aS'limits\tlimit\tNNS\tI-NP\tO' -p187514 -aS'.\t.\t.\tO\tO' -p187515 -asS'86 yo man with h/o CVA , CHF , recent episodes of aspiration pneumonia , who p/w dyspnea from his NH .' -p187516 -(lp187517 -S'86\t86\tCD\tB-NP\tO' -p187518 -aS'yo\tyo\tNN\tI-NP\tO' -p187519 -aS'man\tman\tNN\tI-NP\tO' -p187520 -aS'with\twith\tIN\tB-PP\tO' -p187521 -aS'h/o\th/o\tNN\tB-NP\tO' -p187522 -aS'CVA\tCVA\tNN\tI-NP\tO' -p187523 -aS',\t,\t,\tO\tO' -p187524 -aS'CHF\tCHF\tNN\tB-NP\tB-protein' -p187525 -aS',\t,\t,\tO\tO' -p187526 -aS'recent\trecent\tJJ\tB-NP\tO' -p187527 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p187528 -aS'of\tof\tIN\tB-PP\tO' -p187529 -aS'aspiration\taspiration\tNN\tB-NP\tO' -p187530 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p187531 -aS',\t,\t,\tO\tO' -p187532 -aS'who\twho\tWP\tB-NP\tO' -p187533 -aS'p/w\tp/w\tVBP\tB-VP\tO' -p187534 -aS'dyspnea\tdyspnea\tNN\tB-NP\tO' -p187535 -aS'from\tfrom\tIN\tB-PP\tO' -p187536 -aS'his\this\tPRP$\tB-NP\tO' -p187537 -aS'NH\tNH\tNN\tI-NP\tO' -p187538 -aS'.\t.\t.\tO\tO' -p187539 -asS'Had received unasyn , vanc , zosyn during hospital course for cellulitis and other unclear reasons , including possible vent associated pna .' -p187540 -(lp187541 -S'Had\tHad\tNNP\tB-NP\tO' -p187542 -aS'received\treceive\tVBD\tB-VP\tO' -p187543 -aS'unasyn\tunasyn\tJJ\tB-ADJP\tO' -p187544 -aS',\t,\t,\tO\tO' -p187545 -aS'vanc\tvanc\tNN\tB-NP\tO' -p187546 -aS',\t,\t,\tO\tO' -p187547 -aS'zosyn\tzosyn\tNN\tB-NP\tO' -p187548 -aS'during\tduring\tIN\tB-PP\tO' -p187549 -aS'hospital\thospital\tNN\tB-NP\tO' -p187550 -aS'course\tcourse\tNN\tI-NP\tO' -p187551 -aS'for\tfor\tIN\tB-PP\tO' -p187552 -aS'cellulitis\tcellulitis\tNN\tB-NP\tO' -p187553 -aS'and\tand\tCC\tO\tO' -p187554 -aS'other\tother\tJJ\tB-NP\tO' -p187555 -aS'unclear\tunclear\tJJ\tI-NP\tO' -p187556 -aS'reasons\treason\tNNS\tI-NP\tO' -p187557 -aS',\t,\t,\tO\tO' -p187558 -aS'including\tinclude\tVBG\tB-PP\tO' -p187559 -aS'possible\tpossible\tJJ\tB-NP\tO' -p187560 -aS'vent\tvent\tNN\tI-NP\tO' -p187561 -aS'associated\tassociate\tVBN\tB-VP\tO' -p187562 -aS'pna\tpna\tNN\tB-NP\tO' -p187563 -aS'.\t.\t.\tO\tO' -p187564 -asS'- Denies TOB use , occasional ETOH use' -p187565 -(lp187566 -S'-\t-\tHYPH\tB-NP\tO' -p187567 -aS'Denies\tDeny\tNNS\tI-NP\tO' -p187568 -aS'TOB\tTOB\tNN\tI-NP\tO' -p187569 -aS'use\tuse\tNN\tI-NP\tO' -p187570 -aS',\t,\t,\tO\tO' -p187571 -aS'occasional\toccasional\tJJ\tB-NP\tO' -p187572 -aS'ETOH\tETOH\tNN\tI-NP\tO' -p187573 -aS'use\tuse\tNN\tI-NP\tO' -p187574 -asS'She was turned down for re-do surgery at that time and did not have a percutaneous transluminal coronary angioplasty .' -p187575 -(lp187576 -S'She\tShe\tPRP\tB-NP\tO' -p187577 -aS'was\tbe\tVBD\tB-VP\tO' -p187578 -aS'turned\tturn\tVBN\tI-VP\tO' -p187579 -aS'down\tdown\tRP\tB-PRT\tO' -p187580 -aS'for\tfor\tIN\tB-PP\tO' -p187581 -aS're-do\tre-do\tJJ\tB-NP\tO' -p187582 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p187583 -aS'at\tat\tIN\tB-PP\tO' -p187584 -aS'that\tthat\tDT\tB-NP\tO' -p187585 -aS'time\ttime\tNN\tI-NP\tO' -p187586 -aS'and\tand\tCC\tO\tO' -p187587 -aS'did\tdo\tVBD\tB-VP\tO' -p187588 -aS'not\tnot\tRB\tI-VP\tO' -p187589 -aS'have\thave\tVB\tI-VP\tO' -p187590 -aS'a\ta\tDT\tB-NP\tO' -p187591 -aS'percutaneous\tpercutaneous\tJJ\tI-NP\tO' -p187592 -aS'transluminal\ttransluminal\tJJ\tI-NP\tO' -p187593 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p187594 -aS'angioplasty\tangioplasty\tNN\tI-NP\tO' -p187595 -aS'.\t.\t.\tO\tO' -p187596 -asS'The Chest x-ray showed free air .' -p187597 -(lp187598 -S'The\tThe\tDT\tB-NP\tO' -p187599 -aS'Chest\tChest\tNNP\tI-NP\tO' -p187600 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p187601 -aS'showed\tshow\tVBD\tB-VP\tO' -p187602 -aS'free\tfree\tJJ\tB-NP\tO' -p187603 -aS'air\tair\tNN\tI-NP\tO' -p187604 -aS'.\t.\t.\tO\tO' -p187605 -asS'The pregnancy was benign with an EDC of 2018-05-07 .' -p187606 -(lp187607 -S'The\tThe\tDT\tB-NP\tO' -p187608 -aS'pregnancy\tpregnancy\tNN\tI-NP\tO' -p187609 -aS'was\tbe\tVBD\tB-VP\tO' -p187610 -aS'benign\tbenign\tJJ\tB-ADJP\tO' -p187611 -aS'with\twith\tIN\tB-PP\tO' -p187612 -aS'an\tan\tDT\tB-NP\tO' -p187613 -aS'EDC\tEDC\tNN\tI-NP\tO' -p187614 -aS'of\tof\tIN\tB-PP\tO' -p187615 -aS'2018-05-07\t2018-05-07\tCD\tB-NP\tO' -p187616 -aS'.\t.\t.\tO\tO' -p187617 -asS"## h/o pyelo , last episode in '03 ( MRSA in blood and urine )" -p187618 -(lp187619 -S'##\t##\t#\tB-NP\tO' -p187620 -aS'h/o\th/o\tNN\tI-NP\tO' -p187621 -aS'pyelo\tpyelo\tNN\tI-NP\tO' -p187622 -aS',\t,\t,\tO\tO' -p187623 -aS'last\tlast\tJJ\tB-NP\tO' -p187624 -aS'episode\tepisode\tNN\tI-NP\tO' -p187625 -aS'in\tin\tIN\tB-PP\tO' -p187626 -aS"'03\t'03\tCD\tB-NP\tO" -p187627 -aS'(\t(\t(\tO\tO' -p187628 -aS'MRSA\tMRSA\tNN\tB-NP\tO' -p187629 -aS'in\tin\tIN\tB-PP\tO' -p187630 -aS'blood\tblood\tNN\tB-NP\tO' -p187631 -aS'and\tand\tCC\tO\tO' -p187632 -aS'urine\turine\tNN\tB-NP\tO' -p187633 -aS')\t)\t)\tO\tO' -p187634 -asS'3 ) Lanoxin 0.25 mg p.o. q. day .' -p187635 -(lp187636 -S'3\t3\tLS\tB-LST\tO' -p187637 -aS')\t)\t)\tO\tO' -p187638 -aS'Lanoxin\tLanoxin\tNN\tB-NP\tO' -p187639 -aS'0.25\t0.25\tCD\tI-NP\tO' -p187640 -aS'mg\tmg\tNN\tI-NP\tO' -p187641 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p187642 -aS'q.\tq.\tNN\tI-NP\tO' -p187643 -aS'day\tday\tNN\tI-NP\tO' -p187644 -aS'.\t.\t.\tO\tO' -p187645 -asS'Prior to his re-admission , his sister had noted that he was having some shaking chills and heavy breathing .' -p187646 -(lp187647 -S'Prior\tPrior\tRB\tB-ADVP\tO' -p187648 -aS'to\tto\tTO\tB-PP\tO' -p187649 -aS'his\this\tPRP$\tB-NP\tO' -p187650 -aS're-admission\tre-admission\tNN\tI-NP\tO' -p187651 -aS',\t,\t,\tO\tO' -p187652 -aS'his\this\tPRP$\tB-NP\tO' -p187653 -aS'sister\tsister\tNN\tI-NP\tO' -p187654 -aS'had\thave\tVBD\tB-VP\tO' -p187655 -aS'noted\tnote\tVBN\tI-VP\tO' -p187656 -aS'that\tthat\tIN\tB-SBAR\tO' -p187657 -aS'he\the\tPRP\tB-NP\tO' -p187658 -aS'was\tbe\tVBD\tB-VP\tO' -p187659 -aS'having\thave\tVBG\tI-VP\tO' -p187660 -aS'some\tsome\tDT\tB-NP\tO' -p187661 -aS'shaking\tshake\tVBG\tI-NP\tO' -p187662 -aS'chills\tchill\tNNS\tI-NP\tO' -p187663 -aS'and\tand\tCC\tO\tO' -p187664 -aS'heavy\theavy\tJJ\tB-NP\tO' -p187665 -aS'breathing\tbreathing\tNN\tI-NP\tO' -p187666 -aS'.\t.\t.\tO\tO' -p187667 -asS'pt has been using iron lung for breathing and has been satting well duing her hospital course .' -p187668 -(lp187669 -S'pt\tpt\tNN\tB-NP\tO' -p187670 -aS'has\thave\tVBZ\tB-VP\tO' -p187671 -aS'been\tbe\tVBN\tI-VP\tO' -p187672 -aS'using\tuse\tVBG\tI-VP\tO' -p187673 -aS'iron\tiron\tNN\tB-NP\tO' -p187674 -aS'lung\tlung\tNN\tI-NP\tO' -p187675 -aS'for\tfor\tIN\tB-PP\tO' -p187676 -aS'breathing\tbreathing\tNN\tB-NP\tO' -p187677 -aS'and\tand\tCC\tO\tO' -p187678 -aS'has\thave\tVBZ\tB-VP\tO' -p187679 -aS'been\tbe\tVBN\tI-VP\tO' -p187680 -aS'satting\tsatte\tVBG\tI-VP\tO' -p187681 -aS'well\twell\tRB\tB-ADVP\tO' -p187682 -aS'duing\tdue\tVBG\tB-VP\tO' -p187683 -aS'her\ther\tPRP$\tB-NP\tO' -p187684 -aS'hospital\thospital\tNN\tI-NP\tO' -p187685 -aS'course\tcourse\tNN\tI-NP\tO' -p187686 -aS'.\t.\t.\tO\tO' -p187687 -asS'She suffered an episode of renal failure which was felt attributable to aminoglycoside toxicity .' -p187688 -(lp187689 -S'She\tShe\tPRP\tB-NP\tO' -p187690 -aS'suffered\tsuffer\tVBD\tB-VP\tO' -p187691 -aS'an\tan\tDT\tB-NP\tO' -p187692 -aS'episode\tepisode\tNN\tI-NP\tO' -p187693 -aS'of\tof\tIN\tB-PP\tO' -p187694 -aS'renal\trenal\tJJ\tB-NP\tO' -p187695 -aS'failure\tfailure\tNN\tI-NP\tO' -p187696 -aS'which\twhich\tWDT\tB-NP\tO' -p187697 -aS'was\tbe\tVBD\tB-VP\tO' -p187698 -aS'felt\tfeel\tVBN\tI-VP\tO' -p187699 -aS'attributable\tattributable\tJJ\tB-ADJP\tO' -p187700 -aS'to\tto\tTO\tB-PP\tO' -p187701 -aS'aminoglycoside\taminoglycoside\tNN\tB-NP\tO' -p187702 -aS'toxicity\ttoxicity\tNN\tI-NP\tO' -p187703 -aS'.\t.\t.\tO\tO' -p187704 -asS'Discharge condition for this patient was good .' -p187705 -(lp187706 -S'Discharge\tDischarge\tNN\tB-NP\tO' -p187707 -aS'condition\tcondition\tNN\tI-NP\tO' -p187708 -aS'for\tfor\tIN\tB-PP\tO' -p187709 -aS'this\tthis\tDT\tB-NP\tO' -p187710 -aS'patient\tpatient\tNN\tI-NP\tO' -p187711 -aS'was\tbe\tVBD\tB-VP\tO' -p187712 -aS'good\tgood\tJJ\tB-ADJP\tO' -p187713 -aS'.\t.\t.\tO\tO' -p187714 -asS'On arrival a chest x-ray showed perihilar and bibasilar opacities , which appeared conistent with pulmonary edema but also possibly consistent with a pneumonia .' -p187715 -(lp187716 -S'On\tOn\tIN\tB-PP\tO' -p187717 -aS'arrival\tarrival\tNN\tB-NP\tO' -p187718 -aS'a\ta\tDT\tB-NP\tO' -p187719 -aS'chest\tchest\tNN\tI-NP\tO' -p187720 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p187721 -aS'showed\tshow\tVBD\tB-VP\tO' -p187722 -aS'perihilar\tperihilar\tJJ\tB-NP\tO' -p187723 -aS'and\tand\tCC\tI-NP\tO' -p187724 -aS'bibasilar\tbibasilar\tJJ\tI-NP\tO' -p187725 -aS'opacities\topacity\tNNS\tI-NP\tO' -p187726 -aS',\t,\t,\tO\tO' -p187727 -aS'which\twhich\tWDT\tB-NP\tO' -p187728 -aS'appeared\tappear\tVBD\tB-VP\tO' -p187729 -aS'conistent\tconistent\tJJ\tB-ADJP\tO' -p187730 -aS'with\twith\tIN\tB-PP\tO' -p187731 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p187732 -aS'edema\tedema\tNN\tI-NP\tO' -p187733 -aS'but\tbut\tCC\tB-CONJP\tO' -p187734 -aS'also\talso\tRB\tI-CONJP\tO' -p187735 -aS'possibly\tpossibly\tRB\tB-ADJP\tO' -p187736 -aS'consistent\tconsistent\tJJ\tI-ADJP\tO' -p187737 -aS'with\twith\tIN\tB-PP\tO' -p187738 -aS'a\ta\tDT\tB-NP\tO' -p187739 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p187740 -aS'.\t.\t.\tO\tO' -p187741 -asS'We obtained a right upper quadrant ultrasound as well as LFTs , amylase , and lipase which were all normal .' -p187742 -(lp187743 -S'We\tWe\tPRP\tB-NP\tO' -p187744 -aS'obtained\tobtain\tVBD\tB-VP\tO' -p187745 -aS'a\ta\tDT\tB-NP\tO' -p187746 -aS'right\tright\tJJ\tI-NP\tO' -p187747 -aS'upper\tupper\tJJ\tI-NP\tO' -p187748 -aS'quadrant\tquadrant\tJJ\tI-NP\tO' -p187749 -aS'ultrasound\tultrasound\tNN\tI-NP\tO' -p187750 -aS'as\tas\tRB\tB-CONJP\tO' -p187751 -aS'well\twell\tRB\tI-CONJP\tO' -p187752 -aS'as\tas\tIN\tI-CONJP\tO' -p187753 -aS'LFTs\tLFT\tNNS\tB-NP\tB-protein' -p187754 -aS',\t,\t,\tO\tO' -p187755 -aS'amylase\tamylase\tNN\tB-NP\tB-protein' -p187756 -aS',\t,\t,\tO\tO' -p187757 -aS'and\tand\tCC\tO\tO' -p187758 -aS'lipase\tlipase\tNN\tB-NP\tO' -p187759 -aS'which\twhich\tWDT\tB-NP\tO' -p187760 -aS'were\tbe\tVBD\tB-VP\tO' -p187761 -aS'all\tall\tDT\tO\tO' -p187762 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p187763 -aS'.\t.\t.\tO\tO' -p187764 -asS'Volume overload likely ocurred in the setting of IV fluids given in the ICU .' -p187765 -(lp187766 -S'Volume\tVolume\tNN\tB-NP\tO' -p187767 -aS'overload\toverload\tVBD\tB-VP\tO' -p187768 -aS'likely\tlikely\tRB\tI-VP\tO' -p187769 -aS'ocurred\tocurre\tVBN\tI-VP\tO' -p187770 -aS'in\tin\tIN\tB-PP\tO' -p187771 -aS'the\tthe\tDT\tB-NP\tO' -p187772 -aS'setting\tsetting\tNN\tI-NP\tO' -p187773 -aS'of\tof\tIN\tB-PP\tO' -p187774 -aS'IV\tIV\tCD\tB-NP\tO' -p187775 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p187776 -aS'given\tgive\tVBN\tB-VP\tO' -p187777 -aS'in\tin\tIN\tB-PP\tO' -p187778 -aS'the\tthe\tDT\tB-NP\tO' -p187779 -aS'ICU\tICU\tNN\tI-NP\tB-DNA' -p187780 -aS'.\t.\t.\tO\tO' -p187781 -asS'Rhythm : NSR , not tachycardic .' -p187782 -(lp187783 -S'Rhythm\tRhythm\tNN\tB-NP\tO' -p187784 -aS':\t:\t:\tO\tO' -p187785 -aS'NSR\tNSR\tNN\tB-NP\tB-protein' -p187786 -aS',\t,\t,\tB-NP\tO' -p187787 -aS'not\tnot\tRB\tI-NP\tO' -p187788 -aS'tachycardic\ttachycardic\tJJ\tI-ADJP\tO' -p187789 -aS'.\t.\t.\tO\tO' -p187790 -asS'However , the patient also had brain metastasis and at this point anticoagulation was thought to be a contraindication given risk for hemorrhage into these tumors .' -p187791 -(lp187792 -S'However\tHowever\tRB\tB-ADVP\tO' -p187793 -aS',\t,\t,\tO\tO' -p187794 -aS'the\tthe\tDT\tB-NP\tO' -p187795 -aS'patient\tpatient\tNN\tI-NP\tO' -p187796 -aS'also\talso\tRB\tB-ADVP\tO' -p187797 -aS'had\thave\tVBD\tB-VP\tO' -p187798 -aS'brain\tbrain\tNN\tB-NP\tO' -p187799 -aS'metastasis\tmetastasis\tNN\tI-NP\tO' -p187800 -aS'and\tand\tCC\tB-PP\tO' -p187801 -aS'at\tat\tIN\tB-PP\tO' -p187802 -aS'this\tthis\tDT\tB-NP\tO' -p187803 -aS'point\tpoint\tNN\tI-NP\tO' -p187804 -aS'anticoagulation\tanticoagulation\tNN\tI-NP\tO' -p187805 -aS'was\tbe\tVBD\tB-VP\tO' -p187806 -aS'thought\tthink\tVBN\tI-VP\tO' -p187807 -aS'to\tto\tTO\tI-VP\tO' -p187808 -aS'be\tbe\tVB\tI-VP\tO' -p187809 -aS'a\ta\tDT\tB-NP\tO' -p187810 -aS'contraindication\tcontraindication\tNN\tI-NP\tO' -p187811 -aS'given\tgive\tVBN\tB-VP\tO' -p187812 -aS'risk\trisk\tNN\tB-NP\tO' -p187813 -aS'for\tfor\tIN\tB-PP\tO' -p187814 -aS'hemorrhage\themorrhage\tNN\tB-NP\tO' -p187815 -aS'into\tinto\tIN\tB-PP\tO' -p187816 -aS'these\tthese\tDT\tB-NP\tO' -p187817 -aS'tumors\ttumor\tNNS\tI-NP\tO' -p187818 -aS'.\t.\t.\tO\tO' -p187819 -asS'Alkaline phosphatase was 372 .' -p187820 -(lp187821 -S'Alkaline\tAlkaline\tNN\tB-NP\tB-protein' -p187822 -aS'phosphatase\tphosphatase\tNN\tI-NP\tI-protein' -p187823 -aS'was\tbe\tVBD\tB-VP\tO' -p187824 -aS'372\t372\tCD\tB-NP\tO' -p187825 -aS'.\t.\t.\tO\tO' -p187826 -asS'3) MS change - on admission pt was agitated , requiring restraints and antipsychotics , however as he became increasingly hypoxic he became somnolent .' -p187827 -(lp187828 -S'3)\t3)\tLS\tB-NP\tO' -p187829 -aS'MS\tMS\tNN\tI-NP\tO' -p187830 -aS'change\tchange\tNN\tI-NP\tO' -p187831 -aS'-\t-\tHYPH\tB-ADVP\tO' -p187832 -aS'on\ton\tIN\tB-PP\tO' -p187833 -aS'admission\tadmission\tNN\tB-NP\tO' -p187834 -aS'pt\tpt\tNN\tI-NP\tO' -p187835 -aS'was\tbe\tVBD\tB-VP\tO' -p187836 -aS'agitated\tagitate\tVBN\tI-VP\tO' -p187837 -aS',\t,\t,\tO\tO' -p187838 -aS'requiring\trequire\tVBG\tB-VP\tO' -p187839 -aS'restraints\trestraint\tNNS\tB-NP\tO' -p187840 -aS'and\tand\tCC\tI-NP\tO' -p187841 -aS'antipsychotics\tantipsychotic\tNNS\tI-NP\tO' -p187842 -aS',\t,\t,\tO\tO' -p187843 -aS'however\thowever\tRB\tB-ADVP\tO' -p187844 -aS'as\tas\tIN\tB-SBAR\tO' -p187845 -aS'he\the\tPRP\tB-NP\tO' -p187846 -aS'became\tbecome\tVBD\tB-VP\tO' -p187847 -aS'increasingly\tincreasingly\tRB\tB-ADJP\tO' -p187848 -aS'hypoxic\thypoxic\tJJ\tI-ADJP\tO' -p187849 -aS'he\the\tPRP\tB-NP\tO' -p187850 -aS'became\tbecome\tVBD\tB-VP\tO' -p187851 -aS'somnolent\tsomnolent\tJJ\tB-ADJP\tO' -p187852 -aS'.\t.\t.\tO\tO' -p187853 -asS'The patient reports a previous workup which included a negative exercise treadmill test , a normal MIBI in 2011-04-10 , and a normal echocardiogram in 2012 ( except some borderline mild pulmonary hypertension ) with an ejection fraction of 55% .' -p187854 -(lp187855 -S'The\tThe\tDT\tB-NP\tO' -p187856 -aS'patient\tpatient\tNN\tI-NP\tO' -p187857 -aS'reports\treport\tVBZ\tB-VP\tO' -p187858 -aS'a\ta\tDT\tB-NP\tO' -p187859 -aS'previous\tprevious\tJJ\tI-NP\tO' -p187860 -aS'workup\tworkup\tNN\tI-NP\tO' -p187861 -aS'which\twhich\tWDT\tB-NP\tO' -p187862 -aS'included\tinclude\tVBD\tB-VP\tO' -p187863 -aS'a\ta\tDT\tB-NP\tO' -p187864 -aS'negative\tnegative\tJJ\tI-NP\tO' -p187865 -aS'exercise\texercise\tNN\tI-NP\tO' -p187866 -aS'treadmill\ttreadmill\tNN\tI-NP\tO' -p187867 -aS'test\ttest\tNN\tI-NP\tO' -p187868 -aS',\t,\t,\tO\tO' -p187869 -aS'a\ta\tDT\tB-NP\tO' -p187870 -aS'normal\tnormal\tJJ\tI-NP\tO' -p187871 -aS'MIBI\tMIBI\tNN\tI-NP\tO' -p187872 -aS'in\tin\tIN\tB-PP\tO' -p187873 -aS'2011-04-10\t2011-04-10\tCD\tB-NP\tO' -p187874 -aS',\t,\t,\tO\tO' -p187875 -aS'and\tand\tCC\tO\tO' -p187876 -aS'a\ta\tDT\tB-NP\tO' -p187877 -aS'normal\tnormal\tJJ\tI-NP\tO' -p187878 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p187879 -aS'in\tin\tIN\tB-PP\tO' -p187880 -aS'2012\t2012\tCD\tB-NP\tO' -p187881 -aS'(\t(\t(\tO\tO' -p187882 -aS'except\texcept\tIN\tB-PP\tO' -p187883 -aS'some\tsome\tDT\tB-NP\tO' -p187884 -aS'borderline\tborderline\tJJ\tI-NP\tO' -p187885 -aS'mild\tmild\tJJ\tI-NP\tO' -p187886 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p187887 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p187888 -aS')\t)\t)\tO\tO' -p187889 -aS'with\twith\tIN\tB-PP\tO' -p187890 -aS'an\tan\tDT\tB-NP\tO' -p187891 -aS'ejection\tejection\tNN\tI-NP\tO' -p187892 -aS'fraction\tfraction\tNN\tI-NP\tO' -p187893 -aS'of\tof\tIN\tB-PP\tO' -p187894 -aS'55%\t55%\tNN\tB-NP\tO' -p187895 -aS'.\t.\t.\tO\tO' -p187896 -asS'7. Metoprolol Tartrate 25 mg Tablet Sig : 1.5 Tablets PO BID ( 2 times a day ).' -p187897 -(lp187898 -S'7.\t7.\tCD\tB-NP\tO' -p187899 -aS'Metoprolol\tMetoprolol\tNNP\tI-NP\tO' -p187900 -aS'Tartrate\tTartrate\tNNP\tI-NP\tO' -p187901 -aS'25\t25\tCD\tI-NP\tO' -p187902 -aS'mg\tmg\tNN\tI-NP\tO' -p187903 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p187904 -aS'Sig\tSig\tNNP\tI-NP\tO' -p187905 -aS':\t:\t:\tO\tO' -p187906 -aS'1.5\t1.5\tCD\tB-NP\tO' -p187907 -aS'Tablets\tTablet\tNNS\tI-NP\tO' -p187908 -aS'PO\tPO\tNN\tI-NP\tO' -p187909 -aS'BID\tBID\tNN\tI-NP\tO' -p187910 -aS'(\t(\t(\tO\tO' -p187911 -aS'2\t2\tCD\tB-NP\tO' -p187912 -aS'times\ttime\tNNS\tI-NP\tO' -p187913 -aS'a\ta\tDT\tB-NP\tO' -p187914 -aS'day\tday\tNN\tI-NP\tO' -p187915 -aS').\t).\t.\tO\tO' -p187916 -asS'Twin #1 cried spontaneously at birth , was bulb suctioned and received Blow-by oxygen .' -p187917 -(lp187918 -S'Twin\tTwin\tNNP\tB-NP\tO' -p187919 -aS'#1\t#1\tCD\tI-NP\tO' -p187920 -aS'cried\tcry\tVBD\tB-VP\tO' -p187921 -aS'spontaneously\tspontaneously\tRB\tB-ADVP\tO' -p187922 -aS'at\tat\tIN\tB-PP\tO' -p187923 -aS'birth\tbirth\tNN\tB-NP\tO' -p187924 -aS',\t,\t,\tO\tO' -p187925 -aS'was\tbe\tVBD\tB-VP\tO' -p187926 -aS'bulb\tbulb\tNN\tB-NP\tO' -p187927 -aS'suctioned\tsuctione\tVBD\tB-VP\tO' -p187928 -aS'and\tand\tCC\tI-VP\tO' -p187929 -aS'received\treceive\tVBD\tI-VP\tO' -p187930 -aS'Blow-by\tBlow-by\tJJ\tB-NP\tO' -p187931 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p187932 -aS'.\t.\t.\tO\tO' -p187933 -asS'6. Menthol - Cetylpyridinium Cl 2 mg Lozenge Sig : One ( 1 ) Lozenge Mucous membrane PRN ( as needed ) .' -p187934 -(lp187935 -S'6.\t6.\tLS\tB-NP\tO' -p187936 -aS'Menthol\tMenthol\tNN\tI-NP\tO' -p187937 -aS'-\t-\tHYPH\tB-NP\tO' -p187938 -aS'Cetylpyridinium\tCetylpyridinium\tNN\tI-NP\tO' -p187939 -aS'Cl\tCl\tNN\tI-NP\tO' -p187940 -aS'2\t2\tCD\tI-NP\tO' -p187941 -aS'mg\tmg\tNN\tI-NP\tO' -p187942 -aS'Lozenge\tLozenge\tNNP\tI-NP\tO' -p187943 -aS'Sig\tSig\tNNP\tI-NP\tO' -p187944 -aS':\t:\t:\tO\tO' -p187945 -aS'One\tOne\tCD\tB-NP\tO' -p187946 -aS'(\t(\t(\tO\tO' -p187947 -aS'1\t1\tCD\tB-NP\tO' -p187948 -aS')\t)\t)\tO\tO' -p187949 -aS'Lozenge\tLozenge\tNN\tB-NP\tO' -p187950 -aS'Mucous\tMucous\tJJ\tI-NP\tO' -p187951 -aS'membrane\tmembrane\tNN\tI-NP\tO' -p187952 -aS'PRN\tPRN\tNN\tI-NP\tO' -p187953 -aS'(\t(\t(\tO\tO' -p187954 -aS'as\tas\tIN\tB-SBAR\tO' -p187955 -aS'needed\tneed\tVBN\tB-VP\tO' -p187956 -aS')\t)\t)\tO\tO' -p187957 -aS'.\t.\t.\tO\tO' -p187958 -asS'1. STATUS POST BONE MARROW TRANSPLANT .' -p187959 -(lp187960 -S'1.\t1.\tLS\tB-LST\tO' -p187961 -aS'STATUS\tSTATUS\tNNP\tB-NP\tO' -p187962 -aS'POST\tPOST\tNNP\tI-NP\tO' -p187963 -aS'BONE\tBONE\tNNP\tI-NP\tO' -p187964 -aS'MARROW\tMARROW\tNNP\tI-NP\tO' -p187965 -aS'TRANSPLANT\tTRANSPLANT\tNNP\tI-NP\tO' -p187966 -aS'.\t.\t.\tO\tO' -p187967 -asS"Medium hiatal hernia , Barrett's esophagus , erosion of the gastroesophageal junction , granularity , erythema and congestion of the antrum in the pre-pyloric region compatible with gastritis ." -p187968 -(lp187969 -S'Medium\tMedium\tJJ\tB-NP\tO' -p187970 -aS'hiatal\thiatal\tJJ\tI-NP\tO' -p187971 -aS'hernia\thernia\tNN\tI-NP\tO' -p187972 -aS',\t,\t,\tO\tO' -p187973 -aS"Barrett's\tBarrett's\tNNP\tB-NP\tO" -p187974 -aS'esophagus\tesophagus\tNNP\tI-NP\tO' -p187975 -aS',\t,\t,\tO\tO' -p187976 -aS'erosion\terosion\tNN\tB-NP\tO' -p187977 -aS'of\tof\tIN\tB-PP\tO' -p187978 -aS'the\tthe\tDT\tB-NP\tO' -p187979 -aS'gastroesophageal\tgastroesophageal\tJJ\tI-NP\tO' -p187980 -aS'junction\tjunction\tNN\tI-NP\tO' -p187981 -aS',\t,\t,\tO\tO' -p187982 -aS'granularity\tgranularity\tNN\tB-NP\tO' -p187983 -aS',\t,\t,\tO\tO' -p187984 -aS'erythema\terythema\tNN\tB-NP\tO' -p187985 -aS'and\tand\tCC\tI-NP\tO' -p187986 -aS'congestion\tcongestion\tNN\tI-NP\tO' -p187987 -aS'of\tof\tIN\tB-PP\tO' -p187988 -aS'the\tthe\tDT\tB-NP\tO' -p187989 -aS'antrum\tantrum\tNN\tI-NP\tO' -p187990 -aS'in\tin\tIN\tB-PP\tO' -p187991 -aS'the\tthe\tDT\tB-NP\tO' -p187992 -aS'pre-pyloric\tpre-pyloric\tJJ\tI-NP\tB-DNA' -p187993 -aS'region\tregion\tNN\tI-NP\tI-DNA' -p187994 -aS'compatible\tcompatible\tJJ\tB-ADJP\tO' -p187995 -aS'with\twith\tIN\tB-PP\tO' -p187996 -aS'gastritis\tgastritis\tNN\tB-NP\tO' -p187997 -aS'.\t.\t.\tO\tO' -p187998 -asS'Missing R 1st toe and L 2nd toe .' -p187999 -(lp188000 -S'Missing\tMissing\tNNP\tB-NP\tO' -p188001 -aS'R\tR\tNNP\tI-NP\tO' -p188002 -aS'1st\t1st\tJJ\tI-NP\tO' -p188003 -aS'toe\ttoe\tNN\tI-NP\tO' -p188004 -aS'and\tand\tCC\tI-NP\tO' -p188005 -aS'L\tL\tNN\tI-NP\tO' -p188006 -aS'2nd\t2nd\tNN\tI-NP\tO' -p188007 -aS'toe\ttoe\tNN\tI-NP\tO' -p188008 -aS'.\t.\t.\tO\tO' -p188009 -asS'She did well off antiarrhythmic agents until October of this year when she was noted to have atrial fibrillation with a rapid ventricular rate after several days of decreased exercise tolerance .' -p188010 -(lp188011 -S'She\tShe\tPRP\tB-NP\tO' -p188012 -aS'did\tdo\tVBD\tB-VP\tO' -p188013 -aS'well\twell\tRB\tB-ADVP\tO' -p188014 -aS'off\toff\tIN\tB-PP\tO' -p188015 -aS'antiarrhythmic\tantiarrhythmic\tJJ\tB-NP\tO' -p188016 -aS'agents\tagent\tNNS\tI-NP\tO' -p188017 -aS'until\tuntil\tIN\tB-PP\tO' -p188018 -aS'October\tOctober\tNNP\tB-NP\tO' -p188019 -aS'of\tof\tIN\tB-PP\tO' -p188020 -aS'this\tthis\tDT\tB-NP\tO' -p188021 -aS'year\tyear\tNN\tI-NP\tO' -p188022 -aS'when\twhen\tWRB\tB-ADVP\tO' -p188023 -aS'she\tshe\tPRP\tB-NP\tO' -p188024 -aS'was\tbe\tVBD\tB-VP\tO' -p188025 -aS'noted\tnote\tVBN\tI-VP\tO' -p188026 -aS'to\tto\tTO\tI-VP\tO' -p188027 -aS'have\thave\tVB\tI-VP\tO' -p188028 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p188029 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p188030 -aS'with\twith\tIN\tB-PP\tO' -p188031 -aS'a\ta\tDT\tB-NP\tO' -p188032 -aS'rapid\trapid\tJJ\tI-NP\tO' -p188033 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p188034 -aS'rate\trate\tNN\tI-NP\tO' -p188035 -aS'after\tafter\tIN\tB-PP\tO' -p188036 -aS'several\tseveral\tJJ\tB-NP\tO' -p188037 -aS'days\tday\tNNS\tI-NP\tO' -p188038 -aS'of\tof\tIN\tB-PP\tO' -p188039 -aS'decreased\tdecrease\tVBN\tB-NP\tO' -p188040 -aS'exercise\texercise\tNN\tI-NP\tO' -p188041 -aS'tolerance\ttolerance\tNN\tI-NP\tO' -p188042 -aS'.\t.\t.\tO\tO' -p188043 -asS'3 - Return to ED or call PCP if neck inflammation and red swollen area does not continue to get better or if temperature returns .' -p188044 -(lp188045 -S'3\t3\tCD\tB-NP\tO' -p188046 -aS'-\t-\tHYPH\tI-NP\tO' -p188047 -aS'Return\tReturn\tNN\tI-NP\tO' -p188048 -aS'to\tto\tTO\tB-PP\tO' -p188049 -aS'ED\tED\tNN\tB-NP\tO' -p188050 -aS'or\tor\tCC\tI-NP\tO' -p188051 -aS'call\tcall\tNN\tI-NP\tO' -p188052 -aS'PCP\tPCP\tNN\tI-NP\tO' -p188053 -aS'if\tif\tIN\tB-SBAR\tO' -p188054 -aS'neck\tneck\tNN\tB-NP\tO' -p188055 -aS'inflammation\tinflammation\tNN\tI-NP\tO' -p188056 -aS'and\tand\tCC\tO\tO' -p188057 -aS'red\tred\tJJ\tB-NP\tO' -p188058 -aS'swollen\tswell\tVBN\tI-NP\tO' -p188059 -aS'area\tarea\tNN\tI-NP\tO' -p188060 -aS'does\tdo\tVBZ\tB-VP\tO' -p188061 -aS'not\tnot\tRB\tI-VP\tO' -p188062 -aS'continue\tcontinue\tVB\tI-VP\tO' -p188063 -aS'to\tto\tTO\tI-VP\tO' -p188064 -aS'get\tget\tVB\tI-VP\tO' -p188065 -aS'better\twell\tRBR\tB-ADVP\tO' -p188066 -aS'or\tor\tCC\tO\tO' -p188067 -aS'if\tif\tIN\tB-SBAR\tO' -p188068 -aS'temperature\ttemperature\tNN\tB-NP\tO' -p188069 -aS'returns\treturn\tNNS\tI-NP\tO' -p188070 -aS'.\t.\t.\tO\tO' -p188071 -asS'Is as above .' -p188072 -(lp188073 -S'Is\tBe\tVBZ\tO\tO' -p188074 -aS'as\tas\tRB\tB-ADVP\tO' -p188075 -aS'above\tabove\tRB\tI-ADVP\tO' -p188076 -aS'.\t.\t.\tO\tO' -p188077 -asS'Head , ears , eyes , nose and throat : Atraumatic and normocephalic .' -p188078 -(lp188079 -S'Head\tHead\tRB\tB-ADVP\tO' -p188080 -aS',\t,\t,\tO\tO' -p188081 -aS'ears\tear\tNNS\tB-NP\tO' -p188082 -aS',\t,\t,\tI-NP\tO' -p188083 -aS'eyes\teye\tNNS\tI-NP\tO' -p188084 -aS',\t,\t,\tI-NP\tO' -p188085 -aS'nose\tnose\tNN\tI-NP\tO' -p188086 -aS'and\tand\tCC\tI-NP\tO' -p188087 -aS'throat\tthroat\tNN\tI-NP\tO' -p188088 -aS':\t:\t:\tO\tO' -p188089 -aS'Atraumatic\tAtraumatic\tJJ\tB-ADJP\tO' -p188090 -aS'and\tand\tCC\tI-ADJP\tO' -p188091 -aS'normocephalic\tnormocephalic\tJJ\tI-ADJP\tO' -p188092 -aS'.\t.\t.\tO\tO' -p188093 -asS'Attending : William Q. Williams , M.D.' -p188094 -(lp188095 -S'Attending\tAttend\tVBG\tB-VP\tO' -p188096 -aS':\t:\t:\tO\tO' -p188097 -aS'William\tWilliam\tNNP\tB-NP\tO' -p188098 -aS'Q.\tQ.\tNNP\tI-NP\tO' -p188099 -aS'Williams\tWilliams\tNNP\tI-NP\tO' -p188100 -aS',\t,\t,\tO\tO' -p188101 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p188102 -asS'After that period of time , his mental status gradually improved and he continued to receive his blood transfusions requiring a total of ten units of packed red blood cells and four units of fresh frozen plasma to reach a hematocrit of 30.0 , which remained stable for the duration of his stay .' -p188103 -(lp188104 -S'After\tAfter\tIN\tB-PP\tO' -p188105 -aS'that\tthat\tDT\tB-NP\tO' -p188106 -aS'period\tperiod\tNN\tI-NP\tO' -p188107 -aS'of\tof\tIN\tB-PP\tO' -p188108 -aS'time\ttime\tNN\tB-NP\tO' -p188109 -aS',\t,\t,\tO\tO' -p188110 -aS'his\this\tPRP$\tB-NP\tO' -p188111 -aS'mental\tmental\tJJ\tI-NP\tO' -p188112 -aS'status\tstatus\tNN\tI-NP\tO' -p188113 -aS'gradually\tgradually\tRB\tB-VP\tO' -p188114 -aS'improved\timprove\tVBN\tI-VP\tO' -p188115 -aS'and\tand\tCC\tO\tO' -p188116 -aS'he\the\tPRP\tB-NP\tO' -p188117 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p188118 -aS'to\tto\tTO\tI-VP\tO' -p188119 -aS'receive\treceive\tVB\tI-VP\tO' -p188120 -aS'his\this\tPRP$\tB-NP\tO' -p188121 -aS'blood\tblood\tNN\tI-NP\tO' -p188122 -aS'transfusions\ttransfusion\tNNS\tI-NP\tO' -p188123 -aS'requiring\trequire\tVBG\tB-VP\tO' -p188124 -aS'a\ta\tDT\tB-NP\tO' -p188125 -aS'total\ttotal\tNN\tI-NP\tO' -p188126 -aS'of\tof\tIN\tB-PP\tO' -p188127 -aS'ten\tten\tCD\tB-NP\tO' -p188128 -aS'units\tunit\tNNS\tI-NP\tO' -p188129 -aS'of\tof\tIN\tB-PP\tO' -p188130 -aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' -p188131 -aS'red\tred\tJJ\tI-NP\tI-cell_type' -p188132 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p188133 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p188134 -aS'and\tand\tCC\tO\tO' -p188135 -aS'four\tfour\tCD\tB-NP\tO' -p188136 -aS'units\tunit\tNNS\tI-NP\tO' -p188137 -aS'of\tof\tIN\tB-PP\tO' -p188138 -aS'fresh\tfresh\tJJ\tB-NP\tO' -p188139 -aS'frozen\tfrozen\tJJ\tI-NP\tO' -p188140 -aS'plasma\tplasma\tNN\tI-NP\tO' -p188141 -aS'to\tto\tTO\tB-VP\tO' -p188142 -aS'reach\treach\tVB\tI-VP\tO' -p188143 -aS'a\ta\tDT\tB-NP\tO' -p188144 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p188145 -aS'of\tof\tIN\tB-PP\tO' -p188146 -aS'30.0\t30.0\tCD\tB-NP\tO' -p188147 -aS',\t,\t,\tO\tO' -p188148 -aS'which\twhich\tWDT\tB-NP\tO' -p188149 -aS'remained\tremain\tVBD\tB-VP\tO' -p188150 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p188151 -aS'for\tfor\tIN\tB-PP\tO' -p188152 -aS'the\tthe\tDT\tB-NP\tO' -p188153 -aS'duration\tduration\tNN\tI-NP\tO' -p188154 -aS'of\tof\tIN\tB-PP\tO' -p188155 -aS'his\this\tPRP$\tB-NP\tO' -p188156 -aS'stay\tstay\tNN\tI-NP\tO' -p188157 -aS'.\t.\t.\tO\tO' -p188158 -asS'Questions regarding follow up may be referred to Dr. Ronda Lopez at the Ayer Orthopedic Group .' -p188159 -(lp188160 -S'Questions\tQuestion\tNNS\tB-NP\tO' -p188161 -aS'regarding\tregard\tVBG\tB-VP\tO' -p188162 -aS'follow\tfollow\tVBP\tB-VP\tO' -p188163 -aS'up\tup\tRP\tB-PRT\tO' -p188164 -aS'may\tmay\tMD\tB-VP\tO' -p188165 -aS'be\tbe\tVB\tI-VP\tO' -p188166 -aS'referred\trefer\tVBN\tI-VP\tO' -p188167 -aS'to\tto\tTO\tB-PP\tO' -p188168 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p188169 -aS'Ronda\tRonda\tNNP\tI-NP\tO' -p188170 -aS'Lopez\tLopez\tNNP\tI-NP\tO' -p188171 -aS'at\tat\tIN\tB-PP\tO' -p188172 -aS'the\tthe\tDT\tB-NP\tO' -p188173 -aS'Ayer\tAyer\tNNP\tI-NP\tO' -p188174 -aS'Orthopedic\tOrthopedic\tNNP\tI-NP\tO' -p188175 -aS'Group\tGroup\tNNP\tI-NP\tO' -p188176 -aS'.\t.\t.\tO\tO' -p188177 -asS'In addition , multiple stools were guaiaced and were all guaiac negative .' -p188178 -(lp188179 -S'In\tIn\tIN\tB-PP\tO' -p188180 -aS'addition\taddition\tNN\tB-NP\tO' -p188181 -aS',\t,\t,\tO\tO' -p188182 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p188183 -aS'stools\tstool\tNNS\tI-NP\tO' -p188184 -aS'were\tbe\tVBD\tB-VP\tO' -p188185 -aS'guaiaced\tguaiace\tVBN\tI-VP\tO' -p188186 -aS'and\tand\tCC\tO\tO' -p188187 -aS'were\tbe\tVBD\tB-VP\tO' -p188188 -aS'all\tall\tDT\tB-NP\tO' -p188189 -aS'guaiac\tguaiac\tNN\tI-NP\tO' -p188190 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p188191 -aS'.\t.\t.\tO\tO' -p188192 -asS'We believe her to still be total body overloaded .' -p188193 -(lp188194 -S'We\tWe\tPRP\tB-NP\tO' -p188195 -aS'believe\tbelieve\tVBP\tB-VP\tO' -p188196 -aS'her\ther\tPRP\tB-NP\tO' -p188197 -aS'to\tto\tTO\tB-VP\tO' -p188198 -aS'still\tstill\tRB\tI-VP\tO' -p188199 -aS'be\tbe\tVB\tI-VP\tO' -p188200 -aS'total\ttotal\tJJ\tB-NP\tO' -p188201 -aS'body\tbody\tNN\tI-NP\tO' -p188202 -aS'overloaded\toverload\tVBD\tB-VP\tO' -p188203 -aS'.\t.\t.\tO\tO' -p188204 -asS'5. Chronic low back pain .' -p188205 -(lp188206 -S'5.\t5.\tLS\tB-NP\tO' -p188207 -aS'Chronic\tChronic\tNNP\tI-NP\tO' -p188208 -aS'low\tlow\tJJ\tI-NP\tO' -p188209 -aS'back\tback\tJJ\tI-NP\tO' -p188210 -aS'pain\tpain\tNN\tI-NP\tO' -p188211 -aS'.\t.\t.\tO\tO' -p188212 -asS'IVC filter and probable NU stent catheter on the left also noted .' -p188213 -(lp188214 -S'IVC\tIVC\tNN\tB-NP\tO' -p188215 -aS'filter\tfilter\tNN\tI-NP\tO' -p188216 -aS'and\tand\tCC\tO\tO' -p188217 -aS'probable\tprobable\tJJ\tB-NP\tO' -p188218 -aS'NU\tNU\tNN\tI-NP\tO' -p188219 -aS'stent\tstent\tNN\tI-NP\tO' -p188220 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p188221 -aS'on\ton\tIN\tB-PP\tO' -p188222 -aS'the\tthe\tDT\tB-NP\tO' -p188223 -aS'left\tleft\tNN\tI-NP\tO' -p188224 -aS'also\talso\tRB\tB-ADVP\tO' -p188225 -aS'noted\tnote\tVBD\tB-VP\tO' -p188226 -aS'.\t.\t.\tO\tO' -p188227 -asS'A right upper quadrant ultrasound documented gallstones , without evidence of common bile duct dilatation or active cholecystitis .' -p188228 -(lp188229 -S'A\tA\tDT\tB-NP\tO' -p188230 -aS'right\tright\tJJ\tI-NP\tO' -p188231 -aS'upper\tupper\tJJ\tI-NP\tO' -p188232 -aS'quadrant\tquadrant\tNN\tI-NP\tO' -p188233 -aS'ultrasound\tultrasound\tJJ\tI-NP\tO' -p188234 -aS'documented\tdocument\tVBN\tI-NP\tO' -p188235 -aS'gallstones\tgallstone\tNNS\tI-NP\tO' -p188236 -aS',\t,\t,\tO\tO' -p188237 -aS'without\twithout\tIN\tB-PP\tO' -p188238 -aS'evidence\tevidence\tNN\tB-NP\tO' -p188239 -aS'of\tof\tIN\tB-PP\tO' -p188240 -aS'common\tcommon\tJJ\tB-NP\tO' -p188241 -aS'bile\tbile\tNN\tI-NP\tO' -p188242 -aS'duct\tduct\tNN\tI-NP\tO' -p188243 -aS'dilatation\tdilatation\tNN\tI-NP\tO' -p188244 -aS'or\tor\tCC\tO\tO' -p188245 -aS'active\tactive\tJJ\tB-NP\tO' -p188246 -aS'cholecystitis\tcholecystitis\tNN\tI-NP\tO' -p188247 -aS'.\t.\t.\tO\tO' -p188248 -asS'The patient required high pressures to ventilate adequately , possibly related to an abdominal compartment syndrome .' -p188249 -(lp188250 -S'The\tThe\tDT\tB-NP\tO' -p188251 -aS'patient\tpatient\tNN\tI-NP\tO' -p188252 -aS'required\trequire\tVBD\tB-VP\tO' -p188253 -aS'high\thigh\tJJ\tB-NP\tO' -p188254 -aS'pressures\tpressure\tNNS\tI-NP\tO' -p188255 -aS'to\tto\tTO\tB-VP\tO' -p188256 -aS'ventilate\tventilate\tVB\tI-VP\tO' -p188257 -aS'adequately\tadequately\tRB\tB-ADVP\tO' -p188258 -aS',\t,\t,\tO\tO' -p188259 -aS'possibly\tpossibly\tRB\tB-ADJP\tO' -p188260 -aS'related\trelated\tJJ\tI-ADJP\tO' -p188261 -aS'to\tto\tTO\tB-PP\tO' -p188262 -aS'an\tan\tDT\tB-NP\tO' -p188263 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p188264 -aS'compartment\tcompartment\tNN\tI-NP\tO' -p188265 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p188266 -aS'.\t.\t.\tO\tO' -p188267 -asS'Her INR was found to be elevated when admitted and , in the course of waiting for this to normalize , the patient spiked a temperature to 105 and became hypotensive to the 70s .' -p188268 -(lp188269 -S'Her\tHer\tPRP$\tB-NP\tO' -p188270 -aS'INR\tINR\tNN\tI-NP\tB-protein' -p188271 -aS'was\tbe\tVBD\tB-VP\tO' -p188272 -aS'found\tfind\tVBN\tI-VP\tO' -p188273 -aS'to\tto\tTO\tI-VP\tO' -p188274 -aS'be\tbe\tVB\tI-VP\tO' -p188275 -aS'elevated\televate\tVBN\tI-VP\tO' -p188276 -aS'when\twhen\tWRB\tB-ADVP\tO' -p188277 -aS'admitted\tadmit\tVBN\tB-VP\tO' -p188278 -aS'and\tand\tCC\tO\tO' -p188279 -aS',\t,\t,\tO\tO' -p188280 -aS'in\tin\tIN\tB-PP\tO' -p188281 -aS'the\tthe\tDT\tB-NP\tO' -p188282 -aS'course\tcourse\tNN\tI-NP\tO' -p188283 -aS'of\tof\tIN\tB-PP\tO' -p188284 -aS'waiting\twait\tVBG\tB-VP\tO' -p188285 -aS'for\tfor\tIN\tB-PP\tO' -p188286 -aS'this\tthis\tDT\tB-NP\tO' -p188287 -aS'to\tto\tTO\tB-VP\tO' -p188288 -aS'normalize\tnormalize\tVB\tI-VP\tO' -p188289 -aS',\t,\t,\tO\tO' -p188290 -aS'the\tthe\tDT\tB-NP\tO' -p188291 -aS'patient\tpatient\tNN\tI-NP\tO' -p188292 -aS'spiked\tspike\tVBD\tB-VP\tO' -p188293 -aS'a\ta\tDT\tB-NP\tO' -p188294 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p188295 -aS'to\tto\tTO\tB-PP\tO' -p188296 -aS'105\t105\tCD\tB-NP\tO' -p188297 -aS'and\tand\tCC\tO\tO' -p188298 -aS'became\tbecome\tVBD\tB-VP\tO' -p188299 -aS'hypotensive\thypotensive\tJJ\tB-ADJP\tO' -p188300 -aS'to\tto\tTO\tB-PP\tO' -p188301 -aS'the\tthe\tDT\tB-NP\tO' -p188302 -aS'70s\t70\tNNS\tI-NP\tO' -p188303 -aS'.\t.\t.\tO\tO' -p188304 -asS'Still tachypneic and hypoxic on room air .' -p188305 -(lp188306 -S'Still\tStill\tRB\tB-ADJP\tO' -p188307 -aS'tachypneic\ttachypneic\tJJ\tI-ADJP\tO' -p188308 -aS'and\tand\tCC\tI-ADJP\tO' -p188309 -aS'hypoxic\thypoxic\tJJ\tI-ADJP\tO' -p188310 -aS'on\ton\tIN\tB-PP\tO' -p188311 -aS'room\troom\tNN\tB-NP\tO' -p188312 -aS'air\tair\tNN\tI-NP\tO' -p188313 -aS'.\t.\t.\tO\tO' -p188314 -asS'Following evaluation and treatment , the patient 's disposition at the end of the visit was ADMITTED AS AN INPATIENT TO HEAONBOBURG LINPACK GRANT MEDICAL CENTER .' -p188315 -(lp188316 -S'Following\tFollow\tVBG\tB-PP\tO' -p188317 -aS'evaluation\tevaluation\tNN\tB-NP\tO' -p188318 -aS'and\tand\tCC\tI-NP\tO' -p188319 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p188320 -aS',\t,\t,\tO\tO' -p188321 -aS'the\tthe\tDT\tB-NP\tO' -p188322 -aS'patient\tpatient\tNN\tI-NP\tO' -p188323 -aS''s\t'\tNNS\tI-NP\tO' -p188324 -aS'disposition\tdisposition\tNN\tI-NP\tO' -p188325 -aS'at\tat\tIN\tB-PP\tO' -p188326 -aS'the\tthe\tDT\tB-NP\tO' -p188327 -aS'end\tend\tNN\tI-NP\tO' -p188328 -aS'of\tof\tIN\tB-PP\tO' -p188329 -aS'the\tthe\tDT\tB-NP\tO' -p188330 -aS'visit\tvisit\tNN\tI-NP\tO' -p188331 -aS'was\tbe\tVBD\tB-VP\tO' -p188332 -aS'ADMITTED\tADMITTED\tVBN\tI-VP\tO' -p188333 -aS'AS\tAS\tNNP\tB-NP\tO' -p188334 -aS'AN\tAN\tNNP\tI-NP\tO' -p188335 -aS'INPATIENT\tINPATIENT\tNNP\tI-NP\tO' -p188336 -aS'TO\tTO\tNNP\tI-NP\tO' -p188337 -aS'HEAONBOBURG\tHEAONBOBURG\tNNP\tI-NP\tO' -p188338 -aS'LINPACK\tLINPACK\tNNP\tI-NP\tO' -p188339 -aS'GRANT\tGRANT\tNNP\tI-NP\tO' -p188340 -aS'MEDICAL\tMEDICAL\tNNP\tI-NP\tO' -p188341 -aS'CENTER\tCENTER\tNNP\tI-NP\tO' -p188342 -aS'.\t.\t.\tO\tO' -p188343 -asS'no clubbing , cyanosis or edema .' -p188344 -(lp188345 -S'no\tno\tDT\tB-NP\tO' -p188346 -aS'clubbing\tclubbing\tNN\tI-NP\tO' -p188347 -aS',\t,\t,\tI-NP\tO' -p188348 -aS'cyanosis\tcyanosis\tNN\tI-NP\tO' -p188349 -aS'or\tor\tCC\tI-NP\tO' -p188350 -aS'edema\tedema\tNN\tI-NP\tO' -p188351 -aS'.\t.\t.\tO\tO' -p188352 -asS'EMTs called many times .' -p188353 -(lp188354 -S'EMTs\tEMT\tNNS\tB-NP\tO' -p188355 -aS'called\tcall\tVBD\tB-VP\tO' -p188356 -aS'many\tmany\tJJ\tB-NP\tO' -p188357 -aS'times\ttime\tNNS\tI-NP\tO' -p188358 -aS'.\t.\t.\tO\tO' -p188359 -asS'An AP of pelvis and R hip films were unremarkable .' -p188360 -(lp188361 -S'An\tAn\tDT\tB-NP\tO' -p188362 -aS'AP\tAP\tNN\tI-NP\tO' -p188363 -aS'of\tof\tIN\tB-PP\tO' -p188364 -aS'pelvis\tpelvis\tNN\tB-NP\tO' -p188365 -aS'and\tand\tCC\tI-NP\tO' -p188366 -aS'R\tR\tNN\tI-NP\tO' -p188367 -aS'hip\thip\tNN\tI-NP\tO' -p188368 -aS'films\tfilm\tNNS\tI-NP\tO' -p188369 -aS'were\tbe\tVBD\tB-VP\tO' -p188370 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p188371 -aS'.\t.\t.\tO\tO' -p188372 -asS'Covered broadly with vancomycin , flagyl , and cefipime .' -p188373 -(lp188374 -S'Covered\tCover\tVBN\tB-VP\tO' -p188375 -aS'broadly\tbroadly\tRB\tB-ADVP\tO' -p188376 -aS'with\twith\tIN\tB-PP\tO' -p188377 -aS'vancomycin\tvancomycin\tNN\tB-NP\tO' -p188378 -aS',\t,\t,\tO\tO' -p188379 -aS'flagyl\tflagyl\tNN\tB-NP\tO' -p188380 -aS',\t,\t,\tO\tO' -p188381 -aS'and\tand\tCC\tO\tO' -p188382 -aS'cefipime\tcefipime\tNN\tB-NP\tO' -p188383 -aS'.\t.\t.\tO\tO' -p188384 -asS'Positive hepatojugular reflexes .' -p188385 -(lp188386 -S'Positive\tPositive\tJJ\tB-NP\tO' -p188387 -aS'hepatojugular\thepatojugular\tJJ\tI-NP\tO' -p188388 -aS'reflexes\treflex\tNNS\tI-NP\tO' -p188389 -aS'.\t.\t.\tO\tO' -p188390 -asS'The patient needs still better diabetes control .' -p188391 -(lp188392 -S'The\tThe\tDT\tB-NP\tO' -p188393 -aS'patient\tpatient\tNN\tI-NP\tO' -p188394 -aS'needs\tneed\tVBZ\tB-VP\tO' -p188395 -aS'still\tstill\tRB\tB-NP\tO' -p188396 -aS'better\tgood\tJJR\tI-NP\tO' -p188397 -aS'diabetes\tdiabetes\tNN\tI-NP\tO' -p188398 -aS'control\tcontrol\tNN\tI-NP\tO' -p188399 -aS'.\t.\t.\tO\tO' -p188400 -asS'ASPIRATION PNEUMONIA .' -p188401 -(lp188402 -S'ASPIRATION\tASPIRATION\tNN\tB-NP\tO' -p188403 -aS'PNEUMONIA\tPNEUMONIA\tNN\tI-NP\tO' -p188404 -aS'.\t.\t.\tO\tO' -p188405 -asS'Beta-blockers should not be used while using cocaine .' -p188406 -(lp188407 -S'Beta-blockers\tBeta-blocker\tNNS\tB-NP\tO' -p188408 -aS'should\tshould\tMD\tB-VP\tO' -p188409 -aS'not\tnot\tRB\tI-VP\tO' -p188410 -aS'be\tbe\tVB\tI-VP\tO' -p188411 -aS'used\tuse\tVBN\tI-VP\tO' -p188412 -aS'while\twhile\tIN\tB-SBAR\tO' -p188413 -aS'using\tuse\tVBG\tB-VP\tO' -p188414 -aS'cocaine\tcocaine\tNN\tB-NP\tO' -p188415 -aS'.\t.\t.\tO\tO' -p188416 -asS'No additional masses or nodules appreciated on exam .' -p188417 -(lp188418 -S'No\tNo\tDT\tB-NP\tO' -p188419 -aS'additional\tadditional\tJJ\tI-NP\tO' -p188420 -aS'masses\tmass\tNNS\tI-NP\tO' -p188421 -aS'or\tor\tCC\tI-NP\tO' -p188422 -aS'nodules\tnodule\tNNS\tI-NP\tO' -p188423 -aS'appreciated\tappreciate\tVBN\tB-VP\tO' -p188424 -aS'on\ton\tIN\tB-PP\tO' -p188425 -aS'exam\texam\tNN\tB-NP\tO' -p188426 -aS'.\t.\t.\tO\tO' -p188427 -asS'Differential diagnosis includes primary head/neck cancer and lymphoma .' -p188428 -(lp188429 -S'Differential\tDifferential\tJJ\tB-NP\tO' -p188430 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p188431 -aS'includes\tinclude\tVBZ\tB-VP\tO' -p188432 -aS'primary\tprimary\tJJ\tB-NP\tO' -p188433 -aS'head/neck\thead/neck\tNN\tI-NP\tO' -p188434 -aS'cancer\tcancer\tNN\tI-NP\tO' -p188435 -aS'and\tand\tCC\tI-NP\tO' -p188436 -aS'lymphoma\tlymphoma\tNN\tI-NP\tO' -p188437 -aS'.\t.\t.\tO\tO' -p188438 -asS'status post aortic valve replacement , status post coronary artery bypass grafting .' -p188439 -(lp188440 -S'status\tstatus\tNN\tB-NP\tO' -p188441 -aS'post\tpost\tNN\tI-NP\tO' -p188442 -aS'aortic\taortic\tJJ\tI-NP\tO' -p188443 -aS'valve\tvalve\tNN\tI-NP\tO' -p188444 -aS'replacement\treplacement\tNN\tI-NP\tO' -p188445 -aS',\t,\t,\tO\tO' -p188446 -aS'status\tstatus\tNN\tB-NP\tO' -p188447 -aS'post\tpost\tNN\tI-NP\tO' -p188448 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p188449 -aS'artery\tartery\tNN\tI-NP\tO' -p188450 -aS'bypass\tbypass\tIN\tB-PP\tO' -p188451 -aS'grafting\tgrafting\tNN\tB-NP\tO' -p188452 -aS'.\t.\t.\tO\tO' -p188453 -asS'His discharge weight is 4180 grams .' -p188454 -(lp188455 -S'His\tHis\tPRP$\tB-NP\tO' -p188456 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p188457 -aS'weight\tweight\tNN\tI-NP\tO' -p188458 -aS'is\tbe\tVBZ\tB-VP\tO' -p188459 -aS'4180\t4180\tCD\tB-NP\tO' -p188460 -aS'grams\tgram\tNNS\tI-NP\tO' -p188461 -aS'.\t.\t.\tO\tO' -p188462 -asS'He had a differential diagnosis of asystole preceded by an acute rise in central venous pressure included attention pneumothorax , cardiac tamponade , and pulmonary embolism .' -p188463 -(lp188464 -S'He\tHe\tPRP\tB-NP\tO' -p188465 -aS'had\thave\tVBD\tB-VP\tO' -p188466 -aS'a\ta\tDT\tB-NP\tO' -p188467 -aS'differential\tdifferential\tJJ\tI-NP\tO' -p188468 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p188469 -aS'of\tof\tIN\tB-PP\tO' -p188470 -aS'asystole\tasystole\tNN\tB-NP\tO' -p188471 -aS'preceded\tprecede\tVBN\tB-VP\tO' -p188472 -aS'by\tby\tIN\tB-PP\tO' -p188473 -aS'an\tan\tDT\tB-NP\tO' -p188474 -aS'acute\tacute\tJJ\tI-NP\tO' -p188475 -aS'rise\trise\tNN\tI-NP\tO' -p188476 -aS'in\tin\tIN\tB-PP\tO' -p188477 -aS'central\tcentral\tJJ\tB-NP\tO' -p188478 -aS'venous\tvenous\tJJ\tI-NP\tO' -p188479 -aS'pressure\tpressure\tNN\tI-NP\tO' -p188480 -aS'included\tinclude\tVBD\tB-VP\tO' -p188481 -aS'attention\tattention\tNN\tB-NP\tO' -p188482 -aS'pneumothorax\tpneumothorax\tNN\tI-NP\tO' -p188483 -aS',\t,\t,\tO\tO' -p188484 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p188485 -aS'tamponade\ttamponade\tNN\tI-NP\tO' -p188486 -aS',\t,\t,\tO\tO' -p188487 -aS'and\tand\tCC\tO\tO' -p188488 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p188489 -aS'embolism\tembolism\tNN\tI-NP\tO' -p188490 -aS'.\t.\t.\tO\tO' -p188491 -asS'The patient was restarted on Levothyroxine soon after admission .' -p188492 -(lp188493 -S'The\tThe\tDT\tB-NP\tO' -p188494 -aS'patient\tpatient\tNN\tI-NP\tO' -p188495 -aS'was\tbe\tVBD\tB-VP\tO' -p188496 -aS'restarted\trestart\tVBN\tI-VP\tO' -p188497 -aS'on\ton\tIN\tB-PP\tO' -p188498 -aS'Levothyroxine\tLevothyroxine\tNN\tB-NP\tO' -p188499 -aS'soon\tsoon\tRB\tB-ADVP\tO' -p188500 -aS'after\tafter\tIN\tB-PP\tO' -p188501 -aS'admission\tadmission\tNN\tB-NP\tO' -p188502 -aS'.\t.\t.\tO\tO' -p188503 -asS'3) Question progressive supranuclear palsy .' -p188504 -(lp188505 -S'3)\t3)\tLS\tB-NP\tO' -p188506 -aS'Question\tQuestion\tNN\tI-NP\tO' -p188507 -aS'progressive\tprogressive\tJJ\tI-NP\tO' -p188508 -aS'supranuclear\tsupranuclear\tJJ\tI-NP\tO' -p188509 -aS'palsy\tpalsy\tNN\tI-NP\tO' -p188510 -aS'.\t.\t.\tO\tO' -p188511 -asS'Chief Complaint : abdominal pain / nausea' -p188512 -(lp188513 -S'Chief\tChief\tNNP\tB-NP\tO' -p188514 -aS'Complaint\tComplaint\tNNP\tI-NP\tO' -p188515 -aS':\t:\t:\tO\tO' -p188516 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p188517 -aS'pain\tpain\tNN\tI-NP\tO' -p188518 -aS'/\t/\tSYM\tB-NP\tO' -p188519 -aS'nausea\tnausea\tNN\tB-NP\tO' -p188520 -asS'Skin : no rashes , small decubit in the back .' -p188521 -(lp188522 -S'Skin\tSkin\tNN\tB-NP\tO' -p188523 -aS':\t:\t:\tO\tO' -p188524 -aS'no\tno\tDT\tB-NP\tO' -p188525 -aS'rashes\trash\tNNS\tI-NP\tO' -p188526 -aS',\t,\t,\tO\tO' -p188527 -aS'small\tsmall\tJJ\tB-NP\tO' -p188528 -aS'decubit\tdecubit\tNN\tI-NP\tO' -p188529 -aS'in\tin\tIN\tB-PP\tO' -p188530 -aS'the\tthe\tDT\tB-NP\tO' -p188531 -aS'back\tback\tNN\tI-NP\tO' -p188532 -aS'.\t.\t.\tO\tO' -p188533 -asS'Put on NTG drip without relief .' -p188534 -(lp188535 -S'Put\tPut\tNN\tB-NP\tB-protein' -p188536 -aS'on\ton\tIN\tB-PP\tO' -p188537 -aS'NTG\tNTG\tNN\tB-NP\tB-protein' -p188538 -aS'drip\tdrip\tNN\tI-NP\tI-protein' -p188539 -aS'without\twithout\tIN\tB-PP\tI-protein' -p188540 -aS'relief\trelief\tNN\tB-NP\tI-protein' -p188541 -aS'.\t.\t.\tO\tO' -p188542 -asS'During evaluation pt responsive to sternal rub but could not follow commands .' -p188543 -(lp188544 -S'During\tDuring\tIN\tB-PP\tO' -p188545 -aS'evaluation\tevaluation\tNN\tB-NP\tO' -p188546 -aS'pt\tpt\tNN\tI-NP\tO' -p188547 -aS'responsive\tresponsive\tJJ\tB-ADJP\tO' -p188548 -aS'to\tto\tTO\tB-PP\tO' -p188549 -aS'sternal\tsternal\tJJ\tB-NP\tO' -p188550 -aS'rub\trub\tNN\tI-NP\tO' -p188551 -aS'but\tbut\tCC\tO\tO' -p188552 -aS'could\tcould\tMD\tB-VP\tO' -p188553 -aS'not\tnot\tRB\tI-VP\tO' -p188554 -aS'follow\tfollow\tVB\tI-VP\tO' -p188555 -aS'commands\tcommand\tNNS\tB-NP\tO' -p188556 -aS'.\t.\t.\tO\tO' -p188557 -asS'Assistant was Dr. Justin K.. Velez .' -p188558 -(lp188559 -S'Assistant\tAssistant\tNN\tB-NP\tO' -p188560 -aS'was\tbe\tVBD\tB-VP\tO' -p188561 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p188562 -aS'Justin\tJustin\tNNP\tI-NP\tO' -p188563 -aS'K..\tK..\tNNP\tI-NP\tO' -p188564 -aS'Velez\tVelez\tNNP\tI-NP\tO' -p188565 -aS'.\t.\t.\tO\tO' -p188566 -asS'He had remained neurologically stable .' -p188567 -(lp188568 -S'He\tHe\tPRP\tB-NP\tO' -p188569 -aS'had\thave\tVBD\tB-VP\tO' -p188570 -aS'remained\tremain\tVBN\tI-VP\tO' -p188571 -aS'neurologically\tneurologically\tRB\tB-ADJP\tO' -p188572 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p188573 -aS'.\t.\t.\tO\tO' -p188574 -asS'8. Anemia .' -p188575 -(lp188576 -S'8.\t8.\tCD\tB-NP\tO' -p188577 -aS'Anemia\tAnemia\tNNP\tI-NP\tO' -p188578 -aS'.\t.\t.\tO\tO' -p188579 -asS'7. Chronic restrictive lung disease ( no PFT available )' -p188580 -(lp188581 -S'7.\t7.\tLS\tB-NP\tO' -p188582 -aS'Chronic\tChronic\tJJ\tI-NP\tO' -p188583 -aS'restrictive\trestrictive\tJJ\tI-NP\tO' -p188584 -aS'lung\tlung\tNN\tI-NP\tO' -p188585 -aS'disease\tdisease\tNN\tI-NP\tO' -p188586 -aS'(\t(\t(\tO\tO' -p188587 -aS'no\tno\tDT\tB-NP\tO' -p188588 -aS'PFT\tPFT\tNN\tI-NP\tO' -p188589 -aS'available\tavailable\tJJ\tB-ADJP\tO' -p188590 -aS')\t)\t)\tO\tO' -p188591 -asS'Therefore , the patient was taken to the Operating Room on 2009-08-24 for a Whipple procedure versus hepaticojejunostomy .' -p188592 -(lp188593 -S'Therefore\tTherefore\tRB\tB-ADVP\tO' -p188594 -aS',\t,\t,\tO\tO' -p188595 -aS'the\tthe\tDT\tB-NP\tO' -p188596 -aS'patient\tpatient\tNN\tI-NP\tO' -p188597 -aS'was\tbe\tVBD\tB-VP\tO' -p188598 -aS'taken\ttake\tVBN\tI-VP\tO' -p188599 -aS'to\tto\tTO\tB-PP\tO' -p188600 -aS'the\tthe\tDT\tB-NP\tO' -p188601 -aS'Operating\tOperating\tNNP\tI-NP\tO' -p188602 -aS'Room\tRoom\tNNP\tI-NP\tO' -p188603 -aS'on\ton\tIN\tB-PP\tO' -p188604 -aS'2009-08-24\t2009-08-24\tCD\tB-NP\tO' -p188605 -aS'for\tfor\tIN\tB-PP\tO' -p188606 -aS'a\ta\tDT\tB-NP\tO' -p188607 -aS'Whipple\tWhipple\tNNP\tI-NP\tO' -p188608 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p188609 -aS'versus\tversus\tIN\tB-PP\tO' -p188610 -aS'hepaticojejunostomy\thepaticojejunostomy\tNN\tB-NP\tO' -p188611 -aS'.\t.\t.\tO\tO' -p188612 -asS'- T2DM c/b neuropathy and nephropathy' -p188613 -(lp188614 -S'-\t-\tHYPH\tB-NP\tO' -p188615 -aS'T2DM\tT2DM\tNN\tI-NP\tO' -p188616 -aS'c/b\tc/b\tNN\tI-NP\tO' -p188617 -aS'neuropathy\tneuropathy\tNN\tI-NP\tO' -p188618 -aS'and\tand\tCC\tO\tO' -p188619 -aS'nephropathy\tnephropathy\tNN\tB-NP\tO' -p188620 -asS'At the time of discharge , his Plavix was held due to Guaiac positive stools and hematocrit drop throughout admission .' -p188621 -(lp188622 -S'At\tAt\tIN\tB-PP\tO' -p188623 -aS'the\tthe\tDT\tB-NP\tO' -p188624 -aS'time\ttime\tNN\tI-NP\tO' -p188625 -aS'of\tof\tIN\tB-PP\tO' -p188626 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p188627 -aS',\t,\t,\tO\tO' -p188628 -aS'his\this\tPRP$\tB-NP\tO' -p188629 -aS'Plavix\tPlavix\tNN\tI-NP\tO' -p188630 -aS'was\tbe\tVBD\tB-VP\tO' -p188631 -aS'held\thold\tVBN\tI-VP\tO' -p188632 -aS'due\tdue\tJJ\tB-ADJP\tO' -p188633 -aS'to\tto\tTO\tB-PP\tO' -p188634 -aS'Guaiac\tGuaiac\tJJ\tB-NP\tO' -p188635 -aS'positive\tpositive\tJJ\tI-NP\tO' -p188636 -aS'stools\tstool\tNNS\tI-NP\tO' -p188637 -aS'and\tand\tCC\tO\tO' -p188638 -aS'hematocrit\thematocrit\tNN\tB-NP\tO' -p188639 -aS'drop\tdrop\tNN\tI-NP\tO' -p188640 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p188641 -aS'admission\tadmission\tNN\tB-NP\tO' -p188642 -aS'.\t.\t.\tO\tO' -p188643 -asS'Blood pressure 152/74 , pulse 60 , respirations 16 .' -p188644 -(lp188645 -S'Blood\tBlood\tNN\tB-NP\tO' -p188646 -aS'pressure\tpressure\tNN\tI-NP\tO' -p188647 -aS'152/74\t152/74\tCD\tI-NP\tO' -p188648 -aS',\t,\t,\tO\tO' -p188649 -aS'pulse\tpulse\tNN\tB-NP\tO' -p188650 -aS'60\t60\tCD\tI-NP\tO' -p188651 -aS',\t,\t,\tO\tO' -p188652 -aS'respirations\trespiration\tNNS\tB-NP\tO' -p188653 -aS'16\t16\tCD\tB-NP\tO' -p188654 -aS'.\t.\t.\tO\tO' -p188655 -asS'The patient was found to have expanding pulmonary infiltrates on chest x-ray , developed acute renal insufficiency with minimal urine output , less than 10 cc an hour , started on dopamine for hemodynamic instability .' -p188656 -(lp188657 -S'The\tThe\tDT\tB-NP\tO' -p188658 -aS'patient\tpatient\tNN\tI-NP\tO' -p188659 -aS'was\tbe\tVBD\tB-VP\tO' -p188660 -aS'found\tfind\tVBN\tI-VP\tO' -p188661 -aS'to\tto\tTO\tI-VP\tO' -p188662 -aS'have\thave\tVB\tI-VP\tO' -p188663 -aS'expanding\texpand\tVBG\tI-VP\tO' -p188664 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p188665 -aS'infiltrates\tinfiltrate\tNNS\tI-NP\tO' -p188666 -aS'on\ton\tIN\tB-PP\tO' -p188667 -aS'chest\tchest\tNN\tB-NP\tO' -p188668 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p188669 -aS',\t,\t,\tO\tO' -p188670 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p188671 -aS'acute\tacute\tJJ\tB-NP\tO' -p188672 -aS'renal\trenal\tJJ\tI-NP\tO' -p188673 -aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' -p188674 -aS'with\twith\tIN\tB-PP\tO' -p188675 -aS'minimal\tminimal\tJJ\tB-NP\tO' -p188676 -aS'urine\turine\tNN\tI-NP\tO' -p188677 -aS'output\toutput\tNN\tI-NP\tO' -p188678 -aS',\t,\t,\tO\tO' -p188679 -aS'less\tless\tJJR\tB-NP\tO' -p188680 -aS'than\tthan\tIN\tI-NP\tO' -p188681 -aS'10\t10\tCD\tI-NP\tO' -p188682 -aS'cc\tcc\tNN\tI-NP\tO' -p188683 -aS'an\tan\tDT\tB-NP\tO' -p188684 -aS'hour\thour\tNN\tI-NP\tO' -p188685 -aS',\t,\t,\tO\tO' -p188686 -aS'started\tstart\tVBN\tB-VP\tO' -p188687 -aS'on\ton\tIN\tB-PP\tO' -p188688 -aS'dopamine\tdopamine\tNN\tB-NP\tO' -p188689 -aS'for\tfor\tIN\tB-PP\tO' -p188690 -aS'hemodynamic\themodynamic\tJJ\tB-NP\tO' -p188691 -aS'instability\tinstability\tNN\tI-NP\tO' -p188692 -aS'.\t.\t.\tO\tO' -p188693 -asS'Percocet two tabs po. q4h prn .' -p188694 -(lp188695 -S'Percocet\tPercocet\tIN\tB-PP\tO' -p188696 -aS'two\ttwo\tCD\tB-NP\tO' -p188697 -aS'tabs\ttab\tNNS\tI-NP\tO' -p188698 -aS'po.\tpo.\tNN\tI-NP\tO' -p188699 -aS'q4h\tq4h\tNN\tI-NP\tO' -p188700 -aS'prn\tprn\tNN\tI-NP\tO' -p188701 -aS'.\t.\t.\tO\tO' -p188702 -asS'Abdomen : normal bowel sounds , soft , nontender , nondistended' -p188703 -(lp188704 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p188705 -aS':\t:\t:\tO\tO' -p188706 -aS'normal\tnormal\tJJ\tB-NP\tO' -p188707 -aS'bowel\tbowel\tNN\tI-NP\tO' -p188708 -aS'sounds\tsound\tNNS\tI-NP\tO' -p188709 -aS',\t,\t,\tO\tO' -p188710 -aS'soft\tsoft\tJJ\tB-NP\tO' -p188711 -aS',\t,\t,\tI-NP\tO' -p188712 -aS'nontender\tnontender\tJJ\tI-NP\tO' -p188713 -aS',\t,\t,\tI-NP\tO' -p188714 -aS'nondistended\tnondistended\tJJ\tI-NP\tO' -p188715 -asS'Tylenol 650 mg p.o. q. 4-6h p.r.n. headache or pain ; acyclovir 400 mg p.o. t.i.d.; acyclovir topical t.i.d. to be applied to lesion on corner of mouth ; Peridex 15 ml p.o. b.i.d.; Mycelex 1 troche p.o. t.i.d.; g-csf 404 mcg subcu q.d.; folic acid 1 mg p.o. q.d.; lorazepam 1-2 mg p.o. q. 4-6h p.r.n. nausea and vomiting ; Miracle Cream topical q.d. p.r.n. perianal irritation ; Eucerin Cream topical b.i.d.; Zantac 150 mg p.o. b.i.d.; Restoril 15-30 mg p.o. q. h.s. p.r.n. insomnia ; multivitamin 1 tablet p.o. q.d.; viscous lidocaine 15 ml p.o. q. 3h can be applied to corner of mouth or lips p.r.n. pain control .' -p188716 -(lp188717 -S'Tylenol\tTylenol\tNN\tB-NP\tO' -p188718 -aS'650\t650\tCD\tI-NP\tO' -p188719 -aS'mg\tmg\tNN\tI-NP\tO' -p188720 -aS'p.o.\tp.o.\tFW\tB-NP\tO' -p188721 -aS'q.\tq.\tFW\tI-NP\tO' -p188722 -aS'4-6h\t4-6h\tFW\tI-NP\tO' -p188723 -aS'p.r.n.\tp.r.n.\tFW\tI-NP\tO' -p188724 -aS'headache\theadache\tNN\tI-NP\tO' -p188725 -aS'or\tor\tCC\tI-NP\tO' -p188726 -aS'pain\tpain\tNN\tI-NP\tO' -p188727 -aS';\t;\t:\tO\tO' -p188728 -aS'acyclovir\tacyclovir\tNN\tB-NP\tO' -p188729 -aS'400\t400\tCD\tI-NP\tO' -p188730 -aS'mg\tmg\tNN\tI-NP\tO' -p188731 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p188732 -aS't.i.d.;\tt.i.d.;\tNN\tI-NP\tO' -p188733 -aS'acyclovir\tacyclovir\tNN\tI-NP\tO' -p188734 -aS'topical\ttopical\tJJ\tI-NP\tO' -p188735 -aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' -p188736 -aS'to\tto\tTO\tB-VP\tO' -p188737 -aS'be\tbe\tVB\tI-VP\tO' -p188738 -aS'applied\tapply\tVBN\tI-VP\tO' -p188739 -aS'to\tto\tTO\tB-PP\tO' -p188740 -aS'lesion\tlesion\tNN\tB-NP\tO' -p188741 -aS'on\ton\tIN\tB-PP\tO' -p188742 -aS'corner\tcorner\tNN\tB-NP\tO' -p188743 -aS'of\tof\tIN\tB-PP\tO' -p188744 -aS'mouth\tmouth\tNN\tB-NP\tO' -p188745 -aS';\t;\t:\tO\tO' -p188746 -aS'Peridex\tPeridex\tNNP\tB-NP\tO' -p188747 -aS'15\t15\tCD\tI-NP\tO' -p188748 -aS'ml\tml\tNN\tI-NP\tO' -p188749 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p188750 -aS'b.i.d.;\tb.i.d.;\tNN\tI-NP\tO' -p188751 -aS'Mycelex\tMycelex\tNN\tI-NP\tO' -p188752 -aS'1\t1\tCD\tI-NP\tO' -p188753 -aS'troche\ttroche\tNN\tI-NP\tO' -p188754 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p188755 -aS't.i.d.;\tt.i.d.;\tNN\tI-NP\tO' -p188756 -aS'g-csf\tg-csf\tNN\tI-NP\tO' -p188757 -aS'404\t404\tCD\tI-NP\tO' -p188758 -aS'mcg\tmcg\tNN\tI-NP\tO' -p188759 -aS'subcu\tsubcu\tNN\tI-NP\tO' -p188760 -aS'q.d.;\tq.d.;\tNN\tI-NP\tO' -p188761 -aS'folic\tfolic\tJJ\tI-NP\tO' -p188762 -aS'acid\tacid\tNN\tI-NP\tO' -p188763 -aS'1\t1\tCD\tI-NP\tO' -p188764 -aS'mg\tmg\tNN\tI-NP\tO' -p188765 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p188766 -aS'q.d.;\tq.d.;\tNN\tI-NP\tO' -p188767 -aS'lorazepam\tlorazepam\tNN\tI-NP\tO' -p188768 -aS'1-2\t1-2\tCD\tI-NP\tO' -p188769 -aS'mg\tmg\tNN\tI-NP\tO' -p188770 -aS'p.o.\tp.o.\tFW\tB-NP\tO' -p188771 -aS'q.\tq.\tFW\tI-NP\tO' -p188772 -aS'4-6h\t4-6h\tFW\tI-NP\tO' -p188773 -aS'p.r.n.\tp.r.n.\tFW\tI-NP\tO' -p188774 -aS'nausea\tnausea\tNN\tI-NP\tO' -p188775 -aS'and\tand\tCC\tI-NP\tO' -p188776 -aS'vomiting\tvomiting\tNN\tI-NP\tO' -p188777 -aS';\t;\t:\tO\tO' -p188778 -aS'Miracle\tMiracle\tNNP\tB-NP\tO' -p188779 -aS'Cream\tCream\tNNP\tI-NP\tO' -p188780 -aS'topical\ttopical\tJJ\tI-NP\tO' -p188781 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p188782 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p188783 -aS'perianal\tperianal\tJJ\tI-NP\tO' -p188784 -aS'irritation\tirritation\tNN\tI-NP\tO' -p188785 -aS';\t;\t:\tO\tO' -p188786 -aS'Eucerin\tEucerin\tNNP\tB-NP\tO' -p188787 -aS'Cream\tCream\tNNP\tI-NP\tO' -p188788 -aS'topical\ttopical\tJJ\tI-NP\tO' -p188789 -aS'b.i.d.;\tb.i.d.;\tNN\tI-NP\tO' -p188790 -aS'Zantac\tZantac\tNN\tI-NP\tO' -p188791 -aS'150\t150\tCD\tI-NP\tO' -p188792 -aS'mg\tmg\tNN\tI-NP\tO' -p188793 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p188794 -aS'b.i.d.;\tb.i.d.;\tNN\tI-NP\tO' -p188795 -aS'Restoril\tRestoril\tNNP\tB-NP\tO' -p188796 -aS'15-30\t15-30\tCD\tI-NP\tO' -p188797 -aS'mg\tmg\tNN\tI-NP\tO' -p188798 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p188799 -aS'q.\tq.\tFW\tI-NP\tO' -p188800 -aS'h.s.\th.s.\tFW\tI-NP\tO' -p188801 -aS'p.r.n.\tp.r.n.\tFW\tI-NP\tO' -p188802 -aS'insomnia\tinsomnia\tNN\tI-NP\tO' -p188803 -aS';\t;\t:\tO\tO' -p188804 -aS'multivitamin\tmultivitamin\tNN\tB-NP\tO' -p188805 -aS'1\t1\tCD\tI-NP\tO' -p188806 -aS'tablet\ttablet\tNN\tI-NP\tO' -p188807 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p188808 -aS'q.d.;\tq.d.;\tNN\tI-NP\tO' -p188809 -aS'viscous\tviscous\tJJ\tI-NP\tO' -p188810 -aS'lidocaine\tlidocaine\tNN\tI-NP\tO' -p188811 -aS'15\t15\tCD\tI-NP\tO' -p188812 -aS'ml\tml\tNN\tI-NP\tO' -p188813 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p188814 -aS'q.\tq.\tNN\tI-NP\tO' -p188815 -aS'3h\t3h\tNN\tI-NP\tO' -p188816 -aS'can\tcan\tMD\tB-VP\tO' -p188817 -aS'be\tbe\tVB\tI-VP\tO' -p188818 -aS'applied\tapply\tVBN\tI-VP\tO' -p188819 -aS'to\tto\tTO\tB-PP\tO' -p188820 -aS'corner\tcorner\tNN\tB-NP\tO' -p188821 -aS'of\tof\tIN\tB-PP\tO' -p188822 -aS'mouth\tmouth\tNN\tB-NP\tO' -p188823 -aS'or\tor\tCC\tI-NP\tO' -p188824 -aS'lips\tlip\tNNS\tI-NP\tO' -p188825 -aS'p.r.n.\tp.r.n.\tVBP\tB-VP\tO' -p188826 -aS'pain\tpain\tNN\tB-NP\tO' -p188827 -aS'control\tcontrol\tNN\tI-NP\tO' -p188828 -aS'.\t.\t.\tO\tO' -p188829 -asS'Suture of right temporal head wound , performed on April 14 , 1994 .' -p188830 -(lp188831 -S'Suture\tSuture\tNN\tB-NP\tO' -p188832 -aS'of\tof\tIN\tB-PP\tO' -p188833 -aS'right\tright\tJJ\tB-NP\tO' -p188834 -aS'temporal\ttemporal\tJJ\tI-NP\tO' -p188835 -aS'head\thead\tNN\tI-NP\tO' -p188836 -aS'wound\twound\tNN\tI-NP\tO' -p188837 -aS',\t,\t,\tO\tO' -p188838 -aS'performed\tperform\tVBN\tB-VP\tO' -p188839 -aS'on\ton\tIN\tB-PP\tO' -p188840 -aS'April\tApril\tNNP\tB-NP\tO' -p188841 -aS'14\t14\tCD\tI-NP\tO' -p188842 -aS',\t,\t,\tI-NP\tO' -p188843 -aS'1994\t1994\tCD\tI-NP\tO' -p188844 -aS'.\t.\t.\tO\tO' -p188845 -asS'This is a 71-year-old-female with asthma and a history of recent exacerbation of lower extremity edema who , at her baseline , gets short of breath walking across the room and sleeps on four pillows times several years .' -p188846 -(lp188847 -S'This\tThis\tDT\tB-NP\tO' -p188848 -aS'is\tbe\tVBZ\tB-VP\tO' -p188849 -aS'a\ta\tDT\tB-NP\tO' -p188850 -aS'71-year-old-female\t71-year-old-female\tJJ\tI-NP\tO' -p188851 -aS'with\twith\tIN\tB-PP\tO' -p188852 -aS'asthma\tasthma\tNN\tB-NP\tO' -p188853 -aS'and\tand\tCC\tO\tO' -p188854 -aS'a\ta\tDT\tB-NP\tO' -p188855 -aS'history\thistory\tNN\tI-NP\tO' -p188856 -aS'of\tof\tIN\tB-PP\tO' -p188857 -aS'recent\trecent\tJJ\tB-NP\tO' -p188858 -aS'exacerbation\texacerbation\tNN\tI-NP\tO' -p188859 -aS'of\tof\tIN\tB-PP\tO' -p188860 -aS'lower\tlow\tJJR\tB-NP\tO' -p188861 -aS'extremity\textremity\tNN\tI-NP\tO' -p188862 -aS'edema\tedema\tNN\tI-NP\tO' -p188863 -aS'who\twho\tWP\tB-NP\tO' -p188864 -aS',\t,\t,\tO\tO' -p188865 -aS'at\tat\tIN\tB-PP\tO' -p188866 -aS'her\ther\tPRP$\tB-NP\tO' -p188867 -aS'baseline\tbaseline\tNN\tI-NP\tO' -p188868 -aS',\t,\t,\tO\tO' -p188869 -aS'gets\tget\tVBZ\tB-VP\tO' -p188870 -aS'short\tshort\tRB\tB-ADVP\tO' -p188871 -aS'of\tof\tIN\tB-PP\tO' -p188872 -aS'breath\tbreath\tNN\tB-NP\tO' -p188873 -aS'walking\twalk\tVBG\tB-VP\tO' -p188874 -aS'across\tacross\tIN\tB-PP\tO' -p188875 -aS'the\tthe\tDT\tB-NP\tO' -p188876 -aS'room\troom\tNN\tI-NP\tO' -p188877 -aS'and\tand\tCC\tI-NP\tO' -p188878 -aS'sleeps\tsleep\tNNS\tI-NP\tO' -p188879 -aS'on\ton\tIN\tB-PP\tO' -p188880 -aS'four\tfour\tCD\tB-NP\tO' -p188881 -aS'pillows\tpillow\tNNS\tI-NP\tO' -p188882 -aS'times\ttime\tVBZ\tB-VP\tO' -p188883 -aS'several\tseveral\tJJ\tB-NP\tO' -p188884 -aS'years\tyear\tNNS\tI-NP\tO' -p188885 -aS'.\t.\t.\tO\tO' -p188886 -asS'ROS ( - ) emesis / BRBPR/melena / fever/chills / sob .' -p188887 -(lp188888 -S'ROS\tROS\tNN\tB-NP\tO' -p188889 -aS'(\t(\t(\tO\tO' -p188890 -aS'-\t-\tSYM\tO\tO' -p188891 -aS')\t)\t)\tO\tO' -p188892 -aS'emesis\temesis\tNN\tB-NP\tO' -p188893 -aS'/\t/\tSYM\tB-NP\tO' -p188894 -aS'BRBPR/melena\tBRBPR/melena\tNN\tI-NP\tO' -p188895 -aS'/\t/\tSYM\tI-NP\tO' -p188896 -aS'fever/chills\tfever/chills\tNN\tI-NP\tO' -p188897 -aS'/\t/\tSYM\tB-NP\tO' -p188898 -aS'sob\tsob\tNN\tI-NP\tO' -p188899 -aS'.\t.\t.\tO\tO' -p188900 -asS"Before this age and for the first 24 months of the child 's life immunizations against influenza is recommended for household contacts and out of home care givers ." -p188901 -(lp188902 -S'Before\tBefore\tIN\tB-SBAR\tO' -p188903 -aS'this\tthis\tDT\tB-NP\tO' -p188904 -aS'age\tage\tNN\tI-NP\tO' -p188905 -aS'and\tand\tCC\tB-PP\tO' -p188906 -aS'for\tfor\tIN\tB-PP\tO' -p188907 -aS'the\tthe\tDT\tB-NP\tO' -p188908 -aS'first\tfirst\tJJ\tI-NP\tO' -p188909 -aS'24\t24\tCD\tI-NP\tO' -p188910 -aS'months\tmonth\tNNS\tI-NP\tO' -p188911 -aS'of\tof\tIN\tB-PP\tO' -p188912 -aS'the\tthe\tDT\tB-NP\tO' -p188913 -aS'child\tchild\tNN\tI-NP\tO' -p188914 -aS"'s\t's\tPOS\tB-NP\tO" -p188915 -aS'life\tlife\tNN\tI-NP\tO' -p188916 -aS'immunizations\timmunization\tNNS\tI-NP\tO' -p188917 -aS'against\tagainst\tIN\tB-PP\tO' -p188918 -aS'influenza\tinfluenza\tNN\tB-NP\tO' -p188919 -aS'is\tbe\tVBZ\tB-VP\tO' -p188920 -aS'recommended\trecommend\tVBN\tI-VP\tO' -p188921 -aS'for\tfor\tIN\tB-PP\tO' -p188922 -aS'household\thousehold\tNN\tB-NP\tO' -p188923 -aS'contacts\tcontact\tNNS\tI-NP\tO' -p188924 -aS'and\tand\tCC\tB-PP\tO' -p188925 -aS'out\tout\tIN\tB-PP\tO' -p188926 -aS'of\tof\tIN\tB-PP\tO' -p188927 -aS'home\thome\tNN\tB-NP\tO' -p188928 -aS'care\tcare\tNN\tI-NP\tO' -p188929 -aS'givers\tgiver\tNNS\tI-NP\tO' -p188930 -aS'.\t.\t.\tO\tO' -p188931 -asS'Heart rate 91 , regular , blood pressure 169/81 from a right groin A line , respirations 12 , oxygen saturation of 97 percent on 2 liters nasal cannula .' -p188932 -(lp188933 -S'Heart\tHeart\tNN\tB-NP\tO' -p188934 -aS'rate\trate\tNN\tI-NP\tO' -p188935 -aS'91\t91\tCD\tI-NP\tO' -p188936 -aS',\t,\t,\tO\tO' -p188937 -aS'regular\tregular\tJJ\tB-NP\tO' -p188938 -aS',\t,\t,\tI-NP\tO' -p188939 -aS'blood\tblood\tNN\tI-NP\tO' -p188940 -aS'pressure\tpressure\tNN\tI-NP\tO' -p188941 -aS'169/81\t169/81\tCD\tI-NP\tO' -p188942 -aS'from\tfrom\tIN\tB-PP\tO' -p188943 -aS'a\ta\tDT\tB-NP\tO' -p188944 -aS'right\tright\tJJ\tI-NP\tB-cell_line' -p188945 -aS'groin\tgroin\tNN\tI-NP\tI-cell_line' -p188946 -aS'A\tA\tNN\tI-NP\tI-cell_line' -p188947 -aS'line\tline\tNN\tI-NP\tI-cell_line' -p188948 -aS',\t,\t,\tO\tO' -p188949 -aS'respirations\trespiration\tNNS\tB-NP\tO' -p188950 -aS'12\t12\tCD\tB-NP\tO' -p188951 -aS',\t,\t,\tO\tO' -p188952 -aS'oxygen\toxygen\tNN\tB-NP\tO' -p188953 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p188954 -aS'of\tof\tIN\tB-PP\tO' -p188955 -aS'97\t97\tCD\tB-NP\tO' -p188956 -aS'percent\tpercent\tNN\tI-NP\tO' -p188957 -aS'on\ton\tIN\tB-PP\tO' -p188958 -aS'2\t2\tCD\tB-NP\tO' -p188959 -aS'liters\tliter\tNNS\tI-NP\tO' -p188960 -aS'nasal\tnasal\tJJ\tB-NP\tO' -p188961 -aS'cannula\tcannula\tNN\tI-NP\tO' -p188962 -aS'.\t.\t.\tO\tO' -p188963 -asS'Also on 2019-10-11 he was taken to the operating room for an ORIF of his left distal radius fracture .' -p188964 -(lp188965 -S'Also\tAlso\tRB\tB-ADVP\tO' -p188966 -aS'on\ton\tIN\tB-PP\tO' -p188967 -aS'2019-10-11\t2019-10-11\tCD\tB-NP\tO' -p188968 -aS'he\the\tPRP\tB-NP\tO' -p188969 -aS'was\tbe\tVBD\tB-VP\tO' -p188970 -aS'taken\ttake\tVBN\tI-VP\tO' -p188971 -aS'to\tto\tTO\tB-PP\tO' -p188972 -aS'the\tthe\tDT\tB-NP\tO' -p188973 -aS'operating\toperating\tNN\tI-NP\tO' -p188974 -aS'room\troom\tNN\tI-NP\tO' -p188975 -aS'for\tfor\tIN\tB-PP\tO' -p188976 -aS'an\tan\tDT\tB-NP\tO' -p188977 -aS'ORIF\tORIF\tNN\tI-NP\tB-protein' -p188978 -aS'of\tof\tIN\tB-PP\tO' -p188979 -aS'his\this\tPRP$\tB-NP\tO' -p188980 -aS'left\tleft\tJJ\tI-NP\tO' -p188981 -aS'distal\tdistal\tJJ\tI-NP\tO' -p188982 -aS'radius\tradius\tNN\tI-NP\tO' -p188983 -aS'fracture\tfracture\tNN\tI-NP\tO' -p188984 -aS'.\t.\t.\tO\tO' -p188985 -asS'The patient was also noted to have antegrade flow in both of her vertebral arteries bilaterally .' -p188986 -(lp188987 -S'The\tThe\tDT\tB-NP\tO' -p188988 -aS'patient\tpatient\tNN\tI-NP\tO' -p188989 -aS'was\tbe\tVBD\tB-VP\tO' -p188990 -aS'also\talso\tRB\tI-VP\tO' -p188991 -aS'noted\tnote\tVBN\tI-VP\tO' -p188992 -aS'to\tto\tTO\tI-VP\tO' -p188993 -aS'have\thave\tVB\tI-VP\tO' -p188994 -aS'antegrade\tantegrade\tDT\tB-NP\tO' -p188995 -aS'flow\tflow\tNN\tI-NP\tO' -p188996 -aS'in\tin\tIN\tB-PP\tO' -p188997 -aS'both\tboth\tDT\tB-NP\tO' -p188998 -aS'of\tof\tIN\tB-PP\tO' -p188999 -aS'her\ther\tPRP$\tB-NP\tO' -p189000 -aS'vertebral\tvertebral\tJJ\tI-NP\tO' -p189001 -aS'arteries\tartery\tNNS\tI-NP\tO' -p189002 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p189003 -aS'.\t.\t.\tO\tO' -p189004 -asS'Colace 100 mg. po bid , Captopril 50 mg. po tid , Nifedipine 20 mg. po q 6 hours and Nifedipine 20 mg. po or sublingual q 3 hours prn systolic blood pressure greater than 160 millemeters of Mercury .' -p189005 -(lp189006 -S'Colace\tColace\tNNP\tB-NP\tO' -p189007 -aS'100\t100\tCD\tI-NP\tO' -p189008 -aS'mg.\tmg.\tNN\tI-NP\tO' -p189009 -aS'po\tpo\tNN\tI-NP\tO' -p189010 -aS'bid\tbid\tNN\tI-NP\tO' -p189011 -aS',\t,\t,\tO\tO' -p189012 -aS'Captopril\tCaptopril\tNNP\tB-NP\tO' -p189013 -aS'50\t50\tCD\tI-NP\tO' -p189014 -aS'mg.\tmg.\tNN\tI-NP\tO' -p189015 -aS'po\tpo\tNN\tI-NP\tO' -p189016 -aS'tid\ttid\tNN\tI-NP\tO' -p189017 -aS',\t,\t,\tO\tO' -p189018 -aS'Nifedipine\tNifedipine\tNN\tB-NP\tB-protein' -p189019 -aS'20\t20\tCD\tI-NP\tI-protein' -p189020 -aS'mg.\tmg.\tNN\tI-NP\tI-protein' -p189021 -aS'po\tpo\tNN\tI-NP\tI-protein' -p189022 -aS'q\tq\tNN\tI-NP\tI-protein' -p189023 -aS'6\t6\tCD\tB-NP\tI-protein' -p189024 -aS'hours\thour\tNNS\tI-NP\tI-protein' -p189025 -aS'and\tand\tCC\tO\tO' -p189026 -aS'Nifedipine\tNifedipine\tVBP\tB-VP\tO' -p189027 -aS'20\t20\tCD\tB-NP\tO' -p189028 -aS'mg.\tmg.\tNN\tI-NP\tO' -p189029 -aS'po\tpo\tNN\tI-NP\tO' -p189030 -aS'or\tor\tCC\tO\tO' -p189031 -aS'sublingual\tsublingual\tJJ\tB-NP\tO' -p189032 -aS'q\tq\tNN\tI-NP\tO' -p189033 -aS'3\t3\tCD\tB-NP\tO' -p189034 -aS'hours\thour\tNNS\tI-NP\tO' -p189035 -aS'prn\tprn\tVBP\tB-VP\tO' -p189036 -aS'systolic\tsystolic\tJJ\tB-NP\tO' -p189037 -aS'blood\tblood\tNN\tI-NP\tO' -p189038 -aS'pressure\tpressure\tNN\tI-NP\tO' -p189039 -aS'greater\tgreat\tJJR\tB-ADJP\tO' -p189040 -aS'than\tthan\tIN\tB-PP\tO' -p189041 -aS'160\t160\tCD\tB-NP\tO' -p189042 -aS'millemeters\tmillemeter\tNNS\tI-NP\tO' -p189043 -aS'of\tof\tIN\tB-PP\tO' -p189044 -aS'Mercury\tMercury\tNNP\tB-NP\tO' -p189045 -aS'.\t.\t.\tO\tO' -p189046 -asS'9. Artificial Tears Drops Sig : One ( 1 ) drop Ophthalmic twice a day : ou .' -p189047 -(lp189048 -S'9.\t9.\tLS\tB-NP\tO' -p189049 -aS'Artificial\tArtificial\tNNP\tI-NP\tO' -p189050 -aS'Tears\tTear\tNNPS\tI-NP\tO' -p189051 -aS'Drops\tDrops\tNNP\tI-NP\tO' -p189052 -aS'Sig\tSig\tNNP\tI-NP\tO' -p189053 -aS':\t:\t:\tO\tO' -p189054 -aS'One\tOne\tCD\tB-NP\tO' -p189055 -aS'(\t(\t(\tO\tO' -p189056 -aS'1\t1\tCD\tB-NP\tO' -p189057 -aS')\t)\t)\tO\tO' -p189058 -aS'drop\tdrop\tVBP\tB-VP\tO' -p189059 -aS'Ophthalmic\tOphthalmic\tNNP\tB-NP\tO' -p189060 -aS'twice\ttwice\tRB\tB-NP\tO' -p189061 -aS'a\ta\tDT\tI-NP\tO' -p189062 -aS'day\tday\tNN\tI-NP\tO' -p189063 -aS':\t:\t:\tO\tO' -p189064 -aS'ou\tou\tPRP\tB-NP\tO' -p189065 -aS'.\t.\t.\tO\tO' -p189066 -asS'Her Bcx remained negative throughout her stay .' -p189067 -(lp189068 -S'Her\tHer\tPRP$\tB-NP\tO' -p189069 -aS'Bcx\tBcx\tNN\tI-NP\tB-protein' -p189070 -aS'remained\tremain\tVBD\tB-VP\tO' -p189071 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p189072 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p189073 -aS'her\ther\tPRP$\tB-NP\tO' -p189074 -aS'stay\tstay\tNN\tI-NP\tO' -p189075 -aS'.\t.\t.\tO\tO' -p189076 -asS'A 12-lead electrocardiogram showed atrial fibrillation with a QT interval of .46 seconds .' -p189077 -(lp189078 -S'A\tA\tDT\tB-NP\tO' -p189079 -aS'12-lead\t12-lead\tJJ\tI-NP\tO' -p189080 -aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' -p189081 -aS'showed\tshow\tVBD\tB-VP\tO' -p189082 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p189083 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p189084 -aS'with\twith\tIN\tB-PP\tO' -p189085 -aS'a\ta\tDT\tB-NP\tO' -p189086 -aS'QT\tQT\tNN\tI-NP\tO' -p189087 -aS'interval\tinterval\tNN\tI-NP\tO' -p189088 -aS'of\tof\tIN\tB-PP\tO' -p189089 -aS'.46\t.46\tCD\tB-NP\tO' -p189090 -aS'seconds\tsecond\tNNS\tI-NP\tO' -p189091 -aS'.\t.\t.\tO\tO' -p189092 -asS'Heart is regular without murmurs , rubs , or gallops .' -p189093 -(lp189094 -S'Heart\tHeart\tNNP\tB-NP\tO' -p189095 -aS'is\tbe\tVBZ\tB-VP\tO' -p189096 -aS'regular\tregular\tJJ\tB-ADJP\tO' -p189097 -aS'without\twithout\tIN\tB-PP\tO' -p189098 -aS'murmurs\tmurmur\tNNS\tB-NP\tO' -p189099 -aS',\t,\t,\tO\tO' -p189100 -aS'rubs\trub\tNNS\tB-NP\tO' -p189101 -aS',\t,\t,\tO\tO' -p189102 -aS'or\tor\tCC\tO\tO' -p189103 -aS'gallops\tgallop\tNNS\tB-NP\tO' -p189104 -aS'.\t.\t.\tO\tO' -p189105 -asS'On 07-12 , after and extensive family meeting , the family decided to extubate the patient and make him comfortable , and he passed away at 5:20 on 2009-07-12 .' -p189106 -(lp189107 -S'On\tOn\tIN\tB-PP\tO' -p189108 -aS'07-12\t07-12\tCD\tB-NP\tO' -p189109 -aS',\t,\t,\tO\tO' -p189110 -aS'after\tafter\tIN\tB-PP\tO' -p189111 -aS'and\tand\tCC\tO\tO' -p189112 -aS'extensive\textensive\tJJ\tB-NP\tO' -p189113 -aS'family\tfamily\tNN\tI-NP\tO' -p189114 -aS'meeting\tmeeting\tNN\tI-NP\tO' -p189115 -aS',\t,\t,\tO\tO' -p189116 -aS'the\tthe\tDT\tB-NP\tO' -p189117 -aS'family\tfamily\tNN\tI-NP\tO' -p189118 -aS'decided\tdecide\tVBD\tB-VP\tO' -p189119 -aS'to\tto\tTO\tI-VP\tO' -p189120 -aS'extubate\textubate\tVB\tI-VP\tO' -p189121 -aS'the\tthe\tDT\tB-NP\tO' -p189122 -aS'patient\tpatient\tNN\tI-NP\tO' -p189123 -aS'and\tand\tCC\tO\tO' -p189124 -aS'make\tmake\tVB\tB-VP\tO' -p189125 -aS'him\thim\tPRP\tB-NP\tO' -p189126 -aS'comfortable\tcomfortable\tJJ\tB-ADJP\tO' -p189127 -aS',\t,\t,\tO\tO' -p189128 -aS'and\tand\tCC\tO\tO' -p189129 -aS'he\the\tPRP\tB-NP\tO' -p189130 -aS'passed\tpass\tVBD\tB-VP\tO' -p189131 -aS'away\taway\tRP\tB-PRT\tO' -p189132 -aS'at\tat\tIN\tB-PP\tO' -p189133 -aS'5:20\t5:20\tCD\tB-NP\tO' -p189134 -aS'on\ton\tIN\tB-PP\tO' -p189135 -aS'2009-07-12\t2009-07-12\tCD\tB-NP\tO' -p189136 -aS'.\t.\t.\tO\tO' -p189137 -asS'Her hemovac drains were removed on postoperative day # 2 as was her Foley catheter .' -p189138 -(lp189139 -S'Her\tHer\tPRP$\tB-NP\tO' -p189140 -aS'hemovac\themovac\tNN\tI-NP\tO' -p189141 -aS'drains\tdrain\tNNS\tI-NP\tO' -p189142 -aS'were\tbe\tVBD\tB-VP\tO' -p189143 -aS'removed\tremove\tVBN\tI-VP\tO' -p189144 -aS'on\ton\tIN\tB-PP\tO' -p189145 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p189146 -aS'day\tday\tNN\tI-NP\tO' -p189147 -aS'#\t#\t#\tB-NP\tO' -p189148 -aS'2\t2\tCD\tI-NP\tO' -p189149 -aS'as\tas\tIN\tB-SBAR\tO' -p189150 -aS'was\tbe\tVBD\tO\tO' -p189151 -aS'her\ther\tPRP\tB-NP\tO' -p189152 -aS'Foley\tFoley\tNNP\tI-NP\tO' -p189153 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p189154 -aS'.\t.\t.\tO\tO' -p189155 -asS'Normal female , anus patent .' -p189156 -(lp189157 -S'Normal\tNormal\tJJ\tB-NP\tO' -p189158 -aS'female\tfemale\tNN\tI-NP\tO' -p189159 -aS',\t,\t,\tO\tO' -p189160 -aS'anus\tanus\tDT\tB-NP\tO' -p189161 -aS'patent\tpatent\tNN\tI-NP\tO' -p189162 -aS'.\t.\t.\tO\tO' -p189163 -asS'Arousable intermittently to voice .' -p189164 -(lp189165 -S'Arousable\tArousable\tJJ\tB-ADJP\tO' -p189166 -aS'intermittently\tintermittently\tRB\tI-ADJP\tO' -p189167 -aS'to\tto\tTO\tB-PP\tO' -p189168 -aS'voice\tvoice\tNN\tB-NP\tO' -p189169 -aS'.\t.\t.\tO\tO' -p189170 -asS'She was given 1 unit of packed red blood cell .' -p189171 -(lp189172 -S'She\tShe\tPRP\tB-NP\tO' -p189173 -aS'was\tbe\tVBD\tB-VP\tO' -p189174 -aS'given\tgive\tVBN\tI-VP\tO' -p189175 -aS'1\t1\tCD\tB-NP\tO' -p189176 -aS'unit\tunit\tNN\tI-NP\tO' -p189177 -aS'of\tof\tIN\tB-PP\tO' -p189178 -aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' -p189179 -aS'red\tred\tJJ\tI-NP\tI-cell_type' -p189180 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p189181 -aS'cell\tcell\tNN\tI-NP\tI-cell_type' -p189182 -aS'.\t.\t.\tO\tO' -p189183 -asS"The patient continued to be followed by the Infectious Disease Service who felt that the patient 's Jackson Pratt drains needed to stay in as there was still some significant drainage from them ." -p189184 -(lp189185 -S'The\tThe\tDT\tB-NP\tO' -p189186 -aS'patient\tpatient\tNN\tI-NP\tO' -p189187 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p189188 -aS'to\tto\tTO\tI-VP\tO' -p189189 -aS'be\tbe\tVB\tI-VP\tO' -p189190 -aS'followed\tfollow\tVBN\tI-VP\tO' -p189191 -aS'by\tby\tIN\tB-PP\tO' -p189192 -aS'the\tthe\tDT\tB-NP\tO' -p189193 -aS'Infectious\tInfectious\tNNP\tI-NP\tO' -p189194 -aS'Disease\tDisease\tNNP\tI-NP\tO' -p189195 -aS'Service\tService\tNNP\tI-NP\tO' -p189196 -aS'who\twho\tWP\tB-NP\tO' -p189197 -aS'felt\tfeel\tVBD\tB-VP\tO' -p189198 -aS'that\tthat\tIN\tB-SBAR\tO' -p189199 -aS'the\tthe\tDT\tB-NP\tO' -p189200 -aS'patient\tpatient\tNN\tI-NP\tO' -p189201 -aS"'s\t's\tPOS\tB-NP\tO" -p189202 -aS'Jackson\tJackson\tNNP\tI-NP\tO' -p189203 -aS'Pratt\tPratt\tNNP\tI-NP\tO' -p189204 -aS'drains\tdrain\tVBZ\tB-VP\tO' -p189205 -aS'needed\tneed\tVBN\tI-VP\tO' -p189206 -aS'to\tto\tTO\tI-VP\tO' -p189207 -aS'stay\tstay\tVB\tI-VP\tO' -p189208 -aS'in\tin\tRP\tB-PRT\tO' -p189209 -aS'as\tas\tIN\tB-SBAR\tO' -p189210 -aS'there\tthere\tEX\tB-NP\tO' -p189211 -aS'was\tbe\tVBD\tB-VP\tO' -p189212 -aS'still\tstill\tRB\tB-ADVP\tO' -p189213 -aS'some\tsome\tDT\tB-NP\tO' -p189214 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p189215 -aS'drainage\tdrainage\tNN\tI-NP\tO' -p189216 -aS'from\tfrom\tIN\tB-PP\tO' -p189217 -aS'them\tthem\tPRP\tB-NP\tO' -p189218 -aS'.\t.\t.\tO\tO' -p189219 -asS'Subsequently EEG was noted to have no seizure activity .' -p189220 -(lp189221 -S'Subsequently\tSubsequently\tRB\tB-NP\tO' -p189222 -aS'EEG\tEEG\tNN\tI-NP\tB-protein' -p189223 -aS'was\tbe\tVBD\tB-VP\tO' -p189224 -aS'noted\tnote\tVBN\tI-VP\tO' -p189225 -aS'to\tto\tTO\tI-VP\tO' -p189226 -aS'have\thave\tVB\tI-VP\tO' -p189227 -aS'no\tno\tDT\tB-NP\tO' -p189228 -aS'seizure\tseizure\tNN\tI-NP\tO' -p189229 -aS'activity\tactivity\tNN\tI-NP\tO' -p189230 -aS'.\t.\t.\tO\tO' -p189231 -asS'MRSA Bacteremia .' -p189232 -(lp189233 -S'MRSA\tMRSA\tNNP\tB-NP\tO' -p189234 -aS'Bacteremia\tBacteremia\tNNP\tI-NP\tO' -p189235 -aS'.\t.\t.\tO\tO' -p189236 -asS'He denied visual changes , lightheadedness of dizziness currently , neck stiffness , or pain in any other area .' -p189237 -(lp189238 -S'He\tHe\tPRP\tB-NP\tO' -p189239 -aS'denied\tdeny\tVBD\tB-VP\tO' -p189240 -aS'visual\tvisual\tJJ\tB-NP\tO' -p189241 -aS'changes\tchange\tNNS\tI-NP\tO' -p189242 -aS',\t,\t,\tO\tO' -p189243 -aS'lightheadedness\tlightheadedness\tNN\tB-NP\tO' -p189244 -aS'of\tof\tIN\tB-PP\tO' -p189245 -aS'dizziness\tdizziness\tNN\tB-NP\tO' -p189246 -aS'currently\tcurrently\tRB\tB-ADVP\tO' -p189247 -aS',\t,\t,\tO\tO' -p189248 -aS'neck\tneck\tNN\tB-NP\tO' -p189249 -aS'stiffness\tstiffness\tNN\tI-NP\tO' -p189250 -aS',\t,\t,\tO\tO' -p189251 -aS'or\tor\tCC\tO\tO' -p189252 -aS'pain\tpain\tNN\tB-NP\tO' -p189253 -aS'in\tin\tIN\tB-PP\tO' -p189254 -aS'any\tany\tDT\tB-NP\tO' -p189255 -aS'other\tother\tJJ\tI-NP\tO' -p189256 -aS'area\tarea\tNN\tI-NP\tO' -p189257 -aS'.\t.\t.\tO\tO' -p189258 -asS'Calcium was 9.6 .' -p189259 -(lp189260 -S'Calcium\tCalcium\tNN\tB-NP\tO' -p189261 -aS'was\tbe\tVBD\tB-VP\tO' -p189262 -aS'9.6\t9.6\tCD\tB-NP\tO' -p189263 -aS'.\t.\t.\tO\tO' -p189264 -asS'9. Atenolol 50 mg Tablet Sig : One ( 1 ) Tablet PO once a day .' -p189265 -(lp189266 -S'9.\t9.\tCD\tB-NP\tO' -p189267 -aS'Atenolol\tAtenolol\tNN\tI-NP\tO' -p189268 -aS'50\t50\tCD\tB-NP\tO' -p189269 -aS'mg\tmg\tNN\tI-NP\tO' -p189270 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p189271 -aS'Sig\tSig\tNNP\tI-NP\tO' -p189272 -aS':\t:\t:\tO\tO' -p189273 -aS'One\tOne\tCD\tB-NP\tO' -p189274 -aS'(\t(\t(\tO\tO' -p189275 -aS'1\t1\tCD\tB-NP\tO' -p189276 -aS')\t)\t)\tO\tO' -p189277 -aS'Tablet\tTablet\tNN\tB-NP\tB-protein' -p189278 -aS'PO\tPO\tNN\tI-NP\tI-protein' -p189279 -aS'once\tonce\tRB\tO\tO' -p189280 -aS'a\ta\tDT\tB-NP\tO' -p189281 -aS'day\tday\tNN\tI-NP\tO' -p189282 -aS'.\t.\t.\tO\tO' -p189283 -asS'Of note - Na 133 , K 4 , WBC 8.82 , hematocrit 35.1 , platelets 229 .' -p189284 -(lp189285 -S'Of\tOf\tIN\tB-PP\tO' -p189286 -aS'note\tnote\tNN\tB-NP\tO' -p189287 -aS'-\t-\tHYPH\tO\tO' -p189288 -aS'Na\tNa\tNN\tB-NP\tB-protein' -p189289 -aS'133\t133\tCD\tI-NP\tI-protein' -p189290 -aS',\t,\t,\tO\tO' -p189291 -aS'K\tK\tNN\tB-NP\tB-DNA' -p189292 -aS'4\t4\tCD\tI-NP\tI-DNA' -p189293 -aS',\t,\t,\tO\tO' -p189294 -aS'WBC\tWBC\tNNP\tB-NP\tO' -p189295 -aS'8.82\t8.82\tCD\tI-NP\tO' -p189296 -aS',\t,\t,\tO\tO' -p189297 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p189298 -aS'35.1\t35.1\tCD\tI-NP\tI-protein' -p189299 -aS',\t,\t,\tO\tO' -p189300 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p189301 -aS'229\t229\tCD\tB-NP\tO' -p189302 -aS'.\t.\t.\tO\tO' -p189303 -asS'8. Lisinopril 10 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' -p189304 -(lp189305 -S'8.\t8.\tCD\tB-NP\tO' -p189306 -aS'Lisinopril\tLisinopril\tNNP\tI-NP\tO' -p189307 -aS'10\t10\tCD\tI-NP\tO' -p189308 -aS'mg\tmg\tNN\tI-NP\tO' -p189309 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p189310 -aS'Sig\tSig\tNNP\tI-NP\tO' -p189311 -aS':\t:\t:\tO\tO' -p189312 -aS'One\tOne\tCD\tB-NP\tO' -p189313 -aS'(\t(\t(\tO\tO' -p189314 -aS'1\t1\tCD\tB-NP\tO' -p189315 -aS')\t)\t)\tO\tO' -p189316 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p189317 -aS'PO\tPO\tNN\tI-NP\tO' -p189318 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p189319 -aS'(\t(\t(\tO\tO' -p189320 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p189321 -aS')\t)\t)\tO\tO' -p189322 -aS'.\t.\t.\tO\tO' -p189323 -asS'3) Status post right elbow surgery .' -p189324 -(lp189325 -S'3)\t3)\tLS\tB-LST\tO' -p189326 -aS'Status\tStatus\tNNP\tB-NP\tO' -p189327 -aS'post\tpost\tIN\tB-PP\tO' -p189328 -aS'right\tright\tJJ\tB-NP\tO' -p189329 -aS'elbow\telbow\tNN\tI-NP\tO' -p189330 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p189331 -aS'.\t.\t.\tO\tO' -p189332 -asS'When he came back to Faulkner Hospital Hospital for confusion and diaphoresis , his initial oxygen sat was only 80% with a fingerstick of 29 .' -p189333 -(lp189334 -S'When\tWhen\tWRB\tB-ADVP\tO' -p189335 -aS'he\the\tPRP\tB-NP\tO' -p189336 -aS'came\tcome\tVBD\tB-VP\tO' -p189337 -aS'back\tback\tRB\tB-ADVP\tO' -p189338 -aS'to\tto\tTO\tB-PP\tO' -p189339 -aS'Faulkner\tFaulkner\tNNP\tB-NP\tO' -p189340 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p189341 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p189342 -aS'for\tfor\tIN\tB-PP\tO' -p189343 -aS'confusion\tconfusion\tNN\tB-NP\tO' -p189344 -aS'and\tand\tCC\tI-NP\tO' -p189345 -aS'diaphoresis\tdiaphoresis\tNN\tI-NP\tO' -p189346 -aS',\t,\t,\tO\tO' -p189347 -aS'his\this\tPRP$\tB-NP\tO' -p189348 -aS'initial\tinitial\tJJ\tI-NP\tO' -p189349 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p189350 -aS'sat\tsat\tNN\tI-NP\tO' -p189351 -aS'was\tbe\tVBD\tB-VP\tO' -p189352 -aS'only\tonly\tRB\tB-NP\tO' -p189353 -aS'80%\t80%\tCD\tI-NP\tO' -p189354 -aS'with\twith\tIN\tB-PP\tO' -p189355 -aS'a\ta\tDT\tB-NP\tO' -p189356 -aS'fingerstick\tfingerstick\tNN\tI-NP\tO' -p189357 -aS'of\tof\tIN\tB-PP\tO' -p189358 -aS'29\t29\tCD\tB-NP\tO' -p189359 -aS'.\t.\t.\tO\tO' -p189360 -asS'Neurological : Alert and oriented times 3 .' -p189361 -(lp189362 -S'Neurological\tNeurological\tJJ\tB-ADJP\tO' -p189363 -aS':\t:\t:\tO\tO' -p189364 -aS'Alert\tAlert\tNNP\tB-NP\tO' -p189365 -aS'and\tand\tCC\tO\tO' -p189366 -aS'oriented\torient\tVBN\tB-VP\tO' -p189367 -aS'times\ttime\tNNS\tB-NP\tO' -p189368 -aS'3\t3\tCD\tI-NP\tO' -p189369 -aS'.\t.\t.\tO\tO' -p189370 -asS'Once her prothrombin time is in therapeutic range , she will be observed for epistaxis .' -p189371 -(lp189372 -S'Once\tOnce\tRB\tO\tO' -p189373 -aS'her\ther\tPRP$\tB-NP\tO' -p189374 -aS'prothrombin\tprothrombin\tNN\tI-NP\tO' -p189375 -aS'time\ttime\tNN\tI-NP\tO' -p189376 -aS'is\tbe\tVBZ\tB-VP\tO' -p189377 -aS'in\tin\tIN\tB-PP\tO' -p189378 -aS'therapeutic\ttherapeutic\tJJ\tB-NP\tO' -p189379 -aS'range\trange\tNN\tI-NP\tO' -p189380 -aS',\t,\t,\tO\tO' -p189381 -aS'she\tshe\tPRP\tB-NP\tO' -p189382 -aS'will\twill\tMD\tB-VP\tO' -p189383 -aS'be\tbe\tVB\tI-VP\tO' -p189384 -aS'observed\tobserve\tVBN\tI-VP\tO' -p189385 -aS'for\tfor\tIN\tB-PP\tO' -p189386 -aS'epistaxis\tepistaxis\tNN\tB-NP\tO' -p189387 -aS'.\t.\t.\tO\tO' -p189388 -asS'Patient did receive a right heart catheterization , which showed elevated wedge pressures and biopsy specimens were obtained of the right ventricle .' -p189389 -(lp189390 -S'Patient\tPatient\tNN\tB-NP\tO' -p189391 -aS'did\tdo\tVBD\tB-VP\tO' -p189392 -aS'receive\treceive\tVB\tI-VP\tO' -p189393 -aS'a\ta\tDT\tB-NP\tO' -p189394 -aS'right\tright\tJJ\tI-NP\tO' -p189395 -aS'heart\theart\tNN\tI-NP\tO' -p189396 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p189397 -aS',\t,\t,\tO\tO' -p189398 -aS'which\twhich\tWDT\tB-NP\tO' -p189399 -aS'showed\tshow\tVBD\tB-VP\tO' -p189400 -aS'elevated\televated\tJJ\tB-NP\tO' -p189401 -aS'wedge\twedge\tNN\tI-NP\tO' -p189402 -aS'pressures\tpressure\tNNS\tI-NP\tO' -p189403 -aS'and\tand\tCC\tO\tO' -p189404 -aS'biopsy\tbiopsy\tNN\tB-NP\tO' -p189405 -aS'specimens\tspecimen\tNNS\tI-NP\tO' -p189406 -aS'were\tbe\tVBD\tB-VP\tO' -p189407 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p189408 -aS'of\tof\tIN\tB-PP\tO' -p189409 -aS'the\tthe\tDT\tB-NP\tO' -p189410 -aS'right\tright\tJJ\tI-NP\tO' -p189411 -aS'ventricle\tventricle\tNN\tI-NP\tO' -p189412 -aS'.\t.\t.\tO\tO' -p189413 -asS'I will be happy to furnish the results .' -p189414 -(lp189415 -S'I\tI\tPRP\tB-NP\tO' -p189416 -aS'will\twill\tMD\tB-VP\tO' -p189417 -aS'be\tbe\tVB\tI-VP\tO' -p189418 -aS'happy\thappy\tJJ\tB-ADJP\tO' -p189419 -aS'to\tto\tTO\tB-VP\tO' -p189420 -aS'furnish\tfurnish\tVB\tI-VP\tO' -p189421 -aS'the\tthe\tDT\tB-NP\tO' -p189422 -aS'results\tresult\tNNS\tI-NP\tO' -p189423 -aS'.\t.\t.\tO\tO' -p189424 -asS'Ferinsol 0.2 cc. to provide 5 mg a day .' -p189425 -(lp189426 -S'Ferinsol\tFerinsol\tNN\tB-NP\tO' -p189427 -aS'0.2\t0.2\tCD\tI-NP\tO' -p189428 -aS'cc.\tcc.\tNN\tI-NP\tO' -p189429 -aS'to\tto\tTO\tB-VP\tO' -p189430 -aS'provide\tprovide\tVB\tI-VP\tO' -p189431 -aS'5\t5\tCD\tB-NP\tO' -p189432 -aS'mg\tmg\tNN\tI-NP\tO' -p189433 -aS'a\ta\tDT\tB-NP\tO' -p189434 -aS'day\tday\tNN\tI-NP\tO' -p189435 -aS'.\t.\t.\tO\tO' -p189436 -asS'3 ) END STAGE RENAL DISEASE ON DIALYSIS .' -p189437 -(lp189438 -S'3\t3\tLS\tB-LST\tO' -p189439 -aS')\t)\t)\tO\tO' -p189440 -aS'END\tEND\tNN\tB-NP\tO' -p189441 -aS'STAGE\tSTAGE\tNN\tI-NP\tO' -p189442 -aS'RENAL\tRENAL\tNNP\tI-NP\tO' -p189443 -aS'DISEASE\tDISEASE\tNNP\tI-NP\tO' -p189444 -aS'ON\tON\tNNP\tI-NP\tO' -p189445 -aS'DIALYSIS\tDIALYSIS\tNNP\tI-NP\tO' -p189446 -aS'.\t.\t.\tO\tO' -p189447 -asS'2. History of pulmonary embolism , etiology unknown .' -p189448 -(lp189449 -S'2.\t2.\tLS\tB-NP\tO' -p189450 -aS'History\tHistory\tNN\tI-NP\tO' -p189451 -aS'of\tof\tIN\tB-PP\tO' -p189452 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p189453 -aS'embolism\tembolism\tNN\tI-NP\tO' -p189454 -aS',\t,\t,\tO\tO' -p189455 -aS'etiology\tetiology\tNN\tB-NP\tO' -p189456 -aS'unknown\tunknown\tJJ\tB-ADJP\tO' -p189457 -aS'.\t.\t.\tO\tO' -p189458 -asS'Visual fields were full , her pupils were round and reactive bilaterally .' -p189459 -(lp189460 -S'Visual\tVisual\tJJ\tB-NP\tO' -p189461 -aS'fields\tfield\tNNS\tI-NP\tO' -p189462 -aS'were\tbe\tVBD\tB-VP\tO' -p189463 -aS'full\tfull\tJJ\tB-ADJP\tO' -p189464 -aS',\t,\t,\tO\tO' -p189465 -aS'her\ther\tPRP$\tB-NP\tO' -p189466 -aS'pupils\tpupil\tNNS\tI-NP\tO' -p189467 -aS'were\tbe\tVBD\tB-VP\tO' -p189468 -aS'round\tround\tJJ\tB-ADJP\tO' -p189469 -aS'and\tand\tCC\tI-ADJP\tO' -p189470 -aS'reactive\treactive\tJJ\tI-ADJP\tO' -p189471 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p189472 -aS'.\t.\t.\tO\tO' -p189473 -asS'The patient is an 88 year-old woman undergoing treatment for a right lower extremity cellulitis who was transferred from Child for worsening cellulitis and new confusion .' -p189474 -(lp189475 -S'The\tThe\tDT\tB-NP\tO' -p189476 -aS'patient\tpatient\tNN\tI-NP\tO' -p189477 -aS'is\tbe\tVBZ\tB-VP\tO' -p189478 -aS'an\tan\tDT\tB-NP\tO' -p189479 -aS'88\t88\tCD\tI-NP\tO' -p189480 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p189481 -aS'woman\twoman\tNN\tI-NP\tO' -p189482 -aS'undergoing\tundergo\tVBG\tB-VP\tO' -p189483 -aS'treatment\ttreatment\tNN\tB-NP\tO' -p189484 -aS'for\tfor\tIN\tB-PP\tO' -p189485 -aS'a\ta\tDT\tB-NP\tO' -p189486 -aS'right\tright\tJJ\tI-NP\tO' -p189487 -aS'lower\tlow\tJJR\tI-NP\tO' -p189488 -aS'extremity\textremity\tNN\tI-NP\tO' -p189489 -aS'cellulitis\tcellulitis\tNN\tI-NP\tO' -p189490 -aS'who\twho\tWP\tB-NP\tO' -p189491 -aS'was\tbe\tVBD\tB-VP\tO' -p189492 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p189493 -aS'from\tfrom\tIN\tB-PP\tO' -p189494 -aS'Child\tChild\tNNP\tB-NP\tO' -p189495 -aS'for\tfor\tIN\tB-PP\tO' -p189496 -aS'worsening\tworsen\tVBG\tB-VP\tO' -p189497 -aS'cellulitis\tcellulitis\tNN\tB-NP\tO' -p189498 -aS'and\tand\tCC\tO\tO' -p189499 -aS'new\tnew\tJJ\tB-NP\tO' -p189500 -aS'confusion\tconfusion\tNN\tI-NP\tO' -p189501 -aS'.\t.\t.\tO\tO' -p189502 -asS'Initial evaluation revealed corticate posturing was noted by the trauma team .' -p189503 -(lp189504 -S'Initial\tInitial\tJJ\tB-NP\tO' -p189505 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p189506 -aS'revealed\treveal\tVBD\tB-VP\tO' -p189507 -aS'corticate\tcorticate\tNN\tB-NP\tO' -p189508 -aS'posturing\tposturing\tNN\tI-NP\tO' -p189509 -aS'was\tbe\tVBD\tB-VP\tO' -p189510 -aS'noted\tnote\tVBN\tI-VP\tO' -p189511 -aS'by\tby\tIN\tB-PP\tO' -p189512 -aS'the\tthe\tDT\tB-NP\tO' -p189513 -aS'trauma\ttrauma\tNN\tI-NP\tO' -p189514 -aS'team\tteam\tNN\tI-NP\tO' -p189515 -aS'.\t.\t.\tO\tO' -p189516 -asS'There were bibasilar rales with some wheezing .' -p189517 -(lp189518 -S'There\tThere\tEX\tB-NP\tO' -p189519 -aS'were\tbe\tVBD\tB-VP\tO' -p189520 -aS'bibasilar\tbibasilar\tJJ\tB-NP\tO' -p189521 -aS'rales\trale\tNNS\tI-NP\tO' -p189522 -aS'with\twith\tIN\tB-PP\tO' -p189523 -aS'some\tsome\tDT\tB-NP\tO' -p189524 -aS'wheezing\twheezing\tNN\tI-NP\tO' -p189525 -aS'.\t.\t.\tO\tO' -p189526 -asS'By the patient and his family 's prior wishes , the patient was extubated .' -p189527 -(lp189528 -S'By\tBy\tIN\tB-PP\tO' -p189529 -aS'the\tthe\tDT\tB-NP\tO' -p189530 -aS'patient\tpatient\tNN\tI-NP\tO' -p189531 -aS'and\tand\tCC\tO\tO' -p189532 -aS'his\this\tPRP$\tB-NP\tO' -p189533 -aS'family\tfamily\tNN\tI-NP\tO' -p189534 -aS''s\t'\tVBZ\tB-VP\tO' -p189535 -aS'prior\tprior\tJJ\tB-NP\tO' -p189536 -aS'wishes\twish\tNNS\tI-NP\tO' -p189537 -aS',\t,\t,\tO\tO' -p189538 -aS'the\tthe\tDT\tB-NP\tO' -p189539 -aS'patient\tpatient\tNN\tI-NP\tO' -p189540 -aS'was\tbe\tVBD\tB-VP\tO' -p189541 -aS'extubated\textubate\tVBN\tI-VP\tO' -p189542 -aS'.\t.\t.\tO\tO' -p189543 -asS'Reason : Fever , f/u infiltrte' -p189544 -(lp189545 -S'Reason\tReason\tNNP\tB-NP\tO' -p189546 -aS':\t:\t:\tO\tO' -p189547 -aS'Fever\tFever\tNNP\tB-NP\tO' -p189548 -aS',\t,\t,\tO\tO' -p189549 -aS'f/u\tf/u\tNN\tB-NP\tO' -p189550 -aS'infiltrte\tinfiltrte\tNN\tI-NP\tO' -p189551 -asS'His bowel function resumed and in fact he had loose stool .' -p189552 -(lp189553 -S'His\tHis\tPRP$\tB-NP\tO' -p189554 -aS'bowel\tbowel\tNN\tI-NP\tO' -p189555 -aS'function\tfunction\tNN\tI-NP\tO' -p189556 -aS'resumed\tresume\tVBN\tB-VP\tO' -p189557 -aS'and\tand\tCC\tO\tO' -p189558 -aS'in\tin\tIN\tB-PP\tO' -p189559 -aS'fact\tfact\tNN\tB-NP\tO' -p189560 -aS'he\the\tPRP\tB-NP\tO' -p189561 -aS'had\thave\tVBD\tB-VP\tO' -p189562 -aS'loose\tloose\tJJ\tB-NP\tO' -p189563 -aS'stool\tstool\tNN\tI-NP\tO' -p189564 -aS'.\t.\t.\tO\tO' -p189565 -asS'He was successfully weaned off this support .' -p189566 -(lp189567 -S'He\tHe\tPRP\tB-NP\tO' -p189568 -aS'was\tbe\tVBD\tB-VP\tO' -p189569 -aS'successfully\tsuccessfully\tRB\tI-VP\tO' -p189570 -aS'weaned\twean\tVBN\tI-VP\tO' -p189571 -aS'off\toff\tRP\tB-PRT\tO' -p189572 -aS'this\tthis\tDT\tB-NP\tO' -p189573 -aS'support\tsupport\tNN\tI-NP\tO' -p189574 -aS'.\t.\t.\tO\tO' -p189575 -asS'By report , the patient was noted to be awake , but confused at the scene of the accident with no memory of the incident .' -p189576 -(lp189577 -S'By\tBy\tIN\tB-PP\tO' -p189578 -aS'report\treport\tNN\tB-NP\tO' -p189579 -aS',\t,\t,\tO\tO' -p189580 -aS'the\tthe\tDT\tB-NP\tO' -p189581 -aS'patient\tpatient\tNN\tI-NP\tO' -p189582 -aS'was\tbe\tVBD\tB-VP\tO' -p189583 -aS'noted\tnote\tVBN\tI-VP\tO' -p189584 -aS'to\tto\tTO\tI-VP\tO' -p189585 -aS'be\tbe\tVB\tI-VP\tO' -p189586 -aS'awake\tawake\tJJ\tB-ADJP\tO' -p189587 -aS',\t,\t,\tO\tO' -p189588 -aS'but\tbut\tCC\tO\tO' -p189589 -aS'confused\tconfuse\tVBD\tB-VP\tO' -p189590 -aS'at\tat\tIN\tB-PP\tO' -p189591 -aS'the\tthe\tDT\tB-NP\tO' -p189592 -aS'scene\tscene\tNN\tI-NP\tO' -p189593 -aS'of\tof\tIN\tB-PP\tO' -p189594 -aS'the\tthe\tDT\tB-NP\tO' -p189595 -aS'accident\taccident\tNN\tI-NP\tO' -p189596 -aS'with\twith\tIN\tB-PP\tO' -p189597 -aS'no\tno\tDT\tB-NP\tO' -p189598 -aS'memory\tmemory\tNN\tI-NP\tO' -p189599 -aS'of\tof\tIN\tB-PP\tO' -p189600 -aS'the\tthe\tDT\tB-NP\tO' -p189601 -aS'incident\tincident\tNN\tI-NP\tO' -p189602 -aS'.\t.\t.\tO\tO' -p189603 -asS'7) Hypothyroidism .' -p189604 -(lp189605 -S'7)\t7)\tLS\tB-LST\tO' -p189606 -aS'Hypothyroidism\tHypothyroidism\tNNP\tB-NP\tO' -p189607 -aS'.\t.\t.\tO\tO' -p189608 -asS'7. Aspirin 325 mg Tablet Sig : One ( 1 ) Tablet PO QD ( once a day ).' -p189609 -(lp189610 -S'7.\t7.\tCD\tB-NP\tO' -p189611 -aS'Aspirin\tAspirin\tNN\tI-NP\tO' -p189612 -aS'325\t325\tCD\tB-NP\tO' -p189613 -aS'mg\tmg\tNN\tI-NP\tO' -p189614 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p189615 -aS'Sig\tSig\tNNP\tI-NP\tO' -p189616 -aS':\t:\t:\tO\tO' -p189617 -aS'One\tOne\tCD\tB-NP\tO' -p189618 -aS'(\t(\t(\tO\tO' -p189619 -aS'1\t1\tCD\tB-NP\tO' -p189620 -aS')\t)\t)\tO\tO' -p189621 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p189622 -aS'PO\tPO\tNN\tI-NP\tO' -p189623 -aS'QD\tQD\tNN\tI-NP\tO' -p189624 -aS'(\t(\t(\tO\tO' -p189625 -aS'once\tonce\tRB\tB-ADVP\tO' -p189626 -aS'a\ta\tDT\tB-NP\tO' -p189627 -aS'day\tday\tNN\tI-NP\tO' -p189628 -aS').\t).\t.\tO\tO' -p189629 -asS'Cardiac arrest .' -p189630 -(lp189631 -S'Cardiac\tCardiac\tJJ\tB-NP\tO' -p189632 -aS'arrest\tarrest\tNN\tI-NP\tO' -p189633 -aS'.\t.\t.\tO\tO' -p189634 -asS'Additional assay shows slight widening of the mediastinum on chest x-ray .' -p189635 -(lp189636 -S'Additional\tAdditional\tJJ\tB-NP\tO' -p189637 -aS'assay\tassay\tNN\tI-NP\tO' -p189638 -aS'shows\tshow\tVBZ\tB-VP\tO' -p189639 -aS'slight\tslight\tJJ\tB-NP\tO' -p189640 -aS'widening\twidening\tNN\tI-NP\tO' -p189641 -aS'of\tof\tIN\tB-PP\tO' -p189642 -aS'the\tthe\tDT\tB-NP\tO' -p189643 -aS'mediastinum\tmediastinum\tNN\tI-NP\tO' -p189644 -aS'on\ton\tIN\tB-PP\tO' -p189645 -aS'chest\tchest\tNN\tB-NP\tO' -p189646 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p189647 -aS'.\t.\t.\tO\tO' -p189648 -asS'1. Acetaminophen 325 mg Tablet Sig : 1-2 Tablets PO Q4H ( every 4 hours ) as needed for fever or pain .' -p189649 -(lp189650 -S'1.\t1.\tLS\tB-NP\tO' -p189651 -aS'Acetaminophen\tAcetaminophen\tNN\tI-NP\tO' -p189652 -aS'325\t325\tCD\tI-NP\tO' -p189653 -aS'mg\tmg\tNN\tI-NP\tO' -p189654 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p189655 -aS'Sig\tSig\tNNP\tI-NP\tO' -p189656 -aS':\t:\t:\tO\tO' -p189657 -aS'1-2\t1-2\tCD\tB-NP\tO' -p189658 -aS'Tablets\tTablet\tNNS\tI-NP\tO' -p189659 -aS'PO\tPO\tNN\tI-NP\tO' -p189660 -aS'Q4H\tQ4H\tNN\tI-NP\tO' -p189661 -aS'(\t(\t(\tO\tO' -p189662 -aS'every\tevery\tDT\tB-NP\tO' -p189663 -aS'4\t4\tCD\tI-NP\tO' -p189664 -aS'hours\thour\tNNS\tI-NP\tO' -p189665 -aS')\t)\t)\tO\tO' -p189666 -aS'as\tas\tIN\tB-SBAR\tO' -p189667 -aS'needed\tneed\tVBN\tB-VP\tO' -p189668 -aS'for\tfor\tIN\tB-PP\tO' -p189669 -aS'fever\tfever\tNN\tB-NP\tO' -p189670 -aS'or\tor\tCC\tI-NP\tO' -p189671 -aS'pain\tpain\tNN\tI-NP\tO' -p189672 -aS'.\t.\t.\tO\tO' -p189673 -asS'His chest x-ray was initially remarkable for some mediastinal shift due to the right-sided lesion with increasing shift present on the last x-ray .' -p189674 -(lp189675 -S'His\tHis\tPRP$\tB-NP\tO' -p189676 -aS'chest\tchest\tNN\tI-NP\tO' -p189677 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p189678 -aS'was\tbe\tVBD\tB-VP\tO' -p189679 -aS'initially\tinitially\tRB\tB-ADJP\tO' -p189680 -aS'remarkable\tremarkable\tJJ\tI-ADJP\tO' -p189681 -aS'for\tfor\tIN\tB-PP\tO' -p189682 -aS'some\tsome\tDT\tB-NP\tO' -p189683 -aS'mediastinal\tmediastinal\tJJ\tI-NP\tO' -p189684 -aS'shift\tshift\tNN\tI-NP\tO' -p189685 -aS'due\tdue\tJJ\tB-PP\tO' -p189686 -aS'to\tto\tTO\tB-PP\tO' -p189687 -aS'the\tthe\tDT\tB-NP\tO' -p189688 -aS'right-sided\tright-sided\tJJ\tI-NP\tO' -p189689 -aS'lesion\tlesion\tNN\tI-NP\tO' -p189690 -aS'with\twith\tIN\tB-PP\tO' -p189691 -aS'increasing\tincrease\tVBG\tB-NP\tO' -p189692 -aS'shift\tshift\tNN\tI-NP\tO' -p189693 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p189694 -aS'on\ton\tIN\tB-PP\tO' -p189695 -aS'the\tthe\tDT\tB-NP\tO' -p189696 -aS'last\tlast\tJJ\tI-NP\tO' -p189697 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p189698 -aS'.\t.\t.\tO\tO' -p189699 -asS'The patient also underwent an Adenosine MIBI stress test which showed only mild lateral ischemia .' -p189700 -(lp189701 -S'The\tThe\tDT\tB-NP\tO' -p189702 -aS'patient\tpatient\tNN\tI-NP\tO' -p189703 -aS'also\talso\tRB\tB-ADVP\tO' -p189704 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p189705 -aS'an\tan\tDT\tB-NP\tO' -p189706 -aS'Adenosine\tAdenosine\tNN\tI-NP\tO' -p189707 -aS'MIBI\tMIBI\tNN\tI-NP\tO' -p189708 -aS'stress\tstress\tNN\tI-NP\tO' -p189709 -aS'test\ttest\tNN\tI-NP\tO' -p189710 -aS'which\twhich\tWDT\tB-NP\tO' -p189711 -aS'showed\tshow\tVBD\tB-VP\tO' -p189712 -aS'only\tonly\tRB\tB-NP\tO' -p189713 -aS'mild\tmild\tJJ\tI-NP\tO' -p189714 -aS'lateral\tlateral\tJJ\tI-NP\tO' -p189715 -aS'ischemia\tischemia\tNN\tI-NP\tO' -p189716 -aS'.\t.\t.\tO\tO' -p189717 -asS'4. Aortic stenosis .' -p189718 -(lp189719 -S'4.\t4.\tLS\tB-NP\tO' -p189720 -aS'Aortic\tAortic\tJJ\tI-NP\tO' -p189721 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p189722 -aS'.\t.\t.\tO\tO' -p189723 -asS'The situation was reviewed with Dr. Niste Graft .' -p189724 -(lp189725 -S'The\tThe\tDT\tB-NP\tO' -p189726 -aS'situation\tsituation\tNN\tI-NP\tO' -p189727 -aS'was\tbe\tVBD\tB-VP\tO' -p189728 -aS'reviewed\treview\tVBN\tI-VP\tO' -p189729 -aS'with\twith\tIN\tB-PP\tO' -p189730 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p189731 -aS'Niste\tNiste\tNNP\tI-NP\tO' -p189732 -aS'Graft\tGraft\tNNP\tI-NP\tO' -p189733 -aS'.\t.\t.\tO\tO' -p189734 -asS'A right upper quadrant ultrasound was performed and was negative for any acute pathology .' -p189735 -(lp189736 -S'A\tA\tDT\tB-NP\tO' -p189737 -aS'right\tright\tJJ\tI-NP\tO' -p189738 -aS'upper\tupper\tJJ\tI-NP\tO' -p189739 -aS'quadrant\tquadrant\tJJ\tI-NP\tO' -p189740 -aS'ultrasound\tultrasound\tNN\tI-NP\tO' -p189741 -aS'was\tbe\tVBD\tB-VP\tO' -p189742 -aS'performed\tperform\tVBN\tI-VP\tO' -p189743 -aS'and\tand\tCC\tO\tO' -p189744 -aS'was\tbe\tVBD\tB-VP\tO' -p189745 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p189746 -aS'for\tfor\tIN\tB-PP\tO' -p189747 -aS'any\tany\tDT\tB-NP\tO' -p189748 -aS'acute\tacute\tJJ\tI-NP\tO' -p189749 -aS'pathology\tpathology\tNN\tI-NP\tO' -p189750 -aS'.\t.\t.\tO\tO' -p189751 -asS'Her pain resolved after surgery and she has been doing well since , although at baseline now she is minimally ambulatory from bed to commode .' -p189752 -(lp189753 -S'Her\tHer\tPRP$\tB-NP\tO' -p189754 -aS'pain\tpain\tNN\tI-NP\tO' -p189755 -aS'resolved\tresolve\tVBN\tB-VP\tO' -p189756 -aS'after\tafter\tIN\tB-PP\tO' -p189757 -aS'surgery\tsurgery\tNN\tB-NP\tO' -p189758 -aS'and\tand\tCC\tO\tO' -p189759 -aS'she\tshe\tPRP\tB-NP\tO' -p189760 -aS'has\thave\tVBZ\tB-VP\tO' -p189761 -aS'been\tbe\tVBN\tI-VP\tO' -p189762 -aS'doing\tdo\tVBG\tI-VP\tO' -p189763 -aS'well\twell\tRB\tB-ADVP\tO' -p189764 -aS'since\tsince\tIN\tB-PP\tO' -p189765 -aS',\t,\t,\tO\tO' -p189766 -aS'although\talthough\tIN\tB-SBAR\tO' -p189767 -aS'at\tat\tIN\tB-PP\tO' -p189768 -aS'baseline\tbaseline\tNN\tB-NP\tO' -p189769 -aS'now\tnow\tRB\tB-ADVP\tO' -p189770 -aS'she\tshe\tPRP\tB-NP\tO' -p189771 -aS'is\tbe\tVBZ\tB-VP\tO' -p189772 -aS'minimally\tminimally\tRB\tB-ADJP\tO' -p189773 -aS'ambulatory\tambulatory\tJJ\tI-ADJP\tO' -p189774 -aS'from\tfrom\tIN\tB-PP\tO' -p189775 -aS'bed\tbed\tNN\tB-NP\tO' -p189776 -aS'to\tto\tTO\tB-VP\tO' -p189777 -aS'commode\tcommode\tVB\tI-VP\tO' -p189778 -aS'.\t.\t.\tO\tO' -p189779 -asS'Pt has h/o colon can to liver , s/p resxn with serosal implants in 9/03 .' -p189780 -(lp189781 -S'Pt\tPt\tNN\tB-NP\tO' -p189782 -aS'has\thave\tVBZ\tB-VP\tO' -p189783 -aS'h/o\th/o\tNN\tB-NP\tO' -p189784 -aS'colon\tcolon\tNN\tI-NP\tO' -p189785 -aS'can\tcan\tMD\tB-VP\tO' -p189786 -aS'to\tto\tTO\tI-VP\tO' -p189787 -aS'liver\tliver\tVB\tI-VP\tO' -p189788 -aS',\t,\t,\tO\tO' -p189789 -aS's/p\ts/p\tNN\tB-NP\tO' -p189790 -aS'resxn\tresxn\tNN\tI-NP\tO' -p189791 -aS'with\twith\tIN\tB-PP\tO' -p189792 -aS'serosal\tserosal\tJJ\tB-NP\tO' -p189793 -aS'implants\timplant\tNNS\tI-NP\tO' -p189794 -aS'in\tin\tIN\tB-PP\tO' -p189795 -aS'9/03\t9/03\tCD\tB-NP\tO' -p189796 -aS'.\t.\t.\tO\tO' -p189797 -asS'The patient had some vaginal bleeding x2 days .' -p189798 -(lp189799 -S'The\tThe\tDT\tB-NP\tO' -p189800 -aS'patient\tpatient\tNN\tI-NP\tO' -p189801 -aS'had\thave\tVBD\tB-VP\tO' -p189802 -aS'some\tsome\tDT\tB-NP\tO' -p189803 -aS'vaginal\tvaginal\tJJ\tI-NP\tO' -p189804 -aS'bleeding\tbleed\tVBG\tI-NP\tO' -p189805 -aS'x2\tx2\tNN\tI-NP\tO' -p189806 -aS'days\tday\tNNS\tI-NP\tO' -p189807 -aS'.\t.\t.\tO\tO' -p189808 -asS'The patient was doing relatively at home until one day prior to admission he complained discomfort over a suprapubic catheter area .' -p189809 -(lp189810 -S'The\tThe\tDT\tB-NP\tO' -p189811 -aS'patient\tpatient\tNN\tI-NP\tO' -p189812 -aS'was\tbe\tVBD\tB-VP\tO' -p189813 -aS'doing\tdo\tVBG\tI-VP\tO' -p189814 -aS'relatively\trelatively\tRB\tB-ADVP\tO' -p189815 -aS'at\tat\tIN\tB-PP\tO' -p189816 -aS'home\thome\tNN\tB-NP\tO' -p189817 -aS'until\tuntil\tIN\tB-SBAR\tO' -p189818 -aS'one\tone\tCD\tB-NP\tO' -p189819 -aS'day\tday\tNN\tI-NP\tO' -p189820 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p189821 -aS'to\tto\tTO\tB-PP\tO' -p189822 -aS'admission\tadmission\tNN\tB-NP\tO' -p189823 -aS'he\the\tPRP\tB-NP\tO' -p189824 -aS'complained\tcomplain\tVBD\tB-VP\tO' -p189825 -aS'discomfort\tdiscomfort\tNN\tB-NP\tO' -p189826 -aS'over\tover\tIN\tB-PP\tO' -p189827 -aS'a\ta\tDT\tB-NP\tO' -p189828 -aS'suprapubic\tsuprapubic\tJJ\tI-NP\tO' -p189829 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p189830 -aS'area\tarea\tNN\tI-NP\tO' -p189831 -aS'.\t.\t.\tO\tO' -p189832 -asS'The pulmonary function tests revealed an FEV1 of 1.51 , FVC 2.72 , and FEV1/FVC ratio of 56% .' -p189833 -(lp189834 -S'The\tThe\tDT\tB-NP\tO' -p189835 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p189836 -aS'function\tfunction\tNN\tI-NP\tO' -p189837 -aS'tests\ttest\tNNS\tI-NP\tO' -p189838 -aS'revealed\treveal\tVBD\tB-VP\tO' -p189839 -aS'an\tan\tDT\tB-NP\tO' -p189840 -aS'FEV1\tFEV1\tNN\tI-NP\tO' -p189841 -aS'of\tof\tIN\tB-PP\tO' -p189842 -aS'1.51\t1.51\tCD\tB-NP\tO' -p189843 -aS',\t,\t,\tO\tO' -p189844 -aS'FVC\tFVC\tNN\tB-NP\tB-protein' -p189845 -aS'2.72\t2.72\tCD\tI-NP\tI-protein' -p189846 -aS',\t,\t,\tO\tO' -p189847 -aS'and\tand\tCC\tO\tO' -p189848 -aS'FEV1/FVC\tFEV1/FVC\tNN\tB-NP\tO' -p189849 -aS'ratio\tratio\tNN\tI-NP\tO' -p189850 -aS'of\tof\tIN\tB-PP\tO' -p189851 -aS'56%\t56%\tNN\tB-NP\tO' -p189852 -aS'.\t.\t.\tO\tO' -p189853 -asS'Etiology felt most likely demand ischemia in setting of original hypertensive urgency with persistent elevation of trop 02-08 ESRD .' -p189854 -(lp189855 -S'Etiology\tEtiology\tNN\tB-NP\tO' -p189856 -aS'felt\tfeel\tVBD\tB-VP\tO' -p189857 -aS'most\tmost\tRBS\tB-NP\tO' -p189858 -aS'likely\tlikely\tJJ\tI-NP\tO' -p189859 -aS'demand\tdemand\tNN\tI-NP\tO' -p189860 -aS'ischemia\tischemia\tNN\tI-NP\tO' -p189861 -aS'in\tin\tIN\tB-PP\tO' -p189862 -aS'setting\tsetting\tNN\tB-NP\tO' -p189863 -aS'of\tof\tIN\tB-PP\tO' -p189864 -aS'original\toriginal\tJJ\tB-NP\tO' -p189865 -aS'hypertensive\thypertensive\tJJ\tI-NP\tO' -p189866 -aS'urgency\turgency\tNN\tI-NP\tO' -p189867 -aS'with\twith\tIN\tB-PP\tO' -p189868 -aS'persistent\tpersistent\tJJ\tB-NP\tO' -p189869 -aS'elevation\televation\tNN\tI-NP\tO' -p189870 -aS'of\tof\tIN\tB-PP\tO' -p189871 -aS'trop\ttrop\tNN\tB-NP\tO' -p189872 -aS'02-08\t02-08\tCD\tI-NP\tO' -p189873 -aS'ESRD\tESRD\tNNP\tI-NP\tO' -p189874 -aS'.\t.\t.\tO\tO' -p189875 -asS'The patient continued to receive blood transfusions on the floor and serial hematocrits with serial INR checks were drawn .' -p189876 -(lp189877 -S'The\tThe\tDT\tB-NP\tO' -p189878 -aS'patient\tpatient\tNN\tI-NP\tO' -p189879 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p189880 -aS'to\tto\tTO\tI-VP\tO' -p189881 -aS'receive\treceive\tVB\tI-VP\tO' -p189882 -aS'blood\tblood\tNN\tB-NP\tO' -p189883 -aS'transfusions\ttransfusion\tNNS\tI-NP\tO' -p189884 -aS'on\ton\tIN\tB-PP\tO' -p189885 -aS'the\tthe\tDT\tB-NP\tO' -p189886 -aS'floor\tfloor\tNN\tI-NP\tO' -p189887 -aS'and\tand\tCC\tO\tO' -p189888 -aS'serial\tserial\tJJ\tB-NP\tO' -p189889 -aS'hematocrits\thematocrit\tNNS\tI-NP\tO' -p189890 -aS'with\twith\tIN\tB-PP\tO' -p189891 -aS'serial\tserial\tJJ\tB-NP\tO' -p189892 -aS'INR\tINR\tNN\tI-NP\tO' -p189893 -aS'checks\tcheck\tNNS\tI-NP\tO' -p189894 -aS'were\tbe\tVBD\tB-VP\tO' -p189895 -aS'drawn\tdraw\tVBN\tI-VP\tO' -p189896 -aS'.\t.\t.\tO\tO' -p189897 -asS'So we proceeded to put her on heparin for anticoagulation and then when she was therapeutic on heparin , we went ahead and started her on coumadin and she is currently on coumadin at 2.5 mg q.h.s.' -p189898 -(lp189899 -S'So\tSo\tIN\tO\tO' -p189900 -aS'we\twe\tPRP\tB-NP\tO' -p189901 -aS'proceeded\tproceed\tVBD\tB-VP\tO' -p189902 -aS'to\tto\tTO\tI-VP\tO' -p189903 -aS'put\tput\tVB\tI-VP\tO' -p189904 -aS'her\ther\tPRP\tB-NP\tO' -p189905 -aS'on\ton\tIN\tB-PP\tO' -p189906 -aS'heparin\theparin\tNN\tB-NP\tO' -p189907 -aS'for\tfor\tIN\tB-PP\tO' -p189908 -aS'anticoagulation\tanticoagulation\tNN\tB-NP\tO' -p189909 -aS'and\tand\tCC\tO\tO' -p189910 -aS'then\tthen\tRB\tO\tO' -p189911 -aS'when\twhen\tWRB\tB-ADVP\tO' -p189912 -aS'she\tshe\tPRP\tB-NP\tO' -p189913 -aS'was\tbe\tVBD\tB-VP\tO' -p189914 -aS'therapeutic\ttherapeutic\tJJ\tB-ADJP\tO' -p189915 -aS'on\ton\tIN\tB-PP\tO' -p189916 -aS'heparin\theparin\tNN\tB-NP\tO' -p189917 -aS',\t,\t,\tO\tO' -p189918 -aS'we\twe\tPRP\tB-NP\tO' -p189919 -aS'went\tgo\tVBD\tB-VP\tO' -p189920 -aS'ahead\tahead\tRB\tB-ADVP\tO' -p189921 -aS'and\tand\tCC\tO\tO' -p189922 -aS'started\tstart\tVBD\tB-VP\tO' -p189923 -aS'her\ther\tPRP\tB-NP\tO' -p189924 -aS'on\ton\tIN\tB-PP\tO' -p189925 -aS'coumadin\tcoumadin\tNN\tB-NP\tO' -p189926 -aS'and\tand\tCC\tO\tO' -p189927 -aS'she\tshe\tPRP\tB-NP\tO' -p189928 -aS'is\tbe\tVBZ\tB-VP\tO' -p189929 -aS'currently\tcurrently\tRB\tB-ADVP\tO' -p189930 -aS'on\ton\tIN\tB-PP\tO' -p189931 -aS'coumadin\tcoumadin\tNN\tB-NP\tO' -p189932 -aS'at\tat\tIN\tB-PP\tO' -p189933 -aS'2.5\t2.5\tCD\tB-NP\tO' -p189934 -aS'mg\tmg\tNN\tI-NP\tO' -p189935 -aS'q.h.s.\tq.h.s.\tNNS\tI-NP\tO' -p189936 -asS'These antibiotics were continued but the family decided that they wanted us to emphasize the comfort of the patient and pursue no further invasive measures .' -p189937 -(lp189938 -S'These\tThese\tDT\tB-NP\tO' -p189939 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p189940 -aS'were\tbe\tVBD\tB-VP\tO' -p189941 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p189942 -aS'but\tbut\tCC\tO\tO' -p189943 -aS'the\tthe\tDT\tB-NP\tO' -p189944 -aS'family\tfamily\tNN\tI-NP\tO' -p189945 -aS'decided\tdecide\tVBD\tB-VP\tO' -p189946 -aS'that\tthat\tIN\tB-SBAR\tO' -p189947 -aS'they\tthey\tPRP\tB-NP\tO' -p189948 -aS'wanted\twant\tVBD\tB-VP\tO' -p189949 -aS'us\tus\tPRP\tB-NP\tO' -p189950 -aS'to\tto\tTO\tB-VP\tO' -p189951 -aS'emphasize\temphasize\tVB\tI-VP\tO' -p189952 -aS'the\tthe\tDT\tB-NP\tO' -p189953 -aS'comfort\tcomfort\tNN\tI-NP\tO' -p189954 -aS'of\tof\tIN\tB-PP\tO' -p189955 -aS'the\tthe\tDT\tB-NP\tO' -p189956 -aS'patient\tpatient\tNN\tI-NP\tO' -p189957 -aS'and\tand\tCC\tO\tO' -p189958 -aS'pursue\tpursue\tVB\tB-VP\tO' -p189959 -aS'no\tno\tDT\tB-NP\tO' -p189960 -aS'further\tfurther\tJJ\tI-NP\tO' -p189961 -aS'invasive\tinvasive\tJJ\tI-NP\tO' -p189962 -aS'measures\tmeasure\tNNS\tI-NP\tO' -p189963 -aS'.\t.\t.\tO\tO' -p189964 -asS'11. Zantac .' -p189965 -(lp189966 -S'11.\t11.\tLS\tB-NP\tO' -p189967 -aS'Zantac\tZantac\tNN\tI-NP\tO' -p189968 -aS'.\t.\t.\tO\tO' -p189969 -asS'This was done , however , as in problem number two below , we were not successful in any neurologic recovery .' -p189970 -(lp189971 -S'This\tThis\tDT\tB-NP\tO' -p189972 -aS'was\tbe\tVBD\tB-VP\tO' -p189973 -aS'done\tdo\tVBN\tI-VP\tO' -p189974 -aS',\t,\t,\tO\tO' -p189975 -aS'however\thowever\tRB\tB-ADVP\tO' -p189976 -aS',\t,\t,\tO\tO' -p189977 -aS'as\tas\tIN\tB-PP\tO' -p189978 -aS'in\tin\tIN\tB-PP\tO' -p189979 -aS'problem\tproblem\tNN\tB-NP\tO' -p189980 -aS'number\tnumber\tNN\tI-NP\tO' -p189981 -aS'two\ttwo\tCD\tB-NP\tO' -p189982 -aS'below\tbelow\tIN\tB-ADVP\tO' -p189983 -aS',\t,\t,\tO\tO' -p189984 -aS'we\twe\tPRP\tB-NP\tO' -p189985 -aS'were\tbe\tVBD\tB-VP\tO' -p189986 -aS'not\tnot\tRB\tB-ADJP\tO' -p189987 -aS'successful\tsuccessful\tJJ\tI-ADJP\tO' -p189988 -aS'in\tin\tIN\tB-PP\tO' -p189989 -aS'any\tany\tDT\tB-NP\tO' -p189990 -aS'neurologic\tneurologic\tJJ\tI-NP\tO' -p189991 -aS'recovery\trecovery\tNN\tI-NP\tO' -p189992 -aS'.\t.\t.\tO\tO' -p189993 -asS'The patient was also started on digoxin .' -p189994 -(lp189995 -S'The\tThe\tDT\tB-NP\tO' -p189996 -aS'patient\tpatient\tNN\tI-NP\tO' -p189997 -aS'was\tbe\tVBD\tB-VP\tO' -p189998 -aS'also\talso\tRB\tI-VP\tO' -p189999 -aS'started\tstart\tVBN\tI-VP\tO' -p190000 -aS'on\ton\tIN\tB-PP\tO' -p190001 -aS'digoxin\tdigoxin\tNN\tB-NP\tO' -p190002 -aS'.\t.\t.\tO\tO' -p190003 -asS'She did well overnight in the CMED CCU .' -p190004 -(lp190005 -S'She\tShe\tPRP\tB-NP\tO' -p190006 -aS'did\tdo\tVBD\tB-VP\tO' -p190007 -aS'well\twell\tRB\tB-ADJP\tO' -p190008 -aS'overnight\tovernight\tJJ\tI-ADJP\tO' -p190009 -aS'in\tin\tIN\tB-PP\tO' -p190010 -aS'the\tthe\tDT\tB-NP\tO' -p190011 -aS'CMED\tCMED\tVBN\tI-NP\tO' -p190012 -aS'CCU\tCCU\tNN\tI-NP\tO' -p190013 -aS'.\t.\t.\tO\tO' -p190014 -asS'Abdomen was soft , nontender with no masses palpable .' -p190015 -(lp190016 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p190017 -aS'was\tbe\tVBD\tB-VP\tO' -p190018 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p190019 -aS',\t,\t,\tO\tO' -p190020 -aS'nontender\tnontender\tJJ\tB-ADJP\tO' -p190021 -aS'with\twith\tIN\tB-PP\tO' -p190022 -aS'no\tno\tDT\tB-NP\tO' -p190023 -aS'masses\tmass\tNNS\tI-NP\tO' -p190024 -aS'palpable\tpalpable\tJJ\tB-ADJP\tO' -p190025 -aS'.\t.\t.\tO\tO' -p190026 -asS'Intubated , minimally responsive , localized pain .' -p190027 -(lp190028 -S'Intubated\tIntubate\tVBN\tB-NP\tO' -p190029 -aS',\t,\t,\tI-NP\tO' -p190030 -aS'minimally\tminimally\tRB\tI-NP\tO' -p190031 -aS'responsive\tresponsive\tJJ\tI-NP\tO' -p190032 -aS',\t,\t,\tI-NP\tO' -p190033 -aS'localized\tlocalized\tJJ\tI-NP\tO' -p190034 -aS'pain\tpain\tNN\tI-NP\tO' -p190035 -aS'.\t.\t.\tO\tO' -p190036 -asS'The mass grew larger , to the size of a baseball .' -p190037 -(lp190038 -S'The\tThe\tDT\tB-NP\tO' -p190039 -aS'mass\tmass\tNN\tI-NP\tO' -p190040 -aS'grew\tgrow\tVBD\tB-VP\tO' -p190041 -aS'larger\tlarge\tJJR\tB-ADJP\tO' -p190042 -aS',\t,\t,\tO\tO' -p190043 -aS'to\tto\tTO\tB-PP\tO' -p190044 -aS'the\tthe\tDT\tB-NP\tO' -p190045 -aS'size\tsize\tNN\tI-NP\tO' -p190046 -aS'of\tof\tIN\tB-PP\tO' -p190047 -aS'a\ta\tDT\tB-NP\tO' -p190048 -aS'baseball\tbaseball\tNN\tI-NP\tO' -p190049 -aS'.\t.\t.\tO\tO' -p190050 -asS'Remarkable for an intrauterine fetal demise at 30 weeks gestation .' -p190051 -(lp190052 -S'Remarkable\tRemarkable\tJJ\tB-ADJP\tO' -p190053 -aS'for\tfor\tIN\tB-PP\tO' -p190054 -aS'an\tan\tDT\tB-NP\tO' -p190055 -aS'intrauterine\tintrauterine\tJJ\tI-NP\tO' -p190056 -aS'fetal\tfetal\tJJ\tI-NP\tO' -p190057 -aS'demise\tdemise\tNN\tI-NP\tO' -p190058 -aS'at\tat\tIN\tB-PP\tO' -p190059 -aS'30\t30\tCD\tB-NP\tO' -p190060 -aS'weeks\tweek\tNNS\tI-NP\tO' -p190061 -aS'gestation\tgestation\tNN\tI-NP\tO' -p190062 -aS'.\t.\t.\tO\tO' -p190063 -asS'His postoperative course was generally unremarkable except for a prolonged course of advancement with range of motion of his left shoulder .' -p190064 -(lp190065 -S'His\tHis\tPRP$\tB-NP\tO' -p190066 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p190067 -aS'course\tcourse\tNN\tI-NP\tO' -p190068 -aS'was\tbe\tVBD\tB-VP\tO' -p190069 -aS'generally\tgenerally\tRB\tB-ADJP\tO' -p190070 -aS'unremarkable\tunremarkable\tJJ\tI-ADJP\tO' -p190071 -aS'except\texcept\tIN\tB-PP\tO' -p190072 -aS'for\tfor\tIN\tB-PP\tO' -p190073 -aS'a\ta\tDT\tB-NP\tO' -p190074 -aS'prolonged\tprolonged\tJJ\tI-NP\tO' -p190075 -aS'course\tcourse\tNN\tI-NP\tO' -p190076 -aS'of\tof\tIN\tB-PP\tO' -p190077 -aS'advancement\tadvancement\tNN\tB-NP\tO' -p190078 -aS'with\twith\tIN\tB-PP\tO' -p190079 -aS'range\trange\tNN\tB-NP\tO' -p190080 -aS'of\tof\tIN\tB-PP\tO' -p190081 -aS'motion\tmotion\tNN\tB-NP\tO' -p190082 -aS'of\tof\tIN\tB-PP\tO' -p190083 -aS'his\this\tPRP$\tB-NP\tO' -p190084 -aS'left\tleft\tJJ\tI-NP\tO' -p190085 -aS'shoulder\tshoulder\tNN\tI-NP\tO' -p190086 -aS'.\t.\t.\tO\tO' -p190087 -asS'A right parietal contusion is also identified , with blood tracking into the middle focus .' -p190088 -(lp190089 -S'A\tA\tDT\tB-NP\tO' -p190090 -aS'right\tright\tJJ\tI-NP\tO' -p190091 -aS'parietal\tparietal\tJJ\tI-NP\tO' -p190092 -aS'contusion\tcontusion\tNN\tI-NP\tO' -p190093 -aS'is\tbe\tVBZ\tB-VP\tO' -p190094 -aS'also\talso\tRB\tI-VP\tO' -p190095 -aS'identified\tidentify\tVBN\tI-VP\tO' -p190096 -aS',\t,\t,\tO\tO' -p190097 -aS'with\twith\tIN\tB-PP\tO' -p190098 -aS'blood\tblood\tNN\tB-NP\tO' -p190099 -aS'tracking\ttracking\tNN\tI-NP\tO' -p190100 -aS'into\tinto\tIN\tB-PP\tO' -p190101 -aS'the\tthe\tDT\tB-NP\tO' -p190102 -aS'middle\tmiddle\tJJ\tI-NP\tO' -p190103 -aS'focus\tfocus\tNN\tI-NP\tO' -p190104 -aS'.\t.\t.\tO\tO' -p190105 -asS'White blood cell count was 8.5 ( 80 percent neutrophils , 13 percent lymphocytes ) , hematocrit 27.4 , platelet count 277,000 .' -p190106 -(lp190107 -S'White\tWhite\tJJ\tB-NP\tO' -p190108 -aS'blood\tblood\tNN\tI-NP\tO' -p190109 -aS'cell\tcell\tNN\tI-NP\tO' -p190110 -aS'count\tcount\tNN\tI-NP\tO' -p190111 -aS'was\tbe\tVBD\tB-VP\tO' -p190112 -aS'8.5\t8.5\tCD\tB-NP\tO' -p190113 -aS'(\t(\t(\tO\tO' -p190114 -aS'80\t80\tCD\tB-NP\tO' -p190115 -aS'percent\tpercent\tNN\tI-NP\tO' -p190116 -aS'neutrophils\tneutrophil\tNNS\tI-NP\tO' -p190117 -aS',\t,\t,\tO\tO' -p190118 -aS'13\t13\tCD\tB-NP\tO' -p190119 -aS'percent\tpercent\tNN\tI-NP\tO' -p190120 -aS'lymphocytes\tlymphocyte\tNNS\tI-NP\tO' -p190121 -aS')\t)\t)\tO\tO' -p190122 -aS',\t,\t,\tO\tO' -p190123 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p190124 -aS'27.4\t27.4\tCD\tI-NP\tI-protein' -p190125 -aS',\t,\t,\tO\tO' -p190126 -aS'platelet\tplatelet\tNN\tB-NP\tB-protein' -p190127 -aS'count\tcount\tNN\tI-NP\tI-protein' -p190128 -aS'277,000\t277,000\tCD\tI-NP\tI-protein' -p190129 -aS'.\t.\t.\tO\tO' -p190130 -asS'History of cerebrovascular accident with residual right sided weakness .' -p190131 -(lp190132 -S'History\tHistory\tNN\tB-NP\tO' -p190133 -aS'of\tof\tIN\tB-PP\tO' -p190134 -aS'cerebrovascular\tcerebrovascular\tJJ\tB-NP\tO' -p190135 -aS'accident\taccident\tNN\tI-NP\tO' -p190136 -aS'with\twith\tIN\tB-PP\tO' -p190137 -aS'residual\tresidual\tJJ\tB-NP\tO' -p190138 -aS'right\tright\tJJ\tI-NP\tO' -p190139 -aS'sided\tsided\tJJ\tI-NP\tO' -p190140 -aS'weakness\tweakness\tNN\tI-NP\tO' -p190141 -aS'.\t.\t.\tO\tO' -p190142 -asS'As her Intensive Care Unit course continued and the patient showed minimal signs of meaningful improvement , continued discussions were had with the family about possibly changing code status .' -p190143 -(lp190144 -S'As\tAs\tIN\tB-SBAR\tO' -p190145 -aS'her\ther\tPRP$\tB-NP\tO' -p190146 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p190147 -aS'Care\tCare\tNNP\tI-NP\tO' -p190148 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p190149 -aS'course\tcourse\tNN\tI-NP\tO' -p190150 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p190151 -aS'and\tand\tCC\tO\tO' -p190152 -aS'the\tthe\tDT\tB-NP\tO' -p190153 -aS'patient\tpatient\tNN\tI-NP\tO' -p190154 -aS'showed\tshow\tVBD\tB-VP\tO' -p190155 -aS'minimal\tminimal\tJJ\tB-NP\tO' -p190156 -aS'signs\tsign\tNNS\tI-NP\tO' -p190157 -aS'of\tof\tIN\tB-PP\tO' -p190158 -aS'meaningful\tmeaningful\tJJ\tB-NP\tO' -p190159 -aS'improvement\timprovement\tNN\tI-NP\tO' -p190160 -aS',\t,\t,\tO\tO' -p190161 -aS'continued\tcontinue\tVBN\tB-NP\tO' -p190162 -aS'discussions\tdiscussion\tNNS\tI-NP\tO' -p190163 -aS'were\tbe\tVBD\tB-VP\tO' -p190164 -aS'had\thave\tVBN\tI-VP\tO' -p190165 -aS'with\twith\tIN\tB-PP\tO' -p190166 -aS'the\tthe\tDT\tB-NP\tO' -p190167 -aS'family\tfamily\tNN\tI-NP\tO' -p190168 -aS'about\tabout\tIN\tB-PP\tO' -p190169 -aS'possibly\tpossibly\tRB\tB-NP\tO' -p190170 -aS'changing\tchange\tVBG\tI-NP\tO' -p190171 -aS'code\tcode\tNN\tI-NP\tO' -p190172 -aS'status\tstatus\tNN\tI-NP\tO' -p190173 -aS'.\t.\t.\tO\tO' -p190174 -asS'She was also started on fluconazole for yeast in the urine , to be treated with fluconazole for total 7 days .' -p190175 -(lp190176 -S'She\tShe\tPRP\tB-NP\tO' -p190177 -aS'was\tbe\tVBD\tB-VP\tO' -p190178 -aS'also\talso\tRB\tI-VP\tO' -p190179 -aS'started\tstart\tVBN\tI-VP\tO' -p190180 -aS'on\ton\tIN\tB-PP\tO' -p190181 -aS'fluconazole\tfluconazole\tNN\tB-NP\tO' -p190182 -aS'for\tfor\tIN\tB-PP\tO' -p190183 -aS'yeast\tyeast\tNN\tB-NP\tO' -p190184 -aS'in\tin\tIN\tB-PP\tO' -p190185 -aS'the\tthe\tDT\tB-NP\tO' -p190186 -aS'urine\turine\tNN\tI-NP\tO' -p190187 -aS',\t,\t,\tO\tO' -p190188 -aS'to\tto\tTO\tB-VP\tO' -p190189 -aS'be\tbe\tVB\tI-VP\tO' -p190190 -aS'treated\ttreat\tVBN\tI-VP\tO' -p190191 -aS'with\twith\tIN\tB-PP\tO' -p190192 -aS'fluconazole\tfluconazole\tNN\tB-NP\tO' -p190193 -aS'for\tfor\tIN\tB-PP\tO' -p190194 -aS'total\ttotal\tJJ\tB-NP\tO' -p190195 -aS'7\t7\tCD\tI-NP\tO' -p190196 -aS'days\tday\tNNS\tI-NP\tO' -p190197 -aS'.\t.\t.\tO\tO' -p190198 -asS'Dictated By : Lila I Morgan , M.D.' -p190199 -(lp190200 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p190201 -aS'By\tBy\tIN\tB-PP\tO' -p190202 -aS':\t:\t:\tO\tO' -p190203 -aS'Lila\tLila\tNNP\tB-NP\tO' -p190204 -aS'I\tI\tNNP\tI-NP\tO' -p190205 -aS'Morgan\tMorgan\tNNP\tI-NP\tO' -p190206 -aS',\t,\t,\tO\tO' -p190207 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p190208 -asS'On the day of admission the patient noticed increasing shortness of breath .' -p190209 -(lp190210 -S'On\tOn\tIN\tB-PP\tO' -p190211 -aS'the\tthe\tDT\tB-NP\tO' -p190212 -aS'day\tday\tNN\tI-NP\tO' -p190213 -aS'of\tof\tIN\tB-PP\tO' -p190214 -aS'admission\tadmission\tNN\tB-NP\tO' -p190215 -aS'the\tthe\tDT\tB-NP\tO' -p190216 -aS'patient\tpatient\tNN\tI-NP\tO' -p190217 -aS'noticed\tnotice\tVBD\tB-VP\tO' -p190218 -aS'increasing\tincrease\tVBG\tB-NP\tO' -p190219 -aS'shortness\tshortness\tNN\tI-NP\tO' -p190220 -aS'of\tof\tIN\tB-PP\tO' -p190221 -aS'breath\tbreath\tNN\tB-NP\tO' -p190222 -aS'.\t.\t.\tO\tO' -p190223 -asS'Her anion gap closed and her fingersticks were less than 200 .' -p190224 -(lp190225 -S'Her\tHer\tPRP$\tB-NP\tO' -p190226 -aS'anion\tanion\tNN\tI-NP\tO' -p190227 -aS'gap\tgap\tNN\tI-NP\tO' -p190228 -aS'closed\tclose\tVBD\tB-VP\tO' -p190229 -aS'and\tand\tCC\tO\tO' -p190230 -aS'her\ther\tPRP$\tB-NP\tO' -p190231 -aS'fingersticks\tfingerstick\tNNS\tI-NP\tO' -p190232 -aS'were\tbe\tVBD\tB-VP\tO' -p190233 -aS'less\tless\tJJR\tB-NP\tO' -p190234 -aS'than\tthan\tIN\tI-NP\tO' -p190235 -aS'200\t200\tCD\tI-NP\tO' -p190236 -aS'.\t.\t.\tO\tO' -p190237 -asS'His head circumference on 05-18 was 36.5 cm with a maximum head circumference on' -p190238 -(lp190239 -S'His\tHis\tPRP$\tB-NP\tO' -p190240 -aS'head\thead\tJJ\tI-NP\tO' -p190241 -aS'circumference\tcircumference\tNN\tI-NP\tO' -p190242 -aS'on\ton\tIN\tB-PP\tO' -p190243 -aS'05-18\t05-18\tCD\tB-NP\tO' -p190244 -aS'was\tbe\tVBD\tB-VP\tO' -p190245 -aS'36.5\t36.5\tCD\tB-NP\tO' -p190246 -aS'cm\tcm\tNN\tI-NP\tO' -p190247 -aS'with\twith\tIN\tB-PP\tO' -p190248 -aS'a\ta\tDT\tB-NP\tO' -p190249 -aS'maximum\tmaximum\tNN\tI-NP\tO' -p190250 -aS'head\thead\tNN\tI-NP\tO' -p190251 -aS'circumference\tcircumference\tNN\tI-NP\tO' -p190252 -aS'on\ton\tIN\tB-PP\tO' -p190253 -asS'The location of the hemorrhage was not felt to be typical for hypertensive bleed ( cortical ) and it was felt to be unlikely that the recent fall was related to the bleed .' -p190254 -(lp190255 -S'The\tThe\tDT\tB-NP\tO' -p190256 -aS'location\tlocation\tNN\tI-NP\tO' -p190257 -aS'of\tof\tIN\tB-PP\tO' -p190258 -aS'the\tthe\tDT\tB-NP\tO' -p190259 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p190260 -aS'was\tbe\tVBD\tB-VP\tO' -p190261 -aS'not\tnot\tRB\tI-VP\tO' -p190262 -aS'felt\tfeel\tVBN\tI-VP\tO' -p190263 -aS'to\tto\tTO\tI-VP\tO' -p190264 -aS'be\tbe\tVB\tI-VP\tO' -p190265 -aS'typical\ttypical\tJJ\tB-ADJP\tO' -p190266 -aS'for\tfor\tIN\tB-PP\tO' -p190267 -aS'hypertensive\thypertensive\tJJ\tB-NP\tO' -p190268 -aS'bleed\tbleed\tNN\tI-NP\tO' -p190269 -aS'(\t(\t(\tO\tO' -p190270 -aS'cortical\tcortical\tJJ\tB-ADJP\tO' -p190271 -aS')\t)\t)\tO\tO' -p190272 -aS'and\tand\tCC\tO\tO' -p190273 -aS'it\tit\tPRP\tB-NP\tO' -p190274 -aS'was\tbe\tVBD\tB-VP\tO' -p190275 -aS'felt\tfeel\tVBN\tI-VP\tO' -p190276 -aS'to\tto\tTO\tI-VP\tO' -p190277 -aS'be\tbe\tVB\tI-VP\tO' -p190278 -aS'unlikely\tunlikely\tJJ\tB-ADJP\tO' -p190279 -aS'that\tthat\tIN\tB-SBAR\tO' -p190280 -aS'the\tthe\tDT\tB-NP\tO' -p190281 -aS'recent\trecent\tJJ\tI-NP\tO' -p190282 -aS'fall\tfall\tNN\tI-NP\tO' -p190283 -aS'was\tbe\tVBD\tB-VP\tO' -p190284 -aS'related\trelate\tVBN\tI-VP\tO' -p190285 -aS'to\tto\tTO\tB-PP\tO' -p190286 -aS'the\tthe\tDT\tB-NP\tO' -p190287 -aS'bleed\tbleed\tNN\tI-NP\tO' -p190288 -aS'.\t.\t.\tO\tO' -p190289 -asS'That day , he was found to be acutely short of breath with a respiratory rate of 40 and oxygen saturations in the mid seventies .' -p190290 -(lp190291 -S'That\tThat\tDT\tB-NP\tO' -p190292 -aS'day\tday\tNN\tI-NP\tO' -p190293 -aS',\t,\t,\tO\tO' -p190294 -aS'he\the\tPRP\tB-NP\tO' -p190295 -aS'was\tbe\tVBD\tB-VP\tO' -p190296 -aS'found\tfind\tVBN\tI-VP\tO' -p190297 -aS'to\tto\tTO\tI-VP\tO' -p190298 -aS'be\tbe\tVB\tI-VP\tO' -p190299 -aS'acutely\tacutely\tRB\tB-ADVP\tO' -p190300 -aS'short\tshort\tRB\tI-ADVP\tO' -p190301 -aS'of\tof\tIN\tB-PP\tO' -p190302 -aS'breath\tbreath\tNN\tB-NP\tO' -p190303 -aS'with\twith\tIN\tB-PP\tO' -p190304 -aS'a\ta\tDT\tB-NP\tO' -p190305 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p190306 -aS'rate\trate\tNN\tI-NP\tO' -p190307 -aS'of\tof\tIN\tB-PP\tO' -p190308 -aS'40\t40\tCD\tB-NP\tO' -p190309 -aS'and\tand\tCC\tO\tO' -p190310 -aS'oxygen\toxygen\tNN\tB-NP\tO' -p190311 -aS'saturations\tsaturation\tNNS\tI-NP\tO' -p190312 -aS'in\tin\tIN\tB-PP\tO' -p190313 -aS'the\tthe\tDT\tB-NP\tO' -p190314 -aS'mid\tmid\tJJ\tI-NP\tO' -p190315 -aS'seventies\tseventy\tNNS\tI-NP\tO' -p190316 -aS'.\t.\t.\tO\tO' -p190317 -asS'22. Lidocaine 5 %( 700 mg / patch ) Adhesive Patch , Medicated Sig : One ( 1 ) Adhesive Patch , Medicated Topical QD ( ) .' -p190318 -(lp190319 -S'22.\t22.\tCD\tB-NP\tO' -p190320 -aS'Lidocaine\tLidocaine\tNNP\tI-NP\tO' -p190321 -aS'5\t5\tCD\tI-NP\tO' -p190322 -aS'%(\t%(\tCC\tI-NP\tO' -p190323 -aS'700\t700\tCD\tI-NP\tO' -p190324 -aS'mg\tmg\tNN\tI-NP\tO' -p190325 -aS'/\t/\tSYM\tB-NP\tO' -p190326 -aS'patch\tpatch\tNN\tI-NP\tO' -p190327 -aS')\t)\t)\tO\tO' -p190328 -aS'Adhesive\tAdhesive\tNNP\tB-NP\tO' -p190329 -aS'Patch\tPatch\tNNP\tI-NP\tO' -p190330 -aS',\t,\t,\tO\tO' -p190331 -aS'Medicated\tMedicated\tNNP\tB-NP\tO' -p190332 -aS'Sig\tSig\tNNP\tI-NP\tO' -p190333 -aS':\t:\t:\tO\tO' -p190334 -aS'One\tOne\tCD\tB-NP\tO' -p190335 -aS'(\t(\t(\tO\tO' -p190336 -aS'1\t1\tCD\tB-NP\tO' -p190337 -aS')\t)\t)\tO\tO' -p190338 -aS'Adhesive\tAdhesive\tNNP\tB-NP\tO' -p190339 -aS'Patch\tPatch\tNNP\tI-NP\tO' -p190340 -aS',\t,\t,\tO\tO' -p190341 -aS'Medicated\tMedicated\tNNP\tB-NP\tO' -p190342 -aS'Topical\tTopical\tNNP\tI-NP\tO' -p190343 -aS'QD\tQD\tNNP\tI-NP\tO' -p190344 -aS'(\t(\t(\tO\tO' -p190345 -aS')\t)\t)\tO\tO' -p190346 -aS'.\t.\t.\tO\tO' -p190347 -asS'He was Neurologically intact .' -p190348 -(lp190349 -S'He\tHe\tPRP\tB-NP\tO' -p190350 -aS'was\tbe\tVBD\tB-VP\tO' -p190351 -aS'Neurologically\tNeurologically\tRB\tB-ADJP\tO' -p190352 -aS'intact\tintact\tJJ\tI-ADJP\tO' -p190353 -aS'.\t.\t.\tO\tO' -p190354 -asS'Mrs. Wisniewski is a 45-year-old woman with multiple familial cavernous hemangiomas .' -p190355 -(lp190356 -S'Mrs.\tMrs.\tNNP\tB-NP\tO' -p190357 -aS'Wisniewski\tWisniewski\tNNP\tI-NP\tO' -p190358 -aS'is\tbe\tVBZ\tB-VP\tO' -p190359 -aS'a\ta\tDT\tB-NP\tO' -p190360 -aS'45-year-old\t45-year-old\tJJ\tI-NP\tO' -p190361 -aS'woman\twoman\tNN\tI-NP\tO' -p190362 -aS'with\twith\tIN\tB-PP\tO' -p190363 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p190364 -aS'familial\tfamilial\tJJ\tI-NP\tO' -p190365 -aS'cavernous\tcavernous\tJJ\tI-NP\tO' -p190366 -aS'hemangiomas\themangioma\tNNS\tI-NP\tO' -p190367 -aS'.\t.\t.\tO\tO' -p190368 -asS'Follow-up with Dr. Jesc in the office .' -p190369 -(lp190370 -S'Follow-up\tFollow-up\tNN\tB-NP\tO' -p190371 -aS'with\twith\tIN\tB-PP\tO' -p190372 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p190373 -aS'Jesc\tJesc\tNNP\tI-NP\tO' -p190374 -aS'in\tin\tIN\tB-PP\tO' -p190375 -aS'the\tthe\tDT\tB-NP\tO' -p190376 -aS'office\toffice\tNN\tI-NP\tO' -p190377 -aS'.\t.\t.\tO\tO' -p190378 -asS'Multiple wires were used to attempt to cross the total occlusion , but were ultimately unsuccessful .' -p190379 -(lp190380 -S'Multiple\tMultiple\tJJ\tB-NP\tO' -p190381 -aS'wires\twire\tNNS\tI-NP\tO' -p190382 -aS'were\tbe\tVBD\tB-VP\tO' -p190383 -aS'used\tuse\tVBN\tI-VP\tO' -p190384 -aS'to\tto\tTO\tB-VP\tO' -p190385 -aS'attempt\tattempt\tVB\tI-VP\tO' -p190386 -aS'to\tto\tTO\tI-VP\tO' -p190387 -aS'cross\tcross\tVB\tI-VP\tO' -p190388 -aS'the\tthe\tDT\tB-NP\tO' -p190389 -aS'total\ttotal\tJJ\tI-NP\tO' -p190390 -aS'occlusion\tocclusion\tNN\tI-NP\tO' -p190391 -aS',\t,\t,\tO\tO' -p190392 -aS'but\tbut\tCC\tO\tO' -p190393 -aS'were\tbe\tVBD\tB-VP\tO' -p190394 -aS'ultimately\tultimately\tRB\tB-ADJP\tO' -p190395 -aS'unsuccessful\tunsuccessful\tJJ\tI-ADJP\tO' -p190396 -aS'.\t.\t.\tO\tO' -p190397 -asS'The gastric resection margins were free of carcinoma .' -p190398 -(lp190399 -S'The\tThe\tDT\tB-NP\tO' -p190400 -aS'gastric\tgastric\tJJ\tI-NP\tB-protein' -p190401 -aS'resection\tresection\tNN\tI-NP\tI-protein' -p190402 -aS'margins\tmargin\tNNS\tI-NP\tI-protein' -p190403 -aS'were\tbe\tVBD\tB-VP\tO' -p190404 -aS'free\tfree\tJJ\tB-ADJP\tO' -p190405 -aS'of\tof\tIN\tB-PP\tO' -p190406 -aS'carcinoma\tcarcinoma\tNN\tB-NP\tO' -p190407 -aS'.\t.\t.\tO\tO' -p190408 -asS'7. Polyvinyl Alcohol 1.4 % Drops Sig : 1-2 Drops Ophthalmic BID ( 2 times a day ) .' -p190409 -(lp190410 -S'7.\t7.\tLS\tB-NP\tO' -p190411 -aS'Polyvinyl\tPolyvinyl\tNN\tI-NP\tO' -p190412 -aS'Alcohol\tAlcohol\tNN\tI-NP\tO' -p190413 -aS'1.4\t1.4\tCD\tB-NP\tO' -p190414 -aS'%\t%\tNN\tI-NP\tO' -p190415 -aS'Drops\tDrops\tNNP\tI-NP\tO' -p190416 -aS'Sig\tSig\tNNP\tI-NP\tO' -p190417 -aS':\t:\t:\tO\tO' -p190418 -aS'1-2\t1-2\tCD\tB-NP\tO' -p190419 -aS'Drops\tDrop\tVBZ\tB-VP\tO' -p190420 -aS'Ophthalmic\tOphthalmic\tJJ\tB-NP\tO' -p190421 -aS'BID\tBID\tNN\tI-NP\tO' -p190422 -aS'(\t(\t(\tO\tO' -p190423 -aS'2\t2\tCD\tB-NP\tO' -p190424 -aS'times\ttime\tNNS\tI-NP\tO' -p190425 -aS'a\ta\tDT\tB-NP\tO' -p190426 -aS'day\tday\tNN\tI-NP\tO' -p190427 -aS')\t)\t)\tO\tO' -p190428 -aS'.\t.\t.\tO\tO' -p190429 -asS'Sodium 141 , potassium 4.3 , chloride 108 , CO2 25 , BUN 24 , creatinine 0.8 , glucose 140 .' -p190430 -(lp190431 -S'Sodium\tSodium\tNN\tB-NP\tB-protein' -p190432 -aS'141\t141\tCD\tI-NP\tI-protein' -p190433 -aS',\t,\t,\tO\tO' -p190434 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p190435 -aS'4.3\t4.3\tCD\tI-NP\tO' -p190436 -aS',\t,\t,\tO\tO' -p190437 -aS'chloride\tchloride\tNN\tB-NP\tO' -p190438 -aS'108\t108\tCD\tI-NP\tO' -p190439 -aS',\t,\t,\tO\tO' -p190440 -aS'CO2\tCO2\tNN\tB-NP\tO' -p190441 -aS'25\t25\tCD\tI-NP\tO' -p190442 -aS',\t,\t,\tO\tO' -p190443 -aS'BUN\tBUN\tNN\tB-NP\tB-DNA' -p190444 -aS'24\t24\tCD\tI-NP\tI-DNA' -p190445 -aS',\t,\t,\tO\tO' -p190446 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p190447 -aS'0.8\t0.8\tCD\tI-NP\tO' -p190448 -aS',\t,\t,\tO\tO' -p190449 -aS'glucose\tglucose\tNN\tB-NP\tO' -p190450 -aS'140\t140\tCD\tI-NP\tO' -p190451 -aS'.\t.\t.\tO\tO' -p190452 -asS'The rest of the hospital stay can be discussed in terms of system based approach .' -p190453 -(lp190454 -S'The\tThe\tDT\tB-NP\tO' -p190455 -aS'rest\trest\tNN\tI-NP\tO' -p190456 -aS'of\tof\tIN\tB-PP\tO' -p190457 -aS'the\tthe\tDT\tB-NP\tO' -p190458 -aS'hospital\thospital\tNN\tI-NP\tO' -p190459 -aS'stay\tstay\tNN\tI-NP\tO' -p190460 -aS'can\tcan\tMD\tB-VP\tO' -p190461 -aS'be\tbe\tVB\tI-VP\tO' -p190462 -aS'discussed\tdiscuss\tVBN\tI-VP\tO' -p190463 -aS'in\tin\tIN\tB-PP\tO' -p190464 -aS'terms\tterm\tNNS\tB-NP\tO' -p190465 -aS'of\tof\tIN\tB-PP\tO' -p190466 -aS'system\tsystem\tNN\tB-NP\tO' -p190467 -aS'based\tbased\tJJ\tI-NP\tO' -p190468 -aS'approach\tapproach\tNN\tI-NP\tO' -p190469 -aS'.\t.\t.\tO\tO' -p190470 -asS'He has no further recollection , until he presented to the emergency room .' -p190471 -(lp190472 -S'He\tHe\tPRP\tB-NP\tO' -p190473 -aS'has\thave\tVBZ\tB-VP\tO' -p190474 -aS'no\tno\tDT\tB-NP\tO' -p190475 -aS'further\tfurther\tJJ\tI-NP\tO' -p190476 -aS'recollection\trecollection\tNN\tI-NP\tO' -p190477 -aS',\t,\t,\tO\tO' -p190478 -aS'until\tuntil\tIN\tB-SBAR\tO' -p190479 -aS'he\the\tPRP\tB-NP\tO' -p190480 -aS'presented\tpresent\tVBD\tB-VP\tO' -p190481 -aS'to\tto\tTO\tB-PP\tO' -p190482 -aS'the\tthe\tDT\tB-NP\tO' -p190483 -aS'emergency\temergency\tNN\tI-NP\tO' -p190484 -aS'room\troom\tNN\tI-NP\tO' -p190485 -aS'.\t.\t.\tO\tO' -p190486 -asS'Ventricles were symmetrical and not compressed .' -p190487 -(lp190488 -S'Ventricles\tVentricle\tNNS\tB-NP\tO' -p190489 -aS'were\tbe\tVBD\tB-VP\tO' -p190490 -aS'symmetrical\tsymmetrical\tJJ\tB-ADJP\tO' -p190491 -aS'and\tand\tCC\tO\tO' -p190492 -aS'not\tnot\tRB\tB-VP\tO' -p190493 -aS'compressed\tcompress\tVBN\tI-VP\tO' -p190494 -aS'.\t.\t.\tO\tO' -p190495 -asS'The patient is alert and oriented and has a sling for his left humeral fracture .' -p190496 -(lp190497 -S'The\tThe\tDT\tB-NP\tO' -p190498 -aS'patient\tpatient\tNN\tI-NP\tO' -p190499 -aS'is\tbe\tVBZ\tB-VP\tO' -p190500 -aS'alert\talert\tJJ\tB-ADJP\tO' -p190501 -aS'and\tand\tCC\tO\tO' -p190502 -aS'oriented\torient\tVBN\tB-VP\tO' -p190503 -aS'and\tand\tCC\tO\tO' -p190504 -aS'has\thave\tVBZ\tB-VP\tO' -p190505 -aS'a\ta\tDT\tB-NP\tO' -p190506 -aS'sling\tsling\tNN\tI-NP\tO' -p190507 -aS'for\tfor\tIN\tB-PP\tO' -p190508 -aS'his\this\tPRP$\tB-NP\tO' -p190509 -aS'left\tleft\tJJ\tI-NP\tO' -p190510 -aS'humeral\thumeral\tJJ\tI-NP\tO' -p190511 -aS'fracture\tfracture\tNN\tI-NP\tO' -p190512 -aS'.\t.\t.\tO\tO' -p190513 -asS'The neck was supple with no lymphadenopathy .' -p190514 -(lp190515 -S'The\tThe\tDT\tB-NP\tO' -p190516 -aS'neck\tneck\tNN\tI-NP\tO' -p190517 -aS'was\tbe\tVBD\tB-VP\tO' -p190518 -aS'supple\tsupple\tNN\tB-NP\tO' -p190519 -aS'with\twith\tIN\tB-PP\tO' -p190520 -aS'no\tno\tDT\tB-NP\tO' -p190521 -aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' -p190522 -aS'.\t.\t.\tO\tO' -p190523 -asS'7. ANEMIA .' -p190524 -(lp190525 -S'7.\t7.\tCD\tB-NP\tO' -p190526 -aS'ANEMIA\tANEMIA\tNN\tI-NP\tO' -p190527 -aS'.\t.\t.\tO\tO' -p190528 -asS'The patient presented with almost a stridor and a large mediastinal mass with shortness of breath .' -p190529 -(lp190530 -S'The\tThe\tDT\tB-NP\tO' -p190531 -aS'patient\tpatient\tNN\tI-NP\tO' -p190532 -aS'presented\tpresent\tVBD\tB-VP\tO' -p190533 -aS'with\twith\tIN\tB-PP\tO' -p190534 -aS'almost\talmost\tRB\tB-NP\tO' -p190535 -aS'a\ta\tDT\tI-NP\tO' -p190536 -aS'stridor\tstridor\tNN\tI-NP\tO' -p190537 -aS'and\tand\tCC\tO\tO' -p190538 -aS'a\ta\tDT\tB-NP\tO' -p190539 -aS'large\tlarge\tJJ\tI-NP\tO' -p190540 -aS'mediastinal\tmediastinal\tJJ\tI-NP\tO' -p190541 -aS'mass\tmass\tNN\tI-NP\tO' -p190542 -aS'with\twith\tIN\tB-PP\tO' -p190543 -aS'shortness\tshortness\tNN\tB-NP\tO' -p190544 -aS'of\tof\tIN\tB-PP\tO' -p190545 -aS'breath\tbreath\tNN\tB-NP\tO' -p190546 -aS'.\t.\t.\tO\tO' -p190547 -asS'12. Flexeril .' -p190548 -(lp190549 -S'12.\t12.\tLS\tB-LST\tO' -p190550 -aS'Flexeril\tFlexeril\tNNP\tB-NP\tO' -p190551 -aS'.\t.\t.\tO\tO' -p190552 -asS'Cardiovascular examination ; regular rate and rhythm with no murmurs , rubs , or gallops .' -p190553 -(lp190554 -S'Cardiovascular\tCardiovascular\tJJ\tB-NP\tO' -p190555 -aS'examination\texamination\tNN\tI-NP\tO' -p190556 -aS';\t;\t:\tO\tO' -p190557 -aS'regular\tregular\tJJ\tB-NP\tO' -p190558 -aS'rate\trate\tNN\tI-NP\tO' -p190559 -aS'and\tand\tCC\tO\tO' -p190560 -aS'rhythm\trhythm\tNN\tB-NP\tO' -p190561 -aS'with\twith\tIN\tB-PP\tO' -p190562 -aS'no\tno\tDT\tB-NP\tO' -p190563 -aS'murmurs\tmurmur\tNNS\tI-NP\tO' -p190564 -aS',\t,\t,\tO\tO' -p190565 -aS'rubs\trub\tNNS\tB-NP\tO' -p190566 -aS',\t,\t,\tO\tO' -p190567 -aS'or\tor\tCC\tO\tO' -p190568 -aS'gallops\tgallop\tNNS\tB-NP\tO' -p190569 -aS'.\t.\t.\tO\tO' -p190570 -asS'The physical examination reveals a pleasant 70 year old male in no acute distress .' -p190571 -(lp190572 -S'The\tThe\tDT\tB-NP\tO' -p190573 -aS'physical\tphysical\tJJ\tI-NP\tO' -p190574 -aS'examination\texamination\tNN\tI-NP\tO' -p190575 -aS'reveals\treveal\tVBZ\tB-VP\tO' -p190576 -aS'a\ta\tDT\tB-NP\tO' -p190577 -aS'pleasant\tpleasant\tJJ\tI-NP\tO' -p190578 -aS'70\t70\tCD\tI-NP\tO' -p190579 -aS'year\tyear\tNN\tI-NP\tO' -p190580 -aS'old\told\tJJ\tI-NP\tO' -p190581 -aS'male\tmale\tNN\tI-NP\tO' -p190582 -aS'in\tin\tIN\tB-PP\tO' -p190583 -aS'no\tno\tDT\tB-NP\tO' -p190584 -aS'acute\tacute\tJJ\tI-NP\tO' -p190585 -aS'distress\tdistress\tNN\tI-NP\tO' -p190586 -aS'.\t.\t.\tO\tO' -p190587 -asS'2. Large , cystic , multiseptated mass arising from the adnexa , worrisome for second primary malignancy .' -p190588 -(lp190589 -S'2.\t2.\tLS\tB-NP\tO' -p190590 -aS'Large\tLarge\tJJ\tI-NP\tO' -p190591 -aS',\t,\t,\tI-NP\tO' -p190592 -aS'cystic\tcystic\tJJ\tI-NP\tO' -p190593 -aS',\t,\t,\tI-NP\tO' -p190594 -aS'multiseptated\tmultiseptated\tJJ\tI-NP\tO' -p190595 -aS'mass\tmass\tNN\tI-NP\tO' -p190596 -aS'arising\tarise\tVBG\tB-VP\tO' -p190597 -aS'from\tfrom\tIN\tB-PP\tO' -p190598 -aS'the\tthe\tDT\tB-NP\tO' -p190599 -aS'adnexa\tadnexa\tNN\tI-NP\tO' -p190600 -aS',\t,\t,\tO\tO' -p190601 -aS'worrisome\tworrisome\tJJ\tB-ADJP\tO' -p190602 -aS'for\tfor\tIN\tB-PP\tO' -p190603 -aS'second\tsecond\tJJ\tB-NP\tO' -p190604 -aS'primary\tprimary\tJJ\tI-NP\tO' -p190605 -aS'malignancy\tmalignancy\tNN\tI-NP\tO' -p190606 -aS'.\t.\t.\tO\tO' -p190607 -asS'9. Calcium acetate Tums one p.o. t.i.d. with meals .' -p190608 -(lp190609 -S'9.\t9.\tLS\tB-NP\tO' -p190610 -aS'Calcium\tCalcium\tNN\tI-NP\tO' -p190611 -aS'acetate\tacetate\tNN\tI-NP\tO' -p190612 -aS'Tums\tTum\tVBZ\tB-VP\tO' -p190613 -aS'one\tone\tCD\tB-NP\tO' -p190614 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p190615 -aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' -p190616 -aS'with\twith\tIN\tB-PP\tO' -p190617 -aS'meals\tmeal\tNNS\tB-NP\tO' -p190618 -aS'.\t.\t.\tO\tO' -p190619 -asS'With a fever of 102 , up to 42 degrees centigrade , aggressive measures including cooling blankets , alcohol swabs , and fans were used in an attempt to bring his body temperature down .' -p190620 -(lp190621 -S'With\tWith\tIN\tB-PP\tO' -p190622 -aS'a\ta\tDT\tB-NP\tO' -p190623 -aS'fever\tfever\tNN\tI-NP\tO' -p190624 -aS'of\tof\tIN\tB-PP\tO' -p190625 -aS'102\t102\tCD\tB-NP\tO' -p190626 -aS',\t,\t,\tO\tO' -p190627 -aS'up\tup\tRB\tB-NP\tO' -p190628 -aS'to\tto\tTO\tI-NP\tO' -p190629 -aS'42\t42\tCD\tI-NP\tO' -p190630 -aS'degrees\tdegree\tNNS\tI-NP\tO' -p190631 -aS'centigrade\tcentigrade\tJJ\tB-NP\tO' -p190632 -aS',\t,\t,\tI-NP\tO' -p190633 -aS'aggressive\taggressive\tJJ\tI-NP\tO' -p190634 -aS'measures\tmeasure\tNNS\tI-NP\tO' -p190635 -aS'including\tinclude\tVBG\tB-PP\tO' -p190636 -aS'cooling\tcool\tVBG\tB-NP\tO' -p190637 -aS'blankets\tblanket\tNNS\tI-NP\tO' -p190638 -aS',\t,\t,\tO\tO' -p190639 -aS'alcohol\talcohol\tNN\tB-NP\tB-protein' -p190640 -aS'swabs\tswab\tNNS\tI-NP\tI-protein' -p190641 -aS',\t,\t,\tO\tO' -p190642 -aS'and\tand\tCC\tO\tO' -p190643 -aS'fans\tfan\tNNS\tB-NP\tO' -p190644 -aS'were\tbe\tVBD\tB-VP\tO' -p190645 -aS'used\tuse\tVBN\tI-VP\tO' -p190646 -aS'in\tin\tIN\tB-PP\tO' -p190647 -aS'an\tan\tDT\tB-NP\tO' -p190648 -aS'attempt\tattempt\tNN\tI-NP\tO' -p190649 -aS'to\tto\tTO\tB-VP\tO' -p190650 -aS'bring\tbring\tVB\tI-VP\tO' -p190651 -aS'his\this\tPRP$\tB-NP\tO' -p190652 -aS'body\tbody\tNN\tI-NP\tO' -p190653 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p190654 -aS'down\tdown\tRB\tB-ADVP\tO' -p190655 -aS'.\t.\t.\tO\tO' -p190656 -asS"UCx during this hospitalization were negative and Levofloxacin was d/c 'd ." -p190657 -(lp190658 -S'UCx\tUCx\tNN\tB-NP\tB-protein' -p190659 -aS'during\tduring\tIN\tB-PP\tO' -p190660 -aS'this\tthis\tDT\tB-NP\tO' -p190661 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p190662 -aS'were\tbe\tVBD\tB-VP\tO' -p190663 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p190664 -aS'and\tand\tCC\tO\tO' -p190665 -aS'Levofloxacin\tLevofloxacin\tNN\tB-NP\tO' -p190666 -aS'was\tbe\tVBD\tB-VP\tO' -p190667 -aS'd/c\td/c\tNN\tB-NP\tO' -p190668 -aS"'d\t'd\tNN\tI-NP\tO" -p190669 -aS'.\t.\t.\tO\tO' -p190670 -asS'The patient was already on an aspirin and Plavix should this represent a small stroke .' -p190671 -(lp190672 -S'The\tThe\tDT\tB-NP\tO' -p190673 -aS'patient\tpatient\tNN\tI-NP\tO' -p190674 -aS'was\tbe\tVBD\tB-VP\tO' -p190675 -aS'already\talready\tRB\tB-ADVP\tO' -p190676 -aS'on\ton\tIN\tB-PP\tO' -p190677 -aS'an\tan\tDT\tB-NP\tO' -p190678 -aS'aspirin\taspirin\tNN\tI-NP\tO' -p190679 -aS'and\tand\tCC\tI-NP\tO' -p190680 -aS'Plavix\tPlavix\tNN\tI-NP\tO' -p190681 -aS'should\tshould\tMD\tO\tO' -p190682 -aS'this\tthis\tDT\tB-NP\tO' -p190683 -aS'represent\trepresent\tVB\tB-VP\tO' -p190684 -aS'a\ta\tDT\tB-NP\tO' -p190685 -aS'small\tsmall\tJJ\tI-NP\tO' -p190686 -aS'stroke\tstroke\tNN\tI-NP\tO' -p190687 -aS'.\t.\t.\tO\tO' -p190688 -asS'She was also noted to have a cold distal left upper extremity which was operated on and she is now status post left brachial artery embolectomy .' -p190689 -(lp190690 -S'She\tShe\tPRP\tB-NP\tO' -p190691 -aS'was\tbe\tVBD\tB-VP\tO' -p190692 -aS'also\talso\tRB\tI-VP\tO' -p190693 -aS'noted\tnote\tVBN\tI-VP\tO' -p190694 -aS'to\tto\tTO\tI-VP\tO' -p190695 -aS'have\thave\tVB\tI-VP\tO' -p190696 -aS'a\ta\tDT\tB-NP\tO' -p190697 -aS'cold\tcold\tJJ\tI-NP\tO' -p190698 -aS'distal\tdistal\tJJ\tI-NP\tO' -p190699 -aS'left\tleft\tJJ\tI-NP\tO' -p190700 -aS'upper\tupper\tJJ\tI-NP\tO' -p190701 -aS'extremity\textremity\tNN\tI-NP\tO' -p190702 -aS'which\twhich\tWDT\tB-NP\tO' -p190703 -aS'was\tbe\tVBD\tB-VP\tO' -p190704 -aS'operated\toperate\tVBN\tI-VP\tO' -p190705 -aS'on\ton\tIN\tB-PP\tO' -p190706 -aS'and\tand\tCC\tO\tO' -p190707 -aS'she\tshe\tPRP\tB-NP\tO' -p190708 -aS'is\tbe\tVBZ\tB-VP\tO' -p190709 -aS'now\tnow\tRB\tB-ADVP\tO' -p190710 -aS'status\tstatus\tNN\tB-NP\tO' -p190711 -aS'post\tpost\tNN\tI-NP\tO' -p190712 -aS'left\tleave\tVBD\tB-VP\tO' -p190713 -aS'brachial\tbrachial\tJJ\tB-NP\tO' -p190714 -aS'artery\tartery\tNN\tI-NP\tO' -p190715 -aS'embolectomy\tembolectomy\tNN\tI-NP\tO' -p190716 -aS'.\t.\t.\tO\tO' -p190717 -asS'She had preserved inferior contraction and basal contraction .' -p190718 -(lp190719 -S'She\tShe\tPRP\tB-NP\tO' -p190720 -aS'had\thave\tVBD\tB-VP\tO' -p190721 -aS'preserved\tpreserve\tVBN\tI-VP\tO' -p190722 -aS'inferior\tinferior\tJJ\tB-NP\tO' -p190723 -aS'contraction\tcontraction\tNN\tI-NP\tO' -p190724 -aS'and\tand\tCC\tO\tO' -p190725 -aS'basal\tbasal\tJJ\tB-NP\tO' -p190726 -aS'contraction\tcontraction\tNN\tI-NP\tO' -p190727 -aS'.\t.\t.\tO\tO' -p190728 -asS'Memory and attention span good .' -p190729 -(lp190730 -S'Memory\tMemory\tNN\tB-NP\tO' -p190731 -aS'and\tand\tCC\tI-NP\tO' -p190732 -aS'attention\tattention\tNN\tI-NP\tO' -p190733 -aS'span\tspan\tNN\tI-NP\tO' -p190734 -aS'good\tgood\tNN\tI-NP\tO' -p190735 -aS'.\t.\t.\tO\tO' -p190736 -asS'8. Keflex 500 mg x6 doses .' -p190737 -(lp190738 -S'8.\t8.\tCD\tB-NP\tO' -p190739 -aS'Keflex\tKeflex\tNNP\tI-NP\tO' -p190740 -aS'500\t500\tCD\tI-NP\tO' -p190741 -aS'mg\tmg\tNN\tI-NP\tO' -p190742 -aS'x6\tx6\tCD\tB-NP\tO' -p190743 -aS'doses\tdose\tNNS\tI-NP\tO' -p190744 -aS'.\t.\t.\tO\tO' -p190745 -asS'An estimated blood loss was 100 cc .' -p190746 -(lp190747 -S'An\tAn\tDT\tB-NP\tO' -p190748 -aS'estimated\testimate\tVBN\tI-NP\tO' -p190749 -aS'blood\tblood\tNN\tI-NP\tO' -p190750 -aS'loss\tloss\tNN\tI-NP\tO' -p190751 -aS'was\tbe\tVBD\tB-VP\tO' -p190752 -aS'100\t100\tCD\tB-NP\tO' -p190753 -aS'cc\tcc\tNN\tI-NP\tO' -p190754 -aS'.\t.\t.\tO\tO' -p190755 -asS'4. Albuterol and Atrovent nebs prn .' -p190756 -(lp190757 -S'4.\t4.\tLS\tB-NP\tO' -p190758 -aS'Albuterol\tAlbuterol\tNN\tI-NP\tO' -p190759 -aS'and\tand\tCC\tI-NP\tO' -p190760 -aS'Atrovent\tAtrovent\tNN\tI-NP\tO' -p190761 -aS'nebs\tneb\tNNS\tI-NP\tO' -p190762 -aS'prn\tprn\tVBP\tB-VP\tO' -p190763 -aS'.\t.\t.\tO\tO' -p190764 -asS'Transferred here for workup for CNS mets and admission .' -p190765 -(lp190766 -S'Transferred\tTransfer\tVBN\tB-VP\tO' -p190767 -aS'here\there\tRB\tB-ADVP\tO' -p190768 -aS'for\tfor\tIN\tB-PP\tO' -p190769 -aS'workup\tworkup\tNN\tB-NP\tO' -p190770 -aS'for\tfor\tIN\tB-PP\tO' -p190771 -aS'CNS\tCNS\tNN\tB-NP\tO' -p190772 -aS'mets\tmet\tNNS\tI-NP\tO' -p190773 -aS'and\tand\tCC\tO\tO' -p190774 -aS'admission\tadmission\tNN\tB-NP\tO' -p190775 -aS'.\t.\t.\tO\tO' -p190776 -asS'# Altered mental status : Ct scan with no evidence of new intracraneal bleeding .' -p190777 -(lp190778 -S'#\t#\t#\tB-NP\tO' -p190779 -aS'Altered\tAltered\tJJ\tI-NP\tO' -p190780 -aS'mental\tmental\tJJ\tI-NP\tO' -p190781 -aS'status\tstatus\tNN\tI-NP\tO' -p190782 -aS':\t:\t:\tO\tO' -p190783 -aS'Ct\tCt\tNN\tB-NP\tO' -p190784 -aS'scan\tscan\tNN\tI-NP\tO' -p190785 -aS'with\twith\tIN\tB-PP\tO' -p190786 -aS'no\tno\tDT\tB-NP\tO' -p190787 -aS'evidence\tevidence\tNN\tI-NP\tO' -p190788 -aS'of\tof\tIN\tB-PP\tO' -p190789 -aS'new\tnew\tJJ\tB-NP\tO' -p190790 -aS'intracraneal\tintracraneal\tJJ\tI-NP\tO' -p190791 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p190792 -aS'.\t.\t.\tO\tO' -p190793 -asS'The patient was taking PO initially until 9/6/93 at 17:45 .' -p190794 -(lp190795 -S'The\tThe\tDT\tB-NP\tO' -p190796 -aS'patient\tpatient\tNN\tI-NP\tO' -p190797 -aS'was\tbe\tVBD\tB-VP\tO' -p190798 -aS'taking\ttake\tVBG\tI-VP\tO' -p190799 -aS'PO\tPO\tNN\tB-NP\tB-protein' -p190800 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p190801 -aS'until\tuntil\tIN\tB-PP\tO' -p190802 -aS'9/6/93\t9/6/93\tCD\tB-NP\tO' -p190803 -aS'at\tat\tIN\tB-PP\tO' -p190804 -aS'17:45\t17:45\tCD\tB-NP\tO' -p190805 -aS'.\t.\t.\tO\tO' -p190806 -asS'The patient was to take one 4 mg tablet dinner and at bedtime the day of discharge , then the next day take one 4 mg tablet in the morning , lunch time , and with dinner and then at bedtime , then the third day to take 4 mg tablet in the morning , lunch , and bedtime , the fourth day to take one tablet in the morning and dinner , and in the last day take one 4 mg tablet in the morning .' -p190807 -(lp190808 -S'The\tThe\tDT\tB-NP\tO' -p190809 -aS'patient\tpatient\tNN\tI-NP\tO' -p190810 -aS'was\tbe\tVBD\tB-VP\tO' -p190811 -aS'to\tto\tTO\tB-VP\tO' -p190812 -aS'take\ttake\tVB\tI-VP\tO' -p190813 -aS'one\tone\tCD\tB-NP\tO' -p190814 -aS'4\t4\tCD\tI-NP\tO' -p190815 -aS'mg\tmg\tNN\tI-NP\tO' -p190816 -aS'tablet\ttablet\tNN\tI-NP\tO' -p190817 -aS'dinner\tdinner\tNN\tI-NP\tO' -p190818 -aS'and\tand\tCC\tB-PP\tO' -p190819 -aS'at\tat\tIN\tB-PP\tO' -p190820 -aS'bedtime\tbedtime\tNN\tB-NP\tO' -p190821 -aS'the\tthe\tDT\tB-NP\tO' -p190822 -aS'day\tday\tNN\tI-NP\tO' -p190823 -aS'of\tof\tIN\tB-PP\tO' -p190824 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p190825 -aS',\t,\t,\tO\tO' -p190826 -aS'then\tthen\tRB\tB-ADVP\tO' -p190827 -aS'the\tthe\tDT\tB-NP\tO' -p190828 -aS'next\tnext\tJJ\tI-NP\tO' -p190829 -aS'day\tday\tNN\tI-NP\tO' -p190830 -aS'take\ttake\tVB\tB-VP\tO' -p190831 -aS'one\tone\tCD\tB-NP\tO' -p190832 -aS'4\t4\tCD\tI-NP\tO' -p190833 -aS'mg\tmg\tNN\tI-NP\tO' -p190834 -aS'tablet\ttablet\tNN\tI-NP\tO' -p190835 -aS'in\tin\tIN\tB-PP\tO' -p190836 -aS'the\tthe\tDT\tB-NP\tO' -p190837 -aS'morning\tmorning\tNN\tI-NP\tO' -p190838 -aS',\t,\t,\tO\tO' -p190839 -aS'lunch\tlunch\tNN\tB-NP\tO' -p190840 -aS'time\ttime\tNN\tI-NP\tO' -p190841 -aS',\t,\t,\tO\tO' -p190842 -aS'and\tand\tCC\tO\tO' -p190843 -aS'with\twith\tIN\tB-PP\tO' -p190844 -aS'dinner\tdinner\tNN\tB-NP\tO' -p190845 -aS'and\tand\tCC\tO\tO' -p190846 -aS'then\tthen\tRB\tB-ADVP\tO' -p190847 -aS'at\tat\tIN\tB-PP\tO' -p190848 -aS'bedtime\tbedtime\tNN\tB-NP\tO' -p190849 -aS',\t,\t,\tO\tO' -p190850 -aS'then\tthen\tRB\tB-ADVP\tO' -p190851 -aS'the\tthe\tDT\tB-NP\tO' -p190852 -aS'third\tthird\tJJ\tI-NP\tO' -p190853 -aS'day\tday\tNN\tI-NP\tO' -p190854 -aS'to\tto\tTO\tB-VP\tO' -p190855 -aS'take\ttake\tVB\tI-VP\tO' -p190856 -aS'4\t4\tCD\tB-NP\tO' -p190857 -aS'mg\tmg\tNN\tI-NP\tO' -p190858 -aS'tablet\ttablet\tNN\tI-NP\tO' -p190859 -aS'in\tin\tIN\tB-PP\tO' -p190860 -aS'the\tthe\tDT\tB-NP\tO' -p190861 -aS'morning\tmorning\tNN\tI-NP\tO' -p190862 -aS',\t,\t,\tO\tO' -p190863 -aS'lunch\tlunch\tNN\tB-NP\tO' -p190864 -aS',\t,\t,\tO\tO' -p190865 -aS'and\tand\tCC\tO\tO' -p190866 -aS'bedtime\tbedtime\tNN\tB-NP\tO' -p190867 -aS',\t,\t,\tO\tO' -p190868 -aS'the\tthe\tDT\tB-NP\tO' -p190869 -aS'fourth\tfourth\tJJ\tI-NP\tO' -p190870 -aS'day\tday\tNN\tI-NP\tO' -p190871 -aS'to\tto\tTO\tB-VP\tO' -p190872 -aS'take\ttake\tVB\tI-VP\tO' -p190873 -aS'one\tone\tCD\tB-NP\tO' -p190874 -aS'tablet\ttablet\tNN\tI-NP\tO' -p190875 -aS'in\tin\tIN\tB-PP\tO' -p190876 -aS'the\tthe\tDT\tB-NP\tO' -p190877 -aS'morning\tmorning\tNN\tI-NP\tO' -p190878 -aS'and\tand\tCC\tI-NP\tO' -p190879 -aS'dinner\tdinner\tNN\tI-NP\tO' -p190880 -aS',\t,\t,\tO\tO' -p190881 -aS'and\tand\tCC\tO\tO' -p190882 -aS'in\tin\tIN\tB-PP\tO' -p190883 -aS'the\tthe\tDT\tB-NP\tO' -p190884 -aS'last\tlast\tJJ\tI-NP\tO' -p190885 -aS'day\tday\tNN\tI-NP\tO' -p190886 -aS'take\ttake\tVB\tB-VP\tO' -p190887 -aS'one\tone\tCD\tB-NP\tO' -p190888 -aS'4\t4\tCD\tI-NP\tO' -p190889 -aS'mg\tmg\tNN\tI-NP\tO' -p190890 -aS'tablet\ttablet\tNN\tI-NP\tO' -p190891 -aS'in\tin\tIN\tB-PP\tO' -p190892 -aS'the\tthe\tDT\tB-NP\tO' -p190893 -aS'morning\tmorning\tNN\tI-NP\tO' -p190894 -aS'.\t.\t.\tO\tO' -p190895 -asS'we Performed frequent large vol taps and attempted to give diuretics , but were limited by renal failure .' -p190896 -(lp190897 -S'we\twe\tPRP\tB-NP\tO' -p190898 -aS'Performed\tPerform\tVBD\tB-VP\tO' -p190899 -aS'frequent\tfrequent\tJJ\tB-NP\tO' -p190900 -aS'large\tlarge\tJJ\tI-NP\tO' -p190901 -aS'vol\tvol\tNN\tI-NP\tO' -p190902 -aS'taps\ttap\tNNS\tI-NP\tO' -p190903 -aS'and\tand\tCC\tO\tO' -p190904 -aS'attempted\tattempt\tVBN\tB-VP\tO' -p190905 -aS'to\tto\tTO\tI-VP\tO' -p190906 -aS'give\tgive\tVB\tI-VP\tO' -p190907 -aS'diuretics\tdiuretic\tNNS\tB-NP\tO' -p190908 -aS',\t,\t,\tO\tO' -p190909 -aS'but\tbut\tCC\tO\tO' -p190910 -aS'were\tbe\tVBD\tB-VP\tO' -p190911 -aS'limited\tlimit\tVBN\tI-VP\tO' -p190912 -aS'by\tby\tIN\tB-PP\tO' -p190913 -aS'renal\trenal\tJJ\tB-NP\tO' -p190914 -aS'failure\tfailure\tNN\tI-NP\tO' -p190915 -aS'.\t.\t.\tO\tO' -p190916 -asS'Sodium 140 , potassium 3.9 , chloride 103 , bicarbonate 18 , BUN 11 , creatinine 0.8 , glucose 144 .' -p190917 -(lp190918 -S'Sodium\tSodium\tNN\tB-NP\tB-protein' -p190919 -aS'140\t140\tCD\tI-NP\tI-protein' -p190920 -aS',\t,\t,\tO\tO' -p190921 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p190922 -aS'3.9\t3.9\tCD\tI-NP\tO' -p190923 -aS',\t,\t,\tO\tO' -p190924 -aS'chloride\tchloride\tNN\tB-NP\tO' -p190925 -aS'103\t103\tCD\tI-NP\tO' -p190926 -aS',\t,\t,\tO\tO' -p190927 -aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' -p190928 -aS'18\t18\tCD\tI-NP\tO' -p190929 -aS',\t,\t,\tO\tO' -p190930 -aS'BUN\tBUN\tNN\tB-NP\tB-DNA' -p190931 -aS'11\t11\tCD\tI-NP\tI-DNA' -p190932 -aS',\t,\t,\tO\tO' -p190933 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p190934 -aS'0.8\t0.8\tCD\tI-NP\tO' -p190935 -aS',\t,\t,\tO\tO' -p190936 -aS'glucose\tglucose\tNN\tB-NP\tO' -p190937 -aS'144\t144\tCD\tI-NP\tO' -p190938 -aS'.\t.\t.\tO\tO' -p190939 -asS'She also gets Metamucil one teaspoon with the first bolus of juice each day .' -p190940 -(lp190941 -S'She\tShe\tPRP\tB-NP\tO' -p190942 -aS'also\talso\tRB\tB-ADVP\tO' -p190943 -aS'gets\tget\tVBZ\tB-VP\tO' -p190944 -aS'Metamucil\tMetamucil\tNNP\tB-NP\tO' -p190945 -aS'one\tone\tCD\tI-NP\tO' -p190946 -aS'teaspoon\tteaspoon\tNN\tI-NP\tO' -p190947 -aS'with\twith\tIN\tB-PP\tO' -p190948 -aS'the\tthe\tDT\tB-NP\tO' -p190949 -aS'first\tfirst\tJJ\tI-NP\tO' -p190950 -aS'bolus\tbolus\tNN\tI-NP\tO' -p190951 -aS'of\tof\tIN\tB-PP\tO' -p190952 -aS'juice\tjuice\tNN\tB-NP\tO' -p190953 -aS'each\teach\tDT\tB-NP\tO' -p190954 -aS'day\tday\tNN\tI-NP\tO' -p190955 -aS'.\t.\t.\tO\tO' -p190956 -asS'He also had a widened QRS of 153 milliseconds , an old right bundle branch block , and no acute ST or T wave changes .' -p190957 -(lp190958 -S'He\tHe\tPRP\tB-NP\tO' -p190959 -aS'also\talso\tRB\tB-ADVP\tO' -p190960 -aS'had\thave\tVBD\tB-VP\tO' -p190961 -aS'a\ta\tDT\tB-NP\tO' -p190962 -aS'widened\twiden\tVBN\tI-NP\tO' -p190963 -aS'QRS\tQRS\tNNS\tI-NP\tB-protein' -p190964 -aS'of\tof\tIN\tB-PP\tO' -p190965 -aS'153\t153\tCD\tB-NP\tO' -p190966 -aS'milliseconds\tmillisecond\tNNS\tI-NP\tO' -p190967 -aS',\t,\t,\tO\tO' -p190968 -aS'an\tan\tDT\tB-NP\tO' -p190969 -aS'old\told\tJJ\tI-NP\tO' -p190970 -aS'right\tright\tJJ\tI-NP\tO' -p190971 -aS'bundle\tbundle\tNN\tI-NP\tO' -p190972 -aS'branch\tbranch\tNN\tI-NP\tO' -p190973 -aS'block\tblock\tNN\tI-NP\tO' -p190974 -aS',\t,\t,\tO\tO' -p190975 -aS'and\tand\tCC\tO\tO' -p190976 -aS'no\tno\tDT\tB-NP\tO' -p190977 -aS'acute\tacute\tJJ\tI-NP\tO' -p190978 -aS'ST\tST\tNN\tI-NP\tO' -p190979 -aS'or\tor\tCC\tI-NP\tO' -p190980 -aS'T\tT\tNN\tI-NP\tO' -p190981 -aS'wave\twave\tNN\tI-NP\tO' -p190982 -aS'changes\tchange\tNNS\tI-NP\tO' -p190983 -aS'.\t.\t.\tO\tO' -p190984 -asS'Chest tubes and pacing wires were removed without complication .' -p190985 -(lp190986 -S'Chest\tCh\tJJS\tB-NP\tO' -p190987 -aS'tubes\ttube\tNNS\tI-NP\tO' -p190988 -aS'and\tand\tCC\tI-NP\tO' -p190989 -aS'pacing\tpacing\tNN\tI-NP\tO' -p190990 -aS'wires\twire\tNNS\tI-NP\tO' -p190991 -aS'were\tbe\tVBD\tB-VP\tO' -p190992 -aS'removed\tremove\tVBN\tI-VP\tO' -p190993 -aS'without\twithout\tIN\tB-PP\tO' -p190994 -aS'complication\tcomplication\tNN\tB-NP\tO' -p190995 -aS'.\t.\t.\tO\tO' -p190996 -asS'There are coronary vascular calcifications .' -p190997 -(lp190998 -S'There\tThere\tEX\tB-NP\tO' -p190999 -aS'are\tbe\tVBP\tB-VP\tO' -p191000 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p191001 -aS'vascular\tvascular\tJJ\tI-NP\tO' -p191002 -aS'calcifications\tcalcification\tNNS\tI-NP\tO' -p191003 -aS'.\t.\t.\tO\tO' -p191004 -asS'The patient 's preliminary admitting physician is HEAGLEINCHIRD , JEANSIA S and the preliminary diagnosis is HIP FRACTURE .' -p191005 -(lp191006 -S'The\tThe\tDT\tB-NP\tO' -p191007 -aS'patient\tpatient\tNN\tI-NP\tO' -p191008 -aS''s\t'\tNNS\tI-NP\tO' -p191009 -aS'preliminary\tpreliminary\tJJ\tB-NP\tO' -p191010 -aS'admitting\tadmit\tVBG\tI-NP\tO' -p191011 -aS'physician\tphysician\tNN\tI-NP\tO' -p191012 -aS'is\tbe\tVBZ\tB-VP\tO' -p191013 -aS'HEAGLEINCHIRD\tHEAGLEINCHIRD\tNNP\tB-NP\tO' -p191014 -aS',\t,\t,\tO\tO' -p191015 -aS'JEANSIA\tJEANSIA\tNNP\tB-NP\tO' -p191016 -aS'S\tS\tNNP\tI-NP\tO' -p191017 -aS'and\tand\tCC\tO\tO' -p191018 -aS'the\tthe\tDT\tB-NP\tO' -p191019 -aS'preliminary\tpreliminary\tJJ\tI-NP\tO' -p191020 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p191021 -aS'is\tbe\tVBZ\tB-VP\tO' -p191022 -aS'HIP\tHIP\tNN\tB-NP\tO' -p191023 -aS'FRACTURE\tFRACTURE\tNN\tI-NP\tO' -p191024 -aS'.\t.\t.\tO\tO' -p191025 -asS'Continue home meds .' -p191026 -(lp191027 -S'Continue\tContinue\tJJ\tB-NP\tO' -p191028 -aS'home\thome\tNN\tI-NP\tO' -p191029 -aS'meds\tmed\tNNS\tI-NP\tO' -p191030 -aS'.\t.\t.\tO\tO' -p191031 -asS'Neurologically he slowly woke up after the seizures and was extubated on 06-03 .' -p191032 -(lp191033 -S'Neurologically\tNeurologically\tRB\tB-ADVP\tO' -p191034 -aS'he\the\tPRP\tB-NP\tO' -p191035 -aS'slowly\tslowly\tRB\tB-ADVP\tO' -p191036 -aS'woke\twake\tVBD\tB-VP\tO' -p191037 -aS'up\tup\tRP\tB-PRT\tO' -p191038 -aS'after\tafter\tIN\tB-PP\tO' -p191039 -aS'the\tthe\tDT\tB-NP\tO' -p191040 -aS'seizures\tseizure\tNNS\tI-NP\tO' -p191041 -aS'and\tand\tCC\tO\tO' -p191042 -aS'was\tbe\tVBD\tB-VP\tO' -p191043 -aS'extubated\textubate\tVBN\tI-VP\tO' -p191044 -aS'on\ton\tIN\tB-PP\tO' -p191045 -aS'06-03\t06-03\tCD\tB-NP\tO' -p191046 -aS'.\t.\t.\tO\tO' -p191047 -asS'The patient 's clinical situation was most consistent with a Pseudomonas cellulitis and subsequent sepsis .' -p191048 -(lp191049 -S'The\tThe\tDT\tB-NP\tO' -p191050 -aS'patient\tpatient\tNN\tI-NP\tO' -p191051 -aS''s\t'\tNNS\tI-NP\tO' -p191052 -aS'clinical\tclinical\tJJ\tB-NP\tO' -p191053 -aS'situation\tsituation\tNN\tI-NP\tO' -p191054 -aS'was\tbe\tVBD\tB-VP\tO' -p191055 -aS'most\tmost\tRBS\tB-ADJP\tO' -p191056 -aS'consistent\tconsistent\tJJ\tI-ADJP\tO' -p191057 -aS'with\twith\tIN\tB-PP\tO' -p191058 -aS'a\ta\tDT\tB-NP\tO' -p191059 -aS'Pseudomonas\tPseudomonas\tNNP\tI-NP\tO' -p191060 -aS'cellulitis\tcellulitis\tNN\tI-NP\tO' -p191061 -aS'and\tand\tCC\tO\tO' -p191062 -aS'subsequent\tsubsequent\tJJ\tB-NP\tO' -p191063 -aS'sepsis\tsepsis\tNN\tI-NP\tO' -p191064 -aS'.\t.\t.\tO\tO' -p191065 -asS'Again , comfort measures only were undertaken as per the patient 's previous wishes and the family 's current insistence .' -p191066 -(lp191067 -S'Again\tAgain\tRB\tB-ADVP\tO' -p191068 -aS',\t,\t,\tO\tO' -p191069 -aS'comfort\tcomfort\tNN\tB-NP\tO' -p191070 -aS'measures\tmeasure\tNNS\tI-NP\tO' -p191071 -aS'only\tonly\tRB\tB-ADVP\tO' -p191072 -aS'were\tbe\tVBD\tB-VP\tO' -p191073 -aS'undertaken\tundertake\tVBN\tI-VP\tO' -p191074 -aS'as\tas\tIN\tB-PP\tO' -p191075 -aS'per\tper\tIN\tB-PP\tO' -p191076 -aS'the\tthe\tDT\tB-NP\tO' -p191077 -aS'patient\tpatient\tNN\tI-NP\tO' -p191078 -aS''s\t'\tVBZ\tB-VP\tO' -p191079 -aS'previous\tprevious\tJJ\tB-NP\tO' -p191080 -aS'wishes\twish\tNNS\tI-NP\tO' -p191081 -aS'and\tand\tCC\tO\tO' -p191082 -aS'the\tthe\tDT\tB-NP\tO' -p191083 -aS'family\tfamily\tNN\tI-NP\tO' -p191084 -aS''s\t'\tNNS\tI-NP\tO' -p191085 -aS'current\tcurrent\tJJ\tB-NP\tO' -p191086 -aS'insistence\tinsistence\tNN\tI-NP\tO' -p191087 -aS'.\t.\t.\tO\tO' -p191088 -asS'Respirations 16 .' -p191089 -(lp191090 -S'Respirations\tRespiration\tNNS\tB-NP\tO' -p191091 -aS'16\t16\tCD\tB-NP\tO' -p191092 -aS'.\t.\t.\tO\tO' -p191093 -asS'The pt self-extubated on POD #1 .' -p191094 -(lp191095 -S'The\tThe\tDT\tB-NP\tO' -p191096 -aS'pt\tpt\tNN\tI-NP\tO' -p191097 -aS'self-extubated\tself-extubated\tJJ\tB-ADJP\tO' -p191098 -aS'on\ton\tIN\tB-PP\tO' -p191099 -aS'POD\tPOD\tNN\tB-NP\tB-protein' -p191100 -aS'#1\t#1\tNN\tI-NP\tI-protein' -p191101 -aS'.\t.\t.\tO\tO' -p191102 -asS'Thoracentesis was performed on 7-12-91 .' -p191103 -(lp191104 -S'Thoracentesis\tThoracentesis\tNN\tB-NP\tO' -p191105 -aS'was\tbe\tVBD\tB-VP\tO' -p191106 -aS'performed\tperform\tVBN\tI-VP\tO' -p191107 -aS'on\ton\tIN\tB-PP\tO' -p191108 -aS'7-12-91\t7-12-91\tNN\tB-NP\tO' -p191109 -aS'.\t.\t.\tO\tO' -p191110 -asS'This was seen on a prior CT scan and her oncologist is aware .' -p191111 -(lp191112 -S'This\tThis\tDT\tB-NP\tO' -p191113 -aS'was\tbe\tVBD\tB-VP\tO' -p191114 -aS'seen\tsee\tVBN\tI-VP\tO' -p191115 -aS'on\ton\tIN\tB-PP\tO' -p191116 -aS'a\ta\tDT\tB-NP\tO' -p191117 -aS'prior\tprior\tJJ\tI-NP\tO' -p191118 -aS'CT\tCT\tNN\tI-NP\tO' -p191119 -aS'scan\tscan\tNN\tI-NP\tO' -p191120 -aS'and\tand\tCC\tO\tO' -p191121 -aS'her\ther\tPRP$\tB-NP\tO' -p191122 -aS'oncologist\toncologist\tNN\tI-NP\tO' -p191123 -aS'is\tbe\tVBZ\tB-VP\tO' -p191124 -aS'aware\taware\tJJ\tB-ADJP\tO' -p191125 -aS'.\t.\t.\tO\tO' -p191126 -asS'The patient with no new events .' -p191127 -(lp191128 -S'The\tThe\tDT\tB-NP\tO' -p191129 -aS'patient\tpatient\tNN\tI-NP\tO' -p191130 -aS'with\twith\tIN\tB-PP\tO' -p191131 -aS'no\tno\tDT\tB-NP\tO' -p191132 -aS'new\tnew\tJJ\tI-NP\tO' -p191133 -aS'events\tevent\tNNS\tI-NP\tO' -p191134 -aS'.\t.\t.\tO\tO' -p191135 -asS'- s/p right inguinal hernia repair' -p191136 -(lp191137 -S'-\t-\tHYPH\tB-NP\tO' -p191138 -aS's/p\ts/p\tNN\tI-NP\tO' -p191139 -aS'right\tright\tJJ\tI-NP\tO' -p191140 -aS'inguinal\tinguinal\tJJ\tI-NP\tO' -p191141 -aS'hernia\thernia\tNN\tI-NP\tO' -p191142 -aS'repair\trepair\tNN\tI-NP\tO' -p191143 -asS'4/5 motor strength in the upper extremities bilaterally .' -p191144 -(lp191145 -S'4/5\t4/5\tCD\tB-NP\tO' -p191146 -aS'motor\tmotor\tNN\tI-NP\tO' -p191147 -aS'strength\tstrength\tNN\tI-NP\tO' -p191148 -aS'in\tin\tIN\tB-PP\tO' -p191149 -aS'the\tthe\tDT\tB-NP\tO' -p191150 -aS'upper\tupper\tJJ\tI-NP\tO' -p191151 -aS'extremities\textremity\tNNS\tI-NP\tO' -p191152 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p191153 -aS'.\t.\t.\tO\tO' -p191154 -asS'( The tunneled catheter later came back for negative for culture. )' -p191155 -(lp191156 -S'(\t(\t(\tO\tO' -p191157 -aS'The\tThe\tDT\tB-NP\tO' -p191158 -aS'tunneled\ttunnel\tVBN\tI-NP\tO' -p191159 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p191160 -aS'later\tlater\tRB\tB-ADVP\tO' -p191161 -aS'came\tcome\tVBD\tB-VP\tO' -p191162 -aS'back\tback\tRB\tB-ADVP\tO' -p191163 -aS'for\tfor\tIN\tB-PP\tO' -p191164 -aS'negative\tnegative\tJJ\tB-NP\tO' -p191165 -aS'for\tfor\tIN\tB-PP\tO' -p191166 -aS'culture.\tculture.\tNN\tB-NP\tO' -p191167 -aS')\t)\t)\tO\tO' -p191168 -asS'A right upper quadrant ultrasound did not reveal any gallstones or common bile duct dilatation indicative of cholecystitis or cholelithiasis .' -p191169 -(lp191170 -S'A\tA\tDT\tB-NP\tO' -p191171 -aS'right\tright\tJJ\tI-NP\tO' -p191172 -aS'upper\tupper\tJJ\tI-NP\tO' -p191173 -aS'quadrant\tquadrant\tJJ\tI-NP\tO' -p191174 -aS'ultrasound\tultrasound\tNN\tI-NP\tO' -p191175 -aS'did\tdo\tVBD\tB-VP\tO' -p191176 -aS'not\tnot\tRB\tI-VP\tO' -p191177 -aS'reveal\treveal\tVB\tI-VP\tO' -p191178 -aS'any\tany\tDT\tB-NP\tO' -p191179 -aS'gallstones\tgallstone\tNNS\tI-NP\tO' -p191180 -aS'or\tor\tCC\tO\tO' -p191181 -aS'common\tcommon\tJJ\tB-NP\tO' -p191182 -aS'bile\tbile\tNN\tI-NP\tO' -p191183 -aS'duct\tduct\tNN\tI-NP\tO' -p191184 -aS'dilatation\tdilatation\tNN\tI-NP\tO' -p191185 -aS'indicative\tindicative\tJJ\tB-ADJP\tO' -p191186 -aS'of\tof\tIN\tB-PP\tO' -p191187 -aS'cholecystitis\tcholecystitis\tNN\tB-NP\tO' -p191188 -aS'or\tor\tCC\tI-NP\tO' -p191189 -aS'cholelithiasis\tcholelithiasis\tNN\tI-NP\tO' -p191190 -aS'.\t.\t.\tO\tO' -p191191 -asS'Conditions , Infections , Complications , affecting Treatment / Stay HTN tobacco EtOh abuse sinus bradycardia' -p191192 -(lp191193 -S'Conditions\tCondition\tNNS\tB-NP\tO' -p191194 -aS',\t,\t,\tO\tO' -p191195 -aS'Infections\tInfection\tNNS\tB-NP\tO' -p191196 -aS',\t,\t,\tO\tO' -p191197 -aS'Complications\tComplication\tNNS\tB-NP\tO' -p191198 -aS',\t,\t,\tO\tO' -p191199 -aS'affecting\taffect\tVBG\tB-VP\tO' -p191200 -aS'Treatment\tTreatment\tNN\tB-NP\tO' -p191201 -aS'/\t/\tSYM\tB-NP\tO' -p191202 -aS'Stay\tStay\tNN\tI-NP\tO' -p191203 -aS'HTN\tHTN\tNN\tI-NP\tO' -p191204 -aS'tobacco\ttobacco\tNN\tI-NP\tO' -p191205 -aS'EtOh\tEtOh\tNN\tI-NP\tO' -p191206 -aS'abuse\tabuse\tNN\tI-NP\tO' -p191207 -aS'sinus\tsinus\tNN\tI-NP\tO' -p191208 -aS'bradycardia\tbradycardia\tNN\tI-NP\tO' -p191209 -asS'11) Simethicone 80 mg p.o. q.i.d. p.r.n. gas pain .' -p191210 -(lp191211 -S'11)\t11)\tLS\tB-LST\tO' -p191212 -aS'Simethicone\tSimethicone\tNN\tB-NP\tO' -p191213 -aS'80\t80\tCD\tI-NP\tO' -p191214 -aS'mg\tmg\tNN\tI-NP\tO' -p191215 -aS'p.o.\tp.o.\tFW\tB-NP\tO' -p191216 -aS'q.i.d.\tq.i.d.\tFW\tI-NP\tO' -p191217 -aS'p.r.n.\tp.r.n.\tFW\tI-NP\tO' -p191218 -aS'gas\tgas\tNN\tI-NP\tO' -p191219 -aS'pain\tpain\tNN\tI-NP\tO' -p191220 -aS'.\t.\t.\tO\tO' -p191221 -asS'pre-meal correction dose .' -p191222 -(lp191223 -S'pre-meal\tpre-meal\tJJ\tB-NP\tO' -p191224 -aS'correction\tcorrection\tNN\tI-NP\tO' -p191225 -aS'dose\tdose\tNN\tI-NP\tO' -p191226 -aS'.\t.\t.\tO\tO' -p191227 -asS'Work up was begun for the possible myeloproliferative / myelodysplastic disorder associated with the hyper-eosinophilic syndrome .' -p191228 -(lp191229 -S'Work\tWork\tNNP\tB-NP\tO' -p191230 -aS'up\tup\tRP\tB-PRT\tO' -p191231 -aS'was\tbe\tVBD\tB-VP\tO' -p191232 -aS'begun\tbegin\tVBN\tI-VP\tO' -p191233 -aS'for\tfor\tIN\tB-PP\tO' -p191234 -aS'the\tthe\tDT\tB-NP\tO' -p191235 -aS'possible\tpossible\tJJ\tI-NP\tO' -p191236 -aS'myeloproliferative\tmyeloproliferative\tJJ\tI-NP\tO' -p191237 -aS'/\t/\tSYM\tI-NP\tO' -p191238 -aS'myelodysplastic\tmyelodysplastic\tJJ\tI-NP\tO' -p191239 -aS'disorder\tdisorder\tNN\tI-NP\tO' -p191240 -aS'associated\tassociate\tVBN\tB-VP\tO' -p191241 -aS'with\twith\tIN\tB-PP\tO' -p191242 -aS'the\tthe\tDT\tB-NP\tO' -p191243 -aS'hyper-eosinophilic\thyper-eosinophilic\tJJ\tI-NP\tO' -p191244 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p191245 -aS'.\t.\t.\tO\tO' -p191246 -asS'Blood and urine cultures with only positive culture a blood culture on November 20 , with one of two bottles positive for coagulase negative Staphylococcus .' -p191247 -(lp191248 -S'Blood\tBlood\tNN\tB-NP\tO' -p191249 -aS'and\tand\tCC\tI-NP\tO' -p191250 -aS'urine\turine\tNN\tI-NP\tO' -p191251 -aS'cultures\tculture\tNNS\tI-NP\tO' -p191252 -aS'with\twith\tIN\tB-PP\tO' -p191253 -aS'only\tonly\tRB\tB-NP\tO' -p191254 -aS'positive\tpositive\tJJ\tI-NP\tO' -p191255 -aS'culture\tculture\tNN\tI-NP\tO' -p191256 -aS'a\ta\tDT\tB-NP\tO' -p191257 -aS'blood\tblood\tNN\tI-NP\tO' -p191258 -aS'culture\tculture\tNN\tI-NP\tO' -p191259 -aS'on\ton\tIN\tB-PP\tO' -p191260 -aS'November\tNovember\tNNP\tB-NP\tO' -p191261 -aS'20\t20\tCD\tI-NP\tO' -p191262 -aS',\t,\t,\tO\tO' -p191263 -aS'with\twith\tIN\tB-PP\tO' -p191264 -aS'one\tone\tCD\tB-NP\tO' -p191265 -aS'of\tof\tIN\tB-PP\tO' -p191266 -aS'two\ttwo\tCD\tB-NP\tO' -p191267 -aS'bottles\tbottle\tNNS\tI-NP\tO' -p191268 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p191269 -aS'for\tfor\tIN\tB-PP\tO' -p191270 -aS'coagulase\tcoagulase\tNN\tB-NP\tB-protein' -p191271 -aS'negative\tnegative\tJJ\tI-NP\tO' -p191272 -aS'Staphylococcus\tStaphylococcus\tNNP\tI-NP\tO' -p191273 -aS'.\t.\t.\tO\tO' -p191274 -asS'It is extremely important for you to keep this appointment .' -p191275 -(lp191276 -S'It\tIt\tPRP\tB-NP\tO' -p191277 -aS'is\tbe\tVBZ\tB-VP\tO' -p191278 -aS'extremely\textremely\tRB\tB-ADJP\tO' -p191279 -aS'important\timportant\tJJ\tI-ADJP\tO' -p191280 -aS'for\tfor\tIN\tB-SBAR\tO' -p191281 -aS'you\tyou\tPRP\tB-NP\tO' -p191282 -aS'to\tto\tTO\tB-VP\tO' -p191283 -aS'keep\tkeep\tVB\tI-VP\tO' -p191284 -aS'this\tthis\tDT\tB-NP\tO' -p191285 -aS'appointment\tappointment\tNN\tI-NP\tO' -p191286 -aS'.\t.\t.\tO\tO' -p191287 -asS'ANAEROBIC BOTTLE .' -p191288 -(lp191289 -S'ANAEROBIC\tANAEROBIC\tNN\tB-NP\tO' -p191290 -aS'BOTTLE\tBOTTLE\tNN\tI-NP\tO' -p191291 -aS'.\t.\t.\tO\tO' -p191292 -asS'She has been satrted on benadryl and hydrocort for sx relief .' -p191293 -(lp191294 -S'She\tShe\tPRP\tB-NP\tO' -p191295 -aS'has\thave\tVBZ\tB-VP\tO' -p191296 -aS'been\tbe\tVBN\tI-VP\tO' -p191297 -aS'satrted\tsatrte\tVBN\tI-VP\tO' -p191298 -aS'on\ton\tIN\tB-PP\tO' -p191299 -aS'benadryl\tbenadryl\tNN\tB-NP\tO' -p191300 -aS'and\tand\tCC\tI-NP\tO' -p191301 -aS'hydrocort\thydrocort\tNN\tI-NP\tO' -p191302 -aS'for\tfor\tIN\tB-PP\tO' -p191303 -aS'sx\tsx\tNN\tB-NP\tO' -p191304 -aS'relief\trelief\tNN\tI-NP\tO' -p191305 -aS'.\t.\t.\tO\tO' -p191306 -asS'any of the following three criteria -' -p191307 -(lp191308 -S'any\tany\tDT\tB-NP\tO' -p191309 -aS'of\tof\tIN\tB-PP\tO' -p191310 -aS'the\tthe\tDT\tB-NP\tO' -p191311 -aS'following\tfollow\tVBG\tI-NP\tO' -p191312 -aS'three\tthree\tCD\tB-NP\tO' -p191313 -aS'criteria\tcriterion\tNNS\tI-NP\tO' -p191314 -aS'-\t-\t:\tO\tO' -p191315 -asS'regular rate and rhythm , with a I / VI systolic ejection murmur .' -p191316 -(lp191317 -S'regular\tregular\tJJ\tB-NP\tO' -p191318 -aS'rate\trate\tNN\tI-NP\tO' -p191319 -aS'and\tand\tCC\tI-NP\tO' -p191320 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p191321 -aS',\t,\t,\tO\tO' -p191322 -aS'with\twith\tIN\tB-PP\tO' -p191323 -aS'a\ta\tDT\tB-NP\tO' -p191324 -aS'I\tI\tNN\tI-NP\tO' -p191325 -aS'/\t/\tSYM\tB-NP\tO' -p191326 -aS'VI\tVI\tNN\tI-NP\tO' -p191327 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p191328 -aS'ejection\tejection\tNN\tI-NP\tO' -p191329 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p191330 -aS'.\t.\t.\tO\tO' -p191331 -asS'supple , no bruits , nodes or thyromegaly .' -p191332 -(lp191333 -S'supple\tsupple\tNN\tB-NP\tO' -p191334 -aS',\t,\t,\tO\tO' -p191335 -aS'no\tno\tDT\tB-NP\tO' -p191336 -aS'bruits\tbruit\tNNS\tI-NP\tO' -p191337 -aS',\t,\t,\tO\tO' -p191338 -aS'nodes\tnode\tNNS\tB-NP\tO' -p191339 -aS'or\tor\tCC\tO\tO' -p191340 -aS'thyromegaly\tthyromegaly\tRB\tB-ADVP\tO' -p191341 -aS'.\t.\t.\tO\tO' -p191342 -asS'Should avoid strenuous activity .' -p191343 -(lp191344 -S'Should\tShould\tMD\tB-VP\tO' -p191345 -aS'avoid\tavoid\tVB\tI-VP\tO' -p191346 -aS'strenuous\tstrenuous\tJJ\tB-NP\tO' -p191347 -aS'activity\tactivity\tNN\tI-NP\tO' -p191348 -aS'.\t.\t.\tO\tO' -p191349 -asS'TTE showed preserved EF with moderate AS and moderate MS and mod pulm HTN .' -p191350 -(lp191351 -S'TTE\tTTE\tNN\tB-NP\tB-protein' -p191352 -aS'showed\tshow\tVBD\tB-VP\tI-protein' -p191353 -aS'preserved\tpreserve\tVBN\tB-NP\tI-protein' -p191354 -aS'EF\tEF\tNN\tI-NP\tI-protein' -p191355 -aS'with\twith\tIN\tB-PP\tO' -p191356 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p191357 -aS'AS\tAS\tNN\tI-NP\tO' -p191358 -aS'and\tand\tCC\tI-NP\tO' -p191359 -aS'moderate\tmoderate\tJJ\tI-NP\tO' -p191360 -aS'MS\tMS\tNN\tI-NP\tO' -p191361 -aS'and\tand\tCC\tI-NP\tO' -p191362 -aS'mod\tmod\tNN\tI-NP\tO' -p191363 -aS'pulm\tpulm\tNN\tI-NP\tO' -p191364 -aS'HTN\tHTN\tNN\tI-NP\tO' -p191365 -aS'.\t.\t.\tO\tO' -p191366 -asS'Diuresis was halted and without improvement in creatinine .' -p191367 -(lp191368 -S'Diuresis\tDiuresis\tNN\tB-NP\tO' -p191369 -aS'was\tbe\tVBD\tB-VP\tO' -p191370 -aS'halted\thalt\tVBN\tI-VP\tO' -p191371 -aS'and\tand\tCC\tO\tO' -p191372 -aS'without\twithout\tIN\tB-PP\tO' -p191373 -aS'improvement\timprovement\tNN\tB-NP\tO' -p191374 -aS'in\tin\tIN\tB-PP\tO' -p191375 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p191376 -aS'.\t.\t.\tO\tO' -p191377 -asS'No acute hemorrhage .' -p191378 -(lp191379 -S'No\tNo\tDT\tB-NP\tO' -p191380 -aS'acute\tacute\tJJ\tI-NP\tO' -p191381 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p191382 -aS'.\t.\t.\tO\tO' -p191383 -asS'Patient was in his usual state of health until around 12:15 on day of admission .' -p191384 -(lp191385 -S'Patient\tPatient\tNN\tB-NP\tO' -p191386 -aS'was\tbe\tVBD\tB-VP\tO' -p191387 -aS'in\tin\tIN\tB-PP\tO' -p191388 -aS'his\this\tPRP$\tB-NP\tO' -p191389 -aS'usual\tusual\tJJ\tI-NP\tO' -p191390 -aS'state\tstate\tNN\tI-NP\tO' -p191391 -aS'of\tof\tIN\tB-PP\tO' -p191392 -aS'health\thealth\tNN\tB-NP\tO' -p191393 -aS'until\tuntil\tIN\tB-PP\tO' -p191394 -aS'around\taround\tIN\tB-NP\tO' -p191395 -aS'12:15\t12:15\tCD\tI-NP\tO' -p191396 -aS'on\ton\tIN\tB-PP\tO' -p191397 -aS'day\tday\tNN\tB-NP\tO' -p191398 -aS'of\tof\tIN\tB-PP\tO' -p191399 -aS'admission\tadmission\tNN\tB-NP\tO' -p191400 -aS'.\t.\t.\tO\tO' -p191401 -asS'Notable for a BUN and creatinine of 78 , 1.7 ; for a sodium , potassium 139 and 3.6 ; chloride and bicarb 108 , 21 .' -p191402 -(lp191403 -S'Notable\tNotable\tJJ\tB-ADJP\tO' -p191404 -aS'for\tfor\tIN\tB-PP\tO' -p191405 -aS'a\ta\tDT\tB-NP\tO' -p191406 -aS'BUN\tBUN\tNN\tI-NP\tB-protein' -p191407 -aS'and\tand\tCC\tI-NP\tO' -p191408 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p191409 -aS'of\tof\tIN\tB-PP\tO' -p191410 -aS'78\t78\tCD\tB-NP\tO' -p191411 -aS',\t,\t,\tI-NP\tO' -p191412 -aS'1.7\t1.7\tCD\tI-NP\tO' -p191413 -aS';\t;\t:\tO\tO' -p191414 -aS'for\tfor\tIN\tB-PP\tO' -p191415 -aS'a\ta\tDT\tB-NP\tO' -p191416 -aS'sodium\tsodium\tNN\tI-NP\tO' -p191417 -aS',\t,\t,\tO\tO' -p191418 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p191419 -aS'139\t139\tCD\tI-NP\tO' -p191420 -aS'and\tand\tCC\tI-NP\tO' -p191421 -aS'3.6\t3.6\tCD\tI-NP\tO' -p191422 -aS';\t;\t:\tO\tO' -p191423 -aS'chloride\tchloride\tNN\tB-NP\tO' -p191424 -aS'and\tand\tCC\tI-NP\tO' -p191425 -aS'bicarb\tbicarb\tNN\tI-NP\tO' -p191426 -aS'108\t108\tCD\tI-NP\tO' -p191427 -aS',\t,\t,\tI-NP\tO' -p191428 -aS'21\t21\tCD\tI-NP\tO' -p191429 -aS'.\t.\t.\tO\tO' -p191430 -asS'Moves all extremities .' -p191431 -(lp191432 -S'Moves\tMove\tVBZ\tB-VP\tO' -p191433 -aS'all\tall\tDT\tB-NP\tO' -p191434 -aS'extremities\textremity\tNNS\tI-NP\tO' -p191435 -aS'.\t.\t.\tO\tO' -p191436 -asS'She had mild worsening of her asthma attacks , which was relieved by Benadryl and occasionally albuterol .' -p191437 -(lp191438 -S'She\tShe\tPRP\tB-NP\tO' -p191439 -aS'had\thave\tVBD\tB-VP\tO' -p191440 -aS'mild\tmild\tJJ\tB-NP\tO' -p191441 -aS'worsening\tworsening\tNN\tI-NP\tO' -p191442 -aS'of\tof\tIN\tB-PP\tO' -p191443 -aS'her\ther\tPRP$\tB-NP\tO' -p191444 -aS'asthma\tasthma\tNN\tI-NP\tO' -p191445 -aS'attacks\tattack\tNNS\tI-NP\tO' -p191446 -aS',\t,\t,\tO\tO' -p191447 -aS'which\twhich\tWDT\tB-NP\tO' -p191448 -aS'was\tbe\tVBD\tB-VP\tO' -p191449 -aS'relieved\trelieve\tVBN\tI-VP\tO' -p191450 -aS'by\tby\tIN\tB-PP\tO' -p191451 -aS'Benadryl\tBenadryl\tNN\tB-NP\tO' -p191452 -aS'and\tand\tCC\tO\tO' -p191453 -aS'occasionally\toccasionally\tRB\tB-ADVP\tO' -p191454 -aS'albuterol\talbuterol\tNN\tB-NP\tO' -p191455 -aS'.\t.\t.\tO\tO' -p191456 -asS'Pregnancy was IUI assisted for di-di twin gestation and was relatively uncomplicated until mother presented on 12-15 , with spontaneous rupture of membranes .' -p191457 -(lp191458 -S'Pregnancy\tPregnancy\tNN\tB-NP\tO' -p191459 -aS'was\tbe\tVBD\tB-VP\tO' -p191460 -aS'IUI\tIUI\tNN\tB-NP\tO' -p191461 -aS'assisted\tassist\tVBN\tB-VP\tO' -p191462 -aS'for\tfor\tIN\tB-PP\tO' -p191463 -aS'di-di\tdi-di\tJJ\tB-NP\tO' -p191464 -aS'twin\ttwin\tNN\tI-NP\tO' -p191465 -aS'gestation\tgestation\tNN\tI-NP\tO' -p191466 -aS'and\tand\tCC\tO\tO' -p191467 -aS'was\tbe\tVBD\tB-VP\tO' -p191468 -aS'relatively\trelatively\tRB\tB-ADJP\tO' -p191469 -aS'uncomplicated\tuncomplicated\tJJ\tI-ADJP\tO' -p191470 -aS'until\tuntil\tIN\tB-SBAR\tO' -p191471 -aS'mother\tmother\tNN\tB-NP\tO' -p191472 -aS'presented\tpresent\tVBN\tB-VP\tO' -p191473 -aS'on\ton\tIN\tB-PP\tO' -p191474 -aS'12-15\t12-15\tCD\tB-NP\tO' -p191475 -aS',\t,\t,\tO\tO' -p191476 -aS'with\twith\tIN\tB-PP\tO' -p191477 -aS'spontaneous\tspontaneous\tJJ\tB-NP\tO' -p191478 -aS'rupture\trupture\tNN\tI-NP\tO' -p191479 -aS'of\tof\tIN\tB-PP\tO' -p191480 -aS'membranes\tmembrane\tNNS\tB-NP\tO' -p191481 -aS'.\t.\t.\tO\tO' -p191482 -asS'Patient was transferred to floor after spending 1 day in the ICU .' -p191483 -(lp191484 -S'Patient\tPatient\tNN\tB-NP\tO' -p191485 -aS'was\tbe\tVBD\tB-VP\tO' -p191486 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p191487 -aS'to\tto\tTO\tB-PP\tO' -p191488 -aS'floor\tfloor\tNN\tB-NP\tO' -p191489 -aS'after\tafter\tIN\tB-PP\tO' -p191490 -aS'spending\tspend\tVBG\tB-VP\tO' -p191491 -aS'1\t1\tCD\tB-NP\tO' -p191492 -aS'day\tday\tNN\tI-NP\tO' -p191493 -aS'in\tin\tIN\tB-PP\tO' -p191494 -aS'the\tthe\tDT\tB-NP\tO' -p191495 -aS'ICU\tICU\tNN\tI-NP\tB-DNA' -p191496 -aS'.\t.\t.\tO\tO' -p191497 -asS'Mannitol 75 mg iv x 1 then 50 gm iv tid was begun to maintain serum osm > 320 and Na > 147 .' -p191498 -(lp191499 -S'Mannitol\tMannitol\tNN\tB-NP\tB-protein' -p191500 -aS'75\t75\tCD\tI-NP\tI-protein' -p191501 -aS'mg\tmg\tNN\tI-NP\tI-protein' -p191502 -aS'iv\tiv\tNN\tI-NP\tI-protein' -p191503 -aS'x\tx\tSYM\tB-NP\tI-protein' -p191504 -aS'1\t1\tCD\tI-NP\tI-protein' -p191505 -aS'then\tthen\tRB\tB-ADVP\tO' -p191506 -aS'50\t50\tCD\tB-NP\tO' -p191507 -aS'gm\tgm\tNN\tI-NP\tO' -p191508 -aS'iv\tiv\tNN\tI-NP\tO' -p191509 -aS'tid\ttid\tNN\tI-NP\tO' -p191510 -aS'was\tbe\tVBD\tB-VP\tO' -p191511 -aS'begun\tbegin\tVBN\tI-VP\tO' -p191512 -aS'to\tto\tTO\tI-VP\tO' -p191513 -aS'maintain\tmaintain\tVB\tI-VP\tO' -p191514 -aS'serum\tserum\tNN\tB-NP\tO' -p191515 -aS'osm\tosm\tNN\tI-NP\tO' -p191516 -aS'>\t>\tJJR\tB-NP\tO' -p191517 -aS'320\t320\tCD\tI-NP\tO' -p191518 -aS'and\tand\tCC\tO\tO' -p191519 -aS'Na\tNa\tNN\tB-NP\tO' -p191520 -aS'>\t>\tSYM\tO\tO' -p191521 -aS'147\t147\tCD\tB-NP\tO' -p191522 -aS'.\t.\t.\tO\tO' -p191523 -asS'However , hypercarbia ( 04-11 metabolic alkalosis ) remained in the 90s .' -p191524 -(lp191525 -S'However\tHowever\tRB\tB-ADVP\tO' -p191526 -aS',\t,\t,\tO\tO' -p191527 -aS'hypercarbia\thypercarbia\tNN\tB-NP\tO' -p191528 -aS'(\t(\t(\tO\tO' -p191529 -aS'04-11\t04-11\tCD\tB-NP\tO' -p191530 -aS'metabolic\tmetabolic\tJJ\tI-NP\tO' -p191531 -aS'alkalosis\talkalosis\tNN\tI-NP\tO' -p191532 -aS')\t)\t)\tO\tO' -p191533 -aS'remained\tremain\tVBD\tB-VP\tO' -p191534 -aS'in\tin\tIN\tB-PP\tO' -p191535 -aS'the\tthe\tDT\tB-NP\tO' -p191536 -aS'90s\t90\tNNS\tI-NP\tO' -p191537 -aS'.\t.\t.\tO\tO' -p191538 -asS'She was vigorous .' -p191539 -(lp191540 -S'She\tShe\tPRP\tB-NP\tO' -p191541 -aS'was\tbe\tVBD\tB-VP\tO' -p191542 -aS'vigorous\tvigorous\tJJ\tB-ADJP\tO' -p191543 -aS'.\t.\t.\tO\tO' -p191544 -asS'The patient tolerated the procedure well with a 2000 cc. blood loss and was autotransfused two units of blood .' -p191545 -(lp191546 -S'The\tThe\tDT\tB-NP\tO' -p191547 -aS'patient\tpatient\tNN\tI-NP\tO' -p191548 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p191549 -aS'the\tthe\tDT\tB-NP\tO' -p191550 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p191551 -aS'well\twell\tRB\tB-ADVP\tO' -p191552 -aS'with\twith\tIN\tB-PP\tO' -p191553 -aS'a\ta\tDT\tB-NP\tO' -p191554 -aS'2000\t2000\tCD\tI-NP\tO' -p191555 -aS'cc.\tcc.\tNN\tI-NP\tO' -p191556 -aS'blood\tblood\tNN\tI-NP\tO' -p191557 -aS'loss\tloss\tNN\tI-NP\tO' -p191558 -aS'and\tand\tCC\tO\tO' -p191559 -aS'was\tbe\tVBD\tB-VP\tO' -p191560 -aS'autotransfused\tautotransfuse\tVBN\tI-VP\tO' -p191561 -aS'two\ttwo\tCD\tB-NP\tO' -p191562 -aS'units\tunit\tNNS\tI-NP\tO' -p191563 -aS'of\tof\tIN\tB-PP\tO' -p191564 -aS'blood\tblood\tNN\tB-NP\tO' -p191565 -aS'.\t.\t.\tO\tO' -p191566 -asS'Nonischemic dilated cardiomyopathy .' -p191567 -(lp191568 -S'Nonischemic\tNonischemic\tJJ\tB-NP\tO' -p191569 -aS'dilated\tdilated\tJJ\tI-NP\tO' -p191570 -aS'cardiomyopathy\tcardiomyopathy\tNN\tI-NP\tO' -p191571 -aS'.\t.\t.\tO\tO' -p191572 -asS'White blood count is 7,000 .' -p191573 -(lp191574 -S'White\tWhite\tJJ\tB-NP\tO' -p191575 -aS'blood\tblood\tNN\tI-NP\tO' -p191576 -aS'count\tcount\tNN\tI-NP\tO' -p191577 -aS'is\tbe\tVBZ\tB-VP\tO' -p191578 -aS'7,000\t7,000\tCD\tB-NP\tO' -p191579 -aS'.\t.\t.\tO\tO' -p191580 -asS'He will continue to receive factor 8 bolus q day for a total of 2-3 weeks in light of the intracranial hemorrhage , and will be followed by Hematology visiting nurse Michael Edwards level checks at home .' -p191581 -(lp191582 -S'He\tHe\tPRP\tB-NP\tO' -p191583 -aS'will\twill\tMD\tB-VP\tO' -p191584 -aS'continue\tcontinue\tVB\tI-VP\tO' -p191585 -aS'to\tto\tTO\tI-VP\tO' -p191586 -aS'receive\treceive\tVB\tI-VP\tO' -p191587 -aS'factor\tfactor\tNN\tB-NP\tO' -p191588 -aS'8\t8\tCD\tI-NP\tO' -p191589 -aS'bolus\tbolus\tNN\tI-NP\tO' -p191590 -aS'q\tq\tNN\tI-NP\tO' -p191591 -aS'day\tday\tNN\tI-NP\tO' -p191592 -aS'for\tfor\tIN\tB-PP\tO' -p191593 -aS'a\ta\tDT\tB-NP\tO' -p191594 -aS'total\ttotal\tNN\tI-NP\tO' -p191595 -aS'of\tof\tIN\tB-PP\tO' -p191596 -aS'2-3\t2-3\tCD\tB-NP\tO' -p191597 -aS'weeks\tweek\tNNS\tI-NP\tO' -p191598 -aS'in\tin\tIN\tB-PP\tO' -p191599 -aS'light\tlight\tNN\tB-NP\tO' -p191600 -aS'of\tof\tIN\tB-PP\tO' -p191601 -aS'the\tthe\tDT\tB-NP\tO' -p191602 -aS'intracranial\tintracranial\tJJ\tI-NP\tO' -p191603 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p191604 -aS',\t,\t,\tO\tO' -p191605 -aS'and\tand\tCC\tO\tO' -p191606 -aS'will\twill\tMD\tB-VP\tO' -p191607 -aS'be\tbe\tVB\tI-VP\tO' -p191608 -aS'followed\tfollow\tVBN\tI-VP\tO' -p191609 -aS'by\tby\tIN\tB-PP\tO' -p191610 -aS'Hematology\tHematology\tNN\tB-NP\tB-protein' -p191611 -aS'visiting\tvisit\tVBG\tB-VP\tI-protein' -p191612 -aS'nurse\tnurse\tNN\tB-NP\tI-protein' -p191613 -aS'Michael\tMichael\tNNP\tI-NP\tI-protein' -p191614 -aS'Edwards\tEdwards\tNNP\tI-NP\tI-protein' -p191615 -aS'level\tlevel\tNN\tI-NP\tI-protein' -p191616 -aS'checks\tcheck\tNNS\tI-NP\tI-protein' -p191617 -aS'at\tat\tIN\tB-PP\tO' -p191618 -aS'home\thome\tNN\tB-NP\tO' -p191619 -aS'.\t.\t.\tO\tO' -p191620 -asS'2. Atorvastatin Calcium 20 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' -p191621 -(lp191622 -S'2.\t2.\tLS\tB-NP\tO' -p191623 -aS'Atorvastatin\tAtorvastatin\tNN\tI-NP\tO' -p191624 -aS'Calcium\tCalcium\tNN\tI-NP\tO' -p191625 -aS'20\t20\tCD\tI-NP\tO' -p191626 -aS'mg\tmg\tNN\tI-NP\tO' -p191627 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p191628 -aS'Sig\tSig\tNNP\tI-NP\tO' -p191629 -aS':\t:\t:\tO\tO' -p191630 -aS'One\tOne\tCD\tB-NP\tO' -p191631 -aS'(\t(\t(\tO\tO' -p191632 -aS'1\t1\tCD\tB-NP\tO' -p191633 -aS')\t)\t)\tO\tO' -p191634 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p191635 -aS'PO\tPO\tNN\tI-NP\tO' -p191636 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p191637 -aS'(\t(\t(\tO\tO' -p191638 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p191639 -aS')\t)\t)\tO\tO' -p191640 -aS'.\t.\t.\tO\tO' -p191641 -asS'4 ) Omeprazole 40 mg po bid x6 wks .' -p191642 -(lp191643 -S'4\t4\tLS\tB-LST\tO' -p191644 -aS')\t)\t)\tO\tO' -p191645 -aS'Omeprazole\tOmeprazole\tNN\tB-NP\tO' -p191646 -aS'40\t40\tCD\tI-NP\tO' -p191647 -aS'mg\tmg\tNN\tI-NP\tO' -p191648 -aS'po\tpo\tNN\tI-NP\tO' -p191649 -aS'bid\tbid\tNN\tI-NP\tO' -p191650 -aS'x6\tx6\tCD\tB-NP\tO' -p191651 -aS'wks\twk\tNNS\tI-NP\tO' -p191652 -aS'.\t.\t.\tO\tO' -p191653 -asS'You will take one if the morning and one at night .' -p191654 -(lp191655 -S'You\tYou\tPRP\tB-NP\tB-protein' -p191656 -aS'will\twill\tMD\tB-VP\tO' -p191657 -aS'take\ttake\tVB\tI-VP\tO' -p191658 -aS'one\tone\tCD\tB-NP\tO' -p191659 -aS'if\tif\tIN\tB-SBAR\tO' -p191660 -aS'the\tthe\tDT\tB-NP\tO' -p191661 -aS'morning\tmorning\tNN\tI-NP\tO' -p191662 -aS'and\tand\tCC\tO\tO' -p191663 -aS'one\tone\tCD\tB-NP\tO' -p191664 -aS'at\tat\tIN\tB-PP\tO' -p191665 -aS'night\tnight\tNN\tB-NP\tO' -p191666 -aS'.\t.\t.\tO\tO' -p191667 -asS'General exam including head , neck , heart , lung , abdominal and extremity exam , was normal .' -p191668 -(lp191669 -S'General\tGeneral\tNNP\tB-NP\tO' -p191670 -aS'exam\texam\tNN\tI-NP\tO' -p191671 -aS'including\tinclude\tVBG\tB-PP\tO' -p191672 -aS'head\thead\tNN\tB-NP\tO' -p191673 -aS',\t,\t,\tO\tO' -p191674 -aS'neck\tneck\tNN\tB-NP\tO' -p191675 -aS',\t,\t,\tO\tO' -p191676 -aS'heart\theart\tNN\tB-NP\tO' -p191677 -aS',\t,\t,\tO\tO' -p191678 -aS'lung\tlung\tNN\tB-NP\tO' -p191679 -aS',\t,\t,\tO\tO' -p191680 -aS'abdominal\tabdominal\tNN\tB-NP\tO' -p191681 -aS'and\tand\tCC\tO\tO' -p191682 -aS'extremity\textremity\tNN\tB-NP\tO' -p191683 -aS'exam\texam\tNN\tI-NP\tO' -p191684 -aS',\t,\t,\tO\tO' -p191685 -aS'was\tbe\tVBD\tB-VP\tO' -p191686 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p191687 -aS'.\t.\t.\tO\tO' -p191688 -asS'BP meds held while unstable .' -p191689 -(lp191690 -S'BP\tBP\tNN\tB-NP\tO' -p191691 -aS'meds\tmed\tNNS\tI-NP\tO' -p191692 -aS'held\thold\tVBN\tB-VP\tO' -p191693 -aS'while\twhile\tIN\tB-SBAR\tO' -p191694 -aS'unstable\tunstable\tJJ\tB-ADJP\tO' -p191695 -aS'.\t.\t.\tO\tO' -p191696 -asS'The stomach had evidence of prior surgery and old blood in the stomach .' -p191697 -(lp191698 -S'The\tThe\tDT\tB-NP\tO' -p191699 -aS'stomach\tstomach\tNN\tI-NP\tO' -p191700 -aS'had\thave\tVBD\tB-VP\tO' -p191701 -aS'evidence\tevidence\tNN\tB-NP\tO' -p191702 -aS'of\tof\tIN\tB-PP\tO' -p191703 -aS'prior\tprior\tJJ\tB-NP\tO' -p191704 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p191705 -aS'and\tand\tCC\tO\tO' -p191706 -aS'old\told\tJJ\tB-NP\tO' -p191707 -aS'blood\tblood\tNN\tI-NP\tO' -p191708 -aS'in\tin\tIN\tB-PP\tO' -p191709 -aS'the\tthe\tDT\tB-NP\tO' -p191710 -aS'stomach\tstomach\tNN\tI-NP\tO' -p191711 -aS'.\t.\t.\tO\tO' -p191712 -asS'The dominant RCA was a large vessel with no significant disease .' -p191713 -(lp191714 -S'The\tThe\tDT\tB-NP\tO' -p191715 -aS'dominant\tdominant\tJJ\tI-NP\tB-protein' -p191716 -aS'RCA\tRCA\tNN\tI-NP\tI-protein' -p191717 -aS'was\tbe\tVBD\tB-VP\tO' -p191718 -aS'a\ta\tDT\tB-NP\tO' -p191719 -aS'large\tlarge\tJJ\tI-NP\tO' -p191720 -aS'vessel\tvessel\tNN\tI-NP\tO' -p191721 -aS'with\twith\tIN\tB-PP\tO' -p191722 -aS'no\tno\tDT\tB-NP\tO' -p191723 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p191724 -aS'disease\tdisease\tNN\tI-NP\tO' -p191725 -aS'.\t.\t.\tO\tO' -p191726 -asS'The cuff was deflated and the patient was extubated .' -p191727 -(lp191728 -S'The\tThe\tDT\tB-NP\tO' -p191729 -aS'cuff\tcuff\tNN\tI-NP\tO' -p191730 -aS'was\tbe\tVBD\tB-VP\tO' -p191731 -aS'deflated\tdeflate\tVBN\tI-VP\tO' -p191732 -aS'and\tand\tCC\tO\tO' -p191733 -aS'the\tthe\tDT\tB-NP\tO' -p191734 -aS'patient\tpatient\tNN\tI-NP\tO' -p191735 -aS'was\tbe\tVBD\tB-VP\tO' -p191736 -aS'extubated\textubate\tVBN\tI-VP\tO' -p191737 -aS'.\t.\t.\tO\tO' -p191738 -asS'These were seen best in gradient echocardiogram images .' -p191739 -(lp191740 -S'These\tThese\tDT\tB-NP\tO' -p191741 -aS'were\tbe\tVBD\tB-VP\tO' -p191742 -aS'seen\tsee\tVBN\tI-VP\tO' -p191743 -aS'best\tbest\tRB\tB-ADVP\tO' -p191744 -aS'in\tin\tIN\tB-PP\tO' -p191745 -aS'gradient\tgradient\tNN\tB-NP\tO' -p191746 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p191747 -aS'images\timage\tNNS\tI-NP\tO' -p191748 -aS'.\t.\t.\tO\tO' -p191749 -asS'The patient was then continued on her cardiac medications .' -p191750 -(lp191751 -S'The\tThe\tDT\tB-NP\tO' -p191752 -aS'patient\tpatient\tNN\tI-NP\tO' -p191753 -aS'was\tbe\tVBD\tB-VP\tO' -p191754 -aS'then\tthen\tRB\tI-VP\tO' -p191755 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p191756 -aS'on\ton\tIN\tB-PP\tO' -p191757 -aS'her\ther\tPRP$\tB-NP\tO' -p191758 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p191759 -aS'medications\tmedication\tNNS\tI-NP\tO' -p191760 -aS'.\t.\t.\tO\tO' -p191761 -asS'Ipratropium / Albuterol inhaler 4 puffs QID' -p191762 -(lp191763 -S'Ipratropium\tIpratropium\tNN\tB-NP\tO' -p191764 -aS'/\t/\tSYM\tI-NP\tO' -p191765 -aS'Albuterol\tAlbuterol\tNN\tI-NP\tO' -p191766 -aS'inhaler\tinhaler\tNN\tI-NP\tO' -p191767 -aS'4\t4\tCD\tB-NP\tO' -p191768 -aS'puffs\tpuff\tNNS\tI-NP\tO' -p191769 -aS'QID\tQID\tNN\tB-NP\tO' -p191770 -asS'CLINICAL HISTORY : History of pneumocephalus status post pedestrian versus motor vehicle collision .' -p191771 -(lp191772 -S'CLINICAL\tCLINICAL\tJJ\tB-NP\tO' -p191773 -aS'HISTORY\tHISTORY\tNN\tI-NP\tO' -p191774 -aS':\t:\t:\tO\tO' -p191775 -aS'History\tHistory\tNN\tB-NP\tO' -p191776 -aS'of\tof\tIN\tB-PP\tO' -p191777 -aS'pneumocephalus\tpneumocephalus\tNN\tB-NP\tO' -p191778 -aS'status\tstatus\tNN\tI-NP\tO' -p191779 -aS'post\tpost\tVBP\tB-VP\tO' -p191780 -aS'pedestrian\tpedestrian\tJJ\tB-NP\tO' -p191781 -aS'versus\tversus\tCC\tI-NP\tO' -p191782 -aS'motor\tmotor\tNN\tI-NP\tO' -p191783 -aS'vehicle\tvehicle\tNN\tI-NP\tO' -p191784 -aS'collision\tcollision\tNN\tI-NP\tO' -p191785 -aS'.\t.\t.\tO\tO' -p191786 -asS'There are simple atheroma in the descending thoracic aorta .' -p191787 -(lp191788 -S'There\tThere\tEX\tB-NP\tO' -p191789 -aS'are\tbe\tVBP\tB-VP\tO' -p191790 -aS'simple\tsimple\tJJ\tB-NP\tO' -p191791 -aS'atheroma\tatheroma\tNN\tI-NP\tO' -p191792 -aS'in\tin\tIN\tB-PP\tO' -p191793 -aS'the\tthe\tDT\tB-NP\tO' -p191794 -aS'descending\tdescend\tVBG\tI-NP\tO' -p191795 -aS'thoracic\tthoracic\tJJ\tI-NP\tO' -p191796 -aS'aorta\taorta\tNN\tI-NP\tO' -p191797 -aS'.\t.\t.\tO\tO' -p191798 -asS'4. Protonix 40 mg p.o. once per day .' -p191799 -(lp191800 -S'4.\t4.\tLS\tB-NP\tO' -p191801 -aS'Protonix\tProtonix\tNNP\tI-NP\tO' -p191802 -aS'40\t40\tCD\tI-NP\tO' -p191803 -aS'mg\tmg\tNN\tI-NP\tO' -p191804 -aS'p.o.\tp.o.\tRB\tB-ADVP\tO' -p191805 -aS'once\tonce\tRB\tI-ADVP\tO' -p191806 -aS'per\tper\tIN\tB-PP\tO' -p191807 -aS'day\tday\tNN\tB-NP\tO' -p191808 -aS'.\t.\t.\tO\tO' -p191809 -asS'Breath sounds are present bilaterally .' -p191810 -(lp191811 -S'Breath\tBreath\tNN\tB-NP\tO' -p191812 -aS'sounds\tsound\tNNS\tI-NP\tO' -p191813 -aS'are\tbe\tVBP\tB-VP\tO' -p191814 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p191815 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p191816 -aS'.\t.\t.\tO\tO' -p191817 -asS'He had no symptoms of chest pain or myocardial ischemia .' -p191818 -(lp191819 -S'He\tHe\tPRP\tB-NP\tO' -p191820 -aS'had\thave\tVBD\tB-VP\tO' -p191821 -aS'no\tno\tDT\tB-NP\tO' -p191822 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p191823 -aS'of\tof\tIN\tB-PP\tO' -p191824 -aS'chest\tchest\tNN\tB-NP\tO' -p191825 -aS'pain\tpain\tNN\tI-NP\tO' -p191826 -aS'or\tor\tCC\tO\tO' -p191827 -aS'myocardial\tmyocardial\tJJ\tB-NP\tO' -p191828 -aS'ischemia\tischemia\tNN\tI-NP\tO' -p191829 -aS'.\t.\t.\tO\tO' -p191830 -asS'An MRI and MRA of the head was arranged to evaluate the extent of his stroke and the posterior circulation .' -p191831 -(lp191832 -S'An\tAn\tDT\tB-NP\tO' -p191833 -aS'MRI\tMRI\tNN\tI-NP\tB-protein' -p191834 -aS'and\tand\tCC\tI-NP\tO' -p191835 -aS'MRA\tMRA\tNN\tI-NP\tO' -p191836 -aS'of\tof\tIN\tB-PP\tO' -p191837 -aS'the\tthe\tDT\tB-NP\tO' -p191838 -aS'head\thead\tNN\tI-NP\tO' -p191839 -aS'was\tbe\tVBD\tB-VP\tO' -p191840 -aS'arranged\tarrange\tVBN\tI-VP\tO' -p191841 -aS'to\tto\tTO\tI-VP\tO' -p191842 -aS'evaluate\tevaluate\tVB\tI-VP\tO' -p191843 -aS'the\tthe\tDT\tB-NP\tO' -p191844 -aS'extent\textent\tNN\tI-NP\tO' -p191845 -aS'of\tof\tIN\tB-PP\tO' -p191846 -aS'his\this\tPRP$\tB-NP\tO' -p191847 -aS'stroke\tstroke\tNN\tI-NP\tO' -p191848 -aS'and\tand\tCC\tO\tO' -p191849 -aS'the\tthe\tDT\tB-NP\tO' -p191850 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p191851 -aS'circulation\tcirculation\tNN\tI-NP\tO' -p191852 -aS'.\t.\t.\tO\tO' -p191853 -asS'ABDOMINAL AORTIC ANEURYSM .' -p191854 -(lp191855 -S'ABDOMINAL\tABDOMINAL\tJJ\tB-NP\tO' -p191856 -aS'AORTIC\tAORTIC\tNN\tI-NP\tO' -p191857 -aS'ANEURYSM\tANEURYSM\tNN\tI-NP\tO' -p191858 -aS'.\t.\t.\tO\tO' -p191859 -asS'8. Total parenteral nutrition dependent .' -p191860 -(lp191861 -S'8.\t8.\tCD\tB-NP\tO' -p191862 -aS'Total\tTotal\tJJ\tI-NP\tO' -p191863 -aS'parenteral\tparenteral\tJJ\tI-NP\tO' -p191864 -aS'nutrition\tnutrition\tNN\tI-NP\tO' -p191865 -aS'dependent\tdependent\tJJ\tB-ADJP\tO' -p191866 -aS'.\t.\t.\tO\tO' -p191867 -asS'no jugular venous distention at five centimeters , neck was supple , full range of movement , no bruits , no adenopathy .' -p191868 -(lp191869 -S'no\tno\tDT\tB-NP\tO' -p191870 -aS'jugular\tjugular\tJJ\tI-NP\tO' -p191871 -aS'venous\tvenous\tJJ\tI-NP\tO' -p191872 -aS'distention\tdistention\tNN\tI-NP\tO' -p191873 -aS'at\tat\tIN\tB-PP\tO' -p191874 -aS'five\tfive\tCD\tB-NP\tO' -p191875 -aS'centimeters\tcentimeter\tNNS\tI-NP\tO' -p191876 -aS',\t,\t,\tO\tO' -p191877 -aS'neck\tneck\tNN\tB-NP\tO' -p191878 -aS'was\tbe\tVBD\tB-VP\tO' -p191879 -aS'supple\tsupple\tJJ\tB-NP\tO' -p191880 -aS',\t,\t,\tI-NP\tO' -p191881 -aS'full\tfull\tJJ\tI-NP\tO' -p191882 -aS'range\trange\tNN\tI-NP\tO' -p191883 -aS'of\tof\tIN\tB-PP\tO' -p191884 -aS'movement\tmovement\tNN\tB-NP\tO' -p191885 -aS',\t,\t,\tO\tO' -p191886 -aS'no\tno\tDT\tB-NP\tO' -p191887 -aS'bruits\tbruit\tNNS\tI-NP\tO' -p191888 -aS',\t,\t,\tO\tO' -p191889 -aS'no\tno\tDT\tB-NP\tO' -p191890 -aS'adenopathy\tadenopathy\tNN\tI-NP\tO' -p191891 -aS'.\t.\t.\tO\tO' -p191892 -asS'A repeat complete blood count on day of life two showed a white blood cell count of 6.3 , hematocrit 45.8% , platelet count 199,000 , 37 neutrophils , 0 bands , 53 lymphocytes .' -p191893 -(lp191894 -S'A\tA\tDT\tB-NP\tO' -p191895 -aS'repeat\trepeat\tNN\tI-NP\tO' -p191896 -aS'complete\tcomplete\tJJ\tI-NP\tO' -p191897 -aS'blood\tblood\tNN\tI-NP\tO' -p191898 -aS'count\tcount\tNN\tI-NP\tO' -p191899 -aS'on\ton\tIN\tB-PP\tO' -p191900 -aS'day\tday\tNN\tB-NP\tO' -p191901 -aS'of\tof\tIN\tB-PP\tO' -p191902 -aS'life\tlife\tNN\tB-NP\tO' -p191903 -aS'two\ttwo\tCD\tI-NP\tO' -p191904 -aS'showed\tshow\tVBD\tB-VP\tO' -p191905 -aS'a\ta\tDT\tB-NP\tO' -p191906 -aS'white\twhite\tJJ\tI-NP\tO' -p191907 -aS'blood\tblood\tNN\tI-NP\tO' -p191908 -aS'cell\tcell\tNN\tI-NP\tO' -p191909 -aS'count\tcount\tNN\tI-NP\tO' -p191910 -aS'of\tof\tIN\tB-PP\tO' -p191911 -aS'6.3\t6.3\tCD\tB-NP\tO' -p191912 -aS',\t,\t,\tO\tO' -p191913 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p191914 -aS'45.8%\t45.8%\tNN\tI-NP\tI-protein' -p191915 -aS',\t,\t,\tO\tO' -p191916 -aS'platelet\tplatelet\tNN\tB-NP\tO' -p191917 -aS'count\tcount\tNN\tI-NP\tO' -p191918 -aS'199,000\t199,000\tCD\tI-NP\tO' -p191919 -aS',\t,\t,\tO\tO' -p191920 -aS'37\t37\tCD\tB-NP\tO' -p191921 -aS'neutrophils\tneutrophil\tNNS\tI-NP\tB-cell_type' -p191922 -aS',\t,\t,\tO\tO' -p191923 -aS'0\t0\tCD\tB-NP\tO' -p191924 -aS'bands\tband\tNNS\tI-NP\tO' -p191925 -aS',\t,\t,\tO\tO' -p191926 -aS'53\t53\tCD\tB-NP\tO' -p191927 -aS'lymphocytes\tlymphocyte\tNNS\tI-NP\tO' -p191928 -aS'.\t.\t.\tO\tO' -p191929 -asS'This morning while landscaping the patient had unremitting 12-05 pain with shortness of breath and diaphoresis .' -p191930 -(lp191931 -S'This\tThis\tDT\tB-NP\tO' -p191932 -aS'morning\tmorning\tNN\tI-NP\tO' -p191933 -aS'while\twhile\tIN\tB-SBAR\tO' -p191934 -aS'landscaping\tlandscape\tVBG\tB-VP\tO' -p191935 -aS'the\tthe\tDT\tB-NP\tO' -p191936 -aS'patient\tpatient\tNN\tI-NP\tO' -p191937 -aS'had\thave\tVBD\tB-VP\tO' -p191938 -aS'unremitting\tunremitte\tVBG\tI-VP\tO' -p191939 -aS'12-05\t12-05\tCD\tB-NP\tO' -p191940 -aS'pain\tpain\tNN\tI-NP\tO' -p191941 -aS'with\twith\tIN\tB-PP\tO' -p191942 -aS'shortness\tshortness\tNN\tB-NP\tO' -p191943 -aS'of\tof\tIN\tB-PP\tO' -p191944 -aS'breath\tbreath\tNN\tB-NP\tO' -p191945 -aS'and\tand\tCC\tI-NP\tO' -p191946 -aS'diaphoresis\tdiaphoresis\tNN\tI-NP\tO' -p191947 -aS'.\t.\t.\tO\tO' -p191948 -asS'He has no carotid bruits .' -p191949 -(lp191950 -S'He\tHe\tPRP\tB-NP\tO' -p191951 -aS'has\thave\tVBZ\tB-VP\tO' -p191952 -aS'no\tno\tDT\tB-NP\tO' -p191953 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p191954 -aS'bruits\tbruit\tNNS\tI-NP\tO' -p191955 -aS'.\t.\t.\tO\tO' -p191956 -asS'The patient is to have his Coumadin managed by his primary care provider , Dr. Jerold Esqueda , for a target INR of 2.5 .' -p191957 -(lp191958 -S'The\tThe\tDT\tB-NP\tO' -p191959 -aS'patient\tpatient\tNN\tI-NP\tO' -p191960 -aS'is\tbe\tVBZ\tB-VP\tO' -p191961 -aS'to\tto\tTO\tB-VP\tO' -p191962 -aS'have\thave\tVB\tI-VP\tO' -p191963 -aS'his\this\tPRP$\tB-NP\tO' -p191964 -aS'Coumadin\tCoumadin\tNN\tI-NP\tO' -p191965 -aS'managed\tmanage\tVBN\tB-VP\tO' -p191966 -aS'by\tby\tIN\tB-PP\tO' -p191967 -aS'his\this\tPRP$\tB-NP\tO' -p191968 -aS'primary\tprimary\tJJ\tI-NP\tO' -p191969 -aS'care\tcare\tNN\tI-NP\tO' -p191970 -aS'provider\tprovider\tNN\tI-NP\tO' -p191971 -aS',\t,\t,\tO\tO' -p191972 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p191973 -aS'Jerold\tJerold\tNNP\tI-NP\tO' -p191974 -aS'Esqueda\tEsqueda\tNNP\tI-NP\tO' -p191975 -aS',\t,\t,\tO\tO' -p191976 -aS'for\tfor\tIN\tB-PP\tO' -p191977 -aS'a\ta\tDT\tB-NP\tO' -p191978 -aS'target\ttarget\tNN\tI-NP\tO' -p191979 -aS'INR\tINR\tNN\tI-NP\tO' -p191980 -aS'of\tof\tIN\tB-PP\tO' -p191981 -aS'2.5\t2.5\tCD\tB-NP\tO' -p191982 -aS'.\t.\t.\tO\tO' -p191983 -asS'Epistaxis to Coumadin in the past .' -p191984 -(lp191985 -S'Epistaxis\tEpistaxis\tNN\tB-NP\tO' -p191986 -aS'to\tto\tTO\tB-PP\tO' -p191987 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p191988 -aS'in\tin\tIN\tB-PP\tO' -p191989 -aS'the\tthe\tDT\tB-NP\tO' -p191990 -aS'past\tpast\tNN\tI-NP\tO' -p191991 -aS'.\t.\t.\tO\tO' -p191992 -asS'The patient has not had an CMED examination or hearing test .' -p191993 -(lp191994 -S'The\tThe\tDT\tB-NP\tO' -p191995 -aS'patient\tpatient\tNN\tI-NP\tO' -p191996 -aS'has\thave\tVBZ\tB-VP\tO' -p191997 -aS'not\tnot\tRB\tI-VP\tO' -p191998 -aS'had\thave\tVBN\tI-VP\tO' -p191999 -aS'an\tan\tDT\tB-NP\tO' -p192000 -aS'CMED\tCMED\tVBN\tI-NP\tO' -p192001 -aS'examination\texamination\tNN\tI-NP\tO' -p192002 -aS'or\tor\tCC\tI-NP\tO' -p192003 -aS'hearing\thearing\tNN\tI-NP\tO' -p192004 -aS'test\ttest\tNN\tI-NP\tO' -p192005 -aS'.\t.\t.\tO\tO' -p192006 -asS'The CK was 17,890 with 0.6% MB .' -p192007 -(lp192008 -S'The\tThe\tDT\tB-NP\tO' -p192009 -aS'CK\tCK\tNN\tI-NP\tB-protein' -p192010 -aS'was\tbe\tVBD\tB-VP\tO' -p192011 -aS'17,890\t17,890\tCD\tB-NP\tO' -p192012 -aS'with\twith\tIN\tB-PP\tO' -p192013 -aS'0.6%\t0.6%\tCD\tB-NP\tO' -p192014 -aS'MB\tMB\tNN\tI-NP\tO' -p192015 -aS'.\t.\t.\tO\tO' -p192016 -asS'Na was elevated , as was blood pressure .' -p192017 -(lp192018 -S'Na\tNa\tNN\tB-NP\tO' -p192019 -aS'was\tbe\tVBD\tB-VP\tO' -p192020 -aS'elevated\televate\tVBN\tI-VP\tO' -p192021 -aS',\t,\t,\tO\tO' -p192022 -aS'as\tas\tIN\tB-SBAR\tO' -p192023 -aS'was\tbe\tVBD\tB-VP\tO' -p192024 -aS'blood\tblood\tNN\tB-NP\tO' -p192025 -aS'pressure\tpressure\tNN\tI-NP\tO' -p192026 -aS'.\t.\t.\tO\tO' -p192027 -asS'Reason : bleed ?' -p192028 -(lp192029 -S'Reason\tReason\tNNP\tB-NP\tO' -p192030 -aS':\t:\t:\tO\tO' -p192031 -aS'bleed\tbleed\tVB\tB-VP\tO' -p192032 -aS'?\t?\t.\tO\tO' -p192033 -asS'For managed care plans , check with your PCP before making this appointment .' -p192034 -(lp192035 -S'For\tFor\tIN\tB-PP\tO' -p192036 -aS'managed\tmanage\tVBN\tB-NP\tO' -p192037 -aS'care\tcare\tNN\tI-NP\tO' -p192038 -aS'plans\tplan\tNNS\tI-NP\tO' -p192039 -aS',\t,\t,\tO\tO' -p192040 -aS'check\tcheck\tVBP\tB-VP\tO' -p192041 -aS'with\twith\tIN\tB-PP\tO' -p192042 -aS'your\tyour\tPRP$\tB-NP\tO' -p192043 -aS'PCP\tPCP\tNN\tI-NP\tB-protein' -p192044 -aS'before\tbefore\tIN\tB-PP\tO' -p192045 -aS'making\tmake\tVBG\tB-VP\tO' -p192046 -aS'this\tthis\tDT\tB-NP\tO' -p192047 -aS'appointment\tappointment\tNN\tI-NP\tO' -p192048 -aS'.\t.\t.\tO\tO' -p192049 -asS'He was subsequently placed back on nasal cannula for mild oxygen desaturation and was requiring 25 c/min flow at the time of discharge .' -p192050 -(lp192051 -S'He\tHe\tPRP\tB-NP\tO' -p192052 -aS'was\tbe\tVBD\tB-VP\tO' -p192053 -aS'subsequently\tsubsequently\tRB\tI-VP\tO' -p192054 -aS'placed\tplace\tVBN\tI-VP\tO' -p192055 -aS'back\tback\tRB\tB-ADVP\tO' -p192056 -aS'on\ton\tIN\tB-PP\tO' -p192057 -aS'nasal\tnasal\tJJ\tB-NP\tO' -p192058 -aS'cannula\tcannula\tNN\tI-NP\tO' -p192059 -aS'for\tfor\tIN\tB-PP\tO' -p192060 -aS'mild\tmild\tJJ\tB-NP\tO' -p192061 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p192062 -aS'desaturation\tdesaturation\tNN\tI-NP\tO' -p192063 -aS'and\tand\tCC\tO\tO' -p192064 -aS'was\tbe\tVBD\tB-VP\tO' -p192065 -aS'requiring\trequire\tVBG\tI-VP\tO' -p192066 -aS'25\t25\tCD\tB-NP\tO' -p192067 -aS'c/min\tc/min\tNN\tI-NP\tO' -p192068 -aS'flow\tflow\tNN\tI-NP\tO' -p192069 -aS'at\tat\tIN\tB-PP\tO' -p192070 -aS'the\tthe\tDT\tB-NP\tO' -p192071 -aS'time\ttime\tNN\tI-NP\tO' -p192072 -aS'of\tof\tIN\tB-PP\tO' -p192073 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p192074 -aS'.\t.\t.\tO\tO' -p192075 -asS'Extra ocular movements were full .' -p192076 -(lp192077 -S'Extra\tExtra\tJJ\tB-NP\tO' -p192078 -aS'ocular\tocular\tJJ\tI-NP\tO' -p192079 -aS'movements\tmovement\tNNS\tI-NP\tO' -p192080 -aS'were\tbe\tVBD\tB-VP\tO' -p192081 -aS'full\tfull\tJJ\tB-ADJP\tO' -p192082 -aS'.\t.\t.\tO\tO' -p192083 -asS'give when patient will eat and food is in the room .' -p192084 -(lp192085 -S'give\tgive\tVB\tB-VP\tO' -p192086 -aS'when\twhen\tWRB\tB-ADVP\tO' -p192087 -aS'patient\tpatient\tNN\tB-NP\tO' -p192088 -aS'will\twill\tMD\tB-VP\tO' -p192089 -aS'eat\teat\tVB\tI-VP\tO' -p192090 -aS'and\tand\tCC\tO\tO' -p192091 -aS'food\tfood\tNN\tB-NP\tO' -p192092 -aS'is\tbe\tVBZ\tB-VP\tO' -p192093 -aS'in\tin\tIN\tB-PP\tO' -p192094 -aS'the\tthe\tDT\tB-NP\tO' -p192095 -aS'room\troom\tNN\tI-NP\tO' -p192096 -aS'.\t.\t.\tO\tO' -p192097 -asS'The biopsy subsequently demonstrated a hyperplastic polyp with acute and chronic inflammation and erosion and reactive epithelial changes but no dysplasia .' -p192098 -(lp192099 -S'The\tThe\tDT\tB-NP\tO' -p192100 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p192101 -aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' -p192102 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p192103 -aS'a\ta\tDT\tB-NP\tO' -p192104 -aS'hyperplastic\thyperplastic\tJJ\tI-NP\tO' -p192105 -aS'polyp\tpolyp\tNN\tI-NP\tO' -p192106 -aS'with\twith\tIN\tB-PP\tO' -p192107 -aS'acute\tacute\tJJ\tB-NP\tO' -p192108 -aS'and\tand\tCC\tI-NP\tO' -p192109 -aS'chronic\tchronic\tJJ\tI-NP\tO' -p192110 -aS'inflammation\tinflammation\tNN\tI-NP\tO' -p192111 -aS'and\tand\tCC\tI-NP\tO' -p192112 -aS'erosion\terosion\tNN\tI-NP\tO' -p192113 -aS'and\tand\tCC\tO\tO' -p192114 -aS'reactive\treactive\tJJ\tB-NP\tO' -p192115 -aS'epithelial\tepithelial\tJJ\tI-NP\tO' -p192116 -aS'changes\tchange\tNNS\tI-NP\tO' -p192117 -aS'but\tbut\tCC\tO\tO' -p192118 -aS'no\tno\tDT\tB-NP\tO' -p192119 -aS'dysplasia\tdysplasia\tNN\tI-NP\tO' -p192120 -aS'.\t.\t.\tO\tO' -p192121 -asS'He was intoxicated and tachycardic in the trauma bay .' -p192122 -(lp192123 -S'He\tHe\tPRP\tB-NP\tO' -p192124 -aS'was\tbe\tVBD\tB-VP\tO' -p192125 -aS'intoxicated\tintoxicate\tVBN\tI-VP\tO' -p192126 -aS'and\tand\tCC\tO\tO' -p192127 -aS'tachycardic\ttachycardic\tJJ\tB-ADJP\tO' -p192128 -aS'in\tin\tIN\tB-PP\tO' -p192129 -aS'the\tthe\tDT\tB-NP\tO' -p192130 -aS'trauma\ttrauma\tNN\tI-NP\tO' -p192131 -aS'bay\tbay\tNN\tI-NP\tO' -p192132 -aS'.\t.\t.\tO\tO' -p192133 -asS'4. Elevated one hour glucose tolerance test , normal three hour glucose tolerance test .' -p192134 -(lp192135 -S'4.\t4.\tLS\tB-LST\tO' -p192136 -aS'Elevated\tElevate\tVBD\tB-VP\tO' -p192137 -aS'one\tone\tCD\tB-NP\tO' -p192138 -aS'hour\thour\tNN\tI-NP\tO' -p192139 -aS'glucose\tglucose\tNN\tI-NP\tO' -p192140 -aS'tolerance\ttolerance\tNN\tI-NP\tO' -p192141 -aS'test\ttest\tNN\tI-NP\tO' -p192142 -aS',\t,\t,\tO\tO' -p192143 -aS'normal\tnormal\tJJ\tB-NP\tO' -p192144 -aS'three\tthree\tCD\tI-NP\tO' -p192145 -aS'hour\thour\tNN\tI-NP\tO' -p192146 -aS'glucose\tglucose\tNN\tI-NP\tO' -p192147 -aS'tolerance\ttolerance\tNN\tI-NP\tO' -p192148 -aS'test\ttest\tNN\tI-NP\tO' -p192149 -aS'.\t.\t.\tO\tO' -p192150 -asS'EKG showed normal sinus rhythm , no ST or T wave changes .' -p192151 -(lp192152 -S'EKG\tEKG\tNN\tB-NP\tB-protein' -p192153 -aS'showed\tshow\tVBD\tB-VP\tO' -p192154 -aS'normal\tnormal\tJJ\tB-NP\tO' -p192155 -aS'sinus\tsinus\tNN\tI-NP\tO' -p192156 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p192157 -aS',\t,\t,\tO\tO' -p192158 -aS'no\tno\tDT\tB-NP\tO' -p192159 -aS'ST\tST\tNN\tI-NP\tO' -p192160 -aS'or\tor\tCC\tI-NP\tO' -p192161 -aS'T\tT\tNN\tI-NP\tO' -p192162 -aS'wave\twave\tNN\tI-NP\tO' -p192163 -aS'changes\tchange\tNNS\tI-NP\tO' -p192164 -aS'.\t.\t.\tO\tO' -p192165 -asS'Denies fever or chills .' -p192166 -(lp192167 -S'Denies\tDeny\tNNS\tB-NP\tO' -p192168 -aS'fever\tfever\tNN\tI-NP\tO' -p192169 -aS'or\tor\tCC\tI-NP\tO' -p192170 -aS'chills\tchill\tNNS\tI-NP\tO' -p192171 -aS'.\t.\t.\tO\tO' -p192172 -asS'ROS : difficult to obtain 2x2 to patient mental status baselin' -p192173 -(lp192174 -S'ROS\tROS\tNN\tB-NP\tO' -p192175 -aS':\t:\t:\tO\tO' -p192176 -aS'difficult\tdifficult\tJJ\tB-ADJP\tO' -p192177 -aS'to\tto\tTO\tB-VP\tO' -p192178 -aS'obtain\tobtain\tVB\tI-VP\tO' -p192179 -aS'2x2\t2x2\tCD\tB-NP\tO' -p192180 -aS'to\tto\tTO\tB-PP\tO' -p192181 -aS'patient\tpatient\tNN\tB-NP\tO' -p192182 -aS'mental\tmental\tJJ\tI-NP\tO' -p192183 -aS'status\tstatus\tNN\tI-NP\tO' -p192184 -aS'baselin\tbaselin\tNN\tI-NP\tO' -p192185 -asS'Benign .' -p192186 -(lp192187 -S'Benign\tBenign\tJJ\tB-ADJP\tO' -p192188 -aS'.\t.\t.\tO\tO' -p192189 -asS'This was his main issue in the postoperative course .' -p192190 -(lp192191 -S'This\tThis\tDT\tB-NP\tO' -p192192 -aS'was\tbe\tVBD\tB-VP\tO' -p192193 -aS'his\this\tPRP$\tB-NP\tO' -p192194 -aS'main\tmain\tJJ\tI-NP\tO' -p192195 -aS'issue\tissue\tNN\tI-NP\tO' -p192196 -aS'in\tin\tIN\tB-PP\tO' -p192197 -aS'the\tthe\tDT\tB-NP\tO' -p192198 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p192199 -aS'course\tcourse\tNN\tI-NP\tO' -p192200 -aS'.\t.\t.\tO\tO' -p192201 -asS'No fevers or chills , no chest pain , no shortness of breath .' -p192202 -(lp192203 -S'No\tNo\tDT\tB-NP\tO' -p192204 -aS'fevers\tfever\tNNS\tI-NP\tO' -p192205 -aS'or\tor\tCC\tI-NP\tO' -p192206 -aS'chills\tchill\tNNS\tI-NP\tO' -p192207 -aS',\t,\t,\tO\tO' -p192208 -aS'no\tno\tDT\tB-NP\tO' -p192209 -aS'chest\tchest\tNN\tI-NP\tO' -p192210 -aS'pain\tpain\tNN\tI-NP\tO' -p192211 -aS',\t,\t,\tO\tO' -p192212 -aS'no\tno\tDT\tB-NP\tO' -p192213 -aS'shortness\tshortness\tNN\tI-NP\tO' -p192214 -aS'of\tof\tIN\tB-PP\tO' -p192215 -aS'breath\tbreath\tNN\tB-NP\tO' -p192216 -aS'.\t.\t.\tO\tO' -p192217 -asS'He will need close follow-up regarding his depression as an outpatient , although apparently this has been set up for him in the past and he had not followed through .' -p192218 -(lp192219 -S'He\tHe\tPRP\tB-NP\tO' -p192220 -aS'will\twill\tMD\tB-VP\tO' -p192221 -aS'need\tneed\tVB\tI-VP\tO' -p192222 -aS'close\tclose\tJJ\tB-NP\tO' -p192223 -aS'follow-up\tfollow-up\tNN\tI-NP\tO' -p192224 -aS'regarding\tregard\tVBG\tB-VP\tO' -p192225 -aS'his\this\tPRP$\tB-NP\tO' -p192226 -aS'depression\tdepression\tNN\tI-NP\tO' -p192227 -aS'as\tas\tIN\tB-PP\tO' -p192228 -aS'an\tan\tDT\tB-NP\tO' -p192229 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p192230 -aS',\t,\t,\tO\tO' -p192231 -aS'although\talthough\tIN\tB-SBAR\tO' -p192232 -aS'apparently\tapparently\tRB\tB-ADVP\tO' -p192233 -aS'this\tthis\tDT\tB-NP\tO' -p192234 -aS'has\thave\tVBZ\tB-VP\tO' -p192235 -aS'been\tbe\tVBN\tI-VP\tO' -p192236 -aS'set\tset\tVBN\tI-VP\tO' -p192237 -aS'up\tup\tRP\tB-PRT\tO' -p192238 -aS'for\tfor\tIN\tB-PP\tO' -p192239 -aS'him\thim\tPRP\tB-NP\tO' -p192240 -aS'in\tin\tIN\tB-PP\tO' -p192241 -aS'the\tthe\tDT\tB-NP\tO' -p192242 -aS'past\tpast\tNN\tI-NP\tO' -p192243 -aS'and\tand\tCC\tO\tO' -p192244 -aS'he\the\tPRP\tB-NP\tO' -p192245 -aS'had\thave\tVBD\tB-VP\tO' -p192246 -aS'not\tnot\tRB\tI-VP\tO' -p192247 -aS'followed\tfollow\tVBN\tI-VP\tO' -p192248 -aS'through\tthrough\tIN\tB-PP\tO' -p192249 -aS'.\t.\t.\tO\tO' -p192250 -asS'Heart rate 90 .' -p192251 -(lp192252 -S'Heart\tHeart\tNN\tB-NP\tO' -p192253 -aS'rate\trate\tNN\tI-NP\tO' -p192254 -aS'90\t90\tCD\tI-NP\tO' -p192255 -aS'.\t.\t.\tO\tO' -p192256 -asS'She maintained her fixation on the conversation well .' -p192257 -(lp192258 -S'She\tShe\tPRP\tB-NP\tO' -p192259 -aS'maintained\tmaintain\tVBD\tB-VP\tO' -p192260 -aS'her\ther\tPRP$\tB-NP\tO' -p192261 -aS'fixation\tfixation\tNN\tI-NP\tO' -p192262 -aS'on\ton\tIN\tB-PP\tO' -p192263 -aS'the\tthe\tDT\tB-NP\tO' -p192264 -aS'conversation\tconversation\tNN\tI-NP\tO' -p192265 -aS'well\twell\tRB\tB-ADVP\tO' -p192266 -aS'.\t.\t.\tO\tO' -p192267 -asS'He subsequently did well , with a repeat hematocrit of 34.3 after the transfusion .' -p192268 -(lp192269 -S'He\tHe\tPRP\tB-NP\tO' -p192270 -aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' -p192271 -aS'did\tdo\tVBD\tB-VP\tO' -p192272 -aS'well\twell\tRB\tB-ADVP\tO' -p192273 -aS',\t,\t,\tO\tO' -p192274 -aS'with\twith\tIN\tB-PP\tO' -p192275 -aS'a\ta\tDT\tB-NP\tO' -p192276 -aS'repeat\trepeat\tNN\tI-NP\tO' -p192277 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p192278 -aS'of\tof\tIN\tB-PP\tO' -p192279 -aS'34.3\t34.3\tCD\tB-NP\tO' -p192280 -aS'after\tafter\tIN\tB-PP\tO' -p192281 -aS'the\tthe\tDT\tB-NP\tO' -p192282 -aS'transfusion\ttransfusion\tNN\tI-NP\tO' -p192283 -aS'.\t.\t.\tO\tO' -p192284 -asS'Please contact office if you develop a fever more than 101.5 or notice drainage from chest incision .' -p192285 -(lp192286 -S'Please\tPlease\tNN\tB-NP\tO' -p192287 -aS'contact\tcontact\tNN\tI-NP\tO' -p192288 -aS'office\toffice\tNN\tI-NP\tO' -p192289 -aS'if\tif\tIN\tB-SBAR\tO' -p192290 -aS'you\tyou\tPRP\tB-NP\tO' -p192291 -aS'develop\tdevelop\tVBP\tB-VP\tO' -p192292 -aS'a\ta\tDT\tB-NP\tO' -p192293 -aS'fever\tfever\tNN\tI-NP\tO' -p192294 -aS'more\tmore\tJJR\tB-NP\tO' -p192295 -aS'than\tthan\tIN\tI-NP\tO' -p192296 -aS'101.5\t101.5\tCD\tI-NP\tO' -p192297 -aS'or\tor\tCC\tI-NP\tO' -p192298 -aS'notice\tnotice\tNN\tI-NP\tO' -p192299 -aS'drainage\tdrainage\tNN\tI-NP\tO' -p192300 -aS'from\tfrom\tIN\tB-PP\tO' -p192301 -aS'chest\tchest\tNN\tB-NP\tO' -p192302 -aS'incision\tincision\tNN\tI-NP\tO' -p192303 -aS'.\t.\t.\tO\tO' -p192304 -asS'If she were to decompensate at the rehab , goals of care will need to be readdressed .' -p192305 -(lp192306 -S'If\tIf\tIN\tB-SBAR\tO' -p192307 -aS'she\tshe\tPRP\tB-NP\tO' -p192308 -aS'were\tbe\tVBD\tB-VP\tO' -p192309 -aS'to\tto\tTO\tI-VP\tO' -p192310 -aS'decompensate\tdecompensate\tVB\tI-VP\tO' -p192311 -aS'at\tat\tIN\tB-PP\tO' -p192312 -aS'the\tthe\tDT\tB-NP\tO' -p192313 -aS'rehab\trehab\tNN\tI-NP\tO' -p192314 -aS',\t,\t,\tO\tO' -p192315 -aS'goals\tgoal\tNNS\tB-NP\tO' -p192316 -aS'of\tof\tIN\tB-PP\tO' -p192317 -aS'care\tcare\tNN\tB-NP\tO' -p192318 -aS'will\twill\tMD\tB-VP\tO' -p192319 -aS'need\tneed\tVB\tI-VP\tO' -p192320 -aS'to\tto\tTO\tI-VP\tO' -p192321 -aS'be\tbe\tVB\tI-VP\tO' -p192322 -aS'readdressed\treaddresse\tVBN\tI-VP\tO' -p192323 -aS'.\t.\t.\tO\tO' -p192324 -asS'IN PAIRS AND CLUSTERS .' -p192325 -(lp192326 -S'IN\tIN\tIN\tB-PP\tO' -p192327 -aS'PAIRS\tPAIRS\tNNP\tB-NP\tO' -p192328 -aS'AND\tAND\tNNP\tI-NP\tO' -p192329 -aS'CLUSTERS\tCLUSTERS\tNNS\tI-NP\tO' -p192330 -aS'.\t.\t.\tO\tO' -p192331 -asS'CAD ; status post coronary artery bypass graft times two and status post myocardial infarction in 2001 and 2000 .' -p192332 -(lp192333 -S'CAD\tCAD\tNN\tB-NP\tO' -p192334 -aS';\t;\t:\tO\tO' -p192335 -aS'status\tstatus\tNN\tB-NP\tO' -p192336 -aS'post\tpost\tNN\tI-NP\tO' -p192337 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p192338 -aS'artery\tartery\tNN\tI-NP\tO' -p192339 -aS'bypass\tbypass\tIN\tB-PP\tO' -p192340 -aS'graft\tgraft\tNN\tB-NP\tO' -p192341 -aS'times\ttime\tNNS\tI-NP\tO' -p192342 -aS'two\ttwo\tCD\tB-NP\tO' -p192343 -aS'and\tand\tCC\tI-NP\tO' -p192344 -aS'status\tstatus\tNN\tI-NP\tO' -p192345 -aS'post\tpost\tNN\tI-NP\tO' -p192346 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p192347 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p192348 -aS'in\tin\tIN\tB-PP\tO' -p192349 -aS'2001\t2001\tCD\tB-NP\tO' -p192350 -aS'and\tand\tCC\tI-NP\tO' -p192351 -aS'2000\t2000\tCD\tI-NP\tO' -p192352 -aS'.\t.\t.\tO\tO' -p192353 -asS'She remains very weak and will most likely benefit from some physical therapy andshe still has the bilateral edema .' -p192354 -(lp192355 -S'She\tShe\tPRP\tB-NP\tO' -p192356 -aS'remains\tremain\tVBZ\tB-VP\tO' -p192357 -aS'very\tvery\tRB\tB-ADJP\tO' -p192358 -aS'weak\tweak\tJJ\tI-ADJP\tO' -p192359 -aS'and\tand\tCC\tO\tO' -p192360 -aS'will\twill\tMD\tB-VP\tO' -p192361 -aS'most\tmost\tRBS\tB-NP\tO' -p192362 -aS'likely\tlikely\tJJ\tI-NP\tO' -p192363 -aS'benefit\tbenefit\tNN\tI-NP\tO' -p192364 -aS'from\tfrom\tIN\tB-PP\tO' -p192365 -aS'some\tsome\tDT\tB-NP\tO' -p192366 -aS'physical\tphysical\tJJ\tI-NP\tO' -p192367 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p192368 -aS'andshe\tandshe\tNN\tI-NP\tO' -p192369 -aS'still\tstill\tRB\tB-ADVP\tO' -p192370 -aS'has\thave\tVBZ\tB-VP\tO' -p192371 -aS'the\tthe\tDT\tB-NP\tO' -p192372 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p192373 -aS'edema\tedema\tNN\tI-NP\tO' -p192374 -aS'.\t.\t.\tO\tO' -p192375 -asS'he was found to have a perforated sigmoid diverticulum .' -p192376 -(lp192377 -S'he\the\tPRP\tB-NP\tO' -p192378 -aS'was\tbe\tVBD\tB-VP\tO' -p192379 -aS'found\tfind\tVBN\tI-VP\tO' -p192380 -aS'to\tto\tTO\tI-VP\tO' -p192381 -aS'have\thave\tVB\tI-VP\tO' -p192382 -aS'a\ta\tDT\tB-NP\tO' -p192383 -aS'perforated\tperforate\tVBN\tI-NP\tO' -p192384 -aS'sigmoid\tsigmoid\tJJ\tI-NP\tO' -p192385 -aS'diverticulum\tdiverticulum\tNN\tI-NP\tO' -p192386 -aS'.\t.\t.\tO\tO' -p192387 -asS'The patient was transferred to the Heaonboburg Linpack Grant Medical Center for consideration of coronary angioplasty .' -p192388 -(lp192389 -S'The\tThe\tDT\tB-NP\tO' -p192390 -aS'patient\tpatient\tNN\tI-NP\tO' -p192391 -aS'was\tbe\tVBD\tB-VP\tO' -p192392 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p192393 -aS'to\tto\tTO\tB-PP\tO' -p192394 -aS'the\tthe\tDT\tB-NP\tO' -p192395 -aS'Heaonboburg\tHeaonboburg\tNNP\tI-NP\tO' -p192396 -aS'Linpack\tLinpack\tNNP\tI-NP\tO' -p192397 -aS'Grant\tGrant\tNNP\tI-NP\tO' -p192398 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p192399 -aS'Center\tCenter\tNNP\tI-NP\tO' -p192400 -aS'for\tfor\tIN\tB-PP\tO' -p192401 -aS'consideration\tconsideration\tNN\tB-NP\tO' -p192402 -aS'of\tof\tIN\tB-PP\tO' -p192403 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p192404 -aS'angioplasty\tangioplasty\tNN\tI-NP\tO' -p192405 -aS'.\t.\t.\tO\tO' -p192406 -asS'She was discharged to the Encharlea Il Medical Center in New Hampshire .' -p192407 -(lp192408 -S'She\tShe\tPRP\tB-NP\tO' -p192409 -aS'was\tbe\tVBD\tB-VP\tO' -p192410 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p192411 -aS'to\tto\tTO\tB-PP\tO' -p192412 -aS'the\tthe\tDT\tB-NP\tO' -p192413 -aS'Encharlea\tEncharlea\tNNP\tI-NP\tO' -p192414 -aS'Il\tIl\tNNP\tI-NP\tO' -p192415 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p192416 -aS'Center\tCenter\tNNP\tI-NP\tO' -p192417 -aS'in\tin\tIN\tB-PP\tO' -p192418 -aS'New\tNew\tNNP\tB-NP\tO' -p192419 -aS'Hampshire\tHampshire\tNNP\tI-NP\tO' -p192420 -aS'.\t.\t.\tO\tO' -p192421 -asS'10 days ago , he developed b/l LE edema that has gotten progressively worse until now .' -p192422 -(lp192423 -S'10\t10\tCD\tB-NP\tO' -p192424 -aS'days\tday\tNNS\tI-NP\tO' -p192425 -aS'ago\tago\tRB\tB-ADVP\tO' -p192426 -aS',\t,\t,\tO\tO' -p192427 -aS'he\the\tPRP\tB-NP\tO' -p192428 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p192429 -aS'b/l\tb/l\tNN\tB-NP\tO' -p192430 -aS'LE\tLE\tNN\tI-NP\tO' -p192431 -aS'edema\tedema\tNN\tI-NP\tO' -p192432 -aS'that\tthat\tWDT\tB-NP\tO' -p192433 -aS'has\thave\tVBZ\tB-VP\tO' -p192434 -aS'gotten\tget\tVBN\tI-VP\tO' -p192435 -aS'progressively\tprogressively\tRB\tB-ADJP\tO' -p192436 -aS'worse\tworse\tJJR\tI-ADJP\tO' -p192437 -aS'until\tuntil\tIN\tB-PP\tO' -p192438 -aS'now\tnow\tRB\tB-ADVP\tO' -p192439 -aS'.\t.\t.\tO\tO' -p192440 -asS'Morhpine ggt titrated up to 18 mg / hr by monday morning and pt expired 04-04 at 7:40 am .' -p192441 -(lp192442 -S'Morhpine\tMorhpine\tNN\tB-NP\tO' -p192443 -aS'ggt\tggt\tNN\tI-NP\tO' -p192444 -aS'titrated\ttitrate\tVBD\tB-VP\tO' -p192445 -aS'up\tup\tRB\tB-NP\tO' -p192446 -aS'to\tto\tTO\tI-NP\tO' -p192447 -aS'18\t18\tCD\tI-NP\tO' -p192448 -aS'mg\tmg\tNN\tI-NP\tO' -p192449 -aS'/\t/\tSYM\tO\tO' -p192450 -aS'hr\thr\tNN\tB-NP\tO' -p192451 -aS'by\tby\tIN\tB-PP\tO' -p192452 -aS'monday\tmonday\tNN\tB-NP\tO' -p192453 -aS'morning\tmorning\tNN\tI-NP\tO' -p192454 -aS'and\tand\tCC\tI-NP\tO' -p192455 -aS'pt\tpt\tNN\tI-NP\tO' -p192456 -aS'expired\texpire\tVBD\tB-VP\tO' -p192457 -aS'04-04\t04-04\tCD\tB-NP\tO' -p192458 -aS'at\tat\tIN\tB-PP\tO' -p192459 -aS'7:40\t7:40\tCD\tB-NP\tO' -p192460 -aS'am\tam\tNN\tI-NP\tO' -p192461 -aS'.\t.\t.\tO\tO' -p192462 -asS'Her pelvic examination was notable for some brownish discharge .' -p192463 -(lp192464 -S'Her\tHer\tPRP$\tB-NP\tO' -p192465 -aS'pelvic\tpelvic\tJJ\tI-NP\tO' -p192466 -aS'examination\texamination\tNN\tI-NP\tO' -p192467 -aS'was\tbe\tVBD\tB-VP\tO' -p192468 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p192469 -aS'for\tfor\tIN\tB-PP\tO' -p192470 -aS'some\tsome\tDT\tB-NP\tO' -p192471 -aS'brownish\tbrownish\tJJ\tI-NP\tO' -p192472 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p192473 -aS'.\t.\t.\tO\tO' -p192474 -asS'12. Lactulose .' -p192475 -(lp192476 -S'12.\t12.\tLS\tB-LST\tO' -p192477 -aS'Lactulose\tLactulose\tNNP\tB-NP\tO' -p192478 -aS'.\t.\t.\tO\tO' -p192479 -asS'The gestational carrier is not involved .' -p192480 -(lp192481 -S'The\tThe\tDT\tB-NP\tO' -p192482 -aS'gestational\tgestational\tJJ\tI-NP\tO' -p192483 -aS'carrier\tcarrier\tNN\tI-NP\tO' -p192484 -aS'is\tbe\tVBZ\tB-VP\tO' -p192485 -aS'not\tnot\tRB\tI-VP\tO' -p192486 -aS'involved\tinvolve\tVBN\tI-VP\tO' -p192487 -aS'.\t.\t.\tO\tO' -p192488 -asS'The tube appeared to be functioning well , draining urine with occasional clot passage .' -p192489 -(lp192490 -S'The\tThe\tDT\tB-NP\tO' -p192491 -aS'tube\ttube\tNN\tI-NP\tO' -p192492 -aS'appeared\tappear\tVBD\tB-VP\tO' -p192493 -aS'to\tto\tTO\tI-VP\tO' -p192494 -aS'be\tbe\tVB\tI-VP\tO' -p192495 -aS'functioning\tfunction\tVBG\tI-VP\tO' -p192496 -aS'well\twell\tRB\tB-ADVP\tO' -p192497 -aS',\t,\t,\tO\tO' -p192498 -aS'draining\tdrain\tVBG\tB-VP\tO' -p192499 -aS'urine\turine\tNN\tB-NP\tO' -p192500 -aS'with\twith\tIN\tB-PP\tO' -p192501 -aS'occasional\toccasional\tJJ\tB-NP\tO' -p192502 -aS'clot\tclot\tNN\tI-NP\tO' -p192503 -aS'passage\tpassage\tNN\tI-NP\tO' -p192504 -aS'.\t.\t.\tO\tO' -p192505 -asS'Marie was discharged with goal PPI twice day for 1 month followed by once a day .' -p192506 -(lp192507 -S'Marie\tMarie\tNNP\tB-NP\tO' -p192508 -aS'was\tbe\tVBD\tB-VP\tO' -p192509 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p192510 -aS'with\twith\tIN\tB-PP\tO' -p192511 -aS'goal\tgoal\tNN\tB-NP\tO' -p192512 -aS'PPI\tPPI\tNN\tI-NP\tO' -p192513 -aS'twice\ttwice\tJJ\tI-NP\tO' -p192514 -aS'day\tday\tNN\tI-NP\tO' -p192515 -aS'for\tfor\tIN\tB-PP\tO' -p192516 -aS'1\t1\tCD\tB-NP\tO' -p192517 -aS'month\tmonth\tNN\tI-NP\tO' -p192518 -aS'followed\tfollow\tVBN\tB-VP\tO' -p192519 -aS'by\tby\tIN\tB-PP\tO' -p192520 -aS'once\tonce\tRB\tB-ADVP\tO' -p192521 -aS'a\ta\tDT\tB-NP\tO' -p192522 -aS'day\tday\tNN\tI-NP\tO' -p192523 -aS'.\t.\t.\tO\tO' -p192524 -asS'07-06 patient failed a repeat swallow evaluation due to discoordinated swallow .' -p192525 -(lp192526 -S'07-06\t07-06\tCD\tB-NP\tO' -p192527 -aS'patient\tpatient\tNN\tI-NP\tO' -p192528 -aS'failed\tfail\tVBD\tB-VP\tO' -p192529 -aS'a\ta\tDT\tB-NP\tO' -p192530 -aS'repeat\trepeat\tNN\tI-NP\tO' -p192531 -aS'swallow\tswallow\tNN\tI-NP\tO' -p192532 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p192533 -aS'due\tdue\tJJ\tB-ADJP\tO' -p192534 -aS'to\tto\tTO\tB-PP\tO' -p192535 -aS'discoordinated\tdiscoordinate\tVBN\tB-NP\tO' -p192536 -aS'swallow\tswallow\tNN\tI-NP\tO' -p192537 -aS'.\t.\t.\tO\tO' -p192538 -asS'12. Levofloxacin 500 mg po q daily x10 days .' -p192539 -(lp192540 -S'12.\t12.\tCD\tB-NP\tO' -p192541 -aS'Levofloxacin\tLevofloxacin\tNN\tI-NP\tO' -p192542 -aS'500\t500\tCD\tB-NP\tO' -p192543 -aS'mg\tmg\tNN\tI-NP\tO' -p192544 -aS'po\tpo\tNN\tI-NP\tO' -p192545 -aS'q\tq\tNN\tI-NP\tO' -p192546 -aS'daily\tdaily\tJJ\tI-NP\tO' -p192547 -aS'x10\tx10\tNN\tI-NP\tO' -p192548 -aS'days\tday\tNNS\tI-NP\tO' -p192549 -aS'.\t.\t.\tO\tO' -p192550 -asS'Weigh yourself every morning , call MD if weight increases by > 3 lbs in 2 days .' -p192551 -(lp192552 -S'Weigh\tWeigh\tIN\tB-PP\tO' -p192553 -aS'yourself\tyourself\tPRP\tB-NP\tO' -p192554 -aS'every\tevery\tDT\tB-NP\tO' -p192555 -aS'morning\tmorning\tNN\tI-NP\tO' -p192556 -aS',\t,\t,\tO\tO' -p192557 -aS'call\tcall\tVB\tB-VP\tO' -p192558 -aS'MD\tMD\tNNP\tB-NP\tO' -p192559 -aS'if\tif\tIN\tB-SBAR\tO' -p192560 -aS'weight\tweight\tNN\tB-NP\tO' -p192561 -aS'increases\tincrease\tNNS\tI-NP\tO' -p192562 -aS'by\tby\tIN\tB-PP\tO' -p192563 -aS'>\t>\tJJR\tB-NP\tO' -p192564 -aS'3\t3\tCD\tI-NP\tO' -p192565 -aS'lbs\tlb\tNNS\tI-NP\tO' -p192566 -aS'in\tin\tIN\tB-PP\tO' -p192567 -aS'2\t2\tCD\tB-NP\tO' -p192568 -aS'days\tday\tNNS\tI-NP\tO' -p192569 -aS'.\t.\t.\tO\tO' -p192570 -asS'Rule out sepsis with antibiotics .' -p192571 -(lp192572 -S'Rule\tRule\tNNP\tB-VP\tO' -p192573 -aS'out\tout\tRP\tB-PRT\tO' -p192574 -aS'sepsis\tsepsis\tNN\tB-NP\tO' -p192575 -aS'with\twith\tIN\tB-PP\tO' -p192576 -aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' -p192577 -aS'.\t.\t.\tO\tO' -p192578 -asS'Right total hip arthroplasty .' -p192579 -(lp192580 -S'Right\tRight\tRB\tB-NP\tO' -p192581 -aS'total\ttotal\tJJ\tI-NP\tO' -p192582 -aS'hip\thip\tNN\tI-NP\tO' -p192583 -aS'arthroplasty\tarthroplasty\tNN\tI-NP\tO' -p192584 -aS'.\t.\t.\tO\tO' -p192585 -asS'3. Metoprolol 25 mg po bid .' -p192586 -(lp192587 -S'3.\t3.\tLS\tB-NP\tO' -p192588 -aS'Metoprolol\tMetoprolol\tNN\tI-NP\tO' -p192589 -aS'25\t25\tCD\tI-NP\tO' -p192590 -aS'mg\tmg\tNN\tI-NP\tO' -p192591 -aS'po\tpo\tNN\tI-NP\tO' -p192592 -aS'bid\tbid\tNN\tI-NP\tO' -p192593 -aS'.\t.\t.\tO\tO' -p192594 -asS'Estratab .' -p192595 -(lp192596 -S'Estratab\tEstratab\tNN\tB-NP\tO' -p192597 -aS'.\t.\t.\tO\tO' -p192598 -asS'He presented to an outside hospital with an acute inferior myocardial infarction and was treated with thrombolytic therapy .' -p192599 -(lp192600 -S'He\tHe\tPRP\tB-NP\tO' -p192601 -aS'presented\tpresent\tVBD\tB-VP\tO' -p192602 -aS'to\tto\tTO\tB-PP\tO' -p192603 -aS'an\tan\tDT\tB-NP\tO' -p192604 -aS'outside\toutside\tJJ\tI-NP\tO' -p192605 -aS'hospital\thospital\tNN\tI-NP\tO' -p192606 -aS'with\twith\tIN\tB-PP\tO' -p192607 -aS'an\tan\tDT\tB-NP\tO' -p192608 -aS'acute\tacute\tJJ\tI-NP\tO' -p192609 -aS'inferior\tinferior\tJJ\tI-NP\tO' -p192610 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p192611 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p192612 -aS'and\tand\tCC\tO\tO' -p192613 -aS'was\tbe\tVBD\tB-VP\tO' -p192614 -aS'treated\ttreat\tVBN\tI-VP\tO' -p192615 -aS'with\twith\tIN\tB-PP\tO' -p192616 -aS'thrombolytic\tthrombolytic\tJJ\tB-NP\tO' -p192617 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p192618 -aS'.\t.\t.\tO\tO' -p192619 -asS'The circumflex artery had a minor 40% stenosis .' -p192620 -(lp192621 -S'The\tThe\tDT\tB-NP\tO' -p192622 -aS'circumflex\tcircumflex\tNN\tI-NP\tO' -p192623 -aS'artery\tartery\tNN\tI-NP\tO' -p192624 -aS'had\thave\tVBD\tB-VP\tO' -p192625 -aS'a\ta\tDT\tB-NP\tO' -p192626 -aS'minor\tminor\tJJ\tI-NP\tO' -p192627 -aS'40%\t40%\tCD\tI-NP\tO' -p192628 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p192629 -aS'.\t.\t.\tO\tO' -p192630 -asS'This CAT scan revealed possible worsening and was read as epidural versus subdural bleed .' -p192631 -(lp192632 -S'This\tThis\tDT\tB-NP\tO' -p192633 -aS'CAT\tCAT\tNN\tI-NP\tB-protein' -p192634 -aS'scan\tscan\tNN\tI-NP\tO' -p192635 -aS'revealed\treveal\tVBD\tB-VP\tO' -p192636 -aS'possible\tpossible\tJJ\tB-NP\tO' -p192637 -aS'worsening\tworsening\tNN\tI-NP\tO' -p192638 -aS'and\tand\tCC\tO\tO' -p192639 -aS'was\tbe\tVBD\tB-VP\tO' -p192640 -aS'read\tread\tVBN\tI-VP\tO' -p192641 -aS'as\tas\tIN\tB-PP\tO' -p192642 -aS'epidural\tepidural\tJJ\tB-ADJP\tO' -p192643 -aS'versus\tversus\tIN\tB-PP\tO' -p192644 -aS'subdural\tsubdural\tJJ\tB-NP\tO' -p192645 -aS'bleed\tbleed\tNN\tI-NP\tO' -p192646 -aS'.\t.\t.\tO\tO' -p192647 -asS'He now returns with fever , rising white count , diarrhea , and dehydration .' -p192648 -(lp192649 -S'He\tHe\tPRP\tB-NP\tO' -p192650 -aS'now\tnow\tRB\tB-ADVP\tO' -p192651 -aS'returns\treturn\tVBZ\tB-VP\tO' -p192652 -aS'with\twith\tIN\tB-PP\tO' -p192653 -aS'fever\tfever\tNN\tB-NP\tO' -p192654 -aS',\t,\t,\tO\tO' -p192655 -aS'rising\trise\tVBG\tB-VP\tO' -p192656 -aS'white\twhite\tJJ\tB-NP\tO' -p192657 -aS'count\tcount\tNN\tI-NP\tO' -p192658 -aS',\t,\t,\tO\tO' -p192659 -aS'diarrhea\tdiarrhea\tNN\tB-NP\tO' -p192660 -aS',\t,\t,\tO\tO' -p192661 -aS'and\tand\tCC\tO\tO' -p192662 -aS'dehydration\tdehydration\tNN\tB-NP\tO' -p192663 -aS'.\t.\t.\tO\tO' -p192664 -asS'70 y/o male with h/o CAD s/p LAD PTCA 33 yrs ago , COPD , T2DM , and AICD pocket infection who presented to the Juan on 2017-09-03 with worsening SOB x 5 days and feeling " cloudy ."' -p192665 -(lp192666 -S'70\t70\tCD\tB-NP\tO' -p192667 -aS'y/o\ty/o\tNN\tI-NP\tO' -p192668 -aS'male\tmale\tJJ\tB-ADJP\tO' -p192669 -aS'with\twith\tIN\tB-PP\tO' -p192670 -aS'h/o\th/o\tNN\tB-NP\tB-protein' -p192671 -aS'CAD\tCAD\tNN\tI-NP\tI-protein' -p192672 -aS's/p\ts/p\tNN\tI-NP\tI-protein' -p192673 -aS'LAD\tLAD\tNN\tI-NP\tI-protein' -p192674 -aS'PTCA\tPTCA\tNN\tI-NP\tI-protein' -p192675 -aS'33\t33\tCD\tB-NP\tI-protein' -p192676 -aS'yrs\tyr\tNNS\tI-NP\tI-protein' -p192677 -aS'ago\tago\tIN\tB-ADVP\tO' -p192678 -aS',\t,\t,\tO\tO' -p192679 -aS'COPD\tCOPD\tNN\tB-NP\tO' -p192680 -aS',\t,\t,\tO\tO' -p192681 -aS'T2DM\tT2DM\tNN\tB-NP\tO' -p192682 -aS',\t,\t,\tO\tO' -p192683 -aS'and\tand\tCC\tO\tO' -p192684 -aS'AICD\tAICD\tNN\tB-NP\tO' -p192685 -aS'pocket\tpocket\tNN\tI-NP\tO' -p192686 -aS'infection\tinfection\tNN\tI-NP\tO' -p192687 -aS'who\twho\tWP\tB-NP\tO' -p192688 -aS'presented\tpresent\tVBD\tB-VP\tO' -p192689 -aS'to\tto\tTO\tB-PP\tO' -p192690 -aS'the\tthe\tDT\tB-NP\tO' -p192691 -aS'Juan\tJuan\tNNP\tI-NP\tO' -p192692 -aS'on\ton\tIN\tB-PP\tO' -p192693 -aS'2017-09-03\t2017-09-03\tCD\tB-NP\tO' -p192694 -aS'with\twith\tIN\tB-PP\tO' -p192695 -aS'worsening\tworsen\tVBG\tB-VP\tO' -p192696 -aS'SOB\tSOB\tNN\tB-NP\tB-protein' -p192697 -aS'x\tx\tSYM\tO\tO' -p192698 -aS'5\t5\tCD\tB-NP\tO' -p192699 -aS'days\tday\tNNS\tI-NP\tO' -p192700 -aS'and\tand\tCC\tO\tO' -p192701 -aS'feeling\tfeel\tVBG\tB-VP\tO' -p192702 -aS'"\t"\t``\tO\tO' -p192703 -aS'cloudy\tcloudy\tNN\tB-NP\tO' -p192704 -aS'."\t."\t.\tO\tO' -p192705 -asS'Also a left distal radius fracture with was reduced and splinted .' -p192706 -(lp192707 -S'Also\tAlso\tRB\tB-ADVP\tO' -p192708 -aS'a\ta\tDT\tB-NP\tO' -p192709 -aS'left\tleft\tJJ\tI-NP\tO' -p192710 -aS'distal\tdistal\tJJ\tI-NP\tO' -p192711 -aS'radius\tradius\tNN\tI-NP\tO' -p192712 -aS'fracture\tfracture\tNN\tI-NP\tO' -p192713 -aS'with\twith\tIN\tB-NP\tO' -p192714 -aS'was\tbe\tVBD\tB-VP\tO' -p192715 -aS'reduced\treduce\tVBN\tI-VP\tO' -p192716 -aS'and\tand\tCC\tI-VP\tO' -p192717 -aS'splinted\tsplint\tVBN\tI-VP\tO' -p192718 -aS'.\t.\t.\tO\tO' -p192719 -asS'1. Lopressor 25 milligrams po bid .' -p192720 -(lp192721 -S'1.\t1.\tLS\tB-NP\tO' -p192722 -aS'Lopressor\tLopressor\tNN\tI-NP\tO' -p192723 -aS'25\t25\tCD\tB-NP\tO' -p192724 -aS'milligrams\tmilligram\tNNS\tI-NP\tO' -p192725 -aS'po\tpo\tNN\tI-NP\tO' -p192726 -aS'bid\tbid\tNN\tI-NP\tO' -p192727 -aS'.\t.\t.\tO\tO' -p192728 -asS'The patient is diffusely wheezy upon presentation .' -p192729 -(lp192730 -S'The\tThe\tDT\tB-NP\tO' -p192731 -aS'patient\tpatient\tNN\tI-NP\tO' -p192732 -aS'is\tbe\tVBZ\tB-VP\tO' -p192733 -aS'diffusely\tdiffusely\tRB\tB-ADJP\tO' -p192734 -aS'wheezy\twheezy\tJJ\tI-ADJP\tO' -p192735 -aS'upon\tupon\tIN\tB-PP\tO' -p192736 -aS'presentation\tpresentation\tNN\tB-NP\tO' -p192737 -aS'.\t.\t.\tO\tO' -p192738 -asS'The infant has not received any immunizations this hospitalization .' -p192739 -(lp192740 -S'The\tThe\tDT\tB-NP\tO' -p192741 -aS'infant\tinfant\tNN\tI-NP\tO' -p192742 -aS'has\thave\tVBZ\tB-VP\tO' -p192743 -aS'not\tnot\tRB\tI-VP\tO' -p192744 -aS'received\treceive\tVBN\tI-VP\tO' -p192745 -aS'any\tany\tDT\tB-NP\tO' -p192746 -aS'immunizations\timmunization\tNNS\tI-NP\tO' -p192747 -aS'this\tthis\tDT\tB-NP\tO' -p192748 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p192749 -aS'.\t.\t.\tO\tO' -p192750 -asS'The patient had a chest X-ray which showed mild pulmonary edema .' -p192751 -(lp192752 -S'The\tThe\tDT\tB-NP\tO' -p192753 -aS'patient\tpatient\tNN\tI-NP\tO' -p192754 -aS'had\thave\tVBD\tB-VP\tO' -p192755 -aS'a\ta\tDT\tB-NP\tO' -p192756 -aS'chest\tchest\tNN\tI-NP\tO' -p192757 -aS'X-ray\tX-ray\tNN\tI-NP\tO' -p192758 -aS'which\twhich\tWDT\tB-NP\tO' -p192759 -aS'showed\tshow\tVBD\tB-VP\tO' -p192760 -aS'mild\tmild\tJJ\tB-NP\tO' -p192761 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p192762 -aS'edema\tedema\tNN\tI-NP\tO' -p192763 -aS'.\t.\t.\tO\tO' -p192764 -asS'5. Colace 100 milligrams po bid .' -p192765 -(lp192766 -S'5.\t5.\tLS\tB-LST\tO' -p192767 -aS'Colace\tColace\tNNP\tB-NP\tO' -p192768 -aS'100\t100\tCD\tI-NP\tO' -p192769 -aS'milligrams\tmilligram\tNNS\tI-NP\tO' -p192770 -aS'po\tpo\tNN\tI-NP\tO' -p192771 -aS'bid\tbid\tNN\tI-NP\tO' -p192772 -aS'.\t.\t.\tO\tO' -p192773 -asS'5. Calcitriol 0.25 mcg Capsule Sig : One ( 1 ) Capsule PO EVERY OTHER DAY ( Every Other Day ) .' -p192774 -(lp192775 -S'5.\t5.\tLS\tB-NP\tO' -p192776 -aS'Calcitriol\tCalcitriol\tNN\tI-NP\tO' -p192777 -aS'0.25\t0.25\tCD\tI-NP\tO' -p192778 -aS'mcg\tmcg\tNN\tI-NP\tO' -p192779 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p192780 -aS'Sig\tSig\tNNP\tI-NP\tO' -p192781 -aS':\t:\t:\tO\tO' -p192782 -aS'One\tOne\tCD\tB-NP\tO' -p192783 -aS'(\t(\t(\tO\tO' -p192784 -aS'1\t1\tCD\tB-NP\tO' -p192785 -aS')\t)\t)\tO\tO' -p192786 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p192787 -aS'PO\tPO\tNNP\tI-NP\tO' -p192788 -aS'EVERY\tEVERY\tNNP\tI-NP\tO' -p192789 -aS'OTHER\tOTHER\tNNP\tI-NP\tO' -p192790 -aS'DAY\tDAY\tNNP\tI-NP\tO' -p192791 -aS'(\t(\t(\tO\tO' -p192792 -aS'Every\tEvery\tNNP\tB-NP\tO' -p192793 -aS'Other\tOther\tNNP\tI-NP\tO' -p192794 -aS'Day\tDay\tNNP\tI-NP\tO' -p192795 -aS')\t)\t)\tO\tO' -p192796 -aS'.\t.\t.\tO\tO' -p192797 -asS'The patient continues to actually ventilate well off of the respiratory .' -p192798 -(lp192799 -S'The\tThe\tDT\tB-NP\tO' -p192800 -aS'patient\tpatient\tNN\tI-NP\tO' -p192801 -aS'continues\tcontinue\tVBZ\tB-VP\tO' -p192802 -aS'to\tto\tTO\tI-VP\tO' -p192803 -aS'actually\tactually\tRB\tI-VP\tO' -p192804 -aS'ventilate\tventilate\tVB\tI-VP\tO' -p192805 -aS'well\twell\tRB\tB-ADVP\tO' -p192806 -aS'off\toff\tRP\tB-PRT\tO' -p192807 -aS'of\tof\tIN\tB-PP\tO' -p192808 -aS'the\tthe\tDT\tB-NP\tO' -p192809 -aS'respiratory\trespiratory\tNN\tI-NP\tO' -p192810 -aS'.\t.\t.\tO\tO' -p192811 -asS'In CMED CCU , pt. responsive to noxious stimuli only .' -p192812 -(lp192813 -S'In\tIn\tIN\tB-PP\tO' -p192814 -aS'CMED\tCMED\tNNP\tB-NP\tO' -p192815 -aS'CCU\tCCU\tNNP\tI-NP\tO' -p192816 -aS',\t,\t,\tO\tO' -p192817 -aS'pt.\tpt.\tNN\tB-NP\tO' -p192818 -aS'responsive\tresponsive\tJJ\tB-ADJP\tO' -p192819 -aS'to\tto\tTO\tB-PP\tO' -p192820 -aS'noxious\tnoxious\tJJ\tB-NP\tO' -p192821 -aS'stimuli\tstimulus\tNNS\tI-NP\tO' -p192822 -aS'only\tonly\tRB\tB-ADVP\tO' -p192823 -aS'.\t.\t.\tO\tO' -p192824 -asS'He has a wife with Alzheimer 's who lives in a skilled-nursing facility .' -p192825 -(lp192826 -S'He\tHe\tPRP\tB-NP\tO' -p192827 -aS'has\thave\tVBZ\tB-VP\tO' -p192828 -aS'a\ta\tDT\tB-NP\tO' -p192829 -aS'wife\twife\tNN\tI-NP\tO' -p192830 -aS'with\twith\tIN\tB-PP\tO' -p192831 -aS'Alzheimer\tAlzheimer\tNNP\tB-NP\tO' -p192832 -aS''s\t'\tNNS\tI-NP\tO' -p192833 -aS'who\twho\tWP\tB-NP\tO' -p192834 -aS'lives\tlive\tVBZ\tB-VP\tO' -p192835 -aS'in\tin\tIN\tB-PP\tO' -p192836 -aS'a\ta\tDT\tB-NP\tO' -p192837 -aS'skilled-nursing\tskilled-nursing\tJJ\tI-NP\tO' -p192838 -aS'facility\tfacility\tNN\tI-NP\tO' -p192839 -aS'.\t.\t.\tO\tO' -p192840 -asS'His initial blood gases on 40% 02 was P02 102 , PC02 115 , PH 7.11 .' -p192841 -(lp192842 -S'His\tHis\tPRP$\tB-NP\tB-protein' -p192843 -aS'initial\tinitial\tJJ\tI-NP\tI-protein' -p192844 -aS'blood\tblood\tNN\tI-NP\tI-protein' -p192845 -aS'gases\tgas\tNNS\tI-NP\tI-protein' -p192846 -aS'on\ton\tIN\tB-PP\tO' -p192847 -aS'40%\t40%\tNN\tB-NP\tO' -p192848 -aS'02\t02\tCD\tI-NP\tO' -p192849 -aS'was\tbe\tVBD\tB-VP\tO' -p192850 -aS'P02\tP02\tNN\tB-NP\tO' -p192851 -aS'102\t102\tCD\tI-NP\tO' -p192852 -aS',\t,\t,\tO\tO' -p192853 -aS'PC02\tPC02\tNN\tB-NP\tB-cell_line' -p192854 -aS'115\t115\tCD\tI-NP\tI-cell_line' -p192855 -aS',\t,\t,\tO\tO' -p192856 -aS'PH\tPH\tNN\tB-NP\tO' -p192857 -aS'7.11\t7.11\tCD\tI-NP\tO' -p192858 -aS'.\t.\t.\tO\tO' -p192859 -asS'11. Miconazole powder 2% one application t.p. t.i.d. p.r.n.' -p192860 -(lp192861 -S'11.\t11.\tLS\tB-NP\tO' -p192862 -aS'Miconazole\tMiconazole\tNN\tI-NP\tO' -p192863 -aS'powder\tpowder\tNN\tI-NP\tO' -p192864 -aS'2%\t2%\tCD\tI-NP\tO' -p192865 -aS'one\tone\tCD\tI-NP\tO' -p192866 -aS'application\tapplication\tNN\tI-NP\tO' -p192867 -aS't.p.\tt.p.\tNN\tI-NP\tO' -p192868 -aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' -p192869 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p192870 -asS'He was disconnected from the ventilator and all medications beyond a morphine drip were stopped , and he expired shortly thereafter .' -p192871 -(lp192872 -S'He\tHe\tPRP\tB-NP\tO' -p192873 -aS'was\tbe\tVBD\tB-VP\tO' -p192874 -aS'disconnected\tdisconnect\tVBN\tI-VP\tO' -p192875 -aS'from\tfrom\tIN\tB-PP\tO' -p192876 -aS'the\tthe\tDT\tB-NP\tO' -p192877 -aS'ventilator\tventilator\tNN\tI-NP\tO' -p192878 -aS'and\tand\tCC\tO\tO' -p192879 -aS'all\tall\tDT\tB-NP\tO' -p192880 -aS'medications\tmedication\tNNS\tI-NP\tO' -p192881 -aS'beyond\tbeyond\tIN\tB-PP\tO' -p192882 -aS'a\ta\tDT\tB-NP\tO' -p192883 -aS'morphine\tmorphine\tNN\tI-NP\tO' -p192884 -aS'drip\tdrip\tNN\tI-NP\tO' -p192885 -aS'were\tbe\tVBD\tB-VP\tO' -p192886 -aS'stopped\tstop\tVBN\tI-VP\tO' -p192887 -aS',\t,\t,\tO\tO' -p192888 -aS'and\tand\tCC\tO\tO' -p192889 -aS'he\the\tPRP\tB-NP\tO' -p192890 -aS'expired\texpire\tVBD\tB-VP\tO' -p192891 -aS'shortly\tshortly\tRB\tB-ADVP\tO' -p192892 -aS'thereafter\tthereafter\tRB\tI-ADVP\tO' -p192893 -aS'.\t.\t.\tO\tO' -p192894 -asS'No delayed upstroke .' -p192895 -(lp192896 -S'No\tNo\tDT\tB-NP\tO' -p192897 -aS'delayed\tdelay\tVBN\tI-NP\tO' -p192898 -aS'upstroke\tupstroke\tNN\tI-NP\tO' -p192899 -aS'.\t.\t.\tO\tO' -p192900 -asS'Developed burning chest pain before bedtime the night PTA .' -p192901 -(lp192902 -S'Developed\tDevelop\tVBN\tB-VP\tO' -p192903 -aS'burning\tburn\tVBG\tB-VP\tO' -p192904 -aS'chest\tchest\tNN\tB-NP\tO' -p192905 -aS'pain\tpain\tNN\tI-NP\tO' -p192906 -aS'before\tbefore\tIN\tB-PP\tO' -p192907 -aS'bedtime\tbedtime\tNN\tB-NP\tO' -p192908 -aS'the\tthe\tDT\tB-NP\tO' -p192909 -aS'night\tnight\tNN\tI-NP\tB-protein' -p192910 -aS'PTA\tPTA\tNN\tI-NP\tI-protein' -p192911 -aS'.\t.\t.\tO\tO' -p192912 -asS'Delivery was by repeat cesarean section and Apgars of 8 and 9 were given at one and five minutes respectively .' -p192913 -(lp192914 -S'Delivery\tDelivery\tNN\tB-NP\tO' -p192915 -aS'was\tbe\tVBD\tB-VP\tO' -p192916 -aS'by\tby\tIN\tB-PP\tO' -p192917 -aS'repeat\trepeat\tNN\tB-NP\tO' -p192918 -aS'cesarean\tcesarean\tJJ\tI-NP\tO' -p192919 -aS'section\tsection\tNN\tI-NP\tO' -p192920 -aS'and\tand\tCC\tI-NP\tO' -p192921 -aS'Apgars\tApgar\tNNS\tI-NP\tO' -p192922 -aS'of\tof\tIN\tB-PP\tO' -p192923 -aS'8\t8\tCD\tB-NP\tO' -p192924 -aS'and\tand\tCC\tI-NP\tO' -p192925 -aS'9\t9\tCD\tI-NP\tO' -p192926 -aS'were\tbe\tVBD\tB-VP\tO' -p192927 -aS'given\tgive\tVBN\tI-VP\tO' -p192928 -aS'at\tat\tIN\tB-PP\tO' -p192929 -aS'one\tone\tCD\tB-NP\tO' -p192930 -aS'and\tand\tCC\tI-NP\tO' -p192931 -aS'five\tfive\tCD\tI-NP\tO' -p192932 -aS'minutes\tminute\tNNS\tI-NP\tO' -p192933 -aS'respectively\trespectively\tRB\tB-ADVP\tO' -p192934 -aS'.\t.\t.\tO\tO' -p192935 -asS'On postoperative day 1 , the patient remained hemodynamically stable on a Neo-Synephrine drip to maintain an adequate blood' -p192936 -(lp192937 -S'On\tOn\tIN\tB-PP\tO' -p192938 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p192939 -aS'day\tday\tNN\tI-NP\tO' -p192940 -aS'1\t1\tCD\tI-NP\tO' -p192941 -aS',\t,\t,\tO\tO' -p192942 -aS'the\tthe\tDT\tB-NP\tO' -p192943 -aS'patient\tpatient\tNN\tI-NP\tO' -p192944 -aS'remained\tremain\tVBD\tB-VP\tO' -p192945 -aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' -p192946 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p192947 -aS'on\ton\tIN\tB-PP\tO' -p192948 -aS'a\ta\tDT\tB-NP\tO' -p192949 -aS'Neo-Synephrine\tNeo-Synephrine\tJJ\tI-NP\tO' -p192950 -aS'drip\tdrip\tNN\tI-NP\tO' -p192951 -aS'to\tto\tTO\tB-VP\tO' -p192952 -aS'maintain\tmaintain\tVB\tI-VP\tO' -p192953 -aS'an\tan\tDT\tB-NP\tO' -p192954 -aS'adequate\tadequate\tJJ\tI-NP\tO' -p192955 -aS'blood\tblood\tNN\tI-NP\tO' -p192956 -asS'He was placed on Penicillin G , Clindamycin , for empiric coverage of his wound , with Group A strep growth from the New England Baptist Hospital-Bryce cultures .' -p192957 -(lp192958 -S'He\tHe\tPRP\tB-NP\tO' -p192959 -aS'was\tbe\tVBD\tB-VP\tO' -p192960 -aS'placed\tplace\tVBN\tI-VP\tO' -p192961 -aS'on\ton\tIN\tB-PP\tO' -p192962 -aS'Penicillin\tPenicillin\tNNP\tB-NP\tO' -p192963 -aS'G\tG\tNNP\tI-NP\tO' -p192964 -aS',\t,\t,\tO\tO' -p192965 -aS'Clindamycin\tClindamycin\tNNP\tB-NP\tO' -p192966 -aS',\t,\t,\tO\tO' -p192967 -aS'for\tfor\tIN\tB-PP\tO' -p192968 -aS'empiric\tempiric\tJJ\tB-NP\tO' -p192969 -aS'coverage\tcoverage\tNN\tI-NP\tO' -p192970 -aS'of\tof\tIN\tB-PP\tO' -p192971 -aS'his\this\tPRP$\tB-NP\tO' -p192972 -aS'wound\twound\tNN\tI-NP\tO' -p192973 -aS',\t,\t,\tO\tO' -p192974 -aS'with\twith\tIN\tB-PP\tO' -p192975 -aS'Group\tGroup\tNN\tB-NP\tO' -p192976 -aS'A\tA\tNN\tI-NP\tO' -p192977 -aS'strep\tstrep\tNN\tI-NP\tO' -p192978 -aS'growth\tgrowth\tNN\tI-NP\tO' -p192979 -aS'from\tfrom\tIN\tB-PP\tO' -p192980 -aS'the\tthe\tDT\tB-NP\tO' -p192981 -aS'New\tNew\tNNP\tI-NP\tO' -p192982 -aS'England\tEngland\tNNP\tI-NP\tB-cell_line' -p192983 -aS'Baptist\tBaptist\tNNP\tI-NP\tI-cell_line' -p192984 -aS'Hospital-Bryce\tHospital-Bryce\tNNP\tI-NP\tI-cell_line' -p192985 -aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' -p192986 -aS'.\t.\t.\tO\tO' -p192987 -asS'He also became hypotensive on 07-02 in the setting of infection .' -p192988 -(lp192989 -S'He\tHe\tPRP\tB-NP\tO' -p192990 -aS'also\talso\tRB\tB-ADVP\tO' -p192991 -aS'became\tbecome\tVBD\tB-VP\tO' -p192992 -aS'hypotensive\thypotensive\tJJ\tB-ADJP\tO' -p192993 -aS'on\ton\tIN\tB-PP\tO' -p192994 -aS'07-02\t07-02\tCD\tB-NP\tO' -p192995 -aS'in\tin\tIN\tB-PP\tO' -p192996 -aS'the\tthe\tDT\tB-NP\tO' -p192997 -aS'setting\tsetting\tNN\tI-NP\tO' -p192998 -aS'of\tof\tIN\tB-PP\tO' -p192999 -aS'infection\tinfection\tNN\tB-NP\tO' -p193000 -aS'.\t.\t.\tO\tO' -p193001 -asS'The patient will also be followed by the Infectious Disease Service so as to ascertain the exact length and course of his antibiotic therapy .' -p193002 -(lp193003 -S'The\tThe\tDT\tB-NP\tO' -p193004 -aS'patient\tpatient\tNN\tI-NP\tO' -p193005 -aS'will\twill\tMD\tB-VP\tO' -p193006 -aS'also\talso\tRB\tI-VP\tO' -p193007 -aS'be\tbe\tVB\tI-VP\tO' -p193008 -aS'followed\tfollow\tVBN\tI-VP\tO' -p193009 -aS'by\tby\tIN\tB-PP\tO' -p193010 -aS'the\tthe\tDT\tB-NP\tO' -p193011 -aS'Infectious\tInfectious\tNNP\tI-NP\tO' -p193012 -aS'Disease\tDisease\tNNP\tI-NP\tO' -p193013 -aS'Service\tService\tNNP\tI-NP\tO' -p193014 -aS'so\tso\tRB\tB-SBAR\tO' -p193015 -aS'as\tas\tIN\tI-SBAR\tO' -p193016 -aS'to\tto\tTO\tB-VP\tO' -p193017 -aS'ascertain\tascertain\tVB\tI-VP\tO' -p193018 -aS'the\tthe\tDT\tB-NP\tO' -p193019 -aS'exact\texact\tJJ\tI-NP\tO' -p193020 -aS'length\tlength\tNN\tI-NP\tO' -p193021 -aS'and\tand\tCC\tI-NP\tO' -p193022 -aS'course\tcourse\tNN\tI-NP\tO' -p193023 -aS'of\tof\tIN\tB-PP\tO' -p193024 -aS'his\this\tPRP$\tB-NP\tO' -p193025 -aS'antibiotic\tantibiotic\tJJ\tI-NP\tO' -p193026 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p193027 -aS'.\t.\t.\tO\tO' -p193028 -asS'Following triage , the patient left without being seen .' -p193029 -(lp193030 -S'Following\tFollow\tVBG\tB-PP\tO' -p193031 -aS'triage\ttriage\tNN\tB-NP\tO' -p193032 -aS',\t,\t,\tO\tO' -p193033 -aS'the\tthe\tDT\tB-NP\tO' -p193034 -aS'patient\tpatient\tNN\tI-NP\tO' -p193035 -aS'left\tleave\tVBD\tB-VP\tO' -p193036 -aS'without\twithout\tIN\tB-PP\tO' -p193037 -aS'being\tbe\tVBG\tB-VP\tO' -p193038 -aS'seen\tsee\tVBN\tI-VP\tO' -p193039 -aS'.\t.\t.\tO\tO' -p193040 -asS'Her bilirubin was 1.4 total , 0.2 direct .' -p193041 -(lp193042 -S'Her\tHer\tPRP$\tB-NP\tO' -p193043 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p193044 -aS'was\tbe\tVBD\tB-VP\tO' -p193045 -aS'1.4\t1.4\tCD\tB-NP\tO' -p193046 -aS'total\ttotal\tNN\tI-NP\tO' -p193047 -aS',\t,\t,\tO\tO' -p193048 -aS'0.2\t0.2\tCD\tB-NP\tO' -p193049 -aS'direct\tdirect\tJJ\tI-NP\tO' -p193050 -aS'.\t.\t.\tO\tO' -p193051 -asS'Chest x-ray showed questionable nodule in the right lower lobe , reasonably stable .' -p193052 -(lp193053 -S'Chest\tCh\tJJS\tB-NP\tO' -p193054 -aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' -p193055 -aS'showed\tshow\tVBD\tB-VP\tO' -p193056 -aS'questionable\tquestionable\tJJ\tB-NP\tO' -p193057 -aS'nodule\tnodule\tNN\tI-NP\tO' -p193058 -aS'in\tin\tIN\tB-PP\tO' -p193059 -aS'the\tthe\tDT\tB-NP\tO' -p193060 -aS'right\tright\tJJ\tI-NP\tO' -p193061 -aS'lower\tlow\tJJR\tI-NP\tO' -p193062 -aS'lobe\tlobe\tNN\tI-NP\tO' -p193063 -aS',\t,\t,\tO\tO' -p193064 -aS'reasonably\treasonably\tRB\tB-ADJP\tO' -p193065 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p193066 -aS'.\t.\t.\tO\tO' -p193067 -asS"The patient 's lung examination revealed the lungs to be clear to auscultation bilaterally , no crepitus , and a left clavicular deformity was grossly apparent on examination ." -p193068 -(lp193069 -S'The\tThe\tDT\tB-NP\tO' -p193070 -aS'patient\tpatient\tNN\tI-NP\tO' -p193071 -aS"'s\t's\tPOS\tB-NP\tO" -p193072 -aS'lung\tlung\tNN\tI-NP\tO' -p193073 -aS'examination\texamination\tNN\tI-NP\tO' -p193074 -aS'revealed\treveal\tVBD\tB-VP\tO' -p193075 -aS'the\tthe\tDT\tB-NP\tO' -p193076 -aS'lungs\tlung\tNNS\tI-NP\tO' -p193077 -aS'to\tto\tTO\tB-VP\tO' -p193078 -aS'be\tbe\tVB\tI-VP\tO' -p193079 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p193080 -aS'to\tto\tTO\tB-PP\tO' -p193081 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p193082 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p193083 -aS',\t,\t,\tO\tO' -p193084 -aS'no\tno\tDT\tB-NP\tO' -p193085 -aS'crepitus\tcrepitus\tNN\tI-NP\tO' -p193086 -aS',\t,\t,\tO\tO' -p193087 -aS'and\tand\tCC\tO\tO' -p193088 -aS'a\ta\tDT\tB-NP\tO' -p193089 -aS'left\tleft\tJJ\tI-NP\tO' -p193090 -aS'clavicular\tclavicular\tJJ\tI-NP\tO' -p193091 -aS'deformity\tdeformity\tNN\tI-NP\tO' -p193092 -aS'was\tbe\tVBD\tB-VP\tO' -p193093 -aS'grossly\tgrossly\tRB\tB-ADJP\tO' -p193094 -aS'apparent\tapparent\tJJ\tI-ADJP\tO' -p193095 -aS'on\ton\tIN\tB-PP\tO' -p193096 -aS'examination\texamination\tNN\tB-NP\tO' -p193097 -aS'.\t.\t.\tO\tO' -p193098 -asS'There was no increased warmth over this area nor is there any exudate from his wounds .' -p193099 -(lp193100 -S'There\tThere\tEX\tB-NP\tO' -p193101 -aS'was\tbe\tVBD\tB-VP\tO' -p193102 -aS'no\tno\tDT\tB-NP\tO' -p193103 -aS'increased\tincrease\tVBN\tI-NP\tO' -p193104 -aS'warmth\twarmth\tNN\tI-NP\tO' -p193105 -aS'over\tover\tIN\tB-PP\tO' -p193106 -aS'this\tthis\tDT\tB-NP\tO' -p193107 -aS'area\tarea\tNN\tI-NP\tO' -p193108 -aS'nor\tnor\tCC\tO\tO' -p193109 -aS'is\tbe\tVBZ\tB-VP\tO' -p193110 -aS'there\tthere\tEX\tB-NP\tO' -p193111 -aS'any\tany\tDT\tB-NP\tO' -p193112 -aS'exudate\texudate\tNN\tI-NP\tO' -p193113 -aS'from\tfrom\tIN\tB-PP\tO' -p193114 -aS'his\this\tPRP$\tB-NP\tO' -p193115 -aS'wounds\twound\tNNS\tI-NP\tO' -p193116 -aS'.\t.\t.\tO\tO' -p193117 -asS'There was no definite perfusion abnormality in the circumflex zone .' -p193118 -(lp193119 -S'There\tThere\tEX\tB-NP\tO' -p193120 -aS'was\tbe\tVBD\tB-VP\tO' -p193121 -aS'no\tno\tDT\tB-NP\tO' -p193122 -aS'definite\tdefinite\tJJ\tI-NP\tO' -p193123 -aS'perfusion\tperfusion\tNN\tI-NP\tO' -p193124 -aS'abnormality\tabnormality\tNN\tI-NP\tO' -p193125 -aS'in\tin\tIN\tB-PP\tO' -p193126 -aS'the\tthe\tDT\tB-NP\tO' -p193127 -aS'circumflex\tcircumflex\tNN\tI-NP\tO' -p193128 -aS'zone\tzone\tNN\tI-NP\tO' -p193129 -aS'.\t.\t.\tO\tO' -p193130 -asS'CXR 2013-12-24 - There are faint ill-defined opacities within the right lower lung zone and left upper lung zone could represent a multifocal pneumonic process .' -p193131 -(lp193132 -S'CXR\tCXR\tNN\tB-NP\tO' -p193133 -aS'2013-12-24\t2013-12-24\tCD\tI-NP\tO' -p193134 -aS'-\t-\tHYPH\tO\tO' -p193135 -aS'There\tThere\tEX\tB-NP\tO' -p193136 -aS'are\tbe\tVBP\tB-VP\tO' -p193137 -aS'faint\tfaint\tJJ\tB-NP\tO' -p193138 -aS'ill-defined\till-defined\tJJ\tI-NP\tO' -p193139 -aS'opacities\topacity\tNNS\tI-NP\tO' -p193140 -aS'within\twithin\tIN\tB-PP\tO' -p193141 -aS'the\tthe\tDT\tB-NP\tO' -p193142 -aS'right\tright\tJJ\tI-NP\tO' -p193143 -aS'lower\tlow\tJJR\tI-NP\tO' -p193144 -aS'lung\tlung\tNN\tI-NP\tO' -p193145 -aS'zone\tzone\tNN\tI-NP\tO' -p193146 -aS'and\tand\tCC\tO\tO' -p193147 -aS'left\tleave\tVBD\tB-VP\tO' -p193148 -aS'upper\tupper\tJJ\tB-NP\tO' -p193149 -aS'lung\tlung\tNN\tI-NP\tO' -p193150 -aS'zone\tzone\tNN\tI-NP\tO' -p193151 -aS'could\tcould\tMD\tB-VP\tO' -p193152 -aS'represent\trepresent\tVB\tI-VP\tO' -p193153 -aS'a\ta\tDT\tB-NP\tO' -p193154 -aS'multifocal\tmultifocal\tJJ\tI-NP\tO' -p193155 -aS'pneumonic\tpneumonic\tJJ\tI-NP\tO' -p193156 -aS'process\tprocess\tNN\tI-NP\tO' -p193157 -aS'.\t.\t.\tO\tO' -p193158 -asS'Neurogenic bladder .' -p193159 -(lp193160 -S'Neurogenic\tNeurogenic\tJJ\tB-NP\tO' -p193161 -aS'bladder\tbladder\tNN\tI-NP\tO' -p193162 -aS'.\t.\t.\tO\tO' -p193163 -asS'Regular rate and rhythm with a 2 out of 6 systolic ejection murmur heard loudest at the apex .' -p193164 -(lp193165 -S'Regular\tRegular\tJJ\tB-NP\tO' -p193166 -aS'rate\trate\tNN\tI-NP\tO' -p193167 -aS'and\tand\tCC\tI-NP\tO' -p193168 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p193169 -aS'with\twith\tIN\tB-PP\tO' -p193170 -aS'a\ta\tDT\tB-NP\tO' -p193171 -aS'2\t2\tCD\tI-NP\tO' -p193172 -aS'out\tout\tIN\tI-NP\tO' -p193173 -aS'of\tof\tIN\tI-NP\tO' -p193174 -aS'6\t6\tCD\tI-NP\tO' -p193175 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p193176 -aS'ejection\tejection\tNN\tI-NP\tO' -p193177 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p193178 -aS'heard\thear\tVBD\tB-VP\tO' -p193179 -aS'loudest\tloud\tJJS\tB-ADVP\tO' -p193180 -aS'at\tat\tIN\tB-PP\tO' -p193181 -aS'the\tthe\tDT\tB-NP\tO' -p193182 -aS'apex\tapex\tNN\tI-NP\tO' -p193183 -aS'.\t.\t.\tO\tO' -p193184 -asS'Uset to be truck driver .' -p193185 -(lp193186 -S'Uset\tUset\tNN\tB-NP\tO' -p193187 -aS'to\tto\tTO\tB-VP\tO' -p193188 -aS'be\tbe\tVB\tI-VP\tO' -p193189 -aS'truck\ttruck\tNN\tB-NP\tO' -p193190 -aS'driver\tdriver\tNN\tI-NP\tO' -p193191 -aS'.\t.\t.\tO\tO' -p193192 -asS'A blood culture was obtained upon admission and Ampicillin and Gentamicin were given for 48 hours with blood cultures remaining sterile .' -p193193 -(lp193194 -S'A\tA\tDT\tB-NP\tO' -p193195 -aS'blood\tblood\tNN\tI-NP\tO' -p193196 -aS'culture\tculture\tNN\tI-NP\tO' -p193197 -aS'was\tbe\tVBD\tB-VP\tO' -p193198 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p193199 -aS'upon\tupon\tIN\tB-PP\tO' -p193200 -aS'admission\tadmission\tNN\tB-NP\tO' -p193201 -aS'and\tand\tCC\tI-NP\tO' -p193202 -aS'Ampicillin\tAmpicillin\tNN\tI-NP\tO' -p193203 -aS'and\tand\tCC\tI-NP\tO' -p193204 -aS'Gentamicin\tGentamicin\tNN\tI-NP\tO' -p193205 -aS'were\tbe\tVBD\tB-VP\tO' -p193206 -aS'given\tgive\tVBN\tI-VP\tO' -p193207 -aS'for\tfor\tIN\tB-PP\tO' -p193208 -aS'48\t48\tCD\tB-NP\tO' -p193209 -aS'hours\thour\tNNS\tI-NP\tO' -p193210 -aS'with\twith\tIN\tB-PP\tO' -p193211 -aS'blood\tblood\tNN\tB-NP\tO' -p193212 -aS'cultures\tculture\tNNS\tI-NP\tO' -p193213 -aS'remaining\tremain\tVBG\tB-VP\tO' -p193214 -aS'sterile\tsterile\tJJ\tB-ADJP\tO' -p193215 -aS'.\t.\t.\tO\tO' -p193216 -asS'Prilosec 20 mg p.o. every day .' -p193217 -(lp193218 -S'Prilosec\tPrilosec\tRB\tB-NP\tO' -p193219 -aS'20\t20\tCD\tI-NP\tO' -p193220 -aS'mg\tmg\tNN\tI-NP\tO' -p193221 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p193222 -aS'every\tevery\tDT\tB-NP\tO' -p193223 -aS'day\tday\tNN\tI-NP\tO' -p193224 -aS'.\t.\t.\tO\tO' -p193225 -asS'1 ) Albuterol inhaler 4 puffs q.i.d.' -p193226 -(lp193227 -S'1\t1\tLS\tB-LST\tO' -p193228 -aS')\t)\t)\tO\tO' -p193229 -aS'Albuterol\tAlbuterol\tNN\tB-NP\tO' -p193230 -aS'inhaler\tinhaler\tNN\tI-NP\tO' -p193231 -aS'4\t4\tCD\tB-NP\tO' -p193232 -aS'puffs\tpuff\tNNS\tI-NP\tO' -p193233 -aS'q.i.d.\tq.i.d.\tRB\tB-ADVP\tO' -p193234 -asS'The wounds were clean , dry and intact , and flat .' -p193235 -(lp193236 -S'The\tThe\tDT\tB-NP\tO' -p193237 -aS'wounds\twound\tNNS\tI-NP\tO' -p193238 -aS'were\tbe\tVBD\tB-VP\tO' -p193239 -aS'clean\tclean\tJJ\tB-ADJP\tO' -p193240 -aS',\t,\t,\tI-ADJP\tO' -p193241 -aS'dry\tdry\tJJ\tI-ADJP\tO' -p193242 -aS'and\tand\tCC\tI-ADJP\tO' -p193243 -aS'intact\tintact\tJJ\tI-ADJP\tO' -p193244 -aS',\t,\t,\tO\tO' -p193245 -aS'and\tand\tCC\tO\tO' -p193246 -aS'flat\tflat\tJJ\tB-ADJP\tO' -p193247 -aS'.\t.\t.\tO\tO' -p193248 -asS'The patient was taken to the operating room on 2011-10-18 where he underwent an aortic valve replacement with #23 mm pericardial valve as well as coronary artery bypass graft times two with a LIMA to the LAD and saphenous vein to the acute marginal .' -p193249 -(lp193250 -S'The\tThe\tDT\tB-NP\tO' -p193251 -aS'patient\tpatient\tNN\tI-NP\tO' -p193252 -aS'was\tbe\tVBD\tB-VP\tO' -p193253 -aS'taken\ttake\tVBN\tI-VP\tO' -p193254 -aS'to\tto\tTO\tB-PP\tO' -p193255 -aS'the\tthe\tDT\tB-NP\tO' -p193256 -aS'operating\toperating\tNN\tI-NP\tO' -p193257 -aS'room\troom\tNN\tI-NP\tO' -p193258 -aS'on\ton\tIN\tB-PP\tO' -p193259 -aS'2011-10-18\t2011-10-18\tCD\tB-NP\tO' -p193260 -aS'where\twhere\tWRB\tB-ADVP\tO' -p193261 -aS'he\the\tPRP\tB-NP\tO' -p193262 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p193263 -aS'an\tan\tDT\tB-NP\tO' -p193264 -aS'aortic\taortic\tJJ\tI-NP\tO' -p193265 -aS'valve\tvalve\tNN\tI-NP\tO' -p193266 -aS'replacement\treplacement\tNN\tI-NP\tO' -p193267 -aS'with\twith\tIN\tB-PP\tO' -p193268 -aS'#23\t#23\tCD\tB-NP\tO' -p193269 -aS'mm\tmm\tNN\tI-NP\tO' -p193270 -aS'pericardial\tpericardial\tJJ\tB-ADJP\tO' -p193271 -aS'valve\tvalve\tVBP\tB-VP\tO' -p193272 -aS'as\tas\tRB\tB-CONJP\tO' -p193273 -aS'well\twell\tRB\tI-CONJP\tO' -p193274 -aS'as\tas\tIN\tI-CONJP\tO' -p193275 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p193276 -aS'artery\tartery\tNN\tI-NP\tO' -p193277 -aS'bypass\tbypass\tIN\tB-PP\tO' -p193278 -aS'graft\tgraft\tNN\tB-NP\tO' -p193279 -aS'times\ttime\tNNS\tI-NP\tO' -p193280 -aS'two\ttwo\tCD\tB-NP\tO' -p193281 -aS'with\twith\tIN\tB-PP\tO' -p193282 -aS'a\ta\tDT\tB-NP\tO' -p193283 -aS'LIMA\tLIMA\tNN\tI-NP\tO' -p193284 -aS'to\tto\tTO\tB-PP\tO' -p193285 -aS'the\tthe\tDT\tB-NP\tO' -p193286 -aS'LAD\tLAD\tNN\tI-NP\tO' -p193287 -aS'and\tand\tCC\tO\tO' -p193288 -aS'saphenous\tsaphenous\tJJ\tB-NP\tO' -p193289 -aS'vein\tvein\tNN\tI-NP\tO' -p193290 -aS'to\tto\tTO\tB-PP\tO' -p193291 -aS'the\tthe\tDT\tB-NP\tO' -p193292 -aS'acute\tacute\tJJ\tI-NP\tO' -p193293 -aS'marginal\tmarginal\tNN\tI-NP\tO' -p193294 -aS'.\t.\t.\tO\tO' -p193295 -asS'Condition at time of transfer is good .' -p193296 -(lp193297 -S'Condition\tCondition\tNN\tB-NP\tO' -p193298 -aS'at\tat\tIN\tB-PP\tO' -p193299 -aS'time\ttime\tNN\tB-NP\tO' -p193300 -aS'of\tof\tIN\tB-PP\tO' -p193301 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p193302 -aS'is\tbe\tVBZ\tB-VP\tO' -p193303 -aS'good\tgood\tJJ\tB-ADJP\tO' -p193304 -aS'.\t.\t.\tO\tO' -p193305 -asS'On neurological examination , mental status alert and oriented x three , good memory , fluent speech , good repetition and naming .' -p193306 -(lp193307 -S'On\tOn\tIN\tB-PP\tO' -p193308 -aS'neurological\tneurological\tJJ\tB-NP\tO' -p193309 -aS'examination\texamination\tNN\tI-NP\tO' -p193310 -aS',\t,\t,\tO\tO' -p193311 -aS'mental\tmental\tJJ\tB-NP\tO' -p193312 -aS'status\tstatus\tNN\tI-NP\tO' -p193313 -aS'alert\talert\tNN\tI-NP\tO' -p193314 -aS'and\tand\tCC\tO\tO' -p193315 -aS'oriented\torient\tVBD\tB-VP\tO' -p193316 -aS'x\tx\tNN\tB-NP\tO' -p193317 -aS'three\tthree\tCD\tI-NP\tO' -p193318 -aS',\t,\t,\tI-NP\tO' -p193319 -aS'good\tgood\tJJ\tI-NP\tO' -p193320 -aS'memory\tmemory\tNN\tI-NP\tO' -p193321 -aS',\t,\t,\tO\tO' -p193322 -aS'fluent\tfluent\tJJ\tB-NP\tO' -p193323 -aS'speech\tspeech\tNN\tI-NP\tO' -p193324 -aS',\t,\t,\tO\tO' -p193325 -aS'good\tgood\tJJ\tB-NP\tO' -p193326 -aS'repetition\trepetition\tNN\tI-NP\tO' -p193327 -aS'and\tand\tCC\tI-NP\tO' -p193328 -aS'naming\tnaming\tNN\tI-NP\tO' -p193329 -aS'.\t.\t.\tO\tO' -p193330 -asS'The patient needs physical therapy to increase stability in mobilization .' -p193331 -(lp193332 -S'The\tThe\tDT\tB-NP\tO' -p193333 -aS'patient\tpatient\tNN\tI-NP\tO' -p193334 -aS'needs\tneed\tVBZ\tB-VP\tO' -p193335 -aS'physical\tphysical\tJJ\tB-NP\tO' -p193336 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p193337 -aS'to\tto\tTO\tB-VP\tO' -p193338 -aS'increase\tincrease\tVB\tI-VP\tO' -p193339 -aS'stability\tstability\tNN\tB-NP\tO' -p193340 -aS'in\tin\tIN\tB-PP\tO' -p193341 -aS'mobilization\tmobilization\tNN\tB-NP\tO' -p193342 -aS'.\t.\t.\tO\tO' -p193343 -asS'Ms. Breunlinke is a 69 year-old right handed woman , status post surgical correction of a C-1 to C-2 dural AVM in January , 1998 , now presenting with a one month history of increasing left sided weakness and pain with spasticity , occasional difficulty swallowing and abdominal pain .' -p193344 -(lp193345 -S'Ms.\tMs.\tNNP\tB-NP\tO' -p193346 -aS'Breunlinke\tBreunlinke\tNNP\tI-NP\tO' -p193347 -aS'is\tbe\tVBZ\tB-VP\tO' -p193348 -aS'a\ta\tDT\tB-NP\tO' -p193349 -aS'69\t69\tCD\tI-NP\tO' -p193350 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p193351 -aS'right\tright\tJJ\tI-NP\tO' -p193352 -aS'handed\thanded\tJJ\tI-NP\tO' -p193353 -aS'woman\twoman\tNN\tI-NP\tO' -p193354 -aS',\t,\t,\tO\tO' -p193355 -aS'status\tstatus\tNN\tB-NP\tO' -p193356 -aS'post\tpost\tNN\tI-NP\tO' -p193357 -aS'surgical\tsurgical\tJJ\tI-NP\tO' -p193358 -aS'correction\tcorrection\tNN\tI-NP\tO' -p193359 -aS'of\tof\tIN\tB-PP\tO' -p193360 -aS'a\ta\tDT\tB-NP\tO' -p193361 -aS'C-1\tC-1\tNN\tI-NP\tB-protein' -p193362 -aS'to\tto\tTO\tB-PP\tO' -p193363 -aS'C-2\tC-2\tNN\tB-NP\tB-protein' -p193364 -aS'dural\tdural\tJJ\tI-NP\tO' -p193365 -aS'AVM\tAVM\tNN\tI-NP\tO' -p193366 -aS'in\tin\tIN\tB-PP\tO' -p193367 -aS'January\tJanuary\tNNP\tB-NP\tO' -p193368 -aS',\t,\t,\tO\tO' -p193369 -aS'1998\t1998\tCD\tB-NP\tO' -p193370 -aS',\t,\t,\tO\tO' -p193371 -aS'now\tnow\tRB\tB-ADVP\tO' -p193372 -aS'presenting\tpresent\tVBG\tB-VP\tO' -p193373 -aS'with\twith\tIN\tB-PP\tO' -p193374 -aS'a\ta\tDT\tB-NP\tO' -p193375 -aS'one\tone\tCD\tI-NP\tO' -p193376 -aS'month\tmonth\tNN\tI-NP\tO' -p193377 -aS'history\thistory\tNN\tI-NP\tO' -p193378 -aS'of\tof\tIN\tB-PP\tO' -p193379 -aS'increasing\tincrease\tVBG\tB-VP\tO' -p193380 -aS'left\tleft\tJJ\tB-NP\tO' -p193381 -aS'sided\tsided\tJJ\tI-NP\tO' -p193382 -aS'weakness\tweakness\tNN\tI-NP\tO' -p193383 -aS'and\tand\tCC\tI-NP\tO' -p193384 -aS'pain\tpain\tNN\tI-NP\tO' -p193385 -aS'with\twith\tIN\tB-PP\tO' -p193386 -aS'spasticity\tspasticity\tNN\tB-NP\tO' -p193387 -aS',\t,\t,\tO\tO' -p193388 -aS'occasional\toccasional\tJJ\tB-NP\tO' -p193389 -aS'difficulty\tdifficulty\tNN\tI-NP\tO' -p193390 -aS'swallowing\tswallow\tVBG\tB-VP\tO' -p193391 -aS'and\tand\tCC\tO\tO' -p193392 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p193393 -aS'pain\tpain\tNN\tI-NP\tO' -p193394 -aS'.\t.\t.\tO\tO' -p193395 -asS'give in addition to standing pre-meal novolog when patient will eat and food is in the room .' -p193396 -(lp193397 -S'give\tgive\tVB\tB-VP\tO' -p193398 -aS'in\tin\tIN\tB-PP\tO' -p193399 -aS'addition\taddition\tNN\tB-NP\tO' -p193400 -aS'to\tto\tTO\tB-PP\tO' -p193401 -aS'standing\tstand\tVBG\tB-VP\tO' -p193402 -aS'pre-meal\tpre-meal\tJJ\tB-NP\tO' -p193403 -aS'novolog\tnovolog\tNN\tI-NP\tO' -p193404 -aS'when\twhen\tWRB\tB-ADVP\tO' -p193405 -aS'patient\tpatient\tNN\tB-NP\tO' -p193406 -aS'will\twill\tMD\tB-VP\tO' -p193407 -aS'eat\teat\tVB\tI-VP\tO' -p193408 -aS'and\tand\tCC\tO\tO' -p193409 -aS'food\tfood\tNN\tB-NP\tO' -p193410 -aS'is\tbe\tVBZ\tB-VP\tO' -p193411 -aS'in\tin\tIN\tB-PP\tO' -p193412 -aS'the\tthe\tDT\tB-NP\tO' -p193413 -aS'room\troom\tNN\tI-NP\tO' -p193414 -aS'.\t.\t.\tO\tO' -p193415 -asS'Cardiovascular : Regular rate and rhythm , S1 and S2 .' -p193416 -(lp193417 -S'Cardiovascular\tCardiovascular\tJJ\tB-ADJP\tO' -p193418 -aS':\t:\t:\tO\tO' -p193419 -aS'Regular\tRegular\tJJ\tB-NP\tO' -p193420 -aS'rate\trate\tNN\tI-NP\tO' -p193421 -aS'and\tand\tCC\tO\tO' -p193422 -aS'rhythm\trhythm\tNN\tB-NP\tO' -p193423 -aS',\t,\t,\tO\tO' -p193424 -aS'S1\tS1\tNN\tB-NP\tB-protein' -p193425 -aS'and\tand\tCC\tO\tO' -p193426 -aS'S2\tS2\tNN\tB-NP\tB-protein' -p193427 -aS'.\t.\t.\tO\tO' -p193428 -asS'2. The patient was instructed to not participate in contact sports for six weeks .' -p193429 -(lp193430 -S'2.\t2.\tLS\tB-LST\tO' -p193431 -aS'The\tThe\tDT\tB-NP\tO' -p193432 -aS'patient\tpatient\tNN\tI-NP\tO' -p193433 -aS'was\tbe\tVBD\tB-VP\tO' -p193434 -aS'instructed\tinstruct\tVBN\tI-VP\tO' -p193435 -aS'to\tto\tTO\tB-VP\tO' -p193436 -aS'not\tnot\tRB\tI-VP\tO' -p193437 -aS'participate\tparticipate\tVB\tI-VP\tO' -p193438 -aS'in\tin\tIN\tB-PP\tO' -p193439 -aS'contact\tcontact\tNN\tB-NP\tO' -p193440 -aS'sports\tsport\tNNS\tI-NP\tO' -p193441 -aS'for\tfor\tIN\tB-PP\tO' -p193442 -aS'six\tsix\tCD\tB-NP\tO' -p193443 -aS'weeks\tweek\tNNS\tI-NP\tO' -p193444 -aS'.\t.\t.\tO\tO' -p193445 -asS'1+ trace edemalymphadenopathy noted .' -p193446 -(lp193447 -S'1+\t1+\tJJ\tB-NP\tO' -p193448 -aS'trace\ttrace\tNN\tI-NP\tO' -p193449 -aS'edemalymphadenopathy\tedemalymphadenopathy\tNN\tI-NP\tO' -p193450 -aS'noted\tnote\tVBD\tB-VP\tO' -p193451 -aS'.\t.\t.\tO\tO' -p193452 -asS'On day of life six due to concerns for hyperglycemia and abdominal distention , sepsis evaluation was obtained .' -p193453 -(lp193454 -S'On\tOn\tIN\tB-PP\tO' -p193455 -aS'day\tday\tNN\tB-NP\tO' -p193456 -aS'of\tof\tIN\tB-PP\tO' -p193457 -aS'life\tlife\tNN\tB-NP\tO' -p193458 -aS'six\tsix\tCD\tB-NP\tO' -p193459 -aS'due\tdue\tJJ\tI-NP\tO' -p193460 -aS'to\tto\tTO\tB-PP\tO' -p193461 -aS'concerns\tconcern\tNNS\tB-NP\tO' -p193462 -aS'for\tfor\tIN\tB-PP\tO' -p193463 -aS'hyperglycemia\thyperglycemia\tNN\tB-NP\tO' -p193464 -aS'and\tand\tCC\tO\tO' -p193465 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p193466 -aS'distention\tdistention\tNN\tI-NP\tO' -p193467 -aS',\t,\t,\tO\tO' -p193468 -aS'sepsis\tsepsis\tNN\tB-NP\tO' -p193469 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p193470 -aS'was\tbe\tVBD\tB-VP\tO' -p193471 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p193472 -aS'.\t.\t.\tO\tO' -p193473 -asS'His neck was supple without masses or bruits .' -p193474 -(lp193475 -S'His\tHis\tPRP$\tB-NP\tO' -p193476 -aS'neck\tneck\tNN\tI-NP\tO' -p193477 -aS'was\tbe\tVBD\tB-VP\tO' -p193478 -aS'supple\tsupple\tNN\tB-NP\tO' -p193479 -aS'without\twithout\tIN\tB-PP\tO' -p193480 -aS'masses\tmass\tNNS\tB-NP\tO' -p193481 -aS'or\tor\tCC\tI-NP\tO' -p193482 -aS'bruits\tbruit\tNNS\tI-NP\tO' -p193483 -aS'.\t.\t.\tO\tO' -p193484 -asS'She is to go to the Necsoncardel Medical Center for more chronic care .' -p193485 -(lp193486 -S'She\tShe\tPRP\tB-NP\tO' -p193487 -aS'is\tbe\tVBZ\tB-VP\tO' -p193488 -aS'to\tto\tTO\tB-VP\tO' -p193489 -aS'go\tgo\tVB\tI-VP\tO' -p193490 -aS'to\tto\tTO\tB-PP\tO' -p193491 -aS'the\tthe\tDT\tB-NP\tO' -p193492 -aS'Necsoncardel\tNecsoncardel\tNNP\tI-NP\tO' -p193493 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p193494 -aS'Center\tCenter\tNNP\tI-NP\tO' -p193495 -aS'for\tfor\tIN\tB-PP\tO' -p193496 -aS'more\tmore\tRBR\tB-NP\tO' -p193497 -aS'chronic\tchronic\tJJ\tI-NP\tO' -p193498 -aS'care\tcare\tNN\tI-NP\tO' -p193499 -aS'.\t.\t.\tO\tO' -p193500 -asS'He initially had refused HIV testing , however , was finally consented , HIV was noted to be negative .' -p193501 -(lp193502 -S'He\tHe\tPRP\tB-NP\tO' -p193503 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p193504 -aS'had\thave\tVBD\tB-VP\tO' -p193505 -aS'refused\trefuse\tVBN\tI-VP\tO' -p193506 -aS'HIV\tHIV\tNN\tB-NP\tO' -p193507 -aS'testing\ttesting\tNN\tI-NP\tO' -p193508 -aS',\t,\t,\tO\tO' -p193509 -aS'however\thowever\tRB\tB-ADVP\tO' -p193510 -aS',\t,\t,\tO\tO' -p193511 -aS'was\tbe\tVBD\tB-VP\tO' -p193512 -aS'finally\tfinally\tRB\tI-VP\tO' -p193513 -aS'consented\tconsent\tVBN\tI-VP\tO' -p193514 -aS',\t,\t,\tO\tO' -p193515 -aS'HIV\tHIV\tNN\tB-NP\tO' -p193516 -aS'was\tbe\tVBD\tB-VP\tO' -p193517 -aS'noted\tnote\tVBN\tI-VP\tO' -p193518 -aS'to\tto\tTO\tI-VP\tO' -p193519 -aS'be\tbe\tVB\tI-VP\tO' -p193520 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p193521 -aS'.\t.\t.\tO\tO' -p193522 -asS'His injuries were identified as a left elbow disloaction with was reduced and splinted .' -p193523 -(lp193524 -S'His\tHis\tPRP$\tB-NP\tO' -p193525 -aS'injuries\tinjury\tNNS\tI-NP\tO' -p193526 -aS'were\tbe\tVBD\tB-VP\tO' -p193527 -aS'identified\tidentify\tVBN\tI-VP\tO' -p193528 -aS'as\tas\tIN\tB-PP\tO' -p193529 -aS'a\ta\tDT\tB-NP\tO' -p193530 -aS'left\tleft\tJJ\tI-NP\tO' -p193531 -aS'elbow\telbow\tNN\tI-NP\tO' -p193532 -aS'disloaction\tdisloaction\tNN\tI-NP\tO' -p193533 -aS'with\twith\tIN\tB-NP\tO' -p193534 -aS'was\tbe\tVBD\tB-VP\tO' -p193535 -aS'reduced\treduce\tVBN\tI-VP\tO' -p193536 -aS'and\tand\tCC\tI-VP\tO' -p193537 -aS'splinted\tsplint\tVBN\tI-VP\tO' -p193538 -aS'.\t.\t.\tO\tO' -p193539 -asS'6. Atenolol 100 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' -p193540 -(lp193541 -S'6.\t6.\tCD\tB-NP\tO' -p193542 -aS'Atenolol\tAtenolol\tNN\tI-NP\tO' -p193543 -aS'100\t100\tCD\tB-NP\tO' -p193544 -aS'mg\tmg\tNN\tI-NP\tO' -p193545 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p193546 -aS'Sig\tSig\tNNP\tI-NP\tO' -p193547 -aS':\t:\t:\tO\tO' -p193548 -aS'One\tOne\tCD\tB-NP\tO' -p193549 -aS'(\t(\t(\tO\tO' -p193550 -aS'1\t1\tCD\tB-NP\tO' -p193551 -aS')\t)\t)\tO\tO' -p193552 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p193553 -aS'PO\tPO\tNN\tI-NP\tO' -p193554 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p193555 -aS'(\t(\t(\tO\tO' -p193556 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p193557 -aS')\t)\t)\tO\tO' -p193558 -aS'.\t.\t.\tO\tO' -p193559 -asS'These were cultured because the patient 's white blood count was increasing to the mid 20s without fever or other symptoms for explanation .' -p193560 -(lp193561 -S'These\tThese\tDT\tB-NP\tO' -p193562 -aS'were\tbe\tVBD\tB-VP\tO' -p193563 -aS'cultured\tculture\tVBN\tI-VP\tO' -p193564 -aS'because\tbecause\tIN\tB-SBAR\tO' -p193565 -aS'the\tthe\tDT\tB-NP\tO' -p193566 -aS'patient\tpatient\tNN\tI-NP\tO' -p193567 -aS''s\t'\tNNS\tI-NP\tO' -p193568 -aS'white\twhite\tJJ\tB-NP\tO' -p193569 -aS'blood\tblood\tNN\tI-NP\tO' -p193570 -aS'count\tcount\tNN\tI-NP\tO' -p193571 -aS'was\tbe\tVBD\tB-VP\tO' -p193572 -aS'increasing\tincrease\tVBG\tI-VP\tO' -p193573 -aS'to\tto\tTO\tB-PP\tO' -p193574 -aS'the\tthe\tDT\tB-NP\tO' -p193575 -aS'mid\tmid\tJJ\tI-NP\tO' -p193576 -aS'20s\t20s\tCD\tI-NP\tO' -p193577 -aS'without\twithout\tIN\tB-PP\tO' -p193578 -aS'fever\tfever\tNN\tB-NP\tO' -p193579 -aS'or\tor\tCC\tO\tO' -p193580 -aS'other\tother\tJJ\tB-NP\tO' -p193581 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p193582 -aS'for\tfor\tIN\tB-PP\tO' -p193583 -aS'explanation\texplanation\tNN\tB-NP\tO' -p193584 -aS'.\t.\t.\tO\tO' -p193585 -asS"1. Burkitt's lymphoma ." -p193586 -(lp193587 -S'1.\t1.\tLS\tB-NP\tO' -p193588 -aS"Burkitt's\tBurkitt'\tNNS\tI-NP\tO" -p193589 -aS'lymphoma\tlymphoma\tNN\tI-NP\tO' -p193590 -aS'.\t.\t.\tO\tO' -p193591 -asS'His MCV was 88 , red cell distribution was 13.4 .' -p193592 -(lp193593 -S'His\tHis\tPRP$\tB-NP\tO' -p193594 -aS'MCV\tMCV\tNN\tI-NP\tO' -p193595 -aS'was\tbe\tVBD\tB-VP\tO' -p193596 -aS'88\t88\tCD\tB-NP\tO' -p193597 -aS',\t,\t,\tO\tO' -p193598 -aS'red\tred\tJJ\tB-NP\tO' -p193599 -aS'cell\tcell\tNN\tI-NP\tO' -p193600 -aS'distribution\tdistribution\tNN\tI-NP\tO' -p193601 -aS'was\tbe\tVBD\tB-VP\tO' -p193602 -aS'13.4\t13.4\tCD\tB-NP\tO' -p193603 -aS'.\t.\t.\tO\tO' -p193604 -asS'Dr. Aalv Lorjes Salv Manual Pasi' -p193605 -(lp193606 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p193607 -aS'Aalv\tAalv\tNNP\tI-NP\tO' -p193608 -aS'Lorjes\tLorjes\tNNP\tI-NP\tO' -p193609 -aS'Salv\tSalv\tNNP\tI-NP\tO' -p193610 -aS'Manual\tManual\tNNP\tI-NP\tO' -p193611 -aS'Pasi\tPasi\tNNP\tI-NP\tO' -p193612 -asS'There was minimal aortic valve calcification , mild ______________ thickening , normal open , and mild aortic regurgitation .' -p193613 -(lp193614 -S'There\tThere\tEX\tB-NP\tO' -p193615 -aS'was\tbe\tVBD\tB-VP\tO' -p193616 -aS'minimal\tminimal\tJJ\tB-NP\tO' -p193617 -aS'aortic\taortic\tJJ\tI-NP\tO' -p193618 -aS'valve\tvalve\tNN\tI-NP\tO' -p193619 -aS'calcification\tcalcification\tNN\tI-NP\tO' -p193620 -aS',\t,\t,\tO\tO' -p193621 -aS'mild\tmild\tJJ\tB-NP\tO' -p193622 -aS'______________\t______________\tNN\tI-NP\tO' -p193623 -aS'thickening\tthicken\tVBG\tB-VP\tO' -p193624 -aS',\t,\t,\tO\tO' -p193625 -aS'normal\tnormal\tJJ\tB-NP\tO' -p193626 -aS'open\topen\tJJ\tI-NP\tO' -p193627 -aS',\t,\t,\tO\tO' -p193628 -aS'and\tand\tCC\tO\tO' -p193629 -aS'mild\tmild\tJJ\tB-NP\tO' -p193630 -aS'aortic\taortic\tJJ\tI-NP\tO' -p193631 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p193632 -aS'.\t.\t.\tO\tO' -p193633 -asS'There was no lymphadenopathy .' -p193634 -(lp193635 -S'There\tThere\tEX\tB-NP\tO' -p193636 -aS'was\tbe\tVBD\tB-VP\tO' -p193637 -aS'no\tno\tDT\tB-NP\tO' -p193638 -aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' -p193639 -aS'.\t.\t.\tO\tO' -p193640 -asS'She will need two more specimens .' -p193641 -(lp193642 -S'She\tShe\tPRP\tB-NP\tO' -p193643 -aS'will\twill\tMD\tB-VP\tO' -p193644 -aS'need\tneed\tVB\tI-VP\tO' -p193645 -aS'two\ttwo\tCD\tB-NP\tO' -p193646 -aS'more\tmore\tJJR\tI-NP\tO' -p193647 -aS'specimens\tspecimen\tNNS\tI-NP\tO' -p193648 -aS'.\t.\t.\tO\tO' -p193649 -asS'On 7/4/98 , the patient underwent a Whipple procedure , which proceeded without complications .' -p193650 -(lp193651 -S'On\tOn\tIN\tB-PP\tO' -p193652 -aS'7/4/98\t7/4/98\tCD\tB-NP\tO' -p193653 -aS',\t,\t,\tO\tO' -p193654 -aS'the\tthe\tDT\tB-NP\tO' -p193655 -aS'patient\tpatient\tNN\tI-NP\tO' -p193656 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p193657 -aS'a\ta\tDT\tB-NP\tO' -p193658 -aS'Whipple\tWhipple\tNNP\tI-NP\tO' -p193659 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p193660 -aS',\t,\t,\tO\tO' -p193661 -aS'which\twhich\tWDT\tB-NP\tO' -p193662 -aS'proceeded\tproceed\tVBD\tB-VP\tO' -p193663 -aS'without\twithout\tIN\tB-PP\tO' -p193664 -aS'complications\tcomplication\tNNS\tB-NP\tO' -p193665 -aS'.\t.\t.\tO\tO' -p193666 -asS'On the day of discharge her glargine was decreased by one unit because her glucose remained somewhat low in the mornings .' -p193667 -(lp193668 -S'On\tOn\tIN\tB-PP\tO' -p193669 -aS'the\tthe\tDT\tB-NP\tO' -p193670 -aS'day\tday\tNN\tI-NP\tO' -p193671 -aS'of\tof\tIN\tB-PP\tO' -p193672 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p193673 -aS'her\ther\tPRP$\tB-NP\tO' -p193674 -aS'glargine\tglargine\tNN\tI-NP\tO' -p193675 -aS'was\tbe\tVBD\tB-VP\tO' -p193676 -aS'decreased\tdecrease\tVBN\tI-VP\tO' -p193677 -aS'by\tby\tIN\tB-PP\tO' -p193678 -aS'one\tone\tCD\tB-NP\tO' -p193679 -aS'unit\tunit\tNN\tI-NP\tO' -p193680 -aS'because\tbecause\tIN\tB-SBAR\tO' -p193681 -aS'her\ther\tPRP$\tB-NP\tO' -p193682 -aS'glucose\tglucose\tNN\tI-NP\tO' -p193683 -aS'remained\tremain\tVBD\tB-VP\tO' -p193684 -aS'somewhat\tsomewhat\tRB\tB-ADJP\tO' -p193685 -aS'low\tlow\tJJ\tI-ADJP\tO' -p193686 -aS'in\tin\tIN\tB-PP\tO' -p193687 -aS'the\tthe\tDT\tB-NP\tO' -p193688 -aS'mornings\tmorning\tNNS\tI-NP\tO' -p193689 -aS'.\t.\t.\tO\tO' -p193690 -asS'No acute pathology was noted and no treatment was necessary at this time .' -p193691 -(lp193692 -S'No\tNo\tDT\tB-NP\tO' -p193693 -aS'acute\tacute\tJJ\tI-NP\tO' -p193694 -aS'pathology\tpathology\tNN\tI-NP\tO' -p193695 -aS'was\tbe\tVBD\tB-VP\tO' -p193696 -aS'noted\tnote\tVBN\tI-VP\tO' -p193697 -aS'and\tand\tCC\tO\tO' -p193698 -aS'no\tno\tDT\tB-NP\tO' -p193699 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p193700 -aS'was\tbe\tVBD\tB-VP\tO' -p193701 -aS'necessary\tnecessary\tJJ\tB-ADJP\tO' -p193702 -aS'at\tat\tIN\tB-PP\tO' -p193703 -aS'this\tthis\tDT\tB-NP\tO' -p193704 -aS'time\ttime\tNN\tI-NP\tO' -p193705 -aS'.\t.\t.\tO\tO' -p193706 -asS'He was admitted and found to have a significant hematocrit drop from 33.8 to 24.3 .' -p193707 -(lp193708 -S'He\tHe\tPRP\tB-NP\tO' -p193709 -aS'was\tbe\tVBD\tB-VP\tO' -p193710 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p193711 -aS'and\tand\tCC\tO\tO' -p193712 -aS'found\tfind\tVBN\tB-VP\tO' -p193713 -aS'to\tto\tTO\tI-VP\tO' -p193714 -aS'have\thave\tVB\tI-VP\tO' -p193715 -aS'a\ta\tDT\tB-NP\tO' -p193716 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p193717 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p193718 -aS'drop\tdrop\tNN\tI-NP\tO' -p193719 -aS'from\tfrom\tIN\tB-PP\tO' -p193720 -aS'33.8\t33.8\tCD\tB-NP\tO' -p193721 -aS'to\tto\tTO\tB-PP\tO' -p193722 -aS'24.3\t24.3\tCD\tB-NP\tO' -p193723 -aS'.\t.\t.\tO\tO' -p193724 -asS'Temperature 96.9 F , pulse 84 , respiratory rate 18 , blood pressure 106/59 .' -p193725 -(lp193726 -S'Temperature\tTemperature\tNN\tB-NP\tO' -p193727 -aS'96.9\t96.9\tCD\tI-NP\tO' -p193728 -aS'F\tF\tNN\tI-NP\tO' -p193729 -aS',\t,\t,\tO\tO' -p193730 -aS'pulse\tpulse\tNN\tB-NP\tO' -p193731 -aS'84\t84\tCD\tI-NP\tO' -p193732 -aS',\t,\t,\tO\tO' -p193733 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p193734 -aS'rate\trate\tNN\tI-NP\tO' -p193735 -aS'18\t18\tCD\tI-NP\tO' -p193736 -aS',\t,\t,\tO\tO' -p193737 -aS'blood\tblood\tNN\tB-NP\tO' -p193738 -aS'pressure\tpressure\tNN\tI-NP\tO' -p193739 -aS'106/59\t106/59\tCD\tI-NP\tO' -p193740 -aS'.\t.\t.\tO\tO' -p193741 -asS'It may then be reasonable to treat both for the balance of the RSV season .' -p193742 -(lp193743 -S'It\tIt\tPRP\tB-NP\tO' -p193744 -aS'may\tmay\tMD\tB-VP\tO' -p193745 -aS'then\tthen\tRB\tI-VP\tO' -p193746 -aS'be\tbe\tVB\tI-VP\tO' -p193747 -aS'reasonable\treasonable\tJJ\tB-ADJP\tO' -p193748 -aS'to\tto\tTO\tB-VP\tO' -p193749 -aS'treat\ttreat\tVB\tI-VP\tO' -p193750 -aS'both\tboth\tDT\tB-NP\tO' -p193751 -aS'for\tfor\tIN\tB-PP\tO' -p193752 -aS'the\tthe\tDT\tB-NP\tO' -p193753 -aS'balance\tbalance\tNN\tI-NP\tO' -p193754 -aS'of\tof\tIN\tB-PP\tO' -p193755 -aS'the\tthe\tDT\tB-NP\tO' -p193756 -aS'RSV\tRSV\tNN\tI-NP\tO' -p193757 -aS'season\tseason\tNN\tI-NP\tO' -p193758 -aS'.\t.\t.\tO\tO' -p193759 -asS'Alcohol and tobacco histories are negative .' -p193760 -(lp193761 -S'Alcohol\tAlcohol\tNN\tB-NP\tO' -p193762 -aS'and\tand\tCC\tI-NP\tO' -p193763 -aS'tobacco\ttobacco\tNN\tI-NP\tO' -p193764 -aS'histories\thistory\tNNS\tI-NP\tO' -p193765 -aS'are\tbe\tVBP\tB-VP\tO' -p193766 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p193767 -aS'.\t.\t.\tO\tO' -p193768 -asS'She has made slow progress since then and at the time of discharge has 4-strength at the left elbow and 4+ in the left wrist and hand .' -p193769 -(lp193770 -S'She\tShe\tPRP\tB-NP\tO' -p193771 -aS'has\thave\tVBZ\tB-VP\tO' -p193772 -aS'made\tmake\tVBN\tI-VP\tO' -p193773 -aS'slow\tslow\tJJ\tB-NP\tO' -p193774 -aS'progress\tprogress\tNN\tI-NP\tO' -p193775 -aS'since\tsince\tIN\tB-PP\tO' -p193776 -aS'then\tthen\tRB\tB-NP\tO' -p193777 -aS'and\tand\tCC\tO\tO' -p193778 -aS'at\tat\tIN\tB-PP\tO' -p193779 -aS'the\tthe\tDT\tB-NP\tO' -p193780 -aS'time\ttime\tNN\tI-NP\tO' -p193781 -aS'of\tof\tIN\tB-PP\tO' -p193782 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p193783 -aS'has\thave\tVBZ\tB-VP\tO' -p193784 -aS'4-strength\t4-strength\tNN\tB-NP\tO' -p193785 -aS'at\tat\tIN\tB-PP\tO' -p193786 -aS'the\tthe\tDT\tB-NP\tO' -p193787 -aS'left\tleft\tJJ\tI-NP\tO' -p193788 -aS'elbow\telbow\tNN\tI-NP\tO' -p193789 -aS'and\tand\tCC\tO\tO' -p193790 -aS'4+\t4+\tJJ\tB-ADJP\tO' -p193791 -aS'in\tin\tIN\tB-PP\tO' -p193792 -aS'the\tthe\tDT\tB-NP\tO' -p193793 -aS'left\tleft\tJJ\tI-NP\tO' -p193794 -aS'wrist\twrist\tNN\tI-NP\tO' -p193795 -aS'and\tand\tCC\tI-NP\tO' -p193796 -aS'hand\thand\tNN\tI-NP\tO' -p193797 -aS'.\t.\t.\tO\tO' -p193798 -asS'Responsible After Study for Causing Admission ) COPD exacerbation with NSTEMI' -p193799 -(lp193800 -S'Responsible\tResponsible\tJJ\tB-ADJP\tO' -p193801 -aS'After\tAfter\tIN\tB-PP\tO' -p193802 -aS'Study\tStudy\tNN\tB-NP\tO' -p193803 -aS'for\tfor\tIN\tB-PP\tO' -p193804 -aS'Causing\tCause\tVBG\tB-VP\tO' -p193805 -aS'Admission\tAdmission\tNN\tB-NP\tO' -p193806 -aS')\t)\t)\tO\tO' -p193807 -aS'COPD\tCOPD\tNN\tB-NP\tO' -p193808 -aS'exacerbation\texacerbation\tNN\tI-NP\tO' -p193809 -aS'with\twith\tIN\tB-PP\tO' -p193810 -aS'NSTEMI\tNSTEMI\tNN\tB-NP\tO' -p193811 -asS'Patient is an 84-year-old male who was transferred from an outside hospital with a low hematocrit of 21 and with guaiac-positive stool .' -p193812 -(lp193813 -S'Patient\tPatient\tNN\tB-NP\tO' -p193814 -aS'is\tbe\tVBZ\tB-VP\tO' -p193815 -aS'an\tan\tDT\tB-NP\tO' -p193816 -aS'84-year-old\t84-year-old\tJJ\tI-NP\tO' -p193817 -aS'male\tmale\tNN\tI-NP\tO' -p193818 -aS'who\twho\tWP\tB-NP\tO' -p193819 -aS'was\tbe\tVBD\tB-VP\tO' -p193820 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p193821 -aS'from\tfrom\tIN\tB-PP\tO' -p193822 -aS'an\tan\tDT\tB-NP\tO' -p193823 -aS'outside\toutside\tJJ\tI-NP\tO' -p193824 -aS'hospital\thospital\tNN\tI-NP\tO' -p193825 -aS'with\twith\tIN\tB-PP\tO' -p193826 -aS'a\ta\tDT\tB-NP\tO' -p193827 -aS'low\tlow\tJJ\tI-NP\tO' -p193828 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p193829 -aS'of\tof\tIN\tB-PP\tO' -p193830 -aS'21\t21\tCD\tB-NP\tO' -p193831 -aS'and\tand\tCC\tO\tO' -p193832 -aS'with\twith\tIN\tB-PP\tO' -p193833 -aS'guaiac-positive\tguaiac-positive\tJJ\tB-NP\tO' -p193834 -aS'stool\tstool\tNN\tI-NP\tO' -p193835 -aS'.\t.\t.\tO\tO' -p193836 -asS'In May , 1998 she had an exercise tolerance test in which her heart rate went to 112 and her blood pressure fell to 95 systolic .' -p193837 -(lp193838 -S'In\tIn\tIN\tB-PP\tO' -p193839 -aS'May\tMay\tNNP\tB-NP\tO' -p193840 -aS',\t,\t,\tO\tO' -p193841 -aS'1998\t1998\tCD\tB-NP\tO' -p193842 -aS'she\tshe\tPRP\tB-NP\tO' -p193843 -aS'had\thave\tVBD\tB-VP\tO' -p193844 -aS'an\tan\tDT\tB-NP\tO' -p193845 -aS'exercise\texercise\tNN\tI-NP\tO' -p193846 -aS'tolerance\ttolerance\tNN\tI-NP\tO' -p193847 -aS'test\ttest\tNN\tI-NP\tO' -p193848 -aS'in\tin\tIN\tB-PP\tO' -p193849 -aS'which\twhich\tWDT\tB-NP\tO' -p193850 -aS'her\ther\tPRP$\tB-NP\tO' -p193851 -aS'heart\theart\tNN\tI-NP\tO' -p193852 -aS'rate\trate\tNN\tI-NP\tO' -p193853 -aS'went\tgo\tVBD\tB-VP\tO' -p193854 -aS'to\tto\tTO\tB-PP\tO' -p193855 -aS'112\t112\tCD\tB-NP\tO' -p193856 -aS'and\tand\tCC\tO\tO' -p193857 -aS'her\ther\tPRP$\tB-NP\tO' -p193858 -aS'blood\tblood\tNN\tI-NP\tO' -p193859 -aS'pressure\tpressure\tNN\tI-NP\tO' -p193860 -aS'fell\tfall\tVBD\tB-VP\tO' -p193861 -aS'to\tto\tTO\tB-PP\tO' -p193862 -aS'95\t95\tCD\tB-NP\tO' -p193863 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p193864 -aS'.\t.\t.\tO\tO' -p193865 -asS'He called the EMT 's and was found to be in pulmonary edema by chest x-ray at Centdick Naco Hospital Medical Center .' -p193866 -(lp193867 -S'He\tHe\tPRP\tB-NP\tO' -p193868 -aS'called\tcall\tVBD\tB-VP\tO' -p193869 -aS'the\tthe\tDT\tB-NP\tO' -p193870 -aS'EMT\tEMT\tNN\tI-NP\tB-DNA' -p193871 -aS''s\t'\tNNS\tI-NP\tI-DNA' -p193872 -aS'and\tand\tCC\tO\tO' -p193873 -aS'was\tbe\tVBD\tB-VP\tO' -p193874 -aS'found\tfind\tVBN\tI-VP\tO' -p193875 -aS'to\tto\tTO\tI-VP\tO' -p193876 -aS'be\tbe\tVB\tI-VP\tO' -p193877 -aS'in\tin\tIN\tB-PP\tO' -p193878 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p193879 -aS'edema\tedema\tNN\tI-NP\tO' -p193880 -aS'by\tby\tIN\tB-PP\tO' -p193881 -aS'chest\tchest\tNN\tB-NP\tO' -p193882 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p193883 -aS'at\tat\tIN\tB-PP\tO' -p193884 -aS'Centdick\tCentdick\tNNP\tB-NP\tO' -p193885 -aS'Naco\tNaco\tNNP\tI-NP\tO' -p193886 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p193887 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p193888 -aS'Center\tCenter\tNNP\tI-NP\tO' -p193889 -aS'.\t.\t.\tO\tO' -p193890 -asS'Today , his wife convinced him to present to the Deanna for evaluation .' -p193891 -(lp193892 -S'Today\tToday\tNN\tB-NP\tO' -p193893 -aS',\t,\t,\tO\tO' -p193894 -aS'his\this\tPRP$\tB-NP\tO' -p193895 -aS'wife\twife\tNN\tI-NP\tO' -p193896 -aS'convinced\tconvince\tVBD\tB-VP\tO' -p193897 -aS'him\thim\tPRP\tB-NP\tO' -p193898 -aS'to\tto\tTO\tB-VP\tO' -p193899 -aS'present\tpresent\tVB\tI-VP\tO' -p193900 -aS'to\tto\tTO\tB-PP\tO' -p193901 -aS'the\tthe\tDT\tB-NP\tO' -p193902 -aS'Deanna\tDeanna\tNNP\tI-NP\tO' -p193903 -aS'for\tfor\tIN\tB-PP\tO' -p193904 -aS'evaluation\tevaluation\tNN\tB-NP\tO' -p193905 -aS'.\t.\t.\tO\tO' -p193906 -asS'We had also requested a Social Work consult regarding this .' -p193907 -(lp193908 -S'We\tWe\tPRP\tB-NP\tO' -p193909 -aS'had\thave\tVBD\tB-VP\tO' -p193910 -aS'also\talso\tRB\tI-VP\tO' -p193911 -aS'requested\trequest\tVBN\tI-VP\tO' -p193912 -aS'a\ta\tDT\tB-NP\tO' -p193913 -aS'Social\tSocial\tNNP\tI-NP\tO' -p193914 -aS'Work\tWork\tNNP\tI-NP\tO' -p193915 -aS'consult\tconsult\tNN\tI-NP\tO' -p193916 -aS'regarding\tregard\tVBG\tB-PP\tO' -p193917 -aS'this\tthis\tDT\tB-NP\tO' -p193918 -aS'.\t.\t.\tO\tO' -p193919 -asS'DOYbw .' -p193920 -(lp193921 -S'DOYbw\tDOYbw\tNNP\tB-NP\tO' -p193922 -aS'.\t.\t.\tO\tO' -p193923 -asS'A chest x-ray was unremarkable .' -p193924 -(lp193925 -S'A\tA\tDT\tB-NP\tO' -p193926 -aS'chest\tchest\tNN\tI-NP\tO' -p193927 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p193928 -aS'was\tbe\tVBD\tB-VP\tO' -p193929 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p193930 -aS'.\t.\t.\tO\tO' -p193931 -asS'No retractions , good breath sounds bilaterally , no crackles .' -p193932 -(lp193933 -S'No\tNo\tDT\tB-NP\tO' -p193934 -aS'retractions\tretraction\tNNS\tI-NP\tO' -p193935 -aS',\t,\t,\tO\tO' -p193936 -aS'good\tgood\tJJ\tB-NP\tO' -p193937 -aS'breath\tbreath\tNN\tI-NP\tO' -p193938 -aS'sounds\tsound\tVBZ\tB-VP\tO' -p193939 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p193940 -aS',\t,\t,\tO\tO' -p193941 -aS'no\tno\tDT\tB-NP\tO' -p193942 -aS'crackles\tcrackle\tNNS\tI-NP\tO' -p193943 -aS'.\t.\t.\tO\tO' -p193944 -asS'Multiple posterior right - sided mastoid air cells are opacified with blood .' -p193945 -(lp193946 -S'Multiple\tMultiple\tJJ\tB-NP\tB-cell_line' -p193947 -aS'posterior\tposterior\tJJ\tI-NP\tI-cell_line' -p193948 -aS'right\tright\tJJ\tI-NP\tI-cell_line' -p193949 -aS'-\t-\tHYPH\tI-NP\tI-cell_line' -p193950 -aS'sided\tsided\tJJ\tI-NP\tI-cell_line' -p193951 -aS'mastoid\tmastoid\tJJ\tI-NP\tI-cell_line' -p193952 -aS'air\tair\tNN\tI-NP\tI-cell_line' -p193953 -aS'cells\tcell\tNNS\tI-NP\tI-cell_line' -p193954 -aS'are\tbe\tVBP\tB-VP\tO' -p193955 -aS'opacified\topacifie\tVBN\tI-VP\tO' -p193956 -aS'with\twith\tIN\tB-PP\tO' -p193957 -aS'blood\tblood\tNN\tB-NP\tO' -p193958 -aS'.\t.\t.\tO\tO' -p193959 -asS'5. AS 81 mg once daily' -p193960 -(lp193961 -S'5.\t5.\tLS\tB-NP\tO' -p193962 -aS'AS\tAS\tNN\tI-NP\tO' -p193963 -aS'81\t81\tCD\tI-NP\tO' -p193964 -aS'mg\tmg\tNN\tI-NP\tO' -p193965 -aS'once\tonce\tRB\tB-ADVP\tO' -p193966 -aS'daily\tdaily\tRB\tI-ADVP\tO' -p193967 -asS'The Kindred Hospital hospital course was prolonged because of her delirium .' -p193968 -(lp193969 -S'The\tThe\tDT\tB-NP\tO' -p193970 -aS'Kindred\tKindred\tNNP\tI-NP\tO' -p193971 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p193972 -aS'hospital\thospital\tNN\tI-NP\tO' -p193973 -aS'course\tcourse\tNN\tI-NP\tO' -p193974 -aS'was\tbe\tVBD\tB-VP\tO' -p193975 -aS'prolonged\tprolonged\tJJ\tB-ADJP\tO' -p193976 -aS'because\tbecause\tIN\tB-PP\tO' -p193977 -aS'of\tof\tIN\tI-PP\tO' -p193978 -aS'her\ther\tPRP$\tB-NP\tO' -p193979 -aS'delirium\tdelirium\tNN\tI-NP\tO' -p193980 -aS'.\t.\t.\tO\tO' -p193981 -asS'His pain was well controlled with oral medication at this time .' -p193982 -(lp193983 -S'His\tHis\tPRP$\tB-NP\tO' -p193984 -aS'pain\tpain\tNN\tI-NP\tO' -p193985 -aS'was\tbe\tVBD\tB-VP\tO' -p193986 -aS'well\twell\tRB\tI-VP\tO' -p193987 -aS'controlled\tcontrol\tVBN\tI-VP\tO' -p193988 -aS'with\twith\tIN\tB-PP\tO' -p193989 -aS'oral\toral\tJJ\tB-NP\tO' -p193990 -aS'medication\tmedication\tNN\tI-NP\tO' -p193991 -aS'at\tat\tIN\tB-PP\tO' -p193992 -aS'this\tthis\tDT\tB-NP\tO' -p193993 -aS'time\ttime\tNN\tI-NP\tO' -p193994 -aS'.\t.\t.\tO\tO' -p193995 -asS'His hypertension ; his high blood pressure was controlled with intravenous nitroglycerine in the early going and then he was switched to an oral regimen for better control after he was removed from the Intensive Care Unit .' -p193996 -(lp193997 -S'His\tHis\tPRP$\tB-NP\tO' -p193998 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p193999 -aS';\t;\t:\tO\tO' -p194000 -aS'his\this\tPRP$\tB-NP\tO' -p194001 -aS'high\thigh\tJJ\tI-NP\tO' -p194002 -aS'blood\tblood\tNN\tI-NP\tO' -p194003 -aS'pressure\tpressure\tNN\tI-NP\tO' -p194004 -aS'was\tbe\tVBD\tB-VP\tO' -p194005 -aS'controlled\tcontrol\tVBN\tI-VP\tO' -p194006 -aS'with\twith\tIN\tB-PP\tO' -p194007 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p194008 -aS'nitroglycerine\tnitroglycerine\tNN\tI-NP\tO' -p194009 -aS'in\tin\tIN\tB-PP\tO' -p194010 -aS'the\tthe\tDT\tB-NP\tO' -p194011 -aS'early\tearly\tJJ\tI-NP\tO' -p194012 -aS'going\tgo\tVBG\tI-NP\tO' -p194013 -aS'and\tand\tCC\tO\tO' -p194014 -aS'then\tthen\tRB\tB-ADVP\tO' -p194015 -aS'he\the\tPRP\tB-NP\tO' -p194016 -aS'was\tbe\tVBD\tB-VP\tO' -p194017 -aS'switched\tswitch\tVBN\tI-VP\tO' -p194018 -aS'to\tto\tTO\tB-PP\tO' -p194019 -aS'an\tan\tDT\tB-NP\tO' -p194020 -aS'oral\toral\tJJ\tI-NP\tO' -p194021 -aS'regimen\tregimen\tNN\tI-NP\tO' -p194022 -aS'for\tfor\tIN\tB-PP\tO' -p194023 -aS'better\tgood\tJJR\tB-NP\tO' -p194024 -aS'control\tcontrol\tNN\tI-NP\tO' -p194025 -aS'after\tafter\tIN\tB-SBAR\tO' -p194026 -aS'he\the\tPRP\tB-NP\tO' -p194027 -aS'was\tbe\tVBD\tB-VP\tO' -p194028 -aS'removed\tremove\tVBN\tI-VP\tO' -p194029 -aS'from\tfrom\tIN\tB-PP\tO' -p194030 -aS'the\tthe\tDT\tB-NP\tO' -p194031 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p194032 -aS'Care\tCare\tNNP\tI-NP\tO' -p194033 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p194034 -aS'.\t.\t.\tO\tO' -p194035 -asS'She was was seen at Hallmark Health System heme / on clinic 10-09 and had repeat CT scan which revealed metastatic cholangiocarcinoma with mets to the ovaries , with tremendous increase in metastatic disease .' -p194036 -(lp194037 -S'She\tShe\tPRP\tB-NP\tO' -p194038 -aS'was\tbe\tVBD\tB-VP\tO' -p194039 -aS'was\tbe\tVBD\tB-VP\tO' -p194040 -aS'seen\tsee\tVBN\tI-VP\tO' -p194041 -aS'at\tat\tIN\tB-PP\tO' -p194042 -aS'Hallmark\tHallmark\tNNP\tB-NP\tO' -p194043 -aS'Health\tHealth\tNNP\tI-NP\tO' -p194044 -aS'System\tSystem\tNNP\tI-NP\tO' -p194045 -aS'heme\theme\tNN\tI-NP\tO' -p194046 -aS'/\t/\tSYM\tB-ADJP\tO' -p194047 -aS'on\ton\tIN\tB-PP\tO' -p194048 -aS'clinic\tclinic\tNN\tB-NP\tO' -p194049 -aS'10-09\t10-09\tCD\tI-NP\tO' -p194050 -aS'and\tand\tCC\tO\tO' -p194051 -aS'had\thave\tVBD\tB-VP\tO' -p194052 -aS'repeat\trepeat\tNN\tB-NP\tO' -p194053 -aS'CT\tCT\tNN\tI-NP\tO' -p194054 -aS'scan\tscan\tNN\tI-NP\tO' -p194055 -aS'which\twhich\tWDT\tB-NP\tO' -p194056 -aS'revealed\treveal\tVBD\tB-VP\tO' -p194057 -aS'metastatic\tmetastatic\tJJ\tB-NP\tO' -p194058 -aS'cholangiocarcinoma\tcholangiocarcinoma\tNN\tI-NP\tO' -p194059 -aS'with\twith\tIN\tB-PP\tO' -p194060 -aS'mets\tmet\tNNS\tB-NP\tO' -p194061 -aS'to\tto\tTO\tB-PP\tO' -p194062 -aS'the\tthe\tDT\tB-NP\tO' -p194063 -aS'ovaries\tovary\tNNS\tI-NP\tO' -p194064 -aS',\t,\t,\tO\tO' -p194065 -aS'with\twith\tIN\tB-PP\tO' -p194066 -aS'tremendous\ttremendous\tJJ\tB-NP\tO' -p194067 -aS'increase\tincrease\tNN\tI-NP\tO' -p194068 -aS'in\tin\tIN\tB-PP\tO' -p194069 -aS'metastatic\tmetastatic\tJJ\tB-NP\tO' -p194070 -aS'disease\tdisease\tNN\tI-NP\tO' -p194071 -aS'.\t.\t.\tO\tO' -p194072 -asS'His most recent echocardiogram in April of 1996 showed an ejection fraction of 20% with a thin fibrotic septum with akinesis and moderately severe hypokinesis in all other regions except for the lateral wall .' -p194073 -(lp194074 -S'His\tHis\tPRP$\tB-NP\tB-protein' -p194075 -aS'most\tmost\tRBS\tI-NP\tO' -p194076 -aS'recent\trecent\tJJ\tI-NP\tO' -p194077 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p194078 -aS'in\tin\tIN\tB-PP\tO' -p194079 -aS'April\tApril\tNNP\tB-NP\tO' -p194080 -aS'of\tof\tIN\tB-PP\tO' -p194081 -aS'1996\t1996\tCD\tB-NP\tO' -p194082 -aS'showed\tshow\tVBD\tB-VP\tO' -p194083 -aS'an\tan\tDT\tB-NP\tO' -p194084 -aS'ejection\tejection\tNN\tI-NP\tO' -p194085 -aS'fraction\tfraction\tNN\tI-NP\tO' -p194086 -aS'of\tof\tIN\tB-PP\tO' -p194087 -aS'20%\t20%\tNN\tB-NP\tO' -p194088 -aS'with\twith\tIN\tB-PP\tO' -p194089 -aS'a\ta\tDT\tB-NP\tO' -p194090 -aS'thin\tthin\tJJ\tI-NP\tO' -p194091 -aS'fibrotic\tfibrotic\tJJ\tI-NP\tO' -p194092 -aS'septum\tseptum\tNN\tI-NP\tO' -p194093 -aS'with\twith\tIN\tB-PP\tO' -p194094 -aS'akinesis\takinesis\tNN\tB-NP\tO' -p194095 -aS'and\tand\tCC\tO\tO' -p194096 -aS'moderately\tmoderately\tRB\tB-NP\tO' -p194097 -aS'severe\tsevere\tJJ\tI-NP\tO' -p194098 -aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' -p194099 -aS'in\tin\tIN\tB-PP\tO' -p194100 -aS'all\tall\tDT\tB-NP\tO' -p194101 -aS'other\tother\tJJ\tI-NP\tO' -p194102 -aS'regions\tregion\tNNS\tI-NP\tO' -p194103 -aS'except\texcept\tIN\tB-PP\tO' -p194104 -aS'for\tfor\tIN\tB-PP\tO' -p194105 -aS'the\tthe\tDT\tB-NP\tO' -p194106 -aS'lateral\tlateral\tJJ\tI-NP\tO' -p194107 -aS'wall\twall\tNN\tI-NP\tO' -p194108 -aS'.\t.\t.\tO\tO' -p194109 -asS'He was also started on p.o. Vancomycin .' -p194110 -(lp194111 -S'He\tHe\tPRP\tB-NP\tO' -p194112 -aS'was\tbe\tVBD\tB-VP\tO' -p194113 -aS'also\talso\tRB\tI-VP\tO' -p194114 -aS'started\tstart\tVBN\tI-VP\tO' -p194115 -aS'on\ton\tIN\tB-PP\tO' -p194116 -aS'p.o.\tp.o.\tFW\tB-NP\tO' -p194117 -aS'Vancomycin\tVancomycin\tNN\tI-NP\tO' -p194118 -aS'.\t.\t.\tO\tO' -p194119 -asS'She has dyspnea on exertion .' -p194120 -(lp194121 -S'She\tShe\tPRP\tB-NP\tO' -p194122 -aS'has\thave\tVBZ\tB-VP\tO' -p194123 -aS'dyspnea\tdyspnea\tNN\tB-NP\tO' -p194124 -aS'on\ton\tIN\tB-PP\tO' -p194125 -aS'exertion\texertion\tNN\tB-NP\tO' -p194126 -aS'.\t.\t.\tO\tO' -p194127 -asS'The left shoulder was identical in range of motion and was also painful .' -p194128 -(lp194129 -S'The\tThe\tDT\tB-NP\tO' -p194130 -aS'left\tleft\tJJ\tI-NP\tO' -p194131 -aS'shoulder\tshoulder\tNN\tI-NP\tO' -p194132 -aS'was\tbe\tVBD\tB-VP\tO' -p194133 -aS'identical\tidentical\tJJ\tB-ADJP\tO' -p194134 -aS'in\tin\tIN\tB-PP\tO' -p194135 -aS'range\trange\tNN\tB-NP\tO' -p194136 -aS'of\tof\tIN\tB-PP\tO' -p194137 -aS'motion\tmotion\tNN\tB-NP\tO' -p194138 -aS'and\tand\tCC\tO\tO' -p194139 -aS'was\tbe\tVBD\tB-VP\tO' -p194140 -aS'also\talso\tRB\tB-ADVP\tO' -p194141 -aS'painful\tpainful\tJJ\tB-ADJP\tO' -p194142 -aS'.\t.\t.\tO\tO' -p194143 -asS"Before this age ( and for the first 24 months of the child 's life ) , immunization against influenza is recommended for all household contacts and out of home caregivers ." -p194144 -(lp194145 -S'Before\tBefore\tIN\tB-SBAR\tO' -p194146 -aS'this\tthis\tDT\tB-NP\tO' -p194147 -aS'age\tage\tNN\tI-NP\tO' -p194148 -aS'(\t(\t(\tO\tO' -p194149 -aS'and\tand\tCC\tO\tO' -p194150 -aS'for\tfor\tIN\tB-PP\tO' -p194151 -aS'the\tthe\tDT\tB-NP\tO' -p194152 -aS'first\tfirst\tJJ\tI-NP\tO' -p194153 -aS'24\t24\tCD\tI-NP\tO' -p194154 -aS'months\tmonth\tNNS\tI-NP\tO' -p194155 -aS'of\tof\tIN\tB-PP\tO' -p194156 -aS'the\tthe\tDT\tB-NP\tO' -p194157 -aS'child\tchild\tNN\tI-NP\tO' -p194158 -aS"'s\t's\tPOS\tB-NP\tO" -p194159 -aS'life\tlife\tNN\tI-NP\tO' -p194160 -aS')\t)\t)\tO\tO' -p194161 -aS',\t,\t,\tO\tO' -p194162 -aS'immunization\timmunization\tNN\tB-NP\tO' -p194163 -aS'against\tagainst\tIN\tB-PP\tO' -p194164 -aS'influenza\tinfluenza\tNN\tB-NP\tO' -p194165 -aS'is\tbe\tVBZ\tB-VP\tO' -p194166 -aS'recommended\trecommend\tVBN\tI-VP\tO' -p194167 -aS'for\tfor\tIN\tB-PP\tO' -p194168 -aS'all\tall\tDT\tB-NP\tO' -p194169 -aS'household\thousehold\tNN\tI-NP\tO' -p194170 -aS'contacts\tcontact\tNNS\tI-NP\tO' -p194171 -aS'and\tand\tCC\tB-PP\tO' -p194172 -aS'out\tout\tIN\tB-PP\tO' -p194173 -aS'of\tof\tIN\tB-PP\tO' -p194174 -aS'home\thome\tNN\tB-NP\tO' -p194175 -aS'caregivers\tcaregiver\tNNS\tI-NP\tO' -p194176 -aS'.\t.\t.\tO\tO' -p194177 -asS'Mucous membranes moist .' -p194178 -(lp194179 -S'Mucous\tMucous\tJJ\tB-NP\tO' -p194180 -aS'membranes\tmembrane\tNNS\tI-NP\tO' -p194181 -aS'moist\tmoist\tNN\tI-NP\tO' -p194182 -aS'.\t.\t.\tO\tO' -p194183 -asS'atrovent NEB QID , albuterol Neb QID , ipratropium NEB BID , flovent INH BID , Serevent INH BID , and prednisone 30 QD taper .' -p194184 -(lp194185 -S'atrovent\tatrovent\tVB\tB-VP\tO' -p194186 -aS'NEB\tNEB\tNNP\tB-NP\tO' -p194187 -aS'QID\tQID\tNNP\tI-NP\tO' -p194188 -aS',\t,\t,\tO\tO' -p194189 -aS'albuterol\talbuterol\tNN\tB-NP\tO' -p194190 -aS'Neb\tNeb\tNNP\tI-NP\tO' -p194191 -aS'QID\tQID\tNNP\tI-NP\tO' -p194192 -aS',\t,\t,\tO\tO' -p194193 -aS'ipratropium\tipratropium\tNN\tB-NP\tO' -p194194 -aS'NEB\tNEB\tNNP\tI-NP\tO' -p194195 -aS'BID\tBID\tNNP\tI-NP\tO' -p194196 -aS',\t,\t,\tO\tO' -p194197 -aS'flovent\tflovent\tNN\tB-NP\tO' -p194198 -aS'INH\tINH\tNNP\tI-NP\tO' -p194199 -aS'BID\tBID\tNNP\tI-NP\tO' -p194200 -aS',\t,\t,\tO\tO' -p194201 -aS'Serevent\tSerevent\tNNP\tB-NP\tO' -p194202 -aS'INH\tINH\tNNP\tI-NP\tO' -p194203 -aS'BID\tBID\tNNP\tI-NP\tO' -p194204 -aS',\t,\t,\tO\tO' -p194205 -aS'and\tand\tCC\tO\tO' -p194206 -aS'prednisone\tprednisone\tNN\tB-NP\tO' -p194207 -aS'30\t30\tCD\tI-NP\tO' -p194208 -aS'QD\tQD\tNN\tI-NP\tO' -p194209 -aS'taper\ttaper\tNN\tI-NP\tO' -p194210 -aS'.\t.\t.\tO\tO' -p194211 -asS'Family history is positive for tuberculosis , hypertension , and alcoholism .' -p194212 -(lp194213 -S'Family\tFamily\tRB\tB-NP\tO' -p194214 -aS'history\thistory\tNN\tI-NP\tO' -p194215 -aS'is\tbe\tVBZ\tB-VP\tO' -p194216 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p194217 -aS'for\tfor\tIN\tB-PP\tO' -p194218 -aS'tuberculosis\ttuberculosis\tNN\tB-NP\tO' -p194219 -aS',\t,\t,\tO\tO' -p194220 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p194221 -aS',\t,\t,\tO\tO' -p194222 -aS'and\tand\tCC\tO\tO' -p194223 -aS'alcoholism\talcoholism\tNN\tB-NP\tO' -p194224 -aS'.\t.\t.\tO\tO' -p194225 -asS'On 2019-10-11 he was started on lopressor for his tachycardia which had good effect .' -p194226 -(lp194227 -S'On\tOn\tIN\tB-PP\tO' -p194228 -aS'2019-10-11\t2019-10-11\tCD\tB-NP\tO' -p194229 -aS'he\the\tPRP\tB-NP\tO' -p194230 -aS'was\tbe\tVBD\tB-VP\tO' -p194231 -aS'started\tstart\tVBN\tI-VP\tO' -p194232 -aS'on\ton\tIN\tB-PP\tO' -p194233 -aS'lopressor\tlopressor\tNN\tB-NP\tO' -p194234 -aS'for\tfor\tIN\tB-PP\tO' -p194235 -aS'his\this\tPRP$\tB-NP\tO' -p194236 -aS'tachycardia\ttachycardia\tNN\tI-NP\tO' -p194237 -aS'which\twhich\tWDT\tB-NP\tO' -p194238 -aS'had\thave\tVBD\tB-VP\tO' -p194239 -aS'good\tgood\tJJ\tB-NP\tO' -p194240 -aS'effect\teffect\tNN\tI-NP\tO' -p194241 -aS'.\t.\t.\tO\tO' -p194242 -asS'3. Transitional respiratory distress .' -p194243 -(lp194244 -S'3.\t3.\tLS\tB-NP\tO' -p194245 -aS'Transitional\tTransitional\tJJ\tI-NP\tO' -p194246 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p194247 -aS'distress\tdistress\tNN\tI-NP\tO' -p194248 -aS'.\t.\t.\tO\tO' -p194249 -asS'Her PT was 13.1 , PTT 26.7 .' -p194250 -(lp194251 -S'Her\tHer\tPRP$\tB-NP\tO' -p194252 -aS'PT\tPT\tNN\tI-NP\tB-protein' -p194253 -aS'was\tbe\tVBD\tB-VP\tI-protein' -p194254 -aS'13.1\t13.1\tCD\tB-NP\tI-protein' -p194255 -aS',\t,\t,\tO\tO' -p194256 -aS'PTT\tPTT\tNN\tB-NP\tB-protein' -p194257 -aS'26.7\t26.7\tCD\tI-NP\tI-protein' -p194258 -aS'.\t.\t.\tO\tO' -p194259 -asS'Soft with good bowel sounds .' -p194260 -(lp194261 -S'Soft\tSoft\tRB\tB-ADVP\tO' -p194262 -aS'with\twith\tIN\tB-PP\tO' -p194263 -aS'good\tgood\tJJ\tB-NP\tO' -p194264 -aS'bowel\tbowel\tNN\tI-NP\tO' -p194265 -aS'sounds\tsound\tNNS\tI-NP\tO' -p194266 -aS'.\t.\t.\tO\tO' -p194267 -asS'The patient had a relatively unremarkable course and his neurologic status continued to improve following the operation .' -p194268 -(lp194269 -S'The\tThe\tDT\tB-NP\tO' -p194270 -aS'patient\tpatient\tNN\tI-NP\tO' -p194271 -aS'had\thave\tVBD\tB-VP\tO' -p194272 -aS'a\ta\tDT\tB-NP\tO' -p194273 -aS'relatively\trelatively\tRB\tI-NP\tO' -p194274 -aS'unremarkable\tunremarkable\tJJ\tI-NP\tO' -p194275 -aS'course\tcourse\tNN\tI-NP\tO' -p194276 -aS'and\tand\tCC\tO\tO' -p194277 -aS'his\this\tPRP$\tB-NP\tO' -p194278 -aS'neurologic\tneurologic\tJJ\tI-NP\tO' -p194279 -aS'status\tstatus\tNN\tI-NP\tO' -p194280 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p194281 -aS'to\tto\tTO\tI-VP\tO' -p194282 -aS'improve\timprove\tVB\tI-VP\tO' -p194283 -aS'following\tfollow\tVBG\tB-PP\tO' -p194284 -aS'the\tthe\tDT\tB-NP\tO' -p194285 -aS'operation\toperation\tNN\tI-NP\tO' -p194286 -aS'.\t.\t.\tO\tO' -p194287 -asS'1. Tamsulosin 0.4 mg Capsule , Sust . Release 24HR Sig : One ( 1 ) Capsule , Sust . Release 24HR PO HS ( at bedtime ) .' -p194288 -(lp194289 -S'1.\t1.\tLS\tB-NP\tO' -p194290 -aS'Tamsulosin\tTamsulosin\tNN\tI-NP\tO' -p194291 -aS'0.4\t0.4\tCD\tB-NP\tO' -p194292 -aS'mg\tmg\tNN\tI-NP\tO' -p194293 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p194294 -aS',\t,\t,\tO\tO' -p194295 -aS'Sust\tSust\tNNP\tB-NP\tO' -p194296 -aS'.\t.\t.\tI-NP\tO' -p194297 -aS'Release\tRelease\tNNP\tI-NP\tO' -p194298 -aS'24HR\t24HR\tNN\tI-NP\tO' -p194299 -aS'Sig\tSig\tNNP\tI-NP\tO' -p194300 -aS':\t:\t:\tO\tO' -p194301 -aS'One\tOne\tCD\tB-NP\tO' -p194302 -aS'(\t(\t(\tO\tO' -p194303 -aS'1\t1\tCD\tB-NP\tO' -p194304 -aS')\t)\t)\tO\tO' -p194305 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p194306 -aS',\t,\t,\tO\tO' -p194307 -aS'Sust\tSust\tNNP\tB-NP\tO' -p194308 -aS'.\t.\t.\tI-NP\tO' -p194309 -aS'Release\tRelease\tNNP\tI-NP\tO' -p194310 -aS'24HR\t24HR\tNN\tI-NP\tO' -p194311 -aS'PO\tPO\tNN\tI-NP\tO' -p194312 -aS'HS\tHS\tNN\tI-NP\tO' -p194313 -aS'(\t(\t(\tO\tO' -p194314 -aS'at\tat\tIN\tB-PP\tO' -p194315 -aS'bedtime\tbedtime\tNN\tB-NP\tO' -p194316 -aS')\t)\t)\tO\tO' -p194317 -aS'.\t.\t.\tO\tO' -p194318 -asS'17. Pepcid 20 mg Tablet Sig : One ( 1 ) Tablet PO once a day .' -p194319 -(lp194320 -S'17.\t17.\tCD\tB-NP\tO' -p194321 -aS'Pepcid\tPepcid\tNNP\tI-NP\tO' -p194322 -aS'20\t20\tCD\tI-NP\tO' -p194323 -aS'mg\tmg\tNN\tI-NP\tO' -p194324 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p194325 -aS'Sig\tSig\tNNP\tI-NP\tO' -p194326 -aS':\t:\t:\tO\tO' -p194327 -aS'One\tOne\tCD\tB-NP\tO' -p194328 -aS'(\t(\t(\tO\tO' -p194329 -aS'1\t1\tCD\tB-NP\tO' -p194330 -aS')\t)\t)\tO\tO' -p194331 -aS'Tablet\tTablet\tNN\tB-NP\tB-protein' -p194332 -aS'PO\tPO\tNN\tI-NP\tI-protein' -p194333 -aS'once\tonce\tRB\tO\tO' -p194334 -aS'a\ta\tDT\tB-NP\tO' -p194335 -aS'day\tday\tNN\tI-NP\tO' -p194336 -aS'.\t.\t.\tO\tO' -p194337 -asS'The patient has a history of orthostatic hypotension x many years .' -p194338 -(lp194339 -S'The\tThe\tDT\tB-NP\tO' -p194340 -aS'patient\tpatient\tNN\tI-NP\tO' -p194341 -aS'has\thave\tVBZ\tB-VP\tO' -p194342 -aS'a\ta\tDT\tB-NP\tO' -p194343 -aS'history\thistory\tNN\tI-NP\tO' -p194344 -aS'of\tof\tIN\tB-PP\tO' -p194345 -aS'orthostatic\torthostatic\tJJ\tB-NP\tO' -p194346 -aS'hypotension\thypotension\tNN\tI-NP\tO' -p194347 -aS'x\tx\tSYM\tB-VP\tO' -p194348 -aS'many\tmany\tJJ\tB-NP\tO' -p194349 -aS'years\tyear\tNNS\tI-NP\tO' -p194350 -aS'.\t.\t.\tO\tO' -p194351 -asS'Echocardiogram showed normal right ventricular and left ventricular size and systolic function .' -p194352 -(lp194353 -S'Echocardiogram\tEchocardiogram\tNN\tB-NP\tO' -p194354 -aS'showed\tshow\tVBD\tB-VP\tO' -p194355 -aS'normal\tnormal\tJJ\tB-NP\tO' -p194356 -aS'right\tright\tJJ\tI-NP\tO' -p194357 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p194358 -aS'and\tand\tCC\tI-NP\tO' -p194359 -aS'left\tleft\tJJ\tI-NP\tO' -p194360 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p194361 -aS'size\tsize\tNN\tI-NP\tO' -p194362 -aS'and\tand\tCC\tI-NP\tO' -p194363 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p194364 -aS'function\tfunction\tNN\tI-NP\tO' -p194365 -aS'.\t.\t.\tO\tO' -p194366 -asS'10. Recent MRSA pneumonia and sepsis 2017-07-21 , treated with Vancomycin' -p194367 -(lp194368 -S'10.\t10.\tLS\tB-NP\tO' -p194369 -aS'Recent\tRecent\tJJ\tI-NP\tO' -p194370 -aS'MRSA\tMRSA\tNN\tI-NP\tO' -p194371 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p194372 -aS'and\tand\tCC\tO\tO' -p194373 -aS'sepsis\tsepsis\tNN\tB-NP\tO' -p194374 -aS'2017-07-21\t2017-07-21\tCD\tI-NP\tO' -p194375 -aS',\t,\t,\tO\tO' -p194376 -aS'treated\ttreat\tVBN\tB-VP\tO' -p194377 -aS'with\twith\tIN\tB-PP\tO' -p194378 -aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' -p194379 -asS'1. Dopamine drip at 3 .' -p194380 -(lp194381 -S'1.\t1.\tLS\tB-NP\tO' -p194382 -aS'Dopamine\tDopamine\tNN\tI-NP\tO' -p194383 -aS'drip\tdrip\tNN\tI-NP\tO' -p194384 -aS'at\tat\tIN\tB-PP\tO' -p194385 -aS'3\t3\tCD\tB-NP\tO' -p194386 -aS'.\t.\t.\tO\tO' -p194387 -asS'During the course of her dialysis , she had a great improvement in her lower extremity edema and her oxygen saturation .' -p194388 -(lp194389 -S'During\tDuring\tIN\tB-PP\tO' -p194390 -aS'the\tthe\tDT\tB-NP\tO' -p194391 -aS'course\tcourse\tNN\tI-NP\tO' -p194392 -aS'of\tof\tIN\tB-PP\tO' -p194393 -aS'her\ther\tPRP$\tB-NP\tO' -p194394 -aS'dialysis\tdialysis\tNN\tI-NP\tO' -p194395 -aS',\t,\t,\tO\tO' -p194396 -aS'she\tshe\tPRP\tB-NP\tO' -p194397 -aS'had\thave\tVBD\tB-VP\tO' -p194398 -aS'a\ta\tDT\tB-NP\tO' -p194399 -aS'great\tgreat\tJJ\tI-NP\tO' -p194400 -aS'improvement\timprovement\tNN\tI-NP\tO' -p194401 -aS'in\tin\tIN\tB-PP\tO' -p194402 -aS'her\ther\tPRP$\tB-NP\tO' -p194403 -aS'lower\tlow\tJJR\tI-NP\tO' -p194404 -aS'extremity\textremity\tNN\tI-NP\tO' -p194405 -aS'edema\tedema\tNN\tI-NP\tO' -p194406 -aS'and\tand\tCC\tO\tO' -p194407 -aS'her\ther\tPRP$\tB-NP\tO' -p194408 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p194409 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p194410 -aS'.\t.\t.\tO\tO' -p194411 -asS'The markedly low - attenation ( 14-15 HU ) centered within this process suggests either irreversible demyelination with cavitation (" black hole "), or lacunar infarction on a vascular basis .' -p194412 -(lp194413 -S'The\tThe\tDT\tB-NP\tO' -p194414 -aS'markedly\tmarkedly\tRB\tI-NP\tO' -p194415 -aS'low\tlow\tJJ\tI-NP\tO' -p194416 -aS'-\t-\tHYPH\tI-NP\tO' -p194417 -aS'attenation\tattenation\tNN\tI-NP\tO' -p194418 -aS'(\t(\t(\tO\tO' -p194419 -aS'14-15\t14-15\tCD\tB-NP\tO' -p194420 -aS'HU\tHU\tNN\tI-NP\tO' -p194421 -aS')\t)\t)\tO\tO' -p194422 -aS'centered\tcenter\tVBN\tB-ADJP\tO' -p194423 -aS'within\twithin\tIN\tB-PP\tO' -p194424 -aS'this\tthis\tDT\tB-NP\tO' -p194425 -aS'process\tprocess\tNN\tI-NP\tO' -p194426 -aS'suggests\tsuggest\tVBZ\tB-VP\tO' -p194427 -aS'either\teither\tCC\tO\tO' -p194428 -aS'irreversible\tirreversible\tJJ\tB-NP\tO' -p194429 -aS'demyelination\tdemyelination\tNN\tI-NP\tO' -p194430 -aS'with\twith\tIN\tB-PP\tO' -p194431 -aS'cavitation\tcavitation\tNN\tB-NP\tO' -p194432 -aS'("\t("\tNN\tI-NP\tO' -p194433 -aS'black\tblack\tJJ\tI-NP\tO' -p194434 -aS'hole\thole\tNN\tI-NP\tO' -p194435 -aS'"),\t"),\tNN\tI-NP\tO' -p194436 -aS'or\tor\tCC\tO\tO' -p194437 -aS'lacunar\tlacunar\tJJ\tB-NP\tO' -p194438 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p194439 -aS'on\ton\tIN\tB-PP\tO' -p194440 -aS'a\ta\tDT\tB-NP\tO' -p194441 -aS'vascular\tvascular\tJJ\tI-NP\tO' -p194442 -aS'basis\tbasis\tNN\tI-NP\tO' -p194443 -aS'.\t.\t.\tO\tO' -p194444 -asS'Social work was consulted .' -p194445 -(lp194446 -S'Social\tSocial\tJJ\tB-NP\tO' -p194447 -aS'work\twork\tNN\tI-NP\tO' -p194448 -aS'was\tbe\tVBD\tB-VP\tO' -p194449 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p194450 -aS'.\t.\t.\tO\tO' -p194451 -asS'He had no valvular disease .' -p194452 -(lp194453 -S'He\tHe\tPRP\tB-NP\tO' -p194454 -aS'had\thave\tVBD\tB-VP\tO' -p194455 -aS'no\tno\tDT\tB-NP\tO' -p194456 -aS'valvular\tvalvular\tJJ\tI-NP\tO' -p194457 -aS'disease\tdisease\tNN\tI-NP\tO' -p194458 -aS'.\t.\t.\tO\tO' -p194459 -asS'He also had consults from Urology for his hematuria as well as Medicine preoperatively and CMED CCU .' -p194460 -(lp194461 -S'He\tHe\tPRP\tB-NP\tO' -p194462 -aS'also\talso\tRB\tB-ADVP\tO' -p194463 -aS'had\thave\tVBD\tB-VP\tO' -p194464 -aS'consults\tconsult\tNNS\tB-NP\tO' -p194465 -aS'from\tfrom\tIN\tB-PP\tO' -p194466 -aS'Urology\tUrology\tNNP\tB-NP\tO' -p194467 -aS'for\tfor\tIN\tB-PP\tO' -p194468 -aS'his\this\tPRP$\tB-NP\tO' -p194469 -aS'hematuria\thematuria\tNN\tI-NP\tO' -p194470 -aS'as\tas\tRB\tB-CONJP\tO' -p194471 -aS'well\twell\tRB\tI-CONJP\tO' -p194472 -aS'as\tas\tIN\tI-CONJP\tO' -p194473 -aS'Medicine\tMedicine\tNN\tB-NP\tO' -p194474 -aS'preoperatively\tpreoperatively\tRB\tB-ADVP\tO' -p194475 -aS'and\tand\tCC\tO\tO' -p194476 -aS'CMED\tCMED\tVBN\tB-NP\tO' -p194477 -aS'CCU\tCCU\tNN\tI-NP\tO' -p194478 -aS'.\t.\t.\tO\tO' -p194479 -asS'The patient had lower extremity arterial non-invasive study which showed good arterial hemodynamics of the left lower extremity , perfusion to the TM level , but there was evidence of diabetic small vessel disease and spasm of his digits .' -p194480 -(lp194481 -S'The\tThe\tDT\tB-NP\tO' -p194482 -aS'patient\tpatient\tNN\tI-NP\tO' -p194483 -aS'had\thave\tVBD\tB-VP\tO' -p194484 -aS'lower\tlow\tJJR\tB-NP\tO' -p194485 -aS'extremity\textremity\tNN\tI-NP\tO' -p194486 -aS'arterial\tarterial\tJJ\tI-NP\tO' -p194487 -aS'non-invasive\tnon-invasive\tJJ\tI-NP\tO' -p194488 -aS'study\tstudy\tNN\tI-NP\tO' -p194489 -aS'which\twhich\tWDT\tB-NP\tO' -p194490 -aS'showed\tshow\tVBD\tB-VP\tO' -p194491 -aS'good\tgood\tJJ\tB-NP\tO' -p194492 -aS'arterial\tarterial\tJJ\tI-NP\tO' -p194493 -aS'hemodynamics\themodynamic\tNNS\tI-NP\tO' -p194494 -aS'of\tof\tIN\tB-PP\tO' -p194495 -aS'the\tthe\tDT\tB-NP\tO' -p194496 -aS'left\tleft\tJJ\tI-NP\tO' -p194497 -aS'lower\tlow\tJJR\tI-NP\tO' -p194498 -aS'extremity\textremity\tNN\tI-NP\tO' -p194499 -aS',\t,\t,\tO\tO' -p194500 -aS'perfusion\tperfusion\tNN\tB-NP\tO' -p194501 -aS'to\tto\tTO\tB-PP\tO' -p194502 -aS'the\tthe\tDT\tB-NP\tO' -p194503 -aS'TM\tTM\tNN\tI-NP\tO' -p194504 -aS'level\tlevel\tNN\tI-NP\tO' -p194505 -aS',\t,\t,\tO\tO' -p194506 -aS'but\tbut\tCC\tO\tO' -p194507 -aS'there\tthere\tEX\tB-NP\tO' -p194508 -aS'was\tbe\tVBD\tB-VP\tO' -p194509 -aS'evidence\tevidence\tNN\tB-NP\tO' -p194510 -aS'of\tof\tIN\tB-PP\tO' -p194511 -aS'diabetic\tdiabetic\tJJ\tB-NP\tO' -p194512 -aS'small\tsmall\tJJ\tI-NP\tO' -p194513 -aS'vessel\tvessel\tNN\tI-NP\tO' -p194514 -aS'disease\tdisease\tNN\tI-NP\tO' -p194515 -aS'and\tand\tCC\tO\tO' -p194516 -aS'spasm\tspasm\tNN\tB-NP\tO' -p194517 -aS'of\tof\tIN\tB-PP\tO' -p194518 -aS'his\this\tPRP$\tB-NP\tO' -p194519 -aS'digits\tdigit\tNNS\tI-NP\tO' -p194520 -aS'.\t.\t.\tO\tO' -p194521 -asS'This 28 day course was completed on 07/15/95 .' -p194522 -(lp194523 -S'This\tThis\tDT\tB-NP\tO' -p194524 -aS'28\t28\tCD\tI-NP\tO' -p194525 -aS'day\tday\tNN\tI-NP\tO' -p194526 -aS'course\tcourse\tNN\tI-NP\tO' -p194527 -aS'was\tbe\tVBD\tB-VP\tO' -p194528 -aS'completed\tcomplete\tVBN\tI-VP\tO' -p194529 -aS'on\ton\tIN\tB-PP\tO' -p194530 -aS'07/15/95\t07/15/95\tCD\tB-NP\tO' -p194531 -aS'.\t.\t.\tO\tO' -p194532 -asS'She was awake , alert and oriented to person , place , and time .' -p194533 -(lp194534 -S'She\tShe\tPRP\tB-NP\tO' -p194535 -aS'was\tbe\tVBD\tB-VP\tO' -p194536 -aS'awake\tawake\tJJ\tB-ADJP\tO' -p194537 -aS',\t,\t,\tO\tO' -p194538 -aS'alert\talert\tJJ\tB-ADJP\tO' -p194539 -aS'and\tand\tCC\tO\tO' -p194540 -aS'oriented\torient\tVBN\tB-VP\tO' -p194541 -aS'to\tto\tTO\tB-PP\tO' -p194542 -aS'person\tperson\tNN\tB-NP\tO' -p194543 -aS',\t,\t,\tO\tO' -p194544 -aS'place\tplace\tNN\tB-NP\tO' -p194545 -aS',\t,\t,\tO\tO' -p194546 -aS'and\tand\tCC\tO\tO' -p194547 -aS'time\ttime\tNN\tB-NP\tO' -p194548 -aS'.\t.\t.\tO\tO' -p194549 -asS'13. Morphine 2 mg / mL Syringe Sig : 1-2 mg Injection Q4H ( every 4 hours ) as needed .' -p194550 -(lp194551 -S'13.\t13.\tLS\tB-NP\tO' -p194552 -aS'Morphine\tMorphine\tNN\tI-NP\tO' -p194553 -aS'2\t2\tCD\tI-NP\tO' -p194554 -aS'mg\tmg\tNN\tI-NP\tO' -p194555 -aS'/\t/\tSYM\tB-NP\tO' -p194556 -aS'mL\tmL\tNN\tI-NP\tO' -p194557 -aS'Syringe\tSyringe\tNNP\tI-NP\tO' -p194558 -aS'Sig\tSig\tNNP\tI-NP\tO' -p194559 -aS':\t:\t:\tO\tO' -p194560 -aS'1-2\t1-2\tCD\tB-NP\tO' -p194561 -aS'mg\tmg\tNN\tI-NP\tO' -p194562 -aS'Injection\tInjection\tNN\tI-NP\tO' -p194563 -aS'Q4H\tQ4H\tNN\tI-NP\tO' -p194564 -aS'(\t(\t(\tO\tO' -p194565 -aS'every\tevery\tDT\tB-NP\tO' -p194566 -aS'4\t4\tCD\tI-NP\tO' -p194567 -aS'hours\thour\tNNS\tI-NP\tO' -p194568 -aS')\t)\t)\tO\tO' -p194569 -aS'as\tas\tIN\tB-SBAR\tO' -p194570 -aS'needed\tneed\tVBN\tB-VP\tO' -p194571 -aS'.\t.\t.\tO\tO' -p194572 -asS'# Acute Renal Failure - stable , likely 02-12 hypotension leading to ATN that is slowly improving .' -p194573 -(lp194574 -S'#\t#\t#\tB-NP\tO' -p194575 -aS'Acute\tAcute\tJJ\tI-NP\tO' -p194576 -aS'Renal\tRenal\tJJ\tI-NP\tO' -p194577 -aS'Failure\tFailure\tNN\tI-NP\tO' -p194578 -aS'-\t-\tHYPH\tB-NP\tO' -p194579 -aS'stable\tstable\tJJ\tI-NP\tO' -p194580 -aS',\t,\t,\tI-NP\tO' -p194581 -aS'likely\tlikely\tJJ\tI-NP\tO' -p194582 -aS'02-12\t02-12\tCD\tI-NP\tO' -p194583 -aS'hypotension\thypotension\tNN\tI-NP\tO' -p194584 -aS'leading\tlead\tVBG\tB-VP\tO' -p194585 -aS'to\tto\tTO\tB-PP\tO' -p194586 -aS'ATN\tATN\tNN\tB-NP\tB-protein' -p194587 -aS'that\tthat\tWDT\tB-NP\tO' -p194588 -aS'is\tbe\tVBZ\tB-VP\tO' -p194589 -aS'slowly\tslowly\tRB\tB-ADJP\tO' -p194590 -aS'improving\timproving\tJJ\tI-ADJP\tO' -p194591 -aS'.\t.\t.\tO\tO' -p194592 -asS'Lillian R. / hypoxic respiratory distress .' -p194593 -(lp194594 -S'Lillian\tLillian\tJJ\tB-NP\tO' -p194595 -aS'R.\tR.\tNN\tI-NP\tO' -p194596 -aS'/\t/\tSYM\tB-VP\tO' -p194597 -aS'hypoxic\thypoxic\tJJ\tB-NP\tO' -p194598 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p194599 -aS'distress\tdistress\tNN\tI-NP\tO' -p194600 -aS'.\t.\t.\tO\tO' -p194601 -asS'Her labs showed a white blood count of 7.7 , hematocrit of 33.3 , and platelets were 305 .' -p194602 -(lp194603 -S'Her\tHer\tPRP$\tB-NP\tO' -p194604 -aS'labs\tlab\tNNS\tI-NP\tO' -p194605 -aS'showed\tshow\tVBD\tB-VP\tO' -p194606 -aS'a\ta\tDT\tB-NP\tO' -p194607 -aS'white\twhite\tJJ\tI-NP\tO' -p194608 -aS'blood\tblood\tNN\tI-NP\tO' -p194609 -aS'count\tcount\tNN\tI-NP\tO' -p194610 -aS'of\tof\tIN\tB-PP\tO' -p194611 -aS'7.7\t7.7\tCD\tB-NP\tO' -p194612 -aS',\t,\t,\tO\tO' -p194613 -aS'hematocrit\thematocrit\tNN\tB-NP\tO' -p194614 -aS'of\tof\tIN\tB-PP\tO' -p194615 -aS'33.3\t33.3\tCD\tB-NP\tO' -p194616 -aS',\t,\t,\tO\tO' -p194617 -aS'and\tand\tCC\tO\tO' -p194618 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p194619 -aS'were\tbe\tVBD\tB-VP\tO' -p194620 -aS'305\t305\tCD\tB-NP\tO' -p194621 -aS'.\t.\t.\tO\tO' -p194622 -asS'He denies any CP , N/V/D , abdominal pain , or HA .' -p194623 -(lp194624 -S'He\tHe\tPRP\tB-NP\tO' -p194625 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p194626 -aS'any\tany\tDT\tB-NP\tO' -p194627 -aS'CP\tCP\tNN\tI-NP\tB-DNA' -p194628 -aS',\t,\t,\tO\tO' -p194629 -aS'N/V/D\tN/V/D\tNN\tB-NP\tB-protein' -p194630 -aS',\t,\t,\tO\tO' -p194631 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p194632 -aS'pain\tpain\tNN\tI-NP\tO' -p194633 -aS',\t,\t,\tO\tO' -p194634 -aS'or\tor\tCC\tO\tO' -p194635 -aS'HA\tHA\tNN\tB-NP\tO' -p194636 -aS'.\t.\t.\tO\tO' -p194637 -asS'She was found to have intermedullary lesion at C1-2 level which on biopsy showed abnormal vasculature , hemosiderin deposit , leading in turn to the discovery of a dural arteriovenous malformation at that level which was surgically corrected .' -p194638 -(lp194639 -S'She\tShe\tPRP\tB-NP\tO' -p194640 -aS'was\tbe\tVBD\tB-VP\tO' -p194641 -aS'found\tfind\tVBN\tI-VP\tO' -p194642 -aS'to\tto\tTO\tI-VP\tO' -p194643 -aS'have\thave\tVB\tI-VP\tO' -p194644 -aS'intermedullary\tintermedullary\tJJ\tB-NP\tO' -p194645 -aS'lesion\tlesion\tNN\tI-NP\tO' -p194646 -aS'at\tat\tIN\tB-PP\tO' -p194647 -aS'C1-2\tC1-2\tNN\tB-NP\tO' -p194648 -aS'level\tlevel\tNN\tI-NP\tO' -p194649 -aS'which\twhich\tWDT\tB-NP\tO' -p194650 -aS'on\ton\tIN\tB-PP\tO' -p194651 -aS'biopsy\tbiopsy\tNN\tB-NP\tO' -p194652 -aS'showed\tshow\tVBD\tB-VP\tO' -p194653 -aS'abnormal\tabnormal\tJJ\tB-NP\tO' -p194654 -aS'vasculature\tvasculature\tNN\tI-NP\tO' -p194655 -aS',\t,\t,\tO\tO' -p194656 -aS'hemosiderin\themosiderin\tNN\tB-NP\tB-protein' -p194657 -aS'deposit\tdeposit\tNN\tI-NP\tI-protein' -p194658 -aS',\t,\t,\tO\tO' -p194659 -aS'leading\tlead\tVBG\tB-VP\tO' -p194660 -aS'in\tin\tIN\tB-PP\tO' -p194661 -aS'turn\tturn\tNN\tB-NP\tO' -p194662 -aS'to\tto\tTO\tB-PP\tO' -p194663 -aS'the\tthe\tDT\tB-NP\tO' -p194664 -aS'discovery\tdiscovery\tNN\tI-NP\tO' -p194665 -aS'of\tof\tIN\tB-PP\tO' -p194666 -aS'a\ta\tDT\tB-NP\tO' -p194667 -aS'dural\tdural\tJJ\tI-NP\tO' -p194668 -aS'arteriovenous\tarteriovenous\tJJ\tI-NP\tO' -p194669 -aS'malformation\tmalformation\tNN\tI-NP\tO' -p194670 -aS'at\tat\tIN\tB-PP\tO' -p194671 -aS'that\tthat\tDT\tB-NP\tO' -p194672 -aS'level\tlevel\tNN\tI-NP\tO' -p194673 -aS'which\twhich\tWDT\tB-NP\tO' -p194674 -aS'was\tbe\tVBD\tB-VP\tO' -p194675 -aS'surgically\tsurgically\tRB\tI-VP\tO' -p194676 -aS'corrected\tcorrect\tVBN\tI-VP\tO' -p194677 -aS'.\t.\t.\tO\tO' -p194678 -asS'This was a non-Q wave myocardial infarction as there were no diagnostic electrocardiogram changes .' -p194679 -(lp194680 -S'This\tThis\tDT\tB-NP\tO' -p194681 -aS'was\tbe\tVBD\tB-VP\tO' -p194682 -aS'a\ta\tDT\tB-NP\tO' -p194683 -aS'non-Q\tnon-Q\tJJ\tI-NP\tO' -p194684 -aS'wave\twave\tNN\tI-NP\tO' -p194685 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p194686 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p194687 -aS'as\tas\tIN\tB-SBAR\tO' -p194688 -aS'there\tthere\tEX\tB-NP\tO' -p194689 -aS'were\tbe\tVBD\tB-VP\tO' -p194690 -aS'no\tno\tDT\tB-NP\tO' -p194691 -aS'diagnostic\tdiagnostic\tJJ\tI-NP\tO' -p194692 -aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' -p194693 -aS'changes\tchange\tNNS\tI-NP\tO' -p194694 -aS'.\t.\t.\tO\tO' -p194695 -asS'pt discharged home on 01-24 with instructions to complete 2 week course of vancomycin at hemodialysis for his PORT line infection .' -p194696 -(lp194697 -S'pt\tpt\tNN\tB-NP\tO' -p194698 -aS'discharged\tdischarge\tVBD\tB-VP\tO' -p194699 -aS'home\thome\tNN\tB-NP\tO' -p194700 -aS'on\ton\tIN\tB-PP\tO' -p194701 -aS'01-24\t01-24\tCD\tB-NP\tO' -p194702 -aS'with\twith\tIN\tB-PP\tO' -p194703 -aS'instructions\tinstruction\tNNS\tB-NP\tO' -p194704 -aS'to\tto\tTO\tB-VP\tO' -p194705 -aS'complete\tcomplete\tVB\tI-VP\tO' -p194706 -aS'2\t2\tCD\tB-NP\tO' -p194707 -aS'week\tweek\tNN\tI-NP\tO' -p194708 -aS'course\tcourse\tNN\tI-NP\tO' -p194709 -aS'of\tof\tIN\tB-PP\tO' -p194710 -aS'vancomycin\tvancomycin\tNN\tB-NP\tO' -p194711 -aS'at\tat\tIN\tB-PP\tO' -p194712 -aS'hemodialysis\themodialysis\tNN\tB-NP\tO' -p194713 -aS'for\tfor\tIN\tB-PP\tO' -p194714 -aS'his\this\tPRP$\tB-NP\tO' -p194715 -aS'PORT\tPORT\tNN\tI-NP\tO' -p194716 -aS'line\tline\tNN\tI-NP\tO' -p194717 -aS'infection\tinfection\tNN\tI-NP\tO' -p194718 -aS'.\t.\t.\tO\tO' -p194719 -asS'neutrophils , 0 bands .' -p194720 -(lp194721 -S'neutrophils\tneutrophil\tNNS\tB-NP\tB-cell_type' -p194722 -aS',\t,\t,\tO\tO' -p194723 -aS'0\t0\tCD\tB-NP\tO' -p194724 -aS'bands\tband\tNNS\tI-NP\tO' -p194725 -aS'.\t.\t.\tO\tO' -p194726 -asS'There was no dysarthria .' -p194727 -(lp194728 -S'There\tThere\tEX\tB-NP\tO' -p194729 -aS'was\tbe\tVBD\tB-VP\tO' -p194730 -aS'no\tno\tDT\tB-NP\tO' -p194731 -aS'dysarthria\tdysarthria\tNN\tI-NP\tO' -p194732 -aS'.\t.\t.\tO\tO' -p194733 -asS'However , we are not quite sure why this was occurring .' -p194734 -(lp194735 -S'However\tHowever\tRB\tB-ADVP\tO' -p194736 -aS',\t,\t,\tO\tO' -p194737 -aS'we\twe\tPRP\tB-NP\tO' -p194738 -aS'are\tbe\tVBP\tB-VP\tO' -p194739 -aS'not\tnot\tRB\tO\tO' -p194740 -aS'quite\tquite\tRB\tB-ADJP\tO' -p194741 -aS'sure\tsure\tJJ\tI-ADJP\tO' -p194742 -aS'why\twhy\tWRB\tB-ADVP\tO' -p194743 -aS'this\tthis\tDT\tB-NP\tO' -p194744 -aS'was\tbe\tVBD\tB-VP\tO' -p194745 -aS'occurring\toccur\tVBG\tI-VP\tO' -p194746 -aS'.\t.\t.\tO\tO' -p194747 -asS'She was initially evaluated at an outside hospital emergency room , and then transferred to Well General Hospital .' -p194748 -(lp194749 -S'She\tShe\tPRP\tB-NP\tO' -p194750 -aS'was\tbe\tVBD\tB-VP\tO' -p194751 -aS'initially\tinitially\tRB\tI-VP\tO' -p194752 -aS'evaluated\tevaluate\tVBN\tI-VP\tO' -p194753 -aS'at\tat\tIN\tB-PP\tO' -p194754 -aS'an\tan\tDT\tB-NP\tO' -p194755 -aS'outside\toutside\tJJ\tI-NP\tO' -p194756 -aS'hospital\thospital\tNN\tI-NP\tO' -p194757 -aS'emergency\temergency\tNN\tI-NP\tO' -p194758 -aS'room\troom\tNN\tI-NP\tO' -p194759 -aS',\t,\t,\tO\tO' -p194760 -aS'and\tand\tCC\tO\tO' -p194761 -aS'then\tthen\tRB\tB-VP\tO' -p194762 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p194763 -aS'to\tto\tTO\tB-PP\tO' -p194764 -aS'Well\tWell\tNNP\tB-NP\tO' -p194765 -aS'General\tGeneral\tNNP\tI-NP\tO' -p194766 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p194767 -aS'.\t.\t.\tO\tO' -p194768 -asS'4. Aeroseb .' -p194769 -(lp194770 -S'4.\t4.\tLS\tB-LST\tO' -p194771 -aS'Aeroseb\tAeroseb\tNNP\tB-NP\tO' -p194772 -aS'.\t.\t.\tO\tO' -p194773 -asS'On 1/12/92 she was taken to the operating room where she underwent a neart total gastrectomy with a retrocolic Bill-Roth II gastrojejunostomy reconstruction .' -p194774 -(lp194775 -S'On\tOn\tIN\tB-PP\tO' -p194776 -aS'1/12/92\t1/12/92\tCD\tB-NP\tO' -p194777 -aS'she\tshe\tPRP\tB-NP\tO' -p194778 -aS'was\tbe\tVBD\tB-VP\tO' -p194779 -aS'taken\ttake\tVBN\tI-VP\tO' -p194780 -aS'to\tto\tTO\tB-PP\tO' -p194781 -aS'the\tthe\tDT\tB-NP\tO' -p194782 -aS'operating\toperating\tNN\tI-NP\tO' -p194783 -aS'room\troom\tNN\tI-NP\tO' -p194784 -aS'where\twhere\tWRB\tB-ADVP\tO' -p194785 -aS'she\tshe\tPRP\tB-NP\tO' -p194786 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p194787 -aS'a\ta\tDT\tB-NP\tO' -p194788 -aS'neart\tneart\tRB\tI-NP\tO' -p194789 -aS'total\ttotal\tJJ\tI-NP\tO' -p194790 -aS'gastrectomy\tgastrectomy\tNN\tI-NP\tO' -p194791 -aS'with\twith\tIN\tB-PP\tO' -p194792 -aS'a\ta\tDT\tB-NP\tO' -p194793 -aS'retrocolic\tretrocolic\tJJ\tI-NP\tO' -p194794 -aS'Bill-Roth\tBill-Roth\tNN\tI-NP\tO' -p194795 -aS'II\tII\tCD\tI-NP\tO' -p194796 -aS'gastrojejunostomy\tgastrojejunostomy\tNN\tI-NP\tO' -p194797 -aS'reconstruction\treconstruction\tNN\tI-NP\tO' -p194798 -aS'.\t.\t.\tO\tO' -p194799 -asS'He was discharged to the Floor .' -p194800 -(lp194801 -S'He\tHe\tPRP\tB-NP\tO' -p194802 -aS'was\tbe\tVBD\tB-VP\tO' -p194803 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p194804 -aS'to\tto\tTO\tB-PP\tO' -p194805 -aS'the\tthe\tDT\tB-NP\tO' -p194806 -aS'Floor\tFloor\tNN\tI-NP\tO' -p194807 -aS'.\t.\t.\tO\tO' -p194808 -asS'BP did not improve despite 2 L NS and 100 mg IV hydrocortisone .' -p194809 -(lp194810 -S'BP\tBP\tNN\tB-NP\tO' -p194811 -aS'did\tdo\tVBD\tB-VP\tO' -p194812 -aS'not\tnot\tRB\tI-VP\tO' -p194813 -aS'improve\timprove\tVB\tI-VP\tO' -p194814 -aS'despite\tdespite\tIN\tB-NP\tO' -p194815 -aS'2\t2\tCD\tI-NP\tO' -p194816 -aS'L\tL\tNN\tI-NP\tO' -p194817 -aS'NS\tNS\tNN\tI-NP\tO' -p194818 -aS'and\tand\tCC\tO\tO' -p194819 -aS'100\t100\tCD\tB-NP\tO' -p194820 -aS'mg\tmg\tNN\tI-NP\tO' -p194821 -aS'IV\tIV\tCD\tB-NP\tO' -p194822 -aS'hydrocortisone\thydrocortisone\tNN\tI-NP\tO' -p194823 -aS'.\t.\t.\tO\tO' -p194824 -asS'Plan for surgery in Oct was deferred 04-05 syncope and pacer placement for SSS; again deferred 2 weeks ago 04-05 URI; was planned for surgery this Thurday .' -p194825 -(lp194826 -S'Plan\tPlan\tNN\tB-NP\tO' -p194827 -aS'for\tfor\tIN\tB-PP\tO' -p194828 -aS'surgery\tsurgery\tNN\tB-NP\tO' -p194829 -aS'in\tin\tIN\tB-PP\tO' -p194830 -aS'Oct\tOct\tNN\tB-NP\tB-DNA' -p194831 -aS'was\tbe\tVBD\tB-VP\tO' -p194832 -aS'deferred\tdefer\tVBN\tI-VP\tO' -p194833 -aS'04-05\t04-05\tCD\tB-NP\tO' -p194834 -aS'syncope\tsyncope\tNN\tI-NP\tO' -p194835 -aS'and\tand\tCC\tI-NP\tO' -p194836 -aS'pacer\tpacer\tNN\tI-NP\tO' -p194837 -aS'placement\tplacement\tNN\tI-NP\tO' -p194838 -aS'for\tfor\tIN\tB-PP\tO' -p194839 -aS'SSS;\tSSS;\tNN\tB-NP\tB-protein' -p194840 -aS'again\tagain\tRB\tB-ADVP\tO' -p194841 -aS'deferred\tdefer\tVBD\tB-VP\tO' -p194842 -aS'2\t2\tCD\tB-NP\tO' -p194843 -aS'weeks\tweek\tNNS\tI-NP\tO' -p194844 -aS'ago\tago\tIN\tB-ADVP\tO' -p194845 -aS'04-05\t04-05\tCD\tB-NP\tO' -p194846 -aS'URI;\tURI;\tNN\tI-NP\tO' -p194847 -aS'was\tbe\tVBD\tB-VP\tO' -p194848 -aS'planned\tplan\tVBN\tI-VP\tO' -p194849 -aS'for\tfor\tIN\tB-PP\tO' -p194850 -aS'surgery\tsurgery\tNN\tB-NP\tO' -p194851 -aS'this\tthis\tDT\tB-NP\tO' -p194852 -aS'Thurday\tThurday\tNNP\tI-NP\tO' -p194853 -aS'.\t.\t.\tO\tO' -p194854 -asS'Her wound remained benign and was healing nicely at the time of discharge .' -p194855 -(lp194856 -S'Her\tHer\tPRP$\tB-NP\tO' -p194857 -aS'wound\twound\tNN\tI-NP\tO' -p194858 -aS'remained\tremain\tVBD\tB-VP\tO' -p194859 -aS'benign\tbenign\tJJ\tB-ADJP\tO' -p194860 -aS'and\tand\tCC\tO\tO' -p194861 -aS'was\tbe\tVBD\tB-VP\tO' -p194862 -aS'healing\theal\tVBG\tI-VP\tO' -p194863 -aS'nicely\tnicely\tRB\tB-ADVP\tO' -p194864 -aS'at\tat\tIN\tB-PP\tO' -p194865 -aS'the\tthe\tDT\tB-NP\tO' -p194866 -aS'time\ttime\tNN\tI-NP\tO' -p194867 -aS'of\tof\tIN\tB-PP\tO' -p194868 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p194869 -aS'.\t.\t.\tO\tO' -p194870 -asS'Reportedly , the patient was at a local restaurant where he was noted to be unresponsive .' -p194871 -(lp194872 -S'Reportedly\tReportedly\tRB\tB-ADVP\tO' -p194873 -aS',\t,\t,\tO\tO' -p194874 -aS'the\tthe\tDT\tB-NP\tO' -p194875 -aS'patient\tpatient\tNN\tI-NP\tO' -p194876 -aS'was\tbe\tVBD\tB-VP\tO' -p194877 -aS'at\tat\tIN\tB-PP\tO' -p194878 -aS'a\ta\tDT\tB-NP\tO' -p194879 -aS'local\tlocal\tJJ\tI-NP\tO' -p194880 -aS'restaurant\trestaurant\tNN\tI-NP\tO' -p194881 -aS'where\twhere\tWRB\tB-ADVP\tO' -p194882 -aS'he\the\tPRP\tB-NP\tO' -p194883 -aS'was\tbe\tVBD\tB-VP\tO' -p194884 -aS'noted\tnote\tVBN\tI-VP\tO' -p194885 -aS'to\tto\tTO\tI-VP\tO' -p194886 -aS'be\tbe\tVB\tI-VP\tO' -p194887 -aS'unresponsive\tunresponsive\tJJ\tB-ADJP\tO' -p194888 -aS'.\t.\t.\tO\tO' -p194889 -asS'That evening , the patient again developed abdominal pain " like his pancreatitis " with nausea and vomiting , for which he was admitted to the Rehab Hospital of the Cape & Islands Hospital .' -p194890 -(lp194891 -S'That\tThat\tDT\tB-NP\tO' -p194892 -aS'evening\tevening\tNN\tI-NP\tO' -p194893 -aS',\t,\t,\tO\tO' -p194894 -aS'the\tthe\tDT\tB-NP\tO' -p194895 -aS'patient\tpatient\tNN\tI-NP\tO' -p194896 -aS'again\tagain\tRB\tB-ADVP\tO' -p194897 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p194898 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p194899 -aS'pain\tpain\tNN\tI-NP\tO' -p194900 -aS'"\t"\t\'\'\tO\tO' -p194901 -aS'like\tlike\tIN\tB-PP\tO' -p194902 -aS'his\this\tPRP$\tB-NP\tO' -p194903 -aS'pancreatitis\tpancreatitis\tNN\tI-NP\tO' -p194904 -aS'"\t"\t\'\'\tO\tO' -p194905 -aS'with\twith\tIN\tB-PP\tO' -p194906 -aS'nausea\tnausea\tNN\tB-NP\tO' -p194907 -aS'and\tand\tCC\tI-NP\tO' -p194908 -aS'vomiting\tvomiting\tNN\tI-NP\tO' -p194909 -aS',\t,\t,\tO\tO' -p194910 -aS'for\tfor\tIN\tB-PP\tO' -p194911 -aS'which\twhich\tWDT\tB-NP\tO' -p194912 -aS'he\the\tPRP\tB-NP\tO' -p194913 -aS'was\tbe\tVBD\tB-VP\tO' -p194914 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p194915 -aS'to\tto\tTO\tB-PP\tO' -p194916 -aS'the\tthe\tDT\tB-NP\tO' -p194917 -aS'Rehab\tRehab\tNNP\tI-NP\tO' -p194918 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p194919 -aS'of\tof\tIN\tB-PP\tO' -p194920 -aS'the\tthe\tDT\tB-NP\tO' -p194921 -aS'Cape\tCape\tNNP\tI-NP\tO' -p194922 -aS'&\t&\tCC\tI-NP\tO' -p194923 -aS'Islands\tIslands\tNNP\tI-NP\tO' -p194924 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p194925 -aS'.\t.\t.\tO\tO' -p194926 -asS'Leukocyte differential count reveals 64 neutrophils , 24% lymphocytes , 8% monocytes , 2% eosinophils , and 2% basophils .' -p194927 -(lp194928 -S'Leukocyte\tLeukocyte\tNN\tB-NP\tO' -p194929 -aS'differential\tdifferential\tJJ\tI-NP\tO' -p194930 -aS'count\tcount\tNN\tI-NP\tO' -p194931 -aS'reveals\treveal\tVBZ\tB-VP\tO' -p194932 -aS'64\t64\tCD\tB-NP\tO' -p194933 -aS'neutrophils\tneutrophil\tNNS\tI-NP\tB-cell_type' -p194934 -aS',\t,\t,\tO\tO' -p194935 -aS'24%\t24%\tNN\tB-NP\tB-cell_line' -p194936 -aS'lymphocytes\tlymphocyte\tNNS\tI-NP\tI-cell_line' -p194937 -aS',\t,\t,\tO\tO' -p194938 -aS'8%\t8%\tNN\tB-NP\tB-cell_type' -p194939 -aS'monocytes\tmonocyte\tNNS\tI-NP\tI-cell_type' -p194940 -aS',\t,\t,\tO\tO' -p194941 -aS'2%\t2%\tNN\tB-NP\tB-cell_line' -p194942 -aS'eosinophils\teosinophil\tNNS\tI-NP\tI-cell_line' -p194943 -aS',\t,\t,\tO\tO' -p194944 -aS'and\tand\tCC\tO\tO' -p194945 -aS'2%\t2%\tCD\tB-NP\tO' -p194946 -aS'basophils\tbasophil\tNNS\tI-NP\tB-cell_type' -p194947 -aS'.\t.\t.\tO\tO' -p194948 -asS'Signed electronically by : DR. Millard Fornataro on : FRI 2019-03-29 4:45 PM' -p194949 -(lp194950 -S'Signed\tSign\tVBN\tB-VP\tO' -p194951 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p194952 -aS'by\tby\tIN\tB-PP\tO' -p194953 -aS':\t:\t:\tO\tO' -p194954 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p194955 -aS'Millard\tMillard\tNNP\tI-NP\tO' -p194956 -aS'Fornataro\tFornataro\tNNP\tI-NP\tO' -p194957 -aS'on\ton\tIN\tB-PP\tO' -p194958 -aS':\t:\t:\tO\tO' -p194959 -aS'FRI\tFRI\tCD\tB-NP\tO' -p194960 -aS'2019-03-29\t2019-03-29\tCD\tI-NP\tO' -p194961 -aS'4:45\t4:45\tCD\tI-NP\tO' -p194962 -aS'PM\tPM\tNN\tI-NP\tO' -p194963 -asS'2 days prior to admission , pt developed hemoptysis; states he coughed up 4 tsp of blood .' -p194964 -(lp194965 -S'2\t2\tCD\tB-NP\tO' -p194966 -aS'days\tday\tNNS\tI-NP\tO' -p194967 -aS'prior\tprior\tRB\tB-ADVP\tO' -p194968 -aS'to\tto\tTO\tB-PP\tO' -p194969 -aS'admission\tadmission\tNN\tB-NP\tO' -p194970 -aS',\t,\t,\tO\tO' -p194971 -aS'pt\tpt\tNN\tB-NP\tO' -p194972 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p194973 -aS'hemoptysis;\themoptysis;\tNN\tB-NP\tO' -p194974 -aS'states\tstate\tNNS\tI-NP\tO' -p194975 -aS'he\the\tPRP\tB-NP\tO' -p194976 -aS'coughed\tcough\tVBD\tB-VP\tO' -p194977 -aS'up\tup\tRB\tB-ADVP\tO' -p194978 -aS'4\t4\tCD\tB-NP\tO' -p194979 -aS'tsp\ttsp\tNN\tI-NP\tO' -p194980 -aS'of\tof\tIN\tB-PP\tO' -p194981 -aS'blood\tblood\tNN\tB-NP\tO' -p194982 -aS'.\t.\t.\tO\tO' -p194983 -asS'right ear pain .' -p194984 -(lp194985 -S'right\tright\tJJ\tB-NP\tO' -p194986 -aS'ear\tear\tJJ\tI-NP\tO' -p194987 -aS'pain\tpain\tNN\tI-NP\tO' -p194988 -aS'.\t.\t.\tO\tO' -p194989 -asS'The patient is being discharged to an acute rehab facility .' -p194990 -(lp194991 -S'The\tThe\tDT\tB-NP\tO' -p194992 -aS'patient\tpatient\tNN\tI-NP\tO' -p194993 -aS'is\tbe\tVBZ\tB-VP\tO' -p194994 -aS'being\tbe\tVBG\tI-VP\tO' -p194995 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p194996 -aS'to\tto\tTO\tB-PP\tO' -p194997 -aS'an\tan\tDT\tB-NP\tO' -p194998 -aS'acute\tacute\tJJ\tI-NP\tO' -p194999 -aS'rehab\trehab\tNN\tI-NP\tO' -p195000 -aS'facility\tfacility\tNN\tI-NP\tO' -p195001 -aS'.\t.\t.\tO\tO' -p195002 -asS'Moist buccal mucosa , poor dentition , no erythema or exudates in the posterior pharynx .' -p195003 -(lp195004 -S'Moist\tMoist\tNN\tB-NP\tO' -p195005 -aS'buccal\tbuccal\tJJ\tI-NP\tO' -p195006 -aS'mucosa\tmucosa\tNN\tI-NP\tO' -p195007 -aS',\t,\t,\tO\tO' -p195008 -aS'poor\tpoor\tJJ\tB-NP\tO' -p195009 -aS'dentition\tdentition\tNN\tI-NP\tO' -p195010 -aS',\t,\t,\tO\tO' -p195011 -aS'no\tno\tDT\tB-NP\tO' -p195012 -aS'erythema\terythema\tNN\tI-NP\tO' -p195013 -aS'or\tor\tCC\tI-NP\tO' -p195014 -aS'exudates\texudate\tNNS\tI-NP\tO' -p195015 -aS'in\tin\tIN\tB-PP\tO' -p195016 -aS'the\tthe\tDT\tB-NP\tO' -p195017 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p195018 -aS'pharynx\tpharynx\tNN\tI-NP\tO' -p195019 -aS'.\t.\t.\tO\tO' -p195020 -asS'4. delirium - The patient had troubles with agitation while in the CMED CCU .' -p195021 -(lp195022 -S'4.\t4.\tLS\tB-NP\tO' -p195023 -aS'delirium\tdelirium\tNN\tI-NP\tO' -p195024 -aS'-\t-\tHYPH\tO\tO' -p195025 -aS'The\tThe\tDT\tB-NP\tO' -p195026 -aS'patient\tpatient\tNN\tI-NP\tO' -p195027 -aS'had\thave\tVBD\tB-VP\tO' -p195028 -aS'troubles\ttrouble\tNNS\tB-NP\tO' -p195029 -aS'with\twith\tIN\tB-PP\tO' -p195030 -aS'agitation\tagitation\tNN\tB-NP\tO' -p195031 -aS'while\twhile\tIN\tB-SBAR\tO' -p195032 -aS'in\tin\tIN\tB-PP\tO' -p195033 -aS'the\tthe\tDT\tB-NP\tO' -p195034 -aS'CMED\tCMED\tVBN\tI-NP\tO' -p195035 -aS'CCU\tCCU\tNN\tI-NP\tO' -p195036 -aS'.\t.\t.\tO\tO' -p195037 -asS'Cranial nerves II through XII are intact .' -p195038 -(lp195039 -S'Cranial\tCranial\tNNP\tB-NP\tO' -p195040 -aS'nerves\tnerve\tVBZ\tB-VP\tO' -p195041 -aS'II\tII\tCD\tB-NP\tO' -p195042 -aS'through\tthrough\tIN\tB-PP\tO' -p195043 -aS'XII\tXII\tNN\tB-NP\tB-DNA' -p195044 -aS'are\tbe\tVBP\tB-VP\tO' -p195045 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p195046 -aS'.\t.\t.\tO\tO' -p195047 -asS'5-Hepatic failure .' -p195048 -(lp195049 -S'5-Hepatic\t5-Hepatic\tJJ\tB-NP\tO' -p195050 -aS'failure\tfailure\tNN\tI-NP\tO' -p195051 -aS'.\t.\t.\tO\tO' -p195052 -asS"Pt 's respiratory distress is most likely on setting of aspiration pneumonia vs. pneumonitis in the setting of depressed mental status secondary to post-operative narcotics ." -p195053 -(lp195054 -S'Pt\tPt\tNN\tB-NP\tO' -p195055 -aS"'s\t's\tPOS\tB-NP\tO" -p195056 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p195057 -aS'distress\tdistress\tNN\tI-NP\tO' -p195058 -aS'is\tbe\tVBZ\tB-VP\tO' -p195059 -aS'most\tmost\tRBS\tB-ADJP\tO' -p195060 -aS'likely\tlikely\tJJ\tI-ADJP\tO' -p195061 -aS'on\ton\tIN\tB-PP\tO' -p195062 -aS'setting\tset\tVBG\tB-VP\tO' -p195063 -aS'of\tof\tIN\tB-PP\tO' -p195064 -aS'aspiration\taspiration\tNN\tB-NP\tO' -p195065 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p195066 -aS'vs.\tvs.\tIN\tB-PP\tO' -p195067 -aS'pneumonitis\tpneumonitis\tNN\tB-NP\tO' -p195068 -aS'in\tin\tIN\tB-PP\tO' -p195069 -aS'the\tthe\tDT\tB-NP\tO' -p195070 -aS'setting\tsetting\tNN\tI-NP\tO' -p195071 -aS'of\tof\tIN\tB-PP\tO' -p195072 -aS'depressed\tdepressed\tJJ\tB-NP\tO' -p195073 -aS'mental\tmental\tJJ\tI-NP\tO' -p195074 -aS'status\tstatus\tNN\tI-NP\tO' -p195075 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p195076 -aS'to\tto\tTO\tB-PP\tO' -p195077 -aS'post-operative\tpost-operative\tJJ\tB-NP\tO' -p195078 -aS'narcotics\tnarcotic\tNNS\tI-NP\tO' -p195079 -aS'.\t.\t.\tO\tO' -p195080 -asS'He was instructed to follow up with Dr. Conway in 2 weeks and an appointment was made on 11-15 for him at the Louis Schubert Community Health Center to follow his heart rate and continued need for lopressor .' -p195081 -(lp195082 -S'He\tHe\tPRP\tB-NP\tO' -p195083 -aS'was\tbe\tVBD\tB-VP\tO' -p195084 -aS'instructed\tinstruct\tVBN\tI-VP\tO' -p195085 -aS'to\tto\tTO\tI-VP\tO' -p195086 -aS'follow\tfollow\tVB\tI-VP\tO' -p195087 -aS'up\tup\tRP\tB-PRT\tO' -p195088 -aS'with\twith\tIN\tB-PP\tO' -p195089 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p195090 -aS'Conway\tConway\tNNP\tI-NP\tO' -p195091 -aS'in\tin\tIN\tB-PP\tO' -p195092 -aS'2\t2\tCD\tB-NP\tO' -p195093 -aS'weeks\tweek\tNNS\tI-NP\tO' -p195094 -aS'and\tand\tCC\tO\tO' -p195095 -aS'an\tan\tDT\tB-NP\tO' -p195096 -aS'appointment\tappointment\tNN\tI-NP\tO' -p195097 -aS'was\tbe\tVBD\tB-VP\tO' -p195098 -aS'made\tmake\tVBN\tI-VP\tO' -p195099 -aS'on\ton\tIN\tB-PP\tO' -p195100 -aS'11-15\t11-15\tCD\tB-NP\tO' -p195101 -aS'for\tfor\tIN\tB-PP\tO' -p195102 -aS'him\thim\tPRP\tB-NP\tO' -p195103 -aS'at\tat\tIN\tB-PP\tO' -p195104 -aS'the\tthe\tDT\tB-NP\tO' -p195105 -aS'Louis\tLouis\tNNP\tI-NP\tO' -p195106 -aS'Schubert\tSchubert\tNNP\tI-NP\tO' -p195107 -aS'Community\tCommunity\tNNP\tI-NP\tO' -p195108 -aS'Health\tHealth\tNNP\tI-NP\tO' -p195109 -aS'Center\tCenter\tNNP\tI-NP\tO' -p195110 -aS'to\tto\tTO\tB-VP\tO' -p195111 -aS'follow\tfollow\tVB\tI-VP\tO' -p195112 -aS'his\this\tPRP$\tB-NP\tO' -p195113 -aS'heart\theart\tNN\tI-NP\tO' -p195114 -aS'rate\trate\tNN\tI-NP\tO' -p195115 -aS'and\tand\tCC\tO\tO' -p195116 -aS'continued\tcontinued\tJJ\tB-NP\tO' -p195117 -aS'need\tneed\tNN\tI-NP\tO' -p195118 -aS'for\tfor\tIN\tB-PP\tO' -p195119 -aS'lopressor\tlopressor\tNN\tB-NP\tO' -p195120 -aS'.\t.\t.\tO\tO' -p195121 -asS'She was found to have widely metastatic ovarian carcinoma .' -p195122 -(lp195123 -S'She\tShe\tPRP\tB-NP\tO' -p195124 -aS'was\tbe\tVBD\tB-VP\tO' -p195125 -aS'found\tfind\tVBN\tI-VP\tO' -p195126 -aS'to\tto\tTO\tI-VP\tO' -p195127 -aS'have\thave\tVB\tI-VP\tO' -p195128 -aS'widely\twidely\tRB\tB-NP\tO' -p195129 -aS'metastatic\tmetastatic\tJJ\tI-NP\tO' -p195130 -aS'ovarian\tovarian\tJJ\tI-NP\tO' -p195131 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p195132 -aS'.\t.\t.\tO\tO' -p195133 -asS'She also received 80 mg of Solu-Medrol in the Emergency Department .' -p195134 -(lp195135 -S'She\tShe\tPRP\tB-NP\tO' -p195136 -aS'also\talso\tRB\tB-ADVP\tO' -p195137 -aS'received\treceive\tVBD\tB-VP\tO' -p195138 -aS'80\t80\tCD\tB-NP\tO' -p195139 -aS'mg\tmg\tNN\tI-NP\tO' -p195140 -aS'of\tof\tIN\tB-PP\tO' -p195141 -aS'Solu-Medrol\tSolu-Medrol\tNN\tB-NP\tO' -p195142 -aS'in\tin\tIN\tB-PP\tO' -p195143 -aS'the\tthe\tDT\tB-NP\tO' -p195144 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p195145 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p195146 -aS'.\t.\t.\tO\tO' -p195147 -asS'On Hospital day #2 through hospital day #3 , the patient had mild tremor on hands , but improved over hospital course .' -p195148 -(lp195149 -S'On\tOn\tIN\tB-PP\tO' -p195150 -aS'Hospital\tHospital\tNN\tB-NP\tO' -p195151 -aS'day\tday\tNN\tI-NP\tO' -p195152 -aS'#2\t#2\tCD\tB-NP\tO' -p195153 -aS'through\tthrough\tIN\tB-PP\tO' -p195154 -aS'hospital\thospital\tNN\tB-NP\tO' -p195155 -aS'day\tday\tNN\tI-NP\tO' -p195156 -aS'#3\t#3\tNN\tI-NP\tO' -p195157 -aS',\t,\t,\tO\tO' -p195158 -aS'the\tthe\tDT\tB-NP\tO' -p195159 -aS'patient\tpatient\tNN\tI-NP\tO' -p195160 -aS'had\thave\tVBD\tB-VP\tO' -p195161 -aS'mild\tmild\tJJ\tB-NP\tO' -p195162 -aS'tremor\ttremor\tNN\tI-NP\tO' -p195163 -aS'on\ton\tIN\tB-PP\tO' -p195164 -aS'hands\thand\tNNS\tB-NP\tO' -p195165 -aS',\t,\t,\tO\tO' -p195166 -aS'but\tbut\tCC\tO\tO' -p195167 -aS'improved\timprove\tVBD\tB-VP\tO' -p195168 -aS'over\tover\tIN\tB-PP\tO' -p195169 -aS'hospital\thospital\tNN\tB-NP\tO' -p195170 -aS'course\tcourse\tNN\tI-NP\tO' -p195171 -aS'.\t.\t.\tO\tO' -p195172 -asS'Weight 1.7 kg , length 41.5 cm , head circumference 29 cm , all 10th-25th percentile for 34 weeks .' -p195173 -(lp195174 -S'Weight\tWeight\tRB\tB-NP\tO' -p195175 -aS'1.7\t1.7\tCD\tI-NP\tO' -p195176 -aS'kg\tkg\tNN\tI-NP\tO' -p195177 -aS',\t,\t,\tO\tO' -p195178 -aS'length\tlength\tNN\tB-NP\tO' -p195179 -aS'41.5\t41.5\tCD\tI-NP\tO' -p195180 -aS'cm\tcm\tNN\tI-NP\tO' -p195181 -aS',\t,\t,\tO\tO' -p195182 -aS'head\thead\tNN\tB-NP\tO' -p195183 -aS'circumference\tcircumference\tNN\tI-NP\tO' -p195184 -aS'29\t29\tCD\tI-NP\tO' -p195185 -aS'cm\tcm\tNN\tI-NP\tO' -p195186 -aS',\t,\t,\tO\tO' -p195187 -aS'all\tall\tDT\tB-NP\tO' -p195188 -aS'10th-25th\t10th-25th\tJJ\tI-NP\tO' -p195189 -aS'percentile\tpercentile\tNN\tI-NP\tO' -p195190 -aS'for\tfor\tIN\tB-PP\tO' -p195191 -aS'34\t34\tCD\tB-NP\tO' -p195192 -aS'weeks\tweek\tNNS\tI-NP\tO' -p195193 -aS'.\t.\t.\tO\tO' -p195194 -asS'- DM with neuropathy .' -p195195 -(lp195196 -S'-\t-\tHYPH\tB-NP\tO' -p195197 -aS'DM\tDM\tNN\tI-NP\tO' -p195198 -aS'with\twith\tIN\tB-PP\tO' -p195199 -aS'neuropathy\tneuropathy\tNN\tB-NP\tO' -p195200 -aS'.\t.\t.\tO\tO' -p195201 -asS'We also did an ultrasound guided paracentesis .' -p195202 -(lp195203 -S'We\tWe\tPRP\tB-NP\tO' -p195204 -aS'also\talso\tRB\tB-ADVP\tO' -p195205 -aS'did\tdo\tVBD\tB-VP\tO' -p195206 -aS'an\tan\tDT\tB-NP\tO' -p195207 -aS'ultrasound\tultrasound\tJJ\tI-NP\tO' -p195208 -aS'guided\tguide\tVBN\tI-NP\tO' -p195209 -aS'paracentesis\tparacentesis\tNN\tI-NP\tO' -p195210 -aS'.\t.\t.\tO\tO' -p195211 -asS'The patient 's activity should be limited to being up in a chair only for several minutes per day and sit on a special pad that the family has purchased .' -p195212 -(lp195213 -S'The\tThe\tDT\tB-NP\tO' -p195214 -aS'patient\tpatient\tNN\tI-NP\tO' -p195215 -aS''s\t'\tNNS\tI-NP\tO' -p195216 -aS'activity\tactivity\tNN\tI-NP\tO' -p195217 -aS'should\tshould\tMD\tB-VP\tO' -p195218 -aS'be\tbe\tVB\tI-VP\tO' -p195219 -aS'limited\tlimit\tVBN\tI-VP\tO' -p195220 -aS'to\tto\tTO\tB-PP\tO' -p195221 -aS'being\tbe\tVBG\tB-VP\tO' -p195222 -aS'up\tup\tRP\tB-PRT\tO' -p195223 -aS'in\tin\tIN\tB-PP\tO' -p195224 -aS'a\ta\tDT\tB-NP\tO' -p195225 -aS'chair\tchair\tNN\tI-NP\tO' -p195226 -aS'only\tonly\tRB\tB-ADVP\tO' -p195227 -aS'for\tfor\tIN\tB-PP\tO' -p195228 -aS'several\tseveral\tJJ\tB-NP\tO' -p195229 -aS'minutes\tminute\tNNS\tI-NP\tO' -p195230 -aS'per\tper\tIN\tB-PP\tO' -p195231 -aS'day\tday\tNN\tB-NP\tO' -p195232 -aS'and\tand\tCC\tO\tO' -p195233 -aS'sit\tsit\tNN\tB-NP\tB-protein' -p195234 -aS'on\ton\tIN\tB-PP\tO' -p195235 -aS'a\ta\tDT\tB-NP\tO' -p195236 -aS'special\tspecial\tJJ\tI-NP\tO' -p195237 -aS'pad\tpad\tNN\tI-NP\tO' -p195238 -aS'that\tthat\tIN\tB-SBAR\tO' -p195239 -aS'the\tthe\tDT\tB-NP\tO' -p195240 -aS'family\tfamily\tNN\tI-NP\tO' -p195241 -aS'has\thave\tVBZ\tB-VP\tO' -p195242 -aS'purchased\tpurchase\tVBN\tI-VP\tO' -p195243 -aS'.\t.\t.\tO\tO' -p195244 -asS'He had a cardiac catheterization on December 1 , 1995 that showed no complications , elevated right atrial pressure and moderate pulmonary hypertension .' -p195245 -(lp195246 -S'He\tHe\tPRP\tB-NP\tO' -p195247 -aS'had\thave\tVBD\tB-VP\tO' -p195248 -aS'a\ta\tDT\tB-NP\tO' -p195249 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p195250 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p195251 -aS'on\ton\tIN\tB-PP\tO' -p195252 -aS'December\tDecember\tNNP\tB-NP\tO' -p195253 -aS'1\t1\tCD\tI-NP\tO' -p195254 -aS',\t,\t,\tI-NP\tO' -p195255 -aS'1995\t1995\tCD\tI-NP\tO' -p195256 -aS'that\tthat\tWDT\tB-NP\tO' -p195257 -aS'showed\tshow\tVBD\tB-VP\tO' -p195258 -aS'no\tno\tDT\tB-NP\tO' -p195259 -aS'complications\tcomplication\tNNS\tI-NP\tO' -p195260 -aS',\t,\t,\tO\tO' -p195261 -aS'elevated\televate\tVBD\tB-VP\tO' -p195262 -aS'right\tright\tJJ\tB-NP\tO' -p195263 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p195264 -aS'pressure\tpressure\tNN\tI-NP\tO' -p195265 -aS'and\tand\tCC\tO\tO' -p195266 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p195267 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p195268 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p195269 -aS'.\t.\t.\tO\tO' -p195270 -asS'She had normal left ventricular function with apical tip akinesis .' -p195271 -(lp195272 -S'She\tShe\tPRP\tB-NP\tO' -p195273 -aS'had\thave\tVBD\tB-VP\tO' -p195274 -aS'normal\tnormal\tJJ\tB-NP\tO' -p195275 -aS'left\tleft\tJJ\tI-NP\tO' -p195276 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p195277 -aS'function\tfunction\tNN\tI-NP\tO' -p195278 -aS'with\twith\tIN\tB-PP\tO' -p195279 -aS'apical\tapical\tJJ\tB-NP\tO' -p195280 -aS'tip\ttip\tNN\tI-NP\tO' -p195281 -aS'akinesis\takinesis\tNN\tI-NP\tO' -p195282 -aS'.\t.\t.\tO\tO' -p195283 -asS'6. Docusate Sodium 100 mg Capsule Sig : One ( 1 ) Capsule PO BID ( 2 times a day ): Use while taking narcotics .' -p195284 -(lp195285 -S'6.\t6.\tLS\tB-NP\tO' -p195286 -aS'Docusate\tDocusate\tNNP\tI-NP\tO' -p195287 -aS'Sodium\tSodium\tNNP\tI-NP\tO' -p195288 -aS'100\t100\tCD\tI-NP\tO' -p195289 -aS'mg\tmg\tNN\tI-NP\tO' -p195290 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p195291 -aS'Sig\tSig\tNNP\tI-NP\tO' -p195292 -aS':\t:\t:\tO\tO' -p195293 -aS'One\tOne\tCD\tB-NP\tO' -p195294 -aS'(\t(\t(\tO\tO' -p195295 -aS'1\t1\tCD\tB-NP\tO' -p195296 -aS')\t)\t)\tO\tO' -p195297 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p195298 -aS'PO\tPO\tNNP\tI-NP\tO' -p195299 -aS'BID\tBID\tNNP\tI-NP\tO' -p195300 -aS'(\t(\t(\tO\tO' -p195301 -aS'2\t2\tCD\tB-NP\tO' -p195302 -aS'times\ttime\tNNS\tI-NP\tO' -p195303 -aS'a\ta\tDT\tB-NP\tO' -p195304 -aS'day\tday\tNN\tI-NP\tO' -p195305 -aS'):\t):\t:\tO\tO' -p195306 -aS'Use\tUse\tNN\tB-NP\tO' -p195307 -aS'while\twhile\tIN\tB-SBAR\tO' -p195308 -aS'taking\ttake\tVBG\tB-VP\tO' -p195309 -aS'narcotics\tnarcotic\tNNS\tB-NP\tO' -p195310 -aS'.\t.\t.\tO\tO' -p195311 -asS'The patient has a history of adult onset diabetes mellitus , ankylosing spondylitis , status post myocardial infarction in '96 ( ? ) now with acute onset of left face and arm greater than leg hemiplegia and primary hemisensory loss on the left .' -p195312 -(lp195313 -S'The\tThe\tDT\tB-NP\tO' -p195314 -aS'patient\tpatient\tNN\tI-NP\tO' -p195315 -aS'has\thave\tVBZ\tB-VP\tO' -p195316 -aS'a\ta\tDT\tB-NP\tO' -p195317 -aS'history\thistory\tNN\tI-NP\tO' -p195318 -aS'of\tof\tIN\tB-PP\tO' -p195319 -aS'adult\tadult\tJJ\tB-NP\tO' -p195320 -aS'onset\tonset\tNN\tI-NP\tO' -p195321 -aS'diabetes\tdiabetes\tNN\tI-NP\tO' -p195322 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p195323 -aS',\t,\t,\tO\tO' -p195324 -aS'ankylosing\tankylose\tVBG\tB-VP\tO' -p195325 -aS'spondylitis\tspondylitis\tNN\tB-NP\tO' -p195326 -aS',\t,\t,\tO\tO' -p195327 -aS'status\tstatus\tNN\tB-NP\tO' -p195328 -aS'post\tpost\tNN\tI-NP\tO' -p195329 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p195330 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p195331 -aS'in\tin\tIN\tB-PP\tO' -p195332 -aS''96\t'96\tCD\tB-NP\tO' -p195333 -aS'(\t(\t(\tO\tO' -p195334 -aS'?\t?\t.\tO\tO' -p195335 -aS')\t)\t)\tO\tO' -p195336 -aS'now\tnow\tRB\tB-ADVP\tO' -p195337 -aS'with\twith\tIN\tB-PP\tO' -p195338 -aS'acute\tacute\tJJ\tB-NP\tO' -p195339 -aS'onset\tonset\tNN\tI-NP\tO' -p195340 -aS'of\tof\tIN\tB-PP\tO' -p195341 -aS'left\tleft\tJJ\tB-NP\tO' -p195342 -aS'face\tface\tNN\tI-NP\tO' -p195343 -aS'and\tand\tCC\tI-NP\tO' -p195344 -aS'arm\tarm\tNN\tI-NP\tO' -p195345 -aS'greater\tgreat\tJJR\tB-ADJP\tO' -p195346 -aS'than\tthan\tIN\tB-PP\tO' -p195347 -aS'leg\tleg\tNN\tB-NP\tO' -p195348 -aS'hemiplegia\themiplegia\tNN\tI-NP\tO' -p195349 -aS'and\tand\tCC\tO\tO' -p195350 -aS'primary\tprimary\tJJ\tB-NP\tO' -p195351 -aS'hemisensory\themisensory\tJJ\tI-NP\tO' -p195352 -aS'loss\tloss\tNN\tI-NP\tO' -p195353 -aS'on\ton\tIN\tB-PP\tO' -p195354 -aS'the\tthe\tDT\tB-NP\tO' -p195355 -aS'left\tleft\tNN\tI-NP\tO' -p195356 -aS'.\t.\t.\tO\tO' -p195357 -asS'She was treated with steroids for this swelling at the outside hospital , and these were continued .' -p195358 -(lp195359 -S'She\tShe\tPRP\tB-NP\tO' -p195360 -aS'was\tbe\tVBD\tB-VP\tO' -p195361 -aS'treated\ttreat\tVBN\tI-VP\tO' -p195362 -aS'with\twith\tIN\tB-PP\tO' -p195363 -aS'steroids\tsteroid\tNNS\tB-NP\tO' -p195364 -aS'for\tfor\tIN\tB-PP\tO' -p195365 -aS'this\tthis\tDT\tB-NP\tO' -p195366 -aS'swelling\tswelling\tNN\tI-NP\tO' -p195367 -aS'at\tat\tIN\tB-PP\tO' -p195368 -aS'the\tthe\tDT\tB-NP\tO' -p195369 -aS'outside\toutside\tJJ\tI-NP\tO' -p195370 -aS'hospital\thospital\tNN\tI-NP\tO' -p195371 -aS',\t,\t,\tO\tO' -p195372 -aS'and\tand\tCC\tO\tO' -p195373 -aS'these\tthese\tDT\tB-NP\tO' -p195374 -aS'were\tbe\tVBD\tB-VP\tO' -p195375 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p195376 -aS'.\t.\t.\tO\tO' -p195377 -asS'Trace AI is also noted between the left and right coronary cusps .' -p195378 -(lp195379 -S'Trace\tTrace\tNNP\tB-NP\tO' -p195380 -aS'AI\tAI\tNNP\tI-NP\tO' -p195381 -aS'is\tbe\tVBZ\tB-VP\tO' -p195382 -aS'also\talso\tRB\tI-VP\tO' -p195383 -aS'noted\tnote\tVBN\tI-VP\tO' -p195384 -aS'between\tbetween\tIN\tB-PP\tO' -p195385 -aS'the\tthe\tDT\tB-NP\tO' -p195386 -aS'left\tleft\tJJ\tI-NP\tO' -p195387 -aS'and\tand\tCC\tI-NP\tO' -p195388 -aS'right\tright\tJJ\tI-NP\tO' -p195389 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p195390 -aS'cusps\tcusp\tNNS\tI-NP\tO' -p195391 -aS'.\t.\t.\tO\tO' -p195392 -asS'On admission included BUN / creatinine of 33/2.1 .' -p195393 -(lp195394 -S'On\tOn\tIN\tB-PP\tO' -p195395 -aS'admission\tadmission\tNN\tB-NP\tO' -p195396 -aS'included\tinclude\tVBD\tB-VP\tO' -p195397 -aS'BUN\tBUN\tNN\tB-NP\tB-protein' -p195398 -aS'/\t/\tSYM\tB-NP\tO' -p195399 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p195400 -aS'of\tof\tIN\tB-PP\tO' -p195401 -aS'33/2.1\t33/2.1\tCD\tB-NP\tO' -p195402 -aS'.\t.\t.\tO\tO' -p195403 -asS'ON admission , physical examination reveals a non dysmorphic infant , well saturated and perfused with multiple bruises noted over the upper legs , left arm and chest .' -p195404 -(lp195405 -S'ON\tON\tNN\tB-NP\tO' -p195406 -aS'admission\tadmission\tNN\tI-NP\tO' -p195407 -aS',\t,\t,\tO\tO' -p195408 -aS'physical\tphysical\tJJ\tB-NP\tO' -p195409 -aS'examination\texamination\tNN\tI-NP\tO' -p195410 -aS'reveals\treveal\tVBZ\tB-VP\tO' -p195411 -aS'a\ta\tDT\tB-NP\tO' -p195412 -aS'non\tnon\tJJ\tI-NP\tO' -p195413 -aS'dysmorphic\tdysmorphic\tJJ\tI-NP\tO' -p195414 -aS'infant\tinfant\tNN\tI-NP\tO' -p195415 -aS',\t,\t,\tO\tO' -p195416 -aS'well\twell\tRB\tB-VP\tO' -p195417 -aS'saturated\tsaturate\tVBN\tI-VP\tO' -p195418 -aS'and\tand\tCC\tO\tO' -p195419 -aS'perfused\tperfuse\tVBN\tB-VP\tO' -p195420 -aS'with\twith\tIN\tB-PP\tO' -p195421 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p195422 -aS'bruises\tbruise\tNNS\tI-NP\tO' -p195423 -aS'noted\tnote\tVBN\tB-VP\tO' -p195424 -aS'over\tover\tIN\tB-PP\tO' -p195425 -aS'the\tthe\tDT\tB-NP\tO' -p195426 -aS'upper\tupper\tJJ\tI-NP\tO' -p195427 -aS'legs\tleg\tNNS\tI-NP\tO' -p195428 -aS',\t,\t,\tO\tO' -p195429 -aS'left\tleft\tJJ\tB-NP\tO' -p195430 -aS'arm\tarm\tNN\tI-NP\tO' -p195431 -aS'and\tand\tCC\tI-NP\tO' -p195432 -aS'chest\tchest\tNN\tI-NP\tO' -p195433 -aS'.\t.\t.\tO\tO' -p195434 -asS'STAPHYLOCOCCUS , COAGULASE NEGATIVE sensitive to vanc' -p195435 -(lp195436 -S'STAPHYLOCOCCUS\tSTAPHYLOCOCCUS\tNNS\tB-NP\tO' -p195437 -aS',\t,\t,\tO\tO' -p195438 -aS'COAGULASE\tCOAGULASE\tNN\tB-NP\tB-protein' -p195439 -aS'NEGATIVE\tNEGATIVE\tNN\tI-NP\tO' -p195440 -aS'sensitive\tsensitive\tJJ\tB-ADJP\tO' -p195441 -aS'to\tto\tTO\tB-PP\tO' -p195442 -aS'vanc\tvanc\tNN\tB-NP\tO' -p195443 -asS'55 yo M w/ h/o recurrent bladder ca s/p cystectomy w/ ileal conduit p/w BRBPR to OSH .' -p195444 -(lp195445 -S'55\t55\tCD\tB-NP\tO' -p195446 -aS'yo\tyo\tNN\tI-NP\tO' -p195447 -aS'M\tM\tNN\tI-NP\tO' -p195448 -aS'w/\tw/\tNN\tI-NP\tO' -p195449 -aS'h/o\th/o\tNN\tI-NP\tO' -p195450 -aS'recurrent\trecurrent\tJJ\tI-NP\tO' -p195451 -aS'bladder\tbladder\tNN\tI-NP\tO' -p195452 -aS'ca\tca\tNN\tI-NP\tO' -p195453 -aS's/p\ts/p\tNN\tI-NP\tO' -p195454 -aS'cystectomy\tcystectomy\tNN\tI-NP\tO' -p195455 -aS'w/\tw/\tNN\tI-NP\tO' -p195456 -aS'ileal\tileal\tJJ\tI-NP\tO' -p195457 -aS'conduit\tconduit\tNN\tI-NP\tO' -p195458 -aS'p/w\tp/w\tNN\tI-NP\tO' -p195459 -aS'BRBPR\tBRBPR\tNN\tI-NP\tO' -p195460 -aS'to\tto\tTO\tB-PP\tO' -p195461 -aS'OSH\tOSH\tNN\tB-NP\tB-protein' -p195462 -aS'.\t.\t.\tO\tO' -p195463 -asS'5. Polymyalgia rheumatica .' -p195464 -(lp195465 -S'5.\t5.\tLS\tB-NP\tO' -p195466 -aS'Polymyalgia\tPolymyalgia\tNNP\tI-NP\tO' -p195467 -aS'rheumatica\trheumatica\tNN\tI-NP\tO' -p195468 -aS'.\t.\t.\tO\tO' -p195469 -asS'11. Oxycodone 5 mg Tablet Sig : 1-2 Tablets PO every 4-6 hours as needed for pain for 14 days .' -p195470 -(lp195471 -S'11.\t11.\tCD\tB-NP\tO' -p195472 -aS'Oxycodone\tOxycodone\tNN\tI-NP\tO' -p195473 -aS'5\t5\tCD\tB-NP\tO' -p195474 -aS'mg\tmg\tNN\tI-NP\tO' -p195475 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p195476 -aS'Sig\tSig\tNNP\tI-NP\tO' -p195477 -aS':\t:\t:\tO\tO' -p195478 -aS'1-2\t1-2\tCD\tB-NP\tO' -p195479 -aS'Tablets\tTablet\tNNS\tI-NP\tO' -p195480 -aS'PO\tPO\tNN\tI-NP\tO' -p195481 -aS'every\tevery\tDT\tB-NP\tO' -p195482 -aS'4-6\t4-6\tCD\tI-NP\tO' -p195483 -aS'hours\thour\tNNS\tI-NP\tO' -p195484 -aS'as\tas\tIN\tB-SBAR\tO' -p195485 -aS'needed\tneed\tVBN\tB-VP\tO' -p195486 -aS'for\tfor\tIN\tB-PP\tO' -p195487 -aS'pain\tpain\tNN\tB-NP\tO' -p195488 -aS'for\tfor\tIN\tB-PP\tO' -p195489 -aS'14\t14\tCD\tB-NP\tO' -p195490 -aS'days\tday\tNNS\tI-NP\tO' -p195491 -aS'.\t.\t.\tO\tO' -p195492 -asS'He continued to have an oxygen requirement and CT scan suggested ground glass opacities , suggestive of an underlying infectious process .' -p195493 -(lp195494 -S'He\tHe\tPRP\tB-NP\tO' -p195495 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p195496 -aS'to\tto\tTO\tI-VP\tO' -p195497 -aS'have\thave\tVB\tI-VP\tO' -p195498 -aS'an\tan\tDT\tB-NP\tO' -p195499 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p195500 -aS'requirement\trequirement\tNN\tI-NP\tO' -p195501 -aS'and\tand\tCC\tO\tO' -p195502 -aS'CT\tCT\tNN\tB-NP\tO' -p195503 -aS'scan\tscan\tNN\tI-NP\tO' -p195504 -aS'suggested\tsuggest\tVBD\tB-VP\tO' -p195505 -aS'ground\tground\tNN\tB-NP\tO' -p195506 -aS'glass\tglass\tNN\tI-NP\tO' -p195507 -aS'opacities\topacity\tNNS\tI-NP\tO' -p195508 -aS',\t,\t,\tO\tO' -p195509 -aS'suggestive\tsuggestive\tJJ\tB-ADJP\tO' -p195510 -aS'of\tof\tIN\tB-PP\tO' -p195511 -aS'an\tan\tDT\tB-NP\tO' -p195512 -aS'underlying\tunderlie\tVBG\tI-NP\tO' -p195513 -aS'infectious\tinfectious\tJJ\tI-NP\tO' -p195514 -aS'process\tprocess\tNN\tI-NP\tO' -p195515 -aS'.\t.\t.\tO\tO' -p195516 -asS'Digoxin , Norvasc and Imdur was also discontinued .' -p195517 -(lp195518 -S'Digoxin\tDigoxin\tNN\tB-NP\tO' -p195519 -aS',\t,\t,\tO\tO' -p195520 -aS'Norvasc\tNorvasc\tNNP\tB-NP\tO' -p195521 -aS'and\tand\tCC\tI-NP\tO' -p195522 -aS'Imdur\tImdur\tNNP\tI-NP\tO' -p195523 -aS'was\tbe\tVBD\tB-VP\tO' -p195524 -aS'also\talso\tRB\tI-VP\tO' -p195525 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p195526 -aS'.\t.\t.\tO\tO' -p195527 -asS'The family declined an autopsy saying that they felt that the patient had been through enough .' -p195528 -(lp195529 -S'The\tThe\tDT\tB-NP\tO' -p195530 -aS'family\tfamily\tNN\tI-NP\tO' -p195531 -aS'declined\tdecline\tVBD\tB-VP\tO' -p195532 -aS'an\tan\tDT\tB-NP\tO' -p195533 -aS'autopsy\tautopsy\tNN\tI-NP\tO' -p195534 -aS'saying\tsay\tVBG\tB-VP\tO' -p195535 -aS'that\tthat\tIN\tB-SBAR\tO' -p195536 -aS'they\tthey\tPRP\tB-NP\tO' -p195537 -aS'felt\tfeel\tVBD\tB-VP\tO' -p195538 -aS'that\tthat\tIN\tB-SBAR\tO' -p195539 -aS'the\tthe\tDT\tB-NP\tO' -p195540 -aS'patient\tpatient\tNN\tI-NP\tO' -p195541 -aS'had\thave\tVBD\tB-VP\tO' -p195542 -aS'been\tbe\tVBN\tI-VP\tO' -p195543 -aS'through\tthrough\tIN\tB-PP\tO' -p195544 -aS'enough\tenough\tNN\tB-NP\tO' -p195545 -aS'.\t.\t.\tO\tO' -p195546 -asS'The patient was corrected to a normal pH of 7.41 by the first postoperative night and remained stable .' -p195547 -(lp195548 -S'The\tThe\tDT\tB-NP\tO' -p195549 -aS'patient\tpatient\tNN\tI-NP\tO' -p195550 -aS'was\tbe\tVBD\tB-VP\tO' -p195551 -aS'corrected\tcorrect\tVBN\tI-VP\tO' -p195552 -aS'to\tto\tTO\tB-PP\tO' -p195553 -aS'a\ta\tDT\tB-NP\tO' -p195554 -aS'normal\tnormal\tJJ\tI-NP\tO' -p195555 -aS'pH\tpH\tNN\tI-NP\tO' -p195556 -aS'of\tof\tIN\tB-PP\tO' -p195557 -aS'7.41\t7.41\tCD\tB-NP\tO' -p195558 -aS'by\tby\tIN\tB-PP\tO' -p195559 -aS'the\tthe\tDT\tB-NP\tO' -p195560 -aS'first\tfirst\tJJ\tI-NP\tO' -p195561 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p195562 -aS'night\tnight\tNN\tI-NP\tO' -p195563 -aS'and\tand\tCC\tO\tO' -p195564 -aS'remained\tremain\tVBD\tB-VP\tO' -p195565 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p195566 -aS'.\t.\t.\tO\tO' -p195567 -asS'Soft , obese , nontender , nondistended .' -p195568 -(lp195569 -S'Soft\tSoft\tRB\tB-ADVP\tO' -p195570 -aS',\t,\t,\tO\tO' -p195571 -aS'obese\tobese\tJJ\tB-NP\tO' -p195572 -aS',\t,\t,\tI-NP\tO' -p195573 -aS'nontender\tnontender\tJJ\tI-NP\tO' -p195574 -aS',\t,\t,\tI-NP\tO' -p195575 -aS'nondistended\tnondistended\tJJ\tI-NP\tO' -p195576 -aS'.\t.\t.\tO\tO' -p195577 -asS'The patient ruled out for myocardial infarction with serial creatine kinases , although these did rise to 816 .' -p195578 -(lp195579 -S'The\tThe\tDT\tB-NP\tO' -p195580 -aS'patient\tpatient\tNN\tI-NP\tO' -p195581 -aS'ruled\trule\tVBD\tB-VP\tO' -p195582 -aS'out\tout\tRP\tB-PRT\tO' -p195583 -aS'for\tfor\tIN\tB-PP\tO' -p195584 -aS'myocardial\tmyocardial\tJJ\tB-NP\tO' -p195585 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p195586 -aS'with\twith\tIN\tB-PP\tO' -p195587 -aS'serial\tserial\tJJ\tB-NP\tB-protein' -p195588 -aS'creatine\tcreatine\tNN\tI-NP\tI-protein' -p195589 -aS'kinases\tkinase\tNNS\tI-NP\tI-protein' -p195590 -aS',\t,\t,\tO\tO' -p195591 -aS'although\talthough\tIN\tB-SBAR\tO' -p195592 -aS'these\tthese\tDT\tB-NP\tO' -p195593 -aS'did\tdo\tVBD\tB-VP\tO' -p195594 -aS'rise\trise\tNN\tB-NP\tO' -p195595 -aS'to\tto\tTO\tB-PP\tO' -p195596 -aS'816\t816\tCD\tB-NP\tO' -p195597 -aS'.\t.\t.\tO\tO' -p195598 -asS'On the day of admission , the patient was brought to the operating room for parathyroidectomy .' -p195599 -(lp195600 -S'On\tOn\tIN\tB-PP\tO' -p195601 -aS'the\tthe\tDT\tB-NP\tO' -p195602 -aS'day\tday\tNN\tI-NP\tO' -p195603 -aS'of\tof\tIN\tB-PP\tO' -p195604 -aS'admission\tadmission\tNN\tB-NP\tO' -p195605 -aS',\t,\t,\tO\tO' -p195606 -aS'the\tthe\tDT\tB-NP\tO' -p195607 -aS'patient\tpatient\tNN\tI-NP\tO' -p195608 -aS'was\tbe\tVBD\tB-VP\tO' -p195609 -aS'brought\tbring\tVBN\tI-VP\tO' -p195610 -aS'to\tto\tTO\tB-PP\tO' -p195611 -aS'the\tthe\tDT\tB-NP\tO' -p195612 -aS'operating\toperating\tNN\tI-NP\tO' -p195613 -aS'room\troom\tNN\tI-NP\tO' -p195614 -aS'for\tfor\tIN\tB-PP\tO' -p195615 -aS'parathyroidectomy\tparathyroidectomy\tNN\tB-NP\tO' -p195616 -aS'.\t.\t.\tO\tO' -p195617 -asS'Her hematocrit was stable postoperatively .' -p195618 -(lp195619 -S'Her\tHer\tPRP$\tB-NP\tO' -p195620 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p195621 -aS'was\tbe\tVBD\tB-VP\tO' -p195622 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p195623 -aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' -p195624 -aS'.\t.\t.\tO\tO' -p195625 -asS'An intact colostomy was present .' -p195626 -(lp195627 -S'An\tAn\tDT\tB-NP\tO' -p195628 -aS'intact\tintact\tJJ\tI-NP\tO' -p195629 -aS'colostomy\tcolostomy\tNN\tI-NP\tO' -p195630 -aS'was\tbe\tVBD\tB-VP\tO' -p195631 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p195632 -aS'.\t.\t.\tO\tO' -p195633 -asS'6. Clonidine 0.3 mg / 24 hr Patch Weekly Sig : One ( 1 ) Patch Weekly Transdermal Q WED ( every Wednesday ).' -p195634 -(lp195635 -S'6.\t6.\tLS\tB-NP\tO' -p195636 -aS'Clonidine\tClonidine\tNN\tI-NP\tO' -p195637 -aS'0.3\t0.3\tCD\tI-NP\tO' -p195638 -aS'mg\tmg\tNN\tI-NP\tO' -p195639 -aS'/\t/\tSYM\tB-NP\tO' -p195640 -aS'24\t24\tCD\tB-NP\tO' -p195641 -aS'hr\thr\tNN\tI-NP\tO' -p195642 -aS'Patch\tPatch\tNNP\tI-NP\tO' -p195643 -aS'Weekly\tWeekly\tNNP\tI-NP\tO' -p195644 -aS'Sig\tSig\tNNP\tI-NP\tO' -p195645 -aS':\t:\t:\tO\tO' -p195646 -aS'One\tOne\tCD\tB-NP\tO' -p195647 -aS'(\t(\t(\tO\tO' -p195648 -aS'1\t1\tCD\tB-NP\tO' -p195649 -aS')\t)\t)\tO\tO' -p195650 -aS'Patch\tPatch\tNNP\tB-NP\tO' -p195651 -aS'Weekly\tWeekly\tNNP\tI-NP\tO' -p195652 -aS'Transdermal\tTransdermal\tNNP\tI-NP\tO' -p195653 -aS'Q\tQ\tNNP\tI-NP\tO' -p195654 -aS'WED\tWED\tVBD\tB-VP\tO' -p195655 -aS'(\t(\t(\tO\tO' -p195656 -aS'every\tevery\tDT\tB-NP\tO' -p195657 -aS'Wednesday\tWednesday\tNNP\tI-NP\tO' -p195658 -aS').\t).\tNNP\tI-NP\tO' -p195659 -asS'1) Overall , a slight decrease in the mass effect and edema associated with the postoperative changes .' -p195660 -(lp195661 -S'1)\t1)\tLS\tB-LST\tO' -p195662 -aS'Overall\tOverall\tNNP\tB-NP\tO' -p195663 -aS',\t,\t,\tO\tO' -p195664 -aS'a\ta\tDT\tB-NP\tO' -p195665 -aS'slight\tslight\tJJ\tI-NP\tO' -p195666 -aS'decrease\tdecrease\tNN\tI-NP\tO' -p195667 -aS'in\tin\tIN\tB-PP\tO' -p195668 -aS'the\tthe\tDT\tB-NP\tO' -p195669 -aS'mass\tmass\tNN\tI-NP\tO' -p195670 -aS'effect\teffect\tNN\tI-NP\tO' -p195671 -aS'and\tand\tCC\tI-NP\tO' -p195672 -aS'edema\tedema\tNN\tI-NP\tO' -p195673 -aS'associated\tassociate\tVBN\tB-VP\tO' -p195674 -aS'with\twith\tIN\tB-PP\tO' -p195675 -aS'the\tthe\tDT\tB-NP\tO' -p195676 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p195677 -aS'changes\tchange\tNNS\tI-NP\tO' -p195678 -aS'.\t.\t.\tO\tO' -p195679 -asS'Please see Dr. Villani on Monday 2016-07-25 at 10:00 in Smith 7th .' -p195680 -(lp195681 -S'Please\tPlease\tVB\tB-VP\tO' -p195682 -aS'see\tsee\tVB\tI-VP\tO' -p195683 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p195684 -aS'Villani\tVillani\tNNP\tI-NP\tO' -p195685 -aS'on\ton\tIN\tB-PP\tO' -p195686 -aS'Monday\tMonday\tNNP\tB-NP\tO' -p195687 -aS'2016-07-25\t2016-07-25\tCD\tI-NP\tO' -p195688 -aS'at\tat\tIN\tB-PP\tO' -p195689 -aS'10:00\t10:00\tCD\tB-NP\tO' -p195690 -aS'in\tin\tIN\tB-PP\tO' -p195691 -aS'Smith\tSmith\tNNP\tB-NP\tO' -p195692 -aS'7th\t7th\tNNP\tI-NP\tO' -p195693 -aS'.\t.\t.\tO\tO' -p195694 -asS'However , during the fourth cycle , Cytoxan was dropped .' -p195695 -(lp195696 -S'However\tHowever\tRB\tB-ADVP\tO' -p195697 -aS',\t,\t,\tO\tO' -p195698 -aS'during\tduring\tIN\tB-PP\tO' -p195699 -aS'the\tthe\tDT\tB-NP\tO' -p195700 -aS'fourth\tfourth\tJJ\tI-NP\tO' -p195701 -aS'cycle\tcycle\tNN\tI-NP\tO' -p195702 -aS',\t,\t,\tO\tO' -p195703 -aS'Cytoxan\tCytoxan\tNN\tB-NP\tO' -p195704 -aS'was\tbe\tVBD\tB-VP\tO' -p195705 -aS'dropped\tdrop\tVBN\tI-VP\tO' -p195706 -aS'.\t.\t.\tO\tO' -p195707 -asS'3) Cefazolin one gram IV q.8h. x 13days .' -p195708 -(lp195709 -S'3)\t3)\tLS\tB-NP\tO' -p195710 -aS'Cefazolin\tCefazolin\tNN\tI-NP\tO' -p195711 -aS'one\tone\tCD\tB-NP\tO' -p195712 -aS'gram\tgram\tNN\tI-NP\tO' -p195713 -aS'IV\tIV\tCD\tB-NP\tO' -p195714 -aS'q.8h.\tq.8h.\tNN\tI-NP\tO' -p195715 -aS'x\tx\tNN\tI-NP\tO' -p195716 -aS'13days\t13day\tNNS\tI-NP\tO' -p195717 -aS'.\t.\t.\tO\tO' -p195718 -asS'6) Serratiaurosepsis .' -p195719 -(lp195720 -S'6)\t6)\tLS\tB-NP\tO' -p195721 -aS'Serratiaurosepsis\tSerratiaurosepsis\tNN\tI-NP\tO' -p195722 -aS'.\t.\t.\tO\tO' -p195723 -asS'The patient for sleep was given Benadryl 25 to 50 mg. qhs. and was not allowed any increases in his narcotics after weaning him down to just requiring the Oxycodone .' -p195724 -(lp195725 -S'The\tThe\tDT\tB-NP\tO' -p195726 -aS'patient\tpatient\tNN\tI-NP\tO' -p195727 -aS'for\tfor\tIN\tB-PP\tO' -p195728 -aS'sleep\tsleep\tNN\tB-NP\tO' -p195729 -aS'was\tbe\tVBD\tB-VP\tO' -p195730 -aS'given\tgive\tVBN\tI-VP\tO' -p195731 -aS'Benadryl\tBenadryl\tNN\tB-NP\tO' -p195732 -aS'25\t25\tCD\tI-NP\tO' -p195733 -aS'to\tto\tTO\tI-NP\tO' -p195734 -aS'50\t50\tCD\tI-NP\tO' -p195735 -aS'mg.\tmg.\tNN\tI-NP\tO' -p195736 -aS'qhs.\tqhs.\tNN\tI-NP\tO' -p195737 -aS'and\tand\tCC\tO\tO' -p195738 -aS'was\tbe\tVBD\tB-VP\tO' -p195739 -aS'not\tnot\tRB\tI-VP\tO' -p195740 -aS'allowed\tallow\tVBN\tI-VP\tO' -p195741 -aS'any\tany\tDT\tB-NP\tO' -p195742 -aS'increases\tincrease\tNNS\tI-NP\tO' -p195743 -aS'in\tin\tIN\tB-PP\tO' -p195744 -aS'his\this\tPRP$\tB-NP\tO' -p195745 -aS'narcotics\tnarcotic\tNNS\tI-NP\tO' -p195746 -aS'after\tafter\tIN\tB-PP\tO' -p195747 -aS'weaning\twean\tVBG\tB-VP\tO' -p195748 -aS'him\thim\tPRP\tB-NP\tO' -p195749 -aS'down\tdown\tRP\tB-PRT\tO' -p195750 -aS'to\tto\tTO\tB-PP\tO' -p195751 -aS'just\tjust\tRB\tB-VP\tO' -p195752 -aS'requiring\trequire\tVBG\tI-VP\tO' -p195753 -aS'the\tthe\tDT\tB-NP\tO' -p195754 -aS'Oxycodone\tOxycodone\tNN\tI-NP\tO' -p195755 -aS'.\t.\t.\tO\tO' -p195756 -asS'She was taken to the OR for Subtotal Colectomy , G tube and ileostomy due to unresponsiveness to non-operative treatment .' -p195757 -(lp195758 -S'She\tShe\tPRP\tB-NP\tO' -p195759 -aS'was\tbe\tVBD\tB-VP\tO' -p195760 -aS'taken\ttake\tVBN\tI-VP\tO' -p195761 -aS'to\tto\tTO\tB-PP\tO' -p195762 -aS'the\tthe\tDT\tB-NP\tO' -p195763 -aS'OR\tOR\tNNP\tI-NP\tO' -p195764 -aS'for\tfor\tIN\tB-PP\tO' -p195765 -aS'Subtotal\tSubtotal\tNNP\tB-NP\tO' -p195766 -aS'Colectomy\tColectomy\tNNP\tI-NP\tO' -p195767 -aS',\t,\t,\tO\tO' -p195768 -aS'G\tG\tNN\tB-NP\tO' -p195769 -aS'tube\ttube\tNN\tI-NP\tO' -p195770 -aS'and\tand\tCC\tO\tO' -p195771 -aS'ileostomy\tileostomy\tNN\tB-NP\tO' -p195772 -aS'due\tdue\tJJ\tB-ADJP\tO' -p195773 -aS'to\tto\tTO\tB-PP\tO' -p195774 -aS'unresponsiveness\tunresponsiveness\tNN\tB-NP\tO' -p195775 -aS'to\tto\tTO\tB-PP\tO' -p195776 -aS'non-operative\tnon-operative\tJJ\tB-NP\tO' -p195777 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p195778 -aS'.\t.\t.\tO\tO' -p195779 -asS'Echo showed ef 45-50% , with mild dilatation and no significant valvular disease , and nl PAP .' -p195780 -(lp195781 -S'Echo\tEcho\tNNP\tB-NP\tO' -p195782 -aS'showed\tshow\tVBD\tB-VP\tO' -p195783 -aS'ef\tef\tNN\tB-NP\tB-protein' -p195784 -aS'45-50%\t45-50%\tNN\tI-NP\tI-protein' -p195785 -aS',\t,\t,\tO\tO' -p195786 -aS'with\twith\tIN\tB-PP\tO' -p195787 -aS'mild\tmild\tJJ\tB-NP\tO' -p195788 -aS'dilatation\tdilatation\tNN\tI-NP\tO' -p195789 -aS'and\tand\tCC\tO\tO' -p195790 -aS'no\tno\tDT\tB-NP\tO' -p195791 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p195792 -aS'valvular\tvalvular\tJJ\tI-NP\tO' -p195793 -aS'disease\tdisease\tNN\tI-NP\tO' -p195794 -aS',\t,\t,\tO\tO' -p195795 -aS'and\tand\tCC\tO\tO' -p195796 -aS'nl\tnl\tNN\tB-NP\tB-protein' -p195797 -aS'PAP\tPAP\tNN\tI-NP\tI-protein' -p195798 -aS'.\t.\t.\tO\tO' -p195799 -asS'Pls take all meds as prescribed .' -p195800 -(lp195801 -S'Pls\tPl\tNNS\tB-NP\tB-protein' -p195802 -aS'take\ttake\tVBP\tB-VP\tO' -p195803 -aS'all\tall\tDT\tB-NP\tO' -p195804 -aS'meds\tmed\tNNS\tI-NP\tO' -p195805 -aS'as\tas\tIN\tB-SBAR\tO' -p195806 -aS'prescribed\tprescribe\tVBN\tB-VP\tO' -p195807 -aS'.\t.\t.\tO\tO' -p195808 -asS'Warm and well perfused , with no cyanosis , clubbing or edema , no varicosities .' -p195809 -(lp195810 -S'Warm\tWarm\tNNP\tB-NP\tO' -p195811 -aS'and\tand\tCC\tO\tO' -p195812 -aS'well\twell\tRB\tB-ADJP\tO' -p195813 -aS'perfused\tperfuse\tVBN\tI-ADJP\tO' -p195814 -aS',\t,\t,\tO\tO' -p195815 -aS'with\twith\tIN\tB-PP\tO' -p195816 -aS'no\tno\tDT\tB-NP\tO' -p195817 -aS'cyanosis\tcyanosis\tNN\tI-NP\tO' -p195818 -aS',\t,\t,\tI-NP\tO' -p195819 -aS'clubbing\tclubbing\tNN\tI-NP\tO' -p195820 -aS'or\tor\tCC\tI-NP\tO' -p195821 -aS'edema\tedema\tNN\tI-NP\tO' -p195822 -aS',\t,\t,\tO\tO' -p195823 -aS'no\tno\tDT\tB-NP\tO' -p195824 -aS'varicosities\tvaricosity\tNNS\tI-NP\tO' -p195825 -aS'.\t.\t.\tO\tO' -p195826 -asS'you were started on a 2 week course of vancomycin to be given at hemodialysis for your line infection .' -p195827 -(lp195828 -S'you\tyou\tPRP\tB-NP\tO' -p195829 -aS'were\tbe\tVBD\tB-VP\tO' -p195830 -aS'started\tstart\tVBN\tI-VP\tO' -p195831 -aS'on\ton\tIN\tB-PP\tO' -p195832 -aS'a\ta\tDT\tB-NP\tO' -p195833 -aS'2\t2\tCD\tI-NP\tO' -p195834 -aS'week\tweek\tNN\tI-NP\tO' -p195835 -aS'course\tcourse\tNN\tI-NP\tO' -p195836 -aS'of\tof\tIN\tB-PP\tO' -p195837 -aS'vancomycin\tvancomycin\tNN\tB-NP\tO' -p195838 -aS'to\tto\tTO\tB-VP\tO' -p195839 -aS'be\tbe\tVB\tI-VP\tO' -p195840 -aS'given\tgive\tVBN\tI-VP\tO' -p195841 -aS'at\tat\tIN\tB-PP\tO' -p195842 -aS'hemodialysis\themodialysis\tNN\tB-NP\tO' -p195843 -aS'for\tfor\tIN\tB-PP\tO' -p195844 -aS'your\tyour\tPRP$\tB-NP\tO' -p195845 -aS'line\tline\tNN\tI-NP\tO' -p195846 -aS'infection\tinfection\tNN\tI-NP\tO' -p195847 -aS'.\t.\t.\tO\tO' -p195848 -asS'At this hospital he underwent an I&D ( 03-17 ) of a right foot infection and subsequently underwent' -p195849 -(lp195850 -S'At\tAt\tIN\tB-PP\tO' -p195851 -aS'this\tthis\tDT\tB-NP\tO' -p195852 -aS'hospital\thospital\tNN\tI-NP\tO' -p195853 -aS'he\the\tPRP\tB-NP\tO' -p195854 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p195855 -aS'an\tan\tDT\tB-NP\tO' -p195856 -aS'I&D\tI&D\tNN\tI-NP\tO' -p195857 -aS'(\t(\t(\tO\tO' -p195858 -aS'03-17\t03-17\tCD\tB-NP\tO' -p195859 -aS')\t)\t)\tO\tO' -p195860 -aS'of\tof\tIN\tB-PP\tO' -p195861 -aS'a\ta\tDT\tB-NP\tO' -p195862 -aS'right\tright\tJJ\tI-NP\tO' -p195863 -aS'foot\tfoot\tNN\tI-NP\tO' -p195864 -aS'infection\tinfection\tNN\tI-NP\tO' -p195865 -aS'and\tand\tCC\tO\tO' -p195866 -aS'subsequently\tsubsequently\tRB\tB-VP\tO' -p195867 -aS'underwent\tundergo\tVBD\tI-VP\tO' -p195868 -asS'Chem-7 - Na 139 , K 3.7 , Cl 99 , bicarb 28 , BUN 15 , creatinine 0.9 , glucose 89 .' -p195869 -(lp195870 -S'Chem-7\tChem-7\tNN\tB-NP\tB-protein' -p195871 -aS'-\t-\tHYPH\tO\tO' -p195872 -aS'Na\tNa\tNN\tB-NP\tB-protein' -p195873 -aS'139\t139\tCD\tI-NP\tI-protein' -p195874 -aS',\t,\t,\tO\tO' -p195875 -aS'K\tK\tNN\tB-NP\tB-cell_line' -p195876 -aS'3.7\t3.7\tCD\tI-NP\tI-cell_line' -p195877 -aS',\t,\t,\tO\tO' -p195878 -aS'Cl\tCl\tNN\tB-NP\tO' -p195879 -aS'99\t99\tCD\tI-NP\tO' -p195880 -aS',\t,\t,\tO\tO' -p195881 -aS'bicarb\tbicarb\tNN\tB-NP\tO' -p195882 -aS'28\t28\tCD\tI-NP\tO' -p195883 -aS',\t,\t,\tO\tO' -p195884 -aS'BUN\tBUN\tNNP\tB-NP\tO' -p195885 -aS'15\t15\tCD\tI-NP\tO' -p195886 -aS',\t,\t,\tO\tO' -p195887 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p195888 -aS'0.9\t0.9\tCD\tI-NP\tO' -p195889 -aS',\t,\t,\tO\tO' -p195890 -aS'glucose\tglucose\tNN\tB-NP\tO' -p195891 -aS'89\t89\tCD\tI-NP\tO' -p195892 -aS'.\t.\t.\tO\tO' -p195893 -asS'3) Anemia - patient transfusion dependant with a baseline of 28 .' -p195894 -(lp195895 -S'3)\t3)\tLS\tB-NP\tO' -p195896 -aS'Anemia\tAnemia\tNN\tI-NP\tO' -p195897 -aS'-\t-\tHYPH\tO\tO' -p195898 -aS'patient\tpatient\tNN\tB-NP\tO' -p195899 -aS'transfusion\ttransfusion\tNN\tI-NP\tO' -p195900 -aS'dependant\tdependant\tJJ\tB-ADJP\tO' -p195901 -aS'with\twith\tIN\tB-PP\tO' -p195902 -aS'a\ta\tDT\tB-NP\tO' -p195903 -aS'baseline\tbaseline\tNN\tI-NP\tO' -p195904 -aS'of\tof\tIN\tB-PP\tO' -p195905 -aS'28\t28\tCD\tB-NP\tO' -p195906 -aS'.\t.\t.\tO\tO' -p195907 -asS'Pt is a moderate risk for a needed emergent non-cardiac procedure .' -p195908 -(lp195909 -S'Pt\tPt\tNN\tB-NP\tO' -p195910 -aS'is\tbe\tVBZ\tB-VP\tO' -p195911 -aS'a\ta\tDT\tB-NP\tO' -p195912 -aS'moderate\tmoderate\tJJ\tI-NP\tO' -p195913 -aS'risk\trisk\tNN\tI-NP\tO' -p195914 -aS'for\tfor\tIN\tB-PP\tO' -p195915 -aS'a\ta\tDT\tB-NP\tO' -p195916 -aS'needed\tneed\tVBN\tI-NP\tO' -p195917 -aS'emergent\temergent\tJJ\tI-NP\tO' -p195918 -aS'non-cardiac\tnon-cardiac\tJJ\tI-NP\tO' -p195919 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p195920 -aS'.\t.\t.\tO\tO' -p195921 -asS'Clear .' -p195922 -(lp195923 -S'Clear\tClear\tJJ\tB-ADJP\tO' -p195924 -aS'.\t.\t.\tO\tO' -p195925 -asS'NOTE : This study was initially performed on the morning of 10-21 , and is being dictated on the morning of 10-22 due to PACS malfunction .' -p195926 -(lp195927 -S'NOTE\tNOTE\tNN\tB-NP\tO' -p195928 -aS':\t:\t:\tO\tO' -p195929 -aS'This\tThis\tDT\tB-NP\tO' -p195930 -aS'study\tstudy\tNN\tI-NP\tO' -p195931 -aS'was\tbe\tVBD\tB-VP\tO' -p195932 -aS'initially\tinitially\tRB\tI-VP\tO' -p195933 -aS'performed\tperform\tVBN\tI-VP\tO' -p195934 -aS'on\ton\tIN\tB-PP\tO' -p195935 -aS'the\tthe\tDT\tB-NP\tO' -p195936 -aS'morning\tmorning\tNN\tI-NP\tO' -p195937 -aS'of\tof\tIN\tB-PP\tO' -p195938 -aS'10-21\t10-21\tCD\tB-NP\tO' -p195939 -aS',\t,\t,\tO\tO' -p195940 -aS'and\tand\tCC\tO\tO' -p195941 -aS'is\tbe\tVBZ\tB-VP\tO' -p195942 -aS'being\tbe\tVBG\tI-VP\tO' -p195943 -aS'dictated\tdictate\tVBN\tI-VP\tO' -p195944 -aS'on\ton\tIN\tB-PP\tO' -p195945 -aS'the\tthe\tDT\tB-NP\tO' -p195946 -aS'morning\tmorning\tNN\tI-NP\tO' -p195947 -aS'of\tof\tIN\tB-PP\tO' -p195948 -aS'10-22\t10-22\tCD\tB-NP\tO' -p195949 -aS'due\tdue\tIN\tB-PP\tO' -p195950 -aS'to\tto\tTO\tB-PP\tO' -p195951 -aS'PACS\tPACS\tNN\tB-NP\tO' -p195952 -aS'malfunction\tmalfunction\tNN\tI-NP\tO' -p195953 -aS'.\t.\t.\tO\tO' -p195954 -asS'Although the pt is on warfarin chronically , her INR was subtherapeutic .' -p195955 -(lp195956 -S'Although\tAlthough\tIN\tB-SBAR\tO' -p195957 -aS'the\tthe\tDT\tB-NP\tO' -p195958 -aS'pt\tpt\tNN\tI-NP\tO' -p195959 -aS'is\tbe\tVBZ\tB-VP\tO' -p195960 -aS'on\ton\tIN\tB-PP\tO' -p195961 -aS'warfarin\twarfarin\tNN\tB-NP\tO' -p195962 -aS'chronically\tchronically\tRB\tB-ADVP\tO' -p195963 -aS',\t,\t,\tO\tO' -p195964 -aS'her\ther\tPRP$\tB-NP\tO' -p195965 -aS'INR\tINR\tNN\tI-NP\tB-protein' -p195966 -aS'was\tbe\tVBD\tB-VP\tO' -p195967 -aS'subtherapeutic\tsubtherapeutic\tJJ\tB-ADJP\tO' -p195968 -aS'.\t.\t.\tO\tO' -p195969 -asS'He moved all extremities .' -p195970 -(lp195971 -S'He\tHe\tPRP\tB-NP\tO' -p195972 -aS'moved\tmove\tVBD\tB-VP\tO' -p195973 -aS'all\tall\tDT\tB-NP\tO' -p195974 -aS'extremities\textremity\tNNS\tI-NP\tO' -p195975 -aS'.\t.\t.\tO\tO' -p195976 -asS'In the past , he has not been known to have a history of CNS metastases .' -p195977 -(lp195978 -S'In\tIn\tIN\tB-PP\tO' -p195979 -aS'the\tthe\tDT\tB-NP\tO' -p195980 -aS'past\tpast\tNN\tI-NP\tO' -p195981 -aS',\t,\t,\tO\tO' -p195982 -aS'he\the\tPRP\tB-NP\tO' -p195983 -aS'has\thave\tVBZ\tB-VP\tO' -p195984 -aS'not\tnot\tRB\tI-VP\tO' -p195985 -aS'been\tbe\tVBN\tI-VP\tO' -p195986 -aS'known\tknow\tVBN\tI-VP\tO' -p195987 -aS'to\tto\tTO\tI-VP\tO' -p195988 -aS'have\thave\tVB\tI-VP\tO' -p195989 -aS'a\ta\tDT\tB-NP\tO' -p195990 -aS'history\thistory\tNN\tI-NP\tO' -p195991 -aS'of\tof\tIN\tB-PP\tO' -p195992 -aS'CNS\tCNS\tNN\tB-NP\tB-protein' -p195993 -aS'metastases\tmetastasis\tNNS\tI-NP\tI-protein' -p195994 -aS'.\t.\t.\tO\tO' -p195995 -asS'The rectal examination was guaiac negative .' -p195996 -(lp195997 -S'The\tThe\tDT\tB-NP\tO' -p195998 -aS'rectal\trectal\tJJ\tI-NP\tO' -p195999 -aS'examination\texamination\tNN\tI-NP\tO' -p196000 -aS'was\tbe\tVBD\tB-VP\tO' -p196001 -aS'guaiac\tguaiac\tNN\tB-NP\tO' -p196002 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p196003 -aS'.\t.\t.\tO\tO' -p196004 -asS'13. Prilosec 20 mg Capsule , Delayed Release ( E.C. ) Sig : One ( 1 ) Capsule , Delayed Release ( E.C. ) PO once a day .' -p196005 -(lp196006 -S'13.\t13.\tCD\tB-NP\tO' -p196007 -aS'Prilosec\tPrilosec\tNNP\tI-NP\tO' -p196008 -aS'20\t20\tCD\tI-NP\tO' -p196009 -aS'mg\tmg\tNN\tI-NP\tO' -p196010 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p196011 -aS',\t,\t,\tO\tO' -p196012 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p196013 -aS'Release\tRelease\tNNP\tI-NP\tO' -p196014 -aS'(\t(\t(\tO\tO' -p196015 -aS'E.C.\tE.C.\tNNP\tB-NP\tO' -p196016 -aS')\t)\t)\tO\tO' -p196017 -aS'Sig\tSig\tNNP\tB-NP\tO' -p196018 -aS':\t:\t:\tO\tO' -p196019 -aS'One\tOne\tCD\tB-NP\tO' -p196020 -aS'(\t(\t(\tO\tO' -p196021 -aS'1\t1\tCD\tB-NP\tO' -p196022 -aS')\t)\t)\tO\tO' -p196023 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p196024 -aS',\t,\t,\tO\tO' -p196025 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p196026 -aS'Release\tRelease\tNNP\tI-NP\tO' -p196027 -aS'(\t(\t(\tO\tO' -p196028 -aS'E.C.\tE.C.\tNNP\tO\tO' -p196029 -aS')\t)\t)\tO\tO' -p196030 -aS'PO\tPO\tNN\tB-NP\tO' -p196031 -aS'once\tonce\tRB\tB-ADVP\tO' -p196032 -aS'a\ta\tDT\tB-NP\tO' -p196033 -aS'day\tday\tNN\tI-NP\tO' -p196034 -aS'.\t.\t.\tO\tO' -p196035 -asS'Sodium 136 , potassium 3.5 , chloride 98 , bicarbonate 23 , blood urea nitrogen 16 , creatinine 0.8 , glucose 142 .' -p196036 -(lp196037 -S'Sodium\tSodium\tNN\tB-NP\tB-protein' -p196038 -aS'136\t136\tCD\tI-NP\tI-protein' -p196039 -aS',\t,\t,\tO\tO' -p196040 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p196041 -aS'3.5\t3.5\tCD\tI-NP\tO' -p196042 -aS',\t,\t,\tO\tO' -p196043 -aS'chloride\tchloride\tNN\tB-NP\tO' -p196044 -aS'98\t98\tCD\tI-NP\tO' -p196045 -aS',\t,\t,\tO\tO' -p196046 -aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' -p196047 -aS'23\t23\tCD\tI-NP\tO' -p196048 -aS',\t,\t,\tO\tO' -p196049 -aS'blood\tblood\tNN\tB-NP\tO' -p196050 -aS'urea\turea\tNN\tI-NP\tO' -p196051 -aS'nitrogen\tnitrogen\tNN\tI-NP\tO' -p196052 -aS'16\t16\tCD\tI-NP\tO' -p196053 -aS',\t,\t,\tO\tO' -p196054 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p196055 -aS'0.8\t0.8\tCD\tI-NP\tO' -p196056 -aS',\t,\t,\tO\tO' -p196057 -aS'glucose\tglucose\tNN\tB-NP\tO' -p196058 -aS'142\t142\tCD\tI-NP\tO' -p196059 -aS'.\t.\t.\tO\tO' -p196060 -asS'Slightly dry mucous membranes .' -p196061 -(lp196062 -S'Slightly\tSlightly\tRB\tB-NP\tO' -p196063 -aS'dry\tdry\tJJ\tI-NP\tO' -p196064 -aS'mucous\tmucous\tJJ\tI-NP\tO' -p196065 -aS'membranes\tmembrane\tNNS\tI-NP\tO' -p196066 -aS'.\t.\t.\tO\tO' -p196067 -asS'The patient was transferred to the Coronary Care Unit after his therapeutic pericardiocentesis .' -p196068 -(lp196069 -S'The\tThe\tDT\tB-NP\tO' -p196070 -aS'patient\tpatient\tNN\tI-NP\tO' -p196071 -aS'was\tbe\tVBD\tB-VP\tO' -p196072 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p196073 -aS'to\tto\tTO\tB-PP\tO' -p196074 -aS'the\tthe\tDT\tB-NP\tO' -p196075 -aS'Coronary\tCoronary\tNNP\tI-NP\tO' -p196076 -aS'Care\tCare\tNNP\tI-NP\tO' -p196077 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p196078 -aS'after\tafter\tIN\tB-PP\tO' -p196079 -aS'his\this\tPRP$\tB-NP\tO' -p196080 -aS'therapeutic\ttherapeutic\tJJ\tI-NP\tO' -p196081 -aS'pericardiocentesis\tpericardiocentesis\tNN\tI-NP\tO' -p196082 -aS'.\t.\t.\tO\tO' -p196083 -asS'He has a sixty to seventy five pack year smoking history and drinks alcohol approximately one time per week .' -p196084 -(lp196085 -S'He\tHe\tPRP\tB-NP\tO' -p196086 -aS'has\thave\tVBZ\tB-VP\tO' -p196087 -aS'a\ta\tDT\tB-NP\tO' -p196088 -aS'sixty\tsixty\tCD\tI-NP\tO' -p196089 -aS'to\tto\tTO\tI-NP\tO' -p196090 -aS'seventy\tseventy\tCD\tI-NP\tO' -p196091 -aS'five\tfive\tCD\tI-NP\tO' -p196092 -aS'pack\tpack\tNN\tI-NP\tO' -p196093 -aS'year\tyear\tNN\tI-NP\tO' -p196094 -aS'smoking\tsmoking\tNN\tI-NP\tO' -p196095 -aS'history\thistory\tNN\tI-NP\tO' -p196096 -aS'and\tand\tCC\tO\tO' -p196097 -aS'drinks\tdrink\tVBZ\tB-VP\tO' -p196098 -aS'alcohol\talcohol\tNN\tB-NP\tO' -p196099 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p196100 -aS'one\tone\tCD\tI-NP\tO' -p196101 -aS'time\ttime\tNN\tI-NP\tO' -p196102 -aS'per\tper\tIN\tB-PP\tO' -p196103 -aS'week\tweek\tNN\tB-NP\tO' -p196104 -aS'.\t.\t.\tO\tO' -p196105 -asS'Nasopharynx benign .' -p196106 -(lp196107 -S'Nasopharynx\tNasopharynx\tNN\tB-NP\tO' -p196108 -aS'benign\tbenign\tJJ\tB-ADJP\tO' -p196109 -aS'.\t.\t.\tO\tO' -p196110 -asS'This was attributed to mild hypoxia and / or his underlying psychiatric diagnoses and he was treated with Haldol appropriately .' -p196111 -(lp196112 -S'This\tThis\tDT\tB-NP\tO' -p196113 -aS'was\tbe\tVBD\tB-VP\tO' -p196114 -aS'attributed\tattribute\tVBN\tI-VP\tO' -p196115 -aS'to\tto\tTO\tB-PP\tO' -p196116 -aS'mild\tmild\tJJ\tB-NP\tO' -p196117 -aS'hypoxia\thypoxia\tNN\tI-NP\tO' -p196118 -aS'and\tand\tCC\tO\tO' -p196119 -aS'/\t/\tSYM\tB-NP\tO' -p196120 -aS'or\tor\tCC\tO\tO' -p196121 -aS'his\this\tPRP$\tB-NP\tO' -p196122 -aS'underlying\tunderlie\tVBG\tI-NP\tO' -p196123 -aS'psychiatric\tpsychiatric\tJJ\tI-NP\tO' -p196124 -aS'diagnoses\tdiagnosis\tNNS\tI-NP\tO' -p196125 -aS'and\tand\tCC\tO\tO' -p196126 -aS'he\the\tPRP\tB-NP\tO' -p196127 -aS'was\tbe\tVBD\tB-VP\tO' -p196128 -aS'treated\ttreat\tVBN\tI-VP\tO' -p196129 -aS'with\twith\tIN\tB-PP\tO' -p196130 -aS'Haldol\tHaldol\tNN\tB-NP\tO' -p196131 -aS'appropriately\tappropriately\tRB\tB-ADVP\tO' -p196132 -aS'.\t.\t.\tO\tO' -p196133 -asS'8) History of vertebral body fractures .' -p196134 -(lp196135 -S'8)\t8)\tLS\tB-NP\tO' -p196136 -aS'History\tHistory\tNN\tI-NP\tO' -p196137 -aS'of\tof\tIN\tB-PP\tO' -p196138 -aS'vertebral\tvertebral\tJJ\tB-NP\tO' -p196139 -aS'body\tbody\tNN\tI-NP\tO' -p196140 -aS'fractures\tfracture\tNNS\tI-NP\tO' -p196141 -aS'.\t.\t.\tO\tO' -p196142 -asS'The patient 's Decadron dose was increased to 12 mg q day and he was also started on MS Contin and radiation therapy was being planned and arranged at the Petersly Hospital And Medical Center .' -p196143 -(lp196144 -S'The\tThe\tDT\tB-NP\tO' -p196145 -aS'patient\tpatient\tNN\tI-NP\tO' -p196146 -aS''s\t'\tVBZ\tB-VP\tO' -p196147 -aS'Decadron\tDecadron\tNNP\tB-NP\tO' -p196148 -aS'dose\tdose\tNN\tI-NP\tO' -p196149 -aS'was\tbe\tVBD\tB-VP\tO' -p196150 -aS'increased\tincrease\tVBN\tI-VP\tO' -p196151 -aS'to\tto\tTO\tB-PP\tO' -p196152 -aS'12\t12\tCD\tB-NP\tO' -p196153 -aS'mg\tmg\tNN\tI-NP\tO' -p196154 -aS'q\tq\tNN\tI-NP\tO' -p196155 -aS'day\tday\tNN\tI-NP\tO' -p196156 -aS'and\tand\tCC\tO\tO' -p196157 -aS'he\the\tPRP\tB-NP\tO' -p196158 -aS'was\tbe\tVBD\tB-VP\tO' -p196159 -aS'also\talso\tRB\tI-VP\tO' -p196160 -aS'started\tstart\tVBN\tI-VP\tO' -p196161 -aS'on\ton\tIN\tB-PP\tO' -p196162 -aS'MS\tMS\tNN\tB-NP\tB-protein' -p196163 -aS'Contin\tContin\tNN\tI-NP\tI-protein' -p196164 -aS'and\tand\tCC\tO\tO' -p196165 -aS'radiation\tradiation\tNN\tB-NP\tO' -p196166 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p196167 -aS'was\tbe\tVBD\tB-VP\tO' -p196168 -aS'being\tbe\tVBG\tI-VP\tO' -p196169 -aS'planned\tplan\tVBN\tI-VP\tO' -p196170 -aS'and\tand\tCC\tI-VP\tO' -p196171 -aS'arranged\tarrange\tVBN\tI-VP\tO' -p196172 -aS'at\tat\tIN\tB-PP\tO' -p196173 -aS'the\tthe\tDT\tB-NP\tO' -p196174 -aS'Petersly\tPetersly\tNNP\tI-NP\tO' -p196175 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p196176 -aS'And\tAnd\tNNP\tI-NP\tO' -p196177 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p196178 -aS'Center\tCenter\tNNP\tI-NP\tO' -p196179 -aS'.\t.\t.\tO\tO' -p196180 -asS'Richard Williams , Twin number II , was born at 31-6/7 weeks gestation by cesarean section for rupture of membranes of Twin number I and progressive preterm labor .' -p196181 -(lp196182 -S'Richard\tRichard\tNNP\tB-NP\tO' -p196183 -aS'Williams\tWilliams\tNNP\tI-NP\tO' -p196184 -aS',\t,\t,\tO\tO' -p196185 -aS'Twin\tTwin\tNNP\tB-NP\tO' -p196186 -aS'number\tnumber\tNN\tI-NP\tO' -p196187 -aS'II\tII\tCD\tI-NP\tO' -p196188 -aS',\t,\t,\tO\tO' -p196189 -aS'was\tbe\tVBD\tB-VP\tO' -p196190 -aS'born\tbear\tVBN\tI-VP\tO' -p196191 -aS'at\tat\tIN\tB-PP\tO' -p196192 -aS'31-6/7\t31-6/7\tCD\tB-NP\tO' -p196193 -aS'weeks\tweek\tNNS\tI-NP\tO' -p196194 -aS'gestation\tgestation\tNN\tI-NP\tO' -p196195 -aS'by\tby\tIN\tB-PP\tO' -p196196 -aS'cesarean\tcesarean\tJJ\tB-NP\tO' -p196197 -aS'section\tsection\tNN\tI-NP\tO' -p196198 -aS'for\tfor\tIN\tB-PP\tO' -p196199 -aS'rupture\trupture\tNN\tB-NP\tO' -p196200 -aS'of\tof\tIN\tB-PP\tO' -p196201 -aS'membranes\tmembrane\tNNS\tB-NP\tO' -p196202 -aS'of\tof\tIN\tB-PP\tO' -p196203 -aS'Twin\tTwin\tNN\tB-NP\tO' -p196204 -aS'number\tnumber\tNN\tI-NP\tO' -p196205 -aS'I\tI\tCD\tI-NP\tO' -p196206 -aS'and\tand\tCC\tO\tO' -p196207 -aS'progressive\tprogressive\tJJ\tB-NP\tO' -p196208 -aS'preterm\tpreterm\tJJ\tI-NP\tO' -p196209 -aS'labor\tlabor\tNN\tI-NP\tO' -p196210 -aS'.\t.\t.\tO\tO' -p196211 -asS'The past medical history is significant for hypertension .' -p196212 -(lp196213 -S'The\tThe\tDT\tB-NP\tO' -p196214 -aS'past\tpast\tJJ\tI-NP\tO' -p196215 -aS'medical\tmedical\tJJ\tI-NP\tO' -p196216 -aS'history\thistory\tNN\tI-NP\tO' -p196217 -aS'is\tbe\tVBZ\tB-VP\tO' -p196218 -aS'significant\tsignificant\tJJ\tB-ADJP\tO' -p196219 -aS'for\tfor\tIN\tB-PP\tO' -p196220 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p196221 -aS'.\t.\t.\tO\tO' -p196222 -asS'The patient has a small non-dominant right coronary artery , left anterior descending showed severe proximal lesion with more distal lesions of diagonal one .' -p196223 -(lp196224 -S'The\tThe\tDT\tB-NP\tO' -p196225 -aS'patient\tpatient\tNN\tI-NP\tO' -p196226 -aS'has\thave\tVBZ\tB-VP\tO' -p196227 -aS'a\ta\tDT\tB-NP\tO' -p196228 -aS'small\tsmall\tJJ\tI-NP\tO' -p196229 -aS'non-dominant\tnon-dominant\tJJ\tI-NP\tO' -p196230 -aS'right\tright\tJJ\tI-NP\tO' -p196231 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p196232 -aS'artery\tartery\tNN\tI-NP\tO' -p196233 -aS',\t,\t,\tO\tO' -p196234 -aS'left\tleave\tVBD\tB-VP\tO' -p196235 -aS'anterior\tanterior\tJJ\tB-NP\tO' -p196236 -aS'descending\tdescending\tNN\tI-NP\tO' -p196237 -aS'showed\tshow\tVBD\tB-VP\tO' -p196238 -aS'severe\tsevere\tJJ\tB-NP\tO' -p196239 -aS'proximal\tproximal\tJJ\tI-NP\tO' -p196240 -aS'lesion\tlesion\tNN\tI-NP\tO' -p196241 -aS'with\twith\tIN\tB-PP\tO' -p196242 -aS'more\tmore\tRBR\tB-NP\tO' -p196243 -aS'distal\tdistal\tJJ\tI-NP\tO' -p196244 -aS'lesions\tlesion\tNNS\tI-NP\tO' -p196245 -aS'of\tof\tIN\tB-PP\tO' -p196246 -aS'diagonal\tdiagonal\tJJ\tB-NP\tO' -p196247 -aS'one\tone\tCD\tI-NP\tO' -p196248 -aS'.\t.\t.\tO\tO' -p196249 -asS'Sodium 141 , potassium 4.4 , chloride 108 , bicarbonate 23 , BUN 57 , creatinine 0.7 , glucose 115 .' -p196250 -(lp196251 -S'Sodium\tSodium\tNN\tB-NP\tB-protein' -p196252 -aS'141\t141\tCD\tI-NP\tI-protein' -p196253 -aS',\t,\t,\tO\tO' -p196254 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p196255 -aS'4.4\t4.4\tCD\tI-NP\tO' -p196256 -aS',\t,\t,\tO\tO' -p196257 -aS'chloride\tchloride\tNN\tB-NP\tO' -p196258 -aS'108\t108\tCD\tI-NP\tO' -p196259 -aS',\t,\t,\tO\tO' -p196260 -aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' -p196261 -aS'23\t23\tCD\tI-NP\tO' -p196262 -aS',\t,\t,\tO\tO' -p196263 -aS'BUN\tBUN\tNN\tB-NP\tB-DNA' -p196264 -aS'57\t57\tCD\tI-NP\tI-DNA' -p196265 -aS',\t,\t,\tO\tO' -p196266 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p196267 -aS'0.7\t0.7\tCD\tI-NP\tO' -p196268 -aS',\t,\t,\tO\tO' -p196269 -aS'glucose\tglucose\tNN\tB-NP\tO' -p196270 -aS'115\t115\tCD\tI-NP\tO' -p196271 -aS'.\t.\t.\tO\tO' -p196272 -asS'Creatinine this am was 1.9 from 0.9 yesterday .' -p196273 -(lp196274 -S'Creatinine\tCreatinine\tNN\tB-NP\tO' -p196275 -aS'this\tthis\tDT\tB-NP\tO' -p196276 -aS'am\tam\tNN\tI-NP\tO' -p196277 -aS'was\tbe\tVBD\tB-VP\tO' -p196278 -aS'1.9\t1.9\tCD\tB-NP\tO' -p196279 -aS'from\tfrom\tIN\tB-PP\tO' -p196280 -aS'0.9\t0.9\tCD\tB-NP\tO' -p196281 -aS'yesterday\tyesterday\tNN\tB-NP\tO' -p196282 -aS'.\t.\t.\tO\tO' -p196283 -asS'She had a temperature of 98.1 , blood pressure of 130/99 , pulse of 111 , respiratory rate of 16 .' -p196284 -(lp196285 -S'She\tShe\tPRP\tB-NP\tO' -p196286 -aS'had\thave\tVBD\tB-VP\tO' -p196287 -aS'a\ta\tDT\tB-NP\tO' -p196288 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p196289 -aS'of\tof\tIN\tB-PP\tO' -p196290 -aS'98.1\t98.1\tCD\tB-NP\tO' -p196291 -aS',\t,\t,\tO\tO' -p196292 -aS'blood\tblood\tNN\tB-NP\tO' -p196293 -aS'pressure\tpressure\tNN\tI-NP\tO' -p196294 -aS'of\tof\tIN\tB-PP\tO' -p196295 -aS'130/99\t130/99\tCD\tB-NP\tO' -p196296 -aS',\t,\t,\tO\tO' -p196297 -aS'pulse\tpulse\tNN\tB-NP\tO' -p196298 -aS'of\tof\tIN\tB-PP\tO' -p196299 -aS'111\t111\tCD\tB-NP\tO' -p196300 -aS',\t,\t,\tO\tO' -p196301 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p196302 -aS'rate\trate\tNN\tI-NP\tO' -p196303 -aS'of\tof\tIN\tB-PP\tO' -p196304 -aS'16\t16\tCD\tB-NP\tO' -p196305 -aS'.\t.\t.\tO\tO' -p196306 -asS'This transfer occurred around postoperative day 8 for anticoagulation and amiodarone load .' -p196307 -(lp196308 -S'This\tThis\tDT\tB-NP\tO' -p196309 -aS'transfer\ttransfer\tNN\tI-NP\tO' -p196310 -aS'occurred\toccur\tVBD\tB-VP\tO' -p196311 -aS'around\taround\tRB\tB-NP\tO' -p196312 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p196313 -aS'day\tday\tNN\tI-NP\tO' -p196314 -aS'8\t8\tCD\tI-NP\tO' -p196315 -aS'for\tfor\tIN\tB-PP\tO' -p196316 -aS'anticoagulation\tanticoagulation\tNN\tB-NP\tO' -p196317 -aS'and\tand\tCC\tI-NP\tO' -p196318 -aS'amiodarone\tamiodarone\tNN\tI-NP\tO' -p196319 -aS'load\tload\tNN\tI-NP\tO' -p196320 -aS'.\t.\t.\tO\tO' -p196321 -asS'Dictated By : Annie D. Martinez , M.D.' -p196322 -(lp196323 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p196324 -aS'By\tBy\tIN\tB-PP\tO' -p196325 -aS':\t:\t:\tO\tO' -p196326 -aS'Annie\tAnnie\tNNP\tB-NP\tO' -p196327 -aS'D.\tD.\tNNP\tI-NP\tO' -p196328 -aS'Martinez\tMartinez\tNNP\tI-NP\tO' -p196329 -aS',\t,\t,\tO\tO' -p196330 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p196331 -asS'Deferred until the Operating Room .' -p196332 -(lp196333 -S'Deferred\tDefer\tVBN\tB-VP\tO' -p196334 -aS'until\tuntil\tIN\tB-PP\tO' -p196335 -aS'the\tthe\tDT\tB-NP\tO' -p196336 -aS'Operating\tOperating\tNNP\tI-NP\tO' -p196337 -aS'Room\tRoom\tNNP\tI-NP\tO' -p196338 -aS'.\t.\t.\tO\tO' -p196339 -asS'His blood cultures were drawn and pending .' -p196340 -(lp196341 -S'His\tHis\tPRP$\tB-NP\tO' -p196342 -aS'blood\tblood\tNN\tI-NP\tO' -p196343 -aS'cultures\tculture\tNNS\tI-NP\tO' -p196344 -aS'were\tbe\tVBD\tB-VP\tO' -p196345 -aS'drawn\tdraw\tVBN\tI-VP\tO' -p196346 -aS'and\tand\tCC\tO\tO' -p196347 -aS'pending\tpende\tVBG\tB-VP\tO' -p196348 -aS'.\t.\t.\tO\tO' -p196349 -asS'6. Atorvastatin 10 mg Tablet Sig : One ( 1 ) Tablet PO at bedtime .' -p196350 -(lp196351 -S'6.\t6.\tLS\tB-LST\tO' -p196352 -aS'Atorvastatin\tAtorvastatin\tNN\tB-NP\tO' -p196353 -aS'10\t10\tCD\tI-NP\tO' -p196354 -aS'mg\tmg\tNN\tI-NP\tO' -p196355 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p196356 -aS'Sig\tSig\tNNP\tI-NP\tO' -p196357 -aS':\t:\t:\tO\tO' -p196358 -aS'One\tOne\tCD\tB-NP\tO' -p196359 -aS'(\t(\t(\tO\tO' -p196360 -aS'1\t1\tCD\tB-NP\tO' -p196361 -aS')\t)\t)\tO\tO' -p196362 -aS'Tablet\tTablet\tNN\tB-NP\tB-protein' -p196363 -aS'PO\tPO\tNN\tI-NP\tI-protein' -p196364 -aS'at\tat\tIN\tB-PP\tO' -p196365 -aS'bedtime\tbedtime\tNN\tB-NP\tO' -p196366 -aS'.\t.\t.\tO\tO' -p196367 -asS'White blood cell count 11.0 , differential with 76 neutrophils , 2 monos , 21 lymphocytes , and no eosinophils .' -p196368 -(lp196369 -S'White\tWhite\tJJ\tB-NP\tO' -p196370 -aS'blood\tblood\tNN\tI-NP\tO' -p196371 -aS'cell\tcell\tNN\tI-NP\tO' -p196372 -aS'count\tcount\tNN\tI-NP\tO' -p196373 -aS'11.0\t11.0\tCD\tI-NP\tO' -p196374 -aS',\t,\t,\tO\tO' -p196375 -aS'differential\tdifferential\tJJ\tB-ADJP\tO' -p196376 -aS'with\twith\tIN\tB-PP\tO' -p196377 -aS'76\t76\tCD\tB-NP\tO' -p196378 -aS'neutrophils\tneutrophil\tNNS\tI-NP\tB-cell_type' -p196379 -aS',\t,\t,\tO\tO' -p196380 -aS'2\t2\tCD\tB-NP\tO' -p196381 -aS'monos\tmono\tNNS\tI-NP\tO' -p196382 -aS',\t,\t,\tO\tO' -p196383 -aS'21\t21\tCD\tB-NP\tO' -p196384 -aS'lymphocytes\tlymphocyte\tNNS\tI-NP\tB-cell_type' -p196385 -aS',\t,\t,\tO\tO' -p196386 -aS'and\tand\tCC\tO\tO' -p196387 -aS'no\tno\tDT\tB-NP\tO' -p196388 -aS'eosinophils\teosinophil\tNNS\tI-NP\tB-cell_type' -p196389 -aS'.\t.\t.\tO\tO' -p196390 -asS'There were no acute ischemic changes .' -p196391 -(lp196392 -S'There\tThere\tEX\tB-NP\tO' -p196393 -aS'were\tbe\tVBD\tB-VP\tO' -p196394 -aS'no\tno\tDT\tB-NP\tO' -p196395 -aS'acute\tacute\tJJ\tI-NP\tO' -p196396 -aS'ischemic\tischemic\tJJ\tI-NP\tO' -p196397 -aS'changes\tchange\tNNS\tI-NP\tO' -p196398 -aS'.\t.\t.\tO\tO' -p196399 -asS'Pupils were equal , round , reactive to light , anicteric .' -p196400 -(lp196401 -S'Pupils\tPupil\tNNS\tB-NP\tO' -p196402 -aS'were\tbe\tVBD\tB-VP\tO' -p196403 -aS'equal\tequal\tJJ\tB-NP\tO' -p196404 -aS',\t,\t,\tI-NP\tO' -p196405 -aS'round\tround\tJJ\tI-NP\tO' -p196406 -aS',\t,\t,\tI-NP\tO' -p196407 -aS'reactive\treactive\tJJ\tI-NP\tO' -p196408 -aS'to\tto\tTO\tI-NP\tO' -p196409 -aS'light\tlight\tJJ\tI-NP\tO' -p196410 -aS',\t,\t,\tI-NP\tO' -p196411 -aS'anicteric\tanicteric\tJJ\tI-NP\tO' -p196412 -aS'.\t.\t.\tO\tO' -p196413 -asS'The patient was given a low fat / low cholesterol diet .' -p196414 -(lp196415 -S'The\tThe\tDT\tB-NP\tO' -p196416 -aS'patient\tpatient\tNN\tI-NP\tO' -p196417 -aS'was\tbe\tVBD\tB-VP\tO' -p196418 -aS'given\tgive\tVBN\tI-VP\tO' -p196419 -aS'a\ta\tDT\tB-NP\tO' -p196420 -aS'low\tlow\tJJ\tI-NP\tO' -p196421 -aS'fat\tfat\tNN\tI-NP\tO' -p196422 -aS'/\t/\tSYM\tB-NP\tO' -p196423 -aS'low\tlow\tJJ\tI-NP\tO' -p196424 -aS'cholesterol\tcholesterol\tNN\tI-NP\tO' -p196425 -aS'diet\tdiet\tNN\tI-NP\tO' -p196426 -aS'.\t.\t.\tO\tO' -p196427 -asS'If negative , pt is scheduled for presumptively replacement of PORT on 2019-02-11 with interventional radiology ( dr. Arevalo ).' -p196428 -(lp196429 -S'If\tIf\tIN\tB-SBAR\tO' -p196430 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p196431 -aS',\t,\t,\tO\tO' -p196432 -aS'pt\tpt\tNN\tB-NP\tO' -p196433 -aS'is\tbe\tVBZ\tB-VP\tO' -p196434 -aS'scheduled\tschedule\tVBN\tI-VP\tO' -p196435 -aS'for\tfor\tIN\tB-PP\tO' -p196436 -aS'presumptively\tpresumptively\tRB\tB-NP\tO' -p196437 -aS'replacement\treplacement\tNN\tI-NP\tO' -p196438 -aS'of\tof\tIN\tB-PP\tO' -p196439 -aS'PORT\tPORT\tNN\tB-NP\tO' -p196440 -aS'on\ton\tIN\tB-PP\tO' -p196441 -aS'2019-02-11\t2019-02-11\tNN\tB-NP\tO' -p196442 -aS'with\twith\tIN\tB-PP\tO' -p196443 -aS'interventional\tinterventional\tJJ\tB-NP\tO' -p196444 -aS'radiology\tradiology\tNN\tI-NP\tO' -p196445 -aS'(\t(\t(\tO\tO' -p196446 -aS'dr.\tdr.\tNN\tB-NP\tO' -p196447 -aS'Arevalo\tArevalo\tNNP\tI-NP\tO' -p196448 -aS').\t).\tNNP\tI-NP\tO' -p196449 -asS'3. Appendectomy .' -p196450 -(lp196451 -S'3.\t3.\tLS\tB-NP\tO' -p196452 -aS'Appendectomy\tAppendectomy\tNN\tI-NP\tO' -p196453 -aS'.\t.\t.\tO\tO' -p196454 -asS'4. Left hemidiaphragmatic paralysis , history of recurrent lung infections .' -p196455 -(lp196456 -S'4.\t4.\tLS\tB-NP\tO' -p196457 -aS'Left\tLeft\tJJ\tI-NP\tO' -p196458 -aS'hemidiaphragmatic\themidiaphragmatic\tJJ\tI-NP\tO' -p196459 -aS'paralysis\tparalysis\tNN\tI-NP\tO' -p196460 -aS',\t,\t,\tO\tO' -p196461 -aS'history\thistory\tNN\tB-NP\tO' -p196462 -aS'of\tof\tIN\tB-PP\tO' -p196463 -aS'recurrent\trecurrent\tJJ\tB-NP\tO' -p196464 -aS'lung\tlung\tNN\tI-NP\tO' -p196465 -aS'infections\tinfection\tNNS\tI-NP\tO' -p196466 -aS'.\t.\t.\tO\tO' -p196467 -asS'The patient had a bone marrow biopsy which showed myeloid arrest and probable neutropenia from a drug-related cause presumed to be the sulfasalazine .' -p196468 -(lp196469 -S'The\tThe\tDT\tB-NP\tO' -p196470 -aS'patient\tpatient\tNN\tI-NP\tO' -p196471 -aS'had\thave\tVBD\tB-VP\tO' -p196472 -aS'a\ta\tDT\tB-NP\tO' -p196473 -aS'bone\tbone\tNN\tI-NP\tO' -p196474 -aS'marrow\tmarrow\tNN\tI-NP\tO' -p196475 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p196476 -aS'which\twhich\tWDT\tB-NP\tO' -p196477 -aS'showed\tshow\tVBD\tB-VP\tO' -p196478 -aS'myeloid\tmyeloid\tJJ\tB-NP\tO' -p196479 -aS'arrest\tarrest\tNN\tI-NP\tO' -p196480 -aS'and\tand\tCC\tO\tO' -p196481 -aS'probable\tprobable\tJJ\tB-NP\tO' -p196482 -aS'neutropenia\tneutropenia\tNN\tI-NP\tO' -p196483 -aS'from\tfrom\tIN\tB-PP\tO' -p196484 -aS'a\ta\tDT\tB-NP\tO' -p196485 -aS'drug-related\tdrug-related\tJJ\tI-NP\tO' -p196486 -aS'cause\tcause\tNN\tI-NP\tO' -p196487 -aS'presumed\tpresume\tVBN\tB-VP\tO' -p196488 -aS'to\tto\tTO\tI-VP\tO' -p196489 -aS'be\tbe\tVB\tI-VP\tO' -p196490 -aS'the\tthe\tDT\tB-NP\tO' -p196491 -aS'sulfasalazine\tsulfasalazine\tNN\tI-NP\tO' -p196492 -aS'.\t.\t.\tO\tO' -p196493 -asS'The plan will be to continue to try to alternate albumin and Lasix to mobilize his fluid .' -p196494 -(lp196495 -S'The\tThe\tDT\tB-NP\tO' -p196496 -aS'plan\tplan\tNN\tI-NP\tO' -p196497 -aS'will\twill\tMD\tB-VP\tO' -p196498 -aS'be\tbe\tVB\tI-VP\tO' -p196499 -aS'to\tto\tTO\tB-VP\tO' -p196500 -aS'continue\tcontinue\tVB\tI-VP\tO' -p196501 -aS'to\tto\tTO\tI-VP\tO' -p196502 -aS'try\ttry\tVB\tI-VP\tO' -p196503 -aS'to\tto\tTO\tI-VP\tO' -p196504 -aS'alternate\talternate\tVB\tI-VP\tO' -p196505 -aS'albumin\talbumin\tNN\tB-NP\tO' -p196506 -aS'and\tand\tCC\tI-NP\tO' -p196507 -aS'Lasix\tLasix\tNN\tI-NP\tO' -p196508 -aS'to\tto\tTO\tB-VP\tO' -p196509 -aS'mobilize\tmobilize\tVB\tI-VP\tO' -p196510 -aS'his\this\tPRP$\tB-NP\tO' -p196511 -aS'fluid\tfluid\tNN\tI-NP\tO' -p196512 -aS'.\t.\t.\tO\tO' -p196513 -asS'Neurology was consulted for difficulty lifting his arms .' -p196514 -(lp196515 -S'Neurology\tNeurology\tNN\tB-NP\tO' -p196516 -aS'was\tbe\tVBD\tB-VP\tO' -p196517 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p196518 -aS'for\tfor\tIN\tB-PP\tO' -p196519 -aS'difficulty\tdifficulty\tNN\tB-NP\tO' -p196520 -aS'lifting\tlift\tVBG\tB-VP\tO' -p196521 -aS'his\this\tPRP$\tB-NP\tO' -p196522 -aS'arms\tarm\tNNS\tI-NP\tO' -p196523 -aS'.\t.\t.\tO\tO' -p196524 -asS'CRYPTOGENIC CIRRHOSIS .' -p196525 -(lp196526 -S'CRYPTOGENIC\tCRYPTOGENIC\tNN\tB-NP\tO' -p196527 -aS'CIRRHOSIS\tCIRRHOSIS\tNN\tI-NP\tO' -p196528 -aS'.\t.\t.\tO\tO' -p196529 -asS'Creatinine 0.6 , SGOT 52 , bilirubin 0.5 .' -p196530 -(lp196531 -S'Creatinine\tCreatinine\tNN\tB-NP\tB-protein' -p196532 -aS'0.6\t0.6\tCD\tI-NP\tI-protein' -p196533 -aS',\t,\t,\tO\tO' -p196534 -aS'SGOT\tSGOT\tNN\tB-NP\tB-protein' -p196535 -aS'52\t52\tCD\tI-NP\tI-protein' -p196536 -aS',\t,\t,\tO\tO' -p196537 -aS'bilirubin\tbilirubin\tNN\tB-NP\tO' -p196538 -aS'0.5\t0.5\tCD\tI-NP\tO' -p196539 -aS'.\t.\t.\tO\tO' -p196540 -asS'Hearing intact to finger rub bilaterally .' -p196541 -(lp196542 -S'Hearing\tHear\tVBG\tB-VP\tO' -p196543 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p196544 -aS'to\tto\tTO\tB-VP\tO' -p196545 -aS'finger\tfinger\tVB\tI-VP\tO' -p196546 -aS'rub\trub\tNN\tB-NP\tB-protein' -p196547 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p196548 -aS'.\t.\t.\tO\tO' -p196549 -asS"With regard to the patient 's chronic obstructive pulmonary disease , the patient 's respiratory status improved throughout the remainder of her hospital course ." -p196550 -(lp196551 -S'With\tWith\tIN\tB-PP\tO' -p196552 -aS'regard\tregard\tNN\tB-NP\tO' -p196553 -aS'to\tto\tTO\tB-PP\tO' -p196554 -aS'the\tthe\tDT\tB-NP\tO' -p196555 -aS'patient\tpatient\tNN\tI-NP\tO' -p196556 -aS"'s\t's\tPOS\tB-NP\tO" -p196557 -aS'chronic\tchronic\tJJ\tI-NP\tO' -p196558 -aS'obstructive\tobstructive\tJJ\tI-NP\tO' -p196559 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p196560 -aS'disease\tdisease\tNN\tI-NP\tO' -p196561 -aS',\t,\t,\tO\tO' -p196562 -aS'the\tthe\tDT\tB-NP\tO' -p196563 -aS'patient\tpatient\tNN\tI-NP\tO' -p196564 -aS"'s\t's\tPOS\tB-NP\tO" -p196565 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p196566 -aS'status\tstatus\tNN\tI-NP\tO' -p196567 -aS'improved\timprove\tVBD\tB-VP\tO' -p196568 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p196569 -aS'the\tthe\tDT\tB-NP\tO' -p196570 -aS'remainder\tremainder\tNN\tI-NP\tO' -p196571 -aS'of\tof\tIN\tB-PP\tO' -p196572 -aS'her\ther\tPRP$\tB-NP\tO' -p196573 -aS'hospital\thospital\tNN\tI-NP\tO' -p196574 -aS'course\tcourse\tNN\tI-NP\tO' -p196575 -aS'.\t.\t.\tO\tO' -p196576 -asS'# ESRD on hemodyalisis : Renal service was consulted and HD was continued .' -p196577 -(lp196578 -S'#\t#\t#\tB-NP\tO' -p196579 -aS'ESRD\tESRD\tNN\tI-NP\tO' -p196580 -aS'on\ton\tIN\tB-PP\tO' -p196581 -aS'hemodyalisis\themodyalisis\tNN\tB-NP\tO' -p196582 -aS':\t:\t:\tO\tO' -p196583 -aS'Renal\tRenal\tJJ\tB-NP\tO' -p196584 -aS'service\tservice\tNN\tI-NP\tO' -p196585 -aS'was\tbe\tVBD\tB-VP\tO' -p196586 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p196587 -aS'and\tand\tCC\tO\tO' -p196588 -aS'HD\tHD\tNN\tB-NP\tO' -p196589 -aS'was\tbe\tVBD\tB-VP\tO' -p196590 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p196591 -aS'.\t.\t.\tO\tO' -p196592 -asS'The patient did well overnight in the Medical Intensive Care Unit .' -p196593 -(lp196594 -S'The\tThe\tDT\tB-NP\tO' -p196595 -aS'patient\tpatient\tNN\tI-NP\tO' -p196596 -aS'did\tdo\tVBD\tB-VP\tO' -p196597 -aS'well\twell\tRB\tB-ADJP\tO' -p196598 -aS'overnight\tovernight\tJJ\tI-ADJP\tO' -p196599 -aS'in\tin\tIN\tB-PP\tO' -p196600 -aS'the\tthe\tDT\tB-NP\tO' -p196601 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p196602 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p196603 -aS'Care\tCare\tNNP\tI-NP\tO' -p196604 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p196605 -aS'.\t.\t.\tO\tO' -p196606 -asS'3. History of colonic polyp times 3 , benign in 2007 , repeat colonoscopy due in 2010 .' -p196607 -(lp196608 -S'3.\t3.\tLS\tB-NP\tO' -p196609 -aS'History\tHistory\tNN\tI-NP\tO' -p196610 -aS'of\tof\tIN\tB-PP\tO' -p196611 -aS'colonic\tcolonic\tJJ\tB-NP\tO' -p196612 -aS'polyp\tpolyp\tNN\tI-NP\tO' -p196613 -aS'times\ttime\tNNS\tI-NP\tO' -p196614 -aS'3\t3\tCD\tI-NP\tO' -p196615 -aS',\t,\t,\tO\tO' -p196616 -aS'benign\tbenign\tJJ\tB-ADJP\tO' -p196617 -aS'in\tin\tIN\tB-PP\tO' -p196618 -aS'2007\t2007\tCD\tB-NP\tO' -p196619 -aS',\t,\t,\tO\tO' -p196620 -aS'repeat\trepeat\tNN\tB-NP\tO' -p196621 -aS'colonoscopy\tcolonoscopy\tNN\tI-NP\tO' -p196622 -aS'due\tdue\tJJ\tB-ADJP\tO' -p196623 -aS'in\tin\tIN\tB-PP\tO' -p196624 -aS'2010\t2010\tCD\tB-NP\tO' -p196625 -aS'.\t.\t.\tO\tO' -p196626 -asS'The patient presented to the operating room late at night on 12/01/02 and was admitted to the floor early on the morning on 12/02/02 .' -p196627 -(lp196628 -S'The\tThe\tDT\tB-NP\tO' -p196629 -aS'patient\tpatient\tNN\tI-NP\tO' -p196630 -aS'presented\tpresent\tVBN\tB-VP\tO' -p196631 -aS'to\tto\tTO\tB-PP\tO' -p196632 -aS'the\tthe\tDT\tB-NP\tO' -p196633 -aS'operating\toperating\tNN\tI-NP\tO' -p196634 -aS'room\troom\tNN\tI-NP\tO' -p196635 -aS'late\tlate\tRB\tB-ADVP\tO' -p196636 -aS'at\tat\tIN\tB-PP\tO' -p196637 -aS'night\tnight\tNN\tB-NP\tO' -p196638 -aS'on\ton\tIN\tB-PP\tO' -p196639 -aS'12/01/02\t12/01/02\tCD\tB-NP\tO' -p196640 -aS'and\tand\tCC\tO\tO' -p196641 -aS'was\tbe\tVBD\tB-VP\tO' -p196642 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p196643 -aS'to\tto\tTO\tB-PP\tO' -p196644 -aS'the\tthe\tDT\tB-NP\tO' -p196645 -aS'floor\tfloor\tNN\tI-NP\tO' -p196646 -aS'early\tearly\tRB\tB-ADVP\tO' -p196647 -aS'on\ton\tIN\tB-PP\tO' -p196648 -aS'the\tthe\tDT\tB-NP\tO' -p196649 -aS'morning\tmorning\tNN\tI-NP\tO' -p196650 -aS'on\ton\tIN\tB-PP\tO' -p196651 -aS'12/02/02\t12/02/02\tCD\tB-NP\tO' -p196652 -aS'.\t.\t.\tO\tO' -p196653 -asS'Toes upgoing bilaterally .' -p196654 -(lp196655 -S'Toes\tToe\tNNS\tB-NP\tO' -p196656 -aS'upgoing\tupgoe\tVBG\tB-VP\tO' -p196657 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p196658 -aS'.\t.\t.\tO\tO' -p196659 -asS'On admission , the sodium was 136 , potassium 3.0 , chloride 98 , CO2 20 , BUN 8 , creatinine 0.8 and glucose 94 , ALT 5 , AST 10 , LDH 166 , alkaline phosphatase 81 , total bili 0.6 , direct bili .3 , albumin 3.3 , calcium 8.8 and uric acid 3.1 .' -p196660 -(lp196661 -S'On\tOn\tIN\tB-PP\tO' -p196662 -aS'admission\tadmission\tNN\tB-NP\tO' -p196663 -aS',\t,\t,\tO\tO' -p196664 -aS'the\tthe\tDT\tB-NP\tO' -p196665 -aS'sodium\tsodium\tNN\tI-NP\tO' -p196666 -aS'was\tbe\tVBD\tB-VP\tO' -p196667 -aS'136\t136\tCD\tB-NP\tO' -p196668 -aS',\t,\t,\tO\tO' -p196669 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p196670 -aS'3.0\t3.0\tCD\tI-NP\tO' -p196671 -aS',\t,\t,\tO\tO' -p196672 -aS'chloride\tchloride\tNN\tB-NP\tO' -p196673 -aS'98\t98\tCD\tI-NP\tO' -p196674 -aS',\t,\t,\tO\tO' -p196675 -aS'CO2\tCO2\tNN\tB-NP\tO' -p196676 -aS'20\t20\tCD\tI-NP\tO' -p196677 -aS',\t,\t,\tO\tO' -p196678 -aS'BUN\tBUN\tNN\tB-NP\tB-protein' -p196679 -aS'8\t8\tCD\tI-NP\tI-protein' -p196680 -aS',\t,\t,\tO\tO' -p196681 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p196682 -aS'0.8\t0.8\tCD\tI-NP\tO' -p196683 -aS'and\tand\tCC\tO\tO' -p196684 -aS'glucose\tglucose\tNN\tB-NP\tO' -p196685 -aS'94\t94\tCD\tI-NP\tO' -p196686 -aS',\t,\t,\tO\tO' -p196687 -aS'ALT\tALT\tNN\tB-NP\tB-protein' -p196688 -aS'5\t5\tCD\tI-NP\tI-protein' -p196689 -aS',\t,\t,\tO\tO' -p196690 -aS'AST\tAST\tNN\tB-NP\tO' -p196691 -aS'10\t10\tCD\tI-NP\tO' -p196692 -aS',\t,\t,\tO\tO' -p196693 -aS'LDH\tLDH\tNN\tB-NP\tB-protein' -p196694 -aS'166\t166\tCD\tI-NP\tI-protein' -p196695 -aS',\t,\t,\tO\tO' -p196696 -aS'alkaline\talkaline\tNN\tB-NP\tO' -p196697 -aS'phosphatase\tphosphatase\tNN\tI-NP\tO' -p196698 -aS'81\t81\tCD\tI-NP\tO' -p196699 -aS',\t,\t,\tO\tO' -p196700 -aS'total\ttotal\tJJ\tB-NP\tO' -p196701 -aS'bili\tbili\tNNS\tI-NP\tO' -p196702 -aS'0.6\t0.6\tCD\tB-NP\tO' -p196703 -aS',\t,\t,\tO\tO' -p196704 -aS'direct\tdirect\tJJ\tB-NP\tO' -p196705 -aS'bili\tbili\tNN\tI-NP\tO' -p196706 -aS'.3\t.3\tNN\tI-NP\tO' -p196707 -aS',\t,\t,\tO\tO' -p196708 -aS'albumin\talbumin\tNN\tB-NP\tB-protein' -p196709 -aS'3.3\t3.3\tCD\tI-NP\tI-protein' -p196710 -aS',\t,\t,\tO\tO' -p196711 -aS'calcium\tcalcium\tNN\tB-NP\tO' -p196712 -aS'8.8\t8.8\tCD\tI-NP\tO' -p196713 -aS'and\tand\tCC\tO\tO' -p196714 -aS'uric\turic\tJJ\tB-NP\tO' -p196715 -aS'acid\tacid\tNN\tI-NP\tO' -p196716 -aS'3.1\t3.1\tCD\tI-NP\tO' -p196717 -aS'.\t.\t.\tO\tO' -p196718 -asS'The patient was hemodynamically stable overnight in the CMED CCU .' -p196719 -(lp196720 -S'The\tThe\tDT\tB-NP\tO' -p196721 -aS'patient\tpatient\tNN\tI-NP\tO' -p196722 -aS'was\tbe\tVBD\tB-VP\tO' -p196723 -aS'hemodynamically\themodynamically\tRB\tB-NP\tO' -p196724 -aS'stable\tstable\tJJ\tI-NP\tO' -p196725 -aS'overnight\tovernight\tNN\tI-NP\tO' -p196726 -aS'in\tin\tIN\tB-PP\tO' -p196727 -aS'the\tthe\tDT\tB-NP\tO' -p196728 -aS'CMED\tCMED\tVBN\tI-NP\tO' -p196729 -aS'CCU\tCCU\tNN\tI-NP\tO' -p196730 -aS'.\t.\t.\tO\tO' -p196731 -asS'Fiberoptic scope showed swelling of the right epiglottitis extending down to the right aryepiglottic fold obscuring view of the right vocal cord .' -p196732 -(lp196733 -S'Fiberoptic\tFiberoptic\tJJ\tB-NP\tO' -p196734 -aS'scope\tscope\tNN\tI-NP\tO' -p196735 -aS'showed\tshow\tVBD\tB-VP\tO' -p196736 -aS'swelling\tswelling\tNN\tB-NP\tO' -p196737 -aS'of\tof\tIN\tB-PP\tO' -p196738 -aS'the\tthe\tDT\tB-NP\tO' -p196739 -aS'right\tright\tJJ\tI-NP\tO' -p196740 -aS'epiglottitis\tepiglottitis\tNN\tI-NP\tO' -p196741 -aS'extending\textend\tVBG\tB-VP\tO' -p196742 -aS'down\tdown\tRP\tB-PRT\tO' -p196743 -aS'to\tto\tTO\tB-PP\tO' -p196744 -aS'the\tthe\tDT\tB-NP\tO' -p196745 -aS'right\tright\tJJ\tI-NP\tO' -p196746 -aS'aryepiglottic\taryepiglottic\tJJ\tI-NP\tO' -p196747 -aS'fold\tfold\tJJ\tI-NP\tO' -p196748 -aS'obscuring\tobscuring\tJJ\tI-NP\tO' -p196749 -aS'view\tview\tNN\tI-NP\tO' -p196750 -aS'of\tof\tIN\tB-PP\tO' -p196751 -aS'the\tthe\tDT\tB-NP\tO' -p196752 -aS'right\tright\tJJ\tI-NP\tO' -p196753 -aS'vocal\tvocal\tJJ\tI-NP\tO' -p196754 -aS'cord\tcord\tNN\tI-NP\tO' -p196755 -aS'.\t.\t.\tO\tO' -p196756 -asS'WIll follow up tih outpatient oncologist .' -p196757 -(lp196758 -S'WIll\tWIll\tNNP\tB-NP\tO' -p196759 -aS'follow\tfollow\tVBP\tB-VP\tO' -p196760 -aS'up\tup\tRP\tB-PRT\tO' -p196761 -aS'tih\ttih\tNN\tB-NP\tO' -p196762 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p196763 -aS'oncologist\toncologist\tNN\tI-NP\tO' -p196764 -aS'.\t.\t.\tO\tO' -p196765 -asS'Oropharynx is not injected .' -p196766 -(lp196767 -S'Oropharynx\tOropharynx\tNNP\tB-NP\tO' -p196768 -aS'is\tbe\tVBZ\tB-VP\tO' -p196769 -aS'not\tnot\tRB\tI-VP\tO' -p196770 -aS'injected\tinject\tVBN\tI-VP\tO' -p196771 -aS'.\t.\t.\tO\tO' -p196772 -asS'Transferred here for second opinion on poor prognosis .' -p196773 -(lp196774 -S'Transferred\tTransfer\tVBN\tB-VP\tO' -p196775 -aS'here\there\tRB\tB-ADVP\tO' -p196776 -aS'for\tfor\tIN\tB-PP\tO' -p196777 -aS'second\tsecond\tJJ\tB-NP\tO' -p196778 -aS'opinion\topinion\tNN\tI-NP\tO' -p196779 -aS'on\ton\tIN\tB-PP\tO' -p196780 -aS'poor\tpoor\tJJ\tB-NP\tO' -p196781 -aS'prognosis\tprognosis\tNN\tI-NP\tO' -p196782 -aS'.\t.\t.\tO\tO' -p196783 -asS'General exam at the time was notable for pale mucous membranes , left lateral eye deviation , clear lungs , 2/6 holosystolic murmur , best heard at the apex , abdomen was mildly distended but was soft and nontender and his extremities were without edema and skin without any rashes .' -p196784 -(lp196785 -S'General\tGeneral\tJJ\tB-NP\tO' -p196786 -aS'exam\texam\tNN\tI-NP\tO' -p196787 -aS'at\tat\tIN\tB-PP\tO' -p196788 -aS'the\tthe\tDT\tB-NP\tO' -p196789 -aS'time\ttime\tNN\tI-NP\tO' -p196790 -aS'was\tbe\tVBD\tB-VP\tO' -p196791 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p196792 -aS'for\tfor\tIN\tB-PP\tO' -p196793 -aS'pale\tpale\tJJ\tB-NP\tO' -p196794 -aS'mucous\tmucous\tJJ\tI-NP\tO' -p196795 -aS'membranes\tmembrane\tNNS\tI-NP\tO' -p196796 -aS',\t,\t,\tO\tO' -p196797 -aS'left\tleave\tVBD\tB-VP\tO' -p196798 -aS'lateral\tlateral\tJJ\tB-NP\tO' -p196799 -aS'eye\teye\tNN\tI-NP\tO' -p196800 -aS'deviation\tdeviation\tNN\tI-NP\tO' -p196801 -aS',\t,\t,\tO\tO' -p196802 -aS'clear\tclear\tJJ\tB-NP\tO' -p196803 -aS'lungs\tlung\tNNS\tI-NP\tO' -p196804 -aS',\t,\t,\tO\tO' -p196805 -aS'2/6\t2/6\tCD\tB-NP\tO' -p196806 -aS'holosystolic\tholosystolic\tJJ\tI-NP\tO' -p196807 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p196808 -aS',\t,\t,\tO\tO' -p196809 -aS'best\tgood\tJJS\tB-NP\tO' -p196810 -aS'heard\thear\tVBD\tB-VP\tO' -p196811 -aS'at\tat\tIN\tB-PP\tO' -p196812 -aS'the\tthe\tDT\tB-NP\tO' -p196813 -aS'apex\tapex\tNN\tI-NP\tO' -p196814 -aS',\t,\t,\tO\tO' -p196815 -aS'abdomen\tabdomen\tNN\tB-NP\tO' -p196816 -aS'was\tbe\tVBD\tB-VP\tO' -p196817 -aS'mildly\tmildly\tRB\tI-VP\tO' -p196818 -aS'distended\tdistend\tVBN\tI-VP\tO' -p196819 -aS'but\tbut\tCC\tO\tO' -p196820 -aS'was\tbe\tVBD\tB-VP\tO' -p196821 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p196822 -aS'and\tand\tCC\tI-ADJP\tO' -p196823 -aS'nontender\tnontender\tJJ\tI-ADJP\tO' -p196824 -aS'and\tand\tCC\tO\tO' -p196825 -aS'his\this\tPRP$\tB-NP\tO' -p196826 -aS'extremities\textremity\tNNS\tI-NP\tO' -p196827 -aS'were\tbe\tVBD\tB-VP\tO' -p196828 -aS'without\twithout\tIN\tB-PP\tO' -p196829 -aS'edema\tedema\tNN\tB-NP\tO' -p196830 -aS'and\tand\tCC\tI-NP\tO' -p196831 -aS'skin\tskin\tNN\tI-NP\tO' -p196832 -aS'without\twithout\tIN\tB-PP\tO' -p196833 -aS'any\tany\tDT\tB-NP\tO' -p196834 -aS'rashes\trash\tNNS\tI-NP\tO' -p196835 -aS'.\t.\t.\tO\tO' -p196836 -asS'She does have rest pain in the right foot and ankle .' -p196837 -(lp196838 -S'She\tShe\tPRP\tB-NP\tO' -p196839 -aS'does\tdo\tVBZ\tB-VP\tO' -p196840 -aS'have\thave\tVB\tI-VP\tO' -p196841 -aS'rest\trest\tNN\tB-NP\tO' -p196842 -aS'pain\tpain\tNN\tI-NP\tO' -p196843 -aS'in\tin\tIN\tB-PP\tO' -p196844 -aS'the\tthe\tDT\tB-NP\tO' -p196845 -aS'right\tright\tJJ\tI-NP\tO' -p196846 -aS'foot\tfoot\tNN\tI-NP\tO' -p196847 -aS'and\tand\tCC\tI-NP\tO' -p196848 -aS'ankle\tankle\tNN\tI-NP\tO' -p196849 -aS'.\t.\t.\tO\tO' -p196850 -asS'6) s/p cholecystectomy .' -p196851 -(lp196852 -S'6)\t6)\tLS\tB-NP\tO' -p196853 -aS's/p\ts/p\tNN\tI-NP\tO' -p196854 -aS'cholecystectomy\tcholecystectomy\tNN\tI-NP\tO' -p196855 -aS'.\t.\t.\tO\tO' -p196856 -asS'On postoperative day no. 12 the patient was noted to have fallen and subsequently dislocating the PIP joint of his left middle finger .' -p196857 -(lp196858 -S'On\tOn\tIN\tB-PP\tO' -p196859 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p196860 -aS'day\tday\tNN\tI-NP\tO' -p196861 -aS'no.\tno.\tRB\tB-ADVP\tO' -p196862 -aS'12\t12\tCD\tB-NP\tO' -p196863 -aS'the\tthe\tDT\tB-NP\tO' -p196864 -aS'patient\tpatient\tNN\tI-NP\tO' -p196865 -aS'was\tbe\tVBD\tB-VP\tO' -p196866 -aS'noted\tnote\tVBN\tI-VP\tO' -p196867 -aS'to\tto\tTO\tI-VP\tO' -p196868 -aS'have\thave\tVB\tI-VP\tO' -p196869 -aS'fallen\tfall\tVBN\tI-VP\tO' -p196870 -aS'and\tand\tCC\tO\tO' -p196871 -aS'subsequently\tsubsequently\tRB\tB-VP\tO' -p196872 -aS'dislocating\tdislocate\tVBG\tI-VP\tO' -p196873 -aS'the\tthe\tDT\tB-NP\tO' -p196874 -aS'PIP\tPIP\tNN\tI-NP\tO' -p196875 -aS'joint\tjoint\tNN\tI-NP\tO' -p196876 -aS'of\tof\tIN\tB-PP\tO' -p196877 -aS'his\this\tPRP$\tB-NP\tO' -p196878 -aS'left\tleft\tJJ\tI-NP\tO' -p196879 -aS'middle\tmiddle\tJJ\tI-NP\tO' -p196880 -aS'finger\tfinger\tNN\tI-NP\tO' -p196881 -aS'.\t.\t.\tO\tO' -p196882 -asS'Neurology evaluated pt and felt to have intact brainstem reflexes but poor prognosis .' -p196883 -(lp196884 -S'Neurology\tNeurology\tNNP\tB-NP\tO' -p196885 -aS'evaluated\tevaluate\tVBD\tB-VP\tO' -p196886 -aS'pt\tpt\tNN\tB-NP\tO' -p196887 -aS'and\tand\tCC\tO\tO' -p196888 -aS'felt\tfeel\tVBD\tB-VP\tO' -p196889 -aS'to\tto\tTO\tI-VP\tO' -p196890 -aS'have\thave\tVB\tI-VP\tO' -p196891 -aS'intact\tintact\tJJ\tB-NP\tO' -p196892 -aS'brainstem\tbrainstem\tNN\tI-NP\tO' -p196893 -aS'reflexes\treflex\tNNS\tI-NP\tO' -p196894 -aS'but\tbut\tCC\tO\tO' -p196895 -aS'poor\tpoor\tJJ\tB-NP\tO' -p196896 -aS'prognosis\tprognosis\tNN\tI-NP\tO' -p196897 -aS'.\t.\t.\tO\tO' -p196898 -asS'This helped her somewhat though she has continued to have difficulty coughing due to the pain .' -p196899 -(lp196900 -S'This\tThis\tDT\tB-NP\tO' -p196901 -aS'helped\thelp\tVBD\tB-VP\tO' -p196902 -aS'her\ther\tPRP\tB-NP\tO' -p196903 -aS'somewhat\tsomewhat\tRB\tB-ADVP\tO' -p196904 -aS'though\tthough\tIN\tB-SBAR\tO' -p196905 -aS'she\tshe\tPRP\tB-NP\tO' -p196906 -aS'has\thave\tVBZ\tB-VP\tO' -p196907 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p196908 -aS'to\tto\tTO\tI-VP\tO' -p196909 -aS'have\thave\tVB\tI-VP\tO' -p196910 -aS'difficulty\tdifficulty\tNN\tB-NP\tO' -p196911 -aS'coughing\tcough\tVBG\tB-VP\tO' -p196912 -aS'due\tdue\tJJ\tB-ADJP\tO' -p196913 -aS'to\tto\tTO\tB-PP\tO' -p196914 -aS'the\tthe\tDT\tB-NP\tO' -p196915 -aS'pain\tpain\tNN\tI-NP\tO' -p196916 -aS'.\t.\t.\tO\tO' -p196917 -asS'Moderate [ 2+ ] tricuspid regurgitation is seen .' -p196918 -(lp196919 -S'Moderate\tModerate\tJJ\tO\tO' -p196920 -aS'[\t[\t(\tO\tO' -p196921 -aS'2+\t2+\tJJ\tB-ADJP\tO' -p196922 -aS']\t]\t)\tO\tO' -p196923 -aS'tricuspid\ttricuspid\tJJ\tB-NP\tO' -p196924 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p196925 -aS'is\tbe\tVBZ\tB-VP\tO' -p196926 -aS'seen\tsee\tVBN\tI-VP\tO' -p196927 -aS'.\t.\t.\tO\tO' -p196928 -asS'Not applicable .' -p196929 -(lp196930 -S'Not\tNot\tRB\tB-ADJP\tO' -p196931 -aS'applicable\tapplicable\tJJ\tI-ADJP\tO' -p196932 -aS'.\t.\t.\tO\tO' -p196933 -asS'Chest x-rays revealed evidence of congestive heart failure .' -p196934 -(lp196935 -S'Chest\tChest\tNNP\tB-NP\tO' -p196936 -aS'x-rays\tx-ray\tNNS\tI-NP\tO' -p196937 -aS'revealed\treveal\tVBD\tB-VP\tO' -p196938 -aS'evidence\tevidence\tNN\tB-NP\tO' -p196939 -aS'of\tof\tIN\tB-PP\tO' -p196940 -aS'congestive\tcongestive\tJJ\tB-NP\tO' -p196941 -aS'heart\theart\tNN\tI-NP\tO' -p196942 -aS'failure\tfailure\tNN\tI-NP\tO' -p196943 -aS'.\t.\t.\tO\tO' -p196944 -asS'Her creatinine fell to the normal range early .' -p196945 -(lp196946 -S'Her\tHer\tPRP$\tB-NP\tO' -p196947 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p196948 -aS'fell\tfall\tVBD\tB-VP\tO' -p196949 -aS'to\tto\tTO\tB-PP\tO' -p196950 -aS'the\tthe\tDT\tB-NP\tO' -p196951 -aS'normal\tnormal\tJJ\tI-NP\tO' -p196952 -aS'range\trange\tNN\tI-NP\tO' -p196953 -aS'early\tearly\tRB\tB-ADVP\tO' -p196954 -aS'.\t.\t.\tO\tO' -p196955 -asS'Heart without gallop .' -p196956 -(lp196957 -S'Heart\tHeart\tNN\tB-NP\tO' -p196958 -aS'without\twithout\tIN\tB-PP\tO' -p196959 -aS'gallop\tgallop\tNN\tB-NP\tO' -p196960 -aS'.\t.\t.\tO\tO' -p196961 -asS'Non-healing ulcer on the right leg .' -p196962 -(lp196963 -S'Non-healing\tNon-healing\tJJ\tB-NP\tO' -p196964 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p196965 -aS'on\ton\tIN\tB-PP\tO' -p196966 -aS'the\tthe\tDT\tB-NP\tO' -p196967 -aS'right\tright\tJJ\tI-NP\tO' -p196968 -aS'leg\tleg\tNN\tI-NP\tO' -p196969 -aS'.\t.\t.\tO\tO' -p196970 -asS'This restored flow appropriately .' -p196971 -(lp196972 -S'This\tThis\tDT\tB-NP\tO' -p196973 -aS'restored\trestore\tVBD\tB-VP\tO' -p196974 -aS'flow\tflow\tNN\tB-NP\tO' -p196975 -aS'appropriately\tappropriately\tRB\tB-ADVP\tO' -p196976 -aS'.\t.\t.\tO\tO' -p196977 -asS'She denies cigarette use and ethanol use as well as a recreational drug use .' -p196978 -(lp196979 -S'She\tShe\tPRP\tB-NP\tO' -p196980 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p196981 -aS'cigarette\tcigarette\tNN\tB-NP\tO' -p196982 -aS'use\tuse\tNN\tI-NP\tO' -p196983 -aS'and\tand\tCC\tI-NP\tO' -p196984 -aS'ethanol\tethanol\tNN\tI-NP\tO' -p196985 -aS'use\tuse\tNN\tI-NP\tO' -p196986 -aS'as\tas\tRB\tB-CONJP\tO' -p196987 -aS'well\twell\tRB\tI-CONJP\tO' -p196988 -aS'as\tas\tIN\tI-CONJP\tO' -p196989 -aS'a\ta\tDT\tB-NP\tO' -p196990 -aS'recreational\trecreational\tJJ\tI-NP\tO' -p196991 -aS'drug\tdrug\tNN\tI-NP\tO' -p196992 -aS'use\tuse\tNN\tI-NP\tO' -p196993 -aS'.\t.\t.\tO\tO' -p196994 -asS'Never injected drugs .' -p196995 -(lp196996 -S'Never\tNever\tRB\tB-NP\tO' -p196997 -aS'injected\tinject\tVBN\tI-NP\tO' -p196998 -aS'drugs\tdrug\tNNS\tI-NP\tO' -p196999 -aS'.\t.\t.\tO\tO' -p197000 -asS'Signed electronically by : DR. Brandon Mangum on : WED 2016-04-13 3:17 PM' -p197001 -(lp197002 -S'Signed\tSign\tVBN\tB-VP\tO' -p197003 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p197004 -aS'by\tby\tIN\tB-PP\tO' -p197005 -aS':\t:\t:\tO\tO' -p197006 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p197007 -aS'Brandon\tBrandon\tNNP\tI-NP\tO' -p197008 -aS'Mangum\tMangum\tNNP\tI-NP\tO' -p197009 -aS'on\ton\tIN\tB-PP\tO' -p197010 -aS':\t:\t:\tO\tO' -p197011 -aS'WED\tWED\tVBD\tB-VP\tO' -p197012 -aS'2016-04-13\t2016-04-13\tCD\tB-NP\tO' -p197013 -aS'3:17\t3:17\tCD\tI-NP\tO' -p197014 -aS'PM\tPM\tNN\tI-NP\tO' -p197015 -asS'Administer iron products a minimum of 2 hours before or after a levofloxacin or ciprofloxacin dose dose' -p197016 -(lp197017 -S'Administer\tAdminister\tNN\tB-NP\tO' -p197018 -aS'iron\tiron\tNN\tI-NP\tO' -p197019 -aS'products\tproduct\tNNS\tI-NP\tO' -p197020 -aS'a\ta\tDT\tB-NP\tO' -p197021 -aS'minimum\tminimum\tNN\tI-NP\tO' -p197022 -aS'of\tof\tIN\tB-PP\tO' -p197023 -aS'2\t2\tCD\tB-NP\tO' -p197024 -aS'hours\thour\tNNS\tI-NP\tO' -p197025 -aS'before\tbefore\tIN\tB-PP\tO' -p197026 -aS'or\tor\tCC\tI-PP\tO' -p197027 -aS'after\tafter\tIN\tI-PP\tO' -p197028 -aS'a\ta\tDT\tB-NP\tO' -p197029 -aS'levofloxacin\tlevofloxacin\tNN\tI-NP\tO' -p197030 -aS'or\tor\tCC\tI-NP\tO' -p197031 -aS'ciprofloxacin\tciprofloxacin\tNN\tI-NP\tO' -p197032 -aS'dose\tdose\tNN\tI-NP\tO' -p197033 -aS'dose\tdose\tNN\tI-NP\tO' -p197034 -asS'This is to notify you that your patient , AGACHBRAUCH , RENSIAANARC arrived in the Emergency Department at Daughtersvillshamen's Hospital on 11/25/2000 01:36 AM .' -p197035 -(lp197036 -S'This\tThis\tDT\tB-NP\tO' -p197037 -aS'is\tbe\tVBZ\tB-VP\tO' -p197038 -aS'to\tto\tTO\tB-VP\tO' -p197039 -aS'notify\tnotify\tVB\tI-VP\tO' -p197040 -aS'you\tyou\tPRP\tB-NP\tO' -p197041 -aS'that\tthat\tIN\tB-SBAR\tO' -p197042 -aS'your\tyour\tPRP$\tB-NP\tO' -p197043 -aS'patient\tpatient\tNN\tI-NP\tO' -p197044 -aS',\t,\t,\tO\tO' -p197045 -aS'AGACHBRAUCH\tAGACHBRAUCH\tNN\tB-NP\tO' -p197046 -aS',\t,\t,\tO\tO' -p197047 -aS'RENSIAANARC\tRENSIAANARC\tNN\tB-NP\tO' -p197048 -aS'arrived\tarrive\tVBD\tB-VP\tO' -p197049 -aS'in\tin\tIN\tB-PP\tO' -p197050 -aS'the\tthe\tDT\tB-NP\tO' -p197051 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p197052 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p197053 -aS'at\tat\tIN\tB-PP\tO' -p197054 -aS'Daughtersvillshamen's\tDaughtersvillshamen's\tNNP\tB-NP\tO' -p197055 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p197056 -aS'on\ton\tIN\tB-PP\tO' -p197057 -aS'11/25/2000\t11/25/2000\tCD\tB-NP\tO' -p197058 -aS'01:36\t01:36\tCD\tI-NP\tO' -p197059 -aS'AM\tAM\tNN\tI-NP\tO' -p197060 -aS'.\t.\t.\tO\tO' -p197061 -asS'1. Small cirrhotic liver with what appears to be a portocaval shunt .' -p197062 -(lp197063 -S'1.\t1.\tLS\tB-NP\tO' -p197064 -aS'Small\tSmall\tJJ\tI-NP\tO' -p197065 -aS'cirrhotic\tcirrhotic\tJJ\tI-NP\tO' -p197066 -aS'liver\tliver\tNN\tI-NP\tO' -p197067 -aS'with\twith\tIN\tB-PP\tO' -p197068 -aS'what\twhat\tWP\tB-NP\tO' -p197069 -aS'appears\tappear\tVBZ\tB-VP\tO' -p197070 -aS'to\tto\tTO\tI-VP\tO' -p197071 -aS'be\tbe\tVB\tI-VP\tO' -p197072 -aS'a\ta\tDT\tB-NP\tO' -p197073 -aS'portocaval\tportocaval\tJJ\tI-NP\tO' -p197074 -aS'shunt\tshunt\tNN\tI-NP\tO' -p197075 -aS'.\t.\t.\tO\tO' -p197076 -asS'She was then sent to Franklin Medical Center 05-24 with lethargy and n/v .' -p197077 -(lp197078 -S'She\tShe\tPRP\tB-NP\tO' -p197079 -aS'was\tbe\tVBD\tB-VP\tO' -p197080 -aS'then\tthen\tRB\tI-VP\tO' -p197081 -aS'sent\tsend\tVBN\tI-VP\tO' -p197082 -aS'to\tto\tTO\tB-PP\tO' -p197083 -aS'Franklin\tFranklin\tNNP\tB-NP\tO' -p197084 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p197085 -aS'Center\tCenter\tNNP\tI-NP\tO' -p197086 -aS'05-24\t05-24\tCD\tI-NP\tO' -p197087 -aS'with\twith\tIN\tB-PP\tO' -p197088 -aS'lethargy\tlethargy\tNN\tB-NP\tO' -p197089 -aS'and\tand\tCC\tI-NP\tO' -p197090 -aS'n/v\tn/v\tNN\tI-NP\tO' -p197091 -aS'.\t.\t.\tO\tO' -p197092 -asS'Potassium 4.2 .' -p197093 -(lp197094 -S'Potassium\tPotassium\tNN\tB-NP\tO' -p197095 -aS'4.2\t4.2\tCD\tI-NP\tO' -p197096 -aS'.\t.\t.\tO\tO' -p197097 -asS'The patient 's Coumadin was continued .' -p197098 -(lp197099 -S'The\tThe\tDT\tB-NP\tO' -p197100 -aS'patient\tpatient\tNN\tI-NP\tO' -p197101 -aS''s\t'\tNNS\tI-NP\tO' -p197102 -aS'Coumadin\tCoumadin\tNN\tI-NP\tO' -p197103 -aS'was\tbe\tVBD\tB-VP\tO' -p197104 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p197105 -aS'.\t.\t.\tO\tO' -p197106 -asS'Resuscitation was terminated at 1914 on 08-27 .' -p197107 -(lp197108 -S'Resuscitation\tResuscitation\tNN\tB-NP\tO' -p197109 -aS'was\tbe\tVBD\tB-VP\tO' -p197110 -aS'terminated\tterminate\tVBN\tI-VP\tO' -p197111 -aS'at\tat\tIN\tB-PP\tO' -p197112 -aS'1914\t1914\tCD\tB-NP\tO' -p197113 -aS'on\ton\tIN\tB-PP\tO' -p197114 -aS'08-27\t08-27\tCD\tB-NP\tO' -p197115 -aS'.\t.\t.\tO\tO' -p197116 -asS'The abdomen was soft , bowel sounds of normal character , and there was mild percussion tenderness and tenderness to modest palpation in all four quadrants .' -p197117 -(lp197118 -S'The\tThe\tDT\tB-NP\tO' -p197119 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p197120 -aS'was\tbe\tVBD\tB-VP\tO' -p197121 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p197122 -aS',\t,\t,\tO\tO' -p197123 -aS'bowel\tbowel\tNN\tB-NP\tO' -p197124 -aS'sounds\tsound\tNNS\tI-NP\tO' -p197125 -aS'of\tof\tIN\tB-PP\tO' -p197126 -aS'normal\tnormal\tJJ\tB-NP\tO' -p197127 -aS'character\tcharacter\tNN\tI-NP\tO' -p197128 -aS',\t,\t,\tO\tO' -p197129 -aS'and\tand\tCC\tO\tO' -p197130 -aS'there\tthere\tEX\tB-NP\tO' -p197131 -aS'was\tbe\tVBD\tB-VP\tO' -p197132 -aS'mild\tmild\tJJ\tB-NP\tO' -p197133 -aS'percussion\tpercussion\tNN\tI-NP\tO' -p197134 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p197135 -aS'and\tand\tCC\tO\tO' -p197136 -aS'tenderness\ttenderness\tNN\tB-NP\tO' -p197137 -aS'to\tto\tTO\tB-PP\tO' -p197138 -aS'modest\tmodest\tJJ\tB-NP\tO' -p197139 -aS'palpation\tpalpation\tNN\tI-NP\tO' -p197140 -aS'in\tin\tIN\tB-PP\tO' -p197141 -aS'all\tall\tDT\tB-NP\tO' -p197142 -aS'four\tfour\tCD\tI-NP\tO' -p197143 -aS'quadrants\tquadrant\tNNS\tI-NP\tO' -p197144 -aS'.\t.\t.\tO\tO' -p197145 -asS'Ext : cool , no varicosities , 1+ pedal pulses' -p197146 -(lp197147 -S'Ext\tExt\tNNP\tB-NP\tO' -p197148 -aS':\t:\t:\tO\tO' -p197149 -aS'cool\tcool\tVB\tB-VP\tO' -p197150 -aS',\t,\t,\tO\tO' -p197151 -aS'no\tno\tDT\tB-NP\tO' -p197152 -aS'varicosities\tvaricosity\tNNS\tI-NP\tO' -p197153 -aS',\t,\t,\tO\tO' -p197154 -aS'1+\t1+\tJJ\tB-NP\tO' -p197155 -aS'pedal\tpedal\tJJ\tI-NP\tO' -p197156 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p197157 -asS'Nontender and nondistended .' -p197158 -(lp197159 -S'Nontender\tNontender\tJJ\tB-ADJP\tO' -p197160 -aS'and\tand\tCC\tI-ADJP\tO' -p197161 -aS'nondistended\tnondistended\tJJ\tI-ADJP\tO' -p197162 -aS'.\t.\t.\tO\tO' -p197163 -asS'The results can be obtained by paging me , Do A. Joasscchird , M.D. at 834-364-2251 .' -p197164 -(lp197165 -S'The\tThe\tDT\tB-NP\tO' -p197166 -aS'results\tresult\tNNS\tI-NP\tO' -p197167 -aS'can\tcan\tMD\tB-VP\tO' -p197168 -aS'be\tbe\tVB\tI-VP\tO' -p197169 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p197170 -aS'by\tby\tIN\tB-PP\tO' -p197171 -aS'paging\tpage\tVBG\tB-VP\tO' -p197172 -aS'me\tme\tPRP\tB-NP\tO' -p197173 -aS',\t,\t,\tO\tO' -p197174 -aS'Do\tDo\tNNP\tB-NP\tO' -p197175 -aS'A.\tA.\tNNP\tI-NP\tO' -p197176 -aS'Joasscchird\tJoasscchird\tNNP\tI-NP\tO' -p197177 -aS',\t,\t,\tO\tO' -p197178 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p197179 -aS'at\tat\tIN\tB-PP\tO' -p197180 -aS'834-364-2251\t834-364-2251\tCD\tB-NP\tO' -p197181 -aS'.\t.\t.\tO\tO' -p197182 -asS'On postoperative day 5 , the patient was finally weaned off of his Neo-Synephrine and diuresis was begun .' -p197183 -(lp197184 -S'On\tOn\tIN\tB-PP\tO' -p197185 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p197186 -aS'day\tday\tNN\tI-NP\tO' -p197187 -aS'5\t5\tCD\tI-NP\tO' -p197188 -aS',\t,\t,\tO\tO' -p197189 -aS'the\tthe\tDT\tB-NP\tO' -p197190 -aS'patient\tpatient\tNN\tI-NP\tO' -p197191 -aS'was\tbe\tVBD\tB-VP\tO' -p197192 -aS'finally\tfinally\tRB\tI-VP\tO' -p197193 -aS'weaned\twean\tVBN\tI-VP\tO' -p197194 -aS'off\toff\tRP\tB-PRT\tO' -p197195 -aS'of\tof\tIN\tB-PP\tO' -p197196 -aS'his\this\tPRP$\tB-NP\tO' -p197197 -aS'Neo-Synephrine\tNeo-Synephrine\tNN\tI-NP\tO' -p197198 -aS'and\tand\tCC\tI-NP\tO' -p197199 -aS'diuresis\tdiuresis\tNN\tI-NP\tO' -p197200 -aS'was\tbe\tVBD\tB-VP\tO' -p197201 -aS'begun\tbegin\tVBN\tI-VP\tO' -p197202 -aS'.\t.\t.\tO\tO' -p197203 -asS'An echocardiogram showed global hypokinesis .' -p197204 -(lp197205 -S'An\tAn\tDT\tB-NP\tO' -p197206 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p197207 -aS'showed\tshow\tVBD\tB-VP\tO' -p197208 -aS'global\tglobal\tJJ\tB-NP\tO' -p197209 -aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' -p197210 -aS'.\t.\t.\tO\tO' -p197211 -asS'This seems to trend her sodium down .' -p197212 -(lp197213 -S'This\tThis\tDT\tB-NP\tO' -p197214 -aS'seems\tseem\tVBZ\tB-VP\tO' -p197215 -aS'to\tto\tTO\tI-VP\tO' -p197216 -aS'trend\ttrend\tVB\tI-VP\tO' -p197217 -aS'her\ther\tPRP$\tB-NP\tO' -p197218 -aS'sodium\tsodium\tNN\tI-NP\tO' -p197219 -aS'down\tdown\tRP\tB-PRT\tO' -p197220 -aS'.\t.\t.\tO\tO' -p197221 -asS'No spontaneous echo contrast or thrombus is seen in the body of the left atrium or left atrial appendage .' -p197222 -(lp197223 -S'No\tNo\tDT\tB-NP\tO' -p197224 -aS'spontaneous\tspontaneous\tJJ\tI-NP\tO' -p197225 -aS'echo\techo\tJJ\tI-NP\tO' -p197226 -aS'contrast\tcontrast\tNN\tI-NP\tO' -p197227 -aS'or\tor\tCC\tI-NP\tO' -p197228 -aS'thrombus\tthrombus\tNN\tI-NP\tO' -p197229 -aS'is\tbe\tVBZ\tB-VP\tO' -p197230 -aS'seen\tsee\tVBN\tI-VP\tO' -p197231 -aS'in\tin\tIN\tB-PP\tO' -p197232 -aS'the\tthe\tDT\tB-NP\tO' -p197233 -aS'body\tbody\tNN\tI-NP\tO' -p197234 -aS'of\tof\tIN\tB-PP\tO' -p197235 -aS'the\tthe\tDT\tB-NP\tO' -p197236 -aS'left\tleft\tJJ\tI-NP\tO' -p197237 -aS'atrium\tatrium\tNN\tI-NP\tO' -p197238 -aS'or\tor\tCC\tO\tO' -p197239 -aS'left\tleave\tVBD\tB-VP\tO' -p197240 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p197241 -aS'appendage\tappendage\tNN\tI-NP\tO' -p197242 -aS'.\t.\t.\tO\tO' -p197243 -asS'Dr. Twada , his primary care physician at the SBH clinic for 10/11/01 and Dr. Fyfechird , gastroenterologist , on 10/13/01 .' -p197244 -(lp197245 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p197246 -aS'Twada\tTwada\tNNP\tI-NP\tO' -p197247 -aS',\t,\t,\tO\tO' -p197248 -aS'his\this\tPRP$\tB-NP\tO' -p197249 -aS'primary\tprimary\tJJ\tI-NP\tO' -p197250 -aS'care\tcare\tNN\tI-NP\tO' -p197251 -aS'physician\tphysician\tNN\tI-NP\tO' -p197252 -aS'at\tat\tIN\tB-PP\tO' -p197253 -aS'the\tthe\tDT\tB-NP\tO' -p197254 -aS'SBH\tSBH\tNN\tI-NP\tO' -p197255 -aS'clinic\tclinic\tNN\tI-NP\tO' -p197256 -aS'for\tfor\tIN\tB-PP\tO' -p197257 -aS'10/11/01\t10/11/01\tCD\tB-NP\tO' -p197258 -aS'and\tand\tCC\tO\tO' -p197259 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p197260 -aS'Fyfechird\tFyfechird\tNNP\tI-NP\tO' -p197261 -aS',\t,\t,\tO\tO' -p197262 -aS'gastroenterologist\tgastroenterologist\tNN\tB-NP\tO' -p197263 -aS',\t,\t,\tO\tO' -p197264 -aS'on\ton\tIN\tB-PP\tO' -p197265 -aS'10/13/01\t10/13/01\tCD\tB-NP\tO' -p197266 -aS'.\t.\t.\tO\tO' -p197267 -asS'No subjective shortness of breath .' -p197268 -(lp197269 -S'No\tNo\tDT\tB-NP\tO' -p197270 -aS'subjective\tsubjective\tJJ\tI-NP\tO' -p197271 -aS'shortness\tshortness\tNN\tI-NP\tO' -p197272 -aS'of\tof\tIN\tB-PP\tO' -p197273 -aS'breath\tbreath\tNN\tB-NP\tO' -p197274 -aS'.\t.\t.\tO\tO' -p197275 -asS'Received 2 mg dilaudid for pain o/n .' -p197276 -(lp197277 -S'Received\tReceive\tVBN\tB-VP\tO' -p197278 -aS'2\t2\tCD\tB-NP\tO' -p197279 -aS'mg\tmg\tNN\tI-NP\tO' -p197280 -aS'dilaudid\tdilaudid\tVBD\tB-VP\tO' -p197281 -aS'for\tfor\tIN\tB-PP\tO' -p197282 -aS'pain\tpain\tNN\tB-NP\tO' -p197283 -aS'o/n\to/n\tNN\tI-NP\tO' -p197284 -aS'.\t.\t.\tO\tO' -p197285 -asS'She then had a transhiatal esophagectomy which was partial , and a substernal gastric interposition as well as a jejunostomy .' -p197286 -(lp197287 -S'She\tShe\tPRP\tB-NP\tO' -p197288 -aS'then\tthen\tRB\tB-ADVP\tO' -p197289 -aS'had\thave\tVBD\tB-VP\tO' -p197290 -aS'a\ta\tDT\tB-NP\tO' -p197291 -aS'transhiatal\ttranshiatal\tJJ\tI-NP\tO' -p197292 -aS'esophagectomy\tesophagectomy\tNN\tI-NP\tO' -p197293 -aS'which\twhich\tWDT\tB-NP\tO' -p197294 -aS'was\tbe\tVBD\tB-VP\tO' -p197295 -aS'partial\tpartial\tJJ\tB-ADJP\tO' -p197296 -aS',\t,\t,\tO\tO' -p197297 -aS'and\tand\tCC\tO\tO' -p197298 -aS'a\ta\tDT\tB-NP\tO' -p197299 -aS'substernal\tsubsternal\tJJ\tI-NP\tO' -p197300 -aS'gastric\tgastric\tJJ\tI-NP\tO' -p197301 -aS'interposition\tinterposition\tNN\tI-NP\tO' -p197302 -aS'as\tas\tRB\tB-CONJP\tO' -p197303 -aS'well\twell\tRB\tI-CONJP\tO' -p197304 -aS'as\tas\tIN\tI-CONJP\tO' -p197305 -aS'a\ta\tDT\tB-NP\tO' -p197306 -aS'jejunostomy\tjejunostomy\tNN\tI-NP\tO' -p197307 -aS'.\t.\t.\tO\tO' -p197308 -asS'The neurological examination was remarkable for a peripheral neuropathy including decreased sensation in the lower extremities with decreased strength in the upper and lower extremities most pronounced in the legs and feet .' -p197309 -(lp197310 -S'The\tThe\tDT\tB-NP\tO' -p197311 -aS'neurological\tneurological\tJJ\tI-NP\tO' -p197312 -aS'examination\texamination\tNN\tI-NP\tO' -p197313 -aS'was\tbe\tVBD\tB-VP\tO' -p197314 -aS'remarkable\tremarkable\tJJ\tB-ADJP\tO' -p197315 -aS'for\tfor\tIN\tB-PP\tO' -p197316 -aS'a\ta\tDT\tB-NP\tO' -p197317 -aS'peripheral\tperipheral\tJJ\tI-NP\tO' -p197318 -aS'neuropathy\tneuropathy\tNN\tI-NP\tO' -p197319 -aS'including\tinclude\tVBG\tB-PP\tO' -p197320 -aS'decreased\tdecrease\tVBN\tB-NP\tO' -p197321 -aS'sensation\tsensation\tNN\tI-NP\tO' -p197322 -aS'in\tin\tIN\tB-PP\tO' -p197323 -aS'the\tthe\tDT\tB-NP\tO' -p197324 -aS'lower\tlow\tJJR\tI-NP\tO' -p197325 -aS'extremities\textremity\tNNS\tI-NP\tO' -p197326 -aS'with\twith\tIN\tB-PP\tO' -p197327 -aS'decreased\tdecrease\tVBN\tB-NP\tO' -p197328 -aS'strength\tstrength\tNN\tI-NP\tO' -p197329 -aS'in\tin\tIN\tB-PP\tO' -p197330 -aS'the\tthe\tDT\tB-NP\tO' -p197331 -aS'upper\tupper\tJJ\tI-NP\tO' -p197332 -aS'and\tand\tCC\tI-NP\tO' -p197333 -aS'lower\tlow\tJJR\tI-NP\tO' -p197334 -aS'extremities\textremity\tNNS\tI-NP\tO' -p197335 -aS'most\tmost\tRBS\tB-ADJP\tO' -p197336 -aS'pronounced\tpronounced\tJJ\tI-ADJP\tO' -p197337 -aS'in\tin\tIN\tB-PP\tO' -p197338 -aS'the\tthe\tDT\tB-NP\tO' -p197339 -aS'legs\tleg\tNNS\tI-NP\tO' -p197340 -aS'and\tand\tCC\tI-NP\tO' -p197341 -aS'feet\tfoot\tNNS\tI-NP\tO' -p197342 -aS'.\t.\t.\tO\tO' -p197343 -asS"Because of this , the patient 's diltiazem was stopped and she was started on tid metoprolol ." -p197344 -(lp197345 -S'Because\tBecause\tIN\tB-PP\tO' -p197346 -aS'of\tof\tIN\tI-PP\tO' -p197347 -aS'this\tthis\tDT\tB-NP\tO' -p197348 -aS',\t,\t,\tO\tO' -p197349 -aS'the\tthe\tDT\tB-NP\tO' -p197350 -aS'patient\tpatient\tNN\tI-NP\tO' -p197351 -aS"'s\t's\tPOS\tB-NP\tO" -p197352 -aS'diltiazem\tdiltiazem\tNN\tI-NP\tO' -p197353 -aS'was\tbe\tVBD\tB-VP\tO' -p197354 -aS'stopped\tstop\tVBN\tI-VP\tO' -p197355 -aS'and\tand\tCC\tO\tO' -p197356 -aS'she\tshe\tPRP\tB-NP\tO' -p197357 -aS'was\tbe\tVBD\tB-VP\tO' -p197358 -aS'started\tstart\tVBN\tI-VP\tO' -p197359 -aS'on\ton\tIN\tB-PP\tO' -p197360 -aS'tid\ttid\tNN\tB-NP\tO' -p197361 -aS'metoprolol\tmetoprolol\tNN\tI-NP\tO' -p197362 -aS'.\t.\t.\tO\tO' -p197363 -asS'left axillary node dissection , status post breast carcinoma .' -p197364 -(lp197365 -S'left\tleft\tJJ\tB-NP\tO' -p197366 -aS'axillary\taxillary\tJJ\tI-NP\tO' -p197367 -aS'node\tnode\tNN\tI-NP\tO' -p197368 -aS'dissection\tdissection\tNN\tI-NP\tO' -p197369 -aS',\t,\t,\tO\tO' -p197370 -aS'status\tstatus\tNN\tB-NP\tO' -p197371 -aS'post\tpost\tNN\tI-NP\tO' -p197372 -aS'breast\tbreast\tNN\tI-NP\tO' -p197373 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p197374 -aS'.\t.\t.\tO\tO' -p197375 -asS'The patient was then transferred to the Coronary Care Unit Service for medical management in anticipation of possible percutaneous coronary intervention later in the admission .' -p197376 -(lp197377 -S'The\tThe\tDT\tB-NP\tO' -p197378 -aS'patient\tpatient\tNN\tI-NP\tO' -p197379 -aS'was\tbe\tVBD\tB-VP\tO' -p197380 -aS'then\tthen\tRB\tI-VP\tO' -p197381 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p197382 -aS'to\tto\tTO\tB-PP\tO' -p197383 -aS'the\tthe\tDT\tB-NP\tO' -p197384 -aS'Coronary\tCoronary\tNNP\tI-NP\tO' -p197385 -aS'Care\tCare\tNNP\tI-NP\tO' -p197386 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p197387 -aS'Service\tService\tNNP\tI-NP\tO' -p197388 -aS'for\tfor\tIN\tB-PP\tO' -p197389 -aS'medical\tmedical\tJJ\tB-NP\tO' -p197390 -aS'management\tmanagement\tNN\tI-NP\tO' -p197391 -aS'in\tin\tIN\tB-PP\tO' -p197392 -aS'anticipation\tanticipation\tNN\tB-NP\tO' -p197393 -aS'of\tof\tIN\tB-PP\tO' -p197394 -aS'possible\tpossible\tJJ\tB-NP\tO' -p197395 -aS'percutaneous\tpercutaneous\tJJ\tI-NP\tO' -p197396 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p197397 -aS'intervention\tintervention\tNN\tI-NP\tO' -p197398 -aS'later\tlater\tRB\tB-ADVP\tO' -p197399 -aS'in\tin\tIN\tB-PP\tO' -p197400 -aS'the\tthe\tDT\tB-NP\tO' -p197401 -aS'admission\tadmission\tNN\tI-NP\tO' -p197402 -aS'.\t.\t.\tO\tO' -p197403 -asS'Normal RV chamber size and free wall motion .' -p197404 -(lp197405 -S'Normal\tNormal\tJJ\tB-NP\tO' -p197406 -aS'RV\tRV\tNN\tI-NP\tO' -p197407 -aS'chamber\tchamber\tNN\tI-NP\tO' -p197408 -aS'size\tsize\tNN\tI-NP\tO' -p197409 -aS'and\tand\tCC\tO\tO' -p197410 -aS'free\tfree\tJJ\tB-NP\tO' -p197411 -aS'wall\twall\tNN\tI-NP\tO' -p197412 -aS'motion\tmotion\tNN\tI-NP\tO' -p197413 -aS'.\t.\t.\tO\tO' -p197414 -asS'All sedating medications including prn narcotics were held and mental status cleared somewhat .' -p197415 -(lp197416 -S'All\tAll\tDT\tB-NP\tO' -p197417 -aS'sedating\tsedate\tVBG\tI-NP\tO' -p197418 -aS'medications\tmedication\tNNS\tI-NP\tO' -p197419 -aS'including\tinclude\tVBG\tB-PP\tO' -p197420 -aS'prn\tprn\tNN\tB-NP\tO' -p197421 -aS'narcotics\tnarcotic\tNNS\tI-NP\tO' -p197422 -aS'were\tbe\tVBD\tB-VP\tO' -p197423 -aS'held\thold\tVBN\tI-VP\tO' -p197424 -aS'and\tand\tCC\tO\tO' -p197425 -aS'mental\tmental\tJJ\tB-NP\tO' -p197426 -aS'status\tstatus\tNN\tI-NP\tO' -p197427 -aS'cleared\tclear\tVBN\tB-VP\tO' -p197428 -aS'somewhat\tsomewhat\tRB\tB-ADVP\tO' -p197429 -aS'.\t.\t.\tO\tO' -p197430 -asS'He also complains of chronic photophobia which is unchanged .' -p197431 -(lp197432 -S'He\tHe\tPRP\tB-NP\tO' -p197433 -aS'also\talso\tRB\tB-ADVP\tO' -p197434 -aS'complains\tcomplain\tVBZ\tB-VP\tO' -p197435 -aS'of\tof\tIN\tB-PP\tO' -p197436 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p197437 -aS'photophobia\tphotophobia\tNN\tI-NP\tO' -p197438 -aS'which\twhich\tWDT\tB-NP\tO' -p197439 -aS'is\tbe\tVBZ\tB-VP\tO' -p197440 -aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' -p197441 -aS'.\t.\t.\tO\tO' -p197442 -asS'The computerized tomography scan was performed and showed a right occipital hemorrhage .' -p197443 -(lp197444 -S'The\tThe\tDT\tB-NP\tO' -p197445 -aS'computerized\tcomputerized\tJJ\tI-NP\tO' -p197446 -aS'tomography\ttomography\tNN\tI-NP\tO' -p197447 -aS'scan\tscan\tNN\tI-NP\tO' -p197448 -aS'was\tbe\tVBD\tB-VP\tO' -p197449 -aS'performed\tperform\tVBN\tI-VP\tO' -p197450 -aS'and\tand\tCC\tO\tO' -p197451 -aS'showed\tshow\tVBD\tB-VP\tO' -p197452 -aS'a\ta\tDT\tB-NP\tO' -p197453 -aS'right\tright\tJJ\tI-NP\tO' -p197454 -aS'occipital\toccipital\tNN\tI-NP\tO' -p197455 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p197456 -aS'.\t.\t.\tO\tO' -p197457 -asS'maintenance chemotherapy .' -p197458 -(lp197459 -S'maintenance\tmaintenance\tNN\tB-NP\tO' -p197460 -aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' -p197461 -aS'.\t.\t.\tO\tO' -p197462 -asS'PORT was felt most likely source , and pt has had at least 2 sets of + blood cultures since it was placed .' -p197463 -(lp197464 -S'PORT\tPORT\tNN\tB-NP\tO' -p197465 -aS'was\tbe\tVBD\tB-VP\tO' -p197466 -aS'felt\tfeel\tVBN\tI-VP\tO' -p197467 -aS'most\tmost\tRBS\tB-ADVP\tO' -p197468 -aS'likely\tlikely\tRB\tI-ADVP\tO' -p197469 -aS'source\tsource\tNN\tB-NP\tO' -p197470 -aS',\t,\t,\tO\tO' -p197471 -aS'and\tand\tCC\tO\tO' -p197472 -aS'pt\tpt\tNN\tB-NP\tO' -p197473 -aS'has\thave\tVBZ\tB-VP\tO' -p197474 -aS'had\thave\tVBN\tI-VP\tO' -p197475 -aS'at\tat\tIN\tB-NP\tO' -p197476 -aS'least\tleast\tJJS\tI-NP\tO' -p197477 -aS'2\t2\tCD\tI-NP\tO' -p197478 -aS'sets\tset\tNNS\tI-NP\tO' -p197479 -aS'of\tof\tIN\tB-PP\tO' -p197480 -aS'+\t+\tSYM\tB-NP\tO' -p197481 -aS'blood\tblood\tNN\tI-NP\tO' -p197482 -aS'cultures\tculture\tNNS\tI-NP\tO' -p197483 -aS'since\tsince\tIN\tB-SBAR\tO' -p197484 -aS'it\tit\tPRP\tB-NP\tO' -p197485 -aS'was\tbe\tVBD\tB-VP\tO' -p197486 -aS'placed\tplace\tVBN\tI-VP\tO' -p197487 -aS'.\t.\t.\tO\tO' -p197488 -asS'The patient had a mild increase in her BUN and creatinine during her hospitalization which promptly returned to her baseline levels with intravenous fluids .' -p197489 -(lp197490 -S'The\tThe\tDT\tB-NP\tO' -p197491 -aS'patient\tpatient\tNN\tI-NP\tO' -p197492 -aS'had\thave\tVBD\tB-VP\tO' -p197493 -aS'a\ta\tDT\tB-NP\tO' -p197494 -aS'mild\tmild\tJJ\tI-NP\tO' -p197495 -aS'increase\tincrease\tNN\tI-NP\tO' -p197496 -aS'in\tin\tIN\tB-PP\tO' -p197497 -aS'her\ther\tPRP$\tB-NP\tO' -p197498 -aS'BUN\tBUN\tNN\tI-NP\tB-protein' -p197499 -aS'and\tand\tCC\tI-NP\tO' -p197500 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p197501 -aS'during\tduring\tIN\tB-PP\tO' -p197502 -aS'her\ther\tPRP$\tB-NP\tO' -p197503 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p197504 -aS'which\twhich\tWDT\tB-NP\tO' -p197505 -aS'promptly\tpromptly\tRB\tB-ADVP\tO' -p197506 -aS'returned\treturn\tVBD\tB-VP\tO' -p197507 -aS'to\tto\tTO\tB-PP\tO' -p197508 -aS'her\ther\tPRP$\tB-NP\tO' -p197509 -aS'baseline\tbaseline\tNN\tI-NP\tO' -p197510 -aS'levels\tlevel\tNNS\tI-NP\tO' -p197511 -aS'with\twith\tIN\tB-PP\tO' -p197512 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p197513 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p197514 -aS'.\t.\t.\tO\tO' -p197515 -asS'He was status post a rehabilitation hospitalization at the Raya Ma Den Erinmarg Hospital with a recent recrudescence of his drug abuse .' -p197516 -(lp197517 -S'He\tHe\tPRP\tB-NP\tO' -p197518 -aS'was\tbe\tVBD\tB-VP\tO' -p197519 -aS'status\tstatus\tNN\tB-NP\tO' -p197520 -aS'post\tpost\tIN\tB-PP\tO' -p197521 -aS'a\ta\tDT\tB-NP\tO' -p197522 -aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' -p197523 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p197524 -aS'at\tat\tIN\tB-PP\tO' -p197525 -aS'the\tthe\tDT\tB-NP\tO' -p197526 -aS'Raya\tRaya\tNNP\tI-NP\tO' -p197527 -aS'Ma\tMa\tNNP\tI-NP\tO' -p197528 -aS'Den\tDen\tNNP\tI-NP\tO' -p197529 -aS'Erinmarg\tErinmarg\tNNP\tI-NP\tO' -p197530 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p197531 -aS'with\twith\tIN\tB-PP\tO' -p197532 -aS'a\ta\tDT\tB-NP\tO' -p197533 -aS'recent\trecent\tJJ\tI-NP\tO' -p197534 -aS'recrudescence\trecrudescence\tNN\tI-NP\tO' -p197535 -aS'of\tof\tIN\tB-PP\tO' -p197536 -aS'his\this\tPRP$\tB-NP\tO' -p197537 -aS'drug\tdrug\tNN\tI-NP\tO' -p197538 -aS'abuse\tabuse\tNN\tI-NP\tO' -p197539 -aS'.\t.\t.\tO\tO' -p197540 -asS'The patient was taken to the Intensive Care Unit after her angiogram .' -p197541 -(lp197542 -S'The\tThe\tDT\tB-NP\tO' -p197543 -aS'patient\tpatient\tNN\tI-NP\tO' -p197544 -aS'was\tbe\tVBD\tB-VP\tO' -p197545 -aS'taken\ttake\tVBN\tI-VP\tO' -p197546 -aS'to\tto\tTO\tB-PP\tO' -p197547 -aS'the\tthe\tDT\tB-NP\tO' -p197548 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p197549 -aS'Care\tCare\tNNP\tI-NP\tO' -p197550 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p197551 -aS'after\tafter\tIN\tB-PP\tO' -p197552 -aS'her\ther\tPRP$\tB-NP\tO' -p197553 -aS'angiogram\tangiogram\tNN\tI-NP\tO' -p197554 -aS'.\t.\t.\tO\tO' -p197555 -asS'He did drink alcohol three drinks per day , no withdrawal symptoms .' -p197556 -(lp197557 -S'He\tHe\tPRP\tB-NP\tO' -p197558 -aS'did\tdo\tVBD\tB-VP\tO' -p197559 -aS'drink\tdrink\tVB\tI-VP\tO' -p197560 -aS'alcohol\talcohol\tNN\tB-NP\tO' -p197561 -aS'three\tthree\tCD\tB-NP\tO' -p197562 -aS'drinks\tdrink\tNNS\tI-NP\tO' -p197563 -aS'per\tper\tIN\tB-PP\tO' -p197564 -aS'day\tday\tNN\tB-NP\tO' -p197565 -aS',\t,\t,\tO\tO' -p197566 -aS'no\tno\tDT\tB-NP\tO' -p197567 -aS'withdrawal\twithdrawal\tNN\tI-NP\tO' -p197568 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p197569 -aS'.\t.\t.\tO\tO' -p197570 -asS'In addition, also the MRCP showed a mass near the region of the neck of the gallbladder .' -p197571 -(lp197572 -S'In\tIn\tIN\tB-PP\tO' -p197573 -aS'addition,\taddition,\tNN\tB-NP\tO' -p197574 -aS'also\talso\tRB\tB-ADVP\tO' -p197575 -aS'the\tthe\tDT\tB-NP\tO' -p197576 -aS'MRCP\tMRCP\tNN\tI-NP\tB-DNA' -p197577 -aS'showed\tshow\tVBD\tB-VP\tO' -p197578 -aS'a\ta\tDT\tB-NP\tO' -p197579 -aS'mass\tmass\tNN\tI-NP\tO' -p197580 -aS'near\tnear\tIN\tB-PP\tO' -p197581 -aS'the\tthe\tDT\tB-NP\tO' -p197582 -aS'region\tregion\tNN\tI-NP\tO' -p197583 -aS'of\tof\tIN\tB-PP\tO' -p197584 -aS'the\tthe\tDT\tB-NP\tO' -p197585 -aS'neck\tneck\tNN\tI-NP\tO' -p197586 -aS'of\tof\tIN\tB-PP\tO' -p197587 -aS'the\tthe\tDT\tB-NP\tO' -p197588 -aS'gallbladder\tgallbladder\tNN\tI-NP\tO' -p197589 -aS'.\t.\t.\tO\tO' -p197590 -asS'Serial hematocrits and abdominal exams were performed .' -p197591 -(lp197592 -S'Serial\tSerial\tJJ\tB-NP\tO' -p197593 -aS'hematocrits\thematocrit\tNNS\tI-NP\tO' -p197594 -aS'and\tand\tCC\tO\tO' -p197595 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p197596 -aS'exams\texam\tNNS\tI-NP\tO' -p197597 -aS'were\tbe\tVBD\tB-VP\tO' -p197598 -aS'performed\tperform\tVBN\tI-VP\tO' -p197599 -aS'.\t.\t.\tO\tO' -p197600 -asS'This report was created by LARDESPRABLEYL , VA 03/17/2000 04:33 PM' -p197601 -(lp197602 -S'This\tThis\tDT\tB-NP\tO' -p197603 -aS'report\treport\tNN\tI-NP\tO' -p197604 -aS'was\tbe\tVBD\tB-VP\tO' -p197605 -aS'created\tcreate\tVBN\tI-VP\tO' -p197606 -aS'by\tby\tIN\tB-PP\tO' -p197607 -aS'LARDESPRABLEYL\tLARDESPRABLEYL\tNN\tB-NP\tO' -p197608 -aS',\t,\t,\tO\tO' -p197609 -aS'VA\tVA\tNNP\tB-NP\tO' -p197610 -aS'03/17/2000\t03/17/2000\tCD\tI-NP\tO' -p197611 -aS'04:33\t04:33\tCD\tI-NP\tO' -p197612 -aS'PM\tPM\tNN\tI-NP\tO' -p197613 -asS'It was also noted that she had failure to sense with the atrial lead .' -p197614 -(lp197615 -S'It\tIt\tPRP\tB-NP\tO' -p197616 -aS'was\tbe\tVBD\tB-VP\tO' -p197617 -aS'also\talso\tRB\tI-VP\tO' -p197618 -aS'noted\tnote\tVBN\tI-VP\tO' -p197619 -aS'that\tthat\tIN\tB-SBAR\tO' -p197620 -aS'she\tshe\tPRP\tB-NP\tO' -p197621 -aS'had\thave\tVBD\tB-VP\tO' -p197622 -aS'failure\tfailure\tNN\tB-NP\tO' -p197623 -aS'to\tto\tTO\tB-VP\tO' -p197624 -aS'sense\tsense\tVB\tI-VP\tO' -p197625 -aS'with\twith\tIN\tB-PP\tO' -p197626 -aS'the\tthe\tDT\tB-NP\tO' -p197627 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p197628 -aS'lead\tlead\tNN\tI-NP\tO' -p197629 -aS'.\t.\t.\tO\tO' -p197630 -asS'He went to the bathroom on his own at 6:12 AM and then called for help at 6:15 AM .' -p197631 -(lp197632 -S'He\tHe\tPRP\tB-NP\tO' -p197633 -aS'went\tgo\tVBD\tB-VP\tO' -p197634 -aS'to\tto\tTO\tB-PP\tO' -p197635 -aS'the\tthe\tDT\tB-NP\tO' -p197636 -aS'bathroom\tbathroom\tNN\tI-NP\tO' -p197637 -aS'on\ton\tIN\tB-PP\tO' -p197638 -aS'his\this\tPRP$\tB-NP\tO' -p197639 -aS'own\town\tJJ\tI-NP\tO' -p197640 -aS'at\tat\tIN\tB-PP\tO' -p197641 -aS'6:12\t6:12\tCD\tB-NP\tO' -p197642 -aS'AM\tAM\tNN\tI-NP\tO' -p197643 -aS'and\tand\tCC\tO\tO' -p197644 -aS'then\tthen\tRB\tB-VP\tO' -p197645 -aS'called\tcall\tVBD\tI-VP\tO' -p197646 -aS'for\tfor\tIN\tB-PP\tO' -p197647 -aS'help\thelp\tNN\tB-NP\tO' -p197648 -aS'at\tat\tIN\tB-PP\tO' -p197649 -aS'6:15\t6:15\tCD\tB-NP\tO' -p197650 -aS'AM\tAM\tNN\tI-NP\tO' -p197651 -aS'.\t.\t.\tO\tO' -p197652 -asS'7. History of peptic ulcer disease .' -p197653 -(lp197654 -S'7.\t7.\tLS\tB-NP\tO' -p197655 -aS'History\tHistory\tNN\tI-NP\tO' -p197656 -aS'of\tof\tIN\tB-PP\tO' -p197657 -aS'peptic\tpeptic\tJJ\tB-NP\tO' -p197658 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p197659 -aS'disease\tdisease\tNN\tI-NP\tO' -p197660 -aS'.\t.\t.\tO\tO' -p197661 -asS'5. Immunizations received - Hepatitis B vaccine given 2009-01-22 .' -p197662 -(lp197663 -S'5.\t5.\tLS\tB-NP\tO' -p197664 -aS'Immunizations\tImmunization\tNNPS\tI-NP\tO' -p197665 -aS'received\treceive\tVBN\tB-VP\tO' -p197666 -aS'-\t-\tHYPH\tB-NP\tO' -p197667 -aS'Hepatitis\tHepatitis\tNN\tI-NP\tO' -p197668 -aS'B\tB\tNN\tI-NP\tO' -p197669 -aS'vaccine\tvaccine\tNN\tI-NP\tO' -p197670 -aS'given\tgive\tVBN\tB-VP\tO' -p197671 -aS'2009-01-22\t2009-01-22\tCD\tB-NP\tO' -p197672 -aS'.\t.\t.\tO\tO' -p197673 -asS'Patient was felt to have stage 2B disease and post-operatively , she was treated with intracavitary and external beam radiation therapy and low dose Cisplatin .' -p197674 -(lp197675 -S'Patient\tPatient\tNN\tB-NP\tO' -p197676 -aS'was\tbe\tVBD\tB-VP\tO' -p197677 -aS'felt\tfeel\tVBN\tI-VP\tO' -p197678 -aS'to\tto\tTO\tI-VP\tO' -p197679 -aS'have\thave\tVB\tI-VP\tO' -p197680 -aS'stage\tstage\tNN\tB-NP\tO' -p197681 -aS'2B\t2B\tNN\tI-NP\tO' -p197682 -aS'disease\tdisease\tNN\tI-NP\tO' -p197683 -aS'and\tand\tCC\tO\tO' -p197684 -aS'post-operatively\tpost-operatively\tRB\tB-ADVP\tO' -p197685 -aS',\t,\t,\tO\tO' -p197686 -aS'she\tshe\tPRP\tB-NP\tO' -p197687 -aS'was\tbe\tVBD\tB-VP\tO' -p197688 -aS'treated\ttreat\tVBN\tI-VP\tO' -p197689 -aS'with\twith\tIN\tB-PP\tO' -p197690 -aS'intracavitary\tintracavitary\tJJ\tB-NP\tO' -p197691 -aS'and\tand\tCC\tI-NP\tO' -p197692 -aS'external\texternal\tJJ\tI-NP\tO' -p197693 -aS'beam\tbeam\tNN\tI-NP\tO' -p197694 -aS'radiation\tradiation\tNN\tI-NP\tO' -p197695 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p197696 -aS'and\tand\tCC\tO\tO' -p197697 -aS'low\tlow\tJJ\tB-NP\tO' -p197698 -aS'dose\tdose\tNN\tI-NP\tO' -p197699 -aS'Cisplatin\tCisplatin\tNN\tI-NP\tO' -p197700 -aS'.\t.\t.\tO\tO' -p197701 -asS'This is a 70 year old gravida IV , para 4 who presented for a vaginal hysterectomy secondary to uterine prolapse and also presented for evaluation of a suspicious lesion seen on a mammogram .' -p197702 -(lp197703 -S'This\tThis\tDT\tB-NP\tO' -p197704 -aS'is\tbe\tVBZ\tB-VP\tO' -p197705 -aS'a\ta\tDT\tB-NP\tO' -p197706 -aS'70\t70\tCD\tI-NP\tO' -p197707 -aS'year\tyear\tNN\tI-NP\tO' -p197708 -aS'old\told\tJJ\tI-NP\tO' -p197709 -aS'gravida\tgravida\tNN\tI-NP\tO' -p197710 -aS'IV\tIV\tCD\tI-NP\tO' -p197711 -aS',\t,\t,\tO\tO' -p197712 -aS'para\tpara\tNN\tB-NP\tB-protein' -p197713 -aS'4\t4\tCD\tI-NP\tI-protein' -p197714 -aS'who\twho\tWP\tB-NP\tO' -p197715 -aS'presented\tpresent\tVBD\tB-VP\tO' -p197716 -aS'for\tfor\tIN\tB-PP\tO' -p197717 -aS'a\ta\tDT\tB-NP\tO' -p197718 -aS'vaginal\tvaginal\tJJ\tI-NP\tO' -p197719 -aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' -p197720 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p197721 -aS'to\tto\tTO\tB-PP\tO' -p197722 -aS'uterine\tuterine\tJJ\tB-NP\tO' -p197723 -aS'prolapse\tprolapse\tNN\tI-NP\tO' -p197724 -aS'and\tand\tCC\tO\tO' -p197725 -aS'also\talso\tRB\tB-VP\tO' -p197726 -aS'presented\tpresent\tVBD\tI-VP\tO' -p197727 -aS'for\tfor\tIN\tB-PP\tO' -p197728 -aS'evaluation\tevaluation\tNN\tB-NP\tO' -p197729 -aS'of\tof\tIN\tB-PP\tO' -p197730 -aS'a\ta\tDT\tB-NP\tO' -p197731 -aS'suspicious\tsuspicious\tJJ\tI-NP\tO' -p197732 -aS'lesion\tlesion\tNN\tI-NP\tO' -p197733 -aS'seen\tsee\tVBN\tB-VP\tO' -p197734 -aS'on\ton\tIN\tB-PP\tO' -p197735 -aS'a\ta\tDT\tB-NP\tO' -p197736 -aS'mammogram\tmammogram\tNN\tI-NP\tO' -p197737 -aS'.\t.\t.\tO\tO' -p197738 -asS'IF SIGNS AND SYMPTOMS OF INFECTION , SUCH AS FEVERS / CHILLS , PURULENT DISCHARGE FROM WOUND / INCISION SITE , INCREASED REDNESS , INCREASED PAIN , PLEASE CALL OR GO TO THE EMERGENCY ROOM .' -p197739 -(lp197740 -S'IF\tIF\tIN\tB-SBAR\tO' -p197741 -aS'SIGNS\tSIGNS\tNNPS\tB-NP\tB-protein' -p197742 -aS'AND\tAND\tCC\tI-NP\tO' -p197743 -aS'SYMPTOMS\tSYMPTOMS\tNNP\tI-NP\tO' -p197744 -aS'OF\tOF\tIN\tB-PP\tO' -p197745 -aS'INFECTION\tINFECTION\tNNP\tB-NP\tO' -p197746 -aS',\t,\t,\tO\tO' -p197747 -aS'SUCH\tSUCH\tNNP\tB-NP\tO' -p197748 -aS'AS\tAS\tNNP\tI-NP\tO' -p197749 -aS'FEVERS\tFEVERS\tNNP\tI-NP\tO' -p197750 -aS'/\t/\tSYM\tB-NP\tO' -p197751 -aS'CHILLS\tCHILLS\tNN\tI-NP\tO' -p197752 -aS',\t,\t,\tO\tO' -p197753 -aS'PURULENT\tPURULENT\tNN\tB-NP\tO' -p197754 -aS'DISCHARGE\tDISCHARGE\tNN\tI-NP\tO' -p197755 -aS'FROM\tFROM\tNN\tI-NP\tO' -p197756 -aS'WOUND\tWOUND\tNN\tI-NP\tO' -p197757 -aS'/\t/\tSYM\tB-NP\tO' -p197758 -aS'INCISION\tINCISION\tNN\tI-NP\tB-DNA' -p197759 -aS'SITE\tSITE\tNNP\tB-NP\tI-DNA' -p197760 -aS',\t,\t,\tO\tO' -p197761 -aS'INCREASED\tINCREASED\tNNP\tB-NP\tO' -p197762 -aS'REDNESS\tREDNESS\tNNP\tI-NP\tO' -p197763 -aS',\t,\t,\tO\tO' -p197764 -aS'INCREASED\tINCREASED\tNNP\tB-NP\tO' -p197765 -aS'PAIN\tPAIN\tNNP\tI-NP\tO' -p197766 -aS',\t,\t,\tO\tO' -p197767 -aS'PLEASE\tPLEASE\tNNP\tB-NP\tO' -p197768 -aS'CALL\tCALL\tNNP\tI-NP\tO' -p197769 -aS'OR\tOR\tNNP\tI-NP\tO' -p197770 -aS'GO\tGO\tNNP\tI-NP\tO' -p197771 -aS'TO\tTO\tNNP\tI-NP\tO' -p197772 -aS'THE\tTHE\tDT\tB-NP\tO' -p197773 -aS'EMERGENCY\tEMERGENCY\tNNP\tI-NP\tO' -p197774 -aS'ROOM\tROOM\tNNP\tI-NP\tO' -p197775 -aS'.\t.\t.\tO\tO' -p197776 -asS'The patient passed away at 6:45 AM on June 12 , 1998 .' -p197777 -(lp197778 -S'The\tThe\tDT\tB-NP\tO' -p197779 -aS'patient\tpatient\tNN\tI-NP\tO' -p197780 -aS'passed\tpass\tVBD\tB-VP\tO' -p197781 -aS'away\taway\tRP\tB-PRT\tO' -p197782 -aS'at\tat\tIN\tB-PP\tO' -p197783 -aS'6:45\t6:45\tCD\tB-NP\tO' -p197784 -aS'AM\tAM\tNN\tI-NP\tO' -p197785 -aS'on\ton\tIN\tB-PP\tO' -p197786 -aS'June\tJune\tNNP\tB-NP\tO' -p197787 -aS'12\t12\tCD\tI-NP\tO' -p197788 -aS',\t,\t,\tO\tO' -p197789 -aS'1998\t1998\tCD\tB-NP\tO' -p197790 -aS'.\t.\t.\tO\tO' -p197791 -asS'All of this occurred in the setting of aggressive BP management with metoprolol 25 BID , HCTZ / Triampterene ( as a replacment for lasix due to recurrent hypokalemia ), Benicar 20 mg QD , and Imdur 30 mg QD .' -p197792 -(lp197793 -S'All\tAll\tDT\tB-NP\tO' -p197794 -aS'of\tof\tIN\tB-PP\tO' -p197795 -aS'this\tthis\tDT\tB-NP\tO' -p197796 -aS'occurred\toccur\tVBD\tB-VP\tO' -p197797 -aS'in\tin\tIN\tB-PP\tO' -p197798 -aS'the\tthe\tDT\tB-NP\tO' -p197799 -aS'setting\tsetting\tNN\tI-NP\tO' -p197800 -aS'of\tof\tIN\tB-PP\tO' -p197801 -aS'aggressive\taggressive\tJJ\tB-NP\tO' -p197802 -aS'BP\tBP\tNN\tI-NP\tO' -p197803 -aS'management\tmanagement\tNN\tI-NP\tO' -p197804 -aS'with\twith\tIN\tB-PP\tO' -p197805 -aS'metoprolol\tmetoprolol\tNN\tB-NP\tO' -p197806 -aS'25\t25\tCD\tI-NP\tO' -p197807 -aS'BID\tBID\tNN\tI-NP\tO' -p197808 -aS',\t,\t,\tO\tO' -p197809 -aS'HCTZ\tHCTZ\tNN\tB-NP\tB-protein' -p197810 -aS'/\t/\tSYM\tB-NP\tO' -p197811 -aS'Triampterene\tTriampterene\tNN\tI-NP\tO' -p197812 -aS'(\t(\t(\tO\tO' -p197813 -aS'as\tas\tIN\tB-PP\tO' -p197814 -aS'a\ta\tDT\tB-NP\tO' -p197815 -aS'replacment\treplacment\tNN\tI-NP\tO' -p197816 -aS'for\tfor\tIN\tB-PP\tO' -p197817 -aS'lasix\tlasix\tNN\tB-NP\tO' -p197818 -aS'due\tdue\tJJ\tB-ADJP\tO' -p197819 -aS'to\tto\tTO\tB-PP\tO' -p197820 -aS'recurrent\trecurrent\tJJ\tB-NP\tO' -p197821 -aS'hypokalemia\thypokalemia\tNN\tI-NP\tO' -p197822 -aS'),\t),\tVBD\tB-VP\tO' -p197823 -aS'Benicar\tBenicar\tIN\tB-NP\tO' -p197824 -aS'20\t20\tCD\tI-NP\tO' -p197825 -aS'mg\tmg\tNN\tI-NP\tO' -p197826 -aS'QD\tQD\tNN\tI-NP\tO' -p197827 -aS',\t,\t,\tO\tO' -p197828 -aS'and\tand\tCC\tO\tO' -p197829 -aS'Imdur\tImdur\tNN\tB-NP\tO' -p197830 -aS'30\t30\tCD\tI-NP\tO' -p197831 -aS'mg\tmg\tNN\tI-NP\tO' -p197832 -aS'QD\tQD\tNN\tI-NP\tO' -p197833 -aS'.\t.\t.\tO\tO' -p197834 -asS'Normoactive bowel sounds , soft , mild right upper quadrant tenderness , not dissimilar from week prior , pronounced hepatomegaly with liver edge 7 cm below costal margin , midclavicular line , no splenomegaly , no CVA tenderness .' -p197835 -(lp197836 -S'Normoactive\tNormoactive\tJJ\tB-NP\tO' -p197837 -aS'bowel\tbowel\tNN\tI-NP\tO' -p197838 -aS'sounds\tsound\tNNS\tI-NP\tO' -p197839 -aS',\t,\t,\tO\tO' -p197840 -aS'soft\tsoft\tJJ\tB-NP\tO' -p197841 -aS',\t,\t,\tI-NP\tO' -p197842 -aS'mild\tmild\tJJ\tI-NP\tO' -p197843 -aS'right\tright\tJJ\tI-NP\tO' -p197844 -aS'upper\tupper\tJJ\tI-NP\tO' -p197845 -aS'quadrant\tquadrant\tJJ\tI-NP\tO' -p197846 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p197847 -aS',\t,\t,\tB-NP\tO' -p197848 -aS'not\tnot\tRB\tI-NP\tO' -p197849 -aS'dissimilar\tdissimilar\tJJ\tB-ADJP\tO' -p197850 -aS'from\tfrom\tIN\tB-PP\tO' -p197851 -aS'week\tweek\tNN\tB-NP\tO' -p197852 -aS'prior\tprior\tRB\tB-ADVP\tO' -p197853 -aS',\t,\t,\tO\tO' -p197854 -aS'pronounced\tpronounce\tVBD\tB-VP\tO' -p197855 -aS'hepatomegaly\thepatomegaly\tRB\tB-ADVP\tO' -p197856 -aS'with\twith\tIN\tB-PP\tO' -p197857 -aS'liver\tliver\tNN\tB-NP\tB-protein' -p197858 -aS'edge\tedge\tNN\tI-NP\tI-protein' -p197859 -aS'7\t7\tCD\tI-NP\tI-protein' -p197860 -aS'cm\tcm\tNN\tI-NP\tI-protein' -p197861 -aS'below\tbelow\tIN\tB-PP\tI-protein' -p197862 -aS'costal\tcostal\tJJ\tB-NP\tI-protein' -p197863 -aS'margin\tmargin\tNN\tI-NP\tI-protein' -p197864 -aS',\t,\t,\tO\tO' -p197865 -aS'midclavicular\tmidclavicular\tJJ\tB-NP\tO' -p197866 -aS'line\tline\tNN\tI-NP\tO' -p197867 -aS',\t,\t,\tO\tO' -p197868 -aS'no\tno\tDT\tB-NP\tO' -p197869 -aS'splenomegaly\tsplenomegaly\tNN\tI-NP\tO' -p197870 -aS',\t,\t,\tO\tO' -p197871 -aS'no\tno\tDT\tB-NP\tO' -p197872 -aS'CVA\tCVA\tNN\tI-NP\tO' -p197873 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p197874 -aS'.\t.\t.\tO\tO' -p197875 -asS'1. Fentanyl 75-mcg per hour patch q.72h.' -p197876 -(lp197877 -S'1.\t1.\tLS\tB-NP\tO' -p197878 -aS'Fentanyl\tFentanyl\tNN\tI-NP\tO' -p197879 -aS'75-mcg\t75-mcg\tNN\tI-NP\tO' -p197880 -aS'per\tper\tIN\tB-PP\tO' -p197881 -aS'hour\thour\tNN\tB-NP\tO' -p197882 -aS'patch\tpatch\tNN\tI-NP\tO' -p197883 -aS'q.72h.\tq.72h.\tNN\tI-NP\tO' -p197884 -asS'She has had a diagnosis of diverticulitis flairs and baseline diverticulosis flairing in 09/96 .' -p197885 -(lp197886 -S'She\tShe\tPRP\tB-NP\tO' -p197887 -aS'has\thave\tVBZ\tB-VP\tO' -p197888 -aS'had\thave\tVBN\tI-VP\tO' -p197889 -aS'a\ta\tDT\tB-NP\tO' -p197890 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p197891 -aS'of\tof\tIN\tB-PP\tO' -p197892 -aS'diverticulitis\tdiverticulitis\tNN\tB-NP\tO' -p197893 -aS'flairs\tflair\tNNS\tI-NP\tO' -p197894 -aS'and\tand\tCC\tO\tO' -p197895 -aS'baseline\tbaseline\tNN\tB-NP\tO' -p197896 -aS'diverticulosis\tdiverticulosis\tNN\tI-NP\tO' -p197897 -aS'flairing\tflairing\tNN\tI-NP\tO' -p197898 -aS'in\tin\tIN\tB-PP\tO' -p197899 -aS'09/96\t09/96\tCD\tB-NP\tO' -p197900 -aS'.\t.\t.\tO\tO' -p197901 -asS'No lymphadenopathy , no JVD .' -p197902 -(lp197903 -S'No\tNo\tDT\tB-NP\tO' -p197904 -aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' -p197905 -aS',\t,\t,\tO\tO' -p197906 -aS'no\tno\tDT\tB-NP\tO' -p197907 -aS'JVD\tJVD\tNN\tI-NP\tB-protein' -p197908 -aS'.\t.\t.\tO\tO' -p197909 -asS'The review of systems is significant for a history of dyspnea on exertion .' -p197910 -(lp197911 -S'The\tThe\tDT\tB-NP\tO' -p197912 -aS'review\treview\tNN\tI-NP\tO' -p197913 -aS'of\tof\tIN\tB-PP\tO' -p197914 -aS'systems\tsystem\tNNS\tB-NP\tO' -p197915 -aS'is\tbe\tVBZ\tB-VP\tO' -p197916 -aS'significant\tsignificant\tJJ\tB-ADJP\tO' -p197917 -aS'for\tfor\tIN\tB-PP\tO' -p197918 -aS'a\ta\tDT\tB-NP\tO' -p197919 -aS'history\thistory\tNN\tI-NP\tO' -p197920 -aS'of\tof\tIN\tB-PP\tO' -p197921 -aS'dyspnea\tdyspnea\tNN\tB-NP\tO' -p197922 -aS'on\ton\tIN\tB-PP\tO' -p197923 -aS'exertion\texertion\tNN\tB-NP\tO' -p197924 -aS'.\t.\t.\tO\tO' -p197925 -asS'6. Percocet one to two tablets q four H prn for pain .' -p197926 -(lp197927 -S'6.\t6.\tCD\tB-NP\tO' -p197928 -aS'Percocet\tPercocet\tNNP\tI-NP\tO' -p197929 -aS'one\tone\tCD\tI-NP\tO' -p197930 -aS'to\tto\tTO\tI-NP\tO' -p197931 -aS'two\ttwo\tCD\tI-NP\tO' -p197932 -aS'tablets\ttablet\tNNS\tI-NP\tO' -p197933 -aS'q\tq\tNN\tI-NP\tO' -p197934 -aS'four\tfour\tCD\tI-NP\tO' -p197935 -aS'H\tH\tNN\tI-NP\tO' -p197936 -aS'prn\tprn\tNN\tI-NP\tO' -p197937 -aS'for\tfor\tIN\tB-PP\tO' -p197938 -aS'pain\tpain\tNN\tB-NP\tO' -p197939 -aS'.\t.\t.\tO\tO' -p197940 -asS'A few days before decompensating , his mental status improved to the degree that he was able to eat normal food without aspirating .' -p197941 -(lp197942 -S'A\tA\tDT\tB-NP\tO' -p197943 -aS'few\tfew\tJJ\tI-NP\tO' -p197944 -aS'days\tday\tNNS\tI-NP\tO' -p197945 -aS'before\tbefore\tIN\tB-PP\tO' -p197946 -aS'decompensating\tdecompensate\tVBG\tB-VP\tO' -p197947 -aS',\t,\t,\tO\tO' -p197948 -aS'his\this\tPRP$\tB-NP\tO' -p197949 -aS'mental\tmental\tJJ\tI-NP\tO' -p197950 -aS'status\tstatus\tNN\tI-NP\tO' -p197951 -aS'improved\timprove\tVBN\tB-VP\tO' -p197952 -aS'to\tto\tTO\tB-PP\tO' -p197953 -aS'the\tthe\tDT\tB-NP\tO' -p197954 -aS'degree\tdegree\tNN\tI-NP\tO' -p197955 -aS'that\tthat\tIN\tB-SBAR\tO' -p197956 -aS'he\the\tPRP\tB-NP\tO' -p197957 -aS'was\tbe\tVBD\tB-VP\tO' -p197958 -aS'able\table\tJJ\tB-ADJP\tO' -p197959 -aS'to\tto\tTO\tB-VP\tO' -p197960 -aS'eat\teat\tVB\tI-VP\tO' -p197961 -aS'normal\tnormal\tJJ\tB-NP\tO' -p197962 -aS'food\tfood\tNN\tI-NP\tO' -p197963 -aS'without\twithout\tIN\tB-PP\tO' -p197964 -aS'aspirating\taspirate\tVBG\tB-VP\tO' -p197965 -aS'.\t.\t.\tO\tO' -p197966 -asS'Avandia 4 mg p.o. every day .' -p197967 -(lp197968 -S'Avandia\tAvandia\tNNP\tB-NP\tO' -p197969 -aS'4\t4\tCD\tI-NP\tO' -p197970 -aS'mg\tmg\tNN\tI-NP\tO' -p197971 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p197972 -aS'every\tevery\tDT\tB-NP\tO' -p197973 -aS'day\tday\tNN\tI-NP\tO' -p197974 -aS'.\t.\t.\tO\tO' -p197975 -asS'Hypertension , asthma , obesity , history of heart murmur , hemorrhoids , whooping cough as a child .' -p197976 -(lp197977 -S'Hypertension\tHypertension\tNN\tB-NP\tO' -p197978 -aS',\t,\t,\tO\tO' -p197979 -aS'asthma\tasthma\tNN\tB-NP\tO' -p197980 -aS',\t,\t,\tO\tO' -p197981 -aS'obesity\tobesity\tNN\tB-NP\tO' -p197982 -aS',\t,\t,\tO\tO' -p197983 -aS'history\thistory\tNN\tB-NP\tO' -p197984 -aS'of\tof\tIN\tB-PP\tO' -p197985 -aS'heart\theart\tNN\tB-NP\tO' -p197986 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p197987 -aS',\t,\t,\tO\tO' -p197988 -aS'hemorrhoids\themorrhoid\tNNS\tB-NP\tO' -p197989 -aS',\t,\t,\tO\tO' -p197990 -aS'whooping\twhooping\tJJ\tB-NP\tO' -p197991 -aS'cough\tcough\tNN\tI-NP\tO' -p197992 -aS'as\tas\tIN\tB-PP\tO' -p197993 -aS'a\ta\tDT\tB-NP\tO' -p197994 -aS'child\tchild\tNN\tI-NP\tO' -p197995 -aS'.\t.\t.\tO\tO' -p197996 -asS'The patient did well in the immediate postoperative period , however , her blood pressure remained somewhat labile .' -p197997 -(lp197998 -S'The\tThe\tDT\tB-NP\tO' -p197999 -aS'patient\tpatient\tNN\tI-NP\tO' -p198000 -aS'did\tdo\tVBD\tB-VP\tO' -p198001 -aS'well\twell\tRB\tB-ADVP\tO' -p198002 -aS'in\tin\tIN\tB-PP\tO' -p198003 -aS'the\tthe\tDT\tB-NP\tO' -p198004 -aS'immediate\timmediate\tJJ\tI-NP\tO' -p198005 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p198006 -aS'period\tperiod\tNN\tI-NP\tO' -p198007 -aS',\t,\t,\tO\tO' -p198008 -aS'however\thowever\tRB\tB-ADVP\tO' -p198009 -aS',\t,\t,\tO\tO' -p198010 -aS'her\ther\tPRP$\tB-NP\tO' -p198011 -aS'blood\tblood\tNN\tI-NP\tO' -p198012 -aS'pressure\tpressure\tNN\tI-NP\tO' -p198013 -aS'remained\tremain\tVBD\tB-VP\tO' -p198014 -aS'somewhat\tsomewhat\tRB\tB-ADJP\tO' -p198015 -aS'labile\tlabile\tJJ\tI-ADJP\tO' -p198016 -aS'.\t.\t.\tO\tO' -p198017 -asS'In his post-operative course , patient was sent to the unit and was put on perioperative Vancomycin .' -p198018 -(lp198019 -S'In\tIn\tIN\tB-PP\tO' -p198020 -aS'his\this\tPRP$\tB-NP\tO' -p198021 -aS'post-operative\tpost-operative\tJJ\tI-NP\tO' -p198022 -aS'course\tcourse\tNN\tI-NP\tO' -p198023 -aS',\t,\t,\tO\tO' -p198024 -aS'patient\tpatient\tNN\tB-NP\tO' -p198025 -aS'was\tbe\tVBD\tB-VP\tO' -p198026 -aS'sent\tsend\tVBN\tI-VP\tO' -p198027 -aS'to\tto\tTO\tB-PP\tO' -p198028 -aS'the\tthe\tDT\tB-NP\tO' -p198029 -aS'unit\tunit\tNN\tI-NP\tO' -p198030 -aS'and\tand\tCC\tO\tO' -p198031 -aS'was\tbe\tVBD\tB-VP\tO' -p198032 -aS'put\tput\tVBN\tI-VP\tO' -p198033 -aS'on\ton\tIN\tB-PP\tO' -p198034 -aS'perioperative\tperioperative\tJJ\tB-NP\tO' -p198035 -aS'Vancomycin\tVancomycin\tNN\tI-NP\tO' -p198036 -aS'.\t.\t.\tO\tO' -p198037 -asS'He did not have chest pain .' -p198038 -(lp198039 -S'He\tHe\tPRP\tB-NP\tO' -p198040 -aS'did\tdo\tVBD\tB-VP\tO' -p198041 -aS'not\tnot\tRB\tI-VP\tO' -p198042 -aS'have\thave\tVB\tI-VP\tO' -p198043 -aS'chest\tchest\tNN\tB-NP\tO' -p198044 -aS'pain\tpain\tNN\tI-NP\tO' -p198045 -aS'.\t.\t.\tO\tO' -p198046 -asS'The patient tolerated the procedure well and there are no complications .' -p198047 -(lp198048 -S'The\tThe\tDT\tB-NP\tO' -p198049 -aS'patient\tpatient\tNN\tI-NP\tO' -p198050 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p198051 -aS'the\tthe\tDT\tB-NP\tO' -p198052 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p198053 -aS'well\twell\tRB\tB-ADVP\tO' -p198054 -aS'and\tand\tCC\tO\tO' -p198055 -aS'there\tthere\tEX\tB-NP\tO' -p198056 -aS'are\tbe\tVBP\tB-VP\tO' -p198057 -aS'no\tno\tDT\tB-NP\tO' -p198058 -aS'complications\tcomplication\tNNS\tI-NP\tO' -p198059 -aS'.\t.\t.\tO\tO' -p198060 -asS'On a rectal examination she is guaiac negative , no masses and no gluteal ulcers or decubiti .' -p198061 -(lp198062 -S'On\tOn\tIN\tB-PP\tO' -p198063 -aS'a\ta\tDT\tB-NP\tO' -p198064 -aS'rectal\trectal\tJJ\tI-NP\tO' -p198065 -aS'examination\texamination\tNN\tI-NP\tO' -p198066 -aS'she\tshe\tPRP\tB-NP\tO' -p198067 -aS'is\tbe\tVBZ\tB-VP\tO' -p198068 -aS'guaiac\tguaiac\tJJ\tB-ADJP\tO' -p198069 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p198070 -aS',\t,\t,\tO\tO' -p198071 -aS'no\tno\tDT\tB-NP\tO' -p198072 -aS'masses\tmass\tNNS\tI-NP\tO' -p198073 -aS'and\tand\tCC\tO\tO' -p198074 -aS'no\tno\tDT\tB-NP\tO' -p198075 -aS'gluteal\tgluteal\tJJ\tI-NP\tO' -p198076 -aS'ulcers\tulcer\tNNS\tI-NP\tO' -p198077 -aS'or\tor\tCC\tI-NP\tO' -p198078 -aS'decubiti\tdecubiti\tNNS\tI-NP\tO' -p198079 -aS'.\t.\t.\tO\tO' -p198080 -asS'She had had no further episodes of tingling in her fingers after the initial episode which had prompted us originally to draw the ionized calcium .' -p198081 -(lp198082 -S'She\tShe\tPRP\tB-NP\tO' -p198083 -aS'had\thave\tVBD\tB-VP\tO' -p198084 -aS'had\thave\tVBN\tI-VP\tO' -p198085 -aS'no\tno\tDT\tB-NP\tO' -p198086 -aS'further\tfurther\tJJ\tI-NP\tO' -p198087 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p198088 -aS'of\tof\tIN\tB-PP\tO' -p198089 -aS'tingling\ttingle\tVBG\tB-VP\tO' -p198090 -aS'in\tin\tIN\tB-PP\tO' -p198091 -aS'her\ther\tPRP$\tB-NP\tO' -p198092 -aS'fingers\tfinger\tNNS\tI-NP\tO' -p198093 -aS'after\tafter\tIN\tB-PP\tO' -p198094 -aS'the\tthe\tDT\tB-NP\tO' -p198095 -aS'initial\tinitial\tJJ\tI-NP\tO' -p198096 -aS'episode\tepisode\tNN\tI-NP\tO' -p198097 -aS'which\twhich\tWDT\tB-NP\tO' -p198098 -aS'had\thave\tVBD\tB-VP\tO' -p198099 -aS'prompted\tprompt\tVBN\tI-VP\tO' -p198100 -aS'us\tus\tPRP\tB-NP\tO' -p198101 -aS'originally\toriginally\tRB\tB-ADVP\tO' -p198102 -aS'to\tto\tTO\tB-VP\tO' -p198103 -aS'draw\tdraw\tVB\tI-VP\tO' -p198104 -aS'the\tthe\tDT\tB-NP\tO' -p198105 -aS'ionized\tionize\tVBN\tI-NP\tO' -p198106 -aS'calcium\tcalcium\tNN\tI-NP\tO' -p198107 -aS'.\t.\t.\tO\tO' -p198108 -asS'Robert a daughter who lives in Wareham .' -p198109 -(lp198110 -S'Robert\tRobert\tNNP\tB-NP\tO' -p198111 -aS'a\ta\tDT\tB-NP\tO' -p198112 -aS'daughter\tdaughter\tNN\tI-NP\tO' -p198113 -aS'who\twho\tWP\tB-NP\tO' -p198114 -aS'lives\tlive\tVBZ\tB-VP\tO' -p198115 -aS'in\tin\tIN\tB-PP\tO' -p198116 -aS'Wareham\tWareham\tNNP\tB-NP\tO' -p198117 -aS'.\t.\t.\tO\tO' -p198118 -asS'Reconstructed portal vein followed by Roux-en-Y hepaticojejunostomy .' -p198119 -(lp198120 -S'Reconstructed\tReconstruct\tVBN\tB-NP\tO' -p198121 -aS'portal\tportal\tJJ\tI-NP\tO' -p198122 -aS'vein\tvein\tNN\tI-NP\tO' -p198123 -aS'followed\tfollow\tVBN\tB-VP\tO' -p198124 -aS'by\tby\tIN\tB-PP\tO' -p198125 -aS'Roux-en-Y\tRoux-en-Y\tNN\tB-NP\tO' -p198126 -aS'hepaticojejunostomy\thepaticojejunostomy\tNN\tI-NP\tO' -p198127 -aS'.\t.\t.\tO\tO' -p198128 -asS'Mother aged 85 , alive and well .' -p198129 -(lp198130 -S'Mother\tMother\tDT\tB-NP\tO' -p198131 -aS'aged\tage\tVBN\tI-NP\tO' -p198132 -aS'85\t85\tCD\tI-NP\tO' -p198133 -aS',\t,\t,\tO\tO' -p198134 -aS'alive\talive\tJJ\tB-ADJP\tO' -p198135 -aS'and\tand\tCC\tO\tO' -p198136 -aS'well\twell\tRB\tB-ADVP\tO' -p198137 -aS'.\t.\t.\tO\tO' -p198138 -asS'The patient is also scheduled for an appointment with Dr. Patterson approximately two weeks after her discharge from the hospital .' -p198139 -(lp198140 -S'The\tThe\tDT\tB-NP\tO' -p198141 -aS'patient\tpatient\tNN\tI-NP\tO' -p198142 -aS'is\tbe\tVBZ\tB-VP\tO' -p198143 -aS'also\talso\tRB\tI-VP\tO' -p198144 -aS'scheduled\tschedule\tVBN\tI-VP\tO' -p198145 -aS'for\tfor\tIN\tB-PP\tO' -p198146 -aS'an\tan\tDT\tB-NP\tO' -p198147 -aS'appointment\tappointment\tNN\tI-NP\tO' -p198148 -aS'with\twith\tIN\tB-PP\tO' -p198149 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p198150 -aS'Patterson\tPatterson\tNNP\tI-NP\tO' -p198151 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p198152 -aS'two\ttwo\tCD\tI-NP\tO' -p198153 -aS'weeks\tweek\tNNS\tI-NP\tO' -p198154 -aS'after\tafter\tIN\tB-PP\tO' -p198155 -aS'her\ther\tPRP$\tB-NP\tO' -p198156 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p198157 -aS'from\tfrom\tIN\tB-PP\tO' -p198158 -aS'the\tthe\tDT\tB-NP\tO' -p198159 -aS'hospital\thospital\tNN\tI-NP\tO' -p198160 -aS'.\t.\t.\tO\tO' -p198161 -asS'She was given a standing IVF order .' -p198162 -(lp198163 -S'She\tShe\tPRP\tB-NP\tO' -p198164 -aS'was\tbe\tVBD\tB-VP\tO' -p198165 -aS'given\tgive\tVBN\tI-VP\tO' -p198166 -aS'a\ta\tDT\tB-NP\tO' -p198167 -aS'standing\tstanding\tNN\tI-NP\tO' -p198168 -aS'IVF\tIVF\tNN\tI-NP\tO' -p198169 -aS'order\torder\tNN\tI-NP\tO' -p198170 -aS'.\t.\t.\tO\tO' -p198171 -asS'No heavy lifting x 3 weeks .' -p198172 -(lp198173 -S'No\tNo\tDT\tB-NP\tO' -p198174 -aS'heavy\theavy\tJJ\tI-NP\tB-protein' -p198175 -aS'lifting\tlift\tVBG\tI-NP\tI-protein' -p198176 -aS'x\tx\tNN\tI-NP\tI-protein' -p198177 -aS'3\t3\tCD\tB-NP\tI-protein' -p198178 -aS'weeks\tweek\tNNS\tI-NP\tI-protein' -p198179 -aS'.\t.\t.\tO\tO' -p198180 -asS'h / o obstructive uropathy -- UOP was erratic , but no foley was needed .' -p198181 -(lp198182 -S'h\th\tNN\tB-NP\tO' -p198183 -aS'/\t/\tSYM\tI-NP\tO' -p198184 -aS'o\to\tNN\tI-NP\tO' -p198185 -aS'obstructive\tobstructive\tJJ\tI-NP\tO' -p198186 -aS'uropathy\turopathy\tNN\tI-NP\tO' -p198187 -aS'--\t--\t:\tO\tO' -p198188 -aS'UOP\tUOP\tNN\tB-NP\tO' -p198189 -aS'was\tbe\tVBD\tB-VP\tO' -p198190 -aS'erratic\terratic\tJJ\tB-ADJP\tO' -p198191 -aS',\t,\t,\tO\tO' -p198192 -aS'but\tbut\tCC\tO\tO' -p198193 -aS'no\tno\tDT\tB-NP\tO' -p198194 -aS'foley\tfoley\tNN\tI-NP\tO' -p198195 -aS'was\tbe\tVBD\tB-VP\tO' -p198196 -aS'needed\tneed\tVBN\tI-VP\tO' -p198197 -aS'.\t.\t.\tO\tO' -p198198 -asS'Hepatitis B surface antigen negative , cystic fibrosis negative , and Group B strep unknown .' -p198199 -(lp198200 -S'Hepatitis\tHepatitis\tNN\tB-NP\tB-protein' -p198201 -aS'B\tB\tNN\tI-NP\tI-protein' -p198202 -aS'surface\tsurface\tNN\tI-NP\tI-protein' -p198203 -aS'antigen\tantigen\tNN\tI-NP\tI-protein' -p198204 -aS'negative\tnegative\tJJ\tI-NP\tO' -p198205 -aS',\t,\t,\tI-NP\tO' -p198206 -aS'cystic\tcystic\tJJ\tI-NP\tO' -p198207 -aS'fibrosis\tfibrosis\tNN\tI-NP\tO' -p198208 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p198209 -aS',\t,\t,\tO\tO' -p198210 -aS'and\tand\tCC\tO\tO' -p198211 -aS'Group\tGroup\tNN\tB-NP\tO' -p198212 -aS'B\tB\tNN\tI-NP\tO' -p198213 -aS'strep\tstrep\tNN\tI-NP\tO' -p198214 -aS'unknown\tunknown\tJJ\tB-ADJP\tO' -p198215 -aS'.\t.\t.\tO\tO' -p198216 -asS'The sternocleidomastoid and trapezius had good strength .' -p198217 -(lp198218 -S'The\tThe\tDT\tB-NP\tO' -p198219 -aS'sternocleidomastoid\tsternocleidomastoid\tJJ\tI-NP\tO' -p198220 -aS'and\tand\tCC\tI-NP\tO' -p198221 -aS'trapezius\ttrapezius\tNN\tI-NP\tO' -p198222 -aS'had\thave\tVBD\tB-VP\tO' -p198223 -aS'good\tgood\tJJ\tB-NP\tO' -p198224 -aS'strength\tstrength\tNN\tI-NP\tO' -p198225 -aS'.\t.\t.\tO\tO' -p198226 -asS'6. Status post tonsillectomy as a child .' -p198227 -(lp198228 -S'6.\t6.\tLS\tB-NP\tO' -p198229 -aS'Status\tStatus\tNNP\tI-NP\tO' -p198230 -aS'post\tpost\tNN\tI-NP\tO' -p198231 -aS'tonsillectomy\ttonsillectomy\tNN\tI-NP\tO' -p198232 -aS'as\tas\tIN\tB-PP\tO' -p198233 -aS'a\ta\tDT\tB-NP\tO' -p198234 -aS'child\tchild\tNN\tI-NP\tO' -p198235 -aS'.\t.\t.\tO\tO' -p198236 -asS'Brought in by family for ams .' -p198237 -(lp198238 -S'Brought\tBring\tVBN\tB-VP\tO' -p198239 -aS'in\tin\tIN\tB-PP\tO' -p198240 -aS'by\tby\tIN\tB-PP\tO' -p198241 -aS'family\tfamily\tNN\tB-NP\tO' -p198242 -aS'for\tfor\tIN\tB-PP\tO' -p198243 -aS'ams\tam\tNNS\tB-NP\tO' -p198244 -aS'.\t.\t.\tO\tO' -p198245 -asS'Patient is a 77 year old female with a past medical history significant for GI bleeding secondary to arteriovenous malformations , who presents with maroon stool and a hematocrit drop .' -p198246 -(lp198247 -S'Patient\tPatient\tNN\tB-NP\tO' -p198248 -aS'is\tbe\tVBZ\tB-VP\tO' -p198249 -aS'a\ta\tDT\tB-NP\tO' -p198250 -aS'77\t77\tCD\tI-NP\tO' -p198251 -aS'year\tyear\tNN\tI-NP\tO' -p198252 -aS'old\told\tJJ\tI-NP\tO' -p198253 -aS'female\tfemale\tNN\tI-NP\tO' -p198254 -aS'with\twith\tIN\tB-PP\tO' -p198255 -aS'a\ta\tDT\tB-NP\tO' -p198256 -aS'past\tpast\tJJ\tI-NP\tO' -p198257 -aS'medical\tmedical\tJJ\tI-NP\tO' -p198258 -aS'history\thistory\tNN\tI-NP\tO' -p198259 -aS'significant\tsignificant\tJJ\tB-ADJP\tO' -p198260 -aS'for\tfor\tIN\tB-PP\tO' -p198261 -aS'GI\tGI\tNN\tB-NP\tO' -p198262 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p198263 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p198264 -aS'to\tto\tTO\tB-PP\tO' -p198265 -aS'arteriovenous\tarteriovenous\tJJ\tB-NP\tO' -p198266 -aS'malformations\tmalformation\tNNS\tI-NP\tO' -p198267 -aS',\t,\t,\tO\tO' -p198268 -aS'who\twho\tWP\tB-NP\tO' -p198269 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p198270 -aS'with\twith\tIN\tB-PP\tO' -p198271 -aS'maroon\tmaroon\tNN\tB-NP\tO' -p198272 -aS'stool\tstool\tNN\tI-NP\tO' -p198273 -aS'and\tand\tCC\tO\tO' -p198274 -aS'a\ta\tDT\tB-NP\tO' -p198275 -aS'hematocrit\thematocrit\tNN\tI-NP\tB-protein' -p198276 -aS'drop\tdrop\tNN\tI-NP\tI-protein' -p198277 -aS'.\t.\t.\tO\tO' -p198278 -asS'He was edentulous .' -p198279 -(lp198280 -S'He\tHe\tPRP\tB-NP\tO' -p198281 -aS'was\tbe\tVBD\tB-VP\tO' -p198282 -aS'edentulous\tedentulous\tJJ\tB-ADJP\tO' -p198283 -aS'.\t.\t.\tO\tO' -p198284 -asS"On that day the Plastic Surgical Service performed further sternal debridement and subsequent reconstruction using bilateral pectoralis major myocutaneous advancement flaps and right superiorly rectus abdominis flap to cover the patient 's sternal wound with subsequent primary closure of that wound ." -p198285 -(lp198286 -S'On\tOn\tIN\tB-PP\tO' -p198287 -aS'that\tthat\tDT\tB-NP\tO' -p198288 -aS'day\tday\tNN\tI-NP\tO' -p198289 -aS'the\tthe\tDT\tB-NP\tO' -p198290 -aS'Plastic\tPlastic\tNNP\tI-NP\tO' -p198291 -aS'Surgical\tSurgical\tNNP\tI-NP\tO' -p198292 -aS'Service\tService\tNNP\tI-NP\tO' -p198293 -aS'performed\tperform\tVBD\tB-VP\tO' -p198294 -aS'further\tfurther\tJJ\tB-NP\tO' -p198295 -aS'sternal\tsternal\tJJ\tI-NP\tO' -p198296 -aS'debridement\tdebridement\tNN\tI-NP\tO' -p198297 -aS'and\tand\tCC\tO\tO' -p198298 -aS'subsequent\tsubsequent\tJJ\tB-NP\tO' -p198299 -aS'reconstruction\treconstruction\tNN\tI-NP\tO' -p198300 -aS'using\tuse\tVBG\tB-VP\tO' -p198301 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p198302 -aS'pectoralis\tpectoralis\tNN\tI-NP\tO' -p198303 -aS'major\tmajor\tJJ\tI-NP\tO' -p198304 -aS'myocutaneous\tmyocutaneous\tJJ\tI-NP\tO' -p198305 -aS'advancement\tadvancement\tNN\tI-NP\tO' -p198306 -aS'flaps\tflap\tNNS\tI-NP\tO' -p198307 -aS'and\tand\tCC\tO\tO' -p198308 -aS'right\tright\tJJ\tB-NP\tB-protein' -p198309 -aS'superiorly\tsuperiorly\tJJ\tI-NP\tI-protein' -p198310 -aS'rectus\trectus\tNN\tI-NP\tI-protein' -p198311 -aS'abdominis\tabdominis\tNN\tI-NP\tI-protein' -p198312 -aS'flap\tflap\tNN\tI-NP\tI-protein' -p198313 -aS'to\tto\tTO\tB-VP\tO' -p198314 -aS'cover\tcover\tVB\tI-VP\tO' -p198315 -aS'the\tthe\tDT\tB-NP\tO' -p198316 -aS'patient\tpatient\tNN\tI-NP\tO' -p198317 -aS"'s\t's\tPOS\tB-NP\tO" -p198318 -aS'sternal\tsternal\tJJ\tI-NP\tO' -p198319 -aS'wound\twound\tNN\tI-NP\tO' -p198320 -aS'with\twith\tIN\tB-PP\tO' -p198321 -aS'subsequent\tsubsequent\tJJ\tB-NP\tO' -p198322 -aS'primary\tprimary\tJJ\tI-NP\tO' -p198323 -aS'closure\tclosure\tNN\tI-NP\tO' -p198324 -aS'of\tof\tIN\tB-PP\tO' -p198325 -aS'that\tthat\tDT\tB-NP\tO' -p198326 -aS'wound\twound\tNN\tI-NP\tO' -p198327 -aS'.\t.\t.\tO\tO' -p198328 -asS'On this echocardiogram , he was again noted to not have any evidence for valvular vegetations .' -p198329 -(lp198330 -S'On\tOn\tIN\tB-PP\tO' -p198331 -aS'this\tthis\tDT\tB-NP\tO' -p198332 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p198333 -aS',\t,\t,\tO\tO' -p198334 -aS'he\the\tPRP\tB-NP\tO' -p198335 -aS'was\tbe\tVBD\tB-VP\tO' -p198336 -aS'again\tagain\tRB\tI-VP\tO' -p198337 -aS'noted\tnote\tVBN\tI-VP\tO' -p198338 -aS'to\tto\tTO\tB-VP\tO' -p198339 -aS'not\tnot\tRB\tI-VP\tO' -p198340 -aS'have\thave\tVB\tI-VP\tO' -p198341 -aS'any\tany\tDT\tB-NP\tO' -p198342 -aS'evidence\tevidence\tNN\tI-NP\tO' -p198343 -aS'for\tfor\tIN\tB-PP\tO' -p198344 -aS'valvular\tvalvular\tJJ\tB-NP\tO' -p198345 -aS'vegetations\tvegetation\tNNS\tI-NP\tO' -p198346 -aS'.\t.\t.\tO\tO' -p198347 -asS'Included Lasix , Lopressor , Coumadin , Diovan , torsemide , Flomax , Protonix , Senekot , potassium , vitamin C , iron , and a multivitamin .' -p198348 -(lp198349 -S'Included\tIncluded\tNNP\tB-NP\tO' -p198350 -aS'Lasix\tLasix\tNNP\tI-NP\tO' -p198351 -aS',\t,\t,\tO\tO' -p198352 -aS'Lopressor\tLopressor\tNNP\tB-NP\tO' -p198353 -aS',\t,\t,\tO\tO' -p198354 -aS'Coumadin\tCoumadin\tNNP\tB-NP\tO' -p198355 -aS',\t,\t,\tO\tO' -p198356 -aS'Diovan\tDiovan\tNNP\tB-NP\tO' -p198357 -aS',\t,\t,\tO\tO' -p198358 -aS'torsemide\ttorsemide\tNN\tB-NP\tO' -p198359 -aS',\t,\t,\tO\tO' -p198360 -aS'Flomax\tFlomax\tNNP\tB-NP\tO' -p198361 -aS',\t,\t,\tO\tO' -p198362 -aS'Protonix\tProtonix\tNNP\tB-NP\tO' -p198363 -aS',\t,\t,\tO\tO' -p198364 -aS'Senekot\tSenekot\tNNP\tB-NP\tO' -p198365 -aS',\t,\t,\tO\tO' -p198366 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p198367 -aS',\t,\t,\tO\tO' -p198368 -aS'vitamin\tvitamin\tNN\tB-NP\tO' -p198369 -aS'C\tC\tNN\tI-NP\tO' -p198370 -aS',\t,\t,\tO\tO' -p198371 -aS'iron\tiron\tNN\tB-NP\tO' -p198372 -aS',\t,\t,\tO\tO' -p198373 -aS'and\tand\tCC\tO\tO' -p198374 -aS'a\ta\tDT\tB-NP\tO' -p198375 -aS'multivitamin\tmultivitamin\tNN\tI-NP\tO' -p198376 -aS'.\t.\t.\tO\tO' -p198377 -asS'He had been chronicallyl vent dependent .' -p198378 -(lp198379 -S'He\tHe\tPRP\tB-NP\tO' -p198380 -aS'had\thave\tVBD\tB-VP\tO' -p198381 -aS'been\tbe\tVBN\tI-VP\tO' -p198382 -aS'chronicallyl\tchronicallyl\tJJ\tB-NP\tO' -p198383 -aS'vent\tvent\tNN\tI-NP\tO' -p198384 -aS'dependent\tdependent\tJJ\tB-ADJP\tO' -p198385 -aS'.\t.\t.\tO\tO' -p198386 -asS'The patient had no positive blood cultures during his hospitalization and remained afebrile after the second day of admission .' -p198387 -(lp198388 -S'The\tThe\tDT\tB-NP\tO' -p198389 -aS'patient\tpatient\tNN\tI-NP\tO' -p198390 -aS'had\thave\tVBD\tB-VP\tO' -p198391 -aS'no\tno\tDT\tB-NP\tO' -p198392 -aS'positive\tpositive\tJJ\tI-NP\tO' -p198393 -aS'blood\tblood\tNN\tI-NP\tO' -p198394 -aS'cultures\tculture\tNNS\tI-NP\tO' -p198395 -aS'during\tduring\tIN\tB-PP\tO' -p198396 -aS'his\this\tPRP$\tB-NP\tO' -p198397 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p198398 -aS'and\tand\tCC\tO\tO' -p198399 -aS'remained\tremain\tVBD\tB-VP\tO' -p198400 -aS'afebrile\tafebrile\tRB\tB-ADVP\tO' -p198401 -aS'after\tafter\tIN\tB-PP\tO' -p198402 -aS'the\tthe\tDT\tB-NP\tO' -p198403 -aS'second\tsecond\tJJ\tI-NP\tO' -p198404 -aS'day\tday\tNN\tI-NP\tO' -p198405 -aS'of\tof\tIN\tB-PP\tO' -p198406 -aS'admission\tadmission\tNN\tB-NP\tO' -p198407 -aS'.\t.\t.\tO\tO' -p198408 -asS'2. Atenolol 25 mg PO qd ;' -p198409 -(lp198410 -S'2.\t2.\tLS\tB-NP\tO' -p198411 -aS'Atenolol\tAtenolol\tNN\tI-NP\tO' -p198412 -aS'25\t25\tCD\tI-NP\tO' -p198413 -aS'mg\tmg\tNN\tI-NP\tO' -p198414 -aS'PO\tPO\tNN\tI-NP\tO' -p198415 -aS'qd\tqd\tNN\tI-NP\tO' -p198416 -aS';\t;\t:\tO\tO' -p198417 -asS'He had no prior cardiac history until May 1993 when on 5-24 he had crushing chest pain which radiated to his left arm .' -p198418 -(lp198419 -S'He\tHe\tPRP\tB-NP\tO' -p198420 -aS'had\thave\tVBD\tB-VP\tO' -p198421 -aS'no\tno\tDT\tB-NP\tO' -p198422 -aS'prior\tprior\tJJ\tI-NP\tO' -p198423 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p198424 -aS'history\thistory\tNN\tI-NP\tO' -p198425 -aS'until\tuntil\tIN\tB-PP\tO' -p198426 -aS'May\tMay\tNNP\tB-NP\tO' -p198427 -aS'1993\t1993\tCD\tI-NP\tO' -p198428 -aS'when\twhen\tWRB\tB-ADVP\tO' -p198429 -aS'on\ton\tIN\tB-PP\tO' -p198430 -aS'5-24\t5-24\tNN\tB-NP\tB-protein' -p198431 -aS'he\the\tPRP\tB-NP\tI-protein' -p198432 -aS'had\thave\tVBD\tB-VP\tI-protein' -p198433 -aS'crushing\tcrush\tVBG\tI-VP\tI-protein' -p198434 -aS'chest\tchest\tNN\tB-NP\tI-protein' -p198435 -aS'pain\tpain\tNN\tI-NP\tI-protein' -p198436 -aS'which\twhich\tWDT\tB-NP\tO' -p198437 -aS'radiated\tradiate\tVBD\tB-VP\tO' -p198438 -aS'to\tto\tTO\tB-PP\tO' -p198439 -aS'his\this\tPRP$\tB-NP\tO' -p198440 -aS'left\tleft\tJJ\tI-NP\tO' -p198441 -aS'arm\tarm\tNN\tI-NP\tO' -p198442 -aS'.\t.\t.\tO\tO' -p198443 -asS'His creatinine levels trended toward normal and the fractional excretion of sodium also increased indicating a resolution of the prerenal kidney failure .' -p198444 -(lp198445 -S'His\tHis\tPRP$\tB-NP\tO' -p198446 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p198447 -aS'levels\tlevel\tNNS\tI-NP\tO' -p198448 -aS'trended\ttrend\tVBN\tB-VP\tO' -p198449 -aS'toward\ttoward\tIN\tB-PP\tO' -p198450 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p198451 -aS'and\tand\tCC\tO\tO' -p198452 -aS'the\tthe\tDT\tB-NP\tO' -p198453 -aS'fractional\tfractional\tJJ\tI-NP\tO' -p198454 -aS'excretion\texcretion\tNN\tI-NP\tO' -p198455 -aS'of\tof\tIN\tB-PP\tO' -p198456 -aS'sodium\tsodium\tNN\tB-NP\tO' -p198457 -aS'also\talso\tRB\tB-ADVP\tO' -p198458 -aS'increased\tincrease\tVBD\tB-VP\tO' -p198459 -aS'indicating\tindicate\tVBG\tI-VP\tO' -p198460 -aS'a\ta\tDT\tB-NP\tO' -p198461 -aS'resolution\tresolution\tNN\tI-NP\tO' -p198462 -aS'of\tof\tIN\tB-PP\tO' -p198463 -aS'the\tthe\tDT\tB-NP\tO' -p198464 -aS'prerenal\tprerenal\tJJ\tI-NP\tO' -p198465 -aS'kidney\tkidney\tNN\tI-NP\tO' -p198466 -aS'failure\tfailure\tNN\tI-NP\tO' -p198467 -aS'.\t.\t.\tO\tO' -p198468 -asS'2. Aspiration pneumonia .' -p198469 -(lp198470 -S'2.\t2.\tLS\tB-NP\tO' -p198471 -aS'Aspiration\tAspiration\tNN\tI-NP\tO' -p198472 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p198473 -aS'.\t.\t.\tO\tO' -p198474 -asS'On 10/9/94 , she was taken back to the operating room .' -p198475 -(lp198476 -S'On\tOn\tIN\tB-PP\tO' -p198477 -aS'10/9/94\t10/9/94\tCD\tB-NP\tO' -p198478 -aS',\t,\t,\tO\tO' -p198479 -aS'she\tshe\tPRP\tB-NP\tO' -p198480 -aS'was\tbe\tVBD\tB-VP\tO' -p198481 -aS'taken\ttake\tVBN\tI-VP\tO' -p198482 -aS'back\tback\tRB\tB-ADVP\tO' -p198483 -aS'to\tto\tTO\tB-PP\tO' -p198484 -aS'the\tthe\tDT\tB-NP\tO' -p198485 -aS'operating\toperating\tNN\tI-NP\tO' -p198486 -aS'room\troom\tNN\tI-NP\tO' -p198487 -aS'.\t.\t.\tO\tO' -p198488 -asS'Chronic Kidney disease - on hemodialysis type 2 diabetes hypercholestrolemia anemia of chornic disease h/o PE , s/p PEA arrest 11-14' -p198489 -(lp198490 -S'Chronic\tChronic\tJJ\tB-NP\tO' -p198491 -aS'Kidney\tKidney\tNN\tI-NP\tO' -p198492 -aS'disease\tdisease\tNN\tI-NP\tO' -p198493 -aS'-\t-\tHYPH\tB-ADVP\tO' -p198494 -aS'on\ton\tIN\tB-PP\tO' -p198495 -aS'hemodialysis\themodialysis\tNN\tB-NP\tO' -p198496 -aS'type\ttype\tNN\tI-NP\tO' -p198497 -aS'2\t2\tCD\tI-NP\tO' -p198498 -aS'diabetes\tdiabetes\tNN\tI-NP\tO' -p198499 -aS'hypercholestrolemia\thypercholestrolemia\tNN\tI-NP\tO' -p198500 -aS'anemia\tanemia\tNN\tI-NP\tO' -p198501 -aS'of\tof\tIN\tB-PP\tO' -p198502 -aS'chornic\tchornic\tJJ\tB-NP\tO' -p198503 -aS'disease\tdisease\tNN\tI-NP\tO' -p198504 -aS'h/o\th/o\tNN\tI-NP\tO' -p198505 -aS'PE\tPE\tNN\tI-NP\tO' -p198506 -aS',\t,\t,\tO\tO' -p198507 -aS's/p\ts/p\tNN\tB-NP\tO' -p198508 -aS'PEA\tPEA\tNN\tI-NP\tO' -p198509 -aS'arrest\tarrest\tNN\tI-NP\tO' -p198510 -aS'11-14\t11-14\tCD\tI-NP\tO' -p198511 -asS'The patient is status post partial gastrectomy for peptic ulcer disease in 1965 .' -p198512 -(lp198513 -S'The\tThe\tDT\tB-NP\tO' -p198514 -aS'patient\tpatient\tNN\tI-NP\tO' -p198515 -aS'is\tbe\tVBZ\tB-VP\tO' -p198516 -aS'status\tstatus\tNN\tB-NP\tO' -p198517 -aS'post\tpost\tNN\tI-NP\tO' -p198518 -aS'partial\tpartial\tJJ\tI-NP\tO' -p198519 -aS'gastrectomy\tgastrectomy\tNN\tI-NP\tO' -p198520 -aS'for\tfor\tIN\tB-PP\tO' -p198521 -aS'peptic\tpeptic\tJJ\tB-NP\tO' -p198522 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p198523 -aS'disease\tdisease\tNN\tI-NP\tO' -p198524 -aS'in\tin\tIN\tB-PP\tO' -p198525 -aS'1965\t1965\tCD\tB-NP\tO' -p198526 -aS'.\t.\t.\tO\tO' -p198527 -asS'In particular , she feels that the pt would not want a morphine drip if it would negatively impact his respiratory function .' -p198528 -(lp198529 -S'In\tIn\tIN\tB-PP\tO' -p198530 -aS'particular\tparticular\tJJ\tB-NP\tO' -p198531 -aS',\t,\t,\tO\tO' -p198532 -aS'she\tshe\tPRP\tB-NP\tO' -p198533 -aS'feels\tfeel\tVBZ\tB-VP\tO' -p198534 -aS'that\tthat\tIN\tB-SBAR\tO' -p198535 -aS'the\tthe\tDT\tB-NP\tO' -p198536 -aS'pt\tpt\tNN\tI-NP\tO' -p198537 -aS'would\twould\tMD\tB-VP\tO' -p198538 -aS'not\tnot\tRB\tI-VP\tO' -p198539 -aS'want\twant\tVB\tI-VP\tO' -p198540 -aS'a\ta\tDT\tB-NP\tO' -p198541 -aS'morphine\tmorphine\tNN\tI-NP\tO' -p198542 -aS'drip\tdrip\tNN\tI-NP\tO' -p198543 -aS'if\tif\tIN\tB-SBAR\tO' -p198544 -aS'it\tit\tPRP\tB-NP\tO' -p198545 -aS'would\twould\tMD\tB-VP\tO' -p198546 -aS'negatively\tnegatively\tRB\tI-VP\tO' -p198547 -aS'impact\timpact\tVB\tI-VP\tO' -p198548 -aS'his\this\tPRP$\tB-NP\tO' -p198549 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p198550 -aS'function\tfunction\tNN\tI-NP\tO' -p198551 -aS'.\t.\t.\tO\tO' -p198552 -asS'Noninsulin dependent diabetes mellitus , hypertension , high cholesterol , coronary artery disease , status post myocardial infarction in 9/02 .' -p198553 -(lp198554 -S'Noninsulin\tNoninsulin\tNN\tB-NP\tB-protein' -p198555 -aS'dependent\tdependent\tJJ\tI-NP\tO' -p198556 -aS'diabetes\tdiabete\tNNS\tI-NP\tO' -p198557 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p198558 -aS',\t,\t,\tO\tO' -p198559 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p198560 -aS',\t,\t,\tO\tO' -p198561 -aS'high\thigh\tJJ\tB-NP\tO' -p198562 -aS'cholesterol\tcholesterol\tNN\tI-NP\tO' -p198563 -aS',\t,\t,\tO\tO' -p198564 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p198565 -aS'artery\tartery\tNN\tI-NP\tO' -p198566 -aS'disease\tdisease\tNN\tI-NP\tO' -p198567 -aS',\t,\t,\tO\tO' -p198568 -aS'status\tstatus\tNN\tB-NP\tO' -p198569 -aS'post\tpost\tNN\tI-NP\tO' -p198570 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p198571 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p198572 -aS'in\tin\tIN\tB-PP\tO' -p198573 -aS'9/02\t9/02\tCD\tB-NP\tO' -p198574 -aS'.\t.\t.\tO\tO' -p198575 -asS'Neck with cervical collar .' -p198576 -(lp198577 -S'Neck\tNeck\tNN\tB-NP\tO' -p198578 -aS'with\twith\tIN\tB-PP\tO' -p198579 -aS'cervical\tcervical\tJJ\tB-NP\tO' -p198580 -aS'collar\tcollar\tNN\tI-NP\tO' -p198581 -aS'.\t.\t.\tO\tO' -p198582 -asS'Plans were made for placement of a Hickman catheter and initiation of Flolan treatment .' -p198583 -(lp198584 -S'Plans\tPlan\tNNS\tB-NP\tO' -p198585 -aS'were\tbe\tVBD\tB-VP\tO' -p198586 -aS'made\tmake\tVBN\tI-VP\tO' -p198587 -aS'for\tfor\tIN\tB-PP\tO' -p198588 -aS'placement\tplacement\tNN\tB-NP\tO' -p198589 -aS'of\tof\tIN\tB-PP\tO' -p198590 -aS'a\ta\tDT\tB-NP\tO' -p198591 -aS'Hickman\tHickman\tNNP\tI-NP\tO' -p198592 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p198593 -aS'and\tand\tCC\tI-NP\tO' -p198594 -aS'initiation\tinitiation\tNN\tI-NP\tO' -p198595 -aS'of\tof\tIN\tB-PP\tO' -p198596 -aS'Flolan\tFlolan\tNN\tB-NP\tO' -p198597 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p198598 -aS'.\t.\t.\tO\tO' -p198599 -asS'Atrial fibrillation , Cellulitis , Bacteremia' -p198600 -(lp198601 -S'Atrial\tAtrial\tJJ\tB-NP\tO' -p198602 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p198603 -aS',\t,\t,\tO\tO' -p198604 -aS'Cellulitis\tCellulitis\tNNP\tB-NP\tO' -p198605 -aS',\t,\t,\tO\tO' -p198606 -aS'Bacteremia\tBacteremia\tNNP\tB-NP\tO' -p198607 -asS'CMED service was consulted and recommended wtd woulnd care and sling at all times .' -p198608 -(lp198609 -S'CMED\tCMED\tVBN\tB-NP\tO' -p198610 -aS'service\tservice\tNN\tI-NP\tO' -p198611 -aS'was\tbe\tVBD\tB-VP\tO' -p198612 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p198613 -aS'and\tand\tCC\tO\tO' -p198614 -aS'recommended\trecommend\tVBN\tB-NP\tO' -p198615 -aS'wtd\twtd\tNN\tI-NP\tO' -p198616 -aS'woulnd\twoulnd\tNN\tI-NP\tO' -p198617 -aS'care\tcare\tNN\tI-NP\tO' -p198618 -aS'and\tand\tCC\tO\tO' -p198619 -aS'sling\tsling\tVBG\tB-VP\tO' -p198620 -aS'at\tat\tIN\tB-PP\tO' -p198621 -aS'all\tall\tDT\tB-NP\tO' -p198622 -aS'times\ttime\tNNS\tI-NP\tO' -p198623 -aS'.\t.\t.\tO\tO' -p198624 -asS'The patient has baseline hypertension that was difficult to control .' -p198625 -(lp198626 -S'The\tThe\tDT\tB-NP\tO' -p198627 -aS'patient\tpatient\tNN\tI-NP\tO' -p198628 -aS'has\thave\tVBZ\tB-VP\tO' -p198629 -aS'baseline\tbaseline\tNN\tB-NP\tO' -p198630 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p198631 -aS'that\tthat\tWDT\tB-NP\tO' -p198632 -aS'was\tbe\tVBD\tB-VP\tO' -p198633 -aS'difficult\tdifficult\tJJ\tB-ADJP\tO' -p198634 -aS'to\tto\tTO\tB-PP\tO' -p198635 -aS'control\tcontrol\tNN\tB-NP\tO' -p198636 -aS'.\t.\t.\tO\tO' -p198637 -asS'5) Zaroxolyn 2.5 mg p.o. q. day .' -p198638 -(lp198639 -S'5)\t5)\tLS\tB-LST\tO' -p198640 -aS'Zaroxolyn\tZaroxolyn\tNN\tB-NP\tO' -p198641 -aS'2.5\t2.5\tCD\tI-NP\tO' -p198642 -aS'mg\tmg\tNN\tI-NP\tO' -p198643 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p198644 -aS'q.\tq.\tNN\tI-NP\tO' -p198645 -aS'day\tday\tNN\tI-NP\tO' -p198646 -aS'.\t.\t.\tO\tO' -p198647 -asS'The patient lives with his disabled wife who has a psychiatric condition .' -p198648 -(lp198649 -S'The\tThe\tDT\tB-NP\tO' -p198650 -aS'patient\tpatient\tNN\tI-NP\tO' -p198651 -aS'lives\tlive\tVBZ\tB-VP\tO' -p198652 -aS'with\twith\tIN\tB-PP\tO' -p198653 -aS'his\this\tPRP$\tB-NP\tO' -p198654 -aS'disabled\tdisabled\tJJ\tI-NP\tO' -p198655 -aS'wife\twife\tNN\tI-NP\tO' -p198656 -aS'who\twho\tWP\tB-NP\tO' -p198657 -aS'has\thave\tVBZ\tB-VP\tO' -p198658 -aS'a\ta\tDT\tB-NP\tO' -p198659 -aS'psychiatric\tpsychiatric\tJJ\tI-NP\tO' -p198660 -aS'condition\tcondition\tNN\tI-NP\tO' -p198661 -aS'.\t.\t.\tO\tO' -p198662 -asS'The left atrium is markedly dilated .' -p198663 -(lp198664 -S'The\tThe\tDT\tB-NP\tO' -p198665 -aS'left\tleft\tJJ\tI-NP\tO' -p198666 -aS'atrium\tatrium\tNN\tI-NP\tO' -p198667 -aS'is\tbe\tVBZ\tB-VP\tO' -p198668 -aS'markedly\tmarkedly\tRB\tI-VP\tO' -p198669 -aS'dilated\tdilate\tVBN\tI-VP\tO' -p198670 -aS'.\t.\t.\tO\tO' -p198671 -asS'Her hematocrit was noted to trend down after transfusion of one unit of packed red blood cells on admission .' -p198672 -(lp198673 -S'Her\tHer\tPRP$\tB-NP\tO' -p198674 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p198675 -aS'was\tbe\tVBD\tB-VP\tO' -p198676 -aS'noted\tnote\tVBN\tI-VP\tO' -p198677 -aS'to\tto\tTO\tI-VP\tO' -p198678 -aS'trend\ttrend\tVB\tI-VP\tO' -p198679 -aS'down\tdown\tRP\tB-PRT\tO' -p198680 -aS'after\tafter\tIN\tB-PP\tO' -p198681 -aS'transfusion\ttransfusion\tNN\tB-NP\tO' -p198682 -aS'of\tof\tIN\tB-PP\tO' -p198683 -aS'one\tone\tCD\tB-NP\tO' -p198684 -aS'unit\tunit\tNN\tI-NP\tO' -p198685 -aS'of\tof\tIN\tB-PP\tO' -p198686 -aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' -p198687 -aS'red\tred\tJJ\tI-NP\tI-cell_type' -p198688 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p198689 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p198690 -aS'on\ton\tIN\tB-PP\tO' -p198691 -aS'admission\tadmission\tNN\tB-NP\tO' -p198692 -aS'.\t.\t.\tO\tO' -p198693 -asS'Continue to take the insulin as you were taking prior to hospital visit .' -p198694 -(lp198695 -S'Continue\tContinue\tNNP\tB-NP\tO' -p198696 -aS'to\tto\tTO\tB-VP\tO' -p198697 -aS'take\ttake\tVB\tI-VP\tO' -p198698 -aS'the\tthe\tDT\tB-NP\tO' -p198699 -aS'insulin\tinsulin\tNN\tI-NP\tB-protein' -p198700 -aS'as\tas\tIN\tB-SBAR\tO' -p198701 -aS'you\tyou\tPRP\tB-NP\tO' -p198702 -aS'were\tbe\tVBD\tB-VP\tO' -p198703 -aS'taking\ttake\tVBG\tI-VP\tO' -p198704 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p198705 -aS'to\tto\tTO\tB-PP\tO' -p198706 -aS'hospital\thospital\tNN\tB-NP\tO' -p198707 -aS'visit\tvisit\tNN\tI-NP\tO' -p198708 -aS'.\t.\t.\tO\tO' -p198709 -asS'There was also scattered T2 hyperintense foci within the periventricular and left frontal white matter consistent with small vessel disease , gliosis or demyelination .' -p198710 -(lp198711 -S'There\tThere\tEX\tB-NP\tO' -p198712 -aS'was\tbe\tVBD\tB-VP\tO' -p198713 -aS'also\talso\tRB\tI-VP\tO' -p198714 -aS'scattered\tscatter\tVBN\tI-VP\tO' -p198715 -aS'T2\tT2\tNN\tB-NP\tO' -p198716 -aS'hyperintense\thyperintense\tJJ\tI-NP\tO' -p198717 -aS'foci\tfocus\tNNS\tI-NP\tO' -p198718 -aS'within\twithin\tIN\tB-PP\tO' -p198719 -aS'the\tthe\tDT\tB-NP\tO' -p198720 -aS'periventricular\tperiventricular\tJJ\tI-NP\tO' -p198721 -aS'and\tand\tCC\tI-NP\tO' -p198722 -aS'left\tleft\tJJ\tI-NP\tO' -p198723 -aS'frontal\tfrontal\tJJ\tI-NP\tO' -p198724 -aS'white\twhite\tJJ\tI-NP\tO' -p198725 -aS'matter\tmatter\tNN\tI-NP\tO' -p198726 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p198727 -aS'with\twith\tIN\tB-PP\tO' -p198728 -aS'small\tsmall\tJJ\tB-NP\tO' -p198729 -aS'vessel\tvessel\tNN\tI-NP\tO' -p198730 -aS'disease\tdisease\tNN\tI-NP\tO' -p198731 -aS',\t,\t,\tO\tO' -p198732 -aS'gliosis\tgliosis\tNN\tB-NP\tO' -p198733 -aS'or\tor\tCC\tI-NP\tO' -p198734 -aS'demyelination\tdemyelination\tNN\tI-NP\tO' -p198735 -aS'.\t.\t.\tO\tO' -p198736 -asS'Penicillin , Erythromycin , Valium , Compazine ,' -p198737 -(lp198738 -S'Penicillin\tPenicillin\tNN\tB-NP\tB-protein' -p198739 -aS',\t,\t,\tO\tO' -p198740 -aS'Erythromycin\tErythromycin\tNN\tB-NP\tO' -p198741 -aS',\t,\t,\tO\tO' -p198742 -aS'Valium\tValium\tNN\tB-NP\tO' -p198743 -aS',\t,\t,\tO\tO' -p198744 -aS'Compazine\tCompazine\tNN\tB-NP\tO' -p198745 -aS',\t,\t,\tO\tO' -p198746 -asS'The patient actually developed decreasing counts with white count as low as 1.75 , hematocrit as low as 26 , and platelets as low as 68 noted on 02/15/91 .' -p198747 -(lp198748 -S'The\tThe\tDT\tB-NP\tO' -p198749 -aS'patient\tpatient\tNN\tI-NP\tO' -p198750 -aS'actually\tactually\tRB\tB-ADVP\tO' -p198751 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p198752 -aS'decreasing\tdecrease\tVBG\tI-VP\tO' -p198753 -aS'counts\tcount\tNNS\tB-NP\tO' -p198754 -aS'with\twith\tIN\tB-PP\tO' -p198755 -aS'white\twhite\tJJ\tB-NP\tO' -p198756 -aS'count\tcount\tNN\tI-NP\tO' -p198757 -aS'as\tas\tRB\tB-ADJP\tO' -p198758 -aS'low\tlow\tJJ\tI-ADJP\tO' -p198759 -aS'as\tas\tIN\tB-PP\tO' -p198760 -aS'1.75\t1.75\tCD\tB-NP\tO' -p198761 -aS',\t,\t,\tO\tO' -p198762 -aS'hematocrit\thematocrit\tNN\tB-NP\tO' -p198763 -aS'as\tas\tRB\tB-ADJP\tO' -p198764 -aS'low\tlow\tJJ\tI-ADJP\tO' -p198765 -aS'as\tas\tIN\tB-PP\tO' -p198766 -aS'26\t26\tCD\tB-NP\tO' -p198767 -aS',\t,\t,\tO\tO' -p198768 -aS'and\tand\tCC\tO\tO' -p198769 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p198770 -aS'as\tas\tRB\tB-ADJP\tO' -p198771 -aS'low\tlow\tJJ\tI-ADJP\tO' -p198772 -aS'as\tas\tIN\tB-PP\tO' -p198773 -aS'68\t68\tCD\tB-NP\tO' -p198774 -aS'noted\tnote\tVBD\tB-VP\tO' -p198775 -aS'on\ton\tIN\tB-PP\tO' -p198776 -aS'02/15/91\t02/15/91\tCD\tB-NP\tO' -p198777 -aS'.\t.\t.\tO\tO' -p198778 -asS'8. Sensory - Audiology , hearing screening was performed with automated auditory brain stem responses .' -p198779 -(lp198780 -S'8.\t8.\tCD\tB-NP\tO' -p198781 -aS'Sensory\tSensory\tNNP\tI-NP\tO' -p198782 -aS'-\t-\tHYPH\tI-NP\tO' -p198783 -aS'Audiology\tAudiology\tNNP\tI-NP\tO' -p198784 -aS',\t,\t,\tO\tO' -p198785 -aS'hearing\thear\tVBG\tB-VP\tO' -p198786 -aS'screening\tscreening\tNN\tB-NP\tO' -p198787 -aS'was\tbe\tVBD\tB-VP\tO' -p198788 -aS'performed\tperform\tVBN\tI-VP\tO' -p198789 -aS'with\twith\tIN\tB-PP\tO' -p198790 -aS'automated\tautomate\tVBN\tB-NP\tO' -p198791 -aS'auditory\tauditory\tJJ\tI-NP\tO' -p198792 -aS'brain\tbrain\tNN\tI-NP\tO' -p198793 -aS'stem\tstem\tNN\tI-NP\tO' -p198794 -aS'responses\tresponse\tNNS\tI-NP\tO' -p198795 -aS'.\t.\t.\tO\tO' -p198796 -asS"Hematology - As noted previously , the patient 's hematocrit was noted to drop after transfusion with one unit of packed red blood cells on admission ." -p198797 -(lp198798 -S'Hematology\tHematology\tNN\tB-NP\tO' -p198799 -aS'-\t-\tHYPH\tB-ADJP\tO' -p198800 -aS'As\tAs\tIN\tB-SBAR\tO' -p198801 -aS'noted\tnote\tVBN\tB-VP\tO' -p198802 -aS'previously\tpreviously\tRB\tB-ADVP\tO' -p198803 -aS',\t,\t,\tO\tO' -p198804 -aS'the\tthe\tDT\tB-NP\tO' -p198805 -aS'patient\tpatient\tNN\tI-NP\tO' -p198806 -aS"'s\t's\tPOS\tB-NP\tO" -p198807 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p198808 -aS'was\tbe\tVBD\tB-VP\tO' -p198809 -aS'noted\tnote\tVBN\tI-VP\tO' -p198810 -aS'to\tto\tTO\tI-VP\tO' -p198811 -aS'drop\tdrop\tVB\tI-VP\tO' -p198812 -aS'after\tafter\tIN\tB-PP\tO' -p198813 -aS'transfusion\ttransfusion\tNN\tB-NP\tO' -p198814 -aS'with\twith\tIN\tB-PP\tO' -p198815 -aS'one\tone\tCD\tB-NP\tO' -p198816 -aS'unit\tunit\tNN\tI-NP\tO' -p198817 -aS'of\tof\tIN\tB-PP\tO' -p198818 -aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' -p198819 -aS'red\tred\tJJ\tI-NP\tI-cell_type' -p198820 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p198821 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p198822 -aS'on\ton\tIN\tB-PP\tO' -p198823 -aS'admission\tadmission\tNN\tB-NP\tO' -p198824 -aS'.\t.\t.\tO\tO' -p198825 -asS'HEENT : PERRL , left pupil smaller than right , pt will not participate in EOMI , sclera anicteric , MM dry , No OP lesions' -p198826 -(lp198827 -S'HEENT\tHEENT\tNN\tB-NP\tO' -p198828 -aS':\t:\t:\tO\tO' -p198829 -aS'PERRL\tPERRL\tNN\tB-NP\tB-protein' -p198830 -aS',\t,\t,\tO\tO' -p198831 -aS'left\tleave\tVBD\tB-VP\tO' -p198832 -aS'pupil\tpupil\tNN\tB-NP\tO' -p198833 -aS'smaller\tsmall\tJJR\tB-ADJP\tO' -p198834 -aS'than\tthan\tIN\tB-PP\tO' -p198835 -aS'right\tright\tNN\tB-NP\tO' -p198836 -aS',\t,\t,\tO\tO' -p198837 -aS'pt\tpt\tNN\tB-NP\tO' -p198838 -aS'will\twill\tMD\tB-VP\tO' -p198839 -aS'not\tnot\tRB\tI-VP\tO' -p198840 -aS'participate\tparticipate\tVB\tI-VP\tO' -p198841 -aS'in\tin\tIN\tB-PP\tO' -p198842 -aS'EOMI\tEOMI\tNN\tB-NP\tB-protein' -p198843 -aS',\t,\t,\tO\tO' -p198844 -aS'sclera\tsclera\tNN\tB-NP\tO' -p198845 -aS'anicteric\tanicteric\tJJ\tB-ADJP\tO' -p198846 -aS',\t,\t,\tO\tO' -p198847 -aS'MM\tMM\tNN\tB-NP\tO' -p198848 -aS'dry\tdry\tJJ\tB-ADJP\tO' -p198849 -aS',\t,\t,\tO\tO' -p198850 -aS'No\tNo\tDT\tB-NP\tO' -p198851 -aS'OP\tOP\tNN\tI-NP\tO' -p198852 -aS'lesions\tlesion\tNNS\tI-NP\tO' -p198853 -asS'Baby passed in both ears on 09-23 .' -p198854 -(lp198855 -S'Baby\tBaby\tNNP\tB-NP\tO' -p198856 -aS'passed\tpass\tVBD\tB-VP\tO' -p198857 -aS'in\tin\tIN\tB-PP\tO' -p198858 -aS'both\tboth\tDT\tB-NP\tO' -p198859 -aS'ears\tear\tNNS\tI-NP\tO' -p198860 -aS'on\ton\tIN\tB-PP\tO' -p198861 -aS'09-23\t09-23\tCD\tB-NP\tO' -p198862 -aS'.\t.\t.\tO\tO' -p198863 -asS'The patient continued to have episodes of rapid atrial fibrillation while on the Floor , which required continued diuresis as well as intravenous Lopressor .' -p198864 -(lp198865 -S'The\tThe\tDT\tB-NP\tO' -p198866 -aS'patient\tpatient\tNN\tI-NP\tO' -p198867 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p198868 -aS'to\tto\tTO\tI-VP\tO' -p198869 -aS'have\thave\tVB\tI-VP\tO' -p198870 -aS'episodes\tepisode\tNNS\tB-NP\tO' -p198871 -aS'of\tof\tIN\tB-PP\tO' -p198872 -aS'rapid\trapid\tJJ\tB-NP\tO' -p198873 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p198874 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p198875 -aS'while\twhile\tIN\tB-SBAR\tO' -p198876 -aS'on\ton\tIN\tB-PP\tO' -p198877 -aS'the\tthe\tDT\tB-NP\tO' -p198878 -aS'Floor\tFloor\tNN\tI-NP\tO' -p198879 -aS',\t,\t,\tO\tO' -p198880 -aS'which\twhich\tWDT\tB-NP\tO' -p198881 -aS'required\trequire\tVBD\tB-VP\tO' -p198882 -aS'continued\tcontinued\tJJ\tB-NP\tO' -p198883 -aS'diuresis\tdiuresis\tNN\tI-NP\tO' -p198884 -aS'as\tas\tRB\tB-CONJP\tO' -p198885 -aS'well\twell\tRB\tI-CONJP\tO' -p198886 -aS'as\tas\tIN\tI-CONJP\tO' -p198887 -aS'intravenous\tintravenous\tJJ\tB-NP\tB-protein' -p198888 -aS'Lopressor\tLopressor\tNN\tI-NP\tI-protein' -p198889 -aS'.\t.\t.\tO\tO' -p198890 -asS'His blood pressures remained elevated and he was hydrated with NS conservatively , given h/o CHF and dyspnea .' -p198891 -(lp198892 -S'His\tHis\tPRP$\tB-NP\tO' -p198893 -aS'blood\tblood\tNN\tI-NP\tO' -p198894 -aS'pressures\tpressure\tNNS\tI-NP\tO' -p198895 -aS'remained\tremain\tVBD\tB-VP\tO' -p198896 -aS'elevated\televate\tVBN\tI-VP\tO' -p198897 -aS'and\tand\tCC\tO\tO' -p198898 -aS'he\the\tPRP\tB-NP\tO' -p198899 -aS'was\tbe\tVBD\tB-VP\tO' -p198900 -aS'hydrated\thydrate\tVBN\tI-VP\tO' -p198901 -aS'with\twith\tIN\tB-PP\tO' -p198902 -aS'NS\tNS\tNN\tB-NP\tO' -p198903 -aS'conservatively\tconservatively\tRB\tB-ADVP\tO' -p198904 -aS',\t,\t,\tO\tO' -p198905 -aS'given\tgive\tVBN\tB-NP\tO' -p198906 -aS'h/o\th/o\tNN\tI-NP\tO' -p198907 -aS'CHF\tCHF\tNN\tI-NP\tO' -p198908 -aS'and\tand\tCC\tI-NP\tO' -p198909 -aS'dyspnea\tdyspnea\tNN\tI-NP\tO' -p198910 -aS'.\t.\t.\tO\tO' -p198911 -asS'GMS 1 Medical Service .' -p198912 -(lp198913 -S'GMS\tGMS\tNN\tB-NP\tB-protein' -p198914 -aS'1\t1\tCD\tI-NP\tI-protein' -p198915 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p198916 -aS'Service\tService\tNNP\tI-NP\tO' -p198917 -aS'.\t.\t.\tO\tO' -p198918 -asS'The patient overall continued to improve , but remained physically decompensated and the patient was transferred to Waltham/Weston Hospital Rehabilitation Hospital for intensive physical therapy .' -p198919 -(lp198920 -S'The\tThe\tDT\tB-NP\tO' -p198921 -aS'patient\tpatient\tNN\tI-NP\tO' -p198922 -aS'overall\toverall\tRB\tB-ADVP\tO' -p198923 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p198924 -aS'to\tto\tTO\tI-VP\tO' -p198925 -aS'improve\timprove\tVB\tI-VP\tO' -p198926 -aS',\t,\t,\tO\tO' -p198927 -aS'but\tbut\tCC\tO\tO' -p198928 -aS'remained\tremain\tVBD\tB-VP\tO' -p198929 -aS'physically\tphysically\tRB\tI-VP\tO' -p198930 -aS'decompensated\tdecompensate\tVBN\tI-VP\tO' -p198931 -aS'and\tand\tCC\tO\tO' -p198932 -aS'the\tthe\tDT\tB-NP\tO' -p198933 -aS'patient\tpatient\tNN\tI-NP\tO' -p198934 -aS'was\tbe\tVBD\tB-VP\tO' -p198935 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p198936 -aS'to\tto\tTO\tB-PP\tO' -p198937 -aS'Waltham/Weston\tWaltham/Weston\tNNP\tB-NP\tO' -p198938 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p198939 -aS'Rehabilitation\tRehabilitation\tNNP\tI-NP\tO' -p198940 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p198941 -aS'for\tfor\tIN\tB-PP\tO' -p198942 -aS'intensive\tintensive\tJJ\tB-NP\tO' -p198943 -aS'physical\tphysical\tJJ\tI-NP\tO' -p198944 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p198945 -aS'.\t.\t.\tO\tO' -p198946 -asS'The results of this consultation are pending at the time of dictation .' -p198947 -(lp198948 -S'The\tThe\tDT\tB-NP\tO' -p198949 -aS'results\tresult\tNNS\tI-NP\tO' -p198950 -aS'of\tof\tIN\tB-PP\tO' -p198951 -aS'this\tthis\tDT\tB-NP\tO' -p198952 -aS'consultation\tconsultation\tNN\tI-NP\tO' -p198953 -aS'are\tbe\tVBP\tB-VP\tO' -p198954 -aS'pending\tpende\tVBG\tI-VP\tO' -p198955 -aS'at\tat\tIN\tB-PP\tO' -p198956 -aS'the\tthe\tDT\tB-NP\tO' -p198957 -aS'time\ttime\tNN\tI-NP\tO' -p198958 -aS'of\tof\tIN\tB-PP\tO' -p198959 -aS'dictation\tdictation\tNN\tB-NP\tO' -p198960 -aS'.\t.\t.\tO\tO' -p198961 -asS'Normal motor strength bilaterally .' -p198962 -(lp198963 -S'Normal\tNormal\tJJ\tB-NP\tO' -p198964 -aS'motor\tmotor\tNN\tI-NP\tO' -p198965 -aS'strength\tstrength\tNN\tI-NP\tO' -p198966 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p198967 -aS'.\t.\t.\tO\tO' -p198968 -asS'She had pulmonary function tests repeated which showed an FEV1 of 36% of predicted and FVC of 56% of predicted .' -p198969 -(lp198970 -S'She\tShe\tPRP\tB-NP\tO' -p198971 -aS'had\thave\tVBD\tB-VP\tO' -p198972 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p198973 -aS'function\tfunction\tNN\tI-NP\tO' -p198974 -aS'tests\ttest\tNNS\tI-NP\tO' -p198975 -aS'repeated\trepeat\tVBN\tB-VP\tO' -p198976 -aS'which\twhich\tWDT\tB-NP\tO' -p198977 -aS'showed\tshow\tVBD\tB-VP\tO' -p198978 -aS'an\tan\tDT\tB-NP\tO' -p198979 -aS'FEV1\tFEV1\tNN\tI-NP\tO' -p198980 -aS'of\tof\tIN\tB-PP\tO' -p198981 -aS'36%\t36%\tNN\tB-NP\tO' -p198982 -aS'of\tof\tIN\tB-PP\tO' -p198983 -aS'predicted\tpredict\tVBN\tB-NP\tO' -p198984 -aS'and\tand\tCC\tI-NP\tO' -p198985 -aS'FVC\tFVC\tNN\tI-NP\tO' -p198986 -aS'of\tof\tIN\tB-PP\tO' -p198987 -aS'56%\t56%\tNN\tB-NP\tO' -p198988 -aS'of\tof\tIN\tB-PP\tO' -p198989 -aS'predicted\tpredict\tVBN\tB-NP\tO' -p198990 -aS'.\t.\t.\tO\tO' -p198991 -asS'10. Metoprolol Succinate 25 mg Tablet Sustained Release 24 hr Sig : 0.5 ( half ) Tablet Sustained Release 24 hr PO DAILY ( Daily ).' -p198992 -(lp198993 -S'10.\t10.\tLS\tB-NP\tO' -p198994 -aS'Metoprolol\tMetoprolol\tNN\tI-NP\tO' -p198995 -aS'Succinate\tSuccinate\tNN\tI-NP\tO' -p198996 -aS'25\t25\tCD\tI-NP\tO' -p198997 -aS'mg\tmg\tNN\tI-NP\tO' -p198998 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p198999 -aS'Sustained\tSustain\tVBD\tB-VP\tO' -p199000 -aS'Release\tRelease\tNNP\tB-NP\tO' -p199001 -aS'24\t24\tCD\tI-NP\tO' -p199002 -aS'hr\thr\tNN\tI-NP\tO' -p199003 -aS'Sig\tSig\tNNP\tI-NP\tO' -p199004 -aS':\t:\t:\tO\tO' -p199005 -aS'0.5\t0.5\tCD\tB-NP\tO' -p199006 -aS'(\t(\t(\tO\tO' -p199007 -aS'half\thalf\tNN\tB-NP\tO' -p199008 -aS')\t)\t)\tO\tO' -p199009 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p199010 -aS'Sustained\tSustain\tVBD\tB-VP\tO' -p199011 -aS'Release\tRelease\tNN\tB-NP\tO' -p199012 -aS'24\t24\tCD\tI-NP\tO' -p199013 -aS'hr\thr\tNN\tI-NP\tO' -p199014 -aS'PO\tPO\tNN\tI-NP\tO' -p199015 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p199016 -aS'(\t(\t(\tO\tO' -p199017 -aS'Daily\tDaily\tNNP\tB-NP\tO' -p199018 -aS').\t).\t)\tO\tO' -p199019 -asS'Admitted for diagnostic / therapeutic paracentesis and then transferred to the ICU for hypotension , confusion and anemia .' -p199020 -(lp199021 -S'Admitted\tAdmit\tVBN\tB-VP\tO' -p199022 -aS'for\tfor\tIN\tB-PP\tO' -p199023 -aS'diagnostic\tdiagnostic\tJJ\tB-NP\tO' -p199024 -aS'/\t/\tSYM\tI-NP\tO' -p199025 -aS'therapeutic\ttherapeutic\tJJ\tI-NP\tO' -p199026 -aS'paracentesis\tparacentesis\tNN\tI-NP\tO' -p199027 -aS'and\tand\tCC\tO\tO' -p199028 -aS'then\tthen\tRB\tB-VP\tO' -p199029 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p199030 -aS'to\tto\tTO\tB-PP\tO' -p199031 -aS'the\tthe\tDT\tB-NP\tO' -p199032 -aS'ICU\tICU\tNN\tI-NP\tO' -p199033 -aS'for\tfor\tIN\tB-PP\tO' -p199034 -aS'hypotension\thypotension\tNN\tB-NP\tO' -p199035 -aS',\t,\t,\tI-NP\tO' -p199036 -aS'confusion\tconfusion\tNN\tI-NP\tO' -p199037 -aS'and\tand\tCC\tI-NP\tO' -p199038 -aS'anemia\tanemia\tNN\tI-NP\tO' -p199039 -aS'.\t.\t.\tO\tO' -p199040 -asS'No assoicated Sx .' -p199041 -(lp199042 -S'No\tNo\tDT\tB-NP\tO' -p199043 -aS'assoicated\tassoicate\tVBN\tI-NP\tO' -p199044 -aS'Sx\tSx\tNNP\tI-NP\tO' -p199045 -aS'.\t.\t.\tO\tO' -p199046 -asS'Right lower lobe pneumonia .' -p199047 -(lp199048 -S'Right\tRight\tRB\tB-NP\tO' -p199049 -aS'lower\tlow\tJJR\tI-NP\tO' -p199050 -aS'lobe\tlobe\tNN\tI-NP\tO' -p199051 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p199052 -aS'.\t.\t.\tO\tO' -p199053 -asS'His most recent bone marrow biopsy revealed less than 5% of intratrabecular space involvement .' -p199054 -(lp199055 -S'His\tHis\tPRP$\tB-NP\tB-protein' -p199056 -aS'most\tmost\tRBS\tI-NP\tO' -p199057 -aS'recent\trecent\tJJ\tI-NP\tO' -p199058 -aS'bone\tbone\tNN\tI-NP\tO' -p199059 -aS'marrow\tmarrow\tNN\tI-NP\tO' -p199060 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p199061 -aS'revealed\treveal\tVBD\tB-VP\tO' -p199062 -aS'less\tless\tJJR\tB-NP\tO' -p199063 -aS'than\tthan\tIN\tI-NP\tO' -p199064 -aS'5%\t5%\tCD\tI-NP\tO' -p199065 -aS'of\tof\tIN\tB-PP\tO' -p199066 -aS'intratrabecular\tintratrabecular\tJJ\tB-NP\tO' -p199067 -aS'space\tspace\tNN\tI-NP\tO' -p199068 -aS'involvement\tinvolvement\tNN\tI-NP\tO' -p199069 -aS'.\t.\t.\tO\tO' -p199070 -asS'She was discharged on 03/18/2002 at 12:45 pm in good condition .' -p199071 -(lp199072 -S'She\tShe\tPRP\tB-NP\tO' -p199073 -aS'was\tbe\tVBD\tB-VP\tO' -p199074 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p199075 -aS'on\ton\tIN\tB-PP\tO' -p199076 -aS'03/18/2002\t03/18/2002\tCD\tB-NP\tO' -p199077 -aS'at\tat\tIN\tB-PP\tO' -p199078 -aS'12:45\t12:45\tCD\tB-NP\tO' -p199079 -aS'pm\tpm\tNN\tI-NP\tO' -p199080 -aS'in\tin\tIN\tB-PP\tO' -p199081 -aS'good\tgood\tJJ\tB-NP\tO' -p199082 -aS'condition\tcondition\tNN\tI-NP\tO' -p199083 -aS'.\t.\t.\tO\tO' -p199084 -asS'He was then transferred to the general medicine service for further management .' -p199085 -(lp199086 -S'He\tHe\tPRP\tB-NP\tO' -p199087 -aS'was\tbe\tVBD\tB-VP\tO' -p199088 -aS'then\tthen\tRB\tI-VP\tO' -p199089 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p199090 -aS'to\tto\tTO\tB-PP\tO' -p199091 -aS'the\tthe\tDT\tB-NP\tO' -p199092 -aS'general\tgeneral\tJJ\tI-NP\tO' -p199093 -aS'medicine\tmedicine\tNN\tI-NP\tO' -p199094 -aS'service\tservice\tNN\tI-NP\tO' -p199095 -aS'for\tfor\tIN\tB-PP\tO' -p199096 -aS'further\tfurther\tJJ\tB-NP\tO' -p199097 -aS'management\tmanagement\tNN\tI-NP\tO' -p199098 -aS'.\t.\t.\tO\tO' -p199099 -asS'He was transferred to CSRU for evaluation .' -p199100 -(lp199101 -S'He\tHe\tPRP\tB-NP\tO' -p199102 -aS'was\tbe\tVBD\tB-VP\tO' -p199103 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p199104 -aS'to\tto\tTO\tB-PP\tO' -p199105 -aS'CSRU\tCSRU\tNN\tB-NP\tB-protein' -p199106 -aS'for\tfor\tIN\tB-PP\tO' -p199107 -aS'evaluation\tevaluation\tNN\tB-NP\tO' -p199108 -aS'.\t.\t.\tO\tO' -p199109 -asS'She reports 2 nights with soaking NS .' -p199110 -(lp199111 -S'She\tShe\tPRP\tB-NP\tO' -p199112 -aS'reports\treport\tVBZ\tB-VP\tO' -p199113 -aS'2\t2\tCD\tB-NP\tO' -p199114 -aS'nights\tnight\tNNS\tI-NP\tO' -p199115 -aS'with\twith\tIN\tB-PP\tO' -p199116 -aS'soaking\tsoak\tVBG\tB-VP\tO' -p199117 -aS'NS\tNS\tNN\tB-NP\tO' -p199118 -aS'.\t.\t.\tO\tO' -p199119 -asS'Once she was more stable , an abdominal CT was performed to look for an abscess .' -p199120 -(lp199121 -S'Once\tOnce\tRB\tO\tO' -p199122 -aS'she\tshe\tPRP\tB-NP\tO' -p199123 -aS'was\tbe\tVBD\tB-VP\tO' -p199124 -aS'more\tmore\tRBR\tB-ADJP\tO' -p199125 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p199126 -aS',\t,\t,\tO\tO' -p199127 -aS'an\tan\tDT\tB-NP\tO' -p199128 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p199129 -aS'CT\tCT\tNN\tI-NP\tO' -p199130 -aS'was\tbe\tVBD\tB-VP\tO' -p199131 -aS'performed\tperform\tVBN\tI-VP\tO' -p199132 -aS'to\tto\tTO\tI-VP\tO' -p199133 -aS'look\tlook\tVB\tI-VP\tO' -p199134 -aS'for\tfor\tIN\tB-PP\tO' -p199135 -aS'an\tan\tDT\tB-NP\tO' -p199136 -aS'abscess\tabscess\tNN\tI-NP\tO' -p199137 -aS'.\t.\t.\tO\tO' -p199138 -asS'His admission complete blood count was notable for a white count of 11.8 , 25 polys and no bands .' -p199139 -(lp199140 -S'His\tHis\tPRP$\tB-NP\tO' -p199141 -aS'admission\tadmission\tNN\tI-NP\tO' -p199142 -aS'complete\tcomplete\tJJ\tI-NP\tO' -p199143 -aS'blood\tblood\tNN\tI-NP\tO' -p199144 -aS'count\tcount\tNN\tI-NP\tO' -p199145 -aS'was\tbe\tVBD\tB-VP\tO' -p199146 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p199147 -aS'for\tfor\tIN\tB-PP\tO' -p199148 -aS'a\ta\tDT\tB-NP\tO' -p199149 -aS'white\twhite\tJJ\tI-NP\tO' -p199150 -aS'count\tcount\tNN\tI-NP\tO' -p199151 -aS'of\tof\tIN\tB-PP\tO' -p199152 -aS'11.8\t11.8\tCD\tB-NP\tO' -p199153 -aS',\t,\t,\tO\tO' -p199154 -aS'25\t25\tCD\tB-NP\tO' -p199155 -aS'polys\tpoly\tNNS\tI-NP\tO' -p199156 -aS'and\tand\tCC\tO\tO' -p199157 -aS'no\tno\tDT\tB-NP\tO' -p199158 -aS'bands\tband\tNNS\tI-NP\tO' -p199159 -aS'.\t.\t.\tO\tO' -p199160 -asS'The patient indicates that his neighbors were making excessive noise upstairs from his dwelling , and he found it unbearable .' -p199161 -(lp199162 -S'The\tThe\tDT\tB-NP\tO' -p199163 -aS'patient\tpatient\tNN\tI-NP\tO' -p199164 -aS'indicates\tindicate\tVBZ\tB-VP\tO' -p199165 -aS'that\tthat\tIN\tB-SBAR\tO' -p199166 -aS'his\this\tPRP$\tB-NP\tO' -p199167 -aS'neighbors\tneighbor\tNNS\tI-NP\tO' -p199168 -aS'were\tbe\tVBD\tB-VP\tO' -p199169 -aS'making\tmake\tVBG\tI-VP\tO' -p199170 -aS'excessive\texcessive\tJJ\tB-NP\tO' -p199171 -aS'noise\tnoise\tNN\tI-NP\tO' -p199172 -aS'upstairs\tupstairs\tNN\tI-NP\tO' -p199173 -aS'from\tfrom\tIN\tB-PP\tO' -p199174 -aS'his\this\tPRP$\tB-NP\tO' -p199175 -aS'dwelling\tdwelling\tNN\tI-NP\tO' -p199176 -aS',\t,\t,\tO\tO' -p199177 -aS'and\tand\tCC\tO\tO' -p199178 -aS'he\the\tPRP\tB-NP\tO' -p199179 -aS'found\tfind\tVBD\tB-VP\tO' -p199180 -aS'it\tit\tPRP\tB-NP\tO' -p199181 -aS'unbearable\tunbearable\tJJ\tB-ADJP\tO' -p199182 -aS'.\t.\t.\tO\tO' -p199183 -asS'The chest was opened partially and through sub-xyphoid area it was determined that there was no evidence of tamponade .' -p199184 -(lp199185 -S'The\tThe\tDT\tB-NP\tO' -p199186 -aS'chest\tchest\tNN\tI-NP\tO' -p199187 -aS'was\tbe\tVBD\tB-VP\tO' -p199188 -aS'opened\topen\tVBN\tI-VP\tO' -p199189 -aS'partially\tpartially\tRB\tB-ADVP\tO' -p199190 -aS'and\tand\tCC\tO\tO' -p199191 -aS'through\tthrough\tIN\tB-PP\tO' -p199192 -aS'sub-xyphoid\tsub-xyphoid\tJJ\tB-NP\tO' -p199193 -aS'area\tarea\tNN\tI-NP\tO' -p199194 -aS'it\tit\tPRP\tB-NP\tO' -p199195 -aS'was\tbe\tVBD\tB-VP\tO' -p199196 -aS'determined\tdetermine\tVBN\tI-VP\tO' -p199197 -aS'that\tthat\tIN\tB-SBAR\tO' -p199198 -aS'there\tthere\tEX\tB-NP\tO' -p199199 -aS'was\tbe\tVBD\tB-VP\tO' -p199200 -aS'no\tno\tDT\tB-NP\tO' -p199201 -aS'evidence\tevidence\tNN\tI-NP\tO' -p199202 -aS'of\tof\tIN\tB-PP\tO' -p199203 -aS'tamponade\ttamponade\tNN\tB-NP\tO' -p199204 -aS'.\t.\t.\tO\tO' -p199205 -asS'16. Percocet one to two tablets p.o. q. four hours p.r.n.' -p199206 -(lp199207 -S'16.\t16.\tCD\tB-NP\tO' -p199208 -aS'Percocet\tPercocet\tNNP\tI-NP\tO' -p199209 -aS'one\tone\tCD\tI-NP\tO' -p199210 -aS'to\tto\tTO\tI-NP\tO' -p199211 -aS'two\ttwo\tCD\tI-NP\tO' -p199212 -aS'tablets\ttablet\tNNS\tI-NP\tO' -p199213 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p199214 -aS'q.\tq.\tFW\tI-NP\tO' -p199215 -aS'four\tfour\tCD\tI-NP\tO' -p199216 -aS'hours\thour\tNNS\tI-NP\tO' -p199217 -aS'p.r.n.\tp.r.n.\tRB\tB-ADVP\tO' -p199218 -asS'Sodium 137 , potassium 4.0 , blood urea nitrogen 16 , creatinine .9 , white blood cell count 4.9 , hematocrit 29.7 , platelet count 207 .' -p199219 -(lp199220 -S'Sodium\tSodium\tNN\tB-NP\tB-protein' -p199221 -aS'137\t137\tCD\tI-NP\tI-protein' -p199222 -aS',\t,\t,\tO\tO' -p199223 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p199224 -aS'4.0\t4.0\tCD\tI-NP\tO' -p199225 -aS',\t,\t,\tO\tO' -p199226 -aS'blood\tblood\tNN\tB-NP\tO' -p199227 -aS'urea\turea\tNN\tI-NP\tO' -p199228 -aS'nitrogen\tnitrogen\tNN\tI-NP\tO' -p199229 -aS'16\t16\tCD\tI-NP\tO' -p199230 -aS',\t,\t,\tO\tO' -p199231 -aS'creatinine\tcreatinine\tNN\tB-NP\tB-protein' -p199232 -aS'.9\t.9\tCD\tI-NP\tI-protein' -p199233 -aS',\t,\t,\tO\tO' -p199234 -aS'white\twhite\tJJ\tB-NP\tO' -p199235 -aS'blood\tblood\tNN\tI-NP\tO' -p199236 -aS'cell\tcell\tNN\tI-NP\tO' -p199237 -aS'count\tcount\tNN\tI-NP\tO' -p199238 -aS'4.9\t4.9\tCD\tB-NP\tO' -p199239 -aS',\t,\t,\tO\tO' -p199240 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p199241 -aS'29.7\t29.7\tCD\tI-NP\tI-protein' -p199242 -aS',\t,\t,\tO\tO' -p199243 -aS'platelet\tplatelet\tNN\tB-NP\tB-protein' -p199244 -aS'count\tcount\tNN\tI-NP\tI-protein' -p199245 -aS'207\t207\tCD\tI-NP\tI-protein' -p199246 -aS'.\t.\t.\tO\tO' -p199247 -asS'Large left ventricle , bilateral atelectasis or effusion .' -p199248 -(lp199249 -S'Large\tLarge\tJJ\tB-NP\tO' -p199250 -aS'left\tleft\tJJ\tI-NP\tO' -p199251 -aS'ventricle\tventricle\tNN\tI-NP\tO' -p199252 -aS',\t,\t,\tO\tO' -p199253 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p199254 -aS'atelectasis\tatelectasis\tNN\tI-NP\tO' -p199255 -aS'or\tor\tCC\tI-NP\tO' -p199256 -aS'effusion\teffusion\tNN\tI-NP\tO' -p199257 -aS'.\t.\t.\tO\tO' -p199258 -asS'GERD and PUD .' -p199259 -(lp199260 -S'GERD\tGERD\tNN\tB-NP\tO' -p199261 -aS'and\tand\tCC\tI-NP\tO' -p199262 -aS'PUD\tPUD\tNN\tI-NP\tO' -p199263 -aS'.\t.\t.\tO\tO' -p199264 -asS'Remarkable for colon cancer in her mother and maternal grandfather .' -p199265 -(lp199266 -S'Remarkable\tRemarkable\tJJ\tB-ADJP\tO' -p199267 -aS'for\tfor\tIN\tB-PP\tO' -p199268 -aS'colon\tcolon\tNN\tB-NP\tO' -p199269 -aS'cancer\tcancer\tNN\tI-NP\tO' -p199270 -aS'in\tin\tIN\tB-PP\tO' -p199271 -aS'her\ther\tPRP$\tB-NP\tO' -p199272 -aS'mother\tmother\tNN\tI-NP\tO' -p199273 -aS'and\tand\tCC\tI-NP\tO' -p199274 -aS'maternal\tmaternal\tJJ\tI-NP\tO' -p199275 -aS'grandfather\tgrandfather\tNN\tI-NP\tO' -p199276 -aS'.\t.\t.\tO\tO' -p199277 -asS'NC/AT .' -p199278 -(lp199279 -S'NC/AT\tNC/AT\tNN\tB-NP\tB-protein' -p199280 -aS'.\t.\t.\tO\tO' -p199281 -asS'The patient , although initially minimally responsive , went on to develop a deep comatose state .' -p199282 -(lp199283 -S'The\tThe\tDT\tB-NP\tO' -p199284 -aS'patient\tpatient\tNN\tI-NP\tO' -p199285 -aS',\t,\t,\tO\tO' -p199286 -aS'although\talthough\tIN\tB-SBAR\tO' -p199287 -aS'initially\tinitially\tRB\tB-ADJP\tO' -p199288 -aS'minimally\tminimally\tRB\tI-ADJP\tO' -p199289 -aS'responsive\tresponsive\tJJ\tI-ADJP\tO' -p199290 -aS',\t,\t,\tO\tO' -p199291 -aS'went\tgo\tVBD\tB-VP\tO' -p199292 -aS'on\ton\tRP\tB-PRT\tO' -p199293 -aS'to\tto\tTO\tB-VP\tO' -p199294 -aS'develop\tdevelop\tVB\tI-VP\tO' -p199295 -aS'a\ta\tDT\tB-NP\tO' -p199296 -aS'deep\tdeep\tJJ\tI-NP\tO' -p199297 -aS'comatose\tcomatose\tNN\tI-NP\tO' -p199298 -aS'state\tstate\tNN\tI-NP\tO' -p199299 -aS'.\t.\t.\tO\tO' -p199300 -asS'Dyazide 25/37.5 p.o. q.d. , as well as Atrovent , albuterol , and Flovent inhalers , and Swanson 60 mg p.o. b.i.d. , and Serevent 2 puffs q.12h.' -p199301 -(lp199302 -S'Dyazide\tDyazide\tNN\tB-NP\tO' -p199303 -aS'25/37.5\t25/37.5\tCD\tI-NP\tO' -p199304 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p199305 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p199306 -aS',\t,\t,\tO\tO' -p199307 -aS'as\tas\tRB\tB-CONJP\tO' -p199308 -aS'well\twell\tRB\tI-CONJP\tO' -p199309 -aS'as\tas\tIN\tI-CONJP\tO' -p199310 -aS'Atrovent\tAtrovent\tNN\tB-NP\tO' -p199311 -aS',\t,\t,\tO\tO' -p199312 -aS'albuterol\talbuterol\tNN\tB-NP\tO' -p199313 -aS',\t,\t,\tO\tO' -p199314 -aS'and\tand\tCC\tO\tO' -p199315 -aS'Flovent\tFlovent\tNNP\tB-NP\tO' -p199316 -aS'inhalers\tinhaler\tNNS\tI-NP\tO' -p199317 -aS',\t,\t,\tO\tO' -p199318 -aS'and\tand\tCC\tO\tO' -p199319 -aS'Swanson\tSwanson\tNN\tB-NP\tO' -p199320 -aS'60\t60\tCD\tI-NP\tO' -p199321 -aS'mg\tmg\tNN\tI-NP\tO' -p199322 -aS'p.o.\tp.o.\tFW\tB-ADVP\tO' -p199323 -aS'b.i.d.\tb.i.d.\tFW\tI-ADVP\tO' -p199324 -aS',\t,\t,\tO\tO' -p199325 -aS'and\tand\tCC\tO\tO' -p199326 -aS'Serevent\tSerevent\tNN\tB-NP\tO' -p199327 -aS'2\t2\tCD\tB-NP\tO' -p199328 -aS'puffs\tpuff\tNNS\tI-NP\tO' -p199329 -aS'q.12h.\tq.12h.\tNN\tB-NP\tO' -p199330 -asS'Her lungs revealed coarse breath sounds .' -p199331 -(lp199332 -S'Her\tHer\tPRP$\tB-NP\tO' -p199333 -aS'lungs\tlung\tNNS\tI-NP\tO' -p199334 -aS'revealed\treveal\tVBD\tB-VP\tO' -p199335 -aS'coarse\tcoarse\tNN\tB-NP\tO' -p199336 -aS'breath\tbreath\tNN\tI-NP\tO' -p199337 -aS'sounds\tsound\tNNS\tI-NP\tO' -p199338 -aS'.\t.\t.\tO\tO' -p199339 -asS'Abdomen : Positive bowel sounds , soft , nondistended , nontender .' -p199340 -(lp199341 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p199342 -aS':\t:\t:\tO\tO' -p199343 -aS'Positive\tPositive\tJJ\tB-NP\tO' -p199344 -aS'bowel\tbowel\tNN\tI-NP\tO' -p199345 -aS'sounds\tsound\tNNS\tI-NP\tO' -p199346 -aS',\t,\t,\tO\tO' -p199347 -aS'soft\tsoft\tJJ\tB-NP\tO' -p199348 -aS',\t,\t,\tI-NP\tO' -p199349 -aS'nondistended\tnondistended\tJJ\tI-NP\tO' -p199350 -aS',\t,\t,\tI-NP\tO' -p199351 -aS'nontender\tnontender\tJJ\tI-NP\tO' -p199352 -aS'.\t.\t.\tO\tO' -p199353 -asS'This required a transplant nephrectomy .' -p199354 -(lp199355 -S'This\tThis\tDT\tB-NP\tO' -p199356 -aS'required\trequire\tVBD\tB-VP\tO' -p199357 -aS'a\ta\tDT\tB-NP\tO' -p199358 -aS'transplant\ttransplant\tNN\tI-NP\tO' -p199359 -aS'nephrectomy\tnephrectomy\tNN\tI-NP\tO' -p199360 -aS'.\t.\t.\tO\tO' -p199361 -asS'House / Low Residue < FDI >' -p199362 -(lp199363 -S'House\tHouse\tNN\tB-NP\tO' -p199364 -aS'/\t/\tSYM\tI-NP\tO' -p199365 -aS'Low\tLow\tNN\tI-NP\tO' -p199366 -aS'Residue\tResidue\tNN\tI-NP\tO' -p199367 -aS'<\t<\tCC\tO\tO' -p199368 -aS'FDI\tFDI\tNNP\tB-NP\tO' -p199369 -aS'>\t>\t:\tO\tO' -p199370 -asS'Her pain was under good control with PO pain medications and she was deemed suitable for discharge .' -p199371 -(lp199372 -S'Her\tHer\tPRP$\tB-NP\tO' -p199373 -aS'pain\tpain\tNN\tI-NP\tO' -p199374 -aS'was\tbe\tVBD\tB-VP\tO' -p199375 -aS'under\tunder\tIN\tB-PP\tO' -p199376 -aS'good\tgood\tJJ\tB-NP\tO' -p199377 -aS'control\tcontrol\tNN\tI-NP\tO' -p199378 -aS'with\twith\tIN\tB-PP\tO' -p199379 -aS'PO\tPO\tNN\tB-NP\tO' -p199380 -aS'pain\tpain\tNN\tI-NP\tO' -p199381 -aS'medications\tmedication\tNNS\tI-NP\tO' -p199382 -aS'and\tand\tCC\tO\tO' -p199383 -aS'she\tshe\tPRP\tB-NP\tO' -p199384 -aS'was\tbe\tVBD\tB-VP\tO' -p199385 -aS'deemed\tdeem\tVBN\tI-VP\tO' -p199386 -aS'suitable\tsuitable\tJJ\tB-ADJP\tO' -p199387 -aS'for\tfor\tIN\tB-PP\tO' -p199388 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p199389 -aS'.\t.\t.\tO\tO' -p199390 -asS'She has had one pervious episode of variceal bleeding with an unclear date .' -p199391 -(lp199392 -S'She\tShe\tPRP\tB-NP\tO' -p199393 -aS'has\thave\tVBZ\tB-VP\tO' -p199394 -aS'had\thave\tVBD\tI-VP\tO' -p199395 -aS'one\tone\tCD\tB-NP\tO' -p199396 -aS'pervious\tpervious\tJJ\tI-NP\tO' -p199397 -aS'episode\tepisode\tNN\tI-NP\tO' -p199398 -aS'of\tof\tIN\tB-PP\tO' -p199399 -aS'variceal\tvariceal\tNN\tB-NP\tO' -p199400 -aS'bleeding\tbleed\tVBG\tB-VP\tO' -p199401 -aS'with\twith\tIN\tB-PP\tO' -p199402 -aS'an\tan\tDT\tB-NP\tO' -p199403 -aS'unclear\tunclear\tJJ\tI-NP\tO' -p199404 -aS'date\tdate\tNN\tI-NP\tO' -p199405 -aS'.\t.\t.\tO\tO' -p199406 -asS'Need to continue oxygen 2 liters via nasal cannula .' -p199407 -(lp199408 -S'Need\tNeed\tNN\tB-NP\tO' -p199409 -aS'to\tto\tTO\tB-VP\tO' -p199410 -aS'continue\tcontinue\tVB\tI-VP\tO' -p199411 -aS'oxygen\toxygen\tNN\tB-NP\tO' -p199412 -aS'2\t2\tCD\tB-NP\tO' -p199413 -aS'liters\tliter\tNNS\tI-NP\tO' -p199414 -aS'via\tvia\tIN\tB-PP\tO' -p199415 -aS'nasal\tnasal\tJJ\tB-NP\tO' -p199416 -aS'cannula\tcannula\tNN\tI-NP\tO' -p199417 -aS'.\t.\t.\tO\tO' -p199418 -asS'RESPIRATORY : The infant was placed on CPAP on admission to the CMED and remained on CPAP until day of life 2 at which time he weaned to nasal cannula and then subsequently to room air on day of life 3 .' -p199419 -(lp199420 -S'RESPIRATORY\tRESPIRATORY\tNN\tB-NP\tO' -p199421 -aS':\t:\t:\tO\tO' -p199422 -aS'The\tThe\tDT\tB-NP\tO' -p199423 -aS'infant\tinfant\tNN\tI-NP\tO' -p199424 -aS'was\tbe\tVBD\tB-VP\tO' -p199425 -aS'placed\tplace\tVBN\tI-VP\tO' -p199426 -aS'on\ton\tIN\tB-PP\tO' -p199427 -aS'CPAP\tCPAP\tNN\tB-NP\tB-protein' -p199428 -aS'on\ton\tIN\tB-PP\tO' -p199429 -aS'admission\tadmission\tNN\tB-NP\tO' -p199430 -aS'to\tto\tTO\tB-PP\tO' -p199431 -aS'the\tthe\tDT\tB-NP\tO' -p199432 -aS'CMED\tCMED\tNN\tI-NP\tO' -p199433 -aS'and\tand\tCC\tO\tO' -p199434 -aS'remained\tremain\tVBD\tB-VP\tO' -p199435 -aS'on\ton\tIN\tB-PP\tO' -p199436 -aS'CPAP\tCPAP\tNN\tB-NP\tB-protein' -p199437 -aS'until\tuntil\tIN\tB-PP\tO' -p199438 -aS'day\tday\tNN\tB-NP\tO' -p199439 -aS'of\tof\tIN\tB-PP\tO' -p199440 -aS'life\tlife\tNN\tB-NP\tB-protein' -p199441 -aS'2\t2\tCD\tI-NP\tI-protein' -p199442 -aS'at\tat\tIN\tB-PP\tO' -p199443 -aS'which\twhich\tWDT\tB-NP\tO' -p199444 -aS'time\ttime\tNN\tI-NP\tO' -p199445 -aS'he\the\tPRP\tB-NP\tO' -p199446 -aS'weaned\twean\tVBD\tB-VP\tO' -p199447 -aS'to\tto\tTO\tB-PP\tO' -p199448 -aS'nasal\tnasal\tJJ\tB-NP\tO' -p199449 -aS'cannula\tcannula\tNN\tI-NP\tO' -p199450 -aS'and\tand\tCC\tO\tO' -p199451 -aS'then\tthen\tRB\tB-VP\tO' -p199452 -aS'subsequently\tsubsequently\tRB\tI-VP\tO' -p199453 -aS'to\tto\tTO\tB-PP\tO' -p199454 -aS'room\troom\tNN\tB-NP\tO' -p199455 -aS'air\tair\tNN\tI-NP\tO' -p199456 -aS'on\ton\tIN\tB-PP\tO' -p199457 -aS'day\tday\tNN\tB-NP\tO' -p199458 -aS'of\tof\tIN\tB-PP\tO' -p199459 -aS'life\tlife\tNN\tB-NP\tB-protein' -p199460 -aS'3\t3\tCD\tI-NP\tI-protein' -p199461 -aS'.\t.\t.\tO\tO' -p199462 -asS'The patient was advanced to a full regular diet , which he tolerated without complication , and had adequate pain control provided via oral pain medications .' -p199463 -(lp199464 -S'The\tThe\tDT\tB-NP\tO' -p199465 -aS'patient\tpatient\tNN\tI-NP\tO' -p199466 -aS'was\tbe\tVBD\tB-VP\tO' -p199467 -aS'advanced\tadvance\tVBN\tI-VP\tO' -p199468 -aS'to\tto\tTO\tB-PP\tO' -p199469 -aS'a\ta\tDT\tB-NP\tO' -p199470 -aS'full\tfull\tJJ\tI-NP\tO' -p199471 -aS'regular\tregular\tJJ\tI-NP\tO' -p199472 -aS'diet\tdiet\tNN\tI-NP\tO' -p199473 -aS',\t,\t,\tO\tO' -p199474 -aS'which\twhich\tWDT\tB-NP\tO' -p199475 -aS'he\the\tPRP\tB-NP\tO' -p199476 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p199477 -aS'without\twithout\tIN\tB-PP\tO' -p199478 -aS'complication\tcomplication\tNN\tB-NP\tO' -p199479 -aS',\t,\t,\tO\tO' -p199480 -aS'and\tand\tCC\tO\tO' -p199481 -aS'had\thave\tVBD\tB-VP\tO' -p199482 -aS'adequate\tadequate\tJJ\tB-NP\tO' -p199483 -aS'pain\tpain\tNN\tI-NP\tO' -p199484 -aS'control\tcontrol\tNN\tI-NP\tO' -p199485 -aS'provided\tprovide\tVBN\tB-VP\tO' -p199486 -aS'via\tvia\tIN\tB-PP\tO' -p199487 -aS'oral\toral\tJJ\tB-NP\tO' -p199488 -aS'pain\tpain\tNN\tI-NP\tO' -p199489 -aS'medications\tmedication\tNNS\tI-NP\tO' -p199490 -aS'.\t.\t.\tO\tO' -p199491 -asS'2. Lisinopril , 20 mg. , po , qD .' -p199492 -(lp199493 -S'2.\t2.\tLS\tB-NP\tO' -p199494 -aS'Lisinopril\tLisinopril\tNNP\tI-NP\tO' -p199495 -aS',\t,\t,\tO\tO' -p199496 -aS'20\t20\tCD\tB-NP\tO' -p199497 -aS'mg.\tmg.\tNN\tI-NP\tO' -p199498 -aS',\t,\t,\tO\tO' -p199499 -aS'po\tpo\tNN\tB-NP\tO' -p199500 -aS',\t,\t,\tO\tO' -p199501 -aS'qD\tqD\tNN\tB-NP\tO' -p199502 -aS'.\t.\t.\tO\tO' -p199503 -asS'This was mostly described as feeling unsteady on her feet .' -p199504 -(lp199505 -S'This\tThis\tDT\tB-NP\tO' -p199506 -aS'was\tbe\tVBD\tB-VP\tO' -p199507 -aS'mostly\tmostly\tRB\tI-VP\tO' -p199508 -aS'described\tdescribe\tVBN\tI-VP\tO' -p199509 -aS'as\tas\tIN\tB-PP\tO' -p199510 -aS'feeling\tfeeling\tNN\tB-NP\tO' -p199511 -aS'unsteady\tunsteady\tJJ\tB-ADJP\tO' -p199512 -aS'on\ton\tIN\tB-PP\tO' -p199513 -aS'her\ther\tPRP$\tB-NP\tO' -p199514 -aS'feet\tfoot\tNNS\tI-NP\tO' -p199515 -aS'.\t.\t.\tO\tO' -p199516 -asS'His throat pain began 2 to 3 days prior to admission , initially treated with ibuprofen , seen in an outside hospital emergency room day prior to admission where he received IV penicillin and was sent home .' -p199517 -(lp199518 -S'His\tHis\tPRP$\tB-NP\tO' -p199519 -aS'throat\tthroat\tJJ\tI-NP\tO' -p199520 -aS'pain\tpain\tNN\tI-NP\tO' -p199521 -aS'began\tbegin\tVBD\tB-VP\tO' -p199522 -aS'2\t2\tCD\tB-NP\tO' -p199523 -aS'to\tto\tTO\tB-PP\tO' -p199524 -aS'3\t3\tCD\tB-NP\tO' -p199525 -aS'days\tday\tNNS\tI-NP\tO' -p199526 -aS'prior\tprior\tRB\tB-ADVP\tO' -p199527 -aS'to\tto\tTO\tB-PP\tO' -p199528 -aS'admission\tadmission\tNN\tB-NP\tO' -p199529 -aS',\t,\t,\tO\tO' -p199530 -aS'initially\tinitially\tRB\tB-VP\tO' -p199531 -aS'treated\ttreat\tVBN\tI-VP\tO' -p199532 -aS'with\twith\tIN\tB-PP\tO' -p199533 -aS'ibuprofen\tibuprofen\tNN\tB-NP\tO' -p199534 -aS',\t,\t,\tO\tO' -p199535 -aS'seen\tsee\tVBN\tB-VP\tO' -p199536 -aS'in\tin\tIN\tB-PP\tO' -p199537 -aS'an\tan\tDT\tB-NP\tO' -p199538 -aS'outside\toutside\tJJ\tI-NP\tO' -p199539 -aS'hospital\thospital\tNN\tI-NP\tO' -p199540 -aS'emergency\temergency\tNN\tI-NP\tO' -p199541 -aS'room\troom\tNN\tI-NP\tO' -p199542 -aS'day\tday\tNN\tI-NP\tO' -p199543 -aS'prior\tprior\tRB\tB-ADVP\tO' -p199544 -aS'to\tto\tTO\tB-PP\tO' -p199545 -aS'admission\tadmission\tNN\tB-NP\tO' -p199546 -aS'where\twhere\tWRB\tB-ADVP\tO' -p199547 -aS'he\the\tPRP\tB-NP\tO' -p199548 -aS'received\treceive\tVBD\tB-VP\tO' -p199549 -aS'IV\tIV\tCD\tB-NP\tO' -p199550 -aS'penicillin\tpenicillin\tNN\tI-NP\tO' -p199551 -aS'and\tand\tCC\tO\tO' -p199552 -aS'was\tbe\tVBD\tB-VP\tO' -p199553 -aS'sent\tsend\tVBN\tI-VP\tO' -p199554 -aS'home\thome\tNN\tB-ADVP\tO' -p199555 -aS'.\t.\t.\tO\tO' -p199556 -asS'She was admitted to the ICU for close neurosurgical and neurological observation .' -p199557 -(lp199558 -S'She\tShe\tPRP\tB-NP\tO' -p199559 -aS'was\tbe\tVBD\tB-VP\tO' -p199560 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p199561 -aS'to\tto\tTO\tB-PP\tO' -p199562 -aS'the\tthe\tDT\tB-NP\tO' -p199563 -aS'ICU\tICU\tNN\tI-NP\tO' -p199564 -aS'for\tfor\tIN\tB-PP\tO' -p199565 -aS'close\tclose\tJJ\tB-NP\tO' -p199566 -aS'neurosurgical\tneurosurgical\tJJ\tI-NP\tO' -p199567 -aS'and\tand\tCC\tI-NP\tO' -p199568 -aS'neurological\tneurological\tJJ\tI-NP\tO' -p199569 -aS'observation\tobservation\tNN\tI-NP\tO' -p199570 -aS'.\t.\t.\tO\tO' -p199571 -asS'1. Bipolar disorder .' -p199572 -(lp199573 -S'1.\t1.\tLS\tB-NP\tO' -p199574 -aS'Bipolar\tBipolar\tJJ\tI-NP\tO' -p199575 -aS'disorder\tdisorder\tNN\tI-NP\tO' -p199576 -aS'.\t.\t.\tO\tO' -p199577 -asS'Head , eyes , ears , nose , and throat examination was without bruits .' -p199578 -(lp199579 -S'Head\tHead\tRB\tB-ADVP\tO' -p199580 -aS',\t,\t,\tO\tO' -p199581 -aS'eyes\teye\tNNS\tB-NP\tO' -p199582 -aS',\t,\t,\tO\tO' -p199583 -aS'ears\tear\tNNS\tB-NP\tO' -p199584 -aS',\t,\t,\tO\tO' -p199585 -aS'nose\tnose\tNN\tB-NP\tO' -p199586 -aS',\t,\t,\tO\tO' -p199587 -aS'and\tand\tCC\tO\tO' -p199588 -aS'throat\tthroat\tNN\tB-NP\tO' -p199589 -aS'examination\texamination\tNN\tI-NP\tO' -p199590 -aS'was\tbe\tVBD\tB-VP\tO' -p199591 -aS'without\twithout\tIN\tB-PP\tO' -p199592 -aS'bruits\tbruit\tNNS\tB-NP\tO' -p199593 -aS'.\t.\t.\tO\tO' -p199594 -asS'Trivial mitral regurgitation is seen .' -p199595 -(lp199596 -S'Trivial\tTrivial\tJJ\tB-NP\tO' -p199597 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p199598 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p199599 -aS'is\tbe\tVBZ\tB-VP\tO' -p199600 -aS'seen\tsee\tVBN\tI-VP\tO' -p199601 -aS'.\t.\t.\tO\tO' -p199602 -asS'EMG studies were performed , the result is pending at the time of this dictation .' -p199603 -(lp199604 -S'EMG\tEMG\tNN\tB-NP\tO' -p199605 -aS'studies\tstudy\tNNS\tI-NP\tO' -p199606 -aS'were\tbe\tVBD\tB-VP\tO' -p199607 -aS'performed\tperform\tVBN\tI-VP\tO' -p199608 -aS',\t,\t,\tO\tO' -p199609 -aS'the\tthe\tDT\tB-NP\tO' -p199610 -aS'result\tresult\tNN\tI-NP\tO' -p199611 -aS'is\tbe\tVBZ\tB-VP\tO' -p199612 -aS'pending\tpende\tVBG\tB-ADJP\tO' -p199613 -aS'at\tat\tIN\tB-PP\tO' -p199614 -aS'the\tthe\tDT\tB-NP\tO' -p199615 -aS'time\ttime\tNN\tI-NP\tO' -p199616 -aS'of\tof\tIN\tB-PP\tO' -p199617 -aS'this\tthis\tDT\tB-NP\tO' -p199618 -aS'dictation\tdictation\tNN\tI-NP\tO' -p199619 -aS'.\t.\t.\tO\tO' -p199620 -asS'Arthrogram in the distant past showed a right rotator cuff tear and he now has increased pain in his left shoulder .' -p199621 -(lp199622 -S'Arthrogram\tArthrogram\tNN\tB-NP\tO' -p199623 -aS'in\tin\tIN\tB-PP\tO' -p199624 -aS'the\tthe\tDT\tB-NP\tO' -p199625 -aS'distant\tdistant\tJJ\tI-NP\tO' -p199626 -aS'past\tpast\tNN\tI-NP\tO' -p199627 -aS'showed\tshow\tVBD\tB-VP\tO' -p199628 -aS'a\ta\tDT\tB-NP\tO' -p199629 -aS'right\tright\tJJ\tI-NP\tO' -p199630 -aS'rotator\trotator\tNN\tI-NP\tO' -p199631 -aS'cuff\tcuff\tNN\tI-NP\tO' -p199632 -aS'tear\ttear\tNN\tI-NP\tO' -p199633 -aS'and\tand\tCC\tO\tO' -p199634 -aS'he\the\tPRP\tB-NP\tO' -p199635 -aS'now\tnow\tRB\tB-ADVP\tO' -p199636 -aS'has\thave\tVBZ\tB-VP\tO' -p199637 -aS'increased\tincrease\tVBN\tI-VP\tO' -p199638 -aS'pain\tpain\tNN\tB-NP\tO' -p199639 -aS'in\tin\tIN\tB-PP\tO' -p199640 -aS'his\this\tPRP$\tB-NP\tO' -p199641 -aS'left\tleft\tJJ\tI-NP\tO' -p199642 -aS'shoulder\tshoulder\tNN\tI-NP\tO' -p199643 -aS'.\t.\t.\tO\tO' -p199644 -asS'Aspirin .' -p199645 -(lp199646 -S'Aspirin\tAspirin\tNN\tB-NP\tO' -p199647 -aS'.\t.\t.\tO\tO' -p199648 -asS'Transient diaphoresis in MD 's office that patient attributed to heat in room .' -p199649 -(lp199650 -S'Transient\tTransient\tJJ\tB-NP\tO' -p199651 -aS'diaphoresis\tdiaphoresis\tNN\tI-NP\tO' -p199652 -aS'in\tin\tIN\tB-PP\tO' -p199653 -aS'MD\tMD\tNN\tB-NP\tO' -p199654 -aS''s\t'\tNNS\tI-NP\tO' -p199655 -aS'office\toffice\tNN\tI-NP\tO' -p199656 -aS'that\tthat\tIN\tB-SBAR\tO' -p199657 -aS'patient\tpatient\tNN\tB-NP\tO' -p199658 -aS'attributed\tattribute\tVBN\tB-VP\tO' -p199659 -aS'to\tto\tTO\tB-PP\tO' -p199660 -aS'heat\theat\tNN\tB-NP\tO' -p199661 -aS'in\tin\tIN\tB-PP\tO' -p199662 -aS'room\troom\tNN\tB-NP\tO' -p199663 -aS'.\t.\t.\tO\tO' -p199664 -asS'The patient was discharged on a regular diet .' -p199665 -(lp199666 -S'The\tThe\tDT\tB-NP\tO' -p199667 -aS'patient\tpatient\tNN\tI-NP\tO' -p199668 -aS'was\tbe\tVBD\tB-VP\tO' -p199669 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p199670 -aS'on\ton\tIN\tB-PP\tO' -p199671 -aS'a\ta\tDT\tB-NP\tO' -p199672 -aS'regular\tregular\tJJ\tI-NP\tO' -p199673 -aS'diet\tdiet\tNN\tI-NP\tO' -p199674 -aS'.\t.\t.\tO\tO' -p199675 -asS"Positive tobacco , 10 pack year history , quit for 8 years in his 40 's and now no cigarettes for one week using no pharmacal therapy ." -p199676 -(lp199677 -S'Positive\tPositive\tJJ\tB-NP\tO' -p199678 -aS'tobacco\ttobacco\tNN\tI-NP\tO' -p199679 -aS',\t,\t,\tO\tO' -p199680 -aS'10\t10\tCD\tB-NP\tO' -p199681 -aS'pack\tpack\tNN\tI-NP\tO' -p199682 -aS'year\tyear\tNN\tI-NP\tO' -p199683 -aS'history\thistory\tNN\tI-NP\tO' -p199684 -aS',\t,\t,\tO\tO' -p199685 -aS'quit\tquit\tVBD\tB-VP\tO' -p199686 -aS'for\tfor\tIN\tB-PP\tO' -p199687 -aS'8\t8\tCD\tB-NP\tO' -p199688 -aS'years\tyear\tNNS\tI-NP\tO' -p199689 -aS'in\tin\tIN\tB-PP\tO' -p199690 -aS'his\this\tPRP$\tB-NP\tO' -p199691 -aS'40\t40\tCD\tI-NP\tO' -p199692 -aS"'s\t's\tPOS\tB-NP\tO" -p199693 -aS'and\tand\tCC\tO\tO' -p199694 -aS'now\tnow\tRB\tB-ADVP\tO' -p199695 -aS'no\tno\tDT\tB-NP\tO' -p199696 -aS'cigarettes\tcigarette\tNNS\tI-NP\tO' -p199697 -aS'for\tfor\tIN\tB-PP\tO' -p199698 -aS'one\tone\tCD\tB-NP\tO' -p199699 -aS'week\tweek\tNN\tI-NP\tO' -p199700 -aS'using\tuse\tVBG\tB-VP\tO' -p199701 -aS'no\tno\tDT\tB-NP\tO' -p199702 -aS'pharmacal\tpharmacal\tJJ\tI-NP\tO' -p199703 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p199704 -aS'.\t.\t.\tO\tO' -p199705 -asS'he had a peg tube and tracheostomy prior to d/c .' -p199706 -(lp199707 -S'he\the\tPRP\tB-NP\tO' -p199708 -aS'had\thave\tVBD\tB-VP\tO' -p199709 -aS'a\ta\tDT\tB-NP\tO' -p199710 -aS'peg\tpeg\tNN\tI-NP\tO' -p199711 -aS'tube\ttube\tNN\tI-NP\tO' -p199712 -aS'and\tand\tCC\tO\tO' -p199713 -aS'tracheostomy\ttracheostomy\tNN\tB-NP\tO' -p199714 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p199715 -aS'to\tto\tTO\tB-PP\tO' -p199716 -aS'd/c\td/c\tNN\tB-NP\tO' -p199717 -aS'.\t.\t.\tO\tO' -p199718 -asS'On admission , his BUN was 13 , creatinine 1.7 , hematocrit 43 and the cholesterol was 208 .' -p199719 -(lp199720 -S'On\tOn\tIN\tB-PP\tO' -p199721 -aS'admission\tadmission\tNN\tB-NP\tO' -p199722 -aS',\t,\t,\tO\tO' -p199723 -aS'his\this\tPRP$\tB-NP\tO' -p199724 -aS'BUN\tBUN\tNN\tI-NP\tB-protein' -p199725 -aS'was\tbe\tVBD\tB-VP\tO' -p199726 -aS'13\t13\tCD\tB-NP\tO' -p199727 -aS',\t,\t,\tO\tO' -p199728 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p199729 -aS'1.7\t1.7\tCD\tI-NP\tO' -p199730 -aS',\t,\t,\tO\tO' -p199731 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-DNA' -p199732 -aS'43\t43\tCD\tI-NP\tI-DNA' -p199733 -aS'and\tand\tCC\tO\tO' -p199734 -aS'the\tthe\tDT\tB-NP\tO' -p199735 -aS'cholesterol\tcholesterol\tNN\tI-NP\tO' -p199736 -aS'was\tbe\tVBD\tB-VP\tO' -p199737 -aS'208\t208\tCD\tB-NP\tO' -p199738 -aS'.\t.\t.\tO\tO' -p199739 -asS'There are also tiny foci artifact within the cerebellum and base of the pons .' -p199740 -(lp199741 -S'There\tThere\tEX\tB-NP\tO' -p199742 -aS'are\tbe\tVBP\tB-VP\tO' -p199743 -aS'also\talso\tRB\tB-ADVP\tO' -p199744 -aS'tiny\ttiny\tJJ\tB-NP\tO' -p199745 -aS'foci\tfocus\tNNS\tI-NP\tO' -p199746 -aS'artifact\tartifact\tVBP\tB-VP\tO' -p199747 -aS'within\twithin\tIN\tB-PP\tO' -p199748 -aS'the\tthe\tDT\tB-NP\tO' -p199749 -aS'cerebellum\tcerebellum\tNN\tI-NP\tO' -p199750 -aS'and\tand\tCC\tI-NP\tO' -p199751 -aS'base\tbase\tNN\tI-NP\tO' -p199752 -aS'of\tof\tIN\tB-PP\tO' -p199753 -aS'the\tthe\tDT\tB-NP\tO' -p199754 -aS'pons\tpon\tNNS\tI-NP\tO' -p199755 -aS'.\t.\t.\tO\tO' -p199756 -asS'Left-to-right shunt across the interatrial septum .' -p199757 -(lp199758 -S'Left-to-right\tLeft-to-right\tJJ\tB-NP\tO' -p199759 -aS'shunt\tshunt\tNN\tI-NP\tO' -p199760 -aS'across\tacross\tIN\tB-PP\tO' -p199761 -aS'the\tthe\tDT\tB-NP\tO' -p199762 -aS'interatrial\tinteratrial\tJJ\tI-NP\tO' -p199763 -aS'septum\tseptum\tNN\tI-NP\tO' -p199764 -aS'.\t.\t.\tO\tO' -p199765 -asS'He had no chest pain , shortness of breath or diarrhea .' -p199766 -(lp199767 -S'He\tHe\tPRP\tB-NP\tO' -p199768 -aS'had\thave\tVBD\tB-VP\tO' -p199769 -aS'no\tno\tDT\tB-NP\tO' -p199770 -aS'chest\tchest\tNN\tI-NP\tO' -p199771 -aS'pain\tpain\tNN\tI-NP\tO' -p199772 -aS',\t,\t,\tO\tO' -p199773 -aS'shortness\tshortness\tNN\tB-NP\tO' -p199774 -aS'of\tof\tIN\tB-PP\tO' -p199775 -aS'breath\tbreath\tNN\tB-NP\tO' -p199776 -aS'or\tor\tCC\tI-NP\tO' -p199777 -aS'diarrhea\tdiarrhea\tNN\tI-NP\tO' -p199778 -aS'.\t.\t.\tO\tO' -p199779 -asS'Aspiration pneumonia .' -p199780 -(lp199781 -S'Aspiration\tAspiration\tNN\tB-NP\tO' -p199782 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p199783 -aS'.\t.\t.\tO\tO' -p199784 -asS'(1) GERD ; (2) Pneumonia with partially collapsed lung in 1999 .' -p199785 -(lp199786 -S'(1)\t(1)\tLS\tB-NP\tO' -p199787 -aS'GERD\tGERD\tNN\tI-NP\tO' -p199788 -aS';\t;\t:\tO\tO' -p199789 -aS'(2)\t(2)\tLS\tB-LST\tO' -p199790 -aS'Pneumonia\tPneumonia\tNNP\tB-NP\tO' -p199791 -aS'with\twith\tIN\tB-PP\tO' -p199792 -aS'partially\tpartially\tRB\tB-ADVP\tO' -p199793 -aS'collapsed\tcollapse\tVBD\tB-VP\tO' -p199794 -aS'lung\tlung\tNN\tB-NP\tO' -p199795 -aS'in\tin\tIN\tB-PP\tO' -p199796 -aS'1999\t1999\tCD\tB-NP\tO' -p199797 -aS'.\t.\t.\tO\tO' -p199798 -asS'Her left ventricular contraction showed akinesis of the anterior wall with dyskinesis of the apex .' -p199799 -(lp199800 -S'Her\tHer\tPRP$\tB-NP\tO' -p199801 -aS'left\tleft\tJJ\tI-NP\tO' -p199802 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p199803 -aS'contraction\tcontraction\tNN\tI-NP\tO' -p199804 -aS'showed\tshow\tVBD\tB-VP\tO' -p199805 -aS'akinesis\takinesis\tNN\tB-NP\tO' -p199806 -aS'of\tof\tIN\tB-PP\tO' -p199807 -aS'the\tthe\tDT\tB-NP\tO' -p199808 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p199809 -aS'wall\twall\tNN\tI-NP\tO' -p199810 -aS'with\twith\tIN\tB-PP\tO' -p199811 -aS'dyskinesis\tdyskinesis\tNN\tB-NP\tO' -p199812 -aS'of\tof\tIN\tB-PP\tO' -p199813 -aS'the\tthe\tDT\tB-NP\tO' -p199814 -aS'apex\tapex\tNN\tI-NP\tO' -p199815 -aS'.\t.\t.\tO\tO' -p199816 -asS'There were no clots seen on the echocardiogram .' -p199817 -(lp199818 -S'There\tThere\tEX\tB-NP\tO' -p199819 -aS'were\tbe\tVBD\tB-VP\tO' -p199820 -aS'no\tno\tDT\tB-NP\tO' -p199821 -aS'clots\tclot\tNNS\tI-NP\tO' -p199822 -aS'seen\tsee\tVBN\tB-VP\tO' -p199823 -aS'on\ton\tIN\tB-PP\tO' -p199824 -aS'the\tthe\tDT\tB-NP\tO' -p199825 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p199826 -aS'.\t.\t.\tO\tO' -p199827 -asS'Distended .' -p199828 -(lp199829 -S'Distended\tDistend\tVBN\tB-VP\tO' -p199830 -aS'.\t.\t.\tO\tO' -p199831 -asS'He has 1 son , two grandson .' -p199832 -(lp199833 -S'He\tHe\tPRP\tB-NP\tO' -p199834 -aS'has\thave\tVBZ\tB-VP\tO' -p199835 -aS'1\t1\tCD\tB-NP\tO' -p199836 -aS'son\tson\tNN\tI-NP\tO' -p199837 -aS',\t,\t,\tO\tO' -p199838 -aS'two\ttwo\tCD\tB-NP\tO' -p199839 -aS'grandson\tgrandson\tNN\tI-NP\tO' -p199840 -aS'.\t.\t.\tO\tO' -p199841 -asS'Brachial pulses equal femoral pulses and are 2+ .' -p199842 -(lp199843 -S'Brachial\tBrachial\tNNP\tB-NP\tO' -p199844 -aS'pulses\tpulse\tVBZ\tB-VP\tO' -p199845 -aS'equal\tequal\tJJ\tB-NP\tO' -p199846 -aS'femoral\tfemoral\tJJ\tI-NP\tO' -p199847 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p199848 -aS'and\tand\tCC\tO\tO' -p199849 -aS'are\tbe\tVBP\tB-VP\tO' -p199850 -aS'2+\t2+\tJJ\tB-ADJP\tO' -p199851 -aS'.\t.\t.\tO\tO' -p199852 -asS'Physical and Occupational therapy were consulted and have recommended home with services .' -p199853 -(lp199854 -S'Physical\tPhysical\tJJ\tB-NP\tO' -p199855 -aS'and\tand\tCC\tI-NP\tO' -p199856 -aS'Occupational\tOccupational\tJJ\tI-NP\tO' -p199857 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p199858 -aS'were\tbe\tVBD\tB-VP\tO' -p199859 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p199860 -aS'and\tand\tCC\tO\tO' -p199861 -aS'have\thave\tVBP\tB-VP\tO' -p199862 -aS'recommended\trecommend\tVBN\tI-VP\tO' -p199863 -aS'home\thome\tNN\tB-ADVP\tO' -p199864 -aS'with\twith\tIN\tB-PP\tO' -p199865 -aS'services\tservice\tNNS\tB-NP\tO' -p199866 -aS'.\t.\t.\tO\tO' -p199867 -asS'Tongue midline .' -p199868 -(lp199869 -S'Tongue\tTongue\tJJ\tB-NP\tO' -p199870 -aS'midline\tmidline\tNN\tI-NP\tO' -p199871 -aS'.\t.\t.\tO\tO' -p199872 -asS'22. Finasteride 5 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' -p199873 -(lp199874 -S'22.\t22.\tCD\tB-NP\tO' -p199875 -aS'Finasteride\tFinasteride\tNN\tI-NP\tO' -p199876 -aS'5\t5\tCD\tB-NP\tO' -p199877 -aS'mg\tmg\tNN\tI-NP\tO' -p199878 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p199879 -aS'Sig\tSig\tNNP\tI-NP\tO' -p199880 -aS':\t:\t:\tO\tO' -p199881 -aS'One\tOne\tCD\tB-NP\tO' -p199882 -aS'(\t(\t(\tO\tO' -p199883 -aS'1\t1\tCD\tB-NP\tO' -p199884 -aS')\t)\t)\tO\tO' -p199885 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p199886 -aS'PO\tPO\tNN\tI-NP\tO' -p199887 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p199888 -aS'(\t(\t(\tO\tO' -p199889 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p199890 -aS')\t)\t)\tO\tO' -p199891 -aS'.\t.\t.\tO\tO' -p199892 -asS'Please call ( 890 ) 541-3008 to schedule an appointment .' -p199893 -(lp199894 -S'Please\tPlease\tNN\tB-NP\tO' -p199895 -aS'call\tcall\tNN\tI-NP\tO' -p199896 -aS'(\t(\t(\tO\tO' -p199897 -aS'890\t890\tCD\tB-NP\tO' -p199898 -aS')\t)\t)\tO\tO' -p199899 -aS'541-3008\t541-3008\tCD\tB-NP\tO' -p199900 -aS'to\tto\tTO\tB-VP\tO' -p199901 -aS'schedule\tschedule\tVB\tI-VP\tO' -p199902 -aS'an\tan\tDT\tB-NP\tO' -p199903 -aS'appointment\tappointment\tNN\tI-NP\tO' -p199904 -aS'.\t.\t.\tO\tO' -p199905 -asS'# 2. History of M. kansasaii with workup by Dr. Screen at Sas General Hospital proceeding currently .' -p199906 -(lp199907 -S'#\t#\t#\tB-NP\tO' -p199908 -aS'2.\t2.\tLS\tI-NP\tO' -p199909 -aS'History\tHistory\tNN\tI-NP\tO' -p199910 -aS'of\tof\tIN\tB-PP\tO' -p199911 -aS'M.\tM.\tNNP\tB-NP\tO' -p199912 -aS'kansasaii\tkansasaii\tNNS\tI-NP\tO' -p199913 -aS'with\twith\tIN\tB-PP\tO' -p199914 -aS'workup\tworkup\tNN\tB-NP\tO' -p199915 -aS'by\tby\tIN\tB-PP\tO' -p199916 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p199917 -aS'Screen\tScreen\tNNP\tI-NP\tO' -p199918 -aS'at\tat\tIN\tB-PP\tO' -p199919 -aS'Sas\tSas\tNNP\tB-NP\tO' -p199920 -aS'General\tGeneral\tNNP\tI-NP\tO' -p199921 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p199922 -aS'proceeding\tproceed\tVBG\tB-VP\tO' -p199923 -aS'currently\tcurrently\tRB\tB-ADVP\tO' -p199924 -aS'.\t.\t.\tO\tO' -p199925 -asS'4. Norvasc 10 mg p.o. q. day .' -p199926 -(lp199927 -S'4.\t4.\tLS\tB-LST\tO' -p199928 -aS'Norvasc\tNorvasc\tNNP\tB-NP\tO' -p199929 -aS'10\t10\tCD\tI-NP\tO' -p199930 -aS'mg\tmg\tNN\tI-NP\tO' -p199931 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p199932 -aS'q.\tq.\tNN\tI-NP\tO' -p199933 -aS'day\tday\tNN\tI-NP\tO' -p199934 -aS'.\t.\t.\tO\tO' -p199935 -asS'# CAD/CHF - The patient was restarted on his home regimen prior to discharge as it was held temporarily given his acute GI bleed .' -p199936 -(lp199937 -S'#\t#\t#\tB-NP\tO' -p199938 -aS'CAD/CHF\tCAD/CHF\tNN\tI-NP\tB-protein' -p199939 -aS'-\t-\tHYPH\tO\tO' -p199940 -aS'The\tThe\tDT\tB-NP\tO' -p199941 -aS'patient\tpatient\tNN\tI-NP\tO' -p199942 -aS'was\tbe\tVBD\tB-VP\tO' -p199943 -aS'restarted\trestart\tVBN\tI-VP\tO' -p199944 -aS'on\ton\tIN\tB-PP\tO' -p199945 -aS'his\this\tPRP$\tB-NP\tO' -p199946 -aS'home\thome\tNN\tI-NP\tO' -p199947 -aS'regimen\tregimen\tNN\tI-NP\tO' -p199948 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p199949 -aS'to\tto\tTO\tB-VP\tO' -p199950 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p199951 -aS'as\tas\tIN\tB-SBAR\tO' -p199952 -aS'it\tit\tPRP\tB-NP\tO' -p199953 -aS'was\tbe\tVBD\tB-VP\tO' -p199954 -aS'held\thold\tVBN\tI-VP\tO' -p199955 -aS'temporarily\ttemporarily\tRB\tI-VP\tO' -p199956 -aS'given\tgive\tVBN\tI-VP\tO' -p199957 -aS'his\this\tPRP$\tB-NP\tO' -p199958 -aS'acute\tacute\tJJ\tI-NP\tO' -p199959 -aS'GI\tGI\tNN\tI-NP\tO' -p199960 -aS'bleed\tbleed\tNN\tI-NP\tO' -p199961 -aS'.\t.\t.\tO\tO' -p199962 -asS'Call your doctor immediately if any new symptoms develop including fevers , rash , increase in bloody urine in nephrostomy or urostomy bags , etc .' -p199963 -(lp199964 -S'Call\tCall\tVB\tB-VP\tO' -p199965 -aS'your\tyour\tPRP$\tB-NP\tO' -p199966 -aS'doctor\tdoctor\tNN\tI-NP\tO' -p199967 -aS'immediately\timmediately\tRB\tB-ADVP\tO' -p199968 -aS'if\tif\tIN\tB-SBAR\tO' -p199969 -aS'any\tany\tDT\tB-NP\tO' -p199970 -aS'new\tnew\tJJ\tI-NP\tO' -p199971 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p199972 -aS'develop\tdevelop\tVBP\tB-VP\tO' -p199973 -aS'including\tinclude\tVBG\tB-PP\tO' -p199974 -aS'fevers\tfever\tNNS\tB-NP\tO' -p199975 -aS',\t,\t,\tO\tO' -p199976 -aS'rash\trash\tNN\tB-NP\tO' -p199977 -aS',\t,\t,\tO\tO' -p199978 -aS'increase\tincrease\tNN\tB-NP\tO' -p199979 -aS'in\tin\tIN\tB-PP\tO' -p199980 -aS'bloody\tbloody\tJJ\tB-NP\tO' -p199981 -aS'urine\turine\tNN\tI-NP\tO' -p199982 -aS'in\tin\tIN\tB-PP\tO' -p199983 -aS'nephrostomy\tnephrostomy\tNN\tB-NP\tO' -p199984 -aS'or\tor\tCC\tI-NP\tO' -p199985 -aS'urostomy\turostomy\tNN\tI-NP\tO' -p199986 -aS'bags\tbag\tNNS\tI-NP\tO' -p199987 -aS',\t,\t,\tO\tO' -p199988 -aS'etc\tetc\tFW\tB-NP\tO' -p199989 -aS'.\t.\t.\tO\tO' -p199990 -asS'She has had no syncope .' -p199991 -(lp199992 -S'She\tShe\tPRP\tB-NP\tO' -p199993 -aS'has\thave\tVBZ\tB-VP\tO' -p199994 -aS'had\thave\tVBN\tI-VP\tO' -p199995 -aS'no\tno\tDT\tB-NP\tO' -p199996 -aS'syncope\tsyncope\tNN\tI-NP\tO' -p199997 -aS'.\t.\t.\tO\tO' -p199998 -asS'The patient is a 47 year old patient of Dr. Laymie Fournier and Dr. Leebjescobe in Co In Saorlirv Frea , West Virginia who was well until a bout of double pneumonia in May 1992 , at which time he was hospitalized at Centdick Naco Hospital Medical Center .' -p199999 -(lp200000 -S'The\tThe\tDT\tB-NP\tO' -p200001 -aS'patient\tpatient\tNN\tI-NP\tO' -p200002 -aS'is\tbe\tVBZ\tB-VP\tO' -p200003 -aS'a\ta\tDT\tB-NP\tO' -p200004 -aS'47\t47\tCD\tI-NP\tO' -p200005 -aS'year\tyear\tNN\tI-NP\tO' -p200006 -aS'old\told\tJJ\tI-NP\tO' -p200007 -aS'patient\tpatient\tNN\tI-NP\tO' -p200008 -aS'of\tof\tIN\tB-PP\tO' -p200009 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p200010 -aS'Laymie\tLaymie\tNNP\tI-NP\tO' -p200011 -aS'Fournier\tFournier\tNNP\tI-NP\tO' -p200012 -aS'and\tand\tCC\tO\tO' -p200013 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p200014 -aS'Leebjescobe\tLeebjescobe\tNNP\tI-NP\tO' -p200015 -aS'in\tin\tIN\tB-PP\tO' -p200016 -aS'Co\tCo\tNNP\tB-NP\tO' -p200017 -aS'In\tIn\tIN\tB-PP\tO' -p200018 -aS'Saorlirv\tSaorlirv\tNNP\tB-NP\tO' -p200019 -aS'Frea\tFrea\tNNP\tI-NP\tO' -p200020 -aS',\t,\t,\tO\tO' -p200021 -aS'West\tWest\tNNP\tB-NP\tO' -p200022 -aS'Virginia\tVirginia\tNNP\tI-NP\tO' -p200023 -aS'who\twho\tWP\tB-NP\tO' -p200024 -aS'was\tbe\tVBD\tB-VP\tO' -p200025 -aS'well\twell\tRB\tB-ADVP\tO' -p200026 -aS'until\tuntil\tIN\tB-SBAR\tO' -p200027 -aS'a\ta\tDT\tB-NP\tO' -p200028 -aS'bout\tbout\tNN\tI-NP\tO' -p200029 -aS'of\tof\tIN\tB-PP\tO' -p200030 -aS'double\tdouble\tJJ\tB-NP\tO' -p200031 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p200032 -aS'in\tin\tIN\tB-PP\tO' -p200033 -aS'May\tMay\tNNP\tB-NP\tO' -p200034 -aS'1992\t1992\tCD\tI-NP\tO' -p200035 -aS',\t,\t,\tO\tO' -p200036 -aS'at\tat\tIN\tB-PP\tO' -p200037 -aS'which\twhich\tWDT\tB-NP\tO' -p200038 -aS'time\ttime\tNN\tI-NP\tO' -p200039 -aS'he\the\tPRP\tB-NP\tO' -p200040 -aS'was\tbe\tVBD\tB-VP\tO' -p200041 -aS'hospitalized\thospitalize\tVBN\tI-VP\tO' -p200042 -aS'at\tat\tIN\tB-PP\tO' -p200043 -aS'Centdick\tCentdick\tNNP\tB-NP\tO' -p200044 -aS'Naco\tNaco\tNNP\tI-NP\tO' -p200045 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p200046 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p200047 -aS'Center\tCenter\tNNP\tI-NP\tO' -p200048 -aS'.\t.\t.\tO\tO' -p200049 -asS'Disp :* 50 Tablet (s)* Refills :* 0 *' -p200050 -(lp200051 -S'Disp\tDisp\tNN\tB-NP\tO' -p200052 -aS':*\t:*\tSYM\tI-NP\tO' -p200053 -aS'50\t50\tCD\tI-NP\tO' -p200054 -aS'Tablet\tTablet\tNN\tI-NP\tO' -p200055 -aS'(s)*\t(s)*\tSYM\tB-NP\tO' -p200056 -aS'Refills\tRefill\tNNPS\tI-NP\tO' -p200057 -aS':*\t:*\tSYM\tB-NP\tO' -p200058 -aS'0\t0\tCD\tI-NP\tO' -p200059 -aS'*\t*\tSYM\tB-NP\tO' -p200060 -asS'The patient was discharged home in stable condition and will follow up with his cardiologist and will follow up with Dr. Hemp and Dr. Signs .' -p200061 -(lp200062 -S'The\tThe\tDT\tB-NP\tO' -p200063 -aS'patient\tpatient\tNN\tI-NP\tO' -p200064 -aS'was\tbe\tVBD\tB-VP\tO' -p200065 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p200066 -aS'home\thome\tNN\tB-ADVP\tO' -p200067 -aS'in\tin\tIN\tB-PP\tO' -p200068 -aS'stable\tstable\tJJ\tB-NP\tO' -p200069 -aS'condition\tcondition\tNN\tI-NP\tO' -p200070 -aS'and\tand\tCC\tO\tO' -p200071 -aS'will\twill\tMD\tB-VP\tO' -p200072 -aS'follow\tfollow\tVB\tI-VP\tO' -p200073 -aS'up\tup\tRP\tB-PRT\tO' -p200074 -aS'with\twith\tIN\tB-PP\tO' -p200075 -aS'his\this\tPRP$\tB-NP\tO' -p200076 -aS'cardiologist\tcardiologist\tNN\tI-NP\tO' -p200077 -aS'and\tand\tCC\tO\tO' -p200078 -aS'will\twill\tMD\tB-VP\tO' -p200079 -aS'follow\tfollow\tVB\tI-VP\tO' -p200080 -aS'up\tup\tRP\tB-PRT\tO' -p200081 -aS'with\twith\tIN\tB-PP\tO' -p200082 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p200083 -aS'Hemp\tHemp\tNNP\tI-NP\tO' -p200084 -aS'and\tand\tCC\tO\tO' -p200085 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p200086 -aS'Signs\tSigns\tNNP\tI-NP\tO' -p200087 -aS'.\t.\t.\tO\tO' -p200088 -asS'Left hip shows flexion and extension 40 .' -p200089 -(lp200090 -S'Left\tLeave\tVBN\tB-NP\tO' -p200091 -aS'hip\thip\tNN\tI-NP\tO' -p200092 -aS'shows\tshow\tVBZ\tB-VP\tO' -p200093 -aS'flexion\tflexion\tNN\tB-NP\tO' -p200094 -aS'and\tand\tCC\tO\tO' -p200095 -aS'extension\textension\tNN\tB-NP\tO' -p200096 -aS'40\t40\tCD\tI-NP\tO' -p200097 -aS'.\t.\t.\tO\tO' -p200098 -asS'Toprol XL 100 mg p.o. every day .' -p200099 -(lp200100 -S'Toprol\tToprol\tNN\tB-NP\tO' -p200101 -aS'XL\tXL\tNN\tI-NP\tO' -p200102 -aS'100\t100\tCD\tI-NP\tO' -p200103 -aS'mg\tmg\tNN\tI-NP\tO' -p200104 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p200105 -aS'every\tevery\tDT\tB-NP\tO' -p200106 -aS'day\tday\tNN\tI-NP\tO' -p200107 -aS'.\t.\t.\tO\tO' -p200108 -asS'PICC line placed 2019-01-08 , this should be discontinued immediately after pt finishes the linezolid course .' -p200109 -(lp200110 -S'PICC\tPICC\tNN\tB-NP\tO' -p200111 -aS'line\tline\tNN\tI-NP\tO' -p200112 -aS'placed\tplace\tVBD\tB-VP\tO' -p200113 -aS'2019-01-08\t2019-01-08\tCD\tB-NP\tO' -p200114 -aS',\t,\t,\tO\tO' -p200115 -aS'this\tthis\tDT\tB-NP\tO' -p200116 -aS'should\tshould\tMD\tB-VP\tO' -p200117 -aS'be\tbe\tVB\tI-VP\tO' -p200118 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p200119 -aS'immediately\timmediately\tRB\tB-ADVP\tO' -p200120 -aS'after\tafter\tIN\tB-SBAR\tO' -p200121 -aS'pt\tpt\tNN\tB-NP\tO' -p200122 -aS'finishes\tfinish\tVBZ\tB-VP\tO' -p200123 -aS'the\tthe\tDT\tB-NP\tO' -p200124 -aS'linezolid\tlinezolid\tJJ\tI-NP\tO' -p200125 -aS'course\tcourse\tNN\tI-NP\tO' -p200126 -aS'.\t.\t.\tO\tO' -p200127 -asS'Serum toxic screen is negative .' -p200128 -(lp200129 -S'Serum\tSerum\tNN\tB-NP\tO' -p200130 -aS'toxic\ttoxic\tJJ\tI-NP\tO' -p200131 -aS'screen\tscreen\tNN\tI-NP\tO' -p200132 -aS'is\tbe\tVBZ\tB-VP\tO' -p200133 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p200134 -aS'.\t.\t.\tO\tO' -p200135 -asS'CV - Normal S1/S2 , irreg irreg' -p200136 -(lp200137 -S'CV\tCV\tNN\tB-NP\tO' -p200138 -aS'-\t-\tHYPH\tI-NP\tO' -p200139 -aS'Normal\tNormal\tJJ\tI-NP\tO' -p200140 -aS'S1/S2\tS1/S2\tNN\tI-NP\tO' -p200141 -aS',\t,\t,\tO\tO' -p200142 -aS'irreg\tirreg\tNN\tB-NP\tO' -p200143 -aS'irreg\tirreg\tNN\tI-NP\tO' -p200144 -asS'HEENT - NC AT .' -p200145 -(lp200146 -S'HEENT\tHEENT\tNN\tB-NP\tB-protein' -p200147 -aS'-\t-\tHYPH\tI-NP\tO' -p200148 -aS'NC\tNC\tNN\tI-NP\tB-protein' -p200149 -aS'AT\tAT\tNN\tI-NP\tI-protein' -p200150 -aS'.\t.\t.\tO\tO' -p200151 -asS'The patient was taken to the OR on POD#0 for re-exploration with incision at 2243 .' -p200152 -(lp200153 -S'The\tThe\tDT\tB-NP\tO' -p200154 -aS'patient\tpatient\tNN\tI-NP\tO' -p200155 -aS'was\tbe\tVBD\tB-VP\tO' -p200156 -aS'taken\ttake\tVBN\tI-VP\tO' -p200157 -aS'to\tto\tTO\tB-PP\tO' -p200158 -aS'the\tthe\tDT\tB-NP\tO' -p200159 -aS'OR\tOR\tNN\tI-NP\tO' -p200160 -aS'on\ton\tIN\tB-PP\tO' -p200161 -aS'POD#0\tPOD#0\tNN\tB-NP\tB-protein' -p200162 -aS'for\tfor\tIN\tB-PP\tO' -p200163 -aS're-exploration\tre-exploration\tNN\tB-NP\tO' -p200164 -aS'with\twith\tIN\tB-PP\tO' -p200165 -aS'incision\tincision\tNN\tB-NP\tO' -p200166 -aS'at\tat\tIN\tB-PP\tO' -p200167 -aS'2243\t2243\tCD\tB-NP\tO' -p200168 -aS'.\t.\t.\tO\tO' -p200169 -asS'Shower daily , let water flow over wounds , pat dry with a towel .' -p200170 -(lp200171 -S'Shower\tShower\tRBR\tB-ADVP\tO' -p200172 -aS'daily\tdaily\tRB\tI-ADVP\tO' -p200173 -aS',\t,\t,\tO\tO' -p200174 -aS'let\tlet\tVB\tB-VP\tO' -p200175 -aS'water\twater\tNN\tB-NP\tO' -p200176 -aS'flow\tflow\tNN\tI-NP\tO' -p200177 -aS'over\tover\tIN\tB-PP\tO' -p200178 -aS'wounds\twound\tNNS\tB-NP\tO' -p200179 -aS',\t,\t,\tO\tO' -p200180 -aS'pat\tpat\tNN\tB-NP\tO' -p200181 -aS'dry\tdry\tJJ\tB-ADJP\tO' -p200182 -aS'with\twith\tIN\tB-PP\tO' -p200183 -aS'a\ta\tDT\tB-NP\tO' -p200184 -aS'towel\ttowel\tNN\tI-NP\tO' -p200185 -aS'.\t.\t.\tO\tO' -p200186 -asS'Bilateral red reflexes .' -p200187 -(lp200188 -S'Bilateral\tBilateral\tJJ\tB-NP\tO' -p200189 -aS'red\tred\tJJ\tI-NP\tO' -p200190 -aS'reflexes\treflex\tNNS\tI-NP\tO' -p200191 -aS'.\t.\t.\tO\tO' -p200192 -asS'She will be discharged on AmBisome 300 mg IV q.d. for treatment of her hepatic candidiasis .' -p200193 -(lp200194 -S'She\tShe\tPRP\tB-NP\tO' -p200195 -aS'will\twill\tMD\tB-VP\tO' -p200196 -aS'be\tbe\tVB\tI-VP\tO' -p200197 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p200198 -aS'on\ton\tIN\tB-PP\tO' -p200199 -aS'AmBisome\tAmBisome\tJJ\tB-NP\tO' -p200200 -aS'300\t300\tCD\tI-NP\tO' -p200201 -aS'mg\tmg\tNN\tI-NP\tO' -p200202 -aS'IV\tIV\tCD\tB-NP\tO' -p200203 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p200204 -aS'for\tfor\tIN\tB-PP\tO' -p200205 -aS'treatment\ttreatment\tNN\tB-NP\tO' -p200206 -aS'of\tof\tIN\tB-PP\tO' -p200207 -aS'her\ther\tPRP$\tB-NP\tO' -p200208 -aS'hepatic\thepatic\tJJ\tI-NP\tO' -p200209 -aS'candidiasis\tcandidiasis\tNN\tI-NP\tO' -p200210 -aS'.\t.\t.\tO\tO' -p200211 -asS'Few inspiratory wheezes and no rhonchi .' -p200212 -(lp200213 -S'Few\tFew\tJJ\tB-NP\tO' -p200214 -aS'inspiratory\tinspiratory\tJJ\tI-NP\tO' -p200215 -aS'wheezes\twheeze\tNNS\tI-NP\tO' -p200216 -aS'and\tand\tCC\tO\tO' -p200217 -aS'no\tno\tDT\tB-NP\tO' -p200218 -aS'rhonchi\trhonchi\tNN\tI-NP\tO' -p200219 -aS'.\t.\t.\tO\tO' -p200220 -asS'She was given blow-by oxygen and stimulation .' -p200221 -(lp200222 -S'She\tShe\tPRP\tB-NP\tO' -p200223 -aS'was\tbe\tVBD\tB-VP\tO' -p200224 -aS'given\tgive\tVBN\tI-VP\tO' -p200225 -aS'blow-by\tblow-by\tJJ\tB-NP\tO' -p200226 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p200227 -aS'and\tand\tCC\tI-NP\tO' -p200228 -aS'stimulation\tstimulation\tNN\tI-NP\tO' -p200229 -aS'.\t.\t.\tO\tO' -p200230 -asS'For a short time , she seemed " locked in " .' -p200231 -(lp200232 -S'For\tFor\tIN\tB-PP\tO' -p200233 -aS'a\ta\tDT\tB-NP\tO' -p200234 -aS'short\tshort\tJJ\tI-NP\tO' -p200235 -aS'time\ttime\tNN\tI-NP\tO' -p200236 -aS',\t,\t,\tO\tO' -p200237 -aS'she\tshe\tPRP\tB-NP\tO' -p200238 -aS'seemed\tseem\tVBD\tB-VP\tO' -p200239 -aS'"\t"\t:\tO\tO' -p200240 -aS'locked\tlock\tVBN\tB-VP\tO' -p200241 -aS'in\tin\tIN\tB-PP\tO' -p200242 -aS'"\t"\tNN\tB-NP\tO' -p200243 -aS'.\t.\t.\tO\tO' -p200244 -asS'Neurological examination intact .' -p200245 -(lp200246 -S'Neurological\tNeurological\tJJ\tB-NP\tO' -p200247 -aS'examination\texamination\tNN\tI-NP\tO' -p200248 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p200249 -aS'.\t.\t.\tO\tO' -p200250 -asS'In general , he was unarousible , intubated , not on any sedation .' -p200251 -(lp200252 -S'In\tIn\tIN\tB-PP\tO' -p200253 -aS'general\tgeneral\tJJ\tB-ADJP\tO' -p200254 -aS',\t,\t,\tO\tO' -p200255 -aS'he\the\tPRP\tB-NP\tO' -p200256 -aS'was\tbe\tVBD\tB-VP\tO' -p200257 -aS'unarousible\tunarousible\tJJ\tB-ADJP\tO' -p200258 -aS',\t,\t,\tO\tO' -p200259 -aS'intubated\tintubated\tJJ\tB-ADJP\tO' -p200260 -aS',\t,\t,\tB-PP\tO' -p200261 -aS'not\tnot\tRB\tI-PP\tO' -p200262 -aS'on\ton\tIN\tB-PP\tO' -p200263 -aS'any\tany\tDT\tB-NP\tO' -p200264 -aS'sedation\tsedation\tNN\tI-NP\tO' -p200265 -aS'.\t.\t.\tO\tO' -p200266 -asS'The patient is a 55 - year-old male with recently diagnosed abdominal carcinomatosis .' -p200267 -(lp200268 -S'The\tThe\tDT\tB-NP\tO' -p200269 -aS'patient\tpatient\tNN\tI-NP\tO' -p200270 -aS'is\tbe\tVBZ\tB-VP\tO' -p200271 -aS'a\ta\tDT\tB-NP\tO' -p200272 -aS'55\t55\tCD\tI-NP\tO' -p200273 -aS'-\t-\tHYPH\tI-NP\tO' -p200274 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p200275 -aS'male\tmale\tNN\tI-NP\tO' -p200276 -aS'with\twith\tIN\tB-PP\tO' -p200277 -aS'recently\trecently\tRB\tB-NP\tO' -p200278 -aS'diagnosed\tdiagnose\tVBN\tI-NP\tO' -p200279 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p200280 -aS'carcinomatosis\tcarcinomatosis\tNN\tI-NP\tO' -p200281 -aS'.\t.\t.\tO\tO' -p200282 -asS'Patient has a seventy pack year history of smoking which he quit ten years ago and he has previously had problems with alcohol .' -p200283 -(lp200284 -S'Patient\tPatient\tNN\tB-NP\tO' -p200285 -aS'has\thave\tVBZ\tB-VP\tO' -p200286 -aS'a\ta\tDT\tB-NP\tO' -p200287 -aS'seventy\tseventy\tJJ\tI-NP\tO' -p200288 -aS'pack\tpack\tNN\tI-NP\tO' -p200289 -aS'year\tyear\tNN\tI-NP\tO' -p200290 -aS'history\thistory\tNN\tI-NP\tO' -p200291 -aS'of\tof\tIN\tB-PP\tO' -p200292 -aS'smoking\tsmoking\tNN\tB-NP\tO' -p200293 -aS'which\twhich\tWDT\tB-NP\tO' -p200294 -aS'he\the\tPRP\tB-NP\tO' -p200295 -aS'quit\tquit\tVBD\tB-VP\tO' -p200296 -aS'ten\tten\tCD\tB-NP\tO' -p200297 -aS'years\tyear\tNNS\tI-NP\tO' -p200298 -aS'ago\tago\tRB\tB-ADVP\tO' -p200299 -aS'and\tand\tCC\tO\tO' -p200300 -aS'he\the\tPRP\tB-NP\tO' -p200301 -aS'has\thave\tVBZ\tB-VP\tO' -p200302 -aS'previously\tpreviously\tRB\tI-VP\tO' -p200303 -aS'had\thave\tVBN\tI-VP\tO' -p200304 -aS'problems\tproblem\tNNS\tB-NP\tO' -p200305 -aS'with\twith\tIN\tB-PP\tO' -p200306 -aS'alcohol\talcohol\tNN\tB-NP\tO' -p200307 -aS'.\t.\t.\tO\tO' -p200308 -asS'the patient was alert and oriented x 4 .' -p200309 -(lp200310 -S'the\tthe\tDT\tB-NP\tO' -p200311 -aS'patient\tpatient\tNN\tI-NP\tO' -p200312 -aS'was\tbe\tVBD\tB-VP\tO' -p200313 -aS'alert\talert\tJJ\tB-ADJP\tO' -p200314 -aS'and\tand\tCC\tO\tO' -p200315 -aS'oriented\torient\tVBN\tB-VP\tB-protein' -p200316 -aS'x\tx\tNN\tB-NP\tI-protein' -p200317 -aS'4\t4\tCD\tI-NP\tI-protein' -p200318 -aS'.\t.\t.\tO\tO' -p200319 -asS'No masses .' -p200320 -(lp200321 -S'No\tNo\tDT\tB-NP\tO' -p200322 -aS'masses\tmass\tNNS\tI-NP\tO' -p200323 -aS'.\t.\t.\tO\tO' -p200324 -asS'In 1989 the patient was dunking a basketball and injured his right shoulder with abduction external rotation injury .' -p200325 -(lp200326 -S'In\tIn\tIN\tB-PP\tO' -p200327 -aS'1989\t1989\tCD\tB-NP\tO' -p200328 -aS'the\tthe\tDT\tB-NP\tO' -p200329 -aS'patient\tpatient\tNN\tI-NP\tO' -p200330 -aS'was\tbe\tVBD\tB-VP\tO' -p200331 -aS'dunking\tdunk\tVBG\tI-VP\tO' -p200332 -aS'a\ta\tDT\tB-NP\tO' -p200333 -aS'basketball\tbasketball\tNN\tI-NP\tO' -p200334 -aS'and\tand\tCC\tO\tO' -p200335 -aS'injured\tinjure\tVBD\tB-VP\tO' -p200336 -aS'his\this\tPRP$\tB-NP\tO' -p200337 -aS'right\tright\tJJ\tI-NP\tO' -p200338 -aS'shoulder\tshoulder\tNN\tI-NP\tO' -p200339 -aS'with\twith\tIN\tB-PP\tO' -p200340 -aS'abduction\tabduction\tNN\tB-NP\tO' -p200341 -aS'external\texternal\tJJ\tI-NP\tO' -p200342 -aS'rotation\trotation\tNN\tI-NP\tO' -p200343 -aS'injury\tinjury\tNN\tI-NP\tO' -p200344 -aS'.\t.\t.\tO\tO' -p200345 -asS'In the evening of the day of admission he was noted to be increasingly somnolent .' -p200346 -(lp200347 -S'In\tIn\tIN\tB-PP\tO' -p200348 -aS'the\tthe\tDT\tB-NP\tO' -p200349 -aS'evening\tevening\tNN\tI-NP\tO' -p200350 -aS'of\tof\tIN\tB-PP\tO' -p200351 -aS'the\tthe\tDT\tB-NP\tO' -p200352 -aS'day\tday\tNN\tI-NP\tO' -p200353 -aS'of\tof\tIN\tB-PP\tO' -p200354 -aS'admission\tadmission\tNN\tB-NP\tO' -p200355 -aS'he\the\tPRP\tB-NP\tO' -p200356 -aS'was\tbe\tVBD\tB-VP\tO' -p200357 -aS'noted\tnote\tVBN\tI-VP\tO' -p200358 -aS'to\tto\tTO\tI-VP\tO' -p200359 -aS'be\tbe\tVB\tI-VP\tO' -p200360 -aS'increasingly\tincreasingly\tRB\tB-ADJP\tO' -p200361 -aS'somnolent\tsomnolent\tJJ\tI-ADJP\tO' -p200362 -aS'.\t.\t.\tO\tO' -p200363 -asS'A week and half ago , she had a steroid injection in an efforts to ameliorate the pain .' -p200364 -(lp200365 -S'A\tA\tDT\tB-NP\tO' -p200366 -aS'week\tweek\tNN\tI-NP\tO' -p200367 -aS'and\tand\tCC\tO\tO' -p200368 -aS'half\thalf\tNN\tB-NP\tO' -p200369 -aS'ago\tago\tRB\tB-ADVP\tO' -p200370 -aS',\t,\t,\tO\tO' -p200371 -aS'she\tshe\tPRP\tB-NP\tO' -p200372 -aS'had\thave\tVBD\tB-VP\tO' -p200373 -aS'a\ta\tDT\tB-NP\tO' -p200374 -aS'steroid\tsteroid\tNN\tI-NP\tO' -p200375 -aS'injection\tinjection\tNN\tI-NP\tO' -p200376 -aS'in\tin\tIN\tB-PP\tO' -p200377 -aS'an\tan\tDT\tB-NP\tO' -p200378 -aS'efforts\teffort\tNNS\tI-NP\tO' -p200379 -aS'to\tto\tTO\tB-VP\tO' -p200380 -aS'ameliorate\tameliorate\tVB\tI-VP\tO' -p200381 -aS'the\tthe\tDT\tB-NP\tO' -p200382 -aS'pain\tpain\tNN\tI-NP\tO' -p200383 -aS'.\t.\t.\tO\tO' -p200384 -asS'The patient is an 83 - year-old male with a history of diabetes , steroid-treated polymyalgia rheumatica , hypertension , benign prostatic hypertrophy , and high cholesterol without presented to the hospital for lower extremity angiograph ; however , that was deferred due to new onset renal failure .' -p200385 -(lp200386 -S'The\tThe\tDT\tB-NP\tO' -p200387 -aS'patient\tpatient\tNN\tI-NP\tO' -p200388 -aS'is\tbe\tVBZ\tB-VP\tO' -p200389 -aS'an\tan\tDT\tB-NP\tO' -p200390 -aS'83\t83\tCD\tI-NP\tO' -p200391 -aS'-\t-\tHYPH\tI-NP\tO' -p200392 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p200393 -aS'male\tmale\tNN\tI-NP\tO' -p200394 -aS'with\twith\tIN\tB-PP\tO' -p200395 -aS'a\ta\tDT\tB-NP\tO' -p200396 -aS'history\thistory\tNN\tI-NP\tO' -p200397 -aS'of\tof\tIN\tB-PP\tO' -p200398 -aS'diabetes\tdiabetes\tNN\tB-NP\tO' -p200399 -aS',\t,\t,\tO\tO' -p200400 -aS'steroid-treated\tsteroid-treated\tJJ\tB-NP\tO' -p200401 -aS'polymyalgia\tpolymyalgia\tNN\tI-NP\tO' -p200402 -aS'rheumatica\trheumatica\tNN\tI-NP\tO' -p200403 -aS',\t,\t,\tO\tO' -p200404 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p200405 -aS',\t,\t,\tO\tO' -p200406 -aS'benign\tbenign\tJJ\tB-NP\tO' -p200407 -aS'prostatic\tprostatic\tJJ\tI-NP\tO' -p200408 -aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' -p200409 -aS',\t,\t,\tO\tO' -p200410 -aS'and\tand\tCC\tO\tO' -p200411 -aS'high\thigh\tJJ\tB-NP\tO' -p200412 -aS'cholesterol\tcholesterol\tNN\tI-NP\tO' -p200413 -aS'without\twithout\tIN\tB-PP\tO' -p200414 -aS'presented\tpresent\tVBN\tB-VP\tO' -p200415 -aS'to\tto\tTO\tB-PP\tO' -p200416 -aS'the\tthe\tDT\tB-NP\tO' -p200417 -aS'hospital\thospital\tNN\tI-NP\tO' -p200418 -aS'for\tfor\tIN\tB-PP\tO' -p200419 -aS'lower\tlow\tJJR\tB-NP\tO' -p200420 -aS'extremity\textremity\tNN\tI-NP\tO' -p200421 -aS'angiograph\tangiograph\tNN\tI-NP\tO' -p200422 -aS';\t;\t:\tO\tO' -p200423 -aS'however\thowever\tRB\tB-ADVP\tO' -p200424 -aS',\t,\t,\tO\tO' -p200425 -aS'that\tthat\tWDT\tB-NP\tO' -p200426 -aS'was\tbe\tVBD\tB-VP\tO' -p200427 -aS'deferred\tdefer\tVBN\tI-VP\tO' -p200428 -aS'due\tdue\tJJ\tB-ADJP\tO' -p200429 -aS'to\tto\tTO\tB-PP\tO' -p200430 -aS'new\tnew\tJJ\tB-NP\tO' -p200431 -aS'onset\tonset\tNN\tI-NP\tO' -p200432 -aS'renal\trenal\tJJ\tI-NP\tO' -p200433 -aS'failure\tfailure\tNN\tI-NP\tO' -p200434 -aS'.\t.\t.\tO\tO' -p200435 -asS'Attending : Michael I. Miller , M.D.' -p200436 -(lp200437 -S'Attending\tAttend\tVBG\tB-VP\tO' -p200438 -aS':\t:\t:\tO\tO' -p200439 -aS'Michael\tMichael\tNNP\tB-NP\tO' -p200440 -aS'I.\tI.\tNNP\tI-NP\tO' -p200441 -aS'Miller\tMiller\tNNP\tI-NP\tO' -p200442 -aS',\t,\t,\tO\tO' -p200443 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p200444 -asS'There is a linear right temporal calvarial fracture extending into the right temporal bones .' -p200445 -(lp200446 -S'There\tThere\tEX\tB-NP\tO' -p200447 -aS'is\tbe\tVBZ\tB-VP\tO' -p200448 -aS'a\ta\tDT\tB-NP\tO' -p200449 -aS'linear\tlinear\tJJ\tI-NP\tO' -p200450 -aS'right\tright\tJJ\tI-NP\tO' -p200451 -aS'temporal\ttemporal\tJJ\tI-NP\tO' -p200452 -aS'calvarial\tcalvarial\tJJ\tI-NP\tO' -p200453 -aS'fracture\tfracture\tNN\tI-NP\tO' -p200454 -aS'extending\textend\tVBG\tB-VP\tO' -p200455 -aS'into\tinto\tIN\tB-PP\tO' -p200456 -aS'the\tthe\tDT\tB-NP\tO' -p200457 -aS'right\tright\tJJ\tI-NP\tO' -p200458 -aS'temporal\ttemporal\tJJ\tI-NP\tO' -p200459 -aS'bones\tbone\tNNS\tI-NP\tO' -p200460 -aS'.\t.\t.\tO\tO' -p200461 -asS'It was felt that the patient possibly had a worsening of his coronary artery disease and therefore underwent cardiac catheterization on 01/17/96 .' -p200462 -(lp200463 -S'It\tIt\tPRP\tB-NP\tO' -p200464 -aS'was\tbe\tVBD\tB-VP\tO' -p200465 -aS'felt\tfeel\tVBN\tI-VP\tO' -p200466 -aS'that\tthat\tIN\tB-SBAR\tO' -p200467 -aS'the\tthe\tDT\tB-NP\tO' -p200468 -aS'patient\tpatient\tNN\tI-NP\tO' -p200469 -aS'possibly\tpossibly\tRB\tB-ADVP\tO' -p200470 -aS'had\thave\tVBD\tB-VP\tO' -p200471 -aS'a\ta\tDT\tB-NP\tO' -p200472 -aS'worsening\tworsening\tNN\tI-NP\tO' -p200473 -aS'of\tof\tIN\tB-PP\tO' -p200474 -aS'his\this\tPRP$\tB-NP\tO' -p200475 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p200476 -aS'artery\tartery\tNN\tI-NP\tO' -p200477 -aS'disease\tdisease\tNN\tI-NP\tO' -p200478 -aS'and\tand\tCC\tO\tO' -p200479 -aS'therefore\ttherefore\tRB\tB-ADVP\tO' -p200480 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p200481 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p200482 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p200483 -aS'on\ton\tIN\tB-PP\tO' -p200484 -aS'01/17/96\t01/17/96\tCD\tB-NP\tO' -p200485 -aS'.\t.\t.\tO\tO' -p200486 -asS'Responsible After Study for Causing Admission ) COPD flare' -p200487 -(lp200488 -S'Responsible\tResponsible\tJJ\tB-ADJP\tO' -p200489 -aS'After\tAfter\tIN\tB-PP\tO' -p200490 -aS'Study\tStudy\tNN\tB-NP\tO' -p200491 -aS'for\tfor\tIN\tB-PP\tO' -p200492 -aS'Causing\tCause\tVBG\tB-VP\tO' -p200493 -aS'Admission\tAdmission\tNN\tB-NP\tO' -p200494 -aS')\t)\t)\tO\tO' -p200495 -aS'COPD\tCOPD\tNN\tB-NP\tO' -p200496 -aS'flare\tflare\tNN\tI-NP\tO' -p200497 -asS'She tolerated a regular diet .' -p200498 -(lp200499 -S'She\tShe\tPRP\tB-NP\tO' -p200500 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p200501 -aS'a\ta\tDT\tB-NP\tO' -p200502 -aS'regular\tregular\tJJ\tI-NP\tO' -p200503 -aS'diet\tdiet\tNN\tI-NP\tO' -p200504 -aS'.\t.\t.\tO\tO' -p200505 -asS'Patient is a 49 year old previously healthy female , who was diagnosed in June , 1992 , with a breast carcinoma , after she presented with some breast discomfort on the left side .' -p200506 -(lp200507 -S'Patient\tPatient\tNN\tB-NP\tO' -p200508 -aS'is\tbe\tVBZ\tB-VP\tO' -p200509 -aS'a\ta\tDT\tB-NP\tO' -p200510 -aS'49\t49\tCD\tI-NP\tO' -p200511 -aS'year\tyear\tNN\tI-NP\tO' -p200512 -aS'old\told\tJJ\tI-NP\tO' -p200513 -aS'previously\tpreviously\tRB\tI-NP\tO' -p200514 -aS'healthy\thealthy\tJJ\tI-NP\tO' -p200515 -aS'female\tfemale\tNN\tI-NP\tO' -p200516 -aS',\t,\t,\tO\tO' -p200517 -aS'who\twho\tWP\tB-NP\tO' -p200518 -aS'was\tbe\tVBD\tB-VP\tO' -p200519 -aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' -p200520 -aS'in\tin\tIN\tB-PP\tO' -p200521 -aS'June\tJune\tNNP\tB-NP\tO' -p200522 -aS',\t,\t,\tO\tO' -p200523 -aS'1992\t1992\tCD\tB-NP\tO' -p200524 -aS',\t,\t,\tO\tO' -p200525 -aS'with\twith\tIN\tB-PP\tO' -p200526 -aS'a\ta\tDT\tB-NP\tO' -p200527 -aS'breast\tbreast\tNN\tI-NP\tO' -p200528 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p200529 -aS',\t,\t,\tO\tO' -p200530 -aS'after\tafter\tIN\tB-SBAR\tO' -p200531 -aS'she\tshe\tPRP\tB-NP\tO' -p200532 -aS'presented\tpresent\tVBD\tB-VP\tO' -p200533 -aS'with\twith\tIN\tB-PP\tO' -p200534 -aS'some\tsome\tDT\tB-NP\tO' -p200535 -aS'breast\tbreast\tNN\tI-NP\tO' -p200536 -aS'discomfort\tdiscomfort\tNN\tI-NP\tO' -p200537 -aS'on\ton\tIN\tB-PP\tO' -p200538 -aS'the\tthe\tDT\tB-NP\tO' -p200539 -aS'left\tleft\tJJ\tI-NP\tO' -p200540 -aS'side\tside\tNN\tI-NP\tO' -p200541 -aS'.\t.\t.\tO\tO' -p200542 -asS'Compared to the previous tracing of 2014-07-30 no significant change .' -p200543 -(lp200544 -S'Compared\tCompare\tVBN\tB-PP\tO' -p200545 -aS'to\tto\tTO\tB-PP\tO' -p200546 -aS'the\tthe\tDT\tB-NP\tO' -p200547 -aS'previous\tprevious\tJJ\tI-NP\tO' -p200548 -aS'tracing\ttracing\tNN\tI-NP\tO' -p200549 -aS'of\tof\tIN\tB-PP\tO' -p200550 -aS'2014-07-30\t2014-07-30\tCD\tB-NP\tO' -p200551 -aS'no\tno\tDT\tB-NP\tO' -p200552 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p200553 -aS'change\tchange\tNN\tI-NP\tO' -p200554 -aS'.\t.\t.\tO\tO' -p200555 -asS'Of note , this is the second time the patient has exercised in many months .' -p200556 -(lp200557 -S'Of\tOf\tIN\tB-PP\tO' -p200558 -aS'note\tnote\tNN\tB-NP\tO' -p200559 -aS',\t,\t,\tO\tO' -p200560 -aS'this\tthis\tDT\tB-NP\tO' -p200561 -aS'is\tbe\tVBZ\tB-VP\tO' -p200562 -aS'the\tthe\tDT\tB-NP\tO' -p200563 -aS'second\tsecond\tJJ\tI-NP\tO' -p200564 -aS'time\ttime\tNN\tI-NP\tO' -p200565 -aS'the\tthe\tDT\tB-NP\tO' -p200566 -aS'patient\tpatient\tNN\tI-NP\tO' -p200567 -aS'has\thave\tVBZ\tB-VP\tO' -p200568 -aS'exercised\texercise\tVBN\tI-VP\tO' -p200569 -aS'in\tin\tIN\tB-PP\tO' -p200570 -aS'many\tmany\tJJ\tB-NP\tO' -p200571 -aS'months\tmonth\tNNS\tI-NP\tO' -p200572 -aS'.\t.\t.\tO\tO' -p200573 -asS'Estimated blood loss was 100 cc and she tolerated the procedure well .' -p200574 -(lp200575 -S'Estimated\tEstimate\tVBN\tB-NP\tO' -p200576 -aS'blood\tblood\tNN\tI-NP\tO' -p200577 -aS'loss\tloss\tNN\tI-NP\tO' -p200578 -aS'was\tbe\tVBD\tB-VP\tO' -p200579 -aS'100\t100\tCD\tB-NP\tO' -p200580 -aS'cc\tcc\tNN\tI-NP\tO' -p200581 -aS'and\tand\tCC\tO\tO' -p200582 -aS'she\tshe\tPRP\tB-NP\tO' -p200583 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p200584 -aS'the\tthe\tDT\tB-NP\tO' -p200585 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p200586 -aS'well\twell\tRB\tB-ADVP\tO' -p200587 -aS'.\t.\t.\tO\tO' -p200588 -asS'He was transferred to Mass. Eye & Ear Infirmary for treatment .' -p200589 -(lp200590 -S'He\tHe\tPRP\tB-NP\tO' -p200591 -aS'was\tbe\tVBD\tB-VP\tO' -p200592 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p200593 -aS'to\tto\tTO\tB-PP\tO' -p200594 -aS'Mass.\tMass.\tNNP\tB-NP\tO' -p200595 -aS'Eye\tEye\tNNP\tI-NP\tO' -p200596 -aS'&\t&\tCC\tI-NP\tO' -p200597 -aS'Ear\tEar\tNNP\tI-NP\tO' -p200598 -aS'Infirmary\tInfirmary\tNNP\tI-NP\tO' -p200599 -aS'for\tfor\tIN\tB-PP\tO' -p200600 -aS'treatment\ttreatment\tNN\tB-NP\tO' -p200601 -aS'.\t.\t.\tO\tO' -p200602 -asS'Her abd distention and tenderness improved after bowel movement .' -p200603 -(lp200604 -S'Her\tHer\tPRP$\tB-NP\tO' -p200605 -aS'abd\tabd\tNN\tI-NP\tO' -p200606 -aS'distention\tdistention\tNN\tI-NP\tO' -p200607 -aS'and\tand\tCC\tI-NP\tO' -p200608 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p200609 -aS'improved\timprove\tVBD\tB-VP\tO' -p200610 -aS'after\tafter\tIN\tB-PP\tO' -p200611 -aS'bowel\tbowel\tNN\tB-NP\tO' -p200612 -aS'movement\tmovement\tNN\tI-NP\tO' -p200613 -aS'.\t.\t.\tO\tO' -p200614 -asS'pt was Levo 250mg x 3 days for UTI ( pyuria on admisstion ) .' -p200615 -(lp200616 -S'pt\tpt\tNN\tB-NP\tO' -p200617 -aS'was\tbe\tVBD\tB-VP\tO' -p200618 -aS'Levo\tLevo\tNNP\tB-NP\tO' -p200619 -aS'250mg\t250mg\tCD\tI-NP\tO' -p200620 -aS'x\tx\tCC\tI-NP\tO' -p200621 -aS'3\t3\tCD\tI-NP\tO' -p200622 -aS'days\tday\tNNS\tI-NP\tO' -p200623 -aS'for\tfor\tIN\tB-PP\tO' -p200624 -aS'UTI\tUTI\tNN\tB-NP\tO' -p200625 -aS'(\t(\t(\tO\tO' -p200626 -aS'pyuria\tpyuria\tNN\tB-NP\tO' -p200627 -aS'on\ton\tIN\tB-PP\tO' -p200628 -aS'admisstion\tadmisstion\tNN\tB-NP\tO' -p200629 -aS')\t)\t)\tO\tO' -p200630 -aS'.\t.\t.\tO\tO' -p200631 -asS'1. Prematurity .' -p200632 -(lp200633 -S'1.\t1.\tLS\tB-NP\tO' -p200634 -aS'Prematurity\tPrematurity\tNN\tI-NP\tO' -p200635 -aS'.\t.\t.\tO\tO' -p200636 -asS'Dr. Grendwierst 1-2 weeks , No Known Allergies' -p200637 -(lp200638 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p200639 -aS'Grendwierst\tGrendwierst\tNNP\tI-NP\tO' -p200640 -aS'1-2\t1-2\tNN\tI-NP\tO' -p200641 -aS'weeks\tweek\tNNS\tI-NP\tO' -p200642 -aS',\t,\t,\tO\tO' -p200643 -aS'No\tNo\tNNP\tB-NP\tO' -p200644 -aS'Known\tKnown\tNNP\tI-NP\tO' -p200645 -aS'Allergies\tAllergies\tNNP\tI-NP\tO' -p200646 -asS'The patient has many siblings , all of which are girls .' -p200647 -(lp200648 -S'The\tThe\tDT\tB-NP\tO' -p200649 -aS'patient\tpatient\tNN\tI-NP\tO' -p200650 -aS'has\thave\tVBZ\tB-VP\tO' -p200651 -aS'many\tmany\tJJ\tB-NP\tO' -p200652 -aS'siblings\tsibling\tNNS\tI-NP\tO' -p200653 -aS',\t,\t,\tO\tO' -p200654 -aS'all\tall\tDT\tB-NP\tO' -p200655 -aS'of\tof\tIN\tB-PP\tO' -p200656 -aS'which\twhich\tWDT\tB-NP\tO' -p200657 -aS'are\tbe\tVBP\tB-VP\tO' -p200658 -aS'girls\tgirl\tNNS\tB-NP\tO' -p200659 -aS'.\t.\t.\tO\tO' -p200660 -asS'4) h/o stab wound complicated by pneumothorax .' -p200661 -(lp200662 -S'4)\t4)\tLS\tB-NP\tO' -p200663 -aS'h/o\th/o\tNN\tI-NP\tO' -p200664 -aS'stab\tstab\tNN\tI-NP\tO' -p200665 -aS'wound\twound\tNN\tI-NP\tO' -p200666 -aS'complicated\tcomplicate\tVBN\tB-VP\tO' -p200667 -aS'by\tby\tIN\tB-PP\tO' -p200668 -aS'pneumothorax\tpneumothorax\tNN\tB-NP\tO' -p200669 -aS'.\t.\t.\tO\tO' -p200670 -asS'Sensation was intact to light touch , pin prick , and proprioception .' -p200671 -(lp200672 -S'Sensation\tSensation\tNN\tB-NP\tO' -p200673 -aS'was\tbe\tVBD\tB-VP\tO' -p200674 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p200675 -aS'to\tto\tTO\tB-PP\tO' -p200676 -aS'light\tlight\tJJ\tB-NP\tO' -p200677 -aS'touch\ttouch\tNN\tI-NP\tO' -p200678 -aS',\t,\t,\tO\tO' -p200679 -aS'pin\tpin\tNN\tB-NP\tO' -p200680 -aS'prick\tprick\tNN\tI-NP\tO' -p200681 -aS',\t,\t,\tO\tO' -p200682 -aS'and\tand\tCC\tO\tO' -p200683 -aS'proprioception\tproprioception\tNN\tB-NP\tO' -p200684 -aS'.\t.\t.\tO\tO' -p200685 -asS'Blood pressure 140/80 , heart rate 86 .' -p200686 -(lp200687 -S'Blood\tBlood\tNN\tB-NP\tO' -p200688 -aS'pressure\tpressure\tNN\tI-NP\tO' -p200689 -aS'140/80\t140/80\tCD\tI-NP\tO' -p200690 -aS',\t,\t,\tO\tO' -p200691 -aS'heart\theart\tNN\tB-NP\tO' -p200692 -aS'rate\trate\tNN\tI-NP\tO' -p200693 -aS'86\t86\tCD\tI-NP\tO' -p200694 -aS'.\t.\t.\tO\tO' -p200695 -asS"The baby 's blood type is B negative , antibody negative ." -p200696 -(lp200697 -S'The\tThe\tDT\tB-NP\tO' -p200698 -aS'baby\tbaby\tNN\tI-NP\tO' -p200699 -aS"'s\t's\tPOS\tB-NP\tO" -p200700 -aS'blood\tblood\tNN\tI-NP\tO' -p200701 -aS'type\ttype\tNN\tI-NP\tO' -p200702 -aS'is\tbe\tVBZ\tB-VP\tO' -p200703 -aS'B\tB\tNN\tB-NP\tO' -p200704 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p200705 -aS',\t,\t,\tO\tO' -p200706 -aS'antibody\tantibody\tNN\tB-NP\tO' -p200707 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p200708 -aS'.\t.\t.\tO\tO' -p200709 -asS'Much of his diffuse pain was felt to be due to this massive rhabdomyolysis .' -p200710 -(lp200711 -S'Much\tMuch\tJJ\tB-NP\tO' -p200712 -aS'of\tof\tIN\tB-PP\tO' -p200713 -aS'his\this\tPRP$\tB-NP\tO' -p200714 -aS'diffuse\tdiffuse\tJJ\tI-NP\tO' -p200715 -aS'pain\tpain\tNN\tI-NP\tO' -p200716 -aS'was\tbe\tVBD\tB-VP\tO' -p200717 -aS'felt\tfeel\tVBN\tI-VP\tO' -p200718 -aS'to\tto\tTO\tI-VP\tO' -p200719 -aS'be\tbe\tVB\tI-VP\tO' -p200720 -aS'due\tdue\tIN\tB-PP\tO' -p200721 -aS'to\tto\tTO\tB-PP\tO' -p200722 -aS'this\tthis\tDT\tB-NP\tO' -p200723 -aS'massive\tmassive\tJJ\tI-NP\tO' -p200724 -aS'rhabdomyolysis\trhabdomyolysis\tNN\tI-NP\tO' -p200725 -aS'.\t.\t.\tO\tO' -p200726 -asS'In the Newborn Nursery , he initially had a caput which increased in the amount of swelling and bruising in the subsequent 24 hours .' -p200727 -(lp200728 -S'In\tIn\tIN\tB-PP\tO' -p200729 -aS'the\tthe\tDT\tB-NP\tO' -p200730 -aS'Newborn\tNewborn\tNNP\tI-NP\tO' -p200731 -aS'Nursery\tNursery\tNNP\tI-NP\tO' -p200732 -aS',\t,\t,\tO\tO' -p200733 -aS'he\the\tPRP\tB-NP\tO' -p200734 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p200735 -aS'had\thave\tVBD\tB-VP\tO' -p200736 -aS'a\ta\tDT\tB-NP\tO' -p200737 -aS'caput\tcaput\tNN\tI-NP\tO' -p200738 -aS'which\twhich\tWDT\tB-NP\tO' -p200739 -aS'increased\tincrease\tVBD\tB-VP\tO' -p200740 -aS'in\tin\tIN\tB-PP\tO' -p200741 -aS'the\tthe\tDT\tB-NP\tO' -p200742 -aS'amount\tamount\tNN\tI-NP\tO' -p200743 -aS'of\tof\tIN\tB-PP\tO' -p200744 -aS'swelling\tswell\tVBG\tB-VP\tO' -p200745 -aS'and\tand\tCC\tI-VP\tO' -p200746 -aS'bruising\tbruise\tVBG\tI-VP\tO' -p200747 -aS'in\tin\tIN\tB-PP\tO' -p200748 -aS'the\tthe\tDT\tB-NP\tO' -p200749 -aS'subsequent\tsubsequent\tJJ\tI-NP\tO' -p200750 -aS'24\t24\tCD\tI-NP\tO' -p200751 -aS'hours\thour\tNNS\tI-NP\tO' -p200752 -aS'.\t.\t.\tO\tO' -p200753 -asS'Oral feedings were introduced as tolerated .' -p200754 -(lp200755 -S'Oral\tOral\tJJ\tB-NP\tO' -p200756 -aS'feedings\tfeeding\tNNS\tI-NP\tO' -p200757 -aS'were\tbe\tVBD\tB-VP\tO' -p200758 -aS'introduced\tintroduce\tVBN\tI-VP\tO' -p200759 -aS'as\tas\tIN\tB-SBAR\tO' -p200760 -aS'tolerated\ttolerate\tVBN\tB-VP\tO' -p200761 -aS'.\t.\t.\tO\tO' -p200762 -asS'Her Jackson-Pratt drain was removed on postoperative day number two .' -p200763 -(lp200764 -S'Her\tHer\tPRP$\tB-NP\tO' -p200765 -aS'Jackson-Pratt\tJackson-Pratt\tJJ\tI-NP\tO' -p200766 -aS'drain\tdrain\tNN\tI-NP\tO' -p200767 -aS'was\tbe\tVBD\tB-VP\tO' -p200768 -aS'removed\tremove\tVBN\tI-VP\tO' -p200769 -aS'on\ton\tIN\tB-PP\tO' -p200770 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p200771 -aS'day\tday\tNN\tI-NP\tO' -p200772 -aS'number\tnumber\tNN\tI-NP\tO' -p200773 -aS'two\ttwo\tCD\tI-NP\tO' -p200774 -aS'.\t.\t.\tO\tO' -p200775 -asS'Please make an appointment to see dr. Arois Maillliepslighsint within2-3 weeks after you leave the hospital' -p200776 -(lp200777 -S'Please\tPlease\tNN\tB-NP\tB-protein' -p200778 -aS'make\tmake\tVBP\tB-VP\tO' -p200779 -aS'an\tan\tDT\tB-NP\tO' -p200780 -aS'appointment\tappointment\tNN\tI-NP\tO' -p200781 -aS'to\tto\tTO\tB-VP\tO' -p200782 -aS'see\tsee\tVB\tI-VP\tO' -p200783 -aS'dr.\tdr.\tNNP\tB-NP\tO' -p200784 -aS'Arois\tArois\tNNP\tI-NP\tO' -p200785 -aS'Maillliepslighsint\tMaillliepslighsint\tNNP\tI-NP\tO' -p200786 -aS'within2-3\twithin2-3\tNN\tI-NP\tO' -p200787 -aS'weeks\tweek\tNNS\tI-NP\tO' -p200788 -aS'after\tafter\tIN\tB-SBAR\tO' -p200789 -aS'you\tyou\tPRP\tB-NP\tO' -p200790 -aS'leave\tleave\tVBP\tB-VP\tO' -p200791 -aS'the\tthe\tDT\tB-NP\tO' -p200792 -aS'hospital\thospital\tNN\tI-NP\tO' -p200793 -asS'Foley in place .' -p200794 -(lp200795 -S'Foley\tFoley\tNN\tB-NP\tO' -p200796 -aS'in\tin\tIN\tB-PP\tO' -p200797 -aS'place\tplace\tNN\tB-NP\tO' -p200798 -aS'.\t.\t.\tO\tO' -p200799 -asS'He tolerated the procedure well , postop however he had a grand mal seizure and was intubated and sent to the ICU .' -p200800 -(lp200801 -S'He\tHe\tPRP\tB-NP\tO' -p200802 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p200803 -aS'the\tthe\tDT\tB-NP\tO' -p200804 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p200805 -aS'well\twell\tRB\tB-ADVP\tO' -p200806 -aS',\t,\t,\tO\tO' -p200807 -aS'postop\tpostop\tVB\tB-VP\tO' -p200808 -aS'however\thowever\tRB\tB-ADVP\tO' -p200809 -aS'he\the\tPRP\tB-NP\tO' -p200810 -aS'had\thave\tVBD\tB-VP\tO' -p200811 -aS'a\ta\tDT\tB-NP\tO' -p200812 -aS'grand\tgrand\tJJ\tI-NP\tO' -p200813 -aS'mal\tmal\tJJ\tI-NP\tO' -p200814 -aS'seizure\tseizure\tNN\tI-NP\tO' -p200815 -aS'and\tand\tCC\tO\tO' -p200816 -aS'was\tbe\tVBD\tB-VP\tO' -p200817 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p200818 -aS'and\tand\tCC\tO\tO' -p200819 -aS'sent\tsend\tVBN\tB-VP\tO' -p200820 -aS'to\tto\tTO\tB-PP\tO' -p200821 -aS'the\tthe\tDT\tB-NP\tO' -p200822 -aS'ICU\tICU\tNN\tI-NP\tB-DNA' -p200823 -aS'.\t.\t.\tO\tO' -p200824 -asS'2. Potassium 20 mEq p.o. q. 12 .' -p200825 -(lp200826 -S'2.\t2.\tLS\tB-NP\tO' -p200827 -aS'Potassium\tPotassium\tNNP\tI-NP\tO' -p200828 -aS'20\t20\tCD\tI-NP\tO' -p200829 -aS'mEq\tmEq\tNN\tI-NP\tO' -p200830 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p200831 -aS'q.\tq.\tNN\tI-NP\tO' -p200832 -aS'12\t12\tCD\tI-NP\tO' -p200833 -aS'.\t.\t.\tO\tO' -p200834 -asS'He was following all commands and moving all extremities .' -p200835 -(lp200836 -S'He\tHe\tPRP\tB-NP\tO' -p200837 -aS'was\tbe\tVBD\tB-VP\tO' -p200838 -aS'following\tfollow\tVBG\tI-VP\tO' -p200839 -aS'all\tall\tDT\tB-NP\tO' -p200840 -aS'commands\tcommand\tNNS\tI-NP\tO' -p200841 -aS'and\tand\tCC\tO\tO' -p200842 -aS'moving\tmove\tVBG\tB-VP\tO' -p200843 -aS'all\tall\tDT\tB-NP\tO' -p200844 -aS'extremities\textremity\tNNS\tI-NP\tO' -p200845 -aS'.\t.\t.\tO\tO' -p200846 -asS'Accordingly she presents for operative therapy at this time .' -p200847 -(lp200848 -S'Accordingly\tAccordingly\tRB\tB-ADVP\tO' -p200849 -aS'she\tshe\tPRP\tB-NP\tO' -p200850 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p200851 -aS'for\tfor\tIN\tB-PP\tO' -p200852 -aS'operative\toperative\tJJ\tB-NP\tO' -p200853 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p200854 -aS'at\tat\tIN\tB-PP\tO' -p200855 -aS'this\tthis\tDT\tB-NP\tO' -p200856 -aS'time\ttime\tNN\tI-NP\tO' -p200857 -aS'.\t.\t.\tO\tO' -p200858 -asS'On 5/14/05 Mannitol was tapered and then d / c'd.' -p200859 -(lp200860 -S'On\tOn\tIN\tB-PP\tO' -p200861 -aS'5/14/05\t5/14/05\tCD\tB-NP\tO' -p200862 -aS'Mannitol\tMannitol\tNN\tI-NP\tO' -p200863 -aS'was\tbe\tVBD\tB-VP\tO' -p200864 -aS'tapered\ttaper\tVBN\tI-VP\tO' -p200865 -aS'and\tand\tCC\tO\tO' -p200866 -aS'then\tthen\tRB\tO\tO' -p200867 -aS'd\td\tNN\tB-NP\tO' -p200868 -aS'/\t/\tSYM\tB-VP\tO' -p200869 -aS'c'd.\tc'd.\tNN\tB-NP\tO' -p200870 -asS'A chest x-ray with bilateral patchy infiltrates likely pneumonia and UTI .' -p200871 -(lp200872 -S'A\tA\tDT\tB-NP\tO' -p200873 -aS'chest\tch\tJJS\tI-NP\tO' -p200874 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p200875 -aS'with\twith\tIN\tB-PP\tO' -p200876 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p200877 -aS'patchy\tpatchy\tNN\tI-NP\tO' -p200878 -aS'infiltrates\tinfiltrate\tVBZ\tB-VP\tO' -p200879 -aS'likely\tlikely\tRB\tB-ADJP\tO' -p200880 -aS'pneumonia\tpneumonia\tNN\tB-NP\tO' -p200881 -aS'and\tand\tCC\tI-NP\tO' -p200882 -aS'UTI\tUTI\tNN\tI-NP\tO' -p200883 -aS'.\t.\t.\tO\tO' -p200884 -asS"The patient 's creatinine improved to 1.1 with hydration ." -p200885 -(lp200886 -S'The\tThe\tDT\tB-NP\tO' -p200887 -aS'patient\tpatient\tNN\tI-NP\tO' -p200888 -aS"'s\t's\tPOS\tB-NP\tO" -p200889 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p200890 -aS'improved\timprove\tVBD\tB-VP\tO' -p200891 -aS'to\tto\tTO\tB-PP\tO' -p200892 -aS'1.1\t1.1\tCD\tB-NP\tO' -p200893 -aS'with\twith\tIN\tB-PP\tO' -p200894 -aS'hydration\thydration\tNN\tB-NP\tO' -p200895 -aS'.\t.\t.\tO\tO' -p200896 -asS'LEFT ROTATOR CUFF TEAR .' -p200897 -(lp200898 -S'LEFT\tLEFT\tNN\tB-NP\tO' -p200899 -aS'ROTATOR\tROTATOR\tNN\tI-NP\tO' -p200900 -aS'CUFF\tCUFF\tNN\tI-NP\tO' -p200901 -aS'TEAR\tTEAR\tNN\tI-NP\tO' -p200902 -aS'.\t.\t.\tO\tO' -p200903 -asS'Pathology showed grade II-III papillary adenocarcinoma of the endometrium with squamous differentiation which was focally invasive and superficial myometrium .' -p200904 -(lp200905 -S'Pathology\tPathology\tNNS\tB-NP\tO' -p200906 -aS'showed\tshow\tVBD\tB-VP\tO' -p200907 -aS'grade\tgrade\tNN\tB-NP\tO' -p200908 -aS'II-III\tII-III\tJJ\tI-NP\tO' -p200909 -aS'papillary\tpapillary\tJJ\tI-NP\tO' -p200910 -aS'adenocarcinoma\tadenocarcinoma\tNN\tI-NP\tO' -p200911 -aS'of\tof\tIN\tB-PP\tO' -p200912 -aS'the\tthe\tDT\tB-NP\tO' -p200913 -aS'endometrium\tendometrium\tNN\tI-NP\tO' -p200914 -aS'with\twith\tIN\tB-PP\tO' -p200915 -aS'squamous\tsquamous\tJJ\tB-NP\tO' -p200916 -aS'differentiation\tdifferentiation\tNN\tI-NP\tO' -p200917 -aS'which\twhich\tWDT\tB-NP\tO' -p200918 -aS'was\tbe\tVBD\tB-VP\tO' -p200919 -aS'focally\tfocally\tRB\tB-NP\tO' -p200920 -aS'invasive\tinvasive\tJJ\tI-NP\tO' -p200921 -aS'and\tand\tCC\tI-NP\tO' -p200922 -aS'superficial\tsuperficial\tJJ\tI-NP\tO' -p200923 -aS'myometrium\tmyometrium\tNN\tI-NP\tO' -p200924 -aS'.\t.\t.\tO\tO' -p200925 -asS'Upon arrival in the Emergency Room Mr. State 's saturations were in the mid 80s and he was promptly rendered more comfortable with high flow oxygen , morphine , and nitrates and intravenous Lasix .' -p200926 -(lp200927 -S'Upon\tUpon\tIN\tB-PP\tO' -p200928 -aS'arrival\tarrival\tNN\tB-NP\tO' -p200929 -aS'in\tin\tIN\tB-PP\tO' -p200930 -aS'the\tthe\tDT\tB-NP\tO' -p200931 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p200932 -aS'Room\tRoom\tNNP\tI-NP\tO' -p200933 -aS'Mr.\tMr.\tNNP\tI-NP\tO' -p200934 -aS'State\tState\tNNP\tI-NP\tO' -p200935 -aS''s\t'\tNNS\tI-NP\tO' -p200936 -aS'saturations\tsaturation\tNNS\tI-NP\tO' -p200937 -aS'were\tbe\tVBD\tB-VP\tO' -p200938 -aS'in\tin\tIN\tB-PP\tO' -p200939 -aS'the\tthe\tDT\tB-NP\tO' -p200940 -aS'mid\tmid\tJJ\tI-NP\tO' -p200941 -aS'80s\t80\tNNS\tI-NP\tO' -p200942 -aS'and\tand\tCC\tO\tO' -p200943 -aS'he\the\tPRP\tB-NP\tO' -p200944 -aS'was\tbe\tVBD\tB-VP\tO' -p200945 -aS'promptly\tpromptly\tRB\tI-VP\tO' -p200946 -aS'rendered\trender\tVBN\tI-VP\tO' -p200947 -aS'more\tmore\tRBR\tB-ADJP\tO' -p200948 -aS'comfortable\tcomfortable\tJJ\tI-ADJP\tO' -p200949 -aS'with\twith\tIN\tB-PP\tO' -p200950 -aS'high\thigh\tJJ\tB-NP\tO' -p200951 -aS'flow\tflow\tNN\tI-NP\tO' -p200952 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p200953 -aS',\t,\t,\tO\tO' -p200954 -aS'morphine\tmorphine\tNN\tB-NP\tO' -p200955 -aS',\t,\t,\tO\tO' -p200956 -aS'and\tand\tCC\tO\tO' -p200957 -aS'nitrates\tnitrate\tNNS\tB-NP\tO' -p200958 -aS'and\tand\tCC\tO\tO' -p200959 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p200960 -aS'Lasix\tLasix\tNN\tI-NP\tO' -p200961 -aS'.\t.\t.\tO\tO' -p200962 -asS'Genitourinary : Normal preterm male .' -p200963 -(lp200964 -S'Genitourinary\tGenitourinary\tJJ\tB-ADJP\tO' -p200965 -aS':\t:\t:\tO\tO' -p200966 -aS'Normal\tNormal\tJJ\tB-NP\tO' -p200967 -aS'preterm\tpreterm\tJJ\tI-NP\tO' -p200968 -aS'male\tmale\tNN\tI-NP\tO' -p200969 -aS'.\t.\t.\tO\tO' -p200970 -asS'12. s/p colonic resection secondary to perforation s/p polypectomy' -p200971 -(lp200972 -S'12.\t12.\tLS\tB-NP\tO' -p200973 -aS's/p\ts/p\tNN\tI-NP\tO' -p200974 -aS'colonic\tcolonic\tJJ\tI-NP\tO' -p200975 -aS'resection\tresection\tNN\tI-NP\tO' -p200976 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p200977 -aS'to\tto\tTO\tB-PP\tO' -p200978 -aS'perforation\tperforation\tNN\tB-NP\tO' -p200979 -aS's/p\ts/p\tNN\tI-NP\tO' -p200980 -aS'polypectomy\tpolypectomy\tNN\tI-NP\tO' -p200981 -asS'Birth weight of 4525 grams which is greater than 90th percentile ; length 54 cm which is greater than 90th percentile ; head circumference 37 cm which is greater than 90th percentile .' -p200982 -(lp200983 -S'Birth\tBirth\tNN\tB-NP\tO' -p200984 -aS'weight\tweight\tNN\tI-NP\tO' -p200985 -aS'of\tof\tIN\tB-PP\tO' -p200986 -aS'4525\t4525\tCD\tB-NP\tO' -p200987 -aS'grams\tgram\tNNS\tI-NP\tO' -p200988 -aS'which\twhich\tWDT\tB-NP\tO' -p200989 -aS'is\tbe\tVBZ\tB-VP\tO' -p200990 -aS'greater\tgreat\tJJR\tB-ADJP\tO' -p200991 -aS'than\tthan\tIN\tB-PP\tO' -p200992 -aS'90th\t90th\tJJ\tB-NP\tO' -p200993 -aS'percentile\tpercentile\tNN\tI-NP\tO' -p200994 -aS';\t;\t:\tO\tO' -p200995 -aS'length\tlength\tNN\tB-NP\tO' -p200996 -aS'54\t54\tCD\tI-NP\tO' -p200997 -aS'cm\tcm\tNN\tI-NP\tO' -p200998 -aS'which\twhich\tWDT\tB-NP\tO' -p200999 -aS'is\tbe\tVBZ\tB-VP\tO' -p201000 -aS'greater\tgreat\tJJR\tB-ADJP\tO' -p201001 -aS'than\tthan\tIN\tB-PP\tO' -p201002 -aS'90th\t90th\tJJ\tB-NP\tO' -p201003 -aS'percentile\tpercentile\tNN\tI-NP\tO' -p201004 -aS';\t;\t:\tO\tO' -p201005 -aS'head\thead\tNN\tB-NP\tO' -p201006 -aS'circumference\tcircumference\tNN\tI-NP\tO' -p201007 -aS'37\t37\tCD\tB-NP\tO' -p201008 -aS'cm\tcm\tNN\tI-NP\tO' -p201009 -aS'which\twhich\tWDT\tB-NP\tO' -p201010 -aS'is\tbe\tVBZ\tB-VP\tO' -p201011 -aS'greater\tgreat\tJJR\tB-ADJP\tO' -p201012 -aS'than\tthan\tIN\tB-PP\tO' -p201013 -aS'90th\t90th\tJJ\tB-NP\tO' -p201014 -aS'percentile\tpercentile\tNN\tI-NP\tO' -p201015 -aS'.\t.\t.\tO\tO' -p201016 -asS'The patient became more comfortable being seated upright with nebulizer treatments .' -p201017 -(lp201018 -S'The\tThe\tDT\tB-NP\tO' -p201019 -aS'patient\tpatient\tNN\tI-NP\tO' -p201020 -aS'became\tbecome\tVBD\tB-VP\tO' -p201021 -aS'more\tmore\tRBR\tB-ADJP\tO' -p201022 -aS'comfortable\tcomfortable\tJJ\tI-ADJP\tO' -p201023 -aS'being\tbe\tVBG\tB-VP\tO' -p201024 -aS'seated\tseat\tVBN\tI-VP\tO' -p201025 -aS'upright\tupright\tRB\tB-ADVP\tO' -p201026 -aS'with\twith\tIN\tB-PP\tO' -p201027 -aS'nebulizer\tnebulizer\tNN\tB-NP\tO' -p201028 -aS'treatments\ttreatment\tNNS\tI-NP\tO' -p201029 -aS'.\t.\t.\tO\tO' -p201030 -asS'Her medications are as listed below .' -p201031 -(lp201032 -S'Her\tHer\tPRP$\tB-NP\tO' -p201033 -aS'medications\tmedication\tNNS\tI-NP\tO' -p201034 -aS'are\tbe\tVBP\tB-VP\tO' -p201035 -aS'as\tas\tIN\tB-SBAR\tO' -p201036 -aS'listed\tlist\tVBN\tB-VP\tO' -p201037 -aS'below\tbelow\tIN\tB-PP\tO' -p201038 -aS'.\t.\t.\tO\tO' -p201039 -asS'3) Airway protection : He was intubated in the field for airway protection' -p201040 -(lp201041 -S'3)\t3)\tLS\tB-NP\tO' -p201042 -aS'Airway\tAirway\tNN\tI-NP\tO' -p201043 -aS'protection\tprotection\tNN\tI-NP\tO' -p201044 -aS':\t:\t:\tO\tO' -p201045 -aS'He\tHe\tPRP\tB-NP\tO' -p201046 -aS'was\tbe\tVBD\tB-VP\tO' -p201047 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p201048 -aS'in\tin\tIN\tB-PP\tO' -p201049 -aS'the\tthe\tDT\tB-NP\tO' -p201050 -aS'field\tfield\tNN\tI-NP\tO' -p201051 -aS'for\tfor\tIN\tB-PP\tO' -p201052 -aS'airway\tairway\tNN\tB-NP\tO' -p201053 -aS'protection\tprotection\tNN\tI-NP\tO' -p201054 -asS'The patient underwent thoracentesis without evidence of empyema .' -p201055 -(lp201056 -S'The\tThe\tDT\tB-NP\tO' -p201057 -aS'patient\tpatient\tNN\tI-NP\tO' -p201058 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p201059 -aS'thoracentesis\tthoracentesis\tNN\tB-NP\tO' -p201060 -aS'without\twithout\tIN\tB-PP\tO' -p201061 -aS'evidence\tevidence\tNN\tB-NP\tO' -p201062 -aS'of\tof\tIN\tB-PP\tO' -p201063 -aS'empyema\tempyema\tNN\tB-NP\tO' -p201064 -aS'.\t.\t.\tO\tO' -p201065 -asS'The finding was most consistent with metastatic disease and less likely primary CNS neoplasm such as glioblastoma .' -p201066 -(lp201067 -S'The\tThe\tDT\tB-NP\tO' -p201068 -aS'finding\tfinding\tNN\tI-NP\tO' -p201069 -aS'was\tbe\tVBD\tB-VP\tO' -p201070 -aS'most\tmost\tRBS\tB-ADJP\tO' -p201071 -aS'consistent\tconsistent\tJJ\tI-ADJP\tO' -p201072 -aS'with\twith\tIN\tB-PP\tO' -p201073 -aS'metastatic\tmetastatic\tJJ\tB-NP\tO' -p201074 -aS'disease\tdisease\tNN\tI-NP\tO' -p201075 -aS'and\tand\tCC\tO\tO' -p201076 -aS'less\tless\tRBR\tB-NP\tO' -p201077 -aS'likely\tlikely\tJJ\tI-NP\tO' -p201078 -aS'primary\tprimary\tJJ\tI-NP\tO' -p201079 -aS'CNS\tCNS\tNN\tI-NP\tO' -p201080 -aS'neoplasm\tneoplasm\tNN\tI-NP\tO' -p201081 -aS'such\tsuch\tJJ\tB-PP\tO' -p201082 -aS'as\tas\tIN\tI-PP\tO' -p201083 -aS'glioblastoma\tglioblastoma\tNN\tB-NP\tB-protein' -p201084 -aS'.\t.\t.\tO\tO' -p201085 -asS'Rectal exam was unremarkable with stool heme negative .' -p201086 -(lp201087 -S'Rectal\tRectal\tJJ\tB-NP\tO' -p201088 -aS'exam\texam\tNN\tI-NP\tO' -p201089 -aS'was\tbe\tVBD\tB-VP\tO' -p201090 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p201091 -aS'with\twith\tIN\tB-PP\tO' -p201092 -aS'stool\tstool\tNN\tB-NP\tO' -p201093 -aS'heme\theme\tNN\tI-NP\tO' -p201094 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p201095 -aS'.\t.\t.\tO\tO' -p201096 -asS'The finger-to-nose was okay on the right .' -p201097 -(lp201098 -S'The\tThe\tDT\tB-NP\tO' -p201099 -aS'finger-to-nose\tfinger-to-nose\tNN\tI-NP\tO' -p201100 -aS'was\tbe\tVBD\tB-VP\tO' -p201101 -aS'okay\tokay\tNN\tB-NP\tO' -p201102 -aS'on\ton\tIN\tB-PP\tO' -p201103 -aS'the\tthe\tDT\tB-NP\tO' -p201104 -aS'right\tright\tNN\tI-NP\tO' -p201105 -aS'.\t.\t.\tO\tO' -p201106 -asS'The baby did not turn blue at that time .' -p201107 -(lp201108 -S'The\tThe\tDT\tB-NP\tO' -p201109 -aS'baby\tbaby\tNN\tI-NP\tO' -p201110 -aS'did\tdo\tVBD\tB-VP\tO' -p201111 -aS'not\tnot\tRB\tI-VP\tO' -p201112 -aS'turn\tturn\tVB\tI-VP\tO' -p201113 -aS'blue\tblue\tJJ\tB-ADJP\tO' -p201114 -aS'at\tat\tIN\tB-PP\tO' -p201115 -aS'that\tthat\tDT\tB-NP\tO' -p201116 -aS'time\ttime\tNN\tI-NP\tO' -p201117 -aS'.\t.\t.\tO\tO' -p201118 -asS'1) Bibasilar pneumonia : Patient was treated for community-acquired pneumonia .' -p201119 -(lp201120 -S'1)\t1)\tLS\tB-NP\tO' -p201121 -aS'Bibasilar\tBibasilar\tJJ\tI-NP\tO' -p201122 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p201123 -aS':\t:\t:\tO\tO' -p201124 -aS'Patient\tPatient\tNN\tB-NP\tO' -p201125 -aS'was\tbe\tVBD\tB-VP\tO' -p201126 -aS'treated\ttreat\tVBN\tI-VP\tO' -p201127 -aS'for\tfor\tIN\tB-PP\tO' -p201128 -aS'community-acquired\tcommunity-acquired\tJJ\tB-NP\tO' -p201129 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p201130 -aS'.\t.\t.\tO\tO' -p201131 -asS'She has had no apnea , bradycardia or desaturation .' -p201132 -(lp201133 -S'She\tShe\tPRP\tB-NP\tO' -p201134 -aS'has\thave\tVBZ\tB-VP\tO' -p201135 -aS'had\thave\tVBN\tI-VP\tO' -p201136 -aS'no\tno\tDT\tB-NP\tO' -p201137 -aS'apnea\tapnea\tNN\tI-NP\tO' -p201138 -aS',\t,\t,\tI-NP\tO' -p201139 -aS'bradycardia\tbradycardia\tNN\tI-NP\tO' -p201140 -aS'or\tor\tCC\tI-NP\tO' -p201141 -aS'desaturation\tdesaturation\tNN\tI-NP\tO' -p201142 -aS'.\t.\t.\tO\tO' -p201143 -asS'Motrin and Percocet as needed .' -p201144 -(lp201145 -S'Motrin\tMotrin\tNN\tB-NP\tO' -p201146 -aS'and\tand\tCC\tI-NP\tO' -p201147 -aS'Percocet\tPercocet\tNN\tI-NP\tO' -p201148 -aS'as\tas\tIN\tB-SBAR\tO' -p201149 -aS'needed\tneed\tVBN\tB-VP\tO' -p201150 -aS'.\t.\t.\tO\tO' -p201151 -asS'Pt was continued on prophylactic heparin .' -p201152 -(lp201153 -S'Pt\tPt\tNN\tB-NP\tO' -p201154 -aS'was\tbe\tVBD\tB-VP\tO' -p201155 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p201156 -aS'on\ton\tIN\tB-PP\tO' -p201157 -aS'prophylactic\tprophylactic\tJJ\tB-NP\tO' -p201158 -aS'heparin\theparin\tNN\tI-NP\tO' -p201159 -aS'.\t.\t.\tO\tO' -p201160 -asS'No driving for at least one month .' -p201161 -(lp201162 -S'No\tNo\tDT\tB-NP\tO' -p201163 -aS'driving\tdriving\tNN\tI-NP\tO' -p201164 -aS'for\tfor\tIN\tB-PP\tO' -p201165 -aS'at\tat\tIN\tB-NP\tO' -p201166 -aS'least\tleast\tJJS\tI-NP\tO' -p201167 -aS'one\tone\tCD\tI-NP\tO' -p201168 -aS'month\tmonth\tNN\tI-NP\tO' -p201169 -aS'.\t.\t.\tO\tO' -p201170 -asS'The patient was evaluated by the Trauma Service in the emergency room , where she received four liters' -p201171 -(lp201172 -S'The\tThe\tDT\tB-NP\tO' -p201173 -aS'patient\tpatient\tNN\tI-NP\tO' -p201174 -aS'was\tbe\tVBD\tB-VP\tO' -p201175 -aS'evaluated\tevaluate\tVBN\tI-VP\tO' -p201176 -aS'by\tby\tIN\tB-PP\tO' -p201177 -aS'the\tthe\tDT\tB-NP\tO' -p201178 -aS'Trauma\tTrauma\tNNP\tI-NP\tO' -p201179 -aS'Service\tService\tNNP\tI-NP\tO' -p201180 -aS'in\tin\tIN\tB-PP\tO' -p201181 -aS'the\tthe\tDT\tB-NP\tO' -p201182 -aS'emergency\temergency\tNN\tI-NP\tO' -p201183 -aS'room\troom\tNN\tI-NP\tO' -p201184 -aS',\t,\t,\tO\tO' -p201185 -aS'where\twhere\tWRB\tB-ADVP\tO' -p201186 -aS'she\tshe\tPRP\tB-NP\tO' -p201187 -aS'received\treceive\tVBD\tB-VP\tO' -p201188 -aS'four\tfour\tCD\tB-NP\tO' -p201189 -aS'liters\tliter\tNNS\tI-NP\tO' -p201190 -asS'5. Sucralfate 1 g via nasogastric tube q.6h.' -p201191 -(lp201192 -S'5.\t5.\tLS\tB-LST\tO' -p201193 -aS'Sucralfate\tSucralfate\tNN\tB-NP\tO' -p201194 -aS'1\t1\tCD\tI-NP\tO' -p201195 -aS'g\tg\tNN\tI-NP\tO' -p201196 -aS'via\tvia\tIN\tB-PP\tO' -p201197 -aS'nasogastric\tnasogastric\tJJ\tB-NP\tO' -p201198 -aS'tube\ttube\tNN\tI-NP\tO' -p201199 -aS'q.6h.\tq.6h.\tNN\tI-NP\tO' -p201200 -asS'She does not recall falling , but does recall waking up with people surrounding her .' -p201201 -(lp201202 -S'She\tShe\tPRP\tB-NP\tO' -p201203 -aS'does\tdo\tVBZ\tB-VP\tO' -p201204 -aS'not\tnot\tRB\tI-VP\tO' -p201205 -aS'recall\trecall\tVB\tI-VP\tO' -p201206 -aS'falling\tfall\tVBG\tI-VP\tO' -p201207 -aS',\t,\t,\tO\tO' -p201208 -aS'but\tbut\tCC\tO\tO' -p201209 -aS'does\tdo\tVBZ\tB-VP\tO' -p201210 -aS'recall\trecall\tVB\tI-VP\tO' -p201211 -aS'waking\twake\tVBG\tB-VP\tO' -p201212 -aS'up\tup\tRP\tB-PRT\tO' -p201213 -aS'with\twith\tIN\tB-PP\tO' -p201214 -aS'people\tpeople\tNNS\tB-NP\tO' -p201215 -aS'surrounding\tsurround\tVBG\tB-VP\tO' -p201216 -aS'her\ther\tPRP\tB-NP\tO' -p201217 -aS'.\t.\t.\tO\tO' -p201218 -asS'Intact on left finger to nose but limited on right due to weakness' -p201219 -(lp201220 -S'Intact\tIntact\tNN\tB-NP\tO' -p201221 -aS'on\ton\tIN\tB-PP\tO' -p201222 -aS'left\tleft\tJJ\tB-NP\tO' -p201223 -aS'finger\tfinger\tNN\tI-NP\tO' -p201224 -aS'to\tto\tTO\tB-PP\tO' -p201225 -aS'nose\tnose\tNN\tB-NP\tO' -p201226 -aS'but\tbut\tCC\tO\tO' -p201227 -aS'limited\tlimit\tVBN\tB-VP\tO' -p201228 -aS'on\ton\tIN\tB-PP\tO' -p201229 -aS'right\tright\tNN\tB-NP\tO' -p201230 -aS'due\tdue\tJJ\tB-ADJP\tO' -p201231 -aS'to\tto\tTO\tB-PP\tO' -p201232 -aS'weakness\tweakness\tNN\tB-NP\tO' -p201233 -asS'no clubbing , cyanosis , or edema .' -p201234 -(lp201235 -S'no\tno\tDT\tB-NP\tO' -p201236 -aS'clubbing\tclubbing\tNN\tI-NP\tO' -p201237 -aS',\t,\t,\tO\tO' -p201238 -aS'cyanosis\tcyanosis\tNN\tB-NP\tO' -p201239 -aS',\t,\t,\tO\tO' -p201240 -aS'or\tor\tCC\tO\tO' -p201241 -aS'edema\tedema\tNN\tB-NP\tO' -p201242 -aS'.\t.\t.\tO\tO' -p201243 -asS'Mucous membranes are moist .' -p201244 -(lp201245 -S'Mucous\tMucous\tJJ\tB-NP\tO' -p201246 -aS'membranes\tmembrane\tNNS\tI-NP\tO' -p201247 -aS'are\tbe\tVBP\tB-VP\tO' -p201248 -aS'moist\tmoist\tJJ\tB-ADJP\tO' -p201249 -aS'.\t.\t.\tO\tO' -p201250 -asS'She was certified dead at 9:20 P.M.' -p201251 -(lp201252 -S'She\tShe\tPRP\tB-NP\tO' -p201253 -aS'was\tbe\tVBD\tB-VP\tO' -p201254 -aS'certified\tcertify\tVBN\tI-VP\tO' -p201255 -aS'dead\tdead\tJJ\tB-ADJP\tO' -p201256 -aS'at\tat\tIN\tB-PP\tO' -p201257 -aS'9:20\t9:20\tCD\tB-NP\tO' -p201258 -aS'P.M.\tP.M.\tNN\tI-NP\tO' -p201259 -asS'She evidently recovered from the episode after a number of minutes .' -p201260 -(lp201261 -S'She\tShe\tPRP\tB-NP\tO' -p201262 -aS'evidently\tevidently\tRB\tB-ADVP\tO' -p201263 -aS'recovered\trecover\tVBD\tB-VP\tO' -p201264 -aS'from\tfrom\tIN\tB-PP\tO' -p201265 -aS'the\tthe\tDT\tB-NP\tO' -p201266 -aS'episode\tepisode\tNN\tI-NP\tO' -p201267 -aS'after\tafter\tIN\tB-PP\tO' -p201268 -aS'a\ta\tDT\tB-NP\tO' -p201269 -aS'number\tnumber\tNN\tI-NP\tO' -p201270 -aS'of\tof\tIN\tB-PP\tO' -p201271 -aS'minutes\tminute\tNNS\tB-NP\tO' -p201272 -aS'.\t.\t.\tO\tO' -p201273 -asS'This was treated with transfer back to L&D , bimanual massage , administration of various uterotonics , namely pitocin 100 U , Methergine x 1 , Hemabate x 1 , and cytotec 1000 mcgs with minimal response .' -p201274 -(lp201275 -S'This\tThis\tDT\tB-NP\tO' -p201276 -aS'was\tbe\tVBD\tB-VP\tO' -p201277 -aS'treated\ttreat\tVBN\tI-VP\tO' -p201278 -aS'with\twith\tIN\tB-PP\tO' -p201279 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p201280 -aS'back\tback\tRB\tB-ADVP\tO' -p201281 -aS'to\tto\tTO\tB-PP\tO' -p201282 -aS'L&D\tL&D\tNN\tB-NP\tO' -p201283 -aS',\t,\t,\tO\tO' -p201284 -aS'bimanual\tbimanual\tJJ\tB-NP\tO' -p201285 -aS'massage\tmassage\tNN\tI-NP\tO' -p201286 -aS',\t,\t,\tO\tO' -p201287 -aS'administration\tadministration\tNN\tB-NP\tO' -p201288 -aS'of\tof\tIN\tB-PP\tO' -p201289 -aS'various\tvarious\tJJ\tB-NP\tO' -p201290 -aS'uterotonics\tuterotonic\tNNS\tI-NP\tO' -p201291 -aS',\t,\t,\tO\tO' -p201292 -aS'namely\tnamely\tRB\tB-ADVP\tO' -p201293 -aS'pitocin\tpitocin\tNN\tB-NP\tO' -p201294 -aS'100\t100\tCD\tI-NP\tO' -p201295 -aS'U\tU\tNN\tI-NP\tO' -p201296 -aS',\t,\t,\tO\tO' -p201297 -aS'Methergine\tMethergine\tNN\tB-NP\tB-protein' -p201298 -aS'x\tx\tSYM\tB-NP\tI-protein' -p201299 -aS'1\t1\tCD\tI-NP\tI-protein' -p201300 -aS',\t,\t,\tO\tO' -p201301 -aS'Hemabate\tHemabate\tNNP\tB-NP\tB-protein' -p201302 -aS'x\tx\tNNP\tI-NP\tI-protein' -p201303 -aS'1\t1\tCD\tI-NP\tI-protein' -p201304 -aS',\t,\t,\tO\tO' -p201305 -aS'and\tand\tCC\tO\tO' -p201306 -aS'cytotec\tcytotec\tJJ\tB-NP\tO' -p201307 -aS'1000\t1000\tCD\tI-NP\tO' -p201308 -aS'mcgs\tmcg\tNNS\tI-NP\tO' -p201309 -aS'with\twith\tIN\tB-PP\tO' -p201310 -aS'minimal\tminimal\tJJ\tB-NP\tO' -p201311 -aS'response\tresponse\tNN\tI-NP\tO' -p201312 -aS'.\t.\t.\tO\tO' -p201313 -asS'No definite evidence for significant myocardial ischemia , although cardiac enzymes were sent and he ruled out for myocardial infarction .' -p201314 -(lp201315 -S'No\tNo\tDT\tB-NP\tO' -p201316 -aS'definite\tdefinite\tJJ\tI-NP\tO' -p201317 -aS'evidence\tevidence\tNN\tI-NP\tO' -p201318 -aS'for\tfor\tIN\tB-PP\tO' -p201319 -aS'significant\tsignificant\tJJ\tB-NP\tO' -p201320 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p201321 -aS'ischemia\tischemia\tNN\tI-NP\tO' -p201322 -aS',\t,\t,\tO\tO' -p201323 -aS'although\talthough\tIN\tB-SBAR\tO' -p201324 -aS'cardiac\tcardiac\tJJ\tB-NP\tB-protein' -p201325 -aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' -p201326 -aS'were\tbe\tVBD\tB-VP\tO' -p201327 -aS'sent\tsend\tVBN\tI-VP\tO' -p201328 -aS'and\tand\tCC\tO\tO' -p201329 -aS'he\the\tPRP\tB-NP\tO' -p201330 -aS'ruled\trule\tVBD\tB-VP\tO' -p201331 -aS'out\tout\tRP\tB-PRT\tO' -p201332 -aS'for\tfor\tIN\tB-PP\tO' -p201333 -aS'myocardial\tmyocardial\tJJ\tB-NP\tO' -p201334 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p201335 -aS'.\t.\t.\tO\tO' -p201336 -asS'Albuterol nebulizer 0.5 mg. 2.5 cc. q4hours .' -p201337 -(lp201338 -S'Albuterol\tAlbuterol\tNNP\tB-NP\tO' -p201339 -aS'nebulizer\tnebulizer\tIN\tB-PP\tO' -p201340 -aS'0.5\t0.5\tCD\tB-NP\tO' -p201341 -aS'mg.\tmg.\tNN\tI-NP\tO' -p201342 -aS'2.5\t2.5\tCD\tB-NP\tO' -p201343 -aS'cc.\tcc.\tNN\tI-NP\tO' -p201344 -aS'q4hours\tq4hour\tNNS\tI-NP\tO' -p201345 -aS'.\t.\t.\tO\tO' -p201346 -asS"Following initiation of the antibiotic the patient 's white blood cell count quickly came down , and she remained afebrile ." -p201347 -(lp201348 -S'Following\tFollow\tVBG\tB-PP\tO' -p201349 -aS'initiation\tinitiation\tNN\tB-NP\tO' -p201350 -aS'of\tof\tIN\tB-PP\tO' -p201351 -aS'the\tthe\tDT\tB-NP\tO' -p201352 -aS'antibiotic\tantibiotic\tJJ\tI-NP\tO' -p201353 -aS'the\tthe\tDT\tB-NP\tO' -p201354 -aS'patient\tpatient\tNN\tI-NP\tO' -p201355 -aS"'s\t's\tPOS\tB-NP\tO" -p201356 -aS'white\twhite\tJJ\tI-NP\tO' -p201357 -aS'blood\tblood\tNN\tI-NP\tO' -p201358 -aS'cell\tcell\tNN\tI-NP\tO' -p201359 -aS'count\tcount\tNN\tI-NP\tO' -p201360 -aS'quickly\tquickly\tRB\tB-ADVP\tO' -p201361 -aS'came\tcome\tVBD\tB-VP\tO' -p201362 -aS'down\tdown\tRB\tB-ADVP\tO' -p201363 -aS',\t,\t,\tO\tO' -p201364 -aS'and\tand\tCC\tO\tO' -p201365 -aS'she\tshe\tPRP\tB-NP\tO' -p201366 -aS'remained\tremain\tVBD\tB-VP\tO' -p201367 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p201368 -aS'.\t.\t.\tO\tO' -p201369 -asS'Mitral Valve - A Wave : 1.0 m / sec' -p201370 -(lp201371 -S'Mitral\tMitral\tNNP\tB-NP\tO' -p201372 -aS'Valve\tValve\tNNP\tI-NP\tO' -p201373 -aS'-\t-\tHYPH\tB-NP\tO' -p201374 -aS'A\tA\tNNP\tI-NP\tO' -p201375 -aS'Wave\tWave\tNNP\tI-NP\tO' -p201376 -aS':\t:\t:\tO\tO' -p201377 -aS'1.0\t1.0\tCD\tB-NP\tO' -p201378 -aS'm\tm\tNN\tI-NP\tO' -p201379 -aS'/\t/\tSYM\tB-NP\tO' -p201380 -aS'sec\tsec\tNN\tB-NP\tO' -p201381 -asS'Her pain currently is 5/10 .' -p201382 -(lp201383 -S'Her\tHer\tPRP$\tB-NP\tO' -p201384 -aS'pain\tpain\tNN\tI-NP\tO' -p201385 -aS'currently\tcurrently\tRB\tB-ADVP\tO' -p201386 -aS'is\tbe\tVBZ\tB-VP\tO' -p201387 -aS'5/10\t5/10\tCD\tB-NP\tO' -p201388 -aS'.\t.\t.\tO\tO' -p201389 -asS'c) Premature ovarian failure , dxed 1967' -p201390 -(lp201391 -S'c)\tc)\tLS\tB-NP\tO' -p201392 -aS'Premature\tPremature\tJJ\tI-NP\tO' -p201393 -aS'ovarian\tovarian\tJJ\tI-NP\tO' -p201394 -aS'failure\tfailure\tNN\tI-NP\tO' -p201395 -aS',\t,\t,\tO\tO' -p201396 -aS'dxed\tdxe\tVBD\tB-VP\tO' -p201397 -aS'1967\t1967\tCD\tB-NP\tO' -p201398 -asS'4. Aspirin 325 mg p.o. q day .' -p201399 -(lp201400 -S'4.\t4.\tLS\tB-LST\tO' -p201401 -aS'Aspirin\tAspirin\tNN\tB-NP\tO' -p201402 -aS'325\t325\tCD\tI-NP\tO' -p201403 -aS'mg\tmg\tNN\tI-NP\tO' -p201404 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p201405 -aS'q\tq\tNN\tI-NP\tO' -p201406 -aS'day\tday\tNN\tI-NP\tO' -p201407 -aS'.\t.\t.\tO\tO' -p201408 -asS'She has had similar pain intermittently for last year .' -p201409 -(lp201410 -S'She\tShe\tPRP\tB-NP\tO' -p201411 -aS'has\thave\tVBZ\tB-VP\tO' -p201412 -aS'had\thave\tVBD\tI-VP\tO' -p201413 -aS'similar\tsimilar\tJJ\tB-NP\tO' -p201414 -aS'pain\tpain\tNN\tI-NP\tO' -p201415 -aS'intermittently\tintermittently\tRB\tB-ADVP\tO' -p201416 -aS'for\tfor\tIN\tB-PP\tO' -p201417 -aS'last\tlast\tJJ\tB-NP\tO' -p201418 -aS'year\tyear\tNN\tI-NP\tO' -p201419 -aS'.\t.\t.\tO\tO' -p201420 -asS'He denies any tobacco use , 2 to 3 alcohol drinks per week .' -p201421 -(lp201422 -S'He\tHe\tPRP\tB-NP\tO' -p201423 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p201424 -aS'any\tany\tDT\tB-NP\tO' -p201425 -aS'tobacco\ttobacco\tNN\tI-NP\tO' -p201426 -aS'use\tuse\tNN\tI-NP\tO' -p201427 -aS',\t,\t,\tO\tO' -p201428 -aS'2\t2\tCD\tB-NP\tO' -p201429 -aS'to\tto\tTO\tI-NP\tO' -p201430 -aS'3\t3\tCD\tI-NP\tO' -p201431 -aS'alcohol\talcohol\tNN\tI-NP\tO' -p201432 -aS'drinks\tdrink\tNNS\tI-NP\tO' -p201433 -aS'per\tper\tIN\tB-PP\tO' -p201434 -aS'week\tweek\tNN\tB-NP\tO' -p201435 -aS'.\t.\t.\tO\tO' -p201436 -asS'She had planned this attempt carefully without the knowledge of those close to her and very much expected her attempt to work .' -p201437 -(lp201438 -S'She\tShe\tPRP\tB-NP\tO' -p201439 -aS'had\thave\tVBD\tB-VP\tO' -p201440 -aS'planned\tplan\tVBN\tI-VP\tO' -p201441 -aS'this\tthis\tDT\tB-NP\tO' -p201442 -aS'attempt\tattempt\tNN\tI-NP\tO' -p201443 -aS'carefully\tcarefully\tRB\tB-ADVP\tO' -p201444 -aS'without\twithout\tIN\tB-PP\tO' -p201445 -aS'the\tthe\tDT\tB-NP\tO' -p201446 -aS'knowledge\tknowledge\tNN\tI-NP\tO' -p201447 -aS'of\tof\tIN\tB-PP\tO' -p201448 -aS'those\tthose\tDT\tB-NP\tO' -p201449 -aS'close\tclose\tJJ\tB-ADJP\tO' -p201450 -aS'to\tto\tTO\tB-PP\tO' -p201451 -aS'her\ther\tPRP\tB-NP\tO' -p201452 -aS'and\tand\tCC\tO\tO' -p201453 -aS'very\tvery\tRB\tB-ADVP\tO' -p201454 -aS'much\tmuch\tRB\tI-ADVP\tO' -p201455 -aS'expected\texpect\tVBD\tB-VP\tO' -p201456 -aS'her\ther\tPRP$\tB-NP\tO' -p201457 -aS'attempt\tattempt\tNN\tI-NP\tO' -p201458 -aS'to\tto\tTO\tB-VP\tO' -p201459 -aS'work\twork\tVB\tI-VP\tO' -p201460 -aS'.\t.\t.\tO\tO' -p201461 -asS'The patient had undergone treatment with interferon and Ribavirin .' -p201462 -(lp201463 -S'The\tThe\tDT\tB-NP\tO' -p201464 -aS'patient\tpatient\tNN\tI-NP\tO' -p201465 -aS'had\thave\tVBD\tB-VP\tO' -p201466 -aS'undergone\tundergo\tVBN\tI-VP\tO' -p201467 -aS'treatment\ttreatment\tNN\tB-NP\tO' -p201468 -aS'with\twith\tIN\tB-PP\tO' -p201469 -aS'interferon\tinterferon\tNN\tB-NP\tB-protein' -p201470 -aS'and\tand\tCC\tI-NP\tO' -p201471 -aS'Ribavirin\tRibavirin\tNN\tI-NP\tB-protein' -p201472 -aS'.\t.\t.\tO\tO' -p201473 -asS'1/6 systolic ejection murmur .' -p201474 -(lp201475 -S'1/6\t1/6\tCD\tB-NP\tO' -p201476 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p201477 -aS'ejection\tejection\tNN\tI-NP\tO' -p201478 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p201479 -aS'.\t.\t.\tO\tO' -p201480 -asS'Please followup with your primary care physician Todd 12-30 weeks of discharge .' -p201481 -(lp201482 -S'Please\tPlease\tNN\tB-NP\tO' -p201483 -aS'followup\tfollowup\tNN\tI-NP\tO' -p201484 -aS'with\twith\tIN\tB-PP\tO' -p201485 -aS'your\tyour\tPRP$\tB-NP\tO' -p201486 -aS'primary\tprimary\tJJ\tI-NP\tO' -p201487 -aS'care\tcare\tNN\tI-NP\tO' -p201488 -aS'physician\tphysician\tNN\tI-NP\tO' -p201489 -aS'Todd\tTodd\tNN\tI-NP\tO' -p201490 -aS'12-30\t12-30\tCD\tB-NP\tO' -p201491 -aS'weeks\tweek\tNNS\tI-NP\tO' -p201492 -aS'of\tof\tIN\tB-PP\tO' -p201493 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p201494 -aS'.\t.\t.\tO\tO' -p201495 -asS'Washings were sent .' -p201496 -(lp201497 -S'Washings\tWashing\tNNS\tB-NP\tO' -p201498 -aS'were\tbe\tVBD\tB-VP\tO' -p201499 -aS'sent\tsend\tVBN\tI-VP\tO' -p201500 -aS'.\t.\t.\tO\tO' -p201501 -asS'Stable postoperative cardiac and mediastinal widening .' -p201502 -(lp201503 -S'Stable\tStable\tJJ\tB-NP\tO' -p201504 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p201505 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p201506 -aS'and\tand\tCC\tI-NP\tO' -p201507 -aS'mediastinal\tmediastinal\tJJ\tI-NP\tO' -p201508 -aS'widening\twidening\tNN\tI-NP\tO' -p201509 -aS'.\t.\t.\tO\tO' -p201510 -asS'Disp :* 90 Tablet Sustained Release (s)* Refills :* 0 *' -p201511 -(lp201512 -S'Disp\tDisp\tNN\tB-NP\tO' -p201513 -aS':*\t:*\tSYM\tI-NP\tO' -p201514 -aS'90\t90\tCD\tI-NP\tO' -p201515 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p201516 -aS'Sustained\tSustained\tNNP\tI-NP\tO' -p201517 -aS'Release\tRelease\tNNP\tI-NP\tO' -p201518 -aS'(s)*\t(s)*\tSYM\tB-NP\tO' -p201519 -aS'Refills\tRefill\tNNPS\tI-NP\tO' -p201520 -aS':*\t:*\tSYM\tI-NP\tO' -p201521 -aS'0\t0\tCD\tI-NP\tO' -p201522 -aS'*\t*\tSYM\tB-NP\tO' -p201523 -asS'C7 & T1 mimimally displaced transverse process fracture' -p201524 -(lp201525 -S'C7\tC7\tNN\tB-NP\tB-protein' -p201526 -aS'&\t&\tCC\tI-NP\tO' -p201527 -aS'T1\tT1\tNN\tI-NP\tO' -p201528 -aS'mimimally\tmimimally\tRB\tB-ADVP\tO' -p201529 -aS'displaced\tdisplace\tVBD\tB-VP\tO' -p201530 -aS'transverse\ttransverse\tJJ\tB-NP\tO' -p201531 -aS'process\tprocess\tNN\tI-NP\tO' -p201532 -aS'fracture\tfracture\tNN\tI-NP\tO' -p201533 -asS'The patient 's preliminary admitting physician is DALEJESC , OIE and the preliminary admitting diagnosis is CHOLECYSTITIS .' -p201534 -(lp201535 -S'The\tThe\tDT\tB-NP\tO' -p201536 -aS'patient\tpatient\tNN\tI-NP\tO' -p201537 -aS''s\t'\tNNS\tI-NP\tO' -p201538 -aS'preliminary\tpreliminary\tJJ\tB-NP\tO' -p201539 -aS'admitting\tadmit\tVBG\tI-NP\tO' -p201540 -aS'physician\tphysician\tNN\tI-NP\tO' -p201541 -aS'is\tbe\tVBZ\tB-VP\tO' -p201542 -aS'DALEJESC\tDALEJESC\tNNP\tB-NP\tO' -p201543 -aS',\t,\t,\tO\tO' -p201544 -aS'OIE\tOIE\tNNP\tB-NP\tO' -p201545 -aS'and\tand\tCC\tO\tO' -p201546 -aS'the\tthe\tDT\tB-NP\tO' -p201547 -aS'preliminary\tpreliminary\tJJ\tI-NP\tO' -p201548 -aS'admitting\tadmit\tVBG\tI-NP\tO' -p201549 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p201550 -aS'is\tbe\tVBZ\tB-VP\tO' -p201551 -aS'CHOLECYSTITIS\tCHOLECYSTITIS\tNN\tB-NP\tO' -p201552 -aS'.\t.\t.\tO\tO' -p201553 -asS'2) You are scheduled to have your staples removed on 2013-11-20 3:00 with provider : Leah , Paula G. Wilson SURGERY ( NHB )' -p201554 -(lp201555 -S'2)\t2)\tLS\tB-LST\tO' -p201556 -aS'You\tYou\tPRP\tB-NP\tB-protein' -p201557 -aS'are\tbe\tVBP\tB-VP\tO' -p201558 -aS'scheduled\tschedule\tVBN\tI-VP\tO' -p201559 -aS'to\tto\tTO\tI-VP\tO' -p201560 -aS'have\thave\tVB\tI-VP\tO' -p201561 -aS'your\tyour\tPRP$\tB-NP\tO' -p201562 -aS'staples\tstaple\tNNS\tI-NP\tO' -p201563 -aS'removed\tremove\tVBN\tB-VP\tO' -p201564 -aS'on\ton\tIN\tB-PP\tO' -p201565 -aS'2013-11-20\t2013-11-20\tCD\tB-NP\tO' -p201566 -aS'3:00\t3:00\tCD\tI-NP\tO' -p201567 -aS'with\twith\tIN\tB-PP\tO' -p201568 -aS'provider\tprovider\tNN\tB-NP\tO' -p201569 -aS':\t:\t:\tO\tO' -p201570 -aS'Leah\tLeah\tNNP\tB-NP\tO' -p201571 -aS',\t,\t,\tO\tO' -p201572 -aS'Paula\tPaula\tNNP\tB-NP\tO' -p201573 -aS'G.\tG.\tNNP\tI-NP\tO' -p201574 -aS'Wilson\tWilson\tNNP\tI-NP\tO' -p201575 -aS'SURGERY\tSURGERY\tNNP\tI-NP\tO' -p201576 -aS'(\t(\t(\tO\tO' -p201577 -aS'NHB\tNHB\tNNP\tB-NP\tO' -p201578 -aS')\t)\t)\tO\tO' -p201579 -asS'A trough level at 20 hours after the bolus on day of discharge was 29 .' -p201580 -(lp201581 -S'A\tA\tDT\tB-NP\tO' -p201582 -aS'trough\ttrough\tNN\tI-NP\tO' -p201583 -aS'level\tlevel\tNN\tI-NP\tO' -p201584 -aS'at\tat\tIN\tB-PP\tO' -p201585 -aS'20\t20\tCD\tB-NP\tO' -p201586 -aS'hours\thour\tNNS\tI-NP\tO' -p201587 -aS'after\tafter\tIN\tB-PP\tO' -p201588 -aS'the\tthe\tDT\tB-NP\tO' -p201589 -aS'bolus\tbolus\tNN\tI-NP\tO' -p201590 -aS'on\ton\tIN\tB-PP\tO' -p201591 -aS'day\tday\tNN\tB-NP\tO' -p201592 -aS'of\tof\tIN\tB-PP\tO' -p201593 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p201594 -aS'was\tbe\tVBD\tB-VP\tO' -p201595 -aS'29\t29\tCD\tB-NP\tO' -p201596 -aS'.\t.\t.\tO\tO' -p201597 -asS'White blood cell count 11.5 , hematocrit 31.0 , platelet count 290,000 .' -p201598 -(lp201599 -S'White\tWhite\tJJ\tB-NP\tO' -p201600 -aS'blood\tblood\tNN\tI-NP\tO' -p201601 -aS'cell\tcell\tNN\tI-NP\tO' -p201602 -aS'count\tcount\tNN\tI-NP\tO' -p201603 -aS'11.5\t11.5\tCD\tB-NP\tO' -p201604 -aS',\t,\t,\tO\tO' -p201605 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p201606 -aS'31.0\t31.0\tCD\tI-NP\tI-protein' -p201607 -aS',\t,\t,\tO\tO' -p201608 -aS'platelet\tplatelet\tNN\tB-NP\tB-protein' -p201609 -aS'count\tcount\tNN\tI-NP\tI-protein' -p201610 -aS'290,000\t290,000\tCD\tI-NP\tI-protein' -p201611 -aS'.\t.\t.\tO\tO' -p201612 -asS'The patient was switched to 2 liters nasal cannula and oxygen saturating at 98 to 100 percent .' -p201613 -(lp201614 -S'The\tThe\tDT\tB-NP\tO' -p201615 -aS'patient\tpatient\tNN\tI-NP\tO' -p201616 -aS'was\tbe\tVBD\tB-VP\tO' -p201617 -aS'switched\tswitch\tVBN\tI-VP\tO' -p201618 -aS'to\tto\tTO\tB-PP\tO' -p201619 -aS'2\t2\tCD\tB-NP\tO' -p201620 -aS'liters\tliter\tNNS\tI-NP\tO' -p201621 -aS'nasal\tnasal\tJJ\tI-NP\tO' -p201622 -aS'cannula\tcannula\tNN\tI-NP\tO' -p201623 -aS'and\tand\tCC\tI-NP\tO' -p201624 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p201625 -aS'saturating\tsaturate\tVBG\tB-VP\tO' -p201626 -aS'at\tat\tIN\tB-PP\tO' -p201627 -aS'98\t98\tCD\tB-NP\tO' -p201628 -aS'to\tto\tTO\tB-PP\tO' -p201629 -aS'100\t100\tCD\tB-NP\tO' -p201630 -aS'percent\tpercent\tNN\tI-NP\tO' -p201631 -aS'.\t.\t.\tO\tO' -p201632 -asS'3. Status post transverse colectomy with anastomosis .' -p201633 -(lp201634 -S'3.\t3.\tLS\tB-LST\tO' -p201635 -aS'Status\tStatus\tNNP\tB-NP\tO' -p201636 -aS'post\tpost\tIN\tB-PP\tO' -p201637 -aS'transverse\ttransverse\tJJ\tB-NP\tO' -p201638 -aS'colectomy\tcolectomy\tNN\tI-NP\tO' -p201639 -aS'with\twith\tIN\tB-PP\tO' -p201640 -aS'anastomosis\tanastomosis\tNN\tB-NP\tO' -p201641 -aS'.\t.\t.\tO\tO' -p201642 -asS"The cardiology service simply recommended increasing the beta-blockade and maximizing the patient 's electrolyte status ." -p201643 -(lp201644 -S'The\tThe\tDT\tB-NP\tO' -p201645 -aS'cardiology\tcardiology\tNN\tI-NP\tO' -p201646 -aS'service\tservice\tNN\tI-NP\tO' -p201647 -aS'simply\tsimply\tRB\tB-ADVP\tO' -p201648 -aS'recommended\trecommend\tVBD\tB-VP\tO' -p201649 -aS'increasing\tincrease\tVBG\tI-VP\tO' -p201650 -aS'the\tthe\tDT\tB-NP\tO' -p201651 -aS'beta-blockade\tbeta-blockade\tNN\tI-NP\tO' -p201652 -aS'and\tand\tCC\tO\tO' -p201653 -aS'maximizing\tmaximize\tVBG\tB-VP\tO' -p201654 -aS'the\tthe\tDT\tB-NP\tO' -p201655 -aS'patient\tpatient\tNN\tI-NP\tO' -p201656 -aS"'s\t's\tPOS\tB-NP\tO" -p201657 -aS'electrolyte\telectrolyte\tNN\tI-NP\tO' -p201658 -aS'status\tstatus\tNN\tI-NP\tO' -p201659 -aS'.\t.\t.\tO\tO' -p201660 -asS'Status post anterior myocardial infarction in 05-93 , status post percutaneous transluminal coronary angioplasty of left anterior descending in 05-93 , hypertension , diabetes mellitus .' -p201661 -(lp201662 -S'Status\tStatus\tNNP\tB-NP\tO' -p201663 -aS'post\tpost\tVBD\tB-VP\tO' -p201664 -aS'anterior\tanterior\tJJ\tB-NP\tO' -p201665 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p201666 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p201667 -aS'in\tin\tIN\tB-PP\tO' -p201668 -aS'05-93\t05-93\tCD\tB-NP\tO' -p201669 -aS',\t,\t,\tO\tO' -p201670 -aS'status\tstatus\tNN\tB-NP\tO' -p201671 -aS'post\tpost\tVBD\tB-VP\tO' -p201672 -aS'percutaneous\tpercutaneous\tJJ\tB-NP\tO' -p201673 -aS'transluminal\ttransluminal\tJJ\tI-NP\tO' -p201674 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p201675 -aS'angioplasty\tangioplasty\tNN\tI-NP\tO' -p201676 -aS'of\tof\tIN\tB-PP\tO' -p201677 -aS'left\tleft\tJJ\tB-NP\tO' -p201678 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p201679 -aS'descending\tdescending\tNN\tI-NP\tO' -p201680 -aS'in\tin\tIN\tB-PP\tO' -p201681 -aS'05-93\t05-93\tCD\tB-NP\tO' -p201682 -aS',\t,\t,\tO\tO' -p201683 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p201684 -aS',\t,\t,\tO\tO' -p201685 -aS'diabetes\tdiabetes\tNN\tB-NP\tO' -p201686 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p201687 -aS'.\t.\t.\tO\tO' -p201688 -asS'COPD exacerpation with troponin leak likely NSTEMI secondary to demand ischemia .' -p201689 -(lp201690 -S'COPD\tCOPD\tNN\tB-NP\tO' -p201691 -aS'exacerpation\texacerpation\tNN\tI-NP\tO' -p201692 -aS'with\twith\tIN\tB-PP\tO' -p201693 -aS'troponin\ttroponin\tNN\tB-NP\tO' -p201694 -aS'leak\tleak\tNN\tI-NP\tO' -p201695 -aS'likely\tlikely\tRB\tB-NP\tO' -p201696 -aS'NSTEMI\tNSTEMI\tNN\tI-NP\tO' -p201697 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p201698 -aS'to\tto\tTO\tB-VP\tO' -p201699 -aS'demand\tdemand\tVB\tI-VP\tO' -p201700 -aS'ischemia\tischemia\tNN\tB-NP\tO' -p201701 -aS'.\t.\t.\tO\tO' -p201702 -asS'Color pink in room air .' -p201703 -(lp201704 -S'Color\tColor\tNNP\tB-NP\tO' -p201705 -aS'pink\tpink\tVB\tB-VP\tO' -p201706 -aS'in\tin\tIN\tB-PP\tO' -p201707 -aS'room\troom\tNN\tB-NP\tO' -p201708 -aS'air\tair\tNN\tI-NP\tO' -p201709 -aS'.\t.\t.\tO\tO' -p201710 -asS'- B Complex - Vitamin C - Folic Acid 1 mg Capsule QD' -p201711 -(lp201712 -S'-\t-\tHYPH\tB-NP\tO' -p201713 -aS'B\tB\tNN\tI-NP\tB-protein' -p201714 -aS'Complex\tComplex\tNN\tI-NP\tI-protein' -p201715 -aS'-\t-\tHYPH\tO\tO' -p201716 -aS'Vitamin\tVitamin\tNN\tB-NP\tB-protein' -p201717 -aS'C\tC\tNN\tI-NP\tI-protein' -p201718 -aS'-\t-\tHYPH\tB-NP\tO' -p201719 -aS'Folic\tFolic\tJJ\tI-NP\tO' -p201720 -aS'Acid\tAcid\tNN\tI-NP\tO' -p201721 -aS'1\t1\tCD\tI-NP\tO' -p201722 -aS'mg\tmg\tNN\tI-NP\tO' -p201723 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p201724 -aS'QD\tQD\tNNP\tI-NP\tO' -p201725 -asS'She was cleared to take sips of clear fluids and was to remain flat for 4 hours .' -p201726 -(lp201727 -S'She\tShe\tPRP\tB-NP\tO' -p201728 -aS'was\tbe\tVBD\tB-VP\tO' -p201729 -aS'cleared\tclear\tVBN\tI-VP\tO' -p201730 -aS'to\tto\tTO\tI-VP\tO' -p201731 -aS'take\ttake\tVB\tI-VP\tO' -p201732 -aS'sips\tsip\tNNS\tB-NP\tO' -p201733 -aS'of\tof\tIN\tB-PP\tO' -p201734 -aS'clear\tclear\tJJ\tB-NP\tO' -p201735 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p201736 -aS'and\tand\tCC\tO\tO' -p201737 -aS'was\tbe\tVBD\tB-VP\tO' -p201738 -aS'to\tto\tTO\tI-VP\tO' -p201739 -aS'remain\tremain\tVB\tI-VP\tO' -p201740 -aS'flat\tflat\tJJ\tB-ADJP\tO' -p201741 -aS'for\tfor\tIN\tB-PP\tO' -p201742 -aS'4\t4\tCD\tB-NP\tO' -p201743 -aS'hours\thour\tNNS\tI-NP\tO' -p201744 -aS'.\t.\t.\tO\tO' -p201745 -asS'There was only diffuse small vessel disease noted .' -p201746 -(lp201747 -S'There\tThere\tEX\tB-NP\tO' -p201748 -aS'was\tbe\tVBD\tB-VP\tO' -p201749 -aS'only\tonly\tRB\tB-NP\tO' -p201750 -aS'diffuse\tdiffuse\tJJ\tI-NP\tO' -p201751 -aS'small\tsmall\tJJ\tI-NP\tO' -p201752 -aS'vessel\tvessel\tNN\tI-NP\tO' -p201753 -aS'disease\tdisease\tNN\tI-NP\tO' -p201754 -aS'noted\tnote\tVBD\tB-VP\tO' -p201755 -aS'.\t.\t.\tO\tO' -p201756 -asS'The patient does have a vague history of chronic obstructive pulmonary disease , but this is felt to be inaccurate .' -p201757 -(lp201758 -S'The\tThe\tDT\tB-NP\tO' -p201759 -aS'patient\tpatient\tNN\tI-NP\tO' -p201760 -aS'does\tdo\tVBZ\tB-VP\tO' -p201761 -aS'have\thave\tVB\tI-VP\tO' -p201762 -aS'a\ta\tDT\tB-NP\tO' -p201763 -aS'vague\tvague\tJJ\tI-NP\tO' -p201764 -aS'history\thistory\tNN\tI-NP\tO' -p201765 -aS'of\tof\tIN\tB-PP\tO' -p201766 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p201767 -aS'obstructive\tobstructive\tJJ\tI-NP\tO' -p201768 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p201769 -aS'disease\tdisease\tNN\tI-NP\tO' -p201770 -aS',\t,\t,\tO\tO' -p201771 -aS'but\tbut\tCC\tO\tO' -p201772 -aS'this\tthis\tDT\tB-NP\tO' -p201773 -aS'is\tbe\tVBZ\tB-VP\tO' -p201774 -aS'felt\tfeel\tVBN\tI-VP\tO' -p201775 -aS'to\tto\tTO\tI-VP\tO' -p201776 -aS'be\tbe\tVB\tI-VP\tO' -p201777 -aS'inaccurate\tinaccurate\tJJ\tB-ADJP\tO' -p201778 -aS'.\t.\t.\tO\tO' -p201779 -asS'Pt was mentating okay , having conversations with intermittent somnolence despite hypercarbia .' -p201780 -(lp201781 -S'Pt\tPt\tNN\tB-NP\tO' -p201782 -aS'was\tbe\tVBD\tB-VP\tO' -p201783 -aS'mentating\tmentate\tVBG\tI-VP\tO' -p201784 -aS'okay\tokay\tNN\tB-NP\tO' -p201785 -aS',\t,\t,\tO\tO' -p201786 -aS'having\thave\tVBG\tB-VP\tO' -p201787 -aS'conversations\tconversation\tNNS\tB-NP\tO' -p201788 -aS'with\twith\tIN\tB-PP\tO' -p201789 -aS'intermittent\tintermittent\tJJ\tB-NP\tO' -p201790 -aS'somnolence\tsomnolence\tNN\tI-NP\tO' -p201791 -aS'despite\tdespite\tIN\tB-PP\tO' -p201792 -aS'hypercarbia\thypercarbia\tNN\tB-NP\tO' -p201793 -aS'.\t.\t.\tO\tO' -p201794 -asS'ALT 44 .' -p201795 -(lp201796 -S'ALT\tALT\tNN\tB-NP\tO' -p201797 -aS'44\t44\tCD\tI-NP\tO' -p201798 -aS'.\t.\t.\tO\tO' -p201799 -asS'He had flatus on postoperative day # 3 .' -p201800 -(lp201801 -S'He\tHe\tPRP\tB-NP\tO' -p201802 -aS'had\thave\tVBD\tB-VP\tO' -p201803 -aS'flatus\tflatus\tNN\tB-NP\tO' -p201804 -aS'on\ton\tIN\tB-PP\tO' -p201805 -aS'postoperative\tpostoperative\tJJ\tB-NP\tB-protein' -p201806 -aS'day\tday\tNN\tI-NP\tI-protein' -p201807 -aS'#\t#\t#\tB-NP\tI-protein' -p201808 -aS'3\t3\tCD\tI-NP\tI-protein' -p201809 -aS'.\t.\t.\tO\tO' -p201810 -asS'Pregnancy was also complicated by maternal history of depression for which mother received Zoloft .' -p201811 -(lp201812 -S'Pregnancy\tPregnancy\tNN\tB-NP\tO' -p201813 -aS'was\tbe\tVBD\tB-VP\tO' -p201814 -aS'also\talso\tRB\tI-VP\tO' -p201815 -aS'complicated\tcomplicate\tVBN\tI-VP\tO' -p201816 -aS'by\tby\tIN\tB-PP\tO' -p201817 -aS'maternal\tmaternal\tJJ\tB-NP\tO' -p201818 -aS'history\thistory\tNN\tI-NP\tO' -p201819 -aS'of\tof\tIN\tB-PP\tO' -p201820 -aS'depression\tdepression\tNN\tB-NP\tO' -p201821 -aS'for\tfor\tIN\tB-PP\tO' -p201822 -aS'which\twhich\tWDT\tB-NP\tO' -p201823 -aS'mother\tmother\tNN\tB-NP\tO' -p201824 -aS'received\treceive\tVBD\tB-VP\tO' -p201825 -aS'Zoloft\tZoloft\tNNP\tB-NP\tO' -p201826 -aS'.\t.\t.\tO\tO' -p201827 -asS'IN SUMMARY , the patient was considered to have severe necrotizing pancreatitis , with severe cardiac disease .' -p201828 -(lp201829 -S'IN\tIN\tIN\tB-PP\tO' -p201830 -aS'SUMMARY\tSUMMARY\tNNP\tB-NP\tO' -p201831 -aS',\t,\t,\tO\tO' -p201832 -aS'the\tthe\tDT\tB-NP\tO' -p201833 -aS'patient\tpatient\tNN\tI-NP\tO' -p201834 -aS'was\tbe\tVBD\tB-VP\tO' -p201835 -aS'considered\tconsider\tVBN\tI-VP\tO' -p201836 -aS'to\tto\tTO\tI-VP\tO' -p201837 -aS'have\thave\tVB\tI-VP\tO' -p201838 -aS'severe\tsevere\tJJ\tB-NP\tO' -p201839 -aS'necrotizing\tnecrotizing\tJJ\tI-NP\tO' -p201840 -aS'pancreatitis\tpancreatitis\tNN\tI-NP\tO' -p201841 -aS',\t,\t,\tO\tO' -p201842 -aS'with\twith\tIN\tB-PP\tO' -p201843 -aS'severe\tsevere\tJJ\tB-NP\tO' -p201844 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p201845 -aS'disease\tdisease\tNN\tI-NP\tO' -p201846 -aS'.\t.\t.\tO\tO' -p201847 -asS'MEDICATIONS : His prescriptions shall include' -p201848 -(lp201849 -S'MEDICATIONS\tMEDICATIONS\tNNS\tB-NP\tO' -p201850 -aS':\t:\t:\tO\tO' -p201851 -aS'His\tHis\tPRP$\tB-NP\tO' -p201852 -aS'prescriptions\tprescription\tNNS\tI-NP\tO' -p201853 -aS'shall\tshall\tMD\tB-VP\tO' -p201854 -aS'include\tinclude\tVB\tI-VP\tO' -p201855 -asS'On 2014-03-11 , Mr. Knueppel went to the Operating Room with Dr. Streeter .' -p201856 -(lp201857 -S'On\tOn\tIN\tB-PP\tO' -p201858 -aS'2014-03-11\t2014-03-11\tCD\tB-NP\tO' -p201859 -aS',\t,\t,\tO\tO' -p201860 -aS'Mr.\tMr.\tNNP\tB-NP\tO' -p201861 -aS'Knueppel\tKnueppel\tNNP\tI-NP\tO' -p201862 -aS'went\tgo\tVBD\tB-VP\tO' -p201863 -aS'to\tto\tTO\tB-PP\tO' -p201864 -aS'the\tthe\tDT\tB-NP\tO' -p201865 -aS'Operating\tOperating\tNNP\tI-NP\tO' -p201866 -aS'Room\tRoom\tNNP\tI-NP\tO' -p201867 -aS'with\twith\tIN\tB-PP\tO' -p201868 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p201869 -aS'Streeter\tStreeter\tNNP\tI-NP\tO' -p201870 -aS'.\t.\t.\tO\tO' -p201871 -asS'It was noted on 10/8/94 that she had a decreased range of motion in both her knees with flexion to approximately 40 degrees with maximum physical therapy .' -p201872 -(lp201873 -S'It\tIt\tPRP\tB-NP\tO' -p201874 -aS'was\tbe\tVBD\tB-VP\tO' -p201875 -aS'noted\tnote\tVBN\tI-VP\tO' -p201876 -aS'on\ton\tIN\tB-PP\tO' -p201877 -aS'10/8/94\t10/8/94\tCD\tB-NP\tO' -p201878 -aS'that\tthat\tIN\tB-SBAR\tO' -p201879 -aS'she\tshe\tPRP\tB-NP\tO' -p201880 -aS'had\thave\tVBD\tB-VP\tO' -p201881 -aS'a\ta\tDT\tB-NP\tO' -p201882 -aS'decreased\tdecrease\tVBN\tI-NP\tO' -p201883 -aS'range\trange\tNN\tI-NP\tO' -p201884 -aS'of\tof\tIN\tB-PP\tO' -p201885 -aS'motion\tmotion\tNN\tB-NP\tO' -p201886 -aS'in\tin\tIN\tB-PP\tO' -p201887 -aS'both\tboth\tCC\tO\tO' -p201888 -aS'her\ther\tPRP$\tB-NP\tO' -p201889 -aS'knees\tknee\tNNS\tI-NP\tO' -p201890 -aS'with\twith\tIN\tB-PP\tO' -p201891 -aS'flexion\tflexion\tNN\tB-NP\tO' -p201892 -aS'to\tto\tTO\tB-PP\tO' -p201893 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p201894 -aS'40\t40\tCD\tI-NP\tO' -p201895 -aS'degrees\tdegree\tNNS\tI-NP\tO' -p201896 -aS'with\twith\tIN\tB-PP\tO' -p201897 -aS'maximum\tmaximum\tJJ\tB-NP\tO' -p201898 -aS'physical\tphysical\tJJ\tI-NP\tO' -p201899 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p201900 -aS'.\t.\t.\tO\tO' -p201901 -asS'Sats 96% on room air .' -p201902 -(lp201903 -S'Sats\tSat\tNNS\tB-NP\tO' -p201904 -aS'96%\t96%\tVBP\tB-VP\tO' -p201905 -aS'on\ton\tIN\tB-PP\tO' -p201906 -aS'room\troom\tNN\tB-NP\tO' -p201907 -aS'air\tair\tNN\tI-NP\tO' -p201908 -aS'.\t.\t.\tO\tO' -p201909 -asS'Head circumference was 34.5 cm , 75th percentile , and length was 50.7 cm , also the 75th percentile .' -p201910 -(lp201911 -S'Head\tHead\tNN\tB-NP\tO' -p201912 -aS'circumference\tcircumference\tNN\tI-NP\tO' -p201913 -aS'was\tbe\tVBD\tB-VP\tO' -p201914 -aS'34.5\t34.5\tCD\tB-NP\tO' -p201915 -aS'cm\tcm\tNN\tI-NP\tO' -p201916 -aS',\t,\t,\tO\tO' -p201917 -aS'75th\t75th\tJJ\tB-NP\tO' -p201918 -aS'percentile\tpercentile\tNN\tI-NP\tO' -p201919 -aS',\t,\t,\tO\tO' -p201920 -aS'and\tand\tCC\tO\tO' -p201921 -aS'length\tlength\tNN\tB-NP\tO' -p201922 -aS'was\tbe\tVBD\tB-VP\tO' -p201923 -aS'50.7\t50.7\tCD\tB-NP\tO' -p201924 -aS'cm\tcm\tNN\tI-NP\tO' -p201925 -aS',\t,\t,\tO\tO' -p201926 -aS'also\talso\tRB\tB-ADVP\tO' -p201927 -aS'the\tthe\tDT\tB-NP\tO' -p201928 -aS'75th\t75th\tJJ\tI-NP\tO' -p201929 -aS'percentile\tpercentile\tNN\tI-NP\tO' -p201930 -aS'.\t.\t.\tO\tO' -p201931 -asS'His history is now that he has had a week of progressive left upper extremity weakness , to the point of being unable to move the left hand and one day of being unable to walk secondary to left leg weakness with a marked tendency to fall leftward .' -p201932 -(lp201933 -S'His\tHis\tPRP$\tB-NP\tO' -p201934 -aS'history\thistory\tNN\tI-NP\tO' -p201935 -aS'is\tbe\tVBZ\tB-VP\tO' -p201936 -aS'now\tnow\tRB\tB-ADVP\tO' -p201937 -aS'that\tthat\tIN\tB-SBAR\tO' -p201938 -aS'he\the\tPRP\tB-NP\tO' -p201939 -aS'has\thave\tVBZ\tB-VP\tO' -p201940 -aS'had\thave\tVBN\tI-VP\tO' -p201941 -aS'a\ta\tDT\tB-NP\tO' -p201942 -aS'week\tweek\tNN\tI-NP\tO' -p201943 -aS'of\tof\tIN\tB-PP\tO' -p201944 -aS'progressive\tprogressive\tJJ\tB-NP\tO' -p201945 -aS'left\tleft\tJJ\tI-NP\tO' -p201946 -aS'upper\tupper\tJJ\tI-NP\tO' -p201947 -aS'extremity\textremity\tNN\tI-NP\tO' -p201948 -aS'weakness\tweakness\tNN\tI-NP\tO' -p201949 -aS',\t,\t,\tO\tO' -p201950 -aS'to\tto\tTO\tB-PP\tO' -p201951 -aS'the\tthe\tDT\tB-NP\tO' -p201952 -aS'point\tpoint\tNN\tI-NP\tO' -p201953 -aS'of\tof\tIN\tB-PP\tO' -p201954 -aS'being\tbe\tVBG\tB-VP\tO' -p201955 -aS'unable\tunable\tJJ\tB-ADJP\tO' -p201956 -aS'to\tto\tTO\tB-VP\tO' -p201957 -aS'move\tmove\tVB\tI-VP\tO' -p201958 -aS'the\tthe\tDT\tB-NP\tO' -p201959 -aS'left\tleft\tJJ\tI-NP\tO' -p201960 -aS'hand\thand\tNN\tI-NP\tO' -p201961 -aS'and\tand\tCC\tO\tO' -p201962 -aS'one\tone\tCD\tB-NP\tO' -p201963 -aS'day\tday\tNN\tI-NP\tO' -p201964 -aS'of\tof\tIN\tB-PP\tO' -p201965 -aS'being\tbe\tVBG\tB-VP\tO' -p201966 -aS'unable\tunable\tJJ\tB-ADJP\tO' -p201967 -aS'to\tto\tTO\tB-VP\tO' -p201968 -aS'walk\twalk\tVB\tI-VP\tO' -p201969 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p201970 -aS'to\tto\tTO\tB-PP\tO' -p201971 -aS'left\tleft\tJJ\tB-NP\tO' -p201972 -aS'leg\tleg\tNN\tI-NP\tO' -p201973 -aS'weakness\tweakness\tNN\tI-NP\tO' -p201974 -aS'with\twith\tIN\tB-PP\tO' -p201975 -aS'a\ta\tDT\tB-NP\tO' -p201976 -aS'marked\tmarked\tJJ\tI-NP\tO' -p201977 -aS'tendency\ttendency\tNN\tI-NP\tO' -p201978 -aS'to\tto\tTO\tB-VP\tO' -p201979 -aS'fall\tfall\tVB\tI-VP\tO' -p201980 -aS'leftward\tleftward\tRB\tB-ADVP\tO' -p201981 -aS'.\t.\t.\tO\tO' -p201982 -asS'On postoperative day #2 her Foley catheter and chest tubes were discontinued .' -p201983 -(lp201984 -S'On\tOn\tIN\tB-PP\tO' -p201985 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p201986 -aS'day\tday\tNN\tI-NP\tO' -p201987 -aS'#2\t#2\tCD\tI-NP\tO' -p201988 -aS'her\ther\tPRP$\tB-NP\tO' -p201989 -aS'Foley\tFoley\tNNP\tI-NP\tO' -p201990 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p201991 -aS'and\tand\tCC\tI-NP\tO' -p201992 -aS'chest\tchest\tNN\tI-NP\tO' -p201993 -aS'tubes\ttube\tNNS\tI-NP\tO' -p201994 -aS'were\tbe\tVBD\tB-VP\tO' -p201995 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p201996 -aS'.\t.\t.\tO\tO' -p201997 -asS'4. Arthritis .' -p201998 -(lp201999 -S'4.\t4.\tLS\tB-NP\tO' -p202000 -aS'Arthritis\tArthritis\tNN\tI-NP\tO' -p202001 -aS'.\t.\t.\tO\tO' -p202002 -asS'1. Prempro .' -p202003 -(lp202004 -S'1.\t1.\tLS\tB-LST\tO' -p202005 -aS'Prempro\tPrempro\tNNP\tB-NP\tO' -p202006 -aS'.\t.\t.\tO\tO' -p202007 -asS'Most recently he was admitted to an outside hospital with a drug overdose in adult respiratory distress syndrome and ultimately found to have Candidal pericarditis which eventually led to constrictive pericarditis .' -p202008 -(lp202009 -S'Most\tMost\tRBS\tB-ADVP\tO' -p202010 -aS'recently\trecently\tRB\tI-ADVP\tO' -p202011 -aS'he\the\tPRP\tB-NP\tO' -p202012 -aS'was\tbe\tVBD\tB-VP\tO' -p202013 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p202014 -aS'to\tto\tTO\tB-PP\tO' -p202015 -aS'an\tan\tDT\tB-NP\tO' -p202016 -aS'outside\toutside\tJJ\tI-NP\tO' -p202017 -aS'hospital\thospital\tNN\tI-NP\tO' -p202018 -aS'with\twith\tIN\tB-PP\tO' -p202019 -aS'a\ta\tDT\tB-NP\tO' -p202020 -aS'drug\tdrug\tNN\tI-NP\tO' -p202021 -aS'overdose\toverdose\tNN\tI-NP\tO' -p202022 -aS'in\tin\tIN\tB-PP\tO' -p202023 -aS'adult\tadult\tJJ\tB-NP\tO' -p202024 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p202025 -aS'distress\tdistress\tNN\tI-NP\tO' -p202026 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p202027 -aS'and\tand\tCC\tO\tO' -p202028 -aS'ultimately\tultimately\tRB\tB-VP\tO' -p202029 -aS'found\tfind\tVBN\tI-VP\tO' -p202030 -aS'to\tto\tTO\tI-VP\tO' -p202031 -aS'have\thave\tVB\tI-VP\tO' -p202032 -aS'Candidal\tCandidal\tJJ\tB-NP\tO' -p202033 -aS'pericarditis\tpericarditis\tNN\tI-NP\tO' -p202034 -aS'which\twhich\tWDT\tB-NP\tO' -p202035 -aS'eventually\teventually\tRB\tB-ADVP\tO' -p202036 -aS'led\tlead\tVBD\tB-VP\tO' -p202037 -aS'to\tto\tTO\tB-PP\tO' -p202038 -aS'constrictive\tconstrictive\tJJ\tB-NP\tO' -p202039 -aS'pericarditis\tpericarditis\tNN\tI-NP\tO' -p202040 -aS'.\t.\t.\tO\tO' -p202041 -asS'Topical Bactroban to be applied three times a day to affected naris , prednisone 5 mg p.o. q.a.m. , K-Dur 10 mEq x2 p.o. q.d. , OxyContin 10 mg p.o. q.12h. , clindamycin 300 mg p.o. q.i.d. , lisinopril 10 mg p.o. q.d. , atenolol 25 mg p.o. q.d. , trazodone 100 mg p.o. q.h.s. , Prilosec 40 mg p.o. q.d , clotrimazole 1% cream topical to be applied b.i.d.' -p202042 -(lp202043 -S'Topical\tTopical\tJJ\tB-NP\tO' -p202044 -aS'Bactroban\tBactroban\tNNP\tI-NP\tO' -p202045 -aS'to\tto\tTO\tB-VP\tO' -p202046 -aS'be\tbe\tVB\tI-VP\tO' -p202047 -aS'applied\tapply\tVBN\tI-VP\tO' -p202048 -aS'three\tthree\tCD\tB-NP\tO' -p202049 -aS'times\ttime\tNNS\tI-NP\tO' -p202050 -aS'a\ta\tDT\tB-NP\tO' -p202051 -aS'day\tday\tNN\tI-NP\tO' -p202052 -aS'to\tto\tTO\tB-VP\tO' -p202053 -aS'affected\taffect\tVBN\tI-VP\tO' -p202054 -aS'naris\tnaris\tNN\tB-NP\tO' -p202055 -aS',\t,\t,\tO\tO' -p202056 -aS'prednisone\tprednisone\tNN\tB-NP\tO' -p202057 -aS'5\t5\tCD\tI-NP\tO' -p202058 -aS'mg\tmg\tNN\tI-NP\tO' -p202059 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p202060 -aS'q.a.m.\tq.a.m.\tNN\tI-NP\tO' -p202061 -aS',\t,\t,\tO\tO' -p202062 -aS'K-Dur\tK-Dur\tNN\tB-NP\tO' -p202063 -aS'10\t10\tCD\tI-NP\tO' -p202064 -aS'mEq\tmEq\tNN\tI-NP\tO' -p202065 -aS'x2\tx2\tNN\tI-NP\tO' -p202066 -aS'p.o.\tp.o.\tFW\tB-ADVP\tO' -p202067 -aS'q.d.\tq.d.\tFW\tI-ADVP\tO' -p202068 -aS',\t,\t,\tO\tO' -p202069 -aS'OxyContin\tOxyContin\tNN\tB-NP\tO' -p202070 -aS'10\t10\tCD\tI-NP\tO' -p202071 -aS'mg\tmg\tNN\tI-NP\tO' -p202072 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p202073 -aS'q.12h.\tq.12h.\tNN\tI-NP\tO' -p202074 -aS',\t,\t,\tO\tO' -p202075 -aS'clindamycin\tclindamycin\tNN\tB-NP\tO' -p202076 -aS'300\t300\tCD\tI-NP\tO' -p202077 -aS'mg\tmg\tNN\tI-NP\tO' -p202078 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p202079 -aS'q.i.d.\tq.i.d.\tNN\tI-NP\tO' -p202080 -aS',\t,\t,\tO\tO' -p202081 -aS'lisinopril\tlisinopril\tNN\tB-NP\tO' -p202082 -aS'10\t10\tCD\tI-NP\tO' -p202083 -aS'mg\tmg\tNN\tI-NP\tO' -p202084 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p202085 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p202086 -aS',\t,\t,\tO\tO' -p202087 -aS'atenolol\tatenolol\tNN\tB-NP\tO' -p202088 -aS'25\t25\tCD\tI-NP\tO' -p202089 -aS'mg\tmg\tNN\tI-NP\tO' -p202090 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p202091 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p202092 -aS',\t,\t,\tO\tO' -p202093 -aS'trazodone\ttrazodone\tNN\tB-NP\tO' -p202094 -aS'100\t100\tCD\tI-NP\tO' -p202095 -aS'mg\tmg\tNN\tI-NP\tO' -p202096 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p202097 -aS'q.h.s.\tq.h.s.\tNN\tI-NP\tO' -p202098 -aS',\t,\t,\tO\tO' -p202099 -aS'Prilosec\tPrilosec\tNNP\tB-NP\tO' -p202100 -aS'40\t40\tCD\tI-NP\tO' -p202101 -aS'mg\tmg\tNN\tI-NP\tO' -p202102 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p202103 -aS'q.d\tq.d\tNN\tI-NP\tO' -p202104 -aS',\t,\t,\tO\tO' -p202105 -aS'clotrimazole\tclotrimazole\tNN\tB-NP\tO' -p202106 -aS'1%\t1%\tNN\tI-NP\tO' -p202107 -aS'cream\tcream\tNN\tI-NP\tO' -p202108 -aS'topical\ttopical\tJJ\tB-ADJP\tO' -p202109 -aS'to\tto\tTO\tB-VP\tO' -p202110 -aS'be\tbe\tVB\tI-VP\tO' -p202111 -aS'applied\tapply\tVBN\tI-VP\tO' -p202112 -aS'b.i.d.\tb.i.d.\tRB\tB-ADVP\tO' -p202113 -asS'By discharge she was walking and taking PO's without problem .' -p202114 -(lp202115 -S'By\tBy\tIN\tB-PP\tO' -p202116 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p202117 -aS'she\tshe\tPRP\tB-NP\tO' -p202118 -aS'was\tbe\tVBD\tB-VP\tO' -p202119 -aS'walking\twalk\tVBG\tI-VP\tO' -p202120 -aS'and\tand\tCC\tI-VP\tO' -p202121 -aS'taking\ttake\tVBG\tI-VP\tO' -p202122 -aS'PO's\tPO'\tNNS\tB-NP\tO' -p202123 -aS'without\twithout\tIN\tB-PP\tO' -p202124 -aS'problem\tproblem\tNN\tB-NP\tO' -p202125 -aS'.\t.\t.\tO\tO' -p202126 -asS'On June 19 , 1998 , she was transferred to the Verg Medical Center Medical Intensive Care Unit for evaluation of possible thrombotic thrombocytopenic purpura .' -p202127 -(lp202128 -S'On\tOn\tIN\tB-PP\tO' -p202129 -aS'June\tJune\tNNP\tB-NP\tO' -p202130 -aS'19\t19\tCD\tI-NP\tO' -p202131 -aS',\t,\t,\tO\tO' -p202132 -aS'1998\t1998\tCD\tB-NP\tO' -p202133 -aS',\t,\t,\tO\tO' -p202134 -aS'she\tshe\tPRP\tB-NP\tO' -p202135 -aS'was\tbe\tVBD\tB-VP\tO' -p202136 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p202137 -aS'to\tto\tTO\tB-PP\tO' -p202138 -aS'the\tthe\tDT\tB-NP\tO' -p202139 -aS'Verg\tVerg\tNNP\tI-NP\tO' -p202140 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p202141 -aS'Center\tCenter\tNNP\tI-NP\tO' -p202142 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p202143 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p202144 -aS'Care\tCare\tNNP\tI-NP\tO' -p202145 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p202146 -aS'for\tfor\tIN\tB-PP\tO' -p202147 -aS'evaluation\tevaluation\tNN\tB-NP\tO' -p202148 -aS'of\tof\tIN\tB-PP\tO' -p202149 -aS'possible\tpossible\tJJ\tB-NP\tO' -p202150 -aS'thrombotic\tthrombotic\tJJ\tI-NP\tO' -p202151 -aS'thrombocytopenic\tthrombocytopenic\tJJ\tI-NP\tO' -p202152 -aS'purpura\tpurpura\tNN\tI-NP\tO' -p202153 -aS'.\t.\t.\tO\tO' -p202154 -asS'An ABG was done which showed pH 7.34 , pCO2 78 , pO2 92 on 2 liters .' -p202155 -(lp202156 -S'An\tAn\tDT\tB-NP\tO' -p202157 -aS'ABG\tABG\tNN\tI-NP\tO' -p202158 -aS'was\tbe\tVBD\tB-VP\tO' -p202159 -aS'done\tdo\tVBN\tI-VP\tO' -p202160 -aS'which\twhich\tWDT\tB-NP\tO' -p202161 -aS'showed\tshow\tVBD\tB-VP\tO' -p202162 -aS'pH\tpH\tNN\tB-NP\tO' -p202163 -aS'7.34\t7.34\tCD\tI-NP\tO' -p202164 -aS',\t,\t,\tO\tO' -p202165 -aS'pCO2\tpCO2\tNN\tB-NP\tO' -p202166 -aS'78\t78\tCD\tI-NP\tO' -p202167 -aS',\t,\t,\tO\tO' -p202168 -aS'pO2\tpO2\tNN\tB-NP\tO' -p202169 -aS'92\t92\tCD\tI-NP\tO' -p202170 -aS'on\ton\tIN\tB-PP\tO' -p202171 -aS'2\t2\tCD\tB-NP\tO' -p202172 -aS'liters\tliter\tNNS\tI-NP\tO' -p202173 -aS'.\t.\t.\tO\tO' -p202174 -asS'Her remained afebrile with stable vital signs .' -p202175 -(lp202176 -S'Her\tHer\tPRP$\tB-NP\tB-protein' -p202177 -aS'remained\tremain\tVBD\tB-VP\tO' -p202178 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p202179 -aS'with\twith\tIN\tB-PP\tO' -p202180 -aS'stable\tstable\tJJ\tB-NP\tO' -p202181 -aS'vital\tvital\tJJ\tI-NP\tO' -p202182 -aS'signs\tsign\tNNS\tI-NP\tO' -p202183 -aS'.\t.\t.\tO\tO' -p202184 -asS'6. Albuterol .' -p202185 -(lp202186 -S'6.\t6.\tLS\tB-LST\tO' -p202187 -aS'Albuterol\tAlbuterol\tNNP\tB-NP\tO' -p202188 -aS'.\t.\t.\tO\tO' -p202189 -asS'Given her disease prognosis and the fact that her other kidney is functioning well , no intervention was done .' -p202190 -(lp202191 -S'Given\tGive\tVBN\tB-PP\tO' -p202192 -aS'her\ther\tPRP$\tB-NP\tO' -p202193 -aS'disease\tdisease\tNN\tI-NP\tO' -p202194 -aS'prognosis\tprognosis\tNN\tI-NP\tO' -p202195 -aS'and\tand\tCC\tO\tO' -p202196 -aS'the\tthe\tDT\tB-NP\tO' -p202197 -aS'fact\tfact\tNN\tI-NP\tO' -p202198 -aS'that\tthat\tIN\tB-SBAR\tO' -p202199 -aS'her\ther\tPRP$\tB-NP\tO' -p202200 -aS'other\tother\tJJ\tI-NP\tO' -p202201 -aS'kidney\tkidney\tNN\tI-NP\tO' -p202202 -aS'is\tbe\tVBZ\tB-VP\tO' -p202203 -aS'functioning\tfunction\tVBG\tI-VP\tO' -p202204 -aS'well\twell\tRB\tB-ADVP\tO' -p202205 -aS',\t,\t,\tO\tO' -p202206 -aS'no\tno\tDT\tB-NP\tO' -p202207 -aS'intervention\tintervention\tNN\tI-NP\tO' -p202208 -aS'was\tbe\tVBD\tB-VP\tO' -p202209 -aS'done\tdo\tVBN\tI-VP\tO' -p202210 -aS'.\t.\t.\tO\tO' -p202211 -asS'Signed electronically by : DR. Lizzie Calkins on : Adeline 2009-02-06 10:27 AM' -p202212 -(lp202213 -S'Signed\tSign\tVBN\tB-VP\tO' -p202214 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p202215 -aS'by\tby\tIN\tB-PP\tO' -p202216 -aS':\t:\t:\tO\tO' -p202217 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p202218 -aS'Lizzie\tLizzie\tNNP\tI-NP\tO' -p202219 -aS'Calkins\tCalkins\tNNP\tI-NP\tO' -p202220 -aS'on\ton\tIN\tB-PP\tO' -p202221 -aS':\t:\t:\tO\tO' -p202222 -aS'Adeline\tAdeline\tNNP\tB-NP\tO' -p202223 -aS'2009-02-06\t2009-02-06\tCD\tB-NP\tO' -p202224 -aS'10:27\t10:27\tCD\tI-NP\tO' -p202225 -aS'AM\tAM\tNN\tI-NP\tO' -p202226 -asS'Left buttock area has a dressing over the sacral decubitus ulcer .' -p202227 -(lp202228 -S'Left\tLeave\tVBN\tB-NP\tO' -p202229 -aS'buttock\tbuttock\tNN\tI-NP\tO' -p202230 -aS'area\tarea\tNN\tI-NP\tO' -p202231 -aS'has\thave\tVBZ\tB-VP\tO' -p202232 -aS'a\ta\tDT\tB-NP\tO' -p202233 -aS'dressing\tdressing\tNN\tI-NP\tO' -p202234 -aS'over\tover\tIN\tB-PP\tO' -p202235 -aS'the\tthe\tDT\tB-NP\tO' -p202236 -aS'sacral\tsacral\tJJ\tI-NP\tO' -p202237 -aS'decubitus\tdecubitus\tNN\tI-NP\tO' -p202238 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p202239 -aS'.\t.\t.\tO\tO' -p202240 -asS'The abdomen was soft , nontender , nondistended with normoactive bowel sounds .' -p202241 -(lp202242 -S'The\tThe\tDT\tB-NP\tO' -p202243 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p202244 -aS'was\tbe\tVBD\tB-VP\tO' -p202245 -aS'soft\tsoft\tJJ\tB-NP\tO' -p202246 -aS',\t,\t,\tI-NP\tO' -p202247 -aS'nontender\tnontender\tJJ\tI-NP\tO' -p202248 -aS',\t,\t,\tI-NP\tO' -p202249 -aS'nondistended\tnondistended\tJJ\tI-NP\tO' -p202250 -aS'with\twith\tIN\tB-PP\tO' -p202251 -aS'normoactive\tnormoactive\tJJ\tB-NP\tO' -p202252 -aS'bowel\tbowel\tNN\tI-NP\tO' -p202253 -aS'sounds\tsound\tNNS\tI-NP\tO' -p202254 -aS'.\t.\t.\tO\tO' -p202255 -asS'Removal of tunneled cath ( previously used for tPN )' -p202256 -(lp202257 -S'Removal\tRemoval\tNN\tB-NP\tO' -p202258 -aS'of\tof\tIN\tB-PP\tO' -p202259 -aS'tunneled\ttunnel\tVBN\tB-NP\tO' -p202260 -aS'cath\tcath\tNN\tI-NP\tO' -p202261 -aS'(\t(\t(\tO\tO' -p202262 -aS'previously\tpreviously\tRB\tB-VP\tO' -p202263 -aS'used\tuse\tVBN\tI-VP\tO' -p202264 -aS'for\tfor\tIN\tB-PP\tO' -p202265 -aS'tPN\ttPN\tNN\tB-NP\tO' -p202266 -aS')\t)\t)\tO\tO' -p202267 -asS'MAY SHOWER , NO BATHS .' -p202268 -(lp202269 -S'MAY\tMAY\tNNP\tB-NP\tO' -p202270 -aS'SHOWER\tSHOWER\tNNP\tI-NP\tO' -p202271 -aS',\t,\t,\tO\tO' -p202272 -aS'NO\tNO\tNNP\tB-NP\tO' -p202273 -aS'BATHS\tBATHS\tNNP\tI-NP\tO' -p202274 -aS'.\t.\t.\tO\tO' -p202275 -asS'At the time of discharge , the patient was independent , ambulating , and functioning well .' -p202276 -(lp202277 -S'At\tAt\tIN\tB-PP\tO' -p202278 -aS'the\tthe\tDT\tB-NP\tO' -p202279 -aS'time\ttime\tNN\tI-NP\tO' -p202280 -aS'of\tof\tIN\tB-PP\tO' -p202281 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p202282 -aS',\t,\t,\tO\tO' -p202283 -aS'the\tthe\tDT\tB-NP\tO' -p202284 -aS'patient\tpatient\tNN\tI-NP\tO' -p202285 -aS'was\tbe\tVBD\tB-VP\tO' -p202286 -aS'independent\tindependent\tJJ\tB-ADJP\tO' -p202287 -aS',\t,\t,\tO\tO' -p202288 -aS'ambulating\tambulating\tJJ\tB-ADJP\tO' -p202289 -aS',\t,\t,\tO\tO' -p202290 -aS'and\tand\tCC\tO\tO' -p202291 -aS'functioning\tfunction\tVBG\tB-VP\tO' -p202292 -aS'well\twell\tRB\tB-ADVP\tO' -p202293 -aS'.\t.\t.\tO\tO' -p202294 -asS'Tricuspid regurgitation , heart failure , chronic atrial fibrillation , chronic ventricular ectopy , chronic obstructive lung disease .' -p202295 -(lp202296 -S'Tricuspid\tTricuspid\tJJ\tB-NP\tO' -p202297 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p202298 -aS',\t,\t,\tO\tO' -p202299 -aS'heart\theart\tNN\tB-NP\tO' -p202300 -aS'failure\tfailure\tNN\tI-NP\tO' -p202301 -aS',\t,\t,\tO\tO' -p202302 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p202303 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p202304 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p202305 -aS',\t,\t,\tO\tO' -p202306 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p202307 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p202308 -aS'ectopy\tectopy\tNN\tI-NP\tO' -p202309 -aS',\t,\t,\tO\tO' -p202310 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p202311 -aS'obstructive\tobstructive\tJJ\tI-NP\tO' -p202312 -aS'lung\tlung\tNN\tI-NP\tO' -p202313 -aS'disease\tdisease\tNN\tI-NP\tO' -p202314 -aS'.\t.\t.\tO\tO' -p202315 -asS'Because of the intense diffuse inflammatory reaction that had already set in , it was decided that neither distal pancreatic resection nor Roux-en-Y drainage was feasible .' -p202316 -(lp202317 -S'Because\tBecause\tIN\tB-PP\tO' -p202318 -aS'of\tof\tIN\tI-PP\tO' -p202319 -aS'the\tthe\tDT\tB-NP\tO' -p202320 -aS'intense\tintense\tJJ\tI-NP\tO' -p202321 -aS'diffuse\tdiffuse\tJJ\tI-NP\tO' -p202322 -aS'inflammatory\tinflammatory\tJJ\tI-NP\tO' -p202323 -aS'reaction\treaction\tNN\tI-NP\tO' -p202324 -aS'that\tthat\tWDT\tB-NP\tO' -p202325 -aS'had\thave\tVBD\tB-VP\tO' -p202326 -aS'already\talready\tRB\tI-VP\tO' -p202327 -aS'set\tset\tVBN\tI-VP\tO' -p202328 -aS'in\tin\tIN\tB-PRT\tO' -p202329 -aS',\t,\t,\tO\tO' -p202330 -aS'it\tit\tPRP\tB-NP\tO' -p202331 -aS'was\tbe\tVBD\tB-VP\tO' -p202332 -aS'decided\tdecide\tVBN\tI-VP\tO' -p202333 -aS'that\tthat\tIN\tB-SBAR\tO' -p202334 -aS'neither\tneither\tCC\tB-NP\tO' -p202335 -aS'distal\tdistal\tJJ\tI-NP\tO' -p202336 -aS'pancreatic\tpancreatic\tJJ\tI-NP\tO' -p202337 -aS'resection\tresection\tNN\tI-NP\tO' -p202338 -aS'nor\tnor\tCC\tO\tO' -p202339 -aS'Roux-en-Y\tRoux-en-Y\tNN\tB-NP\tO' -p202340 -aS'drainage\tdrainage\tNN\tI-NP\tO' -p202341 -aS'was\tbe\tVBD\tB-VP\tO' -p202342 -aS'feasible\tfeasible\tJJ\tB-ADJP\tO' -p202343 -aS'.\t.\t.\tO\tO' -p202344 -asS'An echocardiogram in 2011-09-05 revealed a left ventricular ejection fraction of 20 to 25% .' -p202345 -(lp202346 -S'An\tAn\tDT\tB-NP\tO' -p202347 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p202348 -aS'in\tin\tIN\tB-PP\tO' -p202349 -aS'2011-09-05\t2011-09-05\tCD\tB-NP\tO' -p202350 -aS'revealed\treveal\tVBD\tB-VP\tO' -p202351 -aS'a\ta\tDT\tB-NP\tO' -p202352 -aS'left\tleft\tJJ\tI-NP\tO' -p202353 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p202354 -aS'ejection\tejection\tNN\tI-NP\tO' -p202355 -aS'fraction\tfraction\tNN\tI-NP\tO' -p202356 -aS'of\tof\tIN\tB-PP\tO' -p202357 -aS'20\t20\tCD\tB-NP\tO' -p202358 -aS'to\tto\tTO\tB-PP\tO' -p202359 -aS'25%\t25%\tCD\tB-NP\tO' -p202360 -aS'.\t.\t.\tO\tO' -p202361 -asS'He is on ______________ 2 tabs PO qd .' -p202362 -(lp202363 -S'He\tHe\tPRP\tB-NP\tO' -p202364 -aS'is\tbe\tVBZ\tB-VP\tO' -p202365 -aS'on\ton\tIN\tB-PP\tO' -p202366 -aS'______________\t______________\tNN\tB-NP\tB-protein' -p202367 -aS'2\t2\tCD\tI-NP\tI-protein' -p202368 -aS'tabs\ttab\tNNS\tI-NP\tI-protein' -p202369 -aS'PO\tPO\tNN\tI-NP\tI-protein' -p202370 -aS'qd\tqd\tNN\tI-NP\tI-protein' -p202371 -aS'.\t.\t.\tO\tO' -p202372 -asS'She has been on Coumadin since and has continued to have occasional palpitations and mild shortness of breath .' -p202373 -(lp202374 -S'She\tShe\tPRP\tB-NP\tO' -p202375 -aS'has\thave\tVBZ\tB-VP\tO' -p202376 -aS'been\tbe\tVBN\tI-VP\tO' -p202377 -aS'on\ton\tIN\tB-PP\tO' -p202378 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p202379 -aS'since\tsince\tIN\tB-PP\tO' -p202380 -aS'and\tand\tCC\tO\tO' -p202381 -aS'has\thave\tVBZ\tB-VP\tO' -p202382 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p202383 -aS'to\tto\tTO\tI-VP\tO' -p202384 -aS'have\thave\tVB\tI-VP\tO' -p202385 -aS'occasional\toccasional\tJJ\tB-NP\tO' -p202386 -aS'palpitations\tpalpitation\tNNS\tI-NP\tO' -p202387 -aS'and\tand\tCC\tO\tO' -p202388 -aS'mild\tmild\tJJ\tB-NP\tO' -p202389 -aS'shortness\tshortness\tNN\tI-NP\tO' -p202390 -aS'of\tof\tIN\tB-PP\tO' -p202391 -aS'breath\tbreath\tNN\tB-NP\tO' -p202392 -aS'.\t.\t.\tO\tO' -p202393 -asS'Again seen is a moderate - to large - sized right pleural effusion .' -p202394 -(lp202395 -S'Again\tAgain\tRB\tB-ADVP\tO' -p202396 -aS'seen\tsee\tVBN\tB-VP\tO' -p202397 -aS'is\tbe\tVBZ\tB-VP\tO' -p202398 -aS'a\ta\tDT\tB-NP\tO' -p202399 -aS'moderate\tmoderate\tJJ\tI-NP\tO' -p202400 -aS'-\t-\tHYPH\tI-NP\tO' -p202401 -aS'to\tto\tTO\tB-PP\tO' -p202402 -aS'large\tlarge\tJJ\tB-NP\tO' -p202403 -aS'-\t-\tHYPH\tI-NP\tO' -p202404 -aS'sized\tsize\tVBN\tI-NP\tO' -p202405 -aS'right\tright\tJJ\tI-NP\tO' -p202406 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p202407 -aS'effusion\teffusion\tNN\tI-NP\tO' -p202408 -aS'.\t.\t.\tO\tO' -p202409 -asS'take medication as directed , return for severe or significantly worsening symptoms , weakness or loss of sensation work restrictions as written on accompanying form .' -p202410 -(lp202411 -S'take\ttake\tVB\tB-VP\tO' -p202412 -aS'medication\tmedication\tNN\tB-NP\tO' -p202413 -aS'as\tas\tIN\tB-SBAR\tO' -p202414 -aS'directed\tdirect\tVBN\tB-VP\tO' -p202415 -aS',\t,\t,\tO\tO' -p202416 -aS'return\treturn\tNN\tB-NP\tO' -p202417 -aS'for\tfor\tIN\tB-PP\tO' -p202418 -aS'severe\tsevere\tJJ\tB-ADJP\tO' -p202419 -aS'or\tor\tCC\tO\tO' -p202420 -aS'significantly\tsignificantly\tRB\tB-VP\tO' -p202421 -aS'worsening\tworsen\tVBG\tI-VP\tO' -p202422 -aS'symptoms\tsymptom\tNNS\tB-NP\tO' -p202423 -aS',\t,\t,\tO\tO' -p202424 -aS'weakness\tweakness\tNN\tB-NP\tO' -p202425 -aS'or\tor\tCC\tI-NP\tO' -p202426 -aS'loss\tloss\tNN\tI-NP\tO' -p202427 -aS'of\tof\tIN\tB-PP\tO' -p202428 -aS'sensation\tsensation\tNN\tB-NP\tO' -p202429 -aS'work\twork\tNN\tI-NP\tO' -p202430 -aS'restrictions\trestriction\tNNS\tI-NP\tO' -p202431 -aS'as\tas\tIN\tB-SBAR\tO' -p202432 -aS'written\twrite\tVBN\tB-VP\tO' -p202433 -aS'on\ton\tIN\tB-PP\tO' -p202434 -aS'accompanying\taccompany\tVBG\tB-VP\tO' -p202435 -aS'form\tform\tNN\tB-NP\tO' -p202436 -aS'.\t.\t.\tO\tO' -p202437 -asS'Echocardiogram June 2004 showed an EF of 77% .' -p202438 -(lp202439 -S'Echocardiogram\tEchocardiogram\tNNP\tB-NP\tO' -p202440 -aS'June\tJune\tNNP\tI-NP\tO' -p202441 -aS'2004\t2004\tCD\tI-NP\tO' -p202442 -aS'showed\tshow\tVBD\tB-VP\tO' -p202443 -aS'an\tan\tDT\tB-NP\tO' -p202444 -aS'EF\tEF\tNN\tI-NP\tB-protein' -p202445 -aS'of\tof\tIN\tB-PP\tO' -p202446 -aS'77%\t77%\tNN\tB-NP\tO' -p202447 -aS'.\t.\t.\tO\tO' -p202448 -asS"This resolved with removal of the bottle from the baby 's mouth ." -p202449 -(lp202450 -S'This\tThis\tDT\tB-NP\tO' -p202451 -aS'resolved\tresolve\tVBN\tB-VP\tO' -p202452 -aS'with\twith\tIN\tB-PP\tO' -p202453 -aS'removal\tremoval\tNN\tB-NP\tO' -p202454 -aS'of\tof\tIN\tB-PP\tO' -p202455 -aS'the\tthe\tDT\tB-NP\tO' -p202456 -aS'bottle\tbottle\tNN\tI-NP\tO' -p202457 -aS'from\tfrom\tIN\tB-PP\tO' -p202458 -aS'the\tthe\tDT\tB-NP\tO' -p202459 -aS'baby\tbaby\tNN\tI-NP\tO' -p202460 -aS"'s\t's\tPOS\tB-NP\tO" -p202461 -aS'mouth\tmouth\tNN\tI-NP\tO' -p202462 -aS'.\t.\t.\tO\tO' -p202463 -asS'The Sestamibi scan showed findings that were consistent with a parathyroid adenoma in the right lobe of the thyroid .' -p202464 -(lp202465 -S'The\tThe\tDT\tB-NP\tO' -p202466 -aS'Sestamibi\tSestamibi\tNNP\tI-NP\tO' -p202467 -aS'scan\tscan\tNN\tI-NP\tO' -p202468 -aS'showed\tshow\tVBD\tB-VP\tO' -p202469 -aS'findings\tfinding\tNNS\tB-NP\tO' -p202470 -aS'that\tthat\tWDT\tB-NP\tO' -p202471 -aS'were\tbe\tVBD\tB-VP\tO' -p202472 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p202473 -aS'with\twith\tIN\tB-PP\tO' -p202474 -aS'a\ta\tDT\tB-NP\tO' -p202475 -aS'parathyroid\tparathyroid\tJJ\tI-NP\tO' -p202476 -aS'adenoma\tadenoma\tNN\tI-NP\tO' -p202477 -aS'in\tin\tIN\tB-PP\tO' -p202478 -aS'the\tthe\tDT\tB-NP\tO' -p202479 -aS'right\tright\tJJ\tI-NP\tO' -p202480 -aS'lobe\tlobe\tNN\tI-NP\tO' -p202481 -aS'of\tof\tIN\tB-PP\tO' -p202482 -aS'the\tthe\tDT\tB-NP\tO' -p202483 -aS'thyroid\tthyroid\tNN\tI-NP\tO' -p202484 -aS'.\t.\t.\tO\tO' -p202485 -asS'2. Protonix q.d. 40 .' -p202486 -(lp202487 -S'2.\t2.\tLS\tB-NP\tO' -p202488 -aS'Protonix\tProtonix\tNNP\tI-NP\tO' -p202489 -aS'q.d.\tq.d.\tNNP\tI-NP\tO' -p202490 -aS'40\t40\tCD\tI-NP\tO' -p202491 -aS'.\t.\t.\tO\tO' -p202492 -asS'On day nine , he had a low level exercise tolerance test with Thallium which was positive for 2.5 mm horizontal depressions in II , III , and AVF , and 1.5 mm downsloping ST depressions in V5 and V6 , as well as some anteroseptal redistribution on Thallium .' -p202493 -(lp202494 -S'On\tOn\tIN\tB-PP\tO' -p202495 -aS'day\tday\tNN\tB-NP\tO' -p202496 -aS'nine\tnine\tCD\tI-NP\tO' -p202497 -aS',\t,\t,\tO\tO' -p202498 -aS'he\the\tPRP\tB-NP\tO' -p202499 -aS'had\thave\tVBD\tB-VP\tO' -p202500 -aS'a\ta\tDT\tB-NP\tO' -p202501 -aS'low\tlow\tJJ\tI-NP\tO' -p202502 -aS'level\tlevel\tNN\tI-NP\tO' -p202503 -aS'exercise\texercise\tNN\tI-NP\tO' -p202504 -aS'tolerance\ttolerance\tNN\tI-NP\tO' -p202505 -aS'test\ttest\tNN\tI-NP\tO' -p202506 -aS'with\twith\tIN\tB-PP\tO' -p202507 -aS'Thallium\tThallium\tNN\tB-NP\tO' -p202508 -aS'which\twhich\tWDT\tB-NP\tO' -p202509 -aS'was\tbe\tVBD\tB-VP\tO' -p202510 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p202511 -aS'for\tfor\tIN\tB-PP\tO' -p202512 -aS'2.5\t2.5\tCD\tB-NP\tO' -p202513 -aS'mm\tmm\tNN\tI-NP\tO' -p202514 -aS'horizontal\thorizontal\tJJ\tI-NP\tO' -p202515 -aS'depressions\tdepression\tNNS\tI-NP\tO' -p202516 -aS'in\tin\tIN\tB-PP\tO' -p202517 -aS'II\tII\tCD\tB-NP\tO' -p202518 -aS',\t,\t,\tI-NP\tO' -p202519 -aS'III\tIII\tCD\tI-NP\tO' -p202520 -aS',\t,\t,\tO\tO' -p202521 -aS'and\tand\tCC\tO\tO' -p202522 -aS'AVF\tAVF\tNN\tB-NP\tB-protein' -p202523 -aS',\t,\t,\tO\tO' -p202524 -aS'and\tand\tCC\tO\tO' -p202525 -aS'1.5\t1.5\tCD\tB-NP\tO' -p202526 -aS'mm\tmm\tNN\tI-NP\tO' -p202527 -aS'downsloping\tdownslope\tVBG\tB-VP\tO' -p202528 -aS'ST\tST\tJJ\tB-NP\tO' -p202529 -aS'depressions\tdepression\tNNS\tI-NP\tO' -p202530 -aS'in\tin\tIN\tB-PP\tO' -p202531 -aS'V5\tV5\tNN\tB-NP\tO' -p202532 -aS'and\tand\tCC\tI-NP\tO' -p202533 -aS'V6\tV6\tNN\tI-NP\tB-protein' -p202534 -aS',\t,\t,\tO\tO' -p202535 -aS'as\tas\tRB\tB-CONJP\tO' -p202536 -aS'well\twell\tRB\tI-CONJP\tO' -p202537 -aS'as\tas\tIN\tI-CONJP\tO' -p202538 -aS'some\tsome\tDT\tB-NP\tO' -p202539 -aS'anteroseptal\tanteroseptal\tJJ\tI-NP\tO' -p202540 -aS'redistribution\tredistribution\tNN\tI-NP\tO' -p202541 -aS'on\ton\tIN\tB-PP\tO' -p202542 -aS'Thallium\tThallium\tNN\tB-NP\tO' -p202543 -aS'.\t.\t.\tO\tO' -p202544 -asS'A bronchoscopy showed a tracheoesophageal fistula with an opening into the trachea above the carina and no tumor in the right upper lobe .' -p202545 -(lp202546 -S'A\tA\tDT\tB-NP\tO' -p202547 -aS'bronchoscopy\tbronchoscopy\tNN\tI-NP\tO' -p202548 -aS'showed\tshow\tVBD\tB-VP\tO' -p202549 -aS'a\ta\tDT\tB-NP\tO' -p202550 -aS'tracheoesophageal\ttracheoesophageal\tJJ\tI-NP\tO' -p202551 -aS'fistula\tfistula\tNN\tI-NP\tO' -p202552 -aS'with\twith\tIN\tB-PP\tO' -p202553 -aS'an\tan\tDT\tB-NP\tO' -p202554 -aS'opening\topening\tNN\tI-NP\tO' -p202555 -aS'into\tinto\tIN\tB-PP\tO' -p202556 -aS'the\tthe\tDT\tB-NP\tO' -p202557 -aS'trachea\ttrachea\tNN\tI-NP\tO' -p202558 -aS'above\tabove\tIN\tB-PP\tO' -p202559 -aS'the\tthe\tDT\tB-NP\tO' -p202560 -aS'carina\tcarina\tNN\tI-NP\tO' -p202561 -aS'and\tand\tCC\tO\tO' -p202562 -aS'no\tno\tDT\tB-NP\tO' -p202563 -aS'tumor\ttumor\tNN\tI-NP\tO' -p202564 -aS'in\tin\tIN\tB-PP\tO' -p202565 -aS'the\tthe\tDT\tB-NP\tO' -p202566 -aS'right\tright\tJJ\tI-NP\tO' -p202567 -aS'upper\tupper\tJJ\tI-NP\tO' -p202568 -aS'lobe\tlobe\tNN\tI-NP\tO' -p202569 -aS'.\t.\t.\tO\tO' -p202570 -asS'his risk of bleeding .' -p202571 -(lp202572 -S'his\this\tPRP$\tB-NP\tO' -p202573 -aS'risk\trisk\tNN\tI-NP\tO' -p202574 -aS'of\tof\tIN\tB-PP\tO' -p202575 -aS'bleeding\tbleed\tVBG\tB-NP\tO' -p202576 -aS'.\t.\t.\tO\tO' -p202577 -asS'18. Morphine Sulfate 15 mg Tablet Sig : 1-2 Tablets PO Q4-6H ( every 4 to 6 hours ) as needed .' -p202578 -(lp202579 -S'18.\t18.\tCD\tB-NP\tO' -p202580 -aS'Morphine\tMorphine\tNNP\tI-NP\tO' -p202581 -aS'Sulfate\tSulfate\tNNP\tI-NP\tO' -p202582 -aS'15\t15\tCD\tI-NP\tO' -p202583 -aS'mg\tmg\tNN\tI-NP\tO' -p202584 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p202585 -aS'Sig\tSig\tNNP\tI-NP\tO' -p202586 -aS':\t:\t:\tO\tO' -p202587 -aS'1-2\t1-2\tCD\tB-NP\tO' -p202588 -aS'Tablets\tTablet\tNNS\tI-NP\tO' -p202589 -aS'PO\tPO\tNN\tI-NP\tO' -p202590 -aS'Q4-6H\tQ4-6H\tNN\tI-NP\tO' -p202591 -aS'(\t(\t(\tO\tO' -p202592 -aS'every\tevery\tDT\tB-NP\tO' -p202593 -aS'4\t4\tCD\tI-NP\tO' -p202594 -aS'to\tto\tTO\tI-NP\tO' -p202595 -aS'6\t6\tCD\tI-NP\tO' -p202596 -aS'hours\thour\tNNS\tI-NP\tO' -p202597 -aS')\t)\t)\tO\tO' -p202598 -aS'as\tas\tIN\tB-SBAR\tO' -p202599 -aS'needed\tneed\tVBN\tB-VP\tO' -p202600 -aS'.\t.\t.\tO\tO' -p202601 -asS'She was extubated and recovered well in PACU .' -p202602 -(lp202603 -S'She\tShe\tPRP\tB-NP\tO' -p202604 -aS'was\tbe\tVBD\tB-VP\tO' -p202605 -aS'extubated\textubate\tVBN\tI-VP\tO' -p202606 -aS'and\tand\tCC\tO\tO' -p202607 -aS'recovered\trecover\tVBN\tB-VP\tO' -p202608 -aS'well\twell\tRB\tB-ADVP\tO' -p202609 -aS'in\tin\tIN\tB-PP\tO' -p202610 -aS'PACU\tPACU\tNN\tB-NP\tB-DNA' -p202611 -aS'.\t.\t.\tO\tO' -p202612 -asS'He developed atrial fibrillation on POD#2 with well controlled rate and hemodynamically stable .' -p202613 -(lp202614 -S'He\tHe\tPRP\tB-NP\tO' -p202615 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p202616 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p202617 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p202618 -aS'on\ton\tIN\tB-PP\tO' -p202619 -aS'POD#2\tPOD#2\tNN\tB-NP\tB-protein' -p202620 -aS'with\twith\tIN\tB-PP\tO' -p202621 -aS'well\twell\tRB\tB-NP\tO' -p202622 -aS'controlled\tcontrol\tVBN\tI-NP\tO' -p202623 -aS'rate\trate\tNN\tI-NP\tO' -p202624 -aS'and\tand\tCC\tO\tO' -p202625 -aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' -p202626 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p202627 -aS'.\t.\t.\tO\tO' -p202628 -asS'Social history is positive for smoking .' -p202629 -(lp202630 -S'Social\tSocial\tJJ\tB-NP\tO' -p202631 -aS'history\thistory\tNN\tI-NP\tO' -p202632 -aS'is\tbe\tVBZ\tB-VP\tO' -p202633 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p202634 -aS'for\tfor\tIN\tB-PP\tO' -p202635 -aS'smoking\tsmoking\tNN\tB-NP\tO' -p202636 -aS'.\t.\t.\tO\tO' -p202637 -asS'Patient is post median sternotomy .' -p202638 -(lp202639 -S'Patient\tPatient\tNN\tB-NP\tO' -p202640 -aS'is\tbe\tVBZ\tB-VP\tO' -p202641 -aS'post\tpost\tJJ\tB-NP\tO' -p202642 -aS'median\tmedian\tJJ\tI-NP\tO' -p202643 -aS'sternotomy\tsternotomy\tNN\tI-NP\tO' -p202644 -aS'.\t.\t.\tO\tO' -p202645 -asS'2) Extensive degenerative change of the cervical spine ."' -p202646 -(lp202647 -S'2)\t2)\tLS\tB-NP\tO' -p202648 -aS'Extensive\tExtensive\tJJ\tI-NP\tO' -p202649 -aS'degenerative\tdegenerative\tJJ\tI-NP\tO' -p202650 -aS'change\tchange\tNN\tI-NP\tO' -p202651 -aS'of\tof\tIN\tB-PP\tO' -p202652 -aS'the\tthe\tDT\tB-NP\tO' -p202653 -aS'cervical\tcervical\tJJ\tI-NP\tO' -p202654 -aS'spine\tspine\tNN\tI-NP\tO' -p202655 -aS'."\t."\t.\tO\tO' -p202656 -asS'In the Medicine Intensive Care Unit , the patient was initially placed on high-flow 60% oxygen face mask and they diuresed approximately 5 liters off into the intravenous Lasix .' -p202657 -(lp202658 -S'In\tIn\tIN\tB-PP\tO' -p202659 -aS'the\tthe\tDT\tB-NP\tO' -p202660 -aS'Medicine\tMedicine\tNNP\tI-NP\tO' -p202661 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p202662 -aS'Care\tCare\tNNP\tI-NP\tO' -p202663 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p202664 -aS',\t,\t,\tO\tO' -p202665 -aS'the\tthe\tDT\tB-NP\tO' -p202666 -aS'patient\tpatient\tNN\tI-NP\tO' -p202667 -aS'was\tbe\tVBD\tB-VP\tO' -p202668 -aS'initially\tinitially\tRB\tI-VP\tO' -p202669 -aS'placed\tplace\tVBN\tI-VP\tO' -p202670 -aS'on\ton\tIN\tB-PP\tO' -p202671 -aS'high-flow\thigh-flow\tJJ\tB-NP\tO' -p202672 -aS'60%\t60%\tJJ\tI-NP\tO' -p202673 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p202674 -aS'face\tface\tNN\tI-NP\tO' -p202675 -aS'mask\tmask\tNN\tI-NP\tO' -p202676 -aS'and\tand\tCC\tO\tO' -p202677 -aS'they\tthey\tPRP\tB-NP\tO' -p202678 -aS'diuresed\tdiurese\tVBD\tB-VP\tO' -p202679 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p202680 -aS'5\t5\tCD\tI-NP\tO' -p202681 -aS'liters\tliter\tNNS\tI-NP\tO' -p202682 -aS'off\toff\tRB\tB-ADVP\tO' -p202683 -aS'into\tinto\tIN\tB-PP\tO' -p202684 -aS'the\tthe\tDT\tB-NP\tO' -p202685 -aS'intravenous\tintravenous\tJJ\tI-NP\tO' -p202686 -aS'Lasix\tLasix\tNN\tI-NP\tO' -p202687 -aS'.\t.\t.\tO\tO' -p202688 -asS'She does report chills , but no fevers .' -p202689 -(lp202690 -S'She\tShe\tPRP\tB-NP\tO' -p202691 -aS'does\tdo\tVBZ\tB-VP\tO' -p202692 -aS'report\treport\tNN\tB-NP\tO' -p202693 -aS'chills\tchill\tNNS\tI-NP\tO' -p202694 -aS',\t,\t,\tO\tO' -p202695 -aS'but\tbut\tCC\tO\tO' -p202696 -aS'no\tno\tDT\tB-NP\tO' -p202697 -aS'fevers\tfever\tNNS\tI-NP\tO' -p202698 -aS'.\t.\t.\tO\tO' -p202699 -asS'She was initially noted to be somewhat anemic , and received transfusions .' -p202700 -(lp202701 -S'She\tShe\tPRP\tB-NP\tO' -p202702 -aS'was\tbe\tVBD\tB-VP\tO' -p202703 -aS'initially\tinitially\tRB\tI-VP\tO' -p202704 -aS'noted\tnote\tVBN\tI-VP\tO' -p202705 -aS'to\tto\tTO\tI-VP\tO' -p202706 -aS'be\tbe\tVB\tI-VP\tO' -p202707 -aS'somewhat\tsomewhat\tRB\tB-ADJP\tO' -p202708 -aS'anemic\tanemic\tJJ\tI-ADJP\tO' -p202709 -aS',\t,\t,\tO\tO' -p202710 -aS'and\tand\tCC\tO\tO' -p202711 -aS'received\treceive\tVBD\tB-VP\tO' -p202712 -aS'transfusions\ttransfusion\tNNS\tB-NP\tO' -p202713 -aS'.\t.\t.\tO\tO' -p202714 -asS'The patient presented with a chief complaint of CP .' -p202715 -(lp202716 -S'The\tThe\tDT\tB-NP\tO' -p202717 -aS'patient\tpatient\tNN\tI-NP\tO' -p202718 -aS'presented\tpresent\tVBD\tB-VP\tO' -p202719 -aS'with\twith\tIN\tB-PP\tO' -p202720 -aS'a\ta\tDT\tB-NP\tO' -p202721 -aS'chief\tchief\tJJ\tI-NP\tO' -p202722 -aS'complaint\tcomplaint\tNN\tI-NP\tO' -p202723 -aS'of\tof\tIN\tB-PP\tO' -p202724 -aS'CP\tCP\tNN\tB-NP\tB-DNA' -p202725 -aS'.\t.\t.\tO\tO' -p202726 -asS'This is to notify you that your patient , KATESJESC , RAI arrived in the Emergency Department at Well General Hospital on 05/01/2004 06:30 PM .' -p202727 -(lp202728 -S'This\tThis\tDT\tB-NP\tO' -p202729 -aS'is\tbe\tVBZ\tB-VP\tO' -p202730 -aS'to\tto\tTO\tB-VP\tO' -p202731 -aS'notify\tnotify\tVB\tI-VP\tO' -p202732 -aS'you\tyou\tPRP\tB-NP\tO' -p202733 -aS'that\tthat\tIN\tB-SBAR\tO' -p202734 -aS'your\tyour\tPRP$\tB-NP\tO' -p202735 -aS'patient\tpatient\tNN\tI-NP\tO' -p202736 -aS',\t,\t,\tO\tO' -p202737 -aS'KATESJESC\tKATESJESC\tNN\tB-NP\tB-protein' -p202738 -aS',\t,\t,\tO\tO' -p202739 -aS'RAI\tRAI\tNN\tB-NP\tO' -p202740 -aS'arrived\tarrive\tVBD\tB-VP\tO' -p202741 -aS'in\tin\tIN\tB-PP\tO' -p202742 -aS'the\tthe\tDT\tB-NP\tO' -p202743 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p202744 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p202745 -aS'at\tat\tIN\tB-PP\tO' -p202746 -aS'Well\tWell\tNNP\tB-NP\tO' -p202747 -aS'General\tGeneral\tNNP\tI-NP\tO' -p202748 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p202749 -aS'on\ton\tIN\tB-PP\tO' -p202750 -aS'05/01/2004\t05/01/2004\tCD\tB-NP\tO' -p202751 -aS'06:30\t06:30\tCD\tI-NP\tO' -p202752 -aS'PM\tPM\tNN\tI-NP\tO' -p202753 -aS'.\t.\t.\tO\tO' -p202754 -asS'4. Polio .' -p202755 -(lp202756 -S'4.\t4.\tLS\tB-LST\tO' -p202757 -aS'Polio\tPolio\tNNP\tB-NP\tO' -p202758 -aS'.\t.\t.\tO\tO' -p202759 -asS'Discussions were begun with the family regarding limits of supportive care .' -p202760 -(lp202761 -S'Discussions\tDiscussion\tNNS\tB-NP\tO' -p202762 -aS'were\tbe\tVBD\tB-VP\tO' -p202763 -aS'begun\tbegin\tVBN\tI-VP\tO' -p202764 -aS'with\twith\tIN\tB-PP\tO' -p202765 -aS'the\tthe\tDT\tB-NP\tO' -p202766 -aS'family\tfamily\tNN\tI-NP\tO' -p202767 -aS'regarding\tregard\tVBG\tB-PP\tO' -p202768 -aS'limits\tlimit\tNNS\tB-NP\tO' -p202769 -aS'of\tof\tIN\tB-PP\tO' -p202770 -aS'supportive\tsupportive\tJJ\tB-NP\tO' -p202771 -aS'care\tcare\tNN\tI-NP\tO' -p202772 -aS'.\t.\t.\tO\tO' -p202773 -asS'Clearly , the patient 's hemodynamic vascular status was very sensitive to dobutamine .' -p202774 -(lp202775 -S'Clearly\tClearly\tRB\tB-ADVP\tO' -p202776 -aS',\t,\t,\tO\tO' -p202777 -aS'the\tthe\tDT\tB-NP\tO' -p202778 -aS'patient\tpatient\tNN\tI-NP\tO' -p202779 -aS''s\t'\tVBZ\tB-VP\tO' -p202780 -aS'hemodynamic\themodynamic\tJJ\tB-NP\tO' -p202781 -aS'vascular\tvascular\tJJ\tI-NP\tO' -p202782 -aS'status\tstatus\tNN\tI-NP\tO' -p202783 -aS'was\tbe\tVBD\tB-VP\tO' -p202784 -aS'very\tvery\tRB\tB-ADJP\tO' -p202785 -aS'sensitive\tsensitive\tJJ\tI-ADJP\tO' -p202786 -aS'to\tto\tTO\tB-PP\tO' -p202787 -aS'dobutamine\tdobutamine\tNN\tB-NP\tO' -p202788 -aS'.\t.\t.\tO\tO' -p202789 -asS'Her pain was controlled with percocet and motrin .' -p202790 -(lp202791 -S'Her\tHer\tPRP$\tB-NP\tO' -p202792 -aS'pain\tpain\tNN\tI-NP\tO' -p202793 -aS'was\tbe\tVBD\tB-VP\tO' -p202794 -aS'controlled\tcontrol\tVBN\tI-VP\tO' -p202795 -aS'with\twith\tIN\tB-PP\tO' -p202796 -aS'percocet\tpercocet\tNN\tB-NP\tO' -p202797 -aS'and\tand\tCC\tI-NP\tO' -p202798 -aS'motrin\tmotrin\tNN\tI-NP\tO' -p202799 -aS'.\t.\t.\tO\tO' -p202800 -asS'6. Lower extremity edema .' -p202801 -(lp202802 -S'6.\t6.\tLS\tB-LST\tO' -p202803 -aS'Lower\tLow\tJJR\tB-NP\tO' -p202804 -aS'extremity\textremity\tNN\tI-NP\tO' -p202805 -aS'edema\tedema\tNN\tI-NP\tO' -p202806 -aS'.\t.\t.\tO\tO' -p202807 -asS'Good .' -p202808 -(lp202809 -S'Good\tGood\tJJ\tB-ADJP\tO' -p202810 -aS'.\t.\t.\tO\tO' -p202811 -asS'Antibiotics were switched to IV Ciprofloxacin and the patient defervesced ; however , by hospital day number seven , the patient was found to be passing very little urine through his condom catheter and electrolyte screen and electrolytes from hospital day number seven showed a BUN of 27 and a creatinine of 2.7 .' -p202812 -(lp202813 -S'Antibiotics\tAntibiotic\tNNS\tB-NP\tO' -p202814 -aS'were\tbe\tVBD\tB-VP\tO' -p202815 -aS'switched\tswitch\tVBN\tI-VP\tO' -p202816 -aS'to\tto\tTO\tB-PP\tO' -p202817 -aS'IV\tIV\tCD\tB-NP\tO' -p202818 -aS'Ciprofloxacin\tCiprofloxacin\tNN\tI-NP\tO' -p202819 -aS'and\tand\tCC\tO\tO' -p202820 -aS'the\tthe\tDT\tB-NP\tO' -p202821 -aS'patient\tpatient\tNN\tI-NP\tO' -p202822 -aS'defervesced\tdefervesce\tVBD\tB-VP\tO' -p202823 -aS';\t;\t:\tO\tO' -p202824 -aS'however\thowever\tRB\tO\tO' -p202825 -aS',\t,\t,\tO\tO' -p202826 -aS'by\tby\tIN\tB-PP\tO' -p202827 -aS'hospital\thospital\tNN\tB-NP\tO' -p202828 -aS'day\tday\tNN\tI-NP\tO' -p202829 -aS'number\tnumber\tNN\tI-NP\tO' -p202830 -aS'seven\tseven\tCD\tI-NP\tO' -p202831 -aS',\t,\t,\tO\tO' -p202832 -aS'the\tthe\tDT\tB-NP\tO' -p202833 -aS'patient\tpatient\tNN\tI-NP\tO' -p202834 -aS'was\tbe\tVBD\tB-VP\tO' -p202835 -aS'found\tfind\tVBN\tI-VP\tO' -p202836 -aS'to\tto\tTO\tI-VP\tO' -p202837 -aS'be\tbe\tVB\tI-VP\tO' -p202838 -aS'passing\tpass\tVBG\tI-VP\tO' -p202839 -aS'very\tvery\tRB\tB-NP\tO' -p202840 -aS'little\tlittle\tJJ\tI-NP\tO' -p202841 -aS'urine\turine\tNN\tI-NP\tO' -p202842 -aS'through\tthrough\tIN\tB-PP\tO' -p202843 -aS'his\this\tPRP$\tB-NP\tO' -p202844 -aS'condom\tcondom\tNN\tI-NP\tO' -p202845 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p202846 -aS'and\tand\tCC\tO\tO' -p202847 -aS'electrolyte\telectrolyte\tNN\tB-NP\tO' -p202848 -aS'screen\tscreen\tNN\tI-NP\tO' -p202849 -aS'and\tand\tCC\tO\tO' -p202850 -aS'electrolytes\telectrolyte\tNNS\tB-NP\tO' -p202851 -aS'from\tfrom\tIN\tB-PP\tO' -p202852 -aS'hospital\thospital\tNN\tB-NP\tO' -p202853 -aS'day\tday\tNN\tI-NP\tO' -p202854 -aS'number\tnumber\tNN\tI-NP\tO' -p202855 -aS'seven\tseven\tCD\tI-NP\tO' -p202856 -aS'showed\tshow\tVBD\tB-VP\tO' -p202857 -aS'a\ta\tDT\tB-NP\tO' -p202858 -aS'BUN\tBUN\tNN\tI-NP\tB-protein' -p202859 -aS'of\tof\tIN\tB-PP\tO' -p202860 -aS'27\t27\tCD\tB-NP\tO' -p202861 -aS'and\tand\tCC\tO\tO' -p202862 -aS'a\ta\tDT\tB-NP\tO' -p202863 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p202864 -aS'of\tof\tIN\tB-PP\tO' -p202865 -aS'2.7\t2.7\tCD\tB-NP\tO' -p202866 -aS'.\t.\t.\tO\tO' -p202867 -asS'She also had a recent exposure to varicella .' -p202868 -(lp202869 -S'She\tShe\tPRP\tB-NP\tO' -p202870 -aS'also\talso\tRB\tB-ADVP\tO' -p202871 -aS'had\thave\tVBD\tB-VP\tO' -p202872 -aS'a\ta\tDT\tB-NP\tO' -p202873 -aS'recent\trecent\tJJ\tI-NP\tO' -p202874 -aS'exposure\texposure\tNN\tI-NP\tO' -p202875 -aS'to\tto\tTO\tB-PP\tO' -p202876 -aS'varicella\tvaricella\tNN\tB-NP\tO' -p202877 -aS'.\t.\t.\tO\tO' -p202878 -asS'the area of hemorrhage the same , slightly more edema and mass effect .' -p202879 -(lp202880 -S'the\tthe\tDT\tB-NP\tO' -p202881 -aS'area\tarea\tNN\tI-NP\tO' -p202882 -aS'of\tof\tIN\tB-PP\tO' -p202883 -aS'hemorrhage\themorrhage\tNN\tB-NP\tO' -p202884 -aS'the\tthe\tDT\tB-NP\tO' -p202885 -aS'same\tsame\tJJ\tI-NP\tO' -p202886 -aS',\t,\t,\tI-NP\tO' -p202887 -aS'slightly\tslightly\tRB\tI-NP\tO' -p202888 -aS'more\tmore\tJJR\tI-NP\tO' -p202889 -aS'edema\tedema\tNN\tI-NP\tO' -p202890 -aS'and\tand\tCC\tI-NP\tO' -p202891 -aS'mass\tmass\tNN\tI-NP\tO' -p202892 -aS'effect\teffect\tNN\tI-NP\tO' -p202893 -aS'.\t.\t.\tO\tO' -p202894 -asS'Hearing screen was performed automated auditory brain stem responses and Baby David Stead' -p202895 -(lp202896 -S'Hearing\tHear\tVBG\tB-NP\tO' -p202897 -aS'screen\tscreen\tNN\tI-NP\tO' -p202898 -aS'was\tbe\tVBD\tB-VP\tO' -p202899 -aS'performed\tperform\tVBN\tI-VP\tO' -p202900 -aS'automated\tautomate\tVBN\tI-VP\tO' -p202901 -aS'auditory\tauditory\tJJ\tB-NP\tO' -p202902 -aS'brain\tbrain\tNN\tI-NP\tO' -p202903 -aS'stem\tstem\tNN\tI-NP\tO' -p202904 -aS'responses\tresponse\tNNS\tI-NP\tO' -p202905 -aS'and\tand\tCC\tO\tO' -p202906 -aS'Baby\tBaby\tNNP\tB-NP\tO' -p202907 -aS'David\tDavid\tNNP\tI-NP\tO' -p202908 -aS'Stead\tStead\tNNP\tI-NP\tO' -p202909 -asS'Crackles 1/3 up bilaterally .' -p202910 -(lp202911 -S'Crackles\tCrackles\tNNP\tB-NP\tO' -p202912 -aS'1/3\t1/3\tCD\tI-NP\tO' -p202913 -aS'up\tup\tRB\tB-ADVP\tO' -p202914 -aS'bilaterally\tbilaterally\tRB\tI-ADVP\tO' -p202915 -aS'.\t.\t.\tO\tO' -p202916 -asS'In setting of PE .' -p202917 -(lp202918 -S'In\tIn\tIN\tB-PP\tO' -p202919 -aS'setting\tset\tVBG\tB-VP\tO' -p202920 -aS'of\tof\tIN\tB-PP\tO' -p202921 -aS'PE\tPE\tNN\tB-NP\tO' -p202922 -aS'.\t.\t.\tO\tO' -p202923 -asS'The patient remained stable through 2010-06-29 at which point she was sent to the operating room to undergo a left radial fracture open reduction and internal fixation procedure .' -p202924 -(lp202925 -S'The\tThe\tDT\tB-NP\tO' -p202926 -aS'patient\tpatient\tNN\tI-NP\tO' -p202927 -aS'remained\tremain\tVBD\tB-VP\tO' -p202928 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p202929 -aS'through\tthrough\tIN\tB-PP\tO' -p202930 -aS'2010-06-29\t2010-06-29\tCD\tB-NP\tO' -p202931 -aS'at\tat\tIN\tB-PP\tO' -p202932 -aS'which\twhich\tWDT\tB-NP\tO' -p202933 -aS'point\tpoint\tNN\tI-NP\tO' -p202934 -aS'she\tshe\tPRP\tB-NP\tO' -p202935 -aS'was\tbe\tVBD\tB-VP\tO' -p202936 -aS'sent\tsend\tVBN\tI-VP\tO' -p202937 -aS'to\tto\tTO\tB-PP\tO' -p202938 -aS'the\tthe\tDT\tB-NP\tO' -p202939 -aS'operating\toperating\tNN\tI-NP\tO' -p202940 -aS'room\troom\tNN\tI-NP\tO' -p202941 -aS'to\tto\tTO\tB-VP\tO' -p202942 -aS'undergo\tundergo\tVB\tI-VP\tO' -p202943 -aS'a\ta\tDT\tB-NP\tO' -p202944 -aS'left\tleft\tJJ\tI-NP\tO' -p202945 -aS'radial\tradial\tJJ\tI-NP\tO' -p202946 -aS'fracture\tfracture\tNN\tI-NP\tO' -p202947 -aS'open\topen\tJJ\tI-NP\tO' -p202948 -aS'reduction\treduction\tNN\tI-NP\tO' -p202949 -aS'and\tand\tCC\tO\tO' -p202950 -aS'internal\tinternal\tJJ\tB-NP\tO' -p202951 -aS'fixation\tfixation\tNN\tI-NP\tO' -p202952 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p202953 -aS'.\t.\t.\tO\tO' -p202954 -asS'His pedal pulses are absent .' -p202955 -(lp202956 -S'His\tHis\tPRP$\tB-NP\tO' -p202957 -aS'pedal\tpedal\tJJ\tI-NP\tO' -p202958 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p202959 -aS'are\tbe\tVBP\tB-VP\tO' -p202960 -aS'absent\tabsent\tJJ\tB-ADJP\tO' -p202961 -aS'.\t.\t.\tO\tO' -p202962 -asS'Her heart rhythm is regular with a normal S1-S2 , and no murmur .' -p202963 -(lp202964 -S'Her\tHer\tPRP$\tB-NP\tO' -p202965 -aS'heart\theart\tNN\tI-NP\tO' -p202966 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p202967 -aS'is\tbe\tVBZ\tB-VP\tO' -p202968 -aS'regular\tregular\tJJ\tB-ADJP\tO' -p202969 -aS'with\twith\tIN\tB-PP\tO' -p202970 -aS'a\ta\tDT\tB-NP\tO' -p202971 -aS'normal\tnormal\tJJ\tI-NP\tO' -p202972 -aS'S1-S2\tS1-S2\tNN\tI-NP\tO' -p202973 -aS',\t,\t,\tO\tO' -p202974 -aS'and\tand\tCC\tO\tO' -p202975 -aS'no\tno\tDT\tB-NP\tO' -p202976 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p202977 -aS'.\t.\t.\tO\tO' -p202978 -asS'The vascular exam showed normal pulses bilaterally without bruits .' -p202979 -(lp202980 -S'The\tThe\tDT\tB-NP\tO' -p202981 -aS'vascular\tvascular\tJJ\tI-NP\tO' -p202982 -aS'exam\texam\tNN\tI-NP\tO' -p202983 -aS'showed\tshow\tVBD\tB-VP\tO' -p202984 -aS'normal\tnormal\tJJ\tB-NP\tO' -p202985 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p202986 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p202987 -aS'without\twithout\tIN\tB-PP\tO' -p202988 -aS'bruits\tbruit\tNNS\tB-NP\tO' -p202989 -aS'.\t.\t.\tO\tO' -p202990 -asS'These bacteria turned out to be MRSA and she was continued on her vancomycin .' -p202991 -(lp202992 -S'These\tThese\tDT\tB-NP\tO' -p202993 -aS'bacteria\tbacteria\tNNS\tI-NP\tO' -p202994 -aS'turned\tturn\tVBD\tB-VP\tO' -p202995 -aS'out\tout\tRP\tB-PRT\tO' -p202996 -aS'to\tto\tTO\tB-VP\tO' -p202997 -aS'be\tbe\tVB\tI-VP\tO' -p202998 -aS'MRSA\tMRSA\tNN\tB-NP\tO' -p202999 -aS'and\tand\tCC\tO\tO' -p203000 -aS'she\tshe\tPRP\tB-NP\tO' -p203001 -aS'was\tbe\tVBD\tB-VP\tO' -p203002 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p203003 -aS'on\ton\tIN\tB-PP\tO' -p203004 -aS'her\ther\tPRP$\tB-NP\tO' -p203005 -aS'vancomycin\tvancomycin\tNN\tI-NP\tO' -p203006 -aS'.\t.\t.\tO\tO' -p203007 -asS'The patient is a 67-year-old woman with occasional abdominal pain in the right lower quadrant and left lower quadrant .' -p203008 -(lp203009 -S'The\tThe\tDT\tB-NP\tO' -p203010 -aS'patient\tpatient\tNN\tI-NP\tO' -p203011 -aS'is\tbe\tVBZ\tB-VP\tO' -p203012 -aS'a\ta\tDT\tB-NP\tO' -p203013 -aS'67-year-old\t67-year-old\tJJ\tI-NP\tO' -p203014 -aS'woman\twoman\tNN\tI-NP\tO' -p203015 -aS'with\twith\tIN\tB-PP\tO' -p203016 -aS'occasional\toccasional\tJJ\tB-NP\tB-protein' -p203017 -aS'abdominal\tabdominal\tJJ\tI-NP\tI-protein' -p203018 -aS'pain\tpain\tNN\tI-NP\tI-protein' -p203019 -aS'in\tin\tIN\tB-PP\tO' -p203020 -aS'the\tthe\tDT\tB-NP\tO' -p203021 -aS'right\tright\tJJ\tI-NP\tO' -p203022 -aS'lower\tlow\tJJR\tI-NP\tO' -p203023 -aS'quadrant\tquadrant\tNN\tI-NP\tO' -p203024 -aS'and\tand\tCC\tO\tO' -p203025 -aS'left\tleave\tVBD\tB-VP\tO' -p203026 -aS'lower\tlow\tJJR\tB-NP\tO' -p203027 -aS'quadrant\tquadrant\tNN\tI-NP\tO' -p203028 -aS'.\t.\t.\tO\tO' -p203029 -asS'Dinner blood glucose 101 to 150 equals 2 units , 151 to 200 equals 3 units , 201 to 250 equals 6 units , 251 to 350 equals 12 units , greater than 350 equals 15 units .' -p203030 -(lp203031 -S'Dinner\tDinner\tNN\tB-NP\tO' -p203032 -aS'blood\tblood\tNN\tI-NP\tO' -p203033 -aS'glucose\tglucose\tNN\tI-NP\tO' -p203034 -aS'101\t101\tCD\tB-NP\tO' -p203035 -aS'to\tto\tTO\tI-NP\tO' -p203036 -aS'150\t150\tCD\tI-NP\tO' -p203037 -aS'equals\tequal\tNNS\tI-NP\tO' -p203038 -aS'2\t2\tCD\tB-NP\tO' -p203039 -aS'units\tunit\tNNS\tI-NP\tO' -p203040 -aS',\t,\t,\tO\tO' -p203041 -aS'151\t151\tCD\tB-NP\tB-DNA' -p203042 -aS'to\tto\tTO\tI-NP\tI-DNA' -p203043 -aS'200\t200\tCD\tI-NP\tI-DNA' -p203044 -aS'equals\tequal\tNNS\tI-NP\tI-DNA' -p203045 -aS'3\t3\tCD\tB-NP\tI-DNA' -p203046 -aS'units\tunit\tNNS\tI-NP\tI-DNA' -p203047 -aS',\t,\t,\tO\tO' -p203048 -aS'201\t201\tCD\tB-NP\tB-DNA' -p203049 -aS'to\tto\tTO\tI-NP\tI-DNA' -p203050 -aS'250\t250\tCD\tI-NP\tI-DNA' -p203051 -aS'equals\tequal\tNNS\tI-NP\tI-DNA' -p203052 -aS'6\t6\tCD\tB-NP\tI-DNA' -p203053 -aS'units\tunit\tNNS\tI-NP\tI-DNA' -p203054 -aS',\t,\t,\tO\tO' -p203055 -aS'251\t251\tCD\tB-NP\tB-DNA' -p203056 -aS'to\tto\tTO\tI-NP\tI-DNA' -p203057 -aS'350\t350\tCD\tI-NP\tI-DNA' -p203058 -aS'equals\tequal\tNNS\tI-NP\tI-DNA' -p203059 -aS'12\t12\tCD\tB-NP\tI-DNA' -p203060 -aS'units\tunit\tNNS\tI-NP\tI-DNA' -p203061 -aS',\t,\t,\tO\tO' -p203062 -aS'greater\tgreat\tJJR\tB-NP\tO' -p203063 -aS'than\tthan\tIN\tI-NP\tO' -p203064 -aS'350\t350\tCD\tI-NP\tB-DNA' -p203065 -aS'equals\tequal\tNNS\tI-NP\tI-DNA' -p203066 -aS'15\t15\tCD\tB-NP\tI-DNA' -p203067 -aS'units\tunit\tNNS\tI-NP\tI-DNA' -p203068 -aS'.\t.\t.\tO\tO' -p203069 -asS'She is allergic to Augmentin which gives her a rash .' -p203070 -(lp203071 -S'She\tShe\tPRP\tB-NP\tO' -p203072 -aS'is\tbe\tVBZ\tB-VP\tO' -p203073 -aS'allergic\tallergic\tJJ\tB-ADJP\tO' -p203074 -aS'to\tto\tTO\tB-PP\tO' -p203075 -aS'Augmentin\tAugmentin\tNN\tB-NP\tB-protein' -p203076 -aS'which\twhich\tWDT\tB-NP\tO' -p203077 -aS'gives\tgive\tVBZ\tB-VP\tO' -p203078 -aS'her\ther\tPRP\tB-NP\tO' -p203079 -aS'a\ta\tDT\tB-NP\tO' -p203080 -aS'rash\trash\tNN\tI-NP\tO' -p203081 -aS'.\t.\t.\tO\tO' -p203082 -asS'Then trach mask trials were done .' -p203083 -(lp203084 -S'Then\tThen\tRB\tB-NP\tO' -p203085 -aS'trach\ttrach\tNN\tI-NP\tO' -p203086 -aS'mask\tmask\tNN\tI-NP\tO' -p203087 -aS'trials\ttrial\tNNS\tI-NP\tO' -p203088 -aS'were\tbe\tVBD\tB-VP\tO' -p203089 -aS'done\tdo\tVBN\tI-VP\tO' -p203090 -aS'.\t.\t.\tO\tO' -p203091 -asS'Sodium was 133 , potassium was 4.2 , chloride 100 , CO2 19 , BUN 21 , creatinine 1.2 , and glucose 122 .' -p203092 -(lp203093 -S'Sodium\tSodium\tNN\tB-NP\tO' -p203094 -aS'was\tbe\tVBD\tB-VP\tO' -p203095 -aS'133\t133\tCD\tB-NP\tO' -p203096 -aS',\t,\t,\tO\tO' -p203097 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p203098 -aS'was\tbe\tVBD\tB-VP\tO' -p203099 -aS'4.2\t4.2\tCD\tB-NP\tO' -p203100 -aS',\t,\t,\tO\tO' -p203101 -aS'chloride\tchloride\tNN\tB-NP\tO' -p203102 -aS'100\t100\tCD\tI-NP\tO' -p203103 -aS',\t,\t,\tO\tO' -p203104 -aS'CO2\tCO2\tNN\tB-NP\tO' -p203105 -aS'19\t19\tCD\tI-NP\tO' -p203106 -aS',\t,\t,\tO\tO' -p203107 -aS'BUN\tBUN\tNN\tB-NP\tB-DNA' -p203108 -aS'21\t21\tCD\tI-NP\tI-DNA' -p203109 -aS',\t,\t,\tO\tO' -p203110 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p203111 -aS'1.2\t1.2\tCD\tI-NP\tO' -p203112 -aS',\t,\t,\tO\tO' -p203113 -aS'and\tand\tCC\tO\tO' -p203114 -aS'glucose\tglucose\tNN\tB-NP\tB-protein' -p203115 -aS'122\t122\tCD\tI-NP\tI-protein' -p203116 -aS'.\t.\t.\tO\tO' -p203117 -asS'There is diffuse brain atrophy and chronic microvascular infarction throughout the white matter .' -p203118 -(lp203119 -S'There\tThere\tEX\tB-NP\tO' -p203120 -aS'is\tbe\tVBZ\tB-VP\tO' -p203121 -aS'diffuse\tdiffuse\tJJ\tB-NP\tO' -p203122 -aS'brain\tbrain\tNN\tI-NP\tO' -p203123 -aS'atrophy\tatrophy\tNN\tI-NP\tO' -p203124 -aS'and\tand\tCC\tO\tO' -p203125 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p203126 -aS'microvascular\tmicrovascular\tJJ\tI-NP\tO' -p203127 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p203128 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p203129 -aS'the\tthe\tDT\tB-NP\tO' -p203130 -aS'white\twhite\tJJ\tI-NP\tO' -p203131 -aS'matter\tmatter\tNN\tI-NP\tO' -p203132 -aS'.\t.\t.\tO\tO' -p203133 -asS'I stress that she cannot be anticoagulated .' -p203134 -(lp203135 -S'I\tI\tPRP\tB-NP\tO' -p203136 -aS'stress\tstress\tVBP\tB-VP\tO' -p203137 -aS'that\tthat\tIN\tB-SBAR\tO' -p203138 -aS'she\tshe\tPRP\tB-NP\tO' -p203139 -aS'cannot\tcannot\tMD\tB-VP\tO' -p203140 -aS'be\tbe\tVB\tI-VP\tO' -p203141 -aS'anticoagulated\tanticoagulate\tVBN\tI-VP\tO' -p203142 -aS'.\t.\t.\tO\tO' -p203143 -asS'Birth weight 1865 grams .' -p203144 -(lp203145 -S'Birth\tBirth\tNN\tB-NP\tO' -p203146 -aS'weight\tweight\tNN\tI-NP\tO' -p203147 -aS'1865\t1865\tCD\tB-NP\tO' -p203148 -aS'grams\tgram\tNNS\tI-NP\tO' -p203149 -aS'.\t.\t.\tO\tO' -p203150 -asS'3. Valganciclovir 450 mg Tablet Sig : One ( 1 ) Tablet PO Q48H ( every 48 hours ) .' -p203151 -(lp203152 -S'3.\t3.\tLS\tB-NP\tO' -p203153 -aS'Valganciclovir\tValganciclovir\tNN\tI-NP\tO' -p203154 -aS'450\t450\tCD\tI-NP\tO' -p203155 -aS'mg\tmg\tNN\tI-NP\tO' -p203156 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p203157 -aS'Sig\tSig\tNNP\tI-NP\tO' -p203158 -aS':\t:\t:\tO\tO' -p203159 -aS'One\tOne\tCD\tB-NP\tO' -p203160 -aS'(\t(\t(\tO\tO' -p203161 -aS'1\t1\tCD\tB-NP\tO' -p203162 -aS')\t)\t)\tO\tO' -p203163 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p203164 -aS'PO\tPO\tNN\tI-NP\tO' -p203165 -aS'Q48H\tQ48H\tNN\tI-NP\tO' -p203166 -aS'(\t(\t(\tO\tO' -p203167 -aS'every\tevery\tDT\tB-NP\tO' -p203168 -aS'48\t48\tCD\tI-NP\tO' -p203169 -aS'hours\thour\tNNS\tI-NP\tO' -p203170 -aS')\t)\t)\tO\tO' -p203171 -aS'.\t.\t.\tO\tO' -p203172 -asS'# 1. cerebrovascular accident .' -p203173 -(lp203174 -S'#\t#\t#\tB-NP\tO' -p203175 -aS'1.\t1.\tLS\tI-NP\tO' -p203176 -aS'cerebrovascular\tcerebrovascular\tJJ\tI-NP\tO' -p203177 -aS'accident\taccident\tNN\tI-NP\tO' -p203178 -aS'.\t.\t.\tO\tO' -p203179 -asS'He had no oculocephalic reflexes .' -p203180 -(lp203181 -S'He\tHe\tPRP\tB-NP\tO' -p203182 -aS'had\thave\tVBD\tB-VP\tO' -p203183 -aS'no\tno\tDT\tB-NP\tO' -p203184 -aS'oculocephalic\toculocephalic\tJJ\tI-NP\tO' -p203185 -aS'reflexes\treflex\tNNS\tI-NP\tO' -p203186 -aS'.\t.\t.\tO\tO' -p203187 -asS'- Left LE DVT on coumadin' -p203188 -(lp203189 -S'-\t-\tHYPH\tB-NP\tO' -p203190 -aS'Left\tLeave\tVBN\tI-NP\tO' -p203191 -aS'LE\tLE\tNN\tI-NP\tB-protein' -p203192 -aS'DVT\tDVT\tNN\tI-NP\tI-protein' -p203193 -aS'on\ton\tIN\tB-PP\tO' -p203194 -aS'coumadin\tcoumadin\tNN\tB-NP\tO' -p203195 -asS'AST was 25 , alkaline phosphatase 130 , total bilirubin 3.2 , albumin 3.4 , calcium 8.8 .' -p203196 -(lp203197 -S'AST\tAST\tNN\tB-NP\tO' -p203198 -aS'was\tbe\tVBD\tB-VP\tO' -p203199 -aS'25\t25\tCD\tB-NP\tO' -p203200 -aS',\t,\t,\tO\tO' -p203201 -aS'alkaline\talkaline\tNN\tB-NP\tO' -p203202 -aS'phosphatase\tphosphatase\tNN\tI-NP\tO' -p203203 -aS'130\t130\tCD\tI-NP\tO' -p203204 -aS',\t,\t,\tO\tO' -p203205 -aS'total\ttotal\tJJ\tB-NP\tO' -p203206 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p203207 -aS'3.2\t3.2\tCD\tI-NP\tO' -p203208 -aS',\t,\t,\tO\tO' -p203209 -aS'albumin\talbumin\tNN\tB-NP\tB-protein' -p203210 -aS'3.4\t3.4\tCD\tI-NP\tI-protein' -p203211 -aS',\t,\t,\tO\tO' -p203212 -aS'calcium\tcalcium\tNN\tB-NP\tO' -p203213 -aS'8.8\t8.8\tCD\tI-NP\tO' -p203214 -aS'.\t.\t.\tO\tO' -p203215 -asS'Abdomen obese , soft , nontender without masses , no hepatosplenomegaly , positive bowel sounds without cyanosis , clubbing or edema .' -p203216 -(lp203217 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p203218 -aS'obese\tobese\tJJ\tI-NP\tO' -p203219 -aS',\t,\t,\tI-NP\tO' -p203220 -aS'soft\tsoft\tJJ\tI-NP\tO' -p203221 -aS',\t,\t,\tI-NP\tO' -p203222 -aS'nontender\tnontender\tJJ\tI-NP\tO' -p203223 -aS'without\twithout\tIN\tB-PP\tO' -p203224 -aS'masses\tmass\tNNS\tB-NP\tO' -p203225 -aS',\t,\t,\tO\tO' -p203226 -aS'no\tno\tDT\tB-NP\tO' -p203227 -aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tI-NP\tO' -p203228 -aS',\t,\t,\tO\tO' -p203229 -aS'positive\tpositive\tJJ\tB-NP\tO' -p203230 -aS'bowel\tbowel\tNN\tI-NP\tO' -p203231 -aS'sounds\tsound\tVBZ\tB-VP\tO' -p203232 -aS'without\twithout\tIN\tB-PP\tO' -p203233 -aS'cyanosis\tcyanosis\tNN\tB-NP\tO' -p203234 -aS',\t,\t,\tO\tO' -p203235 -aS'clubbing\tclubbing\tNN\tB-NP\tO' -p203236 -aS'or\tor\tCC\tI-NP\tO' -p203237 -aS'edema\tedema\tNN\tI-NP\tO' -p203238 -aS'.\t.\t.\tO\tO' -p203239 -asS'4. Bisacodyl 5 mg Tablet , Delayed Release ( E.C. ) Sig : Two ( 2 ) Tablet , Delayed Release ( E.C. ) PO DAILY ( Daily ) as needed for constipation .' -p203240 -(lp203241 -S'4.\t4.\tLS\tB-NP\tO' -p203242 -aS'Bisacodyl\tBisacodyl\tNN\tI-NP\tO' -p203243 -aS'5\t5\tCD\tI-NP\tO' -p203244 -aS'mg\tmg\tNN\tI-NP\tO' -p203245 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p203246 -aS',\t,\t,\tO\tO' -p203247 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p203248 -aS'Release\tRelease\tNNP\tI-NP\tO' -p203249 -aS'(\t(\t(\tO\tO' -p203250 -aS'E.C.\tE.C.\tNNP\tB-NP\tO' -p203251 -aS')\t)\t)\tO\tO' -p203252 -aS'Sig\tSig\tNNP\tB-NP\tO' -p203253 -aS':\t:\t:\tO\tO' -p203254 -aS'Two\tTwo\tCD\tB-NP\tO' -p203255 -aS'(\t(\t(\tO\tO' -p203256 -aS'2\t2\tCD\tB-NP\tO' -p203257 -aS')\t)\t)\tO\tO' -p203258 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p203259 -aS',\t,\t,\tO\tO' -p203260 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p203261 -aS'Release\tRelease\tNNP\tI-NP\tO' -p203262 -aS'(\t(\t(\tO\tO' -p203263 -aS'E.C.\tE.C.\tNNP\tO\tO' -p203264 -aS')\t)\t)\tO\tO' -p203265 -aS'PO\tPO\tNN\tB-NP\tO' -p203266 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p203267 -aS'(\t(\t(\tO\tO' -p203268 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p203269 -aS')\t)\t)\tO\tO' -p203270 -aS'as\tas\tIN\tB-SBAR\tO' -p203271 -aS'needed\tneed\tVBN\tB-VP\tO' -p203272 -aS'for\tfor\tIN\tB-PP\tO' -p203273 -aS'constipation\tconstipation\tNN\tB-NP\tO' -p203274 -aS'.\t.\t.\tO\tO' -p203275 -asS'Weight 2.252 kg , 65th percentile; length 46 cm , 50th percentile ; head circumference 33 cm 75th percentile .' -p203276 -(lp203277 -S'Weight\tWeight\tRB\tB-NP\tO' -p203278 -aS'2.252\t2.252\tCD\tI-NP\tO' -p203279 -aS'kg\tkg\tNN\tI-NP\tO' -p203280 -aS',\t,\t,\tO\tO' -p203281 -aS'65th\t65th\tJJ\tB-NP\tO' -p203282 -aS'percentile;\tpercentile;\tNN\tI-NP\tO' -p203283 -aS'length\tlength\tNN\tI-NP\tO' -p203284 -aS'46\t46\tCD\tI-NP\tO' -p203285 -aS'cm\tcm\tNN\tI-NP\tO' -p203286 -aS',\t,\t,\tO\tO' -p203287 -aS'50th\t50th\tJJ\tB-NP\tO' -p203288 -aS'percentile\tpercentile\tNN\tI-NP\tO' -p203289 -aS';\t;\t:\tO\tO' -p203290 -aS'head\thead\tNN\tB-NP\tO' -p203291 -aS'circumference\tcircumference\tNN\tI-NP\tO' -p203292 -aS'33\t33\tCD\tB-NP\tO' -p203293 -aS'cm\tcm\tNN\tI-NP\tO' -p203294 -aS'75th\t75th\tJJ\tI-NP\tO' -p203295 -aS'percentile\tpercentile\tNN\tI-NP\tO' -p203296 -aS'.\t.\t.\tO\tO' -p203297 -asS'There was no obstruction .' -p203298 -(lp203299 -S'There\tThere\tEX\tB-NP\tO' -p203300 -aS'was\tbe\tVBD\tB-VP\tO' -p203301 -aS'no\tno\tDT\tB-NP\tO' -p203302 -aS'obstruction\tobstruction\tNN\tI-NP\tO' -p203303 -aS'.\t.\t.\tO\tO' -p203304 -asS'Insulin regular .' -p203305 -(lp203306 -S'Insulin\tInsulin\tNN\tB-NP\tB-protein' -p203307 -aS'regular\tregular\tJJ\tB-ADJP\tO' -p203308 -aS'.\t.\t.\tO\tO' -p203309 -asS'5. Multivitamin Capsule Sig : One ( 1 ) Cap PO DAILY ( Daily ) .' -p203310 -(lp203311 -S'5.\t5.\tLS\tB-LST\tO' -p203312 -aS'Multivitamin\tMultivitamin\tNNP\tB-NP\tO' -p203313 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p203314 -aS'Sig\tSig\tNNP\tI-NP\tO' -p203315 -aS':\t:\t:\tO\tO' -p203316 -aS'One\tOne\tCD\tB-NP\tO' -p203317 -aS'(\t(\t(\tO\tO' -p203318 -aS'1\t1\tCD\tB-NP\tO' -p203319 -aS')\t)\t)\tO\tO' -p203320 -aS'Cap\tCap\tNN\tB-NP\tO' -p203321 -aS'PO\tPO\tNN\tI-NP\tO' -p203322 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p203323 -aS'(\t(\t(\tO\tO' -p203324 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p203325 -aS')\t)\t)\tO\tO' -p203326 -aS'.\t.\t.\tO\tO' -p203327 -asS'Please see Infectious Disease section for more details .' -p203328 -(lp203329 -S'Please\tPlease\tVB\tB-VP\tO' -p203330 -aS'see\tsee\tVB\tI-VP\tO' -p203331 -aS'Infectious\tInfectious\tJJ\tB-NP\tO' -p203332 -aS'Disease\tDisease\tNN\tI-NP\tO' -p203333 -aS'section\tsection\tNN\tI-NP\tO' -p203334 -aS'for\tfor\tIN\tB-PP\tO' -p203335 -aS'more\tmore\tJJR\tB-NP\tO' -p203336 -aS'details\tdetail\tNNS\tI-NP\tO' -p203337 -aS'.\t.\t.\tO\tO' -p203338 -asS'The infant did not receive any blood transfusions this hospitalization .' -p203339 -(lp203340 -S'The\tThe\tDT\tB-NP\tO' -p203341 -aS'infant\tinfant\tNN\tI-NP\tO' -p203342 -aS'did\tdo\tVBD\tB-VP\tO' -p203343 -aS'not\tnot\tRB\tI-VP\tO' -p203344 -aS'receive\treceive\tVB\tI-VP\tO' -p203345 -aS'any\tany\tDT\tB-NP\tO' -p203346 -aS'blood\tblood\tNN\tI-NP\tO' -p203347 -aS'transfusions\ttransfusion\tNNS\tI-NP\tO' -p203348 -aS'this\tthis\tDT\tB-NP\tO' -p203349 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p203350 -aS'.\t.\t.\tO\tO' -p203351 -asS'Follow up with Trauma in 3-4 weeks after your discharge .' -p203352 -(lp203353 -S'Follow\tFollow\tVB\tB-VP\tO' -p203354 -aS'up\tup\tRP\tB-PRT\tO' -p203355 -aS'with\twith\tIN\tB-PP\tO' -p203356 -aS'Trauma\tTrauma\tNNP\tB-NP\tO' -p203357 -aS'in\tin\tIN\tB-PP\tO' -p203358 -aS'3-4\t3-4\tCD\tB-NP\tO' -p203359 -aS'weeks\tweek\tNNS\tI-NP\tO' -p203360 -aS'after\tafter\tIN\tB-PP\tO' -p203361 -aS'your\tyour\tPRP$\tB-NP\tO' -p203362 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p203363 -aS'.\t.\t.\tO\tO' -p203364 -asS'LDL 56 .' -p203365 -(lp203366 -S'LDL\tLDL\tNN\tB-NP\tB-protein' -p203367 -aS'56\t56\tCD\tI-NP\tI-protein' -p203368 -aS'.\t.\t.\tO\tO' -p203369 -asS'16) Robituss in AC five to ten milliliters p.o. q.h.s. p.r.n. cough .' -p203370 -(lp203371 -S'16)\t16)\tLS\tB-LST\tO' -p203372 -aS'Robituss\tRobituss\tNNP\tB-NP\tO' -p203373 -aS'in\tin\tIN\tB-PP\tO' -p203374 -aS'AC\tAC\tNNP\tB-NP\tO' -p203375 -aS'five\tfive\tCD\tI-NP\tO' -p203376 -aS'to\tto\tTO\tI-NP\tO' -p203377 -aS'ten\tten\tCD\tI-NP\tO' -p203378 -aS'milliliters\tmilliliter\tNNS\tI-NP\tO' -p203379 -aS'p.o.\tp.o.\tFW\tB-NP\tO' -p203380 -aS'q.h.s.\tq.h.s.\tFW\tI-NP\tO' -p203381 -aS'p.r.n.\tp.r.n.\tFW\tI-NP\tO' -p203382 -aS'cough\tcough\tNN\tI-NP\tO' -p203383 -aS'.\t.\t.\tO\tO' -p203384 -asS'She remained on CPAP for a total of 24 hours at which time she transitioned to room air and continues to be stable in room air .' -p203385 -(lp203386 -S'She\tShe\tPRP\tB-NP\tO' -p203387 -aS'remained\tremain\tVBD\tB-VP\tO' -p203388 -aS'on\ton\tIN\tB-PP\tO' -p203389 -aS'CPAP\tCPAP\tNN\tB-NP\tB-protein' -p203390 -aS'for\tfor\tIN\tB-PP\tO' -p203391 -aS'a\ta\tDT\tB-NP\tO' -p203392 -aS'total\ttotal\tNN\tI-NP\tO' -p203393 -aS'of\tof\tIN\tB-PP\tO' -p203394 -aS'24\t24\tCD\tB-NP\tO' -p203395 -aS'hours\thour\tNNS\tI-NP\tO' -p203396 -aS'at\tat\tIN\tB-PP\tO' -p203397 -aS'which\twhich\tWDT\tB-NP\tO' -p203398 -aS'time\ttime\tNN\tI-NP\tO' -p203399 -aS'she\tshe\tPRP\tB-NP\tO' -p203400 -aS'transitioned\ttransitione\tVBD\tB-VP\tO' -p203401 -aS'to\tto\tTO\tB-PP\tO' -p203402 -aS'room\troom\tNN\tB-NP\tO' -p203403 -aS'air\tair\tNN\tI-NP\tO' -p203404 -aS'and\tand\tCC\tO\tO' -p203405 -aS'continues\tcontinue\tVBZ\tB-VP\tO' -p203406 -aS'to\tto\tTO\tI-VP\tO' -p203407 -aS'be\tbe\tVB\tI-VP\tO' -p203408 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p203409 -aS'in\tin\tIN\tB-PP\tO' -p203410 -aS'room\troom\tNN\tB-NP\tO' -p203411 -aS'air\tair\tNN\tI-NP\tO' -p203412 -aS'.\t.\t.\tO\tO' -p203413 -asS'She has been gently diuresed but has worsening ARF .' -p203414 -(lp203415 -S'She\tShe\tPRP\tB-NP\tO' -p203416 -aS'has\thave\tVBZ\tB-VP\tO' -p203417 -aS'been\tbe\tVBN\tI-VP\tO' -p203418 -aS'gently\tgently\tRB\tI-VP\tO' -p203419 -aS'diuresed\tdiurese\tVBN\tI-VP\tO' -p203420 -aS'but\tbut\tCC\tO\tO' -p203421 -aS'has\thave\tVBZ\tB-VP\tO' -p203422 -aS'worsening\tworsen\tVBG\tI-VP\tO' -p203423 -aS'ARF\tARF\tNN\tB-NP\tB-protein' -p203424 -aS'.\t.\t.\tO\tO' -p203425 -asS'The patient otherwise complained of no angina , no shortness of breath , no paroxysmal nocturnal dyspnea , no edema , no palpitations or symptoms of syncope .' -p203426 -(lp203427 -S'The\tThe\tDT\tB-NP\tO' -p203428 -aS'patient\tpatient\tNN\tI-NP\tO' -p203429 -aS'otherwise\totherwise\tRB\tB-ADVP\tO' -p203430 -aS'complained\tcomplain\tVBD\tB-VP\tO' -p203431 -aS'of\tof\tIN\tB-PP\tO' -p203432 -aS'no\tno\tDT\tB-NP\tO' -p203433 -aS'angina\tangina\tNN\tI-NP\tO' -p203434 -aS',\t,\t,\tO\tO' -p203435 -aS'no\tno\tDT\tB-NP\tO' -p203436 -aS'shortness\tshortness\tNN\tI-NP\tO' -p203437 -aS'of\tof\tIN\tB-PP\tO' -p203438 -aS'breath\tbreath\tNN\tB-NP\tO' -p203439 -aS',\t,\t,\tO\tO' -p203440 -aS'no\tno\tDT\tB-NP\tO' -p203441 -aS'paroxysmal\tparoxysmal\tJJ\tI-NP\tO' -p203442 -aS'nocturnal\tnocturnal\tJJ\tI-NP\tO' -p203443 -aS'dyspnea\tdyspnea\tNN\tI-NP\tO' -p203444 -aS',\t,\t,\tO\tO' -p203445 -aS'no\tno\tDT\tB-NP\tO' -p203446 -aS'edema\tedema\tNN\tI-NP\tO' -p203447 -aS',\t,\t,\tO\tO' -p203448 -aS'no\tno\tDT\tB-NP\tO' -p203449 -aS'palpitations\tpalpitation\tNNS\tI-NP\tO' -p203450 -aS'or\tor\tCC\tI-NP\tO' -p203451 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p203452 -aS'of\tof\tIN\tB-PP\tO' -p203453 -aS'syncope\tsyncope\tNN\tB-NP\tO' -p203454 -aS'.\t.\t.\tO\tO' -p203455 -asS'The patient contracted HCV 20 years ago secondary to IV drug use .' -p203456 -(lp203457 -S'The\tThe\tDT\tB-NP\tO' -p203458 -aS'patient\tpatient\tNN\tI-NP\tO' -p203459 -aS'contracted\tcontract\tVBD\tB-VP\tO' -p203460 -aS'HCV\tHCV\tNN\tB-NP\tO' -p203461 -aS'20\t20\tCD\tB-NP\tO' -p203462 -aS'years\tyear\tNNS\tI-NP\tO' -p203463 -aS'ago\tago\tRB\tB-ADJP\tO' -p203464 -aS'secondary\tsecondary\tJJ\tI-ADJP\tO' -p203465 -aS'to\tto\tTO\tB-PP\tO' -p203466 -aS'IV\tIV\tCD\tB-NP\tO' -p203467 -aS'drug\tdrug\tNN\tI-NP\tO' -p203468 -aS'use\tuse\tNN\tI-NP\tO' -p203469 -aS'.\t.\t.\tO\tO' -p203470 -asS'Patient was continued on her Toprol , her lisinopril , and her digoxin .' -p203471 -(lp203472 -S'Patient\tPatient\tNN\tB-NP\tO' -p203473 -aS'was\tbe\tVBD\tB-VP\tO' -p203474 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p203475 -aS'on\ton\tIN\tB-PP\tO' -p203476 -aS'her\ther\tPRP$\tB-NP\tO' -p203477 -aS'Toprol\tToprol\tNN\tI-NP\tO' -p203478 -aS',\t,\t,\tO\tO' -p203479 -aS'her\ther\tPRP$\tB-NP\tO' -p203480 -aS'lisinopril\tlisinopril\tNN\tI-NP\tO' -p203481 -aS',\t,\t,\tO\tO' -p203482 -aS'and\tand\tCC\tO\tO' -p203483 -aS'her\ther\tPRP$\tB-NP\tO' -p203484 -aS'digoxin\tdigoxin\tNN\tI-NP\tO' -p203485 -aS'.\t.\t.\tO\tO' -p203486 -asS'Patient was continued on nadolol ( as bp tolerated ) and lactulose )' -p203487 -(lp203488 -S'Patient\tPatient\tNN\tB-NP\tO' -p203489 -aS'was\tbe\tVBD\tB-VP\tO' -p203490 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p203491 -aS'on\ton\tIN\tB-PP\tO' -p203492 -aS'nadolol\tnadolol\tNN\tB-NP\tO' -p203493 -aS'(\t(\t(\tO\tO' -p203494 -aS'as\tas\tIN\tB-PP\tO' -p203495 -aS'bp\tbp\tNN\tB-NP\tO' -p203496 -aS'tolerated\ttolerate\tVBN\tB-VP\tO' -p203497 -aS')\t)\t)\tO\tO' -p203498 -aS'and\tand\tCC\tO\tO' -p203499 -aS'lactulose\tlactulose\tNN\tB-NP\tO' -p203500 -aS')\t)\t)\tO\tO' -p203501 -asS'Patient underwent liver biopsy on 02/16/91 and the results of this were pending when the patient died .' -p203502 -(lp203503 -S'Patient\tPatient\tNN\tB-NP\tO' -p203504 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p203505 -aS'liver\tliver\tNN\tB-NP\tO' -p203506 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p203507 -aS'on\ton\tIN\tB-PP\tO' -p203508 -aS'02/16/91\t02/16/91\tCD\tB-NP\tO' -p203509 -aS'and\tand\tCC\tO\tO' -p203510 -aS'the\tthe\tDT\tB-NP\tO' -p203511 -aS'results\tresult\tNNS\tI-NP\tO' -p203512 -aS'of\tof\tIN\tB-PP\tO' -p203513 -aS'this\tthis\tDT\tB-NP\tO' -p203514 -aS'were\tbe\tVBD\tB-VP\tO' -p203515 -aS'pending\tpende\tVBG\tI-VP\tO' -p203516 -aS'when\twhen\tWRB\tB-ADVP\tO' -p203517 -aS'the\tthe\tDT\tB-NP\tO' -p203518 -aS'patient\tpatient\tNN\tI-NP\tO' -p203519 -aS'died\tdie\tVBD\tB-VP\tO' -p203520 -aS'.\t.\t.\tO\tO' -p203521 -asS'On head , eyes , ears , nose , throat examination , pupils equal , round , reactive to light and accommodation , fundus was sharp , oral mucosa was clear .' -p203522 -(lp203523 -S'On\tOn\tIN\tB-PP\tO' -p203524 -aS'head\thead\tNN\tB-NP\tO' -p203525 -aS',\t,\t,\tO\tO' -p203526 -aS'eyes\teye\tNNS\tB-NP\tO' -p203527 -aS',\t,\t,\tO\tO' -p203528 -aS'ears\tear\tNNS\tB-NP\tO' -p203529 -aS',\t,\t,\tO\tO' -p203530 -aS'nose\tnose\tNN\tB-NP\tO' -p203531 -aS',\t,\t,\tO\tO' -p203532 -aS'throat\tthroat\tDT\tB-NP\tO' -p203533 -aS'examination\texamination\tNN\tI-NP\tO' -p203534 -aS',\t,\t,\tO\tO' -p203535 -aS'pupils\tpupil\tVBZ\tB-VP\tO' -p203536 -aS'equal\tequal\tJJ\tB-NP\tO' -p203537 -aS',\t,\t,\tI-NP\tO' -p203538 -aS'round\tround\tJJ\tI-NP\tO' -p203539 -aS',\t,\t,\tI-NP\tO' -p203540 -aS'reactive\treactive\tJJ\tI-NP\tO' -p203541 -aS'to\tto\tTO\tB-PP\tO' -p203542 -aS'light\tlight\tNN\tB-NP\tO' -p203543 -aS'and\tand\tCC\tI-NP\tO' -p203544 -aS'accommodation\taccommodation\tNN\tI-NP\tO' -p203545 -aS',\t,\t,\tO\tO' -p203546 -aS'fundus\tfundus\tNN\tB-NP\tO' -p203547 -aS'was\tbe\tVBD\tB-VP\tO' -p203548 -aS'sharp\tsharp\tJJ\tB-NP\tO' -p203549 -aS',\t,\t,\tI-NP\tO' -p203550 -aS'oral\toral\tJJ\tI-NP\tO' -p203551 -aS'mucosa\tmucosa\tNN\tI-NP\tO' -p203552 -aS'was\tbe\tVBD\tB-VP\tO' -p203553 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p203554 -aS'.\t.\t.\tO\tO' -p203555 -asS'The patient is status post appendectomy .' -p203556 -(lp203557 -S'The\tThe\tDT\tB-NP\tO' -p203558 -aS'patient\tpatient\tNN\tI-NP\tO' -p203559 -aS'is\tbe\tVBZ\tB-VP\tO' -p203560 -aS'status\tstatus\tNN\tB-NP\tO' -p203561 -aS'post\tpost\tNN\tI-NP\tO' -p203562 -aS'appendectomy\tappendectomy\tNN\tI-NP\tO' -p203563 -aS'.\t.\t.\tO\tO' -p203564 -asS'Pathology was negative for tumor and showed peritubal and periovarian adhesions .' -p203565 -(lp203566 -S'Pathology\tPathology\tNN\tB-NP\tO' -p203567 -aS'was\tbe\tVBD\tB-VP\tO' -p203568 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p203569 -aS'for\tfor\tIN\tB-PP\tO' -p203570 -aS'tumor\ttumor\tNN\tB-NP\tO' -p203571 -aS'and\tand\tCC\tO\tO' -p203572 -aS'showed\tshow\tVBD\tB-VP\tO' -p203573 -aS'peritubal\tperitubal\tJJ\tB-NP\tO' -p203574 -aS'and\tand\tCC\tI-NP\tO' -p203575 -aS'periovarian\tperiovarian\tJJ\tI-NP\tO' -p203576 -aS'adhesions\tadhesion\tNNS\tI-NP\tO' -p203577 -aS'.\t.\t.\tO\tO' -p203578 -asS'She had a 1:1 sitter at all times .' -p203579 -(lp203580 -S'She\tShe\tPRP\tB-NP\tO' -p203581 -aS'had\thave\tVBD\tB-VP\tO' -p203582 -aS'a\ta\tDT\tB-NP\tO' -p203583 -aS'1:1\t1:1\tCD\tI-NP\tO' -p203584 -aS'sitter\tsitter\tNN\tI-NP\tO' -p203585 -aS'at\tat\tIN\tB-PP\tO' -p203586 -aS'all\tall\tDT\tB-NP\tO' -p203587 -aS'times\ttime\tNNS\tI-NP\tO' -p203588 -aS'.\t.\t.\tO\tO' -p203589 -asS"On postoperative day number 1 , duplex ultrasound of the patient 's liver was performed demonstrating normal appearing portal veins and hepatic arteries ." -p203590 -(lp203591 -S'On\tOn\tIN\tB-PP\tO' -p203592 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p203593 -aS'day\tday\tNN\tI-NP\tO' -p203594 -aS'number\tnumber\tNN\tI-NP\tO' -p203595 -aS'1\t1\tCD\tI-NP\tO' -p203596 -aS',\t,\t,\tO\tO' -p203597 -aS'duplex\tduplex\tNN\tB-NP\tO' -p203598 -aS'ultrasound\tultrasound\tNN\tI-NP\tO' -p203599 -aS'of\tof\tIN\tB-PP\tO' -p203600 -aS'the\tthe\tDT\tB-NP\tO' -p203601 -aS'patient\tpatient\tNN\tI-NP\tO' -p203602 -aS"'s\t's\tPOS\tB-NP\tO" -p203603 -aS'liver\tliver\tNN\tI-NP\tO' -p203604 -aS'was\tbe\tVBD\tB-VP\tO' -p203605 -aS'performed\tperform\tVBN\tI-VP\tO' -p203606 -aS'demonstrating\tdemonstrate\tVBG\tI-VP\tO' -p203607 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p203608 -aS'appearing\tappear\tVBG\tB-VP\tO' -p203609 -aS'portal\tportal\tJJ\tB-NP\tO' -p203610 -aS'veins\tvein\tNNS\tI-NP\tO' -p203611 -aS'and\tand\tCC\tO\tO' -p203612 -aS'hepatic\thepatic\tJJ\tB-NP\tO' -p203613 -aS'arteries\tartery\tNNS\tI-NP\tO' -p203614 -aS'.\t.\t.\tO\tO' -p203615 -asS'The patient was encouraged to increase her p.o. intake .' -p203616 -(lp203617 -S'The\tThe\tDT\tB-NP\tO' -p203618 -aS'patient\tpatient\tNN\tI-NP\tO' -p203619 -aS'was\tbe\tVBD\tB-VP\tO' -p203620 -aS'encouraged\tencourage\tVBN\tI-VP\tO' -p203621 -aS'to\tto\tTO\tI-VP\tO' -p203622 -aS'increase\tincrease\tVB\tI-VP\tO' -p203623 -aS'her\ther\tPRP$\tB-NP\tO' -p203624 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p203625 -aS'intake\tintake\tNN\tI-NP\tO' -p203626 -aS'.\t.\t.\tO\tO' -p203627 -asS'A high resolution CT was requested to further evaluate for possible secondary cause of her primary pulmonary hypertension ; however , the patient refused it at this time .' -p203628 -(lp203629 -S'A\tA\tDT\tB-NP\tO' -p203630 -aS'high\thigh\tJJ\tI-NP\tO' -p203631 -aS'resolution\tresolution\tNN\tI-NP\tO' -p203632 -aS'CT\tCT\tNN\tI-NP\tO' -p203633 -aS'was\tbe\tVBD\tB-VP\tO' -p203634 -aS'requested\trequest\tVBN\tI-VP\tO' -p203635 -aS'to\tto\tTO\tB-VP\tO' -p203636 -aS'further\tfurther\tRB\tI-VP\tO' -p203637 -aS'evaluate\tevaluate\tVB\tI-VP\tO' -p203638 -aS'for\tfor\tIN\tB-PP\tO' -p203639 -aS'possible\tpossible\tJJ\tB-NP\tO' -p203640 -aS'secondary\tsecondary\tJJ\tI-NP\tO' -p203641 -aS'cause\tcause\tNN\tI-NP\tO' -p203642 -aS'of\tof\tIN\tB-PP\tO' -p203643 -aS'her\ther\tPRP$\tB-NP\tO' -p203644 -aS'primary\tprimary\tJJ\tI-NP\tO' -p203645 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p203646 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p203647 -aS';\t;\t:\tO\tO' -p203648 -aS'however\thowever\tRB\tB-ADVP\tO' -p203649 -aS',\t,\t,\tO\tO' -p203650 -aS'the\tthe\tDT\tB-NP\tO' -p203651 -aS'patient\tpatient\tNN\tI-NP\tO' -p203652 -aS'refused\trefuse\tVBD\tB-VP\tO' -p203653 -aS'it\tit\tPRP\tB-NP\tO' -p203654 -aS'at\tat\tIN\tB-PP\tO' -p203655 -aS'this\tthis\tDT\tB-NP\tO' -p203656 -aS'time\ttime\tNN\tI-NP\tO' -p203657 -aS'.\t.\t.\tO\tO' -p203658 -asS'There were no clear EEG correlate .' -p203659 -(lp203660 -S'There\tThere\tEX\tB-NP\tO' -p203661 -aS'were\tbe\tVBD\tB-VP\tO' -p203662 -aS'no\tno\tDT\tB-NP\tO' -p203663 -aS'clear\tclear\tJJ\tI-NP\tO' -p203664 -aS'EEG\tEEG\tNN\tI-NP\tO' -p203665 -aS'correlate\tcorrelate\tNN\tI-NP\tO' -p203666 -aS'.\t.\t.\tO\tO' -p203667 -asS'Ms Malek was admitted on 2015-04-16 due to altered mental status and acute right upper quadrant abdominal pain .' -p203668 -(lp203669 -S'Ms\tM\tNNS\tB-NP\tO' -p203670 -aS'Malek\tMalek\tNN\tI-NP\tO' -p203671 -aS'was\tbe\tVBD\tB-VP\tO' -p203672 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p203673 -aS'on\ton\tIN\tB-PP\tO' -p203674 -aS'2015-04-16\t2015-04-16\tCD\tB-NP\tO' -p203675 -aS'due\tdue\tJJ\tB-ADVP\tO' -p203676 -aS'to\tto\tTO\tB-PP\tO' -p203677 -aS'altered\taltered\tJJ\tB-NP\tO' -p203678 -aS'mental\tmental\tJJ\tI-NP\tO' -p203679 -aS'status\tstatus\tNN\tI-NP\tO' -p203680 -aS'and\tand\tCC\tO\tO' -p203681 -aS'acute\tacute\tJJ\tB-NP\tB-protein' -p203682 -aS'right\tright\tJJ\tI-NP\tI-protein' -p203683 -aS'upper\tupper\tJJ\tI-NP\tI-protein' -p203684 -aS'quadrant\tquadrant\tJJ\tI-NP\tI-protein' -p203685 -aS'abdominal\tabdominal\tJJ\tI-NP\tI-protein' -p203686 -aS'pain\tpain\tNN\tI-NP\tI-protein' -p203687 -aS'.\t.\t.\tO\tO' -p203688 -asS'He tolerated the operation well and was transferred from the Operating Room to the cardiothoracic ICU .' -p203689 -(lp203690 -S'He\tHe\tPRP\tB-NP\tO' -p203691 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p203692 -aS'the\tthe\tDT\tB-NP\tO' -p203693 -aS'operation\toperation\tNN\tI-NP\tO' -p203694 -aS'well\twell\tRB\tB-ADVP\tO' -p203695 -aS'and\tand\tCC\tO\tO' -p203696 -aS'was\tbe\tVBD\tB-VP\tO' -p203697 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p203698 -aS'from\tfrom\tIN\tB-PP\tO' -p203699 -aS'the\tthe\tDT\tB-NP\tO' -p203700 -aS'Operating\tOperating\tNNP\tI-NP\tO' -p203701 -aS'Room\tRoom\tNNP\tI-NP\tO' -p203702 -aS'to\tto\tTO\tB-PP\tO' -p203703 -aS'the\tthe\tDT\tB-NP\tO' -p203704 -aS'cardiothoracic\tcardiothoracic\tJJ\tI-NP\tO' -p203705 -aS'ICU\tICU\tNN\tI-NP\tO' -p203706 -aS'.\t.\t.\tO\tO' -p203707 -asS'Her abdomen was soft , nontender with good bowel sounds .' -p203708 -(lp203709 -S'Her\tHer\tPRP$\tB-NP\tO' -p203710 -aS'abdomen\tabdoman\tNNS\tI-NP\tO' -p203711 -aS'was\tbe\tVBD\tB-VP\tO' -p203712 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p203713 -aS',\t,\t,\tO\tO' -p203714 -aS'nontender\tnontender\tJJ\tB-ADJP\tO' -p203715 -aS'with\twith\tIN\tB-PP\tO' -p203716 -aS'good\tgood\tJJ\tB-NP\tO' -p203717 -aS'bowel\tbowel\tNN\tI-NP\tO' -p203718 -aS'sounds\tsound\tNNS\tI-NP\tO' -p203719 -aS'.\t.\t.\tO\tO' -p203720 -asS'Right fem to below knee pop bypass graft .' -p203721 -(lp203722 -S'Right\tRight\tNN\tB-NP\tO' -p203723 -aS'fem\tfem\tNN\tI-NP\tO' -p203724 -aS'to\tto\tTO\tB-PP\tO' -p203725 -aS'below\tbelow\tIN\tB-PP\tO' -p203726 -aS'knee\tknee\tNN\tB-NP\tO' -p203727 -aS'pop\tpop\tNN\tI-NP\tO' -p203728 -aS'bypass\tbypass\tIN\tB-PP\tO' -p203729 -aS'graft\tgraft\tNN\tB-NP\tO' -p203730 -aS'.\t.\t.\tO\tO' -p203731 -asS'Dictated By : Deborah JP Allen , M.D.' -p203732 -(lp203733 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p203734 -aS'By\tBy\tIN\tB-PP\tO' -p203735 -aS':\t:\t:\tO\tO' -p203736 -aS'Deborah\tDeborah\tNNP\tB-NP\tO' -p203737 -aS'JP\tJP\tNNP\tI-NP\tO' -p203738 -aS'Allen\tAllen\tNNP\tI-NP\tO' -p203739 -aS',\t,\t,\tO\tO' -p203740 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p203741 -asS'Recently he had documented coronary angiography based on a catheterization performed in January 1996 with moderate to diffuse atherosclerosis .' -p203742 -(lp203743 -S'Recently\tRecently\tRB\tB-ADVP\tO' -p203744 -aS'he\the\tPRP\tB-NP\tO' -p203745 -aS'had\thave\tVBD\tB-VP\tO' -p203746 -aS'documented\tdocument\tVBN\tI-VP\tO' -p203747 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p203748 -aS'angiography\tangiography\tNN\tI-NP\tO' -p203749 -aS'based\tbase\tVBN\tB-VP\tO' -p203750 -aS'on\ton\tIN\tB-PP\tO' -p203751 -aS'a\ta\tDT\tB-NP\tO' -p203752 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p203753 -aS'performed\tperform\tVBN\tB-VP\tO' -p203754 -aS'in\tin\tIN\tB-PP\tO' -p203755 -aS'January\tJanuary\tNNP\tB-NP\tO' -p203756 -aS'1996\t1996\tCD\tI-NP\tO' -p203757 -aS'with\twith\tIN\tB-PP\tO' -p203758 -aS'moderate\tmoderate\tJJ\tB-ADJP\tO' -p203759 -aS'to\tto\tTO\tB-PP\tO' -p203760 -aS'diffuse\tdiffuse\tJJ\tB-NP\tO' -p203761 -aS'atherosclerosis\tatherosclerosis\tNN\tI-NP\tO' -p203762 -aS'.\t.\t.\tO\tO' -p203763 -asS'Completed by : Oscar Jerome Julian MD 39-824 2018-11-01 @ 1610' -p203764 -(lp203765 -S'Completed\tComplete\tVBN\tB-VP\tO' -p203766 -aS'by\tby\tIN\tB-PP\tO' -p203767 -aS':\t:\t:\tO\tO' -p203768 -aS'Oscar\tOscar\tNNP\tB-NP\tO' -p203769 -aS'Jerome\tJerome\tNNP\tI-NP\tO' -p203770 -aS'Julian\tJulian\tNNP\tI-NP\tO' -p203771 -aS'MD\tMD\tNNP\tI-NP\tO' -p203772 -aS'39-824\t39-824\tCD\tI-NP\tO' -p203773 -aS'2018-11-01\t2018-11-01\tCD\tI-NP\tO' -p203774 -aS'@\t@\tNN\tI-NP\tO' -p203775 -aS'1610\t1610\tCD\tB-NP\tO' -p203776 -asS'The patient is on Nortriptyline for depression .' -p203777 -(lp203778 -S'The\tThe\tDT\tB-NP\tO' -p203779 -aS'patient\tpatient\tNN\tI-NP\tO' -p203780 -aS'is\tbe\tVBZ\tB-VP\tO' -p203781 -aS'on\ton\tIN\tB-PP\tO' -p203782 -aS'Nortriptyline\tNortriptyline\tNN\tB-NP\tO' -p203783 -aS'for\tfor\tIN\tB-PP\tO' -p203784 -aS'depression\tdepression\tNN\tB-NP\tO' -p203785 -aS'.\t.\t.\tO\tO' -p203786 -asS'She had an elevated calcium level that raised the suspicion that this mass could be a hematoma coming from a ruptured parathyroid adenoma .' -p203787 -(lp203788 -S'She\tShe\tPRP\tB-NP\tO' -p203789 -aS'had\thave\tVBD\tB-VP\tO' -p203790 -aS'an\tan\tDT\tB-NP\tO' -p203791 -aS'elevated\televated\tJJ\tI-NP\tO' -p203792 -aS'calcium\tcalcium\tNN\tI-NP\tO' -p203793 -aS'level\tlevel\tNN\tI-NP\tO' -p203794 -aS'that\tthat\tWDT\tB-NP\tO' -p203795 -aS'raised\traise\tVBD\tB-VP\tO' -p203796 -aS'the\tthe\tDT\tB-NP\tO' -p203797 -aS'suspicion\tsuspicion\tNN\tI-NP\tO' -p203798 -aS'that\tthat\tIN\tB-SBAR\tO' -p203799 -aS'this\tthis\tDT\tB-NP\tO' -p203800 -aS'mass\tmass\tNN\tI-NP\tO' -p203801 -aS'could\tcould\tMD\tB-VP\tO' -p203802 -aS'be\tbe\tVB\tI-VP\tO' -p203803 -aS'a\ta\tDT\tB-NP\tO' -p203804 -aS'hematoma\thematoma\tNN\tI-NP\tO' -p203805 -aS'coming\tcome\tVBG\tB-VP\tO' -p203806 -aS'from\tfrom\tIN\tB-PP\tO' -p203807 -aS'a\ta\tDT\tB-NP\tO' -p203808 -aS'ruptured\truptured\tJJ\tI-NP\tO' -p203809 -aS'parathyroid\tparathyroid\tJJ\tI-NP\tO' -p203810 -aS'adenoma\tadenoma\tNN\tI-NP\tO' -p203811 -aS'.\t.\t.\tO\tO' -p203812 -asS'His blood pressure remained stable and BP meds were restarted .' -p203813 -(lp203814 -S'His\tHis\tPRP$\tB-NP\tO' -p203815 -aS'blood\tblood\tNN\tI-NP\tO' -p203816 -aS'pressure\tpressure\tNN\tI-NP\tO' -p203817 -aS'remained\tremain\tVBD\tB-VP\tO' -p203818 -aS'stable\tstable\tJJ\tB-NP\tO' -p203819 -aS'and\tand\tCC\tI-NP\tO' -p203820 -aS'BP\tBP\tNN\tI-NP\tO' -p203821 -aS'meds\tmed\tNNS\tI-NP\tO' -p203822 -aS'were\tbe\tVBD\tB-VP\tO' -p203823 -aS'restarted\trestart\tVBN\tI-VP\tO' -p203824 -aS'.\t.\t.\tO\tO' -p203825 -asS'Diabetes .' -p203826 -(lp203827 -S'Diabetes\tDiabete\tNNS\tB-NP\tO' -p203828 -aS'.\t.\t.\tO\tO' -p203829 -asS'Her gas was 7.47/40/332 .' -p203830 -(lp203831 -S'Her\tHer\tPRP$\tB-NP\tO' -p203832 -aS'gas\tgas\tNN\tI-NP\tB-DNA' -p203833 -aS'was\tbe\tVBD\tB-VP\tO' -p203834 -aS'7.47/40/332\t7.47/40/332\tCD\tB-NP\tO' -p203835 -aS'.\t.\t.\tO\tO' -p203836 -asS'He was treated with nitroglycerin paste and IV Integrelin as well as Plavix .' -p203837 -(lp203838 -S'He\tHe\tPRP\tB-NP\tO' -p203839 -aS'was\tbe\tVBD\tB-VP\tO' -p203840 -aS'treated\ttreat\tVBN\tI-VP\tO' -p203841 -aS'with\twith\tIN\tB-PP\tO' -p203842 -aS'nitroglycerin\tnitroglycerin\tNN\tB-NP\tO' -p203843 -aS'paste\tpaste\tNN\tI-NP\tO' -p203844 -aS'and\tand\tCC\tO\tO' -p203845 -aS'IV\tIV\tCD\tB-NP\tO' -p203846 -aS'Integrelin\tIntegrelin\tNNP\tI-NP\tO' -p203847 -aS'as\tas\tRB\tB-CONJP\tO' -p203848 -aS'well\twell\tRB\tI-CONJP\tO' -p203849 -aS'as\tas\tIN\tI-CONJP\tO' -p203850 -aS'Plavix\tPlavix\tNNP\tB-NP\tO' -p203851 -aS'.\t.\t.\tO\tO' -p203852 -asS'Cyclosporin A level on admission was 179 .' -p203853 -(lp203854 -S'Cyclosporin\tCyclosporin\tNN\tB-NP\tO' -p203855 -aS'A\tA\tNN\tI-NP\tO' -p203856 -aS'level\tlevel\tNN\tI-NP\tO' -p203857 -aS'on\ton\tIN\tB-PP\tO' -p203858 -aS'admission\tadmission\tNN\tB-NP\tO' -p203859 -aS'was\tbe\tVBD\tB-VP\tO' -p203860 -aS'179\t179\tCD\tB-NP\tO' -p203861 -aS'.\t.\t.\tO\tO' -p203862 -asS'He did have some blood loss anemia with a hematocrit of 20.9 .' -p203863 -(lp203864 -S'He\tHe\tPRP\tB-NP\tO' -p203865 -aS'did\tdo\tVBD\tB-VP\tO' -p203866 -aS'have\thave\tVB\tI-VP\tO' -p203867 -aS'some\tsome\tDT\tB-NP\tO' -p203868 -aS'blood\tblood\tNN\tI-NP\tO' -p203869 -aS'loss\tloss\tNN\tI-NP\tO' -p203870 -aS'anemia\tanemia\tNN\tI-NP\tO' -p203871 -aS'with\twith\tIN\tB-PP\tO' -p203872 -aS'a\ta\tDT\tB-NP\tO' -p203873 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p203874 -aS'of\tof\tIN\tB-PP\tO' -p203875 -aS'20.9\t20.9\tCD\tB-NP\tO' -p203876 -aS'.\t.\t.\tO\tO' -p203877 -asS'Neck : + elevated JVD to earlobe , supple' -p203878 -(lp203879 -S'Neck\tNeck\tNN\tB-NP\tO' -p203880 -aS':\t:\t:\tO\tO' -p203881 -aS'+\t+\tSYM\tB-NP\tO' -p203882 -aS'elevated\televated\tJJ\tI-NP\tO' -p203883 -aS'JVD\tJVD\tNN\tI-NP\tO' -p203884 -aS'to\tto\tTO\tB-VP\tO' -p203885 -aS'earlobe\tearlobe\tVB\tI-VP\tO' -p203886 -aS',\t,\t,\tO\tO' -p203887 -aS'supple\tsupple\tNN\tB-NP\tO' -p203888 -asS'The patient was stable with the physical examination as described above .' -p203889 -(lp203890 -S'The\tThe\tDT\tB-NP\tO' -p203891 -aS'patient\tpatient\tNN\tI-NP\tO' -p203892 -aS'was\tbe\tVBD\tB-VP\tO' -p203893 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p203894 -aS'with\twith\tIN\tB-PP\tO' -p203895 -aS'the\tthe\tDT\tB-NP\tO' -p203896 -aS'physical\tphysical\tJJ\tI-NP\tO' -p203897 -aS'examination\texamination\tNN\tI-NP\tO' -p203898 -aS'as\tas\tIN\tB-SBAR\tO' -p203899 -aS'described\tdescribe\tVBN\tB-VP\tO' -p203900 -aS'above\tabove\tRB\tB-ADVP\tO' -p203901 -aS'.\t.\t.\tO\tO' -p203902 -asS'A TP3A inhibitor was not given for concern for dissection .' -p203903 -(lp203904 -S'A\tA\tDT\tB-NP\tO' -p203905 -aS'TP3A\tTP3A\tNN\tI-NP\tO' -p203906 -aS'inhibitor\tinhibitor\tNN\tI-NP\tO' -p203907 -aS'was\tbe\tVBD\tB-VP\tO' -p203908 -aS'not\tnot\tRB\tI-VP\tO' -p203909 -aS'given\tgive\tVBN\tI-VP\tO' -p203910 -aS'for\tfor\tIN\tB-PP\tO' -p203911 -aS'concern\tconcern\tNN\tB-NP\tO' -p203912 -aS'for\tfor\tIN\tB-PP\tO' -p203913 -aS'dissection\tdissection\tNN\tB-NP\tO' -p203914 -aS'.\t.\t.\tO\tO' -p203915 -asS'The patient had shortness of breath .' -p203916 -(lp203917 -S'The\tThe\tDT\tB-NP\tO' -p203918 -aS'patient\tpatient\tNN\tI-NP\tO' -p203919 -aS'had\thave\tVBD\tB-VP\tO' -p203920 -aS'shortness\tshortness\tNN\tB-NP\tO' -p203921 -aS'of\tof\tIN\tB-PP\tO' -p203922 -aS'breath\tbreath\tNN\tB-NP\tO' -p203923 -aS'.\t.\t.\tO\tO' -p203924 -asS'The patient was admitted to the Tau Memorial Hospital .' -p203925 -(lp203926 -S'The\tThe\tDT\tB-NP\tO' -p203927 -aS'patient\tpatient\tNN\tI-NP\tO' -p203928 -aS'was\tbe\tVBD\tB-VP\tO' -p203929 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p203930 -aS'to\tto\tTO\tB-PP\tO' -p203931 -aS'the\tthe\tDT\tB-NP\tO' -p203932 -aS'Tau\tTau\tNNP\tI-NP\tO' -p203933 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p203934 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p203935 -aS'.\t.\t.\tO\tO' -p203936 -asS'She was started on stress dose steroids .' -p203937 -(lp203938 -S'She\tShe\tPRP\tB-NP\tO' -p203939 -aS'was\tbe\tVBD\tB-VP\tO' -p203940 -aS'started\tstart\tVBN\tI-VP\tO' -p203941 -aS'on\ton\tIN\tB-PP\tO' -p203942 -aS'stress\tstress\tNN\tB-NP\tO' -p203943 -aS'dose\tdose\tNN\tI-NP\tO' -p203944 -aS'steroids\tsteroid\tNNS\tI-NP\tO' -p203945 -aS'.\t.\t.\tO\tO' -p203946 -asS'had a regular rate and rhythm with a II / VI systolic murmur at the right sternal border .' -p203947 -(lp203948 -S'had\thave\tVBD\tO\tO' -p203949 -aS'a\ta\tDT\tB-NP\tO' -p203950 -aS'regular\tregular\tJJ\tI-NP\tO' -p203951 -aS'rate\trate\tNN\tI-NP\tO' -p203952 -aS'and\tand\tCC\tI-NP\tO' -p203953 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p203954 -aS'with\twith\tIN\tB-PP\tO' -p203955 -aS'a\ta\tDT\tB-NP\tO' -p203956 -aS'II\tII\tCD\tI-NP\tO' -p203957 -aS'/\t/\tSYM\tI-NP\tO' -p203958 -aS'VI\tVI\tCD\tI-NP\tO' -p203959 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p203960 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p203961 -aS'at\tat\tIN\tB-PP\tO' -p203962 -aS'the\tthe\tDT\tB-NP\tO' -p203963 -aS'right\tright\tJJ\tI-NP\tO' -p203964 -aS'sternal\tsternal\tJJ\tI-NP\tO' -p203965 -aS'border\tborder\tNN\tI-NP\tO' -p203966 -aS'.\t.\t.\tO\tO' -p203967 -asS'The Consulting Psychiatrist recommended a minimum of 2 point restraints at all times , and recommended the patient be monitored by a sitter .' -p203968 -(lp203969 -S'The\tThe\tDT\tB-NP\tO' -p203970 -aS'Consulting\tConsulting\tNNP\tI-NP\tO' -p203971 -aS'Psychiatrist\tPsychiatrist\tNN\tI-NP\tO' -p203972 -aS'recommended\trecommend\tVBD\tB-VP\tO' -p203973 -aS'a\ta\tDT\tB-NP\tO' -p203974 -aS'minimum\tminimum\tNN\tI-NP\tO' -p203975 -aS'of\tof\tIN\tB-PP\tO' -p203976 -aS'2\t2\tCD\tB-NP\tO' -p203977 -aS'point\tpoint\tNN\tI-NP\tO' -p203978 -aS'restraints\trestraint\tNNS\tI-NP\tO' -p203979 -aS'at\tat\tIN\tB-PP\tO' -p203980 -aS'all\tall\tDT\tB-NP\tO' -p203981 -aS'times\ttime\tNNS\tI-NP\tO' -p203982 -aS',\t,\t,\tO\tO' -p203983 -aS'and\tand\tCC\tO\tO' -p203984 -aS'recommended\trecommend\tVBD\tB-VP\tO' -p203985 -aS'the\tthe\tDT\tB-NP\tO' -p203986 -aS'patient\tpatient\tNN\tI-NP\tO' -p203987 -aS'be\tbe\tVB\tB-VP\tO' -p203988 -aS'monitored\tmonitor\tVBN\tI-VP\tO' -p203989 -aS'by\tby\tIN\tB-PP\tO' -p203990 -aS'a\ta\tDT\tB-NP\tO' -p203991 -aS'sitter\tsitter\tNN\tI-NP\tO' -p203992 -aS'.\t.\t.\tO\tO' -p203993 -asS'Signed electronically by : DR. Meredith Davis on : Sandra 2014-03-13 1:53 PM' -p203994 -(lp203995 -S'Signed\tSign\tVBN\tB-VP\tO' -p203996 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p203997 -aS'by\tby\tIN\tB-PP\tO' -p203998 -aS':\t:\t:\tO\tO' -p203999 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p204000 -aS'Meredith\tMeredith\tNNP\tI-NP\tO' -p204001 -aS'Davis\tDavis\tNNP\tI-NP\tO' -p204002 -aS'on\ton\tIN\tB-PP\tO' -p204003 -aS':\t:\t:\tO\tO' -p204004 -aS'Sandra\tSandra\tNNP\tB-NP\tO' -p204005 -aS'2014-03-13\t2014-03-13\tCD\tB-NP\tO' -p204006 -aS'1:53\t1:53\tCD\tI-NP\tO' -p204007 -aS'PM\tPM\tNN\tI-NP\tO' -p204008 -asS'He was ejected from the car and landed on his face .' -p204009 -(lp204010 -S'He\tHe\tPRP\tB-NP\tO' -p204011 -aS'was\tbe\tVBD\tB-VP\tO' -p204012 -aS'ejected\teject\tVBN\tI-VP\tO' -p204013 -aS'from\tfrom\tIN\tB-PP\tO' -p204014 -aS'the\tthe\tDT\tB-NP\tO' -p204015 -aS'car\tcar\tNN\tI-NP\tO' -p204016 -aS'and\tand\tCC\tO\tO' -p204017 -aS'landed\tland\tVBD\tB-VP\tO' -p204018 -aS'on\ton\tIN\tB-PP\tO' -p204019 -aS'his\this\tPRP$\tB-NP\tO' -p204020 -aS'face\tface\tNN\tI-NP\tO' -p204021 -aS'.\t.\t.\tO\tO' -p204022 -asS'It radiates to both carotids bilaterally .' -p204023 -(lp204024 -S'It\tIt\tPRP\tB-NP\tO' -p204025 -aS'radiates\tradiate\tVBZ\tB-VP\tO' -p204026 -aS'to\tto\tTO\tB-PP\tO' -p204027 -aS'both\tboth\tDT\tB-NP\tO' -p204028 -aS'carotids\tcarotid\tNNS\tI-NP\tO' -p204029 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p204030 -aS'.\t.\t.\tO\tO' -p204031 -asS'Depending on her I/O , lasix and acetazolamide can be decreased or discontinued .' -p204032 -(lp204033 -S'Depending\tDepend\tVBG\tB-PP\tO' -p204034 -aS'on\ton\tIN\tB-PP\tO' -p204035 -aS'her\ther\tPRP$\tB-NP\tO' -p204036 -aS'I/O\tI/O\tNN\tI-NP\tB-protein' -p204037 -aS',\t,\t,\tI-NP\tO' -p204038 -aS'lasix\tlasix\tNN\tI-NP\tO' -p204039 -aS'and\tand\tCC\tI-NP\tO' -p204040 -aS'acetazolamide\tacetazolamide\tNN\tI-NP\tO' -p204041 -aS'can\tcan\tMD\tB-VP\tO' -p204042 -aS'be\tbe\tVB\tI-VP\tO' -p204043 -aS'decreased\tdecrease\tVBN\tI-VP\tO' -p204044 -aS'or\tor\tCC\tI-VP\tO' -p204045 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p204046 -aS'.\t.\t.\tO\tO' -p204047 -asS'She had a clot at the blood bank and she had BID hematocrits checked .' -p204048 -(lp204049 -S'She\tShe\tPRP\tB-NP\tO' -p204050 -aS'had\thave\tVBD\tB-VP\tO' -p204051 -aS'a\ta\tDT\tB-NP\tO' -p204052 -aS'clot\tclot\tNN\tI-NP\tO' -p204053 -aS'at\tat\tIN\tB-PP\tO' -p204054 -aS'the\tthe\tDT\tB-NP\tO' -p204055 -aS'blood\tblood\tNN\tI-NP\tO' -p204056 -aS'bank\tbank\tNN\tI-NP\tO' -p204057 -aS'and\tand\tCC\tO\tO' -p204058 -aS'she\tshe\tPRP\tB-NP\tO' -p204059 -aS'had\thave\tVBD\tB-VP\tO' -p204060 -aS'BID\tBID\tNN\tB-NP\tO' -p204061 -aS'hematocrits\thematocrit\tNNS\tI-NP\tO' -p204062 -aS'checked\tcheck\tVBD\tB-VP\tO' -p204063 -aS'.\t.\t.\tO\tO' -p204064 -asS'V , VII: Facial strength and sensation intact and symmetric .' -p204065 -(lp204066 -S'V\tV\tNNP\tB-NP\tO' -p204067 -aS',\t,\t,\tO\tO' -p204068 -aS'VII:\tVII:\tNNP\tB-NP\tO' -p204069 -aS'Facial\tFacial\tJJ\tI-NP\tO' -p204070 -aS'strength\tstrength\tNN\tI-NP\tO' -p204071 -aS'and\tand\tCC\tI-NP\tO' -p204072 -aS'sensation\tsensation\tNN\tI-NP\tO' -p204073 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p204074 -aS'and\tand\tCC\tI-ADJP\tO' -p204075 -aS'symmetric\tsymmetric\tJJ\tI-ADJP\tO' -p204076 -aS'.\t.\t.\tO\tO' -p204077 -asS'1. Pancreatitis status post endoscopic retrogram cholangiopancreatography and sphincterotomy .' -p204078 -(lp204079 -S'1.\t1.\tLS\tB-NP\tO' -p204080 -aS'Pancreatitis\tPancreatitis\tNN\tI-NP\tO' -p204081 -aS'status\tstatus\tNN\tI-NP\tO' -p204082 -aS'post\tpost\tNN\tI-NP\tO' -p204083 -aS'endoscopic\tendoscopic\tJJ\tI-NP\tO' -p204084 -aS'retrogram\tretrogram\tNN\tI-NP\tO' -p204085 -aS'cholangiopancreatography\tcholangiopancreatography\tNN\tI-NP\tO' -p204086 -aS'and\tand\tCC\tI-NP\tO' -p204087 -aS'sphincterotomy\tsphincterotomy\tNN\tI-NP\tO' -p204088 -aS'.\t.\t.\tO\tO' -p204089 -asS'Patient initially presented in 1991 with cervical lymphadenopathy , was treated with MACE / CytaBOM , and did well until 1997 , when he received six cycles of fludarabine for progressive disease .' -p204090 -(lp204091 -S'Patient\tPatient\tNN\tB-NP\tO' -p204092 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p204093 -aS'presented\tpresent\tVBD\tB-VP\tO' -p204094 -aS'in\tin\tIN\tB-PP\tO' -p204095 -aS'1991\t1991\tCD\tB-NP\tO' -p204096 -aS'with\twith\tIN\tB-PP\tO' -p204097 -aS'cervical\tcervical\tJJ\tB-NP\tO' -p204098 -aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' -p204099 -aS',\t,\t,\tO\tO' -p204100 -aS'was\tbe\tVBD\tB-VP\tO' -p204101 -aS'treated\ttreat\tVBN\tI-VP\tO' -p204102 -aS'with\twith\tIN\tB-PP\tO' -p204103 -aS'MACE\tMACE\tNN\tB-NP\tO' -p204104 -aS'/\t/\tSYM\tI-NP\tO' -p204105 -aS'CytaBOM\tCytaBOM\tNN\tI-NP\tO' -p204106 -aS',\t,\t,\tO\tO' -p204107 -aS'and\tand\tCC\tO\tO' -p204108 -aS'did\tdo\tVBD\tB-VP\tO' -p204109 -aS'well\twell\tRB\tB-ADVP\tO' -p204110 -aS'until\tuntil\tIN\tB-PP\tO' -p204111 -aS'1997\t1997\tCD\tB-NP\tO' -p204112 -aS',\t,\t,\tO\tO' -p204113 -aS'when\twhen\tWRB\tB-ADVP\tO' -p204114 -aS'he\the\tPRP\tB-NP\tO' -p204115 -aS'received\treceive\tVBD\tB-VP\tO' -p204116 -aS'six\tsix\tCD\tB-NP\tO' -p204117 -aS'cycles\tcycle\tNNS\tI-NP\tO' -p204118 -aS'of\tof\tIN\tB-PP\tO' -p204119 -aS'fludarabine\tfludarabine\tNN\tB-NP\tO' -p204120 -aS'for\tfor\tIN\tB-PP\tO' -p204121 -aS'progressive\tprogressive\tJJ\tB-NP\tO' -p204122 -aS'disease\tdisease\tNN\tI-NP\tO' -p204123 -aS'.\t.\t.\tO\tO' -p204124 -asS'The patient improved significantly and was thought to be ready for discharge by the 11th of April .' -p204125 -(lp204126 -S'The\tThe\tDT\tB-NP\tO' -p204127 -aS'patient\tpatient\tNN\tI-NP\tO' -p204128 -aS'improved\timprove\tVBD\tB-VP\tO' -p204129 -aS'significantly\tsignificantly\tRB\tB-ADVP\tO' -p204130 -aS'and\tand\tCC\tO\tO' -p204131 -aS'was\tbe\tVBD\tB-VP\tO' -p204132 -aS'thought\tthink\tVBN\tI-VP\tO' -p204133 -aS'to\tto\tTO\tI-VP\tO' -p204134 -aS'be\tbe\tVB\tI-VP\tO' -p204135 -aS'ready\tready\tJJ\tB-ADJP\tO' -p204136 -aS'for\tfor\tIN\tB-PP\tO' -p204137 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p204138 -aS'by\tby\tIN\tB-PP\tO' -p204139 -aS'the\tthe\tDT\tB-NP\tO' -p204140 -aS'11th\t11th\tNN\tI-NP\tO' -p204141 -aS'of\tof\tIN\tB-PP\tO' -p204142 -aS'April\tApril\tNNP\tB-NP\tO' -p204143 -aS'.\t.\t.\tO\tO' -p204144 -asS'3. Right upper paratracheal and prevascular lymphadenopathy as well as additional nodes in the right side of the neck .' -p204145 -(lp204146 -S'3.\t3.\tLS\tB-NP\tO' -p204147 -aS'Right\tRight\tNN\tI-NP\tO' -p204148 -aS'upper\tupper\tJJ\tI-NP\tO' -p204149 -aS'paratracheal\tparatracheal\tJJ\tI-NP\tO' -p204150 -aS'and\tand\tCC\tI-NP\tO' -p204151 -aS'prevascular\tprevascular\tJJ\tI-NP\tO' -p204152 -aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' -p204153 -aS'as\tas\tRB\tB-CONJP\tO' -p204154 -aS'well\twell\tRB\tI-CONJP\tO' -p204155 -aS'as\tas\tIN\tI-CONJP\tO' -p204156 -aS'additional\tadditional\tJJ\tB-NP\tO' -p204157 -aS'nodes\tnode\tNNS\tI-NP\tO' -p204158 -aS'in\tin\tIN\tB-PP\tO' -p204159 -aS'the\tthe\tDT\tB-NP\tO' -p204160 -aS'right\tright\tJJ\tI-NP\tO' -p204161 -aS'side\tside\tNN\tI-NP\tO' -p204162 -aS'of\tof\tIN\tB-PP\tO' -p204163 -aS'the\tthe\tDT\tB-NP\tO' -p204164 -aS'neck\tneck\tNN\tI-NP\tO' -p204165 -aS'.\t.\t.\tO\tO' -p204166 -asS'She was to follow up with Dr. Savage in the Clinic the following week .' -p204167 -(lp204168 -S'She\tShe\tPRP\tB-NP\tO' -p204169 -aS'was\tbe\tVBD\tB-VP\tO' -p204170 -aS'to\tto\tTO\tB-VP\tO' -p204171 -aS'follow\tfollow\tVB\tI-VP\tO' -p204172 -aS'up\tup\tRP\tB-PRT\tO' -p204173 -aS'with\twith\tIN\tB-PP\tO' -p204174 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p204175 -aS'Savage\tSavage\tNNP\tI-NP\tO' -p204176 -aS'in\tin\tIN\tB-PP\tO' -p204177 -aS'the\tthe\tDT\tB-NP\tO' -p204178 -aS'Clinic\tClinic\tNNP\tI-NP\tO' -p204179 -aS'the\tthe\tDT\tB-NP\tO' -p204180 -aS'following\tfollow\tVBG\tI-NP\tO' -p204181 -aS'week\tweek\tNN\tI-NP\tO' -p204182 -aS'.\t.\t.\tO\tO' -p204183 -asS'He did have past alcoholism consisting of a half a pint of brandy per day for three years but supposedly had quit in 2009-09-03 .' -p204184 -(lp204185 -S'He\tHe\tPRP\tB-NP\tO' -p204186 -aS'did\tdo\tVBD\tB-VP\tO' -p204187 -aS'have\thave\tVB\tI-VP\tO' -p204188 -aS'past\tpast\tJJ\tB-NP\tO' -p204189 -aS'alcoholism\talcoholism\tNN\tI-NP\tO' -p204190 -aS'consisting\tconsist\tVBG\tB-VP\tO' -p204191 -aS'of\tof\tIN\tB-PP\tO' -p204192 -aS'a\ta\tDT\tB-NP\tO' -p204193 -aS'half\thalf\tPDT\tI-NP\tO' -p204194 -aS'a\ta\tDT\tI-NP\tO' -p204195 -aS'pint\tpint\tNN\tI-NP\tO' -p204196 -aS'of\tof\tIN\tB-PP\tO' -p204197 -aS'brandy\tbrandy\tNN\tB-NP\tO' -p204198 -aS'per\tper\tIN\tB-PP\tO' -p204199 -aS'day\tday\tNN\tB-NP\tO' -p204200 -aS'for\tfor\tIN\tB-PP\tO' -p204201 -aS'three\tthree\tCD\tB-NP\tO' -p204202 -aS'years\tyear\tNNS\tI-NP\tO' -p204203 -aS'but\tbut\tCC\tO\tO' -p204204 -aS'supposedly\tsupposedly\tRB\tB-VP\tO' -p204205 -aS'had\thave\tVBD\tI-VP\tO' -p204206 -aS'quit\tquit\tVBN\tI-VP\tO' -p204207 -aS'in\tin\tIN\tB-PP\tO' -p204208 -aS'2009-09-03\t2009-09-03\tCD\tB-NP\tO' -p204209 -aS'.\t.\t.\tO\tO' -p204210 -asS'3. Question of history of AVN or osseous necrosis' -p204211 -(lp204212 -S'3.\t3.\tLS\tB-NP\tO' -p204213 -aS'Question\tQuestion\tNN\tI-NP\tO' -p204214 -aS'of\tof\tIN\tB-PP\tO' -p204215 -aS'history\thistory\tNN\tB-NP\tO' -p204216 -aS'of\tof\tIN\tB-PP\tO' -p204217 -aS'AVN\tAVN\tNN\tB-NP\tB-protein' -p204218 -aS'or\tor\tCC\tO\tO' -p204219 -aS'osseous\tosseous\tJJ\tB-NP\tO' -p204220 -aS'necrosis\tnecrosis\tNN\tI-NP\tO' -p204221 -asS'Soft , nontender , nondistended , without masses or organomegaly .' -p204222 -(lp204223 -S'Soft\tSoft\tRB\tB-ADVP\tO' -p204224 -aS',\t,\t,\tO\tO' -p204225 -aS'nontender\tnontender\tJJ\tB-NP\tO' -p204226 -aS',\t,\t,\tI-NP\tO' -p204227 -aS'nondistended\tnondistended\tJJ\tI-NP\tO' -p204228 -aS',\t,\t,\tO\tO' -p204229 -aS'without\twithout\tIN\tB-PP\tO' -p204230 -aS'masses\tmass\tNNS\tB-NP\tO' -p204231 -aS'or\tor\tCC\tO\tO' -p204232 -aS'organomegaly\torganomegaly\tRB\tB-ADVP\tO' -p204233 -aS'.\t.\t.\tO\tO' -p204234 -asS'He underwent right knee open synovectomy and debridement of synovial chondromatosis on 10-28-93 .' -p204235 -(lp204236 -S'He\tHe\tPRP\tB-NP\tO' -p204237 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p204238 -aS'right\tright\tJJ\tB-NP\tO' -p204239 -aS'knee\tknee\tNN\tI-NP\tO' -p204240 -aS'open\topen\tJJ\tI-NP\tO' -p204241 -aS'synovectomy\tsynovectomy\tNN\tI-NP\tO' -p204242 -aS'and\tand\tCC\tI-NP\tO' -p204243 -aS'debridement\tdebridement\tNN\tI-NP\tO' -p204244 -aS'of\tof\tIN\tB-PP\tO' -p204245 -aS'synovial\tsynovial\tJJ\tB-NP\tO' -p204246 -aS'chondromatosis\tchondromatosis\tNN\tI-NP\tO' -p204247 -aS'on\ton\tIN\tB-PP\tO' -p204248 -aS'10-28-93\t10-28-93\tCD\tB-NP\tO' -p204249 -aS'.\t.\t.\tO\tO' -p204250 -asS'Per the patient 's wishes , Dr. Dalywoo Droreite the Windgo Hospital was consulted for a second opinion regarding the management of her malignancy .' -p204251 -(lp204252 -S'Per\tPer\tIN\tB-PP\tO' -p204253 -aS'the\tthe\tDT\tB-NP\tO' -p204254 -aS'patient\tpatient\tNN\tI-NP\tO' -p204255 -aS''s\t'\tNNS\tI-NP\tO' -p204256 -aS'wishes\twish\tVBZ\tB-VP\tO' -p204257 -aS',\t,\t,\tO\tO' -p204258 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p204259 -aS'Dalywoo\tDalywoo\tNNP\tI-NP\tO' -p204260 -aS'Droreite\tDroreite\tNNP\tI-NP\tO' -p204261 -aS'the\tthe\tDT\tB-NP\tO' -p204262 -aS'Windgo\tWindgo\tNNP\tI-NP\tO' -p204263 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p204264 -aS'was\tbe\tVBD\tB-VP\tO' -p204265 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p204266 -aS'for\tfor\tIN\tB-PP\tO' -p204267 -aS'a\ta\tDT\tB-NP\tO' -p204268 -aS'second\tsecond\tJJ\tI-NP\tO' -p204269 -aS'opinion\topinion\tNN\tI-NP\tO' -p204270 -aS'regarding\tregard\tVBG\tB-VP\tO' -p204271 -aS'the\tthe\tDT\tB-NP\tO' -p204272 -aS'management\tmanagement\tNN\tI-NP\tO' -p204273 -aS'of\tof\tIN\tB-PP\tO' -p204274 -aS'her\ther\tPRP$\tB-NP\tO' -p204275 -aS'malignancy\tmalignancy\tNN\tI-NP\tO' -p204276 -aS'.\t.\t.\tO\tO' -p204277 -asS'Two years after this operation , he required a pacer implantation for sick sinus syndrome .' -p204278 -(lp204279 -S'Two\tTwo\tCD\tB-NP\tO' -p204280 -aS'years\tyear\tNNS\tI-NP\tO' -p204281 -aS'after\tafter\tIN\tB-SBAR\tO' -p204282 -aS'this\tthis\tDT\tB-NP\tO' -p204283 -aS'operation\toperation\tNN\tI-NP\tO' -p204284 -aS',\t,\t,\tO\tO' -p204285 -aS'he\the\tPRP\tB-NP\tO' -p204286 -aS'required\trequire\tVBD\tB-VP\tO' -p204287 -aS'a\ta\tDT\tB-NP\tO' -p204288 -aS'pacer\tpacer\tNN\tI-NP\tO' -p204289 -aS'implantation\timplantation\tNN\tI-NP\tO' -p204290 -aS'for\tfor\tIN\tB-PP\tO' -p204291 -aS'sick\tsick\tJJ\tB-NP\tO' -p204292 -aS'sinus\tsinus\tNN\tI-NP\tO' -p204293 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p204294 -aS'.\t.\t.\tO\tO' -p204295 -asS'Heart was normal .' -p204296 -(lp204297 -S'Heart\tHeart\tNNP\tB-NP\tO' -p204298 -aS'was\tbe\tVBD\tB-VP\tO' -p204299 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p204300 -aS'.\t.\t.\tO\tO' -p204301 -asS'1. Lasix 20 mg p.o. q. 12 .' -p204302 -(lp204303 -S'1.\t1.\tLS\tB-NP\tO' -p204304 -aS'Lasix\tLasix\tNNP\tI-NP\tO' -p204305 -aS'20\t20\tCD\tI-NP\tO' -p204306 -aS'mg\tmg\tNN\tI-NP\tO' -p204307 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p204308 -aS'q.\tq.\tNN\tI-NP\tO' -p204309 -aS'12\t12\tCD\tI-NP\tO' -p204310 -aS'.\t.\t.\tO\tO' -p204311 -asS'You have a Primary Care Physician B. Schumacher on 07-29 @ 1:45 pm .' -p204312 -(lp204313 -S'You\tYou\tPRP\tB-NP\tB-protein' -p204314 -aS'have\thave\tVBP\tB-VP\tO' -p204315 -aS'a\ta\tDT\tB-NP\tO' -p204316 -aS'Primary\tPrimary\tNNP\tI-NP\tO' -p204317 -aS'Care\tCare\tNNP\tI-NP\tO' -p204318 -aS'Physician\tPhysician\tNNP\tI-NP\tO' -p204319 -aS'B.\tB.\tNNP\tI-NP\tO' -p204320 -aS'Schumacher\tSchumacher\tNNP\tI-NP\tO' -p204321 -aS'on\ton\tIN\tB-PP\tO' -p204322 -aS'07-29\t07-29\tCD\tB-NP\tO' -p204323 -aS'@\t@\tHYPH\tI-NP\tO' -p204324 -aS'1:45\t1:45\tCD\tI-NP\tO' -p204325 -aS'pm\tpm\tNN\tI-NP\tO' -p204326 -aS'.\t.\t.\tO\tO' -p204327 -asS'Please fax results to ( 728 ) 250-3265 .' -p204328 -(lp204329 -S'Please\tPlease\tNN\tB-NP\tO' -p204330 -aS'fax\tfax\tNN\tI-NP\tO' -p204331 -aS'results\tresult\tNNS\tI-NP\tO' -p204332 -aS'to\tto\tTO\tB-PP\tO' -p204333 -aS'(\t(\t(\tO\tO' -p204334 -aS'728\t728\tCD\tB-NP\tO' -p204335 -aS')\t)\t)\tO\tO' -p204336 -aS'250-3265\t250-3265\tCD\tB-NP\tO' -p204337 -aS'.\t.\t.\tO\tO' -p204338 -asS'Disp :* 10 Capsule , Sustained Release (s)* Refills :* 0 *' -p204339 -(lp204340 -S'Disp\tDisp\tNN\tB-NP\tO' -p204341 -aS':*\t:*\tSYM\tI-NP\tO' -p204342 -aS'10\t10\tCD\tI-NP\tO' -p204343 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p204344 -aS',\t,\t,\tO\tO' -p204345 -aS'Sustained\tSustained\tNNP\tB-NP\tO' -p204346 -aS'Release\tRelease\tNNP\tI-NP\tO' -p204347 -aS'(s)*\t(s)*\tSYM\tB-NP\tO' -p204348 -aS'Refills\tRefill\tNNPS\tI-NP\tO' -p204349 -aS':*\t:*\tSYM\tI-NP\tO' -p204350 -aS'0\t0\tCD\tI-NP\tO' -p204351 -aS'*\t*\tSYM\tB-NP\tO' -p204352 -asS'4) Foot ulcer : The pt was followed by podiatry and had several further debridement of his R heel wound .' -p204353 -(lp204354 -S'4)\t4)\tLS\tB-NP\tO' -p204355 -aS'Foot\tFoot\tNN\tI-NP\tO' -p204356 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p204357 -aS':\t:\t:\tO\tO' -p204358 -aS'The\tThe\tDT\tB-NP\tO' -p204359 -aS'pt\tpt\tNN\tI-NP\tO' -p204360 -aS'was\tbe\tVBD\tB-VP\tO' -p204361 -aS'followed\tfollow\tVBN\tI-VP\tO' -p204362 -aS'by\tby\tIN\tB-PP\tO' -p204363 -aS'podiatry\tpodiatry\tNN\tB-NP\tO' -p204364 -aS'and\tand\tCC\tO\tO' -p204365 -aS'had\thave\tVBD\tB-VP\tO' -p204366 -aS'several\tseveral\tJJ\tB-NP\tO' -p204367 -aS'further\tfurther\tJJ\tI-NP\tO' -p204368 -aS'debridement\tdebridement\tNN\tI-NP\tO' -p204369 -aS'of\tof\tIN\tB-PP\tO' -p204370 -aS'his\this\tPRP$\tB-NP\tO' -p204371 -aS'R\tR\tNN\tI-NP\tO' -p204372 -aS'heel\theel\tNN\tI-NP\tO' -p204373 -aS'wound\twound\tNN\tI-NP\tO' -p204374 -aS'.\t.\t.\tO\tO' -p204375 -asS'No M/R/G .' -p204376 -(lp204377 -S'No\tNo\tDT\tB-NP\tO' -p204378 -aS'M/R/G\tM/R/G\tNN\tI-NP\tB-protein' -p204379 -aS'.\t.\t.\tO\tO' -p204380 -asS'75 y / o F with DM , COPD on 2L NC and Bipap at night p / w generalized weakness and fatigue , urinary incontinence and shaking as well as increased sputum production .' -p204381 -(lp204382 -S'75\t75\tCD\tB-NP\tO' -p204383 -aS'y\ty\tNN\tI-NP\tO' -p204384 -aS'/\t/\tSYM\tB-NP\tO' -p204385 -aS'o\to\tNN\tI-NP\tB-protein' -p204386 -aS'F\tF\tNN\tI-NP\tI-protein' -p204387 -aS'with\twith\tIN\tB-PP\tO' -p204388 -aS'DM\tDM\tNN\tB-NP\tO' -p204389 -aS',\t,\t,\tO\tO' -p204390 -aS'COPD\tCOPD\tNN\tB-NP\tO' -p204391 -aS'on\ton\tIN\tB-PP\tO' -p204392 -aS'2L\t2L\tNN\tB-NP\tO' -p204393 -aS'NC\tNC\tNN\tI-NP\tO' -p204394 -aS'and\tand\tCC\tI-NP\tO' -p204395 -aS'Bipap\tBipap\tNN\tI-NP\tO' -p204396 -aS'at\tat\tIN\tB-PP\tO' -p204397 -aS'night\tnight\tNN\tB-NP\tO' -p204398 -aS'p\tp\tNN\tI-NP\tO' -p204399 -aS'/\t/\tSYM\tB-NP\tO' -p204400 -aS'w\tw\tNN\tI-NP\tO' -p204401 -aS'generalized\tgeneralize\tVBN\tB-NP\tO' -p204402 -aS'weakness\tweakness\tNN\tI-NP\tO' -p204403 -aS'and\tand\tCC\tI-NP\tO' -p204404 -aS'fatigue\tfatigue\tNN\tI-NP\tO' -p204405 -aS',\t,\t,\tO\tO' -p204406 -aS'urinary\turinary\tJJ\tB-NP\tO' -p204407 -aS'incontinence\tincontinence\tNN\tI-NP\tO' -p204408 -aS'and\tand\tCC\tO\tO' -p204409 -aS'shaking\tshake\tVBG\tB-VP\tO' -p204410 -aS'as\tas\tRB\tB-CONJP\tO' -p204411 -aS'well\twell\tRB\tI-CONJP\tO' -p204412 -aS'as\tas\tIN\tI-CONJP\tO' -p204413 -aS'increased\tincrease\tVBN\tB-NP\tO' -p204414 -aS'sputum\tsputum\tNN\tI-NP\tO' -p204415 -aS'production\tproduction\tNN\tI-NP\tO' -p204416 -aS'.\t.\t.\tO\tO' -p204417 -asS'The patient tolerated the procedure well , there were no complications .' -p204418 -(lp204419 -S'The\tThe\tDT\tB-NP\tO' -p204420 -aS'patient\tpatient\tNN\tI-NP\tO' -p204421 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p204422 -aS'the\tthe\tDT\tB-NP\tO' -p204423 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p204424 -aS'well\twell\tRB\tB-ADVP\tO' -p204425 -aS',\t,\t,\tO\tO' -p204426 -aS'there\tthere\tEX\tB-NP\tO' -p204427 -aS'were\tbe\tVBD\tB-VP\tO' -p204428 -aS'no\tno\tDT\tB-NP\tO' -p204429 -aS'complications\tcomplication\tNNS\tI-NP\tO' -p204430 -aS'.\t.\t.\tO\tO' -p204431 -asS'No heavy lifting for 6 weeks' -p204432 -(lp204433 -S'No\tNo\tDT\tB-NP\tO' -p204434 -aS'heavy\theavy\tJJ\tI-NP\tO' -p204435 -aS'lifting\tlifting\tNN\tI-NP\tO' -p204436 -aS'for\tfor\tIN\tB-PP\tO' -p204437 -aS'6\t6\tCD\tB-NP\tO' -p204438 -aS'weeks\tweek\tNNS\tI-NP\tO' -p204439 -asS'Initial ROP screen was done on 12-02 and revealed immature retinas to zone 2 bilaterally .' -p204440 -(lp204441 -S'Initial\tInitial\tJJ\tB-NP\tO' -p204442 -aS'ROP\tROP\tNN\tI-NP\tO' -p204443 -aS'screen\tscreen\tNN\tI-NP\tO' -p204444 -aS'was\tbe\tVBD\tB-VP\tO' -p204445 -aS'done\tdo\tVBN\tI-VP\tO' -p204446 -aS'on\ton\tIN\tB-PP\tO' -p204447 -aS'12-02\t12-02\tNN\tB-NP\tO' -p204448 -aS'and\tand\tCC\tO\tO' -p204449 -aS'revealed\treveal\tVBD\tB-VP\tO' -p204450 -aS'immature\timmature\tJJ\tB-NP\tO' -p204451 -aS'retinas\tretina\tNNS\tI-NP\tO' -p204452 -aS'to\tto\tTO\tB-PP\tO' -p204453 -aS'zone\tzone\tNN\tB-NP\tB-DNA' -p204454 -aS'2\t2\tCD\tI-NP\tI-DNA' -p204455 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p204456 -aS'.\t.\t.\tO\tO' -p204457 -asS'The patient was therefore referred to the Dr. A Eu Wave .' -p204458 -(lp204459 -S'The\tThe\tDT\tB-NP\tO' -p204460 -aS'patient\tpatient\tNN\tI-NP\tO' -p204461 -aS'was\tbe\tVBD\tB-VP\tO' -p204462 -aS'therefore\ttherefore\tRB\tI-VP\tO' -p204463 -aS'referred\trefer\tVBN\tI-VP\tO' -p204464 -aS'to\tto\tTO\tB-PP\tO' -p204465 -aS'the\tthe\tDT\tB-NP\tO' -p204466 -aS'Dr.\tDr.\tNNP\tI-NP\tO' -p204467 -aS'A\tA\tNNP\tI-NP\tO' -p204468 -aS'Eu\tEu\tNNP\tI-NP\tO' -p204469 -aS'Wave\tWave\tNNP\tI-NP\tO' -p204470 -aS'.\t.\t.\tO\tO' -p204471 -asS'A catheter is seen entering the left inguinal region and coursing along the iliac vessels , terminating in the left pelvis .' -p204472 -(lp204473 -S'A\tA\tDT\tB-NP\tO' -p204474 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p204475 -aS'is\tbe\tVBZ\tB-VP\tO' -p204476 -aS'seen\tsee\tVBN\tI-VP\tO' -p204477 -aS'entering\tenter\tVBG\tI-VP\tO' -p204478 -aS'the\tthe\tDT\tB-NP\tO' -p204479 -aS'left\tleft\tJJ\tI-NP\tB-protein' -p204480 -aS'inguinal\tinguinal\tJJ\tI-NP\tI-protein' -p204481 -aS'region\tregion\tNN\tI-NP\tI-protein' -p204482 -aS'and\tand\tCC\tI-NP\tO' -p204483 -aS'coursing\tcoursing\tNN\tI-NP\tO' -p204484 -aS'along\talong\tIN\tB-PP\tO' -p204485 -aS'the\tthe\tDT\tB-NP\tO' -p204486 -aS'iliac\tiliac\tJJ\tI-NP\tO' -p204487 -aS'vessels\tvessel\tNNS\tI-NP\tO' -p204488 -aS',\t,\t,\tO\tO' -p204489 -aS'terminating\tterminate\tVBG\tB-VP\tO' -p204490 -aS'in\tin\tIN\tB-PP\tO' -p204491 -aS'the\tthe\tDT\tB-NP\tO' -p204492 -aS'left\tleft\tJJ\tI-NP\tO' -p204493 -aS'pelvis\tpelvis\tNN\tI-NP\tO' -p204494 -aS'.\t.\t.\tO\tO' -p204495 -asS'Anterior fontanel soft , open , flat , red reflex present bilaterally , palate intact .' -p204496 -(lp204497 -S'Anterior\tAnterior\tJJ\tB-NP\tO' -p204498 -aS'fontanel\tfontanel\tNN\tI-NP\tO' -p204499 -aS'soft\tsoft\tJJ\tI-NP\tO' -p204500 -aS',\t,\t,\tI-NP\tO' -p204501 -aS'open\topen\tJJ\tI-NP\tO' -p204502 -aS',\t,\t,\tI-NP\tO' -p204503 -aS'flat\tflat\tJJ\tI-NP\tO' -p204504 -aS',\t,\t,\tI-NP\tO' -p204505 -aS'red\tred\tJJ\tI-NP\tO' -p204506 -aS'reflex\treflex\tNN\tI-NP\tO' -p204507 -aS'present\tpresent\tVBP\tB-VP\tO' -p204508 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p204509 -aS',\t,\t,\tO\tO' -p204510 -aS'palate\tpalate\tNN\tB-NP\tO' -p204511 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p204512 -aS'.\t.\t.\tO\tO' -p204513 -asS'The infant is being discharged home with her parents .' -p204514 -(lp204515 -S'The\tThe\tDT\tB-NP\tO' -p204516 -aS'infant\tinfant\tNN\tI-NP\tO' -p204517 -aS'is\tbe\tVBZ\tB-VP\tO' -p204518 -aS'being\tbe\tVBG\tI-VP\tO' -p204519 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p204520 -aS'home\thome\tNN\tB-ADVP\tO' -p204521 -aS'with\twith\tIN\tB-PP\tO' -p204522 -aS'her\ther\tPRP$\tB-NP\tO' -p204523 -aS'parents\tparent\tNNS\tI-NP\tO' -p204524 -aS'.\t.\t.\tO\tO' -p204525 -asS'3. Lipitor .' -p204526 -(lp204527 -S'3.\t3.\tLS\tB-NP\tO' -p204528 -aS'Lipitor\tLipitor\tNN\tI-NP\tO' -p204529 -aS'.\t.\t.\tO\tO' -p204530 -asS'2) Previous anoxicbrain damage .' -p204531 -(lp204532 -S'2)\t2)\tLS\tB-NP\tO' -p204533 -aS'Previous\tPrevious\tJJ\tI-NP\tO' -p204534 -aS'anoxicbrain\tanoxicbrain\tNN\tI-NP\tO' -p204535 -aS'damage\tdamage\tNN\tI-NP\tO' -p204536 -aS'.\t.\t.\tO\tO' -p204537 -asS'Over the ensuing days , the patient had several episodes of confusion at night .' -p204538 -(lp204539 -S'Over\tOver\tIN\tB-PP\tO' -p204540 -aS'the\tthe\tDT\tB-NP\tO' -p204541 -aS'ensuing\tensue\tVBG\tI-NP\tO' -p204542 -aS'days\tday\tNNS\tI-NP\tO' -p204543 -aS',\t,\t,\tO\tO' -p204544 -aS'the\tthe\tDT\tB-NP\tO' -p204545 -aS'patient\tpatient\tNN\tI-NP\tO' -p204546 -aS'had\thave\tVBD\tB-VP\tO' -p204547 -aS'several\tseveral\tJJ\tB-NP\tO' -p204548 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p204549 -aS'of\tof\tIN\tB-PP\tO' -p204550 -aS'confusion\tconfusion\tNN\tB-NP\tO' -p204551 -aS'at\tat\tIN\tB-PP\tO' -p204552 -aS'night\tnight\tNN\tB-NP\tO' -p204553 -aS'.\t.\t.\tO\tO' -p204554 -asS'He underwent angiogram on 2013-08-28 , to evaluate his circulation and found at that time that the patient had a poor circulation to the left leg .' -p204555 -(lp204556 -S'He\tHe\tPRP\tB-NP\tO' -p204557 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p204558 -aS'angiogram\tangiogram\tNN\tB-NP\tO' -p204559 -aS'on\ton\tIN\tB-PP\tO' -p204560 -aS'2013-08-28\t2013-08-28\tCD\tB-NP\tO' -p204561 -aS',\t,\t,\tO\tO' -p204562 -aS'to\tto\tTO\tB-VP\tO' -p204563 -aS'evaluate\tevaluate\tVB\tI-VP\tO' -p204564 -aS'his\this\tPRP$\tB-NP\tO' -p204565 -aS'circulation\tcirculation\tNN\tI-NP\tO' -p204566 -aS'and\tand\tCC\tO\tO' -p204567 -aS'found\tfind\tVBN\tB-VP\tO' -p204568 -aS'at\tat\tIN\tB-PP\tO' -p204569 -aS'that\tthat\tDT\tB-NP\tO' -p204570 -aS'time\ttime\tNN\tI-NP\tO' -p204571 -aS'that\tthat\tIN\tB-ADVP\tO' -p204572 -aS'the\tthe\tDT\tB-NP\tO' -p204573 -aS'patient\tpatient\tNN\tI-NP\tO' -p204574 -aS'had\thave\tVBD\tB-VP\tO' -p204575 -aS'a\ta\tDT\tB-NP\tO' -p204576 -aS'poor\tpoor\tJJ\tI-NP\tO' -p204577 -aS'circulation\tcirculation\tNN\tI-NP\tO' -p204578 -aS'to\tto\tTO\tB-PP\tO' -p204579 -aS'the\tthe\tDT\tB-NP\tO' -p204580 -aS'left\tleft\tJJ\tI-NP\tO' -p204581 -aS'leg\tleg\tNN\tI-NP\tO' -p204582 -aS'.\t.\t.\tO\tO' -p204583 -asS'She was taken to the operating room on 01/16/2003 for decompression at L2 , L5 and laminectomy with posterior instrumented fusion at L3 to L5 .' -p204584 -(lp204585 -S'She\tShe\tPRP\tB-NP\tO' -p204586 -aS'was\tbe\tVBD\tB-VP\tO' -p204587 -aS'taken\ttake\tVBN\tI-VP\tO' -p204588 -aS'to\tto\tTO\tB-PP\tO' -p204589 -aS'the\tthe\tDT\tB-NP\tO' -p204590 -aS'operating\toperating\tNN\tI-NP\tO' -p204591 -aS'room\troom\tNN\tI-NP\tO' -p204592 -aS'on\ton\tIN\tB-PP\tO' -p204593 -aS'01/16/2003\t01/16/2003\tCD\tB-NP\tO' -p204594 -aS'for\tfor\tIN\tB-PP\tO' -p204595 -aS'decompression\tdecompression\tNN\tB-NP\tO' -p204596 -aS'at\tat\tIN\tB-PP\tO' -p204597 -aS'L2\tL2\tNN\tB-NP\tB-DNA' -p204598 -aS',\t,\t,\tO\tO' -p204599 -aS'L5\tL5\tNN\tB-NP\tB-DNA' -p204600 -aS'and\tand\tCC\tO\tO' -p204601 -aS'laminectomy\tlaminectomy\tNN\tB-NP\tO' -p204602 -aS'with\twith\tIN\tB-PP\tO' -p204603 -aS'posterior\tposterior\tJJ\tB-NP\tO' -p204604 -aS'instrumented\tinstrument\tVBN\tI-NP\tO' -p204605 -aS'fusion\tfusion\tNN\tI-NP\tO' -p204606 -aS'at\tat\tIN\tB-PP\tO' -p204607 -aS'L3\tL3\tNN\tB-NP\tB-DNA' -p204608 -aS'to\tto\tTO\tB-PP\tO' -p204609 -aS'L5\tL5\tNN\tB-NP\tB-DNA' -p204610 -aS'.\t.\t.\tO\tO' -p204611 -asS'7. Nephropathy .' -p204612 -(lp204613 -S'7.\t7.\tCD\tB-NP\tO' -p204614 -aS'Nephropathy\tNephropathy\tNNP\tI-NP\tO' -p204615 -aS'.\t.\t.\tO\tO' -p204616 -asS'Lumbar spinal stenosis .' -p204617 -(lp204618 -S'Lumbar\tLumbar\tJJ\tB-NP\tO' -p204619 -aS'spinal\tspinal\tJJ\tI-NP\tO' -p204620 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p204621 -aS'.\t.\t.\tO\tO' -p204622 -asS'HEENT : sclera icteric , OP clear , EOMI , PERRL .' -p204623 -(lp204624 -S'HEENT\tHEENT\tNN\tB-NP\tO' -p204625 -aS':\t:\t:\tO\tO' -p204626 -aS'sclera\tsclera\tNN\tB-NP\tO' -p204627 -aS'icteric\ticteric\tNN\tI-NP\tO' -p204628 -aS',\t,\t,\tO\tO' -p204629 -aS'OP\tOP\tNN\tB-NP\tO' -p204630 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p204631 -aS',\t,\t,\tO\tO' -p204632 -aS'EOMI\tEOMI\tNN\tB-NP\tB-protein' -p204633 -aS',\t,\t,\tO\tO' -p204634 -aS'PERRL\tPERRL\tNN\tB-NP\tB-protein' -p204635 -aS'.\t.\t.\tO\tO' -p204636 -asS'Once the decision was made to withdraw care , the pressors were discontinued .' -p204637 -(lp204638 -S'Once\tOnce\tRB\tO\tO' -p204639 -aS'the\tthe\tDT\tB-NP\tO' -p204640 -aS'decision\tdecision\tNN\tI-NP\tO' -p204641 -aS'was\tbe\tVBD\tB-VP\tO' -p204642 -aS'made\tmake\tVBN\tI-VP\tO' -p204643 -aS'to\tto\tTO\tB-VP\tO' -p204644 -aS'withdraw\twithdraw\tVB\tI-VP\tO' -p204645 -aS'care\tcare\tNN\tB-NP\tO' -p204646 -aS',\t,\t,\tO\tO' -p204647 -aS'the\tthe\tDT\tB-NP\tO' -p204648 -aS'pressors\tpressor\tNNS\tI-NP\tO' -p204649 -aS'were\tbe\tVBD\tB-VP\tO' -p204650 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p204651 -aS'.\t.\t.\tO\tO' -p204652 -asS'Pt was recently admitted 1 week ago w/ epigastric pain .' -p204653 -(lp204654 -S'Pt\tPt\tNN\tB-NP\tO' -p204655 -aS'was\tbe\tVBD\tB-VP\tO' -p204656 -aS'recently\trecently\tRB\tI-VP\tO' -p204657 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p204658 -aS'1\t1\tCD\tB-NP\tO' -p204659 -aS'week\tweek\tNN\tI-NP\tO' -p204660 -aS'ago\tago\tRB\tB-ADVP\tO' -p204661 -aS'w/\tw/\tVBD\tB-VP\tO' -p204662 -aS'epigastric\tepigastric\tJJ\tB-NP\tO' -p204663 -aS'pain\tpain\tNN\tI-NP\tO' -p204664 -aS'.\t.\t.\tO\tO' -p204665 -asS'Also of note , her liver function tests had been normal .' -p204666 -(lp204667 -S'Also\tAlso\tRB\tB-ADVP\tO' -p204668 -aS'of\tof\tIN\tB-PP\tO' -p204669 -aS'note\tnote\tNN\tB-NP\tO' -p204670 -aS',\t,\t,\tO\tO' -p204671 -aS'her\ther\tPRP$\tB-NP\tO' -p204672 -aS'liver\tliver\tNN\tI-NP\tO' -p204673 -aS'function\tfunction\tNN\tI-NP\tO' -p204674 -aS'tests\ttest\tNNS\tI-NP\tO' -p204675 -aS'had\thave\tVBD\tB-VP\tO' -p204676 -aS'been\tbe\tVBN\tI-VP\tO' -p204677 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p204678 -aS'.\t.\t.\tO\tO' -p204679 -asS'The patient was initially thought to be prerenal , and his renal status improved after hydration and increased oral intake .' -p204680 -(lp204681 -S'The\tThe\tDT\tB-NP\tO' -p204682 -aS'patient\tpatient\tNN\tI-NP\tO' -p204683 -aS'was\tbe\tVBD\tB-VP\tO' -p204684 -aS'initially\tinitially\tRB\tI-VP\tO' -p204685 -aS'thought\tthink\tVBN\tI-VP\tO' -p204686 -aS'to\tto\tTO\tI-VP\tO' -p204687 -aS'be\tbe\tVB\tI-VP\tO' -p204688 -aS'prerenal\tprerenal\tJJ\tB-ADJP\tO' -p204689 -aS',\t,\t,\tO\tO' -p204690 -aS'and\tand\tCC\tO\tO' -p204691 -aS'his\this\tPRP$\tB-NP\tO' -p204692 -aS'renal\trenal\tJJ\tI-NP\tO' -p204693 -aS'status\tstatus\tNN\tI-NP\tO' -p204694 -aS'improved\timprove\tVBD\tB-VP\tO' -p204695 -aS'after\tafter\tIN\tB-PP\tO' -p204696 -aS'hydration\thydration\tNN\tB-NP\tO' -p204697 -aS'and\tand\tCC\tO\tO' -p204698 -aS'increased\tincrease\tVBD\tB-VP\tO' -p204699 -aS'oral\toral\tJJ\tB-NP\tO' -p204700 -aS'intake\tintake\tNN\tI-NP\tO' -p204701 -aS'.\t.\t.\tO\tO' -p204702 -asS'The grunting noted on admission resolved within the first few hours after birth .' -p204703 -(lp204704 -S'The\tThe\tDT\tB-NP\tO' -p204705 -aS'grunting\tgrunting\tNN\tI-NP\tO' -p204706 -aS'noted\tnote\tVBN\tB-VP\tO' -p204707 -aS'on\ton\tIN\tB-PP\tO' -p204708 -aS'admission\tadmission\tNN\tB-NP\tO' -p204709 -aS'resolved\tresolve\tVBN\tB-VP\tO' -p204710 -aS'within\twithin\tIN\tB-PP\tO' -p204711 -aS'the\tthe\tDT\tB-NP\tO' -p204712 -aS'first\tfirst\tJJ\tI-NP\tO' -p204713 -aS'few\tfew\tJJ\tI-NP\tO' -p204714 -aS'hours\thour\tNNS\tI-NP\tO' -p204715 -aS'after\tafter\tIN\tB-PP\tO' -p204716 -aS'birth\tbirth\tNN\tB-NP\tO' -p204717 -aS'.\t.\t.\tO\tO' -p204718 -asS'Urine toxicology screen was negative .' -p204719 -(lp204720 -S'Urine\tUrine\tNN\tB-NP\tO' -p204721 -aS'toxicology\ttoxicology\tNN\tI-NP\tO' -p204722 -aS'screen\tscreen\tNN\tI-NP\tO' -p204723 -aS'was\tbe\tVBD\tB-VP\tO' -p204724 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p204725 -aS'.\t.\t.\tO\tO' -p204726 -asS'The chest was clear with normal excursion .' -p204727 -(lp204728 -S'The\tThe\tDT\tB-NP\tO' -p204729 -aS'chest\tchest\tNN\tI-NP\tO' -p204730 -aS'was\tbe\tVBD\tB-VP\tO' -p204731 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p204732 -aS'with\twith\tIN\tB-PP\tO' -p204733 -aS'normal\tnormal\tJJ\tB-NP\tO' -p204734 -aS'excursion\texcursion\tNN\tI-NP\tO' -p204735 -aS'.\t.\t.\tO\tO' -p204736 -asS'Facial twitching was described by the technologist and seen on the video .' -p204737 -(lp204738 -S'Facial\tFacial\tJJ\tB-NP\tO' -p204739 -aS'twitching\ttwitching\tNN\tI-NP\tO' -p204740 -aS'was\tbe\tVBD\tB-VP\tO' -p204741 -aS'described\tdescribe\tVBN\tI-VP\tO' -p204742 -aS'by\tby\tIN\tB-PP\tO' -p204743 -aS'the\tthe\tDT\tB-NP\tO' -p204744 -aS'technologist\ttechnologist\tNN\tI-NP\tO' -p204745 -aS'and\tand\tCC\tO\tO' -p204746 -aS'seen\tsee\tVBN\tB-VP\tO' -p204747 -aS'on\ton\tIN\tB-PP\tO' -p204748 -aS'the\tthe\tDT\tB-NP\tO' -p204749 -aS'video\tvideo\tNN\tI-NP\tO' -p204750 -aS'.\t.\t.\tO\tO' -p204751 -asS'Aortic Valve - Peak Velocity : 1.4 m / sec ( nl <= 2.0 m / sec )' -p204752 -(lp204753 -S'Aortic\tAortic\tJJ\tB-NP\tO' -p204754 -aS'Valve\tValve\tNNP\tI-NP\tO' -p204755 -aS'-\t-\tHYPH\tI-NP\tO' -p204756 -aS'Peak\tPeak\tNNP\tI-NP\tO' -p204757 -aS'Velocity\tVelocity\tNNP\tI-NP\tO' -p204758 -aS':\t:\t:\tO\tO' -p204759 -aS'1.4\t1.4\tCD\tB-NP\tO' -p204760 -aS'm\tm\tNN\tI-NP\tO' -p204761 -aS'/\t/\tSYM\tB-NP\tO' -p204762 -aS'sec\tsec\tNN\tB-NP\tO' -p204763 -aS'(\t(\t(\tO\tO' -p204764 -aS'nl\tnl\tNN\tB-NP\tO' -p204765 -aS'<=\t<=\tSYM\tO\tO' -p204766 -aS'2.0\t2.0\tCD\tB-NP\tO' -p204767 -aS'm\tm\tNN\tI-NP\tO' -p204768 -aS'/\t/\tSYM\tB-NP\tO' -p204769 -aS'sec\tsec\tNN\tI-NP\tO' -p204770 -aS')\t)\t)\tO\tO' -p204771 -asS'9. Levaquin 500 q day .' -p204772 -(lp204773 -S'9.\t9.\tCD\tB-NP\tO' -p204774 -aS'Levaquin\tLevaquin\tNNP\tI-NP\tO' -p204775 -aS'500\t500\tCD\tI-NP\tO' -p204776 -aS'q\tq\tNN\tI-NP\tO' -p204777 -aS'day\tday\tNN\tI-NP\tO' -p204778 -aS'.\t.\t.\tO\tO' -p204779 -asS'Vital signs were temperature of 98.4 , heart rate 74 , blood pressure 130/91 , respiratory rate 21 , satting 98% on room air .' -p204780 -(lp204781 -S'Vital\tVital\tJJ\tB-NP\tO' -p204782 -aS'signs\tsign\tNNS\tI-NP\tO' -p204783 -aS'were\tbe\tVBD\tB-VP\tO' -p204784 -aS'temperature\ttemperature\tNN\tB-NP\tO' -p204785 -aS'of\tof\tIN\tB-PP\tO' -p204786 -aS'98.4\t98.4\tCD\tB-NP\tO' -p204787 -aS',\t,\t,\tO\tO' -p204788 -aS'heart\theart\tNN\tB-NP\tO' -p204789 -aS'rate\trate\tNN\tI-NP\tO' -p204790 -aS'74\t74\tCD\tI-NP\tO' -p204791 -aS',\t,\t,\tO\tO' -p204792 -aS'blood\tblood\tNN\tB-NP\tO' -p204793 -aS'pressure\tpressure\tNN\tI-NP\tO' -p204794 -aS'130/91\t130/91\tCD\tI-NP\tO' -p204795 -aS',\t,\t,\tI-NP\tO' -p204796 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p204797 -aS'rate\trate\tNN\tI-NP\tO' -p204798 -aS'21\t21\tCD\tI-NP\tO' -p204799 -aS',\t,\t,\tO\tO' -p204800 -aS'satting\tsatte\tVBG\tB-VP\tO' -p204801 -aS'98%\t98%\tNN\tB-NP\tO' -p204802 -aS'on\ton\tIN\tB-PP\tO' -p204803 -aS'room\troom\tNN\tB-NP\tO' -p204804 -aS'air\tair\tNN\tI-NP\tO' -p204805 -aS'.\t.\t.\tO\tO' -p204806 -asS'Hypertension was managed with beta blocker and ACE inhibitor and Integrilin was continued post MI for 18 hours .' -p204807 -(lp204808 -S'Hypertension\tHypertension\tNN\tB-NP\tO' -p204809 -aS'was\tbe\tVBD\tB-VP\tO' -p204810 -aS'managed\tmanage\tVBN\tI-VP\tO' -p204811 -aS'with\twith\tIN\tB-PP\tO' -p204812 -aS'beta\tbeta\tSYM\tB-NP\tO' -p204813 -aS'blocker\tblocker\tNN\tI-NP\tO' -p204814 -aS'and\tand\tCC\tI-NP\tO' -p204815 -aS'ACE\tACE\tNN\tI-NP\tO' -p204816 -aS'inhibitor\tinhibitor\tNN\tI-NP\tO' -p204817 -aS'and\tand\tCC\tI-NP\tO' -p204818 -aS'Integrilin\tIntegrilin\tNN\tI-NP\tB-protein' -p204819 -aS'was\tbe\tVBD\tB-VP\tO' -p204820 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p204821 -aS'post\tpost\tIN\tB-PP\tO' -p204822 -aS'MI\tMI\tNN\tB-NP\tO' -p204823 -aS'for\tfor\tIN\tB-PP\tO' -p204824 -aS'18\t18\tCD\tB-NP\tO' -p204825 -aS'hours\thour\tNNS\tI-NP\tO' -p204826 -aS'.\t.\t.\tO\tO' -p204827 -asS'The patient also needs a repeat endoscopy and a GI follow-up appointment inapproximately two months .' -p204828 -(lp204829 -S'The\tThe\tDT\tB-NP\tO' -p204830 -aS'patient\tpatient\tNN\tI-NP\tO' -p204831 -aS'also\talso\tRB\tB-ADVP\tO' -p204832 -aS'needs\tneed\tVBZ\tB-VP\tO' -p204833 -aS'a\ta\tDT\tB-NP\tO' -p204834 -aS'repeat\trepeat\tNN\tI-NP\tO' -p204835 -aS'endoscopy\tendoscopy\tNN\tI-NP\tO' -p204836 -aS'and\tand\tCC\tO\tO' -p204837 -aS'a\ta\tDT\tB-NP\tO' -p204838 -aS'GI\tGI\tNN\tI-NP\tO' -p204839 -aS'follow-up\tfollow-up\tNN\tI-NP\tO' -p204840 -aS'appointment\tappointment\tNN\tI-NP\tO' -p204841 -aS'inapproximately\tinapproximately\tRB\tB-ADVP\tO' -p204842 -aS'two\ttwo\tCD\tB-NP\tO' -p204843 -aS'months\tmonth\tNNS\tI-NP\tO' -p204844 -aS'.\t.\t.\tO\tO' -p204845 -asS'He lives at home with his wife and son , who is 7 years old .' -p204846 -(lp204847 -S'He\tHe\tPRP\tB-NP\tO' -p204848 -aS'lives\tlive\tVBZ\tB-VP\tO' -p204849 -aS'at\tat\tIN\tB-PP\tO' -p204850 -aS'home\thome\tNN\tB-NP\tO' -p204851 -aS'with\twith\tIN\tB-PP\tO' -p204852 -aS'his\this\tPRP$\tB-NP\tO' -p204853 -aS'wife\twife\tNN\tI-NP\tO' -p204854 -aS'and\tand\tCC\tI-NP\tO' -p204855 -aS'son\tson\tNN\tI-NP\tO' -p204856 -aS',\t,\t,\tO\tO' -p204857 -aS'who\twho\tWP\tB-NP\tO' -p204858 -aS'is\tbe\tVBZ\tB-VP\tO' -p204859 -aS'7\t7\tCD\tB-NP\tO' -p204860 -aS'years\tyear\tNNS\tI-NP\tO' -p204861 -aS'old\told\tJJ\tB-ADJP\tO' -p204862 -aS'.\t.\t.\tO\tO' -p204863 -asS'She reports that it had essentially started earlier in the day with some GERD-like symptoms .' -p204864 -(lp204865 -S'She\tShe\tPRP\tB-NP\tO' -p204866 -aS'reports\treport\tVBZ\tB-VP\tO' -p204867 -aS'that\tthat\tIN\tB-SBAR\tO' -p204868 -aS'it\tit\tPRP\tB-NP\tO' -p204869 -aS'had\thave\tVBD\tB-VP\tO' -p204870 -aS'essentially\tessentially\tRB\tI-VP\tO' -p204871 -aS'started\tstart\tVBN\tI-VP\tO' -p204872 -aS'earlier\tearlier\tRBR\tB-ADVP\tO' -p204873 -aS'in\tin\tIN\tB-PP\tO' -p204874 -aS'the\tthe\tDT\tB-NP\tO' -p204875 -aS'day\tday\tNN\tI-NP\tO' -p204876 -aS'with\twith\tIN\tB-PP\tO' -p204877 -aS'some\tsome\tDT\tB-NP\tO' -p204878 -aS'GERD-like\tGERD-like\tJJ\tI-NP\tO' -p204879 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p204880 -aS'.\t.\t.\tO\tO' -p204881 -asS'Her respiratory condition remained stable and , on postoperative day four , she was deemed stable and ready to be transferred to rehabilitation for continuing postoperative care and physical' -p204882 -(lp204883 -S'Her\tHer\tPRP$\tB-NP\tO' -p204884 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p204885 -aS'condition\tcondition\tNN\tI-NP\tO' -p204886 -aS'remained\tremain\tVBD\tB-VP\tO' -p204887 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p204888 -aS'and\tand\tCC\tO\tO' -p204889 -aS',\t,\t,\tO\tO' -p204890 -aS'on\ton\tIN\tB-PP\tO' -p204891 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p204892 -aS'day\tday\tNN\tI-NP\tO' -p204893 -aS'four\tfour\tCD\tB-NP\tO' -p204894 -aS',\t,\t,\tO\tO' -p204895 -aS'she\tshe\tPRP\tB-NP\tO' -p204896 -aS'was\tbe\tVBD\tB-VP\tO' -p204897 -aS'deemed\tdeem\tVBN\tI-VP\tO' -p204898 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p204899 -aS'and\tand\tCC\tI-ADJP\tO' -p204900 -aS'ready\tready\tJJ\tI-ADJP\tO' -p204901 -aS'to\tto\tTO\tB-VP\tO' -p204902 -aS'be\tbe\tVB\tI-VP\tO' -p204903 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p204904 -aS'to\tto\tTO\tB-PP\tO' -p204905 -aS'rehabilitation\trehabilitation\tNN\tB-NP\tO' -p204906 -aS'for\tfor\tIN\tB-PP\tO' -p204907 -aS'continuing\tcontinue\tVBG\tB-NP\tO' -p204908 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p204909 -aS'care\tcare\tNN\tI-NP\tO' -p204910 -aS'and\tand\tCC\tO\tO' -p204911 -aS'physical\tphysical\tJJ\tB-ADJP\tO' -p204912 -asS'She has episodes of not breathing .' -p204913 -(lp204914 -S'She\tShe\tPRP\tB-NP\tO' -p204915 -aS'has\thave\tVBZ\tB-VP\tO' -p204916 -aS'episodes\tepisode\tNNS\tB-NP\tO' -p204917 -aS'of\tof\tIN\tB-PP\tO' -p204918 -aS'not\tnot\tRB\tB-NP\tO' -p204919 -aS'breathing\tbreathing\tNN\tI-NP\tO' -p204920 -aS'.\t.\t.\tO\tO' -p204921 -asS'SPARSE GROWTH .' -p204922 -(lp204923 -S'SPARSE\tSPARSE\tNN\tB-NP\tO' -p204924 -aS'GROWTH\tGROWTH\tNN\tI-NP\tO' -p204925 -aS'.\t.\t.\tO\tO' -p204926 -asS'OSTEOCHONDROMATOSIS , RIGHT KNEE .' -p204927 -(lp204928 -S'OSTEOCHONDROMATOSIS\tOSTEOCHONDROMATOSIS\tNNP\tB-NP\tO' -p204929 -aS',\t,\t,\tO\tO' -p204930 -aS'RIGHT\tRIGHT\tNNP\tB-NP\tO' -p204931 -aS'KNEE\tKNEE\tNNP\tI-NP\tO' -p204932 -aS'.\t.\t.\tO\tO' -p204933 -asS'On initial exam the patient was not oriented to time , seemed somewhat slow , and had difficulties generating a list of animals .' -p204934 -(lp204935 -S'On\tOn\tIN\tB-PP\tO' -p204936 -aS'initial\tinitial\tJJ\tB-NP\tO' -p204937 -aS'exam\texam\tNN\tI-NP\tO' -p204938 -aS'the\tthe\tDT\tB-NP\tO' -p204939 -aS'patient\tpatient\tNN\tI-NP\tO' -p204940 -aS'was\tbe\tVBD\tB-VP\tO' -p204941 -aS'not\tnot\tRB\tI-VP\tO' -p204942 -aS'oriented\torient\tVBN\tI-VP\tO' -p204943 -aS'to\tto\tTO\tB-PP\tO' -p204944 -aS'time\ttime\tNN\tB-NP\tO' -p204945 -aS',\t,\t,\tO\tO' -p204946 -aS'seemed\tseem\tVBD\tB-VP\tO' -p204947 -aS'somewhat\tsomewhat\tRB\tB-ADJP\tO' -p204948 -aS'slow\tslow\tJJ\tI-ADJP\tO' -p204949 -aS',\t,\t,\tO\tO' -p204950 -aS'and\tand\tCC\tO\tO' -p204951 -aS'had\thave\tVBD\tB-VP\tO' -p204952 -aS'difficulties\tdifficulty\tNNS\tB-NP\tO' -p204953 -aS'generating\tgenerate\tVBG\tB-VP\tO' -p204954 -aS'a\ta\tDT\tB-NP\tO' -p204955 -aS'list\tlist\tNN\tI-NP\tO' -p204956 -aS'of\tof\tIN\tB-PP\tO' -p204957 -aS'animals\tanimal\tNNS\tB-NP\tO' -p204958 -aS'.\t.\t.\tO\tO' -p204959 -asS'Patient is to be subsequently followed up by Dr. Memory .' -p204960 -(lp204961 -S'Patient\tPatient\tNN\tB-NP\tO' -p204962 -aS'is\tbe\tVBZ\tB-VP\tO' -p204963 -aS'to\tto\tTO\tI-VP\tO' -p204964 -aS'be\tbe\tVB\tI-VP\tO' -p204965 -aS'subsequently\tsubsequently\tRB\tI-VP\tO' -p204966 -aS'followed\tfollow\tVBN\tI-VP\tO' -p204967 -aS'up\tup\tRP\tB-PRT\tO' -p204968 -aS'by\tby\tIN\tB-PP\tO' -p204969 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p204970 -aS'Memory\tMemory\tNNP\tI-NP\tO' -p204971 -aS'.\t.\t.\tO\tO' -p204972 -asS'..... done on 02-24 , notable for mid-basilar artery high-grade stenosis .' -p204973 -(lp204974 -S'.....\t.....\t:\tO\tO' -p204975 -aS'done\tdo\tVBN\tB-VP\tO' -p204976 -aS'on\ton\tIN\tB-PP\tO' -p204977 -aS'02-24\t02-24\tJJ\tB-NP\tO' -p204978 -aS',\t,\t,\tI-NP\tO' -p204979 -aS'notable\tnotable\tJJ\tI-NP\tO' -p204980 -aS'for\tfor\tIN\tB-PP\tO' -p204981 -aS'mid-basilar\tmid-basilar\tJJ\tB-NP\tO' -p204982 -aS'artery\tartery\tNN\tI-NP\tO' -p204983 -aS'high-grade\thigh-grade\tJJ\tI-NP\tO' -p204984 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p204985 -aS'.\t.\t.\tO\tO' -p204986 -asS'321-360 mg / dL 9 Units 10 Units 8 Units 3 Units' -p204987 -(lp204988 -S'321-360\t321-360\tCD\tB-NP\tO' -p204989 -aS'mg\tmg\tNN\tI-NP\tO' -p204990 -aS'/\t/\tSYM\tB-NP\tO' -p204991 -aS'dL\tdL\tNN\tB-NP\tB-protein' -p204992 -aS'9\t9\tCD\tI-NP\tI-protein' -p204993 -aS'Units\tUnits\tNNP\tI-NP\tI-protein' -p204994 -aS'10\t10\tCD\tI-NP\tI-protein' -p204995 -aS'Units\tUnits\tNNP\tI-NP\tI-protein' -p204996 -aS'8\t8\tCD\tI-NP\tI-protein' -p204997 -aS'Units\tUnits\tNNP\tI-NP\tI-protein' -p204998 -aS'3\t3\tCD\tI-NP\tI-protein' -p204999 -aS'Units\tUnit\tNNS\tI-NP\tI-protein' -p205000 -asS'Status post tubal ligation .' -p205001 -(lp205002 -S'Status\tStatus\tNNP\tB-NP\tO' -p205003 -aS'post\tpost\tVBD\tB-VP\tO' -p205004 -aS'tubal\ttubal\tJJ\tB-NP\tO' -p205005 -aS'ligation\tligation\tNN\tI-NP\tO' -p205006 -aS'.\t.\t.\tO\tO' -p205007 -asS'Attending : Derrick L. Mayo , M.D.' -p205008 -(lp205009 -S'Attending\tAttend\tVBG\tB-VP\tO' -p205010 -aS':\t:\t:\tO\tO' -p205011 -aS'Derrick\tDerrick\tNNP\tB-NP\tO' -p205012 -aS'L.\tL.\tNNP\tI-NP\tO' -p205013 -aS'Mayo\tMayo\tNNP\tI-NP\tO' -p205014 -aS',\t,\t,\tO\tO' -p205015 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p205016 -asS'Mild ( 1+ ) MR .' -p205017 -(lp205018 -S'Mild\tMild\tNNP\tB-NP\tO' -p205019 -aS'(\t(\t(\tO\tO' -p205020 -aS'1+\t1+\tJJ\tO\tO' -p205021 -aS')\t)\t)\tO\tO' -p205022 -aS'MR\tMR\tNN\tB-NP\tB-protein' -p205023 -aS'.\t.\t.\tO\tO' -p205024 -asS'Anterior fontanelle open and flat .' -p205025 -(lp205026 -S'Anterior\tAnterior\tJJ\tB-NP\tO' -p205027 -aS'fontanelle\tfontanelle\tNN\tI-NP\tO' -p205028 -aS'open\topen\tJJ\tB-ADJP\tO' -p205029 -aS'and\tand\tCC\tI-ADJP\tO' -p205030 -aS'flat\tflat\tJJ\tI-ADJP\tO' -p205031 -aS'.\t.\t.\tO\tO' -p205032 -asS'She brought by EMS to Nantucket Cottage Hospital for furher evaluation .' -p205033 -(lp205034 -S'She\tShe\tPRP\tB-NP\tO' -p205035 -aS'brought\tbring\tVBD\tB-VP\tO' -p205036 -aS'by\tby\tIN\tB-PP\tO' -p205037 -aS'EMS\tEMS\tNNP\tB-NP\tO' -p205038 -aS'to\tto\tTO\tB-PP\tO' -p205039 -aS'Nantucket\tNantucket\tNNP\tB-NP\tO' -p205040 -aS'Cottage\tCottage\tNNP\tI-NP\tO' -p205041 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p205042 -aS'for\tfor\tIN\tB-PP\tO' -p205043 -aS'furher\tfurh\tJJR\tB-NP\tO' -p205044 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p205045 -aS'.\t.\t.\tO\tO' -p205046 -asS'The patient was kept NPO with an NG tube until postop day 14 and_____ started on clear sips with TPN for nutritional supplementation .' -p205047 -(lp205048 -S'The\tThe\tDT\tB-NP\tO' -p205049 -aS'patient\tpatient\tNN\tI-NP\tO' -p205050 -aS'was\tbe\tVBD\tB-VP\tO' -p205051 -aS'kept\tkeep\tVBN\tI-VP\tO' -p205052 -aS'NPO\tNPO\tNN\tB-NP\tB-protein' -p205053 -aS'with\twith\tIN\tB-PP\tO' -p205054 -aS'an\tan\tDT\tB-NP\tO' -p205055 -aS'NG\tNG\tNN\tI-NP\tO' -p205056 -aS'tube\ttube\tNN\tI-NP\tO' -p205057 -aS'until\tuntil\tIN\tB-PP\tO' -p205058 -aS'postop\tpostop\tNN\tB-NP\tO' -p205059 -aS'day\tday\tNN\tI-NP\tO' -p205060 -aS'14\t14\tCD\tB-NP\tO' -p205061 -aS'and_____\tand_____\tCC\tO\tO' -p205062 -aS'started\tstart\tVBN\tB-VP\tO' -p205063 -aS'on\ton\tIN\tB-PP\tO' -p205064 -aS'clear\tclear\tJJ\tB-NP\tO' -p205065 -aS'sips\tsip\tNNS\tI-NP\tO' -p205066 -aS'with\twith\tIN\tB-PP\tO' -p205067 -aS'TPN\tTPN\tNN\tB-NP\tB-protein' -p205068 -aS'for\tfor\tIN\tB-PP\tO' -p205069 -aS'nutritional\tnutritional\tJJ\tB-NP\tO' -p205070 -aS'supplementation\tsupplementation\tNN\tI-NP\tO' -p205071 -aS'.\t.\t.\tO\tO' -p205072 -asS'Femoral and distal pulses were full .' -p205073 -(lp205074 -S'Femoral\tFemoral\tJJ\tB-NP\tO' -p205075 -aS'and\tand\tCC\tI-NP\tO' -p205076 -aS'distal\tdistal\tJJ\tI-NP\tO' -p205077 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p205078 -aS'were\tbe\tVBD\tB-VP\tO' -p205079 -aS'full\tfull\tJJ\tB-ADJP\tO' -p205080 -aS'.\t.\t.\tO\tO' -p205081 -asS'- Call for appointment to ( 289 ) 411-5387 for the Trauma Clinic and Abdominal CT scan of the Abdomen in 4 weeks' -p205082 -(lp205083 -S'-\t-\tHYPH\tO\tO' -p205084 -aS'Call\tCall\tNN\tB-NP\tO' -p205085 -aS'for\tfor\tIN\tB-PP\tO' -p205086 -aS'appointment\tappointment\tNN\tB-NP\tO' -p205087 -aS'to\tto\tTO\tB-PP\tO' -p205088 -aS'(\t(\t(\tO\tO' -p205089 -aS'289\t289\tCD\tB-NP\tO' -p205090 -aS')\t)\t)\tO\tO' -p205091 -aS'411-5387\t411-5387\tCD\tB-NP\tO' -p205092 -aS'for\tfor\tIN\tB-PP\tO' -p205093 -aS'the\tthe\tDT\tB-NP\tO' -p205094 -aS'Trauma\tTrauma\tNNP\tI-NP\tO' -p205095 -aS'Clinic\tClinic\tNNP\tI-NP\tO' -p205096 -aS'and\tand\tCC\tI-NP\tO' -p205097 -aS'Abdominal\tAbdominal\tNNP\tI-NP\tO' -p205098 -aS'CT\tCT\tNN\tI-NP\tO' -p205099 -aS'scan\tscan\tNN\tI-NP\tO' -p205100 -aS'of\tof\tIN\tB-PP\tO' -p205101 -aS'the\tthe\tDT\tB-NP\tO' -p205102 -aS'Abdomen\tAbdoman\tNNS\tI-NP\tO' -p205103 -aS'in\tin\tIN\tB-PP\tO' -p205104 -aS'4\t4\tCD\tB-NP\tO' -p205105 -aS'weeks\tweek\tNNS\tI-NP\tO' -p205106 -asS'Negative for CAD .' -p205107 -(lp205108 -S'Negative\tNegative\tJJ\tB-ADJP\tO' -p205109 -aS'for\tfor\tIN\tB-PP\tO' -p205110 -aS'CAD\tCAD\tNN\tB-NP\tB-protein' -p205111 -aS'.\t.\t.\tO\tO' -p205112 -asS'Findings showed a Mallory Weiss tear , nonspecific duodenitis .' -p205113 -(lp205114 -S'Findings\tFinding\tNNS\tB-NP\tO' -p205115 -aS'showed\tshow\tVBD\tB-VP\tO' -p205116 -aS'a\ta\tDT\tB-NP\tO' -p205117 -aS'Mallory\tMallory\tNNP\tI-NP\tO' -p205118 -aS'Weiss\tWeiss\tNNP\tI-NP\tO' -p205119 -aS'tear\ttear\tNN\tI-NP\tO' -p205120 -aS',\t,\t,\tO\tO' -p205121 -aS'nonspecific\tnonspecific\tJJ\tB-NP\tO' -p205122 -aS'duodenitis\tduodenitis\tNN\tI-NP\tO' -p205123 -aS'.\t.\t.\tO\tO' -p205124 -asS'Plavix 75 mg p.o. q. day .' -p205125 -(lp205126 -S'Plavix\tPlavix\tNN\tB-NP\tO' -p205127 -aS'75\t75\tCD\tI-NP\tO' -p205128 -aS'mg\tmg\tNN\tI-NP\tO' -p205129 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p205130 -aS'q.\tq.\tNN\tI-NP\tO' -p205131 -aS'day\tday\tNN\tI-NP\tO' -p205132 -aS'.\t.\t.\tO\tO' -p205133 -asS'She then continued to do poorly and then returned on 06-19 .' -p205134 -(lp205135 -S'She\tShe\tPRP\tB-NP\tO' -p205136 -aS'then\tthen\tRB\tB-ADVP\tO' -p205137 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p205138 -aS'to\tto\tTO\tI-VP\tO' -p205139 -aS'do\tdo\tVB\tI-VP\tO' -p205140 -aS'poorly\tpoorly\tRB\tB-ADVP\tO' -p205141 -aS'and\tand\tCC\tO\tO' -p205142 -aS'then\tthen\tRB\tO\tO' -p205143 -aS'returned\treturn\tVBD\tB-VP\tO' -p205144 -aS'on\ton\tIN\tB-PP\tO' -p205145 -aS'06-19\t06-19\tCD\tB-NP\tO' -p205146 -aS'.\t.\t.\tO\tO' -p205147 -asS'She was not felt to be acutely suicidal or otherwise in need of acute psychiatric treatment .' -p205148 -(lp205149 -S'She\tShe\tPRP\tB-NP\tO' -p205150 -aS'was\tbe\tVBD\tB-VP\tO' -p205151 -aS'not\tnot\tRB\tI-VP\tO' -p205152 -aS'felt\tfeel\tVBN\tI-VP\tO' -p205153 -aS'to\tto\tTO\tI-VP\tO' -p205154 -aS'be\tbe\tVB\tI-VP\tO' -p205155 -aS'acutely\tacutely\tRB\tB-ADJP\tO' -p205156 -aS'suicidal\tsuicidal\tJJ\tI-ADJP\tO' -p205157 -aS'or\tor\tCC\tO\tO' -p205158 -aS'otherwise\totherwise\tRB\tB-ADVP\tO' -p205159 -aS'in\tin\tIN\tB-PP\tO' -p205160 -aS'need\tneed\tNN\tB-NP\tO' -p205161 -aS'of\tof\tIN\tB-PP\tO' -p205162 -aS'acute\tacute\tJJ\tB-NP\tO' -p205163 -aS'psychiatric\tpsychiatric\tJJ\tI-NP\tO' -p205164 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p205165 -aS'.\t.\t.\tO\tO' -p205166 -asS'He tolerated treatment well and was discharged in good condition .' -p205167 -(lp205168 -S'He\tHe\tPRP\tB-NP\tO' -p205169 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p205170 -aS'treatment\ttreatment\tNN\tB-NP\tO' -p205171 -aS'well\twell\tRB\tB-ADVP\tO' -p205172 -aS'and\tand\tCC\tO\tO' -p205173 -aS'was\tbe\tVBD\tB-VP\tO' -p205174 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p205175 -aS'in\tin\tIN\tB-PP\tO' -p205176 -aS'good\tgood\tJJ\tB-NP\tO' -p205177 -aS'condition\tcondition\tNN\tI-NP\tO' -p205178 -aS'.\t.\t.\tO\tO' -p205179 -asS'She also had 2 echocardiograms which revealed persistent pericardial effusions .' -p205180 -(lp205181 -S'She\tShe\tPRP\tB-NP\tO' -p205182 -aS'also\talso\tRB\tB-ADVP\tO' -p205183 -aS'had\thave\tVBD\tB-VP\tO' -p205184 -aS'2\t2\tCD\tB-NP\tO' -p205185 -aS'echocardiograms\techocardiogram\tNNS\tI-NP\tO' -p205186 -aS'which\twhich\tWDT\tB-NP\tO' -p205187 -aS'revealed\treveal\tVBD\tB-VP\tO' -p205188 -aS'persistent\tpersistent\tJJ\tB-NP\tO' -p205189 -aS'pericardial\tpericardial\tJJ\tI-NP\tO' -p205190 -aS'effusions\teffusion\tNNS\tI-NP\tO' -p205191 -aS'.\t.\t.\tO\tO' -p205192 -asS'His urine output remained at 150 to 200 cc. an hour .' -p205193 -(lp205194 -S'His\tHis\tPRP$\tB-NP\tO' -p205195 -aS'urine\turine\tNN\tI-NP\tO' -p205196 -aS'output\toutput\tNN\tI-NP\tO' -p205197 -aS'remained\tremain\tVBD\tB-VP\tO' -p205198 -aS'at\tat\tIN\tB-PP\tO' -p205199 -aS'150\t150\tCD\tB-NP\tO' -p205200 -aS'to\tto\tTO\tI-NP\tO' -p205201 -aS'200\t200\tCD\tI-NP\tO' -p205202 -aS'cc.\tcc.\tNN\tI-NP\tO' -p205203 -aS'an\tan\tDT\tB-NP\tO' -p205204 -aS'hour\thour\tNN\tI-NP\tO' -p205205 -aS'.\t.\t.\tO\tO' -p205206 -asS'9. Polyvinyl Alcohol-Povidone 1.4-0.6 % Dropperette Sig : 01-12 Drops Ophthalmic QID ( 4 times a day ) .' -p205207 -(lp205208 -S'9.\t9.\tLS\tB-NP\tO' -p205209 -aS'Polyvinyl\tPolyvinyl\tNN\tI-NP\tO' -p205210 -aS'Alcohol-Povidone\tAlcohol-Povidone\tNN\tI-NP\tO' -p205211 -aS'1.4-0.6\t1.4-0.6\tCD\tB-NP\tO' -p205212 -aS'%\t%\tNN\tI-NP\tO' -p205213 -aS'Dropperette\tDropperette\tNNP\tI-NP\tO' -p205214 -aS'Sig\tSig\tNNP\tI-NP\tO' -p205215 -aS':\t:\t:\tO\tO' -p205216 -aS'01-12\t01-12\tCD\tB-NP\tO' -p205217 -aS'Drops\tDrop\tVBZ\tB-VP\tO' -p205218 -aS'Ophthalmic\tOphthalmic\tJJ\tB-NP\tO' -p205219 -aS'QID\tQID\tNN\tI-NP\tO' -p205220 -aS'(\t(\t(\tO\tO' -p205221 -aS'4\t4\tCD\tB-NP\tO' -p205222 -aS'times\ttime\tNNS\tI-NP\tO' -p205223 -aS'a\ta\tDT\tB-NP\tO' -p205224 -aS'day\tday\tNN\tI-NP\tO' -p205225 -aS')\t)\t)\tO\tO' -p205226 -aS'.\t.\t.\tO\tO' -p205227 -asS'soft , mild tenderness R and L lower quadrants - not reproducible' -p205228 -(lp205229 -S'soft\tsoft\tJJ\tB-NP\tO' -p205230 -aS',\t,\t,\tI-NP\tO' -p205231 -aS'mild\tmild\tJJ\tI-NP\tO' -p205232 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p205233 -aS'R\tR\tNN\tI-NP\tO' -p205234 -aS'and\tand\tCC\tI-NP\tO' -p205235 -aS'L\tL\tNN\tI-NP\tO' -p205236 -aS'lower\tlow\tJJR\tB-NP\tO' -p205237 -aS'quadrants\tquadrant\tNNS\tI-NP\tO' -p205238 -aS'-\t-\tHYPH\tB-VP\tO' -p205239 -aS'not\tnot\tRB\tB-ADJP\tO' -p205240 -aS'reproducible\treproducible\tJJ\tI-ADJP\tO' -p205241 -asS'His hematocrit on 07/03 was 28.1 .' -p205242 -(lp205243 -S'His\tHis\tPRP$\tB-NP\tO' -p205244 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p205245 -aS'on\ton\tIN\tB-PP\tO' -p205246 -aS'07/03\t07/03\tCD\tB-NP\tO' -p205247 -aS'was\tbe\tVBD\tB-VP\tO' -p205248 -aS'28.1\t28.1\tCD\tB-NP\tO' -p205249 -aS'.\t.\t.\tO\tO' -p205250 -asS'He was resuscitated with Crystalloid and remained hemodynamically stable .' -p205251 -(lp205252 -S'He\tHe\tPRP\tB-NP\tO' -p205253 -aS'was\tbe\tVBD\tB-VP\tO' -p205254 -aS'resuscitated\tresuscitate\tVBN\tI-VP\tO' -p205255 -aS'with\twith\tIN\tB-PP\tO' -p205256 -aS'Crystalloid\tCrystalloid\tNN\tB-NP\tO' -p205257 -aS'and\tand\tCC\tO\tO' -p205258 -aS'remained\tremain\tVBD\tB-VP\tO' -p205259 -aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' -p205260 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p205261 -aS'.\t.\t.\tO\tO' -p205262 -asS'Due to technical quality a focal wall motion abnormality could not be fully excluded .' -p205263 -(lp205264 -S'Due\tDue\tJJ\tB-PP\tO' -p205265 -aS'to\tto\tTO\tB-PP\tO' -p205266 -aS'technical\ttechnical\tJJ\tB-NP\tO' -p205267 -aS'quality\tquality\tNN\tI-NP\tO' -p205268 -aS'a\ta\tDT\tB-NP\tO' -p205269 -aS'focal\tfocal\tJJ\tI-NP\tO' -p205270 -aS'wall\twall\tNN\tI-NP\tO' -p205271 -aS'motion\tmotion\tNN\tI-NP\tO' -p205272 -aS'abnormality\tabnormality\tNN\tI-NP\tO' -p205273 -aS'could\tcould\tMD\tB-VP\tO' -p205274 -aS'not\tnot\tRB\tI-VP\tO' -p205275 -aS'be\tbe\tVB\tI-VP\tO' -p205276 -aS'fully\tfully\tRB\tI-VP\tO' -p205277 -aS'excluded\texclude\tVBN\tI-VP\tO' -p205278 -aS'.\t.\t.\tO\tO' -p205279 -asS'She can one walk without difficulties .' -p205280 -(lp205281 -S'She\tShe\tPRP\tB-NP\tO' -p205282 -aS'can\tcan\tMD\tB-VP\tO' -p205283 -aS'one\tone\tCD\tB-NP\tO' -p205284 -aS'walk\twalk\tNN\tI-NP\tO' -p205285 -aS'without\twithout\tIN\tB-PP\tO' -p205286 -aS'difficulties\tdifficulty\tNNS\tB-NP\tO' -p205287 -aS'.\t.\t.\tO\tO' -p205288 -asS'10. Prilosec 20 mg q. day .' -p205289 -(lp205290 -S'10.\t10.\tCD\tB-NP\tO' -p205291 -aS'Prilosec\tPrilosec\tNNP\tI-NP\tO' -p205292 -aS'20\t20\tCD\tI-NP\tO' -p205293 -aS'mg\tmg\tNN\tI-NP\tO' -p205294 -aS'q.\tq.\tNN\tI-NP\tO' -p205295 -aS'day\tday\tNN\tI-NP\tO' -p205296 -aS'.\t.\t.\tO\tO' -p205297 -asS'14. Albuterol inhalers prn .' -p205298 -(lp205299 -S'14.\t14.\tLS\tB-NP\tO' -p205300 -aS'Albuterol\tAlbuterol\tNNP\tI-NP\tO' -p205301 -aS'inhalers\tinhaler\tNNS\tI-NP\tO' -p205302 -aS'prn\tprn\tNN\tI-NP\tO' -p205303 -aS'.\t.\t.\tO\tO' -p205304 -asS'The patient began neutropenic on day five of induction .' -p205305 -(lp205306 -S'The\tThe\tDT\tB-NP\tO' -p205307 -aS'patient\tpatient\tNN\tI-NP\tO' -p205308 -aS'began\tbegin\tVBD\tB-VP\tO' -p205309 -aS'neutropenic\tneutropenic\tJJ\tB-ADJP\tO' -p205310 -aS'on\ton\tIN\tB-PP\tO' -p205311 -aS'day\tday\tNN\tB-NP\tO' -p205312 -aS'five\tfive\tCD\tI-NP\tO' -p205313 -aS'of\tof\tIN\tB-PP\tO' -p205314 -aS'induction\tinduction\tNN\tB-NP\tO' -p205315 -aS'.\t.\t.\tO\tO' -p205316 -asS'The aortic arch is mildly dilated .' -p205317 -(lp205318 -S'The\tThe\tDT\tB-NP\tO' -p205319 -aS'aortic\taortic\tJJ\tI-NP\tO' -p205320 -aS'arch\tarch\tNN\tI-NP\tO' -p205321 -aS'is\tbe\tVBZ\tB-VP\tO' -p205322 -aS'mildly\tmildly\tRB\tI-VP\tO' -p205323 -aS'dilated\tdilate\tVBN\tI-VP\tO' -p205324 -aS'.\t.\t.\tO\tO' -p205325 -asS'Hypertension , hyperlipidemia , IMI in 2005 .' -p205326 -(lp205327 -S'Hypertension\tHypertension\tNN\tB-NP\tO' -p205328 -aS',\t,\t,\tO\tO' -p205329 -aS'hyperlipidemia\thyperlipidemia\tNN\tB-NP\tO' -p205330 -aS',\t,\t,\tO\tO' -p205331 -aS'IMI\tIMI\tNN\tB-NP\tB-protein' -p205332 -aS'in\tin\tIN\tB-PP\tO' -p205333 -aS'2005\t2005\tCD\tB-NP\tO' -p205334 -aS'.\t.\t.\tO\tO' -p205335 -asS'Her own mother has been with her during this stay .' -p205336 -(lp205337 -S'Her\tHer\tPRP$\tB-NP\tO' -p205338 -aS'own\town\tJJ\tI-NP\tO' -p205339 -aS'mother\tmother\tNN\tI-NP\tO' -p205340 -aS'has\thave\tVBZ\tB-VP\tO' -p205341 -aS'been\tbe\tVBN\tI-VP\tO' -p205342 -aS'with\twith\tIN\tB-PP\tO' -p205343 -aS'her\ther\tPRP\tB-NP\tO' -p205344 -aS'during\tduring\tIN\tB-PP\tO' -p205345 -aS'this\tthis\tDT\tB-NP\tO' -p205346 -aS'stay\tstay\tNN\tI-NP\tO' -p205347 -aS'.\t.\t.\tO\tO' -p205348 -asS'23. Prednisone 5 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' -p205349 -(lp205350 -S'23.\t23.\tLS\tB-NP\tO' -p205351 -aS'Prednisone\tPrednisone\tNN\tI-NP\tO' -p205352 -aS'5\t5\tCD\tI-NP\tO' -p205353 -aS'mg\tmg\tNN\tI-NP\tO' -p205354 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p205355 -aS'Sig\tSig\tNNP\tI-NP\tO' -p205356 -aS':\t:\t:\tO\tO' -p205357 -aS'One\tOne\tCD\tB-NP\tO' -p205358 -aS'(\t(\t(\tO\tO' -p205359 -aS'1\t1\tCD\tB-NP\tO' -p205360 -aS')\t)\t)\tO\tO' -p205361 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p205362 -aS'PO\tPO\tNN\tI-NP\tO' -p205363 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p205364 -aS'(\t(\t(\tO\tO' -p205365 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p205366 -aS')\t)\t)\tO\tO' -p205367 -aS'.\t.\t.\tO\tO' -p205368 -asS'Signed electronically by : DR. Marta Keever on : FRI 2013-06-21 9:40 PM' -p205369 -(lp205370 -S'Signed\tSign\tVBN\tB-VP\tO' -p205371 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p205372 -aS'by\tby\tIN\tB-PP\tO' -p205373 -aS':\t:\t:\tO\tO' -p205374 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p205375 -aS'Marta\tMarta\tNNP\tI-NP\tO' -p205376 -aS'Keever\tKeever\tNNP\tI-NP\tO' -p205377 -aS'on\ton\tIN\tB-PP\tO' -p205378 -aS':\t:\t:\tO\tO' -p205379 -aS'FRI\tFRI\tCD\tB-NP\tO' -p205380 -aS'2013-06-21\t2013-06-21\tCD\tI-NP\tO' -p205381 -aS'9:40\t9:40\tCD\tI-NP\tO' -p205382 -aS'PM\tPM\tNN\tI-NP\tO' -p205383 -asS"The patient 's chest tubes were removed on postoperative day three without incident ." -p205384 -(lp205385 -S'The\tThe\tDT\tB-NP\tO' -p205386 -aS'patient\tpatient\tNN\tI-NP\tO' -p205387 -aS"'s\t's\tPOS\tB-NP\tO" -p205388 -aS'chest\tchest\tNN\tI-NP\tO' -p205389 -aS'tubes\ttube\tNNS\tI-NP\tO' -p205390 -aS'were\tbe\tVBD\tB-VP\tO' -p205391 -aS'removed\tremove\tVBN\tI-VP\tO' -p205392 -aS'on\ton\tIN\tB-PP\tO' -p205393 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p205394 -aS'day\tday\tNN\tI-NP\tO' -p205395 -aS'three\tthree\tCD\tI-NP\tO' -p205396 -aS'without\twithout\tIN\tB-PP\tO' -p205397 -aS'incident\tincident\tNN\tB-NP\tO' -p205398 -aS'.\t.\t.\tO\tO' -p205399 -asS'A bone density scan would be recommended as an outpatient , in order to evaluate this .' -p205400 -(lp205401 -S'A\tA\tDT\tB-NP\tO' -p205402 -aS'bone\tbone\tNN\tI-NP\tO' -p205403 -aS'density\tdensity\tNN\tI-NP\tO' -p205404 -aS'scan\tscan\tNN\tI-NP\tO' -p205405 -aS'would\twould\tMD\tB-VP\tO' -p205406 -aS'be\tbe\tVB\tI-VP\tO' -p205407 -aS'recommended\trecommend\tVBN\tI-VP\tO' -p205408 -aS'as\tas\tIN\tB-PP\tO' -p205409 -aS'an\tan\tDT\tB-NP\tO' -p205410 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p205411 -aS',\t,\t,\tO\tO' -p205412 -aS'in\tin\tIN\tB-SBAR\tO' -p205413 -aS'order\torder\tNN\tO\tO' -p205414 -aS'to\tto\tTO\tB-VP\tO' -p205415 -aS'evaluate\tevaluate\tVB\tI-VP\tO' -p205416 -aS'this\tthis\tDT\tB-NP\tO' -p205417 -aS'.\t.\t.\tO\tO' -p205418 -asS'The patient 's preliminary admitting physician is REKE , ATOTA S and the preliminary diagnosis is ACS ..' -p205419 -(lp205420 -S'The\tThe\tDT\tB-NP\tO' -p205421 -aS'patient\tpatient\tNN\tI-NP\tO' -p205422 -aS''s\t'\tNNS\tI-NP\tO' -p205423 -aS'preliminary\tpreliminary\tJJ\tB-NP\tO' -p205424 -aS'admitting\tadmit\tVBG\tI-NP\tO' -p205425 -aS'physician\tphysician\tNN\tI-NP\tO' -p205426 -aS'is\tbe\tVBZ\tB-VP\tO' -p205427 -aS'REKE\tREKE\tNNP\tB-NP\tO' -p205428 -aS',\t,\t,\tO\tO' -p205429 -aS'ATOTA\tATOTA\tNNP\tB-NP\tO' -p205430 -aS'S\tS\tNNP\tI-NP\tO' -p205431 -aS'and\tand\tCC\tO\tO' -p205432 -aS'the\tthe\tDT\tB-NP\tO' -p205433 -aS'preliminary\tpreliminary\tJJ\tI-NP\tO' -p205434 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p205435 -aS'is\tbe\tVBZ\tB-VP\tO' -p205436 -aS'ACS\tACS\tNN\tB-NP\tO' -p205437 -aS'..\t..\t.\tO\tO' -p205438 -asS'The Psychiatry Service followed up extensively with the patient , and his Psychiatric progress is detailed in the Psychiatry transfer note .' -p205439 -(lp205440 -S'The\tThe\tDT\tB-NP\tO' -p205441 -aS'Psychiatry\tPsychiatry\tNNP\tI-NP\tO' -p205442 -aS'Service\tService\tNNP\tI-NP\tO' -p205443 -aS'followed\tfollow\tVBD\tB-VP\tO' -p205444 -aS'up\tup\tRP\tB-PRT\tO' -p205445 -aS'extensively\textensively\tRB\tB-ADVP\tO' -p205446 -aS'with\twith\tIN\tB-PP\tO' -p205447 -aS'the\tthe\tDT\tB-NP\tO' -p205448 -aS'patient\tpatient\tNN\tI-NP\tO' -p205449 -aS',\t,\t,\tO\tO' -p205450 -aS'and\tand\tCC\tO\tO' -p205451 -aS'his\this\tPRP$\tB-NP\tO' -p205452 -aS'Psychiatric\tPsychiatric\tJJ\tI-NP\tO' -p205453 -aS'progress\tprogress\tNN\tI-NP\tO' -p205454 -aS'is\tbe\tVBZ\tB-VP\tO' -p205455 -aS'detailed\tdetail\tVBN\tI-VP\tO' -p205456 -aS'in\tin\tIN\tB-PP\tO' -p205457 -aS'the\tthe\tDT\tB-NP\tO' -p205458 -aS'Psychiatry\tPsychiatry\tNN\tI-NP\tO' -p205459 -aS'transfer\ttransfer\tNN\tI-NP\tO' -p205460 -aS'note\tnote\tNN\tI-NP\tO' -p205461 -aS'.\t.\t.\tO\tO' -p205462 -asS'The patient began to experience urinary retention and was straight catheterized .' -p205463 -(lp205464 -S'The\tThe\tDT\tB-NP\tO' -p205465 -aS'patient\tpatient\tNN\tI-NP\tO' -p205466 -aS'began\tbegin\tVBD\tB-VP\tO' -p205467 -aS'to\tto\tTO\tI-VP\tO' -p205468 -aS'experience\texperience\tVB\tI-VP\tO' -p205469 -aS'urinary\turinary\tJJ\tB-NP\tO' -p205470 -aS'retention\tretention\tNN\tI-NP\tO' -p205471 -aS'and\tand\tCC\tO\tO' -p205472 -aS'was\tbe\tVBD\tB-VP\tO' -p205473 -aS'straight\tstraight\tRB\tI-VP\tO' -p205474 -aS'catheterized\tcatheterize\tVBN\tI-VP\tO' -p205475 -aS'.\t.\t.\tO\tO' -p205476 -asS'The patient is a 69 year-old white gentleman who is status post a coronary artery bypass graft in 1985 with a large anterior septal myocardial infarction intraoperatively .' -p205477 -(lp205478 -S'The\tThe\tDT\tB-NP\tO' -p205479 -aS'patient\tpatient\tNN\tI-NP\tO' -p205480 -aS'is\tbe\tVBZ\tB-VP\tO' -p205481 -aS'a\ta\tDT\tB-NP\tO' -p205482 -aS'69\t69\tCD\tI-NP\tO' -p205483 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p205484 -aS'white\twhite\tJJ\tI-NP\tO' -p205485 -aS'gentleman\tgentleman\tNN\tI-NP\tO' -p205486 -aS'who\twho\tWP\tB-NP\tO' -p205487 -aS'is\tbe\tVBZ\tB-VP\tO' -p205488 -aS'status\tstatus\tNN\tB-NP\tO' -p205489 -aS'post\tpost\tIN\tB-PP\tO' -p205490 -aS'a\ta\tDT\tB-NP\tO' -p205491 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p205492 -aS'artery\tartery\tNN\tI-NP\tO' -p205493 -aS'bypass\tbypass\tIN\tB-PP\tO' -p205494 -aS'graft\tgraft\tNN\tB-NP\tO' -p205495 -aS'in\tin\tIN\tB-PP\tO' -p205496 -aS'1985\t1985\tCD\tB-NP\tO' -p205497 -aS'with\twith\tIN\tB-PP\tO' -p205498 -aS'a\ta\tDT\tB-NP\tO' -p205499 -aS'large\tlarge\tJJ\tI-NP\tO' -p205500 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p205501 -aS'septal\tseptal\tJJ\tI-NP\tO' -p205502 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p205503 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p205504 -aS'intraoperatively\tintraoperatively\tRB\tB-ADVP\tO' -p205505 -aS'.\t.\t.\tO\tO' -p205506 -asS'On 5/19 , she had an echocardiogram done which was to be evaluated as an out patient .' -p205507 -(lp205508 -S'On\tOn\tIN\tB-PP\tO' -p205509 -aS'5/19\t5/19\tCD\tB-NP\tO' -p205510 -aS',\t,\t,\tO\tO' -p205511 -aS'she\tshe\tPRP\tB-NP\tO' -p205512 -aS'had\thave\tVBD\tB-VP\tO' -p205513 -aS'an\tan\tDT\tB-NP\tO' -p205514 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p205515 -aS'done\tdone\tNN\tI-NP\tO' -p205516 -aS'which\twhich\tWDT\tB-NP\tO' -p205517 -aS'was\tbe\tVBD\tB-VP\tO' -p205518 -aS'to\tto\tTO\tI-VP\tO' -p205519 -aS'be\tbe\tVB\tI-VP\tO' -p205520 -aS'evaluated\tevaluate\tVBN\tI-VP\tO' -p205521 -aS'as\tas\tIN\tB-PP\tO' -p205522 -aS'an\tan\tDT\tB-NP\tO' -p205523 -aS'out\tout\tJJ\tI-NP\tO' -p205524 -aS'patient\tpatient\tNN\tI-NP\tO' -p205525 -aS'.\t.\t.\tO\tO' -p205526 -asS'No aortic stenosis or aortic regurgitation is seen .' -p205527 -(lp205528 -S'No\tNo\tDT\tB-NP\tO' -p205529 -aS'aortic\taortic\tJJ\tI-NP\tO' -p205530 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p205531 -aS'or\tor\tCC\tO\tO' -p205532 -aS'aortic\taortic\tJJ\tB-NP\tO' -p205533 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p205534 -aS'is\tbe\tVBZ\tB-VP\tO' -p205535 -aS'seen\tsee\tVBN\tI-VP\tO' -p205536 -aS'.\t.\t.\tO\tO' -p205537 -asS'On admission included HEENT exam which was normal .' -p205538 -(lp205539 -S'On\tOn\tIN\tB-PP\tO' -p205540 -aS'admission\tadmission\tNN\tB-NP\tO' -p205541 -aS'included\tinclude\tVBD\tB-VP\tO' -p205542 -aS'HEENT\tHEENT\tNN\tB-NP\tO' -p205543 -aS'exam\texam\tNN\tI-NP\tO' -p205544 -aS'which\twhich\tWDT\tB-NP\tO' -p205545 -aS'was\tbe\tVBD\tB-VP\tO' -p205546 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p205547 -aS'.\t.\t.\tO\tO' -p205548 -asS'7. There is no pericardial effusion .' -p205549 -(lp205550 -S'7.\t7.\tLS\tB-LST\tO' -p205551 -aS'There\tThere\tEX\tB-NP\tO' -p205552 -aS'is\tbe\tVBZ\tB-VP\tO' -p205553 -aS'no\tno\tDT\tB-NP\tO' -p205554 -aS'pericardial\tpericardial\tJJ\tI-NP\tO' -p205555 -aS'effusion\teffusion\tNN\tI-NP\tO' -p205556 -aS'.\t.\t.\tO\tO' -p205557 -asS'Pt is a 78 yo male with atrial fibrillation , s/p multiple CVA s, CHF , HTN , DM2 transferred from the CMED CCU s/p intervention for cholangitis .' -p205558 -(lp205559 -S'Pt\tPt\tNN\tB-NP\tO' -p205560 -aS'is\tbe\tVBZ\tB-VP\tO' -p205561 -aS'a\ta\tDT\tB-NP\tO' -p205562 -aS'78\t78\tCD\tI-NP\tO' -p205563 -aS'yo\tyo\tNN\tI-NP\tO' -p205564 -aS'male\tmale\tJJ\tB-ADJP\tO' -p205565 -aS'with\twith\tIN\tB-PP\tO' -p205566 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p205567 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p205568 -aS',\t,\t,\tO\tO' -p205569 -aS's/p\ts/p\tNN\tB-NP\tO' -p205570 -aS'multiple\tmultiple\tJJ\tI-NP\tO' -p205571 -aS'CVA\tCVA\tNN\tI-NP\tO' -p205572 -aS's,\ts,\tNN\tI-NP\tO' -p205573 -aS'CHF\tCHF\tNN\tI-NP\tO' -p205574 -aS',\t,\t,\tO\tO' -p205575 -aS'HTN\tHTN\tNN\tB-NP\tB-protein' -p205576 -aS',\t,\t,\tO\tO' -p205577 -aS'DM2\tDM2\tNN\tB-NP\tB-protein' -p205578 -aS'transferred\ttransfer\tVBN\tB-VP\tO' -p205579 -aS'from\tfrom\tIN\tB-PP\tO' -p205580 -aS'the\tthe\tDT\tB-NP\tO' -p205581 -aS'CMED\tCMED\tVBN\tI-NP\tO' -p205582 -aS'CCU\tCCU\tNN\tI-NP\tO' -p205583 -aS's/p\ts/p\tNN\tI-NP\tO' -p205584 -aS'intervention\tintervention\tNN\tI-NP\tO' -p205585 -aS'for\tfor\tIN\tB-PP\tO' -p205586 -aS'cholangitis\tcholangitis\tNN\tB-NP\tO' -p205587 -aS'.\t.\t.\tO\tO' -p205588 -asS'Atrial fibrillation ( on Coumadin )' -p205589 -(lp205590 -S'Atrial\tAtrial\tJJ\tB-NP\tO' -p205591 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p205592 -aS'(\t(\t(\tO\tO' -p205593 -aS'on\ton\tIN\tB-PP\tO' -p205594 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p205595 -aS')\t)\t)\tO\tO' -p205596 -asS'Please schedule an appointment with your orthopedic surgeon to determine a plan for treatment .' -p205597 -(lp205598 -S'Please\tPlease\tVB\tB-VP\tO' -p205599 -aS'schedule\tschedule\tVB\tI-VP\tO' -p205600 -aS'an\tan\tDT\tB-NP\tO' -p205601 -aS'appointment\tappointment\tNN\tI-NP\tO' -p205602 -aS'with\twith\tIN\tB-PP\tO' -p205603 -aS'your\tyour\tPRP$\tB-NP\tO' -p205604 -aS'orthopedic\torthopedic\tJJ\tI-NP\tO' -p205605 -aS'surgeon\tsurgeon\tNN\tI-NP\tO' -p205606 -aS'to\tto\tTO\tB-VP\tO' -p205607 -aS'determine\tdetermine\tVB\tI-VP\tO' -p205608 -aS'a\ta\tDT\tB-NP\tO' -p205609 -aS'plan\tplan\tNN\tI-NP\tO' -p205610 -aS'for\tfor\tIN\tB-PP\tO' -p205611 -aS'treatment\ttreatment\tNN\tB-NP\tO' -p205612 -aS'.\t.\t.\tO\tO' -p205613 -asS'This is to notify you that your patient , RHALTDEALBBREUTZ , STA arrived in the Emergency Department at Oaksgekesser/ Memorial Hospital on 01/04/2001 07:21 PM .' -p205614 -(lp205615 -S'This\tThis\tDT\tB-NP\tO' -p205616 -aS'is\tbe\tVBZ\tB-VP\tO' -p205617 -aS'to\tto\tTO\tB-VP\tO' -p205618 -aS'notify\tnotify\tVB\tI-VP\tO' -p205619 -aS'you\tyou\tPRP\tB-NP\tO' -p205620 -aS'that\tthat\tIN\tB-SBAR\tO' -p205621 -aS'your\tyour\tPRP$\tB-NP\tO' -p205622 -aS'patient\tpatient\tNN\tI-NP\tO' -p205623 -aS',\t,\t,\tO\tO' -p205624 -aS'RHALTDEALBBREUTZ\tRHALTDEALBBREUTZ\tNN\tB-NP\tB-protein' -p205625 -aS',\t,\t,\tO\tO' -p205626 -aS'STA\tSTA\tNN\tB-NP\tB-protein' -p205627 -aS'arrived\tarrive\tVBD\tB-VP\tO' -p205628 -aS'in\tin\tIN\tB-PP\tO' -p205629 -aS'the\tthe\tDT\tB-NP\tO' -p205630 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p205631 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p205632 -aS'at\tat\tIN\tB-PP\tO' -p205633 -aS'Oaksgekesser/\tOaksgekesser/\tNNP\tB-NP\tO' -p205634 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p205635 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p205636 -aS'on\ton\tIN\tB-PP\tO' -p205637 -aS'01/04/2001\t01/04/2001\tCD\tB-NP\tO' -p205638 -aS'07:21\t07:21\tCD\tI-NP\tO' -p205639 -aS'PM\tPM\tNN\tI-NP\tO' -p205640 -aS'.\t.\t.\tO\tO' -p205641 -asS'A chest X-ray showed diffuse bilateral alveolar infiltrates , greater in the lower lung fields than in the upper .' -p205642 -(lp205643 -S'A\tA\tDT\tB-NP\tO' -p205644 -aS'chest\tchest\tNN\tI-NP\tO' -p205645 -aS'X-ray\tX-ray\tNN\tI-NP\tO' -p205646 -aS'showed\tshow\tVBD\tB-VP\tO' -p205647 -aS'diffuse\tdiffuse\tJJ\tB-NP\tO' -p205648 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p205649 -aS'alveolar\talveolar\tJJ\tI-NP\tO' -p205650 -aS'infiltrates\tinfiltrate\tNNS\tI-NP\tO' -p205651 -aS',\t,\t,\tO\tO' -p205652 -aS'greater\tgreat\tJJR\tB-ADJP\tO' -p205653 -aS'in\tin\tIN\tB-PP\tO' -p205654 -aS'the\tthe\tDT\tB-NP\tO' -p205655 -aS'lower\tlow\tJJR\tI-NP\tO' -p205656 -aS'lung\tlung\tNN\tI-NP\tO' -p205657 -aS'fields\tfield\tNNS\tI-NP\tO' -p205658 -aS'than\tthan\tIN\tB-PP\tO' -p205659 -aS'in\tin\tIN\tB-PP\tO' -p205660 -aS'the\tthe\tDT\tB-NP\tO' -p205661 -aS'upper\tupper\tNN\tI-NP\tO' -p205662 -aS'.\t.\t.\tO\tO' -p205663 -asS'House / 2 gm Na / Low saturated fat low cholesterol / 2 gram K+ , Renal diet < I > < FDI >' -p205664 -(lp205665 -S'House\tHouse\tNNP\tB-NP\tO' -p205666 -aS'/\t/\tSYM\tI-NP\tO' -p205667 -aS'2\t2\tCD\tI-NP\tO' -p205668 -aS'gm\tgm\tNN\tI-NP\tO' -p205669 -aS'Na\tNa\tNN\tI-NP\tO' -p205670 -aS'/\t/\tSYM\tB-NP\tO' -p205671 -aS'Low\tLow\tNN\tI-NP\tO' -p205672 -aS'saturated\tsaturate\tVBD\tB-VP\tO' -p205673 -aS'fat\tfat\tJJ\tB-NP\tO' -p205674 -aS'low\tlow\tJJ\tI-NP\tO' -p205675 -aS'cholesterol\tcholesterol\tNN\tI-NP\tO' -p205676 -aS'/\t/\tSYM\tB-NP\tO' -p205677 -aS'2\t2\tCD\tI-NP\tO' -p205678 -aS'gram\tgram\tNN\tI-NP\tO' -p205679 -aS'K+\tK+\tNN\tI-NP\tO' -p205680 -aS',\t,\t,\tO\tO' -p205681 -aS'Renal\tRenal\tJJ\tB-NP\tO' -p205682 -aS'diet\tdiet\tNN\tI-NP\tO' -p205683 -aS'<\t<\tCC\tO\tO' -p205684 -aS'I\tI\tPRP\tB-NP\tO' -p205685 -aS'>\t>\tVBP\tB-VP\tO' -p205686 -aS'<\t<\t:\tO\tB-cell_type' -p205687 -aS'FDI\tFDI\tNNP\tB-NP\tI-cell_type' -p205688 -aS'>\t>\t:\tO\tI-cell_type' -p205689 -asS'Neuro : DTR 3+ upper and lower extremities , symmetric bilaterally .' -p205690 -(lp205691 -S'Neuro\tNeuro\tNNP\tB-NP\tO' -p205692 -aS':\t:\t:\tO\tO' -p205693 -aS'DTR\tDTR\tNN\tB-NP\tO' -p205694 -aS'3+\t3+\tJJ\tI-NP\tO' -p205695 -aS'upper\tupper\tJJ\tI-NP\tO' -p205696 -aS'and\tand\tCC\tI-NP\tO' -p205697 -aS'lower\tlow\tJJR\tI-NP\tO' -p205698 -aS'extremities\textremity\tNNS\tI-NP\tO' -p205699 -aS',\t,\t,\tO\tO' -p205700 -aS'symmetric\tsymmetric\tJJ\tB-ADJP\tO' -p205701 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p205702 -aS'.\t.\t.\tO\tO' -p205703 -asS'She was seen at A Memorial Hospital where her blood pressure was measured at 240/120 and was found to have a mild left hemiparesis .' -p205704 -(lp205705 -S'She\tShe\tPRP\tB-NP\tO' -p205706 -aS'was\tbe\tVBD\tB-VP\tO' -p205707 -aS'seen\tsee\tVBN\tI-VP\tO' -p205708 -aS'at\tat\tIN\tB-PP\tO' -p205709 -aS'A\tA\tNNP\tB-NP\tO' -p205710 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p205711 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p205712 -aS'where\twhere\tWRB\tB-ADVP\tO' -p205713 -aS'her\ther\tPRP$\tB-NP\tO' -p205714 -aS'blood\tblood\tNN\tI-NP\tO' -p205715 -aS'pressure\tpressure\tNN\tI-NP\tO' -p205716 -aS'was\tbe\tVBD\tB-VP\tO' -p205717 -aS'measured\tmeasure\tVBN\tI-VP\tO' -p205718 -aS'at\tat\tIN\tB-PP\tO' -p205719 -aS'240/120\t240/120\tCD\tB-NP\tO' -p205720 -aS'and\tand\tCC\tO\tO' -p205721 -aS'was\tbe\tVBD\tB-VP\tO' -p205722 -aS'found\tfind\tVBN\tI-VP\tO' -p205723 -aS'to\tto\tTO\tI-VP\tO' -p205724 -aS'have\thave\tVB\tI-VP\tO' -p205725 -aS'a\ta\tDT\tB-NP\tO' -p205726 -aS'mild\tmild\tJJ\tI-NP\tO' -p205727 -aS'left\tleft\tJJ\tI-NP\tO' -p205728 -aS'hemiparesis\themiparesis\tNN\tI-NP\tO' -p205729 -aS'.\t.\t.\tO\tO' -p205730 -asS'It has not been sudden or acute .' -p205731 -(lp205732 -S'It\tIt\tPRP\tB-NP\tO' -p205733 -aS'has\thave\tVBZ\tB-VP\tO' -p205734 -aS'not\tnot\tRB\tI-VP\tO' -p205735 -aS'been\tbe\tVBN\tI-VP\tO' -p205736 -aS'sudden\tsudden\tJJ\tB-ADJP\tO' -p205737 -aS'or\tor\tCC\tI-ADJP\tO' -p205738 -aS'acute\tacute\tJJ\tI-ADJP\tO' -p205739 -aS'.\t.\t.\tO\tO' -p205740 -asS'4. Amoxicillin-Pot Clavulanate 875-125 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ) for 10 days .' -p205741 -(lp205742 -S'4.\t4.\tLS\tB-LST\tO' -p205743 -aS'Amoxicillin-Pot\tAmoxicillin-Pot\t:\tO\tO' -p205744 -aS'Clavulanate\tClavulanate\tVB\tB-VP\tO' -p205745 -aS'875-125\t875-125\tCD\tB-NP\tO' -p205746 -aS'mg\tmg\tNN\tI-NP\tO' -p205747 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p205748 -aS'Sig\tSig\tNNP\tI-NP\tO' -p205749 -aS':\t:\t:\tO\tO' -p205750 -aS'One\tOne\tCD\tB-NP\tO' -p205751 -aS'(\t(\t(\tO\tO' -p205752 -aS'1\t1\tCD\tB-NP\tO' -p205753 -aS')\t)\t)\tO\tO' -p205754 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p205755 -aS'PO\tPO\tNN\tI-NP\tO' -p205756 -aS'BID\tBID\tNN\tI-NP\tO' -p205757 -aS'(\t(\t(\tO\tO' -p205758 -aS'2\t2\tCD\tB-NP\tO' -p205759 -aS'times\ttime\tNNS\tI-NP\tO' -p205760 -aS'a\ta\tDT\tB-NP\tO' -p205761 -aS'day\tday\tNN\tI-NP\tO' -p205762 -aS')\t)\t)\tO\tO' -p205763 -aS'for\tfor\tIN\tB-PP\tO' -p205764 -aS'10\t10\tCD\tB-NP\tO' -p205765 -aS'days\tday\tNNS\tI-NP\tO' -p205766 -aS'.\t.\t.\tO\tO' -p205767 -asS'Urology at OSH against pulling tube because coagulopathy and may not be able to replace .' -p205768 -(lp205769 -S'Urology\tUrology\tNN\tB-NP\tO' -p205770 -aS'at\tat\tIN\tB-PP\tO' -p205771 -aS'OSH\tOSH\tNN\tB-NP\tO' -p205772 -aS'against\tagainst\tIN\tB-PP\tO' -p205773 -aS'pulling\tpull\tVBG\tB-VP\tO' -p205774 -aS'tube\ttube\tNN\tB-NP\tO' -p205775 -aS'because\tbecause\tIN\tB-SBAR\tO' -p205776 -aS'coagulopathy\tcoagulopathy\tNN\tB-NP\tO' -p205777 -aS'and\tand\tCC\tO\tO' -p205778 -aS'may\tmay\tMD\tB-VP\tO' -p205779 -aS'not\tnot\tRB\tI-VP\tO' -p205780 -aS'be\tbe\tVB\tI-VP\tO' -p205781 -aS'able\table\tJJ\tB-ADJP\tO' -p205782 -aS'to\tto\tTO\tB-VP\tO' -p205783 -aS'replace\treplace\tVB\tI-VP\tO' -p205784 -aS'.\t.\t.\tO\tO' -p205785 -asS'41 yo man with CRFs of DM Type II , high cholesterol , smoking history , family hx , HTN p / w episodes of atypical CP x 1 week , with rest and exertion .' -p205786 -(lp205787 -S'41\t41\tCD\tB-NP\tO' -p205788 -aS'yo\tyo\tNN\tI-NP\tO' -p205789 -aS'man\tman\tNN\tI-NP\tO' -p205790 -aS'with\twith\tIN\tB-PP\tO' -p205791 -aS'CRFs\tCRF\tNNS\tB-NP\tB-protein' -p205792 -aS'of\tof\tIN\tB-PP\tO' -p205793 -aS'DM\tDM\tNN\tB-NP\tB-protein' -p205794 -aS'Type\tType\tNN\tI-NP\tI-protein' -p205795 -aS'II\tII\tCD\tI-NP\tI-protein' -p205796 -aS',\t,\t,\tO\tO' -p205797 -aS'high\thigh\tJJ\tB-NP\tO' -p205798 -aS'cholesterol\tcholesterol\tNN\tI-NP\tO' -p205799 -aS',\t,\t,\tO\tO' -p205800 -aS'smoking\tsmoking\tNN\tB-NP\tO' -p205801 -aS'history\thistory\tNN\tI-NP\tO' -p205802 -aS',\t,\t,\tO\tO' -p205803 -aS'family\tfamily\tNN\tB-NP\tO' -p205804 -aS'hx\thx\tNN\tI-NP\tO' -p205805 -aS',\t,\t,\tO\tO' -p205806 -aS'HTN\tHTN\tNN\tB-NP\tB-protein' -p205807 -aS'p\tp\tNN\tI-NP\tI-protein' -p205808 -aS'/\t/\tSYM\tB-VP\tO' -p205809 -aS'w\tw\tNN\tB-NP\tO' -p205810 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p205811 -aS'of\tof\tIN\tB-PP\tO' -p205812 -aS'atypical\tatypical\tJJ\tB-NP\tB-protein' -p205813 -aS'CP\tCP\tNN\tI-NP\tI-protein' -p205814 -aS'x\tx\tSYM\tB-NP\tI-protein' -p205815 -aS'1\t1\tCD\tI-NP\tI-protein' -p205816 -aS'week\tweek\tNN\tI-NP\tI-protein' -p205817 -aS',\t,\t,\tO\tO' -p205818 -aS'with\twith\tIN\tB-PP\tO' -p205819 -aS'rest\trest\tNN\tB-NP\tO' -p205820 -aS'and\tand\tCC\tI-NP\tO' -p205821 -aS'exertion\texertion\tNN\tI-NP\tO' -p205822 -aS'.\t.\t.\tO\tO' -p205823 -asS'She has been doing Betadine paint and blow drying the area several times a day and after each bowel movement and urine without incident .' -p205824 -(lp205825 -S'She\tShe\tPRP\tB-NP\tO' -p205826 -aS'has\thave\tVBZ\tB-VP\tO' -p205827 -aS'been\tbe\tVBN\tI-VP\tO' -p205828 -aS'doing\tdo\tVBG\tI-VP\tO' -p205829 -aS'Betadine\tBetadine\tNN\tB-NP\tO' -p205830 -aS'paint\tpaint\tNN\tI-NP\tO' -p205831 -aS'and\tand\tCC\tI-NP\tO' -p205832 -aS'blow\tblow\tNN\tI-NP\tO' -p205833 -aS'drying\tdry\tVBG\tB-VP\tO' -p205834 -aS'the\tthe\tDT\tB-NP\tO' -p205835 -aS'area\tarea\tNN\tI-NP\tO' -p205836 -aS'several\tseveral\tJJ\tB-NP\tO' -p205837 -aS'times\ttime\tNNS\tI-NP\tO' -p205838 -aS'a\ta\tDT\tB-NP\tO' -p205839 -aS'day\tday\tNN\tI-NP\tO' -p205840 -aS'and\tand\tCC\tB-PP\tO' -p205841 -aS'after\tafter\tIN\tB-PP\tO' -p205842 -aS'each\teach\tDT\tB-NP\tO' -p205843 -aS'bowel\tbowel\tNN\tI-NP\tO' -p205844 -aS'movement\tmovement\tNN\tI-NP\tO' -p205845 -aS'and\tand\tCC\tI-NP\tO' -p205846 -aS'urine\turine\tNN\tI-NP\tO' -p205847 -aS'without\twithout\tIN\tB-PP\tO' -p205848 -aS'incident\tincident\tNN\tB-NP\tO' -p205849 -aS'.\t.\t.\tO\tO' -p205850 -asS'She received clear liquids in the evening and tolerated these well .' -p205851 -(lp205852 -S'She\tShe\tPRP\tB-NP\tO' -p205853 -aS'received\treceive\tVBD\tB-VP\tO' -p205854 -aS'clear\tclear\tJJ\tB-NP\tO' -p205855 -aS'liquids\tliquid\tNNS\tI-NP\tO' -p205856 -aS'in\tin\tIN\tB-PP\tO' -p205857 -aS'the\tthe\tDT\tB-NP\tO' -p205858 -aS'evening\tevening\tNN\tI-NP\tO' -p205859 -aS'and\tand\tCC\tO\tO' -p205860 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p205861 -aS'these\tthese\tDT\tB-NP\tO' -p205862 -aS'well\twell\tRB\tI-NP\tO' -p205863 -aS'.\t.\t.\tO\tO' -p205864 -asS'On 2017-09-13 , the patient was brought to the operating room and underwent a coiling with stent placement of the left carotid ophthalmic aneurysm .' -p205865 -(lp205866 -S'On\tOn\tIN\tB-PP\tO' -p205867 -aS'2017-09-13\t2017-09-13\tCD\tB-NP\tO' -p205868 -aS',\t,\t,\tO\tO' -p205869 -aS'the\tthe\tDT\tB-NP\tO' -p205870 -aS'patient\tpatient\tNN\tI-NP\tO' -p205871 -aS'was\tbe\tVBD\tB-VP\tO' -p205872 -aS'brought\tbring\tVBN\tI-VP\tO' -p205873 -aS'to\tto\tTO\tB-PP\tO' -p205874 -aS'the\tthe\tDT\tB-NP\tO' -p205875 -aS'operating\toperating\tNN\tI-NP\tO' -p205876 -aS'room\troom\tNN\tI-NP\tO' -p205877 -aS'and\tand\tCC\tO\tO' -p205878 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p205879 -aS'a\ta\tDT\tB-NP\tO' -p205880 -aS'coiling\tcoiling\tNN\tI-NP\tO' -p205881 -aS'with\twith\tIN\tB-PP\tO' -p205882 -aS'stent\tstent\tJJ\tB-NP\tO' -p205883 -aS'placement\tplacement\tNN\tI-NP\tO' -p205884 -aS'of\tof\tIN\tB-PP\tO' -p205885 -aS'the\tthe\tDT\tB-NP\tO' -p205886 -aS'left\tleft\tJJ\tI-NP\tO' -p205887 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p205888 -aS'ophthalmic\tophthalmic\tJJ\tI-NP\tO' -p205889 -aS'aneurysm\taneurysm\tNN\tI-NP\tO' -p205890 -aS'.\t.\t.\tO\tO' -p205891 -asS'She was continued on two liters of oxygen awaiting her CT scan on 06/14 and she developed a new junctional rhythm with a question of a new rub versus murmur on examination .' -p205892 -(lp205893 -S'She\tShe\tPRP\tB-NP\tO' -p205894 -aS'was\tbe\tVBD\tB-VP\tO' -p205895 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p205896 -aS'on\ton\tIN\tB-PP\tO' -p205897 -aS'two\ttwo\tCD\tB-NP\tO' -p205898 -aS'liters\tliter\tNNS\tI-NP\tO' -p205899 -aS'of\tof\tIN\tB-PP\tO' -p205900 -aS'oxygen\toxygen\tNN\tB-NP\tO' -p205901 -aS'awaiting\tawait\tVBG\tB-VP\tO' -p205902 -aS'her\ther\tPRP$\tB-NP\tO' -p205903 -aS'CT\tCT\tNN\tI-NP\tO' -p205904 -aS'scan\tscan\tNN\tI-NP\tO' -p205905 -aS'on\ton\tIN\tB-PP\tO' -p205906 -aS'06/14\t06/14\tCD\tB-NP\tO' -p205907 -aS'and\tand\tCC\tO\tO' -p205908 -aS'she\tshe\tPRP\tB-NP\tO' -p205909 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p205910 -aS'a\ta\tDT\tB-NP\tO' -p205911 -aS'new\tnew\tJJ\tI-NP\tO' -p205912 -aS'junctional\tjunctional\tJJ\tI-NP\tO' -p205913 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p205914 -aS'with\twith\tIN\tB-PP\tO' -p205915 -aS'a\ta\tDT\tB-NP\tO' -p205916 -aS'question\tquestion\tNN\tI-NP\tO' -p205917 -aS'of\tof\tIN\tB-PP\tO' -p205918 -aS'a\ta\tDT\tB-NP\tO' -p205919 -aS'new\tnew\tJJ\tI-NP\tO' -p205920 -aS'rub\trub\tNN\tI-NP\tO' -p205921 -aS'versus\tversus\tIN\tB-PP\tO' -p205922 -aS'murmur\tmurmur\tNN\tB-NP\tO' -p205923 -aS'on\ton\tIN\tB-PP\tO' -p205924 -aS'examination\texamination\tNN\tB-NP\tO' -p205925 -aS'.\t.\t.\tO\tO' -p205926 -asS'She was able to give a detailed history in an organized manner .' -p205927 -(lp205928 -S'She\tShe\tPRP\tB-NP\tO' -p205929 -aS'was\tbe\tVBD\tB-VP\tO' -p205930 -aS'able\table\tJJ\tB-ADJP\tO' -p205931 -aS'to\tto\tTO\tB-VP\tO' -p205932 -aS'give\tgive\tVB\tI-VP\tO' -p205933 -aS'a\ta\tDT\tB-NP\tO' -p205934 -aS'detailed\tdetailed\tJJ\tI-NP\tO' -p205935 -aS'history\thistory\tNN\tI-NP\tO' -p205936 -aS'in\tin\tIN\tB-PP\tO' -p205937 -aS'an\tan\tDT\tB-NP\tO' -p205938 -aS'organized\torganize\tVBN\tI-NP\tO' -p205939 -aS'manner\tmanner\tNN\tI-NP\tO' -p205940 -aS'.\t.\t.\tO\tO' -p205941 -asS'RPR nonreactive , rubella immune .' -p205942 -(lp205943 -S'RPR\tRPR\tNN\tB-NP\tB-protein' -p205944 -aS'nonreactive\tnonreactive\tJJ\tB-ADJP\tO' -p205945 -aS',\t,\t,\tO\tO' -p205946 -aS'rubella\trubella\tNN\tB-NP\tO' -p205947 -aS'immune\timmune\tJJ\tB-ADJP\tO' -p205948 -aS'.\t.\t.\tO\tO' -p205949 -asS'Heart exam revealed a soft S1 and S2 , no murmur was heard , no S3 .' -p205950 -(lp205951 -S'Heart\tHeart\tNN\tB-NP\tO' -p205952 -aS'exam\texam\tNN\tI-NP\tO' -p205953 -aS'revealed\treveal\tVBD\tB-VP\tO' -p205954 -aS'a\ta\tDT\tB-NP\tO' -p205955 -aS'soft\tsoft\tJJ\tI-NP\tO' -p205956 -aS'S1\tS1\tNN\tI-NP\tB-protein' -p205957 -aS'and\tand\tCC\tO\tO' -p205958 -aS'S2\tS2\tNN\tB-NP\tB-protein' -p205959 -aS',\t,\t,\tO\tO' -p205960 -aS'no\tno\tDT\tB-NP\tO' -p205961 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p205962 -aS'was\tbe\tVBD\tB-VP\tO' -p205963 -aS'heard\thear\tVBN\tI-VP\tO' -p205964 -aS',\t,\t,\tO\tO' -p205965 -aS'no\tno\tDT\tB-NP\tO' -p205966 -aS'S3\tS3\tNN\tI-NP\tB-protein' -p205967 -aS'.\t.\t.\tO\tO' -p205968 -asS'IV Daptomycin was continued via PICC line which was inserted on 02-20 at MWMC .' -p205969 -(lp205970 -S'IV\tIV\tCD\tB-NP\tO' -p205971 -aS'Daptomycin\tDaptomycin\tNN\tI-NP\tO' -p205972 -aS'was\tbe\tVBD\tB-VP\tO' -p205973 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p205974 -aS'via\tvia\tIN\tB-PP\tO' -p205975 -aS'PICC\tPICC\tNN\tB-NP\tB-cell_line' -p205976 -aS'line\tline\tNN\tI-NP\tI-cell_line' -p205977 -aS'which\twhich\tWDT\tB-NP\tO' -p205978 -aS'was\tbe\tVBD\tB-VP\tO' -p205979 -aS'inserted\tinsert\tVBN\tI-VP\tO' -p205980 -aS'on\ton\tIN\tB-PP\tO' -p205981 -aS'02-20\t02-20\tCD\tB-NP\tO' -p205982 -aS'at\tat\tIN\tB-PP\tO' -p205983 -aS'MWMC\tMWMC\tNN\tB-NP\tB-protein' -p205984 -aS'.\t.\t.\tO\tO' -p205985 -asS'Medications at the time of admission include Dapsone 50 mg p.o. on Monday , Wednesday and Friday , Ceftazidime 1 gram IV q. 8 hours , Cipro 750 mg p.o. b.i.d. , Acyclovir 400 mg p.o. q. day , Megastrol 80 mg p.o. t.i.d. and G-CSF 150 micrograms subcu b.i.d.' -p205986 -(lp205987 -S'Medications\tMedication\tNNS\tB-NP\tO' -p205988 -aS'at\tat\tIN\tB-PP\tO' -p205989 -aS'the\tthe\tDT\tB-NP\tO' -p205990 -aS'time\ttime\tNN\tI-NP\tO' -p205991 -aS'of\tof\tIN\tB-PP\tO' -p205992 -aS'admission\tadmission\tNN\tB-NP\tO' -p205993 -aS'include\tinclude\tVBP\tB-VP\tO' -p205994 -aS'Dapsone\tDapsone\tNN\tB-NP\tO' -p205995 -aS'50\t50\tCD\tI-NP\tO' -p205996 -aS'mg\tmg\tNN\tI-NP\tO' -p205997 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p205998 -aS'on\ton\tIN\tB-PP\tO' -p205999 -aS'Monday\tMonday\tNNP\tB-NP\tO' -p206000 -aS',\t,\t,\tO\tO' -p206001 -aS'Wednesday\tWednesday\tNNP\tB-NP\tO' -p206002 -aS'and\tand\tCC\tO\tO' -p206003 -aS'Friday\tFriday\tNNP\tB-NP\tO' -p206004 -aS',\t,\t,\tO\tO' -p206005 -aS'Ceftazidime\tCeftazidime\tNNP\tB-NP\tO' -p206006 -aS'1\t1\tCD\tI-NP\tO' -p206007 -aS'gram\tgram\tNN\tI-NP\tO' -p206008 -aS'IV\tIV\tCD\tB-NP\tO' -p206009 -aS'q.\tq.\tNN\tI-NP\tO' -p206010 -aS'8\t8\tCD\tB-NP\tO' -p206011 -aS'hours\thour\tNNS\tI-NP\tO' -p206012 -aS',\t,\t,\tO\tO' -p206013 -aS'Cipro\tCipro\tNN\tB-NP\tO' -p206014 -aS'750\t750\tCD\tI-NP\tO' -p206015 -aS'mg\tmg\tNN\tI-NP\tO' -p206016 -aS'p.o.\tp.o.\tFW\tB-ADVP\tO' -p206017 -aS'b.i.d.\tb.i.d.\tFW\tI-ADVP\tO' -p206018 -aS',\t,\t,\tO\tO' -p206019 -aS'Acyclovir\tAcyclovir\tNNP\tB-NP\tO' -p206020 -aS'400\t400\tCD\tI-NP\tO' -p206021 -aS'mg\tmg\tNN\tI-NP\tO' -p206022 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p206023 -aS'q.\tq.\tNN\tI-NP\tO' -p206024 -aS'day\tday\tNN\tI-NP\tO' -p206025 -aS',\t,\t,\tO\tO' -p206026 -aS'Megastrol\tMegastrol\tNN\tB-NP\tO' -p206027 -aS'80\t80\tCD\tI-NP\tO' -p206028 -aS'mg\tmg\tNN\tI-NP\tO' -p206029 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p206030 -aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' -p206031 -aS'and\tand\tCC\tI-NP\tO' -p206032 -aS'G-CSF\tG-CSF\tNN\tI-NP\tB-protein' -p206033 -aS'150\t150\tCD\tB-NP\tO' -p206034 -aS'micrograms\tmicrogram\tNNS\tI-NP\tO' -p206035 -aS'subcu\tsubcu\tNN\tI-NP\tO' -p206036 -aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' -p206037 -asS'The patient is discharged on Mylanta 30 cc with meals , Carafate 1 gm q. 6 , Heparin 5000 units subcutaneous b.i.d. until the patient regains full activity and IV hydration .' -p206038 -(lp206039 -S'The\tThe\tDT\tB-NP\tO' -p206040 -aS'patient\tpatient\tNN\tI-NP\tO' -p206041 -aS'is\tbe\tVBZ\tB-VP\tO' -p206042 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p206043 -aS'on\ton\tIN\tB-PP\tO' -p206044 -aS'Mylanta\tMylanta\tNNP\tB-NP\tO' -p206045 -aS'30\t30\tCD\tI-NP\tO' -p206046 -aS'cc\tcc\tNN\tI-NP\tO' -p206047 -aS'with\twith\tIN\tB-PP\tO' -p206048 -aS'meals\tmeal\tNNS\tB-NP\tO' -p206049 -aS',\t,\t,\tO\tO' -p206050 -aS'Carafate\tCarafate\tNNP\tB-NP\tO' -p206051 -aS'1\t1\tCD\tI-NP\tO' -p206052 -aS'gm\tgm\tNN\tI-NP\tO' -p206053 -aS'q.\tq.\tNN\tI-NP\tO' -p206054 -aS'6\t6\tCD\tI-NP\tO' -p206055 -aS',\t,\t,\tO\tO' -p206056 -aS'Heparin\tHeparin\tNN\tB-NP\tO' -p206057 -aS'5000\t5000\tCD\tB-NP\tO' -p206058 -aS'units\tunit\tNNS\tI-NP\tO' -p206059 -aS'subcutaneous\tsubcutaneous\tJJ\tB-NP\tO' -p206060 -aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' -p206061 -aS'until\tuntil\tIN\tB-SBAR\tO' -p206062 -aS'the\tthe\tDT\tB-NP\tO' -p206063 -aS'patient\tpatient\tNN\tI-NP\tO' -p206064 -aS'regains\tregain\tVBZ\tB-VP\tO' -p206065 -aS'full\tfull\tJJ\tB-NP\tO' -p206066 -aS'activity\tactivity\tNN\tI-NP\tO' -p206067 -aS'and\tand\tCC\tO\tO' -p206068 -aS'IV\tIV\tCD\tB-NP\tO' -p206069 -aS'hydration\thydration\tNN\tI-NP\tO' -p206070 -aS'.\t.\t.\tO\tO' -p206071 -asS'Positive edema of the left supraglottitis .' -p206072 -(lp206073 -S'Positive\tPositive\tJJ\tB-NP\tO' -p206074 -aS'edema\tedema\tNN\tI-NP\tO' -p206075 -aS'of\tof\tIN\tB-PP\tO' -p206076 -aS'the\tthe\tDT\tB-NP\tO' -p206077 -aS'left\tleft\tJJ\tI-NP\tO' -p206078 -aS'supraglottitis\tsupraglottitis\tNN\tI-NP\tO' -p206079 -aS'.\t.\t.\tO\tO' -p206080 -asS'Good , still w/ altered mental status but improving .' -p206081 -(lp206082 -S'Good\tGood\tJJ\tB-ADJP\tO' -p206083 -aS',\t,\t,\tO\tO' -p206084 -aS'still\tstill\tRB\tB-ADVP\tO' -p206085 -aS'w/\tw/\tRB\tB-VP\tO' -p206086 -aS'altered\talter\tVBN\tI-VP\tO' -p206087 -aS'mental\tmental\tJJ\tB-NP\tO' -p206088 -aS'status\tstatus\tNN\tI-NP\tO' -p206089 -aS'but\tbut\tCC\tO\tO' -p206090 -aS'improving\timproving\tNN\tB-NP\tO' -p206091 -aS'.\t.\t.\tO\tO' -p206092 -asS'241-260 mg / dL 15 Units' -p206093 -(lp206094 -S'241-260\t241-260\tCD\tB-NP\tO' -p206095 -aS'mg\tmg\tNN\tI-NP\tO' -p206096 -aS'/\t/\tSYM\tB-NP\tO' -p206097 -aS'dL\tdL\tNN\tI-NP\tO' -p206098 -aS'15\t15\tCD\tB-NP\tO' -p206099 -aS'Units\tUnit\tNNS\tI-NP\tO' -p206100 -asS'No abscesses were noted .' -p206101 -(lp206102 -S'No\tNo\tDT\tB-NP\tO' -p206103 -aS'abscesses\tabscess\tNNS\tI-NP\tO' -p206104 -aS'were\tbe\tVBD\tB-VP\tO' -p206105 -aS'noted\tnote\tVBN\tI-VP\tO' -p206106 -aS'.\t.\t.\tO\tO' -p206107 -asS'Due to her chronic diarrhea she was repleted with intravenous fluids .' -p206108 -(lp206109 -S'Due\tDue\tJJ\tB-ADJP\tO' -p206110 -aS'to\tto\tTO\tB-PP\tO' -p206111 -aS'her\ther\tPRP$\tB-NP\tO' -p206112 -aS'chronic\tchronic\tJJ\tI-NP\tO' -p206113 -aS'diarrhea\tdiarrhea\tNN\tI-NP\tO' -p206114 -aS'she\tshe\tPRP\tB-NP\tO' -p206115 -aS'was\tbe\tVBD\tB-VP\tO' -p206116 -aS'repleted\treplete\tVBN\tI-VP\tO' -p206117 -aS'with\twith\tIN\tB-PP\tO' -p206118 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p206119 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p206120 -aS'.\t.\t.\tO\tO' -p206121 -asS'4. Immunizations received : Hepatitis B vaccine was given on 2015-04-25 .' -p206122 -(lp206123 -S'4.\t4.\tLS\tB-NP\tO' -p206124 -aS'Immunizations\tImmunization\tNNS\tI-NP\tO' -p206125 -aS'received\treceive\tVBD\tB-VP\tO' -p206126 -aS':\t:\t:\tO\tO' -p206127 -aS'Hepatitis\tHepatitis\tNN\tB-NP\tO' -p206128 -aS'B\tB\tNN\tI-NP\tO' -p206129 -aS'vaccine\tvaccine\tNN\tI-NP\tO' -p206130 -aS'was\tbe\tVBD\tB-VP\tO' -p206131 -aS'given\tgive\tVBN\tI-VP\tO' -p206132 -aS'on\ton\tIN\tB-PP\tO' -p206133 -aS'2015-04-25\t2015-04-25\tCD\tB-NP\tO' -p206134 -aS'.\t.\t.\tO\tO' -p206135 -asS'She would like to arrange to have her fistula placed at Pre Health and the vascular surgeons there should be contacted regarding this .' -p206136 -(lp206137 -S'She\tShe\tPRP\tB-NP\tO' -p206138 -aS'would\twould\tMD\tB-VP\tO' -p206139 -aS'like\tlike\tVB\tI-VP\tO' -p206140 -aS'to\tto\tTO\tI-VP\tO' -p206141 -aS'arrange\tarrange\tVB\tI-VP\tO' -p206142 -aS'to\tto\tTO\tI-VP\tO' -p206143 -aS'have\thave\tVB\tI-VP\tO' -p206144 -aS'her\ther\tPRP$\tB-NP\tO' -p206145 -aS'fistula\tfistula\tNN\tI-NP\tO' -p206146 -aS'placed\tplace\tVBN\tB-VP\tO' -p206147 -aS'at\tat\tIN\tB-PP\tO' -p206148 -aS'Pre\tPre\tNNP\tB-NP\tO' -p206149 -aS'Health\tHealth\tNNP\tI-NP\tO' -p206150 -aS'and\tand\tCC\tO\tO' -p206151 -aS'the\tthe\tDT\tB-NP\tO' -p206152 -aS'vascular\tvascular\tJJ\tI-NP\tO' -p206153 -aS'surgeons\tsurgeon\tNNS\tI-NP\tO' -p206154 -aS'there\tthere\tEX\tB-NP\tO' -p206155 -aS'should\tshould\tMD\tB-VP\tO' -p206156 -aS'be\tbe\tVB\tI-VP\tO' -p206157 -aS'contacted\tcontact\tVBN\tI-VP\tO' -p206158 -aS'regarding\tregard\tVBG\tB-PP\tO' -p206159 -aS'this\tthis\tDT\tB-NP\tO' -p206160 -aS'.\t.\t.\tO\tO' -p206161 -asS'PAST MEDICAL HISTORY is remarkable for chronic lung disease due to smoking .' -p206162 -(lp206163 -S'PAST\tPAST\tNNP\tB-NP\tO' -p206164 -aS'MEDICAL\tMEDICAL\tNNP\tI-NP\tO' -p206165 -aS'HISTORY\tHISTORY\tNNP\tI-NP\tO' -p206166 -aS'is\tbe\tVBZ\tB-VP\tO' -p206167 -aS'remarkable\tremarkable\tJJ\tB-ADJP\tO' -p206168 -aS'for\tfor\tIN\tB-PP\tO' -p206169 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p206170 -aS'lung\tlung\tNN\tI-NP\tO' -p206171 -aS'disease\tdisease\tNN\tI-NP\tO' -p206172 -aS'due\tdue\tJJ\tB-ADJP\tO' -p206173 -aS'to\tto\tTO\tB-PP\tO' -p206174 -aS'smoking\tsmoking\tNN\tB-NP\tO' -p206175 -aS'.\t.\t.\tO\tO' -p206176 -asS'Also of note was the distal lateral wall hypokinesis .' -p206177 -(lp206178 -S'Also\tAlso\tRB\tB-ADVP\tO' -p206179 -aS'of\tof\tIN\tB-PP\tO' -p206180 -aS'note\tnote\tNN\tB-NP\tO' -p206181 -aS'was\tbe\tVBD\tB-VP\tO' -p206182 -aS'the\tthe\tDT\tB-NP\tO' -p206183 -aS'distal\tdistal\tJJ\tI-NP\tO' -p206184 -aS'lateral\tlateral\tJJ\tI-NP\tO' -p206185 -aS'wall\twall\tNN\tI-NP\tO' -p206186 -aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' -p206187 -aS'.\t.\t.\tO\tO' -p206188 -asS'Disp :* 5 Tablet (s)* Refills :* 0 *' -p206189 -(lp206190 -S'Disp\tDisp\tNN\tB-NP\tO' -p206191 -aS':*\t:*\tSYM\tI-NP\tO' -p206192 -aS'5\t5\tCD\tI-NP\tO' -p206193 -aS'Tablet\tTablet\tNN\tI-NP\tO' -p206194 -aS'(s)*\t(s)*\tSYM\tB-NP\tO' -p206195 -aS'Refills\tRefill\tNNPS\tI-NP\tO' -p206196 -aS':*\t:*\tSYM\tI-NP\tO' -p206197 -aS'0\t0\tCD\tI-NP\tO' -p206198 -aS'*\t*\tSYM\tB-NP\tO' -p206199 -asS'He was transferred to the Intensive Care Unit in relatively stable condition .' -p206200 -(lp206201 -S'He\tHe\tPRP\tB-NP\tO' -p206202 -aS'was\tbe\tVBD\tB-VP\tO' -p206203 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p206204 -aS'to\tto\tTO\tB-PP\tO' -p206205 -aS'the\tthe\tDT\tB-NP\tO' -p206206 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p206207 -aS'Care\tCare\tNNP\tI-NP\tO' -p206208 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p206209 -aS'in\tin\tIN\tB-PP\tO' -p206210 -aS'relatively\trelatively\tRB\tB-NP\tO' -p206211 -aS'stable\tstable\tJJ\tI-NP\tO' -p206212 -aS'condition\tcondition\tNN\tI-NP\tO' -p206213 -aS'.\t.\t.\tO\tO' -p206214 -asS'The patient was discharged to home in good condition .' -p206215 -(lp206216 -S'The\tThe\tDT\tB-NP\tO' -p206217 -aS'patient\tpatient\tNN\tI-NP\tO' -p206218 -aS'was\tbe\tVBD\tB-VP\tO' -p206219 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p206220 -aS'to\tto\tTO\tB-PP\tO' -p206221 -aS'home\thome\tNN\tB-NP\tO' -p206222 -aS'in\tin\tIN\tB-PP\tO' -p206223 -aS'good\tgood\tJJ\tB-NP\tO' -p206224 -aS'condition\tcondition\tNN\tI-NP\tO' -p206225 -aS'.\t.\t.\tO\tO' -p206226 -asS'12. Zantac 150 mg p.o. twice a day .' -p206227 -(lp206228 -S'12.\t12.\tCD\tB-NP\tO' -p206229 -aS'Zantac\tZantac\tNN\tI-NP\tO' -p206230 -aS'150\t150\tCD\tB-NP\tO' -p206231 -aS'mg\tmg\tNN\tI-NP\tO' -p206232 -aS'p.o.\tp.o.\tRB\tB-NP\tO' -p206233 -aS'twice\ttwice\tRB\tI-NP\tO' -p206234 -aS'a\ta\tDT\tI-NP\tO' -p206235 -aS'day\tday\tNN\tI-NP\tO' -p206236 -aS'.\t.\t.\tO\tO' -p206237 -asS'5 ) severe kyphosis .' -p206238 -(lp206239 -S'5\t5\tLS\tB-LST\tO' -p206240 -aS')\t)\t)\tO\tO' -p206241 -aS'severe\tsevere\tJJ\tB-NP\tO' -p206242 -aS'kyphosis\tkyphosis\tNN\tI-NP\tO' -p206243 -aS'.\t.\t.\tO\tO' -p206244 -asS'At that time , she had clear coronary arteries on coronary angiography and an ejection fraction greater than 50% .' -p206245 -(lp206246 -S'At\tAt\tIN\tB-PP\tO' -p206247 -aS'that\tthat\tDT\tB-NP\tO' -p206248 -aS'time\ttime\tNN\tI-NP\tO' -p206249 -aS',\t,\t,\tO\tO' -p206250 -aS'she\tshe\tPRP\tB-NP\tO' -p206251 -aS'had\thave\tVBD\tB-VP\tO' -p206252 -aS'clear\tclear\tJJ\tB-NP\tO' -p206253 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p206254 -aS'arteries\tartery\tNNS\tI-NP\tO' -p206255 -aS'on\ton\tIN\tB-PP\tO' -p206256 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p206257 -aS'angiography\tangiography\tNN\tI-NP\tO' -p206258 -aS'and\tand\tCC\tO\tO' -p206259 -aS'an\tan\tDT\tB-NP\tO' -p206260 -aS'ejection\tejection\tNN\tI-NP\tO' -p206261 -aS'fraction\tfraction\tNN\tI-NP\tO' -p206262 -aS'greater\tgreat\tJJR\tB-ADJP\tO' -p206263 -aS'than\tthan\tIN\tB-PP\tO' -p206264 -aS'50%\t50%\tCD\tB-NP\tO' -p206265 -aS'.\t.\t.\tO\tO' -p206266 -asS'There was no evidence of rib fracture .' -p206267 -(lp206268 -S'There\tThere\tEX\tB-NP\tO' -p206269 -aS'was\tbe\tVBD\tB-VP\tO' -p206270 -aS'no\tno\tDT\tB-NP\tO' -p206271 -aS'evidence\tevidence\tNN\tI-NP\tO' -p206272 -aS'of\tof\tIN\tB-PP\tO' -p206273 -aS'rib\trib\tNN\tB-NP\tO' -p206274 -aS'fracture\tfracture\tNN\tI-NP\tO' -p206275 -aS'.\t.\t.\tO\tO' -p206276 -asS'No white exudate .' -p206277 -(lp206278 -S'No\tNo\tDT\tB-NP\tO' -p206279 -aS'white\twhite\tJJ\tI-NP\tO' -p206280 -aS'exudate\texudate\tNN\tI-NP\tO' -p206281 -aS'.\t.\t.\tO\tO' -p206282 -asS'Right system was not intervened upon , for the PLB was unable to be crossed by wire .' -p206283 -(lp206284 -S'Right\tRight\tNN\tB-NP\tO' -p206285 -aS'system\tsystem\tNN\tI-NP\tO' -p206286 -aS'was\tbe\tVBD\tB-VP\tO' -p206287 -aS'not\tnot\tRB\tI-VP\tO' -p206288 -aS'intervened\tintervene\tVBN\tI-VP\tO' -p206289 -aS'upon\tupon\tIN\tB-PP\tO' -p206290 -aS',\t,\t,\tO\tO' -p206291 -aS'for\tfor\tIN\tB-PP\tO' -p206292 -aS'the\tthe\tDT\tB-NP\tO' -p206293 -aS'PLB\tPLB\tNN\tI-NP\tB-protein' -p206294 -aS'was\tbe\tVBD\tB-VP\tO' -p206295 -aS'unable\tunable\tJJ\tB-ADJP\tO' -p206296 -aS'to\tto\tTO\tB-VP\tO' -p206297 -aS'be\tbe\tVB\tI-VP\tO' -p206298 -aS'crossed\tcross\tVBN\tI-VP\tO' -p206299 -aS'by\tby\tIN\tB-PP\tO' -p206300 -aS'wire\twire\tNN\tB-NP\tO' -p206301 -aS'.\t.\t.\tO\tO' -p206302 -asS'Original ABG here before BiPAP was 7.19 , 102 , and 92 .' -p206303 -(lp206304 -S'Original\tOriginal\tJJ\tB-NP\tO' -p206305 -aS'ABG\tABG\tNN\tI-NP\tO' -p206306 -aS'here\there\tRB\tB-ADVP\tO' -p206307 -aS'before\tbefore\tIN\tB-PP\tO' -p206308 -aS'BiPAP\tBiPAP\tNN\tB-NP\tB-protein' -p206309 -aS'was\tbe\tVBD\tB-VP\tO' -p206310 -aS'7.19\t7.19\tCD\tB-NP\tO' -p206311 -aS',\t,\t,\tI-NP\tO' -p206312 -aS'102\t102\tCD\tI-NP\tO' -p206313 -aS',\t,\t,\tO\tO' -p206314 -aS'and\tand\tCC\tO\tO' -p206315 -aS'92\t92\tCD\tB-NP\tO' -p206316 -aS'.\t.\t.\tO\tO' -p206317 -asS'2. Megace 400 q day .' -p206318 -(lp206319 -S'2.\t2.\tLS\tB-LST\tO' -p206320 -aS'Megace\tMegace\tNNP\tB-NP\tO' -p206321 -aS'400\t400\tCD\tI-NP\tO' -p206322 -aS'q\tq\tNN\tI-NP\tO' -p206323 -aS'day\tday\tNN\tI-NP\tO' -p206324 -aS'.\t.\t.\tO\tO' -p206325 -asS'On the second hospital day the patient was doing much better and was stable from an airway perspective , so she was transferred to the General Medical Floor .' -p206326 -(lp206327 -S'On\tOn\tIN\tB-PP\tO' -p206328 -aS'the\tthe\tDT\tB-NP\tO' -p206329 -aS'second\tsecond\tJJ\tI-NP\tO' -p206330 -aS'hospital\thospital\tNN\tI-NP\tO' -p206331 -aS'day\tday\tNN\tI-NP\tO' -p206332 -aS'the\tthe\tDT\tB-NP\tO' -p206333 -aS'patient\tpatient\tNN\tI-NP\tO' -p206334 -aS'was\tbe\tVBD\tB-VP\tO' -p206335 -aS'doing\tdo\tVBG\tI-VP\tO' -p206336 -aS'much\tmuch\tRB\tB-ADJP\tO' -p206337 -aS'better\tgood\tJJR\tI-ADJP\tO' -p206338 -aS'and\tand\tCC\tO\tO' -p206339 -aS'was\tbe\tVBD\tB-VP\tO' -p206340 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p206341 -aS'from\tfrom\tIN\tB-PP\tO' -p206342 -aS'an\tan\tDT\tB-NP\tO' -p206343 -aS'airway\tairway\tNN\tI-NP\tO' -p206344 -aS'perspective\tperspective\tNN\tI-NP\tO' -p206345 -aS',\t,\t,\tO\tO' -p206346 -aS'so\tso\tIN\tB-SBAR\tO' -p206347 -aS'she\tshe\tPRP\tB-NP\tO' -p206348 -aS'was\tbe\tVBD\tB-VP\tO' -p206349 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p206350 -aS'to\tto\tTO\tB-PP\tO' -p206351 -aS'the\tthe\tDT\tB-NP\tO' -p206352 -aS'General\tGeneral\tNNP\tI-NP\tO' -p206353 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p206354 -aS'Floor\tFloor\tNNP\tI-NP\tO' -p206355 -aS'.\t.\t.\tO\tO' -p206356 -asS'Stools have been negative to trace positive and abdominal exam is reassuring .' -p206357 -(lp206358 -S'Stools\tStool\tNNS\tB-NP\tO' -p206359 -aS'have\thave\tVBP\tB-VP\tO' -p206360 -aS'been\tbe\tVBN\tI-VP\tO' -p206361 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p206362 -aS'to\tto\tTO\tB-VP\tO' -p206363 -aS'trace\ttrace\tVB\tI-VP\tO' -p206364 -aS'positive\tpositive\tJJ\tB-NP\tO' -p206365 -aS'and\tand\tCC\tI-NP\tO' -p206366 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p206367 -aS'exam\texam\tNN\tI-NP\tO' -p206368 -aS'is\tbe\tVBZ\tB-VP\tO' -p206369 -aS'reassuring\treassure\tVBG\tI-VP\tO' -p206370 -aS'.\t.\t.\tO\tO' -p206371 -asS'Pt initially was hypoxic requiring NRB for O2 sat of 94% , with any attempt to wean she would desat .' -p206372 -(lp206373 -S'Pt\tPt\tNN\tB-NP\tO' -p206374 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p206375 -aS'was\tbe\tVBD\tB-VP\tO' -p206376 -aS'hypoxic\thypoxic\tJJ\tB-NP\tO' -p206377 -aS'requiring\trequire\tVBG\tI-NP\tO' -p206378 -aS'NRB\tNRB\tNN\tI-NP\tB-protein' -p206379 -aS'for\tfor\tIN\tB-PP\tO' -p206380 -aS'O2\tO2\tNN\tB-NP\tO' -p206381 -aS'sat\tsat\tNN\tI-NP\tO' -p206382 -aS'of\tof\tIN\tB-PP\tO' -p206383 -aS'94%\t94%\tNN\tB-NP\tO' -p206384 -aS',\t,\t,\tO\tO' -p206385 -aS'with\twith\tIN\tB-PP\tO' -p206386 -aS'any\tany\tDT\tB-NP\tO' -p206387 -aS'attempt\tattempt\tNN\tI-NP\tO' -p206388 -aS'to\tto\tTO\tB-VP\tO' -p206389 -aS'wean\twean\tVB\tI-VP\tO' -p206390 -aS'she\tshe\tPRP\tB-NP\tO' -p206391 -aS'would\twould\tMD\tB-VP\tO' -p206392 -aS'desat\tdesat\tVB\tI-VP\tO' -p206393 -aS'.\t.\t.\tO\tO' -p206394 -asS'therapy .' -p206395 -(lp206396 -S'therapy\ttherapy\tNN\tB-NP\tO' -p206397 -aS'.\t.\t.\tO\tO' -p206398 -asS'His CO2 improved and he was extubated after a few days .' -p206399 -(lp206400 -S'His\tHis\tPRP$\tB-NP\tO' -p206401 -aS'CO2\tCO2\tNN\tI-NP\tB-protein' -p206402 -aS'improved\timprove\tVBD\tB-VP\tO' -p206403 -aS'and\tand\tCC\tO\tO' -p206404 -aS'he\the\tPRP\tB-NP\tO' -p206405 -aS'was\tbe\tVBD\tB-VP\tO' -p206406 -aS'extubated\textubate\tVBN\tI-VP\tO' -p206407 -aS'after\tafter\tIN\tB-PP\tO' -p206408 -aS'a\ta\tDT\tB-NP\tO' -p206409 -aS'few\tfew\tJJ\tI-NP\tO' -p206410 -aS'days\tday\tNNS\tI-NP\tO' -p206411 -aS'.\t.\t.\tO\tO' -p206412 -asS'She was placed in supplemental oxygen by shovel mask and her sats immediately improved .' -p206413 -(lp206414 -S'She\tShe\tPRP\tB-NP\tO' -p206415 -aS'was\tbe\tVBD\tB-VP\tO' -p206416 -aS'placed\tplace\tVBN\tI-VP\tO' -p206417 -aS'in\tin\tIN\tB-PP\tO' -p206418 -aS'supplemental\tsupplemental\tJJ\tB-NP\tO' -p206419 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p206420 -aS'by\tby\tIN\tB-PP\tO' -p206421 -aS'shovel\tshovel\tJJ\tB-NP\tO' -p206422 -aS'mask\tmask\tNN\tI-NP\tO' -p206423 -aS'and\tand\tCC\tO\tO' -p206424 -aS'her\ther\tPRP$\tB-NP\tO' -p206425 -aS'sats\tsat\tNNS\tI-NP\tO' -p206426 -aS'immediately\timmediately\tRB\tB-VP\tO' -p206427 -aS'improved\timprove\tVBN\tI-VP\tO' -p206428 -aS'.\t.\t.\tO\tO' -p206429 -asS'Tylenol , Ciprofloxacin and Insulin , about 16 units of NPH qa.m.' -p206430 -(lp206431 -S'Tylenol\tTylenol\tNN\tB-NP\tO' -p206432 -aS',\t,\t,\tI-NP\tO' -p206433 -aS'Ciprofloxacin\tCiprofloxacin\tNN\tI-NP\tO' -p206434 -aS'and\tand\tCC\tI-NP\tO' -p206435 -aS'Insulin\tInsulin\tNN\tI-NP\tB-protein' -p206436 -aS',\t,\t,\tO\tO' -p206437 -aS'about\tabout\tRB\tB-NP\tO' -p206438 -aS'16\t16\tCD\tI-NP\tO' -p206439 -aS'units\tunit\tNNS\tI-NP\tO' -p206440 -aS'of\tof\tIN\tB-PP\tO' -p206441 -aS'NPH\tNPH\tNN\tB-NP\tO' -p206442 -aS'qa.m.\tqa.m.\tNN\tI-NP\tO' -p206443 -asS'There was a large pericardial effusion ( up to greater than 6 cm wide anterior to the right ventricle ).' -p206444 -(lp206445 -S'There\tThere\tEX\tB-NP\tO' -p206446 -aS'was\tbe\tVBD\tB-VP\tO' -p206447 -aS'a\ta\tDT\tB-NP\tO' -p206448 -aS'large\tlarge\tJJ\tI-NP\tO' -p206449 -aS'pericardial\tpericardial\tJJ\tI-NP\tO' -p206450 -aS'effusion\teffusion\tNN\tI-NP\tO' -p206451 -aS'(\t(\t(\tO\tO' -p206452 -aS'up\tup\tRB\tB-ADVP\tO' -p206453 -aS'to\tto\tTO\tB-PP\tO' -p206454 -aS'greater\tgreat\tJJR\tB-NP\tO' -p206455 -aS'than\tthan\tIN\tI-NP\tO' -p206456 -aS'6\t6\tCD\tI-NP\tO' -p206457 -aS'cm\tcm\tNN\tI-NP\tO' -p206458 -aS'wide\twide\tJJ\tI-NP\tO' -p206459 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p206460 -aS'to\tto\tTO\tB-PP\tO' -p206461 -aS'the\tthe\tDT\tB-NP\tO' -p206462 -aS'right\tright\tJJ\tI-NP\tO' -p206463 -aS'ventricle\tventricle\tNN\tI-NP\tO' -p206464 -aS').\t).\t.\tO\tO' -p206465 -asS'Addendum to hospital course .' -p206466 -(lp206467 -S'Addendum\tAddendum\tNN\tB-NP\tO' -p206468 -aS'to\tto\tTO\tB-PP\tO' -p206469 -aS'hospital\thospital\tNN\tB-NP\tO' -p206470 -aS'course\tcourse\tNN\tI-NP\tO' -p206471 -aS'.\t.\t.\tO\tO' -p206472 -asS'She will have urology followup after her IVP .' -p206473 -(lp206474 -S'She\tShe\tPRP\tB-NP\tO' -p206475 -aS'will\twill\tMD\tB-VP\tO' -p206476 -aS'have\thave\tVB\tI-VP\tO' -p206477 -aS'urology\turology\tNN\tB-NP\tO' -p206478 -aS'followup\tfollowup\tNN\tI-NP\tO' -p206479 -aS'after\tafter\tIN\tB-PP\tO' -p206480 -aS'her\ther\tPRP$\tB-NP\tO' -p206481 -aS'IVP\tIVP\tNN\tI-NP\tB-protein' -p206482 -aS'.\t.\t.\tO\tO' -p206483 -asS'Neck : No LAD .' -p206484 -(lp206485 -S'Neck\tNeck\tNN\tB-NP\tO' -p206486 -aS':\t:\t:\tO\tO' -p206487 -aS'No\tNo\tDT\tB-NP\tO' -p206488 -aS'LAD\tLAD\tNN\tI-NP\tB-protein' -p206489 -aS'.\t.\t.\tO\tO' -p206490 -asS'2. Type 2 diabetes mellitus .' -p206491 -(lp206492 -S'2.\t2.\tLS\tO\tO' -p206493 -aS'Type\tType\tNN\tB-NP\tO' -p206494 -aS'2\t2\tCD\tI-NP\tO' -p206495 -aS'diabetes\tdiabetes\tNN\tI-NP\tO' -p206496 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p206497 -aS'.\t.\t.\tO\tO' -p206498 -asS'14. Guaifenesin 100 mg / 5 mL Liquid Sig : 01-28 teaspoons PO every six ( 6 ) hours as needed for cold symptoms .' -p206499 -(lp206500 -S'14.\t14.\tCD\tB-NP\tO' -p206501 -aS'Guaifenesin\tGuaifenesin\tNN\tI-NP\tO' -p206502 -aS'100\t100\tCD\tB-NP\tO' -p206503 -aS'mg\tmg\tNN\tI-NP\tO' -p206504 -aS'/\t/\tSYM\tB-NP\tO' -p206505 -aS'5\t5\tCD\tB-NP\tO' -p206506 -aS'mL\tmL\tNN\tI-NP\tO' -p206507 -aS'Liquid\tLiquid\tNNP\tI-NP\tO' -p206508 -aS'Sig\tSig\tNNP\tI-NP\tO' -p206509 -aS':\t:\t:\tO\tO' -p206510 -aS'01-28\t01-28\tCD\tB-NP\tO' -p206511 -aS'teaspoons\tteaspoon\tNNS\tI-NP\tO' -p206512 -aS'PO\tPO\tNN\tI-NP\tO' -p206513 -aS'every\tevery\tDT\tB-NP\tO' -p206514 -aS'six\tsix\tCD\tI-NP\tO' -p206515 -aS'(\t(\t(\tO\tO' -p206516 -aS'6\t6\tCD\tB-NP\tO' -p206517 -aS')\t)\t)\tO\tO' -p206518 -aS'hours\thour\tNNS\tB-NP\tO' -p206519 -aS'as\tas\tIN\tB-SBAR\tO' -p206520 -aS'needed\tneed\tVBN\tB-VP\tO' -p206521 -aS'for\tfor\tIN\tB-PP\tO' -p206522 -aS'cold\tcold\tJJ\tB-NP\tO' -p206523 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p206524 -aS'.\t.\t.\tO\tO' -p206525 -asS'We proceeded to do for her hyponatremia - we gave her some fluid and her urine sodium became higher than her serum sodium ; we stopped it .' -p206526 -(lp206527 -S'We\tWe\tPRP\tB-NP\tO' -p206528 -aS'proceeded\tproceed\tVBD\tB-VP\tO' -p206529 -aS'to\tto\tTO\tI-VP\tO' -p206530 -aS'do\tdo\tVB\tI-VP\tO' -p206531 -aS'for\tfor\tIN\tB-PP\tO' -p206532 -aS'her\ther\tPRP$\tB-NP\tO' -p206533 -aS'hyponatremia\thyponatremia\tNN\tI-NP\tO' -p206534 -aS'-\t-\tHYPH\tO\tO' -p206535 -aS'we\twe\tPRP\tB-NP\tO' -p206536 -aS'gave\tgive\tVBD\tB-VP\tO' -p206537 -aS'her\ther\tPRP\tB-NP\tO' -p206538 -aS'some\tsome\tDT\tB-NP\tO' -p206539 -aS'fluid\tfluid\tNN\tI-NP\tO' -p206540 -aS'and\tand\tCC\tO\tO' -p206541 -aS'her\ther\tPRP$\tB-NP\tO' -p206542 -aS'urine\turine\tNN\tI-NP\tO' -p206543 -aS'sodium\tsodium\tNN\tI-NP\tO' -p206544 -aS'became\tbecome\tVBD\tB-VP\tO' -p206545 -aS'higher\thigh\tJJR\tB-ADJP\tO' -p206546 -aS'than\tthan\tIN\tB-PP\tO' -p206547 -aS'her\ther\tPRP$\tB-NP\tO' -p206548 -aS'serum\tserum\tNN\tI-NP\tO' -p206549 -aS'sodium\tsodium\tNN\tI-NP\tO' -p206550 -aS';\t;\t:\tO\tO' -p206551 -aS'we\twe\tPRP\tB-NP\tO' -p206552 -aS'stopped\tstop\tVBD\tB-VP\tO' -p206553 -aS'it\tit\tPRP\tB-NP\tO' -p206554 -aS'.\t.\t.\tO\tO' -p206555 -asS'Percocet and Naprosyn .' -p206556 -(lp206557 -S'Percocet\tPercocet\tNN\tB-NP\tO' -p206558 -aS'and\tand\tCC\tI-NP\tO' -p206559 -aS'Naprosyn\tNaprosyn\tNN\tI-NP\tO' -p206560 -aS'.\t.\t.\tO\tO' -p206561 -asS'The sodium creatinine peaked at 2.0 and the patient was treated with boluses of intravenous fluid and intravenous albumin infusion was also administered .' -p206562 -(lp206563 -S'The\tThe\tDT\tB-NP\tO' -p206564 -aS'sodium\tsodium\tNN\tI-NP\tO' -p206565 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p206566 -aS'peaked\tpeak\tVBD\tB-VP\tO' -p206567 -aS'at\tat\tIN\tB-PP\tO' -p206568 -aS'2.0\t2.0\tCD\tB-NP\tO' -p206569 -aS'and\tand\tCC\tO\tO' -p206570 -aS'the\tthe\tDT\tB-NP\tO' -p206571 -aS'patient\tpatient\tNN\tI-NP\tO' -p206572 -aS'was\tbe\tVBD\tB-VP\tO' -p206573 -aS'treated\ttreat\tVBN\tI-VP\tO' -p206574 -aS'with\twith\tIN\tB-PP\tO' -p206575 -aS'boluses\tbolus\tNNS\tB-NP\tO' -p206576 -aS'of\tof\tIN\tB-PP\tO' -p206577 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p206578 -aS'fluid\tfluid\tNN\tI-NP\tO' -p206579 -aS'and\tand\tCC\tO\tO' -p206580 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p206581 -aS'albumin\talbumin\tNN\tI-NP\tO' -p206582 -aS'infusion\tinfusion\tNN\tI-NP\tO' -p206583 -aS'was\tbe\tVBD\tB-VP\tO' -p206584 -aS'also\talso\tRB\tI-VP\tO' -p206585 -aS'administered\tadminister\tVBN\tI-VP\tO' -p206586 -aS'.\t.\t.\tO\tO' -p206587 -asS'A trach collar was placed on 06-19 .' -p206588 -(lp206589 -S'A\tA\tDT\tB-NP\tO' -p206590 -aS'trach\ttrach\tNN\tI-NP\tO' -p206591 -aS'collar\tcollar\tNN\tI-NP\tO' -p206592 -aS'was\tbe\tVBD\tB-VP\tO' -p206593 -aS'placed\tplace\tVBN\tI-VP\tO' -p206594 -aS'on\ton\tIN\tB-PP\tO' -p206595 -aS'06-19\t06-19\tCD\tB-NP\tO' -p206596 -aS'.\t.\t.\tO\tO' -p206597 -asS'The patient 's preliminary admitting physician is SAPSCLYSS , LEO R and the preliminary diagnosis is WEAKNESS .' -p206598 -(lp206599 -S'The\tThe\tDT\tB-NP\tO' -p206600 -aS'patient\tpatient\tNN\tI-NP\tO' -p206601 -aS''s\t'\tNNS\tI-NP\tO' -p206602 -aS'preliminary\tpreliminary\tJJ\tB-NP\tO' -p206603 -aS'admitting\tadmit\tVBG\tI-NP\tO' -p206604 -aS'physician\tphysician\tNN\tI-NP\tO' -p206605 -aS'is\tbe\tVBZ\tB-VP\tO' -p206606 -aS'SAPSCLYSS\tSAPSCLYSS\tNNP\tB-NP\tO' -p206607 -aS',\t,\t,\tO\tO' -p206608 -aS'LEO\tLEO\tNNP\tB-NP\tO' -p206609 -aS'R\tR\tNNP\tI-NP\tO' -p206610 -aS'and\tand\tCC\tO\tO' -p206611 -aS'the\tthe\tDT\tB-NP\tO' -p206612 -aS'preliminary\tpreliminary\tJJ\tI-NP\tO' -p206613 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p206614 -aS'is\tbe\tVBZ\tB-VP\tO' -p206615 -aS'WEAKNESS\tWEAKNESS\tNNS\tB-NP\tO' -p206616 -aS'.\t.\t.\tO\tO' -p206617 -asS'He had a PEG tube in his left upper quadrant .' -p206618 -(lp206619 -S'He\tHe\tPRP\tB-NP\tO' -p206620 -aS'had\thave\tVBD\tB-VP\tO' -p206621 -aS'a\ta\tDT\tB-NP\tO' -p206622 -aS'PEG\tPEG\tNN\tI-NP\tO' -p206623 -aS'tube\ttube\tNN\tI-NP\tO' -p206624 -aS'in\tin\tIN\tB-PP\tO' -p206625 -aS'his\this\tPRP$\tB-NP\tO' -p206626 -aS'left\tleft\tJJ\tI-NP\tO' -p206627 -aS'upper\tupper\tJJ\tI-NP\tO' -p206628 -aS'quadrant\tquadrant\tNN\tI-NP\tO' -p206629 -aS'.\t.\t.\tO\tO' -p206630 -asS'In the Emergency Department , the patient was given nebulizer treatment , started on antibiotics for presumed chronic obstructive pulmonary disease exacerbation .' -p206631 -(lp206632 -S'In\tIn\tIN\tB-PP\tO' -p206633 -aS'the\tthe\tDT\tB-NP\tO' -p206634 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p206635 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p206636 -aS',\t,\t,\tO\tO' -p206637 -aS'the\tthe\tDT\tB-NP\tO' -p206638 -aS'patient\tpatient\tNN\tI-NP\tO' -p206639 -aS'was\tbe\tVBD\tB-VP\tO' -p206640 -aS'given\tgive\tVBN\tI-VP\tO' -p206641 -aS'nebulizer\tnebulizer\tNN\tB-NP\tO' -p206642 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p206643 -aS',\t,\t,\tO\tO' -p206644 -aS'started\tstart\tVBN\tB-VP\tO' -p206645 -aS'on\ton\tIN\tB-PP\tO' -p206646 -aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' -p206647 -aS'for\tfor\tIN\tB-PP\tO' -p206648 -aS'presumed\tpresumed\tJJ\tB-NP\tO' -p206649 -aS'chronic\tchronic\tJJ\tI-NP\tO' -p206650 -aS'obstructive\tobstructive\tJJ\tI-NP\tO' -p206651 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p206652 -aS'disease\tdisease\tNN\tI-NP\tO' -p206653 -aS'exacerbation\texacerbation\tNN\tI-NP\tO' -p206654 -aS'.\t.\t.\tO\tO' -p206655 -asS'He denies any IV drug use .' -p206656 -(lp206657 -S'He\tHe\tPRP\tB-NP\tO' -p206658 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p206659 -aS'any\tany\tDT\tB-NP\tO' -p206660 -aS'IV\tIV\tCD\tI-NP\tO' -p206661 -aS'drug\tdrug\tNN\tI-NP\tO' -p206662 -aS'use\tuse\tNN\tI-NP\tO' -p206663 -aS'.\t.\t.\tO\tO' -p206664 -asS'The patient was preoperatively treated with about a seven day course of intravenous Unasyn and postoperatively treated for approximately four days of intravenous Unasyn .' -p206665 -(lp206666 -S'The\tThe\tDT\tB-NP\tO' -p206667 -aS'patient\tpatient\tNN\tI-NP\tO' -p206668 -aS'was\tbe\tVBD\tB-VP\tO' -p206669 -aS'preoperatively\tpreoperatively\tRB\tI-VP\tO' -p206670 -aS'treated\ttreat\tVBN\tI-VP\tO' -p206671 -aS'with\twith\tIN\tB-PP\tO' -p206672 -aS'about\tabout\tRB\tB-NP\tO' -p206673 -aS'a\ta\tDT\tI-NP\tO' -p206674 -aS'seven\tseven\tCD\tI-NP\tO' -p206675 -aS'day\tday\tNN\tI-NP\tO' -p206676 -aS'course\tcourse\tNN\tI-NP\tO' -p206677 -aS'of\tof\tIN\tB-PP\tO' -p206678 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p206679 -aS'Unasyn\tUnasyn\tNN\tI-NP\tO' -p206680 -aS'and\tand\tCC\tO\tO' -p206681 -aS'postoperatively\tpostoperatively\tRB\tB-VP\tO' -p206682 -aS'treated\ttreat\tVBN\tI-VP\tO' -p206683 -aS'for\tfor\tIN\tB-PP\tO' -p206684 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p206685 -aS'four\tfour\tCD\tI-NP\tO' -p206686 -aS'days\tday\tNNS\tI-NP\tO' -p206687 -aS'of\tof\tIN\tB-PP\tO' -p206688 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p206689 -aS'Unasyn\tUnasyn\tNN\tI-NP\tO' -p206690 -aS'.\t.\t.\tO\tO' -p206691 -asS'The patient was transferred to the Respiratory Intensive Care Unit in stable condition and had an uneventful stay there .' -p206692 -(lp206693 -S'The\tThe\tDT\tB-NP\tO' -p206694 -aS'patient\tpatient\tNN\tI-NP\tO' -p206695 -aS'was\tbe\tVBD\tB-VP\tO' -p206696 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p206697 -aS'to\tto\tTO\tB-PP\tO' -p206698 -aS'the\tthe\tDT\tB-NP\tO' -p206699 -aS'Respiratory\tRespiratory\tNNP\tI-NP\tO' -p206700 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p206701 -aS'Care\tCare\tNNP\tI-NP\tO' -p206702 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p206703 -aS'in\tin\tIN\tB-PP\tO' -p206704 -aS'stable\tstable\tJJ\tB-NP\tO' -p206705 -aS'condition\tcondition\tNN\tI-NP\tO' -p206706 -aS'and\tand\tCC\tO\tO' -p206707 -aS'had\thave\tVBD\tB-VP\tO' -p206708 -aS'an\tan\tDT\tB-NP\tO' -p206709 -aS'uneventful\tuneventful\tJJ\tI-NP\tO' -p206710 -aS'stay\tstay\tNN\tI-NP\tO' -p206711 -aS'there\tthere\tRB\tB-ADVP\tO' -p206712 -aS'.\t.\t.\tO\tO' -p206713 -asS'The patient was initially n.p.o. and was then advanced to clear liquids which he tolerated .' -p206714 -(lp206715 -S'The\tThe\tDT\tB-NP\tO' -p206716 -aS'patient\tpatient\tNN\tI-NP\tO' -p206717 -aS'was\tbe\tVBD\tB-VP\tO' -p206718 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p206719 -aS'n.p.o.\tn.p.o.\tNN\tB-NP\tO' -p206720 -aS'and\tand\tCC\tO\tO' -p206721 -aS'was\tbe\tVBD\tB-VP\tO' -p206722 -aS'then\tthen\tRB\tI-VP\tO' -p206723 -aS'advanced\tadvance\tVBN\tI-VP\tO' -p206724 -aS'to\tto\tTO\tB-PP\tO' -p206725 -aS'clear\tclear\tJJ\tB-NP\tO' -p206726 -aS'liquids\tliquid\tNNS\tI-NP\tO' -p206727 -aS'which\twhich\tWDT\tB-NP\tO' -p206728 -aS'he\the\tPRP\tB-NP\tO' -p206729 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p206730 -aS'.\t.\t.\tO\tO' -p206731 -asS'The estimated blood loss was minimal and the patient received 600 cc. of intravenous fluid .' -p206732 -(lp206733 -S'The\tThe\tDT\tB-NP\tO' -p206734 -aS'estimated\testimate\tVBN\tI-NP\tO' -p206735 -aS'blood\tblood\tNN\tI-NP\tO' -p206736 -aS'loss\tloss\tNN\tI-NP\tO' -p206737 -aS'was\tbe\tVBD\tB-VP\tO' -p206738 -aS'minimal\tminimal\tJJ\tB-ADJP\tO' -p206739 -aS'and\tand\tCC\tO\tO' -p206740 -aS'the\tthe\tDT\tB-NP\tO' -p206741 -aS'patient\tpatient\tNN\tI-NP\tO' -p206742 -aS'received\treceive\tVBD\tB-VP\tO' -p206743 -aS'600\t600\tCD\tB-NP\tO' -p206744 -aS'cc.\tcc.\tNN\tI-NP\tO' -p206745 -aS'of\tof\tIN\tB-PP\tO' -p206746 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p206747 -aS'fluid\tfluid\tNN\tI-NP\tO' -p206748 -aS'.\t.\t.\tO\tO' -p206749 -asS'He completed his course of Vancomycin on 2017-08-10 .' -p206750 -(lp206751 -S'He\tHe\tPRP\tB-NP\tO' -p206752 -aS'completed\tcomplete\tVBD\tB-VP\tO' -p206753 -aS'his\this\tPRP$\tB-NP\tO' -p206754 -aS'course\tcourse\tNN\tI-NP\tO' -p206755 -aS'of\tof\tIN\tB-PP\tO' -p206756 -aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' -p206757 -aS'on\ton\tIN\tB-PP\tO' -p206758 -aS'2017-08-10\t2017-08-10\tCD\tB-NP\tO' -p206759 -aS'.\t.\t.\tO\tO' -p206760 -asS'2. HISTORY OF THYMOMA , STATUS POST RESECTION .' -p206761 -(lp206762 -S'2.\t2.\tLS\tB-NP\tO' -p206763 -aS'HISTORY\tHISTORY\tNN\tI-NP\tO' -p206764 -aS'OF\tOF\tIN\tB-PP\tO' -p206765 -aS'THYMOMA\tTHYMOMA\tNNP\tB-NP\tO' -p206766 -aS',\t,\t,\tO\tO' -p206767 -aS'STATUS\tSTATUS\tNNP\tB-NP\tO' -p206768 -aS'POST\tPOST\tNNP\tI-NP\tO' -p206769 -aS'RESECTION\tRESECTION\tNNP\tI-NP\tO' -p206770 -aS'.\t.\t.\tO\tO' -p206771 -asS'Amlodipine 5 mg q. Day .' -p206772 -(lp206773 -S'Amlodipine\tAmlodipine\tNN\tB-NP\tO' -p206774 -aS'5\t5\tCD\tI-NP\tO' -p206775 -aS'mg\tmg\tNN\tI-NP\tO' -p206776 -aS'q.\tq.\tNNP\tI-NP\tO' -p206777 -aS'Day\tDay\tNNP\tI-NP\tO' -p206778 -aS'.\t.\t.\tO\tO' -p206779 -asS'He was pronounced dead at 3:49 PM on July 15 , 1992 .' -p206780 -(lp206781 -S'He\tHe\tPRP\tB-NP\tO' -p206782 -aS'was\tbe\tVBD\tB-VP\tO' -p206783 -aS'pronounced\tpronounce\tVBN\tI-VP\tO' -p206784 -aS'dead\tdead\tJJ\tB-ADJP\tO' -p206785 -aS'at\tat\tIN\tB-PP\tO' -p206786 -aS'3:49\t3:49\tCD\tB-NP\tO' -p206787 -aS'PM\tPM\tNN\tI-NP\tO' -p206788 -aS'on\ton\tIN\tB-PP\tO' -p206789 -aS'July\tJuly\tNNP\tB-NP\tO' -p206790 -aS'15\t15\tCD\tI-NP\tO' -p206791 -aS',\t,\t,\tI-NP\tO' -p206792 -aS'1992\t1992\tCD\tI-NP\tO' -p206793 -aS'.\t.\t.\tO\tO' -p206794 -asS'Mychelia received hepatitis B vaccine on 11-02 due to unknown maternal hepatitis B surface antigen status .' -p206795 -(lp206796 -S'Mychelia\tMychelia\tNNP\tB-NP\tO' -p206797 -aS'received\treceive\tVBD\tB-VP\tO' -p206798 -aS'hepatitis\thepatitis\tNN\tB-NP\tO' -p206799 -aS'B\tB\tNN\tI-NP\tO' -p206800 -aS'vaccine\tvaccine\tNN\tI-NP\tO' -p206801 -aS'on\ton\tIN\tB-PP\tO' -p206802 -aS'11-02\t11-02\tNN\tB-NP\tO' -p206803 -aS'due\tdue\tJJ\tB-ADVP\tO' -p206804 -aS'to\tto\tTO\tB-PP\tO' -p206805 -aS'unknown\tunknown\tJJ\tB-NP\tO' -p206806 -aS'maternal\tmaternal\tJJ\tI-NP\tO' -p206807 -aS'hepatitis\thepatitis\tNN\tI-NP\tO' -p206808 -aS'B\tB\tNN\tI-NP\tO' -p206809 -aS'surface\tsurface\tNN\tI-NP\tO' -p206810 -aS'antigen\tantigen\tNN\tI-NP\tO' -p206811 -aS'status\tstatus\tNN\tI-NP\tO' -p206812 -aS'.\t.\t.\tO\tO' -p206813 -asS'The patient is a retired truck driver .' -p206814 -(lp206815 -S'The\tThe\tDT\tB-NP\tO' -p206816 -aS'patient\tpatient\tNN\tI-NP\tO' -p206817 -aS'is\tbe\tVBZ\tB-VP\tO' -p206818 -aS'a\ta\tDT\tB-NP\tO' -p206819 -aS'retired\tretired\tJJ\tI-NP\tO' -p206820 -aS'truck\ttruck\tNN\tI-NP\tO' -p206821 -aS'driver\tdriver\tNN\tI-NP\tO' -p206822 -aS'.\t.\t.\tO\tO' -p206823 -asS'The patient was subsequently referred to the Fairm of Ijordcompmac Hospital under the service of Dr. Brain .' -p206824 -(lp206825 -S'The\tThe\tDT\tB-NP\tO' -p206826 -aS'patient\tpatient\tNN\tI-NP\tO' -p206827 -aS'was\tbe\tVBD\tB-VP\tO' -p206828 -aS'subsequently\tsubsequently\tRB\tI-VP\tO' -p206829 -aS'referred\trefer\tVBN\tI-VP\tO' -p206830 -aS'to\tto\tTO\tB-PP\tO' -p206831 -aS'the\tthe\tDT\tB-NP\tO' -p206832 -aS'Fairm\tFairm\tNNP\tI-NP\tO' -p206833 -aS'of\tof\tIN\tB-PP\tO' -p206834 -aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' -p206835 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p206836 -aS'under\tunder\tIN\tB-PP\tO' -p206837 -aS'the\tthe\tDT\tB-NP\tO' -p206838 -aS'service\tservice\tNN\tI-NP\tO' -p206839 -aS'of\tof\tIN\tB-PP\tO' -p206840 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p206841 -aS'Brain\tBrain\tNNP\tI-NP\tO' -p206842 -aS'.\t.\t.\tO\tO' -p206843 -asS'# 3. History of breast cancer .' -p206844 -(lp206845 -S'#\t#\t#\tB-NP\tO' -p206846 -aS'3.\t3.\tLS\tI-NP\tO' -p206847 -aS'History\tHistory\tNN\tI-NP\tO' -p206848 -aS'of\tof\tIN\tB-PP\tO' -p206849 -aS'breast\tbreast\tNN\tB-NP\tO' -p206850 -aS'cancer\tcancer\tNN\tI-NP\tO' -p206851 -aS'.\t.\t.\tO\tO' -p206852 -asS'8. Incontinent of both stool and urine .' -p206853 -(lp206854 -S'8.\t8.\tLS\tB-LST\tO' -p206855 -aS'Incontinent\tIncontinent\tNN\tB-NP\tO' -p206856 -aS'of\tof\tIN\tB-PP\tO' -p206857 -aS'both\tboth\tCC\tO\tO' -p206858 -aS'stool\tstool\tNN\tB-NP\tO' -p206859 -aS'and\tand\tCC\tI-NP\tO' -p206860 -aS'urine\turine\tNN\tI-NP\tO' -p206861 -aS'.\t.\t.\tO\tO' -p206862 -asS'#. Pericardial effusion : unclear etiology , OSH had raised question of RV perforation from pacer , however she had a normal echo appearance of lead , no tamponade by exam .' -p206863 -(lp206864 -S'#.\t#.\tLS\tB-NP\tO' -p206865 -aS'Pericardial\tPericardial\tJJ\tI-NP\tO' -p206866 -aS'effusion\teffusion\tNN\tI-NP\tO' -p206867 -aS':\t:\t:\tO\tO' -p206868 -aS'unclear\tunclear\tJJ\tB-NP\tO' -p206869 -aS'etiology\tetiology\tNN\tI-NP\tO' -p206870 -aS',\t,\t,\tO\tO' -p206871 -aS'OSH\tOSH\tNN\tB-NP\tO' -p206872 -aS'had\thave\tVBD\tB-VP\tO' -p206873 -aS'raised\traise\tVBN\tI-VP\tO' -p206874 -aS'question\tquestion\tNN\tB-NP\tO' -p206875 -aS'of\tof\tIN\tB-PP\tO' -p206876 -aS'RV\tRV\tNN\tB-NP\tO' -p206877 -aS'perforation\tperforation\tNN\tI-NP\tO' -p206878 -aS'from\tfrom\tIN\tB-PP\tO' -p206879 -aS'pacer\tpacer\tNN\tB-NP\tO' -p206880 -aS',\t,\t,\tO\tO' -p206881 -aS'however\thowever\tRB\tB-ADVP\tO' -p206882 -aS'she\tshe\tPRP\tB-NP\tO' -p206883 -aS'had\thave\tVBD\tB-VP\tO' -p206884 -aS'a\ta\tDT\tB-NP\tO' -p206885 -aS'normal\tnormal\tJJ\tI-NP\tO' -p206886 -aS'echo\techo\tJJ\tI-NP\tO' -p206887 -aS'appearance\tappearance\tNN\tI-NP\tO' -p206888 -aS'of\tof\tIN\tB-PP\tO' -p206889 -aS'lead\tlead\tNN\tB-NP\tO' -p206890 -aS',\t,\t,\tO\tO' -p206891 -aS'no\tno\tDT\tB-NP\tO' -p206892 -aS'tamponade\ttamponade\tNN\tI-NP\tO' -p206893 -aS'by\tby\tIN\tB-PP\tO' -p206894 -aS'exam\texam\tNN\tB-NP\tO' -p206895 -aS'.\t.\t.\tO\tO' -p206896 -asS'No edema .' -p206897 -(lp206898 -S'No\tNo\tDT\tB-NP\tO' -p206899 -aS'edema\tedema\tNN\tI-NP\tO' -p206900 -aS'.\t.\t.\tO\tO' -p206901 -asS'She was started on Coumadin and had a failed attempt at DC electrical cardioversion on 11/16/96 .' -p206902 -(lp206903 -S'She\tShe\tPRP\tB-NP\tO' -p206904 -aS'was\tbe\tVBD\tB-VP\tO' -p206905 -aS'started\tstart\tVBN\tI-VP\tO' -p206906 -aS'on\ton\tIN\tB-PP\tO' -p206907 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p206908 -aS'and\tand\tCC\tO\tO' -p206909 -aS'had\thave\tVBD\tB-VP\tO' -p206910 -aS'a\ta\tDT\tB-NP\tO' -p206911 -aS'failed\tfail\tVBN\tI-NP\tO' -p206912 -aS'attempt\tattempt\tNN\tI-NP\tO' -p206913 -aS'at\tat\tIN\tB-PP\tO' -p206914 -aS'DC\tDC\tNN\tB-NP\tB-cell_type' -p206915 -aS'electrical\telectrical\tJJ\tI-NP\tO' -p206916 -aS'cardioversion\tcardioversion\tNN\tI-NP\tO' -p206917 -aS'on\ton\tIN\tB-PP\tO' -p206918 -aS'11/16/96\t11/16/96\tCD\tB-NP\tO' -p206919 -aS'.\t.\t.\tO\tO' -p206920 -asS'Of note , Hba1c done 03-04 was slightly elevated ( " borderline DM " ) at 6.3 ; this was repeated and was still pending on the day of discharge .' -p206921 -(lp206922 -S'Of\tOf\tIN\tB-PP\tO' -p206923 -aS'note\tnote\tNN\tB-NP\tO' -p206924 -aS',\t,\t,\tO\tO' -p206925 -aS'Hba1c\tHba1c\tNN\tB-NP\tB-protein' -p206926 -aS'done\tdo\tVBN\tB-VP\tO' -p206927 -aS'03-04\t03-04\tCD\tB-NP\tO' -p206928 -aS'was\tbe\tVBD\tB-VP\tO' -p206929 -aS'slightly\tslightly\tRB\tB-ADJP\tO' -p206930 -aS'elevated\televated\tJJ\tI-ADJP\tO' -p206931 -aS'(\t(\t(\tO\tO' -p206932 -aS'"\t"\t``\tO\tB-DNA' -p206933 -aS'borderline\tborderline\tJJ\tB-NP\tI-DNA' -p206934 -aS'DM\tDM\tNN\tI-NP\tI-DNA' -p206935 -aS'"\t"\t\'\'\tO\tI-DNA' -p206936 -aS')\t)\t)\tO\tO' -p206937 -aS'at\tat\tIN\tB-PP\tO' -p206938 -aS'6.3\t6.3\tCD\tB-NP\tO' -p206939 -aS';\t;\t:\tO\tO' -p206940 -aS'this\tthis\tDT\tB-NP\tO' -p206941 -aS'was\tbe\tVBD\tB-VP\tO' -p206942 -aS'repeated\trepeat\tVBN\tI-VP\tO' -p206943 -aS'and\tand\tCC\tO\tO' -p206944 -aS'was\tbe\tVBD\tB-VP\tO' -p206945 -aS'still\tstill\tRB\tI-VP\tO' -p206946 -aS'pending\tpende\tVBG\tI-VP\tO' -p206947 -aS'on\ton\tIN\tB-PP\tO' -p206948 -aS'the\tthe\tDT\tB-NP\tO' -p206949 -aS'day\tday\tNN\tI-NP\tO' -p206950 -aS'of\tof\tIN\tB-PP\tO' -p206951 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p206952 -aS'.\t.\t.\tO\tO' -p206953 -asS'Preoperatively , he had a severely dilated left ventricle with markedly diminished function .' -p206954 -(lp206955 -S'Preoperatively\tPreoperatively\tRB\tB-ADVP\tO' -p206956 -aS',\t,\t,\tO\tO' -p206957 -aS'he\the\tPRP\tB-NP\tO' -p206958 -aS'had\thave\tVBD\tB-VP\tO' -p206959 -aS'a\ta\tDT\tB-NP\tO' -p206960 -aS'severely\tseverely\tRB\tI-NP\tO' -p206961 -aS'dilated\tdilated\tJJ\tI-NP\tO' -p206962 -aS'left\tleft\tJJ\tI-NP\tO' -p206963 -aS'ventricle\tventricle\tNN\tI-NP\tO' -p206964 -aS'with\twith\tIN\tB-PP\tO' -p206965 -aS'markedly\tmarkedly\tRB\tB-NP\tO' -p206966 -aS'diminished\tdiminish\tVBN\tI-NP\tO' -p206967 -aS'function\tfunction\tNN\tI-NP\tO' -p206968 -aS'.\t.\t.\tO\tO' -p206969 -asS'She reports orthopnea with an increasing pillow requirement of 2-4 with paroxysmal nocturnal dyspnea .' -p206970 -(lp206971 -S'She\tShe\tPRP\tB-NP\tO' -p206972 -aS'reports\treport\tVBZ\tB-VP\tO' -p206973 -aS'orthopnea\torthopnea\tNN\tB-NP\tO' -p206974 -aS'with\twith\tIN\tB-PP\tO' -p206975 -aS'an\tan\tDT\tB-NP\tO' -p206976 -aS'increasing\tincrease\tVBG\tI-NP\tO' -p206977 -aS'pillow\tpillow\tNN\tI-NP\tO' -p206978 -aS'requirement\trequirement\tNN\tI-NP\tO' -p206979 -aS'of\tof\tIN\tB-PP\tO' -p206980 -aS'2-4\t2-4\tCD\tB-NP\tO' -p206981 -aS'with\twith\tIN\tB-PP\tO' -p206982 -aS'paroxysmal\tparoxysmal\tJJ\tB-NP\tO' -p206983 -aS'nocturnal\tnocturnal\tJJ\tI-NP\tO' -p206984 -aS'dyspnea\tdyspnea\tNN\tI-NP\tO' -p206985 -aS'.\t.\t.\tO\tO' -p206986 -asS'7. Peridex 15 mL swish and swallow prn .' -p206987 -(lp206988 -S'7.\t7.\tCD\tB-NP\tO' -p206989 -aS'Peridex\tPeridex\tNNP\tI-NP\tO' -p206990 -aS'15\t15\tCD\tI-NP\tO' -p206991 -aS'mL\tmL\tNN\tI-NP\tO' -p206992 -aS'swish\tswish\tNN\tI-NP\tO' -p206993 -aS'and\tand\tCC\tO\tO' -p206994 -aS'swallow\tswallow\tVB\tB-VP\tO' -p206995 -aS'prn\tprn\tNN\tB-NP\tO' -p206996 -aS'.\t.\t.\tO\tO' -p206997 -asS'5. He has received no immunizations .' -p206998 -(lp206999 -S'5.\t5.\tLS\tB-LST\tO' -p207000 -aS'He\tHe\tPRP\tB-NP\tB-DNA' -p207001 -aS'has\thave\tVBZ\tB-VP\tO' -p207002 -aS'received\treceive\tVBN\tI-VP\tO' -p207003 -aS'no\tno\tDT\tB-NP\tO' -p207004 -aS'immunizations\timmunization\tNNS\tI-NP\tO' -p207005 -aS'.\t.\t.\tO\tO' -p207006 -asS'Sodium was 142 , potassium 3.3 , chloride 99 , BUN 23 , creatinine 1.1 .' -p207007 -(lp207008 -S'Sodium\tSodium\tNN\tB-NP\tO' -p207009 -aS'was\tbe\tVBD\tB-VP\tO' -p207010 -aS'142\t142\tCD\tB-NP\tO' -p207011 -aS',\t,\t,\tO\tO' -p207012 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p207013 -aS'3.3\t3.3\tCD\tI-NP\tO' -p207014 -aS',\t,\t,\tO\tO' -p207015 -aS'chloride\tchloride\tNN\tB-NP\tO' -p207016 -aS'99\t99\tCD\tI-NP\tO' -p207017 -aS',\t,\t,\tO\tO' -p207018 -aS'BUN\tBUN\tNN\tB-NP\tB-DNA' -p207019 -aS'23\t23\tCD\tI-NP\tI-DNA' -p207020 -aS',\t,\t,\tO\tO' -p207021 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p207022 -aS'1.1\t1.1\tCD\tI-NP\tO' -p207023 -aS'.\t.\t.\tO\tO' -p207024 -asS'14. Codeine - Guaifenesin 10-100 mg / 5 mL Syrup Sig : 5-10 MLs PO Q6H ( every 6 hours ) as needed .' -p207025 -(lp207026 -S'14.\t14.\tLS\tB-NP\tO' -p207027 -aS'Codeine\tCodeine\tNN\tI-NP\tO' -p207028 -aS'-\t-\tHYPH\tO\tO' -p207029 -aS'Guaifenesin\tGuaifenesin\tNN\tB-NP\tO' -p207030 -aS'10-100\t10-100\tCD\tI-NP\tO' -p207031 -aS'mg\tmg\tNN\tI-NP\tO' -p207032 -aS'/\t/\tSYM\tB-NP\tO' -p207033 -aS'5\t5\tCD\tB-NP\tO' -p207034 -aS'mL\tmL\tNN\tI-NP\tO' -p207035 -aS'Syrup\tSyrup\tNNP\tI-NP\tO' -p207036 -aS'Sig\tSig\tNNP\tI-NP\tO' -p207037 -aS':\t:\t:\tO\tO' -p207038 -aS'5-10\t5-10\tCD\tB-NP\tO' -p207039 -aS'MLs\tML\tNNS\tI-NP\tO' -p207040 -aS'PO\tPO\tNN\tI-NP\tO' -p207041 -aS'Q6H\tQ6H\tNN\tI-NP\tO' -p207042 -aS'(\t(\t(\tO\tO' -p207043 -aS'every\tevery\tDT\tB-NP\tO' -p207044 -aS'6\t6\tCD\tI-NP\tO' -p207045 -aS'hours\thour\tNNS\tI-NP\tO' -p207046 -aS')\t)\t)\tO\tO' -p207047 -aS'as\tas\tIN\tB-SBAR\tO' -p207048 -aS'needed\tneed\tVBN\tB-VP\tO' -p207049 -aS'.\t.\t.\tO\tO' -p207050 -asS'Infant was circumcised in the newborn nursery which was healing well .' -p207051 -(lp207052 -S'Infant\tInfant\tNN\tB-NP\tO' -p207053 -aS'was\tbe\tVBD\tB-VP\tO' -p207054 -aS'circumcised\tcircumcise\tVBN\tI-VP\tO' -p207055 -aS'in\tin\tIN\tB-PP\tO' -p207056 -aS'the\tthe\tDT\tB-NP\tO' -p207057 -aS'newborn\tnewborn\tJJ\tI-NP\tO' -p207058 -aS'nursery\tnursery\tNN\tI-NP\tO' -p207059 -aS'which\twhich\tWDT\tB-NP\tO' -p207060 -aS'was\tbe\tVBD\tB-VP\tO' -p207061 -aS'healing\theal\tVBG\tI-VP\tO' -p207062 -aS'well\twell\tRB\tB-ADVP\tO' -p207063 -aS'.\t.\t.\tO\tO' -p207064 -asS'The exception is that per his PCP , Jason aspirin will be held for 2 weeks given that he was restarted on coumadin with' -p207065 -(lp207066 -S'The\tThe\tDT\tB-NP\tO' -p207067 -aS'exception\texception\tNN\tI-NP\tO' -p207068 -aS'is\tbe\tVBZ\tB-VP\tO' -p207069 -aS'that\tthat\tIN\tB-SBAR\tO' -p207070 -aS'per\tper\tIN\tB-PP\tO' -p207071 -aS'his\this\tPRP$\tB-NP\tO' -p207072 -aS'PCP\tPCP\tNN\tI-NP\tB-DNA' -p207073 -aS',\t,\t,\tO\tO' -p207074 -aS'Jason\tJason\tNNP\tB-NP\tO' -p207075 -aS'aspirin\taspirin\tNN\tI-NP\tO' -p207076 -aS'will\twill\tMD\tB-VP\tO' -p207077 -aS'be\tbe\tVB\tI-VP\tO' -p207078 -aS'held\thold\tVBN\tI-VP\tO' -p207079 -aS'for\tfor\tIN\tB-PP\tO' -p207080 -aS'2\t2\tCD\tB-NP\tO' -p207081 -aS'weeks\tweek\tNNS\tI-NP\tO' -p207082 -aS'given\tgive\tVBN\tB-PP\tO' -p207083 -aS'that\tthat\tIN\tB-SBAR\tO' -p207084 -aS'he\the\tPRP\tB-NP\tO' -p207085 -aS'was\tbe\tVBD\tB-VP\tO' -p207086 -aS'restarted\trestart\tVBN\tI-VP\tO' -p207087 -aS'on\ton\tIN\tB-PP\tO' -p207088 -aS'coumadin\tcoumadin\tNN\tB-NP\tO' -p207089 -aS'with\twith\tIN\tB-PP\tO' -p207090 -asS'We will given valium 5 mg p.o. q. 3 hours for withdrawal .' -p207091 -(lp207092 -S'We\tWe\tPRP\tB-NP\tO' -p207093 -aS'will\twill\tMD\tB-VP\tO' -p207094 -aS'given\tgive\tVBN\tI-VP\tO' -p207095 -aS'valium\tvalium\tNN\tB-NP\tO' -p207096 -aS'5\t5\tCD\tI-NP\tO' -p207097 -aS'mg\tmg\tNN\tI-NP\tO' -p207098 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p207099 -aS'q.\tq.\tNN\tI-NP\tO' -p207100 -aS'3\t3\tCD\tB-NP\tO' -p207101 -aS'hours\thour\tNNS\tI-NP\tO' -p207102 -aS'for\tfor\tIN\tB-PP\tO' -p207103 -aS'withdrawal\twithdrawal\tNN\tB-NP\tO' -p207104 -aS'.\t.\t.\tO\tO' -p207105 -asS'2. Severe gait ataxia .' -p207106 -(lp207107 -S'2.\t2.\tLS\tB-LST\tO' -p207108 -aS'Severe\tSevere\tJJ\tB-NP\tO' -p207109 -aS'gait\tgait\tVB\tB-VP\tO' -p207110 -aS'ataxia\tataxia\tNN\tB-NP\tO' -p207111 -aS'.\t.\t.\tO\tO' -p207112 -asS'Attending : Pedro D. Anderson , M.D.' -p207113 -(lp207114 -S'Attending\tAttend\tVBG\tB-VP\tO' -p207115 -aS':\t:\t:\tO\tO' -p207116 -aS'Pedro\tPedro\tNNP\tB-NP\tO' -p207117 -aS'D.\tD.\tNNP\tI-NP\tO' -p207118 -aS'Anderson\tAnderson\tNNP\tI-NP\tO' -p207119 -aS',\t,\t,\tO\tO' -p207120 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p207121 -asS'His temperatureis 98.9 .' -p207122 -(lp207123 -S'His\tHis\tPRP$\tB-NP\tO' -p207124 -aS'temperatureis\ttemperatureis\tNN\tI-NP\tO' -p207125 -aS'98.9\t98.9\tCD\tI-NP\tO' -p207126 -aS'.\t.\t.\tO\tO' -p207127 -asS'He markedly improved after a dose of Mestinon .' -p207128 -(lp207129 -S'He\tHe\tPRP\tB-NP\tO' -p207130 -aS'markedly\tmarkedly\tRB\tB-ADVP\tO' -p207131 -aS'improved\timprove\tVBD\tB-VP\tO' -p207132 -aS'after\tafter\tIN\tB-PP\tO' -p207133 -aS'a\ta\tDT\tB-NP\tO' -p207134 -aS'dose\tdose\tNN\tI-NP\tO' -p207135 -aS'of\tof\tIN\tB-PP\tO' -p207136 -aS'Mestinon\tMestinon\tNNP\tB-NP\tO' -p207137 -aS'.\t.\t.\tO\tO' -p207138 -asS'Pathology demonstrates that the pathology results of the liver were not finalized .' -p207139 -(lp207140 -S'Pathology\tPathology\tNNP\tB-NP\tO' -p207141 -aS'demonstrates\tdemonstrate\tVBZ\tB-VP\tO' -p207142 -aS'that\tthat\tIN\tB-SBAR\tO' -p207143 -aS'the\tthe\tDT\tB-NP\tO' -p207144 -aS'pathology\tpathology\tNN\tI-NP\tO' -p207145 -aS'results\tresult\tNNS\tI-NP\tO' -p207146 -aS'of\tof\tIN\tB-PP\tO' -p207147 -aS'the\tthe\tDT\tB-NP\tO' -p207148 -aS'liver\tliver\tNN\tI-NP\tO' -p207149 -aS'were\tbe\tVBD\tB-VP\tO' -p207150 -aS'not\tnot\tRB\tI-VP\tO' -p207151 -aS'finalized\tfinalize\tVBN\tI-VP\tO' -p207152 -aS'.\t.\t.\tO\tO' -p207153 -asS'The patient has a positive tobacco history , but he quit smoking over 20 years ago .' -p207154 -(lp207155 -S'The\tThe\tDT\tB-NP\tO' -p207156 -aS'patient\tpatient\tNN\tI-NP\tO' -p207157 -aS'has\thave\tVBZ\tB-VP\tO' -p207158 -aS'a\ta\tDT\tB-NP\tO' -p207159 -aS'positive\tpositive\tJJ\tI-NP\tO' -p207160 -aS'tobacco\ttobacco\tNN\tI-NP\tO' -p207161 -aS'history\thistory\tNN\tI-NP\tO' -p207162 -aS',\t,\t,\tO\tO' -p207163 -aS'but\tbut\tCC\tO\tO' -p207164 -aS'he\the\tPRP\tB-NP\tO' -p207165 -aS'quit\tquit\tVBD\tB-VP\tO' -p207166 -aS'smoking\tsmoking\tNN\tB-NP\tO' -p207167 -aS'over\tover\tIN\tB-PP\tO' -p207168 -aS'20\t20\tCD\tB-NP\tO' -p207169 -aS'years\tyear\tNNS\tI-NP\tO' -p207170 -aS'ago\tago\tRB\tB-ADVP\tO' -p207171 -aS'.\t.\t.\tO\tO' -p207172 -asS'Vancomycin 1 gm IV q12h .' -p207173 -(lp207174 -S'Vancomycin\tVancomycin\tNN\tB-NP\tO' -p207175 -aS'1\t1\tCD\tI-NP\tO' -p207176 -aS'gm\tgm\tNN\tI-NP\tO' -p207177 -aS'IV\tIV\tCD\tB-NP\tO' -p207178 -aS'q12h\tq12h\tNN\tI-NP\tO' -p207179 -aS'.\t.\t.\tO\tO' -p207180 -asS'There is a small subdural hematoma with components of pneumocephalus tracking from the mastoid air cells .' -p207181 -(lp207182 -S'There\tThere\tEX\tB-NP\tO' -p207183 -aS'is\tbe\tVBZ\tB-VP\tO' -p207184 -aS'a\ta\tDT\tB-NP\tO' -p207185 -aS'small\tsmall\tJJ\tI-NP\tO' -p207186 -aS'subdural\tsubdural\tJJ\tI-NP\tO' -p207187 -aS'hematoma\thematoma\tNN\tI-NP\tO' -p207188 -aS'with\twith\tIN\tB-PP\tO' -p207189 -aS'components\tcomponent\tNNS\tB-NP\tO' -p207190 -aS'of\tof\tIN\tB-PP\tO' -p207191 -aS'pneumocephalus\tpneumocephalus\tNN\tB-NP\tO' -p207192 -aS'tracking\ttracking\tNN\tI-NP\tO' -p207193 -aS'from\tfrom\tIN\tB-PP\tO' -p207194 -aS'the\tthe\tDT\tB-NP\tO' -p207195 -aS'mastoid\tmastoid\tJJ\tI-NP\tB-cell_type' -p207196 -aS'air\tair\tNN\tI-NP\tI-cell_type' -p207197 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p207198 -aS'.\t.\t.\tO\tO' -p207199 -asS'He was unable to move the left side of his body and felt numb on that side .' -p207200 -(lp207201 -S'He\tHe\tPRP\tB-NP\tO' -p207202 -aS'was\tbe\tVBD\tB-VP\tO' -p207203 -aS'unable\tunable\tJJ\tB-ADJP\tO' -p207204 -aS'to\tto\tTO\tB-VP\tO' -p207205 -aS'move\tmove\tVB\tI-VP\tO' -p207206 -aS'the\tthe\tDT\tB-NP\tO' -p207207 -aS'left\tleft\tJJ\tI-NP\tO' -p207208 -aS'side\tside\tNN\tI-NP\tO' -p207209 -aS'of\tof\tIN\tB-PP\tO' -p207210 -aS'his\this\tPRP$\tB-NP\tO' -p207211 -aS'body\tbody\tNN\tI-NP\tO' -p207212 -aS'and\tand\tCC\tO\tO' -p207213 -aS'felt\tfeel\tVBD\tB-VP\tO' -p207214 -aS'numb\tnumb\tNN\tB-NP\tO' -p207215 -aS'on\ton\tIN\tB-PP\tO' -p207216 -aS'that\tthat\tDT\tB-NP\tO' -p207217 -aS'side\tside\tNN\tI-NP\tO' -p207218 -aS'.\t.\t.\tO\tO' -p207219 -asS'The patient was AV paced at a rate of 88 beats per minute .' -p207220 -(lp207221 -S'The\tThe\tDT\tB-NP\tO' -p207222 -aS'patient\tpatient\tNN\tI-NP\tO' -p207223 -aS'was\tbe\tVBD\tB-VP\tO' -p207224 -aS'AV\tAV\tNN\tB-NP\tO' -p207225 -aS'paced\tpace\tVBN\tB-VP\tO' -p207226 -aS'at\tat\tIN\tB-PP\tO' -p207227 -aS'a\ta\tDT\tB-NP\tO' -p207228 -aS'rate\trate\tNN\tI-NP\tO' -p207229 -aS'of\tof\tIN\tB-PP\tO' -p207230 -aS'88\t88\tCD\tB-NP\tO' -p207231 -aS'beats\tbeat\tNNS\tI-NP\tO' -p207232 -aS'per\tper\tIN\tB-PP\tO' -p207233 -aS'minute\tminute\tNN\tB-NP\tO' -p207234 -aS'.\t.\t.\tO\tO' -p207235 -asS'In general , he was alert and in no acute distress .' -p207236 -(lp207237 -S'In\tIn\tIN\tB-PP\tO' -p207238 -aS'general\tgeneral\tJJ\tB-ADJP\tO' -p207239 -aS',\t,\t,\tO\tO' -p207240 -aS'he\the\tPRP\tB-NP\tO' -p207241 -aS'was\tbe\tVBD\tB-VP\tO' -p207242 -aS'alert\talert\tJJ\tB-ADJP\tO' -p207243 -aS'and\tand\tCC\tO\tO' -p207244 -aS'in\tin\tIN\tB-PP\tO' -p207245 -aS'no\tno\tDT\tB-NP\tO' -p207246 -aS'acute\tacute\tJJ\tI-NP\tO' -p207247 -aS'distress\tdistress\tNN\tI-NP\tO' -p207248 -aS'.\t.\t.\tO\tO' -p207249 -asS'He was admitted to the CMED , intubated for airway protection and started on both a calcium and glucagon drip .' -p207250 -(lp207251 -S'He\tHe\tPRP\tB-NP\tO' -p207252 -aS'was\tbe\tVBD\tB-VP\tO' -p207253 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p207254 -aS'to\tto\tTO\tB-PP\tO' -p207255 -aS'the\tthe\tDT\tB-NP\tO' -p207256 -aS'CMED\tCMED\tNN\tI-NP\tO' -p207257 -aS',\t,\t,\tO\tO' -p207258 -aS'intubated\tintubate\tVBN\tB-VP\tO' -p207259 -aS'for\tfor\tIN\tB-PP\tO' -p207260 -aS'airway\tairway\tNN\tB-NP\tO' -p207261 -aS'protection\tprotection\tNN\tI-NP\tO' -p207262 -aS'and\tand\tCC\tO\tO' -p207263 -aS'started\tstart\tVBD\tB-VP\tO' -p207264 -aS'on\ton\tIN\tB-PP\tO' -p207265 -aS'both\tboth\tCC\tO\tO' -p207266 -aS'a\ta\tDT\tB-NP\tO' -p207267 -aS'calcium\tcalcium\tNN\tI-NP\tO' -p207268 -aS'and\tand\tCC\tI-NP\tO' -p207269 -aS'glucagon\tglucagon\tNN\tI-NP\tO' -p207270 -aS'drip\tdrip\tNN\tI-NP\tO' -p207271 -aS'.\t.\t.\tO\tO' -p207272 -asS'an appointment was made with interventional radiology on 2019-02-11 to replace his PORT , under the assumption that his surveillance cultures from dialysis remain negative .' -p207273 -(lp207274 -S'an\tan\tDT\tB-NP\tO' -p207275 -aS'appointment\tappointment\tNN\tI-NP\tO' -p207276 -aS'was\tbe\tVBD\tB-VP\tO' -p207277 -aS'made\tmake\tVBN\tI-VP\tO' -p207278 -aS'with\twith\tIN\tB-PP\tO' -p207279 -aS'interventional\tinterventional\tJJ\tB-NP\tO' -p207280 -aS'radiology\tradiology\tNN\tI-NP\tO' -p207281 -aS'on\ton\tIN\tB-PP\tO' -p207282 -aS'2019-02-11\t2019-02-11\tCD\tB-NP\tO' -p207283 -aS'to\tto\tTO\tB-VP\tO' -p207284 -aS'replace\treplace\tVB\tI-VP\tO' -p207285 -aS'his\this\tPRP$\tB-NP\tO' -p207286 -aS'PORT\tPORT\tNN\tI-NP\tO' -p207287 -aS',\t,\t,\tO\tO' -p207288 -aS'under\tunder\tIN\tB-PP\tO' -p207289 -aS'the\tthe\tDT\tB-NP\tO' -p207290 -aS'assumption\tassumption\tNN\tI-NP\tO' -p207291 -aS'that\tthat\tIN\tB-SBAR\tO' -p207292 -aS'his\this\tPRP$\tB-NP\tB-cell_line' -p207293 -aS'surveillance\tsurveillance\tNN\tI-NP\tI-cell_line' -p207294 -aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' -p207295 -aS'from\tfrom\tIN\tB-PP\tO' -p207296 -aS'dialysis\tdialysis\tNN\tB-NP\tO' -p207297 -aS'remain\tremain\tVBP\tB-VP\tO' -p207298 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p207299 -aS'.\t.\t.\tO\tO' -p207300 -asS'Portal vein was fully patent .' -p207301 -(lp207302 -S'Portal\tPortal\tJJ\tB-NP\tO' -p207303 -aS'vein\tvein\tNN\tI-NP\tO' -p207304 -aS'was\tbe\tVBD\tB-VP\tO' -p207305 -aS'fully\tfully\tRB\tB-ADJP\tO' -p207306 -aS'patent\tpatent\tNN\tI-ADJP\tO' -p207307 -aS'.\t.\t.\tO\tO' -p207308 -asS'For 2 days PTA , he has expressed a wish to kill himself ( no clear plan , but fixing things around the house " so things will be ready when I \'m gone ").' -p207309 -(lp207310 -S'For\tFor\tIN\tB-PP\tO' -p207311 -aS'2\t2\tCD\tB-NP\tO' -p207312 -aS'days\tday\tNNS\tI-NP\tO' -p207313 -aS'PTA\tPTA\tNN\tI-NP\tB-protein' -p207314 -aS',\t,\t,\tO\tO' -p207315 -aS'he\the\tPRP\tB-NP\tO' -p207316 -aS'has\thave\tVBZ\tB-VP\tO' -p207317 -aS'expressed\texpress\tVBN\tI-VP\tO' -p207318 -aS'a\ta\tDT\tB-NP\tO' -p207319 -aS'wish\twish\tNN\tI-NP\tO' -p207320 -aS'to\tto\tTO\tB-VP\tO' -p207321 -aS'kill\tkill\tVB\tI-VP\tO' -p207322 -aS'himself\thimself\tPRP\tB-NP\tO' -p207323 -aS'(\t(\t(\tO\tO' -p207324 -aS'no\tno\tDT\tB-NP\tO' -p207325 -aS'clear\tclear\tJJ\tI-NP\tO' -p207326 -aS'plan\tplan\tNN\tI-NP\tO' -p207327 -aS',\t,\t,\tO\tO' -p207328 -aS'but\tbut\tCC\tO\tO' -p207329 -aS'fixing\tfix\tVBG\tB-VP\tO' -p207330 -aS'things\tthing\tNNS\tB-NP\tO' -p207331 -aS'around\taround\tIN\tB-PP\tO' -p207332 -aS'the\tthe\tDT\tB-NP\tO' -p207333 -aS'house\thouse\tNN\tI-NP\tO' -p207334 -aS'"\t"\t``\tO\tO' -p207335 -aS'so\tso\tRB\tB-ADVP\tO' -p207336 -aS'things\tthing\tNNS\tB-NP\tO' -p207337 -aS'will\twill\tMD\tB-VP\tO' -p207338 -aS'be\tbe\tVB\tI-VP\tO' -p207339 -aS'ready\tready\tJJ\tB-ADJP\tO' -p207340 -aS'when\twhen\tWRB\tB-ADVP\tO' -p207341 -aS'I\tI\tPRP\tB-NP\tO' -p207342 -aS"'m\t'm\tVBP\tB-VP\tO" -p207343 -aS'gone\tgo\tVBN\tI-VP\tO' -p207344 -aS'").\t").\tRB\tB-ADVP\tO' -p207345 -asS'He is able to apply his prosthesis and ambulate as well .' -p207346 -(lp207347 -S'He\tHe\tPRP\tB-NP\tO' -p207348 -aS'is\tbe\tVBZ\tB-VP\tO' -p207349 -aS'able\table\tJJ\tB-ADJP\tO' -p207350 -aS'to\tto\tTO\tB-VP\tO' -p207351 -aS'apply\tapply\tVB\tI-VP\tO' -p207352 -aS'his\this\tPRP$\tB-NP\tO' -p207353 -aS'prosthesis\tprosthesis\tNN\tI-NP\tO' -p207354 -aS'and\tand\tCC\tO\tO' -p207355 -aS'ambulate\tambulate\tVBP\tB-VP\tO' -p207356 -aS'as\tas\tRB\tB-ADVP\tO' -p207357 -aS'well\twell\tRB\tI-ADVP\tO' -p207358 -aS'.\t.\t.\tO\tO' -p207359 -asS'Please continue Ciprofloxacin antibiotic until 2019-02-14 .' -p207360 -(lp207361 -S'Please\tPlease\tVB\tB-VP\tO' -p207362 -aS'continue\tcontinue\tVB\tI-VP\tO' -p207363 -aS'Ciprofloxacin\tCiprofloxacin\tNN\tB-NP\tO' -p207364 -aS'antibiotic\tantibiotic\tNN\tI-NP\tO' -p207365 -aS'until\tuntil\tIN\tB-PP\tO' -p207366 -aS'2019-02-14\t2019-02-14\tCD\tB-NP\tO' -p207367 -aS'.\t.\t.\tO\tO' -p207368 -asS'3. History of ischemic bowel .' -p207369 -(lp207370 -S'3.\t3.\tLS\tB-NP\tO' -p207371 -aS'History\tHistory\tNN\tI-NP\tO' -p207372 -aS'of\tof\tIN\tB-PP\tO' -p207373 -aS'ischemic\tischemic\tJJ\tB-NP\tO' -p207374 -aS'bowel\tbowel\tNN\tI-NP\tO' -p207375 -aS'.\t.\t.\tO\tO' -p207376 -asS'He was anticoagulated with heparin and coumadin .' -p207377 -(lp207378 -S'He\tHe\tPRP\tB-NP\tO' -p207379 -aS'was\tbe\tVBD\tB-VP\tO' -p207380 -aS'anticoagulated\tanticoagulate\tVBN\tI-VP\tO' -p207381 -aS'with\twith\tIN\tB-PP\tO' -p207382 -aS'heparin\theparin\tNN\tB-NP\tO' -p207383 -aS'and\tand\tCC\tI-NP\tO' -p207384 -aS'coumadin\tcoumadin\tNN\tI-NP\tO' -p207385 -aS'.\t.\t.\tO\tO' -p207386 -asS'Pt underwent bronchoscopy on 11-22 following transfer to the ICU for hypoxic respiratory failure and intubation ( 7.25/52/70 on 100% NRB ) .' -p207387 -(lp207388 -S'Pt\tPt\tNN\tB-NP\tO' -p207389 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p207390 -aS'bronchoscopy\tbronchoscopy\tNN\tB-NP\tO' -p207391 -aS'on\ton\tIN\tB-PP\tO' -p207392 -aS'11-22\t11-22\tCD\tB-NP\tO' -p207393 -aS'following\tfollow\tVBG\tB-PP\tO' -p207394 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p207395 -aS'to\tto\tTO\tB-PP\tO' -p207396 -aS'the\tthe\tDT\tB-NP\tO' -p207397 -aS'ICU\tICU\tNN\tI-NP\tO' -p207398 -aS'for\tfor\tIN\tB-PP\tO' -p207399 -aS'hypoxic\thypoxic\tJJ\tB-NP\tO' -p207400 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p207401 -aS'failure\tfailure\tNN\tI-NP\tO' -p207402 -aS'and\tand\tCC\tO\tO' -p207403 -aS'intubation\tintubation\tNN\tB-NP\tO' -p207404 -aS'(\t(\t(\tO\tO' -p207405 -aS'7.25/52/70\t7.25/52/70\tCD\tB-NP\tO' -p207406 -aS'on\ton\tIN\tB-PP\tO' -p207407 -aS'100%\t100%\tCD\tB-NP\tO' -p207408 -aS'NRB\tNRB\tNN\tI-NP\tB-protein' -p207409 -aS')\t)\t)\tO\tO' -p207410 -aS'.\t.\t.\tO\tO' -p207411 -asS'Is notable for depression , and she has been followed regularly by Dr. Freiermchird of Nash Health for several months with pharmacologic treatment , which is apparently working well .' -p207412 -(lp207413 -S'Is\tBe\tVBZ\tO\tO' -p207414 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p207415 -aS'for\tfor\tIN\tB-PP\tO' -p207416 -aS'depression\tdepression\tNN\tB-NP\tO' -p207417 -aS',\t,\t,\tO\tO' -p207418 -aS'and\tand\tCC\tO\tO' -p207419 -aS'she\tshe\tPRP\tB-NP\tO' -p207420 -aS'has\thave\tVBZ\tB-VP\tO' -p207421 -aS'been\tbe\tVBN\tI-VP\tO' -p207422 -aS'followed\tfollow\tVBN\tI-VP\tO' -p207423 -aS'regularly\tregularly\tRB\tB-ADVP\tO' -p207424 -aS'by\tby\tIN\tB-PP\tO' -p207425 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p207426 -aS'Freiermchird\tFreiermchird\tNNP\tI-NP\tO' -p207427 -aS'of\tof\tIN\tB-PP\tO' -p207428 -aS'Nash\tNash\tNNP\tB-NP\tO' -p207429 -aS'Health\tHealth\tNNP\tI-NP\tO' -p207430 -aS'for\tfor\tIN\tB-PP\tO' -p207431 -aS'several\tseveral\tJJ\tB-NP\tO' -p207432 -aS'months\tmonth\tNNS\tI-NP\tO' -p207433 -aS'with\twith\tIN\tB-PP\tO' -p207434 -aS'pharmacologic\tpharmacologic\tJJ\tB-NP\tO' -p207435 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p207436 -aS',\t,\t,\tO\tO' -p207437 -aS'which\twhich\tWDT\tB-NP\tO' -p207438 -aS'is\tbe\tVBZ\tB-VP\tO' -p207439 -aS'apparently\tapparently\tRB\tI-VP\tO' -p207440 -aS'working\twork\tVBG\tI-VP\tO' -p207441 -aS'well\twell\tRB\tB-ADVP\tO' -p207442 -aS'.\t.\t.\tO\tO' -p207443 -asS'white blood cells 7 , hematocrit 42.7% , hemoglobin 14.3 , platelets 161 .' -p207444 -(lp207445 -S'white\twhite\tJJ\tB-NP\tO' -p207446 -aS'blood\tblood\tNN\tI-NP\tO' -p207447 -aS'cells\tcell\tNNS\tI-NP\tO' -p207448 -aS'7\t7\tCD\tB-NP\tO' -p207449 -aS',\t,\t,\tO\tO' -p207450 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p207451 -aS'42.7%\t42.7%\tNN\tI-NP\tI-protein' -p207452 -aS',\t,\t,\tO\tO' -p207453 -aS'hemoglobin\themoglobin\tNN\tB-NP\tB-protein' -p207454 -aS'14.3\t14.3\tCD\tI-NP\tI-protein' -p207455 -aS',\t,\t,\tO\tO' -p207456 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p207457 -aS'161\t161\tCD\tB-NP\tO' -p207458 -aS'.\t.\t.\tO\tO' -p207459 -asS'There was a 3-vessel cord .' -p207460 -(lp207461 -S'There\tThere\tEX\tB-NP\tO' -p207462 -aS'was\tbe\tVBD\tB-VP\tO' -p207463 -aS'a\ta\tDT\tB-NP\tO' -p207464 -aS'3-vessel\t3-vessel\tJJ\tI-NP\tO' -p207465 -aS'cord\tcord\tNN\tI-NP\tO' -p207466 -aS'.\t.\t.\tO\tO' -p207467 -asS'Additionally the pt should f/u with the hematology clinic .' -p207468 -(lp207469 -S'Additionally\tAdditionally\tRB\tB-ADVP\tO' -p207470 -aS'the\tthe\tDT\tB-NP\tO' -p207471 -aS'pt\tpt\tNN\tI-NP\tO' -p207472 -aS'should\tshould\tMD\tB-VP\tO' -p207473 -aS'f/u\tf/u\tVB\tI-VP\tO' -p207474 -aS'with\twith\tIN\tB-PP\tO' -p207475 -aS'the\tthe\tDT\tB-NP\tO' -p207476 -aS'hematology\thematology\tNN\tI-NP\tO' -p207477 -aS'clinic\tclinic\tNN\tI-NP\tO' -p207478 -aS'.\t.\t.\tO\tO' -p207479 -asS'Mother died of end stage renal disease .' -p207480 -(lp207481 -S'Mother\tMother\tNNP\tB-NP\tO' -p207482 -aS'died\tdie\tVBD\tB-VP\tO' -p207483 -aS'of\tof\tIN\tB-PP\tO' -p207484 -aS'end\tend\tNN\tB-NP\tO' -p207485 -aS'stage\tstage\tNN\tI-NP\tO' -p207486 -aS'renal\trenal\tJJ\tI-NP\tO' -p207487 -aS'disease\tdisease\tNN\tI-NP\tO' -p207488 -aS'.\t.\t.\tO\tO' -p207489 -asS'3. Polyvinyl Alcohol - Povidone 1.4-0.6 % Dropperette Sig : 02-25 Drops Ophthalmic PRN ( as needed ).' -p207490 -(lp207491 -S'3.\t3.\tLS\tB-NP\tO' -p207492 -aS'Polyvinyl\tPolyvinyl\tNN\tI-NP\tO' -p207493 -aS'Alcohol\tAlcohol\tNN\tI-NP\tO' -p207494 -aS'-\t-\tHYPH\tB-NP\tO' -p207495 -aS'Povidone\tPovidone\tNN\tI-NP\tO' -p207496 -aS'1.4-0.6\t1.4-0.6\tCD\tB-NP\tO' -p207497 -aS'%\t%\tNN\tI-NP\tO' -p207498 -aS'Dropperette\tDropperette\tNNP\tI-NP\tO' -p207499 -aS'Sig\tSig\tNNP\tI-NP\tO' -p207500 -aS':\t:\t:\tO\tO' -p207501 -aS'02-25\t02-25\tCD\tB-NP\tO' -p207502 -aS'Drops\tDrop\tVBZ\tB-VP\tO' -p207503 -aS'Ophthalmic\tOphthalmic\tJJ\tB-NP\tO' -p207504 -aS'PRN\tPRN\tNN\tI-NP\tO' -p207505 -aS'(\t(\t(\tO\tO' -p207506 -aS'as\tas\tIN\tB-SBAR\tO' -p207507 -aS'needed\tneed\tVBN\tB-VP\tO' -p207508 -aS').\t).\t)\tO\tO' -p207509 -asS'Please call your gastroenterologist to schedule a follow up appointment in 2 weeks .' -p207510 -(lp207511 -S'Please\tPlease\tVB\tB-VP\tO' -p207512 -aS'call\tcall\tVB\tI-VP\tO' -p207513 -aS'your\tyour\tPRP$\tB-NP\tO' -p207514 -aS'gastroenterologist\tgastroenterologist\tNN\tI-NP\tO' -p207515 -aS'to\tto\tTO\tB-VP\tO' -p207516 -aS'schedule\tschedule\tVB\tI-VP\tO' -p207517 -aS'a\ta\tDT\tB-NP\tO' -p207518 -aS'follow\tfollow\tNN\tI-NP\tO' -p207519 -aS'up\tup\tRP\tB-PRT\tO' -p207520 -aS'appointment\tappointment\tNN\tB-NP\tO' -p207521 -aS'in\tin\tIN\tB-PP\tO' -p207522 -aS'2\t2\tCD\tB-NP\tO' -p207523 -aS'weeks\tweek\tNNS\tI-NP\tO' -p207524 -aS'.\t.\t.\tO\tO' -p207525 -asS'Her thyroid was within normal limits .' -p207526 -(lp207527 -S'Her\tHer\tPRP$\tB-NP\tO' -p207528 -aS'thyroid\tthyroid\tNN\tI-NP\tO' -p207529 -aS'was\tbe\tVBD\tB-VP\tO' -p207530 -aS'within\twithin\tIN\tB-PP\tO' -p207531 -aS'normal\tnormal\tJJ\tB-NP\tO' -p207532 -aS'limits\tlimit\tNNS\tI-NP\tO' -p207533 -aS'.\t.\t.\tO\tO' -p207534 -asS'Currently , the infusion of factor 8 are going through a jugular Broviac which was placed on 05-15 for administration of factor .' -p207535 -(lp207536 -S'Currently\tCurrently\tRB\tB-ADVP\tO' -p207537 -aS',\t,\t,\tO\tO' -p207538 -aS'the\tthe\tDT\tB-NP\tO' -p207539 -aS'infusion\tinfusion\tNN\tI-NP\tO' -p207540 -aS'of\tof\tIN\tB-PP\tO' -p207541 -aS'factor\tfactor\tNN\tB-NP\tO' -p207542 -aS'8\t8\tCD\tI-NP\tO' -p207543 -aS'are\tbe\tVBP\tB-VP\tO' -p207544 -aS'going\tgo\tVBG\tI-VP\tO' -p207545 -aS'through\tthrough\tIN\tB-PP\tO' -p207546 -aS'a\ta\tDT\tB-NP\tO' -p207547 -aS'jugular\tjugular\tJJ\tI-NP\tO' -p207548 -aS'Broviac\tBroviac\tNN\tI-NP\tO' -p207549 -aS'which\twhich\tWDT\tB-NP\tO' -p207550 -aS'was\tbe\tVBD\tB-VP\tO' -p207551 -aS'placed\tplace\tVBN\tI-VP\tO' -p207552 -aS'on\ton\tIN\tB-PP\tO' -p207553 -aS'05-15\t05-15\tCD\tB-NP\tO' -p207554 -aS'for\tfor\tIN\tB-PP\tO' -p207555 -aS'administration\tadministration\tNN\tB-NP\tO' -p207556 -aS'of\tof\tIN\tB-PP\tO' -p207557 -aS'factor\tfactor\tNN\tB-NP\tO' -p207558 -aS'.\t.\t.\tO\tO' -p207559 -asS'After treatment with three cycles of fludarabine he had 90% involvement of his intratrabecular space .' -p207560 -(lp207561 -S'After\tAfter\tIN\tB-PP\tO' -p207562 -aS'treatment\ttreatment\tNN\tB-NP\tO' -p207563 -aS'with\twith\tIN\tB-PP\tO' -p207564 -aS'three\tthree\tCD\tB-NP\tO' -p207565 -aS'cycles\tcycle\tNNS\tI-NP\tO' -p207566 -aS'of\tof\tIN\tB-PP\tO' -p207567 -aS'fludarabine\tfludarabine\tNN\tB-NP\tO' -p207568 -aS'he\the\tPRP\tB-NP\tO' -p207569 -aS'had\thave\tVBD\tB-VP\tO' -p207570 -aS'90%\t90%\tCD\tB-NP\tO' -p207571 -aS'involvement\tinvolvement\tNN\tI-NP\tO' -p207572 -aS'of\tof\tIN\tB-PP\tO' -p207573 -aS'his\this\tPRP$\tB-NP\tO' -p207574 -aS'intratrabecular\tintratrabecular\tJJ\tI-NP\tO' -p207575 -aS'space\tspace\tNN\tI-NP\tO' -p207576 -aS'.\t.\t.\tO\tO' -p207577 -asS'Alert and appropriate .' -p207578 -(lp207579 -S'Alert\tAlert\tJJ\tB-ADJP\tO' -p207580 -aS'and\tand\tCC\tI-ADJP\tO' -p207581 -aS'appropriate\tappropriate\tJJ\tI-ADJP\tO' -p207582 -aS'.\t.\t.\tO\tO' -p207583 -asS'5. Placement of a right femoral arterial line .' -p207584 -(lp207585 -S'5.\t5.\tLS\tB-NP\tO' -p207586 -aS'Placement\tPlacement\tNN\tI-NP\tO' -p207587 -aS'of\tof\tIN\tB-PP\tO' -p207588 -aS'a\ta\tDT\tB-NP\tO' -p207589 -aS'right\tright\tJJ\tI-NP\tB-cell_line' -p207590 -aS'femoral\tfemoral\tJJ\tI-NP\tI-cell_line' -p207591 -aS'arterial\tarterial\tJJ\tI-NP\tI-cell_line' -p207592 -aS'line\tline\tNN\tI-NP\tI-cell_line' -p207593 -aS'.\t.\t.\tO\tO' -p207594 -asS'Clavicles intact .' -p207595 -(lp207596 -S'Clavicles\tClavicle\tNNS\tB-NP\tO' -p207597 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p207598 -aS'.\t.\t.\tO\tO' -p207599 -asS'please follow up with your primary care doctor within 4 weeks .' -p207600 -(lp207601 -S'please\tplease\tVB\tB-INTJ\tO' -p207602 -aS'follow\tfollow\tVB\tB-VP\tO' -p207603 -aS'up\tup\tRP\tB-PRT\tO' -p207604 -aS'with\twith\tIN\tB-PP\tO' -p207605 -aS'your\tyour\tPRP$\tB-NP\tO' -p207606 -aS'primary\tprimary\tJJ\tI-NP\tO' -p207607 -aS'care\tcare\tNN\tI-NP\tO' -p207608 -aS'doctor\tdoctor\tNN\tI-NP\tO' -p207609 -aS'within\twithin\tIN\tB-PP\tO' -p207610 -aS'4\t4\tCD\tB-NP\tO' -p207611 -aS'weeks\tweek\tNNS\tI-NP\tO' -p207612 -aS'.\t.\t.\tO\tO' -p207613 -asS'( 853 ) 390 1387 .' -p207614 -(lp207615 -S'(\t(\t(\tO\tO' -p207616 -aS'853\t853\tCD\tB-NP\tO' -p207617 -aS')\t)\t)\tO\tO' -p207618 -aS'390\t390\tCD\tB-NP\tO' -p207619 -aS'1387\t1387\tCD\tI-NP\tO' -p207620 -aS'.\t.\t.\tO\tO' -p207621 -asS'Lives alone second floor apartment ; son and mother nearby' -p207622 -(lp207623 -S'Lives\tLife\tNNS\tB-NP\tO' -p207624 -aS'alone\talone\tRB\tB-NP\tO' -p207625 -aS'second\tsecond\tJJ\tI-NP\tO' -p207626 -aS'floor\tfloor\tNN\tI-NP\tO' -p207627 -aS'apartment\tapartment\tNN\tI-NP\tO' -p207628 -aS';\t;\t:\tO\tO' -p207629 -aS'son\tson\tNN\tB-NP\tO' -p207630 -aS'and\tand\tCC\tI-NP\tO' -p207631 -aS'mother\tmother\tNN\tI-NP\tO' -p207632 -aS'nearby\tnearby\tRB\tB-ADVP\tO' -p207633 -asS'Dedicated MR of the neck may be helpful for more complete assessment of the neck mass and lymphadenopathy if warranted clinically .' -p207634 -(lp207635 -S'Dedicated\tDedicate\tVBN\tB-NP\tO' -p207636 -aS'MR\tMR\tNN\tI-NP\tB-protein' -p207637 -aS'of\tof\tIN\tB-PP\tO' -p207638 -aS'the\tthe\tDT\tB-NP\tO' -p207639 -aS'neck\tneck\tNN\tI-NP\tO' -p207640 -aS'may\tmay\tMD\tB-VP\tO' -p207641 -aS'be\tbe\tVB\tI-VP\tO' -p207642 -aS'helpful\thelpful\tJJ\tB-ADJP\tO' -p207643 -aS'for\tfor\tIN\tB-PP\tO' -p207644 -aS'more\tmore\tRBR\tB-NP\tO' -p207645 -aS'complete\tcomplete\tJJ\tI-NP\tO' -p207646 -aS'assessment\tassessment\tNN\tI-NP\tO' -p207647 -aS'of\tof\tIN\tB-PP\tO' -p207648 -aS'the\tthe\tDT\tB-NP\tO' -p207649 -aS'neck\tneck\tNN\tI-NP\tO' -p207650 -aS'mass\tmass\tNN\tI-NP\tO' -p207651 -aS'and\tand\tCC\tI-NP\tO' -p207652 -aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' -p207653 -aS'if\tif\tIN\tB-SBAR\tO' -p207654 -aS'warranted\twarrant\tVBN\tB-VP\tO' -p207655 -aS'clinically\tclinically\tRB\tB-ADVP\tO' -p207656 -aS'.\t.\t.\tO\tO' -p207657 -asS'She had some slight headaches which resolved with Tylenol , and the dizziness resolved as well .' -p207658 -(lp207659 -S'She\tShe\tPRP\tB-NP\tO' -p207660 -aS'had\thave\tVBD\tB-VP\tO' -p207661 -aS'some\tsome\tDT\tB-NP\tO' -p207662 -aS'slight\tslight\tJJ\tI-NP\tO' -p207663 -aS'headaches\theadache\tNNS\tI-NP\tO' -p207664 -aS'which\twhich\tWDT\tB-NP\tO' -p207665 -aS'resolved\tresolve\tVBD\tB-VP\tO' -p207666 -aS'with\twith\tIN\tB-PP\tO' -p207667 -aS'Tylenol\tTylenol\tNN\tB-NP\tO' -p207668 -aS',\t,\t,\tO\tO' -p207669 -aS'and\tand\tCC\tO\tO' -p207670 -aS'the\tthe\tDT\tB-NP\tO' -p207671 -aS'dizziness\tdizziness\tNN\tI-NP\tO' -p207672 -aS'resolved\tresolve\tVBD\tB-VP\tO' -p207673 -aS'as\tas\tRB\tB-ADVP\tO' -p207674 -aS'well\twell\tRB\tI-ADVP\tO' -p207675 -aS'.\t.\t.\tO\tO' -p207676 -asS'Incision is clean and dry .' -p207677 -(lp207678 -S'Incision\tIncision\tNN\tB-NP\tO' -p207679 -aS'is\tbe\tVBZ\tB-VP\tO' -p207680 -aS'clean\tclean\tJJ\tB-ADJP\tO' -p207681 -aS'and\tand\tCC\tI-ADJP\tO' -p207682 -aS'dry\tdry\tJJ\tI-ADJP\tO' -p207683 -aS'.\t.\t.\tO\tO' -p207684 -asS'1. Continue breast milk 24 calories of Nutramigen for concentration .' -p207685 -(lp207686 -S'1.\t1.\tLS\tB-NP\tO' -p207687 -aS'Continue\tContinue\tJJ\tI-NP\tO' -p207688 -aS'breast\tbreast\tNN\tI-NP\tO' -p207689 -aS'milk\tmilk\tNN\tI-NP\tO' -p207690 -aS'24\t24\tCD\tB-NP\tO' -p207691 -aS'calories\tcalorie\tNNS\tI-NP\tO' -p207692 -aS'of\tof\tIN\tB-PP\tO' -p207693 -aS'Nutramigen\tNutramigen\tNN\tB-NP\tO' -p207694 -aS'for\tfor\tIN\tB-PP\tO' -p207695 -aS'concentration\tconcentration\tNN\tB-NP\tO' -p207696 -aS'.\t.\t.\tO\tO' -p207697 -asS'On admission included Tylenol .' -p207698 -(lp207699 -S'On\tOn\tIN\tB-PP\tO' -p207700 -aS'admission\tadmission\tNN\tB-NP\tO' -p207701 -aS'included\tinclude\tVBD\tB-VP\tO' -p207702 -aS'Tylenol\tTylenol\tNN\tB-NP\tO' -p207703 -aS'.\t.\t.\tO\tO' -p207704 -asS'On admission was remarkable for an abdomen which was soft and non-tender .' -p207705 -(lp207706 -S'On\tOn\tIN\tB-PP\tO' -p207707 -aS'admission\tadmission\tNN\tB-NP\tO' -p207708 -aS'was\tbe\tVBD\tB-VP\tO' -p207709 -aS'remarkable\tremarkable\tJJ\tB-ADJP\tO' -p207710 -aS'for\tfor\tIN\tB-PP\tO' -p207711 -aS'an\tan\tDT\tB-NP\tO' -p207712 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p207713 -aS'which\twhich\tWDT\tB-NP\tO' -p207714 -aS'was\tbe\tVBD\tB-VP\tO' -p207715 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p207716 -aS'and\tand\tCC\tI-ADJP\tO' -p207717 -aS'non-tender\tnon-tender\tJJ\tI-ADJP\tO' -p207718 -aS'.\t.\t.\tO\tO' -p207719 -asS'Cardiovascular examination revealed tachycardic first heart sound and second heart sound .' -p207720 -(lp207721 -S'Cardiovascular\tCardiovascular\tJJ\tB-NP\tO' -p207722 -aS'examination\texamination\tNN\tI-NP\tO' -p207723 -aS'revealed\treveal\tVBD\tB-VP\tO' -p207724 -aS'tachycardic\ttachycardic\tJJ\tB-NP\tO' -p207725 -aS'first\tfirst\tJJ\tI-NP\tO' -p207726 -aS'heart\theart\tNN\tI-NP\tO' -p207727 -aS'sound\tsound\tNN\tI-NP\tO' -p207728 -aS'and\tand\tCC\tO\tO' -p207729 -aS'second\tsecond\tJJ\tB-NP\tO' -p207730 -aS'heart\theart\tNN\tI-NP\tO' -p207731 -aS'sound\tsound\tNN\tI-NP\tO' -p207732 -aS'.\t.\t.\tO\tO' -p207733 -asS'The patient is presently staying at the Gangistown Hospital Center .' -p207734 -(lp207735 -S'The\tThe\tDT\tB-NP\tO' -p207736 -aS'patient\tpatient\tNN\tI-NP\tO' -p207737 -aS'is\tbe\tVBZ\tB-VP\tO' -p207738 -aS'presently\tpresently\tRB\tI-VP\tO' -p207739 -aS'staying\tstay\tVBG\tI-VP\tO' -p207740 -aS'at\tat\tIN\tB-PP\tO' -p207741 -aS'the\tthe\tDT\tB-NP\tO' -p207742 -aS'Gangistown\tGangistown\tNNP\tI-NP\tO' -p207743 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p207744 -aS'Center\tCenter\tNNP\tI-NP\tO' -p207745 -aS'.\t.\t.\tO\tO' -p207746 -asS'(1) Insulin dependent diabetes mellitus x 15 years with no retinopathy or foot lesions .' -p207747 -(lp207748 -S'(1)\t(1)\tLS\tB-NP\tO' -p207749 -aS'Insulin\tInsulin\tNN\tI-NP\tB-protein' -p207750 -aS'dependent\tdependent\tJJ\tI-NP\tO' -p207751 -aS'diabetes\tdiabete\tNNS\tI-NP\tO' -p207752 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p207753 -aS'x\tx\tSYM\tO\tO' -p207754 -aS'15\t15\tCD\tB-NP\tO' -p207755 -aS'years\tyear\tNNS\tI-NP\tO' -p207756 -aS'with\twith\tIN\tB-PP\tO' -p207757 -aS'no\tno\tDT\tB-NP\tO' -p207758 -aS'retinopathy\tretinopathy\tNN\tI-NP\tO' -p207759 -aS'or\tor\tCC\tI-NP\tO' -p207760 -aS'foot\tfoot\tNN\tI-NP\tO' -p207761 -aS'lesions\tlesion\tNNS\tI-NP\tO' -p207762 -aS'.\t.\t.\tO\tO' -p207763 -asS'White count 12.6 , hematocrit 28.9 , platelet count 259 , PT 21.4 , PTT 40.2 , INR 3.0 , sodium 137 , potassium 4.2 , chloride 100 , CO2 27 , BUN 26 , creatinine 1.3 , glucose 120 .' -p207764 -(lp207765 -S'White\tWhite\tJJ\tB-NP\tO' -p207766 -aS'count\tcount\tNN\tI-NP\tO' -p207767 -aS'12.6\t12.6\tCD\tI-NP\tO' -p207768 -aS',\t,\t,\tO\tO' -p207769 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p207770 -aS'28.9\t28.9\tCD\tI-NP\tI-protein' -p207771 -aS',\t,\t,\tO\tO' -p207772 -aS'platelet\tplatelet\tNN\tB-NP\tB-protein' -p207773 -aS'count\tcount\tNN\tI-NP\tI-protein' -p207774 -aS'259\t259\tCD\tI-NP\tI-protein' -p207775 -aS',\t,\t,\tO\tO' -p207776 -aS'PT\tPT\tNN\tB-NP\tB-cell_line' -p207777 -aS'21.4\t21.4\tCD\tI-NP\tI-cell_line' -p207778 -aS',\t,\t,\tO\tO' -p207779 -aS'PTT\tPTT\tNN\tB-NP\tB-protein' -p207780 -aS'40.2\t40.2\tCD\tI-NP\tI-protein' -p207781 -aS',\t,\t,\tO\tO' -p207782 -aS'INR\tINR\tNN\tB-NP\tB-protein' -p207783 -aS'3.0\t3.0\tCD\tI-NP\tI-protein' -p207784 -aS',\t,\t,\tO\tO' -p207785 -aS'sodium\tsodium\tNN\tB-NP\tO' -p207786 -aS'137\t137\tCD\tI-NP\tO' -p207787 -aS',\t,\t,\tO\tO' -p207788 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p207789 -aS'4.2\t4.2\tCD\tI-NP\tO' -p207790 -aS',\t,\t,\tO\tO' -p207791 -aS'chloride\tchloride\tNN\tB-NP\tO' -p207792 -aS'100\t100\tCD\tI-NP\tO' -p207793 -aS',\t,\t,\tO\tO' -p207794 -aS'CO2\tCO2\tNN\tB-NP\tO' -p207795 -aS'27\t27\tCD\tI-NP\tO' -p207796 -aS',\t,\t,\tO\tO' -p207797 -aS'BUN\tBUN\tNN\tB-NP\tB-DNA' -p207798 -aS'26\t26\tCD\tI-NP\tI-DNA' -p207799 -aS',\t,\t,\tO\tO' -p207800 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p207801 -aS'1.3\t1.3\tCD\tI-NP\tO' -p207802 -aS',\t,\t,\tO\tO' -p207803 -aS'glucose\tglucose\tNN\tB-NP\tO' -p207804 -aS'120\t120\tCD\tI-NP\tO' -p207805 -aS'.\t.\t.\tO\tO' -p207806 -asS'At this point , patient was felt to have clinical signs consistent with brain death .' -p207807 -(lp207808 -S'At\tAt\tIN\tB-PP\tO' -p207809 -aS'this\tthis\tDT\tB-NP\tO' -p207810 -aS'point\tpoint\tNN\tI-NP\tO' -p207811 -aS',\t,\t,\tO\tO' -p207812 -aS'patient\tpatient\tNN\tB-NP\tO' -p207813 -aS'was\tbe\tVBD\tB-VP\tO' -p207814 -aS'felt\tfeel\tVBN\tI-VP\tO' -p207815 -aS'to\tto\tTO\tI-VP\tO' -p207816 -aS'have\thave\tVB\tI-VP\tO' -p207817 -aS'clinical\tclinical\tJJ\tB-NP\tO' -p207818 -aS'signs\tsign\tNNS\tI-NP\tO' -p207819 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p207820 -aS'with\twith\tIN\tB-PP\tO' -p207821 -aS'brain\tbrain\tNN\tB-NP\tO' -p207822 -aS'death\tdeath\tNN\tI-NP\tO' -p207823 -aS'.\t.\t.\tO\tO' -p207824 -asS'She was started on Prograf and CellCept in the postoperative period .' -p207825 -(lp207826 -S'She\tShe\tPRP\tB-NP\tO' -p207827 -aS'was\tbe\tVBD\tB-VP\tO' -p207828 -aS'started\tstart\tVBN\tI-VP\tO' -p207829 -aS'on\ton\tIN\tB-PP\tO' -p207830 -aS'Prograf\tPrograf\tNN\tB-NP\tO' -p207831 -aS'and\tand\tCC\tI-NP\tO' -p207832 -aS'CellCept\tCellCept\tNN\tI-NP\tO' -p207833 -aS'in\tin\tIN\tB-PP\tO' -p207834 -aS'the\tthe\tDT\tB-NP\tO' -p207835 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p207836 -aS'period\tperiod\tNN\tI-NP\tO' -p207837 -aS'.\t.\t.\tO\tO' -p207838 -asS'No atrophy was noted .' -p207839 -(lp207840 -S'No\tNo\tDT\tB-NP\tO' -p207841 -aS'atrophy\tatrophy\tNN\tI-NP\tO' -p207842 -aS'was\tbe\tVBD\tB-VP\tO' -p207843 -aS'noted\tnote\tVBN\tI-VP\tO' -p207844 -aS'.\t.\t.\tO\tO' -p207845 -asS'Question of pulmonary-renal syndrome was raised .' -p207846 -(lp207847 -S'Question\tQuestion\tNN\tB-NP\tO' -p207848 -aS'of\tof\tIN\tB-PP\tO' -p207849 -aS'pulmonary-renal\tpulmonary-renal\tJJ\tB-NP\tO' -p207850 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p207851 -aS'was\tbe\tVBD\tB-VP\tO' -p207852 -aS'raised\traise\tVBN\tI-VP\tO' -p207853 -aS'.\t.\t.\tO\tO' -p207854 -asS'6. Anemia of prematurity .' -p207855 -(lp207856 -S'6.\t6.\tLS\tB-NP\tO' -p207857 -aS'Anemia\tAnemia\tNN\tI-NP\tO' -p207858 -aS'of\tof\tIN\tB-PP\tO' -p207859 -aS'prematurity\tprematurity\tNN\tB-NP\tO' -p207860 -aS'.\t.\t.\tO\tO' -p207861 -asS'Vital signs are normal .' -p207862 -(lp207863 -S'Vital\tVital\tJJ\tB-NP\tO' -p207864 -aS'signs\tsign\tNNS\tI-NP\tO' -p207865 -aS'are\tbe\tVBP\tB-VP\tO' -p207866 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p207867 -aS'.\t.\t.\tO\tO' -p207868 -asS'Creatinine had risen to 4.3 on admission presumed secondary to sepsis and dehydration .' -p207869 -(lp207870 -S'Creatinine\tCreatinine\tNN\tB-NP\tO' -p207871 -aS'had\thave\tVBD\tB-VP\tO' -p207872 -aS'risen\trise\tVBN\tI-VP\tO' -p207873 -aS'to\tto\tTO\tB-PP\tO' -p207874 -aS'4.3\t4.3\tCD\tB-NP\tO' -p207875 -aS'on\ton\tIN\tB-PP\tO' -p207876 -aS'admission\tadmission\tNN\tB-NP\tO' -p207877 -aS'presumed\tpresume\tVBN\tB-VP\tO' -p207878 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p207879 -aS'to\tto\tTO\tB-PP\tO' -p207880 -aS'sepsis\tsepsis\tNN\tB-NP\tO' -p207881 -aS'and\tand\tCC\tI-NP\tO' -p207882 -aS'dehydration\tdehydration\tNN\tI-NP\tO' -p207883 -aS'.\t.\t.\tO\tO' -p207884 -asS'There was trace mitral regurgitation .' -p207885 -(lp207886 -S'There\tThere\tEX\tB-NP\tO' -p207887 -aS'was\tbe\tVBD\tB-VP\tO' -p207888 -aS'trace\ttrace\tNN\tB-NP\tO' -p207889 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p207890 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p207891 -aS'.\t.\t.\tO\tO' -p207892 -asS'TECHNIQUE : Axial MDCT images of the brain without IV contrast .' -p207893 -(lp207894 -S'TECHNIQUE\tTECHNIQUE\tNN\tB-NP\tO' -p207895 -aS':\t:\t:\tO\tO' -p207896 -aS'Axial\tAxial\tJJ\tB-NP\tO' -p207897 -aS'MDCT\tMDCT\tNN\tI-NP\tO' -p207898 -aS'images\timage\tNNS\tI-NP\tO' -p207899 -aS'of\tof\tIN\tB-PP\tO' -p207900 -aS'the\tthe\tDT\tB-NP\tO' -p207901 -aS'brain\tbrain\tNN\tI-NP\tO' -p207902 -aS'without\twithout\tIN\tB-PP\tO' -p207903 -aS'IV\tIV\tCD\tB-NP\tO' -p207904 -aS'contrast\tcontrast\tNN\tI-NP\tO' -p207905 -aS'.\t.\t.\tO\tO' -p207906 -asS'Neurosurgery consulted .' -p207907 -(lp207908 -S'Neurosurgery\tNeurosurgery\tNNP\tB-NP\tO' -p207909 -aS'consulted\tconsult\tVBD\tB-VP\tO' -p207910 -aS'.\t.\t.\tO\tO' -p207911 -asS'1. Levofloxacin 250 mg p.o. q.24h. x3 days .' -p207912 -(lp207913 -S'1.\t1.\tLS\tB-LST\tO' -p207914 -aS'Levofloxacin\tLevofloxacin\tNN\tB-NP\tO' -p207915 -aS'250\t250\tCD\tI-NP\tO' -p207916 -aS'mg\tmg\tNN\tI-NP\tO' -p207917 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p207918 -aS'q.24h.\tq.24h.\tNN\tI-NP\tO' -p207919 -aS'x3\tx3\tNN\tI-NP\tO' -p207920 -aS'days\tday\tNNS\tI-NP\tO' -p207921 -aS'.\t.\t.\tO\tO' -p207922 -asS'NECK : JVP not elevated .' -p207923 -(lp207924 -S'NECK\tNECK\tNN\tB-NP\tO' -p207925 -aS':\t:\t:\tO\tO' -p207926 -aS'JVP\tJVP\tNN\tB-NP\tB-protein' -p207927 -aS'not\tnot\tRB\tB-ADJP\tO' -p207928 -aS'elevated\televated\tJJ\tI-ADJP\tO' -p207929 -aS'.\t.\t.\tO\tO' -p207930 -asS'#. ID : initially had leukocytosis at admission , with chest CT showing possible underlying consolidations vs. atelectasis , levoflox started 05-24 and subsequently stopped ( no consolidations on CXR and afebrile ).' -p207931 -(lp207932 -S'#.\t#.\tJJ\tB-NP\tO' -p207933 -aS'ID\tID\tNN\tI-NP\tO' -p207934 -aS':\t:\t:\tO\tO' -p207935 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p207936 -aS'had\thave\tVBD\tB-VP\tO' -p207937 -aS'leukocytosis\tleukocytosis\tNN\tB-NP\tO' -p207938 -aS'at\tat\tIN\tB-PP\tO' -p207939 -aS'admission\tadmission\tNN\tB-NP\tO' -p207940 -aS',\t,\t,\tO\tO' -p207941 -aS'with\twith\tIN\tB-PP\tO' -p207942 -aS'chest\tchest\tNN\tB-NP\tO' -p207943 -aS'CT\tCT\tNN\tI-NP\tO' -p207944 -aS'showing\tshow\tVBG\tB-VP\tO' -p207945 -aS'possible\tpossible\tJJ\tB-NP\tO' -p207946 -aS'underlying\tunderlie\tVBG\tI-NP\tO' -p207947 -aS'consolidations\tconsolidation\tNNS\tI-NP\tO' -p207948 -aS'vs.\tvs.\tIN\tB-PP\tO' -p207949 -aS'atelectasis\tatelectasis\tNN\tB-NP\tO' -p207950 -aS',\t,\t,\tO\tO' -p207951 -aS'levoflox\tlevoflox\tNN\tB-NP\tO' -p207952 -aS'started\tstart\tVBD\tB-VP\tO' -p207953 -aS'05-24\t05-24\tCD\tB-NP\tO' -p207954 -aS'and\tand\tCC\tO\tO' -p207955 -aS'subsequently\tsubsequently\tRB\tB-VP\tO' -p207956 -aS'stopped\tstop\tVBD\tI-VP\tO' -p207957 -aS'(\t(\t(\tO\tO' -p207958 -aS'no\tno\tDT\tB-NP\tO' -p207959 -aS'consolidations\tconsolidation\tNNS\tI-NP\tO' -p207960 -aS'on\ton\tIN\tB-PP\tO' -p207961 -aS'CXR\tCXR\tNN\tB-NP\tB-protein' -p207962 -aS'and\tand\tCC\tO\tO' -p207963 -aS'afebrile\tafebrile\tJJ\tB-NP\tO' -p207964 -aS').\t).\tNN\tI-NP\tO' -p207965 -asS"The patient 's serum creatinine on the day of discharge , on 2013-05-06 , was 1.9 , but was noted to increase to" -p207966 -(lp207967 -S'The\tThe\tDT\tB-NP\tO' -p207968 -aS'patient\tpatient\tNN\tI-NP\tO' -p207969 -aS"'s\t's\tPOS\tB-NP\tO" -p207970 -aS'serum\tserum\tNN\tI-NP\tO' -p207971 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p207972 -aS'on\ton\tIN\tB-PP\tO' -p207973 -aS'the\tthe\tDT\tB-NP\tO' -p207974 -aS'day\tday\tNN\tI-NP\tO' -p207975 -aS'of\tof\tIN\tB-PP\tO' -p207976 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p207977 -aS',\t,\t,\tO\tO' -p207978 -aS'on\ton\tIN\tB-PP\tO' -p207979 -aS'2013-05-06\t2013-05-06\tCD\tB-NP\tO' -p207980 -aS',\t,\t,\tO\tO' -p207981 -aS'was\tbe\tVBD\tB-VP\tO' -p207982 -aS'1.9\t1.9\tCD\tB-NP\tO' -p207983 -aS',\t,\t,\tO\tO' -p207984 -aS'but\tbut\tCC\tO\tO' -p207985 -aS'was\tbe\tVBD\tB-VP\tO' -p207986 -aS'noted\tnote\tVBN\tI-VP\tO' -p207987 -aS'to\tto\tTO\tI-VP\tO' -p207988 -aS'increase\tincrease\tVB\tI-VP\tO' -p207989 -aS'to\tto\tTO\tO\tO' -p207990 -asS'04-24 Peripheral Bld Cx : pseudomonas as above' -p207991 -(lp207992 -S'04-24\t04-24\tCD\tB-NP\tO' -p207993 -aS'Peripheral\tPeripheral\tNNP\tI-NP\tO' -p207994 -aS'Bld\tBld\tNNP\tI-NP\tO' -p207995 -aS'Cx\tCx\tNNP\tI-NP\tO' -p207996 -aS':\t:\t:\tO\tO' -p207997 -aS'pseudomonas\tpseudomona\tNNS\tB-NP\tO' -p207998 -aS'as\tas\tIN\tB-PP\tO' -p207999 -aS'above\tabove\tIN\tI-PP\tO' -p208000 -asS'Jaundiced .' -p208001 -(lp208002 -S'Jaundiced\tJaundice\tVBN\tB-VP\tO' -p208003 -aS'.\t.\t.\tO\tO' -p208004 -asS'From Sao Tome originally .' -p208005 -(lp208006 -S'From\tFrom\tIN\tB-PP\tO' -p208007 -aS'Sao\tSao\tNNP\tB-NP\tO' -p208008 -aS'Tome\tTome\tNNP\tI-NP\tO' -p208009 -aS'originally\toriginally\tRB\tB-ADVP\tO' -p208010 -aS'.\t.\t.\tO\tO' -p208011 -asS'The abdomen was soft and non-tender with no masses or organomegaly .' -p208012 -(lp208013 -S'The\tThe\tDT\tB-NP\tO' -p208014 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p208015 -aS'was\tbe\tVBD\tB-VP\tO' -p208016 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p208017 -aS'and\tand\tCC\tI-ADJP\tO' -p208018 -aS'non-tender\tnon-tender\tJJ\tI-ADJP\tO' -p208019 -aS'with\twith\tIN\tB-PP\tO' -p208020 -aS'no\tno\tDT\tB-NP\tO' -p208021 -aS'masses\tmass\tNNS\tI-NP\tO' -p208022 -aS'or\tor\tCC\tO\tO' -p208023 -aS'organomegaly\torganomegaly\tRB\tB-ADVP\tO' -p208024 -aS'.\t.\t.\tO\tO' -p208025 -asS'Signed electronically by : DR. Stephanie Francis on : TUE 2009-12-08 4:59 PM' -p208026 -(lp208027 -S'Signed\tSign\tVBN\tB-VP\tO' -p208028 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p208029 -aS'by\tby\tIN\tB-PP\tO' -p208030 -aS':\t:\t:\tO\tO' -p208031 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p208032 -aS'Stephanie\tStephanie\tNNP\tI-NP\tO' -p208033 -aS'Francis\tFrancis\tNNP\tI-NP\tO' -p208034 -aS'on\ton\tIN\tB-PP\tO' -p208035 -aS':\t:\t:\tO\tO' -p208036 -aS'TUE\tTUE\tNN\tB-NP\tO' -p208037 -aS'2009-12-08\t2009-12-08\tCD\tI-NP\tO' -p208038 -aS'4:59\t4:59\tCD\tI-NP\tO' -p208039 -aS'PM\tPM\tNN\tI-NP\tO' -p208040 -asS'Beta blockers and diuretics were initiated on post-op day one .' -p208041 -(lp208042 -S'Beta\tBeta\tNN\tB-NP\tO' -p208043 -aS'blockers\tblocker\tNNS\tI-NP\tO' -p208044 -aS'and\tand\tCC\tI-NP\tO' -p208045 -aS'diuretics\tdiuretic\tNNS\tI-NP\tO' -p208046 -aS'were\tbe\tVBD\tB-VP\tO' -p208047 -aS'initiated\tinitiate\tVBN\tI-VP\tO' -p208048 -aS'on\ton\tIN\tB-PP\tO' -p208049 -aS'post-op\tpost-op\tJJ\tB-NP\tO' -p208050 -aS'day\tday\tNN\tI-NP\tO' -p208051 -aS'one\tone\tCD\tI-NP\tO' -p208052 -aS'.\t.\t.\tO\tO' -p208053 -asS'Normal back and extremities with stable hips , appropriate tone , skin pink with fair perfusion .' -p208054 -(lp208055 -S'Normal\tNormal\tJJ\tB-ADJP\tO' -p208056 -aS'back\tback\tRB\tB-ADVP\tO' -p208057 -aS'and\tand\tCC\tO\tO' -p208058 -aS'extremities\textremity\tNNS\tB-NP\tO' -p208059 -aS'with\twith\tIN\tB-PP\tO' -p208060 -aS'stable\tstable\tJJ\tB-NP\tO' -p208061 -aS'hips\thip\tNNS\tI-NP\tO' -p208062 -aS',\t,\t,\tO\tO' -p208063 -aS'appropriate\tappropriate\tJJ\tB-NP\tO' -p208064 -aS'tone\ttone\tNN\tI-NP\tO' -p208065 -aS',\t,\t,\tO\tO' -p208066 -aS'skin\tskin\tNN\tB-NP\tO' -p208067 -aS'pink\tpink\tNN\tI-NP\tO' -p208068 -aS'with\twith\tIN\tB-PP\tO' -p208069 -aS'fair\tfair\tJJ\tB-NP\tO' -p208070 -aS'perfusion\tperfusion\tNN\tI-NP\tO' -p208071 -aS'.\t.\t.\tO\tO' -p208072 -asS'On 2013-08-28 , the patient had a PICC line placed for a six week course of intravenous Zosyn for his foot ulcer and his Coumadin was also continued .' -p208073 -(lp208074 -S'On\tOn\tIN\tB-PP\tO' -p208075 -aS'2013-08-28\t2013-08-28\tCD\tB-NP\tO' -p208076 -aS',\t,\t,\tO\tO' -p208077 -aS'the\tthe\tDT\tB-NP\tO' -p208078 -aS'patient\tpatient\tNN\tI-NP\tO' -p208079 -aS'had\thave\tVBD\tB-VP\tO' -p208080 -aS'a\ta\tDT\tB-NP\tO' -p208081 -aS'PICC\tPICC\tNN\tI-NP\tB-cell_line' -p208082 -aS'line\tline\tNN\tI-NP\tI-cell_line' -p208083 -aS'placed\tplace\tVBN\tB-VP\tO' -p208084 -aS'for\tfor\tIN\tB-PP\tO' -p208085 -aS'a\ta\tDT\tB-NP\tO' -p208086 -aS'six\tsix\tCD\tI-NP\tO' -p208087 -aS'week\tweek\tNN\tI-NP\tO' -p208088 -aS'course\tcourse\tNN\tI-NP\tO' -p208089 -aS'of\tof\tIN\tB-PP\tO' -p208090 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p208091 -aS'Zosyn\tZosyn\tNN\tI-NP\tO' -p208092 -aS'for\tfor\tIN\tB-PP\tO' -p208093 -aS'his\this\tPRP$\tB-NP\tO' -p208094 -aS'foot\tfoot\tNN\tI-NP\tO' -p208095 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p208096 -aS'and\tand\tCC\tO\tO' -p208097 -aS'his\this\tPRP$\tB-NP\tO' -p208098 -aS'Coumadin\tCoumadin\tNN\tI-NP\tO' -p208099 -aS'was\tbe\tVBD\tB-VP\tO' -p208100 -aS'also\talso\tRB\tI-VP\tO' -p208101 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p208102 -aS'.\t.\t.\tO\tO' -p208103 -asS'The patient 's prothrombin time had been 23 early the same morning and tamponade was considered and thoracotomy instruments obtained .' -p208104 -(lp208105 -S'The\tThe\tDT\tB-NP\tO' -p208106 -aS'patient\tpatient\tNN\tI-NP\tO' -p208107 -aS''s\t'\tNNS\tI-NP\tO' -p208108 -aS'prothrombin\tprothrombin\tNN\tI-NP\tO' -p208109 -aS'time\ttime\tNN\tI-NP\tO' -p208110 -aS'had\thave\tVBD\tB-VP\tO' -p208111 -aS'been\tbe\tVBN\tI-VP\tO' -p208112 -aS'23\t23\tCD\tB-NP\tO' -p208113 -aS'early\tearly\tRB\tB-NP\tO' -p208114 -aS'the\tthe\tDT\tI-NP\tO' -p208115 -aS'same\tsame\tJJ\tI-NP\tO' -p208116 -aS'morning\tmorning\tNN\tI-NP\tO' -p208117 -aS'and\tand\tCC\tI-NP\tO' -p208118 -aS'tamponade\ttamponade\tNN\tI-NP\tO' -p208119 -aS'was\tbe\tVBD\tB-VP\tO' -p208120 -aS'considered\tconsider\tVBN\tI-VP\tO' -p208121 -aS'and\tand\tCC\tO\tO' -p208122 -aS'thoracotomy\tthoracotomy\tNN\tB-NP\tO' -p208123 -aS'instruments\tinstrument\tNNS\tI-NP\tO' -p208124 -aS'obtained\tobtain\tVBN\tB-VP\tO' -p208125 -aS'.\t.\t.\tO\tO' -p208126 -asS'2. Hypertrophic cardiomyopathy .' -p208127 -(lp208128 -S'2.\t2.\tLS\tB-NP\tO' -p208129 -aS'Hypertrophic\tHypertrophic\tJJ\tI-NP\tO' -p208130 -aS'cardiomyopathy\tcardiomyopathy\tNN\tI-NP\tO' -p208131 -aS'.\t.\t.\tO\tO' -p208132 -asS"A line could not be placed for technical reasons , however after 4L NS on the floor and 01-30 more in the ICU via peripheral IV 's she was stable ." -p208133 -(lp208134 -S'A\tA\tDT\tB-NP\tO' -p208135 -aS'line\tline\tNN\tI-NP\tO' -p208136 -aS'could\tcould\tMD\tB-VP\tO' -p208137 -aS'not\tnot\tRB\tI-VP\tO' -p208138 -aS'be\tbe\tVB\tI-VP\tO' -p208139 -aS'placed\tplace\tVBN\tI-VP\tO' -p208140 -aS'for\tfor\tIN\tB-PP\tO' -p208141 -aS'technical\ttechnical\tJJ\tB-NP\tO' -p208142 -aS'reasons\treason\tNNS\tI-NP\tO' -p208143 -aS',\t,\t,\tO\tO' -p208144 -aS'however\thowever\tRB\tB-ADVP\tO' -p208145 -aS'after\tafter\tIN\tB-PP\tO' -p208146 -aS'4L\t4L\tNN\tB-NP\tO' -p208147 -aS'NS\tNS\tNN\tI-NP\tO' -p208148 -aS'on\ton\tIN\tB-PP\tO' -p208149 -aS'the\tthe\tDT\tB-NP\tO' -p208150 -aS'floor\tfloor\tNN\tI-NP\tO' -p208151 -aS'and\tand\tCC\tO\tO' -p208152 -aS'01-30\t01-30\tCD\tB-NP\tO' -p208153 -aS'more\tmore\tJJR\tI-NP\tO' -p208154 -aS'in\tin\tIN\tB-PP\tO' -p208155 -aS'the\tthe\tDT\tB-NP\tO' -p208156 -aS'ICU\tICU\tNN\tI-NP\tB-DNA' -p208157 -aS'via\tvia\tIN\tB-PP\tO' -p208158 -aS'peripheral\tperipheral\tJJ\tB-NP\tO' -p208159 -aS'IV\tIV\tCD\tI-NP\tO' -p208160 -aS"'s\t's\tPOS\tB-NP\tO" -p208161 -aS'she\tshe\tPRP\tB-NP\tO' -p208162 -aS'was\tbe\tVBD\tB-VP\tO' -p208163 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p208164 -aS'.\t.\t.\tO\tO' -p208165 -asS'8. Nystatin 100,000 unit / mL Suspension Sig : Five ( 5 ) ML PO QID ( 4 times a day ) .' -p208166 -(lp208167 -S'8.\t8.\tCD\tB-NP\tO' -p208168 -aS'Nystatin\tNystatin\tNN\tI-NP\tO' -p208169 -aS'100,000\t100,000\tCD\tB-NP\tO' -p208170 -aS'unit\tunit\tNN\tI-NP\tO' -p208171 -aS'/\t/\tSYM\tB-NP\tO' -p208172 -aS'mL\tmL\tNN\tI-NP\tO' -p208173 -aS'Suspension\tSuspension\tNNP\tI-NP\tO' -p208174 -aS'Sig\tSig\tNNP\tI-NP\tO' -p208175 -aS':\t:\t:\tO\tO' -p208176 -aS'Five\tFive\tCD\tB-NP\tO' -p208177 -aS'(\t(\t(\tO\tO' -p208178 -aS'5\t5\tCD\tB-NP\tO' -p208179 -aS')\t)\t)\tO\tO' -p208180 -aS'ML\tML\tNN\tB-NP\tO' -p208181 -aS'PO\tPO\tNN\tI-NP\tO' -p208182 -aS'QID\tQID\tNN\tI-NP\tO' -p208183 -aS'(\t(\t(\tO\tO' -p208184 -aS'4\t4\tCD\tB-NP\tO' -p208185 -aS'times\ttime\tNNS\tI-NP\tO' -p208186 -aS'a\ta\tDT\tB-NP\tO' -p208187 -aS'day\tday\tNN\tI-NP\tO' -p208188 -aS')\t)\t)\tO\tO' -p208189 -aS'.\t.\t.\tO\tO' -p208190 -asS'Neck : Supple with JVP of 8 cm .' -p208191 -(lp208192 -S'Neck\tNeck\tNN\tB-NP\tO' -p208193 -aS':\t:\t:\tO\tO' -p208194 -aS'Supple\tSupple\tNN\tB-NP\tO' -p208195 -aS'with\twith\tIN\tB-PP\tO' -p208196 -aS'JVP\tJVP\tNN\tB-NP\tB-protein' -p208197 -aS'of\tof\tIN\tB-PP\tO' -p208198 -aS'8\t8\tCD\tB-NP\tO' -p208199 -aS'cm\tcm\tNN\tI-NP\tO' -p208200 -aS'.\t.\t.\tO\tO' -p208201 -asS'NEUROLOGIC : Alert and crying .' -p208202 -(lp208203 -S'NEUROLOGIC\tNEUROLOGIC\tNN\tB-NP\tO' -p208204 -aS':\t:\t:\tO\tO' -p208205 -aS'Alert\tAlert\tNNP\tB-NP\tO' -p208206 -aS'and\tand\tCC\tO\tO' -p208207 -aS'crying\tcry\tVBG\tB-VP\tO' -p208208 -aS'.\t.\t.\tO\tO' -p208209 -asS'Upper endoscopy x 2 .' -p208210 -(lp208211 -S'Upper\tUpper\tIN\tB-PP\tO' -p208212 -aS'endoscopy\tendoscopy\tNN\tB-NP\tB-protein' -p208213 -aS'x\tx\tSYM\tB-NP\tI-protein' -p208214 -aS'2\t2\tCD\tI-NP\tI-protein' -p208215 -aS'.\t.\t.\tO\tO' -p208216 -asS'This would disappear whenever she was awake .' -p208217 -(lp208218 -S'This\tThis\tDT\tB-NP\tO' -p208219 -aS'would\twould\tMD\tB-VP\tO' -p208220 -aS'disappear\tdisappear\tVB\tI-VP\tO' -p208221 -aS'whenever\twhenever\tWRB\tB-ADVP\tO' -p208222 -aS'she\tshe\tPRP\tB-NP\tO' -p208223 -aS'was\tbe\tVBD\tB-VP\tO' -p208224 -aS'awake\tawake\tNN\tB-NP\tO' -p208225 -aS'.\t.\t.\tO\tO' -p208226 -asS'The infant has remained in room air throughout the hospitalization .' -p208227 -(lp208228 -S'The\tThe\tDT\tB-NP\tO' -p208229 -aS'infant\tinfant\tNN\tI-NP\tO' -p208230 -aS'has\thave\tVBZ\tB-VP\tO' -p208231 -aS'remained\tremain\tVBN\tI-VP\tO' -p208232 -aS'in\tin\tIN\tB-PP\tO' -p208233 -aS'room\troom\tNN\tB-NP\tO' -p208234 -aS'air\tair\tNN\tI-NP\tO' -p208235 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p208236 -aS'the\tthe\tDT\tB-NP\tO' -p208237 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p208238 -aS'.\t.\t.\tO\tO' -p208239 -asS'The patient was moving all four extremities with ease .' -p208240 -(lp208241 -S'The\tThe\tDT\tB-NP\tO' -p208242 -aS'patient\tpatient\tNN\tI-NP\tO' -p208243 -aS'was\tbe\tVBD\tB-VP\tO' -p208244 -aS'moving\tmove\tVBG\tI-VP\tO' -p208245 -aS'all\tall\tDT\tB-NP\tO' -p208246 -aS'four\tfour\tCD\tI-NP\tO' -p208247 -aS'extremities\textremity\tNNS\tI-NP\tO' -p208248 -aS'with\twith\tIN\tB-PP\tO' -p208249 -aS'ease\tease\tNN\tB-NP\tO' -p208250 -aS'.\t.\t.\tO\tO' -p208251 -asS'No evidence of acute intracranial hemorrhage or fractures .' -p208252 -(lp208253 -S'No\tNo\tDT\tB-NP\tO' -p208254 -aS'evidence\tevidence\tNN\tI-NP\tO' -p208255 -aS'of\tof\tIN\tB-PP\tO' -p208256 -aS'acute\tacute\tJJ\tB-NP\tO' -p208257 -aS'intracranial\tintracranial\tJJ\tI-NP\tO' -p208258 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p208259 -aS'or\tor\tCC\tI-NP\tO' -p208260 -aS'fractures\tfracture\tNNS\tI-NP\tO' -p208261 -aS'.\t.\t.\tO\tO' -p208262 -asS'It was at that time that her abnormal Papanicolaou smear was obtained .' -p208263 -(lp208264 -S'It\tIt\tPRP\tB-NP\tO' -p208265 -aS'was\tbe\tVBD\tB-VP\tO' -p208266 -aS'at\tat\tIN\tB-PP\tO' -p208267 -aS'that\tthat\tDT\tB-NP\tO' -p208268 -aS'time\ttime\tNN\tI-NP\tO' -p208269 -aS'that\tthat\tIN\tB-ADVP\tO' -p208270 -aS'her\ther\tPRP$\tB-NP\tO' -p208271 -aS'abnormal\tabnormal\tJJ\tI-NP\tO' -p208272 -aS'Papanicolaou\tPapanicolaou\tNNP\tI-NP\tO' -p208273 -aS'smear\tsmear\tNN\tI-NP\tO' -p208274 -aS'was\tbe\tVBD\tB-VP\tO' -p208275 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p208276 -aS'.\t.\t.\tO\tO' -p208277 -asS'Captopril 12.5 mg p.o. three times a day .' -p208278 -(lp208279 -S'Captopril\tCaptopril\tNNP\tB-NP\tO' -p208280 -aS'12.5\t12.5\tCD\tI-NP\tO' -p208281 -aS'mg\tmg\tNN\tI-NP\tO' -p208282 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p208283 -aS'three\tthree\tCD\tB-NP\tO' -p208284 -aS'times\ttime\tNNS\tI-NP\tO' -p208285 -aS'a\ta\tDT\tB-NP\tO' -p208286 -aS'day\tday\tNN\tI-NP\tO' -p208287 -aS'.\t.\t.\tO\tO' -p208288 -asS'Started Campath in July , 2001 , complicated by lymphopenia / neutropenia and CMV infection , and underwent MUD stem cell transplant in December , 2002 .' -p208289 -(lp208290 -S'Started\tStarted\tNNP\tB-NP\tO' -p208291 -aS'Campath\tCampath\tNNP\tI-NP\tO' -p208292 -aS'in\tin\tIN\tB-PP\tO' -p208293 -aS'July\tJuly\tNNP\tB-NP\tO' -p208294 -aS',\t,\t,\tO\tO' -p208295 -aS'2001\t2001\tCD\tB-NP\tO' -p208296 -aS',\t,\t,\tO\tO' -p208297 -aS'complicated\tcomplicate\tVBN\tB-VP\tO' -p208298 -aS'by\tby\tIN\tB-PP\tO' -p208299 -aS'lymphopenia\tlymphopenia\tNN\tB-NP\tO' -p208300 -aS'/\t/\tSYM\tO\tO' -p208301 -aS'neutropenia\tneutropenia\tNN\tB-NP\tO' -p208302 -aS'and\tand\tCC\tI-NP\tO' -p208303 -aS'CMV\tCMV\tNN\tI-NP\tO' -p208304 -aS'infection\tinfection\tNN\tI-NP\tO' -p208305 -aS',\t,\t,\tO\tO' -p208306 -aS'and\tand\tCC\tO\tO' -p208307 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p208308 -aS'MUD\tMUD\tNN\tB-NP\tO' -p208309 -aS'stem\tstem\tNN\tI-NP\tO' -p208310 -aS'cell\tcell\tNN\tI-NP\tO' -p208311 -aS'transplant\ttransplant\tNN\tI-NP\tO' -p208312 -aS'in\tin\tIN\tB-PP\tO' -p208313 -aS'December\tDecember\tNNP\tB-NP\tO' -p208314 -aS',\t,\t,\tO\tO' -p208315 -aS'2002\t2002\tCD\tB-NP\tO' -p208316 -aS'.\t.\t.\tO\tO' -p208317 -asS'The patient was readmitted on 5-21-91 with a falling hematocrit from 36 to 22 , mild congestive heart failure , and guaiac positive stool .' -p208318 -(lp208319 -S'The\tThe\tDT\tB-NP\tO' -p208320 -aS'patient\tpatient\tNN\tI-NP\tO' -p208321 -aS'was\tbe\tVBD\tB-VP\tO' -p208322 -aS'readmitted\treadmitte\tVBN\tI-VP\tO' -p208323 -aS'on\ton\tIN\tB-PP\tO' -p208324 -aS'5-21-91\t5-21-91\tCD\tB-NP\tO' -p208325 -aS'with\twith\tIN\tB-PP\tO' -p208326 -aS'a\ta\tDT\tB-NP\tO' -p208327 -aS'falling\tfall\tVBG\tI-NP\tO' -p208328 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p208329 -aS'from\tfrom\tIN\tB-PP\tO' -p208330 -aS'36\t36\tCD\tB-NP\tO' -p208331 -aS'to\tto\tTO\tB-PP\tO' -p208332 -aS'22\t22\tCD\tB-NP\tO' -p208333 -aS',\t,\t,\tO\tO' -p208334 -aS'mild\tmild\tJJ\tB-NP\tO' -p208335 -aS'congestive\tcongestive\tJJ\tI-NP\tO' -p208336 -aS'heart\theart\tNN\tI-NP\tO' -p208337 -aS'failure\tfailure\tNN\tI-NP\tO' -p208338 -aS',\t,\t,\tO\tO' -p208339 -aS'and\tand\tCC\tO\tO' -p208340 -aS'guaiac\tguaiac\tJJ\tB-NP\tO' -p208341 -aS'positive\tpositive\tJJ\tI-NP\tO' -p208342 -aS'stool\tstool\tNN\tI-NP\tO' -p208343 -aS'.\t.\t.\tO\tO' -p208344 -asS'His toes were down going .' -p208345 -(lp208346 -S'His\tHis\tPRP$\tB-NP\tO' -p208347 -aS'toes\ttoe\tNNS\tI-NP\tO' -p208348 -aS'were\tbe\tVBD\tB-VP\tO' -p208349 -aS'down\tdown\tRB\tI-VP\tO' -p208350 -aS'going\tgo\tVBG\tI-VP\tO' -p208351 -aS'.\t.\t.\tO\tO' -p208352 -asS'The reading , writing , drawing clock and copying cubes were all intact .' -p208353 -(lp208354 -S'The\tThe\tDT\tB-NP\tO' -p208355 -aS'reading\treading\tNN\tI-NP\tO' -p208356 -aS',\t,\t,\tO\tO' -p208357 -aS'writing\twrite\tVBG\tB-VP\tO' -p208358 -aS',\t,\t,\tO\tO' -p208359 -aS'drawing\tdraw\tVBG\tB-VP\tO' -p208360 -aS'clock\tclock\tNN\tB-NP\tO' -p208361 -aS'and\tand\tCC\tI-NP\tO' -p208362 -aS'copying\tcopying\tNN\tI-NP\tO' -p208363 -aS'cubes\tcube\tNNS\tI-NP\tO' -p208364 -aS'were\tbe\tVBD\tB-VP\tO' -p208365 -aS'all\tall\tDT\tO\tO' -p208366 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p208367 -aS'.\t.\t.\tO\tO' -p208368 -asS'His complete blood count showed 11% bandemia with a total white count of 10 .' -p208369 -(lp208370 -S'His\tHis\tPRP$\tB-NP\tO' -p208371 -aS'complete\tcomplete\tJJ\tI-NP\tO' -p208372 -aS'blood\tblood\tNN\tI-NP\tO' -p208373 -aS'count\tcount\tNN\tI-NP\tO' -p208374 -aS'showed\tshow\tVBD\tB-VP\tO' -p208375 -aS'11%\t11%\tCD\tB-NP\tO' -p208376 -aS'bandemia\tbandemia\tNN\tI-NP\tO' -p208377 -aS'with\twith\tIN\tB-PP\tO' -p208378 -aS'a\ta\tDT\tB-NP\tO' -p208379 -aS'total\ttotal\tJJ\tI-NP\tO' -p208380 -aS'white\twhite\tJJ\tI-NP\tO' -p208381 -aS'count\tcount\tNN\tI-NP\tO' -p208382 -aS'of\tof\tIN\tB-PP\tO' -p208383 -aS'10\t10\tCD\tB-NP\tO' -p208384 -aS'.\t.\t.\tO\tO' -p208385 -asS'Compared with the findings of the prior study ( tape reviewed ) of 2009-06-05 , the LV function has improved with an improvementt in function of the apex , septal and anterior walls .' -p208386 -(lp208387 -S'Compared\tCompare\tVBN\tB-PP\tO' -p208388 -aS'with\twith\tIN\tB-PP\tO' -p208389 -aS'the\tthe\tDT\tB-NP\tO' -p208390 -aS'findings\tfinding\tNNS\tI-NP\tO' -p208391 -aS'of\tof\tIN\tB-PP\tO' -p208392 -aS'the\tthe\tDT\tB-NP\tO' -p208393 -aS'prior\tprior\tJJ\tI-NP\tO' -p208394 -aS'study\tstudy\tNN\tI-NP\tO' -p208395 -aS'(\t(\t(\tO\tO' -p208396 -aS'tape\ttape\tNN\tB-NP\tO' -p208397 -aS'reviewed\treview\tVBN\tB-VP\tO' -p208398 -aS')\t)\t)\tO\tO' -p208399 -aS'of\tof\tIN\tB-PP\tO' -p208400 -aS'2009-06-05\t2009-06-05\tCD\tB-NP\tO' -p208401 -aS',\t,\t,\tO\tO' -p208402 -aS'the\tthe\tDT\tB-NP\tO' -p208403 -aS'LV\tLV\tNN\tI-NP\tO' -p208404 -aS'function\tfunction\tNN\tI-NP\tO' -p208405 -aS'has\thave\tVBZ\tB-VP\tO' -p208406 -aS'improved\timprove\tVBN\tI-VP\tO' -p208407 -aS'with\twith\tIN\tB-PP\tO' -p208408 -aS'an\tan\tDT\tB-NP\tO' -p208409 -aS'improvementt\timprovementt\tNN\tI-NP\tO' -p208410 -aS'in\tin\tIN\tB-PP\tO' -p208411 -aS'function\tfunction\tNN\tB-NP\tO' -p208412 -aS'of\tof\tIN\tB-PP\tO' -p208413 -aS'the\tthe\tDT\tB-NP\tO' -p208414 -aS'apex\tapex\tNN\tI-NP\tO' -p208415 -aS',\t,\t,\tO\tO' -p208416 -aS'septal\tseptal\tJJ\tB-NP\tO' -p208417 -aS'and\tand\tCC\tI-NP\tO' -p208418 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p208419 -aS'walls\twall\tNNS\tI-NP\tO' -p208420 -aS'.\t.\t.\tO\tO' -p208421 -asS'Abd : Soft , ND , nontender , + BS , no guarding , no rebound , multiple well healed scars' -p208422 -(lp208423 -S'Abd\tAbd\tNN\tB-NP\tO' -p208424 -aS':\t:\t:\tO\tO' -p208425 -aS'Soft\tSoft\tNNP\tB-NP\tO' -p208426 -aS',\t,\t,\tO\tO' -p208427 -aS'ND\tND\tNN\tB-NP\tO' -p208428 -aS',\t,\t,\tO\tO' -p208429 -aS'nontender\tnontender\tNN\tB-NP\tO' -p208430 -aS',\t,\t,\tO\tO' -p208431 -aS'+\t+\tSYM\tO\tO' -p208432 -aS'BS\tBS\tNNP\tB-NP\tO' -p208433 -aS',\t,\t,\tO\tO' -p208434 -aS'no\tno\tDT\tB-NP\tO' -p208435 -aS'guarding\tguarding\tNN\tI-NP\tO' -p208436 -aS',\t,\t,\tO\tO' -p208437 -aS'no\tno\tDT\tB-NP\tO' -p208438 -aS'rebound\trebound\tNN\tI-NP\tO' -p208439 -aS',\t,\t,\tO\tO' -p208440 -aS'multiple\tmultiple\tJJ\tB-ADJP\tO' -p208441 -aS'well\twell\tRB\tB-ADVP\tO' -p208442 -aS'healed\theal\tVBD\tB-VP\tO' -p208443 -aS'scars\tscar\tNNS\tB-NP\tO' -p208444 -asS'Status post ovarian cyst resection in 1975 .' -p208445 -(lp208446 -S'Status\tStatus\tNNP\tB-NP\tO' -p208447 -aS'post\tpost\tVBD\tB-VP\tO' -p208448 -aS'ovarian\tovarian\tJJ\tB-NP\tO' -p208449 -aS'cyst\tcyst\tNN\tI-NP\tO' -p208450 -aS'resection\tresection\tNN\tI-NP\tO' -p208451 -aS'in\tin\tIN\tB-PP\tO' -p208452 -aS'1975\t1975\tCD\tB-NP\tO' -p208453 -aS'.\t.\t.\tO\tO' -p208454 -asS'Over the course of the hospitalization his CK fell in the serum .' -p208455 -(lp208456 -S'Over\tOver\tIN\tB-PP\tO' -p208457 -aS'the\tthe\tDT\tB-NP\tO' -p208458 -aS'course\tcourse\tNN\tI-NP\tO' -p208459 -aS'of\tof\tIN\tB-PP\tO' -p208460 -aS'the\tthe\tDT\tB-NP\tO' -p208461 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p208462 -aS'his\this\tPRP$\tB-NP\tO' -p208463 -aS'CK\tCK\tNN\tI-NP\tB-protein' -p208464 -aS'fell\tfall\tVBD\tB-VP\tO' -p208465 -aS'in\tin\tIN\tB-PP\tO' -p208466 -aS'the\tthe\tDT\tB-NP\tO' -p208467 -aS'serum\tserum\tNN\tI-NP\tO' -p208468 -aS'.\t.\t.\tO\tO' -p208469 -asS'No changes in the position or alignment of multiple lines and tubes' -p208470 -(lp208471 -S'No\tNo\tDT\tB-NP\tO' -p208472 -aS'changes\tchange\tNNS\tI-NP\tO' -p208473 -aS'in\tin\tIN\tB-PP\tO' -p208474 -aS'the\tthe\tDT\tB-NP\tO' -p208475 -aS'position\tposition\tNN\tI-NP\tO' -p208476 -aS'or\tor\tCC\tI-NP\tO' -p208477 -aS'alignment\talignment\tNN\tI-NP\tO' -p208478 -aS'of\tof\tIN\tB-PP\tO' -p208479 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p208480 -aS'lines\tline\tNNS\tI-NP\tO' -p208481 -aS'and\tand\tCC\tI-NP\tO' -p208482 -aS'tubes\ttube\tNNS\tI-NP\tO' -p208483 -asS'He tolerated the procedure well and was transferred to the CSRU for invasive monitoring in stable condition .' -p208484 -(lp208485 -S'He\tHe\tPRP\tB-NP\tO' -p208486 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p208487 -aS'the\tthe\tDT\tB-NP\tO' -p208488 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p208489 -aS'well\twell\tRB\tB-ADVP\tO' -p208490 -aS'and\tand\tCC\tO\tO' -p208491 -aS'was\tbe\tVBD\tB-VP\tO' -p208492 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p208493 -aS'to\tto\tTO\tB-PP\tO' -p208494 -aS'the\tthe\tDT\tB-NP\tO' -p208495 -aS'CSRU\tCSRU\tNN\tI-NP\tO' -p208496 -aS'for\tfor\tIN\tB-PP\tO' -p208497 -aS'invasive\tinvasive\tJJ\tB-NP\tO' -p208498 -aS'monitoring\tmonitoring\tNN\tI-NP\tO' -p208499 -aS'in\tin\tIN\tB-PP\tO' -p208500 -aS'stable\tstable\tJJ\tB-NP\tO' -p208501 -aS'condition\tcondition\tNN\tI-NP\tO' -p208502 -aS'.\t.\t.\tO\tO' -p208503 -asS'An extensive family meeting was held and the family agreed that it did not make sense to intubate the patient and send him to the Intensive Care Unit .' -p208504 -(lp208505 -S'An\tAn\tDT\tB-NP\tO' -p208506 -aS'extensive\textensive\tJJ\tI-NP\tO' -p208507 -aS'family\tfamily\tNN\tI-NP\tO' -p208508 -aS'meeting\tmeeting\tNN\tI-NP\tO' -p208509 -aS'was\tbe\tVBD\tB-VP\tO' -p208510 -aS'held\thold\tVBN\tI-VP\tO' -p208511 -aS'and\tand\tCC\tO\tO' -p208512 -aS'the\tthe\tDT\tB-NP\tO' -p208513 -aS'family\tfamily\tNN\tI-NP\tO' -p208514 -aS'agreed\tagree\tVBD\tB-VP\tO' -p208515 -aS'that\tthat\tIN\tB-SBAR\tO' -p208516 -aS'it\tit\tPRP\tB-NP\tO' -p208517 -aS'did\tdo\tVBD\tB-VP\tO' -p208518 -aS'not\tnot\tRB\tI-VP\tO' -p208519 -aS'make\tmake\tVB\tI-VP\tO' -p208520 -aS'sense\tsense\tNN\tB-NP\tO' -p208521 -aS'to\tto\tTO\tB-VP\tO' -p208522 -aS'intubate\tintubate\tVB\tI-VP\tO' -p208523 -aS'the\tthe\tDT\tB-NP\tO' -p208524 -aS'patient\tpatient\tNN\tI-NP\tO' -p208525 -aS'and\tand\tCC\tO\tO' -p208526 -aS'send\tsend\tVB\tB-VP\tO' -p208527 -aS'him\thim\tPRP\tB-NP\tO' -p208528 -aS'to\tto\tTO\tB-PP\tO' -p208529 -aS'the\tthe\tDT\tB-NP\tO' -p208530 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p208531 -aS'Care\tCare\tNNP\tI-NP\tO' -p208532 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p208533 -aS'.\t.\t.\tO\tO' -p208534 -asS'Had subsequent abnormal stress test and pefusion imaging showed EF 38% with perfusion defects .' -p208535 -(lp208536 -S'Had\tHave\tVBD\tB-VP\tO' -p208537 -aS'subsequent\tsubsequent\tJJ\tB-NP\tO' -p208538 -aS'abnormal\tabnormal\tJJ\tI-NP\tO' -p208539 -aS'stress\tstress\tNN\tI-NP\tO' -p208540 -aS'test\ttest\tNN\tI-NP\tO' -p208541 -aS'and\tand\tCC\tO\tO' -p208542 -aS'pefusion\tpefusion\tNN\tB-NP\tO' -p208543 -aS'imaging\timaging\tNN\tI-NP\tO' -p208544 -aS'showed\tshow\tVBD\tB-VP\tO' -p208545 -aS'EF\tEF\tNN\tB-NP\tB-protein' -p208546 -aS'38%\t38%\tNN\tI-NP\tI-protein' -p208547 -aS'with\twith\tIN\tB-PP\tO' -p208548 -aS'perfusion\tperfusion\tNN\tB-NP\tO' -p208549 -aS'defects\tdefect\tNNS\tI-NP\tO' -p208550 -aS'.\t.\t.\tO\tO' -p208551 -asS'Her PCP was thought to be negative .' -p208552 -(lp208553 -S'Her\tHer\tPRP$\tB-NP\tO' -p208554 -aS'PCP\tPCP\tNN\tI-NP\tB-DNA' -p208555 -aS'was\tbe\tVBD\tB-VP\tO' -p208556 -aS'thought\tthink\tVBN\tI-VP\tO' -p208557 -aS'to\tto\tTO\tI-VP\tO' -p208558 -aS'be\tbe\tVB\tI-VP\tO' -p208559 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p208560 -aS'.\t.\t.\tO\tO' -p208561 -asS'Electrocardiogram the following morning revealed normalization of her ST segments with evolution of Q waves .' -p208562 -(lp208563 -S'Electrocardiogram\tElectrocardiogram\tNN\tB-NP\tO' -p208564 -aS'the\tthe\tDT\tB-NP\tO' -p208565 -aS'following\tfollow\tVBG\tI-NP\tO' -p208566 -aS'morning\tmorning\tNN\tI-NP\tO' -p208567 -aS'revealed\treveal\tVBD\tB-VP\tO' -p208568 -aS'normalization\tnormalization\tNN\tB-NP\tO' -p208569 -aS'of\tof\tIN\tB-PP\tO' -p208570 -aS'her\ther\tPRP$\tB-NP\tO' -p208571 -aS'ST\tST\tNN\tI-NP\tB-protein' -p208572 -aS'segments\tsegment\tNNS\tI-NP\tI-protein' -p208573 -aS'with\twith\tIN\tB-PP\tO' -p208574 -aS'evolution\tevolution\tNN\tB-NP\tO' -p208575 -aS'of\tof\tIN\tB-PP\tO' -p208576 -aS'Q\tQ\tNN\tB-NP\tO' -p208577 -aS'waves\twave\tNNS\tI-NP\tO' -p208578 -aS'.\t.\t.\tO\tO' -p208579 -asS'He remained in normal sinus rhythm .' -p208580 -(lp208581 -S'He\tHe\tPRP\tB-NP\tO' -p208582 -aS'remained\tremain\tVBD\tB-VP\tO' -p208583 -aS'in\tin\tIN\tB-PP\tO' -p208584 -aS'normal\tnormal\tJJ\tB-NP\tO' -p208585 -aS'sinus\tsinus\tNN\tI-NP\tO' -p208586 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p208587 -aS'.\t.\t.\tO\tO' -p208588 -asS'He is transferred to Louline Mauikings Medical Center for future rehabilitation and hopeful return home with considerable support and assistance .' -p208589 -(lp208590 -S'He\tHe\tPRP\tB-NP\tO' -p208591 -aS'is\tbe\tVBZ\tB-VP\tO' -p208592 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p208593 -aS'to\tto\tTO\tB-PP\tO' -p208594 -aS'Louline\tLouline\tNNP\tB-NP\tO' -p208595 -aS'Mauikings\tMauikings\tNNP\tI-NP\tO' -p208596 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p208597 -aS'Center\tCenter\tNNP\tI-NP\tO' -p208598 -aS'for\tfor\tIN\tB-PP\tO' -p208599 -aS'future\tfuture\tJJ\tB-NP\tO' -p208600 -aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' -p208601 -aS'and\tand\tCC\tO\tO' -p208602 -aS'hopeful\thopeful\tJJ\tB-NP\tO' -p208603 -aS'return\treturn\tNN\tI-NP\tO' -p208604 -aS'home\thome\tNN\tI-NP\tO' -p208605 -aS'with\twith\tIN\tB-PP\tO' -p208606 -aS'considerable\tconsiderable\tJJ\tB-NP\tO' -p208607 -aS'support\tsupport\tNN\tI-NP\tO' -p208608 -aS'and\tand\tCC\tI-NP\tO' -p208609 -aS'assistance\tassistance\tNN\tI-NP\tO' -p208610 -aS'.\t.\t.\tO\tO' -p208611 -asS'She was started empirically on Bactrim , while culture and sensitivity results were pending and remained pending at the time of this dictation .' -p208612 -(lp208613 -S'She\tShe\tPRP\tB-NP\tO' -p208614 -aS'was\tbe\tVBD\tB-VP\tO' -p208615 -aS'started\tstart\tVBN\tI-VP\tO' -p208616 -aS'empirically\tempirically\tRB\tB-ADVP\tO' -p208617 -aS'on\ton\tIN\tB-PP\tO' -p208618 -aS'Bactrim\tBactrim\tNNP\tB-NP\tO' -p208619 -aS',\t,\t,\tO\tO' -p208620 -aS'while\twhile\tIN\tB-SBAR\tO' -p208621 -aS'culture\tculture\tNN\tB-NP\tO' -p208622 -aS'and\tand\tCC\tI-NP\tO' -p208623 -aS'sensitivity\tsensitivity\tNN\tI-NP\tO' -p208624 -aS'results\tresult\tNNS\tI-NP\tO' -p208625 -aS'were\tbe\tVBD\tB-VP\tO' -p208626 -aS'pending\tpende\tVBG\tI-VP\tO' -p208627 -aS'and\tand\tCC\tO\tO' -p208628 -aS'remained\tremain\tVBD\tB-VP\tO' -p208629 -aS'pending\tpende\tVBG\tB-ADJP\tO' -p208630 -aS'at\tat\tIN\tB-PP\tO' -p208631 -aS'the\tthe\tDT\tB-NP\tO' -p208632 -aS'time\ttime\tNN\tI-NP\tO' -p208633 -aS'of\tof\tIN\tB-PP\tO' -p208634 -aS'this\tthis\tDT\tB-NP\tO' -p208635 -aS'dictation\tdictation\tNN\tI-NP\tO' -p208636 -aS'.\t.\t.\tO\tO' -p208637 -asS'Liver edge not palpated .' -p208638 -(lp208639 -S'Liver\tLiver\tNN\tB-NP\tO' -p208640 -aS'edge\tedge\tNN\tI-NP\tO' -p208641 -aS'not\tnot\tRB\tB-VP\tO' -p208642 -aS'palpated\tpalpate\tVBN\tI-VP\tO' -p208643 -aS'.\t.\t.\tO\tO' -p208644 -asS'JP remained intact with serosainguinous drainage .' -p208645 -(lp208646 -S'JP\tJP\tNN\tB-NP\tO' -p208647 -aS'remained\tremain\tVBD\tB-VP\tO' -p208648 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p208649 -aS'with\twith\tIN\tB-PP\tO' -p208650 -aS'serosainguinous\tserosainguinous\tJJ\tB-NP\tO' -p208651 -aS'drainage\tdrainage\tNN\tI-NP\tO' -p208652 -aS'.\t.\t.\tO\tO' -p208653 -asS'She was taken postoperatively to the recovery room already making a large amount of urine .' -p208654 -(lp208655 -S'She\tShe\tPRP\tB-NP\tO' -p208656 -aS'was\tbe\tVBD\tB-VP\tO' -p208657 -aS'taken\ttake\tVBN\tI-VP\tO' -p208658 -aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' -p208659 -aS'to\tto\tTO\tB-PP\tO' -p208660 -aS'the\tthe\tDT\tB-NP\tO' -p208661 -aS'recovery\trecovery\tNN\tI-NP\tO' -p208662 -aS'room\troom\tNN\tI-NP\tO' -p208663 -aS'already\talready\tRB\tB-VP\tO' -p208664 -aS'making\tmake\tVBG\tI-VP\tO' -p208665 -aS'a\ta\tDT\tB-NP\tO' -p208666 -aS'large\tlarge\tJJ\tI-NP\tO' -p208667 -aS'amount\tamount\tNN\tI-NP\tO' -p208668 -aS'of\tof\tIN\tB-PP\tO' -p208669 -aS'urine\turine\tNN\tB-NP\tO' -p208670 -aS'.\t.\t.\tO\tO' -p208671 -asS'An electrocardiogram obtained after the code demonstrated no acute changes .' -p208672 -(lp208673 -S'An\tAn\tDT\tB-NP\tO' -p208674 -aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' -p208675 -aS'obtained\tobtain\tVBN\tB-VP\tO' -p208676 -aS'after\tafter\tIN\tB-PP\tO' -p208677 -aS'the\tthe\tDT\tB-NP\tO' -p208678 -aS'code\tcode\tNN\tI-NP\tO' -p208679 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p208680 -aS'no\tno\tDT\tB-NP\tO' -p208681 -aS'acute\tacute\tJJ\tI-NP\tO' -p208682 -aS'changes\tchange\tNNS\tI-NP\tO' -p208683 -aS'.\t.\t.\tO\tO' -p208684 -asS'Voiding and stooling appropriately .' -p208685 -(lp208686 -S'Voiding\tVoid\tVBG\tB-VP\tO' -p208687 -aS'and\tand\tCC\tI-VP\tO' -p208688 -aS'stooling\tstool\tVBG\tI-VP\tO' -p208689 -aS'appropriately\tappropriately\tRB\tB-ADVP\tO' -p208690 -aS'.\t.\t.\tO\tO' -p208691 -asS'The abdomen was soft , nontender , nondistended , positive bowel sounds .' -p208692 -(lp208693 -S'The\tThe\tDT\tB-NP\tO' -p208694 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p208695 -aS'was\tbe\tVBD\tB-VP\tO' -p208696 -aS'soft\tsoft\tJJ\tB-NP\tO' -p208697 -aS',\t,\t,\tI-NP\tO' -p208698 -aS'nontender\tnontender\tJJ\tI-NP\tO' -p208699 -aS',\t,\t,\tI-NP\tO' -p208700 -aS'nondistended\tnondistended\tJJ\tI-NP\tO' -p208701 -aS',\t,\t,\tI-NP\tO' -p208702 -aS'positive\tpositive\tJJ\tI-NP\tO' -p208703 -aS'bowel\tbowel\tNN\tI-NP\tO' -p208704 -aS'sounds\tsound\tNNS\tI-NP\tO' -p208705 -aS'.\t.\t.\tO\tO' -p208706 -asS'He was extubated that night .' -p208707 -(lp208708 -S'He\tHe\tPRP\tB-NP\tO' -p208709 -aS'was\tbe\tVBD\tB-VP\tO' -p208710 -aS'extubated\textubate\tVBN\tI-VP\tO' -p208711 -aS'that\tthat\tDT\tB-NP\tO' -p208712 -aS'night\tnight\tNN\tI-NP\tO' -p208713 -aS'.\t.\t.\tO\tO' -p208714 -asS'The patient quit smoking fifty years ago but previously was a heavy smoker , though states that she never inhaled .' -p208715 -(lp208716 -S'The\tThe\tDT\tB-NP\tO' -p208717 -aS'patient\tpatient\tNN\tI-NP\tO' -p208718 -aS'quit\tquit\tVBD\tB-VP\tO' -p208719 -aS'smoking\tsmoke\tVBG\tI-VP\tO' -p208720 -aS'fifty\tfifty\tCD\tB-NP\tO' -p208721 -aS'years\tyear\tNNS\tI-NP\tO' -p208722 -aS'ago\tago\tRB\tB-ADVP\tO' -p208723 -aS'but\tbut\tCC\tO\tO' -p208724 -aS'previously\tpreviously\tRB\tB-VP\tO' -p208725 -aS'was\tbe\tVBD\tI-VP\tO' -p208726 -aS'a\ta\tDT\tB-NP\tO' -p208727 -aS'heavy\theavy\tJJ\tI-NP\tO' -p208728 -aS'smoker\tsmoker\tNN\tI-NP\tO' -p208729 -aS',\t,\t,\tO\tO' -p208730 -aS'though\tthough\tIN\tB-SBAR\tO' -p208731 -aS'states\tstate\tNNS\tB-NP\tO' -p208732 -aS'that\tthat\tIN\tB-SBAR\tO' -p208733 -aS'she\tshe\tPRP\tB-NP\tO' -p208734 -aS'never\tnever\tRB\tB-ADVP\tO' -p208735 -aS'inhaled\tinhale\tVBD\tB-VP\tO' -p208736 -aS'.\t.\t.\tO\tO' -p208737 -asS'The family refused autopsy or post-mortem examination to deduce secondary causes of death .' -p208738 -(lp208739 -S'The\tThe\tDT\tB-NP\tO' -p208740 -aS'family\tfamily\tNN\tI-NP\tO' -p208741 -aS'refused\trefuse\tVBD\tB-VP\tO' -p208742 -aS'autopsy\tautopsy\tNN\tB-NP\tO' -p208743 -aS'or\tor\tCC\tO\tO' -p208744 -aS'post-mortem\tpost-mortem\tJJ\tB-NP\tO' -p208745 -aS'examination\texamination\tNN\tI-NP\tO' -p208746 -aS'to\tto\tTO\tB-VP\tO' -p208747 -aS'deduce\tdeduce\tVB\tI-VP\tO' -p208748 -aS'secondary\tsecondary\tJJ\tB-NP\tO' -p208749 -aS'causes\tcause\tNNS\tI-NP\tO' -p208750 -aS'of\tof\tIN\tB-PP\tO' -p208751 -aS'death\tdeath\tNN\tB-NP\tO' -p208752 -aS'.\t.\t.\tO\tO' -p208753 -asS'The patient denies any exposure to smoke , animals , unusual dust or vapors , or other asthma triggers .' -p208754 -(lp208755 -S'The\tThe\tDT\tB-NP\tO' -p208756 -aS'patient\tpatient\tNN\tI-NP\tO' -p208757 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p208758 -aS'any\tany\tDT\tB-NP\tO' -p208759 -aS'exposure\texposure\tNN\tI-NP\tO' -p208760 -aS'to\tto\tTO\tB-VP\tO' -p208761 -aS'smoke\tsmoke\tVB\tI-VP\tO' -p208762 -aS',\t,\t,\tO\tO' -p208763 -aS'animals\tanimal\tNNS\tB-NP\tO' -p208764 -aS',\t,\t,\tO\tO' -p208765 -aS'unusual\tunusual\tJJ\tB-NP\tO' -p208766 -aS'dust\tdust\tNN\tI-NP\tO' -p208767 -aS'or\tor\tCC\tI-NP\tO' -p208768 -aS'vapors\tvapor\tNNS\tI-NP\tO' -p208769 -aS',\t,\t,\tO\tO' -p208770 -aS'or\tor\tCC\tO\tO' -p208771 -aS'other\tother\tJJ\tB-NP\tO' -p208772 -aS'asthma\tasthma\tNN\tI-NP\tO' -p208773 -aS'triggers\ttrigger\tNNS\tI-NP\tO' -p208774 -aS'.\t.\t.\tO\tO' -p208775 -asS'He has been living at The Cooley Dickinson Hospital House since 2017-08-02 .' -p208776 -(lp208777 -S'He\tHe\tPRP\tB-NP\tO' -p208778 -aS'has\thave\tVBZ\tB-VP\tO' -p208779 -aS'been\tbe\tVBN\tI-VP\tO' -p208780 -aS'living\tlive\tVBG\tI-VP\tO' -p208781 -aS'at\tat\tIN\tB-PP\tO' -p208782 -aS'The\tThe\tDT\tB-NP\tO' -p208783 -aS'Cooley\tCooley\tNNP\tI-NP\tO' -p208784 -aS'Dickinson\tDickinson\tNNP\tI-NP\tO' -p208785 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p208786 -aS'House\tHouse\tNNP\tI-NP\tO' -p208787 -aS'since\tsince\tIN\tB-PP\tO' -p208788 -aS'2017-08-02\t2017-08-02\tCD\tB-NP\tO' -p208789 -aS'.\t.\t.\tO\tO' -p208790 -asS'On neurological examination , the patient was alert , oriented to time , place and person .' -p208791 -(lp208792 -S'On\tOn\tIN\tB-PP\tO' -p208793 -aS'neurological\tneurological\tJJ\tB-NP\tO' -p208794 -aS'examination\texamination\tNN\tI-NP\tO' -p208795 -aS',\t,\t,\tO\tO' -p208796 -aS'the\tthe\tDT\tB-NP\tO' -p208797 -aS'patient\tpatient\tNN\tI-NP\tO' -p208798 -aS'was\tbe\tVBD\tB-VP\tO' -p208799 -aS'alert\talert\tJJ\tB-ADJP\tO' -p208800 -aS',\t,\t,\tO\tO' -p208801 -aS'oriented\torient\tVBN\tB-VP\tO' -p208802 -aS'to\tto\tTO\tB-PP\tO' -p208803 -aS'time\ttime\tNN\tB-NP\tO' -p208804 -aS',\t,\t,\tB-NP\tO' -p208805 -aS'place\tplace\tNN\tI-NP\tO' -p208806 -aS'and\tand\tCC\tI-NP\tO' -p208807 -aS'person\tperson\tNN\tI-NP\tO' -p208808 -aS'.\t.\t.\tO\tO' -p208809 -asS'Extremities are warm , noncyanotic and nonedematous times four .' -p208810 -(lp208811 -S'Extremities\tExtremity\tNNS\tB-NP\tO' -p208812 -aS'are\tbe\tVBP\tB-VP\tO' -p208813 -aS'warm\twarm\tJJ\tB-NP\tO' -p208814 -aS',\t,\t,\tI-NP\tO' -p208815 -aS'noncyanotic\tnoncyanotic\tJJ\tI-NP\tO' -p208816 -aS'and\tand\tCC\tI-NP\tO' -p208817 -aS'nonedematous\tnonedematous\tJJ\tI-NP\tO' -p208818 -aS'times\ttime\tNNS\tI-NP\tO' -p208819 -aS'four\tfour\tCD\tI-NP\tO' -p208820 -aS'.\t.\t.\tO\tO' -p208821 -asS'Caval narrowing is seen , most likely correlation to clinical history is recommended and further evaluation of the CT or short-term ultrasounds for follow-up was recommended .' -p208822 -(lp208823 -S'Caval\tCaval\tNN\tB-NP\tO' -p208824 -aS'narrowing\tnarrowing\tNN\tI-NP\tO' -p208825 -aS'is\tbe\tVBZ\tB-VP\tO' -p208826 -aS'seen\tsee\tVBN\tI-VP\tO' -p208827 -aS',\t,\t,\tO\tO' -p208828 -aS'most\tmost\tRBS\tB-NP\tO' -p208829 -aS'likely\tlikely\tJJ\tI-NP\tO' -p208830 -aS'correlation\tcorrelation\tNN\tI-NP\tO' -p208831 -aS'to\tto\tTO\tB-PP\tO' -p208832 -aS'clinical\tclinical\tJJ\tB-NP\tO' -p208833 -aS'history\thistory\tNN\tI-NP\tO' -p208834 -aS'is\tbe\tVBZ\tB-VP\tO' -p208835 -aS'recommended\trecommend\tVBN\tI-VP\tO' -p208836 -aS'and\tand\tCC\tO\tO' -p208837 -aS'further\tfurther\tJJ\tB-NP\tO' -p208838 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p208839 -aS'of\tof\tIN\tB-PP\tO' -p208840 -aS'the\tthe\tDT\tB-NP\tO' -p208841 -aS'CT\tCT\tNN\tI-NP\tO' -p208842 -aS'or\tor\tCC\tI-NP\tO' -p208843 -aS'short-term\tshort-term\tJJ\tI-NP\tO' -p208844 -aS'ultrasounds\tultrasound\tNNS\tI-NP\tO' -p208845 -aS'for\tfor\tIN\tB-PP\tO' -p208846 -aS'follow-up\tfollow-up\tNN\tB-NP\tO' -p208847 -aS'was\tbe\tVBD\tB-VP\tO' -p208848 -aS'recommended\trecommend\tVBN\tI-VP\tO' -p208849 -aS'.\t.\t.\tO\tO' -p208850 -asS'On 2/28/00 , the patient 's diet was advanced to a low fat solids ( per pancreatitis study ) , which the patient tolerated well .' -p208851 -(lp208852 -S'On\tOn\tIN\tB-PP\tO' -p208853 -aS'2/28/00\t2/28/00\tCD\tB-NP\tO' -p208854 -aS',\t,\t,\tO\tO' -p208855 -aS'the\tthe\tDT\tB-NP\tO' -p208856 -aS'patient\tpatient\tNN\tI-NP\tO' -p208857 -aS''s\t'\tNNS\tI-NP\tO' -p208858 -aS'diet\tdiet\tNN\tI-NP\tO' -p208859 -aS'was\tbe\tVBD\tB-VP\tO' -p208860 -aS'advanced\tadvance\tVBN\tI-VP\tO' -p208861 -aS'to\tto\tTO\tB-PP\tO' -p208862 -aS'a\ta\tDT\tB-NP\tO' -p208863 -aS'low\tlow\tJJ\tI-NP\tO' -p208864 -aS'fat\tfat\tJJ\tI-NP\tO' -p208865 -aS'solids\tsolid\tNNS\tI-NP\tO' -p208866 -aS'(\t(\t(\tO\tO' -p208867 -aS'per\tper\tIN\tB-PP\tO' -p208868 -aS'pancreatitis\tpancreatitis\tNN\tB-NP\tO' -p208869 -aS'study\tstudy\tNN\tI-NP\tO' -p208870 -aS')\t)\t)\tO\tO' -p208871 -aS',\t,\t,\tO\tO' -p208872 -aS'which\twhich\tWDT\tB-NP\tO' -p208873 -aS'the\tthe\tDT\tB-NP\tO' -p208874 -aS'patient\tpatient\tNN\tI-NP\tO' -p208875 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p208876 -aS'well\twell\tRB\tB-ADVP\tO' -p208877 -aS'.\t.\t.\tO\tO' -p208878 -asS'Fingers were warm and well perfused with capillary refill less than 3 seconds .' -p208879 -(lp208880 -S'Fingers\tFinger\tNNS\tB-NP\tO' -p208881 -aS'were\tbe\tVBD\tB-VP\tO' -p208882 -aS'warm\twarm\tJJ\tB-ADJP\tO' -p208883 -aS'and\tand\tCC\tO\tO' -p208884 -aS'well\twell\tRB\tB-ADJP\tO' -p208885 -aS'perfused\tperfuse\tVBN\tI-ADJP\tO' -p208886 -aS'with\twith\tIN\tB-PP\tO' -p208887 -aS'capillary\tcapillary\tJJ\tB-NP\tO' -p208888 -aS'refill\trefill\tNN\tI-NP\tO' -p208889 -aS'less\tless\tJJR\tB-NP\tO' -p208890 -aS'than\tthan\tIN\tI-NP\tO' -p208891 -aS'3\t3\tCD\tI-NP\tO' -p208892 -aS'seconds\tsecond\tNNS\tI-NP\tO' -p208893 -aS'.\t.\t.\tO\tO' -p208894 -asS'The cranial nerves showed pupils were bilaterally active from 3 to 2 mm .' -p208895 -(lp208896 -S'The\tThe\tDT\tB-NP\tO' -p208897 -aS'cranial\tcranial\tJJ\tI-NP\tO' -p208898 -aS'nerves\tnerve\tNNS\tI-NP\tO' -p208899 -aS'showed\tshow\tVBD\tB-VP\tO' -p208900 -aS'pupils\tpupil\tNNS\tB-NP\tO' -p208901 -aS'were\tbe\tVBD\tB-VP\tO' -p208902 -aS'bilaterally\tbilaterally\tRB\tB-ADJP\tO' -p208903 -aS'active\tactive\tJJ\tI-ADJP\tO' -p208904 -aS'from\tfrom\tIN\tB-PP\tO' -p208905 -aS'3\t3\tCD\tB-NP\tO' -p208906 -aS'to\tto\tTO\tI-NP\tO' -p208907 -aS'2\t2\tCD\tI-NP\tO' -p208908 -aS'mm\tmm\tNN\tI-NP\tO' -p208909 -aS'.\t.\t.\tO\tO' -p208910 -asS'cataracts s/p removal of in Mayotte c/b enucleated CMED CSRU' -p208911 -(lp208912 -S'cataracts\tcataract\tNNS\tB-NP\tO' -p208913 -aS's/p\ts/p\tVBP\tB-VP\tO' -p208914 -aS'removal\tremoval\tNN\tB-NP\tO' -p208915 -aS'of\tof\tIN\tB-PP\tO' -p208916 -aS'in\tin\tIN\tB-PP\tO' -p208917 -aS'Mayotte\tMayotte\tNNP\tB-NP\tO' -p208918 -aS'c/b\tc/b\tNN\tI-NP\tO' -p208919 -aS'enucleated\tenucleate\tVBD\tB-VP\tO' -p208920 -aS'CMED\tCMED\tNNP\tB-NP\tO' -p208921 -aS'CSRU\tCSRU\tNNP\tI-NP\tO' -p208922 -asS'Intubation and mechanical ventilation .' -p208923 -(lp208924 -S'Intubation\tIntubation\tNN\tB-NP\tO' -p208925 -aS'and\tand\tCC\tI-NP\tO' -p208926 -aS'mechanical\tmechanical\tJJ\tI-NP\tO' -p208927 -aS'ventilation\tventilation\tNN\tI-NP\tO' -p208928 -aS'.\t.\t.\tO\tO' -p208929 -asS'This 20 year old driver was in a major motor vehicle accident and brought to the Emergency Saints Medical Center following this , with multiple trauma .' -p208930 -(lp208931 -S'This\tThis\tDT\tB-NP\tO' -p208932 -aS'20\t20\tCD\tI-NP\tO' -p208933 -aS'year\tyear\tNN\tI-NP\tO' -p208934 -aS'old\told\tJJ\tI-NP\tO' -p208935 -aS'driver\tdriver\tNN\tI-NP\tO' -p208936 -aS'was\tbe\tVBD\tB-VP\tO' -p208937 -aS'in\tin\tIN\tB-PP\tO' -p208938 -aS'a\ta\tDT\tB-NP\tO' -p208939 -aS'major\tmajor\tJJ\tI-NP\tO' -p208940 -aS'motor\tmotor\tNN\tI-NP\tO' -p208941 -aS'vehicle\tvehicle\tNN\tI-NP\tO' -p208942 -aS'accident\taccident\tNN\tI-NP\tO' -p208943 -aS'and\tand\tCC\tO\tO' -p208944 -aS'brought\tbring\tVBN\tB-VP\tO' -p208945 -aS'to\tto\tTO\tB-PP\tO' -p208946 -aS'the\tthe\tDT\tB-NP\tO' -p208947 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p208948 -aS'Saints\tSaints\tNNP\tI-NP\tO' -p208949 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p208950 -aS'Center\tCenter\tNNP\tI-NP\tO' -p208951 -aS'following\tfollow\tVBG\tB-PP\tO' -p208952 -aS'this\tthis\tDT\tB-NP\tO' -p208953 -aS',\t,\t,\tO\tO' -p208954 -aS'with\twith\tIN\tB-PP\tO' -p208955 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p208956 -aS'trauma\ttrauma\tNN\tI-NP\tO' -p208957 -aS'.\t.\t.\tO\tO' -p208958 -asS'Lines placed were a right femoral triple lumen , endotracheal tube 4.0 , arterial line , right radial line , Foley placed , peripheral intravenous line , nasogastric tube .' -p208959 -(lp208960 -S'Lines\tLine\tNNS\tB-NP\tO' -p208961 -aS'placed\tplace\tVBN\tB-VP\tO' -p208962 -aS'were\tbe\tVBD\tB-VP\tO' -p208963 -aS'a\ta\tDT\tB-NP\tO' -p208964 -aS'right\tright\tJJ\tI-NP\tO' -p208965 -aS'femoral\tfemoral\tJJ\tI-NP\tO' -p208966 -aS'triple\ttriple\tJJ\tI-NP\tO' -p208967 -aS'lumen\tlumen\tNN\tI-NP\tO' -p208968 -aS',\t,\t,\tO\tO' -p208969 -aS'endotracheal\tendotracheal\tJJ\tB-NP\tO' -p208970 -aS'tube\ttube\tNN\tI-NP\tO' -p208971 -aS'4.0\t4.0\tCD\tI-NP\tO' -p208972 -aS',\t,\t,\tO\tO' -p208973 -aS'arterial\tarterial\tJJ\tB-NP\tO' -p208974 -aS'line\tline\tNN\tI-NP\tO' -p208975 -aS',\t,\t,\tO\tO' -p208976 -aS'right\tright\tJJ\tB-NP\tB-cell_line' -p208977 -aS'radial\tradial\tJJ\tI-NP\tI-cell_line' -p208978 -aS'line\tline\tNN\tI-NP\tI-cell_line' -p208979 -aS',\t,\t,\tO\tO' -p208980 -aS'Foley\tFoley\tNNP\tB-NP\tO' -p208981 -aS'placed\tplace\tVBD\tB-VP\tO' -p208982 -aS',\t,\t,\tO\tO' -p208983 -aS'peripheral\tperipheral\tJJ\tB-NP\tO' -p208984 -aS'intravenous\tintravenous\tJJ\tI-NP\tO' -p208985 -aS'line\tline\tNN\tI-NP\tO' -p208986 -aS',\t,\t,\tO\tO' -p208987 -aS'nasogastric\tnasogastric\tJJ\tB-NP\tO' -p208988 -aS'tube\ttube\tNN\tI-NP\tO' -p208989 -aS'.\t.\t.\tO\tO' -p208990 -asS'This raised concerns for a hemorrhage , and she was transferred to Verg Medical Center emergently .' -p208991 -(lp208992 -S'This\tThis\tDT\tB-NP\tO' -p208993 -aS'raised\traise\tVBD\tB-VP\tO' -p208994 -aS'concerns\tconcern\tNNS\tB-NP\tO' -p208995 -aS'for\tfor\tIN\tB-PP\tO' -p208996 -aS'a\ta\tDT\tB-NP\tO' -p208997 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p208998 -aS',\t,\t,\tO\tO' -p208999 -aS'and\tand\tCC\tO\tO' -p209000 -aS'she\tshe\tPRP\tB-NP\tO' -p209001 -aS'was\tbe\tVBD\tB-VP\tO' -p209002 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p209003 -aS'to\tto\tTO\tB-PP\tO' -p209004 -aS'Verg\tVerg\tNNP\tB-NP\tO' -p209005 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p209006 -aS'Center\tCenter\tNNP\tI-NP\tO' -p209007 -aS'emergently\temergently\tRB\tB-ADVP\tO' -p209008 -aS'.\t.\t.\tO\tO' -p209009 -asS'5. Autograft , bone morphogenic protein , and allograft .' -p209010 -(lp209011 -S'5.\t5.\tLS\tB-LST\tO' -p209012 -aS'Autograft\tAutograft\tNN\tB-NP\tO' -p209013 -aS',\t,\t,\tO\tO' -p209014 -aS'bone\tbone\tNN\tB-NP\tB-protein' -p209015 -aS'morphogenic\tmorphogenic\tJJ\tI-NP\tI-protein' -p209016 -aS'protein\tprotein\tNN\tI-NP\tI-protein' -p209017 -aS',\t,\t,\tO\tO' -p209018 -aS'and\tand\tCC\tO\tO' -p209019 -aS'allograft\tallograft\tNN\tB-NP\tO' -p209020 -aS'.\t.\t.\tO\tO' -p209021 -asS'On January 5 , he had a chest xray with a left apicalpneumothorax but was stable on chest xray of January 7 .' -p209022 -(lp209023 -S'On\tOn\tIN\tB-PP\tO' -p209024 -aS'January\tJanuary\tNNP\tB-NP\tO' -p209025 -aS'5\t5\tCD\tI-NP\tO' -p209026 -aS',\t,\t,\tO\tO' -p209027 -aS'he\the\tPRP\tB-NP\tO' -p209028 -aS'had\thave\tVBD\tB-VP\tO' -p209029 -aS'a\ta\tDT\tB-NP\tO' -p209030 -aS'chest\tchest\tNN\tI-NP\tO' -p209031 -aS'xray\txray\tNN\tI-NP\tO' -p209032 -aS'with\twith\tIN\tB-PP\tO' -p209033 -aS'a\ta\tDT\tB-NP\tO' -p209034 -aS'left\tleft\tJJ\tI-NP\tO' -p209035 -aS'apicalpneumothorax\tapicalpneumothorax\tNN\tI-NP\tO' -p209036 -aS'but\tbut\tCC\tO\tO' -p209037 -aS'was\tbe\tVBD\tB-VP\tO' -p209038 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p209039 -aS'on\ton\tIN\tB-PP\tO' -p209040 -aS'chest\tchest\tNN\tB-NP\tO' -p209041 -aS'xray\txray\tNN\tI-NP\tO' -p209042 -aS'of\tof\tIN\tB-PP\tO' -p209043 -aS'January\tJanuary\tNNP\tB-NP\tB-protein' -p209044 -aS'7\t7\tCD\tI-NP\tI-protein' -p209045 -aS'.\t.\t.\tO\tO' -p209046 -asS'Of note , given the patient 's do not resuscitate status and the risk for bleeding , the patient 's Coumadin was stopped without incident several weeks before transfer .' -p209047 -(lp209048 -S'Of\tOf\tIN\tB-PP\tO' -p209049 -aS'note\tnote\tNN\tB-NP\tO' -p209050 -aS',\t,\t,\tO\tO' -p209051 -aS'given\tgive\tVBN\tB-PP\tO' -p209052 -aS'the\tthe\tDT\tB-NP\tO' -p209053 -aS'patient\tpatient\tNN\tI-NP\tO' -p209054 -aS''s\t'\tNNS\tI-NP\tO' -p209055 -aS'do\tdo\tVBP\tB-VP\tO' -p209056 -aS'not\tnot\tRB\tI-VP\tO' -p209057 -aS'resuscitate\tresuscitate\tVB\tI-VP\tO' -p209058 -aS'status\tstatus\tNN\tB-NP\tO' -p209059 -aS'and\tand\tCC\tO\tO' -p209060 -aS'the\tthe\tDT\tB-NP\tO' -p209061 -aS'risk\trisk\tNN\tI-NP\tO' -p209062 -aS'for\tfor\tIN\tB-PP\tO' -p209063 -aS'bleeding\tbleeding\tNN\tB-NP\tO' -p209064 -aS',\t,\t,\tO\tO' -p209065 -aS'the\tthe\tDT\tB-NP\tO' -p209066 -aS'patient\tpatient\tNN\tI-NP\tO' -p209067 -aS''s\t'\tNNS\tI-NP\tO' -p209068 -aS'Coumadin\tCoumadin\tNN\tI-NP\tO' -p209069 -aS'was\tbe\tVBD\tB-VP\tO' -p209070 -aS'stopped\tstop\tVBN\tI-VP\tO' -p209071 -aS'without\twithout\tIN\tB-PP\tO' -p209072 -aS'incident\tincident\tJJ\tB-NP\tO' -p209073 -aS'several\tseveral\tJJ\tI-NP\tO' -p209074 -aS'weeks\tweek\tNNS\tI-NP\tO' -p209075 -aS'before\tbefore\tIN\tB-PP\tO' -p209076 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p209077 -aS'.\t.\t.\tO\tO' -p209078 -asS'He had occasional episodes of rapid atrial fibrillation that were controlled with responded to IV metoprolol .' -p209079 -(lp209080 -S'He\tHe\tPRP\tB-NP\tO' -p209081 -aS'had\thave\tVBD\tB-VP\tO' -p209082 -aS'occasional\toccasional\tJJ\tB-NP\tO' -p209083 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p209084 -aS'of\tof\tIN\tB-PP\tO' -p209085 -aS'rapid\trapid\tJJ\tB-NP\tO' -p209086 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p209087 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p209088 -aS'that\tthat\tWDT\tB-NP\tO' -p209089 -aS'were\tbe\tVBD\tB-VP\tO' -p209090 -aS'controlled\tcontrol\tVBN\tI-VP\tO' -p209091 -aS'with\twith\tIN\tB-PP\tO' -p209092 -aS'responded\trespond\tVBN\tB-VP\tO' -p209093 -aS'to\tto\tTO\tB-PP\tO' -p209094 -aS'IV\tIV\tCD\tB-NP\tO' -p209095 -aS'metoprolol\tmetoprolol\tNN\tI-NP\tO' -p209096 -aS'.\t.\t.\tO\tO' -p209097 -asS'Antibiotics were discontinued on the evening of 2015-04-28 .' -p209098 -(lp209099 -S'Antibiotics\tAntibiotic\tNNS\tB-NP\tO' -p209100 -aS'were\tbe\tVBD\tB-VP\tO' -p209101 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p209102 -aS'on\ton\tIN\tB-PP\tO' -p209103 -aS'the\tthe\tDT\tB-NP\tO' -p209104 -aS'evening\tevening\tNN\tI-NP\tO' -p209105 -aS'of\tof\tIN\tB-PP\tO' -p209106 -aS'2015-04-28\t2015-04-28\tCD\tB-NP\tO' -p209107 -aS'.\t.\t.\tO\tO' -p209108 -asS'The patient was discharged to Milton/Haverhill per family request for pain and comfort ( hospice ) management .' -p209109 -(lp209110 -S'The\tThe\tDT\tB-NP\tO' -p209111 -aS'patient\tpatient\tNN\tI-NP\tO' -p209112 -aS'was\tbe\tVBD\tB-VP\tO' -p209113 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p209114 -aS'to\tto\tTO\tI-VP\tO' -p209115 -aS'Milton/Haverhill\tMilton/Haverhill\tVB\tI-VP\tO' -p209116 -aS'per\tper\tIN\tB-PP\tO' -p209117 -aS'family\tfamily\tNN\tB-NP\tO' -p209118 -aS'request\trequest\tNN\tI-NP\tO' -p209119 -aS'for\tfor\tIN\tB-PP\tO' -p209120 -aS'pain\tpain\tNN\tB-NP\tO' -p209121 -aS'and\tand\tCC\tI-NP\tO' -p209122 -aS'comfort\tcomfort\tNN\tI-NP\tO' -p209123 -aS'(\t(\t(\tO\tO' -p209124 -aS'hospice\thospice\tNN\tB-NP\tO' -p209125 -aS')\t)\t)\tO\tO' -p209126 -aS'management\tmanagement\tNN\tB-NP\tO' -p209127 -aS'.\t.\t.\tO\tO' -p209128 -asS'IV in R foot for access .' -p209129 -(lp209130 -S'IV\tIV\tCD\tB-NP\tO' -p209131 -aS'in\tin\tIN\tB-PP\tO' -p209132 -aS'R\tR\tNN\tB-NP\tO' -p209133 -aS'foot\tfoot\tNN\tI-NP\tO' -p209134 -aS'for\tfor\tIN\tB-PP\tO' -p209135 -aS'access\taccess\tNN\tB-NP\tO' -p209136 -aS'.\t.\t.\tO\tO' -p209137 -asS'Dilatation and curettage x 1 for SAB .' -p209138 -(lp209139 -S'Dilatation\tDilatation\tNN\tB-NP\tO' -p209140 -aS'and\tand\tCC\tI-NP\tO' -p209141 -aS'curettage\tcurettage\tNN\tI-NP\tB-protein' -p209142 -aS'x\tx\tSYM\tB-NP\tI-protein' -p209143 -aS'1\t1\tCD\tI-NP\tI-protein' -p209144 -aS'for\tfor\tIN\tB-PP\tO' -p209145 -aS'SAB\tSAB\tNN\tB-NP\tB-protein' -p209146 -aS'.\t.\t.\tO\tO' -p209147 -asS'Otherwise , there were no further episodes of blurred vision .' -p209148 -(lp209149 -S'Otherwise\tOtherwise\tRB\tB-ADVP\tO' -p209150 -aS',\t,\t,\tO\tO' -p209151 -aS'there\tthere\tEX\tB-NP\tO' -p209152 -aS'were\tbe\tVBD\tB-VP\tO' -p209153 -aS'no\tno\tDT\tB-NP\tO' -p209154 -aS'further\tfurther\tJJ\tI-NP\tO' -p209155 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p209156 -aS'of\tof\tIN\tB-PP\tO' -p209157 -aS'blurred\tblurred\tJJ\tB-NP\tO' -p209158 -aS'vision\tvision\tNN\tI-NP\tO' -p209159 -aS'.\t.\t.\tO\tO' -p209160 -asS'flare - steroids , cont prednisone 60 , taper slowly as tolerated , duonebs , advair , singulair , spiriva , claritin azithromycin for atypical bronchitis to complete a 5 day course , keep o2 sat 90-94 , home nocturnal CPAP not tolerated in house , does well on nc , appears ato be at baseline' -p209161 -(lp209162 -S'flare\tflare\tAFX\tB-NP\tO' -p209163 -aS'-\t-\tHYPH\tI-NP\tO' -p209164 -aS'steroids\tsteroid\tNNS\tI-NP\tO' -p209165 -aS',\t,\t,\tO\tO' -p209166 -aS'cont\tcont\tNN\tB-NP\tO' -p209167 -aS'prednisone\tprednisone\tNN\tI-NP\tO' -p209168 -aS'60\t60\tCD\tI-NP\tO' -p209169 -aS',\t,\t,\tO\tO' -p209170 -aS'taper\ttaper\tNN\tB-NP\tO' -p209171 -aS'slowly\tslowly\tRB\tB-ADVP\tO' -p209172 -aS'as\tas\tIN\tB-SBAR\tO' -p209173 -aS'tolerated\ttolerate\tVBN\tB-VP\tO' -p209174 -aS',\t,\t,\tO\tO' -p209175 -aS'duonebs\tduoneb\tNNS\tB-NP\tO' -p209176 -aS',\t,\t,\tO\tO' -p209177 -aS'advair\tadvair\tNN\tB-NP\tO' -p209178 -aS',\t,\t,\tO\tO' -p209179 -aS'singulair\tsingulair\tNN\tB-NP\tO' -p209180 -aS',\t,\t,\tO\tO' -p209181 -aS'spiriva\tspiriva\tNN\tB-NP\tO' -p209182 -aS',\t,\t,\tO\tO' -p209183 -aS'claritin\tclaritin\tNN\tB-NP\tO' -p209184 -aS'azithromycin\tazithromycin\tNN\tI-NP\tO' -p209185 -aS'for\tfor\tIN\tB-PP\tO' -p209186 -aS'atypical\tatypical\tJJ\tB-NP\tO' -p209187 -aS'bronchitis\tbronchitis\tNN\tI-NP\tO' -p209188 -aS'to\tto\tTO\tB-VP\tO' -p209189 -aS'complete\tcomplete\tVB\tI-VP\tO' -p209190 -aS'a\ta\tDT\tB-NP\tO' -p209191 -aS'5\t5\tCD\tI-NP\tO' -p209192 -aS'day\tday\tNN\tI-NP\tO' -p209193 -aS'course\tcourse\tNN\tI-NP\tO' -p209194 -aS',\t,\t,\tO\tO' -p209195 -aS'keep\tkeep\tNN\tB-NP\tO' -p209196 -aS'o2\to2\tNN\tI-NP\tO' -p209197 -aS'sat\tsit\tVBD\tB-VP\tO' -p209198 -aS'90-94\t90-94\tCD\tB-NP\tO' -p209199 -aS',\t,\t,\tO\tO' -p209200 -aS'home\thome\tNN\tB-NP\tO' -p209201 -aS'nocturnal\tnocturnal\tNN\tI-NP\tO' -p209202 -aS'CPAP\tCPAP\tNN\tI-NP\tO' -p209203 -aS'not\tnot\tRB\tB-VP\tO' -p209204 -aS'tolerated\ttolerate\tVBN\tI-VP\tO' -p209205 -aS'in\tin\tIN\tB-PP\tO' -p209206 -aS'house\thouse\tNN\tB-NP\tO' -p209207 -aS',\t,\t,\tO\tO' -p209208 -aS'does\tdo\tVBZ\tB-VP\tO' -p209209 -aS'well\twell\tRB\tB-ADVP\tO' -p209210 -aS'on\ton\tIN\tB-PP\tO' -p209211 -aS'nc\tnc\tNN\tB-NP\tO' -p209212 -aS',\t,\t,\tO\tO' -p209213 -aS'appears\tappear\tVBZ\tB-VP\tO' -p209214 -aS'ato\tato\tRB\tI-VP\tO' -p209215 -aS'be\tbe\tVB\tI-VP\tO' -p209216 -aS'at\tat\tIN\tB-PP\tO' -p209217 -aS'baseline\tbaseline\tNN\tB-NP\tO' -p209218 -asS'She was also maintained on Bactrim postoperatively and did not require ganciclovir , as she and her sister were cytomegalovirus negative .' -p209219 -(lp209220 -S'She\tShe\tPRP\tB-NP\tO' -p209221 -aS'was\tbe\tVBD\tB-VP\tO' -p209222 -aS'also\talso\tRB\tI-VP\tO' -p209223 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p209224 -aS'on\ton\tIN\tB-PP\tO' -p209225 -aS'Bactrim\tBactrim\tNNP\tB-NP\tO' -p209226 -aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' -p209227 -aS'and\tand\tCC\tO\tO' -p209228 -aS'did\tdo\tVBD\tB-VP\tO' -p209229 -aS'not\tnot\tRB\tI-VP\tO' -p209230 -aS'require\trequire\tVB\tI-VP\tO' -p209231 -aS'ganciclovir\tganciclovir\tNN\tB-NP\tO' -p209232 -aS',\t,\t,\tO\tO' -p209233 -aS'as\tas\tIN\tB-SBAR\tO' -p209234 -aS'she\tshe\tPRP\tB-NP\tO' -p209235 -aS'and\tand\tCC\tO\tO' -p209236 -aS'her\ther\tPRP$\tB-NP\tO' -p209237 -aS'sister\tsister\tNN\tI-NP\tO' -p209238 -aS'were\tbe\tVBD\tB-VP\tO' -p209239 -aS'cytomegalovirus\tcytomegalovirus\tNN\tB-NP\tO' -p209240 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p209241 -aS'.\t.\t.\tO\tO' -p209242 -asS'2) PNEUMOCYSTIS CARINII PNEUMONIA .' -p209243 -(lp209244 -S'2)\t2)\tLS\tB-NP\tO' -p209245 -aS'PNEUMOCYSTIS\tPNEUMOCYSTIS\tNN\tI-NP\tO' -p209246 -aS'CARINII\tCARINII\tNN\tI-NP\tO' -p209247 -aS'PNEUMONIA\tPNEUMONIA\tNN\tI-NP\tO' -p209248 -aS'.\t.\t.\tO\tO' -p209249 -asS'She is referred for progressive angina .' -p209250 -(lp209251 -S'She\tShe\tPRP\tB-NP\tO' -p209252 -aS'is\tbe\tVBZ\tB-VP\tO' -p209253 -aS'referred\trefer\tVBN\tI-VP\tO' -p209254 -aS'for\tfor\tIN\tB-PP\tO' -p209255 -aS'progressive\tprogressive\tJJ\tB-NP\tO' -p209256 -aS'angina\tangina\tNN\tI-NP\tO' -p209257 -aS'.\t.\t.\tO\tO' -p209258 -asS'Very weak flicker of inner canthus on left with corneal stimulation .' -p209259 -(lp209260 -S'Very\tVery\tNN\tB-NP\tO' -p209261 -aS'weak\tweak\tJJ\tI-NP\tO' -p209262 -aS'flicker\tflicker\tNN\tI-NP\tO' -p209263 -aS'of\tof\tIN\tB-PP\tO' -p209264 -aS'inner\tinner\tJJ\tB-NP\tO' -p209265 -aS'canthus\tcanthus\tNN\tI-NP\tO' -p209266 -aS'on\ton\tIN\tB-PP\tO' -p209267 -aS'left\tleave\tVBN\tB-VP\tO' -p209268 -aS'with\twith\tIN\tB-PP\tO' -p209269 -aS'corneal\tcorneal\tJJ\tB-NP\tO' -p209270 -aS'stimulation\tstimulation\tNN\tI-NP\tO' -p209271 -aS'.\t.\t.\tO\tO' -p209272 -asS'A lumbar puncture was also performed to rule out meningitis .' -p209273 -(lp209274 -S'A\tA\tDT\tB-NP\tO' -p209275 -aS'lumbar\tlumbar\tNN\tI-NP\tO' -p209276 -aS'puncture\tpuncture\tNN\tI-NP\tO' -p209277 -aS'was\tbe\tVBD\tB-VP\tO' -p209278 -aS'also\talso\tRB\tI-VP\tO' -p209279 -aS'performed\tperform\tVBN\tI-VP\tO' -p209280 -aS'to\tto\tTO\tI-VP\tO' -p209281 -aS'rule\trule\tVB\tI-VP\tO' -p209282 -aS'out\tout\tRP\tB-PRT\tO' -p209283 -aS'meningitis\tmeningitis\tNN\tB-NP\tO' -p209284 -aS'.\t.\t.\tO\tO' -p209285 -asS'It was felt that if we attempted aspirin desensitize her while an inpatient , then she would benefit from the use of aspirin and Plavix .' -p209286 -(lp209287 -S'It\tIt\tPRP\tB-NP\tO' -p209288 -aS'was\tbe\tVBD\tB-VP\tO' -p209289 -aS'felt\tfeel\tVBN\tI-VP\tO' -p209290 -aS'that\tthat\tIN\tB-SBAR\tO' -p209291 -aS'if\tif\tIN\tB-SBAR\tO' -p209292 -aS'we\twe\tPRP\tB-NP\tO' -p209293 -aS'attempted\tattempt\tVBD\tB-VP\tO' -p209294 -aS'aspirin\taspirin\tNN\tB-NP\tO' -p209295 -aS'desensitize\tdesensitize\tVB\tB-VP\tO' -p209296 -aS'her\ther\tPRP\tB-NP\tO' -p209297 -aS'while\twhile\tIN\tB-SBAR\tO' -p209298 -aS'an\tan\tDT\tB-NP\tO' -p209299 -aS'inpatient\tinpatient\tNN\tI-NP\tO' -p209300 -aS',\t,\t,\tO\tO' -p209301 -aS'then\tthen\tRB\tB-ADVP\tO' -p209302 -aS'she\tshe\tPRP\tB-NP\tO' -p209303 -aS'would\twould\tMD\tB-VP\tO' -p209304 -aS'benefit\tbenefit\tVB\tI-VP\tO' -p209305 -aS'from\tfrom\tIN\tB-PP\tO' -p209306 -aS'the\tthe\tDT\tB-NP\tO' -p209307 -aS'use\tuse\tNN\tI-NP\tO' -p209308 -aS'of\tof\tIN\tB-PP\tO' -p209309 -aS'aspirin\taspirin\tNN\tB-NP\tO' -p209310 -aS'and\tand\tCC\tI-NP\tO' -p209311 -aS'Plavix\tPlavix\tNN\tI-NP\tO' -p209312 -aS'.\t.\t.\tO\tO' -p209313 -asS'The abdomen was soft , nontender , nondistended , no visceromegaly .' -p209314 -(lp209315 -S'The\tThe\tDT\tB-NP\tO' -p209316 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p209317 -aS'was\tbe\tVBD\tB-VP\tO' -p209318 -aS'soft\tsoft\tJJ\tB-NP\tO' -p209319 -aS',\t,\t,\tI-NP\tO' -p209320 -aS'nontender\tnontender\tJJ\tI-NP\tO' -p209321 -aS',\t,\t,\tI-NP\tO' -p209322 -aS'nondistended\tnondistended\tJJ\tI-NP\tO' -p209323 -aS',\t,\t,\tO\tO' -p209324 -aS'no\tno\tDT\tB-NP\tO' -p209325 -aS'visceromegaly\tvisceromegaly\tRB\tI-NP\tO' -p209326 -aS'.\t.\t.\tO\tO' -p209327 -asS'71 yo m w/ astrocytoma on xrt and chemotx , who p/w 1 wk h/o productive cough , sick contact , hypoxic , now intubated , w/ increasing infiltrates b/l .' -p209328 -(lp209329 -S'71\t71\tCD\tB-NP\tO' -p209330 -aS'yo\tyo\tNN\tI-NP\tO' -p209331 -aS'm\tm\tNN\tI-NP\tO' -p209332 -aS'w/\tw/\tNN\tI-NP\tO' -p209333 -aS'astrocytoma\tastrocytoma\tNN\tI-NP\tO' -p209334 -aS'on\ton\tIN\tB-PP\tO' -p209335 -aS'xrt\txrt\tNN\tB-NP\tO' -p209336 -aS'and\tand\tCC\tI-NP\tO' -p209337 -aS'chemotx\tchemotx\tNN\tI-NP\tO' -p209338 -aS',\t,\t,\tO\tO' -p209339 -aS'who\twho\tWP\tB-NP\tO' -p209340 -aS'p/w\tp/w\tVBP\tB-VP\tO' -p209341 -aS'1\t1\tCD\tB-NP\tO' -p209342 -aS'wk\twk\tNN\tI-NP\tO' -p209343 -aS'h/o\th/o\tNN\tI-NP\tO' -p209344 -aS'productive\tproductive\tJJ\tI-NP\tO' -p209345 -aS'cough\tcough\tNN\tI-NP\tO' -p209346 -aS',\t,\t,\tO\tO' -p209347 -aS'sick\tsick\tJJ\tB-NP\tO' -p209348 -aS'contact\tcontact\tNN\tI-NP\tO' -p209349 -aS',\t,\t,\tO\tO' -p209350 -aS'hypoxic\thypoxic\tJJ\tB-ADJP\tO' -p209351 -aS',\t,\t,\tO\tO' -p209352 -aS'now\tnow\tRB\tB-VP\tO' -p209353 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p209354 -aS',\t,\t,\tO\tO' -p209355 -aS'w/\tw/\tNN\tB-NP\tO' -p209356 -aS'increasing\tincrease\tVBG\tB-VP\tO' -p209357 -aS'infiltrates\tinfiltrate\tNNS\tB-NP\tO' -p209358 -aS'b/l\tb/l\tNN\tI-NP\tO' -p209359 -aS'.\t.\t.\tO\tO' -p209360 -asS'10. Insulin SS and fixed dose' -p209361 -(lp209362 -S'10.\t10.\tLS\tB-NP\tO' -p209363 -aS'Insulin\tInsulin\tNN\tI-NP\tB-protein' -p209364 -aS'SS\tSS\tNN\tI-NP\tO' -p209365 -aS'and\tand\tCC\tO\tO' -p209366 -aS'fixed\tfix\tVBN\tB-VP\tO' -p209367 -aS'dose\tdose\tNN\tB-NP\tO' -p209368 -asS'Able to take care of himself; home health aide visits once a week .' -p209369 -(lp209370 -S'Able\tAble\tNN\tB-NP\tO' -p209371 -aS'to\tto\tTO\tB-VP\tO' -p209372 -aS'take\ttake\tVB\tI-VP\tO' -p209373 -aS'care\tcare\tNN\tB-NP\tO' -p209374 -aS'of\tof\tIN\tB-PP\tO' -p209375 -aS'himself;\thimself;\tNN\tB-NP\tO' -p209376 -aS'home\thome\tNN\tI-NP\tO' -p209377 -aS'health\thealth\tNN\tI-NP\tO' -p209378 -aS'aide\taide\tNN\tI-NP\tO' -p209379 -aS'visits\tvisit\tNNS\tI-NP\tO' -p209380 -aS'once\tonce\tIN\tB-SBAR\tO' -p209381 -aS'a\ta\tDT\tB-NP\tO' -p209382 -aS'week\tweek\tNN\tI-NP\tO' -p209383 -aS'.\t.\t.\tO\tO' -p209384 -asS'Signed electronically by : DR. Stephen Williams on : SAT 2015-10-24 9:46 AM' -p209385 -(lp209386 -S'Signed\tSign\tVBN\tB-VP\tO' -p209387 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p209388 -aS'by\tby\tIN\tB-PP\tO' -p209389 -aS':\t:\t:\tO\tO' -p209390 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p209391 -aS'Stephen\tStephen\tNNP\tI-NP\tO' -p209392 -aS'Williams\tWilliams\tNNP\tI-NP\tO' -p209393 -aS'on\ton\tIN\tB-PP\tO' -p209394 -aS':\t:\t:\tO\tO' -p209395 -aS'SAT\tSAT\tNN\tB-NP\tO' -p209396 -aS'2015-10-24\t2015-10-24\tCD\tI-NP\tO' -p209397 -aS'9:46\t9:46\tCD\tI-NP\tO' -p209398 -aS'AM\tAM\tNN\tI-NP\tO' -p209399 -asS'From a respiratory point of view , he is on CPAP and pressure support at 5 and 5 at 40% .' -p209400 -(lp209401 -S'From\tFrom\tIN\tB-PP\tO' -p209402 -aS'a\ta\tDT\tB-NP\tO' -p209403 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p209404 -aS'point\tpoint\tNN\tI-NP\tO' -p209405 -aS'of\tof\tIN\tB-PP\tO' -p209406 -aS'view\tview\tNN\tB-NP\tO' -p209407 -aS',\t,\t,\tO\tO' -p209408 -aS'he\the\tPRP\tB-NP\tO' -p209409 -aS'is\tbe\tVBZ\tB-VP\tO' -p209410 -aS'on\ton\tIN\tB-PP\tO' -p209411 -aS'CPAP\tCPAP\tNN\tB-NP\tB-protein' -p209412 -aS'and\tand\tCC\tO\tO' -p209413 -aS'pressure\tpressure\tNN\tB-NP\tO' -p209414 -aS'support\tsupport\tNN\tI-NP\tO' -p209415 -aS'at\tat\tIN\tB-PP\tO' -p209416 -aS'5\t5\tCD\tB-NP\tO' -p209417 -aS'and\tand\tCC\tI-NP\tO' -p209418 -aS'5\t5\tCD\tI-NP\tO' -p209419 -aS'at\tat\tIN\tB-PP\tO' -p209420 -aS'40%\t40%\tCD\tB-NP\tO' -p209421 -aS'.\t.\t.\tO\tO' -p209422 -asS'There was concern about possible pneumonia .' -p209423 -(lp209424 -S'There\tThere\tEX\tB-NP\tO' -p209425 -aS'was\tbe\tVBD\tB-VP\tO' -p209426 -aS'concern\tconcern\tNN\tB-NP\tO' -p209427 -aS'about\tabout\tIN\tB-PP\tO' -p209428 -aS'possible\tpossible\tJJ\tB-NP\tO' -p209429 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p209430 -aS'.\t.\t.\tO\tO' -p209431 -asS'No cigarettes .' -p209432 -(lp209433 -S'No\tNo\tDT\tB-NP\tO' -p209434 -aS'cigarettes\tcigarette\tNNS\tI-NP\tO' -p209435 -aS'.\t.\t.\tO\tO' -p209436 -asS'For her depression , continued on Citalopram 10 mg daily .' -p209437 -(lp209438 -S'For\tFor\tIN\tB-PP\tO' -p209439 -aS'her\ther\tPRP$\tB-NP\tO' -p209440 -aS'depression\tdepression\tNN\tI-NP\tO' -p209441 -aS',\t,\t,\tO\tO' -p209442 -aS'continued\tcontinue\tVBN\tB-VP\tO' -p209443 -aS'on\ton\tIN\tB-PP\tO' -p209444 -aS'Citalopram\tCitalopram\tNN\tB-NP\tO' -p209445 -aS'10\t10\tCD\tI-NP\tO' -p209446 -aS'mg\tmg\tNN\tI-NP\tO' -p209447 -aS'daily\tdaily\tRB\tB-ADVP\tO' -p209448 -aS'.\t.\t.\tO\tO' -p209449 -asS'Neurological examination non-focal .' -p209450 -(lp209451 -S'Neurological\tNeurological\tJJ\tB-NP\tO' -p209452 -aS'examination\texamination\tNN\tI-NP\tO' -p209453 -aS'non-focal\tnon-focal\tJJ\tB-ADJP\tO' -p209454 -aS'.\t.\t.\tO\tO' -p209455 -asS'3. SPASTIC COLON .' -p209456 -(lp209457 -S'3.\t3.\tLS\tB-NP\tO' -p209458 -aS'SPASTIC\tSPASTIC\tNN\tI-NP\tO' -p209459 -aS'COLON\tCOLON\tNN\tI-NP\tO' -p209460 -aS'.\t.\t.\tO\tO' -p209461 -asS'Intravenous antibiotics .' -p209462 -(lp209463 -S'Intravenous\tIntravenous\tJJ\tB-NP\tO' -p209464 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p209465 -aS'.\t.\t.\tO\tO' -p209466 -asS'His creatinine was 1.2 on postoperative day # 5 .' -p209467 -(lp209468 -S'His\tHis\tPRP$\tB-NP\tO' -p209469 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p209470 -aS'was\tbe\tVBD\tB-VP\tO' -p209471 -aS'1.2\t1.2\tCD\tB-NP\tO' -p209472 -aS'on\ton\tIN\tB-PP\tO' -p209473 -aS'postoperative\tpostoperative\tJJ\tB-NP\tB-protein' -p209474 -aS'day\tday\tNN\tI-NP\tI-protein' -p209475 -aS'#\t#\t#\tB-NP\tI-protein' -p209476 -aS'5\t5\tCD\tI-NP\tI-protein' -p209477 -aS'.\t.\t.\tO\tO' -p209478 -asS'His Flagyl course was extended , and Vanc / Levo were added .' -p209479 -(lp209480 -S'His\tHis\tPRP$\tB-NP\tO' -p209481 -aS'Flagyl\tFlagyl\tNN\tI-NP\tO' -p209482 -aS'course\tcourse\tNN\tI-NP\tO' -p209483 -aS'was\tbe\tVBD\tB-VP\tO' -p209484 -aS'extended\textend\tVBN\tI-VP\tO' -p209485 -aS',\t,\t,\tO\tO' -p209486 -aS'and\tand\tCC\tO\tO' -p209487 -aS'Vanc\tVanc\tNN\tB-NP\tO' -p209488 -aS'/\t/\tSYM\tB-NP\tO' -p209489 -aS'Levo\tLevo\tNN\tI-NP\tO' -p209490 -aS'were\tbe\tVBD\tB-VP\tO' -p209491 -aS'added\tadd\tVBN\tI-VP\tO' -p209492 -aS'.\t.\t.\tO\tO' -p209493 -asS'04/22/94 , mitral valve replacement and tricuspid valve reconstruction .' -p209494 -(lp209495 -S'04/22/94\t04/22/94\tCD\tB-NP\tO' -p209496 -aS',\t,\t,\tO\tO' -p209497 -aS'mitral\tmitral\tJJ\tB-NP\tO' -p209498 -aS'valve\tvalve\tNN\tI-NP\tO' -p209499 -aS'replacement\treplacement\tNN\tI-NP\tO' -p209500 -aS'and\tand\tCC\tO\tO' -p209501 -aS'tricuspid\ttricuspid\tJJ\tB-NP\tO' -p209502 -aS'valve\tvalve\tNN\tI-NP\tO' -p209503 -aS'reconstruction\treconstruction\tNN\tI-NP\tO' -p209504 -aS'.\t.\t.\tO\tO' -p209505 -asS'A regular rate and rhythm .' -p209506 -(lp209507 -S'A\tA\tDT\tB-NP\tO' -p209508 -aS'regular\tregular\tJJ\tI-NP\tO' -p209509 -aS'rate\trate\tNN\tI-NP\tO' -p209510 -aS'and\tand\tCC\tI-NP\tO' -p209511 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p209512 -aS'.\t.\t.\tO\tO' -p209513 -asS'However , she was noted to have a relatively elevated white blood cell count that remained stable over the course of her hospital stay .' -p209514 -(lp209515 -S'However\tHowever\tRB\tB-ADVP\tO' -p209516 -aS',\t,\t,\tO\tO' -p209517 -aS'she\tshe\tPRP\tB-NP\tO' -p209518 -aS'was\tbe\tVBD\tB-VP\tO' -p209519 -aS'noted\tnote\tVBN\tI-VP\tO' -p209520 -aS'to\tto\tTO\tI-VP\tO' -p209521 -aS'have\thave\tVB\tI-VP\tO' -p209522 -aS'a\ta\tDT\tB-NP\tO' -p209523 -aS'relatively\trelatively\tRB\tI-NP\tO' -p209524 -aS'elevated\televated\tJJ\tI-NP\tO' -p209525 -aS'white\twhite\tJJ\tI-NP\tO' -p209526 -aS'blood\tblood\tNN\tI-NP\tO' -p209527 -aS'cell\tcell\tNN\tI-NP\tO' -p209528 -aS'count\tcount\tNN\tI-NP\tO' -p209529 -aS'that\tthat\tWDT\tB-NP\tO' -p209530 -aS'remained\tremain\tVBD\tB-VP\tO' -p209531 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p209532 -aS'over\tover\tIN\tB-PP\tO' -p209533 -aS'the\tthe\tDT\tB-NP\tO' -p209534 -aS'course\tcourse\tNN\tI-NP\tO' -p209535 -aS'of\tof\tIN\tB-PP\tO' -p209536 -aS'her\ther\tPRP$\tB-NP\tO' -p209537 -aS'hospital\thospital\tNN\tI-NP\tO' -p209538 -aS'stay\tstay\tNN\tI-NP\tO' -p209539 -aS'.\t.\t.\tO\tO' -p209540 -asS'He has a history of peripheral neuropathy , kidney transplantation in 2003 secondary to diabetic nephropathy , as well as throat cancer in 2004 treated with local resection and radical neck dissection on the left as well as postoperative radiation .' -p209541 -(lp209542 -S'He\tHe\tPRP\tB-NP\tO' -p209543 -aS'has\thave\tVBZ\tB-VP\tO' -p209544 -aS'a\ta\tDT\tB-NP\tO' -p209545 -aS'history\thistory\tNN\tI-NP\tO' -p209546 -aS'of\tof\tIN\tB-PP\tO' -p209547 -aS'peripheral\tperipheral\tJJ\tB-NP\tO' -p209548 -aS'neuropathy\tneuropathy\tNN\tI-NP\tO' -p209549 -aS',\t,\t,\tO\tO' -p209550 -aS'kidney\tkidney\tNN\tB-NP\tO' -p209551 -aS'transplantation\ttransplantation\tNN\tI-NP\tO' -p209552 -aS'in\tin\tIN\tB-PP\tO' -p209553 -aS'2003\t2003\tCD\tB-NP\tO' -p209554 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p209555 -aS'to\tto\tTO\tB-PP\tO' -p209556 -aS'diabetic\tdiabetic\tJJ\tB-NP\tO' -p209557 -aS'nephropathy\tnephropathy\tNN\tI-NP\tO' -p209558 -aS',\t,\t,\tO\tO' -p209559 -aS'as\tas\tRB\tB-CONJP\tO' -p209560 -aS'well\twell\tRB\tI-CONJP\tO' -p209561 -aS'as\tas\tIN\tI-CONJP\tO' -p209562 -aS'throat\tthroat\tNN\tB-NP\tO' -p209563 -aS'cancer\tcancer\tNN\tI-NP\tO' -p209564 -aS'in\tin\tIN\tB-PP\tO' -p209565 -aS'2004\t2004\tCD\tB-NP\tO' -p209566 -aS'treated\ttreat\tVBN\tB-VP\tO' -p209567 -aS'with\twith\tIN\tB-PP\tO' -p209568 -aS'local\tlocal\tJJ\tB-NP\tO' -p209569 -aS'resection\tresection\tNN\tI-NP\tO' -p209570 -aS'and\tand\tCC\tI-NP\tO' -p209571 -aS'radical\tradical\tJJ\tI-NP\tO' -p209572 -aS'neck\tneck\tNN\tI-NP\tO' -p209573 -aS'dissection\tdissection\tNN\tI-NP\tO' -p209574 -aS'on\ton\tIN\tB-PP\tO' -p209575 -aS'the\tthe\tDT\tB-NP\tO' -p209576 -aS'left\tleft\tJJ\tI-NP\tO' -p209577 -aS'as\tas\tRB\tB-CONJP\tO' -p209578 -aS'well\twell\tRB\tI-CONJP\tO' -p209579 -aS'as\tas\tIN\tI-CONJP\tO' -p209580 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p209581 -aS'radiation\tradiation\tNN\tI-NP\tO' -p209582 -aS'.\t.\t.\tO\tO' -p209583 -asS'Source Endotracheal .' -p209584 -(lp209585 -S'Source\tSource\tNNP\tB-NP\tO' -p209586 -aS'Endotracheal\tEndotracheal\tNNP\tI-NP\tO' -p209587 -aS'.\t.\t.\tO\tO' -p209588 -asS'At this time , urology will coordinate removal of her nephrostomy tube with IR .' -p209589 -(lp209590 -S'At\tAt\tIN\tB-PP\tO' -p209591 -aS'this\tthis\tDT\tB-NP\tO' -p209592 -aS'time\ttime\tNN\tI-NP\tO' -p209593 -aS',\t,\t,\tO\tO' -p209594 -aS'urology\turology\tNN\tB-NP\tO' -p209595 -aS'will\twill\tMD\tB-VP\tO' -p209596 -aS'coordinate\tcoordinate\tVB\tI-VP\tO' -p209597 -aS'removal\tremoval\tNN\tB-NP\tO' -p209598 -aS'of\tof\tIN\tB-PP\tO' -p209599 -aS'her\ther\tPRP$\tB-NP\tO' -p209600 -aS'nephrostomy\tnephrostomy\tNN\tI-NP\tO' -p209601 -aS'tube\ttube\tNN\tI-NP\tO' -p209602 -aS'with\twith\tIN\tB-PP\tO' -p209603 -aS'IR\tIR\tNN\tB-NP\tB-protein' -p209604 -aS'.\t.\t.\tO\tO' -p209605 -asS'Despite being on heparin for a short time , his hematocrit remained very stable with only a small dip after the catheterization was done .' -p209606 -(lp209607 -S'Despite\tDespite\tIN\tB-PP\tO' -p209608 -aS'being\tbe\tVBG\tB-VP\tO' -p209609 -aS'on\ton\tIN\tB-PP\tO' -p209610 -aS'heparin\theparin\tNN\tB-NP\tO' -p209611 -aS'for\tfor\tIN\tB-PP\tO' -p209612 -aS'a\ta\tDT\tB-NP\tO' -p209613 -aS'short\tshort\tJJ\tI-NP\tO' -p209614 -aS'time\ttime\tNN\tI-NP\tO' -p209615 -aS',\t,\t,\tO\tO' -p209616 -aS'his\this\tPRP$\tB-NP\tO' -p209617 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p209618 -aS'remained\tremain\tVBD\tB-VP\tO' -p209619 -aS'very\tvery\tRB\tB-ADJP\tO' -p209620 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p209621 -aS'with\twith\tIN\tB-PP\tO' -p209622 -aS'only\tonly\tRB\tB-NP\tO' -p209623 -aS'a\ta\tDT\tI-NP\tO' -p209624 -aS'small\tsmall\tJJ\tI-NP\tO' -p209625 -aS'dip\tdip\tNN\tI-NP\tO' -p209626 -aS'after\tafter\tIN\tB-PP\tO' -p209627 -aS'the\tthe\tDT\tB-NP\tO' -p209628 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p209629 -aS'was\tbe\tVBD\tB-VP\tO' -p209630 -aS'done\tdo\tVBN\tI-VP\tO' -p209631 -aS'.\t.\t.\tO\tO' -p209632 -asS'At that time her JP was still in place .' -p209633 -(lp209634 -S'At\tAt\tIN\tB-PP\tO' -p209635 -aS'that\tthat\tDT\tB-NP\tO' -p209636 -aS'time\ttime\tNN\tI-NP\tO' -p209637 -aS'her\ther\tPRP$\tB-NP\tO' -p209638 -aS'JP\tJP\tNN\tI-NP\tB-protein' -p209639 -aS'was\tbe\tVBD\tB-VP\tO' -p209640 -aS'still\tstill\tRB\tB-ADVP\tO' -p209641 -aS'in\tin\tIN\tB-PP\tO' -p209642 -aS'place\tplace\tNN\tB-NP\tO' -p209643 -aS'.\t.\t.\tO\tO' -p209644 -asS'An MRI was done and this showed a signal abno in L3 L4 ? disciitis vs osteo without a definitive epidural abscess .' -p209645 -(lp209646 -S'An\tAn\tDT\tB-NP\tO' -p209647 -aS'MRI\tMRI\tNN\tI-NP\tB-protein' -p209648 -aS'was\tbe\tVBD\tB-VP\tO' -p209649 -aS'done\tdo\tVBN\tI-VP\tO' -p209650 -aS'and\tand\tCC\tO\tO' -p209651 -aS'this\tthis\tDT\tB-NP\tO' -p209652 -aS'showed\tshow\tVBD\tB-VP\tO' -p209653 -aS'a\ta\tDT\tB-NP\tO' -p209654 -aS'signal\tsignal\tNN\tI-NP\tO' -p209655 -aS'abno\tabno\tNN\tI-NP\tO' -p209656 -aS'in\tin\tIN\tB-PP\tO' -p209657 -aS'L3\tL3\tNN\tB-NP\tB-DNA' -p209658 -aS'L4\tL4\tNN\tI-NP\tI-DNA' -p209659 -aS'?\t?\t.\tO\tO' -p209660 -aS'disciitis\tdisciitis\tNN\tB-NP\tO' -p209661 -aS'vs\tvs\tCC\tI-NP\tO' -p209662 -aS'osteo\tosteo\tNN\tI-NP\tO' -p209663 -aS'without\twithout\tIN\tB-PP\tO' -p209664 -aS'a\ta\tDT\tB-NP\tO' -p209665 -aS'definitive\tdefinitive\tJJ\tI-NP\tO' -p209666 -aS'epidural\tepidural\tJJ\tI-NP\tO' -p209667 -aS'abscess\tabscess\tNN\tI-NP\tO' -p209668 -aS'.\t.\t.\tO\tO' -p209669 -asS'MRI was performed which showed diffusion abnormalities but no hyperintensity on T2 / FLAIR imaging supporting the acute onset .' -p209670 -(lp209671 -S'MRI\tMRI\tNN\tB-NP\tB-protein' -p209672 -aS'was\tbe\tVBD\tB-VP\tO' -p209673 -aS'performed\tperform\tVBN\tI-VP\tO' -p209674 -aS'which\twhich\tWDT\tB-NP\tO' -p209675 -aS'showed\tshow\tVBD\tB-VP\tO' -p209676 -aS'diffusion\tdiffusion\tNN\tB-NP\tO' -p209677 -aS'abnormalities\tabnormality\tNNS\tI-NP\tO' -p209678 -aS'but\tbut\tCC\tO\tO' -p209679 -aS'no\tno\tDT\tB-NP\tO' -p209680 -aS'hyperintensity\thyperintensity\tNN\tI-NP\tO' -p209681 -aS'on\ton\tIN\tB-PP\tO' -p209682 -aS'T2\tT2\tNN\tB-NP\tB-DNA' -p209683 -aS'/\t/\tSYM\tI-NP\tO' -p209684 -aS'FLAIR\tFLAIR\tNN\tI-NP\tO' -p209685 -aS'imaging\timaging\tNN\tI-NP\tO' -p209686 -aS'supporting\tsupport\tVBG\tB-VP\tO' -p209687 -aS'the\tthe\tDT\tB-NP\tO' -p209688 -aS'acute\tacute\tJJ\tI-NP\tO' -p209689 -aS'onset\tonset\tNN\tI-NP\tO' -p209690 -aS'.\t.\t.\tO\tO' -p209691 -asS'1. Feedings at discharge - Similac 24 kilocalories per ounce p.o. ad lib .' -p209692 -(lp209693 -S'1.\t1.\tLS\tB-NP\tO' -p209694 -aS'Feedings\tFeeding\tNNS\tI-NP\tO' -p209695 -aS'at\tat\tIN\tB-PP\tO' -p209696 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p209697 -aS'-\t-\tHYPH\tB-NP\tO' -p209698 -aS'Similac\tSimilac\tNN\tI-NP\tO' -p209699 -aS'24\t24\tCD\tB-NP\tO' -p209700 -aS'kilocalories\tkilocalorie\tNNS\tI-NP\tO' -p209701 -aS'per\tper\tIN\tB-PP\tO' -p209702 -aS'ounce\tounce\tNN\tB-NP\tO' -p209703 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p209704 -aS'ad\tad\tNN\tI-NP\tO' -p209705 -aS'lib\tlib\tNN\tI-NP\tO' -p209706 -aS'.\t.\t.\tO\tO' -p209707 -asS'She remained afebrile .' -p209708 -(lp209709 -S'She\tShe\tPRP\tB-NP\tO' -p209710 -aS'remained\tremain\tVBD\tB-VP\tO' -p209711 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p209712 -aS'.\t.\t.\tO\tO' -p209713 -asS'Attending : Andre K. Young , M.D.' -p209714 -(lp209715 -S'Attending\tAttend\tVBG\tB-VP\tO' -p209716 -aS':\t:\t:\tO\tO' -p209717 -aS'Andre\tAndre\tNNP\tB-NP\tO' -p209718 -aS'K.\tK.\tNNP\tI-NP\tO' -p209719 -aS'Young\tYoung\tNNP\tI-NP\tO' -p209720 -aS',\t,\t,\tO\tO' -p209721 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p209722 -asS'Ct of head and neck neg for fx , bleed , and dislocation .' -p209723 -(lp209724 -S'Ct\tCt\tNN\tB-NP\tO' -p209725 -aS'of\tof\tIN\tB-PP\tO' -p209726 -aS'head\thead\tNN\tB-NP\tO' -p209727 -aS'and\tand\tCC\tI-NP\tO' -p209728 -aS'neck\tneck\tNN\tI-NP\tO' -p209729 -aS'neg\tneg\tNN\tI-NP\tO' -p209730 -aS'for\tfor\tIN\tB-PP\tO' -p209731 -aS'fx\tfx\tNN\tB-NP\tO' -p209732 -aS',\t,\t,\tO\tO' -p209733 -aS'bleed\tbleed\tNN\tB-NP\tO' -p209734 -aS',\t,\t,\tO\tO' -p209735 -aS'and\tand\tCC\tO\tO' -p209736 -aS'dislocation\tdislocation\tNN\tB-NP\tO' -p209737 -aS'.\t.\t.\tO\tO' -p209738 -asS'No transfusions given .' -p209739 -(lp209740 -S'No\tNo\tDT\tB-NP\tO' -p209741 -aS'transfusions\ttransfusion\tNNS\tI-NP\tO' -p209742 -aS'given\tgive\tVBN\tB-VP\tO' -p209743 -aS'.\t.\t.\tO\tO' -p209744 -asS'There was also a blowing holosystolic murmur heard at the patient 's apex to axilla .' -p209745 -(lp209746 -S'There\tThere\tEX\tB-NP\tO' -p209747 -aS'was\tbe\tVBD\tB-VP\tO' -p209748 -aS'also\talso\tRB\tB-ADVP\tO' -p209749 -aS'a\ta\tDT\tB-NP\tO' -p209750 -aS'blowing\tblow\tVBG\tI-NP\tO' -p209751 -aS'holosystolic\tholosystolic\tJJ\tI-NP\tO' -p209752 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p209753 -aS'heard\thear\tVBN\tB-VP\tO' -p209754 -aS'at\tat\tIN\tB-PP\tO' -p209755 -aS'the\tthe\tDT\tB-NP\tO' -p209756 -aS'patient\tpatient\tNN\tI-NP\tO' -p209757 -aS''s\t'\tNNS\tI-NP\tO' -p209758 -aS'apex\tapex\tNN\tI-NP\tO' -p209759 -aS'to\tto\tTO\tB-PP\tO' -p209760 -aS'axilla\taxilla\tNN\tB-NP\tO' -p209761 -aS'.\t.\t.\tO\tO' -p209762 -asS'HYPERVENTILATION : Could not be performed .' -p209763 -(lp209764 -S'HYPERVENTILATION\tHYPERVENTILATION\tNN\tB-NP\tO' -p209765 -aS':\t:\t:\tO\tO' -p209766 -aS'Could\tCould\tMD\tB-VP\tO' -p209767 -aS'not\tnot\tRB\tI-VP\tO' -p209768 -aS'be\tbe\tVB\tI-VP\tO' -p209769 -aS'performed\tperform\tVBN\tI-VP\tO' -p209770 -aS'.\t.\t.\tO\tO' -p209771 -asS'The area of erythema on her left leg enlarged slightly and the patient was placed on Vancomycin for several days after which time her erythema again began to decrease .' -p209772 -(lp209773 -S'The\tThe\tDT\tB-NP\tO' -p209774 -aS'area\tarea\tNN\tI-NP\tO' -p209775 -aS'of\tof\tIN\tB-PP\tO' -p209776 -aS'erythema\terythema\tNN\tB-NP\tO' -p209777 -aS'on\ton\tIN\tB-PP\tO' -p209778 -aS'her\ther\tPRP$\tB-NP\tO' -p209779 -aS'left\tleft\tJJ\tI-NP\tO' -p209780 -aS'leg\tleg\tNN\tI-NP\tO' -p209781 -aS'enlarged\tenlarge\tVBD\tB-VP\tO' -p209782 -aS'slightly\tslightly\tRB\tB-ADVP\tO' -p209783 -aS'and\tand\tCC\tO\tO' -p209784 -aS'the\tthe\tDT\tB-NP\tO' -p209785 -aS'patient\tpatient\tNN\tI-NP\tO' -p209786 -aS'was\tbe\tVBD\tB-VP\tO' -p209787 -aS'placed\tplace\tVBN\tI-VP\tO' -p209788 -aS'on\ton\tIN\tB-PP\tO' -p209789 -aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' -p209790 -aS'for\tfor\tIN\tB-PP\tO' -p209791 -aS'several\tseveral\tJJ\tB-NP\tO' -p209792 -aS'days\tday\tNNS\tI-NP\tO' -p209793 -aS'after\tafter\tIN\tB-PP\tO' -p209794 -aS'which\twhich\tWDT\tB-NP\tO' -p209795 -aS'time\ttime\tNN\tB-NP\tO' -p209796 -aS'her\ther\tPRP$\tB-NP\tO' -p209797 -aS'erythema\terythema\tNN\tI-NP\tO' -p209798 -aS'again\tagain\tRB\tB-ADVP\tO' -p209799 -aS'began\tbegin\tVBD\tB-VP\tO' -p209800 -aS'to\tto\tTO\tI-VP\tO' -p209801 -aS'decrease\tdecrease\tVB\tI-VP\tO' -p209802 -aS'.\t.\t.\tO\tO' -p209803 -asS'Neurology .' -p209804 -(lp209805 -S'Neurology\tNeurology\tNNP\tB-NP\tO' -p209806 -aS'.\t.\t.\tO\tO' -p209807 -asS'8. Zinc 220 mg po every day .' -p209808 -(lp209809 -S'8.\t8.\tCD\tB-NP\tO' -p209810 -aS'Zinc\tZinc\tNN\tI-NP\tO' -p209811 -aS'220\t220\tCD\tB-NP\tO' -p209812 -aS'mg\tmg\tNN\tI-NP\tO' -p209813 -aS'po\tpo\tRB\tB-ADVP\tO' -p209814 -aS'every\tevery\tDT\tB-NP\tO' -p209815 -aS'day\tday\tNN\tI-NP\tO' -p209816 -aS'.\t.\t.\tO\tO' -p209817 -asS'3. Zantac 150 mg po b.i.d.' -p209818 -(lp209819 -S'3.\t3.\tLS\tB-LST\tO' -p209820 -aS'Zantac\tZantac\tNN\tB-NP\tO' -p209821 -aS'150\t150\tCD\tI-NP\tO' -p209822 -aS'mg\tmg\tNN\tI-NP\tO' -p209823 -aS'po\tpo\tNN\tI-NP\tO' -p209824 -aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' -p209825 -asS'He will followup with Dr. Levels in device clinic in 4 weeks .' -p209826 -(lp209827 -S'He\tHe\tPRP\tB-NP\tO' -p209828 -aS'will\twill\tMD\tB-VP\tO' -p209829 -aS'followup\tfollowup\tVB\tI-VP\tO' -p209830 -aS'with\twith\tIN\tB-PP\tO' -p209831 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p209832 -aS'Levels\tLevels\tNNP\tI-NP\tO' -p209833 -aS'in\tin\tIN\tB-PP\tO' -p209834 -aS'device\tdevice\tNN\tB-NP\tO' -p209835 -aS'clinic\tclinic\tNN\tI-NP\tO' -p209836 -aS'in\tin\tIN\tB-PP\tO' -p209837 -aS'4\t4\tCD\tB-NP\tO' -p209838 -aS'weeks\tweek\tNNS\tI-NP\tO' -p209839 -aS'.\t.\t.\tO\tO' -p209840 -asS'Pelvis film was negative .' -p209841 -(lp209842 -S'Pelvis\tPelvis\tNNP\tB-NP\tO' -p209843 -aS'film\tfilm\tNN\tI-NP\tO' -p209844 -aS'was\tbe\tVBD\tB-VP\tO' -p209845 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p209846 -aS'.\t.\t.\tO\tO' -p209847 -asS'However , his course was otherwise complicated by discovery of persistently elevated blood sugars and Endocrinology was consulted to rule out possible newly diagnosed diabetes .' -p209848 -(lp209849 -S'However\tHowever\tRB\tB-ADVP\tO' -p209850 -aS',\t,\t,\tO\tO' -p209851 -aS'his\this\tPRP$\tB-NP\tO' -p209852 -aS'course\tcourse\tNN\tI-NP\tO' -p209853 -aS'was\tbe\tVBD\tB-VP\tO' -p209854 -aS'otherwise\totherwise\tRB\tI-VP\tO' -p209855 -aS'complicated\tcomplicate\tVBN\tI-VP\tO' -p209856 -aS'by\tby\tIN\tB-PP\tO' -p209857 -aS'discovery\tdiscovery\tNN\tB-NP\tO' -p209858 -aS'of\tof\tIN\tB-PP\tO' -p209859 -aS'persistently\tpersistently\tRB\tB-NP\tO' -p209860 -aS'elevated\televated\tJJ\tI-NP\tO' -p209861 -aS'blood\tblood\tNN\tI-NP\tO' -p209862 -aS'sugars\tsugar\tNNS\tI-NP\tO' -p209863 -aS'and\tand\tCC\tO\tO' -p209864 -aS'Endocrinology\tEndocrinology\tNNP\tB-NP\tO' -p209865 -aS'was\tbe\tVBD\tB-VP\tO' -p209866 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p209867 -aS'to\tto\tTO\tI-VP\tO' -p209868 -aS'rule\trule\tVB\tI-VP\tO' -p209869 -aS'out\tout\tRP\tB-PRT\tO' -p209870 -aS'possible\tpossible\tJJ\tB-NP\tO' -p209871 -aS'newly\tnewly\tRB\tI-NP\tO' -p209872 -aS'diagnosed\tdiagnose\tVBN\tI-NP\tO' -p209873 -aS'diabetes\tdiabete\tNNS\tI-NP\tO' -p209874 -aS'.\t.\t.\tO\tO' -p209875 -asS'2. Medications - Poly-Vi-James 1 cc p.o. q. day ; Iron or Fer-In-James 0.2 cc p.o. q. day to give 2 mg / kg / day' -p209876 -(lp209877 -S'2.\t2.\tLS\tB-NP\tO' -p209878 -aS'Medications\tMedications\tNNP\tI-NP\tO' -p209879 -aS'-\t-\tHYPH\tO\tO' -p209880 -aS'Poly-Vi-James\tPoly-Vi-James\tNNP\tB-NP\tO' -p209881 -aS'1\t1\tCD\tI-NP\tO' -p209882 -aS'cc\tcc\tNN\tI-NP\tO' -p209883 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p209884 -aS'q.\tq.\tNN\tI-NP\tO' -p209885 -aS'day\tday\tNN\tI-NP\tO' -p209886 -aS';\t;\t:\tO\tO' -p209887 -aS'Iron\tIron\tNN\tB-NP\tO' -p209888 -aS'or\tor\tCC\tO\tO' -p209889 -aS'Fer-In-James\tFer-In-James\tNNP\tB-NP\tO' -p209890 -aS'0.2\t0.2\tCD\tI-NP\tO' -p209891 -aS'cc\tcc\tNN\tI-NP\tO' -p209892 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p209893 -aS'q.\tq.\tNN\tI-NP\tO' -p209894 -aS'day\tday\tNN\tI-NP\tO' -p209895 -aS'to\tto\tTO\tB-VP\tO' -p209896 -aS'give\tgive\tVB\tI-VP\tO' -p209897 -aS'2\t2\tCD\tB-NP\tO' -p209898 -aS'mg\tmg\tNN\tI-NP\tO' -p209899 -aS'/\t/\tSYM\tB-NP\tO' -p209900 -aS'kg\tkg\tNN\tI-NP\tO' -p209901 -aS'/\t/\tSYM\tB-NP\tO' -p209902 -aS'day\tday\tNN\tI-NP\tO' -p209903 -asS'The heart had a recovery regular rate and rhythm .' -p209904 -(lp209905 -S'The\tThe\tDT\tB-NP\tO' -p209906 -aS'heart\theart\tNN\tI-NP\tO' -p209907 -aS'had\thave\tVBD\tB-VP\tO' -p209908 -aS'a\ta\tDT\tB-NP\tO' -p209909 -aS'recovery\trecovery\tNN\tI-NP\tO' -p209910 -aS'regular\tregular\tJJ\tI-NP\tO' -p209911 -aS'rate\trate\tNN\tI-NP\tO' -p209912 -aS'and\tand\tCC\tI-NP\tO' -p209913 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p209914 -aS'.\t.\t.\tO\tO' -p209915 -asS'Extremities - no edema .' -p209916 -(lp209917 -S'Extremities\tExtremity\tNNS\tB-NP\tO' -p209918 -aS'-\t-\t:\tO\tO' -p209919 -aS'no\tno\tDT\tB-NP\tO' -p209920 -aS'edema\tedema\tNN\tI-NP\tO' -p209921 -aS'.\t.\t.\tO\tO' -p209922 -asS'Biapical lung scarring and mild bronchiectasis are present .' -p209923 -(lp209924 -S'Biapical\tBiapical\tJJ\tB-NP\tO' -p209925 -aS'lung\tlung\tNN\tI-NP\tO' -p209926 -aS'scarring\tscar\tVBG\tB-VP\tO' -p209927 -aS'and\tand\tCC\tO\tO' -p209928 -aS'mild\tmild\tJJ\tB-NP\tO' -p209929 -aS'bronchiectasis\tbronchiectasis\tNN\tI-NP\tO' -p209930 -aS'are\tbe\tVBP\tB-VP\tO' -p209931 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p209932 -aS'.\t.\t.\tO\tO' -p209933 -asS'The patient had no further angina .' -p209934 -(lp209935 -S'The\tThe\tDT\tB-NP\tO' -p209936 -aS'patient\tpatient\tNN\tI-NP\tO' -p209937 -aS'had\thave\tVBD\tB-VP\tO' -p209938 -aS'no\tno\tDT\tB-NP\tO' -p209939 -aS'further\tfurther\tJJ\tI-NP\tO' -p209940 -aS'angina\tangina\tNN\tI-NP\tO' -p209941 -aS'.\t.\t.\tO\tO' -p209942 -asS'Labs on admission from outside hospital , CBC notable for a white count of 21.9 with hematocrit of 36.3 and normal platelets .' -p209943 -(lp209944 -S'Labs\tLab\tNNS\tB-NP\tB-protein' -p209945 -aS'on\ton\tIN\tB-PP\tO' -p209946 -aS'admission\tadmission\tNN\tB-NP\tO' -p209947 -aS'from\tfrom\tIN\tB-PP\tO' -p209948 -aS'outside\toutside\tJJ\tB-NP\tO' -p209949 -aS'hospital\thospital\tNN\tI-NP\tO' -p209950 -aS',\t,\t,\tO\tO' -p209951 -aS'CBC\tCBC\tNN\tB-NP\tO' -p209952 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p209953 -aS'for\tfor\tIN\tB-PP\tO' -p209954 -aS'a\ta\tDT\tB-NP\tO' -p209955 -aS'white\twhite\tJJ\tI-NP\tO' -p209956 -aS'count\tcount\tNN\tI-NP\tO' -p209957 -aS'of\tof\tIN\tB-PP\tO' -p209958 -aS'21.9\t21.9\tCD\tB-NP\tO' -p209959 -aS'with\twith\tIN\tB-PP\tO' -p209960 -aS'hematocrit\thematocrit\tNN\tB-NP\tO' -p209961 -aS'of\tof\tIN\tB-PP\tO' -p209962 -aS'36.3\t36.3\tCD\tB-NP\tO' -p209963 -aS'and\tand\tCC\tO\tO' -p209964 -aS'normal\tnormal\tJJ\tB-NP\tB-cell_type' -p209965 -aS'platelets\tplatelet\tNNS\tI-NP\tI-cell_type' -p209966 -aS'.\t.\t.\tO\tO' -p209967 -asS'His Jackson-Pratt drained about 35-40 cc per day and was discontinued on postoperative day # 3 .' -p209968 -(lp209969 -S'His\tHis\tPRP$\tB-NP\tB-protein' -p209970 -aS'Jackson-Pratt\tJackson-Pratt\tNNP\tI-NP\tO' -p209971 -aS'drained\tdrain\tVBD\tB-VP\tO' -p209972 -aS'about\tabout\tRB\tB-NP\tO' -p209973 -aS'35-40\t35-40\tCD\tI-NP\tO' -p209974 -aS'cc\tcc\tNN\tI-NP\tO' -p209975 -aS'per\tper\tIN\tB-PP\tO' -p209976 -aS'day\tday\tNN\tB-NP\tO' -p209977 -aS'and\tand\tCC\tO\tO' -p209978 -aS'was\tbe\tVBD\tB-VP\tO' -p209979 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p209980 -aS'on\ton\tIN\tB-PP\tO' -p209981 -aS'postoperative\tpostoperative\tJJ\tB-NP\tB-protein' -p209982 -aS'day\tday\tNN\tI-NP\tI-protein' -p209983 -aS'#\t#\t#\tB-NP\tI-protein' -p209984 -aS'3\t3\tCD\tI-NP\tI-protein' -p209985 -aS'.\t.\t.\tO\tO' -p209986 -asS'Intraoperative frozen section of the distal and proximal common bile duct in the' -p209987 -(lp209988 -S'Intraoperative\tIntraoperative\tJJ\tB-NP\tO' -p209989 -aS'frozen\tfrozen\tJJ\tI-NP\tO' -p209990 -aS'section\tsection\tNN\tI-NP\tO' -p209991 -aS'of\tof\tIN\tB-PP\tO' -p209992 -aS'the\tthe\tDT\tB-NP\tO' -p209993 -aS'distal\tdistal\tJJ\tI-NP\tO' -p209994 -aS'and\tand\tCC\tI-NP\tO' -p209995 -aS'proximal\tproximal\tJJ\tI-NP\tO' -p209996 -aS'common\tcommon\tJJ\tI-NP\tO' -p209997 -aS'bile\tbile\tNN\tI-NP\tO' -p209998 -aS'duct\tduct\tNN\tI-NP\tO' -p209999 -aS'in\tin\tIN\tB-PP\tO' -p210000 -aS'the\tthe\tDT\tB-NP\tO' -p210001 -asS'The patient had been advised to limit his physical exercise ; no heavy exertion .' -p210002 -(lp210003 -S'The\tThe\tDT\tB-NP\tO' -p210004 -aS'patient\tpatient\tNN\tI-NP\tO' -p210005 -aS'had\thave\tVBD\tB-VP\tO' -p210006 -aS'been\tbe\tVBN\tI-VP\tO' -p210007 -aS'advised\tadvise\tVBN\tI-VP\tO' -p210008 -aS'to\tto\tTO\tI-VP\tO' -p210009 -aS'limit\tlimit\tVB\tI-VP\tO' -p210010 -aS'his\this\tPRP$\tB-NP\tO' -p210011 -aS'physical\tphysical\tJJ\tI-NP\tO' -p210012 -aS'exercise\texercise\tNN\tI-NP\tO' -p210013 -aS';\t;\t:\tO\tO' -p210014 -aS'no\tno\tDT\tB-NP\tO' -p210015 -aS'heavy\theavy\tJJ\tI-NP\tO' -p210016 -aS'exertion\texertion\tNN\tI-NP\tO' -p210017 -aS'.\t.\t.\tO\tO' -p210018 -asS'Please call the office at ( 854 ) 787-3243 for an appointment .' -p210019 -(lp210020 -S'Please\tPlease\tVB\tB-VP\tO' -p210021 -aS'call\tcall\tVB\tI-VP\tO' -p210022 -aS'the\tthe\tDT\tB-NP\tO' -p210023 -aS'office\toffice\tNN\tI-NP\tO' -p210024 -aS'at\tat\tIN\tB-PP\tO' -p210025 -aS'(\t(\t(\tO\tO' -p210026 -aS'854\t854\tCD\tB-NP\tO' -p210027 -aS')\t)\t)\tO\tO' -p210028 -aS'787-3243\t787-3243\tCD\tB-NP\tO' -p210029 -aS'for\tfor\tIN\tB-PP\tO' -p210030 -aS'an\tan\tDT\tB-NP\tO' -p210031 -aS'appointment\tappointment\tNN\tI-NP\tO' -p210032 -aS'.\t.\t.\tO\tO' -p210033 -asS'No smoking for last 5 years .' -p210034 -(lp210035 -S'No\tNo\tDT\tB-NP\tO' -p210036 -aS'smoking\tsmoking\tNN\tI-NP\tO' -p210037 -aS'for\tfor\tIN\tB-PP\tO' -p210038 -aS'last\tlast\tJJ\tB-NP\tO' -p210039 -aS'5\t5\tCD\tI-NP\tO' -p210040 -aS'years\tyear\tNNS\tI-NP\tO' -p210041 -aS'.\t.\t.\tO\tO' -p210042 -asS'Mr. Finger was admitted for what appeared to be a stroke syndrome involving his left middle cerebral artery territory .' -p210043 -(lp210044 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p210045 -aS'Finger\tFinger\tNNP\tI-NP\tO' -p210046 -aS'was\tbe\tVBD\tB-VP\tO' -p210047 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p210048 -aS'for\tfor\tIN\tB-PP\tO' -p210049 -aS'what\twhat\tWP\tB-NP\tO' -p210050 -aS'appeared\tappear\tVBD\tB-VP\tO' -p210051 -aS'to\tto\tTO\tI-VP\tO' -p210052 -aS'be\tbe\tVB\tI-VP\tO' -p210053 -aS'a\ta\tDT\tB-NP\tO' -p210054 -aS'stroke\tstroke\tNN\tI-NP\tO' -p210055 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p210056 -aS'involving\tinvolve\tVBG\tB-VP\tO' -p210057 -aS'his\this\tPRP$\tB-NP\tO' -p210058 -aS'left\tleft\tJJ\tI-NP\tO' -p210059 -aS'middle\tmiddle\tJJ\tI-NP\tO' -p210060 -aS'cerebral\tcerebral\tJJ\tI-NP\tO' -p210061 -aS'artery\tartery\tNN\tI-NP\tO' -p210062 -aS'territory\tterritory\tNN\tI-NP\tO' -p210063 -aS'.\t.\t.\tO\tO' -p210064 -asS'She denied any changes in bowel habits .' -p210065 -(lp210066 -S'She\tShe\tPRP\tB-NP\tO' -p210067 -aS'denied\tdeny\tVBD\tB-VP\tO' -p210068 -aS'any\tany\tDT\tB-NP\tO' -p210069 -aS'changes\tchange\tNNS\tI-NP\tO' -p210070 -aS'in\tin\tIN\tB-PP\tO' -p210071 -aS'bowel\tbowel\tNN\tB-NP\tO' -p210072 -aS'habits\thabit\tNNS\tI-NP\tO' -p210073 -aS'.\t.\t.\tO\tO' -p210074 -asS'Upon presentation it was unclear when last time was that patient took meds , but hypertension likely d/t inability to take meds in setting of N/V .' -p210075 -(lp210076 -S'Upon\tUpon\tIN\tB-PP\tO' -p210077 -aS'presentation\tpresentation\tNN\tB-NP\tO' -p210078 -aS'it\tit\tPRP\tB-NP\tO' -p210079 -aS'was\tbe\tVBD\tB-VP\tO' -p210080 -aS'unclear\tunclear\tJJ\tB-ADJP\tO' -p210081 -aS'when\twhen\tWRB\tB-ADVP\tO' -p210082 -aS'last\tlast\tJJ\tB-NP\tO' -p210083 -aS'time\ttime\tNN\tI-NP\tO' -p210084 -aS'was\tbe\tVBD\tB-VP\tO' -p210085 -aS'that\tthat\tDT\tB-NP\tO' -p210086 -aS'patient\tpatient\tNN\tI-NP\tO' -p210087 -aS'took\ttake\tVBD\tB-VP\tO' -p210088 -aS'meds\tmed\tNNS\tB-NP\tO' -p210089 -aS',\t,\t,\tO\tO' -p210090 -aS'but\tbut\tCC\tO\tO' -p210091 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p210092 -aS'likely\tlikely\tRB\tB-ADVP\tO' -p210093 -aS'd/t\td/t\tVBD\tB-VP\tO' -p210094 -aS'inability\tinability\tNN\tB-NP\tO' -p210095 -aS'to\tto\tTO\tB-VP\tO' -p210096 -aS'take\ttake\tVB\tI-VP\tO' -p210097 -aS'meds\tmed\tNNS\tB-NP\tO' -p210098 -aS'in\tin\tIN\tB-PP\tO' -p210099 -aS'setting\tset\tVBG\tB-VP\tO' -p210100 -aS'of\tof\tIN\tB-PP\tO' -p210101 -aS'N/V\tN/V\tNN\tB-NP\tO' -p210102 -aS'.\t.\t.\tO\tO' -p210103 -asS'The patient 's low serum albumin is also contributing to her extensive edema .' -p210104 -(lp210105 -S'The\tThe\tDT\tB-NP\tO' -p210106 -aS'patient\tpatient\tNN\tI-NP\tO' -p210107 -aS''s\t'\tNNS\tI-NP\tO' -p210108 -aS'low\tlow\tJJ\tI-NP\tO' -p210109 -aS'serum\tserum\tNN\tI-NP\tB-protein' -p210110 -aS'albumin\talbumin\tNN\tI-NP\tI-protein' -p210111 -aS'is\tbe\tVBZ\tB-VP\tO' -p210112 -aS'also\talso\tRB\tI-VP\tO' -p210113 -aS'contributing\tcontribute\tVBG\tI-VP\tO' -p210114 -aS'to\tto\tTO\tB-PP\tO' -p210115 -aS'her\ther\tPRP$\tB-NP\tO' -p210116 -aS'extensive\textensive\tJJ\tI-NP\tO' -p210117 -aS'edema\tedema\tNN\tI-NP\tO' -p210118 -aS'.\t.\t.\tO\tO' -p210119 -asS'No lymphadenopathy .' -p210120 -(lp210121 -S'No\tNo\tDT\tB-NP\tO' -p210122 -aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' -p210123 -aS'.\t.\t.\tO\tO' -p210124 -asS'Right-sided ptosis , right eye not reactive to light , cataract present , patient blind in that eye , left eye reactive to light , cataract also present in that eye .' -p210125 -(lp210126 -S'Right-sided\tRight-sided\tJJ\tB-NP\tO' -p210127 -aS'ptosis\tptosis\tNN\tI-NP\tO' -p210128 -aS',\t,\t,\tO\tO' -p210129 -aS'right\tright\tJJ\tB-NP\tO' -p210130 -aS'eye\teye\tNN\tI-NP\tO' -p210131 -aS'not\tnot\tRB\tB-ADJP\tO' -p210132 -aS'reactive\treactive\tJJ\tI-ADJP\tO' -p210133 -aS'to\tto\tTO\tB-PP\tO' -p210134 -aS'light\tlight\tNN\tB-NP\tO' -p210135 -aS',\t,\t,\tO\tO' -p210136 -aS'cataract\tcataract\tNN\tB-NP\tO' -p210137 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p210138 -aS',\t,\t,\tO\tO' -p210139 -aS'patient\tpatient\tNN\tB-NP\tO' -p210140 -aS'blind\tblind\tNN\tI-NP\tO' -p210141 -aS'in\tin\tIN\tB-PP\tO' -p210142 -aS'that\tthat\tDT\tB-NP\tO' -p210143 -aS'eye\teye\tNN\tI-NP\tO' -p210144 -aS',\t,\t,\tO\tO' -p210145 -aS'left\tleave\tVBD\tB-VP\tO' -p210146 -aS'eye\teye\tNN\tB-NP\tO' -p210147 -aS'reactive\treactive\tJJ\tB-ADJP\tO' -p210148 -aS'to\tto\tTO\tB-PP\tO' -p210149 -aS'light\tlight\tJJ\tB-ADJP\tO' -p210150 -aS',\t,\t,\tO\tO' -p210151 -aS'cataract\tcataract\tVB\tB-VP\tO' -p210152 -aS'also\talso\tRB\tB-ADVP\tO' -p210153 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p210154 -aS'in\tin\tIN\tB-PP\tO' -p210155 -aS'that\tthat\tDT\tB-NP\tO' -p210156 -aS'eye\teye\tNN\tI-NP\tO' -p210157 -aS'.\t.\t.\tO\tO' -p210158 -asS'Quit tobacco in 2016-09-30 .' -p210159 -(lp210160 -S'Quit\tQuit\tNN\tB-NP\tO' -p210161 -aS'tobacco\ttobacco\tNN\tI-NP\tO' -p210162 -aS'in\tin\tIN\tB-PP\tO' -p210163 -aS'2016-09-30\t2016-09-30\tCD\tB-NP\tO' -p210164 -aS'.\t.\t.\tO\tO' -p210165 -asS'In general he was an intubated elderly frail appearing white male with blood about his face .' -p210166 -(lp210167 -S'In\tIn\tIN\tB-PP\tO' -p210168 -aS'general\tgeneral\tJJ\tB-ADJP\tO' -p210169 -aS'he\the\tPRP\tB-NP\tO' -p210170 -aS'was\tbe\tVBD\tB-VP\tO' -p210171 -aS'an\tan\tDT\tB-NP\tO' -p210172 -aS'intubated\tintubated\tJJ\tI-NP\tO' -p210173 -aS'elderly\telderly\tJJ\tI-NP\tO' -p210174 -aS'frail\tfrail\tNN\tI-NP\tO' -p210175 -aS'appearing\tappear\tVBG\tB-VP\tO' -p210176 -aS'white\twhite\tJJ\tB-NP\tO' -p210177 -aS'male\tmale\tNN\tI-NP\tO' -p210178 -aS'with\twith\tIN\tB-PP\tO' -p210179 -aS'blood\tblood\tNN\tB-NP\tO' -p210180 -aS'about\tabout\tIN\tB-PP\tO' -p210181 -aS'his\this\tPRP$\tB-NP\tO' -p210182 -aS'face\tface\tNN\tI-NP\tO' -p210183 -aS'.\t.\t.\tO\tO' -p210184 -asS'No wheezes or rhonci appreciated .' -p210185 -(lp210186 -S'No\tNo\tDT\tB-NP\tO' -p210187 -aS'wheezes\twheeze\tNNS\tI-NP\tO' -p210188 -aS'or\tor\tCC\tI-NP\tO' -p210189 -aS'rhonci\trhonci\tNNS\tI-NP\tO' -p210190 -aS'appreciated\tappreciate\tVBN\tB-VP\tO' -p210191 -aS'.\t.\t.\tO\tO' -p210192 -asS'7. Status post tonsil and adenoid surgery .' -p210193 -(lp210194 -S'7.\t7.\tLS\tB-NP\tO' -p210195 -aS'Status\tStatus\tNNP\tI-NP\tO' -p210196 -aS'post\tpost\tNN\tI-NP\tO' -p210197 -aS'tonsil\ttonsil\tNN\tI-NP\tO' -p210198 -aS'and\tand\tCC\tO\tO' -p210199 -aS'adenoid\tadenoid\tJJ\tB-NP\tO' -p210200 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p210201 -aS'.\t.\t.\tO\tO' -p210202 -asS'His Coumadin was held at the time given the bleeding , even though it was important to keep his INR 2.5-3.5 , given his artificial valve it was felt that the risk of continued bleeding was to great to continue the Coumadin .' -p210203 -(lp210204 -S'His\tHis\tPRP$\tB-NP\tO' -p210205 -aS'Coumadin\tCoumadin\tNN\tI-NP\tO' -p210206 -aS'was\tbe\tVBD\tB-VP\tO' -p210207 -aS'held\thold\tVBN\tI-VP\tO' -p210208 -aS'at\tat\tIN\tB-PP\tO' -p210209 -aS'the\tthe\tDT\tB-NP\tO' -p210210 -aS'time\ttime\tNN\tI-NP\tO' -p210211 -aS'given\tgive\tVBN\tB-VP\tO' -p210212 -aS'the\tthe\tDT\tB-NP\tO' -p210213 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p210214 -aS',\t,\t,\tO\tO' -p210215 -aS'even\teven\tRB\tB-SBAR\tO' -p210216 -aS'though\tthough\tIN\tI-SBAR\tO' -p210217 -aS'it\tit\tPRP\tB-NP\tO' -p210218 -aS'was\tbe\tVBD\tB-VP\tO' -p210219 -aS'important\timportant\tJJ\tB-ADJP\tO' -p210220 -aS'to\tto\tTO\tB-VP\tO' -p210221 -aS'keep\tkeep\tVB\tI-VP\tO' -p210222 -aS'his\this\tPRP$\tB-NP\tO' -p210223 -aS'INR\tINR\tNN\tI-NP\tO' -p210224 -aS'2.5-3.5\t2.5-3.5\tCD\tI-NP\tO' -p210225 -aS',\t,\t,\tO\tO' -p210226 -aS'given\tgive\tVBN\tB-VP\tO' -p210227 -aS'his\this\tPRP$\tB-NP\tO' -p210228 -aS'artificial\tartificial\tJJ\tI-NP\tO' -p210229 -aS'valve\tvalve\tNN\tI-NP\tO' -p210230 -aS'it\tit\tPRP\tB-NP\tO' -p210231 -aS'was\tbe\tVBD\tB-VP\tO' -p210232 -aS'felt\tfeel\tVBN\tI-VP\tO' -p210233 -aS'that\tthat\tIN\tB-SBAR\tO' -p210234 -aS'the\tthe\tDT\tB-NP\tO' -p210235 -aS'risk\trisk\tNN\tI-NP\tO' -p210236 -aS'of\tof\tIN\tB-PP\tO' -p210237 -aS'continued\tcontinued\tJJ\tB-NP\tO' -p210238 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p210239 -aS'was\tbe\tVBD\tB-VP\tO' -p210240 -aS'to\tto\tTO\tB-VP\tO' -p210241 -aS'great\tgreat\tVB\tI-VP\tO' -p210242 -aS'to\tto\tTO\tI-VP\tO' -p210243 -aS'continue\tcontinue\tVB\tI-VP\tO' -p210244 -aS'the\tthe\tDT\tB-NP\tO' -p210245 -aS'Coumadin\tCoumadin\tNN\tI-NP\tO' -p210246 -aS'.\t.\t.\tO\tO' -p210247 -asS'Please see the operative report for full details .' -p210248 -(lp210249 -S'Please\tPlease\tVB\tB-VP\tO' -p210250 -aS'see\tsee\tVB\tI-VP\tO' -p210251 -aS'the\tthe\tDT\tB-NP\tO' -p210252 -aS'operative\toperative\tJJ\tI-NP\tO' -p210253 -aS'report\treport\tNN\tI-NP\tO' -p210254 -aS'for\tfor\tIN\tB-PP\tO' -p210255 -aS'full\tfull\tJJ\tB-NP\tO' -p210256 -aS'details\tdetail\tNNS\tI-NP\tO' -p210257 -aS'.\t.\t.\tO\tO' -p210258 -asS'6. Neoral 100 mg twice a day .' -p210259 -(lp210260 -S'6.\t6.\tCD\tB-NP\tO' -p210261 -aS'Neoral\tNeoral\tJJ\tI-NP\tO' -p210262 -aS'100\t100\tCD\tI-NP\tO' -p210263 -aS'mg\tmg\tNN\tI-NP\tO' -p210264 -aS'twice\ttwice\tRB\tB-NP\tO' -p210265 -aS'a\ta\tDT\tI-NP\tO' -p210266 -aS'day\tday\tNN\tI-NP\tO' -p210267 -aS'.\t.\t.\tO\tO' -p210268 -asS'She is anicteric without rash or HEENT .' -p210269 -(lp210270 -S'She\tShe\tPRP\tB-NP\tO' -p210271 -aS'is\tbe\tVBZ\tB-VP\tO' -p210272 -aS'anicteric\tanicteric\tJJ\tB-ADJP\tO' -p210273 -aS'without\twithout\tIN\tB-PP\tO' -p210274 -aS'rash\trash\tNN\tB-NP\tO' -p210275 -aS'or\tor\tCC\tI-NP\tO' -p210276 -aS'HEENT\tHEENT\tNN\tI-NP\tB-protein' -p210277 -aS'.\t.\t.\tO\tO' -p210278 -asS'Levofloxacin 500 mg p.o. q. day .' -p210279 -(lp210280 -S'Levofloxacin\tLevofloxacin\tNN\tB-NP\tO' -p210281 -aS'500\t500\tCD\tI-NP\tO' -p210282 -aS'mg\tmg\tNN\tI-NP\tO' -p210283 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p210284 -aS'q.\tq.\tNN\tI-NP\tO' -p210285 -aS'day\tday\tNN\tI-NP\tO' -p210286 -aS'.\t.\t.\tO\tO' -p210287 -asS'He is on Coumadin which is to be continued for six weeks .' -p210288 -(lp210289 -S'He\tHe\tPRP\tB-NP\tO' -p210290 -aS'is\tbe\tVBZ\tB-VP\tO' -p210291 -aS'on\ton\tIN\tB-PP\tO' -p210292 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p210293 -aS'which\twhich\tWDT\tB-NP\tO' -p210294 -aS'is\tbe\tVBZ\tB-VP\tO' -p210295 -aS'to\tto\tTO\tI-VP\tO' -p210296 -aS'be\tbe\tVB\tI-VP\tO' -p210297 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p210298 -aS'for\tfor\tIN\tB-PP\tO' -p210299 -aS'six\tsix\tCD\tB-NP\tO' -p210300 -aS'weeks\tweek\tNNS\tI-NP\tO' -p210301 -aS'.\t.\t.\tO\tO' -p210302 -asS'He had no appreciable ascites .' -p210303 -(lp210304 -S'He\tHe\tPRP\tB-NP\tO' -p210305 -aS'had\thave\tVBD\tB-VP\tO' -p210306 -aS'no\tno\tDT\tB-NP\tO' -p210307 -aS'appreciable\tappreciable\tJJ\tI-NP\tO' -p210308 -aS'ascites\tascite\tNNS\tI-NP\tO' -p210309 -aS'.\t.\t.\tO\tO' -p210310 -asS'Appropriate .' -p210311 -(lp210312 -S'Appropriate\tAppropriate\tJJ\tB-ADJP\tO' -p210313 -aS'.\t.\t.\tO\tO' -p210314 -asS'Multiple past suicide attempts .' -p210315 -(lp210316 -S'Multiple\tMultiple\tJJ\tB-NP\tO' -p210317 -aS'past\tpast\tJJ\tI-NP\tO' -p210318 -aS'suicide\tsuicide\tNN\tI-NP\tO' -p210319 -aS'attempts\tattempt\tNNS\tI-NP\tO' -p210320 -aS'.\t.\t.\tO\tO' -p210321 -asS'Cranial nerves II through XII were intact .' -p210322 -(lp210323 -S'Cranial\tCranial\tNNP\tB-NP\tO' -p210324 -aS'nerves\tnerve\tVBZ\tB-VP\tO' -p210325 -aS'II\tII\tCD\tB-NP\tO' -p210326 -aS'through\tthrough\tIN\tB-PP\tO' -p210327 -aS'XII\tXII\tNN\tB-NP\tB-DNA' -p210328 -aS'were\tbe\tVBD\tB-VP\tO' -p210329 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p210330 -aS'.\t.\t.\tO\tO' -p210331 -asS'She remained very depressed at her inpatient admission and refractory to treatment .' -p210332 -(lp210333 -S'She\tShe\tPRP\tB-NP\tO' -p210334 -aS'remained\tremain\tVBD\tB-VP\tO' -p210335 -aS'very\tvery\tRB\tB-ADJP\tO' -p210336 -aS'depressed\tdepress\tVBN\tI-ADJP\tO' -p210337 -aS'at\tat\tIN\tB-PP\tO' -p210338 -aS'her\ther\tPRP$\tB-NP\tO' -p210339 -aS'inpatient\tinpatient\tNN\tI-NP\tO' -p210340 -aS'admission\tadmission\tNN\tI-NP\tO' -p210341 -aS'and\tand\tCC\tO\tO' -p210342 -aS'refractory\trefractory\tJJ\tB-ADJP\tO' -p210343 -aS'to\tto\tTO\tB-PP\tO' -p210344 -aS'treatment\ttreatment\tNN\tB-NP\tO' -p210345 -aS'.\t.\t.\tO\tO' -p210346 -asS'Mr. Roach was n.p.o. from the time of his admission .' -p210347 -(lp210348 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p210349 -aS'Roach\tRoach\tNNP\tI-NP\tO' -p210350 -aS'was\tbe\tVBD\tB-VP\tO' -p210351 -aS'n.p.o.\tn.p.o.\tRB\tB-ADVP\tO' -p210352 -aS'from\tfrom\tIN\tB-PP\tO' -p210353 -aS'the\tthe\tDT\tB-NP\tO' -p210354 -aS'time\ttime\tNN\tI-NP\tO' -p210355 -aS'of\tof\tIN\tB-PP\tO' -p210356 -aS'his\this\tPRP$\tB-NP\tO' -p210357 -aS'admission\tadmission\tNN\tI-NP\tO' -p210358 -aS'.\t.\t.\tO\tO' -p210359 -asS'On the lower extremity , could wiggle toes , flexor and plantar , 3+/5 , quadriceps 4/5 on the left .' -p210360 -(lp210361 -S'On\tOn\tIN\tB-PP\tO' -p210362 -aS'the\tthe\tDT\tB-NP\tO' -p210363 -aS'lower\tlow\tJJR\tI-NP\tO' -p210364 -aS'extremity\textremity\tNN\tI-NP\tO' -p210365 -aS',\t,\t,\tO\tO' -p210366 -aS'could\tcould\tMD\tB-VP\tO' -p210367 -aS'wiggle\twiggle\tVB\tI-VP\tO' -p210368 -aS'toes\ttoe\tNNS\tB-NP\tO' -p210369 -aS',\t,\t,\tO\tO' -p210370 -aS'flexor\tflexor\tNN\tB-NP\tO' -p210371 -aS'and\tand\tCC\tI-NP\tO' -p210372 -aS'plantar\tplantar\tNN\tI-NP\tO' -p210373 -aS',\t,\t,\tO\tO' -p210374 -aS'3+/5\t3+/5\tCD\tB-NP\tO' -p210375 -aS',\t,\t,\tO\tO' -p210376 -aS'quadriceps\tquadricep\tVBZ\tB-VP\tO' -p210377 -aS'4/5\t4/5\tCD\tB-NP\tO' -p210378 -aS'on\ton\tIN\tB-PP\tO' -p210379 -aS'the\tthe\tDT\tB-NP\tO' -p210380 -aS'left\tleft\tNN\tI-NP\tO' -p210381 -aS'.\t.\t.\tO\tO' -p210382 -asS'Chest tube showed 30 cc per hour over the last four hours .' -p210383 -(lp210384 -S'Chest\tCh\tJJS\tB-NP\tO' -p210385 -aS'tube\ttube\tNN\tI-NP\tO' -p210386 -aS'showed\tshow\tVBD\tB-VP\tO' -p210387 -aS'30\t30\tCD\tB-NP\tO' -p210388 -aS'cc\tcc\tNN\tI-NP\tO' -p210389 -aS'per\tper\tIN\tB-PP\tO' -p210390 -aS'hour\thour\tNN\tB-NP\tO' -p210391 -aS'over\tover\tIN\tB-PP\tO' -p210392 -aS'the\tthe\tDT\tB-NP\tO' -p210393 -aS'last\tlast\tJJ\tI-NP\tO' -p210394 -aS'four\tfour\tCD\tI-NP\tO' -p210395 -aS'hours\thour\tNNS\tI-NP\tO' -p210396 -aS'.\t.\t.\tO\tO' -p210397 -asS'Calcium Acetate 1340 mg tid with meals' -p210398 -(lp210399 -S'Calcium\tCalcium\tNN\tB-NP\tO' -p210400 -aS'Acetate\tAcetate\tNN\tI-NP\tO' -p210401 -aS'1340\t1340\tCD\tI-NP\tO' -p210402 -aS'mg\tmg\tNN\tI-NP\tO' -p210403 -aS'tid\ttid\tNN\tI-NP\tO' -p210404 -aS'with\twith\tIN\tB-PP\tO' -p210405 -aS'meals\tmeal\tNNS\tB-NP\tO' -p210406 -asS'She did not require further straight catheterization .' -p210407 -(lp210408 -S'She\tShe\tPRP\tB-NP\tO' -p210409 -aS'did\tdo\tVBD\tB-VP\tO' -p210410 -aS'not\tnot\tRB\tI-VP\tO' -p210411 -aS'require\trequire\tVB\tI-VP\tO' -p210412 -aS'further\tfar\tJJR\tB-NP\tO' -p210413 -aS'straight\tstraight\tJJ\tI-NP\tO' -p210414 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p210415 -aS'.\t.\t.\tO\tO' -p210416 -asS'She no longer observes that belief system .' -p210417 -(lp210418 -S'She\tShe\tPRP\tB-NP\tO' -p210419 -aS'no\tno\tRB\tB-NP\tO' -p210420 -aS'longer\tlong\tJJR\tI-NP\tO' -p210421 -aS'observes\tobserve\tNNS\tI-NP\tO' -p210422 -aS'that\tthat\tIN\tB-SBAR\tO' -p210423 -aS'belief\tbelief\tNN\tB-NP\tO' -p210424 -aS'system\tsystem\tNN\tI-NP\tO' -p210425 -aS'.\t.\t.\tO\tO' -p210426 -asS'Laboratory data revealed a sodium of 139 , potassium 3.4 , chloride 101 , bicarbonate 28 , BUN 11 , creatinine 1.2 , glucose 151 .' -p210427 -(lp210428 -S'Laboratory\tLaboratory\tNN\tB-NP\tO' -p210429 -aS'data\tdatum\tNNS\tI-NP\tO' -p210430 -aS'revealed\treveal\tVBD\tB-VP\tO' -p210431 -aS'a\ta\tDT\tB-NP\tO' -p210432 -aS'sodium\tsodium\tNN\tI-NP\tO' -p210433 -aS'of\tof\tIN\tB-PP\tO' -p210434 -aS'139\t139\tCD\tB-NP\tO' -p210435 -aS',\t,\t,\tO\tO' -p210436 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p210437 -aS'3.4\t3.4\tCD\tI-NP\tO' -p210438 -aS',\t,\t,\tO\tO' -p210439 -aS'chloride\tchloride\tNN\tB-NP\tO' -p210440 -aS'101\t101\tCD\tI-NP\tO' -p210441 -aS',\t,\t,\tO\tO' -p210442 -aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' -p210443 -aS'28\t28\tCD\tI-NP\tO' -p210444 -aS',\t,\t,\tO\tO' -p210445 -aS'BUN\tBUN\tNN\tB-NP\tB-DNA' -p210446 -aS'11\t11\tCD\tI-NP\tI-DNA' -p210447 -aS',\t,\t,\tO\tO' -p210448 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p210449 -aS'1.2\t1.2\tCD\tI-NP\tO' -p210450 -aS',\t,\t,\tO\tO' -p210451 -aS'glucose\tglucose\tNN\tB-NP\tO' -p210452 -aS'151\t151\tCD\tI-NP\tO' -p210453 -aS'.\t.\t.\tO\tO' -p210454 -asS'As described above the patient was transfused an additional 2 units in the Intensive Care Unit and the patient also received an upper endoscopy study and her varices were banded .' -p210455 -(lp210456 -S'As\tAs\tIN\tB-SBAR\tO' -p210457 -aS'described\tdescribe\tVBN\tB-VP\tO' -p210458 -aS'above\tabove\tIN\tB-PP\tO' -p210459 -aS'the\tthe\tDT\tB-NP\tO' -p210460 -aS'patient\tpatient\tNN\tI-NP\tO' -p210461 -aS'was\tbe\tVBD\tB-VP\tO' -p210462 -aS'transfused\ttransfuse\tVBN\tI-VP\tO' -p210463 -aS'an\tan\tDT\tB-NP\tO' -p210464 -aS'additional\tadditional\tJJ\tI-NP\tO' -p210465 -aS'2\t2\tCD\tI-NP\tO' -p210466 -aS'units\tunit\tNNS\tI-NP\tO' -p210467 -aS'in\tin\tIN\tB-PP\tO' -p210468 -aS'the\tthe\tDT\tB-NP\tO' -p210469 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p210470 -aS'Care\tCare\tNNP\tI-NP\tO' -p210471 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p210472 -aS'and\tand\tCC\tO\tO' -p210473 -aS'the\tthe\tDT\tB-NP\tO' -p210474 -aS'patient\tpatient\tNN\tI-NP\tO' -p210475 -aS'also\talso\tRB\tB-ADVP\tO' -p210476 -aS'received\treceive\tVBD\tB-VP\tO' -p210477 -aS'an\tan\tDT\tB-NP\tO' -p210478 -aS'upper\tupper\tJJ\tI-NP\tO' -p210479 -aS'endoscopy\tendoscopy\tNN\tI-NP\tO' -p210480 -aS'study\tstudy\tNN\tI-NP\tO' -p210481 -aS'and\tand\tCC\tO\tO' -p210482 -aS'her\ther\tPRP$\tB-NP\tO' -p210483 -aS'varices\tvarix\tNNS\tI-NP\tO' -p210484 -aS'were\tbe\tVBD\tB-VP\tO' -p210485 -aS'banded\tband\tVBN\tI-VP\tO' -p210486 -aS'.\t.\t.\tO\tO' -p210487 -asS'A neurosurgery consult was obtained .' -p210488 -(lp210489 -S'A\tA\tDT\tB-NP\tO' -p210490 -aS'neurosurgery\tneurosurgery\tNN\tI-NP\tO' -p210491 -aS'consult\tconsult\tNN\tI-NP\tO' -p210492 -aS'was\tbe\tVBD\tB-VP\tO' -p210493 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p210494 -aS'.\t.\t.\tO\tO' -p210495 -asS'4. State newborn screening - Last on 2009-01-07 , all within normal range .' -p210496 -(lp210497 -S'4.\t4.\tLS\tB-NP\tO' -p210498 -aS'State\tState\tNN\tI-NP\tO' -p210499 -aS'newborn\tnewborn\tJJ\tI-NP\tO' -p210500 -aS'screening\tscreening\tNN\tI-NP\tO' -p210501 -aS'-\t-\tHYPH\tB-VP\tO' -p210502 -aS'Last\tLast\tJJ\tB-ADJP\tO' -p210503 -aS'on\ton\tIN\tB-PP\tO' -p210504 -aS'2009-01-07\t2009-01-07\tCD\tB-NP\tO' -p210505 -aS',\t,\t,\tO\tO' -p210506 -aS'all\tall\tDT\tB-NP\tO' -p210507 -aS'within\twithin\tIN\tB-PP\tO' -p210508 -aS'normal\tnormal\tJJ\tB-NP\tO' -p210509 -aS'range\trange\tNN\tI-NP\tO' -p210510 -aS'.\t.\t.\tO\tO' -p210511 -asS'In addition , he was transfused .' -p210512 -(lp210513 -S'In\tIn\tIN\tB-PP\tO' -p210514 -aS'addition\taddition\tNN\tB-NP\tO' -p210515 -aS',\t,\t,\tO\tO' -p210516 -aS'he\the\tPRP\tB-NP\tO' -p210517 -aS'was\tbe\tVBD\tB-VP\tO' -p210518 -aS'transfused\ttransfuse\tVBN\tI-VP\tO' -p210519 -aS'.\t.\t.\tO\tO' -p210520 -asS'The mean heart rate was 68 .' -p210521 -(lp210522 -S'The\tThe\tDT\tB-NP\tO' -p210523 -aS'mean\tmean\tJJ\tI-NP\tO' -p210524 -aS'heart\theart\tNN\tI-NP\tO' -p210525 -aS'rate\trate\tNN\tI-NP\tO' -p210526 -aS'was\tbe\tVBD\tB-VP\tO' -p210527 -aS'68\t68\tCD\tB-NP\tO' -p210528 -aS'.\t.\t.\tO\tO' -p210529 -asS'He had a history of COPD for which he is on baseline 2 liters of 02 by nasal cannula at home and Albuterol and Atrovent MDI s p.r.n. at home .' -p210530 -(lp210531 -S'He\tHe\tPRP\tB-NP\tO' -p210532 -aS'had\thave\tVBD\tB-VP\tO' -p210533 -aS'a\ta\tDT\tB-NP\tO' -p210534 -aS'history\thistory\tNN\tI-NP\tO' -p210535 -aS'of\tof\tIN\tB-PP\tO' -p210536 -aS'COPD\tCOPD\tNN\tB-NP\tO' -p210537 -aS'for\tfor\tIN\tB-PP\tO' -p210538 -aS'which\twhich\tWDT\tB-NP\tO' -p210539 -aS'he\the\tPRP\tB-NP\tO' -p210540 -aS'is\tbe\tVBZ\tB-VP\tO' -p210541 -aS'on\ton\tIN\tB-PP\tO' -p210542 -aS'baseline\tbaseline\tNN\tB-NP\tO' -p210543 -aS'2\t2\tCD\tB-NP\tO' -p210544 -aS'liters\tliter\tNNS\tI-NP\tO' -p210545 -aS'of\tof\tIN\tB-PP\tO' -p210546 -aS'02\t02\tCD\tB-NP\tO' -p210547 -aS'by\tby\tIN\tB-PP\tO' -p210548 -aS'nasal\tnasal\tJJ\tB-NP\tO' -p210549 -aS'cannula\tcannula\tNN\tI-NP\tO' -p210550 -aS'at\tat\tIN\tB-PP\tO' -p210551 -aS'home\thome\tNN\tB-NP\tO' -p210552 -aS'and\tand\tCC\tI-NP\tO' -p210553 -aS'Albuterol\tAlbuterol\tNN\tI-NP\tO' -p210554 -aS'and\tand\tCC\tI-NP\tO' -p210555 -aS'Atrovent\tAtrovent\tNN\tI-NP\tO' -p210556 -aS'MDI\tMDI\tNN\tI-NP\tO' -p210557 -aS's\ts\tVBZ\tB-VP\tO' -p210558 -aS'p.r.n.\tp.r.n.\tNN\tB-NP\tO' -p210559 -aS'at\tat\tIN\tB-PP\tO' -p210560 -aS'home\thome\tNN\tB-NP\tO' -p210561 -aS'.\t.\t.\tO\tO' -p210562 -asS'She has absolutely no neurologic disease in past .' -p210563 -(lp210564 -S'She\tShe\tPRP\tB-NP\tO' -p210565 -aS'has\thave\tVBZ\tB-VP\tO' -p210566 -aS'absolutely\tabsolutely\tRB\tB-NP\tO' -p210567 -aS'no\tno\tDT\tI-NP\tO' -p210568 -aS'neurologic\tneurologic\tJJ\tI-NP\tO' -p210569 -aS'disease\tdisease\tNN\tI-NP\tO' -p210570 -aS'in\tin\tIN\tB-PP\tO' -p210571 -aS'past\tpast\tNN\tB-NP\tO' -p210572 -aS'.\t.\t.\tO\tO' -p210573 -asS'No clubbing or cyanosis .' -p210574 -(lp210575 -S'No\tNo\tDT\tB-NP\tO' -p210576 -aS'clubbing\tclubbing\tNN\tI-NP\tO' -p210577 -aS'or\tor\tCC\tI-NP\tO' -p210578 -aS'cyanosis\tcyanosis\tNN\tI-NP\tO' -p210579 -aS'.\t.\t.\tO\tO' -p210580 -asS'______________ capsule 1 po. tid .' -p210581 -(lp210582 -S'______________\t______________\tNN\tB-NP\tO' -p210583 -aS'capsule\tcapsule\tNN\tI-NP\tO' -p210584 -aS'1\t1\tCD\tI-NP\tO' -p210585 -aS'po.\tpo.\tNN\tI-NP\tO' -p210586 -aS'tid\ttid\tNN\tI-NP\tO' -p210587 -aS'.\t.\t.\tO\tO' -p210588 -asS'# Corynebacterium bacteremia : presumably Corynebacterium in epidural abscess as well .' -p210589 -(lp210590 -S'#\t#\t#\tB-NP\tO' -p210591 -aS'Corynebacterium\tCorynebacterium\tNNP\tI-NP\tO' -p210592 -aS'bacteremia\tbacteremia\tNN\tI-NP\tO' -p210593 -aS':\t:\t:\tO\tO' -p210594 -aS'presumably\tpresumably\tRB\tB-NP\tO' -p210595 -aS'Corynebacterium\tCorynebacterium\tNN\tI-NP\tO' -p210596 -aS'in\tin\tIN\tB-PP\tO' -p210597 -aS'epidural\tepidural\tJJ\tB-NP\tO' -p210598 -aS'abscess\tabscess\tNN\tI-NP\tO' -p210599 -aS'as\tas\tRB\tB-ADVP\tO' -p210600 -aS'well\twell\tRB\tI-ADVP\tO' -p210601 -aS'.\t.\t.\tO\tO' -p210602 -asS'Signed electronically by : DR. Dorothy Desalvo on : WED 2017-04-26 7:22 AM' -p210603 -(lp210604 -S'Signed\tSign\tVBN\tB-VP\tO' -p210605 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p210606 -aS'by\tby\tIN\tB-PP\tO' -p210607 -aS':\t:\t:\tO\tO' -p210608 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p210609 -aS'Dorothy\tDorothy\tNNP\tI-NP\tO' -p210610 -aS'Desalvo\tDesalvo\tNNP\tI-NP\tO' -p210611 -aS'on\ton\tIN\tB-PP\tO' -p210612 -aS':\t:\t:\tO\tO' -p210613 -aS'WED\tWED\tVBD\tB-VP\tO' -p210614 -aS'2017-04-26\t2017-04-26\tCD\tB-NP\tO' -p210615 -aS'7:22\t7:22\tCD\tI-NP\tO' -p210616 -aS'AM\tAM\tNN\tI-NP\tO' -p210617 -asS'The patient was admitted to the Neurologic Service for workup of his tumor .' -p210618 -(lp210619 -S'The\tThe\tDT\tB-NP\tO' -p210620 -aS'patient\tpatient\tNN\tI-NP\tO' -p210621 -aS'was\tbe\tVBD\tB-VP\tO' -p210622 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p210623 -aS'to\tto\tTO\tB-PP\tO' -p210624 -aS'the\tthe\tDT\tB-NP\tO' -p210625 -aS'Neurologic\tNeurologic\tNNP\tI-NP\tO' -p210626 -aS'Service\tService\tNNP\tI-NP\tO' -p210627 -aS'for\tfor\tIN\tB-PP\tO' -p210628 -aS'workup\tworkup\tNN\tB-NP\tO' -p210629 -aS'of\tof\tIN\tB-PP\tO' -p210630 -aS'his\this\tPRP$\tB-NP\tO' -p210631 -aS'tumor\ttumor\tNN\tI-NP\tO' -p210632 -aS'.\t.\t.\tO\tO' -p210633 -asS'The extra ocular movements were full with mild terminal nystagmus , 2-3 beats , in the right lateral gaze .' -p210634 -(lp210635 -S'The\tThe\tDT\tB-NP\tO' -p210636 -aS'extra\textra\tJJ\tI-NP\tO' -p210637 -aS'ocular\tocular\tJJ\tI-NP\tO' -p210638 -aS'movements\tmovement\tNNS\tI-NP\tO' -p210639 -aS'were\tbe\tVBD\tB-VP\tO' -p210640 -aS'full\tfull\tJJ\tB-ADJP\tO' -p210641 -aS'with\twith\tIN\tB-PP\tO' -p210642 -aS'mild\tmild\tJJ\tB-NP\tO' -p210643 -aS'terminal\tterminal\tJJ\tI-NP\tO' -p210644 -aS'nystagmus\tnystagmus\tNN\tI-NP\tO' -p210645 -aS',\t,\t,\tO\tO' -p210646 -aS'2-3\t2-3\tCD\tB-NP\tO' -p210647 -aS'beats\tbeat\tNNS\tI-NP\tO' -p210648 -aS',\t,\t,\tO\tO' -p210649 -aS'in\tin\tIN\tB-PP\tO' -p210650 -aS'the\tthe\tDT\tB-NP\tO' -p210651 -aS'right\tright\tJJ\tI-NP\tO' -p210652 -aS'lateral\tlateral\tJJ\tI-NP\tO' -p210653 -aS'gaze\tgaze\tNN\tI-NP\tO' -p210654 -aS'.\t.\t.\tO\tO' -p210655 -asS'Her beta blocker was progressively increased , and her nitroglycerin drip was weaned down .' -p210656 -(lp210657 -S'Her\tHer\tPRP$\tB-NP\tO' -p210658 -aS'beta\tbeta\tNN\tI-NP\tO' -p210659 -aS'blocker\tblocker\tNN\tI-NP\tO' -p210660 -aS'was\tbe\tVBD\tB-VP\tO' -p210661 -aS'progressively\tprogressively\tRB\tI-VP\tO' -p210662 -aS'increased\tincrease\tVBN\tI-VP\tO' -p210663 -aS',\t,\t,\tO\tO' -p210664 -aS'and\tand\tCC\tO\tO' -p210665 -aS'her\ther\tPRP$\tB-NP\tO' -p210666 -aS'nitroglycerin\tnitroglycerin\tNN\tI-NP\tO' -p210667 -aS'drip\tdrip\tNN\tI-NP\tO' -p210668 -aS'was\tbe\tVBD\tB-VP\tO' -p210669 -aS'weaned\twean\tVBN\tI-VP\tO' -p210670 -aS'down\tdown\tRB\tB-ADVP\tO' -p210671 -aS'.\t.\t.\tO\tO' -p210672 -asS'It is aggravated by activity and improved by sitting or lying down .' -p210673 -(lp210674 -S'It\tIt\tPRP\tB-NP\tO' -p210675 -aS'is\tbe\tVBZ\tB-VP\tO' -p210676 -aS'aggravated\taggravate\tVBN\tI-VP\tO' -p210677 -aS'by\tby\tIN\tB-PP\tO' -p210678 -aS'activity\tactivity\tNN\tB-NP\tO' -p210679 -aS'and\tand\tCC\tO\tO' -p210680 -aS'improved\timprove\tVBN\tB-VP\tO' -p210681 -aS'by\tby\tIN\tB-PP\tO' -p210682 -aS'sitting\tsit\tVBG\tB-VP\tO' -p210683 -aS'or\tor\tCC\tI-VP\tO' -p210684 -aS'lying\tlie\tVBG\tI-VP\tO' -p210685 -aS'down\tdown\tRP\tB-PRT\tO' -p210686 -aS'.\t.\t.\tO\tO' -p210687 -asS'Attending : Steve M. Estes , M.D.' -p210688 -(lp210689 -S'Attending\tAttend\tVBG\tB-VP\tO' -p210690 -aS':\t:\t:\tO\tO' -p210691 -aS'Steve\tSteve\tNNP\tB-NP\tO' -p210692 -aS'M.\tM.\tNNP\tI-NP\tO' -p210693 -aS'Estes\tEstes\tNNP\tI-NP\tO' -p210694 -aS',\t,\t,\tO\tO' -p210695 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p210696 -asS'He remained fluid overloaded and a swan catheter was placed .' -p210697 -(lp210698 -S'He\tHe\tPRP\tB-NP\tO' -p210699 -aS'remained\tremain\tVBD\tB-VP\tO' -p210700 -aS'fluid\tfluid\tNN\tB-NP\tO' -p210701 -aS'overloaded\toverload\tVBN\tB-VP\tO' -p210702 -aS'and\tand\tCC\tO\tO' -p210703 -aS'a\ta\tDT\tB-NP\tO' -p210704 -aS'swan\tswan\tNN\tI-NP\tO' -p210705 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p210706 -aS'was\tbe\tVBD\tB-VP\tO' -p210707 -aS'placed\tplace\tVBN\tI-VP\tO' -p210708 -aS'.\t.\t.\tO\tO' -p210709 -asS'Triplet number one is still in the Neonatal Intensive Care Unit and triplet number three is home with family and there is also a 2 year-old sibling .' -p210710 -(lp210711 -S'Triplet\tTriplet\tNN\tB-NP\tO' -p210712 -aS'number\tnumber\tNN\tI-NP\tO' -p210713 -aS'one\tone\tCD\tI-NP\tO' -p210714 -aS'is\tbe\tVBZ\tB-VP\tO' -p210715 -aS'still\tstill\tRB\tB-ADVP\tO' -p210716 -aS'in\tin\tIN\tB-PP\tO' -p210717 -aS'the\tthe\tDT\tB-NP\tO' -p210718 -aS'Neonatal\tNeonatal\tNNP\tI-NP\tO' -p210719 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p210720 -aS'Care\tCare\tNNP\tI-NP\tO' -p210721 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p210722 -aS'and\tand\tCC\tO\tO' -p210723 -aS'triplet\ttriplet\tVB\tB-VP\tO' -p210724 -aS'number\tnumber\tNN\tB-NP\tO' -p210725 -aS'three\tthree\tCD\tI-NP\tO' -p210726 -aS'is\tbe\tVBZ\tB-VP\tO' -p210727 -aS'home\thome\tNN\tB-ADVP\tO' -p210728 -aS'with\twith\tIN\tB-PP\tO' -p210729 -aS'family\tfamily\tNN\tB-NP\tO' -p210730 -aS'and\tand\tCC\tO\tO' -p210731 -aS'there\tthere\tEX\tB-NP\tO' -p210732 -aS'is\tbe\tVBZ\tB-VP\tO' -p210733 -aS'also\talso\tRB\tB-ADVP\tO' -p210734 -aS'a\ta\tDT\tB-NP\tO' -p210735 -aS'2\t2\tCD\tI-NP\tO' -p210736 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p210737 -aS'sibling\tsibling\tNN\tI-NP\tO' -p210738 -aS'.\t.\t.\tO\tO' -p210739 -asS'Right hip osteoarthritis , status post right total hip replacement on 4/17/93 .' -p210740 -(lp210741 -S'Right\tRight\tNN\tB-NP\tO' -p210742 -aS'hip\thip\tNN\tI-NP\tO' -p210743 -aS'osteoarthritis\tosteoarthritis\tNN\tI-NP\tO' -p210744 -aS',\t,\t,\tO\tO' -p210745 -aS'status\tstatus\tNN\tB-NP\tO' -p210746 -aS'post\tpost\tVBD\tB-VP\tO' -p210747 -aS'right\tright\tJJ\tB-NP\tO' -p210748 -aS'total\ttotal\tJJ\tI-NP\tO' -p210749 -aS'hip\thip\tNN\tI-NP\tO' -p210750 -aS'replacement\treplacement\tNN\tI-NP\tO' -p210751 -aS'on\ton\tIN\tB-PP\tO' -p210752 -aS'4/17/93\t4/17/93\tCD\tB-NP\tO' -p210753 -aS'.\t.\t.\tO\tO' -p210754 -asS'She was able to fix and follow with her eyes , respond to commands .' -p210755 -(lp210756 -S'She\tShe\tPRP\tB-NP\tO' -p210757 -aS'was\tbe\tVBD\tB-VP\tO' -p210758 -aS'able\table\tJJ\tB-ADJP\tO' -p210759 -aS'to\tto\tTO\tB-VP\tO' -p210760 -aS'fix\tfix\tVB\tI-VP\tO' -p210761 -aS'and\tand\tCC\tO\tO' -p210762 -aS'follow\tfollow\tVB\tB-VP\tO' -p210763 -aS'with\twith\tIN\tB-PP\tO' -p210764 -aS'her\ther\tPRP$\tB-NP\tO' -p210765 -aS'eyes\teye\tNNS\tI-NP\tO' -p210766 -aS',\t,\t,\tO\tO' -p210767 -aS'respond\trespond\tVBP\tB-VP\tO' -p210768 -aS'to\tto\tTO\tB-PP\tO' -p210769 -aS'commands\tcommand\tNNS\tB-NP\tO' -p210770 -aS'.\t.\t.\tO\tO' -p210771 -asS'Social History : divorced truck driver' -p210772 -(lp210773 -S'Social\tSocial\tNNP\tB-NP\tO' -p210774 -aS'History\tHistory\tNNP\tI-NP\tO' -p210775 -aS':\t:\t:\tO\tO' -p210776 -aS'divorced\tdivorced\tJJ\tB-NP\tO' -p210777 -aS'truck\ttruck\tNN\tI-NP\tO' -p210778 -aS'driver\tdriver\tNN\tI-NP\tO' -p210779 -asS'On postop day number two she was also afebrile and had not passed any flatus yet .' -p210780 -(lp210781 -S'On\tOn\tIN\tB-PP\tO' -p210782 -aS'postop\tpostop\tJJ\tB-NP\tO' -p210783 -aS'day\tday\tNN\tI-NP\tO' -p210784 -aS'number\tnumber\tNN\tI-NP\tO' -p210785 -aS'two\ttwo\tCD\tB-NP\tO' -p210786 -aS'she\tshe\tPRP\tB-NP\tO' -p210787 -aS'was\tbe\tVBD\tB-VP\tO' -p210788 -aS'also\talso\tRB\tB-ADVP\tO' -p210789 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p210790 -aS'and\tand\tCC\tO\tO' -p210791 -aS'had\thave\tVBD\tB-VP\tO' -p210792 -aS'not\tnot\tRB\tI-VP\tO' -p210793 -aS'passed\tpass\tVBN\tI-VP\tO' -p210794 -aS'any\tany\tDT\tB-NP\tO' -p210795 -aS'flatus\tflatus\tNN\tI-NP\tO' -p210796 -aS'yet\tyet\tRB\tB-ADVP\tO' -p210797 -aS'.\t.\t.\tO\tO' -p210798 -asS'Patient was not a TIPS candidate .' -p210799 -(lp210800 -S'Patient\tPatient\tNN\tB-NP\tO' -p210801 -aS'was\tbe\tVBD\tB-VP\tO' -p210802 -aS'not\tnot\tRB\tO\tO' -p210803 -aS'a\ta\tDT\tB-NP\tO' -p210804 -aS'TIPS\tTIPS\tNN\tI-NP\tO' -p210805 -aS'candidate\tcandidate\tNN\tI-NP\tO' -p210806 -aS'.\t.\t.\tO\tO' -p210807 -asS'Multivitamins And Folate ( Stuart Prenatal With Folate ) ; Fluoxetine ( Prozac )' -p210808 -(lp210809 -S'Multivitamins\tMultivitamin\tNNS\tB-NP\tO' -p210810 -aS'And\tAnd\tCC\tO\tO' -p210811 -aS'Folate\tFolate\tNNP\tB-NP\tO' -p210812 -aS'(\t(\t(\tO\tO' -p210813 -aS'Stuart\tStuart\tNNP\tB-NP\tO' -p210814 -aS'Prenatal\tPrenatal\tNNP\tI-NP\tO' -p210815 -aS'With\tWith\tIN\tB-PP\tO' -p210816 -aS'Folate\tFolate\tNNP\tB-NP\tO' -p210817 -aS')\t)\t)\tO\tO' -p210818 -aS';\t;\t:\tO\tO' -p210819 -aS'Fluoxetine\tFluoxetine\tNN\tB-NP\tO' -p210820 -aS'(\t(\t(\tO\tO' -p210821 -aS'Prozac\tProzac\tNN\tB-NP\tO' -p210822 -aS')\t)\t)\tO\tO' -p210823 -asS'Abdomen was distended , tympanitic , mildly tender epigastrium and right lower quadrant .' -p210824 -(lp210825 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p210826 -aS'was\tbe\tVBD\tB-VP\tO' -p210827 -aS'distended\tdistend\tVBN\tI-VP\tO' -p210828 -aS',\t,\t,\tO\tO' -p210829 -aS'tympanitic\ttympanitic\tJJ\tB-NP\tO' -p210830 -aS',\t,\t,\tI-NP\tO' -p210831 -aS'mildly\tmildly\tRB\tI-NP\tO' -p210832 -aS'tender\ttender\tNN\tI-NP\tO' -p210833 -aS'epigastrium\tepigastrium\tNN\tI-NP\tO' -p210834 -aS'and\tand\tCC\tO\tO' -p210835 -aS'right\tright\tRB\tB-NP\tO' -p210836 -aS'lower\tlow\tJJR\tI-NP\tO' -p210837 -aS'quadrant\tquadrant\tNN\tI-NP\tO' -p210838 -aS'.\t.\t.\tO\tO' -p210839 -asS'She is approximately 10 kg up her overall body weight .' -p210840 -(lp210841 -S'She\tShe\tPRP\tB-NP\tO' -p210842 -aS'is\tbe\tVBZ\tB-VP\tO' -p210843 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p210844 -aS'10\t10\tCD\tI-NP\tO' -p210845 -aS'kg\tkg\tNN\tI-NP\tO' -p210846 -aS'up\tup\tRP\tB-ADVP\tO' -p210847 -aS'her\ther\tPRP$\tB-NP\tO' -p210848 -aS'overall\toverall\tJJ\tI-NP\tO' -p210849 -aS'body\tbody\tNN\tI-NP\tO' -p210850 -aS'weight\tweight\tNN\tI-NP\tO' -p210851 -aS'.\t.\t.\tO\tO' -p210852 -asS'Her pulmonary examination shows she has bronchial breath sounds with dry crackles at the bases .' -p210853 -(lp210854 -S'Her\tHer\tPRP$\tB-NP\tO' -p210855 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p210856 -aS'examination\texamination\tNN\tI-NP\tO' -p210857 -aS'shows\tshow\tVBZ\tB-VP\tO' -p210858 -aS'she\tshe\tPRP\tB-NP\tO' -p210859 -aS'has\thave\tVBZ\tB-VP\tO' -p210860 -aS'bronchial\tbronchial\tJJ\tB-NP\tO' -p210861 -aS'breath\tbreath\tNN\tI-NP\tO' -p210862 -aS'sounds\tsound\tVBZ\tB-VP\tO' -p210863 -aS'with\twith\tIN\tB-PP\tO' -p210864 -aS'dry\tdry\tJJ\tB-NP\tO' -p210865 -aS'crackles\tcrackle\tNNS\tI-NP\tO' -p210866 -aS'at\tat\tIN\tB-PP\tO' -p210867 -aS'the\tthe\tDT\tB-NP\tO' -p210868 -aS'bases\tbase\tNNS\tI-NP\tO' -p210869 -aS'.\t.\t.\tO\tO' -p210870 -asS'A computerized tomography scan had showed multiple lacunes , right greater than left , and the deep gray and white matters suspicious for proximal middle cerebral artery stem occlusion or stenosis .' -p210871 -(lp210872 -S'A\tA\tDT\tB-NP\tO' -p210873 -aS'computerized\tcomputerized\tJJ\tI-NP\tO' -p210874 -aS'tomography\ttomography\tNN\tI-NP\tO' -p210875 -aS'scan\tscan\tNN\tI-NP\tO' -p210876 -aS'had\thave\tVBD\tB-VP\tO' -p210877 -aS'showed\tshow\tVBN\tI-VP\tO' -p210878 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p210879 -aS'lacunes\tlacune\tNNS\tI-NP\tO' -p210880 -aS',\t,\t,\tO\tO' -p210881 -aS'right\tright\tRB\tB-ADVP\tO' -p210882 -aS'greater\tgreat\tJJR\tI-ADVP\tO' -p210883 -aS'than\tthan\tIN\tB-PP\tO' -p210884 -aS'left\tleft\tJJ\tB-ADJP\tO' -p210885 -aS',\t,\t,\tO\tO' -p210886 -aS'and\tand\tCC\tO\tO' -p210887 -aS'the\tthe\tDT\tB-NP\tO' -p210888 -aS'deep\tdeep\tJJ\tI-NP\tO' -p210889 -aS'gray\tgray\tJJ\tI-NP\tO' -p210890 -aS'and\tand\tCC\tI-NP\tO' -p210891 -aS'white\twhite\tJJ\tI-NP\tO' -p210892 -aS'matters\tmatter\tNNS\tI-NP\tO' -p210893 -aS'suspicious\tsuspicious\tJJ\tB-ADJP\tO' -p210894 -aS'for\tfor\tIN\tB-PP\tO' -p210895 -aS'proximal\tproximal\tJJ\tB-NP\tO' -p210896 -aS'middle\tmiddle\tJJ\tI-NP\tO' -p210897 -aS'cerebral\tcerebral\tJJ\tI-NP\tO' -p210898 -aS'artery\tartery\tNN\tI-NP\tO' -p210899 -aS'stem\tstem\tNN\tI-NP\tO' -p210900 -aS'occlusion\tocclusion\tNN\tI-NP\tO' -p210901 -aS'or\tor\tCC\tI-NP\tO' -p210902 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p210903 -aS'.\t.\t.\tO\tO' -p210904 -asS'Mediastinal and hilar contours are within normal limits .' -p210905 -(lp210906 -S'Mediastinal\tMediastinal\tJJ\tB-NP\tO' -p210907 -aS'and\tand\tCC\tI-NP\tO' -p210908 -aS'hilar\thilar\tJJ\tI-NP\tO' -p210909 -aS'contours\tcontour\tNNS\tI-NP\tO' -p210910 -aS'are\tbe\tVBP\tB-VP\tO' -p210911 -aS'within\twithin\tIN\tB-PP\tO' -p210912 -aS'normal\tnormal\tJJ\tB-NP\tO' -p210913 -aS'limits\tlimit\tNNS\tI-NP\tO' -p210914 -aS'.\t.\t.\tO\tO' -p210915 -asS'Heavy EtOH ( 12 beers several times a week ).' -p210916 -(lp210917 -S'Heavy\tHeavy\tJJ\tB-NP\tO' -p210918 -aS'EtOH\tEtOH\tNN\tI-NP\tO' -p210919 -aS'(\t(\t(\tO\tO' -p210920 -aS'12\t12\tCD\tB-NP\tO' -p210921 -aS'beers\tbeer\tNNS\tI-NP\tO' -p210922 -aS'several\tseveral\tJJ\tB-NP\tO' -p210923 -aS'times\ttime\tNNS\tI-NP\tO' -p210924 -aS'a\ta\tDT\tB-NP\tO' -p210925 -aS'week\tweek\tNN\tI-NP\tO' -p210926 -aS').\t).\t.\tO\tO' -p210927 -asS'She was admitted to Box Memorial Hospital Nursing Home for further evaluation .' -p210928 -(lp210929 -S'She\tShe\tPRP\tB-NP\tO' -p210930 -aS'was\tbe\tVBD\tB-VP\tO' -p210931 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p210932 -aS'to\tto\tTO\tB-PP\tO' -p210933 -aS'Box\tBox\tNNP\tB-NP\tO' -p210934 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p210935 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p210936 -aS'Nursing\tNursing\tNNP\tI-NP\tO' -p210937 -aS'Home\tHome\tNNP\tI-NP\tO' -p210938 -aS'for\tfor\tIN\tB-PP\tO' -p210939 -aS'further\tfurther\tJJ\tB-NP\tO' -p210940 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p210941 -aS'.\t.\t.\tO\tO' -p210942 -asS'Her lungs remained clear to auscultation bilaterally throughout the remainder of her hospital course .' -p210943 -(lp210944 -S'Her\tHer\tPRP$\tB-NP\tO' -p210945 -aS'lungs\tlung\tNNS\tI-NP\tO' -p210946 -aS'remained\tremain\tVBD\tB-VP\tO' -p210947 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p210948 -aS'to\tto\tTO\tB-PP\tO' -p210949 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p210950 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p210951 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p210952 -aS'the\tthe\tDT\tB-NP\tO' -p210953 -aS'remainder\tremainder\tNN\tI-NP\tO' -p210954 -aS'of\tof\tIN\tB-PP\tO' -p210955 -aS'her\ther\tPRP$\tB-NP\tO' -p210956 -aS'hospital\thospital\tNN\tI-NP\tO' -p210957 -aS'course\tcourse\tNN\tI-NP\tO' -p210958 -aS'.\t.\t.\tO\tO' -p210959 -asS'Pulses are 2+ and symmetrical .' -p210960 -(lp210961 -S'Pulses\tPulse\tNNS\tB-NP\tO' -p210962 -aS'are\tbe\tVBP\tB-VP\tO' -p210963 -aS'2+\t2+\tJJ\tB-ADJP\tO' -p210964 -aS'and\tand\tCC\tI-ADJP\tO' -p210965 -aS'symmetrical\tsymmetrical\tJJ\tI-ADJP\tO' -p210966 -aS'.\t.\t.\tO\tO' -p210967 -asS'- Avoid contact sport until seen in the Clinic' -p210968 -(lp210969 -S'-\t-\tHYPH\tB-NP\tO' -p210970 -aS'Avoid\tAvoid\tJJ\tI-NP\tO' -p210971 -aS'contact\tcontact\tNN\tI-NP\tO' -p210972 -aS'sport\tsport\tNN\tI-NP\tO' -p210973 -aS'until\tuntil\tIN\tB-SBAR\tO' -p210974 -aS'seen\tsee\tVBN\tB-VP\tO' -p210975 -aS'in\tin\tIN\tB-PP\tO' -p210976 -aS'the\tthe\tDT\tB-NP\tO' -p210977 -aS'Clinic\tClinic\tNNP\tI-NP\tO' -p210978 -asS'Normal neurologic exam on admission , then lethargic on 9/6/93 at 17:45 , then patient became unresponsive , areflexic and limp at 9/6/93 , at 17:45 to 22:00 .' -p210979 -(lp210980 -S'Normal\tNormal\tJJ\tB-NP\tO' -p210981 -aS'neurologic\tneurologic\tJJ\tI-NP\tO' -p210982 -aS'exam\texam\tNN\tI-NP\tO' -p210983 -aS'on\ton\tIN\tB-PP\tO' -p210984 -aS'admission\tadmission\tNN\tB-NP\tO' -p210985 -aS',\t,\t,\tO\tO' -p210986 -aS'then\tthen\tRB\tB-ADJP\tO' -p210987 -aS'lethargic\tlethargic\tJJ\tI-ADJP\tO' -p210988 -aS'on\ton\tIN\tB-PP\tO' -p210989 -aS'9/6/93\t9/6/93\tCD\tB-NP\tO' -p210990 -aS'at\tat\tIN\tB-PP\tO' -p210991 -aS'17:45\t17:45\tCD\tB-NP\tO' -p210992 -aS',\t,\t,\tO\tO' -p210993 -aS'then\tthen\tRB\tB-ADVP\tO' -p210994 -aS'patient\tpatient\tNN\tB-NP\tO' -p210995 -aS'became\tbecome\tVBD\tB-VP\tO' -p210996 -aS'unresponsive\tunresponsive\tJJ\tB-NP\tO' -p210997 -aS',\t,\t,\tI-NP\tO' -p210998 -aS'areflexic\tareflexic\tJJ\tI-NP\tO' -p210999 -aS'and\tand\tCC\tI-NP\tO' -p211000 -aS'limp\tlimp\tNN\tI-NP\tO' -p211001 -aS'at\tat\tIN\tB-PP\tO' -p211002 -aS'9/6/93\t9/6/93\tCD\tB-NP\tO' -p211003 -aS',\t,\t,\tO\tO' -p211004 -aS'at\tat\tIN\tB-PP\tO' -p211005 -aS'17:45\t17:45\tCD\tB-NP\tO' -p211006 -aS'to\tto\tTO\tB-PP\tO' -p211007 -aS'22:00\t22:00\tCD\tB-NP\tO' -p211008 -aS'.\t.\t.\tO\tO' -p211009 -asS'Angio-Jet percutaneous transluminal coronary angioplasty and stenting was performed on proximal left anterior descending artery and the percutaneous transluminal coronary angioplasty was performed on first diagonal with good results .' -p211010 -(lp211011 -S'Angio-Jet\tAngio-Jet\tJJ\tB-NP\tO' -p211012 -aS'percutaneous\tpercutaneous\tJJ\tI-NP\tO' -p211013 -aS'transluminal\ttransluminal\tJJ\tI-NP\tO' -p211014 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p211015 -aS'angioplasty\tangioplasty\tNN\tI-NP\tO' -p211016 -aS'and\tand\tCC\tI-NP\tO' -p211017 -aS'stenting\tstenting\tNN\tI-NP\tO' -p211018 -aS'was\tbe\tVBD\tB-VP\tO' -p211019 -aS'performed\tperform\tVBN\tI-VP\tO' -p211020 -aS'on\ton\tIN\tB-PP\tO' -p211021 -aS'proximal\tproximal\tJJ\tB-NP\tO' -p211022 -aS'left\tleft\tJJ\tI-NP\tO' -p211023 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p211024 -aS'descending\tdescend\tVBG\tI-NP\tO' -p211025 -aS'artery\tartery\tNN\tI-NP\tO' -p211026 -aS'and\tand\tCC\tO\tO' -p211027 -aS'the\tthe\tDT\tB-NP\tO' -p211028 -aS'percutaneous\tpercutaneous\tJJ\tI-NP\tO' -p211029 -aS'transluminal\ttransluminal\tJJ\tI-NP\tO' -p211030 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p211031 -aS'angioplasty\tangioplasty\tNN\tI-NP\tO' -p211032 -aS'was\tbe\tVBD\tB-VP\tO' -p211033 -aS'performed\tperform\tVBN\tI-VP\tO' -p211034 -aS'on\ton\tIN\tB-PP\tO' -p211035 -aS'first\tfirst\tJJ\tB-NP\tO' -p211036 -aS'diagonal\tdiagonal\tJJ\tI-NP\tO' -p211037 -aS'with\twith\tIN\tB-PP\tO' -p211038 -aS'good\tgood\tJJ\tB-NP\tO' -p211039 -aS'results\tresult\tNNS\tI-NP\tO' -p211040 -aS'.\t.\t.\tO\tO' -p211041 -asS'The right heart catheterization revealed pulmonary capillary wedge pressure of 4 , cardiac output of 8 , and cardiac index of 3.8 , he had an RA pressure of 10 , RV pressure of 43/4 , PA pressure of 37/10 .' -p211042 -(lp211043 -S'The\tThe\tDT\tB-NP\tO' -p211044 -aS'right\tright\tJJ\tI-NP\tO' -p211045 -aS'heart\theart\tNN\tI-NP\tO' -p211046 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p211047 -aS'revealed\treveal\tVBD\tB-VP\tO' -p211048 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p211049 -aS'capillary\tcapillary\tJJ\tI-NP\tO' -p211050 -aS'wedge\twedge\tNN\tI-NP\tO' -p211051 -aS'pressure\tpressure\tNN\tI-NP\tO' -p211052 -aS'of\tof\tIN\tB-PP\tO' -p211053 -aS'4\t4\tCD\tB-NP\tO' -p211054 -aS',\t,\t,\tO\tO' -p211055 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p211056 -aS'output\toutput\tNN\tI-NP\tO' -p211057 -aS'of\tof\tIN\tB-PP\tO' -p211058 -aS'8\t8\tCD\tB-NP\tO' -p211059 -aS',\t,\t,\tO\tO' -p211060 -aS'and\tand\tCC\tO\tO' -p211061 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p211062 -aS'index\tindex\tNN\tI-NP\tO' -p211063 -aS'of\tof\tIN\tB-PP\tO' -p211064 -aS'3.8\t3.8\tCD\tB-NP\tO' -p211065 -aS',\t,\t,\tO\tO' -p211066 -aS'he\the\tPRP\tB-NP\tO' -p211067 -aS'had\thave\tVBD\tB-VP\tO' -p211068 -aS'an\tan\tDT\tB-NP\tO' -p211069 -aS'RA\tRA\tNN\tI-NP\tO' -p211070 -aS'pressure\tpressure\tNN\tI-NP\tO' -p211071 -aS'of\tof\tIN\tB-PP\tO' -p211072 -aS'10\t10\tCD\tB-NP\tO' -p211073 -aS',\t,\t,\tO\tO' -p211074 -aS'RV\tRV\tNN\tB-NP\tO' -p211075 -aS'pressure\tpressure\tNN\tI-NP\tO' -p211076 -aS'of\tof\tIN\tB-PP\tO' -p211077 -aS'43/4\t43/4\tCD\tB-NP\tO' -p211078 -aS',\t,\t,\tO\tO' -p211079 -aS'PA\tPA\tNN\tB-NP\tO' -p211080 -aS'pressure\tpressure\tNN\tI-NP\tO' -p211081 -aS'of\tof\tIN\tB-PP\tO' -p211082 -aS'37/10\t37/10\tCD\tB-NP\tO' -p211083 -aS'.\t.\t.\tO\tO' -p211084 -asS'15. Coumadin 3 mg Tablet Sig : One ( 1 ) Tablet PO once a day .' -p211085 -(lp211086 -S'15.\t15.\tLS\tB-LST\tO' -p211087 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p211088 -aS'3\t3\tCD\tI-NP\tO' -p211089 -aS'mg\tmg\tNN\tI-NP\tO' -p211090 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p211091 -aS'Sig\tSig\tNNP\tI-NP\tO' -p211092 -aS':\t:\t:\tO\tO' -p211093 -aS'One\tOne\tCD\tB-NP\tO' -p211094 -aS'(\t(\t(\tO\tO' -p211095 -aS'1\t1\tCD\tB-NP\tO' -p211096 -aS')\t)\t)\tO\tO' -p211097 -aS'Tablet\tTablet\tNN\tB-NP\tB-protein' -p211098 -aS'PO\tPO\tNN\tI-NP\tI-protein' -p211099 -aS'once\tonce\tRB\tO\tO' -p211100 -aS'a\ta\tDT\tB-NP\tO' -p211101 -aS'day\tday\tNN\tI-NP\tO' -p211102 -aS'.\t.\t.\tO\tO' -p211103 -asS'He was flaccid bilaterally .' -p211104 -(lp211105 -S'He\tHe\tPRP\tB-NP\tO' -p211106 -aS'was\tbe\tVBD\tB-VP\tO' -p211107 -aS'flaccid\tflaccid\tNN\tB-NP\tO' -p211108 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p211109 -aS'.\t.\t.\tO\tO' -p211110 -asS'It is extremely important for you to take these medications .' -p211111 -(lp211112 -S'It\tIt\tPRP\tB-NP\tO' -p211113 -aS'is\tbe\tVBZ\tB-VP\tO' -p211114 -aS'extremely\textremely\tRB\tB-ADJP\tO' -p211115 -aS'important\timportant\tJJ\tI-ADJP\tO' -p211116 -aS'for\tfor\tIN\tB-SBAR\tO' -p211117 -aS'you\tyou\tPRP\tB-NP\tO' -p211118 -aS'to\tto\tTO\tB-VP\tO' -p211119 -aS'take\ttake\tVB\tI-VP\tO' -p211120 -aS'these\tthese\tDT\tB-NP\tO' -p211121 -aS'medications\tmedication\tNNS\tI-NP\tO' -p211122 -aS'.\t.\t.\tO\tO' -p211123 -asS'He was not a candidate for subcutaneous heparin as we were concerned of an intracranial hemorrhage .' -p211124 -(lp211125 -S'He\tHe\tPRP\tB-NP\tO' -p211126 -aS'was\tbe\tVBD\tB-VP\tO' -p211127 -aS'not\tnot\tRB\tO\tO' -p211128 -aS'a\ta\tDT\tB-NP\tO' -p211129 -aS'candidate\tcandidate\tNN\tI-NP\tO' -p211130 -aS'for\tfor\tIN\tB-PP\tO' -p211131 -aS'subcutaneous\tsubcutaneous\tJJ\tB-NP\tO' -p211132 -aS'heparin\theparin\tNN\tI-NP\tO' -p211133 -aS'as\tas\tIN\tB-SBAR\tO' -p211134 -aS'we\twe\tPRP\tB-NP\tO' -p211135 -aS'were\tbe\tVBD\tB-VP\tO' -p211136 -aS'concerned\tconcern\tVBN\tB-ADJP\tO' -p211137 -aS'of\tof\tIN\tB-PP\tO' -p211138 -aS'an\tan\tDT\tB-NP\tO' -p211139 -aS'intracranial\tintracranial\tJJ\tI-NP\tO' -p211140 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p211141 -aS'.\t.\t.\tO\tO' -p211142 -asS'Pt. was initially admitted to CCU on 2017-09-03 , transferred to Pendleton on 2017-09-05 , triggered on 2017-09-10 for hypotension with BP 67/38 and transferred back to CCU on 2017-09-10 .' -p211143 -(lp211144 -S'Pt.\tPt.\tNN\tB-NP\tO' -p211145 -aS'was\tbe\tVBD\tB-VP\tO' -p211146 -aS'initially\tinitially\tRB\tI-VP\tO' -p211147 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p211148 -aS'to\tto\tTO\tB-PP\tO' -p211149 -aS'CCU\tCCU\tNN\tB-NP\tB-protein' -p211150 -aS'on\ton\tIN\tB-PP\tO' -p211151 -aS'2017-09-03\t2017-09-03\tCD\tB-NP\tO' -p211152 -aS',\t,\t,\tO\tO' -p211153 -aS'transferred\ttransfer\tVBN\tB-VP\tO' -p211154 -aS'to\tto\tTO\tB-PP\tO' -p211155 -aS'Pendleton\tPendleton\tNNP\tB-NP\tO' -p211156 -aS'on\ton\tIN\tB-PP\tO' -p211157 -aS'2017-09-05\t2017-09-05\tCD\tB-NP\tO' -p211158 -aS',\t,\t,\tO\tO' -p211159 -aS'triggered\ttrigger\tVBN\tB-VP\tO' -p211160 -aS'on\ton\tIN\tB-PP\tO' -p211161 -aS'2017-09-10\t2017-09-10\tCD\tB-NP\tO' -p211162 -aS'for\tfor\tIN\tB-PP\tO' -p211163 -aS'hypotension\thypotension\tNN\tB-NP\tO' -p211164 -aS'with\twith\tIN\tB-PP\tO' -p211165 -aS'BP\tBP\tNN\tB-NP\tB-protein' -p211166 -aS'67/38\t67/38\tCD\tI-NP\tI-protein' -p211167 -aS'and\tand\tCC\tO\tO' -p211168 -aS'transferred\ttransfer\tVBD\tB-VP\tO' -p211169 -aS'back\tback\tRB\tB-ADVP\tO' -p211170 -aS'to\tto\tTO\tB-PP\tO' -p211171 -aS'CCU\tCCU\tNN\tB-NP\tB-protein' -p211172 -aS'on\ton\tIN\tB-PP\tO' -p211173 -aS'2017-09-10\t2017-09-10\tCD\tB-NP\tO' -p211174 -aS'.\t.\t.\tO\tO' -p211175 -asS"This was discussed at length in several family meetings involving the patient 's wife , son , primary care doctor , ICU attending , and neurology consultant in the presence of a Asian interpreter ." -p211176 -(lp211177 -S'This\tThis\tDT\tB-NP\tO' -p211178 -aS'was\tbe\tVBD\tB-VP\tO' -p211179 -aS'discussed\tdiscuss\tVBN\tI-VP\tO' -p211180 -aS'at\tat\tIN\tB-PP\tO' -p211181 -aS'length\tlength\tNN\tB-NP\tO' -p211182 -aS'in\tin\tIN\tB-PP\tO' -p211183 -aS'several\tseveral\tJJ\tB-NP\tO' -p211184 -aS'family\tfamily\tNN\tI-NP\tO' -p211185 -aS'meetings\tmeeting\tNNS\tI-NP\tO' -p211186 -aS'involving\tinvolve\tVBG\tB-VP\tO' -p211187 -aS'the\tthe\tDT\tB-NP\tO' -p211188 -aS'patient\tpatient\tNN\tI-NP\tO' -p211189 -aS"'s\t's\tPOS\tB-NP\tO" -p211190 -aS'wife\twife\tNN\tI-NP\tO' -p211191 -aS',\t,\t,\tO\tO' -p211192 -aS'son\tson\tNN\tB-NP\tO' -p211193 -aS',\t,\t,\tO\tO' -p211194 -aS'primary\tprimary\tJJ\tB-NP\tO' -p211195 -aS'care\tcare\tNN\tI-NP\tO' -p211196 -aS'doctor\tdoctor\tNN\tI-NP\tO' -p211197 -aS',\t,\t,\tO\tO' -p211198 -aS'ICU\tICU\tNN\tB-NP\tB-protein' -p211199 -aS'attending\tattend\tVBG\tB-VP\tO' -p211200 -aS',\t,\t,\tO\tO' -p211201 -aS'and\tand\tCC\tO\tO' -p211202 -aS'neurology\tneurology\tNN\tB-NP\tO' -p211203 -aS'consultant\tconsultant\tNN\tI-NP\tO' -p211204 -aS'in\tin\tIN\tB-PP\tO' -p211205 -aS'the\tthe\tDT\tI-PP\tO' -p211206 -aS'presence\tpresence\tNN\tI-PP\tO' -p211207 -aS'of\tof\tIN\tI-PP\tO' -p211208 -aS'a\ta\tDT\tB-NP\tO' -p211209 -aS'Asian\tAsian\tJJ\tI-NP\tO' -p211210 -aS'interpreter\tinterpreter\tNN\tI-NP\tO' -p211211 -aS'.\t.\t.\tO\tO' -p211212 -asS'The patient is an 81 year old female with a history of cerebrovascular accident , atrial fibrillation , hypothyroidism and dementia who is status post laparoscopic cholecystectomy one week ago who currently presents with a 4 day history of no bowel movement .' -p211213 -(lp211214 -S'The\tThe\tDT\tB-NP\tO' -p211215 -aS'patient\tpatient\tNN\tI-NP\tO' -p211216 -aS'is\tbe\tVBZ\tB-VP\tO' -p211217 -aS'an\tan\tDT\tB-NP\tO' -p211218 -aS'81\t81\tCD\tI-NP\tO' -p211219 -aS'year\tyear\tNN\tI-NP\tO' -p211220 -aS'old\told\tJJ\tI-NP\tO' -p211221 -aS'female\tfemale\tNN\tI-NP\tO' -p211222 -aS'with\twith\tIN\tB-PP\tO' -p211223 -aS'a\ta\tDT\tB-NP\tO' -p211224 -aS'history\thistory\tNN\tI-NP\tO' -p211225 -aS'of\tof\tIN\tB-PP\tO' -p211226 -aS'cerebrovascular\tcerebrovascular\tJJ\tB-NP\tO' -p211227 -aS'accident\taccident\tNN\tI-NP\tO' -p211228 -aS',\t,\t,\tO\tO' -p211229 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p211230 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p211231 -aS',\t,\t,\tO\tO' -p211232 -aS'hypothyroidism\thypothyroidism\tNN\tB-NP\tO' -p211233 -aS'and\tand\tCC\tI-NP\tO' -p211234 -aS'dementia\tdementia\tNN\tI-NP\tO' -p211235 -aS'who\twho\tWP\tB-NP\tO' -p211236 -aS'is\tbe\tVBZ\tB-VP\tO' -p211237 -aS'status\tstatus\tNN\tB-NP\tO' -p211238 -aS'post\tpost\tNN\tI-NP\tO' -p211239 -aS'laparoscopic\tlaparoscopic\tJJ\tI-NP\tO' -p211240 -aS'cholecystectomy\tcholecystectomy\tNN\tI-NP\tO' -p211241 -aS'one\tone\tCD\tB-NP\tO' -p211242 -aS'week\tweek\tNN\tI-NP\tO' -p211243 -aS'ago\tago\tRB\tB-ADVP\tO' -p211244 -aS'who\twho\tWP\tB-NP\tO' -p211245 -aS'currently\tcurrently\tRB\tB-ADVP\tO' -p211246 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p211247 -aS'with\twith\tIN\tB-PP\tO' -p211248 -aS'a\ta\tDT\tB-NP\tO' -p211249 -aS'4\t4\tCD\tI-NP\tO' -p211250 -aS'day\tday\tNN\tI-NP\tO' -p211251 -aS'history\thistory\tNN\tI-NP\tO' -p211252 -aS'of\tof\tIN\tB-PP\tO' -p211253 -aS'no\tno\tDT\tB-NP\tO' -p211254 -aS'bowel\tbowel\tNN\tI-NP\tO' -p211255 -aS'movement\tmovement\tNN\tI-NP\tO' -p211256 -aS'.\t.\t.\tO\tO' -p211257 -asS'4. Oxycodone-Acetaminophen 5-325 mg Tablet Sig : 1-2 Tablets PO Q4H ( every 4 hours ) as needed for pain .' -p211258 -(lp211259 -S'4.\t4.\tLS\tB-NP\tO' -p211260 -aS'Oxycodone-Acetaminophen\tOxycodone-Acetaminophen\tNN\tI-NP\tO' -p211261 -aS'5-325\t5-325\tCD\tI-NP\tO' -p211262 -aS'mg\tmg\tNN\tI-NP\tO' -p211263 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p211264 -aS'Sig\tSig\tNNP\tI-NP\tO' -p211265 -aS':\t:\t:\tO\tO' -p211266 -aS'1-2\t1-2\tCD\tB-NP\tO' -p211267 -aS'Tablets\tTablet\tNNS\tI-NP\tO' -p211268 -aS'PO\tPO\tNN\tI-NP\tO' -p211269 -aS'Q4H\tQ4H\tNN\tI-NP\tO' -p211270 -aS'(\t(\t(\tO\tO' -p211271 -aS'every\tevery\tDT\tB-NP\tO' -p211272 -aS'4\t4\tCD\tI-NP\tO' -p211273 -aS'hours\thour\tNNS\tI-NP\tO' -p211274 -aS')\t)\t)\tO\tO' -p211275 -aS'as\tas\tIN\tB-SBAR\tO' -p211276 -aS'needed\tneed\tVBN\tB-VP\tO' -p211277 -aS'for\tfor\tIN\tB-PP\tO' -p211278 -aS'pain\tpain\tNN\tB-NP\tO' -p211279 -aS'.\t.\t.\tO\tO' -p211280 -asS'1) EXTENSIVE POSTERIOR CIRCULATION INFARCTION .' -p211281 -(lp211282 -S'1)\t1)\tLS\tB-NP\tO' -p211283 -aS'EXTENSIVE\tEXTENSIVE\tNN\tI-NP\tO' -p211284 -aS'POSTERIOR\tPOSTERIOR\tNN\tI-NP\tO' -p211285 -aS'CIRCULATION\tCIRCULATION\tNN\tI-NP\tO' -p211286 -aS'INFARCTION\tINFARCTION\tNN\tI-NP\tO' -p211287 -aS'.\t.\t.\tO\tO' -p211288 -asS'The CT scan was revealed and , on second analysis , it was thought that it was suspicious for a subarachnoid hemorrhage in the suprasellar cistern .' -p211289 -(lp211290 -S'The\tThe\tDT\tB-NP\tO' -p211291 -aS'CT\tCT\tNN\tI-NP\tO' -p211292 -aS'scan\tscan\tNN\tI-NP\tO' -p211293 -aS'was\tbe\tVBD\tB-VP\tO' -p211294 -aS'revealed\treveal\tVBN\tI-VP\tO' -p211295 -aS'and\tand\tCC\tO\tO' -p211296 -aS',\t,\t,\tO\tO' -p211297 -aS'on\ton\tIN\tB-PP\tO' -p211298 -aS'second\tsecond\tJJ\tB-NP\tO' -p211299 -aS'analysis\tanalysis\tNN\tI-NP\tO' -p211300 -aS',\t,\t,\tO\tO' -p211301 -aS'it\tit\tPRP\tB-NP\tO' -p211302 -aS'was\tbe\tVBD\tB-VP\tO' -p211303 -aS'thought\tthink\tVBN\tI-VP\tO' -p211304 -aS'that\tthat\tIN\tB-SBAR\tO' -p211305 -aS'it\tit\tPRP\tB-NP\tO' -p211306 -aS'was\tbe\tVBD\tB-VP\tO' -p211307 -aS'suspicious\tsuspicious\tJJ\tB-ADJP\tO' -p211308 -aS'for\tfor\tIN\tB-PP\tO' -p211309 -aS'a\ta\tDT\tB-NP\tO' -p211310 -aS'subarachnoid\tsubarachnoid\tJJ\tI-NP\tO' -p211311 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p211312 -aS'in\tin\tIN\tB-PP\tO' -p211313 -aS'the\tthe\tDT\tB-NP\tO' -p211314 -aS'suprasellar\tsuprasellar\tJJ\tI-NP\tO' -p211315 -aS'cistern\tcistern\tNN\tI-NP\tO' -p211316 -aS'.\t.\t.\tO\tO' -p211317 -asS'There are several areas of brain edema identified in the left frontal and parietal lobe and both temporal lobes , which are suspicious for areas of metastatic disease with surrounding edema .' -p211318 -(lp211319 -S'There\tThere\tEX\tB-NP\tO' -p211320 -aS'are\tbe\tVBP\tB-VP\tO' -p211321 -aS'several\tseveral\tJJ\tB-NP\tO' -p211322 -aS'areas\tarea\tNNS\tI-NP\tO' -p211323 -aS'of\tof\tIN\tB-PP\tO' -p211324 -aS'brain\tbrain\tNN\tB-NP\tO' -p211325 -aS'edema\tedema\tNN\tI-NP\tO' -p211326 -aS'identified\tidentify\tVBN\tB-VP\tO' -p211327 -aS'in\tin\tIN\tB-PP\tO' -p211328 -aS'the\tthe\tDT\tB-NP\tO' -p211329 -aS'left\tleft\tJJ\tI-NP\tO' -p211330 -aS'frontal\tfrontal\tJJ\tI-NP\tO' -p211331 -aS'and\tand\tCC\tI-NP\tO' -p211332 -aS'parietal\tparietal\tJJ\tI-NP\tO' -p211333 -aS'lobe\tlobe\tNN\tI-NP\tO' -p211334 -aS'and\tand\tCC\tO\tO' -p211335 -aS'both\tboth\tDT\tB-NP\tO' -p211336 -aS'temporal\ttemporal\tJJ\tI-NP\tO' -p211337 -aS'lobes\tlobe\tNNS\tI-NP\tO' -p211338 -aS',\t,\t,\tO\tO' -p211339 -aS'which\twhich\tWDT\tB-NP\tO' -p211340 -aS'are\tbe\tVBP\tB-VP\tO' -p211341 -aS'suspicious\tsuspicious\tJJ\tB-ADJP\tO' -p211342 -aS'for\tfor\tIN\tB-PP\tO' -p211343 -aS'areas\tarea\tNNS\tB-NP\tO' -p211344 -aS'of\tof\tIN\tB-PP\tO' -p211345 -aS'metastatic\tmetastatic\tJJ\tB-NP\tO' -p211346 -aS'disease\tdisease\tNN\tI-NP\tO' -p211347 -aS'with\twith\tIN\tB-PP\tO' -p211348 -aS'surrounding\tsurround\tVBG\tB-VP\tO' -p211349 -aS'edema\tedema\tNN\tB-NP\tO' -p211350 -aS'.\t.\t.\tO\tO' -p211351 -asS'4. Anemia , transfusion dependent every three months .' -p211352 -(lp211353 -S'4.\t4.\tLS\tB-LST\tO' -p211354 -aS'Anemia\tAnemia\tNN\tB-NP\tO' -p211355 -aS',\t,\t,\tO\tO' -p211356 -aS'transfusion\ttransfusion\tNN\tB-NP\tO' -p211357 -aS'dependent\tdependent\tJJ\tI-NP\tO' -p211358 -aS'every\tevery\tDT\tB-NP\tO' -p211359 -aS'three\tthree\tCD\tI-NP\tO' -p211360 -aS'months\tmonth\tNNS\tI-NP\tO' -p211361 -aS'.\t.\t.\tO\tO' -p211362 -asS'She also had climbing bilirubin and low grade temp and was started on Zosyn for suspected biliary obstruction and ascending cholangitis coverage .' -p211363 -(lp211364 -S'She\tShe\tPRP\tB-NP\tO' -p211365 -aS'also\talso\tRB\tB-ADVP\tO' -p211366 -aS'had\thave\tVBD\tB-VP\tO' -p211367 -aS'climbing\tclimb\tVBG\tI-VP\tO' -p211368 -aS'bilirubin\tbilirubin\tNN\tB-NP\tO' -p211369 -aS'and\tand\tCC\tO\tO' -p211370 -aS'low\tlow\tJJ\tB-NP\tO' -p211371 -aS'grade\tgrade\tNN\tI-NP\tO' -p211372 -aS'temp\ttemp\tNN\tI-NP\tO' -p211373 -aS'and\tand\tCC\tO\tO' -p211374 -aS'was\tbe\tVBD\tB-VP\tO' -p211375 -aS'started\tstart\tVBN\tI-VP\tO' -p211376 -aS'on\ton\tIN\tB-PP\tO' -p211377 -aS'Zosyn\tZosyn\tNN\tB-NP\tO' -p211378 -aS'for\tfor\tIN\tB-PP\tO' -p211379 -aS'suspected\tsuspect\tVBN\tB-NP\tO' -p211380 -aS'biliary\tbiliary\tJJ\tI-NP\tO' -p211381 -aS'obstruction\tobstruction\tNN\tI-NP\tO' -p211382 -aS'and\tand\tCC\tO\tO' -p211383 -aS'ascending\tascend\tVBG\tB-VP\tO' -p211384 -aS'cholangitis\tcholangitis\tNN\tB-NP\tO' -p211385 -aS'coverage\tcoverage\tNN\tI-NP\tO' -p211386 -aS'.\t.\t.\tO\tO' -p211387 -asS'He was instructed not to restart these until seen by Dr. Ercek .' -p211388 -(lp211389 -S'He\tHe\tPRP\tB-NP\tO' -p211390 -aS'was\tbe\tVBD\tB-VP\tO' -p211391 -aS'instructed\tinstruct\tVBN\tI-VP\tO' -p211392 -aS'not\tnot\tRB\tO\tO' -p211393 -aS'to\tto\tTO\tB-VP\tO' -p211394 -aS'restart\trestart\tVB\tI-VP\tO' -p211395 -aS'these\tthese\tDT\tB-NP\tO' -p211396 -aS'until\tuntil\tIN\tB-SBAR\tO' -p211397 -aS'seen\tsee\tVBN\tB-VP\tO' -p211398 -aS'by\tby\tIN\tB-PP\tO' -p211399 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p211400 -aS'Ercek\tErcek\tNNP\tI-NP\tO' -p211401 -aS'.\t.\t.\tO\tO' -p211402 -asS'2. Status post coronary artery bypass graft times four .' -p211403 -(lp211404 -S'2.\t2.\tLS\tB-LST\tO' -p211405 -aS'Status\tStatus\tNNP\tB-NP\tO' -p211406 -aS'post\tpost\tIN\tB-PP\tO' -p211407 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p211408 -aS'artery\tartery\tNN\tI-NP\tO' -p211409 -aS'bypass\tbypass\tIN\tB-PP\tO' -p211410 -aS'graft\tgraft\tNN\tB-NP\tO' -p211411 -aS'times\ttime\tNNS\tI-NP\tO' -p211412 -aS'four\tfour\tCD\tB-NP\tO' -p211413 -aS'.\t.\t.\tO\tO' -p211414 -asS'She has no known drug allergy .' -p211415 -(lp211416 -S'She\tShe\tPRP\tB-NP\tO' -p211417 -aS'has\thave\tVBZ\tB-VP\tO' -p211418 -aS'no\tno\tDT\tB-NP\tO' -p211419 -aS'known\tknow\tVBN\tI-NP\tO' -p211420 -aS'drug\tdrug\tNN\tI-NP\tO' -p211421 -aS'allergy\tallergy\tNN\tI-NP\tO' -p211422 -aS'.\t.\t.\tO\tO' -p211423 -asS'Dictated By : Raymond Q. Martinez , M.D.' -p211424 -(lp211425 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p211426 -aS'By\tBy\tIN\tB-PP\tO' -p211427 -aS':\t:\t:\tO\tO' -p211428 -aS'Raymond\tRaymond\tNNP\tB-NP\tO' -p211429 -aS'Q.\tQ.\tNNP\tI-NP\tO' -p211430 -aS'Martinez\tMartinez\tNNP\tI-NP\tO' -p211431 -aS',\t,\t,\tO\tO' -p211432 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p211433 -asS'Palate and clavicles intact .' -p211434 -(lp211435 -S'Palate\tPalate\tNN\tB-NP\tO' -p211436 -aS'and\tand\tCC\tI-NP\tO' -p211437 -aS'clavicles\tclavicle\tNNS\tI-NP\tO' -p211438 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p211439 -aS'.\t.\t.\tO\tO' -p211440 -asS'Mother with throat cancer .' -p211441 -(lp211442 -S'Mother\tMother\tDT\tB-NP\tO' -p211443 -aS'with\twith\tIN\tB-PP\tO' -p211444 -aS'throat\tthroat\tDT\tB-NP\tO' -p211445 -aS'cancer\tcancer\tNN\tI-NP\tO' -p211446 -aS'.\t.\t.\tO\tO' -p211447 -asS'Final neurologic assessment was that the patient was unlikely to regain meaningful neurologic functioning .' -p211448 -(lp211449 -S'Final\tFinal\tJJ\tB-NP\tO' -p211450 -aS'neurologic\tneurologic\tJJ\tI-NP\tO' -p211451 -aS'assessment\tassessment\tNN\tI-NP\tO' -p211452 -aS'was\tbe\tVBD\tB-VP\tO' -p211453 -aS'that\tthat\tIN\tB-SBAR\tO' -p211454 -aS'the\tthe\tDT\tB-NP\tO' -p211455 -aS'patient\tpatient\tNN\tI-NP\tO' -p211456 -aS'was\tbe\tVBD\tB-VP\tO' -p211457 -aS'unlikely\tunlikely\tJJ\tB-ADJP\tO' -p211458 -aS'to\tto\tTO\tB-VP\tO' -p211459 -aS'regain\tregain\tVB\tI-VP\tO' -p211460 -aS'meaningful\tmeaningful\tJJ\tB-NP\tO' -p211461 -aS'neurologic\tneurologic\tJJ\tI-NP\tO' -p211462 -aS'functioning\tfunctioning\tNN\tI-NP\tO' -p211463 -aS'.\t.\t.\tO\tO' -p211464 -asS'2+ pitting edema to knees B/L .' -p211465 -(lp211466 -S'2+\t2+\tJJ\tB-NP\tO' -p211467 -aS'pitting\tpit\tVBG\tI-NP\tO' -p211468 -aS'edema\tedema\tNN\tI-NP\tO' -p211469 -aS'to\tto\tTO\tB-PP\tO' -p211470 -aS'knees\tknee\tNNS\tB-NP\tO' -p211471 -aS'B/L\tB/L\tNN\tI-NP\tO' -p211472 -aS'.\t.\t.\tO\tO' -p211473 -asS'His left forearm was also grossly deformed .' -p211474 -(lp211475 -S'His\tHis\tPRP$\tB-NP\tO' -p211476 -aS'left\tleft\tJJ\tI-NP\tO' -p211477 -aS'forearm\tforearm\tNN\tI-NP\tO' -p211478 -aS'was\tbe\tVBD\tB-VP\tO' -p211479 -aS'also\talso\tRB\tB-ADVP\tO' -p211480 -aS'grossly\tgrossly\tRB\tB-VP\tO' -p211481 -aS'deformed\tdeform\tVBN\tI-VP\tO' -p211482 -aS'.\t.\t.\tO\tO' -p211483 -asS'The MRI of your knee showed a meniscal tear .' -p211484 -(lp211485 -S'The\tThe\tDT\tB-NP\tO' -p211486 -aS'MRI\tMRI\tNN\tI-NP\tB-protein' -p211487 -aS'of\tof\tIN\tB-PP\tO' -p211488 -aS'your\tyour\tPRP$\tB-NP\tO' -p211489 -aS'knee\tknee\tNN\tI-NP\tO' -p211490 -aS'showed\tshow\tVBD\tB-VP\tO' -p211491 -aS'a\ta\tDT\tB-NP\tO' -p211492 -aS'meniscal\tmeniscal\tJJ\tI-NP\tO' -p211493 -aS'tear\ttear\tNN\tI-NP\tO' -p211494 -aS'.\t.\t.\tO\tO' -p211495 -asS'Wife states that he would NOT want to be recussitated , and that OSH placed ETT before asking her .' -p211496 -(lp211497 -S'Wife\tWife\tNNP\tB-NP\tO' -p211498 -aS'states\tstate\tVBZ\tB-VP\tO' -p211499 -aS'that\tthat\tIN\tB-SBAR\tO' -p211500 -aS'he\the\tPRP\tB-NP\tO' -p211501 -aS'would\twould\tMD\tB-VP\tO' -p211502 -aS'NOT\tNOT\tNNP\tB-NP\tO' -p211503 -aS'want\twant\tVB\tB-VP\tO' -p211504 -aS'to\tto\tTO\tI-VP\tO' -p211505 -aS'be\tbe\tVB\tI-VP\tO' -p211506 -aS'recussitated\trecussitate\tVBN\tI-VP\tO' -p211507 -aS',\t,\t,\tO\tO' -p211508 -aS'and\tand\tCC\tO\tO' -p211509 -aS'that\tthat\tIN\tB-SBAR\tO' -p211510 -aS'OSH\tOSH\tNN\tB-NP\tB-protein' -p211511 -aS'placed\tplace\tVBD\tB-VP\tO' -p211512 -aS'ETT\tETT\tNN\tB-NP\tO' -p211513 -aS'before\tbefore\tIN\tB-PP\tO' -p211514 -aS'asking\task\tVBG\tB-VP\tO' -p211515 -aS'her\ther\tPRP\tB-NP\tO' -p211516 -aS'.\t.\t.\tO\tO' -p211517 -asS'The head was normocephalic and atraumatic .' -p211518 -(lp211519 -S'The\tThe\tDT\tB-NP\tO' -p211520 -aS'head\thead\tNN\tI-NP\tO' -p211521 -aS'was\tbe\tVBD\tB-VP\tO' -p211522 -aS'normocephalic\tnormocephalic\tJJ\tB-ADJP\tO' -p211523 -aS'and\tand\tCC\tI-ADJP\tO' -p211524 -aS'atraumatic\tatraumatic\tJJ\tI-ADJP\tO' -p211525 -aS'.\t.\t.\tO\tO' -p211526 -asS'Speech was fluent but slow , and there was long response latencies before she would initiate speech .' -p211527 -(lp211528 -S'Speech\tSpeech\tNN\tB-NP\tO' -p211529 -aS'was\tbe\tVBD\tB-VP\tO' -p211530 -aS'fluent\tfluent\tJJ\tB-ADJP\tO' -p211531 -aS'but\tbut\tCC\tI-ADJP\tO' -p211532 -aS'slow\tslow\tJJ\tI-ADJP\tO' -p211533 -aS',\t,\t,\tO\tO' -p211534 -aS'and\tand\tCC\tO\tO' -p211535 -aS'there\tthere\tEX\tB-NP\tO' -p211536 -aS'was\tbe\tVBD\tB-VP\tO' -p211537 -aS'long\tlong\tJJ\tB-NP\tO' -p211538 -aS'response\tresponse\tNN\tI-NP\tO' -p211539 -aS'latencies\tlatency\tNNS\tI-NP\tO' -p211540 -aS'before\tbefore\tIN\tB-SBAR\tO' -p211541 -aS'she\tshe\tPRP\tB-NP\tO' -p211542 -aS'would\twould\tMD\tB-VP\tO' -p211543 -aS'initiate\tinitiate\tVB\tI-VP\tO' -p211544 -aS'speech\tspeech\tNN\tB-NP\tO' -p211545 -aS'.\t.\t.\tO\tO' -p211546 -asS'CT PELVIS ( 07-17 ) An abnormal loop of slightly dilated small bowel with fecalization and possible bowel wall thickening .' -p211547 -(lp211548 -S'CT\tCT\tNN\tB-NP\tO' -p211549 -aS'PELVIS\tPELVIS\tNN\tI-NP\tO' -p211550 -aS'(\t(\t(\tO\tO' -p211551 -aS'07-17\t07-17\tCD\tB-NP\tO' -p211552 -aS')\t)\t)\tO\tO' -p211553 -aS'An\tAn\tDT\tB-NP\tO' -p211554 -aS'abnormal\tabnormal\tJJ\tI-NP\tO' -p211555 -aS'loop\tloop\tNN\tI-NP\tO' -p211556 -aS'of\tof\tIN\tB-PP\tO' -p211557 -aS'slightly\tslightly\tRB\tB-NP\tO' -p211558 -aS'dilated\tdilate\tVBN\tI-NP\tO' -p211559 -aS'small\tsmall\tJJ\tI-NP\tO' -p211560 -aS'bowel\tbowel\tNN\tI-NP\tO' -p211561 -aS'with\twith\tIN\tB-PP\tO' -p211562 -aS'fecalization\tfecalization\tNN\tB-NP\tO' -p211563 -aS'and\tand\tCC\tO\tO' -p211564 -aS'possible\tpossible\tJJ\tB-NP\tO' -p211565 -aS'bowel\tbowel\tNN\tI-NP\tO' -p211566 -aS'wall\twall\tNN\tI-NP\tO' -p211567 -aS'thickening\tthickening\tNN\tI-NP\tO' -p211568 -aS'.\t.\t.\tO\tO' -p211569 -asS'We gave the patient bathroom privileges .' -p211570 -(lp211571 -S'We\tWe\tPRP\tB-NP\tO' -p211572 -aS'gave\tgive\tVBD\tB-VP\tO' -p211573 -aS'the\tthe\tDT\tB-NP\tO' -p211574 -aS'patient\tpatient\tNN\tI-NP\tO' -p211575 -aS'bathroom\tbathroom\tNN\tI-NP\tO' -p211576 -aS'privileges\tprivilege\tNNS\tI-NP\tO' -p211577 -aS'.\t.\t.\tO\tO' -p211578 -asS'1. Prematurity 32 and 4/7 weeks , Twin #1 .' -p211579 -(lp211580 -S'1.\t1.\tLS\tB-NP\tO' -p211581 -aS'Prematurity\tPrematurity\tNNP\tI-NP\tO' -p211582 -aS'32\t32\tCD\tI-NP\tO' -p211583 -aS'and\tand\tCC\tI-NP\tO' -p211584 -aS'4/7\t4/7\tCD\tI-NP\tO' -p211585 -aS'weeks\tweek\tNNS\tI-NP\tO' -p211586 -aS',\t,\t,\tO\tO' -p211587 -aS'Twin\tTwin\tNNP\tB-NP\tO' -p211588 -aS'#1\t#1\tCD\tI-NP\tO' -p211589 -aS'.\t.\t.\tO\tO' -p211590 -asS'A complete blood count , electrolytes , BUN and creatinine were within normal limits .' -p211591 -(lp211592 -S'A\tA\tDT\tB-NP\tO' -p211593 -aS'complete\tcomplete\tJJ\tI-NP\tO' -p211594 -aS'blood\tblood\tNN\tI-NP\tO' -p211595 -aS'count\tcount\tNN\tI-NP\tO' -p211596 -aS',\t,\t,\tO\tO' -p211597 -aS'electrolytes\telectrolyte\tNNS\tB-NP\tO' -p211598 -aS',\t,\t,\tO\tO' -p211599 -aS'BUN\tBUN\tNN\tB-NP\tB-protein' -p211600 -aS'and\tand\tCC\tI-NP\tO' -p211601 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p211602 -aS'were\tbe\tVBD\tB-VP\tO' -p211603 -aS'within\twithin\tIN\tB-PP\tO' -p211604 -aS'normal\tnormal\tJJ\tB-NP\tO' -p211605 -aS'limits\tlimit\tNNS\tI-NP\tO' -p211606 -aS'.\t.\t.\tO\tO' -p211607 -asS'And Infectious disease consult was immediately made .' -p211608 -(lp211609 -S'And\tAnd\tCC\tO\tO' -p211610 -aS'Infectious\tInfectious\tJJ\tB-NP\tO' -p211611 -aS'disease\tdisease\tNN\tI-NP\tO' -p211612 -aS'consult\tconsult\tNN\tI-NP\tO' -p211613 -aS'was\tbe\tVBD\tB-VP\tO' -p211614 -aS'immediately\timmediately\tRB\tI-VP\tO' -p211615 -aS'made\tmake\tVBN\tI-VP\tO' -p211616 -aS'.\t.\t.\tO\tO' -p211617 -asS'4. Coumadin 6.25 mg once a day .' -p211618 -(lp211619 -S'4.\t4.\tLS\tB-NP\tO' -p211620 -aS'Coumadin\tCoumadin\tNN\tI-NP\tO' -p211621 -aS'6.25\t6.25\tCD\tI-NP\tO' -p211622 -aS'mg\tmg\tNN\tI-NP\tO' -p211623 -aS'once\tonce\tRB\tB-ADVP\tO' -p211624 -aS'a\ta\tDT\tB-NP\tO' -p211625 -aS'day\tday\tNN\tI-NP\tO' -p211626 -aS'.\t.\t.\tO\tO' -p211627 -asS'1. Chronic obstructive pulmonary disease exacerbation .' -p211628 -(lp211629 -S'1.\t1.\tLS\tB-NP\tO' -p211630 -aS'Chronic\tChronic\tJJ\tI-NP\tO' -p211631 -aS'obstructive\tobstructive\tJJ\tI-NP\tO' -p211632 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p211633 -aS'disease\tdisease\tNN\tI-NP\tO' -p211634 -aS'exacerbation\texacerbation\tNN\tI-NP\tO' -p211635 -aS'.\t.\t.\tO\tO' -p211636 -asS'In PM extubated , transferred to floor 2016-03-23 .' -p211637 -(lp211638 -S'In\tIn\tIN\tB-PP\tO' -p211639 -aS'PM\tPM\tNN\tB-NP\tO' -p211640 -aS'extubated\textubate\tVBN\tB-VP\tO' -p211641 -aS',\t,\t,\tO\tO' -p211642 -aS'transferred\ttransfer\tVBN\tB-VP\tO' -p211643 -aS'to\tto\tTO\tB-PP\tO' -p211644 -aS'floor\tfloor\tNN\tB-NP\tO' -p211645 -aS'2016-03-23\t2016-03-23\tCD\tI-NP\tO' -p211646 -aS'.\t.\t.\tO\tO' -p211647 -asS'Ri Strength is a 40 year old man with a history of GERD , who presents with abdominal pain of seven days duration .' -p211648 -(lp211649 -S'Ri\tRi\tNNP\tB-NP\tO' -p211650 -aS'Strength\tStrength\tNNP\tI-NP\tO' -p211651 -aS'is\tbe\tVBZ\tB-VP\tO' -p211652 -aS'a\ta\tDT\tB-NP\tO' -p211653 -aS'40\t40\tCD\tI-NP\tO' -p211654 -aS'year\tyear\tNN\tI-NP\tO' -p211655 -aS'old\told\tJJ\tI-NP\tO' -p211656 -aS'man\tman\tNN\tI-NP\tO' -p211657 -aS'with\twith\tIN\tB-PP\tO' -p211658 -aS'a\ta\tDT\tB-NP\tO' -p211659 -aS'history\thistory\tNN\tI-NP\tO' -p211660 -aS'of\tof\tIN\tB-PP\tO' -p211661 -aS'GERD\tGERD\tNNP\tB-NP\tO' -p211662 -aS',\t,\t,\tO\tO' -p211663 -aS'who\twho\tWP\tB-NP\tO' -p211664 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p211665 -aS'with\twith\tIN\tB-PP\tO' -p211666 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p211667 -aS'pain\tpain\tNN\tI-NP\tO' -p211668 -aS'of\tof\tIN\tB-PP\tO' -p211669 -aS'seven\tseven\tCD\tB-NP\tO' -p211670 -aS'days\tday\tNNS\tI-NP\tO' -p211671 -aS'duration\tduration\tNN\tI-NP\tO' -p211672 -aS'.\t.\t.\tO\tO' -p211673 -asS'The patient was employed as a salesman .' -p211674 -(lp211675 -S'The\tThe\tDT\tB-NP\tO' -p211676 -aS'patient\tpatient\tNN\tI-NP\tO' -p211677 -aS'was\tbe\tVBD\tB-VP\tO' -p211678 -aS'employed\temploy\tVBN\tI-VP\tO' -p211679 -aS'as\tas\tIN\tB-PP\tO' -p211680 -aS'a\ta\tDT\tB-NP\tO' -p211681 -aS'salesman\tsalesman\tNN\tI-NP\tO' -p211682 -aS'.\t.\t.\tO\tO' -p211683 -asS'Maternal history notable for hypothyroidism on Levoxyl .' -p211684 -(lp211685 -S'Maternal\tMaternal\tJJ\tB-NP\tO' -p211686 -aS'history\thistory\tNN\tI-NP\tO' -p211687 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p211688 -aS'for\tfor\tIN\tB-PP\tO' -p211689 -aS'hypothyroidism\thypothyroidism\tNN\tB-NP\tO' -p211690 -aS'on\ton\tIN\tB-PP\tO' -p211691 -aS'Levoxyl\tLevoxyl\tNN\tB-NP\tO' -p211692 -aS'.\t.\t.\tO\tO' -p211693 -asS'On November 30 , a family meeting with patient 's daughter and spouse , along with primary oncologist , Dr. Tomedankell Bile , attending physician , Dr. Mellerny Close , and house staff , was held to discuss patient 's critical condition and inability to prevent progression of skin , sinus and neurological Acanthamoeba infection on maximal antimicrobial therapy .' -p211694 -(lp211695 -S'On\tOn\tIN\tB-PP\tO' -p211696 -aS'November\tNovember\tNNP\tB-NP\tO' -p211697 -aS'30\t30\tCD\tI-NP\tO' -p211698 -aS',\t,\t,\tO\tO' -p211699 -aS'a\ta\tDT\tB-NP\tO' -p211700 -aS'family\tfamily\tNN\tI-NP\tO' -p211701 -aS'meeting\tmeeting\tNN\tI-NP\tO' -p211702 -aS'with\twith\tIN\tB-PP\tO' -p211703 -aS'patient\tpatient\tNN\tB-NP\tO' -p211704 -aS''s\t'\tNNS\tI-NP\tO' -p211705 -aS'daughter\tdaughter\tNN\tI-NP\tO' -p211706 -aS'and\tand\tCC\tI-NP\tO' -p211707 -aS'spouse\tspouse\tNN\tI-NP\tO' -p211708 -aS',\t,\t,\tO\tO' -p211709 -aS'along\talong\tIN\tB-PP\tO' -p211710 -aS'with\twith\tIN\tB-PP\tO' -p211711 -aS'primary\tprimary\tJJ\tB-NP\tO' -p211712 -aS'oncologist\toncologist\tNN\tI-NP\tO' -p211713 -aS',\t,\t,\tO\tO' -p211714 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p211715 -aS'Tomedankell\tTomedankell\tNNP\tI-NP\tO' -p211716 -aS'Bile\tBile\tNNP\tI-NP\tO' -p211717 -aS',\t,\t,\tO\tO' -p211718 -aS'attending\tattend\tVBG\tB-VP\tO' -p211719 -aS'physician\tphysician\tNN\tB-NP\tO' -p211720 -aS',\t,\t,\tO\tO' -p211721 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p211722 -aS'Mellerny\tMellerny\tNNP\tI-NP\tO' -p211723 -aS'Close\tClose\tNNP\tI-NP\tO' -p211724 -aS',\t,\t,\tO\tO' -p211725 -aS'and\tand\tCC\tO\tO' -p211726 -aS'house\thouse\tNN\tB-NP\tO' -p211727 -aS'staff\tstaff\tNN\tI-NP\tO' -p211728 -aS',\t,\t,\tO\tO' -p211729 -aS'was\tbe\tVBD\tB-VP\tO' -p211730 -aS'held\thold\tVBN\tI-VP\tO' -p211731 -aS'to\tto\tTO\tI-VP\tO' -p211732 -aS'discuss\tdiscuss\tVB\tI-VP\tO' -p211733 -aS'patient\tpatient\tNN\tB-NP\tO' -p211734 -aS''s\t'\tNNS\tI-NP\tO' -p211735 -aS'critical\tcritical\tJJ\tB-NP\tO' -p211736 -aS'condition\tcondition\tNN\tI-NP\tO' -p211737 -aS'and\tand\tCC\tI-NP\tO' -p211738 -aS'inability\tinability\tNN\tI-NP\tO' -p211739 -aS'to\tto\tTO\tB-VP\tO' -p211740 -aS'prevent\tprevent\tVB\tI-VP\tO' -p211741 -aS'progression\tprogression\tNN\tB-NP\tO' -p211742 -aS'of\tof\tIN\tB-PP\tO' -p211743 -aS'skin\tskin\tNN\tB-NP\tO' -p211744 -aS',\t,\t,\tO\tO' -p211745 -aS'sinus\tsinus\tNN\tB-NP\tO' -p211746 -aS'and\tand\tCC\tO\tO' -p211747 -aS'neurological\tneurological\tJJ\tB-NP\tO' -p211748 -aS'Acanthamoeba\tAcanthamoeba\tNNP\tI-NP\tO' -p211749 -aS'infection\tinfection\tNN\tI-NP\tO' -p211750 -aS'on\ton\tIN\tB-PP\tO' -p211751 -aS'maximal\tmaximal\tJJ\tB-NP\tO' -p211752 -aS'antimicrobial\tantimicrobial\tJJ\tI-NP\tO' -p211753 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p211754 -aS'.\t.\t.\tO\tO' -p211755 -asS'# Depression - continued home regimen' -p211756 -(lp211757 -S'#\t#\t#\tB-NP\tO' -p211758 -aS'Depression\tDepression\tNN\tI-NP\tO' -p211759 -aS'-\t-\tHYPH\tO\tO' -p211760 -aS'continued\tcontinue\tVBN\tB-NP\tO' -p211761 -aS'home\thome\tNN\tI-NP\tO' -p211762 -aS'regimen\tregimen\tNN\tI-NP\tO' -p211763 -asS'This medication should be continued as an outpatient at least while the bleed has time to clear up , with planned titration up to 1000 mg bid on 04-05 .' -p211764 -(lp211765 -S'This\tThis\tDT\tB-NP\tO' -p211766 -aS'medication\tmedication\tNN\tI-NP\tO' -p211767 -aS'should\tshould\tMD\tB-VP\tO' -p211768 -aS'be\tbe\tVB\tI-VP\tO' -p211769 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p211770 -aS'as\tas\tIN\tB-PP\tO' -p211771 -aS'an\tan\tDT\tB-NP\tO' -p211772 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p211773 -aS'at\tat\tIN\tB-ADVP\tO' -p211774 -aS'least\tleast\tJJS\tI-ADVP\tO' -p211775 -aS'while\twhile\tIN\tB-SBAR\tO' -p211776 -aS'the\tthe\tDT\tB-NP\tO' -p211777 -aS'bleed\tbleed\tNN\tI-NP\tO' -p211778 -aS'has\thave\tVBZ\tB-VP\tO' -p211779 -aS'time\ttime\tNN\tB-NP\tO' -p211780 -aS'to\tto\tTO\tB-VP\tO' -p211781 -aS'clear\tclear\tVB\tI-VP\tO' -p211782 -aS'up\tup\tRP\tB-PRT\tO' -p211783 -aS',\t,\t,\tO\tO' -p211784 -aS'with\twith\tIN\tB-PP\tO' -p211785 -aS'planned\tplan\tVBN\tB-NP\tO' -p211786 -aS'titration\ttitration\tNN\tI-NP\tO' -p211787 -aS'up\tup\tIN\tB-NP\tO' -p211788 -aS'to\tto\tTO\tI-NP\tO' -p211789 -aS'1000\t1000\tCD\tI-NP\tO' -p211790 -aS'mg\tmg\tNN\tI-NP\tO' -p211791 -aS'bid\tbid\tRB\tB-ADVP\tO' -p211792 -aS'on\ton\tIN\tB-PP\tO' -p211793 -aS'04-05\t04-05\tCD\tB-NP\tO' -p211794 -aS'.\t.\t.\tO\tO' -p211795 -asS'His oxygenation and symptoms remained stable and again tolerated p.o. without difficulty .' -p211796 -(lp211797 -S'His\tHis\tPRP$\tB-NP\tO' -p211798 -aS'oxygenation\toxygenation\tNN\tI-NP\tO' -p211799 -aS'and\tand\tCC\tI-NP\tO' -p211800 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p211801 -aS'remained\tremain\tVBD\tB-VP\tO' -p211802 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p211803 -aS'and\tand\tCC\tO\tO' -p211804 -aS'again\tagain\tRB\tB-NP\tO' -p211805 -aS'tolerated\ttolerate\tVBN\tI-NP\tO' -p211806 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p211807 -aS'without\twithout\tIN\tB-PP\tO' -p211808 -aS'difficulty\tdifficulty\tNN\tB-NP\tO' -p211809 -aS'.\t.\t.\tO\tO' -p211810 -asS'Transferred today from Ez Ephtro Health Center on LMWH for R / O PE vs pneumonia vs tumor invasion .' -p211811 -(lp211812 -S'Transferred\tTransfer\tVBN\tB-VP\tO' -p211813 -aS'today\ttoday\tNN\tB-NP\tO' -p211814 -aS'from\tfrom\tIN\tB-PP\tO' -p211815 -aS'Ez\tEz\tNNP\tB-NP\tO' -p211816 -aS'Ephtro\tEphtro\tNNP\tI-NP\tO' -p211817 -aS'Health\tHealth\tNNP\tI-NP\tO' -p211818 -aS'Center\tCenter\tNNP\tI-NP\tO' -p211819 -aS'on\ton\tIN\tB-PP\tO' -p211820 -aS'LMWH\tLMWH\tNNP\tB-NP\tO' -p211821 -aS'for\tfor\tIN\tB-PP\tO' -p211822 -aS'R\tR\tNN\tB-NP\tB-protein' -p211823 -aS'/\t/\tSYM\tI-NP\tO' -p211824 -aS'O\tO\tNN\tI-NP\tO' -p211825 -aS'PE\tPE\tNN\tI-NP\tO' -p211826 -aS'vs\tvs\tIN\tB-PP\tO' -p211827 -aS'pneumonia\tpneumonia\tNN\tB-NP\tO' -p211828 -aS'vs\tvs\tCC\tI-NP\tO' -p211829 -aS'tumor\ttumor\tNN\tI-NP\tO' -p211830 -aS'invasion\tinvasion\tNN\tI-NP\tO' -p211831 -aS'.\t.\t.\tO\tO' -p211832 -asS'Potassium Chloride 20 mEq PO BID' -p211833 -(lp211834 -S'Potassium\tPotassium\tNN\tB-NP\tO' -p211835 -aS'Chloride\tChloride\tNN\tI-NP\tO' -p211836 -aS'20\t20\tCD\tI-NP\tO' -p211837 -aS'mEq\tmEq\tNN\tI-NP\tO' -p211838 -aS'PO\tPO\tNN\tI-NP\tO' -p211839 -aS'BID\tBID\tNN\tI-NP\tO' -p211840 -asS'Satisfactory .' -p211841 -(lp211842 -S'Satisfactory\tSatisfactory\tJJ\tB-ADJP\tO' -p211843 -aS'.\t.\t.\tO\tO' -p211844 -asS'At this point , he was ready to be discharged to rehabilitation .' -p211845 -(lp211846 -S'At\tAt\tIN\tB-PP\tO' -p211847 -aS'this\tthis\tDT\tB-NP\tO' -p211848 -aS'point\tpoint\tNN\tI-NP\tO' -p211849 -aS',\t,\t,\tO\tO' -p211850 -aS'he\the\tPRP\tB-NP\tO' -p211851 -aS'was\tbe\tVBD\tB-VP\tO' -p211852 -aS'ready\tready\tJJ\tB-ADJP\tO' -p211853 -aS'to\tto\tTO\tB-VP\tO' -p211854 -aS'be\tbe\tVB\tI-VP\tO' -p211855 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p211856 -aS'to\tto\tTO\tB-PP\tO' -p211857 -aS'rehabilitation\trehabilitation\tNN\tB-NP\tO' -p211858 -aS'.\t.\t.\tO\tO' -p211859 -asS'Regular , rate and rhythm .' -p211860 -(lp211861 -S'Regular\tRegular\tJJ\tB-NP\tO' -p211862 -aS',\t,\t,\tI-NP\tO' -p211863 -aS'rate\trate\tNN\tI-NP\tO' -p211864 -aS'and\tand\tCC\tI-NP\tO' -p211865 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p211866 -aS'.\t.\t.\tO\tO' -p211867 -asS"1. CAD s/p LAD stent in ' 98 + RCA stet in ' 00 with repeat RCA stent in ' 04 ." -p211868 -(lp211869 -S'1.\t1.\tLS\tB-NP\tO' -p211870 -aS'CAD\tCAD\tNN\tI-NP\tO' -p211871 -aS's/p\ts/p\tNN\tI-NP\tO' -p211872 -aS'LAD\tLAD\tNN\tI-NP\tO' -p211873 -aS'stent\tstent\tNN\tI-NP\tO' -p211874 -aS'in\tin\tIN\tB-PP\tO' -p211875 -aS"'\t'\tSYM\tB-NP\tO" -p211876 -aS'98\t98\tCD\tI-NP\tO' -p211877 -aS'+\t+\tSYM\tI-NP\tO' -p211878 -aS'RCA\tRCA\tNN\tI-NP\tO' -p211879 -aS'stet\tstet\tNN\tI-NP\tO' -p211880 -aS'in\tin\tIN\tB-PP\tO' -p211881 -aS"'\t'\t``\tO\tO" -p211882 -aS'00\t00\tCD\tB-NP\tO' -p211883 -aS'with\twith\tIN\tB-PP\tO' -p211884 -aS'repeat\trepeat\tNN\tB-NP\tO' -p211885 -aS'RCA\tRCA\tNN\tI-NP\tO' -p211886 -aS'stent\tstent\tNN\tI-NP\tO' -p211887 -aS'in\tin\tIN\tB-PP\tO' -p211888 -aS"'\t'\t''\tO\tO" -p211889 -aS'04\t04\tCD\tB-NP\tO' -p211890 -aS'.\t.\t.\tO\tO' -p211891 -asS'ekg = normal , cxr normal , ddimer / cardiac enzymes negative' -p211892 -(lp211893 -S'ekg\tekg\tNN\tB-NP\tO' -p211894 -aS'=\t=\tSYM\tB-VP\tO' -p211895 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p211896 -aS',\t,\t,\tO\tO' -p211897 -aS'cxr\tcxr\tNN\tB-NP\tO' -p211898 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p211899 -aS',\t,\t,\tO\tO' -p211900 -aS'ddimer\tddimer\tNN\tB-NP\tO' -p211901 -aS'/\t/\tSYM\tB-VP\tO' -p211902 -aS'cardiac\tcardiac\tJJ\tB-NP\tB-protein' -p211903 -aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' -p211904 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p211905 -asS'No history of sexually transmitted disease , no history of domestic violence .' -p211906 -(lp211907 -S'No\tNo\tDT\tB-NP\tO' -p211908 -aS'history\thistory\tNN\tI-NP\tO' -p211909 -aS'of\tof\tIN\tB-PP\tO' -p211910 -aS'sexually\tsexually\tRB\tB-NP\tO' -p211911 -aS'transmitted\ttransmit\tVBN\tI-NP\tO' -p211912 -aS'disease\tdisease\tNN\tI-NP\tO' -p211913 -aS',\t,\t,\tO\tO' -p211914 -aS'no\tno\tDT\tB-NP\tO' -p211915 -aS'history\thistory\tNN\tI-NP\tO' -p211916 -aS'of\tof\tIN\tB-PP\tO' -p211917 -aS'domestic\tdomestic\tJJ\tB-NP\tO' -p211918 -aS'violence\tviolence\tNN\tI-NP\tO' -p211919 -aS'.\t.\t.\tO\tO' -p211920 -asS'Fax number is ( 617 ) 455-4585 .' -p211921 -(lp211922 -S'Fax\tFax\tNN\tB-NP\tB-protein' -p211923 -aS'number\tnumber\tNN\tI-NP\tO' -p211924 -aS'is\tbe\tVBZ\tB-VP\tO' -p211925 -aS'(\t(\t(\tO\tO' -p211926 -aS'617\t617\tCD\tB-NP\tO' -p211927 -aS')\t)\t)\tO\tO' -p211928 -aS'455-4585\t455-4585\tCD\tB-NP\tO' -p211929 -aS'.\t.\t.\tO\tO' -p211930 -asS'The patient had completed her antibiotic course while in house .' -p211931 -(lp211932 -S'The\tThe\tDT\tB-NP\tO' -p211933 -aS'patient\tpatient\tNN\tI-NP\tO' -p211934 -aS'had\thave\tVBD\tB-VP\tO' -p211935 -aS'completed\tcomplete\tVBN\tI-VP\tO' -p211936 -aS'her\ther\tPRP$\tB-NP\tO' -p211937 -aS'antibiotic\tantibiotic\tJJ\tI-NP\tO' -p211938 -aS'course\tcourse\tNN\tI-NP\tO' -p211939 -aS'while\twhile\tIN\tB-SBAR\tO' -p211940 -aS'in\tin\tIN\tB-PP\tO' -p211941 -aS'house\thouse\tNN\tB-NP\tO' -p211942 -aS'.\t.\t.\tO\tO' -p211943 -asS'There is severe mitral annular calcification .' -p211944 -(lp211945 -S'There\tThere\tEX\tB-NP\tO' -p211946 -aS'is\tbe\tVBZ\tB-VP\tO' -p211947 -aS'severe\tsevere\tJJ\tB-NP\tO' -p211948 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p211949 -aS'annular\tannular\tJJ\tI-NP\tO' -p211950 -aS'calcification\tcalcification\tNN\tI-NP\tO' -p211951 -aS'.\t.\t.\tO\tO' -p211952 -asS'This is an addendum to the discharge summary that was dictated earlier this morning .' -p211953 -(lp211954 -S'This\tThis\tDT\tB-NP\tO' -p211955 -aS'is\tbe\tVBZ\tB-VP\tO' -p211956 -aS'an\tan\tDT\tB-NP\tO' -p211957 -aS'addendum\taddendum\tNN\tI-NP\tO' -p211958 -aS'to\tto\tTO\tB-PP\tO' -p211959 -aS'the\tthe\tDT\tB-NP\tO' -p211960 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p211961 -aS'summary\tsummary\tNN\tI-NP\tO' -p211962 -aS'that\tthat\tWDT\tB-NP\tO' -p211963 -aS'was\tbe\tVBD\tB-VP\tO' -p211964 -aS'dictated\tdictate\tVBN\tI-VP\tO' -p211965 -aS'earlier\tearlier\tRBR\tB-NP\tO' -p211966 -aS'this\tthis\tDT\tI-NP\tO' -p211967 -aS'morning\tmorning\tNN\tI-NP\tO' -p211968 -aS'.\t.\t.\tO\tO' -p211969 -asS'The small bowel follow through was within normal limits .' -p211970 -(lp211971 -S'The\tThe\tDT\tB-NP\tO' -p211972 -aS'small\tsmall\tJJ\tI-NP\tO' -p211973 -aS'bowel\tbowel\tNN\tI-NP\tO' -p211974 -aS'follow\tfollow\tNN\tI-NP\tO' -p211975 -aS'through\tthrough\tIN\tB-NP\tO' -p211976 -aS'was\tbe\tVBD\tB-VP\tO' -p211977 -aS'within\twithin\tIN\tB-PP\tO' -p211978 -aS'normal\tnormal\tJJ\tB-NP\tO' -p211979 -aS'limits\tlimit\tNNS\tI-NP\tO' -p211980 -aS'.\t.\t.\tO\tO' -p211981 -asS'Toprol XL 100 mg daily , Hydralazine 25 mg daily , Lasix 40 mg twice a day , digoxin 0.75 mg daily , Lovenox 40 mg twice daily subcutaneously and albuterol p.r.n.' -p211982 -(lp211983 -S'Toprol\tToprol\tNN\tB-NP\tO' -p211984 -aS'XL\tXL\tNN\tI-NP\tO' -p211985 -aS'100\t100\tCD\tI-NP\tO' -p211986 -aS'mg\tmg\tNN\tI-NP\tO' -p211987 -aS'daily\tdaily\tJJ\tB-ADJP\tO' -p211988 -aS',\t,\t,\tO\tO' -p211989 -aS'Hydralazine\tHydralazine\tNN\tB-NP\tO' -p211990 -aS'25\t25\tCD\tI-NP\tO' -p211991 -aS'mg\tmg\tNN\tI-NP\tO' -p211992 -aS'daily\tdaily\tRB\tB-ADVP\tO' -p211993 -aS',\t,\t,\tO\tO' -p211994 -aS'Lasix\tLasix\tNNP\tB-NP\tO' -p211995 -aS'40\t40\tCD\tI-NP\tO' -p211996 -aS'mg\tmg\tNN\tI-NP\tO' -p211997 -aS'twice\ttwice\tRB\tB-NP\tO' -p211998 -aS'a\ta\tDT\tI-NP\tO' -p211999 -aS'day\tday\tNN\tI-NP\tO' -p212000 -aS',\t,\t,\tO\tO' -p212001 -aS'digoxin\tdigoxin\tNN\tB-NP\tO' -p212002 -aS'0.75\t0.75\tCD\tI-NP\tO' -p212003 -aS'mg\tmg\tNN\tI-NP\tO' -p212004 -aS'daily\tdaily\tRB\tB-ADVP\tO' -p212005 -aS',\t,\t,\tO\tO' -p212006 -aS'Lovenox\tLovenox\tNNP\tB-NP\tO' -p212007 -aS'40\t40\tCD\tI-NP\tO' -p212008 -aS'mg\tmg\tNN\tI-NP\tO' -p212009 -aS'twice\ttwice\tRB\tB-ADVP\tO' -p212010 -aS'daily\tdaily\tRB\tI-ADVP\tO' -p212011 -aS'subcutaneously\tsubcutaneously\tRB\tI-ADVP\tO' -p212012 -aS'and\tand\tCC\tO\tO' -p212013 -aS'albuterol\talbuterol\tNN\tB-NP\tO' -p212014 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p212015 -asS'His ambulation was minimal and always with assistance but he had a transurethral resection of the prostate on 09/14/96 .' -p212016 -(lp212017 -S'His\tHis\tPRP$\tB-NP\tO' -p212018 -aS'ambulation\tambulation\tNN\tI-NP\tO' -p212019 -aS'was\tbe\tVBD\tB-VP\tO' -p212020 -aS'minimal\tminimal\tJJ\tB-ADJP\tO' -p212021 -aS'and\tand\tCC\tO\tO' -p212022 -aS'always\talways\tRB\tB-ADVP\tO' -p212023 -aS'with\twith\tIN\tB-PP\tO' -p212024 -aS'assistance\tassistance\tNN\tB-NP\tO' -p212025 -aS'but\tbut\tCC\tO\tO' -p212026 -aS'he\the\tPRP\tB-NP\tO' -p212027 -aS'had\thave\tVBD\tB-VP\tO' -p212028 -aS'a\ta\tDT\tB-NP\tO' -p212029 -aS'transurethral\ttransurethral\tJJ\tI-NP\tO' -p212030 -aS'resection\tresection\tNN\tI-NP\tO' -p212031 -aS'of\tof\tIN\tB-PP\tO' -p212032 -aS'the\tthe\tDT\tB-NP\tO' -p212033 -aS'prostate\tprostate\tNN\tI-NP\tO' -p212034 -aS'on\ton\tIN\tB-PP\tO' -p212035 -aS'09/14/96\t09/14/96\tCD\tB-NP\tO' -p212036 -aS'.\t.\t.\tO\tO' -p212037 -asS'Rinse well .' -p212038 -(lp212039 -S'Rinse\tRinse\tNN\tB-NP\tO' -p212040 -aS'well\twell\tRB\tB-ADVP\tO' -p212041 -aS'.\t.\t.\tO\tO' -p212042 -asS'12. Status post PEG tube placement 2017-07-21' -p212043 -(lp212044 -S'12.\t12.\tLS\tB-LST\tO' -p212045 -aS'Status\tStatus\tNNP\tB-NP\tO' -p212046 -aS'post\tpost\tIN\tB-PP\tO' -p212047 -aS'PEG\tPEG\tNNP\tB-NP\tO' -p212048 -aS'tube\ttube\tNN\tI-NP\tO' -p212049 -aS'placement\tplacement\tNN\tI-NP\tO' -p212050 -aS'2017-07-21\t2017-07-21\tCD\tI-NP\tO' -p212051 -asS'His saturations improved quickly on 100% non-rebreather mask within 15 to 20 minutes .' -p212052 -(lp212053 -S'His\tHis\tPRP$\tB-NP\tO' -p212054 -aS'saturations\tsaturation\tNNS\tI-NP\tO' -p212055 -aS'improved\timprove\tVBD\tB-VP\tO' -p212056 -aS'quickly\tquickly\tRB\tB-ADVP\tO' -p212057 -aS'on\ton\tIN\tB-PP\tO' -p212058 -aS'100%\t100%\tCD\tB-NP\tO' -p212059 -aS'non-rebreather\tnon-rebreather\tJJ\tI-NP\tO' -p212060 -aS'mask\tmask\tNN\tI-NP\tO' -p212061 -aS'within\twithin\tIN\tB-PP\tO' -p212062 -aS'15\t15\tCD\tB-NP\tO' -p212063 -aS'to\tto\tTO\tI-NP\tO' -p212064 -aS'20\t20\tCD\tI-NP\tO' -p212065 -aS'minutes\tminute\tNNS\tI-NP\tO' -p212066 -aS'.\t.\t.\tO\tO' -p212067 -asS'Follow-up CT was obtained the second day of admission .' -p212068 -(lp212069 -S'Follow-up\tFollow-up\tJJ\tB-NP\tO' -p212070 -aS'CT\tCT\tNN\tI-NP\tO' -p212071 -aS'was\tbe\tVBD\tB-VP\tO' -p212072 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p212073 -aS'the\tthe\tDT\tB-NP\tO' -p212074 -aS'second\tsecond\tJJ\tI-NP\tO' -p212075 -aS'day\tday\tNN\tI-NP\tO' -p212076 -aS'of\tof\tIN\tB-PP\tO' -p212077 -aS'admission\tadmission\tNN\tB-NP\tO' -p212078 -aS'.\t.\t.\tO\tO' -p212079 -asS'On the day prior to admission , the patient 's family noted that " he looked yellow " and presented to the Lorough Medical Center 's Emergency Department this after noon .' -p212080 -(lp212081 -S'On\tOn\tIN\tB-PP\tO' -p212082 -aS'the\tthe\tDT\tB-NP\tO' -p212083 -aS'day\tday\tNN\tI-NP\tO' -p212084 -aS'prior\tprior\tRB\tB-ADVP\tO' -p212085 -aS'to\tto\tTO\tB-PP\tO' -p212086 -aS'admission\tadmission\tNN\tB-NP\tO' -p212087 -aS',\t,\t,\tO\tO' -p212088 -aS'the\tthe\tDT\tB-NP\tO' -p212089 -aS'patient\tpatient\tNN\tI-NP\tO' -p212090 -aS''s\t'\tNNS\tI-NP\tO' -p212091 -aS'family\tfamily\tNN\tI-NP\tO' -p212092 -aS'noted\tnote\tVBD\tB-VP\tO' -p212093 -aS'that\tthat\tIN\tB-SBAR\tO' -p212094 -aS'"\t"\tCC\tO\tO' -p212095 -aS'he\the\tPRP\tB-NP\tO' -p212096 -aS'looked\tlook\tVBD\tB-VP\tO' -p212097 -aS'yellow\tyellow\tJJ\tB-NP\tO' -p212098 -aS'"\t"\tNN\tI-NP\tO' -p212099 -aS'and\tand\tCC\tO\tO' -p212100 -aS'presented\tpresent\tVBN\tB-VP\tO' -p212101 -aS'to\tto\tTO\tB-PP\tO' -p212102 -aS'the\tthe\tDT\tB-NP\tO' -p212103 -aS'Lorough\tLorough\tNNP\tI-NP\tO' -p212104 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p212105 -aS'Center\tCenter\tNNP\tI-NP\tO' -p212106 -aS''s\t'\tNNS\tI-NP\tO' -p212107 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p212108 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p212109 -aS'this\tthis\tDT\tB-NP\tO' -p212110 -aS'after\tafter\tIN\tB-PP\tO' -p212111 -aS'noon\tnoon\tNN\tB-NP\tO' -p212112 -aS'.\t.\t.\tO\tO' -p212113 -asS'1+ lower extremity edema .' -p212114 -(lp212115 -S'1+\t1+\tLS\tB-LST\tO' -p212116 -aS'lower\tlow\tJJR\tB-NP\tO' -p212117 -aS'extremity\textremity\tNN\tI-NP\tO' -p212118 -aS'edema\tedema\tNN\tI-NP\tO' -p212119 -aS'.\t.\t.\tO\tO' -p212120 -asS'Her memory was fully intact for short-term recollection of three out of three objects at five minutes with excellent naming , repetition , proverb interpretation , and ability to follow commands .' -p212121 -(lp212122 -S'Her\tHer\tPRP$\tB-NP\tO' -p212123 -aS'memory\tmemory\tNN\tI-NP\tO' -p212124 -aS'was\tbe\tVBD\tB-VP\tO' -p212125 -aS'fully\tfully\tRB\tB-ADJP\tO' -p212126 -aS'intact\tintact\tJJ\tI-ADJP\tO' -p212127 -aS'for\tfor\tIN\tB-PP\tO' -p212128 -aS'short-term\tshort-term\tJJ\tB-NP\tO' -p212129 -aS'recollection\trecollection\tNN\tI-NP\tO' -p212130 -aS'of\tof\tIN\tB-PP\tO' -p212131 -aS'three\tthree\tCD\tB-NP\tO' -p212132 -aS'out\tout\tIN\tI-NP\tO' -p212133 -aS'of\tof\tIN\tI-NP\tO' -p212134 -aS'three\tthree\tCD\tI-NP\tO' -p212135 -aS'objects\tobject\tNNS\tI-NP\tO' -p212136 -aS'at\tat\tIN\tB-PP\tO' -p212137 -aS'five\tfive\tCD\tB-NP\tO' -p212138 -aS'minutes\tminute\tNNS\tI-NP\tO' -p212139 -aS'with\twith\tIN\tB-PP\tO' -p212140 -aS'excellent\texcellent\tJJ\tB-NP\tO' -p212141 -aS'naming\tnaming\tNN\tI-NP\tO' -p212142 -aS',\t,\t,\tO\tO' -p212143 -aS'repetition\trepetition\tNN\tB-NP\tO' -p212144 -aS',\t,\t,\tO\tO' -p212145 -aS'proverb\tproverb\tNN\tB-NP\tO' -p212146 -aS'interpretation\tinterpretation\tNN\tI-NP\tO' -p212147 -aS',\t,\t,\tO\tO' -p212148 -aS'and\tand\tCC\tO\tO' -p212149 -aS'ability\tability\tNN\tB-NP\tO' -p212150 -aS'to\tto\tTO\tB-VP\tO' -p212151 -aS'follow\tfollow\tVB\tI-VP\tO' -p212152 -aS'commands\tcommand\tNNS\tB-NP\tO' -p212153 -aS'.\t.\t.\tO\tO' -p212154 -asS'Plastic surgery was asked to evaluate the patient .' -p212155 -(lp212156 -S'Plastic\tPlastic\tJJ\tB-NP\tO' -p212157 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p212158 -aS'was\tbe\tVBD\tB-VP\tO' -p212159 -aS'asked\task\tVBN\tI-VP\tO' -p212160 -aS'to\tto\tTO\tI-VP\tO' -p212161 -aS'evaluate\tevaluate\tVB\tI-VP\tO' -p212162 -aS'the\tthe\tDT\tB-NP\tO' -p212163 -aS'patient\tpatient\tNN\tI-NP\tO' -p212164 -aS'.\t.\t.\tO\tO' -p212165 -asS'Lungs were clear to auscultation bilaterally , anteriorly and laterally .' -p212166 -(lp212167 -S'Lungs\tLung\tNNS\tB-NP\tO' -p212168 -aS'were\tbe\tVBD\tB-VP\tO' -p212169 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p212170 -aS'to\tto\tTO\tB-PP\tO' -p212171 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p212172 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p212173 -aS',\t,\t,\tO\tO' -p212174 -aS'anteriorly\tanteriorly\tRB\tB-ADVP\tO' -p212175 -aS'and\tand\tCC\tI-ADVP\tO' -p212176 -aS'laterally\tlaterally\tRB\tI-ADVP\tO' -p212177 -aS'.\t.\t.\tO\tO' -p212178 -asS'Percutaneous angioplasty of the right coronary artery , 4/9/95 .' -p212179 -(lp212180 -S'Percutaneous\tPercutaneous\tJJ\tB-NP\tO' -p212181 -aS'angioplasty\tangioplasty\tNN\tI-NP\tO' -p212182 -aS'of\tof\tIN\tB-PP\tO' -p212183 -aS'the\tthe\tDT\tB-NP\tO' -p212184 -aS'right\tright\tJJ\tI-NP\tO' -p212185 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p212186 -aS'artery\tartery\tNN\tI-NP\tO' -p212187 -aS',\t,\t,\tO\tO' -p212188 -aS'4/9/95\t4/9/95\tCD\tB-NP\tO' -p212189 -aS'.\t.\t.\tO\tO' -p212190 -asS'Briefly , she was originally diagnosed in April 1993 with lung carcinoma .' -p212191 -(lp212192 -S'Briefly\tBriefly\tRB\tB-ADVP\tO' -p212193 -aS',\t,\t,\tO\tO' -p212194 -aS'she\tshe\tPRP\tB-NP\tO' -p212195 -aS'was\tbe\tVBD\tB-VP\tO' -p212196 -aS'originally\toriginally\tRB\tI-VP\tO' -p212197 -aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' -p212198 -aS'in\tin\tIN\tB-PP\tO' -p212199 -aS'April\tApril\tNNP\tB-NP\tO' -p212200 -aS'1993\t1993\tCD\tI-NP\tO' -p212201 -aS'with\twith\tIN\tB-PP\tO' -p212202 -aS'lung\tlung\tNN\tB-NP\tO' -p212203 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p212204 -aS'.\t.\t.\tO\tO' -p212205 -asS'She has a history of easy bruis ability .' -p212206 -(lp212207 -S'She\tShe\tPRP\tB-NP\tO' -p212208 -aS'has\thave\tVBZ\tB-VP\tO' -p212209 -aS'a\ta\tDT\tB-NP\tO' -p212210 -aS'history\thistory\tNN\tI-NP\tO' -p212211 -aS'of\tof\tIN\tB-PP\tO' -p212212 -aS'easy\teasy\tJJ\tB-NP\tO' -p212213 -aS'bruis\tbruis\tNN\tI-NP\tO' -p212214 -aS'ability\tability\tNN\tI-NP\tO' -p212215 -aS'.\t.\t.\tO\tO' -p212216 -asS'The patient has a history of hypertension , coronary artery disease , previous myocardial infarction in 1983 , hypothyroidism , history of breast cancer and history of colon cancer .' -p212217 -(lp212218 -S'The\tThe\tDT\tB-NP\tO' -p212219 -aS'patient\tpatient\tNN\tI-NP\tO' -p212220 -aS'has\thave\tVBZ\tB-VP\tO' -p212221 -aS'a\ta\tDT\tB-NP\tO' -p212222 -aS'history\thistory\tNN\tI-NP\tO' -p212223 -aS'of\tof\tIN\tB-PP\tO' -p212224 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p212225 -aS',\t,\t,\tO\tO' -p212226 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p212227 -aS'artery\tartery\tNN\tI-NP\tO' -p212228 -aS'disease\tdisease\tNN\tI-NP\tO' -p212229 -aS',\t,\t,\tO\tO' -p212230 -aS'previous\tprevious\tJJ\tB-NP\tO' -p212231 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p212232 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p212233 -aS'in\tin\tIN\tB-PP\tO' -p212234 -aS'1983\t1983\tCD\tB-NP\tO' -p212235 -aS',\t,\t,\tO\tO' -p212236 -aS'hypothyroidism\thypothyroidism\tNN\tB-NP\tO' -p212237 -aS',\t,\t,\tO\tO' -p212238 -aS'history\thistory\tNN\tB-NP\tO' -p212239 -aS'of\tof\tIN\tB-PP\tO' -p212240 -aS'breast\tbreast\tNN\tB-NP\tO' -p212241 -aS'cancer\tcancer\tNN\tI-NP\tO' -p212242 -aS'and\tand\tCC\tO\tO' -p212243 -aS'history\thistory\tNN\tB-NP\tO' -p212244 -aS'of\tof\tIN\tB-PP\tO' -p212245 -aS'colon\tcolon\tNN\tB-NP\tO' -p212246 -aS'cancer\tcancer\tNN\tI-NP\tO' -p212247 -aS'.\t.\t.\tO\tO' -p212248 -asS'CBC , white count 6.7 , hematocrit 37.4 , platelets 280 .' -p212249 -(lp212250 -S'CBC\tCBC\tNN\tB-NP\tB-protein' -p212251 -aS',\t,\t,\tO\tO' -p212252 -aS'white\twhite\tJJ\tB-NP\tO' -p212253 -aS'count\tcount\tNN\tI-NP\tO' -p212254 -aS'6.7\t6.7\tCD\tI-NP\tO' -p212255 -aS',\t,\t,\tO\tO' -p212256 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p212257 -aS'37.4\t37.4\tCD\tI-NP\tI-protein' -p212258 -aS',\t,\t,\tO\tO' -p212259 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p212260 -aS'280\t280\tCD\tB-NP\tO' -p212261 -aS'.\t.\t.\tO\tO' -p212262 -asS'The patient went to the operating room on 2/14/03 for repair of the hernia .' -p212263 -(lp212264 -S'The\tThe\tDT\tB-NP\tO' -p212265 -aS'patient\tpatient\tNN\tI-NP\tO' -p212266 -aS'went\tgo\tVBD\tB-VP\tO' -p212267 -aS'to\tto\tTO\tB-PP\tO' -p212268 -aS'the\tthe\tDT\tB-NP\tO' -p212269 -aS'operating\toperating\tNN\tI-NP\tO' -p212270 -aS'room\troom\tNN\tI-NP\tO' -p212271 -aS'on\ton\tIN\tB-PP\tO' -p212272 -aS'2/14/03\t2/14/03\tCD\tB-NP\tO' -p212273 -aS'for\tfor\tIN\tB-PP\tO' -p212274 -aS'repair\trepair\tNN\tB-NP\tO' -p212275 -aS'of\tof\tIN\tB-PP\tO' -p212276 -aS'the\tthe\tDT\tB-NP\tO' -p212277 -aS'hernia\thernia\tNN\tI-NP\tO' -p212278 -aS'.\t.\t.\tO\tO' -p212279 -asS'There were no electrolytes or mineral abnormalities that could explain his delirium .' -p212280 -(lp212281 -S'There\tThere\tEX\tB-NP\tO' -p212282 -aS'were\tbe\tVBD\tB-VP\tO' -p212283 -aS'no\tno\tDT\tB-NP\tO' -p212284 -aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' -p212285 -aS'or\tor\tCC\tI-NP\tO' -p212286 -aS'mineral\tmineral\tNN\tI-NP\tO' -p212287 -aS'abnormalities\tabnormality\tNNS\tI-NP\tO' -p212288 -aS'that\tthat\tWDT\tB-NP\tO' -p212289 -aS'could\tcould\tMD\tB-VP\tO' -p212290 -aS'explain\texplain\tVB\tI-VP\tO' -p212291 -aS'his\this\tPRP$\tB-NP\tO' -p212292 -aS'delirium\tdelirium\tNN\tI-NP\tO' -p212293 -aS'.\t.\t.\tO\tO' -p212294 -asS'He tolerated the procedure well .' -p212295 -(lp212296 -S'He\tHe\tPRP\tB-NP\tO' -p212297 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p212298 -aS'the\tthe\tDT\tB-NP\tO' -p212299 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p212300 -aS'well\twell\tRB\tB-ADVP\tO' -p212301 -aS'.\t.\t.\tO\tO' -p212302 -asS'The abdomen was soft , nontender , nondistended , with normal active bowel sounds .' -p212303 -(lp212304 -S'The\tThe\tDT\tB-NP\tO' -p212305 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p212306 -aS'was\tbe\tVBD\tB-VP\tO' -p212307 -aS'soft\tsoft\tJJ\tB-NP\tO' -p212308 -aS',\t,\t,\tI-NP\tO' -p212309 -aS'nontender\tnontender\tJJ\tI-NP\tO' -p212310 -aS',\t,\t,\tI-NP\tO' -p212311 -aS'nondistended\tnondistended\tJJ\tI-NP\tO' -p212312 -aS',\t,\t,\tO\tO' -p212313 -aS'with\twith\tIN\tB-PP\tO' -p212314 -aS'normal\tnormal\tJJ\tB-NP\tO' -p212315 -aS'active\tactive\tJJ\tI-NP\tO' -p212316 -aS'bowel\tbowel\tNN\tI-NP\tO' -p212317 -aS'sounds\tsound\tNNS\tI-NP\tO' -p212318 -aS'.\t.\t.\tO\tO' -p212319 -asS'The patient was sent to the CCU and underwent aspirin desensitization protocol , which she tolerated well .' -p212320 -(lp212321 -S'The\tThe\tDT\tB-NP\tO' -p212322 -aS'patient\tpatient\tNN\tI-NP\tO' -p212323 -aS'was\tbe\tVBD\tB-VP\tO' -p212324 -aS'sent\tsend\tVBN\tI-VP\tO' -p212325 -aS'to\tto\tTO\tB-PP\tO' -p212326 -aS'the\tthe\tDT\tB-NP\tO' -p212327 -aS'CCU\tCCU\tNN\tI-NP\tB-DNA' -p212328 -aS'and\tand\tCC\tO\tO' -p212329 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p212330 -aS'aspirin\taspirin\tNN\tB-NP\tO' -p212331 -aS'desensitization\tdesensitization\tNN\tI-NP\tO' -p212332 -aS'protocol\tprotocol\tNN\tI-NP\tO' -p212333 -aS',\t,\t,\tO\tO' -p212334 -aS'which\twhich\tWDT\tB-NP\tO' -p212335 -aS'she\tshe\tPRP\tB-NP\tO' -p212336 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p212337 -aS'well\twell\tRB\tB-ADVP\tO' -p212338 -aS'.\t.\t.\tO\tO' -p212339 -asS'Her captopril was discontinued , and she was given two IV fluid boluses with appropriate response .' -p212340 -(lp212341 -S'Her\tHer\tPRP$\tB-NP\tO' -p212342 -aS'captopril\tcaptopril\tNN\tI-NP\tO' -p212343 -aS'was\tbe\tVBD\tB-VP\tO' -p212344 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p212345 -aS',\t,\t,\tO\tO' -p212346 -aS'and\tand\tCC\tO\tO' -p212347 -aS'she\tshe\tPRP\tB-NP\tO' -p212348 -aS'was\tbe\tVBD\tB-VP\tO' -p212349 -aS'given\tgive\tVBN\tI-VP\tO' -p212350 -aS'two\ttwo\tCD\tB-NP\tO' -p212351 -aS'IV\tIV\tCD\tI-NP\tO' -p212352 -aS'fluid\tfluid\tNN\tI-NP\tO' -p212353 -aS'boluses\tbolus\tNNS\tI-NP\tO' -p212354 -aS'with\twith\tIN\tB-PP\tO' -p212355 -aS'appropriate\tappropriate\tJJ\tB-NP\tO' -p212356 -aS'response\tresponse\tNN\tI-NP\tO' -p212357 -aS'.\t.\t.\tO\tO' -p212358 -asS'Repeat CXR showed improvement of the effusion and on discharge he had been breathing well on room air without complications' -p212359 -(lp212360 -S'Repeat\tRepeat\tNN\tB-NP\tO' -p212361 -aS'CXR\tCXR\tNN\tI-NP\tO' -p212362 -aS'showed\tshow\tVBD\tB-VP\tO' -p212363 -aS'improvement\timprovement\tNN\tB-NP\tO' -p212364 -aS'of\tof\tIN\tB-PP\tO' -p212365 -aS'the\tthe\tDT\tB-NP\tO' -p212366 -aS'effusion\teffusion\tNN\tI-NP\tO' -p212367 -aS'and\tand\tCC\tB-PP\tO' -p212368 -aS'on\ton\tIN\tB-PP\tO' -p212369 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p212370 -aS'he\the\tPRP\tB-NP\tO' -p212371 -aS'had\thave\tVBD\tB-VP\tO' -p212372 -aS'been\tbe\tVBN\tI-VP\tO' -p212373 -aS'breathing\tbreathe\tVBG\tI-VP\tO' -p212374 -aS'well\twell\tRB\tB-ADVP\tO' -p212375 -aS'on\ton\tIN\tB-PP\tO' -p212376 -aS'room\troom\tNN\tB-NP\tO' -p212377 -aS'air\tair\tNN\tI-NP\tO' -p212378 -aS'without\twithout\tIN\tB-PP\tO' -p212379 -aS'complications\tcomplication\tNNS\tB-NP\tO' -p212380 -asS'The jugular venous pressure was elevated at 6 cm above the sternal angle .' -p212381 -(lp212382 -S'The\tThe\tDT\tB-NP\tO' -p212383 -aS'jugular\tjugular\tJJ\tI-NP\tO' -p212384 -aS'venous\tvenous\tJJ\tI-NP\tO' -p212385 -aS'pressure\tpressure\tNN\tI-NP\tO' -p212386 -aS'was\tbe\tVBD\tB-VP\tO' -p212387 -aS'elevated\televate\tVBN\tI-VP\tO' -p212388 -aS'at\tat\tIN\tB-PP\tO' -p212389 -aS'6\t6\tCD\tB-NP\tO' -p212390 -aS'cm\tcm\tNN\tI-NP\tO' -p212391 -aS'above\tabove\tIN\tB-PP\tO' -p212392 -aS'the\tthe\tDT\tB-NP\tO' -p212393 -aS'sternal\tsternal\tJJ\tI-NP\tO' -p212394 -aS'angle\tangle\tNN\tI-NP\tO' -p212395 -aS'.\t.\t.\tO\tO' -p212396 -asS'2) ASPIRATION PNEUMONIA .' -p212397 -(lp212398 -S'2)\t2)\tLS\tB-NP\tO' -p212399 -aS'ASPIRATION\tASPIRATION\tNN\tI-NP\tO' -p212400 -aS'PNEUMONIA\tPNEUMONIA\tNN\tI-NP\tO' -p212401 -aS'.\t.\t.\tO\tO' -p212402 -asS'He was asked to follow up with Dr. Riale Tables , his cardiologist , in a period of 1 to 2 weeks ; he also works at Necrestneysagiles Medical Center .' -p212403 -(lp212404 -S'He\tHe\tPRP\tB-NP\tO' -p212405 -aS'was\tbe\tVBD\tB-VP\tO' -p212406 -aS'asked\task\tVBN\tI-VP\tO' -p212407 -aS'to\tto\tTO\tI-VP\tO' -p212408 -aS'follow\tfollow\tVB\tI-VP\tO' -p212409 -aS'up\tup\tRP\tB-PRT\tO' -p212410 -aS'with\twith\tIN\tB-PP\tO' -p212411 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p212412 -aS'Riale\tRiale\tNNP\tI-NP\tO' -p212413 -aS'Tables\tTables\tNNP\tI-NP\tO' -p212414 -aS',\t,\t,\tO\tO' -p212415 -aS'his\this\tPRP$\tB-NP\tO' -p212416 -aS'cardiologist\tcardiologist\tNN\tI-NP\tO' -p212417 -aS',\t,\t,\tO\tO' -p212418 -aS'in\tin\tIN\tB-PP\tO' -p212419 -aS'a\ta\tDT\tB-NP\tO' -p212420 -aS'period\tperiod\tNN\tI-NP\tO' -p212421 -aS'of\tof\tIN\tB-PP\tO' -p212422 -aS'1\t1\tCD\tB-NP\tO' -p212423 -aS'to\tto\tTO\tI-NP\tO' -p212424 -aS'2\t2\tCD\tI-NP\tO' -p212425 -aS'weeks\tweek\tNNS\tI-NP\tO' -p212426 -aS';\t;\t:\tO\tO' -p212427 -aS'he\the\tPRP\tB-NP\tO' -p212428 -aS'also\talso\tRB\tB-ADVP\tO' -p212429 -aS'works\twork\tVBZ\tB-VP\tO' -p212430 -aS'at\tat\tIN\tB-PP\tO' -p212431 -aS'Necrestneysagiles\tNecrestneysagiles\tNNP\tB-NP\tO' -p212432 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p212433 -aS'Center\tCenter\tNNP\tI-NP\tO' -p212434 -aS'.\t.\t.\tO\tO' -p212435 -asS'On HD2 , cardiac clearance was obtained by Dr. Sanchez .' -p212436 -(lp212437 -S'On\tOn\tIN\tB-PP\tO' -p212438 -aS'HD2\tHD2\tNN\tB-NP\tB-protein' -p212439 -aS',\t,\t,\tO\tO' -p212440 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p212441 -aS'clearance\tclearance\tNN\tI-NP\tO' -p212442 -aS'was\tbe\tVBD\tB-VP\tO' -p212443 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p212444 -aS'by\tby\tIN\tB-PP\tO' -p212445 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p212446 -aS'Sanchez\tSanchez\tNNP\tI-NP\tO' -p212447 -aS'.\t.\t.\tO\tO' -p212448 -asS'5. Gallstone pancreatitis .' -p212449 -(lp212450 -S'5.\t5.\tLS\tB-NP\tO' -p212451 -aS'Gallstone\tGallstone\tNN\tI-NP\tO' -p212452 -aS'pancreatitis\tpancreatitis\tNN\tI-NP\tO' -p212453 -aS'.\t.\t.\tO\tO' -p212454 -asS'These can be restarted when it is deemed reasonable , in view of her acute disease and recently elevated liver enzymes .' -p212455 -(lp212456 -S'These\tThese\tDT\tB-NP\tO' -p212457 -aS'can\tcan\tMD\tB-VP\tO' -p212458 -aS'be\tbe\tVB\tI-VP\tO' -p212459 -aS'restarted\trestart\tVBN\tI-VP\tO' -p212460 -aS'when\twhen\tWRB\tB-ADVP\tO' -p212461 -aS'it\tit\tPRP\tB-NP\tO' -p212462 -aS'is\tbe\tVBZ\tB-VP\tO' -p212463 -aS'deemed\tdeem\tVBN\tI-VP\tO' -p212464 -aS'reasonable\treasonable\tJJ\tB-ADJP\tO' -p212465 -aS',\t,\t,\tO\tO' -p212466 -aS'in\tin\tIN\tB-PP\tO' -p212467 -aS'view\tview\tNN\tB-NP\tO' -p212468 -aS'of\tof\tIN\tB-PP\tO' -p212469 -aS'her\ther\tPRP$\tB-NP\tO' -p212470 -aS'acute\tacute\tJJ\tI-NP\tO' -p212471 -aS'disease\tdisease\tNN\tI-NP\tO' -p212472 -aS'and\tand\tCC\tO\tO' -p212473 -aS'recently\trecently\tRB\tB-VP\tO' -p212474 -aS'elevated\televate\tVBN\tB-NP\tO' -p212475 -aS'liver\tliver\tNN\tI-NP\tB-protein' -p212476 -aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' -p212477 -aS'.\t.\t.\tO\tO' -p212478 -asS'Reflexes were trace in the upper extremities and absent in the knees with downgoing toes bilaterally .' -p212479 -(lp212480 -S'Reflexes\tReflex\tNNS\tB-NP\tO' -p212481 -aS'were\tbe\tVBD\tB-VP\tO' -p212482 -aS'trace\ttrace\tNN\tB-NP\tO' -p212483 -aS'in\tin\tIN\tB-PP\tO' -p212484 -aS'the\tthe\tDT\tB-NP\tO' -p212485 -aS'upper\tupper\tJJ\tI-NP\tO' -p212486 -aS'extremities\textremity\tNNS\tI-NP\tO' -p212487 -aS'and\tand\tCC\tO\tO' -p212488 -aS'absent\tabsent\tJJ\tB-ADJP\tO' -p212489 -aS'in\tin\tIN\tB-PP\tO' -p212490 -aS'the\tthe\tDT\tB-NP\tO' -p212491 -aS'knees\tknee\tNNS\tI-NP\tO' -p212492 -aS'with\twith\tIN\tB-PP\tO' -p212493 -aS'downgoing\tdowngoe\tVBG\tB-VP\tO' -p212494 -aS'toes\ttoe\tNNS\tB-NP\tO' -p212495 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p212496 -aS'.\t.\t.\tO\tO' -p212497 -asS'abd : soft , nt,nd , nabs' -p212498 -(lp212499 -S'abd\tabd\tLS\tB-LST\tO' -p212500 -aS':\t:\t:\tO\tO' -p212501 -aS'soft\tsoft\tJJ\tB-NP\tO' -p212502 -aS',\t,\t,\tI-NP\tO' -p212503 -aS'nt,nd\tnt,nd\tNN\tI-NP\tO' -p212504 -aS',\t,\t,\tO\tO' -p212505 -aS'nabs\tnab\tNNS\tB-NP\tO' -p212506 -asS'CRI 03-30 HTN and DM nephropathy , with baseline creatinine 4-4.5' -p212507 -(lp212508 -S'CRI\tCRI\tNN\tB-NP\tO' -p212509 -aS'03-30\t03-30\tCD\tI-NP\tO' -p212510 -aS'HTN\tHTN\tNN\tI-NP\tO' -p212511 -aS'and\tand\tCC\tI-NP\tO' -p212512 -aS'DM\tDM\tNN\tI-NP\tO' -p212513 -aS'nephropathy\tnephropathy\tNN\tI-NP\tO' -p212514 -aS',\t,\t,\tO\tO' -p212515 -aS'with\twith\tIN\tB-PP\tO' -p212516 -aS'baseline\tbaseline\tNN\tB-NP\tO' -p212517 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p212518 -aS'4-4.5\t4-4.5\tCD\tI-NP\tO' -p212519 -asS'All sedating medications were held and serial ABGs were trended to follow the resolution of the metabolic alkalosis .' -p212520 -(lp212521 -S'All\tAll\tDT\tB-NP\tO' -p212522 -aS'sedating\tsedate\tVBG\tI-NP\tO' -p212523 -aS'medications\tmedication\tNNS\tI-NP\tO' -p212524 -aS'were\tbe\tVBD\tB-VP\tO' -p212525 -aS'held\thold\tVBN\tI-VP\tO' -p212526 -aS'and\tand\tCC\tO\tO' -p212527 -aS'serial\tserial\tJJ\tB-NP\tO' -p212528 -aS'ABGs\tABG\tNNS\tI-NP\tO' -p212529 -aS'were\tbe\tVBD\tB-VP\tO' -p212530 -aS'trended\ttrend\tVBN\tI-VP\tO' -p212531 -aS'to\tto\tTO\tI-VP\tO' -p212532 -aS'follow\tfollow\tVB\tI-VP\tO' -p212533 -aS'the\tthe\tDT\tB-NP\tO' -p212534 -aS'resolution\tresolution\tNN\tI-NP\tO' -p212535 -aS'of\tof\tIN\tB-PP\tO' -p212536 -aS'the\tthe\tDT\tB-NP\tO' -p212537 -aS'metabolic\tmetabolic\tJJ\tI-NP\tO' -p212538 -aS'alkalosis\talkalosis\tNN\tI-NP\tO' -p212539 -aS'.\t.\t.\tO\tO' -p212540 -asS'He had undergone C-spine surgery for spinal stenosis with a question of myelopathy and radiculopathy in 1992 with residual spastic paresis and monoparesis of the left upper extremity , but was ambulatory until a day prior to admission .' -p212541 -(lp212542 -S'He\tHe\tPRP\tB-NP\tO' -p212543 -aS'had\thave\tVBD\tB-VP\tO' -p212544 -aS'undergone\tundergo\tVBN\tI-VP\tO' -p212545 -aS'C-spine\tC-spine\tNN\tB-NP\tO' -p212546 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p212547 -aS'for\tfor\tIN\tB-PP\tO' -p212548 -aS'spinal\tspinal\tJJ\tB-NP\tO' -p212549 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p212550 -aS'with\twith\tIN\tB-PP\tO' -p212551 -aS'a\ta\tDT\tB-NP\tO' -p212552 -aS'question\tquestion\tNN\tI-NP\tO' -p212553 -aS'of\tof\tIN\tB-PP\tO' -p212554 -aS'myelopathy\tmyelopathy\tJJ\tB-NP\tO' -p212555 -aS'and\tand\tCC\tI-NP\tO' -p212556 -aS'radiculopathy\tradiculopathy\tNN\tI-NP\tO' -p212557 -aS'in\tin\tIN\tB-PP\tO' -p212558 -aS'1992\t1992\tCD\tB-NP\tO' -p212559 -aS'with\twith\tIN\tB-PP\tO' -p212560 -aS'residual\tresidual\tJJ\tB-NP\tO' -p212561 -aS'spastic\tspastic\tJJ\tI-NP\tO' -p212562 -aS'paresis\tparesis\tNN\tI-NP\tO' -p212563 -aS'and\tand\tCC\tI-NP\tO' -p212564 -aS'monoparesis\tmonoparesis\tNN\tI-NP\tO' -p212565 -aS'of\tof\tIN\tB-PP\tO' -p212566 -aS'the\tthe\tDT\tB-NP\tO' -p212567 -aS'left\tleft\tJJ\tI-NP\tO' -p212568 -aS'upper\tupper\tJJ\tI-NP\tO' -p212569 -aS'extremity\textremity\tNN\tI-NP\tO' -p212570 -aS',\t,\t,\tO\tO' -p212571 -aS'but\tbut\tCC\tO\tO' -p212572 -aS'was\tbe\tVBD\tB-VP\tO' -p212573 -aS'ambulatory\tambulatory\tJJ\tB-ADJP\tO' -p212574 -aS'until\tuntil\tIN\tB-SBAR\tO' -p212575 -aS'a\ta\tDT\tB-NP\tO' -p212576 -aS'day\tday\tNN\tI-NP\tO' -p212577 -aS'prior\tprior\tRB\tB-ADVP\tO' -p212578 -aS'to\tto\tTO\tB-PP\tO' -p212579 -aS'admission\tadmission\tNN\tB-NP\tO' -p212580 -aS'.\t.\t.\tO\tO' -p212581 -asS'Patient was transfused 1 unit of platelets on 2014-04-08 for platelet count of 66 .' -p212582 -(lp212583 -S'Patient\tPatient\tNN\tB-NP\tO' -p212584 -aS'was\tbe\tVBD\tB-VP\tO' -p212585 -aS'transfused\ttransfuse\tVBN\tI-VP\tO' -p212586 -aS'1\t1\tCD\tB-NP\tO' -p212587 -aS'unit\tunit\tNN\tI-NP\tO' -p212588 -aS'of\tof\tIN\tB-PP\tO' -p212589 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p212590 -aS'on\ton\tIN\tB-PP\tO' -p212591 -aS'2014-04-08\t2014-04-08\tCD\tB-NP\tO' -p212592 -aS'for\tfor\tIN\tB-PP\tO' -p212593 -aS'platelet\tplatelet\tNN\tB-NP\tO' -p212594 -aS'count\tcount\tNN\tI-NP\tO' -p212595 -aS'of\tof\tIN\tB-PP\tO' -p212596 -aS'66\t66\tCD\tB-NP\tO' -p212597 -aS'.\t.\t.\tO\tO' -p212598 -asS'The mother was followed closely and received betamethasone 2011-08-22 .' -p212599 -(lp212600 -S'The\tThe\tDT\tB-NP\tO' -p212601 -aS'mother\tmother\tNN\tI-NP\tO' -p212602 -aS'was\tbe\tVBD\tB-VP\tO' -p212603 -aS'followed\tfollow\tVBN\tI-VP\tO' -p212604 -aS'closely\tclosely\tRB\tB-ADVP\tO' -p212605 -aS'and\tand\tCC\tO\tO' -p212606 -aS'received\treceive\tVBD\tB-VP\tO' -p212607 -aS'betamethasone\tbetamethasone\tNN\tB-NP\tO' -p212608 -aS'2011-08-22\t2011-08-22\tCD\tI-NP\tO' -p212609 -aS'.\t.\t.\tO\tO' -p212610 -asS'An attempt was also made to reduce the patient 's large number of medications and the patient 's Os-Cal , multivitamin , Lasix and Colace were discontinued .' -p212611 -(lp212612 -S'An\tAn\tDT\tB-NP\tO' -p212613 -aS'attempt\tattempt\tNN\tI-NP\tO' -p212614 -aS'was\tbe\tVBD\tB-VP\tO' -p212615 -aS'also\talso\tRB\tI-VP\tO' -p212616 -aS'made\tmake\tVBN\tI-VP\tO' -p212617 -aS'to\tto\tTO\tI-VP\tO' -p212618 -aS'reduce\treduce\tVB\tI-VP\tO' -p212619 -aS'the\tthe\tDT\tB-NP\tO' -p212620 -aS'patient\tpatient\tNN\tI-NP\tO' -p212621 -aS''s\t'\tNNS\tI-NP\tO' -p212622 -aS'large\tlarge\tJJ\tB-NP\tO' -p212623 -aS'number\tnumber\tNN\tI-NP\tO' -p212624 -aS'of\tof\tIN\tB-PP\tO' -p212625 -aS'medications\tmedication\tNNS\tB-NP\tO' -p212626 -aS'and\tand\tCC\tO\tO' -p212627 -aS'the\tthe\tDT\tB-NP\tO' -p212628 -aS'patient\tpatient\tNN\tI-NP\tO' -p212629 -aS''s\t'\tNNS\tI-NP\tO' -p212630 -aS'Os-Cal\tOs-Cal\tJJ\tB-ADJP\tO' -p212631 -aS',\t,\t,\tO\tO' -p212632 -aS'multivitamin\tmultivitamin\tNN\tB-NP\tO' -p212633 -aS',\t,\t,\tO\tO' -p212634 -aS'Lasix\tLasix\tNNP\tB-NP\tO' -p212635 -aS'and\tand\tCC\tI-NP\tO' -p212636 -aS'Colace\tColace\tNNP\tI-NP\tO' -p212637 -aS'were\tbe\tVBD\tB-VP\tO' -p212638 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p212639 -aS'.\t.\t.\tO\tO' -p212640 -asS'MRI , as discussed , was done at outside hospital and demonstrated large ventricles .' -p212641 -(lp212642 -S'MRI\tMRI\tNN\tB-NP\tB-protein' -p212643 -aS',\t,\t,\tO\tO' -p212644 -aS'as\tas\tIN\tB-SBAR\tO' -p212645 -aS'discussed\tdiscuss\tVBN\tB-VP\tO' -p212646 -aS',\t,\t,\tO\tO' -p212647 -aS'was\tbe\tVBD\tB-VP\tO' -p212648 -aS'done\tdo\tVBN\tI-VP\tO' -p212649 -aS'at\tat\tIN\tB-PP\tO' -p212650 -aS'outside\toutside\tJJ\tB-NP\tO' -p212651 -aS'hospital\thospital\tNN\tI-NP\tO' -p212652 -aS'and\tand\tCC\tO\tO' -p212653 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p212654 -aS'large\tlarge\tJJ\tB-NP\tO' -p212655 -aS'ventricles\tventricle\tNNS\tI-NP\tO' -p212656 -aS'.\t.\t.\tO\tO' -p212657 -asS'She has completed up to the tenth grade of high school .' -p212658 -(lp212659 -S'She\tShe\tPRP\tB-NP\tO' -p212660 -aS'has\thave\tVBZ\tB-VP\tO' -p212661 -aS'completed\tcomplete\tVBN\tI-VP\tO' -p212662 -aS'up\tup\tRP\tB-PRT\tO' -p212663 -aS'to\tto\tTO\tB-PP\tO' -p212664 -aS'the\tthe\tDT\tB-NP\tO' -p212665 -aS'tenth\ttenth\tNN\tI-NP\tO' -p212666 -aS'grade\tgrade\tNN\tI-NP\tO' -p212667 -aS'of\tof\tIN\tB-PP\tO' -p212668 -aS'high\thigh\tJJ\tB-NP\tO' -p212669 -aS'school\tschool\tNN\tI-NP\tO' -p212670 -aS'.\t.\t.\tO\tO' -p212671 -asS'We decided given her age that she would not be a good candidate for cardioversion for her afib nor would she be a good candidate for coumadin .' -p212672 -(lp212673 -S'We\tWe\tPRP\tB-NP\tO' -p212674 -aS'decided\tdecide\tVBD\tB-VP\tO' -p212675 -aS'given\tgive\tVBN\tI-VP\tO' -p212676 -aS'her\ther\tPRP$\tB-NP\tO' -p212677 -aS'age\tage\tNN\tI-NP\tO' -p212678 -aS'that\tthat\tIN\tB-SBAR\tO' -p212679 -aS'she\tshe\tPRP\tB-NP\tO' -p212680 -aS'would\twould\tMD\tB-VP\tO' -p212681 -aS'not\tnot\tRB\tI-VP\tO' -p212682 -aS'be\tbe\tVB\tI-VP\tO' -p212683 -aS'a\ta\tDT\tB-NP\tO' -p212684 -aS'good\tgood\tJJ\tI-NP\tO' -p212685 -aS'candidate\tcandidate\tNN\tI-NP\tO' -p212686 -aS'for\tfor\tIN\tB-PP\tO' -p212687 -aS'cardioversion\tcardioversion\tNN\tB-NP\tO' -p212688 -aS'for\tfor\tIN\tB-PP\tO' -p212689 -aS'her\ther\tPRP$\tB-NP\tO' -p212690 -aS'afib\tafib\tNN\tI-NP\tO' -p212691 -aS'nor\tnor\tCC\tO\tO' -p212692 -aS'would\twould\tMD\tO\tO' -p212693 -aS'she\tshe\tPRP\tB-NP\tO' -p212694 -aS'be\tbe\tVB\tB-VP\tO' -p212695 -aS'a\ta\tDT\tB-NP\tO' -p212696 -aS'good\tgood\tJJ\tI-NP\tO' -p212697 -aS'candidate\tcandidate\tNN\tI-NP\tO' -p212698 -aS'for\tfor\tIN\tB-PP\tO' -p212699 -aS'coumadin\tcoumadin\tNN\tB-NP\tO' -p212700 -aS'.\t.\t.\tO\tO' -p212701 -asS'The patient should follow-up with his orthopedic surgeon at the next convenient time to determine the length of duration of his casting .' -p212702 -(lp212703 -S'The\tThe\tDT\tB-NP\tO' -p212704 -aS'patient\tpatient\tNN\tI-NP\tO' -p212705 -aS'should\tshould\tMD\tB-VP\tO' -p212706 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p212707 -aS'with\twith\tIN\tB-PP\tO' -p212708 -aS'his\this\tPRP$\tB-NP\tO' -p212709 -aS'orthopedic\torthopedic\tJJ\tI-NP\tO' -p212710 -aS'surgeon\tsurgeon\tNN\tI-NP\tO' -p212711 -aS'at\tat\tIN\tB-PP\tO' -p212712 -aS'the\tthe\tDT\tB-NP\tO' -p212713 -aS'next\tnext\tJJ\tI-NP\tO' -p212714 -aS'convenient\tconvenient\tJJ\tI-NP\tO' -p212715 -aS'time\ttime\tNN\tI-NP\tO' -p212716 -aS'to\tto\tTO\tB-VP\tO' -p212717 -aS'determine\tdetermine\tVB\tI-VP\tO' -p212718 -aS'the\tthe\tDT\tB-NP\tO' -p212719 -aS'length\tlength\tNN\tI-NP\tO' -p212720 -aS'of\tof\tIN\tB-PP\tO' -p212721 -aS'duration\tduration\tNN\tB-NP\tO' -p212722 -aS'of\tof\tIN\tB-PP\tO' -p212723 -aS'his\this\tPRP$\tB-NP\tO' -p212724 -aS'casting\tcasting\tNN\tI-NP\tO' -p212725 -aS'.\t.\t.\tO\tO' -p212726 -asS'Migraines .' -p212727 -(lp212728 -S'Migraines\tMigraine\tNNS\tB-NP\tO' -p212729 -aS'.\t.\t.\tO\tO' -p212730 -asS'1. Unstable angina .' -p212731 -(lp212732 -S'1.\t1.\tLS\tB-NP\tO' -p212733 -aS'Unstable\tUnstable\tJJ\tI-NP\tO' -p212734 -aS'angina\tangina\tNN\tI-NP\tO' -p212735 -aS'.\t.\t.\tO\tO' -p212736 -asS'RRR .' -p212737 -(lp212738 -S'RRR\tRRR\tNN\tB-NP\tB-protein' -p212739 -aS'.\t.\t.\tO\tO' -p212740 -asS'She was initiated on a bowel regimen and had no further incidents of diarrhea or constipation .' -p212741 -(lp212742 -S'She\tShe\tPRP\tB-NP\tO' -p212743 -aS'was\tbe\tVBD\tB-VP\tO' -p212744 -aS'initiated\tinitiate\tVBN\tI-VP\tO' -p212745 -aS'on\ton\tIN\tB-PP\tO' -p212746 -aS'a\ta\tDT\tB-NP\tO' -p212747 -aS'bowel\tbowel\tNN\tI-NP\tO' -p212748 -aS'regimen\tregimen\tNN\tI-NP\tO' -p212749 -aS'and\tand\tCC\tO\tO' -p212750 -aS'had\thave\tVBD\tB-VP\tO' -p212751 -aS'no\tno\tDT\tB-NP\tO' -p212752 -aS'further\tfurther\tJJ\tI-NP\tO' -p212753 -aS'incidents\tincident\tNNS\tI-NP\tO' -p212754 -aS'of\tof\tIN\tB-PP\tO' -p212755 -aS'diarrhea\tdiarrhea\tNN\tB-NP\tO' -p212756 -aS'or\tor\tCC\tI-NP\tO' -p212757 -aS'constipation\tconstipation\tNN\tI-NP\tO' -p212758 -aS'.\t.\t.\tO\tO' -p212759 -asS'BUN 27 , with a creatinine of .9 , glucose was 182 , but otherwise electrolytes were normal .' -p212760 -(lp212761 -S'BUN\tBUN\tNN\tB-NP\tB-protein' -p212762 -aS'27\t27\tCD\tI-NP\tI-protein' -p212763 -aS',\t,\t,\tO\tO' -p212764 -aS'with\twith\tIN\tB-PP\tO' -p212765 -aS'a\ta\tDT\tB-NP\tO' -p212766 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p212767 -aS'of\tof\tIN\tB-PP\tO' -p212768 -aS'.9\t.9\tNN\tB-NP\tO' -p212769 -aS',\t,\t,\tO\tO' -p212770 -aS'glucose\tglucose\tNN\tB-NP\tB-protein' -p212771 -aS'was\tbe\tVBD\tB-VP\tI-protein' -p212772 -aS'182\t182\tCD\tB-NP\tI-protein' -p212773 -aS',\t,\t,\tO\tO' -p212774 -aS'but\tbut\tCC\tO\tO' -p212775 -aS'otherwise\totherwise\tRB\tB-NP\tO' -p212776 -aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' -p212777 -aS'were\tbe\tVBD\tB-VP\tO' -p212778 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p212779 -aS'.\t.\t.\tO\tO' -p212780 -asS'5. Flovent .' -p212781 -(lp212782 -S'5.\t5.\tLS\tB-LST\tO' -p212783 -aS'Flovent\tFlovent\tNNP\tB-NP\tO' -p212784 -aS'.\t.\t.\tO\tO' -p212785 -asS'She is an obese , elderly woman in no acute distress .' -p212786 -(lp212787 -S'She\tShe\tPRP\tB-NP\tO' -p212788 -aS'is\tbe\tVBZ\tB-VP\tO' -p212789 -aS'an\tan\tDT\tB-NP\tO' -p212790 -aS'obese\tobese\tJJ\tI-NP\tO' -p212791 -aS',\t,\t,\tI-NP\tO' -p212792 -aS'elderly\telderly\tJJ\tI-NP\tO' -p212793 -aS'woman\twoman\tNN\tI-NP\tO' -p212794 -aS'in\tin\tIN\tB-PP\tO' -p212795 -aS'no\tno\tDT\tB-NP\tO' -p212796 -aS'acute\tacute\tJJ\tI-NP\tO' -p212797 -aS'distress\tdistress\tNN\tI-NP\tO' -p212798 -aS'.\t.\t.\tO\tO' -p212799 -asS'Significant for glaucoma , right knee arthroscopic surgery in 1988 , appendectomy , dilation and curettage times two , and a hiatus hernia .' -p212800 -(lp212801 -S'Significant\tSignificant\tJJ\tB-ADJP\tO' -p212802 -aS'for\tfor\tIN\tB-PP\tO' -p212803 -aS'glaucoma\tglaucoma\tNN\tB-NP\tO' -p212804 -aS',\t,\t,\tO\tO' -p212805 -aS'right\tright\tJJ\tB-NP\tO' -p212806 -aS'knee\tknee\tNN\tI-NP\tO' -p212807 -aS'arthroscopic\tarthroscopic\tJJ\tI-NP\tO' -p212808 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p212809 -aS'in\tin\tIN\tB-PP\tO' -p212810 -aS'1988\t1988\tCD\tB-NP\tO' -p212811 -aS',\t,\t,\tO\tO' -p212812 -aS'appendectomy\tappendectomy\tNN\tB-NP\tO' -p212813 -aS',\t,\t,\tO\tO' -p212814 -aS'dilation\tdilation\tNN\tB-NP\tO' -p212815 -aS'and\tand\tCC\tO\tO' -p212816 -aS'curettage\tcurettage\tNN\tB-NP\tO' -p212817 -aS'times\ttime\tNNS\tI-NP\tO' -p212818 -aS'two\ttwo\tCD\tB-NP\tO' -p212819 -aS',\t,\t,\tO\tO' -p212820 -aS'and\tand\tCC\tO\tO' -p212821 -aS'a\ta\tDT\tB-NP\tO' -p212822 -aS'hiatus\thiatus\tNN\tI-NP\tO' -p212823 -aS'hernia\thernia\tNN\tI-NP\tO' -p212824 -aS'.\t.\t.\tO\tO' -p212825 -asS'Hydrochlorothiazide 25 mg q.d. and Decadron 25 mg b.i.d.' -p212826 -(lp212827 -S'Hydrochlorothiazide\tHydrochlorothiazide\tNN\tB-NP\tO' -p212828 -aS'25\t25\tCD\tI-NP\tO' -p212829 -aS'mg\tmg\tNN\tI-NP\tO' -p212830 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p212831 -aS'and\tand\tCC\tO\tO' -p212832 -aS'Decadron\tDecadron\tNNP\tB-NP\tO' -p212833 -aS'25\t25\tCD\tI-NP\tO' -p212834 -aS'mg\tmg\tNN\tI-NP\tO' -p212835 -aS'b.i.d.\tb.i.d.\t.\tO\tO' -p212836 -asS'In Hospital he was seen by both Speech Therapy , physical therapy , and the Uspend Harmemewood Medical Center Congestive Heart Failure Nurse Practitioner Program .' -p212837 -(lp212838 -S'In\tIn\tIN\tB-PP\tO' -p212839 -aS'Hospital\tHospital\tNN\tB-NP\tO' -p212840 -aS'he\the\tPRP\tB-NP\tO' -p212841 -aS'was\tbe\tVBD\tB-VP\tO' -p212842 -aS'seen\tsee\tVBN\tI-VP\tO' -p212843 -aS'by\tby\tIN\tB-PP\tO' -p212844 -aS'both\tboth\tCC\tO\tO' -p212845 -aS'Speech\tSpeech\tNN\tB-NP\tO' -p212846 -aS'Therapy\tTherapy\tNN\tI-NP\tO' -p212847 -aS',\t,\t,\tO\tO' -p212848 -aS'physical\tphysical\tJJ\tB-NP\tO' -p212849 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p212850 -aS',\t,\t,\tO\tO' -p212851 -aS'and\tand\tCC\tO\tO' -p212852 -aS'the\tthe\tDT\tB-NP\tO' -p212853 -aS'Uspend\tUspend\tNNP\tI-NP\tO' -p212854 -aS'Harmemewood\tHarmemewood\tNNP\tI-NP\tO' -p212855 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p212856 -aS'Center\tCenter\tNNP\tI-NP\tO' -p212857 -aS'Congestive\tCongestive\tNNP\tI-NP\tO' -p212858 -aS'Heart\tHeart\tNNP\tI-NP\tO' -p212859 -aS'Failure\tFailure\tNNP\tI-NP\tO' -p212860 -aS'Nurse\tNurse\tNNP\tI-NP\tO' -p212861 -aS'Practitioner\tPractitioner\tNNP\tI-NP\tO' -p212862 -aS'Program\tProgram\tNNP\tI-NP\tO' -p212863 -aS'.\t.\t.\tO\tO' -p212864 -asS'2. Multifocal hemorrhagic contusions and surrounding edema are largely unchanged .' -p212865 -(lp212866 -S'2.\t2.\tLS\tB-NP\tO' -p212867 -aS'Multifocal\tMultifocal\tJJ\tI-NP\tO' -p212868 -aS'hemorrhagic\themorrhagic\tJJ\tI-NP\tO' -p212869 -aS'contusions\tcontusion\tNNS\tI-NP\tO' -p212870 -aS'and\tand\tCC\tO\tO' -p212871 -aS'surrounding\tsurround\tVBG\tB-VP\tO' -p212872 -aS'edema\tedema\tNN\tB-NP\tO' -p212873 -aS'are\tbe\tVBP\tB-VP\tO' -p212874 -aS'largely\tlargely\tRB\tB-ADJP\tO' -p212875 -aS'unchanged\tunchanged\tJJ\tI-ADJP\tO' -p212876 -aS'.\t.\t.\tO\tO' -p212877 -asS'The patient also had a head CT scan in the Emergency Department before coming to the Unit which reported no recent bleed and no change from a prior CT scan done on 2011-03-04 .' -p212878 -(lp212879 -S'The\tThe\tDT\tB-NP\tO' -p212880 -aS'patient\tpatient\tNN\tI-NP\tO' -p212881 -aS'also\talso\tRB\tB-ADVP\tO' -p212882 -aS'had\thave\tVBD\tB-VP\tO' -p212883 -aS'a\ta\tDT\tB-NP\tO' -p212884 -aS'head\thead\tNN\tI-NP\tO' -p212885 -aS'CT\tCT\tNN\tI-NP\tO' -p212886 -aS'scan\tscan\tNN\tI-NP\tO' -p212887 -aS'in\tin\tIN\tB-PP\tO' -p212888 -aS'the\tthe\tDT\tB-NP\tO' -p212889 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p212890 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p212891 -aS'before\tbefore\tIN\tB-PP\tO' -p212892 -aS'coming\tcome\tVBG\tB-VP\tO' -p212893 -aS'to\tto\tTO\tB-PP\tO' -p212894 -aS'the\tthe\tDT\tB-NP\tO' -p212895 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p212896 -aS'which\twhich\tWDT\tB-NP\tO' -p212897 -aS'reported\treport\tVBD\tB-VP\tO' -p212898 -aS'no\tno\tDT\tB-NP\tO' -p212899 -aS'recent\trecent\tJJ\tI-NP\tO' -p212900 -aS'bleed\tbleed\tNN\tI-NP\tO' -p212901 -aS'and\tand\tCC\tO\tO' -p212902 -aS'no\tno\tDT\tB-NP\tO' -p212903 -aS'change\tchange\tNN\tI-NP\tO' -p212904 -aS'from\tfrom\tIN\tB-PP\tO' -p212905 -aS'a\ta\tDT\tB-NP\tO' -p212906 -aS'prior\tprior\tJJ\tI-NP\tO' -p212907 -aS'CT\tCT\tNN\tI-NP\tO' -p212908 -aS'scan\tscan\tNN\tI-NP\tO' -p212909 -aS'done\tdo\tVBN\tB-VP\tO' -p212910 -aS'on\ton\tIN\tB-PP\tO' -p212911 -aS'2011-03-04\t2011-03-04\tCD\tB-NP\tO' -p212912 -aS'.\t.\t.\tO\tO' -p212913 -asS'Patient will also continue on her Wellbutrin and Imitrex as needed for migraines .' -p212914 -(lp212915 -S'Patient\tPatient\tNN\tB-NP\tO' -p212916 -aS'will\twill\tMD\tB-VP\tO' -p212917 -aS'also\talso\tRB\tI-VP\tO' -p212918 -aS'continue\tcontinue\tVB\tI-VP\tO' -p212919 -aS'on\ton\tIN\tB-PP\tO' -p212920 -aS'her\ther\tPRP$\tB-NP\tO' -p212921 -aS'Wellbutrin\tWellbutrin\tNN\tI-NP\tO' -p212922 -aS'and\tand\tCC\tI-NP\tO' -p212923 -aS'Imitrex\tImitrex\tNN\tI-NP\tO' -p212924 -aS'as\tas\tIN\tB-SBAR\tO' -p212925 -aS'needed\tneed\tVBN\tB-VP\tO' -p212926 -aS'for\tfor\tIN\tB-PP\tO' -p212927 -aS'migraines\tmigraine\tNNS\tB-NP\tO' -p212928 -aS'.\t.\t.\tO\tO' -p212929 -asS'The abdomen was distended with active bowel sounds .' -p212930 -(lp212931 -S'The\tThe\tDT\tB-NP\tO' -p212932 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p212933 -aS'was\tbe\tVBD\tB-VP\tO' -p212934 -aS'distended\tdistend\tVBN\tI-VP\tO' -p212935 -aS'with\twith\tIN\tB-PP\tO' -p212936 -aS'active\tactive\tJJ\tB-NP\tO' -p212937 -aS'bowel\tbowel\tNN\tI-NP\tO' -p212938 -aS'sounds\tsound\tNNS\tI-NP\tO' -p212939 -aS'.\t.\t.\tO\tO' -p212940 -asS'She is status post angiography today .' -p212941 -(lp212942 -S'She\tShe\tPRP\tB-NP\tO' -p212943 -aS'is\tbe\tVBZ\tB-VP\tO' -p212944 -aS'status\tstatus\tNN\tB-NP\tO' -p212945 -aS'post\tpost\tNN\tI-NP\tO' -p212946 -aS'angiography\tangiography\tNN\tI-NP\tO' -p212947 -aS'today\ttoday\tNN\tB-NP\tO' -p212948 -aS'.\t.\t.\tO\tO' -p212949 -asS'By the time the patient arrived at the Oaksgekesser/ Memorial Hospital Emergency Room he was in moderate respiratory distress .' -p212950 -(lp212951 -S'By\tBy\tIN\tB-PP\tO' -p212952 -aS'the\tthe\tDT\tB-NP\tO' -p212953 -aS'time\ttime\tNN\tI-NP\tO' -p212954 -aS'the\tthe\tDT\tB-NP\tO' -p212955 -aS'patient\tpatient\tNN\tI-NP\tO' -p212956 -aS'arrived\tarrive\tVBD\tB-VP\tO' -p212957 -aS'at\tat\tIN\tB-PP\tO' -p212958 -aS'the\tthe\tDT\tB-NP\tO' -p212959 -aS'Oaksgekesser/\tOaksgekesser/\tNNP\tI-NP\tO' -p212960 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p212961 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p212962 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p212963 -aS'Room\tRoom\tNNP\tI-NP\tO' -p212964 -aS'he\the\tPRP\tB-NP\tO' -p212965 -aS'was\tbe\tVBD\tB-VP\tO' -p212966 -aS'in\tin\tIN\tB-PP\tO' -p212967 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p212968 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p212969 -aS'distress\tdistress\tNN\tI-NP\tO' -p212970 -aS'.\t.\t.\tO\tO' -p212971 -asS'This issue resolved .' -p212972 -(lp212973 -S'This\tThis\tDT\tB-NP\tO' -p212974 -aS'issue\tissue\tNN\tI-NP\tO' -p212975 -aS'resolved\tresolve\tVBD\tB-VP\tO' -p212976 -aS'.\t.\t.\tO\tO' -p212977 -asS'She had expressed these wishes in writing on several legal forms from the state of Jose Pineston , as well as in discussions with her loved ones .' -p212978 -(lp212979 -S'She\tShe\tPRP\tB-NP\tO' -p212980 -aS'had\thave\tVBD\tB-VP\tO' -p212981 -aS'expressed\texpress\tVBN\tI-VP\tO' -p212982 -aS'these\tthese\tDT\tB-NP\tO' -p212983 -aS'wishes\twish\tNNS\tI-NP\tO' -p212984 -aS'in\tin\tIN\tB-PP\tO' -p212985 -aS'writing\twrite\tVBG\tB-VP\tO' -p212986 -aS'on\ton\tIN\tB-PP\tO' -p212987 -aS'several\tseveral\tJJ\tB-NP\tO' -p212988 -aS'legal\tlegal\tJJ\tI-NP\tO' -p212989 -aS'forms\tform\tNNS\tI-NP\tO' -p212990 -aS'from\tfrom\tIN\tB-PP\tO' -p212991 -aS'the\tthe\tDT\tB-NP\tO' -p212992 -aS'state\tstate\tNN\tI-NP\tO' -p212993 -aS'of\tof\tIN\tB-PP\tO' -p212994 -aS'Jose\tJose\tNNP\tB-NP\tO' -p212995 -aS'Pineston\tPineston\tNNP\tI-NP\tO' -p212996 -aS',\t,\t,\tO\tO' -p212997 -aS'as\tas\tRB\tB-CONJP\tO' -p212998 -aS'well\twell\tRB\tI-CONJP\tO' -p212999 -aS'as\tas\tIN\tI-CONJP\tO' -p213000 -aS'in\tin\tIN\tB-PP\tO' -p213001 -aS'discussions\tdiscussion\tNNS\tB-NP\tO' -p213002 -aS'with\twith\tIN\tB-PP\tO' -p213003 -aS'her\ther\tPRP$\tB-NP\tO' -p213004 -aS'loved\tloved\tJJ\tI-NP\tO' -p213005 -aS'ones\tone\tNNS\tI-NP\tO' -p213006 -aS'.\t.\t.\tO\tO' -p213007 -asS'This was obtained on the day of discharge , however , due to residual contrast in the colon from the patient 's prior abdominal CT scan , the exam was postponed after a scout film was obtained .' -p213008 -(lp213009 -S'This\tThis\tDT\tB-NP\tO' -p213010 -aS'was\tbe\tVBD\tB-VP\tO' -p213011 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p213012 -aS'on\ton\tIN\tB-PP\tO' -p213013 -aS'the\tthe\tDT\tB-NP\tO' -p213014 -aS'day\tday\tNN\tI-NP\tO' -p213015 -aS'of\tof\tIN\tB-PP\tO' -p213016 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p213017 -aS',\t,\t,\tO\tO' -p213018 -aS'however\thowever\tRB\tB-ADVP\tO' -p213019 -aS',\t,\t,\tO\tO' -p213020 -aS'due\tdue\tJJ\tB-PP\tO' -p213021 -aS'to\tto\tTO\tB-PP\tO' -p213022 -aS'residual\tresidual\tJJ\tB-NP\tO' -p213023 -aS'contrast\tcontrast\tNN\tI-NP\tO' -p213024 -aS'in\tin\tIN\tB-PP\tO' -p213025 -aS'the\tthe\tDT\tB-NP\tO' -p213026 -aS'colon\tcolon\tNN\tI-NP\tO' -p213027 -aS'from\tfrom\tIN\tB-PP\tO' -p213028 -aS'the\tthe\tDT\tB-NP\tO' -p213029 -aS'patient\tpatient\tNN\tI-NP\tO' -p213030 -aS''s\t'\tNNS\tI-NP\tO' -p213031 -aS'prior\tprior\tJJ\tB-NP\tO' -p213032 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p213033 -aS'CT\tCT\tNN\tI-NP\tO' -p213034 -aS'scan\tscan\tNN\tI-NP\tO' -p213035 -aS',\t,\t,\tO\tO' -p213036 -aS'the\tthe\tDT\tB-NP\tO' -p213037 -aS'exam\texam\tNN\tI-NP\tO' -p213038 -aS'was\tbe\tVBD\tB-VP\tO' -p213039 -aS'postponed\tpostpone\tVBN\tI-VP\tO' -p213040 -aS'after\tafter\tIN\tB-PP\tO' -p213041 -aS'a\ta\tDT\tB-NP\tO' -p213042 -aS'scout\tscout\tNN\tI-NP\tO' -p213043 -aS'film\tfilm\tNN\tI-NP\tO' -p213044 -aS'was\tbe\tVBD\tB-VP\tO' -p213045 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p213046 -aS'.\t.\t.\tO\tO' -p213047 -asS'The patient was alert and oriented throughout the admission ; however , by personality , he is somewhat cantankerous and demanding of the nurses .' -p213048 -(lp213049 -S'The\tThe\tDT\tB-NP\tO' -p213050 -aS'patient\tpatient\tNN\tI-NP\tO' -p213051 -aS'was\tbe\tVBD\tB-VP\tO' -p213052 -aS'alert\talert\tJJ\tB-ADJP\tO' -p213053 -aS'and\tand\tCC\tO\tO' -p213054 -aS'oriented\torient\tVBN\tB-VP\tO' -p213055 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p213056 -aS'the\tthe\tDT\tB-NP\tO' -p213057 -aS'admission\tadmission\tNN\tI-NP\tO' -p213058 -aS';\t;\t:\tO\tO' -p213059 -aS'however\thowever\tRB\tB-ADVP\tO' -p213060 -aS',\t,\t,\tO\tO' -p213061 -aS'by\tby\tIN\tB-PP\tO' -p213062 -aS'personality\tpersonality\tNN\tB-NP\tO' -p213063 -aS',\t,\t,\tO\tO' -p213064 -aS'he\the\tPRP\tB-NP\tO' -p213065 -aS'is\tbe\tVBZ\tB-VP\tO' -p213066 -aS'somewhat\tsomewhat\tRB\tB-ADJP\tO' -p213067 -aS'cantankerous\tcantankerous\tJJ\tI-ADJP\tO' -p213068 -aS'and\tand\tCC\tO\tO' -p213069 -aS'demanding\tdemand\tVBG\tB-VP\tO' -p213070 -aS'of\tof\tIN\tB-PP\tO' -p213071 -aS'the\tthe\tDT\tB-NP\tO' -p213072 -aS'nurses\tnurse\tNNS\tI-NP\tO' -p213073 -aS'.\t.\t.\tO\tO' -p213074 -asS'Unremarkable pregnancy except for minor fullness of the left renal pelvis reported during the week prior to delivery .' -p213075 -(lp213076 -S'Unremarkable\tUnremarkable\tJJ\tB-NP\tO' -p213077 -aS'pregnancy\tpregnancy\tNN\tI-NP\tO' -p213078 -aS'except\texcept\tIN\tB-PP\tO' -p213079 -aS'for\tfor\tIN\tB-PP\tO' -p213080 -aS'minor\tminor\tJJ\tB-NP\tO' -p213081 -aS'fullness\tfullness\tNN\tI-NP\tO' -p213082 -aS'of\tof\tIN\tB-PP\tO' -p213083 -aS'the\tthe\tDT\tB-NP\tO' -p213084 -aS'left\tleft\tJJ\tI-NP\tO' -p213085 -aS'renal\trenal\tJJ\tI-NP\tO' -p213086 -aS'pelvis\tpelvis\tNN\tI-NP\tO' -p213087 -aS'reported\treport\tVBN\tB-VP\tO' -p213088 -aS'during\tduring\tIN\tB-PP\tO' -p213089 -aS'the\tthe\tDT\tB-NP\tO' -p213090 -aS'week\tweek\tNN\tI-NP\tO' -p213091 -aS'prior\tprior\tRB\tB-ADVP\tO' -p213092 -aS'to\tto\tTO\tB-PP\tO' -p213093 -aS'delivery\tdelivery\tNN\tB-NP\tO' -p213094 -aS'.\t.\t.\tO\tO' -p213095 -asS'1st cytology negative .' -p213096 -(lp213097 -S'1st\t1st\tJJ\tB-NP\tO' -p213098 -aS'cytology\tcytology\tNN\tI-NP\tO' -p213099 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p213100 -aS'.\t.\t.\tO\tO' -p213101 -asS'The decision was made to start the patient on lisinopril , and the initial dose of 7.5 mg was increased to 10 mg daily by the day of discharge in order to control his pressure more tightly .' -p213102 -(lp213103 -S'The\tThe\tDT\tB-NP\tO' -p213104 -aS'decision\tdecision\tNN\tI-NP\tO' -p213105 -aS'was\tbe\tVBD\tB-VP\tO' -p213106 -aS'made\tmake\tVBN\tI-VP\tO' -p213107 -aS'to\tto\tTO\tB-VP\tO' -p213108 -aS'start\tstart\tVB\tI-VP\tO' -p213109 -aS'the\tthe\tDT\tB-NP\tO' -p213110 -aS'patient\tpatient\tNN\tI-NP\tO' -p213111 -aS'on\ton\tIN\tB-PP\tO' -p213112 -aS'lisinopril\tlisinopril\tNN\tB-NP\tO' -p213113 -aS',\t,\t,\tO\tO' -p213114 -aS'and\tand\tCC\tO\tO' -p213115 -aS'the\tthe\tDT\tB-NP\tO' -p213116 -aS'initial\tinitial\tJJ\tI-NP\tO' -p213117 -aS'dose\tdose\tNN\tI-NP\tO' -p213118 -aS'of\tof\tIN\tB-PP\tO' -p213119 -aS'7.5\t7.5\tCD\tB-NP\tO' -p213120 -aS'mg\tmg\tNN\tI-NP\tO' -p213121 -aS'was\tbe\tVBD\tB-VP\tO' -p213122 -aS'increased\tincrease\tVBN\tI-VP\tO' -p213123 -aS'to\tto\tTO\tB-PP\tO' -p213124 -aS'10\t10\tCD\tB-NP\tO' -p213125 -aS'mg\tmg\tNN\tI-NP\tO' -p213126 -aS'daily\tdaily\tRB\tB-ADVP\tO' -p213127 -aS'by\tby\tIN\tB-PP\tO' -p213128 -aS'the\tthe\tDT\tB-NP\tO' -p213129 -aS'day\tday\tNN\tI-NP\tO' -p213130 -aS'of\tof\tIN\tB-PP\tO' -p213131 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p213132 -aS'in\tin\tIN\tB-SBAR\tO' -p213133 -aS'order\torder\tNN\tO\tO' -p213134 -aS'to\tto\tTO\tB-VP\tO' -p213135 -aS'control\tcontrol\tVB\tI-VP\tO' -p213136 -aS'his\this\tPRP$\tB-NP\tO' -p213137 -aS'pressure\tpressure\tNN\tI-NP\tO' -p213138 -aS'more\tmore\tRBR\tB-ADVP\tO' -p213139 -aS'tightly\ttightly\tRB\tI-ADVP\tO' -p213140 -aS'.\t.\t.\tO\tO' -p213141 -asS'This pregnancy was complicate by triplet gestation , cervical shortening , and pregnancy induced hypertension .' -p213142 -(lp213143 -S'This\tThis\tDT\tB-NP\tO' -p213144 -aS'pregnancy\tpregnancy\tNN\tI-NP\tO' -p213145 -aS'was\tbe\tVBD\tB-VP\tO' -p213146 -aS'complicate\tcomplicate\tJJ\tB-ADJP\tO' -p213147 -aS'by\tby\tIN\tB-PP\tO' -p213148 -aS'triplet\ttriplet\tJJ\tB-NP\tO' -p213149 -aS'gestation\tgestation\tNN\tI-NP\tO' -p213150 -aS',\t,\t,\tO\tO' -p213151 -aS'cervical\tcervical\tJJ\tB-NP\tO' -p213152 -aS'shortening\tshortening\tNN\tI-NP\tO' -p213153 -aS',\t,\t,\tO\tO' -p213154 -aS'and\tand\tCC\tO\tO' -p213155 -aS'pregnancy\tpregnancy\tNN\tB-NP\tO' -p213156 -aS'induced\tinduce\tVBD\tB-VP\tO' -p213157 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p213158 -aS'.\t.\t.\tO\tO' -p213159 -asS'#. CHF : normal EF on TTE so possibly with diastolic dysfunction , ruled out for MI' -p213160 -(lp213161 -S'#.\t#.\tJJ\tB-NP\tO' -p213162 -aS'CHF\tCHF\tNN\tI-NP\tO' -p213163 -aS':\t:\t:\tO\tO' -p213164 -aS'normal\tnormal\tJJ\tB-NP\tO' -p213165 -aS'EF\tEF\tNN\tI-NP\tO' -p213166 -aS'on\ton\tIN\tB-PP\tO' -p213167 -aS'TTE\tTTE\tNN\tB-NP\tO' -p213168 -aS'so\tso\tRB\tB-ADVP\tO' -p213169 -aS'possibly\tpossibly\tRB\tI-ADVP\tO' -p213170 -aS'with\twith\tIN\tB-PP\tO' -p213171 -aS'diastolic\tdiastolic\tJJ\tB-NP\tO' -p213172 -aS'dysfunction\tdysfunction\tNN\tI-NP\tO' -p213173 -aS',\t,\t,\tO\tO' -p213174 -aS'ruled\trule\tVBD\tB-VP\tO' -p213175 -aS'out\tout\tRP\tB-PRT\tO' -p213176 -aS'for\tfor\tIN\tB-PP\tO' -p213177 -aS'MI\tMI\tNN\tB-NP\tO' -p213178 -asS'He started to notice inflammation of his L calf / leg worse 2 days prior to presentation .' -p213179 -(lp213180 -S'He\tHe\tPRP\tB-NP\tO' -p213181 -aS'started\tstart\tVBD\tB-VP\tO' -p213182 -aS'to\tto\tTO\tI-VP\tO' -p213183 -aS'notice\tnotice\tVB\tI-VP\tO' -p213184 -aS'inflammation\tinflammation\tNN\tB-NP\tO' -p213185 -aS'of\tof\tIN\tB-PP\tO' -p213186 -aS'his\this\tPRP$\tB-NP\tB-protein' -p213187 -aS'L\tL\tNN\tI-NP\tI-protein' -p213188 -aS'calf\tcalf\tNN\tI-NP\tI-protein' -p213189 -aS'/\t/\tSYM\tB-VP\tO' -p213190 -aS'leg\tleg\tNN\tB-NP\tO' -p213191 -aS'worse\tworse\tJJR\tI-NP\tO' -p213192 -aS'2\t2\tCD\tI-NP\tO' -p213193 -aS'days\tday\tNNS\tI-NP\tO' -p213194 -aS'prior\tprior\tRB\tB-ADVP\tO' -p213195 -aS'to\tto\tTO\tB-PP\tO' -p213196 -aS'presentation\tpresentation\tNN\tB-NP\tO' -p213197 -aS'.\t.\t.\tO\tO' -p213198 -asS'Continue to monitor for sign of infection .' -p213199 -(lp213200 -S'Continue\tContinue\tNNP\tB-NP\tO' -p213201 -aS'to\tto\tTO\tB-VP\tO' -p213202 -aS'monitor\tmonitor\tVB\tI-VP\tO' -p213203 -aS'for\tfor\tIN\tB-PP\tO' -p213204 -aS'sign\tsign\tNN\tB-NP\tO' -p213205 -aS'of\tof\tIN\tB-PP\tO' -p213206 -aS'infection\tinfection\tNN\tB-NP\tO' -p213207 -aS'.\t.\t.\tO\tO' -p213208 -asS'The differential diagnoses at this point consisted of hematoma vs. neoplasm vs. an abscess vs. a thyroid tumor .' -p213209 -(lp213210 -S'The\tThe\tDT\tB-NP\tO' -p213211 -aS'differential\tdifferential\tJJ\tI-NP\tO' -p213212 -aS'diagnoses\tdiagnosis\tNNS\tI-NP\tO' -p213213 -aS'at\tat\tIN\tB-PP\tO' -p213214 -aS'this\tthis\tDT\tB-NP\tO' -p213215 -aS'point\tpoint\tNN\tI-NP\tO' -p213216 -aS'consisted\tconsist\tVBD\tB-VP\tO' -p213217 -aS'of\tof\tIN\tB-PP\tO' -p213218 -aS'hematoma\thematoma\tNN\tB-NP\tO' -p213219 -aS'vs.\tvs.\tCC\tB-PP\tO' -p213220 -aS'neoplasm\tneoplasm\tNN\tB-NP\tO' -p213221 -aS'vs.\tvs.\tIN\tB-PP\tO' -p213222 -aS'an\tan\tDT\tB-NP\tO' -p213223 -aS'abscess\tabscess\tNN\tI-NP\tO' -p213224 -aS'vs.\tvs.\tIN\tB-PP\tO' -p213225 -aS'a\ta\tDT\tB-NP\tO' -p213226 -aS'thyroid\tthyroid\tJJ\tI-NP\tO' -p213227 -aS'tumor\ttumor\tNN\tI-NP\tO' -p213228 -aS'.\t.\t.\tO\tO' -p213229 -asS'4. Hypoxia .' -p213230 -(lp213231 -S'4.\t4.\tLS\tB-NP\tO' -p213232 -aS'Hypoxia\tHypoxia\tNN\tI-NP\tO' -p213233 -aS'.\t.\t.\tO\tO' -p213234 -asS'In terms of exploring his visual space , he was able to look to the left , and it was not possible to elicit clear evidence for a field deficit .' -p213235 -(lp213236 -S'In\tIn\tIN\tB-PP\tO' -p213237 -aS'terms\tterm\tNNS\tB-NP\tO' -p213238 -aS'of\tof\tIN\tB-PP\tO' -p213239 -aS'exploring\texplore\tVBG\tB-VP\tO' -p213240 -aS'his\this\tPRP$\tB-NP\tO' -p213241 -aS'visual\tvisual\tJJ\tI-NP\tO' -p213242 -aS'space\tspace\tNN\tI-NP\tO' -p213243 -aS',\t,\t,\tO\tO' -p213244 -aS'he\the\tPRP\tB-NP\tO' -p213245 -aS'was\tbe\tVBD\tB-VP\tO' -p213246 -aS'able\table\tJJ\tB-ADJP\tO' -p213247 -aS'to\tto\tTO\tB-VP\tO' -p213248 -aS'look\tlook\tVB\tI-VP\tO' -p213249 -aS'to\tto\tTO\tB-PP\tO' -p213250 -aS'the\tthe\tDT\tB-NP\tO' -p213251 -aS'left\tleft\tNN\tI-NP\tO' -p213252 -aS',\t,\t,\tO\tO' -p213253 -aS'and\tand\tCC\tO\tO' -p213254 -aS'it\tit\tPRP\tB-NP\tO' -p213255 -aS'was\tbe\tVBD\tB-VP\tO' -p213256 -aS'not\tnot\tRB\tO\tO' -p213257 -aS'possible\tpossible\tJJ\tB-ADJP\tO' -p213258 -aS'to\tto\tTO\tB-VP\tO' -p213259 -aS'elicit\telicit\tVB\tI-VP\tO' -p213260 -aS'clear\tclear\tJJ\tB-NP\tO' -p213261 -aS'evidence\tevidence\tNN\tI-NP\tO' -p213262 -aS'for\tfor\tIN\tB-PP\tO' -p213263 -aS'a\ta\tDT\tB-NP\tO' -p213264 -aS'field\tfield\tNN\tI-NP\tO' -p213265 -aS'deficit\tdeficit\tNN\tI-NP\tO' -p213266 -aS'.\t.\t.\tO\tO' -p213267 -asS'She is obese .' -p213268 -(lp213269 -S'She\tShe\tPRP\tB-NP\tO' -p213270 -aS'is\tbe\tVBZ\tB-VP\tO' -p213271 -aS'obese\tobese\tJJ\tB-ADJP\tO' -p213272 -aS'.\t.\t.\tO\tO' -p213273 -asS'Since 2/21 , he has had increasing weight loss of 30-49 pounds , night sweats which he attributed to the prednisone and increased fatigue and myalgias .' -p213274 -(lp213275 -S'Since\tSince\tIN\tB-PP\tO' -p213276 -aS'2/21\t2/21\tCD\tB-NP\tO' -p213277 -aS',\t,\t,\tO\tO' -p213278 -aS'he\the\tPRP\tB-NP\tO' -p213279 -aS'has\thave\tVBZ\tB-VP\tO' -p213280 -aS'had\thave\tVBN\tI-VP\tO' -p213281 -aS'increasing\tincrease\tVBG\tB-NP\tO' -p213282 -aS'weight\tweight\tNN\tI-NP\tO' -p213283 -aS'loss\tloss\tNN\tI-NP\tO' -p213284 -aS'of\tof\tIN\tB-PP\tO' -p213285 -aS'30-49\t30-49\tCD\tB-NP\tO' -p213286 -aS'pounds\tpound\tNNS\tI-NP\tO' -p213287 -aS',\t,\t,\tO\tO' -p213288 -aS'night\tnight\tNN\tB-NP\tO' -p213289 -aS'sweats\tsweat\tNNS\tI-NP\tO' -p213290 -aS'which\twhich\tWDT\tB-NP\tO' -p213291 -aS'he\the\tPRP\tB-NP\tO' -p213292 -aS'attributed\tattribute\tVBD\tB-VP\tO' -p213293 -aS'to\tto\tTO\tB-PP\tO' -p213294 -aS'the\tthe\tDT\tB-NP\tO' -p213295 -aS'prednisone\tprednisone\tNN\tI-NP\tO' -p213296 -aS'and\tand\tCC\tO\tO' -p213297 -aS'increased\tincrease\tVBD\tB-VP\tO' -p213298 -aS'fatigue\tfatigue\tNN\tB-NP\tO' -p213299 -aS'and\tand\tCC\tI-NP\tO' -p213300 -aS'myalgias\tmyalgia\tNNS\tI-NP\tO' -p213301 -aS'.\t.\t.\tO\tO' -p213302 -asS'There is no hepatosplenomegaly .' -p213303 -(lp213304 -S'There\tThere\tEX\tB-NP\tO' -p213305 -aS'is\tbe\tVBZ\tB-VP\tO' -p213306 -aS'no\tno\tDT\tB-NP\tO' -p213307 -aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tI-NP\tO' -p213308 -aS'.\t.\t.\tO\tO' -p213309 -asS'T - waves were also noted to be inverted in I and AVL .' -p213310 -(lp213311 -S'T\tT\tNN\tB-NP\tO' -p213312 -aS'-\t-\tHYPH\tI-NP\tO' -p213313 -aS'waves\twave\tNNS\tI-NP\tO' -p213314 -aS'were\tbe\tVBD\tB-VP\tO' -p213315 -aS'also\talso\tRB\tI-VP\tO' -p213316 -aS'noted\tnote\tVBN\tI-VP\tO' -p213317 -aS'to\tto\tTO\tI-VP\tO' -p213318 -aS'be\tbe\tVB\tI-VP\tO' -p213319 -aS'inverted\tinvert\tVBN\tI-VP\tO' -p213320 -aS'in\tin\tIN\tB-PP\tO' -p213321 -aS'I\tI\tNN\tB-NP\tO' -p213322 -aS'and\tand\tCC\tI-NP\tO' -p213323 -aS'AVL\tAVL\tNN\tI-NP\tO' -p213324 -aS'.\t.\t.\tO\tO' -p213325 -asS'Trazodone 50 mg. qhs. multivitamins 1 po. qd .' -p213326 -(lp213327 -S'Trazodone\tTrazodone\tNN\tB-NP\tO' -p213328 -aS'50\t50\tCD\tI-NP\tO' -p213329 -aS'mg.\tmg.\tNN\tI-NP\tO' -p213330 -aS'qhs.\tqhs.\tNN\tI-NP\tO' -p213331 -aS'multivitamins\tmultivitamin\tNNS\tI-NP\tO' -p213332 -aS'1\t1\tCD\tI-NP\tO' -p213333 -aS'po.\tpo.\tNN\tI-NP\tO' -p213334 -aS'qd\tqd\tNN\tI-NP\tO' -p213335 -aS'.\t.\t.\tO\tO' -p213336 -asS'3. Knee surgery .' -p213337 -(lp213338 -S'3.\t3.\tLS\tB-NP\tO' -p213339 -aS'Knee\tKnee\tNN\tI-NP\tO' -p213340 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p213341 -aS'.\t.\t.\tO\tO' -p213342 -asS'6. CHOLANGITIS .' -p213343 -(lp213344 -S'6.\t6.\tLS\tB-NP\tO' -p213345 -aS'CHOLANGITIS\tCHOLANGITIS\tNN\tI-NP\tO' -p213346 -aS'.\t.\t.\tO\tO' -p213347 -asS'Fibrinogen was 346 .' -p213348 -(lp213349 -S'Fibrinogen\tFibrinogen\tNN\tB-NP\tB-protein' -p213350 -aS'was\tbe\tVBD\tB-VP\tO' -p213351 -aS'346\t346\tCD\tB-NP\tO' -p213352 -aS'.\t.\t.\tO\tO' -p213353 -asS'Chest X-Ray was unremarkable .' -p213354 -(lp213355 -S'Chest\tChest\tNNP\tB-NP\tO' -p213356 -aS'X-Ray\tX-Ray\tNNP\tI-NP\tO' -p213357 -aS'was\tbe\tVBD\tB-VP\tO' -p213358 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p213359 -aS'.\t.\t.\tO\tO' -p213360 -asS'An invasive moderately differentiated adenocarcinoma was noted in the transverse colon at 80 cm .' -p213361 -(lp213362 -S'An\tAn\tDT\tB-NP\tO' -p213363 -aS'invasive\tinvasive\tJJ\tI-NP\tO' -p213364 -aS'moderately\tmoderately\tRB\tI-NP\tO' -p213365 -aS'differentiated\tdifferentiate\tVBN\tI-NP\tO' -p213366 -aS'adenocarcinoma\tadenocarcinoma\tNN\tI-NP\tO' -p213367 -aS'was\tbe\tVBD\tB-VP\tO' -p213368 -aS'noted\tnote\tVBN\tI-VP\tO' -p213369 -aS'in\tin\tIN\tB-PP\tO' -p213370 -aS'the\tthe\tDT\tB-NP\tO' -p213371 -aS'transverse\ttransverse\tJJ\tI-NP\tO' -p213372 -aS'colon\tcolon\tNN\tI-NP\tO' -p213373 -aS'at\tat\tIN\tB-PP\tO' -p213374 -aS'80\t80\tCD\tB-NP\tO' -p213375 -aS'cm\tcm\tNN\tI-NP\tO' -p213376 -aS'.\t.\t.\tO\tO' -p213377 -asS'If you need additional information please call 639-873-2993 .' -p213378 -(lp213379 -S'If\tIf\tIN\tB-SBAR\tO' -p213380 -aS'you\tyou\tPRP\tB-NP\tO' -p213381 -aS'need\tneed\tVBP\tB-VP\tO' -p213382 -aS'additional\tadditional\tJJ\tB-NP\tO' -p213383 -aS'information\tinformation\tNN\tI-NP\tO' -p213384 -aS'please\tplease\tNN\tI-NP\tO' -p213385 -aS'call\tcall\tNN\tI-NP\tO' -p213386 -aS'639-873-2993\t639-873-2993\tCD\tI-NP\tO' -p213387 -aS'.\t.\t.\tO\tO' -p213388 -asS'He will probably need potassium and magnesium replacement .' -p213389 -(lp213390 -S'He\tHe\tPRP\tB-NP\tO' -p213391 -aS'will\twill\tMD\tB-VP\tO' -p213392 -aS'probably\tprobably\tRB\tI-VP\tO' -p213393 -aS'need\tneed\tVB\tI-VP\tO' -p213394 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p213395 -aS'and\tand\tCC\tI-NP\tO' -p213396 -aS'magnesium\tmagnesium\tNN\tI-NP\tO' -p213397 -aS'replacement\treplacement\tNN\tI-NP\tO' -p213398 -aS'.\t.\t.\tO\tO' -p213399 -asS"The patient 's blood pressures remained stable during his stay ." -p213400 -(lp213401 -S'The\tThe\tDT\tB-NP\tO' -p213402 -aS'patient\tpatient\tNN\tI-NP\tO' -p213403 -aS"'s\t's\tPOS\tB-NP\tO" -p213404 -aS'blood\tblood\tNN\tI-NP\tO' -p213405 -aS'pressures\tpressure\tNNS\tI-NP\tO' -p213406 -aS'remained\tremain\tVBD\tB-VP\tO' -p213407 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p213408 -aS'during\tduring\tIN\tB-PP\tO' -p213409 -aS'his\this\tPRP$\tB-NP\tO' -p213410 -aS'stay\tstay\tNN\tI-NP\tO' -p213411 -aS'.\t.\t.\tO\tO' -p213412 -asS'Attending : Patricia H Leonard , M.D.' -p213413 -(lp213414 -S'Attending\tAttend\tVBG\tB-VP\tO' -p213415 -aS':\t:\t:\tO\tO' -p213416 -aS'Patricia\tPatricia\tNNP\tB-NP\tO' -p213417 -aS'H\tH\tNNP\tI-NP\tO' -p213418 -aS'Leonard\tLeonard\tNNP\tI-NP\tO' -p213419 -aS',\t,\t,\tO\tO' -p213420 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p213421 -asS'Her hematocrit was 37.2 with a white blood count of 6.6 .' -p213422 -(lp213423 -S'Her\tHer\tPRP$\tB-NP\tO' -p213424 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p213425 -aS'was\tbe\tVBD\tB-VP\tO' -p213426 -aS'37.2\t37.2\tCD\tB-NP\tO' -p213427 -aS'with\twith\tIN\tB-PP\tO' -p213428 -aS'a\ta\tDT\tB-NP\tO' -p213429 -aS'white\twhite\tJJ\tI-NP\tO' -p213430 -aS'blood\tblood\tNN\tI-NP\tO' -p213431 -aS'count\tcount\tNN\tI-NP\tO' -p213432 -aS'of\tof\tIN\tB-PP\tO' -p213433 -aS'6.6\t6.6\tCD\tB-NP\tO' -p213434 -aS'.\t.\t.\tO\tO' -p213435 -asS'The electrocardiogram showed normal sinus rhythm with old Q wave inferior myocardial infarction .' -p213436 -(lp213437 -S'The\tThe\tDT\tB-NP\tO' -p213438 -aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' -p213439 -aS'showed\tshow\tVBD\tB-VP\tO' -p213440 -aS'normal\tnormal\tJJ\tB-NP\tO' -p213441 -aS'sinus\tsinus\tNN\tI-NP\tO' -p213442 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p213443 -aS'with\twith\tIN\tB-PP\tO' -p213444 -aS'old\told\tJJ\tB-NP\tB-DNA' -p213445 -aS'Q\tQ\tNN\tI-NP\tI-DNA' -p213446 -aS'wave\twave\tVBP\tB-VP\tO' -p213447 -aS'inferior\tinferior\tJJ\tB-NP\tO' -p213448 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p213449 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p213450 -aS'.\t.\t.\tO\tO' -p213451 -asS'The fluid culture was no growth to date .' -p213452 -(lp213453 -S'The\tThe\tDT\tB-NP\tO' -p213454 -aS'fluid\tfluid\tNN\tI-NP\tO' -p213455 -aS'culture\tculture\tNN\tI-NP\tO' -p213456 -aS'was\tbe\tVBD\tB-VP\tO' -p213457 -aS'no\tno\tDT\tB-NP\tO' -p213458 -aS'growth\tgrowth\tNN\tI-NP\tO' -p213459 -aS'to\tto\tTO\tB-PP\tO' -p213460 -aS'date\tdate\tNN\tB-NP\tO' -p213461 -aS'.\t.\t.\tO\tO' -p213462 -asS'Mildly hypoactive bowelsounds .' -p213463 -(lp213464 -S'Mildly\tMildly\tRB\tB-NP\tO' -p213465 -aS'hypoactive\thypoactive\tJJ\tI-NP\tO' -p213466 -aS'bowelsounds\tbowelsound\tNNS\tI-NP\tO' -p213467 -aS'.\t.\t.\tO\tO' -p213468 -asS'No beta blockers was started because of his history of hypertension with beta blockers and because his blood pressure of only 110/70 .' -p213469 -(lp213470 -S'No\tNo\tDT\tB-NP\tO' -p213471 -aS'beta\tbeta\tNN\tI-NP\tO' -p213472 -aS'blockers\tblocker\tNNS\tI-NP\tO' -p213473 -aS'was\tbe\tVBD\tB-VP\tO' -p213474 -aS'started\tstart\tVBN\tI-VP\tO' -p213475 -aS'because\tbecause\tIN\tB-PP\tO' -p213476 -aS'of\tof\tIN\tI-PP\tO' -p213477 -aS'his\this\tPRP$\tB-NP\tO' -p213478 -aS'history\thistory\tNN\tI-NP\tO' -p213479 -aS'of\tof\tIN\tB-PP\tO' -p213480 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p213481 -aS'with\twith\tIN\tB-PP\tO' -p213482 -aS'beta\tbeta\tNN\tB-NP\tO' -p213483 -aS'blockers\tblocker\tNNS\tI-NP\tO' -p213484 -aS'and\tand\tCC\tO\tO' -p213485 -aS'because\tbecause\tIN\tB-SBAR\tO' -p213486 -aS'his\this\tPRP$\tB-NP\tO' -p213487 -aS'blood\tblood\tNN\tI-NP\tO' -p213488 -aS'pressure\tpressure\tNN\tI-NP\tO' -p213489 -aS'of\tof\tIN\tB-PP\tO' -p213490 -aS'only\tonly\tRB\tB-NP\tO' -p213491 -aS'110/70\t110/70\tCD\tI-NP\tO' -p213492 -aS'.\t.\t.\tO\tO' -p213493 -asS'Per notes , pathology demonstrated biliary ductal adenocarcinoma ( T3N0M0 ) stage Margit .' -p213494 -(lp213495 -S'Per\tPer\tNN\tB-NP\tO' -p213496 -aS'notes\tnote\tNNS\tI-NP\tO' -p213497 -aS',\t,\t,\tO\tO' -p213498 -aS'pathology\tpathology\tNN\tB-NP\tO' -p213499 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p213500 -aS'biliary\tbiliary\tJJ\tB-NP\tO' -p213501 -aS'ductal\tductal\tJJ\tI-NP\tO' -p213502 -aS'adenocarcinoma\tadenocarcinoma\tNN\tI-NP\tO' -p213503 -aS'(\t(\t(\tO\tO' -p213504 -aS'T3N0M0\tT3N0M0\tNN\tB-NP\tO' -p213505 -aS')\t)\t)\tO\tO' -p213506 -aS'stage\tstage\tNN\tB-NP\tO' -p213507 -aS'Margit\tMargit\tNN\tI-NP\tO' -p213508 -aS'.\t.\t.\tO\tO' -p213509 -asS'The infant emerged vigorous , was dried , bulb suctioned and given free flow oxygen .' -p213510 -(lp213511 -S'The\tThe\tDT\tB-NP\tO' -p213512 -aS'infant\tinfant\tNN\tI-NP\tO' -p213513 -aS'emerged\temerge\tVBD\tB-VP\tO' -p213514 -aS'vigorous\tvigorous\tJJ\tB-ADJP\tO' -p213515 -aS',\t,\t,\tO\tO' -p213516 -aS'was\tbe\tVBD\tB-VP\tO' -p213517 -aS'dried\tdry\tVBN\tI-VP\tO' -p213518 -aS',\t,\t,\tO\tO' -p213519 -aS'bulb\tbulb\tNN\tB-NP\tO' -p213520 -aS'suctioned\tsuctione\tVBN\tB-VP\tO' -p213521 -aS'and\tand\tCC\tO\tO' -p213522 -aS'given\tgive\tVBN\tB-VP\tO' -p213523 -aS'free\tfree\tJJ\tB-NP\tO' -p213524 -aS'flow\tflow\tNN\tI-NP\tO' -p213525 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p213526 -aS'.\t.\t.\tO\tO' -p213527 -asS'3. Hypercholesterolemia .' -p213528 -(lp213529 -S'3.\t3.\tLS\tB-NP\tO' -p213530 -aS'Hypercholesterolemia\tHypercholesterolemia\tNN\tI-NP\tO' -p213531 -aS'.\t.\t.\tO\tO' -p213532 -asS'Glucose 114 .' -p213533 -(lp213534 -S'Glucose\tGlucose\tNN\tB-NP\tB-protein' -p213535 -aS'114\t114\tCD\tI-NP\tI-protein' -p213536 -aS'.\t.\t.\tO\tO' -p213537 -asS'The does was titrated to the patient 's need for comfort and was eventually tapered .' -p213538 -(lp213539 -S'The\tThe\tDT\tB-NP\tO' -p213540 -aS'does\tdo\tVBZ\tB-VP\tO' -p213541 -aS'was\tbe\tVBD\tI-VP\tO' -p213542 -aS'titrated\ttitrate\tVBN\tI-VP\tO' -p213543 -aS'to\tto\tTO\tB-PP\tO' -p213544 -aS'the\tthe\tDT\tB-NP\tO' -p213545 -aS'patient\tpatient\tNN\tI-NP\tO' -p213546 -aS''s\t'\tNNS\tI-NP\tO' -p213547 -aS'need\tneed\tVBP\tB-VP\tO' -p213548 -aS'for\tfor\tIN\tB-PP\tO' -p213549 -aS'comfort\tcomfort\tNN\tB-NP\tO' -p213550 -aS'and\tand\tCC\tO\tO' -p213551 -aS'was\tbe\tVBD\tB-VP\tO' -p213552 -aS'eventually\teventually\tRB\tI-VP\tO' -p213553 -aS'tapered\ttaper\tVBN\tI-VP\tO' -p213554 -aS'.\t.\t.\tO\tO' -p213555 -asS'On postoperative day three , it was apparent that , despite an oxygen saturation of 99% on three liters , that the patient was still in a respiratory acidosis , and he received aggressive pulmonary toilette .' -p213556 -(lp213557 -S'On\tOn\tIN\tB-PP\tO' -p213558 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p213559 -aS'day\tday\tNN\tI-NP\tO' -p213560 -aS'three\tthree\tCD\tI-NP\tO' -p213561 -aS',\t,\t,\tO\tO' -p213562 -aS'it\tit\tPRP\tB-NP\tO' -p213563 -aS'was\tbe\tVBD\tB-VP\tO' -p213564 -aS'apparent\tapparent\tJJ\tB-ADJP\tO' -p213565 -aS'that\tthat\tIN\tB-SBAR\tO' -p213566 -aS',\t,\t,\tO\tO' -p213567 -aS'despite\tdespite\tIN\tB-PP\tO' -p213568 -aS'an\tan\tDT\tB-NP\tO' -p213569 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p213570 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p213571 -aS'of\tof\tIN\tB-PP\tO' -p213572 -aS'99%\t99%\tCD\tB-NP\tO' -p213573 -aS'on\ton\tIN\tB-PP\tO' -p213574 -aS'three\tthree\tCD\tB-NP\tO' -p213575 -aS'liters\tliter\tNNS\tI-NP\tO' -p213576 -aS',\t,\t,\tO\tO' -p213577 -aS'that\tthat\tIN\tB-SBAR\tO' -p213578 -aS'the\tthe\tDT\tB-NP\tO' -p213579 -aS'patient\tpatient\tNN\tI-NP\tO' -p213580 -aS'was\tbe\tVBD\tB-VP\tO' -p213581 -aS'still\tstill\tRB\tB-ADVP\tO' -p213582 -aS'in\tin\tIN\tB-PP\tO' -p213583 -aS'a\ta\tDT\tB-NP\tO' -p213584 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p213585 -aS'acidosis\tacidosis\tNN\tI-NP\tO' -p213586 -aS',\t,\t,\tO\tO' -p213587 -aS'and\tand\tCC\tO\tO' -p213588 -aS'he\the\tPRP\tB-NP\tO' -p213589 -aS'received\treceive\tVBD\tB-VP\tO' -p213590 -aS'aggressive\taggressive\tJJ\tB-NP\tO' -p213591 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p213592 -aS'toilette\ttoilette\tNN\tI-NP\tO' -p213593 -aS'.\t.\t.\tO\tO' -p213594 -asS'She was able to tolerate diet , ambulate , having a bowel movement and dischargo home in good conditions .' -p213595 -(lp213596 -S'She\tShe\tPRP\tB-NP\tO' -p213597 -aS'was\tbe\tVBD\tB-VP\tO' -p213598 -aS'able\table\tJJ\tB-ADJP\tO' -p213599 -aS'to\tto\tTO\tB-VP\tO' -p213600 -aS'tolerate\ttolerate\tVB\tI-VP\tO' -p213601 -aS'diet\tdiet\tNN\tB-NP\tO' -p213602 -aS',\t,\t,\tO\tO' -p213603 -aS'ambulate\tambulate\tVBP\tB-VP\tO' -p213604 -aS',\t,\t,\tO\tO' -p213605 -aS'having\thave\tVBG\tB-VP\tO' -p213606 -aS'a\ta\tDT\tB-NP\tO' -p213607 -aS'bowel\tbowel\tNN\tI-NP\tO' -p213608 -aS'movement\tmovement\tNN\tI-NP\tO' -p213609 -aS'and\tand\tCC\tI-NP\tO' -p213610 -aS'dischargo\tdischargo\tNN\tI-NP\tO' -p213611 -aS'home\thome\tNN\tI-NP\tO' -p213612 -aS'in\tin\tIN\tB-PP\tO' -p213613 -aS'good\tgood\tJJ\tB-NP\tO' -p213614 -aS'conditions\tcondition\tNNS\tI-NP\tO' -p213615 -aS'.\t.\t.\tO\tO' -p213616 -asS'The patient has a history of neurogenic bladder and , therefore , she required a Foley catheterization .' -p213617 -(lp213618 -S'The\tThe\tDT\tB-NP\tO' -p213619 -aS'patient\tpatient\tNN\tI-NP\tO' -p213620 -aS'has\thave\tVBZ\tB-VP\tO' -p213621 -aS'a\ta\tDT\tB-NP\tO' -p213622 -aS'history\thistory\tNN\tI-NP\tO' -p213623 -aS'of\tof\tIN\tB-PP\tO' -p213624 -aS'neurogenic\tneurogenic\tJJ\tB-NP\tO' -p213625 -aS'bladder\tbladder\tNN\tI-NP\tO' -p213626 -aS'and\tand\tCC\tO\tO' -p213627 -aS',\t,\t,\tO\tO' -p213628 -aS'therefore\ttherefore\tRB\tB-ADVP\tO' -p213629 -aS',\t,\t,\tO\tO' -p213630 -aS'she\tshe\tPRP\tB-NP\tO' -p213631 -aS'required\trequire\tVBD\tB-VP\tO' -p213632 -aS'a\ta\tDT\tB-NP\tO' -p213633 -aS'Foley\tFoley\tNNP\tI-NP\tO' -p213634 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p213635 -aS'.\t.\t.\tO\tO' -p213636 -asS'On 9-28-92 , the patient will return for chemotherapy and she will follow up with her primary doctor , Dr. Jescspald , for repeat PT and Coumadin dosing on Monday , 9-14-02 .' -p213637 -(lp213638 -S'On\tOn\tIN\tB-PP\tO' -p213639 -aS'9-28-92\t9-28-92\tCD\tB-NP\tO' -p213640 -aS',\t,\t,\tO\tO' -p213641 -aS'the\tthe\tDT\tB-NP\tO' -p213642 -aS'patient\tpatient\tNN\tI-NP\tO' -p213643 -aS'will\twill\tMD\tB-VP\tO' -p213644 -aS'return\treturn\tVB\tI-VP\tO' -p213645 -aS'for\tfor\tIN\tB-PP\tO' -p213646 -aS'chemotherapy\tchemotherapy\tNN\tB-NP\tO' -p213647 -aS'and\tand\tCC\tO\tO' -p213648 -aS'she\tshe\tPRP\tB-NP\tO' -p213649 -aS'will\twill\tMD\tB-VP\tO' -p213650 -aS'follow\tfollow\tVB\tI-VP\tO' -p213651 -aS'up\tup\tRP\tB-PRT\tO' -p213652 -aS'with\twith\tIN\tB-PP\tO' -p213653 -aS'her\ther\tPRP$\tB-NP\tO' -p213654 -aS'primary\tprimary\tJJ\tI-NP\tO' -p213655 -aS'doctor\tdoctor\tNN\tI-NP\tO' -p213656 -aS',\t,\t,\tO\tO' -p213657 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p213658 -aS'Jescspald\tJescspald\tNNP\tI-NP\tO' -p213659 -aS',\t,\t,\tO\tO' -p213660 -aS'for\tfor\tIN\tB-PP\tO' -p213661 -aS'repeat\trepeat\tNN\tB-NP\tO' -p213662 -aS'PT\tPT\tNN\tI-NP\tO' -p213663 -aS'and\tand\tCC\tO\tO' -p213664 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p213665 -aS'dosing\tdosing\tNN\tI-NP\tO' -p213666 -aS'on\ton\tIN\tB-PP\tO' -p213667 -aS'Monday\tMonday\tNNP\tB-NP\tO' -p213668 -aS',\t,\t,\tO\tO' -p213669 -aS'9-14-02\t9-14-02\tCD\tB-NP\tO' -p213670 -aS'.\t.\t.\tO\tO' -p213671 -asS'EKG showed normal sinus rhythm with left ventricular hypertrophy and incomplete left bundle branch block .' -p213672 -(lp213673 -S'EKG\tEKG\tNN\tB-NP\tB-protein' -p213674 -aS'showed\tshow\tVBD\tB-VP\tO' -p213675 -aS'normal\tnormal\tJJ\tB-NP\tO' -p213676 -aS'sinus\tsinus\tNN\tI-NP\tO' -p213677 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p213678 -aS'with\twith\tIN\tB-PP\tO' -p213679 -aS'left\tleft\tJJ\tB-NP\tO' -p213680 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p213681 -aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' -p213682 -aS'and\tand\tCC\tO\tO' -p213683 -aS'incomplete\tincomplete\tJJ\tB-NP\tO' -p213684 -aS'left\tleft\tJJ\tI-NP\tO' -p213685 -aS'bundle\tbundle\tNN\tI-NP\tO' -p213686 -aS'branch\tbranch\tNN\tI-NP\tO' -p213687 -aS'block\tblock\tNN\tI-NP\tO' -p213688 -aS'.\t.\t.\tO\tO' -p213689 -asS'There was no neck vein distension or carotid bruits .' -p213690 -(lp213691 -S'There\tThere\tEX\tB-NP\tO' -p213692 -aS'was\tbe\tVBD\tB-VP\tO' -p213693 -aS'no\tno\tDT\tB-NP\tO' -p213694 -aS'neck\tneck\tNN\tI-NP\tO' -p213695 -aS'vein\tvein\tNN\tI-NP\tO' -p213696 -aS'distension\tdistension\tNN\tI-NP\tO' -p213697 -aS'or\tor\tCC\tI-NP\tO' -p213698 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p213699 -aS'bruits\tbruit\tNNS\tI-NP\tO' -p213700 -aS'.\t.\t.\tO\tO' -p213701 -asS'5. Status post cadaveric kidney transplant in 2012-09-21 .' -p213702 -(lp213703 -S'5.\t5.\tLS\tB-LST\tO' -p213704 -aS'Status\tStatus\tNNP\tB-NP\tO' -p213705 -aS'post\tpost\tIN\tB-PP\tO' -p213706 -aS'cadaveric\tcadaveric\tJJ\tB-NP\tO' -p213707 -aS'kidney\tkidney\tNN\tI-NP\tO' -p213708 -aS'transplant\ttransplant\tNN\tI-NP\tO' -p213709 -aS'in\tin\tIN\tB-PP\tO' -p213710 -aS'2012-09-21\t2012-09-21\tCD\tB-NP\tO' -p213711 -aS'.\t.\t.\tO\tO' -p213712 -asS'Temperature is 98.3 F. ; pulse is 76 ; blood pressure 113/52 ; breathing 18 ; 98% on room air .' -p213713 -(lp213714 -S'Temperature\tTemperature\tNN\tB-NP\tO' -p213715 -aS'is\tbe\tVBZ\tB-VP\tO' -p213716 -aS'98.3\t98.3\tCD\tB-NP\tO' -p213717 -aS'F.\tF.\tNNP\tI-NP\tO' -p213718 -aS';\t;\t:\tO\tO' -p213719 -aS'pulse\tpulse\tNN\tB-NP\tO' -p213720 -aS'is\tbe\tVBZ\tB-VP\tO' -p213721 -aS'76\t76\tCD\tB-NP\tO' -p213722 -aS';\t;\t:\tO\tO' -p213723 -aS'blood\tblood\tNN\tB-NP\tO' -p213724 -aS'pressure\tpressure\tNN\tI-NP\tO' -p213725 -aS'113/52\t113/52\tCD\tI-NP\tO' -p213726 -aS';\t;\t:\tO\tO' -p213727 -aS'breathing\tbreathing\tNN\tB-NP\tO' -p213728 -aS'18\t18\tCD\tI-NP\tO' -p213729 -aS';\t;\t:\tO\tO' -p213730 -aS'98%\t98%\tCD\tB-NP\tO' -p213731 -aS'on\ton\tIN\tB-PP\tO' -p213732 -aS'room\troom\tNN\tB-NP\tO' -p213733 -aS'air\tair\tNN\tI-NP\tO' -p213734 -aS'.\t.\t.\tO\tO' -p213735 -asS'The patient presented with a chief complaint of ABD PAIN .' -p213736 -(lp213737 -S'The\tThe\tDT\tB-NP\tO' -p213738 -aS'patient\tpatient\tNN\tI-NP\tO' -p213739 -aS'presented\tpresent\tVBD\tB-VP\tO' -p213740 -aS'with\twith\tIN\tB-PP\tO' -p213741 -aS'a\ta\tDT\tB-NP\tO' -p213742 -aS'chief\tchief\tJJ\tI-NP\tO' -p213743 -aS'complaint\tcomplaint\tNN\tI-NP\tO' -p213744 -aS'of\tof\tIN\tB-PP\tO' -p213745 -aS'ABD\tABD\tNN\tB-NP\tB-protein' -p213746 -aS'PAIN\tPAIN\tNN\tI-NP\tI-protein' -p213747 -aS'.\t.\t.\tO\tO' -p213748 -asS'Patient 's renal function returned to normal over several days , however .' -p213749 -(lp213750 -S'Patient\tPatient\tNN\tB-NP\tO' -p213751 -aS''s\t'\tNNS\tI-NP\tO' -p213752 -aS'renal\trenal\tJJ\tB-NP\tO' -p213753 -aS'function\tfunction\tNN\tI-NP\tO' -p213754 -aS'returned\treturn\tVBD\tB-VP\tO' -p213755 -aS'to\tto\tTO\tB-PP\tO' -p213756 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p213757 -aS'over\tover\tIN\tB-PP\tO' -p213758 -aS'several\tseveral\tJJ\tB-NP\tO' -p213759 -aS'days\tday\tNNS\tI-NP\tO' -p213760 -aS',\t,\t,\tO\tO' -p213761 -aS'however\thowever\tRB\tB-ADVP\tO' -p213762 -aS'.\t.\t.\tO\tO' -p213763 -asS'Past surgical history is notable of D and C in 1980 and cyst excision .' -p213764 -(lp213765 -S'Past\tPast\tJJ\tB-NP\tO' -p213766 -aS'surgical\tsurgical\tJJ\tI-NP\tO' -p213767 -aS'history\thistory\tNN\tI-NP\tO' -p213768 -aS'is\tbe\tVBZ\tB-VP\tO' -p213769 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p213770 -aS'of\tof\tIN\tB-PP\tO' -p213771 -aS'D\tD\tNN\tB-NP\tO' -p213772 -aS'and\tand\tCC\tI-NP\tO' -p213773 -aS'C\tC\tNN\tI-NP\tO' -p213774 -aS'in\tin\tIN\tB-PP\tO' -p213775 -aS'1980\t1980\tCD\tB-NP\tO' -p213776 -aS'and\tand\tCC\tO\tO' -p213777 -aS'cyst\tcyst\tNN\tB-NP\tO' -p213778 -aS'excision\texcision\tNN\tI-NP\tO' -p213779 -aS'.\t.\t.\tO\tO' -p213780 -asS'He was discharged in stable condition .' -p213781 -(lp213782 -S'He\tHe\tPRP\tB-NP\tO' -p213783 -aS'was\tbe\tVBD\tB-VP\tO' -p213784 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p213785 -aS'in\tin\tIN\tB-PP\tO' -p213786 -aS'stable\tstable\tJJ\tB-NP\tO' -p213787 -aS'condition\tcondition\tNN\tI-NP\tO' -p213788 -aS'.\t.\t.\tO\tO' -p213789 -asS'He was weaned from the ventilator and successfully extubated .' -p213790 -(lp213791 -S'He\tHe\tPRP\tB-NP\tO' -p213792 -aS'was\tbe\tVBD\tB-VP\tO' -p213793 -aS'weaned\twean\tVBN\tI-VP\tO' -p213794 -aS'from\tfrom\tIN\tB-PP\tO' -p213795 -aS'the\tthe\tDT\tB-NP\tO' -p213796 -aS'ventilator\tventilator\tNN\tI-NP\tO' -p213797 -aS'and\tand\tCC\tO\tO' -p213798 -aS'successfully\tsuccessfully\tRB\tB-VP\tO' -p213799 -aS'extubated\textubate\tVBN\tI-VP\tO' -p213800 -aS'.\t.\t.\tO\tO' -p213801 -asS'NO GROWTH .' -p213802 -(lp213803 -S'NO\tNO\tNN\tB-NP\tO' -p213804 -aS'GROWTH\tGROWTH\tNN\tI-NP\tO' -p213805 -aS'.\t.\t.\tO\tO' -p213806 -asS'Abdomen was soft , nontender , nondistended .' -p213807 -(lp213808 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p213809 -aS'was\tbe\tVBD\tB-VP\tO' -p213810 -aS'soft\tsoft\tJJ\tB-NP\tO' -p213811 -aS',\t,\t,\tI-NP\tO' -p213812 -aS'nontender\tnontender\tJJ\tI-NP\tO' -p213813 -aS',\t,\t,\tI-NP\tO' -p213814 -aS'nondistended\tnondistended\tJJ\tI-NP\tO' -p213815 -aS'.\t.\t.\tO\tO' -p213816 -asS'There are no known drug allergies .' -p213817 -(lp213818 -S'There\tThere\tEX\tB-NP\tO' -p213819 -aS'are\tbe\tVBP\tB-VP\tO' -p213820 -aS'no\tno\tDT\tB-NP\tO' -p213821 -aS'known\tknow\tVBN\tI-NP\tO' -p213822 -aS'drug\tdrug\tNN\tI-NP\tO' -p213823 -aS'allergies\tallergy\tNNS\tI-NP\tO' -p213824 -aS'.\t.\t.\tO\tO' -p213825 -asS'On the evening of the 18th , the patient continued to remain hemodynamically stable , although his oxygenation was clearly deteriorating and more marginal .' -p213826 -(lp213827 -S'On\tOn\tIN\tB-PP\tO' -p213828 -aS'the\tthe\tDT\tB-NP\tO' -p213829 -aS'evening\tevening\tNN\tI-NP\tO' -p213830 -aS'of\tof\tIN\tB-PP\tO' -p213831 -aS'the\tthe\tDT\tB-NP\tO' -p213832 -aS'18th\t18th\tNN\tI-NP\tO' -p213833 -aS',\t,\t,\tO\tO' -p213834 -aS'the\tthe\tDT\tB-NP\tO' -p213835 -aS'patient\tpatient\tNN\tI-NP\tO' -p213836 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p213837 -aS'to\tto\tTO\tI-VP\tO' -p213838 -aS'remain\tremain\tVB\tI-VP\tO' -p213839 -aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' -p213840 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p213841 -aS',\t,\t,\tO\tO' -p213842 -aS'although\talthough\tIN\tB-SBAR\tO' -p213843 -aS'his\this\tPRP$\tB-NP\tO' -p213844 -aS'oxygenation\toxygenation\tNN\tI-NP\tO' -p213845 -aS'was\tbe\tVBD\tB-VP\tO' -p213846 -aS'clearly\tclearly\tRB\tI-VP\tO' -p213847 -aS'deteriorating\tdeteriorate\tVBG\tI-VP\tO' -p213848 -aS'and\tand\tCC\tO\tO' -p213849 -aS'more\tmore\tRBR\tB-ADJP\tO' -p213850 -aS'marginal\tmarginal\tJJ\tI-ADJP\tO' -p213851 -aS'.\t.\t.\tO\tO' -p213852 -asS'Disp : *14 Tablet( s )*' -p213853 -(lp213854 -S'Disp\tDisp\tNN\tB-NP\tO' -p213855 -aS':\t:\t:\tO\tO' -p213856 -aS'*14\t*14\tCD\tB-NP\tO' -p213857 -aS'Tablet(\tTablet(\t(\tI-NP\tO' -p213858 -aS's\ts\tNN\tI-NP\tO' -p213859 -aS')*\t)*\tSYM\tB-NP\tO' -p213860 -asS'9. Left UE markedly more edematous than right UE , this could be from fracture , or there could be a clot , an abscess in the area also a possiblity .' -p213861 -(lp213862 -S'9.\t9.\tLS\tB-LST\tO' -p213863 -aS'Left\tLeft\tNNP\tB-NP\tO' -p213864 -aS'UE\tUE\tNNP\tI-NP\tO' -p213865 -aS'markedly\tmarkedly\tRB\tB-ADJP\tO' -p213866 -aS'more\tmore\tRBR\tI-ADJP\tO' -p213867 -aS'edematous\tedematous\tJJ\tI-ADJP\tO' -p213868 -aS'than\tthan\tIN\tB-PP\tO' -p213869 -aS'right\tright\tJJ\tB-NP\tO' -p213870 -aS'UE\tUE\tNN\tI-NP\tO' -p213871 -aS',\t,\t,\tO\tO' -p213872 -aS'this\tthis\tDT\tB-NP\tO' -p213873 -aS'could\tcould\tMD\tB-VP\tO' -p213874 -aS'be\tbe\tVB\tI-VP\tO' -p213875 -aS'from\tfrom\tIN\tB-PP\tO' -p213876 -aS'fracture\tfracture\tNN\tB-NP\tO' -p213877 -aS',\t,\t,\tO\tO' -p213878 -aS'or\tor\tCC\tO\tO' -p213879 -aS'there\tthere\tEX\tB-NP\tO' -p213880 -aS'could\tcould\tMD\tB-VP\tO' -p213881 -aS'be\tbe\tVB\tI-VP\tO' -p213882 -aS'a\ta\tDT\tB-NP\tO' -p213883 -aS'clot\tclot\tNN\tI-NP\tO' -p213884 -aS',\t,\t,\tO\tO' -p213885 -aS'an\tan\tDT\tB-NP\tO' -p213886 -aS'abscess\tabscess\tNN\tI-NP\tO' -p213887 -aS'in\tin\tIN\tB-PP\tO' -p213888 -aS'the\tthe\tDT\tB-NP\tO' -p213889 -aS'area\tarea\tNN\tI-NP\tO' -p213890 -aS'also\talso\tRB\tB-ADVP\tO' -p213891 -aS'a\ta\tDT\tB-NP\tO' -p213892 -aS'possiblity\tpossiblity\tNN\tI-NP\tO' -p213893 -aS'.\t.\t.\tO\tO' -p213894 -asS'Right thyroid papillary carcinoma .' -p213895 -(lp213896 -S'Right\tRight\tRB\tB-NP\tO' -p213897 -aS'thyroid\tthyroid\tJJ\tI-NP\tO' -p213898 -aS'papillary\tpapillary\tJJ\tI-NP\tO' -p213899 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p213900 -aS'.\t.\t.\tO\tO' -p213901 -asS'father died at 57 of heart problems brother died at age 7 of "leaky valve" sister with CAD/CABG' -p213902 -(lp213903 -S'father\tfather\tNN\tB-NP\tO' -p213904 -aS'died\tdie\tVBD\tB-VP\tO' -p213905 -aS'at\tat\tIN\tB-PP\tO' -p213906 -aS'57\t57\tCD\tB-NP\tO' -p213907 -aS'of\tof\tIN\tB-PP\tO' -p213908 -aS'heart\theart\tNN\tB-NP\tO' -p213909 -aS'problems\tproblem\tNNS\tI-NP\tO' -p213910 -aS'brother\tbrother\tNN\tI-NP\tO' -p213911 -aS'died\tdie\tVBD\tB-VP\tO' -p213912 -aS'at\tat\tIN\tB-PP\tO' -p213913 -aS'age\tage\tNN\tB-NP\tO' -p213914 -aS'7\t7\tCD\tI-NP\tO' -p213915 -aS'of\tof\tIN\tB-PP\tO' -p213916 -aS'"leaky\t"leaky\tJJ\tB-NP\tO' -p213917 -aS'valve"\tvalve"\tNN\tI-NP\tO' -p213918 -aS'sister\tsister\tNN\tI-NP\tO' -p213919 -aS'with\twith\tIN\tB-PP\tO' -p213920 -aS'CAD/CABG\tCAD/CABG\tNN\tB-NP\tO' -p213921 -asS'The patient had a temperature of 101.6 on postoperative day two .' -p213922 -(lp213923 -S'The\tThe\tDT\tB-NP\tO' -p213924 -aS'patient\tpatient\tNN\tI-NP\tO' -p213925 -aS'had\thave\tVBD\tB-VP\tO' -p213926 -aS'a\ta\tDT\tB-NP\tO' -p213927 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p213928 -aS'of\tof\tIN\tB-PP\tO' -p213929 -aS'101.6\t101.6\tCD\tB-NP\tO' -p213930 -aS'on\ton\tIN\tB-PP\tO' -p213931 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p213932 -aS'day\tday\tNN\tI-NP\tO' -p213933 -aS'two\ttwo\tCD\tI-NP\tO' -p213934 -aS'.\t.\t.\tO\tO' -p213935 -asS'No history of abnormal Pap smears .' -p213936 -(lp213937 -S'No\tNo\tDT\tB-NP\tO' -p213938 -aS'history\thistory\tNN\tI-NP\tO' -p213939 -aS'of\tof\tIN\tB-PP\tO' -p213940 -aS'abnormal\tabnormal\tJJ\tB-NP\tO' -p213941 -aS'Pap\tPap\tNN\tI-NP\tO' -p213942 -aS'smears\tsmear\tNNS\tI-NP\tO' -p213943 -aS'.\t.\t.\tO\tO' -p213944 -asS'The patient denied loss of consciousness , no bowel or bladder incontinence .' -p213945 -(lp213946 -S'The\tThe\tDT\tB-NP\tO' -p213947 -aS'patient\tpatient\tNN\tI-NP\tO' -p213948 -aS'denied\tdeny\tVBD\tB-VP\tO' -p213949 -aS'loss\tloss\tNN\tB-NP\tO' -p213950 -aS'of\tof\tIN\tB-PP\tO' -p213951 -aS'consciousness\tconsciousness\tNN\tB-NP\tO' -p213952 -aS',\t,\t,\tO\tO' -p213953 -aS'no\tno\tDT\tB-NP\tO' -p213954 -aS'bowel\tbowel\tNN\tI-NP\tO' -p213955 -aS'or\tor\tCC\tI-NP\tO' -p213956 -aS'bladder\tbladder\tNN\tI-NP\tO' -p213957 -aS'incontinence\tincontinence\tNN\tI-NP\tO' -p213958 -aS'.\t.\t.\tO\tO' -p213959 -asS'Her sclera were nonicteric .' -p213960 -(lp213961 -S'Her\tHer\tPRP$\tB-NP\tO' -p213962 -aS'sclera\tsclera\tNN\tI-NP\tO' -p213963 -aS'were\tbe\tVBD\tB-VP\tO' -p213964 -aS'nonicteric\tnonicteric\tJJ\tB-ADJP\tO' -p213965 -aS'.\t.\t.\tO\tO' -p213966 -asS'The right knee examination showed some effusion .' -p213967 -(lp213968 -S'The\tThe\tDT\tB-NP\tO' -p213969 -aS'right\tright\tJJ\tI-NP\tO' -p213970 -aS'knee\tknee\tNN\tI-NP\tO' -p213971 -aS'examination\texamination\tNN\tI-NP\tO' -p213972 -aS'showed\tshow\tVBD\tB-VP\tO' -p213973 -aS'some\tsome\tDT\tB-NP\tO' -p213974 -aS'effusion\teffusion\tNN\tI-NP\tO' -p213975 -aS'.\t.\t.\tO\tO' -p213976 -asS'He did have burst of atrial fibrillation and was started on a Amiodarone gtt .' -p213977 -(lp213978 -S'He\tHe\tPRP\tB-NP\tO' -p213979 -aS'did\tdo\tVBD\tB-VP\tO' -p213980 -aS'have\thave\tVB\tI-VP\tO' -p213981 -aS'burst\tburst\tNN\tB-NP\tO' -p213982 -aS'of\tof\tIN\tB-PP\tO' -p213983 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p213984 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p213985 -aS'and\tand\tCC\tO\tO' -p213986 -aS'was\tbe\tVBD\tB-VP\tO' -p213987 -aS'started\tstart\tVBN\tI-VP\tO' -p213988 -aS'on\ton\tIN\tB-PP\tO' -p213989 -aS'a\ta\tDT\tB-NP\tO' -p213990 -aS'Amiodarone\tAmiodarone\tNN\tI-NP\tO' -p213991 -aS'gtt\tgtt\tNN\tI-NP\tO' -p213992 -aS'.\t.\t.\tO\tO' -p213993 -asS'She has been suffering from this problem for the last few weeks .' -p213994 -(lp213995 -S'She\tShe\tPRP\tB-NP\tO' -p213996 -aS'has\thave\tVBZ\tB-VP\tO' -p213997 -aS'been\tbe\tVBN\tI-VP\tO' -p213998 -aS'suffering\tsuffer\tVBG\tI-VP\tO' -p213999 -aS'from\tfrom\tIN\tB-PP\tO' -p214000 -aS'this\tthis\tDT\tB-NP\tO' -p214001 -aS'problem\tproblem\tNN\tI-NP\tO' -p214002 -aS'for\tfor\tIN\tB-PP\tO' -p214003 -aS'the\tthe\tDT\tB-NP\tO' -p214004 -aS'last\tlast\tJJ\tI-NP\tO' -p214005 -aS'few\tfew\tJJ\tI-NP\tO' -p214006 -aS'weeks\tweek\tNNS\tI-NP\tO' -p214007 -aS'.\t.\t.\tO\tO' -p214008 -asS'She is unable to run without losing urine .' -p214009 -(lp214010 -S'She\tShe\tPRP\tB-NP\tO' -p214011 -aS'is\tbe\tVBZ\tB-VP\tO' -p214012 -aS'unable\tunable\tJJ\tB-ADJP\tO' -p214013 -aS'to\tto\tTO\tB-VP\tO' -p214014 -aS'run\trun\tVB\tI-VP\tO' -p214015 -aS'without\twithout\tIN\tB-PP\tO' -p214016 -aS'losing\tlose\tVBG\tB-VP\tO' -p214017 -aS'urine\turine\tNN\tB-NP\tO' -p214018 -aS'.\t.\t.\tO\tO' -p214019 -asS'stable .' -p214020 -(lp214021 -S'stable\tstable\tJJ\tB-ADJP\tO' -p214022 -aS'.\t.\t.\tO\tO' -p214023 -asS'Her metoprolol dose was increased from 25 mg PO bid to 50 mg PO bid then 75 mg PO tid .' -p214024 -(lp214025 -S'Her\tHer\tPRP$\tB-NP\tO' -p214026 -aS'metoprolol\tmetoprolol\tNN\tI-NP\tO' -p214027 -aS'dose\tdose\tNN\tI-NP\tO' -p214028 -aS'was\tbe\tVBD\tB-VP\tO' -p214029 -aS'increased\tincrease\tVBN\tI-VP\tO' -p214030 -aS'from\tfrom\tIN\tB-PP\tO' -p214031 -aS'25\t25\tCD\tB-NP\tO' -p214032 -aS'mg\tmg\tNN\tI-NP\tO' -p214033 -aS'PO\tPO\tNN\tI-NP\tO' -p214034 -aS'bid\tbid\tNN\tI-NP\tO' -p214035 -aS'to\tto\tTO\tB-PP\tO' -p214036 -aS'50\t50\tCD\tB-NP\tO' -p214037 -aS'mg\tmg\tNN\tI-NP\tO' -p214038 -aS'PO\tPO\tNN\tI-NP\tO' -p214039 -aS'bid\tbid\tVBD\tB-VP\tO' -p214040 -aS'then\tthen\tRB\tB-ADVP\tO' -p214041 -aS'75\t75\tCD\tB-NP\tO' -p214042 -aS'mg\tmg\tNN\tI-NP\tO' -p214043 -aS'PO\tPO\tNN\tI-NP\tO' -p214044 -aS'tid\ttid\tNN\tI-NP\tO' -p214045 -aS'.\t.\t.\tO\tO' -p214046 -asS'FBS less than 200 = 0 units of CZI FBS 201-250 = 2 units of CZI FBS 251-300 = 4 units of CZI FBS 301-350 = 6 units of CZI FBS 351-400 = 8 units of CZI FBS greater than 400 = 10 units of CZI .' -p214047 -(lp214048 -S'FBS\tFBS\tNNS\tB-NP\tB-protein' -p214049 -aS'less\tless\tJJR\tB-NP\tO' -p214050 -aS'than\tthan\tIN\tI-NP\tO' -p214051 -aS'200\t200\tCD\tI-NP\tO' -p214052 -aS'=\t=\tJJ\tI-NP\tO' -p214053 -aS'0\t0\tCD\tI-NP\tO' -p214054 -aS'units\tunit\tNNS\tI-NP\tO' -p214055 -aS'of\tof\tIN\tB-PP\tO' -p214056 -aS'CZI\tCZI\tNNP\tB-NP\tO' -p214057 -aS'FBS\tFBS\tNNP\tI-NP\tO' -p214058 -aS'201-250\t201-250\tCD\tI-NP\tO' -p214059 -aS'=\t=\tJJ\tI-NP\tO' -p214060 -aS'2\t2\tCD\tI-NP\tO' -p214061 -aS'units\tunit\tNNS\tI-NP\tO' -p214062 -aS'of\tof\tIN\tB-PP\tO' -p214063 -aS'CZI\tCZI\tNNP\tB-NP\tO' -p214064 -aS'FBS\tFBS\tNNP\tI-NP\tO' -p214065 -aS'251-300\t251-300\tCD\tI-NP\tO' -p214066 -aS'=\t=\tJJ\tI-NP\tO' -p214067 -aS'4\t4\tCD\tI-NP\tO' -p214068 -aS'units\tunit\tNNS\tI-NP\tO' -p214069 -aS'of\tof\tIN\tB-PP\tO' -p214070 -aS'CZI\tCZI\tNN\tB-NP\tB-protein' -p214071 -aS'FBS\tFBS\tNN\tI-NP\tI-protein' -p214072 -aS'301-350\t301-350\tCD\tI-NP\tI-protein' -p214073 -aS'=\t=\tJJ\tI-NP\tI-protein' -p214074 -aS'6\t6\tCD\tI-NP\tI-protein' -p214075 -aS'units\tunit\tNNS\tI-NP\tI-protein' -p214076 -aS'of\tof\tIN\tB-PP\tO' -p214077 -aS'CZI\tCZI\tNNP\tB-NP\tO' -p214078 -aS'FBS\tFBS\tNNP\tI-NP\tO' -p214079 -aS'351-400\t351-400\tNN\tI-NP\tO' -p214080 -aS'=\t=\tSYM\tB-VP\tO' -p214081 -aS'8\t8\tCD\tB-NP\tO' -p214082 -aS'units\tunit\tNNS\tI-NP\tO' -p214083 -aS'of\tof\tIN\tB-PP\tO' -p214084 -aS'CZI\tCZI\tNN\tB-NP\tB-protein' -p214085 -aS'FBS\tFBS\tNNP\tI-NP\tI-protein' -p214086 -aS'greater\tgreat\tJJR\tB-ADJP\tO' -p214087 -aS'than\tthan\tIN\tB-PP\tO' -p214088 -aS'400\t400\tCD\tB-NP\tO' -p214089 -aS'=\t=\tJJ\tI-NP\tO' -p214090 -aS'10\t10\tCD\tI-NP\tO' -p214091 -aS'units\tunit\tNNS\tI-NP\tO' -p214092 -aS'of\tof\tIN\tB-PP\tO' -p214093 -aS'CZI\tCZI\tNN\tB-NP\tB-protein' -p214094 -aS'.\t.\t.\tO\tO' -p214095 -asS'She also received hepatitis B immune globulin on 11-02 .' -p214096 -(lp214097 -S'She\tShe\tPRP\tB-NP\tO' -p214098 -aS'also\talso\tRB\tB-ADVP\tO' -p214099 -aS'received\treceive\tVBD\tB-VP\tO' -p214100 -aS'hepatitis\thepatitis\tNN\tB-NP\tB-protein' -p214101 -aS'B\tB\tNN\tI-NP\tI-protein' -p214102 -aS'immune\timmune\tJJ\tI-NP\tI-protein' -p214103 -aS'globulin\tglobulin\tNN\tI-NP\tI-protein' -p214104 -aS'on\ton\tIN\tB-PP\tO' -p214105 -aS'11-02\t11-02\tCD\tB-NP\tO' -p214106 -aS'.\t.\t.\tO\tO' -p214107 -asS'Patient continued to do very well , ambulating , following the diet .' -p214108 -(lp214109 -S'Patient\tPatient\tNN\tB-NP\tO' -p214110 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p214111 -aS'to\tto\tTO\tI-VP\tO' -p214112 -aS'do\tdo\tVB\tI-VP\tO' -p214113 -aS'very\tvery\tRB\tB-ADVP\tO' -p214114 -aS'well\twell\tRB\tI-ADVP\tO' -p214115 -aS',\t,\t,\tO\tO' -p214116 -aS'ambulating\tambulate\tVBG\tB-VP\tO' -p214117 -aS',\t,\t,\tO\tO' -p214118 -aS'following\tfollow\tVBG\tB-PP\tO' -p214119 -aS'the\tthe\tDT\tB-NP\tO' -p214120 -aS'diet\tdiet\tNN\tI-NP\tO' -p214121 -aS'.\t.\t.\tO\tO' -p214122 -asS'SHE WAS TRANSFERED TO THE FLOOR POST-OP DAY 2 WHERE SHE HAD BEEN AFEBRILE WITH NORMAL VITALS , MAKING GOOD URINE , AND TOLERATING A REGULAR DIET .' -p214123 -(lp214124 -S'SHE\tSHE\tNNP\tB-NP\tO' -p214125 -aS'WAS\tWAS\tNNP\tI-NP\tO' -p214126 -aS'TRANSFERED\tTRANSFERED\tNNP\tI-NP\tO' -p214127 -aS'TO\tTO\tTO\tB-PP\tO' -p214128 -aS'THE\tTHE\tDT\tB-NP\tO' -p214129 -aS'FLOOR\tFLOOR\tNN\tI-NP\tO' -p214130 -aS'POST-OP\tPOST-OP\tNN\tI-NP\tO' -p214131 -aS'DAY\tDAY\tNN\tI-NP\tO' -p214132 -aS'2\t2\tCD\tI-NP\tO' -p214133 -aS'WHERE\tWHERE\tNNP\tI-NP\tO' -p214134 -aS'SHE\tSHE\tNNP\tI-NP\tO' -p214135 -aS'HAD\tHAD\tNNP\tI-NP\tO' -p214136 -aS'BEEN\tBEEN\tNNP\tI-NP\tO' -p214137 -aS'AFEBRILE\tAFEBRILE\tNNP\tI-NP\tO' -p214138 -aS'WITH\tWITH\tNNP\tI-NP\tO' -p214139 -aS'NORMAL\tNORMAL\tNNP\tI-NP\tO' -p214140 -aS'VITALS\tVITALS\tNNP\tI-NP\tO' -p214141 -aS',\t,\t,\tO\tO' -p214142 -aS'MAKING\tMAKING\tNNP\tB-NP\tO' -p214143 -aS'GOOD\tGOOD\tNNP\tI-NP\tO' -p214144 -aS'URINE\tURINE\tNNP\tI-NP\tO' -p214145 -aS',\t,\t,\tO\tO' -p214146 -aS'AND\tAND\tCC\tO\tO' -p214147 -aS'TOLERATING\tTOLERATING\tNN\tB-NP\tO' -p214148 -aS'A\tA\tNN\tI-NP\tO' -p214149 -aS'REGULAR\tREGULAR\tNN\tI-NP\tO' -p214150 -aS'DIET\tDIET\tNN\tI-NP\tO' -p214151 -aS'.\t.\t.\tO\tO' -p214152 -asS'4. Non insulin dependent diabetes mellitus .' -p214153 -(lp214154 -S'4.\t4.\tLS\tB-NP\tO' -p214155 -aS'Non\tNon\tNN\tI-NP\tB-protein' -p214156 -aS'insulin\tinsulin\tNN\tI-NP\tI-protein' -p214157 -aS'dependent\tdependent\tJJ\tI-NP\tO' -p214158 -aS'diabetes\tdiabete\tNNS\tI-NP\tO' -p214159 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p214160 -aS'.\t.\t.\tO\tO' -p214161 -asS"Vascular surgery was also asked to evaluate the patient 's right lower extremity blood flow ." -p214162 -(lp214163 -S'Vascular\tVascular\tJJ\tB-NP\tO' -p214164 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p214165 -aS'was\tbe\tVBD\tB-VP\tO' -p214166 -aS'also\talso\tRB\tI-VP\tO' -p214167 -aS'asked\task\tVBN\tI-VP\tO' -p214168 -aS'to\tto\tTO\tB-VP\tO' -p214169 -aS'evaluate\tevaluate\tVB\tI-VP\tO' -p214170 -aS'the\tthe\tDT\tB-NP\tO' -p214171 -aS'patient\tpatient\tNN\tI-NP\tO' -p214172 -aS"'s\t's\tPOS\tB-NP\tO" -p214173 -aS'right\tright\tJJ\tI-NP\tO' -p214174 -aS'lower\tlow\tJJR\tI-NP\tO' -p214175 -aS'extremity\textremity\tNN\tI-NP\tO' -p214176 -aS'blood\tblood\tNN\tI-NP\tO' -p214177 -aS'flow\tflow\tNN\tI-NP\tO' -p214178 -aS'.\t.\t.\tO\tO' -p214179 -asS'Normal tone and activity .' -p214180 -(lp214181 -S'Normal\tNormal\tJJ\tB-NP\tO' -p214182 -aS'tone\ttone\tNN\tI-NP\tO' -p214183 -aS'and\tand\tCC\tI-NP\tO' -p214184 -aS'activity\tactivity\tNN\tI-NP\tO' -p214185 -aS'.\t.\t.\tO\tO' -p214186 -asS'Finger sticks were in the 150 s when acutely agitated , therefore , it was not determined that glucose levels were contributory .' -p214187 -(lp214188 -S'Finger\tFinger\tNN\tB-NP\tO' -p214189 -aS'sticks\tstick\tNNS\tI-NP\tO' -p214190 -aS'were\tbe\tVBD\tB-VP\tO' -p214191 -aS'in\tin\tIN\tB-PP\tO' -p214192 -aS'the\tthe\tDT\tB-NP\tO' -p214193 -aS'150\t150\tCD\tI-NP\tO' -p214194 -aS's\ts\tNN\tI-NP\tO' -p214195 -aS'when\twhen\tWRB\tB-ADVP\tO' -p214196 -aS'acutely\tacutely\tRB\tB-VP\tO' -p214197 -aS'agitated\tagitate\tVBN\tI-VP\tO' -p214198 -aS',\t,\t,\tO\tO' -p214199 -aS'therefore\ttherefore\tRB\tB-ADVP\tO' -p214200 -aS',\t,\t,\tO\tO' -p214201 -aS'it\tit\tPRP\tB-NP\tO' -p214202 -aS'was\tbe\tVBD\tB-VP\tO' -p214203 -aS'not\tnot\tRB\tI-VP\tO' -p214204 -aS'determined\tdetermine\tVBN\tI-VP\tO' -p214205 -aS'that\tthat\tIN\tB-SBAR\tO' -p214206 -aS'glucose\tglucose\tNN\tB-NP\tO' -p214207 -aS'levels\tlevel\tNNS\tI-NP\tO' -p214208 -aS'were\tbe\tVBD\tB-VP\tO' -p214209 -aS'contributory\tcontributory\tJJ\tB-ADJP\tO' -p214210 -aS'.\t.\t.\tO\tO' -p214211 -asS'The mitral valve leaflets were mildly thickened .' -p214212 -(lp214213 -S'The\tThe\tDT\tB-NP\tO' -p214214 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p214215 -aS'valve\tvalve\tNN\tI-NP\tO' -p214216 -aS'leaflets\tleaflet\tNNS\tI-NP\tO' -p214217 -aS'were\tbe\tVBD\tB-VP\tO' -p214218 -aS'mildly\tmildly\tRB\tI-VP\tO' -p214219 -aS'thickened\tthicken\tVBN\tI-VP\tO' -p214220 -aS'.\t.\t.\tO\tO' -p214221 -asS'1. Stable appearance of confluent areas of increased T2 signal in the periventricular white matter , consistent with severe demyelinating disease .' -p214222 -(lp214223 -S'1.\t1.\tLS\tB-NP\tO' -p214224 -aS'Stable\tStable\tJJ\tI-NP\tO' -p214225 -aS'appearance\tappearance\tNN\tI-NP\tO' -p214226 -aS'of\tof\tIN\tB-PP\tO' -p214227 -aS'confluent\tconfluent\tJJ\tB-NP\tO' -p214228 -aS'areas\tarea\tNNS\tI-NP\tO' -p214229 -aS'of\tof\tIN\tB-PP\tO' -p214230 -aS'increased\tincrease\tVBN\tB-NP\tO' -p214231 -aS'T2\tT2\tNN\tI-NP\tO' -p214232 -aS'signal\tsignal\tNN\tI-NP\tO' -p214233 -aS'in\tin\tIN\tB-PP\tO' -p214234 -aS'the\tthe\tDT\tB-NP\tO' -p214235 -aS'periventricular\tperiventricular\tJJ\tI-NP\tO' -p214236 -aS'white\twhite\tJJ\tI-NP\tO' -p214237 -aS'matter\tmatter\tNN\tI-NP\tO' -p214238 -aS',\t,\t,\tO\tO' -p214239 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p214240 -aS'with\twith\tIN\tB-PP\tO' -p214241 -aS'severe\tsevere\tJJ\tB-NP\tO' -p214242 -aS'demyelinating\tdemyelinate\tVBG\tI-NP\tO' -p214243 -aS'disease\tdisease\tNN\tI-NP\tO' -p214244 -aS'.\t.\t.\tO\tO' -p214245 -asS'Brother has diabetes mellitus .' -p214246 -(lp214247 -S'Brother\tBrother\tNNP\tB-NP\tO' -p214248 -aS'has\thave\tVBZ\tB-VP\tO' -p214249 -aS'diabetes\tdiabetes\tNN\tB-NP\tO' -p214250 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p214251 -aS'.\t.\t.\tO\tO' -p214252 -asS'50 pack year smoking history , still smoking currently .' -p214253 -(lp214254 -S'50\t50\tCD\tB-NP\tO' -p214255 -aS'pack\tpack\tNN\tI-NP\tO' -p214256 -aS'year\tyear\tNN\tI-NP\tO' -p214257 -aS'smoking\tsmoking\tNN\tI-NP\tO' -p214258 -aS'history\thistory\tNN\tI-NP\tO' -p214259 -aS',\t,\t,\tO\tO' -p214260 -aS'still\tstill\tRB\tB-ADVP\tO' -p214261 -aS'smoking\tsmoke\tVBG\tB-VP\tO' -p214262 -aS'currently\tcurrently\tRB\tB-ADVP\tO' -p214263 -aS'.\t.\t.\tO\tO' -p214264 -asS'An echocardiogram was scheduled and Cardiology was consulted .' -p214265 -(lp214266 -S'An\tAn\tDT\tB-NP\tO' -p214267 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p214268 -aS'was\tbe\tVBD\tB-VP\tO' -p214269 -aS'scheduled\tschedule\tVBN\tI-VP\tO' -p214270 -aS'and\tand\tCC\tO\tO' -p214271 -aS'Cardiology\tCardiology\tNN\tB-NP\tO' -p214272 -aS'was\tbe\tVBD\tB-VP\tO' -p214273 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p214274 -aS'.\t.\t.\tO\tO' -p214275 -asS'Early this morning before breakfast her BS was reportedly 145 , and after LOC , her BS was reportedly 207 .' -p214276 -(lp214277 -S'Early\tEarly\tRB\tB-NP\tO' -p214278 -aS'this\tthis\tDT\tI-NP\tO' -p214279 -aS'morning\tmorning\tNN\tI-NP\tO' -p214280 -aS'before\tbefore\tIN\tB-PP\tO' -p214281 -aS'breakfast\tbreakfast\tNN\tB-NP\tO' -p214282 -aS'her\ther\tPRP$\tB-NP\tO' -p214283 -aS'BS\tBS\tNN\tI-NP\tO' -p214284 -aS'was\tbe\tVBD\tB-VP\tO' -p214285 -aS'reportedly\treportedly\tRB\tB-ADVP\tO' -p214286 -aS'145\t145\tCD\tB-NP\tO' -p214287 -aS',\t,\t,\tB-PP\tO' -p214288 -aS'and\tand\tCC\tI-PP\tO' -p214289 -aS'after\tafter\tIN\tB-PP\tO' -p214290 -aS'LOC\tLOC\tNN\tB-NP\tO' -p214291 -aS',\t,\t,\tO\tO' -p214292 -aS'her\ther\tPRP$\tB-NP\tO' -p214293 -aS'BS\tBS\tNN\tI-NP\tO' -p214294 -aS'was\tbe\tVBD\tB-VP\tO' -p214295 -aS'reportedly\treportedly\tRB\tB-ADVP\tO' -p214296 -aS'207\t207\tCD\tB-NP\tO' -p214297 -aS'.\t.\t.\tO\tO' -p214298 -asS'The pupils were round and regular .' -p214299 -(lp214300 -S'The\tThe\tDT\tB-NP\tO' -p214301 -aS'pupils\tpupil\tNNS\tI-NP\tO' -p214302 -aS'were\tbe\tVBD\tB-VP\tO' -p214303 -aS'round\tround\tJJ\tB-ADJP\tO' -p214304 -aS'and\tand\tCC\tI-ADJP\tO' -p214305 -aS'regular\tregular\tJJ\tI-ADJP\tO' -p214306 -aS'.\t.\t.\tO\tO' -p214307 -asS'The patient is hard of hearing .' -p214308 -(lp214309 -S'The\tThe\tDT\tB-NP\tO' -p214310 -aS'patient\tpatient\tNN\tI-NP\tO' -p214311 -aS'is\tbe\tVBZ\tB-VP\tO' -p214312 -aS'hard\thard\tJJ\tB-ADJP\tO' -p214313 -aS'of\tof\tIN\tB-PP\tO' -p214314 -aS'hearing\thearing\tNN\tB-NP\tO' -p214315 -aS'.\t.\t.\tO\tO' -p214316 -asS'The day following this episode , EKG showed loss of R wave progression in anterior leads and Q waves in leads III and AVF consistent with anteroseptal myocardial infarction .' -p214317 -(lp214318 -S'The\tThe\tDT\tB-NP\tO' -p214319 -aS'day\tday\tNN\tI-NP\tO' -p214320 -aS'following\tfollow\tVBG\tB-PP\tO' -p214321 -aS'this\tthis\tDT\tB-NP\tO' -p214322 -aS'episode\tepisode\tNN\tI-NP\tO' -p214323 -aS',\t,\t,\tO\tO' -p214324 -aS'EKG\tEKG\tNN\tB-NP\tB-protein' -p214325 -aS'showed\tshow\tVBD\tB-VP\tO' -p214326 -aS'loss\tloss\tNN\tB-NP\tO' -p214327 -aS'of\tof\tIN\tB-PP\tO' -p214328 -aS'R\tR\tNN\tB-NP\tO' -p214329 -aS'wave\twave\tNN\tI-NP\tO' -p214330 -aS'progression\tprogression\tNN\tI-NP\tO' -p214331 -aS'in\tin\tIN\tB-PP\tO' -p214332 -aS'anterior\tanterior\tJJ\tB-NP\tO' -p214333 -aS'leads\tlead\tNNS\tI-NP\tO' -p214334 -aS'and\tand\tCC\tO\tO' -p214335 -aS'Q\tQ\tNN\tB-NP\tO' -p214336 -aS'waves\twave\tNNS\tI-NP\tO' -p214337 -aS'in\tin\tIN\tB-PP\tO' -p214338 -aS'leads\tlead\tNNS\tB-NP\tO' -p214339 -aS'III\tIII\tCD\tB-NP\tO' -p214340 -aS'and\tand\tCC\tO\tO' -p214341 -aS'AVF\tAVF\tNN\tB-NP\tO' -p214342 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p214343 -aS'with\twith\tIN\tB-PP\tO' -p214344 -aS'anteroseptal\tanteroseptal\tJJ\tB-NP\tO' -p214345 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p214346 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p214347 -aS'.\t.\t.\tO\tO' -p214348 -asS'At the request of her family , she will be transferred closer to her home in Wyoming , to Women and' -p214349 -(lp214350 -S'At\tAt\tIN\tB-PP\tO' -p214351 -aS'the\tthe\tDT\tB-NP\tO' -p214352 -aS'request\trequest\tNN\tI-NP\tO' -p214353 -aS'of\tof\tIN\tB-PP\tO' -p214354 -aS'her\ther\tPRP$\tB-NP\tO' -p214355 -aS'family\tfamily\tNN\tI-NP\tO' -p214356 -aS',\t,\t,\tO\tO' -p214357 -aS'she\tshe\tPRP\tB-NP\tO' -p214358 -aS'will\twill\tMD\tB-VP\tO' -p214359 -aS'be\tbe\tVB\tI-VP\tO' -p214360 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p214361 -aS'closer\tcloser\tRBR\tB-ADVP\tO' -p214362 -aS'to\tto\tTO\tB-PP\tO' -p214363 -aS'her\ther\tPRP$\tB-NP\tO' -p214364 -aS'home\thome\tNN\tI-NP\tO' -p214365 -aS'in\tin\tIN\tB-PP\tO' -p214366 -aS'Wyoming\tWyoming\tNNP\tB-NP\tO' -p214367 -aS',\t,\t,\tO\tO' -p214368 -aS'to\tto\tTO\tB-PP\tO' -p214369 -aS'Women\tWoman\tNNS\tB-NP\tO' -p214370 -aS'and\tand\tCC\tO\tO' -p214371 -asS'2. Combivent meter-dosed inhaler 2 puffs q.4h. weaning to albuterol meter-dosed inhaler 2 puffs q.4h.' -p214372 -(lp214373 -S'2.\t2.\tLS\tB-NP\tO' -p214374 -aS'Combivent\tCombivent\tNNP\tI-NP\tO' -p214375 -aS'meter-dosed\tmeter-dosed\tJJ\tI-NP\tO' -p214376 -aS'inhaler\tinhaler\tNN\tI-NP\tO' -p214377 -aS'2\t2\tCD\tB-NP\tO' -p214378 -aS'puffs\tpuff\tNNS\tI-NP\tO' -p214379 -aS'q.4h.\tq.4h.\tNN\tI-NP\tO' -p214380 -aS'weaning\twean\tVBG\tB-VP\tO' -p214381 -aS'to\tto\tTO\tB-PP\tO' -p214382 -aS'albuterol\talbuterol\tNN\tB-NP\tO' -p214383 -aS'meter-dosed\tmeter-dosed\tJJ\tI-NP\tO' -p214384 -aS'inhaler\tinhaler\tNN\tI-NP\tO' -p214385 -aS'2\t2\tCD\tB-NP\tO' -p214386 -aS'puffs\tpuff\tNNS\tI-NP\tO' -p214387 -aS'q.4h.\tq.4h.\tNN\tB-NP\tO' -p214388 -asS'The did well in the ICU .' -p214389 -(lp214390 -S'The\tThe\tDT\tB-NP\tO' -p214391 -aS'did\tdo\tVBD\tB-VP\tO' -p214392 -aS'well\twell\tRB\tB-ADVP\tO' -p214393 -aS'in\tin\tIN\tB-PP\tO' -p214394 -aS'the\tthe\tDT\tB-NP\tO' -p214395 -aS'ICU\tICU\tNN\tI-NP\tB-DNA' -p214396 -aS'.\t.\t.\tO\tO' -p214397 -asS'7/2/1928 .' -p214398 -(lp214399 -S'7/2/1928\t7/2/1928\tCD\tB-NP\tO' -p214400 -aS'.\t.\t.\tO\tO' -p214401 -asS'The RCA occlusion was successfully dilated and sent using a 3.0 X 23 mm Duet with post stent dilatation up to 16 atmospheres .' -p214402 -(lp214403 -S'The\tThe\tDT\tB-NP\tO' -p214404 -aS'RCA\tRCA\tNN\tI-NP\tO' -p214405 -aS'occlusion\tocclusion\tNN\tI-NP\tO' -p214406 -aS'was\tbe\tVBD\tB-VP\tO' -p214407 -aS'successfully\tsuccessfully\tRB\tI-VP\tO' -p214408 -aS'dilated\tdilate\tVBN\tI-VP\tO' -p214409 -aS'and\tand\tCC\tO\tO' -p214410 -aS'sent\tsend\tVBN\tB-VP\tO' -p214411 -aS'using\tuse\tVBG\tB-VP\tO' -p214412 -aS'a\ta\tDT\tB-NP\tO' -p214413 -aS'3.0\t3.0\tCD\tI-NP\tO' -p214414 -aS'X\tX\tSYM\tI-NP\tO' -p214415 -aS'23\t23\tCD\tI-NP\tO' -p214416 -aS'mm\tmm\tNN\tI-NP\tO' -p214417 -aS'Duet\tDuet\tNN\tI-NP\tO' -p214418 -aS'with\twith\tIN\tB-PP\tO' -p214419 -aS'post\tpost\tNN\tB-NP\tO' -p214420 -aS'stent\tstent\tJJ\tI-NP\tO' -p214421 -aS'dilatation\tdilatation\tNN\tI-NP\tO' -p214422 -aS'up\tup\tIN\tB-NP\tO' -p214423 -aS'to\tto\tTO\tI-NP\tO' -p214424 -aS'16\t16\tCD\tI-NP\tO' -p214425 -aS'atmospheres\tatmosphere\tNNS\tI-NP\tO' -p214426 -aS'.\t.\t.\tO\tO' -p214427 -asS'Reflex - 1+ / 4 in upper extremity , 2+ / 4 at patellar , trace ankle .' -p214428 -(lp214429 -S'Reflex\tReflex\tNN\tB-NP\tO' -p214430 -aS'-\t-\tHYPH\tO\tO' -p214431 -aS'1+\t1+\tSYM\tB-NP\tO' -p214432 -aS'/\t/\tSYM\tB-VP\tO' -p214433 -aS'4\t4\tCD\tB-NP\tO' -p214434 -aS'in\tin\tIN\tB-PP\tO' -p214435 -aS'upper\tupper\tJJ\tB-NP\tO' -p214436 -aS'extremity\textremity\tNN\tI-NP\tO' -p214437 -aS',\t,\t,\tO\tO' -p214438 -aS'2+\t2+\tJJ\tB-NP\tO' -p214439 -aS'/\t/\tSYM\tI-NP\tO' -p214440 -aS'4\t4\tCD\tI-NP\tO' -p214441 -aS'at\tat\tIN\tB-PP\tO' -p214442 -aS'patellar\tpatellar\tNN\tB-NP\tO' -p214443 -aS',\t,\t,\tO\tO' -p214444 -aS'trace\ttrace\tNN\tB-NP\tO' -p214445 -aS'ankle\tankle\tNN\tI-NP\tO' -p214446 -aS'.\t.\t.\tO\tO' -p214447 -asS'Toe upgoing on right only .' -p214448 -(lp214449 -S'Toe\tToe\tNN\tB-NP\tO' -p214450 -aS'upgoing\tupgoe\tVBG\tB-VP\tO' -p214451 -aS'on\ton\tIN\tB-PP\tO' -p214452 -aS'right\tright\tRB\tB-ADVP\tO' -p214453 -aS'only\tonly\tRB\tI-ADVP\tO' -p214454 -aS'.\t.\t.\tO\tO' -p214455 -asS'This triplet required only blow by oxygen and routine care in delivery room .' -p214456 -(lp214457 -S'This\tThis\tDT\tB-NP\tO' -p214458 -aS'triplet\ttriplet\tNN\tI-NP\tO' -p214459 -aS'required\trequire\tVBD\tB-VP\tO' -p214460 -aS'only\tonly\tRB\tB-ADVP\tO' -p214461 -aS'blow\tblow\tJJ\tB-ADJP\tO' -p214462 -aS'by\tby\tIN\tB-PP\tO' -p214463 -aS'oxygen\toxygen\tNN\tB-NP\tO' -p214464 -aS'and\tand\tCC\tO\tO' -p214465 -aS'routine\troutine\tJJ\tB-NP\tO' -p214466 -aS'care\tcare\tNN\tI-NP\tO' -p214467 -aS'in\tin\tIN\tB-PP\tO' -p214468 -aS'delivery\tdelivery\tNN\tB-NP\tO' -p214469 -aS'room\troom\tNN\tI-NP\tO' -p214470 -aS'.\t.\t.\tO\tO' -p214471 -asS'It appears that FNA was performed but was non-diagnostic ( probably because anaplastic tumors tend to be necrotic ) .' -p214472 -(lp214473 -S'It\tIt\tPRP\tB-NP\tO' -p214474 -aS'appears\tappear\tVBZ\tB-VP\tO' -p214475 -aS'that\tthat\tIN\tB-SBAR\tO' -p214476 -aS'FNA\tFNA\tNN\tB-NP\tB-protein' -p214477 -aS'was\tbe\tVBD\tB-VP\tO' -p214478 -aS'performed\tperform\tVBN\tI-VP\tO' -p214479 -aS'but\tbut\tCC\tO\tO' -p214480 -aS'was\tbe\tVBD\tB-VP\tO' -p214481 -aS'non-diagnostic\tnon-diagnostic\tJJ\tB-ADJP\tO' -p214482 -aS'(\t(\t(\tO\tO' -p214483 -aS'probably\tprobably\tRB\tB-ADVP\tO' -p214484 -aS'because\tbecause\tIN\tB-SBAR\tO' -p214485 -aS'anaplastic\tanaplastic\tJJ\tB-NP\tO' -p214486 -aS'tumors\ttumor\tNNS\tI-NP\tO' -p214487 -aS'tend\ttend\tVBP\tB-VP\tO' -p214488 -aS'to\tto\tTO\tI-VP\tO' -p214489 -aS'be\tbe\tVB\tI-VP\tO' -p214490 -aS'necrotic\tnecrotic\tJJ\tB-ADJP\tO' -p214491 -aS')\t)\t)\tO\tO' -p214492 -aS'.\t.\t.\tO\tO' -p214493 -asS'No Restrictions Activity - As tolerated' -p214494 -(lp214495 -S'No\tNo\tDT\tB-NP\tO' -p214496 -aS'Restrictions\tRestriction\tNNS\tI-NP\tO' -p214497 -aS'Activity\tActivity\tNN\tI-NP\tO' -p214498 -aS'-\t-\tHYPH\tO\tO' -p214499 -aS'As\tAs\tIN\tB-SBAR\tO' -p214500 -aS'tolerated\ttolerate\tVBN\tB-VP\tO' -p214501 -asS'He gradually improved but had recurrent angina requiring cardiac catheterization , demonstrating 90% left main , 95% ostial LAD and 30 to 40% mid-LAD with an occluded RCA .' -p214502 -(lp214503 -S'He\tHe\tPRP\tB-NP\tO' -p214504 -aS'gradually\tgradually\tRB\tB-ADVP\tO' -p214505 -aS'improved\timprove\tVBD\tB-VP\tO' -p214506 -aS'but\tbut\tCC\tI-VP\tO' -p214507 -aS'had\thave\tVBD\tI-VP\tO' -p214508 -aS'recurrent\trecurrent\tJJ\tB-NP\tO' -p214509 -aS'angina\tangina\tNN\tI-NP\tO' -p214510 -aS'requiring\trequire\tVBG\tB-VP\tO' -p214511 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p214512 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p214513 -aS',\t,\t,\tO\tO' -p214514 -aS'demonstrating\tdemonstrate\tVBG\tB-VP\tO' -p214515 -aS'90%\t90%\tCD\tB-NP\tO' -p214516 -aS'left\tleave\tVBD\tB-VP\tO' -p214517 -aS'main\tmain\tJJ\tB-NP\tO' -p214518 -aS',\t,\t,\tI-NP\tO' -p214519 -aS'95%\t95%\tJJ\tI-NP\tO' -p214520 -aS'ostial\tostial\tJJ\tI-NP\tO' -p214521 -aS'LAD\tLAD\tNN\tI-NP\tO' -p214522 -aS'and\tand\tCC\tO\tO' -p214523 -aS'30\t30\tCD\tB-NP\tO' -p214524 -aS'to\tto\tTO\tI-NP\tO' -p214525 -aS'40%\t40%\tCD\tI-NP\tO' -p214526 -aS'mid-LAD\tmid-LAD\tNN\tI-NP\tO' -p214527 -aS'with\twith\tIN\tB-PP\tO' -p214528 -aS'an\tan\tDT\tB-NP\tO' -p214529 -aS'occluded\tocclude\tVBN\tI-NP\tO' -p214530 -aS'RCA\tRCA\tNN\tI-NP\tB-protein' -p214531 -aS'.\t.\t.\tO\tO' -p214532 -asS'9. Nifedipine 30 mg Tablet Sustained Release Sig : One ( 1 ) Tablet Sustained Release PO DAILY ( Daily ).' -p214533 -(lp214534 -S'9.\t9.\tCD\tB-NP\tO' -p214535 -aS'Nifedipine\tNifedipine\tNN\tI-NP\tO' -p214536 -aS'30\t30\tCD\tB-NP\tO' -p214537 -aS'mg\tmg\tNN\tI-NP\tO' -p214538 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p214539 -aS'Sustained\tSustained\tNNP\tI-NP\tO' -p214540 -aS'Release\tRelease\tNNP\tI-NP\tO' -p214541 -aS'Sig\tSig\tNNP\tI-NP\tB-protein' -p214542 -aS':\t:\t:\tO\tO' -p214543 -aS'One\tOne\tCD\tB-NP\tO' -p214544 -aS'(\t(\t(\tO\tO' -p214545 -aS'1\t1\tCD\tB-NP\tO' -p214546 -aS')\t)\t)\tO\tO' -p214547 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p214548 -aS'Sustained\tSustained\tNNP\tI-NP\tO' -p214549 -aS'Release\tRelease\tNNP\tI-NP\tO' -p214550 -aS'PO\tPO\tNNP\tI-NP\tO' -p214551 -aS'DAILY\tDAILY\tNNP\tI-NP\tO' -p214552 -aS'(\t(\t(\tO\tO' -p214553 -aS'Daily\tDaily\tNNP\tB-NP\tO' -p214554 -aS').\t).\t)\tO\tO' -p214555 -asS'A HIDA scan at the other hospital did not show filling of the gallbladder indicating some sort of' -p214556 -(lp214557 -S'A\tA\tDT\tB-NP\tO' -p214558 -aS'HIDA\tHIDA\tNN\tI-NP\tO' -p214559 -aS'scan\tscan\tNN\tI-NP\tO' -p214560 -aS'at\tat\tIN\tB-PP\tO' -p214561 -aS'the\tthe\tDT\tB-NP\tO' -p214562 -aS'other\tother\tJJ\tI-NP\tO' -p214563 -aS'hospital\thospital\tNN\tI-NP\tO' -p214564 -aS'did\tdo\tVBD\tB-VP\tO' -p214565 -aS'not\tnot\tRB\tI-VP\tO' -p214566 -aS'show\tshow\tVB\tI-VP\tO' -p214567 -aS'filling\tfilling\tNN\tB-NP\tO' -p214568 -aS'of\tof\tIN\tB-PP\tO' -p214569 -aS'the\tthe\tDT\tB-NP\tO' -p214570 -aS'gallbladder\tgallbladder\tNN\tI-NP\tO' -p214571 -aS'indicating\tindicate\tVBG\tB-VP\tO' -p214572 -aS'some\tsome\tDT\tB-NP\tO' -p214573 -aS'sort\tsort\tNN\tI-NP\tO' -p214574 -aS'of\tof\tIN\tB-PP\tO' -p214575 -asS'She reports that her BP was read at 60/48 after her fall .' -p214576 -(lp214577 -S'She\tShe\tPRP\tB-NP\tO' -p214578 -aS'reports\treport\tVBZ\tB-VP\tO' -p214579 -aS'that\tthat\tIN\tB-SBAR\tO' -p214580 -aS'her\ther\tPRP$\tB-NP\tO' -p214581 -aS'BP\tBP\tNN\tI-NP\tO' -p214582 -aS'was\tbe\tVBD\tB-VP\tO' -p214583 -aS'read\tread\tVBN\tI-VP\tO' -p214584 -aS'at\tat\tIN\tB-PP\tO' -p214585 -aS'60/48\t60/48\tCD\tB-NP\tO' -p214586 -aS'after\tafter\tIN\tB-PP\tO' -p214587 -aS'her\ther\tPRP$\tB-NP\tO' -p214588 -aS'fall\tfall\tNN\tI-NP\tO' -p214589 -aS'.\t.\t.\tO\tO' -p214590 -asS'13. Pantoprazole 40 mg Tablet , Delayed Release ( E.C. ) Sig : One ( 1 ) Tablet , Delayed Release ( E.C. ) PO Q24H ( every 24 hours ) .' -p214591 -(lp214592 -S'13.\t13.\tLS\tB-NP\tO' -p214593 -aS'Pantoprazole\tPantoprazole\tNN\tI-NP\tO' -p214594 -aS'40\t40\tCD\tI-NP\tO' -p214595 -aS'mg\tmg\tNN\tI-NP\tO' -p214596 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p214597 -aS',\t,\t,\tO\tO' -p214598 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p214599 -aS'Release\tRelease\tNNP\tI-NP\tO' -p214600 -aS'(\t(\t(\tO\tO' -p214601 -aS'E.C.\tE.C.\tNNP\tB-NP\tO' -p214602 -aS')\t)\t)\tO\tO' -p214603 -aS'Sig\tSig\tNNP\tB-NP\tO' -p214604 -aS':\t:\t:\tO\tO' -p214605 -aS'One\tOne\tCD\tB-NP\tO' -p214606 -aS'(\t(\t(\tO\tO' -p214607 -aS'1\t1\tCD\tB-NP\tO' -p214608 -aS')\t)\t)\tO\tO' -p214609 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p214610 -aS',\t,\t,\tO\tO' -p214611 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p214612 -aS'Release\tRelease\tNNP\tI-NP\tO' -p214613 -aS'(\t(\t(\tO\tO' -p214614 -aS'E.C.\tE.C.\tNNP\tO\tO' -p214615 -aS')\t)\t)\tO\tO' -p214616 -aS'PO\tPO\tNN\tB-NP\tO' -p214617 -aS'Q24H\tQ24H\tNN\tI-NP\tO' -p214618 -aS'(\t(\t(\tO\tO' -p214619 -aS'every\tevery\tDT\tB-NP\tO' -p214620 -aS'24\t24\tCD\tI-NP\tO' -p214621 -aS'hours\thour\tNNS\tI-NP\tO' -p214622 -aS')\t)\t)\tO\tO' -p214623 -aS'.\t.\t.\tO\tO' -p214624 -asS'8. Versed drip .' -p214625 -(lp214626 -S'8.\t8.\tLS\tB-NP\tO' -p214627 -aS'Versed\tVerse\tVBN\tI-NP\tO' -p214628 -aS'drip\tdrip\tNN\tI-NP\tO' -p214629 -aS'.\t.\t.\tO\tO' -p214630 -asS'Opens eyes spontaneously , withdraws to painful stimulus .' -p214631 -(lp214632 -S'Opens\tOpen\tVBZ\tB-VP\tO' -p214633 -aS'eyes\teye\tNNS\tB-NP\tO' -p214634 -aS'spontaneously\tspontaneously\tRB\tB-ADVP\tO' -p214635 -aS',\t,\t,\tO\tO' -p214636 -aS'withdraws\twithdraw\tNNS\tB-NP\tO' -p214637 -aS'to\tto\tTO\tB-PP\tO' -p214638 -aS'painful\tpainful\tJJ\tB-NP\tO' -p214639 -aS'stimulus\tstimulus\tNN\tI-NP\tO' -p214640 -aS'.\t.\t.\tO\tO' -p214641 -asS'Includes hypertension and chronic obstructive pulmonary disease .' -p214642 -(lp214643 -S'Includes\tInclude\tVBZ\tB-VP\tO' -p214644 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p214645 -aS'and\tand\tCC\tI-NP\tO' -p214646 -aS'chronic\tchronic\tJJ\tI-NP\tO' -p214647 -aS'obstructive\tobstructive\tJJ\tI-NP\tO' -p214648 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p214649 -aS'disease\tdisease\tNN\tI-NP\tO' -p214650 -aS'.\t.\t.\tO\tO' -p214651 -asS'Patient reports persistent mild right upper quadrant discomfort , recent poor appetite .' -p214652 -(lp214653 -S'Patient\tPatient\tNN\tB-NP\tO' -p214654 -aS'reports\treport\tVBZ\tB-VP\tO' -p214655 -aS'persistent\tpersistent\tJJ\tB-NP\tO' -p214656 -aS'mild\tmild\tJJ\tI-NP\tO' -p214657 -aS'right\tright\tJJ\tI-NP\tO' -p214658 -aS'upper\tupper\tJJ\tI-NP\tO' -p214659 -aS'quadrant\tquadrant\tJJ\tI-NP\tO' -p214660 -aS'discomfort\tdiscomfort\tNN\tI-NP\tO' -p214661 -aS',\t,\t,\tO\tO' -p214662 -aS'recent\trecent\tJJ\tB-NP\tO' -p214663 -aS'poor\tpoor\tJJ\tI-NP\tO' -p214664 -aS'appetite\tappetite\tNN\tI-NP\tO' -p214665 -aS'.\t.\t.\tO\tO' -p214666 -asS'The left circumflex coronary artery was 50% proximally , 90% obtuse marginal #3 .' -p214667 -(lp214668 -S'The\tThe\tDT\tB-NP\tO' -p214669 -aS'left\tleft\tJJ\tI-NP\tO' -p214670 -aS'circumflex\tcircumflex\tNN\tI-NP\tO' -p214671 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p214672 -aS'artery\tartery\tNN\tI-NP\tO' -p214673 -aS'was\tbe\tVBD\tB-VP\tO' -p214674 -aS'50%\t50%\tCD\tB-NP\tO' -p214675 -aS'proximally\tproximally\tRB\tB-ADVP\tO' -p214676 -aS',\t,\t,\tO\tO' -p214677 -aS'90%\t90%\tCD\tB-NP\tO' -p214678 -aS'obtuse\tobtuse\tNN\tI-NP\tO' -p214679 -aS'marginal\tmarginal\tJJ\tI-NP\tO' -p214680 -aS'#3\t#3\tNN\tI-NP\tO' -p214681 -aS'.\t.\t.\tO\tO' -p214682 -asS'After evaluation and a discussion with Dr. Gunter , it was determined that the patient no longer needed anticoagulation since there was no aortic thrombus but only an aortic plaque , and there was no anterior/apical akinesis noted .' -p214683 -(lp214684 -S'After\tAfter\tIN\tB-PP\tO' -p214685 -aS'evaluation\tevaluation\tNN\tB-NP\tO' -p214686 -aS'and\tand\tCC\tO\tO' -p214687 -aS'a\ta\tDT\tB-NP\tO' -p214688 -aS'discussion\tdiscussion\tNN\tI-NP\tO' -p214689 -aS'with\twith\tIN\tB-PP\tO' -p214690 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p214691 -aS'Gunter\tGunter\tNNP\tI-NP\tO' -p214692 -aS',\t,\t,\tO\tO' -p214693 -aS'it\tit\tPRP\tB-NP\tO' -p214694 -aS'was\tbe\tVBD\tB-VP\tO' -p214695 -aS'determined\tdetermine\tVBN\tI-VP\tO' -p214696 -aS'that\tthat\tIN\tB-SBAR\tO' -p214697 -aS'the\tthe\tDT\tB-NP\tO' -p214698 -aS'patient\tpatient\tNN\tI-NP\tO' -p214699 -aS'no\tno\tRB\tB-ADVP\tO' -p214700 -aS'longer\tlonger\tRBR\tI-ADVP\tO' -p214701 -aS'needed\tneed\tVBN\tB-NP\tO' -p214702 -aS'anticoagulation\tanticoagulation\tNN\tI-NP\tO' -p214703 -aS'since\tsince\tIN\tB-SBAR\tO' -p214704 -aS'there\tthere\tEX\tB-NP\tO' -p214705 -aS'was\tbe\tVBD\tB-VP\tO' -p214706 -aS'no\tno\tDT\tB-NP\tO' -p214707 -aS'aortic\taortic\tJJ\tI-NP\tO' -p214708 -aS'thrombus\tthrombus\tNN\tI-NP\tO' -p214709 -aS'but\tbut\tCC\tO\tO' -p214710 -aS'only\tonly\tRB\tB-NP\tO' -p214711 -aS'an\tan\tDT\tI-NP\tO' -p214712 -aS'aortic\taortic\tJJ\tI-NP\tO' -p214713 -aS'plaque\tplaque\tNN\tI-NP\tO' -p214714 -aS',\t,\t,\tO\tO' -p214715 -aS'and\tand\tCC\tO\tO' -p214716 -aS'there\tthere\tEX\tB-NP\tO' -p214717 -aS'was\tbe\tVBD\tB-VP\tO' -p214718 -aS'no\tno\tDT\tB-NP\tO' -p214719 -aS'anterior/apical\tanterior/apical\tJJ\tI-NP\tO' -p214720 -aS'akinesis\takinesis\tNN\tI-NP\tO' -p214721 -aS'noted\tnote\tVBD\tB-VP\tO' -p214722 -aS'.\t.\t.\tO\tO' -p214723 -asS'There was trace aortic insufficiency .' -p214724 -(lp214725 -S'There\tThere\tEX\tB-NP\tO' -p214726 -aS'was\tbe\tVBD\tB-VP\tO' -p214727 -aS'trace\ttrace\tNN\tB-NP\tO' -p214728 -aS'aortic\taortic\tJJ\tI-NP\tO' -p214729 -aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' -p214730 -aS'.\t.\t.\tO\tO' -p214731 -asS'Transferred to intensive care unit .' -p214732 -(lp214733 -S'Transferred\tTransfer\tVBN\tB-VP\tO' -p214734 -aS'to\tto\tTO\tB-PP\tO' -p214735 -aS'intensive\tintensive\tJJ\tB-NP\tO' -p214736 -aS'care\tcare\tNN\tI-NP\tO' -p214737 -aS'unit\tunit\tNN\tI-NP\tO' -p214738 -aS'.\t.\t.\tO\tO' -p214739 -asS'The patient was admitted with a diagnosis of prostate CA , for fluid rehydration .' -p214740 -(lp214741 -S'The\tThe\tDT\tB-NP\tO' -p214742 -aS'patient\tpatient\tNN\tI-NP\tO' -p214743 -aS'was\tbe\tVBD\tB-VP\tO' -p214744 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p214745 -aS'with\twith\tIN\tB-PP\tO' -p214746 -aS'a\ta\tDT\tB-NP\tO' -p214747 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p214748 -aS'of\tof\tIN\tB-PP\tO' -p214749 -aS'prostate\tprostate\tNN\tB-NP\tO' -p214750 -aS'CA\tCA\tNN\tI-NP\tO' -p214751 -aS',\t,\t,\tO\tO' -p214752 -aS'for\tfor\tIN\tB-PP\tO' -p214753 -aS'fluid\tfluid\tNN\tB-NP\tO' -p214754 -aS'rehydration\trehydration\tNN\tI-NP\tO' -p214755 -aS'.\t.\t.\tO\tO' -p214756 -asS"+ children ( husband Gracia 't quantify )." -p214757 -(lp214758 -S'+\t+\tSYM\tO\tO' -p214759 -aS'children\tchild\tNNS\tB-NP\tO' -p214760 -aS'(\t(\t(\tO\tO' -p214761 -aS'husband\thusband\tNN\tB-NP\tO' -p214762 -aS'Gracia\tGracia\tNNP\tI-NP\tO' -p214763 -aS"'t\t't\tPOS\tB-NP\tO" -p214764 -aS'quantify\tquantify\tVBP\tB-VP\tO' -p214765 -aS').\t).\t)\tO\tO' -p214766 -asS'It was decided to have the patient 's medical and oncological issues managed at Windgo Hospital .' -p214767 -(lp214768 -S'It\tIt\tPRP\tB-NP\tO' -p214769 -aS'was\tbe\tVBD\tB-VP\tO' -p214770 -aS'decided\tdecide\tVBN\tI-VP\tO' -p214771 -aS'to\tto\tTO\tI-VP\tO' -p214772 -aS'have\thave\tVB\tI-VP\tO' -p214773 -aS'the\tthe\tDT\tB-NP\tO' -p214774 -aS'patient\tpatient\tNN\tI-NP\tO' -p214775 -aS''s\t'\tNNS\tI-NP\tO' -p214776 -aS'medical\tmedical\tJJ\tB-NP\tO' -p214777 -aS'and\tand\tCC\tI-NP\tO' -p214778 -aS'oncological\toncological\tJJ\tI-NP\tO' -p214779 -aS'issues\tissue\tNNS\tI-NP\tO' -p214780 -aS'managed\tmanage\tVBD\tB-VP\tO' -p214781 -aS'at\tat\tIN\tB-PP\tO' -p214782 -aS'Windgo\tWindgo\tNNP\tB-NP\tO' -p214783 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p214784 -aS'.\t.\t.\tO\tO' -p214785 -asS'MRI would be more sensitive for the detection of acute infarction .' -p214786 -(lp214787 -S'MRI\tMRI\tNN\tB-NP\tB-protein' -p214788 -aS'would\twould\tMD\tB-VP\tO' -p214789 -aS'be\tbe\tVB\tI-VP\tO' -p214790 -aS'more\tmore\tRBR\tB-ADJP\tO' -p214791 -aS'sensitive\tsensitive\tJJ\tI-ADJP\tO' -p214792 -aS'for\tfor\tIN\tB-PP\tO' -p214793 -aS'the\tthe\tDT\tB-NP\tO' -p214794 -aS'detection\tdetection\tNN\tI-NP\tO' -p214795 -aS'of\tof\tIN\tB-PP\tO' -p214796 -aS'acute\tacute\tJJ\tB-NP\tO' -p214797 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p214798 -aS'.\t.\t.\tO\tO' -p214799 -asS'--- No real utility in MIBI / cath prior to procedure gien previous caths with no significant lesions to be intervened on .' -p214800 -(lp214801 -S'---\t---\tSYM\tO\tO' -p214802 -aS'No\tNo\tDT\tB-NP\tO' -p214803 -aS'real\treal\tJJ\tI-NP\tO' -p214804 -aS'utility\tutility\tNN\tI-NP\tO' -p214805 -aS'in\tin\tIN\tB-PP\tO' -p214806 -aS'MIBI\tMIBI\tNN\tB-NP\tB-protein' -p214807 -aS'/\t/\tSYM\tB-NP\tO' -p214808 -aS'cath\tcath\tNN\tI-NP\tO' -p214809 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p214810 -aS'to\tto\tTO\tB-VP\tO' -p214811 -aS'procedure\tprocedure\tVB\tI-VP\tO' -p214812 -aS'gien\tgien\tJJ\tB-NP\tO' -p214813 -aS'previous\tprevious\tJJ\tI-NP\tO' -p214814 -aS'caths\tcath\tNNS\tI-NP\tO' -p214815 -aS'with\twith\tIN\tB-PP\tO' -p214816 -aS'no\tno\tDT\tB-NP\tO' -p214817 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p214818 -aS'lesions\tlesion\tNNS\tI-NP\tO' -p214819 -aS'to\tto\tTO\tB-VP\tO' -p214820 -aS'be\tbe\tVB\tI-VP\tO' -p214821 -aS'intervened\tintervene\tVBN\tI-VP\tO' -p214822 -aS'on\ton\tRP\tB-PRT\tO' -p214823 -aS'.\t.\t.\tO\tO' -p214824 -asS'The patient was also covered with Erythromycin and Gentamicin for coverage of community acquired pneumonias and gram negative rods .' -p214825 -(lp214826 -S'The\tThe\tDT\tB-NP\tO' -p214827 -aS'patient\tpatient\tNN\tI-NP\tO' -p214828 -aS'was\tbe\tVBD\tB-VP\tO' -p214829 -aS'also\talso\tRB\tI-VP\tO' -p214830 -aS'covered\tcover\tVBN\tI-VP\tO' -p214831 -aS'with\twith\tIN\tB-PP\tO' -p214832 -aS'Erythromycin\tErythromycin\tNN\tB-NP\tO' -p214833 -aS'and\tand\tCC\tI-NP\tO' -p214834 -aS'Gentamicin\tGentamicin\tNN\tI-NP\tO' -p214835 -aS'for\tfor\tIN\tB-PP\tO' -p214836 -aS'coverage\tcoverage\tNN\tB-NP\tO' -p214837 -aS'of\tof\tIN\tB-PP\tO' -p214838 -aS'community\tcommunity\tNN\tB-NP\tO' -p214839 -aS'acquired\tacquire\tVBN\tB-NP\tO' -p214840 -aS'pneumonias\tpneumonia\tNNS\tI-NP\tO' -p214841 -aS'and\tand\tCC\tO\tO' -p214842 -aS'gram\tgram\tNN\tB-NP\tO' -p214843 -aS'negative\tnegative\tJJ\tI-NP\tO' -p214844 -aS'rods\trod\tNNS\tI-NP\tO' -p214845 -aS'.\t.\t.\tO\tO' -p214846 -asS'The patient did well at home with decreasing fever and good appetite until the night prior to admission when he developed fever and chills .' -p214847 -(lp214848 -S'The\tThe\tDT\tB-NP\tO' -p214849 -aS'patient\tpatient\tNN\tI-NP\tO' -p214850 -aS'did\tdo\tVBD\tB-VP\tO' -p214851 -aS'well\twell\tRB\tB-ADVP\tO' -p214852 -aS'at\tat\tIN\tB-PP\tO' -p214853 -aS'home\thome\tNN\tB-NP\tO' -p214854 -aS'with\twith\tIN\tB-PP\tO' -p214855 -aS'decreasing\tdecrease\tVBG\tB-VP\tO' -p214856 -aS'fever\tfever\tNN\tB-NP\tO' -p214857 -aS'and\tand\tCC\tO\tO' -p214858 -aS'good\tgood\tJJ\tB-NP\tO' -p214859 -aS'appetite\tappetite\tNN\tI-NP\tO' -p214860 -aS'until\tuntil\tIN\tB-SBAR\tO' -p214861 -aS'the\tthe\tDT\tB-NP\tO' -p214862 -aS'night\tnight\tNN\tI-NP\tO' -p214863 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p214864 -aS'to\tto\tTO\tB-PP\tO' -p214865 -aS'admission\tadmission\tNN\tB-NP\tO' -p214866 -aS'when\twhen\tWRB\tB-ADVP\tO' -p214867 -aS'he\the\tPRP\tB-NP\tO' -p214868 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p214869 -aS'fever\tfever\tNN\tB-NP\tO' -p214870 -aS'and\tand\tCC\tI-NP\tO' -p214871 -aS'chills\tchill\tNNS\tI-NP\tO' -p214872 -aS'.\t.\t.\tO\tO' -p214873 -asS'The patient 's antibiotics were discontinued with the thought that prolonged antibiotics only put her at more risk for infection .' -p214874 -(lp214875 -S'The\tThe\tDT\tB-NP\tO' -p214876 -aS'patient\tpatient\tNN\tI-NP\tO' -p214877 -aS''s\t'\tNNS\tI-NP\tO' -p214878 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p214879 -aS'were\tbe\tVBD\tB-VP\tO' -p214880 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p214881 -aS'with\twith\tIN\tB-PP\tO' -p214882 -aS'the\tthe\tDT\tB-NP\tO' -p214883 -aS'thought\tthought\tNN\tI-NP\tO' -p214884 -aS'that\tthat\tIN\tB-SBAR\tO' -p214885 -aS'prolonged\tprolonged\tJJ\tB-NP\tO' -p214886 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p214887 -aS'only\tonly\tRB\tB-ADVP\tO' -p214888 -aS'put\tput\tVBP\tB-VP\tO' -p214889 -aS'her\ther\tPRP\tB-NP\tO' -p214890 -aS'at\tat\tIN\tB-PP\tO' -p214891 -aS'more\tmore\tJJR\tB-NP\tO' -p214892 -aS'risk\trisk\tNN\tI-NP\tO' -p214893 -aS'for\tfor\tIN\tB-PP\tO' -p214894 -aS'infection\tinfection\tNN\tB-NP\tO' -p214895 -aS'.\t.\t.\tO\tO' -p214896 -asS"The patient 's postoperative course was notable for an elevation in white blood cell count peaking at 30.0 on postoperative day number two ." -p214897 -(lp214898 -S'The\tThe\tDT\tB-NP\tO' -p214899 -aS'patient\tpatient\tNN\tI-NP\tO' -p214900 -aS"'s\t's\tPOS\tB-NP\tO" -p214901 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p214902 -aS'course\tcourse\tNN\tI-NP\tO' -p214903 -aS'was\tbe\tVBD\tB-VP\tO' -p214904 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p214905 -aS'for\tfor\tIN\tB-PP\tO' -p214906 -aS'an\tan\tDT\tB-NP\tO' -p214907 -aS'elevation\televation\tNN\tI-NP\tO' -p214908 -aS'in\tin\tIN\tB-PP\tO' -p214909 -aS'white\twhite\tJJ\tB-NP\tB-cell_type' -p214910 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p214911 -aS'cell\tcell\tNN\tI-NP\tI-cell_type' -p214912 -aS'count\tcount\tNN\tI-NP\tO' -p214913 -aS'peaking\tpeak\tVBG\tB-VP\tO' -p214914 -aS'at\tat\tIN\tB-PP\tO' -p214915 -aS'30.0\t30.0\tCD\tB-NP\tO' -p214916 -aS'on\ton\tIN\tB-PP\tO' -p214917 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p214918 -aS'day\tday\tNN\tI-NP\tO' -p214919 -aS'number\tnumber\tNN\tI-NP\tO' -p214920 -aS'two\ttwo\tCD\tI-NP\tO' -p214921 -aS'.\t.\t.\tO\tO' -p214922 -asS'Permission for a postmortem examination was granted .' -p214923 -(lp214924 -S'Permission\tPermission\tNN\tB-NP\tO' -p214925 -aS'for\tfor\tIN\tB-PP\tO' -p214926 -aS'a\ta\tDT\tB-NP\tO' -p214927 -aS'postmortem\tpostmortem\tNN\tI-NP\tO' -p214928 -aS'examination\texamination\tNN\tI-NP\tO' -p214929 -aS'was\tbe\tVBD\tB-VP\tO' -p214930 -aS'granted\tgrant\tVBN\tI-VP\tO' -p214931 -aS'.\t.\t.\tO\tO' -p214932 -asS'Thus , he was discharged on postoperative day number eight in good condition with a well healed left shoulder wound and doing well with occupational therapy with plans for him to follow-up with Dr. Necessary .' -p214933 -(lp214934 -S'Thus\tThus\tRB\tB-ADVP\tO' -p214935 -aS',\t,\t,\tO\tO' -p214936 -aS'he\the\tPRP\tB-NP\tO' -p214937 -aS'was\tbe\tVBD\tB-VP\tO' -p214938 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p214939 -aS'on\ton\tIN\tB-PP\tO' -p214940 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p214941 -aS'day\tday\tNN\tI-NP\tO' -p214942 -aS'number\tnumber\tNN\tI-NP\tO' -p214943 -aS'eight\teight\tCD\tI-NP\tO' -p214944 -aS'in\tin\tIN\tB-PP\tO' -p214945 -aS'good\tgood\tJJ\tB-NP\tO' -p214946 -aS'condition\tcondition\tNN\tI-NP\tO' -p214947 -aS'with\twith\tIN\tB-PP\tO' -p214948 -aS'a\ta\tDT\tB-NP\tO' -p214949 -aS'well\twell\tRB\tI-NP\tO' -p214950 -aS'healed\theal\tVBN\tI-NP\tO' -p214951 -aS'left\tleft\tJJ\tI-NP\tO' -p214952 -aS'shoulder\tshoulder\tNN\tI-NP\tO' -p214953 -aS'wound\twound\tNN\tI-NP\tO' -p214954 -aS'and\tand\tCC\tO\tO' -p214955 -aS'doing\tdo\tVBG\tB-VP\tO' -p214956 -aS'well\twell\tRB\tB-ADVP\tO' -p214957 -aS'with\twith\tIN\tB-PP\tO' -p214958 -aS'occupational\toccupational\tJJ\tB-NP\tO' -p214959 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p214960 -aS'with\twith\tIN\tB-PP\tO' -p214961 -aS'plans\tplan\tNNS\tB-NP\tO' -p214962 -aS'for\tfor\tIN\tB-SBAR\tO' -p214963 -aS'him\thim\tPRP\tB-NP\tO' -p214964 -aS'to\tto\tTO\tB-VP\tO' -p214965 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p214966 -aS'with\twith\tIN\tB-PP\tO' -p214967 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p214968 -aS'Necessary\tNecessary\tNNP\tI-NP\tO' -p214969 -aS'.\t.\t.\tO\tO' -p214970 -asS'She remained afebrile and hemodynamically .' -p214971 -(lp214972 -S'She\tShe\tPRP\tB-NP\tO' -p214973 -aS'remained\tremain\tVBD\tB-VP\tO' -p214974 -aS'afebrile\tafebrile\tRB\tB-ADVP\tO' -p214975 -aS'and\tand\tCC\tI-ADVP\tO' -p214976 -aS'hemodynamically\themodynamically\tRB\tI-ADVP\tO' -p214977 -aS'.\t.\t.\tO\tO' -p214978 -asS'Abdomen - Normal .' -p214979 -(lp214980 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p214981 -aS'-\t-\t:\tO\tO' -p214982 -aS'Normal\tNormal\tJJ\tB-ADJP\tO' -p214983 -aS'.\t.\t.\tO\tO' -p214984 -asS'To rehabilitation .' -p214985 -(lp214986 -S'To\tTo\tTO\tB-PP\tO' -p214987 -aS'rehabilitation\trehabilitation\tNN\tB-NP\tO' -p214988 -aS'.\t.\t.\tO\tO' -p214989 -asS'Now living at the DBT House on Treva Williamson in Westborough .' -p214990 -(lp214991 -S'Now\tNow\tRB\tB-ADVP\tO' -p214992 -aS'living\tlive\tVBG\tB-VP\tO' -p214993 -aS'at\tat\tIN\tB-PP\tO' -p214994 -aS'the\tthe\tDT\tB-NP\tO' -p214995 -aS'DBT\tDBT\tNNP\tI-NP\tO' -p214996 -aS'House\tHouse\tNNP\tI-NP\tO' -p214997 -aS'on\ton\tIN\tB-PP\tO' -p214998 -aS'Treva\tTreva\tNNP\tB-NP\tO' -p214999 -aS'Williamson\tWilliamson\tNNP\tI-NP\tO' -p215000 -aS'in\tin\tIN\tB-PP\tO' -p215001 -aS'Westborough\tWestborough\tNNP\tB-NP\tO' -p215002 -aS'.\t.\t.\tO\tO' -p215003 -asS"By mother 's report , a maternal cousin also has an absent septum pellucidum ." -p215004 -(lp215005 -S'By\tBy\tIN\tB-PP\tO' -p215006 -aS'mother\tmother\tNN\tB-NP\tO' -p215007 -aS"'s\t's\tPOS\tB-NP\tO" -p215008 -aS'report\treport\tNN\tI-NP\tO' -p215009 -aS',\t,\t,\tO\tO' -p215010 -aS'a\ta\tDT\tB-NP\tO' -p215011 -aS'maternal\tmaternal\tJJ\tI-NP\tO' -p215012 -aS'cousin\tcousin\tNN\tI-NP\tO' -p215013 -aS'also\talso\tRB\tB-ADVP\tO' -p215014 -aS'has\thave\tVBZ\tB-VP\tO' -p215015 -aS'an\tan\tDT\tB-NP\tO' -p215016 -aS'absent\tabsent\tJJ\tI-NP\tO' -p215017 -aS'septum\tseptum\tNN\tI-NP\tO' -p215018 -aS'pellucidum\tpellucidum\tNN\tI-NP\tO' -p215019 -aS'.\t.\t.\tO\tO' -p215020 -asS'He underwent an xray of the L femur which did not suggest an acute fracture .' -p215021 -(lp215022 -S'He\tHe\tPRP\tB-NP\tO' -p215023 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p215024 -aS'an\tan\tDT\tB-NP\tO' -p215025 -aS'xray\txray\tNN\tI-NP\tO' -p215026 -aS'of\tof\tIN\tB-PP\tO' -p215027 -aS'the\tthe\tDT\tB-NP\tO' -p215028 -aS'L\tL\tNN\tI-NP\tO' -p215029 -aS'femur\tfemur\tNN\tI-NP\tO' -p215030 -aS'which\twhich\tWDT\tB-NP\tO' -p215031 -aS'did\tdo\tVBD\tB-VP\tO' -p215032 -aS'not\tnot\tRB\tI-VP\tO' -p215033 -aS'suggest\tsuggest\tVB\tI-VP\tO' -p215034 -aS'an\tan\tDT\tB-NP\tO' -p215035 -aS'acute\tacute\tJJ\tI-NP\tO' -p215036 -aS'fracture\tfracture\tNN\tI-NP\tO' -p215037 -aS'.\t.\t.\tO\tO' -p215038 -asS'MRI showed a large fluid filled abdomen with a relatively small mass measuring about 5 to 6 cm in the right pelvis .' -p215039 -(lp215040 -S'MRI\tMRI\tNN\tB-NP\tO' -p215041 -aS'showed\tshow\tVBD\tB-VP\tO' -p215042 -aS'a\ta\tDT\tB-NP\tO' -p215043 -aS'large\tlarge\tJJ\tI-NP\tO' -p215044 -aS'fluid\tfluid\tNN\tI-NP\tO' -p215045 -aS'filled\tfill\tVBN\tB-VP\tO' -p215046 -aS'abdomen\tabdoman\tNNS\tB-NP\tO' -p215047 -aS'with\twith\tIN\tB-PP\tO' -p215048 -aS'a\ta\tDT\tB-NP\tO' -p215049 -aS'relatively\trelatively\tRB\tI-NP\tO' -p215050 -aS'small\tsmall\tJJ\tI-NP\tO' -p215051 -aS'mass\tmass\tNN\tI-NP\tO' -p215052 -aS'measuring\tmeasure\tVBG\tB-VP\tO' -p215053 -aS'about\tabout\tRB\tB-NP\tO' -p215054 -aS'5\t5\tCD\tI-NP\tO' -p215055 -aS'to\tto\tTO\tI-NP\tO' -p215056 -aS'6\t6\tCD\tI-NP\tO' -p215057 -aS'cm\tcm\tNN\tI-NP\tO' -p215058 -aS'in\tin\tIN\tB-PP\tO' -p215059 -aS'the\tthe\tDT\tB-NP\tO' -p215060 -aS'right\tright\tJJ\tI-NP\tO' -p215061 -aS'pelvis\tpelvis\tNN\tI-NP\tO' -p215062 -aS'.\t.\t.\tO\tO' -p215063 -asS'Initial blood gas was 7.31/46/500/77 .' -p215064 -(lp215065 -S'Initial\tInitial\tJJ\tB-NP\tO' -p215066 -aS'blood\tblood\tNN\tI-NP\tO' -p215067 -aS'gas\tgas\tNN\tI-NP\tO' -p215068 -aS'was\tbe\tVBD\tB-VP\tO' -p215069 -aS'7.31/46/500/77\t7.31/46/500/77\tCD\tB-NP\tO' -p215070 -aS'.\t.\t.\tO\tO' -p215071 -asS'He will be maintained on Levofloxacin for prophylaxis against SBP .' -p215072 -(lp215073 -S'He\tHe\tPRP\tB-NP\tO' -p215074 -aS'will\twill\tMD\tB-VP\tO' -p215075 -aS'be\tbe\tVB\tI-VP\tO' -p215076 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p215077 -aS'on\ton\tIN\tB-PP\tO' -p215078 -aS'Levofloxacin\tLevofloxacin\tNN\tB-NP\tO' -p215079 -aS'for\tfor\tIN\tB-PP\tO' -p215080 -aS'prophylaxis\tprophylaxis\tNN\tB-NP\tO' -p215081 -aS'against\tagainst\tIN\tB-PP\tO' -p215082 -aS'SBP\tSBP\tNN\tB-NP\tB-protein' -p215083 -aS'.\t.\t.\tO\tO' -p215084 -asS'Normal LA size .' -p215085 -(lp215086 -S'Normal\tNormal\tJJ\tB-NP\tO' -p215087 -aS'LA\tLA\tNN\tI-NP\tO' -p215088 -aS'size\tsize\tNN\tI-NP\tO' -p215089 -aS'.\t.\t.\tO\tO' -p215090 -asS'Poor effort , no wheezes , rales , or rhonchi .' -p215091 -(lp215092 -S'Poor\tPoor\tNN\tB-NP\tO' -p215093 -aS'effort\teffort\tNN\tI-NP\tO' -p215094 -aS',\t,\t,\tO\tO' -p215095 -aS'no\tno\tDT\tB-NP\tO' -p215096 -aS'wheezes\twheeze\tNNS\tI-NP\tO' -p215097 -aS',\t,\t,\tO\tO' -p215098 -aS'rales\trale\tNNS\tB-NP\tO' -p215099 -aS',\t,\t,\tO\tO' -p215100 -aS'or\tor\tCC\tO\tO' -p215101 -aS'rhonchi\trhonchi\tNN\tB-NP\tO' -p215102 -aS'.\t.\t.\tO\tO' -p215103 -asS'29. Memantine 5 mg Tablet Sig : One ( 1 ) Tablet PO daily ( ) .' -p215104 -(lp215105 -S'29.\t29.\tCD\tB-NP\tO' -p215106 -aS'Memantine\tMemantine\tNN\tI-NP\tO' -p215107 -aS'5\t5\tCD\tB-NP\tO' -p215108 -aS'mg\tmg\tNN\tI-NP\tO' -p215109 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p215110 -aS'Sig\tSig\tNNP\tI-NP\tO' -p215111 -aS':\t:\t:\tO\tO' -p215112 -aS'One\tOne\tCD\tB-NP\tO' -p215113 -aS'(\t(\t(\tO\tO' -p215114 -aS'1\t1\tCD\tB-NP\tO' -p215115 -aS')\t)\t)\tO\tO' -p215116 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p215117 -aS'PO\tPO\tNN\tI-NP\tO' -p215118 -aS'daily\tdaily\tJJ\tI-NP\tO' -p215119 -aS'(\t(\t(\tO\tO' -p215120 -aS')\t)\t)\tO\tO' -p215121 -aS'.\t.\t.\tO\tO' -p215122 -asS'Control of the super-celiac aorta was obtained , and both left and right sided " Mattox " maneuvers were performed .' -p215123 -(lp215124 -S'Control\tControl\tNN\tB-NP\tO' -p215125 -aS'of\tof\tIN\tB-PP\tO' -p215126 -aS'the\tthe\tDT\tB-NP\tO' -p215127 -aS'super-celiac\tsuper-celiac\tJJ\tI-NP\tO' -p215128 -aS'aorta\taorta\tNN\tI-NP\tO' -p215129 -aS'was\tbe\tVBD\tB-VP\tO' -p215130 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p215131 -aS',\t,\t,\tO\tO' -p215132 -aS'and\tand\tCC\tO\tO' -p215133 -aS'both\tboth\tCC\tO\tO' -p215134 -aS'left\tleft\tJJ\tB-NP\tO' -p215135 -aS'and\tand\tCC\tI-NP\tO' -p215136 -aS'right\tright\tJJ\tI-NP\tO' -p215137 -aS'sided\tsided\tJJ\tI-NP\tO' -p215138 -aS'"\t"\tNN\tI-NP\tO' -p215139 -aS'Mattox\tMattox\tNNP\tI-NP\tO' -p215140 -aS'"\t"\tCC\tO\tO' -p215141 -aS'maneuvers\tmaneuver\tNNS\tB-NP\tO' -p215142 -aS'were\tbe\tVBD\tB-VP\tO' -p215143 -aS'performed\tperform\tVBN\tI-VP\tO' -p215144 -aS'.\t.\t.\tO\tO' -p215145 -asS'ABG ( 7.42 / 38 / 88 ) was performed , 80 mg lasix was given and the patietn had foley placed and had good urine output and good mentation .' -p215146 -(lp215147 -S'ABG\tABG\tNN\tB-NP\tO' -p215148 -aS'(\t(\t(\tO\tO' -p215149 -aS'7.42\t7.42\tCD\tB-NP\tO' -p215150 -aS'/\t/\tSYM\tI-NP\tO' -p215151 -aS'38\t38\tCD\tI-NP\tO' -p215152 -aS'/\t/\tSYM\tI-NP\tO' -p215153 -aS'88\t88\tCD\tI-NP\tO' -p215154 -aS')\t)\t)\tO\tO' -p215155 -aS'was\tbe\tVBD\tB-VP\tO' -p215156 -aS'performed\tperform\tVBN\tI-VP\tO' -p215157 -aS',\t,\t,\tO\tO' -p215158 -aS'80\t80\tCD\tB-NP\tO' -p215159 -aS'mg\tmg\tNN\tI-NP\tO' -p215160 -aS'lasix\tlasix\tNN\tI-NP\tO' -p215161 -aS'was\tbe\tVBD\tB-VP\tO' -p215162 -aS'given\tgive\tVBN\tI-VP\tO' -p215163 -aS'and\tand\tCC\tO\tO' -p215164 -aS'the\tthe\tDT\tB-NP\tO' -p215165 -aS'patietn\tpatietn\tNN\tI-NP\tO' -p215166 -aS'had\thave\tVBD\tB-VP\tO' -p215167 -aS'foley\tfoley\tJJ\tI-VP\tO' -p215168 -aS'placed\tplace\tVBN\tI-VP\tO' -p215169 -aS'and\tand\tCC\tO\tO' -p215170 -aS'had\thave\tVBD\tB-VP\tO' -p215171 -aS'good\tgood\tJJ\tB-NP\tO' -p215172 -aS'urine\turine\tNN\tI-NP\tO' -p215173 -aS'output\toutput\tNN\tI-NP\tO' -p215174 -aS'and\tand\tCC\tO\tO' -p215175 -aS'good\tgood\tJJ\tB-NP\tO' -p215176 -aS'mentation\tmentation\tNN\tI-NP\tO' -p215177 -aS'.\t.\t.\tO\tO' -p215178 -asS'10. Cephalexin 500 mg Capsule Sig : One ( 1 ) Capsule PO Q6H ( every 6 hours ) for 6 days : please complete full course .' -p215179 -(lp215180 -S'10.\t10.\tLS\tB-NP\tO' -p215181 -aS'Cephalexin\tCephalexin\tNN\tI-NP\tO' -p215182 -aS'500\t500\tCD\tI-NP\tO' -p215183 -aS'mg\tmg\tNN\tI-NP\tO' -p215184 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p215185 -aS'Sig\tSig\tNNP\tI-NP\tO' -p215186 -aS':\t:\t:\tO\tO' -p215187 -aS'One\tOne\tCD\tB-NP\tO' -p215188 -aS'(\t(\t(\tO\tO' -p215189 -aS'1\t1\tCD\tB-NP\tO' -p215190 -aS')\t)\t)\tO\tO' -p215191 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p215192 -aS'PO\tPO\tNN\tI-NP\tO' -p215193 -aS'Q6H\tQ6H\tNN\tI-NP\tO' -p215194 -aS'(\t(\t(\tO\tO' -p215195 -aS'every\tevery\tDT\tB-NP\tO' -p215196 -aS'6\t6\tCD\tI-NP\tO' -p215197 -aS'hours\thour\tNNS\tI-NP\tO' -p215198 -aS')\t)\t)\tO\tO' -p215199 -aS'for\tfor\tIN\tB-PP\tO' -p215200 -aS'6\t6\tCD\tB-NP\tO' -p215201 -aS'days\tday\tNNS\tI-NP\tO' -p215202 -aS':\t:\t:\tO\tO' -p215203 -aS'please\tplease\tVB\tB-VP\tO' -p215204 -aS'complete\tcomplete\tJJ\tB-NP\tO' -p215205 -aS'full\tfull\tJJ\tI-NP\tO' -p215206 -aS'course\tcourse\tNN\tI-NP\tO' -p215207 -aS'.\t.\t.\tO\tO' -p215208 -asS'IV PPI was given and the GI team was consulted and she was scheduled for colonoscopy and EGD on the morning of 6/8 .' -p215209 -(lp215210 -S'IV\tIV\tCD\tB-NP\tO' -p215211 -aS'PPI\tPPI\tNN\tI-NP\tO' -p215212 -aS'was\tbe\tVBD\tB-VP\tO' -p215213 -aS'given\tgive\tVBN\tI-VP\tO' -p215214 -aS'and\tand\tCC\tO\tO' -p215215 -aS'the\tthe\tDT\tB-NP\tO' -p215216 -aS'GI\tGI\tNN\tI-NP\tO' -p215217 -aS'team\tteam\tNN\tI-NP\tO' -p215218 -aS'was\tbe\tVBD\tB-VP\tO' -p215219 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p215220 -aS'and\tand\tCC\tO\tO' -p215221 -aS'she\tshe\tPRP\tB-NP\tO' -p215222 -aS'was\tbe\tVBD\tB-VP\tO' -p215223 -aS'scheduled\tschedule\tVBN\tI-VP\tO' -p215224 -aS'for\tfor\tIN\tB-PP\tO' -p215225 -aS'colonoscopy\tcolonoscopy\tNN\tB-NP\tO' -p215226 -aS'and\tand\tCC\tI-NP\tO' -p215227 -aS'EGD\tEGD\tNN\tI-NP\tB-protein' -p215228 -aS'on\ton\tIN\tB-PP\tO' -p215229 -aS'the\tthe\tDT\tB-NP\tO' -p215230 -aS'morning\tmorning\tNN\tI-NP\tO' -p215231 -aS'of\tof\tIN\tB-PP\tO' -p215232 -aS'6/8\t6/8\tCD\tB-NP\tO' -p215233 -aS'.\t.\t.\tO\tO' -p215234 -asS'On exploration of the abdomen revealed significant nodularity of the liver indicating of advanced cirrhosis .' -p215235 -(lp215236 -S'On\tOn\tIN\tB-PP\tO' -p215237 -aS'exploration\texploration\tNN\tB-NP\tO' -p215238 -aS'of\tof\tIN\tB-PP\tO' -p215239 -aS'the\tthe\tDT\tB-NP\tO' -p215240 -aS'abdomen\tabdoman\tNNS\tI-NP\tO' -p215241 -aS'revealed\treveal\tVBD\tB-VP\tO' -p215242 -aS'significant\tsignificant\tJJ\tB-NP\tO' -p215243 -aS'nodularity\tnodularity\tNN\tI-NP\tO' -p215244 -aS'of\tof\tIN\tB-PP\tO' -p215245 -aS'the\tthe\tDT\tB-NP\tO' -p215246 -aS'liver\tliver\tNN\tI-NP\tO' -p215247 -aS'indicating\tindicate\tVBG\tB-VP\tO' -p215248 -aS'of\tof\tIN\tB-PP\tO' -p215249 -aS'advanced\tadvance\tVBN\tB-NP\tO' -p215250 -aS'cirrhosis\tcirrhosis\tNN\tI-NP\tO' -p215251 -aS'.\t.\t.\tO\tO' -p215252 -asS'Arterial blood gas at 11 a.m. was 7.33/46/115 .' -p215253 -(lp215254 -S'Arterial\tArterial\tJJ\tB-NP\tO' -p215255 -aS'blood\tblood\tNN\tI-NP\tO' -p215256 -aS'gas\tgas\tNN\tI-NP\tO' -p215257 -aS'at\tat\tIN\tB-PP\tO' -p215258 -aS'11\t11\tCD\tB-NP\tO' -p215259 -aS'a.m.\ta.m.\tNN\tI-NP\tO' -p215260 -aS'was\tbe\tVBD\tB-VP\tO' -p215261 -aS'7.33/46/115\t7.33/46/115\tCD\tB-NP\tO' -p215262 -aS'.\t.\t.\tO\tO' -p215263 -asS'This was discontinued on day of life two to maintain a mean arterial pressure of greater than 33 .' -p215264 -(lp215265 -S'This\tThis\tDT\tB-NP\tO' -p215266 -aS'was\tbe\tVBD\tB-VP\tO' -p215267 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p215268 -aS'on\ton\tIN\tB-PP\tO' -p215269 -aS'day\tday\tNN\tB-NP\tO' -p215270 -aS'of\tof\tIN\tB-PP\tO' -p215271 -aS'life\tlife\tNN\tB-NP\tO' -p215272 -aS'two\ttwo\tCD\tI-NP\tO' -p215273 -aS'to\tto\tTO\tB-VP\tO' -p215274 -aS'maintain\tmaintain\tVB\tI-VP\tO' -p215275 -aS'a\ta\tDT\tB-NP\tO' -p215276 -aS'mean\tmean\tJJ\tI-NP\tO' -p215277 -aS'arterial\tarterial\tJJ\tI-NP\tO' -p215278 -aS'pressure\tpressure\tNN\tI-NP\tO' -p215279 -aS'of\tof\tIN\tB-PP\tO' -p215280 -aS'greater\tgreat\tJJR\tB-NP\tO' -p215281 -aS'than\tthan\tIN\tI-NP\tO' -p215282 -aS'33\t33\tCD\tI-NP\tO' -p215283 -aS'.\t.\t.\tO\tO' -p215284 -asS'His J tube is now functioning .' -p215285 -(lp215286 -S'His\tHis\tPRP$\tB-NP\tO' -p215287 -aS'J\tJ\tNN\tI-NP\tO' -p215288 -aS'tube\ttube\tNN\tI-NP\tO' -p215289 -aS'is\tbe\tVBZ\tB-VP\tO' -p215290 -aS'now\tnow\tRB\tI-VP\tO' -p215291 -aS'functioning\tfunction\tVBG\tI-VP\tO' -p215292 -aS'.\t.\t.\tO\tO' -p215293 -asS'3. Folic acid 1 mg q. d.' -p215294 -(lp215295 -S'3.\t3.\tLS\tB-NP\tO' -p215296 -aS'Folic\tFolic\tJJ\tI-NP\tO' -p215297 -aS'acid\tacid\tNN\tI-NP\tO' -p215298 -aS'1\t1\tCD\tI-NP\tO' -p215299 -aS'mg\tmg\tNN\tI-NP\tO' -p215300 -aS'q.\tq.\tNN\tI-NP\tO' -p215301 -aS'd.\td.\tNN\tI-NP\tO' -p215302 -asS'In December 1990 she had a lumpectomy , from left breast , and XRT x 35 .' -p215303 -(lp215304 -S'In\tIn\tIN\tB-PP\tO' -p215305 -aS'December\tDecember\tNNP\tB-NP\tO' -p215306 -aS'1990\t1990\tCD\tI-NP\tO' -p215307 -aS'she\tshe\tPRP\tB-NP\tO' -p215308 -aS'had\thave\tVBD\tB-VP\tO' -p215309 -aS'a\ta\tDT\tB-NP\tO' -p215310 -aS'lumpectomy\tlumpectomy\tNN\tI-NP\tO' -p215311 -aS',\t,\t,\tO\tO' -p215312 -aS'from\tfrom\tIN\tB-PP\tO' -p215313 -aS'left\tleft\tJJ\tB-NP\tO' -p215314 -aS'breast\tbreast\tNN\tI-NP\tO' -p215315 -aS',\t,\t,\tO\tO' -p215316 -aS'and\tand\tCC\tO\tO' -p215317 -aS'XRT\tXRT\tNN\tB-NP\tB-protein' -p215318 -aS'x\tx\tSYM\tO\tI-protein' -p215319 -aS'35\t35\tCD\tB-NP\tI-protein' -p215320 -aS'.\t.\t.\tO\tO' -p215321 -asS'Admission laboratories included a hematocrit of 43.3 and white blood cell count of 25.2 , normal electrolytes and amylase of 98 .' -p215322 -(lp215323 -S'Admission\tAdmission\tNN\tB-NP\tO' -p215324 -aS'laboratories\tlaboratory\tNNS\tI-NP\tO' -p215325 -aS'included\tinclude\tVBD\tB-VP\tO' -p215326 -aS'a\ta\tDT\tB-NP\tO' -p215327 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p215328 -aS'of\tof\tIN\tB-PP\tO' -p215329 -aS'43.3\t43.3\tCD\tB-NP\tO' -p215330 -aS'and\tand\tCC\tO\tO' -p215331 -aS'white\twhite\tJJ\tB-NP\tO' -p215332 -aS'blood\tblood\tNN\tI-NP\tO' -p215333 -aS'cell\tcell\tNN\tI-NP\tO' -p215334 -aS'count\tcount\tNN\tI-NP\tO' -p215335 -aS'of\tof\tIN\tB-PP\tO' -p215336 -aS'25.2\t25.2\tCD\tB-NP\tO' -p215337 -aS',\t,\t,\tO\tO' -p215338 -aS'normal\tnormal\tJJ\tB-NP\tO' -p215339 -aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' -p215340 -aS'and\tand\tCC\tO\tO' -p215341 -aS'amylase\tamylase\tNN\tB-NP\tB-protein' -p215342 -aS'of\tof\tIN\tB-PP\tO' -p215343 -aS'98\t98\tCD\tB-NP\tO' -p215344 -aS'.\t.\t.\tO\tO' -p215345 -asS'Cervical spine imaging demonstrated no evidence of cervical spine injury .' -p215346 -(lp215347 -S'Cervical\tCervical\tJJ\tB-NP\tO' -p215348 -aS'spine\tspine\tNN\tI-NP\tO' -p215349 -aS'imaging\timaging\tNN\tI-NP\tO' -p215350 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p215351 -aS'no\tno\tDT\tB-NP\tO' -p215352 -aS'evidence\tevidence\tNN\tI-NP\tO' -p215353 -aS'of\tof\tIN\tB-PP\tO' -p215354 -aS'cervical\tcervical\tJJ\tB-NP\tO' -p215355 -aS'spine\tspine\tNN\tI-NP\tO' -p215356 -aS'injury\tinjury\tNN\tI-NP\tO' -p215357 -aS'.\t.\t.\tO\tO' -p215358 -asS'She should follow-up with Dr. Ryna Jescdrig as well as Dr. Lenni Lung in the Vascular Surgery Department in approximately three to four weeks .' -p215359 -(lp215360 -S'She\tShe\tPRP\tB-NP\tO' -p215361 -aS'should\tshould\tMD\tB-VP\tO' -p215362 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p215363 -aS'with\twith\tIN\tB-PP\tO' -p215364 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p215365 -aS'Ryna\tRyna\tNNP\tI-NP\tO' -p215366 -aS'Jescdrig\tJescdrig\tNNP\tI-NP\tO' -p215367 -aS'as\tas\tRB\tB-CONJP\tO' -p215368 -aS'well\twell\tRB\tI-CONJP\tO' -p215369 -aS'as\tas\tIN\tI-CONJP\tO' -p215370 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p215371 -aS'Lenni\tLenni\tNNP\tI-NP\tO' -p215372 -aS'Lung\tLung\tNNP\tI-NP\tO' -p215373 -aS'in\tin\tIN\tB-PP\tO' -p215374 -aS'the\tthe\tDT\tB-NP\tO' -p215375 -aS'Vascular\tVascular\tNNP\tI-NP\tO' -p215376 -aS'Surgery\tSurgery\tNNP\tI-NP\tO' -p215377 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p215378 -aS'in\tin\tIN\tB-PP\tO' -p215379 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p215380 -aS'three\tthree\tCD\tI-NP\tO' -p215381 -aS'to\tto\tTO\tI-NP\tO' -p215382 -aS'four\tfour\tCD\tI-NP\tO' -p215383 -aS'weeks\tweek\tNNS\tI-NP\tO' -p215384 -aS'.\t.\t.\tO\tO' -p215385 -asS'4. Car seat position and screening : Not applicable .' -p215386 -(lp215387 -S'4.\t4.\tLS\tB-NP\tO' -p215388 -aS'Car\tCar\tNN\tI-NP\tB-protein' -p215389 -aS'seat\tseat\tNN\tI-NP\tO' -p215390 -aS'position\tposition\tNN\tI-NP\tO' -p215391 -aS'and\tand\tCC\tI-NP\tO' -p215392 -aS'screening\tscreening\tNN\tI-NP\tO' -p215393 -aS':\t:\t:\tO\tO' -p215394 -aS'Not\tNot\tRB\tB-ADJP\tO' -p215395 -aS'applicable\tapplicable\tJJ\tI-ADJP\tO' -p215396 -aS'.\t.\t.\tO\tO' -p215397 -asS'Examination showed a right upper mid small breast mass which was detected actually by Dr. Para .' -p215398 -(lp215399 -S'Examination\tExamination\tNN\tB-NP\tO' -p215400 -aS'showed\tshow\tVBD\tB-VP\tO' -p215401 -aS'a\ta\tDT\tB-NP\tO' -p215402 -aS'right\tright\tJJ\tI-NP\tO' -p215403 -aS'upper\tupper\tJJ\tI-NP\tO' -p215404 -aS'mid\tmid\tJJ\tI-NP\tO' -p215405 -aS'small\tsmall\tJJ\tI-NP\tO' -p215406 -aS'breast\tbreast\tNN\tI-NP\tO' -p215407 -aS'mass\tmass\tNN\tI-NP\tO' -p215408 -aS'which\twhich\tWDT\tB-NP\tO' -p215409 -aS'was\tbe\tVBD\tB-VP\tO' -p215410 -aS'detected\tdetect\tVBN\tI-VP\tO' -p215411 -aS'actually\tactually\tRB\tB-ADVP\tO' -p215412 -aS'by\tby\tIN\tB-PP\tO' -p215413 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p215414 -aS'Para\tPara\tNNP\tI-NP\tO' -p215415 -aS'.\t.\t.\tO\tO' -p215416 -asS'1 ) IRON DEFICIENCY ANEMIA , COLONOSCOPY IN 1990 FOLLOWED BY HEMATOLOGY ONCOLOGY THROUGH LYMPNANIER HEALTH SERVICES , DR. NUMBER .' -p215417 -(lp215418 -S'1\t1\tLS\tB-LST\tO' -p215419 -aS')\t)\t)\tO\tO' -p215420 -aS'IRON\tIRON\tNN\tB-NP\tO' -p215421 -aS'DEFICIENCY\tDEFICIENCY\tNN\tI-NP\tO' -p215422 -aS'ANEMIA\tANEMIA\tNN\tI-NP\tO' -p215423 -aS',\t,\t,\tO\tO' -p215424 -aS'COLONOSCOPY\tCOLONOSCOPY\tNNP\tB-NP\tO' -p215425 -aS'IN\tIN\tNNP\tI-NP\tO' -p215426 -aS'1990\t1990\tCD\tI-NP\tO' -p215427 -aS'FOLLOWED\tFOLLOWED\tNNP\tI-NP\tO' -p215428 -aS'BY\tBY\tNNP\tI-NP\tO' -p215429 -aS'HEMATOLOGY\tHEMATOLOGY\tNNP\tI-NP\tO' -p215430 -aS'ONCOLOGY\tONCOLOGY\tNNP\tI-NP\tO' -p215431 -aS'THROUGH\tTHROUGH\tNNP\tI-NP\tO' -p215432 -aS'LYMPNANIER\tLYMPNANIER\tNNP\tI-NP\tO' -p215433 -aS'HEALTH\tHEALTH\tNNP\tI-NP\tO' -p215434 -aS'SERVICES\tSERVICES\tNNP\tI-NP\tO' -p215435 -aS',\t,\t,\tO\tO' -p215436 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p215437 -aS'NUMBER\tNUMBER\tNNP\tI-NP\tO' -p215438 -aS'.\t.\t.\tO\tO' -p215439 -asS"The patient 's mental status waxed and waned there ." -p215440 -(lp215441 -S'The\tThe\tDT\tB-NP\tO' -p215442 -aS'patient\tpatient\tNN\tI-NP\tO' -p215443 -aS"'s\t's\tPOS\tB-NP\tO" -p215444 -aS'mental\tmental\tJJ\tI-NP\tO' -p215445 -aS'status\tstatus\tNN\tI-NP\tO' -p215446 -aS'waxed\twax\tVBD\tB-VP\tO' -p215447 -aS'and\tand\tCC\tO\tO' -p215448 -aS'waned\twan\tVBD\tB-VP\tO' -p215449 -aS'there\tthere\tRB\tB-ADVP\tO' -p215450 -aS'.\t.\t.\tO\tO' -p215451 -asS'Please take all over your medications .' -p215452 -(lp215453 -S'Please\tPlease\tVB\tB-VP\tO' -p215454 -aS'take\ttake\tVB\tI-VP\tO' -p215455 -aS'all\tall\tDT\tB-NP\tO' -p215456 -aS'over\tover\tIN\tB-PP\tO' -p215457 -aS'your\tyour\tPRP$\tB-NP\tO' -p215458 -aS'medications\tmedication\tNNS\tI-NP\tO' -p215459 -aS'.\t.\t.\tO\tO' -p215460 -asS'Abd CT showed stable findings compared to 12/10/04 except for distended right colon consistent with ileus .' -p215461 -(lp215462 -S'Abd\tAbd\tNN\tB-NP\tO' -p215463 -aS'CT\tCT\tNN\tI-NP\tO' -p215464 -aS'showed\tshow\tVBD\tB-VP\tO' -p215465 -aS'stable\tstable\tJJ\tB-NP\tO' -p215466 -aS'findings\tfinding\tNNS\tI-NP\tO' -p215467 -aS'compared\tcompare\tVBN\tB-VP\tO' -p215468 -aS'to\tto\tTO\tB-PP\tO' -p215469 -aS'12/10/04\t12/10/04\tCD\tB-NP\tO' -p215470 -aS'except\texcept\tIN\tB-PP\tO' -p215471 -aS'for\tfor\tIN\tB-PP\tO' -p215472 -aS'distended\tdistended\tJJ\tB-NP\tO' -p215473 -aS'right\tright\tJJ\tI-NP\tO' -p215474 -aS'colon\tcolon\tNN\tI-NP\tO' -p215475 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p215476 -aS'with\twith\tIN\tB-PP\tO' -p215477 -aS'ileus\tileus\tNN\tB-NP\tO' -p215478 -aS'.\t.\t.\tO\tO' -p215479 -asS'1) Albuterol inhaler two puffs q.i.d. p.r.n. breathing difficulties .' -p215480 -(lp215481 -S'1)\t1)\tLS\tB-NP\tO' -p215482 -aS'Albuterol\tAlbuterol\tNN\tI-NP\tO' -p215483 -aS'inhaler\tinhaler\tIN\tB-PP\tO' -p215484 -aS'two\ttwo\tCD\tB-NP\tO' -p215485 -aS'puffs\tpuff\tNNS\tI-NP\tO' -p215486 -aS'q.i.d.\tq.i.d.\tVBP\tB-VP\tO' -p215487 -aS'p.r.n.\tp.r.n.\tNN\tB-NP\tO' -p215488 -aS'breathing\tbreathing\tNN\tI-NP\tO' -p215489 -aS'difficulties\tdifficulty\tNNS\tI-NP\tO' -p215490 -aS'.\t.\t.\tO\tO' -p215491 -asS'Postoperative changes of the sternum and media stinum were seen and no acute pulmonary disease was visualized .' -p215492 -(lp215493 -S'Postoperative\tPostoperative\tJJ\tB-NP\tO' -p215494 -aS'changes\tchange\tNNS\tI-NP\tO' -p215495 -aS'of\tof\tIN\tB-PP\tO' -p215496 -aS'the\tthe\tDT\tB-NP\tO' -p215497 -aS'sternum\tsternum\tNN\tI-NP\tO' -p215498 -aS'and\tand\tCC\tI-NP\tO' -p215499 -aS'media\tmedium\tNNS\tI-NP\tO' -p215500 -aS'stinum\tstinum\tNN\tI-NP\tO' -p215501 -aS'were\tbe\tVBD\tB-VP\tO' -p215502 -aS'seen\tsee\tVBN\tI-VP\tO' -p215503 -aS'and\tand\tCC\tO\tO' -p215504 -aS'no\tno\tDT\tB-NP\tO' -p215505 -aS'acute\tacute\tJJ\tI-NP\tO' -p215506 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p215507 -aS'disease\tdisease\tNN\tI-NP\tO' -p215508 -aS'was\tbe\tVBD\tB-VP\tO' -p215509 -aS'visualized\tvisualize\tVBN\tI-VP\tO' -p215510 -aS'.\t.\t.\tO\tO' -p215511 -asS'The dens is intact .' -p215512 -(lp215513 -S'The\tThe\tDT\tB-NP\tO' -p215514 -aS'dens\tden\tNNS\tI-NP\tO' -p215515 -aS'is\tbe\tVBZ\tB-VP\tO' -p215516 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p215517 -aS'.\t.\t.\tO\tO' -p215518 -asS'2. Oxycodone 5 mg Tablet Sig : Two ( 2 ) Tablet PO Q4H ( every 4 hours ) as needed for pain .' -p215519 -(lp215520 -S'2.\t2.\tLS\tB-NP\tO' -p215521 -aS'Oxycodone\tOxycodone\tNN\tI-NP\tO' -p215522 -aS'5\t5\tCD\tI-NP\tO' -p215523 -aS'mg\tmg\tNN\tI-NP\tO' -p215524 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p215525 -aS'Sig\tSig\tNNP\tI-NP\tO' -p215526 -aS':\t:\t:\tO\tO' -p215527 -aS'Two\tTwo\tCD\tB-NP\tO' -p215528 -aS'(\t(\t(\tO\tO' -p215529 -aS'2\t2\tCD\tO\tO' -p215530 -aS')\t)\t)\tO\tO' -p215531 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p215532 -aS'PO\tPO\tNN\tI-NP\tO' -p215533 -aS'Q4H\tQ4H\tNN\tI-NP\tO' -p215534 -aS'(\t(\t(\tO\tO' -p215535 -aS'every\tevery\tDT\tB-NP\tO' -p215536 -aS'4\t4\tCD\tI-NP\tO' -p215537 -aS'hours\thour\tNNS\tI-NP\tO' -p215538 -aS')\t)\t)\tO\tO' -p215539 -aS'as\tas\tIN\tB-SBAR\tO' -p215540 -aS'needed\tneed\tVBN\tB-VP\tO' -p215541 -aS'for\tfor\tIN\tB-PP\tO' -p215542 -aS'pain\tpain\tNN\tB-NP\tO' -p215543 -aS'.\t.\t.\tO\tO' -p215544 -asS'Recent CT scan showed destruction of L femoral neck .' -p215545 -(lp215546 -S'Recent\tRecent\tJJ\tB-NP\tO' -p215547 -aS'CT\tCT\tNN\tI-NP\tO' -p215548 -aS'scan\tscan\tNN\tI-NP\tO' -p215549 -aS'showed\tshow\tVBD\tB-VP\tO' -p215550 -aS'destruction\tdestruction\tNN\tB-NP\tO' -p215551 -aS'of\tof\tIN\tB-PP\tO' -p215552 -aS'L\tL\tNN\tB-NP\tB-protein' -p215553 -aS'femoral\tfemoral\tJJ\tI-NP\tI-protein' -p215554 -aS'neck\tneck\tNN\tI-NP\tI-protein' -p215555 -aS'.\t.\t.\tO\tO' -p215556 -asS'A lipid panel was checked and found to be within normal limits , although it was noted this was in the post MI setting and the lipid panel could be falsely low .' -p215557 -(lp215558 -S'A\tA\tDT\tB-NP\tO' -p215559 -aS'lipid\tlipid\tNN\tI-NP\tO' -p215560 -aS'panel\tpanel\tNN\tI-NP\tO' -p215561 -aS'was\tbe\tVBD\tB-VP\tO' -p215562 -aS'checked\tcheck\tVBN\tI-VP\tO' -p215563 -aS'and\tand\tCC\tO\tO' -p215564 -aS'found\tfind\tVBN\tB-VP\tO' -p215565 -aS'to\tto\tTO\tI-VP\tO' -p215566 -aS'be\tbe\tVB\tI-VP\tO' -p215567 -aS'within\twithin\tIN\tB-PP\tO' -p215568 -aS'normal\tnormal\tJJ\tB-NP\tO' -p215569 -aS'limits\tlimit\tNNS\tI-NP\tO' -p215570 -aS',\t,\t,\tO\tO' -p215571 -aS'although\talthough\tIN\tB-SBAR\tO' -p215572 -aS'it\tit\tPRP\tB-NP\tO' -p215573 -aS'was\tbe\tVBD\tB-VP\tO' -p215574 -aS'noted\tnote\tVBN\tI-VP\tO' -p215575 -aS'this\tthis\tDT\tB-NP\tO' -p215576 -aS'was\tbe\tVBD\tB-VP\tO' -p215577 -aS'in\tin\tIN\tB-PP\tO' -p215578 -aS'the\tthe\tDT\tB-NP\tO' -p215579 -aS'post\tpost\tNN\tI-NP\tO' -p215580 -aS'MI\tMI\tNN\tI-NP\tO' -p215581 -aS'setting\tsetting\tNN\tI-NP\tO' -p215582 -aS'and\tand\tCC\tO\tO' -p215583 -aS'the\tthe\tDT\tB-NP\tO' -p215584 -aS'lipid\tlipid\tNN\tI-NP\tO' -p215585 -aS'panel\tpanel\tNN\tI-NP\tO' -p215586 -aS'could\tcould\tMD\tB-VP\tO' -p215587 -aS'be\tbe\tVB\tI-VP\tO' -p215588 -aS'falsely\tfalsely\tRB\tB-ADJP\tO' -p215589 -aS'low\tlow\tJJ\tI-ADJP\tO' -p215590 -aS'.\t.\t.\tO\tO' -p215591 -asS'Additional smaller non-obstructing right renal stones .' -p215592 -(lp215593 -S'Additional\tAdditional\tJJ\tB-NP\tO' -p215594 -aS'smaller\tsmall\tJJR\tI-NP\tO' -p215595 -aS'non-obstructing\tnon-obstructing\tJJ\tI-NP\tO' -p215596 -aS'right\tright\tNN\tI-NP\tO' -p215597 -aS'renal\trenal\tJJ\tI-NP\tO' -p215598 -aS'stones\tstone\tNNS\tI-NP\tO' -p215599 -aS'.\t.\t.\tO\tO' -p215600 -asS'Justin Searle a 60-year-old man with a long history of chronic prostatitis status post two transurethral resection of the prostate procedures in 2007 and 1998 .' -p215601 -(lp215602 -S'Justin\tJustin\tNNP\tB-NP\tO' -p215603 -aS'Searle\tSearle\tNNP\tI-NP\tO' -p215604 -aS'a\ta\tDT\tB-NP\tO' -p215605 -aS'60-year-old\t60-year-old\tJJ\tI-NP\tO' -p215606 -aS'man\tman\tNN\tI-NP\tO' -p215607 -aS'with\twith\tIN\tB-PP\tO' -p215608 -aS'a\ta\tDT\tB-NP\tO' -p215609 -aS'long\tlong\tJJ\tI-NP\tO' -p215610 -aS'history\thistory\tNN\tI-NP\tO' -p215611 -aS'of\tof\tIN\tB-PP\tO' -p215612 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p215613 -aS'prostatitis\tprostatitis\tNN\tI-NP\tO' -p215614 -aS'status\tstatus\tNN\tI-NP\tO' -p215615 -aS'post\tpost\tIN\tB-PP\tO' -p215616 -aS'two\ttwo\tCD\tB-NP\tO' -p215617 -aS'transurethral\ttransurethral\tJJ\tI-NP\tO' -p215618 -aS'resection\tresection\tNN\tI-NP\tO' -p215619 -aS'of\tof\tIN\tB-PP\tO' -p215620 -aS'the\tthe\tDT\tB-NP\tO' -p215621 -aS'prostate\tprostate\tNN\tI-NP\tO' -p215622 -aS'procedures\tprocedure\tNNS\tI-NP\tO' -p215623 -aS'in\tin\tIN\tB-PP\tO' -p215624 -aS'2007\t2007\tCD\tB-NP\tO' -p215625 -aS'and\tand\tCC\tI-NP\tO' -p215626 -aS'1998\t1998\tCD\tI-NP\tO' -p215627 -aS'.\t.\t.\tO\tO' -p215628 -asS'active labor .' -p215629 -(lp215630 -S'active\tactive\tJJ\tB-NP\tO' -p215631 -aS'labor\tlabor\tNN\tI-NP\tO' -p215632 -aS'.\t.\t.\tO\tO' -p215633 -asS'Percodan and codeine .' -p215634 -(lp215635 -S'Percodan\tPercodan\tNN\tB-NP\tO' -p215636 -aS'and\tand\tCC\tI-NP\tO' -p215637 -aS'codeine\tcodeine\tNN\tI-NP\tO' -p215638 -aS'.\t.\t.\tO\tO' -p215639 -asS'The patient will be discharged home on Zantac , Simethicone , and preoperative medications with follow-up with Dr. Ur in two weeks .' -p215640 -(lp215641 -S'The\tThe\tDT\tB-NP\tO' -p215642 -aS'patient\tpatient\tNN\tI-NP\tO' -p215643 -aS'will\twill\tMD\tB-VP\tO' -p215644 -aS'be\tbe\tVB\tI-VP\tO' -p215645 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p215646 -aS'home\thome\tNN\tB-ADVP\tO' -p215647 -aS'on\ton\tIN\tB-PP\tO' -p215648 -aS'Zantac\tZantac\tNN\tB-NP\tO' -p215649 -aS',\t,\t,\tO\tO' -p215650 -aS'Simethicone\tSimethicone\tNN\tB-NP\tO' -p215651 -aS',\t,\t,\tO\tO' -p215652 -aS'and\tand\tCC\tO\tO' -p215653 -aS'preoperative\tpreoperative\tJJ\tB-NP\tO' -p215654 -aS'medications\tmedication\tNNS\tI-NP\tO' -p215655 -aS'with\twith\tIN\tB-PP\tO' -p215656 -aS'follow-up\tfollow-up\tNN\tB-NP\tO' -p215657 -aS'with\twith\tIN\tB-PP\tO' -p215658 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p215659 -aS'Ur\tUr\tNNP\tI-NP\tO' -p215660 -aS'in\tin\tIN\tB-PP\tO' -p215661 -aS'two\ttwo\tCD\tB-NP\tO' -p215662 -aS'weeks\tweek\tNNS\tI-NP\tO' -p215663 -aS'.\t.\t.\tO\tO' -p215664 -asS'No retropharyngeal fluid is identified .' -p215665 -(lp215666 -S'No\tNo\tDT\tB-NP\tO' -p215667 -aS'retropharyngeal\tretropharyngeal\tJJ\tI-NP\tO' -p215668 -aS'fluid\tfluid\tNN\tI-NP\tO' -p215669 -aS'is\tbe\tVBZ\tB-VP\tO' -p215670 -aS'identified\tidentify\tVBN\tI-VP\tO' -p215671 -aS'.\t.\t.\tO\tO' -p215672 -asS'He was also started on his preoperative medications of Amlodipine and Losartan with improvement of his blood pressure .' -p215673 -(lp215674 -S'He\tHe\tPRP\tB-NP\tO' -p215675 -aS'was\tbe\tVBD\tB-VP\tO' -p215676 -aS'also\talso\tRB\tI-VP\tO' -p215677 -aS'started\tstart\tVBN\tI-VP\tO' -p215678 -aS'on\ton\tIN\tB-PP\tO' -p215679 -aS'his\this\tPRP$\tB-NP\tO' -p215680 -aS'preoperative\tpreoperative\tJJ\tI-NP\tO' -p215681 -aS'medications\tmedication\tNNS\tI-NP\tO' -p215682 -aS'of\tof\tIN\tB-PP\tO' -p215683 -aS'Amlodipine\tAmlodipine\tNN\tB-NP\tO' -p215684 -aS'and\tand\tCC\tI-NP\tO' -p215685 -aS'Losartan\tLosartan\tNN\tI-NP\tO' -p215686 -aS'with\twith\tIN\tB-PP\tO' -p215687 -aS'improvement\timprovement\tNN\tB-NP\tO' -p215688 -aS'of\tof\tIN\tB-PP\tO' -p215689 -aS'his\this\tPRP$\tB-NP\tO' -p215690 -aS'blood\tblood\tNN\tI-NP\tO' -p215691 -aS'pressure\tpressure\tNN\tI-NP\tO' -p215692 -aS'.\t.\t.\tO\tO' -p215693 -asS'No bleeding in her urine or stool .' -p215694 -(lp215695 -S'No\tNo\tDT\tB-NP\tO' -p215696 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p215697 -aS'in\tin\tIN\tB-PP\tO' -p215698 -aS'her\ther\tPRP$\tB-NP\tO' -p215699 -aS'urine\turine\tNN\tI-NP\tO' -p215700 -aS'or\tor\tCC\tI-NP\tO' -p215701 -aS'stool\tstool\tNN\tI-NP\tO' -p215702 -aS'.\t.\t.\tO\tO' -p215703 -asS'She was seen in the emergency room here on 08/31/04 where they performed an abdominal CT that showed a 14 x 14 x 10 cm pelvic mass with multiple enlarged lymph nodes .' -p215704 -(lp215705 -S'She\tShe\tPRP\tB-NP\tO' -p215706 -aS'was\tbe\tVBD\tB-VP\tO' -p215707 -aS'seen\tsee\tVBN\tI-VP\tO' -p215708 -aS'in\tin\tIN\tB-PP\tO' -p215709 -aS'the\tthe\tDT\tB-NP\tO' -p215710 -aS'emergency\temergency\tNN\tI-NP\tO' -p215711 -aS'room\troom\tNN\tI-NP\tO' -p215712 -aS'here\there\tRB\tB-ADVP\tO' -p215713 -aS'on\ton\tIN\tB-PP\tO' -p215714 -aS'08/31/04\t08/31/04\tCD\tB-NP\tO' -p215715 -aS'where\twhere\tWRB\tB-ADVP\tO' -p215716 -aS'they\tthey\tPRP\tB-NP\tO' -p215717 -aS'performed\tperform\tVBD\tB-VP\tO' -p215718 -aS'an\tan\tDT\tB-NP\tO' -p215719 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p215720 -aS'CT\tCT\tNN\tI-NP\tO' -p215721 -aS'that\tthat\tWDT\tB-NP\tO' -p215722 -aS'showed\tshow\tVBD\tB-VP\tO' -p215723 -aS'a\ta\tDT\tB-NP\tO' -p215724 -aS'14\t14\tCD\tI-NP\tO' -p215725 -aS'x\tx\tSYM\tI-NP\tO' -p215726 -aS'14\t14\tCD\tI-NP\tO' -p215727 -aS'x\tx\tSYM\tI-NP\tO' -p215728 -aS'10\t10\tCD\tI-NP\tO' -p215729 -aS'cm\tcm\tNN\tI-NP\tO' -p215730 -aS'pelvic\tpelvic\tJJ\tI-NP\tO' -p215731 -aS'mass\tmass\tNN\tI-NP\tO' -p215732 -aS'with\twith\tIN\tB-PP\tO' -p215733 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p215734 -aS'enlarged\tenlarged\tJJ\tI-NP\tO' -p215735 -aS'lymph\tlymph\tNN\tI-NP\tO' -p215736 -aS'nodes\tnode\tNNS\tI-NP\tO' -p215737 -aS'.\t.\t.\tO\tO' -p215738 -asS'At present , she can walk one to two blocks before having to stop because of shortness of breath .' -p215739 -(lp215740 -S'At\tAt\tIN\tB-PP\tO' -p215741 -aS'present\tpresent\tNN\tB-NP\tO' -p215742 -aS',\t,\t,\tO\tO' -p215743 -aS'she\tshe\tPRP\tB-NP\tO' -p215744 -aS'can\tcan\tMD\tB-VP\tO' -p215745 -aS'walk\twalk\tVB\tI-VP\tO' -p215746 -aS'one\tone\tCD\tB-NP\tO' -p215747 -aS'to\tto\tTO\tI-NP\tO' -p215748 -aS'two\ttwo\tCD\tI-NP\tO' -p215749 -aS'blocks\tblock\tNNS\tI-NP\tO' -p215750 -aS'before\tbefore\tIN\tB-PP\tO' -p215751 -aS'having\thave\tVBG\tB-VP\tO' -p215752 -aS'to\tto\tTO\tI-VP\tO' -p215753 -aS'stop\tstop\tVB\tI-VP\tO' -p215754 -aS'because\tbecause\tIN\tB-PP\tO' -p215755 -aS'of\tof\tIN\tI-PP\tO' -p215756 -aS'shortness\tshortness\tNN\tB-NP\tO' -p215757 -aS'of\tof\tIN\tB-PP\tO' -p215758 -aS'breath\tbreath\tNN\tB-NP\tO' -p215759 -aS'.\t.\t.\tO\tO' -p215760 -asS'3. Atorvastatin 10 mg p.o. q. day .' -p215761 -(lp215762 -S'3.\t3.\tLS\tB-LST\tO' -p215763 -aS'Atorvastatin\tAtorvastatin\tNN\tB-NP\tO' -p215764 -aS'10\t10\tCD\tI-NP\tO' -p215765 -aS'mg\tmg\tNN\tI-NP\tO' -p215766 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p215767 -aS'q.\tq.\tNN\tI-NP\tO' -p215768 -aS'day\tday\tNN\tI-NP\tO' -p215769 -aS'.\t.\t.\tO\tO' -p215770 -asS'He improved clinically with defervescence , decreased white blood cell count to 10,000 with resolution of left shift , and some decrease in abdominal distention on exam .' -p215771 -(lp215772 -S'He\tHe\tPRP\tB-NP\tO' -p215773 -aS'improved\timprove\tVBD\tB-VP\tO' -p215774 -aS'clinically\tclinically\tRB\tB-ADVP\tO' -p215775 -aS'with\twith\tIN\tB-PP\tO' -p215776 -aS'defervescence\tdefervescence\tNN\tB-NP\tO' -p215777 -aS',\t,\t,\tO\tO' -p215778 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p215779 -aS'white\twhite\tJJ\tB-NP\tB-cell_type' -p215780 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p215781 -aS'cell\tcell\tNN\tI-NP\tI-cell_type' -p215782 -aS'count\tcount\tNN\tI-NP\tO' -p215783 -aS'to\tto\tTO\tB-PP\tO' -p215784 -aS'10,000\t10,000\tCD\tB-NP\tO' -p215785 -aS'with\twith\tIN\tB-PP\tO' -p215786 -aS'resolution\tresolution\tNN\tB-NP\tO' -p215787 -aS'of\tof\tIN\tB-PP\tO' -p215788 -aS'left\tleft\tJJ\tB-NP\tO' -p215789 -aS'shift\tshift\tNN\tI-NP\tO' -p215790 -aS',\t,\t,\tO\tO' -p215791 -aS'and\tand\tCC\tO\tO' -p215792 -aS'some\tsome\tDT\tB-NP\tO' -p215793 -aS'decrease\tdecrease\tNN\tI-NP\tO' -p215794 -aS'in\tin\tIN\tB-PP\tO' -p215795 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p215796 -aS'distention\tdistention\tNN\tI-NP\tO' -p215797 -aS'on\ton\tIN\tB-PP\tO' -p215798 -aS'exam\texam\tNN\tB-NP\tO' -p215799 -aS'.\t.\t.\tO\tO' -p215800 -asS'Nicholas seizures , no LOC , no head or neck trauma .' -p215801 -(lp215802 -S'Nicholas\tNichola\tNNS\tB-NP\tO' -p215803 -aS'seizures\tseizure\tNNS\tI-NP\tO' -p215804 -aS',\t,\t,\tO\tO' -p215805 -aS'no\tno\tDT\tB-NP\tO' -p215806 -aS'LOC\tLOC\tNNP\tI-NP\tO' -p215807 -aS',\t,\t,\tO\tO' -p215808 -aS'no\tno\tDT\tB-NP\tO' -p215809 -aS'head\thead\tNN\tI-NP\tO' -p215810 -aS'or\tor\tCC\tI-NP\tO' -p215811 -aS'neck\tneck\tNN\tI-NP\tO' -p215812 -aS'trauma\ttrauma\tNN\tI-NP\tO' -p215813 -aS'.\t.\t.\tO\tO' -p215814 -asS'The discharge is to home .' -p215815 -(lp215816 -S'The\tThe\tDT\tB-NP\tO' -p215817 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p215818 -aS'is\tbe\tVBZ\tB-VP\tO' -p215819 -aS'to\tto\tTO\tB-PP\tO' -p215820 -aS'home\thome\tNN\tB-NP\tO' -p215821 -aS'.\t.\t.\tO\tO' -p215822 -asS'The patient was initially started on D10 / W at 80 cc / kg / day .' -p215823 -(lp215824 -S'The\tThe\tDT\tB-NP\tO' -p215825 -aS'patient\tpatient\tNN\tI-NP\tO' -p215826 -aS'was\tbe\tVBD\tB-VP\tO' -p215827 -aS'initially\tinitially\tRB\tI-VP\tO' -p215828 -aS'started\tstart\tVBN\tI-VP\tO' -p215829 -aS'on\ton\tIN\tB-PP\tO' -p215830 -aS'D10\tD10\tNN\tB-NP\tB-protein' -p215831 -aS'/\t/\tSYM\tB-NP\tO' -p215832 -aS'W\tW\tNN\tI-NP\tO' -p215833 -aS'at\tat\tIN\tB-PP\tO' -p215834 -aS'80\t80\tCD\tB-NP\tO' -p215835 -aS'cc\tcc\tNN\tI-NP\tO' -p215836 -aS'/\t/\tSYM\tB-NP\tO' -p215837 -aS'kg\tkg\tNN\tI-NP\tO' -p215838 -aS'/\t/\tSYM\tB-NP\tO' -p215839 -aS'day\tday\tNN\tI-NP\tO' -p215840 -aS'.\t.\t.\tO\tO' -p215841 -asS'She did well on the ward and was discharged on her ninth postoperative day .' -p215842 -(lp215843 -S'She\tShe\tPRP\tB-NP\tO' -p215844 -aS'did\tdo\tVBD\tB-VP\tO' -p215845 -aS'well\twell\tRB\tB-ADVP\tO' -p215846 -aS'on\ton\tIN\tB-PP\tO' -p215847 -aS'the\tthe\tDT\tB-NP\tO' -p215848 -aS'ward\tward\tNN\tI-NP\tO' -p215849 -aS'and\tand\tCC\tO\tO' -p215850 -aS'was\tbe\tVBD\tB-VP\tO' -p215851 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p215852 -aS'on\ton\tIN\tB-PP\tO' -p215853 -aS'her\ther\tPRP\tB-NP\tO' -p215854 -aS'ninth\tninth\tJJ\tI-NP\tO' -p215855 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p215856 -aS'day\tday\tNN\tI-NP\tO' -p215857 -aS'.\t.\t.\tO\tO' -p215858 -asS'Your patient was admitted under the care of REEFRAUP , JA Y with a preliminary diagnosis of SYNCOPE .' -p215859 -(lp215860 -S'Your\tYour\tPRP$\tB-NP\tO' -p215861 -aS'patient\tpatient\tNN\tI-NP\tO' -p215862 -aS'was\tbe\tVBD\tB-VP\tO' -p215863 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p215864 -aS'under\tunder\tIN\tB-PP\tO' -p215865 -aS'the\tthe\tDT\tB-NP\tO' -p215866 -aS'care\tcare\tNN\tI-NP\tO' -p215867 -aS'of\tof\tIN\tB-PP\tO' -p215868 -aS'REEFRAUP\tREEFRAUP\tNN\tB-NP\tO' -p215869 -aS',\t,\t,\tO\tO' -p215870 -aS'JA\tJA\tNNP\tB-NP\tO' -p215871 -aS'Y\tY\tNNP\tI-NP\tO' -p215872 -aS'with\twith\tIN\tB-PP\tO' -p215873 -aS'a\ta\tDT\tB-NP\tO' -p215874 -aS'preliminary\tpreliminary\tJJ\tI-NP\tO' -p215875 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p215876 -aS'of\tof\tIN\tB-PP\tO' -p215877 -aS'SYNCOPE\tSYNCOPE\tNN\tB-NP\tO' -p215878 -aS'.\t.\t.\tO\tO' -p215879 -asS'Patient needs to continue the tube feed nutrition until re-assessed by the nutrionist .' -p215880 -(lp215881 -S'Patient\tPatient\tNN\tB-NP\tO' -p215882 -aS'needs\tneed\tVBZ\tB-VP\tO' -p215883 -aS'to\tto\tTO\tI-VP\tO' -p215884 -aS'continue\tcontinue\tVB\tI-VP\tO' -p215885 -aS'the\tthe\tDT\tB-NP\tO' -p215886 -aS'tube\ttube\tNN\tI-NP\tO' -p215887 -aS'feed\tfeed\tNN\tI-NP\tO' -p215888 -aS'nutrition\tnutrition\tNN\tI-NP\tO' -p215889 -aS'until\tuntil\tIN\tB-SBAR\tO' -p215890 -aS're-assessed\tre-assess\tVBN\tB-VP\tO' -p215891 -aS'by\tby\tIN\tB-PP\tO' -p215892 -aS'the\tthe\tDT\tB-NP\tO' -p215893 -aS'nutrionist\tnutrionist\tNN\tI-NP\tO' -p215894 -aS'.\t.\t.\tO\tO' -p215895 -asS'Oncologist is Dr. Rowles .' -p215896 -(lp215897 -S'Oncologist\tOncologist\tNNP\tB-NP\tO' -p215898 -aS'is\tbe\tVBZ\tB-VP\tO' -p215899 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p215900 -aS'Rowles\tRowles\tNNP\tI-NP\tO' -p215901 -aS'.\t.\t.\tO\tO' -p215902 -asS'At that time , cholangiogram confirmed that there was a distal stricture of the common bile duct .' -p215903 -(lp215904 -S'At\tAt\tIN\tB-PP\tO' -p215905 -aS'that\tthat\tDT\tB-NP\tO' -p215906 -aS'time\ttime\tNN\tI-NP\tO' -p215907 -aS',\t,\t,\tO\tO' -p215908 -aS'cholangiogram\tcholangiogram\tNN\tB-NP\tO' -p215909 -aS'confirmed\tconfirm\tVBD\tB-VP\tO' -p215910 -aS'that\tthat\tIN\tB-SBAR\tO' -p215911 -aS'there\tthere\tEX\tB-NP\tO' -p215912 -aS'was\tbe\tVBD\tB-VP\tO' -p215913 -aS'a\ta\tDT\tB-NP\tO' -p215914 -aS'distal\tdistal\tJJ\tI-NP\tO' -p215915 -aS'stricture\tstricture\tNN\tI-NP\tO' -p215916 -aS'of\tof\tIN\tB-PP\tO' -p215917 -aS'the\tthe\tDT\tB-NP\tO' -p215918 -aS'common\tcommon\tJJ\tI-NP\tO' -p215919 -aS'bile\tbile\tNN\tI-NP\tO' -p215920 -aS'duct\tduct\tNN\tI-NP\tO' -p215921 -aS'.\t.\t.\tO\tO' -p215922 -asS'The patient was seen at the Ochtuheihugh Put University Medical Center and then he was referred to the Purckecation Balpoingdelt Pabarnes- Campa Memorial Hospital .' -p215923 -(lp215924 -S'The\tThe\tDT\tB-NP\tO' -p215925 -aS'patient\tpatient\tNN\tI-NP\tO' -p215926 -aS'was\tbe\tVBD\tB-VP\tO' -p215927 -aS'seen\tsee\tVBN\tI-VP\tO' -p215928 -aS'at\tat\tIN\tB-PP\tO' -p215929 -aS'the\tthe\tDT\tB-NP\tO' -p215930 -aS'Ochtuheihugh\tOchtuheihugh\tNNP\tI-NP\tO' -p215931 -aS'Put\tPut\tNNP\tI-NP\tO' -p215932 -aS'University\tUniversity\tNNP\tI-NP\tO' -p215933 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p215934 -aS'Center\tCenter\tNNP\tI-NP\tO' -p215935 -aS'and\tand\tCC\tO\tO' -p215936 -aS'then\tthen\tRB\tB-ADVP\tO' -p215937 -aS'he\the\tPRP\tB-NP\tO' -p215938 -aS'was\tbe\tVBD\tB-VP\tO' -p215939 -aS'referred\trefer\tVBN\tI-VP\tO' -p215940 -aS'to\tto\tTO\tB-PP\tO' -p215941 -aS'the\tthe\tDT\tB-NP\tO' -p215942 -aS'Purckecation\tPurckecation\tNNP\tI-NP\tO' -p215943 -aS'Balpoingdelt\tBalpoingdelt\tNNP\tI-NP\tO' -p215944 -aS'Pabarnes-\tPabarnes-\tNNP\tI-NP\tO' -p215945 -aS'Campa\tCampa\tNNP\tI-NP\tO' -p215946 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p215947 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p215948 -aS'.\t.\t.\tO\tO' -p215949 -asS'She is normocephalic otherwise .' -p215950 -(lp215951 -S'She\tShe\tPRP\tB-NP\tO' -p215952 -aS'is\tbe\tVBZ\tB-VP\tO' -p215953 -aS'normocephalic\tnormocephalic\tJJ\tB-ADJP\tO' -p215954 -aS'otherwise\totherwise\tRB\tB-ADVP\tO' -p215955 -aS'.\t.\t.\tO\tO' -p215956 -asS'Umbilical ring intact .' -p215957 -(lp215958 -S'Umbilical\tUmbilical\tJJ\tB-NP\tO' -p215959 -aS'ring\tring\tNN\tI-NP\tO' -p215960 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p215961 -aS'.\t.\t.\tO\tO' -p215962 -asS'These were thought to be consistent either with pneumonia or asymmetric pulmonary edema .' -p215963 -(lp215964 -S'These\tThese\tDT\tB-NP\tO' -p215965 -aS'were\tbe\tVBD\tB-VP\tO' -p215966 -aS'thought\tthink\tVBN\tI-VP\tO' -p215967 -aS'to\tto\tTO\tI-VP\tO' -p215968 -aS'be\tbe\tVB\tI-VP\tO' -p215969 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p215970 -aS'either\teither\tCC\tB-PP\tO' -p215971 -aS'with\twith\tIN\tI-PP\tO' -p215972 -aS'pneumonia\tpneumonia\tNN\tB-NP\tO' -p215973 -aS'or\tor\tCC\tO\tO' -p215974 -aS'asymmetric\tasymmetric\tJJ\tB-NP\tO' -p215975 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p215976 -aS'edema\tedema\tNN\tI-NP\tO' -p215977 -aS'.\t.\t.\tO\tO' -p215978 -asS'Blood cultures were done for a possible rectosigmoid mass or fistula and a CT showed questionable abscess versus tumor in the left lower quadrant .' -p215979 -(lp215980 -S'Blood\tBlood\tNN\tB-NP\tB-cell_line' -p215981 -aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' -p215982 -aS'were\tbe\tVBD\tB-VP\tO' -p215983 -aS'done\tdo\tVBN\tI-VP\tO' -p215984 -aS'for\tfor\tIN\tB-PP\tO' -p215985 -aS'a\ta\tDT\tB-NP\tO' -p215986 -aS'possible\tpossible\tJJ\tI-NP\tO' -p215987 -aS'rectosigmoid\trectosigmoid\tJJ\tI-NP\tO' -p215988 -aS'mass\tmass\tNN\tI-NP\tO' -p215989 -aS'or\tor\tCC\tI-NP\tO' -p215990 -aS'fistula\tfistula\tNN\tI-NP\tO' -p215991 -aS'and\tand\tCC\tO\tO' -p215992 -aS'a\ta\tDT\tB-NP\tO' -p215993 -aS'CT\tCT\tNN\tI-NP\tO' -p215994 -aS'showed\tshow\tVBD\tB-VP\tO' -p215995 -aS'questionable\tquestionable\tJJ\tB-NP\tO' -p215996 -aS'abscess\tabscess\tNN\tI-NP\tO' -p215997 -aS'versus\tversus\tIN\tB-PP\tO' -p215998 -aS'tumor\ttumor\tNN\tB-NP\tO' -p215999 -aS'in\tin\tIN\tB-PP\tO' -p216000 -aS'the\tthe\tDT\tB-NP\tO' -p216001 -aS'left\tleft\tJJ\tI-NP\tO' -p216002 -aS'lower\tlow\tJJR\tI-NP\tO' -p216003 -aS'quadrant\tquadrant\tNN\tI-NP\tO' -p216004 -aS'.\t.\t.\tO\tO' -p216005 -asS'Jennifer Martin , North Dakota 07287' -p216006 -(lp216007 -S'Jennifer\tJennifer\tNNP\tB-NP\tO' -p216008 -aS'Martin\tMartin\tNNP\tI-NP\tO' -p216009 -aS',\t,\t,\tO\tO' -p216010 -aS'North\tNorth\tNNP\tB-NP\tO' -p216011 -aS'Dakota\tDakota\tNNP\tI-NP\tO' -p216012 -aS'07287\t07287\tCD\tI-NP\tO' -p216013 -asS'This is a 57-year-old female status post ERT with recurrence of a pelvic mass and resection at an outside hospital in 06/22 .' -p216014 -(lp216015 -S'This\tThis\tDT\tB-NP\tO' -p216016 -aS'is\tbe\tVBZ\tB-VP\tO' -p216017 -aS'a\ta\tDT\tB-NP\tO' -p216018 -aS'57-year-old\t57-year-old\tJJ\tI-NP\tO' -p216019 -aS'female\tfemale\tJJ\tI-NP\tO' -p216020 -aS'status\tstatus\tNN\tI-NP\tO' -p216021 -aS'post\tpost\tNN\tI-NP\tO' -p216022 -aS'ERT\tERT\tNN\tI-NP\tO' -p216023 -aS'with\twith\tIN\tB-PP\tO' -p216024 -aS'recurrence\trecurrence\tNN\tB-NP\tO' -p216025 -aS'of\tof\tIN\tB-PP\tO' -p216026 -aS'a\ta\tDT\tB-NP\tO' -p216027 -aS'pelvic\tpelvic\tJJ\tI-NP\tO' -p216028 -aS'mass\tmass\tNN\tI-NP\tO' -p216029 -aS'and\tand\tCC\tI-NP\tO' -p216030 -aS'resection\tresection\tNN\tI-NP\tO' -p216031 -aS'at\tat\tIN\tB-PP\tO' -p216032 -aS'an\tan\tDT\tB-NP\tO' -p216033 -aS'outside\toutside\tJJ\tI-NP\tO' -p216034 -aS'hospital\thospital\tNN\tI-NP\tO' -p216035 -aS'in\tin\tIN\tB-PP\tO' -p216036 -aS'06/22\t06/22\tCD\tB-NP\tO' -p216037 -aS'.\t.\t.\tO\tO' -p216038 -asS'Received phototherapy from 07-27 to 2013-07-28 for a peak bilirubin of 8.1 .' -p216039 -(lp216040 -S'Received\tReceive\tVBN\tB-NP\tO' -p216041 -aS'phototherapy\tphototherapy\tNN\tI-NP\tO' -p216042 -aS'from\tfrom\tIN\tB-PP\tO' -p216043 -aS'07-27\t07-27\tCD\tB-NP\tO' -p216044 -aS'to\tto\tTO\tB-PP\tO' -p216045 -aS'2013-07-28\t2013-07-28\tCD\tB-NP\tO' -p216046 -aS'for\tfor\tIN\tB-PP\tO' -p216047 -aS'a\ta\tDT\tB-NP\tO' -p216048 -aS'peak\tpeak\tJJ\tI-NP\tO' -p216049 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p216050 -aS'of\tof\tIN\tB-PP\tO' -p216051 -aS'8.1\t8.1\tCD\tB-NP\tO' -p216052 -aS'.\t.\t.\tO\tO' -p216053 -asS'The patient has a family history of prostate cancer and stroke but no history of migraines .' -p216054 -(lp216055 -S'The\tThe\tDT\tB-NP\tO' -p216056 -aS'patient\tpatient\tNN\tI-NP\tO' -p216057 -aS'has\thave\tVBZ\tB-VP\tO' -p216058 -aS'a\ta\tDT\tB-NP\tO' -p216059 -aS'family\tfamily\tNN\tI-NP\tO' -p216060 -aS'history\thistory\tNN\tI-NP\tO' -p216061 -aS'of\tof\tIN\tB-PP\tO' -p216062 -aS'prostate\tprostate\tNN\tB-NP\tO' -p216063 -aS'cancer\tcancer\tNN\tI-NP\tO' -p216064 -aS'and\tand\tCC\tO\tO' -p216065 -aS'stroke\tstroke\tNN\tB-NP\tO' -p216066 -aS'but\tbut\tCC\tO\tO' -p216067 -aS'no\tno\tDT\tB-NP\tO' -p216068 -aS'history\thistory\tNN\tI-NP\tO' -p216069 -aS'of\tof\tIN\tB-PP\tO' -p216070 -aS'migraines\tmigraine\tNNS\tB-NP\tO' -p216071 -aS'.\t.\t.\tO\tO' -p216072 -asS'8. Pramipexole 0.25 mg Tablet Sig : Six ( 6 ) Tablet PO TID ( 3 times a day ) .' -p216073 -(lp216074 -S'8.\t8.\tCD\tB-NP\tO' -p216075 -aS'Pramipexole\tPramipexole\tNN\tI-NP\tO' -p216076 -aS'0.25\t0.25\tCD\tB-NP\tO' -p216077 -aS'mg\tmg\tNN\tI-NP\tO' -p216078 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p216079 -aS'Sig\tSig\tNNP\tI-NP\tO' -p216080 -aS':\t:\t:\tO\tO' -p216081 -aS'Six\tSix\tCD\tB-NP\tO' -p216082 -aS'(\t(\t(\tO\tO' -p216083 -aS'6\t6\tCD\tB-NP\tO' -p216084 -aS')\t)\t)\tO\tO' -p216085 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p216086 -aS'PO\tPO\tNN\tI-NP\tO' -p216087 -aS'TID\tTID\tNN\tI-NP\tO' -p216088 -aS'(\t(\t(\tO\tO' -p216089 -aS'3\t3\tCD\tB-NP\tO' -p216090 -aS'times\ttime\tNNS\tI-NP\tO' -p216091 -aS'a\ta\tDT\tB-NP\tO' -p216092 -aS'day\tday\tNN\tI-NP\tO' -p216093 -aS')\t)\t)\tO\tO' -p216094 -aS'.\t.\t.\tO\tO' -p216095 -asS'The patient was begun on anticoagulation therapy for a target INR of 2.5 .' -p216096 -(lp216097 -S'The\tThe\tDT\tB-NP\tO' -p216098 -aS'patient\tpatient\tNN\tI-NP\tO' -p216099 -aS'was\tbe\tVBD\tB-VP\tO' -p216100 -aS'begun\tbegin\tVBN\tI-VP\tO' -p216101 -aS'on\ton\tIN\tB-PP\tO' -p216102 -aS'anticoagulation\tanticoagulation\tNN\tB-NP\tO' -p216103 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p216104 -aS'for\tfor\tIN\tB-PP\tO' -p216105 -aS'a\ta\tDT\tB-NP\tO' -p216106 -aS'target\ttarget\tNN\tI-NP\tO' -p216107 -aS'INR\tINR\tNN\tI-NP\tO' -p216108 -aS'of\tof\tIN\tB-PP\tO' -p216109 -aS'2.5\t2.5\tCD\tB-NP\tO' -p216110 -aS'.\t.\t.\tO\tO' -p216111 -asS'3. Klebsiella pneumonia .' -p216112 -(lp216113 -S'3.\t3.\tLS\tB-NP\tO' -p216114 -aS'Klebsiella\tKlebsiella\tNN\tI-NP\tO' -p216115 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p216116 -aS'.\t.\t.\tO\tO' -p216117 -asS'A follow up examination should be scheduled for the week of 06-20 .' -p216118 -(lp216119 -S'A\tA\tDT\tB-NP\tO' -p216120 -aS'follow\tfollow\tNN\tI-NP\tO' -p216121 -aS'up\tup\tRP\tB-PRT\tO' -p216122 -aS'examination\texamination\tNN\tB-NP\tO' -p216123 -aS'should\tshould\tMD\tB-VP\tO' -p216124 -aS'be\tbe\tVB\tI-VP\tO' -p216125 -aS'scheduled\tschedule\tVBN\tI-VP\tO' -p216126 -aS'for\tfor\tIN\tB-PP\tO' -p216127 -aS'the\tthe\tDT\tB-NP\tO' -p216128 -aS'week\tweek\tNN\tI-NP\tO' -p216129 -aS'of\tof\tIN\tB-PP\tO' -p216130 -aS'06-20\t06-20\tCD\tB-NP\tO' -p216131 -aS'.\t.\t.\tO\tO' -p216132 -asS'He does of BuSpar , Trazodone and Haldol were continued and were adjusted by Psychiatry .' -p216133 -(lp216134 -S'He\tHe\tPRP\tB-NP\tO' -p216135 -aS'does\tdo\tVBZ\tB-VP\tO' -p216136 -aS'of\tof\tIN\tB-PP\tO' -p216137 -aS'BuSpar\tBuSpar\tNNP\tB-NP\tO' -p216138 -aS',\t,\t,\tI-NP\tO' -p216139 -aS'Trazodone\tTrazodone\tNNP\tI-NP\tO' -p216140 -aS'and\tand\tCC\tI-NP\tO' -p216141 -aS'Haldol\tHaldol\tNNP\tI-NP\tO' -p216142 -aS'were\tbe\tVBD\tB-VP\tO' -p216143 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p216144 -aS'and\tand\tCC\tO\tO' -p216145 -aS'were\tbe\tVBD\tB-VP\tO' -p216146 -aS'adjusted\tadjust\tVBN\tI-VP\tO' -p216147 -aS'by\tby\tIN\tB-PP\tO' -p216148 -aS'Psychiatry\tPsychiatry\tNN\tB-NP\tO' -p216149 -aS'.\t.\t.\tO\tO' -p216150 -asS'The left atrium is mildly dilated .' -p216151 -(lp216152 -S'The\tThe\tDT\tB-NP\tO' -p216153 -aS'left\tleft\tJJ\tI-NP\tO' -p216154 -aS'atrium\tatrium\tNN\tI-NP\tO' -p216155 -aS'is\tbe\tVBZ\tB-VP\tO' -p216156 -aS'mildly\tmildly\tRB\tI-VP\tO' -p216157 -aS'dilated\tdilate\tVBN\tI-VP\tO' -p216158 -aS'.\t.\t.\tO\tO' -p216159 -asS'His left ventricle ejection showed diffuse hypokinesis .' -p216160 -(lp216161 -S'His\tHis\tPRP$\tB-NP\tO' -p216162 -aS'left\tleft\tJJ\tI-NP\tO' -p216163 -aS'ventricle\tventricle\tNN\tI-NP\tO' -p216164 -aS'ejection\tejection\tNN\tI-NP\tO' -p216165 -aS'showed\tshow\tVBD\tB-VP\tO' -p216166 -aS'diffuse\tdiffuse\tJJ\tB-NP\tO' -p216167 -aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' -p216168 -aS'.\t.\t.\tO\tO' -p216169 -asS'On the night of admission and thereafter , she was noted to have a very stridorous sounding breathing when the patient was asleep .' -p216170 -(lp216171 -S'On\tOn\tIN\tB-PP\tO' -p216172 -aS'the\tthe\tDT\tB-NP\tO' -p216173 -aS'night\tnight\tNN\tI-NP\tO' -p216174 -aS'of\tof\tIN\tB-PP\tO' -p216175 -aS'admission\tadmission\tNN\tB-NP\tO' -p216176 -aS'and\tand\tCC\tO\tO' -p216177 -aS'thereafter\tthereafter\tRB\tB-ADVP\tO' -p216178 -aS',\t,\t,\tO\tO' -p216179 -aS'she\tshe\tPRP\tB-NP\tO' -p216180 -aS'was\tbe\tVBD\tB-VP\tO' -p216181 -aS'noted\tnote\tVBN\tI-VP\tO' -p216182 -aS'to\tto\tTO\tI-VP\tO' -p216183 -aS'have\thave\tVB\tI-VP\tO' -p216184 -aS'a\ta\tDT\tB-NP\tO' -p216185 -aS'very\tvery\tRB\tI-NP\tO' -p216186 -aS'stridorous\tstridorous\tJJ\tI-NP\tO' -p216187 -aS'sounding\tsound\tVBG\tI-NP\tO' -p216188 -aS'breathing\tbreathing\tNN\tI-NP\tO' -p216189 -aS'when\twhen\tWRB\tB-ADVP\tO' -p216190 -aS'the\tthe\tDT\tB-NP\tO' -p216191 -aS'patient\tpatient\tNN\tI-NP\tO' -p216192 -aS'was\tbe\tVBD\tB-VP\tO' -p216193 -aS'asleep\tasleep\tRB\tB-ADVP\tO' -p216194 -aS'.\t.\t.\tO\tO' -p216195 -asS'Disp :* 100 Tablet (s)* Refills :* 2 *' -p216196 -(lp216197 -S'Disp\tDisp\tNN\tB-NP\tO' -p216198 -aS':*\t:*\tSYM\tI-NP\tO' -p216199 -aS'100\t100\tCD\tI-NP\tO' -p216200 -aS'Tablet\tTablet\tNN\tI-NP\tO' -p216201 -aS'(s)*\t(s)*\tSYM\tI-NP\tO' -p216202 -aS'Refills\tRefill\tNNPS\tI-NP\tO' -p216203 -aS':*\t:*\tSYM\tB-NP\tO' -p216204 -aS'2\t2\tCD\tB-NP\tO' -p216205 -aS'*\t*\tSYM\tB-NP\tO' -p216206 -asS'given a low-residual diet .' -p216207 -(lp216208 -S'given\tgive\tVBN\tB-PP\tO' -p216209 -aS'a\ta\tDT\tB-NP\tO' -p216210 -aS'low-residual\tlow-residual\tJJ\tI-NP\tO' -p216211 -aS'diet\tdiet\tNN\tI-NP\tO' -p216212 -aS'.\t.\t.\tO\tO' -p216213 -asS'That has been stable .' -p216214 -(lp216215 -S'That\tThat\tDT\tB-NP\tO' -p216216 -aS'has\thave\tVBZ\tB-VP\tO' -p216217 -aS'been\tbe\tVBN\tI-VP\tO' -p216218 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p216219 -aS'.\t.\t.\tO\tO' -p216220 -asS'Carotids 2+ bilaterally without bruits .' -p216221 -(lp216222 -S'Carotids\tCarotid\tNNS\tB-NP\tO' -p216223 -aS'2+\t2+\tJJ\tB-ADJP\tO' -p216224 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p216225 -aS'without\twithout\tIN\tB-PP\tO' -p216226 -aS'bruits\tbruit\tNNS\tB-NP\tO' -p216227 -aS'.\t.\t.\tO\tO' -p216228 -asS'She has been taking Zantac , and the pH of her NG tube residuals have been in the 5 to 8 range .' -p216229 -(lp216230 -S'She\tShe\tPRP\tB-NP\tO' -p216231 -aS'has\thave\tVBZ\tB-VP\tO' -p216232 -aS'been\tbe\tVBN\tI-VP\tO' -p216233 -aS'taking\ttake\tVBG\tI-VP\tO' -p216234 -aS'Zantac\tZantac\tNN\tB-NP\tO' -p216235 -aS',\t,\t,\tO\tO' -p216236 -aS'and\tand\tCC\tO\tO' -p216237 -aS'the\tthe\tDT\tB-NP\tO' -p216238 -aS'pH\tpH\tNN\tI-NP\tO' -p216239 -aS'of\tof\tIN\tB-PP\tO' -p216240 -aS'her\ther\tPRP$\tB-NP\tO' -p216241 -aS'NG\tNG\tNN\tI-NP\tO' -p216242 -aS'tube\ttube\tNN\tI-NP\tO' -p216243 -aS'residuals\tresidual\tNNS\tI-NP\tO' -p216244 -aS'have\thave\tVBP\tB-VP\tO' -p216245 -aS'been\tbe\tVBN\tI-VP\tO' -p216246 -aS'in\tin\tIN\tB-PP\tO' -p216247 -aS'the\tthe\tDT\tB-NP\tO' -p216248 -aS'5\t5\tCD\tI-NP\tO' -p216249 -aS'to\tto\tTO\tI-NP\tO' -p216250 -aS'8\t8\tCD\tI-NP\tO' -p216251 -aS'range\trange\tNN\tI-NP\tO' -p216252 -aS'.\t.\t.\tO\tO' -p216253 -asS'Mitral valve repair .' -p216254 -(lp216255 -S'Mitral\tMitral\tJJ\tB-NP\tO' -p216256 -aS'valve\tvalve\tNN\tI-NP\tO' -p216257 -aS'repair\trepair\tNN\tI-NP\tO' -p216258 -aS'.\t.\t.\tO\tO' -p216259 -asS'He had a transthoracic echocardiogram the day after admission showing an ejection fraction of greater than 60 percent .' -p216260 -(lp216261 -S'He\tHe\tPRP\tB-NP\tO' -p216262 -aS'had\thave\tVBD\tB-VP\tO' -p216263 -aS'a\ta\tDT\tB-NP\tO' -p216264 -aS'transthoracic\ttransthoracic\tJJ\tI-NP\tO' -p216265 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p216266 -aS'the\tthe\tDT\tB-NP\tO' -p216267 -aS'day\tday\tNN\tI-NP\tO' -p216268 -aS'after\tafter\tIN\tB-PP\tO' -p216269 -aS'admission\tadmission\tNN\tB-NP\tO' -p216270 -aS'showing\tshow\tVBG\tB-VP\tO' -p216271 -aS'an\tan\tDT\tB-NP\tO' -p216272 -aS'ejection\tejection\tNN\tI-NP\tO' -p216273 -aS'fraction\tfraction\tNN\tI-NP\tO' -p216274 -aS'of\tof\tIN\tB-PP\tO' -p216275 -aS'greater\tgreat\tJJR\tB-NP\tO' -p216276 -aS'than\tthan\tIN\tI-NP\tO' -p216277 -aS'60\t60\tCD\tI-NP\tO' -p216278 -aS'percent\tpercent\tNN\tI-NP\tO' -p216279 -aS'.\t.\t.\tO\tO' -p216280 -asS'4. Nitroglycerin sublingual 0.3 mg p.r.n.' -p216281 -(lp216282 -S'4.\t4.\tLS\tB-NP\tO' -p216283 -aS'Nitroglycerin\tNitroglycerin\tNN\tI-NP\tO' -p216284 -aS'sublingual\tsublingual\tJJ\tI-NP\tO' -p216285 -aS'0.3\t0.3\tCD\tI-NP\tO' -p216286 -aS'mg\tmg\tNN\tI-NP\tO' -p216287 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p216288 -asS'She was kept in the hospital for an additional 24 hours for further evaluation .' -p216289 -(lp216290 -S'She\tShe\tPRP\tB-NP\tO' -p216291 -aS'was\tbe\tVBD\tB-VP\tO' -p216292 -aS'kept\tkeep\tVBN\tI-VP\tO' -p216293 -aS'in\tin\tIN\tB-PP\tO' -p216294 -aS'the\tthe\tDT\tB-NP\tO' -p216295 -aS'hospital\thospital\tNN\tI-NP\tO' -p216296 -aS'for\tfor\tIN\tB-PP\tO' -p216297 -aS'an\tan\tDT\tB-NP\tO' -p216298 -aS'additional\tadditional\tJJ\tI-NP\tO' -p216299 -aS'24\t24\tCD\tI-NP\tO' -p216300 -aS'hours\thour\tNNS\tI-NP\tO' -p216301 -aS'for\tfor\tIN\tB-PP\tO' -p216302 -aS'further\tfurther\tJJ\tB-NP\tO' -p216303 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p216304 -aS'.\t.\t.\tO\tO' -p216305 -asS'Stella , Kendra B .' -p216306 -(lp216307 -S'Stella\tStella\tNNP\tB-NP\tO' -p216308 -aS',\t,\t,\tO\tO' -p216309 -aS'Kendra\tKendra\tNNP\tB-NP\tO' -p216310 -aS'B\tB\tNNP\tI-NP\tO' -p216311 -aS'.\t.\t.\tO\tO' -p216312 -asS'Anticoagulation was not recommended .' -p216313 -(lp216314 -S'Anticoagulation\tAnticoagulation\tNN\tB-NP\tO' -p216315 -aS'was\tbe\tVBD\tB-VP\tO' -p216316 -aS'not\tnot\tRB\tI-VP\tO' -p216317 -aS'recommended\trecommend\tVBN\tI-VP\tO' -p216318 -aS'.\t.\t.\tO\tO' -p216319 -asS'She was started on p.o. medicines and her first Belmont-Gardner drain was pulled due to scant output .' -p216320 -(lp216321 -S'She\tShe\tPRP\tB-NP\tO' -p216322 -aS'was\tbe\tVBD\tB-VP\tO' -p216323 -aS'started\tstart\tVBN\tI-VP\tO' -p216324 -aS'on\ton\tIN\tB-PP\tO' -p216325 -aS'p.o.\tp.o.\tNN\tB-NP\tO' -p216326 -aS'medicines\tmedicine\tNNS\tI-NP\tO' -p216327 -aS'and\tand\tCC\tO\tO' -p216328 -aS'her\ther\tPRP$\tB-NP\tO' -p216329 -aS'first\tfirst\tJJ\tI-NP\tO' -p216330 -aS'Belmont-Gardner\tBelmont-Gardner\tNNP\tI-NP\tO' -p216331 -aS'drain\tdrain\tNN\tI-NP\tO' -p216332 -aS'was\tbe\tVBD\tB-VP\tO' -p216333 -aS'pulled\tpull\tVBN\tI-VP\tO' -p216334 -aS'due\tdue\tJJ\tB-ADJP\tO' -p216335 -aS'to\tto\tTO\tB-PP\tO' -p216336 -aS'scant\tscant\tJJ\tB-NP\tO' -p216337 -aS'output\toutput\tNN\tI-NP\tO' -p216338 -aS'.\t.\t.\tO\tO' -p216339 -asS'The patient subsequently did well , chest tubes were removed at the appropriate time , pacing wires removed at the appropriate time .' -p216340 -(lp216341 -S'The\tThe\tDT\tB-NP\tO' -p216342 -aS'patient\tpatient\tNN\tI-NP\tO' -p216343 -aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' -p216344 -aS'did\tdo\tVBD\tB-VP\tO' -p216345 -aS'well\twell\tRB\tB-ADVP\tO' -p216346 -aS',\t,\t,\tO\tO' -p216347 -aS'chest\tchest\tNN\tB-NP\tO' -p216348 -aS'tubes\ttube\tNNS\tI-NP\tO' -p216349 -aS'were\tbe\tVBD\tB-VP\tO' -p216350 -aS'removed\tremove\tVBN\tI-VP\tO' -p216351 -aS'at\tat\tIN\tB-PP\tO' -p216352 -aS'the\tthe\tDT\tB-NP\tO' -p216353 -aS'appropriate\tappropriate\tJJ\tI-NP\tO' -p216354 -aS'time\ttime\tNN\tI-NP\tO' -p216355 -aS',\t,\t,\tO\tO' -p216356 -aS'pacing\tpace\tVBG\tB-VP\tO' -p216357 -aS'wires\twire\tNNS\tB-NP\tO' -p216358 -aS'removed\tremove\tVBN\tB-VP\tO' -p216359 -aS'at\tat\tIN\tB-PP\tO' -p216360 -aS'the\tthe\tDT\tB-NP\tO' -p216361 -aS'appropriate\tappropriate\tJJ\tI-NP\tO' -p216362 -aS'time\ttime\tNN\tI-NP\tO' -p216363 -aS'.\t.\t.\tO\tO' -p216364 -asS'Negative for any history of sudden death or coronary artery disease .' -p216365 -(lp216366 -S'Negative\tNegative\tJJ\tB-ADJP\tO' -p216367 -aS'for\tfor\tIN\tB-PP\tO' -p216368 -aS'any\tany\tDT\tB-NP\tO' -p216369 -aS'history\thistory\tNN\tI-NP\tO' -p216370 -aS'of\tof\tIN\tB-PP\tO' -p216371 -aS'sudden\tsudden\tJJ\tB-NP\tO' -p216372 -aS'death\tdeath\tNN\tI-NP\tO' -p216373 -aS'or\tor\tCC\tO\tO' -p216374 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p216375 -aS'artery\tartery\tNN\tI-NP\tO' -p216376 -aS'disease\tdisease\tNN\tI-NP\tO' -p216377 -aS'.\t.\t.\tO\tO' -p216378 -asS'consistent with adynamic ileus .' -p216379 -(lp216380 -S'consistent\tconsistent\tJJ\tB-ADJP\tO' -p216381 -aS'with\twith\tIN\tB-PP\tO' -p216382 -aS'adynamic\tadynamic\tJJ\tB-NP\tO' -p216383 -aS'ileus\tileus\tNN\tI-NP\tO' -p216384 -aS'.\t.\t.\tO\tO' -p216385 -asS'Named 10 animals in 1 minute , no perseveration , but no further animals after 30 secs .' -p216386 -(lp216387 -S'Named\tNamed\tNNP\tB-NP\tO' -p216388 -aS'10\t10\tCD\tI-NP\tO' -p216389 -aS'animals\tanimal\tNNS\tI-NP\tO' -p216390 -aS'in\tin\tIN\tB-PP\tO' -p216391 -aS'1\t1\tCD\tB-NP\tO' -p216392 -aS'minute\tminute\tNN\tI-NP\tO' -p216393 -aS',\t,\t,\tO\tO' -p216394 -aS'no\tno\tDT\tB-NP\tO' -p216395 -aS'perseveration\tperseveration\tNN\tI-NP\tO' -p216396 -aS',\t,\t,\tO\tO' -p216397 -aS'but\tbut\tCC\tO\tO' -p216398 -aS'no\tno\tDT\tB-NP\tO' -p216399 -aS'further\tfurther\tJJ\tI-NP\tO' -p216400 -aS'animals\tanimal\tNNS\tI-NP\tO' -p216401 -aS'after\tafter\tIN\tB-PP\tO' -p216402 -aS'30\t30\tCD\tB-NP\tO' -p216403 -aS'secs\tsec\tNNS\tI-NP\tO' -p216404 -aS'.\t.\t.\tO\tO' -p216405 -asS"Subsequent prostatic biopsy revealed a Gleason 's IV , plus V tumor and the CT showed an irregular large prostate with tumor invasion into the bladder and evidence of bilateral retroperitoneal lymph node spread ." -p216406 -(lp216407 -S'Subsequent\tSubsequent\tJJ\tB-NP\tO' -p216408 -aS'prostatic\tprostatic\tJJ\tI-NP\tO' -p216409 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p216410 -aS'revealed\treveal\tVBD\tB-VP\tO' -p216411 -aS'a\ta\tDT\tB-NP\tO' -p216412 -aS'Gleason\tGleason\tNNP\tI-NP\tO' -p216413 -aS"'s\t's\tPOS\tB-NP\tO" -p216414 -aS'IV\tIV\tNN\tI-NP\tO' -p216415 -aS',\t,\t,\tO\tO' -p216416 -aS'plus\tplus\tCC\tO\tO' -p216417 -aS'V\tV\tNN\tB-NP\tO' -p216418 -aS'tumor\ttumor\tNN\tI-NP\tO' -p216419 -aS'and\tand\tCC\tO\tO' -p216420 -aS'the\tthe\tDT\tB-NP\tO' -p216421 -aS'CT\tCT\tNN\tI-NP\tO' -p216422 -aS'showed\tshow\tVBD\tB-VP\tO' -p216423 -aS'an\tan\tDT\tB-NP\tO' -p216424 -aS'irregular\tirregular\tJJ\tI-NP\tO' -p216425 -aS'large\tlarge\tJJ\tI-NP\tO' -p216426 -aS'prostate\tprostate\tNN\tI-NP\tO' -p216427 -aS'with\twith\tIN\tB-PP\tO' -p216428 -aS'tumor\ttumor\tNN\tB-NP\tO' -p216429 -aS'invasion\tinvasion\tNN\tI-NP\tO' -p216430 -aS'into\tinto\tIN\tB-PP\tO' -p216431 -aS'the\tthe\tDT\tB-NP\tO' -p216432 -aS'bladder\tbladder\tNN\tI-NP\tO' -p216433 -aS'and\tand\tCC\tI-NP\tO' -p216434 -aS'evidence\tevidence\tNN\tI-NP\tO' -p216435 -aS'of\tof\tIN\tB-PP\tO' -p216436 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p216437 -aS'retroperitoneal\tretroperitoneal\tJJ\tI-NP\tO' -p216438 -aS'lymph\tlymph\tNN\tI-NP\tO' -p216439 -aS'node\tnode\tNN\tI-NP\tO' -p216440 -aS'spread\tspread\tNN\tI-NP\tO' -p216441 -aS'.\t.\t.\tO\tO' -p216442 -asS'In addition , Mr. State has an anterior mediastinal mass 2x2x1.7 cm. by recent computerized tomography scan without surrounding or adjacent adenopathy or parenchymal lung disease apart from bronchiectasis .' -p216443 -(lp216444 -S'In\tIn\tIN\tB-PP\tO' -p216445 -aS'addition\taddition\tNN\tB-NP\tO' -p216446 -aS',\t,\t,\tO\tO' -p216447 -aS'Mr.\tMr.\tNNP\tB-NP\tO' -p216448 -aS'State\tState\tNNP\tI-NP\tO' -p216449 -aS'has\thave\tVBZ\tB-VP\tO' -p216450 -aS'an\tan\tDT\tB-NP\tO' -p216451 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p216452 -aS'mediastinal\tmediastinal\tJJ\tI-NP\tO' -p216453 -aS'mass\tmass\tNN\tI-NP\tO' -p216454 -aS'2x2x1.7\t2x2x1.7\tCD\tI-NP\tO' -p216455 -aS'cm.\tcm.\tNN\tI-NP\tO' -p216456 -aS'by\tby\tIN\tB-PP\tO' -p216457 -aS'recent\trecent\tJJ\tB-NP\tO' -p216458 -aS'computerized\tcomputerized\tJJ\tI-NP\tO' -p216459 -aS'tomography\ttomography\tNN\tI-NP\tO' -p216460 -aS'scan\tscan\tNN\tI-NP\tO' -p216461 -aS'without\twithout\tIN\tB-PP\tO' -p216462 -aS'surrounding\tsurround\tVBG\tB-VP\tO' -p216463 -aS'or\tor\tCC\tO\tO' -p216464 -aS'adjacent\tadjacent\tJJ\tB-NP\tO' -p216465 -aS'adenopathy\tadenopathy\tJJ\tI-NP\tO' -p216466 -aS'or\tor\tCC\tI-NP\tO' -p216467 -aS'parenchymal\tparenchymal\tJJ\tI-NP\tO' -p216468 -aS'lung\tlung\tNN\tI-NP\tO' -p216469 -aS'disease\tdisease\tNN\tI-NP\tO' -p216470 -aS'apart\tapart\tRB\tB-ADVP\tO' -p216471 -aS'from\tfrom\tIN\tB-PP\tO' -p216472 -aS'bronchiectasis\tbronchiectasis\tNN\tB-NP\tO' -p216473 -aS'.\t.\t.\tO\tO' -p216474 -asS'She will need pulmonary function studies as an outpatient as these were not done in the hospital .' -p216475 -(lp216476 -S'She\tShe\tPRP\tB-NP\tO' -p216477 -aS'will\twill\tMD\tB-VP\tO' -p216478 -aS'need\tneed\tVB\tI-VP\tO' -p216479 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p216480 -aS'function\tfunction\tNN\tI-NP\tO' -p216481 -aS'studies\tstudy\tNNS\tI-NP\tO' -p216482 -aS'as\tas\tIN\tB-PP\tO' -p216483 -aS'an\tan\tDT\tB-NP\tO' -p216484 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p216485 -aS'as\tas\tIN\tB-PP\tO' -p216486 -aS'these\tthese\tDT\tB-NP\tO' -p216487 -aS'were\tbe\tVBD\tB-VP\tO' -p216488 -aS'not\tnot\tRB\tI-VP\tO' -p216489 -aS'done\tdo\tVBN\tI-VP\tO' -p216490 -aS'in\tin\tIN\tB-PP\tO' -p216491 -aS'the\tthe\tDT\tB-NP\tO' -p216492 -aS'hospital\thospital\tNN\tI-NP\tO' -p216493 -aS'.\t.\t.\tO\tO' -p216494 -asS'Respiratory distress - On 10-12 , the patient was transferred to Medicine Intensive Care Unit secondary to respiratory distress .' -p216495 -(lp216496 -S'Respiratory\tRespiratory\tJJ\tB-NP\tO' -p216497 -aS'distress\tdistress\tNN\tI-NP\tO' -p216498 -aS'-\t-\tHYPH\tB-ADVP\tO' -p216499 -aS'On\tOn\tIN\tB-PP\tO' -p216500 -aS'10-12\t10-12\tCD\tB-NP\tO' -p216501 -aS',\t,\t,\tO\tO' -p216502 -aS'the\tthe\tDT\tB-NP\tO' -p216503 -aS'patient\tpatient\tNN\tI-NP\tO' -p216504 -aS'was\tbe\tVBD\tB-VP\tO' -p216505 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p216506 -aS'to\tto\tTO\tB-PP\tO' -p216507 -aS'Medicine\tMedicine\tNNP\tB-NP\tO' -p216508 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p216509 -aS'Care\tCare\tNNP\tI-NP\tO' -p216510 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p216511 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p216512 -aS'to\tto\tTO\tB-PP\tO' -p216513 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p216514 -aS'distress\tdistress\tNN\tI-NP\tO' -p216515 -aS'.\t.\t.\tO\tO' -p216516 -asS'She will obviously need to be weaned as tolerated .' -p216517 -(lp216518 -S'She\tShe\tPRP\tB-NP\tO' -p216519 -aS'will\twill\tMD\tB-VP\tO' -p216520 -aS'obviously\tobviously\tRB\tI-VP\tO' -p216521 -aS'need\tneed\tVB\tI-VP\tO' -p216522 -aS'to\tto\tTO\tI-VP\tO' -p216523 -aS'be\tbe\tVB\tI-VP\tO' -p216524 -aS'weaned\twean\tVBN\tI-VP\tO' -p216525 -aS'as\tas\tIN\tB-SBAR\tO' -p216526 -aS'tolerated\ttolerate\tVBN\tB-VP\tO' -p216527 -aS'.\t.\t.\tO\tO' -p216528 -asS'The patient was instructed to return to Fairm of Ijordcompmac Hospital if he developed any signs of wound infection such a erythema , drainage , or increasing incisional pain .' -p216529 -(lp216530 -S'The\tThe\tDT\tB-NP\tO' -p216531 -aS'patient\tpatient\tNN\tI-NP\tO' -p216532 -aS'was\tbe\tVBD\tB-VP\tO' -p216533 -aS'instructed\tinstruct\tVBN\tI-VP\tO' -p216534 -aS'to\tto\tTO\tI-VP\tO' -p216535 -aS'return\treturn\tVB\tI-VP\tO' -p216536 -aS'to\tto\tTO\tB-PP\tO' -p216537 -aS'Fairm\tFairm\tNNP\tB-NP\tO' -p216538 -aS'of\tof\tIN\tB-PP\tO' -p216539 -aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' -p216540 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p216541 -aS'if\tif\tIN\tB-SBAR\tO' -p216542 -aS'he\the\tPRP\tB-NP\tO' -p216543 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p216544 -aS'any\tany\tDT\tB-NP\tO' -p216545 -aS'signs\tsign\tNNS\tI-NP\tO' -p216546 -aS'of\tof\tIN\tB-PP\tO' -p216547 -aS'wound\twound\tNN\tB-NP\tO' -p216548 -aS'infection\tinfection\tNN\tI-NP\tO' -p216549 -aS'such\tsuch\tPDT\tB-NP\tO' -p216550 -aS'a\ta\tDT\tI-NP\tO' -p216551 -aS'erythema\terythema\tNN\tI-NP\tO' -p216552 -aS',\t,\t,\tO\tO' -p216553 -aS'drainage\tdrainage\tNN\tB-NP\tO' -p216554 -aS',\t,\t,\tO\tO' -p216555 -aS'or\tor\tCC\tO\tO' -p216556 -aS'increasing\tincrease\tVBG\tB-VP\tO' -p216557 -aS'incisional\tincisional\tJJ\tB-NP\tO' -p216558 -aS'pain\tpain\tNN\tI-NP\tO' -p216559 -aS'.\t.\t.\tO\tO' -p216560 -asS'When laying flat , her sats decreased to 50% on 30% FIO2 , PEEP of 10 , and pressure support of 5 .' -p216561 -(lp216562 -S'When\tWhen\tWRB\tB-ADVP\tO' -p216563 -aS'laying\tlay\tVBG\tB-VP\tO' -p216564 -aS'flat\tflat\tJJ\tB-ADJP\tO' -p216565 -aS',\t,\t,\tO\tO' -p216566 -aS'her\ther\tPRP$\tB-NP\tO' -p216567 -aS'sats\tsat\tNNS\tI-NP\tO' -p216568 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p216569 -aS'to\tto\tTO\tB-PP\tO' -p216570 -aS'50%\t50%\tCD\tB-NP\tO' -p216571 -aS'on\ton\tIN\tB-PP\tO' -p216572 -aS'30%\t30%\tCD\tB-NP\tO' -p216573 -aS'FIO2\tFIO2\tNN\tI-NP\tO' -p216574 -aS',\t,\t,\tO\tO' -p216575 -aS'PEEP\tPEEP\tNN\tB-NP\tB-protein' -p216576 -aS'of\tof\tIN\tB-PP\tO' -p216577 -aS'10\t10\tCD\tB-NP\tO' -p216578 -aS',\t,\t,\tO\tO' -p216579 -aS'and\tand\tCC\tO\tO' -p216580 -aS'pressure\tpressure\tNN\tB-NP\tO' -p216581 -aS'support\tsupport\tNN\tI-NP\tO' -p216582 -aS'of\tof\tIN\tB-PP\tO' -p216583 -aS'5\t5\tCD\tB-NP\tO' -p216584 -aS'.\t.\t.\tO\tO' -p216585 -asS'Extremities revealed 1+ bipedal edema on admission .' -p216586 -(lp216587 -S'Extremities\tExtremity\tNNS\tB-NP\tO' -p216588 -aS'revealed\treveal\tVBD\tB-VP\tO' -p216589 -aS'1+\t1+\tJJ\tB-NP\tO' -p216590 -aS'bipedal\tbipedal\tJJ\tI-NP\tO' -p216591 -aS'edema\tedema\tNN\tI-NP\tO' -p216592 -aS'on\ton\tIN\tB-PP\tO' -p216593 -aS'admission\tadmission\tNN\tB-NP\tO' -p216594 -aS'.\t.\t.\tO\tO' -p216595 -asS'His urine and serum tox screens were notable only for benzos , otherwise negative .' -p216596 -(lp216597 -S'His\tHis\tPRP$\tB-NP\tO' -p216598 -aS'urine\turine\tNN\tI-NP\tO' -p216599 -aS'and\tand\tCC\tI-NP\tO' -p216600 -aS'serum\tserum\tNN\tI-NP\tO' -p216601 -aS'tox\ttox\tNN\tI-NP\tO' -p216602 -aS'screens\tscreen\tNNS\tI-NP\tO' -p216603 -aS'were\tbe\tVBD\tB-VP\tO' -p216604 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p216605 -aS'only\tonly\tRB\tB-ADVP\tO' -p216606 -aS'for\tfor\tIN\tB-PP\tO' -p216607 -aS'benzos\tbenzo\tNNS\tB-NP\tO' -p216608 -aS',\t,\t,\tO\tO' -p216609 -aS'otherwise\totherwise\tRB\tB-ADJP\tO' -p216610 -aS'negative\tnegative\tJJ\tI-ADJP\tO' -p216611 -aS'.\t.\t.\tO\tO' -p216612 -asS'After initial trauma assessment and initiation of resuscitation , a CT scan was performed .' -p216613 -(lp216614 -S'After\tAfter\tIN\tB-PP\tO' -p216615 -aS'initial\tinitial\tJJ\tB-NP\tO' -p216616 -aS'trauma\ttrauma\tNN\tI-NP\tO' -p216617 -aS'assessment\tassessment\tNN\tI-NP\tO' -p216618 -aS'and\tand\tCC\tI-NP\tO' -p216619 -aS'initiation\tinitiation\tNN\tI-NP\tO' -p216620 -aS'of\tof\tIN\tB-PP\tO' -p216621 -aS'resuscitation\tresuscitation\tNN\tB-NP\tO' -p216622 -aS',\t,\t,\tO\tO' -p216623 -aS'a\ta\tDT\tB-NP\tO' -p216624 -aS'CT\tCT\tNN\tI-NP\tO' -p216625 -aS'scan\tscan\tNN\tI-NP\tO' -p216626 -aS'was\tbe\tVBD\tB-VP\tO' -p216627 -aS'performed\tperform\tVBN\tI-VP\tO' -p216628 -aS'.\t.\t.\tO\tO' -p216629 -asS'Troponins rose at admission , however CK and MB trending Mcewen wat time of admission to medical service .' -p216630 -(lp216631 -S'Troponins\tTroponin\tNNS\tB-NP\tO' -p216632 -aS'rose\trise\tVBD\tB-VP\tO' -p216633 -aS'at\tat\tIN\tB-PP\tO' -p216634 -aS'admission\tadmission\tNN\tB-NP\tO' -p216635 -aS',\t,\t,\tO\tO' -p216636 -aS'however\thowever\tRB\tB-NP\tO' -p216637 -aS'CK\tCK\tNN\tI-NP\tO' -p216638 -aS'and\tand\tCC\tI-NP\tO' -p216639 -aS'MB\tMB\tNN\tI-NP\tB-protein' -p216640 -aS'trending\ttrend\tVBG\tB-VP\tO' -p216641 -aS'Mcewen\tMcewen\tNNP\tB-NP\tO' -p216642 -aS'wat\twat\tNN\tI-NP\tO' -p216643 -aS'time\ttime\tNN\tI-NP\tO' -p216644 -aS'of\tof\tIN\tB-PP\tO' -p216645 -aS'admission\tadmission\tNN\tB-NP\tO' -p216646 -aS'to\tto\tTO\tB-PP\tO' -p216647 -aS'medical\tmedical\tJJ\tB-NP\tO' -p216648 -aS'service\tservice\tNN\tI-NP\tO' -p216649 -aS'.\t.\t.\tO\tO' -p216650 -asS'64-year-old G5P5 postmenopausal for 10 years with a history of two months of progressive abdominal distention , crampy abdominal pain , urinary frequency and diarrhea .' -p216651 -(lp216652 -S'64-year-old\t64-year-old\tJJ\tB-NP\tO' -p216653 -aS'G5P5\tG5P5\tNN\tI-NP\tO' -p216654 -aS'postmenopausal\tpostmenopausal\tJJ\tB-ADJP\tO' -p216655 -aS'for\tfor\tIN\tB-PP\tO' -p216656 -aS'10\t10\tCD\tB-NP\tO' -p216657 -aS'years\tyear\tNNS\tI-NP\tO' -p216658 -aS'with\twith\tIN\tB-PP\tO' -p216659 -aS'a\ta\tDT\tB-NP\tO' -p216660 -aS'history\thistory\tNN\tI-NP\tO' -p216661 -aS'of\tof\tIN\tB-PP\tO' -p216662 -aS'two\ttwo\tCD\tB-NP\tO' -p216663 -aS'months\tmonth\tNNS\tI-NP\tO' -p216664 -aS'of\tof\tIN\tB-PP\tO' -p216665 -aS'progressive\tprogressive\tJJ\tB-NP\tO' -p216666 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p216667 -aS'distention\tdistention\tNN\tI-NP\tO' -p216668 -aS',\t,\t,\tO\tO' -p216669 -aS'crampy\tcrampy\tJJ\tB-NP\tB-protein' -p216670 -aS'abdominal\tabdominal\tJJ\tI-NP\tI-protein' -p216671 -aS'pain\tpain\tNN\tI-NP\tI-protein' -p216672 -aS',\t,\t,\tO\tO' -p216673 -aS'urinary\turinary\tJJ\tB-NP\tO' -p216674 -aS'frequency\tfrequency\tNN\tI-NP\tO' -p216675 -aS'and\tand\tCC\tI-NP\tO' -p216676 -aS'diarrhea\tdiarrhea\tNN\tI-NP\tO' -p216677 -aS'.\t.\t.\tO\tO' -p216678 -asS'You can call 576-598-7570 if you need to reschedule .' -p216679 -(lp216680 -S'You\tYou\tPRP\tB-NP\tB-protein' -p216681 -aS'can\tcan\tMD\tB-VP\tO' -p216682 -aS'call\tcall\tVB\tI-VP\tO' -p216683 -aS'576-598-7570\t576-598-7570\tCD\tB-NP\tO' -p216684 -aS'if\tif\tIN\tB-SBAR\tO' -p216685 -aS'you\tyou\tPRP\tB-NP\tO' -p216686 -aS'need\tneed\tVBP\tB-VP\tO' -p216687 -aS'to\tto\tTO\tI-VP\tO' -p216688 -aS'reschedule\treschedule\tVB\tI-VP\tO' -p216689 -aS'.\t.\t.\tO\tO' -p216690 -asS'She was discharged on the following medications .' -p216691 -(lp216692 -S'She\tShe\tPRP\tB-NP\tO' -p216693 -aS'was\tbe\tVBD\tB-VP\tO' -p216694 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p216695 -aS'on\ton\tIN\tB-PP\tO' -p216696 -aS'the\tthe\tDT\tB-NP\tO' -p216697 -aS'following\tfollow\tVBG\tI-NP\tO' -p216698 -aS'medications\tmedication\tNNS\tI-NP\tO' -p216699 -aS'.\t.\t.\tO\tO' -p216700 -asS'He is also on a Fentanyl patch , 100 mcg q 72 hours .' -p216701 -(lp216702 -S'He\tHe\tPRP\tB-NP\tO' -p216703 -aS'is\tbe\tVBZ\tB-VP\tO' -p216704 -aS'also\talso\tRB\tB-ADVP\tO' -p216705 -aS'on\ton\tIN\tB-PP\tO' -p216706 -aS'a\ta\tDT\tB-NP\tO' -p216707 -aS'Fentanyl\tFentanyl\tNN\tI-NP\tO' -p216708 -aS'patch\tpatch\tNN\tI-NP\tO' -p216709 -aS',\t,\t,\tO\tO' -p216710 -aS'100\t100\tCD\tB-NP\tO' -p216711 -aS'mcg\tmcg\tNN\tI-NP\tO' -p216712 -aS'q\tq\tNN\tI-NP\tO' -p216713 -aS'72\t72\tCD\tB-NP\tO' -p216714 -aS'hours\thour\tNNS\tI-NP\tO' -p216715 -aS'.\t.\t.\tO\tO' -p216716 -asS'The past medical history was significant for left shoulder surgery in 2014-03-06 for repair of a " minor rotator cuff tear " and removal of osteophytes .' -p216717 -(lp216718 -S'The\tThe\tDT\tB-NP\tO' -p216719 -aS'past\tpast\tJJ\tI-NP\tO' -p216720 -aS'medical\tmedical\tJJ\tI-NP\tO' -p216721 -aS'history\thistory\tNN\tI-NP\tO' -p216722 -aS'was\tbe\tVBD\tB-VP\tO' -p216723 -aS'significant\tsignificant\tJJ\tB-ADJP\tO' -p216724 -aS'for\tfor\tIN\tB-PP\tO' -p216725 -aS'left\tleft\tJJ\tB-NP\tO' -p216726 -aS'shoulder\tshoulder\tNN\tI-NP\tO' -p216727 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p216728 -aS'in\tin\tIN\tB-PP\tO' -p216729 -aS'2014-03-06\t2014-03-06\tCD\tB-NP\tO' -p216730 -aS'for\tfor\tIN\tB-PP\tO' -p216731 -aS'repair\trepair\tNN\tB-NP\tO' -p216732 -aS'of\tof\tIN\tB-PP\tO' -p216733 -aS'a\ta\tDT\tB-NP\tO' -p216734 -aS'"\t"\t``\tI-NP\tB-cell_type' -p216735 -aS'minor\tminor\tJJ\tI-NP\tI-cell_type' -p216736 -aS'rotator\trotator\tNN\tI-NP\tI-cell_type' -p216737 -aS'cuff\tcuff\tNN\tI-NP\tI-cell_type' -p216738 -aS'tear\ttear\tNN\tI-NP\tI-cell_type' -p216739 -aS'"\t"\t\'\'\tO\tI-cell_type' -p216740 -aS'and\tand\tCC\tO\tO' -p216741 -aS'removal\tremoval\tNN\tB-NP\tO' -p216742 -aS'of\tof\tIN\tB-PP\tO' -p216743 -aS'osteophytes\tosteophyte\tNNS\tB-NP\tB-cell_type' -p216744 -aS'.\t.\t.\tO\tO' -p216745 -asS'7. Pantoprazole 40 mg Tablet , Delayed Release ( E.C. ) Sig : One ( 1 ) Tablet , Delayed Release ( E.C. ) PO Q24H ( every 24 hours ) .' -p216746 -(lp216747 -S'7.\t7.\tCD\tB-NP\tO' -p216748 -aS'Pantoprazole\tPantoprazole\tNN\tI-NP\tO' -p216749 -aS'40\t40\tCD\tB-NP\tO' -p216750 -aS'mg\tmg\tNN\tI-NP\tO' -p216751 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p216752 -aS',\t,\t,\tO\tO' -p216753 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p216754 -aS'Release\tRelease\tNNP\tI-NP\tO' -p216755 -aS'(\t(\t(\tO\tO' -p216756 -aS'E.C.\tE.C.\tNNP\tB-NP\tO' -p216757 -aS')\t)\t)\tO\tO' -p216758 -aS'Sig\tSig\tNNP\tB-NP\tO' -p216759 -aS':\t:\t:\tO\tO' -p216760 -aS'One\tOne\tCD\tB-NP\tO' -p216761 -aS'(\t(\t(\tO\tO' -p216762 -aS'1\t1\tCD\tB-NP\tO' -p216763 -aS')\t)\t)\tO\tO' -p216764 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p216765 -aS',\t,\t,\tO\tO' -p216766 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p216767 -aS'Release\tRelease\tNNP\tI-NP\tO' -p216768 -aS'(\t(\t(\tO\tO' -p216769 -aS'E.C.\tE.C.\tNNP\tO\tO' -p216770 -aS')\t)\t)\tO\tO' -p216771 -aS'PO\tPO\tNN\tB-NP\tO' -p216772 -aS'Q24H\tQ24H\tNN\tI-NP\tO' -p216773 -aS'(\t(\t(\tO\tO' -p216774 -aS'every\tevery\tDT\tB-NP\tO' -p216775 -aS'24\t24\tCD\tI-NP\tO' -p216776 -aS'hours\thour\tNNS\tI-NP\tO' -p216777 -aS')\t)\t)\tO\tO' -p216778 -aS'.\t.\t.\tO\tO' -p216779 -asS'Left cataract .' -p216780 -(lp216781 -S'Left\tLeft\tJJ\tB-NP\tO' -p216782 -aS'cataract\tcataract\tNN\tI-NP\tO' -p216783 -aS'.\t.\t.\tO\tO' -p216784 -asS'She describes the chest tightness as substernal and epigastric .' -p216785 -(lp216786 -S'She\tShe\tPRP\tB-NP\tO' -p216787 -aS'describes\tdescribe\tVBZ\tB-VP\tO' -p216788 -aS'the\tthe\tDT\tB-NP\tO' -p216789 -aS'chest\tch\tJJS\tI-NP\tO' -p216790 -aS'tightness\ttightness\tNN\tI-NP\tO' -p216791 -aS'as\tas\tIN\tB-PP\tO' -p216792 -aS'substernal\tsubsternal\tJJ\tB-ADJP\tO' -p216793 -aS'and\tand\tCC\tI-ADJP\tO' -p216794 -aS'epigastric\tepigastric\tJJ\tI-ADJP\tO' -p216795 -aS'.\t.\t.\tO\tO' -p216796 -asS'Once the patient had remained off of inotropics for approximately 24 hours , he had been given diuretics and Ace inhibitors and remained hemodynamically stable he was transferred from the Intensive Care Unit to the Telemetry floor on postoperative day six .' -p216797 -(lp216798 -S'Once\tOnce\tRB\tO\tO' -p216799 -aS'the\tthe\tDT\tB-NP\tO' -p216800 -aS'patient\tpatient\tNN\tI-NP\tO' -p216801 -aS'had\thave\tVBD\tB-VP\tO' -p216802 -aS'remained\tremain\tVBN\tI-VP\tO' -p216803 -aS'off\toff\tRP\tB-PRT\tO' -p216804 -aS'of\tof\tIN\tB-PP\tO' -p216805 -aS'inotropics\tinotropic\tNNS\tB-NP\tO' -p216806 -aS'for\tfor\tIN\tB-PP\tO' -p216807 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p216808 -aS'24\t24\tCD\tI-NP\tO' -p216809 -aS'hours\thour\tNNS\tI-NP\tO' -p216810 -aS',\t,\t,\tO\tO' -p216811 -aS'he\the\tPRP\tB-NP\tO' -p216812 -aS'had\thave\tVBD\tB-VP\tO' -p216813 -aS'been\tbe\tVBN\tI-VP\tO' -p216814 -aS'given\tgive\tVBN\tI-VP\tO' -p216815 -aS'diuretics\tdiuretic\tNNS\tB-NP\tO' -p216816 -aS'and\tand\tCC\tO\tO' -p216817 -aS'Ace\tAce\tNNP\tB-NP\tO' -p216818 -aS'inhibitors\tinhibitor\tNNS\tI-NP\tO' -p216819 -aS'and\tand\tCC\tO\tO' -p216820 -aS'remained\tremain\tVBD\tB-VP\tO' -p216821 -aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' -p216822 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p216823 -aS'he\the\tPRP\tB-NP\tO' -p216824 -aS'was\tbe\tVBD\tB-VP\tO' -p216825 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p216826 -aS'from\tfrom\tIN\tB-PP\tO' -p216827 -aS'the\tthe\tDT\tB-NP\tO' -p216828 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p216829 -aS'Care\tCare\tNNP\tI-NP\tO' -p216830 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p216831 -aS'to\tto\tTO\tB-PP\tO' -p216832 -aS'the\tthe\tDT\tB-NP\tO' -p216833 -aS'Telemetry\tTelemetry\tNNP\tI-NP\tO' -p216834 -aS'floor\tfloor\tNN\tI-NP\tO' -p216835 -aS'on\ton\tIN\tB-PP\tO' -p216836 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p216837 -aS'day\tday\tNN\tI-NP\tO' -p216838 -aS'six\tsix\tCD\tI-NP\tO' -p216839 -aS'.\t.\t.\tO\tO' -p216840 -asS'The patient was discharged home with Santea Gehawhi General Hospital care and instructed to follow up .' -p216841 -(lp216842 -S'The\tThe\tDT\tB-NP\tO' -p216843 -aS'patient\tpatient\tNN\tI-NP\tO' -p216844 -aS'was\tbe\tVBD\tB-VP\tO' -p216845 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p216846 -aS'home\thome\tNN\tB-ADVP\tO' -p216847 -aS'with\twith\tIN\tB-PP\tO' -p216848 -aS'Santea\tSantea\tNNP\tB-NP\tO' -p216849 -aS'Gehawhi\tGehawhi\tNNP\tI-NP\tO' -p216850 -aS'General\tGeneral\tNNP\tI-NP\tO' -p216851 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p216852 -aS'care\tcare\tNN\tI-NP\tO' -p216853 -aS'and\tand\tCC\tO\tO' -p216854 -aS'instructed\tinstruct\tVBN\tB-VP\tO' -p216855 -aS'to\tto\tTO\tB-VP\tO' -p216856 -aS'follow\tfollow\tVB\tI-VP\tO' -p216857 -aS'up\tup\tRP\tB-PRT\tO' -p216858 -aS'.\t.\t.\tO\tO' -p216859 -asS'The patient was also given supplemental tube feedings to supplement her calories and caloric intake .' -p216860 -(lp216861 -S'The\tThe\tDT\tB-NP\tO' -p216862 -aS'patient\tpatient\tNN\tI-NP\tO' -p216863 -aS'was\tbe\tVBD\tB-VP\tO' -p216864 -aS'also\talso\tRB\tI-VP\tO' -p216865 -aS'given\tgive\tVBN\tI-VP\tO' -p216866 -aS'supplemental\tsupplemental\tJJ\tB-NP\tO' -p216867 -aS'tube\ttube\tNN\tI-NP\tO' -p216868 -aS'feedings\tfeeding\tNNS\tI-NP\tO' -p216869 -aS'to\tto\tTO\tB-VP\tO' -p216870 -aS'supplement\tsupplement\tVB\tI-VP\tO' -p216871 -aS'her\ther\tPRP$\tB-NP\tO' -p216872 -aS'calories\tcalorie\tNNS\tI-NP\tO' -p216873 -aS'and\tand\tCC\tO\tO' -p216874 -aS'caloric\tcaloric\tJJ\tB-NP\tO' -p216875 -aS'intake\tintake\tNN\tI-NP\tO' -p216876 -aS'.\t.\t.\tO\tO' -p216877 -asS'The patient was also seen by Dr. Nusc from General Surgery for evaluation of micro calcifications in the right breast .' -p216878 -(lp216879 -S'The\tThe\tDT\tB-NP\tO' -p216880 -aS'patient\tpatient\tNN\tI-NP\tO' -p216881 -aS'was\tbe\tVBD\tB-VP\tO' -p216882 -aS'also\talso\tRB\tI-VP\tO' -p216883 -aS'seen\tsee\tVBN\tI-VP\tO' -p216884 -aS'by\tby\tIN\tB-PP\tO' -p216885 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p216886 -aS'Nusc\tNusc\tNNP\tI-NP\tO' -p216887 -aS'from\tfrom\tIN\tB-PP\tO' -p216888 -aS'General\tGeneral\tNNP\tB-NP\tO' -p216889 -aS'Surgery\tSurgery\tNNP\tI-NP\tO' -p216890 -aS'for\tfor\tIN\tB-PP\tO' -p216891 -aS'evaluation\tevaluation\tNN\tB-NP\tO' -p216892 -aS'of\tof\tIN\tB-PP\tO' -p216893 -aS'micro\tmicro\tNN\tB-NP\tO' -p216894 -aS'calcifications\tcalcification\tNNS\tI-NP\tO' -p216895 -aS'in\tin\tIN\tB-PP\tO' -p216896 -aS'the\tthe\tDT\tB-NP\tO' -p216897 -aS'right\tright\tJJ\tI-NP\tO' -p216898 -aS'breast\tbreast\tNN\tI-NP\tO' -p216899 -aS'.\t.\t.\tO\tO' -p216900 -asS'4. Bactrim double strength one tablet once daily .' -p216901 -(lp216902 -S'4.\t4.\tLS\tB-NP\tO' -p216903 -aS'Bactrim\tBactrim\tNNP\tI-NP\tO' -p216904 -aS'double\tdouble\tJJ\tI-NP\tO' -p216905 -aS'strength\tstrength\tNN\tI-NP\tO' -p216906 -aS'one\tone\tCD\tB-NP\tO' -p216907 -aS'tablet\ttablet\tNN\tI-NP\tO' -p216908 -aS'once\tonce\tRB\tB-ADVP\tO' -p216909 -aS'daily\tdaily\tRB\tI-ADVP\tO' -p216910 -aS'.\t.\t.\tO\tO' -p216911 -asS'Abd : mildly distended , hypoactive BS , soft , no HSM' -p216912 -(lp216913 -S'Abd\tAbd\tNN\tB-NP\tO' -p216914 -aS':\t:\t:\tO\tO' -p216915 -aS'mildly\tmildly\tRB\tB-NP\tO' -p216916 -aS'distended\tdistended\tJJ\tI-NP\tO' -p216917 -aS',\t,\t,\tI-NP\tO' -p216918 -aS'hypoactive\thypoactive\tJJ\tI-NP\tO' -p216919 -aS'BS\tBS\tNNP\tI-NP\tO' -p216920 -aS',\t,\t,\tO\tO' -p216921 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p216922 -aS',\t,\t,\tO\tO' -p216923 -aS'no\tno\tDT\tB-NP\tO' -p216924 -aS'HSM\tHSM\tNN\tI-NP\tB-protein' -p216925 -asS'On initial questioning , however , the patient denies any recent losses .' -p216926 -(lp216927 -S'On\tOn\tIN\tB-PP\tO' -p216928 -aS'initial\tinitial\tJJ\tB-NP\tO' -p216929 -aS'questioning\tquestioning\tNN\tI-NP\tO' -p216930 -aS',\t,\t,\tO\tO' -p216931 -aS'however\thowever\tRB\tB-ADVP\tO' -p216932 -aS',\t,\t,\tO\tO' -p216933 -aS'the\tthe\tDT\tB-NP\tO' -p216934 -aS'patient\tpatient\tNN\tI-NP\tO' -p216935 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p216936 -aS'any\tany\tDT\tB-NP\tO' -p216937 -aS'recent\trecent\tJJ\tI-NP\tO' -p216938 -aS'losses\tloss\tNNS\tI-NP\tO' -p216939 -aS'.\t.\t.\tO\tO' -p216940 -asS'Urine output during the prior two hours had been 50cc and 24cc .' -p216941 -(lp216942 -S'Urine\tUrine\tNN\tB-NP\tO' -p216943 -aS'output\toutput\tNN\tI-NP\tO' -p216944 -aS'during\tduring\tIN\tB-PP\tO' -p216945 -aS'the\tthe\tDT\tB-NP\tO' -p216946 -aS'prior\tprior\tJJ\tI-NP\tO' -p216947 -aS'two\ttwo\tCD\tI-NP\tO' -p216948 -aS'hours\thour\tNNS\tI-NP\tO' -p216949 -aS'had\thave\tVBD\tB-VP\tO' -p216950 -aS'been\tbe\tVBN\tI-VP\tO' -p216951 -aS'50cc\t50cc\tCD\tB-NP\tO' -p216952 -aS'and\tand\tCC\tO\tO' -p216953 -aS'24cc\t24cc\tNN\tB-NP\tO' -p216954 -aS'.\t.\t.\tO\tO' -p216955 -asS'He was given 4 amps of calcium gluconate , and started on a Calcium gtt .' -p216956 -(lp216957 -S'He\tHe\tPRP\tB-NP\tO' -p216958 -aS'was\tbe\tVBD\tB-VP\tO' -p216959 -aS'given\tgive\tVBN\tI-VP\tO' -p216960 -aS'4\t4\tCD\tB-NP\tO' -p216961 -aS'amps\tamp\tNNS\tI-NP\tO' -p216962 -aS'of\tof\tIN\tB-PP\tO' -p216963 -aS'calcium\tcalcium\tNN\tB-NP\tO' -p216964 -aS'gluconate\tgluconate\tNN\tI-NP\tO' -p216965 -aS',\t,\t,\tO\tO' -p216966 -aS'and\tand\tCC\tO\tO' -p216967 -aS'started\tstart\tVBD\tB-VP\tO' -p216968 -aS'on\ton\tIN\tB-PP\tO' -p216969 -aS'a\ta\tDT\tB-NP\tO' -p216970 -aS'Calcium\tCalcium\tNN\tI-NP\tO' -p216971 -aS'gtt\tgtt\tNN\tI-NP\tO' -p216972 -aS'.\t.\t.\tO\tO' -p216973 -asS'Blood cultures and sputum cultures were sent .' -p216974 -(lp216975 -S'Blood\tBlood\tNN\tB-NP\tO' -p216976 -aS'cultures\tculture\tNNS\tI-NP\tO' -p216977 -aS'and\tand\tCC\tO\tO' -p216978 -aS'sputum\tsputum\tNN\tB-NP\tO' -p216979 -aS'cultures\tculture\tNNS\tI-NP\tO' -p216980 -aS'were\tbe\tVBD\tB-VP\tO' -p216981 -aS'sent\tsend\tVBN\tI-VP\tO' -p216982 -aS'.\t.\t.\tO\tO' -p216983 -asS'11. status post cataract surgery ,' -p216984 -(lp216985 -S'11.\t11.\tLS\tB-NP\tO' -p216986 -aS'status\tstatus\tNN\tI-NP\tO' -p216987 -aS'post\tpost\tNN\tI-NP\tO' -p216988 -aS'cataract\tcataract\tNN\tI-NP\tO' -p216989 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p216990 -aS',\t,\t,\tO\tO' -p216991 -asS'By POD# 05-29 she was having high residuals on TF s, so TPN was reinitiated .' -p216992 -(lp216993 -S'By\tBy\tIN\tB-PP\tO' -p216994 -aS'POD#\tPOD#\tNN\tB-NP\tO' -p216995 -aS'05-29\t05-29\tCD\tI-NP\tO' -p216996 -aS'she\tshe\tPRP\tB-NP\tO' -p216997 -aS'was\tbe\tVBD\tB-VP\tO' -p216998 -aS'having\thave\tVBG\tI-VP\tO' -p216999 -aS'high\thigh\tJJ\tB-NP\tO' -p217000 -aS'residuals\tresidual\tNNS\tI-NP\tO' -p217001 -aS'on\ton\tIN\tB-PP\tO' -p217002 -aS'TF\tTF\tNN\tB-NP\tB-protein' -p217003 -aS's,\ts,\tNN\tI-NP\tI-protein' -p217004 -aS'so\tso\tIN\tB-SBAR\tO' -p217005 -aS'TPN\tTPN\tNN\tB-NP\tB-protein' -p217006 -aS'was\tbe\tVBD\tB-VP\tO' -p217007 -aS'reinitiated\treinitiate\tVBN\tI-VP\tO' -p217008 -aS'.\t.\t.\tO\tO' -p217009 -asS'He has been weaned off IV fluids and has been maintaining good blood glucose .' -p217010 -(lp217011 -S'He\tHe\tPRP\tB-NP\tO' -p217012 -aS'has\thave\tVBZ\tB-VP\tO' -p217013 -aS'been\tbe\tVBN\tI-VP\tO' -p217014 -aS'weaned\twean\tVBN\tI-VP\tO' -p217015 -aS'off\toff\tIN\tB-PP\tO' -p217016 -aS'IV\tIV\tCD\tB-NP\tO' -p217017 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p217018 -aS'and\tand\tCC\tO\tO' -p217019 -aS'has\thave\tVBZ\tB-VP\tO' -p217020 -aS'been\tbe\tVBN\tI-VP\tO' -p217021 -aS'maintaining\tmaintain\tVBG\tI-VP\tO' -p217022 -aS'good\tgood\tJJ\tB-NP\tO' -p217023 -aS'blood\tblood\tNN\tI-NP\tO' -p217024 -aS'glucose\tglucose\tNN\tI-NP\tO' -p217025 -aS'.\t.\t.\tO\tO' -p217026 -asS'If you develop recurrent chest pain , shortness of breath , or any other concerning symptoms , call your doctor or return to the hospital .' -p217027 -(lp217028 -S'If\tIf\tIN\tB-SBAR\tO' -p217029 -aS'you\tyou\tPRP\tB-NP\tO' -p217030 -aS'develop\tdevelop\tVBP\tB-VP\tO' -p217031 -aS'recurrent\trecurrent\tJJ\tB-NP\tO' -p217032 -aS'chest\tchest\tNN\tI-NP\tO' -p217033 -aS'pain\tpain\tNN\tI-NP\tO' -p217034 -aS',\t,\t,\tO\tO' -p217035 -aS'shortness\tshortness\tNN\tB-NP\tO' -p217036 -aS'of\tof\tIN\tB-PP\tO' -p217037 -aS'breath\tbreath\tNN\tB-NP\tO' -p217038 -aS',\t,\t,\tO\tO' -p217039 -aS'or\tor\tCC\tO\tO' -p217040 -aS'any\tany\tDT\tB-NP\tO' -p217041 -aS'other\tother\tJJ\tI-NP\tO' -p217042 -aS'concerning\tconcern\tVBG\tI-NP\tO' -p217043 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p217044 -aS',\t,\t,\tO\tO' -p217045 -aS'call\tcall\tVB\tB-VP\tO' -p217046 -aS'your\tyour\tPRP$\tB-NP\tO' -p217047 -aS'doctor\tdoctor\tNN\tI-NP\tO' -p217048 -aS'or\tor\tCC\tO\tO' -p217049 -aS'return\treturn\tVB\tB-VP\tO' -p217050 -aS'to\tto\tTO\tB-PP\tO' -p217051 -aS'the\tthe\tDT\tB-NP\tO' -p217052 -aS'hospital\thospital\tNN\tI-NP\tO' -p217053 -aS'.\t.\t.\tO\tO' -p217054 -asS'From a CMED CCU point of view , he gets straight cathed every other day .' -p217055 -(lp217056 -S'From\tFrom\tIN\tB-PP\tO' -p217057 -aS'a\ta\tDT\tB-NP\tO' -p217058 -aS'CMED\tCMED\tJJ\tI-NP\tO' -p217059 -aS'CCU\tCCU\tNN\tI-NP\tO' -p217060 -aS'point\tpoint\tNN\tI-NP\tO' -p217061 -aS'of\tof\tIN\tB-PP\tO' -p217062 -aS'view\tview\tNN\tB-NP\tO' -p217063 -aS',\t,\t,\tO\tO' -p217064 -aS'he\the\tPRP\tB-NP\tO' -p217065 -aS'gets\tget\tVBZ\tB-VP\tO' -p217066 -aS'straight\tstraight\tRB\tI-VP\tO' -p217067 -aS'cathed\tcathe\tVBN\tI-VP\tO' -p217068 -aS'every\tevery\tDT\tB-NP\tO' -p217069 -aS'other\tother\tJJ\tI-NP\tO' -p217070 -aS'day\tday\tNN\tI-NP\tO' -p217071 -aS'.\t.\t.\tO\tO' -p217072 -asS'8. Phenazopyridine HCl 100 mg Tablet Sig : One ( 1 ) Tablet PO TID ( 3 times a day ) for 3 days .' -p217073 -(lp217074 -S'8.\t8.\tCD\tB-NP\tO' -p217075 -aS'Phenazopyridine\tPhenazopyridine\tNN\tI-NP\tO' -p217076 -aS'HCl\tHCl\tNN\tI-NP\tO' -p217077 -aS'100\t100\tCD\tI-NP\tO' -p217078 -aS'mg\tmg\tNN\tI-NP\tO' -p217079 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p217080 -aS'Sig\tSig\tNNP\tI-NP\tO' -p217081 -aS':\t:\t:\tO\tO' -p217082 -aS'One\tOne\tCD\tB-NP\tO' -p217083 -aS'(\t(\t(\tO\tO' -p217084 -aS'1\t1\tCD\tB-NP\tO' -p217085 -aS')\t)\t)\tO\tO' -p217086 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p217087 -aS'PO\tPO\tNN\tI-NP\tO' -p217088 -aS'TID\tTID\tNN\tI-NP\tO' -p217089 -aS'(\t(\t(\tO\tO' -p217090 -aS'3\t3\tCD\tB-NP\tO' -p217091 -aS'times\ttime\tNNS\tI-NP\tO' -p217092 -aS'a\ta\tDT\tB-NP\tO' -p217093 -aS'day\tday\tNN\tI-NP\tO' -p217094 -aS')\t)\t)\tO\tO' -p217095 -aS'for\tfor\tIN\tB-PP\tO' -p217096 -aS'3\t3\tCD\tB-NP\tO' -p217097 -aS'days\tday\tNNS\tI-NP\tO' -p217098 -aS'.\t.\t.\tO\tO' -p217099 -asS'The initial EKG showed normal sinus rhythm at a rate of 71 with a normal axis and evidence of first-degree AV block with prolonged PR interval of 238 milliseconds .' -p217100 -(lp217101 -S'The\tThe\tDT\tB-NP\tO' -p217102 -aS'initial\tinitial\tJJ\tI-NP\tO' -p217103 -aS'EKG\tEKG\tNN\tI-NP\tO' -p217104 -aS'showed\tshow\tVBD\tB-VP\tO' -p217105 -aS'normal\tnormal\tJJ\tB-NP\tO' -p217106 -aS'sinus\tsinus\tNN\tI-NP\tO' -p217107 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p217108 -aS'at\tat\tIN\tB-PP\tO' -p217109 -aS'a\ta\tDT\tB-NP\tO' -p217110 -aS'rate\trate\tNN\tI-NP\tO' -p217111 -aS'of\tof\tIN\tB-PP\tO' -p217112 -aS'71\t71\tCD\tB-NP\tO' -p217113 -aS'with\twith\tIN\tB-PP\tO' -p217114 -aS'a\ta\tDT\tB-NP\tO' -p217115 -aS'normal\tnormal\tJJ\tI-NP\tO' -p217116 -aS'axis\taxis\tNN\tI-NP\tO' -p217117 -aS'and\tand\tCC\tI-NP\tO' -p217118 -aS'evidence\tevidence\tNN\tI-NP\tO' -p217119 -aS'of\tof\tIN\tB-PP\tO' -p217120 -aS'first-degree\tfirst-degree\tJJ\tB-NP\tO' -p217121 -aS'AV\tAV\tNN\tI-NP\tO' -p217122 -aS'block\tblock\tNN\tI-NP\tO' -p217123 -aS'with\twith\tIN\tB-PP\tO' -p217124 -aS'prolonged\tprolonged\tJJ\tB-NP\tO' -p217125 -aS'PR\tPR\tNN\tI-NP\tO' -p217126 -aS'interval\tinterval\tNN\tI-NP\tO' -p217127 -aS'of\tof\tIN\tB-PP\tO' -p217128 -aS'238\t238\tCD\tB-NP\tO' -p217129 -aS'milliseconds\tmillisecond\tNNS\tI-NP\tO' -p217130 -aS'.\t.\t.\tO\tO' -p217131 -asS'3. Nexium 40 mg po every day .' -p217132 -(lp217133 -S'3.\t3.\tLS\tB-NP\tO' -p217134 -aS'Nexium\tNexium\tNNP\tI-NP\tO' -p217135 -aS'40\t40\tCD\tI-NP\tO' -p217136 -aS'mg\tmg\tNN\tI-NP\tO' -p217137 -aS'po\tpo\tRB\tB-ADVP\tO' -p217138 -aS'every\tevery\tDT\tB-NP\tO' -p217139 -aS'day\tday\tNN\tI-NP\tO' -p217140 -aS'.\t.\t.\tO\tO' -p217141 -asS'Keep incision clean and dry , may shower Wed .' -p217142 -(lp217143 -S'Keep\tKeep\tNN\tB-NP\tO' -p217144 -aS'incision\tincision\tNN\tI-NP\tO' -p217145 -aS'clean\tclean\tJJ\tB-ADJP\tO' -p217146 -aS'and\tand\tCC\tI-ADJP\tO' -p217147 -aS'dry\tdry\tJJ\tI-ADJP\tO' -p217148 -aS',\t,\t,\tO\tO' -p217149 -aS'may\tmay\tMD\tB-VP\tO' -p217150 -aS'shower\tshower\tVB\tI-VP\tO' -p217151 -aS'Wed\tWed\tNNP\tB-NP\tO' -p217152 -aS'.\t.\t.\tO\tO' -p217153 -asS'The sensory examination was intact to light touch .' -p217154 -(lp217155 -S'The\tThe\tDT\tB-NP\tO' -p217156 -aS'sensory\tsensory\tJJ\tI-NP\tO' -p217157 -aS'examination\texamination\tNN\tI-NP\tO' -p217158 -aS'was\tbe\tVBD\tB-VP\tO' -p217159 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p217160 -aS'to\tto\tTO\tB-PP\tO' -p217161 -aS'light\tlight\tJJ\tB-NP\tO' -p217162 -aS'touch\ttouch\tNN\tI-NP\tO' -p217163 -aS'.\t.\t.\tO\tO' -p217164 -asS'Patient has a history for terrible vasculopathy s/p recent right BKA with dry gangrene of the distal stump .' -p217165 -(lp217166 -S'Patient\tPatient\tNN\tB-NP\tO' -p217167 -aS'has\thave\tVBZ\tB-VP\tO' -p217168 -aS'a\ta\tDT\tB-NP\tO' -p217169 -aS'history\thistory\tNN\tI-NP\tO' -p217170 -aS'for\tfor\tIN\tB-PP\tO' -p217171 -aS'terrible\tterrible\tJJ\tB-NP\tO' -p217172 -aS'vasculopathy\tvasculopathy\tNN\tI-NP\tO' -p217173 -aS's/p\ts/p\tNN\tI-NP\tO' -p217174 -aS'recent\trecent\tJJ\tI-NP\tO' -p217175 -aS'right\tright\tJJ\tI-NP\tO' -p217176 -aS'BKA\tBKA\tNN\tI-NP\tO' -p217177 -aS'with\twith\tIN\tB-PP\tO' -p217178 -aS'dry\tdry\tJJ\tB-NP\tO' -p217179 -aS'gangrene\tgangrene\tNN\tI-NP\tO' -p217180 -aS'of\tof\tIN\tB-PP\tO' -p217181 -aS'the\tthe\tDT\tB-NP\tO' -p217182 -aS'distal\tdistal\tJJ\tI-NP\tO' -p217183 -aS'stump\tstump\tNN\tI-NP\tO' -p217184 -aS'.\t.\t.\tO\tO' -p217185 -asS'69% polys , 60% lymphs , 10% monos , 5% eos .' -p217186 -(lp217187 -S'69%\t69%\tCD\tB-NP\tO' -p217188 -aS'polys\tpoly\tNNS\tI-NP\tO' -p217189 -aS',\t,\t,\tO\tO' -p217190 -aS'60%\t60%\tNN\tB-NP\tO' -p217191 -aS'lymphs\tlymph\tNNS\tI-NP\tO' -p217192 -aS',\t,\t,\tO\tO' -p217193 -aS'10%\t10%\tCD\tB-NP\tO' -p217194 -aS'monos\tmono\tNNS\tI-NP\tO' -p217195 -aS',\t,\t,\tO\tO' -p217196 -aS'5%\t5%\tCD\tB-NP\tO' -p217197 -aS'eos\teo\tNNS\tI-NP\tO' -p217198 -aS'.\t.\t.\tO\tO' -p217199 -asS'Angio site was clean , dry , and intact without bleeding or drainage .' -p217200 -(lp217201 -S'Angio\tAngio\tNN\tB-NP\tO' -p217202 -aS'site\tsite\tNN\tI-NP\tO' -p217203 -aS'was\tbe\tVBD\tB-VP\tO' -p217204 -aS'clean\tclean\tJJ\tB-ADJP\tO' -p217205 -aS',\t,\t,\tO\tO' -p217206 -aS'dry\tdry\tJJ\tB-ADJP\tO' -p217207 -aS',\t,\t,\tO\tO' -p217208 -aS'and\tand\tCC\tO\tO' -p217209 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p217210 -aS'without\twithout\tIN\tB-PP\tO' -p217211 -aS'bleeding\tbleed\tVBG\tB-VP\tO' -p217212 -aS'or\tor\tCC\tB-NP\tO' -p217213 -aS'drainage\tdrainage\tNN\tI-NP\tO' -p217214 -aS'.\t.\t.\tO\tO' -p217215 -asS'Cardiology Report ECHO Study Date of 2014-05-11' -p217216 -(lp217217 -S'Cardiology\tCardiology\tNNP\tB-NP\tO' -p217218 -aS'Report\tReport\tNNP\tI-NP\tO' -p217219 -aS'ECHO\tECHO\tNNP\tI-NP\tO' -p217220 -aS'Study\tStudy\tNNP\tI-NP\tO' -p217221 -aS'Date\tDate\tNNP\tI-NP\tO' -p217222 -aS'of\tof\tIN\tB-PP\tO' -p217223 -aS'2014-05-11\t2014-05-11\tCD\tB-NP\tO' -p217224 -asS'The patient was transferred to the regular floor .' -p217225 -(lp217226 -S'The\tThe\tDT\tB-NP\tO' -p217227 -aS'patient\tpatient\tNN\tI-NP\tO' -p217228 -aS'was\tbe\tVBD\tB-VP\tO' -p217229 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p217230 -aS'to\tto\tTO\tB-PP\tO' -p217231 -aS'the\tthe\tDT\tB-NP\tO' -p217232 -aS'regular\tregular\tJJ\tI-NP\tO' -p217233 -aS'floor\tfloor\tNN\tI-NP\tO' -p217234 -aS'.\t.\t.\tO\tO' -p217235 -asS'He underwent a joint procedure by Otolaryngology and Plastic Surgery .' -p217236 -(lp217237 -S'He\tHe\tPRP\tB-NP\tO' -p217238 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p217239 -aS'a\ta\tDT\tB-NP\tO' -p217240 -aS'joint\tjoint\tJJ\tI-NP\tO' -p217241 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p217242 -aS'by\tby\tIN\tB-PP\tO' -p217243 -aS'Otolaryngology\tOtolaryngology\tNNP\tB-NP\tO' -p217244 -aS'and\tand\tCC\tI-NP\tO' -p217245 -aS'Plastic\tPlastic\tNNP\tI-NP\tO' -p217246 -aS'Surgery\tSurgery\tNNP\tI-NP\tO' -p217247 -aS'.\t.\t.\tO\tO' -p217248 -asS'The chest pain persisted afterwards and a relook catheterization was performed that revealed no occlusions .' -p217249 -(lp217250 -S'The\tThe\tDT\tB-NP\tO' -p217251 -aS'chest\tchest\tNN\tI-NP\tO' -p217252 -aS'pain\tpain\tNN\tI-NP\tO' -p217253 -aS'persisted\tpersist\tVBD\tB-VP\tO' -p217254 -aS'afterwards\tafterwards\tRB\tB-ADVP\tO' -p217255 -aS'and\tand\tCC\tO\tO' -p217256 -aS'a\ta\tDT\tB-NP\tO' -p217257 -aS'relook\trelook\tNN\tI-NP\tO' -p217258 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p217259 -aS'was\tbe\tVBD\tB-VP\tO' -p217260 -aS'performed\tperform\tVBN\tI-VP\tO' -p217261 -aS'that\tthat\tWDT\tB-NP\tO' -p217262 -aS'revealed\treveal\tVBD\tB-VP\tO' -p217263 -aS'no\tno\tDT\tB-NP\tO' -p217264 -aS'occlusions\tocclusion\tNNS\tI-NP\tO' -p217265 -aS'.\t.\t.\tO\tO' -p217266 -asS'Nexium , 20 mg PO daily .' -p217267 -(lp217268 -S'Nexium\tNexium\tNN\tB-NP\tO' -p217269 -aS',\t,\t,\tO\tO' -p217270 -aS'20\t20\tCD\tB-NP\tO' -p217271 -aS'mg\tmg\tNN\tI-NP\tO' -p217272 -aS'PO\tPO\tNN\tI-NP\tO' -p217273 -aS'daily\tdaily\tRB\tB-ADVP\tO' -p217274 -aS'.\t.\t.\tO\tO' -p217275 -asS'The patient was switched to ampicillin , gentamicin , and clindamycin , according to the culture , Enterococci and Staphylococcus in the wound .' -p217276 -(lp217277 -S'The\tThe\tDT\tB-NP\tO' -p217278 -aS'patient\tpatient\tNN\tI-NP\tO' -p217279 -aS'was\tbe\tVBD\tB-VP\tO' -p217280 -aS'switched\tswitch\tVBN\tI-VP\tO' -p217281 -aS'to\tto\tTO\tB-PP\tO' -p217282 -aS'ampicillin\tampicillin\tNN\tB-NP\tO' -p217283 -aS',\t,\t,\tO\tO' -p217284 -aS'gentamicin\tgentamicin\tNN\tB-NP\tO' -p217285 -aS',\t,\t,\tO\tO' -p217286 -aS'and\tand\tCC\tO\tO' -p217287 -aS'clindamycin\tclindamycin\tNN\tB-NP\tO' -p217288 -aS',\t,\t,\tO\tO' -p217289 -aS'according\taccord\tVBG\tB-PP\tO' -p217290 -aS'to\tto\tTO\tB-PP\tO' -p217291 -aS'the\tthe\tDT\tB-NP\tO' -p217292 -aS'culture\tculture\tNN\tI-NP\tO' -p217293 -aS',\t,\t,\tO\tO' -p217294 -aS'Enterococci\tEnterococci\tNNP\tB-NP\tO' -p217295 -aS'and\tand\tCC\tI-NP\tO' -p217296 -aS'Staphylococcus\tStaphylococcus\tNNP\tI-NP\tO' -p217297 -aS'in\tin\tIN\tB-PP\tO' -p217298 -aS'the\tthe\tDT\tB-NP\tO' -p217299 -aS'wound\twound\tNN\tI-NP\tO' -p217300 -aS'.\t.\t.\tO\tO' -p217301 -asS'He was noted to have an episode of desaturation into the 80% range while sleeping .' -p217302 -(lp217303 -S'He\tHe\tPRP\tB-NP\tO' -p217304 -aS'was\tbe\tVBD\tB-VP\tO' -p217305 -aS'noted\tnote\tVBN\tI-VP\tO' -p217306 -aS'to\tto\tTO\tI-VP\tO' -p217307 -aS'have\thave\tVB\tI-VP\tO' -p217308 -aS'an\tan\tDT\tB-NP\tO' -p217309 -aS'episode\tepisode\tNN\tI-NP\tO' -p217310 -aS'of\tof\tIN\tB-PP\tO' -p217311 -aS'desaturation\tdesaturation\tNN\tB-NP\tO' -p217312 -aS'into\tinto\tIN\tB-PP\tO' -p217313 -aS'the\tthe\tDT\tB-NP\tO' -p217314 -aS'80%\t80%\tCD\tI-NP\tO' -p217315 -aS'range\trange\tNN\tI-NP\tO' -p217316 -aS'while\twhile\tIN\tB-SBAR\tO' -p217317 -aS'sleeping\tsleep\tVBG\tB-VP\tO' -p217318 -aS'.\t.\t.\tO\tO' -p217319 -asS'Chest xray was consistent with pleurodesis .' -p217320 -(lp217321 -S'Chest\tCh\tJJS\tB-NP\tO' -p217322 -aS'xray\txray\tNN\tI-NP\tO' -p217323 -aS'was\tbe\tVBD\tB-VP\tO' -p217324 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p217325 -aS'with\twith\tIN\tB-PP\tO' -p217326 -aS'pleurodesis\tpleurodesis\tNN\tB-NP\tO' -p217327 -aS'.\t.\t.\tO\tO' -p217328 -asS'On 2011-10-24 postoperative day six consultation heart failure cardiology service was obtained .' -p217329 -(lp217330 -S'On\tOn\tIN\tB-PP\tO' -p217331 -aS'2011-10-24\t2011-10-24\tCD\tB-NP\tO' -p217332 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p217333 -aS'day\tday\tNN\tI-NP\tO' -p217334 -aS'six\tsix\tCD\tI-NP\tO' -p217335 -aS'consultation\tconsultation\tNN\tI-NP\tO' -p217336 -aS'heart\theart\tNN\tI-NP\tO' -p217337 -aS'failure\tfailure\tNN\tI-NP\tO' -p217338 -aS'cardiology\tcardiology\tNN\tI-NP\tO' -p217339 -aS'service\tservice\tNN\tI-NP\tO' -p217340 -aS'was\tbe\tVBD\tB-VP\tO' -p217341 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p217342 -aS'.\t.\t.\tO\tO' -p217343 -asS'2. Left rib 8 through 12 fractures .' -p217344 -(lp217345 -S'2.\t2.\tLS\tB-NP\tO' -p217346 -aS'Left\tLeft\tNN\tI-NP\tB-protein' -p217347 -aS'rib\trib\tNN\tI-NP\tI-protein' -p217348 -aS'8\t8\tCD\tI-NP\tI-protein' -p217349 -aS'through\tthrough\tIN\tI-NP\tO' -p217350 -aS'12\t12\tCD\tI-NP\tO' -p217351 -aS'fractures\tfracture\tNNS\tI-NP\tO' -p217352 -aS'.\t.\t.\tO\tO' -p217353 -asS'No history of cancer .' -p217354 -(lp217355 -S'No\tNo\tDT\tB-NP\tO' -p217356 -aS'history\thistory\tNN\tI-NP\tO' -p217357 -aS'of\tof\tIN\tB-PP\tO' -p217358 -aS'cancer\tcancer\tNN\tB-NP\tO' -p217359 -aS'.\t.\t.\tO\tO' -p217360 -asS'Mr. Freeman maintained stable hemodynamics with a normal sinus rhythm throughout his postoperative course .' -p217361 -(lp217362 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p217363 -aS'Freeman\tFreeman\tNNP\tI-NP\tO' -p217364 -aS'maintained\tmaintain\tVBD\tB-VP\tO' -p217365 -aS'stable\tstable\tJJ\tB-NP\tO' -p217366 -aS'hemodynamics\themodynamic\tNNS\tI-NP\tO' -p217367 -aS'with\twith\tIN\tB-PP\tO' -p217368 -aS'a\ta\tDT\tB-NP\tO' -p217369 -aS'normal\tnormal\tJJ\tI-NP\tO' -p217370 -aS'sinus\tsinus\tNN\tI-NP\tO' -p217371 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p217372 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p217373 -aS'his\this\tPRP$\tB-NP\tO' -p217374 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p217375 -aS'course\tcourse\tNN\tI-NP\tO' -p217376 -aS'.\t.\t.\tO\tO' -p217377 -asS'Cultures from urine drawn from the nephrostomy tube are currently growing > 100K GNR , possibly of two colony morphologies , speciation and sensitivity pending .' -p217378 -(lp217379 -S'Cultures\tCulture\tNNS\tB-NP\tO' -p217380 -aS'from\tfrom\tIN\tB-PP\tO' -p217381 -aS'urine\turine\tNN\tB-NP\tO' -p217382 -aS'drawn\tdraw\tVBN\tB-VP\tO' -p217383 -aS'from\tfrom\tIN\tB-PP\tO' -p217384 -aS'the\tthe\tDT\tB-NP\tO' -p217385 -aS'nephrostomy\tnephrostomy\tNN\tI-NP\tO' -p217386 -aS'tube\ttube\tNN\tI-NP\tO' -p217387 -aS'are\tbe\tVBP\tB-VP\tO' -p217388 -aS'currently\tcurrently\tRB\tI-VP\tO' -p217389 -aS'growing\tgrow\tVBG\tI-VP\tO' -p217390 -aS'>\t>\tJJR\tB-NP\tO' -p217391 -aS'100K\t100K\tNNP\tI-NP\tO' -p217392 -aS'GNR\tGNR\tNNP\tI-NP\tO' -p217393 -aS',\t,\t,\tO\tO' -p217394 -aS'possibly\tpossibly\tRB\tB-ADVP\tO' -p217395 -aS'of\tof\tIN\tB-PP\tO' -p217396 -aS'two\ttwo\tCD\tB-NP\tO' -p217397 -aS'colony\tcolony\tNN\tI-NP\tO' -p217398 -aS'morphologies\tmorphology\tNNS\tI-NP\tO' -p217399 -aS',\t,\t,\tO\tO' -p217400 -aS'speciation\tspeciation\tNN\tB-NP\tO' -p217401 -aS'and\tand\tCC\tI-NP\tO' -p217402 -aS'sensitivity\tsensitivity\tNN\tI-NP\tO' -p217403 -aS'pending\tpending\tNN\tI-NP\tO' -p217404 -aS'.\t.\t.\tO\tO' -p217405 -asS'Motor was 5/5 .' -p217406 -(lp217407 -S'Motor\tMotor\tNNP\tB-NP\tO' -p217408 -aS'was\tbe\tVBD\tB-VP\tO' -p217409 -aS'5/5\t5/5\tCD\tB-NP\tO' -p217410 -aS'.\t.\t.\tO\tO' -p217411 -asS'Dr. Scaher Grend , RAMMCO 8/20 , 3:30pm scheduled , No Known Allergies' -p217412 -(lp217413 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p217414 -aS'Scaher\tScaher\tNNP\tI-NP\tO' -p217415 -aS'Grend\tGrend\tNNP\tI-NP\tO' -p217416 -aS',\t,\t,\tO\tO' -p217417 -aS'RAMMCO\tRAMMCO\tNNP\tB-NP\tO' -p217418 -aS'8/20\t8/20\tCD\tI-NP\tO' -p217419 -aS',\t,\t,\tO\tO' -p217420 -aS'3:30pm\t3:30pm\tNN\tB-NP\tO' -p217421 -aS'scheduled\tschedule\tVBN\tB-VP\tO' -p217422 -aS',\t,\t,\tO\tO' -p217423 -aS'No\tNo\tNNP\tB-NP\tO' -p217424 -aS'Known\tKnown\tNNP\tI-NP\tO' -p217425 -aS'Allergies\tAllergies\tNNP\tI-NP\tO' -p217426 -asS'Dyazide one p.o. q.d. Propanolol 5 mg. p.o. t.i.d. Isordil 5 mg. p.o. t.i.d. Glaucoma drops .' -p217427 -(lp217428 -S'Dyazide\tDyazide\tNN\tB-NP\tO' -p217429 -aS'one\tone\tCD\tI-NP\tO' -p217430 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p217431 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p217432 -aS'Propanolol\tPropanolol\tNN\tI-NP\tO' -p217433 -aS'5\t5\tCD\tI-NP\tO' -p217434 -aS'mg.\tmg.\tNN\tI-NP\tO' -p217435 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p217436 -aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' -p217437 -aS'Isordil\tIsordil\tNN\tI-NP\tO' -p217438 -aS'5\t5\tCD\tI-NP\tO' -p217439 -aS'mg.\tmg.\tNN\tI-NP\tO' -p217440 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p217441 -aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' -p217442 -aS'Glaucoma\tGlaucoma\tNN\tI-NP\tO' -p217443 -aS'drops\tdrop\tNNS\tI-NP\tO' -p217444 -aS'.\t.\t.\tO\tO' -p217445 -asS'The somatostatin and the midodrine were discontinued and the regimen of Lasix and spironolactone was started for diuresis .' -p217446 -(lp217447 -S'The\tThe\tDT\tB-NP\tO' -p217448 -aS'somatostatin\tsomatostatin\tNN\tI-NP\tO' -p217449 -aS'and\tand\tCC\tO\tO' -p217450 -aS'the\tthe\tDT\tB-NP\tO' -p217451 -aS'midodrine\tmidodrine\tNN\tI-NP\tO' -p217452 -aS'were\tbe\tVBD\tB-VP\tO' -p217453 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p217454 -aS'and\tand\tCC\tO\tO' -p217455 -aS'the\tthe\tDT\tB-NP\tO' -p217456 -aS'regimen\tregimen\tNN\tI-NP\tO' -p217457 -aS'of\tof\tIN\tB-PP\tO' -p217458 -aS'Lasix\tLasix\tNN\tB-NP\tO' -p217459 -aS'and\tand\tCC\tI-NP\tO' -p217460 -aS'spironolactone\tspironolactone\tNN\tI-NP\tO' -p217461 -aS'was\tbe\tVBD\tB-VP\tO' -p217462 -aS'started\tstart\tVBN\tI-VP\tO' -p217463 -aS'for\tfor\tIN\tB-PP\tO' -p217464 -aS'diuresis\tdiuresis\tNN\tB-NP\tO' -p217465 -aS'.\t.\t.\tO\tO' -p217466 -asS'Chest xray is still consistent with volume overload .' -p217467 -(lp217468 -S'Chest\tCh\tJJS\tB-NP\tO' -p217469 -aS'xray\txray\tNN\tI-NP\tO' -p217470 -aS'is\tbe\tVBZ\tB-VP\tO' -p217471 -aS'still\tstill\tRB\tB-ADVP\tO' -p217472 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p217473 -aS'with\twith\tIN\tB-PP\tO' -p217474 -aS'volume\tvolume\tNN\tB-NP\tO' -p217475 -aS'overload\toverload\tNN\tI-NP\tO' -p217476 -aS'.\t.\t.\tO\tO' -p217477 -asS'9. Port-a-Cath placement for IV hydration in setting of short gut syndrome , complicated by clotting x 4 , requiring replacement' -p217478 -(lp217479 -S'9.\t9.\tLS\tB-NP\tO' -p217480 -aS'Port-a-Cath\tPort-a-Cath\tNN\tI-NP\tO' -p217481 -aS'placement\tplacement\tNN\tI-NP\tO' -p217482 -aS'for\tfor\tIN\tB-PP\tO' -p217483 -aS'IV\tIV\tCD\tB-NP\tO' -p217484 -aS'hydration\thydration\tNN\tI-NP\tO' -p217485 -aS'in\tin\tIN\tB-PP\tO' -p217486 -aS'setting\tsetting\tNN\tB-NP\tO' -p217487 -aS'of\tof\tIN\tB-PP\tO' -p217488 -aS'short\tshort\tJJ\tB-NP\tO' -p217489 -aS'gut\tgut\tNN\tI-NP\tO' -p217490 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p217491 -aS',\t,\t,\tO\tO' -p217492 -aS'complicated\tcomplicate\tVBN\tB-VP\tO' -p217493 -aS'by\tby\tIN\tB-PP\tO' -p217494 -aS'clotting\tclot\tVBG\tB-VP\tO' -p217495 -aS'x\tx\tNN\tB-NP\tO' -p217496 -aS'4\t4\tCD\tI-NP\tO' -p217497 -aS',\t,\t,\tO\tO' -p217498 -aS'requiring\trequire\tVBG\tB-VP\tO' -p217499 -aS'replacement\treplacement\tNN\tB-NP\tO' -p217500 -asS'He developed extensive posturing .' -p217501 -(lp217502 -S'He\tHe\tPRP\tB-NP\tO' -p217503 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p217504 -aS'extensive\textensive\tJJ\tB-NP\tO' -p217505 -aS'posturing\tposturing\tNN\tI-NP\tO' -p217506 -aS'.\t.\t.\tO\tO' -p217507 -asS'The patient has had multiple myeloma since 1990 .' -p217508 -(lp217509 -S'The\tThe\tDT\tB-NP\tO' -p217510 -aS'patient\tpatient\tNN\tI-NP\tO' -p217511 -aS'has\thave\tVBZ\tB-VP\tO' -p217512 -aS'had\thave\tVBN\tI-VP\tO' -p217513 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p217514 -aS'myeloma\tmyeloma\tNN\tI-NP\tO' -p217515 -aS'since\tsince\tIN\tB-PP\tO' -p217516 -aS'1990\t1990\tCD\tB-NP\tO' -p217517 -aS'.\t.\t.\tO\tO' -p217518 -asS'3. Albuterol inhaler one to two puffs q. four to six hours p.r.n.' -p217519 -(lp217520 -S'3.\t3.\tLS\tB-LST\tO' -p217521 -aS'Albuterol\tAlbuterol\tNNP\tB-NP\tO' -p217522 -aS'inhaler\tinhaler\tIN\tB-PP\tO' -p217523 -aS'one\tone\tCD\tB-NP\tO' -p217524 -aS'to\tto\tTO\tI-NP\tO' -p217525 -aS'two\ttwo\tCD\tI-NP\tO' -p217526 -aS'puffs\tpuff\tNNS\tI-NP\tO' -p217527 -aS'q.\tq.\tRB\tB-NP\tO' -p217528 -aS'four\tfour\tCD\tI-NP\tO' -p217529 -aS'to\tto\tTO\tI-NP\tO' -p217530 -aS'six\tsix\tCD\tI-NP\tO' -p217531 -aS'hours\thour\tNNS\tI-NP\tO' -p217532 -aS'p.r.n.\tp.r.n.\tRB\tB-ADVP\tO' -p217533 -asS'This is an 83 y/o female with moderate AS , s/p MVR 27 years ago , s/p PPM , DM , CHF , p/w dsypnea and increased work of breathing x 4-5 days .' -p217534 -(lp217535 -S'This\tThis\tDT\tB-NP\tO' -p217536 -aS'is\tbe\tVBZ\tB-VP\tO' -p217537 -aS'an\tan\tDT\tB-NP\tO' -p217538 -aS'83\t83\tCD\tI-NP\tO' -p217539 -aS'y/o\ty/o\tNN\tI-NP\tO' -p217540 -aS'female\tfemale\tJJ\tB-ADJP\tO' -p217541 -aS'with\twith\tIN\tB-PP\tO' -p217542 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p217543 -aS'AS\tAS\tNN\tI-NP\tO' -p217544 -aS',\t,\t,\tO\tO' -p217545 -aS's/p\ts/p\tNN\tB-NP\tO' -p217546 -aS'MVR\tMVR\tNN\tI-NP\tO' -p217547 -aS'27\t27\tCD\tB-NP\tO' -p217548 -aS'years\tyear\tNNS\tI-NP\tO' -p217549 -aS'ago\tago\tIN\tB-ADVP\tO' -p217550 -aS',\t,\t,\tO\tO' -p217551 -aS's/p\ts/p\tNN\tB-NP\tO' -p217552 -aS'PPM\tPPM\tNN\tI-NP\tO' -p217553 -aS',\t,\t,\tO\tO' -p217554 -aS'DM\tDM\tNN\tB-NP\tO' -p217555 -aS',\t,\t,\tO\tO' -p217556 -aS'CHF\tCHF\tNN\tB-NP\tB-protein' -p217557 -aS',\t,\t,\tO\tO' -p217558 -aS'p/w\tp/w\tNN\tB-NP\tO' -p217559 -aS'dsypnea\tdsypnea\tNN\tI-NP\tO' -p217560 -aS'and\tand\tCC\tO\tO' -p217561 -aS'increased\tincrease\tVBN\tB-NP\tO' -p217562 -aS'work\twork\tNN\tI-NP\tO' -p217563 -aS'of\tof\tIN\tB-PP\tO' -p217564 -aS'breathing\tbreathing\tNN\tB-NP\tO' -p217565 -aS'x\tx\tSYM\tO\tO' -p217566 -aS'4-5\t4-5\tCD\tB-NP\tO' -p217567 -aS'days\tday\tNNS\tI-NP\tO' -p217568 -aS'.\t.\t.\tO\tO' -p217569 -asS'- Ischemic colitis and ischemic liver 2017-06-22 ( post air embolism from post mediastinal exploration )' -p217570 -(lp217571 -S'-\t-\tHYPH\tB-NP\tO' -p217572 -aS'Ischemic\tIschemic\tJJ\tI-NP\tO' -p217573 -aS'colitis\tcolitis\tNN\tI-NP\tO' -p217574 -aS'and\tand\tCC\tO\tO' -p217575 -aS'ischemic\tischemic\tJJ\tB-NP\tO' -p217576 -aS'liver\tliver\tNN\tI-NP\tO' -p217577 -aS'2017-06-22\t2017-06-22\tCD\tI-NP\tO' -p217578 -aS'(\t(\t(\tO\tO' -p217579 -aS'post\tpost\tNN\tB-NP\tO' -p217580 -aS'air\tair\tNN\tI-NP\tO' -p217581 -aS'embolism\tembolism\tNN\tI-NP\tO' -p217582 -aS'from\tfrom\tIN\tB-PP\tO' -p217583 -aS'post\tpost\tJJ\tB-NP\tO' -p217584 -aS'mediastinal\tmediastinal\tJJ\tI-NP\tO' -p217585 -aS'exploration\texploration\tNN\tI-NP\tO' -p217586 -aS')\t)\t)\tO\tO' -p217587 -asS'Workup continued to be negative .' -p217588 -(lp217589 -S'Workup\tWorkup\tNNP\tB-NP\tO' -p217590 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p217591 -aS'to\tto\tTO\tI-VP\tO' -p217592 -aS'be\tbe\tVB\tI-VP\tO' -p217593 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p217594 -aS'.\t.\t.\tO\tO' -p217595 -asS'No chest pain .' -p217596 -(lp217597 -S'No\tNo\tDT\tB-NP\tO' -p217598 -aS'chest\tchest\tNN\tI-NP\tO' -p217599 -aS'pain\tpain\tNN\tI-NP\tO' -p217600 -aS'.\t.\t.\tO\tO' -p217601 -asS'You were admitted with a low blood pressure and developed a fever .' -p217602 -(lp217603 -S'You\tYou\tPRP\tB-NP\tO' -p217604 -aS'were\tbe\tVBD\tB-VP\tO' -p217605 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p217606 -aS'with\twith\tIN\tB-PP\tO' -p217607 -aS'a\ta\tDT\tB-NP\tO' -p217608 -aS'low\tlow\tJJ\tI-NP\tO' -p217609 -aS'blood\tblood\tNN\tI-NP\tO' -p217610 -aS'pressure\tpressure\tNN\tI-NP\tO' -p217611 -aS'and\tand\tCC\tO\tO' -p217612 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p217613 -aS'a\ta\tDT\tB-NP\tO' -p217614 -aS'fever\tfever\tNN\tI-NP\tO' -p217615 -aS'.\t.\t.\tO\tO' -p217616 -asS'The osseous structures are unremarkable .' -p217617 -(lp217618 -S'The\tThe\tDT\tB-NP\tO' -p217619 -aS'osseous\tosseous\tJJ\tI-NP\tO' -p217620 -aS'structures\tstructure\tNNS\tI-NP\tO' -p217621 -aS'are\tbe\tVBP\tB-VP\tO' -p217622 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p217623 -aS'.\t.\t.\tO\tO' -p217624 -asS"ASA was held and may be restarted if Hct stable in clinic at the PCP 's discretion ." -p217625 -(lp217626 -S'ASA\tASA\tNN\tB-NP\tO' -p217627 -aS'was\tbe\tVBD\tB-VP\tO' -p217628 -aS'held\thold\tVBN\tI-VP\tO' -p217629 -aS'and\tand\tCC\tO\tO' -p217630 -aS'may\tmay\tMD\tB-VP\tO' -p217631 -aS'be\tbe\tVB\tI-VP\tO' -p217632 -aS'restarted\trestart\tVBN\tI-VP\tO' -p217633 -aS'if\tif\tIN\tB-SBAR\tO' -p217634 -aS'Hct\tHct\tNN\tB-NP\tO' -p217635 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p217636 -aS'in\tin\tIN\tB-PP\tO' -p217637 -aS'clinic\tclinic\tNN\tB-NP\tO' -p217638 -aS'at\tat\tIN\tB-PP\tO' -p217639 -aS'the\tthe\tDT\tB-NP\tO' -p217640 -aS'PCP\tPCP\tNN\tI-NP\tO' -p217641 -aS"'s\t's\tPOS\tB-NP\tO" -p217642 -aS'discretion\tdiscretion\tNN\tI-NP\tO' -p217643 -aS'.\t.\t.\tO\tO' -p217644 -asS'11. Abdominal abscesses .' -p217645 -(lp217646 -S'11.\t11.\tLS\tB-NP\tO' -p217647 -aS'Abdominal\tAbdominal\tJJ\tI-NP\tO' -p217648 -aS'abscesses\tabscess\tNNS\tI-NP\tO' -p217649 -aS'.\t.\t.\tO\tO' -p217650 -asS'The patient underwent an angioplasty of his SMA from 90-20% residual .' -p217651 -(lp217652 -S'The\tThe\tDT\tB-NP\tO' -p217653 -aS'patient\tpatient\tNN\tI-NP\tO' -p217654 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p217655 -aS'an\tan\tDT\tB-NP\tO' -p217656 -aS'angioplasty\tangioplasty\tNN\tI-NP\tO' -p217657 -aS'of\tof\tIN\tB-PP\tO' -p217658 -aS'his\this\tPRP$\tB-NP\tO' -p217659 -aS'SMA\tSMA\tNN\tI-NP\tB-protein' -p217660 -aS'from\tfrom\tIN\tB-PP\tO' -p217661 -aS'90-20%\t90-20%\tCD\tB-NP\tO' -p217662 -aS'residual\tresidual\tJJ\tI-NP\tO' -p217663 -aS'.\t.\t.\tO\tO' -p217664 -asS'Angiocele was intact without hematoma , and she exhibited strong pedal pulses on the right side .' -p217665 -(lp217666 -S'Angiocele\tAngiocele\tNNP\tB-NP\tO' -p217667 -aS'was\tbe\tVBD\tB-VP\tO' -p217668 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p217669 -aS'without\twithout\tIN\tB-PP\tO' -p217670 -aS'hematoma\thematoma\tNN\tB-NP\tO' -p217671 -aS',\t,\t,\tO\tO' -p217672 -aS'and\tand\tCC\tO\tO' -p217673 -aS'she\tshe\tPRP\tB-NP\tO' -p217674 -aS'exhibited\texhibit\tVBD\tB-VP\tO' -p217675 -aS'strong\tstrong\tJJ\tB-NP\tO' -p217676 -aS'pedal\tpedal\tJJ\tI-NP\tO' -p217677 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p217678 -aS'on\ton\tIN\tB-PP\tO' -p217679 -aS'the\tthe\tDT\tB-NP\tO' -p217680 -aS'right\tright\tJJ\tI-NP\tO' -p217681 -aS'side\tside\tNN\tI-NP\tO' -p217682 -aS'.\t.\t.\tO\tO' -p217683 -asS'She is presently receiving breast milk or special care formula 24 cal at 150 mls per kilo per day with tolerance .' -p217684 -(lp217685 -S'She\tShe\tPRP\tB-NP\tO' -p217686 -aS'is\tbe\tVBZ\tB-VP\tO' -p217687 -aS'presently\tpresently\tRB\tI-VP\tO' -p217688 -aS'receiving\treceive\tVBG\tI-VP\tO' -p217689 -aS'breast\tbreast\tNN\tB-NP\tO' -p217690 -aS'milk\tmilk\tNN\tI-NP\tO' -p217691 -aS'or\tor\tCC\tO\tO' -p217692 -aS'special\tspecial\tJJ\tB-NP\tO' -p217693 -aS'care\tcare\tNN\tI-NP\tO' -p217694 -aS'formula\tformula\tNN\tI-NP\tO' -p217695 -aS'24\t24\tCD\tB-NP\tO' -p217696 -aS'cal\tcal\tNN\tI-NP\tO' -p217697 -aS'at\tat\tIN\tB-PP\tO' -p217698 -aS'150\t150\tCD\tB-NP\tO' -p217699 -aS'mls\tml\tNNS\tI-NP\tO' -p217700 -aS'per\tper\tIN\tB-PP\tO' -p217701 -aS'kilo\tkilo\tNN\tB-NP\tO' -p217702 -aS'per\tper\tIN\tB-PP\tO' -p217703 -aS'day\tday\tNN\tB-NP\tO' -p217704 -aS'with\twith\tIN\tB-PP\tO' -p217705 -aS'tolerance\ttolerance\tNN\tB-NP\tO' -p217706 -aS'.\t.\t.\tO\tO' -p217707 -asS'On physical exam , the patient was awake , alert , and oriented times 3 .' -p217708 -(lp217709 -S'On\tOn\tIN\tB-PP\tO' -p217710 -aS'physical\tphysical\tJJ\tB-NP\tO' -p217711 -aS'exam\texam\tNN\tI-NP\tO' -p217712 -aS',\t,\t,\tO\tO' -p217713 -aS'the\tthe\tDT\tB-NP\tO' -p217714 -aS'patient\tpatient\tNN\tI-NP\tO' -p217715 -aS'was\tbe\tVBD\tB-VP\tO' -p217716 -aS'awake\tawake\tRB\tB-ADVP\tO' -p217717 -aS',\t,\t,\tO\tO' -p217718 -aS'alert\talert\tNN\tB-NP\tO' -p217719 -aS',\t,\t,\tO\tO' -p217720 -aS'and\tand\tCC\tO\tO' -p217721 -aS'oriented\torient\tVBN\tB-VP\tO' -p217722 -aS'times\ttime\tNNS\tB-NP\tO' -p217723 -aS'3\t3\tCD\tI-NP\tO' -p217724 -aS'.\t.\t.\tO\tO' -p217725 -asS'She weaned from cardiopulmonary bypass with good hemodynamics .' -p217726 -(lp217727 -S'She\tShe\tPRP\tB-NP\tO' -p217728 -aS'weaned\twean\tVBD\tB-VP\tO' -p217729 -aS'from\tfrom\tIN\tB-PP\tO' -p217730 -aS'cardiopulmonary\tcardiopulmonary\tJJ\tB-NP\tO' -p217731 -aS'bypass\tbypass\tNN\tI-NP\tO' -p217732 -aS'with\twith\tIN\tB-PP\tO' -p217733 -aS'good\tgood\tJJ\tB-NP\tO' -p217734 -aS'hemodynamics\themodynamic\tNNS\tI-NP\tO' -p217735 -aS'.\t.\t.\tO\tO' -p217736 -asS'She will need repeated dilantin troughs with one time dose when trough is subtherapeutic .' -p217737 -(lp217738 -S'She\tShe\tPRP\tB-NP\tO' -p217739 -aS'will\twill\tMD\tB-VP\tO' -p217740 -aS'need\tneed\tVB\tI-VP\tO' -p217741 -aS'repeated\trepeat\tVBN\tB-NP\tO' -p217742 -aS'dilantin\tdilantin\tNN\tI-NP\tO' -p217743 -aS'troughs\ttrough\tNNS\tI-NP\tO' -p217744 -aS'with\twith\tIN\tB-PP\tO' -p217745 -aS'one\tone\tCD\tB-NP\tO' -p217746 -aS'time\ttime\tNN\tI-NP\tO' -p217747 -aS'dose\tdose\tNN\tI-NP\tO' -p217748 -aS'when\twhen\tWRB\tB-ADVP\tO' -p217749 -aS'trough\ttrough\tNN\tB-NP\tO' -p217750 -aS'is\tbe\tVBZ\tB-VP\tO' -p217751 -aS'subtherapeutic\tsubtherapeutic\tJJ\tB-ADJP\tO' -p217752 -aS'.\t.\t.\tO\tO' -p217753 -asS'The sepsis protocol was aborted .' -p217754 -(lp217755 -S'The\tThe\tDT\tB-NP\tO' -p217756 -aS'sepsis\tsepsis\tNN\tI-NP\tO' -p217757 -aS'protocol\tprotocol\tNN\tI-NP\tO' -p217758 -aS'was\tbe\tVBD\tB-VP\tO' -p217759 -aS'aborted\tabort\tVBN\tI-VP\tO' -p217760 -aS'.\t.\t.\tO\tO' -p217761 -asS'Vancomycin 1 gm IV q 36 hours ( last dose at 2000 on 08-13 ) .' -p217762 -(lp217763 -S'Vancomycin\tVancomycin\tNN\tB-NP\tO' -p217764 -aS'1\t1\tCD\tI-NP\tO' -p217765 -aS'gm\tgm\tNN\tI-NP\tO' -p217766 -aS'IV\tIV\tCD\tB-NP\tO' -p217767 -aS'q\tq\tNN\tI-NP\tO' -p217768 -aS'36\t36\tCD\tB-NP\tO' -p217769 -aS'hours\thour\tNNS\tI-NP\tO' -p217770 -aS'(\t(\t(\tO\tO' -p217771 -aS'last\tlast\tJJ\tB-NP\tO' -p217772 -aS'dose\tdose\tNN\tI-NP\tO' -p217773 -aS'at\tat\tIN\tB-PP\tO' -p217774 -aS'2000\t2000\tCD\tB-NP\tO' -p217775 -aS'on\ton\tIN\tB-PP\tO' -p217776 -aS'08-13\t08-13\tCD\tB-NP\tO' -p217777 -aS')\t)\t)\tO\tO' -p217778 -aS'.\t.\t.\tO\tO' -p217779 -asS'Pupils equal , round , and reactive to light , extraocular movements , fundi bilaterally without exudate or hemorrhage .' -p217780 -(lp217781 -S'Pupils\tPupil\tNNS\tB-NP\tO' -p217782 -aS'equal\tequal\tJJ\tB-ADJP\tO' -p217783 -aS',\t,\t,\tO\tO' -p217784 -aS'round\tround\tJJ\tB-ADJP\tO' -p217785 -aS',\t,\t,\tO\tO' -p217786 -aS'and\tand\tCC\tO\tO' -p217787 -aS'reactive\treactive\tJJ\tB-ADJP\tO' -p217788 -aS'to\tto\tTO\tB-PP\tO' -p217789 -aS'light\tlight\tJJ\tB-NP\tO' -p217790 -aS',\t,\t,\tI-NP\tO' -p217791 -aS'extraocular\textraocular\tJJ\tI-NP\tO' -p217792 -aS'movements\tmovement\tNNS\tI-NP\tO' -p217793 -aS',\t,\t,\tO\tO' -p217794 -aS'fundi\tfundi\tNN\tB-NP\tO' -p217795 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p217796 -aS'without\twithout\tIN\tB-PP\tO' -p217797 -aS'exudate\texudate\tNN\tB-NP\tO' -p217798 -aS'or\tor\tCC\tI-NP\tO' -p217799 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p217800 -aS'.\t.\t.\tO\tO' -p217801 -asS'Cardiovascular : Regular rate & rhythm + S1/S2 .' -p217802 -(lp217803 -S'Cardiovascular\tCardiovascular\tJJ\tB-ADJP\tO' -p217804 -aS':\t:\t:\tO\tO' -p217805 -aS'Regular\tRegular\tJJ\tB-NP\tO' -p217806 -aS'rate\trate\tNN\tI-NP\tO' -p217807 -aS'&\t&\tCC\tI-NP\tO' -p217808 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p217809 -aS'+\t+\tSYM\tB-NP\tO' -p217810 -aS'S1/S2\tS1/S2\tNN\tI-NP\tO' -p217811 -aS'.\t.\t.\tO\tO' -p217812 -asS'eval for alignment , post op changes' -p217813 -(lp217814 -S'eval\teval\tNN\tB-NP\tO' -p217815 -aS'for\tfor\tIN\tB-PP\tO' -p217816 -aS'alignment\talignment\tNN\tB-NP\tO' -p217817 -aS',\t,\t,\tO\tO' -p217818 -aS'post\tpost\tJJ\tB-NP\tO' -p217819 -aS'op\top\tNN\tI-NP\tO' -p217820 -aS'changes\tchange\tNNS\tI-NP\tO' -p217821 -asS'4. Endo - TSH was 4.7 and normal .' -p217822 -(lp217823 -S'4.\t4.\tLS\tB-LST\tO' -p217824 -aS'Endo\tEndo\tAFX\tO\tB-protein' -p217825 -aS'-\t-\tHYPH\tO\tO' -p217826 -aS'TSH\tTSH\tNN\tB-NP\tO' -p217827 -aS'was\tbe\tVBD\tB-VP\tO' -p217828 -aS'4.7\t4.7\tCD\tB-NP\tO' -p217829 -aS'and\tand\tCC\tO\tO' -p217830 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p217831 -aS'.\t.\t.\tO\tO' -p217832 -asS'5. Apnea of prematurity .' -p217833 -(lp217834 -S'5.\t5.\tLS\tB-NP\tO' -p217835 -aS'Apnea\tApnea\tNN\tI-NP\tO' -p217836 -aS'of\tof\tIN\tB-PP\tO' -p217837 -aS'prematurity\tprematurity\tNN\tB-NP\tO' -p217838 -aS'.\t.\t.\tO\tO' -p217839 -asS'Bilateral breath sounds were clear and equal .' -p217840 -(lp217841 -S'Bilateral\tBilateral\tJJ\tB-NP\tO' -p217842 -aS'breath\tbreath\tNN\tI-NP\tO' -p217843 -aS'sounds\tsound\tNNS\tI-NP\tO' -p217844 -aS'were\tbe\tVBD\tB-VP\tO' -p217845 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p217846 -aS'and\tand\tCC\tI-ADJP\tO' -p217847 -aS'equal\tequal\tJJ\tI-ADJP\tO' -p217848 -aS'.\t.\t.\tO\tO' -p217849 -asS'She may require a repeat upper endoscopy study to see if she needs any rebanding .' -p217850 -(lp217851 -S'She\tShe\tPRP\tB-NP\tO' -p217852 -aS'may\tmay\tMD\tB-VP\tO' -p217853 -aS'require\trequire\tVB\tI-VP\tO' -p217854 -aS'a\ta\tDT\tB-NP\tO' -p217855 -aS'repeat\trepeat\tNN\tI-NP\tO' -p217856 -aS'upper\tupper\tJJ\tI-NP\tO' -p217857 -aS'endoscopy\tendoscopy\tNN\tI-NP\tO' -p217858 -aS'study\tstudy\tNN\tI-NP\tO' -p217859 -aS'to\tto\tTO\tB-VP\tO' -p217860 -aS'see\tsee\tVB\tI-VP\tO' -p217861 -aS'if\tif\tIN\tB-SBAR\tO' -p217862 -aS'she\tshe\tPRP\tB-NP\tO' -p217863 -aS'needs\tneed\tVBZ\tB-VP\tO' -p217864 -aS'any\tany\tDT\tB-NP\tO' -p217865 -aS'rebanding\trebanding\tNN\tI-NP\tO' -p217866 -aS'.\t.\t.\tO\tO' -p217867 -asS'The patient also complained of frequent vomiting at least once a day , occasionally associated with ingestion of her medications , but sometimes associated with ambulation .' -p217868 -(lp217869 -S'The\tThe\tDT\tB-NP\tO' -p217870 -aS'patient\tpatient\tNN\tI-NP\tO' -p217871 -aS'also\talso\tRB\tB-ADVP\tO' -p217872 -aS'complained\tcomplain\tVBD\tB-VP\tO' -p217873 -aS'of\tof\tIN\tB-PP\tO' -p217874 -aS'frequent\tfrequent\tJJ\tB-NP\tO' -p217875 -aS'vomiting\tvomiting\tNN\tI-NP\tO' -p217876 -aS'at\tat\tIN\tB-ADVP\tO' -p217877 -aS'least\tleast\tJJS\tI-ADVP\tO' -p217878 -aS'once\tonce\tRB\tI-ADVP\tO' -p217879 -aS'a\ta\tDT\tB-NP\tO' -p217880 -aS'day\tday\tNN\tI-NP\tO' -p217881 -aS',\t,\t,\tO\tO' -p217882 -aS'occasionally\toccasionally\tRB\tB-VP\tO' -p217883 -aS'associated\tassociate\tVBN\tI-VP\tO' -p217884 -aS'with\twith\tIN\tB-PP\tO' -p217885 -aS'ingestion\tingestion\tNN\tB-NP\tO' -p217886 -aS'of\tof\tIN\tB-PP\tO' -p217887 -aS'her\ther\tPRP$\tB-NP\tO' -p217888 -aS'medications\tmedication\tNNS\tI-NP\tO' -p217889 -aS',\t,\t,\tO\tO' -p217890 -aS'but\tbut\tCC\tO\tO' -p217891 -aS'sometimes\tsometimes\tRB\tB-VP\tO' -p217892 -aS'associated\tassociate\tVBN\tI-VP\tO' -p217893 -aS'with\twith\tIN\tB-PP\tO' -p217894 -aS'ambulation\tambulation\tNN\tB-NP\tO' -p217895 -aS'.\t.\t.\tO\tO' -p217896 -asS'4. Alcohol abuse .' -p217897 -(lp217898 -S'4.\t4.\tLS\tB-NP\tO' -p217899 -aS'Alcohol\tAlcohol\tNN\tI-NP\tO' -p217900 -aS'abuse\tabuse\tNN\tI-NP\tO' -p217901 -aS'.\t.\t.\tO\tO' -p217902 -asS'She was admitted and evaluated by the cardiac surgery service after having undergone cardiac catheterization which revealed a 70% stenosis of her left circumflex artery , 50% stenosis of the left anterior descending and 10% stenosis of the right coronary artery .' -p217903 -(lp217904 -S'She\tShe\tPRP\tB-NP\tO' -p217905 -aS'was\tbe\tVBD\tB-VP\tO' -p217906 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p217907 -aS'and\tand\tCC\tI-VP\tO' -p217908 -aS'evaluated\tevaluate\tVBN\tI-VP\tO' -p217909 -aS'by\tby\tIN\tB-PP\tO' -p217910 -aS'the\tthe\tDT\tB-NP\tO' -p217911 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p217912 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p217913 -aS'service\tservice\tNN\tI-NP\tO' -p217914 -aS'after\tafter\tIN\tB-PP\tO' -p217915 -aS'having\thave\tVBG\tB-VP\tO' -p217916 -aS'undergone\tundergo\tVBN\tI-VP\tO' -p217917 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p217918 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p217919 -aS'which\twhich\tWDT\tB-NP\tO' -p217920 -aS'revealed\treveal\tVBD\tB-VP\tO' -p217921 -aS'a\ta\tDT\tB-NP\tO' -p217922 -aS'70%\t70%\tJJ\tI-NP\tO' -p217923 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p217924 -aS'of\tof\tIN\tB-PP\tO' -p217925 -aS'her\ther\tPRP$\tB-NP\tO' -p217926 -aS'left\tleft\tJJ\tI-NP\tO' -p217927 -aS'circumflex\tcircumflex\tNN\tI-NP\tO' -p217928 -aS'artery\tartery\tNN\tI-NP\tO' -p217929 -aS',\t,\t,\tO\tO' -p217930 -aS'50%\t50%\tCD\tB-NP\tO' -p217931 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p217932 -aS'of\tof\tIN\tB-PP\tO' -p217933 -aS'the\tthe\tDT\tB-NP\tO' -p217934 -aS'left\tleft\tJJ\tI-NP\tO' -p217935 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p217936 -aS'descending\tdescending\tNN\tI-NP\tO' -p217937 -aS'and\tand\tCC\tO\tO' -p217938 -aS'10%\t10%\tCD\tB-NP\tO' -p217939 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p217940 -aS'of\tof\tIN\tB-PP\tO' -p217941 -aS'the\tthe\tDT\tB-NP\tO' -p217942 -aS'right\tright\tJJ\tI-NP\tO' -p217943 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p217944 -aS'artery\tartery\tNN\tI-NP\tO' -p217945 -aS'.\t.\t.\tO\tO' -p217946 -asS'Peak serum bilirubin occurred on day of life #4 , a total of 10.0/0.3 direct .' -p217947 -(lp217948 -S'Peak\tPeak\tJJ\tB-NP\tO' -p217949 -aS'serum\tserum\tNN\tI-NP\tO' -p217950 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p217951 -aS'occurred\toccur\tVBD\tB-VP\tO' -p217952 -aS'on\ton\tIN\tB-PP\tO' -p217953 -aS'day\tday\tNN\tB-NP\tO' -p217954 -aS'of\tof\tIN\tB-PP\tO' -p217955 -aS'life\tlife\tNN\tB-NP\tO' -p217956 -aS'#4\t#4\tCD\tI-NP\tO' -p217957 -aS',\t,\t,\tO\tO' -p217958 -aS'a\ta\tDT\tB-NP\tO' -p217959 -aS'total\ttotal\tNN\tI-NP\tO' -p217960 -aS'of\tof\tIN\tB-PP\tO' -p217961 -aS'10.0/0.3\t10.0/0.3\tCD\tB-NP\tO' -p217962 -aS'direct\tdirect\tJJ\tI-NP\tO' -p217963 -aS'.\t.\t.\tO\tO' -p217964 -asS'A ruptured aneurysm or pseudoaneurysm at the junction of the graft and arch was diagnosed and this was subsequently repaired .' -p217965 -(lp217966 -S'A\tA\tDT\tB-NP\tO' -p217967 -aS'ruptured\truptured\tJJ\tI-NP\tO' -p217968 -aS'aneurysm\taneurysm\tNN\tI-NP\tO' -p217969 -aS'or\tor\tCC\tI-NP\tO' -p217970 -aS'pseudoaneurysm\tpseudoaneurysm\tNN\tI-NP\tO' -p217971 -aS'at\tat\tIN\tB-PP\tO' -p217972 -aS'the\tthe\tDT\tB-NP\tO' -p217973 -aS'junction\tjunction\tNN\tI-NP\tO' -p217974 -aS'of\tof\tIN\tB-PP\tO' -p217975 -aS'the\tthe\tDT\tB-NP\tO' -p217976 -aS'graft\tgraft\tNN\tI-NP\tO' -p217977 -aS'and\tand\tCC\tI-NP\tO' -p217978 -aS'arch\tarch\tNN\tI-NP\tO' -p217979 -aS'was\tbe\tVBD\tB-VP\tO' -p217980 -aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' -p217981 -aS'and\tand\tCC\tO\tO' -p217982 -aS'this\tthis\tDT\tB-NP\tO' -p217983 -aS'was\tbe\tVBD\tB-VP\tO' -p217984 -aS'subsequently\tsubsequently\tRB\tI-VP\tO' -p217985 -aS'repaired\trepair\tVBN\tI-VP\tO' -p217986 -aS'.\t.\t.\tO\tO' -p217987 -asS'Normal neonatal reflexes .' -p217988 -(lp217989 -S'Normal\tNormal\tJJ\tB-NP\tO' -p217990 -aS'neonatal\tneonatal\tJJ\tI-NP\tO' -p217991 -aS'reflexes\treflex\tNNS\tI-NP\tO' -p217992 -aS'.\t.\t.\tO\tO' -p217993 -asS'The patient was admitted to the cardiology service and commenced amiodarone loading .' -p217994 -(lp217995 -S'The\tThe\tDT\tB-NP\tO' -p217996 -aS'patient\tpatient\tNN\tI-NP\tO' -p217997 -aS'was\tbe\tVBD\tB-VP\tO' -p217998 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p217999 -aS'to\tto\tTO\tB-PP\tO' -p218000 -aS'the\tthe\tDT\tB-NP\tO' -p218001 -aS'cardiology\tcardiology\tNN\tI-NP\tO' -p218002 -aS'service\tservice\tNN\tI-NP\tO' -p218003 -aS'and\tand\tCC\tO\tO' -p218004 -aS'commenced\tcommence\tVBD\tB-VP\tO' -p218005 -aS'amiodarone\tamiodarone\tNN\tB-NP\tO' -p218006 -aS'loading\tloading\tNN\tI-NP\tO' -p218007 -aS'.\t.\t.\tO\tO' -p218008 -asS'She was given 4L of fluid boluses and transfered to the CMED CSRU .' -p218009 -(lp218010 -S'She\tShe\tPRP\tB-NP\tO' -p218011 -aS'was\tbe\tVBD\tB-VP\tO' -p218012 -aS'given\tgive\tVBN\tI-VP\tO' -p218013 -aS'4L\t4L\tNN\tB-NP\tO' -p218014 -aS'of\tof\tIN\tB-PP\tO' -p218015 -aS'fluid\tfluid\tNN\tB-NP\tO' -p218016 -aS'boluses\tbolus\tNNS\tI-NP\tO' -p218017 -aS'and\tand\tCC\tO\tO' -p218018 -aS'transfered\ttransfer\tVBN\tB-VP\tO' -p218019 -aS'to\tto\tTO\tB-PP\tO' -p218020 -aS'the\tthe\tDT\tB-NP\tO' -p218021 -aS'CMED\tCMED\tNNP\tI-NP\tO' -p218022 -aS'CSRU\tCSRU\tNNP\tI-NP\tO' -p218023 -aS'.\t.\t.\tO\tO' -p218024 -asS'The patient was continued on his iron supplements .' -p218025 -(lp218026 -S'The\tThe\tDT\tB-NP\tO' -p218027 -aS'patient\tpatient\tNN\tI-NP\tO' -p218028 -aS'was\tbe\tVBD\tB-VP\tO' -p218029 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p218030 -aS'on\ton\tIN\tB-PP\tO' -p218031 -aS'his\this\tPRP$\tB-NP\tB-DNA' -p218032 -aS'iron\tiron\tNN\tI-NP\tI-DNA' -p218033 -aS'supplements\tsupplement\tNNS\tI-NP\tI-DNA' -p218034 -aS'.\t.\t.\tO\tO' -p218035 -asS'The liver function tests showed an alkaline phosphatase of 303 , LDH 310 , SGOT 66 , albumin 2.5 .' -p218036 -(lp218037 -S'The\tThe\tDT\tB-NP\tO' -p218038 -aS'liver\tliver\tNN\tI-NP\tO' -p218039 -aS'function\tfunction\tNN\tI-NP\tO' -p218040 -aS'tests\ttest\tNNS\tI-NP\tO' -p218041 -aS'showed\tshow\tVBD\tB-VP\tO' -p218042 -aS'an\tan\tDT\tB-NP\tO' -p218043 -aS'alkaline\talkaline\tNN\tI-NP\tB-protein' -p218044 -aS'phosphatase\tphosphatase\tNN\tI-NP\tI-protein' -p218045 -aS'of\tof\tIN\tB-PP\tO' -p218046 -aS'303\t303\tCD\tB-NP\tO' -p218047 -aS',\t,\t,\tO\tO' -p218048 -aS'LDH\tLDH\tNN\tB-NP\tB-protein' -p218049 -aS'310\t310\tCD\tI-NP\tI-protein' -p218050 -aS',\t,\t,\tO\tO' -p218051 -aS'SGOT\tSGOT\tNN\tB-NP\tB-DNA' -p218052 -aS'66\t66\tCD\tI-NP\tI-DNA' -p218053 -aS',\t,\t,\tO\tO' -p218054 -aS'albumin\talbumin\tNN\tB-NP\tO' -p218055 -aS'2.5\t2.5\tCD\tI-NP\tO' -p218056 -aS'.\t.\t.\tO\tO' -p218057 -asS'2. Neoral 25 mg three times a day .' -p218058 -(lp218059 -S'2.\t2.\tLS\tB-NP\tO' -p218060 -aS'Neoral\tNeoral\tJJ\tI-NP\tO' -p218061 -aS'25\t25\tCD\tI-NP\tO' -p218062 -aS'mg\tmg\tNN\tI-NP\tO' -p218063 -aS'three\tthree\tCD\tB-NP\tO' -p218064 -aS'times\ttime\tNNS\tI-NP\tO' -p218065 -aS'a\ta\tDT\tB-NP\tO' -p218066 -aS'day\tday\tNN\tI-NP\tO' -p218067 -aS'.\t.\t.\tO\tO' -p218068 -asS'He is awake , alert , and oriented times 3 and pleasant .' -p218069 -(lp218070 -S'He\tHe\tPRP\tB-NP\tO' -p218071 -aS'is\tbe\tVBZ\tB-VP\tO' -p218072 -aS'awake\tawake\tJJ\tB-ADJP\tO' -p218073 -aS',\t,\t,\tO\tO' -p218074 -aS'alert\talert\tJJ\tB-ADJP\tO' -p218075 -aS',\t,\t,\tO\tO' -p218076 -aS'and\tand\tCC\tO\tO' -p218077 -aS'oriented\torient\tVBN\tB-VP\tO' -p218078 -aS'times\ttime\tNNS\tB-NP\tO' -p218079 -aS'3\t3\tCD\tI-NP\tO' -p218080 -aS'and\tand\tCC\tO\tO' -p218081 -aS'pleasant\tpleasant\tNN\tB-NP\tO' -p218082 -aS'.\t.\t.\tO\tO' -p218083 -asS'Exception was a ten beat run of ventricular tachycardia which was thought to be ischemic in origin and treated with nitrates and Lidocaine .' -p218084 -(lp218085 -S'Exception\tException\tNN\tB-NP\tO' -p218086 -aS'was\tbe\tVBD\tB-VP\tO' -p218087 -aS'a\ta\tDT\tB-NP\tO' -p218088 -aS'ten\tten\tCD\tI-NP\tO' -p218089 -aS'beat\tbeat\tNN\tI-NP\tO' -p218090 -aS'run\trun\tNN\tI-NP\tO' -p218091 -aS'of\tof\tIN\tB-PP\tO' -p218092 -aS'ventricular\tventricular\tJJ\tB-NP\tO' -p218093 -aS'tachycardia\ttachycardia\tNN\tI-NP\tO' -p218094 -aS'which\twhich\tWDT\tB-NP\tO' -p218095 -aS'was\tbe\tVBD\tB-VP\tO' -p218096 -aS'thought\tthink\tVBN\tI-VP\tO' -p218097 -aS'to\tto\tTO\tI-VP\tO' -p218098 -aS'be\tbe\tVB\tI-VP\tO' -p218099 -aS'ischemic\tischemic\tJJ\tB-ADJP\tO' -p218100 -aS'in\tin\tIN\tB-PP\tO' -p218101 -aS'origin\torigin\tNN\tB-NP\tO' -p218102 -aS'and\tand\tCC\tO\tO' -p218103 -aS'treated\ttreat\tVBN\tB-VP\tO' -p218104 -aS'with\twith\tIN\tB-PP\tO' -p218105 -aS'nitrates\tnitrate\tNNS\tB-NP\tO' -p218106 -aS'and\tand\tCC\tI-NP\tO' -p218107 -aS'Lidocaine\tLidocaine\tNN\tI-NP\tO' -p218108 -aS'.\t.\t.\tO\tO' -p218109 -asS'IUP at 36 weeks , delivered' -p218110 -(lp218111 -S'IUP\tIUP\tNN\tB-NP\tO' -p218112 -aS'at\tat\tIN\tB-PP\tO' -p218113 -aS'36\t36\tCD\tB-NP\tO' -p218114 -aS'weeks\tweek\tNNS\tI-NP\tO' -p218115 -aS',\t,\t,\tO\tO' -p218116 -aS'delivered\tdeliver\tVBN\tB-VP\tO' -p218117 -asS'The patient was scheduled for discharge to rehab .' -p218118 -(lp218119 -S'The\tThe\tDT\tB-NP\tO' -p218120 -aS'patient\tpatient\tNN\tI-NP\tO' -p218121 -aS'was\tbe\tVBD\tB-VP\tO' -p218122 -aS'scheduled\tschedule\tVBN\tI-VP\tO' -p218123 -aS'for\tfor\tIN\tB-PP\tO' -p218124 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p218125 -aS'to\tto\tTO\tB-VP\tO' -p218126 -aS'rehab\trehab\tVB\tI-VP\tO' -p218127 -aS'.\t.\t.\tO\tO' -p218128 -asS'HEENT exam revealed sclerae to be injected .' -p218129 -(lp218130 -S'HEENT\tHEENT\tNN\tB-NP\tO' -p218131 -aS'exam\texam\tNN\tI-NP\tO' -p218132 -aS'revealed\treveal\tVBD\tB-VP\tO' -p218133 -aS'sclerae\tsclerae\tNNS\tB-NP\tO' -p218134 -aS'to\tto\tTO\tB-VP\tO' -p218135 -aS'be\tbe\tVB\tI-VP\tO' -p218136 -aS'injected\tinject\tVBN\tI-VP\tO' -p218137 -aS'.\t.\t.\tO\tO' -p218138 -asS'MOnday for staple removal .' -p218139 -(lp218140 -S'MOnday\tMOnday\tNNP\tB-NP\tO' -p218141 -aS'for\tfor\tIN\tB-PP\tO' -p218142 -aS'staple\tstaple\tJJ\tB-NP\tO' -p218143 -aS'removal\tremoval\tNN\tI-NP\tO' -p218144 -aS'.\t.\t.\tO\tO' -p218145 -asS'The patient had no pronator drift .' -p218146 -(lp218147 -S'The\tThe\tDT\tB-NP\tO' -p218148 -aS'patient\tpatient\tNN\tI-NP\tO' -p218149 -aS'had\thave\tVBD\tB-VP\tO' -p218150 -aS'no\tno\tDT\tB-NP\tO' -p218151 -aS'pronator\tpronator\tNN\tI-NP\tO' -p218152 -aS'drift\tdrift\tNN\tI-NP\tO' -p218153 -aS'.\t.\t.\tO\tO' -p218154 -asS'The other daughter was recently in a car accident and underwent surgery at Saint Vincent Hospital .' -p218155 -(lp218156 -S'The\tThe\tDT\tB-NP\tO' -p218157 -aS'other\tother\tJJ\tI-NP\tO' -p218158 -aS'daughter\tdaughter\tNN\tI-NP\tO' -p218159 -aS'was\tbe\tVBD\tB-VP\tO' -p218160 -aS'recently\trecently\tRB\tB-ADVP\tO' -p218161 -aS'in\tin\tIN\tB-PP\tO' -p218162 -aS'a\ta\tDT\tB-NP\tO' -p218163 -aS'car\tcar\tNN\tI-NP\tO' -p218164 -aS'accident\taccident\tNN\tI-NP\tO' -p218165 -aS'and\tand\tCC\tO\tO' -p218166 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p218167 -aS'surgery\tsurgery\tNN\tB-NP\tO' -p218168 -aS'at\tat\tIN\tB-PP\tO' -p218169 -aS'Saint\tSaint\tNNP\tB-NP\tO' -p218170 -aS'Vincent\tVincent\tNNP\tI-NP\tO' -p218171 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p218172 -aS'.\t.\t.\tO\tO' -p218173 -asS'She had post-infarction angina , was transferred here for angiography and possible percutaneous transluminal coronary angioplasty .' -p218174 -(lp218175 -S'She\tShe\tPRP\tB-NP\tO' -p218176 -aS'had\thave\tVBD\tB-VP\tO' -p218177 -aS'post-infarction\tpost-infarction\tJJ\tB-NP\tO' -p218178 -aS'angina\tangina\tNN\tI-NP\tO' -p218179 -aS',\t,\t,\tO\tO' -p218180 -aS'was\tbe\tVBD\tB-VP\tO' -p218181 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p218182 -aS'here\there\tRB\tB-ADVP\tO' -p218183 -aS'for\tfor\tIN\tB-PP\tO' -p218184 -aS'angiography\tangiography\tNN\tB-NP\tO' -p218185 -aS'and\tand\tCC\tO\tO' -p218186 -aS'possible\tpossible\tJJ\tB-NP\tO' -p218187 -aS'percutaneous\tpercutaneous\tJJ\tI-NP\tO' -p218188 -aS'transluminal\ttransluminal\tJJ\tI-NP\tO' -p218189 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p218190 -aS'angioplasty\tangioplasty\tNN\tI-NP\tO' -p218191 -aS'.\t.\t.\tO\tO' -p218192 -asS'History of colon cancer status post hemicolectomy .' -p218193 -(lp218194 -S'History\tHistory\tNN\tB-NP\tO' -p218195 -aS'of\tof\tIN\tB-PP\tO' -p218196 -aS'colon\tcolon\tNN\tB-NP\tO' -p218197 -aS'cancer\tcancer\tNN\tI-NP\tO' -p218198 -aS'status\tstatus\tNN\tI-NP\tO' -p218199 -aS'post\tpost\tNN\tI-NP\tO' -p218200 -aS'hemicolectomy\themicolectomy\tNN\tI-NP\tO' -p218201 -aS'.\t.\t.\tO\tO' -p218202 -asS'Regular rate , no murmurs , rubs , or gallops .' -p218203 -(lp218204 -S'Regular\tRegular\tJJ\tB-NP\tO' -p218205 -aS'rate\trate\tNN\tI-NP\tO' -p218206 -aS',\t,\t,\tO\tO' -p218207 -aS'no\tno\tDT\tB-NP\tO' -p218208 -aS'murmurs\tmurmur\tNNS\tI-NP\tO' -p218209 -aS',\t,\t,\tO\tO' -p218210 -aS'rubs\trub\tNNS\tB-NP\tO' -p218211 -aS',\t,\t,\tO\tO' -p218212 -aS'or\tor\tCC\tO\tO' -p218213 -aS'gallops\tgallop\tNNS\tB-NP\tO' -p218214 -aS'.\t.\t.\tO\tO' -p218215 -asS'Impression was that this was an 83-year-old female with cardiac history , dyspnea on exertion , increased calcium and hyperparathyroidism who presents for parathyroidectomy .' -p218216 -(lp218217 -S'Impression\tImpression\tNN\tB-NP\tO' -p218218 -aS'was\tbe\tVBD\tB-VP\tO' -p218219 -aS'that\tthat\tIN\tB-SBAR\tO' -p218220 -aS'this\tthis\tDT\tB-NP\tO' -p218221 -aS'was\tbe\tVBD\tB-VP\tO' -p218222 -aS'an\tan\tDT\tB-NP\tO' -p218223 -aS'83-year-old\t83-year-old\tJJ\tI-NP\tO' -p218224 -aS'female\tfemale\tNN\tI-NP\tO' -p218225 -aS'with\twith\tIN\tB-PP\tO' -p218226 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p218227 -aS'history\thistory\tNN\tI-NP\tO' -p218228 -aS',\t,\t,\tO\tO' -p218229 -aS'dyspnea\tdyspnea\tNN\tB-NP\tO' -p218230 -aS'on\ton\tIN\tB-PP\tO' -p218231 -aS'exertion\texertion\tNN\tB-NP\tO' -p218232 -aS',\t,\t,\tO\tO' -p218233 -aS'increased\tincrease\tVBN\tB-NP\tO' -p218234 -aS'calcium\tcalcium\tNN\tI-NP\tO' -p218235 -aS'and\tand\tCC\tI-NP\tO' -p218236 -aS'hyperparathyroidism\thyperparathyroidism\tNN\tI-NP\tO' -p218237 -aS'who\twho\tWP\tB-NP\tO' -p218238 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p218239 -aS'for\tfor\tIN\tB-PP\tO' -p218240 -aS'parathyroidectomy\tparathyroidectomy\tNN\tB-NP\tO' -p218241 -aS'.\t.\t.\tO\tO' -p218242 -asS'Her pacemaker was set to a VVI mode which sensed appropriately .' -p218243 -(lp218244 -S'Her\tHer\tPRP$\tB-NP\tO' -p218245 -aS'pacemaker\tpacemaker\tNN\tI-NP\tO' -p218246 -aS'was\tbe\tVBD\tB-VP\tO' -p218247 -aS'set\tset\tVBN\tI-VP\tO' -p218248 -aS'to\tto\tTO\tB-PP\tO' -p218249 -aS'a\ta\tDT\tB-NP\tO' -p218250 -aS'VVI\tVVI\tNN\tI-NP\tO' -p218251 -aS'mode\tmode\tNN\tI-NP\tO' -p218252 -aS'which\twhich\tWDT\tB-NP\tO' -p218253 -aS'sensed\tsense\tVBD\tB-VP\tO' -p218254 -aS'appropriately\tappropriately\tRB\tB-ADVP\tO' -p218255 -aS'.\t.\t.\tO\tO' -p218256 -asS'Left lung clear from basal atelectasis .' -p218257 -(lp218258 -S'Left\tLeft\tJJ\tB-NP\tO' -p218259 -aS'lung\tlung\tNN\tI-NP\tO' -p218260 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p218261 -aS'from\tfrom\tIN\tB-PP\tO' -p218262 -aS'basal\tbasal\tJJ\tB-NP\tO' -p218263 -aS'atelectasis\tatelectasis\tNN\tI-NP\tO' -p218264 -aS'.\t.\t.\tO\tO' -p218265 -asS'The patient is a 64-year-old female with 3-vessel disease who was admitted to the Coronary Care Unit Service for Western Mass .' -p218266 -(lp218267 -S'The\tThe\tDT\tB-NP\tO' -p218268 -aS'patient\tpatient\tNN\tI-NP\tO' -p218269 -aS'is\tbe\tVBZ\tB-VP\tO' -p218270 -aS'a\ta\tDT\tB-NP\tO' -p218271 -aS'64-year-old\t64-year-old\tJJ\tI-NP\tO' -p218272 -aS'female\tfemale\tNN\tI-NP\tO' -p218273 -aS'with\twith\tIN\tB-PP\tO' -p218274 -aS'3-vessel\t3-vessel\tJJ\tB-NP\tO' -p218275 -aS'disease\tdisease\tNN\tI-NP\tO' -p218276 -aS'who\twho\tWP\tB-NP\tO' -p218277 -aS'was\tbe\tVBD\tB-VP\tO' -p218278 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p218279 -aS'to\tto\tTO\tB-PP\tO' -p218280 -aS'the\tthe\tDT\tB-NP\tO' -p218281 -aS'Coronary\tCoronary\tNNP\tI-NP\tO' -p218282 -aS'Care\tCare\tNNP\tI-NP\tO' -p218283 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p218284 -aS'Service\tService\tNNP\tI-NP\tO' -p218285 -aS'for\tfor\tIN\tB-PP\tO' -p218286 -aS'Western\tWestern\tNNP\tB-NP\tO' -p218287 -aS'Mass\tMass\tNNP\tI-NP\tO' -p218288 -aS'.\t.\t.\tO\tO' -p218289 -asS'Positive alcohol abuse in the distant past .' -p218290 -(lp218291 -S'Positive\tPositive\tJJ\tB-NP\tO' -p218292 -aS'alcohol\talcohol\tNN\tI-NP\tO' -p218293 -aS'abuse\tabuse\tNN\tI-NP\tO' -p218294 -aS'in\tin\tIN\tB-PP\tO' -p218295 -aS'the\tthe\tDT\tB-NP\tO' -p218296 -aS'distant\tdistant\tJJ\tI-NP\tO' -p218297 -aS'past\tpast\tNN\tI-NP\tO' -p218298 -aS'.\t.\t.\tO\tO' -p218299 -asS'Stage 3C papillary serous carcinoma of the ovary .' -p218300 -(lp218301 -S'Stage\tStage\tNN\tB-NP\tO' -p218302 -aS'3C\t3C\tNN\tI-NP\tO' -p218303 -aS'papillary\tpapillary\tJJ\tI-NP\tO' -p218304 -aS'serous\tserous\tJJ\tI-NP\tO' -p218305 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p218306 -aS'of\tof\tIN\tB-PP\tO' -p218307 -aS'the\tthe\tDT\tB-NP\tO' -p218308 -aS'ovary\tovary\tNN\tI-NP\tO' -p218309 -aS'.\t.\t.\tO\tO' -p218310 -asS'4. Chronic hypertension .' -p218311 -(lp218312 -S'4.\t4.\tLS\tB-NP\tO' -p218313 -aS'Chronic\tChronic\tJJ\tI-NP\tO' -p218314 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p218315 -aS'.\t.\t.\tO\tO' -p218316 -asS'warm , smooth , no rashes' -p218317 -(lp218318 -S'warm\twarm\tJJ\tB-NP\tO' -p218319 -aS',\t,\t,\tI-NP\tO' -p218320 -aS'smooth\tsmooth\tJJ\tI-NP\tO' -p218321 -aS',\t,\t,\tO\tO' -p218322 -aS'no\tno\tDT\tB-NP\tO' -p218323 -aS'rashes\trash\tNNS\tI-NP\tO' -p218324 -asS'The patient had constrictive pericarditis that was relieved by his surgical procedure .' -p218325 -(lp218326 -S'The\tThe\tDT\tB-NP\tO' -p218327 -aS'patient\tpatient\tNN\tI-NP\tO' -p218328 -aS'had\thave\tVBD\tB-VP\tO' -p218329 -aS'constrictive\tconstrictive\tJJ\tB-NP\tO' -p218330 -aS'pericarditis\tpericarditis\tNN\tI-NP\tO' -p218331 -aS'that\tthat\tWDT\tB-NP\tO' -p218332 -aS'was\tbe\tVBD\tB-VP\tO' -p218333 -aS'relieved\trelieve\tVBN\tI-VP\tO' -p218334 -aS'by\tby\tIN\tB-PP\tO' -p218335 -aS'his\this\tPRP$\tB-NP\tO' -p218336 -aS'surgical\tsurgical\tJJ\tI-NP\tO' -p218337 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p218338 -aS'.\t.\t.\tO\tO' -p218339 -asS'On the floor the patient intially was imporved , but has plateaued , responding to simple commands and verbalizing groans but no real speech .' -p218340 -(lp218341 -S'On\tOn\tIN\tB-PP\tO' -p218342 -aS'the\tthe\tDT\tB-NP\tO' -p218343 -aS'floor\tfloor\tNN\tI-NP\tO' -p218344 -aS'the\tthe\tDT\tB-NP\tO' -p218345 -aS'patient\tpatient\tNN\tI-NP\tO' -p218346 -aS'intially\tintially\tRB\tB-ADVP\tO' -p218347 -aS'was\tbe\tVBD\tB-VP\tO' -p218348 -aS'imporved\timporve\tVBN\tI-VP\tO' -p218349 -aS',\t,\t,\tO\tO' -p218350 -aS'but\tbut\tCC\tO\tO' -p218351 -aS'has\thave\tVBZ\tB-VP\tO' -p218352 -aS'plateaued\tplateaue\tVBN\tI-VP\tO' -p218353 -aS',\t,\t,\tO\tO' -p218354 -aS'responding\trespond\tVBG\tB-VP\tO' -p218355 -aS'to\tto\tTO\tB-PP\tO' -p218356 -aS'simple\tsimple\tJJ\tB-NP\tO' -p218357 -aS'commands\tcommand\tNNS\tI-NP\tO' -p218358 -aS'and\tand\tCC\tO\tO' -p218359 -aS'verbalizing\tverbalize\tVBG\tB-VP\tO' -p218360 -aS'groans\tgroan\tNNS\tB-NP\tO' -p218361 -aS'but\tbut\tCC\tO\tO' -p218362 -aS'no\tno\tDT\tB-NP\tO' -p218363 -aS'real\treal\tJJ\tI-NP\tO' -p218364 -aS'speech\tspeech\tNN\tI-NP\tO' -p218365 -aS'.\t.\t.\tO\tO' -p218366 -asS'2. To be followed by William Scheidel of Neurological Rehabilitation .' -p218367 -(lp218368 -S'2.\t2.\tLS\tB-LST\tO' -p218369 -aS'To\tTo\tTO\tB-VP\tO' -p218370 -aS'be\tbe\tVB\tI-VP\tO' -p218371 -aS'followed\tfollow\tVBN\tI-VP\tO' -p218372 -aS'by\tby\tIN\tB-PP\tO' -p218373 -aS'William\tWilliam\tNNP\tB-NP\tO' -p218374 -aS'Scheidel\tScheidel\tNNP\tI-NP\tO' -p218375 -aS'of\tof\tIN\tB-PP\tO' -p218376 -aS'Neurological\tNeurological\tNNP\tB-NP\tO' -p218377 -aS'Rehabilitation\tRehabilitation\tNNP\tI-NP\tO' -p218378 -aS'.\t.\t.\tO\tO' -p218379 -asS'On May 5 , 2005 the patient was taken to the operating room for a right parietal occipital craniotomy and debulking of the tumor using stulz neuro navigation .' -p218380 -(lp218381 -S'On\tOn\tIN\tB-PP\tO' -p218382 -aS'May\tMay\tNNP\tB-NP\tO' -p218383 -aS'5\t5\tCD\tI-NP\tO' -p218384 -aS',\t,\t,\tI-NP\tO' -p218385 -aS'2005\t2005\tCD\tI-NP\tO' -p218386 -aS'the\tthe\tDT\tB-NP\tO' -p218387 -aS'patient\tpatient\tNN\tI-NP\tO' -p218388 -aS'was\tbe\tVBD\tB-VP\tO' -p218389 -aS'taken\ttake\tVBN\tI-VP\tO' -p218390 -aS'to\tto\tTO\tB-PP\tO' -p218391 -aS'the\tthe\tDT\tB-NP\tO' -p218392 -aS'operating\toperating\tNN\tI-NP\tO' -p218393 -aS'room\troom\tNN\tI-NP\tO' -p218394 -aS'for\tfor\tIN\tB-PP\tO' -p218395 -aS'a\ta\tDT\tB-NP\tO' -p218396 -aS'right\tright\tJJ\tI-NP\tO' -p218397 -aS'parietal\tparietal\tJJ\tI-NP\tO' -p218398 -aS'occipital\toccipital\tNN\tI-NP\tO' -p218399 -aS'craniotomy\tcraniotomy\tNN\tI-NP\tO' -p218400 -aS'and\tand\tCC\tI-NP\tO' -p218401 -aS'debulking\tdebulking\tNN\tI-NP\tO' -p218402 -aS'of\tof\tIN\tB-PP\tO' -p218403 -aS'the\tthe\tDT\tB-NP\tO' -p218404 -aS'tumor\ttumor\tNN\tI-NP\tO' -p218405 -aS'using\tuse\tVBG\tB-VP\tO' -p218406 -aS'stulz\tstulz\tNN\tB-NP\tO' -p218407 -aS'neuro\tneuro\tNN\tI-NP\tO' -p218408 -aS'navigation\tnavigation\tNN\tI-NP\tO' -p218409 -aS'.\t.\t.\tO\tO' -p218410 -asS'exam was nonfocal , and there was no significant lymphadenopathy .' -p218411 -(lp218412 -S'exam\texam\tNN\tB-NP\tO' -p218413 -aS'was\tbe\tVBD\tB-VP\tO' -p218414 -aS'nonfocal\tnonfocal\tJJ\tB-ADJP\tO' -p218415 -aS',\t,\t,\tO\tO' -p218416 -aS'and\tand\tCC\tO\tO' -p218417 -aS'there\tthere\tEX\tB-NP\tO' -p218418 -aS'was\tbe\tVBD\tB-VP\tO' -p218419 -aS'no\tno\tDT\tB-NP\tO' -p218420 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p218421 -aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' -p218422 -aS'.\t.\t.\tO\tO' -p218423 -asS'The hypotension was likely due to volume depletion caused by her diarrhea / loose stools in addition to decreased PO intake secondary to her GERD and thrush .' -p218424 -(lp218425 -S'The\tThe\tDT\tB-NP\tO' -p218426 -aS'hypotension\thypotension\tNN\tI-NP\tO' -p218427 -aS'was\tbe\tVBD\tB-VP\tO' -p218428 -aS'likely\tlikely\tRB\tB-ADJP\tO' -p218429 -aS'due\tdue\tIN\tB-PP\tO' -p218430 -aS'to\tto\tTO\tB-PP\tO' -p218431 -aS'volume\tvolume\tNN\tB-NP\tO' -p218432 -aS'depletion\tdepletion\tNN\tI-NP\tO' -p218433 -aS'caused\tcause\tVBN\tB-VP\tO' -p218434 -aS'by\tby\tIN\tB-PP\tO' -p218435 -aS'her\ther\tPRP$\tB-NP\tO' -p218436 -aS'diarrhea\tdiarrhea\tNN\tI-NP\tO' -p218437 -aS'/\t/\tSYM\tB-NP\tO' -p218438 -aS'loose\tloose\tJJ\tI-NP\tO' -p218439 -aS'stools\tstool\tNNS\tI-NP\tO' -p218440 -aS'in\tin\tIN\tB-PP\tO' -p218441 -aS'addition\taddition\tNN\tB-NP\tO' -p218442 -aS'to\tto\tTO\tB-PP\tO' -p218443 -aS'decreased\tdecrease\tVBN\tB-NP\tO' -p218444 -aS'PO\tPO\tNN\tI-NP\tO' -p218445 -aS'intake\tintake\tNN\tI-NP\tO' -p218446 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p218447 -aS'to\tto\tTO\tB-PP\tO' -p218448 -aS'her\ther\tPRP$\tB-NP\tO' -p218449 -aS'GERD\tGERD\tNN\tI-NP\tO' -p218450 -aS'and\tand\tCC\tI-NP\tO' -p218451 -aS'thrush\tthrush\tNN\tI-NP\tO' -p218452 -aS'.\t.\t.\tO\tO' -p218453 -asS'By postop day 1 , the patient was awake , in no distress , and appeared lucid prior to extubation .' -p218454 -(lp218455 -S'By\tBy\tIN\tB-PP\tO' -p218456 -aS'postop\tpostop\tNN\tB-NP\tO' -p218457 -aS'day\tday\tNN\tI-NP\tO' -p218458 -aS'1\t1\tCD\tI-NP\tO' -p218459 -aS',\t,\t,\tO\tO' -p218460 -aS'the\tthe\tDT\tB-NP\tO' -p218461 -aS'patient\tpatient\tNN\tI-NP\tO' -p218462 -aS'was\tbe\tVBD\tB-VP\tO' -p218463 -aS'awake\tawake\tRB\tB-ADVP\tO' -p218464 -aS',\t,\t,\tO\tO' -p218465 -aS'in\tin\tIN\tB-PP\tO' -p218466 -aS'no\tno\tDT\tB-NP\tO' -p218467 -aS'distress\tdistress\tNN\tI-NP\tO' -p218468 -aS',\t,\t,\tO\tO' -p218469 -aS'and\tand\tCC\tO\tO' -p218470 -aS'appeared\tappear\tVBD\tB-VP\tO' -p218471 -aS'lucid\tlucid\tJJ\tB-NP\tO' -p218472 -aS'prior\tprior\tJJ\tI-NP\tO' -p218473 -aS'to\tto\tTO\tB-PP\tO' -p218474 -aS'extubation\textubation\tNN\tB-NP\tO' -p218475 -aS'.\t.\t.\tO\tO' -p218476 -asS'The abdomen was soft and nontender .' -p218477 -(lp218478 -S'The\tThe\tDT\tB-NP\tO' -p218479 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p218480 -aS'was\tbe\tVBD\tB-VP\tO' -p218481 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p218482 -aS'and\tand\tCC\tI-ADJP\tO' -p218483 -aS'nontender\tnontender\tJJ\tI-ADJP\tO' -p218484 -aS'.\t.\t.\tO\tO' -p218485 -asS'9. Ipratropium Bromide 17 mcg / Actuation Aerosol Sig : Two ( 2 ) Puff Inhalation Q4-6H ( every 4 to 6 hours ) as needed .' -p218486 -(lp218487 -S'9.\t9.\tLS\tB-NP\tO' -p218488 -aS'Ipratropium\tIpratropium\tNNP\tI-NP\tO' -p218489 -aS'Bromide\tBromide\tNNP\tI-NP\tO' -p218490 -aS'17\t17\tCD\tI-NP\tO' -p218491 -aS'mcg\tmcg\tNN\tI-NP\tO' -p218492 -aS'/\t/\tSYM\tB-NP\tO' -p218493 -aS'Actuation\tActuation\tNN\tI-NP\tO' -p218494 -aS'Aerosol\tAerosol\tNNP\tI-NP\tO' -p218495 -aS'Sig\tSig\tNNP\tI-NP\tO' -p218496 -aS':\t:\t:\tO\tO' -p218497 -aS'Two\tTwo\tCD\tB-NP\tO' -p218498 -aS'(\t(\t(\tO\tO' -p218499 -aS'2\t2\tCD\tO\tO' -p218500 -aS')\t)\t)\tO\tO' -p218501 -aS'Puff\tPuff\tNN\tB-NP\tO' -p218502 -aS'Inhalation\tInhalation\tNN\tI-NP\tO' -p218503 -aS'Q4-6H\tQ4-6H\tNN\tI-NP\tO' -p218504 -aS'(\t(\t(\tO\tO' -p218505 -aS'every\tevery\tDT\tB-NP\tO' -p218506 -aS'4\t4\tCD\tI-NP\tO' -p218507 -aS'to\tto\tTO\tI-NP\tO' -p218508 -aS'6\t6\tCD\tI-NP\tO' -p218509 -aS'hours\thour\tNNS\tI-NP\tO' -p218510 -aS')\t)\t)\tO\tO' -p218511 -aS'as\tas\tIN\tB-SBAR\tO' -p218512 -aS'needed\tneed\tVBN\tB-VP\tO' -p218513 -aS'.\t.\t.\tO\tO' -p218514 -asS'Please conitnue to keep hands elevated in bed until follow up appointment with plastic surgery .' -p218515 -(lp218516 -S'Please\tPlease\tVB\tB-VP\tO' -p218517 -aS'conitnue\tconitnue\tNN\tB-NP\tO' -p218518 -aS'to\tto\tTO\tB-VP\tO' -p218519 -aS'keep\tkeep\tVB\tI-VP\tO' -p218520 -aS'hands\thand\tNNS\tB-NP\tO' -p218521 -aS'elevated\televate\tVBN\tB-VP\tO' -p218522 -aS'in\tin\tIN\tB-PP\tO' -p218523 -aS'bed\tbed\tNN\tB-NP\tO' -p218524 -aS'until\tuntil\tIN\tB-PP\tO' -p218525 -aS'follow\tfollow\tNN\tB-VP\tO' -p218526 -aS'up\tup\tRP\tB-PRT\tO' -p218527 -aS'appointment\tappointment\tNN\tB-NP\tO' -p218528 -aS'with\twith\tIN\tB-PP\tO' -p218529 -aS'plastic\tplastic\tNN\tB-NP\tO' -p218530 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p218531 -aS'.\t.\t.\tO\tO' -p218532 -asS'He was given Zosyn for empiric treatment .' -p218533 -(lp218534 -S'He\tHe\tPRP\tB-NP\tO' -p218535 -aS'was\tbe\tVBD\tB-VP\tO' -p218536 -aS'given\tgive\tVBN\tI-VP\tO' -p218537 -aS'Zosyn\tZosyn\tNNP\tB-NP\tO' -p218538 -aS'for\tfor\tIN\tB-PP\tO' -p218539 -aS'empiric\tempiric\tJJ\tB-NP\tO' -p218540 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p218541 -aS'.\t.\t.\tO\tO' -p218542 -asS'The oropharynx was within normal limits with fillings and a partial upper plate .' -p218543 -(lp218544 -S'The\tThe\tDT\tB-NP\tO' -p218545 -aS'oropharynx\toropharynx\tNN\tI-NP\tO' -p218546 -aS'was\tbe\tVBD\tB-VP\tO' -p218547 -aS'within\twithin\tIN\tB-PP\tO' -p218548 -aS'normal\tnormal\tJJ\tB-NP\tO' -p218549 -aS'limits\tlimit\tNNS\tI-NP\tO' -p218550 -aS'with\twith\tIN\tB-PP\tO' -p218551 -aS'fillings\tfilling\tNNS\tB-NP\tO' -p218552 -aS'and\tand\tCC\tO\tO' -p218553 -aS'a\ta\tDT\tB-NP\tO' -p218554 -aS'partial\tpartial\tJJ\tI-NP\tO' -p218555 -aS'upper\tupper\tJJ\tI-NP\tO' -p218556 -aS'plate\tplate\tNN\tI-NP\tO' -p218557 -aS'.\t.\t.\tO\tO' -p218558 -asS'Speech was fluent .' -p218559 -(lp218560 -S'Speech\tSpeech\tNN\tB-NP\tO' -p218561 -aS'was\tbe\tVBD\tB-VP\tO' -p218562 -aS'fluent\tfluent\tJJ\tB-ADJP\tO' -p218563 -aS'.\t.\t.\tO\tO' -p218564 -asS'At that time , she was afebrile and her vital signs were stable .' -p218565 -(lp218566 -S'At\tAt\tIN\tB-PP\tO' -p218567 -aS'that\tthat\tDT\tB-NP\tO' -p218568 -aS'time\ttime\tNN\tI-NP\tO' -p218569 -aS',\t,\t,\tO\tO' -p218570 -aS'she\tshe\tPRP\tB-NP\tO' -p218571 -aS'was\tbe\tVBD\tB-VP\tO' -p218572 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p218573 -aS'and\tand\tCC\tO\tO' -p218574 -aS'her\ther\tPRP$\tB-NP\tO' -p218575 -aS'vital\tvital\tJJ\tI-NP\tO' -p218576 -aS'signs\tsign\tNNS\tI-NP\tO' -p218577 -aS'were\tbe\tVBD\tB-VP\tO' -p218578 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p218579 -aS'.\t.\t.\tO\tO' -p218580 -asS'She was standing and walking with her friend , who " had to catch her from falling down " as she toppled towards the right .' -p218581 -(lp218582 -S'She\tShe\tPRP\tB-NP\tO' -p218583 -aS'was\tbe\tVBD\tB-VP\tO' -p218584 -aS'standing\tstand\tVBG\tI-VP\tO' -p218585 -aS'and\tand\tCC\tI-VP\tO' -p218586 -aS'walking\twalk\tVBG\tI-VP\tO' -p218587 -aS'with\twith\tIN\tB-PP\tO' -p218588 -aS'her\ther\tPRP$\tB-NP\tO' -p218589 -aS'friend\tfriend\tNN\tI-NP\tO' -p218590 -aS',\t,\t,\tO\tO' -p218591 -aS'who\twho\tWP\tB-NP\tO' -p218592 -aS'"\t"\tVBP\tB-VP\tO' -p218593 -aS'had\thave\tVBD\tI-VP\tO' -p218594 -aS'to\tto\tTO\tI-VP\tO' -p218595 -aS'catch\tcatch\tVB\tI-VP\tO' -p218596 -aS'her\ther\tPRP\tB-NP\tO' -p218597 -aS'from\tfrom\tIN\tB-PP\tO' -p218598 -aS'falling\tfall\tVBG\tB-VP\tO' -p218599 -aS'down\tdown\tRP\tB-PRT\tO' -p218600 -aS'"\t"\t:\tO\tO' -p218601 -aS'as\tas\tIN\tB-SBAR\tO' -p218602 -aS'she\tshe\tPRP\tB-NP\tO' -p218603 -aS'toppled\ttopple\tVBD\tB-VP\tO' -p218604 -aS'towards\ttowards\tIN\tB-PP\tO' -p218605 -aS'the\tthe\tDT\tB-NP\tO' -p218606 -aS'right\tright\tNN\tI-NP\tO' -p218607 -aS'.\t.\t.\tO\tO' -p218608 -asS'Dopamine was discontinued on day one .' -p218609 -(lp218610 -S'Dopamine\tDopamine\tNN\tB-NP\tO' -p218611 -aS'was\tbe\tVBD\tB-VP\tO' -p218612 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p218613 -aS'on\ton\tIN\tB-PP\tO' -p218614 -aS'day\tday\tNN\tB-NP\tO' -p218615 -aS'one\tone\tCD\tI-NP\tO' -p218616 -aS'.\t.\t.\tO\tO' -p218617 -asS'Her groin exam was unchanged .' -p218618 -(lp218619 -S'Her\tHer\tPRP$\tB-NP\tO' -p218620 -aS'groin\tgroin\tNN\tI-NP\tO' -p218621 -aS'exam\texam\tNN\tI-NP\tO' -p218622 -aS'was\tbe\tVBD\tB-VP\tO' -p218623 -aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' -p218624 -aS'.\t.\t.\tO\tO' -p218625 -asS'There was a large left pleural effusion however .' -p218626 -(lp218627 -S'There\tThere\tEX\tB-NP\tO' -p218628 -aS'was\tbe\tVBD\tB-VP\tO' -p218629 -aS'a\ta\tDT\tB-NP\tO' -p218630 -aS'large\tlarge\tJJ\tI-NP\tO' -p218631 -aS'left\tleft\tJJ\tI-NP\tO' -p218632 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p218633 -aS'effusion\teffusion\tNN\tI-NP\tO' -p218634 -aS'however\thowever\tRB\tB-ADVP\tO' -p218635 -aS'.\t.\t.\tO\tO' -p218636 -asS'She has not found any relieve with any over the counter medications .' -p218637 -(lp218638 -S'She\tShe\tPRP\tB-NP\tO' -p218639 -aS'has\thave\tVBZ\tB-VP\tO' -p218640 -aS'not\tnot\tRB\tI-VP\tO' -p218641 -aS'found\tfind\tVBN\tI-VP\tO' -p218642 -aS'any\tany\tDT\tB-NP\tO' -p218643 -aS'relieve\trelieve\tNN\tI-NP\tO' -p218644 -aS'with\twith\tIN\tB-PP\tO' -p218645 -aS'any\tany\tDT\tB-NP\tO' -p218646 -aS'over\tover\tIN\tB-PP\tO' -p218647 -aS'the\tthe\tDT\tB-NP\tO' -p218648 -aS'counter\tcounter\tNN\tI-NP\tO' -p218649 -aS'medications\tmedication\tNNS\tI-NP\tO' -p218650 -aS'.\t.\t.\tO\tO' -p218651 -asS'Plan for pt to complete total of 28 day course of therapy for PCP , James will be completed on 01-16 .' -p218652 -(lp218653 -S'Plan\tPlan\tNN\tB-NP\tO' -p218654 -aS'for\tfor\tIN\tB-PP\tO' -p218655 -aS'pt\tpt\tNN\tB-NP\tO' -p218656 -aS'to\tto\tTO\tB-VP\tO' -p218657 -aS'complete\tcomplete\tVB\tI-VP\tO' -p218658 -aS'total\ttotal\tNN\tB-NP\tO' -p218659 -aS'of\tof\tIN\tB-PP\tO' -p218660 -aS'28\t28\tCD\tB-NP\tO' -p218661 -aS'day\tday\tNN\tI-NP\tO' -p218662 -aS'course\tcourse\tNN\tI-NP\tO' -p218663 -aS'of\tof\tIN\tB-PP\tO' -p218664 -aS'therapy\ttherapy\tNN\tB-NP\tO' -p218665 -aS'for\tfor\tIN\tB-PP\tO' -p218666 -aS'PCP\tPCP\tNN\tB-NP\tB-protein' -p218667 -aS',\t,\t,\tO\tO' -p218668 -aS'James\tJames\tNNP\tB-NP\tO' -p218669 -aS'will\twill\tMD\tB-VP\tO' -p218670 -aS'be\tbe\tVB\tI-VP\tO' -p218671 -aS'completed\tcomplete\tVBN\tI-VP\tO' -p218672 -aS'on\ton\tIN\tB-PP\tO' -p218673 -aS'01-16\t01-16\tCD\tB-NP\tO' -p218674 -aS'.\t.\t.\tO\tO' -p218675 -asS'34 yo G3P3 with pelvic organ prolapse after her second delivery; after her third delivery it became much worse .' -p218676 -(lp218677 -S'34\t34\tCD\tB-NP\tO' -p218678 -aS'yo\tyo\tNN\tI-NP\tO' -p218679 -aS'G3P3\tG3P3\tNN\tI-NP\tO' -p218680 -aS'with\twith\tIN\tB-PP\tO' -p218681 -aS'pelvic\tpelvic\tJJ\tB-NP\tO' -p218682 -aS'organ\torgan\tNN\tI-NP\tO' -p218683 -aS'prolapse\tprolapse\tNN\tI-NP\tO' -p218684 -aS'after\tafter\tIN\tB-PP\tO' -p218685 -aS'her\ther\tPRP$\tB-NP\tO' -p218686 -aS'second\tsecond\tJJ\tI-NP\tO' -p218687 -aS'delivery;\tdelivery;\tNN\tI-NP\tO' -p218688 -aS'after\tafter\tIN\tB-PP\tO' -p218689 -aS'her\ther\tPRP$\tB-NP\tO' -p218690 -aS'third\tthird\tJJ\tI-NP\tO' -p218691 -aS'delivery\tdelivery\tNN\tI-NP\tO' -p218692 -aS'it\tit\tPRP\tB-NP\tO' -p218693 -aS'became\tbecome\tVBD\tB-VP\tO' -p218694 -aS'much\tmuch\tRB\tB-ADJP\tO' -p218695 -aS'worse\tworse\tJJR\tI-ADJP\tO' -p218696 -aS'.\t.\t.\tO\tO' -p218697 -asS'She also fell into a coma once again .' -p218698 -(lp218699 -S'She\tShe\tPRP\tB-NP\tO' -p218700 -aS'also\talso\tRB\tB-ADVP\tO' -p218701 -aS'fell\tfall\tVBD\tB-VP\tO' -p218702 -aS'into\tinto\tIN\tB-PP\tO' -p218703 -aS'a\ta\tDT\tB-NP\tO' -p218704 -aS'coma\tcoma\tNN\tI-NP\tO' -p218705 -aS'once\tonce\tRB\tB-ADVP\tO' -p218706 -aS'again\tagain\tRB\tI-ADVP\tO' -p218707 -aS'.\t.\t.\tO\tO' -p218708 -asS'She fell on her R side and had a great deal of pain in her R arm and hip .' -p218709 -(lp218710 -S'She\tShe\tPRP\tB-NP\tO' -p218711 -aS'fell\tfall\tVBD\tB-VP\tO' -p218712 -aS'on\ton\tIN\tB-PP\tO' -p218713 -aS'her\ther\tPRP$\tB-NP\tO' -p218714 -aS'R\tR\tNN\tI-NP\tO' -p218715 -aS'side\tside\tNN\tI-NP\tO' -p218716 -aS'and\tand\tCC\tO\tO' -p218717 -aS'had\thave\tVBD\tB-VP\tO' -p218718 -aS'a\ta\tDT\tB-NP\tO' -p218719 -aS'great\tgreat\tJJ\tI-NP\tO' -p218720 -aS'deal\tdeal\tNN\tI-NP\tO' -p218721 -aS'of\tof\tIN\tB-PP\tO' -p218722 -aS'pain\tpain\tNN\tB-NP\tO' -p218723 -aS'in\tin\tIN\tB-PP\tO' -p218724 -aS'her\ther\tPRP$\tB-NP\tO' -p218725 -aS'R\tR\tNN\tI-NP\tB-protein' -p218726 -aS'arm\tarm\tNN\tI-NP\tI-protein' -p218727 -aS'and\tand\tCC\tI-NP\tO' -p218728 -aS'hip\thip\tNN\tI-NP\tO' -p218729 -aS'.\t.\t.\tO\tO' -p218730 -asS'Lives in nursing home .' -p218731 -(lp218732 -S'Lives\tLife\tNNS\tB-NP\tO' -p218733 -aS'in\tin\tIN\tB-PP\tO' -p218734 -aS'nursing\tnursing\tNN\tB-NP\tO' -p218735 -aS'home\thome\tNN\tI-NP\tO' -p218736 -aS'.\t.\t.\tO\tO' -p218737 -asS'1. Factor 8 deficiency .' -p218738 -(lp218739 -S'1.\t1.\tLS\tB-NP\tO' -p218740 -aS'Factor\tFactor\tNN\tI-NP\tO' -p218741 -aS'8\t8\tCD\tI-NP\tO' -p218742 -aS'deficiency\tdeficiency\tNN\tI-NP\tO' -p218743 -aS'.\t.\t.\tO\tO' -p218744 -asS'5. Depression .' -p218745 -(lp218746 -S'5.\t5.\tLS\tB-NP\tO' -p218747 -aS'Depression\tDepression\tNN\tI-NP\tO' -p218748 -aS'.\t.\t.\tO\tO' -p218749 -asS'NKDA .' -p218750 -(lp218751 -S'NKDA\tNKDA\tNN\tB-NP\tB-protein' -p218752 -aS'.\t.\t.\tO\tO' -p218753 -asS'Asthma flare and bronchitis .' -p218754 -(lp218755 -S'Asthma\tAsthma\tNN\tB-NP\tO' -p218756 -aS'flare\tflare\tNN\tI-NP\tO' -p218757 -aS'and\tand\tCC\tI-NP\tO' -p218758 -aS'bronchitis\tbronchitis\tNN\tI-NP\tO' -p218759 -aS'.\t.\t.\tO\tO' -p218760 -asS'general surgery was consulted and the patient was taken to the OR for exploratory laproratomy .' -p218761 -(lp218762 -S'general\tgeneral\tJJ\tB-NP\tO' -p218763 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p218764 -aS'was\tbe\tVBD\tB-VP\tO' -p218765 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p218766 -aS'and\tand\tCC\tO\tO' -p218767 -aS'the\tthe\tDT\tB-NP\tO' -p218768 -aS'patient\tpatient\tNN\tI-NP\tO' -p218769 -aS'was\tbe\tVBD\tB-VP\tO' -p218770 -aS'taken\ttake\tVBN\tI-VP\tO' -p218771 -aS'to\tto\tTO\tB-PP\tO' -p218772 -aS'the\tthe\tDT\tB-NP\tO' -p218773 -aS'OR\tOR\tNN\tI-NP\tO' -p218774 -aS'for\tfor\tIN\tB-PP\tO' -p218775 -aS'exploratory\texploratory\tJJ\tB-NP\tO' -p218776 -aS'laproratomy\tlaproratomy\tNN\tI-NP\tO' -p218777 -aS'.\t.\t.\tO\tO' -p218778 -asS'Had thoracentesis by interventional pumonology on 2015-07-01 revealing almost 2 L of serous exudative fluid .' -p218779 -(lp218780 -S'Had\tHave\tVBD\tB-VP\tO' -p218781 -aS'thoracentesis\tthoracentesis\tNN\tB-NP\tO' -p218782 -aS'by\tby\tIN\tB-PP\tO' -p218783 -aS'interventional\tinterventional\tJJ\tB-NP\tO' -p218784 -aS'pumonology\tpumonology\tNN\tI-NP\tO' -p218785 -aS'on\ton\tIN\tB-PP\tO' -p218786 -aS'2015-07-01\t2015-07-01\tCD\tB-NP\tO' -p218787 -aS'revealing\treveal\tVBG\tB-VP\tO' -p218788 -aS'almost\talmost\tRB\tB-NP\tO' -p218789 -aS'2\t2\tCD\tI-NP\tO' -p218790 -aS'L\tL\tNN\tI-NP\tO' -p218791 -aS'of\tof\tIN\tB-PP\tO' -p218792 -aS'serous\tserous\tJJ\tB-NP\tO' -p218793 -aS'exudative\texudative\tJJ\tI-NP\tO' -p218794 -aS'fluid\tfluid\tNN\tI-NP\tO' -p218795 -aS'.\t.\t.\tO\tO' -p218796 -asS'Abdomen : protuberant , nt/nd , nabs' -p218797 -(lp218798 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p218799 -aS':\t:\t:\tO\tO' -p218800 -aS'protuberant\tprotuberant\tNN\tB-NP\tO' -p218801 -aS',\t,\t,\tO\tO' -p218802 -aS'nt/nd\tnt/nd\tNN\tB-NP\tO' -p218803 -aS',\t,\t,\tO\tO' -p218804 -aS'nabs\tnab\tNNS\tB-NP\tO' -p218805 -asS'Signed electronically by : DR. Dalila Talbot on : Robert 2010-09-23 4:07 PM' -p218806 -(lp218807 -S'Signed\tSign\tVBN\tB-VP\tO' -p218808 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p218809 -aS'by\tby\tIN\tB-PP\tO' -p218810 -aS':\t:\t:\tO\tO' -p218811 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p218812 -aS'Dalila\tDalila\tNNP\tI-NP\tO' -p218813 -aS'Talbot\tTalbot\tNNP\tI-NP\tO' -p218814 -aS'on\ton\tIN\tB-PP\tO' -p218815 -aS':\t:\t:\tO\tO' -p218816 -aS'Robert\tRobert\tNNP\tB-NP\tO' -p218817 -aS'2010-09-23\t2010-09-23\tCD\tB-NP\tO' -p218818 -aS'4:07\t4:07\tCD\tI-NP\tO' -p218819 -aS'PM\tPM\tNN\tI-NP\tO' -p218820 -asS'Type II diabetes .' -p218821 -(lp218822 -S'Type\tType\tNN\tB-NP\tO' -p218823 -aS'II\tII\tCD\tI-NP\tO' -p218824 -aS'diabetes\tdiabete\tNNS\tI-NP\tO' -p218825 -aS'.\t.\t.\tO\tO' -p218826 -asS'Dictated By : Julie H. Bullock , M.D.' -p218827 -(lp218828 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p218829 -aS'By\tBy\tIN\tB-PP\tO' -p218830 -aS':\t:\t:\tO\tO' -p218831 -aS'Julie\tJulie\tNNP\tB-NP\tO' -p218832 -aS'H.\tH.\tNNP\tI-NP\tO' -p218833 -aS'Bullock\tBullock\tNNP\tI-NP\tO' -p218834 -aS',\t,\t,\tO\tO' -p218835 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p218836 -asS'6. Percocet 5/325 one to two tablets p.o. q. four to six hours p.r.n.' -p218837 -(lp218838 -S'6.\t6.\tCD\tB-NP\tO' -p218839 -aS'Percocet\tPercocet\tNNP\tI-NP\tO' -p218840 -aS'5/325\t5/325\tCD\tI-NP\tO' -p218841 -aS'one\tone\tCD\tI-NP\tO' -p218842 -aS'to\tto\tTO\tI-NP\tO' -p218843 -aS'two\ttwo\tCD\tI-NP\tO' -p218844 -aS'tablets\ttablet\tNNS\tI-NP\tO' -p218845 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p218846 -aS'q.\tq.\tFW\tI-NP\tO' -p218847 -aS'four\tfour\tCD\tI-NP\tO' -p218848 -aS'to\tto\tTO\tI-NP\tO' -p218849 -aS'six\tsix\tCD\tI-NP\tO' -p218850 -aS'hours\thour\tNNS\tI-NP\tO' -p218851 -aS'p.r.n.\tp.r.n.\tRB\tB-ADVP\tO' -p218852 -asS'Intravenous antibiotics were discontinued and the patient was continued on p.o. Vancomycin .' -p218853 -(lp218854 -S'Intravenous\tIntravenous\tJJ\tB-NP\tO' -p218855 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p218856 -aS'were\tbe\tVBD\tB-VP\tO' -p218857 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p218858 -aS'and\tand\tCC\tO\tO' -p218859 -aS'the\tthe\tDT\tB-NP\tO' -p218860 -aS'patient\tpatient\tNN\tI-NP\tO' -p218861 -aS'was\tbe\tVBD\tB-VP\tO' -p218862 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p218863 -aS'on\ton\tIN\tB-PP\tO' -p218864 -aS'p.o.\tp.o.\tFW\tB-NP\tO' -p218865 -aS'Vancomycin\tVancomycin\tNN\tI-NP\tO' -p218866 -aS'.\t.\t.\tO\tO' -p218867 -asS'SOCIAL HISTORY : The patient denied tobacco .' -p218868 -(lp218869 -S'SOCIAL\tSOCIAL\tJJ\tB-NP\tO' -p218870 -aS'HISTORY\tHISTORY\tNN\tI-NP\tO' -p218871 -aS':\t:\t:\tO\tO' -p218872 -aS'The\tThe\tDT\tB-NP\tO' -p218873 -aS'patient\tpatient\tNN\tI-NP\tO' -p218874 -aS'denied\tdeny\tVBD\tB-VP\tO' -p218875 -aS'tobacco\ttobacco\tNN\tB-NP\tO' -p218876 -aS'.\t.\t.\tO\tO' -p218877 -asS'She was anticoagulated with heparin and after several days Coumadin was started .' -p218878 -(lp218879 -S'She\tShe\tPRP\tB-NP\tO' -p218880 -aS'was\tbe\tVBD\tB-VP\tO' -p218881 -aS'anticoagulated\tanticoagulate\tVBN\tI-VP\tO' -p218882 -aS'with\twith\tIN\tB-PP\tO' -p218883 -aS'heparin\theparin\tNN\tB-NP\tO' -p218884 -aS'and\tand\tCC\tB-PP\tO' -p218885 -aS'after\tafter\tIN\tB-PP\tO' -p218886 -aS'several\tseveral\tJJ\tB-NP\tO' -p218887 -aS'days\tday\tNNS\tI-NP\tO' -p218888 -aS'Coumadin\tCoumadin\tNN\tI-NP\tO' -p218889 -aS'was\tbe\tVBD\tB-VP\tO' -p218890 -aS'started\tstart\tVBN\tI-VP\tO' -p218891 -aS'.\t.\t.\tO\tO' -p218892 -asS'The patient was nonverbal , but was able to open her eyes and nod .' -p218893 -(lp218894 -S'The\tThe\tDT\tB-NP\tO' -p218895 -aS'patient\tpatient\tNN\tI-NP\tO' -p218896 -aS'was\tbe\tVBD\tB-VP\tO' -p218897 -aS'nonverbal\tnonverbal\tJJ\tB-ADJP\tO' -p218898 -aS',\t,\t,\tO\tO' -p218899 -aS'but\tbut\tCC\tO\tO' -p218900 -aS'was\tbe\tVBD\tB-VP\tO' -p218901 -aS'able\table\tJJ\tB-ADJP\tO' -p218902 -aS'to\tto\tTO\tB-VP\tO' -p218903 -aS'open\topen\tVB\tI-VP\tO' -p218904 -aS'her\ther\tPRP$\tB-NP\tO' -p218905 -aS'eyes\teye\tNNS\tI-NP\tO' -p218906 -aS'and\tand\tCC\tI-NP\tO' -p218907 -aS'nod\tnod\tNN\tI-NP\tO' -p218908 -aS'.\t.\t.\tO\tO' -p218909 -asS'Prior to discharge the patient also underwent an audiogram as a baseline hearing test while the patient was to stay on long term intravenous antibiotics .' -p218910 -(lp218911 -S'Prior\tPrior\tRB\tB-ADVP\tO' -p218912 -aS'to\tto\tTO\tB-VP\tO' -p218913 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p218914 -aS'the\tthe\tDT\tB-NP\tO' -p218915 -aS'patient\tpatient\tNN\tI-NP\tO' -p218916 -aS'also\talso\tRB\tB-ADVP\tO' -p218917 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p218918 -aS'an\tan\tDT\tB-NP\tO' -p218919 -aS'audiogram\taudiogram\tNN\tI-NP\tO' -p218920 -aS'as\tas\tIN\tB-PP\tO' -p218921 -aS'a\ta\tDT\tB-NP\tO' -p218922 -aS'baseline\tbaseline\tNN\tI-NP\tO' -p218923 -aS'hearing\thearing\tNN\tI-NP\tO' -p218924 -aS'test\ttest\tNN\tI-NP\tO' -p218925 -aS'while\twhile\tIN\tB-SBAR\tO' -p218926 -aS'the\tthe\tDT\tB-NP\tO' -p218927 -aS'patient\tpatient\tNN\tI-NP\tO' -p218928 -aS'was\tbe\tVBD\tB-VP\tO' -p218929 -aS'to\tto\tTO\tB-VP\tO' -p218930 -aS'stay\tstay\tVB\tI-VP\tO' -p218931 -aS'on\ton\tIN\tB-PP\tO' -p218932 -aS'long\tlong\tJJ\tB-NP\tO' -p218933 -aS'term\tterm\tNN\tI-NP\tO' -p218934 -aS'intravenous\tintravenous\tJJ\tI-NP\tO' -p218935 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p218936 -aS'.\t.\t.\tO\tO' -p218937 -asS'A mmamogram showed no change on right , but new biopsy was positive .' -p218938 -(lp218939 -S'A\tA\tDT\tB-NP\tO' -p218940 -aS'mmamogram\tmmamogram\tNN\tI-NP\tO' -p218941 -aS'showed\tshow\tVBD\tB-VP\tO' -p218942 -aS'no\tno\tDT\tB-NP\tO' -p218943 -aS'change\tchange\tNN\tI-NP\tO' -p218944 -aS'on\ton\tIN\tB-PP\tO' -p218945 -aS'right\tright\tNN\tB-NP\tO' -p218946 -aS',\t,\t,\tO\tO' -p218947 -aS'but\tbut\tCC\tO\tO' -p218948 -aS'new\tnew\tJJ\tB-NP\tO' -p218949 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p218950 -aS'was\tbe\tVBD\tB-VP\tO' -p218951 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p218952 -aS'.\t.\t.\tO\tO' -p218953 -asS'His operation was complicated by severe coagulopathy requiring fifty-nine units of packed red blood cells , 64 units of FFP and 34 units of platelets .' -p218954 -(lp218955 -S'His\tHis\tPRP$\tB-NP\tO' -p218956 -aS'operation\toperation\tNN\tI-NP\tO' -p218957 -aS'was\tbe\tVBD\tB-VP\tO' -p218958 -aS'complicated\tcomplicate\tVBN\tI-VP\tO' -p218959 -aS'by\tby\tIN\tB-PP\tO' -p218960 -aS'severe\tsevere\tJJ\tB-NP\tO' -p218961 -aS'coagulopathy\tcoagulopathy\tNN\tI-NP\tO' -p218962 -aS'requiring\trequire\tVBG\tB-VP\tO' -p218963 -aS'fifty-nine\tfifty-nine\tJJ\tB-NP\tO' -p218964 -aS'units\tunit\tNNS\tI-NP\tO' -p218965 -aS'of\tof\tIN\tB-PP\tO' -p218966 -aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' -p218967 -aS'red\tred\tJJ\tI-NP\tI-cell_type' -p218968 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p218969 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p218970 -aS',\t,\t,\tO\tO' -p218971 -aS'64\t64\tCD\tB-NP\tO' -p218972 -aS'units\tunit\tNNS\tI-NP\tO' -p218973 -aS'of\tof\tIN\tB-PP\tO' -p218974 -aS'FFP\tFFP\tNN\tB-NP\tO' -p218975 -aS'and\tand\tCC\tO\tO' -p218976 -aS'34\t34\tCD\tB-NP\tO' -p218977 -aS'units\tunit\tNNS\tI-NP\tO' -p218978 -aS'of\tof\tIN\tB-PP\tO' -p218979 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p218980 -aS'.\t.\t.\tO\tO' -p218981 -asS'5. The aortic valve leaflets ( 3 ) appear structurally normal with good leaflet excursion .' -p218982 -(lp218983 -S'5.\t5.\tLS\tB-LST\tO' -p218984 -aS'The\tThe\tDT\tB-NP\tO' -p218985 -aS'aortic\taortic\tJJ\tI-NP\tO' -p218986 -aS'valve\tvalve\tNN\tI-NP\tO' -p218987 -aS'leaflets\tleaflet\tNNS\tI-NP\tO' -p218988 -aS'(\t(\t(\tO\tO' -p218989 -aS'3\t3\tCD\tB-NP\tO' -p218990 -aS')\t)\t)\tO\tO' -p218991 -aS'appear\tappear\tVBP\tB-VP\tO' -p218992 -aS'structurally\tstructurally\tRB\tB-ADJP\tO' -p218993 -aS'normal\tnormal\tJJ\tI-ADJP\tO' -p218994 -aS'with\twith\tIN\tB-PP\tO' -p218995 -aS'good\tgood\tJJ\tB-NP\tO' -p218996 -aS'leaflet\tleaflet\tNN\tI-NP\tO' -p218997 -aS'excursion\texcursion\tNN\tI-NP\tO' -p218998 -aS'.\t.\t.\tO\tO' -p218999 -asS'equivalent which was relieved by sublingual nitroglycerin .' -p219000 -(lp219001 -S'equivalent\tequivalent\tJJ\tB-ADJP\tO' -p219002 -aS'which\twhich\tWDT\tB-NP\tO' -p219003 -aS'was\tbe\tVBD\tB-VP\tO' -p219004 -aS'relieved\trelieve\tVBN\tI-VP\tO' -p219005 -aS'by\tby\tIN\tB-PP\tO' -p219006 -aS'sublingual\tsublingual\tJJ\tB-NP\tO' -p219007 -aS'nitroglycerin\tnitroglycerin\tNN\tI-NP\tO' -p219008 -aS'.\t.\t.\tO\tO' -p219009 -asS'1 day PTA , pt developed stridorous breathing and respiratory distress .' -p219010 -(lp219011 -S'1\t1\tCD\tB-NP\tO' -p219012 -aS'day\tday\tNN\tI-NP\tO' -p219013 -aS'PTA\tPTA\tNN\tI-NP\tO' -p219014 -aS',\t,\t,\tO\tO' -p219015 -aS'pt\tpt\tNN\tB-NP\tO' -p219016 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p219017 -aS'stridorous\tstridorous\tJJ\tB-NP\tO' -p219018 -aS'breathing\tbreathing\tNN\tI-NP\tO' -p219019 -aS'and\tand\tCC\tO\tO' -p219020 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p219021 -aS'distress\tdistress\tNN\tI-NP\tO' -p219022 -aS'.\t.\t.\tO\tO' -p219023 -asS'Given no evidence of hemodynamic instability , lysis was not required .' -p219024 -(lp219025 -S'Given\tGive\tVBN\tB-VP\tO' -p219026 -aS'no\tno\tDT\tB-NP\tO' -p219027 -aS'evidence\tevidence\tNN\tI-NP\tO' -p219028 -aS'of\tof\tIN\tB-PP\tO' -p219029 -aS'hemodynamic\themodynamic\tJJ\tB-NP\tO' -p219030 -aS'instability\tinstability\tNN\tI-NP\tO' -p219031 -aS',\t,\t,\tO\tO' -p219032 -aS'lysis\tlysis\tNN\tB-NP\tO' -p219033 -aS'was\tbe\tVBD\tB-VP\tO' -p219034 -aS'not\tnot\tRB\tI-VP\tO' -p219035 -aS'required\trequire\tVBN\tI-VP\tO' -p219036 -aS'.\t.\t.\tO\tO' -p219037 -asS'Medications , metabolic disturbances , and infection are among the most common causes .' -p219038 -(lp219039 -S'Medications\tMedication\tNNS\tB-NP\tO' -p219040 -aS',\t,\t,\tO\tO' -p219041 -aS'metabolic\tmetabolic\tJJ\tB-NP\tO' -p219042 -aS'disturbances\tdisturbance\tNNS\tI-NP\tO' -p219043 -aS',\t,\t,\tO\tO' -p219044 -aS'and\tand\tCC\tO\tO' -p219045 -aS'infection\tinfection\tNN\tB-NP\tO' -p219046 -aS'are\tbe\tVBP\tB-VP\tO' -p219047 -aS'among\tamong\tIN\tB-PP\tO' -p219048 -aS'the\tthe\tDT\tB-NP\tO' -p219049 -aS'most\tmost\tRBS\tI-NP\tO' -p219050 -aS'common\tcommon\tJJ\tI-NP\tO' -p219051 -aS'causes\tcause\tNNS\tI-NP\tO' -p219052 -aS'.\t.\t.\tO\tO' -p219053 -asS'Attending : Willa D Garcia , M.D.' -p219054 -(lp219055 -S'Attending\tAttend\tVBG\tB-VP\tO' -p219056 -aS':\t:\t:\tO\tO' -p219057 -aS'Willa\tWilla\tNNP\tB-NP\tO' -p219058 -aS'D\tD\tNNP\tI-NP\tO' -p219059 -aS'Garcia\tGarcia\tNNP\tI-NP\tO' -p219060 -aS',\t,\t,\tO\tO' -p219061 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p219062 -asS'# F/E/N - NPO initially while on BIPAP and now low sodium cardiac diet .' -p219063 -(lp219064 -S'#\t#\t#\tB-NP\tO' -p219065 -aS'F/E/N\tF/E/N\tNN\tI-NP\tB-protein' -p219066 -aS'-\t-\tHYPH\tB-NP\tO' -p219067 -aS'NPO\tNPO\tNN\tI-NP\tB-protein' -p219068 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p219069 -aS'while\twhile\tIN\tB-SBAR\tO' -p219070 -aS'on\ton\tIN\tB-PP\tO' -p219071 -aS'BIPAP\tBIPAP\tNN\tB-NP\tB-protein' -p219072 -aS'and\tand\tCC\tO\tO' -p219073 -aS'now\tnow\tRB\tB-ADVP\tO' -p219074 -aS'low\tlow\tJJ\tB-NP\tO' -p219075 -aS'sodium\tsodium\tNN\tI-NP\tO' -p219076 -aS'cardiac\tcardiac\tNN\tI-NP\tO' -p219077 -aS'diet\tdiet\tNN\tI-NP\tO' -p219078 -aS'.\t.\t.\tO\tO' -p219079 -asS'In addition the patient requires occupational therapy and physical therapy .' -p219080 -(lp219081 -S'In\tIn\tIN\tB-PP\tO' -p219082 -aS'addition\taddition\tNN\tB-NP\tO' -p219083 -aS'the\tthe\tDT\tB-NP\tO' -p219084 -aS'patient\tpatient\tNN\tI-NP\tO' -p219085 -aS'requires\trequire\tVBZ\tB-VP\tO' -p219086 -aS'occupational\toccupational\tJJ\tB-NP\tO' -p219087 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p219088 -aS'and\tand\tCC\tO\tO' -p219089 -aS'physical\tphysical\tJJ\tB-NP\tO' -p219090 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p219091 -aS'.\t.\t.\tO\tO' -p219092 -asS'She is a well-developed , well-nourished female .' -p219093 -(lp219094 -S'She\tShe\tPRP\tB-NP\tO' -p219095 -aS'is\tbe\tVBZ\tB-VP\tO' -p219096 -aS'a\ta\tDT\tB-NP\tO' -p219097 -aS'well-developed\twell-developed\tJJ\tI-NP\tO' -p219098 -aS',\t,\t,\tI-NP\tO' -p219099 -aS'well-nourished\twell-nourished\tJJ\tI-NP\tO' -p219100 -aS'female\tfemale\tNN\tI-NP\tO' -p219101 -aS'.\t.\t.\tO\tO' -p219102 -asS'9. Lipitor 10 mg p.o. once per day .' -p219103 -(lp219104 -S'9.\t9.\tCD\tB-NP\tO' -p219105 -aS'Lipitor\tLipitor\tNN\tI-NP\tO' -p219106 -aS'10\t10\tCD\tB-NP\tO' -p219107 -aS'mg\tmg\tNN\tI-NP\tO' -p219108 -aS'p.o.\tp.o.\tRB\tB-ADVP\tO' -p219109 -aS'once\tonce\tRB\tI-ADVP\tO' -p219110 -aS'per\tper\tIN\tB-PP\tO' -p219111 -aS'day\tday\tNN\tB-NP\tO' -p219112 -aS'.\t.\t.\tO\tO' -p219113 -asS'Development of small loculated pleural fluid collection along the periphery of the left major fissure or so-called pseudotumor , consistent with the recent chest x-ray .' -p219114 -(lp219115 -S'Development\tDevelopment\tNN\tB-NP\tO' -p219116 -aS'of\tof\tIN\tB-PP\tO' -p219117 -aS'small\tsmall\tJJ\tB-NP\tO' -p219118 -aS'loculated\tloculate\tVBN\tI-NP\tO' -p219119 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p219120 -aS'fluid\tfluid\tNN\tI-NP\tO' -p219121 -aS'collection\tcollection\tNN\tI-NP\tO' -p219122 -aS'along\talong\tIN\tB-PP\tO' -p219123 -aS'the\tthe\tDT\tB-NP\tO' -p219124 -aS'periphery\tperiphery\tNN\tI-NP\tO' -p219125 -aS'of\tof\tIN\tB-PP\tO' -p219126 -aS'the\tthe\tDT\tB-NP\tO' -p219127 -aS'left\tleft\tJJ\tI-NP\tO' -p219128 -aS'major\tmajor\tJJ\tI-NP\tO' -p219129 -aS'fissure\tfissure\tNN\tI-NP\tO' -p219130 -aS'or\tor\tCC\tO\tO' -p219131 -aS'so-called\tso-called\tJJ\tB-NP\tO' -p219132 -aS'pseudotumor\tpseudotumor\tNN\tI-NP\tO' -p219133 -aS',\t,\t,\tO\tO' -p219134 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p219135 -aS'with\twith\tIN\tB-PP\tO' -p219136 -aS'the\tthe\tDT\tB-NP\tO' -p219137 -aS'recent\trecent\tJJ\tI-NP\tO' -p219138 -aS'chest\tchest\tNN\tI-NP\tO' -p219139 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p219140 -aS'.\t.\t.\tO\tO' -p219141 -asS'He was then referred to the CMED CCU for assessment and management of the increased bleeding .' -p219142 -(lp219143 -S'He\tHe\tPRP\tB-NP\tO' -p219144 -aS'was\tbe\tVBD\tB-VP\tO' -p219145 -aS'then\tthen\tRB\tI-VP\tO' -p219146 -aS'referred\trefer\tVBN\tI-VP\tO' -p219147 -aS'to\tto\tTO\tB-PP\tO' -p219148 -aS'the\tthe\tDT\tB-NP\tO' -p219149 -aS'CMED\tCMED\tVBN\tI-NP\tO' -p219150 -aS'CCU\tCCU\tNN\tI-NP\tO' -p219151 -aS'for\tfor\tIN\tB-PP\tO' -p219152 -aS'assessment\tassessment\tNN\tB-NP\tO' -p219153 -aS'and\tand\tCC\tI-NP\tO' -p219154 -aS'management\tmanagement\tNN\tI-NP\tO' -p219155 -aS'of\tof\tIN\tB-PP\tO' -p219156 -aS'the\tthe\tDT\tB-NP\tO' -p219157 -aS'increased\tincrease\tVBN\tI-NP\tO' -p219158 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p219159 -aS'.\t.\t.\tO\tO' -p219160 -asS'Fetal screens , O positive , antibody negative , RPR nonreactive , rubella immune , hepatitis surface antigen negative , GBS unknown .' -p219161 -(lp219162 -S'Fetal\tFetal\tJJ\tB-NP\tO' -p219163 -aS'screens\tscreen\tNNS\tI-NP\tO' -p219164 -aS',\t,\t,\tO\tO' -p219165 -aS'O\tO\tNN\tB-NP\tO' -p219166 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p219167 -aS',\t,\t,\tO\tO' -p219168 -aS'antibody\tantibody\tNN\tB-NP\tO' -p219169 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p219170 -aS',\t,\t,\tO\tO' -p219171 -aS'RPR\tRPR\tNN\tB-NP\tB-protein' -p219172 -aS'nonreactive\tnonreactive\tJJ\tB-ADJP\tO' -p219173 -aS',\t,\t,\tO\tO' -p219174 -aS'rubella\trubella\tNN\tB-NP\tO' -p219175 -aS'immune\timmune\tJJ\tB-ADJP\tO' -p219176 -aS',\t,\t,\tO\tO' -p219177 -aS'hepatitis\thepatitis\tNN\tB-NP\tB-protein' -p219178 -aS'surface\tsurface\tNN\tI-NP\tI-protein' -p219179 -aS'antigen\tantigen\tNN\tI-NP\tI-protein' -p219180 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p219181 -aS',\t,\t,\tO\tO' -p219182 -aS'GBS\tGBS\tNNP\tB-NP\tO' -p219183 -aS'unknown\tunknown\tJJ\tB-ADJP\tO' -p219184 -aS'.\t.\t.\tO\tO' -p219185 -asS'On 08/05 it was noted that his platelet count had fallen from 171,000 to 54,000 ; this was thought to be associated with intravenous Heparin and indeed , when Heparin was discontinued , since it had been restarted after surgery , his platelet count rebounded to normal .' -p219186 -(lp219187 -S'On\tOn\tIN\tB-PP\tO' -p219188 -aS'08/05\t08/05\tCD\tB-NP\tO' -p219189 -aS'it\tit\tPRP\tB-NP\tO' -p219190 -aS'was\tbe\tVBD\tB-VP\tO' -p219191 -aS'noted\tnote\tVBN\tI-VP\tO' -p219192 -aS'that\tthat\tIN\tB-SBAR\tO' -p219193 -aS'his\this\tPRP$\tB-NP\tO' -p219194 -aS'platelet\tplatelet\tNN\tI-NP\tO' -p219195 -aS'count\tcount\tNN\tI-NP\tO' -p219196 -aS'had\thave\tVBD\tB-VP\tO' -p219197 -aS'fallen\tfall\tVBN\tI-VP\tO' -p219198 -aS'from\tfrom\tIN\tB-PP\tO' -p219199 -aS'171,000\t171,000\tCD\tB-NP\tO' -p219200 -aS'to\tto\tTO\tB-PP\tO' -p219201 -aS'54,000\t54,000\tCD\tB-NP\tO' -p219202 -aS';\t;\t:\tO\tO' -p219203 -aS'this\tthis\tDT\tB-NP\tO' -p219204 -aS'was\tbe\tVBD\tB-VP\tO' -p219205 -aS'thought\tthink\tVBN\tI-VP\tO' -p219206 -aS'to\tto\tTO\tI-VP\tO' -p219207 -aS'be\tbe\tVB\tI-VP\tO' -p219208 -aS'associated\tassociate\tVBN\tI-VP\tO' -p219209 -aS'with\twith\tIN\tB-PP\tO' -p219210 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p219211 -aS'Heparin\tHeparin\tNN\tI-NP\tO' -p219212 -aS'and\tand\tCC\tO\tO' -p219213 -aS'indeed\tindeed\tRB\tB-ADVP\tO' -p219214 -aS',\t,\t,\tO\tO' -p219215 -aS'when\twhen\tWRB\tB-ADVP\tO' -p219216 -aS'Heparin\tHeparin\tNN\tB-NP\tO' -p219217 -aS'was\tbe\tVBD\tB-VP\tO' -p219218 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p219219 -aS',\t,\t,\tO\tO' -p219220 -aS'since\tsince\tIN\tB-SBAR\tO' -p219221 -aS'it\tit\tPRP\tB-NP\tO' -p219222 -aS'had\thave\tVBD\tB-VP\tO' -p219223 -aS'been\tbe\tVBN\tI-VP\tO' -p219224 -aS'restarted\trestart\tVBN\tI-VP\tO' -p219225 -aS'after\tafter\tIN\tB-PP\tO' -p219226 -aS'surgery\tsurgery\tNN\tB-NP\tO' -p219227 -aS',\t,\t,\tO\tO' -p219228 -aS'his\this\tPRP$\tB-NP\tO' -p219229 -aS'platelet\tplatelet\tNN\tI-NP\tO' -p219230 -aS'count\tcount\tNN\tI-NP\tO' -p219231 -aS'rebounded\trebound\tVBD\tB-VP\tO' -p219232 -aS'to\tto\tTO\tB-PP\tO' -p219233 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p219234 -aS'.\t.\t.\tO\tO' -p219235 -asS'She continued to have increasing respiratory distress with hypoxia .' -p219236 -(lp219237 -S'She\tShe\tPRP\tB-NP\tO' -p219238 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p219239 -aS'to\tto\tTO\tI-VP\tO' -p219240 -aS'have\thave\tVB\tI-VP\tO' -p219241 -aS'increasing\tincrease\tVBG\tI-VP\tO' -p219242 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p219243 -aS'distress\tdistress\tNN\tI-NP\tO' -p219244 -aS'with\twith\tIN\tB-PP\tO' -p219245 -aS'hypoxia\thypoxia\tNN\tB-NP\tO' -p219246 -aS'.\t.\t.\tO\tO' -p219247 -asS'Infectious disease consult was obtained and recommendation was to switch from voriconazole to itraconazole , on which there was more existing data on treatment of Acanthamoeba infection .' -p219248 -(lp219249 -S'Infectious\tInfectious\tJJ\tB-NP\tO' -p219250 -aS'disease\tdisease\tNN\tI-NP\tO' -p219251 -aS'consult\tconsult\tNN\tI-NP\tO' -p219252 -aS'was\tbe\tVBD\tB-VP\tO' -p219253 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p219254 -aS'and\tand\tCC\tO\tO' -p219255 -aS'recommendation\trecommendation\tNN\tB-NP\tO' -p219256 -aS'was\tbe\tVBD\tB-VP\tO' -p219257 -aS'to\tto\tTO\tB-VP\tO' -p219258 -aS'switch\tswitch\tVB\tI-VP\tO' -p219259 -aS'from\tfrom\tIN\tB-PP\tO' -p219260 -aS'voriconazole\tvoriconazole\tNN\tB-NP\tO' -p219261 -aS'to\tto\tTO\tB-PP\tO' -p219262 -aS'itraconazole\titraconazole\tNN\tB-NP\tO' -p219263 -aS',\t,\t,\tO\tO' -p219264 -aS'on\ton\tIN\tB-PP\tO' -p219265 -aS'which\twhich\tWDT\tB-NP\tO' -p219266 -aS'there\tthere\tEX\tB-NP\tO' -p219267 -aS'was\tbe\tVBD\tB-VP\tO' -p219268 -aS'more\tmore\tJJR\tB-NP\tO' -p219269 -aS'existing\texist\tVBG\tI-NP\tO' -p219270 -aS'data\tdatum\tNNS\tI-NP\tO' -p219271 -aS'on\ton\tIN\tB-PP\tO' -p219272 -aS'treatment\ttreatment\tNN\tB-NP\tO' -p219273 -aS'of\tof\tIN\tB-PP\tO' -p219274 -aS'Acanthamoeba\tAcanthamoeba\tNN\tB-NP\tO' -p219275 -aS'infection\tinfection\tNN\tI-NP\tO' -p219276 -aS'.\t.\t.\tO\tO' -p219277 -asS'Path consistent with renal cell carcinoma of chromophobe type with Carter nuclear grade of 4/4 .' -p219278 -(lp219279 -S'Path\tPath\tNN\tB-NP\tO' -p219280 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p219281 -aS'with\twith\tIN\tB-PP\tO' -p219282 -aS'renal\trenal\tJJ\tB-NP\tO' -p219283 -aS'cell\tcell\tNN\tI-NP\tO' -p219284 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p219285 -aS'of\tof\tIN\tB-PP\tO' -p219286 -aS'chromophobe\tchromophobe\tNN\tB-NP\tO' -p219287 -aS'type\ttype\tNN\tI-NP\tO' -p219288 -aS'with\twith\tIN\tB-PP\tO' -p219289 -aS'Carter\tCarter\tNN\tB-NP\tO' -p219290 -aS'nuclear\tnuclear\tJJ\tI-NP\tO' -p219291 -aS'grade\tgrade\tNN\tI-NP\tO' -p219292 -aS'of\tof\tIN\tB-PP\tO' -p219293 -aS'4/4\t4/4\tCD\tB-NP\tO' -p219294 -aS'.\t.\t.\tO\tO' -p219295 -asS'At Noughwell Entanbon Health , her temperature was 101 , pulse 135 , blood pressure 94/74 , respiratory rate 20 .' -p219296 -(lp219297 -S'At\tAt\tIN\tB-PP\tO' -p219298 -aS'Noughwell\tNoughwell\tNNP\tB-NP\tO' -p219299 -aS'Entanbon\tEntanbon\tNNP\tI-NP\tO' -p219300 -aS'Health\tHealth\tNNP\tI-NP\tO' -p219301 -aS',\t,\t,\tO\tO' -p219302 -aS'her\ther\tPRP$\tB-NP\tO' -p219303 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p219304 -aS'was\tbe\tVBD\tB-VP\tO' -p219305 -aS'101\t101\tCD\tB-NP\tO' -p219306 -aS',\t,\t,\tO\tO' -p219307 -aS'pulse\tpulse\tNN\tB-NP\tO' -p219308 -aS'135\t135\tCD\tI-NP\tO' -p219309 -aS',\t,\t,\tO\tO' -p219310 -aS'blood\tblood\tNN\tB-NP\tO' -p219311 -aS'pressure\tpressure\tNN\tI-NP\tO' -p219312 -aS'94/74\t94/74\tCD\tI-NP\tO' -p219313 -aS',\t,\t,\tO\tO' -p219314 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p219315 -aS'rate\trate\tNN\tI-NP\tO' -p219316 -aS'20\t20\tCD\tI-NP\tO' -p219317 -aS'.\t.\t.\tO\tO' -p219318 -asS"A Pulmonary consultation was obtained to evaluate for possible etiology of the patient 's hypotension ." -p219319 -(lp219320 -S'A\tA\tDT\tB-NP\tO' -p219321 -aS'Pulmonary\tPulmonary\tJJ\tI-NP\tO' -p219322 -aS'consultation\tconsultation\tNN\tI-NP\tO' -p219323 -aS'was\tbe\tVBD\tB-VP\tO' -p219324 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p219325 -aS'to\tto\tTO\tI-VP\tO' -p219326 -aS'evaluate\tevaluate\tVB\tI-VP\tO' -p219327 -aS'for\tfor\tIN\tB-PP\tO' -p219328 -aS'possible\tpossible\tJJ\tB-NP\tO' -p219329 -aS'etiology\tetiology\tNN\tI-NP\tO' -p219330 -aS'of\tof\tIN\tB-PP\tO' -p219331 -aS'the\tthe\tDT\tB-NP\tO' -p219332 -aS'patient\tpatient\tNN\tI-NP\tO' -p219333 -aS"'s\t's\tPOS\tB-NP\tO" -p219334 -aS'hypotension\thypotension\tNN\tI-NP\tO' -p219335 -aS'.\t.\t.\tO\tO' -p219336 -asS'4. Bilateral renal cysts .' -p219337 -(lp219338 -S'4.\t4.\tLS\tB-NP\tO' -p219339 -aS'Bilateral\tBilateral\tJJ\tI-NP\tO' -p219340 -aS'renal\trenal\tJJ\tI-NP\tO' -p219341 -aS'cysts\tcyst\tNNS\tI-NP\tO' -p219342 -aS'.\t.\t.\tO\tO' -p219343 -asS'Last menstrual period was at age fifty , the patient is not on hormonal replacement and she has a four history of uterine prolapse .' -p219344 -(lp219345 -S'Last\tLast\tJJ\tB-NP\tO' -p219346 -aS'menstrual\tmenstrual\tJJ\tI-NP\tO' -p219347 -aS'period\tperiod\tNN\tI-NP\tO' -p219348 -aS'was\tbe\tVBD\tB-VP\tO' -p219349 -aS'at\tat\tIN\tB-PP\tO' -p219350 -aS'age\tage\tNN\tB-NP\tO' -p219351 -aS'fifty\tfifty\tCD\tI-NP\tO' -p219352 -aS',\t,\t,\tO\tO' -p219353 -aS'the\tthe\tDT\tB-NP\tO' -p219354 -aS'patient\tpatient\tNN\tI-NP\tO' -p219355 -aS'is\tbe\tVBZ\tB-VP\tO' -p219356 -aS'not\tnot\tRB\tO\tO' -p219357 -aS'on\ton\tIN\tB-PP\tO' -p219358 -aS'hormonal\thormonal\tJJ\tB-NP\tO' -p219359 -aS'replacement\treplacement\tNN\tI-NP\tO' -p219360 -aS'and\tand\tCC\tO\tO' -p219361 -aS'she\tshe\tPRP\tB-NP\tO' -p219362 -aS'has\thave\tVBZ\tB-VP\tO' -p219363 -aS'a\ta\tDT\tB-NP\tO' -p219364 -aS'four\tfour\tCD\tI-NP\tO' -p219365 -aS'history\thistory\tNN\tI-NP\tO' -p219366 -aS'of\tof\tIN\tB-PP\tO' -p219367 -aS'uterine\tuterine\tJJ\tB-NP\tO' -p219368 -aS'prolapse\tprolapse\tNN\tI-NP\tO' -p219369 -aS'.\t.\t.\tO\tO' -p219370 -asS'White count 4.1 , hematocrit 23 , platelets 144 .' -p219371 -(lp219372 -S'White\tWhite\tJJ\tB-NP\tO' -p219373 -aS'count\tcount\tNN\tI-NP\tO' -p219374 -aS'4.1\t4.1\tNN\tI-NP\tO' -p219375 -aS',\t,\t,\tO\tO' -p219376 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p219377 -aS'23\t23\tCD\tI-NP\tI-protein' -p219378 -aS',\t,\t,\tO\tO' -p219379 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p219380 -aS'144\t144\tCD\tB-NP\tO' -p219381 -aS'.\t.\t.\tO\tO' -p219382 -asS'Her pacer wires in correct position .' -p219383 -(lp219384 -S'Her\tHer\tPRP$\tB-NP\tO' -p219385 -aS'pacer\tpacer\tNN\tI-NP\tO' -p219386 -aS'wires\twire\tVBZ\tB-VP\tO' -p219387 -aS'in\tin\tIN\tB-PP\tO' -p219388 -aS'correct\tcorrect\tJJ\tB-NP\tO' -p219389 -aS'position\tposition\tNN\tI-NP\tO' -p219390 -aS'.\t.\t.\tO\tO' -p219391 -asS'mylanta 15 cc mixed with Viscous lidocaine every 8 hours if needed for severe pain only can use mylanta without lidocaine more frequently bland diet , no caffeine , chilli , or alcohol ...' -p219392 -(lp219393 -S'mylanta\tmylanta\tSYM\tO\tO' -p219394 -aS'15\t15\tCD\tB-NP\tO' -p219395 -aS'cc\tcc\tNN\tI-NP\tO' -p219396 -aS'mixed\tmix\tVBN\tB-VP\tO' -p219397 -aS'with\twith\tIN\tB-PP\tO' -p219398 -aS'Viscous\tViscous\tJJ\tB-NP\tO' -p219399 -aS'lidocaine\tlidocaine\tNN\tI-NP\tO' -p219400 -aS'every\tevery\tDT\tB-NP\tO' -p219401 -aS'8\t8\tCD\tI-NP\tO' -p219402 -aS'hours\thour\tNNS\tI-NP\tO' -p219403 -aS'if\tif\tIN\tB-SBAR\tO' -p219404 -aS'needed\tneed\tVBN\tB-VP\tO' -p219405 -aS'for\tfor\tIN\tB-PP\tO' -p219406 -aS'severe\tsevere\tJJ\tB-NP\tO' -p219407 -aS'pain\tpain\tNN\tI-NP\tO' -p219408 -aS'only\tonly\tRB\tB-ADVP\tO' -p219409 -aS'can\tcan\tMD\tB-VP\tO' -p219410 -aS'use\tuse\tVB\tI-VP\tO' -p219411 -aS'mylanta\tmylanta\tNN\tB-NP\tO' -p219412 -aS'without\twithout\tIN\tB-PP\tO' -p219413 -aS'lidocaine\tlidocaine\tNN\tB-NP\tO' -p219414 -aS'more\tmore\tRBR\tB-ADVP\tO' -p219415 -aS'frequently\tfrequently\tRB\tI-ADVP\tO' -p219416 -aS'bland\tbland\tVB\tB-VP\tO' -p219417 -aS'diet\tdiet\tNN\tB-NP\tO' -p219418 -aS',\t,\t,\tO\tO' -p219419 -aS'no\tno\tDT\tB-NP\tO' -p219420 -aS'caffeine\tcaffeine\tNN\tI-NP\tO' -p219421 -aS',\t,\t,\tO\tO' -p219422 -aS'chilli\tchilli\tNNS\tB-NP\tO' -p219423 -aS',\t,\t,\tO\tO' -p219424 -aS'or\tor\tCC\tO\tO' -p219425 -aS'alcohol\talcohol\tNN\tB-NP\tO' -p219426 -aS'...\t...\t:\tO\tO' -p219427 -asS'Take 2 hours before or 2 hours after dairy products .' -p219428 -(lp219429 -S'Take\tTake\tVB\tB-VP\tO' -p219430 -aS'2\t2\tCD\tB-NP\tO' -p219431 -aS'hours\thour\tNNS\tI-NP\tO' -p219432 -aS'before\tbefore\tIN\tB-PP\tO' -p219433 -aS'or\tor\tCC\tB-NP\tO' -p219434 -aS'2\t2\tCD\tI-NP\tO' -p219435 -aS'hours\thour\tNNS\tI-NP\tO' -p219436 -aS'after\tafter\tIN\tB-PP\tO' -p219437 -aS'dairy\tdairy\tNN\tB-NP\tO' -p219438 -aS'products\tproduct\tNNS\tI-NP\tO' -p219439 -aS'.\t.\t.\tO\tO' -p219440 -asS'Positioning limits assessment of alignment due to extreme head tilting to the right , but this is likely the best obtainable secondary to intubation and nasogastric tube placement .' -p219441 -(lp219442 -S'Positioning\tPosition\tVBG\tB-VP\tO' -p219443 -aS'limits\tlimit\tNNS\tB-NP\tO' -p219444 -aS'assessment\tassessment\tNN\tI-NP\tO' -p219445 -aS'of\tof\tIN\tB-PP\tO' -p219446 -aS'alignment\talignment\tNN\tB-NP\tO' -p219447 -aS'due\tdue\tJJ\tB-ADJP\tO' -p219448 -aS'to\tto\tTO\tB-PP\tO' -p219449 -aS'extreme\textreme\tJJ\tB-NP\tO' -p219450 -aS'head\thead\tNN\tI-NP\tO' -p219451 -aS'tilting\ttilt\tVBG\tB-VP\tO' -p219452 -aS'to\tto\tTO\tB-PP\tO' -p219453 -aS'the\tthe\tDT\tB-NP\tO' -p219454 -aS'right\tright\tNN\tI-NP\tO' -p219455 -aS',\t,\t,\tO\tO' -p219456 -aS'but\tbut\tCC\tO\tO' -p219457 -aS'this\tthis\tDT\tB-NP\tO' -p219458 -aS'is\tbe\tVBZ\tB-VP\tO' -p219459 -aS'likely\tlikely\tRB\tB-ADJP\tO' -p219460 -aS'the\tthe\tDT\tB-NP\tO' -p219461 -aS'best\tgood\tJJS\tI-NP\tO' -p219462 -aS'obtainable\tobtainable\tJJ\tI-NP\tO' -p219463 -aS'secondary\tsecondary\tJJ\tI-NP\tO' -p219464 -aS'to\tto\tTO\tB-PP\tO' -p219465 -aS'intubation\tintubation\tNN\tB-NP\tO' -p219466 -aS'and\tand\tCC\tO\tO' -p219467 -aS'nasogastric\tnasogastric\tJJ\tB-NP\tO' -p219468 -aS'tube\ttube\tNN\tI-NP\tO' -p219469 -aS'placement\tplacement\tNN\tI-NP\tO' -p219470 -aS'.\t.\t.\tO\tO' -p219471 -asS'Abd : normal size , nd , no scars , nl bs , soft , nt , palp liver' -p219472 -(lp219473 -S'Abd\tAbd\tNN\tB-NP\tO' -p219474 -aS':\t:\t:\tO\tO' -p219475 -aS'normal\tnormal\tJJ\tB-NP\tO' -p219476 -aS'size\tsize\tNN\tI-NP\tO' -p219477 -aS',\t,\t,\tO\tO' -p219478 -aS'nd\tnd\tNN\tB-NP\tO' -p219479 -aS',\t,\t,\tO\tO' -p219480 -aS'no\tno\tDT\tB-NP\tO' -p219481 -aS'scars\tscar\tNNS\tI-NP\tO' -p219482 -aS',\t,\t,\tO\tO' -p219483 -aS'nl\tnl\tNN\tB-NP\tO' -p219484 -aS'bs\tb\tNNS\tI-NP\tO' -p219485 -aS',\t,\t,\tO\tO' -p219486 -aS'soft\tsoft\tJJ\tB-NP\tO' -p219487 -aS',\t,\t,\tI-NP\tO' -p219488 -aS'nt\tnt\tNN\tI-NP\tO' -p219489 -aS',\t,\t,\tO\tO' -p219490 -aS'palp\tpalp\tNN\tB-NP\tO' -p219491 -aS'liver\tliver\tNN\tI-NP\tO' -p219492 -asS'8. Colace 100 mg p.o. twice a day .' -p219493 -(lp219494 -S'8.\t8.\tCD\tB-NP\tO' -p219495 -aS'Colace\tColace\tNNP\tI-NP\tO' -p219496 -aS'100\t100\tCD\tI-NP\tO' -p219497 -aS'mg\tmg\tNN\tI-NP\tO' -p219498 -aS'p.o.\tp.o.\tRB\tB-NP\tO' -p219499 -aS'twice\ttwice\tRB\tI-NP\tO' -p219500 -aS'a\ta\tDT\tI-NP\tO' -p219501 -aS'day\tday\tNN\tI-NP\tO' -p219502 -aS'.\t.\t.\tO\tO' -p219503 -asS'Soon after transfer , patient had a large post partum hemorrhage .' -p219504 -(lp219505 -S'Soon\tSoon\tRB\tB-ADVP\tO' -p219506 -aS'after\tafter\tIN\tB-PP\tO' -p219507 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p219508 -aS',\t,\t,\tO\tO' -p219509 -aS'patient\tpatient\tNN\tB-NP\tO' -p219510 -aS'had\thave\tVBD\tB-VP\tO' -p219511 -aS'a\ta\tDT\tB-NP\tO' -p219512 -aS'large\tlarge\tJJ\tI-NP\tO' -p219513 -aS'post\tpost\tNN\tI-NP\tO' -p219514 -aS'partum\tpartum\tNN\tI-NP\tO' -p219515 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p219516 -aS'.\t.\t.\tO\tO' -p219517 -asS'She was transferred here for further care .' -p219518 -(lp219519 -S'She\tShe\tPRP\tB-NP\tO' -p219520 -aS'was\tbe\tVBD\tB-VP\tO' -p219521 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p219522 -aS'here\there\tRB\tB-ADVP\tO' -p219523 -aS'for\tfor\tIN\tB-PP\tO' -p219524 -aS'further\tfurther\tJJ\tB-NP\tO' -p219525 -aS'care\tcare\tNN\tI-NP\tO' -p219526 -aS'.\t.\t.\tO\tO' -p219527 -asS"However , when asked if she thinks he would want comfort measures even if it meant that his respiratory status would worsen , the pt 's daughter says that he would not ." -p219528 -(lp219529 -S'However\tHowever\tRB\tB-ADVP\tO' -p219530 -aS',\t,\t,\tO\tO' -p219531 -aS'when\twhen\tWRB\tB-ADVP\tO' -p219532 -aS'asked\task\tVBN\tB-VP\tO' -p219533 -aS'if\tif\tIN\tB-SBAR\tO' -p219534 -aS'she\tshe\tPRP\tB-NP\tO' -p219535 -aS'thinks\tthink\tVBZ\tB-VP\tO' -p219536 -aS'he\the\tPRP\tB-NP\tO' -p219537 -aS'would\twould\tMD\tB-VP\tO' -p219538 -aS'want\twant\tVB\tI-VP\tO' -p219539 -aS'comfort\tcomfort\tNN\tB-NP\tO' -p219540 -aS'measures\tmeasure\tNNS\tI-NP\tO' -p219541 -aS'even\teven\tRB\tB-SBAR\tO' -p219542 -aS'if\tif\tIN\tI-SBAR\tO' -p219543 -aS'it\tit\tPRP\tB-NP\tO' -p219544 -aS'meant\tmean\tVBD\tB-VP\tO' -p219545 -aS'that\tthat\tIN\tB-SBAR\tO' -p219546 -aS'his\this\tPRP$\tB-NP\tO' -p219547 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p219548 -aS'status\tstatus\tNN\tI-NP\tO' -p219549 -aS'would\twould\tMD\tB-VP\tO' -p219550 -aS'worsen\tworsen\tVB\tI-VP\tO' -p219551 -aS',\t,\t,\tO\tO' -p219552 -aS'the\tthe\tDT\tB-NP\tO' -p219553 -aS'pt\tpt\tNN\tI-NP\tO' -p219554 -aS"'s\t's\tPOS\tB-NP\tO" -p219555 -aS'daughter\tdaughter\tNN\tI-NP\tO' -p219556 -aS'says\tsay\tVBZ\tB-VP\tO' -p219557 -aS'that\tthat\tIN\tB-SBAR\tO' -p219558 -aS'he\the\tPRP\tB-NP\tO' -p219559 -aS'would\twould\tMD\tB-VP\tO' -p219560 -aS'not\tnot\tRB\tO\tO' -p219561 -aS'.\t.\t.\tO\tO' -p219562 -asS'Her vaginal pack was removed on the second postoperative day as well as the Foley catheter .' -p219563 -(lp219564 -S'Her\tHer\tPRP$\tB-NP\tO' -p219565 -aS'vaginal\tvaginal\tJJ\tI-NP\tO' -p219566 -aS'pack\tpack\tNN\tI-NP\tO' -p219567 -aS'was\tbe\tVBD\tB-VP\tO' -p219568 -aS'removed\tremove\tVBN\tI-VP\tO' -p219569 -aS'on\ton\tIN\tB-PP\tO' -p219570 -aS'the\tthe\tDT\tB-NP\tO' -p219571 -aS'second\tsecond\tJJ\tI-NP\tO' -p219572 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p219573 -aS'day\tday\tNN\tI-NP\tO' -p219574 -aS'as\tas\tRB\tB-CONJP\tO' -p219575 -aS'well\twell\tRB\tI-CONJP\tO' -p219576 -aS'as\tas\tIN\tI-CONJP\tO' -p219577 -aS'the\tthe\tDT\tB-NP\tO' -p219578 -aS'Foley\tFoley\tNNP\tI-NP\tO' -p219579 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p219580 -aS'.\t.\t.\tO\tO' -p219581 -asS'She also underwent US that revealed patent portal and hepatic vessels .' -p219582 -(lp219583 -S'She\tShe\tPRP\tB-NP\tO' -p219584 -aS'also\talso\tRB\tB-ADVP\tO' -p219585 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p219586 -aS'US\tUS\tNNP\tB-NP\tO' -p219587 -aS'that\tthat\tWDT\tB-NP\tO' -p219588 -aS'revealed\treveal\tVBD\tB-VP\tO' -p219589 -aS'patent\tpatent\tNN\tB-NP\tO' -p219590 -aS'portal\tportal\tJJ\tI-NP\tO' -p219591 -aS'and\tand\tCC\tI-NP\tO' -p219592 -aS'hepatic\thepatic\tJJ\tI-NP\tB-cell_type' -p219593 -aS'vessels\tvessel\tNNS\tI-NP\tI-cell_type' -p219594 -aS'.\t.\t.\tO\tO' -p219595 -asS'Extremities show no edema , 2+ dorsalis pedis ,' -p219596 -(lp219597 -S'Extremities\tExtremity\tNNS\tB-NP\tO' -p219598 -aS'show\tshow\tVBP\tB-VP\tO' -p219599 -aS'no\tno\tDT\tB-NP\tO' -p219600 -aS'edema\tedema\tNN\tI-NP\tO' -p219601 -aS',\t,\t,\tO\tO' -p219602 -aS'2+\t2+\tJJ\tB-NP\tO' -p219603 -aS'dorsalis\tdorsalis\tNN\tI-NP\tO' -p219604 -aS'pedis\tpedis\tNN\tI-NP\tO' -p219605 -aS',\t,\t,\tO\tO' -p219606 -asS'There are complex (> 4 mm ) atheroma in the descending thoracic aorta .' -p219607 -(lp219608 -S'There\tThere\tEX\tB-NP\tO' -p219609 -aS'are\tbe\tVBP\tB-VP\tO' -p219610 -aS'complex\tcomplex\tJJ\tB-NP\tO' -p219611 -aS'(>\t(>\tSYM\tI-NP\tO' -p219612 -aS'4\t4\tCD\tI-NP\tO' -p219613 -aS'mm\tmm\tNN\tI-NP\tO' -p219614 -aS')\t)\t)\tO\tO' -p219615 -aS'atheroma\tatheroma\tNN\tB-NP\tO' -p219616 -aS'in\tin\tIN\tB-PP\tO' -p219617 -aS'the\tthe\tDT\tB-NP\tO' -p219618 -aS'descending\tdescend\tVBG\tI-NP\tO' -p219619 -aS'thoracic\tthoracic\tJJ\tI-NP\tO' -p219620 -aS'aorta\taorta\tNN\tI-NP\tO' -p219621 -aS'.\t.\t.\tO\tO' -p219622 -asS'xray - no evidence of fracture' -p219623 -(lp219624 -S'xray\txray\tSYM\tB-NP\tO' -p219625 -aS'-\t-\t:\tO\tO' -p219626 -aS'no\tno\tDT\tB-NP\tO' -p219627 -aS'evidence\tevidence\tNN\tI-NP\tO' -p219628 -aS'of\tof\tIN\tB-PP\tO' -p219629 -aS'fracture\tfracture\tNN\tB-NP\tO' -p219630 -asS'17. Protonix 40 mg Tablet , Delayed Release ( E.C. ) Sig : One ( 1 ) Tablet , Delayed Release ( E.C. ) PO twice a day .' -p219631 -(lp219632 -S'17.\t17.\tCD\tB-NP\tO' -p219633 -aS'Protonix\tProtonix\tNNP\tI-NP\tO' -p219634 -aS'40\t40\tCD\tI-NP\tO' -p219635 -aS'mg\tmg\tNN\tI-NP\tO' -p219636 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p219637 -aS',\t,\t,\tO\tO' -p219638 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p219639 -aS'Release\tRelease\tNNP\tI-NP\tO' -p219640 -aS'(\t(\t(\tO\tO' -p219641 -aS'E.C.\tE.C.\tNNP\tB-NP\tO' -p219642 -aS')\t)\t)\tO\tO' -p219643 -aS'Sig\tSig\tNNP\tB-NP\tO' -p219644 -aS':\t:\t:\tO\tO' -p219645 -aS'One\tOne\tCD\tB-NP\tO' -p219646 -aS'(\t(\t(\tO\tO' -p219647 -aS'1\t1\tCD\tB-NP\tO' -p219648 -aS')\t)\t)\tO\tO' -p219649 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p219650 -aS',\t,\t,\tO\tO' -p219651 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p219652 -aS'Release\tRelease\tNNP\tI-NP\tO' -p219653 -aS'(\t(\t(\tO\tO' -p219654 -aS'E.C.\tE.C.\tNNP\tO\tO' -p219655 -aS')\t)\t)\tO\tO' -p219656 -aS'PO\tPO\tNN\tB-NP\tO' -p219657 -aS'twice\ttwice\tRB\tB-NP\tO' -p219658 -aS'a\ta\tDT\tI-NP\tO' -p219659 -aS'day\tday\tNN\tI-NP\tO' -p219660 -aS'.\t.\t.\tO\tO' -p219661 -asS'5. Pulmonary emboli .' -p219662 -(lp219663 -S'5.\t5.\tLS\tB-NP\tO' -p219664 -aS'Pulmonary\tPulmonary\tNNP\tI-NP\tO' -p219665 -aS'emboli\temboli\tNNP\tI-NP\tO' -p219666 -aS'.\t.\t.\tO\tO' -p219667 -asS'1. No evidence of pulmonary embolism .' -p219668 -(lp219669 -S'1.\t1.\tLS\tB-LST\tO' -p219670 -aS'No\tNo\tDT\tB-NP\tO' -p219671 -aS'evidence\tevidence\tNN\tI-NP\tO' -p219672 -aS'of\tof\tIN\tB-PP\tO' -p219673 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p219674 -aS'embolism\tembolism\tNN\tI-NP\tO' -p219675 -aS'.\t.\t.\tO\tO' -p219676 -asS'Is significant for a father who had a stroke and also suffered from hypertension .' -p219677 -(lp219678 -S'Is\tBe\tVBZ\tO\tO' -p219679 -aS'significant\tsignificant\tJJ\tB-ADJP\tO' -p219680 -aS'for\tfor\tIN\tB-PP\tO' -p219681 -aS'a\ta\tDT\tB-NP\tO' -p219682 -aS'father\tfather\tNN\tI-NP\tO' -p219683 -aS'who\twho\tWP\tB-NP\tO' -p219684 -aS'had\thave\tVBD\tB-VP\tO' -p219685 -aS'a\ta\tDT\tB-NP\tO' -p219686 -aS'stroke\tstroke\tNN\tI-NP\tO' -p219687 -aS'and\tand\tCC\tO\tO' -p219688 -aS'also\talso\tRB\tB-ADVP\tO' -p219689 -aS'suffered\tsuffer\tVBD\tB-VP\tO' -p219690 -aS'from\tfrom\tIN\tB-PP\tO' -p219691 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p219692 -aS'.\t.\t.\tO\tO' -p219693 -asS'decrease breath sounds bases .' -p219694 -(lp219695 -S'decrease\tdecrease\tNN\tB-NP\tO' -p219696 -aS'breath\tbreath\tNN\tI-NP\tO' -p219697 -aS'sounds\tsound\tVBZ\tB-VP\tO' -p219698 -aS'bases\tbase\tNNS\tB-NP\tO' -p219699 -aS'.\t.\t.\tO\tO' -p219700 -asS'Abdominal CT revealed a 3.0 to 4.0 centimeter lesion in the pancreatic head .' -p219701 -(lp219702 -S'Abdominal\tAbdominal\tJJ\tB-NP\tO' -p219703 -aS'CT\tCT\tNN\tI-NP\tO' -p219704 -aS'revealed\treveal\tVBD\tB-VP\tO' -p219705 -aS'a\ta\tDT\tB-NP\tO' -p219706 -aS'3.0\t3.0\tCD\tI-NP\tO' -p219707 -aS'to\tto\tTO\tI-NP\tO' -p219708 -aS'4.0\t4.0\tCD\tI-NP\tO' -p219709 -aS'centimeter\tcentimeter\tNN\tI-NP\tO' -p219710 -aS'lesion\tlesion\tNN\tI-NP\tO' -p219711 -aS'in\tin\tIN\tB-PP\tO' -p219712 -aS'the\tthe\tDT\tB-NP\tO' -p219713 -aS'pancreatic\tpancreatic\tJJ\tI-NP\tO' -p219714 -aS'head\thead\tNN\tI-NP\tO' -p219715 -aS'.\t.\t.\tO\tO' -p219716 -asS'Disp :* 30 Tablet Sustained Release 24 hr (s)* Refills :* 0 *' -p219717 -(lp219718 -S'Disp\tDisp\tNN\tB-NP\tO' -p219719 -aS':*\t:*\tSYM\tI-NP\tO' -p219720 -aS'30\t30\tCD\tI-NP\tO' -p219721 -aS'Tablet\tTablet\tNN\tI-NP\tO' -p219722 -aS'Sustained\tSustain\tVBD\tB-VP\tO' -p219723 -aS'Release\tRelease\tNN\tB-NP\tO' -p219724 -aS'24\t24\tCD\tI-NP\tO' -p219725 -aS'hr\thr\tNN\tI-NP\tO' -p219726 -aS'(s)*\t(s)*\tSYM\tB-NP\tO' -p219727 -aS'Refills\tRefill\tNNPS\tI-NP\tO' -p219728 -aS':*\t:*\tSYM\tI-NP\tO' -p219729 -aS'0\t0\tCD\tI-NP\tO' -p219730 -aS'*\t*\tSYM\tB-NP\tO' -p219731 -asS'Pink and well perfused .' -p219732 -(lp219733 -S'Pink\tPink\tNNP\tB-NP\tO' -p219734 -aS'and\tand\tCC\tO\tO' -p219735 -aS'well\twell\tRB\tB-ADJP\tO' -p219736 -aS'perfused\tperfuse\tVBN\tI-ADJP\tO' -p219737 -aS'.\t.\t.\tO\tO' -p219738 -asS'The symptoms were associated with diaphoresis and shortness of breath but no nausea or vomiting .' -p219739 -(lp219740 -S'The\tThe\tDT\tB-NP\tO' -p219741 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p219742 -aS'were\tbe\tVBD\tB-VP\tO' -p219743 -aS'associated\tassociate\tVBN\tI-VP\tO' -p219744 -aS'with\twith\tIN\tB-PP\tO' -p219745 -aS'diaphoresis\tdiaphoresis\tNN\tB-NP\tO' -p219746 -aS'and\tand\tCC\tI-NP\tO' -p219747 -aS'shortness\tshortness\tNN\tI-NP\tO' -p219748 -aS'of\tof\tIN\tB-PP\tO' -p219749 -aS'breath\tbreath\tNN\tB-NP\tO' -p219750 -aS'but\tbut\tCC\tO\tO' -p219751 -aS'no\tno\tDT\tB-NP\tO' -p219752 -aS'nausea\tnausea\tNN\tI-NP\tO' -p219753 -aS'or\tor\tCC\tI-NP\tO' -p219754 -aS'vomiting\tvomiting\tNN\tI-NP\tO' -p219755 -aS'.\t.\t.\tO\tO' -p219756 -asS'She was also placed on on low dose spironolactone as a K sparing diuretic and for BP control in addition to Toprol XL 25 mg QD for her coronary disease .' -p219757 -(lp219758 -S'She\tShe\tPRP\tB-NP\tO' -p219759 -aS'was\tbe\tVBD\tB-VP\tO' -p219760 -aS'also\talso\tRB\tI-VP\tO' -p219761 -aS'placed\tplace\tVBN\tI-VP\tO' -p219762 -aS'on\ton\tRP\tB-PRT\tO' -p219763 -aS'on\ton\tIN\tB-PP\tO' -p219764 -aS'low\tlow\tJJ\tB-NP\tO' -p219765 -aS'dose\tdose\tNN\tI-NP\tO' -p219766 -aS'spironolactone\tspironolactone\tNN\tI-NP\tO' -p219767 -aS'as\tas\tIN\tB-PP\tO' -p219768 -aS'a\ta\tDT\tB-NP\tO' -p219769 -aS'K\tK\tNN\tI-NP\tO' -p219770 -aS'sparing\tspar\tVBG\tB-VP\tO' -p219771 -aS'diuretic\tdiuretic\tJJ\tB-ADJP\tO' -p219772 -aS'and\tand\tCC\tO\tO' -p219773 -aS'for\tfor\tIN\tB-PP\tO' -p219774 -aS'BP\tBP\tNN\tB-NP\tO' -p219775 -aS'control\tcontrol\tNN\tI-NP\tO' -p219776 -aS'in\tin\tIN\tB-PP\tO' -p219777 -aS'addition\taddition\tNN\tB-NP\tO' -p219778 -aS'to\tto\tTO\tB-PP\tO' -p219779 -aS'Toprol\tToprol\tNN\tB-NP\tO' -p219780 -aS'XL\tXL\tNN\tI-NP\tO' -p219781 -aS'25\t25\tCD\tI-NP\tO' -p219782 -aS'mg\tmg\tNN\tI-NP\tO' -p219783 -aS'QD\tQD\tNN\tI-NP\tO' -p219784 -aS'for\tfor\tIN\tB-PP\tO' -p219785 -aS'her\ther\tPRP$\tB-NP\tO' -p219786 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p219787 -aS'disease\tdisease\tNN\tI-NP\tO' -p219788 -aS'.\t.\t.\tO\tO' -p219789 -asS'18. Alteplase for catheter clearance 2 mg IV once times one dose for indwelling PermCath .' -p219790 -(lp219791 -S'18.\t18.\tLS\tB-NP\tO' -p219792 -aS'Alteplase\tAlteplase\tNN\tI-NP\tB-protein' -p219793 -aS'for\tfor\tIN\tB-PP\tO' -p219794 -aS'catheter\tcatheter\tNN\tB-NP\tB-protein' -p219795 -aS'clearance\tclearance\tNN\tI-NP\tI-protein' -p219796 -aS'2\t2\tCD\tI-NP\tI-protein' -p219797 -aS'mg\tmg\tNN\tI-NP\tI-protein' -p219798 -aS'IV\tIV\tCD\tB-NP\tI-protein' -p219799 -aS'once\tonce\tIN\tB-SBAR\tO' -p219800 -aS'times\ttime\tNNS\tB-NP\tO' -p219801 -aS'one\tone\tCD\tB-NP\tO' -p219802 -aS'dose\tdose\tNN\tI-NP\tO' -p219803 -aS'for\tfor\tIN\tB-PP\tO' -p219804 -aS'indwelling\tindwell\tVBG\tB-VP\tO' -p219805 -aS'PermCath\tPermCath\tNN\tB-NP\tO' -p219806 -aS'.\t.\t.\tO\tO' -p219807 -asS'Degenerative changes including multilevel central spinal stenosis .' -p219808 -(lp219809 -S'Degenerative\tDegenerative\tJJ\tB-NP\tO' -p219810 -aS'changes\tchange\tNNS\tI-NP\tO' -p219811 -aS'including\tinclude\tVBG\tB-PP\tO' -p219812 -aS'multilevel\tmultilevel\tJJ\tB-NP\tO' -p219813 -aS'central\tcentral\tJJ\tI-NP\tO' -p219814 -aS'spinal\tspinal\tJJ\tI-NP\tO' -p219815 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p219816 -aS'.\t.\t.\tO\tO' -p219817 -asS'You will be contacted by the gastrointestinal doctors Pat Barrow the removal of your biliary stent in 6 weeks .' -p219818 -(lp219819 -S'You\tYou\tPRP\tB-NP\tB-protein' -p219820 -aS'will\twill\tMD\tB-VP\tO' -p219821 -aS'be\tbe\tVB\tI-VP\tO' -p219822 -aS'contacted\tcontact\tVBN\tI-VP\tO' -p219823 -aS'by\tby\tIN\tB-PP\tO' -p219824 -aS'the\tthe\tDT\tB-NP\tO' -p219825 -aS'gastrointestinal\tgastrointestinal\tJJ\tI-NP\tO' -p219826 -aS'doctors\tdoctor\tNNS\tI-NP\tO' -p219827 -aS'Pat\tPat\tNNP\tI-NP\tO' -p219828 -aS'Barrow\tBarrow\tNNP\tI-NP\tO' -p219829 -aS'the\tthe\tDT\tB-NP\tO' -p219830 -aS'removal\tremoval\tNN\tI-NP\tO' -p219831 -aS'of\tof\tIN\tB-PP\tO' -p219832 -aS'your\tyour\tPRP$\tB-NP\tO' -p219833 -aS'biliary\tbiliary\tJJ\tI-NP\tO' -p219834 -aS'stent\tstent\tNN\tI-NP\tO' -p219835 -aS'in\tin\tIN\tB-PP\tO' -p219836 -aS'6\t6\tCD\tB-NP\tO' -p219837 -aS'weeks\tweek\tNNS\tI-NP\tO' -p219838 -aS'.\t.\t.\tO\tO' -p219839 -asS'According to the family this iansicoria was old .' -p219840 -(lp219841 -S'According\tAccord\tVBG\tB-PP\tO' -p219842 -aS'to\tto\tTO\tB-PP\tO' -p219843 -aS'the\tthe\tDT\tB-NP\tO' -p219844 -aS'family\tfamily\tNN\tI-NP\tO' -p219845 -aS'this\tthis\tDT\tB-NP\tO' -p219846 -aS'iansicoria\tiansicoria\tNN\tI-NP\tO' -p219847 -aS'was\tbe\tVBD\tB-VP\tO' -p219848 -aS'old\told\tJJ\tB-ADJP\tO' -p219849 -aS'.\t.\t.\tO\tO' -p219850 -asS'A chest X-ray documented a progressing left lower lobe infiltrate .' -p219851 -(lp219852 -S'A\tA\tDT\tB-NP\tO' -p219853 -aS'chest\tchest\tNN\tI-NP\tO' -p219854 -aS'X-ray\tX-ray\tNN\tI-NP\tO' -p219855 -aS'documented\tdocument\tVBD\tB-VP\tO' -p219856 -aS'a\ta\tDT\tB-NP\tO' -p219857 -aS'progressing\tprogressing\tNN\tI-NP\tO' -p219858 -aS'left\tleave\tVBD\tB-VP\tO' -p219859 -aS'lower\tlow\tJJR\tB-NP\tO' -p219860 -aS'lobe\tlobe\tNN\tI-NP\tO' -p219861 -aS'infiltrate\tinfiltrate\tNN\tI-NP\tO' -p219862 -aS'.\t.\t.\tO\tO' -p219863 -asS'5. Feeding jejunostomy .' -p219864 -(lp219865 -S'5.\t5.\tLS\tB-NP\tO' -p219866 -aS'Feeding\tFeeding\tNN\tI-NP\tO' -p219867 -aS'jejunostomy\tjejunostomy\tNN\tI-NP\tO' -p219868 -aS'.\t.\t.\tO\tO' -p219869 -asS'The patient is instructed to not shower or bath until one week .' -p219870 -(lp219871 -S'The\tThe\tDT\tB-NP\tO' -p219872 -aS'patient\tpatient\tNN\tI-NP\tO' -p219873 -aS'is\tbe\tVBZ\tB-VP\tO' -p219874 -aS'instructed\tinstruct\tVBN\tI-VP\tO' -p219875 -aS'to\tto\tTO\tB-VP\tO' -p219876 -aS'not\tnot\tRB\tI-VP\tO' -p219877 -aS'shower\tshower\tVB\tI-VP\tO' -p219878 -aS'or\tor\tCC\tO\tO' -p219879 -aS'bath\tbath\tNN\tB-NP\tO' -p219880 -aS'until\tuntil\tIN\tB-SBAR\tO' -p219881 -aS'one\tone\tCD\tB-NP\tO' -p219882 -aS'week\tweek\tNN\tI-NP\tO' -p219883 -aS'.\t.\t.\tO\tO' -p219884 -asS'No sign of infeciton at this time .' -p219885 -(lp219886 -S'No\tNo\tDT\tB-NP\tO' -p219887 -aS'sign\tsign\tNN\tI-NP\tO' -p219888 -aS'of\tof\tIN\tB-PP\tO' -p219889 -aS'infeciton\tinfeciton\tNN\tB-NP\tO' -p219890 -aS'at\tat\tIN\tB-PP\tO' -p219891 -aS'this\tthis\tDT\tB-NP\tO' -p219892 -aS'time\ttime\tNN\tI-NP\tO' -p219893 -aS'.\t.\t.\tO\tO' -p219894 -asS'ID was consulted for both the abd abcess and possible meningitis given the large amount of wbc in the csf cultures .' -p219895 -(lp219896 -S'ID\tID\tNN\tB-NP\tO' -p219897 -aS'was\tbe\tVBD\tB-VP\tO' -p219898 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p219899 -aS'for\tfor\tIN\tB-PP\tO' -p219900 -aS'both\tboth\tCC\tO\tO' -p219901 -aS'the\tthe\tDT\tB-NP\tO' -p219902 -aS'abd\tabd\tNN\tI-NP\tO' -p219903 -aS'abcess\tabcess\tNN\tI-NP\tO' -p219904 -aS'and\tand\tCC\tO\tO' -p219905 -aS'possible\tpossible\tJJ\tB-NP\tO' -p219906 -aS'meningitis\tmeningitis\tNN\tI-NP\tO' -p219907 -aS'given\tgive\tVBN\tB-PP\tO' -p219908 -aS'the\tthe\tDT\tB-NP\tO' -p219909 -aS'large\tlarge\tJJ\tI-NP\tO' -p219910 -aS'amount\tamount\tNN\tI-NP\tO' -p219911 -aS'of\tof\tIN\tB-PP\tO' -p219912 -aS'wbc\twbc\tNN\tB-NP\tO' -p219913 -aS'in\tin\tIN\tB-PP\tO' -p219914 -aS'the\tthe\tDT\tB-NP\tO' -p219915 -aS'csf\tcsf\tNN\tI-NP\tB-cell_line' -p219916 -aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' -p219917 -aS'.\t.\t.\tO\tO' -p219918 -asS'Calcium carbonate 500 mg p.o. t.i.d. , Mag oxide 400 mg p.o. times one dose , potassium chloride repleted 40 mEq times one dose .' -p219919 -(lp219920 -S'Calcium\tCalcium\tNN\tB-NP\tO' -p219921 -aS'carbonate\tcarbonate\tNN\tI-NP\tO' -p219922 -aS'500\t500\tCD\tI-NP\tO' -p219923 -aS'mg\tmg\tNN\tI-NP\tO' -p219924 -aS'p.o.\tp.o.\tFW\tB-ADVP\tO' -p219925 -aS't.i.d.\tt.i.d.\tFW\tI-ADVP\tO' -p219926 -aS',\t,\t,\tO\tO' -p219927 -aS'Mag\tMag\tNNP\tB-NP\tO' -p219928 -aS'oxide\toxide\tNN\tI-NP\tO' -p219929 -aS'400\t400\tCD\tI-NP\tO' -p219930 -aS'mg\tmg\tNN\tI-NP\tO' -p219931 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p219932 -aS'times\ttime\tNNS\tI-NP\tO' -p219933 -aS'one\tone\tCD\tB-NP\tO' -p219934 -aS'dose\tdose\tNN\tI-NP\tO' -p219935 -aS',\t,\t,\tO\tO' -p219936 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p219937 -aS'chloride\tchloride\tNN\tI-NP\tO' -p219938 -aS'repleted\treplete\tVBD\tB-VP\tO' -p219939 -aS'40\t40\tCD\tB-NP\tO' -p219940 -aS'mEq\tmEq\tNN\tI-NP\tO' -p219941 -aS'times\ttime\tNNS\tI-NP\tO' -p219942 -aS'one\tone\tCD\tB-NP\tO' -p219943 -aS'dose\tdose\tNN\tI-NP\tO' -p219944 -aS'.\t.\t.\tO\tO' -p219945 -asS'Digoxin 0.125 , discontinued one month prior to admission , Toprol XL 100 mg daily , Trazodone 50 mg once daily , Lipitor 10 mg daily , Diovan 40 mg daily , Atrovent / Albuterol prn , Pulmicort , Coumadin 2.5 mg daily , Vitamin E , Vitamin C , iron supplement .' -p219946 -(lp219947 -S'Digoxin\tDigoxin\tNN\tB-NP\tO' -p219948 -aS'0.125\t0.125\tCD\tI-NP\tO' -p219949 -aS',\t,\t,\tO\tO' -p219950 -aS'discontinued\tdiscontinue\tVBD\tB-VP\tO' -p219951 -aS'one\tone\tCD\tB-NP\tO' -p219952 -aS'month\tmonth\tNN\tI-NP\tO' -p219953 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p219954 -aS'to\tto\tTO\tB-PP\tO' -p219955 -aS'admission\tadmission\tNN\tB-NP\tO' -p219956 -aS',\t,\t,\tO\tO' -p219957 -aS'Toprol\tToprol\tNNP\tB-NP\tO' -p219958 -aS'XL\tXL\tNNP\tI-NP\tO' -p219959 -aS'100\t100\tCD\tI-NP\tO' -p219960 -aS'mg\tmg\tNN\tI-NP\tO' -p219961 -aS'daily\tdaily\tRB\tB-ADVP\tO' -p219962 -aS',\t,\t,\tO\tO' -p219963 -aS'Trazodone\tTrazodone\tNN\tB-NP\tO' -p219964 -aS'50\t50\tCD\tI-NP\tO' -p219965 -aS'mg\tmg\tNN\tI-NP\tO' -p219966 -aS'once\tonce\tRB\tB-ADVP\tO' -p219967 -aS'daily\tdaily\tRB\tI-ADVP\tO' -p219968 -aS',\t,\t,\tO\tO' -p219969 -aS'Lipitor\tLipitor\tNN\tB-NP\tO' -p219970 -aS'10\t10\tCD\tI-NP\tO' -p219971 -aS'mg\tmg\tNN\tI-NP\tO' -p219972 -aS'daily\tdaily\tRB\tB-ADVP\tO' -p219973 -aS',\t,\t,\tO\tO' -p219974 -aS'Diovan\tDiovan\tNNP\tB-NP\tO' -p219975 -aS'40\t40\tCD\tI-NP\tO' -p219976 -aS'mg\tmg\tNN\tI-NP\tO' -p219977 -aS'daily\tdaily\tJJ\tI-NP\tO' -p219978 -aS',\t,\t,\tO\tO' -p219979 -aS'Atrovent\tAtrovent\tNN\tB-NP\tO' -p219980 -aS'/\t/\tSYM\tI-NP\tO' -p219981 -aS'Albuterol\tAlbuterol\tNN\tI-NP\tO' -p219982 -aS'prn\tprn\tNN\tI-NP\tO' -p219983 -aS',\t,\t,\tO\tO' -p219984 -aS'Pulmicort\tPulmicort\tNNP\tB-NP\tO' -p219985 -aS',\t,\t,\tI-NP\tO' -p219986 -aS'Coumadin\tCoumadin\tNNP\tI-NP\tO' -p219987 -aS'2.5\t2.5\tCD\tI-NP\tO' -p219988 -aS'mg\tmg\tNN\tI-NP\tO' -p219989 -aS'daily\tdaily\tRB\tB-ADVP\tO' -p219990 -aS',\t,\t,\tO\tO' -p219991 -aS'Vitamin\tVitamin\tNNP\tB-NP\tO' -p219992 -aS'E\tE\tNNP\tI-NP\tO' -p219993 -aS',\t,\t,\tO\tO' -p219994 -aS'Vitamin\tVitamin\tNNP\tB-NP\tO' -p219995 -aS'C\tC\tNNP\tI-NP\tO' -p219996 -aS',\t,\t,\tO\tO' -p219997 -aS'iron\tiron\tNN\tB-NP\tO' -p219998 -aS'supplement\tsupplement\tNN\tI-NP\tO' -p219999 -aS'.\t.\t.\tO\tO' -p220000 -asS'The patient had an echocardiogram on day two of admission , which revealed a mildly dilated left atrium , mild symmetric LVH , normal LV cavity size , mild region LV systolic dysfunction , arresting regional wall motion abnormality including focal apical hypokinesis , a normal right ventricular chamber size and free wall motion , a moderately dilated aortic root , a mildly dilated ascending aorta , normal aortic valve leaflet , normal mitral valve leaflet and no pericardial effusions .' -p220001 -(lp220002 -S'The\tThe\tDT\tB-NP\tO' -p220003 -aS'patient\tpatient\tNN\tI-NP\tO' -p220004 -aS'had\thave\tVBD\tB-VP\tO' -p220005 -aS'an\tan\tDT\tB-NP\tO' -p220006 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p220007 -aS'on\ton\tIN\tB-PP\tO' -p220008 -aS'day\tday\tNN\tB-NP\tO' -p220009 -aS'two\ttwo\tCD\tI-NP\tO' -p220010 -aS'of\tof\tIN\tB-PP\tO' -p220011 -aS'admission\tadmission\tNN\tB-NP\tO' -p220012 -aS',\t,\t,\tO\tO' -p220013 -aS'which\twhich\tWDT\tB-NP\tO' -p220014 -aS'revealed\treveal\tVBD\tB-VP\tO' -p220015 -aS'a\ta\tDT\tB-NP\tO' -p220016 -aS'mildly\tmildly\tRB\tI-NP\tO' -p220017 -aS'dilated\tdilate\tVBN\tI-NP\tO' -p220018 -aS'left\tleft\tJJ\tI-NP\tO' -p220019 -aS'atrium\tatrium\tNN\tI-NP\tO' -p220020 -aS',\t,\t,\tO\tO' -p220021 -aS'mild\tmild\tJJ\tB-NP\tO' -p220022 -aS'symmetric\tsymmetric\tJJ\tI-NP\tO' -p220023 -aS'LVH\tLVH\tNN\tI-NP\tO' -p220024 -aS',\t,\t,\tO\tO' -p220025 -aS'normal\tnormal\tJJ\tB-NP\tO' -p220026 -aS'LV\tLV\tNN\tI-NP\tO' -p220027 -aS'cavity\tcavity\tNN\tI-NP\tO' -p220028 -aS'size\tsize\tNN\tI-NP\tO' -p220029 -aS',\t,\t,\tO\tO' -p220030 -aS'mild\tmild\tJJ\tB-NP\tO' -p220031 -aS'region\tregion\tNN\tI-NP\tO' -p220032 -aS'LV\tLV\tNN\tI-NP\tO' -p220033 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p220034 -aS'dysfunction\tdysfunction\tNN\tI-NP\tO' -p220035 -aS',\t,\t,\tO\tO' -p220036 -aS'arresting\tarrest\tVBG\tB-VP\tO' -p220037 -aS'regional\tregional\tJJ\tB-NP\tO' -p220038 -aS'wall\twall\tNN\tI-NP\tO' -p220039 -aS'motion\tmotion\tNN\tI-NP\tO' -p220040 -aS'abnormality\tabnormality\tNN\tI-NP\tO' -p220041 -aS'including\tinclude\tVBG\tB-PP\tO' -p220042 -aS'focal\tfocal\tJJ\tB-NP\tO' -p220043 -aS'apical\tapical\tJJ\tI-NP\tO' -p220044 -aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' -p220045 -aS',\t,\t,\tO\tO' -p220046 -aS'a\ta\tDT\tB-NP\tO' -p220047 -aS'normal\tnormal\tJJ\tI-NP\tO' -p220048 -aS'right\tright\tJJ\tI-NP\tO' -p220049 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p220050 -aS'chamber\tchamber\tNN\tI-NP\tO' -p220051 -aS'size\tsize\tNN\tI-NP\tO' -p220052 -aS'and\tand\tCC\tO\tO' -p220053 -aS'free\tfree\tJJ\tB-NP\tO' -p220054 -aS'wall\twall\tNN\tI-NP\tO' -p220055 -aS'motion\tmotion\tNN\tI-NP\tO' -p220056 -aS',\t,\t,\tO\tO' -p220057 -aS'a\ta\tDT\tB-NP\tO' -p220058 -aS'moderately\tmoderately\tRB\tI-NP\tO' -p220059 -aS'dilated\tdilated\tJJ\tI-NP\tO' -p220060 -aS'aortic\taortic\tJJ\tI-NP\tO' -p220061 -aS'root\troot\tNN\tI-NP\tO' -p220062 -aS',\t,\t,\tO\tO' -p220063 -aS'a\ta\tDT\tB-NP\tO' -p220064 -aS'mildly\tmildly\tRB\tI-NP\tO' -p220065 -aS'dilated\tdilated\tJJ\tI-NP\tO' -p220066 -aS'ascending\tascend\tVBG\tI-NP\tO' -p220067 -aS'aorta\taorta\tNN\tI-NP\tO' -p220068 -aS',\t,\t,\tO\tO' -p220069 -aS'normal\tnormal\tJJ\tB-NP\tO' -p220070 -aS'aortic\taortic\tJJ\tI-NP\tO' -p220071 -aS'valve\tvalve\tNN\tI-NP\tO' -p220072 -aS'leaflet\tleaflet\tNN\tI-NP\tO' -p220073 -aS',\t,\t,\tO\tO' -p220074 -aS'normal\tnormal\tJJ\tB-NP\tO' -p220075 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p220076 -aS'valve\tvalve\tNN\tI-NP\tO' -p220077 -aS'leaflet\tleaflet\tNN\tI-NP\tO' -p220078 -aS'and\tand\tCC\tO\tO' -p220079 -aS'no\tno\tDT\tB-NP\tO' -p220080 -aS'pericardial\tpericardial\tJJ\tI-NP\tO' -p220081 -aS'effusions\teffusion\tNNS\tI-NP\tO' -p220082 -aS'.\t.\t.\tO\tO' -p220083 -asS'1. Phenytoin Sodium Extended 100 mg Capsule Sig : One ( 1 ) Capsule PO TID ( 3 times a day ) for 1 months .' -p220084 -(lp220085 -S'1.\t1.\tLS\tB-NP\tO' -p220086 -aS'Phenytoin\tPhenytoin\tNN\tI-NP\tO' -p220087 -aS'Sodium\tSodium\tNN\tI-NP\tO' -p220088 -aS'Extended\tExtend\tVBD\tB-VP\tO' -p220089 -aS'100\t100\tCD\tB-NP\tO' -p220090 -aS'mg\tmg\tNN\tI-NP\tO' -p220091 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p220092 -aS'Sig\tSig\tNNP\tI-NP\tO' -p220093 -aS':\t:\t:\tO\tO' -p220094 -aS'One\tOne\tCD\tB-NP\tO' -p220095 -aS'(\t(\t(\tO\tO' -p220096 -aS'1\t1\tCD\tB-NP\tO' -p220097 -aS')\t)\t)\tO\tO' -p220098 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p220099 -aS'PO\tPO\tNNP\tI-NP\tO' -p220100 -aS'TID\tTID\tNNP\tI-NP\tO' -p220101 -aS'(\t(\t(\tO\tO' -p220102 -aS'3\t3\tCD\tB-NP\tO' -p220103 -aS'times\ttime\tNNS\tI-NP\tO' -p220104 -aS'a\ta\tDT\tB-NP\tO' -p220105 -aS'day\tday\tNN\tI-NP\tO' -p220106 -aS')\t)\t)\tO\tO' -p220107 -aS'for\tfor\tIN\tB-PP\tO' -p220108 -aS'1\t1\tCD\tB-NP\tO' -p220109 -aS'months\tmonth\tNNS\tI-NP\tO' -p220110 -aS'.\t.\t.\tO\tO' -p220111 -asS'Therefore , he was admitted for C4-C5 and C5-C6 anterior diskectomy with autologous bone graft and instrumented fusion .' -p220112 -(lp220113 -S'Therefore\tTherefore\tRB\tB-ADVP\tO' -p220114 -aS',\t,\t,\tO\tO' -p220115 -aS'he\the\tPRP\tB-NP\tO' -p220116 -aS'was\tbe\tVBD\tB-VP\tO' -p220117 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p220118 -aS'for\tfor\tIN\tB-PP\tO' -p220119 -aS'C4-C5\tC4-C5\tNN\tB-NP\tB-DNA' -p220120 -aS'and\tand\tCC\tI-NP\tO' -p220121 -aS'C5-C6\tC5-C6\tNN\tI-NP\tB-DNA' -p220122 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p220123 -aS'diskectomy\tdiskectomy\tNN\tI-NP\tO' -p220124 -aS'with\twith\tIN\tB-PP\tO' -p220125 -aS'autologous\tautologous\tJJ\tB-NP\tO' -p220126 -aS'bone\tbone\tNN\tI-NP\tO' -p220127 -aS'graft\tgraft\tNN\tI-NP\tO' -p220128 -aS'and\tand\tCC\tO\tO' -p220129 -aS'instrumented\tinstrumented\tJJ\tB-NP\tO' -p220130 -aS'fusion\tfusion\tNN\tI-NP\tO' -p220131 -aS'.\t.\t.\tO\tO' -p220132 -asS'Prednisone 20 mg q. Day .' -p220133 -(lp220134 -S'Prednisone\tPrednisone\tNN\tB-NP\tO' -p220135 -aS'20\t20\tCD\tI-NP\tO' -p220136 -aS'mg\tmg\tNN\tI-NP\tO' -p220137 -aS'q.\tq.\tNNP\tI-NP\tO' -p220138 -aS'Day\tDay\tNNP\tI-NP\tO' -p220139 -aS'.\t.\t.\tO\tO' -p220140 -asS'Minimal bleeding .' -p220141 -(lp220142 -S'Minimal\tMinimal\tJJ\tB-NP\tO' -p220143 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p220144 -aS'.\t.\t.\tO\tO' -p220145 -asS'Briefly , she is an 86 year old woman who has suffered multiple cardioembolic cerebral infarctions in multiple arterial territories .' -p220146 -(lp220147 -S'Briefly\tBriefly\tRB\tB-ADVP\tO' -p220148 -aS',\t,\t,\tO\tO' -p220149 -aS'she\tshe\tPRP\tB-NP\tO' -p220150 -aS'is\tbe\tVBZ\tB-VP\tO' -p220151 -aS'an\tan\tDT\tB-NP\tO' -p220152 -aS'86\t86\tCD\tI-NP\tO' -p220153 -aS'year\tyear\tNN\tI-NP\tO' -p220154 -aS'old\told\tJJ\tI-NP\tO' -p220155 -aS'woman\twoman\tNN\tI-NP\tO' -p220156 -aS'who\twho\tWP\tB-NP\tO' -p220157 -aS'has\thave\tVBZ\tB-VP\tO' -p220158 -aS'suffered\tsuffer\tVBN\tI-VP\tO' -p220159 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p220160 -aS'cardioembolic\tcardioembolic\tJJ\tI-NP\tO' -p220161 -aS'cerebral\tcerebral\tJJ\tI-NP\tO' -p220162 -aS'infarctions\tinfarction\tNNS\tI-NP\tO' -p220163 -aS'in\tin\tIN\tB-PP\tO' -p220164 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p220165 -aS'arterial\tarterial\tJJ\tI-NP\tO' -p220166 -aS'territories\tterritory\tNNS\tI-NP\tO' -p220167 -aS'.\t.\t.\tO\tO' -p220168 -asS'12. Hydralazine 25 mg Tablet Sig : 1.5 Tablets PO TID ( 3 times a day ).' -p220169 -(lp220170 -S'12.\t12.\tCD\tB-NP\tO' -p220171 -aS'Hydralazine\tHydralazine\tNN\tI-NP\tO' -p220172 -aS'25\t25\tCD\tB-NP\tO' -p220173 -aS'mg\tmg\tNN\tI-NP\tO' -p220174 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p220175 -aS'Sig\tSig\tNNP\tI-NP\tO' -p220176 -aS':\t:\t:\tO\tO' -p220177 -aS'1.5\t1.5\tCD\tB-NP\tO' -p220178 -aS'Tablets\tTablet\tNNS\tI-NP\tO' -p220179 -aS'PO\tPO\tNN\tI-NP\tO' -p220180 -aS'TID\tTID\tNN\tI-NP\tO' -p220181 -aS'(\t(\t(\tO\tO' -p220182 -aS'3\t3\tCD\tB-NP\tO' -p220183 -aS'times\ttime\tNNS\tI-NP\tO' -p220184 -aS'a\ta\tDT\tB-NP\tO' -p220185 -aS'day\tday\tNN\tI-NP\tO' -p220186 -aS').\t).\t.\tO\tO' -p220187 -asS'The patient is a 31 year old gravida 0 with stage IV endometrial cancer and stage III-C ovarian cancer vs metastatic endometrial cancer for line 2 , cycle 1 chemotherapy .' -p220188 -(lp220189 -S'The\tThe\tDT\tB-NP\tO' -p220190 -aS'patient\tpatient\tNN\tI-NP\tO' -p220191 -aS'is\tbe\tVBZ\tB-VP\tO' -p220192 -aS'a\ta\tDT\tB-NP\tO' -p220193 -aS'31\t31\tCD\tI-NP\tO' -p220194 -aS'year\tyear\tNN\tI-NP\tO' -p220195 -aS'old\told\tJJ\tI-NP\tO' -p220196 -aS'gravida\tgravida\tNN\tI-NP\tO' -p220197 -aS'0\t0\tCD\tI-NP\tO' -p220198 -aS'with\twith\tIN\tB-PP\tO' -p220199 -aS'stage\tstage\tNN\tB-NP\tO' -p220200 -aS'IV\tIV\tCD\tI-NP\tO' -p220201 -aS'endometrial\tendometrial\tJJ\tI-NP\tO' -p220202 -aS'cancer\tcancer\tNN\tI-NP\tO' -p220203 -aS'and\tand\tCC\tI-NP\tO' -p220204 -aS'stage\tstage\tNN\tI-NP\tO' -p220205 -aS'III-C\tIII-C\tNN\tI-NP\tO' -p220206 -aS'ovarian\tovarian\tJJ\tI-NP\tO' -p220207 -aS'cancer\tcancer\tNN\tI-NP\tO' -p220208 -aS'vs\tvs\tIN\tB-PP\tO' -p220209 -aS'metastatic\tmetastatic\tJJ\tB-NP\tO' -p220210 -aS'endometrial\tendometrial\tJJ\tI-NP\tO' -p220211 -aS'cancer\tcancer\tNN\tI-NP\tO' -p220212 -aS'for\tfor\tIN\tB-PP\tO' -p220213 -aS'line\tline\tNN\tB-NP\tO' -p220214 -aS'2\t2\tCD\tI-NP\tO' -p220215 -aS',\t,\t,\tO\tO' -p220216 -aS'cycle\tcycle\tNN\tB-NP\tO' -p220217 -aS'1\t1\tCD\tI-NP\tO' -p220218 -aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' -p220219 -aS'.\t.\t.\tO\tO' -p220220 -asS'130/82 and heart rate 80 .' -p220221 -(lp220222 -S'130/82\t130/82\tCD\tB-NP\tO' -p220223 -aS'and\tand\tCC\tI-NP\tO' -p220224 -aS'heart\theart\tNN\tI-NP\tO' -p220225 -aS'rate\trate\tNN\tI-NP\tO' -p220226 -aS'80\t80\tCD\tI-NP\tO' -p220227 -aS'.\t.\t.\tO\tO' -p220228 -asS'The patient had o.d. glaucoma surgery , 1400 hours , on May 12th , 1992 .' -p220229 -(lp220230 -S'The\tThe\tDT\tB-NP\tO' -p220231 -aS'patient\tpatient\tNN\tI-NP\tO' -p220232 -aS'had\thave\tVBD\tB-VP\tO' -p220233 -aS'o.d.\to.d.\tVBN\tI-VP\tO' -p220234 -aS'glaucoma\tglaucoma\tNN\tB-NP\tO' -p220235 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p220236 -aS',\t,\t,\tO\tO' -p220237 -aS'1400\t1400\tCD\tB-NP\tO' -p220238 -aS'hours\thour\tNNS\tI-NP\tO' -p220239 -aS',\t,\t,\tO\tO' -p220240 -aS'on\ton\tIN\tB-PP\tO' -p220241 -aS'May\tMay\tNNP\tB-NP\tO' -p220242 -aS'12th\t12th\tCD\tI-NP\tO' -p220243 -aS',\t,\t,\tI-NP\tO' -p220244 -aS'1992\t1992\tCD\tI-NP\tO' -p220245 -aS'.\t.\t.\tO\tO' -p220246 -asS'Her abdomen was obese and had positive bowel sounds .' -p220247 -(lp220248 -S'Her\tHer\tPRP$\tB-NP\tO' -p220249 -aS'abdomen\tabdoman\tNNS\tI-NP\tO' -p220250 -aS'was\tbe\tVBD\tB-VP\tO' -p220251 -aS'obese\tobese\tJJ\tB-ADJP\tO' -p220252 -aS'and\tand\tCC\tO\tO' -p220253 -aS'had\thave\tVBD\tB-VP\tO' -p220254 -aS'positive\tpositive\tJJ\tB-NP\tO' -p220255 -aS'bowel\tbowel\tNN\tI-NP\tO' -p220256 -aS'sounds\tsound\tNNS\tI-NP\tO' -p220257 -aS'.\t.\t.\tO\tO' -p220258 -asS'The patient is a 70-year-old female with cryptogenic cirrhosis .' -p220259 -(lp220260 -S'The\tThe\tDT\tB-NP\tO' -p220261 -aS'patient\tpatient\tNN\tI-NP\tO' -p220262 -aS'is\tbe\tVBZ\tB-VP\tO' -p220263 -aS'a\ta\tDT\tB-NP\tO' -p220264 -aS'70-year-old\t70-year-old\tJJ\tI-NP\tO' -p220265 -aS'female\tfemale\tNN\tI-NP\tO' -p220266 -aS'with\twith\tIN\tB-PP\tO' -p220267 -aS'cryptogenic\tcryptogenic\tJJ\tB-NP\tO' -p220268 -aS'cirrhosis\tcirrhosis\tNN\tI-NP\tO' -p220269 -aS'.\t.\t.\tO\tO' -p220270 -asS'Renal function gradually improved and Cr trended down from peak of 7.6 to 1.4 .' -p220271 -(lp220272 -S'Renal\tRenal\tJJ\tB-NP\tO' -p220273 -aS'function\tfunction\tNN\tI-NP\tO' -p220274 -aS'gradually\tgradually\tRB\tB-VP\tO' -p220275 -aS'improved\timprove\tVBN\tI-VP\tO' -p220276 -aS'and\tand\tCC\tO\tO' -p220277 -aS'Cr\tCr\tNNP\tB-NP\tO' -p220278 -aS'trended\ttrend\tVBD\tB-VP\tO' -p220279 -aS'down\tdown\tRB\tB-ADVP\tO' -p220280 -aS'from\tfrom\tIN\tB-PP\tO' -p220281 -aS'peak\tpeak\tNN\tB-NP\tO' -p220282 -aS'of\tof\tIN\tB-PP\tO' -p220283 -aS'7.6\t7.6\tCD\tB-NP\tO' -p220284 -aS'to\tto\tTO\tB-PP\tO' -p220285 -aS'1.4\t1.4\tCD\tB-NP\tO' -p220286 -aS'.\t.\t.\tO\tO' -p220287 -asS'He is married and lives in Burbank Hospital .' -p220288 -(lp220289 -S'He\tHe\tPRP\tB-NP\tO' -p220290 -aS'is\tbe\tVBZ\tB-VP\tO' -p220291 -aS'married\tmarried\tJJ\tB-ADJP\tO' -p220292 -aS'and\tand\tCC\tO\tO' -p220293 -aS'lives\tlife\tNNS\tB-NP\tO' -p220294 -aS'in\tin\tIN\tB-PP\tO' -p220295 -aS'Burbank\tBurbank\tNNP\tB-NP\tO' -p220296 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p220297 -aS'.\t.\t.\tO\tO' -p220298 -asS'An inferior vena cava filter was considered but was deferred , as it was felt that Mr. Roach was too unstable to undergo the procedure .' -p220299 -(lp220300 -S'An\tAn\tDT\tB-NP\tO' -p220301 -aS'inferior\tinferior\tJJ\tI-NP\tO' -p220302 -aS'vena\tvena\tNN\tI-NP\tO' -p220303 -aS'cava\tcava\tNN\tI-NP\tO' -p220304 -aS'filter\tfilter\tNN\tI-NP\tO' -p220305 -aS'was\tbe\tVBD\tB-VP\tO' -p220306 -aS'considered\tconsider\tVBN\tI-VP\tO' -p220307 -aS'but\tbut\tCC\tO\tO' -p220308 -aS'was\tbe\tVBD\tB-VP\tO' -p220309 -aS'deferred\tdefer\tVBN\tI-VP\tO' -p220310 -aS',\t,\t,\tO\tO' -p220311 -aS'as\tas\tIN\tB-SBAR\tO' -p220312 -aS'it\tit\tPRP\tB-NP\tO' -p220313 -aS'was\tbe\tVBD\tB-VP\tO' -p220314 -aS'felt\tfeel\tVBN\tI-VP\tO' -p220315 -aS'that\tthat\tIN\tB-SBAR\tO' -p220316 -aS'Mr.\tMr.\tNNP\tB-NP\tO' -p220317 -aS'Roach\tRoach\tNNP\tI-NP\tO' -p220318 -aS'was\tbe\tVBD\tB-VP\tO' -p220319 -aS'too\ttoo\tRB\tB-ADJP\tO' -p220320 -aS'unstable\tunstable\tJJ\tI-ADJP\tO' -p220321 -aS'to\tto\tTO\tB-VP\tO' -p220322 -aS'undergo\tundergo\tVB\tI-VP\tO' -p220323 -aS'the\tthe\tDT\tB-NP\tO' -p220324 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p220325 -aS'.\t.\t.\tO\tO' -p220326 -asS'No results from this were sent .' -p220327 -(lp220328 -S'No\tNo\tDT\tB-NP\tO' -p220329 -aS'results\tresult\tNNS\tI-NP\tO' -p220330 -aS'from\tfrom\tIN\tB-PP\tO' -p220331 -aS'this\tthis\tDT\tB-NP\tO' -p220332 -aS'were\tbe\tVBD\tB-VP\tO' -p220333 -aS'sent\tsend\tVBN\tI-VP\tO' -p220334 -aS'.\t.\t.\tO\tO' -p220335 -asS'2) Mitral regurgitation , 2+ on July of 1998 echocardiogram .' -p220336 -(lp220337 -S'2)\t2)\tLS\tB-NP\tO' -p220338 -aS'Mitral\tMitral\tJJ\tI-NP\tO' -p220339 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p220340 -aS',\t,\t,\tO\tO' -p220341 -aS'2+\t2+\tJJ\tB-ADJP\tO' -p220342 -aS'on\ton\tIN\tB-PP\tO' -p220343 -aS'July\tJuly\tNNP\tB-NP\tO' -p220344 -aS'of\tof\tIN\tB-PP\tO' -p220345 -aS'1998\t1998\tCD\tB-NP\tO' -p220346 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p220347 -aS'.\t.\t.\tO\tO' -p220348 -asS'His X-rays show advanced osteoarthritis of his right hip .' -p220349 -(lp220350 -S'His\tHis\tPRP$\tB-NP\tO' -p220351 -aS'X-rays\tX-ray\tNNS\tI-NP\tO' -p220352 -aS'show\tshow\tVBP\tB-VP\tO' -p220353 -aS'advanced\tadvance\tVBN\tI-VP\tO' -p220354 -aS'osteoarthritis\tosteoarthritis\tNN\tB-NP\tO' -p220355 -aS'of\tof\tIN\tB-PP\tO' -p220356 -aS'his\this\tPRP$\tB-NP\tO' -p220357 -aS'right\tright\tJJ\tI-NP\tO' -p220358 -aS'hip\thip\tNN\tI-NP\tO' -p220359 -aS'.\t.\t.\tO\tO' -p220360 -asS'The patient was transferred to the Cardiac Care Unit where he had a peak CPK of 5,042 and 26.7% MB's .' -p220361 -(lp220362 -S'The\tThe\tDT\tB-NP\tO' -p220363 -aS'patient\tpatient\tNN\tI-NP\tO' -p220364 -aS'was\tbe\tVBD\tB-VP\tO' -p220365 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p220366 -aS'to\tto\tTO\tB-PP\tO' -p220367 -aS'the\tthe\tDT\tB-NP\tO' -p220368 -aS'Cardiac\tCardiac\tNNP\tI-NP\tO' -p220369 -aS'Care\tCare\tNNP\tI-NP\tO' -p220370 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p220371 -aS'where\twhere\tWRB\tB-ADVP\tO' -p220372 -aS'he\the\tPRP\tB-NP\tO' -p220373 -aS'had\thave\tVBD\tB-VP\tO' -p220374 -aS'a\ta\tDT\tB-NP\tO' -p220375 -aS'peak\tpeak\tJJ\tI-NP\tO' -p220376 -aS'CPK\tCPK\tNN\tI-NP\tB-protein' -p220377 -aS'of\tof\tIN\tB-PP\tO' -p220378 -aS'5,042\t5,042\tCD\tB-NP\tO' -p220379 -aS'and\tand\tCC\tI-NP\tO' -p220380 -aS'26.7%\t26.7%\tCD\tI-NP\tO' -p220381 -aS'MB's\tMB'\tNNS\tI-NP\tO' -p220382 -aS'.\t.\t.\tO\tO' -p220383 -asS'Percocet one to two whenever necessary q. four to six hours for pain .' -p220384 -(lp220385 -S'Percocet\tPercocet\tIN\tB-PP\tO' -p220386 -aS'one\tone\tCD\tB-NP\tO' -p220387 -aS'to\tto\tTO\tB-PP\tO' -p220388 -aS'two\ttwo\tCD\tB-NP\tO' -p220389 -aS'whenever\twhenever\tWRB\tB-ADVP\tO' -p220390 -aS'necessary\tnecessary\tJJ\tB-NP\tO' -p220391 -aS'q.\tq.\tNN\tI-NP\tO' -p220392 -aS'four\tfour\tCD\tB-NP\tO' -p220393 -aS'to\tto\tTO\tI-NP\tO' -p220394 -aS'six\tsix\tCD\tI-NP\tO' -p220395 -aS'hours\thour\tNNS\tI-NP\tO' -p220396 -aS'for\tfor\tIN\tB-PP\tO' -p220397 -aS'pain\tpain\tNN\tB-NP\tO' -p220398 -aS'.\t.\t.\tO\tO' -p220399 -asS'Umbilical cord with Braintree jelly cysts but also with pink tubular discoloration at base .' -p220400 -(lp220401 -S'Umbilical\tUmbilical\tJJ\tB-NP\tO' -p220402 -aS'cord\tcord\tNN\tI-NP\tO' -p220403 -aS'with\twith\tIN\tB-PP\tO' -p220404 -aS'Braintree\tBraintree\tNNP\tB-NP\tO' -p220405 -aS'jelly\tjelly\tNNP\tI-NP\tO' -p220406 -aS'cysts\tcyst\tNNS\tI-NP\tO' -p220407 -aS'but\tbut\tCC\tB-CONJP\tO' -p220408 -aS'also\talso\tRB\tI-CONJP\tO' -p220409 -aS'with\twith\tIN\tB-PP\tO' -p220410 -aS'pink\tpink\tJJ\tB-NP\tO' -p220411 -aS'tubular\ttubular\tJJ\tI-NP\tO' -p220412 -aS'discoloration\tdiscoloration\tNN\tI-NP\tO' -p220413 -aS'at\tat\tIN\tB-PP\tO' -p220414 -aS'base\tbase\tNN\tB-NP\tO' -p220415 -aS'.\t.\t.\tO\tO' -p220416 -asS'On admission , Thomas was well-appearing though slightly sleepy with jaundice .' -p220417 -(lp220418 -S'On\tOn\tIN\tB-PP\tO' -p220419 -aS'admission\tadmission\tNN\tB-NP\tO' -p220420 -aS',\t,\t,\tO\tO' -p220421 -aS'Thomas\tThomas\tNNP\tB-NP\tO' -p220422 -aS'was\tbe\tVBD\tB-VP\tO' -p220423 -aS'well-appearing\twell-appearing\tJJ\tB-ADJP\tO' -p220424 -aS'though\tthough\tIN\tB-SBAR\tO' -p220425 -aS'slightly\tslightly\tRB\tB-ADJP\tO' -p220426 -aS'sleepy\tsleepy\tJJ\tI-ADJP\tO' -p220427 -aS'with\twith\tIN\tB-PP\tO' -p220428 -aS'jaundice\tjaundice\tNN\tB-NP\tO' -p220429 -aS'.\t.\t.\tO\tO' -p220430 -asS'There is decreased intraventricular blood , compared to the previous study , and there are no signs of hydrocephalus .' -p220431 -(lp220432 -S'There\tThere\tEX\tB-NP\tO' -p220433 -aS'is\tbe\tVBZ\tB-VP\tO' -p220434 -aS'decreased\tdecrease\tVBN\tI-VP\tO' -p220435 -aS'intraventricular\tintraventricular\tJJ\tB-NP\tO' -p220436 -aS'blood\tblood\tNN\tI-NP\tO' -p220437 -aS',\t,\t,\tO\tO' -p220438 -aS'compared\tcompare\tVBN\tB-PP\tO' -p220439 -aS'to\tto\tTO\tB-PP\tO' -p220440 -aS'the\tthe\tDT\tB-NP\tO' -p220441 -aS'previous\tprevious\tJJ\tI-NP\tO' -p220442 -aS'study\tstudy\tNN\tI-NP\tO' -p220443 -aS',\t,\t,\tO\tO' -p220444 -aS'and\tand\tCC\tO\tO' -p220445 -aS'there\tthere\tEX\tB-NP\tO' -p220446 -aS'are\tbe\tVBP\tB-VP\tO' -p220447 -aS'no\tno\tDT\tB-NP\tO' -p220448 -aS'signs\tsign\tNNS\tI-NP\tO' -p220449 -aS'of\tof\tIN\tB-PP\tO' -p220450 -aS'hydrocephalus\thydrocephalus\tNN\tB-NP\tO' -p220451 -aS'.\t.\t.\tO\tO' -p220452 -asS'She still had no localizing signs of infection and culture data was negative to be negative .' -p220453 -(lp220454 -S'She\tShe\tPRP\tB-NP\tO' -p220455 -aS'still\tstill\tRB\tB-ADVP\tO' -p220456 -aS'had\thave\tVBD\tB-VP\tO' -p220457 -aS'no\tno\tDT\tB-NP\tO' -p220458 -aS'localizing\tlocalize\tVBG\tI-NP\tO' -p220459 -aS'signs\tsign\tNNS\tI-NP\tO' -p220460 -aS'of\tof\tIN\tB-PP\tO' -p220461 -aS'infection\tinfection\tNN\tB-NP\tO' -p220462 -aS'and\tand\tCC\tI-NP\tO' -p220463 -aS'culture\tculture\tNN\tI-NP\tO' -p220464 -aS'data\tdatum\tNNS\tI-NP\tO' -p220465 -aS'was\tbe\tVBD\tB-VP\tO' -p220466 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p220467 -aS'to\tto\tTO\tB-VP\tO' -p220468 -aS'be\tbe\tVB\tI-VP\tO' -p220469 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p220470 -aS'.\t.\t.\tO\tO' -p220471 -asS'She had received a full course of Flolan teaching and reported that she and her husband felt comfortable with the administration of the medication at home .' -p220472 -(lp220473 -S'She\tShe\tPRP\tB-NP\tO' -p220474 -aS'had\thave\tVBD\tB-VP\tO' -p220475 -aS'received\treceive\tVBN\tI-VP\tO' -p220476 -aS'a\ta\tDT\tB-NP\tO' -p220477 -aS'full\tfull\tJJ\tI-NP\tO' -p220478 -aS'course\tcourse\tNN\tI-NP\tO' -p220479 -aS'of\tof\tIN\tB-PP\tO' -p220480 -aS'Flolan\tFlolan\tNN\tB-NP\tO' -p220481 -aS'teaching\tteaching\tNN\tI-NP\tO' -p220482 -aS'and\tand\tCC\tO\tO' -p220483 -aS'reported\treport\tVBD\tB-VP\tO' -p220484 -aS'that\tthat\tIN\tB-SBAR\tO' -p220485 -aS'she\tshe\tPRP\tB-NP\tO' -p220486 -aS'and\tand\tCC\tO\tO' -p220487 -aS'her\ther\tPRP$\tB-NP\tO' -p220488 -aS'husband\thusband\tNN\tI-NP\tO' -p220489 -aS'felt\tfeel\tVBD\tB-VP\tO' -p220490 -aS'comfortable\tcomfortable\tJJ\tB-ADJP\tO' -p220491 -aS'with\twith\tIN\tB-PP\tO' -p220492 -aS'the\tthe\tDT\tB-NP\tO' -p220493 -aS'administration\tadministration\tNN\tI-NP\tO' -p220494 -aS'of\tof\tIN\tB-PP\tO' -p220495 -aS'the\tthe\tDT\tB-NP\tO' -p220496 -aS'medication\tmedication\tNN\tI-NP\tO' -p220497 -aS'at\tat\tIN\tB-PP\tO' -p220498 -aS'home\thome\tNN\tB-NP\tO' -p220499 -aS'.\t.\t.\tO\tO' -p220500 -asS'2. Potassium Chloride 20 mEq Packet Sig : One ( 1 ) Packet PO once a day for 2 weeks .' -p220501 -(lp220502 -S'2.\t2.\tLS\tB-NP\tO' -p220503 -aS'Potassium\tPotassium\tNN\tI-NP\tO' -p220504 -aS'Chloride\tChloride\tNN\tI-NP\tO' -p220505 -aS'20\t20\tCD\tI-NP\tO' -p220506 -aS'mEq\tmEq\tNN\tI-NP\tO' -p220507 -aS'Packet\tPacket\tNNP\tI-NP\tO' -p220508 -aS'Sig\tSig\tNNP\tI-NP\tO' -p220509 -aS':\t:\t:\tO\tO' -p220510 -aS'One\tOne\tCD\tB-NP\tO' -p220511 -aS'(\t(\t(\tO\tO' -p220512 -aS'1\t1\tCD\tB-NP\tO' -p220513 -aS')\t)\t)\tO\tO' -p220514 -aS'Packet\tPacket\tNN\tB-NP\tB-protein' -p220515 -aS'PO\tPO\tNN\tI-NP\tI-protein' -p220516 -aS'once\tonce\tRB\tO\tO' -p220517 -aS'a\ta\tDT\tB-NP\tO' -p220518 -aS'day\tday\tNN\tI-NP\tO' -p220519 -aS'for\tfor\tIN\tB-PP\tO' -p220520 -aS'2\t2\tCD\tB-NP\tO' -p220521 -aS'weeks\tweek\tNNS\tI-NP\tO' -p220522 -aS'.\t.\t.\tO\tO' -p220523 -asS'Patient did receive an ICD during this hospital admission without complication .' -p220524 -(lp220525 -S'Patient\tPatient\tNN\tB-NP\tO' -p220526 -aS'did\tdo\tVBD\tB-VP\tO' -p220527 -aS'receive\treceive\tVB\tI-VP\tO' -p220528 -aS'an\tan\tDT\tB-NP\tO' -p220529 -aS'ICD\tICD\tNN\tI-NP\tB-protein' -p220530 -aS'during\tduring\tIN\tB-PP\tO' -p220531 -aS'this\tthis\tDT\tB-NP\tO' -p220532 -aS'hospital\thospital\tNN\tI-NP\tO' -p220533 -aS'admission\tadmission\tNN\tI-NP\tO' -p220534 -aS'without\twithout\tIN\tB-PP\tO' -p220535 -aS'complication\tcomplication\tNN\tB-NP\tO' -p220536 -aS'.\t.\t.\tO\tO' -p220537 -asS'She arrived at Mediplex Rehab Hospital Hospital on 07-01 for 1 day of nausea and vomiting and was found to be febrile to 99 at that time .' -p220538 -(lp220539 -S'She\tShe\tPRP\tB-NP\tO' -p220540 -aS'arrived\tarrive\tVBD\tB-VP\tO' -p220541 -aS'at\tat\tIN\tB-PP\tO' -p220542 -aS'Mediplex\tMediplex\tNNP\tB-NP\tO' -p220543 -aS'Rehab\tRehab\tNNP\tI-NP\tO' -p220544 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p220545 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p220546 -aS'on\ton\tIN\tB-PP\tO' -p220547 -aS'07-01\t07-01\tCD\tB-NP\tO' -p220548 -aS'for\tfor\tIN\tB-PP\tO' -p220549 -aS'1\t1\tCD\tB-NP\tO' -p220550 -aS'day\tday\tNN\tI-NP\tO' -p220551 -aS'of\tof\tIN\tB-PP\tO' -p220552 -aS'nausea\tnausea\tNN\tB-NP\tO' -p220553 -aS'and\tand\tCC\tI-NP\tO' -p220554 -aS'vomiting\tvomiting\tNN\tI-NP\tO' -p220555 -aS'and\tand\tCC\tO\tO' -p220556 -aS'was\tbe\tVBD\tB-VP\tO' -p220557 -aS'found\tfind\tVBN\tI-VP\tO' -p220558 -aS'to\tto\tTO\tI-VP\tO' -p220559 -aS'be\tbe\tVB\tI-VP\tO' -p220560 -aS'febrile\tfebrile\tJJ\tB-ADJP\tO' -p220561 -aS'to\tto\tTO\tB-PP\tO' -p220562 -aS'99\t99\tCD\tB-NP\tO' -p220563 -aS'at\tat\tIN\tB-PP\tO' -p220564 -aS'that\tthat\tDT\tB-NP\tO' -p220565 -aS'time\ttime\tNN\tI-NP\tO' -p220566 -aS'.\t.\t.\tO\tO' -p220567 -asS'The patient has a poor nutritional status with hypoalbuminemia .' -p220568 -(lp220569 -S'The\tThe\tDT\tB-NP\tO' -p220570 -aS'patient\tpatient\tNN\tI-NP\tO' -p220571 -aS'has\thave\tVBZ\tB-VP\tO' -p220572 -aS'a\ta\tDT\tB-NP\tO' -p220573 -aS'poor\tpoor\tJJ\tI-NP\tO' -p220574 -aS'nutritional\tnutritional\tJJ\tI-NP\tO' -p220575 -aS'status\tstatus\tNN\tI-NP\tO' -p220576 -aS'with\twith\tIN\tB-PP\tO' -p220577 -aS'hypoalbuminemia\thypoalbuminemia\tNN\tB-NP\tO' -p220578 -aS'.\t.\t.\tO\tO' -p220579 -asS'No frank abscesses .' -p220580 -(lp220581 -S'No\tNo\tDT\tB-NP\tO' -p220582 -aS'frank\tfrank\tNN\tI-NP\tO' -p220583 -aS'abscesses\tabscess\tNNS\tI-NP\tO' -p220584 -aS'.\t.\t.\tO\tO' -p220585 -asS'Right hip , osteoarthritis .' -p220586 -(lp220587 -S'Right\tRight\tRB\tB-ADVP\tO' -p220588 -aS'hip\thip\tNN\tI-ADVP\tO' -p220589 -aS',\t,\t,\tO\tO' -p220590 -aS'osteoarthritis\tosteoarthritis\tNN\tB-NP\tO' -p220591 -aS'.\t.\t.\tO\tO' -p220592 -asS'The patient had reported an approximately 30 pound weight loss in six weeks .' -p220593 -(lp220594 -S'The\tThe\tDT\tB-NP\tO' -p220595 -aS'patient\tpatient\tNN\tI-NP\tO' -p220596 -aS'had\thave\tVBD\tB-VP\tO' -p220597 -aS'reported\treport\tVBN\tI-VP\tO' -p220598 -aS'an\tan\tDT\tB-NP\tO' -p220599 -aS'approximately\tapproximately\tRB\tI-NP\tO' -p220600 -aS'30\t30\tCD\tI-NP\tO' -p220601 -aS'pound\tpound\tNN\tI-NP\tO' -p220602 -aS'weight\tweight\tNN\tI-NP\tO' -p220603 -aS'loss\tloss\tNN\tI-NP\tO' -p220604 -aS'in\tin\tIN\tB-PP\tO' -p220605 -aS'six\tsix\tCD\tB-NP\tO' -p220606 -aS'weeks\tweek\tNNS\tI-NP\tO' -p220607 -aS'.\t.\t.\tO\tO' -p220608 -asS'ABG that evening was 7.29/51/56 on 4L NC and early the next morning , was 7.25/62/64 on NRB .' -p220609 -(lp220610 -S'ABG\tABG\tNN\tB-NP\tO' -p220611 -aS'that\tthat\tIN\tB-SBAR\tO' -p220612 -aS'evening\tevening\tNN\tB-NP\tO' -p220613 -aS'was\tbe\tVBD\tB-VP\tO' -p220614 -aS'7.29/51/56\t7.29/51/56\tCD\tB-NP\tO' -p220615 -aS'on\ton\tIN\tB-PP\tO' -p220616 -aS'4L\t4L\tNN\tB-NP\tO' -p220617 -aS'NC\tNC\tNN\tI-NP\tO' -p220618 -aS'and\tand\tCC\tO\tO' -p220619 -aS'early\tearly\tRB\tB-NP\tO' -p220620 -aS'the\tthe\tDT\tI-NP\tO' -p220621 -aS'next\tnext\tJJ\tI-NP\tO' -p220622 -aS'morning\tmorning\tNN\tI-NP\tO' -p220623 -aS',\t,\t,\tO\tO' -p220624 -aS'was\tbe\tVBD\tB-VP\tO' -p220625 -aS'7.25/62/64\t7.25/62/64\tCD\tB-NP\tO' -p220626 -aS'on\ton\tIN\tB-PP\tO' -p220627 -aS'NRB\tNRB\tNN\tB-NP\tB-protein' -p220628 -aS'.\t.\t.\tO\tO' -p220629 -asS'9. Vitamin C 500 mg po bid .' -p220630 -(lp220631 -S'9.\t9.\tLS\tB-NP\tO' -p220632 -aS'Vitamin\tVitamin\tNN\tI-NP\tO' -p220633 -aS'C\tC\tNN\tI-NP\tO' -p220634 -aS'500\t500\tCD\tI-NP\tO' -p220635 -aS'mg\tmg\tNN\tI-NP\tO' -p220636 -aS'po\tpo\tNN\tI-NP\tO' -p220637 -aS'bid\tbid\tNN\tI-NP\tO' -p220638 -aS'.\t.\t.\tO\tO' -p220639 -asS'She needs her dose on 5/22/92 .' -p220640 -(lp220641 -S'She\tShe\tPRP\tB-NP\tO' -p220642 -aS'needs\tneed\tVBZ\tB-VP\tO' -p220643 -aS'her\ther\tPRP$\tB-NP\tO' -p220644 -aS'dose\tdose\tNN\tI-NP\tO' -p220645 -aS'on\ton\tIN\tB-PP\tO' -p220646 -aS'5/22/92\t5/22/92\tCD\tB-NP\tO' -p220647 -aS'.\t.\t.\tO\tO' -p220648 -asS'Risk discussed with family .' -p220649 -(lp220650 -S'Risk\tRisk\tNN\tB-NP\tO' -p220651 -aS'discussed\tdiscuss\tVBN\tB-VP\tO' -p220652 -aS'with\twith\tIN\tB-PP\tO' -p220653 -aS'family\tfamily\tNN\tB-NP\tO' -p220654 -aS'.\t.\t.\tO\tO' -p220655 -asS'17. Zantac 150 p.o. twice a day .' -p220656 -(lp220657 -S'17.\t17.\tCD\tB-NP\tO' -p220658 -aS'Zantac\tZantac\tNN\tI-NP\tO' -p220659 -aS'150\t150\tCD\tB-NP\tO' -p220660 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p220661 -aS'twice\ttwice\tRB\tB-NP\tO' -p220662 -aS'a\ta\tDT\tI-NP\tO' -p220663 -aS'day\tday\tNN\tI-NP\tO' -p220664 -aS'.\t.\t.\tO\tO' -p220665 -asS'There appeared to be a new T-wave inversion in V4 .' -p220666 -(lp220667 -S'There\tThere\tEX\tB-NP\tO' -p220668 -aS'appeared\tappear\tVBD\tB-VP\tO' -p220669 -aS'to\tto\tTO\tI-VP\tO' -p220670 -aS'be\tbe\tVB\tI-VP\tO' -p220671 -aS'a\ta\tDT\tB-NP\tO' -p220672 -aS'new\tnew\tJJ\tI-NP\tO' -p220673 -aS'T-wave\tT-wave\tNN\tI-NP\tO' -p220674 -aS'inversion\tinversion\tNN\tI-NP\tO' -p220675 -aS'in\tin\tIN\tB-PP\tO' -p220676 -aS'V4\tV4\tNN\tB-NP\tB-protein' -p220677 -aS'.\t.\t.\tO\tO' -p220678 -asS'The patient was admitted to the Fairm of Ijordcompmac Hospital , on the Neurological Surgery Service of Lupevickette L. Ca , M.D.' -p220679 -(lp220680 -S'The\tThe\tDT\tB-NP\tO' -p220681 -aS'patient\tpatient\tNN\tI-NP\tO' -p220682 -aS'was\tbe\tVBD\tB-VP\tO' -p220683 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p220684 -aS'to\tto\tTO\tB-PP\tO' -p220685 -aS'the\tthe\tDT\tB-NP\tO' -p220686 -aS'Fairm\tFairm\tNNP\tI-NP\tO' -p220687 -aS'of\tof\tIN\tB-PP\tO' -p220688 -aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' -p220689 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p220690 -aS',\t,\t,\tO\tO' -p220691 -aS'on\ton\tIN\tB-PP\tO' -p220692 -aS'the\tthe\tDT\tB-NP\tO' -p220693 -aS'Neurological\tNeurological\tNNP\tI-NP\tO' -p220694 -aS'Surgery\tSurgery\tNNP\tI-NP\tO' -p220695 -aS'Service\tService\tNNP\tI-NP\tO' -p220696 -aS'of\tof\tIN\tB-PP\tO' -p220697 -aS'Lupevickette\tLupevickette\tNNP\tB-NP\tO' -p220698 -aS'L.\tL.\tNNP\tI-NP\tO' -p220699 -aS'Ca\tCa\tNNP\tI-NP\tO' -p220700 -aS',\t,\t,\tO\tO' -p220701 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p220702 -asS'He was in mild respiratory distress and a diagnosis of transient tachypnea of the newborn was made .' -p220703 -(lp220704 -S'He\tHe\tPRP\tB-NP\tO' -p220705 -aS'was\tbe\tVBD\tB-VP\tO' -p220706 -aS'in\tin\tIN\tB-PP\tO' -p220707 -aS'mild\tmild\tJJ\tB-NP\tO' -p220708 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p220709 -aS'distress\tdistress\tNN\tI-NP\tO' -p220710 -aS'and\tand\tCC\tO\tO' -p220711 -aS'a\ta\tDT\tB-NP\tO' -p220712 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p220713 -aS'of\tof\tIN\tB-PP\tO' -p220714 -aS'transient\ttransient\tJJ\tB-NP\tO' -p220715 -aS'tachypnea\ttachypnea\tNN\tI-NP\tO' -p220716 -aS'of\tof\tIN\tB-PP\tO' -p220717 -aS'the\tthe\tDT\tB-NP\tO' -p220718 -aS'newborn\tnewborn\tNN\tI-NP\tO' -p220719 -aS'was\tbe\tVBD\tB-VP\tO' -p220720 -aS'made\tmake\tVBN\tI-VP\tO' -p220721 -aS'.\t.\t.\tO\tO' -p220722 -asS'The patient was discharged on 9-12-92 , with the approval of her attending physiciana , Dr. Porriede Friednantflirt .' -p220723 -(lp220724 -S'The\tThe\tDT\tB-NP\tO' -p220725 -aS'patient\tpatient\tNN\tI-NP\tO' -p220726 -aS'was\tbe\tVBD\tB-VP\tO' -p220727 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p220728 -aS'on\ton\tIN\tB-PP\tO' -p220729 -aS'9-12-92\t9-12-92\tCD\tB-NP\tO' -p220730 -aS',\t,\t,\tO\tO' -p220731 -aS'with\twith\tIN\tB-PP\tO' -p220732 -aS'the\tthe\tDT\tB-NP\tO' -p220733 -aS'approval\tapproval\tNN\tI-NP\tO' -p220734 -aS'of\tof\tIN\tB-PP\tO' -p220735 -aS'her\ther\tPRP$\tB-NP\tO' -p220736 -aS'attending\tattend\tVBG\tI-NP\tO' -p220737 -aS'physiciana\tphysiciana\tNN\tI-NP\tO' -p220738 -aS',\t,\t,\tO\tO' -p220739 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p220740 -aS'Porriede\tPorriede\tNNP\tI-NP\tO' -p220741 -aS'Friednantflirt\tFriednantflirt\tNNP\tI-NP\tO' -p220742 -aS'.\t.\t.\tO\tO' -p220743 -asS'Premature female .' -p220744 -(lp220745 -S'Premature\tPremature\tJJ\tB-NP\tO' -p220746 -aS'female\tfemale\tNN\tI-NP\tO' -p220747 -aS'.\t.\t.\tO\tO' -p220748 -asS'CXR also showed small pleural effusion and attempt was made to tap it , but pt did not tolerate the procedure and asked that it be deferred .' -p220749 -(lp220750 -S'CXR\tCXR\tNN\tB-NP\tB-protein' -p220751 -aS'also\talso\tRB\tB-ADVP\tO' -p220752 -aS'showed\tshow\tVBD\tB-VP\tO' -p220753 -aS'small\tsmall\tJJ\tB-NP\tO' -p220754 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p220755 -aS'effusion\teffusion\tNN\tI-NP\tO' -p220756 -aS'and\tand\tCC\tI-NP\tO' -p220757 -aS'attempt\tattempt\tNN\tI-NP\tO' -p220758 -aS'was\tbe\tVBD\tB-VP\tO' -p220759 -aS'made\tmake\tVBN\tI-VP\tO' -p220760 -aS'to\tto\tTO\tB-VP\tO' -p220761 -aS'tap\ttap\tVB\tI-VP\tO' -p220762 -aS'it\tit\tPRP\tB-NP\tO' -p220763 -aS',\t,\t,\tO\tO' -p220764 -aS'but\tbut\tCC\tO\tO' -p220765 -aS'pt\tpt\tNN\tB-NP\tO' -p220766 -aS'did\tdo\tVBD\tB-VP\tO' -p220767 -aS'not\tnot\tRB\tI-VP\tO' -p220768 -aS'tolerate\ttolerate\tVB\tI-VP\tO' -p220769 -aS'the\tthe\tDT\tB-NP\tO' -p220770 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p220771 -aS'and\tand\tCC\tO\tO' -p220772 -aS'asked\task\tVBD\tB-VP\tO' -p220773 -aS'that\tthat\tIN\tB-SBAR\tO' -p220774 -aS'it\tit\tPRP\tB-NP\tO' -p220775 -aS'be\tbe\tVB\tB-VP\tO' -p220776 -aS'deferred\tdefer\tVBN\tI-VP\tO' -p220777 -aS'.\t.\t.\tO\tO' -p220778 -asS'1. Prematurity at 30-6/7 weeks .' -p220779 -(lp220780 -S'1.\t1.\tLS\tB-NP\tO' -p220781 -aS'Prematurity\tPrematurity\tNN\tI-NP\tO' -p220782 -aS'at\tat\tIN\tB-PP\tO' -p220783 -aS'30-6/7\t30-6/7\tCD\tB-NP\tO' -p220784 -aS'weeks\tweek\tNNS\tI-NP\tO' -p220785 -aS'.\t.\t.\tO\tO' -p220786 -asS'She has had one gram per day proteinuria with normal creatinine .' -p220787 -(lp220788 -S'She\tShe\tPRP\tB-NP\tO' -p220789 -aS'has\thave\tVBZ\tB-VP\tO' -p220790 -aS'had\thave\tVBD\tI-VP\tO' -p220791 -aS'one\tone\tCD\tB-NP\tO' -p220792 -aS'gram\tgram\tNN\tI-NP\tO' -p220793 -aS'per\tper\tIN\tB-PP\tO' -p220794 -aS'day\tday\tNN\tB-NP\tO' -p220795 -aS'proteinuria\tproteinuria\tNN\tI-NP\tO' -p220796 -aS'with\twith\tIN\tB-PP\tO' -p220797 -aS'normal\tnormal\tJJ\tB-NP\tO' -p220798 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p220799 -aS'.\t.\t.\tO\tO' -p220800 -asS'She has had at least two bleeding episodes in the past , mostly described as being accompanied by generalized weakness .' -p220801 -(lp220802 -S'She\tShe\tPRP\tB-NP\tO' -p220803 -aS'has\thave\tVBZ\tB-VP\tO' -p220804 -aS'had\thave\tVBN\tI-VP\tO' -p220805 -aS'at\tat\tIN\tB-NP\tO' -p220806 -aS'least\tleast\tJJS\tI-NP\tO' -p220807 -aS'two\ttwo\tCD\tI-NP\tO' -p220808 -aS'bleeding\tbleed\tVBG\tI-NP\tO' -p220809 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p220810 -aS'in\tin\tIN\tB-PP\tO' -p220811 -aS'the\tthe\tDT\tB-NP\tO' -p220812 -aS'past\tpast\tNN\tI-NP\tO' -p220813 -aS',\t,\t,\tO\tO' -p220814 -aS'mostly\tmostly\tRB\tB-VP\tO' -p220815 -aS'described\tdescribe\tVBN\tI-VP\tO' -p220816 -aS'as\tas\tIN\tB-PP\tO' -p220817 -aS'being\tbe\tVBG\tB-VP\tO' -p220818 -aS'accompanied\taccompany\tVBN\tI-VP\tO' -p220819 -aS'by\tby\tIN\tB-PP\tO' -p220820 -aS'generalized\tgeneralize\tVBN\tB-NP\tO' -p220821 -aS'weakness\tweakness\tNN\tI-NP\tO' -p220822 -aS'.\t.\t.\tO\tO' -p220823 -asS'The patient will follow up with Dr. Ther Ludzjesc at Shiekeu Hospital Medical Centers in Connecticut .' -p220824 -(lp220825 -S'The\tThe\tDT\tB-NP\tO' -p220826 -aS'patient\tpatient\tNN\tI-NP\tO' -p220827 -aS'will\twill\tMD\tB-VP\tO' -p220828 -aS'follow\tfollow\tVB\tI-VP\tO' -p220829 -aS'up\tup\tRP\tB-PRT\tO' -p220830 -aS'with\twith\tIN\tB-PP\tO' -p220831 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p220832 -aS'Ther\tTher\tNNP\tI-NP\tO' -p220833 -aS'Ludzjesc\tLudzjesc\tNNP\tI-NP\tO' -p220834 -aS'at\tat\tIN\tB-PP\tO' -p220835 -aS'Shiekeu\tShiekeu\tNNP\tB-NP\tO' -p220836 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p220837 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p220838 -aS'Centers\tCenter\tNNPS\tI-NP\tO' -p220839 -aS'in\tin\tIN\tB-PP\tO' -p220840 -aS'Connecticut\tConnecticut\tNNP\tB-NP\tO' -p220841 -aS'.\t.\t.\tO\tO' -p220842 -asS'He was initially continued on aspirin , Plavix , beta blocker , statin , and ACE inhibitor .' -p220843 -(lp220844 -S'He\tHe\tPRP\tB-NP\tO' -p220845 -aS'was\tbe\tVBD\tB-VP\tO' -p220846 -aS'initially\tinitially\tRB\tI-VP\tO' -p220847 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p220848 -aS'on\ton\tIN\tB-PP\tO' -p220849 -aS'aspirin\taspirin\tNN\tB-NP\tO' -p220850 -aS',\t,\t,\tO\tO' -p220851 -aS'Plavix\tPlavix\tNN\tB-NP\tO' -p220852 -aS',\t,\t,\tO\tO' -p220853 -aS'beta\tbeta\tNN\tB-NP\tO' -p220854 -aS'blocker\tblocker\tNN\tI-NP\tO' -p220855 -aS',\t,\t,\tO\tO' -p220856 -aS'statin\tstatin\tNN\tB-NP\tO' -p220857 -aS',\t,\t,\tO\tO' -p220858 -aS'and\tand\tCC\tO\tO' -p220859 -aS'ACE\tACE\tNN\tB-NP\tO' -p220860 -aS'inhibitor\tinhibitor\tNN\tI-NP\tO' -p220861 -aS'.\t.\t.\tO\tO' -p220862 -asS'Medications include Fer-In-Norman , vitamin E 5 international units each day and caffeine citrate once a day .' -p220863 -(lp220864 -S'Medications\tMedication\tNNS\tB-NP\tO' -p220865 -aS'include\tinclude\tVBP\tB-VP\tO' -p220866 -aS'Fer-In-Norman\tFer-In-Norman\tNNP\tB-NP\tO' -p220867 -aS',\t,\t,\tO\tO' -p220868 -aS'vitamin\tvitamin\tNN\tB-NP\tO' -p220869 -aS'E\tE\tNN\tI-NP\tO' -p220870 -aS'5\t5\tCD\tI-NP\tO' -p220871 -aS'international\tinternational\tJJ\tI-NP\tO' -p220872 -aS'units\tunit\tNNS\tI-NP\tO' -p220873 -aS'each\teach\tDT\tB-NP\tO' -p220874 -aS'day\tday\tNN\tI-NP\tO' -p220875 -aS'and\tand\tCC\tO\tO' -p220876 -aS'caffeine\tcaffeine\tNN\tB-NP\tO' -p220877 -aS'citrate\tcitrate\tVBP\tB-VP\tO' -p220878 -aS'once\tonce\tRB\tB-ADVP\tO' -p220879 -aS'a\ta\tDT\tB-NP\tO' -p220880 -aS'day\tday\tNN\tI-NP\tO' -p220881 -aS'.\t.\t.\tO\tO' -p220882 -asS'Therefore we switched her Cimetidine to Prilosec .' -p220883 -(lp220884 -S'Therefore\tTherefore\tRB\tB-ADVP\tO' -p220885 -aS'we\twe\tPRP\tB-NP\tO' -p220886 -aS'switched\tswitch\tVBD\tB-VP\tO' -p220887 -aS'her\ther\tPRP$\tB-NP\tO' -p220888 -aS'Cimetidine\tCimetidine\tNN\tI-NP\tO' -p220889 -aS'to\tto\tTO\tB-PP\tO' -p220890 -aS'Prilosec\tPrilosec\tNNP\tB-NP\tO' -p220891 -aS'.\t.\t.\tO\tO' -p220892 -asS'The patient had a spinal cord stimulator placed on 07/21/99 .' -p220893 -(lp220894 -S'The\tThe\tDT\tB-NP\tO' -p220895 -aS'patient\tpatient\tNN\tI-NP\tO' -p220896 -aS'had\thave\tVBD\tB-VP\tO' -p220897 -aS'a\ta\tDT\tB-NP\tO' -p220898 -aS'spinal\tspinal\tJJ\tI-NP\tO' -p220899 -aS'cord\tcord\tNN\tI-NP\tO' -p220900 -aS'stimulator\tstimulator\tNN\tI-NP\tO' -p220901 -aS'placed\tplace\tVBN\tB-VP\tO' -p220902 -aS'on\ton\tIN\tB-PP\tO' -p220903 -aS'07/21/99\t07/21/99\tCD\tB-NP\tO' -p220904 -aS'.\t.\t.\tO\tO' -p220905 -asS'On 05-05-92 she was noted to convert to atrial fibrillation which resolved spontaneously a few days later .' -p220906 -(lp220907 -S'On\tOn\tIN\tB-PP\tO' -p220908 -aS'05-05-92\t05-05-92\tCD\tB-NP\tO' -p220909 -aS'she\tshe\tPRP\tB-NP\tO' -p220910 -aS'was\tbe\tVBD\tB-VP\tO' -p220911 -aS'noted\tnote\tVBN\tI-VP\tO' -p220912 -aS'to\tto\tTO\tI-VP\tO' -p220913 -aS'convert\tconvert\tVB\tI-VP\tO' -p220914 -aS'to\tto\tTO\tB-PP\tO' -p220915 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p220916 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p220917 -aS'which\twhich\tWDT\tB-NP\tO' -p220918 -aS'resolved\tresolve\tVBD\tB-VP\tO' -p220919 -aS'spontaneously\tspontaneously\tRB\tB-NP\tO' -p220920 -aS'a\ta\tDT\tI-NP\tO' -p220921 -aS'few\tfew\tJJ\tI-NP\tO' -p220922 -aS'days\tday\tNNS\tI-NP\tO' -p220923 -aS'later\tlater\tRB\tB-ADVP\tO' -p220924 -aS'.\t.\t.\tO\tO' -p220925 -asS'No appreciable pneumothorax or pleural effusions' -p220926 -(lp220927 -S'No\tNo\tDT\tB-NP\tO' -p220928 -aS'appreciable\tappreciable\tJJ\tI-NP\tO' -p220929 -aS'pneumothorax\tpneumothorax\tNN\tI-NP\tO' -p220930 -aS'or\tor\tCC\tO\tO' -p220931 -aS'pleural\tpleural\tJJ\tB-NP\tO' -p220932 -aS'effusions\teffusion\tNNS\tI-NP\tO' -p220933 -asS'Mother died of MI at age 55 .' -p220934 -(lp220935 -S'Mother\tMother\tNNP\tB-NP\tO' -p220936 -aS'died\tdie\tVBD\tB-VP\tO' -p220937 -aS'of\tof\tIN\tB-PP\tO' -p220938 -aS'MI\tMI\tNN\tB-NP\tO' -p220939 -aS'at\tat\tIN\tB-PP\tO' -p220940 -aS'age\tage\tNN\tB-NP\tO' -p220941 -aS'55\t55\tCD\tI-NP\tO' -p220942 -aS'.\t.\t.\tO\tO' -p220943 -asS'- h/o LLE DVT on coumadin' -p220944 -(lp220945 -S'-\t-\tHYPH\tB-NP\tO' -p220946 -aS'h/o\th/o\tNN\tI-NP\tO' -p220947 -aS'LLE\tLLE\tNN\tI-NP\tO' -p220948 -aS'DVT\tDVT\tNN\tI-NP\tO' -p220949 -aS'on\ton\tIN\tB-PP\tO' -p220950 -aS'coumadin\tcoumadin\tNN\tB-NP\tO' -p220951 -asS'He had one positive blood culture for Vancomycin resistant enterococcus .' -p220952 -(lp220953 -S'He\tHe\tPRP\tB-NP\tO' -p220954 -aS'had\thave\tVBD\tB-VP\tO' -p220955 -aS'one\tone\tCD\tB-NP\tO' -p220956 -aS'positive\tpositive\tJJ\tI-NP\tO' -p220957 -aS'blood\tblood\tNN\tI-NP\tO' -p220958 -aS'culture\tculture\tNN\tI-NP\tO' -p220959 -aS'for\tfor\tIN\tB-PP\tO' -p220960 -aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' -p220961 -aS'resistant\tresistant\tJJ\tI-NP\tO' -p220962 -aS'enterococcus\tenterococcus\tNN\tI-NP\tO' -p220963 -aS'.\t.\t.\tO\tO' -p220964 -asS'1 ) Follow-up esophageal biopsy results' -p220965 -(lp220966 -S'1\t1\tLS\tB-LST\tO' -p220967 -aS')\t)\t)\tO\tO' -p220968 -aS'Follow-up\tFollow-up\tJJ\tB-NP\tO' -p220969 -aS'esophageal\tesophageal\tJJ\tI-NP\tO' -p220970 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p220971 -aS'results\tresult\tNNS\tI-NP\tO' -p220972 -asS'The review of the pathology from Bri Health confirmed a high grade adenocarcinoma .' -p220973 -(lp220974 -S'The\tThe\tDT\tB-NP\tO' -p220975 -aS'review\treview\tNN\tI-NP\tO' -p220976 -aS'of\tof\tIN\tB-PP\tO' -p220977 -aS'the\tthe\tDT\tB-NP\tO' -p220978 -aS'pathology\tpathology\tNN\tI-NP\tO' -p220979 -aS'from\tfrom\tIN\tB-PP\tO' -p220980 -aS'Bri\tBri\tNNP\tB-NP\tO' -p220981 -aS'Health\tHealth\tNNP\tI-NP\tO' -p220982 -aS'confirmed\tconfirm\tVBD\tB-VP\tO' -p220983 -aS'a\ta\tDT\tB-NP\tO' -p220984 -aS'high\thigh\tJJ\tI-NP\tO' -p220985 -aS'grade\tgrade\tNN\tI-NP\tO' -p220986 -aS'adenocarcinoma\tadenocarcinoma\tNN\tI-NP\tO' -p220987 -aS'.\t.\t.\tO\tO' -p220988 -asS'On postoperative day #one , she was then stable with no complaints .' -p220989 -(lp220990 -S'On\tOn\tIN\tB-PP\tO' -p220991 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p220992 -aS'day\tday\tNN\tI-NP\tO' -p220993 -aS'#one\t#one\tNN\tI-NP\tO' -p220994 -aS',\t,\t,\tO\tO' -p220995 -aS'she\tshe\tPRP\tB-NP\tO' -p220996 -aS'was\tbe\tVBD\tB-VP\tO' -p220997 -aS'then\tthen\tRB\tB-ADJP\tO' -p220998 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p220999 -aS'with\twith\tIN\tB-PP\tO' -p221000 -aS'no\tno\tDT\tB-NP\tO' -p221001 -aS'complaints\tcomplaint\tNNS\tI-NP\tO' -p221002 -aS'.\t.\t.\tO\tO' -p221003 -asS'The patient remained asymptomatic from a CHF stand point and felt much better after the transfusions .' -p221004 -(lp221005 -S'The\tThe\tDT\tB-NP\tO' -p221006 -aS'patient\tpatient\tNN\tI-NP\tO' -p221007 -aS'remained\tremain\tVBD\tB-VP\tO' -p221008 -aS'asymptomatic\tasymptomatic\tJJ\tB-ADJP\tO' -p221009 -aS'from\tfrom\tIN\tB-PP\tO' -p221010 -aS'a\ta\tDT\tB-NP\tO' -p221011 -aS'CHF\tCHF\tNN\tI-NP\tO' -p221012 -aS'stand\tstand\tNN\tI-NP\tO' -p221013 -aS'point\tpoint\tNN\tI-NP\tO' -p221014 -aS'and\tand\tCC\tO\tO' -p221015 -aS'felt\tfeel\tVBD\tB-VP\tO' -p221016 -aS'much\tmuch\tRB\tB-ADJP\tO' -p221017 -aS'better\tgood\tJJR\tI-ADJP\tO' -p221018 -aS'after\tafter\tIN\tB-PP\tO' -p221019 -aS'the\tthe\tDT\tB-NP\tO' -p221020 -aS'transfusions\ttransfusion\tNNS\tI-NP\tO' -p221021 -aS'.\t.\t.\tO\tO' -p221022 -asS'No alcohol use .' -p221023 -(lp221024 -S'No\tNo\tDT\tB-NP\tO' -p221025 -aS'alcohol\talcohol\tNN\tI-NP\tO' -p221026 -aS'use\tuse\tNN\tI-NP\tO' -p221027 -aS'.\t.\t.\tO\tO' -p221028 -asS'The infant was intubated soon after admission to the CMED CSRU and received two doses of surfactant .' -p221029 -(lp221030 -S'The\tThe\tDT\tB-NP\tO' -p221031 -aS'infant\tinfant\tNN\tI-NP\tO' -p221032 -aS'was\tbe\tVBD\tB-VP\tO' -p221033 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p221034 -aS'soon\tsoon\tRB\tB-ADVP\tO' -p221035 -aS'after\tafter\tIN\tB-SBAR\tO' -p221036 -aS'admission\tadmission\tNN\tB-NP\tO' -p221037 -aS'to\tto\tTO\tB-PP\tO' -p221038 -aS'the\tthe\tDT\tB-NP\tO' -p221039 -aS'CMED\tCMED\tNNP\tI-NP\tO' -p221040 -aS'CSRU\tCSRU\tNNP\tI-NP\tO' -p221041 -aS'and\tand\tCC\tO\tO' -p221042 -aS'received\treceive\tVBD\tB-VP\tO' -p221043 -aS'two\ttwo\tCD\tB-NP\tO' -p221044 -aS'doses\tdose\tNNS\tI-NP\tO' -p221045 -aS'of\tof\tIN\tB-PP\tO' -p221046 -aS'surfactant\tsurfactant\tNN\tB-NP\tO' -p221047 -aS'.\t.\t.\tO\tO' -p221048 -asS'His respiratory status improved .' -p221049 -(lp221050 -S'His\tHis\tPRP$\tB-NP\tO' -p221051 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p221052 -aS'status\tstatus\tNN\tI-NP\tO' -p221053 -aS'improved\timprove\tVBD\tB-VP\tO' -p221054 -aS'.\t.\t.\tO\tO' -p221055 -asS'At the Ingree and Ot of Weamanshy Medical Center , she underwent an emergent CT scan with IV contrast .' -p221056 -(lp221057 -S'At\tAt\tIN\tB-PP\tO' -p221058 -aS'the\tthe\tDT\tB-NP\tO' -p221059 -aS'Ingree\tIngree\tNNP\tI-NP\tO' -p221060 -aS'and\tand\tCC\tI-NP\tO' -p221061 -aS'Ot\tOt\tNNP\tI-NP\tO' -p221062 -aS'of\tof\tIN\tB-PP\tO' -p221063 -aS'Weamanshy\tWeamanshy\tNNP\tB-NP\tO' -p221064 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p221065 -aS'Center\tCenter\tNNP\tI-NP\tO' -p221066 -aS',\t,\t,\tO\tO' -p221067 -aS'she\tshe\tPRP\tB-NP\tO' -p221068 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p221069 -aS'an\tan\tDT\tB-NP\tO' -p221070 -aS'emergent\temergent\tJJ\tI-NP\tO' -p221071 -aS'CT\tCT\tNN\tI-NP\tO' -p221072 -aS'scan\tscan\tNN\tI-NP\tO' -p221073 -aS'with\twith\tIN\tB-PP\tO' -p221074 -aS'IV\tIV\tCD\tB-NP\tO' -p221075 -aS'contrast\tcontrast\tNN\tI-NP\tO' -p221076 -aS'.\t.\t.\tO\tO' -p221077 -asS'His reflexes were symmetric with upgoing toes .' -p221078 -(lp221079 -S'His\tHis\tPRP$\tB-NP\tO' -p221080 -aS'reflexes\treflex\tNNS\tI-NP\tO' -p221081 -aS'were\tbe\tVBD\tB-VP\tO' -p221082 -aS'symmetric\tsymmetric\tJJ\tB-ADJP\tO' -p221083 -aS'with\twith\tIN\tB-PP\tO' -p221084 -aS'upgoing\tupgoe\tVBG\tB-VP\tO' -p221085 -aS'toes\ttoe\tNNS\tB-NP\tO' -p221086 -aS'.\t.\t.\tO\tO' -p221087 -asS'Aorta intact .' -p221088 -(lp221089 -S'Aorta\tAorta\tNN\tB-NP\tO' -p221090 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p221091 -aS'.\t.\t.\tO\tO' -p221092 -asS'Accordingly he was referred for further evaluation .' -p221093 -(lp221094 -S'Accordingly\tAccordingly\tRB\tB-ADVP\tO' -p221095 -aS'he\the\tPRP\tB-NP\tO' -p221096 -aS'was\tbe\tVBD\tB-VP\tO' -p221097 -aS'referred\trefer\tVBN\tI-VP\tO' -p221098 -aS'for\tfor\tIN\tB-PP\tO' -p221099 -aS'further\tfurther\tJJ\tB-NP\tO' -p221100 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p221101 -aS'.\t.\t.\tO\tO' -p221102 -asS'The patient denies tobacco and / or alcohol use .' -p221103 -(lp221104 -S'The\tThe\tDT\tB-NP\tO' -p221105 -aS'patient\tpatient\tNN\tI-NP\tO' -p221106 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p221107 -aS'tobacco\ttobacco\tNN\tB-NP\tO' -p221108 -aS'and\tand\tCC\tO\tO' -p221109 -aS'/\t/\tSYM\tB-NP\tO' -p221110 -aS'or\tor\tCC\tO\tO' -p221111 -aS'alcohol\talcohol\tNN\tB-NP\tO' -p221112 -aS'use\tuse\tNN\tI-NP\tO' -p221113 -aS'.\t.\t.\tO\tO' -p221114 -asS'She was in no apparent distress , tired , easily arousable older female .' -p221115 -(lp221116 -S'She\tShe\tPRP\tB-NP\tO' -p221117 -aS'was\tbe\tVBD\tB-VP\tO' -p221118 -aS'in\tin\tIN\tB-PP\tO' -p221119 -aS'no\tno\tDT\tB-NP\tO' -p221120 -aS'apparent\tapparent\tJJ\tI-NP\tO' -p221121 -aS'distress\tdistress\tNN\tI-NP\tO' -p221122 -aS',\t,\t,\tO\tO' -p221123 -aS'tired\ttire\tVBN\tB-VP\tO' -p221124 -aS',\t,\t,\tB-NP\tO' -p221125 -aS'easily\teasily\tRB\tI-NP\tO' -p221126 -aS'arousable\tarousable\tJJ\tI-NP\tO' -p221127 -aS'older\told\tJJR\tI-NP\tO' -p221128 -aS'female\tfemale\tJJ\tI-NP\tO' -p221129 -aS'.\t.\t.\tO\tO' -p221130 -asS'Spinal stenosis .' -p221131 -(lp221132 -S'Spinal\tSpinal\tJJ\tB-NP\tO' -p221133 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p221134 -aS'.\t.\t.\tO\tO' -p221135 -asS'Abnormal Laboratory Result ; Abnormal Pap Test ; Monilial Vaginitis' -p221136 -(lp221137 -S'Abnormal\tAbnormal\tNNP\tB-NP\tO' -p221138 -aS'Laboratory\tLaboratory\tNNP\tI-NP\tO' -p221139 -aS'Result\tResult\tNNP\tI-NP\tO' -p221140 -aS';\t;\t:\tO\tO' -p221141 -aS'Abnormal\tAbnormal\tNNP\tB-NP\tO' -p221142 -aS'Pap\tPap\tNNP\tI-NP\tO' -p221143 -aS'Test\tTest\tNNP\tI-NP\tO' -p221144 -aS';\t;\t:\tO\tO' -p221145 -aS'Monilial\tMonilial\tNNP\tB-NP\tO' -p221146 -aS'Vaginitis\tVaginitis\tNNP\tI-NP\tO' -p221147 -asS'The patient was taken to the OR on postop day 5 for emergent exploratory laparotomy that disclosed a small bowel enterotomy with 2 liters of bilious fluid within the peritoneum .' -p221148 -(lp221149 -S'The\tThe\tDT\tB-NP\tO' -p221150 -aS'patient\tpatient\tNN\tI-NP\tO' -p221151 -aS'was\tbe\tVBD\tB-VP\tO' -p221152 -aS'taken\ttake\tVBN\tI-VP\tO' -p221153 -aS'to\tto\tTO\tB-PP\tO' -p221154 -aS'the\tthe\tDT\tB-NP\tO' -p221155 -aS'OR\tOR\tNN\tI-NP\tO' -p221156 -aS'on\ton\tIN\tB-PP\tO' -p221157 -aS'postop\tpostop\tNN\tB-NP\tO' -p221158 -aS'day\tday\tNN\tI-NP\tO' -p221159 -aS'5\t5\tCD\tI-NP\tO' -p221160 -aS'for\tfor\tIN\tB-PP\tO' -p221161 -aS'emergent\temergent\tJJ\tB-NP\tO' -p221162 -aS'exploratory\texploratory\tJJ\tI-NP\tO' -p221163 -aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' -p221164 -aS'that\tthat\tWDT\tB-NP\tO' -p221165 -aS'disclosed\tdisclose\tVBD\tB-VP\tO' -p221166 -aS'a\ta\tDT\tB-NP\tO' -p221167 -aS'small\tsmall\tJJ\tI-NP\tO' -p221168 -aS'bowel\tbowel\tNN\tI-NP\tO' -p221169 -aS'enterotomy\tenterotomy\tNN\tI-NP\tO' -p221170 -aS'with\twith\tIN\tB-PP\tO' -p221171 -aS'2\t2\tCD\tB-NP\tO' -p221172 -aS'liters\tliter\tNNS\tI-NP\tO' -p221173 -aS'of\tof\tIN\tB-PP\tO' -p221174 -aS'bilious\tbilious\tJJ\tB-NP\tO' -p221175 -aS'fluid\tfluid\tNN\tI-NP\tO' -p221176 -aS'within\twithin\tIN\tB-PP\tO' -p221177 -aS'the\tthe\tDT\tB-NP\tO' -p221178 -aS'peritoneum\tperitoneum\tNN\tI-NP\tO' -p221179 -aS'.\t.\t.\tO\tO' -p221180 -asS'Old TWI V4-6 .' -p221181 -(lp221182 -S'Old\tOld\tNNP\tB-NP\tO' -p221183 -aS'TWI\tTWI\tNNP\tI-NP\tO' -p221184 -aS'V4-6\tV4-6\tNNP\tI-NP\tO' -p221185 -aS'.\t.\t.\tO\tO' -p221186 -asS'Hypotension - This was likely secondary to volume depletion in the setting of a diarrheal and viral respiratory syndrome .' -p221187 -(lp221188 -S'Hypotension\tHypotension\tNN\tB-NP\tO' -p221189 -aS'-\t-\tHYPH\tO\tO' -p221190 -aS'This\tThis\tDT\tB-NP\tO' -p221191 -aS'was\tbe\tVBD\tB-VP\tO' -p221192 -aS'likely\tlikely\tRB\tB-ADJP\tO' -p221193 -aS'secondary\tsecondary\tJJ\tI-ADJP\tO' -p221194 -aS'to\tto\tTO\tB-PP\tO' -p221195 -aS'volume\tvolume\tNN\tB-NP\tO' -p221196 -aS'depletion\tdepletion\tNN\tI-NP\tO' -p221197 -aS'in\tin\tIN\tB-PP\tO' -p221198 -aS'the\tthe\tDT\tB-NP\tO' -p221199 -aS'setting\tsetting\tNN\tI-NP\tO' -p221200 -aS'of\tof\tIN\tB-PP\tO' -p221201 -aS'a\ta\tDT\tB-NP\tO' -p221202 -aS'diarrheal\tdiarrheal\tNN\tI-NP\tO' -p221203 -aS'and\tand\tCC\tO\tO' -p221204 -aS'viral\tviral\tJJ\tB-NP\tO' -p221205 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p221206 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p221207 -aS'.\t.\t.\tO\tO' -p221208 -asS'They last a few seconds on the left side and are not associated with sweating , nausea , vomiting or syncope .' -p221209 -(lp221210 -S'They\tThey\tPRP\tB-NP\tO' -p221211 -aS'last\tlast\tVBP\tB-VP\tO' -p221212 -aS'a\ta\tDT\tB-NP\tO' -p221213 -aS'few\tfew\tJJ\tI-NP\tO' -p221214 -aS'seconds\tsecond\tNNS\tI-NP\tO' -p221215 -aS'on\ton\tIN\tB-PP\tO' -p221216 -aS'the\tthe\tDT\tB-NP\tO' -p221217 -aS'left\tleft\tJJ\tI-NP\tO' -p221218 -aS'side\tside\tNN\tI-NP\tO' -p221219 -aS'and\tand\tCC\tO\tO' -p221220 -aS'are\tbe\tVBP\tB-VP\tO' -p221221 -aS'not\tnot\tRB\tI-VP\tO' -p221222 -aS'associated\tassociate\tVBN\tI-VP\tO' -p221223 -aS'with\twith\tIN\tB-PP\tO' -p221224 -aS'sweating\tsweating\tNN\tB-NP\tO' -p221225 -aS',\t,\t,\tI-NP\tO' -p221226 -aS'nausea\tnausea\tNN\tI-NP\tO' -p221227 -aS',\t,\t,\tI-NP\tO' -p221228 -aS'vomiting\tvomiting\tNN\tI-NP\tO' -p221229 -aS'or\tor\tCC\tI-NP\tO' -p221230 -aS'syncope\tsyncope\tNN\tI-NP\tO' -p221231 -aS'.\t.\t.\tO\tO' -p221232 -asS'1. Congestive heart failure .' -p221233 -(lp221234 -S'1.\t1.\tLS\tB-NP\tO' -p221235 -aS'Congestive\tCongestive\tJJ\tI-NP\tO' -p221236 -aS'heart\theart\tNN\tI-NP\tO' -p221237 -aS'failure\tfailure\tNN\tI-NP\tO' -p221238 -aS'.\t.\t.\tO\tO' -p221239 -asS'These liver function tests will be followed closely as an outpatient .' -p221240 -(lp221241 -S'These\tThese\tDT\tB-NP\tO' -p221242 -aS'liver\tliver\tNN\tI-NP\tO' -p221243 -aS'function\tfunction\tNN\tI-NP\tO' -p221244 -aS'tests\ttest\tNNS\tI-NP\tO' -p221245 -aS'will\twill\tMD\tB-VP\tO' -p221246 -aS'be\tbe\tVB\tI-VP\tO' -p221247 -aS'followed\tfollow\tVBN\tI-VP\tO' -p221248 -aS'closely\tclosely\tRB\tB-ADVP\tO' -p221249 -aS'as\tas\tIN\tB-PP\tO' -p221250 -aS'an\tan\tDT\tB-NP\tO' -p221251 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p221252 -aS'.\t.\t.\tO\tO' -p221253 -asS'Is notable for an inferior myocardial infarction , restrictive and obstructive lung disease with an FEV1 of .9 and FVC of 1.34 and a moderate at best response to bronchodilators , and a negative sestamibi scan in May , 1999 apart from a severe fixed inferolateral defect , systolic dysfunction with recent echocardiography revealing an LVID of 62 mm. and ejection fraction of 28 percent , moderate mitral regurgitation and mild-to-moderate aortic stenosis with a peak gradient of 33 and a mean gradient of 19 and a valve area of 1.4 cm. squared .' -p221254 -(lp221255 -S'Is\tBe\tVBZ\tO\tO' -p221256 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p221257 -aS'for\tfor\tIN\tB-PP\tO' -p221258 -aS'an\tan\tDT\tB-NP\tO' -p221259 -aS'inferior\tinferior\tJJ\tI-NP\tO' -p221260 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p221261 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p221262 -aS',\t,\t,\tO\tO' -p221263 -aS'restrictive\trestrictive\tJJ\tB-NP\tO' -p221264 -aS'and\tand\tCC\tI-NP\tO' -p221265 -aS'obstructive\tobstructive\tJJ\tI-NP\tO' -p221266 -aS'lung\tlung\tNN\tI-NP\tO' -p221267 -aS'disease\tdisease\tNN\tI-NP\tO' -p221268 -aS'with\twith\tIN\tB-PP\tO' -p221269 -aS'an\tan\tDT\tB-NP\tO' -p221270 -aS'FEV1\tFEV1\tNN\tI-NP\tO' -p221271 -aS'of\tof\tIN\tB-PP\tO' -p221272 -aS'.9\t.9\tNN\tB-NP\tO' -p221273 -aS'and\tand\tCC\tI-NP\tO' -p221274 -aS'FVC\tFVC\tNN\tI-NP\tO' -p221275 -aS'of\tof\tIN\tB-PP\tO' -p221276 -aS'1.34\t1.34\tCD\tB-NP\tO' -p221277 -aS'and\tand\tCC\tO\tO' -p221278 -aS'a\ta\tDT\tB-NP\tO' -p221279 -aS'moderate\tmoderate\tJJ\tI-NP\tO' -p221280 -aS'at\tat\tIN\tB-PP\tO' -p221281 -aS'best\tgood\tJJS\tB-NP\tO' -p221282 -aS'response\tresponse\tNN\tI-NP\tO' -p221283 -aS'to\tto\tTO\tB-PP\tO' -p221284 -aS'bronchodilators\tbronchodilator\tNNS\tB-NP\tO' -p221285 -aS',\t,\t,\tO\tO' -p221286 -aS'and\tand\tCC\tO\tO' -p221287 -aS'a\ta\tDT\tB-NP\tO' -p221288 -aS'negative\tnegative\tJJ\tI-NP\tO' -p221289 -aS'sestamibi\tsestamibi\tNN\tI-NP\tO' -p221290 -aS'scan\tscan\tNN\tI-NP\tO' -p221291 -aS'in\tin\tIN\tB-PP\tO' -p221292 -aS'May\tMay\tNNP\tB-NP\tO' -p221293 -aS',\t,\t,\tO\tO' -p221294 -aS'1999\t1999\tCD\tB-NP\tO' -p221295 -aS'apart\tapart\tRB\tB-ADVP\tO' -p221296 -aS'from\tfrom\tIN\tB-PP\tO' -p221297 -aS'a\ta\tDT\tB-NP\tO' -p221298 -aS'severe\tsevere\tJJ\tI-NP\tO' -p221299 -aS'fixed\tfixed\tJJ\tI-NP\tO' -p221300 -aS'inferolateral\tinferolateral\tJJ\tI-NP\tO' -p221301 -aS'defect\tdefect\tNN\tI-NP\tO' -p221302 -aS',\t,\t,\tO\tO' -p221303 -aS'systolic\tsystolic\tJJ\tB-NP\tO' -p221304 -aS'dysfunction\tdysfunction\tNN\tI-NP\tO' -p221305 -aS'with\twith\tIN\tB-PP\tO' -p221306 -aS'recent\trecent\tJJ\tB-NP\tO' -p221307 -aS'echocardiography\techocardiography\tNN\tI-NP\tO' -p221308 -aS'revealing\treveal\tVBG\tB-VP\tO' -p221309 -aS'an\tan\tDT\tB-NP\tO' -p221310 -aS'LVID\tLVID\tNN\tI-NP\tO' -p221311 -aS'of\tof\tIN\tB-PP\tO' -p221312 -aS'62\t62\tCD\tB-NP\tO' -p221313 -aS'mm.\tmm.\tNN\tI-NP\tO' -p221314 -aS'and\tand\tCC\tI-NP\tO' -p221315 -aS'ejection\tejection\tNN\tI-NP\tO' -p221316 -aS'fraction\tfraction\tNN\tI-NP\tO' -p221317 -aS'of\tof\tIN\tB-PP\tO' -p221318 -aS'28\t28\tCD\tB-NP\tO' -p221319 -aS'percent\tpercent\tNN\tI-NP\tO' -p221320 -aS',\t,\t,\tO\tO' -p221321 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p221322 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p221323 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p221324 -aS'and\tand\tCC\tO\tO' -p221325 -aS'mild-to-moderate\tmild-to-moderate\tJJ\tB-NP\tO' -p221326 -aS'aortic\taortic\tJJ\tI-NP\tO' -p221327 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p221328 -aS'with\twith\tIN\tB-PP\tO' -p221329 -aS'a\ta\tDT\tB-NP\tO' -p221330 -aS'peak\tpeak\tJJ\tI-NP\tO' -p221331 -aS'gradient\tgradient\tNN\tI-NP\tO' -p221332 -aS'of\tof\tIN\tB-PP\tO' -p221333 -aS'33\t33\tCD\tB-NP\tO' -p221334 -aS'and\tand\tCC\tO\tO' -p221335 -aS'a\ta\tDT\tB-NP\tO' -p221336 -aS'mean\tmean\tJJ\tI-NP\tO' -p221337 -aS'gradient\tgradient\tNN\tI-NP\tO' -p221338 -aS'of\tof\tIN\tB-PP\tO' -p221339 -aS'19\t19\tCD\tB-NP\tO' -p221340 -aS'and\tand\tCC\tO\tO' -p221341 -aS'a\ta\tDT\tB-NP\tO' -p221342 -aS'valve\tvalve\tJJ\tI-NP\tO' -p221343 -aS'area\tarea\tNN\tI-NP\tO' -p221344 -aS'of\tof\tIN\tB-PP\tO' -p221345 -aS'1.4\t1.4\tCD\tB-NP\tO' -p221346 -aS'cm.\tcm.\tNN\tI-NP\tO' -p221347 -aS'squared\tsquare\tVBD\tB-VP\tO' -p221348 -aS'.\t.\t.\tO\tO' -p221349 -asS'The acute onset of chest pain was initially very concerning for a PE , however the Chest CT demonstrated multifocal consolidation consistent with a bacterial PNA .' -p221350 -(lp221351 -S'The\tThe\tDT\tB-NP\tO' -p221352 -aS'acute\tacute\tJJ\tI-NP\tO' -p221353 -aS'onset\tonset\tNN\tI-NP\tO' -p221354 -aS'of\tof\tIN\tB-PP\tO' -p221355 -aS'chest\tchest\tNN\tB-NP\tO' -p221356 -aS'pain\tpain\tNN\tI-NP\tO' -p221357 -aS'was\tbe\tVBD\tB-VP\tO' -p221358 -aS'initially\tinitially\tRB\tI-VP\tO' -p221359 -aS'very\tvery\tRB\tI-VP\tO' -p221360 -aS'concerning\tconcern\tVBG\tI-VP\tO' -p221361 -aS'for\tfor\tIN\tB-PP\tO' -p221362 -aS'a\ta\tDT\tB-NP\tO' -p221363 -aS'PE\tPE\tNN\tI-NP\tO' -p221364 -aS',\t,\t,\tO\tO' -p221365 -aS'however\thowever\tRB\tB-ADVP\tO' -p221366 -aS'the\tthe\tDT\tB-NP\tO' -p221367 -aS'Chest\tChest\tNNP\tI-NP\tO' -p221368 -aS'CT\tCT\tNN\tI-NP\tO' -p221369 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p221370 -aS'multifocal\tmultifocal\tJJ\tB-NP\tO' -p221371 -aS'consolidation\tconsolidation\tNN\tI-NP\tO' -p221372 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p221373 -aS'with\twith\tIN\tB-PP\tO' -p221374 -aS'a\ta\tDT\tB-NP\tO' -p221375 -aS'bacterial\tbacterial\tJJ\tI-NP\tO' -p221376 -aS'PNA\tPNA\tNN\tI-NP\tO' -p221377 -aS'.\t.\t.\tO\tO' -p221378 -asS'He received a two week course of broad spectrum antibiotics and will be maintained on Levofloxacin IV for prophylaxis against SBP .' -p221379 -(lp221380 -S'He\tHe\tPRP\tB-NP\tO' -p221381 -aS'received\treceive\tVBD\tB-VP\tO' -p221382 -aS'a\ta\tDT\tB-NP\tO' -p221383 -aS'two\ttwo\tCD\tI-NP\tO' -p221384 -aS'week\tweek\tNN\tI-NP\tO' -p221385 -aS'course\tcourse\tNN\tI-NP\tO' -p221386 -aS'of\tof\tIN\tB-PP\tO' -p221387 -aS'broad\tbroad\tJJ\tB-NP\tO' -p221388 -aS'spectrum\tspectrum\tNN\tI-NP\tO' -p221389 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p221390 -aS'and\tand\tCC\tO\tO' -p221391 -aS'will\twill\tMD\tB-VP\tO' -p221392 -aS'be\tbe\tVB\tI-VP\tO' -p221393 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p221394 -aS'on\ton\tIN\tB-PP\tO' -p221395 -aS'Levofloxacin\tLevofloxacin\tNN\tB-NP\tB-protein' -p221396 -aS'IV\tIV\tCD\tI-NP\tI-protein' -p221397 -aS'for\tfor\tIN\tB-PP\tO' -p221398 -aS'prophylaxis\tprophylaxis\tNN\tB-NP\tO' -p221399 -aS'against\tagainst\tIN\tB-PP\tO' -p221400 -aS'SBP\tSBP\tNN\tB-NP\tB-protein' -p221401 -aS'.\t.\t.\tO\tO' -p221402 -asS'The abdominal CT revealed mesenteric adenopathy , normal bowels , hepatosplenomegaly , and ? fatty liver .' -p221403 -(lp221404 -S'The\tThe\tDT\tB-NP\tO' -p221405 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p221406 -aS'CT\tCT\tNN\tI-NP\tO' -p221407 -aS'revealed\treveal\tVBD\tB-VP\tO' -p221408 -aS'mesenteric\tmesenteric\tJJ\tB-NP\tO' -p221409 -aS'adenopathy\tadenopathy\tNN\tI-NP\tO' -p221410 -aS',\t,\t,\tO\tO' -p221411 -aS'normal\tnormal\tJJ\tB-NP\tO' -p221412 -aS'bowels\tbowel\tNNS\tI-NP\tO' -p221413 -aS',\t,\t,\tO\tO' -p221414 -aS'hepatosplenomegaly\thepatosplenomegaly\tRB\tB-ADVP\tO' -p221415 -aS',\t,\t,\tO\tO' -p221416 -aS'and\tand\tCC\tO\tO' -p221417 -aS'?\t?\t.\tO\tO' -p221418 -aS'fatty\tfatty\tJJ\tB-NP\tO' -p221419 -aS'liver\tliver\tNN\tI-NP\tO' -p221420 -aS'.\t.\t.\tO\tO' -p221421 -asS'Signed electronically by : DR. Richard Gray on : Tommy 2013-02-17 12:05 AM' -p221422 -(lp221423 -S'Signed\tSign\tVBN\tB-VP\tO' -p221424 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p221425 -aS'by\tby\tIN\tB-PP\tO' -p221426 -aS':\t:\t:\tO\tO' -p221427 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p221428 -aS'Richard\tRichard\tNNP\tI-NP\tO' -p221429 -aS'Gray\tGray\tNNP\tI-NP\tO' -p221430 -aS'on\ton\tIN\tB-PP\tO' -p221431 -aS':\t:\t:\tO\tO' -p221432 -aS'Tommy\tTommy\tNNP\tB-NP\tO' -p221433 -aS'2013-02-17\t2013-02-17\tCD\tB-NP\tO' -p221434 -aS'12:05\t12:05\tCD\tI-NP\tO' -p221435 -aS'AM\tAM\tNN\tI-NP\tO' -p221436 -asS'5. Aspirin 81 mg Tablet , Delayed Release ( E.C. ) Sig : One ( 1 ) Tablet , Delayed Release ( E.C. ) PO DAILY ( Daily ) .' -p221437 -(lp221438 -S'5.\t5.\tLS\tB-NP\tO' -p221439 -aS'Aspirin\tAspirin\tNN\tI-NP\tO' -p221440 -aS'81\t81\tCD\tB-NP\tO' -p221441 -aS'mg\tmg\tNN\tI-NP\tO' -p221442 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p221443 -aS',\t,\t,\tO\tO' -p221444 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p221445 -aS'Release\tRelease\tNNP\tI-NP\tO' -p221446 -aS'(\t(\t(\tO\tO' -p221447 -aS'E.C.\tE.C.\tNNP\tB-NP\tO' -p221448 -aS')\t)\t)\tO\tO' -p221449 -aS'Sig\tSig\tNNP\tB-NP\tO' -p221450 -aS':\t:\t:\tO\tO' -p221451 -aS'One\tOne\tCD\tB-NP\tO' -p221452 -aS'(\t(\t(\tO\tO' -p221453 -aS'1\t1\tCD\tB-NP\tO' -p221454 -aS')\t)\t)\tO\tO' -p221455 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p221456 -aS',\t,\t,\tO\tO' -p221457 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p221458 -aS'Release\tRelease\tNNP\tI-NP\tO' -p221459 -aS'(\t(\t(\tO\tO' -p221460 -aS'E.C.\tE.C.\tNNP\tO\tO' -p221461 -aS')\t)\t)\tO\tO' -p221462 -aS'PO\tPO\tNN\tB-NP\tO' -p221463 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p221464 -aS'(\t(\t(\tO\tO' -p221465 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p221466 -aS')\t)\t)\tO\tO' -p221467 -aS'.\t.\t.\tO\tO' -p221468 -asS'She then suffered rigidity with jaw clenching and tongue biting secondary to Fentanyl administration and was transferred to the CMED CCU for close observation .' -p221469 -(lp221470 -S'She\tShe\tPRP\tB-NP\tO' -p221471 -aS'then\tthen\tRB\tB-ADVP\tO' -p221472 -aS'suffered\tsuffer\tVBD\tB-VP\tO' -p221473 -aS'rigidity\trigidity\tNN\tB-NP\tO' -p221474 -aS'with\twith\tIN\tB-PP\tO' -p221475 -aS'jaw\tjaw\tNN\tB-NP\tO' -p221476 -aS'clenching\tclenching\tNN\tI-NP\tO' -p221477 -aS'and\tand\tCC\tO\tO' -p221478 -aS'tongue\ttongue\tNN\tB-NP\tO' -p221479 -aS'biting\tbiting\tNN\tI-NP\tO' -p221480 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p221481 -aS'to\tto\tTO\tB-PP\tO' -p221482 -aS'Fentanyl\tFentanyl\tNN\tB-NP\tO' -p221483 -aS'administration\tadministration\tNN\tI-NP\tO' -p221484 -aS'and\tand\tCC\tO\tO' -p221485 -aS'was\tbe\tVBD\tB-VP\tO' -p221486 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p221487 -aS'to\tto\tTO\tB-PP\tO' -p221488 -aS'the\tthe\tDT\tB-NP\tO' -p221489 -aS'CMED\tCMED\tVBN\tI-NP\tO' -p221490 -aS'CCU\tCCU\tNN\tI-NP\tO' -p221491 -aS'for\tfor\tIN\tB-PP\tO' -p221492 -aS'close\tclose\tJJ\tB-NP\tO' -p221493 -aS'observation\tobservation\tNN\tI-NP\tO' -p221494 -aS'.\t.\t.\tO\tO' -p221495 -asS'3. Aspirin 325 mg Tablet Sig : One ( 1 ) Tablet PO QD ( once a day ) for 7 days .' -p221496 -(lp221497 -S'3.\t3.\tLS\tB-NP\tO' -p221498 -aS'Aspirin\tAspirin\tNN\tI-NP\tO' -p221499 -aS'325\t325\tCD\tI-NP\tO' -p221500 -aS'mg\tmg\tNN\tI-NP\tO' -p221501 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p221502 -aS'Sig\tSig\tNNP\tI-NP\tO' -p221503 -aS':\t:\t:\tO\tO' -p221504 -aS'One\tOne\tCD\tB-NP\tO' -p221505 -aS'(\t(\t(\tO\tO' -p221506 -aS'1\t1\tCD\tB-NP\tO' -p221507 -aS')\t)\t)\tO\tO' -p221508 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p221509 -aS'PO\tPO\tNN\tI-NP\tO' -p221510 -aS'QD\tQD\tNN\tI-NP\tO' -p221511 -aS'(\t(\t(\tO\tO' -p221512 -aS'once\tonce\tRB\tB-ADVP\tO' -p221513 -aS'a\ta\tDT\tB-NP\tO' -p221514 -aS'day\tday\tNN\tI-NP\tO' -p221515 -aS')\t)\t)\tO\tO' -p221516 -aS'for\tfor\tIN\tB-PP\tO' -p221517 -aS'7\t7\tCD\tB-NP\tO' -p221518 -aS'days\tday\tNNS\tI-NP\tO' -p221519 -aS'.\t.\t.\tO\tO' -p221520 -asS'The patient will followup with Dr. Fede Duhenile in two weeks in Dr. Duhenile 's office .' -p221521 -(lp221522 -S'The\tThe\tDT\tB-NP\tO' -p221523 -aS'patient\tpatient\tNN\tI-NP\tO' -p221524 -aS'will\twill\tMD\tB-VP\tO' -p221525 -aS'followup\tfollowup\tVB\tI-VP\tO' -p221526 -aS'with\twith\tIN\tB-PP\tO' -p221527 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p221528 -aS'Fede\tFede\tNNP\tI-NP\tO' -p221529 -aS'Duhenile\tDuhenile\tNNP\tI-NP\tO' -p221530 -aS'in\tin\tIN\tB-PP\tO' -p221531 -aS'two\ttwo\tCD\tB-NP\tO' -p221532 -aS'weeks\tweek\tNNS\tI-NP\tO' -p221533 -aS'in\tin\tIN\tB-PP\tO' -p221534 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p221535 -aS'Duhenile\tDuhenile\tNNP\tI-NP\tO' -p221536 -aS''s\t'\tNNS\tI-NP\tO' -p221537 -aS'office\toffice\tNN\tI-NP\tO' -p221538 -aS'.\t.\t.\tO\tO' -p221539 -asS'Apgars were 8 at one minute and 8 at five minutes .' -p221540 -(lp221541 -S'Apgars\tApgar\tNNS\tB-NP\tO' -p221542 -aS'were\tbe\tVBD\tB-VP\tO' -p221543 -aS'8\t8\tCD\tB-NP\tO' -p221544 -aS'at\tat\tIN\tB-PP\tO' -p221545 -aS'one\tone\tCD\tB-NP\tO' -p221546 -aS'minute\tminute\tNN\tI-NP\tO' -p221547 -aS'and\tand\tCC\tO\tO' -p221548 -aS'8\t8\tCD\tB-NP\tO' -p221549 -aS'at\tat\tIN\tB-PP\tO' -p221550 -aS'five\tfive\tCD\tB-NP\tO' -p221551 -aS'minutes\tminute\tNNS\tI-NP\tO' -p221552 -aS'.\t.\t.\tO\tO' -p221553 -asS'She was started on anticoagulation given the positive D-dimer .' -p221554 -(lp221555 -S'She\tShe\tPRP\tB-NP\tO' -p221556 -aS'was\tbe\tVBD\tB-VP\tO' -p221557 -aS'started\tstart\tVBN\tI-VP\tO' -p221558 -aS'on\ton\tIN\tB-PP\tO' -p221559 -aS'anticoagulation\tanticoagulation\tNN\tB-NP\tO' -p221560 -aS'given\tgive\tVBN\tB-PP\tO' -p221561 -aS'the\tthe\tDT\tB-NP\tO' -p221562 -aS'positive\tpositive\tJJ\tI-NP\tB-protein' -p221563 -aS'D-dimer\tD-dimer\tNN\tI-NP\tI-protein' -p221564 -aS'.\t.\t.\tO\tO' -p221565 -asS'Right bundle-branch block .' -p221566 -(lp221567 -S'Right\tRight\tNN\tB-NP\tO' -p221568 -aS'bundle-branch\tbundle-branch\tNN\tI-NP\tO' -p221569 -aS'block\tblock\tNN\tI-NP\tO' -p221570 -aS'.\t.\t.\tO\tO' -p221571 -asS'The patient requested an outside second opinion , as she was reluctant to undergo hysterectomy at this time .' -p221572 -(lp221573 -S'The\tThe\tDT\tB-NP\tO' -p221574 -aS'patient\tpatient\tNN\tI-NP\tO' -p221575 -aS'requested\trequest\tVBD\tB-VP\tO' -p221576 -aS'an\tan\tDT\tB-NP\tO' -p221577 -aS'outside\toutside\tJJ\tI-NP\tO' -p221578 -aS'second\tsecond\tJJ\tI-NP\tO' -p221579 -aS'opinion\topinion\tNN\tI-NP\tO' -p221580 -aS',\t,\t,\tO\tO' -p221581 -aS'as\tas\tIN\tB-SBAR\tO' -p221582 -aS'she\tshe\tPRP\tB-NP\tO' -p221583 -aS'was\tbe\tVBD\tB-VP\tO' -p221584 -aS'reluctant\treluctant\tJJ\tB-ADJP\tO' -p221585 -aS'to\tto\tTO\tB-VP\tO' -p221586 -aS'undergo\tundergo\tVB\tI-VP\tO' -p221587 -aS'hysterectomy\thysterectomy\tNN\tB-NP\tO' -p221588 -aS'at\tat\tIN\tB-PP\tO' -p221589 -aS'this\tthis\tDT\tB-NP\tO' -p221590 -aS'time\ttime\tNN\tI-NP\tO' -p221591 -aS'.\t.\t.\tO\tO' -p221592 -asS'The patient is a 83 yo man with a history of past intracranial hemorrhages ( most recent 07-01 with R-frontal hemorrhage ) who presented with gradually slowing of mentation and increased gait instability since one week .' -p221593 -(lp221594 -S'The\tThe\tDT\tB-NP\tO' -p221595 -aS'patient\tpatient\tNN\tI-NP\tO' -p221596 -aS'is\tbe\tVBZ\tB-VP\tO' -p221597 -aS'a\ta\tDT\tB-NP\tO' -p221598 -aS'83\t83\tCD\tI-NP\tO' -p221599 -aS'yo\tyo\tNN\tI-NP\tO' -p221600 -aS'man\tman\tNN\tI-NP\tO' -p221601 -aS'with\twith\tIN\tB-PP\tO' -p221602 -aS'a\ta\tDT\tB-NP\tO' -p221603 -aS'history\thistory\tNN\tI-NP\tO' -p221604 -aS'of\tof\tIN\tB-PP\tO' -p221605 -aS'past\tpast\tJJ\tB-NP\tO' -p221606 -aS'intracranial\tintracranial\tJJ\tI-NP\tO' -p221607 -aS'hemorrhages\themorrhage\tNNS\tI-NP\tO' -p221608 -aS'(\t(\t(\tO\tO' -p221609 -aS'most\tmost\tRBS\tB-ADJP\tO' -p221610 -aS'recent\trecent\tJJ\tI-ADJP\tO' -p221611 -aS'07-01\t07-01\tCD\tB-NP\tO' -p221612 -aS'with\twith\tIN\tB-PP\tO' -p221613 -aS'R-frontal\tR-frontal\tJJ\tB-NP\tO' -p221614 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p221615 -aS')\t)\t)\tO\tO' -p221616 -aS'who\twho\tWP\tB-NP\tO' -p221617 -aS'presented\tpresent\tVBD\tB-VP\tO' -p221618 -aS'with\twith\tIN\tB-PP\tO' -p221619 -aS'gradually\tgradually\tRB\tB-ADVP\tO' -p221620 -aS'slowing\tslow\tVBG\tB-VP\tO' -p221621 -aS'of\tof\tIN\tB-PP\tO' -p221622 -aS'mentation\tmentation\tNN\tB-NP\tO' -p221623 -aS'and\tand\tCC\tO\tO' -p221624 -aS'increased\tincrease\tVBD\tB-VP\tO' -p221625 -aS'gait\tgait\tNN\tB-NP\tO' -p221626 -aS'instability\tinstability\tNN\tI-NP\tO' -p221627 -aS'since\tsince\tIN\tB-PP\tO' -p221628 -aS'one\tone\tCD\tB-NP\tO' -p221629 -aS'week\tweek\tNN\tI-NP\tO' -p221630 -aS'.\t.\t.\tO\tO' -p221631 -asS'He denied any shortness of breath and had oxygen saturations in the 90 s on room air .' -p221632 -(lp221633 -S'He\tHe\tPRP\tB-NP\tO' -p221634 -aS'denied\tdeny\tVBD\tB-VP\tO' -p221635 -aS'any\tany\tDT\tB-NP\tO' -p221636 -aS'shortness\tshortness\tNN\tI-NP\tO' -p221637 -aS'of\tof\tIN\tB-PP\tO' -p221638 -aS'breath\tbreath\tNN\tB-NP\tO' -p221639 -aS'and\tand\tCC\tO\tO' -p221640 -aS'had\thave\tVBD\tB-VP\tO' -p221641 -aS'oxygen\toxygen\tNN\tB-NP\tO' -p221642 -aS'saturations\tsaturation\tNNS\tI-NP\tO' -p221643 -aS'in\tin\tIN\tB-PP\tO' -p221644 -aS'the\tthe\tDT\tB-NP\tO' -p221645 -aS'90\t90\tCD\tI-NP\tO' -p221646 -aS's\ts\tNN\tI-NP\tO' -p221647 -aS'on\ton\tIN\tB-PP\tO' -p221648 -aS'room\troom\tNN\tB-NP\tO' -p221649 -aS'air\tair\tNN\tI-NP\tO' -p221650 -aS'.\t.\t.\tO\tO' -p221651 -asS'His prothrombin time and partial thromboplastin time were normal .' -p221652 -(lp221653 -S'His\tHis\tPRP$\tB-NP\tO' -p221654 -aS'prothrombin\tprothrombin\tNN\tI-NP\tO' -p221655 -aS'time\ttime\tNN\tI-NP\tO' -p221656 -aS'and\tand\tCC\tO\tO' -p221657 -aS'partial\tpartial\tJJ\tB-NP\tO' -p221658 -aS'thromboplastin\tthromboplastin\tNN\tI-NP\tO' -p221659 -aS'time\ttime\tNN\tI-NP\tO' -p221660 -aS'were\tbe\tVBD\tB-VP\tO' -p221661 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p221662 -aS'.\t.\t.\tO\tO' -p221663 -asS'However , the patient has noted some abdominal pain , intermittent times a couple of days , none on the day of admission .' -p221664 -(lp221665 -S'However\tHowever\tRB\tB-ADVP\tO' -p221666 -aS',\t,\t,\tO\tO' -p221667 -aS'the\tthe\tDT\tB-NP\tO' -p221668 -aS'patient\tpatient\tNN\tI-NP\tO' -p221669 -aS'has\thave\tVBZ\tB-VP\tO' -p221670 -aS'noted\tnote\tVBN\tI-VP\tO' -p221671 -aS'some\tsome\tDT\tB-NP\tO' -p221672 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p221673 -aS'pain\tpain\tNN\tI-NP\tO' -p221674 -aS',\t,\t,\tO\tO' -p221675 -aS'intermittent\tintermittent\tJJ\tB-NP\tO' -p221676 -aS'times\ttime\tNNS\tI-NP\tO' -p221677 -aS'a\ta\tDT\tB-NP\tO' -p221678 -aS'couple\tcouple\tNN\tI-NP\tO' -p221679 -aS'of\tof\tIN\tB-PP\tO' -p221680 -aS'days\tday\tNNS\tB-NP\tO' -p221681 -aS',\t,\t,\tO\tO' -p221682 -aS'none\tnone\tNN\tB-NP\tO' -p221683 -aS'on\ton\tIN\tB-PP\tO' -p221684 -aS'the\tthe\tDT\tB-NP\tO' -p221685 -aS'day\tday\tNN\tI-NP\tO' -p221686 -aS'of\tof\tIN\tB-PP\tO' -p221687 -aS'admission\tadmission\tNN\tB-NP\tO' -p221688 -aS'.\t.\t.\tO\tO' -p221689 -asS'He was preadmitted for cardiac clearance by Dr. Lair , his cardiologist .' -p221690 -(lp221691 -S'He\tHe\tPRP\tB-NP\tO' -p221692 -aS'was\tbe\tVBD\tB-VP\tO' -p221693 -aS'preadmitted\tpreadmitte\tVBN\tI-VP\tO' -p221694 -aS'for\tfor\tIN\tB-PP\tO' -p221695 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p221696 -aS'clearance\tclearance\tNN\tI-NP\tO' -p221697 -aS'by\tby\tIN\tB-PP\tO' -p221698 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p221699 -aS'Lair\tLair\tNNP\tI-NP\tO' -p221700 -aS',\t,\t,\tO\tO' -p221701 -aS'his\this\tPRP$\tB-NP\tO' -p221702 -aS'cardiologist\tcardiologist\tNN\tI-NP\tO' -p221703 -aS'.\t.\t.\tO\tO' -p221704 -asS'She was initially started on 80 cc per kilo per day of D10W .' -p221705 -(lp221706 -S'She\tShe\tPRP\tB-NP\tO' -p221707 -aS'was\tbe\tVBD\tB-VP\tO' -p221708 -aS'initially\tinitially\tRB\tI-VP\tO' -p221709 -aS'started\tstart\tVBN\tI-VP\tO' -p221710 -aS'on\ton\tIN\tB-PP\tO' -p221711 -aS'80\t80\tCD\tB-NP\tO' -p221712 -aS'cc\tcc\tNN\tI-NP\tO' -p221713 -aS'per\tper\tIN\tB-PP\tO' -p221714 -aS'kilo\tkilo\tNN\tB-NP\tO' -p221715 -aS'per\tper\tIN\tB-PP\tO' -p221716 -aS'day\tday\tNN\tB-NP\tO' -p221717 -aS'of\tof\tIN\tB-PP\tO' -p221718 -aS'D10W\tD10W\tNN\tB-NP\tB-protein' -p221719 -aS'.\t.\t.\tO\tO' -p221720 -asS'There was also evidence of subcortical dysfunction on the right side .' -p221721 -(lp221722 -S'There\tThere\tEX\tB-NP\tO' -p221723 -aS'was\tbe\tVBD\tB-VP\tO' -p221724 -aS'also\talso\tRB\tB-ADVP\tO' -p221725 -aS'evidence\tevidence\tNN\tB-NP\tO' -p221726 -aS'of\tof\tIN\tB-PP\tO' -p221727 -aS'subcortical\tsubcortical\tJJ\tB-NP\tO' -p221728 -aS'dysfunction\tdysfunction\tNN\tI-NP\tO' -p221729 -aS'on\ton\tIN\tB-PP\tO' -p221730 -aS'the\tthe\tDT\tB-NP\tO' -p221731 -aS'right\tright\tJJ\tI-NP\tO' -p221732 -aS'side\tside\tNN\tI-NP\tO' -p221733 -aS'.\t.\t.\tO\tO' -p221734 -asS'v / q at outside hospital read as low prob. leni 's here neg. d/c'ed on levo / flagyl for presumed post-obstructive pneumonia .' -p221735 -(lp221736 -S'v\tv\tNN\tB-NP\tO' -p221737 -aS'/\t/\tSYM\tI-NP\tO' -p221738 -aS'q\tq\tNN\tI-NP\tO' -p221739 -aS'at\tat\tIN\tB-PP\tO' -p221740 -aS'outside\toutside\tJJ\tB-NP\tO' -p221741 -aS'hospital\thospital\tNN\tI-NP\tO' -p221742 -aS'read\tread\tVBN\tB-VP\tO' -p221743 -aS'as\tas\tIN\tB-PP\tO' -p221744 -aS'low\tlow\tJJ\tB-NP\tO' -p221745 -aS'prob.\tprob.\tNN\tI-NP\tO' -p221746 -aS'leni\tleni\tNN\tI-NP\tO' -p221747 -aS''s\t'\tNNS\tI-NP\tO' -p221748 -aS'here\there\tRB\tB-ADVP\tO' -p221749 -aS'neg.\tneg.\tRB\tB-VP\tO' -p221750 -aS'd/c'ed\td/c'e\tVBN\tI-VP\tO' -p221751 -aS'on\ton\tIN\tB-PP\tO' -p221752 -aS'levo\tlevo\tNN\tB-NP\tO' -p221753 -aS'/\t/\tSYM\tB-NP\tO' -p221754 -aS'flagyl\tflagyl\tNN\tI-NP\tO' -p221755 -aS'for\tfor\tIN\tB-PP\tO' -p221756 -aS'presumed\tpresume\tVBN\tB-NP\tO' -p221757 -aS'post-obstructive\tpost-obstructive\tJJ\tI-NP\tO' -p221758 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p221759 -aS'.\t.\t.\tO\tO' -p221760 -asS'1. Metastatic breast cancer end stage .' -p221761 -(lp221762 -S'1.\t1.\tLS\tB-NP\tO' -p221763 -aS'Metastatic\tMetastatic\tJJ\tI-NP\tO' -p221764 -aS'breast\tbreast\tNN\tI-NP\tO' -p221765 -aS'cancer\tcancer\tNN\tI-NP\tO' -p221766 -aS'end\tend\tNN\tI-NP\tO' -p221767 -aS'stage\tstage\tNN\tI-NP\tO' -p221768 -aS'.\t.\t.\tO\tO' -p221769 -asS'6) Call with any questions or concerns .' -p221770 -(lp221771 -S'6)\t6)\tLS\tB-LST\tO' -p221772 -aS'Call\tCall\tNN\tB-NP\tO' -p221773 -aS'with\twith\tIN\tB-PP\tO' -p221774 -aS'any\tany\tDT\tB-NP\tO' -p221775 -aS'questions\tquestion\tNNS\tI-NP\tO' -p221776 -aS'or\tor\tCC\tI-NP\tO' -p221777 -aS'concerns\tconcern\tNNS\tI-NP\tO' -p221778 -aS'.\t.\t.\tO\tO' -p221779 -asS'Bactrim , she gets hives .' -p221780 -(lp221781 -S'Bactrim\tBactrim\tNNP\tB-NP\tO' -p221782 -aS',\t,\t,\tO\tO' -p221783 -aS'she\tshe\tPRP\tB-NP\tO' -p221784 -aS'gets\tget\tVBZ\tB-VP\tO' -p221785 -aS'hives\thive\tNNS\tB-NP\tO' -p221786 -aS'.\t.\t.\tO\tO' -p221787 -asS'Today she only complains of some SOB , which she says remains largely unchanged over the past few days .' -p221788 -(lp221789 -S'Today\tToday\tNN\tB-NP\tO' -p221790 -aS'she\tshe\tPRP\tB-NP\tO' -p221791 -aS'only\tonly\tRB\tB-ADVP\tO' -p221792 -aS'complains\tcomplain\tVBZ\tB-VP\tO' -p221793 -aS'of\tof\tIN\tB-PP\tO' -p221794 -aS'some\tsome\tDT\tB-NP\tO' -p221795 -aS'SOB\tSOB\tNN\tI-NP\tB-protein' -p221796 -aS',\t,\t,\tO\tO' -p221797 -aS'which\twhich\tWDT\tB-NP\tO' -p221798 -aS'she\tshe\tPRP\tB-NP\tO' -p221799 -aS'says\tsay\tVBZ\tB-VP\tO' -p221800 -aS'remains\tremain\tVBZ\tB-VP\tO' -p221801 -aS'largely\tlargely\tRB\tB-ADJP\tO' -p221802 -aS'unchanged\tunchanged\tJJ\tI-ADJP\tO' -p221803 -aS'over\tover\tIN\tB-PP\tO' -p221804 -aS'the\tthe\tDT\tB-NP\tO' -p221805 -aS'past\tpast\tJJ\tI-NP\tO' -p221806 -aS'few\tfew\tJJ\tI-NP\tO' -p221807 -aS'days\tday\tNNS\tI-NP\tO' -p221808 -aS'.\t.\t.\tO\tO' -p221809 -asS'4) Coronary artery calcification .' -p221810 -(lp221811 -S'4)\t4)\tLS\tB-NP\tO' -p221812 -aS'Coronary\tCoronary\tJJ\tI-NP\tO' -p221813 -aS'artery\tartery\tNN\tI-NP\tO' -p221814 -aS'calcification\tcalcification\tNN\tI-NP\tO' -p221815 -aS'.\t.\t.\tO\tO' -p221816 -asS'Of note , the patient also underwent tubal ligation at the time of cesarean section .' -p221817 -(lp221818 -S'Of\tOf\tIN\tB-PP\tO' -p221819 -aS'note\tnote\tNN\tB-NP\tO' -p221820 -aS',\t,\t,\tO\tO' -p221821 -aS'the\tthe\tDT\tB-NP\tO' -p221822 -aS'patient\tpatient\tNN\tI-NP\tO' -p221823 -aS'also\talso\tRB\tB-ADVP\tO' -p221824 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p221825 -aS'tubal\ttubal\tJJ\tB-NP\tO' -p221826 -aS'ligation\tligation\tNN\tI-NP\tO' -p221827 -aS'at\tat\tIN\tB-PP\tO' -p221828 -aS'the\tthe\tDT\tB-NP\tO' -p221829 -aS'time\ttime\tNN\tI-NP\tO' -p221830 -aS'of\tof\tIN\tB-PP\tO' -p221831 -aS'cesarean\tcesarean\tJJ\tB-NP\tO' -p221832 -aS'section\tsection\tNN\tI-NP\tO' -p221833 -aS'.\t.\t.\tO\tO' -p221834 -asS'Signed electronically by : DR. Dorothy L. Brennan on : Russell 2011-01-27 11:38 AM' -p221835 -(lp221836 -S'Signed\tSign\tVBN\tB-VP\tO' -p221837 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p221838 -aS'by\tby\tIN\tB-PP\tO' -p221839 -aS':\t:\t:\tO\tO' -p221840 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p221841 -aS'Dorothy\tDorothy\tNNP\tI-NP\tO' -p221842 -aS'L.\tL.\tNNP\tI-NP\tO' -p221843 -aS'Brennan\tBrennan\tNNP\tI-NP\tO' -p221844 -aS'on\ton\tIN\tB-PP\tO' -p221845 -aS':\t:\t:\tO\tO' -p221846 -aS'Russell\tRussell\tNNP\tB-NP\tO' -p221847 -aS'2011-01-27\t2011-01-27\tCD\tB-NP\tO' -p221848 -aS'11:38\t11:38\tCD\tI-NP\tO' -p221849 -aS'AM\tAM\tNN\tI-NP\tO' -p221850 -asS'Resting regional wall motion abnormalities include mild inferior hypokinesis .' -p221851 -(lp221852 -S'Resting\tRest\tVBG\tB-VP\tO' -p221853 -aS'regional\tregional\tJJ\tB-NP\tO' -p221854 -aS'wall\twall\tNN\tI-NP\tO' -p221855 -aS'motion\tmotion\tNN\tI-NP\tO' -p221856 -aS'abnormalities\tabnormality\tNNS\tI-NP\tO' -p221857 -aS'include\tinclude\tVBP\tB-VP\tO' -p221858 -aS'mild\tmild\tJJ\tB-NP\tO' -p221859 -aS'inferior\tinferior\tJJ\tI-NP\tO' -p221860 -aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' -p221861 -aS'.\t.\t.\tO\tO' -p221862 -asS'She was again discharged home in stable condition .' -p221863 -(lp221864 -S'She\tShe\tPRP\tB-NP\tO' -p221865 -aS'was\tbe\tVBD\tB-VP\tO' -p221866 -aS'again\tagain\tRB\tI-VP\tO' -p221867 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p221868 -aS'home\thome\tNN\tB-NP\tO' -p221869 -aS'in\tin\tIN\tB-PP\tO' -p221870 -aS'stable\tstable\tJJ\tB-NP\tO' -p221871 -aS'condition\tcondition\tNN\tI-NP\tO' -p221872 -aS'.\t.\t.\tO\tO' -p221873 -asS'7. Blood loss requiring transfusion .' -p221874 -(lp221875 -S'7.\t7.\tLS\tB-NP\tO' -p221876 -aS'Blood\tBlood\tNN\tI-NP\tO' -p221877 -aS'loss\tloss\tNN\tI-NP\tO' -p221878 -aS'requiring\trequire\tVBG\tB-VP\tO' -p221879 -aS'transfusion\ttransfusion\tNN\tB-NP\tO' -p221880 -aS'.\t.\t.\tO\tO' -p221881 -asS'Ileal conduit is not well evaluated .' -p221882 -(lp221883 -S'Ileal\tIleal\tJJ\tB-NP\tO' -p221884 -aS'conduit\tconduit\tNN\tI-NP\tO' -p221885 -aS'is\tbe\tVBZ\tB-VP\tO' -p221886 -aS'not\tnot\tRB\tI-VP\tO' -p221887 -aS'well\twell\tRB\tI-VP\tO' -p221888 -aS'evaluated\tevaluate\tVBN\tI-VP\tO' -p221889 -aS'.\t.\t.\tO\tO' -p221890 -asS'18. Insulin sliding scale Insulin SC Sliding Scale Q6H Regular Glucose Insulin Dose 0-60 mg / dL 01-20 amp D50 61-120 mg / dL 0 Units 121-140 mg / dL 3 Units 141-160 mg/dL 5 Units 161-180 mg/dL 7' -p221891 -(lp221892 -S'18.\t18.\tCD\tB-NP\tO' -p221893 -aS'Insulin\tInsulin\tNN\tI-NP\tB-protein' -p221894 -aS'sliding\tslide\tVBG\tB-VP\tO' -p221895 -aS'scale\tscale\tNN\tB-NP\tO' -p221896 -aS'Insulin\tInsulin\tNNP\tI-NP\tO' -p221897 -aS'SC\tSC\tNNP\tI-NP\tO' -p221898 -aS'Sliding\tSliding\tNNP\tI-NP\tO' -p221899 -aS'Scale\tScale\tNNP\tI-NP\tO' -p221900 -aS'Q6H\tQ6H\tNN\tI-NP\tO' -p221901 -aS'Regular\tRegular\tJJ\tI-NP\tO' -p221902 -aS'Glucose\tGlucose\tNN\tI-NP\tO' -p221903 -aS'Insulin\tInsulin\tNN\tI-NP\tO' -p221904 -aS'Dose\tDose\tNN\tI-NP\tO' -p221905 -aS'0-60\t0-60\tCD\tI-NP\tO' -p221906 -aS'mg\tmg\tNN\tI-NP\tO' -p221907 -aS'/\t/\tSYM\tB-NP\tO' -p221908 -aS'dL\tdL\tNN\tB-NP\tO' -p221909 -aS'01-20\t01-20\tCD\tI-NP\tO' -p221910 -aS'amp\tamp\tNN\tI-NP\tO' -p221911 -aS'D50\tD50\tNN\tI-NP\tO' -p221912 -aS'61-120\t61-120\tCD\tI-NP\tO' -p221913 -aS'mg\tmg\tNN\tI-NP\tO' -p221914 -aS'/\t/\tSYM\tB-NP\tO' -p221915 -aS'dL\tdL\tNN\tB-NP\tO' -p221916 -aS'0\t0\tCD\tI-NP\tO' -p221917 -aS'Units\tUnit\tVBZ\tB-VP\tO' -p221918 -aS'121-140\t121-140\tCD\tB-NP\tO' -p221919 -aS'mg\tmg\tNN\tI-NP\tO' -p221920 -aS'/\t/\tSYM\tB-NP\tO' -p221921 -aS'dL\tdL\tNN\tB-NP\tO' -p221922 -aS'3\t3\tCD\tI-NP\tO' -p221923 -aS'Units\tUnit\tVBZ\tB-VP\tO' -p221924 -aS'141-160\t141-160\tCD\tB-NP\tO' -p221925 -aS'mg/dL\tmg/dL\tNN\tI-NP\tO' -p221926 -aS'5\t5\tCD\tI-NP\tO' -p221927 -aS'Units\tUnit\tVBZ\tB-VP\tO' -p221928 -aS'161-180\t161-180\tCD\tB-NP\tO' -p221929 -aS'mg/dL\tmg/dL\tNN\tI-NP\tO' -p221930 -aS'7\t7\tCD\tB-NP\tO' -p221931 -asS'The patient was transferred to an outside hospital where she was noted to have a 50 point discrepancy in her upper extremity blood pressures , right greater than left .' -p221932 -(lp221933 -S'The\tThe\tDT\tB-NP\tO' -p221934 -aS'patient\tpatient\tNN\tI-NP\tO' -p221935 -aS'was\tbe\tVBD\tB-VP\tO' -p221936 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p221937 -aS'to\tto\tTO\tB-PP\tO' -p221938 -aS'an\tan\tDT\tB-NP\tO' -p221939 -aS'outside\toutside\tJJ\tI-NP\tO' -p221940 -aS'hospital\thospital\tNN\tI-NP\tO' -p221941 -aS'where\twhere\tWRB\tB-ADVP\tO' -p221942 -aS'she\tshe\tPRP\tB-NP\tO' -p221943 -aS'was\tbe\tVBD\tB-VP\tO' -p221944 -aS'noted\tnote\tVBN\tI-VP\tO' -p221945 -aS'to\tto\tTO\tI-VP\tO' -p221946 -aS'have\thave\tVB\tI-VP\tO' -p221947 -aS'a\ta\tDT\tB-NP\tO' -p221948 -aS'50\t50\tCD\tI-NP\tO' -p221949 -aS'point\tpoint\tNN\tI-NP\tO' -p221950 -aS'discrepancy\tdiscrepancy\tNN\tI-NP\tO' -p221951 -aS'in\tin\tIN\tB-PP\tO' -p221952 -aS'her\ther\tPRP$\tB-NP\tO' -p221953 -aS'upper\tupper\tJJ\tI-NP\tO' -p221954 -aS'extremity\textremity\tNN\tI-NP\tO' -p221955 -aS'blood\tblood\tNN\tI-NP\tO' -p221956 -aS'pressures\tpressure\tNNS\tI-NP\tO' -p221957 -aS',\t,\t,\tO\tO' -p221958 -aS'right\tright\tRB\tB-ADVP\tO' -p221959 -aS'greater\tgreat\tJJR\tI-ADVP\tO' -p221960 -aS'than\tthan\tIN\tB-PP\tO' -p221961 -aS'left\tleft\tJJ\tB-ADJP\tO' -p221962 -aS'.\t.\t.\tO\tO' -p221963 -asS'Lives with husband and 4 y.o. son .' -p221964 -(lp221965 -S'Lives\tLife\tNNS\tB-NP\tO' -p221966 -aS'with\twith\tIN\tB-PP\tO' -p221967 -aS'husband\thusband\tNN\tB-NP\tO' -p221968 -aS'and\tand\tCC\tO\tO' -p221969 -aS'4\t4\tCD\tB-NP\tO' -p221970 -aS'y.o.\ty.o.\tNN\tI-NP\tO' -p221971 -aS'son\tson\tNN\tI-NP\tO' -p221972 -aS'.\t.\t.\tO\tO' -p221973 -asS'Please see a doctor if you feel dizzy , or have blood in your stool again .' -p221974 -(lp221975 -S'Please\tPlease\tVB\tB-VP\tO' -p221976 -aS'see\tsee\tVB\tI-VP\tO' -p221977 -aS'a\ta\tDT\tB-NP\tO' -p221978 -aS'doctor\tdoctor\tNN\tI-NP\tO' -p221979 -aS'if\tif\tIN\tB-SBAR\tO' -p221980 -aS'you\tyou\tPRP\tB-NP\tO' -p221981 -aS'feel\tfeel\tVBP\tB-VP\tO' -p221982 -aS'dizzy\tdizzy\tJJ\tB-ADJP\tO' -p221983 -aS',\t,\t,\tO\tO' -p221984 -aS'or\tor\tCC\tO\tO' -p221985 -aS'have\thave\tVBP\tB-VP\tO' -p221986 -aS'blood\tblood\tNN\tB-NP\tO' -p221987 -aS'in\tin\tIN\tB-PP\tO' -p221988 -aS'your\tyour\tPRP$\tB-NP\tO' -p221989 -aS'stool\tstool\tNN\tI-NP\tO' -p221990 -aS'again\tagain\tRB\tB-ADVP\tO' -p221991 -aS'.\t.\t.\tO\tO' -p221992 -asS'He was started on Neupogen , 400 mcg. subq. q.d.' -p221993 -(lp221994 -S'He\tHe\tPRP\tB-NP\tO' -p221995 -aS'was\tbe\tVBD\tB-VP\tO' -p221996 -aS'started\tstart\tVBN\tI-VP\tO' -p221997 -aS'on\ton\tIN\tB-PP\tO' -p221998 -aS'Neupogen\tNeupogen\tNN\tB-NP\tO' -p221999 -aS',\t,\t,\tO\tO' -p222000 -aS'400\t400\tCD\tB-NP\tO' -p222001 -aS'mcg.\tmcg.\tNN\tI-NP\tO' -p222002 -aS'subq.\tsubq.\tNN\tI-NP\tO' -p222003 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p222004 -asS'An intracranial pressure monitoring bolt had been placed by the Neurosurgery Service staff during the laparotomy .' -p222005 -(lp222006 -S'An\tAn\tDT\tB-NP\tO' -p222007 -aS'intracranial\tintracranial\tJJ\tI-NP\tO' -p222008 -aS'pressure\tpressure\tNN\tI-NP\tO' -p222009 -aS'monitoring\tmonitoring\tNN\tI-NP\tO' -p222010 -aS'bolt\tbolt\tNN\tI-NP\tO' -p222011 -aS'had\thave\tVBD\tB-VP\tO' -p222012 -aS'been\tbe\tVBN\tI-VP\tO' -p222013 -aS'placed\tplace\tVBN\tI-VP\tO' -p222014 -aS'by\tby\tIN\tB-PP\tO' -p222015 -aS'the\tthe\tDT\tB-NP\tO' -p222016 -aS'Neurosurgery\tNeurosurgery\tNNP\tI-NP\tO' -p222017 -aS'Service\tService\tNNP\tI-NP\tO' -p222018 -aS'staff\tstaff\tNN\tI-NP\tO' -p222019 -aS'during\tduring\tIN\tB-PP\tO' -p222020 -aS'the\tthe\tDT\tB-NP\tO' -p222021 -aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' -p222022 -aS'.\t.\t.\tO\tO' -p222023 -asS'He does admit to cocaine use last night .' -p222024 -(lp222025 -S'He\tHe\tPRP\tB-NP\tO' -p222026 -aS'does\tdo\tVBZ\tB-VP\tO' -p222027 -aS'admit\tadmit\tVB\tI-VP\tO' -p222028 -aS'to\tto\tTO\tB-PP\tO' -p222029 -aS'cocaine\tcocaine\tNN\tB-NP\tO' -p222030 -aS'use\tuse\tNN\tI-NP\tO' -p222031 -aS'last\tlast\tJJ\tB-NP\tO' -p222032 -aS'night\tnight\tNN\tI-NP\tO' -p222033 -aS'.\t.\t.\tO\tO' -p222034 -asS'Consulting General Surgeon was Asha Vengloan , M.D.' -p222035 -(lp222036 -S'Consulting\tConsult\tVBG\tB-VP\tO' -p222037 -aS'General\tGeneral\tNNP\tB-NP\tO' -p222038 -aS'Surgeon\tSurgeon\tNNP\tI-NP\tO' -p222039 -aS'was\tbe\tVBD\tB-VP\tO' -p222040 -aS'Asha\tAsha\tNNP\tB-NP\tO' -p222041 -aS'Vengloan\tVengloan\tNNP\tI-NP\tO' -p222042 -aS',\t,\t,\tO\tO' -p222043 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p222044 -asS'2. Diagnostic laryngoscopy and biopsy .' -p222045 -(lp222046 -S'2.\t2.\tLS\tB-NP\tO' -p222047 -aS'Diagnostic\tDiagnostic\tJJ\tI-NP\tO' -p222048 -aS'laryngoscopy\tlaryngoscopy\tNN\tI-NP\tO' -p222049 -aS'and\tand\tCC\tI-NP\tO' -p222050 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p222051 -aS'.\t.\t.\tO\tO' -p222052 -asS'1. Evista 60 mg p.o. daily .' -p222053 -(lp222054 -S'1.\t1.\tLS\tB-LST\tO' -p222055 -aS'Evista\tEvista\tNNP\tB-NP\tO' -p222056 -aS'60\t60\tCD\tI-NP\tO' -p222057 -aS'mg\tmg\tNN\tI-NP\tO' -p222058 -aS'p.o.\tp.o.\tRB\tB-ADVP\tO' -p222059 -aS'daily\tdaily\tRB\tI-ADVP\tO' -p222060 -aS'.\t.\t.\tO\tO' -p222061 -asS'The patient was admitted to the hospital on July 12th for a chole with a principle diagnosis of recurrent biliary colic .' -p222062 -(lp222063 -S'The\tThe\tDT\tB-NP\tO' -p222064 -aS'patient\tpatient\tNN\tI-NP\tO' -p222065 -aS'was\tbe\tVBD\tB-VP\tO' -p222066 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p222067 -aS'to\tto\tTO\tB-PP\tO' -p222068 -aS'the\tthe\tDT\tB-NP\tO' -p222069 -aS'hospital\thospital\tNN\tI-NP\tO' -p222070 -aS'on\ton\tIN\tB-PP\tO' -p222071 -aS'July\tJuly\tNNP\tB-NP\tO' -p222072 -aS'12th\t12th\tCD\tI-NP\tO' -p222073 -aS'for\tfor\tIN\tB-PP\tO' -p222074 -aS'a\ta\tDT\tB-NP\tO' -p222075 -aS'chole\tchole\tNN\tI-NP\tO' -p222076 -aS'with\twith\tIN\tB-PP\tO' -p222077 -aS'a\ta\tDT\tB-NP\tO' -p222078 -aS'principle\tprinciple\tJJ\tI-NP\tO' -p222079 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p222080 -aS'of\tof\tIN\tB-PP\tO' -p222081 -aS'recurrent\trecurrent\tJJ\tB-NP\tO' -p222082 -aS'biliary\tbiliary\tJJ\tI-NP\tO' -p222083 -aS'colic\tcolic\tNN\tI-NP\tO' -p222084 -aS'.\t.\t.\tO\tO' -p222085 -asS'There was a distal ulnar and radial fracture as well as a left mid-shaft comminuted fracture of the femur .' -p222086 -(lp222087 -S'There\tThere\tEX\tB-NP\tO' -p222088 -aS'was\tbe\tVBD\tB-VP\tO' -p222089 -aS'a\ta\tDT\tB-NP\tO' -p222090 -aS'distal\tdistal\tJJ\tI-NP\tO' -p222091 -aS'ulnar\tulnar\tJJ\tI-NP\tO' -p222092 -aS'and\tand\tCC\tI-NP\tO' -p222093 -aS'radial\tradial\tJJ\tI-NP\tO' -p222094 -aS'fracture\tfracture\tNN\tI-NP\tO' -p222095 -aS'as\tas\tRB\tB-CONJP\tO' -p222096 -aS'well\twell\tRB\tI-CONJP\tO' -p222097 -aS'as\tas\tIN\tI-CONJP\tO' -p222098 -aS'a\ta\tDT\tB-NP\tO' -p222099 -aS'left\tleft\tJJ\tI-NP\tO' -p222100 -aS'mid-shaft\tmid-shaft\tJJ\tI-NP\tO' -p222101 -aS'comminuted\tcomminute\tVBN\tI-NP\tO' -p222102 -aS'fracture\tfracture\tNN\tI-NP\tO' -p222103 -aS'of\tof\tIN\tB-PP\tO' -p222104 -aS'the\tthe\tDT\tB-NP\tO' -p222105 -aS'femur\tfemur\tNN\tI-NP\tO' -p222106 -aS'.\t.\t.\tO\tO' -p222107 -asS'Home Under Care Of Home Health Agency' -p222108 -(lp222109 -S'Home\tHome\tNNP\tB-NP\tO' -p222110 -aS'Under\tUnder\tNNP\tI-NP\tO' -p222111 -aS'Care\tCare\tNNP\tI-NP\tO' -p222112 -aS'Of\tOf\tNNP\tI-NP\tO' -p222113 -aS'Home\tHome\tNNP\tI-NP\tO' -p222114 -aS'Health\tHealth\tNNP\tI-NP\tO' -p222115 -aS'Agency\tAgency\tNNP\tI-NP\tO' -p222116 -asS'Cardiac , normal S1 , S2 , no murmurs , rubs or gallops .' -p222117 -(lp222118 -S'Cardiac\tCardiac\tJJ\tB-NP\tO' -p222119 -aS',\t,\t,\tI-NP\tO' -p222120 -aS'normal\tnormal\tJJ\tI-NP\tO' -p222121 -aS'S1\tS1\tNN\tI-NP\tO' -p222122 -aS',\t,\t,\tO\tO' -p222123 -aS'S2\tS2\tNN\tB-NP\tB-protein' -p222124 -aS',\t,\t,\tO\tO' -p222125 -aS'no\tno\tDT\tB-NP\tO' -p222126 -aS'murmurs\tmurmur\tNNS\tI-NP\tO' -p222127 -aS',\t,\t,\tI-NP\tO' -p222128 -aS'rubs\trub\tNNS\tI-NP\tO' -p222129 -aS'or\tor\tCC\tI-NP\tO' -p222130 -aS'gallops\tgallop\tNNS\tI-NP\tO' -p222131 -aS'.\t.\t.\tO\tO' -p222132 -asS'SECONDARY DIAGNOSES INCLUDE PERICARDIAL EFFUSION , PULMONARY LYMPHANGITIC SPREAD , AND LIVER AND SPLEEN METASTASES .' -p222133 -(lp222134 -S'SECONDARY\tSECONDARY\tNN\tB-NP\tO' -p222135 -aS'DIAGNOSES\tDIAGNOSES\tVBZ\tB-VP\tO' -p222136 -aS'INCLUDE\tINCLUDE\tNN\tB-NP\tO' -p222137 -aS'PERICARDIAL\tPERICARDIAL\tNN\tI-NP\tO' -p222138 -aS'EFFUSION\tEFFUSION\tNN\tI-NP\tO' -p222139 -aS',\t,\t,\tO\tO' -p222140 -aS'PULMONARY\tPULMONARY\tNN\tB-NP\tO' -p222141 -aS'LYMPHANGITIC\tLYMPHANGITIC\tNN\tI-NP\tO' -p222142 -aS'SPREAD\tSPREAD\tNN\tI-NP\tO' -p222143 -aS',\t,\t,\tO\tO' -p222144 -aS'AND\tAND\tCC\tO\tO' -p222145 -aS'LIVER\tLIVER\tNN\tB-NP\tB-protein' -p222146 -aS'AND\tAND\tCC\tI-NP\tO' -p222147 -aS'SPLEEN\tSPLEEN\tNN\tI-NP\tB-protein' -p222148 -aS'METASTASES\tMETASTASES\tNNS\tI-NP\tI-protein' -p222149 -aS'.\t.\t.\tO\tO' -p222150 -asS'10) Senna tablets , two tablets p.o. b.i.d.' -p222151 -(lp222152 -S'10)\t10)\tLS\tB-NP\tO' -p222153 -aS'Senna\tSenna\tNNP\tI-NP\tO' -p222154 -aS'tablets\ttablet\tNNS\tI-NP\tO' -p222155 -aS',\t,\t,\tO\tO' -p222156 -aS'two\ttwo\tCD\tB-NP\tO' -p222157 -aS'tablets\ttablet\tNNS\tI-NP\tO' -p222158 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p222159 -aS'b.i.d.\tb.i.d.\tFW\tI-NP\tO' -p222160 -asS'She was slightly tachycardic .' -p222161 -(lp222162 -S'She\tShe\tPRP\tB-NP\tO' -p222163 -aS'was\tbe\tVBD\tB-VP\tO' -p222164 -aS'slightly\tslightly\tRB\tB-ADJP\tO' -p222165 -aS'tachycardic\ttachycardic\tJJ\tI-ADJP\tO' -p222166 -aS'.\t.\t.\tO\tO' -p222167 -asS'He is healthy looking .' -p222168 -(lp222169 -S'He\tHe\tPRP\tB-NP\tO' -p222170 -aS'is\tbe\tVBZ\tB-VP\tO' -p222171 -aS'healthy\thealthy\tJJ\tB-ADJP\tO' -p222172 -aS'looking\tlook\tVBG\tB-VP\tO' -p222173 -aS'.\t.\t.\tO\tO' -p222174 -asS'On January 1 , a chest tube was placed for a loculated pleural effusion .' -p222175 -(lp222176 -S'On\tOn\tIN\tB-PP\tO' -p222177 -aS'January\tJanuary\tNNP\tB-NP\tO' -p222178 -aS'1\t1\tCD\tI-NP\tO' -p222179 -aS',\t,\t,\tO\tO' -p222180 -aS'a\ta\tDT\tB-NP\tO' -p222181 -aS'chest\tchest\tNN\tI-NP\tO' -p222182 -aS'tube\ttube\tNN\tI-NP\tO' -p222183 -aS'was\tbe\tVBD\tB-VP\tO' -p222184 -aS'placed\tplace\tVBN\tI-VP\tO' -p222185 -aS'for\tfor\tIN\tB-PP\tO' -p222186 -aS'a\ta\tDT\tB-NP\tO' -p222187 -aS'loculated\tloculated\tJJ\tI-NP\tO' -p222188 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p222189 -aS'effusion\teffusion\tNN\tI-NP\tO' -p222190 -aS'.\t.\t.\tO\tO' -p222191 -asS'There were no clear epileptiform discharges .' -p222192 -(lp222193 -S'There\tThere\tEX\tB-NP\tO' -p222194 -aS'were\tbe\tVBD\tB-VP\tO' -p222195 -aS'no\tno\tDT\tB-NP\tO' -p222196 -aS'clear\tclear\tJJ\tI-NP\tO' -p222197 -aS'epileptiform\tepileptiform\tNN\tI-NP\tO' -p222198 -aS'discharges\tdischarge\tNNS\tI-NP\tO' -p222199 -aS'.\t.\t.\tO\tO' -p222200 -asS'Bystanders report that he was assaulted about 20 minutes earlier and the nature of the assault was not known .' -p222201 -(lp222202 -S'Bystanders\tBystander\tNNS\tB-NP\tO' -p222203 -aS'report\treport\tVBP\tB-VP\tO' -p222204 -aS'that\tthat\tIN\tB-SBAR\tO' -p222205 -aS'he\the\tPRP\tB-NP\tO' -p222206 -aS'was\tbe\tVBD\tB-VP\tO' -p222207 -aS'assaulted\tassault\tVBN\tI-VP\tO' -p222208 -aS'about\tabout\tIN\tB-NP\tO' -p222209 -aS'20\t20\tCD\tI-NP\tO' -p222210 -aS'minutes\tminute\tNNS\tI-NP\tO' -p222211 -aS'earlier\tearlier\tRBR\tB-ADVP\tO' -p222212 -aS'and\tand\tCC\tO\tO' -p222213 -aS'the\tthe\tDT\tB-NP\tO' -p222214 -aS'nature\tnature\tNN\tI-NP\tO' -p222215 -aS'of\tof\tIN\tB-PP\tO' -p222216 -aS'the\tthe\tDT\tB-NP\tO' -p222217 -aS'assault\tassault\tNN\tI-NP\tO' -p222218 -aS'was\tbe\tVBD\tB-VP\tO' -p222219 -aS'not\tnot\tRB\tI-VP\tO' -p222220 -aS'known\tknow\tVBN\tI-VP\tO' -p222221 -aS'.\t.\t.\tO\tO' -p222222 -asS'She is admitted now for a neuro-interventional radiology procedure to decrease the likelihood of epistaxis on Coumadin .' -p222223 -(lp222224 -S'She\tShe\tPRP\tB-NP\tO' -p222225 -aS'is\tbe\tVBZ\tB-VP\tO' -p222226 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p222227 -aS'now\tnow\tRB\tB-ADVP\tO' -p222228 -aS'for\tfor\tIN\tB-PP\tO' -p222229 -aS'a\ta\tDT\tB-NP\tO' -p222230 -aS'neuro-interventional\tneuro-interventional\tJJ\tI-NP\tO' -p222231 -aS'radiology\tradiology\tNN\tI-NP\tO' -p222232 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p222233 -aS'to\tto\tTO\tB-VP\tO' -p222234 -aS'decrease\tdecrease\tVB\tI-VP\tO' -p222235 -aS'the\tthe\tDT\tB-NP\tO' -p222236 -aS'likelihood\tlikelihood\tNN\tI-NP\tO' -p222237 -aS'of\tof\tIN\tB-PP\tO' -p222238 -aS'epistaxis\tepistaxis\tNN\tB-NP\tO' -p222239 -aS'on\ton\tIN\tB-PP\tO' -p222240 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p222241 -aS'.\t.\t.\tO\tO' -p222242 -asS'No coronary artery disease .' -p222243 -(lp222244 -S'No\tNo\tDT\tB-NP\tO' -p222245 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p222246 -aS'artery\tartery\tNN\tI-NP\tO' -p222247 -aS'disease\tdisease\tNN\tI-NP\tO' -p222248 -aS'.\t.\t.\tO\tO' -p222249 -asS'His hemoglobin A1C was sent and it was pending at the time of discharge .' -p222250 -(lp222251 -S'His\tHis\tPRP$\tB-NP\tO' -p222252 -aS'hemoglobin\themoglobin\tNN\tI-NP\tB-protein' -p222253 -aS'A1C\tA1C\tNN\tI-NP\tO' -p222254 -aS'was\tbe\tVBD\tB-VP\tO' -p222255 -aS'sent\tsend\tVBN\tI-VP\tO' -p222256 -aS'and\tand\tCC\tO\tO' -p222257 -aS'it\tit\tPRP\tB-NP\tO' -p222258 -aS'was\tbe\tVBD\tB-VP\tO' -p222259 -aS'pending\tpende\tVBG\tI-VP\tO' -p222260 -aS'at\tat\tIN\tB-PP\tO' -p222261 -aS'the\tthe\tDT\tB-NP\tO' -p222262 -aS'time\ttime\tNN\tI-NP\tO' -p222263 -aS'of\tof\tIN\tB-PP\tO' -p222264 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p222265 -aS'.\t.\t.\tO\tO' -p222266 -asS'With history , will go for cardiac catheterization evaluation .' -p222267 -(lp222268 -S'With\tWith\tIN\tB-PP\tO' -p222269 -aS'history\thistory\tNN\tB-NP\tO' -p222270 -aS',\t,\t,\tO\tO' -p222271 -aS'will\twill\tMD\tB-VP\tO' -p222272 -aS'go\tgo\tVB\tI-VP\tO' -p222273 -aS'for\tfor\tIN\tB-PP\tO' -p222274 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p222275 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p222276 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p222277 -aS'.\t.\t.\tO\tO' -p222278 -asS'Reg rate , nl S1 & S2 , no m/r/g' -p222279 -(lp222280 -S'Reg\tReg\tNN\tB-NP\tO' -p222281 -aS'rate\trate\tNN\tI-NP\tO' -p222282 -aS',\t,\t,\tO\tO' -p222283 -aS'nl\tnl\tNN\tB-NP\tB-protein' -p222284 -aS'S1\tS1\tNN\tI-NP\tI-protein' -p222285 -aS'&\t&\tCC\tI-NP\tI-protein' -p222286 -aS'S2\tS2\tNN\tI-NP\tI-protein' -p222287 -aS',\t,\t,\tO\tO' -p222288 -aS'no\tno\tDT\tB-NP\tO' -p222289 -aS'm/r/g\tm/r/g\tNN\tI-NP\tO' -p222290 -asS'She denied any pain and was not answering questions at the time .' -p222291 -(lp222292 -S'She\tShe\tPRP\tB-NP\tO' -p222293 -aS'denied\tdeny\tVBD\tB-VP\tO' -p222294 -aS'any\tany\tDT\tB-NP\tO' -p222295 -aS'pain\tpain\tNN\tI-NP\tO' -p222296 -aS'and\tand\tCC\tO\tO' -p222297 -aS'was\tbe\tVBD\tB-VP\tO' -p222298 -aS'not\tnot\tRB\tI-VP\tO' -p222299 -aS'answering\tanswer\tVBG\tI-VP\tO' -p222300 -aS'questions\tquestion\tNNS\tB-NP\tO' -p222301 -aS'at\tat\tIN\tB-PP\tO' -p222302 -aS'the\tthe\tDT\tB-NP\tO' -p222303 -aS'time\ttime\tNN\tI-NP\tO' -p222304 -aS'.\t.\t.\tO\tO' -p222305 -asS'The patient was subsequently transferred to the floor on postoperative day five in stable and good condition .' -p222306 -(lp222307 -S'The\tThe\tDT\tB-NP\tO' -p222308 -aS'patient\tpatient\tNN\tI-NP\tO' -p222309 -aS'was\tbe\tVBD\tB-VP\tO' -p222310 -aS'subsequently\tsubsequently\tRB\tI-VP\tO' -p222311 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p222312 -aS'to\tto\tTO\tB-PP\tO' -p222313 -aS'the\tthe\tDT\tB-NP\tO' -p222314 -aS'floor\tfloor\tNN\tI-NP\tO' -p222315 -aS'on\ton\tIN\tB-PP\tO' -p222316 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p222317 -aS'day\tday\tNN\tI-NP\tO' -p222318 -aS'five\tfive\tCD\tI-NP\tO' -p222319 -aS'in\tin\tIN\tB-PP\tO' -p222320 -aS'stable\tstable\tJJ\tB-NP\tO' -p222321 -aS'and\tand\tCC\tI-NP\tO' -p222322 -aS'good\tgood\tJJ\tI-NP\tO' -p222323 -aS'condition\tcondition\tNN\tI-NP\tO' -p222324 -aS'.\t.\t.\tO\tO' -p222325 -asS'Therefore , dopa was stopped .' -p222326 -(lp222327 -S'Therefore\tTherefore\tRB\tB-ADVP\tO' -p222328 -aS',\t,\t,\tO\tO' -p222329 -aS'dopa\tdopa\tNN\tB-NP\tO' -p222330 -aS'was\tbe\tVBD\tB-VP\tO' -p222331 -aS'stopped\tstop\tVBN\tI-VP\tO' -p222332 -aS'.\t.\t.\tO\tO' -p222333 -asS'He was taken to the operating room where he underwent a mini-thoracotomy with closure of his patent foramen ovale ( PFO ) .' -p222334 -(lp222335 -S'He\tHe\tPRP\tB-NP\tO' -p222336 -aS'was\tbe\tVBD\tB-VP\tO' -p222337 -aS'taken\ttake\tVBN\tI-VP\tO' -p222338 -aS'to\tto\tTO\tB-PP\tO' -p222339 -aS'the\tthe\tDT\tB-NP\tO' -p222340 -aS'operating\toperating\tNN\tI-NP\tO' -p222341 -aS'room\troom\tNN\tI-NP\tO' -p222342 -aS'where\twhere\tWRB\tB-ADVP\tO' -p222343 -aS'he\the\tPRP\tB-NP\tO' -p222344 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p222345 -aS'a\ta\tDT\tB-NP\tO' -p222346 -aS'mini-thoracotomy\tmini-thoracotomy\tNN\tI-NP\tO' -p222347 -aS'with\twith\tIN\tB-PP\tO' -p222348 -aS'closure\tclosure\tNN\tB-NP\tO' -p222349 -aS'of\tof\tIN\tB-PP\tO' -p222350 -aS'his\this\tPRP$\tB-NP\tO' -p222351 -aS'patent\tpatent\tNN\tI-NP\tO' -p222352 -aS'foramen\tforaman\tNNS\tI-NP\tO' -p222353 -aS'ovale\tovale\tNN\tI-NP\tO' -p222354 -aS'(\t(\t(\tO\tO' -p222355 -aS'PFO\tPFO\tNN\tB-NP\tB-protein' -p222356 -aS')\t)\t)\tO\tO' -p222357 -aS'.\t.\t.\tO\tO' -p222358 -asS'An ultrasound showed normal gallbladder with no wall thickening but a dilated common bile duct of 8 mm measured on CT scan .' -p222359 -(lp222360 -S'An\tAn\tDT\tB-NP\tO' -p222361 -aS'ultrasound\tultrasound\tNN\tI-NP\tO' -p222362 -aS'showed\tshow\tVBD\tB-VP\tO' -p222363 -aS'normal\tnormal\tJJ\tB-NP\tO' -p222364 -aS'gallbladder\tgallbladder\tNN\tI-NP\tO' -p222365 -aS'with\twith\tIN\tB-PP\tO' -p222366 -aS'no\tno\tDT\tB-NP\tO' -p222367 -aS'wall\twall\tNN\tI-NP\tO' -p222368 -aS'thickening\tthickening\tNN\tI-NP\tO' -p222369 -aS'but\tbut\tCC\tO\tO' -p222370 -aS'a\ta\tDT\tB-NP\tO' -p222371 -aS'dilated\tdilated\tJJ\tI-NP\tO' -p222372 -aS'common\tcommon\tJJ\tI-NP\tO' -p222373 -aS'bile\tbile\tNN\tI-NP\tO' -p222374 -aS'duct\tduct\tNN\tI-NP\tO' -p222375 -aS'of\tof\tIN\tB-PP\tO' -p222376 -aS'8\t8\tCD\tB-NP\tO' -p222377 -aS'mm\tmm\tNN\tI-NP\tO' -p222378 -aS'measured\tmeasure\tVBN\tB-VP\tO' -p222379 -aS'on\ton\tIN\tB-PP\tO' -p222380 -aS'CT\tCT\tNN\tB-NP\tO' -p222381 -aS'scan\tscan\tNN\tI-NP\tO' -p222382 -aS'.\t.\t.\tO\tO' -p222383 -asS'# Hypernatremia - Improved from OSH .' -p222384 -(lp222385 -S'#\t#\t#\tB-NP\tO' -p222386 -aS'Hypernatremia\tHypernatremia\tNN\tI-NP\tO' -p222387 -aS'-\t-\tHYPH\tO\tO' -p222388 -aS'Improved\tImprove\tVBN\tB-VP\tO' -p222389 -aS'from\tfrom\tIN\tB-PP\tO' -p222390 -aS'OSH\tOSH\tNN\tB-NP\tB-protein' -p222391 -aS'.\t.\t.\tO\tO' -p222392 -asS'inferior left weak .' -p222393 -(lp222394 -S'inferior\tinferior\tRB\tB-ADVP\tO' -p222395 -aS'left\tleave\tVBD\tB-VP\tO' -p222396 -aS'weak\tweak\tJJ\tB-ADJP\tO' -p222397 -aS'.\t.\t.\tO\tO' -p222398 -asS'Overnight on HD 3 , pt became mildly agitated and an ABG was drawn which showed a severe resp acidosis and BiPAP was initiated .' -p222399 -(lp222400 -S'Overnight\tOvernight\tNN\tB-NP\tO' -p222401 -aS'on\ton\tIN\tB-PP\tO' -p222402 -aS'HD\tHD\tNN\tB-NP\tB-protein' -p222403 -aS'3\t3\tCD\tI-NP\tI-protein' -p222404 -aS',\t,\t,\tO\tO' -p222405 -aS'pt\tpt\tNN\tB-NP\tO' -p222406 -aS'became\tbecome\tVBD\tB-VP\tO' -p222407 -aS'mildly\tmildly\tRB\tB-ADJP\tO' -p222408 -aS'agitated\tagitate\tVBN\tI-ADJP\tO' -p222409 -aS'and\tand\tCC\tO\tO' -p222410 -aS'an\tan\tDT\tB-NP\tO' -p222411 -aS'ABG\tABG\tNN\tI-NP\tO' -p222412 -aS'was\tbe\tVBD\tB-VP\tO' -p222413 -aS'drawn\tdraw\tVBN\tI-VP\tO' -p222414 -aS'which\twhich\tWDT\tB-NP\tO' -p222415 -aS'showed\tshow\tVBD\tB-VP\tO' -p222416 -aS'a\ta\tDT\tB-NP\tO' -p222417 -aS'severe\tsevere\tJJ\tI-NP\tO' -p222418 -aS'resp\tresp\tNN\tI-NP\tO' -p222419 -aS'acidosis\tacidosis\tNN\tI-NP\tO' -p222420 -aS'and\tand\tCC\tI-NP\tO' -p222421 -aS'BiPAP\tBiPAP\tNN\tI-NP\tB-protein' -p222422 -aS'was\tbe\tVBD\tB-VP\tO' -p222423 -aS'initiated\tinitiate\tVBN\tI-VP\tO' -p222424 -aS'.\t.\t.\tO\tO' -p222425 -asS'The patient was initially on several antibiotics included Cefepime , Vancomycin , Ciprofloxacin , Ambazone and Flagyl .' -p222426 -(lp222427 -S'The\tThe\tDT\tB-NP\tO' -p222428 -aS'patient\tpatient\tNN\tI-NP\tO' -p222429 -aS'was\tbe\tVBD\tB-VP\tO' -p222430 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p222431 -aS'on\ton\tIN\tB-PP\tO' -p222432 -aS'several\tseveral\tJJ\tB-NP\tO' -p222433 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p222434 -aS'included\tinclude\tVBD\tB-VP\tO' -p222435 -aS'Cefepime\tCefepime\tNN\tB-NP\tO' -p222436 -aS',\t,\t,\tI-NP\tO' -p222437 -aS'Vancomycin\tVancomycin\tNN\tI-NP\tO' -p222438 -aS',\t,\t,\tI-NP\tO' -p222439 -aS'Ciprofloxacin\tCiprofloxacin\tNN\tI-NP\tO' -p222440 -aS',\t,\t,\tI-NP\tO' -p222441 -aS'Ambazone\tAmbazone\tNN\tI-NP\tO' -p222442 -aS'and\tand\tCC\tI-NP\tO' -p222443 -aS'Flagyl\tFlagyl\tNN\tI-NP\tO' -p222444 -aS'.\t.\t.\tO\tO' -p222445 -asS'Further testing revealed hyperparathyroidism as evidenced by an elevated PTH .' -p222446 -(lp222447 -S'Further\tFurther\tJJ\tB-NP\tO' -p222448 -aS'testing\ttesting\tNN\tI-NP\tO' -p222449 -aS'revealed\treveal\tVBD\tB-VP\tO' -p222450 -aS'hyperparathyroidism\thyperparathyroidism\tNN\tB-NP\tO' -p222451 -aS'as\tas\tIN\tB-SBAR\tO' -p222452 -aS'evidenced\tevidence\tVBN\tB-VP\tO' -p222453 -aS'by\tby\tIN\tB-PP\tO' -p222454 -aS'an\tan\tDT\tB-NP\tO' -p222455 -aS'elevated\televated\tJJ\tI-NP\tO' -p222456 -aS'PTH\tPTH\tNN\tI-NP\tO' -p222457 -aS'.\t.\t.\tO\tO' -p222458 -asS'Alcohol level was 199 .' -p222459 -(lp222460 -S'Alcohol\tAlcohol\tNN\tB-NP\tO' -p222461 -aS'level\tlevel\tNN\tI-NP\tO' -p222462 -aS'was\tbe\tVBD\tB-VP\tO' -p222463 -aS'199\t199\tCD\tB-NP\tO' -p222464 -aS'.\t.\t.\tO\tO' -p222465 -asS'Instructions to follow up with his primary care physician on the Heather after discharge .' -p222466 -(lp222467 -S'Instructions\tInstruction\tNNS\tB-NP\tO' -p222468 -aS'to\tto\tTO\tB-VP\tO' -p222469 -aS'follow\tfollow\tVB\tI-VP\tO' -p222470 -aS'up\tup\tRP\tB-PRT\tO' -p222471 -aS'with\twith\tIN\tB-PP\tO' -p222472 -aS'his\this\tPRP$\tB-NP\tO' -p222473 -aS'primary\tprimary\tJJ\tI-NP\tO' -p222474 -aS'care\tcare\tNN\tI-NP\tO' -p222475 -aS'physician\tphysician\tNN\tI-NP\tO' -p222476 -aS'on\ton\tIN\tB-PP\tO' -p222477 -aS'the\tthe\tDT\tB-NP\tO' -p222478 -aS'Heather\tHeather\tNN\tI-NP\tO' -p222479 -aS'after\tafter\tIN\tB-PP\tO' -p222480 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p222481 -aS'.\t.\t.\tO\tO' -p222482 -asS'and flagyl for total of 4 days .' -p222483 -(lp222484 -S'and\tand\tCC\tO\tO' -p222485 -aS'flagyl\tflagyl\tNN\tB-NP\tO' -p222486 -aS'for\tfor\tIN\tB-PP\tO' -p222487 -aS'total\ttotal\tNN\tB-NP\tO' -p222488 -aS'of\tof\tIN\tB-PP\tO' -p222489 -aS'4\t4\tCD\tB-NP\tO' -p222490 -aS'days\tday\tNNS\tI-NP\tO' -p222491 -aS'.\t.\t.\tO\tO' -p222492 -asS"She works as a teacher 's aid in Cambridge ." -p222493 -(lp222494 -S'She\tShe\tPRP\tB-NP\tO' -p222495 -aS'works\twork\tVBZ\tB-VP\tO' -p222496 -aS'as\tas\tIN\tB-PP\tO' -p222497 -aS'a\ta\tDT\tB-NP\tO' -p222498 -aS'teacher\tteacher\tNN\tI-NP\tO' -p222499 -aS"'s\t's\tPOS\tB-NP\tO" -p222500 -aS'aid\taid\tNN\tI-NP\tO' -p222501 -aS'in\tin\tIN\tB-PP\tO' -p222502 -aS'Cambridge\tCambridge\tNNP\tB-NP\tO' -p222503 -aS'.\t.\t.\tO\tO' -p222504 -asS'The patient tolerated the procedure well and was transferred to the unit , intubated on Milrinone , Levophed and Propofol drips .' -p222505 -(lp222506 -S'The\tThe\tDT\tB-NP\tO' -p222507 -aS'patient\tpatient\tNN\tI-NP\tO' -p222508 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p222509 -aS'the\tthe\tDT\tB-NP\tO' -p222510 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p222511 -aS'well\twell\tRB\tB-ADVP\tO' -p222512 -aS'and\tand\tCC\tO\tO' -p222513 -aS'was\tbe\tVBD\tB-VP\tO' -p222514 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p222515 -aS'to\tto\tTO\tB-PP\tO' -p222516 -aS'the\tthe\tDT\tB-NP\tO' -p222517 -aS'unit\tunit\tNN\tI-NP\tO' -p222518 -aS',\t,\t,\tO\tO' -p222519 -aS'intubated\tintubate\tVBN\tB-VP\tO' -p222520 -aS'on\ton\tIN\tB-PP\tO' -p222521 -aS'Milrinone\tMilrinone\tNN\tB-NP\tO' -p222522 -aS',\t,\t,\tO\tO' -p222523 -aS'Levophed\tLevophed\tJJ\tB-NP\tO' -p222524 -aS'and\tand\tCC\tI-NP\tO' -p222525 -aS'Propofol\tPropofol\tNN\tI-NP\tO' -p222526 -aS'drips\tdrip\tNNS\tI-NP\tO' -p222527 -aS'.\t.\t.\tO\tO' -p222528 -asS'69 year old man with s/p Off Pump CABG' -p222529 -(lp222530 -S'69\t69\tCD\tB-NP\tO' -p222531 -aS'year\tyear\tNN\tI-NP\tO' -p222532 -aS'old\told\tJJ\tI-NP\tO' -p222533 -aS'man\tman\tNN\tI-NP\tO' -p222534 -aS'with\twith\tIN\tB-PP\tO' -p222535 -aS's/p\ts/p\tNN\tB-NP\tO' -p222536 -aS'Off\tOff\tNNP\tI-NP\tO' -p222537 -aS'Pump\tPump\tNNP\tI-NP\tO' -p222538 -aS'CABG\tCABG\tNNP\tI-NP\tO' -p222539 -asS'No epileptiform features were seen .' -p222540 -(lp222541 -S'No\tNo\tDT\tB-NP\tO' -p222542 -aS'epileptiform\tepileptiform\tNN\tI-NP\tO' -p222543 -aS'features\tfeature\tNNS\tI-NP\tO' -p222544 -aS'were\tbe\tVBD\tB-VP\tO' -p222545 -aS'seen\tsee\tVBN\tI-VP\tO' -p222546 -aS'.\t.\t.\tO\tO' -p222547 -asS'3. H. pylori positive , status post therapy ;' -p222548 -(lp222549 -S'3.\t3.\tLS\tB-NP\tO' -p222550 -aS'H.\tH.\tNN\tI-NP\tO' -p222551 -aS'pylori\tpylori\tNN\tI-NP\tO' -p222552 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p222553 -aS',\t,\t,\tO\tO' -p222554 -aS'status\tstatus\tNN\tB-NP\tO' -p222555 -aS'post\tpost\tNN\tI-NP\tO' -p222556 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p222557 -aS';\t;\t:\tO\tO' -p222558 -asS'Please follow-up with your cardiologist within 2 weeks of leaving the hospital .' -p222559 -(lp222560 -S'Please\tPlease\tNN\tB-NP\tO' -p222561 -aS'follow-up\tfollow-up\tNN\tI-NP\tO' -p222562 -aS'with\twith\tIN\tB-PP\tO' -p222563 -aS'your\tyour\tPRP$\tB-NP\tO' -p222564 -aS'cardiologist\tcardiologist\tNN\tI-NP\tO' -p222565 -aS'within\twithin\tIN\tB-PP\tO' -p222566 -aS'2\t2\tCD\tB-NP\tO' -p222567 -aS'weeks\tweek\tNNS\tI-NP\tO' -p222568 -aS'of\tof\tIN\tB-PP\tO' -p222569 -aS'leaving\tleave\tVBG\tB-VP\tO' -p222570 -aS'the\tthe\tDT\tB-NP\tO' -p222571 -aS'hospital\thospital\tNN\tI-NP\tO' -p222572 -aS'.\t.\t.\tO\tO' -p222573 -asS'DNR , NO CPR , may intubate for airway protection , call son .' -p222574 -(lp222575 -S'DNR\tDNR\tNN\tB-NP\tB-protein' -p222576 -aS',\t,\t,\tO\tO' -p222577 -aS'NO\tNO\tNN\tB-NP\tB-protein' -p222578 -aS'CPR\tCPR\tNN\tI-NP\tI-protein' -p222579 -aS',\t,\t,\tO\tO' -p222580 -aS'may\tmay\tMD\tB-VP\tO' -p222581 -aS'intubate\tintubate\tVB\tI-VP\tO' -p222582 -aS'for\tfor\tIN\tB-PP\tO' -p222583 -aS'airway\tairway\tNN\tB-NP\tO' -p222584 -aS'protection\tprotection\tNN\tI-NP\tO' -p222585 -aS',\t,\t,\tO\tO' -p222586 -aS'call\tcall\tNN\tB-NP\tO' -p222587 -aS'son\tson\tNN\tI-NP\tO' -p222588 -aS'.\t.\t.\tO\tO' -p222589 -asS'The patient was transferred to the Intensive Care Unit in stable condition on Neo-Synephrine infusion .' -p222590 -(lp222591 -S'The\tThe\tDT\tB-NP\tO' -p222592 -aS'patient\tpatient\tNN\tI-NP\tO' -p222593 -aS'was\tbe\tVBD\tB-VP\tO' -p222594 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p222595 -aS'to\tto\tTO\tB-PP\tO' -p222596 -aS'the\tthe\tDT\tB-NP\tO' -p222597 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p222598 -aS'Care\tCare\tNNP\tI-NP\tO' -p222599 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p222600 -aS'in\tin\tIN\tB-PP\tO' -p222601 -aS'stable\tstable\tJJ\tB-NP\tO' -p222602 -aS'condition\tcondition\tNN\tI-NP\tO' -p222603 -aS'on\ton\tIN\tB-PP\tO' -p222604 -aS'Neo-Synephrine\tNeo-Synephrine\tJJ\tB-NP\tO' -p222605 -aS'infusion\tinfusion\tNN\tI-NP\tO' -p222606 -aS'.\t.\t.\tO\tO' -p222607 -asS'2. METASTATIC COLON CARCINOMA .' -p222608 -(lp222609 -S'2.\t2.\tLS\tB-NP\tO' -p222610 -aS'METASTATIC\tMETASTATIC\tNN\tI-NP\tO' -p222611 -aS'COLON\tCOLON\tNN\tI-NP\tO' -p222612 -aS'CARCINOMA\tCARCINOMA\tNN\tI-NP\tO' -p222613 -aS'.\t.\t.\tO\tO' -p222614 -asS'The patient appeared to have no deficits at the time of discharge .' -p222615 -(lp222616 -S'The\tThe\tDT\tB-NP\tO' -p222617 -aS'patient\tpatient\tNN\tI-NP\tO' -p222618 -aS'appeared\tappear\tVBD\tB-VP\tO' -p222619 -aS'to\tto\tTO\tI-VP\tO' -p222620 -aS'have\thave\tVB\tI-VP\tO' -p222621 -aS'no\tno\tDT\tB-NP\tO' -p222622 -aS'deficits\tdeficit\tNNS\tI-NP\tO' -p222623 -aS'at\tat\tIN\tB-PP\tO' -p222624 -aS'the\tthe\tDT\tB-NP\tO' -p222625 -aS'time\ttime\tNN\tI-NP\tO' -p222626 -aS'of\tof\tIN\tB-PP\tO' -p222627 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p222628 -aS'.\t.\t.\tO\tO' -p222629 -asS'The pt was given ceftriaxone / azithromycin / vancomycin in Deanna .' -p222630 -(lp222631 -S'The\tThe\tDT\tB-NP\tO' -p222632 -aS'pt\tpt\tNN\tI-NP\tO' -p222633 -aS'was\tbe\tVBD\tB-VP\tO' -p222634 -aS'given\tgive\tVBN\tI-VP\tO' -p222635 -aS'ceftriaxone\tceftriaxone\tNN\tB-NP\tO' -p222636 -aS'/\t/\tSYM\tO\tO' -p222637 -aS'azithromycin\tazithromycin\tNN\tB-NP\tO' -p222638 -aS'/\t/\tSYM\tI-NP\tO' -p222639 -aS'vancomycin\tvancomycin\tNN\tI-NP\tO' -p222640 -aS'in\tin\tIN\tB-PP\tO' -p222641 -aS'Deanna\tDeanna\tNNP\tB-NP\tO' -p222642 -aS'.\t.\t.\tO\tO' -p222643 -asS'The regimen included cyclophosphamide , daunorubicin , prednisone , Vincristine and PEG-asparaginase .' -p222644 -(lp222645 -S'The\tThe\tDT\tB-NP\tO' -p222646 -aS'regimen\tregimen\tNN\tI-NP\tO' -p222647 -aS'included\tinclude\tVBD\tB-VP\tO' -p222648 -aS'cyclophosphamide\tcyclophosphamide\tNN\tB-NP\tO' -p222649 -aS',\t,\t,\tI-NP\tO' -p222650 -aS'daunorubicin\tdaunorubicin\tNN\tI-NP\tO' -p222651 -aS',\t,\t,\tI-NP\tO' -p222652 -aS'prednisone\tprednisone\tNN\tI-NP\tO' -p222653 -aS',\t,\t,\tI-NP\tO' -p222654 -aS'Vincristine\tVincristine\tNN\tI-NP\tO' -p222655 -aS'and\tand\tCC\tI-NP\tO' -p222656 -aS'PEG-asparaginase\tPEG-asparaginase\tNN\tI-NP\tB-protein' -p222657 -aS'.\t.\t.\tO\tO' -p222658 -asS'In general , she was a thin well-appearing woman in no acute distress .' -p222659 -(lp222660 -S'In\tIn\tIN\tB-PP\tO' -p222661 -aS'general\tgeneral\tJJ\tB-ADJP\tO' -p222662 -aS',\t,\t,\tO\tO' -p222663 -aS'she\tshe\tPRP\tB-NP\tO' -p222664 -aS'was\tbe\tVBD\tB-VP\tO' -p222665 -aS'a\ta\tDT\tB-NP\tO' -p222666 -aS'thin\tthin\tJJ\tI-NP\tO' -p222667 -aS'well-appearing\twell-appearing\tJJ\tI-NP\tO' -p222668 -aS'woman\twoman\tNN\tI-NP\tO' -p222669 -aS'in\tin\tIN\tB-PP\tO' -p222670 -aS'no\tno\tDT\tB-NP\tO' -p222671 -aS'acute\tacute\tJJ\tI-NP\tO' -p222672 -aS'distress\tdistress\tNN\tI-NP\tO' -p222673 -aS'.\t.\t.\tO\tO' -p222674 -asS'The patient was an elderly woman in no acute distress .' -p222675 -(lp222676 -S'The\tThe\tDT\tB-NP\tO' -p222677 -aS'patient\tpatient\tNN\tI-NP\tO' -p222678 -aS'was\tbe\tVBD\tB-VP\tO' -p222679 -aS'an\tan\tDT\tB-NP\tO' -p222680 -aS'elderly\telderly\tJJ\tI-NP\tO' -p222681 -aS'woman\twoman\tNN\tI-NP\tO' -p222682 -aS'in\tin\tIN\tB-PP\tO' -p222683 -aS'no\tno\tDT\tB-NP\tO' -p222684 -aS'acute\tacute\tJJ\tI-NP\tO' -p222685 -aS'distress\tdistress\tNN\tI-NP\tO' -p222686 -aS'.\t.\t.\tO\tO' -p222687 -asS'Intermittent maternal hypertension noted but without proteinuria .' -p222688 -(lp222689 -S'Intermittent\tIntermittent\tJJ\tB-NP\tO' -p222690 -aS'maternal\tmaternal\tJJ\tI-NP\tO' -p222691 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p222692 -aS'noted\tnote\tVBD\tB-VP\tO' -p222693 -aS'but\tbut\tCC\tO\tO' -p222694 -aS'without\twithout\tIN\tB-PP\tO' -p222695 -aS'proteinuria\tproteinuria\tNN\tB-NP\tO' -p222696 -aS'.\t.\t.\tO\tO' -p222697 -asS'She is stable for discharge to rehab .' -p222698 -(lp222699 -S'She\tShe\tPRP\tB-NP\tO' -p222700 -aS'is\tbe\tVBZ\tB-VP\tO' -p222701 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p222702 -aS'for\tfor\tIN\tB-PP\tO' -p222703 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p222704 -aS'to\tto\tTO\tB-VP\tO' -p222705 -aS'rehab\trehab\tVB\tI-VP\tO' -p222706 -aS'.\t.\t.\tO\tO' -p222707 -asS'Alert and oriented to person and place , no asterixis or tremor .' -p222708 -(lp222709 -S'Alert\tAlert\tNNP\tB-NP\tO' -p222710 -aS'and\tand\tCC\tO\tO' -p222711 -aS'oriented\torient\tVBN\tB-VP\tO' -p222712 -aS'to\tto\tTO\tB-PP\tO' -p222713 -aS'person\tperson\tNN\tB-NP\tO' -p222714 -aS'and\tand\tCC\tI-NP\tO' -p222715 -aS'place\tplace\tNN\tI-NP\tO' -p222716 -aS',\t,\t,\tO\tO' -p222717 -aS'no\tno\tDT\tB-NP\tO' -p222718 -aS'asterixis\tasterixis\tNN\tI-NP\tO' -p222719 -aS'or\tor\tCC\tI-NP\tO' -p222720 -aS'tremor\ttremor\tNN\tI-NP\tO' -p222721 -aS'.\t.\t.\tO\tO' -p222722 -asS'Ext - 2 + edema to knees , warm 2 + pulses , pain in R arm and R hip' -p222723 -(lp222724 -S'Ext\tExt\tNN\tB-NP\tB-protein' -p222725 -aS'-\t-\tHYPH\tI-NP\tI-protein' -p222726 -aS'2\t2\tCD\tI-NP\tI-protein' -p222727 -aS'+\t+\tSYM\tI-NP\tO' -p222728 -aS'edema\tedema\tNN\tI-NP\tO' -p222729 -aS'to\tto\tTO\tB-PP\tO' -p222730 -aS'knees\tknee\tNNS\tB-NP\tO' -p222731 -aS',\t,\t,\tO\tO' -p222732 -aS'warm\twarm\tNN\tB-NP\tO' -p222733 -aS'2\t2\tCD\tI-NP\tO' -p222734 -aS'+\t+\tSYM\tI-NP\tO' -p222735 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p222736 -aS',\t,\t,\tO\tO' -p222737 -aS'pain\tpain\tNN\tB-NP\tO' -p222738 -aS'in\tin\tIN\tB-PP\tO' -p222739 -aS'R\tR\tNN\tB-NP\tO' -p222740 -aS'arm\tarm\tNN\tI-NP\tO' -p222741 -aS'and\tand\tCC\tO\tO' -p222742 -aS'R\tR\tNN\tB-NP\tB-protein' -p222743 -aS'hip\thip\tNN\tI-NP\tI-protein' -p222744 -asS'Sodium 138 , potassium 4.2 , chloride 98 , BUN 21 , creatinine 0.7 , glucose 117 , white blood cell count 13,200 , hematocrit 22.5 , platelet count 40,000 .' -p222745 -(lp222746 -S'Sodium\tSodium\tNN\tB-NP\tB-protein' -p222747 -aS'138\t138\tCD\tI-NP\tI-protein' -p222748 -aS',\t,\t,\tO\tO' -p222749 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p222750 -aS'4.2\t4.2\tCD\tI-NP\tO' -p222751 -aS',\t,\t,\tO\tO' -p222752 -aS'chloride\tchloride\tNN\tB-NP\tO' -p222753 -aS'98\t98\tCD\tI-NP\tO' -p222754 -aS',\t,\t,\tO\tO' -p222755 -aS'BUN\tBUN\tNN\tB-NP\tB-DNA' -p222756 -aS'21\t21\tCD\tI-NP\tI-DNA' -p222757 -aS',\t,\t,\tO\tO' -p222758 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p222759 -aS'0.7\t0.7\tCD\tI-NP\tO' -p222760 -aS',\t,\t,\tO\tO' -p222761 -aS'glucose\tglucose\tNN\tB-NP\tO' -p222762 -aS'117\t117\tCD\tI-NP\tO' -p222763 -aS',\t,\t,\tO\tO' -p222764 -aS'white\twhite\tJJ\tB-NP\tO' -p222765 -aS'blood\tblood\tNN\tI-NP\tO' -p222766 -aS'cell\tcell\tNN\tI-NP\tO' -p222767 -aS'count\tcount\tNN\tI-NP\tO' -p222768 -aS'13,200\t13,200\tCD\tB-NP\tO' -p222769 -aS',\t,\t,\tO\tO' -p222770 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p222771 -aS'22.5\t22.5\tCD\tI-NP\tI-protein' -p222772 -aS',\t,\t,\tO\tO' -p222773 -aS'platelet\tplatelet\tNN\tB-NP\tB-protein' -p222774 -aS'count\tcount\tNN\tI-NP\tI-protein' -p222775 -aS'40,000\t40,000\tCD\tI-NP\tI-protein' -p222776 -aS'.\t.\t.\tO\tO' -p222777 -asS'multiple stigmata of burns on the left arm and chest .' -p222778 -(lp222779 -S'multiple\tmultiple\tJJ\tB-NP\tO' -p222780 -aS'stigmata\tstigma\tNNS\tI-NP\tO' -p222781 -aS'of\tof\tIN\tB-PP\tO' -p222782 -aS'burns\tburn\tNNS\tB-NP\tO' -p222783 -aS'on\ton\tIN\tB-PP\tO' -p222784 -aS'the\tthe\tDT\tB-NP\tO' -p222785 -aS'left\tleft\tJJ\tI-NP\tO' -p222786 -aS'arm\tarm\tNN\tI-NP\tO' -p222787 -aS'and\tand\tCC\tI-NP\tO' -p222788 -aS'chest\tchest\tNN\tI-NP\tO' -p222789 -aS'.\t.\t.\tO\tO' -p222790 -asS'Tibialis 3 on the left , 5+ on the right .' -p222791 -(lp222792 -S'Tibialis\tTibialis\tNNP\tB-NP\tO' -p222793 -aS'3\t3\tCD\tI-NP\tO' -p222794 -aS'on\ton\tIN\tB-PP\tO' -p222795 -aS'the\tthe\tDT\tB-NP\tO' -p222796 -aS'left\tleft\tJJ\tI-NP\tO' -p222797 -aS',\t,\t,\tI-NP\tO' -p222798 -aS'5+\t5+\tJJ\tI-NP\tO' -p222799 -aS'on\ton\tIN\tB-PP\tO' -p222800 -aS'the\tthe\tDT\tB-NP\tO' -p222801 -aS'right\tright\tNN\tI-NP\tO' -p222802 -aS'.\t.\t.\tO\tO' -p222803 -asS'1. Levothyroxine .' -p222804 -(lp222805 -S'1.\t1.\tLS\tB-NP\tO' -p222806 -aS'Levothyroxine\tLevothyroxine\tNN\tI-NP\tO' -p222807 -aS'.\t.\t.\tO\tO' -p222808 -asS'Corneal reflexes and oculocephalic reflexes were absent .' -p222809 -(lp222810 -S'Corneal\tCorneal\tJJ\tB-NP\tO' -p222811 -aS'reflexes\treflex\tNNS\tI-NP\tO' -p222812 -aS'and\tand\tCC\tO\tO' -p222813 -aS'oculocephalic\toculocephalic\tJJ\tB-NP\tO' -p222814 -aS'reflexes\treflex\tNNS\tI-NP\tO' -p222815 -aS'were\tbe\tVBD\tB-VP\tO' -p222816 -aS'absent\tabsent\tJJ\tB-ADJP\tO' -p222817 -aS'.\t.\t.\tO\tO' -p222818 -asS'1 ) Amiodarone 400 mg p.o. q. day .' -p222819 -(lp222820 -S'1\t1\tLS\tB-LST\tO' -p222821 -aS')\t)\t)\tO\tO' -p222822 -aS'Amiodarone\tAmiodarone\tNN\tB-NP\tO' -p222823 -aS'400\t400\tCD\tI-NP\tO' -p222824 -aS'mg\tmg\tNN\tI-NP\tO' -p222825 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p222826 -aS'q.\tq.\tNN\tI-NP\tO' -p222827 -aS'day\tday\tNN\tI-NP\tO' -p222828 -aS'.\t.\t.\tO\tO' -p222829 -asS'XI: Sternocleidomastoid and trapezius normal bilaterally .' -p222830 -(lp222831 -S'XI:\tXI:\tNNP\tB-NP\tO' -p222832 -aS'Sternocleidomastoid\tSternocleidomastoid\tNNP\tI-NP\tO' -p222833 -aS'and\tand\tCC\tO\tO' -p222834 -aS'trapezius\ttrapezius\tNN\tB-NP\tO' -p222835 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p222836 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p222837 -aS'.\t.\t.\tO\tO' -p222838 -asS'Her PTT at that time was 67.8 .' -p222839 -(lp222840 -S'Her\tHer\tPRP$\tB-NP\tO' -p222841 -aS'PTT\tPTT\tNN\tI-NP\tO' -p222842 -aS'at\tat\tIN\tB-PP\tO' -p222843 -aS'that\tthat\tDT\tB-NP\tO' -p222844 -aS'time\ttime\tNN\tI-NP\tO' -p222845 -aS'was\tbe\tVBD\tB-VP\tO' -p222846 -aS'67.8\t67.8\tCD\tB-NP\tO' -p222847 -aS'.\t.\t.\tO\tO' -p222848 -asS'The infant does not require a new blood transfusion .' -p222849 -(lp222850 -S'The\tThe\tDT\tB-NP\tO' -p222851 -aS'infant\tinfant\tNN\tI-NP\tO' -p222852 -aS'does\tdo\tVBZ\tB-VP\tO' -p222853 -aS'not\tnot\tRB\tI-VP\tO' -p222854 -aS'require\trequire\tVB\tI-VP\tO' -p222855 -aS'a\ta\tDT\tB-NP\tO' -p222856 -aS'new\tnew\tJJ\tI-NP\tO' -p222857 -aS'blood\tblood\tNN\tI-NP\tO' -p222858 -aS'transfusion\ttransfusion\tNN\tI-NP\tO' -p222859 -aS'.\t.\t.\tO\tO' -p222860 -asS'It is likely that she has pulmonary hypertension from her lung disease , and so this is a consideration .' -p222861 -(lp222862 -S'It\tIt\tPRP\tB-NP\tO' -p222863 -aS'is\tbe\tVBZ\tB-VP\tO' -p222864 -aS'likely\tlikely\tJJ\tB-ADJP\tO' -p222865 -aS'that\tthat\tIN\tB-SBAR\tO' -p222866 -aS'she\tshe\tPRP\tB-NP\tO' -p222867 -aS'has\thave\tVBZ\tB-VP\tO' -p222868 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p222869 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p222870 -aS'from\tfrom\tIN\tB-PP\tO' -p222871 -aS'her\ther\tPRP$\tB-NP\tO' -p222872 -aS'lung\tlung\tNN\tI-NP\tO' -p222873 -aS'disease\tdisease\tNN\tI-NP\tO' -p222874 -aS',\t,\t,\tO\tO' -p222875 -aS'and\tand\tCC\tO\tO' -p222876 -aS'so\tso\tRB\tB-ADVP\tO' -p222877 -aS'this\tthis\tDT\tB-NP\tO' -p222878 -aS'is\tbe\tVBZ\tB-VP\tO' -p222879 -aS'a\ta\tDT\tB-NP\tO' -p222880 -aS'consideration\tconsideration\tNN\tI-NP\tO' -p222881 -aS'.\t.\t.\tO\tO' -p222882 -asS'Abd - Soft , nontender , mild distension , normoactive bowel sounds' -p222883 -(lp222884 -S'Abd\tAbd\tNNP\tB-NP\tO' -p222885 -aS'-\t-\tHYPH\tI-NP\tO' -p222886 -aS'Soft\tSoft\tNNP\tI-NP\tO' -p222887 -aS',\t,\t,\tO\tO' -p222888 -aS'nontender\tnontender\tJJ\tB-NP\tO' -p222889 -aS',\t,\t,\tI-NP\tO' -p222890 -aS'mild\tmild\tJJ\tI-NP\tO' -p222891 -aS'distension\tdistension\tNN\tI-NP\tO' -p222892 -aS',\t,\t,\tO\tO' -p222893 -aS'normoactive\tnormoactive\tJJ\tB-NP\tO' -p222894 -aS'bowel\tbowel\tNN\tI-NP\tO' -p222895 -aS'sounds\tsound\tNNS\tI-NP\tO' -p222896 -asS'There is small amount of mucosal thickening in the sphenoid sinuses .' -p222897 -(lp222898 -S'There\tThere\tEX\tB-NP\tO' -p222899 -aS'is\tbe\tVBZ\tB-VP\tO' -p222900 -aS'small\tsmall\tJJ\tB-NP\tO' -p222901 -aS'amount\tamount\tNN\tI-NP\tO' -p222902 -aS'of\tof\tIN\tB-PP\tO' -p222903 -aS'mucosal\tmucosal\tJJ\tB-NP\tO' -p222904 -aS'thickening\tthickening\tNN\tI-NP\tO' -p222905 -aS'in\tin\tIN\tB-PP\tO' -p222906 -aS'the\tthe\tDT\tB-NP\tO' -p222907 -aS'sphenoid\tsphenoid\tJJ\tI-NP\tO' -p222908 -aS'sinuses\tsinus\tNNS\tI-NP\tO' -p222909 -aS'.\t.\t.\tO\tO' -p222910 -asS'In addition , she is to follow up with her primary care physician to check her prothrombin time / INR as well as calcium , albumin and phosphate levels .' -p222911 -(lp222912 -S'In\tIn\tIN\tB-PP\tO' -p222913 -aS'addition\taddition\tNN\tB-NP\tO' -p222914 -aS',\t,\t,\tO\tO' -p222915 -aS'she\tshe\tPRP\tB-NP\tO' -p222916 -aS'is\tbe\tVBZ\tB-VP\tO' -p222917 -aS'to\tto\tTO\tB-VP\tO' -p222918 -aS'follow\tfollow\tVB\tI-VP\tO' -p222919 -aS'up\tup\tRP\tB-PRT\tO' -p222920 -aS'with\twith\tIN\tB-PP\tO' -p222921 -aS'her\ther\tPRP$\tB-NP\tO' -p222922 -aS'primary\tprimary\tJJ\tI-NP\tO' -p222923 -aS'care\tcare\tNN\tI-NP\tO' -p222924 -aS'physician\tphysician\tNN\tI-NP\tO' -p222925 -aS'to\tto\tTO\tB-VP\tO' -p222926 -aS'check\tcheck\tVB\tI-VP\tO' -p222927 -aS'her\ther\tPRP$\tB-NP\tO' -p222928 -aS'prothrombin\tprothrombin\tNN\tI-NP\tO' -p222929 -aS'time\ttime\tNN\tI-NP\tO' -p222930 -aS'/\t/\tSYM\tB-NP\tO' -p222931 -aS'INR\tINR\tNN\tI-NP\tB-protein' -p222932 -aS'as\tas\tRB\tB-CONJP\tO' -p222933 -aS'well\twell\tRB\tI-CONJP\tO' -p222934 -aS'as\tas\tIN\tI-CONJP\tO' -p222935 -aS'calcium\tcalcium\tNN\tB-NP\tO' -p222936 -aS',\t,\t,\tI-NP\tO' -p222937 -aS'albumin\talbumin\tNN\tI-NP\tO' -p222938 -aS'and\tand\tCC\tI-NP\tO' -p222939 -aS'phosphate\tphosphate\tNN\tI-NP\tO' -p222940 -aS'levels\tlevel\tNNS\tI-NP\tO' -p222941 -aS'.\t.\t.\tO\tO' -p222942 -asS'Positive tenderness over the distal half of the left rib cage .' -p222943 -(lp222944 -S'Positive\tPositive\tJJ\tB-NP\tO' -p222945 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p222946 -aS'over\tover\tIN\tB-PP\tO' -p222947 -aS'the\tthe\tDT\tB-NP\tO' -p222948 -aS'distal\tdistal\tJJ\tI-NP\tO' -p222949 -aS'half\thalf\tNN\tI-NP\tO' -p222950 -aS'of\tof\tIN\tB-PP\tO' -p222951 -aS'the\tthe\tDT\tB-NP\tO' -p222952 -aS'left\tleft\tJJ\tI-NP\tO' -p222953 -aS'rib\trib\tNN\tI-NP\tO' -p222954 -aS'cage\tcage\tNN\tI-NP\tO' -p222955 -aS'.\t.\t.\tO\tO' -p222956 -asS"Before this age ( and for the first 24 months of the child 's life ) immunization against influenza is recommended for household contacts and out of home caregivers ." -p222957 -(lp222958 -S'Before\tBefore\tIN\tB-SBAR\tO' -p222959 -aS'this\tthis\tDT\tB-NP\tO' -p222960 -aS'age\tage\tNN\tI-NP\tO' -p222961 -aS'(\t(\t(\tO\tO' -p222962 -aS'and\tand\tCC\tO\tO' -p222963 -aS'for\tfor\tIN\tB-PP\tO' -p222964 -aS'the\tthe\tDT\tB-NP\tO' -p222965 -aS'first\tfirst\tJJ\tI-NP\tO' -p222966 -aS'24\t24\tCD\tI-NP\tO' -p222967 -aS'months\tmonth\tNNS\tI-NP\tO' -p222968 -aS'of\tof\tIN\tB-PP\tO' -p222969 -aS'the\tthe\tDT\tB-NP\tO' -p222970 -aS'child\tchild\tNN\tI-NP\tO' -p222971 -aS"'s\t's\tPOS\tB-NP\tO" -p222972 -aS'life\tlife\tNN\tI-NP\tO' -p222973 -aS')\t)\t)\tO\tO' -p222974 -aS'immunization\timmunization\tNN\tB-NP\tO' -p222975 -aS'against\tagainst\tIN\tB-PP\tO' -p222976 -aS'influenza\tinfluenza\tNN\tB-NP\tO' -p222977 -aS'is\tbe\tVBZ\tB-VP\tO' -p222978 -aS'recommended\trecommend\tVBN\tI-VP\tO' -p222979 -aS'for\tfor\tIN\tB-PP\tO' -p222980 -aS'household\thousehold\tNN\tB-NP\tO' -p222981 -aS'contacts\tcontact\tNNS\tI-NP\tO' -p222982 -aS'and\tand\tCC\tB-PP\tO' -p222983 -aS'out\tout\tIN\tB-PP\tO' -p222984 -aS'of\tof\tIN\tB-PP\tO' -p222985 -aS'home\thome\tNN\tB-NP\tO' -p222986 -aS'caregivers\tcaregiver\tNNS\tI-NP\tO' -p222987 -aS'.\t.\t.\tO\tO' -p222988 -asS'Percocet for pain .' -p222989 -(lp222990 -S'Percocet\tPercocet\tNN\tB-NP\tO' -p222991 -aS'for\tfor\tIN\tB-PP\tO' -p222992 -aS'pain\tpain\tNN\tB-NP\tO' -p222993 -aS'.\t.\t.\tO\tO' -p222994 -asS'4. Metoprolol Tartrate 25 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ).' -p222995 -(lp222996 -S'4.\t4.\tLS\tB-NP\tO' -p222997 -aS'Metoprolol\tMetoprolol\tNN\tI-NP\tO' -p222998 -aS'Tartrate\tTartrate\tNN\tI-NP\tO' -p222999 -aS'25\t25\tCD\tI-NP\tO' -p223000 -aS'mg\tmg\tNN\tI-NP\tO' -p223001 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p223002 -aS'Sig\tSig\tNNP\tI-NP\tO' -p223003 -aS':\t:\t:\tO\tO' -p223004 -aS'One\tOne\tCD\tB-NP\tO' -p223005 -aS'(\t(\t(\tO\tO' -p223006 -aS'1\t1\tCD\tB-NP\tO' -p223007 -aS')\t)\t)\tO\tO' -p223008 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p223009 -aS'PO\tPO\tNN\tI-NP\tO' -p223010 -aS'BID\tBID\tNN\tI-NP\tO' -p223011 -aS'(\t(\t(\tO\tO' -p223012 -aS'2\t2\tCD\tB-NP\tO' -p223013 -aS'times\ttime\tNNS\tI-NP\tO' -p223014 -aS'a\ta\tDT\tB-NP\tO' -p223015 -aS'day\tday\tNN\tI-NP\tO' -p223016 -aS').\t).\t.\tO\tO' -p223017 -asS'Keep wounds clean and dry .' -p223018 -(lp223019 -S'Keep\tKeep\tNN\tB-NP\tO' -p223020 -aS'wounds\twound\tNNS\tI-NP\tO' -p223021 -aS'clean\tclean\tJJ\tB-ADJP\tO' -p223022 -aS'and\tand\tCC\tI-ADJP\tO' -p223023 -aS'dry\tdry\tJJ\tI-ADJP\tO' -p223024 -aS'.\t.\t.\tO\tO' -p223025 -asS'15. Multivitamin Capsule Sig : One ( 1 ) Cap PO DAILY ( Daily ) .' -p223026 -(lp223027 -S'15.\t15.\tLS\tB-LST\tO' -p223028 -aS'Multivitamin\tMultivitamin\tNNP\tB-NP\tO' -p223029 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p223030 -aS'Sig\tSig\tNNP\tI-NP\tO' -p223031 -aS':\t:\t:\tO\tO' -p223032 -aS'One\tOne\tCD\tB-NP\tO' -p223033 -aS'(\t(\t(\tO\tO' -p223034 -aS'1\t1\tCD\tB-NP\tO' -p223035 -aS')\t)\t)\tO\tO' -p223036 -aS'Cap\tCap\tNN\tB-NP\tO' -p223037 -aS'PO\tPO\tNN\tI-NP\tO' -p223038 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p223039 -aS'(\t(\t(\tO\tO' -p223040 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p223041 -aS')\t)\t)\tO\tO' -p223042 -aS'.\t.\t.\tO\tO' -p223043 -asS'She had a left internal mammary artery graft to the left anterior descending , saphenous vein graft to the obtuse marginal 1 and a saphenous vein graft to the obtuse marginal 2 .' -p223044 -(lp223045 -S'She\tShe\tPRP\tB-NP\tO' -p223046 -aS'had\thave\tVBD\tB-VP\tO' -p223047 -aS'a\ta\tDT\tB-NP\tO' -p223048 -aS'left\tleft\tJJ\tI-NP\tO' -p223049 -aS'internal\tinternal\tJJ\tI-NP\tO' -p223050 -aS'mammary\tmammary\tJJ\tI-NP\tO' -p223051 -aS'artery\tartery\tNN\tI-NP\tO' -p223052 -aS'graft\tgraft\tNN\tI-NP\tO' -p223053 -aS'to\tto\tTO\tB-PP\tO' -p223054 -aS'the\tthe\tDT\tB-NP\tO' -p223055 -aS'left\tleft\tJJ\tI-NP\tO' -p223056 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p223057 -aS'descending\tdescending\tNN\tI-NP\tO' -p223058 -aS',\t,\t,\tO\tO' -p223059 -aS'saphenous\tsaphenous\tJJ\tB-NP\tO' -p223060 -aS'vein\tvein\tNN\tI-NP\tO' -p223061 -aS'graft\tgraft\tNN\tI-NP\tO' -p223062 -aS'to\tto\tTO\tB-PP\tO' -p223063 -aS'the\tthe\tDT\tB-NP\tO' -p223064 -aS'obtuse\tobtuse\tNN\tI-NP\tO' -p223065 -aS'marginal\tmarginal\tNN\tI-NP\tO' -p223066 -aS'1\t1\tCD\tI-NP\tO' -p223067 -aS'and\tand\tCC\tO\tO' -p223068 -aS'a\ta\tDT\tB-NP\tO' -p223069 -aS'saphenous\tsaphenous\tJJ\tI-NP\tO' -p223070 -aS'vein\tvein\tNN\tI-NP\tO' -p223071 -aS'graft\tgraft\tNN\tI-NP\tO' -p223072 -aS'to\tto\tTO\tB-PP\tO' -p223073 -aS'the\tthe\tDT\tB-NP\tO' -p223074 -aS'obtuse\tobtuse\tNN\tI-NP\tO' -p223075 -aS'marginal\tmarginal\tJJ\tI-NP\tO' -p223076 -aS'2\t2\tCD\tI-NP\tO' -p223077 -aS'.\t.\t.\tO\tO' -p223078 -asS'Plastic did not feel that patient had any compartment syndrome and recommended aggresive upper extremity elevation for swelling reduction .' -p223079 -(lp223080 -S'Plastic\tPlastic\tNNP\tB-NP\tO' -p223081 -aS'did\tdo\tVBD\tB-VP\tO' -p223082 -aS'not\tnot\tRB\tI-VP\tO' -p223083 -aS'feel\tfeel\tVB\tI-VP\tO' -p223084 -aS'that\tthat\tDT\tB-NP\tO' -p223085 -aS'patient\tpatient\tNN\tI-NP\tO' -p223086 -aS'had\thave\tVBD\tB-VP\tO' -p223087 -aS'any\tany\tDT\tB-NP\tO' -p223088 -aS'compartment\tcompartment\tNN\tI-NP\tO' -p223089 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p223090 -aS'and\tand\tCC\tO\tO' -p223091 -aS'recommended\trecommend\tVBD\tB-VP\tO' -p223092 -aS'aggresive\taggresive\tJJ\tB-NP\tO' -p223093 -aS'upper\tupper\tJJ\tI-NP\tO' -p223094 -aS'extremity\textremity\tNN\tI-NP\tO' -p223095 -aS'elevation\televation\tNN\tI-NP\tO' -p223096 -aS'for\tfor\tIN\tB-PP\tO' -p223097 -aS'swelling\tswell\tVBG\tB-VP\tO' -p223098 -aS'reduction\treduction\tNN\tB-NP\tO' -p223099 -aS'.\t.\t.\tO\tO' -p223100 -asS'This is in comparison to 2015-09-27 EKG .' -p223101 -(lp223102 -S'This\tThis\tDT\tB-NP\tO' -p223103 -aS'is\tbe\tVBZ\tB-VP\tO' -p223104 -aS'in\tin\tIN\tB-PP\tO' -p223105 -aS'comparison\tcomparison\tNN\tB-NP\tO' -p223106 -aS'to\tto\tTO\tB-PP\tO' -p223107 -aS'2015-09-27\t2015-09-27\tCD\tB-NP\tO' -p223108 -aS'EKG\tEKG\tNN\tI-NP\tO' -p223109 -aS'.\t.\t.\tO\tO' -p223110 -asS'9. Haldol .' -p223111 -(lp223112 -S'9.\t9.\tLS\tB-LST\tO' -p223113 -aS'Haldol\tHaldol\tNNP\tB-NP\tO' -p223114 -aS'.\t.\t.\tO\tO' -p223115 -asS'There was no evidence of diarrhea during medical Lawrence Memorial Hospital stay .' -p223116 -(lp223117 -S'There\tThere\tEX\tB-NP\tO' -p223118 -aS'was\tbe\tVBD\tB-VP\tO' -p223119 -aS'no\tno\tDT\tB-NP\tO' -p223120 -aS'evidence\tevidence\tNN\tI-NP\tO' -p223121 -aS'of\tof\tIN\tB-PP\tO' -p223122 -aS'diarrhea\tdiarrhea\tNN\tB-NP\tO' -p223123 -aS'during\tduring\tIN\tB-PP\tO' -p223124 -aS'medical\tmedical\tJJ\tB-NP\tO' -p223125 -aS'Lawrence\tLawrence\tNNP\tI-NP\tO' -p223126 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p223127 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p223128 -aS'stay\tstay\tNN\tI-NP\tO' -p223129 -aS'.\t.\t.\tO\tO' -p223130 -asS'He did note multiple female sexual partners , although described using condoms except with his wife .' -p223131 -(lp223132 -S'He\tHe\tPRP\tB-NP\tO' -p223133 -aS'did\tdo\tVBD\tB-VP\tO' -p223134 -aS'note\tnote\tVB\tI-VP\tO' -p223135 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p223136 -aS'female\tfemale\tJJ\tI-NP\tO' -p223137 -aS'sexual\tsexual\tJJ\tI-NP\tO' -p223138 -aS'partners\tpartner\tNNS\tI-NP\tO' -p223139 -aS',\t,\t,\tO\tO' -p223140 -aS'although\talthough\tIN\tB-SBAR\tO' -p223141 -aS'described\tdescribe\tVBN\tB-VP\tO' -p223142 -aS'using\tuse\tVBG\tB-VP\tO' -p223143 -aS'condoms\tcondom\tNNS\tB-NP\tO' -p223144 -aS'except\texcept\tIN\tB-PP\tO' -p223145 -aS'with\twith\tIN\tB-PP\tO' -p223146 -aS'his\this\tPRP$\tB-NP\tO' -p223147 -aS'wife\twife\tNN\tI-NP\tO' -p223148 -aS'.\t.\t.\tO\tO' -p223149 -asS'Patient did not require pressors .' -p223150 -(lp223151 -S'Patient\tPatient\tNN\tB-NP\tO' -p223152 -aS'did\tdo\tVBD\tB-VP\tO' -p223153 -aS'not\tnot\tRB\tI-VP\tO' -p223154 -aS'require\trequire\tVB\tI-VP\tO' -p223155 -aS'pressors\tpressor\tNNS\tB-NP\tO' -p223156 -aS'.\t.\t.\tO\tO' -p223157 -asS'Carotid Stenosis s/p Left Carotid Stenting' -p223158 -(lp223159 -S'Carotid\tCarotid\tNNP\tB-NP\tO' -p223160 -aS'Stenosis\tStenosis\tNNP\tI-NP\tO' -p223161 -aS's/p\ts/p\tNN\tI-NP\tO' -p223162 -aS'Left\tLeft\tNNP\tI-NP\tO' -p223163 -aS'Carotid\tCarotid\tNNP\tI-NP\tO' -p223164 -aS'Stenting\tStenting\tNNP\tI-NP\tO' -p223165 -asS'When patient was distracted , some maneuvers were not painful .' -p223166 -(lp223167 -S'When\tWhen\tWRB\tB-ADVP\tO' -p223168 -aS'patient\tpatient\tNN\tB-NP\tO' -p223169 -aS'was\tbe\tVBD\tB-VP\tO' -p223170 -aS'distracted\tdistract\tVBN\tI-VP\tO' -p223171 -aS',\t,\t,\tO\tO' -p223172 -aS'some\tsome\tDT\tB-NP\tO' -p223173 -aS'maneuvers\tmaneuver\tNNS\tI-NP\tO' -p223174 -aS'were\tbe\tVBD\tB-VP\tO' -p223175 -aS'not\tnot\tRB\tO\tO' -p223176 -aS'painful\tpainful\tJJ\tB-ADJP\tO' -p223177 -aS'.\t.\t.\tO\tO' -p223178 -asS'PAST MEDICAL HISTORY included polycythemia vera .' -p223179 -(lp223180 -S'PAST\tPAST\tNNP\tB-NP\tO' -p223181 -aS'MEDICAL\tMEDICAL\tNNP\tI-NP\tO' -p223182 -aS'HISTORY\tHISTORY\tNNP\tI-NP\tO' -p223183 -aS'included\tinclude\tVBD\tB-VP\tO' -p223184 -aS'polycythemia\tpolycythemia\tNN\tB-NP\tO' -p223185 -aS'vera\tvera\tNN\tI-NP\tO' -p223186 -aS'.\t.\t.\tO\tO' -p223187 -asS'The patient lives alone .' -p223188 -(lp223189 -S'The\tThe\tDT\tB-NP\tO' -p223190 -aS'patient\tpatient\tNN\tI-NP\tO' -p223191 -aS'lives\tlive\tVBZ\tB-VP\tO' -p223192 -aS'alone\talone\tRB\tB-ADVP\tO' -p223193 -aS'.\t.\t.\tO\tO' -p223194 -asS'On the second hospital day on the General Medical Floor the patient had marked rebound to palpation of her abdomen .' -p223195 -(lp223196 -S'On\tOn\tIN\tB-PP\tO' -p223197 -aS'the\tthe\tDT\tB-NP\tO' -p223198 -aS'second\tsecond\tJJ\tI-NP\tO' -p223199 -aS'hospital\thospital\tNN\tI-NP\tO' -p223200 -aS'day\tday\tNN\tI-NP\tO' -p223201 -aS'on\ton\tIN\tB-PP\tO' -p223202 -aS'the\tthe\tDT\tB-NP\tO' -p223203 -aS'General\tGeneral\tNNP\tI-NP\tO' -p223204 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p223205 -aS'Floor\tFloor\tNNP\tI-NP\tO' -p223206 -aS'the\tthe\tDT\tB-NP\tO' -p223207 -aS'patient\tpatient\tNN\tI-NP\tO' -p223208 -aS'had\thave\tVBD\tB-VP\tO' -p223209 -aS'marked\tmark\tVBN\tI-VP\tO' -p223210 -aS'rebound\trebound\tNN\tB-NP\tO' -p223211 -aS'to\tto\tTO\tB-PP\tO' -p223212 -aS'palpation\tpalpation\tNN\tB-NP\tO' -p223213 -aS'of\tof\tIN\tB-PP\tO' -p223214 -aS'her\ther\tPRP$\tB-NP\tO' -p223215 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p223216 -aS'.\t.\t.\tO\tO' -p223217 -asS'D-sticks have been stable . Infant is allowed to ad lib breast feed which he is doing vigorously .' -p223218 -(lp223219 -S'D-sticks\tD-stick\tNNS\tB-NP\tO' -p223220 -aS'have\thave\tVBP\tB-VP\tO' -p223221 -aS'been\tbe\tVBN\tI-VP\tO' -p223222 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p223223 -aS'.\t.\t.\tO\tO' -p223224 -aS'Infant\tInfant\tNNP\tB-NP\tO' -p223225 -aS'is\tbe\tVBZ\tB-VP\tO' -p223226 -aS'allowed\tallow\tVBN\tI-VP\tO' -p223227 -aS'to\tto\tTO\tB-PP\tO' -p223228 -aS'ad\tad\tNN\tB-NP\tO' -p223229 -aS'lib\tlib\tNN\tI-NP\tO' -p223230 -aS'breast\tbreast\tNN\tI-NP\tO' -p223231 -aS'feed\tfeed\tNN\tI-NP\tO' -p223232 -aS'which\twhich\tWDT\tB-NP\tO' -p223233 -aS'he\the\tPRP\tB-NP\tO' -p223234 -aS'is\tbe\tVBZ\tB-VP\tO' -p223235 -aS'doing\tdo\tVBG\tI-VP\tO' -p223236 -aS'vigorously\tvigorously\tRB\tB-ADVP\tO' -p223237 -aS'.\t.\t.\tO\tO' -p223238 -asS'1. Please continue your previous diabetes medications' -p223239 -(lp223240 -S'1.\t1.\tLS\tB-NP\tO' -p223241 -aS'Please\tPlease\tNN\tI-NP\tB-protein' -p223242 -aS'continue\tcontinue\tVB\tB-VP\tO' -p223243 -aS'your\tyour\tPRP$\tB-NP\tO' -p223244 -aS'previous\tprevious\tJJ\tI-NP\tO' -p223245 -aS'diabetes\tdiabetes\tNN\tI-NP\tO' -p223246 -aS'medications\tmedication\tNNS\tI-NP\tO' -p223247 -asS'Diabetes mellitus , pneumonia , sepsis , respiratory failure , pleural effusion , postoperative encephalopathy , postoperative myocardial infarction , and thrombocytopenia .' -p223248 -(lp223249 -S'Diabetes\tDiabetes\tNN\tB-NP\tO' -p223250 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p223251 -aS',\t,\t,\tO\tO' -p223252 -aS'pneumonia\tpneumonia\tNN\tB-NP\tO' -p223253 -aS',\t,\t,\tO\tO' -p223254 -aS'sepsis\tsepsis\tNN\tB-NP\tO' -p223255 -aS',\t,\t,\tO\tO' -p223256 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p223257 -aS'failure\tfailure\tNN\tI-NP\tO' -p223258 -aS',\t,\t,\tO\tO' -p223259 -aS'pleural\tpleural\tJJ\tB-NP\tO' -p223260 -aS'effusion\teffusion\tNN\tI-NP\tO' -p223261 -aS',\t,\t,\tO\tO' -p223262 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p223263 -aS'encephalopathy\tencephalopathy\tNN\tI-NP\tO' -p223264 -aS',\t,\t,\tO\tO' -p223265 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p223266 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p223267 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p223268 -aS',\t,\t,\tO\tO' -p223269 -aS'and\tand\tCC\tO\tO' -p223270 -aS'thrombocytopenia\tthrombocytopenia\tNN\tB-NP\tO' -p223271 -aS'.\t.\t.\tO\tO' -p223272 -asS'She was maintained on a ventilator and ventilated according to ARDSNet protocol .' -p223273 -(lp223274 -S'She\tShe\tPRP\tB-NP\tO' -p223275 -aS'was\tbe\tVBD\tB-VP\tO' -p223276 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p223277 -aS'on\ton\tIN\tB-PP\tO' -p223278 -aS'a\ta\tDT\tB-NP\tO' -p223279 -aS'ventilator\tventilator\tNN\tI-NP\tO' -p223280 -aS'and\tand\tCC\tO\tO' -p223281 -aS'ventilated\tventilate\tVBD\tB-VP\tO' -p223282 -aS'according\taccord\tVBG\tI-VP\tO' -p223283 -aS'to\tto\tTO\tI-VP\tO' -p223284 -aS'ARDSNet\tARDSNet\tVB\tI-VP\tO' -p223285 -aS'protocol\tprotocol\tNN\tB-NP\tO' -p223286 -aS'.\t.\t.\tO\tO' -p223287 -asS'3. The infant passed a car seat positioning test on 2013-05-11 .' -p223288 -(lp223289 -S'3.\t3.\tLS\tB-LST\tO' -p223290 -aS'The\tThe\tDT\tB-NP\tO' -p223291 -aS'infant\tinfant\tNN\tI-NP\tO' -p223292 -aS'passed\tpass\tVBD\tB-VP\tO' -p223293 -aS'a\ta\tDT\tB-NP\tO' -p223294 -aS'car\tcar\tNN\tI-NP\tO' -p223295 -aS'seat\tseat\tNN\tI-NP\tO' -p223296 -aS'positioning\tposition\tVBG\tB-VP\tO' -p223297 -aS'test\ttest\tNN\tB-NP\tO' -p223298 -aS'on\ton\tIN\tB-PP\tO' -p223299 -aS'2013-05-11\t2013-05-11\tCD\tB-NP\tO' -p223300 -aS'.\t.\t.\tO\tO' -p223301 -asS'He went to Padrugmoff Hospital Emergency Room .' -p223302 -(lp223303 -S'He\tHe\tPRP\tB-NP\tO' -p223304 -aS'went\tgo\tVBD\tB-VP\tO' -p223305 -aS'to\tto\tTO\tB-PP\tO' -p223306 -aS'Padrugmoff\tPadrugmoff\tNNP\tB-NP\tO' -p223307 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p223308 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p223309 -aS'Room\tRoom\tNNP\tI-NP\tO' -p223310 -aS'.\t.\t.\tO\tO' -p223311 -asS'Cardiovascular revealed a regular rate and rhythm , heart sounds muffled , no murmurs .' -p223312 -(lp223313 -S'Cardiovascular\tCardiovascular\tNNP\tB-NP\tO' -p223314 -aS'revealed\treveal\tVBD\tB-VP\tO' -p223315 -aS'a\ta\tDT\tB-NP\tO' -p223316 -aS'regular\tregular\tJJ\tI-NP\tO' -p223317 -aS'rate\trate\tNN\tI-NP\tO' -p223318 -aS'and\tand\tCC\tI-NP\tO' -p223319 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p223320 -aS',\t,\t,\tO\tO' -p223321 -aS'heart\theart\tNN\tB-NP\tO' -p223322 -aS'sounds\tsound\tVBZ\tB-VP\tO' -p223323 -aS'muffled\tmuffled\tJJ\tB-ADJP\tO' -p223324 -aS',\t,\t,\tO\tO' -p223325 -aS'no\tno\tDT\tB-NP\tO' -p223326 -aS'murmurs\tmurmur\tNNS\tI-NP\tO' -p223327 -aS'.\t.\t.\tO\tO' -p223328 -asS'He had no further episodes of AFIB while on po Amiodarone .' -p223329 -(lp223330 -S'He\tHe\tPRP\tB-NP\tO' -p223331 -aS'had\thave\tVBD\tB-VP\tO' -p223332 -aS'no\tno\tDT\tB-NP\tO' -p223333 -aS'further\tfurther\tJJ\tI-NP\tO' -p223334 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p223335 -aS'of\tof\tIN\tB-PP\tO' -p223336 -aS'AFIB\tAFIB\tNN\tB-NP\tB-protein' -p223337 -aS'while\twhile\tIN\tB-SBAR\tO' -p223338 -aS'on\ton\tIN\tB-PP\tO' -p223339 -aS'po\tpo\tNN\tB-NP\tO' -p223340 -aS'Amiodarone\tAmiodarone\tNNP\tI-NP\tO' -p223341 -aS'.\t.\t.\tO\tO' -p223342 -asS'Later in her hospital course , the pt complained of hip pain .' -p223343 -(lp223344 -S'Later\tLater\tRB\tB-ADVP\tO' -p223345 -aS'in\tin\tIN\tB-PP\tO' -p223346 -aS'her\ther\tPRP$\tB-NP\tO' -p223347 -aS'hospital\thospital\tNN\tI-NP\tO' -p223348 -aS'course\tcourse\tNN\tI-NP\tO' -p223349 -aS',\t,\t,\tO\tO' -p223350 -aS'the\tthe\tDT\tB-NP\tO' -p223351 -aS'pt\tpt\tNN\tI-NP\tO' -p223352 -aS'complained\tcomplain\tVBD\tB-VP\tO' -p223353 -aS'of\tof\tIN\tB-PP\tO' -p223354 -aS'hip\thip\tNN\tB-NP\tO' -p223355 -aS'pain\tpain\tNN\tI-NP\tO' -p223356 -aS'.\t.\t.\tO\tO' -p223357 -asS'Her steroid doses were slowly tapered over her hospital course , and her Prograf level was adjusted to maintain therapeutic values between 10 and 15 .' -p223358 -(lp223359 -S'Her\tHer\tPRP$\tB-NP\tO' -p223360 -aS'steroid\tsteroid\tNN\tI-NP\tO' -p223361 -aS'doses\tdose\tNNS\tI-NP\tO' -p223362 -aS'were\tbe\tVBD\tB-VP\tO' -p223363 -aS'slowly\tslowly\tRB\tI-VP\tO' -p223364 -aS'tapered\ttaper\tVBN\tI-VP\tO' -p223365 -aS'over\tover\tIN\tB-PP\tO' -p223366 -aS'her\ther\tPRP$\tB-NP\tO' -p223367 -aS'hospital\thospital\tNN\tI-NP\tO' -p223368 -aS'course\tcourse\tNN\tI-NP\tO' -p223369 -aS',\t,\t,\tO\tO' -p223370 -aS'and\tand\tCC\tO\tO' -p223371 -aS'her\ther\tPRP$\tB-NP\tO' -p223372 -aS'Prograf\tPrograf\tNN\tI-NP\tO' -p223373 -aS'level\tlevel\tNN\tI-NP\tO' -p223374 -aS'was\tbe\tVBD\tB-VP\tO' -p223375 -aS'adjusted\tadjust\tVBN\tI-VP\tO' -p223376 -aS'to\tto\tTO\tB-VP\tO' -p223377 -aS'maintain\tmaintain\tVB\tI-VP\tO' -p223378 -aS'therapeutic\ttherapeutic\tJJ\tB-NP\tO' -p223379 -aS'values\tvalue\tNNS\tI-NP\tO' -p223380 -aS'between\tbetween\tIN\tB-PP\tO' -p223381 -aS'10\t10\tCD\tB-NP\tO' -p223382 -aS'and\tand\tCC\tI-NP\tO' -p223383 -aS'15\t15\tCD\tI-NP\tO' -p223384 -aS'.\t.\t.\tO\tO' -p223385 -asS'1) Unresponsiveness : This is likely due todrug overdose ( known oxycontin use , (+) BNZ on tox screen ).' -p223386 -(lp223387 -S'1)\t1)\tLS\tB-NP\tO' -p223388 -aS'Unresponsiveness\tUnresponsiveness\tNN\tI-NP\tO' -p223389 -aS':\t:\t:\tO\tO' -p223390 -aS'This\tThis\tDT\tB-NP\tO' -p223391 -aS'is\tbe\tVBZ\tB-VP\tO' -p223392 -aS'likely\tlikely\tJJ\tB-NP\tO' -p223393 -aS'due\tdue\tJJ\tI-NP\tO' -p223394 -aS'todrug\ttodrug\tNN\tI-NP\tO' -p223395 -aS'overdose\toverdose\tNN\tI-NP\tO' -p223396 -aS'(\t(\t(\tO\tO' -p223397 -aS'known\tknow\tVBN\tB-NP\tO' -p223398 -aS'oxycontin\toxycontin\tNN\tI-NP\tO' -p223399 -aS'use\tuse\tNN\tI-NP\tO' -p223400 -aS',\t,\t,\tO\tO' -p223401 -aS'(+)\t(+)\tLS\tB-NP\tB-protein' -p223402 -aS'BNZ\tBNZ\tNN\tI-NP\tI-protein' -p223403 -aS'on\ton\tIN\tB-PP\tO' -p223404 -aS'tox\ttox\tNN\tB-NP\tO' -p223405 -aS'screen\tscreen\tNN\tI-NP\tO' -p223406 -aS').\t).\t.\tO\tO' -p223407 -asS'The patient had a D-dimer greater than 1000 with lower extremity non-invasive studies which were positive for a small right common femoral clot .' -p223408 -(lp223409 -S'The\tThe\tDT\tB-NP\tO' -p223410 -aS'patient\tpatient\tNN\tI-NP\tO' -p223411 -aS'had\thave\tVBD\tB-VP\tO' -p223412 -aS'a\ta\tDT\tB-NP\tO' -p223413 -aS'D-dimer\tD-dimer\tNN\tI-NP\tB-protein' -p223414 -aS'greater\tgreat\tJJR\tB-ADJP\tO' -p223415 -aS'than\tthan\tIN\tB-PP\tO' -p223416 -aS'1000\t1000\tCD\tB-NP\tO' -p223417 -aS'with\twith\tIN\tB-PP\tO' -p223418 -aS'lower\tlow\tJJR\tB-NP\tO' -p223419 -aS'extremity\textremity\tNN\tI-NP\tO' -p223420 -aS'non-invasive\tnon-invasive\tJJ\tI-NP\tO' -p223421 -aS'studies\tstudy\tNNS\tI-NP\tO' -p223422 -aS'which\twhich\tWDT\tB-NP\tO' -p223423 -aS'were\tbe\tVBD\tB-VP\tO' -p223424 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p223425 -aS'for\tfor\tIN\tB-PP\tO' -p223426 -aS'a\ta\tDT\tB-NP\tO' -p223427 -aS'small\tsmall\tJJ\tI-NP\tO' -p223428 -aS'right\tright\tJJ\tI-NP\tO' -p223429 -aS'common\tcommon\tJJ\tI-NP\tO' -p223430 -aS'femoral\tfemoral\tJJ\tI-NP\tO' -p223431 -aS'clot\tclot\tNN\tI-NP\tO' -p223432 -aS'.\t.\t.\tO\tO' -p223433 -asS'Partial thyroidectomy , herniorrhaphy , percutaneous transluminal coronary angioplasty of the RCA in 2005 , left knee surgery as well as tonsil and adenoid surgery .' -p223434 -(lp223435 -S'Partial\tPartial\tJJ\tB-NP\tO' -p223436 -aS'thyroidectomy\tthyroidectomy\tNN\tI-NP\tO' -p223437 -aS',\t,\t,\tO\tO' -p223438 -aS'herniorrhaphy\therniorrhaphy\tNN\tB-NP\tO' -p223439 -aS',\t,\t,\tO\tO' -p223440 -aS'percutaneous\tpercutaneous\tJJ\tB-NP\tO' -p223441 -aS'transluminal\ttransluminal\tJJ\tI-NP\tO' -p223442 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p223443 -aS'angioplasty\tangioplasty\tNN\tI-NP\tO' -p223444 -aS'of\tof\tIN\tB-PP\tO' -p223445 -aS'the\tthe\tDT\tB-NP\tO' -p223446 -aS'RCA\tRCA\tNN\tI-NP\tB-protein' -p223447 -aS'in\tin\tIN\tB-PP\tO' -p223448 -aS'2005\t2005\tCD\tB-NP\tO' -p223449 -aS',\t,\t,\tO\tO' -p223450 -aS'left\tleave\tVBD\tB-VP\tO' -p223451 -aS'knee\tknee\tNN\tB-NP\tO' -p223452 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p223453 -aS'as\tas\tRB\tB-CONJP\tO' -p223454 -aS'well\twell\tRB\tI-CONJP\tO' -p223455 -aS'as\tas\tIN\tI-CONJP\tO' -p223456 -aS'tonsil\ttonsil\tNN\tB-NP\tO' -p223457 -aS'and\tand\tCC\tO\tO' -p223458 -aS'adenoid\tadenoid\tJJ\tB-NP\tO' -p223459 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p223460 -aS'.\t.\t.\tO\tO' -p223461 -asS'The patient was terminally extubated on a morphine drip and ativan titrated for agonal breathing and discomfort ; scopolamine was used as an adjunct to control secretions and appeared comfortable when he died at 12:27 pm on 2017-03-04 .' -p223462 -(lp223463 -S'The\tThe\tDT\tB-NP\tO' -p223464 -aS'patient\tpatient\tNN\tI-NP\tO' -p223465 -aS'was\tbe\tVBD\tB-VP\tO' -p223466 -aS'terminally\tterminally\tRB\tI-VP\tO' -p223467 -aS'extubated\textubate\tVBN\tI-VP\tO' -p223468 -aS'on\ton\tIN\tB-PP\tO' -p223469 -aS'a\ta\tDT\tB-NP\tO' -p223470 -aS'morphine\tmorphine\tNN\tI-NP\tO' -p223471 -aS'drip\tdrip\tNN\tI-NP\tO' -p223472 -aS'and\tand\tCC\tI-NP\tO' -p223473 -aS'ativan\tativan\tNN\tI-NP\tO' -p223474 -aS'titrated\ttitrate\tVBN\tB-VP\tO' -p223475 -aS'for\tfor\tIN\tB-PP\tO' -p223476 -aS'agonal\tagonal\tJJ\tB-NP\tO' -p223477 -aS'breathing\tbreathing\tNN\tI-NP\tO' -p223478 -aS'and\tand\tCC\tI-NP\tO' -p223479 -aS'discomfort\tdiscomfort\tNN\tI-NP\tO' -p223480 -aS';\t;\t:\tO\tO' -p223481 -aS'scopolamine\tscopolamine\tNN\tB-NP\tO' -p223482 -aS'was\tbe\tVBD\tB-VP\tO' -p223483 -aS'used\tuse\tVBN\tI-VP\tO' -p223484 -aS'as\tas\tIN\tB-PP\tO' -p223485 -aS'an\tan\tDT\tB-NP\tO' -p223486 -aS'adjunct\tadjunct\tNN\tI-NP\tO' -p223487 -aS'to\tto\tTO\tB-PP\tO' -p223488 -aS'control\tcontrol\tNN\tB-NP\tO' -p223489 -aS'secretions\tsecretion\tNNS\tI-NP\tO' -p223490 -aS'and\tand\tCC\tO\tO' -p223491 -aS'appeared\tappear\tVBD\tB-VP\tO' -p223492 -aS'comfortable\tcomfortable\tJJ\tB-ADJP\tO' -p223493 -aS'when\twhen\tWRB\tB-ADVP\tO' -p223494 -aS'he\the\tPRP\tB-NP\tO' -p223495 -aS'died\tdie\tVBD\tB-VP\tO' -p223496 -aS'at\tat\tIN\tB-PP\tO' -p223497 -aS'12:27\t12:27\tCD\tB-NP\tO' -p223498 -aS'pm\tpm\tNN\tI-NP\tO' -p223499 -aS'on\ton\tIN\tB-PP\tO' -p223500 -aS'2017-03-04\t2017-03-04\tCD\tB-NP\tO' -p223501 -aS'.\t.\t.\tO\tO' -p223502 -asS'1. Craniotomy for meningoma , February , 1994 ;' -p223503 -(lp223504 -S'1.\t1.\tLS\tB-NP\tO' -p223505 -aS'Craniotomy\tCraniotomy\tNN\tI-NP\tO' -p223506 -aS'for\tfor\tIN\tB-PP\tO' -p223507 -aS'meningoma\tmeningoma\tNN\tB-NP\tO' -p223508 -aS',\t,\t,\tO\tO' -p223509 -aS'February\tFebruary\tNNP\tB-NP\tO' -p223510 -aS',\t,\t,\tO\tO' -p223511 -aS'1994\t1994\tCD\tB-NP\tO' -p223512 -aS';\t;\t:\tO\tO' -p223513 -asS'Chest x-ray revealed minimal left base atelectasis and elevation of left hemidiaphragm .' -p223514 -(lp223515 -S'Chest\tCh\tJJS\tB-NP\tO' -p223516 -aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' -p223517 -aS'revealed\treveal\tVBD\tB-VP\tO' -p223518 -aS'minimal\tminimal\tJJ\tB-NP\tO' -p223519 -aS'left\tleft\tJJ\tI-NP\tO' -p223520 -aS'base\tbase\tNN\tI-NP\tO' -p223521 -aS'atelectasis\tatelectasis\tNN\tI-NP\tO' -p223522 -aS'and\tand\tCC\tI-NP\tO' -p223523 -aS'elevation\televation\tNN\tI-NP\tO' -p223524 -aS'of\tof\tIN\tB-PP\tO' -p223525 -aS'left\tleft\tJJ\tB-NP\tO' -p223526 -aS'hemidiaphragm\themidiaphragm\tNN\tI-NP\tO' -p223527 -aS'.\t.\t.\tO\tO' -p223528 -asS'The rectovaginal examination is normal .' -p223529 -(lp223530 -S'The\tThe\tDT\tB-NP\tO' -p223531 -aS'rectovaginal\trectovaginal\tJJ\tI-NP\tO' -p223532 -aS'examination\texamination\tNN\tI-NP\tO' -p223533 -aS'is\tbe\tVBZ\tB-VP\tO' -p223534 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p223535 -aS'.\t.\t.\tO\tO' -p223536 -asS'On 06-30 , the patient was evaluated by Occupational Therapy and fitted for a left upper extremity splint .' -p223537 -(lp223538 -S'On\tOn\tIN\tB-PP\tO' -p223539 -aS'06-30\t06-30\tCD\tB-NP\tO' -p223540 -aS',\t,\t,\tO\tO' -p223541 -aS'the\tthe\tDT\tB-NP\tO' -p223542 -aS'patient\tpatient\tNN\tI-NP\tO' -p223543 -aS'was\tbe\tVBD\tB-VP\tO' -p223544 -aS'evaluated\tevaluate\tVBN\tI-VP\tO' -p223545 -aS'by\tby\tIN\tB-PP\tO' -p223546 -aS'Occupational\tOccupational\tJJ\tB-NP\tO' -p223547 -aS'Therapy\tTherapy\tNN\tI-NP\tO' -p223548 -aS'and\tand\tCC\tO\tO' -p223549 -aS'fitted\tfit\tVBN\tB-VP\tO' -p223550 -aS'for\tfor\tIN\tB-PP\tO' -p223551 -aS'a\ta\tDT\tB-NP\tO' -p223552 -aS'left\tleft\tJJ\tI-NP\tO' -p223553 -aS'upper\tupper\tJJ\tI-NP\tO' -p223554 -aS'extremity\textremity\tNN\tI-NP\tO' -p223555 -aS'splint\tsplint\tNN\tI-NP\tO' -p223556 -aS'.\t.\t.\tO\tO' -p223557 -asS'She did have brief chest pain twice during this admission that did not correlate with electrocardiogram changes .' -p223558 -(lp223559 -S'She\tShe\tPRP\tB-NP\tO' -p223560 -aS'did\tdo\tVBD\tB-VP\tO' -p223561 -aS'have\thave\tVB\tI-VP\tO' -p223562 -aS'brief\tbrief\tJJ\tB-NP\tO' -p223563 -aS'chest\tchest\tNN\tI-NP\tO' -p223564 -aS'pain\tpain\tNN\tI-NP\tO' -p223565 -aS'twice\ttwice\tRB\tB-ADVP\tO' -p223566 -aS'during\tduring\tIN\tB-PP\tO' -p223567 -aS'this\tthis\tDT\tB-NP\tO' -p223568 -aS'admission\tadmission\tNN\tI-NP\tO' -p223569 -aS'that\tthat\tWDT\tB-NP\tO' -p223570 -aS'did\tdo\tVBD\tB-VP\tO' -p223571 -aS'not\tnot\tRB\tI-VP\tO' -p223572 -aS'correlate\tcorrelate\tVB\tI-VP\tO' -p223573 -aS'with\twith\tIN\tB-PP\tO' -p223574 -aS'electrocardiogram\telectrocardiogram\tNN\tB-NP\tO' -p223575 -aS'changes\tchange\tNNS\tI-NP\tO' -p223576 -aS'.\t.\t.\tO\tO' -p223577 -asS'The patient states that she has no idea why she was brought to the Emergency Department and denies any symptoms .' -p223578 -(lp223579 -S'The\tThe\tDT\tB-NP\tO' -p223580 -aS'patient\tpatient\tNN\tI-NP\tO' -p223581 -aS'states\tstate\tVBZ\tB-VP\tO' -p223582 -aS'that\tthat\tIN\tB-SBAR\tO' -p223583 -aS'she\tshe\tPRP\tB-NP\tO' -p223584 -aS'has\thave\tVBZ\tB-VP\tO' -p223585 -aS'no\tno\tDT\tB-NP\tO' -p223586 -aS'idea\tidea\tNN\tI-NP\tO' -p223587 -aS'why\twhy\tWRB\tB-ADVP\tO' -p223588 -aS'she\tshe\tPRP\tB-NP\tO' -p223589 -aS'was\tbe\tVBD\tB-VP\tO' -p223590 -aS'brought\tbring\tVBN\tI-VP\tO' -p223591 -aS'to\tto\tTO\tB-PP\tO' -p223592 -aS'the\tthe\tDT\tB-NP\tO' -p223593 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p223594 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p223595 -aS'and\tand\tCC\tO\tO' -p223596 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p223597 -aS'any\tany\tDT\tB-NP\tO' -p223598 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p223599 -aS'.\t.\t.\tO\tO' -p223600 -asS'Otherwise , the past medical history was insignificant .' -p223601 -(lp223602 -S'Otherwise\tOtherwise\tRB\tB-ADVP\tO' -p223603 -aS',\t,\t,\tO\tO' -p223604 -aS'the\tthe\tDT\tB-NP\tO' -p223605 -aS'past\tpast\tJJ\tI-NP\tO' -p223606 -aS'medical\tmedical\tJJ\tI-NP\tO' -p223607 -aS'history\thistory\tNN\tI-NP\tO' -p223608 -aS'was\tbe\tVBD\tB-VP\tO' -p223609 -aS'insignificant\tinsignificant\tJJ\tB-ADJP\tO' -p223610 -aS'.\t.\t.\tO\tO' -p223611 -asS'1. Diabetes type 2 treated with oral medication .' -p223612 -(lp223613 -S'1.\t1.\tLS\tB-NP\tO' -p223614 -aS'Diabetes\tDiabetes\tNN\tI-NP\tO' -p223615 -aS'type\ttype\tNN\tI-NP\tO' -p223616 -aS'2\t2\tCD\tI-NP\tO' -p223617 -aS'treated\ttreat\tVBN\tB-VP\tO' -p223618 -aS'with\twith\tIN\tB-PP\tO' -p223619 -aS'oral\toral\tJJ\tB-NP\tO' -p223620 -aS'medication\tmedication\tNN\tI-NP\tO' -p223621 -aS'.\t.\t.\tO\tO' -p223622 -asS'His foot ulcers continued to develop , and the patient complained of pain in his feet ; primarily at night .' -p223623 -(lp223624 -S'His\tHis\tPRP$\tB-NP\tO' -p223625 -aS'foot\tfoot\tNN\tI-NP\tO' -p223626 -aS'ulcers\tulcer\tNNS\tI-NP\tO' -p223627 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p223628 -aS'to\tto\tTO\tI-VP\tO' -p223629 -aS'develop\tdevelop\tVB\tI-VP\tO' -p223630 -aS',\t,\t,\tO\tO' -p223631 -aS'and\tand\tCC\tO\tO' -p223632 -aS'the\tthe\tDT\tB-NP\tO' -p223633 -aS'patient\tpatient\tNN\tI-NP\tO' -p223634 -aS'complained\tcomplain\tVBD\tB-VP\tO' -p223635 -aS'of\tof\tIN\tB-PP\tO' -p223636 -aS'pain\tpain\tNN\tB-NP\tO' -p223637 -aS'in\tin\tIN\tB-PP\tO' -p223638 -aS'his\this\tPRP$\tB-NP\tO' -p223639 -aS'feet\tfoot\tNNS\tI-NP\tO' -p223640 -aS';\t;\t:\tO\tO' -p223641 -aS'primarily\tprimarily\tRB\tB-ADVP\tO' -p223642 -aS'at\tat\tIN\tB-PP\tO' -p223643 -aS'night\tnight\tNN\tB-NP\tO' -p223644 -aS'.\t.\t.\tO\tO' -p223645 -asS'Dr. Ca Shuff , FIH Oregon Dr. Ille Kote' -p223646 -(lp223647 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p223648 -aS'Ca\tCa\tNNP\tI-NP\tO' -p223649 -aS'Shuff\tShuff\tNNP\tI-NP\tO' -p223650 -aS',\t,\t,\tO\tO' -p223651 -aS'FIH\tFIH\tNNP\tB-NP\tO' -p223652 -aS'Oregon\tOregon\tNNP\tI-NP\tO' -p223653 -aS'Dr.\tDr.\tNNP\tI-NP\tO' -p223654 -aS'Ille\tIlle\tNNP\tI-NP\tO' -p223655 -aS'Kote\tKote\tNNP\tI-NP\tO' -p223656 -asS'The operative report shows that there was an abnormal area below the trachea to the left which represented a cavity between the esophagus , trachea , aorta , and spine that was full of clot .' -p223657 -(lp223658 -S'The\tThe\tDT\tB-NP\tO' -p223659 -aS'operative\toperative\tJJ\tI-NP\tO' -p223660 -aS'report\treport\tNN\tI-NP\tO' -p223661 -aS'shows\tshow\tVBZ\tB-VP\tO' -p223662 -aS'that\tthat\tIN\tB-SBAR\tO' -p223663 -aS'there\tthere\tEX\tB-NP\tO' -p223664 -aS'was\tbe\tVBD\tB-VP\tO' -p223665 -aS'an\tan\tDT\tB-NP\tO' -p223666 -aS'abnormal\tabnormal\tJJ\tI-NP\tO' -p223667 -aS'area\tarea\tNN\tI-NP\tO' -p223668 -aS'below\tbelow\tIN\tB-PP\tO' -p223669 -aS'the\tthe\tDT\tB-NP\tO' -p223670 -aS'trachea\ttrachea\tNN\tI-NP\tO' -p223671 -aS'to\tto\tTO\tB-PP\tO' -p223672 -aS'the\tthe\tDT\tB-NP\tO' -p223673 -aS'left\tleft\tNN\tI-NP\tO' -p223674 -aS'which\twhich\tWDT\tB-NP\tO' -p223675 -aS'represented\trepresent\tVBD\tB-VP\tO' -p223676 -aS'a\ta\tDT\tB-NP\tO' -p223677 -aS'cavity\tcavity\tNN\tI-NP\tO' -p223678 -aS'between\tbetween\tIN\tB-PP\tO' -p223679 -aS'the\tthe\tDT\tB-NP\tO' -p223680 -aS'esophagus\tesophagus\tNN\tI-NP\tO' -p223681 -aS',\t,\t,\tO\tO' -p223682 -aS'trachea\ttrachea\tNN\tB-NP\tO' -p223683 -aS',\t,\t,\tO\tO' -p223684 -aS'aorta\taorta\tNN\tB-NP\tO' -p223685 -aS',\t,\t,\tO\tO' -p223686 -aS'and\tand\tCC\tO\tO' -p223687 -aS'spine\tspine\tNN\tB-NP\tO' -p223688 -aS'that\tthat\tWDT\tB-NP\tO' -p223689 -aS'was\tbe\tVBD\tB-VP\tO' -p223690 -aS'full\tfull\tJJ\tB-ADJP\tO' -p223691 -aS'of\tof\tIN\tB-PP\tO' -p223692 -aS'clot\tclot\tNN\tB-NP\tO' -p223693 -aS'.\t.\t.\tO\tO' -p223694 -asS'Her BP remained stable .' -p223695 -(lp223696 -S'Her\tHer\tPRP$\tB-NP\tB-protein' -p223697 -aS'BP\tBP\tNN\tI-NP\tI-protein' -p223698 -aS'remained\tremain\tVBD\tB-VP\tO' -p223699 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p223700 -aS'.\t.\t.\tO\tO' -p223701 -asS'There is no pulmonary process to exclude her from the transplant list as noted by the Pulmonary service .' -p223702 -(lp223703 -S'There\tThere\tEX\tB-NP\tO' -p223704 -aS'is\tbe\tVBZ\tB-VP\tO' -p223705 -aS'no\tno\tDT\tB-NP\tO' -p223706 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p223707 -aS'process\tprocess\tNN\tI-NP\tO' -p223708 -aS'to\tto\tTO\tB-VP\tO' -p223709 -aS'exclude\texclude\tVB\tI-VP\tO' -p223710 -aS'her\ther\tPRP\tB-NP\tO' -p223711 -aS'from\tfrom\tIN\tB-PP\tO' -p223712 -aS'the\tthe\tDT\tB-NP\tO' -p223713 -aS'transplant\ttransplant\tNN\tI-NP\tO' -p223714 -aS'list\tlist\tNN\tI-NP\tO' -p223715 -aS'as\tas\tIN\tB-SBAR\tO' -p223716 -aS'noted\tnote\tVBN\tB-VP\tO' -p223717 -aS'by\tby\tIN\tB-PP\tO' -p223718 -aS'the\tthe\tDT\tB-NP\tO' -p223719 -aS'Pulmonary\tPulmonary\tJJ\tI-NP\tO' -p223720 -aS'service\tservice\tNN\tI-NP\tO' -p223721 -aS'.\t.\t.\tO\tO' -p223722 -asS'Warm and well perfused .' -p223723 -(lp223724 -S'Warm\tWarm\tNNP\tB-NP\tO' -p223725 -aS'and\tand\tCC\tO\tO' -p223726 -aS'well\twell\tRB\tB-ADJP\tO' -p223727 -aS'perfused\tperfuse\tVBN\tI-ADJP\tO' -p223728 -aS'.\t.\t.\tO\tO' -p223729 -asS'6. Senna 8.6 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ) as needed .' -p223730 -(lp223731 -S'6.\t6.\tCD\tB-NP\tO' -p223732 -aS'Senna\tSenna\tNNP\tI-NP\tO' -p223733 -aS'8.6\t8.6\tCD\tI-NP\tO' -p223734 -aS'mg\tmg\tNN\tI-NP\tO' -p223735 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p223736 -aS'Sig\tSig\tNNP\tI-NP\tO' -p223737 -aS':\t:\t:\tO\tO' -p223738 -aS'One\tOne\tCD\tB-NP\tO' -p223739 -aS'(\t(\t(\tO\tO' -p223740 -aS'1\t1\tCD\tB-NP\tO' -p223741 -aS')\t)\t)\tO\tO' -p223742 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p223743 -aS'PO\tPO\tNN\tI-NP\tO' -p223744 -aS'BID\tBID\tNN\tI-NP\tO' -p223745 -aS'(\t(\t(\tO\tO' -p223746 -aS'2\t2\tCD\tB-NP\tO' -p223747 -aS'times\ttime\tNNS\tI-NP\tO' -p223748 -aS'a\ta\tDT\tB-NP\tO' -p223749 -aS'day\tday\tNN\tI-NP\tO' -p223750 -aS')\t)\t)\tO\tO' -p223751 -aS'as\tas\tIN\tB-SBAR\tO' -p223752 -aS'needed\tneed\tVBN\tB-VP\tO' -p223753 -aS'.\t.\t.\tO\tO' -p223754 -asS'Skin exam revealed a right posterior parietal scalp nodle measuring 2 x 3 cm which was very firm .' -p223755 -(lp223756 -S'Skin\tSkin\tNN\tB-NP\tO' -p223757 -aS'exam\texam\tNN\tI-NP\tO' -p223758 -aS'revealed\treveal\tVBD\tB-VP\tO' -p223759 -aS'a\ta\tDT\tB-NP\tO' -p223760 -aS'right\tright\tJJ\tI-NP\tO' -p223761 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p223762 -aS'parietal\tparietal\tJJ\tI-NP\tO' -p223763 -aS'scalp\tscalp\tNN\tI-NP\tO' -p223764 -aS'nodle\tnodle\tNN\tI-NP\tO' -p223765 -aS'measuring\tmeasure\tVBG\tB-VP\tO' -p223766 -aS'2\t2\tCD\tB-NP\tO' -p223767 -aS'x\tx\tSYM\tI-NP\tO' -p223768 -aS'3\t3\tCD\tI-NP\tO' -p223769 -aS'cm\tcm\tNN\tI-NP\tO' -p223770 -aS'which\twhich\tWDT\tB-NP\tO' -p223771 -aS'was\tbe\tVBD\tB-VP\tO' -p223772 -aS'very\tvery\tRB\tB-ADJP\tO' -p223773 -aS'firm\tfirm\tJJ\tI-ADJP\tO' -p223774 -aS'.\t.\t.\tO\tO' -p223775 -asS'Responsible After Study for Causing Admission ) Atypical chest pain' -p223776 -(lp223777 -S'Responsible\tResponsible\tJJ\tB-ADJP\tO' -p223778 -aS'After\tAfter\tIN\tB-PP\tO' -p223779 -aS'Study\tStudy\tNN\tB-NP\tO' -p223780 -aS'for\tfor\tIN\tB-PP\tO' -p223781 -aS'Causing\tCause\tVBG\tB-NP\tO' -p223782 -aS'Admission\tAdmission\tNN\tI-NP\tO' -p223783 -aS')\t)\t)\tI-NP\tO' -p223784 -aS'Atypical\tAtypical\tJJ\tI-NP\tO' -p223785 -aS'chest\tchest\tNN\tI-NP\tO' -p223786 -aS'pain\tpain\tNN\tI-NP\tO' -p223787 -asS'Pleural fluid pH is 7.29 , glucose 91 , total protein3.1 , LDH 296 , 70 white blood cells , 50 red blood cells .' -p223788 -(lp223789 -S'Pleural\tPleural\tJJ\tB-NP\tO' -p223790 -aS'fluid\tfluid\tNN\tI-NP\tO' -p223791 -aS'pH\tpH\tNN\tI-NP\tO' -p223792 -aS'is\tbe\tVBZ\tB-VP\tO' -p223793 -aS'7.29\t7.29\tCD\tB-NP\tO' -p223794 -aS',\t,\t,\tO\tO' -p223795 -aS'glucose\tglucose\tNN\tB-NP\tB-protein' -p223796 -aS'91\t91\tCD\tI-NP\tI-protein' -p223797 -aS',\t,\t,\tO\tO' -p223798 -aS'total\ttotal\tJJ\tB-NP\tO' -p223799 -aS'protein3.1\tprotein3.1\tNN\tI-NP\tO' -p223800 -aS',\t,\t,\tO\tO' -p223801 -aS'LDH\tLDH\tNN\tB-NP\tB-DNA' -p223802 -aS'296\t296\tCD\tI-NP\tI-DNA' -p223803 -aS',\t,\t,\tI-NP\tO' -p223804 -aS'70\t70\tCD\tI-NP\tO' -p223805 -aS'white\twhite\tJJ\tI-NP\tO' -p223806 -aS'blood\tblood\tNN\tI-NP\tO' -p223807 -aS'cells\tcell\tNNS\tI-NP\tO' -p223808 -aS',\t,\t,\tO\tO' -p223809 -aS'50\t50\tCD\tB-NP\tO' -p223810 -aS'red\tred\tJJ\tI-NP\tO' -p223811 -aS'blood\tblood\tNN\tI-NP\tO' -p223812 -aS'cells\tcell\tNNS\tI-NP\tO' -p223813 -aS'.\t.\t.\tO\tO' -p223814 -asS'CSF tube labeled # 4 was notable for CSF color pink , CSF turbidity slight , CSF xanthochromia yes , CSF RBCs 3,900 , CSF white blood cells 3 , CSF neutrophils 61 , CSF bands 3 , CSF lymphs 31 , CSF monos 1 , CSF eos 3 , CSF basos 1 .' -p223815 -(lp223816 -S'CSF\tCSF\tNN\tB-NP\tB-protein' -p223817 -aS'tube\ttube\tNN\tI-NP\tI-protein' -p223818 -aS'labeled\tlabel\tVBN\tB-VP\tI-protein' -p223819 -aS'#\t#\t#\tB-NP\tI-protein' -p223820 -aS'4\t4\tCD\tI-NP\tI-protein' -p223821 -aS'was\tbe\tVBD\tB-VP\tO' -p223822 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p223823 -aS'for\tfor\tIN\tB-PP\tO' -p223824 -aS'CSF\tCSF\tNN\tB-NP\tB-protein' -p223825 -aS'color\tcolor\tNN\tI-NP\tO' -p223826 -aS'pink\tpink\tNN\tI-NP\tO' -p223827 -aS',\t,\t,\tO\tO' -p223828 -aS'CSF\tCSF\tNN\tB-NP\tB-protein' -p223829 -aS'turbidity\tturbidity\tNN\tI-NP\tO' -p223830 -aS'slight\tslight\tNN\tI-NP\tO' -p223831 -aS',\t,\t,\tO\tO' -p223832 -aS'CSF\tCSF\tNN\tB-NP\tB-protein' -p223833 -aS'xanthochromia\txanthochromia\tNN\tI-NP\tO' -p223834 -aS'yes\tye\tNNS\tI-NP\tO' -p223835 -aS',\t,\t,\tO\tO' -p223836 -aS'CSF\tCSF\tNN\tB-NP\tB-protein' -p223837 -aS'RBCs\tRBC\tNNS\tI-NP\tI-protein' -p223838 -aS'3,900\t3,900\tCD\tB-NP\tI-protein' -p223839 -aS',\t,\t,\tO\tO' -p223840 -aS'CSF\tCSF\tNN\tB-NP\tB-protein' -p223841 -aS'white\twhite\tJJ\tI-NP\tO' -p223842 -aS'blood\tblood\tNN\tI-NP\tO' -p223843 -aS'cells\tcell\tNNS\tI-NP\tO' -p223844 -aS'3\t3\tCD\tB-NP\tO' -p223845 -aS',\t,\t,\tO\tO' -p223846 -aS'CSF\tCSF\tNN\tB-NP\tB-protein' -p223847 -aS'neutrophils\tneutrophil\tNNS\tI-NP\tI-protein' -p223848 -aS'61\t61\tCD\tB-NP\tI-protein' -p223849 -aS',\t,\t,\tO\tO' -p223850 -aS'CSF\tCSF\tNN\tB-NP\tB-protein' -p223851 -aS'bands\tband\tNNS\tI-NP\tI-protein' -p223852 -aS'3\t3\tCD\tB-NP\tI-protein' -p223853 -aS',\t,\t,\tO\tO' -p223854 -aS'CSF\tCSF\tNN\tB-NP\tB-protein' -p223855 -aS'lymphs\tlymph\tNNS\tI-NP\tI-protein' -p223856 -aS'31\t31\tCD\tB-NP\tI-protein' -p223857 -aS',\t,\t,\tO\tO' -p223858 -aS'CSF\tCSF\tNN\tB-NP\tB-protein' -p223859 -aS'monos\tmono\tNNS\tI-NP\tI-protein' -p223860 -aS'1\t1\tCD\tB-NP\tI-protein' -p223861 -aS',\t,\t,\tO\tO' -p223862 -aS'CSF\tCSF\tNN\tB-NP\tB-protein' -p223863 -aS'eos\teo\tNNS\tI-NP\tI-protein' -p223864 -aS'3\t3\tCD\tB-NP\tI-protein' -p223865 -aS',\t,\t,\tO\tO' -p223866 -aS'CSF\tCSF\tNN\tB-NP\tB-protein' -p223867 -aS'basos\tbaso\tNNS\tI-NP\tI-protein' -p223868 -aS'1\t1\tCD\tB-NP\tI-protein' -p223869 -aS'.\t.\t.\tO\tO' -p223870 -asS'1. Non-small cell lung cancer s/p XRT and chemotherapy in Western Sahara , s/p right pneumonectomy in 2016-09-21 for recurrence .' -p223871 -(lp223872 -S'1.\t1.\tLS\tB-NP\tO' -p223873 -aS'Non-small\tNon-small\tJJ\tI-NP\tO' -p223874 -aS'cell\tcell\tNN\tI-NP\tO' -p223875 -aS'lung\tlung\tNN\tI-NP\tO' -p223876 -aS'cancer\tcancer\tNN\tI-NP\tO' -p223877 -aS's/p\ts/p\tNN\tI-NP\tO' -p223878 -aS'XRT\tXRT\tNN\tI-NP\tO' -p223879 -aS'and\tand\tCC\tO\tO' -p223880 -aS'chemotherapy\tchemotherapy\tNN\tB-NP\tO' -p223881 -aS'in\tin\tIN\tB-PP\tO' -p223882 -aS'Western\tWestern\tNNP\tB-NP\tO' -p223883 -aS'Sahara\tSahara\tNNP\tI-NP\tO' -p223884 -aS',\t,\t,\tO\tO' -p223885 -aS's/p\ts/p\tNN\tB-NP\tO' -p223886 -aS'right\tright\tJJ\tI-NP\tO' -p223887 -aS'pneumonectomy\tpneumonectomy\tNN\tI-NP\tO' -p223888 -aS'in\tin\tIN\tB-PP\tO' -p223889 -aS'2016-09-21\t2016-09-21\tCD\tB-NP\tO' -p223890 -aS'for\tfor\tIN\tB-PP\tO' -p223891 -aS'recurrence\trecurrence\tNN\tB-NP\tO' -p223892 -aS'.\t.\t.\tO\tO' -p223893 -asS'Late 03-23 found with afib and RVR , given beta blocker with min. response , started dilt. drip .' -p223894 -(lp223895 -S'Late\tLate\tRB\tB-NP\tO' -p223896 -aS'03-23\t03-23\tCD\tI-NP\tO' -p223897 -aS'found\tfind\tVBN\tB-VP\tO' -p223898 -aS'with\twith\tIN\tB-PP\tO' -p223899 -aS'afib\tafib\tNN\tB-NP\tO' -p223900 -aS'and\tand\tCC\tI-NP\tO' -p223901 -aS'RVR\tRVR\tNN\tI-NP\tB-protein' -p223902 -aS',\t,\t,\tO\tO' -p223903 -aS'given\tgive\tVBN\tB-PP\tO' -p223904 -aS'beta\tbeta\tSYM\tB-NP\tO' -p223905 -aS'blocker\tblocker\tNN\tB-NP\tO' -p223906 -aS'with\twith\tIN\tB-PP\tO' -p223907 -aS'min.\tmin.\tNN\tB-NP\tO' -p223908 -aS'response\tresponse\tNN\tI-NP\tO' -p223909 -aS',\t,\t,\tO\tO' -p223910 -aS'started\tstart\tVBD\tB-VP\tO' -p223911 -aS'dilt.\tdilt.\tJJ\tB-NP\tO' -p223912 -aS'drip\tdrip\tNN\tI-NP\tO' -p223913 -aS'.\t.\t.\tO\tO' -p223914 -asS'Disp :* 90 Tablet (s)* Refills :* 0 *' -p223915 -(lp223916 -S'Disp\tDisp\tNN\tB-NP\tO' -p223917 -aS':*\t:*\tSYM\tI-NP\tO' -p223918 -aS'90\t90\tCD\tI-NP\tO' -p223919 -aS'Tablet\tTablet\tNN\tI-NP\tO' -p223920 -aS'(s)*\t(s)*\tSYM\tB-NP\tO' -p223921 -aS'Refills\tRefill\tNNPS\tI-NP\tO' -p223922 -aS':*\t:*\tSYM\tI-NP\tO' -p223923 -aS'0\t0\tCD\tI-NP\tO' -p223924 -aS'*\t*\tSYM\tB-NP\tO' -p223925 -asS'4. Acute myocardial infarction .' -p223926 -(lp223927 -S'4.\t4.\tLS\tB-NP\tO' -p223928 -aS'Acute\tAcute\tJJ\tI-NP\tO' -p223929 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p223930 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p223931 -aS'.\t.\t.\tO\tO' -p223932 -asS'She was ultimately changed to Levaquin for a possible early pneumonia pending cultures .' -p223933 -(lp223934 -S'She\tShe\tPRP\tB-NP\tO' -p223935 -aS'was\tbe\tVBD\tB-VP\tO' -p223936 -aS'ultimately\tultimately\tRB\tI-VP\tO' -p223937 -aS'changed\tchange\tVBN\tI-VP\tO' -p223938 -aS'to\tto\tTO\tB-PP\tO' -p223939 -aS'Levaquin\tLevaquin\tNNP\tB-NP\tO' -p223940 -aS'for\tfor\tIN\tB-PP\tO' -p223941 -aS'a\ta\tDT\tB-NP\tO' -p223942 -aS'possible\tpossible\tJJ\tI-NP\tO' -p223943 -aS'early\tearly\tJJ\tI-NP\tO' -p223944 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p223945 -aS'pending\tpende\tVBG\tB-PP\tO' -p223946 -aS'cultures\tculture\tNNS\tB-NP\tO' -p223947 -aS'.\t.\t.\tO\tO' -p223948 -asS'Does not ambulate .' -p223949 -(lp223950 -S'Does\tDo\tVBZ\tB-VP\tO' -p223951 -aS'not\tnot\tRB\tI-VP\tO' -p223952 -aS'ambulate\tambulate\tVB\tI-VP\tO' -p223953 -aS'.\t.\t.\tO\tO' -p223954 -asS'1. Hypercholesterolemia .' -p223955 -(lp223956 -S'1.\t1.\tLS\tB-NP\tO' -p223957 -aS'Hypercholesterolemia\tHypercholesterolemia\tNN\tI-NP\tO' -p223958 -aS'.\t.\t.\tO\tO' -p223959 -asS'Positive for cigarettes of 40 pack / years quit in 1990.' -p223960 -(lp223961 -S'Positive\tPositive\tJJ\tB-ADJP\tO' -p223962 -aS'for\tfor\tIN\tB-PP\tO' -p223963 -aS'cigarettes\tcigarette\tNNS\tB-NP\tO' -p223964 -aS'of\tof\tIN\tB-PP\tO' -p223965 -aS'40\t40\tCD\tB-NP\tO' -p223966 -aS'pack\tpack\tNN\tI-NP\tO' -p223967 -aS'/\t/\tSYM\tB-NP\tO' -p223968 -aS'years\tyear\tNNS\tI-NP\tO' -p223969 -aS'quit\tquit\tVBP\tB-VP\tO' -p223970 -aS'in\tin\tIN\tB-PP\tO' -p223971 -aS'1990.\t1990.\tCD\tB-NP\tO' -p223972 -asS'During the Mass. Mental Health Center Medical Intensive Care Unit stay , the patient was found to exquisitely preload dependent and responded well to aggressive fluids as needed to maintain her blood pressure with a systolic of greater than 90 .' -p223973 -(lp223974 -S'During\tDuring\tIN\tB-PP\tO' -p223975 -aS'the\tthe\tDT\tB-NP\tO' -p223976 -aS'Mass.\tMass.\tNNP\tI-NP\tO' -p223977 -aS'Mental\tMental\tNNP\tI-NP\tO' -p223978 -aS'Health\tHealth\tNNP\tI-NP\tO' -p223979 -aS'Center\tCenter\tNNP\tI-NP\tO' -p223980 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p223981 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p223982 -aS'Care\tCare\tNNP\tI-NP\tO' -p223983 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p223984 -aS'stay\tstay\tNN\tI-NP\tO' -p223985 -aS',\t,\t,\tO\tO' -p223986 -aS'the\tthe\tDT\tB-NP\tO' -p223987 -aS'patient\tpatient\tNN\tI-NP\tO' -p223988 -aS'was\tbe\tVBD\tB-VP\tO' -p223989 -aS'found\tfind\tVBN\tI-VP\tO' -p223990 -aS'to\tto\tTO\tI-VP\tO' -p223991 -aS'exquisitely\texquisitely\tRB\tI-VP\tO' -p223992 -aS'preload\tpreload\tVB\tI-VP\tO' -p223993 -aS'dependent\tdependent\tJJ\tB-ADJP\tO' -p223994 -aS'and\tand\tCC\tO\tO' -p223995 -aS'responded\trespond\tVBD\tB-VP\tO' -p223996 -aS'well\twell\tRB\tB-ADVP\tO' -p223997 -aS'to\tto\tTO\tB-PP\tO' -p223998 -aS'aggressive\taggressive\tJJ\tB-NP\tO' -p223999 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p224000 -aS'as\tas\tIN\tB-SBAR\tO' -p224001 -aS'needed\tneed\tVBN\tB-VP\tO' -p224002 -aS'to\tto\tTO\tB-VP\tO' -p224003 -aS'maintain\tmaintain\tVB\tI-VP\tO' -p224004 -aS'her\ther\tPRP$\tB-NP\tO' -p224005 -aS'blood\tblood\tNN\tI-NP\tO' -p224006 -aS'pressure\tpressure\tNN\tI-NP\tO' -p224007 -aS'with\twith\tIN\tB-PP\tO' -p224008 -aS'a\ta\tDT\tB-NP\tO' -p224009 -aS'systolic\tsystolic\tNN\tI-NP\tO' -p224010 -aS'of\tof\tIN\tB-PP\tO' -p224011 -aS'greater\tgreat\tJJR\tB-NP\tO' -p224012 -aS'than\tthan\tIN\tI-NP\tO' -p224013 -aS'90\t90\tCD\tI-NP\tO' -p224014 -aS'.\t.\t.\tO\tO' -p224015 -asS'JP drain was cultured on 12/11/03 along with aurine culture .' -p224016 -(lp224017 -S'JP\tJP\tNN\tB-NP\tB-protein' -p224018 -aS'drain\tdrain\tNN\tI-NP\tI-protein' -p224019 -aS'was\tbe\tVBD\tB-VP\tO' -p224020 -aS'cultured\tculture\tVBN\tI-VP\tO' -p224021 -aS'on\ton\tIN\tB-PP\tO' -p224022 -aS'12/11/03\t12/11/03\tCD\tB-NP\tO' -p224023 -aS'along\talong\tIN\tB-PP\tO' -p224024 -aS'with\twith\tIN\tB-PP\tO' -p224025 -aS'aurine\taurine\tNN\tB-NP\tO' -p224026 -aS'culture\tculture\tNN\tI-NP\tO' -p224027 -aS'.\t.\t.\tO\tO' -p224028 -asS'INSULIN DEPENDENT DIABETES MELLITUS .' -p224029 -(lp224030 -S'INSULIN\tINSULIN\tNNP\tB-NP\tB-protein' -p224031 -aS'DEPENDENT\tDEPENDENT\tNNP\tI-NP\tO' -p224032 -aS'DIABETES\tDIABETES\tNNP\tI-NP\tO' -p224033 -aS'MELLITUS\tMELLITUS\tNNP\tI-NP\tO' -p224034 -aS'.\t.\t.\tO\tO' -p224035 -asS'DTRs showed a mild decrease in left biceps and brachioradialis reflexes , otherwise normal tone , symmetrical reflexes , downgoing toes .' -p224036 -(lp224037 -S'DTRs\tDTR\tNNS\tB-NP\tB-DNA' -p224038 -aS'showed\tshow\tVBD\tB-VP\tO' -p224039 -aS'a\ta\tDT\tB-NP\tO' -p224040 -aS'mild\tmild\tJJ\tI-NP\tO' -p224041 -aS'decrease\tdecrease\tNN\tI-NP\tO' -p224042 -aS'in\tin\tIN\tB-PP\tO' -p224043 -aS'left\tleft\tJJ\tB-NP\tO' -p224044 -aS'biceps\tbicep\tNNS\tI-NP\tO' -p224045 -aS'and\tand\tCC\tO\tO' -p224046 -aS'brachioradialis\tbrachioradialis\tNN\tB-NP\tO' -p224047 -aS'reflexes\treflex\tNNS\tI-NP\tO' -p224048 -aS',\t,\t,\tO\tO' -p224049 -aS'otherwise\totherwise\tRB\tB-NP\tO' -p224050 -aS'normal\tnormal\tJJ\tI-NP\tO' -p224051 -aS'tone\ttone\tNN\tI-NP\tO' -p224052 -aS',\t,\t,\tO\tO' -p224053 -aS'symmetrical\tsymmetrical\tJJ\tB-NP\tO' -p224054 -aS'reflexes\treflex\tNNS\tI-NP\tO' -p224055 -aS',\t,\t,\tO\tO' -p224056 -aS'downgoing\tdowngoe\tVBG\tB-VP\tO' -p224057 -aS'toes\ttoe\tNNS\tB-NP\tO' -p224058 -aS'.\t.\t.\tO\tO' -p224059 -asS'Warm , dry , premature infant , active with exam , mild respiratory distress at rest .' -p224060 -(lp224061 -S'Warm\tWarm\tNNP\tB-NP\tO' -p224062 -aS',\t,\t,\tO\tO' -p224063 -aS'dry\tdry\tJJ\tB-NP\tO' -p224064 -aS',\t,\t,\tI-NP\tO' -p224065 -aS'premature\tpremature\tJJ\tI-NP\tO' -p224066 -aS'infant\tinfant\tNN\tI-NP\tO' -p224067 -aS',\t,\t,\tO\tO' -p224068 -aS'active\tactive\tJJ\tB-ADJP\tO' -p224069 -aS'with\twith\tIN\tB-PP\tO' -p224070 -aS'exam\texam\tNN\tB-NP\tO' -p224071 -aS',\t,\t,\tO\tO' -p224072 -aS'mild\tmild\tJJ\tB-NP\tO' -p224073 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p224074 -aS'distress\tdistress\tNN\tI-NP\tO' -p224075 -aS'at\tat\tIN\tB-PP\tO' -p224076 -aS'rest\trest\tNN\tB-NP\tO' -p224077 -aS'.\t.\t.\tO\tO' -p224078 -asS'2. Levofloxacin 500 mg Tablet Sig : One ( 1 ) Tablet PO Q24H ( every 24 hours ) for 4 days : last dose will be Nolen , 06-23 .' -p224079 -(lp224080 -S'2.\t2.\tLS\tB-LST\tO' -p224081 -aS'Levofloxacin\tLevofloxacin\tNNP\tB-NP\tO' -p224082 -aS'500\t500\tCD\tI-NP\tO' -p224083 -aS'mg\tmg\tNN\tI-NP\tO' -p224084 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p224085 -aS'Sig\tSig\tNNP\tI-NP\tO' -p224086 -aS':\t:\t:\tO\tO' -p224087 -aS'One\tOne\tCD\tB-NP\tO' -p224088 -aS'(\t(\t(\tO\tO' -p224089 -aS'1\t1\tCD\tB-NP\tO' -p224090 -aS')\t)\t)\tO\tO' -p224091 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p224092 -aS'PO\tPO\tNN\tI-NP\tO' -p224093 -aS'Q24H\tQ24H\tNN\tI-NP\tO' -p224094 -aS'(\t(\t(\tO\tO' -p224095 -aS'every\tevery\tDT\tB-NP\tO' -p224096 -aS'24\t24\tCD\tI-NP\tO' -p224097 -aS'hours\thour\tNNS\tI-NP\tO' -p224098 -aS')\t)\t)\tO\tO' -p224099 -aS'for\tfor\tIN\tB-PP\tO' -p224100 -aS'4\t4\tCD\tB-NP\tO' -p224101 -aS'days\tday\tNNS\tI-NP\tO' -p224102 -aS':\t:\t:\tO\tO' -p224103 -aS'last\tlast\tJJ\tB-NP\tO' -p224104 -aS'dose\tdose\tNN\tI-NP\tO' -p224105 -aS'will\twill\tMD\tB-VP\tO' -p224106 -aS'be\tbe\tVB\tI-VP\tO' -p224107 -aS'Nolen\tNolen\tVBN\tI-VP\tO' -p224108 -aS',\t,\t,\tO\tO' -p224109 -aS'06-23\t06-23\tCD\tB-NP\tO' -p224110 -aS'.\t.\t.\tO\tO' -p224111 -asS'He required some gavage feeds through day of life #4 , and has been all po since day of life #5 .' -p224112 -(lp224113 -S'He\tHe\tPRP\tB-NP\tO' -p224114 -aS'required\trequire\tVBD\tB-VP\tO' -p224115 -aS'some\tsome\tDT\tB-NP\tO' -p224116 -aS'gavage\tgavage\tNN\tI-NP\tO' -p224117 -aS'feeds\tfeed\tVBZ\tB-VP\tO' -p224118 -aS'through\tthrough\tIN\tB-PP\tO' -p224119 -aS'day\tday\tNN\tB-NP\tO' -p224120 -aS'of\tof\tIN\tB-PP\tO' -p224121 -aS'life\tlife\tNN\tB-NP\tO' -p224122 -aS'#4\t#4\tNN\tI-NP\tO' -p224123 -aS',\t,\t,\tO\tO' -p224124 -aS'and\tand\tCC\tO\tO' -p224125 -aS'has\thave\tVBZ\tB-VP\tO' -p224126 -aS'been\tbe\tVBN\tI-VP\tO' -p224127 -aS'all\tall\tDT\tB-NP\tO' -p224128 -aS'po\tpo\tNN\tI-NP\tO' -p224129 -aS'since\tsince\tIN\tB-PP\tO' -p224130 -aS'day\tday\tNN\tB-NP\tO' -p224131 -aS'of\tof\tIN\tB-PP\tO' -p224132 -aS'life\tlife\tNN\tB-NP\tO' -p224133 -aS'#5\t#5\tCD\tI-NP\tO' -p224134 -aS'.\t.\t.\tO\tO' -p224135 -asS'Mucous membranes were moist and pink .' -p224136 -(lp224137 -S'Mucous\tMucous\tJJ\tB-NP\tO' -p224138 -aS'membranes\tmembrane\tNNS\tI-NP\tO' -p224139 -aS'were\tbe\tVBD\tB-VP\tO' -p224140 -aS'moist\tmoist\tNN\tB-NP\tO' -p224141 -aS'and\tand\tCC\tI-NP\tO' -p224142 -aS'pink\tpink\tNN\tI-NP\tO' -p224143 -aS'.\t.\t.\tO\tO' -p224144 -asS'The baby demonstrated mild physiologic jaundice with a serum bilirubin obtained on day of life three which was 6.7 with a direct of 0.2 .' -p224145 -(lp224146 -S'The\tThe\tDT\tB-NP\tO' -p224147 -aS'baby\tbaby\tNN\tI-NP\tO' -p224148 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p224149 -aS'mild\tmild\tJJ\tB-NP\tO' -p224150 -aS'physiologic\tphysiologic\tJJ\tI-NP\tO' -p224151 -aS'jaundice\tjaundice\tNN\tI-NP\tO' -p224152 -aS'with\twith\tIN\tB-PP\tO' -p224153 -aS'a\ta\tDT\tB-NP\tO' -p224154 -aS'serum\tserum\tNN\tI-NP\tO' -p224155 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p224156 -aS'obtained\tobtain\tVBN\tB-VP\tO' -p224157 -aS'on\ton\tIN\tB-PP\tO' -p224158 -aS'day\tday\tNN\tB-NP\tO' -p224159 -aS'of\tof\tIN\tB-PP\tO' -p224160 -aS'life\tlife\tNN\tB-NP\tO' -p224161 -aS'three\tthree\tCD\tI-NP\tO' -p224162 -aS'which\twhich\tWDT\tB-NP\tO' -p224163 -aS'was\tbe\tVBD\tB-VP\tO' -p224164 -aS'6.7\t6.7\tCD\tB-NP\tO' -p224165 -aS'with\twith\tIN\tB-PP\tO' -p224166 -aS'a\ta\tDT\tB-NP\tO' -p224167 -aS'direct\tdirect\tNN\tI-NP\tO' -p224168 -aS'of\tof\tIN\tB-PP\tO' -p224169 -aS'0.2\t0.2\tCD\tB-NP\tO' -p224170 -aS'.\t.\t.\tO\tO' -p224171 -asS'The patient is being treated with preoperative neoadjuvant chemotherapy using 5 FU , Vinblastine , Cisplatinum and concomitant radiation therapy .' -p224172 -(lp224173 -S'The\tThe\tDT\tB-NP\tO' -p224174 -aS'patient\tpatient\tNN\tI-NP\tO' -p224175 -aS'is\tbe\tVBZ\tB-VP\tO' -p224176 -aS'being\tbe\tVBG\tI-VP\tO' -p224177 -aS'treated\ttreat\tVBN\tI-VP\tO' -p224178 -aS'with\twith\tIN\tB-PP\tO' -p224179 -aS'preoperative\tpreoperative\tJJ\tB-NP\tO' -p224180 -aS'neoadjuvant\tneoadjuvant\tJJ\tI-NP\tO' -p224181 -aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' -p224182 -aS'using\tuse\tVBG\tB-VP\tO' -p224183 -aS'5\t5\tCD\tB-NP\tO' -p224184 -aS'FU\tFU\tNN\tI-NP\tO' -p224185 -aS',\t,\t,\tO\tO' -p224186 -aS'Vinblastine\tVinblastine\tNN\tB-NP\tO' -p224187 -aS',\t,\t,\tO\tO' -p224188 -aS'Cisplatinum\tCisplatinum\tNN\tB-NP\tO' -p224189 -aS'and\tand\tCC\tO\tO' -p224190 -aS'concomitant\tconcomitant\tJJ\tB-NP\tO' -p224191 -aS'radiation\tradiation\tNN\tI-NP\tO' -p224192 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p224193 -aS'.\t.\t.\tO\tO' -p224194 -asS'Noted in the chart are legal documents .' -p224195 -(lp224196 -S'Noted\tNote\tVBN\tB-VP\tO' -p224197 -aS'in\tin\tIN\tB-PP\tO' -p224198 -aS'the\tthe\tDT\tB-NP\tO' -p224199 -aS'chart\tchart\tNN\tI-NP\tO' -p224200 -aS'are\tbe\tVBP\tB-VP\tO' -p224201 -aS'legal\tlegal\tJJ\tB-NP\tO' -p224202 -aS'documents\tdocument\tNNS\tI-NP\tO' -p224203 -aS'.\t.\t.\tO\tO' -p224204 -asS'Aspirin 325 mg q.d. , Plavix 75 mg q.d. , Lipitor 20 mg q.d. , nitroglycerin 0.3 mg sublingually p.r.n. chest pain or pressure or shortness of breath , lisinopril hydrochlorothiazide 20 / 12.5 mg q.d. , atenolol 25 mg q.d.' -p224205 -(lp224206 -S'Aspirin\tAspirin\tNN\tB-NP\tO' -p224207 -aS'325\t325\tCD\tI-NP\tO' -p224208 -aS'mg\tmg\tNN\tI-NP\tO' -p224209 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p224210 -aS',\t,\t,\tO\tO' -p224211 -aS'Plavix\tPlavix\tNNP\tB-NP\tO' -p224212 -aS'75\t75\tCD\tI-NP\tO' -p224213 -aS'mg\tmg\tNN\tI-NP\tO' -p224214 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p224215 -aS',\t,\t,\tO\tO' -p224216 -aS'Lipitor\tLipitor\tNNP\tB-NP\tO' -p224217 -aS'20\t20\tCD\tI-NP\tO' -p224218 -aS'mg\tmg\tNN\tI-NP\tO' -p224219 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p224220 -aS',\t,\t,\tO\tO' -p224221 -aS'nitroglycerin\tnitroglycerin\tNN\tB-NP\tB-protein' -p224222 -aS'0.3\t0.3\tCD\tI-NP\tI-protein' -p224223 -aS'mg\tmg\tNN\tI-NP\tI-protein' -p224224 -aS'sublingually\tsublingually\tRB\tB-NP\tI-protein' -p224225 -aS'p.r.n.\tp.r.n.\tFW\tI-NP\tI-protein' -p224226 -aS'chest\tchest\tNN\tI-NP\tI-protein' -p224227 -aS'pain\tpain\tNN\tI-NP\tI-protein' -p224228 -aS'or\tor\tCC\tO\tO' -p224229 -aS'pressure\tpressure\tNN\tB-NP\tO' -p224230 -aS'or\tor\tCC\tI-NP\tO' -p224231 -aS'shortness\tshortness\tNN\tI-NP\tO' -p224232 -aS'of\tof\tIN\tB-PP\tO' -p224233 -aS'breath\tbreath\tNN\tB-NP\tO' -p224234 -aS',\t,\t,\tO\tO' -p224235 -aS'lisinopril\tlisinopril\tNN\tB-NP\tO' -p224236 -aS'hydrochlorothiazide\thydrochlorothiazide\tNN\tI-NP\tO' -p224237 -aS'20\t20\tCD\tI-NP\tO' -p224238 -aS'/\t/\tSYM\tI-NP\tO' -p224239 -aS'12.5\t12.5\tCD\tI-NP\tO' -p224240 -aS'mg\tmg\tNN\tI-NP\tO' -p224241 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p224242 -aS',\t,\t,\tO\tO' -p224243 -aS'atenolol\tatenolol\tNN\tB-NP\tO' -p224244 -aS'25\t25\tCD\tI-NP\tO' -p224245 -aS'mg\tmg\tNN\tI-NP\tO' -p224246 -aS'q.d.\tq.d.\t.\tO\tO' -p224247 -asS'The patient is a 65 year old Portuguese male with a history of an anterior myocardial infarction i May 1993 and is status post a percutaneous transluminal coronary angioplasty of the LAD who presented on 10-24-93 with crushing substernal chest pain and shortness of breath .' -p224248 -(lp224249 -S'The\tThe\tDT\tB-NP\tO' -p224250 -aS'patient\tpatient\tNN\tI-NP\tO' -p224251 -aS'is\tbe\tVBZ\tB-VP\tO' -p224252 -aS'a\ta\tDT\tB-NP\tO' -p224253 -aS'65\t65\tCD\tI-NP\tO' -p224254 -aS'year\tyear\tNN\tI-NP\tO' -p224255 -aS'old\told\tJJ\tI-NP\tO' -p224256 -aS'Portuguese\tPortuguese\tNN\tI-NP\tO' -p224257 -aS'male\tmale\tJJ\tB-ADJP\tO' -p224258 -aS'with\twith\tIN\tB-PP\tO' -p224259 -aS'a\ta\tDT\tB-NP\tO' -p224260 -aS'history\thistory\tNN\tI-NP\tO' -p224261 -aS'of\tof\tIN\tB-PP\tO' -p224262 -aS'an\tan\tDT\tB-NP\tO' -p224263 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p224264 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p224265 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p224266 -aS'i\ti\tNN\tI-NP\tO' -p224267 -aS'May\tMay\tNNP\tB-NP\tO' -p224268 -aS'1993\t1993\tCD\tI-NP\tO' -p224269 -aS'and\tand\tCC\tO\tO' -p224270 -aS'is\tbe\tVBZ\tB-VP\tO' -p224271 -aS'status\tstatus\tNN\tB-NP\tO' -p224272 -aS'post\tpost\tIN\tB-PP\tO' -p224273 -aS'a\ta\tDT\tB-NP\tO' -p224274 -aS'percutaneous\tpercutaneous\tJJ\tI-NP\tO' -p224275 -aS'transluminal\ttransluminal\tJJ\tI-NP\tO' -p224276 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p224277 -aS'angioplasty\tangioplasty\tNN\tI-NP\tO' -p224278 -aS'of\tof\tIN\tB-PP\tO' -p224279 -aS'the\tthe\tDT\tB-NP\tO' -p224280 -aS'LAD\tLAD\tNN\tI-NP\tB-protein' -p224281 -aS'who\twho\tWP\tB-NP\tO' -p224282 -aS'presented\tpresent\tVBD\tB-VP\tO' -p224283 -aS'on\ton\tIN\tB-PP\tO' -p224284 -aS'10-24-93\t10-24-93\tCD\tB-NP\tO' -p224285 -aS'with\twith\tIN\tB-PP\tO' -p224286 -aS'crushing\tcrush\tVBG\tB-VP\tO' -p224287 -aS'substernal\tsubsternal\tJJ\tB-NP\tO' -p224288 -aS'chest\tchest\tNN\tI-NP\tO' -p224289 -aS'pain\tpain\tNN\tI-NP\tO' -p224290 -aS'and\tand\tCC\tI-NP\tO' -p224291 -aS'shortness\tshortness\tNN\tI-NP\tO' -p224292 -aS'of\tof\tIN\tB-PP\tO' -p224293 -aS'breath\tbreath\tNN\tB-NP\tO' -p224294 -aS'.\t.\t.\tO\tO' -p224295 -asS'These results exclude both melanoma and hematopoietic neoplasms .' -p224296 -(lp224297 -S'These\tThese\tDT\tB-NP\tO' -p224298 -aS'results\tresult\tNNS\tI-NP\tO' -p224299 -aS'exclude\texclude\tVBP\tB-VP\tO' -p224300 -aS'both\tboth\tCC\tO\tO' -p224301 -aS'melanoma\tmelanoma\tNN\tB-NP\tO' -p224302 -aS'and\tand\tCC\tO\tO' -p224303 -aS'hematopoietic\thematopoietic\tJJ\tB-NP\tB-cell_type' -p224304 -aS'neoplasms\tneoplasm\tNNS\tI-NP\tI-cell_type' -p224305 -aS'.\t.\t.\tO\tO' -p224306 -asS'The patient had undergone two abdominal procedures following explantation .' -p224307 -(lp224308 -S'The\tThe\tDT\tB-NP\tO' -p224309 -aS'patient\tpatient\tNN\tI-NP\tO' -p224310 -aS'had\thave\tVBD\tB-VP\tO' -p224311 -aS'undergone\tundergo\tVBN\tI-VP\tO' -p224312 -aS'two\ttwo\tCD\tB-NP\tO' -p224313 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p224314 -aS'procedures\tprocedure\tNNS\tI-NP\tO' -p224315 -aS'following\tfollow\tVBG\tB-PP\tO' -p224316 -aS'explantation\texplantation\tNN\tB-NP\tO' -p224317 -aS'.\t.\t.\tO\tO' -p224318 -asS'The patient had no known drug allergies .' -p224319 -(lp224320 -S'The\tThe\tDT\tB-NP\tO' -p224321 -aS'patient\tpatient\tNN\tI-NP\tO' -p224322 -aS'had\thave\tVBD\tB-VP\tO' -p224323 -aS'no\tno\tDT\tB-NP\tO' -p224324 -aS'known\tknow\tVBN\tI-NP\tO' -p224325 -aS'drug\tdrug\tNN\tI-NP\tO' -p224326 -aS'allergies\tallergy\tNNS\tI-NP\tO' -p224327 -aS'.\t.\t.\tO\tO' -p224328 -asS'He had emesis times three of 75 cc of coffee ground material .' -p224329 -(lp224330 -S'He\tHe\tPRP\tB-NP\tO' -p224331 -aS'had\thave\tVBD\tB-VP\tO' -p224332 -aS'emesis\temesis\tNN\tB-NP\tO' -p224333 -aS'times\ttime\tNNS\tI-NP\tO' -p224334 -aS'three\tthree\tCD\tI-NP\tO' -p224335 -aS'of\tof\tIN\tI-NP\tO' -p224336 -aS'75\t75\tCD\tI-NP\tO' -p224337 -aS'cc\tcc\tNN\tI-NP\tO' -p224338 -aS'of\tof\tIN\tB-PP\tO' -p224339 -aS'coffee\tcoffee\tNN\tB-NP\tO' -p224340 -aS'ground\tground\tNN\tI-NP\tO' -p224341 -aS'material\tmaterial\tNN\tI-NP\tO' -p224342 -aS'.\t.\t.\tO\tO' -p224343 -asS'Previously employed as a security guard at a nuclear power plant .' -p224344 -(lp224345 -S'Previously\tPreviously\tRB\tB-ADVP\tO' -p224346 -aS'employed\temploy\tVBN\tB-VP\tO' -p224347 -aS'as\tas\tIN\tB-PP\tO' -p224348 -aS'a\ta\tDT\tB-NP\tO' -p224349 -aS'security\tsecurity\tNN\tI-NP\tO' -p224350 -aS'guard\tguard\tNN\tI-NP\tO' -p224351 -aS'at\tat\tIN\tB-PP\tO' -p224352 -aS'a\ta\tDT\tB-NP\tO' -p224353 -aS'nuclear\tnuclear\tJJ\tI-NP\tO' -p224354 -aS'power\tpower\tNN\tI-NP\tO' -p224355 -aS'plant\tplant\tNN\tI-NP\tO' -p224356 -aS'.\t.\t.\tO\tO' -p224357 -asS'Also with multiple masses consistent with metastasis .' -p224358 -(lp224359 -S'Also\tAlso\tRB\tB-ADVP\tO' -p224360 -aS'with\twith\tIN\tB-PP\tO' -p224361 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p224362 -aS'masses\tmass\tNNS\tI-NP\tO' -p224363 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p224364 -aS'with\twith\tIN\tB-PP\tO' -p224365 -aS'metastasis\tmetastasis\tNN\tB-NP\tO' -p224366 -aS'.\t.\t.\tO\tO' -p224367 -asS'Patient was maintained on insulin , D10 and glucagon drips to maintain her hemodynamics .' -p224368 -(lp224369 -S'Patient\tPatient\tNN\tB-NP\tO' -p224370 -aS'was\tbe\tVBD\tB-VP\tO' -p224371 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p224372 -aS'on\ton\tIN\tB-PP\tO' -p224373 -aS'insulin\tinsulin\tNN\tB-NP\tB-protein' -p224374 -aS',\t,\t,\tI-NP\tO' -p224375 -aS'D10\tD10\tNN\tI-NP\tB-protein' -p224376 -aS'and\tand\tCC\tI-NP\tO' -p224377 -aS'glucagon\tglucagon\tNN\tI-NP\tO' -p224378 -aS'drips\tdrip\tNNS\tI-NP\tO' -p224379 -aS'to\tto\tTO\tB-VP\tO' -p224380 -aS'maintain\tmaintain\tVB\tI-VP\tO' -p224381 -aS'her\ther\tPRP$\tB-NP\tO' -p224382 -aS'hemodynamics\themodynamic\tNNS\tI-NP\tO' -p224383 -aS'.\t.\t.\tO\tO' -p224384 -asS'She was tolerating a regular diet .' -p224385 -(lp224386 -S'She\tShe\tPRP\tB-NP\tO' -p224387 -aS'was\tbe\tVBD\tB-VP\tO' -p224388 -aS'tolerating\ttolerate\tVBG\tI-VP\tO' -p224389 -aS'a\ta\tDT\tB-NP\tO' -p224390 -aS'regular\tregular\tJJ\tI-NP\tO' -p224391 -aS'diet\tdiet\tNN\tI-NP\tO' -p224392 -aS'.\t.\t.\tO\tO' -p224393 -asS'Leave white strips above your incisions in place , allow them to fall off on their own .' -p224394 -(lp224395 -S'Leave\tLeave\tVB\tB-VP\tO' -p224396 -aS'white\twhite\tJJ\tB-NP\tO' -p224397 -aS'strips\tstrip\tNNS\tI-NP\tO' -p224398 -aS'above\tabove\tIN\tB-PP\tO' -p224399 -aS'your\tyour\tPRP$\tB-NP\tO' -p224400 -aS'incisions\tincision\tNNS\tI-NP\tO' -p224401 -aS'in\tin\tIN\tB-PP\tO' -p224402 -aS'place\tplace\tNN\tB-NP\tO' -p224403 -aS',\t,\t,\tO\tO' -p224404 -aS'allow\tallow\tVB\tB-VP\tO' -p224405 -aS'them\tthem\tPRP\tB-NP\tO' -p224406 -aS'to\tto\tTO\tB-VP\tO' -p224407 -aS'fall\tfall\tVB\tI-VP\tO' -p224408 -aS'off\toff\tRP\tB-PRT\tO' -p224409 -aS'on\ton\tIN\tB-PP\tO' -p224410 -aS'their\ttheir\tPRP$\tB-NP\tO' -p224411 -aS'own\town\tJJ\tI-NP\tO' -p224412 -aS'.\t.\t.\tO\tO' -p224413 -asS'In the am , she was found to have a hct of 24 , down from 32 and plts 35 , down from 72 .' -p224414 -(lp224415 -S'In\tIn\tIN\tB-PP\tO' -p224416 -aS'the\tthe\tDT\tB-NP\tO' -p224417 -aS'am\tam\tNN\tI-NP\tO' -p224418 -aS',\t,\t,\tO\tO' -p224419 -aS'she\tshe\tPRP\tB-NP\tO' -p224420 -aS'was\tbe\tVBD\tB-VP\tO' -p224421 -aS'found\tfind\tVBN\tI-VP\tO' -p224422 -aS'to\tto\tTO\tI-VP\tO' -p224423 -aS'have\thave\tVB\tI-VP\tO' -p224424 -aS'a\ta\tDT\tB-NP\tO' -p224425 -aS'hct\thct\tNN\tI-NP\tO' -p224426 -aS'of\tof\tIN\tB-PP\tO' -p224427 -aS'24\t24\tCD\tB-NP\tO' -p224428 -aS',\t,\t,\tO\tO' -p224429 -aS'down\tdown\tRB\tB-ADVP\tO' -p224430 -aS'from\tfrom\tIN\tB-PP\tO' -p224431 -aS'32\t32\tCD\tB-NP\tO' -p224432 -aS'and\tand\tCC\tO\tO' -p224433 -aS'plts\tplt\tNNS\tB-NP\tO' -p224434 -aS'35\t35\tCD\tB-NP\tO' -p224435 -aS',\t,\t,\tO\tO' -p224436 -aS'down\tdown\tRB\tB-ADVP\tO' -p224437 -aS'from\tfrom\tIN\tB-PP\tO' -p224438 -aS'72\t72\tCD\tB-NP\tO' -p224439 -aS'.\t.\t.\tO\tO' -p224440 -asS'Recent chest x-ray shows resolving right lower lobe pneumonia .' -p224441 -(lp224442 -S'Recent\tRecent\tJJ\tB-NP\tO' -p224443 -aS'chest\tchest\tNN\tI-NP\tO' -p224444 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p224445 -aS'shows\tshow\tVBZ\tB-VP\tO' -p224446 -aS'resolving\tresolve\tVBG\tI-VP\tO' -p224447 -aS'right\tright\tRB\tB-NP\tO' -p224448 -aS'lower\tlow\tJJR\tI-NP\tO' -p224449 -aS'lobe\tlobe\tNN\tI-NP\tO' -p224450 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p224451 -aS'.\t.\t.\tO\tO' -p224452 -asS'Then stop taking the medication .' -p224453 -(lp224454 -S'Then\tThen\tRB\tO\tO' -p224455 -aS'stop\tstop\tVB\tB-VP\tO' -p224456 -aS'taking\ttake\tVBG\tI-VP\tO' -p224457 -aS'the\tthe\tDT\tB-NP\tO' -p224458 -aS'medication\tmedication\tNN\tI-NP\tO' -p224459 -aS'.\t.\t.\tO\tO' -p224460 -asS"Patient then did well on a trach mask and was transferred to rehab on the day of admission but now returns with tachycardia to the 120 's , and fever to 102 degrees F ." -p224461 -(lp224462 -S'Patient\tPatient\tNN\tB-NP\tO' -p224463 -aS'then\tthen\tRB\tB-ADVP\tO' -p224464 -aS'did\tdo\tVBD\tB-VP\tO' -p224465 -aS'well\twell\tRB\tB-ADVP\tO' -p224466 -aS'on\ton\tIN\tB-PP\tO' -p224467 -aS'a\ta\tDT\tB-NP\tO' -p224468 -aS'trach\ttrach\tNN\tI-NP\tO' -p224469 -aS'mask\tmask\tNN\tI-NP\tO' -p224470 -aS'and\tand\tCC\tO\tO' -p224471 -aS'was\tbe\tVBD\tB-VP\tO' -p224472 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p224473 -aS'to\tto\tTO\tI-VP\tO' -p224474 -aS'rehab\trehab\tVB\tI-VP\tO' -p224475 -aS'on\ton\tIN\tB-PP\tO' -p224476 -aS'the\tthe\tDT\tB-NP\tO' -p224477 -aS'day\tday\tNN\tI-NP\tO' -p224478 -aS'of\tof\tIN\tB-PP\tO' -p224479 -aS'admission\tadmission\tNN\tB-NP\tO' -p224480 -aS'but\tbut\tCC\tO\tO' -p224481 -aS'now\tnow\tRB\tB-VP\tO' -p224482 -aS'returns\treturn\tVBZ\tI-VP\tO' -p224483 -aS'with\twith\tIN\tB-PP\tO' -p224484 -aS'tachycardia\ttachycardia\tNN\tB-NP\tO' -p224485 -aS'to\tto\tTO\tB-PP\tO' -p224486 -aS'the\tthe\tDT\tB-NP\tO' -p224487 -aS'120\t120\tCD\tI-NP\tO' -p224488 -aS"'s\t's\tPOS\tB-NP\tO" -p224489 -aS',\t,\t,\tO\tO' -p224490 -aS'and\tand\tCC\tO\tO' -p224491 -aS'fever\tfever\tNN\tB-NP\tO' -p224492 -aS'to\tto\tTO\tB-PP\tO' -p224493 -aS'102\t102\tCD\tB-NP\tO' -p224494 -aS'degrees\tdegree\tNNS\tI-NP\tO' -p224495 -aS'F\tF\tNN\tI-NP\tO' -p224496 -aS'.\t.\t.\tO\tO' -p224497 -asS'Meds at transfer : Levoxyl , Celexa , Folate , Lopressor , Colace , RISS , B12 , Protonix , Lasix , Zocor , Verapamil , Lovenox , Lisinopril' -p224498 -(lp224499 -S'Meds\tMed\tNNS\tB-NP\tO' -p224500 -aS'at\tat\tIN\tB-PP\tO' -p224501 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p224502 -aS':\t:\t:\tO\tO' -p224503 -aS'Levoxyl\tLevoxyl\tNNP\tB-NP\tO' -p224504 -aS',\t,\t,\tO\tO' -p224505 -aS'Celexa\tCelexa\tNNP\tB-NP\tO' -p224506 -aS',\t,\t,\tO\tO' -p224507 -aS'Folate\tFolate\tNNP\tB-NP\tO' -p224508 -aS',\t,\t,\tO\tO' -p224509 -aS'Lopressor\tLopressor\tNNP\tB-NP\tO' -p224510 -aS',\t,\t,\tO\tO' -p224511 -aS'Colace\tColace\tNNP\tB-NP\tO' -p224512 -aS',\t,\t,\tO\tO' -p224513 -aS'RISS\tRISS\tNNP\tB-NP\tO' -p224514 -aS',\t,\t,\tO\tO' -p224515 -aS'B12\tB12\tNNP\tB-NP\tB-protein' -p224516 -aS',\t,\t,\tO\tO' -p224517 -aS'Protonix\tProtonix\tNNP\tB-NP\tO' -p224518 -aS',\t,\t,\tO\tO' -p224519 -aS'Lasix\tLasix\tNNP\tB-NP\tO' -p224520 -aS',\t,\t,\tO\tO' -p224521 -aS'Zocor\tZocor\tNNP\tB-NP\tO' -p224522 -aS',\t,\t,\tO\tO' -p224523 -aS'Verapamil\tVerapamil\tNNP\tB-NP\tO' -p224524 -aS',\t,\t,\tO\tO' -p224525 -aS'Lovenox\tLovenox\tNNP\tB-NP\tO' -p224526 -aS',\t,\t,\tO\tO' -p224527 -aS'Lisinopril\tLisinopril\tNNP\tB-NP\tO' -p224528 -asS'She was transiently in sinus rhythm , but atrial fibrillation recurred .' -p224529 -(lp224530 -S'She\tShe\tPRP\tB-NP\tO' -p224531 -aS'was\tbe\tVBD\tB-VP\tO' -p224532 -aS'transiently\ttransiently\tRB\tB-ADVP\tO' -p224533 -aS'in\tin\tIN\tB-PP\tO' -p224534 -aS'sinus\tsinus\tNN\tB-NP\tO' -p224535 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p224536 -aS',\t,\t,\tO\tO' -p224537 -aS'but\tbut\tCC\tO\tO' -p224538 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p224539 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p224540 -aS'recurred\trecur\tVBD\tB-VP\tO' -p224541 -aS'.\t.\t.\tO\tO' -p224542 -asS'There was no diarrhea on 10/20 .' -p224543 -(lp224544 -S'There\tThere\tEX\tB-NP\tO' -p224545 -aS'was\tbe\tVBD\tB-VP\tO' -p224546 -aS'no\tno\tDT\tB-NP\tO' -p224547 -aS'diarrhea\tdiarrhea\tNN\tI-NP\tO' -p224548 -aS'on\ton\tIN\tB-PP\tO' -p224549 -aS'10/20\t10/20\tCD\tB-NP\tO' -p224550 -aS'.\t.\t.\tO\tO' -p224551 -asS'The patient gradually improved on the current therapy and was quite awake and alert , though still appeared to have some evidence of dementia and disorientation .' -p224552 -(lp224553 -S'The\tThe\tDT\tB-NP\tO' -p224554 -aS'patient\tpatient\tNN\tI-NP\tO' -p224555 -aS'gradually\tgradually\tRB\tB-VP\tO' -p224556 -aS'improved\timprove\tVBN\tI-VP\tO' -p224557 -aS'on\ton\tIN\tB-PP\tO' -p224558 -aS'the\tthe\tDT\tB-NP\tO' -p224559 -aS'current\tcurrent\tJJ\tI-NP\tO' -p224560 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p224561 -aS'and\tand\tCC\tO\tO' -p224562 -aS'was\tbe\tVBD\tB-VP\tO' -p224563 -aS'quite\tquite\tRB\tB-NP\tO' -p224564 -aS'awake\tawake\tNN\tI-NP\tO' -p224565 -aS'and\tand\tCC\tI-NP\tO' -p224566 -aS'alert\talert\tNN\tI-NP\tO' -p224567 -aS',\t,\t,\tO\tO' -p224568 -aS'though\tthough\tIN\tB-SBAR\tO' -p224569 -aS'still\tstill\tRB\tB-ADVP\tO' -p224570 -aS'appeared\tappear\tVBD\tB-VP\tO' -p224571 -aS'to\tto\tTO\tI-VP\tO' -p224572 -aS'have\thave\tVB\tI-VP\tO' -p224573 -aS'some\tsome\tDT\tB-NP\tO' -p224574 -aS'evidence\tevidence\tNN\tI-NP\tO' -p224575 -aS'of\tof\tIN\tB-PP\tO' -p224576 -aS'dementia\tdementia\tNN\tB-NP\tO' -p224577 -aS'and\tand\tCC\tI-NP\tO' -p224578 -aS'disorientation\tdisorientation\tNN\tI-NP\tO' -p224579 -aS'.\t.\t.\tO\tO' -p224580 -asS'Chemistry on admission showed a sodium of 141 , potassium of 4.3 , chloride of 107 , bicarbonate of 25 , BUN of 4 , creatinine of 0.6 and a sugar of 177 .' -p224581 -(lp224582 -S'Chemistry\tChemistry\tNN\tB-NP\tO' -p224583 -aS'on\ton\tIN\tB-PP\tO' -p224584 -aS'admission\tadmission\tNN\tB-NP\tO' -p224585 -aS'showed\tshow\tVBD\tB-VP\tO' -p224586 -aS'a\ta\tDT\tB-NP\tO' -p224587 -aS'sodium\tsodium\tNN\tI-NP\tO' -p224588 -aS'of\tof\tIN\tB-PP\tO' -p224589 -aS'141\t141\tCD\tB-NP\tO' -p224590 -aS',\t,\t,\tO\tO' -p224591 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p224592 -aS'of\tof\tIN\tB-PP\tO' -p224593 -aS'4.3\t4.3\tNN\tB-NP\tO' -p224594 -aS',\t,\t,\tO\tO' -p224595 -aS'chloride\tchloride\tNN\tB-NP\tO' -p224596 -aS'of\tof\tIN\tB-PP\tO' -p224597 -aS'107\t107\tCD\tB-NP\tO' -p224598 -aS',\t,\t,\tO\tO' -p224599 -aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' -p224600 -aS'of\tof\tIN\tB-PP\tO' -p224601 -aS'25\t25\tCD\tB-NP\tO' -p224602 -aS',\t,\t,\tO\tO' -p224603 -aS'BUN\tBUN\tNN\tB-NP\tO' -p224604 -aS'of\tof\tIN\tB-PP\tO' -p224605 -aS'4\t4\tCD\tB-NP\tO' -p224606 -aS',\t,\t,\tO\tO' -p224607 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p224608 -aS'of\tof\tIN\tB-PP\tO' -p224609 -aS'0.6\t0.6\tCD\tB-NP\tO' -p224610 -aS'and\tand\tCC\tO\tO' -p224611 -aS'a\ta\tDT\tB-NP\tO' -p224612 -aS'sugar\tsugar\tNN\tI-NP\tO' -p224613 -aS'of\tof\tIN\tB-PP\tO' -p224614 -aS'177\t177\tCD\tB-NP\tO' -p224615 -aS'.\t.\t.\tO\tO' -p224616 -asS'Given the results of this cardiac catheterization , which were not significantly changed from his previous cardiac catheterization prior to the PTCA , it was elected to attempt to medically manage the patient .' -p224617 -(lp224618 -S'Given\tGive\tVBN\tB-PP\tO' -p224619 -aS'the\tthe\tDT\tB-NP\tO' -p224620 -aS'results\tresult\tNNS\tI-NP\tO' -p224621 -aS'of\tof\tIN\tB-PP\tO' -p224622 -aS'this\tthis\tDT\tB-NP\tO' -p224623 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p224624 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p224625 -aS',\t,\t,\tO\tO' -p224626 -aS'which\twhich\tWDT\tB-NP\tO' -p224627 -aS'were\tbe\tVBD\tB-VP\tO' -p224628 -aS'not\tnot\tRB\tO\tO' -p224629 -aS'significantly\tsignificantly\tRB\tB-ADJP\tO' -p224630 -aS'changed\tchange\tVBN\tI-ADJP\tO' -p224631 -aS'from\tfrom\tIN\tB-PP\tO' -p224632 -aS'his\this\tPRP$\tB-NP\tO' -p224633 -aS'previous\tprevious\tJJ\tI-NP\tO' -p224634 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p224635 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p224636 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p224637 -aS'to\tto\tTO\tB-PP\tO' -p224638 -aS'the\tthe\tDT\tB-NP\tO' -p224639 -aS'PTCA\tPTCA\tNN\tI-NP\tB-protein' -p224640 -aS',\t,\t,\tO\tO' -p224641 -aS'it\tit\tPRP\tB-NP\tO' -p224642 -aS'was\tbe\tVBD\tB-VP\tO' -p224643 -aS'elected\telect\tVBN\tI-VP\tO' -p224644 -aS'to\tto\tTO\tI-VP\tO' -p224645 -aS'attempt\tattempt\tVB\tI-VP\tO' -p224646 -aS'to\tto\tTO\tB-VP\tO' -p224647 -aS'medically\tmedically\tRB\tI-VP\tO' -p224648 -aS'manage\tmanage\tVB\tI-VP\tO' -p224649 -aS'the\tthe\tDT\tB-NP\tO' -p224650 -aS'patient\tpatient\tNN\tI-NP\tO' -p224651 -aS'.\t.\t.\tO\tO' -p224652 -asS'Dictated By : Marcelene R. Brennan , M.D.' -p224653 -(lp224654 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p224655 -aS'By\tBy\tIN\tB-PP\tO' -p224656 -aS':\t:\t:\tO\tO' -p224657 -aS'Marcelene\tMarcelene\tNNP\tB-NP\tO' -p224658 -aS'R.\tR.\tNNP\tI-NP\tO' -p224659 -aS'Brennan\tBrennan\tNNP\tI-NP\tO' -p224660 -aS',\t,\t,\tO\tO' -p224661 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p224662 -asS'There was an intra-atrial shunt from the right to the left through a patent foramen ovale .' -p224663 -(lp224664 -S'There\tThere\tEX\tB-NP\tO' -p224665 -aS'was\tbe\tVBD\tB-VP\tO' -p224666 -aS'an\tan\tDT\tB-NP\tO' -p224667 -aS'intra-atrial\tintra-atrial\tJJ\tI-NP\tO' -p224668 -aS'shunt\tshunt\tNN\tI-NP\tO' -p224669 -aS'from\tfrom\tIN\tB-PP\tO' -p224670 -aS'the\tthe\tDT\tB-NP\tO' -p224671 -aS'right\tright\tNN\tI-NP\tO' -p224672 -aS'to\tto\tTO\tB-PP\tO' -p224673 -aS'the\tthe\tDT\tB-NP\tO' -p224674 -aS'left\tleave\tVBN\tI-NP\tO' -p224675 -aS'through\tthrough\tIN\tB-PP\tO' -p224676 -aS'a\ta\tDT\tB-NP\tO' -p224677 -aS'patent\tpatent\tNN\tI-NP\tO' -p224678 -aS'foramen\tforamen\tNN\tI-NP\tO' -p224679 -aS'ovale\tovale\tNN\tI-NP\tO' -p224680 -aS'.\t.\t.\tO\tO' -p224681 -asS'ADULT RESPIRATORY DISTRESS SYNDROME .' -p224682 -(lp224683 -S'ADULT\tADULT\tNNP\tB-NP\tO' -p224684 -aS'RESPIRATORY\tRESPIRATORY\tNNP\tI-NP\tO' -p224685 -aS'DISTRESS\tDISTRESS\tNNP\tI-NP\tO' -p224686 -aS'SYNDROME\tSYNDROME\tNNP\tI-NP\tO' -p224687 -aS'.\t.\t.\tO\tO' -p224688 -asS'Neck supple , no lesions .' -p224689 -(lp224690 -S'Neck\tNeck\tNN\tB-NP\tO' -p224691 -aS'supple\tsupple\tNN\tI-NP\tO' -p224692 -aS',\t,\t,\tO\tO' -p224693 -aS'no\tno\tDT\tB-NP\tO' -p224694 -aS'lesions\tlesion\tNNS\tI-NP\tO' -p224695 -aS'.\t.\t.\tO\tO' -p224696 -asS'Chest clear to auscultation bilaterally .' -p224697 -(lp224698 -S'Chest\tChest\tRBS\tB-ADJP\tO' -p224699 -aS'clear\tclear\tJJ\tI-ADJP\tO' -p224700 -aS'to\tto\tTO\tB-PP\tO' -p224701 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p224702 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p224703 -aS'.\t.\t.\tO\tO' -p224704 -asS'12. Sepsis .' -p224705 -(lp224706 -S'12.\t12.\tLS\tB-LST\tO' -p224707 -aS'Sepsis\tSepsis\tNNP\tB-NP\tO' -p224708 -aS'.\t.\t.\tO\tO' -p224709 -asS'No definite changes since the MR of in 2011-05-15 .' -p224710 -(lp224711 -S'No\tNo\tDT\tB-NP\tO' -p224712 -aS'definite\tdefinite\tJJ\tI-NP\tO' -p224713 -aS'changes\tchange\tNNS\tI-NP\tO' -p224714 -aS'since\tsince\tIN\tB-PP\tO' -p224715 -aS'the\tthe\tDT\tB-NP\tO' -p224716 -aS'MR\tMR\tNN\tI-NP\tB-protein' -p224717 -aS'of\tof\tIN\tB-PP\tO' -p224718 -aS'in\tin\tIN\tB-PP\tO' -p224719 -aS'2011-05-15\t2011-05-15\tCD\tB-NP\tO' -p224720 -aS'.\t.\t.\tO\tO' -p224721 -asS'The only medications she is on are Paxil 30 mg p.o. q.day , Doxepin 25 mg p.o. q.day , and Klonopin 2 mg p.o. q.h.s.' -p224722 -(lp224723 -S'The\tThe\tDT\tB-NP\tO' -p224724 -aS'only\tonly\tJJ\tI-NP\tO' -p224725 -aS'medications\tmedication\tNNS\tI-NP\tO' -p224726 -aS'she\tshe\tPRP\tB-NP\tO' -p224727 -aS'is\tbe\tVBZ\tB-VP\tO' -p224728 -aS'on\ton\tIN\tB-ADVP\tO' -p224729 -aS'are\tbe\tVBP\tB-VP\tO' -p224730 -aS'Paxil\tPaxil\tNNP\tB-NP\tO' -p224731 -aS'30\t30\tCD\tI-NP\tO' -p224732 -aS'mg\tmg\tNN\tI-NP\tO' -p224733 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p224734 -aS'q.day\tq.day\tNN\tI-NP\tO' -p224735 -aS',\t,\t,\tO\tO' -p224736 -aS'Doxepin\tDoxepin\tNNP\tB-NP\tO' -p224737 -aS'25\t25\tCD\tI-NP\tO' -p224738 -aS'mg\tmg\tNN\tI-NP\tO' -p224739 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p224740 -aS'q.day\tq.day\tNN\tI-NP\tO' -p224741 -aS',\t,\t,\tO\tO' -p224742 -aS'and\tand\tCC\tO\tO' -p224743 -aS'Klonopin\tKlonopin\tNN\tB-NP\tB-protein' -p224744 -aS'2\t2\tCD\tI-NP\tI-protein' -p224745 -aS'mg\tmg\tNN\tI-NP\tO' -p224746 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p224747 -aS'q.h.s.\tq.h.s.\tNN\tI-NP\tO' -p224748 -asS'Patient is a 72 year old female with known carotid stenosis , and recent carotid noninvasives at an outside hospital , which showed 90% left sided stenosis .' -p224749 -(lp224750 -S'Patient\tPatient\tNN\tB-NP\tO' -p224751 -aS'is\tbe\tVBZ\tB-VP\tO' -p224752 -aS'a\ta\tDT\tB-NP\tO' -p224753 -aS'72\t72\tCD\tI-NP\tO' -p224754 -aS'year\tyear\tNN\tI-NP\tO' -p224755 -aS'old\told\tJJ\tI-NP\tO' -p224756 -aS'female\tfemale\tNN\tI-NP\tO' -p224757 -aS'with\twith\tIN\tB-PP\tO' -p224758 -aS'known\tknow\tVBN\tB-NP\tO' -p224759 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p224760 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p224761 -aS',\t,\t,\tO\tO' -p224762 -aS'and\tand\tCC\tO\tO' -p224763 -aS'recent\trecent\tJJ\tB-NP\tO' -p224764 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p224765 -aS'noninvasives\tnoninvasive\tNNS\tI-NP\tO' -p224766 -aS'at\tat\tIN\tB-PP\tO' -p224767 -aS'an\tan\tDT\tB-NP\tO' -p224768 -aS'outside\toutside\tJJ\tI-NP\tO' -p224769 -aS'hospital\thospital\tNN\tI-NP\tO' -p224770 -aS',\t,\t,\tO\tO' -p224771 -aS'which\twhich\tWDT\tB-NP\tO' -p224772 -aS'showed\tshow\tVBD\tB-VP\tO' -p224773 -aS'90%\t90%\tCD\tB-NP\tO' -p224774 -aS'left\tleft\tJJ\tI-NP\tO' -p224775 -aS'sided\tsided\tJJ\tI-NP\tO' -p224776 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p224777 -aS'.\t.\t.\tO\tO' -p224778 -asS'He was later seen by Dr. Flo Cuchkote at the Ph University Of Medical Center and diagnosed with progressive supranuclear palsy .' -p224779 -(lp224780 -S'He\tHe\tPRP\tB-NP\tO' -p224781 -aS'was\tbe\tVBD\tB-VP\tO' -p224782 -aS'later\tlater\tRB\tI-VP\tO' -p224783 -aS'seen\tsee\tVBN\tI-VP\tO' -p224784 -aS'by\tby\tIN\tB-PP\tO' -p224785 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p224786 -aS'Flo\tFlo\tNNP\tI-NP\tO' -p224787 -aS'Cuchkote\tCuchkote\tNNP\tI-NP\tO' -p224788 -aS'at\tat\tIN\tB-PP\tO' -p224789 -aS'the\tthe\tDT\tB-NP\tO' -p224790 -aS'Ph\tPh\tNNP\tI-NP\tO' -p224791 -aS'University\tUniversity\tNNP\tI-NP\tO' -p224792 -aS'Of\tOf\tNNP\tI-NP\tO' -p224793 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p224794 -aS'Center\tCenter\tNNP\tI-NP\tO' -p224795 -aS'and\tand\tCC\tO\tO' -p224796 -aS'diagnosed\tdiagnose\tVBN\tB-VP\tO' -p224797 -aS'with\twith\tIN\tB-PP\tO' -p224798 -aS'progressive\tprogressive\tJJ\tB-NP\tO' -p224799 -aS'supranuclear\tsupranuclear\tJJ\tI-NP\tO' -p224800 -aS'palsy\tpalsy\tNN\tI-NP\tO' -p224801 -aS'.\t.\t.\tO\tO' -p224802 -asS'1. Term , appropriate for gestational age , male neonate .' -p224803 -(lp224804 -S'1.\t1.\tLS\tB-NP\tO' -p224805 -aS'Term\tTerm\tNN\tI-NP\tO' -p224806 -aS',\t,\t,\tO\tO' -p224807 -aS'appropriate\tappropriate\tJJ\tB-ADJP\tO' -p224808 -aS'for\tfor\tIN\tB-PP\tO' -p224809 -aS'gestational\tgestational\tJJ\tB-NP\tO' -p224810 -aS'age\tage\tNN\tI-NP\tO' -p224811 -aS',\t,\t,\tO\tO' -p224812 -aS'male\tmale\tJJ\tB-NP\tO' -p224813 -aS'neonate\tneonate\tNN\tI-NP\tO' -p224814 -aS'.\t.\t.\tO\tO' -p224815 -asS'Cardiology was consulted to evaluate this and felt that the changes seen on the EKG were not significant .' -p224816 -(lp224817 -S'Cardiology\tCardiology\tNN\tB-NP\tO' -p224818 -aS'was\tbe\tVBD\tB-VP\tO' -p224819 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p224820 -aS'to\tto\tTO\tI-VP\tO' -p224821 -aS'evaluate\tevaluate\tVB\tI-VP\tO' -p224822 -aS'this\tthis\tDT\tB-NP\tO' -p224823 -aS'and\tand\tCC\tO\tO' -p224824 -aS'felt\tfeel\tVBD\tB-VP\tO' -p224825 -aS'that\tthat\tIN\tB-SBAR\tO' -p224826 -aS'the\tthe\tDT\tB-NP\tO' -p224827 -aS'changes\tchange\tNNS\tI-NP\tO' -p224828 -aS'seen\tsee\tVBN\tB-VP\tO' -p224829 -aS'on\ton\tIN\tB-PP\tO' -p224830 -aS'the\tthe\tDT\tB-NP\tO' -p224831 -aS'EKG\tEKG\tNN\tI-NP\tB-protein' -p224832 -aS'were\tbe\tVBD\tB-VP\tO' -p224833 -aS'not\tnot\tRB\tO\tO' -p224834 -aS'significant\tsignificant\tJJ\tB-ADJP\tO' -p224835 -aS'.\t.\t.\tO\tO' -p224836 -asS'He remained stable from a cardiac fashion .' -p224837 -(lp224838 -S'He\tHe\tPRP\tB-NP\tO' -p224839 -aS'remained\tremain\tVBD\tB-VP\tO' -p224840 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p224841 -aS'from\tfrom\tIN\tB-PP\tO' -p224842 -aS'a\ta\tDT\tB-NP\tO' -p224843 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p224844 -aS'fashion\tfashion\tNN\tI-NP\tO' -p224845 -aS'.\t.\t.\tO\tO' -p224846 -asS'CV : Irregularly irregular rhytmm , no m/r/g' -p224847 -(lp224848 -S'CV\tCV\tNN\tB-NP\tO' -p224849 -aS':\t:\t:\tO\tO' -p224850 -aS'Irregularly\tIrregularly\tRB\tB-NP\tO' -p224851 -aS'irregular\tirregular\tJJ\tI-NP\tO' -p224852 -aS'rhytmm\trhytmm\tNN\tI-NP\tO' -p224853 -aS',\t,\t,\tO\tO' -p224854 -aS'no\tno\tDT\tB-NP\tO' -p224855 -aS'm/r/g\tm/r/g\tNN\tI-NP\tO' -p224856 -asS'There will be further addendum .' -p224857 -(lp224858 -S'There\tThere\tEX\tB-NP\tO' -p224859 -aS'will\twill\tMD\tB-VP\tO' -p224860 -aS'be\tbe\tVB\tI-VP\tO' -p224861 -aS'further\tfurther\tJJ\tB-NP\tO' -p224862 -aS'addendum\taddendum\tNN\tI-NP\tO' -p224863 -aS'.\t.\t.\tO\tO' -p224864 -asS'6. Cholelithiasis .' -p224865 -(lp224866 -S'6.\t6.\tLS\tB-NP\tO' -p224867 -aS'Cholelithiasis\tCholelithiasis\tNN\tI-NP\tO' -p224868 -aS'.\t.\t.\tO\tO' -p224869 -asS'Initial EKG showed ST depressions , but cardiac enzymes were not elevated .' -p224870 -(lp224871 -S'Initial\tInitial\tJJ\tB-NP\tO' -p224872 -aS'EKG\tEKG\tNN\tI-NP\tO' -p224873 -aS'showed\tshow\tVBD\tB-VP\tO' -p224874 -aS'ST\tST\tNN\tB-NP\tO' -p224875 -aS'depressions\tdepression\tNNS\tI-NP\tO' -p224876 -aS',\t,\t,\tO\tO' -p224877 -aS'but\tbut\tCC\tO\tO' -p224878 -aS'cardiac\tcardiac\tJJ\tB-NP\tB-protein' -p224879 -aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' -p224880 -aS'were\tbe\tVBD\tB-VP\tO' -p224881 -aS'not\tnot\tRB\tI-VP\tO' -p224882 -aS'elevated\televate\tVBN\tI-VP\tO' -p224883 -aS'.\t.\t.\tO\tO' -p224884 -asS'Synthroid , Prilosec 20 mg p.o. , Fioricet , Celebrex .' -p224885 -(lp224886 -S'Synthroid\tSynthroid\tNNP\tB-NP\tO' -p224887 -aS',\t,\t,\tO\tO' -p224888 -aS'Prilosec\tPrilosec\tNNP\tB-NP\tO' -p224889 -aS'20\t20\tCD\tI-NP\tO' -p224890 -aS'mg\tmg\tNN\tI-NP\tO' -p224891 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p224892 -aS',\t,\t,\tO\tO' -p224893 -aS'Fioricet\tFioricet\tNNP\tB-NP\tO' -p224894 -aS',\t,\t,\tO\tO' -p224895 -aS'Celebrex\tCelebrex\tNNP\tB-NP\tO' -p224896 -aS'.\t.\t.\tO\tO' -p224897 -asS'However , he became progressively more mentally obtunded .' -p224898 -(lp224899 -S'However\tHowever\tRB\tB-ADVP\tO' -p224900 -aS',\t,\t,\tO\tO' -p224901 -aS'he\the\tPRP\tB-NP\tO' -p224902 -aS'became\tbecome\tVBD\tB-VP\tO' -p224903 -aS'progressively\tprogressively\tRB\tB-ADJP\tO' -p224904 -aS'more\tmore\tRBR\tI-ADJP\tO' -p224905 -aS'mentally\tmentally\tRB\tI-ADJP\tO' -p224906 -aS'obtunded\tobtund\tVBN\tI-ADJP\tO' -p224907 -aS'.\t.\t.\tO\tO' -p224908 -asS'No hip click .' -p224909 -(lp224910 -S'No\tNo\tDT\tB-NP\tO' -p224911 -aS'hip\thip\tNN\tI-NP\tO' -p224912 -aS'click\tclick\tNN\tI-NP\tO' -p224913 -aS'.\t.\t.\tO\tO' -p224914 -asS'He had daily transfusions of FFP and blood , and continued coagulopathy .' -p224915 -(lp224916 -S'He\tHe\tPRP\tB-NP\tO' -p224917 -aS'had\thave\tVBD\tB-VP\tO' -p224918 -aS'daily\tdaily\tJJ\tB-NP\tO' -p224919 -aS'transfusions\ttransfusion\tNNS\tI-NP\tO' -p224920 -aS'of\tof\tIN\tB-PP\tO' -p224921 -aS'FFP\tFFP\tNN\tB-NP\tB-protein' -p224922 -aS'and\tand\tCC\tI-NP\tO' -p224923 -aS'blood\tblood\tNN\tI-NP\tO' -p224924 -aS',\t,\t,\tO\tO' -p224925 -aS'and\tand\tCC\tO\tO' -p224926 -aS'continued\tcontinued\tJJ\tB-NP\tO' -p224927 -aS'coagulopathy\tcoagulopathy\tNN\tI-NP\tO' -p224928 -aS'.\t.\t.\tO\tO' -p224929 -asS"Carpal tunnel syndrome , Hypertension , Hyperlipidemia , Arthritis , h/o Bell's Palsy , HOH , s/p Tonsillectomy" -p224930 -(lp224931 -S'Carpal\tCarpal\tJJ\tB-NP\tO' -p224932 -aS'tunnel\ttunnel\tNN\tI-NP\tO' -p224933 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p224934 -aS',\t,\t,\tO\tO' -p224935 -aS'Hypertension\tHypertension\tNN\tB-NP\tO' -p224936 -aS',\t,\t,\tO\tO' -p224937 -aS'Hyperlipidemia\tHyperlipidemia\tNN\tB-NP\tO' -p224938 -aS',\t,\t,\tO\tO' -p224939 -aS'Arthritis\tArthritis\tNN\tB-NP\tO' -p224940 -aS',\t,\t,\tO\tO' -p224941 -aS'h/o\th/o\tNN\tB-NP\tO' -p224942 -aS"Bell's\tBell's\tNNP\tI-NP\tO" -p224943 -aS'Palsy\tPalsy\tNNP\tI-NP\tO' -p224944 -aS',\t,\t,\tO\tO' -p224945 -aS'HOH\tHOH\tNN\tB-NP\tB-protein' -p224946 -aS',\t,\t,\tO\tO' -p224947 -aS's/p\ts/p\tNN\tB-NP\tO' -p224948 -aS'Tonsillectomy\tTonsillectomy\tNN\tI-NP\tO' -p224949 -asS'( Reference Range-Negative ) .' -p224950 -(lp224951 -S'(\t(\t(\tO\tO' -p224952 -aS'Reference\tReference\tNN\tB-NP\tO' -p224953 -aS'Range-Negative\tRange-Negative\tJJ\tB-ADJP\tO' -p224954 -aS')\t)\t)\tO\tO' -p224955 -aS'.\t.\t.\tO\tO' -p224956 -asS'EFW = 7# .' -p224957 -(lp224958 -S'EFW\tEFW\tNN\tB-NP\tB-protein' -p224959 -aS'=\t=\tSYM\tB-VP\tI-protein' -p224960 -aS'7#\t7#\tCD\tB-NP\tI-protein' -p224961 -aS'.\t.\t.\tO\tO' -p224962 -asS'3. diabetes mellitus .' -p224963 -(lp224964 -S'3.\t3.\tLS\tB-NP\tO' -p224965 -aS'diabetes\tdiabetes\tNN\tI-NP\tO' -p224966 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p224967 -aS'.\t.\t.\tO\tO' -p224968 -asS'influenza to protect the infant .' -p224969 -(lp224970 -S'influenza\tinfluenza\tNN\tB-NP\tO' -p224971 -aS'to\tto\tTO\tB-VP\tO' -p224972 -aS'protect\tprotect\tVB\tI-VP\tO' -p224973 -aS'the\tthe\tDT\tB-NP\tO' -p224974 -aS'infant\tinfant\tNN\tI-NP\tO' -p224975 -aS'.\t.\t.\tO\tO' -p224976 -asS'Eventually , her plasma exchange was tapered to a smaller and smaller dose each day and then discontinued altogether after July 27 , 1999 .' -p224977 -(lp224978 -S'Eventually\tEventually\tRB\tB-ADVP\tO' -p224979 -aS',\t,\t,\tO\tO' -p224980 -aS'her\ther\tPRP$\tB-NP\tO' -p224981 -aS'plasma\tplasma\tNN\tI-NP\tO' -p224982 -aS'exchange\texchange\tNN\tI-NP\tO' -p224983 -aS'was\tbe\tVBD\tB-VP\tO' -p224984 -aS'tapered\ttaper\tVBN\tI-VP\tO' -p224985 -aS'to\tto\tTO\tB-PP\tO' -p224986 -aS'a\ta\tDT\tB-NP\tO' -p224987 -aS'smaller\tsmall\tJJR\tI-NP\tO' -p224988 -aS'and\tand\tCC\tI-NP\tO' -p224989 -aS'smaller\tsmall\tJJR\tI-NP\tO' -p224990 -aS'dose\tdose\tNN\tI-NP\tO' -p224991 -aS'each\teach\tDT\tB-NP\tO' -p224992 -aS'day\tday\tNN\tI-NP\tO' -p224993 -aS'and\tand\tCC\tO\tO' -p224994 -aS'then\tthen\tRB\tB-VP\tO' -p224995 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p224996 -aS'altogether\taltogether\tRB\tB-ADVP\tO' -p224997 -aS'after\tafter\tIN\tB-PP\tO' -p224998 -aS'July\tJuly\tNNP\tB-NP\tO' -p224999 -aS'27\t27\tCD\tI-NP\tO' -p225000 -aS',\t,\t,\tI-NP\tO' -p225001 -aS'1999\t1999\tCD\tI-NP\tO' -p225002 -aS'.\t.\t.\tO\tO' -p225003 -asS'Aside from low lung volumes , the lungs are clear .' -p225004 -(lp225005 -S'Aside\tAside\tRB\tB-ADVP\tO' -p225006 -aS'from\tfrom\tIN\tB-PP\tO' -p225007 -aS'low\tlow\tJJ\tB-NP\tO' -p225008 -aS'lung\tlung\tNN\tI-NP\tO' -p225009 -aS'volumes\tvolume\tNNS\tI-NP\tO' -p225010 -aS',\t,\t,\tO\tO' -p225011 -aS'the\tthe\tDT\tB-NP\tO' -p225012 -aS'lungs\tlung\tNNS\tI-NP\tO' -p225013 -aS'are\tbe\tVBP\tB-VP\tO' -p225014 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p225015 -aS'.\t.\t.\tO\tO' -p225016 -asS'Smoked 3 packs per day x 17 years .' -p225017 -(lp225018 -S'Smoked\tSmoke\tVBN\tB-VP\tO' -p225019 -aS'3\t3\tCD\tB-NP\tO' -p225020 -aS'packs\tpack\tNNS\tI-NP\tO' -p225021 -aS'per\tper\tIN\tB-PP\tO' -p225022 -aS'day\tday\tNN\tB-NP\tO' -p225023 -aS'x\tx\tSYM\tO\tO' -p225024 -aS'17\t17\tCD\tB-NP\tO' -p225025 -aS'years\tyear\tNNS\tI-NP\tO' -p225026 -aS'.\t.\t.\tO\tO' -p225027 -asS'This is the normal dose that she puts out too .' -p225028 -(lp225029 -S'This\tThis\tDT\tB-NP\tO' -p225030 -aS'is\tbe\tVBZ\tB-VP\tO' -p225031 -aS'the\tthe\tDT\tB-NP\tO' -p225032 -aS'normal\tnormal\tJJ\tI-NP\tO' -p225033 -aS'dose\tdose\tNN\tI-NP\tO' -p225034 -aS'that\tthat\tIN\tB-SBAR\tO' -p225035 -aS'she\tshe\tPRP\tB-NP\tO' -p225036 -aS'puts\tput\tVBZ\tB-VP\tO' -p225037 -aS'out\tout\tRP\tB-PRT\tO' -p225038 -aS'too\ttoo\tRB\tB-ADVP\tO' -p225039 -aS'.\t.\t.\tO\tO' -p225040 -asS'Married to a very supportive wife .' -p225041 -(lp225042 -S'Married\tMarry\tVBN\tB-VP\tO' -p225043 -aS'to\tto\tTO\tB-PP\tO' -p225044 -aS'a\ta\tDT\tB-NP\tO' -p225045 -aS'very\tvery\tRB\tI-NP\tO' -p225046 -aS'supportive\tsupportive\tJJ\tI-NP\tO' -p225047 -aS'wife\twife\tNN\tI-NP\tO' -p225048 -aS'.\t.\t.\tO\tO' -p225049 -asS'Per daughter these symptoms are typical of COPD flare .' -p225050 -(lp225051 -S'Per\tPer\tNNP\tB-NP\tO' -p225052 -aS'daughter\tdaughter\tVB\tB-VP\tO' -p225053 -aS'these\tthese\tDT\tB-NP\tO' -p225054 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p225055 -aS'are\tbe\tVBP\tB-VP\tO' -p225056 -aS'typical\ttypical\tJJ\tB-ADJP\tO' -p225057 -aS'of\tof\tIN\tB-PP\tO' -p225058 -aS'COPD\tCOPD\tNN\tB-NP\tB-DNA' -p225059 -aS'flare\tflare\tNN\tI-NP\tI-DNA' -p225060 -aS'.\t.\t.\tO\tO' -p225061 -asS'Otherwise , she is in normal sinus rhythm and has been hemodynamically stable throughout her hospitalization .' -p225062 -(lp225063 -S'Otherwise\tOtherwise\tRB\tB-ADVP\tO' -p225064 -aS',\t,\t,\tO\tO' -p225065 -aS'she\tshe\tPRP\tB-NP\tO' -p225066 -aS'is\tbe\tVBZ\tB-VP\tO' -p225067 -aS'in\tin\tIN\tB-PP\tO' -p225068 -aS'normal\tnormal\tJJ\tB-NP\tO' -p225069 -aS'sinus\tsinus\tNN\tI-NP\tO' -p225070 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p225071 -aS'and\tand\tCC\tO\tO' -p225072 -aS'has\thave\tVBZ\tB-VP\tO' -p225073 -aS'been\tbe\tVBN\tI-VP\tO' -p225074 -aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' -p225075 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p225076 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p225077 -aS'her\ther\tPRP$\tB-NP\tO' -p225078 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p225079 -aS'.\t.\t.\tO\tO' -p225080 -asS'Mary studies c/w transudate .' -p225081 -(lp225082 -S'Mary\tMary\tJJ\tB-NP\tO' -p225083 -aS'studies\tstudy\tNNS\tI-NP\tO' -p225084 -aS'c/w\tc/w\tNN\tI-NP\tO' -p225085 -aS'transudate\ttransudate\tNN\tI-NP\tO' -p225086 -aS'.\t.\t.\tO\tO' -p225087 -asS'He was transferred to the floor but a few days later began to show signs of respiratory distress and was transferred back to the CMED CSRU for reintubation for likely aspiration event leading to worsening pneumonia as well as some component of pulm edema .' -p225088 -(lp225089 -S'He\tHe\tPRP\tB-NP\tO' -p225090 -aS'was\tbe\tVBD\tB-VP\tO' -p225091 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p225092 -aS'to\tto\tTO\tB-PP\tO' -p225093 -aS'the\tthe\tDT\tB-NP\tO' -p225094 -aS'floor\tfloor\tNN\tI-NP\tO' -p225095 -aS'but\tbut\tCC\tO\tO' -p225096 -aS'a\ta\tDT\tB-NP\tO' -p225097 -aS'few\tfew\tJJ\tI-NP\tO' -p225098 -aS'days\tday\tNNS\tI-NP\tO' -p225099 -aS'later\tlater\tRB\tB-ADVP\tO' -p225100 -aS'began\tbegin\tVBD\tB-VP\tO' -p225101 -aS'to\tto\tTO\tI-VP\tO' -p225102 -aS'show\tshow\tVB\tI-VP\tO' -p225103 -aS'signs\tsign\tNNS\tB-NP\tO' -p225104 -aS'of\tof\tIN\tB-PP\tO' -p225105 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p225106 -aS'distress\tdistress\tNN\tI-NP\tO' -p225107 -aS'and\tand\tCC\tO\tO' -p225108 -aS'was\tbe\tVBD\tB-VP\tO' -p225109 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p225110 -aS'back\tback\tRB\tB-ADVP\tO' -p225111 -aS'to\tto\tTO\tB-PP\tO' -p225112 -aS'the\tthe\tDT\tB-NP\tO' -p225113 -aS'CMED\tCMED\tVBN\tI-NP\tO' -p225114 -aS'CSRU\tCSRU\tNN\tI-NP\tO' -p225115 -aS'for\tfor\tIN\tB-PP\tO' -p225116 -aS'reintubation\treintubation\tNN\tB-NP\tO' -p225117 -aS'for\tfor\tIN\tB-PP\tO' -p225118 -aS'likely\tlikely\tJJ\tB-NP\tO' -p225119 -aS'aspiration\taspiration\tNN\tI-NP\tO' -p225120 -aS'event\tevent\tNN\tI-NP\tO' -p225121 -aS'leading\tlead\tVBG\tB-VP\tO' -p225122 -aS'to\tto\tTO\tB-PP\tO' -p225123 -aS'worsening\tworsen\tVBG\tB-VP\tO' -p225124 -aS'pneumonia\tpneumonia\tNN\tB-NP\tO' -p225125 -aS'as\tas\tRB\tB-CONJP\tO' -p225126 -aS'well\twell\tRB\tI-CONJP\tO' -p225127 -aS'as\tas\tIN\tI-CONJP\tO' -p225128 -aS'some\tsome\tDT\tB-NP\tO' -p225129 -aS'component\tcomponent\tNN\tI-NP\tO' -p225130 -aS'of\tof\tIN\tB-PP\tO' -p225131 -aS'pulm\tpulm\tNN\tB-NP\tO' -p225132 -aS'edema\tedema\tNN\tI-NP\tO' -p225133 -aS'.\t.\t.\tO\tO' -p225134 -asS'Signed electronically by : DR. Eugene Offutt on : MON 2019-10-07 12:44 PM' -p225135 -(lp225136 -S'Signed\tSign\tVBN\tB-VP\tO' -p225137 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p225138 -aS'by\tby\tIN\tB-PP\tO' -p225139 -aS':\t:\t:\tO\tO' -p225140 -aS'DR.\tDR.\tNNP\tB-NP\tB-DNA' -p225141 -aS'Eugene\tEugene\tNNP\tI-NP\tI-DNA' -p225142 -aS'Offutt\tOffutt\tNNP\tI-NP\tO' -p225143 -aS'on\ton\tIN\tB-PP\tO' -p225144 -aS':\t:\t:\tO\tO' -p225145 -aS'MON\tMON\tNN\tB-NP\tO' -p225146 -aS'2019-10-07\t2019-10-07\tCD\tI-NP\tO' -p225147 -aS'12:44\t12:44\tCD\tI-NP\tO' -p225148 -aS'PM\tPM\tNN\tI-NP\tO' -p225149 -asS'PT was 14.6 , PTT 77 with an INR of 1.4 .' -p225150 -(lp225151 -S'PT\tPT\tNN\tB-NP\tO' -p225152 -aS'was\tbe\tVBD\tB-VP\tO' -p225153 -aS'14.6\t14.6\tCD\tB-NP\tO' -p225154 -aS',\t,\t,\tO\tO' -p225155 -aS'PTT\tPTT\tNN\tB-NP\tO' -p225156 -aS'77\t77\tCD\tI-NP\tO' -p225157 -aS'with\twith\tIN\tB-PP\tO' -p225158 -aS'an\tan\tDT\tB-NP\tO' -p225159 -aS'INR\tINR\tNN\tI-NP\tB-protein' -p225160 -aS'of\tof\tIN\tB-PP\tO' -p225161 -aS'1.4\t1.4\tCD\tB-NP\tO' -p225162 -aS'.\t.\t.\tO\tO' -p225163 -asS'She received prn haldol w/ little effect and improved as her infection cleared .' -p225164 -(lp225165 -S'She\tShe\tPRP\tB-NP\tO' -p225166 -aS'received\treceive\tVBD\tB-VP\tO' -p225167 -aS'prn\tprn\tNN\tB-NP\tO' -p225168 -aS'haldol\thaldol\tNN\tI-NP\tO' -p225169 -aS'w/\tw/\tNN\tI-NP\tO' -p225170 -aS'little\tlittle\tJJ\tI-NP\tO' -p225171 -aS'effect\teffect\tNN\tI-NP\tO' -p225172 -aS'and\tand\tCC\tO\tO' -p225173 -aS'improved\timprove\tVBN\tB-VP\tO' -p225174 -aS'as\tas\tIN\tB-PP\tO' -p225175 -aS'her\ther\tPRP$\tB-NP\tO' -p225176 -aS'infection\tinfection\tNN\tI-NP\tO' -p225177 -aS'cleared\tclear\tVBD\tB-VP\tO' -p225178 -aS'.\t.\t.\tO\tO' -p225179 -asS'On physical examination the patient was both chronically and acutely ill , dyspneic , mildly febrile and with coarse rales in both bases .' -p225180 -(lp225181 -S'On\tOn\tIN\tB-PP\tO' -p225182 -aS'physical\tphysical\tJJ\tB-NP\tO' -p225183 -aS'examination\texamination\tNN\tI-NP\tO' -p225184 -aS'the\tthe\tDT\tB-NP\tO' -p225185 -aS'patient\tpatient\tNN\tI-NP\tO' -p225186 -aS'was\tbe\tVBD\tB-VP\tO' -p225187 -aS'both\tboth\tCC\tO\tO' -p225188 -aS'chronically\tchronically\tRB\tB-ADVP\tO' -p225189 -aS'and\tand\tCC\tO\tO' -p225190 -aS'acutely\tacutely\tRB\tB-ADJP\tO' -p225191 -aS'ill\till\tJJ\tI-ADJP\tO' -p225192 -aS',\t,\t,\tO\tO' -p225193 -aS'dyspneic\tdyspneic\tJJ\tB-ADJP\tO' -p225194 -aS',\t,\t,\tO\tO' -p225195 -aS'mildly\tmildly\tRB\tB-ADJP\tO' -p225196 -aS'febrile\tfebrile\tJJ\tI-ADJP\tO' -p225197 -aS'and\tand\tCC\tO\tO' -p225198 -aS'with\twith\tIN\tB-PP\tO' -p225199 -aS'coarse\tcoarse\tNN\tB-NP\tO' -p225200 -aS'rales\trale\tNNS\tI-NP\tO' -p225201 -aS'in\tin\tIN\tB-PP\tO' -p225202 -aS'both\tboth\tDT\tB-NP\tO' -p225203 -aS'bases\tbase\tNNS\tI-NP\tO' -p225204 -aS'.\t.\t.\tO\tO' -p225205 -asS'He was taken immediately post-operatively to the CSRU .' -p225206 -(lp225207 -S'He\tHe\tPRP\tB-NP\tO' -p225208 -aS'was\tbe\tVBD\tB-VP\tO' -p225209 -aS'taken\ttake\tVBN\tI-VP\tO' -p225210 -aS'immediately\timmediately\tRB\tB-ADJP\tO' -p225211 -aS'post-operatively\tpost-operatively\tRB\tI-ADJP\tO' -p225212 -aS'to\tto\tTO\tB-PP\tO' -p225213 -aS'the\tthe\tDT\tB-NP\tO' -p225214 -aS'CSRU\tCSRU\tNN\tI-NP\tB-DNA' -p225215 -aS'.\t.\t.\tO\tO' -p225216 -asS'Patient continued getting Acyclovir , Prednisone , MMF one gram b.i.d .' -p225217 -(lp225218 -S'Patient\tPatient\tNN\tB-NP\tO' -p225219 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p225220 -aS'getting\tget\tVBG\tI-VP\tO' -p225221 -aS'Acyclovir\tAcyclovir\tNN\tB-NP\tO' -p225222 -aS',\t,\t,\tO\tO' -p225223 -aS'Prednisone\tPrednisone\tNN\tB-NP\tO' -p225224 -aS',\t,\t,\tO\tO' -p225225 -aS'MMF\tMMF\tNN\tB-NP\tO' -p225226 -aS'one\tone\tCD\tI-NP\tO' -p225227 -aS'gram\tgram\tNN\tI-NP\tO' -p225228 -aS'b.i.d\tb.i.d\tNN\tI-NP\tO' -p225229 -aS'.\t.\t.\tO\tO' -p225230 -asS'Blood cultures and urine cultures were all negative .' -p225231 -(lp225232 -S'Blood\tBlood\tNN\tB-NP\tO' -p225233 -aS'cultures\tculture\tNNS\tI-NP\tO' -p225234 -aS'and\tand\tCC\tO\tO' -p225235 -aS'urine\turine\tNN\tB-NP\tB-cell_line' -p225236 -aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' -p225237 -aS'were\tbe\tVBD\tB-VP\tO' -p225238 -aS'all\tall\tDT\tO\tO' -p225239 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p225240 -aS'.\t.\t.\tO\tO' -p225241 -asS'His abdomen was negative .' -p225242 -(lp225243 -S'His\tHis\tPRP$\tB-NP\tO' -p225244 -aS'abdomen\tabdoman\tNNS\tI-NP\tO' -p225245 -aS'was\tbe\tVBD\tB-VP\tO' -p225246 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p225247 -aS'.\t.\t.\tO\tO' -p225248 -asS'The patient suffered some mild weakness which was attributed to stenosis of the distal right internal carotid artery .' -p225249 -(lp225250 -S'The\tThe\tDT\tB-NP\tO' -p225251 -aS'patient\tpatient\tNN\tI-NP\tO' -p225252 -aS'suffered\tsuffer\tVBD\tB-VP\tO' -p225253 -aS'some\tsome\tDT\tB-NP\tO' -p225254 -aS'mild\tmild\tJJ\tI-NP\tO' -p225255 -aS'weakness\tweakness\tNN\tI-NP\tO' -p225256 -aS'which\twhich\tWDT\tB-NP\tO' -p225257 -aS'was\tbe\tVBD\tB-VP\tO' -p225258 -aS'attributed\tattribute\tVBN\tI-VP\tO' -p225259 -aS'to\tto\tTO\tB-PP\tO' -p225260 -aS'stenosis\tstenosis\tNN\tB-NP\tO' -p225261 -aS'of\tof\tIN\tB-PP\tO' -p225262 -aS'the\tthe\tDT\tB-NP\tO' -p225263 -aS'distal\tdistal\tJJ\tI-NP\tO' -p225264 -aS'right\tright\tJJ\tI-NP\tO' -p225265 -aS'internal\tinternal\tJJ\tI-NP\tO' -p225266 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p225267 -aS'artery\tartery\tNN\tI-NP\tO' -p225268 -aS'.\t.\t.\tO\tO' -p225269 -asS'The Operating Room cultures at that point were positive for Crinobactermium with sputum cultures being sensitive for yeast and gram positive cocci in clusters .' -p225270 -(lp225271 -S'The\tThe\tDT\tB-NP\tO' -p225272 -aS'Operating\tOperating\tNNP\tI-NP\tB-cell_line' -p225273 -aS'Room\tRoom\tNNP\tI-NP\tI-cell_line' -p225274 -aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' -p225275 -aS'at\tat\tIN\tB-PP\tO' -p225276 -aS'that\tthat\tDT\tB-NP\tO' -p225277 -aS'point\tpoint\tNN\tI-NP\tO' -p225278 -aS'were\tbe\tVBD\tB-VP\tO' -p225279 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p225280 -aS'for\tfor\tIN\tB-PP\tO' -p225281 -aS'Crinobactermium\tCrinobactermium\tNN\tB-NP\tO' -p225282 -aS'with\twith\tIN\tB-PP\tO' -p225283 -aS'sputum\tsputum\tNN\tB-NP\tO' -p225284 -aS'cultures\tculture\tNNS\tI-NP\tO' -p225285 -aS'being\tbe\tVBG\tB-VP\tO' -p225286 -aS'sensitive\tsensitive\tJJ\tB-ADJP\tO' -p225287 -aS'for\tfor\tIN\tB-PP\tO' -p225288 -aS'yeast\tyeast\tNN\tB-NP\tO' -p225289 -aS'and\tand\tCC\tI-NP\tO' -p225290 -aS'gram\tgram\tNN\tI-NP\tO' -p225291 -aS'positive\tpositive\tJJ\tI-NP\tO' -p225292 -aS'cocci\tcoccus\tNNS\tI-NP\tO' -p225293 -aS'in\tin\tIN\tB-PP\tO' -p225294 -aS'clusters\tcluster\tNNS\tB-NP\tO' -p225295 -aS'.\t.\t.\tO\tO' -p225296 -asS'There is no evidence of intraaxial or extraaxial hemorrhage , mass effect , shift of normally midline structures , or acute major or minor vascular territorial infarction .' -p225297 -(lp225298 -S'There\tThere\tEX\tB-NP\tO' -p225299 -aS'is\tbe\tVBZ\tB-VP\tO' -p225300 -aS'no\tno\tDT\tB-NP\tO' -p225301 -aS'evidence\tevidence\tNN\tI-NP\tO' -p225302 -aS'of\tof\tIN\tB-PP\tO' -p225303 -aS'intraaxial\tintraaxial\tJJ\tB-NP\tO' -p225304 -aS'or\tor\tCC\tI-NP\tO' -p225305 -aS'extraaxial\textraaxial\tJJ\tI-NP\tO' -p225306 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p225307 -aS',\t,\t,\tO\tO' -p225308 -aS'mass\tmass\tNN\tB-NP\tO' -p225309 -aS'effect\teffect\tNN\tI-NP\tO' -p225310 -aS',\t,\t,\tO\tO' -p225311 -aS'shift\tshift\tNN\tB-NP\tO' -p225312 -aS'of\tof\tIN\tB-PP\tO' -p225313 -aS'normally\tnormally\tRB\tB-NP\tO' -p225314 -aS'midline\tmidline\tNN\tI-NP\tO' -p225315 -aS'structures\tstructure\tNNS\tI-NP\tO' -p225316 -aS',\t,\t,\tO\tO' -p225317 -aS'or\tor\tCC\tO\tO' -p225318 -aS'acute\tacute\tJJ\tB-NP\tO' -p225319 -aS'major\tmajor\tJJ\tI-NP\tO' -p225320 -aS'or\tor\tCC\tI-NP\tO' -p225321 -aS'minor\tminor\tJJ\tI-NP\tO' -p225322 -aS'vascular\tvascular\tJJ\tI-NP\tO' -p225323 -aS'territorial\tterritorial\tNN\tI-NP\tO' -p225324 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p225325 -aS'.\t.\t.\tO\tO' -p225326 -asS'2) Call with fever >101 , redness or drainage from incision , or weight gain more than 2 pounds in one day or five pounds in one week .' -p225327 -(lp225328 -S'2)\t2)\tLS\tB-LST\tO' -p225329 -aS'Call\tCall\tNN\tB-NP\tO' -p225330 -aS'with\twith\tIN\tB-PP\tO' -p225331 -aS'fever\tfever\tNN\tB-NP\tO' -p225332 -aS'>101\t>101\tNN\tI-NP\tO' -p225333 -aS',\t,\t,\tO\tO' -p225334 -aS'redness\tredness\tNN\tB-NP\tO' -p225335 -aS'or\tor\tCC\tO\tO' -p225336 -aS'drainage\tdrainage\tNN\tB-NP\tO' -p225337 -aS'from\tfrom\tIN\tB-PP\tO' -p225338 -aS'incision\tincision\tNN\tB-NP\tO' -p225339 -aS',\t,\t,\tO\tO' -p225340 -aS'or\tor\tCC\tO\tO' -p225341 -aS'weight\tweight\tNN\tB-NP\tO' -p225342 -aS'gain\tgain\tNN\tI-NP\tO' -p225343 -aS'more\tmore\tJJR\tB-NP\tO' -p225344 -aS'than\tthan\tIN\tI-NP\tO' -p225345 -aS'2\t2\tCD\tI-NP\tO' -p225346 -aS'pounds\tpound\tNNS\tI-NP\tO' -p225347 -aS'in\tin\tIN\tB-PP\tO' -p225348 -aS'one\tone\tCD\tB-NP\tO' -p225349 -aS'day\tday\tNN\tI-NP\tO' -p225350 -aS'or\tor\tCC\tO\tO' -p225351 -aS'five\tfive\tCD\tB-NP\tO' -p225352 -aS'pounds\tpound\tNNS\tI-NP\tO' -p225353 -aS'in\tin\tIN\tB-PP\tO' -p225354 -aS'one\tone\tCD\tB-NP\tO' -p225355 -aS'week\tweek\tNN\tI-NP\tO' -p225356 -aS'.\t.\t.\tO\tO' -p225357 -asS'There was a tiny amount of free air .' -p225358 -(lp225359 -S'There\tThere\tEX\tB-NP\tO' -p225360 -aS'was\tbe\tVBD\tB-VP\tO' -p225361 -aS'a\ta\tDT\tB-NP\tO' -p225362 -aS'tiny\ttiny\tJJ\tI-NP\tO' -p225363 -aS'amount\tamount\tNN\tI-NP\tO' -p225364 -aS'of\tof\tIN\tB-PP\tO' -p225365 -aS'free\tfree\tJJ\tB-NP\tO' -p225366 -aS'air\tair\tNN\tI-NP\tO' -p225367 -aS'.\t.\t.\tO\tO' -p225368 -asS'Cough , rhinorrhea , dehydration .' -p225369 -(lp225370 -S'Cough\tCough\tNN\tB-NP\tO' -p225371 -aS',\t,\t,\tO\tO' -p225372 -aS'rhinorrhea\trhinorrhea\tNN\tB-NP\tO' -p225373 -aS',\t,\t,\tO\tO' -p225374 -aS'dehydration\tdehydration\tNN\tB-NP\tO' -p225375 -aS'.\t.\t.\tO\tO' -p225376 -asS'9. Lactulose 30 cc p.o. q.6h. p.r.n. for constipation .' -p225377 -(lp225378 -S'9.\t9.\tCD\tB-NP\tO' -p225379 -aS'Lactulose\tLactulose\tNN\tI-NP\tO' -p225380 -aS'30\t30\tCD\tB-NP\tO' -p225381 -aS'cc\tcc\tNN\tI-NP\tO' -p225382 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p225383 -aS'q.6h.\tq.6h.\tNN\tI-NP\tO' -p225384 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p225385 -aS'for\tfor\tIN\tB-PP\tO' -p225386 -aS'constipation\tconstipation\tNN\tB-NP\tO' -p225387 -aS'.\t.\t.\tO\tO' -p225388 -asS'1. Left breast status post radical mastectomy in 2002 with adjuvant Tamoxifen for five years .' -p225389 -(lp225390 -S'1.\t1.\tLS\tB-NP\tO' -p225391 -aS'Left\tLeave\tVBN\tI-NP\tO' -p225392 -aS'breast\tbreast\tNN\tI-NP\tO' -p225393 -aS'status\tstatus\tNN\tI-NP\tO' -p225394 -aS'post\tpost\tNN\tI-NP\tO' -p225395 -aS'radical\tradical\tJJ\tI-NP\tO' -p225396 -aS'mastectomy\tmastectomy\tNN\tI-NP\tO' -p225397 -aS'in\tin\tIN\tB-PP\tO' -p225398 -aS'2002\t2002\tCD\tB-NP\tO' -p225399 -aS'with\twith\tIN\tB-PP\tO' -p225400 -aS'adjuvant\tadjuvant\tJJ\tB-NP\tO' -p225401 -aS'Tamoxifen\tTamoxifen\tNN\tI-NP\tO' -p225402 -aS'for\tfor\tIN\tB-PP\tO' -p225403 -aS'five\tfive\tCD\tB-NP\tO' -p225404 -aS'years\tyear\tNNS\tI-NP\tO' -p225405 -aS'.\t.\t.\tO\tO' -p225406 -asS'In 2011-05-02 , he was requiring more ativan to control his seizures , and was increasingly disoriented and forgetful with headaches .' -p225407 -(lp225408 -S'In\tIn\tIN\tB-PP\tO' -p225409 -aS'2011-05-02\t2011-05-02\tCD\tB-NP\tO' -p225410 -aS',\t,\t,\tO\tO' -p225411 -aS'he\the\tPRP\tB-NP\tO' -p225412 -aS'was\tbe\tVBD\tB-VP\tO' -p225413 -aS'requiring\trequire\tVBG\tI-VP\tO' -p225414 -aS'more\tmore\tJJR\tB-NP\tO' -p225415 -aS'ativan\tativan\tNN\tI-NP\tO' -p225416 -aS'to\tto\tTO\tB-VP\tO' -p225417 -aS'control\tcontrol\tVB\tI-VP\tO' -p225418 -aS'his\this\tPRP$\tB-NP\tO' -p225419 -aS'seizures\tseizure\tNNS\tI-NP\tO' -p225420 -aS',\t,\t,\tO\tO' -p225421 -aS'and\tand\tCC\tO\tO' -p225422 -aS'was\tbe\tVBD\tB-VP\tO' -p225423 -aS'increasingly\tincreasingly\tRB\tB-ADJP\tO' -p225424 -aS'disoriented\tdisoriented\tJJ\tI-ADJP\tO' -p225425 -aS'and\tand\tCC\tI-ADJP\tO' -p225426 -aS'forgetful\tforgetful\tJJ\tI-ADJP\tO' -p225427 -aS'with\twith\tIN\tB-PP\tO' -p225428 -aS'headaches\theadache\tNNS\tB-NP\tO' -p225429 -aS'.\t.\t.\tO\tO' -p225430 -asS'FVC was 1.6 or 58 percent of predicted and FEV1 0.95 or 45 percent of predicted .' -p225431 -(lp225432 -S'FVC\tFVC\tNN\tB-NP\tO' -p225433 -aS'was\tbe\tVBD\tB-VP\tO' -p225434 -aS'1.6\t1.6\tCD\tB-NP\tO' -p225435 -aS'or\tor\tCC\tI-NP\tO' -p225436 -aS'58\t58\tCD\tI-NP\tO' -p225437 -aS'percent\tpercent\tNN\tI-NP\tO' -p225438 -aS'of\tof\tIN\tB-PP\tO' -p225439 -aS'predicted\tpredict\tVBN\tB-NP\tO' -p225440 -aS'and\tand\tCC\tI-NP\tO' -p225441 -aS'FEV1\tFEV1\tNN\tI-NP\tO' -p225442 -aS'0.95\t0.95\tCD\tI-NP\tO' -p225443 -aS'or\tor\tCC\tI-NP\tO' -p225444 -aS'45\t45\tCD\tI-NP\tO' -p225445 -aS'percent\tpercent\tNN\tI-NP\tO' -p225446 -aS'of\tof\tIN\tB-PP\tO' -p225447 -aS'predicted\tpredict\tVBN\tB-NP\tO' -p225448 -aS'.\t.\t.\tO\tO' -p225449 -asS'See below for contact information .' -p225450 -(lp225451 -S'See\tSee\tVB\tB-VP\tO' -p225452 -aS'below\tbelow\tIN\tB-PP\tO' -p225453 -aS'for\tfor\tIN\tB-PP\tO' -p225454 -aS'contact\tcontact\tNN\tB-NP\tO' -p225455 -aS'information\tinformation\tNN\tI-NP\tO' -p225456 -aS'.\t.\t.\tO\tO' -p225457 -asS'He will be scheduled for an MRI scan , Neurology consult , and an EEG next week as an out patient .' -p225458 -(lp225459 -S'He\tHe\tPRP\tB-NP\tO' -p225460 -aS'will\twill\tMD\tB-VP\tO' -p225461 -aS'be\tbe\tVB\tI-VP\tO' -p225462 -aS'scheduled\tschedule\tVBN\tI-VP\tO' -p225463 -aS'for\tfor\tIN\tB-PP\tO' -p225464 -aS'an\tan\tDT\tB-NP\tO' -p225465 -aS'MRI\tMRI\tNN\tI-NP\tO' -p225466 -aS'scan\tscan\tNN\tI-NP\tO' -p225467 -aS',\t,\t,\tO\tO' -p225468 -aS'Neurology\tNeurology\tNNP\tB-NP\tO' -p225469 -aS'consult\tconsult\tNN\tI-NP\tO' -p225470 -aS',\t,\t,\tO\tO' -p225471 -aS'and\tand\tCC\tO\tO' -p225472 -aS'an\tan\tDT\tB-NP\tO' -p225473 -aS'EEG\tEEG\tNN\tI-NP\tB-protein' -p225474 -aS'next\tnext\tJJ\tB-NP\tI-protein' -p225475 -aS'week\tweek\tNN\tI-NP\tI-protein' -p225476 -aS'as\tas\tIN\tB-PP\tO' -p225477 -aS'an\tan\tDT\tB-NP\tO' -p225478 -aS'out\tout\tJJ\tI-NP\tO' -p225479 -aS'patient\tpatient\tNN\tI-NP\tO' -p225480 -aS'.\t.\t.\tO\tO' -p225481 -asS'The patient had an MRI at an outside hospital which showed enlarged lateral ventricles and the possible diagnosis of normal pressure hydrocephalus was entertained and the patient was admitted for diagnostic lumbar puncture .' -p225482 -(lp225483 -S'The\tThe\tDT\tB-NP\tO' -p225484 -aS'patient\tpatient\tNN\tI-NP\tO' -p225485 -aS'had\thave\tVBD\tB-VP\tO' -p225486 -aS'an\tan\tDT\tB-NP\tO' -p225487 -aS'MRI\tMRI\tNN\tI-NP\tO' -p225488 -aS'at\tat\tIN\tB-PP\tO' -p225489 -aS'an\tan\tDT\tB-NP\tO' -p225490 -aS'outside\toutside\tJJ\tI-NP\tO' -p225491 -aS'hospital\thospital\tNN\tI-NP\tO' -p225492 -aS'which\twhich\tWDT\tB-NP\tO' -p225493 -aS'showed\tshow\tVBD\tB-VP\tO' -p225494 -aS'enlarged\tenlarged\tJJ\tB-NP\tO' -p225495 -aS'lateral\tlateral\tJJ\tI-NP\tO' -p225496 -aS'ventricles\tventricle\tNNS\tI-NP\tO' -p225497 -aS'and\tand\tCC\tO\tO' -p225498 -aS'the\tthe\tDT\tB-NP\tO' -p225499 -aS'possible\tpossible\tJJ\tI-NP\tO' -p225500 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p225501 -aS'of\tof\tIN\tB-PP\tO' -p225502 -aS'normal\tnormal\tJJ\tB-NP\tO' -p225503 -aS'pressure\tpressure\tNN\tI-NP\tO' -p225504 -aS'hydrocephalus\thydrocephalus\tNN\tI-NP\tO' -p225505 -aS'was\tbe\tVBD\tB-VP\tO' -p225506 -aS'entertained\tentertain\tVBN\tI-VP\tO' -p225507 -aS'and\tand\tCC\tO\tO' -p225508 -aS'the\tthe\tDT\tB-NP\tO' -p225509 -aS'patient\tpatient\tNN\tI-NP\tO' -p225510 -aS'was\tbe\tVBD\tB-VP\tO' -p225511 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p225512 -aS'for\tfor\tIN\tB-PP\tO' -p225513 -aS'diagnostic\tdiagnostic\tJJ\tB-NP\tO' -p225514 -aS'lumbar\tlumbar\tNN\tI-NP\tO' -p225515 -aS'puncture\tpuncture\tNN\tI-NP\tO' -p225516 -aS'.\t.\t.\tO\tO' -p225517 -asS'She was intially treated with erythromycin for pro-motility as she had a bad reaction to reglan in the past .' -p225518 -(lp225519 -S'She\tShe\tPRP\tB-NP\tO' -p225520 -aS'was\tbe\tVBD\tB-VP\tO' -p225521 -aS'intially\tintially\tRB\tI-VP\tO' -p225522 -aS'treated\ttreat\tVBN\tI-VP\tO' -p225523 -aS'with\twith\tIN\tB-PP\tO' -p225524 -aS'erythromycin\terythromycin\tNN\tB-NP\tO' -p225525 -aS'for\tfor\tIN\tB-PP\tO' -p225526 -aS'pro-motility\tpro-motility\tNN\tB-NP\tO' -p225527 -aS'as\tas\tIN\tB-SBAR\tO' -p225528 -aS'she\tshe\tPRP\tB-NP\tO' -p225529 -aS'had\thave\tVBD\tB-VP\tO' -p225530 -aS'a\ta\tDT\tB-NP\tO' -p225531 -aS'bad\tbad\tJJ\tI-NP\tO' -p225532 -aS'reaction\treaction\tNN\tI-NP\tO' -p225533 -aS'to\tto\tTO\tB-VP\tO' -p225534 -aS'reglan\treglan\tVB\tI-VP\tO' -p225535 -aS'in\tin\tIN\tB-PP\tO' -p225536 -aS'the\tthe\tDT\tB-NP\tO' -p225537 -aS'past\tpast\tNN\tI-NP\tO' -p225538 -aS'.\t.\t.\tO\tO' -p225539 -asS'The patient presented with a chief complaint of SSCP .' -p225540 -(lp225541 -S'The\tThe\tDT\tB-NP\tO' -p225542 -aS'patient\tpatient\tNN\tI-NP\tO' -p225543 -aS'presented\tpresent\tVBD\tB-VP\tO' -p225544 -aS'with\twith\tIN\tB-PP\tO' -p225545 -aS'a\ta\tDT\tB-NP\tO' -p225546 -aS'chief\tchief\tJJ\tI-NP\tO' -p225547 -aS'complaint\tcomplaint\tNN\tI-NP\tO' -p225548 -aS'of\tof\tIN\tB-PP\tO' -p225549 -aS'SSCP\tSSCP\tNN\tB-NP\tB-protein' -p225550 -aS'.\t.\t.\tO\tO' -p225551 -asS'Had expected prolonged post-op extubation in PACU given COPD history , as with colon CA resection surgery .' -p225552 -(lp225553 -S'Had\tHave\tVBD\tB-VP\tO' -p225554 -aS'expected\texpect\tVBN\tI-VP\tO' -p225555 -aS'prolonged\tprolonged\tJJ\tB-NP\tO' -p225556 -aS'post-op\tpost-op\tJJ\tI-NP\tO' -p225557 -aS'extubation\textubation\tNN\tI-NP\tO' -p225558 -aS'in\tin\tIN\tB-PP\tO' -p225559 -aS'PACU\tPACU\tNN\tB-NP\tO' -p225560 -aS'given\tgive\tVBN\tI-NP\tO' -p225561 -aS'COPD\tCOPD\tNN\tI-NP\tO' -p225562 -aS'history\thistory\tNN\tI-NP\tO' -p225563 -aS',\t,\t,\tO\tO' -p225564 -aS'as\tas\tIN\tB-PP\tO' -p225565 -aS'with\twith\tIN\tB-PP\tO' -p225566 -aS'colon\tcolon\tNN\tB-NP\tO' -p225567 -aS'CA\tCA\tNN\tI-NP\tO' -p225568 -aS'resection\tresection\tNN\tI-NP\tO' -p225569 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p225570 -aS'.\t.\t.\tO\tO' -p225571 -asS'The patient can have voiding trials at rehab and he is being maintained on Flomax .' -p225572 -(lp225573 -S'The\tThe\tDT\tB-NP\tO' -p225574 -aS'patient\tpatient\tNN\tI-NP\tO' -p225575 -aS'can\tcan\tMD\tB-VP\tO' -p225576 -aS'have\thave\tVB\tI-VP\tO' -p225577 -aS'voiding\tvoid\tVBG\tI-VP\tO' -p225578 -aS'trials\ttrial\tNNS\tB-NP\tO' -p225579 -aS'at\tat\tIN\tB-PP\tO' -p225580 -aS'rehab\trehab\tNN\tB-NP\tO' -p225581 -aS'and\tand\tCC\tO\tO' -p225582 -aS'he\the\tPRP\tB-NP\tO' -p225583 -aS'is\tbe\tVBZ\tB-VP\tO' -p225584 -aS'being\tbe\tVBG\tI-VP\tO' -p225585 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p225586 -aS'on\ton\tIN\tB-PP\tO' -p225587 -aS'Flomax\tFlomax\tNN\tB-NP\tO' -p225588 -aS'.\t.\t.\tO\tO' -p225589 -asS'Motor : Normal bulk and tone bilaterally .' -p225590 -(lp225591 -S'Motor\tMotor\tNN\tB-NP\tO' -p225592 -aS':\t:\t:\tO\tO' -p225593 -aS'Normal\tNormal\tJJ\tB-NP\tO' -p225594 -aS'bulk\tbulk\tNN\tI-NP\tO' -p225595 -aS'and\tand\tCC\tI-NP\tO' -p225596 -aS'tone\ttone\tNN\tI-NP\tO' -p225597 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p225598 -aS'.\t.\t.\tO\tO' -p225599 -asS'1. Type II diabetes mellitus diagnosed 06/94 , well-controlled with last hemoglobin A1C 6.2' -p225600 -(lp225601 -S'1.\t1.\tLS\tB-NP\tO' -p225602 -aS'Type\tType\tNN\tI-NP\tB-protein' -p225603 -aS'II\tII\tCD\tI-NP\tI-protein' -p225604 -aS'diabetes\tdiabete\tNNS\tI-NP\tI-protein' -p225605 -aS'mellitus\tmellitus\tNN\tI-NP\tI-protein' -p225606 -aS'diagnosed\tdiagnose\tVBN\tB-VP\tI-protein' -p225607 -aS'06/94\t06/94\tCD\tB-NP\tI-protein' -p225608 -aS',\t,\t,\tO\tO' -p225609 -aS'well-controlled\twell-controlled\tJJ\tB-ADJP\tO' -p225610 -aS'with\twith\tIN\tB-PP\tO' -p225611 -aS'last\tlast\tJJ\tB-NP\tO' -p225612 -aS'hemoglobin\themoglobin\tNN\tI-NP\tO' -p225613 -aS'A1C\tA1C\tNN\tI-NP\tO' -p225614 -aS'6.2\t6.2\tCD\tI-NP\tO' -p225615 -asS'Mr. Vessels is a 49-year-old man status post orthotopic heart transplantation in 1991 at Dautenorwe Stuart Erec Hillpa Of Hospital who is admitted with dyspnea and severe heart failure .' -p225616 -(lp225617 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p225618 -aS'Vessels\tVessels\tNNP\tI-NP\tO' -p225619 -aS'is\tbe\tVBZ\tB-VP\tO' -p225620 -aS'a\ta\tDT\tB-NP\tO' -p225621 -aS'49-year-old\t49-year-old\tJJ\tI-NP\tO' -p225622 -aS'man\tman\tNN\tI-NP\tO' -p225623 -aS'status\tstatus\tNN\tI-NP\tO' -p225624 -aS'post\tpost\tNN\tI-NP\tO' -p225625 -aS'orthotopic\torthotopic\tJJ\tI-NP\tO' -p225626 -aS'heart\theart\tNN\tI-NP\tO' -p225627 -aS'transplantation\ttransplantation\tNN\tI-NP\tO' -p225628 -aS'in\tin\tIN\tB-PP\tO' -p225629 -aS'1991\t1991\tCD\tB-NP\tO' -p225630 -aS'at\tat\tIN\tB-PP\tO' -p225631 -aS'Dautenorwe\tDautenorwe\tNNP\tB-NP\tO' -p225632 -aS'Stuart\tStuart\tNNP\tI-NP\tO' -p225633 -aS'Erec\tErec\tNNP\tI-NP\tO' -p225634 -aS'Hillpa\tHillpa\tNNP\tI-NP\tO' -p225635 -aS'Of\tOf\tNNP\tI-NP\tO' -p225636 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p225637 -aS'who\twho\tWP\tB-NP\tO' -p225638 -aS'is\tbe\tVBZ\tB-VP\tO' -p225639 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p225640 -aS'with\twith\tIN\tB-PP\tO' -p225641 -aS'dyspnea\tdyspnea\tNN\tB-NP\tO' -p225642 -aS'and\tand\tCC\tO\tO' -p225643 -aS'severe\tsevere\tJJ\tB-NP\tO' -p225644 -aS'heart\theart\tNN\tI-NP\tO' -p225645 -aS'failure\tfailure\tNN\tI-NP\tO' -p225646 -aS'.\t.\t.\tO\tO' -p225647 -asS'The ventricles do not appear dilated relative to the sulci , and there is no shift of normally midline structures .' -p225648 -(lp225649 -S'The\tThe\tDT\tB-NP\tO' -p225650 -aS'ventricles\tventricle\tNNS\tI-NP\tO' -p225651 -aS'do\tdo\tVBP\tB-VP\tO' -p225652 -aS'not\tnot\tRB\tI-VP\tO' -p225653 -aS'appear\tappear\tVB\tI-VP\tO' -p225654 -aS'dilated\tdilate\tVBN\tI-VP\tO' -p225655 -aS'relative\trelative\tJJ\tB-ADVP\tO' -p225656 -aS'to\tto\tTO\tB-PP\tO' -p225657 -aS'the\tthe\tDT\tB-NP\tO' -p225658 -aS'sulci\tsulcus\tNNS\tI-NP\tO' -p225659 -aS',\t,\t,\tO\tO' -p225660 -aS'and\tand\tCC\tO\tO' -p225661 -aS'there\tthere\tEX\tB-NP\tO' -p225662 -aS'is\tbe\tVBZ\tB-VP\tO' -p225663 -aS'no\tno\tDT\tB-NP\tO' -p225664 -aS'shift\tshift\tNN\tI-NP\tO' -p225665 -aS'of\tof\tIN\tB-PP\tO' -p225666 -aS'normally\tnormally\tRB\tB-NP\tO' -p225667 -aS'midline\tmidline\tNN\tI-NP\tO' -p225668 -aS'structures\tstructure\tNNS\tI-NP\tO' -p225669 -aS'.\t.\t.\tO\tO' -p225670 -asS'6. Metoprolol Tartrate 25 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ).' -p225671 -(lp225672 -S'6.\t6.\tLS\tB-NP\tO' -p225673 -aS'Metoprolol\tMetoprolol\tNN\tI-NP\tO' -p225674 -aS'Tartrate\tTartrate\tNN\tI-NP\tO' -p225675 -aS'25\t25\tCD\tI-NP\tO' -p225676 -aS'mg\tmg\tNN\tI-NP\tO' -p225677 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p225678 -aS'Sig\tSig\tNNP\tI-NP\tO' -p225679 -aS':\t:\t:\tO\tO' -p225680 -aS'One\tOne\tCD\tB-NP\tO' -p225681 -aS'(\t(\t(\tO\tO' -p225682 -aS'1\t1\tCD\tB-NP\tO' -p225683 -aS')\t)\t)\tO\tO' -p225684 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p225685 -aS'PO\tPO\tNN\tI-NP\tO' -p225686 -aS'BID\tBID\tNN\tI-NP\tO' -p225687 -aS'(\t(\t(\tO\tO' -p225688 -aS'2\t2\tCD\tB-NP\tO' -p225689 -aS'times\ttime\tNNS\tI-NP\tO' -p225690 -aS'a\ta\tDT\tB-NP\tO' -p225691 -aS'day\tday\tNN\tI-NP\tO' -p225692 -aS').\t).\t.\tO\tO' -p225693 -asS'She was hemodynamically stable upon admission with normal blood pressures and heart rate .' -p225694 -(lp225695 -S'She\tShe\tPRP\tB-NP\tO' -p225696 -aS'was\tbe\tVBD\tB-VP\tO' -p225697 -aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' -p225698 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p225699 -aS'upon\tupon\tIN\tB-PP\tO' -p225700 -aS'admission\tadmission\tNN\tB-NP\tO' -p225701 -aS'with\twith\tIN\tB-PP\tO' -p225702 -aS'normal\tnormal\tJJ\tB-NP\tO' -p225703 -aS'blood\tblood\tNN\tI-NP\tO' -p225704 -aS'pressures\tpressure\tNNS\tI-NP\tO' -p225705 -aS'and\tand\tCC\tO\tO' -p225706 -aS'heart\theart\tNN\tB-NP\tO' -p225707 -aS'rate\trate\tNN\tI-NP\tO' -p225708 -aS'.\t.\t.\tO\tO' -p225709 -asS'The patient was planned for a 7 day course of stress dose steroids followed by a return to her basal predinisone / fludrocortisone dose .' -p225710 -(lp225711 -S'The\tThe\tDT\tB-NP\tO' -p225712 -aS'patient\tpatient\tNN\tI-NP\tO' -p225713 -aS'was\tbe\tVBD\tB-VP\tO' -p225714 -aS'planned\tplan\tVBN\tI-VP\tO' -p225715 -aS'for\tfor\tIN\tB-PP\tO' -p225716 -aS'a\ta\tDT\tB-NP\tO' -p225717 -aS'7\t7\tCD\tI-NP\tO' -p225718 -aS'day\tday\tNN\tI-NP\tO' -p225719 -aS'course\tcourse\tNN\tI-NP\tO' -p225720 -aS'of\tof\tIN\tB-PP\tO' -p225721 -aS'stress\tstress\tNN\tB-NP\tO' -p225722 -aS'dose\tdose\tNN\tI-NP\tO' -p225723 -aS'steroids\tsteroid\tNNS\tI-NP\tO' -p225724 -aS'followed\tfollow\tVBN\tB-VP\tO' -p225725 -aS'by\tby\tIN\tB-PP\tO' -p225726 -aS'a\ta\tDT\tB-NP\tO' -p225727 -aS'return\treturn\tNN\tI-NP\tO' -p225728 -aS'to\tto\tTO\tB-PP\tO' -p225729 -aS'her\ther\tPRP$\tB-NP\tO' -p225730 -aS'basal\tbasal\tJJ\tI-NP\tO' -p225731 -aS'predinisone\tpredinisone\tNN\tI-NP\tO' -p225732 -aS'/\t/\tSYM\tB-VP\tO' -p225733 -aS'fludrocortisone\tfludrocortisone\tNN\tB-NP\tO' -p225734 -aS'dose\tdose\tNN\tI-NP\tO' -p225735 -aS'.\t.\t.\tO\tO' -p225736 -asS'Hepatitis serologies were negative and the pt was eventually felt to have had shock liver from her hypotensive episode as the transaminitis resolved over time .' -p225737 -(lp225738 -S'Hepatitis\tHepatitis\tNN\tB-NP\tO' -p225739 -aS'serologies\tserology\tNNS\tI-NP\tO' -p225740 -aS'were\tbe\tVBD\tB-VP\tO' -p225741 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p225742 -aS'and\tand\tCC\tO\tO' -p225743 -aS'the\tthe\tDT\tB-NP\tO' -p225744 -aS'pt\tpt\tNN\tI-NP\tO' -p225745 -aS'was\tbe\tVBD\tB-VP\tO' -p225746 -aS'eventually\teventually\tRB\tI-VP\tO' -p225747 -aS'felt\tfeel\tVBN\tI-VP\tO' -p225748 -aS'to\tto\tTO\tI-VP\tO' -p225749 -aS'have\thave\tVB\tI-VP\tO' -p225750 -aS'had\thave\tVBN\tI-VP\tO' -p225751 -aS'shock\tshock\tNN\tB-NP\tO' -p225752 -aS'liver\tliver\tNN\tI-NP\tO' -p225753 -aS'from\tfrom\tIN\tB-PP\tO' -p225754 -aS'her\ther\tPRP$\tB-NP\tO' -p225755 -aS'hypotensive\thypotensive\tJJ\tI-NP\tO' -p225756 -aS'episode\tepisode\tNN\tI-NP\tO' -p225757 -aS'as\tas\tIN\tB-PP\tO' -p225758 -aS'the\tthe\tDT\tB-NP\tO' -p225759 -aS'transaminitis\ttransaminitis\tNN\tI-NP\tO' -p225760 -aS'resolved\tresolve\tVBN\tB-VP\tO' -p225761 -aS'over\tover\tIN\tB-PP\tO' -p225762 -aS'time\ttime\tNN\tB-NP\tO' -p225763 -aS'.\t.\t.\tO\tO' -p225764 -asS'Ruled out for MI .' -p225765 -(lp225766 -S'Ruled\tRule\tVBN\tB-VP\tO' -p225767 -aS'out\tout\tRP\tB-PRT\tO' -p225768 -aS'for\tfor\tIN\tB-PP\tO' -p225769 -aS'MI\tMI\tNN\tB-NP\tO' -p225770 -aS'.\t.\t.\tO\tO' -p225771 -asS'On vit C. and zinc as well to aid w/ wound healing .' -p225772 -(lp225773 -S'On\tOn\tIN\tB-PP\tO' -p225774 -aS'vit\tvit\tNN\tB-NP\tO' -p225775 -aS'C.\tC.\tNN\tI-NP\tO' -p225776 -aS'and\tand\tCC\tI-NP\tO' -p225777 -aS'zinc\tzinc\tNN\tI-NP\tO' -p225778 -aS'as\tas\tRB\tB-ADVP\tO' -p225779 -aS'well\twell\tRB\tI-ADVP\tO' -p225780 -aS'to\tto\tTO\tB-VP\tO' -p225781 -aS'aid\taid\tVB\tI-VP\tO' -p225782 -aS'w/\tw/\tNN\tB-NP\tO' -p225783 -aS'wound\twound\tNN\tI-NP\tO' -p225784 -aS'healing\thealing\tNN\tI-NP\tO' -p225785 -aS'.\t.\t.\tO\tO' -p225786 -asS'After extubation her o2 requirement was down to 1L NC with sats in mid 90s .' -p225787 -(lp225788 -S'After\tAfter\tIN\tB-PP\tO' -p225789 -aS'extubation\textubation\tNN\tB-NP\tO' -p225790 -aS'her\ther\tPRP$\tB-NP\tO' -p225791 -aS'o2\to2\tNN\tI-NP\tO' -p225792 -aS'requirement\trequirement\tNN\tI-NP\tO' -p225793 -aS'was\tbe\tVBD\tB-VP\tO' -p225794 -aS'down\tdown\tRB\tB-ADVP\tO' -p225795 -aS'to\tto\tTO\tB-PP\tO' -p225796 -aS'1L\t1L\tNN\tB-NP\tO' -p225797 -aS'NC\tNC\tNN\tI-NP\tO' -p225798 -aS'with\twith\tIN\tB-PP\tO' -p225799 -aS'sats\tsat\tNNS\tB-NP\tO' -p225800 -aS'in\tin\tIN\tB-PP\tO' -p225801 -aS'mid\tmid\tJJ\tB-NP\tO' -p225802 -aS'90s\t90\tNNS\tI-NP\tO' -p225803 -aS'.\t.\t.\tO\tO' -p225804 -asS'Included a white blood count of 140,000 , 7% polys , 1% bands , 3% lymphs , 1% monos , 2 basos , 4 blasts , 76% pearl monocytes , 6% meta 's , 3 nucleated red blood cells .' -p225805 -(lp225806 -S'Included\tInclude\tVBD\tB-VP\tO' -p225807 -aS'a\ta\tDT\tB-NP\tO' -p225808 -aS'white\twhite\tJJ\tI-NP\tO' -p225809 -aS'blood\tblood\tNN\tI-NP\tO' -p225810 -aS'count\tcount\tNN\tI-NP\tO' -p225811 -aS'of\tof\tIN\tB-PP\tO' -p225812 -aS'140,000\t140,000\tCD\tB-NP\tO' -p225813 -aS',\t,\t,\tO\tO' -p225814 -aS'7%\t7%\tCD\tB-NP\tO' -p225815 -aS'polys\tpoly\tNNS\tI-NP\tO' -p225816 -aS',\t,\t,\tO\tO' -p225817 -aS'1%\t1%\tNN\tB-NP\tO' -p225818 -aS'bands\tband\tNNS\tI-NP\tO' -p225819 -aS',\t,\t,\tO\tO' -p225820 -aS'3%\t3%\tNN\tB-NP\tO' -p225821 -aS'lymphs\tlymph\tNNS\tI-NP\tO' -p225822 -aS',\t,\t,\tO\tO' -p225823 -aS'1%\t1%\tNN\tB-NP\tO' -p225824 -aS'monos\tmono\tNNS\tI-NP\tO' -p225825 -aS',\t,\t,\tO\tO' -p225826 -aS'2\t2\tCD\tB-NP\tO' -p225827 -aS'basos\tbaso\tNNS\tI-NP\tO' -p225828 -aS',\t,\t,\tO\tO' -p225829 -aS'4\t4\tCD\tB-NP\tO' -p225830 -aS'blasts\tblast\tNNS\tI-NP\tO' -p225831 -aS',\t,\t,\tO\tO' -p225832 -aS'76%\t76%\tCD\tB-NP\tO' -p225833 -aS'pearl\tpearl\tNN\tI-NP\tO' -p225834 -aS'monocytes\tmonocyte\tNNS\tI-NP\tO' -p225835 -aS',\t,\t,\tO\tO' -p225836 -aS'6%\t6%\tCD\tB-NP\tO' -p225837 -aS'meta\tmeta\tJJ\tI-NP\tO' -p225838 -aS''s\t'\tNNS\tI-NP\tO' -p225839 -aS',\t,\t,\tO\tO' -p225840 -aS'3\t3\tCD\tB-NP\tO' -p225841 -aS'nucleated\tnucleated\tJJ\tI-NP\tO' -p225842 -aS'red\tred\tJJ\tI-NP\tO' -p225843 -aS'blood\tblood\tNN\tI-NP\tO' -p225844 -aS'cells\tcell\tNNS\tI-NP\tO' -p225845 -aS'.\t.\t.\tO\tO' -p225846 -asS'Heart has a regular rate and rhythm .' -p225847 -(lp225848 -S'Heart\tHeart\tNNP\tB-NP\tO' -p225849 -aS'has\thave\tVBZ\tB-VP\tO' -p225850 -aS'a\ta\tDT\tB-NP\tO' -p225851 -aS'regular\tregular\tJJ\tI-NP\tO' -p225852 -aS'rate\trate\tNN\tI-NP\tO' -p225853 -aS'and\tand\tCC\tI-NP\tO' -p225854 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p225855 -aS'.\t.\t.\tO\tO' -p225856 -asS'The neurological examination was appropriate for age with normal tone and strength and appropriate reflexes .' -p225857 -(lp225858 -S'The\tThe\tDT\tB-NP\tO' -p225859 -aS'neurological\tneurological\tJJ\tI-NP\tO' -p225860 -aS'examination\texamination\tNN\tI-NP\tO' -p225861 -aS'was\tbe\tVBD\tB-VP\tO' -p225862 -aS'appropriate\tappropriate\tJJ\tB-ADJP\tO' -p225863 -aS'for\tfor\tIN\tB-PP\tO' -p225864 -aS'age\tage\tNN\tB-NP\tO' -p225865 -aS'with\twith\tIN\tB-PP\tO' -p225866 -aS'normal\tnormal\tJJ\tB-NP\tO' -p225867 -aS'tone\ttone\tNN\tI-NP\tO' -p225868 -aS'and\tand\tCC\tI-NP\tO' -p225869 -aS'strength\tstrength\tNN\tI-NP\tO' -p225870 -aS'and\tand\tCC\tO\tO' -p225871 -aS'appropriate\tappropriate\tJJ\tB-NP\tO' -p225872 -aS'reflexes\treflex\tNNS\tI-NP\tO' -p225873 -aS'.\t.\t.\tO\tO' -p225874 -asS'Pt had multiple head CT s which ruled out progression of astrocytoma .' -p225875 -(lp225876 -S'Pt\tPt\tNN\tB-NP\tO' -p225877 -aS'had\thave\tVBD\tB-VP\tO' -p225878 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p225879 -aS'head\thead\tNN\tI-NP\tO' -p225880 -aS'CT\tCT\tNN\tI-NP\tO' -p225881 -aS's\ts\tNNS\tI-NP\tO' -p225882 -aS'which\twhich\tWDT\tB-NP\tO' -p225883 -aS'ruled\trule\tVBD\tB-VP\tO' -p225884 -aS'out\tout\tRP\tB-PRT\tO' -p225885 -aS'progression\tprogression\tNN\tB-NP\tO' -p225886 -aS'of\tof\tIN\tB-PP\tO' -p225887 -aS'astrocytoma\tastrocytoma\tNN\tB-NP\tO' -p225888 -aS'.\t.\t.\tO\tO' -p225889 -asS'1. Hydroxyzine HCl 10 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' -p225890 -(lp225891 -S'1.\t1.\tLS\tB-NP\tO' -p225892 -aS'Hydroxyzine\tHydroxyzine\tNN\tI-NP\tO' -p225893 -aS'HCl\tHCl\tNN\tI-NP\tO' -p225894 -aS'10\t10\tCD\tI-NP\tO' -p225895 -aS'mg\tmg\tNN\tI-NP\tO' -p225896 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p225897 -aS'Sig\tSig\tNNP\tI-NP\tO' -p225898 -aS':\t:\t:\tO\tO' -p225899 -aS'One\tOne\tCD\tB-NP\tO' -p225900 -aS'(\t(\t(\tO\tO' -p225901 -aS'1\t1\tCD\tB-NP\tO' -p225902 -aS')\t)\t)\tO\tO' -p225903 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p225904 -aS'PO\tPO\tNN\tI-NP\tO' -p225905 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p225906 -aS'(\t(\t(\tO\tO' -p225907 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p225908 -aS')\t)\t)\tO\tO' -p225909 -aS'.\t.\t.\tO\tO' -p225910 -asS'No edema with 2+ pulses .' -p225911 -(lp225912 -S'No\tNo\tDT\tB-NP\tO' -p225913 -aS'edema\tedema\tNN\tI-NP\tO' -p225914 -aS'with\twith\tIN\tB-PP\tO' -p225915 -aS'2+\t2+\tJJ\tB-NP\tO' -p225916 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p225917 -aS'.\t.\t.\tO\tO' -p225918 -asS'Signed electronically by : DR. Kate Gentry on : MON 2011-03-07 4:08 PM' -p225919 -(lp225920 -S'Signed\tSign\tVBN\tB-VP\tO' -p225921 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p225922 -aS'by\tby\tIN\tB-PP\tO' -p225923 -aS':\t:\t:\tO\tO' -p225924 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p225925 -aS'Kate\tKate\tNNP\tI-NP\tO' -p225926 -aS'Gentry\tGentry\tNNP\tI-NP\tO' -p225927 -aS'on\ton\tIN\tB-PP\tO' -p225928 -aS':\t:\t:\tO\tO' -p225929 -aS'MON\tMON\tNN\tB-NP\tO' -p225930 -aS'2011-03-07\t2011-03-07\tCD\tI-NP\tO' -p225931 -aS'4:08\t4:08\tCD\tI-NP\tO' -p225932 -aS'PM\tPM\tNN\tI-NP\tO' -p225933 -asS'Subsequently , zosyn was added .' -p225934 -(lp225935 -S'Subsequently\tSubsequently\tRB\tB-ADVP\tO' -p225936 -aS',\t,\t,\tO\tO' -p225937 -aS'zosyn\tzosyn\tNN\tB-NP\tO' -p225938 -aS'was\tbe\tVBD\tB-VP\tO' -p225939 -aS'added\tadd\tVBN\tI-VP\tO' -p225940 -aS'.\t.\t.\tO\tO' -p225941 -asS'4. State Newborn Screen was sent on day of life 3 .' -p225942 -(lp225943 -S'4.\t4.\tLS\tB-LST\tO' -p225944 -aS'State\tState\tNNP\tB-NP\tO' -p225945 -aS'Newborn\tNewborn\tNNP\tI-NP\tO' -p225946 -aS'Screen\tScreen\tNNP\tI-NP\tO' -p225947 -aS'was\tbe\tVBD\tB-VP\tO' -p225948 -aS'sent\tsend\tVBN\tI-VP\tO' -p225949 -aS'on\ton\tIN\tB-PP\tO' -p225950 -aS'day\tday\tNN\tB-NP\tO' -p225951 -aS'of\tof\tIN\tB-PP\tO' -p225952 -aS'life\tlife\tNN\tB-NP\tB-protein' -p225953 -aS'3\t3\tCD\tI-NP\tI-protein' -p225954 -aS'.\t.\t.\tO\tO' -p225955 -asS'Syncope .' -p225956 -(lp225957 -S'Syncope\tSyncope\tNN\tB-NP\tO' -p225958 -aS'.\t.\t.\tO\tO' -p225959 -asS'She worked as an occupational therapist at a professional center for handicapped children .' -p225960 -(lp225961 -S'She\tShe\tPRP\tB-NP\tO' -p225962 -aS'worked\twork\tVBD\tB-VP\tO' -p225963 -aS'as\tas\tIN\tB-PP\tO' -p225964 -aS'an\tan\tDT\tB-NP\tO' -p225965 -aS'occupational\toccupational\tJJ\tI-NP\tO' -p225966 -aS'therapist\ttherapist\tNN\tI-NP\tO' -p225967 -aS'at\tat\tIN\tB-PP\tO' -p225968 -aS'a\ta\tDT\tB-NP\tO' -p225969 -aS'professional\tprofessional\tJJ\tI-NP\tO' -p225970 -aS'center\tcenter\tNN\tI-NP\tO' -p225971 -aS'for\tfor\tIN\tB-PP\tO' -p225972 -aS'handicapped\thandicap\tVBN\tB-NP\tO' -p225973 -aS'children\tchild\tNNS\tI-NP\tO' -p225974 -aS'.\t.\t.\tO\tO' -p225975 -asS'Abdomen is soft , nontender , and nondistended .' -p225976 -(lp225977 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p225978 -aS'is\tbe\tVBZ\tB-VP\tO' -p225979 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p225980 -aS',\t,\t,\tO\tO' -p225981 -aS'nontender\tnontender\tJJ\tB-ADJP\tO' -p225982 -aS',\t,\t,\tO\tO' -p225983 -aS'and\tand\tCC\tO\tO' -p225984 -aS'nondistended\tnondistended\tJJ\tB-ADJP\tO' -p225985 -aS'.\t.\t.\tO\tO' -p225986 -asS'Question of penicillin and sulfa drugs leading to a rash .' -p225987 -(lp225988 -S'Question\tQuestion\tNN\tB-NP\tO' -p225989 -aS'of\tof\tIN\tB-PP\tO' -p225990 -aS'penicillin\tpenicillin\tNN\tB-NP\tB-protein' -p225991 -aS'and\tand\tCC\tI-NP\tO' -p225992 -aS'sulfa\tsulfa\tNN\tI-NP\tO' -p225993 -aS'drugs\tdrug\tNNS\tI-NP\tO' -p225994 -aS'leading\tlead\tVBG\tB-VP\tO' -p225995 -aS'to\tto\tTO\tB-PP\tO' -p225996 -aS'a\ta\tDT\tB-NP\tO' -p225997 -aS'rash\trash\tNN\tI-NP\tO' -p225998 -aS'.\t.\t.\tO\tO' -p225999 -asS'The patient was given an aspirin and Plavix and in addition started on a beta Elmore , Maxine ACE inhibitor , and these were titrated up as her blood pressure tolerated .' -p226000 -(lp226001 -S'The\tThe\tDT\tB-NP\tO' -p226002 -aS'patient\tpatient\tNN\tI-NP\tO' -p226003 -aS'was\tbe\tVBD\tB-VP\tO' -p226004 -aS'given\tgive\tVBN\tI-VP\tO' -p226005 -aS'an\tan\tDT\tB-NP\tO' -p226006 -aS'aspirin\taspirin\tNN\tI-NP\tO' -p226007 -aS'and\tand\tCC\tI-NP\tO' -p226008 -aS'Plavix\tPlavix\tNN\tI-NP\tO' -p226009 -aS'and\tand\tCC\tO\tO' -p226010 -aS'in\tin\tIN\tB-PP\tO' -p226011 -aS'addition\taddition\tNN\tB-NP\tO' -p226012 -aS'started\tstart\tVBN\tB-VP\tO' -p226013 -aS'on\ton\tIN\tB-PP\tO' -p226014 -aS'a\ta\tDT\tB-NP\tO' -p226015 -aS'beta\tbeta\tNN\tI-NP\tO' -p226016 -aS'Elmore\tElmore\tNNP\tB-NP\tO' -p226017 -aS',\t,\t,\tO\tO' -p226018 -aS'Maxine\tMaxine\tNNP\tB-NP\tO' -p226019 -aS'ACE\tACE\tNNP\tI-NP\tO' -p226020 -aS'inhibitor\tinhibitor\tNN\tI-NP\tO' -p226021 -aS',\t,\t,\tO\tO' -p226022 -aS'and\tand\tCC\tO\tO' -p226023 -aS'these\tthese\tDT\tB-NP\tO' -p226024 -aS'were\tbe\tVBD\tB-VP\tO' -p226025 -aS'titrated\ttitrate\tVBN\tI-VP\tO' -p226026 -aS'up\tup\tRP\tB-PRT\tO' -p226027 -aS'as\tas\tIN\tB-PP\tO' -p226028 -aS'her\ther\tPRP$\tB-NP\tO' -p226029 -aS'blood\tblood\tNN\tI-NP\tO' -p226030 -aS'pressure\tpressure\tNN\tI-NP\tO' -p226031 -aS'tolerated\ttolerate\tVBN\tB-VP\tO' -p226032 -aS'.\t.\t.\tO\tO' -p226033 -asS'Clindamycin / Erythromycin Base / Amoxicillin / Keflex / Wellbutrin' -p226034 -(lp226035 -S'Clindamycin\tClindamycin\tNN\tB-NP\tO' -p226036 -aS'/\t/\tSYM\tI-NP\tO' -p226037 -aS'Erythromycin\tErythromycin\tNN\tI-NP\tB-protein' -p226038 -aS'Base\tBase\tNN\tI-NP\tI-protein' -p226039 -aS'/\t/\tSYM\tB-NP\tO' -p226040 -aS'Amoxicillin\tAmoxicillin\tNN\tI-NP\tB-protein' -p226041 -aS'/\t/\tSYM\tI-NP\tO' -p226042 -aS'Keflex\tKeflex\tNN\tI-NP\tO' -p226043 -aS'/\t/\tSYM\tO\tO' -p226044 -aS'Wellbutrin\tWellbutrin\tNN\tB-NP\tO' -p226045 -asS'The neurological examination is nonfocal .' -p226046 -(lp226047 -S'The\tThe\tDT\tB-NP\tO' -p226048 -aS'neurological\tneurological\tJJ\tI-NP\tO' -p226049 -aS'examination\texamination\tNN\tI-NP\tO' -p226050 -aS'is\tbe\tVBZ\tB-VP\tO' -p226051 -aS'nonfocal\tnonfocal\tJJ\tB-ADJP\tO' -p226052 -aS'.\t.\t.\tO\tO' -p226053 -asS'She remained on IV antibiotics x 14 days and required pressors for the first few days post-op .' -p226054 -(lp226055 -S'She\tShe\tPRP\tB-NP\tO' -p226056 -aS'remained\tremain\tVBD\tB-VP\tO' -p226057 -aS'on\ton\tIN\tB-PP\tO' -p226058 -aS'IV\tIV\tCD\tB-NP\tO' -p226059 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p226060 -aS'x\tx\tSYM\tB-NP\tO' -p226061 -aS'14\t14\tCD\tB-NP\tO' -p226062 -aS'days\tday\tNNS\tI-NP\tO' -p226063 -aS'and\tand\tCC\tO\tO' -p226064 -aS'required\trequire\tVBN\tB-NP\tO' -p226065 -aS'pressors\tpressor\tNNS\tI-NP\tO' -p226066 -aS'for\tfor\tIN\tB-PP\tO' -p226067 -aS'the\tthe\tDT\tB-NP\tO' -p226068 -aS'first\tfirst\tJJ\tI-NP\tO' -p226069 -aS'few\tfew\tJJ\tI-NP\tO' -p226070 -aS'days\tday\tNNS\tI-NP\tO' -p226071 -aS'post-op\tpost-op\tJJ\tB-ADJP\tO' -p226072 -aS'.\t.\t.\tO\tO' -p226073 -asS'The patient was afebrile .' -p226074 -(lp226075 -S'The\tThe\tDT\tB-NP\tO' -p226076 -aS'patient\tpatient\tNN\tI-NP\tO' -p226077 -aS'was\tbe\tVBD\tB-VP\tO' -p226078 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p226079 -aS'.\t.\t.\tO\tO' -p226080 -asS'There are non-specific ST T wave changes.' -p226081 -(lp226082 -S'There\tThere\tEX\tB-NP\tO' -p226083 -aS'are\tbe\tVBP\tB-VP\tO' -p226084 -aS'non-specific\tnon-specific\tJJ\tB-NP\tO' -p226085 -aS'ST\tST\tNN\tI-NP\tO' -p226086 -aS'T\tT\tNN\tI-NP\tO' -p226087 -aS'wave\twave\tNN\tI-NP\tO' -p226088 -aS'changes.\tchanges.\tNNS\tI-NP\tO' -p226089 -asS'The patient denied angina , syncope , preceding worsening orthopnea , paroxysmal nocturnal dyspnea , palpitations , chest pain , hematemesis or melena .' -p226090 -(lp226091 -S'The\tThe\tDT\tB-NP\tO' -p226092 -aS'patient\tpatient\tNN\tI-NP\tO' -p226093 -aS'denied\tdeny\tVBD\tB-VP\tO' -p226094 -aS'angina\tangina\tNN\tB-NP\tO' -p226095 -aS',\t,\t,\tO\tO' -p226096 -aS'syncope\tsyncope\tNN\tB-NP\tO' -p226097 -aS',\t,\t,\tO\tO' -p226098 -aS'preceding\tprecede\tVBG\tB-VP\tO' -p226099 -aS'worsening\tworsen\tVBG\tB-NP\tO' -p226100 -aS'orthopnea\torthopnea\tNN\tI-NP\tO' -p226101 -aS',\t,\t,\tO\tO' -p226102 -aS'paroxysmal\tparoxysmal\tJJ\tB-NP\tO' -p226103 -aS'nocturnal\tnocturnal\tJJ\tI-NP\tO' -p226104 -aS'dyspnea\tdyspnea\tNN\tI-NP\tO' -p226105 -aS',\t,\t,\tO\tO' -p226106 -aS'palpitations\tpalpitation\tNNS\tB-NP\tO' -p226107 -aS',\t,\t,\tO\tO' -p226108 -aS'chest\tchest\tNN\tB-NP\tO' -p226109 -aS'pain\tpain\tNN\tI-NP\tO' -p226110 -aS',\t,\t,\tO\tO' -p226111 -aS'hematemesis\thematemesis\tNN\tB-NP\tO' -p226112 -aS'or\tor\tCC\tI-NP\tO' -p226113 -aS'melena\tmelena\tNN\tI-NP\tO' -p226114 -aS'.\t.\t.\tO\tO' -p226115 -asS'Fournier 's gangrene versus necrotizing fasciitis .' -p226116 -(lp226117 -S'Fournier\tFourni\tJJR\tB-NP\tO' -p226118 -aS''s\t'\tNNS\tI-NP\tO' -p226119 -aS'gangrene\tgangrene\tNN\tI-NP\tO' -p226120 -aS'versus\tversus\tIN\tB-PP\tO' -p226121 -aS'necrotizing\tnecrotize\tVBG\tB-VP\tO' -p226122 -aS'fasciitis\tfasciitis\tNN\tB-NP\tO' -p226123 -aS'.\t.\t.\tO\tO' -p226124 -asS'The neurological examination aside from the blind right eye was unremarkable .' -p226125 -(lp226126 -S'The\tThe\tDT\tB-NP\tO' -p226127 -aS'neurological\tneurological\tJJ\tI-NP\tO' -p226128 -aS'examination\texamination\tNN\tI-NP\tO' -p226129 -aS'aside\taside\tRB\tB-ADVP\tO' -p226130 -aS'from\tfrom\tIN\tB-PP\tO' -p226131 -aS'the\tthe\tDT\tB-NP\tO' -p226132 -aS'blind\tblind\tJJ\tI-NP\tO' -p226133 -aS'right\tright\tJJ\tI-NP\tO' -p226134 -aS'eye\teye\tNN\tI-NP\tO' -p226135 -aS'was\tbe\tVBD\tB-VP\tO' -p226136 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p226137 -aS'.\t.\t.\tO\tO' -p226138 -asS'Examination post intubation but off intubations showed clinical evidence of elevated intracranial pressure and brainstem compression .' -p226139 -(lp226140 -S'Examination\tExamination\tNN\tB-NP\tO' -p226141 -aS'post\tpost\tNN\tI-NP\tO' -p226142 -aS'intubation\tintubation\tNN\tI-NP\tO' -p226143 -aS'but\tbut\tCC\tB-PP\tO' -p226144 -aS'off\toff\tIN\tB-PP\tO' -p226145 -aS'intubations\tintubation\tNNS\tB-NP\tO' -p226146 -aS'showed\tshow\tVBD\tB-VP\tO' -p226147 -aS'clinical\tclinical\tJJ\tB-NP\tO' -p226148 -aS'evidence\tevidence\tNN\tI-NP\tO' -p226149 -aS'of\tof\tIN\tB-PP\tO' -p226150 -aS'elevated\televated\tJJ\tB-NP\tO' -p226151 -aS'intracranial\tintracranial\tJJ\tI-NP\tO' -p226152 -aS'pressure\tpressure\tNN\tI-NP\tO' -p226153 -aS'and\tand\tCC\tI-NP\tO' -p226154 -aS'brainstem\tbrainstem\tNN\tI-NP\tO' -p226155 -aS'compression\tcompression\tNN\tI-NP\tO' -p226156 -aS'.\t.\t.\tO\tO' -p226157 -asS"1. Continue advancing fluid volume to support infant 's weight gain needs ." -p226158 -(lp226159 -S'1.\t1.\tLS\tB-NP\tO' -p226160 -aS'Continue\tContinue\tNN\tI-NP\tO' -p226161 -aS'advancing\tadvance\tVBG\tB-VP\tO' -p226162 -aS'fluid\tfluid\tJJ\tB-NP\tO' -p226163 -aS'volume\tvolume\tNN\tI-NP\tO' -p226164 -aS'to\tto\tTO\tB-VP\tO' -p226165 -aS'support\tsupport\tVB\tI-VP\tO' -p226166 -aS'infant\tinfant\tNN\tB-NP\tO' -p226167 -aS"'s\t's\tPOS\tB-NP\tO" -p226168 -aS'weight\tweight\tNN\tI-NP\tO' -p226169 -aS'gain\tgain\tNN\tI-NP\tO' -p226170 -aS'needs\tneed\tNNS\tI-NP\tO' -p226171 -aS'.\t.\t.\tO\tO' -p226172 -asS'She has complaints of nausea and vomiting as well as left upper quadrant pain on and off getting progressively worse over the past month .' -p226173 -(lp226174 -S'She\tShe\tPRP\tB-NP\tO' -p226175 -aS'has\thave\tVBZ\tB-VP\tO' -p226176 -aS'complaints\tcomplaint\tNNS\tB-NP\tO' -p226177 -aS'of\tof\tIN\tB-PP\tO' -p226178 -aS'nausea\tnausea\tNN\tB-NP\tO' -p226179 -aS'and\tand\tCC\tO\tO' -p226180 -aS'vomiting\tvomit\tVBG\tB-VP\tO' -p226181 -aS'as\tas\tRB\tB-CONJP\tO' -p226182 -aS'well\twell\tRB\tI-CONJP\tO' -p226183 -aS'as\tas\tIN\tI-CONJP\tO' -p226184 -aS'left\tleft\tJJ\tB-NP\tB-protein' -p226185 -aS'upper\tupper\tJJ\tI-NP\tI-protein' -p226186 -aS'quadrant\tquadrant\tJJ\tI-NP\tI-protein' -p226187 -aS'pain\tpain\tNN\tI-NP\tI-protein' -p226188 -aS'on\ton\tIN\tB-PP\tO' -p226189 -aS'and\tand\tCC\tI-PP\tO' -p226190 -aS'off\toff\tIN\tI-PP\tO' -p226191 -aS'getting\tget\tVBG\tB-VP\tO' -p226192 -aS'progressively\tprogressively\tRB\tB-ADJP\tO' -p226193 -aS'worse\tworse\tJJR\tI-ADJP\tO' -p226194 -aS'over\tover\tIN\tB-PP\tO' -p226195 -aS'the\tthe\tDT\tB-NP\tO' -p226196 -aS'past\tpast\tJJ\tI-NP\tO' -p226197 -aS'month\tmonth\tNN\tI-NP\tO' -p226198 -aS'.\t.\t.\tO\tO' -p226199 -asS'anemia Afib ( 19 episodes since 2017-12-02 , as documented on pacer interogation 2018-04-04 )' -p226200 -(lp226201 -S'anemia\tanemia\tNN\tB-NP\tO' -p226202 -aS'Afib\tAfib\tNN\tI-NP\tO' -p226203 -aS'(\t(\t(\tO\tO' -p226204 -aS'19\t19\tCD\tB-NP\tO' -p226205 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p226206 -aS'since\tsince\tIN\tB-PP\tO' -p226207 -aS'2017-12-02\t2017-12-02\tCD\tB-NP\tO' -p226208 -aS',\t,\t,\tO\tO' -p226209 -aS'as\tas\tIN\tB-SBAR\tO' -p226210 -aS'documented\tdocument\tVBN\tB-VP\tO' -p226211 -aS'on\ton\tIN\tB-PP\tO' -p226212 -aS'pacer\tpacer\tNN\tB-NP\tO' -p226213 -aS'interogation\tinterogation\tNN\tI-NP\tO' -p226214 -aS'2018-04-04\t2018-04-04\tCD\tI-NP\tO' -p226215 -aS')\t)\t)\tO\tO' -p226216 -asS'To Quinidine , Procardia , and sulfa antibiotics .' -p226217 -(lp226218 -S'To\tTo\tTO\tB-PP\tO' -p226219 -aS'Quinidine\tQuinidine\tNN\tB-NP\tO' -p226220 -aS',\t,\t,\tO\tO' -p226221 -aS'Procardia\tProcardia\tNNP\tB-NP\tO' -p226222 -aS',\t,\t,\tO\tO' -p226223 -aS'and\tand\tCC\tO\tO' -p226224 -aS'sulfa\tsulfa\tNN\tB-NP\tO' -p226225 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p226226 -aS'.\t.\t.\tO\tO' -p226227 -asS'COPD and R pleural effusion , off oxygen and stable .' -p226228 -(lp226229 -S'COPD\tCOPD\tNN\tB-NP\tO' -p226230 -aS'and\tand\tCC\tI-NP\tO' -p226231 -aS'R\tR\tNN\tI-NP\tO' -p226232 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p226233 -aS'effusion\teffusion\tNN\tI-NP\tO' -p226234 -aS',\t,\t,\tO\tO' -p226235 -aS'off\toff\tIN\tB-PP\tO' -p226236 -aS'oxygen\toxygen\tNN\tB-NP\tO' -p226237 -aS'and\tand\tCC\tI-NP\tO' -p226238 -aS'stable\tstable\tNN\tI-NP\tO' -p226239 -aS'.\t.\t.\tO\tO' -p226240 -asS'Humalog sliding scale insulin .' -p226241 -(lp226242 -S'Humalog\tHumalog\tNN\tB-NP\tB-protein' -p226243 -aS'sliding\tslide\tVBG\tB-VP\tI-protein' -p226244 -aS'scale\tscale\tNN\tB-NP\tI-protein' -p226245 -aS'insulin\tinsulin\tNN\tI-NP\tI-protein' -p226246 -aS'.\t.\t.\tO\tO' -p226247 -asS'The patient will follow-up with Cardiology in one months time for further management of her coronary artery disease and further evaluation of her remaining RCA lesions .' -p226248 -(lp226249 -S'The\tThe\tDT\tB-NP\tO' -p226250 -aS'patient\tpatient\tNN\tI-NP\tO' -p226251 -aS'will\twill\tMD\tB-VP\tO' -p226252 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p226253 -aS'with\twith\tIN\tB-PP\tO' -p226254 -aS'Cardiology\tCardiology\tNNP\tB-NP\tO' -p226255 -aS'in\tin\tIN\tB-PP\tO' -p226256 -aS'one\tone\tCD\tB-NP\tO' -p226257 -aS'months\tmonth\tNNS\tI-NP\tO' -p226258 -aS'time\ttime\tNN\tB-NP\tO' -p226259 -aS'for\tfor\tIN\tB-PP\tO' -p226260 -aS'further\tfurther\tJJ\tB-NP\tO' -p226261 -aS'management\tmanagement\tNN\tI-NP\tO' -p226262 -aS'of\tof\tIN\tB-PP\tO' -p226263 -aS'her\ther\tPRP$\tB-NP\tO' -p226264 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p226265 -aS'artery\tartery\tNN\tI-NP\tO' -p226266 -aS'disease\tdisease\tNN\tI-NP\tO' -p226267 -aS'and\tand\tCC\tO\tO' -p226268 -aS'further\tfurther\tJJ\tB-NP\tO' -p226269 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p226270 -aS'of\tof\tIN\tB-PP\tO' -p226271 -aS'her\ther\tPRP$\tB-NP\tO' -p226272 -aS'remaining\tremain\tVBG\tI-NP\tO' -p226273 -aS'RCA\tRCA\tNN\tI-NP\tO' -p226274 -aS'lesions\tlesion\tNNS\tI-NP\tO' -p226275 -aS'.\t.\t.\tO\tO' -p226276 -asS'SHE HAS BEEN WATCHED BY A SITTER AT ALL TIMES .' -p226277 -(lp226278 -S'SHE\tSHE\tNN\tB-NP\tO' -p226279 -aS'HAS\tHAS\tNN\tI-NP\tO' -p226280 -aS'BEEN\tBEEN\tNN\tI-NP\tO' -p226281 -aS'WATCHED\tWATCHED\tVBD\tB-VP\tO' -p226282 -aS'BY\tBY\tNN\tB-NP\tO' -p226283 -aS'A\tA\tNN\tI-NP\tO' -p226284 -aS'SITTER\tSITTER\tNN\tI-NP\tO' -p226285 -aS'AT\tAT\tNN\tI-NP\tO' -p226286 -aS'ALL\tALL\tNN\tI-NP\tO' -p226287 -aS'TIMES\tTIMES\tNN\tI-NP\tO' -p226288 -aS'.\t.\t.\tO\tO' -p226289 -asS'About two weeks prior to admission the patient developed mid back pain , burning in nature with radiation around the right lower ribs .' -p226290 -(lp226291 -S'About\tAbout\tIN\tB-NP\tO' -p226292 -aS'two\ttwo\tCD\tI-NP\tO' -p226293 -aS'weeks\tweek\tNNS\tI-NP\tO' -p226294 -aS'prior\tprior\tRB\tB-ADVP\tO' -p226295 -aS'to\tto\tTO\tB-VP\tO' -p226296 -aS'admission\tadmission\tVB\tI-VP\tO' -p226297 -aS'the\tthe\tDT\tB-NP\tO' -p226298 -aS'patient\tpatient\tNN\tI-NP\tO' -p226299 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p226300 -aS'mid\tmid\tJJ\tB-NP\tO' -p226301 -aS'back\tback\tJJ\tI-NP\tO' -p226302 -aS'pain\tpain\tNN\tI-NP\tO' -p226303 -aS',\t,\t,\tO\tO' -p226304 -aS'burning\tburn\tVBG\tB-VP\tO' -p226305 -aS'in\tin\tIN\tB-PP\tO' -p226306 -aS'nature\tnature\tNN\tB-NP\tO' -p226307 -aS'with\twith\tIN\tB-PP\tO' -p226308 -aS'radiation\tradiation\tNN\tB-NP\tO' -p226309 -aS'around\taround\tIN\tB-PP\tO' -p226310 -aS'the\tthe\tDT\tB-NP\tO' -p226311 -aS'right\tright\tJJ\tI-NP\tB-protein' -p226312 -aS'lower\tlow\tJJR\tI-NP\tI-protein' -p226313 -aS'ribs\trib\tNNS\tI-NP\tI-protein' -p226314 -aS'.\t.\t.\tO\tO' -p226315 -asS'The pathology report suggested that the area was involved with radiation esophagitis and focal ulceration .' -p226316 -(lp226317 -S'The\tThe\tDT\tB-NP\tO' -p226318 -aS'pathology\tpathology\tNN\tI-NP\tO' -p226319 -aS'report\treport\tNN\tI-NP\tO' -p226320 -aS'suggested\tsuggest\tVBD\tB-VP\tO' -p226321 -aS'that\tthat\tIN\tB-SBAR\tO' -p226322 -aS'the\tthe\tDT\tB-NP\tO' -p226323 -aS'area\tarea\tNN\tI-NP\tO' -p226324 -aS'was\tbe\tVBD\tB-VP\tO' -p226325 -aS'involved\tinvolve\tVBN\tI-VP\tO' -p226326 -aS'with\twith\tIN\tB-PP\tO' -p226327 -aS'radiation\tradiation\tNN\tB-NP\tO' -p226328 -aS'esophagitis\tesophagitis\tNN\tI-NP\tO' -p226329 -aS'and\tand\tCC\tO\tO' -p226330 -aS'focal\tfocal\tJJ\tB-NP\tO' -p226331 -aS'ulceration\tulceration\tNN\tI-NP\tO' -p226332 -aS'.\t.\t.\tO\tO' -p226333 -asS'Echo , MRA ( r / o dissection ) , urine catecholamines and VMA .' -p226334 -(lp226335 -S'Echo\tEcho\tRB\tB-ADVP\tO' -p226336 -aS',\t,\t,\tO\tO' -p226337 -aS'MRA\tMRA\tNN\tB-NP\tB-protein' -p226338 -aS'(\t(\t(\tO\tO' -p226339 -aS'r\tr\tNN\tB-NP\tO' -p226340 -aS'/\t/\tSYM\tO\tO' -p226341 -aS'o\to\tNN\tB-NP\tO' -p226342 -aS'dissection\tdissection\tNN\tI-NP\tO' -p226343 -aS')\t)\t)\tO\tO' -p226344 -aS',\t,\t,\tO\tO' -p226345 -aS'urine\turine\tNN\tB-NP\tO' -p226346 -aS'catecholamines\tcatecholamine\tNNS\tI-NP\tO' -p226347 -aS'and\tand\tCC\tO\tO' -p226348 -aS'VMA\tVMA\tNN\tB-NP\tB-protein' -p226349 -aS'.\t.\t.\tO\tO' -p226350 -asS'Cimetidine 300 mg. intravenous q6hours .' -p226351 -(lp226352 -S'Cimetidine\tCimetidine\tNN\tB-NP\tO' -p226353 -aS'300\t300\tCD\tI-NP\tO' -p226354 -aS'mg.\tmg.\tNN\tI-NP\tO' -p226355 -aS'intravenous\tintravenous\tJJ\tI-NP\tO' -p226356 -aS'q6hours\tq6hour\tNNS\tI-NP\tO' -p226357 -aS'.\t.\t.\tO\tO' -p226358 -asS'quitting smoking , and he appears motivated to do so , as well as to cut down on his drinking .' -p226359 -(lp226360 -S'quitting\tquit\tVBG\tB-VP\tO' -p226361 -aS'smoking\tsmoking\tNN\tB-NP\tO' -p226362 -aS',\t,\t,\tO\tO' -p226363 -aS'and\tand\tCC\tO\tO' -p226364 -aS'he\the\tPRP\tB-NP\tO' -p226365 -aS'appears\tappear\tVBZ\tB-VP\tO' -p226366 -aS'motivated\tmotivate\tVBN\tI-VP\tO' -p226367 -aS'to\tto\tTO\tI-VP\tO' -p226368 -aS'do\tdo\tVB\tI-VP\tO' -p226369 -aS'so\tso\tRB\tB-ADVP\tO' -p226370 -aS',\t,\t,\tO\tO' -p226371 -aS'as\tas\tRB\tB-CONJP\tO' -p226372 -aS'well\twell\tRB\tI-CONJP\tO' -p226373 -aS'as\tas\tIN\tI-CONJP\tO' -p226374 -aS'to\tto\tTO\tB-VP\tO' -p226375 -aS'cut\tcut\tVB\tI-VP\tO' -p226376 -aS'down\tdown\tRP\tB-PRT\tO' -p226377 -aS'on\ton\tIN\tB-PP\tO' -p226378 -aS'his\this\tPRP$\tB-NP\tO' -p226379 -aS'drinking\tdrinking\tNN\tI-NP\tO' -p226380 -aS'.\t.\t.\tO\tO' -p226381 -asS'Apgar scores were 8 at 1 minute and 9 at 5 minutes .' -p226382 -(lp226383 -S'Apgar\tApgar\tNN\tB-NP\tO' -p226384 -aS'scores\tscore\tNNS\tI-NP\tO' -p226385 -aS'were\tbe\tVBD\tB-VP\tO' -p226386 -aS'8\t8\tCD\tB-NP\tO' -p226387 -aS'at\tat\tIN\tB-PP\tO' -p226388 -aS'1\t1\tCD\tB-NP\tO' -p226389 -aS'minute\tminute\tNN\tI-NP\tO' -p226390 -aS'and\tand\tCC\tO\tO' -p226391 -aS'9\t9\tCD\tB-NP\tO' -p226392 -aS'at\tat\tIN\tB-PP\tO' -p226393 -aS'5\t5\tCD\tB-NP\tO' -p226394 -aS'minutes\tminute\tNNS\tI-NP\tO' -p226395 -aS'.\t.\t.\tO\tO' -p226396 -asS'Gastrointestinal revealed soft , nontender , and nondistended .' -p226397 -(lp226398 -S'Gastrointestinal\tGastrointestinal\tNNP\tB-NP\tO' -p226399 -aS'revealed\treveal\tVBD\tB-VP\tO' -p226400 -aS'soft\tsoft\tJJ\tB-NP\tO' -p226401 -aS',\t,\t,\tI-NP\tO' -p226402 -aS'nontender\tnontender\tJJ\tI-NP\tO' -p226403 -aS',\t,\t,\tI-NP\tO' -p226404 -aS'and\tand\tCC\tI-NP\tO' -p226405 -aS'nondistended\tnondistended\tJJ\tI-NP\tO' -p226406 -aS'.\t.\t.\tO\tO' -p226407 -asS'4) Failure to thrive and weight loss' -p226408 -(lp226409 -S'4)\t4)\tLS\tB-NP\tO' -p226410 -aS'Failure\tFailure\tNN\tI-NP\tO' -p226411 -aS'to\tto\tTO\tB-PP\tO' -p226412 -aS'thrive\tthrive\tNN\tB-NP\tO' -p226413 -aS'and\tand\tCC\tI-NP\tO' -p226414 -aS'weight\tweight\tNN\tI-NP\tO' -p226415 -aS'loss\tloss\tNN\tI-NP\tO' -p226416 -asS'No driving for approximately one month' -p226417 -(lp226418 -S'No\tNo\tDT\tB-NP\tO' -p226419 -aS'driving\tdriving\tNN\tI-NP\tO' -p226420 -aS'for\tfor\tIN\tB-PP\tO' -p226421 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p226422 -aS'one\tone\tCD\tI-NP\tO' -p226423 -aS'month\tmonth\tNN\tI-NP\tO' -p226424 -asS'Eventually , his IV steroids were transitioned to a p.o. steroid taper , which he tolerated well , and was discharged on a steroid taper also with CMED CSRU follow-up as an outpatient .' -p226425 -(lp226426 -S'Eventually\tEventually\tRB\tB-ADVP\tO' -p226427 -aS',\t,\t,\tO\tO' -p226428 -aS'his\this\tPRP$\tB-NP\tO' -p226429 -aS'IV\tIV\tCD\tI-NP\tO' -p226430 -aS'steroids\tsteroid\tNNS\tI-NP\tO' -p226431 -aS'were\tbe\tVBD\tB-VP\tO' -p226432 -aS'transitioned\ttransitione\tVBN\tI-VP\tO' -p226433 -aS'to\tto\tTO\tB-PP\tO' -p226434 -aS'a\ta\tDT\tB-NP\tO' -p226435 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p226436 -aS'steroid\tsteroid\tNN\tI-NP\tO' -p226437 -aS'taper\ttaper\tNN\tI-NP\tO' -p226438 -aS',\t,\t,\tO\tO' -p226439 -aS'which\twhich\tWDT\tB-NP\tO' -p226440 -aS'he\the\tPRP\tB-NP\tO' -p226441 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p226442 -aS'well\twell\tRB\tB-ADVP\tO' -p226443 -aS',\t,\t,\tO\tO' -p226444 -aS'and\tand\tCC\tO\tO' -p226445 -aS'was\tbe\tVBD\tB-VP\tO' -p226446 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p226447 -aS'on\ton\tIN\tB-PP\tO' -p226448 -aS'a\ta\tDT\tB-NP\tO' -p226449 -aS'steroid\tsteroid\tNN\tI-NP\tO' -p226450 -aS'taper\ttaper\tNN\tI-NP\tO' -p226451 -aS'also\talso\tRB\tB-ADVP\tO' -p226452 -aS'with\twith\tIN\tB-PP\tO' -p226453 -aS'CMED\tCMED\tNNP\tB-NP\tO' -p226454 -aS'CSRU\tCSRU\tNNP\tI-NP\tO' -p226455 -aS'follow-up\tfollow-up\tNN\tI-NP\tO' -p226456 -aS'as\tas\tIN\tB-PP\tO' -p226457 -aS'an\tan\tDT\tB-NP\tO' -p226458 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p226459 -aS'.\t.\t.\tO\tO' -p226460 -asS'1) No evidence of fracture of the cervical spine .' -p226461 -(lp226462 -S'1)\t1)\tLS\tB-LST\tO' -p226463 -aS'No\tNo\tDT\tB-NP\tO' -p226464 -aS'evidence\tevidence\tNN\tI-NP\tO' -p226465 -aS'of\tof\tIN\tB-PP\tO' -p226466 -aS'fracture\tfracture\tNN\tB-NP\tO' -p226467 -aS'of\tof\tIN\tB-PP\tO' -p226468 -aS'the\tthe\tDT\tB-NP\tO' -p226469 -aS'cervical\tcervical\tJJ\tI-NP\tO' -p226470 -aS'spine\tspine\tNN\tI-NP\tO' -p226471 -aS'.\t.\t.\tO\tO' -p226472 -asS'1) CV ( R ) finished amio IV load then started on po , agressive lytes ; although interrogation showed >100 episodes of VT ( as / x ) , pt prefers med therapy as opposed to ablation ( I ) enzymes mildly elevated but not actively ischemic ; lipids , ASA , statin , BB ; Adenosine thal 1/4 and echo 1/4 to look for signs of ischemia as active cause for VT ( P ) JVP at angle of jaw 1/4 --> giving 20 Lasix ; dig level 1/4 1.3 --> 1/2 dose as on Amio' -p226473 -(lp226474 -S'1)\t1)\tLS\tB-LST\tO' -p226475 -aS'CV\tCV\tNN\tB-NP\tO' -p226476 -aS'(\t(\t(\tO\tO' -p226477 -aS'R\tR\tNN\tB-NP\tO' -p226478 -aS')\t)\t)\tO\tO' -p226479 -aS'finished\tfinish\tVBD\tB-VP\tO' -p226480 -aS'amio\tamio\tNN\tB-NP\tO' -p226481 -aS'IV\tIV\tCD\tI-NP\tO' -p226482 -aS'load\tload\tNN\tI-NP\tO' -p226483 -aS'then\tthen\tRB\tB-ADVP\tO' -p226484 -aS'started\tstart\tVBD\tB-VP\tO' -p226485 -aS'on\ton\tIN\tB-PP\tO' -p226486 -aS'po\tpo\tNN\tB-NP\tO' -p226487 -aS',\t,\t,\tO\tO' -p226488 -aS'agressive\tagressive\tJJ\tB-NP\tO' -p226489 -aS'lytes\tlyte\tNNS\tI-NP\tO' -p226490 -aS';\t;\t:\tO\tO' -p226491 -aS'although\talthough\tIN\tB-SBAR\tO' -p226492 -aS'interrogation\tinterrogation\tNN\tB-NP\tO' -p226493 -aS'showed\tshow\tVBD\tB-VP\tO' -p226494 -aS'>100\t>100\tCD\tB-NP\tO' -p226495 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p226496 -aS'of\tof\tIN\tB-PP\tO' -p226497 -aS'VT\tVT\tNN\tB-NP\tO' -p226498 -aS'(\t(\t(\tO\tO' -p226499 -aS'as\tas\tIN\tB-PP\tO' -p226500 -aS'/\t/\tSYM\tB-NP\tO' -p226501 -aS'x\tx\tNN\tI-NP\tO' -p226502 -aS')\t)\t)\tO\tO' -p226503 -aS',\t,\t,\tO\tO' -p226504 -aS'pt\tpt\tNN\tB-NP\tO' -p226505 -aS'prefers\tprefer\tVBZ\tB-VP\tO' -p226506 -aS'med\tme\tVBN\tB-NP\tO' -p226507 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p226508 -aS'as\tas\tIN\tB-SBAR\tO' -p226509 -aS'opposed\toppose\tVBN\tB-VP\tO' -p226510 -aS'to\tto\tTO\tB-PP\tO' -p226511 -aS'ablation\tablation\tNN\tB-NP\tB-protein' -p226512 -aS'(\t(\t(\tO\tI-protein' -p226513 -aS'I\tI\tNN\tB-NP\tI-protein' -p226514 -aS')\t)\t)\tO\tI-protein' -p226515 -aS'enzymes\tenzyme\tNNS\tB-NP\tI-protein' -p226516 -aS'mildly\tmildly\tRB\tB-ADJP\tO' -p226517 -aS'elevated\televated\tJJ\tI-ADJP\tO' -p226518 -aS'but\tbut\tCC\tO\tO' -p226519 -aS'not\tnot\tRB\tB-ADJP\tO' -p226520 -aS'actively\tactively\tRB\tI-ADJP\tO' -p226521 -aS'ischemic\tischemic\tJJ\tI-ADJP\tO' -p226522 -aS';\t;\t:\tO\tO' -p226523 -aS'lipids\tlipid\tNNS\tB-NP\tO' -p226524 -aS',\t,\t,\tO\tO' -p226525 -aS'ASA\tASA\tNN\tB-NP\tO' -p226526 -aS',\t,\t,\tO\tO' -p226527 -aS'statin\tstatin\tNN\tB-NP\tO' -p226528 -aS',\t,\t,\tO\tO' -p226529 -aS'BB\tBB\tNNP\tB-NP\tO' -p226530 -aS';\t;\t:\tO\tO' -p226531 -aS'Adenosine\tAdenosine\tNN\tB-NP\tO' -p226532 -aS'thal\tthal\tIN\tB-PP\tO' -p226533 -aS'1/4\t1/4\tCD\tB-NP\tO' -p226534 -aS'and\tand\tCC\tO\tO' -p226535 -aS'echo\techo\tVB\tB-VP\tO' -p226536 -aS'1/4\t1/4\tCD\tB-NP\tO' -p226537 -aS'to\tto\tTO\tB-VP\tO' -p226538 -aS'look\tlook\tVB\tI-VP\tO' -p226539 -aS'for\tfor\tIN\tB-PP\tO' -p226540 -aS'signs\tsign\tNNS\tB-NP\tO' -p226541 -aS'of\tof\tIN\tB-PP\tO' -p226542 -aS'ischemia\tischemia\tNN\tB-NP\tO' -p226543 -aS'as\tas\tIN\tB-PP\tO' -p226544 -aS'active\tactive\tJJ\tB-NP\tO' -p226545 -aS'cause\tcause\tNN\tI-NP\tO' -p226546 -aS'for\tfor\tIN\tB-PP\tO' -p226547 -aS'VT\tVT\tNN\tB-NP\tB-protein' -p226548 -aS'(\t(\t(\tO\tI-protein' -p226549 -aS'P\tP\tNN\tB-NP\tI-protein' -p226550 -aS')\t)\t)\tO\tI-protein' -p226551 -aS'JVP\tJVP\tNN\tB-NP\tI-protein' -p226552 -aS'at\tat\tIN\tB-PP\tO' -p226553 -aS'angle\tangle\tNN\tB-NP\tO' -p226554 -aS'of\tof\tIN\tB-PP\tO' -p226555 -aS'jaw\tjaw\tNN\tB-NP\tB-protein' -p226556 -aS'1/4\t1/4\tCD\tI-NP\tI-protein' -p226557 -aS'-->\t-->\tSYM\tB-NP\tO' -p226558 -aS'giving\tgive\tVBG\tB-VP\tO' -p226559 -aS'20\t20\tCD\tB-NP\tO' -p226560 -aS'Lasix\tLasix\tNNP\tI-NP\tO' -p226561 -aS';\t;\t:\tO\tO' -p226562 -aS'dig\tdig\tNN\tB-NP\tO' -p226563 -aS'level\tlevel\tNN\tI-NP\tO' -p226564 -aS'1/4\t1/4\tCD\tB-NP\tO' -p226565 -aS'1.3\t1.3\tCD\tI-NP\tO' -p226566 -aS'-->\t-->\tSYM\tB-NP\tO' -p226567 -aS'1/2\t1/2\tCD\tB-NP\tO' -p226568 -aS'dose\tdose\tNN\tI-NP\tO' -p226569 -aS'as\tas\tIN\tB-PP\tO' -p226570 -aS'on\ton\tIN\tB-PP\tO' -p226571 -aS'Amio\tAmio\tNNP\tB-NP\tO' -p226572 -asS'Pt d / c'd home in stable condition .' -p226573 -(lp226574 -S'Pt\tPt\tNN\tB-NP\tB-protein' -p226575 -aS'd\td\tNN\tI-NP\tI-protein' -p226576 -aS'/\t/\tSYM\tB-NP\tO' -p226577 -aS'c'd\tc'd\tNN\tI-NP\tO' -p226578 -aS'home\thome\tNN\tI-NP\tO' -p226579 -aS'in\tin\tIN\tB-PP\tO' -p226580 -aS'stable\tstable\tJJ\tB-NP\tO' -p226581 -aS'condition\tcondition\tNN\tI-NP\tO' -p226582 -aS'.\t.\t.\tO\tO' -p226583 -asS'Her renal function also remained stable in the perioperative period .' -p226584 -(lp226585 -S'Her\tHer\tPRP$\tB-NP\tO' -p226586 -aS'renal\trenal\tJJ\tI-NP\tO' -p226587 -aS'function\tfunction\tNN\tI-NP\tO' -p226588 -aS'also\talso\tRB\tB-ADVP\tO' -p226589 -aS'remained\tremain\tVBD\tB-VP\tO' -p226590 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p226591 -aS'in\tin\tIN\tB-PP\tO' -p226592 -aS'the\tthe\tDT\tB-NP\tO' -p226593 -aS'perioperative\tperioperative\tJJ\tI-NP\tO' -p226594 -aS'period\tperiod\tNN\tI-NP\tO' -p226595 -aS'.\t.\t.\tO\tO' -p226596 -asS'The patient also experienced a feeling of moving back and forth when lying down with neck extended during the magnetic resonance imaging study and also in bed .' -p226597 -(lp226598 -S'The\tThe\tDT\tB-NP\tO' -p226599 -aS'patient\tpatient\tNN\tI-NP\tO' -p226600 -aS'also\talso\tRB\tB-ADVP\tO' -p226601 -aS'experienced\texperience\tVBD\tB-VP\tO' -p226602 -aS'a\ta\tDT\tB-NP\tO' -p226603 -aS'feeling\tfeeling\tNN\tI-NP\tO' -p226604 -aS'of\tof\tIN\tB-PP\tO' -p226605 -aS'moving\tmove\tVBG\tB-VP\tO' -p226606 -aS'back\tback\tRB\tB-ADVP\tO' -p226607 -aS'and\tand\tCC\tI-ADVP\tO' -p226608 -aS'forth\tforth\tRB\tI-ADVP\tO' -p226609 -aS'when\twhen\tWRB\tB-ADVP\tO' -p226610 -aS'lying\tlie\tVBG\tB-VP\tO' -p226611 -aS'down\tdown\tRP\tB-PRT\tO' -p226612 -aS'with\twith\tIN\tB-PP\tO' -p226613 -aS'neck\tneck\tNN\tB-NP\tO' -p226614 -aS'extended\textend\tVBN\tB-VP\tO' -p226615 -aS'during\tduring\tIN\tB-PP\tO' -p226616 -aS'the\tthe\tDT\tB-NP\tO' -p226617 -aS'magnetic\tmagnetic\tJJ\tI-NP\tO' -p226618 -aS'resonance\tresonance\tNN\tI-NP\tO' -p226619 -aS'imaging\timaging\tNN\tI-NP\tO' -p226620 -aS'study\tstudy\tNN\tI-NP\tO' -p226621 -aS'and\tand\tCC\tO\tO' -p226622 -aS'also\talso\tRB\tB-ADVP\tO' -p226623 -aS'in\tin\tIN\tB-PP\tO' -p226624 -aS'bed\tbed\tNN\tB-NP\tO' -p226625 -aS'.\t.\t.\tO\tO' -p226626 -asS'A CXR was performed the evening of 5/16 , showing moderate sized bilateral pleural effusions , stable cardiomegaly and a possible RLL infiltrate .' -p226627 -(lp226628 -S'A\tA\tDT\tB-NP\tO' -p226629 -aS'CXR\tCXR\tNN\tI-NP\tB-protein' -p226630 -aS'was\tbe\tVBD\tB-VP\tO' -p226631 -aS'performed\tperform\tVBN\tI-VP\tO' -p226632 -aS'the\tthe\tDT\tB-NP\tO' -p226633 -aS'evening\tevening\tNN\tI-NP\tO' -p226634 -aS'of\tof\tIN\tB-PP\tO' -p226635 -aS'5/16\t5/16\tCD\tB-NP\tO' -p226636 -aS',\t,\t,\tO\tO' -p226637 -aS'showing\tshow\tVBG\tB-VP\tO' -p226638 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p226639 -aS'sized\tsize\tVBN\tI-NP\tO' -p226640 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p226641 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p226642 -aS'effusions\teffusion\tNNS\tI-NP\tO' -p226643 -aS',\t,\t,\tO\tO' -p226644 -aS'stable\tstable\tJJ\tB-NP\tO' -p226645 -aS'cardiomegaly\tcardiomegaly\tNN\tI-NP\tO' -p226646 -aS'and\tand\tCC\tO\tO' -p226647 -aS'a\ta\tDT\tB-NP\tO' -p226648 -aS'possible\tpossible\tJJ\tI-NP\tO' -p226649 -aS'RLL\tRLL\tNN\tI-NP\tO' -p226650 -aS'infiltrate\tinfiltrate\tNN\tI-NP\tO' -p226651 -aS'.\t.\t.\tO\tO' -p226652 -asS'Transferred in urgently for cabg with Dr. Howard .' -p226653 -(lp226654 -S'Transferred\tTransfer\tVBN\tB-VP\tO' -p226655 -aS'in\tin\tIN\tB-PP\tO' -p226656 -aS'urgently\turgently\tRB\tB-ADVP\tO' -p226657 -aS'for\tfor\tIN\tB-PP\tO' -p226658 -aS'cabg\tcabg\tNN\tB-NP\tO' -p226659 -aS'with\twith\tIN\tB-PP\tO' -p226660 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p226661 -aS'Howard\tHoward\tNNP\tI-NP\tO' -p226662 -aS'.\t.\t.\tO\tO' -p226663 -asS'Her shortness of breath and dyspnea on exertion has been progressive for the past several years .' -p226664 -(lp226665 -S'Her\tHer\tPRP$\tB-NP\tO' -p226666 -aS'shortness\tshortness\tNN\tI-NP\tO' -p226667 -aS'of\tof\tIN\tB-PP\tO' -p226668 -aS'breath\tbreath\tNN\tB-NP\tO' -p226669 -aS'and\tand\tCC\tI-NP\tO' -p226670 -aS'dyspnea\tdyspnea\tNN\tI-NP\tO' -p226671 -aS'on\ton\tIN\tB-PP\tO' -p226672 -aS'exertion\texertion\tNN\tB-NP\tO' -p226673 -aS'has\thave\tVBZ\tB-VP\tO' -p226674 -aS'been\tbe\tVBN\tI-VP\tO' -p226675 -aS'progressive\tprogressive\tJJ\tB-ADJP\tO' -p226676 -aS'for\tfor\tIN\tB-PP\tO' -p226677 -aS'the\tthe\tDT\tB-NP\tO' -p226678 -aS'past\tpast\tJJ\tI-NP\tO' -p226679 -aS'several\tseveral\tJJ\tI-NP\tO' -p226680 -aS'years\tyear\tNNS\tI-NP\tO' -p226681 -aS'.\t.\t.\tO\tO' -p226682 -asS'He denied any contact with TB positive patients .' -p226683 -(lp226684 -S'He\tHe\tPRP\tB-NP\tO' -p226685 -aS'denied\tdeny\tVBD\tB-VP\tO' -p226686 -aS'any\tany\tDT\tB-NP\tO' -p226687 -aS'contact\tcontact\tNN\tI-NP\tO' -p226688 -aS'with\twith\tIN\tB-PP\tO' -p226689 -aS'TB\tTB\tNN\tB-NP\tO' -p226690 -aS'positive\tpositive\tJJ\tI-NP\tO' -p226691 -aS'patients\tpatient\tNNS\tI-NP\tO' -p226692 -aS'.\t.\t.\tO\tO' -p226693 -asS'A diet by mouth was initiated .' -p226694 -(lp226695 -S'A\tA\tDT\tB-NP\tO' -p226696 -aS'diet\tdiet\tNN\tI-NP\tO' -p226697 -aS'by\tby\tIN\tB-PP\tO' -p226698 -aS'mouth\tmouth\tNN\tB-NP\tO' -p226699 -aS'was\tbe\tVBD\tB-VP\tO' -p226700 -aS'initiated\tinitiate\tVBN\tI-VP\tO' -p226701 -aS'.\t.\t.\tO\tO' -p226702 -asS'IV ampicillin , chloramphenicol , ceftriaxone , and culture were sent .' -p226703 -(lp226704 -S'IV\tIV\tCD\tB-NP\tO' -p226705 -aS'ampicillin\tampicillin\tNN\tI-NP\tO' -p226706 -aS',\t,\t,\tO\tO' -p226707 -aS'chloramphenicol\tchloramphenicol\tNN\tB-NP\tO' -p226708 -aS',\t,\t,\tO\tO' -p226709 -aS'ceftriaxone\tceftriaxone\tNN\tB-NP\tO' -p226710 -aS',\t,\t,\tO\tO' -p226711 -aS'and\tand\tCC\tO\tO' -p226712 -aS'culture\tculture\tNN\tB-NP\tO' -p226713 -aS'were\tbe\tVBD\tB-VP\tO' -p226714 -aS'sent\tsend\tVBN\tI-VP\tO' -p226715 -aS'.\t.\t.\tO\tO' -p226716 -asS'groups tested in the upper and lower extremities .' -p226717 -(lp226718 -S'groups\tgroup\tNNS\tB-NP\tO' -p226719 -aS'tested\ttest\tVBN\tB-VP\tO' -p226720 -aS'in\tin\tIN\tB-PP\tO' -p226721 -aS'the\tthe\tDT\tB-NP\tO' -p226722 -aS'upper\tupper\tJJ\tI-NP\tO' -p226723 -aS'and\tand\tCC\tI-NP\tO' -p226724 -aS'lower\tlow\tJJR\tI-NP\tO' -p226725 -aS'extremities\textremity\tNNS\tI-NP\tO' -p226726 -aS'.\t.\t.\tO\tO' -p226727 -asS'However , the family said the patient has been on steroids for several weeks .' -p226728 -(lp226729 -S'However\tHowever\tRB\tB-ADVP\tO' -p226730 -aS',\t,\t,\tO\tO' -p226731 -aS'the\tthe\tDT\tB-NP\tO' -p226732 -aS'family\tfamily\tNN\tI-NP\tO' -p226733 -aS'said\tsay\tVBD\tB-VP\tO' -p226734 -aS'the\tthe\tDT\tB-NP\tO' -p226735 -aS'patient\tpatient\tNN\tI-NP\tO' -p226736 -aS'has\thave\tVBZ\tB-VP\tO' -p226737 -aS'been\tbe\tVBN\tI-VP\tO' -p226738 -aS'on\ton\tIN\tB-PP\tO' -p226739 -aS'steroids\tsteroid\tNNS\tB-NP\tO' -p226740 -aS'for\tfor\tIN\tB-PP\tO' -p226741 -aS'several\tseveral\tJJ\tB-NP\tO' -p226742 -aS'weeks\tweek\tNNS\tI-NP\tO' -p226743 -aS'.\t.\t.\tO\tO' -p226744 -asS'She has been treated with Vanceril for chronic obstructive pulmonary disease .' -p226745 -(lp226746 -S'She\tShe\tPRP\tB-NP\tO' -p226747 -aS'has\thave\tVBZ\tB-VP\tO' -p226748 -aS'been\tbe\tVBN\tI-VP\tO' -p226749 -aS'treated\ttreat\tVBN\tI-VP\tO' -p226750 -aS'with\twith\tIN\tB-PP\tO' -p226751 -aS'Vanceril\tVanceril\tNNP\tB-NP\tO' -p226752 -aS'for\tfor\tIN\tB-PP\tO' -p226753 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p226754 -aS'obstructive\tobstructive\tJJ\tI-NP\tO' -p226755 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p226756 -aS'disease\tdisease\tNN\tI-NP\tO' -p226757 -aS'.\t.\t.\tO\tO' -p226758 -asS'2. He will follow-up with his primary care physician , Dr. Blake , in two weeks .' -p226759 -(lp226760 -S'2.\t2.\tLS\tB-LST\tO' -p226761 -aS'He\tHe\tPRP\tB-NP\tO' -p226762 -aS'will\twill\tMD\tB-VP\tO' -p226763 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p226764 -aS'with\twith\tIN\tB-PP\tO' -p226765 -aS'his\this\tPRP$\tB-NP\tO' -p226766 -aS'primary\tprimary\tJJ\tI-NP\tO' -p226767 -aS'care\tcare\tNN\tI-NP\tO' -p226768 -aS'physician\tphysician\tNN\tI-NP\tO' -p226769 -aS',\t,\t,\tO\tO' -p226770 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p226771 -aS'Blake\tBlake\tNNP\tI-NP\tO' -p226772 -aS',\t,\t,\tO\tO' -p226773 -aS'in\tin\tIN\tB-PP\tO' -p226774 -aS'two\ttwo\tCD\tB-NP\tO' -p226775 -aS'weeks\tweek\tNNS\tI-NP\tO' -p226776 -aS'.\t.\t.\tO\tO' -p226777 -asS'Baby Girl Kathryn Frazier , triplet III , delivered at 32 - 5/7 weeks gestation was admitted to the newborn intensive care unit for management of prematurity .' -p226778 -(lp226779 -S'Baby\tBaby\tNNP\tB-NP\tO' -p226780 -aS'Girl\tGirl\tNNP\tI-NP\tO' -p226781 -aS'Kathryn\tKathryn\tNNP\tI-NP\tO' -p226782 -aS'Frazier\tFrazier\tNNP\tI-NP\tO' -p226783 -aS',\t,\t,\tO\tO' -p226784 -aS'triplet\ttriplet\tNN\tB-NP\tB-protein' -p226785 -aS'III\tIII\tCD\tI-NP\tI-protein' -p226786 -aS',\t,\t,\tO\tO' -p226787 -aS'delivered\tdeliver\tVBN\tB-VP\tO' -p226788 -aS'at\tat\tIN\tB-PP\tO' -p226789 -aS'32\t32\tCD\tB-NP\tO' -p226790 -aS'-\t-\tHYPH\tI-NP\tO' -p226791 -aS'5/7\t5/7\tCD\tI-NP\tO' -p226792 -aS'weeks\tweek\tNNS\tI-NP\tO' -p226793 -aS'gestation\tgestation\tNN\tI-NP\tO' -p226794 -aS'was\tbe\tVBD\tB-VP\tO' -p226795 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p226796 -aS'to\tto\tTO\tB-PP\tO' -p226797 -aS'the\tthe\tDT\tB-NP\tO' -p226798 -aS'newborn\tnewborn\tJJ\tI-NP\tO' -p226799 -aS'intensive\tintensive\tJJ\tI-NP\tO' -p226800 -aS'care\tcare\tNN\tI-NP\tO' -p226801 -aS'unit\tunit\tNN\tI-NP\tO' -p226802 -aS'for\tfor\tIN\tB-PP\tO' -p226803 -aS'management\tmanagement\tNN\tB-NP\tO' -p226804 -aS'of\tof\tIN\tB-PP\tO' -p226805 -aS'prematurity\tprematurity\tNN\tB-NP\tO' -p226806 -aS'.\t.\t.\tO\tO' -p226807 -asS'His potassium was 3.7 and his hematocrit 33 .' -p226808 -(lp226809 -S'His\tHis\tPRP$\tB-NP\tO' -p226810 -aS'potassium\tpotassium\tNN\tI-NP\tO' -p226811 -aS'was\tbe\tVBD\tB-VP\tO' -p226812 -aS'3.7\t3.7\tCD\tB-NP\tO' -p226813 -aS'and\tand\tCC\tO\tO' -p226814 -aS'his\this\tPRP$\tB-NP\tO' -p226815 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p226816 -aS'33\t33\tCD\tI-NP\tO' -p226817 -aS'.\t.\t.\tO\tO' -p226818 -asS'The sagittal T1 images demonstrate several areas of high signal along the sulci bilaterally which could be secondary to subarachnoid hemorrhages .' -p226819 -(lp226820 -S'The\tThe\tDT\tB-NP\tO' -p226821 -aS'sagittal\tsagittal\tJJ\tI-NP\tO' -p226822 -aS'T1\tT1\tNN\tI-NP\tO' -p226823 -aS'images\timage\tNNS\tI-NP\tO' -p226824 -aS'demonstrate\tdemonstrate\tVBP\tB-VP\tO' -p226825 -aS'several\tseveral\tJJ\tB-NP\tO' -p226826 -aS'areas\tarea\tNNS\tI-NP\tO' -p226827 -aS'of\tof\tIN\tB-PP\tO' -p226828 -aS'high\thigh\tJJ\tB-NP\tO' -p226829 -aS'signal\tsignal\tNN\tI-NP\tO' -p226830 -aS'along\talong\tIN\tB-PP\tO' -p226831 -aS'the\tthe\tDT\tB-NP\tO' -p226832 -aS'sulci\tsulci\tNN\tI-NP\tO' -p226833 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p226834 -aS'which\twhich\tWDT\tB-NP\tO' -p226835 -aS'could\tcould\tMD\tB-VP\tO' -p226836 -aS'be\tbe\tVB\tI-VP\tO' -p226837 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p226838 -aS'to\tto\tTO\tB-PP\tO' -p226839 -aS'subarachnoid\tsubarachnoid\tJJ\tB-NP\tO' -p226840 -aS'hemorrhages\themorrhage\tNNS\tI-NP\tO' -p226841 -aS'.\t.\t.\tO\tO' -p226842 -asS'Mother has a prior history of mitral valve prolapse .' -p226843 -(lp226844 -S'Mother\tMother\tNNP\tB-NP\tO' -p226845 -aS'has\thave\tVBZ\tB-VP\tO' -p226846 -aS'a\ta\tDT\tB-NP\tO' -p226847 -aS'prior\tprior\tJJ\tI-NP\tO' -p226848 -aS'history\thistory\tNN\tI-NP\tO' -p226849 -aS'of\tof\tIN\tB-PP\tO' -p226850 -aS'mitral\tmitral\tJJ\tB-NP\tO' -p226851 -aS'valve\tvalve\tNN\tI-NP\tO' -p226852 -aS'prolapse\tprolapse\tNN\tI-NP\tO' -p226853 -aS'.\t.\t.\tO\tO' -p226854 -asS'There was little or no aortic valve gradient .' -p226855 -(lp226856 -S'There\tThere\tEX\tB-NP\tO' -p226857 -aS'was\tbe\tVBD\tB-VP\tO' -p226858 -aS'little\tlittle\tJJ\tB-NP\tO' -p226859 -aS'or\tor\tCC\tI-NP\tO' -p226860 -aS'no\tno\tDT\tI-NP\tO' -p226861 -aS'aortic\taortic\tJJ\tI-NP\tO' -p226862 -aS'valve\tvalve\tNN\tI-NP\tO' -p226863 -aS'gradient\tgradient\tNN\tI-NP\tO' -p226864 -aS'.\t.\t.\tO\tO' -p226865 -asS"Pt has had two recent neg head CT s , so unlikely the etiology of the patient 's MS change ." -p226866 -(lp226867 -S'Pt\tPt\tNN\tB-NP\tO' -p226868 -aS'has\thave\tVBZ\tB-VP\tO' -p226869 -aS'had\thave\tVBD\tI-VP\tO' -p226870 -aS'two\ttwo\tCD\tB-NP\tO' -p226871 -aS'recent\trecent\tJJ\tI-NP\tO' -p226872 -aS'neg\tneg\tNN\tI-NP\tO' -p226873 -aS'head\thead\tNN\tI-NP\tO' -p226874 -aS'CT\tCT\tNN\tI-NP\tO' -p226875 -aS's\ts\tNNS\tI-NP\tO' -p226876 -aS',\t,\t,\tO\tO' -p226877 -aS'so\tso\tRB\tB-ADJP\tO' -p226878 -aS'unlikely\tunlikely\tJJ\tI-ADJP\tO' -p226879 -aS'the\tthe\tDT\tB-NP\tO' -p226880 -aS'etiology\tetiology\tNN\tI-NP\tO' -p226881 -aS'of\tof\tIN\tB-PP\tO' -p226882 -aS'the\tthe\tDT\tB-NP\tO' -p226883 -aS'patient\tpatient\tNN\tI-NP\tO' -p226884 -aS"'s\t's\tPOS\tB-NP\tO" -p226885 -aS'MS\tMS\tNN\tI-NP\tO' -p226886 -aS'change\tchange\tNN\tI-NP\tO' -p226887 -aS'.\t.\t.\tO\tO' -p226888 -asS'Non-toxic multinodular goiter .' -p226889 -(lp226890 -S'Non-toxic\tNon-toxic\tJJ\tB-NP\tO' -p226891 -aS'multinodular\tmultinodular\tJJ\tI-NP\tO' -p226892 -aS'goiter\tgoiter\tNN\tI-NP\tO' -p226893 -aS'.\t.\t.\tO\tO' -p226894 -asS'3. Docusate Sodium 100 mg Capsule Sig : One ( 1 ) Capsule PO BID ( 2 times a day ) .' -p226895 -(lp226896 -S'3.\t3.\tLS\tB-NP\tO' -p226897 -aS'Docusate\tDocusate\tNN\tI-NP\tO' -p226898 -aS'Sodium\tSodium\tNN\tI-NP\tO' -p226899 -aS'100\t100\tCD\tI-NP\tO' -p226900 -aS'mg\tmg\tNN\tI-NP\tO' -p226901 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p226902 -aS'Sig\tSig\tNNP\tI-NP\tO' -p226903 -aS':\t:\t:\tO\tO' -p226904 -aS'One\tOne\tCD\tB-NP\tO' -p226905 -aS'(\t(\t(\tO\tO' -p226906 -aS'1\t1\tCD\tB-NP\tO' -p226907 -aS')\t)\t)\tO\tO' -p226908 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p226909 -aS'PO\tPO\tNNP\tI-NP\tO' -p226910 -aS'BID\tBID\tNNP\tI-NP\tO' -p226911 -aS'(\t(\t(\tO\tO' -p226912 -aS'2\t2\tCD\tB-NP\tO' -p226913 -aS'times\ttime\tNNS\tI-NP\tO' -p226914 -aS'a\ta\tDT\tB-NP\tO' -p226915 -aS'day\tday\tNN\tI-NP\tO' -p226916 -aS')\t)\t)\tO\tO' -p226917 -aS'.\t.\t.\tO\tO' -p226918 -asS'No nystagmus .' -p226919 -(lp226920 -S'No\tNo\tDT\tB-NP\tO' -p226921 -aS'nystagmus\tnystagmus\tNN\tI-NP\tO' -p226922 -aS'.\t.\t.\tO\tO' -p226923 -asS'The carotid pulses were brisk bilaterally .' -p226924 -(lp226925 -S'The\tThe\tDT\tB-NP\tO' -p226926 -aS'carotid\tcarotid\tJJ\tI-NP\tO' -p226927 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p226928 -aS'were\tbe\tVBD\tB-VP\tO' -p226929 -aS'brisk\tbrisk\tJJ\tB-ADJP\tO' -p226930 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p226931 -aS'.\t.\t.\tO\tO' -p226932 -asS'Primarily Togolese speaking , wheelchair bound and lives alone but cared for entirely by her daughter .' -p226933 -(lp226934 -S'Primarily\tPrimarily\tRB\tB-NP\tO' -p226935 -aS'Togolese\tTogolese\tJJ\tI-NP\tO' -p226936 -aS'speaking\tspeaking\tNN\tI-NP\tO' -p226937 -aS',\t,\t,\tO\tO' -p226938 -aS'wheelchair\twheelchair\tNN\tB-NP\tO' -p226939 -aS'bound\tbind\tVBD\tB-VP\tO' -p226940 -aS'and\tand\tCC\tO\tO' -p226941 -aS'lives\tlife\tNNS\tB-NP\tO' -p226942 -aS'alone\talone\tRB\tB-ADVP\tO' -p226943 -aS'but\tbut\tCC\tO\tO' -p226944 -aS'cared\tcare\tVBD\tB-VP\tO' -p226945 -aS'for\tfor\tIN\tB-PP\tO' -p226946 -aS'entirely\tentirely\tRB\tB-ADVP\tO' -p226947 -aS'by\tby\tIN\tB-PP\tO' -p226948 -aS'her\ther\tPRP$\tB-NP\tO' -p226949 -aS'daughter\tdaughter\tNN\tI-NP\tO' -p226950 -aS'.\t.\t.\tO\tO' -p226951 -asS'There was still concern for her effusion contributing to her SOB at the OSH so she was transferred for drainage and treatment of CHF .' -p226952 -(lp226953 -S'There\tThere\tEX\tB-NP\tO' -p226954 -aS'was\tbe\tVBD\tB-VP\tO' -p226955 -aS'still\tstill\tRB\tB-ADVP\tO' -p226956 -aS'concern\tconcern\tNN\tB-NP\tO' -p226957 -aS'for\tfor\tIN\tB-PP\tO' -p226958 -aS'her\ther\tPRP$\tB-NP\tO' -p226959 -aS'effusion\teffusion\tNN\tI-NP\tO' -p226960 -aS'contributing\tcontribute\tVBG\tB-VP\tO' -p226961 -aS'to\tto\tTO\tB-PP\tO' -p226962 -aS'her\ther\tPRP$\tB-NP\tO' -p226963 -aS'SOB\tSOB\tNN\tI-NP\tB-protein' -p226964 -aS'at\tat\tIN\tB-PP\tO' -p226965 -aS'the\tthe\tDT\tB-NP\tO' -p226966 -aS'OSH\tOSH\tNN\tI-NP\tB-DNA' -p226967 -aS'so\tso\tIN\tB-SBAR\tI-DNA' -p226968 -aS'she\tshe\tPRP\tB-NP\tI-DNA' -p226969 -aS'was\tbe\tVBD\tB-VP\tO' -p226970 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p226971 -aS'for\tfor\tIN\tB-PP\tO' -p226972 -aS'drainage\tdrainage\tNN\tB-NP\tO' -p226973 -aS'and\tand\tCC\tI-NP\tO' -p226974 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p226975 -aS'of\tof\tIN\tB-PP\tO' -p226976 -aS'CHF\tCHF\tNN\tB-NP\tB-protein' -p226977 -aS'.\t.\t.\tO\tO' -p226978 -asS'1 ) PRESYNCOPE .' -p226979 -(lp226980 -S'1\t1\tLS\tB-LST\tO' -p226981 -aS')\t)\t)\tO\tO' -p226982 -aS'PRESYNCOPE\tPRESYNCOPE\tNN\tB-NP\tO' -p226983 -aS'.\t.\t.\tO\tO' -p226984 -asS'Signed electronically by : DR. Jennifer Applebee on : Sandra 2016-07-21 9:54 PM' -p226985 -(lp226986 -S'Signed\tSign\tVBN\tB-VP\tO' -p226987 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p226988 -aS'by\tby\tIN\tB-PP\tO' -p226989 -aS':\t:\t:\tO\tO' -p226990 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p226991 -aS'Jennifer\tJennifer\tNNP\tI-NP\tO' -p226992 -aS'Applebee\tApplebee\tNNP\tI-NP\tO' -p226993 -aS'on\ton\tIN\tB-PP\tO' -p226994 -aS':\t:\t:\tO\tO' -p226995 -aS'Sandra\tSandra\tNNP\tB-NP\tO' -p226996 -aS'2016-07-21\t2016-07-21\tCD\tB-NP\tO' -p226997 -aS'9:54\t9:54\tCD\tI-NP\tO' -p226998 -aS'PM\tPM\tNN\tI-NP\tO' -p226999 -asS'Patient remained hemodynamically stable during and after the upper endoscopy and his hematocrit remained above 30 following this until the point of discharge .' -p227000 -(lp227001 -S'Patient\tPatient\tNN\tB-NP\tO' -p227002 -aS'remained\tremain\tVBD\tB-VP\tO' -p227003 -aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' -p227004 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p227005 -aS'during\tduring\tIN\tB-PP\tO' -p227006 -aS'and\tand\tCC\tI-PP\tO' -p227007 -aS'after\tafter\tIN\tI-PP\tO' -p227008 -aS'the\tthe\tDT\tB-NP\tO' -p227009 -aS'upper\tupper\tJJ\tI-NP\tO' -p227010 -aS'endoscopy\tendoscopy\tNN\tI-NP\tO' -p227011 -aS'and\tand\tCC\tO\tO' -p227012 -aS'his\this\tPRP$\tB-NP\tO' -p227013 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p227014 -aS'remained\tremain\tVBD\tB-VP\tO' -p227015 -aS'above\tabove\tIN\tB-PP\tO' -p227016 -aS'30\t30\tCD\tB-NP\tO' -p227017 -aS'following\tfollow\tVBG\tB-PP\tO' -p227018 -aS'this\tthis\tDT\tB-NP\tO' -p227019 -aS'until\tuntil\tIN\tB-PP\tO' -p227020 -aS'the\tthe\tDT\tB-NP\tO' -p227021 -aS'point\tpoint\tNN\tI-NP\tO' -p227022 -aS'of\tof\tIN\tB-PP\tO' -p227023 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p227024 -aS'.\t.\t.\tO\tO' -p227025 -asS'see Dr. Rodriguez in 1-2 weeks see Dr. Laura in 4 weeks' -p227026 -(lp227027 -S'see\tsee\tVB\tB-VP\tO' -p227028 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p227029 -aS'Rodriguez\tRodriguez\tNNP\tI-NP\tO' -p227030 -aS'in\tin\tIN\tB-PP\tO' -p227031 -aS'1-2\t1-2\tCD\tB-NP\tO' -p227032 -aS'weeks\tweek\tNNS\tI-NP\tO' -p227033 -aS'see\tsee\tVBP\tB-VP\tO' -p227034 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p227035 -aS'Laura\tLaura\tNNP\tI-NP\tO' -p227036 -aS'in\tin\tIN\tB-PP\tO' -p227037 -aS'4\t4\tCD\tB-NP\tO' -p227038 -aS'weeks\tweek\tNNS\tI-NP\tO' -p227039 -asS'Colace , Senna , Dulcolax , Tylenol , oxycodone as needed , Ambien , and Protonix .' -p227040 -(lp227041 -S'Colace\tColace\tNNP\tB-NP\tO' -p227042 -aS',\t,\t,\tO\tO' -p227043 -aS'Senna\tSenna\tNNP\tB-NP\tO' -p227044 -aS',\t,\t,\tO\tO' -p227045 -aS'Dulcolax\tDulcolax\tNNP\tB-NP\tO' -p227046 -aS',\t,\t,\tO\tO' -p227047 -aS'Tylenol\tTylenol\tNNP\tB-NP\tO' -p227048 -aS',\t,\t,\tO\tO' -p227049 -aS'oxycodone\toxycodone\tNN\tB-NP\tO' -p227050 -aS'as\tas\tIN\tB-SBAR\tO' -p227051 -aS'needed\tneed\tVBN\tB-VP\tO' -p227052 -aS',\t,\t,\tO\tO' -p227053 -aS'Ambien\tAmbien\tNNP\tB-NP\tO' -p227054 -aS',\t,\t,\tO\tO' -p227055 -aS'and\tand\tCC\tO\tO' -p227056 -aS'Protonix\tProtonix\tNNP\tB-NP\tO' -p227057 -aS'.\t.\t.\tO\tO' -p227058 -asS'He otherwise had a fairly uncomplicated postoperative course .' -p227059 -(lp227060 -S'He\tHe\tPRP\tB-NP\tO' -p227061 -aS'otherwise\totherwise\tRB\tB-ADVP\tO' -p227062 -aS'had\thave\tVBD\tB-VP\tO' -p227063 -aS'a\ta\tDT\tB-NP\tO' -p227064 -aS'fairly\tfairly\tRB\tI-NP\tO' -p227065 -aS'uncomplicated\tuncomplicated\tJJ\tI-NP\tO' -p227066 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p227067 -aS'course\tcourse\tNN\tI-NP\tO' -p227068 -aS'.\t.\t.\tO\tO' -p227069 -asS'Included normal CBC , BUN 47 , creatinine 2.4 up from baseline of about 1.5 .' -p227070 -(lp227071 -S'Included\tInclude\tVBN\tB-NP\tO' -p227072 -aS'normal\tnormal\tJJ\tI-NP\tO' -p227073 -aS'CBC\tCBC\tNN\tI-NP\tO' -p227074 -aS',\t,\t,\tO\tO' -p227075 -aS'BUN\tBUN\tNN\tB-NP\tB-DNA' -p227076 -aS'47\t47\tCD\tI-NP\tI-DNA' -p227077 -aS',\t,\t,\tO\tO' -p227078 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p227079 -aS'2.4\t2.4\tCD\tI-NP\tO' -p227080 -aS'up\tup\tRB\tB-ADVP\tO' -p227081 -aS'from\tfrom\tIN\tB-PP\tO' -p227082 -aS'baseline\tbaseline\tNN\tB-NP\tO' -p227083 -aS'of\tof\tIN\tB-PP\tO' -p227084 -aS'about\tabout\tIN\tB-NP\tO' -p227085 -aS'1.5\t1.5\tCD\tI-NP\tO' -p227086 -aS'.\t.\t.\tO\tO' -p227087 -asS'Extremity examination revealed no clubbing , cyanosis , or edema .' -p227088 -(lp227089 -S'Extremity\tExtremity\tNN\tB-NP\tO' -p227090 -aS'examination\texamination\tNN\tI-NP\tO' -p227091 -aS'revealed\treveal\tVBD\tB-VP\tO' -p227092 -aS'no\tno\tDT\tB-NP\tO' -p227093 -aS'clubbing\tclubbing\tNN\tI-NP\tO' -p227094 -aS',\t,\t,\tO\tO' -p227095 -aS'cyanosis\tcyanosis\tNN\tB-NP\tO' -p227096 -aS',\t,\t,\tO\tO' -p227097 -aS'or\tor\tCC\tO\tO' -p227098 -aS'edema\tedema\tNN\tB-NP\tO' -p227099 -aS'.\t.\t.\tO\tO' -p227100 -asS'Transferred to unit and urgently intubated .' -p227101 -(lp227102 -S'Transferred\tTransfer\tVBN\tB-VP\tO' -p227103 -aS'to\tto\tTO\tB-PP\tO' -p227104 -aS'unit\tunit\tNN\tB-NP\tO' -p227105 -aS'and\tand\tCC\tO\tO' -p227106 -aS'urgently\turgently\tRB\tB-VP\tO' -p227107 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p227108 -aS'.\t.\t.\tO\tO' -p227109 -asS'No site of active bleeding was seen .' -p227110 -(lp227111 -S'No\tNo\tDT\tB-NP\tO' -p227112 -aS'site\tsite\tNN\tI-NP\tO' -p227113 -aS'of\tof\tIN\tB-PP\tO' -p227114 -aS'active\tactive\tJJ\tB-NP\tO' -p227115 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p227116 -aS'was\tbe\tVBD\tB-VP\tO' -p227117 -aS'seen\tsee\tVBN\tI-VP\tO' -p227118 -aS'.\t.\t.\tO\tO' -p227119 -asS'Her heparin was discontinued when it was noted that she was bleeding per rectum and her PTT drifted to a normal range of 35 by postoperative day # 3 .' -p227120 -(lp227121 -S'Her\tHer\tPRP$\tB-NP\tO' -p227122 -aS'heparin\theparin\tNN\tI-NP\tO' -p227123 -aS'was\tbe\tVBD\tB-VP\tO' -p227124 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p227125 -aS'when\twhen\tWRB\tB-ADVP\tO' -p227126 -aS'it\tit\tPRP\tB-NP\tO' -p227127 -aS'was\tbe\tVBD\tB-VP\tO' -p227128 -aS'noted\tnote\tVBN\tI-VP\tO' -p227129 -aS'that\tthat\tIN\tB-SBAR\tO' -p227130 -aS'she\tshe\tPRP\tB-NP\tO' -p227131 -aS'was\tbe\tVBD\tB-VP\tO' -p227132 -aS'bleeding\tbleed\tVBG\tI-VP\tO' -p227133 -aS'per\tper\tIN\tB-PP\tO' -p227134 -aS'rectum\trectum\tNN\tB-NP\tO' -p227135 -aS'and\tand\tCC\tO\tO' -p227136 -aS'her\ther\tPRP$\tB-NP\tO' -p227137 -aS'PTT\tPTT\tNN\tI-NP\tO' -p227138 -aS'drifted\tdrift\tVBD\tB-VP\tO' -p227139 -aS'to\tto\tTO\tB-PP\tO' -p227140 -aS'a\ta\tDT\tB-NP\tO' -p227141 -aS'normal\tnormal\tJJ\tI-NP\tO' -p227142 -aS'range\trange\tNN\tI-NP\tO' -p227143 -aS'of\tof\tIN\tB-PP\tO' -p227144 -aS'35\t35\tCD\tB-NP\tO' -p227145 -aS'by\tby\tIN\tB-PP\tO' -p227146 -aS'postoperative\tpostoperative\tJJ\tB-NP\tB-protein' -p227147 -aS'day\tday\tNN\tI-NP\tI-protein' -p227148 -aS'#\t#\t#\tB-NP\tI-protein' -p227149 -aS'3\t3\tCD\tI-NP\tI-protein' -p227150 -aS'.\t.\t.\tO\tO' -p227151 -asS'You can shower when you get home .' -p227152 -(lp227153 -S'You\tYou\tPRP\tB-NP\tB-protein' -p227154 -aS'can\tcan\tMD\tB-VP\tO' -p227155 -aS'shower\tshower\tVB\tI-VP\tO' -p227156 -aS'when\twhen\tWRB\tB-ADVP\tO' -p227157 -aS'you\tyou\tPRP\tB-NP\tO' -p227158 -aS'get\tget\tVBP\tB-VP\tO' -p227159 -aS'home\thome\tRB\tB-ADVP\tO' -p227160 -aS'.\t.\t.\tO\tO' -p227161 -asS'LV systolic function appears depressed .' -p227162 -(lp227163 -S'LV\tLV\tNN\tB-NP\tO' -p227164 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p227165 -aS'function\tfunction\tNN\tI-NP\tO' -p227166 -aS'appears\tappear\tVBZ\tB-VP\tO' -p227167 -aS'depressed\tdepress\tVBN\tI-VP\tO' -p227168 -aS'.\t.\t.\tO\tO' -p227169 -asS'While she was in Brottlake Medical Center , she developed new onset stridor , and an ENT consult was obtained .' -p227170 -(lp227171 -S'While\tWhile\tIN\tB-SBAR\tO' -p227172 -aS'she\tshe\tPRP\tB-NP\tO' -p227173 -aS'was\tbe\tVBD\tB-VP\tO' -p227174 -aS'in\tin\tIN\tB-PP\tO' -p227175 -aS'Brottlake\tBrottlake\tNNP\tB-NP\tO' -p227176 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p227177 -aS'Center\tCenter\tNNP\tI-NP\tO' -p227178 -aS',\t,\t,\tO\tO' -p227179 -aS'she\tshe\tPRP\tB-NP\tO' -p227180 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p227181 -aS'new\tnew\tJJ\tB-NP\tO' -p227182 -aS'onset\tonset\tNN\tI-NP\tO' -p227183 -aS'stridor\tstridor\tNN\tI-NP\tO' -p227184 -aS',\t,\t,\tO\tO' -p227185 -aS'and\tand\tCC\tO\tO' -p227186 -aS'an\tan\tDT\tB-NP\tO' -p227187 -aS'ENT\tENT\tNN\tI-NP\tO' -p227188 -aS'consult\tconsult\tNN\tI-NP\tO' -p227189 -aS'was\tbe\tVBD\tB-VP\tO' -p227190 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p227191 -aS'.\t.\t.\tO\tO' -p227192 -asS'The GI consult team continued to follow her .' -p227193 -(lp227194 -S'The\tThe\tDT\tB-NP\tO' -p227195 -aS'GI\tGI\tNN\tI-NP\tO' -p227196 -aS'consult\tconsult\tNN\tI-NP\tO' -p227197 -aS'team\tteam\tNN\tI-NP\tO' -p227198 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p227199 -aS'to\tto\tTO\tI-VP\tO' -p227200 -aS'follow\tfollow\tVB\tI-VP\tO' -p227201 -aS'her\ther\tPRP\tB-NP\tO' -p227202 -aS'.\t.\t.\tO\tO' -p227203 -asS'4. Bactrim 1 single-strength tablet p.o. q.d.' -p227204 -(lp227205 -S'4.\t4.\tLS\tB-LST\tO' -p227206 -aS'Bactrim\tBactrim\tNNP\tB-NP\tO' -p227207 -aS'1\t1\tCD\tI-NP\tO' -p227208 -aS'single-strength\tsingle-strength\tJJ\tI-NP\tO' -p227209 -aS'tablet\ttablet\tNN\tI-NP\tO' -p227210 -aS'p.o.\tp.o.\tFW\tB-ADVP\tO' -p227211 -aS'q.d.\tq.d.\tFW\tI-ADVP\tO' -p227212 -asS'She has not required hemodialysis at this time .' -p227213 -(lp227214 -S'She\tShe\tPRP\tB-NP\tO' -p227215 -aS'has\thave\tVBZ\tB-VP\tO' -p227216 -aS'not\tnot\tRB\tI-VP\tO' -p227217 -aS'required\trequire\tVBN\tI-VP\tO' -p227218 -aS'hemodialysis\themodialysis\tNN\tB-NP\tO' -p227219 -aS'at\tat\tIN\tB-PP\tO' -p227220 -aS'this\tthis\tDT\tB-NP\tO' -p227221 -aS'time\ttime\tNN\tI-NP\tO' -p227222 -aS'.\t.\t.\tO\tO' -p227223 -asS'DISCHARGE SUMMARY ADDENDUM : The patient during her admission from 2015-01-19 to 2015-01-22 during that admission she had an echocardiogram which revealed essentially an ejection fraction of 40% with a patent foramen ovale mildly dilated left atrium .' -p227224 -(lp227225 -S'DISCHARGE\tDISCHARGE\tNN\tB-NP\tO' -p227226 -aS'SUMMARY\tSUMMARY\tNN\tI-NP\tO' -p227227 -aS'ADDENDUM\tADDENDUM\tNN\tI-NP\tO' -p227228 -aS':\t:\t:\tO\tO' -p227229 -aS'The\tThe\tDT\tB-NP\tO' -p227230 -aS'patient\tpatient\tNN\tI-NP\tO' -p227231 -aS'during\tduring\tIN\tB-PP\tO' -p227232 -aS'her\ther\tPRP$\tB-NP\tO' -p227233 -aS'admission\tadmission\tNN\tI-NP\tO' -p227234 -aS'from\tfrom\tIN\tB-PP\tO' -p227235 -aS'2015-01-19\t2015-01-19\tCD\tB-NP\tO' -p227236 -aS'to\tto\tTO\tB-PP\tO' -p227237 -aS'2015-01-22\t2015-01-22\tCD\tB-NP\tO' -p227238 -aS'during\tduring\tIN\tB-PP\tO' -p227239 -aS'that\tthat\tDT\tB-NP\tO' -p227240 -aS'admission\tadmission\tNN\tI-NP\tO' -p227241 -aS'she\tshe\tPRP\tB-NP\tO' -p227242 -aS'had\thave\tVBD\tB-VP\tO' -p227243 -aS'an\tan\tDT\tB-NP\tO' -p227244 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p227245 -aS'which\twhich\tWDT\tB-NP\tO' -p227246 -aS'revealed\treveal\tVBD\tB-VP\tO' -p227247 -aS'essentially\tessentially\tRB\tB-ADVP\tO' -p227248 -aS'an\tan\tDT\tB-NP\tO' -p227249 -aS'ejection\tejection\tNN\tI-NP\tO' -p227250 -aS'fraction\tfraction\tNN\tI-NP\tO' -p227251 -aS'of\tof\tIN\tB-PP\tO' -p227252 -aS'40%\t40%\tNN\tB-NP\tO' -p227253 -aS'with\twith\tIN\tB-PP\tO' -p227254 -aS'a\ta\tDT\tB-NP\tO' -p227255 -aS'patent\tpatent\tNN\tI-NP\tO' -p227256 -aS'foramen\tforaman\tNNS\tI-NP\tO' -p227257 -aS'ovale\tovale\tNN\tI-NP\tO' -p227258 -aS'mildly\tmildly\tRB\tB-ADVP\tO' -p227259 -aS'dilated\tdilate\tVBD\tB-VP\tO' -p227260 -aS'left\tleft\tJJ\tB-NP\tO' -p227261 -aS'atrium\tatrium\tNN\tI-NP\tO' -p227262 -aS'.\t.\t.\tO\tO' -p227263 -asS'10. Anastrozole 1 mg Tablet Sig : One ( 1 ) Tablet PO daily ( ) .' -p227264 -(lp227265 -S'10.\t10.\tLS\tB-LST\tO' -p227266 -aS'Anastrozole\tAnastrozole\tNN\tB-NP\tO' -p227267 -aS'1\t1\tCD\tI-NP\tO' -p227268 -aS'mg\tmg\tNN\tI-NP\tO' -p227269 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p227270 -aS'Sig\tSig\tNNP\tI-NP\tO' -p227271 -aS':\t:\t:\tO\tO' -p227272 -aS'One\tOne\tCD\tB-NP\tO' -p227273 -aS'(\t(\t(\tO\tO' -p227274 -aS'1\t1\tCD\tB-NP\tO' -p227275 -aS')\t)\t)\tO\tO' -p227276 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p227277 -aS'PO\tPO\tNN\tI-NP\tO' -p227278 -aS'daily\tdaily\tJJ\tI-NP\tO' -p227279 -aS'(\t(\t(\tO\tO' -p227280 -aS')\t)\t)\tO\tO' -p227281 -aS'.\t.\t.\tO\tO' -p227282 -asS'He was admitted on 2016-11-21 following his surgery .' -p227283 -(lp227284 -S'He\tHe\tPRP\tB-NP\tO' -p227285 -aS'was\tbe\tVBD\tB-VP\tO' -p227286 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p227287 -aS'on\ton\tIN\tB-PP\tO' -p227288 -aS'2016-11-21\t2016-11-21\tCD\tB-NP\tO' -p227289 -aS'following\tfollow\tVBG\tB-PP\tO' -p227290 -aS'his\this\tPRP$\tB-NP\tO' -p227291 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p227292 -aS'.\t.\t.\tO\tO' -p227293 -asS'The patient did have an evaluation of electrocardiogram done by Cardiology which was negative and had laboratory results for rule out myocardial infarction which were also negative .' -p227294 -(lp227295 -S'The\tThe\tDT\tB-NP\tO' -p227296 -aS'patient\tpatient\tNN\tI-NP\tO' -p227297 -aS'did\tdo\tVBD\tB-VP\tO' -p227298 -aS'have\thave\tVB\tI-VP\tO' -p227299 -aS'an\tan\tDT\tB-NP\tO' -p227300 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p227301 -aS'of\tof\tIN\tB-PP\tO' -p227302 -aS'electrocardiogram\telectrocardiogram\tNN\tB-NP\tO' -p227303 -aS'done\tdo\tVBN\tB-VP\tO' -p227304 -aS'by\tby\tIN\tB-PP\tO' -p227305 -aS'Cardiology\tCardiology\tNN\tB-NP\tO' -p227306 -aS'which\twhich\tWDT\tB-NP\tO' -p227307 -aS'was\tbe\tVBD\tB-VP\tO' -p227308 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p227309 -aS'and\tand\tCC\tO\tO' -p227310 -aS'had\thave\tVBD\tB-VP\tO' -p227311 -aS'laboratory\tlaboratory\tNN\tB-NP\tO' -p227312 -aS'results\tresult\tNNS\tI-NP\tO' -p227313 -aS'for\tfor\tIN\tB-PP\tO' -p227314 -aS'rule\trule\tNN\tB-NP\tO' -p227315 -aS'out\tout\tIN\tB-PP\tO' -p227316 -aS'myocardial\tmyocardial\tJJ\tB-NP\tO' -p227317 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p227318 -aS'which\twhich\tWDT\tB-NP\tO' -p227319 -aS'were\tbe\tVBD\tB-VP\tO' -p227320 -aS'also\talso\tRB\tB-ADVP\tO' -p227321 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p227322 -aS'.\t.\t.\tO\tO' -p227323 -asS'Allowing for the limitations of this noncontrast study , the liver , pancreas , adrenals , stomach are unremarkable .' -p227324 -(lp227325 -S'Allowing\tAllow\tVBG\tB-VP\tO' -p227326 -aS'for\tfor\tIN\tB-PP\tO' -p227327 -aS'the\tthe\tDT\tB-NP\tO' -p227328 -aS'limitations\tlimitation\tNNS\tI-NP\tO' -p227329 -aS'of\tof\tIN\tB-PP\tO' -p227330 -aS'this\tthis\tDT\tB-NP\tO' -p227331 -aS'noncontrast\tnoncontrast\tJJ\tI-NP\tO' -p227332 -aS'study\tstudy\tNN\tI-NP\tO' -p227333 -aS',\t,\t,\tO\tO' -p227334 -aS'the\tthe\tDT\tB-NP\tO' -p227335 -aS'liver\tliver\tNN\tI-NP\tO' -p227336 -aS',\t,\t,\tO\tO' -p227337 -aS'pancreas\tpancreas\tNN\tB-NP\tO' -p227338 -aS',\t,\t,\tO\tO' -p227339 -aS'adrenals\tadrenal\tNNS\tB-NP\tO' -p227340 -aS',\t,\t,\tO\tO' -p227341 -aS'stomach\tstomach\tNN\tB-NP\tO' -p227342 -aS'are\tbe\tVBP\tB-VP\tO' -p227343 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p227344 -aS'.\t.\t.\tO\tO' -p227345 -asS'L frontal ICP bolt was placed by neurosurgery under sterile conditions on antibiotics .' -p227346 -(lp227347 -S'L\tL\tNN\tB-NP\tO' -p227348 -aS'frontal\tfrontal\tJJ\tI-NP\tO' -p227349 -aS'ICP\tICP\tNN\tI-NP\tO' -p227350 -aS'bolt\tbolt\tNN\tI-NP\tO' -p227351 -aS'was\tbe\tVBD\tB-VP\tO' -p227352 -aS'placed\tplace\tVBN\tI-VP\tO' -p227353 -aS'by\tby\tIN\tB-PP\tO' -p227354 -aS'neurosurgery\tneurosurgery\tNN\tB-NP\tO' -p227355 -aS'under\tunder\tIN\tB-PP\tO' -p227356 -aS'sterile\tsterile\tJJ\tB-NP\tO' -p227357 -aS'conditions\tcondition\tNNS\tI-NP\tO' -p227358 -aS'on\ton\tIN\tB-PP\tO' -p227359 -aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' -p227360 -aS'.\t.\t.\tO\tO' -p227361 -asS'8. Lasix 20 mg po per day .' -p227362 -(lp227363 -S'8.\t8.\tCD\tB-NP\tO' -p227364 -aS'Lasix\tLasix\tNNP\tI-NP\tO' -p227365 -aS'20\t20\tCD\tI-NP\tO' -p227366 -aS'mg\tmg\tNN\tI-NP\tO' -p227367 -aS'po\tpo\tNN\tI-NP\tO' -p227368 -aS'per\tper\tIN\tB-PP\tO' -p227369 -aS'day\tday\tNN\tB-NP\tO' -p227370 -aS'.\t.\t.\tO\tO' -p227371 -asS'Results of the catheterization indicated the patient had three vessel disease and was a candidate for coronary artery bypass graft .' -p227372 -(lp227373 -S'Results\tResult\tNNS\tB-NP\tO' -p227374 -aS'of\tof\tIN\tB-PP\tO' -p227375 -aS'the\tthe\tDT\tB-NP\tO' -p227376 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p227377 -aS'indicated\tindicate\tVBD\tB-VP\tO' -p227378 -aS'the\tthe\tDT\tB-NP\tO' -p227379 -aS'patient\tpatient\tNN\tI-NP\tO' -p227380 -aS'had\thave\tVBD\tB-VP\tO' -p227381 -aS'three\tthree\tCD\tB-NP\tO' -p227382 -aS'vessel\tvessel\tNN\tI-NP\tO' -p227383 -aS'disease\tdisease\tNN\tI-NP\tO' -p227384 -aS'and\tand\tCC\tO\tO' -p227385 -aS'was\tbe\tVBD\tB-VP\tO' -p227386 -aS'a\ta\tDT\tB-NP\tO' -p227387 -aS'candidate\tcandidate\tNN\tI-NP\tO' -p227388 -aS'for\tfor\tIN\tB-PP\tO' -p227389 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p227390 -aS'artery\tartery\tNN\tI-NP\tO' -p227391 -aS'bypass\tbypass\tIN\tB-PP\tO' -p227392 -aS'graft\tgraft\tNN\tB-NP\tO' -p227393 -aS'.\t.\t.\tO\tO' -p227394 -asS'Sensory .' -p227395 -(lp227396 -S'Sensory\tSensory\tJJ\tB-ADJP\tO' -p227397 -aS'.\t.\t.\tO\tO' -p227398 -asS'4. Flovent 220 mcg 2 puffs q.12h.' -p227399 -(lp227400 -S'4.\t4.\tLS\tB-NP\tO' -p227401 -aS'Flovent\tFlovent\tNNP\tI-NP\tO' -p227402 -aS'220\t220\tCD\tI-NP\tO' -p227403 -aS'mcg\tmcg\tNN\tI-NP\tO' -p227404 -aS'2\t2\tCD\tB-NP\tO' -p227405 -aS'puffs\tpuff\tNNS\tI-NP\tO' -p227406 -aS'q.12h.\tq.12h.\tNN\tB-NP\tO' -p227407 -asS'Grandmother with diabetes .' -p227408 -(lp227409 -S'Grandmother\tGrandmother\tNN\tB-NP\tO' -p227410 -aS'with\twith\tIN\tB-PP\tO' -p227411 -aS'diabetes\tdiabetes\tNN\tB-NP\tO' -p227412 -aS'.\t.\t.\tO\tO' -p227413 -asS'8. Calcium Acetate 667 mg Capsule Sig : One ( 1 ) Capsule PO TID W/MEALS ( 3 TIMES A DAY WITH MEALS ) .' -p227414 -(lp227415 -S'8.\t8.\tCD\tB-NP\tO' -p227416 -aS'Calcium\tCalcium\tNNP\tI-NP\tO' -p227417 -aS'Acetate\tAcetate\tNNP\tI-NP\tO' -p227418 -aS'667\t667\tCD\tI-NP\tO' -p227419 -aS'mg\tmg\tNN\tI-NP\tO' -p227420 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p227421 -aS'Sig\tSig\tNNP\tI-NP\tO' -p227422 -aS':\t:\t:\tO\tO' -p227423 -aS'One\tOne\tCD\tB-NP\tO' -p227424 -aS'(\t(\t(\tO\tO' -p227425 -aS'1\t1\tCD\tB-NP\tO' -p227426 -aS')\t)\t)\tO\tO' -p227427 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p227428 -aS'PO\tPO\tNNP\tI-NP\tO' -p227429 -aS'TID\tTID\tNNP\tI-NP\tO' -p227430 -aS'W/MEALS\tW/MEALS\tNNP\tI-NP\tO' -p227431 -aS'(\t(\t(\tO\tO' -p227432 -aS'3\t3\tCD\tB-NP\tO' -p227433 -aS'TIMES\tTIMES\tNN\tI-NP\tO' -p227434 -aS'A\tA\tNN\tI-NP\tO' -p227435 -aS'DAY\tDAY\tNN\tI-NP\tO' -p227436 -aS'WITH\tWITH\tNN\tI-NP\tO' -p227437 -aS'MEALS\tMEALS\tNN\tI-NP\tO' -p227438 -aS')\t)\t)\tO\tO' -p227439 -aS'.\t.\t.\tO\tO' -p227440 -asS'Sclerae were anicteric .' -p227441 -(lp227442 -S'Sclerae\tSclerae\tNNP\tB-NP\tO' -p227443 -aS'were\tbe\tVBD\tB-VP\tO' -p227444 -aS'anicteric\tanicteric\tJJ\tB-ADJP\tO' -p227445 -aS'.\t.\t.\tO\tO' -p227446 -asS'HDL 30 .' -p227447 -(lp227448 -S'HDL\tHDL\tNN\tB-NP\tO' -p227449 -aS'30\t30\tCD\tI-NP\tO' -p227450 -aS'.\t.\t.\tO\tO' -p227451 -asS'A nasogastric tube is seen coiling in the stomach .' -p227452 -(lp227453 -S'A\tA\tDT\tB-NP\tO' -p227454 -aS'nasogastric\tnasogastric\tJJ\tI-NP\tO' -p227455 -aS'tube\ttube\tNN\tI-NP\tO' -p227456 -aS'is\tbe\tVBZ\tB-VP\tO' -p227457 -aS'seen\tsee\tVBN\tI-VP\tO' -p227458 -aS'coiling\tcoiling\tNN\tB-NP\tO' -p227459 -aS'in\tin\tIN\tB-PP\tO' -p227460 -aS'the\tthe\tDT\tB-NP\tO' -p227461 -aS'stomach\tstomach\tNN\tI-NP\tO' -p227462 -aS'.\t.\t.\tO\tO' -p227463 -asS'He is now preop for a coronary artery bypass graft .' -p227464 -(lp227465 -S'He\tHe\tPRP\tB-NP\tO' -p227466 -aS'is\tbe\tVBZ\tB-VP\tO' -p227467 -aS'now\tnow\tRB\tI-VP\tO' -p227468 -aS'preop\tpreop\tVB\tI-VP\tO' -p227469 -aS'for\tfor\tIN\tB-PP\tO' -p227470 -aS'a\ta\tDT\tB-NP\tO' -p227471 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p227472 -aS'artery\tartery\tNN\tI-NP\tO' -p227473 -aS'bypass\tbypass\tIN\tB-PP\tO' -p227474 -aS'graft\tgraft\tNN\tB-NP\tO' -p227475 -aS'.\t.\t.\tO\tO' -p227476 -asS'Non-focal , alert and oriented x3 , 5/5 motor strength in the upper extremities and lower extremities , Babinski reflex , toes are downgoing .' -p227477 -(lp227478 -S'Non-focal\tNon-focal\tJJ\tB-NP\tO' -p227479 -aS',\t,\t,\tI-NP\tO' -p227480 -aS'alert\talert\tJJ\tI-NP\tO' -p227481 -aS'and\tand\tCC\tI-NP\tO' -p227482 -aS'oriented\torient\tVBN\tI-NP\tO' -p227483 -aS'x3\tx3\tNN\tI-NP\tO' -p227484 -aS',\t,\t,\tO\tO' -p227485 -aS'5/5\t5/5\tCD\tB-NP\tO' -p227486 -aS'motor\tmotor\tNN\tI-NP\tO' -p227487 -aS'strength\tstrength\tNN\tI-NP\tO' -p227488 -aS'in\tin\tIN\tB-PP\tO' -p227489 -aS'the\tthe\tDT\tB-NP\tO' -p227490 -aS'upper\tupper\tJJ\tI-NP\tO' -p227491 -aS'extremities\textremity\tNNS\tI-NP\tO' -p227492 -aS'and\tand\tCC\tO\tO' -p227493 -aS'lower\tlow\tJJR\tB-NP\tO' -p227494 -aS'extremities\textremity\tNNS\tI-NP\tO' -p227495 -aS',\t,\t,\tO\tO' -p227496 -aS'Babinski\tBabinski\tNNP\tB-NP\tO' -p227497 -aS'reflex\treflex\tNN\tI-NP\tO' -p227498 -aS',\t,\t,\tO\tO' -p227499 -aS'toes\ttoe\tNNS\tB-NP\tO' -p227500 -aS'are\tbe\tVBP\tB-VP\tO' -p227501 -aS'downgoing\tdowngoe\tVBG\tI-VP\tO' -p227502 -aS'.\t.\t.\tO\tO' -p227503 -asS'ALT 52 .' -p227504 -(lp227505 -S'ALT\tALT\tNN\tB-NP\tO' -p227506 -aS'52\t52\tCD\tI-NP\tO' -p227507 -aS'.\t.\t.\tO\tO' -p227508 -asS'In the CMED CSRU , repeated attempts to place lines were unsuccessful .' -p227509 -(lp227510 -S'In\tIn\tIN\tB-PP\tO' -p227511 -aS'the\tthe\tDT\tB-NP\tO' -p227512 -aS'CMED\tCMED\tNNP\tI-NP\tO' -p227513 -aS'CSRU\tCSRU\tNNP\tI-NP\tO' -p227514 -aS',\t,\t,\tO\tO' -p227515 -aS'repeated\trepeat\tVBD\tB-VP\tO' -p227516 -aS'attempts\tattempt\tNNS\tB-NP\tO' -p227517 -aS'to\tto\tTO\tB-PP\tO' -p227518 -aS'place\tplace\tNN\tB-NP\tO' -p227519 -aS'lines\tline\tNNS\tI-NP\tO' -p227520 -aS'were\tbe\tVBD\tB-VP\tO' -p227521 -aS'unsuccessful\tunsuccessful\tJJ\tB-ADJP\tO' -p227522 -aS'.\t.\t.\tO\tO' -p227523 -asS'His pain here has been controlled , initially on Oxycontin with morphine for breakthrough pain .' -p227524 -(lp227525 -S'His\tHis\tPRP$\tB-NP\tO' -p227526 -aS'pain\tpain\tNN\tI-NP\tO' -p227527 -aS'here\there\tRB\tB-ADVP\tO' -p227528 -aS'has\thave\tVBZ\tB-VP\tO' -p227529 -aS'been\tbe\tVBN\tI-VP\tO' -p227530 -aS'controlled\tcontrol\tVBN\tI-VP\tO' -p227531 -aS',\t,\t,\tO\tO' -p227532 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p227533 -aS'on\ton\tIN\tB-PP\tO' -p227534 -aS'Oxycontin\tOxycontin\tNN\tB-NP\tB-protein' -p227535 -aS'with\twith\tIN\tB-PP\tO' -p227536 -aS'morphine\tmorphine\tNN\tB-NP\tO' -p227537 -aS'for\tfor\tIN\tB-PP\tO' -p227538 -aS'breakthrough\tbreakthrough\tNN\tB-NP\tO' -p227539 -aS'pain\tpain\tNN\tI-NP\tO' -p227540 -aS'.\t.\t.\tO\tO' -p227541 -asS'Sensory exam showed some leftsided errors with pinprick and proprioception .' -p227542 -(lp227543 -S'Sensory\tSensory\tJJ\tB-NP\tO' -p227544 -aS'exam\texam\tNN\tI-NP\tO' -p227545 -aS'showed\tshow\tVBD\tB-VP\tO' -p227546 -aS'some\tsome\tDT\tB-NP\tO' -p227547 -aS'leftsided\tleftsided\tJJ\tI-NP\tO' -p227548 -aS'errors\terror\tNNS\tI-NP\tO' -p227549 -aS'with\twith\tIN\tB-PP\tO' -p227550 -aS'pinprick\tpinprick\tNN\tB-NP\tO' -p227551 -aS'and\tand\tCC\tI-NP\tO' -p227552 -aS'proprioception\tproprioception\tNN\tI-NP\tO' -p227553 -aS'.\t.\t.\tO\tO' -p227554 -asS'The patient also at that time was followed by Cardiology and for preoperative evaluation had a stress test which was positive and he became diaphoretic but denied any chest pain .' -p227555 -(lp227556 -S'The\tThe\tDT\tB-NP\tO' -p227557 -aS'patient\tpatient\tNN\tI-NP\tO' -p227558 -aS'also\talso\tRB\tB-ADVP\tO' -p227559 -aS'at\tat\tIN\tB-PP\tO' -p227560 -aS'that\tthat\tDT\tB-NP\tO' -p227561 -aS'time\ttime\tNN\tI-NP\tO' -p227562 -aS'was\tbe\tVBD\tB-VP\tO' -p227563 -aS'followed\tfollow\tVBN\tI-VP\tO' -p227564 -aS'by\tby\tIN\tB-PP\tO' -p227565 -aS'Cardiology\tCardiology\tNN\tB-NP\tO' -p227566 -aS'and\tand\tCC\tB-PP\tO' -p227567 -aS'for\tfor\tIN\tB-PP\tO' -p227568 -aS'preoperative\tpreoperative\tJJ\tB-NP\tO' -p227569 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p227570 -aS'had\thave\tVBD\tB-VP\tO' -p227571 -aS'a\ta\tDT\tB-NP\tO' -p227572 -aS'stress\tstress\tNN\tI-NP\tO' -p227573 -aS'test\ttest\tNN\tI-NP\tO' -p227574 -aS'which\twhich\tWDT\tB-NP\tO' -p227575 -aS'was\tbe\tVBD\tB-VP\tO' -p227576 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p227577 -aS'and\tand\tCC\tO\tO' -p227578 -aS'he\the\tPRP\tB-NP\tO' -p227579 -aS'became\tbecome\tVBD\tB-VP\tO' -p227580 -aS'diaphoretic\tdiaphoretic\tJJ\tB-ADJP\tO' -p227581 -aS'but\tbut\tCC\tO\tO' -p227582 -aS'denied\tdeny\tVBD\tB-VP\tO' -p227583 -aS'any\tany\tDT\tB-NP\tO' -p227584 -aS'chest\tch\tJJS\tI-NP\tO' -p227585 -aS'pain\tpain\tNN\tI-NP\tO' -p227586 -aS'.\t.\t.\tO\tO' -p227587 -asS'Left Ventricle - Septal Wall Thickness : 0.8 cm ( nl 0.6 - 1.1 cm )' -p227588 -(lp227589 -S'Left\tLeft\tNNP\tB-NP\tO' -p227590 -aS'Ventricle\tVentricle\tNNP\tI-NP\tO' -p227591 -aS'-\t-\tHYPH\tB-NP\tO' -p227592 -aS'Septal\tSeptal\tNNP\tI-NP\tO' -p227593 -aS'Wall\tWall\tNNP\tI-NP\tO' -p227594 -aS'Thickness\tThickness\tNNP\tI-NP\tO' -p227595 -aS':\t:\t:\tO\tO' -p227596 -aS'0.8\t0.8\tCD\tB-NP\tO' -p227597 -aS'cm\tcm\tNN\tI-NP\tO' -p227598 -aS'(\t(\t(\tO\tO' -p227599 -aS'nl\tnl\tNN\tB-NP\tB-protein' -p227600 -aS'0.6\t0.6\tCD\tI-NP\tI-protein' -p227601 -aS'-\t-\tHYPH\tO\tO' -p227602 -aS'1.1\t1.1\tCD\tB-NP\tO' -p227603 -aS'cm\tcm\tNN\tI-NP\tO' -p227604 -aS')\t)\t)\tO\tO' -p227605 -asS'Signed electronically by : DR. Ruby von der Smith on: WED 2015-12-09 3:34 PM' -p227606 -(lp227607 -S'Signed\tSign\tVBN\tB-VP\tO' -p227608 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p227609 -aS'by\tby\tIN\tB-PP\tO' -p227610 -aS':\t:\t:\tO\tO' -p227611 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p227612 -aS'Ruby\tRuby\tNNP\tI-NP\tO' -p227613 -aS'von\tvon\tNNP\tI-NP\tO' -p227614 -aS'der\tder\tNNP\tI-NP\tO' -p227615 -aS'Smith\tSmith\tNNP\tI-NP\tO' -p227616 -aS'on:\ton:\t:\tO\tO' -p227617 -aS'WED\tWED\tVBD\tB-VP\tO' -p227618 -aS'2015-12-09\t2015-12-09\tCD\tB-NP\tO' -p227619 -aS'3:34\t3:34\tCD\tI-NP\tO' -p227620 -aS'PM\tPM\tNN\tI-NP\tO' -p227621 -asS'The patient 's physical examination revealed a well-developed , well-nourished white female in no apparent distress .' -p227622 -(lp227623 -S'The\tThe\tDT\tB-NP\tO' -p227624 -aS'patient\tpatient\tNN\tI-NP\tO' -p227625 -aS''s\t'\tNNS\tI-NP\tO' -p227626 -aS'physical\tphysical\tJJ\tI-NP\tO' -p227627 -aS'examination\texamination\tNN\tI-NP\tO' -p227628 -aS'revealed\treveal\tVBD\tB-VP\tO' -p227629 -aS'a\ta\tDT\tB-NP\tO' -p227630 -aS'well-developed\twell-developed\tJJ\tI-NP\tO' -p227631 -aS',\t,\t,\tI-NP\tO' -p227632 -aS'well-nourished\twell-nourished\tJJ\tI-NP\tO' -p227633 -aS'white\twhite\tJJ\tI-NP\tO' -p227634 -aS'female\tfemale\tNN\tI-NP\tO' -p227635 -aS'in\tin\tIN\tB-PP\tO' -p227636 -aS'no\tno\tDT\tB-NP\tO' -p227637 -aS'apparent\tapparent\tJJ\tI-NP\tO' -p227638 -aS'distress\tdistress\tNN\tI-NP\tO' -p227639 -aS'.\t.\t.\tO\tO' -p227640 -asS"Given the sudden unexpected nature of patient 's death , the medical examiner was contacted and the case was accepted ." -p227641 -(lp227642 -S'Given\tGive\tVBN\tB-PP\tO' -p227643 -aS'the\tthe\tDT\tB-NP\tO' -p227644 -aS'sudden\tsudden\tJJ\tI-NP\tO' -p227645 -aS'unexpected\tunexpected\tJJ\tI-NP\tO' -p227646 -aS'nature\tnature\tNN\tI-NP\tO' -p227647 -aS'of\tof\tIN\tB-PP\tO' -p227648 -aS'patient\tpatient\tNN\tB-NP\tO' -p227649 -aS"'s\t's\tPOS\tB-NP\tO" -p227650 -aS'death\tdeath\tNN\tI-NP\tO' -p227651 -aS',\t,\t,\tO\tO' -p227652 -aS'the\tthe\tDT\tB-NP\tO' -p227653 -aS'medical\tmedical\tJJ\tI-NP\tO' -p227654 -aS'examiner\texaminer\tNN\tI-NP\tO' -p227655 -aS'was\tbe\tVBD\tB-VP\tO' -p227656 -aS'contacted\tcontact\tVBN\tI-VP\tO' -p227657 -aS'and\tand\tCC\tO\tO' -p227658 -aS'the\tthe\tDT\tB-NP\tO' -p227659 -aS'case\tcase\tNN\tI-NP\tO' -p227660 -aS'was\tbe\tVBD\tB-VP\tO' -p227661 -aS'accepted\taccept\tVBN\tI-VP\tO' -p227662 -aS'.\t.\t.\tO\tO' -p227663 -asS'Postoperatively the patient was transported to the cardiac surgery recovery unit on Milrinone , Neo-Synephrine and Levophed drip .' -p227664 -(lp227665 -S'Postoperatively\tPostoperatively\tRB\tB-ADVP\tO' -p227666 -aS'the\tthe\tDT\tB-NP\tO' -p227667 -aS'patient\tpatient\tNN\tI-NP\tO' -p227668 -aS'was\tbe\tVBD\tB-VP\tO' -p227669 -aS'transported\ttransport\tVBN\tI-VP\tO' -p227670 -aS'to\tto\tTO\tB-PP\tO' -p227671 -aS'the\tthe\tDT\tB-NP\tO' -p227672 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p227673 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p227674 -aS'recovery\trecovery\tNN\tI-NP\tO' -p227675 -aS'unit\tunit\tNN\tI-NP\tO' -p227676 -aS'on\ton\tIN\tB-PP\tO' -p227677 -aS'Milrinone\tMilrinone\tNN\tB-NP\tO' -p227678 -aS',\t,\t,\tO\tO' -p227679 -aS'Neo-Synephrine\tNeo-Synephrine\tNN\tB-NP\tO' -p227680 -aS'and\tand\tCC\tO\tO' -p227681 -aS'Levophed\tLevophed\tJJ\tB-NP\tO' -p227682 -aS'drip\tdrip\tNN\tI-NP\tO' -p227683 -aS'.\t.\t.\tO\tO' -p227684 -asS'Your patient was admitted under the care of SAPSCLYSS , LEO R with a preliminary diagnosis of PNEUMONIA , .' -p227685 -(lp227686 -S'Your\tYour\tPRP$\tB-NP\tO' -p227687 -aS'patient\tpatient\tNN\tI-NP\tO' -p227688 -aS'was\tbe\tVBD\tB-VP\tO' -p227689 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p227690 -aS'under\tunder\tIN\tB-PP\tO' -p227691 -aS'the\tthe\tDT\tB-NP\tO' -p227692 -aS'care\tcare\tNN\tI-NP\tO' -p227693 -aS'of\tof\tIN\tB-PP\tO' -p227694 -aS'SAPSCLYSS\tSAPSCLYSS\tNNP\tB-NP\tO' -p227695 -aS',\t,\t,\tO\tO' -p227696 -aS'LEO\tLEO\tNNP\tB-NP\tO' -p227697 -aS'R\tR\tNNP\tI-NP\tO' -p227698 -aS'with\twith\tIN\tB-PP\tO' -p227699 -aS'a\ta\tDT\tB-NP\tO' -p227700 -aS'preliminary\tpreliminary\tJJ\tI-NP\tO' -p227701 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p227702 -aS'of\tof\tIN\tB-PP\tO' -p227703 -aS'PNEUMONIA\tPNEUMONIA\tNN\tB-NP\tO' -p227704 -aS',\t,\t,\tO\tO' -p227705 -aS'.\t.\t.\tO\tO' -p227706 -asS'These episodes of atrial fibrillation have diminished and she has been in sinus rhythm for over 24 hours now .' -p227707 -(lp227708 -S'These\tThese\tDT\tB-NP\tO' -p227709 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p227710 -aS'of\tof\tIN\tB-PP\tO' -p227711 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p227712 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p227713 -aS'have\thave\tVBP\tB-VP\tO' -p227714 -aS'diminished\tdiminish\tVBN\tI-VP\tO' -p227715 -aS'and\tand\tCC\tO\tO' -p227716 -aS'she\tshe\tPRP\tB-NP\tO' -p227717 -aS'has\thave\tVBZ\tB-VP\tO' -p227718 -aS'been\tbe\tVBN\tI-VP\tO' -p227719 -aS'in\tin\tIN\tB-PP\tO' -p227720 -aS'sinus\tsinus\tNN\tB-NP\tO' -p227721 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p227722 -aS'for\tfor\tIN\tB-PP\tO' -p227723 -aS'over\tover\tIN\tB-NP\tO' -p227724 -aS'24\t24\tCD\tI-NP\tO' -p227725 -aS'hours\thour\tNNS\tI-NP\tO' -p227726 -aS'now\tnow\tRB\tB-ADVP\tO' -p227727 -aS'.\t.\t.\tO\tO' -p227728 -asS'She was also continued on steroids given evidence of severe airway obstruction .' -p227729 -(lp227730 -S'She\tShe\tPRP\tB-NP\tO' -p227731 -aS'was\tbe\tVBD\tB-VP\tO' -p227732 -aS'also\talso\tRB\tI-VP\tO' -p227733 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p227734 -aS'on\ton\tIN\tB-PP\tO' -p227735 -aS'steroids\tsteroid\tNNS\tB-NP\tO' -p227736 -aS'given\tgive\tVBN\tB-VP\tO' -p227737 -aS'evidence\tevidence\tNN\tB-NP\tO' -p227738 -aS'of\tof\tIN\tB-PP\tO' -p227739 -aS'severe\tsevere\tJJ\tB-NP\tO' -p227740 -aS'airway\tairway\tNN\tI-NP\tO' -p227741 -aS'obstruction\tobstruction\tNN\tI-NP\tO' -p227742 -aS'.\t.\t.\tO\tO' -p227743 -asS'The tunneled catheter line was changed over a wire and the tip was also negative .' -p227744 -(lp227745 -S'The\tThe\tDT\tB-NP\tO' -p227746 -aS'tunneled\ttunnel\tVBN\tI-NP\tB-cell_line' -p227747 -aS'catheter\tcatheter\tNN\tI-NP\tI-cell_line' -p227748 -aS'line\tline\tNN\tI-NP\tI-cell_line' -p227749 -aS'was\tbe\tVBD\tB-VP\tO' -p227750 -aS'changed\tchange\tVBN\tI-VP\tO' -p227751 -aS'over\tover\tIN\tB-PP\tO' -p227752 -aS'a\ta\tDT\tB-NP\tO' -p227753 -aS'wire\twire\tNN\tI-NP\tO' -p227754 -aS'and\tand\tCC\tO\tO' -p227755 -aS'the\tthe\tDT\tB-NP\tO' -p227756 -aS'tip\ttip\tNN\tI-NP\tO' -p227757 -aS'was\tbe\tVBD\tB-VP\tO' -p227758 -aS'also\talso\tRB\tB-ADVP\tO' -p227759 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p227760 -aS'.\t.\t.\tO\tO' -p227761 -asS'The patient is a 50-year-old female with history of low back pain radiating to both legs .' -p227762 -(lp227763 -S'The\tThe\tDT\tB-NP\tO' -p227764 -aS'patient\tpatient\tNN\tI-NP\tO' -p227765 -aS'is\tbe\tVBZ\tB-VP\tO' -p227766 -aS'a\ta\tDT\tB-NP\tO' -p227767 -aS'50-year-old\t50-year-old\tJJ\tI-NP\tO' -p227768 -aS'female\tfemale\tNN\tI-NP\tO' -p227769 -aS'with\twith\tIN\tB-PP\tO' -p227770 -aS'history\thistory\tNN\tB-NP\tO' -p227771 -aS'of\tof\tIN\tB-PP\tO' -p227772 -aS'low\tlow\tJJ\tB-NP\tO' -p227773 -aS'back\tback\tJJ\tI-NP\tO' -p227774 -aS'pain\tpain\tNN\tI-NP\tO' -p227775 -aS'radiating\tradiate\tVBG\tB-VP\tO' -p227776 -aS'to\tto\tTO\tB-PP\tO' -p227777 -aS'both\tboth\tDT\tB-NP\tO' -p227778 -aS'legs\tleg\tNNS\tI-NP\tO' -p227779 -aS'.\t.\t.\tO\tO' -p227780 -asS'He was seen by physical therapy prior to discharge .' -p227781 -(lp227782 -S'He\tHe\tPRP\tB-NP\tO' -p227783 -aS'was\tbe\tVBD\tB-VP\tO' -p227784 -aS'seen\tsee\tVBN\tI-VP\tO' -p227785 -aS'by\tby\tIN\tB-PP\tO' -p227786 -aS'physical\tphysical\tJJ\tB-NP\tO' -p227787 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p227788 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p227789 -aS'to\tto\tTO\tB-VP\tO' -p227790 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p227791 -aS'.\t.\t.\tO\tO' -p227792 -asS'Patient remains in congestive heart failure , though it may be slightly improved compared to the prior study .' -p227793 -(lp227794 -S'Patient\tPatient\tNN\tB-NP\tO' -p227795 -aS'remains\tremain\tVBZ\tB-VP\tO' -p227796 -aS'in\tin\tIN\tB-PP\tO' -p227797 -aS'congestive\tcongestive\tJJ\tB-NP\tO' -p227798 -aS'heart\theart\tNN\tI-NP\tO' -p227799 -aS'failure\tfailure\tNN\tI-NP\tO' -p227800 -aS',\t,\t,\tO\tO' -p227801 -aS'though\tthough\tIN\tB-SBAR\tO' -p227802 -aS'it\tit\tPRP\tB-NP\tO' -p227803 -aS'may\tmay\tMD\tB-VP\tO' -p227804 -aS'be\tbe\tVB\tI-VP\tO' -p227805 -aS'slightly\tslightly\tRB\tI-VP\tO' -p227806 -aS'improved\timprove\tVBN\tI-VP\tO' -p227807 -aS'compared\tcompare\tVBN\tB-PP\tO' -p227808 -aS'to\tto\tTO\tB-PP\tO' -p227809 -aS'the\tthe\tDT\tB-NP\tO' -p227810 -aS'prior\tprior\tJJ\tI-NP\tO' -p227811 -aS'study\tstudy\tNN\tI-NP\tO' -p227812 -aS'.\t.\t.\tO\tO' -p227813 -asS'Do not lift more than 10 lbs. for 2 months .' -p227814 -(lp227815 -S'Do\tDo\tVBP\tB-VP\tO' -p227816 -aS'not\tnot\tRB\tI-VP\tO' -p227817 -aS'lift\tlift\tVB\tI-VP\tO' -p227818 -aS'more\tmore\tJJR\tB-NP\tO' -p227819 -aS'than\tthan\tIN\tI-NP\tO' -p227820 -aS'10\t10\tCD\tI-NP\tO' -p227821 -aS'lbs.\tlbs.\tNN\tI-NP\tO' -p227822 -aS'for\tfor\tIN\tB-PP\tO' -p227823 -aS'2\t2\tCD\tB-NP\tO' -p227824 -aS'months\tmonth\tNNS\tI-NP\tO' -p227825 -aS'.\t.\t.\tO\tO' -p227826 -asS'Pt is now transferred to the FICU for further care .' -p227827 -(lp227828 -S'Pt\tPt\tNN\tB-NP\tO' -p227829 -aS'is\tbe\tVBZ\tB-VP\tO' -p227830 -aS'now\tnow\tRB\tI-VP\tO' -p227831 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p227832 -aS'to\tto\tTO\tB-PP\tO' -p227833 -aS'the\tthe\tDT\tB-NP\tO' -p227834 -aS'FICU\tFICU\tNN\tI-NP\tO' -p227835 -aS'for\tfor\tIN\tB-PP\tO' -p227836 -aS'further\tfurther\tJJ\tB-NP\tO' -p227837 -aS'care\tcare\tNN\tI-NP\tO' -p227838 -aS'.\t.\t.\tO\tO' -p227839 -asS'Metoprolol Tartrate 75 mg PO TID' -p227840 -(lp227841 -S'Metoprolol\tMetoprolol\tNN\tB-NP\tO' -p227842 -aS'Tartrate\tTartrate\tNN\tI-NP\tO' -p227843 -aS'75\t75\tCD\tI-NP\tO' -p227844 -aS'mg\tmg\tNN\tI-NP\tO' -p227845 -aS'PO\tPO\tNN\tI-NP\tO' -p227846 -aS'TID\tTID\tNN\tI-NP\tO' -p227847 -asS'This revealed papillary thyroid cancer and the patient received radioactive iodine ablation .' -p227848 -(lp227849 -S'This\tThis\tDT\tB-NP\tO' -p227850 -aS'revealed\treveal\tVBD\tB-VP\tO' -p227851 -aS'papillary\tpapillary\tJJ\tB-NP\tO' -p227852 -aS'thyroid\tthyroid\tNN\tI-NP\tO' -p227853 -aS'cancer\tcancer\tNN\tI-NP\tO' -p227854 -aS'and\tand\tCC\tO\tO' -p227855 -aS'the\tthe\tDT\tB-NP\tO' -p227856 -aS'patient\tpatient\tNN\tI-NP\tO' -p227857 -aS'received\treceive\tVBD\tB-VP\tO' -p227858 -aS'radioactive\tradioactive\tJJ\tB-NP\tO' -p227859 -aS'iodine\tiodine\tNN\tI-NP\tO' -p227860 -aS'ablation\tablation\tNN\tI-NP\tO' -p227861 -aS'.\t.\t.\tO\tO' -p227862 -asS'Briefly , the patient was taken to the operating room to repair his critical aortic stenosis , his coronary artery disease and his significantly dilated ascending aortic aneurysm .' -p227863 -(lp227864 -S'Briefly\tBriefly\tNNP\tB-NP\tO' -p227865 -aS',\t,\t,\tO\tO' -p227866 -aS'the\tthe\tDT\tB-NP\tO' -p227867 -aS'patient\tpatient\tNN\tI-NP\tO' -p227868 -aS'was\tbe\tVBD\tB-VP\tO' -p227869 -aS'taken\ttake\tVBN\tI-VP\tO' -p227870 -aS'to\tto\tTO\tB-PP\tO' -p227871 -aS'the\tthe\tDT\tB-NP\tO' -p227872 -aS'operating\toperating\tNN\tI-NP\tO' -p227873 -aS'room\troom\tNN\tI-NP\tO' -p227874 -aS'to\tto\tTO\tB-VP\tO' -p227875 -aS'repair\trepair\tVB\tI-VP\tO' -p227876 -aS'his\this\tPRP$\tB-NP\tO' -p227877 -aS'critical\tcritical\tJJ\tI-NP\tO' -p227878 -aS'aortic\taortic\tJJ\tI-NP\tO' -p227879 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p227880 -aS',\t,\t,\tO\tO' -p227881 -aS'his\this\tPRP$\tB-NP\tO' -p227882 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p227883 -aS'artery\tartery\tNN\tI-NP\tO' -p227884 -aS'disease\tdisease\tNN\tI-NP\tO' -p227885 -aS'and\tand\tCC\tO\tO' -p227886 -aS'his\this\tPRP$\tB-NP\tO' -p227887 -aS'significantly\tsignificantly\tRB\tI-NP\tO' -p227888 -aS'dilated\tdilate\tVBN\tI-NP\tO' -p227889 -aS'ascending\tascend\tVBG\tI-NP\tO' -p227890 -aS'aortic\taortic\tJJ\tB-NP\tO' -p227891 -aS'aneurysm\taneurysm\tNN\tI-NP\tO' -p227892 -aS'.\t.\t.\tO\tO' -p227893 -asS'Attending : James F. Bard , M.D.' -p227894 -(lp227895 -S'Attending\tAttend\tVBG\tB-VP\tO' -p227896 -aS':\t:\t:\tO\tO' -p227897 -aS'James\tJames\tNNP\tB-NP\tO' -p227898 -aS'F.\tF.\tNNP\tI-NP\tO' -p227899 -aS'Bard\tBard\tNNP\tI-NP\tO' -p227900 -aS',\t,\t,\tO\tO' -p227901 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p227902 -asS'The myocardial perfusion images show no definite evidence of ischemia .' -p227903 -(lp227904 -S'The\tThe\tDT\tB-NP\tO' -p227905 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p227906 -aS'perfusion\tperfusion\tNN\tI-NP\tO' -p227907 -aS'images\timage\tNNS\tI-NP\tO' -p227908 -aS'show\tshow\tVBP\tB-VP\tO' -p227909 -aS'no\tno\tDT\tB-NP\tO' -p227910 -aS'definite\tdefinite\tJJ\tI-NP\tO' -p227911 -aS'evidence\tevidence\tNN\tI-NP\tO' -p227912 -aS'of\tof\tIN\tB-PP\tO' -p227913 -aS'ischemia\tischemia\tNN\tB-NP\tO' -p227914 -aS'.\t.\t.\tO\tO' -p227915 -asS'His amylase trended down .' -p227916 -(lp227917 -S'His\tHis\tPRP$\tB-NP\tO' -p227918 -aS'amylase\tamylase\tNN\tI-NP\tB-protein' -p227919 -aS'trended\ttrend\tVBD\tB-VP\tO' -p227920 -aS'down\tdown\tRB\tB-ADVP\tO' -p227921 -aS'.\t.\t.\tO\tO' -p227922 -asS'Scattered bibasilar rales , no wheezes .' -p227923 -(lp227924 -S'Scattered\tScatter\tVBN\tB-NP\tO' -p227925 -aS'bibasilar\tbibasilar\tJJ\tI-NP\tO' -p227926 -aS'rales\trale\tNNS\tI-NP\tO' -p227927 -aS',\t,\t,\tO\tO' -p227928 -aS'no\tno\tDT\tB-NP\tO' -p227929 -aS'wheezes\twheeze\tNNS\tI-NP\tO' -p227930 -aS'.\t.\t.\tO\tO' -p227931 -asS'He was tachycardic with an initial blood pressure of 120 / palpable .' -p227932 -(lp227933 -S'He\tHe\tPRP\tB-NP\tO' -p227934 -aS'was\tbe\tVBD\tB-VP\tO' -p227935 -aS'tachycardic\ttachycardic\tJJ\tB-ADJP\tO' -p227936 -aS'with\twith\tIN\tB-PP\tO' -p227937 -aS'an\tan\tDT\tB-NP\tO' -p227938 -aS'initial\tinitial\tJJ\tI-NP\tO' -p227939 -aS'blood\tblood\tNN\tI-NP\tO' -p227940 -aS'pressure\tpressure\tNN\tI-NP\tO' -p227941 -aS'of\tof\tIN\tB-PP\tO' -p227942 -aS'120\t120\tCD\tB-NP\tO' -p227943 -aS'/\t/\tSYM\tB-ADJP\tO' -p227944 -aS'palpable\tpalpable\tJJ\tI-ADJP\tO' -p227945 -aS'.\t.\t.\tO\tO' -p227946 -asS'A foley catheter was inserted given her mutiple episodes of incontinence that were adding to skin irritation .' -p227947 -(lp227948 -S'A\tA\tDT\tB-NP\tO' -p227949 -aS'foley\tfoley\tJJ\tI-NP\tO' -p227950 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p227951 -aS'was\tbe\tVBD\tB-VP\tO' -p227952 -aS'inserted\tinsert\tVBN\tI-VP\tO' -p227953 -aS'given\tgive\tVBN\tI-VP\tO' -p227954 -aS'her\ther\tPRP$\tB-NP\tO' -p227955 -aS'mutiple\tmutiple\tJJ\tI-NP\tO' -p227956 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p227957 -aS'of\tof\tIN\tB-PP\tO' -p227958 -aS'incontinence\tincontinence\tNN\tB-NP\tO' -p227959 -aS'that\tthat\tWDT\tB-NP\tO' -p227960 -aS'were\tbe\tVBD\tB-VP\tO' -p227961 -aS'adding\tadd\tVBG\tI-VP\tO' -p227962 -aS'to\tto\tTO\tB-PP\tO' -p227963 -aS'skin\tskin\tNN\tB-NP\tO' -p227964 -aS'irritation\tirritation\tNN\tI-NP\tO' -p227965 -aS'.\t.\t.\tO\tO' -p227966 -asS'Platelets 253 thousand .' -p227967 -(lp227968 -S'Platelets\tPlatelet\tNNS\tB-NP\tO' -p227969 -aS'253\t253\tCD\tB-NP\tO' -p227970 -aS'thousand\tthousand\tCD\tI-NP\tO' -p227971 -aS'.\t.\t.\tO\tO' -p227972 -asS'He was seen by physical therapy and will need to follow up with orthopaedics upon discharge for repeat evaluation .' -p227973 -(lp227974 -S'He\tHe\tPRP\tB-NP\tO' -p227975 -aS'was\tbe\tVBD\tB-VP\tO' -p227976 -aS'seen\tsee\tVBN\tI-VP\tO' -p227977 -aS'by\tby\tIN\tB-PP\tO' -p227978 -aS'physical\tphysical\tJJ\tB-NP\tO' -p227979 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p227980 -aS'and\tand\tCC\tO\tO' -p227981 -aS'will\twill\tMD\tB-VP\tO' -p227982 -aS'need\tneed\tVB\tI-VP\tO' -p227983 -aS'to\tto\tTO\tI-VP\tO' -p227984 -aS'follow\tfollow\tVB\tI-VP\tO' -p227985 -aS'up\tup\tRP\tB-PRT\tO' -p227986 -aS'with\twith\tIN\tB-PP\tO' -p227987 -aS'orthopaedics\torthopaedic\tNNS\tB-NP\tO' -p227988 -aS'upon\tupon\tIN\tB-PP\tO' -p227989 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p227990 -aS'for\tfor\tIN\tB-PP\tO' -p227991 -aS'repeat\trepeat\tNN\tB-NP\tO' -p227992 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p227993 -aS'.\t.\t.\tO\tO' -p227994 -asS'EF 55% and inf / post HK .' -p227995 -(lp227996 -S'EF\tEF\tNN\tB-NP\tB-protein' -p227997 -aS'55%\t55%\tNN\tI-NP\tI-protein' -p227998 -aS'and\tand\tCC\tI-NP\tO' -p227999 -aS'inf\tinf\tNN\tI-NP\tO' -p228000 -aS'/\t/\tSYM\tI-NP\tO' -p228001 -aS'post\tpost\tNN\tI-NP\tO' -p228002 -aS'HK\tHK\tNN\tI-NP\tO' -p228003 -aS'.\t.\t.\tO\tO' -p228004 -asS'Central line attempted but never placed' -p228005 -(lp228006 -S'Central\tCentral\tJJ\tB-NP\tO' -p228007 -aS'line\tline\tNN\tI-NP\tO' -p228008 -aS'attempted\tattempt\tVBD\tB-VP\tO' -p228009 -aS'but\tbut\tCC\tO\tO' -p228010 -aS'never\tnever\tRB\tB-VP\tO' -p228011 -aS'placed\tplace\tVBN\tI-VP\tO' -p228012 -asS'Given no other risk factors or likely causes , the most likely etiology for his embolus is DVT from the left leg .' -p228013 -(lp228014 -S'Given\tGive\tVBN\tB-PP\tO' -p228015 -aS'no\tno\tDT\tB-NP\tO' -p228016 -aS'other\tother\tJJ\tI-NP\tO' -p228017 -aS'risk\trisk\tNN\tI-NP\tB-protein' -p228018 -aS'factors\tfactor\tNNS\tI-NP\tI-protein' -p228019 -aS'or\tor\tCC\tO\tO' -p228020 -aS'likely\tlikely\tJJ\tB-NP\tO' -p228021 -aS'causes\tcause\tNNS\tI-NP\tO' -p228022 -aS',\t,\t,\tO\tO' -p228023 -aS'the\tthe\tDT\tB-NP\tO' -p228024 -aS'most\tmost\tRBS\tI-NP\tO' -p228025 -aS'likely\tlikely\tJJ\tI-NP\tO' -p228026 -aS'etiology\tetiology\tNN\tI-NP\tO' -p228027 -aS'for\tfor\tIN\tB-PP\tO' -p228028 -aS'his\this\tPRP$\tB-NP\tO' -p228029 -aS'embolus\tembolus\tNN\tI-NP\tO' -p228030 -aS'is\tbe\tVBZ\tB-VP\tO' -p228031 -aS'DVT\tDVT\tNN\tB-NP\tO' -p228032 -aS'from\tfrom\tIN\tB-PP\tO' -p228033 -aS'the\tthe\tDT\tB-NP\tO' -p228034 -aS'left\tleft\tJJ\tI-NP\tO' -p228035 -aS'leg\tleg\tNN\tI-NP\tO' -p228036 -aS'.\t.\t.\tO\tO' -p228037 -asS'Oropharynx is clear without lymphadenopathyin the neck .' -p228038 -(lp228039 -S'Oropharynx\tOropharynx\tNNP\tB-NP\tO' -p228040 -aS'is\tbe\tVBZ\tB-VP\tO' -p228041 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p228042 -aS'without\twithout\tIN\tB-PP\tO' -p228043 -aS'lymphadenopathyin\tlymphadenopathyin\tNN\tB-NP\tO' -p228044 -aS'the\tthe\tDT\tB-NP\tO' -p228045 -aS'neck\tneck\tNN\tI-NP\tO' -p228046 -aS'.\t.\t.\tO\tO' -p228047 -asS'1. Trimethoprim - Sulfamethoxazole 80-400 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' -p228048 -(lp228049 -S'1.\t1.\tLS\tB-NP\tO' -p228050 -aS'Trimethoprim\tTrimethoprim\tNN\tI-NP\tO' -p228051 -aS'-\t-\tHYPH\tO\tO' -p228052 -aS'Sulfamethoxazole\tSulfamethoxazole\tNN\tB-NP\tO' -p228053 -aS'80-400\t80-400\tCD\tI-NP\tO' -p228054 -aS'mg\tmg\tNN\tI-NP\tO' -p228055 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p228056 -aS'Sig\tSig\tNNP\tI-NP\tO' -p228057 -aS':\t:\t:\tO\tO' -p228058 -aS'One\tOne\tCD\tB-NP\tO' -p228059 -aS'(\t(\t(\tO\tO' -p228060 -aS'1\t1\tCD\tB-NP\tO' -p228061 -aS')\t)\t)\tO\tO' -p228062 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p228063 -aS'PO\tPO\tNN\tI-NP\tO' -p228064 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p228065 -aS'(\t(\t(\tO\tO' -p228066 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p228067 -aS')\t)\t)\tO\tO' -p228068 -aS'.\t.\t.\tO\tO' -p228069 -asS'The postoperative period was complicated by transient swallowing difficulty , increasing left sided weakness and urinary retention .' -p228070 -(lp228071 -S'The\tThe\tDT\tB-NP\tO' -p228072 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p228073 -aS'period\tperiod\tNN\tI-NP\tO' -p228074 -aS'was\tbe\tVBD\tB-VP\tO' -p228075 -aS'complicated\tcomplicate\tVBN\tI-VP\tO' -p228076 -aS'by\tby\tIN\tB-PP\tO' -p228077 -aS'transient\ttransient\tJJ\tB-NP\tO' -p228078 -aS'swallowing\tswallow\tVBG\tI-NP\tO' -p228079 -aS'difficulty\tdifficulty\tNN\tI-NP\tO' -p228080 -aS',\t,\t,\tO\tO' -p228081 -aS'increasing\tincrease\tVBG\tB-VP\tO' -p228082 -aS'left\tleft\tJJ\tB-NP\tO' -p228083 -aS'sided\tsided\tJJ\tI-NP\tO' -p228084 -aS'weakness\tweakness\tNN\tI-NP\tO' -p228085 -aS'and\tand\tCC\tO\tO' -p228086 -aS'urinary\turinary\tJJ\tB-NP\tO' -p228087 -aS'retention\tretention\tNN\tI-NP\tO' -p228088 -aS'.\t.\t.\tO\tO' -p228089 -asS'She was weaned off her pressors on 02-21 and maintained her pressure w/out additional fluid boluses .' -p228090 -(lp228091 -S'She\tShe\tPRP\tB-NP\tO' -p228092 -aS'was\tbe\tVBD\tB-VP\tO' -p228093 -aS'weaned\twean\tVBN\tI-VP\tO' -p228094 -aS'off\toff\tRP\tB-PRT\tO' -p228095 -aS'her\ther\tPRP$\tB-NP\tO' -p228096 -aS'pressors\tpressor\tNNS\tI-NP\tO' -p228097 -aS'on\ton\tIN\tB-PP\tO' -p228098 -aS'02-21\t02-21\tNN\tB-NP\tO' -p228099 -aS'and\tand\tCC\tO\tO' -p228100 -aS'maintained\tmaintain\tVBD\tB-VP\tO' -p228101 -aS'her\ther\tPRP$\tB-NP\tO' -p228102 -aS'pressure\tpressure\tNN\tI-NP\tO' -p228103 -aS'w/out\tw/out\tIN\tB-PP\tO' -p228104 -aS'additional\tadditional\tJJ\tB-NP\tO' -p228105 -aS'fluid\tfluid\tNN\tI-NP\tO' -p228106 -aS'boluses\tbolus\tNNS\tI-NP\tO' -p228107 -aS'.\t.\t.\tO\tO' -p228108 -asS"On 05-13 , the patient 's respiratory status declined further ." -p228109 -(lp228110 -S'On\tOn\tIN\tB-PP\tO' -p228111 -aS'05-13\t05-13\tCD\tB-NP\tO' -p228112 -aS',\t,\t,\tO\tO' -p228113 -aS'the\tthe\tDT\tB-NP\tO' -p228114 -aS'patient\tpatient\tNN\tI-NP\tO' -p228115 -aS"'s\t's\tPOS\tB-NP\tO" -p228116 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p228117 -aS'status\tstatus\tNN\tI-NP\tO' -p228118 -aS'declined\tdecline\tVBD\tB-VP\tO' -p228119 -aS'further\tfurther\tRBR\tB-ADVP\tO' -p228120 -aS'.\t.\t.\tO\tO' -p228121 -asS'The patient was treated with 2 liters of intravenous fluids with a bump in her systolic blood pressure to the 90 s.' -p228122 -(lp228123 -S'The\tThe\tDT\tB-NP\tO' -p228124 -aS'patient\tpatient\tNN\tI-NP\tO' -p228125 -aS'was\tbe\tVBD\tB-VP\tO' -p228126 -aS'treated\ttreat\tVBN\tI-VP\tO' -p228127 -aS'with\twith\tIN\tB-PP\tO' -p228128 -aS'2\t2\tCD\tB-NP\tO' -p228129 -aS'liters\tliter\tNNS\tI-NP\tO' -p228130 -aS'of\tof\tIN\tB-PP\tO' -p228131 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p228132 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p228133 -aS'with\twith\tIN\tB-PP\tO' -p228134 -aS'a\ta\tDT\tB-NP\tO' -p228135 -aS'bump\tbump\tNN\tI-NP\tO' -p228136 -aS'in\tin\tIN\tB-PP\tO' -p228137 -aS'her\ther\tPRP$\tB-NP\tO' -p228138 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p228139 -aS'blood\tblood\tNN\tI-NP\tO' -p228140 -aS'pressure\tpressure\tNN\tI-NP\tO' -p228141 -aS'to\tto\tTO\tB-PP\tO' -p228142 -aS'the\tthe\tDT\tB-NP\tO' -p228143 -aS'90\t90\tCD\tI-NP\tO' -p228144 -aS's.\ts.\tNNS\tI-NP\tO' -p228145 -asS'Serial CK s were followed with a CK peak of 433 .' -p228146 -(lp228147 -S'Serial\tSerial\tJJ\tB-NP\tO' -p228148 -aS'CK\tCK\tNN\tI-NP\tO' -p228149 -aS's\ts\tNNS\tI-NP\tO' -p228150 -aS'were\tbe\tVBD\tB-VP\tO' -p228151 -aS'followed\tfollow\tVBN\tI-VP\tO' -p228152 -aS'with\twith\tIN\tB-PP\tO' -p228153 -aS'a\ta\tDT\tB-NP\tO' -p228154 -aS'CK\tCK\tNN\tI-NP\tB-protein' -p228155 -aS'peak\tpeak\tNN\tI-NP\tI-protein' -p228156 -aS'of\tof\tIN\tB-PP\tO' -p228157 -aS'433\t433\tCD\tB-NP\tO' -p228158 -aS'.\t.\t.\tO\tO' -p228159 -asS'The patient worked with Physical Therapy and was able to ambulate without difficulty .' -p228160 -(lp228161 -S'The\tThe\tDT\tB-NP\tO' -p228162 -aS'patient\tpatient\tNN\tI-NP\tO' -p228163 -aS'worked\twork\tVBD\tB-VP\tO' -p228164 -aS'with\twith\tIN\tB-PP\tO' -p228165 -aS'Physical\tPhysical\tJJ\tB-NP\tO' -p228166 -aS'Therapy\tTherapy\tNN\tI-NP\tO' -p228167 -aS'and\tand\tCC\tO\tO' -p228168 -aS'was\tbe\tVBD\tB-VP\tO' -p228169 -aS'able\table\tJJ\tB-ADJP\tO' -p228170 -aS'to\tto\tTO\tB-VP\tO' -p228171 -aS'ambulate\tambulate\tVB\tI-VP\tO' -p228172 -aS'without\twithout\tIN\tB-PP\tO' -p228173 -aS'difficulty\tdifficulty\tNN\tB-NP\tO' -p228174 -aS'.\t.\t.\tO\tO' -p228175 -asS'Ms. Tikrhalt is an 86 year old female , previously healthy , who presents with a 3 month history of dysphagia .' -p228176 -(lp228177 -S'Ms.\tMs.\tNNP\tB-NP\tO' -p228178 -aS'Tikrhalt\tTikrhalt\tNNP\tI-NP\tO' -p228179 -aS'is\tbe\tVBZ\tB-VP\tO' -p228180 -aS'an\tan\tDT\tB-NP\tO' -p228181 -aS'86\t86\tCD\tI-NP\tO' -p228182 -aS'year\tyear\tNN\tI-NP\tO' -p228183 -aS'old\told\tJJ\tI-NP\tO' -p228184 -aS'female\tfemale\tNN\tI-NP\tO' -p228185 -aS',\t,\t,\tO\tO' -p228186 -aS'previously\tpreviously\tRB\tB-ADJP\tO' -p228187 -aS'healthy\thealthy\tJJ\tI-ADJP\tO' -p228188 -aS',\t,\t,\tO\tO' -p228189 -aS'who\twho\tWP\tB-NP\tO' -p228190 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p228191 -aS'with\twith\tIN\tB-PP\tO' -p228192 -aS'a\ta\tDT\tB-NP\tO' -p228193 -aS'3\t3\tCD\tI-NP\tO' -p228194 -aS'month\tmonth\tNN\tI-NP\tO' -p228195 -aS'history\thistory\tNN\tI-NP\tO' -p228196 -aS'of\tof\tIN\tB-PP\tO' -p228197 -aS'dysphagia\tdysphagia\tNN\tB-NP\tO' -p228198 -aS'.\t.\t.\tO\tO' -p228199 -asS'Brother with gastric ca .' -p228200 -(lp228201 -S'Brother\tBrother\tDT\tB-NP\tO' -p228202 -aS'with\twith\tIN\tB-PP\tO' -p228203 -aS'gastric\tgastric\tJJ\tB-NP\tO' -p228204 -aS'ca\tca\tNN\tI-NP\tO' -p228205 -aS'.\t.\t.\tO\tO' -p228206 -asS'Second set 12 hours apart , showed no changes .' -p228207 -(lp228208 -S'Second\tSecond\tJJ\tB-NP\tO' -p228209 -aS'set\tset\tNN\tI-NP\tO' -p228210 -aS'12\t12\tCD\tB-NP\tO' -p228211 -aS'hours\thour\tNNS\tI-NP\tO' -p228212 -aS'apart\tapart\tRB\tB-ADVP\tO' -p228213 -aS',\t,\t,\tO\tO' -p228214 -aS'showed\tshow\tVBD\tB-VP\tO' -p228215 -aS'no\tno\tDT\tB-NP\tO' -p228216 -aS'changes\tchange\tNNS\tI-NP\tO' -p228217 -aS'.\t.\t.\tO\tO' -p228218 -asS'Married , lives with husband .' -p228219 -(lp228220 -S'Married\tMarried\tNNP\tB-NP\tO' -p228221 -aS',\t,\t,\tO\tO' -p228222 -aS'lives\tlive\tVBZ\tB-VP\tO' -p228223 -aS'with\twith\tIN\tB-PP\tO' -p228224 -aS'husband\thusband\tNN\tB-NP\tO' -p228225 -aS'.\t.\t.\tO\tO' -p228226 -asS'He was discharged home with a Foley catheter and he will follow-up with Dr. Ross in one to two weeks .' -p228227 -(lp228228 -S'He\tHe\tPRP\tB-NP\tO' -p228229 -aS'was\tbe\tVBD\tB-VP\tO' -p228230 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p228231 -aS'home\thome\tNN\tB-ADVP\tO' -p228232 -aS'with\twith\tIN\tB-PP\tO' -p228233 -aS'a\ta\tDT\tB-NP\tO' -p228234 -aS'Foley\tFoley\tNNP\tI-NP\tO' -p228235 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p228236 -aS'and\tand\tCC\tO\tO' -p228237 -aS'he\the\tPRP\tB-NP\tO' -p228238 -aS'will\twill\tMD\tB-VP\tO' -p228239 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p228240 -aS'with\twith\tIN\tB-PP\tO' -p228241 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p228242 -aS'Ross\tRoss\tNNP\tI-NP\tO' -p228243 -aS'in\tin\tIN\tB-PP\tO' -p228244 -aS'one\tone\tCD\tB-NP\tO' -p228245 -aS'to\tto\tTO\tI-NP\tO' -p228246 -aS'two\ttwo\tCD\tI-NP\tO' -p228247 -aS'weeks\tweek\tNNS\tI-NP\tO' -p228248 -aS'.\t.\t.\tO\tO' -p228249 -asS'He has a left arm graft placed for access three weeks ago which is used for blood drawing and IV medications .' -p228250 -(lp228251 -S'He\tHe\tPRP\tB-NP\tO' -p228252 -aS'has\thave\tVBZ\tB-VP\tO' -p228253 -aS'a\ta\tDT\tB-NP\tO' -p228254 -aS'left\tleft\tJJ\tI-NP\tO' -p228255 -aS'arm\tarm\tNN\tI-NP\tO' -p228256 -aS'graft\tgraft\tNN\tI-NP\tO' -p228257 -aS'placed\tplace\tVBN\tB-VP\tO' -p228258 -aS'for\tfor\tIN\tB-PP\tO' -p228259 -aS'access\taccess\tNN\tB-NP\tO' -p228260 -aS'three\tthree\tCD\tB-NP\tO' -p228261 -aS'weeks\tweek\tNNS\tI-NP\tO' -p228262 -aS'ago\tago\tIN\tB-ADVP\tO' -p228263 -aS'which\twhich\tWDT\tB-NP\tO' -p228264 -aS'is\tbe\tVBZ\tB-VP\tO' -p228265 -aS'used\tuse\tVBN\tI-VP\tO' -p228266 -aS'for\tfor\tIN\tB-PP\tO' -p228267 -aS'blood\tblood\tNN\tB-NP\tO' -p228268 -aS'drawing\tdrawing\tNN\tI-NP\tO' -p228269 -aS'and\tand\tCC\tO\tO' -p228270 -aS'IV\tIV\tCD\tB-NP\tO' -p228271 -aS'medications\tmedication\tNNS\tI-NP\tO' -p228272 -aS'.\t.\t.\tO\tO' -p228273 -asS'47 yo F w/ h/o steroid-induced hyperglycemia , SLE w/ h/o pericarditis , transverse myelitis w/ paraplegia and neurogenic bladder s/p urostomy w/ ileal conduit , h/o ureteropelvic stone and urosepsis , and h/o RLE DVT admitted 11-29 w/ left pyelo and right 8 mm proximal ureteral stone w/ right hydro s/p perc urostomy tube to relieve right hydro .' -p228274 -(lp228275 -S'47\t47\tCD\tB-NP\tO' -p228276 -aS'yo\tyo\tNN\tI-NP\tO' -p228277 -aS'F\tF\tNN\tI-NP\tO' -p228278 -aS'w/\tw/\tNN\tI-NP\tO' -p228279 -aS'h/o\th/o\tNN\tI-NP\tO' -p228280 -aS'steroid-induced\tsteroid-induced\tJJ\tI-NP\tO' -p228281 -aS'hyperglycemia\thyperglycemia\tNN\tI-NP\tO' -p228282 -aS',\t,\t,\tO\tO' -p228283 -aS'SLE\tSLE\tNN\tB-NP\tO' -p228284 -aS'w/\tw/\tNN\tI-NP\tO' -p228285 -aS'h/o\th/o\tNN\tI-NP\tO' -p228286 -aS'pericarditis\tpericarditis\tNN\tI-NP\tO' -p228287 -aS',\t,\t,\tO\tO' -p228288 -aS'transverse\ttransverse\tJJ\tB-NP\tO' -p228289 -aS'myelitis\tmyelitis\tNN\tI-NP\tO' -p228290 -aS'w/\tw/\tNN\tI-NP\tO' -p228291 -aS'paraplegia\tparaplegia\tNN\tI-NP\tO' -p228292 -aS'and\tand\tCC\tO\tO' -p228293 -aS'neurogenic\tneurogenic\tJJ\tB-NP\tO' -p228294 -aS'bladder\tbladder\tNN\tI-NP\tO' -p228295 -aS's/p\ts/p\tNN\tI-NP\tO' -p228296 -aS'urostomy\turostomy\tNN\tI-NP\tO' -p228297 -aS'w/\tw/\tNN\tI-NP\tO' -p228298 -aS'ileal\tileal\tJJ\tI-NP\tO' -p228299 -aS'conduit\tconduit\tNN\tI-NP\tO' -p228300 -aS',\t,\t,\tO\tO' -p228301 -aS'h/o\th/o\tNN\tB-NP\tO' -p228302 -aS'ureteropelvic\tureteropelvic\tJJ\tI-NP\tO' -p228303 -aS'stone\tstone\tNN\tI-NP\tO' -p228304 -aS'and\tand\tCC\tI-NP\tO' -p228305 -aS'urosepsis\turosepsis\tNN\tI-NP\tO' -p228306 -aS',\t,\t,\tO\tO' -p228307 -aS'and\tand\tCC\tO\tO' -p228308 -aS'h/o\th/o\tNN\tB-NP\tO' -p228309 -aS'RLE\tRLE\tNN\tI-NP\tO' -p228310 -aS'DVT\tDVT\tNN\tI-NP\tO' -p228311 -aS'admitted\tadmit\tVBD\tB-VP\tO' -p228312 -aS'11-29\t11-29\tCD\tB-NP\tO' -p228313 -aS'w/\tw/\tNN\tI-NP\tO' -p228314 -aS'left\tleave\tVBD\tB-VP\tO' -p228315 -aS'pyelo\tpyelo\tNN\tB-NP\tO' -p228316 -aS'and\tand\tCC\tI-NP\tO' -p228317 -aS'right\tright\tJJ\tI-NP\tO' -p228318 -aS'8\t8\tCD\tI-NP\tO' -p228319 -aS'mm\tmm\tNN\tI-NP\tO' -p228320 -aS'proximal\tproximal\tJJ\tI-NP\tO' -p228321 -aS'ureteral\tureteral\tJJ\tI-NP\tO' -p228322 -aS'stone\tstone\tNN\tI-NP\tO' -p228323 -aS'w/\tw/\tNN\tI-NP\tO' -p228324 -aS'right\tright\tJJ\tI-NP\tO' -p228325 -aS'hydro\thydro\tNN\tI-NP\tO' -p228326 -aS's/p\ts/p\tNN\tI-NP\tO' -p228327 -aS'perc\tperc\tNN\tI-NP\tO' -p228328 -aS'urostomy\turostomy\tNN\tI-NP\tO' -p228329 -aS'tube\ttube\tNN\tI-NP\tO' -p228330 -aS'to\tto\tTO\tB-VP\tO' -p228331 -aS'relieve\trelieve\tVB\tI-VP\tO' -p228332 -aS'right\tright\tJJ\tB-NP\tO' -p228333 -aS'hydro\thydro\tNN\tI-NP\tO' -p228334 -aS'.\t.\t.\tO\tO' -p228335 -asS'Cardiac exam was regular S1 and S2 , no murmur .' -p228336 -(lp228337 -S'Cardiac\tCardiac\tJJ\tB-NP\tO' -p228338 -aS'exam\texam\tNN\tI-NP\tO' -p228339 -aS'was\tbe\tVBD\tB-VP\tO' -p228340 -aS'regular\tregular\tJJ\tB-NP\tO' -p228341 -aS'S1\tS1\tNN\tI-NP\tB-protein' -p228342 -aS'and\tand\tCC\tO\tO' -p228343 -aS'S2\tS2\tNN\tB-NP\tB-protein' -p228344 -aS',\t,\t,\tO\tO' -p228345 -aS'no\tno\tDT\tB-NP\tO' -p228346 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p228347 -aS'.\t.\t.\tO\tO' -p228348 -asS'The left atrium is normal in size .' -p228349 -(lp228350 -S'The\tThe\tDT\tB-NP\tO' -p228351 -aS'left\tleft\tJJ\tI-NP\tO' -p228352 -aS'atrium\tatrium\tNN\tI-NP\tO' -p228353 -aS'is\tbe\tVBZ\tB-VP\tO' -p228354 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p228355 -aS'in\tin\tIN\tB-PP\tO' -p228356 -aS'size\tsize\tNN\tB-NP\tO' -p228357 -aS'.\t.\t.\tO\tO' -p228358 -asS'6. Oxygen 2 liters nasal cannula with ambulating as needed .' -p228359 -(lp228360 -S'6.\t6.\tLS\tB-NP\tO' -p228361 -aS'Oxygen\tOxygen\tNN\tI-NP\tO' -p228362 -aS'2\t2\tCD\tB-NP\tO' -p228363 -aS'liters\tliter\tNNS\tI-NP\tO' -p228364 -aS'nasal\tnasal\tJJ\tB-NP\tO' -p228365 -aS'cannula\tcannula\tNN\tI-NP\tO' -p228366 -aS'with\twith\tIN\tB-PP\tO' -p228367 -aS'ambulating\tambulate\tVBG\tB-VP\tO' -p228368 -aS'as\tas\tIN\tB-SBAR\tO' -p228369 -aS'needed\tneed\tVBN\tB-VP\tO' -p228370 -aS'.\t.\t.\tO\tO' -p228371 -asS'Return to the ED for worsening chest pain , shortness of breath , nausea / vomiting , fever / chills , weakness / dizziness/numbness , or any other problems .' -p228372 -(lp228373 -S'Return\tReturn\tNN\tB-NP\tO' -p228374 -aS'to\tto\tTO\tB-PP\tO' -p228375 -aS'the\tthe\tDT\tB-NP\tO' -p228376 -aS'ED\tED\tNNP\tI-NP\tO' -p228377 -aS'for\tfor\tIN\tB-PP\tO' -p228378 -aS'worsening\tworsen\tVBG\tB-VP\tO' -p228379 -aS'chest\tchest\tNN\tB-NP\tO' -p228380 -aS'pain\tpain\tNN\tI-NP\tO' -p228381 -aS',\t,\t,\tO\tO' -p228382 -aS'shortness\tshortness\tNN\tB-NP\tO' -p228383 -aS'of\tof\tIN\tB-PP\tO' -p228384 -aS'breath\tbreath\tNN\tB-NP\tO' -p228385 -aS',\t,\t,\tO\tO' -p228386 -aS'nausea\tnausea\tNN\tB-NP\tO' -p228387 -aS'/\t/\tSYM\tB-VP\tO' -p228388 -aS'vomiting\tvomiting\tNN\tB-NP\tO' -p228389 -aS',\t,\t,\tO\tO' -p228390 -aS'fever\tfever\tNN\tB-NP\tO' -p228391 -aS'/\t/\tSYM\tI-NP\tO' -p228392 -aS'chills\tchill\tNNS\tI-NP\tO' -p228393 -aS',\t,\t,\tO\tO' -p228394 -aS'weakness\tweakness\tNN\tB-NP\tO' -p228395 -aS'/\t/\tSYM\tI-NP\tO' -p228396 -aS'dizziness/numbness\tdizziness/numbness\tNN\tI-NP\tO' -p228397 -aS',\t,\t,\tO\tO' -p228398 -aS'or\tor\tCC\tO\tO' -p228399 -aS'any\tany\tDT\tB-NP\tO' -p228400 -aS'other\tother\tJJ\tI-NP\tO' -p228401 -aS'problems\tproblem\tNNS\tI-NP\tO' -p228402 -aS'.\t.\t.\tO\tO' -p228403 -asS'She did not notice any blood / urine / emesis / stool in the bed .' -p228404 -(lp228405 -S'She\tShe\tPRP\tB-NP\tO' -p228406 -aS'did\tdo\tVBD\tB-VP\tO' -p228407 -aS'not\tnot\tRB\tI-VP\tO' -p228408 -aS'notice\tnotice\tVB\tI-VP\tO' -p228409 -aS'any\tany\tDT\tB-NP\tO' -p228410 -aS'blood\tblood\tNN\tI-NP\tO' -p228411 -aS'/\t/\tSYM\tB-NP\tO' -p228412 -aS'urine\turine\tNN\tI-NP\tO' -p228413 -aS'/\t/\tSYM\tI-NP\tO' -p228414 -aS'emesis\temesis\tNN\tI-NP\tO' -p228415 -aS'/\t/\tSYM\tB-NP\tO' -p228416 -aS'stool\tstool\tNN\tI-NP\tO' -p228417 -aS'in\tin\tIN\tB-PP\tO' -p228418 -aS'the\tthe\tDT\tB-NP\tO' -p228419 -aS'bed\tbed\tNN\tI-NP\tO' -p228420 -aS'.\t.\t.\tO\tO' -p228421 -asS'Notable for coronary artery disease , coronary allograft vasculopathy , hyperlipidemia , peripheral vascular disease , CMV infection , hypertension , depression , and tricuspid regurgitation .' -p228422 -(lp228423 -S'Notable\tNotable\tJJ\tB-ADJP\tO' -p228424 -aS'for\tfor\tIN\tB-PP\tO' -p228425 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p228426 -aS'artery\tartery\tNN\tI-NP\tO' -p228427 -aS'disease\tdisease\tNN\tI-NP\tO' -p228428 -aS',\t,\t,\tO\tO' -p228429 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p228430 -aS'allograft\tallograft\tNN\tI-NP\tO' -p228431 -aS'vasculopathy\tvasculopathy\tNN\tI-NP\tO' -p228432 -aS',\t,\t,\tO\tO' -p228433 -aS'hyperlipidemia\thyperlipidemia\tNN\tB-NP\tO' -p228434 -aS',\t,\t,\tO\tO' -p228435 -aS'peripheral\tperipheral\tJJ\tB-NP\tO' -p228436 -aS'vascular\tvascular\tJJ\tI-NP\tO' -p228437 -aS'disease\tdisease\tNN\tI-NP\tO' -p228438 -aS',\t,\t,\tO\tO' -p228439 -aS'CMV\tCMV\tNN\tB-NP\tO' -p228440 -aS'infection\tinfection\tNN\tI-NP\tO' -p228441 -aS',\t,\t,\tO\tO' -p228442 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p228443 -aS',\t,\t,\tO\tO' -p228444 -aS'depression\tdepression\tNN\tB-NP\tO' -p228445 -aS',\t,\t,\tO\tO' -p228446 -aS'and\tand\tCC\tO\tO' -p228447 -aS'tricuspid\ttricuspid\tJJ\tB-NP\tO' -p228448 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p228449 -aS'.\t.\t.\tO\tO' -p228450 -asS'3. Gastroesophageal reflux disease with esophageal dilatation for stricture .' -p228451 -(lp228452 -S'3.\t3.\tLS\tB-NP\tO' -p228453 -aS'Gastroesophageal\tGastroesophageal\tJJ\tI-NP\tO' -p228454 -aS'reflux\treflux\tNN\tI-NP\tO' -p228455 -aS'disease\tdisease\tNN\tI-NP\tO' -p228456 -aS'with\twith\tIN\tB-PP\tO' -p228457 -aS'esophageal\tesophageal\tJJ\tB-NP\tO' -p228458 -aS'dilatation\tdilatation\tNN\tI-NP\tO' -p228459 -aS'for\tfor\tIN\tB-PP\tO' -p228460 -aS'stricture\tstricture\tNN\tB-NP\tO' -p228461 -aS'.\t.\t.\tO\tO' -p228462 -asS'The patient however spends most of his time at bedrest due to decubiti ulcer disease .' -p228463 -(lp228464 -S'The\tThe\tDT\tB-NP\tO' -p228465 -aS'patient\tpatient\tNN\tI-NP\tO' -p228466 -aS'however\thowever\tRB\tB-ADVP\tO' -p228467 -aS'spends\tspend\tVBZ\tB-VP\tO' -p228468 -aS'most\tmost\tJJS\tB-NP\tO' -p228469 -aS'of\tof\tIN\tB-PP\tO' -p228470 -aS'his\this\tPRP$\tB-NP\tO' -p228471 -aS'time\ttime\tNN\tI-NP\tO' -p228472 -aS'at\tat\tIN\tB-PP\tO' -p228473 -aS'bedrest\tbedrest\tNN\tB-NP\tO' -p228474 -aS'due\tdue\tJJ\tB-ADJP\tO' -p228475 -aS'to\tto\tTO\tB-VP\tO' -p228476 -aS'decubiti\tdecubiti\tVB\tI-VP\tO' -p228477 -aS'ulcer\tulcer\tNN\tB-NP\tO' -p228478 -aS'disease\tdisease\tNN\tI-NP\tO' -p228479 -aS'.\t.\t.\tO\tO' -p228480 -asS'Sodium 140 , potassium 5.2 , BUN 38 , creatinine .7 , TSH 1.8 , Digoxin level less than 0.2 .' -p228481 -(lp228482 -S'Sodium\tSodium\tNN\tB-NP\tB-protein' -p228483 -aS'140\t140\tCD\tI-NP\tI-protein' -p228484 -aS',\t,\t,\tO\tO' -p228485 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p228486 -aS'5.2\t5.2\tCD\tI-NP\tO' -p228487 -aS',\t,\t,\tO\tO' -p228488 -aS'BUN\tBUN\tNN\tB-NP\tB-DNA' -p228489 -aS'38\t38\tCD\tI-NP\tI-DNA' -p228490 -aS',\t,\t,\tO\tO' -p228491 -aS'creatinine\tcreatinine\tNN\tB-NP\tB-protein' -p228492 -aS'.7\t.7\tCD\tI-NP\tI-protein' -p228493 -aS',\t,\t,\tO\tO' -p228494 -aS'TSH\tTSH\tNN\tB-NP\tB-protein' -p228495 -aS'1.8\t1.8\tCD\tI-NP\tI-protein' -p228496 -aS',\t,\t,\tO\tO' -p228497 -aS'Digoxin\tDigoxin\tNN\tB-NP\tO' -p228498 -aS'level\tlevel\tNN\tI-NP\tO' -p228499 -aS'less\tless\tJJR\tB-ADJP\tO' -p228500 -aS'than\tthan\tIN\tB-PP\tO' -p228501 -aS'0.2\t0.2\tCD\tB-NP\tO' -p228502 -aS'.\t.\t.\tO\tO' -p228503 -asS'At the time of discharge , the patient has a urinary tract infection .' -p228504 -(lp228505 -S'At\tAt\tIN\tB-PP\tO' -p228506 -aS'the\tthe\tDT\tB-NP\tO' -p228507 -aS'time\ttime\tNN\tI-NP\tO' -p228508 -aS'of\tof\tIN\tB-PP\tO' -p228509 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p228510 -aS',\t,\t,\tO\tO' -p228511 -aS'the\tthe\tDT\tB-NP\tO' -p228512 -aS'patient\tpatient\tNN\tI-NP\tO' -p228513 -aS'has\thave\tVBZ\tB-VP\tO' -p228514 -aS'a\ta\tDT\tB-NP\tO' -p228515 -aS'urinary\turinary\tJJ\tI-NP\tO' -p228516 -aS'tract\ttract\tNN\tI-NP\tO' -p228517 -aS'infection\tinfection\tNN\tI-NP\tO' -p228518 -aS'.\t.\t.\tO\tO' -p228519 -asS'White blood cell count is 7.65 , hematocrit of 42 and platelets of 345 .' -p228520 -(lp228521 -S'White\tWhite\tJJ\tB-NP\tO' -p228522 -aS'blood\tblood\tNN\tI-NP\tO' -p228523 -aS'cell\tcell\tNN\tI-NP\tO' -p228524 -aS'count\tcount\tNN\tI-NP\tO' -p228525 -aS'is\tbe\tVBZ\tB-VP\tO' -p228526 -aS'7.65\t7.65\tCD\tB-NP\tO' -p228527 -aS',\t,\t,\tO\tO' -p228528 -aS'hematocrit\thematocrit\tNN\tB-NP\tO' -p228529 -aS'of\tof\tIN\tB-PP\tO' -p228530 -aS'42\t42\tCD\tB-NP\tO' -p228531 -aS'and\tand\tCC\tO\tO' -p228532 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p228533 -aS'of\tof\tIN\tB-PP\tO' -p228534 -aS'345\t345\tCD\tB-NP\tO' -p228535 -aS'.\t.\t.\tO\tO' -p228536 -asS'She was able to flex her knees to 90 degrees by that time .' -p228537 -(lp228538 -S'She\tShe\tPRP\tB-NP\tO' -p228539 -aS'was\tbe\tVBD\tB-VP\tO' -p228540 -aS'able\table\tJJ\tB-ADJP\tO' -p228541 -aS'to\tto\tTO\tB-VP\tO' -p228542 -aS'flex\tflex\tVB\tI-VP\tO' -p228543 -aS'her\ther\tPRP$\tB-NP\tO' -p228544 -aS'knees\tknee\tNNS\tI-NP\tO' -p228545 -aS'to\tto\tTO\tB-PP\tO' -p228546 -aS'90\t90\tCD\tB-NP\tO' -p228547 -aS'degrees\tdegree\tNNS\tI-NP\tO' -p228548 -aS'by\tby\tIN\tB-PP\tO' -p228549 -aS'that\tthat\tDT\tB-NP\tO' -p228550 -aS'time\ttime\tNN\tI-NP\tO' -p228551 -aS'.\t.\t.\tO\tO' -p228552 -asS'Extremities revealed left lower extremity was hypoplastic .' -p228553 -(lp228554 -S'Extremities\tExtremity\tNNS\tB-NP\tO' -p228555 -aS'revealed\treveal\tVBD\tB-VP\tO' -p228556 -aS'left\tleft\tRB\tB-NP\tO' -p228557 -aS'lower\tlow\tJJR\tI-NP\tO' -p228558 -aS'extremity\textremity\tNN\tI-NP\tO' -p228559 -aS'was\tbe\tVBD\tB-VP\tO' -p228560 -aS'hypoplastic\thypoplastic\tJJ\tB-ADJP\tO' -p228561 -aS'.\t.\t.\tO\tO' -p228562 -asS'The patient underwent a sleep study , the first part , which showed that he had 75 respiratory events observed with apnea , hypopnea index of 11 an hour .' -p228563 -(lp228564 -S'The\tThe\tDT\tB-NP\tO' -p228565 -aS'patient\tpatient\tNN\tI-NP\tO' -p228566 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p228567 -aS'a\ta\tDT\tB-NP\tO' -p228568 -aS'sleep\tsleep\tJJ\tI-NP\tO' -p228569 -aS'study\tstudy\tNN\tI-NP\tO' -p228570 -aS',\t,\t,\tO\tO' -p228571 -aS'the\tthe\tDT\tB-NP\tO' -p228572 -aS'first\tfirst\tJJ\tI-NP\tO' -p228573 -aS'part\tpart\tNN\tI-NP\tO' -p228574 -aS',\t,\t,\tO\tO' -p228575 -aS'which\twhich\tWDT\tB-NP\tO' -p228576 -aS'showed\tshow\tVBD\tB-VP\tO' -p228577 -aS'that\tthat\tIN\tB-SBAR\tO' -p228578 -aS'he\the\tPRP\tB-NP\tO' -p228579 -aS'had\thave\tVBD\tB-VP\tO' -p228580 -aS'75\t75\tCD\tB-NP\tO' -p228581 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p228582 -aS'events\tevent\tNNS\tI-NP\tO' -p228583 -aS'observed\tobserve\tVBN\tB-VP\tO' -p228584 -aS'with\twith\tIN\tB-PP\tO' -p228585 -aS'apnea\tapnea\tNN\tB-NP\tO' -p228586 -aS',\t,\t,\tO\tO' -p228587 -aS'hypopnea\thypopnea\tNN\tB-NP\tO' -p228588 -aS'index\tindex\tNN\tI-NP\tO' -p228589 -aS'of\tof\tIN\tB-PP\tO' -p228590 -aS'11\t11\tCD\tB-NP\tO' -p228591 -aS'an\tan\tDT\tB-NP\tO' -p228592 -aS'hour\thour\tNN\tI-NP\tO' -p228593 -aS'.\t.\t.\tO\tO' -p228594 -asS'15. Bisacodyl 5 mg Tablet , Delayed Release ( E.C. ) Sig : Two ( 2 ) Tablet , Delayed Release ( E.C. ) PO BID ( 2 times a day ) as needed .' -p228595 -(lp228596 -S'15.\t15.\tLS\tB-NP\tO' -p228597 -aS'Bisacodyl\tBisacodyl\tNN\tI-NP\tO' -p228598 -aS'5\t5\tCD\tI-NP\tO' -p228599 -aS'mg\tmg\tNN\tI-NP\tO' -p228600 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p228601 -aS',\t,\t,\tO\tO' -p228602 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p228603 -aS'Release\tRelease\tNNP\tI-NP\tO' -p228604 -aS'(\t(\t(\tO\tO' -p228605 -aS'E.C.\tE.C.\tNNP\tB-NP\tO' -p228606 -aS')\t)\t)\tO\tO' -p228607 -aS'Sig\tSig\tNNP\tB-NP\tO' -p228608 -aS':\t:\t:\tO\tO' -p228609 -aS'Two\tTwo\tCD\tB-NP\tO' -p228610 -aS'(\t(\t(\tO\tO' -p228611 -aS'2\t2\tCD\tB-NP\tO' -p228612 -aS')\t)\t)\tO\tO' -p228613 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p228614 -aS',\t,\t,\tO\tO' -p228615 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p228616 -aS'Release\tRelease\tNNP\tI-NP\tO' -p228617 -aS'(\t(\t(\tO\tO' -p228618 -aS'E.C.\tE.C.\tNNP\tO\tO' -p228619 -aS')\t)\t)\tO\tO' -p228620 -aS'PO\tPO\tNN\tB-NP\tO' -p228621 -aS'BID\tBID\tNN\tI-NP\tO' -p228622 -aS'(\t(\t(\tO\tO' -p228623 -aS'2\t2\tCD\tB-NP\tO' -p228624 -aS'times\ttime\tNNS\tI-NP\tO' -p228625 -aS'a\ta\tDT\tB-NP\tO' -p228626 -aS'day\tday\tNN\tI-NP\tO' -p228627 -aS')\t)\t)\tO\tO' -p228628 -aS'as\tas\tIN\tB-SBAR\tO' -p228629 -aS'needed\tneed\tVBN\tB-VP\tO' -p228630 -aS'.\t.\t.\tO\tO' -p228631 -asS'The diffusion images demonstrate no evidence of slow diffusion to indicate acute infarct .' -p228632 -(lp228633 -S'The\tThe\tDT\tB-NP\tO' -p228634 -aS'diffusion\tdiffusion\tNN\tI-NP\tO' -p228635 -aS'images\timage\tNNS\tI-NP\tO' -p228636 -aS'demonstrate\tdemonstrate\tVBP\tB-VP\tO' -p228637 -aS'no\tno\tDT\tB-NP\tO' -p228638 -aS'evidence\tevidence\tNN\tI-NP\tO' -p228639 -aS'of\tof\tIN\tB-PP\tO' -p228640 -aS'slow\tslow\tJJ\tB-NP\tO' -p228641 -aS'diffusion\tdiffusion\tNN\tI-NP\tO' -p228642 -aS'to\tto\tTO\tB-VP\tO' -p228643 -aS'indicate\tindicate\tVB\tI-VP\tO' -p228644 -aS'acute\tacute\tJJ\tB-NP\tO' -p228645 -aS'infarct\tinfarct\tNN\tI-NP\tO' -p228646 -aS'.\t.\t.\tO\tO' -p228647 -asS'She did not exhibit psychotic symptoms .' -p228648 -(lp228649 -S'She\tShe\tPRP\tB-NP\tO' -p228650 -aS'did\tdo\tVBD\tB-VP\tO' -p228651 -aS'not\tnot\tRB\tI-VP\tO' -p228652 -aS'exhibit\texhibit\tVB\tI-VP\tO' -p228653 -aS'psychotic\tpsychotic\tJJ\tB-NP\tO' -p228654 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p228655 -aS'.\t.\t.\tO\tO' -p228656 -asS'Her neck is slightly tender with a firm thyroid , but no masses or bruits .' -p228657 -(lp228658 -S'Her\tHer\tPRP$\tB-NP\tO' -p228659 -aS'neck\tneck\tNN\tI-NP\tO' -p228660 -aS'is\tbe\tVBZ\tB-VP\tO' -p228661 -aS'slightly\tslightly\tRB\tI-VP\tO' -p228662 -aS'tender\ttender\tVB\tI-VP\tO' -p228663 -aS'with\twith\tIN\tB-PP\tO' -p228664 -aS'a\ta\tDT\tB-NP\tO' -p228665 -aS'firm\tfirm\tJJ\tI-NP\tO' -p228666 -aS'thyroid\tthyroid\tNN\tI-NP\tO' -p228667 -aS',\t,\t,\tO\tO' -p228668 -aS'but\tbut\tCC\tO\tO' -p228669 -aS'no\tno\tDT\tB-NP\tO' -p228670 -aS'masses\tmass\tNNS\tI-NP\tO' -p228671 -aS'or\tor\tCC\tI-NP\tO' -p228672 -aS'bruits\tbruit\tNNS\tI-NP\tO' -p228673 -aS'.\t.\t.\tO\tO' -p228674 -asS'Although there was never any bacteria isolated from the blood you had some bacteria in the urine which you are being treated for .' -p228675 -(lp228676 -S'Although\tAlthough\tIN\tB-SBAR\tO' -p228677 -aS'there\tthere\tEX\tB-NP\tO' -p228678 -aS'was\tbe\tVBD\tB-VP\tO' -p228679 -aS'never\tnever\tRB\tB-ADVP\tO' -p228680 -aS'any\tany\tDT\tB-NP\tO' -p228681 -aS'bacteria\tbacteria\tNNS\tI-NP\tO' -p228682 -aS'isolated\tisolate\tVBN\tB-VP\tO' -p228683 -aS'from\tfrom\tIN\tB-PP\tO' -p228684 -aS'the\tthe\tDT\tB-NP\tO' -p228685 -aS'blood\tblood\tNN\tI-NP\tO' -p228686 -aS'you\tyou\tPRP\tB-NP\tO' -p228687 -aS'had\thave\tVBD\tB-VP\tO' -p228688 -aS'some\tsome\tDT\tB-NP\tO' -p228689 -aS'bacteria\tbacteria\tNNS\tI-NP\tO' -p228690 -aS'in\tin\tIN\tB-PP\tO' -p228691 -aS'the\tthe\tDT\tB-NP\tO' -p228692 -aS'urine\turine\tNN\tI-NP\tO' -p228693 -aS'which\twhich\tWDT\tB-NP\tO' -p228694 -aS'you\tyou\tPRP\tB-NP\tO' -p228695 -aS'are\tbe\tVBP\tB-VP\tO' -p228696 -aS'being\tbe\tVBG\tI-VP\tO' -p228697 -aS'treated\ttreat\tVBN\tI-VP\tO' -p228698 -aS'for\tfor\tIN\tB-PP\tO' -p228699 -aS'.\t.\t.\tO\tO' -p228700 -asS'His work up included acetylcholine esterase , receptor antibodies , thyroglobulin antibody is pending .' -p228701 -(lp228702 -S'His\tHis\tPRP$\tB-NP\tO' -p228703 -aS'work\twork\tNN\tI-NP\tO' -p228704 -aS'up\tup\tRB\tB-ADVP\tO' -p228705 -aS'included\tinclude\tVBD\tB-VP\tO' -p228706 -aS'acetylcholine\tacetylcholine\tNN\tB-NP\tB-protein' -p228707 -aS'esterase\testerase\tNN\tI-NP\tI-protein' -p228708 -aS',\t,\t,\tO\tO' -p228709 -aS'receptor\treceptor\tNN\tB-NP\tB-protein' -p228710 -aS'antibodies\tantibody\tNNS\tI-NP\tI-protein' -p228711 -aS',\t,\t,\tO\tO' -p228712 -aS'thyroglobulin\tthyroglobulin\tNN\tB-NP\tB-protein' -p228713 -aS'antibody\tantibody\tNN\tI-NP\tI-protein' -p228714 -aS'is\tbe\tVBZ\tB-VP\tO' -p228715 -aS'pending\tpende\tVBG\tB-ADJP\tO' -p228716 -aS'.\t.\t.\tO\tO' -p228717 -asS'On admission to hospital patient had Hct of 29.2 .' -p228718 -(lp228719 -S'On\tOn\tIN\tB-PP\tO' -p228720 -aS'admission\tadmission\tNN\tB-NP\tO' -p228721 -aS'to\tto\tTO\tB-PP\tO' -p228722 -aS'hospital\thospital\tNN\tB-NP\tO' -p228723 -aS'patient\tpatient\tNN\tI-NP\tO' -p228724 -aS'had\thave\tVBD\tB-VP\tO' -p228725 -aS'Hct\tHct\tNN\tB-NP\tO' -p228726 -aS'of\tof\tIN\tB-PP\tO' -p228727 -aS'29.2\t29.2\tCD\tB-NP\tO' -p228728 -aS'.\t.\t.\tO\tO' -p228729 -asS'She was pleasant , in no acute distress ; blood pressure 130/60 ; heart rate 66 ; respirations 18 ; temperature 98 .' -p228730 -(lp228731 -S'She\tShe\tPRP\tB-NP\tO' -p228732 -aS'was\tbe\tVBD\tB-VP\tO' -p228733 -aS'pleasant\tpleasant\tJJ\tB-ADJP\tO' -p228734 -aS',\t,\t,\tO\tO' -p228735 -aS'in\tin\tIN\tB-PP\tO' -p228736 -aS'no\tno\tDT\tB-NP\tO' -p228737 -aS'acute\tacute\tJJ\tI-NP\tO' -p228738 -aS'distress\tdistress\tNN\tI-NP\tO' -p228739 -aS';\t;\t:\tO\tO' -p228740 -aS'blood\tblood\tNN\tB-NP\tO' -p228741 -aS'pressure\tpressure\tNN\tI-NP\tO' -p228742 -aS'130/60\t130/60\tCD\tI-NP\tO' -p228743 -aS';\t;\t:\tO\tO' -p228744 -aS'heart\theart\tNN\tB-NP\tO' -p228745 -aS'rate\trate\tNN\tI-NP\tO' -p228746 -aS'66\t66\tCD\tI-NP\tO' -p228747 -aS';\t;\t:\tO\tO' -p228748 -aS'respirations\trespiration\tNNS\tB-NP\tO' -p228749 -aS'18\t18\tCD\tB-NP\tO' -p228750 -aS';\t;\t:\tO\tO' -p228751 -aS'temperature\ttemperature\tNN\tB-NP\tO' -p228752 -aS'98\t98\tCD\tI-NP\tO' -p228753 -aS'.\t.\t.\tO\tO' -p228754 -asS'UPON PRESENTATION TO THE HOSPITAL AND INTIAL WORK-UP , THE PATIENT WAS IMMEDIATELY TAKEN TO THE OPERATING ROOM FOR AN EXPLORATORY LAPORATOMY .' -p228755 -(lp228756 -S'UPON\tUPON\tNN\tB-NP\tO' -p228757 -aS'PRESENTATION\tPRESENTATION\tNN\tI-NP\tO' -p228758 -aS'TO\tTO\tTO\tB-PP\tO' -p228759 -aS'THE\tTHE\tDT\tB-NP\tO' -p228760 -aS'HOSPITAL\tHOSPITAL\tJJ\tI-NP\tO' -p228761 -aS'AND\tAND\tCC\tI-NP\tO' -p228762 -aS'INTIAL\tINTIAL\tJJ\tI-NP\tB-protein' -p228763 -aS'WORK-UP\tWORK-UP\tNN\tI-NP\tI-protein' -p228764 -aS',\t,\t,\tO\tO' -p228765 -aS'THE\tTHE\tDT\tB-NP\tO' -p228766 -aS'PATIENT\tPATIENT\tNNP\tI-NP\tO' -p228767 -aS'WAS\tWAS\tNNP\tI-NP\tO' -p228768 -aS'IMMEDIATELY\tIMMEDIATELY\tNNP\tI-NP\tO' -p228769 -aS'TAKEN\tTAKEN\tNNP\tI-NP\tO' -p228770 -aS'TO\tTO\tTO\tB-PP\tO' -p228771 -aS'THE\tTHE\tDT\tB-NP\tO' -p228772 -aS'OPERATING\tOPERATING\tVBG\tI-NP\tO' -p228773 -aS'ROOM\tROOM\tNN\tI-NP\tO' -p228774 -aS'FOR\tFOR\tNN\tI-NP\tO' -p228775 -aS'AN\tAN\tNN\tI-NP\tO' -p228776 -aS'EXPLORATORY\tEXPLORATORY\tNN\tI-NP\tO' -p228777 -aS'LAPORATOMY\tLAPORATOMY\tNN\tI-NP\tO' -p228778 -aS'.\t.\t.\tO\tO' -p228779 -asS'She had a normal S1 and S2 and regular rate and rhythm with no murmurs .' -p228780 -(lp228781 -S'She\tShe\tPRP\tB-NP\tO' -p228782 -aS'had\thave\tVBD\tB-VP\tO' -p228783 -aS'a\ta\tDT\tB-NP\tO' -p228784 -aS'normal\tnormal\tJJ\tI-NP\tO' -p228785 -aS'S1\tS1\tNN\tI-NP\tB-protein' -p228786 -aS'and\tand\tCC\tO\tO' -p228787 -aS'S2\tS2\tNN\tB-NP\tB-protein' -p228788 -aS'and\tand\tCC\tO\tO' -p228789 -aS'regular\tregular\tJJ\tB-NP\tO' -p228790 -aS'rate\trate\tNN\tI-NP\tO' -p228791 -aS'and\tand\tCC\tO\tO' -p228792 -aS'rhythm\trhythm\tNN\tB-NP\tO' -p228793 -aS'with\twith\tIN\tB-PP\tO' -p228794 -aS'no\tno\tDT\tB-NP\tO' -p228795 -aS'murmurs\tmurmur\tNNS\tI-NP\tO' -p228796 -aS'.\t.\t.\tO\tO' -p228797 -asS'Baby boy Liles is the 2.985 kg product of a 34 week gestation born to a 30-year-old G3 , P0 , now 1 mother .' -p228798 -(lp228799 -S'Baby\tBaby\tNNP\tB-NP\tO' -p228800 -aS'boy\tboy\tNNP\tI-NP\tO' -p228801 -aS'Liles\tLiles\tNNP\tI-NP\tO' -p228802 -aS'is\tbe\tVBZ\tB-VP\tO' -p228803 -aS'the\tthe\tDT\tB-NP\tO' -p228804 -aS'2.985\t2.985\tCD\tI-NP\tO' -p228805 -aS'kg\tkg\tNN\tI-NP\tO' -p228806 -aS'product\tproduct\tNN\tI-NP\tO' -p228807 -aS'of\tof\tIN\tB-PP\tO' -p228808 -aS'a\ta\tDT\tB-NP\tO' -p228809 -aS'34\t34\tCD\tI-NP\tO' -p228810 -aS'week\tweek\tNN\tI-NP\tO' -p228811 -aS'gestation\tgestation\tNN\tI-NP\tO' -p228812 -aS'born\tbear\tVBN\tB-VP\tO' -p228813 -aS'to\tto\tTO\tB-PP\tO' -p228814 -aS'a\ta\tDT\tB-NP\tO' -p228815 -aS'30-year-old\t30-year-old\tJJ\tI-NP\tO' -p228816 -aS'G3\tG3\tNN\tI-NP\tO' -p228817 -aS',\t,\t,\tO\tO' -p228818 -aS'P0\tP0\tNN\tB-NP\tB-DNA' -p228819 -aS',\t,\t,\tO\tO' -p228820 -aS'now\tnow\tRB\tB-ADVP\tO' -p228821 -aS'1\t1\tCD\tB-NP\tO' -p228822 -aS'mother\tmother\tNN\tI-NP\tO' -p228823 -aS'.\t.\t.\tO\tO' -p228824 -asS'We anticipate that he represents a good rehab potential .' -p228825 -(lp228826 -S'We\tWe\tPRP\tB-NP\tO' -p228827 -aS'anticipate\tanticipate\tVBP\tB-VP\tO' -p228828 -aS'that\tthat\tIN\tB-SBAR\tO' -p228829 -aS'he\the\tPRP\tB-NP\tO' -p228830 -aS'represents\trepresent\tVBZ\tB-VP\tO' -p228831 -aS'a\ta\tDT\tB-NP\tO' -p228832 -aS'good\tgood\tJJ\tI-NP\tO' -p228833 -aS'rehab\trehab\tNN\tI-NP\tO' -p228834 -aS'potential\tpotential\tNN\tI-NP\tO' -p228835 -aS'.\t.\t.\tO\tO' -p228836 -asS'7. Docusate Sodium 100 mg Capsule Sig : One ( 1 ) Capsule PO BID ( 2 times a day ).' -p228837 -(lp228838 -S'7.\t7.\tCD\tB-NP\tO' -p228839 -aS'Docusate\tDocusate\tNNP\tI-NP\tO' -p228840 -aS'Sodium\tSodium\tNNP\tI-NP\tO' -p228841 -aS'100\t100\tCD\tI-NP\tO' -p228842 -aS'mg\tmg\tNN\tI-NP\tO' -p228843 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p228844 -aS'Sig\tSig\tNNP\tI-NP\tO' -p228845 -aS':\t:\t:\tO\tO' -p228846 -aS'One\tOne\tCD\tB-NP\tO' -p228847 -aS'(\t(\t(\tO\tO' -p228848 -aS'1\t1\tCD\tB-NP\tO' -p228849 -aS')\t)\t)\tO\tO' -p228850 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p228851 -aS'PO\tPO\tNNP\tI-NP\tO' -p228852 -aS'BID\tBID\tNNP\tI-NP\tO' -p228853 -aS'(\t(\t(\tO\tO' -p228854 -aS'2\t2\tCD\tB-NP\tO' -p228855 -aS'times\ttime\tNNS\tI-NP\tO' -p228856 -aS'a\ta\tDT\tB-NP\tO' -p228857 -aS'day\tday\tNN\tI-NP\tO' -p228858 -aS').\t).\t.\tO\tO' -p228859 -asS'Lives wth husband .' -p228860 -(lp228861 -S'Lives\tLive\tVBZ\tB-VP\tO' -p228862 -aS'wth\twth\tNN\tB-NP\tO' -p228863 -aS'husband\thusband\tNN\tI-NP\tO' -p228864 -aS'.\t.\t.\tO\tO' -p228865 -asS'Attending : Michael V. Hamlett , M.D.' -p228866 -(lp228867 -S'Attending\tAttend\tVBG\tB-VP\tO' -p228868 -aS':\t:\t:\tO\tO' -p228869 -aS'Michael\tMichael\tNNP\tB-NP\tO' -p228870 -aS'V.\tV.\tNNP\tI-NP\tO' -p228871 -aS'Hamlett\tHamlett\tNNP\tI-NP\tO' -p228872 -aS',\t,\t,\tO\tO' -p228873 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p228874 -asS'The patient generally had good urine output .' -p228875 -(lp228876 -S'The\tThe\tDT\tB-NP\tO' -p228877 -aS'patient\tpatient\tNN\tI-NP\tO' -p228878 -aS'generally\tgenerally\tRB\tB-ADVP\tO' -p228879 -aS'had\thave\tVBD\tB-VP\tO' -p228880 -aS'good\tgood\tJJ\tB-NP\tO' -p228881 -aS'urine\turine\tNN\tI-NP\tO' -p228882 -aS'output\toutput\tNN\tI-NP\tO' -p228883 -aS'.\t.\t.\tO\tO' -p228884 -asS'The patient was given one Amp of D50 for each acucheck for blood sugars of less than 40 .' -p228885 -(lp228886 -S'The\tThe\tDT\tB-NP\tO' -p228887 -aS'patient\tpatient\tNN\tI-NP\tO' -p228888 -aS'was\tbe\tVBD\tB-VP\tO' -p228889 -aS'given\tgive\tVBN\tI-VP\tO' -p228890 -aS'one\tone\tCD\tB-NP\tO' -p228891 -aS'Amp\tAmp\tNN\tI-NP\tO' -p228892 -aS'of\tof\tIN\tB-PP\tO' -p228893 -aS'D50\tD50\tNN\tB-NP\tB-protein' -p228894 -aS'for\tfor\tIN\tB-PP\tO' -p228895 -aS'each\teach\tDT\tB-NP\tO' -p228896 -aS'acucheck\tacucheck\tNN\tI-NP\tO' -p228897 -aS'for\tfor\tIN\tB-PP\tO' -p228898 -aS'blood\tblood\tNN\tB-NP\tO' -p228899 -aS'sugars\tsugar\tNNS\tI-NP\tO' -p228900 -aS'of\tof\tIN\tB-PP\tO' -p228901 -aS'less\tless\tJJR\tB-NP\tO' -p228902 -aS'than\tthan\tIN\tI-NP\tO' -p228903 -aS'40\t40\tCD\tI-NP\tO' -p228904 -aS'.\t.\t.\tO\tO' -p228905 -asS'Of note , he is anti-coagulated for an artificial heart valve .' -p228906 -(lp228907 -S'Of\tOf\tIN\tB-PP\tO' -p228908 -aS'note\tnote\tNN\tB-NP\tO' -p228909 -aS',\t,\t,\tO\tO' -p228910 -aS'he\the\tPRP\tB-NP\tO' -p228911 -aS'is\tbe\tVBZ\tB-VP\tO' -p228912 -aS'anti-coagulated\tanti-coagulated\tJJ\tB-ADJP\tO' -p228913 -aS'for\tfor\tIN\tB-PP\tO' -p228914 -aS'an\tan\tDT\tB-NP\tO' -p228915 -aS'artificial\tartificial\tJJ\tI-NP\tO' -p228916 -aS'heart\theart\tNN\tI-NP\tO' -p228917 -aS'valve\tvalve\tNN\tI-NP\tO' -p228918 -aS'.\t.\t.\tO\tO' -p228919 -asS'The touch , pain , and position sense were all intact .' -p228920 -(lp228921 -S'The\tThe\tDT\tB-NP\tO' -p228922 -aS'touch\ttouch\tNN\tI-NP\tO' -p228923 -aS',\t,\t,\tO\tO' -p228924 -aS'pain\tpain\tNN\tB-NP\tO' -p228925 -aS',\t,\t,\tO\tO' -p228926 -aS'and\tand\tCC\tO\tO' -p228927 -aS'position\tposition\tNN\tB-NP\tO' -p228928 -aS'sense\tsense\tNN\tI-NP\tO' -p228929 -aS'were\tbe\tVBD\tB-VP\tO' -p228930 -aS'all\tall\tDT\tO\tO' -p228931 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p228932 -aS'.\t.\t.\tO\tO' -p228933 -asS'Due to persistent gastric secretions , an nasogastric tube was placed for decompression .' -p228934 -(lp228935 -S'Due\tDue\tJJ\tB-PP\tO' -p228936 -aS'to\tto\tTO\tB-PP\tO' -p228937 -aS'persistent\tpersistent\tJJ\tB-NP\tO' -p228938 -aS'gastric\tgastric\tJJ\tI-NP\tO' -p228939 -aS'secretions\tsecretion\tNNS\tI-NP\tO' -p228940 -aS',\t,\t,\tO\tO' -p228941 -aS'an\tan\tDT\tB-NP\tO' -p228942 -aS'nasogastric\tnasogastric\tJJ\tI-NP\tO' -p228943 -aS'tube\ttube\tNN\tI-NP\tO' -p228944 -aS'was\tbe\tVBD\tB-VP\tO' -p228945 -aS'placed\tplace\tVBN\tI-VP\tO' -p228946 -aS'for\tfor\tIN\tB-PP\tO' -p228947 -aS'decompression\tdecompression\tNN\tB-NP\tO' -p228948 -aS'.\t.\t.\tO\tO' -p228949 -asS'Clear anterolaterally .' -p228950 -(lp228951 -S'Clear\tClear\tVB\tB-VP\tO' -p228952 -aS'anterolaterally\tanterolaterally\tRB\tB-ADVP\tO' -p228953 -aS'.\t.\t.\tO\tO' -p228954 -asS'Intubated for failure to protect airway , transferred to ICU .' -p228955 -(lp228956 -S'Intubated\tIntubate\tVBN\tB-VP\tO' -p228957 -aS'for\tfor\tIN\tB-PP\tO' -p228958 -aS'failure\tfailure\tNN\tB-NP\tO' -p228959 -aS'to\tto\tTO\tB-VP\tO' -p228960 -aS'protect\tprotect\tVB\tI-VP\tO' -p228961 -aS'airway\tairway\tNN\tB-NP\tO' -p228962 -aS',\t,\t,\tO\tO' -p228963 -aS'transferred\ttransfer\tVBN\tB-VP\tO' -p228964 -aS'to\tto\tTO\tB-PP\tO' -p228965 -aS'ICU\tICU\tNN\tB-NP\tB-protein' -p228966 -aS'.\t.\t.\tO\tO' -p228967 -asS'Heart : regular rate , normal s1s2 , no murmur or rub' -p228968 -(lp228969 -S'Heart\tHeart\tNN\tB-NP\tO' -p228970 -aS':\t:\t:\tO\tO' -p228971 -aS'regular\tregular\tJJ\tB-NP\tO' -p228972 -aS'rate\trate\tNN\tI-NP\tO' -p228973 -aS',\t,\t,\tO\tO' -p228974 -aS'normal\tnormal\tJJ\tB-NP\tO' -p228975 -aS's1s2\ts1s2\tNN\tI-NP\tO' -p228976 -aS',\t,\t,\tO\tO' -p228977 -aS'no\tno\tDT\tB-NP\tO' -p228978 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p228979 -aS'or\tor\tCC\tI-NP\tO' -p228980 -aS'rub\trub\tNN\tI-NP\tO' -p228981 -asS'AV fistula on right .' -p228982 -(lp228983 -S'AV\tAV\tNN\tB-NP\tO' -p228984 -aS'fistula\tfistula\tNN\tI-NP\tO' -p228985 -aS'on\ton\tIN\tB-PP\tO' -p228986 -aS'right\tright\tNN\tB-NP\tO' -p228987 -aS'.\t.\t.\tO\tO' -p228988 -asS'White blood count 4.36 , hematocrit 26.1 with platelets of 107,000 , MCV 81 .' -p228989 -(lp228990 -S'White\tWhite\tJJ\tB-NP\tO' -p228991 -aS'blood\tblood\tNN\tI-NP\tO' -p228992 -aS'count\tcount\tNN\tI-NP\tO' -p228993 -aS'4.36\t4.36\tCD\tI-NP\tO' -p228994 -aS',\t,\t,\tO\tO' -p228995 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p228996 -aS'26.1\t26.1\tCD\tI-NP\tI-protein' -p228997 -aS'with\twith\tIN\tB-PP\tO' -p228998 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p228999 -aS'of\tof\tIN\tB-PP\tO' -p229000 -aS'107,000\t107,000\tCD\tB-NP\tO' -p229001 -aS',\t,\t,\tO\tO' -p229002 -aS'MCV\tMCV\tNN\tB-NP\tO' -p229003 -aS'81\t81\tCD\tI-NP\tO' -p229004 -aS'.\t.\t.\tO\tO' -p229005 -asS'She received 4units of FFP which decreased her INR to 2.2 and then 2 more units during the tap .' -p229006 -(lp229007 -S'She\tShe\tPRP\tB-NP\tO' -p229008 -aS'received\treceive\tVBD\tB-VP\tO' -p229009 -aS'4units\t4unit\tNNS\tB-NP\tO' -p229010 -aS'of\tof\tIN\tB-PP\tO' -p229011 -aS'FFP\tFFP\tNN\tB-NP\tB-protein' -p229012 -aS'which\twhich\tWDT\tB-NP\tO' -p229013 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p229014 -aS'her\ther\tPRP$\tB-NP\tO' -p229015 -aS'INR\tINR\tNN\tI-NP\tB-protein' -p229016 -aS'to\tto\tTO\tB-PP\tO' -p229017 -aS'2.2\t2.2\tCD\tB-NP\tO' -p229018 -aS'and\tand\tCC\tO\tO' -p229019 -aS'then\tthen\tRB\tB-NP\tO' -p229020 -aS'2\t2\tCD\tI-NP\tO' -p229021 -aS'more\tmore\tJJR\tI-NP\tO' -p229022 -aS'units\tunit\tNNS\tI-NP\tO' -p229023 -aS'during\tduring\tIN\tB-PP\tO' -p229024 -aS'the\tthe\tDT\tB-NP\tO' -p229025 -aS'tap\ttap\tNN\tI-NP\tB-protein' -p229026 -aS'.\t.\t.\tO\tO' -p229027 -asS'She tolerated beta blockade which was slowly advanced as tolerated .' -p229028 -(lp229029 -S'She\tShe\tPRP\tB-NP\tO' -p229030 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p229031 -aS'beta\tbeta\tNN\tB-NP\tO' -p229032 -aS'blockade\tblockade\tNN\tI-NP\tO' -p229033 -aS'which\twhich\tWDT\tB-NP\tO' -p229034 -aS'was\tbe\tVBD\tB-VP\tO' -p229035 -aS'slowly\tslowly\tRB\tI-VP\tO' -p229036 -aS'advanced\tadvance\tVBN\tI-VP\tO' -p229037 -aS'as\tas\tIN\tB-SBAR\tO' -p229038 -aS'tolerated\ttolerate\tVBN\tB-VP\tO' -p229039 -aS'.\t.\t.\tO\tO' -p229040 -asS'141 / 5.6 / 104 / 24 / 23 / 0.8 / 118 .' -p229041 -(lp229042 -S'141\t141\tCD\tB-NP\tO' -p229043 -aS'/\t/\tSYM\tI-NP\tO' -p229044 -aS'5.6\t5.6\tCD\tI-NP\tO' -p229045 -aS'/\t/\tSYM\tI-NP\tO' -p229046 -aS'104\t104\tCD\tI-NP\tO' -p229047 -aS'/\t/\tSYM\tI-NP\tO' -p229048 -aS'24\t24\tCD\tI-NP\tO' -p229049 -aS'/\t/\tSYM\tI-NP\tO' -p229050 -aS'23\t23\tCD\tI-NP\tO' -p229051 -aS'/\t/\tSYM\tI-NP\tO' -p229052 -aS'0.8\t0.8\tCD\tI-NP\tO' -p229053 -aS'/\t/\tSYM\tI-NP\tO' -p229054 -aS'118\t118\tCD\tI-NP\tO' -p229055 -aS'.\t.\t.\tO\tO' -p229056 -asS'9. Lisinopril 5 mg p.o. once per day .' -p229057 -(lp229058 -S'9.\t9.\tCD\tB-NP\tO' -p229059 -aS'Lisinopril\tLisinopril\tNNP\tI-NP\tO' -p229060 -aS'5\t5\tCD\tI-NP\tO' -p229061 -aS'mg\tmg\tNN\tI-NP\tO' -p229062 -aS'p.o.\tp.o.\tRB\tB-ADVP\tO' -p229063 -aS'once\tonce\tRB\tI-ADVP\tO' -p229064 -aS'per\tper\tIN\tB-PP\tO' -p229065 -aS'day\tday\tNN\tB-NP\tO' -p229066 -aS'.\t.\t.\tO\tO' -p229067 -asS'Low cholesterol , low fat diet .' -p229068 -(lp229069 -S'Low\tLow\tJJ\tB-NP\tO' -p229070 -aS'cholesterol\tcholesterol\tNN\tI-NP\tO' -p229071 -aS',\t,\t,\tO\tO' -p229072 -aS'low\tlow\tJJ\tB-NP\tO' -p229073 -aS'fat\tfat\tNN\tI-NP\tO' -p229074 -aS'diet\tdiet\tNN\tI-NP\tO' -p229075 -aS'.\t.\t.\tO\tO' -p229076 -asS'Discharge weight is 2.37 kg , head circumference 32 cm , length 47 cm .' -p229077 -(lp229078 -S'Discharge\tDischarge\tNN\tB-NP\tO' -p229079 -aS'weight\tweight\tNN\tI-NP\tO' -p229080 -aS'is\tbe\tVBZ\tB-VP\tO' -p229081 -aS'2.37\t2.37\tCD\tB-NP\tO' -p229082 -aS'kg\tkg\tNN\tI-NP\tO' -p229083 -aS',\t,\t,\tO\tO' -p229084 -aS'head\thead\tNN\tB-NP\tO' -p229085 -aS'circumference\tcircumference\tNN\tI-NP\tO' -p229086 -aS'32\t32\tCD\tI-NP\tO' -p229087 -aS'cm\tcm\tNN\tI-NP\tO' -p229088 -aS',\t,\t,\tO\tO' -p229089 -aS'length\tlength\tNN\tB-NP\tO' -p229090 -aS'47\t47\tCD\tI-NP\tO' -p229091 -aS'cm\tcm\tNN\tI-NP\tO' -p229092 -aS'.\t.\t.\tO\tO' -p229093 -asS'Toxicology screen at Sephsandpot Center revealed Cocaine and Quinine .' -p229094 -(lp229095 -S'Toxicology\tToxicology\tNNP\tB-NP\tO' -p229096 -aS'screen\tscreen\tNN\tI-NP\tO' -p229097 -aS'at\tat\tIN\tB-PP\tO' -p229098 -aS'Sephsandpot\tSephsandpot\tNNP\tB-NP\tO' -p229099 -aS'Center\tCenter\tNNP\tI-NP\tO' -p229100 -aS'revealed\treveal\tVBD\tB-VP\tO' -p229101 -aS'Cocaine\tCocaine\tNN\tB-NP\tO' -p229102 -aS'and\tand\tCC\tI-NP\tO' -p229103 -aS'Quinine\tQuinine\tNN\tI-NP\tO' -p229104 -aS'.\t.\t.\tO\tO' -p229105 -asS'At about 2:30 pm , he was found to have worsening mental status .' -p229106 -(lp229107 -S'At\tAt\tIN\tB-PP\tO' -p229108 -aS'about\tabout\tIN\tB-NP\tO' -p229109 -aS'2:30\t2:30\tCD\tI-NP\tO' -p229110 -aS'pm\tpm\tNN\tI-NP\tO' -p229111 -aS',\t,\t,\tO\tO' -p229112 -aS'he\the\tPRP\tB-NP\tO' -p229113 -aS'was\tbe\tVBD\tB-VP\tO' -p229114 -aS'found\tfind\tVBN\tI-VP\tO' -p229115 -aS'to\tto\tTO\tI-VP\tO' -p229116 -aS'have\thave\tVB\tI-VP\tO' -p229117 -aS'worsening\tworsen\tVBG\tI-VP\tO' -p229118 -aS'mental\tmental\tJJ\tB-NP\tO' -p229119 -aS'status\tstatus\tNN\tI-NP\tO' -p229120 -aS'.\t.\t.\tO\tO' -p229121 -asS'On the evening of hospital day four , Mr. Roach had an acute episode whereby his central venous pressure rose sharply and immediately followed by a period of asystole .' -p229122 -(lp229123 -S'On\tOn\tIN\tB-PP\tO' -p229124 -aS'the\tthe\tDT\tB-NP\tO' -p229125 -aS'evening\tevening\tNN\tI-NP\tO' -p229126 -aS'of\tof\tIN\tB-PP\tO' -p229127 -aS'hospital\thospital\tNN\tB-NP\tO' -p229128 -aS'day\tday\tNN\tI-NP\tO' -p229129 -aS'four\tfour\tCD\tI-NP\tO' -p229130 -aS',\t,\t,\tO\tO' -p229131 -aS'Mr.\tMr.\tNNP\tB-NP\tO' -p229132 -aS'Roach\tRoach\tNNP\tI-NP\tO' -p229133 -aS'had\thave\tVBD\tB-VP\tO' -p229134 -aS'an\tan\tDT\tB-NP\tO' -p229135 -aS'acute\tacute\tJJ\tI-NP\tO' -p229136 -aS'episode\tepisode\tNN\tI-NP\tO' -p229137 -aS'whereby\twhereby\tWRB\tB-ADVP\tO' -p229138 -aS'his\this\tPRP$\tB-NP\tO' -p229139 -aS'central\tcentral\tJJ\tI-NP\tO' -p229140 -aS'venous\tvenous\tJJ\tI-NP\tO' -p229141 -aS'pressure\tpressure\tNN\tI-NP\tO' -p229142 -aS'rose\trise\tVBD\tB-VP\tO' -p229143 -aS'sharply\tsharply\tRB\tB-VP\tO' -p229144 -aS'and\tand\tCC\tI-VP\tO' -p229145 -aS'immediately\timmediately\tRB\tI-VP\tO' -p229146 -aS'followed\tfollow\tVBN\tI-VP\tO' -p229147 -aS'by\tby\tIN\tB-PP\tO' -p229148 -aS'a\ta\tDT\tB-NP\tO' -p229149 -aS'period\tperiod\tNN\tI-NP\tO' -p229150 -aS'of\tof\tIN\tB-PP\tO' -p229151 -aS'asystole\tasystole\tNN\tB-NP\tO' -p229152 -aS'.\t.\t.\tO\tO' -p229153 -asS'The patient was noted to be able to wiggle her fingers with intact flexor , extensor , abductor , and adductor function .' -p229154 -(lp229155 -S'The\tThe\tDT\tB-NP\tO' -p229156 -aS'patient\tpatient\tNN\tI-NP\tO' -p229157 -aS'was\tbe\tVBD\tB-VP\tO' -p229158 -aS'noted\tnote\tVBN\tI-VP\tO' -p229159 -aS'to\tto\tTO\tI-VP\tO' -p229160 -aS'be\tbe\tVB\tI-VP\tO' -p229161 -aS'able\table\tJJ\tB-ADJP\tO' -p229162 -aS'to\tto\tTO\tB-VP\tO' -p229163 -aS'wiggle\twiggle\tVB\tI-VP\tO' -p229164 -aS'her\ther\tPRP$\tB-NP\tO' -p229165 -aS'fingers\tfinger\tNNS\tI-NP\tO' -p229166 -aS'with\twith\tIN\tB-PP\tO' -p229167 -aS'intact\tintact\tJJ\tB-NP\tO' -p229168 -aS'flexor\tflexor\tNN\tI-NP\tO' -p229169 -aS',\t,\t,\tO\tO' -p229170 -aS'extensor\textensor\tNN\tB-NP\tO' -p229171 -aS',\t,\t,\tO\tO' -p229172 -aS'abductor\tabductor\tNN\tB-NP\tO' -p229173 -aS',\t,\t,\tO\tO' -p229174 -aS'and\tand\tCC\tO\tO' -p229175 -aS'adductor\tadductor\tNN\tB-NP\tO' -p229176 -aS'function\tfunction\tNN\tI-NP\tO' -p229177 -aS'.\t.\t.\tO\tO' -p229178 -asS'Discharge weight is 2040 gm , the head circumference is 32 cm and the length is 46 cm. .' -p229179 -(lp229180 -S'Discharge\tDischarge\tNN\tB-NP\tO' -p229181 -aS'weight\tweight\tNN\tI-NP\tO' -p229182 -aS'is\tbe\tVBZ\tB-VP\tO' -p229183 -aS'2040\t2040\tCD\tB-NP\tO' -p229184 -aS'gm\tgm\tNN\tI-NP\tO' -p229185 -aS',\t,\t,\tO\tO' -p229186 -aS'the\tthe\tDT\tB-NP\tO' -p229187 -aS'head\thead\tNN\tI-NP\tO' -p229188 -aS'circumference\tcircumference\tNN\tI-NP\tO' -p229189 -aS'is\tbe\tVBZ\tB-VP\tO' -p229190 -aS'32\t32\tCD\tB-NP\tO' -p229191 -aS'cm\tcm\tNN\tI-NP\tO' -p229192 -aS'and\tand\tCC\tO\tO' -p229193 -aS'the\tthe\tDT\tB-NP\tO' -p229194 -aS'length\tlength\tNN\tI-NP\tO' -p229195 -aS'is\tbe\tVBZ\tB-VP\tO' -p229196 -aS'46\t46\tCD\tB-NP\tO' -p229197 -aS'cm.\tcm.\tNN\tI-NP\tO' -p229198 -aS'.\t.\t.\tO\tO' -p229199 -asS'Dictated By : Donna Q Fisher , M.D.' -p229200 -(lp229201 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p229202 -aS'By\tBy\tIN\tB-PP\tO' -p229203 -aS':\t:\t:\tO\tO' -p229204 -aS'Donna\tDonna\tNNP\tB-NP\tO' -p229205 -aS'Q\tQ\tNNP\tI-NP\tO' -p229206 -aS'Fisher\tFisher\tNNP\tI-NP\tO' -p229207 -aS',\t,\t,\tO\tO' -p229208 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p229209 -asS'On admission , the patient denies any suicidal or homicidal ideation .' -p229210 -(lp229211 -S'On\tOn\tIN\tB-PP\tO' -p229212 -aS'admission\tadmission\tNN\tB-NP\tO' -p229213 -aS',\t,\t,\tO\tO' -p229214 -aS'the\tthe\tDT\tB-NP\tO' -p229215 -aS'patient\tpatient\tNN\tI-NP\tO' -p229216 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p229217 -aS'any\tany\tDT\tB-NP\tO' -p229218 -aS'suicidal\tsuicidal\tJJ\tI-NP\tO' -p229219 -aS'or\tor\tCC\tI-NP\tO' -p229220 -aS'homicidal\thomicidal\tJJ\tI-NP\tO' -p229221 -aS'ideation\tideation\tNN\tI-NP\tO' -p229222 -aS'.\t.\t.\tO\tO' -p229223 -asS'The neuro-oncologist felt that because of the tremendous tumor burden that was likely causing his symptoms the patient will require open debulking as well as obtaining issue for a pathologic diagnosis .' -p229224 -(lp229225 -S'The\tThe\tDT\tB-NP\tO' -p229226 -aS'neuro-oncologist\tneuro-oncologist\tNN\tI-NP\tO' -p229227 -aS'felt\tfeel\tVBD\tB-VP\tO' -p229228 -aS'that\tthat\tIN\tB-SBAR\tO' -p229229 -aS'because\tbecause\tIN\tB-PP\tO' -p229230 -aS'of\tof\tIN\tI-PP\tO' -p229231 -aS'the\tthe\tDT\tB-NP\tO' -p229232 -aS'tremendous\ttremendous\tJJ\tI-NP\tO' -p229233 -aS'tumor\ttumor\tNN\tI-NP\tO' -p229234 -aS'burden\tburden\tNN\tI-NP\tO' -p229235 -aS'that\tthat\tWDT\tB-NP\tO' -p229236 -aS'was\tbe\tVBD\tB-VP\tO' -p229237 -aS'likely\tlikely\tRB\tI-VP\tO' -p229238 -aS'causing\tcause\tVBG\tI-VP\tO' -p229239 -aS'his\this\tPRP$\tB-NP\tO' -p229240 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p229241 -aS'the\tthe\tDT\tB-NP\tO' -p229242 -aS'patient\tpatient\tNN\tI-NP\tO' -p229243 -aS'will\twill\tMD\tB-VP\tO' -p229244 -aS'require\trequire\tVB\tI-VP\tO' -p229245 -aS'open\topen\tJJ\tB-NP\tO' -p229246 -aS'debulking\tdebulking\tNN\tI-NP\tO' -p229247 -aS'as\tas\tRB\tB-CONJP\tO' -p229248 -aS'well\twell\tRB\tI-CONJP\tO' -p229249 -aS'as\tas\tIN\tI-CONJP\tO' -p229250 -aS'obtaining\tobtain\tVBG\tB-VP\tO' -p229251 -aS'issue\tissue\tNN\tB-NP\tO' -p229252 -aS'for\tfor\tIN\tB-PP\tO' -p229253 -aS'a\ta\tDT\tB-NP\tO' -p229254 -aS'pathologic\tpathologic\tJJ\tI-NP\tO' -p229255 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p229256 -aS'.\t.\t.\tO\tO' -p229257 -asS'3. Docusate Sodium 100 mg Capsule Sig : One ( 1 ) Capsule PO BID ( 2 times a day ).' -p229258 -(lp229259 -S'3.\t3.\tLS\tB-NP\tO' -p229260 -aS'Docusate\tDocusate\tNN\tI-NP\tO' -p229261 -aS'Sodium\tSodium\tNN\tI-NP\tO' -p229262 -aS'100\t100\tCD\tI-NP\tO' -p229263 -aS'mg\tmg\tNN\tI-NP\tO' -p229264 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p229265 -aS'Sig\tSig\tNNP\tI-NP\tO' -p229266 -aS':\t:\t:\tO\tO' -p229267 -aS'One\tOne\tCD\tB-NP\tO' -p229268 -aS'(\t(\t(\tO\tO' -p229269 -aS'1\t1\tCD\tB-NP\tO' -p229270 -aS')\t)\t)\tO\tO' -p229271 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p229272 -aS'PO\tPO\tNNP\tI-NP\tO' -p229273 -aS'BID\tBID\tNNP\tI-NP\tO' -p229274 -aS'(\t(\t(\tO\tO' -p229275 -aS'2\t2\tCD\tB-NP\tO' -p229276 -aS'times\ttime\tNNS\tI-NP\tO' -p229277 -aS'a\ta\tDT\tB-NP\tO' -p229278 -aS'day\tday\tNN\tI-NP\tO' -p229279 -aS').\t).\t.\tO\tO' -p229280 -asS'Vitals reportedly HR 88-98 , BP 150/80 .' -p229281 -(lp229282 -S'Vitals\tVital\tNNS\tB-NP\tO' -p229283 -aS'reportedly\treportedly\tRB\tB-ADVP\tO' -p229284 -aS'HR\tHR\tNN\tB-NP\tO' -p229285 -aS'88-98\t88-98\tCD\tI-NP\tO' -p229286 -aS',\t,\t,\tO\tO' -p229287 -aS'BP\tBP\tNN\tB-NP\tO' -p229288 -aS'150/80\t150/80\tCD\tI-NP\tO' -p229289 -aS'.\t.\t.\tO\tO' -p229290 -asS'Reported to a local ED was found to have BP up to 200/100 .' -p229291 -(lp229292 -S'Reported\tReport\tVBN\tB-VP\tO' -p229293 -aS'to\tto\tTO\tB-PP\tO' -p229294 -aS'a\ta\tDT\tB-NP\tO' -p229295 -aS'local\tlocal\tJJ\tI-NP\tO' -p229296 -aS'ED\tED\tNN\tI-NP\tO' -p229297 -aS'was\tbe\tVBD\tB-VP\tO' -p229298 -aS'found\tfind\tVBN\tI-VP\tO' -p229299 -aS'to\tto\tTO\tI-VP\tO' -p229300 -aS'have\thave\tVB\tI-VP\tO' -p229301 -aS'BP\tBP\tNN\tB-NP\tO' -p229302 -aS'up\tup\tIN\tB-PP\tO' -p229303 -aS'to\tto\tTO\tB-PP\tO' -p229304 -aS'200/100\t200/100\tCD\tB-NP\tO' -p229305 -aS'.\t.\t.\tO\tO' -p229306 -asS'The patient began to spike and a blood culture grew out Staphylococcusaureus .' -p229307 -(lp229308 -S'The\tThe\tDT\tB-NP\tO' -p229309 -aS'patient\tpatient\tNN\tI-NP\tO' -p229310 -aS'began\tbegin\tVBD\tB-VP\tO' -p229311 -aS'to\tto\tTO\tI-VP\tO' -p229312 -aS'spike\tspike\tVB\tI-VP\tO' -p229313 -aS'and\tand\tCC\tO\tO' -p229314 -aS'a\ta\tDT\tB-NP\tO' -p229315 -aS'blood\tblood\tNN\tI-NP\tO' -p229316 -aS'culture\tculture\tNN\tI-NP\tO' -p229317 -aS'grew\tgrow\tVBD\tB-VP\tO' -p229318 -aS'out\tout\tRP\tB-PRT\tO' -p229319 -aS'Staphylococcusaureus\tStaphylococcusaureus\tNNP\tB-NP\tO' -p229320 -aS'.\t.\t.\tO\tO' -p229321 -asS'Lovenox .' -p229322 -(lp229323 -S'Lovenox\tLovenox\tNN\tB-NP\tO' -p229324 -aS'.\t.\t.\tO\tO' -p229325 -asS'He does not drink alcohol .' -p229326 -(lp229327 -S'He\tHe\tPRP\tB-NP\tO' -p229328 -aS'does\tdo\tVBZ\tB-VP\tO' -p229329 -aS'not\tnot\tRB\tI-VP\tO' -p229330 -aS'drink\tdrink\tVB\tI-VP\tO' -p229331 -aS'alcohol\talcohol\tNN\tB-NP\tO' -p229332 -aS'.\t.\t.\tO\tO' -p229333 -asS'The patient was prepped and draped in a sterile fashion , and 1150 cc of fluid were drained .' -p229334 -(lp229335 -S'The\tThe\tDT\tB-NP\tO' -p229336 -aS'patient\tpatient\tNN\tI-NP\tO' -p229337 -aS'was\tbe\tVBD\tB-VP\tO' -p229338 -aS'prepped\tpreppe\tVBN\tI-VP\tO' -p229339 -aS'and\tand\tCC\tO\tO' -p229340 -aS'draped\tdrape\tVBN\tB-VP\tO' -p229341 -aS'in\tin\tIN\tB-PP\tO' -p229342 -aS'a\ta\tDT\tB-NP\tO' -p229343 -aS'sterile\tsterile\tJJ\tI-NP\tO' -p229344 -aS'fashion\tfashion\tNN\tI-NP\tO' -p229345 -aS',\t,\t,\tO\tO' -p229346 -aS'and\tand\tCC\tO\tO' -p229347 -aS'1150\t1150\tCD\tB-NP\tO' -p229348 -aS'cc\tcc\tNN\tI-NP\tO' -p229349 -aS'of\tof\tIN\tB-PP\tO' -p229350 -aS'fluid\tfluid\tNN\tB-NP\tO' -p229351 -aS'were\tbe\tVBD\tB-VP\tO' -p229352 -aS'drained\tdrain\tVBN\tI-VP\tO' -p229353 -aS'.\t.\t.\tO\tO' -p229354 -asS'She had worsening abdominal pain on exam .' -p229355 -(lp229356 -S'She\tShe\tPRP\tB-NP\tO' -p229357 -aS'had\thave\tVBD\tB-VP\tO' -p229358 -aS'worsening\tworsen\tVBG\tI-VP\tO' -p229359 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p229360 -aS'pain\tpain\tNN\tI-NP\tO' -p229361 -aS'on\ton\tIN\tB-PP\tO' -p229362 -aS'exam\texam\tNN\tB-NP\tO' -p229363 -aS'.\t.\t.\tO\tO' -p229364 -asS'Dr.Demby secretary will contact patient at home the week after discharge to schedule this for the end of January .' -p229365 -(lp229366 -S'Dr.Demby\tDr.Demby\tNN\tB-NP\tO' -p229367 -aS'secretary\tsecretary\tNN\tI-NP\tO' -p229368 -aS'will\twill\tMD\tB-VP\tO' -p229369 -aS'contact\tcontact\tVB\tI-VP\tO' -p229370 -aS'patient\tpatient\tNN\tB-NP\tO' -p229371 -aS'at\tat\tIN\tB-PP\tO' -p229372 -aS'home\thome\tNN\tB-NP\tO' -p229373 -aS'the\tthe\tDT\tB-NP\tO' -p229374 -aS'week\tweek\tNN\tI-NP\tO' -p229375 -aS'after\tafter\tIN\tB-SBAR\tO' -p229376 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p229377 -aS'to\tto\tTO\tB-VP\tO' -p229378 -aS'schedule\tschedule\tVB\tI-VP\tO' -p229379 -aS'this\tthis\tDT\tB-NP\tO' -p229380 -aS'for\tfor\tIN\tB-PP\tO' -p229381 -aS'the\tthe\tDT\tB-NP\tO' -p229382 -aS'end\tend\tNN\tI-NP\tO' -p229383 -aS'of\tof\tIN\tB-PP\tO' -p229384 -aS'January\tJanuary\tNNP\tB-NP\tO' -p229385 -aS'.\t.\t.\tO\tO' -p229386 -asS'He therefore decided to take his life with a gun which he had found in the house .' -p229387 -(lp229388 -S'He\tHe\tPRP\tB-NP\tO' -p229389 -aS'therefore\ttherefore\tRB\tB-ADVP\tO' -p229390 -aS'decided\tdecide\tVBD\tB-VP\tO' -p229391 -aS'to\tto\tTO\tI-VP\tO' -p229392 -aS'take\ttake\tVB\tI-VP\tO' -p229393 -aS'his\this\tPRP$\tB-NP\tO' -p229394 -aS'life\tlife\tNN\tI-NP\tO' -p229395 -aS'with\twith\tIN\tB-PP\tO' -p229396 -aS'a\ta\tDT\tB-NP\tO' -p229397 -aS'gun\tgun\tNN\tI-NP\tO' -p229398 -aS'which\twhich\tWDT\tB-NP\tO' -p229399 -aS'he\the\tPRP\tB-NP\tO' -p229400 -aS'had\thave\tVBD\tB-VP\tO' -p229401 -aS'found\tfind\tVBN\tI-VP\tO' -p229402 -aS'in\tin\tIN\tB-PP\tO' -p229403 -aS'the\tthe\tDT\tB-NP\tO' -p229404 -aS'house\thouse\tNN\tI-NP\tO' -p229405 -aS'.\t.\t.\tO\tO' -p229406 -asS'> 400 mg / dL Notify M.D. Notify M.D. Notify M.D. Notify M.D.' -p229407 -(lp229408 -S'>\t>\tSYM\tO\tO' -p229409 -aS'400\t400\tCD\tB-NP\tO' -p229410 -aS'mg\tmg\tNN\tI-NP\tO' -p229411 -aS'/\t/\tSYM\tB-NP\tO' -p229412 -aS'dL\tdL\tNN\tI-NP\tO' -p229413 -aS'Notify\tNotify\tNNP\tI-NP\tO' -p229414 -aS'M.D.\tM.D.\tNNP\tI-NP\tO' -p229415 -aS'Notify\tNotify\tNNP\tI-NP\tO' -p229416 -aS'M.D.\tM.D.\tNNP\tI-NP\tO' -p229417 -aS'Notify\tNotify\tNNP\tI-NP\tO' -p229418 -aS'M.D.\tM.D.\tNNP\tI-NP\tO' -p229419 -aS'Notify\tNotify\tNNP\tI-NP\tO' -p229420 -aS'M.D.\tM.D.\tNNP\tI-NP\tO' -p229421 -asS'C5-6 disc herniation with cord compression and myelopathy .' -p229422 -(lp229423 -S'C5-6\tC5-6\tNN\tB-NP\tO' -p229424 -aS'disc\tdisc\tNN\tI-NP\tO' -p229425 -aS'herniation\therniation\tNN\tI-NP\tO' -p229426 -aS'with\twith\tIN\tB-PP\tO' -p229427 -aS'cord\tcord\tNN\tB-NP\tO' -p229428 -aS'compression\tcompression\tNN\tI-NP\tO' -p229429 -aS'and\tand\tCC\tI-NP\tO' -p229430 -aS'myelopathy\tmyelopathy\tNN\tI-NP\tO' -p229431 -aS'.\t.\t.\tO\tO' -p229432 -asS'The patient was instructed to take 20 mg at 11 pm the night before her next chemotherapy and 8 am on the morning of chemotherapy .' -p229433 -(lp229434 -S'The\tThe\tDT\tB-NP\tO' -p229435 -aS'patient\tpatient\tNN\tI-NP\tO' -p229436 -aS'was\tbe\tVBD\tB-VP\tO' -p229437 -aS'instructed\tinstruct\tVBN\tI-VP\tO' -p229438 -aS'to\tto\tTO\tI-VP\tO' -p229439 -aS'take\ttake\tVB\tI-VP\tO' -p229440 -aS'20\t20\tCD\tB-NP\tO' -p229441 -aS'mg\tmg\tNN\tI-NP\tO' -p229442 -aS'at\tat\tIN\tB-PP\tO' -p229443 -aS'11\t11\tCD\tB-NP\tO' -p229444 -aS'pm\tpm\tNN\tI-NP\tO' -p229445 -aS'the\tthe\tDT\tB-NP\tO' -p229446 -aS'night\tnight\tNN\tI-NP\tO' -p229447 -aS'before\tbefore\tIN\tB-PP\tO' -p229448 -aS'her\ther\tPRP$\tB-NP\tO' -p229449 -aS'next\tnext\tJJ\tI-NP\tO' -p229450 -aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' -p229451 -aS'and\tand\tCC\tO\tO' -p229452 -aS'8\t8\tCD\tB-NP\tO' -p229453 -aS'am\tam\tNN\tI-NP\tO' -p229454 -aS'on\ton\tIN\tB-PP\tO' -p229455 -aS'the\tthe\tDT\tB-NP\tO' -p229456 -aS'morning\tmorning\tNN\tI-NP\tO' -p229457 -aS'of\tof\tIN\tB-PP\tO' -p229458 -aS'chemotherapy\tchemotherapy\tNN\tB-NP\tO' -p229459 -aS'.\t.\t.\tO\tO' -p229460 -asS'However , the epidural had the consequence of causing a bit of a hypotension in the patient and the patient was admitted to the Surgical ICU for the first postoperative day .' -p229461 -(lp229462 -S'However\tHowever\tRB\tB-ADVP\tO' -p229463 -aS',\t,\t,\tO\tO' -p229464 -aS'the\tthe\tDT\tB-NP\tO' -p229465 -aS'epidural\tepidural\tNN\tI-NP\tO' -p229466 -aS'had\thave\tVBD\tB-VP\tO' -p229467 -aS'the\tthe\tDT\tB-NP\tO' -p229468 -aS'consequence\tconsequence\tNN\tI-NP\tO' -p229469 -aS'of\tof\tIN\tB-PP\tO' -p229470 -aS'causing\tcause\tVBG\tB-VP\tO' -p229471 -aS'a\ta\tDT\tB-NP\tO' -p229472 -aS'bit\tbit\tNN\tI-NP\tO' -p229473 -aS'of\tof\tIN\tB-PP\tO' -p229474 -aS'a\ta\tDT\tB-NP\tO' -p229475 -aS'hypotension\thypotension\tNN\tI-NP\tO' -p229476 -aS'in\tin\tIN\tB-PP\tO' -p229477 -aS'the\tthe\tDT\tB-NP\tO' -p229478 -aS'patient\tpatient\tNN\tI-NP\tO' -p229479 -aS'and\tand\tCC\tO\tO' -p229480 -aS'the\tthe\tDT\tB-NP\tO' -p229481 -aS'patient\tpatient\tNN\tI-NP\tO' -p229482 -aS'was\tbe\tVBD\tB-VP\tO' -p229483 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p229484 -aS'to\tto\tTO\tB-PP\tO' -p229485 -aS'the\tthe\tDT\tB-NP\tO' -p229486 -aS'Surgical\tSurgical\tJJ\tI-NP\tO' -p229487 -aS'ICU\tICU\tNN\tI-NP\tO' -p229488 -aS'for\tfor\tIN\tB-PP\tO' -p229489 -aS'the\tthe\tDT\tB-NP\tO' -p229490 -aS'first\tfirst\tJJ\tI-NP\tO' -p229491 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p229492 -aS'day\tday\tNN\tI-NP\tO' -p229493 -aS'.\t.\t.\tO\tO' -p229494 -asS'He was given bag mask ventilation with good response .' -p229495 -(lp229496 -S'He\tHe\tPRP\tB-NP\tO' -p229497 -aS'was\tbe\tVBD\tB-VP\tO' -p229498 -aS'given\tgive\tVBN\tI-VP\tO' -p229499 -aS'bag\tbag\tNN\tB-NP\tO' -p229500 -aS'mask\tmask\tNN\tI-NP\tO' -p229501 -aS'ventilation\tventilation\tNN\tI-NP\tO' -p229502 -aS'with\twith\tIN\tB-PP\tO' -p229503 -aS'good\tgood\tJJ\tB-NP\tO' -p229504 -aS'response\tresponse\tNN\tI-NP\tO' -p229505 -aS'.\t.\t.\tO\tO' -p229506 -asS'His chest X-ray was normal .' -p229507 -(lp229508 -S'His\tHis\tPRP$\tB-NP\tO' -p229509 -aS'chest\tchest\tNN\tI-NP\tO' -p229510 -aS'X-ray\tX-ray\tNN\tI-NP\tO' -p229511 -aS'was\tbe\tVBD\tB-VP\tO' -p229512 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p229513 -aS'.\t.\t.\tO\tO' -p229514 -asS"PMH : Hypertension , Hyperlipidemia , Diabetes Mellitus , Hypothyroid , h/o Bilateral DVT 's, Pleural disorder ? Sarcoidosis , Gastritis , B12 deficiency , Chronic renal insufficiency , s/p Appendectomy , s/p Lap cholectomy , s/p Total abdominal hysterectomy" -p229515 -(lp229516 -S'PMH\tPMH\tNN\tB-NP\tO' -p229517 -aS':\t:\t:\tO\tO' -p229518 -aS'Hypertension\tHypertension\tNN\tB-NP\tO' -p229519 -aS',\t,\t,\tO\tO' -p229520 -aS'Hyperlipidemia\tHyperlipidemia\tNNP\tB-NP\tO' -p229521 -aS',\t,\t,\tO\tO' -p229522 -aS'Diabetes\tDiabetes\tNNP\tB-NP\tO' -p229523 -aS'Mellitus\tMellitus\tNNP\tI-NP\tO' -p229524 -aS',\t,\t,\tO\tO' -p229525 -aS'Hypothyroid\tHypothyroid\tNNP\tB-NP\tO' -p229526 -aS',\t,\t,\tO\tO' -p229527 -aS'h/o\th/o\tDT\tB-NP\tO' -p229528 -aS'Bilateral\tBilateral\tNNP\tI-NP\tO' -p229529 -aS'DVT\tDVT\tNNP\tI-NP\tO' -p229530 -aS"'s,\t's,\tPOS\tB-NP\tO" -p229531 -aS'Pleural\tPleural\tJJ\tI-NP\tO' -p229532 -aS'disorder\tdisorder\tNN\tI-NP\tO' -p229533 -aS'?\t?\t.\tO\tO' -p229534 -aS'Sarcoidosis\tSarcoidosis\tNN\tB-NP\tO' -p229535 -aS',\t,\t,\tO\tO' -p229536 -aS'Gastritis\tGastritis\tNN\tB-NP\tO' -p229537 -aS',\t,\t,\tO\tO' -p229538 -aS'B12\tB12\tNN\tB-NP\tB-protein' -p229539 -aS'deficiency\tdeficiency\tNN\tI-NP\tO' -p229540 -aS',\t,\t,\tO\tO' -p229541 -aS'Chronic\tChronic\tNNP\tB-NP\tO' -p229542 -aS'renal\trenal\tJJ\tI-NP\tO' -p229543 -aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' -p229544 -aS',\t,\t,\tO\tO' -p229545 -aS's/p\ts/p\tNN\tB-NP\tO' -p229546 -aS'Appendectomy\tAppendectomy\tNNP\tI-NP\tO' -p229547 -aS',\t,\t,\tO\tO' -p229548 -aS's/p\ts/p\tNN\tB-NP\tO' -p229549 -aS'Lap\tLap\tNN\tI-NP\tO' -p229550 -aS'cholectomy\tcholectomy\tNN\tI-NP\tO' -p229551 -aS',\t,\t,\tO\tO' -p229552 -aS's/p\ts/p\tNN\tB-NP\tO' -p229553 -aS'Total\tTotal\tJJ\tI-NP\tO' -p229554 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p229555 -aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' -p229556 -asS'MSO4 for CP .' -p229557 -(lp229558 -S'MSO4\tMSO4\tNN\tB-NP\tB-protein' -p229559 -aS'for\tfor\tIN\tB-PP\tO' -p229560 -aS'CP\tCP\tNN\tB-NP\tB-DNA' -p229561 -aS'.\t.\t.\tO\tO' -p229562 -asS'## Suspected glaucoma in left CMED CSRU , turned out to be capsular ossification or a secondary cataract , corrected w/ laser surgery' -p229563 -(lp229564 -S'##\t##\t#\tB-NP\tO' -p229565 -aS'Suspected\tSuspect\tVBN\tI-NP\tO' -p229566 -aS'glaucoma\tglaucoma\tNN\tI-NP\tO' -p229567 -aS'in\tin\tIN\tB-PP\tO' -p229568 -aS'left\tleft\tJJ\tB-NP\tO' -p229569 -aS'CMED\tCMED\tNNP\tI-NP\tO' -p229570 -aS'CSRU\tCSRU\tNNP\tI-NP\tO' -p229571 -aS',\t,\t,\tO\tO' -p229572 -aS'turned\tturn\tVBD\tB-VP\tO' -p229573 -aS'out\tout\tRP\tB-PRT\tO' -p229574 -aS'to\tto\tTO\tB-VP\tO' -p229575 -aS'be\tbe\tVB\tI-VP\tO' -p229576 -aS'capsular\tcapsular\tJJ\tB-NP\tO' -p229577 -aS'ossification\tossification\tNN\tI-NP\tO' -p229578 -aS'or\tor\tCC\tO\tO' -p229579 -aS'a\ta\tDT\tB-NP\tO' -p229580 -aS'secondary\tsecondary\tJJ\tI-NP\tO' -p229581 -aS'cataract\tcataract\tNN\tI-NP\tO' -p229582 -aS',\t,\t,\tO\tO' -p229583 -aS'corrected\tcorrect\tVBD\tB-VP\tO' -p229584 -aS'w/\tw/\tNN\tB-NP\tO' -p229585 -aS'laser\tlaser\tNN\tI-NP\tO' -p229586 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p229587 -asS'His white count had bumped from 8.3 on admission to 18.5 , on 4/27 .' -p229588 -(lp229589 -S'His\tHis\tPRP$\tB-NP\tO' -p229590 -aS'white\twhite\tJJ\tI-NP\tO' -p229591 -aS'count\tcount\tNN\tI-NP\tO' -p229592 -aS'had\thave\tVBD\tB-VP\tO' -p229593 -aS'bumped\tbump\tVBN\tI-VP\tO' -p229594 -aS'from\tfrom\tIN\tB-PP\tO' -p229595 -aS'8.3\t8.3\tCD\tB-NP\tO' -p229596 -aS'on\ton\tIN\tB-PP\tO' -p229597 -aS'admission\tadmission\tNN\tB-NP\tO' -p229598 -aS'to\tto\tTO\tB-PP\tO' -p229599 -aS'18.5\t18.5\tCD\tB-NP\tO' -p229600 -aS',\t,\t,\tO\tO' -p229601 -aS'on\ton\tIN\tB-PP\tO' -p229602 -aS'4/27\t4/27\tCD\tB-NP\tO' -p229603 -aS'.\t.\t.\tO\tO' -p229604 -asS'ALT was 53 .' -p229605 -(lp229606 -S'ALT\tALT\tNN\tB-NP\tO' -p229607 -aS'was\tbe\tVBD\tB-VP\tO' -p229608 -aS'53\t53\tCD\tB-NP\tO' -p229609 -aS'.\t.\t.\tO\tO' -p229610 -asS"The patient 's Foley was discontinued ." -p229611 -(lp229612 -S'The\tThe\tDT\tB-NP\tO' -p229613 -aS'patient\tpatient\tNN\tI-NP\tO' -p229614 -aS"'s\t's\tPOS\tB-NP\tO" -p229615 -aS'Foley\tFoley\tNN\tI-NP\tO' -p229616 -aS'was\tbe\tVBD\tB-VP\tO' -p229617 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p229618 -aS'.\t.\t.\tO\tO' -p229619 -asS'During this admission , two CT scans had shown a question of an enlargement of the head of his pancreas' -p229620 -(lp229621 -S'During\tDuring\tIN\tB-PP\tO' -p229622 -aS'this\tthis\tDT\tB-NP\tO' -p229623 -aS'admission\tadmission\tNN\tI-NP\tO' -p229624 -aS',\t,\t,\tO\tO' -p229625 -aS'two\ttwo\tCD\tB-NP\tO' -p229626 -aS'CT\tCT\tNN\tI-NP\tO' -p229627 -aS'scans\tscan\tNNS\tI-NP\tO' -p229628 -aS'had\thave\tVBD\tB-VP\tO' -p229629 -aS'shown\tshow\tVBN\tI-VP\tO' -p229630 -aS'a\ta\tDT\tB-NP\tO' -p229631 -aS'question\tquestion\tNN\tI-NP\tO' -p229632 -aS'of\tof\tIN\tB-PP\tO' -p229633 -aS'an\tan\tDT\tB-NP\tO' -p229634 -aS'enlargement\tenlargement\tNN\tI-NP\tO' -p229635 -aS'of\tof\tIN\tB-PP\tO' -p229636 -aS'the\tthe\tDT\tB-NP\tO' -p229637 -aS'head\thead\tNN\tI-NP\tO' -p229638 -aS'of\tof\tIN\tB-PP\tO' -p229639 -aS'his\this\tPRP$\tB-NP\tO' -p229640 -aS'pancreas\tpancreas\tNN\tI-NP\tO' -p229641 -asS'Her urine output decreased to nearly zero .' -p229642 -(lp229643 -S'Her\tHer\tPRP$\tB-NP\tO' -p229644 -aS'urine\turine\tNN\tI-NP\tO' -p229645 -aS'output\toutput\tNN\tI-NP\tO' -p229646 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p229647 -aS'to\tto\tTO\tB-PP\tO' -p229648 -aS'nearly\tnearly\tRB\tB-NP\tO' -p229649 -aS'zero\tzero\tCD\tI-NP\tO' -p229650 -aS'.\t.\t.\tO\tO' -p229651 -asS'Cardiac catheterization revealed a totally occluded RCA with collaterals , an 80 percent LAD lesion extending distally which was angioplastied but no stent was placed .' -p229652 -(lp229653 -S'Cardiac\tCardiac\tJJ\tB-NP\tO' -p229654 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p229655 -aS'revealed\treveal\tVBD\tB-VP\tO' -p229656 -aS'a\ta\tDT\tB-NP\tO' -p229657 -aS'totally\ttotally\tRB\tI-NP\tO' -p229658 -aS'occluded\tocclude\tVBN\tI-NP\tO' -p229659 -aS'RCA\tRCA\tNN\tI-NP\tB-protein' -p229660 -aS'with\twith\tIN\tB-PP\tO' -p229661 -aS'collaterals\tcollateral\tNNS\tB-NP\tO' -p229662 -aS',\t,\t,\tO\tO' -p229663 -aS'an\tan\tDT\tB-NP\tO' -p229664 -aS'80\t80\tCD\tI-NP\tO' -p229665 -aS'percent\tpercent\tNN\tI-NP\tO' -p229666 -aS'LAD\tLAD\tNN\tI-NP\tO' -p229667 -aS'lesion\tlesion\tNN\tI-NP\tO' -p229668 -aS'extending\textend\tVBG\tB-VP\tO' -p229669 -aS'distally\tdistally\tRB\tB-ADVP\tO' -p229670 -aS'which\twhich\tWDT\tB-NP\tO' -p229671 -aS'was\tbe\tVBD\tB-VP\tO' -p229672 -aS'angioplastied\tangioplastie\tVBN\tI-VP\tO' -p229673 -aS'but\tbut\tCC\tO\tO' -p229674 -aS'no\tno\tDT\tB-NP\tO' -p229675 -aS'stent\tstent\tNN\tI-NP\tO' -p229676 -aS'was\tbe\tVBD\tB-VP\tO' -p229677 -aS'placed\tplace\tVBN\tI-VP\tO' -p229678 -aS'.\t.\t.\tO\tO' -p229679 -asS'This is an abnormal EEG due to the presence of a low voltage and slow background consistent with a severe encephalopathy of toxic , metabolic , or anoxic etiology .' -p229680 -(lp229681 -S'This\tThis\tDT\tB-NP\tO' -p229682 -aS'is\tbe\tVBZ\tB-VP\tO' -p229683 -aS'an\tan\tDT\tB-NP\tO' -p229684 -aS'abnormal\tabnormal\tJJ\tI-NP\tO' -p229685 -aS'EEG\tEEG\tNN\tI-NP\tO' -p229686 -aS'due\tdue\tJJ\tB-PP\tO' -p229687 -aS'to\tto\tTO\tB-PP\tO' -p229688 -aS'the\tthe\tDT\tB-NP\tO' -p229689 -aS'presence\tpresence\tNN\tI-NP\tO' -p229690 -aS'of\tof\tIN\tB-PP\tO' -p229691 -aS'a\ta\tDT\tB-NP\tO' -p229692 -aS'low\tlow\tJJ\tI-NP\tO' -p229693 -aS'voltage\tvoltage\tNN\tI-NP\tO' -p229694 -aS'and\tand\tCC\tO\tO' -p229695 -aS'slow\tslow\tJJ\tB-NP\tO' -p229696 -aS'background\tbackground\tNN\tI-NP\tO' -p229697 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p229698 -aS'with\twith\tIN\tB-PP\tO' -p229699 -aS'a\ta\tDT\tB-NP\tO' -p229700 -aS'severe\tsevere\tJJ\tI-NP\tO' -p229701 -aS'encephalopathy\tencephalopathy\tNN\tI-NP\tO' -p229702 -aS'of\tof\tIN\tB-PP\tO' -p229703 -aS'toxic\ttoxic\tJJ\tB-NP\tO' -p229704 -aS',\t,\t,\tI-NP\tO' -p229705 -aS'metabolic\tmetabolic\tJJ\tI-NP\tO' -p229706 -aS',\t,\t,\tI-NP\tO' -p229707 -aS'or\tor\tCC\tI-NP\tO' -p229708 -aS'anoxic\tanoxic\tJJ\tI-NP\tO' -p229709 -aS'etiology\tetiology\tNN\tI-NP\tO' -p229710 -aS'.\t.\t.\tO\tO' -p229711 -asS'Dictated By : Jason L Parra , M.D.' -p229712 -(lp229713 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p229714 -aS'By\tBy\tIN\tB-PP\tO' -p229715 -aS':\t:\t:\tO\tO' -p229716 -aS'Jason\tJason\tNNP\tB-NP\tO' -p229717 -aS'L\tL\tNNP\tI-NP\tO' -p229718 -aS'Parra\tParra\tNNP\tI-NP\tO' -p229719 -aS',\t,\t,\tO\tO' -p229720 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p229721 -asS'7.1 , hematocrit of 30.8 , platelets 90 .' -p229722 -(lp229723 -S'7.1\t7.1\tCD\tB-NP\tO' -p229724 -aS',\t,\t,\tO\tO' -p229725 -aS'hematocrit\thematocrit\tNN\tB-NP\tO' -p229726 -aS'of\tof\tIN\tB-PP\tO' -p229727 -aS'30.8\t30.8\tCD\tB-NP\tO' -p229728 -aS',\t,\t,\tO\tO' -p229729 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p229730 -aS'90\t90\tCD\tB-NP\tO' -p229731 -aS'.\t.\t.\tO\tO' -p229732 -asS'Intially after being transferred from the ICU to the medicine service the patient was mentating appropriately .' -p229733 -(lp229734 -S'Intially\tIntially\tRB\tB-ADVP\tO' -p229735 -aS'after\tafter\tIN\tB-PP\tO' -p229736 -aS'being\tbe\tVBG\tB-VP\tO' -p229737 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p229738 -aS'from\tfrom\tIN\tB-PP\tO' -p229739 -aS'the\tthe\tDT\tB-NP\tO' -p229740 -aS'ICU\tICU\tNN\tI-NP\tB-protein' -p229741 -aS'to\tto\tTO\tB-PP\tO' -p229742 -aS'the\tthe\tDT\tB-NP\tO' -p229743 -aS'medicine\tmedicine\tNN\tI-NP\tO' -p229744 -aS'service\tservice\tNN\tI-NP\tO' -p229745 -aS'the\tthe\tDT\tB-NP\tO' -p229746 -aS'patient\tpatient\tNN\tI-NP\tO' -p229747 -aS'was\tbe\tVBD\tB-VP\tO' -p229748 -aS'mentating\tmentate\tVBG\tI-VP\tO' -p229749 -aS'appropriately\tappropriately\tRB\tB-ADVP\tO' -p229750 -aS'.\t.\t.\tO\tO' -p229751 -asS'Her speech was fluent with no phasic or praxic problems , dysarthric .' -p229752 -(lp229753 -S'Her\tHer\tPRP$\tB-NP\tO' -p229754 -aS'speech\tspeech\tNN\tI-NP\tO' -p229755 -aS'was\tbe\tVBD\tB-VP\tO' -p229756 -aS'fluent\tfluent\tJJ\tB-ADJP\tO' -p229757 -aS'with\twith\tIN\tB-PP\tO' -p229758 -aS'no\tno\tDT\tB-NP\tO' -p229759 -aS'phasic\tphasic\tJJ\tI-NP\tO' -p229760 -aS'or\tor\tCC\tI-NP\tO' -p229761 -aS'praxic\tpraxic\tJJ\tI-NP\tO' -p229762 -aS'problems\tproblem\tNNS\tI-NP\tO' -p229763 -aS',\t,\t,\tO\tO' -p229764 -aS'dysarthric\tdysarthric\tJJ\tB-ADJP\tO' -p229765 -aS'.\t.\t.\tO\tO' -p229766 -asS'2017-04-02 instent restenosis status post brachytherapy .' -p229767 -(lp229768 -S'2017-04-02\t2017-04-02\tCD\tB-NP\tO' -p229769 -aS'instent\tinstent\tJJ\tI-NP\tO' -p229770 -aS'restenosis\trestenosis\tNN\tI-NP\tO' -p229771 -aS'status\tstatus\tNN\tI-NP\tO' -p229772 -aS'post\tpost\tNN\tI-NP\tO' -p229773 -aS'brachytherapy\tbrachytherapy\tNN\tI-NP\tO' -p229774 -aS'.\t.\t.\tO\tO' -p229775 -asS'Mother was on clindamycin since 11-04 .' -p229776 -(lp229777 -S'Mother\tMother\tDT\tB-NP\tO' -p229778 -aS'was\tbe\tVBD\tB-VP\tO' -p229779 -aS'on\ton\tIN\tB-PP\tO' -p229780 -aS'clindamycin\tclindamycin\tNN\tB-NP\tO' -p229781 -aS'since\tsince\tIN\tB-PP\tO' -p229782 -aS'11-04\t11-04\tCD\tB-NP\tO' -p229783 -aS'.\t.\t.\tO\tO' -p229784 -asS'She is discharged to rehab on POD# 27/18 .' -p229785 -(lp229786 -S'She\tShe\tPRP\tB-NP\tO' -p229787 -aS'is\tbe\tVBZ\tB-VP\tO' -p229788 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p229789 -aS'to\tto\tTO\tI-VP\tO' -p229790 -aS'rehab\trehab\tVB\tI-VP\tO' -p229791 -aS'on\ton\tIN\tB-PP\tO' -p229792 -aS'POD#\tPOD#\tNNP\tB-NP\tO' -p229793 -aS'27/18\t27/18\tCD\tI-NP\tO' -p229794 -aS'.\t.\t.\tO\tO' -p229795 -asS'The first imaging study that was done at Hahnemann General Hospital was a MRCP which revealed an enhanced thickened gallbladder wall consistent with chronic cholecystitis .' -p229796 -(lp229797 -S'The\tThe\tDT\tB-NP\tO' -p229798 -aS'first\tfirst\tJJ\tI-NP\tO' -p229799 -aS'imaging\timaging\tNN\tI-NP\tO' -p229800 -aS'study\tstudy\tNN\tI-NP\tO' -p229801 -aS'that\tthat\tWDT\tB-NP\tO' -p229802 -aS'was\tbe\tVBD\tB-VP\tO' -p229803 -aS'done\tdo\tVBN\tI-VP\tO' -p229804 -aS'at\tat\tIN\tB-PP\tO' -p229805 -aS'Hahnemann\tHahnemann\tNNP\tB-NP\tO' -p229806 -aS'General\tGeneral\tNNP\tI-NP\tO' -p229807 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p229808 -aS'was\tbe\tVBD\tB-VP\tO' -p229809 -aS'a\ta\tDT\tB-NP\tO' -p229810 -aS'MRCP\tMRCP\tNN\tI-NP\tB-protein' -p229811 -aS'which\twhich\tWDT\tB-NP\tO' -p229812 -aS'revealed\treveal\tVBD\tB-VP\tO' -p229813 -aS'an\tan\tDT\tB-NP\tO' -p229814 -aS'enhanced\tenhance\tVBN\tI-NP\tO' -p229815 -aS'thickened\tthicken\tVBN\tI-NP\tO' -p229816 -aS'gallbladder\tgallbladder\tNN\tI-NP\tO' -p229817 -aS'wall\twall\tNN\tI-NP\tO' -p229818 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p229819 -aS'with\twith\tIN\tB-PP\tO' -p229820 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p229821 -aS'cholecystitis\tcholecystitis\tNN\tI-NP\tO' -p229822 -aS'.\t.\t.\tO\tO' -p229823 -asS'Motor examination he had a weak withdrawal to nail bed pressure in both hands .' -p229824 -(lp229825 -S'Motor\tMotor\tNN\tB-NP\tO' -p229826 -aS'examination\texamination\tNN\tI-NP\tO' -p229827 -aS'he\the\tPRP\tB-NP\tO' -p229828 -aS'had\thave\tVBD\tB-VP\tO' -p229829 -aS'a\ta\tDT\tB-NP\tO' -p229830 -aS'weak\tweak\tJJ\tI-NP\tO' -p229831 -aS'withdrawal\twithdrawal\tNN\tI-NP\tO' -p229832 -aS'to\tto\tTO\tB-VP\tO' -p229833 -aS'nail\tnail\tVB\tI-VP\tO' -p229834 -aS'bed\tbed\tNN\tB-NP\tO' -p229835 -aS'pressure\tpressure\tNN\tI-NP\tO' -p229836 -aS'in\tin\tIN\tB-PP\tO' -p229837 -aS'both\tboth\tDT\tB-NP\tO' -p229838 -aS'hands\thand\tNNS\tI-NP\tO' -p229839 -aS'.\t.\t.\tO\tO' -p229840 -asS'Prilosec 20 mg. po. qd .' -p229841 -(lp229842 -S'Prilosec\tPrilosec\tRB\tB-NP\tO' -p229843 -aS'20\t20\tCD\tI-NP\tO' -p229844 -aS'mg.\tmg.\tNN\tI-NP\tO' -p229845 -aS'po.\tpo.\tNN\tI-NP\tO' -p229846 -aS'qd\tqd\tNN\tI-NP\tO' -p229847 -aS'.\t.\t.\tO\tO' -p229848 -asS'He was intubated with pressor support of 25 , and PEEP of 12.5 with 70% FIO2 .' -p229849 -(lp229850 -S'He\tHe\tPRP\tB-NP\tO' -p229851 -aS'was\tbe\tVBD\tB-VP\tO' -p229852 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p229853 -aS'with\twith\tIN\tB-PP\tO' -p229854 -aS'pressor\tpressor\tNN\tB-NP\tO' -p229855 -aS'support\tsupport\tNN\tI-NP\tO' -p229856 -aS'of\tof\tIN\tB-PP\tO' -p229857 -aS'25\t25\tCD\tB-NP\tO' -p229858 -aS',\t,\t,\tO\tO' -p229859 -aS'and\tand\tCC\tO\tO' -p229860 -aS'PEEP\tPEEP\tNN\tB-NP\tB-protein' -p229861 -aS'of\tof\tIN\tB-PP\tO' -p229862 -aS'12.5\t12.5\tCD\tB-NP\tO' -p229863 -aS'with\twith\tIN\tB-PP\tO' -p229864 -aS'70%\t70%\tJJ\tB-NP\tO' -p229865 -aS'FIO2\tFIO2\tNN\tI-NP\tO' -p229866 -aS'.\t.\t.\tO\tO' -p229867 -asS'3. Diltiazem 240 mg once daily .' -p229868 -(lp229869 -S'3.\t3.\tLS\tB-NP\tO' -p229870 -aS'Diltiazem\tDiltiazem\tNN\tI-NP\tO' -p229871 -aS'240\t240\tCD\tI-NP\tO' -p229872 -aS'mg\tmg\tNN\tI-NP\tO' -p229873 -aS'once\tonce\tRB\tB-ADVP\tO' -p229874 -aS'daily\tdaily\tRB\tI-ADVP\tO' -p229875 -aS'.\t.\t.\tO\tO' -p229876 -asS'Lungs : transmitted upper airway stridor; otherwise clear' -p229877 -(lp229878 -S'Lungs\tLung\tNNS\tB-NP\tO' -p229879 -aS':\t:\t:\tO\tO' -p229880 -aS'transmitted\ttransmit\tVBN\tB-VP\tO' -p229881 -aS'upper\tupper\tJJ\tB-NP\tO' -p229882 -aS'airway\tairway\tNN\tI-NP\tO' -p229883 -aS'stridor;\tstridor;\tNN\tI-NP\tO' -p229884 -aS'otherwise\totherwise\tRB\tB-ADJP\tO' -p229885 -aS'clear\tclear\tJJ\tI-ADJP\tO' -p229886 -asS'3. Small occipital subdural hemorrhage , resolved' -p229887 -(lp229888 -S'3.\t3.\tLS\tB-NP\tO' -p229889 -aS'Small\tSmall\tJJ\tI-NP\tO' -p229890 -aS'occipital\toccipital\tJJ\tI-NP\tO' -p229891 -aS'subdural\tsubdural\tJJ\tI-NP\tO' -p229892 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p229893 -aS',\t,\t,\tO\tO' -p229894 -aS'resolved\tresolve\tVBD\tB-VP\tO' -p229895 -asS'She had also reported a weight loss of 15 pounds over the past two months .' -p229896 -(lp229897 -S'She\tShe\tPRP\tB-NP\tO' -p229898 -aS'had\thave\tVBD\tB-VP\tO' -p229899 -aS'also\talso\tRB\tI-VP\tO' -p229900 -aS'reported\treport\tVBN\tI-VP\tO' -p229901 -aS'a\ta\tDT\tB-NP\tO' -p229902 -aS'weight\tweight\tNN\tI-NP\tO' -p229903 -aS'loss\tloss\tNN\tI-NP\tO' -p229904 -aS'of\tof\tIN\tB-PP\tO' -p229905 -aS'15\t15\tCD\tB-NP\tO' -p229906 -aS'pounds\tpound\tNNS\tI-NP\tO' -p229907 -aS'over\tover\tIN\tB-PP\tO' -p229908 -aS'the\tthe\tDT\tB-NP\tO' -p229909 -aS'past\tpast\tJJ\tI-NP\tO' -p229910 -aS'two\ttwo\tCD\tI-NP\tO' -p229911 -aS'months\tmonth\tNNS\tI-NP\tO' -p229912 -aS'.\t.\t.\tO\tO' -p229913 -asS'By the 2th the patient was feeling very well and desired to transfer or discharge to home .' -p229914 -(lp229915 -S'By\tBy\tIN\tB-PP\tO' -p229916 -aS'the\tthe\tDT\tB-NP\tO' -p229917 -aS'2th\t2th\tNN\tI-NP\tO' -p229918 -aS'the\tthe\tDT\tB-NP\tO' -p229919 -aS'patient\tpatient\tNN\tI-NP\tO' -p229920 -aS'was\tbe\tVBD\tB-VP\tO' -p229921 -aS'feeling\tfeel\tVBG\tI-VP\tO' -p229922 -aS'very\tvery\tRB\tB-ADVP\tO' -p229923 -aS'well\twell\tRB\tI-ADVP\tO' -p229924 -aS'and\tand\tCC\tO\tO' -p229925 -aS'desired\tdesire\tVBN\tB-VP\tO' -p229926 -aS'to\tto\tTO\tB-VP\tO' -p229927 -aS'transfer\ttransfer\tVB\tI-VP\tO' -p229928 -aS'or\tor\tCC\tI-VP\tO' -p229929 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p229930 -aS'to\tto\tTO\tB-PP\tO' -p229931 -aS'home\thome\tNN\tB-NP\tO' -p229932 -aS'.\t.\t.\tO\tO' -p229933 -asS'No cath done , but echo 05-07 showed EF 60-65% , stenotic mech. valve , mean gradient 33 mm , decreased disc motion , mobile mass in LVOT , mild AI , mild to moderate MR , trace TR. Referred for surgical evaluation .' -p229934 -(lp229935 -S'No\tNo\tDT\tB-NP\tO' -p229936 -aS'cath\tcath\tNN\tI-NP\tO' -p229937 -aS'done\tdo\tVBN\tB-VP\tO' -p229938 -aS',\t,\t,\tO\tO' -p229939 -aS'but\tbut\tCC\tO\tO' -p229940 -aS'echo\techo\tNN\tB-NP\tO' -p229941 -aS'05-07\t05-07\tCD\tI-NP\tO' -p229942 -aS'showed\tshow\tVBD\tB-VP\tO' -p229943 -aS'EF\tEF\tNN\tB-NP\tO' -p229944 -aS'60-65%\t60-65%\tJJ\tI-NP\tO' -p229945 -aS',\t,\t,\tI-NP\tO' -p229946 -aS'stenotic\tstenotic\tJJ\tI-NP\tO' -p229947 -aS'mech.\tmech.\tNN\tI-NP\tO' -p229948 -aS'valve\tvalve\tNN\tI-NP\tO' -p229949 -aS',\t,\t,\tO\tO' -p229950 -aS'mean\tmean\tJJ\tB-NP\tO' -p229951 -aS'gradient\tgradient\tNN\tI-NP\tO' -p229952 -aS'33\t33\tCD\tI-NP\tO' -p229953 -aS'mm\tmm\tNN\tI-NP\tO' -p229954 -aS',\t,\t,\tO\tO' -p229955 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p229956 -aS'disc\tdisc\tNN\tB-NP\tO' -p229957 -aS'motion\tmotion\tNN\tI-NP\tO' -p229958 -aS',\t,\t,\tO\tO' -p229959 -aS'mobile\tmobile\tJJ\tB-NP\tO' -p229960 -aS'mass\tmass\tNN\tI-NP\tO' -p229961 -aS'in\tin\tIN\tB-PP\tO' -p229962 -aS'LVOT\tLVOT\tNN\tB-NP\tO' -p229963 -aS',\t,\t,\tO\tO' -p229964 -aS'mild\tmild\tJJ\tB-NP\tO' -p229965 -aS'AI\tAI\tNN\tI-NP\tO' -p229966 -aS',\t,\t,\tO\tO' -p229967 -aS'mild\tmild\tJJ\tB-ADJP\tO' -p229968 -aS'to\tto\tTO\tB-PP\tO' -p229969 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p229970 -aS'MR\tMR\tNN\tI-NP\tB-protein' -p229971 -aS',\t,\t,\tO\tO' -p229972 -aS'trace\ttrace\tNN\tB-NP\tO' -p229973 -aS'TR.\tTR.\tNNP\tI-NP\tO' -p229974 -aS'Referred\tReferred\tNNP\tI-NP\tO' -p229975 -aS'for\tfor\tIN\tB-PP\tO' -p229976 -aS'surgical\tsurgical\tJJ\tB-NP\tO' -p229977 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p229978 -aS'.\t.\t.\tO\tO' -p229979 -asS'She was later sent to rehab , but returned early in April with increased cough with exertion with fever to 101 .' -p229980 -(lp229981 -S'She\tShe\tPRP\tB-NP\tO' -p229982 -aS'was\tbe\tVBD\tB-VP\tO' -p229983 -aS'later\tlater\tRB\tI-VP\tO' -p229984 -aS'sent\tsend\tVBN\tI-VP\tO' -p229985 -aS'to\tto\tTO\tI-VP\tO' -p229986 -aS'rehab\trehab\tVB\tI-VP\tO' -p229987 -aS',\t,\t,\tO\tO' -p229988 -aS'but\tbut\tCC\tO\tO' -p229989 -aS'returned\treturn\tVBD\tB-VP\tO' -p229990 -aS'early\tearly\tRB\tB-ADVP\tO' -p229991 -aS'in\tin\tIN\tB-PP\tO' -p229992 -aS'April\tApril\tNNP\tB-NP\tO' -p229993 -aS'with\twith\tIN\tB-PP\tO' -p229994 -aS'increased\tincrease\tVBN\tB-NP\tO' -p229995 -aS'cough\tcough\tNN\tI-NP\tO' -p229996 -aS'with\twith\tIN\tB-PP\tO' -p229997 -aS'exertion\texertion\tNN\tB-NP\tO' -p229998 -aS'with\twith\tIN\tB-PP\tO' -p229999 -aS'fever\tfever\tNN\tB-NP\tO' -p230000 -aS'to\tto\tTO\tB-PP\tO' -p230001 -aS'101\t101\tCD\tB-NP\tO' -p230002 -aS'.\t.\t.\tO\tO' -p230003 -asS'Ext : no edema / cyanosis , 2+ peripheral pulses , small 1 cm abrasion on R knee , no active bleeding , no brusing , no limited' -p230004 -(lp230005 -S'Ext\tExt\tNN\tB-NP\tO' -p230006 -aS':\t:\t:\tO\tO' -p230007 -aS'no\tno\tDT\tB-NP\tO' -p230008 -aS'edema\tedema\tNN\tI-NP\tO' -p230009 -aS'/\t/\tSYM\tB-NP\tO' -p230010 -aS'cyanosis\tcyanosis\tNN\tI-NP\tO' -p230011 -aS',\t,\t,\tO\tO' -p230012 -aS'2+\t2+\tJJ\tB-NP\tO' -p230013 -aS'peripheral\tperipheral\tJJ\tI-NP\tO' -p230014 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p230015 -aS',\t,\t,\tO\tO' -p230016 -aS'small\tsmall\tJJ\tB-NP\tO' -p230017 -aS'1\t1\tCD\tI-NP\tO' -p230018 -aS'cm\tcm\tNN\tI-NP\tO' -p230019 -aS'abrasion\tabrasion\tNN\tI-NP\tO' -p230020 -aS'on\ton\tIN\tB-PP\tO' -p230021 -aS'R\tR\tNN\tB-NP\tO' -p230022 -aS'knee\tknee\tNN\tI-NP\tO' -p230023 -aS',\t,\t,\tO\tO' -p230024 -aS'no\tno\tDT\tB-NP\tO' -p230025 -aS'active\tactive\tJJ\tI-NP\tO' -p230026 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p230027 -aS',\t,\t,\tO\tO' -p230028 -aS'no\tno\tDT\tB-NP\tO' -p230029 -aS'brusing\tbrusing\tNN\tI-NP\tO' -p230030 -aS',\t,\t,\tO\tO' -p230031 -aS'no\tno\tDT\tB-NP\tO' -p230032 -aS'limited\tlimited\tJJ\tI-NP\tO' -p230033 -asS'A peripheral intravenous line was started on Labor Day in the a.m. No respiratory distress was noted .' -p230034 -(lp230035 -S'A\tA\tDT\tB-NP\tO' -p230036 -aS'peripheral\tperipheral\tJJ\tI-NP\tB-cell_line' -p230037 -aS'intravenous\tintravenous\tJJ\tI-NP\tI-cell_line' -p230038 -aS'line\tline\tNN\tI-NP\tI-cell_line' -p230039 -aS'was\tbe\tVBD\tB-VP\tO' -p230040 -aS'started\tstart\tVBN\tI-VP\tO' -p230041 -aS'on\ton\tIN\tB-PP\tO' -p230042 -aS'Labor\tLabor\tNNP\tB-NP\tO' -p230043 -aS'Day\tDay\tNNP\tI-NP\tO' -p230044 -aS'in\tin\tIN\tB-PP\tO' -p230045 -aS'the\tthe\tDT\tB-NP\tO' -p230046 -aS'a.m.\ta.m.\tNN\tI-NP\tO' -p230047 -aS'No\tNo\tDT\tB-NP\tO' -p230048 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p230049 -aS'distress\tdistress\tNN\tI-NP\tO' -p230050 -aS'was\tbe\tVBD\tB-VP\tO' -p230051 -aS'noted\tnote\tVBN\tI-VP\tO' -p230052 -aS'.\t.\t.\tO\tO' -p230053 -asS'The patient is a 50 year-old female with a history of bilateral lung nodules dating back to the July of 1995 discovered on a work-up for an adrenal abnormality .' -p230054 -(lp230055 -S'The\tThe\tDT\tB-NP\tO' -p230056 -aS'patient\tpatient\tNN\tI-NP\tO' -p230057 -aS'is\tbe\tVBZ\tB-VP\tO' -p230058 -aS'a\ta\tDT\tB-NP\tO' -p230059 -aS'50\t50\tCD\tI-NP\tO' -p230060 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p230061 -aS'female\tfemale\tNN\tI-NP\tO' -p230062 -aS'with\twith\tIN\tB-PP\tO' -p230063 -aS'a\ta\tDT\tB-NP\tO' -p230064 -aS'history\thistory\tNN\tI-NP\tO' -p230065 -aS'of\tof\tIN\tB-PP\tO' -p230066 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p230067 -aS'lung\tlung\tNN\tI-NP\tO' -p230068 -aS'nodules\tnodule\tNNS\tI-NP\tO' -p230069 -aS'dating\tdate\tVBG\tB-VP\tO' -p230070 -aS'back\tback\tRB\tB-ADVP\tO' -p230071 -aS'to\tto\tTO\tB-PP\tO' -p230072 -aS'the\tthe\tDT\tB-NP\tO' -p230073 -aS'July\tJuly\tNNP\tI-NP\tO' -p230074 -aS'of\tof\tIN\tB-PP\tO' -p230075 -aS'1995\t1995\tCD\tB-NP\tO' -p230076 -aS'discovered\tdiscover\tVBN\tB-VP\tO' -p230077 -aS'on\ton\tIN\tB-PP\tO' -p230078 -aS'a\ta\tDT\tB-NP\tO' -p230079 -aS'work-up\twork-up\tNN\tI-NP\tO' -p230080 -aS'for\tfor\tIN\tB-PP\tO' -p230081 -aS'an\tan\tDT\tB-NP\tO' -p230082 -aS'adrenal\tadrenal\tJJ\tI-NP\tO' -p230083 -aS'abnormality\tabnormality\tNN\tI-NP\tO' -p230084 -aS'.\t.\t.\tO\tO' -p230085 -asS'1) Shower , wash incisions with mild soap and water and pat dry .' -p230086 -(lp230087 -S'1)\t1)\tLS\tB-LST\tO' -p230088 -aS'Shower\tShower\tNNP\tB-NP\tO' -p230089 -aS',\t,\t,\tO\tO' -p230090 -aS'wash\twash\tNN\tB-NP\tO' -p230091 -aS'incisions\tincision\tNNS\tI-NP\tO' -p230092 -aS'with\twith\tIN\tB-PP\tO' -p230093 -aS'mild\tmild\tJJ\tB-NP\tO' -p230094 -aS'soap\tsoap\tNN\tI-NP\tO' -p230095 -aS'and\tand\tCC\tO\tO' -p230096 -aS'water\twater\tNN\tB-NP\tO' -p230097 -aS'and\tand\tCC\tI-NP\tO' -p230098 -aS'pat\tpat\tNN\tI-NP\tO' -p230099 -aS'dry\tdry\tNN\tI-NP\tO' -p230100 -aS'.\t.\t.\tO\tO' -p230101 -asS'Her tracheostomy is functioning well , and we have had no problems with it .' -p230102 -(lp230103 -S'Her\tHer\tPRP$\tB-NP\tO' -p230104 -aS'tracheostomy\ttracheostomy\tNN\tI-NP\tO' -p230105 -aS'is\tbe\tVBZ\tB-VP\tO' -p230106 -aS'functioning\tfunction\tVBG\tI-VP\tO' -p230107 -aS'well\twell\tRB\tB-ADVP\tO' -p230108 -aS',\t,\t,\tO\tO' -p230109 -aS'and\tand\tCC\tO\tO' -p230110 -aS'we\twe\tPRP\tB-NP\tO' -p230111 -aS'have\thave\tVBP\tB-VP\tO' -p230112 -aS'had\thave\tVBN\tI-VP\tO' -p230113 -aS'no\tno\tDT\tB-NP\tO' -p230114 -aS'problems\tproblem\tNNS\tI-NP\tO' -p230115 -aS'with\twith\tIN\tB-PP\tO' -p230116 -aS'it\tit\tPRP\tB-NP\tO' -p230117 -aS'.\t.\t.\tO\tO' -p230118 -asS'You will also take lovenox subcutaneous injections tomorrow , 2019-02-10 .' -p230119 -(lp230120 -S'You\tYou\tPRP\tB-NP\tB-protein' -p230121 -aS'will\twill\tMD\tB-VP\tO' -p230122 -aS'also\talso\tRB\tI-VP\tO' -p230123 -aS'take\ttake\tVB\tI-VP\tO' -p230124 -aS'lovenox\tlovenox\tNN\tB-NP\tO' -p230125 -aS'subcutaneous\tsubcutaneous\tJJ\tI-NP\tO' -p230126 -aS'injections\tinjection\tNNS\tI-NP\tO' -p230127 -aS'tomorrow\ttomorrow\tNN\tB-NP\tO' -p230128 -aS',\t,\t,\tO\tO' -p230129 -aS'2019-02-10\t2019-02-10\tCD\tB-NP\tO' -p230130 -aS'.\t.\t.\tO\tO' -p230131 -asS'He had no pain and did not require any pain medications .' -p230132 -(lp230133 -S'He\tHe\tPRP\tB-NP\tO' -p230134 -aS'had\thave\tVBD\tB-VP\tO' -p230135 -aS'no\tno\tDT\tB-NP\tO' -p230136 -aS'pain\tpain\tNN\tI-NP\tO' -p230137 -aS'and\tand\tCC\tO\tO' -p230138 -aS'did\tdo\tVBD\tB-VP\tO' -p230139 -aS'not\tnot\tRB\tI-VP\tO' -p230140 -aS'require\trequire\tVB\tI-VP\tO' -p230141 -aS'any\tany\tDT\tB-NP\tO' -p230142 -aS'pain\tpain\tNN\tI-NP\tO' -p230143 -aS'medications\tmedication\tNNS\tI-NP\tO' -p230144 -aS'.\t.\t.\tO\tO' -p230145 -asS'On insertion she was found to be retaining 1400 cc of urine , so the foley catheter was left in .' -p230146 -(lp230147 -S'On\tOn\tIN\tB-PP\tO' -p230148 -aS'insertion\tinsertion\tNN\tB-NP\tO' -p230149 -aS'she\tshe\tPRP\tB-NP\tO' -p230150 -aS'was\tbe\tVBD\tB-VP\tO' -p230151 -aS'found\tfind\tVBN\tI-VP\tO' -p230152 -aS'to\tto\tTO\tI-VP\tO' -p230153 -aS'be\tbe\tVB\tI-VP\tO' -p230154 -aS'retaining\tretain\tVBG\tI-VP\tO' -p230155 -aS'1400\t1400\tCD\tB-NP\tO' -p230156 -aS'cc\tcc\tNN\tI-NP\tO' -p230157 -aS'of\tof\tIN\tB-PP\tO' -p230158 -aS'urine\turine\tNN\tB-NP\tO' -p230159 -aS',\t,\t,\tO\tO' -p230160 -aS'so\tso\tIN\tO\tO' -p230161 -aS'the\tthe\tDT\tB-NP\tO' -p230162 -aS'foley\tfoley\tJJ\tI-NP\tO' -p230163 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p230164 -aS'was\tbe\tVBD\tB-VP\tO' -p230165 -aS'left\tleave\tVBN\tI-VP\tO' -p230166 -aS'in\tin\tRP\tB-PRT\tO' -p230167 -aS'.\t.\t.\tO\tO' -p230168 -asS'Not assoc with exertion ( pt has active lifestyle ) .' -p230169 -(lp230170 -S'Not\tNot\tRB\tB-NP\tO' -p230171 -aS'assoc\tassoc\tNN\tI-NP\tO' -p230172 -aS'with\twith\tIN\tB-PP\tO' -p230173 -aS'exertion\texertion\tNN\tB-NP\tO' -p230174 -aS'(\t(\t(\tO\tO' -p230175 -aS'pt\tpt\tNN\tB-NP\tO' -p230176 -aS'has\thave\tVBZ\tB-VP\tO' -p230177 -aS'active\tactive\tJJ\tB-NP\tO' -p230178 -aS'lifestyle\tlifestyle\tNN\tI-NP\tO' -p230179 -aS')\t)\t)\tO\tO' -p230180 -aS'.\t.\t.\tO\tO' -p230181 -asS'Chronic encephalomalacic changes at the right frontal lobe and right parietal / occipital region are unchanged in appearance since 2018-11-27 .' -p230182 -(lp230183 -S'Chronic\tChronic\tJJ\tB-NP\tO' -p230184 -aS'encephalomalacic\tencephalomalacic\tJJ\tI-NP\tO' -p230185 -aS'changes\tchange\tNNS\tI-NP\tO' -p230186 -aS'at\tat\tIN\tB-PP\tO' -p230187 -aS'the\tthe\tDT\tB-NP\tO' -p230188 -aS'right\tright\tJJ\tI-NP\tO' -p230189 -aS'frontal\tfrontal\tJJ\tI-NP\tO' -p230190 -aS'lobe\tlobe\tNN\tI-NP\tO' -p230191 -aS'and\tand\tCC\tO\tO' -p230192 -aS'right\tright\tJJ\tB-NP\tO' -p230193 -aS'parietal\tparietal\tNN\tI-NP\tO' -p230194 -aS'/\t/\tSYM\tB-VP\tO' -p230195 -aS'occipital\toccipital\tNN\tB-NP\tB-protein' -p230196 -aS'region\tregion\tNN\tI-NP\tI-protein' -p230197 -aS'are\tbe\tVBP\tB-VP\tO' -p230198 -aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' -p230199 -aS'in\tin\tIN\tB-PP\tO' -p230200 -aS'appearance\tappearance\tNN\tB-NP\tO' -p230201 -aS'since\tsince\tIN\tB-PP\tO' -p230202 -aS'2018-11-27\t2018-11-27\tCD\tB-NP\tO' -p230203 -aS'.\t.\t.\tO\tO' -p230204 -asS'Mother was admitted to the Nantucket Cottage Hospital from Lawrence General Hospital Hospital on 05-01 with cervical effacement and preterm labor .' -p230205 -(lp230206 -S'Mother\tMother\tDT\tB-NP\tO' -p230207 -aS'was\tbe\tVBD\tB-VP\tO' -p230208 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p230209 -aS'to\tto\tTO\tB-PP\tO' -p230210 -aS'the\tthe\tDT\tB-NP\tO' -p230211 -aS'Nantucket\tNantucket\tNNP\tI-NP\tO' -p230212 -aS'Cottage\tCottage\tNNP\tI-NP\tO' -p230213 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p230214 -aS'from\tfrom\tIN\tB-PP\tO' -p230215 -aS'Lawrence\tLawrence\tNNP\tB-NP\tO' -p230216 -aS'General\tGeneral\tNNP\tI-NP\tO' -p230217 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p230218 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p230219 -aS'on\ton\tIN\tB-PP\tO' -p230220 -aS'05-01\t05-01\tCD\tB-NP\tO' -p230221 -aS'with\twith\tIN\tB-PP\tO' -p230222 -aS'cervical\tcervical\tJJ\tB-NP\tO' -p230223 -aS'effacement\teffacement\tNN\tI-NP\tO' -p230224 -aS'and\tand\tCC\tO\tO' -p230225 -aS'preterm\tpreterm\tJJ\tB-NP\tO' -p230226 -aS'labor\tlabor\tNN\tI-NP\tO' -p230227 -aS'.\t.\t.\tO\tO' -p230228 -asS'There was no known incontinence .' -p230229 -(lp230230 -S'There\tThere\tEX\tB-NP\tO' -p230231 -aS'was\tbe\tVBD\tB-VP\tO' -p230232 -aS'no\tno\tDT\tB-NP\tO' -p230233 -aS'known\tknow\tVBN\tI-NP\tO' -p230234 -aS'incontinence\tincontinence\tNN\tI-NP\tO' -p230235 -aS'.\t.\t.\tO\tO' -p230236 -asS'4. Warfarin 1 mg Tablet Sig : One ( 1 ) Tablet PO HS ( at bedtime ) .' -p230237 -(lp230238 -S'4.\t4.\tLS\tB-LST\tO' -p230239 -aS'Warfarin\tWarfarin\tNNP\tB-NP\tO' -p230240 -aS'1\t1\tCD\tI-NP\tO' -p230241 -aS'mg\tmg\tNN\tI-NP\tO' -p230242 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p230243 -aS'Sig\tSig\tNNP\tI-NP\tO' -p230244 -aS':\t:\t:\tO\tO' -p230245 -aS'One\tOne\tCD\tB-NP\tO' -p230246 -aS'(\t(\t(\tO\tO' -p230247 -aS'1\t1\tCD\tB-NP\tO' -p230248 -aS')\t)\t)\tO\tO' -p230249 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p230250 -aS'PO\tPO\tNN\tI-NP\tO' -p230251 -aS'HS\tHS\tNN\tI-NP\tO' -p230252 -aS'(\t(\t(\tO\tO' -p230253 -aS'at\tat\tIN\tB-PP\tO' -p230254 -aS'bedtime\tbedtime\tNN\tB-NP\tO' -p230255 -aS')\t)\t)\tO\tO' -p230256 -aS'.\t.\t.\tO\tO' -p230257 -asS'Hct also remained stable .' -p230258 -(lp230259 -S'Hct\tHct\tNN\tB-NP\tB-protein' -p230260 -aS'also\talso\tRB\tB-ADVP\tO' -p230261 -aS'remained\tremain\tVBD\tB-VP\tO' -p230262 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p230263 -aS'.\t.\t.\tO\tO' -p230264 -asS'Bilateral feet externally rotated .' -p230265 -(lp230266 -S'Bilateral\tBilateral\tJJ\tB-NP\tO' -p230267 -aS'feet\tfoot\tNNS\tI-NP\tO' -p230268 -aS'externally\texternally\tRB\tB-VP\tO' -p230269 -aS'rotated\trotate\tVBN\tI-VP\tO' -p230270 -aS'.\t.\t.\tO\tO' -p230271 -asS'6. ESRD on HD - Pt has ESRD secondary to her DM and is on HD .' -p230272 -(lp230273 -S'6.\t6.\tLS\tB-NP\tO' -p230274 -aS'ESRD\tESRD\tNN\tI-NP\tO' -p230275 -aS'on\ton\tIN\tB-PP\tO' -p230276 -aS'HD\tHD\tNN\tB-NP\tO' -p230277 -aS'-\t-\tHYPH\tB-NP\tO' -p230278 -aS'Pt\tPt\tNN\tI-NP\tO' -p230279 -aS'has\thave\tVBZ\tB-VP\tO' -p230280 -aS'ESRD\tESRD\tVBN\tI-VP\tO' -p230281 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p230282 -aS'to\tto\tTO\tB-PP\tO' -p230283 -aS'her\ther\tPRP$\tB-NP\tO' -p230284 -aS'DM\tDM\tNN\tI-NP\tO' -p230285 -aS'and\tand\tCC\tO\tO' -p230286 -aS'is\tbe\tVBZ\tB-VP\tO' -p230287 -aS'on\ton\tIN\tB-PP\tO' -p230288 -aS'HD\tHD\tNN\tB-NP\tO' -p230289 -aS'.\t.\t.\tO\tO' -p230290 -asS'He was taken to the Cardiac Catheterization Laboratory which showed multi-vessel disease and Cardiothoracic Surgery was consulted .' -p230291 -(lp230292 -S'He\tHe\tPRP\tB-NP\tO' -p230293 -aS'was\tbe\tVBD\tB-VP\tO' -p230294 -aS'taken\ttake\tVBN\tI-VP\tO' -p230295 -aS'to\tto\tTO\tB-PP\tO' -p230296 -aS'the\tthe\tDT\tB-NP\tO' -p230297 -aS'Cardiac\tCardiac\tNNP\tI-NP\tO' -p230298 -aS'Catheterization\tCatheterization\tNNP\tI-NP\tO' -p230299 -aS'Laboratory\tLaboratory\tNNP\tI-NP\tO' -p230300 -aS'which\twhich\tWDT\tB-NP\tO' -p230301 -aS'showed\tshow\tVBD\tB-VP\tO' -p230302 -aS'multi-vessel\tmulti-vessel\tJJ\tB-NP\tO' -p230303 -aS'disease\tdisease\tNN\tI-NP\tO' -p230304 -aS'and\tand\tCC\tO\tO' -p230305 -aS'Cardiothoracic\tCardiothoracic\tNNP\tB-NP\tO' -p230306 -aS'Surgery\tSurgery\tNNP\tI-NP\tO' -p230307 -aS'was\tbe\tVBD\tB-VP\tO' -p230308 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p230309 -aS'.\t.\t.\tO\tO' -p230310 -asS'There was evidence of cord compression .' -p230311 -(lp230312 -S'There\tThere\tEX\tB-NP\tO' -p230313 -aS'was\tbe\tVBD\tB-VP\tO' -p230314 -aS'evidence\tevidence\tNN\tB-NP\tO' -p230315 -aS'of\tof\tIN\tB-PP\tO' -p230316 -aS'cord\tcord\tNN\tB-NP\tO' -p230317 -aS'compression\tcompression\tNN\tI-NP\tO' -p230318 -aS'.\t.\t.\tO\tO' -p230319 -asS'The family understood that this was a life saving procedure and only carried with it approximately 50% chance of success .' -p230320 -(lp230321 -S'The\tThe\tDT\tB-NP\tO' -p230322 -aS'family\tfamily\tNN\tI-NP\tO' -p230323 -aS'understood\tunderstand\tVBD\tB-VP\tO' -p230324 -aS'that\tthat\tIN\tB-SBAR\tO' -p230325 -aS'this\tthis\tDT\tB-NP\tO' -p230326 -aS'was\tbe\tVBD\tB-VP\tO' -p230327 -aS'a\ta\tDT\tB-NP\tO' -p230328 -aS'life\tlife\tNN\tI-NP\tO' -p230329 -aS'saving\tsave\tVBG\tB-VP\tO' -p230330 -aS'procedure\tprocedure\tNN\tB-NP\tO' -p230331 -aS'and\tand\tCC\tO\tO' -p230332 -aS'only\tonly\tRB\tB-VP\tO' -p230333 -aS'carried\tcarry\tVBD\tI-VP\tO' -p230334 -aS'with\twith\tIN\tB-PP\tO' -p230335 -aS'it\tit\tPRP\tB-NP\tO' -p230336 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p230337 -aS'50%\t50%\tCD\tI-NP\tO' -p230338 -aS'chance\tchance\tNN\tI-NP\tO' -p230339 -aS'of\tof\tIN\tB-PP\tO' -p230340 -aS'success\tsuccess\tNN\tB-NP\tO' -p230341 -aS'.\t.\t.\tO\tO' -p230342 -asS'1. Insulin-dependent diabetes .' -p230343 -(lp230344 -S'1.\t1.\tLS\tB-NP\tO' -p230345 -aS'Insulin-dependent\tInsulin-dependent\tJJ\tI-NP\tO' -p230346 -aS'diabetes\tdiabete\tNNS\tI-NP\tO' -p230347 -aS'.\t.\t.\tO\tO' -p230348 -asS'He had a transthoracic echocardiogram which revealed no vegetations .' -p230349 -(lp230350 -S'He\tHe\tPRP\tB-NP\tO' -p230351 -aS'had\thave\tVBD\tB-VP\tO' -p230352 -aS'a\ta\tDT\tB-NP\tO' -p230353 -aS'transthoracic\ttransthoracic\tJJ\tI-NP\tO' -p230354 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p230355 -aS'which\twhich\tWDT\tB-NP\tO' -p230356 -aS'revealed\treveal\tVBD\tB-VP\tO' -p230357 -aS'no\tno\tDT\tB-NP\tO' -p230358 -aS'vegetations\tvegetation\tNNS\tI-NP\tO' -p230359 -aS'.\t.\t.\tO\tO' -p230360 -asS'1. Gestational carrier for brother and his wife ( donor eggs ).' -p230361 -(lp230362 -S'1.\t1.\tLS\tB-NP\tO' -p230363 -aS'Gestational\tGestational\tJJ\tI-NP\tO' -p230364 -aS'carrier\tcarrier\tNN\tI-NP\tO' -p230365 -aS'for\tfor\tIN\tB-PP\tO' -p230366 -aS'brother\tbrother\tNN\tB-NP\tO' -p230367 -aS'and\tand\tCC\tO\tO' -p230368 -aS'his\this\tPRP$\tB-NP\tO' -p230369 -aS'wife\twife\tNN\tI-NP\tO' -p230370 -aS'(\t(\t(\tO\tO' -p230371 -aS'donor\tdonor\tNN\tB-NP\tO' -p230372 -aS'eggs\tegg\tNNS\tI-NP\tO' -p230373 -aS').\t).\tVBP\tB-VP\tO' -p230374 -asS'5. Congestive heart failure .' -p230375 -(lp230376 -S'5.\t5.\tLS\tB-NP\tO' -p230377 -aS'Congestive\tCongestive\tJJ\tI-NP\tO' -p230378 -aS'heart\theart\tNN\tI-NP\tO' -p230379 -aS'failure\tfailure\tNN\tI-NP\tO' -p230380 -aS'.\t.\t.\tO\tO' -p230381 -asS'The tears in the transverse mesocolon and colon serosa were repaired .' -p230382 -(lp230383 -S'The\tThe\tDT\tB-NP\tO' -p230384 -aS'tears\ttear\tNNS\tI-NP\tO' -p230385 -aS'in\tin\tIN\tB-PP\tO' -p230386 -aS'the\tthe\tDT\tB-NP\tO' -p230387 -aS'transverse\ttransverse\tJJ\tI-NP\tO' -p230388 -aS'mesocolon\tmesocolon\tNN\tI-NP\tO' -p230389 -aS'and\tand\tCC\tI-NP\tO' -p230390 -aS'colon\tcolon\tNN\tI-NP\tO' -p230391 -aS'serosa\tserosa\tNN\tI-NP\tO' -p230392 -aS'were\tbe\tVBD\tB-VP\tO' -p230393 -aS'repaired\trepair\tVBN\tI-VP\tO' -p230394 -aS'.\t.\t.\tO\tO' -p230395 -asS'On exam she is afebrile .' -p230396 -(lp230397 -S'On\tOn\tIN\tB-PP\tO' -p230398 -aS'exam\texam\tNN\tB-NP\tO' -p230399 -aS'she\tshe\tPRP\tB-NP\tO' -p230400 -aS'is\tbe\tVBZ\tB-VP\tO' -p230401 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p230402 -aS'.\t.\t.\tO\tO' -p230403 -asS'His airway and symptoms continued to improve and remained stable .' -p230404 -(lp230405 -S'His\tHis\tPRP$\tB-NP\tO' -p230406 -aS'airway\tairway\tNN\tI-NP\tO' -p230407 -aS'and\tand\tCC\tI-NP\tO' -p230408 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p230409 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p230410 -aS'to\tto\tTO\tI-VP\tO' -p230411 -aS'improve\timprove\tVB\tI-VP\tO' -p230412 -aS'and\tand\tCC\tO\tO' -p230413 -aS'remained\tremain\tVBD\tB-VP\tO' -p230414 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p230415 -aS'.\t.\t.\tO\tO' -p230416 -asS'MD to dose daily .' -p230417 -(lp230418 -S'MD\tMD\tNN\tB-NP\tO' -p230419 -aS'to\tto\tTO\tB-PP\tO' -p230420 -aS'dose\tdose\tNN\tB-NP\tO' -p230421 -aS'daily\tdaily\tRB\tB-ADVP\tO' -p230422 -aS'.\t.\t.\tO\tO' -p230423 -asS'He demonstrated poor ability for abstract thinking .' -p230424 -(lp230425 -S'He\tHe\tPRP\tB-NP\tO' -p230426 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p230427 -aS'poor\tpoor\tJJ\tB-NP\tO' -p230428 -aS'ability\tability\tNN\tI-NP\tO' -p230429 -aS'for\tfor\tIN\tB-PP\tO' -p230430 -aS'abstract\tabstract\tJJ\tB-NP\tO' -p230431 -aS'thinking\tthinking\tNN\tI-NP\tO' -p230432 -aS'.\t.\t.\tO\tO' -p230433 -asS'2. She is status post cholecystectomy .' -p230434 -(lp230435 -S'2.\t2.\tLS\tB-NP\tO' -p230436 -aS'She\tShe\tNN\tI-NP\tB-protein' -p230437 -aS'is\tbe\tVBZ\tB-VP\tO' -p230438 -aS'status\tstatus\tNN\tB-NP\tO' -p230439 -aS'post\tpost\tNN\tI-NP\tO' -p230440 -aS'cholecystectomy\tcholecystectomy\tNN\tI-NP\tO' -p230441 -aS'.\t.\t.\tO\tO' -p230442 -asS'Improvement has correlated w/ tapering of steroids , one of the causes in the differential .' -p230443 -(lp230444 -S'Improvement\tImprovement\tNN\tB-NP\tO' -p230445 -aS'has\thave\tVBZ\tB-VP\tO' -p230446 -aS'correlated\tcorrelate\tVBN\tI-VP\tO' -p230447 -aS'w/\tw/\tNN\tB-NP\tO' -p230448 -aS'tapering\ttapering\tNN\tI-NP\tO' -p230449 -aS'of\tof\tIN\tB-PP\tO' -p230450 -aS'steroids\tsteroid\tNNS\tB-NP\tO' -p230451 -aS',\t,\t,\tO\tO' -p230452 -aS'one\tone\tCD\tB-NP\tO' -p230453 -aS'of\tof\tIN\tB-PP\tO' -p230454 -aS'the\tthe\tDT\tB-NP\tO' -p230455 -aS'causes\tcause\tNNS\tI-NP\tO' -p230456 -aS'in\tin\tIN\tB-PP\tO' -p230457 -aS'the\tthe\tDT\tB-NP\tO' -p230458 -aS'differential\tdifferential\tJJ\tI-NP\tO' -p230459 -aS'.\t.\t.\tO\tO' -p230460 -asS'Abdomen is soft and nontender without hepatosplenomegaly or mass .' -p230461 -(lp230462 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p230463 -aS'is\tbe\tVBZ\tB-VP\tO' -p230464 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p230465 -aS'and\tand\tCC\tI-ADJP\tO' -p230466 -aS'nontender\tnontender\tJJ\tI-ADJP\tO' -p230467 -aS'without\twithout\tIN\tB-PP\tO' -p230468 -aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tB-NP\tO' -p230469 -aS'or\tor\tCC\tI-NP\tO' -p230470 -aS'mass\tmass\tNN\tI-NP\tO' -p230471 -aS'.\t.\t.\tO\tO' -p230472 -asS'1) MENORRHAGIA .' -p230473 -(lp230474 -S'1)\t1)\tLS\tB-NP\tO' -p230475 -aS'MENORRHAGIA\tMENORRHAGIA\tNN\tI-NP\tO' -p230476 -aS'.\t.\t.\tO\tO' -p230477 -asS'She was without the ability to move her left lower extremity with decreased sensation in the left leg .' -p230478 -(lp230479 -S'She\tShe\tPRP\tB-NP\tO' -p230480 -aS'was\tbe\tVBD\tB-VP\tO' -p230481 -aS'without\twithout\tIN\tB-PP\tO' -p230482 -aS'the\tthe\tDT\tB-NP\tO' -p230483 -aS'ability\tability\tNN\tI-NP\tO' -p230484 -aS'to\tto\tTO\tB-VP\tO' -p230485 -aS'move\tmove\tVB\tI-VP\tO' -p230486 -aS'her\ther\tPRP$\tB-NP\tO' -p230487 -aS'left\tleft\tJJ\tI-NP\tO' -p230488 -aS'lower\tlow\tJJR\tI-NP\tO' -p230489 -aS'extremity\textremity\tNN\tI-NP\tO' -p230490 -aS'with\twith\tIN\tB-PP\tO' -p230491 -aS'decreased\tdecrease\tVBN\tB-NP\tO' -p230492 -aS'sensation\tsensation\tNN\tI-NP\tO' -p230493 -aS'in\tin\tIN\tB-PP\tO' -p230494 -aS'the\tthe\tDT\tB-NP\tO' -p230495 -aS'left\tleft\tJJ\tI-NP\tO' -p230496 -aS'leg\tleg\tNN\tI-NP\tO' -p230497 -aS'.\t.\t.\tO\tO' -p230498 -asS'Moving toward home hospice .' -p230499 -(lp230500 -S'Moving\tMove\tVBG\tB-VP\tO' -p230501 -aS'toward\ttoward\tIN\tB-PP\tO' -p230502 -aS'home\thome\tNN\tB-NP\tO' -p230503 -aS'hospice\thospice\tNN\tI-NP\tO' -p230504 -aS'.\t.\t.\tO\tO' -p230505 -asS'Necrotizing pancreatitis .' -p230506 -(lp230507 -S'Necrotizing\tNecrotize\tVBG\tB-VP\tO' -p230508 -aS'pancreatitis\tpancreatitis\tNN\tB-NP\tO' -p230509 -aS'.\t.\t.\tO\tO' -p230510 -asS'This can be evaluated further and is not a problem at this time .' -p230511 -(lp230512 -S'This\tThis\tDT\tB-NP\tO' -p230513 -aS'can\tcan\tMD\tB-VP\tO' -p230514 -aS'be\tbe\tVB\tI-VP\tO' -p230515 -aS'evaluated\tevaluate\tVBN\tI-VP\tO' -p230516 -aS'further\tfurther\tRBR\tB-ADVP\tO' -p230517 -aS'and\tand\tCC\tO\tO' -p230518 -aS'is\tbe\tVBZ\tB-VP\tO' -p230519 -aS'not\tnot\tRB\tO\tO' -p230520 -aS'a\ta\tDT\tB-NP\tO' -p230521 -aS'problem\tproblem\tNN\tI-NP\tO' -p230522 -aS'at\tat\tIN\tB-PP\tO' -p230523 -aS'this\tthis\tDT\tB-NP\tO' -p230524 -aS'time\ttime\tNN\tI-NP\tO' -p230525 -aS'.\t.\t.\tO\tO' -p230526 -asS'She is married .' -p230527 -(lp230528 -S'She\tShe\tPRP\tB-NP\tO' -p230529 -aS'is\tbe\tVBZ\tB-VP\tO' -p230530 -aS'married\tmarry\tVBN\tI-VP\tO' -p230531 -aS'.\t.\t.\tO\tO' -p230532 -asS'The proximal RCA was totally occluded with good left to right collaterals .' -p230533 -(lp230534 -S'The\tThe\tDT\tB-NP\tO' -p230535 -aS'proximal\tproximal\tJJ\tI-NP\tO' -p230536 -aS'RCA\tRCA\tNN\tI-NP\tO' -p230537 -aS'was\tbe\tVBD\tB-VP\tO' -p230538 -aS'totally\ttotally\tRB\tI-VP\tO' -p230539 -aS'occluded\tocclude\tVBN\tI-VP\tO' -p230540 -aS'with\twith\tIN\tB-PP\tO' -p230541 -aS'good\tgood\tJJ\tB-NP\tO' -p230542 -aS'left\tleft\tNN\tI-NP\tO' -p230543 -aS'to\tto\tTO\tB-PP\tO' -p230544 -aS'right\tright\tJJ\tB-NP\tO' -p230545 -aS'collaterals\tcollateral\tNNS\tI-NP\tO' -p230546 -aS'.\t.\t.\tO\tO' -p230547 -asS'No restrictions .' -p230548 -(lp230549 -S'No\tNo\tDT\tB-NP\tO' -p230550 -aS'restrictions\trestriction\tNNS\tI-NP\tO' -p230551 -aS'.\t.\t.\tO\tO' -p230552 -asS'The sputum Gram stain showed a few polys and no organisms .' -p230553 -(lp230554 -S'The\tThe\tDT\tB-NP\tO' -p230555 -aS'sputum\tsputum\tNN\tI-NP\tO' -p230556 -aS'Gram\tGram\tNN\tI-NP\tO' -p230557 -aS'stain\tstain\tNN\tI-NP\tO' -p230558 -aS'showed\tshow\tVBD\tB-VP\tO' -p230559 -aS'a\ta\tDT\tB-NP\tO' -p230560 -aS'few\tfew\tJJ\tI-NP\tO' -p230561 -aS'polys\tpoly\tNNS\tI-NP\tO' -p230562 -aS'and\tand\tCC\tO\tO' -p230563 -aS'no\tno\tDT\tB-NP\tO' -p230564 -aS'organisms\torganism\tNNS\tI-NP\tO' -p230565 -aS'.\t.\t.\tO\tO' -p230566 -asS'In general the patient was resting comfortably in bed with a visible tremor of her right hand and foot .' -p230567 -(lp230568 -S'In\tIn\tIN\tB-PP\tO' -p230569 -aS'general\tgeneral\tJJ\tB-ADJP\tO' -p230570 -aS'the\tthe\tDT\tB-NP\tO' -p230571 -aS'patient\tpatient\tNN\tI-NP\tO' -p230572 -aS'was\tbe\tVBD\tB-VP\tO' -p230573 -aS'resting\trest\tVBG\tI-VP\tO' -p230574 -aS'comfortably\tcomfortably\tRB\tB-ADVP\tO' -p230575 -aS'in\tin\tIN\tB-PP\tO' -p230576 -aS'bed\tbed\tNN\tB-NP\tO' -p230577 -aS'with\twith\tIN\tB-PP\tO' -p230578 -aS'a\ta\tDT\tB-NP\tO' -p230579 -aS'visible\tvisible\tJJ\tI-NP\tO' -p230580 -aS'tremor\ttremor\tNN\tI-NP\tO' -p230581 -aS'of\tof\tIN\tB-PP\tO' -p230582 -aS'her\ther\tPRP$\tB-NP\tO' -p230583 -aS'right\tright\tJJ\tI-NP\tO' -p230584 -aS'hand\thand\tNN\tI-NP\tO' -p230585 -aS'and\tand\tCC\tI-NP\tO' -p230586 -aS'foot\tfoot\tNN\tI-NP\tO' -p230587 -aS'.\t.\t.\tO\tO' -p230588 -asS'On 2013-09-08 , patient pulled out peg tube .' -p230589 -(lp230590 -S'On\tOn\tIN\tB-PP\tO' -p230591 -aS'2013-09-08\t2013-09-08\tCD\tB-NP\tO' -p230592 -aS',\t,\t,\tO\tO' -p230593 -aS'patient\tpatient\tNN\tB-NP\tO' -p230594 -aS'pulled\tpull\tVBD\tB-VP\tO' -p230595 -aS'out\tout\tRP\tB-PRT\tO' -p230596 -aS'peg\tpeg\tNN\tB-NP\tO' -p230597 -aS'tube\ttube\tNN\tI-NP\tO' -p230598 -aS'.\t.\t.\tO\tO' -p230599 -asS'The patient has a macrocytosis .' -p230600 -(lp230601 -S'The\tThe\tDT\tB-NP\tO' -p230602 -aS'patient\tpatient\tNN\tI-NP\tO' -p230603 -aS'has\thave\tVBZ\tB-VP\tO' -p230604 -aS'a\ta\tDT\tB-NP\tO' -p230605 -aS'macrocytosis\tmacrocytosis\tNN\tI-NP\tO' -p230606 -aS'.\t.\t.\tO\tO' -p230607 -asS'8. Ocuvite Tablet Sig : One ( 1 ) Tablet PO once a day .' -p230608 -(lp230609 -S'8.\t8.\tCD\tB-NP\tO' -p230610 -aS'Ocuvite\tOcuvite\tNNP\tI-NP\tO' -p230611 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p230612 -aS'Sig\tSig\tNNP\tI-NP\tO' -p230613 -aS':\t:\t:\tO\tO' -p230614 -aS'One\tOne\tCD\tB-NP\tO' -p230615 -aS'(\t(\t(\tO\tO' -p230616 -aS'1\t1\tCD\tB-NP\tO' -p230617 -aS')\t)\t)\tO\tO' -p230618 -aS'Tablet\tTablet\tNN\tB-NP\tB-protein' -p230619 -aS'PO\tPO\tNN\tI-NP\tI-protein' -p230620 -aS'once\tonce\tRB\tO\tO' -p230621 -aS'a\ta\tDT\tB-NP\tO' -p230622 -aS'day\tday\tNN\tI-NP\tO' -p230623 -aS'.\t.\t.\tO\tO' -p230624 -asS'He was gently diuresed towards his preoperative weight .' -p230625 -(lp230626 -S'He\tHe\tPRP\tB-NP\tO' -p230627 -aS'was\tbe\tVBD\tB-VP\tO' -p230628 -aS'gently\tgently\tRB\tI-VP\tO' -p230629 -aS'diuresed\tdiurese\tVBN\tI-VP\tO' -p230630 -aS'towards\ttowards\tIN\tB-PP\tO' -p230631 -aS'his\this\tPRP$\tB-NP\tO' -p230632 -aS'preoperative\tpreoperative\tJJ\tI-NP\tO' -p230633 -aS'weight\tweight\tNN\tI-NP\tO' -p230634 -aS'.\t.\t.\tO\tO' -p230635 -asS'Coronary angiogram .' -p230636 -(lp230637 -S'Coronary\tCoronary\tJJ\tB-NP\tO' -p230638 -aS'angiogram\tangiogram\tNN\tI-NP\tO' -p230639 -aS'.\t.\t.\tO\tO' -p230640 -asS'This is to notify you that your patient , CIENNE , GUTAOI arrived in the Emergency Department at Well General Hospital on 12/19/2006 08:13 PM .' -p230641 -(lp230642 -S'This\tThis\tDT\tB-NP\tO' -p230643 -aS'is\tbe\tVBZ\tB-VP\tO' -p230644 -aS'to\tto\tTO\tB-VP\tO' -p230645 -aS'notify\tnotify\tVB\tI-VP\tO' -p230646 -aS'you\tyou\tPRP\tB-NP\tO' -p230647 -aS'that\tthat\tIN\tB-SBAR\tO' -p230648 -aS'your\tyour\tPRP$\tB-NP\tO' -p230649 -aS'patient\tpatient\tNN\tI-NP\tO' -p230650 -aS',\t,\t,\tO\tO' -p230651 -aS'CIENNE\tCIENNE\tNN\tB-NP\tO' -p230652 -aS',\t,\t,\tO\tO' -p230653 -aS'GUTAOI\tGUTAOI\tNN\tB-NP\tO' -p230654 -aS'arrived\tarrive\tVBD\tB-VP\tO' -p230655 -aS'in\tin\tIN\tB-PP\tO' -p230656 -aS'the\tthe\tDT\tB-NP\tO' -p230657 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p230658 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p230659 -aS'at\tat\tIN\tB-PP\tO' -p230660 -aS'Well\tWell\tNNP\tB-NP\tO' -p230661 -aS'General\tGeneral\tNNP\tI-NP\tO' -p230662 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p230663 -aS'on\ton\tIN\tB-PP\tO' -p230664 -aS'12/19/2006\t12/19/2006\tCD\tB-NP\tO' -p230665 -aS'08:13\t08:13\tCD\tI-NP\tO' -p230666 -aS'PM\tPM\tNN\tI-NP\tO' -p230667 -aS'.\t.\t.\tO\tO' -p230668 -asS'Signed electronically by : DR. Brenda JM. Espinosa on : Maxine 2015-09-10 1:57 PM' -p230669 -(lp230670 -S'Signed\tSign\tVBN\tB-VP\tO' -p230671 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p230672 -aS'by\tby\tIN\tB-PP\tO' -p230673 -aS':\t:\t:\tO\tO' -p230674 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p230675 -aS'Brenda\tBrenda\tNNP\tI-NP\tO' -p230676 -aS'JM.\tJM.\tNNP\tI-NP\tO' -p230677 -aS'Espinosa\tEspinosa\tNNP\tI-NP\tO' -p230678 -aS'on\ton\tIN\tB-PP\tO' -p230679 -aS':\t:\t:\tO\tO' -p230680 -aS'Maxine\tMaxine\tNN\tB-NP\tO' -p230681 -aS'2015-09-10\t2015-09-10\tCD\tI-NP\tO' -p230682 -aS'1:57\t1:57\tCD\tI-NP\tO' -p230683 -aS'PM\tPM\tNN\tI-NP\tO' -p230684 -asS"Morphine was administered to insure patient 's comfort ." -p230685 -(lp230686 -S'Morphine\tMorphine\tNN\tB-NP\tO' -p230687 -aS'was\tbe\tVBD\tB-VP\tO' -p230688 -aS'administered\tadminister\tVBN\tI-VP\tO' -p230689 -aS'to\tto\tTO\tI-VP\tO' -p230690 -aS'insure\tinsure\tVB\tI-VP\tO' -p230691 -aS'patient\tpatient\tNN\tB-NP\tO' -p230692 -aS"'s\t's\tPOS\tB-NP\tO" -p230693 -aS'comfort\tcomfort\tNN\tI-NP\tO' -p230694 -aS'.\t.\t.\tO\tO' -p230695 -asS'Neck : Supple with full range of motion , no lymphadenopathy nor thyromegaly .' -p230696 -(lp230697 -S'Neck\tNeck\tNN\tB-NP\tO' -p230698 -aS':\t:\t:\tO\tO' -p230699 -aS'Supple\tSupple\tNN\tB-NP\tO' -p230700 -aS'with\twith\tIN\tB-PP\tO' -p230701 -aS'full\tfull\tJJ\tB-NP\tO' -p230702 -aS'range\trange\tNN\tI-NP\tO' -p230703 -aS'of\tof\tIN\tB-PP\tO' -p230704 -aS'motion\tmotion\tNN\tB-NP\tO' -p230705 -aS',\t,\t,\tO\tO' -p230706 -aS'no\tno\tDT\tB-NP\tO' -p230707 -aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' -p230708 -aS'nor\tnor\tCC\tO\tO' -p230709 -aS'thyromegaly\tthyromegaly\tRB\tB-ADVP\tO' -p230710 -aS'.\t.\t.\tO\tO' -p230711 -asS'18. Maalox 200-200-20 mg / 5 mL Suspension Sig : Fifteen ( 15 ) ML PO PRN ( as needed ) .' -p230712 -(lp230713 -S'18.\t18.\tCD\tB-NP\tO' -p230714 -aS'Maalox\tMaalox\tNNP\tI-NP\tO' -p230715 -aS'200-200-20\t200-200-20\tCD\tI-NP\tO' -p230716 -aS'mg\tmg\tNN\tI-NP\tO' -p230717 -aS'/\t/\tSYM\tB-NP\tO' -p230718 -aS'5\t5\tCD\tB-NP\tO' -p230719 -aS'mL\tmL\tNN\tI-NP\tO' -p230720 -aS'Suspension\tSuspension\tNNP\tI-NP\tO' -p230721 -aS'Sig\tSig\tNNP\tI-NP\tO' -p230722 -aS':\t:\t:\tO\tO' -p230723 -aS'Fifteen\tFifteen\tCD\tB-NP\tO' -p230724 -aS'(\t(\t(\tO\tO' -p230725 -aS'15\t15\tCD\tB-NP\tO' -p230726 -aS')\t)\t)\tO\tO' -p230727 -aS'ML\tML\tNN\tB-NP\tO' -p230728 -aS'PO\tPO\tNN\tI-NP\tO' -p230729 -aS'PRN\tPRN\tNN\tI-NP\tO' -p230730 -aS'(\t(\t(\tO\tO' -p230731 -aS'as\tas\tIN\tB-SBAR\tO' -p230732 -aS'needed\tneed\tVBN\tB-VP\tO' -p230733 -aS')\t)\t)\tO\tO' -p230734 -aS'.\t.\t.\tO\tO' -p230735 -asS'The patient was discharged home in stable condition on postoperative day six .' -p230736 -(lp230737 -S'The\tThe\tDT\tB-NP\tO' -p230738 -aS'patient\tpatient\tNN\tI-NP\tO' -p230739 -aS'was\tbe\tVBD\tB-VP\tO' -p230740 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p230741 -aS'home\thome\tNN\tB-ADVP\tO' -p230742 -aS'in\tin\tIN\tB-PP\tO' -p230743 -aS'stable\tstable\tJJ\tB-NP\tO' -p230744 -aS'condition\tcondition\tNN\tI-NP\tO' -p230745 -aS'on\ton\tIN\tB-PP\tO' -p230746 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p230747 -aS'day\tday\tNN\tI-NP\tO' -p230748 -aS'six\tsix\tCD\tI-NP\tO' -p230749 -aS'.\t.\t.\tO\tO' -p230750 -asS'Left sided weakness , slurred speech .' -p230751 -(lp230752 -S'Left\tLeave\tVBN\tB-NP\tO' -p230753 -aS'sided\tsided\tJJ\tI-NP\tO' -p230754 -aS'weakness\tweakness\tNN\tI-NP\tO' -p230755 -aS',\t,\t,\tO\tO' -p230756 -aS'slurred\tslur\tVBD\tB-VP\tO' -p230757 -aS'speech\tspeech\tNN\tB-NP\tO' -p230758 -aS'.\t.\t.\tO\tO' -p230759 -asS'This 68 year old white male who had a seven to eight year history of knee pain .' -p230760 -(lp230761 -S'This\tThis\tDT\tB-NP\tO' -p230762 -aS'68\t68\tCD\tI-NP\tO' -p230763 -aS'year\tyear\tNN\tI-NP\tO' -p230764 -aS'old\told\tJJ\tI-NP\tO' -p230765 -aS'white\twhite\tJJ\tI-NP\tO' -p230766 -aS'male\tmale\tNN\tI-NP\tO' -p230767 -aS'who\twho\tWP\tB-NP\tO' -p230768 -aS'had\thave\tVBD\tB-VP\tO' -p230769 -aS'a\ta\tDT\tB-NP\tO' -p230770 -aS'seven\tseven\tCD\tI-NP\tO' -p230771 -aS'to\tto\tTO\tI-NP\tO' -p230772 -aS'eight\teight\tCD\tI-NP\tO' -p230773 -aS'year\tyear\tNN\tI-NP\tO' -p230774 -aS'history\thistory\tNN\tI-NP\tO' -p230775 -aS'of\tof\tIN\tB-PP\tO' -p230776 -aS'knee\tknee\tNN\tB-NP\tO' -p230777 -aS'pain\tpain\tNN\tI-NP\tO' -p230778 -aS'.\t.\t.\tO\tO' -p230779 -asS'6. EtOH use : unclear how much , monitor on CIWA for signs of withdrawal , ativan prn' -p230780 -(lp230781 -S'6.\t6.\tLS\tB-NP\tO' -p230782 -aS'EtOH\tEtOH\tNN\tI-NP\tO' -p230783 -aS'use\tuse\tNN\tI-NP\tO' -p230784 -aS':\t:\t:\tO\tO' -p230785 -aS'unclear\tunclear\tJJ\tB-ADJP\tO' -p230786 -aS'how\thow\tWRB\tB-ADVP\tO' -p230787 -aS'much\tmuch\tRB\tI-ADVP\tO' -p230788 -aS',\t,\t,\tO\tO' -p230789 -aS'monitor\tmonitor\tNN\tB-NP\tO' -p230790 -aS'on\ton\tIN\tB-PP\tO' -p230791 -aS'CIWA\tCIWA\tNNP\tB-NP\tO' -p230792 -aS'for\tfor\tIN\tB-PP\tO' -p230793 -aS'signs\tsign\tNNS\tB-NP\tO' -p230794 -aS'of\tof\tIN\tB-PP\tO' -p230795 -aS'withdrawal\twithdrawal\tNN\tB-NP\tO' -p230796 -aS',\t,\t,\tO\tO' -p230797 -aS'ativan\tativan\tNN\tB-NP\tO' -p230798 -aS'prn\tprn\tNN\tI-NP\tO' -p230799 -asS"This was felt to be likely 03-15 intravascular volume depletion since the pt 's albumin was so low and he was third spacing all of his fluid ." -p230800 -(lp230801 -S'This\tThis\tDT\tB-NP\tO' -p230802 -aS'was\tbe\tVBD\tB-VP\tO' -p230803 -aS'felt\tfeel\tVBN\tI-VP\tO' -p230804 -aS'to\tto\tTO\tI-VP\tO' -p230805 -aS'be\tbe\tVB\tI-VP\tO' -p230806 -aS'likely\tlikely\tJJ\tB-ADJP\tO' -p230807 -aS'03-15\t03-15\tCD\tB-NP\tO' -p230808 -aS'intravascular\tintravascular\tJJ\tI-NP\tO' -p230809 -aS'volume\tvolume\tNN\tI-NP\tO' -p230810 -aS'depletion\tdepletion\tNN\tI-NP\tO' -p230811 -aS'since\tsince\tIN\tB-PP\tO' -p230812 -aS'the\tthe\tDT\tB-NP\tO' -p230813 -aS'pt\tpt\tNN\tI-NP\tO' -p230814 -aS"'s\t's\tPOS\tB-NP\tO" -p230815 -aS'albumin\talbumin\tNN\tI-NP\tO' -p230816 -aS'was\tbe\tVBD\tB-VP\tO' -p230817 -aS'so\tso\tRB\tB-ADJP\tO' -p230818 -aS'low\tlow\tJJ\tI-ADJP\tO' -p230819 -aS'and\tand\tCC\tO\tO' -p230820 -aS'he\the\tPRP\tB-NP\tO' -p230821 -aS'was\tbe\tVBD\tB-VP\tO' -p230822 -aS'third\tthird\tJJ\tB-NP\tO' -p230823 -aS'spacing\tspacing\tNN\tI-NP\tO' -p230824 -aS'all\tall\tDT\tB-NP\tO' -p230825 -aS'of\tof\tIN\tB-PP\tO' -p230826 -aS'his\this\tPRP$\tB-NP\tO' -p230827 -aS'fluid\tfluid\tNN\tI-NP\tO' -p230828 -aS'.\t.\t.\tO\tO' -p230829 -asS'The patient 's family was involved and they decided to opt for DNR / DNI in view of the poor prognosis .' -p230830 -(lp230831 -S'The\tThe\tDT\tB-NP\tO' -p230832 -aS'patient\tpatient\tNN\tI-NP\tO' -p230833 -aS''s\t'\tNNS\tI-NP\tO' -p230834 -aS'family\tfamily\tNN\tI-NP\tO' -p230835 -aS'was\tbe\tVBD\tB-VP\tO' -p230836 -aS'involved\tinvolve\tVBN\tI-VP\tO' -p230837 -aS'and\tand\tCC\tO\tO' -p230838 -aS'they\tthey\tPRP\tB-NP\tO' -p230839 -aS'decided\tdecide\tVBD\tB-VP\tO' -p230840 -aS'to\tto\tTO\tI-VP\tO' -p230841 -aS'opt\topt\tVB\tI-VP\tO' -p230842 -aS'for\tfor\tIN\tB-PP\tO' -p230843 -aS'DNR\tDNR\tNN\tB-NP\tB-protein' -p230844 -aS'/\t/\tSYM\tB-NP\tO' -p230845 -aS'DNI\tDNI\tNN\tI-NP\tO' -p230846 -aS'in\tin\tIN\tB-PP\tO' -p230847 -aS'view\tview\tNN\tB-NP\tO' -p230848 -aS'of\tof\tIN\tB-PP\tO' -p230849 -aS'the\tthe\tDT\tB-NP\tO' -p230850 -aS'poor\tpoor\tJJ\tI-NP\tO' -p230851 -aS'prognosis\tprognosis\tNN\tI-NP\tO' -p230852 -aS'.\t.\t.\tO\tO' -p230853 -asS'6. Atenolol 25 mg Tablet Sig : 0.5 Tablet PO DAILY ( Daily ) .' -p230854 -(lp230855 -S'6.\t6.\tCD\tB-NP\tO' -p230856 -aS'Atenolol\tAtenolol\tNN\tI-NP\tO' -p230857 -aS'25\t25\tCD\tB-NP\tO' -p230858 -aS'mg\tmg\tNN\tI-NP\tO' -p230859 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p230860 -aS'Sig\tSig\tNNP\tI-NP\tO' -p230861 -aS':\t:\t:\tO\tO' -p230862 -aS'0.5\t0.5\tCD\tB-NP\tO' -p230863 -aS'Tablet\tTablet\tNN\tI-NP\tO' -p230864 -aS'PO\tPO\tNN\tI-NP\tO' -p230865 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p230866 -aS'(\t(\t(\tO\tO' -p230867 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p230868 -aS')\t)\t)\tO\tO' -p230869 -aS'.\t.\t.\tO\tO' -p230870 -asS'He had good hemodynamics .' -p230871 -(lp230872 -S'He\tHe\tPRP\tB-NP\tO' -p230873 -aS'had\thave\tVBD\tB-VP\tO' -p230874 -aS'good\tgood\tJJ\tB-NP\tO' -p230875 -aS'hemodynamics\themodynamic\tNNS\tI-NP\tO' -p230876 -aS'.\t.\t.\tO\tO' -p230877 -asS'He is a drowsy , elderly white male lying with O2 on , asking to be scratched .' -p230878 -(lp230879 -S'He\tHe\tPRP\tB-NP\tB-DNA' -p230880 -aS'is\tbe\tVBZ\tB-VP\tO' -p230881 -aS'a\ta\tDT\tB-NP\tO' -p230882 -aS'drowsy\tdrowsy\tJJ\tI-NP\tO' -p230883 -aS',\t,\t,\tI-NP\tO' -p230884 -aS'elderly\telderly\tJJ\tI-NP\tO' -p230885 -aS'white\twhite\tJJ\tI-NP\tO' -p230886 -aS'male\tmale\tNN\tI-NP\tO' -p230887 -aS'lying\tlie\tVBG\tB-VP\tO' -p230888 -aS'with\twith\tIN\tB-PP\tO' -p230889 -aS'O2\tO2\tNN\tB-NP\tB-protein' -p230890 -aS'on\ton\tIN\tB-PP\tO' -p230891 -aS',\t,\t,\tO\tO' -p230892 -aS'asking\task\tVBG\tB-VP\tO' -p230893 -aS'to\tto\tTO\tI-VP\tO' -p230894 -aS'be\tbe\tVB\tI-VP\tO' -p230895 -aS'scratched\tscratch\tVBN\tI-VP\tO' -p230896 -aS'.\t.\t.\tO\tO' -p230897 -asS'6-Cocaine intoxication .' -p230898 -(lp230899 -S'6-Cocaine\t6-Cocaine\tNN\tB-NP\tO' -p230900 -aS'intoxication\tintoxication\tNN\tI-NP\tO' -p230901 -aS'.\t.\t.\tO\tO' -p230902 -asS'He was weaned from oxygen requirement and was continued on normal saline boluses and' -p230903 -(lp230904 -S'He\tHe\tPRP\tB-NP\tO' -p230905 -aS'was\tbe\tVBD\tB-VP\tO' -p230906 -aS'weaned\twean\tVBN\tI-VP\tO' -p230907 -aS'from\tfrom\tIN\tB-PP\tO' -p230908 -aS'oxygen\toxygen\tNN\tB-NP\tO' -p230909 -aS'requirement\trequirement\tNN\tI-NP\tO' -p230910 -aS'and\tand\tCC\tO\tO' -p230911 -aS'was\tbe\tVBD\tB-VP\tO' -p230912 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p230913 -aS'on\ton\tIN\tB-PP\tO' -p230914 -aS'normal\tnormal\tJJ\tB-NP\tO' -p230915 -aS'saline\tsaline\tNN\tI-NP\tO' -p230916 -aS'boluses\tbolus\tNNS\tI-NP\tO' -p230917 -aS'and\tand\tCC\tO\tO' -p230918 -asS'During evaluation of her neurologic status , it was determined that for several months prior to admission , the patient has been too unsteady to ambulate .' -p230919 -(lp230920 -S'During\tDuring\tIN\tB-PP\tO' -p230921 -aS'evaluation\tevaluation\tNN\tB-NP\tO' -p230922 -aS'of\tof\tIN\tB-PP\tO' -p230923 -aS'her\ther\tPRP$\tB-NP\tO' -p230924 -aS'neurologic\tneurologic\tJJ\tI-NP\tO' -p230925 -aS'status\tstatus\tNN\tI-NP\tO' -p230926 -aS',\t,\t,\tO\tO' -p230927 -aS'it\tit\tPRP\tB-NP\tO' -p230928 -aS'was\tbe\tVBD\tB-VP\tO' -p230929 -aS'determined\tdetermine\tVBN\tI-VP\tO' -p230930 -aS'that\tthat\tIN\tB-SBAR\tO' -p230931 -aS'for\tfor\tIN\tB-PP\tO' -p230932 -aS'several\tseveral\tJJ\tB-NP\tO' -p230933 -aS'months\tmonth\tNNS\tI-NP\tO' -p230934 -aS'prior\tprior\tRB\tB-ADVP\tO' -p230935 -aS'to\tto\tTO\tB-PP\tO' -p230936 -aS'admission\tadmission\tNN\tB-NP\tO' -p230937 -aS',\t,\t,\tO\tO' -p230938 -aS'the\tthe\tDT\tB-NP\tO' -p230939 -aS'patient\tpatient\tNN\tI-NP\tO' -p230940 -aS'has\thave\tVBZ\tB-VP\tO' -p230941 -aS'been\tbe\tVBN\tI-VP\tO' -p230942 -aS'too\ttoo\tRB\tB-ADJP\tO' -p230943 -aS'unsteady\tunsteady\tJJ\tI-ADJP\tO' -p230944 -aS'to\tto\tTO\tB-VP\tO' -p230945 -aS'ambulate\tambulate\tVB\tI-VP\tO' -p230946 -aS'.\t.\t.\tO\tO' -p230947 -asS'The patient 's preliminary admitting physician is SCIMEWHILDAJESC , LA R and the preliminary diagnosis is DEHYDRATION ..' -p230948 -(lp230949 -S'The\tThe\tDT\tB-NP\tO' -p230950 -aS'patient\tpatient\tNN\tI-NP\tO' -p230951 -aS''s\t'\tNNS\tI-NP\tO' -p230952 -aS'preliminary\tpreliminary\tJJ\tB-NP\tO' -p230953 -aS'admitting\tadmit\tVBG\tI-NP\tO' -p230954 -aS'physician\tphysician\tNN\tI-NP\tO' -p230955 -aS'is\tbe\tVBZ\tB-VP\tO' -p230956 -aS'SCIMEWHILDAJESC\tSCIMEWHILDAJESC\tNNP\tB-NP\tO' -p230957 -aS',\t,\t,\tO\tO' -p230958 -aS'LA\tLA\tNNP\tB-NP\tO' -p230959 -aS'R\tR\tNNP\tI-NP\tO' -p230960 -aS'and\tand\tCC\tO\tO' -p230961 -aS'the\tthe\tDT\tB-NP\tO' -p230962 -aS'preliminary\tpreliminary\tJJ\tI-NP\tO' -p230963 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p230964 -aS'is\tbe\tVBZ\tB-VP\tO' -p230965 -aS'DEHYDRATION\tDEHYDRATION\tNN\tB-NP\tO' -p230966 -aS'..\t..\t.\tO\tO' -p230967 -asS'This was concerning for early sepsis given RLL PNA .' -p230968 -(lp230969 -S'This\tThis\tDT\tB-NP\tO' -p230970 -aS'was\tbe\tVBD\tB-VP\tO' -p230971 -aS'concerning\tconcern\tVBG\tI-VP\tO' -p230972 -aS'for\tfor\tIN\tB-PP\tO' -p230973 -aS'early\tearly\tJJ\tB-NP\tO' -p230974 -aS'sepsis\tsepsis\tNN\tI-NP\tO' -p230975 -aS'given\tgive\tVBN\tB-VP\tO' -p230976 -aS'RLL\tRLL\tNN\tB-NP\tO' -p230977 -aS'PNA\tPNA\tNN\tI-NP\tO' -p230978 -aS'.\t.\t.\tO\tO' -p230979 -asS'Monitor wounds for signs of infection . Please call with any concerns or questions .' -p230980 -(lp230981 -S'Monitor\tMonitor\tNN\tB-NP\tO' -p230982 -aS'wounds\twound\tNNS\tI-NP\tO' -p230983 -aS'for\tfor\tIN\tB-PP\tO' -p230984 -aS'signs\tsign\tNNS\tB-NP\tO' -p230985 -aS'of\tof\tIN\tB-PP\tO' -p230986 -aS'infection\tinfection\tNN\tB-NP\tO' -p230987 -aS'.\t.\t.\tO\tO' -p230988 -aS'Please\tPlease\tNN\tB-NP\tO' -p230989 -aS'call\tcall\tNN\tI-NP\tO' -p230990 -aS'with\twith\tIN\tB-PP\tO' -p230991 -aS'any\tany\tDT\tB-NP\tO' -p230992 -aS'concerns\tconcern\tNNS\tI-NP\tO' -p230993 -aS'or\tor\tCC\tI-NP\tO' -p230994 -aS'questions\tquestion\tNNS\tI-NP\tO' -p230995 -aS'.\t.\t.\tO\tO' -p230996 -asS'Cardiology consult of the infant on 04-18 .' -p230997 -(lp230998 -S'Cardiology\tCardiology\tNN\tB-NP\tO' -p230999 -aS'consult\tconsult\tNN\tI-NP\tO' -p231000 -aS'of\tof\tIN\tB-PP\tO' -p231001 -aS'the\tthe\tDT\tB-NP\tO' -p231002 -aS'infant\tinfant\tNN\tI-NP\tO' -p231003 -aS'on\ton\tIN\tB-PP\tO' -p231004 -aS'04-18\t04-18\tCD\tB-NP\tO' -p231005 -aS'.\t.\t.\tO\tO' -p231006 -asS'Extremities had multiple bilateral lower extremity excoriations .' -p231007 -(lp231008 -S'Extremities\tExtremity\tNNS\tB-NP\tO' -p231009 -aS'had\thave\tVBD\tB-VP\tO' -p231010 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p231011 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p231012 -aS'lower\tlow\tJJR\tI-NP\tO' -p231013 -aS'extremity\textremity\tNN\tI-NP\tO' -p231014 -aS'excoriations\texcoriation\tNNS\tI-NP\tO' -p231015 -aS'.\t.\t.\tO\tO' -p231016 -asS'A repeat CMV hypercapture , negative for presence of CMV .' -p231017 -(lp231018 -S'A\tA\tDT\tB-NP\tO' -p231019 -aS'repeat\trepeat\tNN\tI-NP\tO' -p231020 -aS'CMV\tCMV\tNN\tI-NP\tO' -p231021 -aS'hypercapture\thypercapture\tNN\tI-NP\tO' -p231022 -aS',\t,\t,\tO\tO' -p231023 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p231024 -aS'for\tfor\tIN\tB-PP\tO' -p231025 -aS'presence\tpresence\tNN\tB-NP\tO' -p231026 -aS'of\tof\tIN\tB-PP\tO' -p231027 -aS'CMV\tCMV\tNN\tB-NP\tO' -p231028 -aS'.\t.\t.\tO\tO' -p231029 -asS'This most likely relates to hypertensive hemorrhage , as opposed to a ruptured right middle cerebral artery aneurysm .' -p231030 -(lp231031 -S'This\tThis\tDT\tB-NP\tO' -p231032 -aS'most\tmost\tRBS\tI-NP\tO' -p231033 -aS'likely\tlikely\tJJ\tI-NP\tO' -p231034 -aS'relates\trelate\tNNS\tI-NP\tO' -p231035 -aS'to\tto\tTO\tB-PP\tO' -p231036 -aS'hypertensive\thypertensive\tJJ\tB-NP\tO' -p231037 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p231038 -aS',\t,\t,\tO\tO' -p231039 -aS'as\tas\tIN\tB-SBAR\tO' -p231040 -aS'opposed\toppose\tVBN\tB-VP\tO' -p231041 -aS'to\tto\tTO\tB-PP\tO' -p231042 -aS'a\ta\tDT\tB-NP\tO' -p231043 -aS'ruptured\trupture\tVBN\tI-NP\tO' -p231044 -aS'right\tright\tJJ\tI-NP\tO' -p231045 -aS'middle\tmiddle\tJJ\tI-NP\tO' -p231046 -aS'cerebral\tcerebral\tJJ\tI-NP\tO' -p231047 -aS'artery\tartery\tNN\tI-NP\tO' -p231048 -aS'aneurysm\taneurysm\tNN\tI-NP\tO' -p231049 -aS'.\t.\t.\tO\tO' -p231050 -asS'2. Advair 500/50 two puffs b.i.d.' -p231051 -(lp231052 -S'2.\t2.\tLS\tB-LST\tO' -p231053 -aS'Advair\tAdvair\tNNP\tB-NP\tO' -p231054 -aS'500/50\t500/50\tCD\tB-NP\tO' -p231055 -aS'two\ttwo\tCD\tI-NP\tO' -p231056 -aS'puffs\tpuff\tNNS\tI-NP\tO' -p231057 -aS'b.i.d.\tb.i.d.\tRB\tB-ADVP\tO' -p231058 -asS'White blood cell count on admission 6.1 , INR on admission 1.0 , relevant imaging .' -p231059 -(lp231060 -S'White\tWhite\tJJ\tB-NP\tO' -p231061 -aS'blood\tblood\tNN\tI-NP\tO' -p231062 -aS'cell\tcell\tNN\tI-NP\tO' -p231063 -aS'count\tcount\tNN\tI-NP\tO' -p231064 -aS'on\ton\tIN\tB-PP\tO' -p231065 -aS'admission\tadmission\tNN\tB-NP\tO' -p231066 -aS'6.1\t6.1\tCD\tI-NP\tO' -p231067 -aS',\t,\t,\tO\tO' -p231068 -aS'INR\tINR\tNN\tB-NP\tB-protein' -p231069 -aS'on\ton\tIN\tB-PP\tO' -p231070 -aS'admission\tadmission\tNN\tB-NP\tO' -p231071 -aS'1.0\t1.0\tCD\tI-NP\tO' -p231072 -aS',\t,\t,\tO\tO' -p231073 -aS'relevant\trelevant\tJJ\tB-NP\tO' -p231074 -aS'imaging\timaging\tNN\tI-NP\tO' -p231075 -aS'.\t.\t.\tO\tO' -p231076 -asS'The next several days were remarkable for events in which the patient was quite agitated and was evaluated by Psychiatry and treated with Ativan .' -p231077 -(lp231078 -S'The\tThe\tDT\tB-NP\tO' -p231079 -aS'next\tnext\tJJ\tI-NP\tO' -p231080 -aS'several\tseveral\tJJ\tI-NP\tO' -p231081 -aS'days\tday\tNNS\tI-NP\tO' -p231082 -aS'were\tbe\tVBD\tB-VP\tO' -p231083 -aS'remarkable\tremarkable\tJJ\tB-ADJP\tO' -p231084 -aS'for\tfor\tIN\tB-PP\tO' -p231085 -aS'events\tevent\tNNS\tB-NP\tO' -p231086 -aS'in\tin\tIN\tB-PP\tO' -p231087 -aS'which\twhich\tWDT\tB-NP\tO' -p231088 -aS'the\tthe\tDT\tB-NP\tO' -p231089 -aS'patient\tpatient\tNN\tI-NP\tO' -p231090 -aS'was\tbe\tVBD\tB-VP\tO' -p231091 -aS'quite\tquite\tRB\tI-VP\tO' -p231092 -aS'agitated\tagitate\tVBN\tI-VP\tO' -p231093 -aS'and\tand\tCC\tO\tO' -p231094 -aS'was\tbe\tVBD\tB-VP\tO' -p231095 -aS'evaluated\tevaluate\tVBN\tI-VP\tO' -p231096 -aS'by\tby\tIN\tB-PP\tO' -p231097 -aS'Psychiatry\tPsychiatry\tNN\tB-NP\tO' -p231098 -aS'and\tand\tCC\tO\tO' -p231099 -aS'treated\ttreat\tVBN\tB-VP\tO' -p231100 -aS'with\twith\tIN\tB-PP\tO' -p231101 -aS'Ativan\tAtivan\tNNP\tB-NP\tO' -p231102 -aS'.\t.\t.\tO\tO' -p231103 -asS'Prothrombin time is 15.9 with an INR of 1.7 .' -p231104 -(lp231105 -S'Prothrombin\tProthrombin\tNN\tB-NP\tO' -p231106 -aS'time\ttime\tNN\tI-NP\tO' -p231107 -aS'is\tbe\tVBZ\tB-VP\tO' -p231108 -aS'15.9\t15.9\tCD\tB-NP\tO' -p231109 -aS'with\twith\tIN\tB-PP\tO' -p231110 -aS'an\tan\tDT\tB-NP\tO' -p231111 -aS'INR\tINR\tNN\tI-NP\tB-protein' -p231112 -aS'of\tof\tIN\tB-PP\tO' -p231113 -aS'1.7\t1.7\tCD\tB-NP\tO' -p231114 -aS'.\t.\t.\tO\tO' -p231115 -asS'The patient had BiPAP initiated once she reached the unit , but did not tolerate it , becoming apneic and obstructing .' -p231116 -(lp231117 -S'The\tThe\tDT\tB-NP\tO' -p231118 -aS'patient\tpatient\tNN\tI-NP\tO' -p231119 -aS'had\thave\tVBD\tB-VP\tO' -p231120 -aS'BiPAP\tBiPAP\tNN\tB-NP\tB-protein' -p231121 -aS'initiated\tinitiate\tVBN\tB-VP\tO' -p231122 -aS'once\tonce\tIN\tB-SBAR\tO' -p231123 -aS'she\tshe\tPRP\tB-NP\tO' -p231124 -aS'reached\treach\tVBD\tB-VP\tO' -p231125 -aS'the\tthe\tDT\tB-NP\tO' -p231126 -aS'unit\tunit\tNN\tI-NP\tO' -p231127 -aS',\t,\t,\tO\tO' -p231128 -aS'but\tbut\tCC\tO\tO' -p231129 -aS'did\tdo\tVBD\tB-VP\tO' -p231130 -aS'not\tnot\tRB\tI-VP\tO' -p231131 -aS'tolerate\ttolerate\tVB\tI-VP\tO' -p231132 -aS'it\tit\tPRP\tB-NP\tO' -p231133 -aS',\t,\t,\tO\tO' -p231134 -aS'becoming\tbecome\tVBG\tB-VP\tO' -p231135 -aS'apneic\tapneic\tJJ\tB-ADJP\tO' -p231136 -aS'and\tand\tCC\tI-ADJP\tO' -p231137 -aS'obstructing\tobstructing\tJJ\tI-ADJP\tO' -p231138 -aS'.\t.\t.\tO\tO' -p231139 -asS'The patient was a 63 year old female with long-standing history of polycythemia vera , managed medically , who on a routine follow-up examination complained of left side pain and had an ultrasound that demonstrated a complex left renal mass .' -p231140 -(lp231141 -S'The\tThe\tDT\tB-NP\tO' -p231142 -aS'patient\tpatient\tNN\tI-NP\tO' -p231143 -aS'was\tbe\tVBD\tB-VP\tO' -p231144 -aS'a\ta\tDT\tB-NP\tO' -p231145 -aS'63\t63\tCD\tI-NP\tO' -p231146 -aS'year\tyear\tNN\tI-NP\tO' -p231147 -aS'old\told\tJJ\tI-NP\tO' -p231148 -aS'female\tfemale\tNN\tI-NP\tO' -p231149 -aS'with\twith\tIN\tB-PP\tO' -p231150 -aS'long-standing\tlong-standing\tJJ\tB-NP\tO' -p231151 -aS'history\thistory\tNN\tI-NP\tO' -p231152 -aS'of\tof\tIN\tB-PP\tO' -p231153 -aS'polycythemia\tpolycythemia\tNN\tB-NP\tO' -p231154 -aS'vera\tvera\tNN\tI-NP\tO' -p231155 -aS',\t,\t,\tO\tO' -p231156 -aS'managed\tmanage\tVBD\tB-VP\tO' -p231157 -aS'medically\tmedically\tRB\tB-ADVP\tO' -p231158 -aS',\t,\t,\tO\tO' -p231159 -aS'who\twho\tWP\tB-NP\tO' -p231160 -aS'on\ton\tIN\tB-PP\tO' -p231161 -aS'a\ta\tDT\tB-NP\tO' -p231162 -aS'routine\troutine\tJJ\tI-NP\tO' -p231163 -aS'follow-up\tfollow-up\tNN\tI-NP\tO' -p231164 -aS'examination\texamination\tNN\tI-NP\tO' -p231165 -aS'complained\tcomplain\tVBD\tB-VP\tO' -p231166 -aS'of\tof\tIN\tB-PP\tO' -p231167 -aS'left\tleft\tJJ\tB-NP\tO' -p231168 -aS'side\tside\tNN\tI-NP\tO' -p231169 -aS'pain\tpain\tNN\tI-NP\tO' -p231170 -aS'and\tand\tCC\tO\tO' -p231171 -aS'had\thave\tVBD\tB-VP\tO' -p231172 -aS'an\tan\tDT\tB-NP\tO' -p231173 -aS'ultrasound\tultrasound\tNN\tI-NP\tO' -p231174 -aS'that\tthat\tWDT\tB-NP\tO' -p231175 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p231176 -aS'a\ta\tDT\tB-NP\tO' -p231177 -aS'complex\tcomplex\tJJ\tI-NP\tO' -p231178 -aS'left\tleft\tJJ\tI-NP\tO' -p231179 -aS'renal\trenal\tJJ\tI-NP\tO' -p231180 -aS'mass\tmass\tNN\tI-NP\tO' -p231181 -aS'.\t.\t.\tO\tO' -p231182 -asS'However , over the course of the hospital stay these decreased both in frequency and severity .' -p231183 -(lp231184 -S'However\tHowever\tRB\tB-ADVP\tO' -p231185 -aS',\t,\t,\tO\tO' -p231186 -aS'over\tover\tIN\tB-PP\tO' -p231187 -aS'the\tthe\tDT\tB-NP\tO' -p231188 -aS'course\tcourse\tNN\tI-NP\tO' -p231189 -aS'of\tof\tIN\tB-PP\tO' -p231190 -aS'the\tthe\tDT\tB-NP\tO' -p231191 -aS'hospital\thospital\tNN\tI-NP\tO' -p231192 -aS'stay\tstay\tNN\tI-NP\tO' -p231193 -aS'these\tthese\tDT\tB-NP\tO' -p231194 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p231195 -aS'both\tboth\tCC\tO\tO' -p231196 -aS'in\tin\tIN\tB-PP\tO' -p231197 -aS'frequency\tfrequency\tNN\tB-NP\tO' -p231198 -aS'and\tand\tCC\tI-NP\tO' -p231199 -aS'severity\tseverity\tNN\tI-NP\tO' -p231200 -aS'.\t.\t.\tO\tO' -p231201 -asS'Physical examination is read off the admitting note from the Intensive Care Unit team and is not reflective of the examination by this dictator .' -p231202 -(lp231203 -S'Physical\tPhysical\tJJ\tB-NP\tO' -p231204 -aS'examination\texamination\tNN\tI-NP\tO' -p231205 -aS'is\tbe\tVBZ\tB-VP\tO' -p231206 -aS'read\tread\tVBN\tI-VP\tO' -p231207 -aS'off\toff\tIN\tB-PP\tO' -p231208 -aS'the\tthe\tDT\tB-NP\tO' -p231209 -aS'admitting\tadmit\tVBG\tI-NP\tO' -p231210 -aS'note\tnote\tNN\tI-NP\tO' -p231211 -aS'from\tfrom\tIN\tB-PP\tO' -p231212 -aS'the\tthe\tDT\tB-NP\tO' -p231213 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p231214 -aS'Care\tCare\tNNP\tI-NP\tO' -p231215 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p231216 -aS'team\tteam\tNN\tI-NP\tO' -p231217 -aS'and\tand\tCC\tO\tO' -p231218 -aS'is\tbe\tVBZ\tB-VP\tO' -p231219 -aS'not\tnot\tRB\tO\tO' -p231220 -aS'reflective\treflective\tJJ\tB-ADJP\tO' -p231221 -aS'of\tof\tIN\tB-PP\tO' -p231222 -aS'the\tthe\tDT\tB-NP\tO' -p231223 -aS'examination\texamination\tNN\tI-NP\tO' -p231224 -aS'by\tby\tIN\tB-PP\tO' -p231225 -aS'this\tthis\tDT\tB-NP\tO' -p231226 -aS'dictator\tdictator\tNN\tI-NP\tO' -p231227 -aS'.\t.\t.\tO\tO' -p231228 -asS'There is also an old right frontal lobe cortical infarction .' -p231229 -(lp231230 -S'There\tThere\tEX\tB-NP\tO' -p231231 -aS'is\tbe\tVBZ\tB-VP\tO' -p231232 -aS'also\talso\tRB\tB-ADVP\tO' -p231233 -aS'an\tan\tDT\tB-NP\tO' -p231234 -aS'old\told\tJJ\tI-NP\tO' -p231235 -aS'right\tright\tJJ\tI-NP\tO' -p231236 -aS'frontal\tfrontal\tJJ\tI-NP\tO' -p231237 -aS'lobe\tlobe\tNN\tI-NP\tO' -p231238 -aS'cortical\tcortical\tJJ\tI-NP\tO' -p231239 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p231240 -aS'.\t.\t.\tO\tO' -p231241 -asS'Constitutional : alert & oriented x 3 .' -p231242 -(lp231243 -S'Constitutional\tConstitutional\tNNP\tB-NP\tO' -p231244 -aS':\t:\t:\tO\tO' -p231245 -aS'alert\talert\tJJ\tB-NP\tO' -p231246 -aS'&\t&\tCC\tI-NP\tO' -p231247 -aS'oriented\torient\tVBN\tI-NP\tO' -p231248 -aS'x\tx\tNN\tI-NP\tO' -p231249 -aS'3\t3\tCD\tI-NP\tO' -p231250 -aS'.\t.\t.\tO\tO' -p231251 -asS'In consultation with his family , it was decided that enough support had been done .' -p231252 -(lp231253 -S'In\tIn\tIN\tB-PP\tO' -p231254 -aS'consultation\tconsultation\tNN\tB-NP\tO' -p231255 -aS'with\twith\tIN\tB-PP\tO' -p231256 -aS'his\this\tPRP$\tB-NP\tO' -p231257 -aS'family\tfamily\tNN\tI-NP\tO' -p231258 -aS',\t,\t,\tO\tO' -p231259 -aS'it\tit\tPRP\tB-NP\tO' -p231260 -aS'was\tbe\tVBD\tB-VP\tO' -p231261 -aS'decided\tdecide\tVBN\tI-VP\tO' -p231262 -aS'that\tthat\tIN\tB-SBAR\tO' -p231263 -aS'enough\tenough\tJJ\tB-NP\tO' -p231264 -aS'support\tsupport\tNN\tI-NP\tO' -p231265 -aS'had\thave\tVBD\tB-VP\tO' -p231266 -aS'been\tbe\tVBN\tI-VP\tO' -p231267 -aS'done\tdo\tVBN\tI-VP\tO' -p231268 -aS'.\t.\t.\tO\tO' -p231269 -asS'In general , she is extremely tachypneic , difficulty in speaking words .' -p231270 -(lp231271 -S'In\tIn\tIN\tB-PP\tO' -p231272 -aS'general\tgeneral\tJJ\tB-ADJP\tO' -p231273 -aS',\t,\t,\tO\tO' -p231274 -aS'she\tshe\tPRP\tB-NP\tO' -p231275 -aS'is\tbe\tVBZ\tB-VP\tO' -p231276 -aS'extremely\textremely\tRB\tB-ADJP\tO' -p231277 -aS'tachypneic\ttachypneic\tJJ\tI-ADJP\tO' -p231278 -aS',\t,\t,\tO\tO' -p231279 -aS'difficulty\tdifficulty\tNN\tB-NP\tO' -p231280 -aS'in\tin\tIN\tB-PP\tO' -p231281 -aS'speaking\tspeak\tVBG\tB-VP\tO' -p231282 -aS'words\tword\tNNS\tB-NP\tO' -p231283 -aS'.\t.\t.\tO\tO' -p231284 -asS'5. Trazodone at bedtime .' -p231285 -(lp231286 -S'5.\t5.\tLS\tB-NP\tO' -p231287 -aS'Trazodone\tTrazodone\tNN\tI-NP\tO' -p231288 -aS'at\tat\tIN\tB-PP\tO' -p231289 -aS'bedtime\tbedtime\tNN\tB-NP\tO' -p231290 -aS'.\t.\t.\tO\tO' -p231291 -asS'Skin breakdown between toes .' -p231292 -(lp231293 -S'Skin\tSkin\tNN\tB-NP\tO' -p231294 -aS'breakdown\tbreakdown\tNN\tI-NP\tO' -p231295 -aS'between\tbetween\tIN\tB-PP\tO' -p231296 -aS'toes\ttoe\tNNS\tB-NP\tO' -p231297 -aS'.\t.\t.\tO\tO' -p231298 -asS'CVS : RRR . Normal S1 , S2 .' -p231299 -(lp231300 -S'CVS\tCVS\tNN\tB-NP\tO' -p231301 -aS':\t:\t:\tO\tO' -p231302 -aS'RRR\tRRR\tNN\tB-NP\tB-protein' -p231303 -aS'.\t.\t.\tO\tO' -p231304 -aS'Normal\tNormal\tJJ\tB-NP\tO' -p231305 -aS'S1\tS1\tNN\tI-NP\tO' -p231306 -aS',\t,\t,\tO\tO' -p231307 -aS'S2\tS2\tNN\tB-NP\tB-protein' -p231308 -aS'.\t.\t.\tO\tO' -p231309 -asS'2. Divalproex Sodium 500 mg Tablet , Delayed Release ( E.C. ) Sig : One ( 1 ) Tablet , Delayed Release ( E.C. ) PO BID ( 2 times a day ) .' -p231310 -(lp231311 -S'2.\t2.\tLS\tB-NP\tO' -p231312 -aS'Divalproex\tDivalproex\tNNP\tI-NP\tO' -p231313 -aS'Sodium\tSodium\tNNP\tI-NP\tO' -p231314 -aS'500\t500\tCD\tI-NP\tO' -p231315 -aS'mg\tmg\tNN\tI-NP\tO' -p231316 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p231317 -aS',\t,\t,\tO\tO' -p231318 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p231319 -aS'Release\tRelease\tNNP\tI-NP\tO' -p231320 -aS'(\t(\t(\tO\tO' -p231321 -aS'E.C.\tE.C.\tNNP\tB-NP\tO' -p231322 -aS')\t)\t)\tO\tO' -p231323 -aS'Sig\tSig\tNNP\tB-NP\tO' -p231324 -aS':\t:\t:\tO\tO' -p231325 -aS'One\tOne\tCD\tB-NP\tO' -p231326 -aS'(\t(\t(\tO\tO' -p231327 -aS'1\t1\tCD\tB-NP\tO' -p231328 -aS')\t)\t)\tO\tO' -p231329 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p231330 -aS',\t,\t,\tO\tO' -p231331 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p231332 -aS'Release\tRelease\tNNP\tI-NP\tO' -p231333 -aS'(\t(\t(\tO\tO' -p231334 -aS'E.C.\tE.C.\tNNP\tO\tO' -p231335 -aS')\t)\t)\tO\tO' -p231336 -aS'PO\tPO\tNN\tB-NP\tO' -p231337 -aS'BID\tBID\tNN\tI-NP\tO' -p231338 -aS'(\t(\t(\tO\tO' -p231339 -aS'2\t2\tCD\tB-NP\tO' -p231340 -aS'times\ttime\tNNS\tI-NP\tO' -p231341 -aS'a\ta\tDT\tB-NP\tO' -p231342 -aS'day\tday\tNN\tI-NP\tO' -p231343 -aS')\t)\t)\tO\tO' -p231344 -aS'.\t.\t.\tO\tO' -p231345 -asS'Percocet 1 to 2 tabs q. 4 to 6 hours prn .' -p231346 -(lp231347 -S'Percocet\tPercocet\tNN\tB-NP\tO' -p231348 -aS'1\t1\tCD\tI-NP\tO' -p231349 -aS'to\tto\tTO\tI-NP\tO' -p231350 -aS'2\t2\tCD\tI-NP\tO' -p231351 -aS'tabs\ttab\tNNS\tI-NP\tO' -p231352 -aS'q.\tq.\tNN\tI-NP\tO' -p231353 -aS'4\t4\tCD\tB-NP\tO' -p231354 -aS'to\tto\tTO\tI-NP\tO' -p231355 -aS'6\t6\tCD\tI-NP\tO' -p231356 -aS'hours\thour\tNNS\tI-NP\tO' -p231357 -aS'prn\tprn\tVBP\tB-VP\tO' -p231358 -aS'.\t.\t.\tO\tO' -p231359 -asS'He continued to make minimal urine throughout the hospitalization .' -p231360 -(lp231361 -S'He\tHe\tPRP\tB-NP\tO' -p231362 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p231363 -aS'to\tto\tTO\tI-VP\tO' -p231364 -aS'make\tmake\tVB\tI-VP\tO' -p231365 -aS'minimal\tminimal\tJJ\tB-NP\tO' -p231366 -aS'urine\turine\tNN\tI-NP\tO' -p231367 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p231368 -aS'the\tthe\tDT\tB-NP\tO' -p231369 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p231370 -aS'.\t.\t.\tO\tO' -p231371 -asS'She also complains of increased shortness of breath for the preceding month and now presents for mediastinal exploration and resection of her probable metastatic mass .' -p231372 -(lp231373 -S'She\tShe\tPRP\tB-NP\tO' -p231374 -aS'also\talso\tRB\tB-ADVP\tO' -p231375 -aS'complains\tcomplain\tVBZ\tB-VP\tO' -p231376 -aS'of\tof\tIN\tB-PP\tO' -p231377 -aS'increased\tincrease\tVBN\tB-NP\tO' -p231378 -aS'shortness\tshortness\tNN\tI-NP\tO' -p231379 -aS'of\tof\tIN\tB-PP\tO' -p231380 -aS'breath\tbreath\tNN\tB-NP\tO' -p231381 -aS'for\tfor\tIN\tB-PP\tO' -p231382 -aS'the\tthe\tDT\tB-NP\tO' -p231383 -aS'preceding\tprecede\tVBG\tI-NP\tO' -p231384 -aS'month\tmonth\tNN\tI-NP\tO' -p231385 -aS'and\tand\tCC\tO\tO' -p231386 -aS'now\tnow\tRB\tB-VP\tO' -p231387 -aS'presents\tpresent\tVBZ\tI-VP\tO' -p231388 -aS'for\tfor\tIN\tB-PP\tO' -p231389 -aS'mediastinal\tmediastinal\tJJ\tB-NP\tO' -p231390 -aS'exploration\texploration\tNN\tI-NP\tO' -p231391 -aS'and\tand\tCC\tI-NP\tO' -p231392 -aS'resection\tresection\tNN\tI-NP\tO' -p231393 -aS'of\tof\tIN\tB-PP\tO' -p231394 -aS'her\ther\tPRP$\tB-NP\tO' -p231395 -aS'probable\tprobable\tJJ\tI-NP\tO' -p231396 -aS'metastatic\tmetastatic\tJJ\tI-NP\tO' -p231397 -aS'mass\tmass\tNN\tI-NP\tO' -p231398 -aS'.\t.\t.\tO\tO' -p231399 -asS'Pertinent Results : see dc summary' -p231400 -(lp231401 -S'Pertinent\tPertinent\tJJ\tB-NP\tO' -p231402 -aS'Results\tResult\tNNS\tI-NP\tO' -p231403 -aS':\t:\t:\tO\tO' -p231404 -aS'see\tsee\tVB\tB-VP\tO' -p231405 -aS'dc\tdc\tNN\tB-NP\tO' -p231406 -aS'summary\tsummary\tNN\tI-NP\tO' -p231407 -asS'6. Heme .' -p231408 -(lp231409 -S'6.\t6.\tLS\tB-LST\tO' -p231410 -aS'Heme\tHeme\tNNP\tB-NP\tB-protein' -p231411 -aS'.\t.\t.\tO\tO' -p231412 -asS'Echo prior to scheduled cath showed mild LVH , inferior HK , EF 40% , mild MR , mild LAE .' -p231413 -(lp231414 -S'Echo\tEcho\tNNP\tB-NP\tO' -p231415 -aS'prior\tprior\tRB\tB-ADVP\tO' -p231416 -aS'to\tto\tTO\tB-PP\tO' -p231417 -aS'scheduled\tschedule\tVBN\tB-NP\tO' -p231418 -aS'cath\tcath\tNN\tI-NP\tO' -p231419 -aS'showed\tshow\tVBD\tB-VP\tO' -p231420 -aS'mild\tmild\tJJ\tB-NP\tO' -p231421 -aS'LVH\tLVH\tNN\tI-NP\tO' -p231422 -aS',\t,\t,\tO\tO' -p231423 -aS'inferior\tinferior\tJJ\tB-NP\tO' -p231424 -aS'HK\tHK\tNN\tI-NP\tO' -p231425 -aS',\t,\t,\tO\tO' -p231426 -aS'EF\tEF\tNN\tB-NP\tB-protein' -p231427 -aS'40%\t40%\tCD\tI-NP\tI-protein' -p231428 -aS',\t,\t,\tO\tO' -p231429 -aS'mild\tmild\tJJ\tB-NP\tO' -p231430 -aS'MR\tMR\tNN\tI-NP\tB-protein' -p231431 -aS',\t,\t,\tO\tO' -p231432 -aS'mild\tmild\tJJ\tB-NP\tO' -p231433 -aS'LAE\tLAE\tNN\tI-NP\tO' -p231434 -aS'.\t.\t.\tO\tO' -p231435 -asS'The patient was subsequently admitted to the Trauma Service on 2010-06-28 under the direction of Dr. Lowery .' -p231436 -(lp231437 -S'The\tThe\tDT\tB-NP\tO' -p231438 -aS'patient\tpatient\tNN\tI-NP\tO' -p231439 -aS'was\tbe\tVBD\tB-VP\tO' -p231440 -aS'subsequently\tsubsequently\tRB\tI-VP\tO' -p231441 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p231442 -aS'to\tto\tTO\tB-PP\tO' -p231443 -aS'the\tthe\tDT\tB-NP\tO' -p231444 -aS'Trauma\tTrauma\tNNP\tI-NP\tO' -p231445 -aS'Service\tService\tNNP\tI-NP\tO' -p231446 -aS'on\ton\tIN\tB-PP\tO' -p231447 -aS'2010-06-28\t2010-06-28\tCD\tB-NP\tO' -p231448 -aS'under\tunder\tIN\tB-PP\tO' -p231449 -aS'the\tthe\tDT\tB-NP\tO' -p231450 -aS'direction\tdirection\tNN\tI-NP\tO' -p231451 -aS'of\tof\tIN\tB-PP\tO' -p231452 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p231453 -aS'Lowery\tLowery\tNNP\tI-NP\tO' -p231454 -aS'.\t.\t.\tO\tO' -p231455 -asS'In the past , he has been very depressed and has seen a counselor at Greenfield Community College Community Health .' -p231456 -(lp231457 -S'In\tIn\tIN\tB-PP\tO' -p231458 -aS'the\tthe\tDT\tB-NP\tO' -p231459 -aS'past\tpast\tNN\tI-NP\tO' -p231460 -aS',\t,\t,\tO\tO' -p231461 -aS'he\the\tPRP\tB-NP\tO' -p231462 -aS'has\thave\tVBZ\tB-VP\tO' -p231463 -aS'been\tbe\tVBN\tI-VP\tO' -p231464 -aS'very\tvery\tRB\tB-ADJP\tO' -p231465 -aS'depressed\tdepressed\tJJ\tI-ADJP\tO' -p231466 -aS'and\tand\tCC\tO\tO' -p231467 -aS'has\thave\tVBZ\tB-VP\tO' -p231468 -aS'seen\tsee\tVBN\tI-VP\tO' -p231469 -aS'a\ta\tDT\tB-NP\tO' -p231470 -aS'counselor\tcounselor\tNN\tI-NP\tO' -p231471 -aS'at\tat\tIN\tB-PP\tO' -p231472 -aS'Greenfield\tGreenfield\tNNP\tB-NP\tO' -p231473 -aS'Community\tCommunity\tNNP\tI-NP\tO' -p231474 -aS'College\tCollege\tNNP\tI-NP\tO' -p231475 -aS'Community\tCommunity\tNNP\tI-NP\tO' -p231476 -aS'Health\tHealth\tNNP\tI-NP\tO' -p231477 -aS'.\t.\t.\tO\tO' -p231478 -asS'A CT abd showed 8mm obstructing stone , hydro with stranding consistent with pylonephritis .' -p231479 -(lp231480 -S'A\tA\tDT\tB-NP\tO' -p231481 -aS'CT\tCT\tNN\tI-NP\tO' -p231482 -aS'abd\tabd\tNN\tI-NP\tO' -p231483 -aS'showed\tshow\tVBD\tB-VP\tO' -p231484 -aS'8mm\t8mm\tNN\tB-NP\tO' -p231485 -aS'obstructing\tobstruct\tVBG\tB-VP\tO' -p231486 -aS'stone\tstone\tNN\tB-NP\tO' -p231487 -aS',\t,\t,\tO\tO' -p231488 -aS'hydro\thydro\tNN\tB-NP\tO' -p231489 -aS'with\twith\tIN\tB-PP\tO' -p231490 -aS'stranding\tstrand\tVBG\tB-VP\tO' -p231491 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p231492 -aS'with\twith\tIN\tB-PP\tO' -p231493 -aS'pylonephritis\tpylonephritis\tNN\tB-NP\tO' -p231494 -aS'.\t.\t.\tO\tO' -p231495 -asS'Diffuse bronchial breath sounds , no wheezes .' -p231496 -(lp231497 -S'Diffuse\tDiffuse\tNN\tB-NP\tO' -p231498 -aS'bronchial\tbronchial\tJJ\tI-NP\tO' -p231499 -aS'breath\tbreath\tNN\tI-NP\tO' -p231500 -aS'sounds\tsound\tNNS\tI-NP\tO' -p231501 -aS',\t,\t,\tO\tO' -p231502 -aS'no\tno\tDT\tB-NP\tO' -p231503 -aS'wheezes\twheeze\tNNS\tI-NP\tO' -p231504 -aS'.\t.\t.\tO\tO' -p231505 -asS'Fich cardiac output was 3.0 and indexed 2.0 .' -p231506 -(lp231507 -S'Fich\tFich\tJJ\tB-NP\tO' -p231508 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p231509 -aS'output\toutput\tNN\tI-NP\tO' -p231510 -aS'was\tbe\tVBD\tB-VP\tO' -p231511 -aS'3.0\t3.0\tCD\tB-NP\tO' -p231512 -aS'and\tand\tCC\tO\tO' -p231513 -aS'indexed\tindex\tVBD\tB-VP\tO' -p231514 -aS'2.0\t2.0\tCD\tB-NP\tO' -p231515 -aS'.\t.\t.\tO\tO' -p231516 -asS'The Courtney , SPEP , and anticardiolipin antibody were all negative .' -p231517 -(lp231518 -S'The\tThe\tDT\tB-NP\tO' -p231519 -aS'Courtney\tCourtney\tNN\tI-NP\tO' -p231520 -aS',\t,\t,\tO\tO' -p231521 -aS'SPEP\tSPEP\tNN\tB-NP\tB-protein' -p231522 -aS',\t,\t,\tO\tO' -p231523 -aS'and\tand\tCC\tO\tO' -p231524 -aS'anticardiolipin\tanticardiolipin\tNN\tB-NP\tB-protein' -p231525 -aS'antibody\tantibody\tNN\tI-NP\tI-protein' -p231526 -aS'were\tbe\tVBD\tB-VP\tO' -p231527 -aS'all\tall\tDT\tO\tO' -p231528 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p231529 -aS'.\t.\t.\tO\tO' -p231530 -asS'5. Levothyroxine 100 micrograms p.o. q. day .' -p231531 -(lp231532 -S'5.\t5.\tLS\tB-LST\tO' -p231533 -aS'Levothyroxine\tLevothyroxine\tNNP\tB-NP\tO' -p231534 -aS'100\t100\tCD\tI-NP\tO' -p231535 -aS'micrograms\tmicrogram\tNNS\tI-NP\tO' -p231536 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p231537 -aS'q.\tq.\tNN\tI-NP\tO' -p231538 -aS'day\tday\tNN\tI-NP\tO' -p231539 -aS'.\t.\t.\tO\tO' -p231540 -asS'Restricted diffusion in left frontotemporal region in the distribution of the right middle cerebral artery indicating acute infarct .' -p231541 -(lp231542 -S'Restricted\tRestrict\tVBN\tB-NP\tO' -p231543 -aS'diffusion\tdiffusion\tNN\tI-NP\tO' -p231544 -aS'in\tin\tIN\tB-PP\tO' -p231545 -aS'left\tleft\tJJ\tB-NP\tB-DNA' -p231546 -aS'frontotemporal\tfrontotemporal\tJJ\tI-NP\tI-DNA' -p231547 -aS'region\tregion\tNN\tI-NP\tI-DNA' -p231548 -aS'in\tin\tIN\tB-PP\tO' -p231549 -aS'the\tthe\tDT\tB-NP\tO' -p231550 -aS'distribution\tdistribution\tNN\tI-NP\tO' -p231551 -aS'of\tof\tIN\tB-PP\tO' -p231552 -aS'the\tthe\tDT\tB-NP\tO' -p231553 -aS'right\tright\tJJ\tI-NP\tO' -p231554 -aS'middle\tmiddle\tJJ\tI-NP\tO' -p231555 -aS'cerebral\tcerebral\tJJ\tI-NP\tO' -p231556 -aS'artery\tartery\tNN\tI-NP\tO' -p231557 -aS'indicating\tindicate\tVBG\tB-VP\tO' -p231558 -aS'acute\tacute\tJJ\tB-NP\tO' -p231559 -aS'infarct\tinfarct\tNN\tI-NP\tO' -p231560 -aS'.\t.\t.\tO\tO' -p231561 -asS'No further history was ever gained about his cardiac arrest throughout his hospitalization .' -p231562 -(lp231563 -S'No\tNo\tDT\tB-NP\tO' -p231564 -aS'further\tfurther\tJJ\tI-NP\tO' -p231565 -aS'history\thistory\tNN\tI-NP\tO' -p231566 -aS'was\tbe\tVBD\tB-VP\tO' -p231567 -aS'ever\tever\tRB\tI-VP\tO' -p231568 -aS'gained\tgain\tVBN\tI-VP\tO' -p231569 -aS'about\tabout\tIN\tB-PP\tO' -p231570 -aS'his\this\tPRP$\tB-NP\tO' -p231571 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p231572 -aS'arrest\tarrest\tNN\tI-NP\tO' -p231573 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p231574 -aS'his\this\tPRP$\tB-NP\tO' -p231575 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p231576 -aS'.\t.\t.\tO\tO' -p231577 -asS'He was deemed to be too lethargic and sleepy to be extubated on postoperative day number zero .' -p231578 -(lp231579 -S'He\tHe\tPRP\tB-NP\tO' -p231580 -aS'was\tbe\tVBD\tB-VP\tO' -p231581 -aS'deemed\tdeem\tVBN\tI-VP\tO' -p231582 -aS'to\tto\tTO\tI-VP\tO' -p231583 -aS'be\tbe\tVB\tI-VP\tO' -p231584 -aS'too\ttoo\tRB\tB-ADJP\tO' -p231585 -aS'lethargic\tlethargic\tJJ\tI-ADJP\tO' -p231586 -aS'and\tand\tCC\tI-ADJP\tO' -p231587 -aS'sleepy\tsleepy\tJJ\tI-ADJP\tO' -p231588 -aS'to\tto\tTO\tB-VP\tO' -p231589 -aS'be\tbe\tVB\tI-VP\tO' -p231590 -aS'extubated\textubate\tVBN\tI-VP\tO' -p231591 -aS'on\ton\tIN\tB-PP\tO' -p231592 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p231593 -aS'day\tday\tNN\tI-NP\tO' -p231594 -aS'number\tnumber\tNN\tI-NP\tO' -p231595 -aS'zero\tzero\tCD\tI-NP\tO' -p231596 -aS'.\t.\t.\tO\tO' -p231597 -asS'However , on 2017-03-01 at 6 am the pt was found with labored respirations ( rr = 24 ) and SaO2 89% , which improved to only SaO290 - 91% on 100% NRB .' -p231598 -(lp231599 -S'However\tHowever\tRB\tB-ADVP\tO' -p231600 -aS',\t,\t,\tO\tO' -p231601 -aS'on\ton\tIN\tB-PP\tO' -p231602 -aS'2017-03-01\t2017-03-01\tCD\tB-NP\tO' -p231603 -aS'at\tat\tIN\tB-PP\tO' -p231604 -aS'6\t6\tCD\tB-NP\tO' -p231605 -aS'am\tam\tNN\tI-NP\tO' -p231606 -aS'the\tthe\tDT\tB-NP\tO' -p231607 -aS'pt\tpt\tNN\tI-NP\tO' -p231608 -aS'was\tbe\tVBD\tB-VP\tO' -p231609 -aS'found\tfind\tVBN\tI-VP\tO' -p231610 -aS'with\twith\tIN\tB-PP\tO' -p231611 -aS'labored\tlabor\tVBN\tB-NP\tO' -p231612 -aS'respirations\trespiration\tNNS\tI-NP\tO' -p231613 -aS'(\t(\t(\tO\tO' -p231614 -aS'rr\trr\tNN\tB-NP\tO' -p231615 -aS'=\t=\tSYM\tB-VP\tO' -p231616 -aS'24\t24\tCD\tB-NP\tO' -p231617 -aS')\t)\t)\tO\tO' -p231618 -aS'and\tand\tCC\tO\tO' -p231619 -aS'SaO2\tSaO2\tNN\tB-NP\tB-protein' -p231620 -aS'89%\t89%\tNN\tI-NP\tI-protein' -p231621 -aS',\t,\t,\tO\tO' -p231622 -aS'which\twhich\tWDT\tB-NP\tO' -p231623 -aS'improved\timprove\tVBD\tB-VP\tO' -p231624 -aS'to\tto\tTO\tB-PP\tO' -p231625 -aS'only\tonly\tRB\tB-NP\tO' -p231626 -aS'SaO290\tSaO290\tNN\tI-NP\tB-protein' -p231627 -aS'-\t-\tHYPH\tO\tO' -p231628 -aS'91%\t91%\tNN\tB-NP\tO' -p231629 -aS'on\ton\tIN\tB-PP\tO' -p231630 -aS'100%\t100%\tCD\tB-NP\tO' -p231631 -aS'NRB\tNRB\tNN\tI-NP\tB-protein' -p231632 -aS'.\t.\t.\tO\tO' -p231633 -asS'3. Status post skin graft to chest incision .' -p231634 -(lp231635 -S'3.\t3.\tLS\tB-NP\tO' -p231636 -aS'Status\tStatus\tNNP\tI-NP\tO' -p231637 -aS'post\tpost\tNN\tI-NP\tO' -p231638 -aS'skin\tskin\tNN\tI-NP\tO' -p231639 -aS'graft\tgraft\tNN\tI-NP\tO' -p231640 -aS'to\tto\tTO\tB-PP\tO' -p231641 -aS'chest\tchest\tNN\tB-NP\tO' -p231642 -aS'incision\tincision\tNN\tI-NP\tO' -p231643 -aS'.\t.\t.\tO\tO' -p231644 -asS'7) High amylase : He was admitted on 03-23 with elevated amylase but non-elevated lipase .' -p231645 -(lp231646 -S'7)\t7)\tLS\tB-NP\tO' -p231647 -aS'High\tHigh\tJJ\tI-NP\tB-protein' -p231648 -aS'amylase\tamylase\tNN\tI-NP\tI-protein' -p231649 -aS':\t:\t:\tO\tO' -p231650 -aS'He\tHe\tPRP\tB-NP\tO' -p231651 -aS'was\tbe\tVBD\tB-VP\tO' -p231652 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p231653 -aS'on\ton\tIN\tB-PP\tO' -p231654 -aS'03-23\t03-23\tCD\tB-NP\tO' -p231655 -aS'with\twith\tIN\tB-PP\tO' -p231656 -aS'elevated\televated\tJJ\tB-NP\tO' -p231657 -aS'amylase\tamylase\tNN\tI-NP\tB-protein' -p231658 -aS'but\tbut\tCC\tO\tI-protein' -p231659 -aS'non-elevated\tnon-elevated\tJJ\tB-NP\tI-protein' -p231660 -aS'lipase\tlipase\tNN\tI-NP\tI-protein' -p231661 -aS'.\t.\t.\tO\tO' -p231662 -asS'She also has a cough with a small amount of white sputum .' -p231663 -(lp231664 -S'She\tShe\tPRP\tB-NP\tO' -p231665 -aS'also\talso\tRB\tB-ADVP\tO' -p231666 -aS'has\thave\tVBZ\tB-VP\tO' -p231667 -aS'a\ta\tDT\tB-NP\tO' -p231668 -aS'cough\tcough\tNN\tI-NP\tO' -p231669 -aS'with\twith\tIN\tB-PP\tO' -p231670 -aS'a\ta\tDT\tB-NP\tO' -p231671 -aS'small\tsmall\tJJ\tI-NP\tO' -p231672 -aS'amount\tamount\tNN\tI-NP\tO' -p231673 -aS'of\tof\tIN\tB-PP\tO' -p231674 -aS'white\twhite\tJJ\tB-NP\tO' -p231675 -aS'sputum\tsputum\tNN\tI-NP\tO' -p231676 -aS'.\t.\t.\tO\tO' -p231677 -asS'This report was created by SHUFF , RONRIN 02/03/2004 07:23 PM' -p231678 -(lp231679 -S'This\tThis\tDT\tB-NP\tO' -p231680 -aS'report\treport\tNN\tI-NP\tO' -p231681 -aS'was\tbe\tVBD\tB-VP\tO' -p231682 -aS'created\tcreate\tVBN\tI-VP\tO' -p231683 -aS'by\tby\tIN\tB-PP\tO' -p231684 -aS'SHUFF\tSHUFF\tNN\tB-NP\tB-protein' -p231685 -aS',\t,\t,\tO\tO' -p231686 -aS'RONRIN\tRONRIN\tNN\tB-NP\tO' -p231687 -aS'02/03/2004\t02/03/2004\tCD\tI-NP\tO' -p231688 -aS'07:23\t07:23\tCD\tI-NP\tO' -p231689 -aS'PM\tPM\tNN\tI-NP\tO' -p231690 -asS'Stent placement of the RCA on October 15 , 1999 .' -p231691 -(lp231692 -S'Stent\tStent\tJJ\tB-NP\tO' -p231693 -aS'placement\tplacement\tNN\tI-NP\tO' -p231694 -aS'of\tof\tIN\tB-PP\tO' -p231695 -aS'the\tthe\tDT\tB-NP\tO' -p231696 -aS'RCA\tRCA\tNN\tI-NP\tB-protein' -p231697 -aS'on\ton\tIN\tB-PP\tO' -p231698 -aS'October\tOctober\tNNP\tB-NP\tO' -p231699 -aS'15\t15\tCD\tI-NP\tO' -p231700 -aS',\t,\t,\tI-NP\tO' -p231701 -aS'1999\t1999\tCD\tI-NP\tO' -p231702 -aS'.\t.\t.\tO\tO' -p231703 -asS'8. Chronic renal insufficiency with a b/l creatinine of 1.4 .' -p231704 -(lp231705 -S'8.\t8.\tLS\tB-NP\tO' -p231706 -aS'Chronic\tChronic\tJJ\tI-NP\tO' -p231707 -aS'renal\trenal\tJJ\tI-NP\tO' -p231708 -aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' -p231709 -aS'with\twith\tIN\tB-PP\tO' -p231710 -aS'a\ta\tDT\tB-NP\tO' -p231711 -aS'b/l\tb/l\tNN\tI-NP\tO' -p231712 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p231713 -aS'of\tof\tIN\tB-PP\tO' -p231714 -aS'1.4\t1.4\tCD\tB-NP\tO' -p231715 -aS'.\t.\t.\tO\tO' -p231716 -asS'Indeterminate frontal plane QRS axis .' -p231717 -(lp231718 -S'Indeterminate\tIndeterminate\tJJ\tB-NP\tO' -p231719 -aS'frontal\tfrontal\tJJ\tI-NP\tO' -p231720 -aS'plane\tplane\tNN\tI-NP\tO' -p231721 -aS'QRS\tQRS\tNN\tI-NP\tO' -p231722 -aS'axis\taxis\tNN\tI-NP\tO' -p231723 -aS'.\t.\t.\tO\tO' -p231724 -asS'The patient will be also followed by Dr. Joseet Gelineau of the Neurology Service at Ph University Of Medical Center .' -p231725 -(lp231726 -S'The\tThe\tDT\tB-NP\tO' -p231727 -aS'patient\tpatient\tNN\tI-NP\tO' -p231728 -aS'will\twill\tMD\tB-VP\tO' -p231729 -aS'be\tbe\tVB\tI-VP\tO' -p231730 -aS'also\talso\tRB\tI-VP\tO' -p231731 -aS'followed\tfollow\tVBN\tI-VP\tO' -p231732 -aS'by\tby\tIN\tB-PP\tO' -p231733 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p231734 -aS'Joseet\tJoseet\tNNP\tI-NP\tO' -p231735 -aS'Gelineau\tGelineau\tNNP\tI-NP\tO' -p231736 -aS'of\tof\tIN\tB-PP\tO' -p231737 -aS'the\tthe\tDT\tB-NP\tO' -p231738 -aS'Neurology\tNeurology\tNNP\tI-NP\tO' -p231739 -aS'Service\tService\tNNP\tI-NP\tO' -p231740 -aS'at\tat\tIN\tB-PP\tO' -p231741 -aS'Ph\tPh\tNNP\tB-NP\tO' -p231742 -aS'University\tUniversity\tNNP\tI-NP\tO' -p231743 -aS'Of\tOf\tNNP\tI-NP\tO' -p231744 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p231745 -aS'Center\tCenter\tNNP\tI-NP\tO' -p231746 -aS'.\t.\t.\tO\tO' -p231747 -asS'There was no evidence of LA dilatation .' -p231748 -(lp231749 -S'There\tThere\tEX\tB-NP\tO' -p231750 -aS'was\tbe\tVBD\tB-VP\tO' -p231751 -aS'no\tno\tDT\tB-NP\tO' -p231752 -aS'evidence\tevidence\tNN\tI-NP\tO' -p231753 -aS'of\tof\tIN\tB-PP\tO' -p231754 -aS'LA\tLA\tNN\tB-NP\tO' -p231755 -aS'dilatation\tdilatation\tNN\tI-NP\tO' -p231756 -aS'.\t.\t.\tO\tO' -p231757 -asS'General : Patient is in no acute distress .' -p231758 -(lp231759 -S'General\tGeneral\tNNP\tB-NP\tO' -p231760 -aS':\t:\t:\tO\tO' -p231761 -aS'Patient\tPatient\tNN\tB-NP\tO' -p231762 -aS'is\tbe\tVBZ\tB-VP\tO' -p231763 -aS'in\tin\tIN\tB-PP\tO' -p231764 -aS'no\tno\tDT\tB-NP\tO' -p231765 -aS'acute\tacute\tJJ\tI-NP\tO' -p231766 -aS'distress\tdistress\tNN\tI-NP\tO' -p231767 -aS'.\t.\t.\tO\tO' -p231768 -asS'Audiology : Hearing screening was performed with automated auditory brain stem responses .' -p231769 -(lp231770 -S'Audiology\tAudiology\tNNP\tB-NP\tO' -p231771 -aS':\t:\t:\tO\tO' -p231772 -aS'Hearing\tHear\tVBG\tB-VP\tO' -p231773 -aS'screening\tscreening\tNN\tB-NP\tO' -p231774 -aS'was\tbe\tVBD\tB-VP\tO' -p231775 -aS'performed\tperform\tVBN\tI-VP\tO' -p231776 -aS'with\twith\tIN\tB-PP\tO' -p231777 -aS'automated\tautomate\tVBN\tB-NP\tO' -p231778 -aS'auditory\tauditory\tJJ\tI-NP\tO' -p231779 -aS'brain\tbrain\tNN\tI-NP\tO' -p231780 -aS'stem\tstem\tNN\tI-NP\tO' -p231781 -aS'responses\tresponse\tNNS\tI-NP\tO' -p231782 -aS'.\t.\t.\tO\tO' -p231783 -asS'He underwent PICC line placement on 06-18 .' -p231784 -(lp231785 -S'He\tHe\tPRP\tB-NP\tO' -p231786 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p231787 -aS'PICC\tPICC\tNN\tB-NP\tO' -p231788 -aS'line\tline\tNN\tI-NP\tO' -p231789 -aS'placement\tplacement\tNN\tI-NP\tO' -p231790 -aS'on\ton\tIN\tB-PP\tO' -p231791 -aS'06-18\t06-18\tCD\tB-NP\tO' -p231792 -aS'.\t.\t.\tO\tO' -p231793 -asS'6. Coagulase negative bacteremia .' -p231794 -(lp231795 -S'6.\t6.\tLS\tB-NP\tO' -p231796 -aS'Coagulase\tCoagulase\tNN\tI-NP\tB-protein' -p231797 -aS'negative\tnegative\tJJ\tI-NP\tO' -p231798 -aS'bacteremia\tbacteremia\tNN\tI-NP\tO' -p231799 -aS'.\t.\t.\tO\tO' -p231800 -asS'Initially was placed on continuous positive airway pressure 40% oxygen .' -p231801 -(lp231802 -S'Initially\tInitially\tRB\tB-ADVP\tO' -p231803 -aS'was\tbe\tVBD\tB-VP\tO' -p231804 -aS'placed\tplace\tVBN\tI-VP\tO' -p231805 -aS'on\ton\tIN\tB-PP\tO' -p231806 -aS'continuous\tcontinuous\tJJ\tB-NP\tO' -p231807 -aS'positive\tpositive\tJJ\tI-NP\tO' -p231808 -aS'airway\tairway\tNN\tI-NP\tO' -p231809 -aS'pressure\tpressure\tNN\tI-NP\tO' -p231810 -aS'40%\t40%\tCD\tI-NP\tO' -p231811 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p231812 -aS'.\t.\t.\tO\tO' -p231813 -asS'He does not use a cane and he requires a bannister for going up and down stairs .' -p231814 -(lp231815 -S'He\tHe\tPRP\tB-NP\tO' -p231816 -aS'does\tdo\tVBZ\tB-VP\tO' -p231817 -aS'not\tnot\tRB\tI-VP\tO' -p231818 -aS'use\tuse\tVB\tI-VP\tO' -p231819 -aS'a\ta\tDT\tB-NP\tO' -p231820 -aS'cane\tcane\tNN\tI-NP\tO' -p231821 -aS'and\tand\tCC\tO\tO' -p231822 -aS'he\the\tPRP\tB-NP\tO' -p231823 -aS'requires\trequire\tVBZ\tB-VP\tO' -p231824 -aS'a\ta\tDT\tB-NP\tO' -p231825 -aS'bannister\tbannister\tNN\tI-NP\tO' -p231826 -aS'for\tfor\tIN\tB-PP\tO' -p231827 -aS'going\tgo\tVBG\tB-VP\tO' -p231828 -aS'up\tup\tRB\tB-ADVP\tO' -p231829 -aS'and\tand\tCC\tI-ADVP\tO' -p231830 -aS'down\tdown\tRB\tI-ADVP\tO' -p231831 -aS'stairs\tstair\tNNS\tB-NP\tO' -p231832 -aS'.\t.\t.\tO\tO' -p231833 -asS'Respiratory revealed bibasilar rales .' -p231834 -(lp231835 -S'Respiratory\tRespiratory\tNNP\tB-NP\tO' -p231836 -aS'revealed\treveal\tVBD\tB-VP\tO' -p231837 -aS'bibasilar\tbibasilar\tJJ\tB-NP\tO' -p231838 -aS'rales\trale\tNNS\tI-NP\tO' -p231839 -aS'.\t.\t.\tO\tO' -p231840 -asS'16. Hydrocodone 5 mg with Tylenol , one to two tablets every four hours p.r.n. pain .' -p231841 -(lp231842 -S'16.\t16.\tCD\tB-NP\tO' -p231843 -aS'Hydrocodone\tHydrocodone\tNN\tI-NP\tO' -p231844 -aS'5\t5\tCD\tB-NP\tO' -p231845 -aS'mg\tmg\tNN\tI-NP\tO' -p231846 -aS'with\twith\tIN\tB-PP\tO' -p231847 -aS'Tylenol\tTylenol\tNN\tB-NP\tO' -p231848 -aS',\t,\t,\tO\tO' -p231849 -aS'one\tone\tCD\tB-NP\tO' -p231850 -aS'to\tto\tTO\tI-NP\tO' -p231851 -aS'two\ttwo\tCD\tI-NP\tO' -p231852 -aS'tablets\ttablet\tNNS\tI-NP\tO' -p231853 -aS'every\tevery\tDT\tB-NP\tO' -p231854 -aS'four\tfour\tCD\tI-NP\tO' -p231855 -aS'hours\thour\tNNS\tI-NP\tO' -p231856 -aS'p.r.n.\tp.r.n.\tJJ\tI-NP\tO' -p231857 -aS'pain\tpain\tNN\tI-NP\tO' -p231858 -aS'.\t.\t.\tO\tO' -p231859 -asS'The patient was brought to the cardiothoracic Intensive Care Unit in stable condition on minimal pressor support .' -p231860 -(lp231861 -S'The\tThe\tDT\tB-NP\tO' -p231862 -aS'patient\tpatient\tNN\tI-NP\tO' -p231863 -aS'was\tbe\tVBD\tB-VP\tO' -p231864 -aS'brought\tbring\tVBN\tI-VP\tO' -p231865 -aS'to\tto\tTO\tB-PP\tO' -p231866 -aS'the\tthe\tDT\tB-NP\tO' -p231867 -aS'cardiothoracic\tcardiothoracic\tJJ\tI-NP\tB-DNA' -p231868 -aS'Intensive\tIntensive\tJJ\tI-NP\tI-DNA' -p231869 -aS'Care\tCare\tNNP\tI-NP\tI-DNA' -p231870 -aS'Unit\tUnit\tNNP\tI-NP\tI-DNA' -p231871 -aS'in\tin\tIN\tB-PP\tO' -p231872 -aS'stable\tstable\tJJ\tB-NP\tO' -p231873 -aS'condition\tcondition\tNN\tI-NP\tO' -p231874 -aS'on\ton\tIN\tB-PP\tO' -p231875 -aS'minimal\tminimal\tJJ\tB-NP\tO' -p231876 -aS'pressor\tpressor\tNN\tI-NP\tO' -p231877 -aS'support\tsupport\tNN\tI-NP\tO' -p231878 -aS'.\t.\t.\tO\tO' -p231879 -asS'This is to notify you that your patient , KAYSLANCE , ICEROYLN arrived in the Emergency Department at Bri Health on 03/17/2003 02:52 AM .' -p231880 -(lp231881 -S'This\tThis\tDT\tB-NP\tO' -p231882 -aS'is\tbe\tVBZ\tB-VP\tO' -p231883 -aS'to\tto\tTO\tB-VP\tO' -p231884 -aS'notify\tnotify\tVB\tI-VP\tO' -p231885 -aS'you\tyou\tPRP\tB-NP\tO' -p231886 -aS'that\tthat\tIN\tB-SBAR\tO' -p231887 -aS'your\tyour\tPRP$\tB-NP\tO' -p231888 -aS'patient\tpatient\tNN\tI-NP\tO' -p231889 -aS',\t,\t,\tO\tO' -p231890 -aS'KAYSLANCE\tKAYSLANCE\tNN\tB-NP\tO' -p231891 -aS',\t,\t,\tO\tO' -p231892 -aS'ICEROYLN\tICEROYLN\tNN\tB-NP\tB-protein' -p231893 -aS'arrived\tarrive\tVBD\tB-VP\tO' -p231894 -aS'in\tin\tIN\tB-PP\tO' -p231895 -aS'the\tthe\tDT\tB-NP\tO' -p231896 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p231897 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p231898 -aS'at\tat\tIN\tB-PP\tO' -p231899 -aS'Bri\tBri\tNNP\tB-NP\tO' -p231900 -aS'Health\tHealth\tNNP\tI-NP\tO' -p231901 -aS'on\ton\tIN\tB-PP\tO' -p231902 -aS'03/17/2003\t03/17/2003\tCD\tB-NP\tO' -p231903 -aS'02:52\t02:52\tCD\tI-NP\tO' -p231904 -aS'AM\tAM\tNN\tI-NP\tO' -p231905 -aS'.\t.\t.\tO\tO' -p231906 -asS'Blood pressure 162/76 .' -p231907 -(lp231908 -S'Blood\tBlood\tNN\tB-NP\tO' -p231909 -aS'pressure\tpressure\tNN\tI-NP\tO' -p231910 -aS'162/76\t162/76\tCD\tI-NP\tO' -p231911 -aS'.\t.\t.\tO\tO' -p231912 -asS'There is no mitral valve prolapse .' -p231913 -(lp231914 -S'There\tThere\tEX\tB-NP\tO' -p231915 -aS'is\tbe\tVBZ\tB-VP\tO' -p231916 -aS'no\tno\tDT\tB-NP\tO' -p231917 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p231918 -aS'valve\tvalve\tNN\tI-NP\tO' -p231919 -aS'prolapse\tprolapse\tNN\tI-NP\tO' -p231920 -aS'.\t.\t.\tO\tO' -p231921 -asS'These infants were delivered by repeat cesarean section , this twin emerged with good tone , color , and cry .' -p231922 -(lp231923 -S'These\tThese\tDT\tB-NP\tO' -p231924 -aS'infants\tinfant\tNNS\tI-NP\tO' -p231925 -aS'were\tbe\tVBD\tB-VP\tO' -p231926 -aS'delivered\tdeliver\tVBN\tI-VP\tO' -p231927 -aS'by\tby\tIN\tB-PP\tO' -p231928 -aS'repeat\trepeat\tNN\tB-NP\tO' -p231929 -aS'cesarean\tcesarean\tJJ\tI-NP\tO' -p231930 -aS'section\tsection\tNN\tI-NP\tO' -p231931 -aS',\t,\t,\tO\tO' -p231932 -aS'this\tthis\tDT\tB-NP\tO' -p231933 -aS'twin\ttwin\tNN\tI-NP\tO' -p231934 -aS'emerged\temerge\tVBD\tB-VP\tO' -p231935 -aS'with\twith\tIN\tB-PP\tO' -p231936 -aS'good\tgood\tJJ\tB-NP\tO' -p231937 -aS'tone\ttone\tNN\tI-NP\tO' -p231938 -aS',\t,\t,\tO\tO' -p231939 -aS'color\tcolor\tNN\tB-NP\tO' -p231940 -aS',\t,\t,\tO\tO' -p231941 -aS'and\tand\tCC\tO\tO' -p231942 -aS'cry\tcry\tNN\tB-NP\tO' -p231943 -aS'.\t.\t.\tO\tO' -p231944 -asS'Patient was found to have a new humerus fracture distal to the hardware on film this admission .' -p231945 -(lp231946 -S'Patient\tPatient\tNN\tB-NP\tO' -p231947 -aS'was\tbe\tVBD\tB-VP\tO' -p231948 -aS'found\tfind\tVBN\tI-VP\tO' -p231949 -aS'to\tto\tTO\tI-VP\tO' -p231950 -aS'have\thave\tVB\tI-VP\tO' -p231951 -aS'a\ta\tDT\tB-NP\tO' -p231952 -aS'new\tnew\tJJ\tI-NP\tO' -p231953 -aS'humerus\thumerus\tJJ\tI-NP\tO' -p231954 -aS'fracture\tfracture\tNN\tI-NP\tO' -p231955 -aS'distal\tdistal\tJJ\tB-ADJP\tO' -p231956 -aS'to\tto\tTO\tB-PP\tO' -p231957 -aS'the\tthe\tDT\tB-NP\tO' -p231958 -aS'hardware\thardware\tNN\tI-NP\tO' -p231959 -aS'on\ton\tIN\tB-PP\tO' -p231960 -aS'film\tfilm\tNN\tB-NP\tO' -p231961 -aS'this\tthis\tDT\tB-NP\tO' -p231962 -aS'admission\tadmission\tNN\tI-NP\tO' -p231963 -aS'.\t.\t.\tO\tO' -p231964 -asS'3) ADULT RESPIRATORY DISTRESS SYNDROME .' -p231965 -(lp231966 -S'3)\t3)\tLS\tB-NP\tO' -p231967 -aS'ADULT\tADULT\tNN\tI-NP\tO' -p231968 -aS'RESPIRATORY\tRESPIRATORY\tNN\tI-NP\tO' -p231969 -aS'DISTRESS\tDISTRESS\tNN\tI-NP\tO' -p231970 -aS'SYNDROME\tSYNDROME\tNN\tI-NP\tO' -p231971 -aS'.\t.\t.\tO\tO' -p231972 -asS'Within the limits of this non-contrast study , the liver , gallbladder , pancreas , spleen , adrenal glands , kidneys , stomach , and small bowel loops are within normal limits .' -p231973 -(lp231974 -S'Within\tWithin\tIN\tB-PP\tO' -p231975 -aS'the\tthe\tDT\tB-NP\tO' -p231976 -aS'limits\tlimit\tNNS\tI-NP\tO' -p231977 -aS'of\tof\tIN\tB-PP\tO' -p231978 -aS'this\tthis\tDT\tB-NP\tO' -p231979 -aS'non-contrast\tnon-contrast\tJJ\tI-NP\tO' -p231980 -aS'study\tstudy\tNN\tI-NP\tO' -p231981 -aS',\t,\t,\tO\tO' -p231982 -aS'the\tthe\tDT\tB-NP\tO' -p231983 -aS'liver\tliver\tNN\tI-NP\tO' -p231984 -aS',\t,\t,\tO\tO' -p231985 -aS'gallbladder\tgallbladder\tNN\tB-NP\tO' -p231986 -aS',\t,\t,\tO\tO' -p231987 -aS'pancreas\tpancreas\tNN\tB-NP\tO' -p231988 -aS',\t,\t,\tO\tO' -p231989 -aS'spleen\tspleen\tNN\tB-NP\tO' -p231990 -aS',\t,\t,\tO\tO' -p231991 -aS'adrenal\tadrenal\tJJ\tB-NP\tO' -p231992 -aS'glands\tgland\tNNS\tI-NP\tO' -p231993 -aS',\t,\t,\tO\tO' -p231994 -aS'kidneys\tkidney\tNNS\tB-NP\tO' -p231995 -aS',\t,\t,\tO\tO' -p231996 -aS'stomach\tstomach\tNN\tB-NP\tO' -p231997 -aS',\t,\t,\tO\tO' -p231998 -aS'and\tand\tCC\tO\tO' -p231999 -aS'small\tsmall\tJJ\tB-NP\tO' -p232000 -aS'bowel\tbowel\tNN\tI-NP\tO' -p232001 -aS'loops\tloop\tNNS\tI-NP\tO' -p232002 -aS'are\tbe\tVBP\tB-VP\tO' -p232003 -aS'within\twithin\tIN\tB-PP\tO' -p232004 -aS'normal\tnormal\tJJ\tB-NP\tO' -p232005 -aS'limits\tlimit\tNNS\tI-NP\tO' -p232006 -aS'.\t.\t.\tO\tO' -p232007 -asS'Further cultures from sputum and urine revealed yeast sensitive to Diflucan , which was administered shortly after .' -p232008 -(lp232009 -S'Further\tFar\tJJR\tB-NP\tO' -p232010 -aS'cultures\tculture\tNNS\tI-NP\tO' -p232011 -aS'from\tfrom\tIN\tB-PP\tO' -p232012 -aS'sputum\tsputum\tNN\tB-NP\tO' -p232013 -aS'and\tand\tCC\tI-NP\tO' -p232014 -aS'urine\turine\tNN\tI-NP\tO' -p232015 -aS'revealed\treveal\tVBD\tB-VP\tO' -p232016 -aS'yeast\tyeast\tNN\tB-NP\tO' -p232017 -aS'sensitive\tsensitive\tJJ\tB-ADJP\tO' -p232018 -aS'to\tto\tTO\tB-PP\tO' -p232019 -aS'Diflucan\tDiflucan\tNNP\tB-NP\tO' -p232020 -aS',\t,\t,\tO\tO' -p232021 -aS'which\twhich\tWDT\tB-NP\tO' -p232022 -aS'was\tbe\tVBD\tB-VP\tO' -p232023 -aS'administered\tadminister\tVBN\tI-VP\tO' -p232024 -aS'shortly\tshortly\tRB\tB-ADVP\tO' -p232025 -aS'after\tafter\tIN\tB-PP\tO' -p232026 -aS'.\t.\t.\tO\tO' -p232027 -asS'Admitted 05-08 to cardiology service for surgical work-up .' -p232028 -(lp232029 -S'Admitted\tAdmit\tVBN\tB-VP\tO' -p232030 -aS'05-08\t05-08\tCD\tB-NP\tO' -p232031 -aS'to\tto\tTO\tB-PP\tO' -p232032 -aS'cardiology\tcardiology\tNN\tB-NP\tO' -p232033 -aS'service\tservice\tNN\tI-NP\tO' -p232034 -aS'for\tfor\tIN\tB-PP\tO' -p232035 -aS'surgical\tsurgical\tJJ\tB-NP\tO' -p232036 -aS'work-up\twork-up\tNN\tI-NP\tO' -p232037 -aS'.\t.\t.\tO\tO' -p232038 -asS'He has followed this family in the past and will see her in follow-up .' -p232039 -(lp232040 -S'He\tHe\tPRP\tB-NP\tO' -p232041 -aS'has\thave\tVBZ\tB-VP\tO' -p232042 -aS'followed\tfollow\tVBN\tI-VP\tO' -p232043 -aS'this\tthis\tDT\tB-NP\tO' -p232044 -aS'family\tfamily\tNN\tI-NP\tO' -p232045 -aS'in\tin\tIN\tB-PP\tO' -p232046 -aS'the\tthe\tDT\tB-NP\tO' -p232047 -aS'past\tpast\tNN\tI-NP\tO' -p232048 -aS'and\tand\tCC\tO\tO' -p232049 -aS'will\twill\tMD\tB-VP\tO' -p232050 -aS'see\tsee\tVB\tI-VP\tO' -p232051 -aS'her\ther\tPRP\tB-NP\tO' -p232052 -aS'in\tin\tIN\tB-PP\tO' -p232053 -aS'follow-up\tfollow-up\tNN\tB-NP\tO' -p232054 -aS'.\t.\t.\tO\tO' -p232055 -asS'Medications on Admission : vancomycin 1g IV q48' -p232056 -(lp232057 -S'Medications\tMedication\tNNS\tB-NP\tO' -p232058 -aS'on\ton\tIN\tB-PP\tO' -p232059 -aS'Admission\tAdmission\tNN\tB-NP\tO' -p232060 -aS':\t:\t:\tO\tO' -p232061 -aS'vancomycin\tvancomycin\tNN\tB-NP\tO' -p232062 -aS'1g\t1g\tNN\tI-NP\tO' -p232063 -aS'IV\tIV\tCD\tB-NP\tO' -p232064 -aS'q48\tq48\tCD\tI-NP\tO' -p232065 -asS'She says she has had this intermittently with hot summers in the past .' -p232066 -(lp232067 -S'She\tShe\tPRP\tB-NP\tO' -p232068 -aS'says\tsay\tVBZ\tB-VP\tO' -p232069 -aS'she\tshe\tPRP\tB-NP\tO' -p232070 -aS'has\thave\tVBZ\tB-VP\tO' -p232071 -aS'had\thave\tVBN\tI-VP\tO' -p232072 -aS'this\tthis\tDT\tB-NP\tO' -p232073 -aS'intermittently\tintermittently\tRB\tB-ADVP\tO' -p232074 -aS'with\twith\tIN\tB-PP\tO' -p232075 -aS'hot\thot\tJJ\tB-NP\tO' -p232076 -aS'summers\tsummer\tNNS\tI-NP\tO' -p232077 -aS'in\tin\tIN\tB-PP\tO' -p232078 -aS'the\tthe\tDT\tB-NP\tO' -p232079 -aS'past\tpast\tNN\tI-NP\tO' -p232080 -aS'.\t.\t.\tO\tO' -p232081 -asS'1. Feeds .' -p232082 -(lp232083 -S'1.\t1.\tLS\tB-NP\tO' -p232084 -aS'Feeds\tFeed\tNNS\tI-NP\tO' -p232085 -aS'.\t.\t.\tO\tO' -p232086 -asS'Pregnancy was uncomplicated until the day of delivery when mother presented to HealthSouth New England Rehab Hospital Hospital with bleeding and was sent home .' -p232087 -(lp232088 -S'Pregnancy\tPregnancy\tNN\tB-NP\tO' -p232089 -aS'was\tbe\tVBD\tB-VP\tO' -p232090 -aS'uncomplicated\tuncomplicated\tJJ\tB-ADJP\tO' -p232091 -aS'until\tuntil\tIN\tB-SBAR\tO' -p232092 -aS'the\tthe\tDT\tB-NP\tO' -p232093 -aS'day\tday\tNN\tI-NP\tO' -p232094 -aS'of\tof\tIN\tB-PP\tO' -p232095 -aS'delivery\tdelivery\tNN\tB-NP\tO' -p232096 -aS'when\twhen\tWRB\tB-ADVP\tO' -p232097 -aS'mother\tmother\tNN\tB-NP\tO' -p232098 -aS'presented\tpresent\tVBN\tB-VP\tO' -p232099 -aS'to\tto\tTO\tB-PP\tO' -p232100 -aS'HealthSouth\tHealthSouth\tNNP\tB-NP\tO' -p232101 -aS'New\tNew\tNNP\tI-NP\tO' -p232102 -aS'England\tEngland\tNNP\tI-NP\tO' -p232103 -aS'Rehab\tRehab\tNNP\tI-NP\tO' -p232104 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p232105 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p232106 -aS'with\twith\tIN\tB-PP\tO' -p232107 -aS'bleeding\tbleeding\tNN\tB-NP\tO' -p232108 -aS'and\tand\tCC\tO\tO' -p232109 -aS'was\tbe\tVBD\tB-VP\tO' -p232110 -aS'sent\tsend\tVBN\tI-VP\tO' -p232111 -aS'home\thome\tNN\tB-ADVP\tO' -p232112 -aS'.\t.\t.\tO\tO' -p232113 -asS'14. Zinc sulfate 220 mg p.o. q day .' -p232114 -(lp232115 -S'14.\t14.\tLS\tB-NP\tO' -p232116 -aS'Zinc\tZinc\tNN\tI-NP\tO' -p232117 -aS'sulfate\tsulfate\tNN\tI-NP\tO' -p232118 -aS'220\t220\tCD\tI-NP\tO' -p232119 -aS'mg\tmg\tNN\tI-NP\tO' -p232120 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p232121 -aS'q\tq\tNN\tI-NP\tO' -p232122 -aS'day\tday\tNN\tI-NP\tO' -p232123 -aS'.\t.\t.\tO\tO' -p232124 -asS'Mild irreg. ctx .' -p232125 -(lp232126 -S'Mild\tMild\tNNP\tB-NP\tO' -p232127 -aS'irreg.\tirreg.\tFW\tI-NP\tO' -p232128 -aS'ctx\tctx\tNN\tI-NP\tO' -p232129 -aS'.\t.\t.\tO\tO' -p232130 -asS'please call your primary doctor Edmund Starke once your are discharge from the hospital' -p232131 -(lp232132 -S'please\tplease\tVB\tB-VP\tO' -p232133 -aS'call\tcall\tVB\tI-VP\tO' -p232134 -aS'your\tyour\tPRP$\tB-NP\tO' -p232135 -aS'primary\tprimary\tJJ\tI-NP\tO' -p232136 -aS'doctor\tdoctor\tNN\tI-NP\tO' -p232137 -aS'Edmund\tEdmund\tNNP\tI-NP\tO' -p232138 -aS'Starke\tStarke\tNNP\tI-NP\tO' -p232139 -aS'once\tonce\tRB\tB-ADVP\tO' -p232140 -aS'your\tyour\tPRP$\tB-NP\tO' -p232141 -aS'are\tbe\tVBP\tB-VP\tO' -p232142 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p232143 -aS'from\tfrom\tIN\tB-PP\tO' -p232144 -aS'the\tthe\tDT\tB-NP\tO' -p232145 -aS'hospital\thospital\tNN\tI-NP\tO' -p232146 -asS'Mr. Patient will be discharged to home .' -p232147 -(lp232148 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p232149 -aS'Patient\tPatient\tNNP\tI-NP\tO' -p232150 -aS'will\twill\tMD\tB-VP\tO' -p232151 -aS'be\tbe\tVB\tI-VP\tO' -p232152 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p232153 -aS'to\tto\tTO\tB-PP\tO' -p232154 -aS'home\thome\tNN\tB-NP\tO' -p232155 -aS'.\t.\t.\tO\tO' -p232156 -asS'and is less of an aspiration risk .' -p232157 -(lp232158 -S'and\tand\tCC\tO\tO' -p232159 -aS'is\tbe\tVBZ\tB-VP\tO' -p232160 -aS'less\tless\tJJR\tB-NP\tO' -p232161 -aS'of\tof\tIN\tB-PP\tO' -p232162 -aS'an\tan\tDT\tB-NP\tO' -p232163 -aS'aspiration\taspiration\tNN\tI-NP\tO' -p232164 -aS'risk\trisk\tNN\tI-NP\tO' -p232165 -aS'.\t.\t.\tO\tO' -p232166 -asS'She was pain free on the day of discharge .' -p232167 -(lp232168 -S'She\tShe\tPRP\tB-NP\tO' -p232169 -aS'was\tbe\tVBD\tB-VP\tO' -p232170 -aS'pain\tpain\tNN\tB-NP\tO' -p232171 -aS'free\tfree\tJJ\tB-ADJP\tO' -p232172 -aS'on\ton\tIN\tB-PP\tO' -p232173 -aS'the\tthe\tDT\tB-NP\tO' -p232174 -aS'day\tday\tNN\tI-NP\tO' -p232175 -aS'of\tof\tIN\tB-PP\tO' -p232176 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p232177 -aS'.\t.\t.\tO\tO' -p232178 -asS'Derm initially reviewed and thought that it was not c/w hypersensitivity rxn .' -p232179 -(lp232180 -S'Derm\tDerm\tNN\tB-NP\tO' -p232181 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p232182 -aS'reviewed\treview\tVBD\tB-VP\tO' -p232183 -aS'and\tand\tCC\tI-VP\tO' -p232184 -aS'thought\tthink\tVBD\tI-VP\tO' -p232185 -aS'that\tthat\tIN\tB-SBAR\tO' -p232186 -aS'it\tit\tPRP\tB-NP\tO' -p232187 -aS'was\tbe\tVBD\tB-VP\tO' -p232188 -aS'not\tnot\tRB\tI-VP\tO' -p232189 -aS'c/w\tc/w\tVB\tI-VP\tO' -p232190 -aS'hypersensitivity\thypersensitivity\tNN\tB-NP\tO' -p232191 -aS'rxn\trxn\tNN\tI-NP\tO' -p232192 -aS'.\t.\t.\tO\tO' -p232193 -asS'3. Cardiovascular .' -p232194 -(lp232195 -S'3.\t3.\tLS\tB-LST\tO' -p232196 -aS'Cardiovascular\tCardiovascular\tNNP\tB-NP\tO' -p232197 -aS'.\t.\t.\tO\tO' -p232198 -asS'Soft , mildly distended , and tympanic with midepigastric tenderness to palpation and no rebound .' -p232199 -(lp232200 -S'Soft\tSoft\tRB\tB-ADVP\tO' -p232201 -aS',\t,\t,\tO\tO' -p232202 -aS'mildly\tmildly\tRB\tB-VP\tO' -p232203 -aS'distended\tdistend\tVBN\tI-VP\tO' -p232204 -aS',\t,\t,\tO\tO' -p232205 -aS'and\tand\tCC\tO\tO' -p232206 -aS'tympanic\ttympanic\tNN\tB-NP\tO' -p232207 -aS'with\twith\tIN\tB-PP\tO' -p232208 -aS'midepigastric\tmidepigastric\tJJ\tB-NP\tO' -p232209 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p232210 -aS'to\tto\tTO\tB-PP\tO' -p232211 -aS'palpation\tpalpation\tNN\tB-NP\tO' -p232212 -aS'and\tand\tCC\tO\tO' -p232213 -aS'no\tno\tDT\tB-NP\tO' -p232214 -aS'rebound\trebound\tNN\tI-NP\tO' -p232215 -aS'.\t.\t.\tO\tO' -p232216 -asS'Total bilirubin was 12 and direct bilirubin 8 .' -p232217 -(lp232218 -S'Total\tTotal\tJJ\tB-NP\tO' -p232219 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p232220 -aS'was\tbe\tVBD\tB-VP\tO' -p232221 -aS'12\t12\tCD\tB-NP\tO' -p232222 -aS'and\tand\tCC\tO\tO' -p232223 -aS'direct\tdirect\tJJ\tB-NP\tO' -p232224 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p232225 -aS'8\t8\tCD\tI-NP\tO' -p232226 -aS'.\t.\t.\tO\tO' -p232227 -asS'Please follow up with Dr. Wires on Monday .' -p232228 -(lp232229 -S'Please\tPlease\tVB\tB-VP\tO' -p232230 -aS'follow\tfollow\tVB\tI-VP\tO' -p232231 -aS'up\tup\tRP\tB-PRT\tO' -p232232 -aS'with\twith\tIN\tB-PP\tO' -p232233 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p232234 -aS'Wires\tWires\tNNP\tI-NP\tO' -p232235 -aS'on\ton\tIN\tB-PP\tO' -p232236 -aS'Monday\tMonday\tNNP\tB-NP\tO' -p232237 -aS'.\t.\t.\tO\tO' -p232238 -asS'He was actually extubated on 07-09 , but then reintubated one hour later due to hypoxia .' -p232239 -(lp232240 -S'He\tHe\tPRP\tB-NP\tO' -p232241 -aS'was\tbe\tVBD\tB-VP\tO' -p232242 -aS'actually\tactually\tRB\tI-VP\tO' -p232243 -aS'extubated\textubate\tVBN\tI-VP\tO' -p232244 -aS'on\ton\tIN\tB-PP\tO' -p232245 -aS'07-09\t07-09\tCD\tB-NP\tO' -p232246 -aS',\t,\t,\tO\tO' -p232247 -aS'but\tbut\tCC\tO\tO' -p232248 -aS'then\tthen\tRB\tB-VP\tO' -p232249 -aS'reintubated\treintubate\tVBD\tI-VP\tO' -p232250 -aS'one\tone\tCD\tB-NP\tO' -p232251 -aS'hour\thour\tNN\tI-NP\tO' -p232252 -aS'later\tlater\tRB\tB-ADJP\tO' -p232253 -aS'due\tdue\tJJ\tI-ADJP\tO' -p232254 -aS'to\tto\tTO\tB-PP\tO' -p232255 -aS'hypoxia\thypoxia\tNN\tB-NP\tO' -p232256 -aS'.\t.\t.\tO\tO' -p232257 -asS'He is also on Flovent MDI at home as well .' -p232258 -(lp232259 -S'He\tHe\tPRP\tB-NP\tO' -p232260 -aS'is\tbe\tVBZ\tB-VP\tO' -p232261 -aS'also\talso\tRB\tB-ADVP\tO' -p232262 -aS'on\ton\tIN\tB-PP\tO' -p232263 -aS'Flovent\tFlovent\tNNP\tB-NP\tO' -p232264 -aS'MDI\tMDI\tNN\tI-NP\tO' -p232265 -aS'at\tat\tIN\tB-PP\tO' -p232266 -aS'home\thome\tNN\tB-NP\tO' -p232267 -aS'as\tas\tRB\tB-ADVP\tO' -p232268 -aS'well\twell\tRB\tI-ADVP\tO' -p232269 -aS'.\t.\t.\tO\tO' -p232270 -asS'Neurosurgery was consulted , however the neurosurgeons felt that there was no surgical option , since even in the case of cerebellar swelling , there would be no improvement from decompensation .' -p232271 -(lp232272 -S'Neurosurgery\tNeurosurgery\tNN\tB-NP\tO' -p232273 -aS'was\tbe\tVBD\tB-VP\tO' -p232274 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p232275 -aS',\t,\t,\tO\tO' -p232276 -aS'however\thowever\tRB\tB-ADVP\tO' -p232277 -aS'the\tthe\tDT\tB-NP\tO' -p232278 -aS'neurosurgeons\tneurosurgeon\tNNS\tI-NP\tO' -p232279 -aS'felt\tfeel\tVBD\tB-VP\tO' -p232280 -aS'that\tthat\tIN\tB-SBAR\tO' -p232281 -aS'there\tthere\tEX\tB-NP\tO' -p232282 -aS'was\tbe\tVBD\tB-VP\tO' -p232283 -aS'no\tno\tDT\tB-NP\tO' -p232284 -aS'surgical\tsurgical\tJJ\tI-NP\tO' -p232285 -aS'option\toption\tNN\tI-NP\tO' -p232286 -aS',\t,\t,\tO\tO' -p232287 -aS'since\tsince\tIN\tB-SBAR\tO' -p232288 -aS'even\teven\tRB\tB-ADVP\tO' -p232289 -aS'in\tin\tIN\tB-PP\tO' -p232290 -aS'the\tthe\tDT\tB-NP\tO' -p232291 -aS'case\tcase\tNN\tI-NP\tO' -p232292 -aS'of\tof\tIN\tB-PP\tO' -p232293 -aS'cerebellar\tcerebellar\tJJ\tB-NP\tO' -p232294 -aS'swelling\tswelling\tNN\tI-NP\tO' -p232295 -aS',\t,\t,\tO\tO' -p232296 -aS'there\tthere\tEX\tB-NP\tO' -p232297 -aS'would\twould\tMD\tB-VP\tO' -p232298 -aS'be\tbe\tVB\tI-VP\tO' -p232299 -aS'no\tno\tDT\tB-NP\tO' -p232300 -aS'improvement\timprovement\tNN\tI-NP\tO' -p232301 -aS'from\tfrom\tIN\tB-PP\tO' -p232302 -aS'decompensation\tdecompensation\tNN\tB-NP\tO' -p232303 -aS'.\t.\t.\tO\tO' -p232304 -asS'Abd : soft , slightly distended , nontender , +BS' -p232305 -(lp232306 -S'Abd\tAbd\tNN\tB-NP\tO' -p232307 -aS':\t:\t:\tO\tO' -p232308 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p232309 -aS',\t,\t,\tO\tO' -p232310 -aS'slightly\tslightly\tRB\tB-VP\tO' -p232311 -aS'distended\tdistend\tVBN\tI-VP\tO' -p232312 -aS',\t,\t,\tO\tO' -p232313 -aS'nontender\tnontender\tJJ\tB-ADJP\tO' -p232314 -aS',\t,\t,\tO\tO' -p232315 -aS'+BS\t+BS\tNNP\tB-NP\tO' -p232316 -asS'2. Pantoprazole 40 mg Tablet , Delayed Release ( E.C. ) Sig : One ( 1 ) Tablet , Delayed Release ( E.C. ) PO twice a day .' -p232317 -(lp232318 -S'2.\t2.\tLS\tB-NP\tO' -p232319 -aS'Pantoprazole\tPantoprazole\tNN\tI-NP\tO' -p232320 -aS'40\t40\tCD\tI-NP\tO' -p232321 -aS'mg\tmg\tNN\tI-NP\tO' -p232322 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p232323 -aS',\t,\t,\tO\tO' -p232324 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p232325 -aS'Release\tRelease\tNNP\tI-NP\tO' -p232326 -aS'(\t(\t(\tO\tO' -p232327 -aS'E.C.\tE.C.\tNNP\tB-NP\tO' -p232328 -aS')\t)\t)\tO\tO' -p232329 -aS'Sig\tSig\tNNP\tB-NP\tO' -p232330 -aS':\t:\t:\tO\tO' -p232331 -aS'One\tOne\tCD\tB-NP\tO' -p232332 -aS'(\t(\t(\tO\tO' -p232333 -aS'1\t1\tCD\tB-NP\tO' -p232334 -aS')\t)\t)\tO\tO' -p232335 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p232336 -aS',\t,\t,\tO\tO' -p232337 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p232338 -aS'Release\tRelease\tNNP\tI-NP\tO' -p232339 -aS'(\t(\t(\tO\tO' -p232340 -aS'E.C.\tE.C.\tNNP\tO\tO' -p232341 -aS')\t)\t)\tO\tO' -p232342 -aS'PO\tPO\tNN\tB-NP\tO' -p232343 -aS'twice\ttwice\tRB\tB-NP\tO' -p232344 -aS'a\ta\tDT\tI-NP\tO' -p232345 -aS'day\tday\tNN\tI-NP\tO' -p232346 -aS'.\t.\t.\tO\tO' -p232347 -asS'She says the pain is sharp in character , and radiates with a shock like intensity down the right leg .' -p232348 -(lp232349 -S'She\tShe\tPRP\tB-NP\tO' -p232350 -aS'says\tsay\tVBZ\tB-VP\tO' -p232351 -aS'the\tthe\tDT\tB-NP\tO' -p232352 -aS'pain\tpain\tNN\tI-NP\tO' -p232353 -aS'is\tbe\tVBZ\tB-VP\tO' -p232354 -aS'sharp\tsharp\tJJ\tB-ADJP\tO' -p232355 -aS'in\tin\tIN\tB-PP\tO' -p232356 -aS'character\tcharacter\tNN\tB-NP\tO' -p232357 -aS',\t,\t,\tO\tO' -p232358 -aS'and\tand\tCC\tO\tO' -p232359 -aS'radiates\tradiate\tVBZ\tB-VP\tO' -p232360 -aS'with\twith\tIN\tB-PP\tO' -p232361 -aS'a\ta\tDT\tB-NP\tO' -p232362 -aS'shock\tshock\tNN\tI-NP\tO' -p232363 -aS'like\tlike\tIN\tB-PP\tO' -p232364 -aS'intensity\tintensity\tNN\tB-NP\tO' -p232365 -aS'down\tdown\tIN\tB-PP\tO' -p232366 -aS'the\tthe\tDT\tB-NP\tO' -p232367 -aS'right\tright\tJJ\tI-NP\tO' -p232368 -aS'leg\tleg\tNN\tI-NP\tO' -p232369 -aS'.\t.\t.\tO\tO' -p232370 -asS'Abdomen - soft , non-tender without organomegaly or masses .' -p232371 -(lp232372 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p232373 -aS'-\t-\tHYPH\tB-PP\tO' -p232374 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p232375 -aS',\t,\t,\tO\tO' -p232376 -aS'non-tender\tnon-tender\tJJ\tB-ADJP\tO' -p232377 -aS'without\twithout\tIN\tB-PP\tO' -p232378 -aS'organomegaly\torganomegaly\tNN\tB-NP\tO' -p232379 -aS'or\tor\tCC\tI-NP\tO' -p232380 -aS'masses\tmass\tNNS\tI-NP\tO' -p232381 -aS'.\t.\t.\tO\tO' -p232382 -asS'An EEG showed mild encephalopathy , but no other findings .' -p232383 -(lp232384 -S'An\tAn\tDT\tB-NP\tO' -p232385 -aS'EEG\tEEG\tNN\tI-NP\tB-protein' -p232386 -aS'showed\tshow\tVBD\tB-VP\tO' -p232387 -aS'mild\tmild\tJJ\tB-NP\tO' -p232388 -aS'encephalopathy\tencephalopathy\tNN\tI-NP\tO' -p232389 -aS',\t,\t,\tO\tO' -p232390 -aS'but\tbut\tCC\tO\tO' -p232391 -aS'no\tno\tDT\tB-NP\tO' -p232392 -aS'other\tother\tJJ\tI-NP\tO' -p232393 -aS'findings\tfinding\tNNS\tI-NP\tO' -p232394 -aS'.\t.\t.\tO\tO' -p232395 -asS'7. Doxepin .' -p232396 -(lp232397 -S'7.\t7.\tCD\tB-NP\tO' -p232398 -aS'Doxepin\tDoxepin\tNNP\tI-NP\tO' -p232399 -aS'.\t.\t.\tO\tO' -p232400 -asS'He presents now for possible reoperative coronary artery bypass graft .' -p232401 -(lp232402 -S'He\tHe\tPRP\tB-NP\tO' -p232403 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p232404 -aS'now\tnow\tRB\tB-ADVP\tO' -p232405 -aS'for\tfor\tIN\tB-PP\tO' -p232406 -aS'possible\tpossible\tJJ\tB-NP\tO' -p232407 -aS'reoperative\treoperative\tJJ\tI-NP\tO' -p232408 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p232409 -aS'artery\tartery\tNN\tI-NP\tO' -p232410 -aS'bypass\tbypass\tIN\tB-PP\tO' -p232411 -aS'graft\tgraft\tNN\tB-NP\tO' -p232412 -aS'.\t.\t.\tO\tO' -p232413 -asS'He will have levels drawn at dialysis and be dosed with vancomycin as appropriate .' -p232414 -(lp232415 -S'He\tHe\tPRP\tB-NP\tO' -p232416 -aS'will\twill\tMD\tB-VP\tO' -p232417 -aS'have\thave\tVB\tI-VP\tO' -p232418 -aS'levels\tlevel\tNNS\tB-NP\tO' -p232419 -aS'drawn\tdraw\tVBN\tB-VP\tO' -p232420 -aS'at\tat\tIN\tB-PP\tO' -p232421 -aS'dialysis\tdialysis\tNN\tB-NP\tO' -p232422 -aS'and\tand\tCC\tO\tO' -p232423 -aS'be\tbe\tVB\tB-VP\tO' -p232424 -aS'dosed\tdose\tVBN\tI-VP\tO' -p232425 -aS'with\twith\tIN\tB-PP\tO' -p232426 -aS'vancomycin\tvancomycin\tNN\tB-NP\tO' -p232427 -aS'as\tas\tIN\tB-PP\tO' -p232428 -aS'appropriate\tappropriate\tJJ\tB-ADJP\tO' -p232429 -aS'.\t.\t.\tO\tO' -p232430 -asS'After approximately one hour , he presented to the Bristol County Tuberculosis Hospital Dana-Farber Cancer Institute Campus where he ruled in for a non-ST elevation MI with a CK of 438 with a peak CK MB of 19.8 and troponin that peaked at 10.2 .' -p232431 -(lp232432 -S'After\tAfter\tIN\tB-PP\tO' -p232433 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p232434 -aS'one\tone\tCD\tI-NP\tO' -p232435 -aS'hour\thour\tNN\tI-NP\tO' -p232436 -aS',\t,\t,\tO\tO' -p232437 -aS'he\the\tPRP\tB-NP\tO' -p232438 -aS'presented\tpresent\tVBD\tB-VP\tO' -p232439 -aS'to\tto\tTO\tB-PP\tO' -p232440 -aS'the\tthe\tDT\tB-NP\tO' -p232441 -aS'Bristol\tBristol\tNNP\tI-NP\tO' -p232442 -aS'County\tCounty\tNNP\tI-NP\tO' -p232443 -aS'Tuberculosis\tTuberculosis\tNNP\tI-NP\tO' -p232444 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p232445 -aS'Dana-Farber\tDana-Farber\tNNP\tI-NP\tO' -p232446 -aS'Cancer\tCancer\tNNP\tI-NP\tO' -p232447 -aS'Institute\tInstitute\tNNP\tI-NP\tO' -p232448 -aS'Campus\tCampus\tNNP\tI-NP\tO' -p232449 -aS'where\twhere\tWRB\tB-ADVP\tO' -p232450 -aS'he\the\tPRP\tB-NP\tO' -p232451 -aS'ruled\trule\tVBD\tB-VP\tO' -p232452 -aS'in\tin\tRP\tB-PRT\tO' -p232453 -aS'for\tfor\tIN\tB-PP\tO' -p232454 -aS'a\ta\tDT\tB-NP\tO' -p232455 -aS'non-ST\tnon-ST\tJJ\tI-NP\tO' -p232456 -aS'elevation\televation\tNN\tI-NP\tO' -p232457 -aS'MI\tMI\tNN\tI-NP\tO' -p232458 -aS'with\twith\tIN\tB-PP\tO' -p232459 -aS'a\ta\tDT\tB-NP\tO' -p232460 -aS'CK\tCK\tNN\tI-NP\tO' -p232461 -aS'of\tof\tIN\tB-PP\tO' -p232462 -aS'438\t438\tCD\tB-NP\tO' -p232463 -aS'with\twith\tIN\tB-PP\tO' -p232464 -aS'a\ta\tDT\tB-NP\tO' -p232465 -aS'peak\tpeak\tJJ\tI-NP\tO' -p232466 -aS'CK\tCK\tNN\tI-NP\tO' -p232467 -aS'MB\tMB\tNN\tI-NP\tO' -p232468 -aS'of\tof\tIN\tB-PP\tO' -p232469 -aS'19.8\t19.8\tCD\tB-NP\tO' -p232470 -aS'and\tand\tCC\tO\tO' -p232471 -aS'troponin\ttroponin\tNN\tB-NP\tO' -p232472 -aS'that\tthat\tWDT\tB-NP\tO' -p232473 -aS'peaked\tpeak\tVBD\tB-VP\tO' -p232474 -aS'at\tat\tIN\tB-PP\tO' -p232475 -aS'10.2\t10.2\tCD\tB-NP\tO' -p232476 -aS'.\t.\t.\tO\tO' -p232477 -asS'Infectious work-up was negative .' -p232478 -(lp232479 -S'Infectious\tInfectious\tJJ\tB-NP\tO' -p232480 -aS'work-up\twork-up\tNN\tI-NP\tO' -p232481 -aS'was\tbe\tVBD\tB-VP\tO' -p232482 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p232483 -aS'.\t.\t.\tO\tO' -p232484 -asS'The patient was to be discharged to home .' -p232485 -(lp232486 -S'The\tThe\tDT\tB-NP\tO' -p232487 -aS'patient\tpatient\tNN\tI-NP\tO' -p232488 -aS'was\tbe\tVBD\tB-VP\tO' -p232489 -aS'to\tto\tTO\tI-VP\tO' -p232490 -aS'be\tbe\tVB\tI-VP\tO' -p232491 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p232492 -aS'to\tto\tTO\tB-PP\tO' -p232493 -aS'home\thome\tNN\tB-NP\tO' -p232494 -aS'.\t.\t.\tO\tO' -p232495 -asS'Physical examination revealed afebrile , respiratory rate of 23 , heart rate of 113 , blood pressure 130s/90s .' -p232496 -(lp232497 -S'Physical\tPhysical\tJJ\tB-NP\tO' -p232498 -aS'examination\texamination\tNN\tI-NP\tO' -p232499 -aS'revealed\treveal\tVBD\tB-VP\tO' -p232500 -aS'afebrile\tafebrile\tJJ\tB-NP\tO' -p232501 -aS',\t,\t,\tI-NP\tO' -p232502 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p232503 -aS'rate\trate\tNN\tI-NP\tO' -p232504 -aS'of\tof\tIN\tB-PP\tO' -p232505 -aS'23\t23\tCD\tB-NP\tO' -p232506 -aS',\t,\t,\tO\tO' -p232507 -aS'heart\theart\tNN\tB-NP\tO' -p232508 -aS'rate\trate\tNN\tI-NP\tO' -p232509 -aS'of\tof\tIN\tB-PP\tO' -p232510 -aS'113\t113\tCD\tB-NP\tO' -p232511 -aS',\t,\t,\tO\tO' -p232512 -aS'blood\tblood\tNN\tB-NP\tO' -p232513 -aS'pressure\tpressure\tNN\tI-NP\tO' -p232514 -aS'130s/90s\t130s/90\tNNS\tI-NP\tO' -p232515 -aS'.\t.\t.\tO\tO' -p232516 -asS'At that time the patient underwent debridement of his facial wounds and debridement of his right hand and forearm with application of artificial skin which is the dermagraft TC .' -p232517 -(lp232518 -S'At\tAt\tIN\tB-PP\tO' -p232519 -aS'that\tthat\tDT\tB-NP\tO' -p232520 -aS'time\ttime\tNN\tI-NP\tO' -p232521 -aS'the\tthe\tDT\tB-NP\tO' -p232522 -aS'patient\tpatient\tNN\tI-NP\tO' -p232523 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p232524 -aS'debridement\tdebridement\tNN\tB-NP\tO' -p232525 -aS'of\tof\tIN\tB-PP\tO' -p232526 -aS'his\this\tPRP$\tB-NP\tO' -p232527 -aS'facial\tfacial\tJJ\tI-NP\tO' -p232528 -aS'wounds\twound\tNNS\tI-NP\tO' -p232529 -aS'and\tand\tCC\tO\tO' -p232530 -aS'debridement\tdebridement\tNN\tB-NP\tO' -p232531 -aS'of\tof\tIN\tB-PP\tO' -p232532 -aS'his\this\tPRP$\tB-NP\tO' -p232533 -aS'right\tright\tJJ\tI-NP\tO' -p232534 -aS'hand\thand\tNN\tI-NP\tO' -p232535 -aS'and\tand\tCC\tI-NP\tO' -p232536 -aS'forearm\tforearm\tNN\tI-NP\tO' -p232537 -aS'with\twith\tIN\tB-PP\tO' -p232538 -aS'application\tapplication\tNN\tB-NP\tO' -p232539 -aS'of\tof\tIN\tB-PP\tO' -p232540 -aS'artificial\tartificial\tJJ\tB-NP\tO' -p232541 -aS'skin\tskin\tNN\tI-NP\tO' -p232542 -aS'which\twhich\tWDT\tB-NP\tO' -p232543 -aS'is\tbe\tVBZ\tB-VP\tO' -p232544 -aS'the\tthe\tDT\tB-NP\tO' -p232545 -aS'dermagraft\tdermagraft\tNN\tI-NP\tO' -p232546 -aS'TC\tTC\tNN\tI-NP\tO' -p232547 -aS'.\t.\t.\tO\tO' -p232548 -asS'He had an magnetic resonance imaging performed on October 18 , 1996 .' -p232549 -(lp232550 -S'He\tHe\tPRP\tB-NP\tO' -p232551 -aS'had\thave\tVBD\tB-VP\tO' -p232552 -aS'an\tan\tDT\tB-NP\tO' -p232553 -aS'magnetic\tmagnetic\tJJ\tI-NP\tO' -p232554 -aS'resonance\tresonance\tNN\tI-NP\tO' -p232555 -aS'imaging\timaging\tNN\tI-NP\tO' -p232556 -aS'performed\tperform\tVBN\tB-VP\tO' -p232557 -aS'on\ton\tIN\tB-PP\tO' -p232558 -aS'October\tOctober\tNNP\tB-NP\tO' -p232559 -aS'18\t18\tCD\tI-NP\tO' -p232560 -aS',\t,\t,\tI-NP\tO' -p232561 -aS'1996\t1996\tCD\tI-NP\tO' -p232562 -aS'.\t.\t.\tO\tO' -p232563 -asS'Call his office to make an appointment .' -p232564 -(lp232565 -S'Call\tCall\tVB\tB-VP\tO' -p232566 -aS'his\this\tPRP$\tB-NP\tO' -p232567 -aS'office\toffice\tNN\tI-NP\tO' -p232568 -aS'to\tto\tTO\tB-VP\tO' -p232569 -aS'make\tmake\tVB\tI-VP\tO' -p232570 -aS'an\tan\tDT\tB-NP\tO' -p232571 -aS'appointment\tappointment\tNN\tI-NP\tO' -p232572 -aS'.\t.\t.\tO\tO' -p232573 -asS'Sutures are proximated .' -p232574 -(lp232575 -S'Sutures\tSuture\tNNS\tB-NP\tO' -p232576 -aS'are\tbe\tVBP\tB-VP\tO' -p232577 -aS'proximated\tproximate\tVBN\tI-VP\tO' -p232578 -aS'.\t.\t.\tO\tO' -p232579 -asS'As mentioned above he has a cord compression and is on steroids .' -p232580 -(lp232581 -S'As\tAs\tIN\tB-SBAR\tO' -p232582 -aS'mentioned\tmention\tVBN\tB-VP\tO' -p232583 -aS'above\tabove\tIN\tB-PP\tO' -p232584 -aS'he\the\tPRP\tB-NP\tO' -p232585 -aS'has\thave\tVBZ\tB-VP\tO' -p232586 -aS'a\ta\tDT\tB-NP\tO' -p232587 -aS'cord\tcord\tNN\tI-NP\tO' -p232588 -aS'compression\tcompression\tNN\tI-NP\tO' -p232589 -aS'and\tand\tCC\tO\tO' -p232590 -aS'is\tbe\tVBZ\tB-VP\tO' -p232591 -aS'on\ton\tIN\tB-PP\tO' -p232592 -aS'steroids\tsteroid\tNNS\tB-NP\tO' -p232593 -aS'.\t.\t.\tO\tO' -p232594 -asS'Initially the differential was thought to include shock liver from hypotension , hepatitis , cholangitis or choledocholithiasis .' -p232595 -(lp232596 -S'Initially\tInitially\tRB\tB-ADVP\tO' -p232597 -aS'the\tthe\tDT\tB-NP\tO' -p232598 -aS'differential\tdifferential\tJJ\tI-NP\tO' -p232599 -aS'was\tbe\tVBD\tB-VP\tO' -p232600 -aS'thought\tthink\tVBN\tI-VP\tO' -p232601 -aS'to\tto\tTO\tI-VP\tO' -p232602 -aS'include\tinclude\tVB\tI-VP\tO' -p232603 -aS'shock\tshock\tNN\tB-NP\tO' -p232604 -aS'liver\tliver\tNN\tI-NP\tO' -p232605 -aS'from\tfrom\tIN\tB-PP\tO' -p232606 -aS'hypotension\thypotension\tNN\tB-NP\tO' -p232607 -aS',\t,\t,\tI-NP\tO' -p232608 -aS'hepatitis\thepatitis\tNN\tI-NP\tO' -p232609 -aS',\t,\t,\tI-NP\tO' -p232610 -aS'cholangitis\tcholangitis\tNN\tI-NP\tO' -p232611 -aS'or\tor\tCC\tI-NP\tO' -p232612 -aS'choledocholithiasis\tcholedocholithiasis\tNN\tI-NP\tO' -p232613 -aS'.\t.\t.\tO\tO' -p232614 -asS'Urine cultures returned with 10-100,000 organisms coag negative staph .' -p232615 -(lp232616 -S'Urine\tUrine\tNN\tB-NP\tB-cell_line' -p232617 -aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' -p232618 -aS'returned\treturn\tVBD\tB-VP\tO' -p232619 -aS'with\twith\tIN\tB-PP\tO' -p232620 -aS'10-100,000\t10-100,000\tCD\tB-NP\tO' -p232621 -aS'organisms\torganism\tNNS\tI-NP\tO' -p232622 -aS'coag\tcoag\tVBP\tB-VP\tO' -p232623 -aS'negative\tnegative\tJJ\tB-NP\tO' -p232624 -aS'staph\tstaph\tNN\tI-NP\tO' -p232625 -aS'.\t.\t.\tO\tO' -p232626 -asS'Metoprolol 37.5 mg q 12 hours ( last dose 07/25 in AM )' -p232627 -(lp232628 -S'Metoprolol\tMetoprolol\tNN\tB-NP\tO' -p232629 -aS'37.5\t37.5\tCD\tI-NP\tO' -p232630 -aS'mg\tmg\tNN\tI-NP\tO' -p232631 -aS'q\tq\tNN\tI-NP\tO' -p232632 -aS'12\t12\tCD\tB-NP\tO' -p232633 -aS'hours\thour\tNNS\tI-NP\tO' -p232634 -aS'(\t(\t(\tO\tO' -p232635 -aS'last\tlast\tJJ\tB-NP\tO' -p232636 -aS'dose\tdose\tNN\tI-NP\tO' -p232637 -aS'07/25\t07/25\tCD\tI-NP\tO' -p232638 -aS'in\tin\tIN\tB-PP\tO' -p232639 -aS'AM\tAM\tNN\tB-NP\tO' -p232640 -aS')\t)\t)\tO\tO' -p232641 -asS'8-Pancreatitis .' -p232642 -(lp232643 -S'8-Pancreatitis\t8-Pancreatitis\tNN\tB-NP\tO' -p232644 -aS'.\t.\t.\tO\tO' -p232645 -asS'Positive for diabetes mellitus .' -p232646 -(lp232647 -S'Positive\tPositive\tJJ\tB-ADJP\tO' -p232648 -aS'for\tfor\tIN\tB-PP\tO' -p232649 -aS'diabetes\tdiabetes\tNN\tB-NP\tO' -p232650 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p232651 -aS'.\t.\t.\tO\tO' -p232652 -asS'Complications has mainly included myelosuppression and mucositis .' -p232653 -(lp232654 -S'Complications\tComplication\tNNS\tB-NP\tO' -p232655 -aS'has\thave\tVBZ\tB-VP\tO' -p232656 -aS'mainly\tmainly\tRB\tI-VP\tO' -p232657 -aS'included\tinclude\tVBN\tI-VP\tO' -p232658 -aS'myelosuppression\tmyelosuppression\tNN\tB-NP\tO' -p232659 -aS'and\tand\tCC\tI-NP\tO' -p232660 -aS'mucositis\tmucositis\tNN\tI-NP\tO' -p232661 -aS'.\t.\t.\tO\tO' -p232662 -asS'She was guaiac negative .' -p232663 -(lp232664 -S'She\tShe\tPRP\tB-NP\tO' -p232665 -aS'was\tbe\tVBD\tB-VP\tO' -p232666 -aS'guaiac\tguaiac\tNN\tB-NP\tO' -p232667 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p232668 -aS'.\t.\t.\tO\tO' -p232669 -asS'He had bilateral breath sounds that were clear and equal .' -p232670 -(lp232671 -S'He\tHe\tPRP\tB-NP\tO' -p232672 -aS'had\thave\tVBD\tB-VP\tO' -p232673 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p232674 -aS'breath\tbreath\tNN\tI-NP\tO' -p232675 -aS'sounds\tsound\tNNS\tI-NP\tO' -p232676 -aS'that\tthat\tWDT\tB-NP\tO' -p232677 -aS'were\tbe\tVBD\tB-VP\tO' -p232678 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p232679 -aS'and\tand\tCC\tI-ADJP\tO' -p232680 -aS'equal\tequal\tJJ\tI-ADJP\tO' -p232681 -aS'.\t.\t.\tO\tO' -p232682 -asS'Today , the patient was found in the bathroom and became hypoxic with saturations in the 80 s and was responsive to oxygen , but was still tachypneic without improvement and was placed on nonrebreather .' -p232683 -(lp232684 -S'Today\tToday\tNN\tB-NP\tO' -p232685 -aS',\t,\t,\tO\tO' -p232686 -aS'the\tthe\tDT\tB-NP\tO' -p232687 -aS'patient\tpatient\tNN\tI-NP\tO' -p232688 -aS'was\tbe\tVBD\tB-VP\tO' -p232689 -aS'found\tfind\tVBN\tI-VP\tO' -p232690 -aS'in\tin\tIN\tB-PP\tO' -p232691 -aS'the\tthe\tDT\tB-NP\tO' -p232692 -aS'bathroom\tbathroom\tNN\tI-NP\tO' -p232693 -aS'and\tand\tCC\tO\tO' -p232694 -aS'became\tbecome\tVBD\tB-VP\tO' -p232695 -aS'hypoxic\thypoxic\tJJ\tB-ADJP\tO' -p232696 -aS'with\twith\tIN\tB-PP\tO' -p232697 -aS'saturations\tsaturation\tNNS\tB-NP\tO' -p232698 -aS'in\tin\tIN\tB-PP\tO' -p232699 -aS'the\tthe\tDT\tB-NP\tO' -p232700 -aS'80\t80\tCD\tI-NP\tO' -p232701 -aS's\ts\tNN\tI-NP\tO' -p232702 -aS'and\tand\tCC\tO\tO' -p232703 -aS'was\tbe\tVBD\tB-VP\tO' -p232704 -aS'responsive\tresponsive\tJJ\tB-ADJP\tO' -p232705 -aS'to\tto\tTO\tB-PP\tO' -p232706 -aS'oxygen\toxygen\tNN\tB-NP\tO' -p232707 -aS',\t,\t,\tO\tO' -p232708 -aS'but\tbut\tCC\tO\tO' -p232709 -aS'was\tbe\tVBD\tB-VP\tO' -p232710 -aS'still\tstill\tRB\tB-ADVP\tO' -p232711 -aS'tachypneic\ttachypneic\tJJ\tB-ADJP\tO' -p232712 -aS'without\twithout\tIN\tB-PP\tO' -p232713 -aS'improvement\timprovement\tNN\tB-NP\tO' -p232714 -aS'and\tand\tCC\tO\tO' -p232715 -aS'was\tbe\tVBD\tB-VP\tO' -p232716 -aS'placed\tplace\tVBN\tI-VP\tO' -p232717 -aS'on\ton\tIN\tB-PP\tO' -p232718 -aS'nonrebreather\tnonrebreather\tNN\tB-NP\tO' -p232719 -aS'.\t.\t.\tO\tO' -p232720 -asS'Dr. Tland , 462-352-5678 1-2 weeks please call for appointment if not made ,' -p232721 -(lp232722 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p232723 -aS'Tland\tTland\tNNP\tI-NP\tO' -p232724 -aS',\t,\t,\tO\tO' -p232725 -aS'462-352-5678\t462-352-5678\tCD\tB-NP\tO' -p232726 -aS'1-2\t1-2\tCD\tI-NP\tO' -p232727 -aS'weeks\tweek\tNNS\tI-NP\tO' -p232728 -aS'please\tplease\tNN\tI-NP\tO' -p232729 -aS'call\tcall\tVBP\tB-VP\tO' -p232730 -aS'for\tfor\tIN\tB-PP\tO' -p232731 -aS'appointment\tappointment\tNN\tB-NP\tO' -p232732 -aS'if\tif\tIN\tB-SBAR\tO' -p232733 -aS'not\tnot\tRB\tO\tO' -p232734 -aS'made\tmake\tVBN\tB-VP\tO' -p232735 -aS',\t,\t,\tO\tO' -p232736 -asS'Nodularities in the common bile duct visualized by endoscopic retrograde cholangiopancreatography was also worrisome for cholangiocarcinoma and the patient was admitted to the Blue General Surgery Service for possible surgical interventions .' -p232737 -(lp232738 -S'Nodularities\tNodularity\tNNS\tB-NP\tO' -p232739 -aS'in\tin\tIN\tB-PP\tO' -p232740 -aS'the\tthe\tDT\tB-NP\tO' -p232741 -aS'common\tcommon\tJJ\tI-NP\tO' -p232742 -aS'bile\tbile\tNN\tI-NP\tO' -p232743 -aS'duct\tduct\tNN\tI-NP\tO' -p232744 -aS'visualized\tvisualize\tVBN\tB-VP\tO' -p232745 -aS'by\tby\tIN\tB-PP\tO' -p232746 -aS'endoscopic\tendoscopic\tJJ\tB-NP\tO' -p232747 -aS'retrograde\tretrograde\tJJ\tI-NP\tO' -p232748 -aS'cholangiopancreatography\tcholangiopancreatography\tNN\tI-NP\tO' -p232749 -aS'was\tbe\tVBD\tB-VP\tO' -p232750 -aS'also\talso\tRB\tB-ADVP\tO' -p232751 -aS'worrisome\tworrisome\tJJ\tB-ADJP\tO' -p232752 -aS'for\tfor\tIN\tB-PP\tO' -p232753 -aS'cholangiocarcinoma\tcholangiocarcinoma\tNN\tB-NP\tO' -p232754 -aS'and\tand\tCC\tO\tO' -p232755 -aS'the\tthe\tDT\tB-NP\tO' -p232756 -aS'patient\tpatient\tNN\tI-NP\tO' -p232757 -aS'was\tbe\tVBD\tB-VP\tO' -p232758 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p232759 -aS'to\tto\tTO\tB-PP\tO' -p232760 -aS'the\tthe\tDT\tB-NP\tO' -p232761 -aS'Blue\tBlue\tNNP\tI-NP\tO' -p232762 -aS'General\tGeneral\tNNP\tI-NP\tO' -p232763 -aS'Surgery\tSurgery\tNNP\tI-NP\tO' -p232764 -aS'Service\tService\tNNP\tI-NP\tO' -p232765 -aS'for\tfor\tIN\tB-PP\tO' -p232766 -aS'possible\tpossible\tJJ\tB-NP\tO' -p232767 -aS'surgical\tsurgical\tJJ\tI-NP\tO' -p232768 -aS'interventions\tintervention\tNNS\tI-NP\tO' -p232769 -aS'.\t.\t.\tO\tO' -p232770 -asS'A positive , antibody negative , hepatitis B surface antigen negative , RPR nonreactive , rubella immune , GBS unknown .' -p232771 -(lp232772 -S'A\tA\tDT\tB-NP\tO' -p232773 -aS'positive\tpositive\tJJ\tI-NP\tO' -p232774 -aS',\t,\t,\tI-NP\tO' -p232775 -aS'antibody\tantibody\tNN\tI-NP\tO' -p232776 -aS'negative\tnegative\tJJ\tI-NP\tO' -p232777 -aS',\t,\t,\tO\tO' -p232778 -aS'hepatitis\thepatitis\tNN\tB-NP\tB-protein' -p232779 -aS'B\tB\tNN\tI-NP\tI-protein' -p232780 -aS'surface\tsurface\tNN\tI-NP\tI-protein' -p232781 -aS'antigen\tantigen\tNN\tI-NP\tI-protein' -p232782 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p232783 -aS',\t,\t,\tO\tO' -p232784 -aS'RPR\tRPR\tNN\tB-NP\tB-protein' -p232785 -aS'nonreactive\tnonreactive\tJJ\tB-ADJP\tO' -p232786 -aS',\t,\t,\tO\tO' -p232787 -aS'rubella\trubella\tNN\tB-NP\tO' -p232788 -aS'immune\timmune\tJJ\tI-NP\tO' -p232789 -aS',\t,\t,\tO\tO' -p232790 -aS'GBS\tGBS\tNNP\tB-NP\tO' -p232791 -aS'unknown\tunknown\tJJ\tB-ADJP\tO' -p232792 -aS'.\t.\t.\tO\tO' -p232793 -asS'She was NPO while intubated and recived tube feedings for nutrition .' -p232794 -(lp232795 -S'She\tShe\tPRP\tB-NP\tO' -p232796 -aS'was\tbe\tVBD\tB-VP\tO' -p232797 -aS'NPO\tNPO\tNN\tB-NP\tB-protein' -p232798 -aS'while\twhile\tIN\tB-SBAR\tO' -p232799 -aS'intubated\tintubated\tJJ\tB-NP\tO' -p232800 -aS'and\tand\tCC\tI-NP\tO' -p232801 -aS'recived\trecive\tVBN\tI-NP\tO' -p232802 -aS'tube\ttube\tNN\tI-NP\tO' -p232803 -aS'feedings\tfeeding\tNNS\tI-NP\tO' -p232804 -aS'for\tfor\tIN\tB-PP\tO' -p232805 -aS'nutrition\tnutrition\tNN\tB-NP\tO' -p232806 -aS'.\t.\t.\tO\tO' -p232807 -asS'He continued to be afebrile and otherwise very stable .' -p232808 -(lp232809 -S'He\tHe\tPRP\tB-NP\tO' -p232810 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p232811 -aS'to\tto\tTO\tI-VP\tO' -p232812 -aS'be\tbe\tVB\tI-VP\tO' -p232813 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p232814 -aS'and\tand\tCC\tO\tO' -p232815 -aS'otherwise\totherwise\tRB\tB-ADJP\tO' -p232816 -aS'very\tvery\tRB\tI-ADJP\tO' -p232817 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p232818 -aS'.\t.\t.\tO\tO' -p232819 -asS'A left and right heart catheterization and coronary angiogram revealed aortic 120/70 , mean 95 , PA 26/10 , mean 17 , PC 7 , RV 26/6 , RA 4 , cardiac output 5.7 , index 3.8 .' -p232820 -(lp232821 -S'A\tA\tDT\tB-NP\tO' -p232822 -aS'left\tleft\tJJ\tI-NP\tO' -p232823 -aS'and\tand\tCC\tI-NP\tO' -p232824 -aS'right\tright\tJJ\tI-NP\tO' -p232825 -aS'heart\theart\tNN\tI-NP\tO' -p232826 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p232827 -aS'and\tand\tCC\tI-NP\tO' -p232828 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p232829 -aS'angiogram\tangiogram\tNN\tI-NP\tO' -p232830 -aS'revealed\treveal\tVBD\tB-VP\tO' -p232831 -aS'aortic\taortic\tJJ\tB-NP\tO' -p232832 -aS'120/70\t120/70\tCD\tI-NP\tO' -p232833 -aS',\t,\t,\tO\tO' -p232834 -aS'mean\tmean\tNN\tB-NP\tO' -p232835 -aS'95\t95\tCD\tI-NP\tO' -p232836 -aS',\t,\t,\tO\tO' -p232837 -aS'PA\tPA\tNN\tB-NP\tB-DNA' -p232838 -aS'26/10\t26/10\tCD\tI-NP\tI-DNA' -p232839 -aS',\t,\t,\tO\tO' -p232840 -aS'mean\tmean\tNN\tB-NP\tO' -p232841 -aS'17\t17\tCD\tI-NP\tO' -p232842 -aS',\t,\t,\tO\tO' -p232843 -aS'PC\tPC\tNN\tB-NP\tB-protein' -p232844 -aS'7\t7\tCD\tI-NP\tI-protein' -p232845 -aS',\t,\t,\tO\tO' -p232846 -aS'RV\tRV\tNN\tB-NP\tB-protein' -p232847 -aS'26/6\t26/6\tCD\tI-NP\tI-protein' -p232848 -aS',\t,\t,\tO\tO' -p232849 -aS'RA\tRA\tNN\tB-NP\tB-protein' -p232850 -aS'4\t4\tCD\tI-NP\tI-protein' -p232851 -aS',\t,\t,\tO\tO' -p232852 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p232853 -aS'output\toutput\tNN\tI-NP\tO' -p232854 -aS'5.7\t5.7\tCD\tI-NP\tO' -p232855 -aS',\t,\t,\tO\tO' -p232856 -aS'index\tindex\tNN\tB-NP\tO' -p232857 -aS'3.8\t3.8\tCD\tI-NP\tO' -p232858 -aS'.\t.\t.\tO\tO' -p232859 -asS'Dr. Santdel Head Call ASAP to schedule in 2 weeks .' -p232860 -(lp232861 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p232862 -aS'Santdel\tSantdel\tNNP\tI-NP\tO' -p232863 -aS'Head\tHead\tNNP\tI-NP\tO' -p232864 -aS'Call\tCall\tNNP\tI-NP\tO' -p232865 -aS'ASAP\tASAP\tNNP\tI-NP\tO' -p232866 -aS'to\tto\tTO\tB-PP\tO' -p232867 -aS'schedule\tschedule\tNN\tB-NP\tO' -p232868 -aS'in\tin\tIN\tB-PP\tO' -p232869 -aS'2\t2\tCD\tB-NP\tO' -p232870 -aS'weeks\tweek\tNNS\tI-NP\tO' -p232871 -aS'.\t.\t.\tO\tO' -p232872 -asS'Given her hypertension which was very difficult to control , it was felt that she had renal artery stenosis and thus she underwent MRA of the kidney which showed severe right renal artery stenosis at its origin .' -p232873 -(lp232874 -S'Given\tGive\tVBN\tB-PP\tO' -p232875 -aS'her\ther\tPRP$\tB-NP\tO' -p232876 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p232877 -aS'which\twhich\tWDT\tB-NP\tO' -p232878 -aS'was\tbe\tVBD\tB-VP\tO' -p232879 -aS'very\tvery\tRB\tB-ADJP\tO' -p232880 -aS'difficult\tdifficult\tJJ\tI-ADJP\tO' -p232881 -aS'to\tto\tTO\tB-PP\tO' -p232882 -aS'control\tcontrol\tNN\tB-NP\tO' -p232883 -aS',\t,\t,\tO\tO' -p232884 -aS'it\tit\tPRP\tB-NP\tO' -p232885 -aS'was\tbe\tVBD\tB-VP\tO' -p232886 -aS'felt\tfeel\tVBN\tI-VP\tO' -p232887 -aS'that\tthat\tIN\tB-SBAR\tO' -p232888 -aS'she\tshe\tPRP\tB-NP\tO' -p232889 -aS'had\thave\tVBD\tB-VP\tO' -p232890 -aS'renal\trenal\tJJ\tB-NP\tO' -p232891 -aS'artery\tartery\tNN\tI-NP\tO' -p232892 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p232893 -aS'and\tand\tCC\tO\tO' -p232894 -aS'thus\tthus\tRB\tO\tO' -p232895 -aS'she\tshe\tPRP\tB-NP\tO' -p232896 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p232897 -aS'MRA\tMRA\tNN\tB-NP\tO' -p232898 -aS'of\tof\tIN\tB-PP\tO' -p232899 -aS'the\tthe\tDT\tB-NP\tO' -p232900 -aS'kidney\tkidney\tNN\tI-NP\tO' -p232901 -aS'which\twhich\tWDT\tB-NP\tO' -p232902 -aS'showed\tshow\tVBD\tB-VP\tO' -p232903 -aS'severe\tsevere\tJJ\tB-NP\tO' -p232904 -aS'right\tright\tJJ\tI-NP\tO' -p232905 -aS'renal\trenal\tJJ\tI-NP\tO' -p232906 -aS'artery\tartery\tNN\tI-NP\tO' -p232907 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p232908 -aS'at\tat\tIN\tB-PP\tO' -p232909 -aS'its\tits\tPRP$\tB-NP\tO' -p232910 -aS'origin\torigin\tNN\tI-NP\tO' -p232911 -aS'.\t.\t.\tO\tO' -p232912 -asS'The patient tolerated the procedure well without complication and was transferred to the Cardiac' -p232913 -(lp232914 -S'The\tThe\tDT\tB-NP\tO' -p232915 -aS'patient\tpatient\tNN\tI-NP\tO' -p232916 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p232917 -aS'the\tthe\tDT\tB-NP\tO' -p232918 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p232919 -aS'well\twell\tRB\tB-ADVP\tO' -p232920 -aS'without\twithout\tIN\tB-PP\tO' -p232921 -aS'complication\tcomplication\tNN\tB-NP\tO' -p232922 -aS'and\tand\tCC\tO\tO' -p232923 -aS'was\tbe\tVBD\tB-VP\tO' -p232924 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p232925 -aS'to\tto\tTO\tB-PP\tO' -p232926 -aS'the\tthe\tDT\tB-NP\tO' -p232927 -aS'Cardiac\tCardiac\tNN\tI-NP\tO' -p232928 -asS'ABNORMALITY #1: Throughout the recording there were frequent bursts of generalized theta and delta slowing .' -p232929 -(lp232930 -S'ABNORMALITY\tABNORMALITY\tNN\tB-NP\tO' -p232931 -aS'#1:\t#1:\t:\tO\tO' -p232932 -aS'Throughout\tThroughout\tIN\tB-PP\tO' -p232933 -aS'the\tthe\tDT\tB-NP\tO' -p232934 -aS'recording\trecording\tNN\tI-NP\tO' -p232935 -aS'there\tthere\tEX\tB-NP\tO' -p232936 -aS'were\tbe\tVBD\tB-VP\tO' -p232937 -aS'frequent\tfrequent\tJJ\tB-NP\tO' -p232938 -aS'bursts\tburst\tNNS\tI-NP\tO' -p232939 -aS'of\tof\tIN\tB-PP\tO' -p232940 -aS'generalized\tgeneralize\tVBN\tB-NP\tO' -p232941 -aS'theta\ttheta\tNN\tI-NP\tO' -p232942 -aS'and\tand\tCC\tI-NP\tO' -p232943 -aS'delta\tdelta\tNN\tI-NP\tO' -p232944 -aS'slowing\tslowing\tNN\tI-NP\tO' -p232945 -aS'.\t.\t.\tO\tO' -p232946 -asS'Toes are upgoing on the right .' -p232947 -(lp232948 -S'Toes\tToe\tNNS\tB-NP\tO' -p232949 -aS'are\tbe\tVBP\tB-VP\tO' -p232950 -aS'upgoing\tupgoe\tVBG\tI-VP\tO' -p232951 -aS'on\ton\tIN\tB-PP\tO' -p232952 -aS'the\tthe\tDT\tB-NP\tO' -p232953 -aS'right\tright\tNN\tI-NP\tO' -p232954 -aS'.\t.\t.\tO\tO' -p232955 -asS'Cardiovascular exam revealed a regular rate and rhythm without murmur .' -p232956 -(lp232957 -S'Cardiovascular\tCardiovascular\tJJ\tB-NP\tO' -p232958 -aS'exam\texam\tNN\tI-NP\tO' -p232959 -aS'revealed\treveal\tVBD\tB-VP\tO' -p232960 -aS'a\ta\tDT\tB-NP\tO' -p232961 -aS'regular\tregular\tJJ\tI-NP\tO' -p232962 -aS'rate\trate\tNN\tI-NP\tO' -p232963 -aS'and\tand\tCC\tI-NP\tO' -p232964 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p232965 -aS'without\twithout\tIN\tB-PP\tO' -p232966 -aS'murmur\tmurmur\tNN\tB-NP\tO' -p232967 -aS'.\t.\t.\tO\tO' -p232968 -asS'If fevers , chills , nausea , vomiting , diarrhea , increasing pain with food please call Dr. Gaetzfreierm 's office or PCP .' -p232969 -(lp232970 -S'If\tIf\tIN\tB-SBAR\tO' -p232971 -aS'fevers\tfever\tNNS\tB-NP\tO' -p232972 -aS',\t,\t,\tO\tO' -p232973 -aS'chills\tchill\tNNS\tB-NP\tO' -p232974 -aS',\t,\t,\tO\tO' -p232975 -aS'nausea\tnausea\tNN\tB-NP\tO' -p232976 -aS',\t,\t,\tO\tO' -p232977 -aS'vomiting\tvomiting\tNN\tB-NP\tO' -p232978 -aS',\t,\t,\tO\tO' -p232979 -aS'diarrhea\tdiarrhea\tNN\tB-NP\tO' -p232980 -aS',\t,\t,\tO\tO' -p232981 -aS'increasing\tincrease\tVBG\tB-VP\tO' -p232982 -aS'pain\tpain\tNN\tB-NP\tO' -p232983 -aS'with\twith\tIN\tB-PP\tO' -p232984 -aS'food\tfood\tNN\tB-NP\tO' -p232985 -aS'please\tplease\tNN\tI-NP\tO' -p232986 -aS'call\tcall\tNN\tI-NP\tO' -p232987 -aS'Dr.\tDr.\tNNP\tI-NP\tO' -p232988 -aS'Gaetzfreierm\tGaetzfreierm\tNNP\tI-NP\tO' -p232989 -aS''s\t'\tNNS\tI-NP\tO' -p232990 -aS'office\toffice\tNN\tI-NP\tO' -p232991 -aS'or\tor\tCC\tI-NP\tO' -p232992 -aS'PCP\tPCP\tNN\tI-NP\tB-protein' -p232993 -aS'.\t.\t.\tO\tO' -p232994 -asS'The patient was afebrile with stable vital signs .' -p232995 -(lp232996 -S'The\tThe\tDT\tB-NP\tO' -p232997 -aS'patient\tpatient\tNN\tI-NP\tO' -p232998 -aS'was\tbe\tVBD\tB-VP\tO' -p232999 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p233000 -aS'with\twith\tIN\tB-PP\tO' -p233001 -aS'stable\tstable\tJJ\tB-NP\tO' -p233002 -aS'vital\tvital\tJJ\tI-NP\tO' -p233003 -aS'signs\tsign\tNNS\tI-NP\tO' -p233004 -aS'.\t.\t.\tO\tO' -p233005 -asS'Pt will need I/Os monitored to goal even to slightly negative as she was diursed 4.8 L during her CMED stay .' -p233006 -(lp233007 -S'Pt\tPt\tNN\tB-NP\tO' -p233008 -aS'will\twill\tMD\tB-VP\tO' -p233009 -aS'need\tneed\tVB\tI-VP\tO' -p233010 -aS'I/Os\tI/O\tNNS\tB-NP\tB-protein' -p233011 -aS'monitored\tmonitor\tVBN\tB-VP\tO' -p233012 -aS'to\tto\tTO\tB-PP\tO' -p233013 -aS'goal\tgoal\tNN\tB-NP\tO' -p233014 -aS'even\teven\tRB\tB-ADVP\tO' -p233015 -aS'to\tto\tTO\tB-PP\tO' -p233016 -aS'slightly\tslightly\tRB\tB-ADJP\tO' -p233017 -aS'negative\tnegative\tJJ\tI-ADJP\tO' -p233018 -aS'as\tas\tIN\tB-SBAR\tO' -p233019 -aS'she\tshe\tPRP\tB-NP\tO' -p233020 -aS'was\tbe\tVBD\tB-VP\tO' -p233021 -aS'diursed\tdiurse\tVBN\tI-VP\tO' -p233022 -aS'4.8\t4.8\tCD\tB-NP\tO' -p233023 -aS'L\tL\tNN\tI-NP\tO' -p233024 -aS'during\tduring\tIN\tB-PP\tO' -p233025 -aS'her\ther\tPRP$\tB-NP\tO' -p233026 -aS'CMED\tCMED\tJJ\tI-NP\tO' -p233027 -aS'stay\tstay\tNN\tI-NP\tO' -p233028 -aS'.\t.\t.\tO\tO' -p233029 -asS'She is to be followed up by General Surgery .' -p233030 -(lp233031 -S'She\tShe\tPRP\tB-NP\tO' -p233032 -aS'is\tbe\tVBZ\tB-VP\tO' -p233033 -aS'to\tto\tTO\tI-VP\tO' -p233034 -aS'be\tbe\tVB\tI-VP\tO' -p233035 -aS'followed\tfollow\tVBN\tI-VP\tO' -p233036 -aS'up\tup\tRP\tB-PRT\tO' -p233037 -aS'by\tby\tIN\tB-PP\tO' -p233038 -aS'General\tGeneral\tNNP\tB-NP\tO' -p233039 -aS'Surgery\tSurgery\tNNP\tI-NP\tO' -p233040 -aS'.\t.\t.\tO\tO' -p233041 -asS'Delivery was by cesarean section under spinal anesthesia for pre-eclampsia .' -p233042 -(lp233043 -S'Delivery\tDelivery\tNN\tB-NP\tO' -p233044 -aS'was\tbe\tVBD\tB-VP\tO' -p233045 -aS'by\tby\tIN\tB-PP\tO' -p233046 -aS'cesarean\tcesarean\tJJ\tB-NP\tO' -p233047 -aS'section\tsection\tNN\tI-NP\tO' -p233048 -aS'under\tunder\tIN\tB-PP\tO' -p233049 -aS'spinal\tspinal\tJJ\tB-NP\tO' -p233050 -aS'anesthesia\tanesthesia\tNN\tI-NP\tO' -p233051 -aS'for\tfor\tIN\tB-PP\tO' -p233052 -aS'pre-eclampsia\tpre-eclampsia\tNN\tB-NP\tO' -p233053 -aS'.\t.\t.\tO\tO' -p233054 -asS'Dictated By : Sarah G Sheahan , M.D.' -p233055 -(lp233056 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p233057 -aS'By\tBy\tIN\tB-PP\tO' -p233058 -aS':\t:\t:\tO\tO' -p233059 -aS'Sarah\tSarah\tNNP\tB-NP\tO' -p233060 -aS'G\tG\tNNP\tI-NP\tO' -p233061 -aS'Sheahan\tSheahan\tNNP\tI-NP\tO' -p233062 -aS',\t,\t,\tO\tO' -p233063 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p233064 -asS'The patient 's WBC trended down to 10.7 at discharge from a peak of 13 on 04/07 .' -p233065 -(lp233066 -S'The\tThe\tDT\tB-NP\tO' -p233067 -aS'patient\tpatient\tNN\tI-NP\tO' -p233068 -aS''s\t'\tNNS\tI-NP\tO' -p233069 -aS'WBC\tWBC\tNNP\tB-NP\tO' -p233070 -aS'trended\ttrend\tVBD\tB-VP\tO' -p233071 -aS'down\tdown\tRB\tB-ADVP\tO' -p233072 -aS'to\tto\tTO\tB-PP\tO' -p233073 -aS'10.7\t10.7\tCD\tB-NP\tO' -p233074 -aS'at\tat\tIN\tB-PP\tO' -p233075 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p233076 -aS'from\tfrom\tIN\tB-PP\tO' -p233077 -aS'a\ta\tDT\tB-NP\tO' -p233078 -aS'peak\tpeak\tNN\tI-NP\tO' -p233079 -aS'of\tof\tIN\tB-PP\tO' -p233080 -aS'13\t13\tCD\tB-NP\tO' -p233081 -aS'on\ton\tIN\tB-PP\tO' -p233082 -aS'04/07\t04/07\tCD\tB-NP\tO' -p233083 -aS'.\t.\t.\tO\tO' -p233084 -asS'She underwent coronary artery bypass graft times two with saphenous vein graft on 29 March 1998 .' -p233085 -(lp233086 -S'She\tShe\tPRP\tB-NP\tO' -p233087 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p233088 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p233089 -aS'artery\tartery\tNN\tI-NP\tO' -p233090 -aS'bypass\tbypass\tIN\tB-PP\tO' -p233091 -aS'graft\tgraft\tNN\tB-NP\tO' -p233092 -aS'times\ttime\tNNS\tI-NP\tO' -p233093 -aS'two\ttwo\tCD\tB-NP\tO' -p233094 -aS'with\twith\tIN\tB-PP\tO' -p233095 -aS'saphenous\tsaphenous\tJJ\tB-NP\tO' -p233096 -aS'vein\tvein\tNN\tI-NP\tO' -p233097 -aS'graft\tgraft\tNN\tI-NP\tO' -p233098 -aS'on\ton\tIN\tB-PP\tO' -p233099 -aS'29\t29\tCD\tB-NP\tO' -p233100 -aS'March\tMarch\tNNP\tI-NP\tO' -p233101 -aS'1998\t1998\tCD\tI-NP\tO' -p233102 -aS'.\t.\t.\tO\tO' -p233103 -asS'There was no diplopia , visual loss , speech abnormality or sensory change in her history .' -p233104 -(lp233105 -S'There\tThere\tEX\tB-NP\tO' -p233106 -aS'was\tbe\tVBD\tB-VP\tO' -p233107 -aS'no\tno\tDT\tB-NP\tO' -p233108 -aS'diplopia\tdiplopia\tNN\tI-NP\tO' -p233109 -aS',\t,\t,\tO\tO' -p233110 -aS'visual\tvisual\tJJ\tB-NP\tO' -p233111 -aS'loss\tloss\tNN\tI-NP\tO' -p233112 -aS',\t,\t,\tO\tO' -p233113 -aS'speech\tspeech\tNN\tB-NP\tO' -p233114 -aS'abnormality\tabnormality\tNN\tI-NP\tO' -p233115 -aS'or\tor\tCC\tO\tO' -p233116 -aS'sensory\tsensory\tJJ\tB-NP\tO' -p233117 -aS'change\tchange\tNN\tI-NP\tO' -p233118 -aS'in\tin\tIN\tB-PP\tO' -p233119 -aS'her\ther\tPRP$\tB-NP\tO' -p233120 -aS'history\thistory\tNN\tI-NP\tO' -p233121 -aS'.\t.\t.\tO\tO' -p233122 -asS"Reportedly she has been evaluated at Shriner's Hospital for Crippled Children , HealthSouth Braintree Rehab Hospital , and possibly St. Elizabeth's Medical Center of Boston ." -p233123 -(lp233124 -S'Reportedly\tReportedly\tRB\tB-ADVP\tO' -p233125 -aS'she\tshe\tPRP\tB-NP\tO' -p233126 -aS'has\thave\tVBZ\tB-VP\tO' -p233127 -aS'been\tbe\tVBN\tI-VP\tO' -p233128 -aS'evaluated\tevaluate\tVBN\tI-VP\tO' -p233129 -aS'at\tat\tIN\tB-PP\tO' -p233130 -aS"Shriner's\tShriner's\tNNP\tB-NP\tO" -p233131 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p233132 -aS'for\tfor\tIN\tB-PP\tO' -p233133 -aS'Crippled\tCrippled\tNNP\tB-NP\tO' -p233134 -aS'Children\tChildren\tNNP\tI-NP\tO' -p233135 -aS',\t,\t,\tO\tO' -p233136 -aS'HealthSouth\tHealthSouth\tNNP\tB-NP\tO' -p233137 -aS'Braintree\tBraintree\tNNP\tI-NP\tO' -p233138 -aS'Rehab\tRehab\tNNP\tI-NP\tO' -p233139 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p233140 -aS',\t,\t,\tO\tO' -p233141 -aS'and\tand\tCC\tO\tO' -p233142 -aS'possibly\tpossibly\tRB\tB-ADVP\tO' -p233143 -aS'St.\tSt.\tNNP\tB-NP\tO' -p233144 -aS"Elizabeth's\tElizabeth's\tNNP\tI-NP\tO" -p233145 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p233146 -aS'Center\tCenter\tNNP\tI-NP\tO' -p233147 -aS'of\tof\tIN\tB-PP\tO' -p233148 -aS'Boston\tBoston\tNNP\tB-NP\tO' -p233149 -aS'.\t.\t.\tO\tO' -p233150 -asS'She noted that she had increased pain in her lower back , which she attributed to her arthritis .' -p233151 -(lp233152 -S'She\tShe\tPRP\tB-NP\tO' -p233153 -aS'noted\tnote\tVBD\tB-VP\tO' -p233154 -aS'that\tthat\tIN\tB-SBAR\tO' -p233155 -aS'she\tshe\tPRP\tB-NP\tO' -p233156 -aS'had\thave\tVBD\tB-VP\tO' -p233157 -aS'increased\tincrease\tVBN\tI-VP\tO' -p233158 -aS'pain\tpain\tNN\tB-NP\tO' -p233159 -aS'in\tin\tIN\tB-PP\tO' -p233160 -aS'her\ther\tPRP$\tB-NP\tO' -p233161 -aS'lower\tlow\tJJR\tI-NP\tO' -p233162 -aS'back\tback\tNN\tI-NP\tO' -p233163 -aS',\t,\t,\tO\tO' -p233164 -aS'which\twhich\tWDT\tB-NP\tO' -p233165 -aS'she\tshe\tPRP\tB-NP\tO' -p233166 -aS'attributed\tattribute\tVBD\tB-VP\tO' -p233167 -aS'to\tto\tTO\tB-PP\tO' -p233168 -aS'her\ther\tPRP$\tB-NP\tO' -p233169 -aS'arthritis\tarthritis\tNN\tI-NP\tO' -p233170 -aS'.\t.\t.\tO\tO' -p233171 -asS'2. Moderate knee joint effusion with possible ganglion cyst at the insertion of the PCL .' -p233172 -(lp233173 -S'2.\t2.\tLS\tB-LST\tO' -p233174 -aS'Moderate\tModerate\tNNP\tB-NP\tO' -p233175 -aS'knee\tknee\tVB\tB-VP\tO' -p233176 -aS'joint\tjoint\tJJ\tB-NP\tO' -p233177 -aS'effusion\teffusion\tNN\tI-NP\tO' -p233178 -aS'with\twith\tIN\tB-PP\tO' -p233179 -aS'possible\tpossible\tJJ\tB-NP\tO' -p233180 -aS'ganglion\tganglion\tNN\tI-NP\tO' -p233181 -aS'cyst\tcyst\tNN\tI-NP\tO' -p233182 -aS'at\tat\tIN\tB-PP\tO' -p233183 -aS'the\tthe\tDT\tB-NP\tO' -p233184 -aS'insertion\tinsertion\tNN\tI-NP\tO' -p233185 -aS'of\tof\tIN\tB-PP\tO' -p233186 -aS'the\tthe\tDT\tB-NP\tO' -p233187 -aS'PCL\tPCL\tNN\tI-NP\tB-protein' -p233188 -aS'.\t.\t.\tO\tO' -p233189 -asS'A repeat CAT scan of the head was performed .' -p233190 -(lp233191 -S'A\tA\tDT\tB-NP\tO' -p233192 -aS'repeat\trepeat\tNN\tI-NP\tO' -p233193 -aS'CAT\tCAT\tNN\tI-NP\tO' -p233194 -aS'scan\tscan\tNN\tI-NP\tO' -p233195 -aS'of\tof\tIN\tB-PP\tO' -p233196 -aS'the\tthe\tDT\tB-NP\tO' -p233197 -aS'head\thead\tNN\tI-NP\tO' -p233198 -aS'was\tbe\tVBD\tB-VP\tO' -p233199 -aS'performed\tperform\tVBN\tI-VP\tO' -p233200 -aS'.\t.\t.\tO\tO' -p233201 -asS'The patient was discharged with follow-up with his Hematologist , Dr. Eci Area and Rheumatologist , Dr. Taange Peter , and Cardiologist , Dr. Peter .' -p233202 -(lp233203 -S'The\tThe\tDT\tB-NP\tO' -p233204 -aS'patient\tpatient\tNN\tI-NP\tO' -p233205 -aS'was\tbe\tVBD\tB-VP\tO' -p233206 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p233207 -aS'with\twith\tIN\tB-PP\tO' -p233208 -aS'follow-up\tfollow-up\tNN\tB-NP\tO' -p233209 -aS'with\twith\tIN\tB-PP\tO' -p233210 -aS'his\this\tPRP$\tB-NP\tO' -p233211 -aS'Hematologist\tHematologist\tNNP\tI-NP\tO' -p233212 -aS',\t,\t,\tO\tO' -p233213 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p233214 -aS'Eci\tEci\tNNP\tI-NP\tO' -p233215 -aS'Area\tArea\tNNP\tI-NP\tO' -p233216 -aS'and\tand\tCC\tO\tO' -p233217 -aS'Rheumatologist\tRheumatologist\tNNP\tB-NP\tO' -p233218 -aS',\t,\t,\tO\tO' -p233219 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p233220 -aS'Taange\tTaange\tNNP\tI-NP\tO' -p233221 -aS'Peter\tPeter\tNNP\tI-NP\tO' -p233222 -aS',\t,\t,\tO\tO' -p233223 -aS'and\tand\tCC\tO\tO' -p233224 -aS'Cardiologist\tCardiologist\tNNP\tB-NP\tO' -p233225 -aS',\t,\t,\tO\tO' -p233226 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p233227 -aS'Peter\tPeter\tNNP\tI-NP\tO' -p233228 -aS'.\t.\t.\tO\tO' -p233229 -asS'Ultrasound without clot .' -p233230 -(lp233231 -S'Ultrasound\tUltrasound\tNN\tB-NP\tO' -p233232 -aS'without\twithout\tIN\tB-PP\tO' -p233233 -aS'clot\tclot\tNN\tB-NP\tO' -p233234 -aS'.\t.\t.\tO\tO' -p233235 -asS'Other concerns during his stay was his kidney function , due to his renal transplant in 2003 .' -p233236 -(lp233237 -S'Other\tOther\tJJ\tB-NP\tO' -p233238 -aS'concerns\tconcern\tNNS\tI-NP\tO' -p233239 -aS'during\tduring\tIN\tB-PP\tO' -p233240 -aS'his\this\tPRP$\tB-NP\tO' -p233241 -aS'stay\tstay\tNN\tI-NP\tO' -p233242 -aS'was\tbe\tVBD\tB-VP\tO' -p233243 -aS'his\this\tPRP$\tB-NP\tO' -p233244 -aS'kidney\tkidney\tNN\tI-NP\tO' -p233245 -aS'function\tfunction\tNN\tI-NP\tO' -p233246 -aS',\t,\t,\tO\tO' -p233247 -aS'due\tdue\tIN\tB-PP\tO' -p233248 -aS'to\tto\tTO\tB-PP\tO' -p233249 -aS'his\this\tPRP$\tB-NP\tO' -p233250 -aS'renal\trenal\tJJ\tI-NP\tO' -p233251 -aS'transplant\ttransplant\tNN\tI-NP\tO' -p233252 -aS'in\tin\tIN\tB-PP\tO' -p233253 -aS'2003\t2003\tCD\tB-NP\tO' -p233254 -aS'.\t.\t.\tO\tO' -p233255 -asS'12. Prednisone 10 mg Tablet Sig : 1-2 Tablets PO DAILY ( Daily ) for 4 days : Please take two pills for one day starting 11-17 , then take one pill for three days .' -p233256 -(lp233257 -S'12.\t12.\tCD\tB-NP\tO' -p233258 -aS'Prednisone\tPrednisone\tNN\tI-NP\tO' -p233259 -aS'10\t10\tCD\tB-NP\tO' -p233260 -aS'mg\tmg\tNN\tI-NP\tO' -p233261 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p233262 -aS'Sig\tSig\tNNP\tI-NP\tO' -p233263 -aS':\t:\t:\tO\tO' -p233264 -aS'1-2\t1-2\tCD\tB-NP\tO' -p233265 -aS'Tablets\tTablet\tNNS\tI-NP\tO' -p233266 -aS'PO\tPO\tNN\tI-NP\tO' -p233267 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p233268 -aS'(\t(\t(\tO\tO' -p233269 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p233270 -aS')\t)\t)\tO\tO' -p233271 -aS'for\tfor\tIN\tB-PP\tO' -p233272 -aS'4\t4\tCD\tB-NP\tO' -p233273 -aS'days\tday\tNNS\tI-NP\tO' -p233274 -aS':\t:\t:\tO\tO' -p233275 -aS'Please\tPlease\tNN\tB-NP\tB-protein' -p233276 -aS'take\ttake\tVB\tB-VP\tO' -p233277 -aS'two\ttwo\tCD\tB-NP\tO' -p233278 -aS'pills\tpill\tNNS\tI-NP\tO' -p233279 -aS'for\tfor\tIN\tB-PP\tO' -p233280 -aS'one\tone\tCD\tB-NP\tO' -p233281 -aS'day\tday\tNN\tI-NP\tO' -p233282 -aS'starting\tstart\tVBG\tB-VP\tO' -p233283 -aS'11-17\t11-17\tCD\tB-NP\tO' -p233284 -aS',\t,\t,\tO\tO' -p233285 -aS'then\tthen\tRB\tO\tO' -p233286 -aS'take\ttake\tVB\tB-VP\tO' -p233287 -aS'one\tone\tCD\tB-NP\tO' -p233288 -aS'pill\tpill\tNN\tI-NP\tO' -p233289 -aS'for\tfor\tIN\tB-PP\tO' -p233290 -aS'three\tthree\tCD\tB-NP\tO' -p233291 -aS'days\tday\tNNS\tI-NP\tO' -p233292 -aS'.\t.\t.\tO\tO' -p233293 -asS'The Troponin I was less than .4 and the creatine kinase was 114 .' -p233294 -(lp233295 -S'The\tThe\tDT\tB-NP\tO' -p233296 -aS'Troponin\tTroponin\tNN\tI-NP\tB-protein' -p233297 -aS'I\tI\tPRP\tB-NP\tI-protein' -p233298 -aS'was\tbe\tVBD\tB-VP\tO' -p233299 -aS'less\tless\tJJR\tB-ADJP\tO' -p233300 -aS'than\tthan\tIN\tB-PP\tO' -p233301 -aS'.4\t.4\tNN\tB-NP\tO' -p233302 -aS'and\tand\tCC\tO\tO' -p233303 -aS'the\tthe\tDT\tB-NP\tO' -p233304 -aS'creatine\tcreatine\tNN\tI-NP\tB-protein' -p233305 -aS'kinase\tkinase\tNN\tI-NP\tI-protein' -p233306 -aS'was\tbe\tVBD\tB-VP\tO' -p233307 -aS'114\t114\tCD\tB-NP\tO' -p233308 -aS'.\t.\t.\tO\tO' -p233309 -asS'Will check creatinine this afternoon .' -p233310 -(lp233311 -S'Will\tWill\tMD\tB-VP\tO' -p233312 -aS'check\tcheck\tVB\tI-VP\tO' -p233313 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p233314 -aS'this\tthis\tDT\tB-NP\tO' -p233315 -aS'afternoon\tafternoon\tNN\tI-NP\tO' -p233316 -aS'.\t.\t.\tO\tO' -p233317 -asS'Cardiac : Regular rate and rhythm , normal S1 , S2 .' -p233318 -(lp233319 -S'Cardiac\tCardiac\tJJ\tB-ADJP\tO' -p233320 -aS':\t:\t:\tO\tO' -p233321 -aS'Regular\tRegular\tJJ\tB-NP\tO' -p233322 -aS'rate\trate\tNN\tI-NP\tO' -p233323 -aS'and\tand\tCC\tI-NP\tO' -p233324 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p233325 -aS',\t,\t,\tO\tO' -p233326 -aS'normal\tnormal\tJJ\tB-NP\tO' -p233327 -aS'S1\tS1\tNN\tI-NP\tO' -p233328 -aS',\t,\t,\tO\tO' -p233329 -aS'S2\tS2\tNN\tB-NP\tB-protein' -p233330 -aS'.\t.\t.\tO\tO' -p233331 -asS'On postoperative day two , her Foley was discontinued .' -p233332 -(lp233333 -S'On\tOn\tIN\tB-PP\tO' -p233334 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p233335 -aS'day\tday\tNN\tI-NP\tO' -p233336 -aS'two\ttwo\tCD\tB-NP\tO' -p233337 -aS',\t,\t,\tO\tO' -p233338 -aS'her\ther\tPRP$\tB-NP\tO' -p233339 -aS'Foley\tFoley\tNNP\tI-NP\tO' -p233340 -aS'was\tbe\tVBD\tB-VP\tO' -p233341 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p233342 -aS'.\t.\t.\tO\tO' -p233343 -asS'Prenatal screens include blood type O negative .' -p233344 -(lp233345 -S'Prenatal\tPrenatal\tJJ\tB-NP\tO' -p233346 -aS'screens\tscreen\tNNS\tI-NP\tO' -p233347 -aS'include\tinclude\tVBP\tB-VP\tO' -p233348 -aS'blood\tblood\tNN\tB-NP\tO' -p233349 -aS'type\ttype\tNN\tI-NP\tO' -p233350 -aS'O\tO\tNN\tI-NP\tO' -p233351 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p233352 -aS'.\t.\t.\tO\tO' -p233353 -asS'Please continue Mr. David Montero for one month to fight his blood borne infection , to prevent seeding of his aortic graft and continue Bactrim for ten days after discharge to treat the E. coli in his urine .' -p233354 -(lp233355 -S'Please\tPlease\tNNP\tB-NP\tO' -p233356 -aS'continue\tcontinue\tVBP\tB-VP\tO' -p233357 -aS'Mr.\tMr.\tNNP\tB-NP\tO' -p233358 -aS'David\tDavid\tNNP\tI-NP\tO' -p233359 -aS'Montero\tMontero\tNNP\tI-NP\tO' -p233360 -aS'for\tfor\tIN\tB-PP\tO' -p233361 -aS'one\tone\tCD\tB-NP\tO' -p233362 -aS'month\tmonth\tNN\tI-NP\tO' -p233363 -aS'to\tto\tTO\tB-VP\tO' -p233364 -aS'fight\tfight\tVB\tI-VP\tO' -p233365 -aS'his\this\tPRP$\tB-NP\tO' -p233366 -aS'blood\tblood\tNN\tI-NP\tO' -p233367 -aS'borne\tborne\tNN\tI-NP\tO' -p233368 -aS'infection\tinfection\tNN\tI-NP\tO' -p233369 -aS',\t,\t,\tO\tO' -p233370 -aS'to\tto\tTO\tB-VP\tO' -p233371 -aS'prevent\tprevent\tVB\tI-VP\tO' -p233372 -aS'seeding\tseeding\tNN\tB-NP\tO' -p233373 -aS'of\tof\tIN\tB-PP\tO' -p233374 -aS'his\this\tPRP$\tB-NP\tO' -p233375 -aS'aortic\taortic\tJJ\tI-NP\tO' -p233376 -aS'graft\tgraft\tNN\tI-NP\tO' -p233377 -aS'and\tand\tCC\tO\tO' -p233378 -aS'continue\tcontinue\tVB\tB-VP\tO' -p233379 -aS'Bactrim\tBactrim\tNNP\tB-NP\tO' -p233380 -aS'for\tfor\tIN\tB-PP\tO' -p233381 -aS'ten\tten\tCD\tB-NP\tO' -p233382 -aS'days\tday\tNNS\tI-NP\tO' -p233383 -aS'after\tafter\tIN\tB-PP\tO' -p233384 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p233385 -aS'to\tto\tTO\tB-VP\tO' -p233386 -aS'treat\ttreat\tVB\tI-VP\tO' -p233387 -aS'the\tthe\tDT\tB-NP\tO' -p233388 -aS'E.\tE.\tNNP\tI-NP\tO' -p233389 -aS'coli\tcoli\tNNP\tI-NP\tO' -p233390 -aS'in\tin\tIN\tB-PP\tO' -p233391 -aS'his\this\tPRP$\tB-NP\tO' -p233392 -aS'urine\turine\tNN\tI-NP\tO' -p233393 -aS'.\t.\t.\tO\tO' -p233394 -asS'The patient was seen at the Leonard Morse/Metrowest Medical Center on 09-28 .' -p233395 -(lp233396 -S'The\tThe\tDT\tB-NP\tO' -p233397 -aS'patient\tpatient\tNN\tI-NP\tO' -p233398 -aS'was\tbe\tVBD\tB-VP\tO' -p233399 -aS'seen\tsee\tVBN\tI-VP\tO' -p233400 -aS'at\tat\tIN\tB-PP\tO' -p233401 -aS'the\tthe\tDT\tB-NP\tO' -p233402 -aS'Leonard\tLeonard\tNNP\tI-NP\tO' -p233403 -aS'Morse/Metrowest\tMorse/Metrowest\tNNP\tI-NP\tO' -p233404 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p233405 -aS'Center\tCenter\tNNP\tI-NP\tO' -p233406 -aS'on\ton\tIN\tB-PP\tO' -p233407 -aS'09-28\t09-28\tCD\tB-NP\tO' -p233408 -aS'.\t.\t.\tO\tO' -p233409 -asS'She had left lower leg varicose veins , no venous cords , and bilateral 2+ pedal pulses .' -p233410 -(lp233411 -S'She\tShe\tPRP\tB-NP\tO' -p233412 -aS'had\thave\tVBD\tB-VP\tO' -p233413 -aS'left\tleave\tVBN\tI-VP\tO' -p233414 -aS'lower\tlow\tJJR\tB-NP\tO' -p233415 -aS'leg\tleg\tNN\tI-NP\tO' -p233416 -aS'varicose\tvaricose\tNN\tI-NP\tO' -p233417 -aS'veins\tvein\tNNS\tI-NP\tO' -p233418 -aS',\t,\t,\tO\tO' -p233419 -aS'no\tno\tDT\tB-NP\tO' -p233420 -aS'venous\tvenous\tJJ\tI-NP\tO' -p233421 -aS'cords\tcord\tNNS\tI-NP\tO' -p233422 -aS',\t,\t,\tO\tO' -p233423 -aS'and\tand\tCC\tO\tO' -p233424 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p233425 -aS'2+\t2+\tJJ\tI-NP\tO' -p233426 -aS'pedal\tpedal\tJJ\tI-NP\tO' -p233427 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p233428 -aS'.\t.\t.\tO\tO' -p233429 -asS'Today , 2011-10-31 , postoperative day 13 the patient remains stable and ready for discharge to home .' -p233430 -(lp233431 -S'Today\tToday\tNN\tB-NP\tO' -p233432 -aS',\t,\t,\tO\tO' -p233433 -aS'2011-10-31\t2011-10-31\tCD\tB-NP\tO' -p233434 -aS',\t,\t,\tO\tO' -p233435 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p233436 -aS'day\tday\tNN\tI-NP\tO' -p233437 -aS'13\t13\tCD\tI-NP\tO' -p233438 -aS'the\tthe\tDT\tB-NP\tO' -p233439 -aS'patient\tpatient\tNN\tI-NP\tO' -p233440 -aS'remains\tremain\tVBZ\tB-VP\tO' -p233441 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p233442 -aS'and\tand\tCC\tI-ADJP\tO' -p233443 -aS'ready\tready\tJJ\tI-ADJP\tO' -p233444 -aS'for\tfor\tIN\tB-PP\tO' -p233445 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p233446 -aS'to\tto\tTO\tB-PP\tO' -p233447 -aS'home\thome\tNN\tB-NP\tO' -p233448 -aS'.\t.\t.\tO\tO' -p233449 -asS'This failed , despite one shock at 300 joules and two shocks at 360 joules .' -p233450 -(lp233451 -S'This\tThis\tDT\tB-NP\tO' -p233452 -aS'failed\tfail\tVBD\tB-VP\tO' -p233453 -aS',\t,\t,\tO\tO' -p233454 -aS'despite\tdespite\tIN\tB-PP\tO' -p233455 -aS'one\tone\tCD\tB-NP\tO' -p233456 -aS'shock\tshock\tNN\tI-NP\tO' -p233457 -aS'at\tat\tIN\tB-PP\tO' -p233458 -aS'300\t300\tCD\tB-NP\tO' -p233459 -aS'joules\tjoule\tNNS\tI-NP\tO' -p233460 -aS'and\tand\tCC\tO\tO' -p233461 -aS'two\ttwo\tCD\tB-NP\tO' -p233462 -aS'shocks\tshock\tNNS\tI-NP\tO' -p233463 -aS'at\tat\tIN\tB-PP\tO' -p233464 -aS'360\t360\tCD\tB-NP\tO' -p233465 -aS'joules\tjoule\tNNS\tI-NP\tO' -p233466 -aS'.\t.\t.\tO\tO' -p233467 -asS'The patient was on Levoxyl at home as her home dose for hyperthyroidism .' -p233468 -(lp233469 -S'The\tThe\tDT\tB-NP\tO' -p233470 -aS'patient\tpatient\tNN\tI-NP\tO' -p233471 -aS'was\tbe\tVBD\tB-VP\tO' -p233472 -aS'on\ton\tIN\tB-PP\tO' -p233473 -aS'Levoxyl\tLevoxyl\tNN\tB-NP\tO' -p233474 -aS'at\tat\tIN\tB-PP\tO' -p233475 -aS'home\thome\tNN\tB-NP\tO' -p233476 -aS'as\tas\tIN\tB-PP\tO' -p233477 -aS'her\ther\tPRP$\tB-NP\tO' -p233478 -aS'home\thome\tNN\tI-NP\tO' -p233479 -aS'dose\tdose\tNN\tI-NP\tO' -p233480 -aS'for\tfor\tIN\tB-PP\tO' -p233481 -aS'hyperthyroidism\thyperthyroidism\tNN\tB-NP\tO' -p233482 -aS'.\t.\t.\tO\tO' -p233483 -asS'At the time of discharge the patient was alert and oriented x3 and able to swallow pureed and thick diet without a problem .' -p233484 -(lp233485 -S'At\tAt\tIN\tB-PP\tO' -p233486 -aS'the\tthe\tDT\tB-NP\tO' -p233487 -aS'time\ttime\tNN\tI-NP\tO' -p233488 -aS'of\tof\tIN\tB-PP\tO' -p233489 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p233490 -aS'the\tthe\tDT\tB-NP\tO' -p233491 -aS'patient\tpatient\tNN\tI-NP\tO' -p233492 -aS'was\tbe\tVBD\tB-VP\tO' -p233493 -aS'alert\talert\tJJ\tB-NP\tO' -p233494 -aS'and\tand\tCC\tI-NP\tO' -p233495 -aS'oriented\toriented\tJJ\tI-NP\tO' -p233496 -aS'x3\tx3\tNN\tI-NP\tO' -p233497 -aS'and\tand\tCC\tO\tO' -p233498 -aS'able\table\tJJ\tB-ADJP\tO' -p233499 -aS'to\tto\tTO\tB-VP\tO' -p233500 -aS'swallow\tswallow\tVB\tI-VP\tO' -p233501 -aS'pureed\tpureed\tNN\tB-NP\tO' -p233502 -aS'and\tand\tCC\tO\tO' -p233503 -aS'thick\tthick\tJJ\tB-NP\tO' -p233504 -aS'diet\tdiet\tNN\tI-NP\tO' -p233505 -aS'without\twithout\tIN\tB-PP\tO' -p233506 -aS'a\ta\tDT\tB-NP\tO' -p233507 -aS'problem\tproblem\tNN\tI-NP\tO' -p233508 -aS'.\t.\t.\tO\tO' -p233509 -asS'Also ileal cecal resection , MDR showed that Cisplatin and VP 16 were more effective .' -p233510 -(lp233511 -S'Also\tAlso\tRB\tB-NP\tO' -p233512 -aS'ileal\tileal\tJJ\tI-NP\tO' -p233513 -aS'cecal\tcecal\tJJ\tI-NP\tO' -p233514 -aS'resection\tresection\tNN\tI-NP\tO' -p233515 -aS',\t,\t,\tO\tO' -p233516 -aS'MDR\tMDR\tNN\tB-NP\tB-protein' -p233517 -aS'showed\tshow\tVBD\tB-VP\tO' -p233518 -aS'that\tthat\tIN\tB-SBAR\tO' -p233519 -aS'Cisplatin\tCisplatin\tNN\tB-NP\tB-protein' -p233520 -aS'and\tand\tCC\tO\tO' -p233521 -aS'VP\tVP\tNN\tB-NP\tB-protein' -p233522 -aS'16\t16\tCD\tI-NP\tI-protein' -p233523 -aS'were\tbe\tVBD\tB-VP\tO' -p233524 -aS'more\tmore\tRBR\tB-ADJP\tO' -p233525 -aS'effective\teffective\tJJ\tI-ADJP\tO' -p233526 -aS'.\t.\t.\tO\tO' -p233527 -asS'Pulmonary artery pressure was markedly elevated at 120/60 .' -p233528 -(lp233529 -S'Pulmonary\tPulmonary\tJJ\tB-NP\tO' -p233530 -aS'artery\tartery\tNN\tI-NP\tO' -p233531 -aS'pressure\tpressure\tNN\tI-NP\tO' -p233532 -aS'was\tbe\tVBD\tB-VP\tO' -p233533 -aS'markedly\tmarkedly\tRB\tI-VP\tO' -p233534 -aS'elevated\televate\tVBN\tI-VP\tO' -p233535 -aS'at\tat\tIN\tB-PP\tO' -p233536 -aS'120/60\t120/60\tCD\tB-NP\tO' -p233537 -aS'.\t.\t.\tO\tO' -p233538 -asS'It just needed a unit that could have more sensitivity in the atrial mode .' -p233539 -(lp233540 -S'It\tIt\tPRP\tB-NP\tO' -p233541 -aS'just\tjust\tRB\tB-ADVP\tO' -p233542 -aS'needed\tneed\tVBD\tB-VP\tO' -p233543 -aS'a\ta\tDT\tB-NP\tO' -p233544 -aS'unit\tunit\tNN\tI-NP\tO' -p233545 -aS'that\tthat\tWDT\tB-NP\tO' -p233546 -aS'could\tcould\tMD\tB-VP\tO' -p233547 -aS'have\thave\tVB\tI-VP\tO' -p233548 -aS'more\tmore\tJJR\tB-NP\tO' -p233549 -aS'sensitivity\tsensitivity\tNN\tI-NP\tO' -p233550 -aS'in\tin\tIN\tB-PP\tO' -p233551 -aS'the\tthe\tDT\tB-NP\tO' -p233552 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p233553 -aS'mode\tmode\tNN\tI-NP\tO' -p233554 -aS'.\t.\t.\tO\tO' -p233555 -asS'As planned - continued consultation by Light and Endocrine' -p233556 -(lp233557 -S'As\tAs\tIN\tB-SBAR\tO' -p233558 -aS'planned\tplan\tVBN\tB-VP\tO' -p233559 -aS'-\t-\tHYPH\tB-PP\tO' -p233560 -aS'continued\tcontinue\tVBN\tB-NP\tO' -p233561 -aS'consultation\tconsultation\tNN\tI-NP\tO' -p233562 -aS'by\tby\tIN\tB-PP\tO' -p233563 -aS'Light\tLight\tNN\tB-NP\tO' -p233564 -aS'and\tand\tCC\tO\tO' -p233565 -aS'Endocrine\tEndocrine\tJJ\tB-ADJP\tO' -p233566 -asS'Then , noted to be volume overloaded and diuresed with lasix .' -p233567 -(lp233568 -S'Then\tThen\tRB\tB-ADVP\tO' -p233569 -aS',\t,\t,\tO\tO' -p233570 -aS'noted\tnote\tVBD\tB-VP\tO' -p233571 -aS'to\tto\tTO\tI-VP\tO' -p233572 -aS'be\tbe\tVB\tI-VP\tO' -p233573 -aS'volume\tvolume\tNN\tB-NP\tO' -p233574 -aS'overloaded\toverload\tVBN\tB-VP\tO' -p233575 -aS'and\tand\tCC\tI-VP\tO' -p233576 -aS'diuresed\tdiurese\tVBN\tI-VP\tO' -p233577 -aS'with\twith\tIN\tB-PP\tO' -p233578 -aS'lasix\tlasix\tNN\tB-NP\tO' -p233579 -aS'.\t.\t.\tO\tO' -p233580 -asS'She was without any adenopathy .' -p233581 -(lp233582 -S'She\tShe\tPRP\tB-NP\tO' -p233583 -aS'was\tbe\tVBD\tB-VP\tO' -p233584 -aS'without\twithout\tIN\tB-PP\tO' -p233585 -aS'any\tany\tDT\tB-NP\tO' -p233586 -aS'adenopathy\tadenopathy\tNN\tI-NP\tO' -p233587 -aS'.\t.\t.\tO\tO' -p233588 -asS'2. Oxycodone-Acetaminophen 5-325 mg Tablet Sig : 1-2 Tablets PO Q4-6H ( every 4 to 6 hours ) as needed .' -p233589 -(lp233590 -S'2.\t2.\tCD\tB-NP\tO' -p233591 -aS'Oxycodone-Acetaminophen\tOxycodone-Acetaminophen\tJJ\tI-NP\tO' -p233592 -aS'5-325\t5-325\tCD\tI-NP\tO' -p233593 -aS'mg\tmg\tNN\tI-NP\tO' -p233594 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p233595 -aS'Sig\tSig\tNNP\tI-NP\tO' -p233596 -aS':\t:\t:\tO\tO' -p233597 -aS'1-2\t1-2\tCD\tB-NP\tO' -p233598 -aS'Tablets\tTablet\tNNS\tI-NP\tO' -p233599 -aS'PO\tPO\tNN\tI-NP\tO' -p233600 -aS'Q4-6H\tQ4-6H\tNN\tI-NP\tO' -p233601 -aS'(\t(\t(\tO\tO' -p233602 -aS'every\tevery\tDT\tB-NP\tO' -p233603 -aS'4\t4\tCD\tI-NP\tO' -p233604 -aS'to\tto\tTO\tI-NP\tO' -p233605 -aS'6\t6\tCD\tI-NP\tO' -p233606 -aS'hours\thour\tNNS\tI-NP\tO' -p233607 -aS')\t)\t)\tO\tO' -p233608 -aS'as\tas\tIN\tB-SBAR\tO' -p233609 -aS'needed\tneed\tVBN\tB-VP\tO' -p233610 -aS'.\t.\t.\tO\tO' -p233611 -asS'Her Doxepin has recently been increased .' -p233612 -(lp233613 -S'Her\tHer\tPRP$\tB-NP\tO' -p233614 -aS'Doxepin\tDoxepin\tNNP\tI-NP\tO' -p233615 -aS'has\thave\tVBZ\tB-VP\tO' -p233616 -aS'recently\trecently\tRB\tI-VP\tO' -p233617 -aS'been\tbe\tVBN\tI-VP\tO' -p233618 -aS'increased\tincrease\tVBN\tI-VP\tO' -p233619 -aS'.\t.\t.\tO\tO' -p233620 -asS'4. Postoperative anemia .' -p233621 -(lp233622 -S'4.\t4.\tLS\tB-NP\tO' -p233623 -aS'Postoperative\tPostoperative\tJJ\tI-NP\tO' -p233624 -aS'anemia\tanemia\tNN\tI-NP\tO' -p233625 -aS'.\t.\t.\tO\tO' -p233626 -asS'For surgical incision and left arm' -p233627 -(lp233628 -S'For\tFor\tIN\tB-PP\tO' -p233629 -aS'surgical\tsurgical\tJJ\tB-NP\tO' -p233630 -aS'incision\tincision\tNN\tI-NP\tO' -p233631 -aS'and\tand\tCC\tO\tO' -p233632 -aS'left\tleave\tVBD\tB-VP\tO' -p233633 -aS'arm\tarm\tNN\tB-NP\tO' -p233634 -asS'B/L lower ext duplex us and a cta were performed , both of which were negative .' -p233635 -(lp233636 -S'B/L\tB/L\tNN\tB-NP\tO' -p233637 -aS'lower\tlow\tJJR\tI-NP\tO' -p233638 -aS'ext\text\tJJ\tI-NP\tO' -p233639 -aS'duplex\tduplex\tNN\tI-NP\tO' -p233640 -aS'us\tus\tPRP\tB-NP\tO' -p233641 -aS'and\tand\tCC\tO\tO' -p233642 -aS'a\ta\tDT\tB-NP\tO' -p233643 -aS'cta\tcta\tNN\tI-NP\tO' -p233644 -aS'were\tbe\tVBD\tB-VP\tO' -p233645 -aS'performed\tperform\tVBN\tI-VP\tO' -p233646 -aS',\t,\t,\tO\tO' -p233647 -aS'both\tboth\tDT\tB-NP\tO' -p233648 -aS'of\tof\tIN\tB-PP\tO' -p233649 -aS'which\twhich\tWDT\tB-NP\tO' -p233650 -aS'were\tbe\tVBD\tB-VP\tO' -p233651 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p233652 -aS'.\t.\t.\tO\tO' -p233653 -asS'She is on hydrochlorothiazide 50 mg p.o. q day .' -p233654 -(lp233655 -S'She\tShe\tPRP\tB-NP\tO' -p233656 -aS'is\tbe\tVBZ\tB-VP\tO' -p233657 -aS'on\ton\tIN\tB-PP\tO' -p233658 -aS'hydrochlorothiazide\thydrochlorothiazide\tNN\tB-NP\tO' -p233659 -aS'50\t50\tCD\tI-NP\tO' -p233660 -aS'mg\tmg\tNN\tI-NP\tO' -p233661 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p233662 -aS'q\tq\tNN\tI-NP\tO' -p233663 -aS'day\tday\tNN\tI-NP\tO' -p233664 -aS'.\t.\t.\tO\tO' -p233665 -asS'Twin #1 was noted to be in a breech presentation .' -p233666 -(lp233667 -S'Twin\tTwin\tNN\tB-NP\tB-protein' -p233668 -aS'#1\t#1\tNN\tI-NP\tI-protein' -p233669 -aS'was\tbe\tVBD\tB-VP\tO' -p233670 -aS'noted\tnote\tVBN\tI-VP\tO' -p233671 -aS'to\tto\tTO\tI-VP\tO' -p233672 -aS'be\tbe\tVB\tI-VP\tO' -p233673 -aS'in\tin\tIN\tB-PP\tO' -p233674 -aS'a\ta\tDT\tB-NP\tO' -p233675 -aS'breech\tbreech\tNN\tI-NP\tO' -p233676 -aS'presentation\tpresentation\tNN\tI-NP\tO' -p233677 -aS'.\t.\t.\tO\tO' -p233678 -asS'White count 20.0 , hematocrit 52 , platelets 439 .' -p233679 -(lp233680 -S'White\tWhite\tJJ\tB-NP\tO' -p233681 -aS'count\tcount\tNN\tI-NP\tO' -p233682 -aS'20.0\t20.0\tCD\tI-NP\tO' -p233683 -aS',\t,\t,\tO\tO' -p233684 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p233685 -aS'52\t52\tCD\tI-NP\tI-protein' -p233686 -aS',\t,\t,\tO\tO' -p233687 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p233688 -aS'439\t439\tCD\tB-NP\tO' -p233689 -aS'.\t.\t.\tO\tO' -p233690 -asS'Liver function tests : ALT 38 , AST 34 , alk phos is 107 , albumin is 3.2 , peak bili is 0.3 , amylase 31 , and lipase is 32 .' -p233691 -(lp233692 -S'Liver\tLiver\tNN\tB-NP\tO' -p233693 -aS'function\tfunction\tNN\tI-NP\tO' -p233694 -aS'tests\ttest\tNNS\tI-NP\tO' -p233695 -aS':\t:\t:\tO\tO' -p233696 -aS'ALT\tALT\tNN\tB-NP\tO' -p233697 -aS'38\t38\tCD\tI-NP\tO' -p233698 -aS',\t,\t,\tO\tO' -p233699 -aS'AST\tAST\tNN\tB-NP\tO' -p233700 -aS'34\t34\tCD\tI-NP\tO' -p233701 -aS',\t,\t,\tO\tO' -p233702 -aS'alk\talk\tNN\tB-NP\tO' -p233703 -aS'phos\tpho\tNNS\tI-NP\tO' -p233704 -aS'is\tbe\tVBZ\tB-VP\tO' -p233705 -aS'107\t107\tCD\tB-NP\tO' -p233706 -aS',\t,\t,\tO\tO' -p233707 -aS'albumin\talbumin\tNN\tB-NP\tB-protein' -p233708 -aS'is\tbe\tVBZ\tB-VP\tO' -p233709 -aS'3.2\t3.2\tCD\tB-NP\tO' -p233710 -aS',\t,\t,\tO\tO' -p233711 -aS'peak\tpeak\tJJ\tB-NP\tO' -p233712 -aS'bili\tbili\tNN\tI-NP\tO' -p233713 -aS'is\tbe\tVBZ\tB-VP\tO' -p233714 -aS'0.3\t0.3\tCD\tB-NP\tO' -p233715 -aS',\t,\t,\tO\tO' -p233716 -aS'amylase\tamylase\tNN\tB-NP\tB-protein' -p233717 -aS'31\t31\tCD\tI-NP\tI-protein' -p233718 -aS',\t,\t,\tO\tO' -p233719 -aS'and\tand\tCC\tO\tO' -p233720 -aS'lipase\tlipase\tNN\tB-NP\tO' -p233721 -aS'is\tbe\tVBZ\tB-VP\tO' -p233722 -aS'32\t32\tCD\tB-NP\tO' -p233723 -aS'.\t.\t.\tO\tO' -p233724 -asS'Seen by PMD on 12-14 w/ symptoms of cough productive of yellow sputum , which wife also had , prescribed zpak w/o improvement .' -p233725 -(lp233726 -S'Seen\tSeen\tNN\tB-NP\tO' -p233727 -aS'by\tby\tIN\tB-PP\tO' -p233728 -aS'PMD\tPMD\tNN\tB-NP\tO' -p233729 -aS'on\ton\tIN\tB-PP\tO' -p233730 -aS'12-14\t12-14\tCD\tB-NP\tO' -p233731 -aS'w/\tw/\tNN\tI-NP\tO' -p233732 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p233733 -aS'of\tof\tIN\tB-PP\tO' -p233734 -aS'cough\tcough\tNN\tB-NP\tO' -p233735 -aS'productive\tproductive\tJJ\tB-ADJP\tO' -p233736 -aS'of\tof\tIN\tB-PP\tO' -p233737 -aS'yellow\tyellow\tJJ\tB-NP\tO' -p233738 -aS'sputum\tsputum\tNN\tI-NP\tO' -p233739 -aS',\t,\t,\tO\tO' -p233740 -aS'which\twhich\tWDT\tB-NP\tO' -p233741 -aS'wife\twife\tVBP\tB-VP\tO' -p233742 -aS'also\talso\tRB\tB-ADVP\tO' -p233743 -aS'had\thave\tVBD\tB-VP\tO' -p233744 -aS',\t,\t,\tO\tO' -p233745 -aS'prescribed\tprescribe\tVBD\tB-VP\tO' -p233746 -aS'zpak\tzpak\tNN\tB-NP\tO' -p233747 -aS'w/o\tw/o\tNN\tI-NP\tO' -p233748 -aS'improvement\timprovement\tNN\tI-NP\tO' -p233749 -aS'.\t.\t.\tO\tO' -p233750 -asS'This report was created by SUMCHIRDKAYSMAVVEINDREPS , YERTREY 09/16/2004 05:53 PM' -p233751 -(lp233752 -S'This\tThis\tDT\tB-NP\tO' -p233753 -aS'report\treport\tNN\tI-NP\tO' -p233754 -aS'was\tbe\tVBD\tB-VP\tO' -p233755 -aS'created\tcreate\tVBN\tI-VP\tO' -p233756 -aS'by\tby\tIN\tB-PP\tO' -p233757 -aS'SUMCHIRDKAYSMAVVEINDREPS\tSUMCHIRDKAYSMAVVEINDREPS\tNNP\tB-NP\tO' -p233758 -aS',\t,\t,\tO\tO' -p233759 -aS'YERTREY\tYERTREY\tNNP\tB-NP\tO' -p233760 -aS'09/16/2004\t09/16/2004\tCD\tB-NP\tO' -p233761 -aS'05:53\t05:53\tCD\tI-NP\tO' -p233762 -aS'PM\tPM\tNN\tI-NP\tO' -p233763 -asS'likely exacerbation possibly from URI / pneumonia .' -p233764 -(lp233765 -S'likely\tlikely\tRB\tB-NP\tO' -p233766 -aS'exacerbation\texacerbation\tNN\tI-NP\tO' -p233767 -aS'possibly\tpossibly\tRB\tB-ADVP\tO' -p233768 -aS'from\tfrom\tIN\tB-PP\tO' -p233769 -aS'URI\tURI\tNN\tB-NP\tB-protein' -p233770 -aS'/\t/\tSYM\tB-NP\tO' -p233771 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p233772 -aS'.\t.\t.\tO\tO' -p233773 -asS'Low dose beta blockade was eventually resumed .' -p233774 -(lp233775 -S'Low\tLow\tJJ\tB-NP\tO' -p233776 -aS'dose\tdose\tNN\tI-NP\tO' -p233777 -aS'beta\tbeta\tNN\tI-NP\tO' -p233778 -aS'blockade\tblockade\tNN\tI-NP\tO' -p233779 -aS'was\tbe\tVBD\tB-VP\tO' -p233780 -aS'eventually\teventually\tRB\tI-VP\tO' -p233781 -aS'resumed\tresume\tVBN\tI-VP\tO' -p233782 -aS'.\t.\t.\tO\tO' -p233783 -asS'In addition , over the last couple of days prior to discharge , the patient did appear a little bit icteric .' -p233784 -(lp233785 -S'In\tIn\tIN\tB-PP\tO' -p233786 -aS'addition\taddition\tNN\tB-NP\tO' -p233787 -aS',\t,\t,\tO\tO' -p233788 -aS'over\tover\tIN\tB-PP\tO' -p233789 -aS'the\tthe\tDT\tB-NP\tO' -p233790 -aS'last\tlast\tJJ\tI-NP\tO' -p233791 -aS'couple\tcouple\tNN\tI-NP\tO' -p233792 -aS'of\tof\tIN\tB-PP\tO' -p233793 -aS'days\tday\tNNS\tB-NP\tO' -p233794 -aS'prior\tprior\tRB\tB-ADVP\tO' -p233795 -aS'to\tto\tTO\tB-VP\tO' -p233796 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p233797 -aS',\t,\t,\tO\tO' -p233798 -aS'the\tthe\tDT\tB-NP\tO' -p233799 -aS'patient\tpatient\tNN\tI-NP\tO' -p233800 -aS'did\tdo\tVBD\tB-VP\tO' -p233801 -aS'appear\tappear\tVB\tI-VP\tO' -p233802 -aS'a\ta\tDT\tB-NP\tO' -p233803 -aS'little\tlittle\tJJ\tI-NP\tO' -p233804 -aS'bit\tbit\tNN\tI-NP\tO' -p233805 -aS'icteric\ticteric\tJJ\tB-ADJP\tO' -p233806 -aS'.\t.\t.\tO\tO' -p233807 -asS'We will consider psychiatry consult in the future to assess for underlying anxiety disorder or depression .' -p233808 -(lp233809 -S'We\tWe\tPRP\tB-NP\tO' -p233810 -aS'will\twill\tMD\tB-VP\tO' -p233811 -aS'consider\tconsider\tVB\tI-VP\tO' -p233812 -aS'psychiatry\tpsychiatry\tNN\tB-NP\tO' -p233813 -aS'consult\tconsult\tNN\tI-NP\tO' -p233814 -aS'in\tin\tIN\tB-PP\tO' -p233815 -aS'the\tthe\tDT\tB-NP\tO' -p233816 -aS'future\tfuture\tNN\tI-NP\tO' -p233817 -aS'to\tto\tTO\tB-VP\tO' -p233818 -aS'assess\tassess\tVB\tI-VP\tO' -p233819 -aS'for\tfor\tIN\tB-PP\tO' -p233820 -aS'underlying\tunderlie\tVBG\tB-VP\tO' -p233821 -aS'anxiety\tanxiety\tNN\tB-NP\tO' -p233822 -aS'disorder\tdisorder\tNN\tI-NP\tO' -p233823 -aS'or\tor\tCC\tI-NP\tO' -p233824 -aS'depression\tdepression\tNN\tI-NP\tO' -p233825 -aS'.\t.\t.\tO\tO' -p233826 -asS'A regular rate .' -p233827 -(lp233828 -S'A\tA\tDT\tB-NP\tO' -p233829 -aS'regular\tregular\tJJ\tI-NP\tO' -p233830 -aS'rate\trate\tNN\tI-NP\tO' -p233831 -aS'.\t.\t.\tO\tO' -p233832 -asS'The patient did not have any carotid bruits , abdominal bruits or femoral bruits .' -p233833 -(lp233834 -S'The\tThe\tDT\tB-NP\tO' -p233835 -aS'patient\tpatient\tNN\tI-NP\tO' -p233836 -aS'did\tdo\tVBD\tB-VP\tO' -p233837 -aS'not\tnot\tRB\tI-VP\tO' -p233838 -aS'have\thave\tVB\tI-VP\tO' -p233839 -aS'any\tany\tDT\tB-NP\tO' -p233840 -aS'carotid\tcarotid\tJJ\tI-NP\tO' -p233841 -aS'bruits\tbruit\tNNS\tI-NP\tO' -p233842 -aS',\t,\t,\tO\tO' -p233843 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p233844 -aS'bruits\tbruit\tNNS\tI-NP\tO' -p233845 -aS'or\tor\tCC\tO\tO' -p233846 -aS'femoral\tfemoral\tJJ\tB-NP\tO' -p233847 -aS'bruits\tbruit\tNNS\tI-NP\tO' -p233848 -aS'.\t.\t.\tO\tO' -p233849 -asS'Review of systems was negative for history of opportunistic infections or prior hospitalizations .' -p233850 -(lp233851 -S'Review\tReview\tNN\tB-NP\tO' -p233852 -aS'of\tof\tIN\tB-PP\tO' -p233853 -aS'systems\tsystem\tNNS\tB-NP\tO' -p233854 -aS'was\tbe\tVBD\tB-VP\tO' -p233855 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p233856 -aS'for\tfor\tIN\tB-PP\tO' -p233857 -aS'history\thistory\tNN\tB-NP\tO' -p233858 -aS'of\tof\tIN\tB-PP\tO' -p233859 -aS'opportunistic\topportunistic\tJJ\tB-NP\tO' -p233860 -aS'infections\tinfection\tNNS\tI-NP\tO' -p233861 -aS'or\tor\tCC\tO\tO' -p233862 -aS'prior\tprior\tJJ\tB-NP\tO' -p233863 -aS'hospitalizations\thospitalization\tNNS\tI-NP\tO' -p233864 -aS'.\t.\t.\tO\tO' -p233865 -asS'Reason : Please r/o acute process .' -p233866 -(lp233867 -S'Reason\tReason\tNNP\tB-NP\tO' -p233868 -aS':\t:\t:\tO\tO' -p233869 -aS'Please\tPlease\tNNP\tB-NP\tO' -p233870 -aS'r/o\tr/o\tAFX\tB-NP\tO' -p233871 -aS'acute\tacute\tJJ\tI-NP\tO' -p233872 -aS'process\tprocess\tNN\tI-NP\tO' -p233873 -aS'.\t.\t.\tO\tO' -p233874 -asS'STAGE TWO OF HER SURGERY WILL BE DONE IN 3 WEEKS .' -p233875 -(lp233876 -S'STAGE\tSTAGE\tNN\tB-NP\tO' -p233877 -aS'TWO\tTWO\tNN\tI-NP\tO' -p233878 -aS'OF\tOF\tIN\tB-PP\tO' -p233879 -aS'HER\tHER\tNN\tB-NP\tO' -p233880 -aS'SURGERY\tSURGERY\tNN\tI-NP\tO' -p233881 -aS'WILL\tWILL\tMD\tB-VP\tO' -p233882 -aS'BE\tBE\tVB\tI-VP\tO' -p233883 -aS'DONE\tDONE\tNN\tB-NP\tO' -p233884 -aS'IN\tIN\tIN\tB-PP\tO' -p233885 -aS'3\t3\tCD\tB-NP\tO' -p233886 -aS'WEEKS\tWEEKS\tNN\tI-NP\tO' -p233887 -aS'.\t.\t.\tO\tO' -p233888 -asS'Regular , s1,s2 .' -p233889 -(lp233890 -S'Regular\tRegular\tJJ\tB-NP\tO' -p233891 -aS',\t,\t,\tI-NP\tO' -p233892 -aS's1,s2\ts1,s2\tNN\tI-NP\tB-protein' -p233893 -aS'.\t.\t.\tO\tO' -p233894 -asS'2. 7-4-93 , exploratory laparotomy , irrigation and debridement , pancreatic drainage placement , gastrostomy tube , jejunostomy , cholecystostomy , placement of right subclavian Quinton catheter ,' -p233895 -(lp233896 -S'2.\t2.\tLS\tB-NP\tO' -p233897 -aS'7-4-93\t7-4-93\tCD\tI-NP\tO' -p233898 -aS',\t,\t,\tO\tO' -p233899 -aS'exploratory\texploratory\tJJ\tB-NP\tO' -p233900 -aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' -p233901 -aS',\t,\t,\tO\tO' -p233902 -aS'irrigation\tirrigation\tNN\tB-NP\tO' -p233903 -aS'and\tand\tCC\tI-NP\tO' -p233904 -aS'debridement\tdebridement\tNN\tI-NP\tO' -p233905 -aS',\t,\t,\tO\tO' -p233906 -aS'pancreatic\tpancreatic\tJJ\tB-NP\tO' -p233907 -aS'drainage\tdrainage\tNN\tI-NP\tO' -p233908 -aS'placement\tplacement\tNN\tI-NP\tO' -p233909 -aS',\t,\t,\tO\tO' -p233910 -aS'gastrostomy\tgastrostomy\tNN\tB-NP\tO' -p233911 -aS'tube\ttube\tNN\tI-NP\tO' -p233912 -aS',\t,\t,\tO\tO' -p233913 -aS'jejunostomy\tjejunostomy\tNN\tB-NP\tO' -p233914 -aS',\t,\t,\tO\tO' -p233915 -aS'cholecystostomy\tcholecystostomy\tNN\tB-NP\tO' -p233916 -aS',\t,\t,\tO\tO' -p233917 -aS'placement\tplacement\tNN\tB-NP\tO' -p233918 -aS'of\tof\tIN\tB-PP\tO' -p233919 -aS'right\tright\tJJ\tB-NP\tO' -p233920 -aS'subclavian\tsubclavian\tJJ\tI-NP\tO' -p233921 -aS'Quinton\tQuinton\tNNP\tI-NP\tO' -p233922 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p233923 -aS',\t,\t,\tO\tO' -p233924 -asS'Atorvastatin 10 mg Tablet Sig : One ( 1 ) Tablet PO at bedtime .' -p233925 -(lp233926 -S'Atorvastatin\tAtorvastatin\tNN\tB-NP\tO' -p233927 -aS'10\t10\tCD\tI-NP\tO' -p233928 -aS'mg\tmg\tNN\tI-NP\tO' -p233929 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p233930 -aS'Sig\tSig\tNNP\tI-NP\tO' -p233931 -aS':\t:\t:\tO\tO' -p233932 -aS'One\tOne\tCD\tB-NP\tO' -p233933 -aS'(\t(\t(\tO\tO' -p233934 -aS'1\t1\tCD\tB-NP\tO' -p233935 -aS')\t)\t)\tO\tO' -p233936 -aS'Tablet\tTablet\tNN\tB-NP\tB-protein' -p233937 -aS'PO\tPO\tNN\tI-NP\tI-protein' -p233938 -aS'at\tat\tIN\tB-PP\tO' -p233939 -aS'bedtime\tbedtime\tNN\tB-NP\tO' -p233940 -aS'.\t.\t.\tO\tO' -p233941 -asS'The patient had a recent admission earlier in the month and he was discharged on 2015-09-10 , after undergoing cardiac catheterization .' -p233942 -(lp233943 -S'The\tThe\tDT\tB-NP\tO' -p233944 -aS'patient\tpatient\tNN\tI-NP\tO' -p233945 -aS'had\thave\tVBD\tB-VP\tO' -p233946 -aS'a\ta\tDT\tB-NP\tO' -p233947 -aS'recent\trecent\tJJ\tI-NP\tO' -p233948 -aS'admission\tadmission\tNN\tI-NP\tO' -p233949 -aS'earlier\tearlier\tRB\tB-ADVP\tO' -p233950 -aS'in\tin\tIN\tB-PP\tO' -p233951 -aS'the\tthe\tDT\tB-NP\tO' -p233952 -aS'month\tmonth\tNN\tI-NP\tO' -p233953 -aS'and\tand\tCC\tO\tO' -p233954 -aS'he\the\tPRP\tB-NP\tO' -p233955 -aS'was\tbe\tVBD\tB-VP\tO' -p233956 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p233957 -aS'on\ton\tIN\tB-PP\tO' -p233958 -aS'2015-09-10\t2015-09-10\tCD\tB-NP\tO' -p233959 -aS',\t,\t,\tO\tO' -p233960 -aS'after\tafter\tIN\tB-PP\tO' -p233961 -aS'undergoing\tundergo\tVBG\tB-VP\tO' -p233962 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p233963 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p233964 -aS'.\t.\t.\tO\tO' -p233965 -asS'A non contrast head CT scan was obtained and CT revealed severe cerebral edema with thalamic mid brain , pons , medullar low attenuation , diffuse cerebral edema , loss of gray white matter differentiation .' -p233966 -(lp233967 -S'A\tA\tDT\tB-NP\tO' -p233968 -aS'non\tnon\tJJ\tI-NP\tO' -p233969 -aS'contrast\tcontrast\tNN\tI-NP\tO' -p233970 -aS'head\thead\tNN\tI-NP\tO' -p233971 -aS'CT\tCT\tNN\tI-NP\tO' -p233972 -aS'scan\tscan\tNN\tI-NP\tO' -p233973 -aS'was\tbe\tVBD\tB-VP\tO' -p233974 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p233975 -aS'and\tand\tCC\tO\tO' -p233976 -aS'CT\tCT\tNN\tB-NP\tO' -p233977 -aS'revealed\treveal\tVBD\tB-VP\tO' -p233978 -aS'severe\tsevere\tJJ\tB-NP\tO' -p233979 -aS'cerebral\tcerebral\tJJ\tI-NP\tO' -p233980 -aS'edema\tedema\tNN\tI-NP\tO' -p233981 -aS'with\twith\tIN\tB-PP\tO' -p233982 -aS'thalamic\tthalamic\tJJ\tB-NP\tO' -p233983 -aS'mid\tmid\tJJ\tI-NP\tO' -p233984 -aS'brain\tbrain\tNN\tI-NP\tO' -p233985 -aS',\t,\t,\tO\tO' -p233986 -aS'pons\tpon\tNNS\tB-NP\tO' -p233987 -aS',\t,\t,\tO\tO' -p233988 -aS'medullar\tmedullar\tJJ\tB-NP\tO' -p233989 -aS'low\tlow\tJJ\tI-NP\tO' -p233990 -aS'attenuation\tattenuation\tNN\tI-NP\tO' -p233991 -aS',\t,\t,\tO\tO' -p233992 -aS'diffuse\tdiffuse\tJJ\tB-NP\tO' -p233993 -aS'cerebral\tcerebral\tJJ\tI-NP\tO' -p233994 -aS'edema\tedema\tNN\tI-NP\tO' -p233995 -aS',\t,\t,\tO\tO' -p233996 -aS'loss\tloss\tNN\tB-NP\tO' -p233997 -aS'of\tof\tIN\tB-PP\tO' -p233998 -aS'gray\tgray\tJJ\tB-NP\tO' -p233999 -aS'white\twhite\tJJ\tI-NP\tO' -p234000 -aS'matter\tmatter\tNN\tI-NP\tO' -p234001 -aS'differentiation\tdifferentiation\tNN\tI-NP\tO' -p234002 -aS'.\t.\t.\tO\tO' -p234003 -asS'Signed electronically by : DR. Ron Scott on : WED 2019-11-27 7:42 AM' -p234004 -(lp234005 -S'Signed\tSign\tVBN\tB-VP\tO' -p234006 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p234007 -aS'by\tby\tIN\tB-PP\tO' -p234008 -aS':\t:\t:\tO\tO' -p234009 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p234010 -aS'Ron\tRon\tNNP\tI-NP\tO' -p234011 -aS'Scott\tScott\tNNP\tI-NP\tO' -p234012 -aS'on\ton\tIN\tB-PP\tO' -p234013 -aS':\t:\t:\tO\tO' -p234014 -aS'WED\tWED\tVBD\tB-VP\tO' -p234015 -aS'2019-11-27\t2019-11-27\tCD\tB-NP\tO' -p234016 -aS'7:42\t7:42\tCD\tI-NP\tO' -p234017 -aS'AM\tAM\tNN\tI-NP\tO' -p234018 -asS'MMF 1000 mg b.i.d. .' -p234019 -(lp234020 -S'MMF\tMMF\tIN\tB-PP\tO' -p234021 -aS'1000\t1000\tCD\tB-NP\tO' -p234022 -aS'mg\tmg\tNN\tI-NP\tO' -p234023 -aS'b.i.d.\tb.i.d.\tRB\tB-ADVP\tO' -p234024 -aS'.\t.\t.\tO\tO' -p234025 -asS'Pulses were 2+ and symmetrical , no clubbing , cyanosis or edema .' -p234026 -(lp234027 -S'Pulses\tPulse\tNNS\tB-NP\tO' -p234028 -aS'were\tbe\tVBD\tB-VP\tO' -p234029 -aS'2+\t2+\tJJ\tB-ADJP\tO' -p234030 -aS'and\tand\tCC\tI-ADJP\tO' -p234031 -aS'symmetrical\tsymmetrical\tJJ\tI-ADJP\tO' -p234032 -aS',\t,\t,\tO\tO' -p234033 -aS'no\tno\tDT\tB-NP\tO' -p234034 -aS'clubbing\tclubbing\tNN\tI-NP\tO' -p234035 -aS',\t,\t,\tI-NP\tO' -p234036 -aS'cyanosis\tcyanosis\tNN\tI-NP\tO' -p234037 -aS'or\tor\tCC\tI-NP\tO' -p234038 -aS'edema\tedema\tNN\tI-NP\tO' -p234039 -aS'.\t.\t.\tO\tO' -p234040 -asS'intact .' -p234041 -(lp234042 -S'intact\tintact\tJJ\tB-ADJP\tO' -p234043 -aS'.\t.\t.\tO\tO' -p234044 -asS'This is worse when she has asthma flares .' -p234045 -(lp234046 -S'This\tThis\tDT\tB-NP\tO' -p234047 -aS'is\tbe\tVBZ\tB-VP\tO' -p234048 -aS'worse\tworse\tJJR\tB-ADJP\tO' -p234049 -aS'when\twhen\tWRB\tB-ADVP\tO' -p234050 -aS'she\tshe\tPRP\tB-NP\tO' -p234051 -aS'has\thave\tVBZ\tB-VP\tO' -p234052 -aS'asthma\tasthma\tNN\tB-NP\tO' -p234053 -aS'flares\tflare\tNNS\tI-NP\tO' -p234054 -aS'.\t.\t.\tO\tO' -p234055 -asS'History of high blood pressure , enlarged heart .' -p234056 -(lp234057 -S'History\tHistory\tNN\tB-NP\tO' -p234058 -aS'of\tof\tIN\tB-PP\tO' -p234059 -aS'high\thigh\tJJ\tB-NP\tO' -p234060 -aS'blood\tblood\tNN\tI-NP\tO' -p234061 -aS'pressure\tpressure\tNN\tI-NP\tO' -p234062 -aS',\t,\t,\tO\tO' -p234063 -aS'enlarged\tenlarge\tVBD\tB-VP\tO' -p234064 -aS'heart\theart\tNN\tB-NP\tO' -p234065 -aS'.\t.\t.\tO\tO' -p234066 -asS'Gag was symmetric .' -p234067 -(lp234068 -S'Gag\tGag\tNN\tB-NP\tB-protein' -p234069 -aS'was\tbe\tVBD\tB-VP\tO' -p234070 -aS'symmetric\tsymmetric\tJJ\tB-ADJP\tO' -p234071 -aS'.\t.\t.\tO\tO' -p234072 -asS'Last week , she had copious amounts of stool in the range of 500 cc to 1000 cc of liquid stool per day .' -p234073 -(lp234074 -S'Last\tLast\tJJ\tB-NP\tO' -p234075 -aS'week\tweek\tNN\tI-NP\tO' -p234076 -aS',\t,\t,\tO\tO' -p234077 -aS'she\tshe\tPRP\tB-NP\tO' -p234078 -aS'had\thave\tVBD\tB-VP\tO' -p234079 -aS'copious\tcopious\tJJ\tB-NP\tO' -p234080 -aS'amounts\tamount\tNNS\tI-NP\tO' -p234081 -aS'of\tof\tIN\tB-PP\tO' -p234082 -aS'stool\tstool\tNN\tB-NP\tO' -p234083 -aS'in\tin\tIN\tB-PP\tO' -p234084 -aS'the\tthe\tDT\tB-NP\tO' -p234085 -aS'range\trange\tNN\tI-NP\tO' -p234086 -aS'of\tof\tIN\tB-PP\tO' -p234087 -aS'500\t500\tCD\tB-NP\tO' -p234088 -aS'cc\tcc\tNN\tI-NP\tO' -p234089 -aS'to\tto\tTO\tB-PP\tO' -p234090 -aS'1000\t1000\tCD\tB-NP\tO' -p234091 -aS'cc\tcc\tNN\tI-NP\tO' -p234092 -aS'of\tof\tIN\tB-PP\tO' -p234093 -aS'liquid\tliquid\tJJ\tB-NP\tO' -p234094 -aS'stool\tstool\tNN\tI-NP\tO' -p234095 -aS'per\tper\tIN\tB-PP\tO' -p234096 -aS'day\tday\tNN\tB-NP\tO' -p234097 -aS'.\t.\t.\tO\tO' -p234098 -asS'Dr. Sheets (( 506 ) 858 7552) on 2015-10-26 at 10 am .' -p234099 -(lp234100 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p234101 -aS'Sheets\tSheet\tNNPS\tI-NP\tO' -p234102 -aS'((\t((\t(\tO\tO' -p234103 -aS'506\t506\tCD\tB-NP\tO' -p234104 -aS')\t)\t)\tO\tO' -p234105 -aS'858\t858\tCD\tB-NP\tO' -p234106 -aS'7552)\t7552)\tCD\tI-NP\tO' -p234107 -aS'on\ton\tIN\tB-PP\tO' -p234108 -aS'2015-10-26\t2015-10-26\tCD\tB-NP\tO' -p234109 -aS'at\tat\tIN\tB-PP\tO' -p234110 -aS'10\t10\tCD\tB-NP\tO' -p234111 -aS'am\tam\tNN\tI-NP\tO' -p234112 -aS'.\t.\t.\tO\tO' -p234113 -asS'F/U with Rau .' -p234114 -(lp234115 -S'F/U\tF/U\tNN\tB-NP\tO' -p234116 -aS'with\twith\tIN\tB-PP\tO' -p234117 -aS'Rau\tRau\tNNP\tB-NP\tO' -p234118 -aS'.\t.\t.\tO\tO' -p234119 -asS'Signed electronically by : DR. Muriel Zech on : WED 2015-11-04 11:30 AM' -p234120 -(lp234121 -S'Signed\tSign\tVBN\tB-VP\tO' -p234122 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p234123 -aS'by\tby\tIN\tB-PP\tO' -p234124 -aS':\t:\t:\tO\tO' -p234125 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p234126 -aS'Muriel\tMuriel\tNNP\tI-NP\tO' -p234127 -aS'Zech\tZech\tNNP\tI-NP\tO' -p234128 -aS'on\ton\tIN\tB-PP\tO' -p234129 -aS':\t:\t:\tO\tO' -p234130 -aS'WED\tWED\tVBD\tB-VP\tO' -p234131 -aS'2015-11-04\t2015-11-04\tCD\tB-NP\tO' -p234132 -aS'11:30\t11:30\tCD\tI-NP\tO' -p234133 -aS'AM\tAM\tNN\tI-NP\tO' -p234134 -asS'Developed renal failure with Cr peak of 2.9.' -p234135 -(lp234136 -S'Developed\tDevelop\tVBN\tB-NP\tO' -p234137 -aS'renal\trenal\tJJ\tI-NP\tO' -p234138 -aS'failure\tfailure\tNN\tI-NP\tO' -p234139 -aS'with\twith\tIN\tB-PP\tO' -p234140 -aS'Cr\tCr\tNN\tB-NP\tO' -p234141 -aS'peak\tpeak\tNN\tI-NP\tO' -p234142 -aS'of\tof\tIN\tB-PP\tO' -p234143 -aS'2.9.\t2.9.\tCD\tB-NP\tO' -p234144 -asS'She had no further hallucinations since stopping the Ifex .' -p234145 -(lp234146 -S'She\tShe\tPRP\tB-NP\tO' -p234147 -aS'had\thave\tVBD\tB-VP\tO' -p234148 -aS'no\tno\tDT\tB-NP\tO' -p234149 -aS'further\tfurther\tJJ\tI-NP\tO' -p234150 -aS'hallucinations\thallucination\tNNS\tI-NP\tO' -p234151 -aS'since\tsince\tIN\tB-PP\tO' -p234152 -aS'stopping\tstop\tVBG\tB-VP\tO' -p234153 -aS'the\tthe\tDT\tB-NP\tO' -p234154 -aS'Ifex\tIfex\tNNP\tI-NP\tO' -p234155 -aS'.\t.\t.\tO\tO' -p234156 -asS'On 1/12/92 near total gastrectomy with retrocolic Bill-Roth II gastrojejunostomy , portal node dissection , repair of ventral hernia , and needle jejunostomy tube placement .' -p234157 -(lp234158 -S'On\tOn\tIN\tB-PP\tO' -p234159 -aS'1/12/92\t1/12/92\tCD\tB-NP\tO' -p234160 -aS'near\tnear\tIN\tB-PP\tO' -p234161 -aS'total\ttotal\tJJ\tB-NP\tO' -p234162 -aS'gastrectomy\tgastrectomy\tNN\tI-NP\tO' -p234163 -aS'with\twith\tIN\tB-PP\tO' -p234164 -aS'retrocolic\tretrocolic\tJJ\tB-NP\tO' -p234165 -aS'Bill-Roth\tBill-Roth\tNN\tI-NP\tO' -p234166 -aS'II\tII\tCD\tI-NP\tO' -p234167 -aS'gastrojejunostomy\tgastrojejunostomy\tNN\tI-NP\tO' -p234168 -aS',\t,\t,\tO\tO' -p234169 -aS'portal\tportal\tJJ\tB-NP\tO' -p234170 -aS'node\tnode\tNN\tI-NP\tO' -p234171 -aS'dissection\tdissection\tNN\tI-NP\tO' -p234172 -aS',\t,\t,\tO\tO' -p234173 -aS'repair\trepair\tNN\tB-NP\tO' -p234174 -aS'of\tof\tIN\tB-PP\tO' -p234175 -aS'ventral\tventral\tJJ\tB-NP\tO' -p234176 -aS'hernia\thernia\tNN\tI-NP\tO' -p234177 -aS',\t,\t,\tO\tO' -p234178 -aS'and\tand\tCC\tO\tO' -p234179 -aS'needle\tneedle\tNN\tB-NP\tO' -p234180 -aS'jejunostomy\tjejunostomy\tNN\tI-NP\tO' -p234181 -aS'tube\ttube\tNN\tI-NP\tO' -p234182 -aS'placement\tplacement\tNN\tI-NP\tO' -p234183 -aS'.\t.\t.\tO\tO' -p234184 -asS'Chest x-ray showed a question of left lung opacity .' -p234185 -(lp234186 -S'Chest\tCh\tJJS\tB-NP\tO' -p234187 -aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' -p234188 -aS'showed\tshow\tVBD\tB-VP\tO' -p234189 -aS'a\ta\tDT\tB-NP\tO' -p234190 -aS'question\tquestion\tNN\tI-NP\tO' -p234191 -aS'of\tof\tIN\tB-PP\tO' -p234192 -aS'left\tleft\tJJ\tB-NP\tO' -p234193 -aS'lung\tlung\tNN\tI-NP\tO' -p234194 -aS'opacity\topacity\tNN\tI-NP\tO' -p234195 -aS'.\t.\t.\tO\tO' -p234196 -asS'She had a low bicarb likely due to renal wasting but there is an anion gap present .' -p234197 -(lp234198 -S'She\tShe\tPRP\tB-NP\tO' -p234199 -aS'had\thave\tVBD\tB-VP\tO' -p234200 -aS'a\ta\tDT\tB-NP\tO' -p234201 -aS'low\tlow\tJJ\tI-NP\tO' -p234202 -aS'bicarb\tbicarb\tNN\tI-NP\tO' -p234203 -aS'likely\tlikely\tRB\tB-ADJP\tO' -p234204 -aS'due\tdue\tIN\tB-PP\tO' -p234205 -aS'to\tto\tTO\tB-PP\tO' -p234206 -aS'renal\trenal\tJJ\tB-NP\tO' -p234207 -aS'wasting\twasting\tNN\tI-NP\tO' -p234208 -aS'but\tbut\tCC\tO\tO' -p234209 -aS'there\tthere\tEX\tB-NP\tO' -p234210 -aS'is\tbe\tVBZ\tB-VP\tO' -p234211 -aS'an\tan\tDT\tB-NP\tO' -p234212 -aS'anion\tanion\tNN\tI-NP\tO' -p234213 -aS'gap\tgap\tNN\tI-NP\tO' -p234214 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p234215 -aS'.\t.\t.\tO\tO' -p234216 -asS'6. Acetaminophen 325 mg Tablet Sig : 1-2 Tablets PO Q4-6H ( every 4 to 6 hours ) as needed .' -p234217 -(lp234218 -S'6.\t6.\tCD\tB-NP\tO' -p234219 -aS'Acetaminophen\tAcetaminophen\tNN\tI-NP\tO' -p234220 -aS'325\t325\tCD\tB-NP\tO' -p234221 -aS'mg\tmg\tNN\tI-NP\tO' -p234222 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p234223 -aS'Sig\tSig\tNNP\tI-NP\tO' -p234224 -aS':\t:\t:\tO\tO' -p234225 -aS'1-2\t1-2\tCD\tB-NP\tO' -p234226 -aS'Tablets\tTablet\tNNS\tI-NP\tO' -p234227 -aS'PO\tPO\tNN\tI-NP\tO' -p234228 -aS'Q4-6H\tQ4-6H\tNN\tI-NP\tO' -p234229 -aS'(\t(\t(\tO\tO' -p234230 -aS'every\tevery\tDT\tB-NP\tO' -p234231 -aS'4\t4\tCD\tI-NP\tO' -p234232 -aS'to\tto\tTO\tI-NP\tO' -p234233 -aS'6\t6\tCD\tI-NP\tO' -p234234 -aS'hours\thour\tNNS\tI-NP\tO' -p234235 -aS')\t)\t)\tO\tO' -p234236 -aS'as\tas\tIN\tB-SBAR\tO' -p234237 -aS'needed\tneed\tVBN\tB-VP\tO' -p234238 -aS'.\t.\t.\tO\tO' -p234239 -asS'She was treated briefly with levofloxacin because of the gram-positive cocci in her sputum culture ; however , her symptoms were felt to be consistent with a viral upper respiratory infection , and levofloxacin was continued at the time of discharge .' -p234240 -(lp234241 -S'She\tShe\tPRP\tB-NP\tO' -p234242 -aS'was\tbe\tVBD\tB-VP\tO' -p234243 -aS'treated\ttreat\tVBN\tI-VP\tO' -p234244 -aS'briefly\tbriefly\tRB\tB-ADVP\tO' -p234245 -aS'with\twith\tIN\tB-PP\tO' -p234246 -aS'levofloxacin\tlevofloxacin\tNN\tB-NP\tO' -p234247 -aS'because\tbecause\tIN\tB-PP\tO' -p234248 -aS'of\tof\tIN\tI-PP\tO' -p234249 -aS'the\tthe\tDT\tB-NP\tO' -p234250 -aS'gram-positive\tgram-positive\tJJ\tI-NP\tO' -p234251 -aS'cocci\tcoccus\tNNS\tI-NP\tO' -p234252 -aS'in\tin\tIN\tB-PP\tO' -p234253 -aS'her\ther\tPRP$\tB-NP\tO' -p234254 -aS'sputum\tsputum\tNN\tI-NP\tO' -p234255 -aS'culture\tculture\tNN\tI-NP\tO' -p234256 -aS';\t;\t:\tO\tO' -p234257 -aS'however\thowever\tRB\tB-ADVP\tO' -p234258 -aS',\t,\t,\tO\tO' -p234259 -aS'her\ther\tPRP$\tB-NP\tO' -p234260 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p234261 -aS'were\tbe\tVBD\tB-VP\tO' -p234262 -aS'felt\tfeel\tVBN\tI-VP\tO' -p234263 -aS'to\tto\tTO\tI-VP\tO' -p234264 -aS'be\tbe\tVB\tI-VP\tO' -p234265 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p234266 -aS'with\twith\tIN\tB-PP\tO' -p234267 -aS'a\ta\tDT\tB-NP\tO' -p234268 -aS'viral\tviral\tJJ\tI-NP\tO' -p234269 -aS'upper\tupper\tJJ\tI-NP\tO' -p234270 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p234271 -aS'infection\tinfection\tNN\tI-NP\tO' -p234272 -aS',\t,\t,\tO\tO' -p234273 -aS'and\tand\tCC\tO\tO' -p234274 -aS'levofloxacin\tlevofloxacin\tNN\tB-NP\tO' -p234275 -aS'was\tbe\tVBD\tB-VP\tO' -p234276 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p234277 -aS'at\tat\tIN\tB-PP\tO' -p234278 -aS'the\tthe\tDT\tB-NP\tO' -p234279 -aS'time\ttime\tNN\tI-NP\tO' -p234280 -aS'of\tof\tIN\tB-PP\tO' -p234281 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p234282 -aS'.\t.\t.\tO\tO' -p234283 -asS'Please follow up with your primary care physician within the next week .' -p234284 -(lp234285 -S'Please\tPlease\tVB\tB-VP\tO' -p234286 -aS'follow\tfollow\tVB\tI-VP\tO' -p234287 -aS'up\tup\tRP\tB-PRT\tO' -p234288 -aS'with\twith\tIN\tB-PP\tO' -p234289 -aS'your\tyour\tPRP$\tB-NP\tO' -p234290 -aS'primary\tprimary\tJJ\tI-NP\tO' -p234291 -aS'care\tcare\tNN\tI-NP\tO' -p234292 -aS'physician\tphysician\tNN\tI-NP\tO' -p234293 -aS'within\twithin\tIN\tB-PP\tO' -p234294 -aS'the\tthe\tDT\tB-NP\tO' -p234295 -aS'next\tnext\tJJ\tI-NP\tO' -p234296 -aS'week\tweek\tNN\tI-NP\tO' -p234297 -aS'.\t.\t.\tO\tO' -p234298 -asS'4) Zaroxolyn 0.25 mg p.o. q. day .' -p234299 -(lp234300 -S'4)\t4)\tLS\tB-LST\tO' -p234301 -aS'Zaroxolyn\tZaroxolyn\tNN\tB-NP\tO' -p234302 -aS'0.25\t0.25\tCD\tI-NP\tO' -p234303 -aS'mg\tmg\tNN\tI-NP\tO' -p234304 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p234305 -aS'q.\tq.\tNN\tI-NP\tO' -p234306 -aS'day\tday\tNN\tI-NP\tO' -p234307 -aS'.\t.\t.\tO\tO' -p234308 -asS'The patient quit smoking approximately fourteen years ago after a four pack per year history .' -p234309 -(lp234310 -S'The\tThe\tDT\tB-NP\tO' -p234311 -aS'patient\tpatient\tNN\tI-NP\tO' -p234312 -aS'quit\tquit\tVBD\tB-VP\tO' -p234313 -aS'smoking\tsmoke\tVBG\tI-VP\tO' -p234314 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p234315 -aS'fourteen\tfourteen\tCD\tI-NP\tO' -p234316 -aS'years\tyear\tNNS\tI-NP\tO' -p234317 -aS'ago\tago\tRB\tB-ADVP\tO' -p234318 -aS'after\tafter\tIN\tB-PP\tO' -p234319 -aS'a\ta\tDT\tB-NP\tO' -p234320 -aS'four\tfour\tCD\tI-NP\tO' -p234321 -aS'pack\tpack\tNN\tI-NP\tO' -p234322 -aS'per\tper\tIN\tB-PP\tO' -p234323 -aS'year\tyear\tNN\tB-NP\tO' -p234324 -aS'history\thistory\tNN\tB-NP\tO' -p234325 -aS'.\t.\t.\tO\tO' -p234326 -asS'16. Levothyroxine Sodium 75 mcg IV DAILY' -p234327 -(lp234328 -S'16.\t16.\tLS\tB-NP\tO' -p234329 -aS'Levothyroxine\tLevothyroxine\tNNP\tI-NP\tO' -p234330 -aS'Sodium\tSodium\tNNP\tI-NP\tO' -p234331 -aS'75\t75\tCD\tI-NP\tO' -p234332 -aS'mcg\tmcg\tNN\tI-NP\tO' -p234333 -aS'IV\tIV\tCD\tB-NP\tO' -p234334 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p234335 -asS'The patient recovered well status post these two procedures .' -p234336 -(lp234337 -S'The\tThe\tDT\tB-NP\tO' -p234338 -aS'patient\tpatient\tNN\tI-NP\tO' -p234339 -aS'recovered\trecover\tVBD\tB-VP\tO' -p234340 -aS'well\twell\tRB\tB-NP\tO' -p234341 -aS'status\tstatus\tNN\tI-NP\tO' -p234342 -aS'post\tpost\tIN\tB-PP\tO' -p234343 -aS'these\tthese\tDT\tB-NP\tO' -p234344 -aS'two\ttwo\tCD\tI-NP\tO' -p234345 -aS'procedures\tprocedure\tNNS\tI-NP\tO' -p234346 -aS'.\t.\t.\tO\tO' -p234347 -asS'He is being discharged , most likely , to Falmouth Hospital .' -p234348 -(lp234349 -S'He\tHe\tPRP\tB-NP\tO' -p234350 -aS'is\tbe\tVBZ\tB-VP\tO' -p234351 -aS'being\tbe\tVBG\tI-VP\tO' -p234352 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p234353 -aS',\t,\t,\tO\tO' -p234354 -aS'most\tmost\tRBS\tB-ADVP\tO' -p234355 -aS'likely\tlikely\tRB\tI-ADVP\tO' -p234356 -aS',\t,\t,\tO\tO' -p234357 -aS'to\tto\tTO\tB-PP\tO' -p234358 -aS'Falmouth\tFalmouth\tNNP\tB-NP\tO' -p234359 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p234360 -aS'.\t.\t.\tO\tO' -p234361 -asS'This procedure was performed by Dr. Kevin Taussig and assisted by Dr. Carla Solan .' -p234362 -(lp234363 -S'This\tThis\tDT\tB-NP\tO' -p234364 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p234365 -aS'was\tbe\tVBD\tB-VP\tO' -p234366 -aS'performed\tperform\tVBN\tI-VP\tO' -p234367 -aS'by\tby\tIN\tB-PP\tO' -p234368 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p234369 -aS'Kevin\tKevin\tNNP\tI-NP\tO' -p234370 -aS'Taussig\tTaussig\tNNP\tI-NP\tO' -p234371 -aS'and\tand\tCC\tO\tO' -p234372 -aS'assisted\tassist\tVBN\tB-VP\tO' -p234373 -aS'by\tby\tIN\tB-PP\tO' -p234374 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p234375 -aS'Carla\tCarla\tNNP\tI-NP\tO' -p234376 -aS'Solan\tSolan\tNNP\tI-NP\tO' -p234377 -aS'.\t.\t.\tO\tO' -p234378 -asS'It appears that his diet was regulated at rehab but there is concern for medication non-compliance at rehab , per previous discharge summaries .' -p234379 -(lp234380 -S'It\tIt\tPRP\tB-NP\tO' -p234381 -aS'appears\tappear\tVBZ\tB-VP\tO' -p234382 -aS'that\tthat\tIN\tB-SBAR\tO' -p234383 -aS'his\this\tPRP$\tB-NP\tO' -p234384 -aS'diet\tdiet\tNN\tI-NP\tO' -p234385 -aS'was\tbe\tVBD\tB-VP\tO' -p234386 -aS'regulated\tregulate\tVBN\tI-VP\tO' -p234387 -aS'at\tat\tIN\tB-PP\tO' -p234388 -aS'rehab\trehab\tNN\tB-NP\tO' -p234389 -aS'but\tbut\tCC\tO\tO' -p234390 -aS'there\tthere\tEX\tB-NP\tO' -p234391 -aS'is\tbe\tVBZ\tB-VP\tO' -p234392 -aS'concern\tconcern\tNN\tB-NP\tO' -p234393 -aS'for\tfor\tIN\tB-PP\tO' -p234394 -aS'medication\tmedication\tNN\tB-NP\tO' -p234395 -aS'non-compliance\tnon-compliance\tNN\tI-NP\tO' -p234396 -aS'at\tat\tIN\tB-PP\tO' -p234397 -aS'rehab\trehab\tNN\tB-NP\tO' -p234398 -aS',\t,\t,\tO\tO' -p234399 -aS'per\tper\tIN\tB-PP\tO' -p234400 -aS'previous\tprevious\tJJ\tB-NP\tO' -p234401 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p234402 -aS'summaries\tsummary\tNNS\tI-NP\tO' -p234403 -aS'.\t.\t.\tO\tO' -p234404 -asS'The patient will schedule with the Pain Clinic regarding upcoming epidural pump placement .' -p234405 -(lp234406 -S'The\tThe\tDT\tB-NP\tO' -p234407 -aS'patient\tpatient\tNN\tI-NP\tO' -p234408 -aS'will\twill\tMD\tB-VP\tO' -p234409 -aS'schedule\tschedule\tVB\tI-VP\tO' -p234410 -aS'with\twith\tIN\tB-PP\tO' -p234411 -aS'the\tthe\tDT\tB-NP\tO' -p234412 -aS'Pain\tPain\tNNP\tI-NP\tO' -p234413 -aS'Clinic\tClinic\tNNP\tI-NP\tO' -p234414 -aS'regarding\tregard\tVBG\tB-PP\tO' -p234415 -aS'upcoming\tupcome\tVBG\tB-VP\tO' -p234416 -aS'epidural\tepidural\tJJ\tB-NP\tO' -p234417 -aS'pump\tpump\tNN\tI-NP\tO' -p234418 -aS'placement\tplacement\tNN\tI-NP\tO' -p234419 -aS'.\t.\t.\tO\tO' -p234420 -asS'75 yo F with CAD s/p stenting , VT , SSS s/p pacer , COPD , presented to OSH 2016-03-21 with foot ulceration .' -p234421 -(lp234422 -S'75\t75\tCD\tB-NP\tO' -p234423 -aS'yo\tyo\tNN\tI-NP\tO' -p234424 -aS'F\tF\tNN\tI-NP\tO' -p234425 -aS'with\twith\tIN\tB-PP\tO' -p234426 -aS'CAD\tCAD\tNN\tB-NP\tO' -p234427 -aS's/p\ts/p\tNN\tI-NP\tO' -p234428 -aS'stenting\tstenting\tNN\tI-NP\tO' -p234429 -aS',\t,\t,\tO\tO' -p234430 -aS'VT\tVT\tNN\tB-NP\tO' -p234431 -aS',\t,\t,\tO\tO' -p234432 -aS'SSS\tSSS\tNN\tB-NP\tO' -p234433 -aS's/p\ts/p\tNN\tI-NP\tO' -p234434 -aS'pacer\tpacer\tNN\tI-NP\tO' -p234435 -aS',\t,\t,\tO\tO' -p234436 -aS'COPD\tCOPD\tNN\tB-NP\tO' -p234437 -aS',\t,\t,\tO\tO' -p234438 -aS'presented\tpresent\tVBN\tB-VP\tO' -p234439 -aS'to\tto\tTO\tB-PP\tO' -p234440 -aS'OSH\tOSH\tNN\tB-NP\tO' -p234441 -aS'2016-03-21\t2016-03-21\tCD\tI-NP\tO' -p234442 -aS'with\twith\tIN\tB-PP\tO' -p234443 -aS'foot\tfoot\tNN\tB-NP\tO' -p234444 -aS'ulceration\tulceration\tNN\tI-NP\tO' -p234445 -aS'.\t.\t.\tO\tO' -p234446 -asS'Within a few hours , he woke neurologically intact and was extubated .' -p234447 -(lp234448 -S'Within\tWithin\tIN\tB-PP\tO' -p234449 -aS'a\ta\tDT\tB-NP\tO' -p234450 -aS'few\tfew\tJJ\tI-NP\tO' -p234451 -aS'hours\thour\tNNS\tI-NP\tO' -p234452 -aS',\t,\t,\tO\tO' -p234453 -aS'he\the\tPRP\tB-NP\tO' -p234454 -aS'woke\twake\tVBD\tB-VP\tO' -p234455 -aS'neurologically\tneurologically\tRB\tB-ADJP\tO' -p234456 -aS'intact\tintact\tJJ\tI-ADJP\tO' -p234457 -aS'and\tand\tCC\tO\tO' -p234458 -aS'was\tbe\tVBD\tB-VP\tO' -p234459 -aS'extubated\textubate\tVBN\tI-VP\tO' -p234460 -aS'.\t.\t.\tO\tO' -p234461 -asS'? COPD vs atelectasis as cause of hypoxia .' -p234462 -(lp234463 -S'?\t?\t.\tO\tO' -p234464 -aS'COPD\tCOPD\tNN\tB-NP\tO' -p234465 -aS'vs\tvs\tCC\tI-NP\tO' -p234466 -aS'atelectasis\tatelectasis\tNN\tI-NP\tO' -p234467 -aS'as\tas\tIN\tB-PP\tO' -p234468 -aS'cause\tcause\tNN\tB-NP\tO' -p234469 -aS'of\tof\tIN\tB-PP\tO' -p234470 -aS'hypoxia\thypoxia\tNN\tB-NP\tO' -p234471 -aS'.\t.\t.\tO\tO' -p234472 -asS'Abdomen benign with no hepatosplenomegaly or masses .' -p234473 -(lp234474 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p234475 -aS'benign\tbenign\tJJ\tB-ADJP\tO' -p234476 -aS'with\twith\tIN\tB-PP\tO' -p234477 -aS'no\tno\tDT\tB-NP\tO' -p234478 -aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tI-NP\tO' -p234479 -aS'or\tor\tCC\tI-NP\tO' -p234480 -aS'masses\tmass\tNNS\tI-NP\tO' -p234481 -aS'.\t.\t.\tO\tO' -p234482 -asS'There are three aortic valve leaflets .' -p234483 -(lp234484 -S'There\tThere\tEX\tB-NP\tO' -p234485 -aS'are\tbe\tVBP\tB-VP\tO' -p234486 -aS'three\tthree\tCD\tB-NP\tO' -p234487 -aS'aortic\taortic\tJJ\tI-NP\tO' -p234488 -aS'valve\tvalve\tNN\tI-NP\tO' -p234489 -aS'leaflets\tleaflet\tNNS\tI-NP\tO' -p234490 -aS'.\t.\t.\tO\tO' -p234491 -asS'Two days after this event , she underwent an echocardiogram which was significant for slightly depressed left ventricular systolic function with severe posterior wall hypokinesis .' -p234492 -(lp234493 -S'Two\tTwo\tCD\tB-NP\tO' -p234494 -aS'days\tday\tNNS\tI-NP\tO' -p234495 -aS'after\tafter\tIN\tB-PP\tO' -p234496 -aS'this\tthis\tDT\tB-NP\tO' -p234497 -aS'event\tevent\tNN\tI-NP\tO' -p234498 -aS',\t,\t,\tO\tO' -p234499 -aS'she\tshe\tPRP\tB-NP\tO' -p234500 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p234501 -aS'an\tan\tDT\tB-NP\tO' -p234502 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p234503 -aS'which\twhich\tWDT\tB-NP\tO' -p234504 -aS'was\tbe\tVBD\tB-VP\tO' -p234505 -aS'significant\tsignificant\tJJ\tB-ADJP\tO' -p234506 -aS'for\tfor\tIN\tB-PP\tO' -p234507 -aS'slightly\tslightly\tRB\tB-NP\tO' -p234508 -aS'depressed\tdepressed\tJJ\tI-NP\tO' -p234509 -aS'left\tleft\tJJ\tI-NP\tO' -p234510 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p234511 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p234512 -aS'function\tfunction\tNN\tI-NP\tO' -p234513 -aS'with\twith\tIN\tB-PP\tO' -p234514 -aS'severe\tsevere\tJJ\tB-NP\tO' -p234515 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p234516 -aS'wall\twall\tNN\tI-NP\tO' -p234517 -aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' -p234518 -aS'.\t.\t.\tO\tO' -p234519 -asS'Aspirin 325 , he was restarted on a PPI , also on iron , vitamin C , Lopressor 12.5 b.i.d .' -p234520 -(lp234521 -S'Aspirin\tAspirin\tNN\tB-NP\tO' -p234522 -aS'325\t325\tCD\tI-NP\tO' -p234523 -aS',\t,\t,\tO\tO' -p234524 -aS'he\the\tPRP\tB-NP\tO' -p234525 -aS'was\tbe\tVBD\tB-VP\tO' -p234526 -aS'restarted\trestart\tVBN\tI-VP\tO' -p234527 -aS'on\ton\tIN\tB-PP\tO' -p234528 -aS'a\ta\tDT\tB-NP\tO' -p234529 -aS'PPI\tPPI\tNN\tI-NP\tB-protein' -p234530 -aS',\t,\t,\tO\tO' -p234531 -aS'also\talso\tRB\tB-ADVP\tO' -p234532 -aS'on\ton\tIN\tB-PP\tO' -p234533 -aS'iron\tiron\tNN\tB-NP\tO' -p234534 -aS',\t,\t,\tO\tO' -p234535 -aS'vitamin\tvitamin\tNN\tB-NP\tO' -p234536 -aS'C\tC\tNN\tI-NP\tO' -p234537 -aS',\t,\t,\tO\tO' -p234538 -aS'Lopressor\tLopressor\tNN\tB-NP\tO' -p234539 -aS'12.5\t12.5\tCD\tI-NP\tO' -p234540 -aS'b.i.d\tb.i.d\tNN\tI-NP\tO' -p234541 -aS'.\t.\t.\tO\tO' -p234542 -asS'( 658 ) 842-8661 .' -p234543 -(lp234544 -S'(\t(\t(\tO\tO' -p234545 -aS'658\t658\tCD\tB-NP\tO' -p234546 -aS')\t)\t)\tO\tO' -p234547 -aS'842-8661\t842-8661\tCD\tB-NP\tO' -p234548 -aS'.\t.\t.\tO\tO' -p234549 -asS'Rule out sepsis with antibiotic .' -p234550 -(lp234551 -S'Rule\tRule\tNNP\tB-VP\tO' -p234552 -aS'out\tout\tRP\tB-PRT\tO' -p234553 -aS'sepsis\tsepsis\tNN\tB-NP\tO' -p234554 -aS'with\twith\tIN\tB-PP\tO' -p234555 -aS'antibiotic\tantibiotic\tNN\tB-NP\tO' -p234556 -aS'.\t.\t.\tO\tO' -p234557 -asS'His pulse exam was intact .' -p234558 -(lp234559 -S'His\tHis\tPRP$\tB-NP\tO' -p234560 -aS'pulse\tpulse\tNN\tI-NP\tO' -p234561 -aS'exam\texam\tNN\tI-NP\tO' -p234562 -aS'was\tbe\tVBD\tB-VP\tO' -p234563 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p234564 -aS'.\t.\t.\tO\tO' -p234565 -asS'2. Morphine Sulfate 1 mg intravenous p.r.n.' -p234566 -(lp234567 -S'2.\t2.\tLS\tB-NP\tO' -p234568 -aS'Morphine\tMorphine\tNN\tI-NP\tO' -p234569 -aS'Sulfate\tSulfate\tNN\tI-NP\tO' -p234570 -aS'1\t1\tCD\tI-NP\tO' -p234571 -aS'mg\tmg\tNN\tI-NP\tO' -p234572 -aS'intravenous\tintravenous\tJJ\tI-NP\tO' -p234573 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p234574 -asS'2. Coronary artery disease .' -p234575 -(lp234576 -S'2.\t2.\tLS\tB-NP\tO' -p234577 -aS'Coronary\tCoronary\tJJ\tI-NP\tO' -p234578 -aS'artery\tartery\tNN\tI-NP\tO' -p234579 -aS'disease\tdisease\tNN\tI-NP\tO' -p234580 -aS'.\t.\t.\tO\tO' -p234581 -asS'The risk factors were addressed .' -p234582 -(lp234583 -S'The\tThe\tDT\tB-NP\tO' -p234584 -aS'risk\trisk\tNN\tI-NP\tO' -p234585 -aS'factors\tfactor\tNNS\tI-NP\tO' -p234586 -aS'were\tbe\tVBD\tB-VP\tO' -p234587 -aS'addressed\taddress\tVBN\tI-VP\tO' -p234588 -aS'.\t.\t.\tO\tO' -p234589 -asS'Bilateral crackles at bases and midlungs , elevated JVP , trace bilateral ankle edema , and CXR with diffuse opacities suggest possible pulmonary edema , likely secondary to acute MI .' -p234590 -(lp234591 -S'Bilateral\tBilateral\tJJ\tB-NP\tO' -p234592 -aS'crackles\tcrackle\tNNS\tI-NP\tO' -p234593 -aS'at\tat\tIN\tB-PP\tO' -p234594 -aS'bases\tbase\tNNS\tB-NP\tO' -p234595 -aS'and\tand\tCC\tI-NP\tO' -p234596 -aS'midlungs\tmidlung\tNNS\tI-NP\tO' -p234597 -aS',\t,\t,\tO\tO' -p234598 -aS'elevated\televate\tVBN\tB-VP\tO' -p234599 -aS'JVP\tJVP\tNNP\tB-NP\tO' -p234600 -aS',\t,\t,\tO\tO' -p234601 -aS'trace\ttrace\tNN\tB-NP\tO' -p234602 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p234603 -aS'ankle\tankle\tNN\tI-NP\tO' -p234604 -aS'edema\tedema\tNN\tI-NP\tO' -p234605 -aS',\t,\t,\tO\tO' -p234606 -aS'and\tand\tCC\tO\tO' -p234607 -aS'CXR\tCXR\tNN\tB-NP\tB-protein' -p234608 -aS'with\twith\tIN\tB-PP\tO' -p234609 -aS'diffuse\tdiffuse\tJJ\tB-NP\tO' -p234610 -aS'opacities\topacity\tNNS\tI-NP\tO' -p234611 -aS'suggest\tsuggest\tVBP\tB-VP\tO' -p234612 -aS'possible\tpossible\tJJ\tB-NP\tO' -p234613 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p234614 -aS'edema\tedema\tNN\tI-NP\tO' -p234615 -aS',\t,\t,\tO\tO' -p234616 -aS'likely\tlikely\tRB\tB-ADJP\tO' -p234617 -aS'secondary\tsecondary\tJJ\tI-ADJP\tO' -p234618 -aS'to\tto\tTO\tB-PP\tO' -p234619 -aS'acute\tacute\tJJ\tB-NP\tO' -p234620 -aS'MI\tMI\tNN\tI-NP\tO' -p234621 -aS'.\t.\t.\tO\tO' -p234622 -asS'Carotid upstroke was normal .' -p234623 -(lp234624 -S'Carotid\tCarotid\tNNP\tB-NP\tO' -p234625 -aS'upstroke\tupstroke\tVBD\tB-VP\tO' -p234626 -aS'was\tbe\tVBD\tB-VP\tO' -p234627 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p234628 -aS'.\t.\t.\tO\tO' -p234629 -asS'There was bran atrophy and right temporal encephalomalacia .' -p234630 -(lp234631 -S'There\tThere\tEX\tB-NP\tO' -p234632 -aS'was\tbe\tVBD\tB-VP\tO' -p234633 -aS'bran\tbran\tNN\tB-NP\tO' -p234634 -aS'atrophy\tatrophy\tNN\tI-NP\tO' -p234635 -aS'and\tand\tCC\tO\tO' -p234636 -aS'right\tright\tJJ\tB-NP\tO' -p234637 -aS'temporal\ttemporal\tJJ\tI-NP\tO' -p234638 -aS'encephalomalacia\tencephalomalacia\tNN\tI-NP\tO' -p234639 -aS'.\t.\t.\tO\tO' -p234640 -asS'She was quite able to climb stairs on her own in the hospital .' -p234641 -(lp234642 -S'She\tShe\tPRP\tB-NP\tO' -p234643 -aS'was\tbe\tVBD\tB-VP\tO' -p234644 -aS'quite\tquite\tRB\tB-ADJP\tO' -p234645 -aS'able\table\tJJ\tI-ADJP\tO' -p234646 -aS'to\tto\tTO\tB-VP\tO' -p234647 -aS'climb\tclimb\tVB\tI-VP\tO' -p234648 -aS'stairs\tstair\tNNS\tB-NP\tO' -p234649 -aS'on\ton\tIN\tB-PP\tO' -p234650 -aS'her\ther\tPRP$\tB-NP\tO' -p234651 -aS'own\town\tJJ\tI-NP\tO' -p234652 -aS'in\tin\tIN\tB-PP\tO' -p234653 -aS'the\tthe\tDT\tB-NP\tO' -p234654 -aS'hospital\thospital\tNN\tI-NP\tO' -p234655 -aS'.\t.\t.\tO\tO' -p234656 -asS'We obtained sensitivities of his wound bacteria .' -p234657 -(lp234658 -S'We\tWe\tPRP\tB-NP\tO' -p234659 -aS'obtained\tobtain\tVBD\tB-VP\tO' -p234660 -aS'sensitivities\tsensitivity\tNNS\tB-NP\tO' -p234661 -aS'of\tof\tIN\tB-PP\tO' -p234662 -aS'his\this\tPRP$\tB-NP\tO' -p234663 -aS'wound\twound\tNN\tI-NP\tO' -p234664 -aS'bacteria\tbacteria\tNNS\tI-NP\tO' -p234665 -aS'.\t.\t.\tO\tO' -p234666 -asS'4. Duloxetine 30 mg Capsule , Delayed Release ( E.C. ) Sig : One ( 1 ) Capsule , Delayed Release ( E.C. ) PO BID ( 2 times a day ) .' -p234667 -(lp234668 -S'4.\t4.\tLS\tB-NP\tO' -p234669 -aS'Duloxetine\tDuloxetine\tNN\tI-NP\tO' -p234670 -aS'30\t30\tCD\tB-NP\tO' -p234671 -aS'mg\tmg\tNN\tI-NP\tO' -p234672 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p234673 -aS',\t,\t,\tO\tO' -p234674 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p234675 -aS'Release\tRelease\tNNP\tI-NP\tO' -p234676 -aS'(\t(\t(\tO\tO' -p234677 -aS'E.C.\tE.C.\tNNP\tB-NP\tO' -p234678 -aS')\t)\t)\tO\tO' -p234679 -aS'Sig\tSig\tNNP\tB-NP\tO' -p234680 -aS':\t:\t:\tO\tO' -p234681 -aS'One\tOne\tCD\tB-NP\tO' -p234682 -aS'(\t(\t(\tO\tO' -p234683 -aS'1\t1\tCD\tB-NP\tO' -p234684 -aS')\t)\t)\tO\tO' -p234685 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p234686 -aS',\t,\t,\tO\tO' -p234687 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p234688 -aS'Release\tRelease\tNNP\tI-NP\tO' -p234689 -aS'(\t(\t(\tO\tO' -p234690 -aS'E.C.\tE.C.\tNNP\tO\tO' -p234691 -aS')\t)\t)\tO\tO' -p234692 -aS'PO\tPO\tNN\tB-NP\tO' -p234693 -aS'BID\tBID\tNN\tI-NP\tO' -p234694 -aS'(\t(\t(\tO\tO' -p234695 -aS'2\t2\tCD\tB-NP\tO' -p234696 -aS'times\ttime\tNNS\tI-NP\tO' -p234697 -aS'a\ta\tDT\tB-NP\tO' -p234698 -aS'day\tday\tNN\tI-NP\tO' -p234699 -aS')\t)\t)\tO\tO' -p234700 -aS'.\t.\t.\tO\tO' -p234701 -asS'The patient was weaned off an Epinephrine drip .' -p234702 -(lp234703 -S'The\tThe\tDT\tB-NP\tO' -p234704 -aS'patient\tpatient\tNN\tI-NP\tO' -p234705 -aS'was\tbe\tVBD\tB-VP\tO' -p234706 -aS'weaned\twean\tVBN\tI-VP\tO' -p234707 -aS'off\toff\tRP\tB-PRT\tO' -p234708 -aS'an\tan\tDT\tB-NP\tO' -p234709 -aS'Epinephrine\tEpinephrine\tNN\tI-NP\tO' -p234710 -aS'drip\tdrip\tNN\tI-NP\tO' -p234711 -aS'.\t.\t.\tO\tO' -p234712 -asS'Until this time he should be kept on three times daily wet to dry dressing changes .' -p234713 -(lp234714 -S'Until\tUntil\tIN\tB-PP\tO' -p234715 -aS'this\tthis\tDT\tB-NP\tO' -p234716 -aS'time\ttime\tNN\tI-NP\tO' -p234717 -aS'he\the\tPRP\tB-NP\tO' -p234718 -aS'should\tshould\tMD\tB-VP\tO' -p234719 -aS'be\tbe\tVB\tI-VP\tO' -p234720 -aS'kept\tkeep\tVBN\tI-VP\tO' -p234721 -aS'on\ton\tIN\tB-PP\tO' -p234722 -aS'three\tthree\tCD\tB-NP\tO' -p234723 -aS'times\ttime\tNNS\tI-NP\tO' -p234724 -aS'daily\tdaily\tRB\tI-NP\tO' -p234725 -aS'wet\twet\tJJ\tI-ADJP\tO' -p234726 -aS'to\tto\tTO\tB-PP\tO' -p234727 -aS'dry\tdry\tJJ\tB-NP\tO' -p234728 -aS'dressing\tdressing\tNN\tI-NP\tO' -p234729 -aS'changes\tchange\tNNS\tI-NP\tO' -p234730 -aS'.\t.\t.\tO\tO' -p234731 -asS'In the emergency room , the patient 's temperature was 98.8 degrees , heart rate 73 , respiratory rate 18 , oxygen saturation 98% on room air .' -p234732 -(lp234733 -S'In\tIn\tIN\tB-PP\tO' -p234734 -aS'the\tthe\tDT\tB-NP\tO' -p234735 -aS'emergency\temergency\tNN\tI-NP\tO' -p234736 -aS'room\troom\tNN\tI-NP\tO' -p234737 -aS',\t,\t,\tO\tO' -p234738 -aS'the\tthe\tDT\tB-NP\tO' -p234739 -aS'patient\tpatient\tNN\tI-NP\tO' -p234740 -aS''s\t'\tNNS\tI-NP\tO' -p234741 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p234742 -aS'was\tbe\tVBD\tB-VP\tO' -p234743 -aS'98.8\t98.8\tCD\tB-NP\tO' -p234744 -aS'degrees\tdegree\tNNS\tI-NP\tO' -p234745 -aS',\t,\t,\tO\tO' -p234746 -aS'heart\theart\tNN\tB-NP\tO' -p234747 -aS'rate\trate\tNN\tI-NP\tO' -p234748 -aS'73\t73\tCD\tI-NP\tO' -p234749 -aS',\t,\t,\tO\tO' -p234750 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p234751 -aS'rate\trate\tNN\tI-NP\tO' -p234752 -aS'18\t18\tCD\tI-NP\tO' -p234753 -aS',\t,\t,\tO\tO' -p234754 -aS'oxygen\toxygen\tNN\tB-NP\tO' -p234755 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p234756 -aS'98%\t98%\tNN\tI-NP\tO' -p234757 -aS'on\ton\tIN\tB-PP\tO' -p234758 -aS'room\troom\tNN\tB-NP\tO' -p234759 -aS'air\tair\tNN\tI-NP\tO' -p234760 -aS'.\t.\t.\tO\tO' -p234761 -asS'Attending : Joyce V. Seidel , M.D.' -p234762 -(lp234763 -S'Attending\tAttend\tVBG\tB-VP\tO' -p234764 -aS':\t:\t:\tO\tO' -p234765 -aS'Joyce\tJoyce\tNNP\tB-NP\tO' -p234766 -aS'V.\tV.\tNNP\tI-NP\tO' -p234767 -aS'Seidel\tSeidel\tNNP\tI-NP\tO' -p234768 -aS',\t,\t,\tO\tO' -p234769 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p234770 -asS'She was dialysed but was slightly limited by hypotension .' -p234771 -(lp234772 -S'She\tShe\tPRP\tB-NP\tO' -p234773 -aS'was\tbe\tVBD\tB-VP\tO' -p234774 -aS'dialysed\tdialyse\tVBN\tI-VP\tO' -p234775 -aS'but\tbut\tCC\tO\tO' -p234776 -aS'was\tbe\tVBD\tB-VP\tO' -p234777 -aS'slightly\tslightly\tRB\tI-VP\tO' -p234778 -aS'limited\tlimit\tVBN\tI-VP\tO' -p234779 -aS'by\tby\tIN\tB-PP\tO' -p234780 -aS'hypotension\thypotension\tNN\tB-NP\tO' -p234781 -aS'.\t.\t.\tO\tO' -p234782 -asS'Patient did well post-operatively , continued to have a right sided deficit , and Physical Therapy and Occupational Therapy visited the patient , worked with the patient , and determined that patient needed rehabilitation with Physical Therapy .' -p234783 -(lp234784 -S'Patient\tPatient\tNN\tB-NP\tO' -p234785 -aS'did\tdo\tVBD\tB-VP\tO' -p234786 -aS'well\twell\tRB\tB-ADVP\tO' -p234787 -aS'post-operatively\tpost-operatively\tRB\tI-ADVP\tO' -p234788 -aS',\t,\t,\tO\tO' -p234789 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p234790 -aS'to\tto\tTO\tI-VP\tO' -p234791 -aS'have\thave\tVB\tI-VP\tO' -p234792 -aS'a\ta\tDT\tB-NP\tO' -p234793 -aS'right\tright\tJJ\tI-NP\tO' -p234794 -aS'sided\tsided\tJJ\tI-NP\tO' -p234795 -aS'deficit\tdeficit\tNN\tI-NP\tO' -p234796 -aS',\t,\t,\tO\tO' -p234797 -aS'and\tand\tCC\tO\tO' -p234798 -aS'Physical\tPhysical\tJJ\tB-NP\tO' -p234799 -aS'Therapy\tTherapy\tNN\tI-NP\tO' -p234800 -aS'and\tand\tCC\tO\tO' -p234801 -aS'Occupational\tOccupational\tJJ\tB-NP\tO' -p234802 -aS'Therapy\tTherapy\tNN\tI-NP\tO' -p234803 -aS'visited\tvisit\tVBD\tB-VP\tO' -p234804 -aS'the\tthe\tDT\tB-NP\tO' -p234805 -aS'patient\tpatient\tNN\tI-NP\tO' -p234806 -aS',\t,\t,\tO\tO' -p234807 -aS'worked\twork\tVBD\tB-VP\tO' -p234808 -aS'with\twith\tIN\tB-PP\tO' -p234809 -aS'the\tthe\tDT\tB-NP\tO' -p234810 -aS'patient\tpatient\tNN\tI-NP\tO' -p234811 -aS',\t,\t,\tO\tO' -p234812 -aS'and\tand\tCC\tO\tO' -p234813 -aS'determined\tdetermine\tVBD\tB-VP\tO' -p234814 -aS'that\tthat\tIN\tB-SBAR\tO' -p234815 -aS'patient\tpatient\tNN\tB-NP\tO' -p234816 -aS'needed\tneed\tVBD\tB-VP\tO' -p234817 -aS'rehabilitation\trehabilitation\tNN\tB-NP\tO' -p234818 -aS'with\twith\tIN\tB-PP\tO' -p234819 -aS'Physical\tPhysical\tJJ\tB-NP\tO' -p234820 -aS'Therapy\tTherapy\tNN\tI-NP\tO' -p234821 -aS'.\t.\t.\tO\tO' -p234822 -asS'The patient was found at cardiac catheterization to have mild diffuse instent restenosis in the mid stent , otherwise hemodynamically normal and the coronary arteries otherwise were without flow-limiting stenoses .' -p234823 -(lp234824 -S'The\tThe\tDT\tB-NP\tO' -p234825 -aS'patient\tpatient\tNN\tI-NP\tO' -p234826 -aS'was\tbe\tVBD\tB-VP\tO' -p234827 -aS'found\tfind\tVBN\tI-VP\tO' -p234828 -aS'at\tat\tIN\tB-PP\tO' -p234829 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p234830 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p234831 -aS'to\tto\tTO\tB-VP\tO' -p234832 -aS'have\thave\tVB\tI-VP\tO' -p234833 -aS'mild\tmild\tJJ\tB-NP\tO' -p234834 -aS'diffuse\tdiffuse\tJJ\tI-NP\tO' -p234835 -aS'instent\tinstent\tJJ\tI-NP\tO' -p234836 -aS'restenosis\trestenosis\tNN\tI-NP\tO' -p234837 -aS'in\tin\tIN\tB-PP\tO' -p234838 -aS'the\tthe\tDT\tB-NP\tO' -p234839 -aS'mid\tmid\tJJ\tI-NP\tO' -p234840 -aS'stent\tstent\tNN\tI-NP\tO' -p234841 -aS',\t,\t,\tO\tO' -p234842 -aS'otherwise\totherwise\tRB\tB-ADVP\tO' -p234843 -aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' -p234844 -aS'normal\tnormal\tJJ\tI-ADJP\tO' -p234845 -aS'and\tand\tCC\tO\tO' -p234846 -aS'the\tthe\tDT\tB-NP\tO' -p234847 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p234848 -aS'arteries\tartery\tNNS\tI-NP\tO' -p234849 -aS'otherwise\totherwise\tRB\tB-ADVP\tO' -p234850 -aS'were\tbe\tVBD\tB-VP\tO' -p234851 -aS'without\twithout\tIN\tB-PP\tO' -p234852 -aS'flow-limiting\tflow-limiting\tJJ\tB-NP\tO' -p234853 -aS'stenoses\tstenosis\tNNS\tI-NP\tO' -p234854 -aS'.\t.\t.\tO\tO' -p234855 -asS'Dr. Amesin had a long discussion with the patient 's daughters revolving primarily around issues of the patient 's compliance .' -p234856 -(lp234857 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p234858 -aS'Amesin\tAmesin\tNNP\tI-NP\tO' -p234859 -aS'had\thave\tVBD\tB-VP\tO' -p234860 -aS'a\ta\tDT\tB-NP\tO' -p234861 -aS'long\tlong\tJJ\tI-NP\tO' -p234862 -aS'discussion\tdiscussion\tNN\tI-NP\tO' -p234863 -aS'with\twith\tIN\tB-PP\tO' -p234864 -aS'the\tthe\tDT\tB-NP\tO' -p234865 -aS'patient\tpatient\tNN\tI-NP\tO' -p234866 -aS''s\t'\tVBZ\tB-VP\tO' -p234867 -aS'daughters\tdaughter\tNNS\tB-NP\tO' -p234868 -aS'revolving\trevolve\tVBG\tB-VP\tO' -p234869 -aS'primarily\tprimarily\tRB\tB-ADVP\tO' -p234870 -aS'around\taround\tIN\tB-PP\tO' -p234871 -aS'issues\tissue\tNNS\tB-NP\tO' -p234872 -aS'of\tof\tIN\tB-PP\tO' -p234873 -aS'the\tthe\tDT\tB-NP\tO' -p234874 -aS'patient\tpatient\tNN\tI-NP\tO' -p234875 -aS''s\t'\tNNS\tI-NP\tO' -p234876 -aS'compliance\tcompliance\tNN\tI-NP\tO' -p234877 -aS'.\t.\t.\tO\tO' -p234878 -asS'The patient was never placed on caffeine .' -p234879 -(lp234880 -S'The\tThe\tDT\tB-NP\tO' -p234881 -aS'patient\tpatient\tNN\tI-NP\tO' -p234882 -aS'was\tbe\tVBD\tB-VP\tO' -p234883 -aS'never\tnever\tRB\tI-VP\tO' -p234884 -aS'placed\tplace\tVBN\tI-VP\tO' -p234885 -aS'on\ton\tIN\tB-PP\tO' -p234886 -aS'caffeine\tcaffeine\tNN\tB-NP\tO' -p234887 -aS'.\t.\t.\tO\tO' -p234888 -asS'On postoperative day number seven , the patient was tolerating her clear liquid diet and her tube feeds .' -p234889 -(lp234890 -S'On\tOn\tIN\tB-PP\tO' -p234891 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p234892 -aS'day\tday\tNN\tI-NP\tO' -p234893 -aS'number\tnumber\tNN\tI-NP\tO' -p234894 -aS'seven\tseven\tCD\tB-NP\tO' -p234895 -aS',\t,\t,\tO\tO' -p234896 -aS'the\tthe\tDT\tB-NP\tO' -p234897 -aS'patient\tpatient\tNN\tI-NP\tO' -p234898 -aS'was\tbe\tVBD\tB-VP\tO' -p234899 -aS'tolerating\ttolerate\tVBG\tI-VP\tO' -p234900 -aS'her\ther\tPRP$\tB-NP\tO' -p234901 -aS'clear\tclear\tJJ\tI-NP\tO' -p234902 -aS'liquid\tliquid\tNN\tI-NP\tO' -p234903 -aS'diet\tdiet\tNN\tI-NP\tO' -p234904 -aS'and\tand\tCC\tO\tO' -p234905 -aS'her\ther\tPRP$\tB-NP\tO' -p234906 -aS'tube\ttube\tNN\tI-NP\tO' -p234907 -aS'feeds\tfeed\tNNS\tI-NP\tO' -p234908 -aS'.\t.\t.\tO\tO' -p234909 -asS'+ Haskell sign , right upper quadrant tenderness .' -p234910 -(lp234911 -S'+\t+\tSYM\tO\tO' -p234912 -aS'Haskell\tHaskell\tNNP\tB-NP\tO' -p234913 -aS'sign\tsign\tNN\tI-NP\tO' -p234914 -aS',\t,\t,\tO\tO' -p234915 -aS'right\tright\tJJ\tB-NP\tO' -p234916 -aS'upper\tupper\tJJ\tI-NP\tO' -p234917 -aS'quadrant\tquadrant\tJJ\tI-NP\tO' -p234918 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p234919 -aS'.\t.\t.\tO\tO' -p234920 -asS'4. Naproxen p.r.n. as well as several vitamins and supplements .' -p234921 -(lp234922 -S'4.\t4.\tLS\tB-NP\tO' -p234923 -aS'Naproxen\tNaproxen\tNNP\tI-NP\tO' -p234924 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p234925 -aS'as\tas\tRB\tB-CONJP\tO' -p234926 -aS'well\twell\tRB\tI-CONJP\tO' -p234927 -aS'as\tas\tIN\tI-CONJP\tO' -p234928 -aS'several\tseveral\tJJ\tB-NP\tO' -p234929 -aS'vitamins\tvitamin\tNNS\tI-NP\tO' -p234930 -aS'and\tand\tCC\tI-NP\tO' -p234931 -aS'supplements\tsupplement\tNNS\tI-NP\tO' -p234932 -aS'.\t.\t.\tO\tO' -p234933 -asS'No rebound or guarding .' -p234934 -(lp234935 -S'No\tNo\tDT\tB-NP\tO' -p234936 -aS'rebound\trebound\tNN\tI-NP\tO' -p234937 -aS'or\tor\tCC\tI-NP\tO' -p234938 -aS'guarding\tguarding\tNN\tI-NP\tO' -p234939 -aS'.\t.\t.\tO\tO' -p234940 -asS'A small right pleural effusion has decreased in size .' -p234941 -(lp234942 -S'A\tA\tDT\tB-NP\tO' -p234943 -aS'small\tsmall\tJJ\tI-NP\tO' -p234944 -aS'right\tright\tJJ\tI-NP\tO' -p234945 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p234946 -aS'effusion\teffusion\tNN\tI-NP\tO' -p234947 -aS'has\thave\tVBZ\tB-VP\tO' -p234948 -aS'decreased\tdecrease\tVBN\tI-VP\tO' -p234949 -aS'in\tin\tIN\tB-PP\tO' -p234950 -aS'size\tsize\tNN\tB-NP\tO' -p234951 -aS'.\t.\t.\tO\tO' -p234952 -asS'2. Donepezil 5 mg Tablet Sig : Two ( 2 ) Tablet PO HS ( at bedtime ) .' -p234953 -(lp234954 -S'2.\t2.\tLS\tB-LST\tO' -p234955 -aS'Donepezil\tDonepezil\tNNP\tB-NP\tO' -p234956 -aS'5\t5\tCD\tI-NP\tO' -p234957 -aS'mg\tmg\tNN\tI-NP\tO' -p234958 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p234959 -aS'Sig\tSig\tNNP\tI-NP\tO' -p234960 -aS':\t:\t:\tO\tO' -p234961 -aS'Two\tTwo\tCD\tB-NP\tO' -p234962 -aS'(\t(\t(\tO\tO' -p234963 -aS'2\t2\tCD\tO\tO' -p234964 -aS')\t)\t)\tO\tO' -p234965 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p234966 -aS'PO\tPO\tNN\tI-NP\tO' -p234967 -aS'HS\tHS\tNN\tI-NP\tO' -p234968 -aS'(\t(\t(\tO\tO' -p234969 -aS'at\tat\tIN\tB-PP\tO' -p234970 -aS'bedtime\tbedtime\tNN\tB-NP\tO' -p234971 -aS')\t)\t)\tO\tO' -p234972 -aS'.\t.\t.\tO\tO' -p234973 -asS'Endoscopy showed multiple angio ectasias throughout the stomach .' -p234974 -(lp234975 -S'Endoscopy\tEndoscopy\tNNP\tB-NP\tO' -p234976 -aS'showed\tshow\tVBD\tB-VP\tO' -p234977 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p234978 -aS'angio\tangio\tNN\tI-NP\tO' -p234979 -aS'ectasias\tectasia\tNNS\tI-NP\tO' -p234980 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p234981 -aS'the\tthe\tDT\tB-NP\tO' -p234982 -aS'stomach\tstomach\tNN\tI-NP\tO' -p234983 -aS'.\t.\t.\tO\tO' -p234984 -asS'She was placed on BiPAP for comfort at 30% FiO2 , 5 PEEP , 12 PS .' -p234985 -(lp234986 -S'She\tShe\tPRP\tB-NP\tO' -p234987 -aS'was\tbe\tVBD\tB-VP\tO' -p234988 -aS'placed\tplace\tVBN\tI-VP\tO' -p234989 -aS'on\ton\tIN\tB-PP\tO' -p234990 -aS'BiPAP\tBiPAP\tNN\tB-NP\tB-protein' -p234991 -aS'for\tfor\tIN\tB-PP\tO' -p234992 -aS'comfort\tcomfort\tNN\tB-NP\tO' -p234993 -aS'at\tat\tIN\tB-PP\tO' -p234994 -aS'30%\t30%\tCD\tB-NP\tO' -p234995 -aS'FiO2\tFiO2\tCD\tI-NP\tO' -p234996 -aS',\t,\t,\tO\tO' -p234997 -aS'5\t5\tCD\tB-NP\tO' -p234998 -aS'PEEP\tPEEP\tNN\tI-NP\tO' -p234999 -aS',\t,\t,\tO\tO' -p235000 -aS'12\t12\tCD\tB-NP\tO' -p235001 -aS'PS\tPS\tNNS\tI-NP\tO' -p235002 -aS'.\t.\t.\tO\tO' -p235003 -asS'Information was very limited regarding the circumstances of his cardiac arrest .' -p235004 -(lp235005 -S'Information\tInformation\tNN\tB-NP\tO' -p235006 -aS'was\tbe\tVBD\tB-VP\tO' -p235007 -aS'very\tvery\tRB\tB-ADJP\tO' -p235008 -aS'limited\tlimit\tVBN\tI-ADJP\tO' -p235009 -aS'regarding\tregard\tVBG\tB-VP\tO' -p235010 -aS'the\tthe\tDT\tB-NP\tO' -p235011 -aS'circumstances\tcircumstance\tNNS\tI-NP\tO' -p235012 -aS'of\tof\tIN\tB-PP\tO' -p235013 -aS'his\this\tPRP$\tB-NP\tO' -p235014 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p235015 -aS'arrest\tarrest\tNN\tI-NP\tO' -p235016 -aS'.\t.\t.\tO\tO' -p235017 -asS'Can give 40 lasix PO if having any weight gain or shortness of breath .' -p235018 -(lp235019 -S'Can\tCan\tMD\tB-VP\tO' -p235020 -aS'give\tgive\tVB\tI-VP\tO' -p235021 -aS'40\t40\tCD\tB-NP\tO' -p235022 -aS'lasix\tlasix\tCD\tI-NP\tO' -p235023 -aS'PO\tPO\tNN\tI-NP\tO' -p235024 -aS'if\tif\tIN\tB-SBAR\tO' -p235025 -aS'having\thave\tVBG\tB-VP\tO' -p235026 -aS'any\tany\tDT\tB-NP\tO' -p235027 -aS'weight\tweight\tNN\tI-NP\tO' -p235028 -aS'gain\tgain\tNN\tI-NP\tO' -p235029 -aS'or\tor\tCC\tI-NP\tO' -p235030 -aS'shortness\tshortness\tNN\tI-NP\tO' -p235031 -aS'of\tof\tIN\tB-PP\tO' -p235032 -aS'breath\tbreath\tNN\tB-NP\tO' -p235033 -aS'.\t.\t.\tO\tO' -p235034 -asS'2. Tetracycline for acne .' -p235035 -(lp235036 -S'2.\t2.\tLS\tB-NP\tO' -p235037 -aS'Tetracycline\tTetracycline\tNN\tI-NP\tO' -p235038 -aS'for\tfor\tIN\tB-PP\tO' -p235039 -aS'acne\tacne\tNN\tB-NP\tO' -p235040 -aS'.\t.\t.\tO\tO' -p235041 -asS'HCV cirrhosis c/b esophageal varices , ascites , partial portal vein thrombosis' -p235042 -(lp235043 -S'HCV\tHCV\tNN\tB-NP\tO' -p235044 -aS'cirrhosis\tcirrhosis\tNN\tI-NP\tO' -p235045 -aS'c/b\tc/b\tNN\tI-NP\tO' -p235046 -aS'esophageal\tesophageal\tJJ\tI-NP\tO' -p235047 -aS'varices\tvarix\tNNS\tI-NP\tO' -p235048 -aS',\t,\t,\tO\tO' -p235049 -aS'ascites\tascite\tNNS\tB-NP\tO' -p235050 -aS',\t,\t,\tO\tO' -p235051 -aS'partial\tpartial\tJJ\tB-NP\tO' -p235052 -aS'portal\tportal\tJJ\tI-NP\tO' -p235053 -aS'vein\tvein\tNN\tI-NP\tO' -p235054 -aS'thrombosis\tthrombosis\tNN\tI-NP\tO' -p235055 -asS'Her letter was referred to Dr. Earllamarg Para who saw her in the office and recommended vaginal hysterectomy .' -p235056 -(lp235057 -S'Her\tHer\tPRP$\tB-NP\tO' -p235058 -aS'letter\tletter\tNN\tI-NP\tO' -p235059 -aS'was\tbe\tVBD\tB-VP\tO' -p235060 -aS'referred\trefer\tVBN\tI-VP\tO' -p235061 -aS'to\tto\tTO\tB-PP\tO' -p235062 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p235063 -aS'Earllamarg\tEarllamarg\tNNP\tI-NP\tO' -p235064 -aS'Para\tPara\tNNP\tI-NP\tO' -p235065 -aS'who\twho\tWP\tB-NP\tO' -p235066 -aS'saw\tsee\tVBD\tB-VP\tO' -p235067 -aS'her\ther\tPRP\tB-NP\tO' -p235068 -aS'in\tin\tIN\tB-PP\tO' -p235069 -aS'the\tthe\tDT\tB-NP\tO' -p235070 -aS'office\toffice\tNN\tI-NP\tO' -p235071 -aS'and\tand\tCC\tO\tO' -p235072 -aS'recommended\trecommend\tVBD\tB-VP\tO' -p235073 -aS'vaginal\tvaginal\tJJ\tB-NP\tO' -p235074 -aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' -p235075 -aS'.\t.\t.\tO\tO' -p235076 -asS'Incisions had Steri-Strips , open to air , clean and dry .' -p235077 -(lp235078 -S'Incisions\tIncision\tNNS\tB-NP\tO' -p235079 -aS'had\thave\tVBD\tB-VP\tO' -p235080 -aS'Steri-Strips\tSteri-Strips\tJJ\tB-ADJP\tO' -p235081 -aS',\t,\t,\tO\tO' -p235082 -aS'open\topen\tJJ\tB-ADJP\tO' -p235083 -aS'to\tto\tTO\tB-PP\tO' -p235084 -aS'air\tair\tNN\tB-NP\tO' -p235085 -aS',\t,\t,\tO\tO' -p235086 -aS'clean\tclean\tJJ\tB-ADJP\tO' -p235087 -aS'and\tand\tCC\tI-ADJP\tO' -p235088 -aS'dry\tdry\tJJ\tI-ADJP\tO' -p235089 -aS'.\t.\t.\tO\tO' -p235090 -asS'PT 9.5/10.0 , PTT 23.9 .' -p235091 -(lp235092 -S'PT\tPT\tNN\tB-NP\tB-protein' -p235093 -aS'9.5/10.0\t9.5/10.0\tCD\tI-NP\tI-protein' -p235094 -aS',\t,\t,\tO\tO' -p235095 -aS'PTT\tPTT\tNN\tB-NP\tB-protein' -p235096 -aS'23.9\t23.9\tCD\tI-NP\tI-protein' -p235097 -aS'.\t.\t.\tO\tO' -p235098 -asS'( I ) ROMI negative .' -p235099 -(lp235100 -S'(\t(\t(\tB-LST\tO' -p235101 -aS'I\tI\tLS\tI-LST\tO' -p235102 -aS')\t)\t)\tO\tO' -p235103 -aS'ROMI\tROMI\tNN\tB-NP\tO' -p235104 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p235105 -aS'.\t.\t.\tO\tO' -p235106 -asS'These were treated with Vancomycin .' -p235107 -(lp235108 -S'These\tThese\tDT\tB-NP\tO' -p235109 -aS'were\tbe\tVBD\tB-VP\tO' -p235110 -aS'treated\ttreat\tVBN\tI-VP\tO' -p235111 -aS'with\twith\tIN\tB-PP\tO' -p235112 -aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' -p235113 -aS'.\t.\t.\tO\tO' -p235114 -asS'Esophageal varices .' -p235115 -(lp235116 -S'Esophageal\tEsophageal\tJJ\tB-NP\tO' -p235117 -aS'varices\tvarix\tNNS\tI-NP\tO' -p235118 -aS'.\t.\t.\tO\tO' -p235119 -asS"# Ulcerative colitis -- The patient 's Asacol was originally held but restarted the day prior to discharge per GI ." -p235120 -(lp235121 -S'#\t#\t#\tB-NP\tO' -p235122 -aS'Ulcerative\tUlcerative\tJJ\tI-NP\tO' -p235123 -aS'colitis\tcolitis\tNN\tI-NP\tO' -p235124 -aS'--\t--\t:\tO\tO' -p235125 -aS'The\tThe\tDT\tB-NP\tO' -p235126 -aS'patient\tpatient\tNN\tI-NP\tO' -p235127 -aS"'s\t's\tPOS\tB-NP\tO" -p235128 -aS'Asacol\tAsacol\tNN\tI-NP\tO' -p235129 -aS'was\tbe\tVBD\tB-VP\tO' -p235130 -aS'originally\toriginally\tRB\tI-VP\tO' -p235131 -aS'held\thold\tVBN\tI-VP\tO' -p235132 -aS'but\tbut\tCC\tO\tO' -p235133 -aS'restarted\trestart\tVBD\tB-VP\tO' -p235134 -aS'the\tthe\tDT\tB-NP\tO' -p235135 -aS'day\tday\tNN\tI-NP\tO' -p235136 -aS'prior\tprior\tRB\tB-ADVP\tO' -p235137 -aS'to\tto\tTO\tB-VP\tO' -p235138 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p235139 -aS'per\tper\tIN\tB-PP\tO' -p235140 -aS'GI\tGI\tNN\tB-NP\tO' -p235141 -aS'.\t.\t.\tO\tO' -p235142 -asS'At that time , it was felt that the patient was likely having a repeat GI bleed and while he was hemodynamically stable , he had evidently lost a substantial amount of blood .' -p235143 -(lp235144 -S'At\tAt\tIN\tB-PP\tO' -p235145 -aS'that\tthat\tDT\tB-NP\tO' -p235146 -aS'time\ttime\tNN\tI-NP\tO' -p235147 -aS',\t,\t,\tO\tO' -p235148 -aS'it\tit\tPRP\tB-NP\tO' -p235149 -aS'was\tbe\tVBD\tB-VP\tO' -p235150 -aS'felt\tfeel\tVBN\tI-VP\tO' -p235151 -aS'that\tthat\tIN\tB-SBAR\tO' -p235152 -aS'the\tthe\tDT\tB-NP\tO' -p235153 -aS'patient\tpatient\tNN\tI-NP\tO' -p235154 -aS'was\tbe\tVBD\tB-VP\tO' -p235155 -aS'likely\tlikely\tRB\tI-VP\tO' -p235156 -aS'having\thave\tVBG\tI-VP\tO' -p235157 -aS'a\ta\tDT\tB-NP\tO' -p235158 -aS'repeat\trepeat\tNN\tI-NP\tO' -p235159 -aS'GI\tGI\tNN\tI-NP\tO' -p235160 -aS'bleed\tbleed\tNN\tI-NP\tO' -p235161 -aS'and\tand\tCC\tO\tO' -p235162 -aS'while\twhile\tIN\tB-SBAR\tO' -p235163 -aS'he\the\tPRP\tB-NP\tO' -p235164 -aS'was\tbe\tVBD\tB-VP\tO' -p235165 -aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' -p235166 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p235167 -aS',\t,\t,\tO\tO' -p235168 -aS'he\the\tPRP\tB-NP\tO' -p235169 -aS'had\thave\tVBD\tB-VP\tO' -p235170 -aS'evidently\tevidently\tRB\tI-VP\tO' -p235171 -aS'lost\tlose\tVBN\tI-VP\tO' -p235172 -aS'a\ta\tDT\tB-NP\tO' -p235173 -aS'substantial\tsubstantial\tJJ\tI-NP\tO' -p235174 -aS'amount\tamount\tNN\tI-NP\tO' -p235175 -aS'of\tof\tIN\tB-PP\tO' -p235176 -aS'blood\tblood\tNN\tB-NP\tO' -p235177 -aS'.\t.\t.\tO\tO' -p235178 -asS'She refused the Taxol therapy so that was not done .' -p235179 -(lp235180 -S'She\tShe\tPRP\tB-NP\tO' -p235181 -aS'refused\trefuse\tVBD\tB-VP\tO' -p235182 -aS'the\tthe\tDT\tB-NP\tO' -p235183 -aS'Taxol\tTaxol\tNN\tI-NP\tO' -p235184 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p235185 -aS'so\tso\tIN\tB-ADVP\tO' -p235186 -aS'that\tthat\tDT\tB-NP\tO' -p235187 -aS'was\tbe\tVBD\tB-VP\tO' -p235188 -aS'not\tnot\tRB\tI-VP\tO' -p235189 -aS'done\tdo\tVBN\tI-VP\tO' -p235190 -aS'.\t.\t.\tO\tO' -p235191 -asS'He has one son and lives in a nursing home .' -p235192 -(lp235193 -S'He\tHe\tPRP\tB-NP\tO' -p235194 -aS'has\thave\tVBZ\tB-VP\tO' -p235195 -aS'one\tone\tCD\tB-NP\tO' -p235196 -aS'son\tson\tNN\tI-NP\tO' -p235197 -aS'and\tand\tCC\tI-NP\tO' -p235198 -aS'lives\tlife\tNNS\tI-NP\tO' -p235199 -aS'in\tin\tIN\tB-PP\tO' -p235200 -aS'a\ta\tDT\tB-NP\tO' -p235201 -aS'nursing\tnursing\tNN\tI-NP\tO' -p235202 -aS'home\thome\tNN\tI-NP\tO' -p235203 -aS'.\t.\t.\tO\tO' -p235204 -asS'Flaccid paralysis of bilateral lower extremities .' -p235205 -(lp235206 -S'Flaccid\tFlaccid\tNN\tB-NP\tO' -p235207 -aS'paralysis\tparalysis\tNN\tI-NP\tO' -p235208 -aS'of\tof\tIN\tB-PP\tO' -p235209 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p235210 -aS'lower\tlow\tJJR\tI-NP\tO' -p235211 -aS'extremities\textremity\tNNS\tI-NP\tO' -p235212 -aS'.\t.\t.\tO\tO' -p235213 -asS'CXR 10-30 : Left lower lobe atelectasis has partially cleared .' -p235214 -(lp235215 -S'CXR\tCXR\tNN\tB-NP\tO' -p235216 -aS'10-30\t10-30\tCD\tI-NP\tO' -p235217 -aS':\t:\t:\tO\tO' -p235218 -aS'Left\tLeft\tNN\tB-NP\tO' -p235219 -aS'lower\tlow\tJJR\tI-NP\tO' -p235220 -aS'lobe\tlobe\tNN\tI-NP\tO' -p235221 -aS'atelectasis\tatelectasis\tNN\tI-NP\tO' -p235222 -aS'has\thave\tVBZ\tB-VP\tO' -p235223 -aS'partially\tpartially\tRB\tI-VP\tO' -p235224 -aS'cleared\tclear\tVBN\tI-VP\tO' -p235225 -aS'.\t.\t.\tO\tO' -p235226 -asS'You will have a banding procedure in 9 days .' -p235227 -(lp235228 -S'You\tYou\tPRP\tB-NP\tB-protein' -p235229 -aS'will\twill\tMD\tB-VP\tO' -p235230 -aS'have\thave\tVB\tI-VP\tO' -p235231 -aS'a\ta\tDT\tB-NP\tO' -p235232 -aS'banding\tbanding\tNN\tI-NP\tO' -p235233 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p235234 -aS'in\tin\tIN\tB-PP\tO' -p235235 -aS'9\t9\tCD\tB-NP\tO' -p235236 -aS'days\tday\tNNS\tI-NP\tO' -p235237 -aS'.\t.\t.\tO\tO' -p235238 -asS'For her rhythm , amiodarone was discontinued as she was maintained in sinus rhythm after moving to the floor .' -p235239 -(lp235240 -S'For\tFor\tIN\tB-PP\tO' -p235241 -aS'her\ther\tPRP$\tB-NP\tO' -p235242 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p235243 -aS',\t,\t,\tO\tO' -p235244 -aS'amiodarone\tamiodarone\tNN\tB-NP\tO' -p235245 -aS'was\tbe\tVBD\tB-VP\tO' -p235246 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p235247 -aS'as\tas\tIN\tB-SBAR\tO' -p235248 -aS'she\tshe\tPRP\tB-NP\tO' -p235249 -aS'was\tbe\tVBD\tB-VP\tO' -p235250 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p235251 -aS'in\tin\tIN\tB-PP\tO' -p235252 -aS'sinus\tsinus\tNN\tB-NP\tO' -p235253 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p235254 -aS'after\tafter\tIN\tB-PP\tO' -p235255 -aS'moving\tmove\tVBG\tB-VP\tO' -p235256 -aS'to\tto\tTO\tB-PP\tO' -p235257 -aS'the\tthe\tDT\tB-NP\tO' -p235258 -aS'floor\tfloor\tNN\tI-NP\tO' -p235259 -aS'.\t.\t.\tO\tO' -p235260 -asS'In the John , he was found to be in hypotensive atrial fibrillation .' -p235261 -(lp235262 -S'In\tIn\tIN\tB-PP\tO' -p235263 -aS'the\tthe\tDT\tB-NP\tO' -p235264 -aS'John\tJohn\tNNP\tI-NP\tO' -p235265 -aS',\t,\t,\tO\tO' -p235266 -aS'he\the\tPRP\tB-NP\tO' -p235267 -aS'was\tbe\tVBD\tB-VP\tO' -p235268 -aS'found\tfind\tVBN\tI-VP\tO' -p235269 -aS'to\tto\tTO\tI-VP\tO' -p235270 -aS'be\tbe\tVB\tI-VP\tO' -p235271 -aS'in\tin\tIN\tB-PP\tO' -p235272 -aS'hypotensive\thypotensive\tJJ\tB-NP\tO' -p235273 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p235274 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p235275 -aS'.\t.\t.\tO\tO' -p235276 -asS'Overall left ventricular systolic function cannot be reliably assessed .' -p235277 -(lp235278 -S'Overall\tOverall\tRB\tB-ADVP\tO' -p235279 -aS'left\tleave\tVBD\tB-VP\tO' -p235280 -aS'ventricular\tventricular\tJJ\tB-NP\tO' -p235281 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p235282 -aS'function\tfunction\tNN\tI-NP\tO' -p235283 -aS'cannot\tcannot\tMD\tB-VP\tO' -p235284 -aS'be\tbe\tVB\tI-VP\tO' -p235285 -aS'reliably\treliably\tRB\tI-VP\tO' -p235286 -aS'assessed\tassess\tVBN\tI-VP\tO' -p235287 -aS'.\t.\t.\tO\tO' -p235288 -asS'The next day the patient 's mental status came back to baseline and he remained free of angina .' -p235289 -(lp235290 -S'The\tThe\tDT\tB-NP\tO' -p235291 -aS'next\tnext\tJJ\tI-NP\tO' -p235292 -aS'day\tday\tNN\tI-NP\tO' -p235293 -aS'the\tthe\tDT\tB-NP\tO' -p235294 -aS'patient\tpatient\tNN\tI-NP\tO' -p235295 -aS''s\t'\tNNS\tI-NP\tO' -p235296 -aS'mental\tmental\tJJ\tB-NP\tO' -p235297 -aS'status\tstatus\tNN\tI-NP\tO' -p235298 -aS'came\tcome\tVBD\tB-VP\tO' -p235299 -aS'back\tback\tRB\tB-ADVP\tO' -p235300 -aS'to\tto\tTO\tB-PP\tO' -p235301 -aS'baseline\tbaseline\tNN\tB-NP\tO' -p235302 -aS'and\tand\tCC\tO\tO' -p235303 -aS'he\the\tPRP\tB-NP\tO' -p235304 -aS'remained\tremain\tVBD\tB-VP\tO' -p235305 -aS'free\tfree\tJJ\tB-ADJP\tO' -p235306 -aS'of\tof\tIN\tB-PP\tO' -p235307 -aS'angina\tangina\tNN\tB-NP\tO' -p235308 -aS'.\t.\t.\tO\tO' -p235309 -asS'Her nephrostomy tube was draining clear yellow urine at the time of d/c .' -p235310 -(lp235311 -S'Her\tHer\tPRP$\tB-NP\tO' -p235312 -aS'nephrostomy\tnephrostomy\tNN\tI-NP\tO' -p235313 -aS'tube\ttube\tNN\tI-NP\tO' -p235314 -aS'was\tbe\tVBD\tB-VP\tO' -p235315 -aS'draining\tdrain\tVBG\tI-VP\tO' -p235316 -aS'clear\tclear\tJJ\tB-NP\tO' -p235317 -aS'yellow\tyellow\tJJ\tI-NP\tO' -p235318 -aS'urine\turine\tNN\tI-NP\tO' -p235319 -aS'at\tat\tIN\tB-PP\tO' -p235320 -aS'the\tthe\tDT\tB-NP\tO' -p235321 -aS'time\ttime\tNN\tI-NP\tO' -p235322 -aS'of\tof\tIN\tB-PP\tO' -p235323 -aS'd/c\td/c\tNN\tB-NP\tO' -p235324 -aS'.\t.\t.\tO\tO' -p235325 -asS'The patient is a seventy-one year old white female with stenotic area on her mid sigmoid , noticed on barium enema .' -p235326 -(lp235327 -S'The\tThe\tDT\tB-NP\tO' -p235328 -aS'patient\tpatient\tNN\tI-NP\tO' -p235329 -aS'is\tbe\tVBZ\tB-VP\tO' -p235330 -aS'a\ta\tDT\tB-NP\tO' -p235331 -aS'seventy-one\tseventy-one\tJJ\tI-NP\tO' -p235332 -aS'year\tyear\tNN\tI-NP\tO' -p235333 -aS'old\told\tJJ\tI-NP\tO' -p235334 -aS'white\twhite\tJJ\tI-NP\tO' -p235335 -aS'female\tfemale\tNN\tI-NP\tO' -p235336 -aS'with\twith\tIN\tB-PP\tO' -p235337 -aS'stenotic\tstenotic\tJJ\tB-NP\tO' -p235338 -aS'area\tarea\tNN\tI-NP\tO' -p235339 -aS'on\ton\tIN\tB-PP\tO' -p235340 -aS'her\ther\tPRP$\tB-NP\tO' -p235341 -aS'mid\tmid\tJJ\tI-NP\tO' -p235342 -aS'sigmoid\tsigmoid\tNN\tI-NP\tO' -p235343 -aS',\t,\t,\tO\tO' -p235344 -aS'noticed\tnotice\tVBN\tB-VP\tO' -p235345 -aS'on\ton\tIN\tB-PP\tO' -p235346 -aS'barium\tbarium\tNN\tB-NP\tO' -p235347 -aS'enema\tenema\tNN\tI-NP\tO' -p235348 -aS'.\t.\t.\tO\tO' -p235349 -asS'The patient is a 72-year-old right-handed gentleman with a history of coronary artery disease status post myocardial infarction in 1984 .' -p235350 -(lp235351 -S'The\tThe\tDT\tB-NP\tO' -p235352 -aS'patient\tpatient\tNN\tI-NP\tO' -p235353 -aS'is\tbe\tVBZ\tB-VP\tO' -p235354 -aS'a\ta\tDT\tB-NP\tO' -p235355 -aS'72-year-old\t72-year-old\tJJ\tI-NP\tO' -p235356 -aS'right-handed\tright-handed\tJJ\tI-NP\tO' -p235357 -aS'gentleman\tgentleman\tNN\tI-NP\tO' -p235358 -aS'with\twith\tIN\tB-PP\tO' -p235359 -aS'a\ta\tDT\tB-NP\tO' -p235360 -aS'history\thistory\tNN\tI-NP\tO' -p235361 -aS'of\tof\tIN\tB-PP\tO' -p235362 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p235363 -aS'artery\tartery\tNN\tI-NP\tO' -p235364 -aS'disease\tdisease\tNN\tI-NP\tO' -p235365 -aS'status\tstatus\tNN\tI-NP\tO' -p235366 -aS'post\tpost\tNN\tI-NP\tO' -p235367 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p235368 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p235369 -aS'in\tin\tIN\tB-PP\tO' -p235370 -aS'1984\t1984\tCD\tB-NP\tO' -p235371 -aS'.\t.\t.\tO\tO' -p235372 -asS'Head computerized tomography scan on 10/19 : 3 centimeter hyperdensity within the right putamenal area in the right external capsusle consistent with intra-parenchymal hematoma with mild local mass effect and surrounding edema .' -p235373 -(lp235374 -S'Head\tHead\tJJ\tB-NP\tO' -p235375 -aS'computerized\tcomputerized\tJJ\tI-NP\tO' -p235376 -aS'tomography\ttomography\tNN\tI-NP\tO' -p235377 -aS'scan\tscan\tNN\tI-NP\tO' -p235378 -aS'on\ton\tIN\tB-PP\tO' -p235379 -aS'10/19\t10/19\tCD\tB-NP\tO' -p235380 -aS':\t:\t:\tO\tO' -p235381 -aS'3\t3\tCD\tB-NP\tO' -p235382 -aS'centimeter\tcentimeter\tNN\tI-NP\tO' -p235383 -aS'hyperdensity\thyperdensity\tNN\tI-NP\tO' -p235384 -aS'within\twithin\tIN\tB-PP\tO' -p235385 -aS'the\tthe\tDT\tB-NP\tO' -p235386 -aS'right\tright\tJJ\tI-NP\tO' -p235387 -aS'putamenal\tputamenal\tJJ\tI-NP\tO' -p235388 -aS'area\tarea\tNN\tI-NP\tO' -p235389 -aS'in\tin\tIN\tB-PP\tO' -p235390 -aS'the\tthe\tDT\tB-NP\tO' -p235391 -aS'right\tright\tJJ\tI-NP\tO' -p235392 -aS'external\texternal\tJJ\tI-NP\tO' -p235393 -aS'capsusle\tcapsusle\tNN\tI-NP\tO' -p235394 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p235395 -aS'with\twith\tIN\tB-PP\tO' -p235396 -aS'intra-parenchymal\tintra-parenchymal\tJJ\tB-NP\tO' -p235397 -aS'hematoma\thematoma\tNN\tI-NP\tO' -p235398 -aS'with\twith\tIN\tB-PP\tO' -p235399 -aS'mild\tmild\tJJ\tB-NP\tO' -p235400 -aS'local\tlocal\tJJ\tI-NP\tO' -p235401 -aS'mass\tmass\tNN\tI-NP\tO' -p235402 -aS'effect\teffect\tNN\tI-NP\tO' -p235403 -aS'and\tand\tCC\tO\tO' -p235404 -aS'surrounding\tsurround\tVBG\tB-VP\tO' -p235405 -aS'edema\tedema\tNN\tB-NP\tO' -p235406 -aS'.\t.\t.\tO\tO' -p235407 -asS'She has a Greenfield filter in place , and this is her only DVT prophylaxis .' -p235408 -(lp235409 -S'She\tShe\tPRP\tB-NP\tO' -p235410 -aS'has\thave\tVBZ\tB-VP\tO' -p235411 -aS'a\ta\tDT\tB-NP\tO' -p235412 -aS'Greenfield\tGreenfield\tNNP\tI-NP\tO' -p235413 -aS'filter\tfilter\tNN\tI-NP\tO' -p235414 -aS'in\tin\tIN\tB-PP\tO' -p235415 -aS'place\tplace\tNN\tB-NP\tO' -p235416 -aS',\t,\t,\tO\tO' -p235417 -aS'and\tand\tCC\tO\tO' -p235418 -aS'this\tthis\tDT\tB-NP\tO' -p235419 -aS'is\tbe\tVBZ\tB-VP\tO' -p235420 -aS'her\ther\tPRP$\tB-NP\tO' -p235421 -aS'only\tonly\tJJ\tI-NP\tO' -p235422 -aS'DVT\tDVT\tNN\tI-NP\tO' -p235423 -aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' -p235424 -aS'.\t.\t.\tO\tO' -p235425 -asS'Etiology of these enhancing lesions is uncertain , but could be atypical manifestations of demyelination .' -p235426 -(lp235427 -S'Etiology\tEtiology\tNN\tB-NP\tO' -p235428 -aS'of\tof\tIN\tB-PP\tO' -p235429 -aS'these\tthese\tDT\tB-NP\tO' -p235430 -aS'enhancing\tenhance\tVBG\tI-NP\tO' -p235431 -aS'lesions\tlesion\tNNS\tI-NP\tO' -p235432 -aS'is\tbe\tVBZ\tB-VP\tO' -p235433 -aS'uncertain\tuncertain\tJJ\tB-ADJP\tO' -p235434 -aS',\t,\t,\tO\tO' -p235435 -aS'but\tbut\tCC\tO\tO' -p235436 -aS'could\tcould\tMD\tB-VP\tO' -p235437 -aS'be\tbe\tVB\tI-VP\tO' -p235438 -aS'atypical\tatypical\tJJ\tB-NP\tO' -p235439 -aS'manifestations\tmanifestation\tNNS\tI-NP\tO' -p235440 -aS'of\tof\tIN\tB-PP\tO' -p235441 -aS'demyelination\tdemyelination\tNN\tB-NP\tO' -p235442 -aS'.\t.\t.\tO\tO' -p235443 -asS'Guaiac positive maroon stool in Deanna .' -p235444 -(lp235445 -S'Guaiac\tGuaiac\tJJ\tB-NP\tO' -p235446 -aS'positive\tpositive\tJJ\tI-NP\tO' -p235447 -aS'maroon\tmaroon\tNN\tI-NP\tO' -p235448 -aS'stool\tstool\tNN\tI-NP\tO' -p235449 -aS'in\tin\tIN\tB-PP\tO' -p235450 -aS'Deanna\tDeanna\tNNP\tB-NP\tO' -p235451 -aS'.\t.\t.\tO\tO' -p235452 -asS'At that time , she also had cat scratch fever and she had resection of an abscess in the left lower extremity .' -p235453 -(lp235454 -S'At\tAt\tIN\tB-PP\tO' -p235455 -aS'that\tthat\tDT\tB-NP\tO' -p235456 -aS'time\ttime\tNN\tI-NP\tO' -p235457 -aS',\t,\t,\tO\tO' -p235458 -aS'she\tshe\tPRP\tB-NP\tO' -p235459 -aS'also\talso\tRB\tB-ADVP\tO' -p235460 -aS'had\thave\tVBD\tB-VP\tO' -p235461 -aS'cat\tcat\tNN\tB-NP\tO' -p235462 -aS'scratch\tscratch\tNN\tI-NP\tO' -p235463 -aS'fever\tfever\tNN\tI-NP\tO' -p235464 -aS'and\tand\tCC\tO\tO' -p235465 -aS'she\tshe\tPRP\tB-NP\tO' -p235466 -aS'had\thave\tVBD\tB-VP\tO' -p235467 -aS'resection\tresection\tNN\tB-NP\tO' -p235468 -aS'of\tof\tIN\tB-PP\tO' -p235469 -aS'an\tan\tDT\tB-NP\tO' -p235470 -aS'abscess\tabscess\tNN\tI-NP\tO' -p235471 -aS'in\tin\tIN\tB-PP\tO' -p235472 -aS'the\tthe\tDT\tB-NP\tO' -p235473 -aS'left\tleft\tJJ\tI-NP\tO' -p235474 -aS'lower\tlow\tJJR\tI-NP\tO' -p235475 -aS'extremity\textremity\tNN\tI-NP\tO' -p235476 -aS'.\t.\t.\tO\tO' -p235477 -asS'She also developed lower extremity edema as well as left upper extremity swelling associated with increased shortness of breath on exertion .' -p235478 -(lp235479 -S'She\tShe\tPRP\tB-NP\tO' -p235480 -aS'also\talso\tRB\tB-ADVP\tO' -p235481 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p235482 -aS'lower\tlow\tJJR\tB-NP\tO' -p235483 -aS'extremity\textremity\tNN\tI-NP\tO' -p235484 -aS'edema\tedema\tNN\tI-NP\tO' -p235485 -aS'as\tas\tRB\tB-CONJP\tO' -p235486 -aS'well\twell\tRB\tI-CONJP\tO' -p235487 -aS'as\tas\tIN\tI-CONJP\tO' -p235488 -aS'left\tleft\tJJ\tB-NP\tO' -p235489 -aS'upper\tupper\tJJ\tI-NP\tO' -p235490 -aS'extremity\textremity\tNN\tI-NP\tO' -p235491 -aS'swelling\tswelling\tNN\tI-NP\tO' -p235492 -aS'associated\tassociate\tVBN\tB-VP\tO' -p235493 -aS'with\twith\tIN\tB-PP\tO' -p235494 -aS'increased\tincrease\tVBN\tB-NP\tO' -p235495 -aS'shortness\tshortness\tNN\tI-NP\tO' -p235496 -aS'of\tof\tIN\tB-PP\tO' -p235497 -aS'breath\tbreath\tNN\tB-NP\tO' -p235498 -aS'on\ton\tIN\tB-PP\tO' -p235499 -aS'exertion\texertion\tNN\tB-NP\tO' -p235500 -aS'.\t.\t.\tO\tO' -p235501 -asS'2. Right upper lobe lung opacities which appear confluent , most suggestive of infectious etiology , however , cannot entirely exclude metastatic lesions .' -p235502 -(lp235503 -S'2.\t2.\tLS\tB-NP\tO' -p235504 -aS'Right\tRight\tNN\tI-NP\tO' -p235505 -aS'upper\tupper\tJJ\tI-NP\tO' -p235506 -aS'lobe\tlobe\tNN\tI-NP\tO' -p235507 -aS'lung\tlung\tNN\tI-NP\tO' -p235508 -aS'opacities\topacity\tNNS\tI-NP\tO' -p235509 -aS'which\twhich\tWDT\tB-NP\tO' -p235510 -aS'appear\tappear\tVBP\tB-VP\tO' -p235511 -aS'confluent\tconfluent\tJJ\tB-ADJP\tO' -p235512 -aS',\t,\t,\tO\tO' -p235513 -aS'most\tmost\tRBS\tB-ADJP\tO' -p235514 -aS'suggestive\tsuggestive\tJJ\tI-ADJP\tO' -p235515 -aS'of\tof\tIN\tB-PP\tO' -p235516 -aS'infectious\tinfectious\tJJ\tB-NP\tO' -p235517 -aS'etiology\tetiology\tNN\tI-NP\tO' -p235518 -aS',\t,\t,\tO\tO' -p235519 -aS'however\thowever\tRB\tB-ADVP\tO' -p235520 -aS',\t,\t,\tO\tO' -p235521 -aS'cannot\tcannot\tNN\tB-NP\tO' -p235522 -aS'entirely\tentirely\tRB\tB-ADVP\tO' -p235523 -aS'exclude\texclude\tVBP\tB-VP\tO' -p235524 -aS'metastatic\tmetastatic\tJJ\tB-NP\tO' -p235525 -aS'lesions\tlesion\tNNS\tI-NP\tO' -p235526 -aS'.\t.\t.\tO\tO' -p235527 -asS'Atrovent .' -p235528 -(lp235529 -S'Atrovent\tAtrovent\tNNP\tB-NP\tO' -p235530 -aS'.\t.\t.\tO\tO' -p235531 -asS'6) Toprol XL 50 mg p.o. q. day .' -p235532 -(lp235533 -S'6)\t6)\tLS\tB-NP\tO' -p235534 -aS'Toprol\tToprol\tNNP\tI-NP\tO' -p235535 -aS'XL\tXL\tNNP\tI-NP\tO' -p235536 -aS'50\t50\tCD\tI-NP\tO' -p235537 -aS'mg\tmg\tNN\tI-NP\tO' -p235538 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p235539 -aS'q.\tq.\tNN\tI-NP\tO' -p235540 -aS'day\tday\tNN\tI-NP\tO' -p235541 -aS'.\t.\t.\tO\tO' -p235542 -asS'Since she was at high risk for both local and metastatic recurrence of her tumor , she received both systemic chemotherapy and radiation therapy .' -p235543 -(lp235544 -S'Since\tSince\tIN\tB-SBAR\tO' -p235545 -aS'she\tshe\tPRP\tB-NP\tO' -p235546 -aS'was\tbe\tVBD\tB-VP\tO' -p235547 -aS'at\tat\tIN\tB-PP\tO' -p235548 -aS'high\thigh\tJJ\tB-NP\tO' -p235549 -aS'risk\trisk\tNN\tI-NP\tO' -p235550 -aS'for\tfor\tIN\tB-PP\tO' -p235551 -aS'both\tboth\tCC\tB-NP\tO' -p235552 -aS'local\tlocal\tJJ\tI-NP\tO' -p235553 -aS'and\tand\tCC\tI-NP\tO' -p235554 -aS'metastatic\tmetastatic\tJJ\tI-NP\tO' -p235555 -aS'recurrence\trecurrence\tNN\tI-NP\tO' -p235556 -aS'of\tof\tIN\tB-PP\tO' -p235557 -aS'her\ther\tPRP$\tB-NP\tO' -p235558 -aS'tumor\ttumor\tNN\tI-NP\tO' -p235559 -aS',\t,\t,\tO\tO' -p235560 -aS'she\tshe\tPRP\tB-NP\tO' -p235561 -aS'received\treceive\tVBD\tB-VP\tO' -p235562 -aS'both\tboth\tCC\tO\tO' -p235563 -aS'systemic\tsystemic\tJJ\tB-NP\tO' -p235564 -aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' -p235565 -aS'and\tand\tCC\tI-NP\tO' -p235566 -aS'radiation\tradiation\tNN\tI-NP\tO' -p235567 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p235568 -aS'.\t.\t.\tO\tO' -p235569 -asS'Subsequent biliary stent was placed after the removal of the stone .' -p235570 -(lp235571 -S'Subsequent\tSubsequent\tJJ\tB-NP\tO' -p235572 -aS'biliary\tbiliary\tJJ\tI-NP\tO' -p235573 -aS'stent\tstent\tNN\tI-NP\tO' -p235574 -aS'was\tbe\tVBD\tB-VP\tO' -p235575 -aS'placed\tplace\tVBN\tI-VP\tO' -p235576 -aS'after\tafter\tIN\tB-PP\tO' -p235577 -aS'the\tthe\tDT\tB-NP\tO' -p235578 -aS'removal\tremoval\tNN\tI-NP\tO' -p235579 -aS'of\tof\tIN\tB-PP\tO' -p235580 -aS'the\tthe\tDT\tB-NP\tO' -p235581 -aS'stone\tstone\tNN\tI-NP\tO' -p235582 -aS'.\t.\t.\tO\tO' -p235583 -asS'She wishes to get her radiation in O and has spoken to her primary care physician regarding this .' -p235584 -(lp235585 -S'She\tShe\tPRP\tB-NP\tO' -p235586 -aS'wishes\twish\tVBZ\tB-VP\tO' -p235587 -aS'to\tto\tTO\tI-VP\tO' -p235588 -aS'get\tget\tVB\tI-VP\tO' -p235589 -aS'her\ther\tPRP$\tB-NP\tO' -p235590 -aS'radiation\tradiation\tNN\tI-NP\tO' -p235591 -aS'in\tin\tIN\tB-PP\tO' -p235592 -aS'O\tO\tNN\tB-NP\tO' -p235593 -aS'and\tand\tCC\tO\tO' -p235594 -aS'has\thave\tVBZ\tB-VP\tO' -p235595 -aS'spoken\tspeak\tVBN\tI-VP\tO' -p235596 -aS'to\tto\tTO\tB-PP\tO' -p235597 -aS'her\ther\tPRP$\tB-NP\tO' -p235598 -aS'primary\tprimary\tJJ\tI-NP\tO' -p235599 -aS'care\tcare\tNN\tI-NP\tO' -p235600 -aS'physician\tphysician\tNN\tI-NP\tO' -p235601 -aS'regarding\tregard\tVBG\tB-VP\tO' -p235602 -aS'this\tthis\tDT\tB-NP\tO' -p235603 -aS'.\t.\t.\tO\tO' -p235604 -asS'MICRO : sputum 12-27 : grm stn and cx negative' -p235605 -(lp235606 -S'MICRO\tMICRO\tNN\tB-NP\tB-protein' -p235607 -aS':\t:\t:\tO\tO' -p235608 -aS'sputum\tsputum\tNN\tB-NP\tO' -p235609 -aS'12-27\t12-27\tCD\tI-NP\tO' -p235610 -aS':\t:\t:\tO\tO' -p235611 -aS'grm\tgrm\tNN\tB-NP\tO' -p235612 -aS'stn\tstn\tNN\tI-NP\tO' -p235613 -aS'and\tand\tCC\tO\tO' -p235614 -aS'cx\tcx\tNN\tB-NP\tO' -p235615 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p235616 -asS'Lungs had scant crackles at the left base and middle field ; otherwise clear .' -p235617 -(lp235618 -S'Lungs\tLung\tNNS\tB-NP\tO' -p235619 -aS'had\thave\tVBD\tB-VP\tO' -p235620 -aS'scant\tscant\tJJ\tB-NP\tO' -p235621 -aS'crackles\tcrackle\tNNS\tI-NP\tO' -p235622 -aS'at\tat\tIN\tB-PP\tO' -p235623 -aS'the\tthe\tDT\tB-NP\tO' -p235624 -aS'left\tleft\tJJ\tI-NP\tO' -p235625 -aS'base\tbase\tNN\tI-NP\tO' -p235626 -aS'and\tand\tCC\tO\tO' -p235627 -aS'middle\tmiddle\tJJ\tB-NP\tO' -p235628 -aS'field\tfield\tNN\tI-NP\tO' -p235629 -aS';\t;\t:\tO\tO' -p235630 -aS'otherwise\totherwise\tRB\tB-ADJP\tO' -p235631 -aS'clear\tclear\tJJ\tI-ADJP\tO' -p235632 -aS'.\t.\t.\tO\tO' -p235633 -asS'He was restarted on Coumadin for his low ejection fraction and started on diuresis with IV Lasix for two days and then switched to an oral Lasix regimen .' -p235634 -(lp235635 -S'He\tHe\tPRP\tB-NP\tO' -p235636 -aS'was\tbe\tVBD\tB-VP\tO' -p235637 -aS'restarted\trestart\tVBN\tI-VP\tO' -p235638 -aS'on\ton\tIN\tB-PP\tO' -p235639 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p235640 -aS'for\tfor\tIN\tB-PP\tO' -p235641 -aS'his\this\tPRP$\tB-NP\tO' -p235642 -aS'low\tlow\tJJ\tI-NP\tO' -p235643 -aS'ejection\tejection\tNN\tI-NP\tO' -p235644 -aS'fraction\tfraction\tNN\tI-NP\tO' -p235645 -aS'and\tand\tCC\tO\tO' -p235646 -aS'started\tstart\tVBN\tB-VP\tO' -p235647 -aS'on\ton\tIN\tB-PP\tO' -p235648 -aS'diuresis\tdiuresis\tNN\tB-NP\tO' -p235649 -aS'with\twith\tIN\tB-PP\tO' -p235650 -aS'IV\tIV\tCD\tB-NP\tO' -p235651 -aS'Lasix\tLasix\tNNP\tI-NP\tO' -p235652 -aS'for\tfor\tIN\tB-PP\tO' -p235653 -aS'two\ttwo\tCD\tB-NP\tO' -p235654 -aS'days\tday\tNNS\tI-NP\tO' -p235655 -aS'and\tand\tCC\tO\tO' -p235656 -aS'then\tthen\tRB\tB-ADVP\tO' -p235657 -aS'switched\tswitch\tVBD\tB-VP\tO' -p235658 -aS'to\tto\tTO\tB-PP\tO' -p235659 -aS'an\tan\tDT\tB-NP\tO' -p235660 -aS'oral\toral\tJJ\tI-NP\tO' -p235661 -aS'Lasix\tLasix\tNNP\tI-NP\tO' -p235662 -aS'regimen\tregimen\tNN\tI-NP\tO' -p235663 -aS'.\t.\t.\tO\tO' -p235664 -asS"Just prior to discharge on 11-14 , pt 's BP was found to be 70/40 P70 s just after receiving her am BP meds ." -p235665 -(lp235666 -S'Just\tJust\tRB\tB-ADJP\tO' -p235667 -aS'prior\tprior\tJJ\tI-ADJP\tO' -p235668 -aS'to\tto\tTO\tB-VP\tO' -p235669 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p235670 -aS'on\ton\tIN\tB-PP\tO' -p235671 -aS'11-14\t11-14\tNN\tB-NP\tO' -p235672 -aS',\t,\t,\tO\tO' -p235673 -aS'pt\tpt\tNN\tB-NP\tO' -p235674 -aS"'s\t's\tPOS\tB-NP\tO" -p235675 -aS'BP\tBP\tNN\tI-NP\tO' -p235676 -aS'was\tbe\tVBD\tB-VP\tO' -p235677 -aS'found\tfind\tVBN\tI-VP\tO' -p235678 -aS'to\tto\tTO\tI-VP\tO' -p235679 -aS'be\tbe\tVB\tI-VP\tO' -p235680 -aS'70/40\t70/40\tCD\tB-NP\tO' -p235681 -aS'P70\tP70\tNN\tI-NP\tB-protein' -p235682 -aS's\ts\tNNS\tI-NP\tI-protein' -p235683 -aS'just\tjust\tRB\tB-ADVP\tO' -p235684 -aS'after\tafter\tIN\tB-PP\tO' -p235685 -aS'receiving\treceive\tVBG\tB-VP\tO' -p235686 -aS'her\ther\tPRP$\tB-NP\tO' -p235687 -aS'am\tam\tNN\tI-NP\tO' -p235688 -aS'BP\tBP\tNN\tI-NP\tO' -p235689 -aS'meds\tmed\tNNS\tI-NP\tO' -p235690 -aS'.\t.\t.\tO\tO' -p235691 -asS'1) Rapid atrial fibrillation with demand ischemia' -p235692 -(lp235693 -S'1)\t1)\tLS\tB-NP\tO' -p235694 -aS'Rapid\tRapid\tJJ\tI-NP\tO' -p235695 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p235696 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p235697 -aS'with\twith\tIN\tB-PP\tO' -p235698 -aS'demand\tdemand\tNN\tB-NP\tO' -p235699 -aS'ischemia\tischemia\tNN\tI-NP\tO' -p235700 -asS'He had repeated bouts of small-volume emesis that may have been secondary to reflux .' -p235701 -(lp235702 -S'He\tHe\tPRP\tB-NP\tO' -p235703 -aS'had\thave\tVBD\tB-VP\tO' -p235704 -aS'repeated\trepeat\tVBN\tI-VP\tO' -p235705 -aS'bouts\tbout\tNNS\tB-NP\tO' -p235706 -aS'of\tof\tIN\tB-PP\tO' -p235707 -aS'small-volume\tsmall-volume\tNN\tB-NP\tO' -p235708 -aS'emesis\temesis\tNN\tI-NP\tO' -p235709 -aS'that\tthat\tWDT\tB-NP\tO' -p235710 -aS'may\tmay\tMD\tB-VP\tO' -p235711 -aS'have\thave\tVB\tI-VP\tO' -p235712 -aS'been\tbe\tVBN\tI-VP\tO' -p235713 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p235714 -aS'to\tto\tTO\tB-VP\tO' -p235715 -aS'reflux\treflux\tVB\tI-VP\tO' -p235716 -aS'.\t.\t.\tO\tO' -p235717 -asS'A lytic area is again seen in the L5 vertebral body but unchanged from prior examination .' -p235718 -(lp235719 -S'A\tA\tDT\tB-NP\tO' -p235720 -aS'lytic\tlytic\tJJ\tI-NP\tO' -p235721 -aS'area\tarea\tNN\tI-NP\tO' -p235722 -aS'is\tbe\tVBZ\tB-VP\tO' -p235723 -aS'again\tagain\tRB\tI-VP\tO' -p235724 -aS'seen\tsee\tVBN\tI-VP\tO' -p235725 -aS'in\tin\tIN\tB-PP\tO' -p235726 -aS'the\tthe\tDT\tB-NP\tO' -p235727 -aS'L5\tL5\tNN\tI-NP\tB-DNA' -p235728 -aS'vertebral\tvertebral\tJJ\tI-NP\tO' -p235729 -aS'body\tbody\tNN\tI-NP\tO' -p235730 -aS'but\tbut\tCC\tO\tO' -p235731 -aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' -p235732 -aS'from\tfrom\tIN\tB-PP\tO' -p235733 -aS'prior\tprior\tJJ\tB-NP\tO' -p235734 -aS'examination\texamination\tNN\tI-NP\tO' -p235735 -aS'.\t.\t.\tO\tO' -p235736 -asS'bilateral cardiac catheterization .' -p235737 -(lp235738 -S'bilateral\tbilateral\tJJ\tB-NP\tO' -p235739 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p235740 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p235741 -aS'.\t.\t.\tO\tO' -p235742 -asS'The patient was maintained on supplemental oxygen and sputum production was maximized with the help of an Acapella device and respiratory therapy .' -p235743 -(lp235744 -S'The\tThe\tDT\tB-NP\tO' -p235745 -aS'patient\tpatient\tNN\tI-NP\tO' -p235746 -aS'was\tbe\tVBD\tB-VP\tO' -p235747 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p235748 -aS'on\ton\tIN\tB-PP\tO' -p235749 -aS'supplemental\tsupplemental\tJJ\tB-NP\tO' -p235750 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p235751 -aS'and\tand\tCC\tI-NP\tO' -p235752 -aS'sputum\tsputum\tNN\tI-NP\tO' -p235753 -aS'production\tproduction\tNN\tI-NP\tO' -p235754 -aS'was\tbe\tVBD\tB-VP\tO' -p235755 -aS'maximized\tmaximize\tVBN\tI-VP\tO' -p235756 -aS'with\twith\tIN\tB-PP\tO' -p235757 -aS'the\tthe\tDT\tB-NP\tO' -p235758 -aS'help\thelp\tNN\tI-NP\tO' -p235759 -aS'of\tof\tIN\tB-PP\tO' -p235760 -aS'an\tan\tDT\tB-NP\tO' -p235761 -aS'Acapella\tAcapella\tNN\tI-NP\tO' -p235762 -aS'device\tdevice\tNN\tI-NP\tO' -p235763 -aS'and\tand\tCC\tO\tO' -p235764 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p235765 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p235766 -aS'.\t.\t.\tO\tO' -p235767 -asS'Mr. Nina activity is ad lib .' -p235768 -(lp235769 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p235770 -aS'Nina\tNina\tNNP\tI-NP\tO' -p235771 -aS'activity\tactivity\tNN\tI-NP\tO' -p235772 -aS'is\tbe\tVBZ\tB-VP\tO' -p235773 -aS'ad\tad\tNN\tB-NP\tO' -p235774 -aS'lib\tlib\tNN\tI-NP\tO' -p235775 -aS'.\t.\t.\tO\tO' -p235776 -asS'CMED CSRU transfer .' -p235777 -(lp235778 -S'CMED\tCMED\tVBN\tB-NP\tO' -p235779 -aS'CSRU\tCSRU\tNN\tI-NP\tO' -p235780 -aS'transfer\ttransfer\tNN\tI-NP\tO' -p235781 -aS'.\t.\t.\tO\tO' -p235782 -asS'8. Cataracts , status post bilateral repair .' -p235783 -(lp235784 -S'8.\t8.\tCD\tB-NP\tO' -p235785 -aS'Cataracts\tCataract\tNNS\tI-NP\tO' -p235786 -aS',\t,\t,\tO\tO' -p235787 -aS'status\tstatus\tNN\tB-NP\tO' -p235788 -aS'post\tpost\tNN\tI-NP\tO' -p235789 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p235790 -aS'repair\trepair\tNN\tI-NP\tO' -p235791 -aS'.\t.\t.\tO\tO' -p235792 -asS'He tolerated this well , was sent home , and now returns for his mitral valve repair .' -p235793 -(lp235794 -S'He\tHe\tPRP\tB-NP\tO' -p235795 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p235796 -aS'this\tthis\tDT\tB-NP\tO' -p235797 -aS'well\twell\tNN\tI-NP\tO' -p235798 -aS',\t,\t,\tO\tO' -p235799 -aS'was\tbe\tVBD\tB-VP\tO' -p235800 -aS'sent\tsend\tVBN\tI-VP\tO' -p235801 -aS'home\thome\tNN\tB-ADVP\tO' -p235802 -aS',\t,\t,\tO\tO' -p235803 -aS'and\tand\tCC\tO\tO' -p235804 -aS'now\tnow\tRB\tB-VP\tO' -p235805 -aS'returns\treturn\tVBZ\tI-VP\tO' -p235806 -aS'for\tfor\tIN\tB-PP\tO' -p235807 -aS'his\this\tPRP$\tB-NP\tO' -p235808 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p235809 -aS'valve\tvalve\tJJ\tI-NP\tO' -p235810 -aS'repair\trepair\tNN\tI-NP\tO' -p235811 -aS'.\t.\t.\tO\tO' -p235812 -asS'Dictated By : Mark D. Eng , M.D.' -p235813 -(lp235814 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p235815 -aS'By\tBy\tIN\tB-PP\tO' -p235816 -aS':\t:\t:\tO\tO' -p235817 -aS'Mark\tMark\tNNP\tB-NP\tO' -p235818 -aS'D.\tD.\tNNP\tI-NP\tO' -p235819 -aS'Eng\tEng\tNNP\tI-NP\tO' -p235820 -aS',\t,\t,\tO\tO' -p235821 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p235822 -asS'10. Percocet one to two tablets p.o. q.4-6h. p.r.n.' -p235823 -(lp235824 -S'10.\t10.\tCD\tB-NP\tO' -p235825 -aS'Percocet\tPercocet\tNNP\tI-NP\tO' -p235826 -aS'one\tone\tCD\tI-NP\tO' -p235827 -aS'to\tto\tTO\tI-NP\tO' -p235828 -aS'two\ttwo\tCD\tI-NP\tO' -p235829 -aS'tablets\ttablet\tNNS\tI-NP\tO' -p235830 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p235831 -aS'q.4-6h.\tq.4-6h.\tNN\tI-NP\tO' -p235832 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p235833 -asS'His pathology came back as a large grade IV glioma .' -p235834 -(lp235835 -S'His\tHis\tPRP$\tB-NP\tO' -p235836 -aS'pathology\tpathology\tNN\tI-NP\tO' -p235837 -aS'came\tcome\tVBD\tB-VP\tO' -p235838 -aS'back\tback\tRB\tB-ADVP\tO' -p235839 -aS'as\tas\tIN\tB-PP\tO' -p235840 -aS'a\ta\tDT\tB-NP\tO' -p235841 -aS'large\tlarge\tJJ\tI-NP\tO' -p235842 -aS'grade\tgrade\tNN\tI-NP\tO' -p235843 -aS'IV\tIV\tCD\tI-NP\tO' -p235844 -aS'glioma\tglioma\tNN\tI-NP\tO' -p235845 -aS'.\t.\t.\tO\tO' -p235846 -asS'Sulfa causes rash .' -p235847 -(lp235848 -S'Sulfa\tSulfa\tNN\tB-NP\tO' -p235849 -aS'causes\tcause\tVBZ\tB-VP\tO' -p235850 -aS'rash\trash\tNN\tB-NP\tO' -p235851 -aS'.\t.\t.\tO\tO' -p235852 -asS'On the 16th , a urine culture was obtained and did grow out greater than 100,000 colonies of E. coli which was intermittently resistant to Ciprofloxacin .' -p235853 -(lp235854 -S'On\tOn\tIN\tB-PP\tO' -p235855 -aS'the\tthe\tDT\tB-NP\tO' -p235856 -aS'16th\t16th\tNN\tI-NP\tO' -p235857 -aS',\t,\t,\tO\tO' -p235858 -aS'a\ta\tDT\tB-NP\tO' -p235859 -aS'urine\turine\tNN\tI-NP\tO' -p235860 -aS'culture\tculture\tNN\tI-NP\tO' -p235861 -aS'was\tbe\tVBD\tB-VP\tO' -p235862 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p235863 -aS'and\tand\tCC\tO\tO' -p235864 -aS'did\tdo\tVBD\tB-VP\tO' -p235865 -aS'grow\tgrow\tVB\tI-VP\tO' -p235866 -aS'out\tout\tRP\tB-PRT\tO' -p235867 -aS'greater\tgreat\tJJR\tB-NP\tO' -p235868 -aS'than\tthan\tIN\tI-NP\tO' -p235869 -aS'100,000\t100,000\tCD\tI-NP\tO' -p235870 -aS'colonies\tcolony\tNNS\tI-NP\tO' -p235871 -aS'of\tof\tIN\tB-PP\tO' -p235872 -aS'E.\tE.\tNNP\tB-NP\tO' -p235873 -aS'coli\tcoli\tNNS\tI-NP\tO' -p235874 -aS'which\twhich\tWDT\tB-NP\tO' -p235875 -aS'was\tbe\tVBD\tB-VP\tO' -p235876 -aS'intermittently\tintermittently\tRB\tB-ADJP\tO' -p235877 -aS'resistant\tresistant\tJJ\tI-ADJP\tO' -p235878 -aS'to\tto\tTO\tB-PP\tO' -p235879 -aS'Ciprofloxacin\tCiprofloxacin\tNN\tB-NP\tO' -p235880 -aS'.\t.\t.\tO\tO' -p235881 -asS'Skin normal .' -p235882 -(lp235883 -S'Skin\tSkin\tNN\tB-NP\tO' -p235884 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p235885 -aS'.\t.\t.\tO\tO' -p235886 -asS'Mental status improved during times when propofol was held .' -p235887 -(lp235888 -S'Mental\tMental\tJJ\tB-NP\tO' -p235889 -aS'status\tstatus\tNN\tI-NP\tO' -p235890 -aS'improved\timprove\tVBN\tB-VP\tO' -p235891 -aS'during\tduring\tIN\tB-PP\tO' -p235892 -aS'times\ttime\tNNS\tB-NP\tO' -p235893 -aS'when\twhen\tWRB\tB-ADVP\tO' -p235894 -aS'propofol\tpropofol\tNN\tB-NP\tO' -p235895 -aS'was\tbe\tVBD\tB-VP\tO' -p235896 -aS'held\thold\tVBN\tI-VP\tO' -p235897 -aS'.\t.\t.\tO\tO' -p235898 -asS'Ever since the pulmonary embolus she has been on oxygen .' -p235899 -(lp235900 -S'Ever\tEver\tRB\tB-PP\tO' -p235901 -aS'since\tsince\tIN\tI-PP\tO' -p235902 -aS'the\tthe\tDT\tB-NP\tO' -p235903 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p235904 -aS'embolus\tembolus\tNN\tI-NP\tO' -p235905 -aS'she\tshe\tPRP\tB-NP\tO' -p235906 -aS'has\thave\tVBZ\tB-VP\tO' -p235907 -aS'been\tbe\tVBN\tI-VP\tO' -p235908 -aS'on\ton\tIN\tB-PP\tO' -p235909 -aS'oxygen\toxygen\tNN\tB-NP\tO' -p235910 -aS'.\t.\t.\tO\tO' -p235911 -asS'Bilateral pleural effusion were seen with associated compression atelectasis .' -p235912 -(lp235913 -S'Bilateral\tBilateral\tJJ\tB-NP\tO' -p235914 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p235915 -aS'effusion\teffusion\tNN\tI-NP\tO' -p235916 -aS'were\tbe\tVBD\tB-VP\tO' -p235917 -aS'seen\tsee\tVBN\tI-VP\tO' -p235918 -aS'with\twith\tIN\tB-PP\tO' -p235919 -aS'associated\tassociate\tVBN\tB-NP\tO' -p235920 -aS'compression\tcompression\tNN\tI-NP\tO' -p235921 -aS'atelectasis\tatelectasis\tNN\tI-NP\tO' -p235922 -aS'.\t.\t.\tO\tO' -p235923 -asS'Of note , his CD4 count was less than 200 last winter .' -p235924 -(lp235925 -S'Of\tOf\tIN\tB-PP\tO' -p235926 -aS'note\tnote\tNN\tB-NP\tO' -p235927 -aS',\t,\t,\tO\tO' -p235928 -aS'his\this\tPRP$\tB-NP\tO' -p235929 -aS'CD4\tCD4\tNN\tI-NP\tB-protein' -p235930 -aS'count\tcount\tNN\tI-NP\tO' -p235931 -aS'was\tbe\tVBD\tB-VP\tO' -p235932 -aS'less\tless\tJJR\tB-NP\tO' -p235933 -aS'than\tthan\tIN\tI-NP\tO' -p235934 -aS'200\t200\tCD\tI-NP\tO' -p235935 -aS'last\tlast\tJJ\tB-NP\tO' -p235936 -aS'winter\twinter\tNN\tI-NP\tO' -p235937 -aS'.\t.\t.\tO\tO' -p235938 -asS'Following the operation , he was brought to the CSRU for invasive monitoring .' -p235939 -(lp235940 -S'Following\tFollow\tVBG\tB-PP\tO' -p235941 -aS'the\tthe\tDT\tB-NP\tO' -p235942 -aS'operation\toperation\tNN\tI-NP\tO' -p235943 -aS',\t,\t,\tO\tO' -p235944 -aS'he\the\tPRP\tB-NP\tO' -p235945 -aS'was\tbe\tVBD\tB-VP\tO' -p235946 -aS'brought\tbring\tVBN\tI-VP\tO' -p235947 -aS'to\tto\tTO\tB-PP\tO' -p235948 -aS'the\tthe\tDT\tB-NP\tO' -p235949 -aS'CSRU\tCSRU\tNN\tI-NP\tO' -p235950 -aS'for\tfor\tIN\tB-PP\tO' -p235951 -aS'invasive\tinvasive\tJJ\tB-NP\tO' -p235952 -aS'monitoring\tmonitoring\tNN\tI-NP\tO' -p235953 -aS'.\t.\t.\tO\tO' -p235954 -asS'3. Atrial fibrillation .' -p235955 -(lp235956 -S'3.\t3.\tLS\tB-NP\tO' -p235957 -aS'Atrial\tAtrial\tJJ\tI-NP\tO' -p235958 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p235959 -aS'.\t.\t.\tO\tO' -p235960 -asS'If clinically indicated a TEE would be better able to define an abnormality of the aortic valve .' -p235961 -(lp235962 -S'If\tIf\tIN\tB-SBAR\tO' -p235963 -aS'clinically\tclinically\tRB\tB-ADVP\tO' -p235964 -aS'indicated\tindicate\tVBD\tB-VP\tO' -p235965 -aS'a\ta\tDT\tB-NP\tO' -p235966 -aS'TEE\tTEE\tNN\tI-NP\tO' -p235967 -aS'would\twould\tMD\tB-VP\tO' -p235968 -aS'be\tbe\tVB\tI-VP\tO' -p235969 -aS'better\tgood\tJJR\tB-ADJP\tO' -p235970 -aS'able\table\tJJ\tI-ADJP\tO' -p235971 -aS'to\tto\tTO\tB-VP\tO' -p235972 -aS'define\tdefine\tVB\tI-VP\tO' -p235973 -aS'an\tan\tDT\tB-NP\tO' -p235974 -aS'abnormality\tabnormality\tNN\tI-NP\tO' -p235975 -aS'of\tof\tIN\tB-PP\tO' -p235976 -aS'the\tthe\tDT\tB-NP\tO' -p235977 -aS'aortic\taortic\tJJ\tI-NP\tO' -p235978 -aS'valve\tvalve\tNN\tI-NP\tO' -p235979 -aS'.\t.\t.\tO\tO' -p235980 -asS'She averaged 2-3 apnea episodes a day with bradycardia and desaturations .' -p235981 -(lp235982 -S'She\tShe\tPRP\tB-NP\tO' -p235983 -aS'averaged\taverage\tVBD\tB-VP\tO' -p235984 -aS'2-3\t2-3\tCD\tB-NP\tO' -p235985 -aS'apnea\tapnea\tNN\tI-NP\tO' -p235986 -aS'episodes\tepisode\tVBZ\tB-VP\tO' -p235987 -aS'a\ta\tDT\tB-NP\tO' -p235988 -aS'day\tday\tNN\tI-NP\tO' -p235989 -aS'with\twith\tIN\tB-PP\tO' -p235990 -aS'bradycardia\tbradycardia\tNN\tB-NP\tO' -p235991 -aS'and\tand\tCC\tI-NP\tO' -p235992 -aS'desaturations\tdesaturation\tNNS\tI-NP\tO' -p235993 -aS'.\t.\t.\tO\tO' -p235994 -asS'Since the previous tracing of 2018-03-15 atrial pacing is a new finding .' -p235995 -(lp235996 -S'Since\tSince\tIN\tB-SBAR\tO' -p235997 -aS'the\tthe\tDT\tB-NP\tO' -p235998 -aS'previous\tprevious\tJJ\tI-NP\tO' -p235999 -aS'tracing\ttracing\tNN\tI-NP\tO' -p236000 -aS'of\tof\tIN\tB-PP\tO' -p236001 -aS'2018-03-15\t2018-03-15\tCD\tB-NP\tO' -p236002 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p236003 -aS'pacing\tpacing\tNN\tI-NP\tO' -p236004 -aS'is\tbe\tVBZ\tB-VP\tO' -p236005 -aS'a\ta\tDT\tB-NP\tO' -p236006 -aS'new\tnew\tJJ\tI-NP\tO' -p236007 -aS'finding\tfinding\tNN\tI-NP\tO' -p236008 -aS'.\t.\t.\tO\tO' -p236009 -asS'Fibroid uterus status post embolization on 2009-01-07 .' -p236010 -(lp236011 -S'Fibroid\tFibroid\tJJ\tB-NP\tO' -p236012 -aS'uterus\tuterus\tNN\tI-NP\tO' -p236013 -aS'status\tstatus\tNN\tI-NP\tO' -p236014 -aS'post\tpost\tNN\tI-NP\tO' -p236015 -aS'embolization\tembolization\tNN\tI-NP\tO' -p236016 -aS'on\ton\tIN\tB-PP\tO' -p236017 -aS'2009-01-07\t2009-01-07\tCD\tB-NP\tO' -p236018 -aS'.\t.\t.\tO\tO' -p236019 -asS'He did have an episode of a prolonged sinus pause in the recovery room , which resulted in transient loss of consciousness .' -p236020 -(lp236021 -S'He\tHe\tPRP\tB-NP\tO' -p236022 -aS'did\tdo\tVBD\tB-VP\tO' -p236023 -aS'have\thave\tVB\tI-VP\tO' -p236024 -aS'an\tan\tDT\tB-NP\tO' -p236025 -aS'episode\tepisode\tNN\tI-NP\tO' -p236026 -aS'of\tof\tIN\tB-PP\tO' -p236027 -aS'a\ta\tDT\tB-NP\tO' -p236028 -aS'prolonged\tprolong\tVBN\tI-NP\tO' -p236029 -aS'sinus\tsinus\tNN\tI-NP\tO' -p236030 -aS'pause\tpause\tNN\tI-NP\tO' -p236031 -aS'in\tin\tIN\tB-PP\tO' -p236032 -aS'the\tthe\tDT\tB-NP\tO' -p236033 -aS'recovery\trecovery\tNN\tI-NP\tO' -p236034 -aS'room\troom\tNN\tI-NP\tO' -p236035 -aS',\t,\t,\tO\tO' -p236036 -aS'which\twhich\tWDT\tB-NP\tO' -p236037 -aS'resulted\tresult\tVBD\tB-VP\tO' -p236038 -aS'in\tin\tIN\tB-PP\tO' -p236039 -aS'transient\ttransient\tJJ\tB-NP\tO' -p236040 -aS'loss\tloss\tNN\tI-NP\tO' -p236041 -aS'of\tof\tIN\tB-PP\tO' -p236042 -aS'consciousness\tconsciousness\tNN\tB-NP\tO' -p236043 -aS'.\t.\t.\tO\tO' -p236044 -asS'All efforts were directed to his comfort and he died on July 1 , 1992 .' -p236045 -(lp236046 -S'All\tAll\tDT\tB-NP\tO' -p236047 -aS'efforts\teffort\tNNS\tI-NP\tO' -p236048 -aS'were\tbe\tVBD\tB-VP\tO' -p236049 -aS'directed\tdirect\tVBN\tI-VP\tO' -p236050 -aS'to\tto\tTO\tB-PP\tO' -p236051 -aS'his\this\tPRP$\tB-NP\tO' -p236052 -aS'comfort\tcomfort\tNN\tI-NP\tO' -p236053 -aS'and\tand\tCC\tO\tO' -p236054 -aS'he\the\tPRP\tB-NP\tO' -p236055 -aS'died\tdie\tVBD\tB-VP\tO' -p236056 -aS'on\ton\tIN\tB-PP\tO' -p236057 -aS'July\tJuly\tNNP\tB-NP\tO' -p236058 -aS'1\t1\tCD\tI-NP\tO' -p236059 -aS',\t,\t,\tI-NP\tO' -p236060 -aS'1992\t1992\tCD\tI-NP\tO' -p236061 -aS'.\t.\t.\tO\tO' -p236062 -asS'She is to follow up with her primary care physician in one week .' -p236063 -(lp236064 -S'She\tShe\tPRP\tB-NP\tO' -p236065 -aS'is\tbe\tVBZ\tB-VP\tO' -p236066 -aS'to\tto\tTO\tB-VP\tO' -p236067 -aS'follow\tfollow\tVB\tI-VP\tO' -p236068 -aS'up\tup\tRP\tB-PRT\tO' -p236069 -aS'with\twith\tIN\tB-PP\tO' -p236070 -aS'her\ther\tPRP$\tB-NP\tO' -p236071 -aS'primary\tprimary\tJJ\tI-NP\tO' -p236072 -aS'care\tcare\tNN\tI-NP\tO' -p236073 -aS'physician\tphysician\tNN\tI-NP\tO' -p236074 -aS'in\tin\tIN\tB-PP\tO' -p236075 -aS'one\tone\tCD\tB-NP\tO' -p236076 -aS'week\tweek\tNN\tI-NP\tO' -p236077 -aS'.\t.\t.\tO\tO' -p236078 -asS'The patient denied any fevers , chills , chest pain , shortness of breath or dysuria but does state she had her usual migraine headache the night prior to admission .' -p236079 -(lp236080 -S'The\tThe\tDT\tB-NP\tO' -p236081 -aS'patient\tpatient\tNN\tI-NP\tO' -p236082 -aS'denied\tdeny\tVBD\tB-VP\tO' -p236083 -aS'any\tany\tDT\tB-NP\tO' -p236084 -aS'fevers\tfever\tNNS\tI-NP\tO' -p236085 -aS',\t,\t,\tO\tO' -p236086 -aS'chills\tchill\tNNS\tB-NP\tO' -p236087 -aS',\t,\t,\tO\tO' -p236088 -aS'chest\tchest\tNN\tB-NP\tO' -p236089 -aS'pain\tpain\tNN\tI-NP\tO' -p236090 -aS',\t,\t,\tO\tO' -p236091 -aS'shortness\tshortness\tNN\tB-NP\tO' -p236092 -aS'of\tof\tIN\tB-PP\tO' -p236093 -aS'breath\tbreath\tNN\tB-NP\tO' -p236094 -aS'or\tor\tCC\tI-NP\tO' -p236095 -aS'dysuria\tdysuria\tNN\tI-NP\tO' -p236096 -aS'but\tbut\tCC\tO\tO' -p236097 -aS'does\tdo\tVBZ\tB-VP\tO' -p236098 -aS'state\tstate\tVB\tI-VP\tO' -p236099 -aS'she\tshe\tPRP\tB-NP\tO' -p236100 -aS'had\thave\tVBD\tB-VP\tO' -p236101 -aS'her\ther\tPRP$\tB-NP\tO' -p236102 -aS'usual\tusual\tJJ\tI-NP\tO' -p236103 -aS'migraine\tmigraine\tNN\tI-NP\tO' -p236104 -aS'headache\theadache\tVBP\tB-VP\tO' -p236105 -aS'the\tthe\tDT\tB-NP\tO' -p236106 -aS'night\tnight\tNN\tI-NP\tO' -p236107 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p236108 -aS'to\tto\tTO\tB-PP\tO' -p236109 -aS'admission\tadmission\tNN\tB-NP\tO' -p236110 -aS'.\t.\t.\tO\tO' -p236111 -asS'She is status post cadaveric renal allograft in 03/93 , and she subsequently underwent an early postoperative transplant nephrectomy secondary to rupture .' -p236112 -(lp236113 -S'She\tShe\tPRP\tB-NP\tO' -p236114 -aS'is\tbe\tVBZ\tB-VP\tO' -p236115 -aS'status\tstatus\tJJ\tB-ADJP\tO' -p236116 -aS'post\tpost\tIN\tB-PP\tO' -p236117 -aS'cadaveric\tcadaveric\tJJ\tB-NP\tO' -p236118 -aS'renal\trenal\tJJ\tI-NP\tO' -p236119 -aS'allograft\tallograft\tNN\tI-NP\tO' -p236120 -aS'in\tin\tIN\tB-PP\tO' -p236121 -aS'03/93\t03/93\tCD\tB-NP\tO' -p236122 -aS',\t,\t,\tO\tO' -p236123 -aS'and\tand\tCC\tO\tO' -p236124 -aS'she\tshe\tPRP\tB-NP\tO' -p236125 -aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' -p236126 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p236127 -aS'an\tan\tDT\tB-NP\tO' -p236128 -aS'early\tearly\tJJ\tI-NP\tO' -p236129 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p236130 -aS'transplant\ttransplant\tNN\tI-NP\tO' -p236131 -aS'nephrectomy\tnephrectomy\tNN\tI-NP\tO' -p236132 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p236133 -aS'to\tto\tTO\tB-VP\tO' -p236134 -aS'rupture\trupture\tVB\tI-VP\tO' -p236135 -aS'.\t.\t.\tO\tO' -p236136 -asS'The patient is an obese male in no acute distress .' -p236137 -(lp236138 -S'The\tThe\tDT\tB-NP\tO' -p236139 -aS'patient\tpatient\tNN\tI-NP\tO' -p236140 -aS'is\tbe\tVBZ\tB-VP\tO' -p236141 -aS'an\tan\tDT\tB-NP\tO' -p236142 -aS'obese\tobese\tJJ\tI-NP\tO' -p236143 -aS'male\tmale\tNN\tI-NP\tO' -p236144 -aS'in\tin\tIN\tB-PP\tO' -p236145 -aS'no\tno\tDT\tB-NP\tO' -p236146 -aS'acute\tacute\tJJ\tI-NP\tO' -p236147 -aS'distress\tdistress\tNN\tI-NP\tO' -p236148 -aS'.\t.\t.\tO\tO' -p236149 -asS'Normal first heart sounds and second heart sounds .' -p236150 -(lp236151 -S'Normal\tNormal\tJJ\tB-NP\tO' -p236152 -aS'first\tfirst\tJJ\tI-NP\tO' -p236153 -aS'heart\theart\tNN\tI-NP\tO' -p236154 -aS'sounds\tsound\tNNS\tI-NP\tO' -p236155 -aS'and\tand\tCC\tO\tO' -p236156 -aS'second\tsecond\tJJ\tB-NP\tO' -p236157 -aS'heart\theart\tNN\tI-NP\tO' -p236158 -aS'sounds\tsound\tNNS\tI-NP\tO' -p236159 -aS'.\t.\t.\tO\tO' -p236160 -asS'Three liters of clear green fluid were found in the abdominal cavity .' -p236161 -(lp236162 -S'Three\tThree\tCD\tB-NP\tO' -p236163 -aS'liters\tliter\tNNS\tI-NP\tO' -p236164 -aS'of\tof\tIN\tB-PP\tO' -p236165 -aS'clear\tclear\tJJ\tB-NP\tO' -p236166 -aS'green\tgreen\tJJ\tI-NP\tO' -p236167 -aS'fluid\tfluid\tNN\tI-NP\tO' -p236168 -aS'were\tbe\tVBD\tB-VP\tO' -p236169 -aS'found\tfind\tVBN\tI-VP\tO' -p236170 -aS'in\tin\tIN\tB-PP\tO' -p236171 -aS'the\tthe\tDT\tB-NP\tO' -p236172 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p236173 -aS'cavity\tcavity\tNN\tI-NP\tO' -p236174 -aS'.\t.\t.\tO\tO' -p236175 -asS'He was put on Pepcid for GI prophylaxis .' -p236176 -(lp236177 -S'He\tHe\tPRP\tB-NP\tO' -p236178 -aS'was\tbe\tVBD\tB-VP\tO' -p236179 -aS'put\tput\tVBN\tI-VP\tO' -p236180 -aS'on\ton\tIN\tB-PP\tO' -p236181 -aS'Pepcid\tPepcid\tNN\tB-NP\tO' -p236182 -aS'for\tfor\tIN\tB-PP\tO' -p236183 -aS'GI\tGI\tNN\tB-NP\tO' -p236184 -aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' -p236185 -aS'.\t.\t.\tO\tO' -p236186 -asS'She had an uneventful night .' -p236187 -(lp236188 -S'She\tShe\tPRP\tB-NP\tO' -p236189 -aS'had\thave\tVBD\tB-VP\tO' -p236190 -aS'an\tan\tDT\tB-NP\tO' -p236191 -aS'uneventful\tuneventful\tJJ\tI-NP\tO' -p236192 -aS'night\tnight\tNN\tI-NP\tO' -p236193 -aS'.\t.\t.\tO\tO' -p236194 -asS'He stabilized from this , but on the fifth while continuing to have extremely ventilator requirement .' -p236195 -(lp236196 -S'He\tHe\tPRP\tB-NP\tO' -p236197 -aS'stabilized\tstabilize\tVBD\tB-VP\tO' -p236198 -aS'from\tfrom\tIN\tB-PP\tO' -p236199 -aS'this\tthis\tDT\tB-NP\tO' -p236200 -aS',\t,\t,\tO\tO' -p236201 -aS'but\tbut\tCC\tO\tO' -p236202 -aS'on\ton\tIN\tB-PP\tO' -p236203 -aS'the\tthe\tDT\tB-NP\tO' -p236204 -aS'fifth\tfifth\tNN\tI-NP\tO' -p236205 -aS'while\twhile\tIN\tB-SBAR\tO' -p236206 -aS'continuing\tcontinue\tVBG\tB-VP\tO' -p236207 -aS'to\tto\tTO\tI-VP\tO' -p236208 -aS'have\thave\tVB\tI-VP\tO' -p236209 -aS'extremely\textremely\tRB\tB-NP\tO' -p236210 -aS'ventilator\tventilator\tNN\tI-NP\tO' -p236211 -aS'requirement\trequirement\tNN\tI-NP\tO' -p236212 -aS'.\t.\t.\tO\tO' -p236213 -asS'There was no rebound and no hepatosplenomegaly .' -p236214 -(lp236215 -S'There\tThere\tEX\tB-NP\tO' -p236216 -aS'was\tbe\tVBD\tB-VP\tO' -p236217 -aS'no\tno\tDT\tB-NP\tO' -p236218 -aS'rebound\trebound\tNN\tI-NP\tO' -p236219 -aS'and\tand\tCC\tO\tO' -p236220 -aS'no\tno\tDT\tB-NP\tO' -p236221 -aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tI-NP\tO' -p236222 -aS'.\t.\t.\tO\tO' -p236223 -asS'The percutaneous drainage catheter continued to have high output .' -p236224 -(lp236225 -S'The\tThe\tDT\tB-NP\tO' -p236226 -aS'percutaneous\tpercutaneous\tJJ\tI-NP\tO' -p236227 -aS'drainage\tdrainage\tNN\tI-NP\tO' -p236228 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p236229 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p236230 -aS'to\tto\tTO\tI-VP\tO' -p236231 -aS'have\thave\tVB\tI-VP\tO' -p236232 -aS'high\thigh\tJJ\tB-NP\tO' -p236233 -aS'output\toutput\tNN\tI-NP\tO' -p236234 -aS'.\t.\t.\tO\tO' -p236235 -asS'Follow up with Dr. Pilcher , Dr. Donnie , and Dr. Harris upon discharge .' -p236236 -(lp236237 -S'Follow\tFollow\tVB\tB-VP\tO' -p236238 -aS'up\tup\tRP\tB-PRT\tO' -p236239 -aS'with\twith\tIN\tB-PP\tO' -p236240 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p236241 -aS'Pilcher\tPilcher\tNNP\tI-NP\tO' -p236242 -aS',\t,\t,\tO\tO' -p236243 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p236244 -aS'Donnie\tDonnie\tNNP\tI-NP\tO' -p236245 -aS',\t,\t,\tO\tO' -p236246 -aS'and\tand\tCC\tO\tO' -p236247 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p236248 -aS'Harris\tHarris\tNNP\tI-NP\tO' -p236249 -aS'upon\tupon\tIN\tB-PP\tO' -p236250 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p236251 -aS'.\t.\t.\tO\tO' -p236252 -asS'Metastatic bladder CA now in remission s/p chemo/xrt s/p cystectomy and ileal loop urinary diversion and also radical prstatectomy with bilateral pelvic lymph node dissection .' -p236253 -(lp236254 -S'Metastatic\tMetastatic\tJJ\tB-NP\tO' -p236255 -aS'bladder\tbladder\tNN\tI-NP\tO' -p236256 -aS'CA\tCA\tNN\tI-NP\tO' -p236257 -aS'now\tnow\tRB\tB-ADVP\tO' -p236258 -aS'in\tin\tIN\tB-PP\tO' -p236259 -aS'remission\tremission\tNN\tB-NP\tO' -p236260 -aS's/p\ts/p\tNN\tI-NP\tO' -p236261 -aS'chemo/xrt\tchemo/xrt\tNN\tI-NP\tO' -p236262 -aS's/p\ts/p\tNN\tI-NP\tO' -p236263 -aS'cystectomy\tcystectomy\tNN\tI-NP\tO' -p236264 -aS'and\tand\tCC\tO\tO' -p236265 -aS'ileal\tileal\tJJ\tB-NP\tO' -p236266 -aS'loop\tloop\tNN\tI-NP\tO' -p236267 -aS'urinary\turinary\tJJ\tI-NP\tO' -p236268 -aS'diversion\tdiversion\tNN\tI-NP\tO' -p236269 -aS'and\tand\tCC\tO\tO' -p236270 -aS'also\talso\tRB\tB-ADVP\tO' -p236271 -aS'radical\tradical\tJJ\tB-NP\tO' -p236272 -aS'prstatectomy\tprstatectomy\tNN\tI-NP\tO' -p236273 -aS'with\twith\tIN\tB-PP\tO' -p236274 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p236275 -aS'pelvic\tpelvic\tJJ\tI-NP\tO' -p236276 -aS'lymph\tlymph\tNN\tI-NP\tO' -p236277 -aS'node\tnode\tNN\tI-NP\tO' -p236278 -aS'dissection\tdissection\tNN\tI-NP\tO' -p236279 -aS'.\t.\t.\tO\tO' -p236280 -asS'The motor exam-moves all four extremities easily and on command .' -p236281 -(lp236282 -S'The\tThe\tDT\tB-NP\tO' -p236283 -aS'motor\tmotor\tNN\tI-NP\tO' -p236284 -aS'exam-moves\texam-move\tVBZ\tB-VP\tO' -p236285 -aS'all\tall\tDT\tB-NP\tO' -p236286 -aS'four\tfour\tCD\tI-NP\tO' -p236287 -aS'extremities\textremity\tNNS\tI-NP\tO' -p236288 -aS'easily\teasily\tRB\tB-ADVP\tO' -p236289 -aS'and\tand\tCC\tO\tO' -p236290 -aS'on\ton\tIN\tB-PP\tO' -p236291 -aS'command\tcommand\tNN\tB-NP\tO' -p236292 -aS'.\t.\t.\tO\tO' -p236293 -asS'He is allergic to Penicillin , Inderal , and also to Procan .' -p236294 -(lp236295 -S'He\tHe\tPRP\tB-NP\tO' -p236296 -aS'is\tbe\tVBZ\tB-VP\tO' -p236297 -aS'allergic\tallergic\tJJ\tB-ADJP\tO' -p236298 -aS'to\tto\tTO\tB-PP\tO' -p236299 -aS'Penicillin\tPenicillin\tNNP\tB-NP\tO' -p236300 -aS',\t,\t,\tO\tO' -p236301 -aS'Inderal\tInderal\tNNP\tB-NP\tO' -p236302 -aS',\t,\t,\tO\tO' -p236303 -aS'and\tand\tCC\tO\tO' -p236304 -aS'also\talso\tRB\tB-ADVP\tO' -p236305 -aS'to\tto\tTO\tB-PP\tO' -p236306 -aS'Procan\tProcan\tNNP\tB-NP\tO' -p236307 -aS'.\t.\t.\tO\tO' -p236308 -asS"A family meeting was held on hospital day #4 which included the pt 's closest family members , her hepatologist , Dr. Steidl , her PCP , Dr. Popoff and the ICU team ." -p236309 -(lp236310 -S'A\tA\tDT\tB-NP\tO' -p236311 -aS'family\tfamily\tNN\tI-NP\tO' -p236312 -aS'meeting\tmeeting\tNN\tI-NP\tO' -p236313 -aS'was\tbe\tVBD\tB-VP\tO' -p236314 -aS'held\thold\tVBN\tI-VP\tO' -p236315 -aS'on\ton\tIN\tB-PP\tO' -p236316 -aS'hospital\thospital\tNN\tB-NP\tO' -p236317 -aS'day\tday\tNN\tI-NP\tO' -p236318 -aS'#4\t#4\tCD\tI-NP\tO' -p236319 -aS'which\twhich\tWDT\tB-NP\tO' -p236320 -aS'included\tinclude\tVBD\tB-VP\tO' -p236321 -aS'the\tthe\tDT\tB-NP\tO' -p236322 -aS'pt\tpt\tNN\tI-NP\tB-protein' -p236323 -aS"'s\t's\tPOS\tB-NP\tI-protein" -p236324 -aS'closest\tclose\tJJS\tI-NP\tI-protein' -p236325 -aS'family\tfamily\tNN\tI-NP\tI-protein' -p236326 -aS'members\tmember\tNNS\tI-NP\tI-protein' -p236327 -aS',\t,\t,\tO\tO' -p236328 -aS'her\ther\tPRP$\tB-NP\tO' -p236329 -aS'hepatologist\thepatologist\tNN\tI-NP\tO' -p236330 -aS',\t,\t,\tO\tO' -p236331 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p236332 -aS'Steidl\tSteidl\tNNP\tI-NP\tO' -p236333 -aS',\t,\t,\tO\tO' -p236334 -aS'her\ther\tPRP$\tB-NP\tO' -p236335 -aS'PCP\tPCP\tNN\tI-NP\tB-DNA' -p236336 -aS',\t,\t,\tO\tO' -p236337 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p236338 -aS'Popoff\tPopoff\tNNP\tI-NP\tO' -p236339 -aS'and\tand\tCC\tO\tO' -p236340 -aS'the\tthe\tDT\tB-NP\tO' -p236341 -aS'ICU\tICU\tNN\tI-NP\tB-protein' -p236342 -aS'team\tteam\tNN\tI-NP\tI-protein' -p236343 -aS'.\t.\t.\tO\tO' -p236344 -asS'She will be followed in the Centu Fairgmer Queen Medical Center .' -p236345 -(lp236346 -S'She\tShe\tPRP\tB-NP\tO' -p236347 -aS'will\twill\tMD\tB-VP\tO' -p236348 -aS'be\tbe\tVB\tI-VP\tO' -p236349 -aS'followed\tfollow\tVBN\tI-VP\tO' -p236350 -aS'in\tin\tIN\tB-PP\tO' -p236351 -aS'the\tthe\tDT\tB-NP\tO' -p236352 -aS'Centu\tCentu\tNNP\tI-NP\tO' -p236353 -aS'Fairgmer\tFairgmer\tNNP\tI-NP\tO' -p236354 -aS'Queen\tQueen\tNNP\tI-NP\tO' -p236355 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p236356 -aS'Center\tCenter\tNNP\tI-NP\tO' -p236357 -aS'.\t.\t.\tO\tO' -p236358 -asS'She was eventually stabilized and transfered out of the ICU to the medical Mary Lane Hospital .' -p236359 -(lp236360 -S'She\tShe\tPRP\tB-NP\tO' -p236361 -aS'was\tbe\tVBD\tB-VP\tO' -p236362 -aS'eventually\teventually\tRB\tI-VP\tO' -p236363 -aS'stabilized\tstabilize\tVBN\tI-VP\tO' -p236364 -aS'and\tand\tCC\tI-VP\tO' -p236365 -aS'transfered\ttransfer\tVBN\tI-VP\tO' -p236366 -aS'out\tout\tIN\tB-PP\tO' -p236367 -aS'of\tof\tIN\tB-PP\tO' -p236368 -aS'the\tthe\tDT\tB-NP\tO' -p236369 -aS'ICU\tICU\tNN\tI-NP\tB-protein' -p236370 -aS'to\tto\tTO\tB-PP\tO' -p236371 -aS'the\tthe\tDT\tB-NP\tO' -p236372 -aS'medical\tmedical\tJJ\tI-NP\tO' -p236373 -aS'Mary\tMary\tNNP\tI-NP\tO' -p236374 -aS'Lane\tLane\tNNP\tI-NP\tO' -p236375 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p236376 -aS'.\t.\t.\tO\tO' -p236377 -asS'They understand that there is no ICU at WIH and no further advanced pulmonary support can be offered .' -p236378 -(lp236379 -S'They\tThey\tPRP\tB-NP\tO' -p236380 -aS'understand\tunderstand\tVBP\tB-VP\tO' -p236381 -aS'that\tthat\tIN\tB-SBAR\tO' -p236382 -aS'there\tthere\tEX\tB-NP\tO' -p236383 -aS'is\tbe\tVBZ\tB-VP\tO' -p236384 -aS'no\tno\tDT\tB-NP\tO' -p236385 -aS'ICU\tICU\tNN\tI-NP\tB-protein' -p236386 -aS'at\tat\tIN\tB-PP\tO' -p236387 -aS'WIH\tWIH\tNN\tB-NP\tO' -p236388 -aS'and\tand\tCC\tO\tO' -p236389 -aS'no\tno\tDT\tB-NP\tO' -p236390 -aS'further\tfurther\tJJ\tI-NP\tO' -p236391 -aS'advanced\tadvanced\tJJ\tI-NP\tO' -p236392 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p236393 -aS'support\tsupport\tNN\tI-NP\tO' -p236394 -aS'can\tcan\tMD\tB-VP\tO' -p236395 -aS'be\tbe\tVB\tI-VP\tO' -p236396 -aS'offered\toffer\tVBN\tI-VP\tO' -p236397 -aS'.\t.\t.\tO\tO' -p236398 -asS'Neurology evaluated the baby and found the baby to have a normal neurological examination .' -p236399 -(lp236400 -S'Neurology\tNeurology\tNNP\tB-NP\tO' -p236401 -aS'evaluated\tevaluate\tVBD\tB-VP\tO' -p236402 -aS'the\tthe\tDT\tB-NP\tO' -p236403 -aS'baby\tbaby\tNN\tI-NP\tO' -p236404 -aS'and\tand\tCC\tO\tO' -p236405 -aS'found\tfind\tVBD\tB-VP\tO' -p236406 -aS'the\tthe\tDT\tB-NP\tO' -p236407 -aS'baby\tbaby\tNN\tI-NP\tO' -p236408 -aS'to\tto\tTO\tB-VP\tO' -p236409 -aS'have\thave\tVB\tI-VP\tO' -p236410 -aS'a\ta\tDT\tB-NP\tO' -p236411 -aS'normal\tnormal\tJJ\tI-NP\tO' -p236412 -aS'neurological\tneurological\tJJ\tI-NP\tO' -p236413 -aS'examination\texamination\tNN\tI-NP\tO' -p236414 -aS'.\t.\t.\tO\tO' -p236415 -asS'These findings may reflect thrombus within the left and right hepatic veins .' -p236416 -(lp236417 -S'These\tThese\tDT\tB-NP\tO' -p236418 -aS'findings\tfinding\tNNS\tI-NP\tO' -p236419 -aS'may\tmay\tMD\tB-VP\tO' -p236420 -aS'reflect\treflect\tVB\tI-VP\tO' -p236421 -aS'thrombus\tthrombus\tNN\tB-NP\tO' -p236422 -aS'within\twithin\tIN\tB-PP\tO' -p236423 -aS'the\tthe\tDT\tB-NP\tO' -p236424 -aS'left\tleft\tJJ\tI-NP\tO' -p236425 -aS'and\tand\tCC\tI-NP\tO' -p236426 -aS'right\tright\tJJ\tI-NP\tO' -p236427 -aS'hepatic\thepatic\tJJ\tI-NP\tO' -p236428 -aS'veins\tvein\tNNS\tI-NP\tO' -p236429 -aS'.\t.\t.\tO\tO' -p236430 -asS'She sleeps in a chair up right for the last 2 1/2 years secondary to osteoarthritis .' -p236431 -(lp236432 -S'She\tShe\tPRP\tB-NP\tO' -p236433 -aS'sleeps\tsleep\tVBZ\tB-VP\tO' -p236434 -aS'in\tin\tIN\tB-PP\tO' -p236435 -aS'a\ta\tDT\tB-NP\tO' -p236436 -aS'chair\tchair\tNN\tI-NP\tO' -p236437 -aS'up\tup\tRB\tB-ADVP\tO' -p236438 -aS'right\tright\tRB\tI-ADVP\tO' -p236439 -aS'for\tfor\tIN\tB-PP\tO' -p236440 -aS'the\tthe\tDT\tB-NP\tO' -p236441 -aS'last\tlast\tJJ\tI-NP\tO' -p236442 -aS'2\t2\tCD\tI-NP\tO' -p236443 -aS'1/2\t1/2\tCD\tI-NP\tO' -p236444 -aS'years\tyear\tNNS\tI-NP\tO' -p236445 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p236446 -aS'to\tto\tTO\tB-PP\tO' -p236447 -aS'osteoarthritis\tosteoarthritis\tNN\tB-NP\tO' -p236448 -aS'.\t.\t.\tO\tO' -p236449 -asS'Family did not want a chest tube placed and decided to make the pt CMO measures .' -p236450 -(lp236451 -S'Family\tFamily\tRB\tB-ADVP\tO' -p236452 -aS'did\tdo\tVBD\tB-VP\tO' -p236453 -aS'not\tnot\tRB\tI-VP\tO' -p236454 -aS'want\twant\tVB\tI-VP\tO' -p236455 -aS'a\ta\tDT\tB-NP\tO' -p236456 -aS'chest\tchest\tNN\tI-NP\tO' -p236457 -aS'tube\ttube\tNN\tI-NP\tO' -p236458 -aS'placed\tplace\tVBD\tB-VP\tO' -p236459 -aS'and\tand\tCC\tO\tO' -p236460 -aS'decided\tdecide\tVBD\tB-VP\tO' -p236461 -aS'to\tto\tTO\tI-VP\tO' -p236462 -aS'make\tmake\tVB\tI-VP\tO' -p236463 -aS'the\tthe\tDT\tB-NP\tO' -p236464 -aS'pt\tpt\tNN\tI-NP\tO' -p236465 -aS'CMO\tCMO\tNN\tI-NP\tO' -p236466 -aS'measures\tmeasure\tNNS\tI-NP\tO' -p236467 -aS'.\t.\t.\tO\tO' -p236468 -asS'Call Trauma Clinic to coordinate the study , result and appointment dates (( 289 ) 411-5387 ).' -p236469 -(lp236470 -S'Call\tCall\tNNP\tB-NP\tO' -p236471 -aS'Trauma\tTrauma\tNNP\tI-NP\tO' -p236472 -aS'Clinic\tClinic\tNNP\tI-NP\tO' -p236473 -aS'to\tto\tTO\tB-VP\tO' -p236474 -aS'coordinate\tcoordinate\tVB\tI-VP\tO' -p236475 -aS'the\tthe\tDT\tB-NP\tO' -p236476 -aS'study\tstudy\tNN\tI-NP\tO' -p236477 -aS',\t,\t,\tI-NP\tO' -p236478 -aS'result\tresult\tNN\tI-NP\tO' -p236479 -aS'and\tand\tCC\tI-NP\tO' -p236480 -aS'appointment\tappointment\tNN\tI-NP\tO' -p236481 -aS'dates\tdate\tNNS\tI-NP\tO' -p236482 -aS'((\t((\t(\tO\tO' -p236483 -aS'289\t289\tCD\tB-NP\tO' -p236484 -aS')\t)\t)\tO\tO' -p236485 -aS'411-5387\t411-5387\tCD\tB-NP\tO' -p236486 -aS').\t).\t)\tO\tO' -p236487 -asS'Mesenteric angiograpm w/ coil embolization of bleeding vessel .' -p236488 -(lp236489 -S'Mesenteric\tMesenteric\tJJ\tB-NP\tO' -p236490 -aS'angiograpm\tangiograpm\tNN\tI-NP\tO' -p236491 -aS'w/\tw/\tNN\tI-NP\tO' -p236492 -aS'coil\tcoil\tNN\tI-NP\tO' -p236493 -aS'embolization\tembolization\tNN\tI-NP\tO' -p236494 -aS'of\tof\tIN\tB-PP\tO' -p236495 -aS'bleeding\tbleed\tVBG\tB-VP\tO' -p236496 -aS'vessel\tvessel\tNN\tB-NP\tO' -p236497 -aS'.\t.\t.\tO\tO' -p236498 -asS'Phototherapy was discontinued on 2019-01-04 for a bilirubin of 12.1 , and a rebound bilirubin will be checked on 01-05 .' -p236499 -(lp236500 -S'Phototherapy\tPhototherapy\tNN\tB-NP\tO' -p236501 -aS'was\tbe\tVBD\tB-VP\tO' -p236502 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p236503 -aS'on\ton\tIN\tB-PP\tO' -p236504 -aS'2019-01-04\t2019-01-04\tCD\tB-NP\tO' -p236505 -aS'for\tfor\tIN\tB-PP\tO' -p236506 -aS'a\ta\tDT\tB-NP\tO' -p236507 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p236508 -aS'of\tof\tIN\tB-PP\tO' -p236509 -aS'12.1\t12.1\tCD\tB-NP\tO' -p236510 -aS',\t,\t,\tO\tO' -p236511 -aS'and\tand\tCC\tO\tO' -p236512 -aS'a\ta\tDT\tB-NP\tO' -p236513 -aS'rebound\trebound\tJJ\tI-NP\tO' -p236514 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p236515 -aS'will\twill\tMD\tB-VP\tO' -p236516 -aS'be\tbe\tVB\tI-VP\tO' -p236517 -aS'checked\tcheck\tVBN\tI-VP\tO' -p236518 -aS'on\ton\tIN\tB-PP\tO' -p236519 -aS'01-05\t01-05\tCD\tB-NP\tO' -p236520 -aS'.\t.\t.\tO\tO' -p236521 -asS'Positive occasional alcohol use , occasional pot and crystal meth , but negative IV drug use .' -p236522 -(lp236523 -S'Positive\tPositive\tJJ\tB-NP\tO' -p236524 -aS'occasional\toccasional\tJJ\tI-NP\tO' -p236525 -aS'alcohol\talcohol\tNN\tI-NP\tO' -p236526 -aS'use\tuse\tNN\tI-NP\tO' -p236527 -aS',\t,\t,\tO\tO' -p236528 -aS'occasional\toccasional\tJJ\tB-NP\tO' -p236529 -aS'pot\tpot\tNN\tI-NP\tO' -p236530 -aS'and\tand\tCC\tO\tO' -p236531 -aS'crystal\tcrystal\tJJ\tB-NP\tO' -p236532 -aS'meth\tmeth\tNN\tI-NP\tO' -p236533 -aS',\t,\t,\tO\tO' -p236534 -aS'but\tbut\tCC\tO\tO' -p236535 -aS'negative\tnegative\tJJ\tB-NP\tO' -p236536 -aS'IV\tIV\tCD\tI-NP\tO' -p236537 -aS'drug\tdrug\tNN\tI-NP\tO' -p236538 -aS'use\tuse\tNN\tI-NP\tO' -p236539 -aS'.\t.\t.\tO\tO' -p236540 -asS'parenting .' -p236541 -(lp236542 -S'parenting\tparent\tVBG\tB-VP\tO' -p236543 -aS'.\t.\t.\tO\tO' -p236544 -asS'He also had a penetrating injury to the right eye , which had rendered him blind 10 years previously .' -p236545 -(lp236546 -S'He\tHe\tPRP\tB-NP\tO' -p236547 -aS'also\talso\tRB\tB-ADVP\tO' -p236548 -aS'had\thave\tVBD\tB-VP\tO' -p236549 -aS'a\ta\tDT\tB-NP\tO' -p236550 -aS'penetrating\tpenetrate\tVBG\tI-NP\tO' -p236551 -aS'injury\tinjury\tNN\tI-NP\tO' -p236552 -aS'to\tto\tTO\tB-PP\tO' -p236553 -aS'the\tthe\tDT\tB-NP\tO' -p236554 -aS'right\tright\tJJ\tI-NP\tO' -p236555 -aS'eye\teye\tNN\tI-NP\tO' -p236556 -aS',\t,\t,\tO\tO' -p236557 -aS'which\twhich\tWDT\tB-NP\tO' -p236558 -aS'had\thave\tVBD\tB-VP\tO' -p236559 -aS'rendered\trender\tVBN\tI-VP\tO' -p236560 -aS'him\thim\tPRP\tB-NP\tO' -p236561 -aS'blind\tblind\tJJ\tB-ADJP\tO' -p236562 -aS'10\t10\tCD\tB-NP\tO' -p236563 -aS'years\tyear\tNNS\tI-NP\tO' -p236564 -aS'previously\tpreviously\tRB\tB-ADVP\tO' -p236565 -aS'.\t.\t.\tO\tO' -p236566 -asS'05-11- Urine culture : no growth ( final )' -p236567 -(lp236568 -S'05-11-\t05-11-\tCD\tB-NP\tO' -p236569 -aS'Urine\tUrine\tNNP\tI-NP\tO' -p236570 -aS'culture\tculture\tNN\tI-NP\tO' -p236571 -aS':\t:\t:\tO\tO' -p236572 -aS'no\tno\tDT\tB-NP\tO' -p236573 -aS'growth\tgrowth\tNN\tI-NP\tO' -p236574 -aS'(\t(\t(\tO\tO' -p236575 -aS'final\tfinal\tJJ\tB-ADJP\tO' -p236576 -aS')\t)\t)\tO\tO' -p236577 -asS'Review of systems : denies any fever , chills , weight loss , visual changes , hearing changes , dysphagia , tingling , numbness , bowel-bladder dysfunction , chest pain , shortness of breath , abdominal pain , dysuria , hematuria , or bright red blood per rectum .' -p236578 -(lp236579 -S'Review\tReview\tNN\tB-NP\tO' -p236580 -aS'of\tof\tIN\tB-PP\tO' -p236581 -aS'systems\tsystem\tNNS\tB-NP\tO' -p236582 -aS':\t:\t:\tO\tO' -p236583 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p236584 -aS'any\tany\tDT\tB-NP\tO' -p236585 -aS'fever\tfever\tNN\tI-NP\tO' -p236586 -aS',\t,\t,\tO\tO' -p236587 -aS'chills\tchill\tNNS\tB-NP\tO' -p236588 -aS',\t,\t,\tO\tO' -p236589 -aS'weight\tweight\tNN\tB-NP\tO' -p236590 -aS'loss\tloss\tNN\tI-NP\tO' -p236591 -aS',\t,\t,\tO\tO' -p236592 -aS'visual\tvisual\tJJ\tB-NP\tO' -p236593 -aS'changes\tchange\tNNS\tI-NP\tO' -p236594 -aS',\t,\t,\tO\tO' -p236595 -aS'hearing\thearing\tNN\tB-NP\tO' -p236596 -aS'changes\tchange\tNNS\tI-NP\tO' -p236597 -aS',\t,\t,\tO\tO' -p236598 -aS'dysphagia\tdysphagia\tNN\tB-NP\tO' -p236599 -aS',\t,\t,\tO\tO' -p236600 -aS'tingling\ttingling\tNN\tB-NP\tO' -p236601 -aS',\t,\t,\tO\tO' -p236602 -aS'numbness\tnumbness\tNN\tB-NP\tO' -p236603 -aS',\t,\t,\tO\tO' -p236604 -aS'bowel-bladder\tbowel-bladder\tNN\tB-NP\tO' -p236605 -aS'dysfunction\tdysfunction\tNN\tI-NP\tO' -p236606 -aS',\t,\t,\tO\tO' -p236607 -aS'chest\tchest\tNN\tB-NP\tO' -p236608 -aS'pain\tpain\tNN\tI-NP\tO' -p236609 -aS',\t,\t,\tO\tO' -p236610 -aS'shortness\tshortness\tNN\tB-NP\tO' -p236611 -aS'of\tof\tIN\tB-PP\tO' -p236612 -aS'breath\tbreath\tNN\tB-NP\tO' -p236613 -aS',\t,\t,\tO\tO' -p236614 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p236615 -aS'pain\tpain\tNN\tI-NP\tO' -p236616 -aS',\t,\t,\tO\tO' -p236617 -aS'dysuria\tdysuria\tNN\tB-NP\tO' -p236618 -aS',\t,\t,\tO\tO' -p236619 -aS'hematuria\thematuria\tNN\tB-NP\tO' -p236620 -aS',\t,\t,\tO\tO' -p236621 -aS'or\tor\tCC\tO\tO' -p236622 -aS'bright\tbright\tJJ\tB-NP\tO' -p236623 -aS'red\tred\tJJ\tI-NP\tO' -p236624 -aS'blood\tblood\tNN\tI-NP\tO' -p236625 -aS'per\tper\tIN\tB-PP\tO' -p236626 -aS'rectum\trectum\tNN\tB-NP\tO' -p236627 -aS'.\t.\t.\tO\tO' -p236628 -asS'1. Myelodysplastic syndrome .' -p236629 -(lp236630 -S'1.\t1.\tLS\tB-NP\tO' -p236631 -aS'Myelodysplastic\tMyelodysplastic\tJJ\tI-NP\tO' -p236632 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p236633 -aS'.\t.\t.\tO\tO' -p236634 -asS'He had low grade temperatures , though did not spike a high temperature during his hospital course .' -p236635 -(lp236636 -S'He\tHe\tPRP\tB-NP\tO' -p236637 -aS'had\thave\tVBD\tB-VP\tO' -p236638 -aS'low\tlow\tJJ\tB-NP\tO' -p236639 -aS'grade\tgrade\tNN\tI-NP\tO' -p236640 -aS'temperatures\ttemperature\tNNS\tI-NP\tO' -p236641 -aS',\t,\t,\tO\tO' -p236642 -aS'though\tthough\tIN\tB-SBAR\tO' -p236643 -aS'did\tdo\tVBD\tB-VP\tO' -p236644 -aS'not\tnot\tRB\tI-VP\tO' -p236645 -aS'spike\tspike\tVB\tI-VP\tO' -p236646 -aS'a\ta\tDT\tB-NP\tO' -p236647 -aS'high\thigh\tJJ\tI-NP\tO' -p236648 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p236649 -aS'during\tduring\tIN\tB-PP\tO' -p236650 -aS'his\this\tPRP$\tB-NP\tO' -p236651 -aS'hospital\thospital\tNN\tI-NP\tO' -p236652 -aS'course\tcourse\tNN\tI-NP\tO' -p236653 -aS'.\t.\t.\tO\tO' -p236654 -asS'In addition , he remained agitated .' -p236655 -(lp236656 -S'In\tIn\tIN\tB-PP\tO' -p236657 -aS'addition\taddition\tNN\tB-NP\tO' -p236658 -aS',\t,\t,\tO\tO' -p236659 -aS'he\the\tPRP\tB-NP\tO' -p236660 -aS'remained\tremain\tVBD\tB-VP\tO' -p236661 -aS'agitated\tagitate\tVBN\tI-VP\tO' -p236662 -aS'.\t.\t.\tO\tO' -p236663 -asS'Neck , no jugulovenous distension , carotids , no bruit in either right or left carotid artery .' -p236664 -(lp236665 -S'Neck\tNeck\tNNP\tB-NP\tO' -p236666 -aS',\t,\t,\tO\tO' -p236667 -aS'no\tno\tDT\tB-NP\tO' -p236668 -aS'jugulovenous\tjugulovenous\tJJ\tI-NP\tO' -p236669 -aS'distension\tdistension\tNN\tI-NP\tO' -p236670 -aS',\t,\t,\tO\tO' -p236671 -aS'carotids\tcarotid\tNNS\tB-NP\tO' -p236672 -aS',\t,\t,\tO\tO' -p236673 -aS'no\tno\tDT\tB-NP\tO' -p236674 -aS'bruit\tbruit\tNN\tI-NP\tO' -p236675 -aS'in\tin\tIN\tB-PP\tO' -p236676 -aS'either\teither\tCC\tB-NP\tO' -p236677 -aS'right\tright\tJJ\tI-NP\tO' -p236678 -aS'or\tor\tCC\tI-NP\tO' -p236679 -aS'left\tleft\tJJ\tI-NP\tO' -p236680 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p236681 -aS'artery\tartery\tNN\tI-NP\tO' -p236682 -aS'.\t.\t.\tO\tO' -p236683 -asS'Call your primary care doctor Joanne Dennen for follow up appointments .' -p236684 -(lp236685 -S'Call\tCall\tVB\tB-VP\tO' -p236686 -aS'your\tyour\tPRP$\tB-NP\tO' -p236687 -aS'primary\tprimary\tJJ\tI-NP\tO' -p236688 -aS'care\tcare\tNN\tI-NP\tO' -p236689 -aS'doctor\tdoctor\tNN\tI-NP\tO' -p236690 -aS'Joanne\tJoanne\tNNP\tI-NP\tO' -p236691 -aS'Dennen\tDennen\tNNP\tI-NP\tO' -p236692 -aS'for\tfor\tIN\tB-PP\tO' -p236693 -aS'follow\tfollow\tNN\tB-NP\tO' -p236694 -aS'up\tup\tRP\tB-PRT\tO' -p236695 -aS'appointments\tappointment\tNNS\tB-NP\tO' -p236696 -aS'.\t.\t.\tO\tO' -p236697 -asS'Patient presented after episode of hypotension and syncope on Mass. Mental Health Center 5 .' -p236698 -(lp236699 -S'Patient\tPatient\tNN\tB-NP\tO' -p236700 -aS'presented\tpresent\tVBD\tB-VP\tO' -p236701 -aS'after\tafter\tIN\tB-PP\tO' -p236702 -aS'episode\tepisode\tNN\tB-NP\tO' -p236703 -aS'of\tof\tIN\tB-PP\tO' -p236704 -aS'hypotension\thypotension\tNN\tB-NP\tO' -p236705 -aS'and\tand\tCC\tI-NP\tO' -p236706 -aS'syncope\tsyncope\tNN\tI-NP\tO' -p236707 -aS'on\ton\tIN\tB-PP\tO' -p236708 -aS'Mass.\tMass.\tNNP\tB-NP\tO' -p236709 -aS'Mental\tMental\tNNP\tI-NP\tO' -p236710 -aS'Health\tHealth\tNNP\tI-NP\tO' -p236711 -aS'Center\tCenter\tNNP\tI-NP\tO' -p236712 -aS'5\t5\tCD\tI-NP\tO' -p236713 -aS'.\t.\t.\tO\tO' -p236714 -asS'4. HISTORY OF OVARIAN CYST RESECTION , 1975 .' -p236715 -(lp236716 -S'4.\t4.\tLS\tB-NP\tO' -p236717 -aS'HISTORY\tHISTORY\tNN\tI-NP\tO' -p236718 -aS'OF\tOF\tIN\tB-PP\tO' -p236719 -aS'OVARIAN\tOVARIAN\tNN\tB-NP\tO' -p236720 -aS'CYST\tCYST\tNN\tI-NP\tO' -p236721 -aS'RESECTION\tRESECTION\tNN\tI-NP\tO' -p236722 -aS',\t,\t,\tO\tO' -p236723 -aS'1975\t1975\tCD\tB-NP\tO' -p236724 -aS'.\t.\t.\tO\tO' -p236725 -asS'Rigid sigmoidoscopy revealed no obvious mucosal abnormalities but during the time of the procedure 22cc of mucous like stool was evacuated with a large amount of gas .' -p236726 -(lp236727 -S'Rigid\tRigid\tJJ\tB-NP\tO' -p236728 -aS'sigmoidoscopy\tsigmoidoscopy\tNN\tI-NP\tO' -p236729 -aS'revealed\treveal\tVBD\tB-VP\tO' -p236730 -aS'no\tno\tDT\tB-NP\tO' -p236731 -aS'obvious\tobvious\tJJ\tI-NP\tO' -p236732 -aS'mucosal\tmucosal\tJJ\tI-NP\tO' -p236733 -aS'abnormalities\tabnormality\tNNS\tI-NP\tO' -p236734 -aS'but\tbut\tCC\tB-PP\tO' -p236735 -aS'during\tduring\tIN\tB-PP\tO' -p236736 -aS'the\tthe\tDT\tB-NP\tO' -p236737 -aS'time\ttime\tNN\tI-NP\tO' -p236738 -aS'of\tof\tIN\tB-PP\tO' -p236739 -aS'the\tthe\tDT\tB-NP\tO' -p236740 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p236741 -aS'22cc\t22cc\tNN\tI-NP\tO' -p236742 -aS'of\tof\tIN\tB-PP\tO' -p236743 -aS'mucous\tmucous\tNN\tB-NP\tO' -p236744 -aS'like\tlike\tIN\tB-PP\tO' -p236745 -aS'stool\tstool\tNN\tB-NP\tO' -p236746 -aS'was\tbe\tVBD\tB-VP\tO' -p236747 -aS'evacuated\tevacuate\tVBN\tI-VP\tO' -p236748 -aS'with\twith\tIN\tB-PP\tO' -p236749 -aS'a\ta\tDT\tB-NP\tO' -p236750 -aS'large\tlarge\tJJ\tI-NP\tO' -p236751 -aS'amount\tamount\tNN\tI-NP\tO' -p236752 -aS'of\tof\tIN\tB-PP\tO' -p236753 -aS'gas\tgas\tNN\tB-NP\tB-DNA' -p236754 -aS'.\t.\t.\tO\tO' -p236755 -asS'Dictated By : Barbara B. Phillips , M.D.' -p236756 -(lp236757 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p236758 -aS'By\tBy\tIN\tB-PP\tO' -p236759 -aS':\t:\t:\tO\tO' -p236760 -aS'Barbara\tBarbara\tNNP\tB-NP\tO' -p236761 -aS'B.\tB.\tNNP\tI-NP\tO' -p236762 -aS'Phillips\tPhillips\tNNP\tI-NP\tO' -p236763 -aS',\t,\t,\tO\tO' -p236764 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p236765 -asS'Signed electronically by : DR. Richard Carlson on : SUN 2011-02-20 1:40 PM' -p236766 -(lp236767 -S'Signed\tSign\tVBN\tB-VP\tO' -p236768 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p236769 -aS'by\tby\tIN\tB-PP\tO' -p236770 -aS':\t:\t:\tO\tO' -p236771 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p236772 -aS'Richard\tRichard\tNNP\tI-NP\tO' -p236773 -aS'Carlson\tCarlson\tNNP\tI-NP\tO' -p236774 -aS'on\ton\tIN\tB-PP\tO' -p236775 -aS':\t:\t:\tO\tO' -p236776 -aS'SUN\tSUN\tNN\tB-NP\tO' -p236777 -aS'2011-02-20\t2011-02-20\tCD\tI-NP\tO' -p236778 -aS'1:40\t1:40\tCD\tI-NP\tO' -p236779 -aS'PM\tPM\tNN\tI-NP\tO' -p236780 -asS'The patient was admitted to the Intensive Care Unit for an insulin drip and frequent blood sugar monitoring and Chem-7 monitoring .' -p236781 -(lp236782 -S'The\tThe\tDT\tB-NP\tO' -p236783 -aS'patient\tpatient\tNN\tI-NP\tO' -p236784 -aS'was\tbe\tVBD\tB-VP\tO' -p236785 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p236786 -aS'to\tto\tTO\tB-PP\tO' -p236787 -aS'the\tthe\tDT\tB-NP\tO' -p236788 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p236789 -aS'Care\tCare\tNNP\tI-NP\tO' -p236790 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p236791 -aS'for\tfor\tIN\tB-PP\tO' -p236792 -aS'an\tan\tDT\tB-NP\tO' -p236793 -aS'insulin\tinsulin\tNN\tI-NP\tO' -p236794 -aS'drip\tdrip\tNN\tI-NP\tO' -p236795 -aS'and\tand\tCC\tO\tO' -p236796 -aS'frequent\tfrequent\tJJ\tB-NP\tO' -p236797 -aS'blood\tblood\tNN\tI-NP\tO' -p236798 -aS'sugar\tsugar\tNN\tI-NP\tO' -p236799 -aS'monitoring\tmonitoring\tNN\tI-NP\tO' -p236800 -aS'and\tand\tCC\tO\tO' -p236801 -aS'Chem-7\tChem-7\tNN\tB-NP\tO' -p236802 -aS'monitoring\tmonitoring\tNN\tI-NP\tO' -p236803 -aS'.\t.\t.\tO\tO' -p236804 -asS'The blood gas showed a pO2 of 56 , pCO2 of 48 and pH of 7.47 .' -p236805 -(lp236806 -S'The\tThe\tDT\tB-NP\tO' -p236807 -aS'blood\tblood\tNN\tI-NP\tO' -p236808 -aS'gas\tgas\tNN\tI-NP\tO' -p236809 -aS'showed\tshow\tVBD\tB-VP\tO' -p236810 -aS'a\ta\tDT\tB-NP\tO' -p236811 -aS'pO2\tpO2\tNN\tI-NP\tO' -p236812 -aS'of\tof\tIN\tB-PP\tO' -p236813 -aS'56\t56\tCD\tB-NP\tO' -p236814 -aS',\t,\t,\tO\tO' -p236815 -aS'pCO2\tpCO2\tNN\tB-NP\tO' -p236816 -aS'of\tof\tIN\tB-PP\tO' -p236817 -aS'48\t48\tCD\tB-NP\tO' -p236818 -aS'and\tand\tCC\tO\tO' -p236819 -aS'pH\tpH\tNN\tB-NP\tO' -p236820 -aS'of\tof\tIN\tB-PP\tO' -p236821 -aS'7.47\t7.47\tCD\tB-NP\tO' -p236822 -aS'.\t.\t.\tO\tO' -p236823 -asS'A nutrition consult was obtained on 06-22 .' -p236824 -(lp236825 -S'A\tA\tDT\tB-NP\tO' -p236826 -aS'nutrition\tnutrition\tNN\tI-NP\tO' -p236827 -aS'consult\tconsult\tNN\tI-NP\tO' -p236828 -aS'was\tbe\tVBD\tB-VP\tO' -p236829 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p236830 -aS'on\ton\tIN\tB-PP\tO' -p236831 -aS'06-22\t06-22\tCD\tB-NP\tO' -p236832 -aS'.\t.\t.\tO\tO' -p236833 -asS"The patient 's only issue was his hypertension ." -p236834 -(lp236835 -S'The\tThe\tDT\tB-NP\tO' -p236836 -aS'patient\tpatient\tNN\tI-NP\tO' -p236837 -aS"'s\t's\tPOS\tB-NP\tO" -p236838 -aS'only\tonly\tJJ\tI-NP\tO' -p236839 -aS'issue\tissue\tNN\tI-NP\tO' -p236840 -aS'was\tbe\tVBD\tB-VP\tO' -p236841 -aS'his\this\tPRP$\tB-NP\tO' -p236842 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p236843 -aS'.\t.\t.\tO\tO' -p236844 -asS'This likely is not concerning of pancreatic process .' -p236845 -(lp236846 -S'This\tThis\tDT\tB-NP\tO' -p236847 -aS'likely\tlikely\tRB\tB-ADJP\tO' -p236848 -aS'is\tbe\tVBZ\tB-VP\tO' -p236849 -aS'not\tnot\tRB\tI-VP\tO' -p236850 -aS'concerning\tconcern\tVBG\tI-VP\tO' -p236851 -aS'of\tof\tIN\tB-PP\tO' -p236852 -aS'pancreatic\tpancreatic\tJJ\tB-NP\tO' -p236853 -aS'process\tprocess\tNN\tI-NP\tO' -p236854 -aS'.\t.\t.\tO\tO' -p236855 -asS'Soft , nontender , nondistended , normal active bowel sounds .' -p236856 -(lp236857 -S'Soft\tSoft\tRB\tB-ADVP\tO' -p236858 -aS',\t,\t,\tO\tO' -p236859 -aS'nontender\tnontender\tJJ\tB-NP\tO' -p236860 -aS',\t,\t,\tI-NP\tO' -p236861 -aS'nondistended\tnondistended\tJJ\tI-NP\tO' -p236862 -aS',\t,\t,\tI-NP\tO' -p236863 -aS'normal\tnormal\tJJ\tI-NP\tO' -p236864 -aS'active\tactive\tJJ\tI-NP\tO' -p236865 -aS'bowel\tbowel\tNN\tI-NP\tO' -p236866 -aS'sounds\tsound\tNNS\tI-NP\tO' -p236867 -aS'.\t.\t.\tO\tO' -p236868 -asS'Tylenol and ibuprofen were also added for better control .' -p236869 -(lp236870 -S'Tylenol\tTylenol\tNN\tB-NP\tO' -p236871 -aS'and\tand\tCC\tI-NP\tO' -p236872 -aS'ibuprofen\tibuprofen\tNN\tI-NP\tO' -p236873 -aS'were\tbe\tVBD\tB-VP\tO' -p236874 -aS'also\talso\tRB\tI-VP\tO' -p236875 -aS'added\tadd\tVBN\tI-VP\tO' -p236876 -aS'for\tfor\tIN\tB-PP\tO' -p236877 -aS'better\tgood\tJJR\tB-NP\tO' -p236878 -aS'control\tcontrol\tNN\tI-NP\tO' -p236879 -aS'.\t.\t.\tO\tO' -p236880 -asS'She is on an aspirin .' -p236881 -(lp236882 -S'She\tShe\tPRP\tB-NP\tO' -p236883 -aS'is\tbe\tVBZ\tB-VP\tO' -p236884 -aS'on\ton\tIN\tB-PP\tO' -p236885 -aS'an\tan\tDT\tB-NP\tO' -p236886 -aS'aspirin\taspirin\tNN\tI-NP\tO' -p236887 -aS'.\t.\t.\tO\tO' -p236888 -asS'3. Multiple hypodense liver lesions which are mildly enhancing , most consistent with metastatic disease .' -p236889 -(lp236890 -S'3.\t3.\tLS\tB-NP\tO' -p236891 -aS'Multiple\tMultiple\tJJ\tI-NP\tO' -p236892 -aS'hypodense\thypodense\tNN\tI-NP\tO' -p236893 -aS'liver\tliver\tNN\tI-NP\tO' -p236894 -aS'lesions\tlesion\tNNS\tI-NP\tO' -p236895 -aS'which\twhich\tWDT\tB-NP\tO' -p236896 -aS'are\tbe\tVBP\tB-VP\tO' -p236897 -aS'mildly\tmildly\tRB\tI-VP\tO' -p236898 -aS'enhancing\tenhance\tVBG\tI-VP\tO' -p236899 -aS',\t,\t,\tO\tO' -p236900 -aS'most\tmost\tRBS\tB-ADJP\tO' -p236901 -aS'consistent\tconsistent\tJJ\tI-ADJP\tO' -p236902 -aS'with\twith\tIN\tB-PP\tO' -p236903 -aS'metastatic\tmetastatic\tJJ\tB-NP\tO' -p236904 -aS'disease\tdisease\tNN\tI-NP\tO' -p236905 -aS'.\t.\t.\tO\tO' -p236906 -asS'Mychelia Boyd was born at 28-2/7 weeks gestation and delivered due to unstoppable premature labor .' -p236907 -(lp236908 -S'Mychelia\tMychelia\tNNP\tB-NP\tO' -p236909 -aS'Boyd\tBoyd\tNNP\tI-NP\tO' -p236910 -aS'was\tbe\tVBD\tB-VP\tO' -p236911 -aS'born\tbear\tVBN\tI-VP\tO' -p236912 -aS'at\tat\tIN\tB-PP\tO' -p236913 -aS'28-2/7\t28-2/7\tCD\tB-NP\tO' -p236914 -aS'weeks\tweek\tNNS\tI-NP\tO' -p236915 -aS'gestation\tgestation\tNN\tI-NP\tO' -p236916 -aS'and\tand\tCC\tO\tO' -p236917 -aS'delivered\tdeliver\tVBN\tB-VP\tO' -p236918 -aS'due\tdue\tJJ\tB-ADJP\tO' -p236919 -aS'to\tto\tTO\tB-PP\tO' -p236920 -aS'unstoppable\tunstoppable\tJJ\tB-NP\tO' -p236921 -aS'premature\tpremature\tJJ\tI-NP\tO' -p236922 -aS'labor\tlabor\tNN\tI-NP\tO' -p236923 -aS'.\t.\t.\tO\tO' -p236924 -asS'premature rupture of membranes .' -p236925 -(lp236926 -S'premature\tpremature\tJJ\tB-NP\tO' -p236927 -aS'rupture\trupture\tNN\tI-NP\tO' -p236928 -aS'of\tof\tIN\tB-PP\tO' -p236929 -aS'membranes\tmembrane\tNNS\tB-NP\tO' -p236930 -aS'.\t.\t.\tO\tO' -p236931 -asS'he was given ASA and bblocker .' -p236932 -(lp236933 -S'he\the\tPRP\tB-NP\tO' -p236934 -aS'was\tbe\tVBD\tB-VP\tO' -p236935 -aS'given\tgive\tVBN\tI-VP\tO' -p236936 -aS'ASA\tASA\tNN\tB-NP\tO' -p236937 -aS'and\tand\tCC\tI-NP\tO' -p236938 -aS'bblocker\tbblocker\tNN\tI-NP\tO' -p236939 -aS'.\t.\t.\tO\tO' -p236940 -asS'She was transferred to recovery room in stable condition .' -p236941 -(lp236942 -S'She\tShe\tPRP\tB-NP\tO' -p236943 -aS'was\tbe\tVBD\tB-VP\tO' -p236944 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p236945 -aS'to\tto\tTO\tB-PP\tO' -p236946 -aS'recovery\trecovery\tNN\tB-NP\tO' -p236947 -aS'room\troom\tNN\tI-NP\tO' -p236948 -aS'in\tin\tIN\tB-PP\tO' -p236949 -aS'stable\tstable\tJJ\tB-NP\tO' -p236950 -aS'condition\tcondition\tNN\tI-NP\tO' -p236951 -aS'.\t.\t.\tO\tO' -p236952 -asS'She was placed on pressors to maintain a MAP > 55 .' -p236953 -(lp236954 -S'She\tShe\tPRP\tB-NP\tO' -p236955 -aS'was\tbe\tVBD\tB-VP\tO' -p236956 -aS'placed\tplace\tVBN\tI-VP\tO' -p236957 -aS'on\ton\tIN\tB-PP\tO' -p236958 -aS'pressors\tpressor\tNNS\tB-NP\tO' -p236959 -aS'to\tto\tTO\tB-VP\tO' -p236960 -aS'maintain\tmaintain\tVB\tI-VP\tO' -p236961 -aS'a\ta\tDT\tB-NP\tO' -p236962 -aS'MAP\tMAP\tNN\tI-NP\tB-protein' -p236963 -aS'>\t>\tJJR\tB-NP\tO' -p236964 -aS'55\t55\tCD\tI-NP\tO' -p236965 -aS'.\t.\t.\tO\tO' -p236966 -asS'No hepatosplenomegally .' -p236967 -(lp236968 -S'No\tNo\tDT\tB-NP\tO' -p236969 -aS'hepatosplenomegally\thepatosplenomegally\tNN\tI-NP\tO' -p236970 -aS'.\t.\t.\tO\tO' -p236971 -asS'GI was consulted and performed Endoscopy under general anesthesia which revealed a non bleeding ulcer and gastritis .' -p236972 -(lp236973 -S'GI\tGI\tNN\tB-NP\tO' -p236974 -aS'was\tbe\tVBD\tB-VP\tO' -p236975 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p236976 -aS'and\tand\tCC\tO\tO' -p236977 -aS'performed\tperform\tVBN\tB-VP\tO' -p236978 -aS'Endoscopy\tEndoscopy\tNNP\tB-NP\tO' -p236979 -aS'under\tunder\tIN\tB-PP\tO' -p236980 -aS'general\tgeneral\tJJ\tB-NP\tO' -p236981 -aS'anesthesia\tanesthesia\tNN\tI-NP\tO' -p236982 -aS'which\twhich\tWDT\tB-NP\tO' -p236983 -aS'revealed\treveal\tVBD\tB-VP\tO' -p236984 -aS'a\ta\tDT\tB-NP\tO' -p236985 -aS'non\tnon\tJJ\tI-NP\tO' -p236986 -aS'bleeding\tbleed\tVBG\tI-NP\tO' -p236987 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p236988 -aS'and\tand\tCC\tI-NP\tO' -p236989 -aS'gastritis\tgastritis\tNN\tI-NP\tO' -p236990 -aS'.\t.\t.\tO\tO' -p236991 -asS'Extremities showed no edema .' -p236992 -(lp236993 -S'Extremities\tExtremity\tNNS\tB-NP\tO' -p236994 -aS'showed\tshow\tVBD\tB-VP\tO' -p236995 -aS'no\tno\tDT\tB-NP\tO' -p236996 -aS'edema\tedema\tNN\tI-NP\tO' -p236997 -aS'.\t.\t.\tO\tO' -p236998 -asS'Following discontinuation of the bactrim the patient defervesced , and remained normotensive .' -p236999 -(lp237000 -S'Following\tFollow\tVBG\tB-PP\tO' -p237001 -aS'discontinuation\tdiscontinuation\tNN\tB-NP\tO' -p237002 -aS'of\tof\tIN\tB-PP\tO' -p237003 -aS'the\tthe\tDT\tB-NP\tO' -p237004 -aS'bactrim\tbactrim\tNN\tI-NP\tO' -p237005 -aS'the\tthe\tDT\tB-NP\tO' -p237006 -aS'patient\tpatient\tNN\tI-NP\tO' -p237007 -aS'defervesced\tdefervesce\tVBD\tB-VP\tO' -p237008 -aS',\t,\t,\tO\tO' -p237009 -aS'and\tand\tCC\tO\tO' -p237010 -aS'remained\tremain\tVBD\tB-VP\tO' -p237011 -aS'normotensive\tnormotensive\tJJ\tB-ADJP\tO' -p237012 -aS'.\t.\t.\tO\tO' -p237013 -asS'Peri-Colace , two capsules PO b.i.d.; Dulcolax , 10 mg. PR q.day , p.r.n. constipation .' -p237014 -(lp237015 -S'Peri-Colace\tPeri-Colace\tNNP\tB-NP\tO' -p237016 -aS',\t,\t,\tO\tO' -p237017 -aS'two\ttwo\tCD\tB-NP\tO' -p237018 -aS'capsules\tcapsule\tNNS\tI-NP\tO' -p237019 -aS'PO\tPO\tNN\tI-NP\tO' -p237020 -aS'b.i.d.;\tb.i.d.;\tNN\tI-NP\tO' -p237021 -aS'Dulcolax\tDulcolax\tNN\tI-NP\tO' -p237022 -aS',\t,\t,\tO\tO' -p237023 -aS'10\t10\tCD\tB-NP\tO' -p237024 -aS'mg.\tmg.\tNN\tI-NP\tO' -p237025 -aS'PR\tPR\tNN\tI-NP\tO' -p237026 -aS'q.day\tq.day\tNN\tI-NP\tO' -p237027 -aS',\t,\t,\tO\tO' -p237028 -aS'p.r.n.\tp.r.n.\tNN\tB-NP\tO' -p237029 -aS'constipation\tconstipation\tNN\tI-NP\tO' -p237030 -aS'.\t.\t.\tO\tO' -p237031 -asS'He was also followed by Podiatry and Vascular Surgery .' -p237032 -(lp237033 -S'He\tHe\tPRP\tB-NP\tO' -p237034 -aS'was\tbe\tVBD\tB-VP\tO' -p237035 -aS'also\talso\tRB\tI-VP\tO' -p237036 -aS'followed\tfollow\tVBN\tI-VP\tO' -p237037 -aS'by\tby\tIN\tB-PP\tO' -p237038 -aS'Podiatry\tPodiatry\tNNP\tB-NP\tO' -p237039 -aS'and\tand\tCC\tO\tO' -p237040 -aS'Vascular\tVascular\tNNP\tB-NP\tO' -p237041 -aS'Surgery\tSurgery\tNNP\tI-NP\tO' -p237042 -aS'.\t.\t.\tO\tO' -p237043 -asS'Free water deficit over 48 hours was given , plus maintenance , plus adjusting the ongoing losses .' -p237044 -(lp237045 -S'Free\tFree\tJJ\tB-NP\tO' -p237046 -aS'water\twater\tNN\tI-NP\tO' -p237047 -aS'deficit\tdeficit\tNN\tI-NP\tO' -p237048 -aS'over\tover\tIN\tB-PP\tO' -p237049 -aS'48\t48\tCD\tB-NP\tO' -p237050 -aS'hours\thour\tNNS\tI-NP\tO' -p237051 -aS'was\tbe\tVBD\tB-VP\tO' -p237052 -aS'given\tgive\tVBN\tI-VP\tO' -p237053 -aS',\t,\t,\tO\tO' -p237054 -aS'plus\tplus\tCC\tB-PP\tO' -p237055 -aS'maintenance\tmaintenance\tNN\tB-NP\tO' -p237056 -aS',\t,\t,\tO\tO' -p237057 -aS'plus\tplus\tCC\tO\tO' -p237058 -aS'adjusting\tadjust\tVBG\tB-VP\tO' -p237059 -aS'the\tthe\tDT\tB-NP\tO' -p237060 -aS'ongoing\tongoing\tJJ\tI-NP\tO' -p237061 -aS'losses\tloss\tNNS\tI-NP\tO' -p237062 -aS'.\t.\t.\tO\tO' -p237063 -asS'She has been appropriate for gestational age .' -p237064 -(lp237065 -S'She\tShe\tPRP\tB-NP\tO' -p237066 -aS'has\thave\tVBZ\tB-VP\tO' -p237067 -aS'been\tbe\tVBN\tI-VP\tO' -p237068 -aS'appropriate\tappropriate\tJJ\tB-ADJP\tO' -p237069 -aS'for\tfor\tIN\tB-PP\tO' -p237070 -aS'gestational\tgestational\tJJ\tB-NP\tO' -p237071 -aS'age\tage\tNN\tI-NP\tO' -p237072 -aS'.\t.\t.\tO\tO' -p237073 -asS'5. Borderline splenomegaly .' -p237074 -(lp237075 -S'5.\t5.\tLS\tB-NP\tO' -p237076 -aS'Borderline\tBorderline\tNN\tI-NP\tO' -p237077 -aS'splenomegaly\tsplenomegaly\tNN\tI-NP\tO' -p237078 -aS'.\t.\t.\tO\tO' -p237079 -asS'He had a blood pressure of 148 to 162/45 to 54 .' -p237080 -(lp237081 -S'He\tHe\tPRP\tB-NP\tO' -p237082 -aS'had\thave\tVBD\tB-VP\tO' -p237083 -aS'a\ta\tDT\tB-NP\tO' -p237084 -aS'blood\tblood\tNN\tI-NP\tO' -p237085 -aS'pressure\tpressure\tNN\tI-NP\tO' -p237086 -aS'of\tof\tIN\tB-PP\tO' -p237087 -aS'148\t148\tCD\tB-NP\tO' -p237088 -aS'to\tto\tTO\tB-PP\tO' -p237089 -aS'162/45\t162/45\tCD\tB-NP\tO' -p237090 -aS'to\tto\tTO\tB-PP\tO' -p237091 -aS'54\t54\tCD\tB-NP\tO' -p237092 -aS'.\t.\t.\tO\tO' -p237093 -asS'Elevated left hemidiaphragm of uncertain etiology or duration .' -p237094 -(lp237095 -S'Elevated\tElevate\tVBN\tB-VP\tO' -p237096 -aS'left\tleave\tVBD\tB-VP\tO' -p237097 -aS'hemidiaphragm\themidiaphragm\tNN\tB-NP\tO' -p237098 -aS'of\tof\tIN\tB-PP\tO' -p237099 -aS'uncertain\tuncertain\tJJ\tB-NP\tO' -p237100 -aS'etiology\tetiology\tNN\tI-NP\tO' -p237101 -aS'or\tor\tCC\tI-NP\tO' -p237102 -aS'duration\tduration\tNN\tI-NP\tO' -p237103 -aS'.\t.\t.\tO\tO' -p237104 -asS'Approximately one liter of brownish fluid was obtained and sent for culture .' -p237105 -(lp237106 -S'Approximately\tApproximately\tRB\tB-NP\tO' -p237107 -aS'one\tone\tCD\tI-NP\tO' -p237108 -aS'liter\tliter\tNN\tI-NP\tO' -p237109 -aS'of\tof\tIN\tB-PP\tO' -p237110 -aS'brownish\tbrownish\tJJ\tB-NP\tO' -p237111 -aS'fluid\tfluid\tNN\tI-NP\tO' -p237112 -aS'was\tbe\tVBD\tB-VP\tO' -p237113 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p237114 -aS'and\tand\tCC\tO\tO' -p237115 -aS'sent\tsend\tVBN\tB-VP\tO' -p237116 -aS'for\tfor\tIN\tB-PP\tO' -p237117 -aS'culture\tculture\tNN\tB-NP\tO' -p237118 -aS'.\t.\t.\tO\tO' -p237119 -asS'His tone was increased on the left side and he had diminished pin prick and light touch in his left upper extremity and slightly in his left lower extremity with a similar finding for vibratory sense , but in an unreliable pattern .' -p237120 -(lp237121 -S'His\tHis\tPRP$\tB-NP\tO' -p237122 -aS'tone\ttone\tNN\tI-NP\tO' -p237123 -aS'was\tbe\tVBD\tB-VP\tO' -p237124 -aS'increased\tincrease\tVBN\tI-VP\tO' -p237125 -aS'on\ton\tIN\tB-PP\tO' -p237126 -aS'the\tthe\tDT\tB-NP\tO' -p237127 -aS'left\tleft\tJJ\tI-NP\tO' -p237128 -aS'side\tside\tNN\tI-NP\tO' -p237129 -aS'and\tand\tCC\tO\tO' -p237130 -aS'he\the\tPRP\tB-NP\tO' -p237131 -aS'had\thave\tVBD\tB-VP\tO' -p237132 -aS'diminished\tdiminish\tVBN\tI-VP\tO' -p237133 -aS'pin\tpin\tNN\tB-NP\tO' -p237134 -aS'prick\tprick\tNN\tI-NP\tO' -p237135 -aS'and\tand\tCC\tO\tO' -p237136 -aS'light\tlight\tNN\tB-NP\tO' -p237137 -aS'touch\ttouch\tNN\tI-NP\tO' -p237138 -aS'in\tin\tIN\tB-PP\tO' -p237139 -aS'his\this\tPRP$\tB-NP\tO' -p237140 -aS'left\tleft\tJJ\tI-NP\tO' -p237141 -aS'upper\tupper\tJJ\tI-NP\tO' -p237142 -aS'extremity\textremity\tNN\tI-NP\tO' -p237143 -aS'and\tand\tCC\tO\tO' -p237144 -aS'slightly\tslightly\tRB\tB-ADVP\tO' -p237145 -aS'in\tin\tIN\tB-PP\tO' -p237146 -aS'his\this\tPRP$\tB-NP\tO' -p237147 -aS'left\tleave\tVBD\tB-VP\tO' -p237148 -aS'lower\tlow\tJJR\tB-NP\tO' -p237149 -aS'extremity\textremity\tNN\tI-NP\tO' -p237150 -aS'with\twith\tIN\tB-PP\tO' -p237151 -aS'a\ta\tDT\tB-NP\tO' -p237152 -aS'similar\tsimilar\tJJ\tI-NP\tO' -p237153 -aS'finding\tfinding\tNN\tI-NP\tO' -p237154 -aS'for\tfor\tIN\tB-PP\tO' -p237155 -aS'vibratory\tvibratory\tJJ\tB-NP\tO' -p237156 -aS'sense\tsense\tNN\tI-NP\tO' -p237157 -aS',\t,\t,\tO\tO' -p237158 -aS'but\tbut\tCC\tO\tO' -p237159 -aS'in\tin\tIN\tB-PP\tO' -p237160 -aS'an\tan\tDT\tB-NP\tO' -p237161 -aS'unreliable\tunreliable\tJJ\tI-NP\tO' -p237162 -aS'pattern\tpattern\tNN\tI-NP\tO' -p237163 -aS'.\t.\t.\tO\tO' -p237164 -asS'She was brought to the CMED CSRU for further evaluation .' -p237165 -(lp237166 -S'She\tShe\tPRP\tB-NP\tO' -p237167 -aS'was\tbe\tVBD\tB-VP\tO' -p237168 -aS'brought\tbring\tVBN\tI-VP\tO' -p237169 -aS'to\tto\tTO\tB-PP\tO' -p237170 -aS'the\tthe\tDT\tB-NP\tO' -p237171 -aS'CMED\tCMED\tVBN\tI-NP\tO' -p237172 -aS'CSRU\tCSRU\tNN\tI-NP\tO' -p237173 -aS'for\tfor\tIN\tB-PP\tO' -p237174 -aS'further\tfurther\tJJ\tB-NP\tO' -p237175 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p237176 -aS'.\t.\t.\tO\tO' -p237177 -asS'He had recurrent pain and went to the Catheter Laboratory where a proximal right coronary artery lesion was angioplastied .' -p237178 -(lp237179 -S'He\tHe\tPRP\tB-NP\tO' -p237180 -aS'had\thave\tVBD\tB-VP\tO' -p237181 -aS'recurrent\trecurrent\tJJ\tB-NP\tO' -p237182 -aS'pain\tpain\tNN\tI-NP\tO' -p237183 -aS'and\tand\tCC\tO\tO' -p237184 -aS'went\tgo\tVBD\tB-VP\tO' -p237185 -aS'to\tto\tTO\tB-PP\tO' -p237186 -aS'the\tthe\tDT\tB-NP\tO' -p237187 -aS'Catheter\tCatheter\tNNP\tI-NP\tO' -p237188 -aS'Laboratory\tLaboratory\tNNP\tI-NP\tO' -p237189 -aS'where\twhere\tWRB\tB-ADVP\tO' -p237190 -aS'a\ta\tDT\tB-NP\tO' -p237191 -aS'proximal\tproximal\tJJ\tI-NP\tO' -p237192 -aS'right\tright\tJJ\tI-NP\tO' -p237193 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p237194 -aS'artery\tartery\tNN\tI-NP\tO' -p237195 -aS'lesion\tlesion\tNN\tI-NP\tO' -p237196 -aS'was\tbe\tVBD\tB-VP\tO' -p237197 -aS'angioplastied\tangioplastie\tVBN\tI-VP\tO' -p237198 -aS'.\t.\t.\tO\tO' -p237199 -asS'Her central line was removed given the concern for a line infection .' -p237200 -(lp237201 -S'Her\tHer\tPRP$\tB-NP\tB-cell_line' -p237202 -aS'central\tcentral\tJJ\tI-NP\tI-cell_line' -p237203 -aS'line\tline\tNN\tI-NP\tI-cell_line' -p237204 -aS'was\tbe\tVBD\tB-VP\tO' -p237205 -aS'removed\tremove\tVBN\tI-VP\tO' -p237206 -aS'given\tgive\tVBN\tB-PP\tO' -p237207 -aS'the\tthe\tDT\tB-NP\tO' -p237208 -aS'concern\tconcern\tNN\tI-NP\tO' -p237209 -aS'for\tfor\tIN\tB-PP\tO' -p237210 -aS'a\ta\tDT\tB-NP\tO' -p237211 -aS'line\tline\tNN\tI-NP\tO' -p237212 -aS'infection\tinfection\tNN\tI-NP\tO' -p237213 -aS'.\t.\t.\tO\tO' -p237214 -asS'No phototherapy was required .' -p237215 -(lp237216 -S'No\tNo\tDT\tB-NP\tO' -p237217 -aS'phototherapy\tphototherapy\tNN\tI-NP\tO' -p237218 -aS'was\tbe\tVBD\tB-VP\tO' -p237219 -aS'required\trequire\tVBN\tI-VP\tO' -p237220 -aS'.\t.\t.\tO\tO' -p237221 -asS'The complete blood count on admission showed a white blood cell count of 8.0 , hematocrit 54.0% , platelet count 190,000 , 11' -p237222 -(lp237223 -S'The\tThe\tDT\tB-NP\tO' -p237224 -aS'complete\tcomplete\tJJ\tI-NP\tO' -p237225 -aS'blood\tblood\tNN\tI-NP\tO' -p237226 -aS'count\tcount\tNN\tI-NP\tO' -p237227 -aS'on\ton\tIN\tB-PP\tO' -p237228 -aS'admission\tadmission\tNN\tB-NP\tO' -p237229 -aS'showed\tshow\tVBD\tB-VP\tO' -p237230 -aS'a\ta\tDT\tB-NP\tO' -p237231 -aS'white\twhite\tJJ\tI-NP\tO' -p237232 -aS'blood\tblood\tNN\tI-NP\tO' -p237233 -aS'cell\tcell\tNN\tI-NP\tO' -p237234 -aS'count\tcount\tNN\tI-NP\tO' -p237235 -aS'of\tof\tIN\tB-PP\tO' -p237236 -aS'8.0\t8.0\tCD\tB-NP\tO' -p237237 -aS',\t,\t,\tO\tO' -p237238 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p237239 -aS'54.0%\t54.0%\tCD\tI-NP\tI-protein' -p237240 -aS',\t,\t,\tO\tO' -p237241 -aS'platelet\tplatelet\tNN\tB-NP\tO' -p237242 -aS'count\tcount\tNN\tI-NP\tO' -p237243 -aS'190,000\t190,000\tCD\tI-NP\tO' -p237244 -aS',\t,\t,\tI-NP\tO' -p237245 -aS'11\t11\tCD\tI-NP\tO' -p237246 -asS'She desired surgical therapy .' -p237247 -(lp237248 -S'She\tShe\tPRP\tB-NP\tO' -p237249 -aS'desired\tdesire\tVBD\tB-VP\tO' -p237250 -aS'surgical\tsurgical\tJJ\tB-NP\tO' -p237251 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p237252 -aS'.\t.\t.\tO\tO' -p237253 -asS'Ativan 0.5 mg p.o. b.i.d. p.r.n. anxiety .' -p237254 -(lp237255 -S'Ativan\tAtivan\tIN\tB-PP\tO' -p237256 -aS'0.5\t0.5\tCD\tB-NP\tO' -p237257 -aS'mg\tmg\tNN\tI-NP\tO' -p237258 -aS'p.o.\tp.o.\tFW\tB-NP\tO' -p237259 -aS'b.i.d.\tb.i.d.\tFW\tI-NP\tO' -p237260 -aS'p.r.n.\tp.r.n.\tFW\tI-NP\tO' -p237261 -aS'anxiety\tanxiety\tNN\tI-NP\tO' -p237262 -aS'.\t.\t.\tO\tO' -p237263 -asS'He also had encephalopathy during that period .' -p237264 -(lp237265 -S'He\tHe\tPRP\tB-NP\tO' -p237266 -aS'also\talso\tRB\tB-ADVP\tO' -p237267 -aS'had\thave\tVBD\tB-VP\tO' -p237268 -aS'encephalopathy\tencephalopathy\tNN\tB-NP\tO' -p237269 -aS'during\tduring\tIN\tB-PP\tO' -p237270 -aS'that\tthat\tDT\tB-NP\tO' -p237271 -aS'period\tperiod\tNN\tI-NP\tO' -p237272 -aS'.\t.\t.\tO\tO' -p237273 -asS'She has been on ciprofloxacin proph for about 1 year .' -p237274 -(lp237275 -S'She\tShe\tPRP\tB-NP\tO' -p237276 -aS'has\thave\tVBZ\tB-VP\tO' -p237277 -aS'been\tbe\tVBN\tI-VP\tO' -p237278 -aS'on\ton\tIN\tB-PP\tO' -p237279 -aS'ciprofloxacin\tciprofloxacin\tNN\tB-NP\tO' -p237280 -aS'proph\tproph\tNN\tI-NP\tO' -p237281 -aS'for\tfor\tIN\tB-PP\tO' -p237282 -aS'about\tabout\tRB\tB-NP\tO' -p237283 -aS'1\t1\tCD\tI-NP\tO' -p237284 -aS'year\tyear\tNN\tI-NP\tO' -p237285 -aS'.\t.\t.\tO\tO' -p237286 -asS'Signed electronically by : DR. Lance GRAY on : Maxine 2013-08-01 12:50 PM' -p237287 -(lp237288 -S'Signed\tSign\tVBN\tB-VP\tO' -p237289 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p237290 -aS'by\tby\tIN\tB-PP\tO' -p237291 -aS':\t:\t:\tO\tO' -p237292 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p237293 -aS'Lance\tLance\tNNP\tI-NP\tO' -p237294 -aS'GRAY\tGRAY\tNNP\tI-NP\tO' -p237295 -aS'on\ton\tIN\tB-PP\tO' -p237296 -aS':\t:\t:\tO\tO' -p237297 -aS'Maxine\tMaxine\tNN\tB-NP\tO' -p237298 -aS'2013-08-01\t2013-08-01\tCD\tI-NP\tO' -p237299 -aS'12:50\t12:50\tCD\tI-NP\tO' -p237300 -aS'PM\tPM\tNN\tI-NP\tO' -p237301 -asS'6. History of diabetic foot ulcer .' -p237302 -(lp237303 -S'6.\t6.\tLS\tB-NP\tO' -p237304 -aS'History\tHistory\tNN\tI-NP\tO' -p237305 -aS'of\tof\tIN\tB-PP\tO' -p237306 -aS'diabetic\tdiabetic\tJJ\tB-NP\tO' -p237307 -aS'foot\tfoot\tNN\tI-NP\tO' -p237308 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p237309 -aS'.\t.\t.\tO\tO' -p237310 -asS'He was transfused and then evaluated by GI .' -p237311 -(lp237312 -S'He\tHe\tPRP\tB-NP\tO' -p237313 -aS'was\tbe\tVBD\tB-VP\tO' -p237314 -aS'transfused\ttransfuse\tVBN\tI-VP\tO' -p237315 -aS'and\tand\tCC\tO\tO' -p237316 -aS'then\tthen\tRB\tB-VP\tO' -p237317 -aS'evaluated\tevaluate\tVBN\tI-VP\tO' -p237318 -aS'by\tby\tIN\tB-PP\tO' -p237319 -aS'GI\tGI\tNN\tB-NP\tO' -p237320 -aS'.\t.\t.\tO\tO' -p237321 -asS'Signed electronically by : DR. Kenneth Wilford on : Maxine 2012-08-16 12:22 PM' -p237322 -(lp237323 -S'Signed\tSign\tVBN\tB-VP\tO' -p237324 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p237325 -aS'by\tby\tIN\tB-PP\tO' -p237326 -aS':\t:\t:\tO\tO' -p237327 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p237328 -aS'Kenneth\tKenneth\tNNP\tI-NP\tO' -p237329 -aS'Wilford\tWilford\tNNP\tI-NP\tO' -p237330 -aS'on\ton\tIN\tB-PP\tO' -p237331 -aS':\t:\t:\tO\tO' -p237332 -aS'Maxine\tMaxine\tNN\tB-NP\tO' -p237333 -aS'2012-08-16\t2012-08-16\tCD\tI-NP\tO' -p237334 -aS'12:22\t12:22\tCD\tI-NP\tO' -p237335 -aS'PM\tPM\tNN\tI-NP\tO' -p237336 -asS'Epiglottitis / supraglottitis .' -p237337 -(lp237338 -S'Epiglottitis\tEpiglottitis\tNN\tB-NP\tO' -p237339 -aS'/\t/\tSYM\tI-NP\tO' -p237340 -aS'supraglottitis\tsupraglottitis\tNN\tI-NP\tO' -p237341 -aS'.\t.\t.\tO\tO' -p237342 -asS'She was transferred to the CMED where the patient was continued on the MUST protocol with goais of CVP 10-12 , SVO2 greater than 70% .' -p237343 -(lp237344 -S'She\tShe\tPRP\tB-NP\tO' -p237345 -aS'was\tbe\tVBD\tB-VP\tO' -p237346 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p237347 -aS'to\tto\tTO\tB-PP\tO' -p237348 -aS'the\tthe\tDT\tB-NP\tO' -p237349 -aS'CMED\tCMED\tVBN\tI-NP\tO' -p237350 -aS'where\twhere\tWRB\tB-ADVP\tO' -p237351 -aS'the\tthe\tDT\tB-NP\tO' -p237352 -aS'patient\tpatient\tNN\tI-NP\tO' -p237353 -aS'was\tbe\tVBD\tB-VP\tO' -p237354 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p237355 -aS'on\ton\tIN\tB-PP\tO' -p237356 -aS'the\tthe\tDT\tB-NP\tO' -p237357 -aS'MUST\tMUST\tNN\tI-NP\tO' -p237358 -aS'protocol\tprotocol\tNN\tI-NP\tO' -p237359 -aS'with\twith\tIN\tB-PP\tO' -p237360 -aS'goais\tgoais\tNN\tB-NP\tO' -p237361 -aS'of\tof\tIN\tB-PP\tO' -p237362 -aS'CVP\tCVP\tNN\tB-NP\tO' -p237363 -aS'10-12\t10-12\tCD\tI-NP\tO' -p237364 -aS',\t,\t,\tO\tO' -p237365 -aS'SVO2\tSVO2\tNN\tB-NP\tB-protein' -p237366 -aS'greater\tgreat\tJJR\tB-ADJP\tO' -p237367 -aS'than\tthan\tIN\tB-PP\tO' -p237368 -aS'70%\t70%\tCD\tB-NP\tO' -p237369 -aS'.\t.\t.\tO\tO' -p237370 -asS'Gastric biopsy : negative for H. pylori .' -p237371 -(lp237372 -S'Gastric\tGastric\tJJ\tB-NP\tO' -p237373 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p237374 -aS':\t:\t:\tO\tO' -p237375 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p237376 -aS'for\tfor\tIN\tB-PP\tO' -p237377 -aS'H.\tH.\tNN\tB-NP\tO' -p237378 -aS'pylori\tpylori\tNN\tI-NP\tO' -p237379 -aS'.\t.\t.\tO\tO' -p237380 -asS'Shortness of breath - Though the patient denied shortness of breath on admission , a progress note from' -p237381 -(lp237382 -S'Shortness\tShortness\tNN\tB-NP\tO' -p237383 -aS'of\tof\tIN\tB-PP\tO' -p237384 -aS'breath\tbreath\tNN\tB-NP\tO' -p237385 -aS'-\t-\tHYPH\tB-ADJP\tO' -p237386 -aS'Though\tThough\tIN\tB-SBAR\tO' -p237387 -aS'the\tthe\tDT\tB-NP\tO' -p237388 -aS'patient\tpatient\tNN\tI-NP\tO' -p237389 -aS'denied\tdeny\tVBD\tB-VP\tO' -p237390 -aS'shortness\tshortness\tNN\tB-NP\tO' -p237391 -aS'of\tof\tIN\tB-PP\tO' -p237392 -aS'breath\tbreath\tNN\tB-NP\tO' -p237393 -aS'on\ton\tIN\tB-PP\tO' -p237394 -aS'admission\tadmission\tNN\tB-NP\tO' -p237395 -aS',\t,\t,\tO\tO' -p237396 -aS'a\ta\tDT\tB-NP\tO' -p237397 -aS'progress\tprogress\tNN\tI-NP\tO' -p237398 -aS'note\tnote\tNN\tI-NP\tO' -p237399 -aS'from\tfrom\tIN\tB-PP\tO' -p237400 -asS'Was on a Heparin and nitroglycerin drip with only intermittent relief .' -p237401 -(lp237402 -S'Was\tWa\tNNS\tB-NP\tB-protein' -p237403 -aS'on\ton\tIN\tB-PP\tO' -p237404 -aS'a\ta\tDT\tB-NP\tO' -p237405 -aS'Heparin\tHeparin\tNN\tI-NP\tO' -p237406 -aS'and\tand\tCC\tI-NP\tO' -p237407 -aS'nitroglycerin\tnitroglycerin\tNN\tI-NP\tO' -p237408 -aS'drip\tdrip\tNN\tI-NP\tO' -p237409 -aS'with\twith\tIN\tB-PP\tO' -p237410 -aS'only\tonly\tJJ\tB-NP\tO' -p237411 -aS'intermittent\tintermittent\tJJ\tI-NP\tO' -p237412 -aS'relief\trelief\tNN\tI-NP\tO' -p237413 -aS'.\t.\t.\tO\tO' -p237414 -asS'16. Vancomycin 1 gm IV as needed for vancomycin level less than 15 .' -p237415 -(lp237416 -S'16.\t16.\tCD\tB-NP\tO' -p237417 -aS'Vancomycin\tVancomycin\tNN\tI-NP\tO' -p237418 -aS'1\t1\tCD\tB-NP\tO' -p237419 -aS'gm\tgm\tNN\tI-NP\tO' -p237420 -aS'IV\tIV\tCD\tB-NP\tO' -p237421 -aS'as\tas\tIN\tB-SBAR\tO' -p237422 -aS'needed\tneed\tVBN\tB-VP\tO' -p237423 -aS'for\tfor\tIN\tB-PP\tO' -p237424 -aS'vancomycin\tvancomycin\tNN\tB-NP\tO' -p237425 -aS'level\tlevel\tNN\tI-NP\tO' -p237426 -aS'less\tless\tJJR\tB-ADJP\tO' -p237427 -aS'than\tthan\tIN\tB-PP\tO' -p237428 -aS'15\t15\tCD\tB-NP\tO' -p237429 -aS'.\t.\t.\tO\tO' -p237430 -asS'Alkaline phosphatase 78 which all have significantly decreased since postoperative day number 1 .' -p237431 -(lp237432 -S'Alkaline\tAlkaline\tNN\tB-NP\tO' -p237433 -aS'phosphatase\tphosphatase\tNN\tI-NP\tO' -p237434 -aS'78\t78\tCD\tI-NP\tO' -p237435 -aS'which\twhich\tWDT\tB-NP\tO' -p237436 -aS'all\tall\tDT\tO\tO' -p237437 -aS'have\thave\tVBP\tB-VP\tO' -p237438 -aS'significantly\tsignificantly\tRB\tI-VP\tO' -p237439 -aS'decreased\tdecrease\tVBN\tI-VP\tO' -p237440 -aS'since\tsince\tIN\tB-PP\tO' -p237441 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p237442 -aS'day\tday\tNN\tI-NP\tO' -p237443 -aS'number\tnumber\tNN\tI-NP\tO' -p237444 -aS'1\t1\tCD\tI-NP\tO' -p237445 -aS'.\t.\t.\tO\tO' -p237446 -asS'Pt admitted to medical floor in hemodynamically stable condition without specific complaints .' -p237447 -(lp237448 -S'Pt\tPt\tNN\tB-NP\tO' -p237449 -aS'admitted\tadmit\tVBD\tB-VP\tO' -p237450 -aS'to\tto\tTO\tB-PP\tO' -p237451 -aS'medical\tmedical\tJJ\tB-NP\tO' -p237452 -aS'floor\tfloor\tNN\tI-NP\tO' -p237453 -aS'in\tin\tIN\tB-PP\tO' -p237454 -aS'hemodynamically\themodynamically\tRB\tB-NP\tO' -p237455 -aS'stable\tstable\tJJ\tI-NP\tO' -p237456 -aS'condition\tcondition\tNN\tI-NP\tO' -p237457 -aS'without\twithout\tIN\tB-PP\tO' -p237458 -aS'specific\tspecific\tJJ\tB-NP\tO' -p237459 -aS'complaints\tcomplaint\tNNS\tI-NP\tO' -p237460 -aS'.\t.\t.\tO\tO' -p237461 -asS'10. History of lower gastrointestinal bleed in 2009-06-05 .' -p237462 -(lp237463 -S'10.\t10.\tLS\tB-NP\tO' -p237464 -aS'History\tHistory\tNN\tI-NP\tO' -p237465 -aS'of\tof\tIN\tB-PP\tO' -p237466 -aS'lower\tlow\tJJR\tB-NP\tO' -p237467 -aS'gastrointestinal\tgastrointestinal\tJJ\tI-NP\tO' -p237468 -aS'bleed\tbleed\tNN\tI-NP\tO' -p237469 -aS'in\tin\tIN\tB-PP\tO' -p237470 -aS'2009-06-05\t2009-06-05\tCD\tB-NP\tO' -p237471 -aS'.\t.\t.\tO\tO' -p237472 -asS'Patient will be admitted to psychiatry service' -p237473 -(lp237474 -S'Patient\tPatient\tNN\tB-NP\tO' -p237475 -aS'will\twill\tMD\tB-VP\tO' -p237476 -aS'be\tbe\tVB\tI-VP\tO' -p237477 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p237478 -aS'to\tto\tTO\tB-VP\tO' -p237479 -aS'psychiatry\tpsychiatry\tVB\tI-VP\tO' -p237480 -aS'service\tservice\tNN\tB-NP\tO' -p237481 -asS'Pt became more encephalopathic during her hospital course .' -p237482 -(lp237483 -S'Pt\tPt\tNN\tB-NP\tO' -p237484 -aS'became\tbecome\tVBD\tB-VP\tO' -p237485 -aS'more\tmore\tRBR\tB-ADJP\tO' -p237486 -aS'encephalopathic\tencephalopathic\tJJ\tI-ADJP\tO' -p237487 -aS'during\tduring\tIN\tB-PP\tO' -p237488 -aS'her\ther\tPRP$\tB-NP\tO' -p237489 -aS'hospital\thospital\tNN\tI-NP\tO' -p237490 -aS'course\tcourse\tNN\tI-NP\tO' -p237491 -aS'.\t.\t.\tO\tO' -p237492 -asS'4. Plavix 75 mg p.o. q.d. which has been discontinued prior to surgery .' -p237493 -(lp237494 -S'4.\t4.\tLS\tB-NP\tO' -p237495 -aS'Plavix\tPlavix\tNNP\tI-NP\tO' -p237496 -aS'75\t75\tCD\tI-NP\tO' -p237497 -aS'mg\tmg\tNN\tI-NP\tO' -p237498 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p237499 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p237500 -aS'which\twhich\tWDT\tB-NP\tO' -p237501 -aS'has\thave\tVBZ\tB-VP\tO' -p237502 -aS'been\tbe\tVBN\tI-VP\tO' -p237503 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p237504 -aS'prior\tprior\tRB\tB-ADVP\tO' -p237505 -aS'to\tto\tTO\tB-PP\tO' -p237506 -aS'surgery\tsurgery\tNN\tB-NP\tO' -p237507 -aS'.\t.\t.\tO\tO' -p237508 -asS'The patient was discharged to home and is supposed to follow up with Dr. Shuffburle of Gastroenterology for work up of his bright red blood per rectum and is supposed to follow up with Dr. Amesin of Cardiology and Dr. Shuffpasc of Dingclearf Alllirefaith Memorial Hospital .' -p237509 -(lp237510 -S'The\tThe\tDT\tB-NP\tO' -p237511 -aS'patient\tpatient\tNN\tI-NP\tO' -p237512 -aS'was\tbe\tVBD\tB-VP\tO' -p237513 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p237514 -aS'to\tto\tTO\tB-PP\tO' -p237515 -aS'home\thome\tNN\tB-NP\tO' -p237516 -aS'and\tand\tCC\tO\tO' -p237517 -aS'is\tbe\tVBZ\tB-VP\tO' -p237518 -aS'supposed\tsuppose\tVBN\tI-VP\tO' -p237519 -aS'to\tto\tTO\tI-VP\tO' -p237520 -aS'follow\tfollow\tVB\tI-VP\tO' -p237521 -aS'up\tup\tRP\tB-PRT\tO' -p237522 -aS'with\twith\tIN\tB-PP\tO' -p237523 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p237524 -aS'Shuffburle\tShuffburle\tNNP\tI-NP\tO' -p237525 -aS'of\tof\tIN\tB-PP\tO' -p237526 -aS'Gastroenterology\tGastroenterology\tNNP\tB-NP\tO' -p237527 -aS'for\tfor\tIN\tB-PP\tO' -p237528 -aS'work\twork\tNN\tB-NP\tO' -p237529 -aS'up\tup\tRB\tB-ADVP\tO' -p237530 -aS'of\tof\tIN\tB-PP\tO' -p237531 -aS'his\this\tPRP$\tB-NP\tO' -p237532 -aS'bright\tbright\tJJ\tI-NP\tO' -p237533 -aS'red\tred\tJJ\tI-NP\tO' -p237534 -aS'blood\tblood\tNN\tI-NP\tO' -p237535 -aS'per\tper\tIN\tB-PP\tO' -p237536 -aS'rectum\trectum\tNN\tB-NP\tO' -p237537 -aS'and\tand\tCC\tO\tO' -p237538 -aS'is\tbe\tVBZ\tB-VP\tO' -p237539 -aS'supposed\tsuppose\tVBN\tI-VP\tO' -p237540 -aS'to\tto\tTO\tI-VP\tO' -p237541 -aS'follow\tfollow\tVB\tI-VP\tO' -p237542 -aS'up\tup\tRP\tB-PRT\tO' -p237543 -aS'with\twith\tIN\tB-PP\tO' -p237544 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p237545 -aS'Amesin\tAmesin\tNNP\tI-NP\tO' -p237546 -aS'of\tof\tIN\tB-PP\tO' -p237547 -aS'Cardiology\tCardiology\tNNP\tB-NP\tO' -p237548 -aS'and\tand\tCC\tO\tO' -p237549 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p237550 -aS'Shuffpasc\tShuffpasc\tNNP\tI-NP\tO' -p237551 -aS'of\tof\tIN\tB-PP\tO' -p237552 -aS'Dingclearf\tDingclearf\tNNP\tB-NP\tO' -p237553 -aS'Alllirefaith\tAlllirefaith\tNNP\tI-NP\tO' -p237554 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p237555 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p237556 -aS'.\t.\t.\tO\tO' -p237557 -asS'If the patient experiences any chest pain , shortness of breath , nausea , vomiting , fevers , chills , please return to the emergency room .' -p237558 -(lp237559 -S'If\tIf\tIN\tB-SBAR\tO' -p237560 -aS'the\tthe\tDT\tB-NP\tO' -p237561 -aS'patient\tpatient\tNN\tI-NP\tO' -p237562 -aS'experiences\texperience\tVBZ\tB-VP\tO' -p237563 -aS'any\tany\tDT\tB-NP\tO' -p237564 -aS'chest\tch\tJJS\tI-NP\tO' -p237565 -aS'pain\tpain\tNN\tI-NP\tO' -p237566 -aS',\t,\t,\tO\tO' -p237567 -aS'shortness\tshortness\tNN\tB-NP\tO' -p237568 -aS'of\tof\tIN\tB-PP\tO' -p237569 -aS'breath\tbreath\tNN\tB-NP\tO' -p237570 -aS',\t,\t,\tO\tO' -p237571 -aS'nausea\tnausea\tNN\tB-NP\tO' -p237572 -aS',\t,\t,\tO\tO' -p237573 -aS'vomiting\tvomit\tVBG\tB-VP\tO' -p237574 -aS',\t,\t,\tO\tO' -p237575 -aS'fevers\tfever\tNNS\tB-NP\tO' -p237576 -aS',\t,\t,\tO\tO' -p237577 -aS'chills\tchill\tNNS\tB-NP\tO' -p237578 -aS',\t,\t,\tO\tO' -p237579 -aS'please\tplease\tVB\tB-VP\tO' -p237580 -aS'return\treturn\tNN\tB-NP\tO' -p237581 -aS'to\tto\tTO\tB-PP\tO' -p237582 -aS'the\tthe\tDT\tB-NP\tO' -p237583 -aS'emergency\temergency\tNN\tI-NP\tO' -p237584 -aS'room\troom\tNN\tI-NP\tO' -p237585 -aS'.\t.\t.\tO\tO' -p237586 -asS'He was seen by Dr. Seen and Dr. Seen as an out-patient .' -p237587 -(lp237588 -S'He\tHe\tPRP\tB-NP\tO' -p237589 -aS'was\tbe\tVBD\tB-VP\tO' -p237590 -aS'seen\tsee\tVBN\tI-VP\tO' -p237591 -aS'by\tby\tIN\tB-PP\tO' -p237592 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p237593 -aS'Seen\tSeen\tNNP\tI-NP\tO' -p237594 -aS'and\tand\tCC\tO\tO' -p237595 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p237596 -aS'Seen\tSeen\tNNP\tI-NP\tO' -p237597 -aS'as\tas\tIN\tB-PP\tO' -p237598 -aS'an\tan\tDT\tB-NP\tO' -p237599 -aS'out-patient\tout-patient\tNN\tI-NP\tO' -p237600 -aS'.\t.\t.\tO\tO' -p237601 -asS'3. 2014-09-24 left MCA stroke leaving him with right facial droop' -p237602 -(lp237603 -S'3.\t3.\tLS\tB-LST\tO' -p237604 -aS'2014-09-24\t2014-09-24\t:\tO\tO' -p237605 -aS'left\tleave\tVBN\tB-VP\tO' -p237606 -aS'MCA\tMCA\tNNP\tB-NP\tO' -p237607 -aS'stroke\tstroke\tVBD\tB-VP\tO' -p237608 -aS'leaving\tleave\tVBG\tI-VP\tO' -p237609 -aS'him\thim\tPRP\tB-NP\tO' -p237610 -aS'with\twith\tIN\tB-PP\tO' -p237611 -aS'right\tright\tJJ\tB-NP\tO' -p237612 -aS'facial\tfacial\tJJ\tI-NP\tO' -p237613 -aS'droop\tdroop\tNN\tI-NP\tO' -p237614 -asS'Electrocardiogram shows sinus bradycardia with Digitalis effect .' -p237615 -(lp237616 -S'Electrocardiogram\tElectrocardiogram\tNN\tB-NP\tO' -p237617 -aS'shows\tshow\tVBZ\tB-VP\tO' -p237618 -aS'sinus\tsinus\tNN\tB-NP\tO' -p237619 -aS'bradycardia\tbradycardia\tNN\tI-NP\tO' -p237620 -aS'with\twith\tIN\tB-PP\tO' -p237621 -aS'Digitalis\tDigitalis\tNNP\tB-NP\tO' -p237622 -aS'effect\teffect\tNN\tI-NP\tO' -p237623 -aS'.\t.\t.\tO\tO' -p237624 -asS'temperature 99.8 , pulse 86 , respiratory rate 18 .' -p237625 -(lp237626 -S'temperature\ttemperature\tNN\tB-NP\tO' -p237627 -aS'99.8\t99.8\tCD\tI-NP\tO' -p237628 -aS',\t,\t,\tO\tO' -p237629 -aS'pulse\tpulse\tNN\tB-NP\tO' -p237630 -aS'86\t86\tCD\tI-NP\tO' -p237631 -aS',\t,\t,\tO\tO' -p237632 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p237633 -aS'rate\trate\tNN\tI-NP\tO' -p237634 -aS'18\t18\tCD\tI-NP\tO' -p237635 -aS'.\t.\t.\tO\tO' -p237636 -asS'Signed electronically by : DR. Bernice Jenkins on : FRI 2011-10-07 4:01 PM' -p237637 -(lp237638 -S'Signed\tSign\tVBN\tB-VP\tO' -p237639 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p237640 -aS'by\tby\tIN\tB-PP\tO' -p237641 -aS':\t:\t:\tO\tO' -p237642 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p237643 -aS'Bernice\tBernice\tNNP\tI-NP\tO' -p237644 -aS'Jenkins\tJenkins\tNNP\tI-NP\tO' -p237645 -aS'on\ton\tIN\tB-PP\tO' -p237646 -aS':\t:\t:\tO\tO' -p237647 -aS'FRI\tFRI\tCD\tB-NP\tO' -p237648 -aS'2011-10-07\t2011-10-07\tCD\tI-NP\tO' -p237649 -aS'4:01\t4:01\tCD\tI-NP\tO' -p237650 -aS'PM\tPM\tNN\tI-NP\tO' -p237651 -asS'If you would like an WGH primary care physician , please call the Eghelas Medical Centers at 265-573-2272 .' -p237652 -(lp237653 -S'If\tIf\tIN\tB-SBAR\tO' -p237654 -aS'you\tyou\tPRP\tB-NP\tO' -p237655 -aS'would\twould\tMD\tB-VP\tO' -p237656 -aS'like\tlike\tVB\tI-VP\tO' -p237657 -aS'an\tan\tDT\tB-NP\tO' -p237658 -aS'WGH\tWGH\tNN\tI-NP\tO' -p237659 -aS'primary\tprimary\tJJ\tI-NP\tO' -p237660 -aS'care\tcare\tNN\tI-NP\tO' -p237661 -aS'physician\tphysician\tNN\tI-NP\tO' -p237662 -aS',\t,\t,\tO\tO' -p237663 -aS'please\tplease\tVB\tB-INTJ\tO' -p237664 -aS'call\tcall\tVB\tB-VP\tO' -p237665 -aS'the\tthe\tDT\tB-NP\tO' -p237666 -aS'Eghelas\tEghelas\tNNP\tI-NP\tO' -p237667 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p237668 -aS'Centers\tCenter\tNNPS\tI-NP\tO' -p237669 -aS'at\tat\tIN\tB-PP\tO' -p237670 -aS'265-573-2272\t265-573-2272\tCD\tB-NP\tO' -p237671 -aS'.\t.\t.\tO\tO' -p237672 -asS'The lungs were clear to auscultation bilaterally , without rales or wheezes .' -p237673 -(lp237674 -S'The\tThe\tDT\tB-NP\tO' -p237675 -aS'lungs\tlung\tNNS\tI-NP\tO' -p237676 -aS'were\tbe\tVBD\tB-VP\tO' -p237677 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p237678 -aS'to\tto\tTO\tB-PP\tO' -p237679 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p237680 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p237681 -aS',\t,\t,\tO\tO' -p237682 -aS'without\twithout\tIN\tB-PP\tO' -p237683 -aS'rales\trale\tNNS\tB-NP\tO' -p237684 -aS'or\tor\tCC\tI-NP\tO' -p237685 -aS'wheezes\twheeze\tNNS\tI-NP\tO' -p237686 -aS'.\t.\t.\tO\tO' -p237687 -asS'Upon arrival , they found the patient in bed , with notes nearby , listing his funeral home preferences and information on his next of kin .' -p237688 -(lp237689 -S'Upon\tUpon\tIN\tB-PP\tO' -p237690 -aS'arrival\tarrival\tNN\tB-NP\tO' -p237691 -aS',\t,\t,\tO\tO' -p237692 -aS'they\tthey\tPRP\tB-NP\tO' -p237693 -aS'found\tfind\tVBD\tB-VP\tO' -p237694 -aS'the\tthe\tDT\tB-NP\tO' -p237695 -aS'patient\tpatient\tNN\tI-NP\tO' -p237696 -aS'in\tin\tIN\tB-PP\tO' -p237697 -aS'bed\tbed\tNN\tB-NP\tO' -p237698 -aS',\t,\t,\tO\tO' -p237699 -aS'with\twith\tIN\tB-PP\tO' -p237700 -aS'notes\tnote\tNNS\tB-NP\tO' -p237701 -aS'nearby\tnearby\tRB\tB-ADVP\tO' -p237702 -aS',\t,\t,\tO\tO' -p237703 -aS'listing\tlist\tVBG\tB-VP\tO' -p237704 -aS'his\this\tPRP$\tB-NP\tO' -p237705 -aS'funeral\tfuneral\tJJ\tI-NP\tO' -p237706 -aS'home\thome\tNN\tI-NP\tO' -p237707 -aS'preferences\tpreference\tNNS\tI-NP\tO' -p237708 -aS'and\tand\tCC\tI-NP\tO' -p237709 -aS'information\tinformation\tNN\tI-NP\tO' -p237710 -aS'on\ton\tIN\tB-PP\tO' -p237711 -aS'his\this\tPRP$\tB-NP\tO' -p237712 -aS'next\tnext\tNN\tI-NP\tO' -p237713 -aS'of\tof\tIN\tB-PP\tO' -p237714 -aS'kin\tkin\tNN\tB-NP\tO' -p237715 -aS'.\t.\t.\tO\tO' -p237716 -asS'Thoracics agreed to no need for pigtail placement .' -p237717 -(lp237718 -S'Thoracics\tThoracic\tNNS\tB-NP\tO' -p237719 -aS'agreed\tagree\tVBD\tB-VP\tO' -p237720 -aS'to\tto\tTO\tB-PP\tO' -p237721 -aS'no\tno\tDT\tB-NP\tO' -p237722 -aS'need\tneed\tNN\tI-NP\tO' -p237723 -aS'for\tfor\tIN\tB-PP\tO' -p237724 -aS'pigtail\tpigtail\tNN\tB-NP\tO' -p237725 -aS'placement\tplacement\tNN\tI-NP\tO' -p237726 -aS'.\t.\t.\tO\tO' -p237727 -asS'His uric acid was up at 97 , his total bilirubin was up at 1.8 , his LDH was 428 , his phosphorus was 1.2 , calcium 8.6 , Digoxin level was 1.0 , potassium on admission was 2.9 , sodium 135 , BUN and creatinine 13/1.6 , and sugar of 267 .' -p237728 -(lp237729 -S'His\tHis\tPRP$\tB-NP\tO' -p237730 -aS'uric\turic\tJJ\tI-NP\tO' -p237731 -aS'acid\tacid\tNN\tI-NP\tO' -p237732 -aS'was\tbe\tVBD\tB-VP\tO' -p237733 -aS'up\tup\tRB\tB-ADVP\tO' -p237734 -aS'at\tat\tIN\tB-PP\tO' -p237735 -aS'97\t97\tCD\tB-NP\tO' -p237736 -aS',\t,\t,\tO\tO' -p237737 -aS'his\this\tPRP$\tB-NP\tO' -p237738 -aS'total\ttotal\tJJ\tI-NP\tO' -p237739 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p237740 -aS'was\tbe\tVBD\tB-VP\tO' -p237741 -aS'up\tup\tRB\tB-ADVP\tO' -p237742 -aS'at\tat\tIN\tB-PP\tO' -p237743 -aS'1.8\t1.8\tCD\tB-NP\tO' -p237744 -aS',\t,\t,\tO\tO' -p237745 -aS'his\this\tPRP$\tB-NP\tO' -p237746 -aS'LDH\tLDH\tNN\tI-NP\tB-protein' -p237747 -aS'was\tbe\tVBD\tB-VP\tO' -p237748 -aS'428\t428\tCD\tB-NP\tO' -p237749 -aS',\t,\t,\tO\tO' -p237750 -aS'his\this\tPRP$\tB-NP\tO' -p237751 -aS'phosphorus\tphosphorus\tNN\tI-NP\tO' -p237752 -aS'was\tbe\tVBD\tB-VP\tO' -p237753 -aS'1.2\t1.2\tCD\tB-NP\tO' -p237754 -aS',\t,\t,\tO\tO' -p237755 -aS'calcium\tcalcium\tNN\tB-NP\tO' -p237756 -aS'8.6\t8.6\tCD\tI-NP\tO' -p237757 -aS',\t,\t,\tO\tO' -p237758 -aS'Digoxin\tDigoxin\tNN\tB-NP\tO' -p237759 -aS'level\tlevel\tNN\tI-NP\tO' -p237760 -aS'was\tbe\tVBD\tB-VP\tO' -p237761 -aS'1.0\t1.0\tCD\tB-NP\tO' -p237762 -aS',\t,\t,\tO\tO' -p237763 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p237764 -aS'on\ton\tIN\tB-PP\tO' -p237765 -aS'admission\tadmission\tNN\tB-NP\tO' -p237766 -aS'was\tbe\tVBD\tB-VP\tO' -p237767 -aS'2.9\t2.9\tCD\tB-NP\tO' -p237768 -aS',\t,\t,\tO\tO' -p237769 -aS'sodium\tsodium\tNN\tB-NP\tO' -p237770 -aS'135\t135\tCD\tI-NP\tO' -p237771 -aS',\t,\t,\tO\tO' -p237772 -aS'BUN\tBUN\tNN\tB-NP\tB-protein' -p237773 -aS'and\tand\tCC\tO\tO' -p237774 -aS'creatinine\tcreatinine\tNN\tB-NP\tB-protein' -p237775 -aS'13/1.6\t13/1.6\tCD\tI-NP\tI-protein' -p237776 -aS',\t,\t,\tO\tO' -p237777 -aS'and\tand\tCC\tO\tO' -p237778 -aS'sugar\tsugar\tNN\tB-NP\tO' -p237779 -aS'of\tof\tIN\tB-PP\tO' -p237780 -aS'267\t267\tCD\tB-NP\tO' -p237781 -aS'.\t.\t.\tO\tO' -p237782 -asS'The patient presents now with progressive dyspnea , but no anginal pain .' -p237783 -(lp237784 -S'The\tThe\tDT\tB-NP\tO' -p237785 -aS'patient\tpatient\tNN\tI-NP\tO' -p237786 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p237787 -aS'now\tnow\tRB\tB-ADVP\tO' -p237788 -aS'with\twith\tIN\tB-PP\tO' -p237789 -aS'progressive\tprogressive\tJJ\tB-NP\tO' -p237790 -aS'dyspnea\tdyspnea\tNN\tI-NP\tO' -p237791 -aS',\t,\t,\tO\tO' -p237792 -aS'but\tbut\tCC\tO\tO' -p237793 -aS'no\tno\tDT\tB-NP\tO' -p237794 -aS'anginal\tanginal\tJJ\tI-NP\tO' -p237795 -aS'pain\tpain\tNN\tI-NP\tO' -p237796 -aS'.\t.\t.\tO\tO' -p237797 -asS'# DMI : Pt on sliding scale as inpatient and taking NPH 2 units BID at home .' -p237798 -(lp237799 -S'#\t#\t#\tB-NP\tO' -p237800 -aS'DMI\tDMI\tNN\tI-NP\tO' -p237801 -aS':\t:\t:\tO\tO' -p237802 -aS'Pt\tPt\tNN\tB-NP\tO' -p237803 -aS'on\ton\tIN\tB-PP\tO' -p237804 -aS'sliding\tslide\tVBG\tB-VP\tO' -p237805 -aS'scale\tscale\tNN\tB-NP\tO' -p237806 -aS'as\tas\tIN\tB-PP\tO' -p237807 -aS'inpatient\tinpatient\tNN\tB-NP\tO' -p237808 -aS'and\tand\tCC\tO\tO' -p237809 -aS'taking\ttake\tVBG\tB-VP\tO' -p237810 -aS'NPH\tNPH\tNN\tB-NP\tB-protein' -p237811 -aS'2\t2\tCD\tI-NP\tI-protein' -p237812 -aS'units\tunit\tNNS\tI-NP\tO' -p237813 -aS'BID\tBID\tNN\tI-NP\tO' -p237814 -aS'at\tat\tIN\tB-PP\tO' -p237815 -aS'home\thome\tNN\tB-NP\tO' -p237816 -aS'.\t.\t.\tO\tO' -p237817 -asS'The patient was treated with Tylenol orally as well as Ativan for anxiety that she had about going home .' -p237818 -(lp237819 -S'The\tThe\tDT\tB-NP\tO' -p237820 -aS'patient\tpatient\tNN\tI-NP\tO' -p237821 -aS'was\tbe\tVBD\tB-VP\tO' -p237822 -aS'treated\ttreat\tVBN\tI-VP\tO' -p237823 -aS'with\twith\tIN\tB-PP\tO' -p237824 -aS'Tylenol\tTylenol\tNN\tB-NP\tO' -p237825 -aS'orally\torally\tRB\tO\tO' -p237826 -aS'as\tas\tRB\tB-CONJP\tO' -p237827 -aS'well\twell\tRB\tI-CONJP\tO' -p237828 -aS'as\tas\tIN\tI-CONJP\tO' -p237829 -aS'Ativan\tAtivan\tNNP\tB-NP\tO' -p237830 -aS'for\tfor\tIN\tB-PP\tO' -p237831 -aS'anxiety\tanxiety\tNN\tB-NP\tO' -p237832 -aS'that\tthat\tIN\tB-SBAR\tO' -p237833 -aS'she\tshe\tPRP\tB-NP\tO' -p237834 -aS'had\thave\tVBD\tB-VP\tO' -p237835 -aS'about\tabout\tIN\tB-PP\tO' -p237836 -aS'going\tgo\tVBG\tB-VP\tO' -p237837 -aS'home\thome\tNN\tB-NP\tO' -p237838 -aS'.\t.\t.\tO\tO' -p237839 -asS'The patient reports dizziness intermittently times several months now increasing in frequency described as episodes where she feels faint .' -p237840 -(lp237841 -S'The\tThe\tDT\tB-NP\tO' -p237842 -aS'patient\tpatient\tNN\tI-NP\tO' -p237843 -aS'reports\treport\tVBZ\tB-VP\tO' -p237844 -aS'dizziness\tdizziness\tNN\tB-NP\tO' -p237845 -aS'intermittently\tintermittently\tRB\tB-ADVP\tO' -p237846 -aS'times\ttime\tVBZ\tB-VP\tO' -p237847 -aS'several\tseveral\tJJ\tB-NP\tO' -p237848 -aS'months\tmonth\tNNS\tI-NP\tO' -p237849 -aS'now\tnow\tRB\tB-ADVP\tO' -p237850 -aS'increasing\tincrease\tVBG\tB-VP\tO' -p237851 -aS'in\tin\tIN\tB-PP\tO' -p237852 -aS'frequency\tfrequency\tNN\tB-NP\tO' -p237853 -aS'described\tdescribe\tVBN\tB-VP\tO' -p237854 -aS'as\tas\tIN\tB-PP\tO' -p237855 -aS'episodes\tepisode\tNNS\tB-NP\tO' -p237856 -aS'where\twhere\tWRB\tB-ADVP\tO' -p237857 -aS'she\tshe\tPRP\tB-NP\tO' -p237858 -aS'feels\tfeel\tVBZ\tB-VP\tO' -p237859 -aS'faint\tfaint\tJJ\tB-ADJP\tO' -p237860 -aS'.\t.\t.\tO\tO' -p237861 -asS'As a matter of fact the patient made remarkable progress given the severity of his disease condition prior to the operation .' -p237862 -(lp237863 -S'As\tAs\tIN\tB-PP\tO' -p237864 -aS'a\ta\tDT\tB-NP\tO' -p237865 -aS'matter\tmatter\tNN\tI-NP\tO' -p237866 -aS'of\tof\tIN\tB-PP\tO' -p237867 -aS'fact\tfact\tNN\tB-NP\tO' -p237868 -aS'the\tthe\tDT\tB-NP\tO' -p237869 -aS'patient\tpatient\tNN\tI-NP\tO' -p237870 -aS'made\tmake\tVBD\tB-VP\tO' -p237871 -aS'remarkable\tremarkable\tJJ\tB-NP\tO' -p237872 -aS'progress\tprogress\tNN\tI-NP\tO' -p237873 -aS'given\tgive\tVBN\tB-PP\tO' -p237874 -aS'the\tthe\tDT\tB-NP\tO' -p237875 -aS'severity\tseverity\tNN\tI-NP\tO' -p237876 -aS'of\tof\tIN\tB-PP\tO' -p237877 -aS'his\this\tPRP$\tB-NP\tO' -p237878 -aS'disease\tdisease\tNN\tI-NP\tO' -p237879 -aS'condition\tcondition\tNN\tI-NP\tO' -p237880 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p237881 -aS'to\tto\tTO\tB-PP\tO' -p237882 -aS'the\tthe\tDT\tB-NP\tO' -p237883 -aS'operation\toperation\tNN\tI-NP\tO' -p237884 -aS'.\t.\t.\tO\tO' -p237885 -asS'2. Coronary artery disease status post NQWMI 02-25 , s/p LAD angioplasty and stent 05-26 . Known non-dominant 90% RCA lesion not intervened upon .' -p237886 -(lp237887 -S'2.\t2.\tLS\tB-NP\tO' -p237888 -aS'Coronary\tCoronary\tJJ\tI-NP\tO' -p237889 -aS'artery\tartery\tNN\tI-NP\tO' -p237890 -aS'disease\tdisease\tNN\tI-NP\tO' -p237891 -aS'status\tstatus\tNN\tI-NP\tO' -p237892 -aS'post\tpost\tNN\tI-NP\tO' -p237893 -aS'NQWMI\tNQWMI\tNN\tI-NP\tO' -p237894 -aS'02-25\t02-25\tCD\tI-NP\tO' -p237895 -aS',\t,\t,\tO\tO' -p237896 -aS's/p\ts/p\tNN\tB-NP\tO' -p237897 -aS'LAD\tLAD\tNN\tI-NP\tO' -p237898 -aS'angioplasty\tangioplasty\tNN\tI-NP\tO' -p237899 -aS'and\tand\tCC\tO\tO' -p237900 -aS'stent\tstent\tNN\tB-NP\tO' -p237901 -aS'05-26\t05-26\tCD\tI-NP\tO' -p237902 -aS'.\t.\t.\tI-NP\tO' -p237903 -aS'Known\tKnown\tNNP\tI-NP\tO' -p237904 -aS'non-dominant\tnon-dominant\tJJ\tI-NP\tO' -p237905 -aS'90%\t90%\tNN\tI-NP\tO' -p237906 -aS'RCA\tRCA\tNN\tI-NP\tO' -p237907 -aS'lesion\tlesion\tNN\tI-NP\tO' -p237908 -aS'not\tnot\tRB\tO\tO' -p237909 -aS'intervened\tintervene\tVBD\tB-VP\tO' -p237910 -aS'upon\tupon\tIN\tB-PP\tO' -p237911 -aS'.\t.\t.\tO\tO' -p237912 -asS'There were diffuse ST segment and T-wave abnormalities , which were nonspecific .' -p237913 -(lp237914 -S'There\tThere\tEX\tB-NP\tO' -p237915 -aS'were\tbe\tVBD\tB-VP\tO' -p237916 -aS'diffuse\tdiffuse\tJJ\tB-NP\tO' -p237917 -aS'ST\tST\tNN\tI-NP\tO' -p237918 -aS'segment\tsegment\tNN\tI-NP\tO' -p237919 -aS'and\tand\tCC\tI-NP\tO' -p237920 -aS'T-wave\tT-wave\tNN\tI-NP\tO' -p237921 -aS'abnormalities\tabnormality\tNNS\tI-NP\tO' -p237922 -aS',\t,\t,\tO\tO' -p237923 -aS'which\twhich\tWDT\tB-NP\tO' -p237924 -aS'were\tbe\tVBD\tB-VP\tO' -p237925 -aS'nonspecific\tnonspecific\tJJ\tB-ADJP\tO' -p237926 -aS'.\t.\t.\tO\tO' -p237927 -asS'Due to the unknown group B Strep status and prematurity , Raymond was evaluated for sepsis .' -p237928 -(lp237929 -S'Due\tDue\tJJ\tB-PP\tO' -p237930 -aS'to\tto\tTO\tI-PP\tO' -p237931 -aS'the\tthe\tDT\tB-NP\tO' -p237932 -aS'unknown\tunknown\tJJ\tI-NP\tO' -p237933 -aS'group\tgroup\tNN\tI-NP\tO' -p237934 -aS'B\tB\tNN\tI-NP\tO' -p237935 -aS'Strep\tStrep\tNN\tI-NP\tO' -p237936 -aS'status\tstatus\tNN\tI-NP\tO' -p237937 -aS'and\tand\tCC\tO\tO' -p237938 -aS'prematurity\tprematurity\tNN\tB-NP\tO' -p237939 -aS',\t,\t,\tO\tO' -p237940 -aS'Raymond\tRaymond\tNNP\tB-NP\tO' -p237941 -aS'was\tbe\tVBD\tB-VP\tO' -p237942 -aS'evaluated\tevaluate\tVBN\tI-VP\tO' -p237943 -aS'for\tfor\tIN\tB-PP\tO' -p237944 -aS'sepsis\tsepsis\tNN\tB-NP\tO' -p237945 -aS'.\t.\t.\tO\tO' -p237946 -asS'46 - yo-man w/ active cocaine use presents w/ LE edema .' -p237947 -(lp237948 -S'46\t46\tCD\tB-NP\tO' -p237949 -aS'-\t-\tHYPH\tI-NP\tO' -p237950 -aS'yo-man\tyo-man\tJJ\tI-NP\tO' -p237951 -aS'w/\tw/\tNN\tI-NP\tO' -p237952 -aS'active\tactive\tJJ\tI-NP\tO' -p237953 -aS'cocaine\tcocaine\tNN\tI-NP\tO' -p237954 -aS'use\tuse\tNN\tI-NP\tO' -p237955 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p237956 -aS'w/\tw/\tNN\tB-NP\tO' -p237957 -aS'LE\tLE\tNN\tI-NP\tO' -p237958 -aS'edema\tedema\tNN\tI-NP\tO' -p237959 -aS'.\t.\t.\tO\tO' -p237960 -asS'her activities of daily living .' -p237961 -(lp237962 -S'her\ther\tPRP$\tB-NP\tO' -p237963 -aS'activities\tactivity\tNNS\tI-NP\tO' -p237964 -aS'of\tof\tIN\tB-PP\tO' -p237965 -aS'daily\tdaily\tJJ\tB-NP\tO' -p237966 -aS'living\tliving\tNN\tI-NP\tO' -p237967 -aS'.\t.\t.\tO\tO' -p237968 -asS"Initially , the patient 's etiology of seizure was not quite clear , but thought possibly secondary to alcohol and benzodiazepine withdrawal ." -p237969 -(lp237970 -S'Initially\tInitially\tRB\tB-ADVP\tO' -p237971 -aS',\t,\t,\tO\tO' -p237972 -aS'the\tthe\tDT\tB-NP\tO' -p237973 -aS'patient\tpatient\tNN\tI-NP\tO' -p237974 -aS"'s\t's\tPOS\tB-NP\tO" -p237975 -aS'etiology\tetiology\tNN\tI-NP\tO' -p237976 -aS'of\tof\tIN\tB-PP\tO' -p237977 -aS'seizure\tseizure\tNN\tB-NP\tO' -p237978 -aS'was\tbe\tVBD\tB-VP\tO' -p237979 -aS'not\tnot\tRB\tO\tO' -p237980 -aS'quite\tquite\tRB\tB-ADJP\tO' -p237981 -aS'clear\tclear\tJJ\tI-ADJP\tO' -p237982 -aS',\t,\t,\tO\tO' -p237983 -aS'but\tbut\tCC\tO\tO' -p237984 -aS'thought\tthink\tVBD\tB-VP\tO' -p237985 -aS'possibly\tpossibly\tRB\tB-ADJP\tO' -p237986 -aS'secondary\tsecondary\tJJ\tI-ADJP\tO' -p237987 -aS'to\tto\tTO\tB-PP\tO' -p237988 -aS'alcohol\talcohol\tNN\tB-NP\tO' -p237989 -aS'and\tand\tCC\tI-NP\tO' -p237990 -aS'benzodiazepine\tbenzodiazepine\tNN\tI-NP\tO' -p237991 -aS'withdrawal\twithdrawal\tNN\tI-NP\tO' -p237992 -aS'.\t.\t.\tO\tO' -p237993 -asS'The heart rate was regular without murmur , and pulses were 2+ and symmetrical .' -p237994 -(lp237995 -S'The\tThe\tDT\tB-NP\tO' -p237996 -aS'heart\theart\tNN\tI-NP\tO' -p237997 -aS'rate\trate\tNN\tI-NP\tO' -p237998 -aS'was\tbe\tVBD\tB-VP\tO' -p237999 -aS'regular\tregular\tJJ\tB-ADJP\tO' -p238000 -aS'without\twithout\tIN\tB-PP\tO' -p238001 -aS'murmur\tmurmur\tNN\tB-NP\tO' -p238002 -aS',\t,\t,\tO\tO' -p238003 -aS'and\tand\tCC\tO\tO' -p238004 -aS'pulses\tpulse\tNNS\tB-NP\tO' -p238005 -aS'were\tbe\tVBD\tB-VP\tO' -p238006 -aS'2+\t2+\tJJ\tB-ADJP\tO' -p238007 -aS'and\tand\tCC\tI-ADJP\tO' -p238008 -aS'symmetrical\tsymmetrical\tJJ\tI-ADJP\tO' -p238009 -aS'.\t.\t.\tO\tO' -p238010 -asS'6. Midazolam 1 mg/mL Solution Sig : 1-2 mg Injection Q2H ( every 2 hours ) as needed for comfort .' -p238011 -(lp238012 -S'6.\t6.\tCD\tB-NP\tO' -p238013 -aS'Midazolam\tMidazolam\tNN\tI-NP\tO' -p238014 -aS'1\t1\tCD\tB-NP\tO' -p238015 -aS'mg/mL\tmg/mL\tNN\tI-NP\tO' -p238016 -aS'Solution\tSolution\tNNP\tI-NP\tO' -p238017 -aS'Sig\tSig\tNNP\tI-NP\tO' -p238018 -aS':\t:\t:\tO\tO' -p238019 -aS'1-2\t1-2\tCD\tB-NP\tO' -p238020 -aS'mg\tmg\tNN\tI-NP\tO' -p238021 -aS'Injection\tInjection\tNN\tI-NP\tO' -p238022 -aS'Q2H\tQ2H\tNN\tI-NP\tO' -p238023 -aS'(\t(\t(\tO\tO' -p238024 -aS'every\tevery\tDT\tB-NP\tO' -p238025 -aS'2\t2\tCD\tI-NP\tO' -p238026 -aS'hours\thour\tNNS\tI-NP\tO' -p238027 -aS')\t)\t)\tO\tO' -p238028 -aS'as\tas\tIN\tB-SBAR\tO' -p238029 -aS'needed\tneed\tVBN\tB-VP\tO' -p238030 -aS'for\tfor\tIN\tB-PP\tO' -p238031 -aS'comfort\tcomfort\tNN\tB-NP\tO' -p238032 -aS'.\t.\t.\tO\tO' -p238033 -asS'The mother has 3 older children who are alive and well .' -p238034 -(lp238035 -S'The\tThe\tDT\tB-NP\tO' -p238036 -aS'mother\tmother\tNN\tI-NP\tO' -p238037 -aS'has\thave\tVBZ\tB-VP\tO' -p238038 -aS'3\t3\tCD\tB-NP\tO' -p238039 -aS'older\told\tJJR\tI-NP\tO' -p238040 -aS'children\tchild\tNNS\tI-NP\tO' -p238041 -aS'who\twho\tWP\tB-NP\tO' -p238042 -aS'are\tbe\tVBP\tB-VP\tO' -p238043 -aS'alive\talive\tJJ\tB-ADJP\tO' -p238044 -aS'and\tand\tCC\tO\tO' -p238045 -aS'well\twell\tRB\tB-ADVP\tO' -p238046 -aS'.\t.\t.\tO\tO' -p238047 -asS'Patient was treated with 14 days of levoflox .' -p238048 -(lp238049 -S'Patient\tPatient\tNN\tB-NP\tO' -p238050 -aS'was\tbe\tVBD\tB-VP\tO' -p238051 -aS'treated\ttreat\tVBN\tI-VP\tO' -p238052 -aS'with\twith\tIN\tB-PP\tO' -p238053 -aS'14\t14\tCD\tB-NP\tO' -p238054 -aS'days\tday\tNNS\tI-NP\tO' -p238055 -aS'of\tof\tIN\tB-PP\tO' -p238056 -aS'levoflox\tlevoflox\tNN\tB-NP\tO' -p238057 -aS'.\t.\t.\tO\tO' -p238058 -asS'Other than the addition of Amiodarone 200 mg daily , will be the same as her admission medications .' -p238059 -(lp238060 -S'Other\tOther\tJJ\tB-ADJP\tO' -p238061 -aS'than\tthan\tIN\tB-PP\tO' -p238062 -aS'the\tthe\tDT\tB-NP\tO' -p238063 -aS'addition\taddition\tNN\tI-NP\tO' -p238064 -aS'of\tof\tIN\tB-PP\tO' -p238065 -aS'Amiodarone\tAmiodarone\tNN\tB-NP\tO' -p238066 -aS'200\t200\tCD\tI-NP\tO' -p238067 -aS'mg\tmg\tNN\tI-NP\tO' -p238068 -aS'daily\tdaily\tRB\tB-ADVP\tO' -p238069 -aS',\t,\t,\tO\tO' -p238070 -aS'will\twill\tMD\tB-VP\tO' -p238071 -aS'be\tbe\tVB\tI-VP\tO' -p238072 -aS'the\tthe\tDT\tB-NP\tO' -p238073 -aS'same\tsame\tJJ\tI-NP\tO' -p238074 -aS'as\tas\tIN\tB-PP\tO' -p238075 -aS'her\ther\tPRP$\tB-NP\tO' -p238076 -aS'admission\tadmission\tNN\tI-NP\tO' -p238077 -aS'medications\tmedication\tNNS\tI-NP\tO' -p238078 -aS'.\t.\t.\tO\tO' -p238079 -asS'She also noted increased dyspnea on exertion .' -p238080 -(lp238081 -S'She\tShe\tPRP\tB-NP\tO' -p238082 -aS'also\talso\tRB\tB-ADVP\tO' -p238083 -aS'noted\tnote\tVBD\tB-VP\tO' -p238084 -aS'increased\tincrease\tVBN\tB-NP\tO' -p238085 -aS'dyspnea\tdyspnea\tNN\tI-NP\tO' -p238086 -aS'on\ton\tIN\tB-PP\tO' -p238087 -aS'exertion\texertion\tNN\tB-NP\tO' -p238088 -aS'.\t.\t.\tO\tO' -p238089 -asS'She denies any history of elicit drug use .' -p238090 -(lp238091 -S'She\tShe\tPRP\tB-NP\tO' -p238092 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p238093 -aS'any\tany\tDT\tB-NP\tO' -p238094 -aS'history\thistory\tNN\tI-NP\tO' -p238095 -aS'of\tof\tIN\tB-PP\tO' -p238096 -aS'elicit\telicit\tJJ\tB-NP\tO' -p238097 -aS'drug\tdrug\tNN\tI-NP\tO' -p238098 -aS'use\tuse\tNN\tI-NP\tO' -p238099 -aS'.\t.\t.\tO\tO' -p238100 -asS'She should have a follow-up echocardiogram .' -p238101 -(lp238102 -S'She\tShe\tPRP\tB-NP\tO' -p238103 -aS'should\tshould\tMD\tB-VP\tO' -p238104 -aS'have\thave\tVB\tI-VP\tO' -p238105 -aS'a\ta\tDT\tB-NP\tO' -p238106 -aS'follow-up\tfollow-up\tJJ\tI-NP\tO' -p238107 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p238108 -aS'.\t.\t.\tO\tO' -p238109 -asS'MEDICATIONS at the time of discharge are G-CSF 300 micrograms subcu q. day , Acyclovir 200 mg p.o. b.i.d. , Erythromycin 500 mg p.o. b.i.d. , Dapsone 50 mg p.o. Monday , Wednesday and Friday , Imodium 1-2 tablets p.o. q. 6 hours p.r.n. , Nystatin 5 cc swish and swallow q.i.d. , Serax 50 mg p.o. q. 6 hours p.r.n. and Kay-Ceil 40 mEq p.o. b.i.d.' -p238110 -(lp238111 -S'MEDICATIONS\tMEDICATIONS\tNNS\tB-NP\tO' -p238112 -aS'at\tat\tIN\tB-PP\tO' -p238113 -aS'the\tthe\tDT\tB-NP\tO' -p238114 -aS'time\ttime\tNN\tI-NP\tO' -p238115 -aS'of\tof\tIN\tB-PP\tO' -p238116 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p238117 -aS'are\tbe\tVBP\tB-VP\tO' -p238118 -aS'G-CSF\tG-CSF\tNN\tB-NP\tB-protein' -p238119 -aS'300\t300\tCD\tB-NP\tO' -p238120 -aS'micrograms\tmicrogram\tNNS\tI-NP\tO' -p238121 -aS'subcu\tsubcu\tNN\tI-NP\tO' -p238122 -aS'q.\tq.\tNN\tI-NP\tO' -p238123 -aS'day\tday\tNN\tI-NP\tO' -p238124 -aS',\t,\t,\tO\tO' -p238125 -aS'Acyclovir\tAcyclovir\tNN\tB-NP\tO' -p238126 -aS'200\t200\tCD\tI-NP\tO' -p238127 -aS'mg\tmg\tNN\tI-NP\tO' -p238128 -aS'p.o.\tp.o.\tFW\tB-ADVP\tO' -p238129 -aS'b.i.d.\tb.i.d.\tFW\tI-ADVP\tO' -p238130 -aS',\t,\t,\tO\tO' -p238131 -aS'Erythromycin\tErythromycin\tNN\tB-NP\tO' -p238132 -aS'500\t500\tCD\tI-NP\tO' -p238133 -aS'mg\tmg\tNN\tI-NP\tO' -p238134 -aS'p.o.\tp.o.\tFW\tB-ADVP\tO' -p238135 -aS'b.i.d.\tb.i.d.\tFW\tI-ADVP\tO' -p238136 -aS',\t,\t,\tO\tO' -p238137 -aS'Dapsone\tDapsone\tNN\tB-NP\tO' -p238138 -aS'50\t50\tCD\tI-NP\tO' -p238139 -aS'mg\tmg\tNN\tI-NP\tO' -p238140 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p238141 -aS'Monday\tMonday\tNNP\tB-NP\tO' -p238142 -aS',\t,\t,\tO\tO' -p238143 -aS'Wednesday\tWednesday\tNNP\tB-NP\tO' -p238144 -aS'and\tand\tCC\tO\tO' -p238145 -aS'Friday\tFriday\tNNP\tB-NP\tO' -p238146 -aS',\t,\t,\tO\tO' -p238147 -aS'Imodium\tImodium\tNNP\tB-NP\tO' -p238148 -aS'1-2\t1-2\tCD\tI-NP\tO' -p238149 -aS'tablets\ttablet\tNNS\tI-NP\tO' -p238150 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p238151 -aS'q.\tq.\tNN\tI-NP\tO' -p238152 -aS'6\t6\tCD\tB-NP\tO' -p238153 -aS'hours\thour\tNNS\tI-NP\tO' -p238154 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p238155 -aS',\t,\t,\tO\tO' -p238156 -aS'Nystatin\tNystatin\tNN\tB-NP\tB-protein' -p238157 -aS'5\t5\tCD\tI-NP\tI-protein' -p238158 -aS'cc\tcc\tNN\tI-NP\tO' -p238159 -aS'swish\tswish\tVB\tB-VP\tO' -p238160 -aS'and\tand\tCC\tI-VP\tO' -p238161 -aS'swallow\tswallow\tVB\tI-VP\tO' -p238162 -aS'q.i.d.\tq.i.d.\tNN\tB-NP\tO' -p238163 -aS',\t,\t,\tO\tO' -p238164 -aS'Serax\tSerax\tNN\tB-NP\tO' -p238165 -aS'50\t50\tCD\tI-NP\tO' -p238166 -aS'mg\tmg\tNN\tI-NP\tO' -p238167 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p238168 -aS'q.\tq.\tNN\tI-NP\tO' -p238169 -aS'6\t6\tCD\tB-NP\tO' -p238170 -aS'hours\thour\tNNS\tI-NP\tO' -p238171 -aS'p.r.n.\tp.r.n.\tRB\tB-ADVP\tO' -p238172 -aS'and\tand\tCC\tO\tO' -p238173 -aS'Kay-Ceil\tKay-Ceil\tNNP\tB-NP\tO' -p238174 -aS'40\t40\tCD\tI-NP\tO' -p238175 -aS'mEq\tmEq\tNN\tI-NP\tO' -p238176 -aS'p.o.\tp.o.\tFW\tB-ADVP\tO' -p238177 -aS'b.i.d.\tb.i.d.\tFW\tI-ADVP\tO' -p238178 -asS'Periodic urinalysis should be conducted to monitor the development of possible urinary tract infection .' -p238179 -(lp238180 -S'Periodic\tPeriodic\tJJ\tB-NP\tO' -p238181 -aS'urinalysis\turinalysis\tNN\tI-NP\tO' -p238182 -aS'should\tshould\tMD\tB-VP\tO' -p238183 -aS'be\tbe\tVB\tI-VP\tO' -p238184 -aS'conducted\tconduct\tVBN\tI-VP\tO' -p238185 -aS'to\tto\tTO\tI-VP\tO' -p238186 -aS'monitor\tmonitor\tVB\tI-VP\tO' -p238187 -aS'the\tthe\tDT\tB-NP\tO' -p238188 -aS'development\tdevelopment\tNN\tI-NP\tO' -p238189 -aS'of\tof\tIN\tB-PP\tO' -p238190 -aS'possible\tpossible\tJJ\tB-NP\tO' -p238191 -aS'urinary\turinary\tJJ\tI-NP\tO' -p238192 -aS'tract\ttract\tNN\tI-NP\tO' -p238193 -aS'infection\tinfection\tNN\tI-NP\tO' -p238194 -aS'.\t.\t.\tO\tO' -p238195 -asS"The infants are legally under the parents ' names and they are involved with the infant 's care ." -p238196 -(lp238197 -S'The\tThe\tDT\tB-NP\tO' -p238198 -aS'infants\tinfant\tNNS\tI-NP\tO' -p238199 -aS'are\tbe\tVBP\tB-VP\tO' -p238200 -aS'legally\tlegally\tRB\tB-ADVP\tO' -p238201 -aS'under\tunder\tIN\tB-PP\tO' -p238202 -aS'the\tthe\tDT\tB-NP\tO' -p238203 -aS'parents\tparent\tNNS\tI-NP\tO' -p238204 -aS"'\t'\tPOS\tB-NP\tO" -p238205 -aS'names\tname\tNNS\tI-NP\tO' -p238206 -aS'and\tand\tCC\tO\tO' -p238207 -aS'they\tthey\tPRP\tB-NP\tO' -p238208 -aS'are\tbe\tVBP\tB-VP\tO' -p238209 -aS'involved\tinvolve\tVBN\tI-VP\tO' -p238210 -aS'with\twith\tIN\tB-PP\tO' -p238211 -aS'the\tthe\tDT\tB-NP\tO' -p238212 -aS'infant\tinfant\tNN\tI-NP\tO' -p238213 -aS"'s\t's\tPOS\tB-NP\tO" -p238214 -aS'care\tcare\tNN\tI-NP\tO' -p238215 -aS'.\t.\t.\tO\tO' -p238216 -asS'The patient transfused 2 units on 10/15/97 for a hematocrit of 27.6 .' -p238217 -(lp238218 -S'The\tThe\tDT\tB-NP\tO' -p238219 -aS'patient\tpatient\tNN\tI-NP\tO' -p238220 -aS'transfused\ttransfuse\tVBN\tB-VP\tO' -p238221 -aS'2\t2\tCD\tB-NP\tO' -p238222 -aS'units\tunit\tNNS\tI-NP\tO' -p238223 -aS'on\ton\tIN\tB-PP\tO' -p238224 -aS'10/15/97\t10/15/97\tCD\tB-NP\tO' -p238225 -aS'for\tfor\tIN\tB-PP\tO' -p238226 -aS'a\ta\tDT\tB-NP\tO' -p238227 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p238228 -aS'of\tof\tIN\tB-PP\tO' -p238229 -aS'27.6\t27.6\tCD\tB-NP\tO' -p238230 -aS'.\t.\t.\tO\tO' -p238231 -asS'1. Unasyn 3 grams intravenous every six hours .' -p238232 -(lp238233 -S'1.\t1.\tLS\tB-LST\tO' -p238234 -aS'Unasyn\tUnasyn\tIN\tB-PP\tO' -p238235 -aS'3\t3\tCD\tB-NP\tO' -p238236 -aS'grams\tgram\tNNS\tI-NP\tO' -p238237 -aS'intravenous\tintravenous\tJJ\tB-ADJP\tO' -p238238 -aS'every\tevery\tDT\tB-NP\tO' -p238239 -aS'six\tsix\tCD\tI-NP\tO' -p238240 -aS'hours\thour\tNNS\tI-NP\tO' -p238241 -aS'.\t.\t.\tO\tO' -p238242 -asS'Theo-dur 300 mg. po. bid .' -p238243 -(lp238244 -S'Theo-dur\tTheo-dur\tRB\tB-NP\tO' -p238245 -aS'300\t300\tCD\tI-NP\tO' -p238246 -aS'mg.\tmg.\tNN\tI-NP\tO' -p238247 -aS'po.\tpo.\tNN\tI-NP\tO' -p238248 -aS'bid\tbid\tNN\tI-NP\tO' -p238249 -aS'.\t.\t.\tO\tO' -p238250 -asS'The patient had a history from 7/12/01 of a normal white blood cell count , with a normal absolute neutrophil count .' -p238251 -(lp238252 -S'The\tThe\tDT\tB-NP\tO' -p238253 -aS'patient\tpatient\tNN\tI-NP\tO' -p238254 -aS'had\thave\tVBD\tB-VP\tO' -p238255 -aS'a\ta\tDT\tB-NP\tO' -p238256 -aS'history\thistory\tNN\tI-NP\tO' -p238257 -aS'from\tfrom\tIN\tB-PP\tO' -p238258 -aS'7/12/01\t7/12/01\tCD\tB-NP\tO' -p238259 -aS'of\tof\tIN\tB-PP\tO' -p238260 -aS'a\ta\tDT\tB-NP\tO' -p238261 -aS'normal\tnormal\tJJ\tI-NP\tO' -p238262 -aS'white\twhite\tJJ\tI-NP\tO' -p238263 -aS'blood\tblood\tNN\tI-NP\tO' -p238264 -aS'cell\tcell\tNN\tI-NP\tO' -p238265 -aS'count\tcount\tNN\tI-NP\tO' -p238266 -aS',\t,\t,\tO\tO' -p238267 -aS'with\twith\tIN\tB-PP\tO' -p238268 -aS'a\ta\tDT\tB-NP\tO' -p238269 -aS'normal\tnormal\tJJ\tI-NP\tO' -p238270 -aS'absolute\tabsolute\tJJ\tI-NP\tO' -p238271 -aS'neutrophil\tneutrophil\tNN\tI-NP\tO' -p238272 -aS'count\tcount\tNN\tI-NP\tO' -p238273 -aS'.\t.\t.\tO\tO' -p238274 -asS'12. PE 2018-11-17 leading to PEA arrest' -p238275 -(lp238276 -S'12.\t12.\tCD\tB-NP\tO' -p238277 -aS'PE\tPE\tNN\tI-NP\tO' -p238278 -aS'2018-11-17\t2018-11-17\tCD\tB-NP\tO' -p238279 -aS'leading\tlead\tVBG\tB-VP\tO' -p238280 -aS'to\tto\tTO\tB-PP\tO' -p238281 -aS'PEA\tPEA\tNN\tB-NP\tO' -p238282 -aS'arrest\tarrest\tNN\tI-NP\tO' -p238283 -asS'## Urostomy s/p ileal loop conduit in 2007 for neurogenic bladder w/ persistent leak' -p238284 -(lp238285 -S'##\t##\t#\tB-NP\tO' -p238286 -aS'Urostomy\tUrostomy\tNN\tI-NP\tO' -p238287 -aS's/p\ts/p\tNN\tI-NP\tO' -p238288 -aS'ileal\tileal\tJJ\tI-NP\tO' -p238289 -aS'loop\tloop\tNN\tI-NP\tO' -p238290 -aS'conduit\tconduit\tNN\tI-NP\tO' -p238291 -aS'in\tin\tIN\tB-PP\tO' -p238292 -aS'2007\t2007\tCD\tB-NP\tO' -p238293 -aS'for\tfor\tIN\tB-PP\tO' -p238294 -aS'neurogenic\tneurogenic\tJJ\tB-NP\tB-protein' -p238295 -aS'bladder\tbladder\tNN\tI-NP\tI-protein' -p238296 -aS'w/\tw/\tNN\tI-NP\tI-protein' -p238297 -aS'persistent\tpersistent\tJJ\tI-NP\tI-protein' -p238298 -aS'leak\tleak\tNN\tI-NP\tI-protein' -p238299 -asS'His penis had a 1/2 cm ulcer with yellowish discharge .' -p238300 -(lp238301 -S'His\tHis\tPRP$\tB-NP\tO' -p238302 -aS'penis\tpenis\tNN\tI-NP\tO' -p238303 -aS'had\thave\tVBD\tB-VP\tO' -p238304 -aS'a\ta\tDT\tB-NP\tO' -p238305 -aS'1/2\t1/2\tCD\tI-NP\tO' -p238306 -aS'cm\tcm\tNN\tI-NP\tO' -p238307 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p238308 -aS'with\twith\tIN\tB-PP\tO' -p238309 -aS'yellowish\tyellowish\tJJ\tB-NP\tO' -p238310 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p238311 -aS'.\t.\t.\tO\tO' -p238312 -asS'Large for gestational age appearance of an infant with tachypnea , grunting and flaring .' -p238313 -(lp238314 -S'Large\tLarge\tJJ\tB-ADJP\tO' -p238315 -aS'for\tfor\tIN\tB-PP\tO' -p238316 -aS'gestational\tgestational\tJJ\tB-NP\tO' -p238317 -aS'age\tage\tNN\tI-NP\tO' -p238318 -aS'appearance\tappearance\tNN\tI-NP\tO' -p238319 -aS'of\tof\tIN\tB-PP\tO' -p238320 -aS'an\tan\tDT\tB-NP\tO' -p238321 -aS'infant\tinfant\tNN\tI-NP\tO' -p238322 -aS'with\twith\tIN\tB-PP\tO' -p238323 -aS'tachypnea\ttachypnea\tNN\tB-NP\tO' -p238324 -aS',\t,\t,\tI-NP\tO' -p238325 -aS'grunting\tgrunting\tNN\tI-NP\tO' -p238326 -aS'and\tand\tCC\tI-NP\tO' -p238327 -aS'flaring\tflaring\tNN\tI-NP\tO' -p238328 -aS'.\t.\t.\tO\tO' -p238329 -asS'The patient was discharged home on 2/29/00 , with much improvement of his symptoms .' -p238330 -(lp238331 -S'The\tThe\tDT\tB-NP\tO' -p238332 -aS'patient\tpatient\tNN\tI-NP\tO' -p238333 -aS'was\tbe\tVBD\tB-VP\tO' -p238334 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p238335 -aS'home\thome\tNN\tB-ADVP\tO' -p238336 -aS'on\ton\tIN\tB-PP\tO' -p238337 -aS'2/29/00\t2/29/00\tCD\tB-NP\tO' -p238338 -aS',\t,\t,\tO\tO' -p238339 -aS'with\twith\tIN\tB-PP\tO' -p238340 -aS'much\tmuch\tJJ\tB-NP\tO' -p238341 -aS'improvement\timprovement\tNN\tI-NP\tO' -p238342 -aS'of\tof\tIN\tB-PP\tO' -p238343 -aS'his\this\tPRP$\tB-NP\tO' -p238344 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p238345 -aS'.\t.\t.\tO\tO' -p238346 -asS'The infant admitted to the Neonatal Intensive Care Unit for a dextrose stick of 20 in the delivery room .' -p238347 -(lp238348 -S'The\tThe\tDT\tB-NP\tO' -p238349 -aS'infant\tinfant\tNN\tI-NP\tO' -p238350 -aS'admitted\tadmit\tVBN\tB-VP\tO' -p238351 -aS'to\tto\tTO\tB-PP\tO' -p238352 -aS'the\tthe\tDT\tB-NP\tO' -p238353 -aS'Neonatal\tNeonatal\tNNP\tI-NP\tO' -p238354 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p238355 -aS'Care\tCare\tNNP\tI-NP\tO' -p238356 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p238357 -aS'for\tfor\tIN\tB-PP\tO' -p238358 -aS'a\ta\tDT\tB-NP\tO' -p238359 -aS'dextrose\tdextrose\tNN\tI-NP\tO' -p238360 -aS'stick\tstick\tNN\tI-NP\tO' -p238361 -aS'of\tof\tIN\tB-PP\tO' -p238362 -aS'20\t20\tCD\tB-NP\tO' -p238363 -aS'in\tin\tIN\tB-PP\tO' -p238364 -aS'the\tthe\tDT\tB-NP\tO' -p238365 -aS'delivery\tdelivery\tNN\tI-NP\tO' -p238366 -aS'room\troom\tNN\tI-NP\tO' -p238367 -aS'.\t.\t.\tO\tO' -p238368 -asS'Given normal pituitary tests thus far and normal optic nerve , no evidence of septic optic dysplasia .' -p238369 -(lp238370 -S'Given\tGive\tVBN\tB-NP\tO' -p238371 -aS'normal\tnormal\tJJ\tI-NP\tO' -p238372 -aS'pituitary\tpituitary\tJJ\tI-NP\tO' -p238373 -aS'tests\ttest\tNNS\tI-NP\tO' -p238374 -aS'thus\tthus\tRB\tB-ADVP\tO' -p238375 -aS'far\tfar\tRB\tI-ADVP\tO' -p238376 -aS'and\tand\tCC\tO\tO' -p238377 -aS'normal\tnormal\tJJ\tB-NP\tO' -p238378 -aS'optic\toptic\tJJ\tI-NP\tO' -p238379 -aS'nerve\tnerve\tNN\tI-NP\tO' -p238380 -aS',\t,\t,\tO\tO' -p238381 -aS'no\tno\tDT\tB-NP\tO' -p238382 -aS'evidence\tevidence\tNN\tI-NP\tO' -p238383 -aS'of\tof\tIN\tB-PP\tO' -p238384 -aS'septic\tseptic\tJJ\tB-NP\tO' -p238385 -aS'optic\toptic\tJJ\tI-NP\tO' -p238386 -aS'dysplasia\tdysplasia\tNN\tI-NP\tO' -p238387 -aS'.\t.\t.\tO\tO' -p238388 -asS'It was consistent with a hematoma .' -p238389 -(lp238390 -S'It\tIt\tPRP\tB-NP\tO' -p238391 -aS'was\tbe\tVBD\tB-VP\tO' -p238392 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p238393 -aS'with\twith\tIN\tB-PP\tO' -p238394 -aS'a\ta\tDT\tB-NP\tO' -p238395 -aS'hematoma\thematoma\tNN\tI-NP\tO' -p238396 -aS'.\t.\t.\tO\tO' -p238397 -asS'He also had a 50% LAD stenosis , a 100% large DT stenosis and a nondominant RCA with left RCA collaterals .' -p238398 -(lp238399 -S'He\tHe\tPRP\tB-NP\tO' -p238400 -aS'also\talso\tRB\tB-ADVP\tO' -p238401 -aS'had\thave\tVBD\tB-VP\tO' -p238402 -aS'a\ta\tDT\tB-NP\tO' -p238403 -aS'50%\t50%\tJJ\tI-NP\tO' -p238404 -aS'LAD\tLAD\tNN\tI-NP\tO' -p238405 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p238406 -aS',\t,\t,\tO\tO' -p238407 -aS'a\ta\tDT\tB-NP\tO' -p238408 -aS'100%\t100%\tJJ\tI-NP\tO' -p238409 -aS'large\tlarge\tJJ\tI-NP\tO' -p238410 -aS'DT\tDT\tNN\tI-NP\tO' -p238411 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p238412 -aS'and\tand\tCC\tO\tO' -p238413 -aS'a\ta\tDT\tB-NP\tO' -p238414 -aS'nondominant\tnondominant\tJJ\tI-NP\tO' -p238415 -aS'RCA\tRCA\tNN\tI-NP\tO' -p238416 -aS'with\twith\tIN\tB-PP\tO' -p238417 -aS'left\tleft\tJJ\tB-NP\tO' -p238418 -aS'RCA\tRCA\tNN\tI-NP\tO' -p238419 -aS'collaterals\tcollateral\tNNS\tI-NP\tO' -p238420 -aS'.\t.\t.\tO\tO' -p238421 -asS'The patient was then advanced to oral intake which he tolerated without complication .' -p238422 -(lp238423 -S'The\tThe\tDT\tB-NP\tO' -p238424 -aS'patient\tpatient\tNN\tI-NP\tO' -p238425 -aS'was\tbe\tVBD\tB-VP\tO' -p238426 -aS'then\tthen\tRB\tI-VP\tO' -p238427 -aS'advanced\tadvance\tVBN\tI-VP\tO' -p238428 -aS'to\tto\tTO\tB-PP\tO' -p238429 -aS'oral\toral\tJJ\tB-NP\tO' -p238430 -aS'intake\tintake\tNN\tI-NP\tO' -p238431 -aS'which\twhich\tWDT\tB-NP\tO' -p238432 -aS'he\the\tPRP\tB-NP\tO' -p238433 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p238434 -aS'without\twithout\tIN\tB-PP\tO' -p238435 -aS'complication\tcomplication\tNN\tB-NP\tO' -p238436 -aS'.\t.\t.\tO\tO' -p238437 -asS'The patient 's creatinine ______________ kinase peaked at 56,160 with negative MB percentages .' -p238438 -(lp238439 -S'The\tThe\tDT\tB-NP\tO' -p238440 -aS'patient\tpatient\tNN\tI-NP\tO' -p238441 -aS''s\t'\tNNS\tI-NP\tO' -p238442 -aS'creatinine\tcreatinine\tNN\tI-NP\tB-protein' -p238443 -aS'______________\t______________\tNN\tI-NP\tI-protein' -p238444 -aS'kinase\tkinase\tNN\tI-NP\tI-protein' -p238445 -aS'peaked\tpeak\tVBD\tB-VP\tO' -p238446 -aS'at\tat\tIN\tB-PP\tO' -p238447 -aS'56,160\t56,160\tCD\tB-NP\tO' -p238448 -aS'with\twith\tIN\tB-PP\tO' -p238449 -aS'negative\tnegative\tJJ\tB-NP\tO' -p238450 -aS'MB\tMB\tNN\tI-NP\tO' -p238451 -aS'percentages\tpercentage\tNNS\tI-NP\tO' -p238452 -aS'.\t.\t.\tO\tO' -p238453 -asS'Hypertension for 20 years , high cholesterol , coronary artery disease with episodes of angina , no history of myocardial infarction , exercise treadmill or evaluation .' -p238454 -(lp238455 -S'Hypertension\tHypertension\tNN\tB-NP\tO' -p238456 -aS'for\tfor\tIN\tB-PP\tO' -p238457 -aS'20\t20\tCD\tB-NP\tO' -p238458 -aS'years\tyear\tNNS\tI-NP\tO' -p238459 -aS',\t,\t,\tO\tO' -p238460 -aS'high\thigh\tJJ\tB-NP\tO' -p238461 -aS'cholesterol\tcholesterol\tNN\tI-NP\tO' -p238462 -aS',\t,\t,\tO\tO' -p238463 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p238464 -aS'artery\tartery\tNN\tI-NP\tO' -p238465 -aS'disease\tdisease\tNN\tI-NP\tO' -p238466 -aS'with\twith\tIN\tB-PP\tO' -p238467 -aS'episodes\tepisode\tNNS\tB-NP\tO' -p238468 -aS'of\tof\tIN\tB-PP\tO' -p238469 -aS'angina\tangina\tNN\tB-NP\tO' -p238470 -aS',\t,\t,\tO\tO' -p238471 -aS'no\tno\tDT\tB-NP\tO' -p238472 -aS'history\thistory\tNN\tI-NP\tO' -p238473 -aS'of\tof\tIN\tB-PP\tO' -p238474 -aS'myocardial\tmyocardial\tJJ\tB-NP\tO' -p238475 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p238476 -aS',\t,\t,\tO\tO' -p238477 -aS'exercise\texercise\tNN\tB-NP\tO' -p238478 -aS'treadmill\ttreadmill\tNN\tI-NP\tO' -p238479 -aS'or\tor\tCC\tI-NP\tO' -p238480 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p238481 -aS'.\t.\t.\tO\tO' -p238482 -asS'3 ) HYPOTHYROIDISM .' -p238483 -(lp238484 -S'3\t3\tLS\tB-LST\tO' -p238485 -aS')\t)\t)\tO\tO' -p238486 -aS'HYPOTHYROIDISM\tHYPOTHYROIDISM\tNN\tB-NP\tO' -p238487 -aS'.\t.\t.\tO\tO' -p238488 -asS'Reason : 72 male s/p fall down 20 stairs' -p238489 -(lp238490 -S'Reason\tReason\tNNP\tB-NP\tO' -p238491 -aS':\t:\t:\tO\tO' -p238492 -aS'72\t72\tCD\tB-NP\tO' -p238493 -aS'male\tmale\tJJ\tI-NP\tO' -p238494 -aS's/p\ts/p\tNN\tI-NP\tO' -p238495 -aS'fall\tfall\tVBP\tB-VP\tO' -p238496 -aS'down\tdown\tRB\tB-ADVP\tO' -p238497 -aS'20\t20\tCD\tB-NP\tO' -p238498 -aS'stairs\tstair\tNNS\tI-NP\tO' -p238499 -asS'Anatomic correlation would be of interest if clinically indicated .' -p238500 -(lp238501 -S'Anatomic\tAnatomic\tJJ\tB-NP\tO' -p238502 -aS'correlation\tcorrelation\tNN\tI-NP\tO' -p238503 -aS'would\twould\tMD\tB-VP\tO' -p238504 -aS'be\tbe\tVB\tI-VP\tO' -p238505 -aS'of\tof\tIN\tB-PP\tO' -p238506 -aS'interest\tinterest\tNN\tB-NP\tO' -p238507 -aS'if\tif\tIN\tB-SBAR\tO' -p238508 -aS'clinically\tclinically\tRB\tB-ADVP\tO' -p238509 -aS'indicated\tindicate\tVBN\tB-VP\tO' -p238510 -aS'.\t.\t.\tO\tO' -p238511 -asS'However , there were bilateral bilateral renal bruits and femoral bruits .' -p238512 -(lp238513 -S'However\tHowever\tRB\tB-ADVP\tO' -p238514 -aS',\t,\t,\tO\tO' -p238515 -aS'there\tthere\tEX\tB-NP\tO' -p238516 -aS'were\tbe\tVBD\tB-VP\tO' -p238517 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p238518 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p238519 -aS'renal\trenal\tJJ\tI-NP\tO' -p238520 -aS'bruits\tbruit\tNNS\tI-NP\tO' -p238521 -aS'and\tand\tCC\tO\tO' -p238522 -aS'femoral\tfemoral\tJJ\tB-NP\tO' -p238523 -aS'bruits\tbruit\tNNS\tI-NP\tO' -p238524 -aS'.\t.\t.\tO\tO' -p238525 -asS'He remained total parenteral nutrition-dependent throughout his hospital course .' -p238526 -(lp238527 -S'He\tHe\tPRP\tB-NP\tO' -p238528 -aS'remained\tremain\tVBD\tB-VP\tO' -p238529 -aS'total\ttotal\tJJ\tB-NP\tO' -p238530 -aS'parenteral\tparenteral\tJJ\tI-NP\tO' -p238531 -aS'nutrition-dependent\tnutrition-dependent\tJJ\tI-NP\tO' -p238532 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p238533 -aS'his\this\tPRP$\tB-NP\tO' -p238534 -aS'hospital\thospital\tNN\tI-NP\tO' -p238535 -aS'course\tcourse\tNN\tI-NP\tO' -p238536 -aS'.\t.\t.\tO\tO' -p238537 -asS'Warm and well perfused , with no cyanosis , clubbing or edema .' -p238538 -(lp238539 -S'Warm\tWarm\tNNP\tB-NP\tO' -p238540 -aS'and\tand\tCC\tO\tO' -p238541 -aS'well\twell\tRB\tB-ADJP\tO' -p238542 -aS'perfused\tperfuse\tVBN\tI-ADJP\tO' -p238543 -aS',\t,\t,\tO\tO' -p238544 -aS'with\twith\tIN\tB-PP\tO' -p238545 -aS'no\tno\tDT\tB-NP\tO' -p238546 -aS'cyanosis\tcyanosis\tNN\tI-NP\tO' -p238547 -aS',\t,\t,\tI-NP\tO' -p238548 -aS'clubbing\tclubbing\tNN\tI-NP\tO' -p238549 -aS'or\tor\tCC\tI-NP\tO' -p238550 -aS'edema\tedema\tNN\tI-NP\tO' -p238551 -aS'.\t.\t.\tO\tO' -p238552 -asS'His hip flexion was 4+ on the right and 4- on the left ; extension 5 on the right , 4+ on the left ; knee flexion evidently trace on the right and 4- on the left with knee extension 5- on the left , 5 on the right ; knee flexion 4- on the left , trace on the right ; ankle dorsi flexion 4- on the left , trace on the right .' -p238553 -(lp238554 -S'His\tHis\tPRP$\tB-NP\tO' -p238555 -aS'hip\thip\tNN\tI-NP\tO' -p238556 -aS'flexion\tflexion\tNN\tI-NP\tO' -p238557 -aS'was\tbe\tVBD\tB-VP\tO' -p238558 -aS'4+\t4+\tJJ\tB-ADJP\tO' -p238559 -aS'on\ton\tIN\tB-PP\tO' -p238560 -aS'the\tthe\tDT\tB-NP\tO' -p238561 -aS'right\tright\tJJ\tI-NP\tO' -p238562 -aS'and\tand\tCC\tI-NP\tO' -p238563 -aS'4-\t4-\tJJ\tI-NP\tO' -p238564 -aS'on\ton\tIN\tB-PP\tO' -p238565 -aS'the\tthe\tDT\tB-NP\tO' -p238566 -aS'left\tleft\tNN\tI-NP\tO' -p238567 -aS';\t;\t:\tO\tO' -p238568 -aS'extension\textension\tNN\tB-NP\tO' -p238569 -aS'5\t5\tCD\tI-NP\tO' -p238570 -aS'on\ton\tIN\tB-PP\tO' -p238571 -aS'the\tthe\tDT\tB-NP\tO' -p238572 -aS'right\tright\tNN\tI-NP\tO' -p238573 -aS',\t,\t,\tO\tO' -p238574 -aS'4+\t4+\tJJ\tB-ADJP\tO' -p238575 -aS'on\ton\tIN\tB-PP\tO' -p238576 -aS'the\tthe\tDT\tB-NP\tO' -p238577 -aS'left\tleft\tNN\tI-NP\tO' -p238578 -aS';\t;\t:\tO\tO' -p238579 -aS'knee\tknee\tNN\tB-NP\tO' -p238580 -aS'flexion\tflexion\tNN\tI-NP\tO' -p238581 -aS'evidently\tevidently\tRB\tB-ADVP\tO' -p238582 -aS'trace\ttrace\tVBP\tB-VP\tO' -p238583 -aS'on\ton\tIN\tB-PP\tO' -p238584 -aS'the\tthe\tDT\tB-NP\tO' -p238585 -aS'right\tright\tJJ\tI-NP\tO' -p238586 -aS'and\tand\tCC\tI-NP\tO' -p238587 -aS'4-\t4-\tJJ\tI-NP\tO' -p238588 -aS'on\ton\tIN\tB-PP\tO' -p238589 -aS'the\tthe\tDT\tB-NP\tO' -p238590 -aS'left\tleft\tNN\tI-NP\tO' -p238591 -aS'with\twith\tIN\tB-PP\tO' -p238592 -aS'knee\tknee\tNN\tB-NP\tB-protein' -p238593 -aS'extension\textension\tNN\tI-NP\tI-protein' -p238594 -aS'5-\t5-\tCD\tI-NP\tI-protein' -p238595 -aS'on\ton\tIN\tB-PP\tO' -p238596 -aS'the\tthe\tDT\tB-NP\tO' -p238597 -aS'left\tleft\tNN\tI-NP\tO' -p238598 -aS',\t,\t,\tO\tO' -p238599 -aS'5\t5\tCD\tB-NP\tO' -p238600 -aS'on\ton\tIN\tB-PP\tO' -p238601 -aS'the\tthe\tDT\tB-NP\tO' -p238602 -aS'right\tright\tNN\tI-NP\tO' -p238603 -aS';\t;\t:\tO\tO' -p238604 -aS'knee\tknee\tNN\tB-NP\tO' -p238605 -aS'flexion\tflexion\tNN\tI-NP\tO' -p238606 -aS'4-\t4-\tNN\tI-NP\tO' -p238607 -aS'on\ton\tIN\tB-PP\tO' -p238608 -aS'the\tthe\tDT\tB-NP\tO' -p238609 -aS'left\tleft\tNN\tI-NP\tO' -p238610 -aS',\t,\t,\tO\tO' -p238611 -aS'trace\ttrace\tNN\tB-NP\tO' -p238612 -aS'on\ton\tIN\tB-PP\tO' -p238613 -aS'the\tthe\tDT\tB-NP\tO' -p238614 -aS'right\tright\tNN\tI-NP\tO' -p238615 -aS';\t;\t:\tO\tO' -p238616 -aS'ankle\tankle\tNN\tB-NP\tO' -p238617 -aS'dorsi\tdorsi\tNN\tI-NP\tO' -p238618 -aS'flexion\tflexion\tNN\tI-NP\tO' -p238619 -aS'4-\t4-\tNN\tI-NP\tO' -p238620 -aS'on\ton\tIN\tB-PP\tO' -p238621 -aS'the\tthe\tDT\tB-NP\tO' -p238622 -aS'left\tleft\tNN\tI-NP\tO' -p238623 -aS',\t,\t,\tO\tO' -p238624 -aS'trace\ttrace\tNN\tB-NP\tO' -p238625 -aS'on\ton\tIN\tB-PP\tO' -p238626 -aS'the\tthe\tDT\tB-NP\tO' -p238627 -aS'right\tright\tNN\tI-NP\tO' -p238628 -aS'.\t.\t.\tO\tO' -p238629 -asS'Neurosurgery was consulted but due to the severity of the bleed surgery was not considered an option .' -p238630 -(lp238631 -S'Neurosurgery\tNeurosurgery\tNN\tB-NP\tO' -p238632 -aS'was\tbe\tVBD\tB-VP\tO' -p238633 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p238634 -aS'but\tbut\tCC\tO\tO' -p238635 -aS'due\tdue\tJJ\tB-ADJP\tO' -p238636 -aS'to\tto\tTO\tB-PP\tO' -p238637 -aS'the\tthe\tDT\tB-NP\tO' -p238638 -aS'severity\tseverity\tNN\tI-NP\tO' -p238639 -aS'of\tof\tIN\tB-PP\tO' -p238640 -aS'the\tthe\tDT\tB-NP\tO' -p238641 -aS'bleed\tbleed\tNN\tI-NP\tO' -p238642 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p238643 -aS'was\tbe\tVBD\tB-VP\tO' -p238644 -aS'not\tnot\tRB\tI-VP\tO' -p238645 -aS'considered\tconsider\tVBN\tI-VP\tO' -p238646 -aS'an\tan\tDT\tB-NP\tO' -p238647 -aS'option\toption\tNN\tI-NP\tO' -p238648 -aS'.\t.\t.\tO\tO' -p238649 -asS'She is 5 foot 4 inches and 159 pounds .' -p238650 -(lp238651 -S'She\tShe\tPRP\tB-NP\tO' -p238652 -aS'is\tbe\tVBZ\tB-VP\tO' -p238653 -aS'5\t5\tCD\tB-NP\tO' -p238654 -aS'foot\tfoot\tNN\tI-NP\tO' -p238655 -aS'4\t4\tCD\tB-NP\tO' -p238656 -aS'inches\tinch\tNNS\tI-NP\tO' -p238657 -aS'and\tand\tCC\tO\tO' -p238658 -aS'159\t159\tCD\tB-NP\tO' -p238659 -aS'pounds\tpound\tNNS\tI-NP\tO' -p238660 -aS'.\t.\t.\tO\tO' -p238661 -asS'Disp :* qs syringe * Refills :* 0 *' -p238662 -(lp238663 -S'Disp\tDisp\tNN\tB-NP\tO' -p238664 -aS':*\t:*\tSYM\tI-NP\tO' -p238665 -aS'qs\tq\tNNS\tI-NP\tO' -p238666 -aS'syringe\tsyringe\tNN\tI-NP\tO' -p238667 -aS'*\t*\tSYM\tB-NP\tO' -p238668 -aS'Refills\tRefill\tNNPS\tI-NP\tO' -p238669 -aS':*\t:*\tSYM\tI-NP\tO' -p238670 -aS'0\t0\tCD\tI-NP\tO' -p238671 -aS'*\t*\tSYM\tB-NP\tO' -p238672 -asS'As above , and once transferred to the floor , patient had fingersticks monitored every four hours with a sliding scale .' -p238673 -(lp238674 -S'As\tAs\tIN\tB-PP\tO' -p238675 -aS'above\tabove\tRB\tB-ADVP\tO' -p238676 -aS',\t,\t,\tO\tO' -p238677 -aS'and\tand\tCC\tO\tO' -p238678 -aS'once\tonce\tRB\tB-VP\tO' -p238679 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p238680 -aS'to\tto\tTO\tB-PP\tO' -p238681 -aS'the\tthe\tDT\tB-NP\tO' -p238682 -aS'floor\tfloor\tNN\tI-NP\tO' -p238683 -aS',\t,\t,\tO\tO' -p238684 -aS'patient\tpatient\tNN\tB-NP\tO' -p238685 -aS'had\thave\tVBD\tB-VP\tO' -p238686 -aS'fingersticks\tfingerstick\tNNS\tB-NP\tO' -p238687 -aS'monitored\tmonitor\tVBD\tB-VP\tO' -p238688 -aS'every\tevery\tDT\tB-NP\tO' -p238689 -aS'four\tfour\tCD\tI-NP\tO' -p238690 -aS'hours\thour\tNNS\tI-NP\tO' -p238691 -aS'with\twith\tIN\tB-PP\tO' -p238692 -aS'a\ta\tDT\tB-NP\tO' -p238693 -aS'sliding\tslide\tVBG\tI-NP\tO' -p238694 -aS'scale\tscale\tNN\tI-NP\tO' -p238695 -aS'.\t.\t.\tO\tO' -p238696 -asS'1. Coreg 6.25 mg po bid' -p238697 -(lp238698 -S'1.\t1.\tLS\tB-LST\tO' -p238699 -aS'Coreg\tCoreg\tNNP\tB-NP\tO' -p238700 -aS'6.25\t6.25\tCD\tI-NP\tO' -p238701 -aS'mg\tmg\tNN\tI-NP\tO' -p238702 -aS'po\tpo\tNN\tI-NP\tO' -p238703 -aS'bid\tbid\tNN\tI-NP\tO' -p238704 -asS'Initial differential was 35 polys and zero bands , not suspicious for infectious condition .' -p238705 -(lp238706 -S'Initial\tInitial\tJJ\tB-NP\tO' -p238707 -aS'differential\tdifferential\tJJ\tI-NP\tO' -p238708 -aS'was\tbe\tVBD\tB-VP\tO' -p238709 -aS'35\t35\tCD\tB-NP\tO' -p238710 -aS'polys\tpoly\tNNS\tI-NP\tO' -p238711 -aS'and\tand\tCC\tO\tO' -p238712 -aS'zero\tzero\tCD\tB-NP\tO' -p238713 -aS'bands\tband\tNNS\tI-NP\tO' -p238714 -aS',\t,\t,\tO\tO' -p238715 -aS'not\tnot\tRB\tB-ADJP\tO' -p238716 -aS'suspicious\tsuspicious\tJJ\tI-ADJP\tO' -p238717 -aS'for\tfor\tIN\tB-PP\tO' -p238718 -aS'infectious\tinfectious\tJJ\tB-NP\tO' -p238719 -aS'condition\tcondition\tNN\tI-NP\tO' -p238720 -aS'.\t.\t.\tO\tO' -p238721 -asS'- Lung cancer - Non-small cell lung cancer stage IIIA , status post weekly carboplatin and Taxol chemotherapy with XRT for seven weeks followed by surgery on 2015-04-14 .' -p238722 -(lp238723 -S'-\t-\tHYPH\tB-NP\tO' -p238724 -aS'Lung\tLung\tNN\tI-NP\tO' -p238725 -aS'cancer\tcancer\tNN\tI-NP\tO' -p238726 -aS'-\t-\tHYPH\tB-NP\tO' -p238727 -aS'Non-small\tNon-small\tJJ\tI-NP\tO' -p238728 -aS'cell\tcell\tNN\tI-NP\tO' -p238729 -aS'lung\tlung\tNN\tI-NP\tO' -p238730 -aS'cancer\tcancer\tNN\tI-NP\tO' -p238731 -aS'stage\tstage\tNN\tI-NP\tO' -p238732 -aS'IIIA\tIIIA\tNN\tI-NP\tO' -p238733 -aS',\t,\t,\tO\tO' -p238734 -aS'status\tstatus\tNN\tB-NP\tB-protein' -p238735 -aS'post\tpost\tNN\tI-NP\tI-protein' -p238736 -aS'weekly\tweekly\tJJ\tI-NP\tI-protein' -p238737 -aS'carboplatin\tcarboplatin\tNN\tI-NP\tI-protein' -p238738 -aS'and\tand\tCC\tI-NP\tO' -p238739 -aS'Taxol\tTaxol\tNN\tI-NP\tO' -p238740 -aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' -p238741 -aS'with\twith\tIN\tB-PP\tO' -p238742 -aS'XRT\tXRT\tNN\tB-NP\tB-protein' -p238743 -aS'for\tfor\tIN\tB-PP\tO' -p238744 -aS'seven\tseven\tCD\tB-NP\tO' -p238745 -aS'weeks\tweek\tNNS\tI-NP\tO' -p238746 -aS'followed\tfollow\tVBN\tB-VP\tO' -p238747 -aS'by\tby\tIN\tB-PP\tO' -p238748 -aS'surgery\tsurgery\tNN\tB-NP\tO' -p238749 -aS'on\ton\tIN\tB-PP\tO' -p238750 -aS'2015-04-14\t2015-04-14\tCD\tB-NP\tO' -p238751 -aS'.\t.\t.\tO\tO' -p238752 -asS'The patient is a 23 year old female , status post fall from standing position after slipping on ice .' -p238753 -(lp238754 -S'The\tThe\tDT\tB-NP\tO' -p238755 -aS'patient\tpatient\tNN\tI-NP\tO' -p238756 -aS'is\tbe\tVBZ\tB-VP\tO' -p238757 -aS'a\ta\tDT\tB-NP\tO' -p238758 -aS'23\t23\tCD\tI-NP\tO' -p238759 -aS'year\tyear\tNN\tI-NP\tO' -p238760 -aS'old\told\tJJ\tI-NP\tO' -p238761 -aS'female\tfemale\tNN\tI-NP\tO' -p238762 -aS',\t,\t,\tO\tO' -p238763 -aS'status\tstatus\tNN\tB-NP\tO' -p238764 -aS'post\tpost\tNN\tI-NP\tO' -p238765 -aS'fall\tfall\tNN\tI-NP\tO' -p238766 -aS'from\tfrom\tIN\tB-PP\tO' -p238767 -aS'standing\tstand\tVBG\tB-VP\tO' -p238768 -aS'position\tposition\tNN\tB-NP\tO' -p238769 -aS'after\tafter\tIN\tB-PP\tO' -p238770 -aS'slipping\tslip\tVBG\tB-VP\tO' -p238771 -aS'on\ton\tIN\tB-PP\tO' -p238772 -aS'ice\tice\tNN\tB-NP\tO' -p238773 -aS'.\t.\t.\tO\tO' -p238774 -asS'CHEST : Port a cath in R chest , no erythema or tenderness .' -p238775 -(lp238776 -S'CHEST\tCHEST\tNN\tB-NP\tO' -p238777 -aS':\t:\t:\tO\tO' -p238778 -aS'Port\tPort\tNN\tB-NP\tO' -p238779 -aS'a\ta\tDT\tB-NP\tO' -p238780 -aS'cath\tcath\tNN\tI-NP\tO' -p238781 -aS'in\tin\tIN\tB-PP\tO' -p238782 -aS'R\tR\tNN\tB-NP\tO' -p238783 -aS'chest\tchest\tNN\tI-NP\tO' -p238784 -aS',\t,\t,\tO\tO' -p238785 -aS'no\tno\tDT\tB-NP\tO' -p238786 -aS'erythema\terythema\tNN\tI-NP\tO' -p238787 -aS'or\tor\tCC\tI-NP\tO' -p238788 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p238789 -aS'.\t.\t.\tO\tO' -p238790 -asS'Seen by VNA and noted to be tachycardic and sent to Middleboroughfor evaluation .' -p238791 -(lp238792 -S'Seen\tSeen\tNN\tB-NP\tO' -p238793 -aS'by\tby\tIN\tB-PP\tO' -p238794 -aS'VNA\tVNA\tNN\tB-NP\tB-protein' -p238795 -aS'and\tand\tCC\tO\tO' -p238796 -aS'noted\tnote\tVBN\tB-VP\tO' -p238797 -aS'to\tto\tTO\tI-VP\tO' -p238798 -aS'be\tbe\tVB\tI-VP\tO' -p238799 -aS'tachycardic\ttachycardic\tJJ\tB-ADJP\tO' -p238800 -aS'and\tand\tCC\tO\tO' -p238801 -aS'sent\tsend\tVBN\tB-VP\tO' -p238802 -aS'to\tto\tTO\tB-PP\tO' -p238803 -aS'Middleboroughfor\tMiddleboroughfor\tNN\tB-NP\tO' -p238804 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p238805 -aS'.\t.\t.\tO\tO' -p238806 -asS'Previously treated for CAP as outpt but hypoxia continued to progress .' -p238807 -(lp238808 -S'Previously\tPreviously\tRB\tB-ADVP\tO' -p238809 -aS'treated\ttreat\tVBN\tB-VP\tO' -p238810 -aS'for\tfor\tIN\tB-PP\tO' -p238811 -aS'CAP\tCAP\tNN\tB-NP\tB-protein' -p238812 -aS'as\tas\tIN\tB-PP\tO' -p238813 -aS'outpt\toutpt\tNN\tB-NP\tO' -p238814 -aS'but\tbut\tCC\tO\tO' -p238815 -aS'hypoxia\thypoxia\tNN\tB-NP\tO' -p238816 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p238817 -aS'to\tto\tTO\tI-VP\tO' -p238818 -aS'progress\tprogress\tVB\tI-VP\tO' -p238819 -aS'.\t.\t.\tO\tO' -p238820 -asS'As previously noted , there is associated volume loss , thinning of the corpus callosum , and slight widening of the ventricles .' -p238821 -(lp238822 -S'As\tAs\tIN\tB-SBAR\tO' -p238823 -aS'previously\tpreviously\tRB\tB-ADVP\tO' -p238824 -aS'noted\tnote\tVBN\tB-VP\tO' -p238825 -aS',\t,\t,\tO\tO' -p238826 -aS'there\tthere\tEX\tB-NP\tO' -p238827 -aS'is\tbe\tVBZ\tB-VP\tO' -p238828 -aS'associated\tassociate\tVBN\tI-VP\tO' -p238829 -aS'volume\tvolume\tNN\tB-NP\tO' -p238830 -aS'loss\tloss\tNN\tI-NP\tO' -p238831 -aS',\t,\t,\tO\tO' -p238832 -aS'thinning\tthin\tVBG\tB-VP\tO' -p238833 -aS'of\tof\tIN\tB-PP\tO' -p238834 -aS'the\tthe\tDT\tB-NP\tO' -p238835 -aS'corpus\tcorpus\tNN\tI-NP\tO' -p238836 -aS'callosum\tcallosum\tNN\tI-NP\tO' -p238837 -aS',\t,\t,\tO\tO' -p238838 -aS'and\tand\tCC\tO\tO' -p238839 -aS'slight\tslight\tJJ\tB-NP\tO' -p238840 -aS'widening\twidening\tNN\tI-NP\tO' -p238841 -aS'of\tof\tIN\tB-PP\tO' -p238842 -aS'the\tthe\tDT\tB-NP\tO' -p238843 -aS'ventricles\tventricle\tNNS\tI-NP\tO' -p238844 -aS'.\t.\t.\tO\tO' -p238845 -asS'A nondysmorphic preterm 35 week gestation male .' -p238846 -(lp238847 -S'A\tA\tDT\tB-NP\tO' -p238848 -aS'nondysmorphic\tnondysmorphic\tJJ\tI-NP\tO' -p238849 -aS'preterm\tpreterm\tNN\tI-NP\tO' -p238850 -aS'35\t35\tCD\tI-NP\tO' -p238851 -aS'week\tweek\tNN\tI-NP\tO' -p238852 -aS'gestation\tgestation\tNN\tI-NP\tO' -p238853 -aS'male\tmale\tNN\tI-NP\tO' -p238854 -aS'.\t.\t.\tO\tO' -p238855 -asS'On right heart catheterization , the patient was noted to have elevated right-sided and left-sided filling pressures with a pulmonary capillary wedge pressure of 19 and a right atrial pressure of 16 .' -p238856 -(lp238857 -S'On\tOn\tIN\tB-PP\tO' -p238858 -aS'right\tright\tJJ\tB-NP\tO' -p238859 -aS'heart\theart\tNN\tI-NP\tO' -p238860 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p238861 -aS',\t,\t,\tO\tO' -p238862 -aS'the\tthe\tDT\tB-NP\tO' -p238863 -aS'patient\tpatient\tNN\tI-NP\tO' -p238864 -aS'was\tbe\tVBD\tB-VP\tO' -p238865 -aS'noted\tnote\tVBN\tI-VP\tO' -p238866 -aS'to\tto\tTO\tI-VP\tO' -p238867 -aS'have\thave\tVB\tI-VP\tO' -p238868 -aS'elevated\televate\tVBN\tI-VP\tO' -p238869 -aS'right-sided\tright-sided\tJJ\tB-NP\tO' -p238870 -aS'and\tand\tCC\tI-NP\tO' -p238871 -aS'left-sided\tleft-sided\tJJ\tI-NP\tO' -p238872 -aS'filling\tfilling\tNN\tI-NP\tO' -p238873 -aS'pressures\tpressure\tNNS\tI-NP\tO' -p238874 -aS'with\twith\tIN\tB-PP\tO' -p238875 -aS'a\ta\tDT\tB-NP\tO' -p238876 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p238877 -aS'capillary\tcapillary\tJJ\tI-NP\tO' -p238878 -aS'wedge\twedge\tNN\tI-NP\tO' -p238879 -aS'pressure\tpressure\tNN\tI-NP\tO' -p238880 -aS'of\tof\tIN\tB-PP\tO' -p238881 -aS'19\t19\tCD\tB-NP\tO' -p238882 -aS'and\tand\tCC\tO\tO' -p238883 -aS'a\ta\tDT\tB-NP\tO' -p238884 -aS'right\tright\tJJ\tI-NP\tO' -p238885 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p238886 -aS'pressure\tpressure\tNN\tI-NP\tO' -p238887 -aS'of\tof\tIN\tB-PP\tO' -p238888 -aS'16\t16\tCD\tB-NP\tO' -p238889 -aS'.\t.\t.\tO\tO' -p238890 -asS'Right upper extremity examination demonstrated intact motor , sensory , and vascular function .' -p238891 -(lp238892 -S'Right\tRight\tRB\tB-NP\tO' -p238893 -aS'upper\tupper\tJJ\tI-NP\tO' -p238894 -aS'extremity\textremity\tNN\tI-NP\tO' -p238895 -aS'examination\texamination\tNN\tI-NP\tO' -p238896 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p238897 -aS'intact\tintact\tJJ\tB-NP\tO' -p238898 -aS'motor\tmotor\tNN\tI-NP\tO' -p238899 -aS',\t,\t,\tO\tO' -p238900 -aS'sensory\tsensory\tNN\tB-NP\tO' -p238901 -aS',\t,\t,\tO\tO' -p238902 -aS'and\tand\tCC\tO\tO' -p238903 -aS'vascular\tvascular\tJJ\tB-NP\tO' -p238904 -aS'function\tfunction\tNN\tI-NP\tO' -p238905 -aS'.\t.\t.\tO\tO' -p238906 -asS'2. rupture of left renal vein ,' -p238907 -(lp238908 -S'2.\t2.\tLS\tB-NP\tO' -p238909 -aS'rupture\trupture\tNN\tI-NP\tO' -p238910 -aS'of\tof\tIN\tB-PP\tO' -p238911 -aS'left\tleft\tJJ\tB-NP\tO' -p238912 -aS'renal\trenal\tJJ\tI-NP\tO' -p238913 -aS'vein\tvein\tNN\tI-NP\tO' -p238914 -aS',\t,\t,\tO\tO' -p238915 -asS'She had no problems with this .' -p238916 -(lp238917 -S'She\tShe\tPRP\tB-NP\tO' -p238918 -aS'had\thave\tVBD\tB-VP\tO' -p238919 -aS'no\tno\tDT\tB-NP\tO' -p238920 -aS'problems\tproblem\tNNS\tI-NP\tO' -p238921 -aS'with\twith\tIN\tB-PP\tO' -p238922 -aS'this\tthis\tDT\tB-NP\tO' -p238923 -aS'.\t.\t.\tO\tO' -p238924 -asS'No aortic regurgitation is seen .' -p238925 -(lp238926 -S'No\tNo\tDT\tB-NP\tO' -p238927 -aS'aortic\taortic\tJJ\tI-NP\tO' -p238928 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p238929 -aS'is\tbe\tVBZ\tB-VP\tO' -p238930 -aS'seen\tsee\tVBN\tI-VP\tO' -p238931 -aS'.\t.\t.\tO\tO' -p238932 -asS'5. Arthritis s/p " pin placement " in left foot 05-01' -p238933 -(lp238934 -S'5.\t5.\tLS\tB-NP\tO' -p238935 -aS'Arthritis\tArthritis\tNN\tI-NP\tB-DNA' -p238936 -aS's/p\ts/p\tNN\tI-NP\tI-DNA' -p238937 -aS'"\t"\t\'\'\tI-NP\tI-DNA' -p238938 -aS'pin\tpin\tNN\tI-NP\tI-DNA' -p238939 -aS'placement\tplacement\tNN\tI-NP\tI-DNA' -p238940 -aS'"\t"\t\'\'\tO\tI-DNA' -p238941 -aS'in\tin\tIN\tB-PP\tO' -p238942 -aS'left\tleft\tJJ\tB-NP\tO' -p238943 -aS'foot\tfoot\tNN\tI-NP\tO' -p238944 -aS'05-01\t05-01\tCD\tI-NP\tO' -p238945 -asS'Extremities on the right , she has a II+ femoral , no distal pulses beyond that .' -p238946 -(lp238947 -S'Extremities\tExtremity\tNNS\tB-NP\tO' -p238948 -aS'on\ton\tIN\tB-PP\tO' -p238949 -aS'the\tthe\tDT\tB-NP\tO' -p238950 -aS'right\tright\tNN\tI-NP\tO' -p238951 -aS',\t,\t,\tO\tO' -p238952 -aS'she\tshe\tPRP\tB-NP\tO' -p238953 -aS'has\thave\tVBZ\tB-VP\tO' -p238954 -aS'a\ta\tDT\tB-NP\tO' -p238955 -aS'II+\tII+\tJJ\tI-NP\tO' -p238956 -aS'femoral\tfemoral\tJJ\tI-NP\tO' -p238957 -aS',\t,\t,\tO\tO' -p238958 -aS'no\tno\tDT\tB-NP\tO' -p238959 -aS'distal\tdistal\tJJ\tI-NP\tO' -p238960 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p238961 -aS'beyond\tbeyond\tIN\tB-PP\tO' -p238962 -aS'that\tthat\tDT\tB-NP\tO' -p238963 -aS'.\t.\t.\tO\tO' -p238964 -asS'Heart rate 69 to 80 .' -p238965 -(lp238966 -S'Heart\tHeart\tNN\tB-NP\tO' -p238967 -aS'rate\trate\tNN\tI-NP\tO' -p238968 -aS'69\t69\tCD\tB-NP\tO' -p238969 -aS'to\tto\tTO\tB-PP\tO' -p238970 -aS'80\t80\tCD\tB-NP\tO' -p238971 -aS'.\t.\t.\tO\tO' -p238972 -asS'Signed electronically by : DR. Kisha Jones on : Jose 2010-07-01 8:27 AM' -p238973 -(lp238974 -S'Signed\tSign\tVBN\tB-VP\tO' -p238975 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p238976 -aS'by\tby\tIN\tB-PP\tO' -p238977 -aS':\t:\t:\tO\tO' -p238978 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p238979 -aS'Kisha\tKisha\tNNP\tI-NP\tO' -p238980 -aS'Jones\tJones\tNNP\tI-NP\tO' -p238981 -aS'on\ton\tIN\tB-PP\tO' -p238982 -aS':\t:\t:\tO\tO' -p238983 -aS'Jose\tJose\tNNP\tB-NP\tO' -p238984 -aS'2010-07-01\t2010-07-01\tCD\tB-NP\tO' -p238985 -aS'8:27\t8:27\tCD\tI-NP\tO' -p238986 -aS'AM\tAM\tNN\tI-NP\tO' -p238987 -asS'This report was created by WAGES , THAA 01/12/2005 09:18 AM' -p238988 -(lp238989 -S'This\tThis\tDT\tB-NP\tO' -p238990 -aS'report\treport\tNN\tI-NP\tO' -p238991 -aS'was\tbe\tVBD\tB-VP\tO' -p238992 -aS'created\tcreate\tVBN\tI-VP\tO' -p238993 -aS'by\tby\tIN\tB-PP\tO' -p238994 -aS'WAGES\tWAGES\tNNP\tB-NP\tO' -p238995 -aS',\t,\t,\tO\tO' -p238996 -aS'THAA\tTHAA\tNNP\tB-NP\tO' -p238997 -aS'01/12/2005\t01/12/2005\tCD\tB-NP\tO' -p238998 -aS'09:18\t09:18\tCD\tI-NP\tO' -p238999 -aS'AM\tAM\tNN\tI-NP\tO' -p239000 -asS'4. Right anterior tibial laceration .' -p239001 -(lp239002 -S'4.\t4.\tLS\tB-NP\tO' -p239003 -aS'Right\tRight\tNN\tI-NP\tO' -p239004 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p239005 -aS'tibial\ttibial\tJJ\tI-NP\tO' -p239006 -aS'laceration\tlaceration\tNN\tI-NP\tO' -p239007 -aS'.\t.\t.\tO\tO' -p239008 -asS'He had mild copper wiring .' -p239009 -(lp239010 -S'He\tHe\tPRP\tB-NP\tO' -p239011 -aS'had\thave\tVBD\tB-VP\tO' -p239012 -aS'mild\tmild\tJJ\tB-NP\tO' -p239013 -aS'copper\tcopper\tNN\tI-NP\tO' -p239014 -aS'wiring\twiring\tNN\tI-NP\tO' -p239015 -aS'.\t.\t.\tO\tO' -p239016 -asS'Heparin discontinued on 01-01 when INR was 2.0 .' -p239017 -(lp239018 -S'Heparin\tHeparin\tNN\tB-NP\tO' -p239019 -aS'discontinued\tdiscontinue\tVBD\tB-VP\tO' -p239020 -aS'on\ton\tIN\tB-PP\tO' -p239021 -aS'01-01\t01-01\tCD\tB-NP\tO' -p239022 -aS'when\twhen\tWRB\tB-ADVP\tO' -p239023 -aS'INR\tINR\tNN\tB-NP\tB-protein' -p239024 -aS'was\tbe\tVBD\tB-VP\tO' -p239025 -aS'2.0\t2.0\tCD\tB-NP\tO' -p239026 -aS'.\t.\t.\tO\tO' -p239027 -asS'In addition , the patient did have slightly elevated blood sugars over the last couple of days and has required an insulin sliding scale and basal insulin to maintain his blood sugars at a more appropriate level .' -p239028 -(lp239029 -S'In\tIn\tIN\tB-PP\tO' -p239030 -aS'addition\taddition\tNN\tB-NP\tO' -p239031 -aS',\t,\t,\tO\tO' -p239032 -aS'the\tthe\tDT\tB-NP\tO' -p239033 -aS'patient\tpatient\tNN\tI-NP\tO' -p239034 -aS'did\tdo\tVBD\tB-VP\tO' -p239035 -aS'have\thave\tVB\tI-VP\tO' -p239036 -aS'slightly\tslightly\tRB\tB-NP\tO' -p239037 -aS'elevated\televated\tJJ\tI-NP\tO' -p239038 -aS'blood\tblood\tNN\tI-NP\tO' -p239039 -aS'sugars\tsugar\tNNS\tI-NP\tO' -p239040 -aS'over\tover\tIN\tB-PP\tO' -p239041 -aS'the\tthe\tDT\tB-NP\tO' -p239042 -aS'last\tlast\tJJ\tI-NP\tO' -p239043 -aS'couple\tcouple\tNN\tI-NP\tO' -p239044 -aS'of\tof\tIN\tB-PP\tO' -p239045 -aS'days\tday\tNNS\tB-NP\tO' -p239046 -aS'and\tand\tCC\tO\tO' -p239047 -aS'has\thave\tVBZ\tB-VP\tO' -p239048 -aS'required\trequire\tVBN\tI-VP\tO' -p239049 -aS'an\tan\tDT\tB-NP\tO' -p239050 -aS'insulin\tinsulin\tNN\tI-NP\tB-protein' -p239051 -aS'sliding\tslide\tVBG\tB-VP\tO' -p239052 -aS'scale\tscale\tNN\tB-NP\tO' -p239053 -aS'and\tand\tCC\tO\tO' -p239054 -aS'basal\tbasal\tJJ\tB-NP\tO' -p239055 -aS'insulin\tinsulin\tNN\tI-NP\tO' -p239056 -aS'to\tto\tTO\tB-VP\tO' -p239057 -aS'maintain\tmaintain\tVB\tI-VP\tO' -p239058 -aS'his\this\tPRP$\tB-NP\tO' -p239059 -aS'blood\tblood\tNN\tI-NP\tO' -p239060 -aS'sugars\tsugar\tNNS\tI-NP\tO' -p239061 -aS'at\tat\tIN\tB-PP\tO' -p239062 -aS'a\ta\tDT\tB-NP\tO' -p239063 -aS'more\tmore\tRBR\tI-NP\tO' -p239064 -aS'appropriate\tappropriate\tJJ\tI-NP\tO' -p239065 -aS'level\tlevel\tNN\tI-NP\tO' -p239066 -aS'.\t.\t.\tO\tO' -p239067 -asS'INDICATION : CABG with chest tube in place .' -p239068 -(lp239069 -S'INDICATION\tINDICATION\tNN\tB-NP\tO' -p239070 -aS':\t:\t:\tO\tO' -p239071 -aS'CABG\tCABG\tNN\tB-NP\tO' -p239072 -aS'with\twith\tIN\tB-PP\tO' -p239073 -aS'chest\tchest\tNN\tB-NP\tO' -p239074 -aS'tube\ttube\tNN\tI-NP\tO' -p239075 -aS'in\tin\tIN\tB-PP\tO' -p239076 -aS'place\tplace\tNN\tB-NP\tO' -p239077 -aS'.\t.\t.\tO\tO' -p239078 -asS'It either ended in 2011-04-11 or continued through 2011-05-11 with use of Augmentin ; and , by report , lasted until 06-07 .' -p239079 -(lp239080 -S'It\tIt\tPRP\tB-NP\tO' -p239081 -aS'either\teither\tCC\tO\tO' -p239082 -aS'ended\tend\tVBN\tB-VP\tO' -p239083 -aS'in\tin\tIN\tB-PP\tO' -p239084 -aS'2011-04-11\t2011-04-11\tCD\tB-NP\tO' -p239085 -aS'or\tor\tCC\tO\tO' -p239086 -aS'continued\tcontinue\tVBN\tB-VP\tO' -p239087 -aS'through\tthrough\tIN\tB-PP\tO' -p239088 -aS'2011-05-11\t2011-05-11\tCD\tB-NP\tO' -p239089 -aS'with\twith\tIN\tB-PP\tO' -p239090 -aS'use\tuse\tNN\tB-NP\tO' -p239091 -aS'of\tof\tIN\tB-PP\tO' -p239092 -aS'Augmentin\tAugmentin\tNN\tB-NP\tB-protein' -p239093 -aS';\t;\t:\tO\tO' -p239094 -aS'and\tand\tCC\tO\tO' -p239095 -aS',\t,\t,\tO\tO' -p239096 -aS'by\tby\tIN\tB-PP\tO' -p239097 -aS'report\treport\tNN\tB-NP\tO' -p239098 -aS',\t,\t,\tO\tO' -p239099 -aS'lasted\tlast\tVBN\tB-VP\tO' -p239100 -aS'until\tuntil\tIN\tB-PP\tO' -p239101 -aS'06-07\t06-07\tCD\tB-NP\tO' -p239102 -aS'.\t.\t.\tO\tO' -p239103 -asS'The patient is allergic to Percodan , which gives him itchiness .' -p239104 -(lp239105 -S'The\tThe\tDT\tB-NP\tO' -p239106 -aS'patient\tpatient\tNN\tI-NP\tO' -p239107 -aS'is\tbe\tVBZ\tB-VP\tO' -p239108 -aS'allergic\tallergic\tJJ\tB-ADJP\tO' -p239109 -aS'to\tto\tTO\tB-PP\tO' -p239110 -aS'Percodan\tPercodan\tNNP\tB-NP\tO' -p239111 -aS',\t,\t,\tO\tO' -p239112 -aS'which\twhich\tWDT\tB-NP\tO' -p239113 -aS'gives\tgive\tVBZ\tB-VP\tO' -p239114 -aS'him\thim\tPRP\tB-NP\tO' -p239115 -aS'itchiness\titchiness\tNN\tB-NP\tO' -p239116 -aS'.\t.\t.\tO\tO' -p239117 -asS'This is to notify you that your patient , JESCWIERST , MA arrived in the Emergency Department at Ro Woodma Healthcare on 04/04/2002 01:09 AM .' -p239118 -(lp239119 -S'This\tThis\tDT\tB-NP\tO' -p239120 -aS'is\tbe\tVBZ\tB-VP\tO' -p239121 -aS'to\tto\tTO\tB-VP\tO' -p239122 -aS'notify\tnotify\tVB\tI-VP\tO' -p239123 -aS'you\tyou\tPRP\tB-NP\tO' -p239124 -aS'that\tthat\tIN\tB-SBAR\tO' -p239125 -aS'your\tyour\tPRP$\tB-NP\tO' -p239126 -aS'patient\tpatient\tNN\tI-NP\tO' -p239127 -aS',\t,\t,\tO\tO' -p239128 -aS'JESCWIERST\tJESCWIERST\tNN\tB-NP\tO' -p239129 -aS',\t,\t,\tO\tO' -p239130 -aS'MA\tMA\tJJ\tB-NP\tO' -p239131 -aS'arrived\tarrive\tVBN\tB-VP\tO' -p239132 -aS'in\tin\tIN\tB-PP\tO' -p239133 -aS'the\tthe\tDT\tB-NP\tO' -p239134 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p239135 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p239136 -aS'at\tat\tIN\tB-PP\tO' -p239137 -aS'Ro\tRo\tNNP\tB-NP\tO' -p239138 -aS'Woodma\tWoodma\tNNP\tI-NP\tO' -p239139 -aS'Healthcare\tHealthcare\tNNP\tI-NP\tO' -p239140 -aS'on\ton\tIN\tB-PP\tO' -p239141 -aS'04/04/2002\t04/04/2002\tCD\tB-NP\tO' -p239142 -aS'01:09\t01:09\tCD\tI-NP\tO' -p239143 -aS'AM\tAM\tNN\tI-NP\tO' -p239144 -aS'.\t.\t.\tO\tO' -p239145 -asS'The patient was also started on Bactrim one double strength tablet q.o.d. as prophylaxis for Pneumocystis carinii pneumonia while on her high dose steroids .' -p239146 -(lp239147 -S'The\tThe\tDT\tB-NP\tO' -p239148 -aS'patient\tpatient\tNN\tI-NP\tO' -p239149 -aS'was\tbe\tVBD\tB-VP\tO' -p239150 -aS'also\talso\tRB\tI-VP\tO' -p239151 -aS'started\tstart\tVBN\tI-VP\tO' -p239152 -aS'on\ton\tIN\tB-PP\tO' -p239153 -aS'Bactrim\tBactrim\tNNP\tB-NP\tO' -p239154 -aS'one\tone\tCD\tI-NP\tO' -p239155 -aS'double\tdouble\tJJ\tI-NP\tO' -p239156 -aS'strength\tstrength\tNN\tI-NP\tO' -p239157 -aS'tablet\ttablet\tNN\tI-NP\tO' -p239158 -aS'q.o.d.\tq.o.d.\tVBN\tB-VP\tO' -p239159 -aS'as\tas\tIN\tB-PP\tO' -p239160 -aS'prophylaxis\tprophylaxis\tNN\tB-NP\tO' -p239161 -aS'for\tfor\tIN\tB-PP\tO' -p239162 -aS'Pneumocystis\tPneumocystis\tNN\tB-NP\tO' -p239163 -aS'carinii\tcarinii\tNN\tI-NP\tO' -p239164 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p239165 -aS'while\twhile\tIN\tB-SBAR\tO' -p239166 -aS'on\ton\tIN\tB-PP\tO' -p239167 -aS'her\ther\tPRP$\tB-NP\tO' -p239168 -aS'high\thigh\tJJ\tI-NP\tO' -p239169 -aS'dose\tdose\tNN\tI-NP\tO' -p239170 -aS'steroids\tsteroid\tNNS\tI-NP\tO' -p239171 -aS'.\t.\t.\tO\tO' -p239172 -asS'Of note , he had a recent kidney biopsy on 2018-07-30 and his Cr bumped from 4.7 to 5.7 .' -p239173 -(lp239174 -S'Of\tOf\tIN\tB-PP\tO' -p239175 -aS'note\tnote\tNN\tB-NP\tO' -p239176 -aS',\t,\t,\tO\tO' -p239177 -aS'he\the\tPRP\tB-NP\tO' -p239178 -aS'had\thave\tVBD\tB-VP\tO' -p239179 -aS'a\ta\tDT\tB-NP\tO' -p239180 -aS'recent\trecent\tJJ\tI-NP\tO' -p239181 -aS'kidney\tkidney\tNN\tI-NP\tO' -p239182 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p239183 -aS'on\ton\tIN\tB-PP\tO' -p239184 -aS'2018-07-30\t2018-07-30\tCD\tB-NP\tO' -p239185 -aS'and\tand\tCC\tO\tO' -p239186 -aS'his\this\tPRP$\tB-NP\tO' -p239187 -aS'Cr\tCr\tNN\tI-NP\tO' -p239188 -aS'bumped\tbump\tVBN\tB-VP\tO' -p239189 -aS'from\tfrom\tIN\tB-PP\tO' -p239190 -aS'4.7\t4.7\tCD\tB-NP\tO' -p239191 -aS'to\tto\tTO\tB-PP\tO' -p239192 -aS'5.7\t5.7\tCD\tB-NP\tO' -p239193 -aS'.\t.\t.\tO\tO' -p239194 -asS'PT and PTT were 12 and 26 .' -p239195 -(lp239196 -S'PT\tPT\tNN\tB-NP\tO' -p239197 -aS'and\tand\tCC\tI-NP\tO' -p239198 -aS'PTT\tPTT\tNN\tI-NP\tO' -p239199 -aS'were\tbe\tVBD\tB-VP\tO' -p239200 -aS'12\t12\tCD\tB-NP\tO' -p239201 -aS'and\tand\tCC\tI-NP\tO' -p239202 -aS'26\t26\tCD\tI-NP\tO' -p239203 -aS'.\t.\t.\tO\tO' -p239204 -asS'He will follow up with Dr Fisher the general surgeon in two weeks and follow up in the brain tumor clinic in two weeks for stitch removal .' -p239205 -(lp239206 -S'He\tHe\tPRP\tB-NP\tO' -p239207 -aS'will\twill\tMD\tB-VP\tO' -p239208 -aS'follow\tfollow\tVB\tI-VP\tO' -p239209 -aS'up\tup\tRP\tB-PRT\tO' -p239210 -aS'with\twith\tIN\tB-PP\tO' -p239211 -aS'Dr\tDr\tNNP\tB-NP\tO' -p239212 -aS'Fisher\tFisher\tNNP\tI-NP\tO' -p239213 -aS'the\tthe\tDT\tB-NP\tO' -p239214 -aS'general\tgeneral\tJJ\tI-NP\tO' -p239215 -aS'surgeon\tsurgeon\tNN\tI-NP\tO' -p239216 -aS'in\tin\tIN\tB-PP\tO' -p239217 -aS'two\ttwo\tCD\tB-NP\tO' -p239218 -aS'weeks\tweek\tNNS\tI-NP\tO' -p239219 -aS'and\tand\tCC\tO\tO' -p239220 -aS'follow\tfollow\tVB\tB-VP\tO' -p239221 -aS'up\tup\tRP\tB-PRT\tO' -p239222 -aS'in\tin\tIN\tB-PP\tO' -p239223 -aS'the\tthe\tDT\tB-NP\tO' -p239224 -aS'brain\tbrain\tNN\tI-NP\tO' -p239225 -aS'tumor\ttumor\tNN\tI-NP\tO' -p239226 -aS'clinic\tclinic\tNN\tI-NP\tO' -p239227 -aS'in\tin\tIN\tB-PP\tO' -p239228 -aS'two\ttwo\tCD\tB-NP\tO' -p239229 -aS'weeks\tweek\tNNS\tI-NP\tO' -p239230 -aS'for\tfor\tIN\tB-PP\tO' -p239231 -aS'stitch\tstitch\tNN\tB-NP\tO' -p239232 -aS'removal\tremoval\tNN\tI-NP\tO' -p239233 -aS'.\t.\t.\tO\tO' -p239234 -asS'10ml NS followed by 1ml of 100 units/ml heparin ( 100 units heparin ) each lumen QD and PRN .' -p239235 -(lp239236 -S'10ml\t10ml\tCD\tB-NP\tO' -p239237 -aS'NS\tNS\tNN\tI-NP\tO' -p239238 -aS'followed\tfollow\tVBN\tB-VP\tO' -p239239 -aS'by\tby\tIN\tB-PP\tO' -p239240 -aS'1ml\t1ml\tNN\tB-NP\tO' -p239241 -aS'of\tof\tIN\tB-PP\tO' -p239242 -aS'100\t100\tCD\tB-NP\tO' -p239243 -aS'units/ml\tunits/ml\tNN\tI-NP\tO' -p239244 -aS'heparin\theparin\tNN\tI-NP\tO' -p239245 -aS'(\t(\t(\tO\tO' -p239246 -aS'100\t100\tCD\tB-NP\tO' -p239247 -aS'units\tunit\tNNS\tI-NP\tO' -p239248 -aS'heparin\theparin\tNN\tI-NP\tO' -p239249 -aS')\t)\t)\tO\tO' -p239250 -aS'each\teach\tDT\tB-NP\tO' -p239251 -aS'lumen\tlumen\tNN\tI-NP\tO' -p239252 -aS'QD\tQD\tNN\tI-NP\tO' -p239253 -aS'and\tand\tCC\tI-NP\tO' -p239254 -aS'PRN\tPRN\tNN\tI-NP\tB-protein' -p239255 -aS'.\t.\t.\tO\tO' -p239256 -asS'Apgars were 8 and 8 .' -p239257 -(lp239258 -S'Apgars\tApgar\tNNS\tB-NP\tO' -p239259 -aS'were\tbe\tVBD\tB-VP\tO' -p239260 -aS'8\t8\tCD\tB-NP\tO' -p239261 -aS'and\tand\tCC\tI-NP\tO' -p239262 -aS'8\t8\tCD\tI-NP\tO' -p239263 -aS'.\t.\t.\tO\tO' -p239264 -asS'Other issues of the patient are chronic and most likely will be followed up in hospitals closer to the patient 's home .' -p239265 -(lp239266 -S'Other\tOther\tJJ\tB-NP\tO' -p239267 -aS'issues\tissue\tNNS\tI-NP\tO' -p239268 -aS'of\tof\tIN\tB-PP\tO' -p239269 -aS'the\tthe\tDT\tB-NP\tO' -p239270 -aS'patient\tpatient\tNN\tI-NP\tO' -p239271 -aS'are\tbe\tVBP\tB-VP\tO' -p239272 -aS'chronic\tchronic\tJJ\tB-ADJP\tO' -p239273 -aS'and\tand\tCC\tO\tO' -p239274 -aS'most\tmost\tRBS\tB-ADVP\tO' -p239275 -aS'likely\tlikely\tRB\tI-ADVP\tO' -p239276 -aS'will\twill\tMD\tB-VP\tO' -p239277 -aS'be\tbe\tVB\tI-VP\tO' -p239278 -aS'followed\tfollow\tVBN\tI-VP\tO' -p239279 -aS'up\tup\tRP\tB-PRT\tO' -p239280 -aS'in\tin\tIN\tB-PP\tO' -p239281 -aS'hospitals\thospital\tNNS\tB-NP\tO' -p239282 -aS'closer\tcloser\tRBR\tB-ADVP\tO' -p239283 -aS'to\tto\tTO\tB-PP\tO' -p239284 -aS'the\tthe\tDT\tB-NP\tO' -p239285 -aS'patient\tpatient\tNN\tI-NP\tO' -p239286 -aS''s\t'\tNNS\tI-NP\tO' -p239287 -aS'home\thome\tNN\tI-NP\tO' -p239288 -aS'.\t.\t.\tO\tO' -p239289 -asS'Her hearing got progressively worse and the sound of static increased .' -p239290 -(lp239291 -S'Her\tHer\tPRP$\tB-NP\tO' -p239292 -aS'hearing\thearing\tNN\tI-NP\tO' -p239293 -aS'got\tget\tVBD\tB-VP\tO' -p239294 -aS'progressively\tprogressively\tRB\tB-ADJP\tO' -p239295 -aS'worse\tworse\tJJR\tI-ADJP\tO' -p239296 -aS'and\tand\tCC\tO\tO' -p239297 -aS'the\tthe\tDT\tB-NP\tO' -p239298 -aS'sound\tsound\tNN\tI-NP\tO' -p239299 -aS'of\tof\tIN\tB-PP\tO' -p239300 -aS'static\tstatic\tJJ\tB-NP\tO' -p239301 -aS'increased\tincrease\tVBN\tB-VP\tO' -p239302 -aS'.\t.\t.\tO\tO' -p239303 -asS'is unremarkable .' -p239304 -(lp239305 -S'is\tbe\tVBZ\tB-VP\tO' -p239306 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p239307 -aS'.\t.\t.\tO\tO' -p239308 -asS'8. Ibuprofen 400 mg Tablet Sig : Two ( 2 ) Tablet PO Q8H ( every 8 hours ) as needed .' -p239309 -(lp239310 -S'8.\t8.\tCD\tB-NP\tO' -p239311 -aS'Ibuprofen\tIbuprofen\tNN\tI-NP\tO' -p239312 -aS'400\t400\tCD\tB-NP\tO' -p239313 -aS'mg\tmg\tNN\tI-NP\tO' -p239314 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p239315 -aS'Sig\tSig\tNNP\tI-NP\tO' -p239316 -aS':\t:\t:\tO\tO' -p239317 -aS'Two\tTwo\tCD\tB-NP\tO' -p239318 -aS'(\t(\t(\tO\tO' -p239319 -aS'2\t2\tCD\tO\tO' -p239320 -aS')\t)\t)\tO\tO' -p239321 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p239322 -aS'PO\tPO\tNN\tI-NP\tO' -p239323 -aS'Q8H\tQ8H\tNN\tI-NP\tO' -p239324 -aS'(\t(\t(\tO\tO' -p239325 -aS'every\tevery\tDT\tB-NP\tO' -p239326 -aS'8\t8\tCD\tI-NP\tO' -p239327 -aS'hours\thour\tNNS\tI-NP\tO' -p239328 -aS')\t)\t)\tO\tO' -p239329 -aS'as\tas\tIN\tB-SBAR\tO' -p239330 -aS'needed\tneed\tVBN\tB-VP\tO' -p239331 -aS'.\t.\t.\tO\tO' -p239332 -asS'Cardiac showed a regular rate and rhythm , S1 and S2 .' -p239333 -(lp239334 -S'Cardiac\tCardiac\tNN\tB-NP\tO' -p239335 -aS'showed\tshow\tVBD\tB-VP\tO' -p239336 -aS'a\ta\tDT\tB-NP\tO' -p239337 -aS'regular\tregular\tJJ\tI-NP\tO' -p239338 -aS'rate\trate\tNN\tI-NP\tO' -p239339 -aS'and\tand\tCC\tO\tO' -p239340 -aS'rhythm\trhythm\tNN\tB-NP\tO' -p239341 -aS',\t,\t,\tO\tO' -p239342 -aS'S1\tS1\tNN\tB-NP\tB-protein' -p239343 -aS'and\tand\tCC\tO\tO' -p239344 -aS'S2\tS2\tNN\tB-NP\tB-protein' -p239345 -aS'.\t.\t.\tO\tO' -p239346 -asS'Dropped from 42.7 to 36 in setting of anticoagulation for saddle PE and IV fluids .' -p239347 -(lp239348 -S'Dropped\tDrop\tVBN\tB-VP\tO' -p239349 -aS'from\tfrom\tIN\tB-PP\tO' -p239350 -aS'42.7\t42.7\tCD\tB-NP\tO' -p239351 -aS'to\tto\tTO\tB-PP\tO' -p239352 -aS'36\t36\tCD\tB-NP\tO' -p239353 -aS'in\tin\tIN\tB-PP\tO' -p239354 -aS'setting\tsetting\tNN\tB-NP\tO' -p239355 -aS'of\tof\tIN\tB-PP\tO' -p239356 -aS'anticoagulation\tanticoagulation\tNN\tB-NP\tO' -p239357 -aS'for\tfor\tIN\tB-PP\tO' -p239358 -aS'saddle\tsaddle\tJJ\tB-NP\tO' -p239359 -aS'PE\tPE\tNN\tI-NP\tO' -p239360 -aS'and\tand\tCC\tO\tO' -p239361 -aS'IV\tIV\tCD\tB-NP\tO' -p239362 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p239363 -aS'.\t.\t.\tO\tO' -p239364 -asS'Comfortable respiratory pattern .' -p239365 -(lp239366 -S'Comfortable\tComfortable\tJJ\tB-NP\tO' -p239367 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p239368 -aS'pattern\tpattern\tNN\tI-NP\tO' -p239369 -aS'.\t.\t.\tO\tO' -p239370 -asS'One week prior to presentation , he had chest pain leading to a repeat catheterization at Springfield on 07-30 which showed narrowing of the stent and an ejection fraction of approximately 20% .' -p239371 -(lp239372 -S'One\tOne\tCD\tB-NP\tO' -p239373 -aS'week\tweek\tNN\tI-NP\tO' -p239374 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p239375 -aS'to\tto\tTO\tB-PP\tO' -p239376 -aS'presentation\tpresentation\tNN\tB-NP\tO' -p239377 -aS',\t,\t,\tO\tO' -p239378 -aS'he\the\tPRP\tB-NP\tO' -p239379 -aS'had\thave\tVBD\tB-VP\tO' -p239380 -aS'chest\tchest\tNN\tB-NP\tO' -p239381 -aS'pain\tpain\tNN\tI-NP\tO' -p239382 -aS'leading\tlead\tVBG\tB-VP\tO' -p239383 -aS'to\tto\tTO\tB-PP\tO' -p239384 -aS'a\ta\tDT\tB-NP\tO' -p239385 -aS'repeat\trepeat\tNN\tI-NP\tO' -p239386 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p239387 -aS'at\tat\tIN\tB-PP\tO' -p239388 -aS'Springfield\tSpringfield\tNNP\tB-NP\tO' -p239389 -aS'on\ton\tIN\tB-PP\tO' -p239390 -aS'07-30\t07-30\tCD\tB-NP\tO' -p239391 -aS'which\twhich\tWDT\tB-NP\tO' -p239392 -aS'showed\tshow\tVBD\tB-VP\tO' -p239393 -aS'narrowing\tnarrow\tVBG\tB-NP\tO' -p239394 -aS'of\tof\tIN\tB-PP\tO' -p239395 -aS'the\tthe\tDT\tB-NP\tO' -p239396 -aS'stent\tstent\tNN\tI-NP\tO' -p239397 -aS'and\tand\tCC\tO\tO' -p239398 -aS'an\tan\tDT\tB-NP\tO' -p239399 -aS'ejection\tejection\tNN\tI-NP\tO' -p239400 -aS'fraction\tfraction\tNN\tI-NP\tO' -p239401 -aS'of\tof\tIN\tB-PP\tO' -p239402 -aS'approximately\tapproximately\tRB\tB-ADJP\tO' -p239403 -aS'20%\t20%\tJJ\tI-ADJP\tO' -p239404 -aS'.\t.\t.\tO\tO' -p239405 -asS'The patient was originally diagnosed in 06/98 during a routine physical when he was noted to have a white blood cell count of 20,000 , weight loss , and swelling in his neck and groin .' -p239406 -(lp239407 -S'The\tThe\tDT\tB-NP\tO' -p239408 -aS'patient\tpatient\tNN\tI-NP\tO' -p239409 -aS'was\tbe\tVBD\tB-VP\tO' -p239410 -aS'originally\toriginally\tRB\tI-VP\tO' -p239411 -aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' -p239412 -aS'in\tin\tIN\tB-PP\tO' -p239413 -aS'06/98\t06/98\tCD\tB-NP\tO' -p239414 -aS'during\tduring\tIN\tB-PP\tO' -p239415 -aS'a\ta\tDT\tB-NP\tO' -p239416 -aS'routine\troutine\tJJ\tI-NP\tO' -p239417 -aS'physical\tphysical\tNN\tI-NP\tO' -p239418 -aS'when\twhen\tWRB\tB-ADVP\tO' -p239419 -aS'he\the\tPRP\tB-NP\tO' -p239420 -aS'was\tbe\tVBD\tB-VP\tO' -p239421 -aS'noted\tnote\tVBN\tI-VP\tO' -p239422 -aS'to\tto\tTO\tI-VP\tO' -p239423 -aS'have\thave\tVB\tI-VP\tO' -p239424 -aS'a\ta\tDT\tB-NP\tO' -p239425 -aS'white\twhite\tJJ\tI-NP\tO' -p239426 -aS'blood\tblood\tNN\tI-NP\tO' -p239427 -aS'cell\tcell\tNN\tI-NP\tO' -p239428 -aS'count\tcount\tNN\tI-NP\tO' -p239429 -aS'of\tof\tIN\tB-PP\tO' -p239430 -aS'20,000\t20,000\tCD\tB-NP\tO' -p239431 -aS',\t,\t,\tO\tO' -p239432 -aS'weight\tweight\tNN\tB-NP\tO' -p239433 -aS'loss\tloss\tNN\tI-NP\tO' -p239434 -aS',\t,\t,\tO\tO' -p239435 -aS'and\tand\tCC\tO\tO' -p239436 -aS'swelling\tswell\tVBG\tB-VP\tO' -p239437 -aS'in\tin\tIN\tB-PP\tO' -p239438 -aS'his\this\tPRP$\tB-NP\tO' -p239439 -aS'neck\tneck\tNN\tI-NP\tO' -p239440 -aS'and\tand\tCC\tI-NP\tO' -p239441 -aS'groin\tgroin\tNN\tI-NP\tO' -p239442 -aS'.\t.\t.\tO\tO' -p239443 -asS'Regular , normal S1 and S2 , no murmurs , gallops or rubs .' -p239444 -(lp239445 -S'Regular\tRegular\tJJ\tB-NP\tO' -p239446 -aS',\t,\t,\tI-NP\tO' -p239447 -aS'normal\tnormal\tJJ\tI-NP\tO' -p239448 -aS'S1\tS1\tNN\tI-NP\tB-protein' -p239449 -aS'and\tand\tCC\tO\tO' -p239450 -aS'S2\tS2\tNN\tB-NP\tB-protein' -p239451 -aS',\t,\t,\tO\tO' -p239452 -aS'no\tno\tDT\tB-NP\tO' -p239453 -aS'murmurs\tmurmur\tNNS\tI-NP\tO' -p239454 -aS',\t,\t,\tI-NP\tO' -p239455 -aS'gallops\tgallop\tNNS\tI-NP\tO' -p239456 -aS'or\tor\tCC\tI-NP\tO' -p239457 -aS'rubs\trub\tNNS\tI-NP\tO' -p239458 -aS'.\t.\t.\tO\tO' -p239459 -asS'11. Atorvastatin 20 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' -p239460 -(lp239461 -S'11.\t11.\tCD\tB-NP\tO' -p239462 -aS'Atorvastatin\tAtorvastatin\tIN\tI-NP\tO' -p239463 -aS'20\t20\tCD\tI-NP\tO' -p239464 -aS'mg\tmg\tNN\tI-NP\tO' -p239465 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p239466 -aS'Sig\tSig\tNNP\tI-NP\tO' -p239467 -aS':\t:\t:\tO\tO' -p239468 -aS'One\tOne\tCD\tB-NP\tO' -p239469 -aS'(\t(\t(\tO\tO' -p239470 -aS'1\t1\tCD\tB-NP\tO' -p239471 -aS')\t)\t)\tO\tO' -p239472 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p239473 -aS'PO\tPO\tNN\tI-NP\tO' -p239474 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p239475 -aS'(\t(\t(\tO\tO' -p239476 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p239477 -aS')\t)\t)\tO\tO' -p239478 -aS'.\t.\t.\tO\tO' -p239479 -asS'Discharged home 05-19 with instructions to f/u in vascular clinic .' -p239480 -(lp239481 -S'Discharged\tDischarged\tJJ\tB-NP\tO' -p239482 -aS'home\thome\tNN\tI-NP\tO' -p239483 -aS'05-19\t05-19\tCD\tI-NP\tO' -p239484 -aS'with\twith\tIN\tB-PP\tO' -p239485 -aS'instructions\tinstruction\tNNS\tB-NP\tO' -p239486 -aS'to\tto\tTO\tB-VP\tO' -p239487 -aS'f/u\tf/u\tVB\tI-VP\tO' -p239488 -aS'in\tin\tIN\tB-PP\tO' -p239489 -aS'vascular\tvascular\tJJ\tB-NP\tO' -p239490 -aS'clinic\tclinic\tNN\tI-NP\tO' -p239491 -aS'.\t.\t.\tO\tO' -p239492 -asS'3. State newborn screen was sent on 2013-07-26 and is pending .' -p239493 -(lp239494 -S'3.\t3.\tLS\tB-NP\tO' -p239495 -aS'State\tState\tNN\tI-NP\tO' -p239496 -aS'newborn\tnewborn\tJJ\tI-NP\tO' -p239497 -aS'screen\tscreen\tNN\tI-NP\tO' -p239498 -aS'was\tbe\tVBD\tB-VP\tO' -p239499 -aS'sent\tsend\tVBN\tI-VP\tO' -p239500 -aS'on\ton\tIN\tB-PP\tO' -p239501 -aS'2013-07-26\t2013-07-26\tCD\tB-NP\tO' -p239502 -aS'and\tand\tCC\tO\tO' -p239503 -aS'is\tbe\tVBZ\tB-VP\tO' -p239504 -aS'pending\tpende\tVBG\tB-ADJP\tO' -p239505 -aS'.\t.\t.\tO\tO' -p239506 -asS'The patient was alert and oriented times three with N. Ramirez Coma Scale of 15 on arrival .' -p239507 -(lp239508 -S'The\tThe\tDT\tB-NP\tO' -p239509 -aS'patient\tpatient\tNN\tI-NP\tO' -p239510 -aS'was\tbe\tVBD\tB-VP\tO' -p239511 -aS'alert\talert\tJJ\tB-ADJP\tO' -p239512 -aS'and\tand\tCC\tO\tO' -p239513 -aS'oriented\torient\tVBN\tB-VP\tO' -p239514 -aS'times\ttime\tNNS\tB-NP\tO' -p239515 -aS'three\tthree\tCD\tB-NP\tO' -p239516 -aS'with\twith\tIN\tB-PP\tO' -p239517 -aS'N.\tN.\tNNP\tB-NP\tO' -p239518 -aS'Ramirez\tRamirez\tNNP\tI-NP\tO' -p239519 -aS'Coma\tComa\tNNP\tI-NP\tO' -p239520 -aS'Scale\tScale\tNNP\tI-NP\tO' -p239521 -aS'of\tof\tIN\tB-PP\tO' -p239522 -aS'15\t15\tCD\tB-NP\tO' -p239523 -aS'on\ton\tIN\tB-PP\tO' -p239524 -aS'arrival\tarrival\tNN\tB-NP\tO' -p239525 -aS'.\t.\t.\tO\tO' -p239526 -asS'She is a positive tobacco user .' -p239527 -(lp239528 -S'She\tShe\tPRP\tB-NP\tO' -p239529 -aS'is\tbe\tVBZ\tB-VP\tO' -p239530 -aS'a\ta\tDT\tB-NP\tO' -p239531 -aS'positive\tpositive\tJJ\tI-NP\tO' -p239532 -aS'tobacco\ttobacco\tNN\tI-NP\tO' -p239533 -aS'user\tuser\tNN\tI-NP\tO' -p239534 -aS'.\t.\t.\tO\tO' -p239535 -asS'She developed leukocytosis and transaminasemia .' -p239536 -(lp239537 -S'She\tShe\tPRP\tB-NP\tO' -p239538 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p239539 -aS'leukocytosis\tleukocytosis\tNN\tB-NP\tO' -p239540 -aS'and\tand\tCC\tI-NP\tO' -p239541 -aS'transaminasemia\ttransaminasemia\tNN\tI-NP\tO' -p239542 -aS'.\t.\t.\tO\tO' -p239543 -asS'Full term pregnancy , s/p SVD' -p239544 -(lp239545 -S'Full\tFull\tJJ\tB-NP\tO' -p239546 -aS'term\tterm\tNN\tI-NP\tO' -p239547 -aS'pregnancy\tpregnancy\tNN\tI-NP\tO' -p239548 -aS',\t,\t,\tO\tO' -p239549 -aS's/p\ts/p\tNN\tB-NP\tO' -p239550 -aS'SVD\tSVD\tNN\tI-NP\tO' -p239551 -asS'-- CIWAs were 0 throughout admission' -p239552 -(lp239553 -S'--\t--\t:\tO\tO' -p239554 -aS'CIWAs\tCIWA\tNNS\tB-NP\tB-protein' -p239555 -aS'were\tbe\tVBD\tB-VP\tO' -p239556 -aS'0\t0\tCD\tB-NP\tO' -p239557 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p239558 -aS'admission\tadmission\tNN\tB-NP\tO' -p239559 -asS'No evidence of cervical spine fracture .' -p239560 -(lp239561 -S'No\tNo\tDT\tB-NP\tO' -p239562 -aS'evidence\tevidence\tNN\tI-NP\tO' -p239563 -aS'of\tof\tIN\tB-PP\tO' -p239564 -aS'cervical\tcervical\tJJ\tB-NP\tO' -p239565 -aS'spine\tspine\tNN\tI-NP\tO' -p239566 -aS'fracture\tfracture\tNN\tI-NP\tO' -p239567 -aS'.\t.\t.\tO\tO' -p239568 -asS'Hematology was consulted .' -p239569 -(lp239570 -S'Hematology\tHematology\tNN\tB-NP\tO' -p239571 -aS'was\tbe\tVBD\tB-VP\tO' -p239572 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p239573 -aS'.\t.\t.\tO\tO' -p239574 -asS'UE strength intact but poor motor movements due to loss of sensation .' -p239575 -(lp239576 -S'UE\tUE\tNN\tB-NP\tO' -p239577 -aS'strength\tstrength\tNN\tI-NP\tO' -p239578 -aS'intact\tintact\tJJ\tI-NP\tO' -p239579 -aS'but\tbut\tCC\tI-NP\tO' -p239580 -aS'poor\tpoor\tJJ\tI-NP\tO' -p239581 -aS'motor\tmotor\tNN\tI-NP\tO' -p239582 -aS'movements\tmovement\tNNS\tI-NP\tO' -p239583 -aS'due\tdue\tJJ\tB-ADJP\tO' -p239584 -aS'to\tto\tTO\tB-PP\tO' -p239585 -aS'loss\tloss\tNN\tB-NP\tO' -p239586 -aS'of\tof\tIN\tB-PP\tO' -p239587 -aS'sensation\tsensation\tNN\tB-NP\tO' -p239588 -aS'.\t.\t.\tO\tO' -p239589 -asS'Similarly , outpatient PT was recommended for his gait difficulties from his previous strokes .' -p239590 -(lp239591 -S'Similarly\tSimilarly\tRB\tB-ADVP\tO' -p239592 -aS',\t,\t,\tO\tO' -p239593 -aS'outpatient\toutpatient\tNN\tB-NP\tO' -p239594 -aS'PT\tPT\tNN\tI-NP\tO' -p239595 -aS'was\tbe\tVBD\tB-VP\tO' -p239596 -aS'recommended\trecommend\tVBN\tI-VP\tO' -p239597 -aS'for\tfor\tIN\tB-PP\tO' -p239598 -aS'his\this\tPRP$\tB-NP\tO' -p239599 -aS'gait\tgait\tNN\tI-NP\tO' -p239600 -aS'difficulties\tdifficulty\tNNS\tI-NP\tO' -p239601 -aS'from\tfrom\tIN\tB-PP\tO' -p239602 -aS'his\this\tPRP$\tB-NP\tO' -p239603 -aS'previous\tprevious\tJJ\tI-NP\tO' -p239604 -aS'strokes\tstroke\tNNS\tI-NP\tO' -p239605 -aS'.\t.\t.\tO\tO' -p239606 -asS'total vaginal hysterectomy; combined anterior-posterior colporrhaphy with posterior mesh; subpubic urethral sling; sacrospinous colpopexy exploratory laparotomy' -p239607 -(lp239608 -S'total\ttotal\tJJ\tB-NP\tO' -p239609 -aS'vaginal\tvaginal\tJJ\tI-NP\tO' -p239610 -aS'hysterectomy;\thysterectomy;\tNN\tI-NP\tO' -p239611 -aS'combined\tcombined\tJJ\tI-NP\tO' -p239612 -aS'anterior-posterior\tanterior-posterior\tJJ\tI-NP\tO' -p239613 -aS'colporrhaphy\tcolporrhaphy\tNN\tI-NP\tO' -p239614 -aS'with\twith\tIN\tB-PP\tO' -p239615 -aS'posterior\tposterior\tJJ\tB-NP\tO' -p239616 -aS'mesh;\tmesh;\tNN\tI-NP\tO' -p239617 -aS'subpubic\tsubpubic\tJJ\tI-NP\tO' -p239618 -aS'urethral\turethral\tJJ\tI-NP\tO' -p239619 -aS'sling;\tsling;\tNN\tI-NP\tO' -p239620 -aS'sacrospinous\tsacrospinous\tJJ\tI-NP\tO' -p239621 -aS'colpopexy\tcolpopexy\tNN\tI-NP\tO' -p239622 -aS'exploratory\texploratory\tNN\tI-NP\tO' -p239623 -aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' -p239624 -asS"MRI head was obtained to further w/u patient 's apparent cognitive decline ." -p239625 -(lp239626 -S'MRI\tMRI\tNN\tB-NP\tO' -p239627 -aS'head\thead\tNN\tI-NP\tO' -p239628 -aS'was\tbe\tVBD\tB-VP\tO' -p239629 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p239630 -aS'to\tto\tTO\tB-PP\tO' -p239631 -aS'further\tfurther\tJJ\tB-NP\tO' -p239632 -aS'w/u\tw/u\tNN\tI-NP\tO' -p239633 -aS'patient\tpatient\tNN\tI-NP\tO' -p239634 -aS"'s\t's\tPOS\tB-NP\tO" -p239635 -aS'apparent\tapparent\tJJ\tI-NP\tO' -p239636 -aS'cognitive\tcognitive\tJJ\tI-NP\tO' -p239637 -aS'decline\tdecline\tNN\tI-NP\tO' -p239638 -aS'.\t.\t.\tO\tO' -p239639 -asS'Keep vancomycin trough between 10-20 , but not less due to desensitization .' -p239640 -(lp239641 -S'Keep\tKeep\tNN\tB-NP\tO' -p239642 -aS'vancomycin\tvancomycin\tNN\tI-NP\tO' -p239643 -aS'trough\ttrough\tNN\tI-NP\tO' -p239644 -aS'between\tbetween\tIN\tB-PP\tO' -p239645 -aS'10-20\t10-20\tCD\tB-NP\tO' -p239646 -aS',\t,\t,\tO\tO' -p239647 -aS'but\tbut\tCC\tO\tO' -p239648 -aS'not\tnot\tRB\tB-ADJP\tO' -p239649 -aS'less\tless\tRBR\tI-ADJP\tO' -p239650 -aS'due\tdue\tJJ\tI-ADJP\tO' -p239651 -aS'to\tto\tTO\tB-PP\tO' -p239652 -aS'desensitization\tdesensitization\tNN\tB-NP\tO' -p239653 -aS'.\t.\t.\tO\tO' -p239654 -asS'She was started on some Miconazole Cream .' -p239655 -(lp239656 -S'She\tShe\tPRP\tB-NP\tO' -p239657 -aS'was\tbe\tVBD\tB-VP\tO' -p239658 -aS'started\tstart\tVBN\tI-VP\tO' -p239659 -aS'on\ton\tIN\tB-PP\tO' -p239660 -aS'some\tsome\tDT\tB-NP\tO' -p239661 -aS'Miconazole\tMiconazole\tNNP\tI-NP\tO' -p239662 -aS'Cream\tCream\tNNP\tI-NP\tO' -p239663 -aS'.\t.\t.\tO\tO' -p239664 -asS'The patient had two drains placed after a prolonged course and difficult procedure .' -p239665 -(lp239666 -S'The\tThe\tDT\tB-NP\tO' -p239667 -aS'patient\tpatient\tNN\tI-NP\tO' -p239668 -aS'had\thave\tVBD\tB-VP\tO' -p239669 -aS'two\ttwo\tCD\tB-NP\tO' -p239670 -aS'drains\tdrain\tNNS\tI-NP\tO' -p239671 -aS'placed\tplace\tVBN\tB-VP\tO' -p239672 -aS'after\tafter\tIN\tB-PP\tO' -p239673 -aS'a\ta\tDT\tB-NP\tO' -p239674 -aS'prolonged\tprolong\tVBN\tI-NP\tO' -p239675 -aS'course\tcourse\tNN\tI-NP\tO' -p239676 -aS'and\tand\tCC\tI-NP\tO' -p239677 -aS'difficult\tdifficult\tJJ\tI-NP\tO' -p239678 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p239679 -aS'.\t.\t.\tO\tO' -p239680 -asS'She has remained stable with no acute events .' -p239681 -(lp239682 -S'She\tShe\tPRP\tB-NP\tO' -p239683 -aS'has\thave\tVBZ\tB-VP\tO' -p239684 -aS'remained\tremain\tVBN\tI-VP\tO' -p239685 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p239686 -aS'with\twith\tIN\tB-PP\tO' -p239687 -aS'no\tno\tDT\tB-NP\tO' -p239688 -aS'acute\tacute\tJJ\tI-NP\tO' -p239689 -aS'events\tevent\tNNS\tI-NP\tO' -p239690 -aS'.\t.\t.\tO\tO' -p239691 -asS'Conditions , Infections , Complications , affecting Treatment / Stay liver hemangioma , bph , gout , meningioma , gerd , episodic vertigo , s / p r colectomy , subtotal colectomy' -p239692 -(lp239693 -S'Conditions\tCondition\tNNS\tB-NP\tO' -p239694 -aS',\t,\t,\tO\tO' -p239695 -aS'Infections\tInfection\tNNS\tB-NP\tO' -p239696 -aS',\t,\t,\tO\tO' -p239697 -aS'Complications\tComplication\tNNS\tB-NP\tO' -p239698 -aS',\t,\t,\tO\tO' -p239699 -aS'affecting\taffect\tVBG\tB-VP\tO' -p239700 -aS'Treatment\tTreatment\tNN\tB-NP\tO' -p239701 -aS'/\t/\tSYM\tO\tO' -p239702 -aS'Stay\tStay\tNN\tB-NP\tO' -p239703 -aS'liver\tliver\tNN\tI-NP\tO' -p239704 -aS'hemangioma\themangioma\tNN\tI-NP\tO' -p239705 -aS',\t,\t,\tO\tO' -p239706 -aS'bph\tbph\tNN\tB-NP\tO' -p239707 -aS',\t,\t,\tO\tO' -p239708 -aS'gout\tgout\tNN\tB-NP\tO' -p239709 -aS',\t,\t,\tO\tO' -p239710 -aS'meningioma\tmeningioma\tNN\tB-NP\tO' -p239711 -aS',\t,\t,\tO\tO' -p239712 -aS'gerd\tgerd\tNN\tB-NP\tO' -p239713 -aS',\t,\t,\tO\tO' -p239714 -aS'episodic\tepisodic\tJJ\tB-NP\tO' -p239715 -aS'vertigo\tvertigo\tNN\tI-NP\tO' -p239716 -aS',\t,\t,\tO\tO' -p239717 -aS's\ts\tNN\tB-NP\tB-protein' -p239718 -aS'/\t/\tSYM\tI-NP\tI-protein' -p239719 -aS'p\tp\tNN\tI-NP\tI-protein' -p239720 -aS'r\tr\tNN\tI-NP\tI-protein' -p239721 -aS'colectomy\tcolectomy\tNN\tI-NP\tO' -p239722 -aS',\t,\t,\tO\tO' -p239723 -aS'subtotal\tsubtotal\tJJ\tB-NP\tO' -p239724 -aS'colectomy\tcolectomy\tNN\tI-NP\tO' -p239725 -asS'Examination on admission to the Coronary Care Unit revealed blood pressure was 100/57 , with a mean arterial pressure of 75 , heart rate was sinus rhythm at 75 , temperature was 97.6 , oxygen saturation was 99% on assist control with a tidal volume of 600 on 60% FIO2 , 5 of positive end-expiratory pressure .' -p239726 -(lp239727 -S'Examination\tExamination\tNN\tB-NP\tO' -p239728 -aS'on\ton\tIN\tB-PP\tO' -p239729 -aS'admission\tadmission\tNN\tB-NP\tO' -p239730 -aS'to\tto\tTO\tB-PP\tO' -p239731 -aS'the\tthe\tDT\tB-NP\tO' -p239732 -aS'Coronary\tCoronary\tNNP\tI-NP\tO' -p239733 -aS'Care\tCare\tNNP\tI-NP\tO' -p239734 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p239735 -aS'revealed\treveal\tVBD\tB-VP\tO' -p239736 -aS'blood\tblood\tNN\tB-NP\tO' -p239737 -aS'pressure\tpressure\tNN\tI-NP\tO' -p239738 -aS'was\tbe\tVBD\tB-VP\tO' -p239739 -aS'100/57\t100/57\tCD\tB-NP\tO' -p239740 -aS',\t,\t,\tO\tO' -p239741 -aS'with\twith\tIN\tB-PP\tO' -p239742 -aS'a\ta\tDT\tB-NP\tO' -p239743 -aS'mean\tmean\tJJ\tI-NP\tO' -p239744 -aS'arterial\tarterial\tJJ\tI-NP\tO' -p239745 -aS'pressure\tpressure\tNN\tI-NP\tO' -p239746 -aS'of\tof\tIN\tB-PP\tO' -p239747 -aS'75\t75\tCD\tB-NP\tO' -p239748 -aS',\t,\t,\tO\tO' -p239749 -aS'heart\theart\tNN\tB-NP\tO' -p239750 -aS'rate\trate\tNN\tI-NP\tO' -p239751 -aS'was\tbe\tVBD\tB-VP\tO' -p239752 -aS'sinus\tsinus\tJJ\tB-NP\tO' -p239753 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p239754 -aS'at\tat\tIN\tB-PP\tO' -p239755 -aS'75\t75\tCD\tB-NP\tO' -p239756 -aS',\t,\t,\tO\tO' -p239757 -aS'temperature\ttemperature\tNN\tB-NP\tO' -p239758 -aS'was\tbe\tVBD\tB-VP\tO' -p239759 -aS'97.6\t97.6\tCD\tB-NP\tO' -p239760 -aS',\t,\t,\tO\tO' -p239761 -aS'oxygen\toxygen\tNN\tB-NP\tO' -p239762 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p239763 -aS'was\tbe\tVBD\tB-VP\tO' -p239764 -aS'99%\t99%\tCD\tB-NP\tO' -p239765 -aS'on\ton\tIN\tB-PP\tO' -p239766 -aS'assist\tassist\tNN\tB-NP\tO' -p239767 -aS'control\tcontrol\tNN\tI-NP\tO' -p239768 -aS'with\twith\tIN\tB-PP\tO' -p239769 -aS'a\ta\tDT\tB-NP\tO' -p239770 -aS'tidal\ttidal\tJJ\tI-NP\tO' -p239771 -aS'volume\tvolume\tNN\tI-NP\tO' -p239772 -aS'of\tof\tIN\tB-PP\tO' -p239773 -aS'600\t600\tCD\tB-NP\tO' -p239774 -aS'on\ton\tIN\tB-PP\tO' -p239775 -aS'60%\t60%\tNN\tB-NP\tO' -p239776 -aS'FIO2\tFIO2\tCD\tI-NP\tO' -p239777 -aS',\t,\t,\tI-NP\tO' -p239778 -aS'5\t5\tCD\tI-NP\tO' -p239779 -aS'of\tof\tIN\tB-PP\tO' -p239780 -aS'positive\tpositive\tJJ\tB-NP\tO' -p239781 -aS'end-expiratory\tend-expiratory\tJJ\tI-NP\tO' -p239782 -aS'pressure\tpressure\tNN\tI-NP\tO' -p239783 -aS'.\t.\t.\tO\tO' -p239784 -asS'LUNGS : Clear to auscultation bilaterally .' -p239785 -(lp239786 -S'LUNGS\tLUNGS\tNN\tB-NP\tO' -p239787 -aS':\t:\t:\tO\tO' -p239788 -aS'Clear\tClear\tJJ\tB-ADJP\tO' -p239789 -aS'to\tto\tTO\tB-PP\tO' -p239790 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p239791 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p239792 -aS'.\t.\t.\tO\tO' -p239793 -asS'She has not had any alcoholic beverages during this pregnancy .' -p239794 -(lp239795 -S'She\tShe\tPRP\tB-NP\tO' -p239796 -aS'has\thave\tVBZ\tB-VP\tO' -p239797 -aS'not\tnot\tRB\tI-VP\tO' -p239798 -aS'had\thave\tVBN\tI-VP\tO' -p239799 -aS'any\tany\tDT\tB-NP\tO' -p239800 -aS'alcoholic\talcoholic\tJJ\tI-NP\tO' -p239801 -aS'beverages\tbeverage\tNNS\tI-NP\tO' -p239802 -aS'during\tduring\tIN\tB-PP\tO' -p239803 -aS'this\tthis\tDT\tB-NP\tO' -p239804 -aS'pregnancy\tpregnancy\tNN\tI-NP\tO' -p239805 -aS'.\t.\t.\tO\tO' -p239806 -asS'8. Lactulose 10 g / 15 mL Syrup Sig : Sixty ( 60 ) ML PO EVERY THURSDAY ( ) .' -p239807 -(lp239808 -S'8.\t8.\tCD\tB-NP\tO' -p239809 -aS'Lactulose\tLactulose\tNN\tI-NP\tO' -p239810 -aS'10\t10\tCD\tB-NP\tO' -p239811 -aS'g\tg\tNN\tI-NP\tO' -p239812 -aS'/\t/\tSYM\tB-NP\tO' -p239813 -aS'15\t15\tCD\tI-NP\tO' -p239814 -aS'mL\tmL\tNN\tI-NP\tO' -p239815 -aS'Syrup\tSyrup\tNNP\tI-NP\tO' -p239816 -aS'Sig\tSig\tNNP\tI-NP\tO' -p239817 -aS':\t:\t:\tO\tO' -p239818 -aS'Sixty\tSixty\tCD\tB-NP\tO' -p239819 -aS'(\t(\t(\tO\tO' -p239820 -aS'60\t60\tCD\tO\tO' -p239821 -aS')\t)\t)\tO\tO' -p239822 -aS'ML\tML\tNN\tB-NP\tO' -p239823 -aS'PO\tPO\tNN\tI-NP\tO' -p239824 -aS'EVERY\tEVERY\tNN\tI-NP\tO' -p239825 -aS'THURSDAY\tTHURSDAY\tNN\tI-NP\tO' -p239826 -aS'(\t(\t(\tO\tO' -p239827 -aS')\t)\t)\tO\tO' -p239828 -aS'.\t.\t.\tO\tO' -p239829 -asS'Her chest demonstrated bibasilar crackles .' -p239830 -(lp239831 -S'Her\tHer\tPRP$\tB-NP\tO' -p239832 -aS'chest\tchest\tNN\tI-NP\tO' -p239833 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p239834 -aS'bibasilar\tbibasilar\tJJ\tB-NP\tO' -p239835 -aS'crackles\tcrackle\tNNS\tI-NP\tO' -p239836 -aS'.\t.\t.\tO\tO' -p239837 -asS'Infants hospital .' -p239838 -(lp239839 -S'Infants\tInfant\tNNS\tB-NP\tO' -p239840 -aS'hospital\thospital\tNN\tI-NP\tO' -p239841 -aS'.\t.\t.\tO\tO' -p239842 -asS'He has complained of fatigue , anorexia , and a 10-pound weight loss in the last four months .' -p239843 -(lp239844 -S'He\tHe\tPRP\tB-NP\tO' -p239845 -aS'has\thave\tVBZ\tB-VP\tO' -p239846 -aS'complained\tcomplain\tVBN\tI-VP\tO' -p239847 -aS'of\tof\tIN\tB-PP\tO' -p239848 -aS'fatigue\tfatigue\tNN\tB-NP\tO' -p239849 -aS',\t,\t,\tO\tO' -p239850 -aS'anorexia\tanorexia\tNN\tB-NP\tO' -p239851 -aS',\t,\t,\tO\tO' -p239852 -aS'and\tand\tCC\tO\tO' -p239853 -aS'a\ta\tDT\tB-NP\tO' -p239854 -aS'10-pound\t10-pound\tJJ\tI-NP\tO' -p239855 -aS'weight\tweight\tNN\tI-NP\tO' -p239856 -aS'loss\tloss\tNN\tI-NP\tO' -p239857 -aS'in\tin\tIN\tB-PP\tO' -p239858 -aS'the\tthe\tDT\tB-NP\tO' -p239859 -aS'last\tlast\tJJ\tI-NP\tO' -p239860 -aS'four\tfour\tCD\tI-NP\tO' -p239861 -aS'months\tmonth\tNNS\tI-NP\tO' -p239862 -aS'.\t.\t.\tO\tO' -p239863 -asS'However , his rate proved difficult to control despite metoprolol and diltiazam .' -p239864 -(lp239865 -S'However\tHowever\tRB\tB-ADVP\tO' -p239866 -aS',\t,\t,\tO\tO' -p239867 -aS'his\this\tPRP$\tB-NP\tO' -p239868 -aS'rate\trate\tNN\tI-NP\tO' -p239869 -aS'proved\tprove\tVBD\tB-VP\tO' -p239870 -aS'difficult\tdifficult\tJJ\tB-ADJP\tO' -p239871 -aS'to\tto\tTO\tB-VP\tO' -p239872 -aS'control\tcontrol\tVB\tI-VP\tO' -p239873 -aS'despite\tdespite\tIN\tB-PP\tO' -p239874 -aS'metoprolol\tmetoprolol\tNN\tB-NP\tO' -p239875 -aS'and\tand\tCC\tI-NP\tO' -p239876 -aS'diltiazam\tdiltiazam\tNN\tI-NP\tO' -p239877 -aS'.\t.\t.\tO\tO' -p239878 -asS'3. Acute renal failure .' -p239879 -(lp239880 -S'3.\t3.\tLS\tB-NP\tO' -p239881 -aS'Acute\tAcute\tJJ\tI-NP\tO' -p239882 -aS'renal\trenal\tJJ\tI-NP\tO' -p239883 -aS'failure\tfailure\tNN\tI-NP\tO' -p239884 -aS'.\t.\t.\tO\tO' -p239885 -asS'2. Multivitamins Tablet , Chewable Sig : One ( 1 ) Cap PO DAILY ( Daily ) .' -p239886 -(lp239887 -S'2.\t2.\tLS\tB-LST\tO' -p239888 -aS'Multivitamins\tMultivitamins\tNNP\tB-NP\tO' -p239889 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p239890 -aS',\t,\t,\tO\tO' -p239891 -aS'Chewable\tChewable\tNNP\tB-NP\tO' -p239892 -aS'Sig\tSig\tNNP\tI-NP\tO' -p239893 -aS':\t:\t:\tO\tO' -p239894 -aS'One\tOne\tCD\tB-NP\tO' -p239895 -aS'(\t(\t(\tO\tO' -p239896 -aS'1\t1\tCD\tB-NP\tO' -p239897 -aS')\t)\t)\tO\tO' -p239898 -aS'Cap\tCap\tNN\tB-NP\tO' -p239899 -aS'PO\tPO\tNN\tI-NP\tO' -p239900 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p239901 -aS'(\t(\t(\tO\tO' -p239902 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p239903 -aS')\t)\t)\tO\tO' -p239904 -aS'.\t.\t.\tO\tO' -p239905 -asS'History of colon cancer , chronic obstructive pulmonary disease , obesity , hypertension , history of myocardial infarction .' -p239906 -(lp239907 -S'History\tHistory\tNN\tB-NP\tO' -p239908 -aS'of\tof\tIN\tB-PP\tO' -p239909 -aS'colon\tcolon\tNN\tB-NP\tO' -p239910 -aS'cancer\tcancer\tNN\tI-NP\tO' -p239911 -aS',\t,\t,\tO\tO' -p239912 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p239913 -aS'obstructive\tobstructive\tJJ\tI-NP\tO' -p239914 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p239915 -aS'disease\tdisease\tNN\tI-NP\tO' -p239916 -aS',\t,\t,\tO\tO' -p239917 -aS'obesity\tobesity\tNN\tB-NP\tO' -p239918 -aS',\t,\t,\tO\tO' -p239919 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p239920 -aS',\t,\t,\tO\tO' -p239921 -aS'history\thistory\tNN\tB-NP\tO' -p239922 -aS'of\tof\tIN\tB-PP\tO' -p239923 -aS'myocardial\tmyocardial\tJJ\tB-NP\tO' -p239924 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p239925 -aS'.\t.\t.\tO\tO' -p239926 -asS'8. Paranoia / Depression , h/o auditory hallucinations , ? mania' -p239927 -(lp239928 -S'8.\t8.\tCD\tB-NP\tO' -p239929 -aS'Paranoia\tParanoia\tNNP\tI-NP\tO' -p239930 -aS'/\t/\tSYM\tI-NP\tO' -p239931 -aS'Depression\tDepression\tNN\tI-NP\tO' -p239932 -aS',\t,\t,\tO\tO' -p239933 -aS'h/o\th/o\tVBP\tB-VP\tO' -p239934 -aS'auditory\tauditory\tJJ\tB-NP\tO' -p239935 -aS'hallucinations\thallucination\tNNS\tI-NP\tO' -p239936 -aS',\t,\t,\tO\tO' -p239937 -aS'?\t?\t.\tO\tO' -p239938 -aS'mania\tmania\tNN\tB-NP\tO' -p239939 -asS'Close monitoring demonstrated his blood pressure to be stable and within an acceptable rang on his dosage regimen .' -p239940 -(lp239941 -S'Close\tClose\tJJ\tB-NP\tO' -p239942 -aS'monitoring\tmonitoring\tNN\tI-NP\tO' -p239943 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p239944 -aS'his\this\tPRP$\tB-NP\tO' -p239945 -aS'blood\tblood\tNN\tI-NP\tO' -p239946 -aS'pressure\tpressure\tNN\tI-NP\tO' -p239947 -aS'to\tto\tTO\tB-VP\tO' -p239948 -aS'be\tbe\tVB\tI-VP\tO' -p239949 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p239950 -aS'and\tand\tCC\tB-PP\tO' -p239951 -aS'within\twithin\tIN\tB-PP\tO' -p239952 -aS'an\tan\tDT\tB-NP\tO' -p239953 -aS'acceptable\tacceptable\tJJ\tI-NP\tO' -p239954 -aS'rang\trang\tNN\tI-NP\tO' -p239955 -aS'on\ton\tIN\tB-PP\tO' -p239956 -aS'his\this\tPRP$\tB-NP\tO' -p239957 -aS'dosage\tdosage\tNN\tI-NP\tO' -p239958 -aS'regimen\tregimen\tNN\tI-NP\tO' -p239959 -aS'.\t.\t.\tO\tO' -p239960 -asS'The patient was advanced per protocol to an immunosuppressive regimen of prednisone , Neoral , and CellCept .' -p239961 -(lp239962 -S'The\tThe\tDT\tB-NP\tO' -p239963 -aS'patient\tpatient\tNN\tI-NP\tO' -p239964 -aS'was\tbe\tVBD\tB-VP\tO' -p239965 -aS'advanced\tadvance\tVBN\tI-VP\tO' -p239966 -aS'per\tper\tIN\tB-PP\tO' -p239967 -aS'protocol\tprotocol\tNN\tB-NP\tO' -p239968 -aS'to\tto\tTO\tB-PP\tO' -p239969 -aS'an\tan\tDT\tB-NP\tO' -p239970 -aS'immunosuppressive\timmunosuppressive\tJJ\tI-NP\tO' -p239971 -aS'regimen\tregimen\tNN\tI-NP\tO' -p239972 -aS'of\tof\tIN\tB-PP\tO' -p239973 -aS'prednisone\tprednisone\tNN\tB-NP\tO' -p239974 -aS',\t,\t,\tO\tO' -p239975 -aS'Neoral\tNeoral\tNN\tB-NP\tO' -p239976 -aS',\t,\t,\tO\tO' -p239977 -aS'and\tand\tCC\tO\tO' -p239978 -aS'CellCept\tCellCept\tNNP\tB-NP\tO' -p239979 -aS'.\t.\t.\tO\tO' -p239980 -asS'As tolerated .' -p239981 -(lp239982 -S'As\tAs\tIN\tB-SBAR\tO' -p239983 -aS'tolerated\ttolerate\tVBN\tB-VP\tO' -p239984 -aS'.\t.\t.\tO\tO' -p239985 -asS'The abdomen was soft and nondistended .' -p239986 -(lp239987 -S'The\tThe\tDT\tB-NP\tO' -p239988 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p239989 -aS'was\tbe\tVBD\tB-VP\tO' -p239990 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p239991 -aS'and\tand\tCC\tI-ADJP\tO' -p239992 -aS'nondistended\tnondistended\tJJ\tI-ADJP\tO' -p239993 -aS'.\t.\t.\tO\tO' -p239994 -asS'Made full code again on 12-30 after family meeting with son .' -p239995 -(lp239996 -S'Made\tMake\tVBN\tB-VP\tO' -p239997 -aS'full\tfull\tJJ\tB-NP\tO' -p239998 -aS'code\tcode\tNN\tI-NP\tO' -p239999 -aS'again\tagain\tRB\tB-ADVP\tO' -p240000 -aS'on\ton\tIN\tB-PP\tO' -p240001 -aS'12-30\t12-30\tCD\tB-NP\tO' -p240002 -aS'after\tafter\tIN\tB-PP\tO' -p240003 -aS'family\tfamily\tNN\tB-NP\tO' -p240004 -aS'meeting\tmeeting\tNN\tI-NP\tO' -p240005 -aS'with\twith\tIN\tB-PP\tO' -p240006 -aS'son\tson\tNN\tB-NP\tO' -p240007 -aS'.\t.\t.\tO\tO' -p240008 -asS'Renal function remained normal .' -p240009 -(lp240010 -S'Renal\tRenal\tJJ\tB-NP\tO' -p240011 -aS'function\tfunction\tNN\tI-NP\tO' -p240012 -aS'remained\tremain\tVBD\tB-VP\tO' -p240013 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p240014 -aS'.\t.\t.\tO\tO' -p240015 -asS'The patient is to return to the hospital on Monday for follow-up .' -p240016 -(lp240017 -S'The\tThe\tDT\tB-NP\tO' -p240018 -aS'patient\tpatient\tNN\tI-NP\tO' -p240019 -aS'is\tbe\tVBZ\tB-VP\tO' -p240020 -aS'to\tto\tTO\tB-VP\tO' -p240021 -aS'return\treturn\tVB\tI-VP\tO' -p240022 -aS'to\tto\tTO\tB-PP\tO' -p240023 -aS'the\tthe\tDT\tB-NP\tO' -p240024 -aS'hospital\thospital\tNN\tI-NP\tO' -p240025 -aS'on\ton\tIN\tB-PP\tO' -p240026 -aS'Monday\tMonday\tNNP\tB-NP\tO' -p240027 -aS'for\tfor\tIN\tB-PP\tO' -p240028 -aS'follow-up\tfollow-up\tNN\tB-NP\tO' -p240029 -aS'.\t.\t.\tO\tO' -p240030 -asS'Tachycardic , nl S1 and S2' -p240031 -(lp240032 -S'Tachycardic\tTachycardic\tJJ\tB-NP\tO' -p240033 -aS',\t,\t,\tI-NP\tO' -p240034 -aS'nl\tnl\tNN\tI-NP\tB-protein' -p240035 -aS'S1\tS1\tNN\tI-NP\tI-protein' -p240036 -aS'and\tand\tCC\tO\tO' -p240037 -aS'S2\tS2\tNN\tB-NP\tB-protein' -p240038 -asS'As Mr. Douglass has improved from his initial stroke , he has become more lucid' -p240039 -(lp240040 -S'As\tAs\tIN\tB-SBAR\tO' -p240041 -aS'Mr.\tMr.\tNNP\tB-NP\tO' -p240042 -aS'Douglass\tDouglass\tNNP\tI-NP\tO' -p240043 -aS'has\thave\tVBZ\tB-VP\tO' -p240044 -aS'improved\timprove\tVBN\tI-VP\tO' -p240045 -aS'from\tfrom\tIN\tB-PP\tO' -p240046 -aS'his\this\tPRP$\tB-NP\tO' -p240047 -aS'initial\tinitial\tJJ\tI-NP\tO' -p240048 -aS'stroke\tstroke\tNN\tI-NP\tO' -p240049 -aS',\t,\t,\tO\tO' -p240050 -aS'he\the\tPRP\tB-NP\tO' -p240051 -aS'has\thave\tVBZ\tB-VP\tO' -p240052 -aS'become\tbecome\tVBN\tI-VP\tO' -p240053 -aS'more\tmore\tRBR\tB-ADJP\tO' -p240054 -aS'lucid\tlucid\tJJ\tI-ADJP\tO' -p240055 -asS'3) Previous myocardial infarction .' -p240056 -(lp240057 -S'3)\t3)\tLS\tB-NP\tO' -p240058 -aS'Previous\tPrevious\tJJ\tI-NP\tO' -p240059 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p240060 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p240061 -aS'.\t.\t.\tO\tO' -p240062 -asS'Discharge INR 1.8 .' -p240063 -(lp240064 -S'Discharge\tDischarge\tNNP\tB-NP\tO' -p240065 -aS'INR\tINR\tNNP\tI-NP\tO' -p240066 -aS'1.8\t1.8\tCD\tI-NP\tO' -p240067 -aS'.\t.\t.\tO\tO' -p240068 -asS'No tobacco , alcohol or drug use .' -p240069 -(lp240070 -S'No\tNo\tDT\tB-NP\tO' -p240071 -aS'tobacco\ttobacco\tNN\tI-NP\tO' -p240072 -aS',\t,\t,\tI-NP\tO' -p240073 -aS'alcohol\talcohol\tNN\tI-NP\tO' -p240074 -aS'or\tor\tCC\tI-NP\tO' -p240075 -aS'drug\tdrug\tNN\tI-NP\tO' -p240076 -aS'use\tuse\tNN\tI-NP\tO' -p240077 -aS'.\t.\t.\tO\tO' -p240078 -asS'She has had attacks treated with antibiotics in the past notably in 12/96 and 08/97 .' -p240079 -(lp240080 -S'She\tShe\tPRP\tB-NP\tO' -p240081 -aS'has\thave\tVBZ\tB-VP\tO' -p240082 -aS'had\thave\tVBN\tI-VP\tO' -p240083 -aS'attacks\tattack\tNNS\tB-NP\tO' -p240084 -aS'treated\ttreat\tVBN\tB-VP\tO' -p240085 -aS'with\twith\tIN\tB-PP\tO' -p240086 -aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' -p240087 -aS'in\tin\tIN\tB-PP\tO' -p240088 -aS'the\tthe\tDT\tB-NP\tO' -p240089 -aS'past\tpast\tNN\tI-NP\tO' -p240090 -aS'notably\tnotably\tRB\tB-ADVP\tO' -p240091 -aS'in\tin\tIN\tB-PP\tO' -p240092 -aS'12/96\t12/96\tCD\tB-NP\tO' -p240093 -aS'and\tand\tCC\tI-NP\tO' -p240094 -aS'08/97\t08/97\tCD\tI-NP\tO' -p240095 -aS'.\t.\t.\tO\tO' -p240096 -asS'It was felt most appropriate for him to have an outpatient GI workup , and his PCP was contacted and will arrange for outpatient colonoscopy .' -p240097 -(lp240098 -S'It\tIt\tPRP\tB-NP\tO' -p240099 -aS'was\tbe\tVBD\tB-VP\tO' -p240100 -aS'felt\tfeel\tVBN\tI-VP\tO' -p240101 -aS'most\tmost\tRBS\tB-ADJP\tO' -p240102 -aS'appropriate\tappropriate\tJJ\tI-ADJP\tO' -p240103 -aS'for\tfor\tIN\tB-SBAR\tO' -p240104 -aS'him\thim\tPRP\tB-NP\tO' -p240105 -aS'to\tto\tTO\tB-VP\tO' -p240106 -aS'have\thave\tVB\tI-VP\tO' -p240107 -aS'an\tan\tDT\tB-NP\tO' -p240108 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p240109 -aS'GI\tGI\tNN\tI-NP\tO' -p240110 -aS'workup\tworkup\tNN\tI-NP\tO' -p240111 -aS',\t,\t,\tO\tO' -p240112 -aS'and\tand\tCC\tO\tO' -p240113 -aS'his\this\tPRP$\tB-NP\tO' -p240114 -aS'PCP\tPCP\tNN\tI-NP\tB-DNA' -p240115 -aS'was\tbe\tVBD\tB-VP\tO' -p240116 -aS'contacted\tcontact\tVBN\tI-VP\tO' -p240117 -aS'and\tand\tCC\tO\tO' -p240118 -aS'will\twill\tMD\tB-VP\tO' -p240119 -aS'arrange\tarrange\tVB\tI-VP\tO' -p240120 -aS'for\tfor\tIN\tB-PP\tO' -p240121 -aS'outpatient\toutpatient\tNN\tB-NP\tO' -p240122 -aS'colonoscopy\tcolonoscopy\tNN\tI-NP\tO' -p240123 -aS'.\t.\t.\tO\tO' -p240124 -asS'She was noted at this time to have hyperglycemia requiring two subcutaneous doses of insulin and a decreased glucose infusion rate to achieve euglycemia .' -p240125 -(lp240126 -S'She\tShe\tPRP\tB-NP\tO' -p240127 -aS'was\tbe\tVBD\tB-VP\tO' -p240128 -aS'noted\tnote\tVBN\tI-VP\tO' -p240129 -aS'at\tat\tIN\tB-PP\tO' -p240130 -aS'this\tthis\tDT\tB-NP\tO' -p240131 -aS'time\ttime\tNN\tI-NP\tO' -p240132 -aS'to\tto\tTO\tB-VP\tO' -p240133 -aS'have\thave\tVB\tI-VP\tO' -p240134 -aS'hyperglycemia\thyperglycemia\tNN\tB-NP\tO' -p240135 -aS'requiring\trequire\tVBG\tB-VP\tO' -p240136 -aS'two\ttwo\tCD\tB-NP\tO' -p240137 -aS'subcutaneous\tsubcutaneous\tJJ\tI-NP\tO' -p240138 -aS'doses\tdose\tNNS\tI-NP\tO' -p240139 -aS'of\tof\tIN\tB-PP\tO' -p240140 -aS'insulin\tinsulin\tNN\tB-NP\tB-protein' -p240141 -aS'and\tand\tCC\tO\tO' -p240142 -aS'a\ta\tDT\tB-NP\tO' -p240143 -aS'decreased\tdecrease\tVBN\tI-NP\tO' -p240144 -aS'glucose\tglucose\tNN\tI-NP\tO' -p240145 -aS'infusion\tinfusion\tNN\tI-NP\tO' -p240146 -aS'rate\trate\tNN\tI-NP\tO' -p240147 -aS'to\tto\tTO\tB-VP\tO' -p240148 -aS'achieve\tachieve\tVB\tI-VP\tO' -p240149 -aS'euglycemia\teuglycemia\tNN\tB-NP\tO' -p240150 -aS'.\t.\t.\tO\tO' -p240151 -asS'10. Protonix 40 mg q. day .' -p240152 -(lp240153 -S'10.\t10.\tCD\tB-NP\tO' -p240154 -aS'Protonix\tProtonix\tNNP\tI-NP\tO' -p240155 -aS'40\t40\tCD\tI-NP\tO' -p240156 -aS'mg\tmg\tNN\tI-NP\tO' -p240157 -aS'q.\tq.\tNN\tI-NP\tO' -p240158 -aS'day\tday\tNN\tI-NP\tO' -p240159 -aS'.\t.\t.\tO\tO' -p240160 -asS'White blood cell count of 24.409 and platelets of 956,000 .' -p240161 -(lp240162 -S'White\tWhite\tJJ\tB-NP\tO' -p240163 -aS'blood\tblood\tNN\tI-NP\tO' -p240164 -aS'cell\tcell\tNN\tI-NP\tO' -p240165 -aS'count\tcount\tNN\tI-NP\tO' -p240166 -aS'of\tof\tIN\tB-PP\tO' -p240167 -aS'24.409\t24.409\tCD\tB-NP\tO' -p240168 -aS'and\tand\tCC\tO\tO' -p240169 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p240170 -aS'of\tof\tIN\tB-PP\tO' -p240171 -aS'956,000\t956,000\tCD\tB-NP\tO' -p240172 -aS'.\t.\t.\tO\tO' -p240173 -asS'Do not use creams , lotions , or powders on wounds .' -p240174 -(lp240175 -S'Do\tDo\tVBP\tB-VP\tO' -p240176 -aS'not\tnot\tRB\tI-VP\tO' -p240177 -aS'use\tuse\tVB\tI-VP\tO' -p240178 -aS'creams\tcream\tNNS\tB-NP\tO' -p240179 -aS',\t,\t,\tO\tO' -p240180 -aS'lotions\tlotion\tNNS\tB-NP\tO' -p240181 -aS',\t,\t,\tO\tO' -p240182 -aS'or\tor\tCC\tO\tO' -p240183 -aS'powders\tpowder\tNNS\tB-NP\tO' -p240184 -aS'on\ton\tIN\tB-PP\tO' -p240185 -aS'wounds\twound\tNNS\tB-NP\tO' -p240186 -aS'.\t.\t.\tO\tO' -p240187 -asS'His wound continued to heal well and by POD #6 a VAC dressing was placed .' -p240188 -(lp240189 -S'His\tHis\tPRP$\tB-NP\tO' -p240190 -aS'wound\twound\tNN\tI-NP\tO' -p240191 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p240192 -aS'to\tto\tTO\tI-VP\tO' -p240193 -aS'heal\theal\tVB\tI-VP\tO' -p240194 -aS'well\twell\tRB\tB-ADVP\tO' -p240195 -aS'and\tand\tCC\tO\tO' -p240196 -aS'by\tby\tIN\tB-PP\tO' -p240197 -aS'POD\tPOD\tNN\tB-NP\tB-protein' -p240198 -aS'#6\t#6\tCD\tI-NP\tI-protein' -p240199 -aS'a\ta\tDT\tB-NP\tO' -p240200 -aS'VAC\tVAC\tNN\tI-NP\tO' -p240201 -aS'dressing\tdressing\tNN\tI-NP\tO' -p240202 -aS'was\tbe\tVBD\tB-VP\tO' -p240203 -aS'placed\tplace\tVBN\tI-VP\tO' -p240204 -aS'.\t.\t.\tO\tO' -p240205 -asS'She has only social alcohol use .' -p240206 -(lp240207 -S'She\tShe\tPRP\tB-NP\tO' -p240208 -aS'has\thave\tVBZ\tB-VP\tO' -p240209 -aS'only\tonly\tRB\tB-NP\tO' -p240210 -aS'social\tsocial\tJJ\tI-NP\tO' -p240211 -aS'alcohol\talcohol\tNN\tI-NP\tO' -p240212 -aS'use\tuse\tNN\tI-NP\tO' -p240213 -aS'.\t.\t.\tO\tO' -p240214 -asS'Amylase was 87 .' -p240215 -(lp240216 -S'Amylase\tAmylase\tNN\tB-NP\tB-protein' -p240217 -aS'was\tbe\tVBD\tB-VP\tO' -p240218 -aS'87\t87\tCD\tB-NP\tO' -p240219 -aS'.\t.\t.\tO\tO' -p240220 -asS'23. Gabapentin 300 mg Capsule Sig : One ( 1 ) Capsule PO BID ( 2 times a day ) .' -p240221 -(lp240222 -S'23.\t23.\tLS\tB-NP\tO' -p240223 -aS'Gabapentin\tGabapentin\tNN\tI-NP\tB-protein' -p240224 -aS'300\t300\tCD\tI-NP\tI-protein' -p240225 -aS'mg\tmg\tNN\tI-NP\tI-protein' -p240226 -aS'Capsule\tCapsule\tNNP\tI-NP\tI-protein' -p240227 -aS'Sig\tSig\tNNP\tI-NP\tI-protein' -p240228 -aS':\t:\t:\tO\tO' -p240229 -aS'One\tOne\tCD\tB-NP\tO' -p240230 -aS'(\t(\t(\tO\tO' -p240231 -aS'1\t1\tCD\tB-NP\tO' -p240232 -aS')\t)\t)\tO\tO' -p240233 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p240234 -aS'PO\tPO\tNNP\tI-NP\tO' -p240235 -aS'BID\tBID\tNNP\tI-NP\tO' -p240236 -aS'(\t(\t(\tO\tO' -p240237 -aS'2\t2\tCD\tB-NP\tO' -p240238 -aS'times\ttime\tNNS\tI-NP\tO' -p240239 -aS'a\ta\tDT\tB-NP\tO' -p240240 -aS'day\tday\tNN\tI-NP\tO' -p240241 -aS')\t)\t)\tO\tO' -p240242 -aS'.\t.\t.\tO\tO' -p240243 -asS'Patient presented to his private medical doctor in Gewestster with transient calf pain on walking less than fifty yards .' -p240244 -(lp240245 -S'Patient\tPatient\tNN\tB-NP\tO' -p240246 -aS'presented\tpresent\tVBN\tB-VP\tO' -p240247 -aS'to\tto\tTO\tB-PP\tO' -p240248 -aS'his\this\tPRP$\tB-NP\tO' -p240249 -aS'private\tprivate\tJJ\tI-NP\tO' -p240250 -aS'medical\tmedical\tJJ\tI-NP\tO' -p240251 -aS'doctor\tdoctor\tNN\tI-NP\tO' -p240252 -aS'in\tin\tIN\tB-PP\tO' -p240253 -aS'Gewestster\tGewestster\tNN\tB-NP\tO' -p240254 -aS'with\twith\tIN\tB-PP\tO' -p240255 -aS'transient\ttransient\tJJ\tB-NP\tO' -p240256 -aS'calf\tcalf\tNN\tI-NP\tO' -p240257 -aS'pain\tpain\tNN\tI-NP\tO' -p240258 -aS'on\ton\tIN\tB-PP\tO' -p240259 -aS'walking\twalk\tVBG\tB-VP\tO' -p240260 -aS'less\tless\tJJR\tB-NP\tO' -p240261 -aS'than\tthan\tIN\tI-NP\tO' -p240262 -aS'fifty\tfifty\tCD\tI-NP\tO' -p240263 -aS'yards\tyard\tNNS\tI-NP\tO' -p240264 -aS'.\t.\t.\tO\tO' -p240265 -asS'Diffuse adenopathy was noted at that time and an attempt was made at axillary node biopsy which was aborted secondary to positioning difficulty and difficult intubation .' -p240266 -(lp240267 -S'Diffuse\tDiffuse\tNN\tB-NP\tO' -p240268 -aS'adenopathy\tadenopathy\tNN\tI-NP\tO' -p240269 -aS'was\tbe\tVBD\tB-VP\tO' -p240270 -aS'noted\tnote\tVBN\tI-VP\tO' -p240271 -aS'at\tat\tIN\tB-PP\tO' -p240272 -aS'that\tthat\tDT\tB-NP\tO' -p240273 -aS'time\ttime\tNN\tI-NP\tO' -p240274 -aS'and\tand\tCC\tO\tO' -p240275 -aS'an\tan\tDT\tB-NP\tO' -p240276 -aS'attempt\tattempt\tNN\tI-NP\tO' -p240277 -aS'was\tbe\tVBD\tB-VP\tO' -p240278 -aS'made\tmake\tVBN\tI-VP\tO' -p240279 -aS'at\tat\tIN\tB-PP\tO' -p240280 -aS'axillary\taxillary\tJJ\tB-NP\tO' -p240281 -aS'node\tnode\tNN\tI-NP\tO' -p240282 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p240283 -aS'which\twhich\tWDT\tB-NP\tO' -p240284 -aS'was\tbe\tVBD\tB-VP\tO' -p240285 -aS'aborted\tabort\tVBN\tI-VP\tO' -p240286 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p240287 -aS'to\tto\tTO\tB-PP\tO' -p240288 -aS'positioning\tposition\tVBG\tB-VP\tO' -p240289 -aS'difficulty\tdifficulty\tNN\tB-NP\tO' -p240290 -aS'and\tand\tCC\tO\tO' -p240291 -aS'difficult\tdifficult\tJJ\tB-NP\tO' -p240292 -aS'intubation\tintubation\tNN\tI-NP\tO' -p240293 -aS'.\t.\t.\tO\tO' -p240294 -asS'Her INR dropped to 1.6 prior to surgery , and her PTT was in the mid 80s prior to surgery .' -p240295 -(lp240296 -S'Her\tHer\tPRP$\tB-NP\tO' -p240297 -aS'INR\tINR\tNN\tI-NP\tB-protein' -p240298 -aS'dropped\tdrop\tVBD\tB-VP\tO' -p240299 -aS'to\tto\tTO\tB-PP\tO' -p240300 -aS'1.6\t1.6\tCD\tB-NP\tO' -p240301 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p240302 -aS'to\tto\tTO\tB-PP\tO' -p240303 -aS'surgery\tsurgery\tNN\tB-NP\tO' -p240304 -aS',\t,\t,\tO\tO' -p240305 -aS'and\tand\tCC\tO\tO' -p240306 -aS'her\ther\tPRP$\tB-NP\tO' -p240307 -aS'PTT\tPTT\tNN\tI-NP\tO' -p240308 -aS'was\tbe\tVBD\tB-VP\tO' -p240309 -aS'in\tin\tIN\tB-PP\tO' -p240310 -aS'the\tthe\tDT\tB-NP\tO' -p240311 -aS'mid\tmid\tJJ\tI-NP\tO' -p240312 -aS'80s\t80\tNNS\tI-NP\tO' -p240313 -aS'prior\tprior\tRB\tB-ADVP\tO' -p240314 -aS'to\tto\tTO\tB-PP\tO' -p240315 -aS'surgery\tsurgery\tNN\tB-NP\tO' -p240316 -aS'.\t.\t.\tO\tO' -p240317 -asS'Echocardiogram , neurovascular ultrasound .' -p240318 -(lp240319 -S'Echocardiogram\tEchocardiogram\tNN\tB-NP\tO' -p240320 -aS',\t,\t,\tO\tO' -p240321 -aS'neurovascular\tneurovascular\tJJ\tB-NP\tO' -p240322 -aS'ultrasound\tultrasound\tNN\tI-NP\tO' -p240323 -aS'.\t.\t.\tO\tO' -p240324 -asS'During initial evaluation for a coronary artery bypass graft , 80% to 90% of the right coronary artery stenosis was found ; for which she underwent a right internal carotid artery stent .' -p240325 -(lp240326 -S'During\tDuring\tIN\tB-PP\tO' -p240327 -aS'initial\tinitial\tJJ\tB-NP\tO' -p240328 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p240329 -aS'for\tfor\tIN\tB-PP\tO' -p240330 -aS'a\ta\tDT\tB-NP\tO' -p240331 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p240332 -aS'artery\tartery\tNN\tI-NP\tO' -p240333 -aS'bypass\tbypass\tIN\tB-PP\tO' -p240334 -aS'graft\tgraft\tNN\tB-NP\tO' -p240335 -aS',\t,\t,\tO\tO' -p240336 -aS'80%\t80%\tCD\tB-NP\tO' -p240337 -aS'to\tto\tTO\tB-PP\tO' -p240338 -aS'90%\t90%\tCD\tB-NP\tO' -p240339 -aS'of\tof\tIN\tB-PP\tO' -p240340 -aS'the\tthe\tDT\tB-NP\tO' -p240341 -aS'right\tright\tJJ\tI-NP\tO' -p240342 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p240343 -aS'artery\tartery\tNN\tI-NP\tO' -p240344 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p240345 -aS'was\tbe\tVBD\tB-VP\tO' -p240346 -aS'found\tfind\tVBN\tI-VP\tO' -p240347 -aS';\t;\t:\tO\tO' -p240348 -aS'for\tfor\tIN\tB-PP\tO' -p240349 -aS'which\twhich\tWDT\tB-NP\tO' -p240350 -aS'she\tshe\tPRP\tB-NP\tO' -p240351 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p240352 -aS'a\ta\tDT\tB-NP\tO' -p240353 -aS'right\tright\tJJ\tI-NP\tO' -p240354 -aS'internal\tinternal\tJJ\tI-NP\tO' -p240355 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p240356 -aS'artery\tartery\tNN\tI-NP\tO' -p240357 -aS'stent\tstent\tNN\tI-NP\tO' -p240358 -aS'.\t.\t.\tO\tO' -p240359 -asS'Chem-7 was within normal limits .' -p240360 -(lp240361 -S'Chem-7\tChem-7\tNN\tB-NP\tB-protein' -p240362 -aS'was\tbe\tVBD\tB-VP\tO' -p240363 -aS'within\twithin\tIN\tB-PP\tO' -p240364 -aS'normal\tnormal\tJJ\tB-NP\tO' -p240365 -aS'limits\tlimit\tNNS\tI-NP\tO' -p240366 -aS'.\t.\t.\tO\tO' -p240367 -asS'Attending : Woodrow Y Williams , M.D.' -p240368 -(lp240369 -S'Attending\tAttend\tVBG\tB-VP\tO' -p240370 -aS':\t:\t:\tO\tO' -p240371 -aS'Woodrow\tWoodrow\tNNP\tB-NP\tO' -p240372 -aS'Y\tY\tNNP\tI-NP\tO' -p240373 -aS'Williams\tWilliams\tNNP\tI-NP\tO' -p240374 -aS',\t,\t,\tO\tO' -p240375 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p240376 -asS'Upon transfer to the Intensive Care Unit the pt was started on heparin gtt .' -p240377 -(lp240378 -S'Upon\tUpon\tIN\tB-PP\tO' -p240379 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p240380 -aS'to\tto\tTO\tB-PP\tO' -p240381 -aS'the\tthe\tDT\tB-NP\tO' -p240382 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p240383 -aS'Care\tCare\tNNP\tI-NP\tO' -p240384 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p240385 -aS'the\tthe\tDT\tB-NP\tO' -p240386 -aS'pt\tpt\tNN\tI-NP\tO' -p240387 -aS'was\tbe\tVBD\tB-VP\tO' -p240388 -aS'started\tstart\tVBN\tI-VP\tO' -p240389 -aS'on\ton\tIN\tB-PP\tO' -p240390 -aS'heparin\theparin\tNN\tB-NP\tO' -p240391 -aS'gtt\tgtt\tNN\tI-NP\tO' -p240392 -aS'.\t.\t.\tO\tO' -p240393 -asS'The right calf site had minimal ooze and no hematomas or bruits .' -p240394 -(lp240395 -S'The\tThe\tDT\tB-NP\tO' -p240396 -aS'right\tright\tJJ\tI-NP\tB-DNA' -p240397 -aS'calf\tcalf\tNN\tI-NP\tI-DNA' -p240398 -aS'site\tsite\tNN\tI-NP\tI-DNA' -p240399 -aS'had\thave\tVBD\tB-VP\tO' -p240400 -aS'minimal\tminimal\tJJ\tB-NP\tO' -p240401 -aS'ooze\tooze\tNN\tI-NP\tO' -p240402 -aS'and\tand\tCC\tO\tO' -p240403 -aS'no\tno\tDT\tB-NP\tO' -p240404 -aS'hematomas\thematoma\tNNS\tI-NP\tO' -p240405 -aS'or\tor\tCC\tI-NP\tO' -p240406 -aS'bruits\tbruit\tNNS\tI-NP\tO' -p240407 -aS'.\t.\t.\tO\tO' -p240408 -asS'The patient had a white blood cell count of 9.5 , a hematocrit of 34.5 , a platelet count of 194 .' -p240409 -(lp240410 -S'The\tThe\tDT\tB-NP\tO' -p240411 -aS'patient\tpatient\tNN\tI-NP\tO' -p240412 -aS'had\thave\tVBD\tB-VP\tO' -p240413 -aS'a\ta\tDT\tB-NP\tO' -p240414 -aS'white\twhite\tJJ\tI-NP\tO' -p240415 -aS'blood\tblood\tNN\tI-NP\tO' -p240416 -aS'cell\tcell\tNN\tI-NP\tO' -p240417 -aS'count\tcount\tNN\tI-NP\tO' -p240418 -aS'of\tof\tIN\tB-PP\tO' -p240419 -aS'9.5\t9.5\tCD\tB-NP\tO' -p240420 -aS',\t,\t,\tO\tO' -p240421 -aS'a\ta\tDT\tB-NP\tO' -p240422 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p240423 -aS'of\tof\tIN\tB-PP\tO' -p240424 -aS'34.5\t34.5\tCD\tB-NP\tO' -p240425 -aS',\t,\t,\tO\tO' -p240426 -aS'a\ta\tDT\tB-NP\tO' -p240427 -aS'platelet\tplatelet\tNN\tI-NP\tO' -p240428 -aS'count\tcount\tNN\tI-NP\tO' -p240429 -aS'of\tof\tIN\tB-PP\tO' -p240430 -aS'194\t194\tCD\tB-NP\tO' -p240431 -aS'.\t.\t.\tO\tO' -p240432 -asS'This will be followed by a trial of Coumadin , and then by mitral commissurotomy or replacement and probable tricuspid annuloplasty by Dr. Riemund C. Wave .' -p240433 -(lp240434 -S'This\tThis\tDT\tB-NP\tO' -p240435 -aS'will\twill\tMD\tB-VP\tO' -p240436 -aS'be\tbe\tVB\tI-VP\tO' -p240437 -aS'followed\tfollow\tVBN\tI-VP\tO' -p240438 -aS'by\tby\tIN\tB-PP\tO' -p240439 -aS'a\ta\tDT\tB-NP\tO' -p240440 -aS'trial\ttrial\tNN\tI-NP\tO' -p240441 -aS'of\tof\tIN\tB-PP\tO' -p240442 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p240443 -aS',\t,\t,\tO\tO' -p240444 -aS'and\tand\tCC\tO\tO' -p240445 -aS'then\tthen\tRB\tB-ADVP\tO' -p240446 -aS'by\tby\tIN\tB-PP\tO' -p240447 -aS'mitral\tmitral\tJJ\tB-NP\tO' -p240448 -aS'commissurotomy\tcommissurotomy\tNN\tI-NP\tO' -p240449 -aS'or\tor\tCC\tI-NP\tO' -p240450 -aS'replacement\treplacement\tNN\tI-NP\tO' -p240451 -aS'and\tand\tCC\tO\tO' -p240452 -aS'probable\tprobable\tJJ\tB-NP\tO' -p240453 -aS'tricuspid\ttricuspid\tJJ\tI-NP\tO' -p240454 -aS'annuloplasty\tannuloplasty\tNN\tI-NP\tO' -p240455 -aS'by\tby\tIN\tB-PP\tO' -p240456 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p240457 -aS'Riemund\tRiemund\tNNP\tI-NP\tO' -p240458 -aS'C.\tC.\tNNP\tI-NP\tO' -p240459 -aS'Wave\tWave\tNNP\tI-NP\tO' -p240460 -aS'.\t.\t.\tO\tO' -p240461 -asS'This was repaired and stay sutures are in place .' -p240462 -(lp240463 -S'This\tThis\tDT\tB-NP\tO' -p240464 -aS'was\tbe\tVBD\tB-VP\tO' -p240465 -aS'repaired\trepair\tVBN\tI-VP\tO' -p240466 -aS'and\tand\tCC\tO\tO' -p240467 -aS'stay\tstay\tNN\tB-NP\tO' -p240468 -aS'sutures\tsuture\tNNS\tI-NP\tO' -p240469 -aS'are\tbe\tVBP\tB-VP\tO' -p240470 -aS'in\tin\tIN\tB-PP\tO' -p240471 -aS'place\tplace\tNN\tB-NP\tO' -p240472 -aS'.\t.\t.\tO\tO' -p240473 -asS'The cultures grew out enterobacter cloacae .' -p240474 -(lp240475 -S'The\tThe\tDT\tB-NP\tO' -p240476 -aS'cultures\tculture\tNNS\tI-NP\tO' -p240477 -aS'grew\tgrow\tVBD\tB-VP\tO' -p240478 -aS'out\tout\tRP\tB-PRT\tO' -p240479 -aS'enterobacter\tenterobacter\tNN\tB-NP\tO' -p240480 -aS'cloacae\tcloaca\tNNS\tI-NP\tO' -p240481 -aS'.\t.\t.\tO\tO' -p240482 -asS'Admission white blood count 4.3 , hematocrit 31.0 , electrolytes were all within normal limits , glucose 218 , prothrombin time on admission was 15.1 with INR of 1.5 , partial thromboplastin time 23.3 .' -p240483 -(lp240484 -S'Admission\tAdmission\tNN\tB-NP\tO' -p240485 -aS'white\twhite\tJJ\tI-NP\tO' -p240486 -aS'blood\tblood\tNN\tI-NP\tO' -p240487 -aS'count\tcount\tNN\tI-NP\tO' -p240488 -aS'4.3\t4.3\tCD\tI-NP\tO' -p240489 -aS',\t,\t,\tO\tO' -p240490 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p240491 -aS'31.0\t31.0\tCD\tI-NP\tI-protein' -p240492 -aS',\t,\t,\tO\tO' -p240493 -aS'electrolytes\telectrolyte\tNNS\tB-NP\tO' -p240494 -aS'were\tbe\tVBD\tB-VP\tO' -p240495 -aS'all\tall\tDT\tO\tO' -p240496 -aS'within\twithin\tIN\tB-PP\tO' -p240497 -aS'normal\tnormal\tJJ\tB-NP\tO' -p240498 -aS'limits\tlimit\tNNS\tI-NP\tO' -p240499 -aS',\t,\t,\tO\tO' -p240500 -aS'glucose\tglucose\tNN\tB-NP\tO' -p240501 -aS'218\t218\tCD\tI-NP\tO' -p240502 -aS',\t,\t,\tO\tO' -p240503 -aS'prothrombin\tprothrombin\tNN\tB-NP\tO' -p240504 -aS'time\ttime\tNN\tI-NP\tO' -p240505 -aS'on\ton\tIN\tB-PP\tO' -p240506 -aS'admission\tadmission\tNN\tB-NP\tO' -p240507 -aS'was\tbe\tVBD\tB-VP\tO' -p240508 -aS'15.1\t15.1\tCD\tB-NP\tO' -p240509 -aS'with\twith\tIN\tB-PP\tO' -p240510 -aS'INR\tINR\tNN\tB-NP\tB-protein' -p240511 -aS'of\tof\tIN\tB-PP\tO' -p240512 -aS'1.5\t1.5\tCD\tB-NP\tO' -p240513 -aS',\t,\t,\tO\tO' -p240514 -aS'partial\tpartial\tJJ\tB-NP\tO' -p240515 -aS'thromboplastin\tthromboplastin\tNN\tI-NP\tO' -p240516 -aS'time\ttime\tNN\tI-NP\tO' -p240517 -aS'23.3\t23.3\tCD\tB-NP\tO' -p240518 -aS'.\t.\t.\tO\tO' -p240519 -asS'She was diagnosed in 1991 during the birth of her child .' -p240520 -(lp240521 -S'She\tShe\tPRP\tB-NP\tO' -p240522 -aS'was\tbe\tVBD\tB-VP\tO' -p240523 -aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' -p240524 -aS'in\tin\tIN\tB-PP\tO' -p240525 -aS'1991\t1991\tCD\tB-NP\tO' -p240526 -aS'during\tduring\tIN\tB-PP\tO' -p240527 -aS'the\tthe\tDT\tB-NP\tO' -p240528 -aS'birth\tbirth\tNN\tI-NP\tO' -p240529 -aS'of\tof\tIN\tB-PP\tO' -p240530 -aS'her\ther\tPRP$\tB-NP\tO' -p240531 -aS'child\tchild\tNN\tI-NP\tO' -p240532 -aS'.\t.\t.\tO\tO' -p240533 -asS'The day prior to admission , he experienced dyspnea on exertion , and on the day of admission he collapsed and complained of substantial weakness .' -p240534 -(lp240535 -S'The\tThe\tDT\tB-NP\tO' -p240536 -aS'day\tday\tNN\tI-NP\tO' -p240537 -aS'prior\tprior\tRB\tB-ADVP\tO' -p240538 -aS'to\tto\tTO\tB-PP\tO' -p240539 -aS'admission\tadmission\tNN\tB-NP\tO' -p240540 -aS',\t,\t,\tO\tO' -p240541 -aS'he\the\tPRP\tB-NP\tO' -p240542 -aS'experienced\texperience\tVBD\tB-VP\tO' -p240543 -aS'dyspnea\tdyspnea\tNN\tB-NP\tO' -p240544 -aS'on\ton\tIN\tB-PP\tO' -p240545 -aS'exertion\texertion\tNN\tB-NP\tO' -p240546 -aS',\t,\t,\tB-PP\tO' -p240547 -aS'and\tand\tCC\tI-PP\tO' -p240548 -aS'on\ton\tIN\tB-PP\tO' -p240549 -aS'the\tthe\tDT\tB-NP\tO' -p240550 -aS'day\tday\tNN\tI-NP\tO' -p240551 -aS'of\tof\tIN\tB-PP\tO' -p240552 -aS'admission\tadmission\tNN\tB-NP\tO' -p240553 -aS'he\the\tPRP\tB-NP\tO' -p240554 -aS'collapsed\tcollapse\tVBD\tB-VP\tO' -p240555 -aS'and\tand\tCC\tO\tO' -p240556 -aS'complained\tcomplain\tVBD\tB-VP\tO' -p240557 -aS'of\tof\tIN\tB-PP\tO' -p240558 -aS'substantial\tsubstantial\tJJ\tB-NP\tO' -p240559 -aS'weakness\tweakness\tNN\tI-NP\tO' -p240560 -aS'.\t.\t.\tO\tO' -p240561 -asS"Over the following 5 days , the patient 's creatinine improved marginally to 2.7 ." -p240562 -(lp240563 -S'Over\tOver\tIN\tB-PP\tO' -p240564 -aS'the\tthe\tDT\tB-NP\tO' -p240565 -aS'following\tfollow\tVBG\tI-NP\tO' -p240566 -aS'5\t5\tCD\tI-NP\tO' -p240567 -aS'days\tday\tNNS\tI-NP\tO' -p240568 -aS',\t,\t,\tO\tO' -p240569 -aS'the\tthe\tDT\tB-NP\tO' -p240570 -aS'patient\tpatient\tNN\tI-NP\tO' -p240571 -aS"'s\t's\tPOS\tB-NP\tO" -p240572 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p240573 -aS'improved\timprove\tVBD\tB-VP\tO' -p240574 -aS'marginally\tmarginally\tRB\tB-ADVP\tO' -p240575 -aS'to\tto\tTO\tB-PP\tO' -p240576 -aS'2.7\t2.7\tCD\tB-NP\tO' -p240577 -aS'.\t.\t.\tO\tO' -p240578 -asS'She lives alone .' -p240579 -(lp240580 -S'She\tShe\tPRP\tB-NP\tO' -p240581 -aS'lives\tlive\tVBZ\tB-VP\tO' -p240582 -aS'alone\talone\tRB\tB-ADVP\tO' -p240583 -aS'.\t.\t.\tO\tO' -p240584 -asS'No le edema .' -p240585 -(lp240586 -S'No\tNo\tDT\tB-NP\tO' -p240587 -aS'le\tle\tJJ\tI-NP\tO' -p240588 -aS'edema\tedema\tNN\tI-NP\tO' -p240589 -aS'.\t.\t.\tO\tO' -p240590 -asS'On physical examination , she was a very pleasant , moderately obese female in no apparent distress .' -p240591 -(lp240592 -S'On\tOn\tIN\tB-PP\tO' -p240593 -aS'physical\tphysical\tJJ\tB-NP\tO' -p240594 -aS'examination\texamination\tNN\tI-NP\tO' -p240595 -aS',\t,\t,\tO\tO' -p240596 -aS'she\tshe\tPRP\tB-NP\tO' -p240597 -aS'was\tbe\tVBD\tB-VP\tO' -p240598 -aS'a\ta\tDT\tB-NP\tO' -p240599 -aS'very\tvery\tRB\tI-NP\tO' -p240600 -aS'pleasant\tpleasant\tJJ\tI-NP\tO' -p240601 -aS',\t,\t,\tI-NP\tO' -p240602 -aS'moderately\tmoderately\tRB\tI-NP\tO' -p240603 -aS'obese\tobese\tJJ\tI-NP\tO' -p240604 -aS'female\tfemale\tNN\tI-NP\tO' -p240605 -aS'in\tin\tIN\tB-PP\tO' -p240606 -aS'no\tno\tDT\tB-NP\tO' -p240607 -aS'apparent\tapparent\tJJ\tI-NP\tO' -p240608 -aS'distress\tdistress\tNN\tI-NP\tO' -p240609 -aS'.\t.\t.\tO\tO' -p240610 -asS'Hepatitis B vaccine given 06-17 .' -p240611 -(lp240612 -S'Hepatitis\tHepatitis\tNN\tB-NP\tO' -p240613 -aS'B\tB\tNN\tI-NP\tO' -p240614 -aS'vaccine\tvaccine\tNN\tI-NP\tO' -p240615 -aS'given\tgive\tVBN\tB-VP\tO' -p240616 -aS'06-17\t06-17\tCD\tB-NP\tO' -p240617 -aS'.\t.\t.\tO\tO' -p240618 -asS'The patient was started on Amphotericine at .6 mg / kg for a total of 250 mg for positive blood cultures for candida .' -p240619 -(lp240620 -S'The\tThe\tDT\tB-NP\tO' -p240621 -aS'patient\tpatient\tNN\tI-NP\tO' -p240622 -aS'was\tbe\tVBD\tB-VP\tO' -p240623 -aS'started\tstart\tVBN\tI-VP\tO' -p240624 -aS'on\ton\tIN\tB-PP\tO' -p240625 -aS'Amphotericine\tAmphotericine\tNN\tB-NP\tO' -p240626 -aS'at\tat\tIN\tB-PP\tO' -p240627 -aS'.6\t.6\tCD\tB-NP\tO' -p240628 -aS'mg\tmg\tNN\tI-NP\tO' -p240629 -aS'/\t/\tSYM\tB-NP\tO' -p240630 -aS'kg\tkg\tNN\tI-NP\tO' -p240631 -aS'for\tfor\tIN\tB-PP\tO' -p240632 -aS'a\ta\tDT\tB-NP\tO' -p240633 -aS'total\ttotal\tNN\tI-NP\tO' -p240634 -aS'of\tof\tIN\tB-PP\tO' -p240635 -aS'250\t250\tCD\tB-NP\tO' -p240636 -aS'mg\tmg\tNN\tI-NP\tO' -p240637 -aS'for\tfor\tIN\tB-PP\tO' -p240638 -aS'positive\tpositive\tJJ\tB-NP\tO' -p240639 -aS'blood\tblood\tNN\tI-NP\tO' -p240640 -aS'cultures\tculture\tNNS\tI-NP\tO' -p240641 -aS'for\tfor\tIN\tB-PP\tO' -p240642 -aS'candida\tcandida\tNN\tB-NP\tO' -p240643 -aS'.\t.\t.\tO\tO' -p240644 -asS'2016-03-22 CXR : moderate cardiomegaly without CHF , no effusions , left retrocardiac opacity consistent with atelectasis vs. consolidation' -p240645 -(lp240646 -S'2016-03-22\t2016-03-22\tCD\tB-NP\tO' -p240647 -aS'CXR\tCXR\tNN\tI-NP\tB-protein' -p240648 -aS':\t:\t:\tO\tO' -p240649 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p240650 -aS'cardiomegaly\tcardiomegaly\tNN\tI-NP\tO' -p240651 -aS'without\twithout\tIN\tB-PP\tO' -p240652 -aS'CHF\tCHF\tNN\tB-NP\tB-protein' -p240653 -aS',\t,\t,\tO\tO' -p240654 -aS'no\tno\tDT\tB-NP\tO' -p240655 -aS'effusions\teffusion\tNNS\tI-NP\tO' -p240656 -aS',\t,\t,\tO\tO' -p240657 -aS'left\tleave\tVBD\tB-VP\tO' -p240658 -aS'retrocardiac\tretrocardiac\tJJ\tB-NP\tO' -p240659 -aS'opacity\topacity\tNN\tI-NP\tO' -p240660 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p240661 -aS'with\twith\tIN\tB-PP\tO' -p240662 -aS'atelectasis\tatelectasis\tNN\tB-NP\tO' -p240663 -aS'vs.\tvs.\tIN\tB-PP\tO' -p240664 -aS'consolidation\tconsolidation\tNN\tB-NP\tO' -p240665 -asS'The patient is to be discharged to home .' -p240666 -(lp240667 -S'The\tThe\tDT\tB-NP\tO' -p240668 -aS'patient\tpatient\tNN\tI-NP\tO' -p240669 -aS'is\tbe\tVBZ\tB-VP\tO' -p240670 -aS'to\tto\tTO\tI-VP\tO' -p240671 -aS'be\tbe\tVB\tI-VP\tO' -p240672 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p240673 -aS'to\tto\tTO\tB-PP\tO' -p240674 -aS'home\thome\tNN\tB-NP\tO' -p240675 -aS'.\t.\t.\tO\tO' -p240676 -asS'However , given the long duration of the symptoms and negative workup in the past , it was thought to be unlikely .' -p240677 -(lp240678 -S'However\tHowever\tRB\tB-ADVP\tO' -p240679 -aS',\t,\t,\tO\tO' -p240680 -aS'given\tgive\tVBN\tB-PP\tO' -p240681 -aS'the\tthe\tDT\tB-NP\tO' -p240682 -aS'long\tlong\tJJ\tI-NP\tO' -p240683 -aS'duration\tduration\tNN\tI-NP\tO' -p240684 -aS'of\tof\tIN\tB-PP\tO' -p240685 -aS'the\tthe\tDT\tB-NP\tO' -p240686 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p240687 -aS'and\tand\tCC\tO\tO' -p240688 -aS'negative\tnegative\tJJ\tB-NP\tO' -p240689 -aS'workup\tworkup\tNN\tI-NP\tO' -p240690 -aS'in\tin\tIN\tB-PP\tO' -p240691 -aS'the\tthe\tDT\tB-NP\tO' -p240692 -aS'past\tpast\tNN\tI-NP\tO' -p240693 -aS',\t,\t,\tO\tO' -p240694 -aS'it\tit\tPRP\tB-NP\tO' -p240695 -aS'was\tbe\tVBD\tB-VP\tO' -p240696 -aS'thought\tthink\tVBN\tI-VP\tO' -p240697 -aS'to\tto\tTO\tI-VP\tO' -p240698 -aS'be\tbe\tVB\tI-VP\tO' -p240699 -aS'unlikely\tunlikely\tJJ\tB-ADJP\tO' -p240700 -aS'.\t.\t.\tO\tO' -p240701 -asS'16. Tacrolimus 5 mg Capsule Sig : Two ( 2 ) Capsule PO Q12H ( every 12 hours ) .' -p240702 -(lp240703 -S'16.\t16.\tCD\tB-NP\tO' -p240704 -aS'Tacrolimus\tTacrolimus\tNNP\tI-NP\tO' -p240705 -aS'5\t5\tCD\tI-NP\tO' -p240706 -aS'mg\tmg\tNN\tI-NP\tO' -p240707 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p240708 -aS'Sig\tSig\tNNP\tI-NP\tO' -p240709 -aS':\t:\t:\tO\tO' -p240710 -aS'Two\tTwo\tCD\tB-NP\tO' -p240711 -aS'(\t(\t(\tO\tO' -p240712 -aS'2\t2\tCD\tB-NP\tO' -p240713 -aS')\t)\t)\tO\tO' -p240714 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p240715 -aS'PO\tPO\tNN\tI-NP\tO' -p240716 -aS'Q12H\tQ12H\tNN\tI-NP\tO' -p240717 -aS'(\t(\t(\tO\tO' -p240718 -aS'every\tevery\tDT\tB-NP\tO' -p240719 -aS'12\t12\tCD\tI-NP\tO' -p240720 -aS'hours\thour\tNNS\tI-NP\tO' -p240721 -aS')\t)\t)\tO\tO' -p240722 -aS'.\t.\t.\tO\tO' -p240723 -asS'Ins / outs and electrolytes were monitored and were not abnormal ; he was on a bowel regimen , VD boots and PUD prophylaxis with protonix during the admission .' -p240724 -(lp240725 -S'Ins\tIn\tNNS\tB-NP\tB-protein' -p240726 -aS'/\t/\tSYM\tB-NP\tO' -p240727 -aS'outs\tout\tNNS\tI-NP\tO' -p240728 -aS'and\tand\tCC\tI-NP\tO' -p240729 -aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' -p240730 -aS'were\tbe\tVBD\tB-VP\tO' -p240731 -aS'monitored\tmonitor\tVBN\tI-VP\tO' -p240732 -aS'and\tand\tCC\tO\tO' -p240733 -aS'were\tbe\tVBD\tB-VP\tO' -p240734 -aS'not\tnot\tRB\tO\tO' -p240735 -aS'abnormal\tabnormal\tJJ\tB-ADJP\tO' -p240736 -aS';\t;\t:\tO\tO' -p240737 -aS'he\the\tPRP\tB-NP\tO' -p240738 -aS'was\tbe\tVBD\tB-VP\tO' -p240739 -aS'on\ton\tIN\tB-PP\tO' -p240740 -aS'a\ta\tDT\tB-NP\tO' -p240741 -aS'bowel\tbowel\tNN\tI-NP\tO' -p240742 -aS'regimen\tregimen\tNN\tI-NP\tO' -p240743 -aS',\t,\t,\tO\tO' -p240744 -aS'VD\tVD\tNN\tB-NP\tO' -p240745 -aS'boots\tboot\tNNS\tI-NP\tO' -p240746 -aS'and\tand\tCC\tO\tO' -p240747 -aS'PUD\tPUD\tNN\tB-NP\tO' -p240748 -aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' -p240749 -aS'with\twith\tIN\tB-PP\tO' -p240750 -aS'protonix\tprotonix\tNN\tB-NP\tO' -p240751 -aS'during\tduring\tIN\tB-PP\tO' -p240752 -aS'the\tthe\tDT\tB-NP\tO' -p240753 -aS'admission\tadmission\tNN\tI-NP\tO' -p240754 -aS'.\t.\t.\tO\tO' -p240755 -asS'We believe that the patient is able to be discharged and to follow up with Dr. Sandra Rose , addiction services as an outpatient .' -p240756 -(lp240757 -S'We\tWe\tPRP\tB-NP\tO' -p240758 -aS'believe\tbelieve\tVBP\tB-VP\tO' -p240759 -aS'that\tthat\tIN\tB-SBAR\tO' -p240760 -aS'the\tthe\tDT\tB-NP\tO' -p240761 -aS'patient\tpatient\tNN\tI-NP\tO' -p240762 -aS'is\tbe\tVBZ\tB-VP\tO' -p240763 -aS'able\table\tJJ\tB-ADJP\tO' -p240764 -aS'to\tto\tTO\tB-VP\tO' -p240765 -aS'be\tbe\tVB\tI-VP\tO' -p240766 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p240767 -aS'and\tand\tCC\tO\tO' -p240768 -aS'to\tto\tTO\tB-VP\tO' -p240769 -aS'follow\tfollow\tVB\tI-VP\tO' -p240770 -aS'up\tup\tRP\tB-PRT\tO' -p240771 -aS'with\twith\tIN\tB-PP\tO' -p240772 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p240773 -aS'Sandra\tSandra\tNNP\tI-NP\tO' -p240774 -aS'Rose\tRose\tNNP\tI-NP\tO' -p240775 -aS',\t,\t,\tO\tO' -p240776 -aS'addiction\taddiction\tNN\tB-NP\tO' -p240777 -aS'services\tservice\tNNS\tI-NP\tO' -p240778 -aS'as\tas\tIN\tB-PP\tO' -p240779 -aS'an\tan\tDT\tB-NP\tO' -p240780 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p240781 -aS'.\t.\t.\tO\tO' -p240782 -asS'He was sent home with a PICC line and IV antibiotics .' -p240783 -(lp240784 -S'He\tHe\tPRP\tB-NP\tO' -p240785 -aS'was\tbe\tVBD\tB-VP\tO' -p240786 -aS'sent\tsend\tVBN\tI-VP\tO' -p240787 -aS'home\thome\tNN\tB-ADVP\tO' -p240788 -aS'with\twith\tIN\tB-PP\tO' -p240789 -aS'a\ta\tDT\tB-NP\tO' -p240790 -aS'PICC\tPICC\tNN\tI-NP\tB-cell_line' -p240791 -aS'line\tline\tNN\tI-NP\tI-cell_line' -p240792 -aS'and\tand\tCC\tO\tO' -p240793 -aS'IV\tIV\tCD\tB-NP\tO' -p240794 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p240795 -aS'.\t.\t.\tO\tO' -p240796 -asS'Prior to this patient could walk upstairs but now cannot .' -p240797 -(lp240798 -S'Prior\tPrior\tRB\tB-ADVP\tO' -p240799 -aS'to\tto\tTO\tB-PP\tO' -p240800 -aS'this\tthis\tDT\tB-NP\tO' -p240801 -aS'patient\tpatient\tNN\tI-NP\tO' -p240802 -aS'could\tcould\tMD\tB-VP\tO' -p240803 -aS'walk\twalk\tVB\tI-VP\tO' -p240804 -aS'upstairs\tupstairs\tRB\tB-ADVP\tO' -p240805 -aS'but\tbut\tCC\tI-ADVP\tO' -p240806 -aS'now\tnow\tRB\tI-ADVP\tO' -p240807 -aS'cannot\tcannot\tRB\tI-ADVP\tO' -p240808 -aS'.\t.\t.\tO\tO' -p240809 -asS'The cefotaxime was discontinued since no infection was identified .' -p240810 -(lp240811 -S'The\tThe\tDT\tB-NP\tO' -p240812 -aS'cefotaxime\tcefotaxime\tNN\tI-NP\tO' -p240813 -aS'was\tbe\tVBD\tB-VP\tO' -p240814 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p240815 -aS'since\tsince\tIN\tB-PP\tO' -p240816 -aS'no\tno\tDT\tB-NP\tO' -p240817 -aS'infection\tinfection\tNN\tI-NP\tO' -p240818 -aS'was\tbe\tVBD\tB-VP\tO' -p240819 -aS'identified\tidentify\tVBN\tI-VP\tO' -p240820 -aS'.\t.\t.\tO\tO' -p240821 -asS'Foley catheter for strict monitoring of ins and outs .' -p240822 -(lp240823 -S'Foley\tFoley\tJJ\tB-NP\tO' -p240824 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p240825 -aS'for\tfor\tIN\tB-PP\tO' -p240826 -aS'strict\tstrict\tJJ\tB-NP\tO' -p240827 -aS'monitoring\tmonitoring\tNN\tI-NP\tO' -p240828 -aS'of\tof\tIN\tB-PP\tO' -p240829 -aS'ins\tin\tNNS\tB-NP\tO' -p240830 -aS'and\tand\tCC\tI-NP\tO' -p240831 -aS'outs\tout\tNNS\tI-NP\tO' -p240832 -aS'.\t.\t.\tO\tO' -p240833 -asS'The patient was seen by both Gastroenterology and Oncology .' -p240834 -(lp240835 -S'The\tThe\tDT\tB-NP\tO' -p240836 -aS'patient\tpatient\tNN\tI-NP\tO' -p240837 -aS'was\tbe\tVBD\tB-VP\tO' -p240838 -aS'seen\tsee\tVBN\tI-VP\tO' -p240839 -aS'by\tby\tIN\tB-PP\tO' -p240840 -aS'both\tboth\tDT\tB-NP\tO' -p240841 -aS'Gastroenterology\tGastroenterology\tNNP\tI-NP\tO' -p240842 -aS'and\tand\tCC\tI-NP\tO' -p240843 -aS'Oncology\tOncology\tNNP\tI-NP\tO' -p240844 -aS'.\t.\t.\tO\tO' -p240845 -asS'On the second hospital day , her gait continued to be markedly unstable , although with no consistent pattern in terms of weakness or directionality of falling , and she continued to have no reproducible upper extremity or lower extremity ataxia or dysmetria .' -p240846 -(lp240847 -S'On\tOn\tIN\tB-PP\tO' -p240848 -aS'the\tthe\tDT\tB-NP\tO' -p240849 -aS'second\tsecond\tJJ\tI-NP\tO' -p240850 -aS'hospital\thospital\tNN\tI-NP\tO' -p240851 -aS'day\tday\tNN\tI-NP\tO' -p240852 -aS',\t,\t,\tO\tO' -p240853 -aS'her\ther\tPRP$\tB-NP\tO' -p240854 -aS'gait\tgait\tNN\tI-NP\tO' -p240855 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p240856 -aS'to\tto\tTO\tI-VP\tO' -p240857 -aS'be\tbe\tVB\tI-VP\tO' -p240858 -aS'markedly\tmarkedly\tRB\tB-ADJP\tO' -p240859 -aS'unstable\tunstable\tJJ\tI-ADJP\tO' -p240860 -aS',\t,\t,\tO\tO' -p240861 -aS'although\talthough\tIN\tB-SBAR\tO' -p240862 -aS'with\twith\tIN\tB-PP\tO' -p240863 -aS'no\tno\tDT\tB-NP\tO' -p240864 -aS'consistent\tconsistent\tJJ\tI-NP\tO' -p240865 -aS'pattern\tpattern\tNN\tI-NP\tO' -p240866 -aS'in\tin\tIN\tB-PP\tO' -p240867 -aS'terms\tterm\tNNS\tB-NP\tO' -p240868 -aS'of\tof\tIN\tB-PP\tO' -p240869 -aS'weakness\tweakness\tNN\tB-NP\tO' -p240870 -aS'or\tor\tCC\tI-NP\tO' -p240871 -aS'directionality\tdirectionality\tNN\tI-NP\tO' -p240872 -aS'of\tof\tIN\tB-PP\tO' -p240873 -aS'falling\tfall\tVBG\tB-NP\tO' -p240874 -aS',\t,\t,\tO\tO' -p240875 -aS'and\tand\tCC\tO\tO' -p240876 -aS'she\tshe\tPRP\tB-NP\tO' -p240877 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p240878 -aS'to\tto\tTO\tI-VP\tO' -p240879 -aS'have\thave\tVB\tI-VP\tO' -p240880 -aS'no\tno\tDT\tB-NP\tO' -p240881 -aS'reproducible\treproducible\tJJ\tI-NP\tO' -p240882 -aS'upper\tupper\tJJ\tI-NP\tO' -p240883 -aS'extremity\textremity\tNN\tI-NP\tO' -p240884 -aS'or\tor\tCC\tO\tO' -p240885 -aS'lower\tlow\tJJR\tB-NP\tO' -p240886 -aS'extremity\textremity\tNN\tI-NP\tO' -p240887 -aS'ataxia\tataxia\tNN\tI-NP\tO' -p240888 -aS'or\tor\tCC\tI-NP\tO' -p240889 -aS'dysmetria\tdysmetria\tNN\tI-NP\tO' -p240890 -aS'.\t.\t.\tO\tO' -p240891 -asS'The mother had received a complete course of betamethasone prior to delivery .' -p240892 -(lp240893 -S'The\tThe\tDT\tB-NP\tO' -p240894 -aS'mother\tmother\tNN\tI-NP\tO' -p240895 -aS'had\thave\tVBD\tB-VP\tO' -p240896 -aS'received\treceive\tVBN\tI-VP\tO' -p240897 -aS'a\ta\tDT\tB-NP\tO' -p240898 -aS'complete\tcomplete\tJJ\tI-NP\tO' -p240899 -aS'course\tcourse\tNN\tI-NP\tO' -p240900 -aS'of\tof\tIN\tB-PP\tO' -p240901 -aS'betamethasone\tbetamethasone\tNN\tB-NP\tO' -p240902 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p240903 -aS'to\tto\tTO\tB-PP\tO' -p240904 -aS'delivery\tdelivery\tNN\tB-NP\tO' -p240905 -aS'.\t.\t.\tO\tO' -p240906 -asS'This report was created by AYREKEMPE , NONOK 01/09/2002 05:09 PM' -p240907 -(lp240908 -S'This\tThis\tDT\tB-NP\tO' -p240909 -aS'report\treport\tNN\tI-NP\tO' -p240910 -aS'was\tbe\tVBD\tB-VP\tO' -p240911 -aS'created\tcreate\tVBN\tI-VP\tO' -p240912 -aS'by\tby\tIN\tB-PP\tO' -p240913 -aS'AYREKEMPE\tAYREKEMPE\tNN\tB-NP\tO' -p240914 -aS',\t,\t,\tO\tO' -p240915 -aS'NONOK\tNONOK\tNN\tB-NP\tO' -p240916 -aS'01/09/2002\t01/09/2002\tCD\tI-NP\tO' -p240917 -aS'05:09\t05:09\tCD\tI-NP\tO' -p240918 -aS'PM\tPM\tNN\tI-NP\tO' -p240919 -asS'2. Aspirin / dipyridamole 25/200 mg capsules taken two times a day .' -p240920 -(lp240921 -S'2.\t2.\tLS\tB-NP\tO' -p240922 -aS'Aspirin\tAspirin\tNN\tI-NP\tO' -p240923 -aS'/\t/\tSYM\tB-VP\tO' -p240924 -aS'dipyridamole\tdipyridamole\tNN\tB-NP\tO' -p240925 -aS'25/200\t25/200\tCD\tI-NP\tO' -p240926 -aS'mg\tmg\tNN\tI-NP\tO' -p240927 -aS'capsules\tcapsule\tNNS\tI-NP\tO' -p240928 -aS'taken\ttake\tVBN\tB-VP\tO' -p240929 -aS'two\ttwo\tCD\tB-NP\tO' -p240930 -aS'times\ttime\tNNS\tI-NP\tO' -p240931 -aS'a\ta\tDT\tB-NP\tO' -p240932 -aS'day\tday\tNN\tI-NP\tO' -p240933 -aS'.\t.\t.\tO\tO' -p240934 -asS'This was thought to be related to musculoskeletal .' -p240935 -(lp240936 -S'This\tThis\tDT\tB-NP\tO' -p240937 -aS'was\tbe\tVBD\tB-VP\tO' -p240938 -aS'thought\tthink\tVBN\tI-VP\tO' -p240939 -aS'to\tto\tTO\tI-VP\tO' -p240940 -aS'be\tbe\tVB\tI-VP\tO' -p240941 -aS'related\trelated\tJJ\tB-ADJP\tO' -p240942 -aS'to\tto\tTO\tB-PP\tO' -p240943 -aS'musculoskeletal\tmusculoskeletal\tJJ\tB-ADJP\tO' -p240944 -aS'.\t.\t.\tO\tO' -p240945 -asS'Mr. Roach was on Pneumo boots spontaneous compression devices for deep venous thrombosis prophylaxis .' -p240946 -(lp240947 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p240948 -aS'Roach\tRoach\tNNP\tI-NP\tO' -p240949 -aS'was\tbe\tVBD\tB-VP\tO' -p240950 -aS'on\ton\tIN\tB-PP\tO' -p240951 -aS'Pneumo\tPneumo\tNNP\tB-NP\tO' -p240952 -aS'boots\tboot\tNNS\tI-NP\tO' -p240953 -aS'spontaneous\tspontaneous\tJJ\tB-NP\tO' -p240954 -aS'compression\tcompression\tNN\tI-NP\tO' -p240955 -aS'devices\tdevice\tNNS\tI-NP\tO' -p240956 -aS'for\tfor\tIN\tB-PP\tO' -p240957 -aS'deep\tdeep\tJJ\tB-NP\tO' -p240958 -aS'venous\tvenous\tJJ\tI-NP\tO' -p240959 -aS'thrombosis\tthrombosis\tNN\tI-NP\tO' -p240960 -aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' -p240961 -aS'.\t.\t.\tO\tO' -p240962 -asS'His EKG was notable for right bundle branch block , left axis deviation , but was in sinus rhythm .' -p240963 -(lp240964 -S'His\tHis\tPRP$\tB-NP\tO' -p240965 -aS'EKG\tEKG\tNN\tI-NP\tB-protein' -p240966 -aS'was\tbe\tVBD\tB-VP\tO' -p240967 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p240968 -aS'for\tfor\tIN\tB-PP\tO' -p240969 -aS'right\tright\tJJ\tB-NP\tO' -p240970 -aS'bundle\tbundle\tNN\tI-NP\tO' -p240971 -aS'branch\tbranch\tNN\tI-NP\tO' -p240972 -aS'block\tblock\tNN\tI-NP\tO' -p240973 -aS',\t,\t,\tO\tO' -p240974 -aS'left\tleave\tVBD\tB-VP\tO' -p240975 -aS'axis\taxis\tNN\tB-NP\tO' -p240976 -aS'deviation\tdeviation\tNN\tI-NP\tO' -p240977 -aS',\t,\t,\tO\tO' -p240978 -aS'but\tbut\tCC\tO\tO' -p240979 -aS'was\tbe\tVBD\tB-VP\tO' -p240980 -aS'in\tin\tIN\tB-PP\tO' -p240981 -aS'sinus\tsinus\tNN\tB-NP\tO' -p240982 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p240983 -aS'.\t.\t.\tO\tO' -p240984 -asS'Cardiac size is normal .' -p240985 -(lp240986 -S'Cardiac\tCardiac\tJJ\tB-NP\tO' -p240987 -aS'size\tsize\tNN\tI-NP\tO' -p240988 -aS'is\tbe\tVBZ\tB-VP\tO' -p240989 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p240990 -aS'.\t.\t.\tO\tO' -p240991 -asS'Deep tendon reflexes were symmetrical in all extremities .' -p240992 -(lp240993 -S'Deep\tDeep\tJJ\tB-NP\tO' -p240994 -aS'tendon\ttendon\tNN\tI-NP\tO' -p240995 -aS'reflexes\treflex\tNNS\tI-NP\tO' -p240996 -aS'were\tbe\tVBD\tB-VP\tO' -p240997 -aS'symmetrical\tsymmetrical\tJJ\tB-ADJP\tO' -p240998 -aS'in\tin\tIN\tB-PP\tO' -p240999 -aS'all\tall\tDT\tB-NP\tO' -p241000 -aS'extremities\textremity\tNNS\tI-NP\tO' -p241001 -aS'.\t.\t.\tO\tO' -p241002 -asS'Transferred to floor on day of admission with no acute medical issues ; awaiting psych eval .' -p241003 -(lp241004 -S'Transferred\tTransfer\tVBN\tB-VP\tO' -p241005 -aS'to\tto\tTO\tB-PP\tO' -p241006 -aS'floor\tfloor\tNN\tB-NP\tO' -p241007 -aS'on\ton\tIN\tB-PP\tO' -p241008 -aS'day\tday\tNN\tB-NP\tO' -p241009 -aS'of\tof\tIN\tB-PP\tO' -p241010 -aS'admission\tadmission\tNN\tB-NP\tO' -p241011 -aS'with\twith\tIN\tB-PP\tO' -p241012 -aS'no\tno\tDT\tB-NP\tO' -p241013 -aS'acute\tacute\tJJ\tI-NP\tO' -p241014 -aS'medical\tmedical\tJJ\tI-NP\tO' -p241015 -aS'issues\tissue\tNNS\tI-NP\tO' -p241016 -aS';\t;\t:\tO\tO' -p241017 -aS'awaiting\tawait\tVBG\tB-VP\tO' -p241018 -aS'psych\tpsych\tNN\tB-NP\tO' -p241019 -aS'eval\teval\tNN\tI-NP\tO' -p241020 -aS'.\t.\t.\tO\tO' -p241021 -asS'Pt was therefore discharged home in stable condition , voiding , ambulating and eating without difficulty .' -p241022 -(lp241023 -S'Pt\tPt\tNN\tB-NP\tO' -p241024 -aS'was\tbe\tVBD\tB-VP\tO' -p241025 -aS'therefore\ttherefore\tRB\tI-VP\tO' -p241026 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p241027 -aS'home\thome\tNN\tB-NP\tO' -p241028 -aS'in\tin\tIN\tB-PP\tO' -p241029 -aS'stable\tstable\tJJ\tB-NP\tO' -p241030 -aS'condition\tcondition\tNN\tI-NP\tO' -p241031 -aS',\t,\t,\tO\tO' -p241032 -aS'voiding\tvoiding\tNN\tB-NP\tO' -p241033 -aS',\t,\t,\tO\tO' -p241034 -aS'ambulating\tambulate\tVBG\tB-VP\tO' -p241035 -aS'and\tand\tCC\tI-VP\tO' -p241036 -aS'eating\teat\tVBG\tI-VP\tO' -p241037 -aS'without\twithout\tIN\tB-PP\tO' -p241038 -aS'difficulty\tdifficulty\tNN\tB-NP\tO' -p241039 -aS'.\t.\t.\tO\tO' -p241040 -asS'He did well in immediate post-op period was extubated and on POD1 he was transferred to the step down floor .' -p241041 -(lp241042 -S'He\tHe\tPRP\tB-NP\tO' -p241043 -aS'did\tdo\tVBD\tB-VP\tO' -p241044 -aS'well\twell\tRB\tB-ADVP\tO' -p241045 -aS'in\tin\tIN\tB-PP\tO' -p241046 -aS'immediate\timmediate\tJJ\tB-NP\tO' -p241047 -aS'post-op\tpost-op\tJJ\tI-NP\tO' -p241048 -aS'period\tperiod\tNN\tI-NP\tO' -p241049 -aS'was\tbe\tVBD\tB-VP\tO' -p241050 -aS'extubated\textubate\tVBN\tI-VP\tO' -p241051 -aS'and\tand\tCC\tO\tO' -p241052 -aS'on\ton\tIN\tB-PP\tO' -p241053 -aS'POD1\tPOD1\tNN\tB-NP\tB-protein' -p241054 -aS'he\the\tPRP\tB-NP\tO' -p241055 -aS'was\tbe\tVBD\tB-VP\tO' -p241056 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p241057 -aS'to\tto\tTO\tB-PP\tO' -p241058 -aS'the\tthe\tDT\tB-NP\tO' -p241059 -aS'step\tstep\tNN\tI-NP\tO' -p241060 -aS'down\tdown\tIN\tB-PP\tO' -p241061 -aS'floor\tfloor\tNN\tB-NP\tO' -p241062 -aS'.\t.\t.\tO\tO' -p241063 -asS'3. Metoprolol Tartrate 50 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ).' -p241064 -(lp241065 -S'3.\t3.\tLS\tB-NP\tO' -p241066 -aS'Metoprolol\tMetoprolol\tNN\tI-NP\tO' -p241067 -aS'Tartrate\tTartrate\tNN\tI-NP\tO' -p241068 -aS'50\t50\tCD\tI-NP\tO' -p241069 -aS'mg\tmg\tNN\tI-NP\tO' -p241070 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p241071 -aS'Sig\tSig\tNNP\tI-NP\tO' -p241072 -aS':\t:\t:\tO\tO' -p241073 -aS'One\tOne\tCD\tB-NP\tO' -p241074 -aS'(\t(\t(\tO\tO' -p241075 -aS'1\t1\tCD\tB-NP\tO' -p241076 -aS')\t)\t)\tO\tO' -p241077 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p241078 -aS'PO\tPO\tNN\tI-NP\tO' -p241079 -aS'BID\tBID\tNN\tI-NP\tO' -p241080 -aS'(\t(\t(\tO\tO' -p241081 -aS'2\t2\tCD\tB-NP\tO' -p241082 -aS'times\ttime\tNNS\tI-NP\tO' -p241083 -aS'a\ta\tDT\tB-NP\tO' -p241084 -aS'day\tday\tNN\tI-NP\tO' -p241085 -aS').\t).\t.\tO\tO' -p241086 -asS'There were some very rare atrial premature contractions .' -p241087 -(lp241088 -S'There\tThere\tEX\tB-NP\tO' -p241089 -aS'were\tbe\tVBD\tB-VP\tO' -p241090 -aS'some\tsome\tDT\tB-NP\tO' -p241091 -aS'very\tvery\tRB\tI-NP\tO' -p241092 -aS'rare\trare\tJJ\tI-NP\tO' -p241093 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p241094 -aS'premature\tpremature\tJJ\tI-NP\tO' -p241095 -aS'contractions\tcontraction\tNNS\tI-NP\tO' -p241096 -aS'.\t.\t.\tO\tO' -p241097 -asS'LDAMC services were set-up for care of his IR drains .' -p241098 -(lp241099 -S'LDAMC\tLDAMC\tNN\tB-NP\tO' -p241100 -aS'services\tservice\tNNS\tI-NP\tO' -p241101 -aS'were\tbe\tVBD\tB-VP\tO' -p241102 -aS'set-up\tset-up\tJJ\tB-ADJP\tO' -p241103 -aS'for\tfor\tIN\tB-PP\tO' -p241104 -aS'care\tcare\tNN\tB-NP\tO' -p241105 -aS'of\tof\tIN\tB-PP\tO' -p241106 -aS'his\this\tPRP$\tB-NP\tO' -p241107 -aS'IR\tIR\tNN\tI-NP\tB-protein' -p241108 -aS'drains\tdrain\tNNS\tI-NP\tI-protein' -p241109 -aS'.\t.\t.\tO\tO' -p241110 -asS'The history is also notable for gallstones , kidney stones , episodic tachycardia , chronic pancreatitis .' -p241111 -(lp241112 -S'The\tThe\tDT\tB-NP\tO' -p241113 -aS'history\thistory\tNN\tI-NP\tO' -p241114 -aS'is\tbe\tVBZ\tB-VP\tO' -p241115 -aS'also\talso\tRB\tB-ADVP\tO' -p241116 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p241117 -aS'for\tfor\tIN\tB-PP\tO' -p241118 -aS'gallstones\tgallstone\tNNS\tB-NP\tO' -p241119 -aS',\t,\t,\tO\tO' -p241120 -aS'kidney\tkidney\tNN\tB-NP\tO' -p241121 -aS'stones\tstone\tNNS\tI-NP\tO' -p241122 -aS',\t,\t,\tO\tO' -p241123 -aS'episodic\tepisodic\tJJ\tB-NP\tO' -p241124 -aS'tachycardia\ttachycardia\tNN\tI-NP\tO' -p241125 -aS',\t,\t,\tO\tO' -p241126 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p241127 -aS'pancreatitis\tpancreatitis\tNN\tI-NP\tO' -p241128 -aS'.\t.\t.\tO\tO' -p241129 -asS'He had bilateral femoral bruits and he had one plus popliteal pulses .' -p241130 -(lp241131 -S'He\tHe\tPRP\tB-NP\tO' -p241132 -aS'had\thave\tVBD\tB-VP\tO' -p241133 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p241134 -aS'femoral\tfemoral\tJJ\tI-NP\tO' -p241135 -aS'bruits\tbruit\tNNS\tI-NP\tO' -p241136 -aS'and\tand\tCC\tO\tO' -p241137 -aS'he\the\tPRP\tB-NP\tO' -p241138 -aS'had\thave\tVBD\tB-VP\tO' -p241139 -aS'one\tone\tCD\tB-NP\tO' -p241140 -aS'plus\tplus\tCC\tO\tO' -p241141 -aS'popliteal\tpopliteal\tJJ\tB-NP\tO' -p241142 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p241143 -aS'.\t.\t.\tO\tO' -p241144 -asS'6. Pravastatin 20 mg p.o. once per day .' -p241145 -(lp241146 -S'6.\t6.\tLS\tB-NP\tO' -p241147 -aS'Pravastatin\tPravastatin\tNN\tI-NP\tO' -p241148 -aS'20\t20\tCD\tI-NP\tO' -p241149 -aS'mg\tmg\tNN\tI-NP\tO' -p241150 -aS'p.o.\tp.o.\tRB\tB-ADVP\tO' -p241151 -aS'once\tonce\tRB\tI-ADVP\tO' -p241152 -aS'per\tper\tIN\tB-PP\tO' -p241153 -aS'day\tday\tNN\tB-NP\tO' -p241154 -aS'.\t.\t.\tO\tO' -p241155 -asS'No defect noted during procedure .' -p241156 -(lp241157 -S'No\tNo\tDT\tB-NP\tO' -p241158 -aS'defect\tdefect\tNN\tI-NP\tO' -p241159 -aS'noted\tnote\tVBN\tB-VP\tO' -p241160 -aS'during\tduring\tIN\tB-PP\tO' -p241161 -aS'procedure\tprocedure\tNN\tB-NP\tO' -p241162 -aS'.\t.\t.\tO\tO' -p241163 -asS'In the absence of history of malignancy , this is statistically benign .' -p241164 -(lp241165 -S'In\tIn\tIN\tB-PP\tO' -p241166 -aS'the\tthe\tDT\tB-NP\tO' -p241167 -aS'absence\tabsence\tNN\tI-NP\tO' -p241168 -aS'of\tof\tIN\tB-PP\tO' -p241169 -aS'history\thistory\tNN\tB-NP\tO' -p241170 -aS'of\tof\tIN\tB-PP\tO' -p241171 -aS'malignancy\tmalignancy\tNN\tB-NP\tO' -p241172 -aS',\t,\t,\tO\tO' -p241173 -aS'this\tthis\tDT\tB-NP\tO' -p241174 -aS'is\tbe\tVBZ\tB-VP\tO' -p241175 -aS'statistically\tstatistically\tRB\tB-ADJP\tO' -p241176 -aS'benign\tbenign\tJJ\tI-ADJP\tO' -p241177 -aS'.\t.\t.\tO\tO' -p241178 -asS'Sternum was stable .' -p241179 -(lp241180 -S'Sternum\tSternum\tNNP\tB-NP\tO' -p241181 -aS'was\tbe\tVBD\tB-VP\tO' -p241182 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p241183 -aS'.\t.\t.\tO\tO' -p241184 -asS'He had no increase in his congestive heart failure symptoms , no chest pain , and no hemoptysis or changed in arthritis .' -p241185 -(lp241186 -S'He\tHe\tPRP\tB-NP\tO' -p241187 -aS'had\thave\tVBD\tB-VP\tO' -p241188 -aS'no\tno\tDT\tB-NP\tO' -p241189 -aS'increase\tincrease\tNN\tI-NP\tO' -p241190 -aS'in\tin\tIN\tB-PP\tO' -p241191 -aS'his\this\tPRP$\tB-NP\tO' -p241192 -aS'congestive\tcongestive\tJJ\tI-NP\tO' -p241193 -aS'heart\theart\tNN\tI-NP\tO' -p241194 -aS'failure\tfailure\tNN\tI-NP\tO' -p241195 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p241196 -aS',\t,\t,\tO\tO' -p241197 -aS'no\tno\tDT\tB-NP\tO' -p241198 -aS'chest\tchest\tNN\tI-NP\tO' -p241199 -aS'pain\tpain\tNN\tI-NP\tO' -p241200 -aS',\t,\t,\tO\tO' -p241201 -aS'and\tand\tCC\tO\tO' -p241202 -aS'no\tno\tDT\tB-NP\tO' -p241203 -aS'hemoptysis\themoptysis\tNN\tI-NP\tO' -p241204 -aS'or\tor\tCC\tO\tO' -p241205 -aS'changed\tchange\tVBN\tB-VP\tO' -p241206 -aS'in\tin\tIN\tB-PP\tO' -p241207 -aS'arthritis\tarthritis\tNN\tB-NP\tO' -p241208 -aS'.\t.\t.\tO\tO' -p241209 -asS'11) Comm : Family very involved at bedside , evaluating rehab today' -p241210 -(lp241211 -S'11)\t11)\tCD\tB-NP\tO' -p241212 -aS'Comm\tComm\tNNP\tI-NP\tO' -p241213 -aS':\t:\t:\tO\tO' -p241214 -aS'Family\tFamily\tRB\tB-ADJP\tO' -p241215 -aS'very\tvery\tRB\tI-ADJP\tO' -p241216 -aS'involved\tinvolve\tVBN\tI-ADJP\tO' -p241217 -aS'at\tat\tIN\tB-PP\tO' -p241218 -aS'bedside\tbedside\tNN\tB-NP\tO' -p241219 -aS',\t,\t,\tO\tO' -p241220 -aS'evaluating\tevaluate\tVBG\tB-VP\tO' -p241221 -aS'rehab\trehab\tNN\tB-NP\tO' -p241222 -aS'today\ttoday\tNN\tB-NP\tO' -p241223 -asS'Dictated By : John T Hall , M.D.' -p241224 -(lp241225 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p241226 -aS'By\tBy\tIN\tB-PP\tO' -p241227 -aS':\t:\t:\tO\tO' -p241228 -aS'John\tJohn\tNNP\tB-NP\tO' -p241229 -aS'T\tT\tNNP\tI-NP\tO' -p241230 -aS'Hall\tHall\tNNP\tI-NP\tO' -p241231 -aS',\t,\t,\tO\tO' -p241232 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p241233 -asS'Gestational carrier for brother and sister-in-law as noted above .' -p241234 -(lp241235 -S'Gestational\tGestational\tJJ\tB-NP\tO' -p241236 -aS'carrier\tcarrier\tNN\tI-NP\tO' -p241237 -aS'for\tfor\tIN\tB-PP\tO' -p241238 -aS'brother\tbrother\tNN\tB-NP\tO' -p241239 -aS'and\tand\tCC\tI-NP\tO' -p241240 -aS'sister-in-law\tsister-in-law\tNN\tI-NP\tO' -p241241 -aS'as\tas\tIN\tB-SBAR\tO' -p241242 -aS'noted\tnote\tVBN\tB-VP\tO' -p241243 -aS'above\tabove\tRB\tB-ADVP\tO' -p241244 -aS'.\t.\t.\tO\tO' -p241245 -asS'He smokes one pack per day .' -p241246 -(lp241247 -S'He\tHe\tPRP\tB-NP\tO' -p241248 -aS'smokes\tsmoke\tVBZ\tB-VP\tO' -p241249 -aS'one\tone\tCD\tB-NP\tO' -p241250 -aS'pack\tpack\tNN\tI-NP\tO' -p241251 -aS'per\tper\tIN\tB-PP\tO' -p241252 -aS'day\tday\tNN\tB-NP\tO' -p241253 -aS'.\t.\t.\tO\tO' -p241254 -asS'She has nausea with Codeine otherwise no known drug allergies .' -p241255 -(lp241256 -S'She\tShe\tPRP\tB-NP\tO' -p241257 -aS'has\thave\tVBZ\tB-VP\tO' -p241258 -aS'nausea\tnausea\tNN\tB-NP\tO' -p241259 -aS'with\twith\tIN\tB-PP\tO' -p241260 -aS'Codeine\tCodeine\tNN\tB-NP\tO' -p241261 -aS'otherwise\totherwise\tRB\tB-NP\tO' -p241262 -aS'no\tno\tDT\tI-NP\tO' -p241263 -aS'known\tknow\tVBN\tI-NP\tO' -p241264 -aS'drug\tdrug\tNN\tI-NP\tO' -p241265 -aS'allergies\tallergy\tNNS\tI-NP\tO' -p241266 -aS'.\t.\t.\tO\tO' -p241267 -asS'Patient subsequently was transferred back to the CMED CCU on 2017-01-13 for further monitoring .' -p241268 -(lp241269 -S'Patient\tPatient\tNN\tB-NP\tO' -p241270 -aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' -p241271 -aS'was\tbe\tVBD\tB-VP\tO' -p241272 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p241273 -aS'back\tback\tRB\tB-ADVP\tO' -p241274 -aS'to\tto\tTO\tB-PP\tO' -p241275 -aS'the\tthe\tDT\tB-NP\tO' -p241276 -aS'CMED\tCMED\tVBN\tI-NP\tO' -p241277 -aS'CCU\tCCU\tNN\tI-NP\tO' -p241278 -aS'on\ton\tIN\tB-PP\tO' -p241279 -aS'2017-01-13\t2017-01-13\tCD\tB-NP\tO' -p241280 -aS'for\tfor\tIN\tB-PP\tO' -p241281 -aS'further\tfurther\tJJ\tB-NP\tO' -p241282 -aS'monitoring\tmonitoring\tNN\tI-NP\tO' -p241283 -aS'.\t.\t.\tO\tO' -p241284 -asS'CMED CCU change include discontinuation of coumadin secondary to inc risk of upper GI bleed .' -p241285 -(lp241286 -S'CMED\tCMED\tVBN\tB-NP\tO' -p241287 -aS'CCU\tCCU\tNN\tI-NP\tO' -p241288 -aS'change\tchange\tNN\tI-NP\tO' -p241289 -aS'include\tinclude\tVBP\tB-VP\tO' -p241290 -aS'discontinuation\tdiscontinuation\tNN\tB-NP\tO' -p241291 -aS'of\tof\tIN\tB-PP\tO' -p241292 -aS'coumadin\tcoumadin\tNN\tB-NP\tO' -p241293 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p241294 -aS'to\tto\tTO\tB-PP\tO' -p241295 -aS'inc\tinc\tNN\tB-NP\tO' -p241296 -aS'risk\trisk\tNN\tI-NP\tO' -p241297 -aS'of\tof\tIN\tB-PP\tO' -p241298 -aS'upper\tupper\tJJ\tB-NP\tO' -p241299 -aS'GI\tGI\tNN\tI-NP\tO' -p241300 -aS'bleed\tbleed\tNN\tI-NP\tO' -p241301 -aS'.\t.\t.\tO\tO' -p241302 -asS'Weaned to extubation on POD #2 and off all drips .' -p241303 -(lp241304 -S'Weaned\tWean\tVBN\tB-VP\tO' -p241305 -aS'to\tto\tTO\tB-PP\tO' -p241306 -aS'extubation\textubation\tNN\tB-NP\tO' -p241307 -aS'on\ton\tIN\tB-PP\tO' -p241308 -aS'POD\tPOD\tNN\tB-NP\tB-protein' -p241309 -aS'#2\t#2\tNN\tI-NP\tI-protein' -p241310 -aS'and\tand\tCC\tB-PP\tO' -p241311 -aS'off\toff\tIN\tB-PP\tO' -p241312 -aS'all\tall\tDT\tB-NP\tO' -p241313 -aS'drips\tdrip\tNNS\tI-NP\tO' -p241314 -aS'.\t.\t.\tO\tO' -p241315 -asS'Cystectomy , 1992 and 1998 .' -p241316 -(lp241317 -S'Cystectomy\tCystectomy\tNN\tB-NP\tO' -p241318 -aS',\t,\t,\tO\tO' -p241319 -aS'1992\t1992\tCD\tB-NP\tO' -p241320 -aS'and\tand\tCC\tI-NP\tO' -p241321 -aS'1998\t1998\tCD\tI-NP\tO' -p241322 -aS'.\t.\t.\tO\tO' -p241323 -asS'This is a 49-year-old gravida III , para II , status post uterine artery embolization on 2009-01-07 due to uterine fibroids , with continued abdominal pain and CT scan revealing fluid and gas in the endometrial cavity .' -p241324 -(lp241325 -S'This\tThis\tDT\tB-NP\tO' -p241326 -aS'is\tbe\tVBZ\tB-VP\tO' -p241327 -aS'a\ta\tDT\tB-NP\tO' -p241328 -aS'49-year-old\t49-year-old\tJJ\tI-NP\tO' -p241329 -aS'gravida\tgravida\tNN\tI-NP\tO' -p241330 -aS'III\tIII\tCD\tI-NP\tO' -p241331 -aS',\t,\t,\tO\tO' -p241332 -aS'para\tpara\tNN\tB-NP\tO' -p241333 -aS'II\tII\tCD\tI-NP\tO' -p241334 -aS',\t,\t,\tO\tO' -p241335 -aS'status\tstatus\tNN\tB-NP\tO' -p241336 -aS'post\tpost\tNN\tI-NP\tO' -p241337 -aS'uterine\tuterine\tJJ\tI-NP\tO' -p241338 -aS'artery\tartery\tNN\tI-NP\tO' -p241339 -aS'embolization\tembolization\tNN\tI-NP\tO' -p241340 -aS'on\ton\tIN\tB-PP\tO' -p241341 -aS'2009-01-07\t2009-01-07\tCD\tB-NP\tO' -p241342 -aS'due\tdue\tJJ\tB-ADVP\tO' -p241343 -aS'to\tto\tTO\tB-PP\tO' -p241344 -aS'uterine\tuterine\tJJ\tB-NP\tO' -p241345 -aS'fibroids\tfibroid\tNNS\tI-NP\tO' -p241346 -aS',\t,\t,\tO\tO' -p241347 -aS'with\twith\tIN\tB-PP\tO' -p241348 -aS'continued\tcontinue\tVBN\tB-NP\tO' -p241349 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p241350 -aS'pain\tpain\tNN\tI-NP\tO' -p241351 -aS'and\tand\tCC\tI-NP\tO' -p241352 -aS'CT\tCT\tNN\tI-NP\tO' -p241353 -aS'scan\tscan\tNN\tI-NP\tO' -p241354 -aS'revealing\treveal\tVBG\tB-VP\tO' -p241355 -aS'fluid\tfluid\tNN\tB-NP\tO' -p241356 -aS'and\tand\tCC\tI-NP\tO' -p241357 -aS'gas\tgas\tNN\tI-NP\tB-DNA' -p241358 -aS'in\tin\tIN\tB-PP\tO' -p241359 -aS'the\tthe\tDT\tB-NP\tO' -p241360 -aS'endometrial\tendometrial\tJJ\tI-NP\tO' -p241361 -aS'cavity\tcavity\tNN\tI-NP\tO' -p241362 -aS'.\t.\t.\tO\tO' -p241363 -asS'It was increased to 65% with pO2 of 81 .' -p241364 -(lp241365 -S'It\tIt\tPRP\tB-NP\tO' -p241366 -aS'was\tbe\tVBD\tB-VP\tO' -p241367 -aS'increased\tincrease\tVBN\tI-VP\tO' -p241368 -aS'to\tto\tTO\tB-VP\tO' -p241369 -aS'65%\t65%\tVB\tI-VP\tO' -p241370 -aS'with\twith\tIN\tB-PP\tO' -p241371 -aS'pO2\tpO2\tNN\tB-NP\tO' -p241372 -aS'of\tof\tIN\tB-PP\tO' -p241373 -aS'81\t81\tCD\tB-NP\tO' -p241374 -aS'.\t.\t.\tO\tO' -p241375 -asS'11. Throat cancer status post right neck dissection and XRT in 2004 .' -p241376 -(lp241377 -S'11.\t11.\tLS\tB-NP\tO' -p241378 -aS'Throat\tThroat\tNN\tI-NP\tO' -p241379 -aS'cancer\tcancer\tNN\tI-NP\tO' -p241380 -aS'status\tstatus\tNN\tI-NP\tO' -p241381 -aS'post\tpost\tNN\tI-NP\tO' -p241382 -aS'right\tright\tJJ\tI-NP\tO' -p241383 -aS'neck\tneck\tNN\tI-NP\tO' -p241384 -aS'dissection\tdissection\tNN\tI-NP\tO' -p241385 -aS'and\tand\tCC\tI-NP\tO' -p241386 -aS'XRT\tXRT\tNN\tI-NP\tO' -p241387 -aS'in\tin\tIN\tB-PP\tO' -p241388 -aS'2004\t2004\tCD\tB-NP\tO' -p241389 -aS'.\t.\t.\tO\tO' -p241390 -asS'She continued to improve , with mobilization of fluid .' -p241391 -(lp241392 -S'She\tShe\tPRP\tB-NP\tO' -p241393 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p241394 -aS'to\tto\tTO\tI-VP\tO' -p241395 -aS'improve\timprove\tVB\tI-VP\tO' -p241396 -aS',\t,\t,\tO\tO' -p241397 -aS'with\twith\tIN\tB-PP\tO' -p241398 -aS'mobilization\tmobilization\tNN\tB-NP\tO' -p241399 -aS'of\tof\tIN\tB-PP\tO' -p241400 -aS'fluid\tfluid\tNN\tB-NP\tO' -p241401 -aS'.\t.\t.\tO\tO' -p241402 -asS'On post-op day five he appeared to have left arm phlebitis and was started on antibiotics .' -p241403 -(lp241404 -S'On\tOn\tIN\tB-PP\tO' -p241405 -aS'post-op\tpost-op\tJJ\tB-NP\tO' -p241406 -aS'day\tday\tNN\tI-NP\tO' -p241407 -aS'five\tfive\tCD\tI-NP\tO' -p241408 -aS'he\the\tPRP\tB-NP\tO' -p241409 -aS'appeared\tappear\tVBD\tB-VP\tO' -p241410 -aS'to\tto\tTO\tI-VP\tO' -p241411 -aS'have\thave\tVB\tI-VP\tO' -p241412 -aS'left\tleave\tVBN\tI-VP\tO' -p241413 -aS'arm\tarm\tNN\tB-NP\tO' -p241414 -aS'phlebitis\tphlebitis\tNN\tI-NP\tO' -p241415 -aS'and\tand\tCC\tO\tO' -p241416 -aS'was\tbe\tVBD\tB-VP\tO' -p241417 -aS'started\tstart\tVBN\tI-VP\tO' -p241418 -aS'on\ton\tIN\tB-PP\tO' -p241419 -aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' -p241420 -aS'.\t.\t.\tO\tO' -p241421 -asS'She is now admitted for her second course of that therapy .' -p241422 -(lp241423 -S'She\tShe\tPRP\tB-NP\tO' -p241424 -aS'is\tbe\tVBZ\tB-VP\tO' -p241425 -aS'now\tnow\tRB\tI-VP\tO' -p241426 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p241427 -aS'for\tfor\tIN\tB-PP\tO' -p241428 -aS'her\ther\tPRP$\tB-NP\tO' -p241429 -aS'second\tsecond\tJJ\tI-NP\tO' -p241430 -aS'course\tcourse\tNN\tI-NP\tO' -p241431 -aS'of\tof\tIN\tB-PP\tO' -p241432 -aS'that\tthat\tDT\tB-NP\tO' -p241433 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p241434 -aS'.\t.\t.\tO\tO' -p241435 -asS'68 year old right handed man with multiple vascular risk factors , including 2 previous strokes and two myocardial infarctions , hypertension and hypercholesterolemia , who presents with acute onset right sided hemiplegia and dysarthria .' -p241436 -(lp241437 -S'68\t68\tCD\tB-NP\tO' -p241438 -aS'year\tyear\tNN\tI-NP\tO' -p241439 -aS'old\told\tJJ\tI-NP\tO' -p241440 -aS'right\tright\tJJ\tI-NP\tO' -p241441 -aS'handed\thanded\tJJ\tI-NP\tO' -p241442 -aS'man\tman\tNN\tI-NP\tO' -p241443 -aS'with\twith\tIN\tB-PP\tO' -p241444 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p241445 -aS'vascular\tvascular\tJJ\tI-NP\tB-protein' -p241446 -aS'risk\trisk\tNN\tI-NP\tI-protein' -p241447 -aS'factors\tfactor\tNNS\tI-NP\tI-protein' -p241448 -aS',\t,\t,\tO\tO' -p241449 -aS'including\tinclude\tVBG\tB-PP\tO' -p241450 -aS'2\t2\tCD\tB-NP\tO' -p241451 -aS'previous\tprevious\tJJ\tI-NP\tO' -p241452 -aS'strokes\tstroke\tNNS\tI-NP\tO' -p241453 -aS'and\tand\tCC\tO\tO' -p241454 -aS'two\ttwo\tCD\tB-NP\tO' -p241455 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p241456 -aS'infarctions\tinfarction\tNNS\tI-NP\tO' -p241457 -aS',\t,\t,\tO\tO' -p241458 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p241459 -aS'and\tand\tCC\tI-NP\tO' -p241460 -aS'hypercholesterolemia\thypercholesterolemia\tNN\tI-NP\tO' -p241461 -aS',\t,\t,\tO\tO' -p241462 -aS'who\twho\tWP\tB-NP\tO' -p241463 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p241464 -aS'with\twith\tIN\tB-PP\tO' -p241465 -aS'acute\tacute\tJJ\tB-NP\tO' -p241466 -aS'onset\tonset\tNN\tI-NP\tO' -p241467 -aS'right\tright\tJJ\tI-NP\tO' -p241468 -aS'sided\tsided\tJJ\tI-NP\tO' -p241469 -aS'hemiplegia\themiplegia\tNN\tI-NP\tO' -p241470 -aS'and\tand\tCC\tI-NP\tO' -p241471 -aS'dysarthria\tdysarthria\tNN\tI-NP\tO' -p241472 -aS'.\t.\t.\tO\tO' -p241473 -asS'This is to notify you that your patient , JEM , ON arrived in the Emergency Department at Bri Health on 05/08/2000 07:57 PM .' -p241474 -(lp241475 -S'This\tThis\tDT\tB-NP\tO' -p241476 -aS'is\tbe\tVBZ\tB-VP\tO' -p241477 -aS'to\tto\tTO\tB-VP\tO' -p241478 -aS'notify\tnotify\tVB\tI-VP\tO' -p241479 -aS'you\tyou\tPRP\tB-NP\tO' -p241480 -aS'that\tthat\tIN\tB-SBAR\tO' -p241481 -aS'your\tyour\tPRP$\tB-NP\tO' -p241482 -aS'patient\tpatient\tNN\tI-NP\tO' -p241483 -aS',\t,\t,\tO\tO' -p241484 -aS'JEM\tJEM\tNN\tB-NP\tB-protein' -p241485 -aS',\t,\t,\tO\tO' -p241486 -aS'ON\tON\tNNP\tB-NP\tO' -p241487 -aS'arrived\tarrive\tVBD\tB-VP\tO' -p241488 -aS'in\tin\tIN\tB-PP\tO' -p241489 -aS'the\tthe\tDT\tB-NP\tO' -p241490 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p241491 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p241492 -aS'at\tat\tIN\tB-PP\tO' -p241493 -aS'Bri\tBri\tNNP\tB-NP\tO' -p241494 -aS'Health\tHealth\tNNP\tI-NP\tO' -p241495 -aS'on\ton\tIN\tB-PP\tO' -p241496 -aS'05/08/2000\t05/08/2000\tCD\tB-NP\tO' -p241497 -aS'07:57\t07:57\tCD\tI-NP\tO' -p241498 -aS'PM\tPM\tNN\tI-NP\tO' -p241499 -aS'.\t.\t.\tO\tO' -p241500 -asS'Per family , besides the dyspnea and SOB , the patient has had no other symptoms , including f/c/s , CP , palpitations , abd pain , n/v/diarrhea .' -p241501 -(lp241502 -S'Per\tPer\tNNP\tB-NP\tO' -p241503 -aS'family\tfamily\tNN\tI-NP\tO' -p241504 -aS',\t,\t,\tO\tO' -p241505 -aS'besides\tbesides\tIN\tB-PP\tO' -p241506 -aS'the\tthe\tDT\tB-NP\tO' -p241507 -aS'dyspnea\tdyspnea\tNN\tI-NP\tO' -p241508 -aS'and\tand\tCC\tI-NP\tO' -p241509 -aS'SOB\tSOB\tNN\tI-NP\tB-protein' -p241510 -aS',\t,\t,\tO\tO' -p241511 -aS'the\tthe\tDT\tB-NP\tO' -p241512 -aS'patient\tpatient\tNN\tI-NP\tO' -p241513 -aS'has\thave\tVBZ\tB-VP\tO' -p241514 -aS'had\thave\tVBN\tI-VP\tO' -p241515 -aS'no\tno\tDT\tB-NP\tO' -p241516 -aS'other\tother\tJJ\tI-NP\tO' -p241517 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p241518 -aS',\t,\t,\tO\tO' -p241519 -aS'including\tinclude\tVBG\tB-PP\tO' -p241520 -aS'f/c/s\tf/c/\tNNS\tB-NP\tO' -p241521 -aS',\t,\t,\tO\tO' -p241522 -aS'CP\tCP\tNN\tB-NP\tB-DNA' -p241523 -aS',\t,\t,\tO\tO' -p241524 -aS'palpitations\tpalpitation\tNNS\tB-NP\tO' -p241525 -aS',\t,\t,\tO\tO' -p241526 -aS'abd\tabd\tNN\tB-NP\tO' -p241527 -aS'pain\tpain\tNN\tI-NP\tO' -p241528 -aS',\t,\t,\tO\tO' -p241529 -aS'n/v/diarrhea\tn/v/diarrhea\tNN\tB-NP\tO' -p241530 -aS'.\t.\t.\tO\tO' -p241531 -asS'Could have still seeding of nephrostomy tube .' -p241532 -(lp241533 -S'Could\tCould\tMD\tB-VP\tO' -p241534 -aS'have\thave\tVB\tI-VP\tO' -p241535 -aS'still\tstill\tRB\tI-VP\tO' -p241536 -aS'seeding\tseed\tVBG\tI-VP\tO' -p241537 -aS'of\tof\tIN\tB-PP\tO' -p241538 -aS'nephrostomy\tnephrostomy\tNN\tB-NP\tO' -p241539 -aS'tube\ttube\tNN\tI-NP\tO' -p241540 -aS'.\t.\t.\tO\tO' -p241541 -asS'She presented to a Wood Emergency Department six days prior to admission .' -p241542 -(lp241543 -S'She\tShe\tPRP\tB-NP\tO' -p241544 -aS'presented\tpresent\tVBD\tB-VP\tO' -p241545 -aS'to\tto\tTO\tB-PP\tO' -p241546 -aS'a\ta\tDT\tB-NP\tO' -p241547 -aS'Wood\tWood\tNNP\tI-NP\tO' -p241548 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p241549 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p241550 -aS'six\tsix\tCD\tB-NP\tO' -p241551 -aS'days\tday\tNNS\tI-NP\tO' -p241552 -aS'prior\tprior\tRB\tB-ADVP\tO' -p241553 -aS'to\tto\tTO\tB-PP\tO' -p241554 -aS'admission\tadmission\tNN\tB-NP\tO' -p241555 -aS'.\t.\t.\tO\tO' -p241556 -asS'There was an S4 , no S3 , grade II/VI apical murmur in systole , no rubs .' -p241557 -(lp241558 -S'There\tThere\tEX\tB-NP\tO' -p241559 -aS'was\tbe\tVBD\tB-VP\tO' -p241560 -aS'an\tan\tDT\tB-NP\tO' -p241561 -aS'S4\tS4\tNN\tI-NP\tB-protein' -p241562 -aS',\t,\t,\tO\tO' -p241563 -aS'no\tno\tDT\tB-NP\tO' -p241564 -aS'S3\tS3\tNN\tI-NP\tB-protein' -p241565 -aS',\t,\t,\tO\tO' -p241566 -aS'grade\tgrade\tNN\tB-NP\tO' -p241567 -aS'II/VI\tII/VI\tNN\tI-NP\tO' -p241568 -aS'apical\tapical\tJJ\tI-NP\tO' -p241569 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p241570 -aS'in\tin\tIN\tB-PP\tO' -p241571 -aS'systole\tsystole\tNN\tB-NP\tO' -p241572 -aS',\t,\t,\tO\tO' -p241573 -aS'no\tno\tDT\tB-NP\tO' -p241574 -aS'rubs\trub\tNNS\tI-NP\tO' -p241575 -aS'.\t.\t.\tO\tO' -p241576 -asS'Orientation : Oriented to person , place , and date .' -p241577 -(lp241578 -S'Orientation\tOrientation\tNN\tB-NP\tO' -p241579 -aS':\t:\t:\tO\tO' -p241580 -aS'Oriented\tOrient\tVBN\tB-VP\tO' -p241581 -aS'to\tto\tTO\tB-PP\tO' -p241582 -aS'person\tperson\tNN\tB-NP\tO' -p241583 -aS',\t,\t,\tO\tO' -p241584 -aS'place\tplace\tNN\tB-NP\tO' -p241585 -aS',\t,\t,\tO\tO' -p241586 -aS'and\tand\tCC\tO\tO' -p241587 -aS'date\tdate\tNN\tB-NP\tO' -p241588 -aS'.\t.\t.\tO\tO' -p241589 -asS'Signed electronically by : DR. Cynthia Short on : MON 2016-02-22 8:16 AM' -p241590 -(lp241591 -S'Signed\tSign\tVBN\tB-VP\tO' -p241592 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p241593 -aS'by\tby\tIN\tB-PP\tO' -p241594 -aS':\t:\t:\tO\tO' -p241595 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p241596 -aS'Cynthia\tCynthia\tNNP\tI-NP\tO' -p241597 -aS'Short\tShort\tNNP\tI-NP\tO' -p241598 -aS'on\ton\tIN\tB-PP\tO' -p241599 -aS':\t:\t:\tO\tO' -p241600 -aS'MON\tMON\tNN\tB-NP\tO' -p241601 -aS'2016-02-22\t2016-02-22\tCD\tI-NP\tO' -p241602 -aS'8:16\t8:16\tCD\tI-NP\tO' -p241603 -aS'AM\tAM\tNN\tI-NP\tO' -p241604 -asS'Steroids were discontinued .' -p241605 -(lp241606 -S'Steroids\tSteroid\tNNS\tB-NP\tO' -p241607 -aS'were\tbe\tVBD\tB-VP\tO' -p241608 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p241609 -aS'.\t.\t.\tO\tO' -p241610 -asS'Dictated By : William A. Hunter , M.D.' -p241611 -(lp241612 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p241613 -aS'By\tBy\tIN\tB-PP\tO' -p241614 -aS':\t:\t:\tO\tO' -p241615 -aS'William\tWilliam\tNNP\tB-NP\tO' -p241616 -aS'A.\tA.\tNNP\tI-NP\tO' -p241617 -aS'Hunter\tHunter\tNNP\tI-NP\tO' -p241618 -aS',\t,\t,\tO\tO' -p241619 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p241620 -asS'He had a repeat total resection in 4/04 by Dr. Peter Hoadley at Hallmark Health System which revealed anaplastic oligodendroglioma grade III .' -p241621 -(lp241622 -S'He\tHe\tPRP\tB-NP\tO' -p241623 -aS'had\thave\tVBD\tB-VP\tO' -p241624 -aS'a\ta\tDT\tB-NP\tO' -p241625 -aS'repeat\trepeat\tNN\tI-NP\tO' -p241626 -aS'total\ttotal\tJJ\tI-NP\tO' -p241627 -aS'resection\tresection\tNN\tI-NP\tO' -p241628 -aS'in\tin\tIN\tB-PP\tO' -p241629 -aS'4/04\t4/04\tCD\tB-NP\tO' -p241630 -aS'by\tby\tIN\tB-PP\tO' -p241631 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p241632 -aS'Peter\tPeter\tNNP\tI-NP\tO' -p241633 -aS'Hoadley\tHoadley\tNNP\tI-NP\tO' -p241634 -aS'at\tat\tIN\tB-PP\tO' -p241635 -aS'Hallmark\tHallmark\tNNP\tB-NP\tO' -p241636 -aS'Health\tHealth\tNNP\tI-NP\tO' -p241637 -aS'System\tSystem\tNNP\tI-NP\tO' -p241638 -aS'which\twhich\tWDT\tB-NP\tO' -p241639 -aS'revealed\treveal\tVBD\tB-VP\tO' -p241640 -aS'anaplastic\tanaplastic\tJJ\tB-NP\tO' -p241641 -aS'oligodendroglioma\toligodendroglioma\tNN\tI-NP\tO' -p241642 -aS'grade\tgrade\tNN\tI-NP\tO' -p241643 -aS'III\tIII\tCD\tI-NP\tO' -p241644 -aS'.\t.\t.\tO\tO' -p241645 -asS'The head , eyes , ears , nose , throat and neck examinations were unremarkable .' -p241646 -(lp241647 -S'The\tThe\tDT\tB-NP\tO' -p241648 -aS'head\thead\tNN\tI-NP\tO' -p241649 -aS',\t,\t,\tO\tO' -p241650 -aS'eyes\teye\tNNS\tB-NP\tO' -p241651 -aS',\t,\t,\tO\tO' -p241652 -aS'ears\tear\tNNS\tB-NP\tO' -p241653 -aS',\t,\t,\tO\tO' -p241654 -aS'nose\tnose\tNN\tB-NP\tO' -p241655 -aS',\t,\t,\tO\tO' -p241656 -aS'throat\tthroat\tNN\tB-NP\tO' -p241657 -aS'and\tand\tCC\tI-NP\tO' -p241658 -aS'neck\tneck\tNN\tI-NP\tO' -p241659 -aS'examinations\texamination\tNNS\tI-NP\tO' -p241660 -aS'were\tbe\tVBD\tB-VP\tO' -p241661 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p241662 -aS'.\t.\t.\tO\tO' -p241663 -asS'on 05-26 he continued to c/o of epigastric pain had a chest x-ray done to due to decreased lung sounds .' -p241664 -(lp241665 -S'on\ton\tIN\tB-PP\tO' -p241666 -aS'05-26\t05-26\tCD\tB-NP\tO' -p241667 -aS'he\the\tPRP\tB-NP\tO' -p241668 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p241669 -aS'to\tto\tTO\tB-PP\tO' -p241670 -aS'c/o\tc/o\tNN\tB-NP\tO' -p241671 -aS'of\tof\tIN\tB-PP\tO' -p241672 -aS'epigastric\tepigastric\tJJ\tB-NP\tB-protein' -p241673 -aS'pain\tpain\tNN\tI-NP\tI-protein' -p241674 -aS'had\thave\tVBD\tB-VP\tO' -p241675 -aS'a\ta\tDT\tB-NP\tO' -p241676 -aS'chest\tchest\tNN\tI-NP\tO' -p241677 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p241678 -aS'done\tdo\tVBN\tB-VP\tO' -p241679 -aS'to\tto\tTO\tB-PP\tO' -p241680 -aS'due\tdue\tJJ\tB-PP\tO' -p241681 -aS'to\tto\tTO\tB-PP\tO' -p241682 -aS'decreased\tdecrease\tVBN\tB-NP\tO' -p241683 -aS'lung\tlung\tNN\tI-NP\tO' -p241684 -aS'sounds\tsound\tNNS\tI-NP\tO' -p241685 -aS'.\t.\t.\tO\tO' -p241686 -asS'A Panorex x-ray of his two teeth were obtained and a Dental Consultation was done .' -p241687 -(lp241688 -S'A\tA\tDT\tB-NP\tO' -p241689 -aS'Panorex\tPanorex\tNNP\tI-NP\tO' -p241690 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p241691 -aS'of\tof\tIN\tB-PP\tO' -p241692 -aS'his\this\tPRP$\tB-NP\tO' -p241693 -aS'two\ttwo\tCD\tI-NP\tO' -p241694 -aS'teeth\ttooth\tNNS\tI-NP\tO' -p241695 -aS'were\tbe\tVBD\tB-VP\tO' -p241696 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p241697 -aS'and\tand\tCC\tO\tO' -p241698 -aS'a\ta\tDT\tB-NP\tO' -p241699 -aS'Dental\tDental\tJJ\tI-NP\tO' -p241700 -aS'Consultation\tConsultation\tNN\tI-NP\tO' -p241701 -aS'was\tbe\tVBD\tB-VP\tO' -p241702 -aS'done\tdo\tVBN\tI-VP\tO' -p241703 -aS'.\t.\t.\tO\tO' -p241704 -asS'No JVD .' -p241705 -(lp241706 -S'No\tNo\tDT\tB-NP\tO' -p241707 -aS'JVD\tJVD\tNN\tI-NP\tB-protein' -p241708 -aS'.\t.\t.\tO\tO' -p241709 -asS'A paraphimosis was noted and treated by Dr. Ryna Jescdrig .' -p241710 -(lp241711 -S'A\tA\tDT\tB-NP\tO' -p241712 -aS'paraphimosis\tparaphimosis\tNN\tI-NP\tO' -p241713 -aS'was\tbe\tVBD\tB-VP\tO' -p241714 -aS'noted\tnote\tVBN\tI-VP\tO' -p241715 -aS'and\tand\tCC\tI-VP\tO' -p241716 -aS'treated\ttreat\tVBN\tI-VP\tO' -p241717 -aS'by\tby\tIN\tB-PP\tO' -p241718 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p241719 -aS'Ryna\tRyna\tNNP\tI-NP\tO' -p241720 -aS'Jescdrig\tJescdrig\tNNP\tI-NP\tO' -p241721 -aS'.\t.\t.\tO\tO' -p241722 -asS'The MRA of the intracranial circulation demonstrated gross patency of the internal carotid arteries bilaterally and the basilar arteries .' -p241723 -(lp241724 -S'The\tThe\tDT\tB-NP\tO' -p241725 -aS'MRA\tMRA\tNN\tI-NP\tB-protein' -p241726 -aS'of\tof\tIN\tB-PP\tO' -p241727 -aS'the\tthe\tDT\tB-NP\tO' -p241728 -aS'intracranial\tintracranial\tJJ\tI-NP\tO' -p241729 -aS'circulation\tcirculation\tNN\tI-NP\tO' -p241730 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p241731 -aS'gross\tgross\tJJ\tB-NP\tO' -p241732 -aS'patency\tpatency\tNN\tI-NP\tO' -p241733 -aS'of\tof\tIN\tB-PP\tO' -p241734 -aS'the\tthe\tDT\tB-NP\tO' -p241735 -aS'internal\tinternal\tJJ\tI-NP\tO' -p241736 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p241737 -aS'arteries\tartery\tNNS\tI-NP\tO' -p241738 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p241739 -aS'and\tand\tCC\tO\tO' -p241740 -aS'the\tthe\tDT\tB-NP\tO' -p241741 -aS'basilar\tbasilar\tJJ\tI-NP\tO' -p241742 -aS'arteries\tartery\tNNS\tI-NP\tO' -p241743 -aS'.\t.\t.\tO\tO' -p241744 -asS'Right external auditory canal was occluded bycerumen and left external auditory canal clear with tympanic membrane intact .' -p241745 -(lp241746 -S'Right\tRight\tRB\tB-NP\tO' -p241747 -aS'external\texternal\tJJ\tI-NP\tO' -p241748 -aS'auditory\tauditory\tJJ\tI-NP\tO' -p241749 -aS'canal\tcanal\tNN\tI-NP\tO' -p241750 -aS'was\tbe\tVBD\tB-VP\tO' -p241751 -aS'occluded\tocclude\tVBN\tI-VP\tO' -p241752 -aS'bycerumen\tbyceruman\tNNS\tB-NP\tO' -p241753 -aS'and\tand\tCC\tO\tO' -p241754 -aS'left\tleave\tVBD\tB-VP\tO' -p241755 -aS'external\texternal\tJJ\tB-NP\tO' -p241756 -aS'auditory\tauditory\tJJ\tI-NP\tO' -p241757 -aS'canal\tcanal\tNN\tI-NP\tO' -p241758 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p241759 -aS'with\twith\tIN\tB-PP\tO' -p241760 -aS'tympanic\ttympanic\tJJ\tB-NP\tO' -p241761 -aS'membrane\tmembrane\tNN\tI-NP\tO' -p241762 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p241763 -aS'.\t.\t.\tO\tO' -p241764 -asS'She was started on vancomycin , levofloxacin , Flagyl , doxycycline and fluconazole .' -p241765 -(lp241766 -S'She\tShe\tPRP\tB-NP\tO' -p241767 -aS'was\tbe\tVBD\tB-VP\tO' -p241768 -aS'started\tstart\tVBN\tI-VP\tO' -p241769 -aS'on\ton\tIN\tB-PP\tO' -p241770 -aS'vancomycin\tvancomycin\tNN\tB-NP\tO' -p241771 -aS',\t,\t,\tI-NP\tO' -p241772 -aS'levofloxacin\tlevofloxacin\tNN\tI-NP\tO' -p241773 -aS',\t,\t,\tI-NP\tO' -p241774 -aS'Flagyl\tFlagyl\tNN\tI-NP\tO' -p241775 -aS',\t,\t,\tI-NP\tO' -p241776 -aS'doxycycline\tdoxycycline\tNN\tI-NP\tO' -p241777 -aS'and\tand\tCC\tI-NP\tO' -p241778 -aS'fluconazole\tfluconazole\tNN\tI-NP\tO' -p241779 -aS'.\t.\t.\tO\tO' -p241780 -asS'He remained hemodynamically stable but of note , would not tolerate a transesophageal echo because of anxiety-he would not swallow the probe .' -p241781 -(lp241782 -S'He\tHe\tPRP\tB-NP\tO' -p241783 -aS'remained\tremain\tVBD\tB-VP\tO' -p241784 -aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' -p241785 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p241786 -aS'but\tbut\tCC\tO\tO' -p241787 -aS'of\tof\tIN\tB-PP\tO' -p241788 -aS'note\tnote\tNN\tB-NP\tO' -p241789 -aS',\t,\t,\tO\tO' -p241790 -aS'would\twould\tMD\tB-VP\tO' -p241791 -aS'not\tnot\tRB\tI-VP\tO' -p241792 -aS'tolerate\ttolerate\tVB\tI-VP\tO' -p241793 -aS'a\ta\tDT\tB-NP\tO' -p241794 -aS'transesophageal\ttransesophageal\tJJ\tI-NP\tO' -p241795 -aS'echo\techo\tNN\tI-NP\tO' -p241796 -aS'because\tbecause\tIN\tB-PP\tO' -p241797 -aS'of\tof\tIN\tI-PP\tO' -p241798 -aS'anxiety-he\tanxiety-he\tNN\tB-NP\tO' -p241799 -aS'would\twould\tMD\tB-VP\tO' -p241800 -aS'not\tnot\tRB\tI-VP\tO' -p241801 -aS'swallow\tswallow\tVB\tI-VP\tO' -p241802 -aS'the\tthe\tDT\tB-NP\tO' -p241803 -aS'probe\tprobe\tNN\tI-NP\tO' -p241804 -aS'.\t.\t.\tO\tO' -p241805 -asS'This has been evaluated by Dr. Screen at Sas General Hospital and probably relates to her lung xray .' -p241806 -(lp241807 -S'This\tThis\tDT\tB-NP\tO' -p241808 -aS'has\thave\tVBZ\tB-VP\tO' -p241809 -aS'been\tbe\tVBN\tI-VP\tO' -p241810 -aS'evaluated\tevaluate\tVBN\tI-VP\tO' -p241811 -aS'by\tby\tIN\tB-PP\tO' -p241812 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p241813 -aS'Screen\tScreen\tNNP\tI-NP\tO' -p241814 -aS'at\tat\tIN\tB-PP\tO' -p241815 -aS'Sas\tSas\tNNP\tB-NP\tO' -p241816 -aS'General\tGeneral\tNNP\tI-NP\tO' -p241817 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p241818 -aS'and\tand\tCC\tO\tO' -p241819 -aS'probably\tprobably\tRB\tB-ADVP\tO' -p241820 -aS'relates\trelate\tVBZ\tB-VP\tO' -p241821 -aS'to\tto\tTO\tB-PP\tO' -p241822 -aS'her\ther\tPRP$\tB-NP\tO' -p241823 -aS'lung\tlung\tNN\tI-NP\tO' -p241824 -aS'xray\txray\tNN\tI-NP\tO' -p241825 -aS'.\t.\t.\tO\tO' -p241826 -asS'The infant was started on Ampicillin and Gentamycin at the time of admission for sepsis risk factor .' -p241827 -(lp241828 -S'The\tThe\tDT\tB-NP\tO' -p241829 -aS'infant\tinfant\tNN\tI-NP\tO' -p241830 -aS'was\tbe\tVBD\tB-VP\tO' -p241831 -aS'started\tstart\tVBN\tI-VP\tO' -p241832 -aS'on\ton\tIN\tB-PP\tO' -p241833 -aS'Ampicillin\tAmpicillin\tNN\tB-NP\tO' -p241834 -aS'and\tand\tCC\tI-NP\tO' -p241835 -aS'Gentamycin\tGentamycin\tNN\tI-NP\tO' -p241836 -aS'at\tat\tIN\tB-PP\tO' -p241837 -aS'the\tthe\tDT\tB-NP\tO' -p241838 -aS'time\ttime\tNN\tI-NP\tO' -p241839 -aS'of\tof\tIN\tB-PP\tO' -p241840 -aS'admission\tadmission\tNN\tB-NP\tO' -p241841 -aS'for\tfor\tIN\tB-PP\tO' -p241842 -aS'sepsis\tsepsis\tNN\tB-NP\tO' -p241843 -aS'risk\trisk\tNN\tI-NP\tO' -p241844 -aS'factor\tfactor\tNN\tI-NP\tO' -p241845 -aS'.\t.\t.\tO\tO' -p241846 -asS'Motor - Decreased tone on right arm .' -p241847 -(lp241848 -S'Motor\tMotor\tNN\tB-NP\tO' -p241849 -aS'-\t-\tHYPH\tB-PP\tO' -p241850 -aS'Decreased\tDecrease\tVBN\tB-NP\tO' -p241851 -aS'tone\ttone\tNN\tI-NP\tO' -p241852 -aS'on\ton\tIN\tB-PP\tO' -p241853 -aS'right\tright\tJJ\tB-NP\tO' -p241854 -aS'arm\tarm\tNN\tI-NP\tO' -p241855 -aS'.\t.\t.\tO\tO' -p241856 -asS'The results of that consultation and potential esophagogastroduodenoscopy are pending at the time of dictation .' -p241857 -(lp241858 -S'The\tThe\tDT\tB-NP\tO' -p241859 -aS'results\tresult\tNNS\tI-NP\tO' -p241860 -aS'of\tof\tIN\tB-PP\tO' -p241861 -aS'that\tthat\tDT\tB-NP\tO' -p241862 -aS'consultation\tconsultation\tNN\tI-NP\tO' -p241863 -aS'and\tand\tCC\tI-NP\tO' -p241864 -aS'potential\tpotential\tJJ\tI-NP\tO' -p241865 -aS'esophagogastroduodenoscopy\tesophagogastroduodenoscopy\tNN\tI-NP\tO' -p241866 -aS'are\tbe\tVBP\tB-VP\tO' -p241867 -aS'pending\tpende\tVBG\tI-VP\tO' -p241868 -aS'at\tat\tIN\tB-PP\tO' -p241869 -aS'the\tthe\tDT\tB-NP\tO' -p241870 -aS'time\ttime\tNN\tI-NP\tO' -p241871 -aS'of\tof\tIN\tB-PP\tO' -p241872 -aS'dictation\tdictation\tNN\tB-NP\tO' -p241873 -aS'.\t.\t.\tO\tO' -p241874 -asS'- metoprolol 50 mg po daily' -p241875 -(lp241876 -S'-\t-\tHYPH\tB-NP\tO' -p241877 -aS'metoprolol\tmetoprolol\tNN\tI-NP\tO' -p241878 -aS'50\t50\tCD\tI-NP\tO' -p241879 -aS'mg\tmg\tNN\tI-NP\tO' -p241880 -aS'po\tpo\tNN\tI-NP\tO' -p241881 -aS'daily\tdaily\tRB\tB-ADVP\tO' -p241882 -asS'CV : RRR S1-S2 , no murmur .' -p241883 -(lp241884 -S'CV\tCV\tNN\tB-NP\tO' -p241885 -aS':\t:\t:\tO\tO' -p241886 -aS'RRR\tRRR\tNN\tB-NP\tB-protein' -p241887 -aS'S1-S2\tS1-S2\tNN\tI-NP\tI-protein' -p241888 -aS',\t,\t,\tO\tO' -p241889 -aS'no\tno\tDT\tB-NP\tO' -p241890 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p241891 -aS'.\t.\t.\tO\tO' -p241892 -asS'11. Question of transient ischemic attack .' -p241893 -(lp241894 -S'11.\t11.\tLS\tB-NP\tO' -p241895 -aS'Question\tQuestion\tNN\tI-NP\tO' -p241896 -aS'of\tof\tIN\tB-PP\tO' -p241897 -aS'transient\ttransient\tJJ\tB-NP\tO' -p241898 -aS'ischemic\tischemic\tJJ\tI-NP\tO' -p241899 -aS'attack\tattack\tNN\tI-NP\tO' -p241900 -aS'.\t.\t.\tO\tO' -p241901 -asS'No corneal , gag , oculocephalic , and oculovestibular reflexes were elicited .' -p241902 -(lp241903 -S'No\tNo\tDT\tB-NP\tO' -p241904 -aS'corneal\tcorneal\tNN\tI-NP\tO' -p241905 -aS',\t,\t,\tO\tO' -p241906 -aS'gag\tgag\tNN\tB-NP\tO' -p241907 -aS',\t,\t,\tO\tO' -p241908 -aS'oculocephalic\toculocephalic\tJJ\tB-ADJP\tO' -p241909 -aS',\t,\t,\tO\tO' -p241910 -aS'and\tand\tCC\tO\tO' -p241911 -aS'oculovestibular\toculovestibular\tJJ\tB-NP\tB-protein' -p241912 -aS'reflexes\treflex\tNNS\tI-NP\tI-protein' -p241913 -aS'were\tbe\tVBD\tB-VP\tO' -p241914 -aS'elicited\telicit\tVBN\tI-VP\tO' -p241915 -aS'.\t.\t.\tO\tO' -p241916 -asS'4. Systemic lupus erythematosus in remission' -p241917 -(lp241918 -S'4.\t4.\tLS\tB-NP\tO' -p241919 -aS'Systemic\tSystemic\tJJ\tI-NP\tO' -p241920 -aS'lupus\tlupus\tNN\tI-NP\tO' -p241921 -aS'erythematosus\terythematosus\tNN\tI-NP\tO' -p241922 -aS'in\tin\tIN\tB-PP\tO' -p241923 -aS'remission\tremission\tNN\tB-NP\tO' -p241924 -asS'Her abdomen was obese and distended with good bowel sounds , large ventral hernia .' -p241925 -(lp241926 -S'Her\tHer\tPRP$\tB-NP\tO' -p241927 -aS'abdomen\tabdoman\tNNS\tI-NP\tO' -p241928 -aS'was\tbe\tVBD\tB-VP\tO' -p241929 -aS'obese\tobese\tJJ\tB-ADJP\tO' -p241930 -aS'and\tand\tCC\tI-ADJP\tO' -p241931 -aS'distended\tdistended\tJJ\tI-ADJP\tO' -p241932 -aS'with\twith\tIN\tB-PP\tO' -p241933 -aS'good\tgood\tJJ\tB-NP\tO' -p241934 -aS'bowel\tbowel\tNN\tI-NP\tO' -p241935 -aS'sounds\tsound\tNNS\tI-NP\tO' -p241936 -aS',\t,\t,\tO\tO' -p241937 -aS'large\tlarge\tJJ\tB-NP\tO' -p241938 -aS'ventral\tventral\tJJ\tI-NP\tO' -p241939 -aS'hernia\thernia\tNN\tI-NP\tO' -p241940 -aS'.\t.\t.\tO\tO' -p241941 -asS'Erythematous eruption on 80% of body , not much change from week prior .' -p241942 -(lp241943 -S'Erythematous\tErythematous\tJJ\tB-NP\tO' -p241944 -aS'eruption\teruption\tNN\tI-NP\tO' -p241945 -aS'on\ton\tIN\tB-PP\tO' -p241946 -aS'80%\t80%\tNN\tB-NP\tO' -p241947 -aS'of\tof\tIN\tB-PP\tO' -p241948 -aS'body\tbody\tNN\tB-NP\tO' -p241949 -aS',\t,\t,\tB-NP\tO' -p241950 -aS'not\tnot\tRB\tI-NP\tO' -p241951 -aS'much\tmuch\tJJ\tB-NP\tO' -p241952 -aS'change\tchange\tNN\tI-NP\tO' -p241953 -aS'from\tfrom\tIN\tB-PP\tO' -p241954 -aS'week\tweek\tNN\tB-NP\tO' -p241955 -aS'prior\tprior\tRB\tB-ADVP\tO' -p241956 -aS'.\t.\t.\tO\tO' -p241957 -asS'She had a head CT that was negative .' -p241958 -(lp241959 -S'She\tShe\tPRP\tB-NP\tO' -p241960 -aS'had\thave\tVBD\tB-VP\tO' -p241961 -aS'a\ta\tDT\tB-NP\tO' -p241962 -aS'head\thead\tNN\tI-NP\tO' -p241963 -aS'CT\tCT\tNN\tI-NP\tO' -p241964 -aS'that\tthat\tWDT\tB-NP\tO' -p241965 -aS'was\tbe\tVBD\tB-VP\tO' -p241966 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p241967 -aS'.\t.\t.\tO\tO' -p241968 -asS'Please note that evaluation by the swallowing therapist , showed that the patient is aspirating at this time , but there is great hope from the nature of her deficit and the good movements of her tongue that normal swallowing should return soon .' -p241969 -(lp241970 -S'Please\tPlease\tNN\tB-NP\tB-protein' -p241971 -aS'note\tnote\tVBP\tB-VP\tO' -p241972 -aS'that\tthat\tIN\tB-SBAR\tO' -p241973 -aS'evaluation\tevaluation\tNN\tB-NP\tO' -p241974 -aS'by\tby\tIN\tB-PP\tO' -p241975 -aS'the\tthe\tDT\tB-NP\tO' -p241976 -aS'swallowing\tswallow\tVBG\tI-NP\tO' -p241977 -aS'therapist\ttherapist\tNN\tI-NP\tO' -p241978 -aS',\t,\t,\tO\tO' -p241979 -aS'showed\tshow\tVBD\tB-VP\tO' -p241980 -aS'that\tthat\tIN\tB-SBAR\tO' -p241981 -aS'the\tthe\tDT\tB-NP\tO' -p241982 -aS'patient\tpatient\tNN\tI-NP\tO' -p241983 -aS'is\tbe\tVBZ\tB-VP\tO' -p241984 -aS'aspirating\taspirate\tVBG\tI-VP\tO' -p241985 -aS'at\tat\tIN\tB-PP\tO' -p241986 -aS'this\tthis\tDT\tB-NP\tO' -p241987 -aS'time\ttime\tNN\tI-NP\tO' -p241988 -aS',\t,\t,\tO\tO' -p241989 -aS'but\tbut\tCC\tO\tO' -p241990 -aS'there\tthere\tEX\tB-NP\tO' -p241991 -aS'is\tbe\tVBZ\tB-VP\tO' -p241992 -aS'great\tgreat\tJJ\tB-NP\tO' -p241993 -aS'hope\thope\tNN\tI-NP\tO' -p241994 -aS'from\tfrom\tIN\tB-PP\tO' -p241995 -aS'the\tthe\tDT\tB-NP\tO' -p241996 -aS'nature\tnature\tNN\tI-NP\tO' -p241997 -aS'of\tof\tIN\tB-PP\tO' -p241998 -aS'her\ther\tPRP$\tB-NP\tO' -p241999 -aS'deficit\tdeficit\tNN\tI-NP\tO' -p242000 -aS'and\tand\tCC\tO\tO' -p242001 -aS'the\tthe\tDT\tB-NP\tO' -p242002 -aS'good\tgood\tJJ\tI-NP\tO' -p242003 -aS'movements\tmovement\tNNS\tI-NP\tO' -p242004 -aS'of\tof\tIN\tB-PP\tO' -p242005 -aS'her\ther\tPRP$\tB-NP\tO' -p242006 -aS'tongue\ttongue\tNN\tI-NP\tO' -p242007 -aS'that\tthat\tIN\tB-SBAR\tO' -p242008 -aS'normal\tnormal\tJJ\tB-NP\tO' -p242009 -aS'swallowing\tswallow\tVBG\tI-NP\tO' -p242010 -aS'should\tshould\tMD\tB-VP\tO' -p242011 -aS'return\treturn\tVB\tI-VP\tO' -p242012 -aS'soon\tsoon\tRB\tB-ADVP\tO' -p242013 -aS'.\t.\t.\tO\tO' -p242014 -asS'6. Calcium carbonate 500 mg p.o. q.d.' -p242015 -(lp242016 -S'6.\t6.\tLS\tB-NP\tO' -p242017 -aS'Calcium\tCalcium\tNN\tI-NP\tO' -p242018 -aS'carbonate\tcarbonate\tNN\tI-NP\tO' -p242019 -aS'500\t500\tCD\tI-NP\tO' -p242020 -aS'mg\tmg\tNN\tI-NP\tO' -p242021 -aS'p.o.\tp.o.\tFW\tB-ADVP\tO' -p242022 -aS'q.d.\tq.d.\tFW\tI-ADVP\tO' -p242023 -asS'He should also continue having a snack at midnight if able .' -p242024 -(lp242025 -S'He\tHe\tPRP\tB-NP\tO' -p242026 -aS'should\tshould\tMD\tB-VP\tO' -p242027 -aS'also\talso\tRB\tI-VP\tO' -p242028 -aS'continue\tcontinue\tVB\tI-VP\tO' -p242029 -aS'having\thave\tVBG\tI-VP\tO' -p242030 -aS'a\ta\tDT\tB-NP\tO' -p242031 -aS'snack\tsnack\tNN\tI-NP\tO' -p242032 -aS'at\tat\tIN\tB-PP\tO' -p242033 -aS'midnight\tmidnight\tNN\tB-NP\tO' -p242034 -aS'if\tif\tIN\tB-SBAR\tO' -p242035 -aS'able\table\tJJ\tB-ADJP\tO' -p242036 -aS'.\t.\t.\tO\tO' -p242037 -asS'Anemia - This is a chronic problem .' -p242038 -(lp242039 -S'Anemia\tAnemia\tNN\tB-NP\tO' -p242040 -aS'-\t-\tHYPH\tO\tO' -p242041 -aS'This\tThis\tDT\tB-NP\tO' -p242042 -aS'is\tbe\tVBZ\tB-VP\tO' -p242043 -aS'a\ta\tDT\tB-NP\tO' -p242044 -aS'chronic\tchronic\tJJ\tI-NP\tO' -p242045 -aS'problem\tproblem\tNN\tI-NP\tO' -p242046 -aS'.\t.\t.\tO\tO' -p242047 -asS'He became profoundly thrombocytopenic , and ultimately was admitted to the hospital on 2/15 with headache and weakness .' -p242048 -(lp242049 -S'He\tHe\tPRP\tB-NP\tO' -p242050 -aS'became\tbecome\tVBD\tB-VP\tO' -p242051 -aS'profoundly\tprofoundly\tRB\tB-ADJP\tO' -p242052 -aS'thrombocytopenic\tthrombocytopenic\tJJ\tI-ADJP\tO' -p242053 -aS',\t,\t,\tO\tO' -p242054 -aS'and\tand\tCC\tO\tO' -p242055 -aS'ultimately\tultimately\tRB\tB-VP\tO' -p242056 -aS'was\tbe\tVBD\tI-VP\tO' -p242057 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p242058 -aS'to\tto\tTO\tB-PP\tO' -p242059 -aS'the\tthe\tDT\tB-NP\tO' -p242060 -aS'hospital\thospital\tNN\tI-NP\tO' -p242061 -aS'on\ton\tIN\tB-PP\tO' -p242062 -aS'2/15\t2/15\tCD\tB-NP\tO' -p242063 -aS'with\twith\tIN\tB-PP\tO' -p242064 -aS'headache\theadache\tNN\tB-NP\tO' -p242065 -aS'and\tand\tCC\tI-NP\tO' -p242066 -aS'weakness\tweakness\tNN\tI-NP\tO' -p242067 -aS'.\t.\t.\tO\tO' -p242068 -asS'The patient will follow-up with Dr. Friednantflirt .' -p242069 -(lp242070 -S'The\tThe\tDT\tB-NP\tO' -p242071 -aS'patient\tpatient\tNN\tI-NP\tO' -p242072 -aS'will\twill\tMD\tB-VP\tO' -p242073 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p242074 -aS'with\twith\tIN\tB-PP\tO' -p242075 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p242076 -aS'Friednantflirt\tFriednantflirt\tNNP\tI-NP\tO' -p242077 -aS'.\t.\t.\tO\tO' -p242078 -asS'Warm , well perfused .' -p242079 -(lp242080 -S'Warm\tWarm\tNNP\tB-NP\tO' -p242081 -aS',\t,\t,\tO\tO' -p242082 -aS'well\twell\tRB\tB-VP\tO' -p242083 -aS'perfused\tperfuse\tVBN\tI-VP\tO' -p242084 -aS'.\t.\t.\tO\tO' -p242085 -asS'Reexploration of vaginal surgical area pelvic angiography' -p242086 -(lp242087 -S'Reexploration\tReexploration\tNN\tB-NP\tO' -p242088 -aS'of\tof\tIN\tB-PP\tO' -p242089 -aS'vaginal\tvaginal\tJJ\tB-NP\tO' -p242090 -aS'surgical\tsurgical\tJJ\tI-NP\tO' -p242091 -aS'area\tarea\tNN\tI-NP\tO' -p242092 -aS'pelvic\tpelvic\tJJ\tI-NP\tO' -p242093 -aS'angiography\tangiography\tNN\tI-NP\tO' -p242094 -asS'The patient 's electrolytes and fluids were monitored closely during his admission .' -p242095 -(lp242096 -S'The\tThe\tDT\tB-NP\tO' -p242097 -aS'patient\tpatient\tNN\tI-NP\tO' -p242098 -aS''s\t'\tVBZ\tB-VP\tO' -p242099 -aS'electrolytes\telectrolyte\tNNS\tB-NP\tO' -p242100 -aS'and\tand\tCC\tI-NP\tO' -p242101 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p242102 -aS'were\tbe\tVBD\tB-VP\tO' -p242103 -aS'monitored\tmonitor\tVBN\tI-VP\tO' -p242104 -aS'closely\tclosely\tRB\tB-ADVP\tO' -p242105 -aS'during\tduring\tIN\tB-PP\tO' -p242106 -aS'his\this\tPRP$\tB-NP\tO' -p242107 -aS'admission\tadmission\tNN\tI-NP\tO' -p242108 -aS'.\t.\t.\tO\tO' -p242109 -asS'While in the Oaksgekesser/ Memorial Hospital the patient on 4/4/99 complained of mild epigastric discomfort because he was put in Cimetidine while in the Intensive Care Unit for prophylaxis against peptic ulcer disease .' -p242110 -(lp242111 -S'While\tWhile\tIN\tB-SBAR\tO' -p242112 -aS'in\tin\tIN\tB-PP\tO' -p242113 -aS'the\tthe\tDT\tB-NP\tO' -p242114 -aS'Oaksgekesser/\tOaksgekesser/\tNNP\tI-NP\tO' -p242115 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p242116 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p242117 -aS'the\tthe\tDT\tB-NP\tO' -p242118 -aS'patient\tpatient\tNN\tI-NP\tO' -p242119 -aS'on\ton\tIN\tB-PP\tO' -p242120 -aS'4/4/99\t4/4/99\tCD\tB-NP\tO' -p242121 -aS'complained\tcomplain\tVBD\tB-VP\tO' -p242122 -aS'of\tof\tIN\tB-PP\tO' -p242123 -aS'mild\tmild\tJJ\tB-NP\tO' -p242124 -aS'epigastric\tepigastric\tJJ\tI-NP\tO' -p242125 -aS'discomfort\tdiscomfort\tNN\tI-NP\tO' -p242126 -aS'because\tbecause\tIN\tB-SBAR\tO' -p242127 -aS'he\the\tPRP\tB-NP\tO' -p242128 -aS'was\tbe\tVBD\tB-VP\tO' -p242129 -aS'put\tput\tVBN\tI-VP\tO' -p242130 -aS'in\tin\tIN\tB-PP\tO' -p242131 -aS'Cimetidine\tCimetidine\tNN\tB-NP\tO' -p242132 -aS'while\twhile\tIN\tB-SBAR\tO' -p242133 -aS'in\tin\tIN\tB-PP\tO' -p242134 -aS'the\tthe\tDT\tB-NP\tO' -p242135 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p242136 -aS'Care\tCare\tNNP\tI-NP\tO' -p242137 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p242138 -aS'for\tfor\tIN\tB-PP\tO' -p242139 -aS'prophylaxis\tprophylaxis\tNN\tB-NP\tO' -p242140 -aS'against\tagainst\tIN\tB-PP\tO' -p242141 -aS'peptic\tpeptic\tJJ\tB-NP\tO' -p242142 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p242143 -aS'disease\tdisease\tNN\tI-NP\tO' -p242144 -aS'.\t.\t.\tO\tO' -p242145 -asS'Stool for C.diff toxin was sent x 1 and was negative .' -p242146 -(lp242147 -S'Stool\tStool\tNN\tB-NP\tO' -p242148 -aS'for\tfor\tIN\tB-PP\tO' -p242149 -aS'C.diff\tC.diff\tNN\tB-NP\tB-protein' -p242150 -aS'toxin\ttoxin\tNN\tI-NP\tI-protein' -p242151 -aS'was\tbe\tVBD\tB-VP\tO' -p242152 -aS'sent\tsend\tVBN\tI-VP\tO' -p242153 -aS'x\tx\tSYM\tB-NP\tO' -p242154 -aS'1\t1\tCD\tI-NP\tO' -p242155 -aS'and\tand\tCC\tO\tO' -p242156 -aS'was\tbe\tVBD\tB-VP\tO' -p242157 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p242158 -aS'.\t.\t.\tO\tO' -p242159 -asS'Right thalamic hemorrhage , hypertension , diabetes mellitus .' -p242160 -(lp242161 -S'Right\tRight\tRB\tB-NP\tO' -p242162 -aS'thalamic\tthalamic\tJJ\tI-NP\tO' -p242163 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p242164 -aS',\t,\t,\tO\tO' -p242165 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p242166 -aS',\t,\t,\tO\tO' -p242167 -aS'diabetes\tdiabetes\tNN\tB-NP\tO' -p242168 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p242169 -aS'.\t.\t.\tO\tO' -p242170 -asS'Patient had peripheral IV x1 placed and right femoral line placed in the Matthew .' -p242171 -(lp242172 -S'Patient\tPatient\tNN\tB-NP\tO' -p242173 -aS'had\thave\tVBD\tB-VP\tO' -p242174 -aS'peripheral\tperipheral\tJJ\tB-NP\tO' -p242175 -aS'IV\tIV\tCD\tI-NP\tO' -p242176 -aS'x1\tx1\tNN\tI-NP\tO' -p242177 -aS'placed\tplace\tVBN\tB-NP\tO' -p242178 -aS'and\tand\tCC\tI-NP\tO' -p242179 -aS'right\tright\tJJ\tI-NP\tO' -p242180 -aS'femoral\tfemoral\tJJ\tI-NP\tO' -p242181 -aS'line\tline\tNN\tI-NP\tO' -p242182 -aS'placed\tplace\tVBN\tB-VP\tO' -p242183 -aS'in\tin\tIN\tB-PP\tO' -p242184 -aS'the\tthe\tDT\tB-NP\tO' -p242185 -aS'Matthew\tMatthew\tNNP\tI-NP\tO' -p242186 -aS'.\t.\t.\tO\tO' -p242187 -asS'South Cove Community Health Center at 5368 W. Sixth Rd. , Burlington , Oregon 55832 ; telephone number ( 391-5273 .' -p242188 -(lp242189 -S'South\tSouth\tNNP\tB-NP\tO' -p242190 -aS'Cove\tCove\tNNP\tI-NP\tO' -p242191 -aS'Community\tCommunity\tNNP\tI-NP\tO' -p242192 -aS'Health\tHealth\tNNP\tI-NP\tO' -p242193 -aS'Center\tCenter\tNNP\tI-NP\tO' -p242194 -aS'at\tat\tIN\tB-PP\tO' -p242195 -aS'5368\t5368\tCD\tB-NP\tO' -p242196 -aS'W.\tW.\tNNP\tI-NP\tO' -p242197 -aS'Sixth\tSixth\tNNP\tI-NP\tO' -p242198 -aS'Rd.\tRd.\tNNP\tI-NP\tO' -p242199 -aS',\t,\t,\tO\tO' -p242200 -aS'Burlington\tBurlington\tNNP\tB-NP\tO' -p242201 -aS',\t,\t,\tO\tO' -p242202 -aS'Oregon\tOregon\tNNP\tB-NP\tO' -p242203 -aS'55832\t55832\tCD\tI-NP\tO' -p242204 -aS';\t;\t:\tO\tO' -p242205 -aS'telephone\ttelephone\tNN\tB-NP\tO' -p242206 -aS'number\tnumber\tNN\tI-NP\tO' -p242207 -aS'(\t(\t(\tO\tO' -p242208 -aS'391-5273\t391-5273\tCD\tB-NP\tO' -p242209 -aS'.\t.\t.\tO\tO' -p242210 -asS'The patient was transfused two units and an esophagogastroduodenoscopy done where it showed gastritis , candidal esophagitis and portal hypertensive gastropathy without varices .' -p242211 -(lp242212 -S'The\tThe\tDT\tB-NP\tO' -p242213 -aS'patient\tpatient\tNN\tI-NP\tO' -p242214 -aS'was\tbe\tVBD\tB-VP\tO' -p242215 -aS'transfused\ttransfuse\tVBN\tI-VP\tO' -p242216 -aS'two\ttwo\tCD\tB-NP\tO' -p242217 -aS'units\tunit\tNNS\tI-NP\tO' -p242218 -aS'and\tand\tCC\tO\tO' -p242219 -aS'an\tan\tDT\tB-NP\tO' -p242220 -aS'esophagogastroduodenoscopy\tesophagogastroduodenoscopy\tNN\tI-NP\tO' -p242221 -aS'done\tdo\tVBN\tB-VP\tO' -p242222 -aS'where\twhere\tWRB\tB-ADVP\tO' -p242223 -aS'it\tit\tPRP\tB-NP\tO' -p242224 -aS'showed\tshow\tVBD\tB-VP\tO' -p242225 -aS'gastritis\tgastritis\tNN\tB-NP\tO' -p242226 -aS',\t,\t,\tO\tO' -p242227 -aS'candidal\tcandidal\tNN\tB-NP\tO' -p242228 -aS'esophagitis\tesophagitis\tNN\tI-NP\tO' -p242229 -aS'and\tand\tCC\tO\tO' -p242230 -aS'portal\tportal\tJJ\tB-NP\tO' -p242231 -aS'hypertensive\thypertensive\tJJ\tI-NP\tO' -p242232 -aS'gastropathy\tgastropathy\tNN\tI-NP\tO' -p242233 -aS'without\twithout\tIN\tB-PP\tO' -p242234 -aS'varices\tvarix\tNNS\tB-NP\tO' -p242235 -aS'.\t.\t.\tO\tO' -p242236 -asS'Patient was placed on vancomycin 1 gm IV q12 and zosyn .' -p242237 -(lp242238 -S'Patient\tPatient\tNN\tB-NP\tO' -p242239 -aS'was\tbe\tVBD\tB-VP\tO' -p242240 -aS'placed\tplace\tVBN\tI-VP\tO' -p242241 -aS'on\ton\tIN\tB-PP\tO' -p242242 -aS'vancomycin\tvancomycin\tNN\tB-NP\tO' -p242243 -aS'1\t1\tCD\tI-NP\tO' -p242244 -aS'gm\tgm\tNN\tI-NP\tO' -p242245 -aS'IV\tIV\tCD\tB-NP\tO' -p242246 -aS'q12\tq12\tNN\tI-NP\tO' -p242247 -aS'and\tand\tCC\tI-NP\tO' -p242248 -aS'zosyn\tzosyn\tNN\tI-NP\tO' -p242249 -aS'.\t.\t.\tO\tO' -p242250 -asS'2. Ativan prn .' -p242251 -(lp242252 -S'2.\t2.\tLS\tB-NP\tO' -p242253 -aS'Ativan\tAtivan\tNNP\tI-NP\tO' -p242254 -aS'prn\tprn\tNN\tI-NP\tO' -p242255 -aS'.\t.\t.\tO\tO' -p242256 -asS'1. Feeds - Breastfeeding ad lib , supplementing with Enfamil 24 or breastmilk 24 cal / oz made with 1 tsp of Enfamil powder per 100 cc of breastmilk .' -p242257 -(lp242258 -S'1.\t1.\tLS\tB-NP\tO' -p242259 -aS'Feeds\tFeed\tNNPS\tI-NP\tO' -p242260 -aS'-\t-\tHYPH\tO\tO' -p242261 -aS'Breastfeeding\tBreastfeed\tVBG\tB-VP\tO' -p242262 -aS'ad\tad\tNN\tB-NP\tO' -p242263 -aS'lib\tlib\tNN\tI-NP\tO' -p242264 -aS',\t,\t,\tO\tO' -p242265 -aS'supplementing\tsupplement\tVBG\tB-VP\tO' -p242266 -aS'with\twith\tIN\tB-PP\tO' -p242267 -aS'Enfamil\tEnfamil\tNN\tB-NP\tO' -p242268 -aS'24\t24\tCD\tI-NP\tO' -p242269 -aS'or\tor\tCC\tO\tO' -p242270 -aS'breastmilk\tbreastmilk\tNN\tB-NP\tO' -p242271 -aS'24\t24\tCD\tI-NP\tO' -p242272 -aS'cal\tcal\tNN\tI-NP\tO' -p242273 -aS'/\t/\tSYM\tB-NP\tO' -p242274 -aS'oz\toz\tNN\tI-NP\tO' -p242275 -aS'made\tmake\tVBN\tB-VP\tO' -p242276 -aS'with\twith\tIN\tB-PP\tO' -p242277 -aS'1\t1\tCD\tB-NP\tO' -p242278 -aS'tsp\ttsp\tNN\tI-NP\tO' -p242279 -aS'of\tof\tIN\tB-PP\tO' -p242280 -aS'Enfamil\tEnfamil\tNN\tB-NP\tO' -p242281 -aS'powder\tpowder\tNN\tI-NP\tO' -p242282 -aS'per\tper\tIN\tB-PP\tO' -p242283 -aS'100\t100\tCD\tB-NP\tO' -p242284 -aS'cc\tcc\tNN\tI-NP\tO' -p242285 -aS'of\tof\tIN\tB-PP\tO' -p242286 -aS'breastmilk\tbreastmilk\tNN\tB-NP\tO' -p242287 -aS'.\t.\t.\tO\tO' -p242288 -asS'1. Metastatic gallbladder cancer .' -p242289 -(lp242290 -S'1.\t1.\tLS\tB-NP\tO' -p242291 -aS'Metastatic\tMetastatic\tJJ\tI-NP\tO' -p242292 -aS'gallbladder\tgallbladder\tNN\tI-NP\tO' -p242293 -aS'cancer\tcancer\tNN\tI-NP\tO' -p242294 -aS'.\t.\t.\tO\tO' -p242295 -asS'The right ventricle appeared to be acceptable .' -p242296 -(lp242297 -S'The\tThe\tDT\tB-NP\tO' -p242298 -aS'right\tright\tJJ\tI-NP\tO' -p242299 -aS'ventricle\tventricle\tNN\tI-NP\tO' -p242300 -aS'appeared\tappear\tVBD\tB-VP\tO' -p242301 -aS'to\tto\tTO\tI-VP\tO' -p242302 -aS'be\tbe\tVB\tI-VP\tO' -p242303 -aS'acceptable\tacceptable\tJJ\tB-ADJP\tO' -p242304 -aS'.\t.\t.\tO\tO' -p242305 -asS'The anterior and posterior of the frontal sinus was fractured with communication with the ethmoid air cells , presumably caused air in the orbit .' -p242306 -(lp242307 -S'The\tThe\tDT\tB-NP\tO' -p242308 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p242309 -aS'and\tand\tCC\tI-NP\tO' -p242310 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p242311 -aS'of\tof\tIN\tB-PP\tO' -p242312 -aS'the\tthe\tDT\tB-NP\tO' -p242313 -aS'frontal\tfrontal\tJJ\tI-NP\tO' -p242314 -aS'sinus\tsinus\tNN\tI-NP\tO' -p242315 -aS'was\tbe\tVBD\tB-VP\tO' -p242316 -aS'fractured\tfracture\tVBN\tI-VP\tO' -p242317 -aS'with\twith\tIN\tB-PP\tO' -p242318 -aS'communication\tcommunication\tNN\tB-NP\tO' -p242319 -aS'with\twith\tIN\tB-PP\tO' -p242320 -aS'the\tthe\tDT\tB-NP\tO' -p242321 -aS'ethmoid\tethmoid\tJJ\tI-NP\tB-cell_type' -p242322 -aS'air\tair\tNN\tI-NP\tI-cell_type' -p242323 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p242324 -aS',\t,\t,\tO\tO' -p242325 -aS'presumably\tpresumably\tRB\tB-ADVP\tO' -p242326 -aS'caused\tcause\tVBD\tB-VP\tO' -p242327 -aS'air\tair\tNN\tB-NP\tO' -p242328 -aS'in\tin\tIN\tB-PP\tO' -p242329 -aS'the\tthe\tDT\tB-NP\tO' -p242330 -aS'orbit\torbit\tNN\tI-NP\tO' -p242331 -aS'.\t.\t.\tO\tO' -p242332 -asS'FINAL SENSITIVITIES .' -p242333 -(lp242334 -S'FINAL\tFINAL\tJJ\tB-NP\tO' -p242335 -aS'SENSITIVITIES\tSENSITIVITIES\tNNS\tI-NP\tO' -p242336 -aS'.\t.\t.\tO\tO' -p242337 -asS'Attending : Leroy F Stalnaker , M.D.' -p242338 -(lp242339 -S'Attending\tAttend\tVBG\tB-VP\tO' -p242340 -aS':\t:\t:\tO\tO' -p242341 -aS'Leroy\tLeroy\tNNP\tB-NP\tO' -p242342 -aS'F\tF\tNNP\tI-NP\tO' -p242343 -aS'Stalnaker\tStalnaker\tNNP\tI-NP\tO' -p242344 -aS',\t,\t,\tO\tO' -p242345 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p242346 -asS'3. Lasix 20 mg po qd' -p242347 -(lp242348 -S'3.\t3.\tLS\tB-NP\tO' -p242349 -aS'Lasix\tLasix\tNN\tI-NP\tO' -p242350 -aS'20\t20\tCD\tI-NP\tO' -p242351 -aS'mg\tmg\tNN\tI-NP\tO' -p242352 -aS'po\tpo\tNN\tI-NP\tO' -p242353 -aS'qd\tqd\tNN\tI-NP\tO' -p242354 -asS'UCx grew proteus and her abx were changed to levaquin alone and she remained afebrile for > 24hr on this regimen .' -p242355 -(lp242356 -S'UCx\tUCx\tNN\tB-NP\tO' -p242357 -aS'grew\tgrow\tVBD\tB-VP\tO' -p242358 -aS'proteus\tproteus\tNN\tB-NP\tO' -p242359 -aS'and\tand\tCC\tO\tO' -p242360 -aS'her\ther\tPRP$\tB-NP\tO' -p242361 -aS'abx\tabx\tNN\tI-NP\tO' -p242362 -aS'were\tbe\tVBD\tB-VP\tO' -p242363 -aS'changed\tchange\tVBN\tI-VP\tO' -p242364 -aS'to\tto\tTO\tB-PP\tO' -p242365 -aS'levaquin\tlevaquin\tNN\tB-NP\tO' -p242366 -aS'alone\talone\tRB\tB-ADVP\tO' -p242367 -aS'and\tand\tCC\tO\tO' -p242368 -aS'she\tshe\tPRP\tB-NP\tO' -p242369 -aS'remained\tremain\tVBD\tB-VP\tO' -p242370 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p242371 -aS'for\tfor\tIN\tB-PP\tO' -p242372 -aS'>\t>\tJJR\tB-NP\tO' -p242373 -aS'24hr\t24hr\tNN\tI-NP\tO' -p242374 -aS'on\ton\tIN\tB-PP\tO' -p242375 -aS'this\tthis\tDT\tB-NP\tO' -p242376 -aS'regimen\tregimen\tNN\tI-NP\tO' -p242377 -aS'.\t.\t.\tO\tO' -p242378 -asS'This was per report of Vencor Hospital .' -p242379 -(lp242380 -S'This\tThis\tDT\tB-NP\tO' -p242381 -aS'was\tbe\tVBD\tB-VP\tO' -p242382 -aS'per\tper\tIN\tB-PP\tO' -p242383 -aS'report\treport\tNN\tB-NP\tO' -p242384 -aS'of\tof\tIN\tB-PP\tO' -p242385 -aS'Vencor\tVencor\tNNP\tB-NP\tO' -p242386 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p242387 -aS'.\t.\t.\tO\tO' -p242388 -asS'The patient denies any drug allergies .' -p242389 -(lp242390 -S'The\tThe\tDT\tB-NP\tO' -p242391 -aS'patient\tpatient\tNN\tI-NP\tO' -p242392 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p242393 -aS'any\tany\tDT\tB-NP\tO' -p242394 -aS'drug\tdrug\tNN\tI-NP\tO' -p242395 -aS'allergies\tallergy\tNNS\tI-NP\tO' -p242396 -aS'.\t.\t.\tO\tO' -p242397 -asS'No further electrolytes have been measured .' -p242398 -(lp242399 -S'No\tNo\tDT\tB-NP\tO' -p242400 -aS'further\tfurther\tJJ\tI-NP\tO' -p242401 -aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' -p242402 -aS'have\thave\tVBP\tB-VP\tO' -p242403 -aS'been\tbe\tVBN\tI-VP\tO' -p242404 -aS'measured\tmeasure\tVBN\tI-VP\tO' -p242405 -aS'.\t.\t.\tO\tO' -p242406 -asS'Fingerstick QACHS , 3 AM Insulin SC Fixed Dose Orders' -p242407 -(lp242408 -S'Fingerstick\tFingerstick\tNNP\tB-NP\tO' -p242409 -aS'QACHS\tQACHS\tNNP\tI-NP\tO' -p242410 -aS',\t,\t,\tO\tO' -p242411 -aS'3\t3\tCD\tB-NP\tO' -p242412 -aS'AM\tAM\tNNP\tI-NP\tO' -p242413 -aS'Insulin\tInsulin\tNNP\tI-NP\tO' -p242414 -aS'SC\tSC\tNNP\tI-NP\tO' -p242415 -aS'Fixed\tFixed\tNNP\tI-NP\tO' -p242416 -aS'Dose\tDose\tNNP\tI-NP\tO' -p242417 -aS'Orders\tOrders\tNNP\tI-NP\tO' -p242418 -asS'The most recent was done on May 4 , 1995 .' -p242419 -(lp242420 -S'The\tThe\tDT\tB-NP\tO' -p242421 -aS'most\tmost\tRBS\tI-NP\tO' -p242422 -aS'recent\trecent\tJJ\tI-NP\tO' -p242423 -aS'was\tbe\tVBD\tB-VP\tO' -p242424 -aS'done\tdo\tVBN\tI-VP\tO' -p242425 -aS'on\ton\tIN\tB-PP\tO' -p242426 -aS'May\tMay\tNNP\tB-NP\tO' -p242427 -aS'4\t4\tCD\tI-NP\tO' -p242428 -aS',\t,\t,\tI-NP\tO' -p242429 -aS'1995\t1995\tCD\tI-NP\tO' -p242430 -aS'.\t.\t.\tO\tO' -p242431 -asS'She was followed by psychiatry in consultation while she was on the medical floor .' -p242432 -(lp242433 -S'She\tShe\tPRP\tB-NP\tO' -p242434 -aS'was\tbe\tVBD\tB-VP\tO' -p242435 -aS'followed\tfollow\tVBN\tI-VP\tO' -p242436 -aS'by\tby\tIN\tB-PP\tO' -p242437 -aS'psychiatry\tpsychiatry\tNN\tB-NP\tO' -p242438 -aS'in\tin\tIN\tB-PP\tO' -p242439 -aS'consultation\tconsultation\tNN\tB-NP\tO' -p242440 -aS'while\twhile\tIN\tB-SBAR\tO' -p242441 -aS'she\tshe\tPRP\tB-NP\tO' -p242442 -aS'was\tbe\tVBD\tB-VP\tO' -p242443 -aS'on\ton\tIN\tB-PP\tO' -p242444 -aS'the\tthe\tDT\tB-NP\tO' -p242445 -aS'medical\tmedical\tJJ\tI-NP\tO' -p242446 -aS'floor\tfloor\tNN\tI-NP\tO' -p242447 -aS'.\t.\t.\tO\tO' -p242448 -asS'2. For pulmonary , the patient had a good O2 saturations on room air .' -p242449 -(lp242450 -S'2.\t2.\tLS\tB-LST\tO' -p242451 -aS'For\tFor\tIN\tB-PP\tO' -p242452 -aS'pulmonary\tpulmonary\tJJ\tB-ADJP\tO' -p242453 -aS',\t,\t,\tO\tO' -p242454 -aS'the\tthe\tDT\tB-NP\tO' -p242455 -aS'patient\tpatient\tNN\tI-NP\tO' -p242456 -aS'had\thave\tVBD\tB-VP\tO' -p242457 -aS'a\ta\tDT\tB-NP\tO' -p242458 -aS'good\tgood\tJJ\tI-NP\tO' -p242459 -aS'O2\tO2\tNN\tI-NP\tO' -p242460 -aS'saturations\tsaturation\tNNS\tI-NP\tO' -p242461 -aS'on\ton\tIN\tB-PP\tO' -p242462 -aS'room\troom\tNN\tB-NP\tO' -p242463 -aS'air\tair\tNN\tI-NP\tO' -p242464 -aS'.\t.\t.\tO\tO' -p242465 -asS'A. Instructions : with Dr. Matthew in 2-3 weeks with Dr. Dellinger in 2-3 weeks with Dr. les Gokey in 4 weeks' -p242466 -(lp242467 -S'A.\tA.\tNN\tB-NP\tO' -p242468 -aS'Instructions\tInstruction\tNNS\tI-NP\tO' -p242469 -aS':\t:\t:\tO\tO' -p242470 -aS'with\twith\tIN\tB-PP\tO' -p242471 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p242472 -aS'Matthew\tMatthew\tNNP\tI-NP\tO' -p242473 -aS'in\tin\tIN\tB-PP\tO' -p242474 -aS'2-3\t2-3\tCD\tB-NP\tO' -p242475 -aS'weeks\tweek\tNNS\tI-NP\tO' -p242476 -aS'with\twith\tIN\tB-PP\tO' -p242477 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p242478 -aS'Dellinger\tDellinger\tNNP\tI-NP\tO' -p242479 -aS'in\tin\tIN\tB-PP\tO' -p242480 -aS'2-3\t2-3\tCD\tB-NP\tO' -p242481 -aS'weeks\tweek\tNNS\tI-NP\tO' -p242482 -aS'with\twith\tIN\tB-PP\tO' -p242483 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p242484 -aS'les\tle\tVBZ\tB-VP\tO' -p242485 -aS'Gokey\tGokey\tNNP\tB-NP\tO' -p242486 -aS'in\tin\tIN\tB-PP\tO' -p242487 -aS'4\t4\tCD\tB-NP\tO' -p242488 -aS'weeks\tweek\tNNS\tI-NP\tO' -p242489 -asS'The patient 's past medical history is significant for allergies , depression and anxiety , pleural thickening / asbestosis , chronic left bundle branch block , tonsillectomy , adenoidectomy , vein stripping ( 1968 ) , left wrist fracture ( 1994 ) , and hypercholesterolemia .' -p242490 -(lp242491 -S'The\tThe\tDT\tB-NP\tO' -p242492 -aS'patient\tpatient\tNN\tI-NP\tO' -p242493 -aS''s\t'\tNNS\tI-NP\tO' -p242494 -aS'past\tpast\tIN\tB-PP\tO' -p242495 -aS'medical\tmedical\tJJ\tB-NP\tO' -p242496 -aS'history\thistory\tNN\tI-NP\tO' -p242497 -aS'is\tbe\tVBZ\tB-VP\tO' -p242498 -aS'significant\tsignificant\tJJ\tB-ADJP\tO' -p242499 -aS'for\tfor\tIN\tB-PP\tO' -p242500 -aS'allergies\tallergy\tNNS\tB-NP\tO' -p242501 -aS',\t,\t,\tO\tO' -p242502 -aS'depression\tdepression\tNN\tB-NP\tO' -p242503 -aS'and\tand\tCC\tI-NP\tO' -p242504 -aS'anxiety\tanxiety\tNN\tI-NP\tO' -p242505 -aS',\t,\t,\tO\tO' -p242506 -aS'pleural\tpleural\tJJ\tB-NP\tO' -p242507 -aS'thickening\tthickening\tNN\tI-NP\tO' -p242508 -aS'/\t/\tSYM\tB-NP\tO' -p242509 -aS'asbestosis\tasbestosis\tNN\tI-NP\tO' -p242510 -aS',\t,\t,\tO\tO' -p242511 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p242512 -aS'left\tleft\tJJ\tI-NP\tO' -p242513 -aS'bundle\tbundle\tNN\tI-NP\tO' -p242514 -aS'branch\tbranch\tNN\tI-NP\tO' -p242515 -aS'block\tblock\tNN\tI-NP\tO' -p242516 -aS',\t,\t,\tO\tO' -p242517 -aS'tonsillectomy\ttonsillectomy\tNN\tB-NP\tO' -p242518 -aS',\t,\t,\tO\tO' -p242519 -aS'adenoidectomy\tadenoidectomy\tNN\tB-NP\tO' -p242520 -aS',\t,\t,\tO\tO' -p242521 -aS'vein\tvein\tNN\tB-NP\tO' -p242522 -aS'stripping\tstripping\tNN\tI-NP\tO' -p242523 -aS'(\t(\t(\tO\tO' -p242524 -aS'1968\t1968\tCD\tB-NP\tO' -p242525 -aS')\t)\t)\tO\tO' -p242526 -aS',\t,\t,\tO\tO' -p242527 -aS'left\tleave\tVBD\tB-VP\tO' -p242528 -aS'wrist\twrist\tNN\tB-NP\tO' -p242529 -aS'fracture\tfracture\tNN\tI-NP\tO' -p242530 -aS'(\t(\t(\tO\tO' -p242531 -aS'1994\t1994\tCD\tB-NP\tO' -p242532 -aS')\t)\t)\tO\tO' -p242533 -aS',\t,\t,\tO\tO' -p242534 -aS'and\tand\tCC\tO\tO' -p242535 -aS'hypercholesterolemia\thypercholesterolemia\tNN\tB-NP\tO' -p242536 -aS'.\t.\t.\tO\tO' -p242537 -asS'Consent for autopsy was denied .' -p242538 -(lp242539 -S'Consent\tConsent\tNN\tB-NP\tO' -p242540 -aS'for\tfor\tIN\tB-PP\tO' -p242541 -aS'autopsy\tautopsy\tNN\tB-NP\tO' -p242542 -aS'was\tbe\tVBD\tB-VP\tO' -p242543 -aS'denied\tdeny\tVBN\tI-VP\tO' -p242544 -aS'.\t.\t.\tO\tO' -p242545 -asS'Negative for tobacco , drugs , or domestic violence .' -p242546 -(lp242547 -S'Negative\tNegative\tJJ\tB-ADJP\tO' -p242548 -aS'for\tfor\tIN\tB-PP\tO' -p242549 -aS'tobacco\ttobacco\tNN\tB-NP\tO' -p242550 -aS',\t,\t,\tO\tO' -p242551 -aS'drugs\tdrug\tNNS\tB-NP\tO' -p242552 -aS',\t,\t,\tO\tO' -p242553 -aS'or\tor\tCC\tO\tO' -p242554 -aS'domestic\tdomestic\tJJ\tB-NP\tO' -p242555 -aS'violence\tviolence\tNN\tI-NP\tO' -p242556 -aS'.\t.\t.\tO\tO' -p242557 -asS'BP meds held while was unstable .' -p242558 -(lp242559 -S'BP\tBP\tNN\tB-NP\tO' -p242560 -aS'meds\tmed\tNNS\tI-NP\tO' -p242561 -aS'held\thold\tVBN\tB-VP\tO' -p242562 -aS'while\twhile\tIN\tB-SBAR\tO' -p242563 -aS'was\tbe\tVBD\tB-VP\tO' -p242564 -aS'unstable\tunstable\tJJ\tB-ADJP\tO' -p242565 -aS'.\t.\t.\tO\tO' -p242566 -asS'3. Motrin 400 mg p.o. b.i.d. p.r.n. pain .' -p242567 -(lp242568 -S'3.\t3.\tLS\tB-NP\tO' -p242569 -aS'Motrin\tMotrin\tNN\tI-NP\tO' -p242570 -aS'400\t400\tCD\tI-NP\tO' -p242571 -aS'mg\tmg\tNN\tI-NP\tO' -p242572 -aS'p.o.\tp.o.\tFW\tB-NP\tO' -p242573 -aS'b.i.d.\tb.i.d.\tFW\tI-NP\tO' -p242574 -aS'p.r.n.\tp.r.n.\tFW\tI-NP\tO' -p242575 -aS'pain\tpain\tNN\tI-NP\tO' -p242576 -aS'.\t.\t.\tO\tO' -p242577 -asS'The margins do not appear to extend into the foramina transversaria .' -p242578 -(lp242579 -S'The\tThe\tDT\tB-NP\tO' -p242580 -aS'margins\tmargin\tNNS\tI-NP\tO' -p242581 -aS'do\tdo\tVBP\tB-VP\tO' -p242582 -aS'not\tnot\tRB\tI-VP\tO' -p242583 -aS'appear\tappear\tVB\tI-VP\tO' -p242584 -aS'to\tto\tTO\tI-VP\tO' -p242585 -aS'extend\textend\tVB\tI-VP\tO' -p242586 -aS'into\tinto\tIN\tB-PP\tO' -p242587 -aS'the\tthe\tDT\tB-NP\tO' -p242588 -aS'foramina\tforamina\tNN\tI-NP\tO' -p242589 -aS'transversaria\ttransversaria\tNN\tI-NP\tO' -p242590 -aS'.\t.\t.\tO\tO' -p242591 -asS'The patient also appeared to have stool from his Jackson-Pratt site and right oblique incision .' -p242592 -(lp242593 -S'The\tThe\tDT\tB-NP\tO' -p242594 -aS'patient\tpatient\tNN\tI-NP\tO' -p242595 -aS'also\talso\tRB\tB-ADVP\tO' -p242596 -aS'appeared\tappear\tVBD\tB-VP\tO' -p242597 -aS'to\tto\tTO\tI-VP\tO' -p242598 -aS'have\thave\tVB\tI-VP\tO' -p242599 -aS'stool\tstool\tNN\tB-NP\tO' -p242600 -aS'from\tfrom\tIN\tB-PP\tO' -p242601 -aS'his\this\tPRP$\tB-NP\tB-DNA' -p242602 -aS'Jackson-Pratt\tJackson-Pratt\tJJ\tI-NP\tI-DNA' -p242603 -aS'site\tsite\tNN\tI-NP\tI-DNA' -p242604 -aS'and\tand\tCC\tO\tO' -p242605 -aS'right\tright\tJJ\tB-NP\tO' -p242606 -aS'oblique\toblique\tJJ\tI-NP\tO' -p242607 -aS'incision\tincision\tNN\tI-NP\tO' -p242608 -aS'.\t.\t.\tO\tO' -p242609 -asS'During his postoperative course , he did not suffer from any arrhythmias nor did he have any episode of hypotension .' -p242610 -(lp242611 -S'During\tDuring\tIN\tB-PP\tO' -p242612 -aS'his\this\tPRP$\tB-NP\tO' -p242613 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p242614 -aS'course\tcourse\tNN\tI-NP\tO' -p242615 -aS',\t,\t,\tO\tO' -p242616 -aS'he\the\tPRP\tB-NP\tO' -p242617 -aS'did\tdo\tVBD\tB-VP\tO' -p242618 -aS'not\tnot\tRB\tI-VP\tO' -p242619 -aS'suffer\tsuffer\tVB\tI-VP\tO' -p242620 -aS'from\tfrom\tIN\tB-PP\tO' -p242621 -aS'any\tany\tDT\tB-NP\tO' -p242622 -aS'arrhythmias\tarrhythmia\tNNS\tI-NP\tO' -p242623 -aS'nor\tnor\tCC\tO\tO' -p242624 -aS'did\tdo\tVBD\tO\tO' -p242625 -aS'he\the\tPRP\tB-NP\tO' -p242626 -aS'have\thave\tVB\tB-VP\tO' -p242627 -aS'any\tany\tDT\tB-NP\tO' -p242628 -aS'episode\tepisode\tNN\tI-NP\tO' -p242629 -aS'of\tof\tIN\tB-PP\tO' -p242630 -aS'hypotension\thypotension\tNN\tB-NP\tO' -p242631 -aS'.\t.\t.\tO\tO' -p242632 -asS'8. Bisacodyl 5 mg Tablet , Delayed Release ( E.C. ) Sig : Two ( 2 ) Tablet , Delayed Release ( E.C. ) PO DAILY ( Daily ) as needed for constipation .' -p242633 -(lp242634 -S'8.\t8.\tCD\tB-NP\tO' -p242635 -aS'Bisacodyl\tBisacodyl\tNN\tI-NP\tO' -p242636 -aS'5\t5\tCD\tB-NP\tO' -p242637 -aS'mg\tmg\tNN\tI-NP\tO' -p242638 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p242639 -aS',\t,\t,\tO\tO' -p242640 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p242641 -aS'Release\tRelease\tNNP\tI-NP\tO' -p242642 -aS'(\t(\t(\tO\tO' -p242643 -aS'E.C.\tE.C.\tNNP\tB-NP\tO' -p242644 -aS')\t)\t)\tO\tO' -p242645 -aS'Sig\tSig\tNNP\tB-NP\tO' -p242646 -aS':\t:\t:\tO\tO' -p242647 -aS'Two\tTwo\tCD\tB-NP\tO' -p242648 -aS'(\t(\t(\tO\tO' -p242649 -aS'2\t2\tCD\tB-NP\tO' -p242650 -aS')\t)\t)\tO\tO' -p242651 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p242652 -aS',\t,\t,\tO\tO' -p242653 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p242654 -aS'Release\tRelease\tNNP\tI-NP\tO' -p242655 -aS'(\t(\t(\tO\tO' -p242656 -aS'E.C.\tE.C.\tNNP\tO\tO' -p242657 -aS')\t)\t)\tO\tO' -p242658 -aS'PO\tPO\tNN\tB-NP\tO' -p242659 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p242660 -aS'(\t(\t(\tO\tO' -p242661 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p242662 -aS')\t)\t)\tO\tO' -p242663 -aS'as\tas\tIN\tB-SBAR\tO' -p242664 -aS'needed\tneed\tVBN\tB-VP\tO' -p242665 -aS'for\tfor\tIN\tB-PP\tO' -p242666 -aS'constipation\tconstipation\tNN\tB-NP\tO' -p242667 -aS'.\t.\t.\tO\tO' -p242668 -asS'regular rhythm with no murmur , rub or gallop .' -p242669 -(lp242670 -S'regular\tregular\tJJ\tB-NP\tO' -p242671 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p242672 -aS'with\twith\tIN\tB-PP\tO' -p242673 -aS'no\tno\tDT\tB-NP\tO' -p242674 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p242675 -aS',\t,\t,\tI-NP\tO' -p242676 -aS'rub\trub\tNN\tI-NP\tO' -p242677 -aS'or\tor\tCC\tI-NP\tO' -p242678 -aS'gallop\tgallop\tNN\tI-NP\tO' -p242679 -aS'.\t.\t.\tO\tO' -p242680 -asS'Follow up with Dr. Marcia Bender to be arranged by the patient .' -p242681 -(lp242682 -S'Follow\tFollow\tVB\tB-VP\tO' -p242683 -aS'up\tup\tRP\tB-PRT\tO' -p242684 -aS'with\twith\tIN\tB-PP\tO' -p242685 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p242686 -aS'Marcia\tMarcia\tNNP\tI-NP\tO' -p242687 -aS'Bender\tBender\tNNP\tI-NP\tO' -p242688 -aS'to\tto\tTO\tB-VP\tO' -p242689 -aS'be\tbe\tVB\tI-VP\tO' -p242690 -aS'arranged\tarrange\tVBN\tI-VP\tO' -p242691 -aS'by\tby\tIN\tB-PP\tO' -p242692 -aS'the\tthe\tDT\tB-NP\tO' -p242693 -aS'patient\tpatient\tNN\tI-NP\tO' -p242694 -aS'.\t.\t.\tO\tO' -p242695 -asS'V1 through V3 , diminished light touch and pinprick in the left side .' -p242696 -(lp242697 -S'V1\tV1\tNN\tB-NP\tO' -p242698 -aS'through\tthrough\tIN\tB-PP\tO' -p242699 -aS'V3\tV3\tNN\tB-NP\tB-protein' -p242700 -aS',\t,\t,\tO\tO' -p242701 -aS'diminished\tdiminish\tVBD\tB-VP\tO' -p242702 -aS'light\tlight\tJJ\tB-NP\tO' -p242703 -aS'touch\ttouch\tNN\tI-NP\tO' -p242704 -aS'and\tand\tCC\tI-NP\tO' -p242705 -aS'pinprick\tpinprick\tNN\tI-NP\tO' -p242706 -aS'in\tin\tIN\tB-PP\tO' -p242707 -aS'the\tthe\tDT\tB-NP\tO' -p242708 -aS'left\tleft\tJJ\tI-NP\tO' -p242709 -aS'side\tside\tNN\tI-NP\tO' -p242710 -aS'.\t.\t.\tO\tO' -p242711 -asS'Infant transported to Neonatal Intensive Care Unit on facial CPAP .' -p242712 -(lp242713 -S'Infant\tInfant\tNN\tB-NP\tO' -p242714 -aS'transported\ttransport\tVBN\tB-VP\tO' -p242715 -aS'to\tto\tTO\tB-PP\tO' -p242716 -aS'Neonatal\tNeonatal\tNNP\tB-NP\tO' -p242717 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p242718 -aS'Care\tCare\tNNP\tI-NP\tO' -p242719 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p242720 -aS'on\ton\tIN\tB-PP\tO' -p242721 -aS'facial\tfacial\tJJ\tB-NP\tO' -p242722 -aS'CPAP\tCPAP\tNN\tI-NP\tB-protein' -p242723 -aS'.\t.\t.\tO\tO' -p242724 -asS'Administer iron products a minimum of 2 hours before or after a levofloxacin or ciprofloxacin dose dose If on tube feeds , please cycle ( hold 1 hr before to 2 hr after ) Take 2 hours before or 2 hours after dairy products .' -p242725 -(lp242726 -S'Administer\tAdminister\tNN\tB-NP\tO' -p242727 -aS'iron\tiron\tNN\tI-NP\tO' -p242728 -aS'products\tproduct\tNNS\tI-NP\tO' -p242729 -aS'a\ta\tDT\tB-NP\tO' -p242730 -aS'minimum\tminimum\tNN\tI-NP\tO' -p242731 -aS'of\tof\tIN\tB-PP\tO' -p242732 -aS'2\t2\tCD\tB-NP\tO' -p242733 -aS'hours\thour\tNNS\tI-NP\tO' -p242734 -aS'before\tbefore\tIN\tB-PP\tO' -p242735 -aS'or\tor\tCC\tI-PP\tO' -p242736 -aS'after\tafter\tIN\tI-PP\tO' -p242737 -aS'a\ta\tDT\tB-NP\tO' -p242738 -aS'levofloxacin\tlevofloxacin\tNN\tI-NP\tO' -p242739 -aS'or\tor\tCC\tI-NP\tO' -p242740 -aS'ciprofloxacin\tciprofloxacin\tNN\tI-NP\tO' -p242741 -aS'dose\tdose\tNN\tI-NP\tO' -p242742 -aS'dose\tdose\tNN\tI-NP\tO' -p242743 -aS'If\tIf\tIN\tB-SBAR\tO' -p242744 -aS'on\ton\tIN\tB-PP\tO' -p242745 -aS'tube\ttube\tNN\tB-NP\tO' -p242746 -aS'feeds\tfeed\tNNS\tI-NP\tO' -p242747 -aS',\t,\t,\tO\tO' -p242748 -aS'please\tplease\tNN\tB-NP\tO' -p242749 -aS'cycle\tcycle\tNN\tI-NP\tO' -p242750 -aS'(\t(\t(\tO\tO' -p242751 -aS'hold\thold\tNN\tB-NP\tO' -p242752 -aS'1\t1\tCD\tI-NP\tO' -p242753 -aS'hr\thr\tNN\tI-NP\tO' -p242754 -aS'before\tbefore\tIN\tB-PP\tO' -p242755 -aS'to\tto\tTO\tB-PP\tO' -p242756 -aS'2\t2\tCD\tB-NP\tO' -p242757 -aS'hr\thr\tNN\tI-NP\tO' -p242758 -aS'after\tafter\tIN\tB-SBAR\tO' -p242759 -aS')\t)\t)\tO\tO' -p242760 -aS'Take\tTake\tNN\tB-NP\tO' -p242761 -aS'2\t2\tCD\tB-NP\tO' -p242762 -aS'hours\thour\tNNS\tI-NP\tO' -p242763 -aS'before\tbefore\tIN\tB-PP\tO' -p242764 -aS'or\tor\tCC\tB-NP\tO' -p242765 -aS'2\t2\tCD\tI-NP\tO' -p242766 -aS'hours\thour\tNNS\tI-NP\tO' -p242767 -aS'after\tafter\tIN\tB-PP\tO' -p242768 -aS'dairy\tdairy\tNN\tB-NP\tO' -p242769 -aS'products\tproduct\tNNS\tI-NP\tO' -p242770 -aS'.\t.\t.\tO\tO' -p242771 -asS'There is more rightward mediastinal shift , suggesting new atelectasis in the right lung .' -p242772 -(lp242773 -S'There\tThere\tEX\tB-NP\tO' -p242774 -aS'is\tbe\tVBZ\tB-VP\tO' -p242775 -aS'more\tmore\tRBR\tB-NP\tO' -p242776 -aS'rightward\trightward\tJJ\tI-NP\tO' -p242777 -aS'mediastinal\tmediastinal\tJJ\tI-NP\tO' -p242778 -aS'shift\tshift\tNN\tI-NP\tO' -p242779 -aS',\t,\t,\tO\tO' -p242780 -aS'suggesting\tsuggest\tVBG\tB-VP\tO' -p242781 -aS'new\tnew\tJJ\tB-NP\tO' -p242782 -aS'atelectasis\tatelectasis\tNN\tI-NP\tO' -p242783 -aS'in\tin\tIN\tB-PP\tO' -p242784 -aS'the\tthe\tDT\tB-NP\tO' -p242785 -aS'right\tright\tJJ\tI-NP\tO' -p242786 -aS'lung\tlung\tNN\tI-NP\tO' -p242787 -aS'.\t.\t.\tO\tO' -p242788 -asS'A CBC and blood culture obtained on admission .' -p242789 -(lp242790 -S'A\tA\tDT\tB-NP\tO' -p242791 -aS'CBC\tCBC\tNN\tI-NP\tB-protein' -p242792 -aS'and\tand\tCC\tI-NP\tO' -p242793 -aS'blood\tblood\tNN\tI-NP\tO' -p242794 -aS'culture\tculture\tNN\tI-NP\tO' -p242795 -aS'obtained\tobtain\tVBN\tB-VP\tO' -p242796 -aS'on\ton\tIN\tB-PP\tO' -p242797 -aS'admission\tadmission\tNN\tB-NP\tO' -p242798 -aS'.\t.\t.\tO\tO' -p242799 -asS'She did quite well with Physical Therapy and was ambulating with a walker and crutches by 7/3/90 .' -p242800 -(lp242801 -S'She\tShe\tPRP\tB-NP\tO' -p242802 -aS'did\tdo\tVBD\tB-VP\tO' -p242803 -aS'quite\tquite\tRB\tB-ADVP\tO' -p242804 -aS'well\twell\tRB\tI-ADVP\tO' -p242805 -aS'with\twith\tIN\tB-PP\tO' -p242806 -aS'Physical\tPhysical\tJJ\tB-NP\tO' -p242807 -aS'Therapy\tTherapy\tNN\tI-NP\tO' -p242808 -aS'and\tand\tCC\tO\tO' -p242809 -aS'was\tbe\tVBD\tB-VP\tO' -p242810 -aS'ambulating\tambulate\tVBG\tI-VP\tO' -p242811 -aS'with\twith\tIN\tB-PP\tO' -p242812 -aS'a\ta\tDT\tB-NP\tO' -p242813 -aS'walker\twalker\tNN\tI-NP\tO' -p242814 -aS'and\tand\tCC\tI-NP\tO' -p242815 -aS'crutches\tcrutch\tNNS\tI-NP\tO' -p242816 -aS'by\tby\tIN\tB-PP\tO' -p242817 -aS'7/3/90\t7/3/90\tCD\tB-NP\tO' -p242818 -aS'.\t.\t.\tO\tO' -p242819 -asS'6. Pantoprazole 40 mg Tablet , Delayed Release ( E.C. ) Sig : 0.5 Tablet , Delayed Release ( E.C. ) PO Q24H ( every 24 hours ) .' -p242820 -(lp242821 -S'6.\t6.\tLS\tB-NP\tO' -p242822 -aS'Pantoprazole\tPantoprazole\tNN\tI-NP\tO' -p242823 -aS'40\t40\tCD\tI-NP\tO' -p242824 -aS'mg\tmg\tNN\tI-NP\tO' -p242825 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p242826 -aS',\t,\t,\tO\tO' -p242827 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p242828 -aS'Release\tRelease\tNNP\tI-NP\tO' -p242829 -aS'(\t(\t(\tO\tO' -p242830 -aS'E.C.\tE.C.\tNNP\tB-NP\tO' -p242831 -aS')\t)\t)\tO\tO' -p242832 -aS'Sig\tSig\tNNP\tB-NP\tO' -p242833 -aS':\t:\t:\tO\tO' -p242834 -aS'0.5\t0.5\tCD\tB-NP\tO' -p242835 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p242836 -aS',\t,\t,\tO\tO' -p242837 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p242838 -aS'Release\tRelease\tNNP\tI-NP\tO' -p242839 -aS'(\t(\t(\tO\tO' -p242840 -aS'E.C.\tE.C.\tNNP\tO\tO' -p242841 -aS')\t)\t)\tO\tO' -p242842 -aS'PO\tPO\tNN\tB-NP\tO' -p242843 -aS'Q24H\tQ24H\tNN\tI-NP\tO' -p242844 -aS'(\t(\t(\tO\tO' -p242845 -aS'every\tevery\tDT\tB-NP\tO' -p242846 -aS'24\t24\tCD\tI-NP\tO' -p242847 -aS'hours\thour\tNNS\tI-NP\tO' -p242848 -aS')\t)\t)\tO\tO' -p242849 -aS'.\t.\t.\tO\tO' -p242850 -asS'Prominent salivary glands bilaterally .' -p242851 -(lp242852 -S'Prominent\tProminent\tJJ\tB-NP\tO' -p242853 -aS'salivary\tsalivary\tJJ\tI-NP\tO' -p242854 -aS'glands\tgland\tNNS\tI-NP\tO' -p242855 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p242856 -aS'.\t.\t.\tO\tO' -p242857 -asS'D-dimer in the emergency room was greater than 1000 and a right common femoral clot was seen .' -p242858 -(lp242859 -S'D-dimer\tD-dimer\tNN\tB-NP\tO' -p242860 -aS'in\tin\tIN\tB-PP\tO' -p242861 -aS'the\tthe\tDT\tB-NP\tO' -p242862 -aS'emergency\temergency\tNN\tI-NP\tO' -p242863 -aS'room\troom\tNN\tI-NP\tO' -p242864 -aS'was\tbe\tVBD\tB-VP\tO' -p242865 -aS'greater\tgreat\tJJR\tB-ADJP\tO' -p242866 -aS'than\tthan\tIN\tB-PP\tO' -p242867 -aS'1000\t1000\tCD\tB-NP\tO' -p242868 -aS'and\tand\tCC\tO\tO' -p242869 -aS'a\ta\tDT\tB-NP\tO' -p242870 -aS'right\tright\tJJ\tI-NP\tO' -p242871 -aS'common\tcommon\tJJ\tI-NP\tO' -p242872 -aS'femoral\tfemoral\tJJ\tI-NP\tO' -p242873 -aS'clot\tclot\tNN\tI-NP\tO' -p242874 -aS'was\tbe\tVBD\tB-VP\tO' -p242875 -aS'seen\tsee\tVBN\tI-VP\tO' -p242876 -aS'.\t.\t.\tO\tO' -p242877 -asS'Employment : on short term disability , has boat which he enjoys as hobby' -p242878 -(lp242879 -S'Employment\tEmployment\tNN\tB-NP\tO' -p242880 -aS':\t:\t:\tO\tO' -p242881 -aS'on\ton\tIN\tB-PP\tO' -p242882 -aS'short\tshort\tJJ\tB-NP\tO' -p242883 -aS'term\tterm\tNN\tI-NP\tO' -p242884 -aS'disability\tdisability\tNN\tI-NP\tO' -p242885 -aS',\t,\t,\tO\tO' -p242886 -aS'has\thave\tVBZ\tB-VP\tO' -p242887 -aS'boat\tboat\tNN\tB-NP\tO' -p242888 -aS'which\twhich\tWDT\tB-NP\tO' -p242889 -aS'he\the\tPRP\tB-NP\tO' -p242890 -aS'enjoys\tenjoy\tVBZ\tB-VP\tO' -p242891 -aS'as\tas\tIN\tB-PP\tO' -p242892 -aS'hobby\thobby\tNN\tB-NP\tO' -p242893 -asS'She had a normal pelvic examination and CT scan in February of 1993 but one month prior to this admission starting bleeding per vagina .' -p242894 -(lp242895 -S'She\tShe\tPRP\tB-NP\tO' -p242896 -aS'had\thave\tVBD\tB-VP\tO' -p242897 -aS'a\ta\tDT\tB-NP\tO' -p242898 -aS'normal\tnormal\tJJ\tI-NP\tO' -p242899 -aS'pelvic\tpelvic\tJJ\tI-NP\tO' -p242900 -aS'examination\texamination\tNN\tI-NP\tO' -p242901 -aS'and\tand\tCC\tI-NP\tO' -p242902 -aS'CT\tCT\tNN\tI-NP\tO' -p242903 -aS'scan\tscan\tNN\tI-NP\tO' -p242904 -aS'in\tin\tIN\tB-PP\tO' -p242905 -aS'February\tFebruary\tNNP\tB-NP\tO' -p242906 -aS'of\tof\tIN\tB-PP\tO' -p242907 -aS'1993\t1993\tCD\tB-NP\tO' -p242908 -aS'but\tbut\tCC\tO\tO' -p242909 -aS'one\tone\tCD\tB-NP\tO' -p242910 -aS'month\tmonth\tNN\tI-NP\tO' -p242911 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p242912 -aS'to\tto\tTO\tB-PP\tO' -p242913 -aS'this\tthis\tDT\tB-NP\tO' -p242914 -aS'admission\tadmission\tNN\tI-NP\tO' -p242915 -aS'starting\tstart\tVBG\tB-PP\tO' -p242916 -aS'bleeding\tbleed\tVBG\tB-VP\tO' -p242917 -aS'per\tper\tIN\tB-PP\tO' -p242918 -aS'vagina\tvagina\tNN\tB-NP\tO' -p242919 -aS'.\t.\t.\tO\tO' -p242920 -asS'The workup to rule out secondary cause of hypertension given the patient 's young age and the difficulty controlling the blood pressure was started as an inpatient and will be completed by Dr. ______________as an outpatient .' -p242921 -(lp242922 -S'The\tThe\tDT\tB-NP\tO' -p242923 -aS'workup\tworkup\tNN\tI-NP\tO' -p242924 -aS'to\tto\tTO\tB-VP\tO' -p242925 -aS'rule\trule\tVB\tI-VP\tO' -p242926 -aS'out\tout\tRP\tB-PRT\tO' -p242927 -aS'secondary\tsecondary\tJJ\tB-NP\tO' -p242928 -aS'cause\tcause\tNN\tI-NP\tO' -p242929 -aS'of\tof\tIN\tB-PP\tO' -p242930 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p242931 -aS'given\tgive\tVBN\tB-VP\tO' -p242932 -aS'the\tthe\tDT\tB-NP\tO' -p242933 -aS'patient\tpatient\tNN\tI-NP\tO' -p242934 -aS''s\t'\tNNS\tI-NP\tO' -p242935 -aS'young\tyoung\tJJ\tB-NP\tO' -p242936 -aS'age\tage\tNN\tI-NP\tO' -p242937 -aS'and\tand\tCC\tO\tO' -p242938 -aS'the\tthe\tDT\tB-NP\tO' -p242939 -aS'difficulty\tdifficulty\tNN\tI-NP\tO' -p242940 -aS'controlling\tcontrol\tVBG\tB-VP\tO' -p242941 -aS'the\tthe\tDT\tB-NP\tO' -p242942 -aS'blood\tblood\tNN\tI-NP\tO' -p242943 -aS'pressure\tpressure\tNN\tI-NP\tO' -p242944 -aS'was\tbe\tVBD\tB-VP\tO' -p242945 -aS'started\tstart\tVBN\tI-VP\tO' -p242946 -aS'as\tas\tIN\tB-PP\tO' -p242947 -aS'an\tan\tDT\tB-NP\tO' -p242948 -aS'inpatient\tinpatient\tNN\tI-NP\tO' -p242949 -aS'and\tand\tCC\tO\tO' -p242950 -aS'will\twill\tMD\tB-VP\tO' -p242951 -aS'be\tbe\tVB\tI-VP\tO' -p242952 -aS'completed\tcomplete\tVBN\tI-VP\tO' -p242953 -aS'by\tby\tIN\tB-PP\tO' -p242954 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p242955 -aS'______________as\t______________a\tVBZ\tB-VP\tO' -p242956 -aS'an\tan\tDT\tB-NP\tO' -p242957 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p242958 -aS'.\t.\t.\tO\tO' -p242959 -asS'There was artificial rupture of membranes was performed at the delivery .' -p242960 -(lp242961 -S'There\tThere\tEX\tB-NP\tO' -p242962 -aS'was\tbe\tVBD\tB-VP\tO' -p242963 -aS'artificial\tartificial\tJJ\tB-NP\tO' -p242964 -aS'rupture\trupture\tNN\tI-NP\tO' -p242965 -aS'of\tof\tIN\tB-PP\tO' -p242966 -aS'membranes\tmembrane\tNNS\tB-NP\tO' -p242967 -aS'was\tbe\tVBD\tB-VP\tO' -p242968 -aS'performed\tperform\tVBN\tI-VP\tO' -p242969 -aS'at\tat\tIN\tB-PP\tO' -p242970 -aS'the\tthe\tDT\tB-NP\tO' -p242971 -aS'delivery\tdelivery\tNN\tI-NP\tO' -p242972 -aS'.\t.\t.\tO\tO' -p242973 -asS'On pressor to hold mean 60 .' -p242974 -(lp242975 -S'On\tOn\tIN\tB-PP\tO' -p242976 -aS'pressor\tpressor\tNN\tB-NP\tO' -p242977 -aS'to\tto\tTO\tB-VP\tO' -p242978 -aS'hold\thold\tVB\tI-VP\tO' -p242979 -aS'mean\tmean\tNN\tB-NP\tO' -p242980 -aS'60\t60\tCD\tI-NP\tO' -p242981 -aS'.\t.\t.\tO\tO' -p242982 -asS'17. Tacrolimus 1 mg Capsule Sig : Two ( 2 ) Capsule PO twice a day .' -p242983 -(lp242984 -S'17.\t17.\tCD\tB-NP\tO' -p242985 -aS'Tacrolimus\tTacrolimus\tNNP\tI-NP\tO' -p242986 -aS'1\t1\tCD\tI-NP\tO' -p242987 -aS'mg\tmg\tNN\tI-NP\tO' -p242988 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p242989 -aS'Sig\tSig\tNNP\tI-NP\tO' -p242990 -aS':\t:\t:\tO\tO' -p242991 -aS'Two\tTwo\tCD\tB-NP\tO' -p242992 -aS'(\t(\t(\tO\tO' -p242993 -aS'2\t2\tCD\tB-NP\tO' -p242994 -aS')\t)\t)\tO\tO' -p242995 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p242996 -aS'PO\tPO\tNNP\tI-NP\tO' -p242997 -aS'twice\ttwice\tRB\tB-NP\tO' -p242998 -aS'a\ta\tDT\tI-NP\tO' -p242999 -aS'day\tday\tNN\tI-NP\tO' -p243000 -aS'.\t.\t.\tO\tO' -p243001 -asS'Senokot two tablets po. bid or Metamucil one tablespoon po. bid .' -p243002 -(lp243003 -S'Senokot\tSenokot\tNNP\tB-NP\tO' -p243004 -aS'two\ttwo\tCD\tI-NP\tO' -p243005 -aS'tablets\ttablet\tNNS\tI-NP\tO' -p243006 -aS'po.\tpo.\tNN\tI-NP\tO' -p243007 -aS'bid\tbid\tNN\tI-NP\tO' -p243008 -aS'or\tor\tCC\tO\tO' -p243009 -aS'Metamucil\tMetamucil\tNN\tB-NP\tO' -p243010 -aS'one\tone\tCD\tI-NP\tO' -p243011 -aS'tablespoon\ttablespoon\tNN\tI-NP\tO' -p243012 -aS'po.\tpo.\tNN\tI-NP\tO' -p243013 -aS'bid\tbid\tNN\tI-NP\tO' -p243014 -aS'.\t.\t.\tO\tO' -p243015 -asS'He had complete loss of synthetic and conjugation function of the liver with rising bilirubin and falling albumin with dependence on transfusion for support of his prothrombin time .' -p243016 -(lp243017 -S'He\tHe\tPRP\tB-NP\tO' -p243018 -aS'had\thave\tVBD\tB-VP\tO' -p243019 -aS'complete\tcomplete\tJJ\tB-NP\tO' -p243020 -aS'loss\tloss\tNN\tI-NP\tO' -p243021 -aS'of\tof\tIN\tB-PP\tO' -p243022 -aS'synthetic\tsynthetic\tJJ\tB-NP\tO' -p243023 -aS'and\tand\tCC\tI-NP\tO' -p243024 -aS'conjugation\tconjugation\tNN\tI-NP\tO' -p243025 -aS'function\tfunction\tNN\tI-NP\tO' -p243026 -aS'of\tof\tIN\tB-PP\tO' -p243027 -aS'the\tthe\tDT\tB-NP\tO' -p243028 -aS'liver\tliver\tNN\tI-NP\tO' -p243029 -aS'with\twith\tIN\tB-PP\tO' -p243030 -aS'rising\trise\tVBG\tB-NP\tO' -p243031 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p243032 -aS'and\tand\tCC\tO\tO' -p243033 -aS'falling\tfall\tVBG\tB-NP\tO' -p243034 -aS'albumin\talbumin\tNN\tI-NP\tO' -p243035 -aS'with\twith\tIN\tB-PP\tO' -p243036 -aS'dependence\tdependence\tNN\tB-NP\tO' -p243037 -aS'on\ton\tIN\tB-PP\tO' -p243038 -aS'transfusion\ttransfusion\tNN\tB-NP\tO' -p243039 -aS'for\tfor\tIN\tB-PP\tO' -p243040 -aS'support\tsupport\tNN\tB-NP\tO' -p243041 -aS'of\tof\tIN\tB-PP\tO' -p243042 -aS'his\this\tPRP$\tB-NP\tO' -p243043 -aS'prothrombin\tprothrombin\tNN\tI-NP\tO' -p243044 -aS'time\ttime\tNN\tI-NP\tO' -p243045 -aS'.\t.\t.\tO\tO' -p243046 -asS'The patient found that if she took the aspirin in the evening with her Benadryl that she takes for sleep , that the asthma exacerbation did not occur .' -p243047 -(lp243048 -S'The\tThe\tDT\tB-NP\tO' -p243049 -aS'patient\tpatient\tNN\tI-NP\tO' -p243050 -aS'found\tfind\tVBD\tB-VP\tO' -p243051 -aS'that\tthat\tIN\tB-SBAR\tO' -p243052 -aS'if\tif\tIN\tB-SBAR\tO' -p243053 -aS'she\tshe\tPRP\tB-NP\tO' -p243054 -aS'took\ttake\tVBD\tB-VP\tO' -p243055 -aS'the\tthe\tDT\tB-NP\tO' -p243056 -aS'aspirin\taspirin\tNN\tI-NP\tO' -p243057 -aS'in\tin\tIN\tB-PP\tO' -p243058 -aS'the\tthe\tDT\tB-NP\tO' -p243059 -aS'evening\tevening\tNN\tI-NP\tO' -p243060 -aS'with\twith\tIN\tB-PP\tO' -p243061 -aS'her\ther\tPRP$\tB-NP\tO' -p243062 -aS'Benadryl\tBenadryl\tNN\tI-NP\tO' -p243063 -aS'that\tthat\tIN\tB-SBAR\tO' -p243064 -aS'she\tshe\tPRP\tB-NP\tO' -p243065 -aS'takes\ttake\tVBZ\tB-VP\tO' -p243066 -aS'for\tfor\tIN\tB-PP\tO' -p243067 -aS'sleep\tsleep\tNN\tB-NP\tO' -p243068 -aS',\t,\t,\tO\tO' -p243069 -aS'that\tthat\tIN\tB-SBAR\tO' -p243070 -aS'the\tthe\tDT\tB-NP\tO' -p243071 -aS'asthma\tasthma\tNN\tI-NP\tO' -p243072 -aS'exacerbation\texacerbation\tNN\tI-NP\tO' -p243073 -aS'did\tdo\tVBD\tB-VP\tO' -p243074 -aS'not\tnot\tRB\tI-VP\tO' -p243075 -aS'occur\toccur\tVB\tI-VP\tO' -p243076 -aS'.\t.\t.\tO\tO' -p243077 -asS'Blood pressure 84/43 with a mean of 59 .' -p243078 -(lp243079 -S'Blood\tBlood\tNN\tB-NP\tO' -p243080 -aS'pressure\tpressure\tNN\tI-NP\tO' -p243081 -aS'84/43\t84/43\tCD\tI-NP\tO' -p243082 -aS'with\twith\tIN\tB-PP\tO' -p243083 -aS'a\ta\tDT\tB-NP\tO' -p243084 -aS'mean\tmean\tNN\tI-NP\tO' -p243085 -aS'of\tof\tIN\tB-PP\tO' -p243086 -aS'59\t59\tCD\tB-NP\tO' -p243087 -aS'.\t.\t.\tO\tO' -p243088 -asS'Make an appointment with Dr. Aguirre for 1-2 weeks .' -p243089 -(lp243090 -S'Make\tMake\tVB\tB-VP\tO' -p243091 -aS'an\tan\tDT\tB-NP\tO' -p243092 -aS'appointment\tappointment\tNN\tI-NP\tO' -p243093 -aS'with\twith\tIN\tB-PP\tO' -p243094 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p243095 -aS'Aguirre\tAguirre\tNNP\tI-NP\tO' -p243096 -aS'for\tfor\tIN\tB-PP\tO' -p243097 -aS'1-2\t1-2\tCD\tB-NP\tO' -p243098 -aS'weeks\tweek\tNNS\tI-NP\tO' -p243099 -aS'.\t.\t.\tO\tO' -p243100 -asS'12. Prednisone 5 mg once daily .' -p243101 -(lp243102 -S'12.\t12.\tCD\tB-NP\tO' -p243103 -aS'Prednisone\tPrednisone\tNN\tI-NP\tO' -p243104 -aS'5\t5\tCD\tB-NP\tO' -p243105 -aS'mg\tmg\tNN\tI-NP\tO' -p243106 -aS'once\tonce\tRB\tB-ADVP\tO' -p243107 -aS'daily\tdaily\tRB\tI-ADVP\tO' -p243108 -aS'.\t.\t.\tO\tO' -p243109 -asS'She was set to be discharged to home on 11-28 , on postoperative day seven .' -p243110 -(lp243111 -S'She\tShe\tPRP\tB-NP\tO' -p243112 -aS'was\tbe\tVBD\tB-VP\tO' -p243113 -aS'set\tset\tVBN\tI-VP\tO' -p243114 -aS'to\tto\tTO\tI-VP\tO' -p243115 -aS'be\tbe\tVB\tI-VP\tO' -p243116 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p243117 -aS'to\tto\tTO\tB-PP\tO' -p243118 -aS'home\thome\tNN\tB-NP\tO' -p243119 -aS'on\ton\tIN\tB-PP\tO' -p243120 -aS'11-28\t11-28\tCD\tB-NP\tO' -p243121 -aS',\t,\t,\tO\tO' -p243122 -aS'on\ton\tIN\tB-PP\tO' -p243123 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p243124 -aS'day\tday\tNN\tI-NP\tO' -p243125 -aS'seven\tseven\tCD\tI-NP\tO' -p243126 -aS'.\t.\t.\tO\tO' -p243127 -asS'However , just prior to admission to Mass. Eye & Ear Infirmary he had another acute decompensation with CHF exacerbation .' -p243128 -(lp243129 -S'However\tHowever\tRB\tB-ADVP\tO' -p243130 -aS',\t,\t,\tO\tO' -p243131 -aS'just\tjust\tRB\tB-NP\tO' -p243132 -aS'prior\tprior\tJJ\tI-NP\tO' -p243133 -aS'to\tto\tTO\tB-PP\tO' -p243134 -aS'admission\tadmission\tNN\tB-NP\tO' -p243135 -aS'to\tto\tTO\tB-PP\tO' -p243136 -aS'Mass.\tMass.\tNNP\tB-NP\tO' -p243137 -aS'Eye\tEye\tNNP\tI-NP\tO' -p243138 -aS'&\t&\tCC\tI-NP\tO' -p243139 -aS'Ear\tEar\tNNP\tI-NP\tO' -p243140 -aS'Infirmary\tInfirmary\tNNP\tI-NP\tO' -p243141 -aS'he\the\tPRP\tB-NP\tO' -p243142 -aS'had\thave\tVBD\tB-VP\tO' -p243143 -aS'another\tanother\tDT\tB-NP\tO' -p243144 -aS'acute\tacute\tJJ\tI-NP\tO' -p243145 -aS'decompensation\tdecompensation\tNN\tI-NP\tO' -p243146 -aS'with\twith\tIN\tB-PP\tO' -p243147 -aS'CHF\tCHF\tNN\tB-NP\tO' -p243148 -aS'exacerbation\texacerbation\tNN\tI-NP\tO' -p243149 -aS'.\t.\t.\tO\tO' -p243150 -asS'This must be carefully checked despite the standing order for potassium .' -p243151 -(lp243152 -S'This\tThis\tDT\tB-NP\tO' -p243153 -aS'must\tmust\tMD\tB-VP\tO' -p243154 -aS'be\tbe\tVB\tI-VP\tO' -p243155 -aS'carefully\tcarefully\tRB\tI-VP\tO' -p243156 -aS'checked\tcheck\tVBN\tI-VP\tO' -p243157 -aS'despite\tdespite\tIN\tB-PP\tO' -p243158 -aS'the\tthe\tDT\tB-NP\tO' -p243159 -aS'standing\tstanding\tNN\tI-NP\tO' -p243160 -aS'order\torder\tNN\tI-NP\tO' -p243161 -aS'for\tfor\tIN\tB-PP\tO' -p243162 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p243163 -aS'.\t.\t.\tO\tO' -p243164 -asS'Is called out of the FICU as has been been HD and stable HCT .' -p243165 -(lp243166 -S'Is\tBe\tVBZ\tO\tO' -p243167 -aS'called\tcall\tVBN\tB-VP\tO' -p243168 -aS'out\tout\tIN\tB-PP\tO' -p243169 -aS'of\tof\tIN\tB-PP\tO' -p243170 -aS'the\tthe\tDT\tB-NP\tO' -p243171 -aS'FICU\tFICU\tNN\tI-NP\tO' -p243172 -aS'as\tas\tIN\tB-SBAR\tO' -p243173 -aS'has\thave\tVBZ\tB-VP\tO' -p243174 -aS'been\tbe\tVBN\tI-VP\tO' -p243175 -aS'been\tbe\tVBN\tI-VP\tO' -p243176 -aS'HD\tHD\tNN\tB-NP\tO' -p243177 -aS'and\tand\tCC\tO\tO' -p243178 -aS'stable\tstable\tJJ\tB-NP\tO' -p243179 -aS'HCT\tHCT\tNN\tI-NP\tO' -p243180 -aS'.\t.\t.\tO\tO' -p243181 -asS'Cranial nerves intact .' -p243182 -(lp243183 -S'Cranial\tCranial\tNNP\tB-NP\tO' -p243184 -aS'nerves\tnerve\tVBZ\tB-VP\tO' -p243185 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p243186 -aS'.\t.\t.\tO\tO' -p243187 -asS'5. Paraplegia secondary to HTLV from a trip to the Bahamas five to six years ago .' -p243188 -(lp243189 -S'5.\t5.\tLS\tB-LST\tO' -p243190 -aS'Paraplegia\tParaplegia\tNNP\tB-NP\tO' -p243191 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p243192 -aS'to\tto\tTO\tB-PP\tO' -p243193 -aS'HTLV\tHTLV\tNN\tB-NP\tB-protein' -p243194 -aS'from\tfrom\tIN\tB-PP\tO' -p243195 -aS'a\ta\tDT\tB-NP\tO' -p243196 -aS'trip\ttrip\tNN\tI-NP\tO' -p243197 -aS'to\tto\tTO\tB-PP\tO' -p243198 -aS'the\tthe\tDT\tB-NP\tO' -p243199 -aS'Bahamas\tBahama\tNNPS\tI-NP\tO' -p243200 -aS'five\tfive\tCD\tI-NP\tO' -p243201 -aS'to\tto\tTO\tI-NP\tO' -p243202 -aS'six\tsix\tCD\tI-NP\tO' -p243203 -aS'years\tyear\tNNS\tI-NP\tO' -p243204 -aS'ago\tago\tRB\tB-ADVP\tO' -p243205 -aS'.\t.\t.\tO\tO' -p243206 -asS'The patient continued to be followed by the Electrophysiology Service , who determined that the patient was demonstrating severe vasal sensitivity with bradycardia necessitating pacemaker placement .' -p243207 -(lp243208 -S'The\tThe\tDT\tB-NP\tO' -p243209 -aS'patient\tpatient\tNN\tI-NP\tO' -p243210 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p243211 -aS'to\tto\tTO\tI-VP\tO' -p243212 -aS'be\tbe\tVB\tI-VP\tO' -p243213 -aS'followed\tfollow\tVBN\tI-VP\tO' -p243214 -aS'by\tby\tIN\tB-PP\tO' -p243215 -aS'the\tthe\tDT\tB-NP\tO' -p243216 -aS'Electrophysiology\tElectrophysiology\tNNP\tI-NP\tO' -p243217 -aS'Service\tService\tNNP\tI-NP\tO' -p243218 -aS',\t,\t,\tO\tO' -p243219 -aS'who\twho\tWP\tB-NP\tO' -p243220 -aS'determined\tdetermine\tVBD\tB-VP\tO' -p243221 -aS'that\tthat\tIN\tB-SBAR\tO' -p243222 -aS'the\tthe\tDT\tB-NP\tO' -p243223 -aS'patient\tpatient\tNN\tI-NP\tO' -p243224 -aS'was\tbe\tVBD\tB-VP\tO' -p243225 -aS'demonstrating\tdemonstrate\tVBG\tI-VP\tO' -p243226 -aS'severe\tsevere\tJJ\tB-NP\tO' -p243227 -aS'vasal\tvasal\tJJ\tI-NP\tO' -p243228 -aS'sensitivity\tsensitivity\tNN\tI-NP\tO' -p243229 -aS'with\twith\tIN\tB-PP\tO' -p243230 -aS'bradycardia\tbradycardia\tNN\tB-NP\tO' -p243231 -aS'necessitating\tnecessitate\tVBG\tB-VP\tO' -p243232 -aS'pacemaker\tpacemaker\tNN\tB-NP\tO' -p243233 -aS'placement\tplacement\tNN\tI-NP\tO' -p243234 -aS'.\t.\t.\tO\tO' -p243235 -asS'Carotid angiography revealed left internal carotid stenosis of 90% , right internal carotid artery " critical stenosis " .' -p243236 -(lp243237 -S'Carotid\tCarotid\tJJ\tB-NP\tO' -p243238 -aS'angiography\tangiography\tNN\tI-NP\tO' -p243239 -aS'revealed\treveal\tVBD\tB-VP\tO' -p243240 -aS'left\tleft\tJJ\tB-NP\tO' -p243241 -aS'internal\tinternal\tJJ\tI-NP\tO' -p243242 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p243243 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p243244 -aS'of\tof\tIN\tB-PP\tO' -p243245 -aS'90%\t90%\tCD\tB-NP\tO' -p243246 -aS',\t,\t,\tO\tO' -p243247 -aS'right\tright\tJJ\tB-NP\tO' -p243248 -aS'internal\tinternal\tJJ\tI-NP\tO' -p243249 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p243250 -aS'artery\tartery\tNN\tI-NP\tO' -p243251 -aS'"\t"\tCC\tO\tO' -p243252 -aS'critical\tcritical\tJJ\tB-NP\tO' -p243253 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p243254 -aS'"\t"\tNN\tI-NP\tO' -p243255 -aS'.\t.\t.\tO\tO' -p243256 -asS'The patient did have a slight bit of confusion early in post-extubation course which cleared .' -p243257 -(lp243258 -S'The\tThe\tDT\tB-NP\tO' -p243259 -aS'patient\tpatient\tNN\tI-NP\tO' -p243260 -aS'did\tdo\tVBD\tB-VP\tO' -p243261 -aS'have\thave\tVB\tI-VP\tO' -p243262 -aS'a\ta\tDT\tB-NP\tO' -p243263 -aS'slight\tslight\tJJ\tI-NP\tO' -p243264 -aS'bit\tbit\tNN\tI-NP\tO' -p243265 -aS'of\tof\tIN\tB-PP\tO' -p243266 -aS'confusion\tconfusion\tNN\tB-NP\tO' -p243267 -aS'early\tearly\tRB\tB-ADVP\tO' -p243268 -aS'in\tin\tIN\tB-PP\tO' -p243269 -aS'post-extubation\tpost-extubation\tJJ\tB-NP\tO' -p243270 -aS'course\tcourse\tNN\tI-NP\tO' -p243271 -aS'which\twhich\tWDT\tB-NP\tO' -p243272 -aS'cleared\tclear\tVBD\tB-VP\tO' -p243273 -aS'.\t.\t.\tO\tO' -p243274 -asS'NAD , cooperative and conversant , able to ambulate independently around room using crutches' -p243275 -(lp243276 -S'NAD\tNAD\tNN\tB-NP\tO' -p243277 -aS',\t,\t,\tO\tO' -p243278 -aS'cooperative\tcooperative\tJJ\tB-ADJP\tO' -p243279 -aS'and\tand\tCC\tI-ADJP\tO' -p243280 -aS'conversant\tconversant\tJJ\tI-ADJP\tO' -p243281 -aS',\t,\t,\tO\tO' -p243282 -aS'able\table\tJJ\tB-ADJP\tO' -p243283 -aS'to\tto\tTO\tB-VP\tO' -p243284 -aS'ambulate\tambulate\tVB\tI-VP\tO' -p243285 -aS'independently\tindependently\tRB\tB-ADVP\tO' -p243286 -aS'around\taround\tIN\tB-PP\tO' -p243287 -aS'room\troom\tNN\tB-NP\tO' -p243288 -aS'using\tuse\tVBG\tB-VP\tO' -p243289 -aS'crutches\tcrutch\tNNS\tB-NP\tO' -p243290 -asS'Required restraints to prevent DC of pertinent therapies while in the ICU .' -p243291 -(lp243292 -S'Required\tRequire\tVBN\tB-NP\tO' -p243293 -aS'restraints\trestraint\tNNS\tI-NP\tO' -p243294 -aS'to\tto\tTO\tB-VP\tO' -p243295 -aS'prevent\tprevent\tVB\tI-VP\tO' -p243296 -aS'DC\tDC\tNN\tB-NP\tB-cell_type' -p243297 -aS'of\tof\tIN\tB-PP\tO' -p243298 -aS'pertinent\tpertinent\tJJ\tB-NP\tO' -p243299 -aS'therapies\ttherapy\tNNS\tI-NP\tO' -p243300 -aS'while\twhile\tIN\tB-SBAR\tO' -p243301 -aS'in\tin\tIN\tB-PP\tO' -p243302 -aS'the\tthe\tDT\tB-NP\tO' -p243303 -aS'ICU\tICU\tNN\tI-NP\tB-DNA' -p243304 -aS'.\t.\t.\tO\tO' -p243305 -asS'Abdomen : Positive bowel sounds , soft , nontender , nondistended , no masses , no hepatosplenomegaly .' -p243306 -(lp243307 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p243308 -aS':\t:\t:\tO\tO' -p243309 -aS'Positive\tPositive\tJJ\tB-NP\tO' -p243310 -aS'bowel\tbowel\tNN\tI-NP\tO' -p243311 -aS'sounds\tsound\tNNS\tI-NP\tO' -p243312 -aS',\t,\t,\tO\tO' -p243313 -aS'soft\tsoft\tJJ\tB-NP\tO' -p243314 -aS',\t,\t,\tI-NP\tO' -p243315 -aS'nontender\tnontender\tJJ\tI-NP\tO' -p243316 -aS',\t,\t,\tI-NP\tO' -p243317 -aS'nondistended\tnondistended\tJJ\tI-NP\tO' -p243318 -aS',\t,\t,\tO\tO' -p243319 -aS'no\tno\tDT\tB-NP\tO' -p243320 -aS'masses\tmass\tNNS\tI-NP\tO' -p243321 -aS',\t,\t,\tO\tO' -p243322 -aS'no\tno\tDT\tB-NP\tO' -p243323 -aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tI-NP\tO' -p243324 -aS'.\t.\t.\tO\tO' -p243325 -asS'Transfer from Rehab Hospital of the Cape & Islands Hospital for an endoscopic retrogram cholangiopancreatography .' -p243326 -(lp243327 -S'Transfer\tTransfer\tNNP\tB-NP\tO' -p243328 -aS'from\tfrom\tIN\tB-PP\tO' -p243329 -aS'Rehab\tRehab\tNNP\tB-NP\tO' -p243330 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p243331 -aS'of\tof\tIN\tB-PP\tO' -p243332 -aS'the\tthe\tDT\tB-NP\tO' -p243333 -aS'Cape\tCape\tNNP\tI-NP\tO' -p243334 -aS'&\t&\tCC\tI-NP\tO' -p243335 -aS'Islands\tIslands\tNNP\tI-NP\tO' -p243336 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p243337 -aS'for\tfor\tIN\tB-PP\tO' -p243338 -aS'an\tan\tDT\tB-NP\tO' -p243339 -aS'endoscopic\tendoscopic\tJJ\tI-NP\tO' -p243340 -aS'retrogram\tretrogram\tNN\tI-NP\tO' -p243341 -aS'cholangiopancreatography\tcholangiopancreatography\tNN\tI-NP\tO' -p243342 -aS'.\t.\t.\tO\tO' -p243343 -asS'Patient was also given multivites .' -p243344 -(lp243345 -S'Patient\tPatient\tNN\tB-NP\tO' -p243346 -aS'was\tbe\tVBD\tB-VP\tO' -p243347 -aS'also\talso\tRB\tI-VP\tO' -p243348 -aS'given\tgive\tVBN\tI-VP\tO' -p243349 -aS'multivites\tmultivite\tNNS\tB-NP\tO' -p243350 -aS'.\t.\t.\tO\tO' -p243351 -asS'INR was 1.2 , partial thromboplastin time was 23.7 , and prothrombin time was 13.4 .' -p243352 -(lp243353 -S'INR\tINR\tNN\tB-NP\tB-protein' -p243354 -aS'was\tbe\tVBD\tB-VP\tO' -p243355 -aS'1.2\t1.2\tCD\tB-NP\tO' -p243356 -aS',\t,\t,\tO\tO' -p243357 -aS'partial\tpartial\tJJ\tB-NP\tO' -p243358 -aS'thromboplastin\tthromboplastin\tNN\tI-NP\tO' -p243359 -aS'time\ttime\tNN\tI-NP\tO' -p243360 -aS'was\tbe\tVBD\tB-VP\tO' -p243361 -aS'23.7\t23.7\tCD\tB-NP\tO' -p243362 -aS',\t,\t,\tO\tO' -p243363 -aS'and\tand\tCC\tO\tO' -p243364 -aS'prothrombin\tprothrombin\tNN\tB-NP\tO' -p243365 -aS'time\ttime\tNN\tI-NP\tO' -p243366 -aS'was\tbe\tVBD\tB-VP\tO' -p243367 -aS'13.4\t13.4\tCD\tB-NP\tO' -p243368 -aS'.\t.\t.\tO\tO' -p243369 -asS'The Monica stay was complicated by runs of afib to 133 requiring IV lopressor .' -p243370 -(lp243371 -S'The\tThe\tDT\tB-NP\tO' -p243372 -aS'Monica\tMonica\tNNP\tI-NP\tO' -p243373 -aS'stay\tstay\tNN\tI-NP\tO' -p243374 -aS'was\tbe\tVBD\tB-VP\tO' -p243375 -aS'complicated\tcomplicate\tVBN\tI-VP\tO' -p243376 -aS'by\tby\tIN\tB-PP\tO' -p243377 -aS'runs\trun\tNNS\tB-NP\tO' -p243378 -aS'of\tof\tIN\tB-PP\tO' -p243379 -aS'afib\tafib\tNN\tB-NP\tO' -p243380 -aS'to\tto\tTO\tB-PP\tO' -p243381 -aS'133\t133\tCD\tB-NP\tO' -p243382 -aS'requiring\trequire\tVBG\tB-VP\tO' -p243383 -aS'IV\tIV\tCD\tB-NP\tO' -p243384 -aS'lopressor\tlopressor\tNN\tI-NP\tO' -p243385 -aS'.\t.\t.\tO\tO' -p243386 -asS'The anticoagulation was stopped due to concern for postoperative bleeding .' -p243387 -(lp243388 -S'The\tThe\tDT\tB-NP\tO' -p243389 -aS'anticoagulation\tanticoagulation\tNN\tI-NP\tO' -p243390 -aS'was\tbe\tVBD\tB-VP\tO' -p243391 -aS'stopped\tstop\tVBN\tI-VP\tO' -p243392 -aS'due\tdue\tJJ\tB-ADJP\tO' -p243393 -aS'to\tto\tTO\tB-PP\tO' -p243394 -aS'concern\tconcern\tNN\tB-NP\tO' -p243395 -aS'for\tfor\tIN\tB-PP\tO' -p243396 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p243397 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p243398 -aS'.\t.\t.\tO\tO' -p243399 -asS'3. Prozac 20 mg p.o. once daily .' -p243400 -(lp243401 -S'3.\t3.\tLS\tB-NP\tO' -p243402 -aS'Prozac\tProzac\tNN\tI-NP\tO' -p243403 -aS'20\t20\tCD\tI-NP\tO' -p243404 -aS'mg\tmg\tNN\tI-NP\tO' -p243405 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p243406 -aS'once\tonce\tRB\tB-ADVP\tO' -p243407 -aS'daily\tdaily\tRB\tI-ADVP\tO' -p243408 -aS'.\t.\t.\tO\tO' -p243409 -asS'A leiomyosarcoma was resected after embolization of the splenic artery .' -p243410 -(lp243411 -S'A\tA\tDT\tB-NP\tO' -p243412 -aS'leiomyosarcoma\tleiomyosarcoma\tNN\tI-NP\tO' -p243413 -aS'was\tbe\tVBD\tB-VP\tO' -p243414 -aS'resected\tresecte\tVBN\tI-VP\tO' -p243415 -aS'after\tafter\tIN\tB-PP\tO' -p243416 -aS'embolization\tembolization\tNN\tB-NP\tO' -p243417 -aS'of\tof\tIN\tB-PP\tO' -p243418 -aS'the\tthe\tDT\tB-NP\tO' -p243419 -aS'splenic\tsplenic\tJJ\tI-NP\tO' -p243420 -aS'artery\tartery\tNN\tI-NP\tO' -p243421 -aS'.\t.\t.\tO\tO' -p243422 -asS'She is to not lift anything greater than ten pounds for six weeks .' -p243423 -(lp243424 -S'She\tShe\tPRP\tB-NP\tO' -p243425 -aS'is\tbe\tVBZ\tB-VP\tO' -p243426 -aS'to\tto\tTO\tB-VP\tO' -p243427 -aS'not\tnot\tRB\tI-VP\tO' -p243428 -aS'lift\tlift\tVB\tI-VP\tO' -p243429 -aS'anything\tanything\tNN\tB-NP\tO' -p243430 -aS'greater\tgreat\tJJR\tB-ADJP\tO' -p243431 -aS'than\tthan\tIN\tB-PP\tO' -p243432 -aS'ten\tten\tCD\tB-NP\tO' -p243433 -aS'pounds\tpound\tNNS\tI-NP\tO' -p243434 -aS'for\tfor\tIN\tB-PP\tO' -p243435 -aS'six\tsix\tCD\tB-NP\tO' -p243436 -aS'weeks\tweek\tNNS\tI-NP\tO' -p243437 -aS'.\t.\t.\tO\tO' -p243438 -asS'She used Danocrine for approximately nine months and was pain free , but was unable to tolerate the side effects .' -p243439 -(lp243440 -S'She\tShe\tPRP\tB-NP\tO' -p243441 -aS'used\tuse\tVBD\tB-VP\tO' -p243442 -aS'Danocrine\tDanocrine\tNNP\tB-NP\tO' -p243443 -aS'for\tfor\tIN\tB-PP\tO' -p243444 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p243445 -aS'nine\tnine\tCD\tI-NP\tO' -p243446 -aS'months\tmonth\tNNS\tI-NP\tO' -p243447 -aS'and\tand\tCC\tO\tO' -p243448 -aS'was\tbe\tVBD\tB-VP\tO' -p243449 -aS'pain\tpain\tNN\tB-NP\tO' -p243450 -aS'free\tfree\tJJ\tB-ADJP\tO' -p243451 -aS',\t,\t,\tO\tO' -p243452 -aS'but\tbut\tCC\tO\tO' -p243453 -aS'was\tbe\tVBD\tB-VP\tO' -p243454 -aS'unable\tunable\tJJ\tB-ADJP\tO' -p243455 -aS'to\tto\tTO\tB-VP\tO' -p243456 -aS'tolerate\ttolerate\tVB\tI-VP\tO' -p243457 -aS'the\tthe\tDT\tB-NP\tO' -p243458 -aS'side\tside\tNN\tI-NP\tO' -p243459 -aS'effects\teffect\tNNS\tI-NP\tO' -p243460 -aS'.\t.\t.\tO\tO' -p243461 -asS'His NPH was recently increased today ( 10/23/97 ) to 24 units in the a.m. and 14 units in the p.m. with CZI sliding-scale coverage .' -p243462 -(lp243463 -S'His\tHis\tPRP$\tB-NP\tO' -p243464 -aS'NPH\tNPH\tNN\tI-NP\tB-protein' -p243465 -aS'was\tbe\tVBD\tB-VP\tO' -p243466 -aS'recently\trecently\tRB\tI-VP\tO' -p243467 -aS'increased\tincrease\tVBN\tI-VP\tO' -p243468 -aS'today\ttoday\tNN\tB-NP\tO' -p243469 -aS'(\t(\t(\tO\tO' -p243470 -aS'10/23/97\t10/23/97\tCD\tB-NP\tO' -p243471 -aS')\t)\t)\tO\tO' -p243472 -aS'to\tto\tTO\tB-PP\tO' -p243473 -aS'24\t24\tCD\tB-NP\tO' -p243474 -aS'units\tunit\tNNS\tI-NP\tO' -p243475 -aS'in\tin\tIN\tB-PP\tO' -p243476 -aS'the\tthe\tDT\tB-NP\tO' -p243477 -aS'a.m.\ta.m.\tNN\tI-NP\tO' -p243478 -aS'and\tand\tCC\tO\tO' -p243479 -aS'14\t14\tCD\tB-NP\tO' -p243480 -aS'units\tunit\tNNS\tI-NP\tO' -p243481 -aS'in\tin\tIN\tB-PP\tO' -p243482 -aS'the\tthe\tDT\tB-NP\tO' -p243483 -aS'p.m.\tp.m.\tNN\tI-NP\tO' -p243484 -aS'with\twith\tIN\tB-PP\tO' -p243485 -aS'CZI\tCZI\tNN\tB-NP\tO' -p243486 -aS'sliding-scale\tsliding-scale\tJJ\tI-NP\tO' -p243487 -aS'coverage\tcoverage\tNN\tI-NP\tO' -p243488 -aS'.\t.\t.\tO\tO' -p243489 -asS'Exam notable for hyperactive bowel sounds with abd distention and tenderness to palpation at LLQ and RLQ .' -p243490 -(lp243491 -S'Exam\tExam\tNN\tB-NP\tO' -p243492 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p243493 -aS'for\tfor\tIN\tB-PP\tO' -p243494 -aS'hyperactive\thyperactive\tJJ\tB-NP\tO' -p243495 -aS'bowel\tbowel\tNN\tI-NP\tO' -p243496 -aS'sounds\tsound\tVBZ\tB-VP\tO' -p243497 -aS'with\twith\tIN\tB-PP\tO' -p243498 -aS'abd\tabd\tNN\tB-NP\tO' -p243499 -aS'distention\tdistention\tNN\tI-NP\tO' -p243500 -aS'and\tand\tCC\tO\tO' -p243501 -aS'tenderness\ttenderness\tNN\tB-NP\tO' -p243502 -aS'to\tto\tTO\tB-PP\tO' -p243503 -aS'palpation\tpalpation\tNN\tB-NP\tO' -p243504 -aS'at\tat\tIN\tB-PP\tO' -p243505 -aS'LLQ\tLLQ\tNN\tB-NP\tB-protein' -p243506 -aS'and\tand\tCC\tI-NP\tO' -p243507 -aS'RLQ\tRLQ\tNN\tI-NP\tB-protein' -p243508 -aS'.\t.\t.\tO\tO' -p243509 -asS'Three days ago , he developed dyspnea on exertion when climbing stairs , assoc w/ 2-pillow orthopnea and PND .' -p243510 -(lp243511 -S'Three\tThree\tCD\tB-NP\tO' -p243512 -aS'days\tday\tNNS\tI-NP\tO' -p243513 -aS'ago\tago\tRB\tB-ADVP\tO' -p243514 -aS',\t,\t,\tO\tO' -p243515 -aS'he\the\tPRP\tB-NP\tO' -p243516 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p243517 -aS'dyspnea\tdyspnea\tNN\tB-NP\tO' -p243518 -aS'on\ton\tIN\tB-PP\tO' -p243519 -aS'exertion\texertion\tNN\tB-NP\tO' -p243520 -aS'when\twhen\tWRB\tB-ADVP\tO' -p243521 -aS'climbing\tclimb\tVBG\tB-NP\tO' -p243522 -aS'stairs\tstair\tNNS\tI-NP\tO' -p243523 -aS',\t,\t,\tO\tO' -p243524 -aS'assoc\tassoc\tNN\tB-NP\tO' -p243525 -aS'w/\tw/\tNN\tI-NP\tO' -p243526 -aS'2-pillow\t2-pillow\tJJ\tI-NP\tO' -p243527 -aS'orthopnea\torthopnea\tNN\tI-NP\tO' -p243528 -aS'and\tand\tCC\tI-NP\tO' -p243529 -aS'PND\tPND\tNN\tI-NP\tO' -p243530 -aS'.\t.\t.\tO\tO' -p243531 -asS'The patient was referred to Ph University Of Medical Center for rule out transient ischemic attack and rule out stroke .' -p243532 -(lp243533 -S'The\tThe\tDT\tB-NP\tO' -p243534 -aS'patient\tpatient\tNN\tI-NP\tO' -p243535 -aS'was\tbe\tVBD\tB-VP\tO' -p243536 -aS'referred\trefer\tVBN\tI-VP\tO' -p243537 -aS'to\tto\tTO\tB-PP\tO' -p243538 -aS'Ph\tPh\tNNP\tB-NP\tO' -p243539 -aS'University\tUniversity\tNNP\tI-NP\tO' -p243540 -aS'Of\tOf\tNNP\tI-NP\tO' -p243541 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p243542 -aS'Center\tCenter\tNNP\tI-NP\tO' -p243543 -aS'for\tfor\tIN\tB-PP\tO' -p243544 -aS'rule\trule\tNN\tB-NP\tO' -p243545 -aS'out\tout\tIN\tB-PP\tO' -p243546 -aS'transient\ttransient\tJJ\tB-NP\tO' -p243547 -aS'ischemic\tischemic\tJJ\tI-NP\tO' -p243548 -aS'attack\tattack\tNN\tI-NP\tO' -p243549 -aS'and\tand\tCC\tI-NP\tO' -p243550 -aS'rule\trule\tNN\tI-NP\tO' -p243551 -aS'out\tout\tIN\tB-PP\tO' -p243552 -aS'stroke\tstroke\tNN\tB-NP\tO' -p243553 -aS'.\t.\t.\tO\tO' -p243554 -asS'LENNI BREUTZOLN , M.D. .' -p243555 -(lp243556 -S'LENNI\tLENNI\tNNP\tB-NP\tO' -p243557 -aS'BREUTZOLN\tBREUTZOLN\tNNP\tI-NP\tO' -p243558 -aS',\t,\t,\tO\tO' -p243559 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p243560 -aS'.\t.\t.\tO\tO' -p243561 -asS'He used to be able to walk with a walker , and the past few days has required a wheelchair .' -p243562 -(lp243563 -S'He\tHe\tPRP\tB-NP\tO' -p243564 -aS'used\tuse\tVBD\tB-VP\tO' -p243565 -aS'to\tto\tTO\tI-VP\tO' -p243566 -aS'be\tbe\tVB\tI-VP\tO' -p243567 -aS'able\table\tJJ\tB-ADJP\tO' -p243568 -aS'to\tto\tTO\tB-VP\tO' -p243569 -aS'walk\twalk\tVB\tI-VP\tO' -p243570 -aS'with\twith\tIN\tB-PP\tO' -p243571 -aS'a\ta\tDT\tB-NP\tO' -p243572 -aS'walker\twalker\tNN\tI-NP\tO' -p243573 -aS',\t,\t,\tO\tO' -p243574 -aS'and\tand\tCC\tO\tO' -p243575 -aS'the\tthe\tDT\tB-NP\tO' -p243576 -aS'past\tpast\tJJ\tI-NP\tO' -p243577 -aS'few\tfew\tJJ\tI-NP\tO' -p243578 -aS'days\tday\tNNS\tI-NP\tO' -p243579 -aS'has\thave\tVBZ\tB-VP\tO' -p243580 -aS'required\trequire\tVBN\tI-VP\tO' -p243581 -aS'a\ta\tDT\tB-NP\tO' -p243582 -aS'wheelchair\twheelchair\tNN\tI-NP\tO' -p243583 -aS'.\t.\t.\tO\tO' -p243584 -asS'II / VI systolic ejection murmur at left sternal border , positive S3 , question of S4 , otherwise point of maximal impulse was laterally displaced .' -p243585 -(lp243586 -S'II\tII\tCD\tB-NP\tO' -p243587 -aS'/\t/\tSYM\tI-NP\tO' -p243588 -aS'VI\tVI\tCD\tI-NP\tO' -p243589 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p243590 -aS'ejection\tejection\tNN\tI-NP\tO' -p243591 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p243592 -aS'at\tat\tIN\tB-PP\tO' -p243593 -aS'left\tleft\tJJ\tB-NP\tO' -p243594 -aS'sternal\tsternal\tJJ\tI-NP\tO' -p243595 -aS'border\tborder\tNN\tI-NP\tO' -p243596 -aS',\t,\t,\tO\tO' -p243597 -aS'positive\tpositive\tJJ\tB-NP\tB-protein' -p243598 -aS'S3\tS3\tNN\tI-NP\tI-protein' -p243599 -aS',\t,\t,\tO\tO' -p243600 -aS'question\tquestion\tNN\tB-NP\tO' -p243601 -aS'of\tof\tIN\tB-PP\tO' -p243602 -aS'S4\tS4\tNN\tB-NP\tB-protein' -p243603 -aS',\t,\t,\tO\tO' -p243604 -aS'otherwise\totherwise\tJJ\tB-NP\tO' -p243605 -aS'point\tpoint\tNN\tI-NP\tO' -p243606 -aS'of\tof\tIN\tB-PP\tO' -p243607 -aS'maximal\tmaximal\tJJ\tB-NP\tO' -p243608 -aS'impulse\timpulse\tNN\tI-NP\tO' -p243609 -aS'was\tbe\tVBD\tB-VP\tO' -p243610 -aS'laterally\tlaterally\tRB\tI-VP\tO' -p243611 -aS'displaced\tdisplace\tVBN\tI-VP\tO' -p243612 -aS'.\t.\t.\tO\tO' -p243613 -asS'Chronic inflammatory demyelinating polyradiculopathy .' -p243614 -(lp243615 -S'Chronic\tChronic\tJJ\tB-NP\tO' -p243616 -aS'inflammatory\tinflammatory\tJJ\tI-NP\tO' -p243617 -aS'demyelinating\tdemyelinate\tVBG\tI-NP\tO' -p243618 -aS'polyradiculopathy\tpolyradiculopathy\tNN\tI-NP\tO' -p243619 -aS'.\t.\t.\tO\tO' -p243620 -asS'She has severe sleep apnea and falls asleep midsentence .' -p243621 -(lp243622 -S'She\tShe\tPRP\tB-NP\tO' -p243623 -aS'has\thave\tVBZ\tB-VP\tO' -p243624 -aS'severe\tsevere\tJJ\tB-NP\tO' -p243625 -aS'sleep\tsleep\tNN\tI-NP\tO' -p243626 -aS'apnea\tapnea\tNN\tI-NP\tO' -p243627 -aS'and\tand\tCC\tO\tO' -p243628 -aS'falls\tfall\tVBZ\tB-VP\tO' -p243629 -aS'asleep\tasleep\tJJ\tB-NP\tO' -p243630 -aS'midsentence\tmidsentence\tNN\tI-NP\tO' -p243631 -aS'.\t.\t.\tO\tO' -p243632 -asS'IF SIGNS AND SYMPTOMS OF WOUND INFECTION , SUCH AS SUDDEN FEVER , INCREASED PAIN , NAUSEA / VOMITING , PURULENT DISCHARGE , PLEASE GO TO THE EMERGENCY ROOM OR CALL .' -p243633 -(lp243634 -S'IF\tIF\tIN\tB-SBAR\tO' -p243635 -aS'SIGNS\tSIGNS\tNNP\tB-NP\tO' -p243636 -aS'AND\tAND\tCC\tI-NP\tO' -p243637 -aS'SYMPTOMS\tSYMPTOMS\tNNP\tI-NP\tO' -p243638 -aS'OF\tOF\tIN\tB-PP\tO' -p243639 -aS'WOUND\tWOUND\tNNP\tB-NP\tO' -p243640 -aS'INFECTION\tINFECTION\tNNP\tI-NP\tO' -p243641 -aS',\t,\t,\tO\tO' -p243642 -aS'SUCH\tSUCH\tNNP\tB-NP\tO' -p243643 -aS'AS\tAS\tNNP\tI-NP\tO' -p243644 -aS'SUDDEN\tSUDDEN\tNNP\tI-NP\tO' -p243645 -aS'FEVER\tFEVER\tNNP\tI-NP\tO' -p243646 -aS',\t,\t,\tO\tO' -p243647 -aS'INCREASED\tINCREASED\tNNP\tB-NP\tO' -p243648 -aS'PAIN\tPAIN\tNNP\tI-NP\tO' -p243649 -aS',\t,\t,\tO\tO' -p243650 -aS'NAUSEA\tNAUSEA\tNN\tB-NP\tB-protein' -p243651 -aS'/\t/\tSYM\tI-NP\tO' -p243652 -aS'VOMITING\tVOMITING\tNN\tI-NP\tO' -p243653 -aS',\t,\t,\tO\tO' -p243654 -aS'PURULENT\tPURULENT\tNNP\tB-NP\tO' -p243655 -aS'DISCHARGE\tDISCHARGE\tNNP\tI-NP\tO' -p243656 -aS',\t,\t,\tO\tO' -p243657 -aS'PLEASE\tPLEASE\tNNP\tB-NP\tO' -p243658 -aS'GO\tGO\tNNP\tI-NP\tO' -p243659 -aS'TO\tTO\tTO\tB-PP\tO' -p243660 -aS'THE\tTHE\tDT\tB-NP\tO' -p243661 -aS'EMERGENCY\tEMERGENCY\tNN\tI-NP\tO' -p243662 -aS'ROOM\tROOM\tNN\tI-NP\tO' -p243663 -aS'OR\tOR\tNN\tI-NP\tO' -p243664 -aS'CALL\tCALL\tNN\tI-NP\tO' -p243665 -aS'.\t.\t.\tO\tO' -p243666 -asS'The patient was then admitted to the medical Intensive Care Unit for observation of his blood pressure and then transferred to our service on medicine when the blood pressures remained stable overnight .' -p243667 -(lp243668 -S'The\tThe\tDT\tB-NP\tO' -p243669 -aS'patient\tpatient\tNN\tI-NP\tO' -p243670 -aS'was\tbe\tVBD\tB-VP\tO' -p243671 -aS'then\tthen\tRB\tI-VP\tO' -p243672 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p243673 -aS'to\tto\tTO\tB-PP\tO' -p243674 -aS'the\tthe\tDT\tB-NP\tO' -p243675 -aS'medical\tmedical\tJJ\tI-NP\tO' -p243676 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p243677 -aS'Care\tCare\tNNP\tI-NP\tO' -p243678 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p243679 -aS'for\tfor\tIN\tB-PP\tO' -p243680 -aS'observation\tobservation\tNN\tB-NP\tO' -p243681 -aS'of\tof\tIN\tB-PP\tO' -p243682 -aS'his\this\tPRP$\tB-NP\tO' -p243683 -aS'blood\tblood\tNN\tI-NP\tO' -p243684 -aS'pressure\tpressure\tNN\tI-NP\tO' -p243685 -aS'and\tand\tCC\tO\tO' -p243686 -aS'then\tthen\tRB\tB-VP\tO' -p243687 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p243688 -aS'to\tto\tTO\tB-PP\tO' -p243689 -aS'our\tour\tPRP$\tB-NP\tO' -p243690 -aS'service\tservice\tNN\tI-NP\tO' -p243691 -aS'on\ton\tIN\tB-PP\tO' -p243692 -aS'medicine\tmedicine\tNN\tB-NP\tO' -p243693 -aS'when\twhen\tWRB\tB-ADVP\tO' -p243694 -aS'the\tthe\tDT\tB-NP\tO' -p243695 -aS'blood\tblood\tNN\tI-NP\tO' -p243696 -aS'pressures\tpressure\tNNS\tI-NP\tO' -p243697 -aS'remained\tremain\tVBD\tB-VP\tO' -p243698 -aS'stable\tstable\tJJ\tB-NP\tO' -p243699 -aS'overnight\tovernight\tNN\tI-NP\tO' -p243700 -aS'.\t.\t.\tO\tO' -p243701 -asS'He had no evidence of spontaneous bacterial peritonitis .' -p243702 -(lp243703 -S'He\tHe\tPRP\tB-NP\tO' -p243704 -aS'had\thave\tVBD\tB-VP\tO' -p243705 -aS'no\tno\tDT\tB-NP\tO' -p243706 -aS'evidence\tevidence\tNN\tI-NP\tO' -p243707 -aS'of\tof\tIN\tB-PP\tO' -p243708 -aS'spontaneous\tspontaneous\tJJ\tB-NP\tO' -p243709 -aS'bacterial\tbacterial\tJJ\tI-NP\tO' -p243710 -aS'peritonitis\tperitonitis\tNN\tI-NP\tO' -p243711 -aS'.\t.\t.\tO\tO' -p243712 -asS'Coronary angiography , exercise tolerance test with Thallium .' -p243713 -(lp243714 -S'Coronary\tCoronary\tJJ\tB-NP\tO' -p243715 -aS'angiography\tangiography\tNN\tI-NP\tO' -p243716 -aS',\t,\t,\tO\tO' -p243717 -aS'exercise\texercise\tNN\tB-NP\tO' -p243718 -aS'tolerance\ttolerance\tNN\tI-NP\tO' -p243719 -aS'test\ttest\tNN\tI-NP\tO' -p243720 -aS'with\twith\tIN\tB-PP\tO' -p243721 -aS'Thallium\tThallium\tNN\tB-NP\tO' -p243722 -aS'.\t.\t.\tO\tO' -p243723 -asS'There was no calf tenderness and lower extremity arterial non-invasive studies were negative .' -p243724 -(lp243725 -S'There\tThere\tEX\tB-NP\tO' -p243726 -aS'was\tbe\tVBD\tB-VP\tO' -p243727 -aS'no\tno\tDT\tB-NP\tO' -p243728 -aS'calf\tcalf\tNN\tI-NP\tO' -p243729 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p243730 -aS'and\tand\tCC\tO\tO' -p243731 -aS'lower\tlow\tJJR\tB-NP\tO' -p243732 -aS'extremity\textremity\tNN\tI-NP\tO' -p243733 -aS'arterial\tarterial\tJJ\tI-NP\tO' -p243734 -aS'non-invasive\tnon-invasive\tJJ\tI-NP\tO' -p243735 -aS'studies\tstudy\tNNS\tI-NP\tO' -p243736 -aS'were\tbe\tVBD\tB-VP\tO' -p243737 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p243738 -aS'.\t.\t.\tO\tO' -p243739 -asS'EXT : No edema .' -p243740 -(lp243741 -S'EXT\tEXT\tNN\tB-NP\tO' -p243742 -aS':\t:\t:\tO\tO' -p243743 -aS'No\tNo\tDT\tB-NP\tO' -p243744 -aS'edema\tedema\tNN\tI-NP\tO' -p243745 -aS'.\t.\t.\tO\tO' -p243746 -asS'Since her tube feeds have been changed from full strength Nephro to Jevity , her diarrhea has resolved .' -p243747 -(lp243748 -S'Since\tSince\tIN\tB-PP\tO' -p243749 -aS'her\ther\tPRP$\tB-NP\tO' -p243750 -aS'tube\ttube\tNN\tI-NP\tO' -p243751 -aS'feeds\tfeed\tNNS\tI-NP\tO' -p243752 -aS'have\thave\tVBP\tB-VP\tO' -p243753 -aS'been\tbe\tVBN\tI-VP\tO' -p243754 -aS'changed\tchange\tVBN\tI-VP\tO' -p243755 -aS'from\tfrom\tIN\tB-PP\tO' -p243756 -aS'full\tfull\tJJ\tB-NP\tO' -p243757 -aS'strength\tstrength\tNN\tI-NP\tO' -p243758 -aS'Nephro\tNephro\tNN\tI-NP\tO' -p243759 -aS'to\tto\tTO\tB-PP\tO' -p243760 -aS'Jevity\tJevity\tNN\tB-NP\tO' -p243761 -aS',\t,\t,\tO\tO' -p243762 -aS'her\ther\tPRP$\tB-NP\tO' -p243763 -aS'diarrhea\tdiarrhea\tNN\tI-NP\tO' -p243764 -aS'has\thave\tVBZ\tB-VP\tO' -p243765 -aS'resolved\tresolve\tVBN\tI-VP\tO' -p243766 -aS'.\t.\t.\tO\tO' -p243767 -asS'Report any fever greater than 101' -p243768 -(lp243769 -S'Report\tReport\tVB\tB-VP\tO' -p243770 -aS'any\tany\tDT\tB-NP\tO' -p243771 -aS'fever\tfever\tRB\tI-NP\tO' -p243772 -aS'greater\tgreat\tJJR\tI-NP\tO' -p243773 -aS'than\tthan\tIN\tI-NP\tO' -p243774 -aS'101\t101\tCD\tI-NP\tO' -p243775 -asS'05-14- Blood cultures : no growth to date on 4/4 bottles' -p243776 -(lp243777 -S'05-14-\t05-14-\tCD\tB-NP\tO' -p243778 -aS'Blood\tBlood\tNNP\tI-NP\tO' -p243779 -aS'cultures\tculture\tNNS\tI-NP\tO' -p243780 -aS':\t:\t:\tO\tO' -p243781 -aS'no\tno\tDT\tB-NP\tO' -p243782 -aS'growth\tgrowth\tNN\tI-NP\tO' -p243783 -aS'to\tto\tTO\tB-PP\tO' -p243784 -aS'date\tdate\tNN\tB-NP\tO' -p243785 -aS'on\ton\tIN\tB-PP\tO' -p243786 -aS'4/4\t4/4\tCD\tB-NP\tO' -p243787 -aS'bottles\tbottle\tNNS\tI-NP\tO' -p243788 -asS'Please note this information may have been updated on the inpatient unit .' -p243789 -(lp243790 -S'Please\tPlease\tNN\tB-NP\tO' -p243791 -aS'note\tnote\tNN\tI-NP\tO' -p243792 -aS'this\tthis\tDT\tB-NP\tO' -p243793 -aS'information\tinformation\tNN\tI-NP\tO' -p243794 -aS'may\tmay\tMD\tB-VP\tO' -p243795 -aS'have\thave\tVB\tI-VP\tO' -p243796 -aS'been\tbe\tVBN\tI-VP\tO' -p243797 -aS'updated\tupdate\tVBN\tI-VP\tO' -p243798 -aS'on\ton\tIN\tB-PP\tO' -p243799 -aS'the\tthe\tDT\tB-NP\tO' -p243800 -aS'inpatient\tinpatient\tNN\tI-NP\tO' -p243801 -aS'unit\tunit\tNN\tI-NP\tO' -p243802 -aS'.\t.\t.\tO\tO' -p243803 -asS'His pain was adequately controlled with oral medications .' -p243804 -(lp243805 -S'His\tHis\tPRP$\tB-NP\tO' -p243806 -aS'pain\tpain\tNN\tI-NP\tO' -p243807 -aS'was\tbe\tVBD\tB-VP\tO' -p243808 -aS'adequately\tadequately\tRB\tI-VP\tO' -p243809 -aS'controlled\tcontrol\tVBN\tI-VP\tO' -p243810 -aS'with\twith\tIN\tB-PP\tO' -p243811 -aS'oral\toral\tJJ\tB-NP\tO' -p243812 -aS'medications\tmedication\tNNS\tI-NP\tO' -p243813 -aS'.\t.\t.\tO\tO' -p243814 -asS'Heart sounds normal .' -p243815 -(lp243816 -S'Heart\tHeart\tNNP\tB-NP\tO' -p243817 -aS'sounds\tsound\tVBZ\tB-VP\tO' -p243818 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p243819 -aS'.\t.\t.\tO\tO' -p243820 -asS'1. Prematurity at 34 weeks gestation .' -p243821 -(lp243822 -S'1.\t1.\tLS\tB-NP\tO' -p243823 -aS'Prematurity\tPrematurity\tNN\tI-NP\tO' -p243824 -aS'at\tat\tIN\tB-PP\tO' -p243825 -aS'34\t34\tCD\tB-NP\tO' -p243826 -aS'weeks\tweek\tNNS\tI-NP\tO' -p243827 -aS'gestation\tgestation\tNN\tI-NP\tO' -p243828 -aS'.\t.\t.\tO\tO' -p243829 -asS'The patient also required red blood cell transfusions , approximately two units every seven to ten days to maintain her hematocrit .' -p243830 -(lp243831 -S'The\tThe\tDT\tB-NP\tO' -p243832 -aS'patient\tpatient\tNN\tI-NP\tO' -p243833 -aS'also\talso\tRB\tB-ADVP\tO' -p243834 -aS'required\trequire\tVBD\tB-VP\tO' -p243835 -aS'red\tred\tJJ\tB-NP\tO' -p243836 -aS'blood\tblood\tNN\tI-NP\tO' -p243837 -aS'cell\tcell\tNN\tI-NP\tO' -p243838 -aS'transfusions\ttransfusion\tNNS\tI-NP\tO' -p243839 -aS',\t,\t,\tO\tO' -p243840 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p243841 -aS'two\ttwo\tCD\tI-NP\tO' -p243842 -aS'units\tunit\tNNS\tI-NP\tO' -p243843 -aS'every\tevery\tDT\tB-NP\tO' -p243844 -aS'seven\tseven\tCD\tI-NP\tO' -p243845 -aS'to\tto\tTO\tI-NP\tO' -p243846 -aS'ten\tten\tCD\tI-NP\tO' -p243847 -aS'days\tday\tNNS\tI-NP\tO' -p243848 -aS'to\tto\tTO\tB-VP\tO' -p243849 -aS'maintain\tmaintain\tVB\tI-VP\tO' -p243850 -aS'her\ther\tPRP$\tB-NP\tO' -p243851 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p243852 -aS'.\t.\t.\tO\tO' -p243853 -asS'White count was 27.3 with 16% bands .' -p243854 -(lp243855 -S'White\tWhite\tJJ\tB-NP\tO' -p243856 -aS'count\tcount\tNN\tI-NP\tO' -p243857 -aS'was\tbe\tVBD\tB-VP\tO' -p243858 -aS'27.3\t27.3\tCD\tB-NP\tO' -p243859 -aS'with\twith\tIN\tB-PP\tO' -p243860 -aS'16%\t16%\tCD\tB-NP\tO' -p243861 -aS'bands\tband\tNNS\tI-NP\tO' -p243862 -aS'.\t.\t.\tO\tO' -p243863 -asS'1. Status post cadaveric pancreas transplant .' -p243864 -(lp243865 -S'1.\t1.\tLS\tB-LST\tO' -p243866 -aS'Status\tStatus\tNNP\tB-NP\tO' -p243867 -aS'post\tpost\tIN\tB-PP\tO' -p243868 -aS'cadaveric\tcadaveric\tJJ\tB-NP\tO' -p243869 -aS'pancreas\tpancreas\tNN\tI-NP\tO' -p243870 -aS'transplant\ttransplant\tNN\tI-NP\tO' -p243871 -aS'.\t.\t.\tO\tO' -p243872 -asS'Temporary foley was placed and on 2013-09-11 ,' -p243873 -(lp243874 -S'Temporary\tTemporary\tJJ\tB-NP\tO' -p243875 -aS'foley\tfoley\tNN\tI-NP\tO' -p243876 -aS'was\tbe\tVBD\tB-VP\tO' -p243877 -aS'placed\tplace\tVBN\tI-VP\tO' -p243878 -aS'and\tand\tCC\tO\tO' -p243879 -aS'on\ton\tIN\tB-PP\tO' -p243880 -aS'2013-09-11\t2013-09-11\tCD\tB-NP\tO' -p243881 -aS',\t,\t,\tO\tO' -p243882 -asS'Focal consolidation in the medial aspect of the right lower lung' -p243883 -(lp243884 -S'Focal\tFocal\tJJ\tB-NP\tO' -p243885 -aS'consolidation\tconsolidation\tNN\tI-NP\tO' -p243886 -aS'in\tin\tIN\tB-PP\tO' -p243887 -aS'the\tthe\tDT\tB-NP\tO' -p243888 -aS'medial\tmedial\tJJ\tI-NP\tO' -p243889 -aS'aspect\taspect\tNN\tI-NP\tO' -p243890 -aS'of\tof\tIN\tB-PP\tO' -p243891 -aS'the\tthe\tDT\tB-NP\tO' -p243892 -aS'right\tright\tJJ\tI-NP\tO' -p243893 -aS'lower\tlow\tJJR\tI-NP\tO' -p243894 -aS'lung\tlung\tNN\tI-NP\tO' -p243895 -asS'Caffeine was discontinued on day of life #19 .' -p243896 -(lp243897 -S'Caffeine\tCaffeine\tNN\tB-NP\tO' -p243898 -aS'was\tbe\tVBD\tB-VP\tO' -p243899 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p243900 -aS'on\ton\tIN\tB-PP\tO' -p243901 -aS'day\tday\tNN\tB-NP\tO' -p243902 -aS'of\tof\tIN\tB-PP\tO' -p243903 -aS'life\tlife\tNN\tB-NP\tO' -p243904 -aS'#19\t#19\tCD\tI-NP\tO' -p243905 -aS'.\t.\t.\tO\tO' -p243906 -asS'The extremities were normal in appearance .' -p243907 -(lp243908 -S'The\tThe\tDT\tB-NP\tO' -p243909 -aS'extremities\textremity\tNNS\tI-NP\tO' -p243910 -aS'were\tbe\tVBD\tB-VP\tO' -p243911 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p243912 -aS'in\tin\tIN\tB-PP\tO' -p243913 -aS'appearance\tappearance\tNN\tB-NP\tO' -p243914 -aS'.\t.\t.\tO\tO' -p243915 -asS'It is doubtful that she has chronic PE , but this is one consideration .' -p243916 -(lp243917 -S'It\tIt\tPRP\tB-NP\tO' -p243918 -aS'is\tbe\tVBZ\tB-VP\tO' -p243919 -aS'doubtful\tdoubtful\tJJ\tB-ADJP\tO' -p243920 -aS'that\tthat\tIN\tB-SBAR\tO' -p243921 -aS'she\tshe\tPRP\tB-NP\tO' -p243922 -aS'has\thave\tVBZ\tB-VP\tO' -p243923 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p243924 -aS'PE\tPE\tNN\tI-NP\tO' -p243925 -aS',\t,\t,\tO\tO' -p243926 -aS'but\tbut\tCC\tO\tO' -p243927 -aS'this\tthis\tDT\tB-NP\tO' -p243928 -aS'is\tbe\tVBZ\tB-VP\tO' -p243929 -aS'one\tone\tCD\tB-NP\tO' -p243930 -aS'consideration\tconsideration\tNN\tI-NP\tO' -p243931 -aS'.\t.\t.\tO\tO' -p243932 -asS"The patient 's postoperative course was for the most part unremarkable ." -p243933 -(lp243934 -S'The\tThe\tDT\tB-NP\tO' -p243935 -aS'patient\tpatient\tNN\tI-NP\tO' -p243936 -aS"'s\t's\tPOS\tB-NP\tO" -p243937 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p243938 -aS'course\tcourse\tNN\tI-NP\tO' -p243939 -aS'was\tbe\tVBD\tB-VP\tO' -p243940 -aS'for\tfor\tIN\tB-PP\tO' -p243941 -aS'the\tthe\tDT\tB-NP\tO' -p243942 -aS'most\tmost\tJJS\tI-NP\tO' -p243943 -aS'part\tpart\tNN\tI-NP\tO' -p243944 -aS'unremarkable\tunremarkable\tJJ\tI-NP\tO' -p243945 -aS'.\t.\t.\tO\tO' -p243946 -asS'He remained in the Intensive Care Unit for two days but was hemodynamically stable throughout .' -p243947 -(lp243948 -S'He\tHe\tPRP\tB-NP\tO' -p243949 -aS'remained\tremain\tVBD\tB-VP\tO' -p243950 -aS'in\tin\tIN\tB-PP\tO' -p243951 -aS'the\tthe\tDT\tB-NP\tO' -p243952 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p243953 -aS'Care\tCare\tNNP\tI-NP\tO' -p243954 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p243955 -aS'for\tfor\tIN\tB-PP\tO' -p243956 -aS'two\ttwo\tCD\tB-NP\tO' -p243957 -aS'days\tday\tNNS\tI-NP\tO' -p243958 -aS'but\tbut\tCC\tO\tO' -p243959 -aS'was\tbe\tVBD\tB-VP\tO' -p243960 -aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' -p243961 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p243962 -aS'throughout\tthroughout\tIN\tB-ADVP\tO' -p243963 -aS'.\t.\t.\tO\tO' -p243964 -asS'The infant emerged limp and without spontaneous respiratory effort .' -p243965 -(lp243966 -S'The\tThe\tDT\tB-NP\tO' -p243967 -aS'infant\tinfant\tNN\tI-NP\tO' -p243968 -aS'emerged\temerge\tVBD\tB-VP\tO' -p243969 -aS'limp\tlimp\tNN\tB-NP\tO' -p243970 -aS'and\tand\tCC\tO\tO' -p243971 -aS'without\twithout\tIN\tB-PP\tO' -p243972 -aS'spontaneous\tspontaneous\tJJ\tB-NP\tO' -p243973 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p243974 -aS'effort\teffort\tNN\tI-NP\tO' -p243975 -aS'.\t.\t.\tO\tO' -p243976 -asS'Diabetes ; hypertension ; hyperlipidemia .' -p243977 -(lp243978 -S'Diabetes\tDiabete\tNNS\tB-NP\tO' -p243979 -aS';\t;\t:\tO\tO' -p243980 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p243981 -aS';\t;\t:\tO\tO' -p243982 -aS'hyperlipidemia\thyperlipidemia\tNN\tB-NP\tO' -p243983 -aS'.\t.\t.\tO\tO' -p243984 -asS'Clear chest .' -p243985 -(lp243986 -S'Clear\tClear\tJJ\tB-NP\tO' -p243987 -aS'chest\tchest\tNN\tI-NP\tO' -p243988 -aS'.\t.\t.\tO\tO' -p243989 -asS'Aricept 10 mg qd , Aspirin 81 mg qd , Folic acid , Gabapentin 200 mg tid , Lopressor 12.5 mg bid , Lisinopril 5 mg qd , Daptomycin 420 mg IV qd , Protonix 40 mg qd , Seroquel 50 mg tid , Heparin 5000 units SQ tid , Colace 100 mg bid , Lactulose 15 mg bid , Comtan 200 mg qd , Mirapex 1.5 mg tid , Sinemet 50 / 200 mg tid' -p243990 -(lp243991 -S'Aricept\tAricept\tIN\tB-PP\tO' -p243992 -aS'10\t10\tCD\tB-NP\tO' -p243993 -aS'mg\tmg\tNN\tI-NP\tO' -p243994 -aS'qd\tqd\tNN\tI-NP\tO' -p243995 -aS',\t,\t,\tO\tO' -p243996 -aS'Aspirin\tAspirin\tNN\tB-NP\tO' -p243997 -aS'81\t81\tCD\tI-NP\tO' -p243998 -aS'mg\tmg\tNN\tI-NP\tO' -p243999 -aS'qd\tqd\tNN\tI-NP\tO' -p244000 -aS',\t,\t,\tO\tO' -p244001 -aS'Folic\tFolic\tJJ\tB-NP\tO' -p244002 -aS'acid\tacid\tNN\tI-NP\tO' -p244003 -aS',\t,\t,\tO\tO' -p244004 -aS'Gabapentin\tGabapentin\tNN\tB-NP\tO' -p244005 -aS'200\t200\tCD\tI-NP\tO' -p244006 -aS'mg\tmg\tNN\tI-NP\tO' -p244007 -aS'tid\ttid\tNN\tI-NP\tO' -p244008 -aS',\t,\t,\tO\tO' -p244009 -aS'Lopressor\tLopressor\tNN\tB-NP\tO' -p244010 -aS'12.5\t12.5\tCD\tI-NP\tO' -p244011 -aS'mg\tmg\tNN\tI-NP\tO' -p244012 -aS'bid\tbid\tRB\tB-ADVP\tO' -p244013 -aS',\t,\t,\tO\tO' -p244014 -aS'Lisinopril\tLisinopril\tNNP\tB-NP\tO' -p244015 -aS'5\t5\tCD\tI-NP\tO' -p244016 -aS'mg\tmg\tNN\tI-NP\tO' -p244017 -aS'qd\tqd\tNN\tI-NP\tO' -p244018 -aS',\t,\t,\tO\tO' -p244019 -aS'Daptomycin\tDaptomycin\tNN\tB-NP\tO' -p244020 -aS'420\t420\tCD\tI-NP\tO' -p244021 -aS'mg\tmg\tNN\tI-NP\tO' -p244022 -aS'IV\tIV\tCD\tB-NP\tO' -p244023 -aS'qd\tqd\tNN\tI-NP\tO' -p244024 -aS',\t,\t,\tO\tO' -p244025 -aS'Protonix\tProtonix\tNNP\tB-NP\tO' -p244026 -aS'40\t40\tCD\tI-NP\tO' -p244027 -aS'mg\tmg\tNN\tI-NP\tO' -p244028 -aS'qd\tqd\tNN\tI-NP\tO' -p244029 -aS',\t,\t,\tO\tO' -p244030 -aS'Seroquel\tSeroquel\tNNP\tB-NP\tO' -p244031 -aS'50\t50\tCD\tI-NP\tO' -p244032 -aS'mg\tmg\tNN\tI-NP\tO' -p244033 -aS'tid\ttid\tNN\tI-NP\tO' -p244034 -aS',\t,\t,\tO\tO' -p244035 -aS'Heparin\tHeparin\tNN\tB-NP\tO' -p244036 -aS'5000\t5000\tCD\tI-NP\tO' -p244037 -aS'units\tunit\tNNS\tI-NP\tO' -p244038 -aS'SQ\tSQ\tNN\tI-NP\tO' -p244039 -aS'tid\ttid\tNN\tI-NP\tO' -p244040 -aS',\t,\t,\tO\tO' -p244041 -aS'Colace\tColace\tNNP\tB-NP\tO' -p244042 -aS'100\t100\tCD\tI-NP\tO' -p244043 -aS'mg\tmg\tNN\tI-NP\tO' -p244044 -aS'bid\tbid\tRB\tB-ADVP\tO' -p244045 -aS',\t,\t,\tO\tO' -p244046 -aS'Lactulose\tLactulose\tNN\tB-NP\tO' -p244047 -aS'15\t15\tCD\tI-NP\tO' -p244048 -aS'mg\tmg\tNN\tI-NP\tO' -p244049 -aS'bid\tbid\tRB\tB-ADVP\tO' -p244050 -aS',\t,\t,\tO\tO' -p244051 -aS'Comtan\tComtan\tNNP\tB-NP\tO' -p244052 -aS'200\t200\tCD\tI-NP\tO' -p244053 -aS'mg\tmg\tNN\tI-NP\tO' -p244054 -aS'qd\tqd\tNN\tI-NP\tO' -p244055 -aS',\t,\t,\tO\tO' -p244056 -aS'Mirapex\tMirapex\tNNP\tB-NP\tO' -p244057 -aS'1.5\t1.5\tCD\tI-NP\tO' -p244058 -aS'mg\tmg\tNN\tI-NP\tO' -p244059 -aS'tid\ttid\tNN\tI-NP\tO' -p244060 -aS',\t,\t,\tO\tO' -p244061 -aS'Sinemet\tSinemet\tNN\tB-NP\tO' -p244062 -aS'50\t50\tCD\tI-NP\tO' -p244063 -aS'/\t/\tSYM\tI-NP\tO' -p244064 -aS'200\t200\tCD\tI-NP\tO' -p244065 -aS'mg\tmg\tNN\tI-NP\tO' -p244066 -aS'tid\ttid\tNN\tI-NP\tO' -p244067 -asS'Insertion of intra-aortic balloon pump .' -p244068 -(lp244069 -S'Insertion\tInsertion\tNN\tB-NP\tO' -p244070 -aS'of\tof\tIN\tB-PP\tO' -p244071 -aS'intra-aortic\tintra-aortic\tJJ\tB-NP\tO' -p244072 -aS'balloon\tballoon\tNN\tI-NP\tO' -p244073 -aS'pump\tpump\tNN\tI-NP\tO' -p244074 -aS'.\t.\t.\tO\tO' -p244075 -asS'She was continued on her antibiotics , and was afebrile until hospital day number five , when she had a temperature spike to 102.3 .' -p244076 -(lp244077 -S'She\tShe\tPRP\tB-NP\tO' -p244078 -aS'was\tbe\tVBD\tB-VP\tO' -p244079 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p244080 -aS'on\ton\tIN\tB-PP\tO' -p244081 -aS'her\ther\tPRP$\tB-NP\tO' -p244082 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p244083 -aS',\t,\t,\tO\tO' -p244084 -aS'and\tand\tCC\tO\tO' -p244085 -aS'was\tbe\tVBD\tB-VP\tO' -p244086 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p244087 -aS'until\tuntil\tIN\tB-SBAR\tO' -p244088 -aS'hospital\thospital\tNN\tB-NP\tO' -p244089 -aS'day\tday\tNN\tI-NP\tO' -p244090 -aS'number\tnumber\tNN\tI-NP\tO' -p244091 -aS'five\tfive\tCD\tB-NP\tO' -p244092 -aS',\t,\t,\tO\tO' -p244093 -aS'when\twhen\tWRB\tB-ADVP\tO' -p244094 -aS'she\tshe\tPRP\tB-NP\tO' -p244095 -aS'had\thave\tVBD\tB-VP\tO' -p244096 -aS'a\ta\tDT\tB-NP\tO' -p244097 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p244098 -aS'spike\tspike\tNN\tI-NP\tO' -p244099 -aS'to\tto\tTO\tB-PP\tO' -p244100 -aS'102.3\t102.3\tCD\tB-NP\tO' -p244101 -aS'.\t.\t.\tO\tO' -p244102 -asS'5. Nitropaste , one-half inch to chest wall , q6h.' -p244103 -(lp244104 -S'5.\t5.\tLS\tB-LST\tO' -p244105 -aS'Nitropaste\tNitropaste\tNNP\tB-NP\tO' -p244106 -aS',\t,\t,\tO\tO' -p244107 -aS'one-half\tone-half\tJJ\tB-NP\tO' -p244108 -aS'inch\tinch\tNN\tI-NP\tO' -p244109 -aS'to\tto\tTO\tB-VP\tO' -p244110 -aS'chest\tchest\tVB\tI-VP\tO' -p244111 -aS'wall\twall\tNN\tB-NP\tO' -p244112 -aS',\t,\t,\tO\tO' -p244113 -aS'q6h.\tq6h.\tNN\tB-NP\tO' -p244114 -asS'Sudafed 30 po. bid .' -p244115 -(lp244116 -S'Sudafed\tSudafe\tVBN\tB-NP\tO' -p244117 -aS'30\t30\tCD\tI-NP\tO' -p244118 -aS'po.\tpo.\tNN\tI-NP\tO' -p244119 -aS'bid\tbid\tNN\tI-NP\tO' -p244120 -aS'.\t.\t.\tO\tO' -p244121 -asS'He was advanced to clears which he tolerated and was restarted on a low residue diet .' -p244122 -(lp244123 -S'He\tHe\tPRP\tB-NP\tO' -p244124 -aS'was\tbe\tVBD\tB-VP\tO' -p244125 -aS'advanced\tadvance\tVBN\tI-VP\tO' -p244126 -aS'to\tto\tTO\tB-PP\tO' -p244127 -aS'clears\tclear\tNNS\tB-NP\tO' -p244128 -aS'which\twhich\tWDT\tB-NP\tO' -p244129 -aS'he\the\tPRP\tB-NP\tO' -p244130 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p244131 -aS'and\tand\tCC\tO\tO' -p244132 -aS'was\tbe\tVBD\tB-VP\tO' -p244133 -aS'restarted\trestart\tVBN\tI-VP\tO' -p244134 -aS'on\ton\tIN\tB-PP\tO' -p244135 -aS'a\ta\tDT\tB-NP\tO' -p244136 -aS'low\tlow\tJJ\tI-NP\tO' -p244137 -aS'residue\tresidue\tNN\tI-NP\tO' -p244138 -aS'diet\tdiet\tNN\tI-NP\tO' -p244139 -aS'.\t.\t.\tO\tO' -p244140 -asS'- Pt placed on captopril 25 tid , lopressor 12.5 BID and NTG paste SS , achieving normal BP w / in 5 hrs of adm to floor .' -p244141 -(lp244142 -S'-\t-\tHYPH\tB-NP\tO' -p244143 -aS'Pt\tPt\tNN\tI-NP\tO' -p244144 -aS'placed\tplace\tVBN\tB-VP\tO' -p244145 -aS'on\ton\tIN\tB-PP\tO' -p244146 -aS'captopril\tcaptopril\tNN\tB-NP\tO' -p244147 -aS'25\t25\tCD\tI-NP\tO' -p244148 -aS'tid\ttid\tNN\tI-NP\tO' -p244149 -aS',\t,\t,\tO\tO' -p244150 -aS'lopressor\tlopressor\tNN\tB-NP\tO' -p244151 -aS'12.5\t12.5\tCD\tI-NP\tO' -p244152 -aS'BID\tBID\tNN\tI-NP\tO' -p244153 -aS'and\tand\tCC\tI-NP\tO' -p244154 -aS'NTG\tNTG\tNN\tI-NP\tB-protein' -p244155 -aS'paste\tpaste\tNN\tI-NP\tI-protein' -p244156 -aS'SS\tSS\tNN\tI-NP\tI-protein' -p244157 -aS',\t,\t,\tO\tO' -p244158 -aS'achieving\tachieve\tVBG\tB-VP\tO' -p244159 -aS'normal\tnormal\tJJ\tB-NP\tO' -p244160 -aS'BP\tBP\tNN\tI-NP\tO' -p244161 -aS'w\tw\tNN\tI-NP\tO' -p244162 -aS'/\t/\tSYM\tB-NP\tO' -p244163 -aS'in\tin\tIN\tB-PP\tO' -p244164 -aS'5\t5\tCD\tB-NP\tO' -p244165 -aS'hrs\thr\tNNS\tI-NP\tO' -p244166 -aS'of\tof\tIN\tB-PP\tO' -p244167 -aS'adm\tadm\tNN\tB-NP\tO' -p244168 -aS'to\tto\tTO\tB-PP\tO' -p244169 -aS'floor\tfloor\tNN\tB-NP\tO' -p244170 -aS'.\t.\t.\tO\tO' -p244171 -asS'Pt has HTN , measured BP home 200/100 .' -p244172 -(lp244173 -S'Pt\tPt\tNN\tB-NP\tO' -p244174 -aS'has\thave\tVBZ\tB-VP\tO' -p244175 -aS'HTN\tHTN\tNN\tB-NP\tB-protein' -p244176 -aS',\t,\t,\tO\tO' -p244177 -aS'measured\tmeasure\tVBD\tB-VP\tO' -p244178 -aS'BP\tBP\tNN\tB-NP\tO' -p244179 -aS'home\thome\tNN\tI-NP\tO' -p244180 -aS'200/100\t200/100\tCD\tI-NP\tO' -p244181 -aS'.\t.\t.\tO\tO' -p244182 -asS"CBC was benign with 22,000 whites , 80 poly 's, 0 bands , 15 lymphs ." -p244183 -(lp244184 -S'CBC\tCBC\tNN\tB-NP\tB-protein' -p244185 -aS'was\tbe\tVBD\tB-VP\tO' -p244186 -aS'benign\tbenign\tJJ\tB-ADJP\tO' -p244187 -aS'with\twith\tIN\tB-PP\tO' -p244188 -aS'22,000\t22,000\tCD\tB-NP\tO' -p244189 -aS'whites\twhite\tNNS\tI-NP\tO' -p244190 -aS',\t,\t,\tO\tO' -p244191 -aS'80\t80\tCD\tB-NP\tO' -p244192 -aS'poly\tpoly\tNN\tI-NP\tO' -p244193 -aS"'s,\t's,\tPOS\tB-NP\tO" -p244194 -aS'0\t0\tCD\tI-NP\tO' -p244195 -aS'bands\tband\tNNS\tI-NP\tO' -p244196 -aS',\t,\t,\tO\tO' -p244197 -aS'15\t15\tCD\tB-NP\tO' -p244198 -aS'lymphs\tlymph\tNNS\tI-NP\tO' -p244199 -aS'.\t.\t.\tO\tO' -p244200 -asS'HTN elev. lipids hypothyroidism back pain' -p244201 -(lp244202 -S'HTN\tHTN\tNN\tB-NP\tO' -p244203 -aS'elev.\telev.\tNN\tI-NP\tO' -p244204 -aS'lipids\tlipid\tNNS\tI-NP\tO' -p244205 -aS'hypothyroidism\thypothyroidism\tNN\tI-NP\tO' -p244206 -aS'back\tback\tRB\tB-ADVP\tO' -p244207 -aS'pain\tpain\tNN\tB-NP\tO' -p244208 -asS'The cranial nerves showed full visual fields without extinction , pupils 5 to 3 bilaterally and equal , disks flat , lower left facial decreased sensation to temperature , pin prick on the left V1 through V3 , tongue deviates to the left , good gag , decreased shrug on the left .' -p244209 -(lp244210 -S'The\tThe\tDT\tB-NP\tO' -p244211 -aS'cranial\tcranial\tJJ\tI-NP\tO' -p244212 -aS'nerves\tnerve\tNNS\tI-NP\tO' -p244213 -aS'showed\tshow\tVBD\tB-VP\tO' -p244214 -aS'full\tfull\tJJ\tB-NP\tO' -p244215 -aS'visual\tvisual\tJJ\tI-NP\tO' -p244216 -aS'fields\tfield\tNNS\tI-NP\tO' -p244217 -aS'without\twithout\tIN\tB-PP\tO' -p244218 -aS'extinction\textinction\tNN\tB-NP\tO' -p244219 -aS',\t,\t,\tO\tO' -p244220 -aS'pupils\tpupil\tNNS\tB-NP\tO' -p244221 -aS'5\t5\tCD\tI-NP\tO' -p244222 -aS'to\tto\tTO\tI-NP\tO' -p244223 -aS'3\t3\tCD\tI-NP\tO' -p244224 -aS'bilaterally\tbilaterally\tRB\tI-NP\tO' -p244225 -aS'and\tand\tCC\tI-NP\tO' -p244226 -aS'equal\tequal\tJJ\tI-NP\tO' -p244227 -aS',\t,\t,\tO\tO' -p244228 -aS'disks\tdisk\tNNS\tB-NP\tO' -p244229 -aS'flat\tflat\tJJ\tB-ADJP\tO' -p244230 -aS',\t,\t,\tO\tO' -p244231 -aS'lower\tlow\tJJR\tB-ADVP\tO' -p244232 -aS'left\tleave\tVBD\tB-VP\tO' -p244233 -aS'facial\tfacial\tJJ\tB-NP\tO' -p244234 -aS'decreased\tdecrease\tVBN\tI-NP\tO' -p244235 -aS'sensation\tsensation\tNN\tI-NP\tO' -p244236 -aS'to\tto\tTO\tB-PP\tO' -p244237 -aS'temperature\ttemperature\tNN\tB-NP\tO' -p244238 -aS',\t,\t,\tO\tO' -p244239 -aS'pin\tpin\tNN\tB-NP\tO' -p244240 -aS'prick\tprick\tNN\tI-NP\tO' -p244241 -aS'on\ton\tIN\tB-PP\tO' -p244242 -aS'the\tthe\tDT\tB-NP\tO' -p244243 -aS'left\tleft\tJJ\tI-NP\tO' -p244244 -aS'V1\tV1\tNN\tI-NP\tO' -p244245 -aS'through\tthrough\tIN\tB-PP\tO' -p244246 -aS'V3\tV3\tNN\tB-NP\tB-protein' -p244247 -aS',\t,\t,\tO\tO' -p244248 -aS'tongue\ttongue\tNN\tB-NP\tO' -p244249 -aS'deviates\tdeviate\tVBZ\tB-VP\tO' -p244250 -aS'to\tto\tTO\tB-PP\tO' -p244251 -aS'the\tthe\tDT\tB-NP\tO' -p244252 -aS'left\tleft\tJJ\tI-NP\tO' -p244253 -aS',\t,\t,\tI-NP\tO' -p244254 -aS'good\tgood\tJJ\tI-NP\tO' -p244255 -aS'gag\tgag\tNN\tI-NP\tO' -p244256 -aS',\t,\t,\tO\tO' -p244257 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p244258 -aS'shrug\tshrug\tNN\tB-NP\tO' -p244259 -aS'on\ton\tIN\tB-PP\tO' -p244260 -aS'the\tthe\tDT\tB-NP\tO' -p244261 -aS'left\tleft\tNN\tI-NP\tO' -p244262 -aS'.\t.\t.\tO\tO' -p244263 -asS'General : WD/WN male in NAD' -p244264 -(lp244265 -S'General\tGeneral\tNNP\tB-NP\tO' -p244266 -aS':\t:\t:\tO\tO' -p244267 -aS'WD/WN\tWD/WN\tNN\tB-NP\tO' -p244268 -aS'male\tmale\tNN\tI-NP\tO' -p244269 -aS'in\tin\tIN\tB-PP\tO' -p244270 -aS'NAD\tNAD\tNN\tB-NP\tO' -p244271 -asS'Na 145 , K 4.3 , Cl 110 , tCO2 25 .' -p244272 -(lp244273 -S'Na\tNa\tNN\tB-NP\tB-protein' -p244274 -aS'145\t145\tCD\tI-NP\tI-protein' -p244275 -aS',\t,\t,\tO\tO' -p244276 -aS'K\tK\tNN\tB-NP\tB-cell_line' -p244277 -aS'4.3\t4.3\tNN\tI-NP\tI-cell_line' -p244278 -aS',\t,\t,\tO\tO' -p244279 -aS'Cl\tCl\tNN\tB-NP\tB-protein' -p244280 -aS'110\t110\tCD\tI-NP\tI-protein' -p244281 -aS',\t,\t,\tO\tO' -p244282 -aS'tCO2\ttCO2\tNN\tB-NP\tO' -p244283 -aS'25\t25\tCD\tI-NP\tO' -p244284 -aS'.\t.\t.\tO\tO' -p244285 -asS'Anus patent .' -p244286 -(lp244287 -S'Anus\tAnus\tDT\tB-NP\tO' -p244288 -aS'patent\tpatent\tNN\tI-NP\tO' -p244289 -aS'.\t.\t.\tO\tO' -p244290 -asS'She was discharged on fioricet and dilantin .' -p244291 -(lp244292 -S'She\tShe\tPRP\tB-NP\tO' -p244293 -aS'was\tbe\tVBD\tB-VP\tO' -p244294 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p244295 -aS'on\ton\tIN\tB-PP\tO' -p244296 -aS'fioricet\tfioricet\tNN\tB-NP\tO' -p244297 -aS'and\tand\tCC\tI-NP\tO' -p244298 -aS'dilantin\tdilantin\tNN\tI-NP\tO' -p244299 -aS'.\t.\t.\tO\tO' -p244300 -asS'The patient was noted to be independently ambulatory and was productive of adequate amounts of urine .' -p244301 -(lp244302 -S'The\tThe\tDT\tB-NP\tO' -p244303 -aS'patient\tpatient\tNN\tI-NP\tO' -p244304 -aS'was\tbe\tVBD\tB-VP\tO' -p244305 -aS'noted\tnote\tVBN\tI-VP\tO' -p244306 -aS'to\tto\tTO\tI-VP\tO' -p244307 -aS'be\tbe\tVB\tI-VP\tO' -p244308 -aS'independently\tindependently\tRB\tB-ADJP\tO' -p244309 -aS'ambulatory\tambulatory\tJJ\tI-ADJP\tO' -p244310 -aS'and\tand\tCC\tO\tO' -p244311 -aS'was\tbe\tVBD\tB-VP\tO' -p244312 -aS'productive\tproductive\tJJ\tB-ADJP\tO' -p244313 -aS'of\tof\tIN\tB-PP\tO' -p244314 -aS'adequate\tadequate\tJJ\tB-NP\tO' -p244315 -aS'amounts\tamount\tNNS\tI-NP\tO' -p244316 -aS'of\tof\tIN\tB-PP\tO' -p244317 -aS'urine\turine\tNN\tB-NP\tO' -p244318 -aS'.\t.\t.\tO\tO' -p244319 -asS'This is to notify you that your patient , SCOBE , RYLALON arrived in the Emergency Department at Oaksgekesser/ Memorial Hospital on 07/10/2002 11:45 AM .' -p244320 -(lp244321 -S'This\tThis\tDT\tB-NP\tO' -p244322 -aS'is\tbe\tVBZ\tB-VP\tO' -p244323 -aS'to\tto\tTO\tB-VP\tO' -p244324 -aS'notify\tnotify\tVB\tI-VP\tO' -p244325 -aS'you\tyou\tPRP\tB-NP\tO' -p244326 -aS'that\tthat\tIN\tB-SBAR\tO' -p244327 -aS'your\tyour\tPRP$\tB-NP\tO' -p244328 -aS'patient\tpatient\tNN\tI-NP\tO' -p244329 -aS',\t,\t,\tO\tO' -p244330 -aS'SCOBE\tSCOBE\tNN\tB-NP\tB-protein' -p244331 -aS',\t,\t,\tO\tO' -p244332 -aS'RYLALON\tRYLALON\tNN\tB-NP\tO' -p244333 -aS'arrived\tarrive\tVBD\tB-VP\tO' -p244334 -aS'in\tin\tIN\tB-PP\tO' -p244335 -aS'the\tthe\tDT\tB-NP\tO' -p244336 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p244337 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p244338 -aS'at\tat\tIN\tB-PP\tO' -p244339 -aS'Oaksgekesser/\tOaksgekesser/\tNNP\tB-NP\tO' -p244340 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p244341 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p244342 -aS'on\ton\tIN\tB-PP\tO' -p244343 -aS'07/10/2002\t07/10/2002\tCD\tB-NP\tO' -p244344 -aS'11:45\t11:45\tCD\tI-NP\tO' -p244345 -aS'AM\tAM\tNN\tI-NP\tO' -p244346 -aS'.\t.\t.\tO\tO' -p244347 -asS'VQ was indeterminate .' -p244348 -(lp244349 -S'VQ\tVQ\tNN\tB-NP\tB-protein' -p244350 -aS'was\tbe\tVBD\tB-VP\tO' -p244351 -aS'indeterminate\tindeterminate\tJJ\tB-ADJP\tO' -p244352 -aS'.\t.\t.\tO\tO' -p244353 -asS'a.fib with RVR - Has ppm , so can have lot of nodal agents .' -p244354 -(lp244355 -S'a.fib\ta.fib\tNN\tB-NP\tO' -p244356 -aS'with\twith\tIN\tB-PP\tO' -p244357 -aS'RVR\tRVR\tNN\tB-NP\tB-protein' -p244358 -aS'-\t-\tHYPH\tB-NP\tO' -p244359 -aS'Has\tHas\tNNP\tI-NP\tO' -p244360 -aS'ppm\tppm\tNN\tI-NP\tO' -p244361 -aS',\t,\t,\tO\tO' -p244362 -aS'so\tso\tRB\tB-ADVP\tO' -p244363 -aS'can\tcan\tMD\tB-VP\tO' -p244364 -aS'have\thave\tVB\tI-VP\tO' -p244365 -aS'lot\tlot\tNN\tB-NP\tO' -p244366 -aS'of\tof\tIN\tB-PP\tO' -p244367 -aS'nodal\tnodal\tJJ\tB-NP\tO' -p244368 -aS'agents\tagent\tNNS\tI-NP\tO' -p244369 -aS'.\t.\t.\tO\tO' -p244370 -asS'In John , BP 80/60 , HR 80 .' -p244371 -(lp244372 -S'In\tIn\tIN\tB-PP\tO' -p244373 -aS'John\tJohn\tNNP\tB-NP\tO' -p244374 -aS',\t,\t,\tO\tO' -p244375 -aS'BP\tBP\tNNP\tB-NP\tO' -p244376 -aS'80/60\t80/60\tCD\tI-NP\tO' -p244377 -aS',\t,\t,\tO\tO' -p244378 -aS'HR\tHR\tNN\tB-NP\tB-protein' -p244379 -aS'80\t80\tCD\tI-NP\tI-protein' -p244380 -aS'.\t.\t.\tO\tO' -p244381 -asS'Her left knee is slightly erythematous compared to the right but not impressive .' -p244382 -(lp244383 -S'Her\tHer\tPRP$\tB-NP\tO' -p244384 -aS'left\tleft\tJJ\tI-NP\tO' -p244385 -aS'knee\tknee\tNN\tI-NP\tO' -p244386 -aS'is\tbe\tVBZ\tB-VP\tO' -p244387 -aS'slightly\tslightly\tRB\tB-ADJP\tO' -p244388 -aS'erythematous\terythematous\tJJ\tI-ADJP\tO' -p244389 -aS'compared\tcompare\tVBN\tB-PP\tO' -p244390 -aS'to\tto\tTO\tB-PP\tO' -p244391 -aS'the\tthe\tDT\tB-NP\tO' -p244392 -aS'right\tright\tJJ\tI-NP\tO' -p244393 -aS'but\tbut\tCC\tO\tO' -p244394 -aS'not\tnot\tRB\tB-ADJP\tO' -p244395 -aS'impressive\timpressive\tJJ\tI-ADJP\tO' -p244396 -aS'.\t.\t.\tO\tO' -p244397 -asS'While in the ICU he developed seizures , requiring large amounts of intravenous Valium to break his seizures , and he was maintained on Tegretol and Dilantin .' -p244398 -(lp244399 -S'While\tWhile\tIN\tB-SBAR\tO' -p244400 -aS'in\tin\tIN\tB-PP\tO' -p244401 -aS'the\tthe\tDT\tB-NP\tO' -p244402 -aS'ICU\tICU\tNN\tI-NP\tB-DNA' -p244403 -aS'he\the\tPRP\tB-NP\tO' -p244404 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p244405 -aS'seizures\tseizure\tNNS\tB-NP\tO' -p244406 -aS',\t,\t,\tO\tO' -p244407 -aS'requiring\trequire\tVBG\tB-VP\tO' -p244408 -aS'large\tlarge\tJJ\tB-NP\tO' -p244409 -aS'amounts\tamount\tNNS\tI-NP\tO' -p244410 -aS'of\tof\tIN\tB-PP\tO' -p244411 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p244412 -aS'Valium\tValium\tNN\tI-NP\tO' -p244413 -aS'to\tto\tTO\tB-VP\tO' -p244414 -aS'break\tbreak\tVB\tI-VP\tO' -p244415 -aS'his\this\tPRP$\tB-NP\tO' -p244416 -aS'seizures\tseizure\tNNS\tI-NP\tO' -p244417 -aS',\t,\t,\tO\tO' -p244418 -aS'and\tand\tCC\tO\tO' -p244419 -aS'he\the\tPRP\tB-NP\tO' -p244420 -aS'was\tbe\tVBD\tB-VP\tO' -p244421 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p244422 -aS'on\ton\tIN\tB-PP\tO' -p244423 -aS'Tegretol\tTegretol\tNN\tB-NP\tO' -p244424 -aS'and\tand\tCC\tI-NP\tO' -p244425 -aS'Dilantin\tDilantin\tNN\tI-NP\tB-protein' -p244426 -aS'.\t.\t.\tO\tO' -p244427 -asS'3. Norvasc .' -p244428 -(lp244429 -S'3.\t3.\tLS\tB-NP\tO' -p244430 -aS'Norvasc\tNorvasc\tNN\tI-NP\tO' -p244431 -aS'.\t.\t.\tO\tO' -p244432 -asS'Continued to have recurrent fevers .' -p244433 -(lp244434 -S'Continued\tContinue\tVBN\tB-VP\tO' -p244435 -aS'to\tto\tTO\tI-VP\tO' -p244436 -aS'have\thave\tVB\tI-VP\tO' -p244437 -aS'recurrent\trecurrent\tJJ\tB-NP\tO' -p244438 -aS'fevers\tfever\tNNS\tI-NP\tO' -p244439 -aS'.\t.\t.\tO\tO' -p244440 -asS'Formerly smoked 3 packs per day x 25 years ; 2 cigars per day x approximately 6 months .' -p244441 -(lp244442 -S'Formerly\tFormerly\tRB\tB-ADVP\tO' -p244443 -aS'smoked\tsmoke\tVBD\tB-VP\tO' -p244444 -aS'3\t3\tCD\tB-NP\tO' -p244445 -aS'packs\tpack\tNNS\tI-NP\tO' -p244446 -aS'per\tper\tIN\tB-PP\tO' -p244447 -aS'day\tday\tNN\tB-NP\tO' -p244448 -aS'x\tx\tSYM\tO\tO' -p244449 -aS'25\t25\tCD\tB-NP\tO' -p244450 -aS'years\tyear\tNNS\tI-NP\tO' -p244451 -aS';\t;\t:\tO\tO' -p244452 -aS'2\t2\tCD\tB-NP\tO' -p244453 -aS'cigars\tcigar\tNNS\tI-NP\tO' -p244454 -aS'per\tper\tIN\tB-PP\tO' -p244455 -aS'day\tday\tNN\tB-NP\tO' -p244456 -aS'x\tx\tCC\tO\tO' -p244457 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p244458 -aS'6\t6\tCD\tI-NP\tO' -p244459 -aS'months\tmonth\tNNS\tI-NP\tO' -p244460 -aS'.\t.\t.\tO\tO' -p244461 -asS'Mr. Breutzfarstxei was recently diagnosed with acquired immunodeficiency syndrome when he had Pneumocystis carinii pneumonia on 01/17/91 .' -p244462 -(lp244463 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p244464 -aS'Breutzfarstxei\tBreutzfarstxei\tNNP\tI-NP\tO' -p244465 -aS'was\tbe\tVBD\tB-VP\tO' -p244466 -aS'recently\trecently\tRB\tI-VP\tO' -p244467 -aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' -p244468 -aS'with\twith\tIN\tB-PP\tO' -p244469 -aS'acquired\tacquire\tVBN\tB-NP\tO' -p244470 -aS'immunodeficiency\timmunodeficiency\tNN\tI-NP\tO' -p244471 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p244472 -aS'when\twhen\tWRB\tB-ADVP\tO' -p244473 -aS'he\the\tPRP\tB-NP\tO' -p244474 -aS'had\thave\tVBD\tB-VP\tO' -p244475 -aS'Pneumocystis\tPneumocystis\tNN\tB-NP\tO' -p244476 -aS'carinii\tcarinii\tNN\tI-NP\tO' -p244477 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p244478 -aS'on\ton\tIN\tB-PP\tO' -p244479 -aS'01/17/91\t01/17/91\tCD\tB-NP\tO' -p244480 -aS'.\t.\t.\tO\tO' -p244481 -asS'POD# 23/14 she recieved a cystoscopy which revealed no leak .' -p244482 -(lp244483 -S'POD#\tPOD#\tNN\tB-NP\tO' -p244484 -aS'23/14\t23/14\tCD\tI-NP\tO' -p244485 -aS'she\tshe\tPRP\tB-NP\tO' -p244486 -aS'recieved\trecieve\tVBD\tB-VP\tO' -p244487 -aS'a\ta\tDT\tB-NP\tO' -p244488 -aS'cystoscopy\tcystoscopy\tNN\tI-NP\tO' -p244489 -aS'which\twhich\tWDT\tB-NP\tO' -p244490 -aS'revealed\treveal\tVBD\tB-VP\tO' -p244491 -aS'no\tno\tDT\tB-NP\tO' -p244492 -aS'leak\tleak\tNN\tI-NP\tO' -p244493 -aS'.\t.\t.\tO\tO' -p244494 -asS'He was started on Pyridium .' -p244495 -(lp244496 -S'He\tHe\tPRP\tB-NP\tO' -p244497 -aS'was\tbe\tVBD\tB-VP\tO' -p244498 -aS'started\tstart\tVBN\tI-VP\tO' -p244499 -aS'on\ton\tIN\tB-PP\tO' -p244500 -aS'Pyridium\tPyridium\tNN\tB-NP\tO' -p244501 -aS'.\t.\t.\tO\tO' -p244502 -asS'Lungs clear bilaterally with slightly decreased breath sounds on the right but symmetric chest rise and fall .' -p244503 -(lp244504 -S'Lungs\tLung\tNNS\tB-NP\tO' -p244505 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p244506 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p244507 -aS'with\twith\tIN\tB-PP\tO' -p244508 -aS'slightly\tslightly\tRB\tB-NP\tO' -p244509 -aS'decreased\tdecrease\tVBN\tI-NP\tO' -p244510 -aS'breath\tbreath\tNN\tI-NP\tO' -p244511 -aS'sounds\tsound\tNNS\tI-NP\tO' -p244512 -aS'on\ton\tIN\tB-PP\tO' -p244513 -aS'the\tthe\tDT\tB-NP\tO' -p244514 -aS'right\tright\tJJ\tI-NP\tO' -p244515 -aS'but\tbut\tCC\tI-NP\tO' -p244516 -aS'symmetric\tsymmetric\tJJ\tI-NP\tO' -p244517 -aS'chest\tchest\tNN\tI-NP\tO' -p244518 -aS'rise\trise\tNN\tI-NP\tO' -p244519 -aS'and\tand\tCC\tI-NP\tO' -p244520 -aS'fall\tfall\tNN\tI-NP\tO' -p244521 -aS'.\t.\t.\tO\tO' -p244522 -asS'He then underwent a CT scan to rule out a PE .' -p244523 -(lp244524 -S'He\tHe\tPRP\tB-NP\tO' -p244525 -aS'then\tthen\tRB\tB-ADVP\tO' -p244526 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p244527 -aS'a\ta\tDT\tB-NP\tO' -p244528 -aS'CT\tCT\tNN\tI-NP\tO' -p244529 -aS'scan\tscan\tNN\tI-NP\tO' -p244530 -aS'to\tto\tTO\tB-VP\tO' -p244531 -aS'rule\trule\tVB\tI-VP\tO' -p244532 -aS'out\tout\tRP\tB-PRT\tO' -p244533 -aS'a\ta\tDT\tB-NP\tO' -p244534 -aS'PE\tPE\tNN\tI-NP\tO' -p244535 -aS'.\t.\t.\tO\tO' -p244536 -asS'He has a history of drinking which he discontinued in May .' -p244537 -(lp244538 -S'He\tHe\tPRP\tB-NP\tO' -p244539 -aS'has\thave\tVBZ\tB-VP\tO' -p244540 -aS'a\ta\tDT\tB-NP\tO' -p244541 -aS'history\thistory\tNN\tI-NP\tO' -p244542 -aS'of\tof\tIN\tB-PP\tO' -p244543 -aS'drinking\tdrinking\tNN\tB-NP\tO' -p244544 -aS'which\twhich\tWDT\tB-NP\tO' -p244545 -aS'he\the\tPRP\tB-NP\tO' -p244546 -aS'discontinued\tdiscontinue\tVBD\tB-VP\tO' -p244547 -aS'in\tin\tIN\tB-PP\tO' -p244548 -aS'May\tMay\tNNP\tB-NP\tO' -p244549 -aS'.\t.\t.\tO\tO' -p244550 -asS'7. Fluticasone - Salmeterol 250-50 mcg / Dose Disk with Device Sig : One ( 1 ) Disk with Device Inhalation BID ( 2 times a day ).' -p244551 -(lp244552 -S'7.\t7.\tLS\tB-NP\tO' -p244553 -aS'Fluticasone\tFluticasone\tNN\tI-NP\tO' -p244554 -aS'-\t-\tHYPH\tO\tO' -p244555 -aS'Salmeterol\tSalmeterol\tNN\tB-NP\tO' -p244556 -aS'250-50\t250-50\tCD\tI-NP\tO' -p244557 -aS'mcg\tmcg\tNN\tI-NP\tO' -p244558 -aS'/\t/\tSYM\tB-NP\tO' -p244559 -aS'Dose\tDose\tNN\tI-NP\tO' -p244560 -aS'Disk\tDisk\tNN\tI-NP\tO' -p244561 -aS'with\twith\tIN\tB-PP\tO' -p244562 -aS'Device\tDevice\tNNP\tB-NP\tO' -p244563 -aS'Sig\tSig\tNNP\tI-NP\tO' -p244564 -aS':\t:\t:\tO\tO' -p244565 -aS'One\tOne\tCD\tB-NP\tO' -p244566 -aS'(\t(\t(\tO\tO' -p244567 -aS'1\t1\tCD\tB-NP\tO' -p244568 -aS')\t)\t)\tO\tO' -p244569 -aS'Disk\tDisk\tNN\tB-NP\tO' -p244570 -aS'with\twith\tIN\tB-PP\tO' -p244571 -aS'Device\tDevice\tNN\tB-NP\tO' -p244572 -aS'Inhalation\tInhalation\tNN\tI-NP\tO' -p244573 -aS'BID\tBID\tNN\tI-NP\tO' -p244574 -aS'(\t(\t(\tO\tO' -p244575 -aS'2\t2\tCD\tB-NP\tO' -p244576 -aS'times\ttime\tNNS\tI-NP\tO' -p244577 -aS'a\ta\tDT\tB-NP\tO' -p244578 -aS'day\tday\tNN\tI-NP\tO' -p244579 -aS').\t).\t.\tO\tO' -p244580 -asS'14. Tube feedings ; Mr. Knueppel is to be discharged on tube feeds , Promote , with fiber full-strength at 80 cc per hour around the clock .' -p244581 -(lp244582 -S'14.\t14.\tLS\tB-NP\tO' -p244583 -aS'Tube\tTube\tNNP\tI-NP\tO' -p244584 -aS'feedings\tfeeding\tNNS\tI-NP\tO' -p244585 -aS';\t;\t:\tO\tO' -p244586 -aS'Mr.\tMr.\tNNP\tB-NP\tO' -p244587 -aS'Knueppel\tKnueppel\tNNP\tI-NP\tO' -p244588 -aS'is\tbe\tVBZ\tB-VP\tO' -p244589 -aS'to\tto\tTO\tI-VP\tO' -p244590 -aS'be\tbe\tVB\tI-VP\tO' -p244591 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p244592 -aS'on\ton\tIN\tB-PP\tO' -p244593 -aS'tube\ttube\tNN\tB-NP\tO' -p244594 -aS'feeds\tfeed\tNNS\tI-NP\tO' -p244595 -aS',\t,\t,\tO\tO' -p244596 -aS'Promote\tPromote\tNNP\tB-NP\tO' -p244597 -aS',\t,\t,\tO\tO' -p244598 -aS'with\twith\tIN\tB-PP\tO' -p244599 -aS'fiber\tfiber\tNN\tB-NP\tO' -p244600 -aS'full-strength\tfull-strength\tJJ\tB-ADJP\tO' -p244601 -aS'at\tat\tIN\tB-PP\tO' -p244602 -aS'80\t80\tCD\tB-NP\tO' -p244603 -aS'cc\tcc\tNN\tI-NP\tO' -p244604 -aS'per\tper\tIN\tB-PP\tO' -p244605 -aS'hour\thour\tNN\tB-NP\tO' -p244606 -aS'around\taround\tIN\tB-PP\tO' -p244607 -aS'the\tthe\tDT\tB-NP\tO' -p244608 -aS'clock\tclock\tNN\tI-NP\tO' -p244609 -aS'.\t.\t.\tO\tO' -p244610 -asS'3. He was also discharged home with Visiting Nurse Association for Physical Therapy evaluation of home safety .' -p244611 -(lp244612 -S'3.\t3.\tLS\tB-LST\tO' -p244613 -aS'He\tHe\tPRP\tB-NP\tO' -p244614 -aS'was\tbe\tVBD\tB-VP\tO' -p244615 -aS'also\talso\tRB\tI-VP\tO' -p244616 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p244617 -aS'home\thome\tNN\tB-ADVP\tO' -p244618 -aS'with\twith\tIN\tB-PP\tO' -p244619 -aS'Visiting\tVisiting\tNNP\tB-NP\tO' -p244620 -aS'Nurse\tNurse\tNNP\tI-NP\tO' -p244621 -aS'Association\tAssociation\tNNP\tI-NP\tO' -p244622 -aS'for\tfor\tIN\tB-PP\tO' -p244623 -aS'Physical\tPhysical\tNNP\tB-NP\tO' -p244624 -aS'Therapy\tTherapy\tNNP\tI-NP\tO' -p244625 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p244626 -aS'of\tof\tIN\tB-PP\tO' -p244627 -aS'home\thome\tNN\tB-NP\tO' -p244628 -aS'safety\tsafety\tNN\tI-NP\tO' -p244629 -aS'.\t.\t.\tO\tO' -p244630 -asS'EKG showed atrial fibrillation , moderate ventricular response , right ventricular hypertrophy , right axis deviation .' -p244631 -(lp244632 -S'EKG\tEKG\tNN\tB-NP\tB-protein' -p244633 -aS'showed\tshow\tVBD\tB-VP\tO' -p244634 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p244635 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p244636 -aS',\t,\t,\tO\tO' -p244637 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p244638 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p244639 -aS'response\tresponse\tNN\tI-NP\tO' -p244640 -aS',\t,\t,\tO\tO' -p244641 -aS'right\tright\tJJ\tB-NP\tO' -p244642 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p244643 -aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' -p244644 -aS',\t,\t,\tO\tO' -p244645 -aS'right\tright\tJJ\tB-NP\tO' -p244646 -aS'axis\taxis\tNN\tI-NP\tO' -p244647 -aS'deviation\tdeviation\tNN\tI-NP\tO' -p244648 -aS'.\t.\t.\tO\tO' -p244649 -asS'He was doing exceptionally well at discharge with plans to follow up with Dr. Rhalttland .' -p244650 -(lp244651 -S'He\tHe\tPRP\tB-NP\tO' -p244652 -aS'was\tbe\tVBD\tB-VP\tO' -p244653 -aS'doing\tdo\tVBG\tI-VP\tO' -p244654 -aS'exceptionally\texceptionally\tRB\tB-ADVP\tO' -p244655 -aS'well\twell\tRB\tI-ADVP\tO' -p244656 -aS'at\tat\tIN\tB-PP\tO' -p244657 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p244658 -aS'with\twith\tIN\tB-PP\tO' -p244659 -aS'plans\tplan\tNNS\tB-NP\tO' -p244660 -aS'to\tto\tTO\tB-VP\tO' -p244661 -aS'follow\tfollow\tVB\tI-VP\tO' -p244662 -aS'up\tup\tRP\tB-PRT\tO' -p244663 -aS'with\twith\tIN\tB-PP\tO' -p244664 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p244665 -aS'Rhalttland\tRhalttland\tNNP\tI-NP\tO' -p244666 -aS'.\t.\t.\tO\tO' -p244667 -asS'There is mild pulmonary artery systolic hypertension .' -p244668 -(lp244669 -S'There\tThere\tEX\tB-NP\tO' -p244670 -aS'is\tbe\tVBZ\tB-VP\tO' -p244671 -aS'mild\tmild\tJJ\tB-NP\tO' -p244672 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p244673 -aS'artery\tartery\tNN\tI-NP\tO' -p244674 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p244675 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p244676 -aS'.\t.\t.\tO\tO' -p244677 -asS'The left ventricular inflow pattern suggests impaired relaxation .' -p244678 -(lp244679 -S'The\tThe\tDT\tB-NP\tO' -p244680 -aS'left\tleft\tJJ\tI-NP\tO' -p244681 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p244682 -aS'inflow\tinflow\tNN\tI-NP\tO' -p244683 -aS'pattern\tpattern\tNN\tI-NP\tO' -p244684 -aS'suggests\tsuggest\tVBZ\tB-VP\tO' -p244685 -aS'impaired\timpaired\tJJ\tB-NP\tO' -p244686 -aS'relaxation\trelaxation\tNN\tI-NP\tO' -p244687 -aS'.\t.\t.\tO\tO' -p244688 -asS'Global left ventricular systolic function appeared grossly preserved .' -p244689 -(lp244690 -S'Global\tGlobal\tJJ\tB-NP\tO' -p244691 -aS'left\tleft\tJJ\tI-NP\tO' -p244692 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p244693 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p244694 -aS'function\tfunction\tNN\tI-NP\tO' -p244695 -aS'appeared\tappear\tVBD\tB-VP\tO' -p244696 -aS'grossly\tgrossly\tRB\tI-VP\tO' -p244697 -aS'preserved\tpreserve\tVBN\tI-VP\tO' -p244698 -aS'.\t.\t.\tO\tO' -p244699 -asS'Normal mitral valve leaflets .' -p244700 -(lp244701 -S'Normal\tNormal\tJJ\tB-NP\tO' -p244702 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p244703 -aS'valve\tvalve\tNN\tI-NP\tO' -p244704 -aS'leaflets\tleaflet\tNNS\tI-NP\tO' -p244705 -aS'.\t.\t.\tO\tO' -p244706 -asS'HD # 01-20 She was monitored closely in the CMED .' -p244707 -(lp244708 -S'HD\tHD\tNN\tB-NP\tO' -p244709 -aS'#\t#\t#\tI-NP\tO' -p244710 -aS'01-20\t01-20\tCD\tI-NP\tO' -p244711 -aS'She\tShe\tPRP\tB-NP\tO' -p244712 -aS'was\tbe\tVBD\tB-VP\tO' -p244713 -aS'monitored\tmonitor\tVBN\tI-VP\tO' -p244714 -aS'closely\tclosely\tRB\tB-ADVP\tO' -p244715 -aS'in\tin\tIN\tB-PP\tO' -p244716 -aS'the\tthe\tDT\tB-NP\tO' -p244717 -aS'CMED\tCMED\tNN\tI-NP\tO' -p244718 -aS'.\t.\t.\tO\tO' -p244719 -asS'Genitalia normal .' -p244720 -(lp244721 -S'Genitalia\tGenitalia\tNN\tB-NP\tO' -p244722 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p244723 -aS'.\t.\t.\tO\tO' -p244724 -asS'Ensure Liquid Sig : 0.5 to 1 can PO three times a day .' -p244725 -(lp244726 -S'Ensure\tEnsure\tNNP\tB-NP\tO' -p244727 -aS'Liquid\tLiquid\tNNP\tI-NP\tO' -p244728 -aS'Sig\tSig\tNNP\tI-NP\tO' -p244729 -aS':\t:\t:\tO\tO' -p244730 -aS'0.5\t0.5\tCD\tB-NP\tO' -p244731 -aS'to\tto\tTO\tI-NP\tO' -p244732 -aS'1\t1\tCD\tI-NP\tO' -p244733 -aS'can\tcan\tMD\tB-VP\tO' -p244734 -aS'PO\tPO\tVB\tI-VP\tO' -p244735 -aS'three\tthree\tCD\tB-NP\tO' -p244736 -aS'times\ttime\tNNS\tI-NP\tO' -p244737 -aS'a\ta\tDT\tB-NP\tO' -p244738 -aS'day\tday\tNN\tI-NP\tO' -p244739 -aS'.\t.\t.\tO\tO' -p244740 -asS'd) Alopecia areata and totalis , dxed 1970s' -p244741 -(lp244742 -S'd)\td)\tLS\tB-NP\tO' -p244743 -aS'Alopecia\tAlopecia\tNNP\tI-NP\tO' -p244744 -aS'areata\tareata\tNN\tI-NP\tO' -p244745 -aS'and\tand\tCC\tI-NP\tO' -p244746 -aS'totalis\ttotalis\tNN\tI-NP\tO' -p244747 -aS',\t,\t,\tO\tO' -p244748 -aS'dxed\tdxe\tVBD\tB-VP\tO' -p244749 -aS'1970s\t1970\tNNS\tB-NP\tO' -p244750 -asS'He received an Angio-Seal to the right common femoral artery .' -p244751 -(lp244752 -S'He\tHe\tPRP\tB-NP\tO' -p244753 -aS'received\treceive\tVBD\tB-VP\tO' -p244754 -aS'an\tan\tDT\tB-NP\tO' -p244755 -aS'Angio-Seal\tAngio-Seal\tJJ\tI-NP\tO' -p244756 -aS'to\tto\tTO\tB-PP\tO' -p244757 -aS'the\tthe\tDT\tB-NP\tO' -p244758 -aS'right\tright\tJJ\tI-NP\tO' -p244759 -aS'common\tcommon\tJJ\tI-NP\tO' -p244760 -aS'femoral\tfemoral\tJJ\tI-NP\tO' -p244761 -aS'artery\tartery\tNN\tI-NP\tO' -p244762 -aS'.\t.\t.\tO\tO' -p244763 -asS'The patient was given aspirin 325 mg p.o. q.d.' -p244764 -(lp244765 -S'The\tThe\tDT\tB-NP\tO' -p244766 -aS'patient\tpatient\tNN\tI-NP\tO' -p244767 -aS'was\tbe\tVBD\tB-VP\tO' -p244768 -aS'given\tgive\tVBN\tI-VP\tO' -p244769 -aS'aspirin\taspirin\tNN\tB-NP\tO' -p244770 -aS'325\t325\tCD\tI-NP\tO' -p244771 -aS'mg\tmg\tNN\tI-NP\tO' -p244772 -aS'p.o.\tp.o.\tFW\tB-ADVP\tO' -p244773 -aS'q.d.\tq.d.\tFW\tI-ADVP\tO' -p244774 -asS'In the duodenum , a small AVM was noted in the second portion of the duodenum and was cauterized .' -p244775 -(lp244776 -S'In\tIn\tIN\tB-PP\tO' -p244777 -aS'the\tthe\tDT\tB-NP\tO' -p244778 -aS'duodenum\tduodenum\tNN\tI-NP\tO' -p244779 -aS',\t,\t,\tO\tO' -p244780 -aS'a\ta\tDT\tB-NP\tO' -p244781 -aS'small\tsmall\tJJ\tI-NP\tO' -p244782 -aS'AVM\tAVM\tNN\tI-NP\tO' -p244783 -aS'was\tbe\tVBD\tB-VP\tO' -p244784 -aS'noted\tnote\tVBN\tI-VP\tO' -p244785 -aS'in\tin\tIN\tB-PP\tO' -p244786 -aS'the\tthe\tDT\tB-NP\tO' -p244787 -aS'second\tsecond\tJJ\tI-NP\tO' -p244788 -aS'portion\tportion\tNN\tI-NP\tO' -p244789 -aS'of\tof\tIN\tB-PP\tO' -p244790 -aS'the\tthe\tDT\tB-NP\tO' -p244791 -aS'duodenum\tduodenum\tNN\tI-NP\tO' -p244792 -aS'and\tand\tCC\tO\tO' -p244793 -aS'was\tbe\tVBD\tB-VP\tO' -p244794 -aS'cauterized\tcauterize\tVBN\tI-VP\tO' -p244795 -aS'.\t.\t.\tO\tO' -p244796 -asS'Since the ativan , her facial twitching has apparently improved , but she continues to have hand twitches .' -p244797 -(lp244798 -S'Since\tSince\tIN\tB-SBAR\tO' -p244799 -aS'the\tthe\tDT\tB-NP\tO' -p244800 -aS'ativan\tativan\tNN\tI-NP\tO' -p244801 -aS',\t,\t,\tO\tO' -p244802 -aS'her\ther\tPRP$\tB-NP\tO' -p244803 -aS'facial\tfacial\tJJ\tI-NP\tO' -p244804 -aS'twitching\ttwitching\tNN\tI-NP\tO' -p244805 -aS'has\thave\tVBZ\tB-VP\tO' -p244806 -aS'apparently\tapparently\tRB\tI-VP\tO' -p244807 -aS'improved\timprove\tVBN\tI-VP\tO' -p244808 -aS',\t,\t,\tO\tO' -p244809 -aS'but\tbut\tCC\tO\tO' -p244810 -aS'she\tshe\tPRP\tB-NP\tO' -p244811 -aS'continues\tcontinue\tVBZ\tB-VP\tO' -p244812 -aS'to\tto\tTO\tI-VP\tO' -p244813 -aS'have\thave\tVB\tI-VP\tO' -p244814 -aS'hand\thand\tNN\tB-NP\tO' -p244815 -aS'twitches\ttwitch\tNNS\tI-NP\tO' -p244816 -aS'.\t.\t.\tO\tO' -p244817 -asS'The ovary showed papillary serous adeno with omental involvement consistent with an endometroid adenocarcinoma .' -p244818 -(lp244819 -S'The\tThe\tDT\tB-NP\tO' -p244820 -aS'ovary\tovary\tNN\tI-NP\tO' -p244821 -aS'showed\tshow\tVBD\tB-VP\tO' -p244822 -aS'papillary\tpapillary\tJJ\tB-NP\tO' -p244823 -aS'serous\tserous\tJJ\tI-NP\tO' -p244824 -aS'adeno\tadeno\tNN\tI-NP\tO' -p244825 -aS'with\twith\tIN\tB-PP\tO' -p244826 -aS'omental\tomental\tJJ\tB-NP\tO' -p244827 -aS'involvement\tinvolvement\tNN\tI-NP\tO' -p244828 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p244829 -aS'with\twith\tIN\tB-PP\tO' -p244830 -aS'an\tan\tDT\tB-NP\tO' -p244831 -aS'endometroid\tendometroid\tJJ\tI-NP\tO' -p244832 -aS'adenocarcinoma\tadenocarcinoma\tNN\tI-NP\tO' -p244833 -aS'.\t.\t.\tO\tO' -p244834 -asS'If you need additional information please call 613-870-0699 .' -p244835 -(lp244836 -S'If\tIf\tIN\tB-SBAR\tO' -p244837 -aS'you\tyou\tPRP\tB-NP\tO' -p244838 -aS'need\tneed\tVBP\tB-VP\tO' -p244839 -aS'additional\tadditional\tJJ\tB-NP\tO' -p244840 -aS'information\tinformation\tNN\tI-NP\tO' -p244841 -aS'please\tplease\tNN\tI-NP\tO' -p244842 -aS'call\tcall\tNN\tI-NP\tO' -p244843 -aS'613-870-0699\t613-870-0699\tCD\tI-NP\tO' -p244844 -aS'.\t.\t.\tO\tO' -p244845 -asS'Neuro : CN II-XII intact , no dysdiadokinesis .' -p244846 -(lp244847 -S'Neuro\tNeuro\tNNP\tB-NP\tO' -p244848 -aS':\t:\t:\tO\tO' -p244849 -aS'CN\tCN\tNN\tB-NP\tO' -p244850 -aS'II-XII\tII-XII\tNN\tI-NP\tO' -p244851 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p244852 -aS',\t,\t,\tO\tO' -p244853 -aS'no\tno\tDT\tB-NP\tO' -p244854 -aS'dysdiadokinesis\tdysdiadokinesis\tNN\tI-NP\tO' -p244855 -aS'.\t.\t.\tO\tO' -p244856 -asS'He has multiple decubiti on his buttocks and penis .' -p244857 -(lp244858 -S'He\tHe\tPRP\tB-NP\tO' -p244859 -aS'has\thave\tVBZ\tB-VP\tO' -p244860 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p244861 -aS'decubiti\tdecubiti\tNN\tI-NP\tO' -p244862 -aS'on\ton\tIN\tB-PP\tO' -p244863 -aS'his\this\tPRP$\tB-NP\tO' -p244864 -aS'buttocks\tbuttock\tNNS\tI-NP\tO' -p244865 -aS'and\tand\tCC\tI-NP\tO' -p244866 -aS'penis\tpeni\tNNS\tI-NP\tO' -p244867 -aS'.\t.\t.\tO\tO' -p244868 -asS'On his previous admission , Terrance received hepatitis B vaccine on 2018-05-09 .' -p244869 -(lp244870 -S'On\tOn\tIN\tB-PP\tO' -p244871 -aS'his\this\tPRP$\tB-NP\tO' -p244872 -aS'previous\tprevious\tJJ\tI-NP\tO' -p244873 -aS'admission\tadmission\tNN\tI-NP\tO' -p244874 -aS',\t,\t,\tO\tO' -p244875 -aS'Terrance\tTerrance\tNNP\tB-NP\tO' -p244876 -aS'received\treceive\tVBD\tB-VP\tO' -p244877 -aS'hepatitis\thepatitis\tNN\tB-NP\tO' -p244878 -aS'B\tB\tNN\tI-NP\tO' -p244879 -aS'vaccine\tvaccine\tNN\tI-NP\tO' -p244880 -aS'on\ton\tIN\tB-PP\tO' -p244881 -aS'2018-05-09\t2018-05-09\tCD\tB-NP\tO' -p244882 -aS'.\t.\t.\tO\tO' -p244883 -asS'The patient had another echo on 2017-09-14 with no new changes .' -p244884 -(lp244885 -S'The\tThe\tDT\tB-NP\tO' -p244886 -aS'patient\tpatient\tNN\tI-NP\tO' -p244887 -aS'had\thave\tVBD\tB-VP\tO' -p244888 -aS'another\tanother\tDT\tB-NP\tO' -p244889 -aS'echo\techo\tNN\tI-NP\tO' -p244890 -aS'on\ton\tIN\tB-PP\tO' -p244891 -aS'2017-09-14\t2017-09-14\tCD\tB-NP\tO' -p244892 -aS'with\twith\tIN\tB-PP\tO' -p244893 -aS'no\tno\tDT\tB-NP\tO' -p244894 -aS'new\tnew\tJJ\tI-NP\tO' -p244895 -aS'changes\tchange\tNNS\tI-NP\tO' -p244896 -aS'.\t.\t.\tO\tO' -p244897 -asS'She had been doing reasonably well until December of 1993 when she presented with persistent and worsening cough and near strangulation on attempts at eating solids or drinking liquids .' -p244898 -(lp244899 -S'She\tShe\tPRP\tB-NP\tO' -p244900 -aS'had\thave\tVBD\tB-VP\tO' -p244901 -aS'been\tbe\tVBN\tI-VP\tO' -p244902 -aS'doing\tdo\tVBG\tI-VP\tO' -p244903 -aS'reasonably\treasonably\tRB\tB-ADVP\tO' -p244904 -aS'well\twell\tRB\tI-ADVP\tO' -p244905 -aS'until\tuntil\tIN\tB-SBAR\tO' -p244906 -aS'December\tDecember\tNNP\tB-NP\tO' -p244907 -aS'of\tof\tIN\tB-PP\tO' -p244908 -aS'1993\t1993\tCD\tB-NP\tO' -p244909 -aS'when\twhen\tWRB\tB-ADVP\tO' -p244910 -aS'she\tshe\tPRP\tB-NP\tO' -p244911 -aS'presented\tpresent\tVBD\tB-VP\tO' -p244912 -aS'with\twith\tIN\tB-PP\tO' -p244913 -aS'persistent\tpersistent\tJJ\tB-NP\tO' -p244914 -aS'and\tand\tCC\tI-NP\tO' -p244915 -aS'worsening\tworsening\tJJ\tI-NP\tO' -p244916 -aS'cough\tcough\tNN\tI-NP\tO' -p244917 -aS'and\tand\tCC\tI-NP\tO' -p244918 -aS'near\tnear\tJJ\tI-NP\tO' -p244919 -aS'strangulation\tstrangulation\tNN\tI-NP\tO' -p244920 -aS'on\ton\tIN\tB-PP\tO' -p244921 -aS'attempts\tattempt\tNNS\tB-NP\tO' -p244922 -aS'at\tat\tIN\tB-PP\tO' -p244923 -aS'eating\teat\tVBG\tB-VP\tO' -p244924 -aS'solids\tsolid\tNNS\tB-NP\tO' -p244925 -aS'or\tor\tCC\tI-NP\tO' -p244926 -aS'drinking\tdrinking\tNN\tI-NP\tO' -p244927 -aS'liquids\tliquid\tNNS\tI-NP\tO' -p244928 -aS'.\t.\t.\tO\tO' -p244929 -asS'He had multiple sources of yeast .' -p244930 -(lp244931 -S'He\tHe\tPRP\tB-NP\tO' -p244932 -aS'had\thave\tVBD\tB-VP\tO' -p244933 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p244934 -aS'sources\tsource\tNNS\tI-NP\tO' -p244935 -aS'of\tof\tIN\tB-PP\tO' -p244936 -aS'yeast\tyeast\tNN\tB-NP\tO' -p244937 -aS'.\t.\t.\tO\tO' -p244938 -asS'other symptoms which are concerning to you .' -p244939 -(lp244940 -S'other\tother\tJJ\tB-NP\tO' -p244941 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p244942 -aS'which\twhich\tWDT\tB-NP\tO' -p244943 -aS'are\tbe\tVBP\tB-VP\tO' -p244944 -aS'concerning\tconcern\tVBG\tI-VP\tO' -p244945 -aS'to\tto\tTO\tB-PP\tO' -p244946 -aS'you\tyou\tPRP\tB-NP\tO' -p244947 -aS'.\t.\t.\tO\tO' -p244948 -asS'11. Furosemide 10 mg / mL Solution Sig : Forty ( 40 ) mg Injection BID ( 2 times a day ).' -p244949 -(lp244950 -S'11.\t11.\tCD\tB-NP\tO' -p244951 -aS'Furosemide\tFurosemide\tNN\tI-NP\tO' -p244952 -aS'10\t10\tCD\tB-NP\tO' -p244953 -aS'mg\tmg\tNN\tI-NP\tO' -p244954 -aS'/\t/\tSYM\tB-NP\tO' -p244955 -aS'mL\tmL\tNN\tI-NP\tO' -p244956 -aS'Solution\tSolution\tNNP\tI-NP\tO' -p244957 -aS'Sig\tSig\tNNP\tI-NP\tO' -p244958 -aS':\t:\t:\tO\tO' -p244959 -aS'Forty\tForty\tCD\tB-NP\tO' -p244960 -aS'(\t(\t(\tO\tO' -p244961 -aS'40\t40\tCD\tB-NP\tO' -p244962 -aS')\t)\t)\tO\tO' -p244963 -aS'mg\tmg\tNN\tB-NP\tO' -p244964 -aS'Injection\tInjection\tNN\tI-NP\tO' -p244965 -aS'BID\tBID\tNN\tI-NP\tO' -p244966 -aS'(\t(\t(\tO\tO' -p244967 -aS'2\t2\tCD\tB-NP\tO' -p244968 -aS'times\ttime\tNNS\tI-NP\tO' -p244969 -aS'a\ta\tDT\tB-NP\tO' -p244970 -aS'day\tday\tNN\tI-NP\tO' -p244971 -aS').\t).\t.\tO\tO' -p244972 -asS"In addition , the patient 's urine output improved dramatically with hydration therapy , suggesting her low urine output was secondary to decreased cardiac output secondary to low preload ." -p244973 -(lp244974 -S'In\tIn\tIN\tB-PP\tO' -p244975 -aS'addition\taddition\tNN\tB-NP\tO' -p244976 -aS',\t,\t,\tO\tO' -p244977 -aS'the\tthe\tDT\tB-NP\tO' -p244978 -aS'patient\tpatient\tNN\tI-NP\tO' -p244979 -aS"'s\t's\tPOS\tB-NP\tO" -p244980 -aS'urine\turine\tNN\tI-NP\tO' -p244981 -aS'output\toutput\tNN\tI-NP\tO' -p244982 -aS'improved\timprove\tVBD\tB-VP\tO' -p244983 -aS'dramatically\tdramatically\tRB\tB-ADVP\tO' -p244984 -aS'with\twith\tIN\tB-PP\tO' -p244985 -aS'hydration\thydration\tNN\tB-NP\tO' -p244986 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p244987 -aS',\t,\t,\tO\tO' -p244988 -aS'suggesting\tsuggest\tVBG\tB-VP\tO' -p244989 -aS'her\ther\tPRP$\tB-NP\tO' -p244990 -aS'low\tlow\tJJ\tI-NP\tO' -p244991 -aS'urine\turine\tNN\tI-NP\tO' -p244992 -aS'output\toutput\tNN\tI-NP\tO' -p244993 -aS'was\tbe\tVBD\tB-VP\tO' -p244994 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p244995 -aS'to\tto\tTO\tB-PP\tO' -p244996 -aS'decreased\tdecrease\tVBN\tB-NP\tO' -p244997 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p244998 -aS'output\toutput\tNN\tI-NP\tO' -p244999 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p245000 -aS'to\tto\tTO\tB-PP\tO' -p245001 -aS'low\tlow\tJJ\tB-NP\tO' -p245002 -aS'preload\tpreload\tNN\tI-NP\tO' -p245003 -aS'.\t.\t.\tO\tO' -p245004 -asS'They felt that her presentation was secondary to delirium and was multifactorial .' -p245005 -(lp245006 -S'They\tThey\tPRP\tB-NP\tO' -p245007 -aS'felt\tfeel\tVBD\tB-VP\tO' -p245008 -aS'that\tthat\tIN\tB-SBAR\tO' -p245009 -aS'her\ther\tPRP$\tB-NP\tO' -p245010 -aS'presentation\tpresentation\tNN\tI-NP\tO' -p245011 -aS'was\tbe\tVBD\tB-VP\tO' -p245012 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p245013 -aS'to\tto\tTO\tB-PP\tO' -p245014 -aS'delirium\tdelirium\tNN\tB-NP\tO' -p245015 -aS'and\tand\tCC\tO\tO' -p245016 -aS'was\tbe\tVBD\tB-VP\tO' -p245017 -aS'multifactorial\tmultifactorial\tJJ\tB-ADJP\tO' -p245018 -aS'.\t.\t.\tO\tO' -p245019 -asS'Prominent sutures in this young patient , the right calvarial suture extending into the right temporal bones appears more prominent than its counterpart on the left , however , does not appear to represent an acute fracture .' -p245020 -(lp245021 -S'Prominent\tProminent\tJJ\tB-NP\tO' -p245022 -aS'sutures\tsuture\tNNS\tI-NP\tO' -p245023 -aS'in\tin\tIN\tB-PP\tO' -p245024 -aS'this\tthis\tDT\tB-NP\tO' -p245025 -aS'young\tyoung\tJJ\tI-NP\tO' -p245026 -aS'patient\tpatient\tNN\tI-NP\tO' -p245027 -aS',\t,\t,\tO\tO' -p245028 -aS'the\tthe\tDT\tB-NP\tO' -p245029 -aS'right\tright\tJJ\tI-NP\tO' -p245030 -aS'calvarial\tcalvarial\tJJ\tI-NP\tO' -p245031 -aS'suture\tsuture\tNN\tI-NP\tO' -p245032 -aS'extending\textend\tVBG\tB-VP\tO' -p245033 -aS'into\tinto\tIN\tB-PP\tO' -p245034 -aS'the\tthe\tDT\tB-NP\tO' -p245035 -aS'right\tright\tJJ\tI-NP\tO' -p245036 -aS'temporal\ttemporal\tJJ\tI-NP\tO' -p245037 -aS'bones\tbone\tNNS\tI-NP\tO' -p245038 -aS'appears\tappear\tVBZ\tB-VP\tO' -p245039 -aS'more\tmore\tRBR\tB-ADJP\tO' -p245040 -aS'prominent\tprominent\tJJ\tI-ADJP\tO' -p245041 -aS'than\tthan\tIN\tB-PP\tO' -p245042 -aS'its\tits\tPRP$\tB-NP\tO' -p245043 -aS'counterpart\tcounterpart\tNN\tI-NP\tO' -p245044 -aS'on\ton\tIN\tB-PP\tO' -p245045 -aS'the\tthe\tDT\tB-NP\tO' -p245046 -aS'left\tleft\tNN\tI-NP\tO' -p245047 -aS',\t,\t,\tO\tO' -p245048 -aS'however\thowever\tRB\tB-ADVP\tO' -p245049 -aS',\t,\t,\tO\tO' -p245050 -aS'does\tdo\tVBZ\tB-VP\tO' -p245051 -aS'not\tnot\tRB\tI-VP\tO' -p245052 -aS'appear\tappear\tVB\tI-VP\tO' -p245053 -aS'to\tto\tTO\tI-VP\tO' -p245054 -aS'represent\trepresent\tVB\tI-VP\tO' -p245055 -aS'an\tan\tDT\tB-NP\tO' -p245056 -aS'acute\tacute\tJJ\tI-NP\tO' -p245057 -aS'fracture\tfracture\tNN\tI-NP\tO' -p245058 -aS'.\t.\t.\tO\tO' -p245059 -asS'Transverse colectomy for tumor .' -p245060 -(lp245061 -S'Transverse\tTransverse\tJJ\tB-NP\tO' -p245062 -aS'colectomy\tcolectomy\tNN\tI-NP\tO' -p245063 -aS'for\tfor\tIN\tB-PP\tO' -p245064 -aS'tumor\ttumor\tNN\tB-NP\tO' -p245065 -aS'.\t.\t.\tO\tO' -p245066 -asS'Strength was 5/5 in bilateral upper extremities and bilateral lower extremities in detail .' -p245067 -(lp245068 -S'Strength\tStrength\tNN\tB-NP\tO' -p245069 -aS'was\tbe\tVBD\tB-VP\tO' -p245070 -aS'5/5\t5/5\tCD\tB-NP\tO' -p245071 -aS'in\tin\tIN\tB-PP\tO' -p245072 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p245073 -aS'upper\tupper\tJJ\tI-NP\tO' -p245074 -aS'extremities\textremity\tNNS\tI-NP\tO' -p245075 -aS'and\tand\tCC\tO\tO' -p245076 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p245077 -aS'lower\tlow\tJJR\tI-NP\tO' -p245078 -aS'extremities\textremity\tNNS\tI-NP\tO' -p245079 -aS'in\tin\tIN\tB-PP\tO' -p245080 -aS'detail\tdetail\tNN\tB-NP\tO' -p245081 -aS'.\t.\t.\tO\tO' -p245082 -asS'Vitamin E 400 international units q.d.' -p245083 -(lp245084 -S'Vitamin\tVitamin\tNN\tB-NP\tB-protein' -p245085 -aS'E\tE\tNN\tI-NP\tI-protein' -p245086 -aS'400\t400\tCD\tI-NP\tI-protein' -p245087 -aS'international\tinternational\tJJ\tI-NP\tI-protein' -p245088 -aS'units\tunit\tNNS\tI-NP\tI-protein' -p245089 -aS'q.d.\tq.d.\t.\tO\tO' -p245090 -asS'Denies change in ET , chest pain , SOB .' -p245091 -(lp245092 -S'Denies\tDeny\tNNS\tB-NP\tO' -p245093 -aS'change\tchange\tNN\tI-NP\tO' -p245094 -aS'in\tin\tIN\tB-PP\tO' -p245095 -aS'ET\tET\tNN\tB-NP\tO' -p245096 -aS',\t,\t,\tO\tO' -p245097 -aS'chest\tchest\tNN\tB-NP\tO' -p245098 -aS'pain\tpain\tNN\tI-NP\tO' -p245099 -aS',\t,\t,\tO\tO' -p245100 -aS'SOB\tSOB\tNN\tB-NP\tB-protein' -p245101 -aS'.\t.\t.\tO\tO' -p245102 -asS'Procrit - Multidose 20000 u / ml 20,000 units SQ every other week' -p245103 -(lp245104 -S'Procrit\tProcrit\tNN\tB-NP\tO' -p245105 -aS'-\t-\tHYPH\tO\tO' -p245106 -aS'Multidose\tMultidose\tNN\tB-NP\tO' -p245107 -aS'20000\t20000\tCD\tI-NP\tO' -p245108 -aS'u\tu\tNN\tI-NP\tO' -p245109 -aS'/\t/\tSYM\tB-NP\tO' -p245110 -aS'ml\tml\tNN\tI-NP\tO' -p245111 -aS'20,000\t20,000\tCD\tB-NP\tO' -p245112 -aS'units\tunit\tNNS\tI-NP\tO' -p245113 -aS'SQ\tSQ\tNN\tB-VP\tO' -p245114 -aS'every\tevery\tDT\tB-NP\tO' -p245115 -aS'other\tother\tJJ\tI-NP\tO' -p245116 -aS'week\tweek\tNN\tI-NP\tO' -p245117 -asS'Thyroid is nonpalpable .' -p245118 -(lp245119 -S'Thyroid\tThyroid\tNN\tB-NP\tO' -p245120 -aS'is\tbe\tVBZ\tB-VP\tO' -p245121 -aS'nonpalpable\tnonpalpable\tJJ\tB-ADJP\tO' -p245122 -aS'.\t.\t.\tO\tO' -p245123 -asS'Dictated By : Greg E. Riordan , M.D.' -p245124 -(lp245125 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p245126 -aS'By\tBy\tIN\tB-PP\tO' -p245127 -aS':\t:\t:\tO\tO' -p245128 -aS'Greg\tGreg\tNNP\tB-NP\tO' -p245129 -aS'E.\tE.\tNNP\tI-NP\tO' -p245130 -aS'Riordan\tRiordan\tNNP\tI-NP\tO' -p245131 -aS',\t,\t,\tO\tO' -p245132 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p245133 -asS'She was seen at the outside hospital and put on aspirin for two days .' -p245134 -(lp245135 -S'She\tShe\tPRP\tB-NP\tO' -p245136 -aS'was\tbe\tVBD\tB-VP\tO' -p245137 -aS'seen\tsee\tVBN\tI-VP\tO' -p245138 -aS'at\tat\tIN\tB-PP\tO' -p245139 -aS'the\tthe\tDT\tB-NP\tO' -p245140 -aS'outside\toutside\tJJ\tI-NP\tO' -p245141 -aS'hospital\thospital\tNN\tI-NP\tO' -p245142 -aS'and\tand\tCC\tO\tO' -p245143 -aS'put\tput\tVBN\tB-VP\tO' -p245144 -aS'on\ton\tIN\tB-PP\tO' -p245145 -aS'aspirin\taspirin\tNN\tB-NP\tO' -p245146 -aS'for\tfor\tIN\tB-PP\tO' -p245147 -aS'two\ttwo\tCD\tB-NP\tO' -p245148 -aS'days\tday\tNNS\tI-NP\tO' -p245149 -aS'.\t.\t.\tO\tO' -p245150 -asS'Carotids had normal upstroke and normal volume with bilateral bruits .' -p245151 -(lp245152 -S'Carotids\tCarotid\tNNS\tB-NP\tO' -p245153 -aS'had\thave\tVBD\tB-VP\tO' -p245154 -aS'normal\tnormal\tJJ\tB-NP\tO' -p245155 -aS'upstroke\tupstroke\tJJ\tI-NP\tO' -p245156 -aS'and\tand\tCC\tI-NP\tO' -p245157 -aS'normal\tnormal\tJJ\tI-NP\tO' -p245158 -aS'volume\tvolume\tNN\tI-NP\tO' -p245159 -aS'with\twith\tIN\tB-PP\tO' -p245160 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p245161 -aS'bruits\tbruit\tNNS\tI-NP\tO' -p245162 -aS'.\t.\t.\tO\tO' -p245163 -asS'However he was transferred to the Medical Intensive Care Unit where he received continuous respiratory therapy in theway of Albuterol nebulizers as well as nasal oxygen , intravenous steroids and intravenous antibiotics .' -p245164 -(lp245165 -S'However\tHowever\tRB\tB-ADVP\tO' -p245166 -aS'he\the\tPRP\tB-NP\tO' -p245167 -aS'was\tbe\tVBD\tB-VP\tO' -p245168 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p245169 -aS'to\tto\tTO\tB-PP\tO' -p245170 -aS'the\tthe\tDT\tB-NP\tO' -p245171 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p245172 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p245173 -aS'Care\tCare\tNNP\tI-NP\tO' -p245174 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p245175 -aS'where\twhere\tWRB\tB-ADVP\tO' -p245176 -aS'he\the\tPRP\tB-NP\tO' -p245177 -aS'received\treceive\tVBD\tB-VP\tO' -p245178 -aS'continuous\tcontinuous\tJJ\tB-NP\tO' -p245179 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p245180 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p245181 -aS'in\tin\tIN\tB-PP\tO' -p245182 -aS'theway\ttheway\tNN\tB-NP\tO' -p245183 -aS'of\tof\tIN\tB-PP\tO' -p245184 -aS'Albuterol\tAlbuterol\tNN\tB-NP\tO' -p245185 -aS'nebulizers\tnebulizer\tNNS\tI-NP\tO' -p245186 -aS'as\tas\tRB\tB-CONJP\tO' -p245187 -aS'well\twell\tRB\tI-CONJP\tO' -p245188 -aS'as\tas\tIN\tI-CONJP\tO' -p245189 -aS'nasal\tnasal\tJJ\tB-NP\tO' -p245190 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p245191 -aS',\t,\t,\tO\tO' -p245192 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p245193 -aS'steroids\tsteroid\tNNS\tI-NP\tO' -p245194 -aS'and\tand\tCC\tO\tO' -p245195 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p245196 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p245197 -aS'.\t.\t.\tO\tO' -p245198 -asS'3. Visiting Nurse Association early intervention program .' -p245199 -(lp245200 -S'3.\t3.\tLS\tB-NP\tO' -p245201 -aS'Visiting\tVisiting\tNNP\tI-NP\tO' -p245202 -aS'Nurse\tNurse\tNNP\tI-NP\tO' -p245203 -aS'Association\tAssociation\tNNP\tI-NP\tO' -p245204 -aS'early\tearly\tJJ\tI-NP\tO' -p245205 -aS'intervention\tintervention\tNN\tI-NP\tO' -p245206 -aS'program\tprogram\tNN\tI-NP\tO' -p245207 -aS'.\t.\t.\tO\tO' -p245208 -asS'PT 29 , INR 1.1 and PTT 22.9 .' -p245209 -(lp245210 -S'PT\tPT\tNN\tB-NP\tB-protein' -p245211 -aS'29\t29\tCD\tI-NP\tI-protein' -p245212 -aS',\t,\t,\tO\tO' -p245213 -aS'INR\tINR\tNN\tB-NP\tO' -p245214 -aS'1.1\t1.1\tCD\tI-NP\tO' -p245215 -aS'and\tand\tCC\tO\tO' -p245216 -aS'PTT\tPTT\tNN\tB-NP\tB-protein' -p245217 -aS'22.9\t22.9\tCD\tI-NP\tI-protein' -p245218 -aS'.\t.\t.\tO\tO' -p245219 -asS'He needed to go to a rehab facility for continued respiratory therapy and for Physical Therapy to increase his muscle strength .' -p245220 -(lp245221 -S'He\tHe\tPRP\tB-NP\tO' -p245222 -aS'needed\tneed\tVBD\tB-VP\tO' -p245223 -aS'to\tto\tTO\tI-VP\tO' -p245224 -aS'go\tgo\tVB\tI-VP\tO' -p245225 -aS'to\tto\tTO\tB-PP\tO' -p245226 -aS'a\ta\tDT\tB-NP\tO' -p245227 -aS'rehab\trehab\tNN\tI-NP\tO' -p245228 -aS'facility\tfacility\tNN\tI-NP\tO' -p245229 -aS'for\tfor\tIN\tB-PP\tO' -p245230 -aS'continued\tcontinue\tVBN\tB-NP\tO' -p245231 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p245232 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p245233 -aS'and\tand\tCC\tB-PP\tO' -p245234 -aS'for\tfor\tIN\tB-PP\tO' -p245235 -aS'Physical\tPhysical\tJJ\tB-NP\tO' -p245236 -aS'Therapy\tTherapy\tNN\tI-NP\tO' -p245237 -aS'to\tto\tTO\tB-VP\tO' -p245238 -aS'increase\tincrease\tVB\tI-VP\tO' -p245239 -aS'his\this\tPRP$\tB-NP\tO' -p245240 -aS'muscle\tmuscle\tNN\tI-NP\tO' -p245241 -aS'strength\tstrength\tNN\tI-NP\tO' -p245242 -aS'.\t.\t.\tO\tO' -p245243 -asS'EXT : L leg/calf swollen , + Johnson sign , not tense , no cord palpable , L knee w/ medial meniscus area inflammed , not warm , no crepitus , feet-2+DP pulses b/l' -p245244 -(lp245245 -S'EXT\tEXT\tNN\tB-NP\tO' -p245246 -aS':\t:\t:\tO\tO' -p245247 -aS'L\tL\tNN\tB-NP\tO' -p245248 -aS'leg/calf\tleg/calf\tNN\tI-NP\tO' -p245249 -aS'swollen\tswollen\tNN\tI-NP\tO' -p245250 -aS',\t,\t,\tO\tO' -p245251 -aS'+\t+\tSYM\tB-NP\tO' -p245252 -aS'Johnson\tJohnson\tNNP\tI-NP\tO' -p245253 -aS'sign\tsign\tNN\tI-NP\tO' -p245254 -aS',\t,\t,\tB-NP\tO' -p245255 -aS'not\tnot\tRB\tI-NP\tO' -p245256 -aS'tense\ttense\tJJ\tB-ADJP\tO' -p245257 -aS',\t,\t,\tO\tO' -p245258 -aS'no\tno\tDT\tB-NP\tO' -p245259 -aS'cord\tcord\tNN\tI-NP\tO' -p245260 -aS'palpable\tpalpable\tJJ\tB-ADJP\tO' -p245261 -aS',\t,\t,\tO\tO' -p245262 -aS'L\tL\tNN\tB-NP\tO' -p245263 -aS'knee\tknee\tNN\tI-NP\tO' -p245264 -aS'w/\tw/\tNN\tI-NP\tO' -p245265 -aS'medial\tmedial\tJJ\tI-NP\tO' -p245266 -aS'meniscus\tmeniscus\tNN\tI-NP\tO' -p245267 -aS'area\tarea\tNN\tI-NP\tO' -p245268 -aS'inflammed\tinflamme\tVBD\tB-VP\tO' -p245269 -aS',\t,\t,\tO\tO' -p245270 -aS'not\tnot\tRB\tB-ADJP\tO' -p245271 -aS'warm\twarm\tJJ\tI-ADJP\tO' -p245272 -aS',\t,\t,\tO\tO' -p245273 -aS'no\tno\tDT\tB-NP\tO' -p245274 -aS'crepitus\tcrepitus\tNN\tI-NP\tO' -p245275 -aS',\t,\t,\tO\tO' -p245276 -aS'feet-2+DP\tfeet-2+DP\tNN\tB-NP\tO' -p245277 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p245278 -aS'b/l\tb/l\tNN\tI-NP\tO' -p245279 -asS'Subsequently , the mass progressively increased in size and the patient had developed significant discomfort in this region .' -p245280 -(lp245281 -S'Subsequently\tSubsequently\tRB\tB-ADVP\tO' -p245282 -aS',\t,\t,\tO\tO' -p245283 -aS'the\tthe\tDT\tB-NP\tO' -p245284 -aS'mass\tmass\tNN\tI-NP\tO' -p245285 -aS'progressively\tprogressively\tRB\tB-ADVP\tO' -p245286 -aS'increased\tincrease\tVBD\tB-VP\tO' -p245287 -aS'in\tin\tIN\tB-PP\tO' -p245288 -aS'size\tsize\tNN\tB-NP\tO' -p245289 -aS'and\tand\tCC\tO\tO' -p245290 -aS'the\tthe\tDT\tB-NP\tO' -p245291 -aS'patient\tpatient\tNN\tI-NP\tO' -p245292 -aS'had\thave\tVBD\tB-VP\tO' -p245293 -aS'developed\tdevelop\tVBN\tI-VP\tO' -p245294 -aS'significant\tsignificant\tJJ\tB-NP\tO' -p245295 -aS'discomfort\tdiscomfort\tNN\tI-NP\tO' -p245296 -aS'in\tin\tIN\tB-PP\tO' -p245297 -aS'this\tthis\tDT\tB-NP\tO' -p245298 -aS'region\tregion\tNN\tI-NP\tO' -p245299 -aS'.\t.\t.\tO\tO' -p245300 -asS'On physical examination , she is an obese white female in no acute distress with a hoarse voice .' -p245301 -(lp245302 -S'On\tOn\tIN\tB-PP\tO' -p245303 -aS'physical\tphysical\tJJ\tB-NP\tO' -p245304 -aS'examination\texamination\tNN\tI-NP\tO' -p245305 -aS',\t,\t,\tO\tO' -p245306 -aS'she\tshe\tPRP\tB-NP\tO' -p245307 -aS'is\tbe\tVBZ\tB-VP\tO' -p245308 -aS'an\tan\tDT\tB-NP\tO' -p245309 -aS'obese\tobese\tJJ\tI-NP\tO' -p245310 -aS'white\twhite\tJJ\tI-NP\tO' -p245311 -aS'female\tfemale\tNN\tI-NP\tO' -p245312 -aS'in\tin\tIN\tB-PP\tO' -p245313 -aS'no\tno\tDT\tB-NP\tO' -p245314 -aS'acute\tacute\tJJ\tI-NP\tO' -p245315 -aS'distress\tdistress\tNN\tI-NP\tO' -p245316 -aS'with\twith\tIN\tB-PP\tO' -p245317 -aS'a\ta\tDT\tB-NP\tO' -p245318 -aS'hoarse\thoarse\tJJ\tI-NP\tO' -p245319 -aS'voice\tvoice\tNN\tI-NP\tO' -p245320 -aS'.\t.\t.\tO\tO' -p245321 -asS'9) Right bundle branch block with left anterior hemiblock on electrocardiogram .' -p245322 -(lp245323 -S'9)\t9)\tLS\tB-NP\tO' -p245324 -aS'Right\tRight\tNN\tI-NP\tO' -p245325 -aS'bundle\tbundle\tNN\tI-NP\tO' -p245326 -aS'branch\tbranch\tNN\tI-NP\tO' -p245327 -aS'block\tblock\tNN\tI-NP\tO' -p245328 -aS'with\twith\tIN\tB-PP\tO' -p245329 -aS'left\tleft\tJJ\tB-NP\tO' -p245330 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p245331 -aS'hemiblock\themiblock\tNN\tI-NP\tO' -p245332 -aS'on\ton\tIN\tB-PP\tO' -p245333 -aS'electrocardiogram\telectrocardiogram\tNN\tB-NP\tO' -p245334 -aS'.\t.\t.\tO\tO' -p245335 -asS'Anterior fontanel soft and flat , moderate nasal flaring .' -p245336 -(lp245337 -S'Anterior\tAnterior\tJJ\tB-NP\tO' -p245338 -aS'fontanel\tfontanel\tNN\tI-NP\tO' -p245339 -aS'soft\tsoft\tJJ\tI-NP\tO' -p245340 -aS'and\tand\tCC\tI-NP\tO' -p245341 -aS'flat\tflat\tJJ\tI-NP\tO' -p245342 -aS',\t,\t,\tI-NP\tO' -p245343 -aS'moderate\tmoderate\tJJ\tI-NP\tO' -p245344 -aS'nasal\tnasal\tJJ\tI-NP\tO' -p245345 -aS'flaring\tflaring\tNN\tI-NP\tO' -p245346 -aS'.\t.\t.\tO\tO' -p245347 -asS'The patient has steroid induced diabetes mellitus .' -p245348 -(lp245349 -S'The\tThe\tDT\tB-NP\tO' -p245350 -aS'patient\tpatient\tNN\tI-NP\tO' -p245351 -aS'has\thave\tVBZ\tB-VP\tO' -p245352 -aS'steroid\tsteroid\tNN\tB-NP\tO' -p245353 -aS'induced\tinduced\tJJ\tI-NP\tO' -p245354 -aS'diabetes\tdiabetes\tNN\tI-NP\tO' -p245355 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p245356 -aS'.\t.\t.\tO\tO' -p245357 -asS'13. Niaspan 500 mg p.o. q. day .' -p245358 -(lp245359 -S'13.\t13.\tLS\tB-LST\tO' -p245360 -aS'Niaspan\tNiaspan\tNNP\tB-NP\tO' -p245361 -aS'500\t500\tCD\tI-NP\tO' -p245362 -aS'mg\tmg\tNN\tI-NP\tO' -p245363 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p245364 -aS'q.\tq.\tNN\tI-NP\tO' -p245365 -aS'day\tday\tNN\tI-NP\tO' -p245366 -aS'.\t.\t.\tO\tO' -p245367 -asS'White blood cell count 11.2 , hematocrit 43.2 , and platelets 447,000 .' -p245368 -(lp245369 -S'White\tWhite\tJJ\tB-NP\tO' -p245370 -aS'blood\tblood\tNN\tI-NP\tO' -p245371 -aS'cell\tcell\tNN\tI-NP\tO' -p245372 -aS'count\tcount\tNN\tI-NP\tO' -p245373 -aS'11.2\t11.2\tCD\tB-NP\tO' -p245374 -aS',\t,\t,\tO\tO' -p245375 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p245376 -aS'43.2\t43.2\tCD\tI-NP\tI-protein' -p245377 -aS',\t,\t,\tO\tO' -p245378 -aS'and\tand\tCC\tO\tO' -p245379 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p245380 -aS'447,000\t447,000\tCD\tB-NP\tO' -p245381 -aS'.\t.\t.\tO\tO' -p245382 -asS'CBC and blood cultures were obtained on admission .' -p245383 -(lp245384 -S'CBC\tCBC\tNN\tB-NP\tB-protein' -p245385 -aS'and\tand\tCC\tI-NP\tO' -p245386 -aS'blood\tblood\tNN\tI-NP\tO' -p245387 -aS'cultures\tculture\tNNS\tI-NP\tO' -p245388 -aS'were\tbe\tVBD\tB-VP\tO' -p245389 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p245390 -aS'on\ton\tIN\tB-PP\tO' -p245391 -aS'admission\tadmission\tNN\tB-NP\tO' -p245392 -aS'.\t.\t.\tO\tO' -p245393 -asS'Patient reached goal of fingersticks between 50 and 300 , which is what she maintains at home .' -p245394 -(lp245395 -S'Patient\tPatient\tNN\tB-NP\tO' -p245396 -aS'reached\treach\tVBD\tB-VP\tO' -p245397 -aS'goal\tgoal\tNN\tB-NP\tO' -p245398 -aS'of\tof\tIN\tB-PP\tO' -p245399 -aS'fingersticks\tfingerstick\tNNS\tB-NP\tO' -p245400 -aS'between\tbetween\tIN\tB-PP\tO' -p245401 -aS'50\t50\tCD\tB-NP\tO' -p245402 -aS'and\tand\tCC\tI-NP\tO' -p245403 -aS'300\t300\tCD\tI-NP\tO' -p245404 -aS',\t,\t,\tO\tO' -p245405 -aS'which\twhich\tWDT\tB-NP\tO' -p245406 -aS'is\tbe\tVBZ\tB-VP\tO' -p245407 -aS'what\twhat\tWP\tB-NP\tO' -p245408 -aS'she\tshe\tPRP\tB-NP\tO' -p245409 -aS'maintains\tmaintain\tVBZ\tB-VP\tO' -p245410 -aS'at\tat\tIN\tB-PP\tO' -p245411 -aS'home\thome\tNN\tB-NP\tO' -p245412 -aS'.\t.\t.\tO\tO' -p245413 -asS'3. Pulmonary hypertension .' -p245414 -(lp245415 -S'3.\t3.\tLS\tB-NP\tO' -p245416 -aS'Pulmonary\tPulmonary\tJJ\tI-NP\tO' -p245417 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p245418 -aS'.\t.\t.\tO\tO' -p245419 -asS'3. Percocet one to two tablets po q 4 to 6 hours prn .' -p245420 -(lp245421 -S'3.\t3.\tLS\tB-LST\tO' -p245422 -aS'Percocet\tPercocet\tNNP\tB-NP\tO' -p245423 -aS'one\tone\tCD\tI-NP\tO' -p245424 -aS'to\tto\tTO\tB-PP\tO' -p245425 -aS'two\ttwo\tCD\tB-NP\tO' -p245426 -aS'tablets\ttablet\tNNS\tI-NP\tO' -p245427 -aS'po\tpo\tVBP\tB-VP\tO' -p245428 -aS'q\tq\tNN\tB-NP\tO' -p245429 -aS'4\t4\tCD\tI-NP\tO' -p245430 -aS'to\tto\tTO\tI-NP\tO' -p245431 -aS'6\t6\tCD\tI-NP\tO' -p245432 -aS'hours\thour\tNNS\tI-NP\tO' -p245433 -aS'prn\tprn\tVBP\tB-VP\tO' -p245434 -aS'.\t.\t.\tO\tO' -p245435 -asS'3. Status post thoracentesis .' -p245436 -(lp245437 -S'3.\t3.\tLS\tB-NP\tO' -p245438 -aS'Status\tStatus\tNNP\tI-NP\tO' -p245439 -aS'post\tpost\tNN\tI-NP\tO' -p245440 -aS'thoracentesis\tthoracentesis\tNN\tI-NP\tO' -p245441 -aS'.\t.\t.\tO\tO' -p245442 -asS'Consequently his Pronestyl was discontinued .' -p245443 -(lp245444 -S'Consequently\tConsequently\tRB\tB-ADVP\tO' -p245445 -aS'his\this\tPRP$\tB-NP\tO' -p245446 -aS'Pronestyl\tPronestyl\tNN\tI-NP\tO' -p245447 -aS'was\tbe\tVBD\tB-VP\tO' -p245448 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p245449 -aS'.\t.\t.\tO\tO' -p245450 -asS'2.) CAD s/p 3v-CABG 2003 and subsequent stenting of SVG and LIMA' -p245451 -(lp245452 -S'2.)\t2.)\tLS\tB-NP\tO' -p245453 -aS'CAD\tCAD\tNN\tI-NP\tO' -p245454 -aS's/p\ts/p\tNN\tI-NP\tO' -p245455 -aS'3v-CABG\t3v-CABG\tNN\tI-NP\tO' -p245456 -aS'2003\t2003\tCD\tI-NP\tO' -p245457 -aS'and\tand\tCC\tO\tO' -p245458 -aS'subsequent\tsubsequent\tJJ\tB-NP\tO' -p245459 -aS'stenting\tstenting\tNN\tI-NP\tO' -p245460 -aS'of\tof\tIN\tB-PP\tO' -p245461 -aS'SVG\tSVG\tNN\tB-NP\tB-protein' -p245462 -aS'and\tand\tCC\tI-NP\tO' -p245463 -aS'LIMA\tLIMA\tNN\tI-NP\tO' -p245464 -asS'Right saphenous vein graft site with Steri-strips , open to air , clean and dry .' -p245465 -(lp245466 -S'Right\tRight\tRB\tB-NP\tO' -p245467 -aS'saphenous\tsaphenous\tJJ\tI-NP\tO' -p245468 -aS'vein\tvein\tNN\tI-NP\tO' -p245469 -aS'graft\tgraft\tNN\tI-NP\tO' -p245470 -aS'site\tsite\tNN\tI-NP\tO' -p245471 -aS'with\twith\tIN\tB-PP\tO' -p245472 -aS'Steri-strips\tSteri-strips\tNNP\tB-NP\tO' -p245473 -aS',\t,\t,\tO\tO' -p245474 -aS'open\topen\tJJ\tB-ADJP\tO' -p245475 -aS'to\tto\tTO\tB-PP\tO' -p245476 -aS'air\tair\tNN\tB-NP\tO' -p245477 -aS',\t,\t,\tO\tO' -p245478 -aS'clean\tclean\tJJ\tB-ADJP\tO' -p245479 -aS'and\tand\tCC\tI-ADJP\tO' -p245480 -aS'dry\tdry\tJJ\tI-ADJP\tO' -p245481 -aS'.\t.\t.\tO\tO' -p245482 -asS'divorced twice .' -p245483 -(lp245484 -S'divorced\tdivorce\tVBN\tB-VP\tO' -p245485 -aS'twice\ttwice\tRB\tB-ADVP\tO' -p245486 -aS'.\t.\t.\tO\tO' -p245487 -asS'10. Hydrochlorothiazide 25 mg Tablet Sig : One ( 1 ) Tablet PO once a day .' -p245488 -(lp245489 -S'10.\t10.\tCD\tB-NP\tO' -p245490 -aS'Hydrochlorothiazide\tHydrochlorothiazide\tNN\tI-NP\tO' -p245491 -aS'25\t25\tCD\tB-NP\tO' -p245492 -aS'mg\tmg\tNN\tI-NP\tO' -p245493 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p245494 -aS'Sig\tSig\tNNP\tI-NP\tO' -p245495 -aS':\t:\t:\tO\tO' -p245496 -aS'One\tOne\tCD\tB-NP\tO' -p245497 -aS'(\t(\t(\tO\tO' -p245498 -aS'1\t1\tCD\tB-NP\tO' -p245499 -aS')\t)\t)\tO\tO' -p245500 -aS'Tablet\tTablet\tNN\tB-NP\tB-protein' -p245501 -aS'PO\tPO\tNN\tI-NP\tI-protein' -p245502 -aS'once\tonce\tRB\tO\tO' -p245503 -aS'a\ta\tDT\tB-NP\tO' -p245504 -aS'day\tday\tNN\tI-NP\tO' -p245505 -aS'.\t.\t.\tO\tO' -p245506 -asS"Patient 's LE ulcers appear chronic and do not appear to be the source of infection ." -p245507 -(lp245508 -S'Patient\tPatient\tNN\tB-NP\tO' -p245509 -aS"'s\t's\tPOS\tB-NP\tO" -p245510 -aS'LE\tLE\tNN\tI-NP\tO' -p245511 -aS'ulcers\tulcer\tNNS\tI-NP\tO' -p245512 -aS'appear\tappear\tVBP\tB-VP\tO' -p245513 -aS'chronic\tchronic\tJJ\tB-ADJP\tO' -p245514 -aS'and\tand\tCC\tO\tO' -p245515 -aS'do\tdo\tVBP\tB-VP\tO' -p245516 -aS'not\tnot\tRB\tI-VP\tO' -p245517 -aS'appear\tappear\tVB\tI-VP\tO' -p245518 -aS'to\tto\tTO\tI-VP\tO' -p245519 -aS'be\tbe\tVB\tI-VP\tO' -p245520 -aS'the\tthe\tDT\tB-NP\tO' -p245521 -aS'source\tsource\tNN\tI-NP\tO' -p245522 -aS'of\tof\tIN\tB-PP\tO' -p245523 -aS'infection\tinfection\tNN\tB-NP\tO' -p245524 -aS'.\t.\t.\tO\tO' -p245525 -asS'3) When you were admitted to the hospital your Sutent was stopped .' -p245526 -(lp245527 -S'3)\t3)\tLS\tB-LST\tO' -p245528 -aS'When\tWhen\tWRB\tB-ADVP\tO' -p245529 -aS'you\tyou\tPRP\tB-NP\tO' -p245530 -aS'were\tbe\tVBD\tB-VP\tO' -p245531 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p245532 -aS'to\tto\tTO\tB-PP\tO' -p245533 -aS'the\tthe\tDT\tB-NP\tO' -p245534 -aS'hospital\thospital\tNN\tI-NP\tO' -p245535 -aS'your\tyour\tPRP$\tB-NP\tO' -p245536 -aS'Sutent\tSutent\tNN\tI-NP\tO' -p245537 -aS'was\tbe\tVBD\tB-VP\tO' -p245538 -aS'stopped\tstop\tVBN\tI-VP\tO' -p245539 -aS'.\t.\t.\tO\tO' -p245540 -asS'5/5/05 right parietal occipital craniotomy and debulking of tumor using stulz neuro navigation .' -p245541 -(lp245542 -S'5/5/05\t5/5/05\tCD\tB-NP\tO' -p245543 -aS'right\tright\tJJ\tI-NP\tO' -p245544 -aS'parietal\tparietal\tJJ\tI-NP\tO' -p245545 -aS'occipital\toccipital\tNN\tI-NP\tO' -p245546 -aS'craniotomy\tcraniotomy\tNN\tI-NP\tO' -p245547 -aS'and\tand\tCC\tI-NP\tO' -p245548 -aS'debulking\tdebulking\tNN\tI-NP\tO' -p245549 -aS'of\tof\tIN\tB-PP\tO' -p245550 -aS'tumor\ttumor\tNN\tB-NP\tO' -p245551 -aS'using\tuse\tVBG\tB-VP\tO' -p245552 -aS'stulz\tstulz\tNN\tB-NP\tO' -p245553 -aS'neuro\tneuro\tNN\tI-NP\tO' -p245554 -aS'navigation\tnavigation\tNN\tI-NP\tO' -p245555 -aS'.\t.\t.\tO\tO' -p245556 -asS'His first CABG was in 02/89 .' -p245557 -(lp245558 -S'His\tHis\tPRP$\tB-NP\tO' -p245559 -aS'first\tfirst\tJJ\tI-NP\tO' -p245560 -aS'CABG\tCABG\tNN\tI-NP\tO' -p245561 -aS'was\tbe\tVBD\tB-VP\tO' -p245562 -aS'in\tin\tIN\tB-PP\tO' -p245563 -aS'02/89\t02/89\tCD\tB-NP\tO' -p245564 -aS'.\t.\t.\tO\tO' -p245565 -asS'2. Status post aborted coronary artery bypass graft due to mobile aortic atheroma .' -p245566 -(lp245567 -S'2.\t2.\tLS\tB-NP\tO' -p245568 -aS'Status\tStatus\tNNP\tI-NP\tO' -p245569 -aS'post\tpost\tNN\tI-NP\tO' -p245570 -aS'aborted\tabort\tVBD\tB-VP\tO' -p245571 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p245572 -aS'artery\tartery\tNN\tI-NP\tO' -p245573 -aS'bypass\tbypass\tIN\tB-PP\tO' -p245574 -aS'graft\tgraft\tNN\tB-NP\tO' -p245575 -aS'due\tdue\tJJ\tB-ADJP\tO' -p245576 -aS'to\tto\tTO\tB-VP\tO' -p245577 -aS'mobile\tmobile\tVB\tI-VP\tO' -p245578 -aS'aortic\taortic\tJJ\tB-NP\tO' -p245579 -aS'atheroma\tatheroma\tNN\tI-NP\tO' -p245580 -aS'.\t.\t.\tO\tO' -p245581 -asS'She was sedated and spontaneously moving all four extremities .' -p245582 -(lp245583 -S'She\tShe\tPRP\tB-NP\tO' -p245584 -aS'was\tbe\tVBD\tB-VP\tO' -p245585 -aS'sedated\tsedate\tVBN\tI-VP\tO' -p245586 -aS'and\tand\tCC\tO\tO' -p245587 -aS'spontaneously\tspontaneously\tRB\tB-VP\tO' -p245588 -aS'moving\tmove\tVBG\tI-VP\tO' -p245589 -aS'all\tall\tDT\tB-NP\tO' -p245590 -aS'four\tfour\tCD\tI-NP\tO' -p245591 -aS'extremities\textremity\tNNS\tI-NP\tO' -p245592 -aS'.\t.\t.\tO\tO' -p245593 -asS'Warm and well profuse with 1 to 2 plus edema .' -p245594 -(lp245595 -S'Warm\tWarm\tNNP\tB-NP\tO' -p245596 -aS'and\tand\tCC\tO\tO' -p245597 -aS'well\twell\tRB\tB-VP\tO' -p245598 -aS'profuse\tprofuse\tVBP\tI-VP\tO' -p245599 -aS'with\twith\tIN\tB-PP\tO' -p245600 -aS'1\t1\tCD\tB-NP\tO' -p245601 -aS'to\tto\tTO\tB-PP\tO' -p245602 -aS'2\t2\tCD\tB-NP\tO' -p245603 -aS'plus\tplus\tCC\tO\tO' -p245604 -aS'edema\tedema\tNN\tB-NP\tO' -p245605 -aS'.\t.\t.\tO\tO' -p245606 -asS'Breath sounds equal with good aeration .' -p245607 -(lp245608 -S'Breath\tBreath\tNNP\tB-NP\tO' -p245609 -aS'sounds\tsound\tVBZ\tB-VP\tO' -p245610 -aS'equal\tequal\tJJ\tB-ADJP\tO' -p245611 -aS'with\twith\tIN\tB-PP\tO' -p245612 -aS'good\tgood\tJJ\tB-NP\tO' -p245613 -aS'aeration\taeration\tNN\tI-NP\tO' -p245614 -aS'.\t.\t.\tO\tO' -p245615 -asS'Decreased breath sounds on the left base with coarse rales on the left base .' -p245616 -(lp245617 -S'Decreased\tDecrease\tVBN\tB-NP\tO' -p245618 -aS'breath\tbreath\tNN\tI-NP\tO' -p245619 -aS'sounds\tsound\tNNS\tI-NP\tO' -p245620 -aS'on\ton\tIN\tB-PP\tO' -p245621 -aS'the\tthe\tDT\tB-NP\tO' -p245622 -aS'left\tleft\tJJ\tI-NP\tO' -p245623 -aS'base\tbase\tNN\tI-NP\tO' -p245624 -aS'with\twith\tIN\tB-PP\tO' -p245625 -aS'coarse\tcoarse\tNN\tB-NP\tO' -p245626 -aS'rales\trale\tNNS\tI-NP\tO' -p245627 -aS'on\ton\tIN\tB-PP\tO' -p245628 -aS'the\tthe\tDT\tB-NP\tO' -p245629 -aS'left\tleft\tJJ\tI-NP\tO' -p245630 -aS'base\tbase\tNN\tI-NP\tO' -p245631 -aS'.\t.\t.\tO\tO' -p245632 -asS'Dictated By : Jeannette D. Rede , M.D.' -p245633 -(lp245634 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p245635 -aS'By\tBy\tIN\tB-PP\tO' -p245636 -aS':\t:\t:\tO\tO' -p245637 -aS'Jeannette\tJeannette\tNNP\tB-NP\tO' -p245638 -aS'D.\tD.\tNNP\tI-NP\tO' -p245639 -aS'Rede\tRede\tNNP\tI-NP\tO' -p245640 -aS',\t,\t,\tO\tO' -p245641 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p245642 -asS'He was managed with Metoprolol , Hydralazine , and Amlodipine .' -p245643 -(lp245644 -S'He\tHe\tPRP\tB-NP\tO' -p245645 -aS'was\tbe\tVBD\tB-VP\tO' -p245646 -aS'managed\tmanage\tVBN\tI-VP\tO' -p245647 -aS'with\twith\tIN\tB-PP\tO' -p245648 -aS'Metoprolol\tMetoprolol\tNN\tB-NP\tO' -p245649 -aS',\t,\t,\tO\tO' -p245650 -aS'Hydralazine\tHydralazine\tNN\tB-NP\tO' -p245651 -aS',\t,\t,\tO\tO' -p245652 -aS'and\tand\tCC\tO\tO' -p245653 -aS'Amlodipine\tAmlodipine\tNN\tB-NP\tO' -p245654 -aS'.\t.\t.\tO\tO' -p245655 -asS'Radiograph revealed bilateral diffuse granular pattern consistent with surfactant deficiency .' -p245656 -(lp245657 -S'Radiograph\tRadiograph\tNNP\tB-NP\tO' -p245658 -aS'revealed\treveal\tVBD\tB-VP\tO' -p245659 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p245660 -aS'diffuse\tdiffuse\tJJ\tI-NP\tO' -p245661 -aS'granular\tgranular\tJJ\tI-NP\tO' -p245662 -aS'pattern\tpattern\tNN\tI-NP\tO' -p245663 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p245664 -aS'with\twith\tIN\tB-PP\tO' -p245665 -aS'surfactant\tsurfactant\tJJ\tB-NP\tO' -p245666 -aS'deficiency\tdeficiency\tNN\tI-NP\tO' -p245667 -aS'.\t.\t.\tO\tO' -p245668 -asS'1. Markedly dilated colon throughout ascending , transverse , and descending colon with air-fluid levels , overall unchanged since prior study performed on the same day with pneumatosis in the ascending colon .' -p245669 -(lp245670 -S'1.\t1.\tLS\tB-NP\tO' -p245671 -aS'Markedly\tMarkedly\tRB\tI-NP\tO' -p245672 -aS'dilated\tdilated\tJJ\tI-NP\tO' -p245673 -aS'colon\tcolon\tNN\tI-NP\tO' -p245674 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p245675 -aS'ascending\tascend\tVBG\tB-VP\tO' -p245676 -aS',\t,\t,\tO\tO' -p245677 -aS'transverse\ttransverse\tJJ\tB-ADJP\tO' -p245678 -aS',\t,\t,\tO\tO' -p245679 -aS'and\tand\tCC\tO\tO' -p245680 -aS'descending\tdescend\tVBG\tB-VP\tO' -p245681 -aS'colon\tcolon\tNN\tB-NP\tO' -p245682 -aS'with\twith\tIN\tB-PP\tO' -p245683 -aS'air-fluid\tair-fluid\tJJ\tB-NP\tO' -p245684 -aS'levels\tlevel\tNNS\tI-NP\tO' -p245685 -aS',\t,\t,\tO\tO' -p245686 -aS'overall\toverall\tRB\tB-ADJP\tO' -p245687 -aS'unchanged\tunchanged\tJJ\tI-ADJP\tO' -p245688 -aS'since\tsince\tIN\tB-PP\tO' -p245689 -aS'prior\tprior\tJJ\tB-NP\tO' -p245690 -aS'study\tstudy\tNN\tI-NP\tO' -p245691 -aS'performed\tperform\tVBN\tB-VP\tO' -p245692 -aS'on\ton\tIN\tB-PP\tO' -p245693 -aS'the\tthe\tDT\tB-NP\tO' -p245694 -aS'same\tsame\tJJ\tI-NP\tO' -p245695 -aS'day\tday\tNN\tI-NP\tO' -p245696 -aS'with\twith\tIN\tB-PP\tO' -p245697 -aS'pneumatosis\tpneumatosis\tNN\tB-NP\tO' -p245698 -aS'in\tin\tIN\tB-PP\tO' -p245699 -aS'the\tthe\tDT\tB-NP\tO' -p245700 -aS'ascending\tascend\tVBG\tI-NP\tO' -p245701 -aS'colon\tcolon\tNN\tI-NP\tO' -p245702 -aS'.\t.\t.\tO\tO' -p245703 -asS'This has been evident since the time of his bone marrow transplant .' -p245704 -(lp245705 -S'This\tThis\tDT\tB-NP\tO' -p245706 -aS'has\thave\tVBZ\tB-VP\tO' -p245707 -aS'been\tbe\tVBN\tI-VP\tO' -p245708 -aS'evident\tevident\tJJ\tB-ADJP\tO' -p245709 -aS'since\tsince\tIN\tB-PP\tO' -p245710 -aS'the\tthe\tDT\tB-NP\tO' -p245711 -aS'time\ttime\tNN\tI-NP\tO' -p245712 -aS'of\tof\tIN\tB-PP\tO' -p245713 -aS'his\this\tPRP$\tB-NP\tO' -p245714 -aS'bone\tbone\tNN\tI-NP\tO' -p245715 -aS'marrow\tmarrow\tNN\tI-NP\tO' -p245716 -aS'transplant\ttransplant\tNN\tI-NP\tO' -p245717 -aS'.\t.\t.\tO\tO' -p245718 -asS'She has developed some new swallowing difficulty and since her transfer to a long term inpatient care facility , she has lost ten pounds .' -p245719 -(lp245720 -S'She\tShe\tPRP\tB-NP\tO' -p245721 -aS'has\thave\tVBZ\tB-VP\tO' -p245722 -aS'developed\tdevelop\tVBN\tI-VP\tO' -p245723 -aS'some\tsome\tDT\tB-NP\tO' -p245724 -aS'new\tnew\tJJ\tI-NP\tO' -p245725 -aS'swallowing\tswallow\tVBG\tI-NP\tO' -p245726 -aS'difficulty\tdifficulty\tNN\tI-NP\tO' -p245727 -aS'and\tand\tCC\tB-PP\tO' -p245728 -aS'since\tsince\tIN\tB-PP\tO' -p245729 -aS'her\ther\tPRP$\tB-NP\tO' -p245730 -aS'transfer\ttransfer\tNN\tI-NP\tO' -p245731 -aS'to\tto\tTO\tB-PP\tO' -p245732 -aS'a\ta\tDT\tB-NP\tO' -p245733 -aS'long\tlong\tJJ\tI-NP\tO' -p245734 -aS'term\tterm\tNN\tI-NP\tO' -p245735 -aS'inpatient\tinpatient\tNN\tI-NP\tO' -p245736 -aS'care\tcare\tNN\tI-NP\tO' -p245737 -aS'facility\tfacility\tNN\tI-NP\tO' -p245738 -aS',\t,\t,\tO\tO' -p245739 -aS'she\tshe\tPRP\tB-NP\tO' -p245740 -aS'has\thave\tVBZ\tB-VP\tO' -p245741 -aS'lost\tlose\tVBN\tI-VP\tO' -p245742 -aS'ten\tten\tCD\tB-NP\tO' -p245743 -aS'pounds\tpound\tNNS\tI-NP\tO' -p245744 -aS'.\t.\t.\tO\tO' -p245745 -asS'Two cesarean sections .' -p245746 -(lp245747 -S'Two\tTwo\tCD\tB-NP\tO' -p245748 -aS'cesarean\tcesarean\tJJ\tI-NP\tO' -p245749 -aS'sections\tsection\tNNS\tI-NP\tO' -p245750 -aS'.\t.\t.\tO\tO' -p245751 -asS'The CT scan of the head and chest were negative .' -p245752 -(lp245753 -S'The\tThe\tDT\tB-NP\tO' -p245754 -aS'CT\tCT\tNN\tI-NP\tO' -p245755 -aS'scan\tscan\tNN\tI-NP\tO' -p245756 -aS'of\tof\tIN\tB-PP\tO' -p245757 -aS'the\tthe\tDT\tB-NP\tO' -p245758 -aS'head\thead\tNN\tI-NP\tO' -p245759 -aS'and\tand\tCC\tI-NP\tO' -p245760 -aS'chest\tchest\tNN\tI-NP\tO' -p245761 -aS'were\tbe\tVBD\tB-VP\tO' -p245762 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p245763 -aS'.\t.\t.\tO\tO' -p245764 -asS'Penicillin , sulfa and Codeine .' -p245765 -(lp245766 -S'Penicillin\tPenicillin\tNN\tB-NP\tB-protein' -p245767 -aS',\t,\t,\tI-NP\tO' -p245768 -aS'sulfa\tsulfa\tNN\tI-NP\tO' -p245769 -aS'and\tand\tCC\tI-NP\tO' -p245770 -aS'Codeine\tCodeine\tNN\tI-NP\tO' -p245771 -aS'.\t.\t.\tO\tO' -p245772 -asS'As is expected , Mr. Knueppel failed a swallowing study early on in his Boston Regional Medical Centerr hospital course .' -p245773 -(lp245774 -S'As\tAs\tIN\tB-SBAR\tO' -p245775 -aS'is\tbe\tVBZ\tB-VP\tO' -p245776 -aS'expected\texpect\tVBN\tI-VP\tO' -p245777 -aS',\t,\t,\tO\tO' -p245778 -aS'Mr.\tMr.\tNNP\tB-NP\tO' -p245779 -aS'Knueppel\tKnueppel\tNNP\tI-NP\tO' -p245780 -aS'failed\tfail\tVBD\tB-VP\tO' -p245781 -aS'a\ta\tDT\tB-NP\tO' -p245782 -aS'swallowing\tswallow\tVBG\tI-NP\tO' -p245783 -aS'study\tstudy\tNN\tI-NP\tO' -p245784 -aS'early\tearly\tRB\tB-ADVP\tO' -p245785 -aS'on\ton\tRB\tI-ADVP\tO' -p245786 -aS'in\tin\tIN\tB-PP\tO' -p245787 -aS'his\this\tPRP$\tB-NP\tO' -p245788 -aS'Boston\tBoston\tNNP\tI-NP\tO' -p245789 -aS'Regional\tRegional\tNNP\tI-NP\tO' -p245790 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p245791 -aS'Centerr\tCenterr\tNNP\tI-NP\tO' -p245792 -aS'hospital\thospital\tNN\tI-NP\tO' -p245793 -aS'course\tcourse\tNN\tI-NP\tO' -p245794 -aS'.\t.\t.\tO\tO' -p245795 -asS'Aspirin no longer should be considered an allergy for this patient , and she is going to take this as an outpatient .' -p245796 -(lp245797 -S'Aspirin\tAspirin\tNN\tB-NP\tO' -p245798 -aS'no\tno\tDT\tB-ADVP\tO' -p245799 -aS'longer\tlonger\tRBR\tI-ADVP\tO' -p245800 -aS'should\tshould\tMD\tB-VP\tO' -p245801 -aS'be\tbe\tVB\tI-VP\tO' -p245802 -aS'considered\tconsider\tVBN\tI-VP\tO' -p245803 -aS'an\tan\tDT\tB-NP\tO' -p245804 -aS'allergy\tallergy\tNN\tI-NP\tO' -p245805 -aS'for\tfor\tIN\tB-PP\tO' -p245806 -aS'this\tthis\tDT\tB-NP\tO' -p245807 -aS'patient\tpatient\tNN\tI-NP\tO' -p245808 -aS',\t,\t,\tO\tO' -p245809 -aS'and\tand\tCC\tO\tO' -p245810 -aS'she\tshe\tPRP\tB-NP\tO' -p245811 -aS'is\tbe\tVBZ\tB-VP\tO' -p245812 -aS'going\tgo\tVBG\tI-VP\tO' -p245813 -aS'to\tto\tTO\tI-VP\tO' -p245814 -aS'take\ttake\tVB\tI-VP\tO' -p245815 -aS'this\tthis\tDT\tB-NP\tO' -p245816 -aS'as\tas\tIN\tB-PP\tO' -p245817 -aS'an\tan\tDT\tB-NP\tO' -p245818 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p245819 -aS'.\t.\t.\tO\tO' -p245820 -asS'Mr Stutts had an extensive preop evaluation including cardiology , infectious diseases , orthopedics , psychiatry and ethics services .' -p245821 -(lp245822 -S'Mr\tMr\tNN\tB-NP\tB-protein' -p245823 -aS'Stutts\tStutt\tNNS\tI-NP\tO' -p245824 -aS'had\thave\tVBD\tB-VP\tO' -p245825 -aS'an\tan\tDT\tB-NP\tO' -p245826 -aS'extensive\textensive\tJJ\tI-NP\tO' -p245827 -aS'preop\tpreop\tNN\tI-NP\tO' -p245828 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p245829 -aS'including\tinclude\tVBG\tB-PP\tO' -p245830 -aS'cardiology\tcardiology\tNN\tB-NP\tO' -p245831 -aS',\t,\t,\tO\tO' -p245832 -aS'infectious\tinfectious\tJJ\tB-NP\tO' -p245833 -aS'diseases\tdisease\tNNS\tI-NP\tO' -p245834 -aS',\t,\t,\tO\tO' -p245835 -aS'orthopedics\torthopedic\tNNS\tB-NP\tO' -p245836 -aS',\t,\t,\tO\tO' -p245837 -aS'psychiatry\tpsychiatry\tNN\tB-NP\tO' -p245838 -aS'and\tand\tCC\tI-NP\tO' -p245839 -aS'ethics\tethic\tNNS\tI-NP\tO' -p245840 -aS'services\tservice\tNNS\tI-NP\tO' -p245841 -aS'.\t.\t.\tO\tO' -p245842 -asS'Hyperchol h/o A. fib 6 yrs ago -> cardioverted .' -p245843 -(lp245844 -S'Hyperchol\tHyperchol\tNN\tB-NP\tO' -p245845 -aS'h/o\th/o\tNN\tI-NP\tO' -p245846 -aS'A.\tA.\tNN\tI-NP\tO' -p245847 -aS'fib\tfib\tNN\tI-NP\tO' -p245848 -aS'6\t6\tCD\tB-NP\tO' -p245849 -aS'yrs\tyr\tNNS\tI-NP\tO' -p245850 -aS'ago\tago\tIN\tB-PP\tO' -p245851 -aS'->\t->\tSYM\tB-NP\tO' -p245852 -aS'cardioverted\tcardioverte\tVBN\tB-VP\tO' -p245853 -aS'.\t.\t.\tO\tO' -p245854 -asS'In the days following admission , there was clear evidence for progression of erythematous nodules over both arms and right thigh at foci of Acanthamoeba infection , suggesting progressive skin involvement with Acanthamoeba .' -p245855 -(lp245856 -S'In\tIn\tIN\tB-PP\tO' -p245857 -aS'the\tthe\tDT\tB-NP\tO' -p245858 -aS'days\tday\tNNS\tI-NP\tO' -p245859 -aS'following\tfollow\tVBG\tB-PP\tO' -p245860 -aS'admission\tadmission\tNN\tB-NP\tO' -p245861 -aS',\t,\t,\tO\tO' -p245862 -aS'there\tthere\tEX\tB-NP\tO' -p245863 -aS'was\tbe\tVBD\tB-VP\tO' -p245864 -aS'clear\tclear\tJJ\tB-NP\tO' -p245865 -aS'evidence\tevidence\tNN\tI-NP\tO' -p245866 -aS'for\tfor\tIN\tB-PP\tO' -p245867 -aS'progression\tprogression\tNN\tB-NP\tO' -p245868 -aS'of\tof\tIN\tB-PP\tO' -p245869 -aS'erythematous\terythematous\tJJ\tB-NP\tO' -p245870 -aS'nodules\tnodule\tNNS\tI-NP\tO' -p245871 -aS'over\tover\tIN\tB-PP\tO' -p245872 -aS'both\tboth\tDT\tB-NP\tO' -p245873 -aS'arms\tarm\tNNS\tI-NP\tO' -p245874 -aS'and\tand\tCC\tI-NP\tO' -p245875 -aS'right\tright\tJJ\tI-NP\tO' -p245876 -aS'thigh\tthigh\tNN\tI-NP\tO' -p245877 -aS'at\tat\tIN\tB-PP\tO' -p245878 -aS'foci\tfocus\tNNS\tB-NP\tO' -p245879 -aS'of\tof\tIN\tB-PP\tO' -p245880 -aS'Acanthamoeba\tAcanthamoeba\tNN\tB-NP\tO' -p245881 -aS'infection\tinfection\tNN\tI-NP\tO' -p245882 -aS',\t,\t,\tO\tO' -p245883 -aS'suggesting\tsuggest\tVBG\tB-VP\tO' -p245884 -aS'progressive\tprogressive\tJJ\tB-NP\tO' -p245885 -aS'skin\tskin\tNN\tI-NP\tO' -p245886 -aS'involvement\tinvolvement\tNN\tI-NP\tO' -p245887 -aS'with\twith\tIN\tB-PP\tO' -p245888 -aS'Acanthamoeba\tAcanthamoeba\tNNP\tB-NP\tO' -p245889 -aS'.\t.\t.\tO\tO' -p245890 -asS'Head computerized tomography scan showed 1.5 to 2 centimeter bleed in the right thalamus extending to the internal capsule with mild distortion only , no shift .' -p245891 -(lp245892 -S'Head\tHead\tJJ\tB-NP\tO' -p245893 -aS'computerized\tcomputerized\tJJ\tI-NP\tO' -p245894 -aS'tomography\ttomography\tNN\tI-NP\tO' -p245895 -aS'scan\tscan\tNN\tI-NP\tO' -p245896 -aS'showed\tshow\tVBD\tB-VP\tO' -p245897 -aS'1.5\t1.5\tCD\tB-NP\tO' -p245898 -aS'to\tto\tTO\tI-NP\tO' -p245899 -aS'2\t2\tCD\tI-NP\tO' -p245900 -aS'centimeter\tcentimeter\tNN\tI-NP\tO' -p245901 -aS'bleed\tbleed\tNN\tI-NP\tO' -p245902 -aS'in\tin\tIN\tB-PP\tO' -p245903 -aS'the\tthe\tDT\tB-NP\tO' -p245904 -aS'right\tright\tJJ\tI-NP\tO' -p245905 -aS'thalamus\tthalamus\tNN\tI-NP\tO' -p245906 -aS'extending\textend\tVBG\tB-VP\tO' -p245907 -aS'to\tto\tTO\tB-PP\tO' -p245908 -aS'the\tthe\tDT\tB-NP\tO' -p245909 -aS'internal\tinternal\tJJ\tI-NP\tO' -p245910 -aS'capsule\tcapsule\tNN\tI-NP\tO' -p245911 -aS'with\twith\tIN\tB-PP\tO' -p245912 -aS'mild\tmild\tJJ\tB-NP\tO' -p245913 -aS'distortion\tdistortion\tNN\tI-NP\tO' -p245914 -aS'only\tonly\tRB\tB-ADVP\tO' -p245915 -aS',\t,\t,\tO\tO' -p245916 -aS'no\tno\tDT\tB-NP\tO' -p245917 -aS'shift\tshift\tNN\tI-NP\tO' -p245918 -aS'.\t.\t.\tO\tO' -p245919 -asS'On admission birth weight 1630 grams ( 50th percentile ) , length 43.5 cm ( 50th percentile ) , head circumference 31.5 cm ( 75th percentile ).' -p245920 -(lp245921 -S'On\tOn\tIN\tB-PP\tO' -p245922 -aS'admission\tadmission\tNN\tB-NP\tO' -p245923 -aS'birth\tbirth\tNN\tI-NP\tO' -p245924 -aS'weight\tweight\tNN\tI-NP\tO' -p245925 -aS'1630\t1630\tCD\tB-NP\tO' -p245926 -aS'grams\tgram\tNNS\tI-NP\tO' -p245927 -aS'(\t(\t(\tO\tO' -p245928 -aS'50th\t50th\tJJ\tB-NP\tO' -p245929 -aS'percentile\tpercentile\tNN\tI-NP\tO' -p245930 -aS')\t)\t)\tO\tO' -p245931 -aS',\t,\t,\tO\tO' -p245932 -aS'length\tlength\tNN\tB-NP\tO' -p245933 -aS'43.5\t43.5\tCD\tI-NP\tO' -p245934 -aS'cm\tcm\tNN\tI-NP\tO' -p245935 -aS'(\t(\t(\tO\tO' -p245936 -aS'50th\t50th\tJJ\tB-NP\tO' -p245937 -aS'percentile\tpercentile\tNN\tI-NP\tO' -p245938 -aS')\t)\t)\tO\tO' -p245939 -aS',\t,\t,\tO\tO' -p245940 -aS'head\thead\tNN\tB-NP\tO' -p245941 -aS'circumference\tcircumference\tNN\tI-NP\tO' -p245942 -aS'31.5\t31.5\tCD\tB-NP\tO' -p245943 -aS'cm\tcm\tNN\tI-NP\tO' -p245944 -aS'(\t(\t(\tO\tO' -p245945 -aS'75th\t75th\tJJ\tB-NP\tO' -p245946 -aS'percentile\tpercentile\tNN\tI-NP\tO' -p245947 -aS').\t).\t.\tO\tO' -p245948 -asS'The LV cavity size was normal .' -p245949 -(lp245950 -S'The\tThe\tDT\tB-NP\tO' -p245951 -aS'LV\tLV\tNN\tI-NP\tO' -p245952 -aS'cavity\tcavity\tNN\tI-NP\tO' -p245953 -aS'size\tsize\tNN\tI-NP\tO' -p245954 -aS'was\tbe\tVBD\tB-VP\tO' -p245955 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p245956 -aS'.\t.\t.\tO\tO' -p245957 -asS'Alcohol : No alcohol use .' -p245958 -(lp245959 -S'Alcohol\tAlcohol\tNN\tB-NP\tO' -p245960 -aS':\t:\t:\tO\tO' -p245961 -aS'No\tNo\tDT\tB-NP\tO' -p245962 -aS'alcohol\talcohol\tNN\tI-NP\tO' -p245963 -aS'use\tuse\tNN\tI-NP\tO' -p245964 -aS'.\t.\t.\tO\tO' -p245965 -asS'She was started on a regimen of MS Contin with oxycodone for breakthrough pain .' -p245966 -(lp245967 -S'She\tShe\tPRP\tB-NP\tO' -p245968 -aS'was\tbe\tVBD\tB-VP\tO' -p245969 -aS'started\tstart\tVBN\tI-VP\tO' -p245970 -aS'on\ton\tIN\tB-PP\tO' -p245971 -aS'a\ta\tDT\tB-NP\tO' -p245972 -aS'regimen\tregimen\tNN\tI-NP\tO' -p245973 -aS'of\tof\tIN\tB-PP\tO' -p245974 -aS'MS\tMS\tNN\tB-NP\tB-protein' -p245975 -aS'Contin\tContin\tNN\tI-NP\tI-protein' -p245976 -aS'with\twith\tIN\tB-PP\tO' -p245977 -aS'oxycodone\toxycodone\tNN\tB-NP\tO' -p245978 -aS'for\tfor\tIN\tB-PP\tO' -p245979 -aS'breakthrough\tbreakthrough\tNN\tB-NP\tO' -p245980 -aS'pain\tpain\tNN\tI-NP\tO' -p245981 -aS'.\t.\t.\tO\tO' -p245982 -asS'Weight bearing status was increased to weight bearing as tolerated .' -p245983 -(lp245984 -S'Weight\tWeight\tNN\tB-NP\tO' -p245985 -aS'bearing\tbear\tVBG\tI-NP\tO' -p245986 -aS'status\tstatus\tNN\tI-NP\tO' -p245987 -aS'was\tbe\tVBD\tB-VP\tO' -p245988 -aS'increased\tincrease\tVBN\tI-VP\tO' -p245989 -aS'to\tto\tTO\tB-PP\tO' -p245990 -aS'weight\tweight\tNN\tB-NP\tO' -p245991 -aS'bearing\tbear\tVBG\tB-VP\tO' -p245992 -aS'as\tas\tIN\tB-SBAR\tO' -p245993 -aS'tolerated\ttolerate\tVBN\tB-VP\tO' -p245994 -aS'.\t.\t.\tO\tO' -p245995 -asS'Alkaline phosphatase 1148 .' -p245996 -(lp245997 -S'Alkaline\tAlkaline\tNN\tB-NP\tO' -p245998 -aS'phosphatase\tphosphatase\tNN\tI-NP\tO' -p245999 -aS'1148\t1148\tCD\tI-NP\tO' -p246000 -aS'.\t.\t.\tO\tO' -p246001 -asS'He was ready for discharge home on postoperative day three .' -p246002 -(lp246003 -S'He\tHe\tPRP\tB-NP\tO' -p246004 -aS'was\tbe\tVBD\tB-VP\tO' -p246005 -aS'ready\tready\tJJ\tB-ADJP\tO' -p246006 -aS'for\tfor\tIN\tB-PP\tO' -p246007 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p246008 -aS'home\thome\tNN\tI-NP\tO' -p246009 -aS'on\ton\tIN\tB-PP\tO' -p246010 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p246011 -aS'day\tday\tNN\tI-NP\tO' -p246012 -aS'three\tthree\tCD\tI-NP\tO' -p246013 -aS'.\t.\t.\tO\tO' -p246014 -asS'His language was fluent and normal .' -p246015 -(lp246016 -S'His\tHis\tPRP$\tB-NP\tO' -p246017 -aS'language\tlanguage\tNN\tI-NP\tO' -p246018 -aS'was\tbe\tVBD\tB-VP\tO' -p246019 -aS'fluent\tfluent\tJJ\tB-ADJP\tO' -p246020 -aS'and\tand\tCC\tI-ADJP\tO' -p246021 -aS'normal\tnormal\tJJ\tI-ADJP\tO' -p246022 -aS'.\t.\t.\tO\tO' -p246023 -asS'1. Colace , 100 mg PO bid .' -p246024 -(lp246025 -S'1.\t1.\tLS\tB-NP\tO' -p246026 -aS'Colace\tColace\tNNP\tI-NP\tO' -p246027 -aS',\t,\t,\tO\tO' -p246028 -aS'100\t100\tCD\tB-NP\tO' -p246029 -aS'mg\tmg\tNN\tI-NP\tO' -p246030 -aS'PO\tPO\tNN\tI-NP\tO' -p246031 -aS'bid\tbid\tNN\tI-NP\tO' -p246032 -aS'.\t.\t.\tO\tO' -p246033 -asS'Temperature 100.3 , heart rate 76 , blood pressure 100/78 , respiratory rate 16 , and an oxygen saturation of 96% on two liters .' -p246034 -(lp246035 -S'Temperature\tTemperature\tNN\tB-NP\tB-protein' -p246036 -aS'100.3\t100.3\tCD\tI-NP\tI-protein' -p246037 -aS',\t,\t,\tO\tO' -p246038 -aS'heart\theart\tNN\tB-NP\tO' -p246039 -aS'rate\trate\tNN\tI-NP\tO' -p246040 -aS'76\t76\tCD\tI-NP\tO' -p246041 -aS',\t,\t,\tO\tO' -p246042 -aS'blood\tblood\tNN\tB-NP\tO' -p246043 -aS'pressure\tpressure\tNN\tI-NP\tO' -p246044 -aS'100/78\t100/78\tCD\tI-NP\tO' -p246045 -aS',\t,\t,\tI-NP\tO' -p246046 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p246047 -aS'rate\trate\tNN\tI-NP\tO' -p246048 -aS'16\t16\tCD\tI-NP\tO' -p246049 -aS',\t,\t,\tO\tO' -p246050 -aS'and\tand\tCC\tO\tO' -p246051 -aS'an\tan\tDT\tB-NP\tO' -p246052 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p246053 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p246054 -aS'of\tof\tIN\tB-PP\tO' -p246055 -aS'96%\t96%\tCD\tB-NP\tO' -p246056 -aS'on\ton\tIN\tB-PP\tO' -p246057 -aS'two\ttwo\tCD\tB-NP\tO' -p246058 -aS'liters\tliter\tNNS\tI-NP\tO' -p246059 -aS'.\t.\t.\tO\tO' -p246060 -asS'6. Olanzapine 5 mg Tablet , Rapid Dissolve Sig : One ( 1 ) Tablet , Rapid Dissolve PO BID ( 2 times a day ) .' -p246061 -(lp246062 -S'6.\t6.\tCD\tB-NP\tO' -p246063 -aS'Olanzapine\tOlanzapine\tNN\tI-NP\tO' -p246064 -aS'5\t5\tCD\tB-NP\tO' -p246065 -aS'mg\tmg\tNN\tI-NP\tO' -p246066 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p246067 -aS',\t,\t,\tO\tO' -p246068 -aS'Rapid\tRapid\tNNP\tB-NP\tO' -p246069 -aS'Dissolve\tDissolve\tNNP\tI-NP\tO' -p246070 -aS'Sig\tSig\tNNP\tI-NP\tO' -p246071 -aS':\t:\t:\tO\tO' -p246072 -aS'One\tOne\tCD\tB-NP\tO' -p246073 -aS'(\t(\t(\tO\tO' -p246074 -aS'1\t1\tCD\tB-NP\tO' -p246075 -aS')\t)\t)\tO\tO' -p246076 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p246077 -aS',\t,\t,\tO\tO' -p246078 -aS'Rapid\tRapid\tNNP\tB-NP\tO' -p246079 -aS'Dissolve\tDissolve\tNNP\tI-NP\tO' -p246080 -aS'PO\tPO\tNNP\tI-NP\tO' -p246081 -aS'BID\tBID\tNNP\tI-NP\tO' -p246082 -aS'(\t(\t(\tO\tO' -p246083 -aS'2\t2\tCD\tB-NP\tO' -p246084 -aS'times\ttime\tNNS\tI-NP\tO' -p246085 -aS'a\ta\tDT\tB-NP\tO' -p246086 -aS'day\tday\tNN\tI-NP\tO' -p246087 -aS')\t)\t)\tO\tO' -p246088 -aS'.\t.\t.\tO\tO' -p246089 -asS'Her Bilirubin direct and total were 0.1 and 0.3 respectively .' -p246090 -(lp246091 -S'Her\tHer\tPRP$\tB-NP\tO' -p246092 -aS'Bilirubin\tBilirubin\tNN\tI-NP\tO' -p246093 -aS'direct\tdirect\tJJ\tI-NP\tO' -p246094 -aS'and\tand\tCC\tI-NP\tO' -p246095 -aS'total\ttotal\tJJ\tI-NP\tO' -p246096 -aS'were\tbe\tVBD\tB-VP\tO' -p246097 -aS'0.1\t0.1\tCD\tB-NP\tO' -p246098 -aS'and\tand\tCC\tI-NP\tO' -p246099 -aS'0.3\t0.3\tCD\tI-NP\tO' -p246100 -aS'respectively\trespectively\tRB\tB-ADVP\tO' -p246101 -aS'.\t.\t.\tO\tO' -p246102 -asS'There was no effusion .' -p246103 -(lp246104 -S'There\tThere\tEX\tB-NP\tO' -p246105 -aS'was\tbe\tVBD\tB-VP\tO' -p246106 -aS'no\tno\tDT\tB-NP\tO' -p246107 -aS'effusion\teffusion\tNN\tI-NP\tO' -p246108 -aS'.\t.\t.\tO\tO' -p246109 -asS'He was written for a morphine drip however he expired before this could be initiated .' -p246110 -(lp246111 -S'He\tHe\tPRP\tB-NP\tO' -p246112 -aS'was\tbe\tVBD\tB-VP\tO' -p246113 -aS'written\twrite\tVBN\tI-VP\tO' -p246114 -aS'for\tfor\tIN\tB-PP\tO' -p246115 -aS'a\ta\tDT\tB-NP\tO' -p246116 -aS'morphine\tmorphine\tNN\tI-NP\tO' -p246117 -aS'drip\tdrip\tNN\tI-NP\tO' -p246118 -aS'however\thowever\tRB\tB-ADVP\tO' -p246119 -aS'he\the\tPRP\tB-NP\tO' -p246120 -aS'expired\texpire\tVBD\tB-VP\tO' -p246121 -aS'before\tbefore\tIN\tB-PP\tO' -p246122 -aS'this\tthis\tDT\tB-NP\tO' -p246123 -aS'could\tcould\tMD\tB-VP\tO' -p246124 -aS'be\tbe\tVB\tI-VP\tO' -p246125 -aS'initiated\tinitiate\tVBN\tI-VP\tO' -p246126 -aS'.\t.\t.\tO\tO' -p246127 -asS'The left circumflex was dominant with severe disease of obtuse marginal one , with moderate mid-circumflex stenosis and moderate posterior descending artery lesion .' -p246128 -(lp246129 -S'The\tThe\tDT\tB-NP\tO' -p246130 -aS'left\tleft\tJJ\tI-NP\tO' -p246131 -aS'circumflex\tcircumflex\tNN\tI-NP\tO' -p246132 -aS'was\tbe\tVBD\tB-VP\tO' -p246133 -aS'dominant\tdominant\tJJ\tB-ADJP\tO' -p246134 -aS'with\twith\tIN\tB-PP\tO' -p246135 -aS'severe\tsevere\tJJ\tB-NP\tO' -p246136 -aS'disease\tdisease\tNN\tI-NP\tO' -p246137 -aS'of\tof\tIN\tB-PP\tO' -p246138 -aS'obtuse\tobtuse\tNN\tB-NP\tO' -p246139 -aS'marginal\tmarginal\tJJ\tB-NP\tO' -p246140 -aS'one\tone\tCD\tI-NP\tO' -p246141 -aS',\t,\t,\tO\tO' -p246142 -aS'with\twith\tIN\tB-PP\tO' -p246143 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p246144 -aS'mid-circumflex\tmid-circumflex\tJJ\tI-NP\tO' -p246145 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p246146 -aS'and\tand\tCC\tO\tO' -p246147 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p246148 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p246149 -aS'descending\tdescend\tVBG\tI-NP\tO' -p246150 -aS'artery\tartery\tNN\tI-NP\tO' -p246151 -aS'lesion\tlesion\tNN\tI-NP\tO' -p246152 -aS'.\t.\t.\tO\tO' -p246153 -asS'She was also continued on all her heart failure medications including her Toprol , her lisinopril , her digoxin , and her Lasix .' -p246154 -(lp246155 -S'She\tShe\tPRP\tB-NP\tO' -p246156 -aS'was\tbe\tVBD\tB-VP\tO' -p246157 -aS'also\talso\tRB\tI-VP\tO' -p246158 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p246159 -aS'on\ton\tIN\tB-PP\tO' -p246160 -aS'all\tall\tDT\tB-NP\tO' -p246161 -aS'her\ther\tPRP$\tI-NP\tO' -p246162 -aS'heart\theart\tNN\tI-NP\tO' -p246163 -aS'failure\tfailure\tNN\tI-NP\tO' -p246164 -aS'medications\tmedication\tNNS\tI-NP\tO' -p246165 -aS'including\tinclude\tVBG\tB-PP\tO' -p246166 -aS'her\ther\tPRP$\tB-NP\tO' -p246167 -aS'Toprol\tToprol\tNN\tI-NP\tO' -p246168 -aS',\t,\t,\tO\tO' -p246169 -aS'her\ther\tPRP$\tB-NP\tO' -p246170 -aS'lisinopril\tlisinopril\tNN\tI-NP\tO' -p246171 -aS',\t,\t,\tO\tO' -p246172 -aS'her\ther\tPRP$\tB-NP\tO' -p246173 -aS'digoxin\tdigoxin\tNN\tI-NP\tO' -p246174 -aS',\t,\t,\tO\tO' -p246175 -aS'and\tand\tCC\tO\tO' -p246176 -aS'her\ther\tPRP$\tB-NP\tO' -p246177 -aS'Lasix\tLasix\tNN\tI-NP\tO' -p246178 -aS'.\t.\t.\tO\tO' -p246179 -asS'A small / moderate-sized , mild-intensity , reversible posterior lateral defect was also seen , indicative of mild / moderate ischemia .' -p246180 -(lp246181 -S'A\tA\tDT\tB-NP\tO' -p246182 -aS'small\tsmall\tJJ\tI-NP\tO' -p246183 -aS'/\t/\tSYM\tI-NP\tO' -p246184 -aS'moderate-sized\tmoderate-sized\tJJ\tI-NP\tO' -p246185 -aS',\t,\t,\tI-NP\tO' -p246186 -aS'mild-intensity\tmild-intensity\tJJ\tI-NP\tO' -p246187 -aS',\t,\t,\tI-NP\tO' -p246188 -aS'reversible\treversible\tJJ\tI-NP\tO' -p246189 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p246190 -aS'lateral\tlateral\tJJ\tI-NP\tO' -p246191 -aS'defect\tdefect\tNN\tI-NP\tO' -p246192 -aS'was\tbe\tVBD\tB-VP\tO' -p246193 -aS'also\talso\tRB\tI-VP\tO' -p246194 -aS'seen\tsee\tVBN\tI-VP\tO' -p246195 -aS',\t,\t,\tO\tO' -p246196 -aS'indicative\tindicative\tJJ\tB-ADJP\tO' -p246197 -aS'of\tof\tIN\tB-PP\tO' -p246198 -aS'mild\tmild\tJJ\tB-NP\tO' -p246199 -aS'/\t/\tSYM\tI-NP\tO' -p246200 -aS'moderate\tmoderate\tJJ\tI-NP\tO' -p246201 -aS'ischemia\tischemia\tNN\tI-NP\tO' -p246202 -aS'.\t.\t.\tO\tO' -p246203 -asS'Per record , she has had multiple episodes in the last week of changes in mental status .' -p246204 -(lp246205 -S'Per\tPer\tNN\tB-NP\tO' -p246206 -aS'record\trecord\tNN\tI-NP\tO' -p246207 -aS',\t,\t,\tO\tO' -p246208 -aS'she\tshe\tPRP\tB-NP\tO' -p246209 -aS'has\thave\tVBZ\tB-VP\tO' -p246210 -aS'had\thave\tVBN\tI-VP\tO' -p246211 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p246212 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p246213 -aS'in\tin\tIN\tB-PP\tO' -p246214 -aS'the\tthe\tDT\tB-NP\tO' -p246215 -aS'last\tlast\tJJ\tI-NP\tO' -p246216 -aS'week\tweek\tNN\tI-NP\tO' -p246217 -aS'of\tof\tIN\tB-PP\tO' -p246218 -aS'changes\tchange\tNNS\tB-NP\tO' -p246219 -aS'in\tin\tIN\tB-PP\tO' -p246220 -aS'mental\tmental\tJJ\tB-NP\tO' -p246221 -aS'status\tstatus\tNN\tI-NP\tO' -p246222 -aS'.\t.\t.\tO\tO' -p246223 -asS'However , two days prior to admission , one family member noted that the patient had a transient left facial droop .' -p246224 -(lp246225 -S'However\tHowever\tRB\tB-ADVP\tO' -p246226 -aS',\t,\t,\tO\tO' -p246227 -aS'two\ttwo\tCD\tB-NP\tO' -p246228 -aS'days\tday\tNNS\tI-NP\tO' -p246229 -aS'prior\tprior\tRB\tB-ADVP\tO' -p246230 -aS'to\tto\tTO\tB-PP\tO' -p246231 -aS'admission\tadmission\tNN\tB-NP\tO' -p246232 -aS',\t,\t,\tO\tO' -p246233 -aS'one\tone\tCD\tB-NP\tO' -p246234 -aS'family\tfamily\tNN\tI-NP\tO' -p246235 -aS'member\tmember\tNN\tI-NP\tO' -p246236 -aS'noted\tnote\tVBD\tB-VP\tO' -p246237 -aS'that\tthat\tIN\tB-SBAR\tO' -p246238 -aS'the\tthe\tDT\tB-NP\tO' -p246239 -aS'patient\tpatient\tNN\tI-NP\tO' -p246240 -aS'had\thave\tVBD\tB-VP\tO' -p246241 -aS'a\ta\tDT\tB-NP\tO' -p246242 -aS'transient\ttransient\tJJ\tI-NP\tO' -p246243 -aS'left\tleft\tJJ\tI-NP\tO' -p246244 -aS'facial\tfacial\tJJ\tI-NP\tO' -p246245 -aS'droop\tdroop\tNN\tI-NP\tO' -p246246 -aS'.\t.\t.\tO\tO' -p246247 -asS'NOne .' -p246248 -(lp246249 -S'NOne\tNOne\tNN\tB-NP\tO' -p246250 -aS'.\t.\t.\tO\tO' -p246251 -asS'Plans were made to proceed with apnea testing .' -p246252 -(lp246253 -S'Plans\tPlan\tNNS\tB-NP\tO' -p246254 -aS'were\tbe\tVBD\tB-VP\tO' -p246255 -aS'made\tmake\tVBN\tI-VP\tO' -p246256 -aS'to\tto\tTO\tB-VP\tO' -p246257 -aS'proceed\tproceed\tVB\tI-VP\tO' -p246258 -aS'with\twith\tIN\tB-PP\tO' -p246259 -aS'apnea\tapnea\tNN\tB-NP\tO' -p246260 -aS'testing\ttesting\tNN\tI-NP\tO' -p246261 -aS'.\t.\t.\tO\tO' -p246262 -asS'Wife reports that the patient has a history of lethargy and confusion , similar to the symptoms for which the patient was recently admitted .' -p246263 -(lp246264 -S'Wife\tWife\tNNP\tB-NP\tO' -p246265 -aS'reports\treport\tVBZ\tB-VP\tO' -p246266 -aS'that\tthat\tIN\tB-SBAR\tO' -p246267 -aS'the\tthe\tDT\tB-NP\tO' -p246268 -aS'patient\tpatient\tNN\tI-NP\tO' -p246269 -aS'has\thave\tVBZ\tB-VP\tO' -p246270 -aS'a\ta\tDT\tB-NP\tO' -p246271 -aS'history\thistory\tNN\tI-NP\tO' -p246272 -aS'of\tof\tIN\tB-PP\tO' -p246273 -aS'lethargy\tlethargy\tNN\tB-NP\tO' -p246274 -aS'and\tand\tCC\tI-NP\tO' -p246275 -aS'confusion\tconfusion\tNN\tI-NP\tO' -p246276 -aS',\t,\t,\tO\tO' -p246277 -aS'similar\tsimilar\tJJ\tB-ADJP\tO' -p246278 -aS'to\tto\tTO\tB-PP\tO' -p246279 -aS'the\tthe\tDT\tB-NP\tO' -p246280 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p246281 -aS'for\tfor\tIN\tB-PP\tO' -p246282 -aS'which\twhich\tWDT\tB-NP\tO' -p246283 -aS'the\tthe\tDT\tB-NP\tO' -p246284 -aS'patient\tpatient\tNN\tI-NP\tO' -p246285 -aS'was\tbe\tVBD\tB-VP\tO' -p246286 -aS'recently\trecently\tRB\tI-VP\tO' -p246287 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p246288 -aS'.\t.\t.\tO\tO' -p246289 -asS'Cefuroxime 1.5 grams intravenously q8h , Solu-Medrol 62.5 mg intravenously q8h , Ventolin metered dose inhaler , 2 puffs PO q.i.d. , Pepcid 20 mg intravenously b.i.d.' -p246290 -(lp246291 -S'Cefuroxime\tCefuroxime\tNN\tB-NP\tO' -p246292 -aS'1.5\t1.5\tCD\tB-NP\tO' -p246293 -aS'grams\tgram\tNNS\tI-NP\tO' -p246294 -aS'intravenously\tintravenously\tRB\tB-NP\tO' -p246295 -aS'q8h\tq8h\tNN\tI-NP\tO' -p246296 -aS',\t,\t,\tO\tO' -p246297 -aS'Solu-Medrol\tSolu-Medrol\tNN\tB-NP\tO' -p246298 -aS'62.5\t62.5\tCD\tI-NP\tO' -p246299 -aS'mg\tmg\tNN\tI-NP\tO' -p246300 -aS'intravenously\tintravenously\tRB\tB-NP\tO' -p246301 -aS'q8h\tq8h\tNN\tI-NP\tO' -p246302 -aS',\t,\t,\tO\tO' -p246303 -aS'Ventolin\tVentolin\tNNP\tB-NP\tO' -p246304 -aS'metered\tmeter\tVBD\tB-VP\tO' -p246305 -aS'dose\tdose\tNN\tB-NP\tO' -p246306 -aS'inhaler\tinhaler\tNN\tI-NP\tO' -p246307 -aS',\t,\t,\tO\tO' -p246308 -aS'2\t2\tCD\tB-NP\tO' -p246309 -aS'puffs\tpuff\tNNS\tI-NP\tO' -p246310 -aS'PO\tPO\tNNP\tB-NP\tO' -p246311 -aS'q.i.d.\tq.i.d.\tNNP\tI-NP\tO' -p246312 -aS',\t,\t,\tO\tO' -p246313 -aS'Pepcid\tPepcid\tNNP\tB-NP\tO' -p246314 -aS'20\t20\tCD\tI-NP\tO' -p246315 -aS'mg\tmg\tNN\tI-NP\tO' -p246316 -aS'intravenously\tintravenously\tRB\tB-ADVP\tO' -p246317 -aS'b.i.d.\tb.i.d.\tRB\tB-ADVP\tO' -p246318 -asS'Blood cultures cleared by 2013-05-03 .' -p246319 -(lp246320 -S'Blood\tBlood\tNN\tB-NP\tO' -p246321 -aS'cultures\tculture\tNNS\tI-NP\tO' -p246322 -aS'cleared\tclear\tVBN\tB-VP\tO' -p246323 -aS'by\tby\tIN\tB-PP\tO' -p246324 -aS'2013-05-03\t2013-05-03\tCD\tB-NP\tO' -p246325 -aS'.\t.\t.\tO\tO' -p246326 -asS'Endocrinologically , BG was monitored to improve outcome in ICU setting though he had no history of DM .' -p246327 -(lp246328 -S'Endocrinologically\tEndocrinologically\tRB\tB-ADVP\tO' -p246329 -aS',\t,\t,\tO\tO' -p246330 -aS'BG\tBG\tNN\tB-NP\tO' -p246331 -aS'was\tbe\tVBD\tB-VP\tO' -p246332 -aS'monitored\tmonitor\tVBN\tI-VP\tO' -p246333 -aS'to\tto\tTO\tI-VP\tO' -p246334 -aS'improve\timprove\tVB\tI-VP\tO' -p246335 -aS'outcome\toutcome\tNN\tB-NP\tO' -p246336 -aS'in\tin\tIN\tB-PP\tO' -p246337 -aS'ICU\tICU\tNN\tB-NP\tB-protein' -p246338 -aS'setting\tset\tVBG\tB-VP\tO' -p246339 -aS'though\tthough\tIN\tB-SBAR\tO' -p246340 -aS'he\the\tPRP\tB-NP\tO' -p246341 -aS'had\thave\tVBD\tB-VP\tO' -p246342 -aS'no\tno\tDT\tB-NP\tO' -p246343 -aS'history\thistory\tNN\tI-NP\tO' -p246344 -aS'of\tof\tIN\tB-PP\tO' -p246345 -aS'DM\tDM\tNN\tB-NP\tO' -p246346 -aS'.\t.\t.\tO\tO' -p246347 -asS'Pt had depressed mental status on transfer to CMED in setting of narcotics .' -p246348 -(lp246349 -S'Pt\tPt\tNN\tB-NP\tO' -p246350 -aS'had\thave\tVBD\tB-VP\tO' -p246351 -aS'depressed\tdepress\tVBN\tI-VP\tO' -p246352 -aS'mental\tmental\tJJ\tB-NP\tO' -p246353 -aS'status\tstatus\tNN\tI-NP\tO' -p246354 -aS'on\ton\tIN\tB-PP\tO' -p246355 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p246356 -aS'to\tto\tTO\tB-VP\tO' -p246357 -aS'CMED\tCMED\tVBN\tI-VP\tO' -p246358 -aS'in\tin\tIN\tB-PP\tO' -p246359 -aS'setting\tsetting\tNN\tB-NP\tO' -p246360 -aS'of\tof\tIN\tB-PP\tO' -p246361 -aS'narcotics\tnarcotic\tNNS\tB-NP\tO' -p246362 -aS'.\t.\t.\tO\tO' -p246363 -asS'ABD : Pt very tense in abdomen ( states belly is fine , but he is weary of his back ).' -p246364 -(lp246365 -S'ABD\tABD\tNN\tB-NP\tO' -p246366 -aS':\t:\t:\tO\tO' -p246367 -aS'Pt\tPt\tNN\tB-NP\tO' -p246368 -aS'very\tvery\tRB\tB-ADJP\tO' -p246369 -aS'tense\ttense\tJJ\tI-ADJP\tO' -p246370 -aS'in\tin\tIN\tB-PP\tO' -p246371 -aS'abdomen\tabdoman\tNNS\tB-NP\tO' -p246372 -aS'(\t(\t(\tO\tO' -p246373 -aS'states\tstate\tNNS\tB-NP\tO' -p246374 -aS'belly\tbelly\tRB\tB-ADVP\tO' -p246375 -aS'is\tbe\tVBZ\tB-VP\tO' -p246376 -aS'fine\tfine\tJJ\tB-ADJP\tO' -p246377 -aS',\t,\t,\tO\tO' -p246378 -aS'but\tbut\tCC\tO\tO' -p246379 -aS'he\the\tPRP\tB-NP\tO' -p246380 -aS'is\tbe\tVBZ\tB-VP\tO' -p246381 -aS'weary\tweary\tJJ\tB-ADJP\tO' -p246382 -aS'of\tof\tIN\tB-PP\tO' -p246383 -aS'his\this\tPRP$\tB-NP\tO' -p246384 -aS'back\tback\tNN\tI-NP\tO' -p246385 -aS').\t).\t.\tO\tO' -p246386 -asS'Otherwise , her pelvic exam was negative .' -p246387 -(lp246388 -S'Otherwise\tOtherwise\tRB\tB-ADVP\tO' -p246389 -aS',\t,\t,\tO\tO' -p246390 -aS'her\ther\tPRP$\tB-NP\tO' -p246391 -aS'pelvic\tpelvic\tJJ\tI-NP\tO' -p246392 -aS'exam\texam\tNN\tI-NP\tO' -p246393 -aS'was\tbe\tVBD\tB-VP\tO' -p246394 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p246395 -aS'.\t.\t.\tO\tO' -p246396 -asS'CAT scan was performed on 2013-09-20 at Kindred Park View Specialty Hospital of Springfield , which revealed that she had a recurrence of the tumor with occlusion of her portal vein occluding bile ducts , hepatic artery nearly completely occluded , and much ascites and was started on diuretics .' -p246397 -(lp246398 -S'CAT\tCAT\tNN\tB-NP\tB-protein' -p246399 -aS'scan\tscan\tNN\tI-NP\tO' -p246400 -aS'was\tbe\tVBD\tB-VP\tO' -p246401 -aS'performed\tperform\tVBN\tI-VP\tO' -p246402 -aS'on\ton\tIN\tB-PP\tO' -p246403 -aS'2013-09-20\t2013-09-20\tCD\tB-NP\tO' -p246404 -aS'at\tat\tIN\tB-PP\tO' -p246405 -aS'Kindred\tKindred\tNNP\tB-NP\tO' -p246406 -aS'Park\tPark\tNNP\tI-NP\tO' -p246407 -aS'View\tView\tNNP\tI-NP\tO' -p246408 -aS'Specialty\tSpecialty\tNNP\tI-NP\tO' -p246409 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p246410 -aS'of\tof\tIN\tB-PP\tO' -p246411 -aS'Springfield\tSpringfield\tNNP\tB-NP\tO' -p246412 -aS',\t,\t,\tO\tO' -p246413 -aS'which\twhich\tWDT\tB-NP\tO' -p246414 -aS'revealed\treveal\tVBD\tB-VP\tO' -p246415 -aS'that\tthat\tIN\tB-SBAR\tO' -p246416 -aS'she\tshe\tPRP\tB-NP\tO' -p246417 -aS'had\thave\tVBD\tB-VP\tO' -p246418 -aS'a\ta\tDT\tB-NP\tO' -p246419 -aS'recurrence\trecurrence\tNN\tI-NP\tO' -p246420 -aS'of\tof\tIN\tB-PP\tO' -p246421 -aS'the\tthe\tDT\tB-NP\tO' -p246422 -aS'tumor\ttumor\tNN\tI-NP\tO' -p246423 -aS'with\twith\tIN\tB-PP\tO' -p246424 -aS'occlusion\tocclusion\tNN\tB-NP\tO' -p246425 -aS'of\tof\tIN\tB-PP\tO' -p246426 -aS'her\ther\tPRP$\tB-NP\tO' -p246427 -aS'portal\tportal\tJJ\tI-NP\tO' -p246428 -aS'vein\tvein\tNN\tI-NP\tO' -p246429 -aS'occluding\tocclude\tVBG\tB-VP\tO' -p246430 -aS'bile\tbile\tNN\tB-NP\tO' -p246431 -aS'ducts\tduct\tNNS\tI-NP\tO' -p246432 -aS',\t,\t,\tO\tO' -p246433 -aS'hepatic\thepatic\tJJ\tB-NP\tO' -p246434 -aS'artery\tartery\tNN\tI-NP\tO' -p246435 -aS'nearly\tnearly\tRB\tB-VP\tO' -p246436 -aS'completely\tcompletely\tRB\tI-VP\tO' -p246437 -aS'occluded\tocclude\tVBN\tI-VP\tO' -p246438 -aS',\t,\t,\tO\tO' -p246439 -aS'and\tand\tCC\tO\tO' -p246440 -aS'much\tmuch\tJJ\tB-NP\tO' -p246441 -aS'ascites\tascite\tNNS\tI-NP\tO' -p246442 -aS'and\tand\tCC\tO\tO' -p246443 -aS'was\tbe\tVBD\tB-VP\tO' -p246444 -aS'started\tstart\tVBN\tI-VP\tO' -p246445 -aS'on\ton\tIN\tB-PP\tO' -p246446 -aS'diuretics\tdiuretic\tNNS\tB-NP\tO' -p246447 -aS'.\t.\t.\tO\tO' -p246448 -asS'After receiving brief blow by oxygen in the delivery room , the patient had no further episodes of ventilatory assistance required with good respiratory rate consistently .' -p246449 -(lp246450 -S'After\tAfter\tIN\tB-PP\tO' -p246451 -aS'receiving\treceive\tVBG\tB-VP\tO' -p246452 -aS'brief\tbrief\tJJ\tB-NP\tO' -p246453 -aS'blow\tblow\tNN\tI-NP\tO' -p246454 -aS'by\tby\tIN\tB-PP\tO' -p246455 -aS'oxygen\toxygen\tNN\tB-NP\tO' -p246456 -aS'in\tin\tIN\tB-PP\tO' -p246457 -aS'the\tthe\tDT\tB-NP\tO' -p246458 -aS'delivery\tdelivery\tNN\tI-NP\tO' -p246459 -aS'room\troom\tNN\tI-NP\tO' -p246460 -aS',\t,\t,\tO\tO' -p246461 -aS'the\tthe\tDT\tB-NP\tO' -p246462 -aS'patient\tpatient\tNN\tI-NP\tO' -p246463 -aS'had\thave\tVBD\tB-VP\tO' -p246464 -aS'no\tno\tDT\tB-NP\tO' -p246465 -aS'further\tfurther\tJJ\tI-NP\tO' -p246466 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p246467 -aS'of\tof\tIN\tB-PP\tO' -p246468 -aS'ventilatory\tventilatory\tJJ\tB-NP\tO' -p246469 -aS'assistance\tassistance\tNN\tI-NP\tO' -p246470 -aS'required\trequire\tVBN\tB-VP\tO' -p246471 -aS'with\twith\tIN\tB-PP\tO' -p246472 -aS'good\tgood\tJJ\tB-NP\tO' -p246473 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p246474 -aS'rate\trate\tNN\tI-NP\tO' -p246475 -aS'consistently\tconsistently\tRB\tB-ADVP\tO' -p246476 -aS'.\t.\t.\tO\tO' -p246477 -asS'soft , without hepatosplenomegaly .' -p246478 -(lp246479 -S'soft\tsoft\tRB\tB-ADVP\tO' -p246480 -aS',\t,\t,\tO\tO' -p246481 -aS'without\twithout\tIN\tB-PP\tO' -p246482 -aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tB-NP\tO' -p246483 -aS'.\t.\t.\tO\tO' -p246484 -asS'He was refered to Dr. Barber for surgical treatment .' -p246485 -(lp246486 -S'He\tHe\tPRP\tB-NP\tO' -p246487 -aS'was\tbe\tVBD\tB-VP\tO' -p246488 -aS'refered\trefer\tVBN\tI-VP\tO' -p246489 -aS'to\tto\tTO\tB-PP\tO' -p246490 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p246491 -aS'Barber\tBarber\tNNP\tI-NP\tO' -p246492 -aS'for\tfor\tIN\tB-PP\tO' -p246493 -aS'surgical\tsurgical\tJJ\tB-NP\tO' -p246494 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p246495 -aS'.\t.\t.\tO\tO' -p246496 -asS'Creatinine elevation appears to be related to both elevated abdominal pressures from ascites as well as to attempts at diuresis .' -p246497 -(lp246498 -S'Creatinine\tCreatinine\tNN\tB-NP\tO' -p246499 -aS'elevation\televation\tNN\tI-NP\tO' -p246500 -aS'appears\tappear\tVBZ\tB-VP\tO' -p246501 -aS'to\tto\tTO\tI-VP\tO' -p246502 -aS'be\tbe\tVB\tI-VP\tO' -p246503 -aS'related\trelated\tJJ\tB-ADJP\tO' -p246504 -aS'to\tto\tTO\tB-PP\tO' -p246505 -aS'both\tboth\tCC\tO\tO' -p246506 -aS'elevated\televated\tJJ\tB-NP\tO' -p246507 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p246508 -aS'pressures\tpressure\tNNS\tI-NP\tO' -p246509 -aS'from\tfrom\tIN\tB-PP\tO' -p246510 -aS'ascites\tascite\tNNS\tB-NP\tO' -p246511 -aS'as\tas\tRB\tB-CONJP\tO' -p246512 -aS'well\twell\tRB\tI-CONJP\tO' -p246513 -aS'as\tas\tIN\tI-CONJP\tO' -p246514 -aS'to\tto\tTO\tB-PP\tO' -p246515 -aS'attempts\tattempt\tNNS\tB-NP\tO' -p246516 -aS'at\tat\tIN\tB-PP\tO' -p246517 -aS'diuresis\tdiuresis\tNN\tB-NP\tO' -p246518 -aS'.\t.\t.\tO\tO' -p246519 -asS'His antihypertensives were held given concern for GI bleed and should be restarted at follow up appointment with PCP .' -p246520 -(lp246521 -S'His\tHis\tPRP$\tB-NP\tO' -p246522 -aS'antihypertensives\tantihypertensive\tNNS\tI-NP\tO' -p246523 -aS'were\tbe\tVBD\tB-VP\tO' -p246524 -aS'held\thold\tVBN\tI-VP\tO' -p246525 -aS'given\tgive\tVBN\tB-NP\tO' -p246526 -aS'concern\tconcern\tNN\tI-NP\tO' -p246527 -aS'for\tfor\tIN\tB-PP\tO' -p246528 -aS'GI\tGI\tNN\tB-NP\tO' -p246529 -aS'bleed\tbleed\tNN\tI-NP\tO' -p246530 -aS'and\tand\tCC\tO\tO' -p246531 -aS'should\tshould\tMD\tB-VP\tO' -p246532 -aS'be\tbe\tVB\tI-VP\tO' -p246533 -aS'restarted\trestart\tVBN\tI-VP\tO' -p246534 -aS'at\tat\tIN\tB-PP\tO' -p246535 -aS'follow\tfollow\tNN\tB-NP\tO' -p246536 -aS'up\tup\tRP\tB-PRT\tO' -p246537 -aS'appointment\tappointment\tNN\tB-NP\tO' -p246538 -aS'with\twith\tIN\tB-PP\tO' -p246539 -aS'PCP\tPCP\tNN\tB-NP\tB-protein' -p246540 -aS'.\t.\t.\tO\tO' -p246541 -asS'Soft with bowel sounds and there was mid epigastric and right upper quadrant tenderness .' -p246542 -(lp246543 -S'Soft\tSoft\tRB\tB-ADVP\tO' -p246544 -aS'with\twith\tIN\tB-PP\tO' -p246545 -aS'bowel\tbowel\tNN\tB-NP\tO' -p246546 -aS'sounds\tsound\tNNS\tI-NP\tO' -p246547 -aS'and\tand\tCC\tO\tO' -p246548 -aS'there\tthere\tEX\tB-NP\tO' -p246549 -aS'was\tbe\tVBD\tB-VP\tO' -p246550 -aS'mid\tmid\tJJ\tB-NP\tO' -p246551 -aS'epigastric\tepigastric\tJJ\tI-NP\tO' -p246552 -aS'and\tand\tCC\tI-NP\tO' -p246553 -aS'right\tright\tJJ\tI-NP\tO' -p246554 -aS'upper\tupper\tJJ\tI-NP\tO' -p246555 -aS'quadrant\tquadrant\tJJ\tI-NP\tO' -p246556 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p246557 -aS'.\t.\t.\tO\tO' -p246558 -asS'The patient was evaluated on postoperative day number five and it was decided at that time that the patient should be transferred back to the Intensive Care Unit for respiratory difficulties .' -p246559 -(lp246560 -S'The\tThe\tDT\tB-NP\tO' -p246561 -aS'patient\tpatient\tNN\tI-NP\tO' -p246562 -aS'was\tbe\tVBD\tB-VP\tO' -p246563 -aS'evaluated\tevaluate\tVBN\tI-VP\tO' -p246564 -aS'on\ton\tIN\tB-PP\tO' -p246565 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p246566 -aS'day\tday\tNN\tI-NP\tO' -p246567 -aS'number\tnumber\tNN\tI-NP\tO' -p246568 -aS'five\tfive\tCD\tI-NP\tO' -p246569 -aS'and\tand\tCC\tO\tO' -p246570 -aS'it\tit\tPRP\tB-NP\tO' -p246571 -aS'was\tbe\tVBD\tB-VP\tO' -p246572 -aS'decided\tdecide\tVBN\tI-VP\tO' -p246573 -aS'at\tat\tIN\tB-PP\tO' -p246574 -aS'that\tthat\tDT\tB-NP\tO' -p246575 -aS'time\ttime\tNN\tI-NP\tO' -p246576 -aS'that\tthat\tIN\tB-ADVP\tO' -p246577 -aS'the\tthe\tDT\tB-NP\tO' -p246578 -aS'patient\tpatient\tNN\tI-NP\tO' -p246579 -aS'should\tshould\tMD\tB-VP\tO' -p246580 -aS'be\tbe\tVB\tI-VP\tO' -p246581 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p246582 -aS'back\tback\tRB\tB-ADVP\tO' -p246583 -aS'to\tto\tTO\tB-PP\tO' -p246584 -aS'the\tthe\tDT\tB-NP\tO' -p246585 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p246586 -aS'Care\tCare\tNNP\tI-NP\tO' -p246587 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p246588 -aS'for\tfor\tIN\tB-PP\tO' -p246589 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p246590 -aS'difficulties\tdifficulty\tNNS\tI-NP\tO' -p246591 -aS'.\t.\t.\tO\tO' -p246592 -asS'Go to an Emergency Room if you experience symptoms including , but not necessarily limited to : new and continuing nausea , vomiting , fevers ( >101.5 F ) , chills , or shortness of breath .' -p246593 -(lp246594 -S'Go\tGo\tNN\tB-NP\tO' -p246595 -aS'to\tto\tTO\tB-PP\tO' -p246596 -aS'an\tan\tDT\tB-NP\tO' -p246597 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p246598 -aS'Room\tRoom\tNNP\tI-NP\tO' -p246599 -aS'if\tif\tIN\tB-SBAR\tO' -p246600 -aS'you\tyou\tPRP\tB-NP\tO' -p246601 -aS'experience\texperience\tVBP\tB-VP\tO' -p246602 -aS'symptoms\tsymptom\tNNS\tB-NP\tO' -p246603 -aS'including\tinclude\tVBG\tB-PP\tO' -p246604 -aS',\t,\t,\tO\tO' -p246605 -aS'but\tbut\tCC\tO\tO' -p246606 -aS'not\tnot\tRB\tB-VP\tO' -p246607 -aS'necessarily\tnecessarily\tRB\tI-VP\tO' -p246608 -aS'limited\tlimit\tVBN\tI-VP\tO' -p246609 -aS'to\tto\tTO\tB-PP\tO' -p246610 -aS':\t:\t:\tO\tO' -p246611 -aS'new\tnew\tJJ\tB-NP\tO' -p246612 -aS'and\tand\tCC\tI-NP\tO' -p246613 -aS'continuing\tcontinue\tVBG\tI-NP\tO' -p246614 -aS'nausea\tnausea\tNN\tI-NP\tO' -p246615 -aS',\t,\t,\tO\tO' -p246616 -aS'vomiting\tvomit\tVBG\tB-VP\tO' -p246617 -aS',\t,\t,\tO\tO' -p246618 -aS'fevers\tfever\tNNS\tB-NP\tO' -p246619 -aS'(\t(\t(\tO\tO' -p246620 -aS'>101.5\t>101.5\tCD\tB-NP\tO' -p246621 -aS'F\tF\tNN\tI-NP\tO' -p246622 -aS')\t)\t)\tO\tO' -p246623 -aS',\t,\t,\tO\tO' -p246624 -aS'chills\tchill\tNNS\tB-NP\tO' -p246625 -aS',\t,\t,\tO\tO' -p246626 -aS'or\tor\tCC\tO\tO' -p246627 -aS'shortness\tshortness\tNN\tB-NP\tO' -p246628 -aS'of\tof\tIN\tB-PP\tO' -p246629 -aS'breath\tbreath\tNN\tB-NP\tO' -p246630 -aS'.\t.\t.\tO\tO' -p246631 -asS'8. Oxybutynin Chloride 5 mg Tablet Sig : One ( 1 ) Tablet PO QPM ( once a day ( in the evening )).' -p246632 -(lp246633 -S'8.\t8.\tCD\tB-NP\tO' -p246634 -aS'Oxybutynin\tOxybutynin\tNN\tI-NP\tO' -p246635 -aS'Chloride\tChloride\tNN\tI-NP\tO' -p246636 -aS'5\t5\tCD\tI-NP\tO' -p246637 -aS'mg\tmg\tNN\tI-NP\tO' -p246638 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p246639 -aS'Sig\tSig\tNNP\tI-NP\tO' -p246640 -aS':\t:\t:\tO\tO' -p246641 -aS'One\tOne\tCD\tB-NP\tO' -p246642 -aS'(\t(\t(\tO\tO' -p246643 -aS'1\t1\tCD\tB-NP\tO' -p246644 -aS')\t)\t)\tO\tO' -p246645 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p246646 -aS'PO\tPO\tNN\tI-NP\tO' -p246647 -aS'QPM\tQPM\tNN\tI-NP\tO' -p246648 -aS'(\t(\t(\tO\tO' -p246649 -aS'once\tonce\tRB\tB-ADVP\tO' -p246650 -aS'a\ta\tDT\tB-NP\tO' -p246651 -aS'day\tday\tNN\tI-NP\tO' -p246652 -aS'(\t(\t(\tO\tO' -p246653 -aS'in\tin\tIN\tB-PP\tO' -p246654 -aS'the\tthe\tDT\tB-NP\tO' -p246655 -aS'evening\tevening\tNN\tI-NP\tO' -p246656 -aS')).\t)).\t.\tO\tO' -p246657 -asS'Her repeat on 9-8 , was 36.0 / 68.2 and her Coumadin was held .' -p246658 -(lp246659 -S'Her\tHer\tPRP$\tB-NP\tO' -p246660 -aS'repeat\trepeat\tNN\tI-NP\tO' -p246661 -aS'on\ton\tIN\tB-PP\tO' -p246662 -aS'9-8\t9-8\tCD\tB-NP\tO' -p246663 -aS',\t,\t,\tO\tO' -p246664 -aS'was\tbe\tVBD\tB-VP\tO' -p246665 -aS'36.0\t36.0\tCD\tB-NP\tO' -p246666 -aS'/\t/\tSYM\tB-NP\tO' -p246667 -aS'68.2\t68.2\tCD\tI-NP\tO' -p246668 -aS'and\tand\tCC\tO\tO' -p246669 -aS'her\ther\tPRP$\tB-NP\tO' -p246670 -aS'Coumadin\tCoumadin\tNN\tI-NP\tO' -p246671 -aS'was\tbe\tVBD\tB-VP\tO' -p246672 -aS'held\thold\tVBN\tI-VP\tO' -p246673 -aS'.\t.\t.\tO\tO' -p246674 -asS'1. Vancomycin 750 mg intravenous q 18h.' -p246675 -(lp246676 -S'1.\t1.\tLS\tB-NP\tO' -p246677 -aS'Vancomycin\tVancomycin\tNN\tI-NP\tB-protein' -p246678 -aS'750\t750\tCD\tB-NP\tI-protein' -p246679 -aS'mg\tmg\tNN\tI-NP\tI-protein' -p246680 -aS'intravenous\tintravenous\tJJ\tI-NP\tI-protein' -p246681 -aS'q\tq\tNN\tI-NP\tI-protein' -p246682 -aS'18h.\t18h.\t.\tO\tO' -p246683 -asS'2. Potassium Chloride 10 mEq Capsule , Sustained Release Sig : Two ( 2 ) Capsule , Sustained Release PO Q12H ( every 12 hours ) for 7 days .' -p246684 -(lp246685 -S'2.\t2.\tLS\tB-NP\tO' -p246686 -aS'Potassium\tPotassium\tNN\tI-NP\tO' -p246687 -aS'Chloride\tChloride\tNN\tI-NP\tO' -p246688 -aS'10\t10\tCD\tI-NP\tO' -p246689 -aS'mEq\tmEq\tNN\tI-NP\tO' -p246690 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p246691 -aS',\t,\t,\tO\tO' -p246692 -aS'Sustained\tSustained\tNNP\tB-NP\tO' -p246693 -aS'Release\tRelease\tNNP\tI-NP\tO' -p246694 -aS'Sig\tSig\tNNP\tI-NP\tB-protein' -p246695 -aS':\t:\t:\tO\tO' -p246696 -aS'Two\tTwo\tCD\tB-NP\tO' -p246697 -aS'(\t(\t(\tO\tO' -p246698 -aS'2\t2\tCD\tB-NP\tO' -p246699 -aS')\t)\t)\tO\tO' -p246700 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p246701 -aS',\t,\t,\tO\tO' -p246702 -aS'Sustained\tSustained\tNNP\tB-NP\tO' -p246703 -aS'Release\tRelease\tNNP\tI-NP\tO' -p246704 -aS'PO\tPO\tNN\tI-NP\tO' -p246705 -aS'Q12H\tQ12H\tNN\tI-NP\tO' -p246706 -aS'(\t(\t(\tO\tO' -p246707 -aS'every\tevery\tDT\tB-NP\tO' -p246708 -aS'12\t12\tCD\tI-NP\tO' -p246709 -aS'hours\thour\tNNS\tI-NP\tO' -p246710 -aS')\t)\t)\tO\tO' -p246711 -aS'for\tfor\tIN\tB-PP\tO' -p246712 -aS'7\t7\tCD\tB-NP\tO' -p246713 -aS'days\tday\tNNS\tI-NP\tO' -p246714 -aS'.\t.\t.\tO\tO' -p246715 -asS'Hemodialysis s / p abdominal fat pad biopsy 11/2/06' -p246716 -(lp246717 -S'Hemodialysis\tHemodialysis\tNN\tB-NP\tO' -p246718 -aS's\ts\tNN\tI-NP\tO' -p246719 -aS'/\t/\tSYM\tB-NP\tO' -p246720 -aS'p\tp\tNN\tI-NP\tO' -p246721 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p246722 -aS'fat\tfat\tJJ\tI-NP\tO' -p246723 -aS'pad\tpad\tNN\tI-NP\tO' -p246724 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p246725 -aS'11/2/06\t11/2/06\tCD\tI-NP\tO' -p246726 -asS'6. Ileus .' -p246727 -(lp246728 -S'6.\t6.\tLS\tB-LST\tO' -p246729 -aS'Ileus\tIleus\tNNP\tB-NP\tO' -p246730 -aS'.\t.\t.\tO\tO' -p246731 -asS'McLean Hospital & Rehab Center - Tewksbury State Hospital' -p246732 -(lp246733 -S'McLean\tMcLean\tNNP\tB-NP\tO' -p246734 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p246735 -aS'&\t&\tCC\tI-NP\tO' -p246736 -aS'Rehab\tRehab\tNNP\tI-NP\tO' -p246737 -aS'Center\tCenter\tNNP\tI-NP\tO' -p246738 -aS'-\t-\tHYPH\tB-NP\tO' -p246739 -aS'Tewksbury\tTewksbury\tNNP\tI-NP\tO' -p246740 -aS'State\tState\tNNP\tI-NP\tO' -p246741 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p246742 -asS'Serial enzymes showed mild elevation of troponins .' -p246743 -(lp246744 -S'Serial\tSerial\tJJ\tB-NP\tB-protein' -p246745 -aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' -p246746 -aS'showed\tshow\tVBD\tB-VP\tO' -p246747 -aS'mild\tmild\tJJ\tB-NP\tO' -p246748 -aS'elevation\televation\tNN\tI-NP\tO' -p246749 -aS'of\tof\tIN\tB-PP\tO' -p246750 -aS'troponins\ttroponin\tNNS\tB-NP\tB-protein' -p246751 -aS'.\t.\t.\tO\tO' -p246752 -asS'No apnea or bradycardia .' -p246753 -(lp246754 -S'No\tNo\tDT\tB-NP\tO' -p246755 -aS'apnea\tapnea\tNN\tI-NP\tO' -p246756 -aS'or\tor\tCC\tI-NP\tO' -p246757 -aS'bradycardia\tbradycardia\tNN\tI-NP\tO' -p246758 -aS'.\t.\t.\tO\tO' -p246759 -asS'She was continued on keppra and dilantin with trough checked frequently and adjustment as needed .' -p246760 -(lp246761 -S'She\tShe\tPRP\tB-NP\tO' -p246762 -aS'was\tbe\tVBD\tB-VP\tO' -p246763 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p246764 -aS'on\ton\tIN\tB-PP\tO' -p246765 -aS'keppra\tkeppra\tNN\tB-NP\tO' -p246766 -aS'and\tand\tCC\tI-NP\tO' -p246767 -aS'dilantin\tdilantin\tNN\tI-NP\tO' -p246768 -aS'with\twith\tIN\tB-PP\tO' -p246769 -aS'trough\ttrough\tNN\tB-NP\tO' -p246770 -aS'checked\tcheck\tVBD\tB-VP\tO' -p246771 -aS'frequently\tfrequently\tRB\tB-ADVP\tO' -p246772 -aS'and\tand\tCC\tO\tO' -p246773 -aS'adjustment\tadjustment\tNN\tB-NP\tO' -p246774 -aS'as\tas\tIN\tB-SBAR\tO' -p246775 -aS'needed\tneed\tVBN\tB-VP\tO' -p246776 -aS'.\t.\t.\tO\tO' -p246777 -asS'The patient 's respiratory status was stable .' -p246778 -(lp246779 -S'The\tThe\tDT\tB-NP\tO' -p246780 -aS'patient\tpatient\tNN\tI-NP\tO' -p246781 -aS''s\t'\tNNS\tI-NP\tO' -p246782 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p246783 -aS'status\tstatus\tNN\tI-NP\tO' -p246784 -aS'was\tbe\tVBD\tB-VP\tO' -p246785 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p246786 -aS'.\t.\t.\tO\tO' -p246787 -asS'none .' -p246788 -(lp246789 -S'none\tnone\tNN\tB-NP\tO' -p246790 -aS'.\t.\t.\tO\tO' -p246791 -asS'( 870 ) 559-0424 .' -p246792 -(lp246793 -S'(\t(\t(\tO\tO' -p246794 -aS'870\t870\tCD\tB-NP\tO' -p246795 -aS')\t)\t)\tO\tO' -p246796 -aS'559-0424\t559-0424\tCD\tB-NP\tO' -p246797 -aS'.\t.\t.\tO\tO' -p246798 -asS'This operation was performed 2/11/02 by Dr. Doje Para .' -p246799 -(lp246800 -S'This\tThis\tDT\tB-NP\tO' -p246801 -aS'operation\toperation\tNN\tI-NP\tO' -p246802 -aS'was\tbe\tVBD\tB-VP\tO' -p246803 -aS'performed\tperform\tVBN\tI-VP\tO' -p246804 -aS'2/11/02\t2/11/02\tCD\tB-NP\tO' -p246805 -aS'by\tby\tIN\tB-PP\tO' -p246806 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p246807 -aS'Doje\tDoje\tNNP\tI-NP\tO' -p246808 -aS'Para\tPara\tNNP\tI-NP\tO' -p246809 -aS'.\t.\t.\tO\tO' -p246810 -asS'PAF : started on amio , cont b-blocker , and patient was started on coumadin - levels ( inr ) should be monitored .' -p246811 -(lp246812 -S'PAF\tPAF\tNN\tB-NP\tB-protein' -p246813 -aS':\t:\t:\tO\tO' -p246814 -aS'started\tstart\tVBN\tB-VP\tO' -p246815 -aS'on\ton\tIN\tB-PP\tO' -p246816 -aS'amio\tamio\tNN\tB-NP\tO' -p246817 -aS',\t,\t,\tO\tO' -p246818 -aS'cont\tcont\tNN\tB-NP\tO' -p246819 -aS'b-blocker\tb-blocker\tNN\tI-NP\tO' -p246820 -aS',\t,\t,\tO\tO' -p246821 -aS'and\tand\tCC\tO\tO' -p246822 -aS'patient\tpatient\tNN\tB-NP\tO' -p246823 -aS'was\tbe\tVBD\tB-VP\tO' -p246824 -aS'started\tstart\tVBN\tI-VP\tO' -p246825 -aS'on\ton\tIN\tB-PP\tO' -p246826 -aS'coumadin\tcoumadin\tNN\tB-NP\tO' -p246827 -aS'-\t-\tHYPH\tO\tO' -p246828 -aS'levels\tlevel\tNNS\tB-NP\tO' -p246829 -aS'(\t(\t(\tO\tO' -p246830 -aS'inr\tinr\tNN\tB-NP\tO' -p246831 -aS')\t)\t)\tO\tO' -p246832 -aS'should\tshould\tMD\tB-VP\tO' -p246833 -aS'be\tbe\tVB\tI-VP\tO' -p246834 -aS'monitored\tmonitor\tVBN\tI-VP\tO' -p246835 -aS'.\t.\t.\tO\tO' -p246836 -asS'She was admitted to the Thoracic Surgery Service under the care of Dr. Sccrookes .' -p246837 -(lp246838 -S'She\tShe\tPRP\tB-NP\tO' -p246839 -aS'was\tbe\tVBD\tB-VP\tO' -p246840 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p246841 -aS'to\tto\tTO\tB-PP\tO' -p246842 -aS'the\tthe\tDT\tB-NP\tO' -p246843 -aS'Thoracic\tThoracic\tNNP\tI-NP\tO' -p246844 -aS'Surgery\tSurgery\tNNP\tI-NP\tO' -p246845 -aS'Service\tService\tNNP\tI-NP\tO' -p246846 -aS'under\tunder\tIN\tB-PP\tO' -p246847 -aS'the\tthe\tDT\tB-NP\tO' -p246848 -aS'care\tcare\tNN\tI-NP\tO' -p246849 -aS'of\tof\tIN\tB-PP\tO' -p246850 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p246851 -aS'Sccrookes\tSccrookes\tNNP\tI-NP\tO' -p246852 -aS'.\t.\t.\tO\tO' -p246853 -asS'Patient was diuresed effectively with nesiritide and Lasix .' -p246854 -(lp246855 -S'Patient\tPatient\tNN\tB-NP\tO' -p246856 -aS'was\tbe\tVBD\tB-VP\tO' -p246857 -aS'diuresed\tdiurese\tVBN\tI-VP\tO' -p246858 -aS'effectively\teffectively\tRB\tB-ADVP\tO' -p246859 -aS'with\twith\tIN\tB-PP\tO' -p246860 -aS'nesiritide\tnesiritide\tNN\tB-NP\tO' -p246861 -aS'and\tand\tCC\tI-NP\tO' -p246862 -aS'Lasix\tLasix\tNN\tI-NP\tO' -p246863 -aS'.\t.\t.\tO\tO' -p246864 -asS'Right ventricular chamber size and free wall motion are normal .' -p246865 -(lp246866 -S'Right\tRight\tRB\tB-NP\tO' -p246867 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p246868 -aS'chamber\tchamber\tNN\tI-NP\tO' -p246869 -aS'size\tsize\tNN\tI-NP\tO' -p246870 -aS'and\tand\tCC\tO\tO' -p246871 -aS'free\tfree\tJJ\tB-NP\tO' -p246872 -aS'wall\twall\tNN\tI-NP\tO' -p246873 -aS'motion\tmotion\tNN\tI-NP\tO' -p246874 -aS'are\tbe\tVBP\tB-VP\tO' -p246875 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p246876 -aS'.\t.\t.\tO\tO' -p246877 -asS'Transfusions of platelets did not change his platelet count , presumably because of sequestration and a massive spleen .' -p246878 -(lp246879 -S'Transfusions\tTransfusion\tNNS\tB-NP\tO' -p246880 -aS'of\tof\tIN\tB-PP\tO' -p246881 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p246882 -aS'did\tdo\tVBD\tB-VP\tO' -p246883 -aS'not\tnot\tRB\tI-VP\tO' -p246884 -aS'change\tchange\tVB\tI-VP\tO' -p246885 -aS'his\this\tPRP$\tB-NP\tO' -p246886 -aS'platelet\tplatelet\tNN\tI-NP\tO' -p246887 -aS'count\tcount\tNN\tI-NP\tO' -p246888 -aS',\t,\t,\tO\tO' -p246889 -aS'presumably\tpresumably\tRB\tB-ADVP\tO' -p246890 -aS'because\tbecause\tIN\tB-PP\tO' -p246891 -aS'of\tof\tIN\tI-PP\tO' -p246892 -aS'sequestration\tsequestration\tNN\tB-NP\tO' -p246893 -aS'and\tand\tCC\tO\tO' -p246894 -aS'a\ta\tDT\tB-NP\tO' -p246895 -aS'massive\tmassive\tJJ\tI-NP\tO' -p246896 -aS'spleen\tspleen\tNN\tI-NP\tO' -p246897 -aS'.\t.\t.\tO\tO' -p246898 -asS'The SGOT was 994 , LDH 1,888 , alkaline phosphatase 92 , total bilirubin 2.9 and direct bilirubin 11.2 .' -p246899 -(lp246900 -S'The\tThe\tDT\tB-NP\tO' -p246901 -aS'SGOT\tSGOT\tNN\tI-NP\tB-protein' -p246902 -aS'was\tbe\tVBD\tB-VP\tO' -p246903 -aS'994\t994\tCD\tB-NP\tO' -p246904 -aS',\t,\t,\tO\tO' -p246905 -aS'LDH\tLDH\tNN\tB-NP\tB-protein' -p246906 -aS'1,888\t1,888\tCD\tI-NP\tI-protein' -p246907 -aS',\t,\t,\tO\tO' -p246908 -aS'alkaline\talkaline\tNN\tB-NP\tO' -p246909 -aS'phosphatase\tphosphatase\tNN\tI-NP\tO' -p246910 -aS'92\t92\tCD\tI-NP\tO' -p246911 -aS',\t,\t,\tO\tO' -p246912 -aS'total\ttotal\tJJ\tB-NP\tO' -p246913 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p246914 -aS'2.9\t2.9\tCD\tI-NP\tO' -p246915 -aS'and\tand\tCC\tO\tO' -p246916 -aS'direct\tdirect\tJJ\tB-NP\tO' -p246917 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p246918 -aS'11.2\t11.2\tCD\tI-NP\tO' -p246919 -aS'.\t.\t.\tO\tO' -p246920 -asS'Signed electronically by : DR. Tammy Thompson on : FRI 2015-11-27 8:46 PM' -p246921 -(lp246922 -S'Signed\tSign\tVBN\tB-VP\tO' -p246923 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p246924 -aS'by\tby\tIN\tB-PP\tO' -p246925 -aS':\t:\t:\tO\tO' -p246926 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p246927 -aS'Tammy\tTammy\tNNP\tI-NP\tO' -p246928 -aS'Thompson\tThompson\tNNP\tI-NP\tO' -p246929 -aS'on\ton\tIN\tB-PP\tO' -p246930 -aS':\t:\t:\tO\tO' -p246931 -aS'FRI\tFRI\tCD\tB-NP\tO' -p246932 -aS'2015-11-27\t2015-11-27\tCD\tI-NP\tO' -p246933 -aS'8:46\t8:46\tCD\tI-NP\tO' -p246934 -aS'PM\tPM\tNN\tI-NP\tO' -p246935 -asS'This acutely worsened on 2017-09-18 , when the patient was found to have mental status changes and an ABG revealed a CO2 of over 100 , likley due to a depressed respiratory drive secondary to sedatives given for agitation on top of a preexisting alkalosis .' -p246936 -(lp246937 -S'This\tThis\tDT\tB-NP\tO' -p246938 -aS'acutely\tacutely\tRB\tB-VP\tO' -p246939 -aS'worsened\tworsen\tVBN\tI-VP\tO' -p246940 -aS'on\ton\tIN\tB-PP\tO' -p246941 -aS'2017-09-18\t2017-09-18\tCD\tB-NP\tO' -p246942 -aS',\t,\t,\tO\tO' -p246943 -aS'when\twhen\tWRB\tB-ADVP\tO' -p246944 -aS'the\tthe\tDT\tB-NP\tO' -p246945 -aS'patient\tpatient\tNN\tI-NP\tO' -p246946 -aS'was\tbe\tVBD\tB-VP\tO' -p246947 -aS'found\tfind\tVBN\tI-VP\tO' -p246948 -aS'to\tto\tTO\tI-VP\tO' -p246949 -aS'have\thave\tVB\tI-VP\tO' -p246950 -aS'mental\tmental\tJJ\tB-NP\tO' -p246951 -aS'status\tstatus\tNN\tI-NP\tO' -p246952 -aS'changes\tchange\tNNS\tI-NP\tO' -p246953 -aS'and\tand\tCC\tO\tO' -p246954 -aS'an\tan\tDT\tB-NP\tO' -p246955 -aS'ABG\tABG\tNNP\tI-NP\tO' -p246956 -aS'revealed\treveal\tVBD\tB-VP\tO' -p246957 -aS'a\ta\tDT\tB-NP\tO' -p246958 -aS'CO2\tCO2\tNN\tI-NP\tB-protein' -p246959 -aS'of\tof\tIN\tB-PP\tO' -p246960 -aS'over\tover\tIN\tB-PP\tO' -p246961 -aS'100\t100\tCD\tB-NP\tO' -p246962 -aS',\t,\t,\tO\tO' -p246963 -aS'likley\tlikley\tNN\tB-NP\tO' -p246964 -aS'due\tdue\tJJ\tB-ADJP\tO' -p246965 -aS'to\tto\tTO\tB-PP\tO' -p246966 -aS'a\ta\tDT\tB-NP\tO' -p246967 -aS'depressed\tdepressed\tJJ\tI-NP\tO' -p246968 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p246969 -aS'drive\tdrive\tNN\tI-NP\tO' -p246970 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p246971 -aS'to\tto\tTO\tB-PP\tO' -p246972 -aS'sedatives\tsedative\tNNS\tB-NP\tO' -p246973 -aS'given\tgive\tVBN\tB-VP\tO' -p246974 -aS'for\tfor\tIN\tB-PP\tO' -p246975 -aS'agitation\tagitation\tNN\tB-NP\tO' -p246976 -aS'on\ton\tIN\tB-PP\tO' -p246977 -aS'top\ttop\tNN\tB-NP\tO' -p246978 -aS'of\tof\tIN\tB-PP\tO' -p246979 -aS'a\ta\tDT\tB-NP\tO' -p246980 -aS'preexisting\tpreexisting\tJJ\tI-NP\tO' -p246981 -aS'alkalosis\talkalosis\tNN\tI-NP\tO' -p246982 -aS'.\t.\t.\tO\tO' -p246983 -asS'The patient was subsequently transferred to Youville Hospital for cardiac catheterization .' -p246984 -(lp246985 -S'The\tThe\tDT\tB-NP\tO' -p246986 -aS'patient\tpatient\tNN\tI-NP\tO' -p246987 -aS'was\tbe\tVBD\tB-VP\tO' -p246988 -aS'subsequently\tsubsequently\tRB\tI-VP\tO' -p246989 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p246990 -aS'to\tto\tTO\tB-PP\tO' -p246991 -aS'Youville\tYouville\tNNP\tB-NP\tO' -p246992 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p246993 -aS'for\tfor\tIN\tB-PP\tO' -p246994 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p246995 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p246996 -aS'.\t.\t.\tO\tO' -p246997 -asS'Her Apgars were 7 at 1 minute and 9 at 5 minutes .' -p246998 -(lp246999 -S'Her\tHer\tPRP$\tB-NP\tO' -p247000 -aS'Apgars\tApgar\tNNS\tI-NP\tO' -p247001 -aS'were\tbe\tVBD\tB-VP\tO' -p247002 -aS'7\t7\tCD\tB-NP\tO' -p247003 -aS'at\tat\tIN\tB-PP\tO' -p247004 -aS'1\t1\tCD\tB-NP\tO' -p247005 -aS'minute\tminute\tNN\tI-NP\tO' -p247006 -aS'and\tand\tCC\tO\tO' -p247007 -aS'9\t9\tCD\tB-NP\tO' -p247008 -aS'at\tat\tIN\tB-PP\tO' -p247009 -aS'5\t5\tCD\tB-NP\tO' -p247010 -aS'minutes\tminute\tNNS\tI-NP\tO' -p247011 -aS'.\t.\t.\tO\tO' -p247012 -asS'Mild flaring .' -p247013 -(lp247014 -S'Mild\tMild\tNNP\tB-NP\tO' -p247015 -aS'flaring\tflare\tVBG\tB-VP\tO' -p247016 -aS'.\t.\t.\tO\tO' -p247017 -asS'DOXEPIN CAUSES ITCHING .' -p247018 -(lp247019 -S'DOXEPIN\tDOXEPIN\tNNP\tB-NP\tO' -p247020 -aS'CAUSES\tCAUSES\tNNP\tI-NP\tO' -p247021 -aS'ITCHING\tITCHING\tNNP\tI-NP\tO' -p247022 -aS'.\t.\t.\tO\tO' -p247023 -asS'10. Trusopt 1gtt in left eye three times a day .' -p247024 -(lp247025 -S'10.\t10.\tLS\tB-NP\tO' -p247026 -aS'Trusopt\tTrusopt\tNNP\tI-NP\tO' -p247027 -aS'1gtt\t1gtt\tNN\tI-NP\tO' -p247028 -aS'in\tin\tIN\tB-PP\tO' -p247029 -aS'left\tleft\tJJ\tB-NP\tO' -p247030 -aS'eye\teye\tNN\tI-NP\tO' -p247031 -aS'three\tthree\tCD\tB-NP\tO' -p247032 -aS'times\ttime\tNNS\tI-NP\tO' -p247033 -aS'a\ta\tDT\tB-NP\tO' -p247034 -aS'day\tday\tNN\tI-NP\tO' -p247035 -aS'.\t.\t.\tO\tO' -p247036 -asS'I have spoken with the patient in detail , and he will be getting in touch with his primary-care physician , Dr. Fordwoodall Stick , in Ranegei Pkwy , Verertliet , South Carolina 62156 .' -p247037 -(lp247038 -S'I\tI\tPRP\tB-NP\tO' -p247039 -aS'have\thave\tVBP\tB-VP\tO' -p247040 -aS'spoken\tspeak\tVBN\tI-VP\tO' -p247041 -aS'with\twith\tIN\tB-PP\tO' -p247042 -aS'the\tthe\tDT\tB-NP\tO' -p247043 -aS'patient\tpatient\tNN\tI-NP\tO' -p247044 -aS'in\tin\tIN\tB-PP\tO' -p247045 -aS'detail\tdetail\tNN\tB-NP\tO' -p247046 -aS',\t,\t,\tO\tO' -p247047 -aS'and\tand\tCC\tO\tO' -p247048 -aS'he\the\tPRP\tB-NP\tO' -p247049 -aS'will\twill\tMD\tB-VP\tO' -p247050 -aS'be\tbe\tVB\tI-VP\tO' -p247051 -aS'getting\tget\tVBG\tI-VP\tO' -p247052 -aS'in\tin\tIN\tB-PP\tO' -p247053 -aS'touch\ttouch\tNN\tB-NP\tO' -p247054 -aS'with\twith\tIN\tB-PP\tO' -p247055 -aS'his\this\tPRP$\tB-NP\tO' -p247056 -aS'primary-care\tprimary-care\tJJ\tI-NP\tO' -p247057 -aS'physician\tphysician\tNN\tI-NP\tO' -p247058 -aS',\t,\t,\tO\tO' -p247059 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p247060 -aS'Fordwoodall\tFordwoodall\tNNP\tI-NP\tO' -p247061 -aS'Stick\tStick\tNNP\tI-NP\tO' -p247062 -aS',\t,\t,\tO\tO' -p247063 -aS'in\tin\tIN\tB-PP\tO' -p247064 -aS'Ranegei\tRanegei\tNNP\tB-NP\tO' -p247065 -aS'Pkwy\tPkwy\tNNP\tI-NP\tO' -p247066 -aS',\t,\t,\tO\tO' -p247067 -aS'Verertliet\tVerertliet\tNNP\tB-NP\tO' -p247068 -aS',\t,\t,\tO\tO' -p247069 -aS'South\tSouth\tNNP\tB-NP\tO' -p247070 -aS'Carolina\tCarolina\tNNP\tI-NP\tO' -p247071 -aS'62156\t62156\tCD\tI-NP\tO' -p247072 -aS'.\t.\t.\tO\tO' -p247073 -asS'She has intact sensation L3 to S1 and bilateral lower extremities .' -p247074 -(lp247075 -S'She\tShe\tPRP\tB-NP\tO' -p247076 -aS'has\thave\tVBZ\tB-VP\tO' -p247077 -aS'intact\tintact\tJJ\tB-NP\tO' -p247078 -aS'sensation\tsensation\tNN\tI-NP\tO' -p247079 -aS'L3\tL3\tNN\tI-NP\tO' -p247080 -aS'to\tto\tTO\tB-PP\tO' -p247081 -aS'S1\tS1\tNN\tB-NP\tB-protein' -p247082 -aS'and\tand\tCC\tO\tO' -p247083 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p247084 -aS'lower\tlow\tJJR\tI-NP\tO' -p247085 -aS'extremities\textremity\tNNS\tI-NP\tO' -p247086 -aS'.\t.\t.\tO\tO' -p247087 -asS'There was no jugular venous distention .' -p247088 -(lp247089 -S'There\tThere\tEX\tB-NP\tO' -p247090 -aS'was\tbe\tVBD\tB-VP\tO' -p247091 -aS'no\tno\tDT\tB-NP\tO' -p247092 -aS'jugular\tjugular\tJJ\tI-NP\tO' -p247093 -aS'venous\tvenous\tJJ\tI-NP\tO' -p247094 -aS'distention\tdistention\tNN\tI-NP\tO' -p247095 -aS'.\t.\t.\tO\tO' -p247096 -asS'Baby was vigorous at birth and received routine DR Johnson .' -p247097 -(lp247098 -S'Baby\tBaby\tNNP\tB-NP\tO' -p247099 -aS'was\tbe\tVBD\tB-VP\tO' -p247100 -aS'vigorous\tvigorous\tJJ\tB-ADJP\tO' -p247101 -aS'at\tat\tIN\tB-PP\tO' -p247102 -aS'birth\tbirth\tNN\tB-NP\tO' -p247103 -aS'and\tand\tCC\tO\tO' -p247104 -aS'received\treceive\tVBD\tB-VP\tO' -p247105 -aS'routine\troutine\tJJ\tB-NP\tO' -p247106 -aS'DR\tDR\tNNP\tI-NP\tO' -p247107 -aS'Johnson\tJohnson\tNNP\tI-NP\tO' -p247108 -aS'.\t.\t.\tO\tO' -p247109 -asS'On admission .' -p247110 -(lp247111 -S'On\tOn\tIN\tB-PP\tO' -p247112 -aS'admission\tadmission\tNN\tB-NP\tO' -p247113 -aS'.\t.\t.\tO\tO' -p247114 -asS'2. Stable appearance of left adrenal fat-containing lesion consistent with a myelolipoma .' -p247115 -(lp247116 -S'2.\t2.\tLS\tB-NP\tO' -p247117 -aS'Stable\tStable\tJJ\tI-NP\tO' -p247118 -aS'appearance\tappearance\tNN\tI-NP\tO' -p247119 -aS'of\tof\tIN\tB-PP\tO' -p247120 -aS'left\tleft\tJJ\tB-NP\tO' -p247121 -aS'adrenal\tadrenal\tJJ\tI-NP\tO' -p247122 -aS'fat-containing\tfat-containing\tJJ\tI-NP\tO' -p247123 -aS'lesion\tlesion\tNN\tI-NP\tO' -p247124 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p247125 -aS'with\twith\tIN\tB-PP\tO' -p247126 -aS'a\ta\tDT\tB-NP\tO' -p247127 -aS'myelolipoma\tmyelolipoma\tNN\tI-NP\tO' -p247128 -aS'.\t.\t.\tO\tO' -p247129 -asS'He denies any IV drug use , did describe cocaine use last two months ago .' -p247130 -(lp247131 -S'He\tHe\tPRP\tB-NP\tO' -p247132 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p247133 -aS'any\tany\tDT\tB-NP\tO' -p247134 -aS'IV\tIV\tCD\tI-NP\tO' -p247135 -aS'drug\tdrug\tNN\tI-NP\tO' -p247136 -aS'use\tuse\tNN\tI-NP\tO' -p247137 -aS',\t,\t,\tO\tO' -p247138 -aS'did\tdo\tVBD\tB-VP\tO' -p247139 -aS'describe\tdescribe\tNN\tB-NP\tO' -p247140 -aS'cocaine\tcocaine\tNN\tI-NP\tO' -p247141 -aS'use\tuse\tNN\tI-NP\tO' -p247142 -aS'last\tlast\tJJ\tB-NP\tO' -p247143 -aS'two\ttwo\tCD\tI-NP\tO' -p247144 -aS'months\tmonth\tNNS\tI-NP\tO' -p247145 -aS'ago\tago\tRB\tB-ADVP\tO' -p247146 -aS'.\t.\t.\tO\tO' -p247147 -asS'On the floor , the patient was noted to do extremely well .' -p247148 -(lp247149 -S'On\tOn\tIN\tB-PP\tO' -p247150 -aS'the\tthe\tDT\tB-NP\tO' -p247151 -aS'floor\tfloor\tNN\tI-NP\tO' -p247152 -aS',\t,\t,\tO\tO' -p247153 -aS'the\tthe\tDT\tB-NP\tO' -p247154 -aS'patient\tpatient\tNN\tI-NP\tO' -p247155 -aS'was\tbe\tVBD\tB-VP\tO' -p247156 -aS'noted\tnote\tVBN\tI-VP\tO' -p247157 -aS'to\tto\tTO\tI-VP\tO' -p247158 -aS'do\tdo\tVB\tI-VP\tO' -p247159 -aS'extremely\textremely\tRB\tB-ADVP\tO' -p247160 -aS'well\twell\tRB\tI-ADVP\tO' -p247161 -aS'.\t.\t.\tO\tO' -p247162 -asS'Chest pain ; R / o' -p247163 -(lp247164 -S'Chest\tCh\tJJS\tB-NP\tO' -p247165 -aS'pain\tpain\tNN\tI-NP\tO' -p247166 -aS';\t;\t:\tO\tO' -p247167 -aS'R\tR\tNN\tB-NP\tB-protein' -p247168 -aS'/\t/\tSYM\tB-VP\tO' -p247169 -aS'o\to\tNN\tB-NP\tO' -p247170 -asS'Resting regional wall motion abnormalities include mild apical hypokinesis .' -p247171 -(lp247172 -S'Resting\tRest\tVBG\tB-VP\tO' -p247173 -aS'regional\tregional\tJJ\tB-NP\tO' -p247174 -aS'wall\twall\tNN\tI-NP\tO' -p247175 -aS'motion\tmotion\tNN\tI-NP\tO' -p247176 -aS'abnormalities\tabnormality\tNNS\tI-NP\tO' -p247177 -aS'include\tinclude\tVBP\tB-VP\tO' -p247178 -aS'mild\tmild\tJJ\tB-NP\tO' -p247179 -aS'apical\tapical\tJJ\tI-NP\tO' -p247180 -aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' -p247181 -aS'.\t.\t.\tO\tO' -p247182 -asS'She was discharged on post-op day 11 .' -p247183 -(lp247184 -S'She\tShe\tPRP\tB-NP\tO' -p247185 -aS'was\tbe\tVBD\tB-VP\tO' -p247186 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p247187 -aS'on\ton\tIN\tB-PP\tO' -p247188 -aS'post-op\tpost-op\tJJ\tB-NP\tO' -p247189 -aS'day\tday\tNN\tI-NP\tO' -p247190 -aS'11\t11\tCD\tI-NP\tO' -p247191 -aS'.\t.\t.\tO\tO' -p247192 -asS'2. Right rotator cuff injury .' -p247193 -(lp247194 -S'2.\t2.\tLS\tB-NP\tO' -p247195 -aS'Right\tRight\tNN\tI-NP\tO' -p247196 -aS'rotator\trotator\tNN\tI-NP\tO' -p247197 -aS'cuff\tcuff\tNN\tI-NP\tO' -p247198 -aS'injury\tinjury\tNN\tI-NP\tO' -p247199 -aS'.\t.\t.\tO\tO' -p247200 -asS"After lengthy discussion , the patient 's wife opted to make him DNR on afternoon of 2013-11-11 ." -p247201 -(lp247202 -S'After\tAfter\tIN\tB-PP\tO' -p247203 -aS'lengthy\tlengthy\tJJ\tB-NP\tO' -p247204 -aS'discussion\tdiscussion\tNN\tI-NP\tO' -p247205 -aS',\t,\t,\tO\tO' -p247206 -aS'the\tthe\tDT\tB-NP\tO' -p247207 -aS'patient\tpatient\tNN\tI-NP\tO' -p247208 -aS"'s\t's\tPOS\tB-NP\tO" -p247209 -aS'wife\twife\tNN\tI-NP\tO' -p247210 -aS'opted\topte\tVBD\tB-VP\tO' -p247211 -aS'to\tto\tTO\tI-VP\tO' -p247212 -aS'make\tmake\tVB\tI-VP\tO' -p247213 -aS'him\thim\tPRP\tB-NP\tO' -p247214 -aS'DNR\tDNR\tNN\tB-NP\tB-protein' -p247215 -aS'on\ton\tIN\tB-PP\tO' -p247216 -aS'afternoon\tafternoon\tNN\tB-NP\tO' -p247217 -aS'of\tof\tIN\tB-PP\tO' -p247218 -aS'2013-11-11\t2013-11-11\tCD\tB-NP\tO' -p247219 -aS'.\t.\t.\tO\tO' -p247220 -asS'Heart rate is 55 , blood pressure is 129/79 , Respiratory rate is 22 , O2 sat is 96 percent on 2 liters .' -p247221 -(lp247222 -S'Heart\tHeart\tNN\tB-NP\tO' -p247223 -aS'rate\trate\tNN\tI-NP\tO' -p247224 -aS'is\tbe\tVBZ\tB-VP\tO' -p247225 -aS'55\t55\tCD\tB-NP\tO' -p247226 -aS',\t,\t,\tO\tO' -p247227 -aS'blood\tblood\tNN\tB-NP\tO' -p247228 -aS'pressure\tpressure\tNN\tI-NP\tO' -p247229 -aS'is\tbe\tVBZ\tB-VP\tO' -p247230 -aS'129/79\t129/79\tCD\tB-NP\tO' -p247231 -aS',\t,\t,\tO\tO' -p247232 -aS'Respiratory\tRespiratory\tJJ\tB-NP\tO' -p247233 -aS'rate\trate\tNN\tI-NP\tO' -p247234 -aS'is\tbe\tVBZ\tB-VP\tO' -p247235 -aS'22\t22\tCD\tB-NP\tO' -p247236 -aS',\t,\t,\tO\tO' -p247237 -aS'O2\tO2\tNN\tB-NP\tO' -p247238 -aS'sat\tsat\tNN\tI-NP\tO' -p247239 -aS'is\tbe\tVBZ\tB-VP\tO' -p247240 -aS'96\t96\tCD\tB-NP\tO' -p247241 -aS'percent\tpercent\tNN\tI-NP\tO' -p247242 -aS'on\ton\tIN\tB-PP\tO' -p247243 -aS'2\t2\tCD\tB-NP\tO' -p247244 -aS'liters\tliter\tNNS\tI-NP\tO' -p247245 -aS'.\t.\t.\tO\tO' -p247246 -asS'Take consistently with meals or on empty stomach .' -p247247 -(lp247248 -S'Take\tTake\tVB\tB-VP\tO' -p247249 -aS'consistently\tconsistently\tRB\tB-ADVP\tO' -p247250 -aS'with\twith\tIN\tB-PP\tO' -p247251 -aS'meals\tmeal\tNNS\tB-NP\tO' -p247252 -aS'or\tor\tCC\tB-PP\tO' -p247253 -aS'on\ton\tIN\tB-PP\tO' -p247254 -aS'empty\tempty\tJJ\tB-NP\tO' -p247255 -aS'stomach\tstomach\tNN\tI-NP\tO' -p247256 -aS'.\t.\t.\tO\tO' -p247257 -asS'The patient tolerated the procedure well and demonstrated a postoperative hematocrit of 40.9 .' -p247258 -(lp247259 -S'The\tThe\tDT\tB-NP\tO' -p247260 -aS'patient\tpatient\tNN\tI-NP\tO' -p247261 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p247262 -aS'the\tthe\tDT\tB-NP\tO' -p247263 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p247264 -aS'well\twell\tRB\tB-ADVP\tO' -p247265 -aS'and\tand\tCC\tO\tO' -p247266 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p247267 -aS'a\ta\tDT\tB-NP\tO' -p247268 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p247269 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p247270 -aS'of\tof\tIN\tB-PP\tO' -p247271 -aS'40.9\t40.9\tCD\tB-NP\tO' -p247272 -aS'.\t.\t.\tO\tO' -p247273 -asS'Stool was sent for ova and parasites .' -p247274 -(lp247275 -S'Stool\tStool\tNN\tB-NP\tO' -p247276 -aS'was\tbe\tVBD\tB-VP\tO' -p247277 -aS'sent\tsend\tVBN\tI-VP\tO' -p247278 -aS'for\tfor\tIN\tB-PP\tO' -p247279 -aS'ova\tova\tNN\tB-NP\tO' -p247280 -aS'and\tand\tCC\tI-NP\tO' -p247281 -aS'parasites\tparasite\tNNS\tI-NP\tO' -p247282 -aS'.\t.\t.\tO\tO' -p247283 -asS'The motor tone was within normal limits in the upper and lower extremities .' -p247284 -(lp247285 -S'The\tThe\tDT\tB-NP\tO' -p247286 -aS'motor\tmotor\tNN\tI-NP\tO' -p247287 -aS'tone\ttone\tNN\tI-NP\tO' -p247288 -aS'was\tbe\tVBD\tB-VP\tO' -p247289 -aS'within\twithin\tIN\tB-PP\tO' -p247290 -aS'normal\tnormal\tJJ\tB-NP\tO' -p247291 -aS'limits\tlimit\tNNS\tI-NP\tO' -p247292 -aS'in\tin\tIN\tB-PP\tO' -p247293 -aS'the\tthe\tDT\tB-NP\tO' -p247294 -aS'upper\tupper\tJJ\tI-NP\tO' -p247295 -aS'and\tand\tCC\tI-NP\tO' -p247296 -aS'lower\tlow\tJJR\tI-NP\tO' -p247297 -aS'extremities\textremity\tNNS\tI-NP\tO' -p247298 -aS'.\t.\t.\tO\tO' -p247299 -asS'There is no edema .' -p247300 -(lp247301 -S'There\tThere\tEX\tB-NP\tO' -p247302 -aS'is\tbe\tVBZ\tB-VP\tO' -p247303 -aS'no\tno\tDT\tB-NP\tO' -p247304 -aS'edema\tedema\tNN\tI-NP\tO' -p247305 -aS'.\t.\t.\tO\tO' -p247306 -asS'The infant has not required any blood transfusions .' -p247307 -(lp247308 -S'The\tThe\tDT\tB-NP\tO' -p247309 -aS'infant\tinfant\tNN\tI-NP\tO' -p247310 -aS'has\thave\tVBZ\tB-VP\tO' -p247311 -aS'not\tnot\tRB\tI-VP\tO' -p247312 -aS'required\trequire\tVBN\tI-VP\tO' -p247313 -aS'any\tany\tDT\tB-NP\tO' -p247314 -aS'blood\tblood\tNN\tI-NP\tO' -p247315 -aS'transfusions\ttransfusion\tNNS\tI-NP\tO' -p247316 -aS'.\t.\t.\tO\tO' -p247317 -asS'Her Foley was changed the day before discharge .' -p247318 -(lp247319 -S'Her\tHer\tNNP\tB-NP\tO' -p247320 -aS'Foley\tFoley\tNNP\tI-NP\tO' -p247321 -aS'was\tbe\tVBD\tB-VP\tO' -p247322 -aS'changed\tchange\tVBN\tI-VP\tO' -p247323 -aS'the\tthe\tDT\tB-NP\tO' -p247324 -aS'day\tday\tNN\tI-NP\tO' -p247325 -aS'before\tbefore\tIN\tB-PP\tO' -p247326 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p247327 -aS'.\t.\t.\tO\tO' -p247328 -asS'Extremities : Without cyanosis , clubbing or edema .' -p247329 -(lp247330 -S'Extremities\tExtremity\tNNS\tB-NP\tO' -p247331 -aS':\t:\t:\tO\tO' -p247332 -aS'Without\tWithout\tIN\tB-PP\tO' -p247333 -aS'cyanosis\tcyanosis\tNN\tB-NP\tO' -p247334 -aS',\t,\t,\tI-NP\tO' -p247335 -aS'clubbing\tclubbing\tNN\tI-NP\tO' -p247336 -aS'or\tor\tCC\tI-NP\tO' -p247337 -aS'edema\tedema\tNN\tI-NP\tO' -p247338 -aS'.\t.\t.\tO\tO' -p247339 -asS'She was effectively anticoagulated with a PT in the range between 15 and 17 over a control of 10 .' -p247340 -(lp247341 -S'She\tShe\tPRP\tB-NP\tO' -p247342 -aS'was\tbe\tVBD\tB-VP\tO' -p247343 -aS'effectively\teffectively\tRB\tI-VP\tO' -p247344 -aS'anticoagulated\tanticoagulate\tVBN\tI-VP\tO' -p247345 -aS'with\twith\tIN\tB-PP\tO' -p247346 -aS'a\ta\tDT\tB-NP\tO' -p247347 -aS'PT\tPT\tNN\tI-NP\tO' -p247348 -aS'in\tin\tIN\tB-PP\tO' -p247349 -aS'the\tthe\tDT\tB-NP\tO' -p247350 -aS'range\trange\tNN\tI-NP\tO' -p247351 -aS'between\tbetween\tIN\tB-PP\tO' -p247352 -aS'15\t15\tCD\tB-NP\tO' -p247353 -aS'and\tand\tCC\tI-NP\tO' -p247354 -aS'17\t17\tCD\tI-NP\tO' -p247355 -aS'over\tover\tIN\tB-PP\tO' -p247356 -aS'a\ta\tDT\tB-NP\tO' -p247357 -aS'control\tcontrol\tNN\tI-NP\tO' -p247358 -aS'of\tof\tIN\tB-PP\tO' -p247359 -aS'10\t10\tCD\tB-NP\tO' -p247360 -aS'.\t.\t.\tO\tO' -p247361 -asS'--- V-Tach : pt has AICD in place , however b-blocker should contorl Vtach for now .' -p247362 -(lp247363 -S'---\t---\tSYM\tB-NP\tO' -p247364 -aS'V-Tach\tV-Tach\tNN\tI-NP\tO' -p247365 -aS':\t:\t:\tO\tO' -p247366 -aS'pt\tpt\tNN\tB-NP\tO' -p247367 -aS'has\thave\tVBZ\tB-VP\tO' -p247368 -aS'AICD\tAICD\tNN\tB-NP\tO' -p247369 -aS'in\tin\tIN\tB-PP\tO' -p247370 -aS'place\tplace\tNN\tB-NP\tO' -p247371 -aS',\t,\t,\tO\tO' -p247372 -aS'however\thowever\tRB\tB-NP\tO' -p247373 -aS'b-blocker\tb-blocker\tNN\tI-NP\tO' -p247374 -aS'should\tshould\tMD\tB-VP\tO' -p247375 -aS'contorl\tcontorl\tVB\tI-VP\tO' -p247376 -aS'Vtach\tVtach\tNNP\tB-NP\tO' -p247377 -aS'for\tfor\tIN\tB-PP\tO' -p247378 -aS'now\tnow\tRB\tB-NP\tO' -p247379 -aS'.\t.\t.\tO\tO' -p247380 -asS"Because the patient 's pulmonary pressures responded so well to adenosine during right heart catheterization , it was thought that the patient would be a good candidate for Flolan therapy ." -p247381 -(lp247382 -S'Because\tBecause\tIN\tB-SBAR\tO' -p247383 -aS'the\tthe\tDT\tB-NP\tO' -p247384 -aS'patient\tpatient\tNN\tI-NP\tO' -p247385 -aS"'s\t's\tPOS\tB-NP\tO" -p247386 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p247387 -aS'pressures\tpressure\tNNS\tI-NP\tO' -p247388 -aS'responded\trespond\tVBD\tB-VP\tO' -p247389 -aS'so\tso\tRB\tB-ADVP\tO' -p247390 -aS'well\twell\tRB\tI-ADVP\tO' -p247391 -aS'to\tto\tTO\tB-PP\tO' -p247392 -aS'adenosine\tadenosine\tNN\tB-NP\tO' -p247393 -aS'during\tduring\tIN\tB-PP\tO' -p247394 -aS'right\tright\tJJ\tB-NP\tO' -p247395 -aS'heart\theart\tNN\tI-NP\tO' -p247396 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p247397 -aS',\t,\t,\tO\tO' -p247398 -aS'it\tit\tPRP\tB-NP\tO' -p247399 -aS'was\tbe\tVBD\tB-VP\tO' -p247400 -aS'thought\tthink\tVBN\tI-VP\tO' -p247401 -aS'that\tthat\tIN\tB-SBAR\tO' -p247402 -aS'the\tthe\tDT\tB-NP\tO' -p247403 -aS'patient\tpatient\tNN\tI-NP\tO' -p247404 -aS'would\twould\tMD\tB-VP\tO' -p247405 -aS'be\tbe\tVB\tI-VP\tO' -p247406 -aS'a\ta\tDT\tB-NP\tO' -p247407 -aS'good\tgood\tJJ\tI-NP\tO' -p247408 -aS'candidate\tcandidate\tNN\tI-NP\tO' -p247409 -aS'for\tfor\tIN\tB-PP\tO' -p247410 -aS'Flolan\tFlolan\tNNP\tB-NP\tO' -p247411 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p247412 -aS'.\t.\t.\tO\tO' -p247413 -asS'b/l DVT s, most recent seen in IVC to right femoral vein s/p IVC filter 2015-01-15' -p247414 -(lp247415 -S'b/l\tb/l\tNN\tB-NP\tO' -p247416 -aS'DVT\tDVT\tNN\tI-NP\tO' -p247417 -aS's,\ts,\tVBD\tB-VP\tO' -p247418 -aS'most\tmost\tRBS\tB-NP\tO' -p247419 -aS'recent\trecent\tJJ\tI-NP\tO' -p247420 -aS'seen\tsee\tVBN\tB-VP\tO' -p247421 -aS'in\tin\tIN\tB-PP\tO' -p247422 -aS'IVC\tIVC\tNN\tB-NP\tO' -p247423 -aS'to\tto\tTO\tB-PP\tO' -p247424 -aS'right\tright\tJJ\tB-NP\tO' -p247425 -aS'femoral\tfemoral\tJJ\tI-NP\tO' -p247426 -aS'vein\tvein\tNN\tI-NP\tO' -p247427 -aS's/p\ts/p\tNN\tI-NP\tO' -p247428 -aS'IVC\tIVC\tNN\tI-NP\tO' -p247429 -aS'filter\tfilter\tNN\tI-NP\tO' -p247430 -aS'2015-01-15\t2015-01-15\tCD\tI-NP\tO' -p247431 -asS'Influenza immunization should be considered annually in the fall for preterm infants with chronic lung disease once they' -p247432 -(lp247433 -S'Influenza\tInfluenza\tNN\tB-NP\tO' -p247434 -aS'immunization\timmunization\tNN\tI-NP\tO' -p247435 -aS'should\tshould\tMD\tB-VP\tO' -p247436 -aS'be\tbe\tVB\tI-VP\tO' -p247437 -aS'considered\tconsider\tVBN\tI-VP\tO' -p247438 -aS'annually\tannually\tRB\tB-ADVP\tO' -p247439 -aS'in\tin\tIN\tB-PP\tO' -p247440 -aS'the\tthe\tDT\tB-NP\tO' -p247441 -aS'fall\tfall\tNN\tI-NP\tO' -p247442 -aS'for\tfor\tIN\tB-PP\tO' -p247443 -aS'preterm\tpreterm\tJJ\tB-NP\tO' -p247444 -aS'infants\tinfant\tNNS\tI-NP\tO' -p247445 -aS'with\twith\tIN\tB-PP\tO' -p247446 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p247447 -aS'lung\tlung\tNN\tI-NP\tO' -p247448 -aS'disease\tdisease\tNN\tI-NP\tO' -p247449 -aS'once\tonce\tIN\tB-SBAR\tO' -p247450 -aS'they\tthey\tPRP\tB-NP\tO' -p247451 -asS'Pt was brought to the Victor for increasing somnolence over past several days-weeks .' -p247452 -(lp247453 -S'Pt\tPt\tNN\tB-NP\tO' -p247454 -aS'was\tbe\tVBD\tB-VP\tO' -p247455 -aS'brought\tbring\tVBN\tI-VP\tO' -p247456 -aS'to\tto\tTO\tB-PP\tO' -p247457 -aS'the\tthe\tDT\tB-NP\tO' -p247458 -aS'Victor\tVictor\tNNP\tI-NP\tO' -p247459 -aS'for\tfor\tIN\tB-PP\tO' -p247460 -aS'increasing\tincrease\tVBG\tB-VP\tO' -p247461 -aS'somnolence\tsomnolence\tNN\tB-NP\tO' -p247462 -aS'over\tover\tIN\tB-PP\tO' -p247463 -aS'past\tpast\tJJ\tB-NP\tB-protein' -p247464 -aS'several\tseveral\tJJ\tI-NP\tI-protein' -p247465 -aS'days-weeks\tdays-week\tNNS\tI-NP\tI-protein' -p247466 -aS'.\t.\t.\tO\tO' -p247467 -asS'The patient is a 73 year old female who was transferred for cardiac catheterization after ventricular fibrillation arrest in the setting of an acute inferior myocardial infarction and a urinary tract infection .' -p247468 -(lp247469 -S'The\tThe\tDT\tB-NP\tO' -p247470 -aS'patient\tpatient\tNN\tI-NP\tO' -p247471 -aS'is\tbe\tVBZ\tB-VP\tO' -p247472 -aS'a\ta\tDT\tB-NP\tO' -p247473 -aS'73\t73\tCD\tI-NP\tO' -p247474 -aS'year\tyear\tNN\tI-NP\tO' -p247475 -aS'old\told\tJJ\tI-NP\tO' -p247476 -aS'female\tfemale\tNN\tI-NP\tO' -p247477 -aS'who\twho\tWP\tB-NP\tO' -p247478 -aS'was\tbe\tVBD\tB-VP\tO' -p247479 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p247480 -aS'for\tfor\tIN\tB-PP\tO' -p247481 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p247482 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p247483 -aS'after\tafter\tIN\tB-PP\tO' -p247484 -aS'ventricular\tventricular\tJJ\tB-NP\tO' -p247485 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p247486 -aS'arrest\tarrest\tNN\tI-NP\tO' -p247487 -aS'in\tin\tIN\tB-PP\tO' -p247488 -aS'the\tthe\tDT\tB-NP\tO' -p247489 -aS'setting\tsetting\tNN\tI-NP\tO' -p247490 -aS'of\tof\tIN\tB-PP\tO' -p247491 -aS'an\tan\tDT\tB-NP\tO' -p247492 -aS'acute\tacute\tJJ\tI-NP\tO' -p247493 -aS'inferior\tinferior\tJJ\tI-NP\tO' -p247494 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p247495 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p247496 -aS'and\tand\tCC\tO\tO' -p247497 -aS'a\ta\tDT\tB-NP\tO' -p247498 -aS'urinary\turinary\tJJ\tI-NP\tO' -p247499 -aS'tract\ttract\tNN\tI-NP\tO' -p247500 -aS'infection\tinfection\tNN\tI-NP\tO' -p247501 -aS'.\t.\t.\tO\tO' -p247502 -asS'In addition , he has hypertension , for which he receives Metoprolol and he has hypercholesterolemia , for which he receives nothing at this time .' -p247503 -(lp247504 -S'In\tIn\tIN\tB-PP\tO' -p247505 -aS'addition\taddition\tNN\tB-NP\tO' -p247506 -aS',\t,\t,\tO\tO' -p247507 -aS'he\the\tPRP\tB-NP\tO' -p247508 -aS'has\thave\tVBZ\tB-VP\tO' -p247509 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p247510 -aS',\t,\t,\tO\tO' -p247511 -aS'for\tfor\tIN\tB-PP\tO' -p247512 -aS'which\twhich\tWDT\tB-NP\tO' -p247513 -aS'he\the\tPRP\tB-NP\tO' -p247514 -aS'receives\treceive\tVBZ\tB-VP\tO' -p247515 -aS'Metoprolol\tMetoprolol\tNN\tB-NP\tO' -p247516 -aS'and\tand\tCC\tO\tO' -p247517 -aS'he\the\tPRP\tB-NP\tO' -p247518 -aS'has\thave\tVBZ\tB-VP\tO' -p247519 -aS'hypercholesterolemia\thypercholesterolemia\tNN\tB-NP\tO' -p247520 -aS',\t,\t,\tO\tO' -p247521 -aS'for\tfor\tIN\tB-PP\tO' -p247522 -aS'which\twhich\tWDT\tB-NP\tO' -p247523 -aS'he\the\tPRP\tB-NP\tO' -p247524 -aS'receives\treceive\tVBZ\tB-VP\tO' -p247525 -aS'nothing\tnothing\tNN\tB-NP\tO' -p247526 -aS'at\tat\tIN\tB-PP\tO' -p247527 -aS'this\tthis\tDT\tB-NP\tO' -p247528 -aS'time\ttime\tNN\tI-NP\tO' -p247529 -aS'.\t.\t.\tO\tO' -p247530 -asS'She had positive blood cultures at Mediplex Rehab Hospital Hospital for gram negative rods .' -p247531 -(lp247532 -S'She\tShe\tPRP\tB-NP\tO' -p247533 -aS'had\thave\tVBD\tB-VP\tO' -p247534 -aS'positive\tpositive\tJJ\tB-NP\tO' -p247535 -aS'blood\tblood\tNN\tI-NP\tO' -p247536 -aS'cultures\tculture\tNNS\tI-NP\tO' -p247537 -aS'at\tat\tIN\tB-PP\tO' -p247538 -aS'Mediplex\tMediplex\tNNP\tB-NP\tO' -p247539 -aS'Rehab\tRehab\tNNP\tI-NP\tO' -p247540 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p247541 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p247542 -aS'for\tfor\tIN\tB-PP\tO' -p247543 -aS'gram\tgram\tNN\tB-NP\tO' -p247544 -aS'negative\tnegative\tJJ\tI-NP\tO' -p247545 -aS'rods\trod\tNNS\tI-NP\tO' -p247546 -aS'.\t.\t.\tO\tO' -p247547 -asS'The patient still had transcutaneous pacing wires in place .' -p247548 -(lp247549 -S'The\tThe\tDT\tB-NP\tO' -p247550 -aS'patient\tpatient\tNN\tI-NP\tO' -p247551 -aS'still\tstill\tRB\tB-ADVP\tO' -p247552 -aS'had\thave\tVBD\tB-VP\tO' -p247553 -aS'transcutaneous\ttranscutaneous\tJJ\tB-NP\tO' -p247554 -aS'pacing\tpacing\tNN\tI-NP\tO' -p247555 -aS'wires\twire\tVBZ\tB-VP\tO' -p247556 -aS'in\tin\tIN\tB-PP\tO' -p247557 -aS'place\tplace\tNN\tB-NP\tO' -p247558 -aS'.\t.\t.\tO\tO' -p247559 -asS'The patient ruled out for myocardial infarction with flat creatine kinases and he was sent to Oaksgekesser/ Memorial Hospital for further work up .' -p247560 -(lp247561 -S'The\tThe\tDT\tB-NP\tO' -p247562 -aS'patient\tpatient\tNN\tI-NP\tO' -p247563 -aS'ruled\trule\tVBD\tB-VP\tO' -p247564 -aS'out\tout\tRP\tB-PRT\tO' -p247565 -aS'for\tfor\tIN\tB-PP\tO' -p247566 -aS'myocardial\tmyocardial\tJJ\tB-NP\tO' -p247567 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p247568 -aS'with\twith\tIN\tB-PP\tO' -p247569 -aS'flat\tflat\tJJ\tB-NP\tB-protein' -p247570 -aS'creatine\tcreatine\tNN\tI-NP\tI-protein' -p247571 -aS'kinases\tkinase\tNNS\tI-NP\tI-protein' -p247572 -aS'and\tand\tCC\tO\tO' -p247573 -aS'he\the\tPRP\tB-NP\tO' -p247574 -aS'was\tbe\tVBD\tB-VP\tO' -p247575 -aS'sent\tsend\tVBN\tI-VP\tO' -p247576 -aS'to\tto\tTO\tB-PP\tO' -p247577 -aS'Oaksgekesser/\tOaksgekesser/\tNNP\tB-NP\tO' -p247578 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p247579 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p247580 -aS'for\tfor\tIN\tB-PP\tO' -p247581 -aS'further\tfurther\tJJ\tB-NP\tO' -p247582 -aS'work\twork\tNN\tI-NP\tO' -p247583 -aS'up\tup\tRP\tB-PRT\tO' -p247584 -aS'.\t.\t.\tO\tO' -p247585 -asS'Blood pressure 120/80 .' -p247586 -(lp247587 -S'Blood\tBlood\tNN\tB-NP\tO' -p247588 -aS'pressure\tpressure\tNN\tI-NP\tO' -p247589 -aS'120/80\t120/80\tCD\tI-NP\tO' -p247590 -aS'.\t.\t.\tO\tO' -p247591 -asS'The patient is allergic to MSG from which he gets hives .' -p247592 -(lp247593 -S'The\tThe\tDT\tB-NP\tO' -p247594 -aS'patient\tpatient\tNN\tI-NP\tO' -p247595 -aS'is\tbe\tVBZ\tB-VP\tO' -p247596 -aS'allergic\tallergic\tJJ\tB-ADJP\tO' -p247597 -aS'to\tto\tTO\tB-PP\tO' -p247598 -aS'MSG\tMSG\tNN\tB-NP\tB-protein' -p247599 -aS'from\tfrom\tIN\tB-PP\tO' -p247600 -aS'which\twhich\tWDT\tB-NP\tO' -p247601 -aS'he\the\tPRP\tB-NP\tO' -p247602 -aS'gets\tget\tVBZ\tB-VP\tO' -p247603 -aS'hives\thive\tNNS\tB-NP\tO' -p247604 -aS'.\t.\t.\tO\tO' -p247605 -asS'Immunizations received are hepatitis B vaccine given on 09-26 .' -p247606 -(lp247607 -S'Immunizations\tImmunization\tNNS\tB-NP\tO' -p247608 -aS'received\treceive\tVBN\tB-VP\tO' -p247609 -aS'are\tbe\tVBP\tB-VP\tO' -p247610 -aS'hepatitis\thepatitis\tNN\tB-NP\tO' -p247611 -aS'B\tB\tNN\tI-NP\tO' -p247612 -aS'vaccine\tvaccine\tNN\tI-NP\tO' -p247613 -aS'given\tgive\tVBN\tB-VP\tO' -p247614 -aS'on\ton\tIN\tB-PP\tO' -p247615 -aS'09-26\t09-26\tCD\tB-NP\tO' -p247616 -aS'.\t.\t.\tO\tO' -p247617 -asS'The patient had multiple line infections during her admission including a confirmed coag. negative Staphylococcus line infection with positive blood cultures on June 23 , 1998 , July 4 , 1998 , July 8 , 1998 and July 9 , 1998 .' -p247618 -(lp247619 -S'The\tThe\tDT\tB-NP\tO' -p247620 -aS'patient\tpatient\tNN\tI-NP\tO' -p247621 -aS'had\thave\tVBD\tB-VP\tO' -p247622 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p247623 -aS'line\tline\tNN\tI-NP\tO' -p247624 -aS'infections\tinfection\tNNS\tI-NP\tO' -p247625 -aS'during\tduring\tIN\tB-PP\tO' -p247626 -aS'her\ther\tPRP$\tB-NP\tO' -p247627 -aS'admission\tadmission\tNN\tI-NP\tO' -p247628 -aS'including\tinclude\tVBG\tB-PP\tO' -p247629 -aS'a\ta\tDT\tB-NP\tO' -p247630 -aS'confirmed\tconfirm\tVBN\tI-NP\tO' -p247631 -aS'coag.\tcoag.\tNN\tI-NP\tO' -p247632 -aS'negative\tnegative\tJJ\tI-NP\tO' -p247633 -aS'Staphylococcus\tStaphylococcus\tNN\tI-NP\tO' -p247634 -aS'line\tline\tNN\tI-NP\tO' -p247635 -aS'infection\tinfection\tNN\tI-NP\tO' -p247636 -aS'with\twith\tIN\tB-PP\tO' -p247637 -aS'positive\tpositive\tJJ\tB-NP\tO' -p247638 -aS'blood\tblood\tNN\tI-NP\tO' -p247639 -aS'cultures\tculture\tNNS\tI-NP\tO' -p247640 -aS'on\ton\tIN\tB-PP\tO' -p247641 -aS'June\tJune\tNNP\tB-NP\tO' -p247642 -aS'23\t23\tCD\tI-NP\tO' -p247643 -aS',\t,\t,\tO\tO' -p247644 -aS'1998\t1998\tCD\tB-NP\tO' -p247645 -aS',\t,\t,\tO\tO' -p247646 -aS'July\tJuly\tNNP\tB-NP\tB-protein' -p247647 -aS'4\t4\tCD\tI-NP\tI-protein' -p247648 -aS',\t,\t,\tI-NP\tO' -p247649 -aS'1998\t1998\tCD\tI-NP\tO' -p247650 -aS',\t,\t,\tO\tO' -p247651 -aS'July\tJuly\tNNP\tB-NP\tB-protein' -p247652 -aS'8\t8\tCD\tI-NP\tI-protein' -p247653 -aS',\t,\t,\tO\tO' -p247654 -aS'1998\t1998\tCD\tB-NP\tO' -p247655 -aS'and\tand\tCC\tO\tO' -p247656 -aS'July\tJuly\tNNP\tB-NP\tB-protein' -p247657 -aS'9\t9\tCD\tI-NP\tI-protein' -p247658 -aS',\t,\t,\tO\tO' -p247659 -aS'1998\t1998\tCD\tB-NP\tO' -p247660 -aS'.\t.\t.\tO\tO' -p247661 -asS'Urine output remained adequate .' -p247662 -(lp247663 -S'Urine\tUrine\tNN\tB-NP\tO' -p247664 -aS'output\toutput\tNN\tI-NP\tO' -p247665 -aS'remained\tremain\tVBD\tB-VP\tO' -p247666 -aS'adequate\tadequate\tJJ\tB-ADJP\tO' -p247667 -aS'.\t.\t.\tO\tO' -p247668 -asS'The baby was delivered through normal spontaneous vaginal delivery with brief blow by with Apgars of 8 and 9 .' -p247669 -(lp247670 -S'The\tThe\tDT\tB-NP\tO' -p247671 -aS'baby\tbaby\tNN\tI-NP\tO' -p247672 -aS'was\tbe\tVBD\tB-VP\tO' -p247673 -aS'delivered\tdeliver\tVBN\tI-VP\tO' -p247674 -aS'through\tthrough\tIN\tB-PP\tO' -p247675 -aS'normal\tnormal\tJJ\tB-NP\tO' -p247676 -aS'spontaneous\tspontaneous\tJJ\tI-NP\tO' -p247677 -aS'vaginal\tvaginal\tJJ\tI-NP\tO' -p247678 -aS'delivery\tdelivery\tNN\tI-NP\tO' -p247679 -aS'with\twith\tIN\tB-PP\tO' -p247680 -aS'brief\tbrief\tJJ\tB-NP\tO' -p247681 -aS'blow\tblow\tNN\tI-NP\tO' -p247682 -aS'by\tby\tIN\tB-PP\tO' -p247683 -aS'with\twith\tIN\tB-PP\tO' -p247684 -aS'Apgars\tApgar\tNNS\tB-NP\tO' -p247685 -aS'of\tof\tIN\tB-PP\tO' -p247686 -aS'8\t8\tCD\tB-NP\tO' -p247687 -aS'and\tand\tCC\tI-NP\tO' -p247688 -aS'9\t9\tCD\tI-NP\tO' -p247689 -aS'.\t.\t.\tO\tO' -p247690 -asS'Patient had improved breathing .' -p247691 -(lp247692 -S'Patient\tPatient\tNN\tB-NP\tO' -p247693 -aS'had\thave\tVBD\tB-VP\tO' -p247694 -aS'improved\timprove\tVBN\tI-VP\tO' -p247695 -aS'breathing\tbreathing\tNN\tB-NP\tO' -p247696 -aS'.\t.\t.\tO\tO' -p247697 -asS'Asthma , gastroesophageal reflux disease , and constipation .' -p247698 -(lp247699 -S'Asthma\tAsthma\tNN\tB-NP\tO' -p247700 -aS',\t,\t,\tO\tO' -p247701 -aS'gastroesophageal\tgastroesophageal\tJJ\tB-NP\tO' -p247702 -aS'reflux\treflux\tNN\tI-NP\tO' -p247703 -aS'disease\tdisease\tNN\tI-NP\tO' -p247704 -aS',\t,\t,\tO\tO' -p247705 -aS'and\tand\tCC\tO\tO' -p247706 -aS'constipation\tconstipation\tNN\tB-NP\tO' -p247707 -aS'.\t.\t.\tO\tO' -p247708 -asS'Grade II systolic murmur at the left lower sternal border .' -p247709 -(lp247710 -S'Grade\tGrade\tNN\tB-NP\tB-protein' -p247711 -aS'II\tII\tCD\tI-NP\tI-protein' -p247712 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p247713 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p247714 -aS'at\tat\tIN\tB-PP\tO' -p247715 -aS'the\tthe\tDT\tB-NP\tO' -p247716 -aS'left\tleft\tJJ\tI-NP\tO' -p247717 -aS'lower\tlow\tJJR\tI-NP\tO' -p247718 -aS'sternal\tsternal\tJJ\tI-NP\tO' -p247719 -aS'border\tborder\tNN\tI-NP\tO' -p247720 -aS'.\t.\t.\tO\tO' -p247721 -asS'5) hypertension .' -p247722 -(lp247723 -S'5)\t5)\tLS\tB-NP\tO' -p247724 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p247725 -aS'.\t.\t.\tO\tO' -p247726 -asS'6. Hypothyroidism .' -p247727 -(lp247728 -S'6.\t6.\tLS\tB-NP\tO' -p247729 -aS'Hypothyroidism\tHypothyroidism\tNN\tI-NP\tO' -p247730 -aS'.\t.\t.\tO\tO' -p247731 -asS"She went to her primary care physician 's office on the day of admission complaining of abdominal pain , which she stated was constant but intermittently sharper at times ." -p247732 -(lp247733 -S'She\tShe\tPRP\tB-NP\tO' -p247734 -aS'went\tgo\tVBD\tB-VP\tO' -p247735 -aS'to\tto\tTO\tB-PP\tO' -p247736 -aS'her\ther\tPRP$\tB-NP\tO' -p247737 -aS'primary\tprimary\tJJ\tI-NP\tO' -p247738 -aS'care\tcare\tNN\tI-NP\tO' -p247739 -aS'physician\tphysician\tNN\tI-NP\tO' -p247740 -aS"'s\t's\tPOS\tB-NP\tO" -p247741 -aS'office\toffice\tNN\tI-NP\tO' -p247742 -aS'on\ton\tIN\tB-PP\tO' -p247743 -aS'the\tthe\tDT\tB-NP\tO' -p247744 -aS'day\tday\tNN\tI-NP\tO' -p247745 -aS'of\tof\tIN\tB-PP\tO' -p247746 -aS'admission\tadmission\tNN\tB-NP\tO' -p247747 -aS'complaining\tcomplaining\tNN\tI-NP\tO' -p247748 -aS'of\tof\tIN\tB-PP\tO' -p247749 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p247750 -aS'pain\tpain\tNN\tI-NP\tO' -p247751 -aS',\t,\t,\tO\tO' -p247752 -aS'which\twhich\tWDT\tB-NP\tO' -p247753 -aS'she\tshe\tPRP\tB-NP\tO' -p247754 -aS'stated\tstate\tVBD\tB-VP\tO' -p247755 -aS'was\tbe\tVBD\tB-VP\tO' -p247756 -aS'constant\tconstant\tJJ\tB-ADJP\tO' -p247757 -aS'but\tbut\tCC\tO\tO' -p247758 -aS'intermittently\tintermittently\tRB\tB-ADJP\tO' -p247759 -aS'sharper\tsharp\tJJR\tI-ADJP\tO' -p247760 -aS'at\tat\tIN\tB-PP\tO' -p247761 -aS'times\ttime\tNNS\tB-NP\tO' -p247762 -aS'.\t.\t.\tO\tO' -p247763 -asS'6. Calcitriol 0.5 mcg Capsule Sig : One ( 1 ) Capsule PO EVERY OTHER DAY ( Every Other Day ) .' -p247764 -(lp247765 -S'6.\t6.\tCD\tB-NP\tO' -p247766 -aS'Calcitriol\tCalcitriol\tNN\tI-NP\tO' -p247767 -aS'0.5\t0.5\tCD\tB-NP\tO' -p247768 -aS'mcg\tmcg\tNN\tI-NP\tO' -p247769 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p247770 -aS'Sig\tSig\tNNP\tI-NP\tO' -p247771 -aS':\t:\t:\tO\tO' -p247772 -aS'One\tOne\tCD\tB-NP\tO' -p247773 -aS'(\t(\t(\tO\tO' -p247774 -aS'1\t1\tCD\tB-NP\tO' -p247775 -aS')\t)\t)\tO\tO' -p247776 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p247777 -aS'PO\tPO\tNNP\tI-NP\tO' -p247778 -aS'EVERY\tEVERY\tNNP\tI-NP\tO' -p247779 -aS'OTHER\tOTHER\tNNP\tI-NP\tO' -p247780 -aS'DAY\tDAY\tNNP\tI-NP\tO' -p247781 -aS'(\t(\t(\tO\tO' -p247782 -aS'Every\tEvery\tNNP\tB-NP\tO' -p247783 -aS'Other\tOther\tNNP\tI-NP\tO' -p247784 -aS'Day\tDay\tNNP\tI-NP\tO' -p247785 -aS')\t)\t)\tO\tO' -p247786 -aS'.\t.\t.\tO\tO' -p247787 -asS'Presented with spontaneous , premature rupture of membranes .' -p247788 -(lp247789 -S'Presented\tPresent\tVBN\tB-VP\tO' -p247790 -aS'with\twith\tIN\tB-PP\tO' -p247791 -aS'spontaneous\tspontaneous\tJJ\tB-NP\tO' -p247792 -aS',\t,\t,\tI-NP\tO' -p247793 -aS'premature\tpremature\tJJ\tI-NP\tO' -p247794 -aS'rupture\trupture\tNN\tI-NP\tO' -p247795 -aS'of\tof\tIN\tB-PP\tO' -p247796 -aS'membranes\tmembrane\tNNS\tB-NP\tO' -p247797 -aS'.\t.\t.\tO\tO' -p247798 -asS'Cardiac : Irregularly irregular .' -p247799 -(lp247800 -S'Cardiac\tCardiac\tJJ\tB-ADVP\tO' -p247801 -aS':\t:\t:\tO\tO' -p247802 -aS'Irregularly\tIrregularly\tRB\tB-ADJP\tO' -p247803 -aS'irregular\tirregular\tJJ\tI-ADJP\tO' -p247804 -aS'.\t.\t.\tO\tO' -p247805 -asS'Preoperative laboratory values were unremarkable .' -p247806 -(lp247807 -S'Preoperative\tPreoperative\tJJ\tB-NP\tO' -p247808 -aS'laboratory\tlaboratory\tNN\tI-NP\tO' -p247809 -aS'values\tvalue\tNNS\tI-NP\tO' -p247810 -aS'were\tbe\tVBD\tB-VP\tO' -p247811 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p247812 -aS'.\t.\t.\tO\tO' -p247813 -asS'HEENT : cervical collar in place' -p247814 -(lp247815 -S'HEENT\tHEENT\tNN\tB-NP\tO' -p247816 -aS':\t:\t:\tO\tO' -p247817 -aS'cervical\tcervical\tJJ\tB-NP\tO' -p247818 -aS'collar\tcollar\tNN\tI-NP\tO' -p247819 -aS'in\tin\tIN\tB-PP\tO' -p247820 -aS'place\tplace\tNN\tB-NP\tO' -p247821 -asS'Enteral feeds were started on day of life #1 , and gradually advanced to full volume .' -p247822 -(lp247823 -S'Enteral\tEnteral\tJJ\tB-NP\tO' -p247824 -aS'feeds\tfeed\tNNS\tI-NP\tO' -p247825 -aS'were\tbe\tVBD\tB-VP\tO' -p247826 -aS'started\tstart\tVBN\tI-VP\tO' -p247827 -aS'on\ton\tIN\tB-PP\tO' -p247828 -aS'day\tday\tNN\tB-NP\tO' -p247829 -aS'of\tof\tIN\tB-PP\tO' -p247830 -aS'life\tlife\tNN\tB-NP\tO' -p247831 -aS'#1\t#1\tNN\tI-NP\tO' -p247832 -aS',\t,\t,\tO\tO' -p247833 -aS'and\tand\tCC\tO\tO' -p247834 -aS'gradually\tgradually\tRB\tB-VP\tO' -p247835 -aS'advanced\tadvance\tVBN\tI-VP\tO' -p247836 -aS'to\tto\tTO\tB-PP\tO' -p247837 -aS'full\tfull\tJJ\tB-NP\tO' -p247838 -aS'volume\tvolume\tNN\tI-NP\tO' -p247839 -aS'.\t.\t.\tO\tO' -p247840 -asS'The patient was found to have stable hemodynamics with appropriate mixed venous saturations in the 70% range .' -p247841 -(lp247842 -S'The\tThe\tDT\tB-NP\tO' -p247843 -aS'patient\tpatient\tNN\tI-NP\tO' -p247844 -aS'was\tbe\tVBD\tB-VP\tO' -p247845 -aS'found\tfind\tVBN\tI-VP\tO' -p247846 -aS'to\tto\tTO\tI-VP\tO' -p247847 -aS'have\thave\tVB\tI-VP\tO' -p247848 -aS'stable\tstable\tJJ\tB-NP\tO' -p247849 -aS'hemodynamics\themodynamic\tNNS\tI-NP\tO' -p247850 -aS'with\twith\tIN\tB-PP\tO' -p247851 -aS'appropriate\tappropriate\tJJ\tB-NP\tO' -p247852 -aS'mixed\tmix\tVBN\tI-NP\tO' -p247853 -aS'venous\tvenous\tJJ\tI-NP\tO' -p247854 -aS'saturations\tsaturation\tNNS\tI-NP\tO' -p247855 -aS'in\tin\tIN\tB-PP\tO' -p247856 -aS'the\tthe\tDT\tB-NP\tO' -p247857 -aS'70%\t70%\tJJ\tI-NP\tO' -p247858 -aS'range\trange\tNN\tI-NP\tO' -p247859 -aS'.\t.\t.\tO\tO' -p247860 -asS'The patient had a systolic murmur 3/6 that radiated to the carotids with a decreased left radial pulse per the emergency room .' -p247861 -(lp247862 -S'The\tThe\tDT\tB-NP\tO' -p247863 -aS'patient\tpatient\tNN\tI-NP\tO' -p247864 -aS'had\thave\tVBD\tB-VP\tO' -p247865 -aS'a\ta\tDT\tB-NP\tO' -p247866 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p247867 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p247868 -aS'3/6\t3/6\tCD\tI-NP\tO' -p247869 -aS'that\tthat\tWDT\tB-NP\tO' -p247870 -aS'radiated\tradiate\tVBD\tB-VP\tO' -p247871 -aS'to\tto\tTO\tB-PP\tO' -p247872 -aS'the\tthe\tDT\tB-NP\tO' -p247873 -aS'carotids\tcarotid\tNNS\tI-NP\tO' -p247874 -aS'with\twith\tIN\tB-PP\tO' -p247875 -aS'a\ta\tDT\tB-NP\tO' -p247876 -aS'decreased\tdecrease\tVBN\tI-NP\tO' -p247877 -aS'left\tleft\tJJ\tI-NP\tO' -p247878 -aS'radial\tradial\tJJ\tI-NP\tO' -p247879 -aS'pulse\tpulse\tNN\tI-NP\tO' -p247880 -aS'per\tper\tIN\tB-PP\tO' -p247881 -aS'the\tthe\tDT\tB-NP\tO' -p247882 -aS'emergency\temergency\tNN\tI-NP\tO' -p247883 -aS'room\troom\tNN\tI-NP\tO' -p247884 -aS'.\t.\t.\tO\tO' -p247885 -asS'The patient 's incisions sternal and right leg were clean and healing well , normal sinus rhythm at 70-80 , with blood pressure 98-110/60 and patient was doing well , recovering , ambulating , tolerating regular diet and last hematocrit prior to discharge was 39% with a BUN and creatinine of 15 and 1.0 , prothrombin time level of 13.8 , chest X-ray prior to discharge showed small bilateral effusions with mild cardiomegaly and subsegmental atelectasis bibasilar and electrocardiogram showed normal sinus rhythm with left atrial enlargement and no acute ischemic changes on electrocardiogram .' -p247886 -(lp247887 -S'The\tThe\tDT\tB-NP\tO' -p247888 -aS'patient\tpatient\tNN\tI-NP\tO' -p247889 -aS''s\t'\tVBZ\tB-VP\tO' -p247890 -aS'incisions\tincision\tNNS\tB-NP\tO' -p247891 -aS'sternal\tsternal\tJJ\tB-NP\tO' -p247892 -aS'and\tand\tCC\tI-NP\tO' -p247893 -aS'right\tright\tJJ\tI-NP\tO' -p247894 -aS'leg\tleg\tNN\tI-NP\tO' -p247895 -aS'were\tbe\tVBD\tB-VP\tO' -p247896 -aS'clean\tclean\tJJ\tB-ADJP\tO' -p247897 -aS'and\tand\tCC\tO\tO' -p247898 -aS'healing\theal\tVBG\tB-VP\tO' -p247899 -aS'well\twell\tRB\tB-ADVP\tO' -p247900 -aS',\t,\t,\tO\tO' -p247901 -aS'normal\tnormal\tJJ\tB-NP\tO' -p247902 -aS'sinus\tsinus\tNN\tI-NP\tO' -p247903 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p247904 -aS'at\tat\tIN\tB-PP\tO' -p247905 -aS'70-80\t70-80\tCD\tB-NP\tO' -p247906 -aS',\t,\t,\tO\tO' -p247907 -aS'with\twith\tIN\tB-PP\tO' -p247908 -aS'blood\tblood\tNN\tB-NP\tO' -p247909 -aS'pressure\tpressure\tNN\tI-NP\tO' -p247910 -aS'98-110/60\t98-110/60\tCD\tI-NP\tO' -p247911 -aS'and\tand\tCC\tO\tO' -p247912 -aS'patient\tpatient\tNN\tB-NP\tO' -p247913 -aS'was\tbe\tVBD\tB-VP\tO' -p247914 -aS'doing\tdo\tVBG\tI-VP\tO' -p247915 -aS'well\twell\tRB\tB-ADVP\tO' -p247916 -aS',\t,\t,\tO\tO' -p247917 -aS'recovering\trecover\tVBG\tB-VP\tO' -p247918 -aS',\t,\t,\tO\tO' -p247919 -aS'ambulating\tambulate\tVBG\tB-VP\tO' -p247920 -aS',\t,\t,\tO\tO' -p247921 -aS'tolerating\ttolerate\tVBG\tB-VP\tO' -p247922 -aS'regular\tregular\tJJ\tB-NP\tO' -p247923 -aS'diet\tdiet\tNN\tI-NP\tO' -p247924 -aS'and\tand\tCC\tO\tO' -p247925 -aS'last\tlast\tJJ\tB-NP\tO' -p247926 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p247927 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p247928 -aS'to\tto\tTO\tB-VP\tO' -p247929 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p247930 -aS'was\tbe\tVBD\tB-VP\tO' -p247931 -aS'39%\t39%\tCD\tB-NP\tO' -p247932 -aS'with\twith\tIN\tB-PP\tO' -p247933 -aS'a\ta\tDT\tB-NP\tO' -p247934 -aS'BUN\tBUN\tNN\tI-NP\tO' -p247935 -aS'and\tand\tCC\tI-NP\tO' -p247936 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p247937 -aS'of\tof\tIN\tB-PP\tO' -p247938 -aS'15\t15\tCD\tB-NP\tO' -p247939 -aS'and\tand\tCC\tI-NP\tO' -p247940 -aS'1.0\t1.0\tCD\tI-NP\tO' -p247941 -aS',\t,\t,\tO\tO' -p247942 -aS'prothrombin\tprothrombin\tNN\tB-NP\tO' -p247943 -aS'time\ttime\tNN\tI-NP\tO' -p247944 -aS'level\tlevel\tNN\tI-NP\tO' -p247945 -aS'of\tof\tIN\tB-PP\tO' -p247946 -aS'13.8\t13.8\tCD\tB-NP\tO' -p247947 -aS',\t,\t,\tO\tO' -p247948 -aS'chest\tchest\tNN\tB-NP\tO' -p247949 -aS'X-ray\tX-ray\tNN\tI-NP\tO' -p247950 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p247951 -aS'to\tto\tTO\tB-VP\tO' -p247952 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p247953 -aS'showed\tshow\tVBD\tB-VP\tO' -p247954 -aS'small\tsmall\tJJ\tB-NP\tO' -p247955 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p247956 -aS'effusions\teffusion\tNNS\tI-NP\tO' -p247957 -aS'with\twith\tIN\tB-PP\tO' -p247958 -aS'mild\tmild\tJJ\tB-NP\tO' -p247959 -aS'cardiomegaly\tcardiomegaly\tNN\tI-NP\tO' -p247960 -aS'and\tand\tCC\tO\tO' -p247961 -aS'subsegmental\tsubsegmental\tJJ\tB-NP\tO' -p247962 -aS'atelectasis\tatelectasis\tNN\tI-NP\tO' -p247963 -aS'bibasilar\tbibasilar\tJJ\tB-ADJP\tO' -p247964 -aS'and\tand\tCC\tO\tO' -p247965 -aS'electrocardiogram\telectrocardiogram\tNN\tB-NP\tO' -p247966 -aS'showed\tshow\tVBD\tB-VP\tO' -p247967 -aS'normal\tnormal\tJJ\tB-NP\tO' -p247968 -aS'sinus\tsinus\tNN\tI-NP\tO' -p247969 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p247970 -aS'with\twith\tIN\tB-PP\tO' -p247971 -aS'left\tleft\tJJ\tB-NP\tO' -p247972 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p247973 -aS'enlargement\tenlargement\tNN\tI-NP\tO' -p247974 -aS'and\tand\tCC\tO\tO' -p247975 -aS'no\tno\tDT\tB-NP\tO' -p247976 -aS'acute\tacute\tJJ\tI-NP\tO' -p247977 -aS'ischemic\tischemic\tJJ\tI-NP\tO' -p247978 -aS'changes\tchange\tNNS\tI-NP\tO' -p247979 -aS'on\ton\tIN\tB-PP\tO' -p247980 -aS'electrocardiogram\telectrocardiogram\tNN\tB-NP\tO' -p247981 -aS'.\t.\t.\tO\tO' -p247982 -asS'denies any tobacco. Divorced , lives in Wisconsin' -p247983 -(lp247984 -S'denies\tdeny\tVBZ\tB-VP\tO' -p247985 -aS'any\tany\tDT\tB-NP\tO' -p247986 -aS'tobacco.\ttobacco.\tNN\tI-NP\tO' -p247987 -aS'Divorced\tDivorced\tNNP\tI-NP\tO' -p247988 -aS',\t,\t,\tO\tO' -p247989 -aS'lives\tlive\tVBZ\tB-VP\tO' -p247990 -aS'in\tin\tIN\tB-PP\tO' -p247991 -aS'Wisconsin\tWisconsin\tNNP\tB-NP\tO' -p247992 -asS"Systolic blood pressure in the 120 's to 130 's." -p247993 -(lp247994 -S'Systolic\tSystolic\tJJ\tB-NP\tO' -p247995 -aS'blood\tblood\tNN\tI-NP\tO' -p247996 -aS'pressure\tpressure\tNN\tI-NP\tO' -p247997 -aS'in\tin\tIN\tB-PP\tO' -p247998 -aS'the\tthe\tDT\tB-NP\tO' -p247999 -aS'120\t120\tCD\tI-NP\tO' -p248000 -aS"'s\t's\tPOS\tB-NP\tO" -p248001 -aS'to\tto\tTO\tB-PP\tO' -p248002 -aS'130\t130\tCD\tB-NP\tO' -p248003 -aS"'s.\t's.\tPOS\tB-NP\tO" -p248004 -asS'9 ) Coumadin 5 mg p.o. q. day .' -p248005 -(lp248006 -S'9\t9\tCD\tB-NP\tO' -p248007 -aS')\t)\t)\tO\tO' -p248008 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p248009 -aS'5\t5\tCD\tI-NP\tO' -p248010 -aS'mg\tmg\tNN\tI-NP\tO' -p248011 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p248012 -aS'q.\tq.\tNN\tI-NP\tO' -p248013 -aS'day\tday\tNN\tI-NP\tO' -p248014 -aS'.\t.\t.\tO\tO' -p248015 -asS'The patient underwent a number of tests .' -p248016 -(lp248017 -S'The\tThe\tDT\tB-NP\tO' -p248018 -aS'patient\tpatient\tNN\tI-NP\tO' -p248019 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p248020 -aS'a\ta\tDT\tB-NP\tO' -p248021 -aS'number\tnumber\tNN\tI-NP\tO' -p248022 -aS'of\tof\tIN\tB-PP\tO' -p248023 -aS'tests\ttest\tNNS\tB-NP\tO' -p248024 -aS'.\t.\t.\tO\tO' -p248025 -asS'There was no S3 appreciated .' -p248026 -(lp248027 -S'There\tThere\tEX\tB-NP\tO' -p248028 -aS'was\tbe\tVBD\tB-VP\tO' -p248029 -aS'no\tno\tDT\tB-NP\tO' -p248030 -aS'S3\tS3\tNN\tI-NP\tB-protein' -p248031 -aS'appreciated\tappreciate\tVBN\tB-VP\tO' -p248032 -aS'.\t.\t.\tO\tO' -p248033 -asS'Multiple healed bilateral rib fractures are demonstrated .' -p248034 -(lp248035 -S'Multiple\tMultiple\tJJ\tB-NP\tO' -p248036 -aS'healed\theal\tVBD\tB-VP\tO' -p248037 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p248038 -aS'rib\trib\tNN\tI-NP\tO' -p248039 -aS'fractures\tfracture\tNNS\tI-NP\tO' -p248040 -aS'are\tbe\tVBP\tB-VP\tO' -p248041 -aS'demonstrated\tdemonstrate\tVBN\tI-VP\tO' -p248042 -aS'.\t.\t.\tO\tO' -p248043 -asS'At 8 a.m. the patient was looking at his wife with the background outside a large window .' -p248044 -(lp248045 -S'At\tAt\tIN\tB-PP\tO' -p248046 -aS'8\t8\tCD\tB-NP\tO' -p248047 -aS'a.m.\ta.m.\tNN\tI-NP\tO' -p248048 -aS'the\tthe\tDT\tB-NP\tO' -p248049 -aS'patient\tpatient\tNN\tI-NP\tO' -p248050 -aS'was\tbe\tVBD\tB-VP\tO' -p248051 -aS'looking\tlook\tVBG\tI-VP\tO' -p248052 -aS'at\tat\tIN\tB-PP\tO' -p248053 -aS'his\this\tPRP$\tB-NP\tO' -p248054 -aS'wife\twife\tNN\tI-NP\tO' -p248055 -aS'with\twith\tIN\tB-PP\tO' -p248056 -aS'the\tthe\tDT\tB-NP\tO' -p248057 -aS'background\tbackground\tNN\tI-NP\tO' -p248058 -aS'outside\toutside\tIN\tB-PP\tO' -p248059 -aS'a\ta\tDT\tB-NP\tO' -p248060 -aS'large\tlarge\tJJ\tI-NP\tO' -p248061 -aS'window\twindow\tNN\tI-NP\tO' -p248062 -aS'.\t.\t.\tO\tO' -p248063 -asS'He has remained in room air well saturated with comfortable respirations until approximately 22 hours of age when he started with increased work of breathing although he has remained well-saturated in room air .' -p248064 -(lp248065 -S'He\tHe\tPRP\tB-NP\tO' -p248066 -aS'has\thave\tVBZ\tB-VP\tO' -p248067 -aS'remained\tremain\tVBN\tI-VP\tO' -p248068 -aS'in\tin\tIN\tB-PP\tO' -p248069 -aS'room\troom\tNN\tB-NP\tO' -p248070 -aS'air\tair\tNN\tI-NP\tO' -p248071 -aS'well\twell\tRB\tB-VP\tO' -p248072 -aS'saturated\tsaturate\tVBN\tI-VP\tO' -p248073 -aS'with\twith\tIN\tB-PP\tO' -p248074 -aS'comfortable\tcomfortable\tJJ\tB-NP\tO' -p248075 -aS'respirations\trespiration\tNNS\tI-NP\tO' -p248076 -aS'until\tuntil\tIN\tB-PP\tO' -p248077 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p248078 -aS'22\t22\tCD\tI-NP\tO' -p248079 -aS'hours\thour\tNNS\tI-NP\tO' -p248080 -aS'of\tof\tIN\tB-PP\tO' -p248081 -aS'age\tage\tNN\tB-NP\tO' -p248082 -aS'when\twhen\tWRB\tB-ADVP\tO' -p248083 -aS'he\the\tPRP\tB-NP\tO' -p248084 -aS'started\tstart\tVBD\tB-VP\tO' -p248085 -aS'with\twith\tIN\tB-PP\tO' -p248086 -aS'increased\tincrease\tVBN\tB-NP\tO' -p248087 -aS'work\twork\tNN\tI-NP\tO' -p248088 -aS'of\tof\tIN\tB-PP\tO' -p248089 -aS'breathing\tbreathing\tNN\tB-NP\tO' -p248090 -aS'although\talthough\tIN\tB-SBAR\tO' -p248091 -aS'he\the\tPRP\tB-NP\tO' -p248092 -aS'has\thave\tVBZ\tB-VP\tO' -p248093 -aS'remained\tremain\tVBN\tI-VP\tO' -p248094 -aS'well-saturated\twell-saturated\tJJ\tB-ADJP\tO' -p248095 -aS'in\tin\tIN\tB-PP\tO' -p248096 -aS'room\troom\tNN\tB-NP\tO' -p248097 -aS'air\tair\tNN\tI-NP\tO' -p248098 -aS'.\t.\t.\tO\tO' -p248099 -asS'4. Terazosin 1 mg p.o. q. day .' -p248100 -(lp248101 -S'4.\t4.\tLS\tB-LST\tO' -p248102 -aS'Terazosin\tTerazosin\tNN\tB-NP\tO' -p248103 -aS'1\t1\tCD\tI-NP\tO' -p248104 -aS'mg\tmg\tNN\tI-NP\tO' -p248105 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p248106 -aS'q.\tq.\tNN\tI-NP\tO' -p248107 -aS'day\tday\tNN\tI-NP\tO' -p248108 -aS'.\t.\t.\tO\tO' -p248109 -asS'The patient had a large fluid requirement with total body capillary leak , decreasing SVR , oliguria unresponsive to Lasix / Mannitol accompanied by a rise in creatinine to 3.2 , worsening ARDS , a rise in temperature to 103 , and a serum amylase of 1265 .' -p248110 -(lp248111 -S'The\tThe\tDT\tB-NP\tO' -p248112 -aS'patient\tpatient\tNN\tI-NP\tO' -p248113 -aS'had\thave\tVBD\tB-VP\tO' -p248114 -aS'a\ta\tDT\tB-NP\tO' -p248115 -aS'large\tlarge\tJJ\tI-NP\tO' -p248116 -aS'fluid\tfluid\tNN\tI-NP\tO' -p248117 -aS'requirement\trequirement\tNN\tI-NP\tO' -p248118 -aS'with\twith\tIN\tB-PP\tO' -p248119 -aS'total\ttotal\tJJ\tB-NP\tO' -p248120 -aS'body\tbody\tNN\tI-NP\tO' -p248121 -aS'capillary\tcapillary\tJJ\tI-NP\tO' -p248122 -aS'leak\tleak\tNN\tI-NP\tO' -p248123 -aS',\t,\t,\tO\tO' -p248124 -aS'decreasing\tdecrease\tVBG\tB-VP\tO' -p248125 -aS'SVR\tSVR\tNN\tB-NP\tB-protein' -p248126 -aS',\t,\t,\tO\tO' -p248127 -aS'oliguria\toliguria\tNN\tB-NP\tO' -p248128 -aS'unresponsive\tunresponsive\tJJ\tB-ADJP\tO' -p248129 -aS'to\tto\tTO\tB-PP\tO' -p248130 -aS'Lasix\tLasix\tNN\tB-NP\tO' -p248131 -aS'/\t/\tSYM\tI-NP\tO' -p248132 -aS'Mannitol\tMannitol\tNN\tI-NP\tO' -p248133 -aS'accompanied\taccompany\tVBN\tB-VP\tO' -p248134 -aS'by\tby\tIN\tB-PP\tO' -p248135 -aS'a\ta\tDT\tB-NP\tO' -p248136 -aS'rise\trise\tNN\tI-NP\tO' -p248137 -aS'in\tin\tIN\tB-PP\tO' -p248138 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p248139 -aS'to\tto\tTO\tB-PP\tO' -p248140 -aS'3.2\t3.2\tCD\tB-NP\tO' -p248141 -aS',\t,\t,\tO\tO' -p248142 -aS'worsening\tworsen\tVBG\tB-VP\tO' -p248143 -aS'ARDS\tARDS\tNN\tB-NP\tO' -p248144 -aS',\t,\t,\tO\tO' -p248145 -aS'a\ta\tDT\tB-NP\tO' -p248146 -aS'rise\trise\tNN\tI-NP\tO' -p248147 -aS'in\tin\tIN\tB-PP\tO' -p248148 -aS'temperature\ttemperature\tNN\tB-NP\tO' -p248149 -aS'to\tto\tTO\tB-PP\tO' -p248150 -aS'103\t103\tCD\tB-NP\tO' -p248151 -aS',\t,\t,\tO\tO' -p248152 -aS'and\tand\tCC\tO\tO' -p248153 -aS'a\ta\tDT\tB-NP\tO' -p248154 -aS'serum\tserum\tNN\tI-NP\tB-protein' -p248155 -aS'amylase\tamylase\tNN\tI-NP\tI-protein' -p248156 -aS'of\tof\tIN\tB-PP\tO' -p248157 -aS'1265\t1265\tCD\tB-NP\tO' -p248158 -aS'.\t.\t.\tO\tO' -p248159 -asS"MRI showed prominent sulci and enlarged ventricles abnormal for the patient 's age ." -p248160 -(lp248161 -S'MRI\tMRI\tNN\tB-NP\tB-protein' -p248162 -aS'showed\tshow\tVBD\tB-VP\tO' -p248163 -aS'prominent\tprominent\tJJ\tB-NP\tO' -p248164 -aS'sulci\tsulcus\tNNS\tI-NP\tO' -p248165 -aS'and\tand\tCC\tO\tO' -p248166 -aS'enlarged\tenlarged\tJJ\tB-NP\tO' -p248167 -aS'ventricles\tventricle\tNNS\tI-NP\tO' -p248168 -aS'abnormal\tabnormal\tJJ\tB-ADJP\tO' -p248169 -aS'for\tfor\tIN\tB-PP\tO' -p248170 -aS'the\tthe\tDT\tB-NP\tO' -p248171 -aS'patient\tpatient\tNN\tI-NP\tO' -p248172 -aS"'s\t's\tPOS\tB-NP\tO" -p248173 -aS'age\tage\tNN\tI-NP\tO' -p248174 -aS'.\t.\t.\tO\tO' -p248175 -asS'The patient was also seen preoperatively in consultation by the Plastic Surgical Service for potential sternal reconstruction .' -p248176 -(lp248177 -S'The\tThe\tDT\tB-NP\tO' -p248178 -aS'patient\tpatient\tNN\tI-NP\tO' -p248179 -aS'was\tbe\tVBD\tB-VP\tO' -p248180 -aS'also\talso\tRB\tI-VP\tO' -p248181 -aS'seen\tsee\tVBN\tI-VP\tO' -p248182 -aS'preoperatively\tpreoperatively\tRB\tB-ADVP\tO' -p248183 -aS'in\tin\tIN\tB-PP\tO' -p248184 -aS'consultation\tconsultation\tNN\tB-NP\tO' -p248185 -aS'by\tby\tIN\tB-PP\tO' -p248186 -aS'the\tthe\tDT\tB-NP\tO' -p248187 -aS'Plastic\tPlastic\tNNP\tI-NP\tO' -p248188 -aS'Surgical\tSurgical\tNNP\tI-NP\tO' -p248189 -aS'Service\tService\tNNP\tI-NP\tO' -p248190 -aS'for\tfor\tIN\tB-PP\tO' -p248191 -aS'potential\tpotential\tJJ\tB-NP\tO' -p248192 -aS'sternal\tsternal\tJJ\tI-NP\tO' -p248193 -aS'reconstruction\treconstruction\tNN\tI-NP\tO' -p248194 -aS'.\t.\t.\tO\tO' -p248195 -asS'Ms. Swanson is a 53 yo woman with PMH significant for seizure disorder , brain injury , and ? atypical multiple sclerosis who presents with right face twitch and right arm shaking .' -p248196 -(lp248197 -S'Ms.\tMs.\tNNP\tB-NP\tO' -p248198 -aS'Swanson\tSwanson\tNNP\tI-NP\tO' -p248199 -aS'is\tbe\tVBZ\tB-VP\tO' -p248200 -aS'a\ta\tDT\tB-NP\tO' -p248201 -aS'53\t53\tCD\tI-NP\tO' -p248202 -aS'yo\tyo\tNN\tI-NP\tO' -p248203 -aS'woman\twoman\tNN\tI-NP\tO' -p248204 -aS'with\twith\tIN\tB-PP\tO' -p248205 -aS'PMH\tPMH\tNN\tB-NP\tO' -p248206 -aS'significant\tsignificant\tJJ\tB-ADJP\tO' -p248207 -aS'for\tfor\tIN\tB-PP\tO' -p248208 -aS'seizure\tseizure\tNN\tB-NP\tO' -p248209 -aS'disorder\tdisorder\tNN\tI-NP\tO' -p248210 -aS',\t,\t,\tO\tO' -p248211 -aS'brain\tbrain\tNN\tB-NP\tO' -p248212 -aS'injury\tinjury\tNN\tI-NP\tO' -p248213 -aS',\t,\t,\tO\tO' -p248214 -aS'and\tand\tCC\tO\tO' -p248215 -aS'?\t?\t.\tO\tO' -p248216 -aS'atypical\tatypical\tJJ\tB-NP\tO' -p248217 -aS'multiple\tmultiple\tJJ\tI-NP\tO' -p248218 -aS'sclerosis\tsclerosis\tNN\tI-NP\tO' -p248219 -aS'who\twho\tWP\tB-NP\tO' -p248220 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p248221 -aS'with\twith\tIN\tB-PP\tO' -p248222 -aS'right\tright\tJJ\tB-NP\tO' -p248223 -aS'face\tface\tNN\tI-NP\tO' -p248224 -aS'twitch\ttwitch\tNN\tI-NP\tO' -p248225 -aS'and\tand\tCC\tO\tO' -p248226 -aS'right\tright\tJJ\tB-NP\tO' -p248227 -aS'arm\tarm\tNN\tI-NP\tO' -p248228 -aS'shaking\tshaking\tNN\tI-NP\tO' -p248229 -aS'.\t.\t.\tO\tO' -p248230 -asS'3. Potassium Chloride 10 mEq Tablet Sustained Release Sig : Two ( 2 ) Tablet Sustained Release PO once a Sine for 2 weeks .' -p248231 -(lp248232 -S'3.\t3.\tLS\tB-NP\tO' -p248233 -aS'Potassium\tPotassium\tNN\tI-NP\tO' -p248234 -aS'Chloride\tChloride\tNN\tI-NP\tO' -p248235 -aS'10\t10\tCD\tI-NP\tO' -p248236 -aS'mEq\tmEq\tNN\tI-NP\tO' -p248237 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p248238 -aS'Sustained\tSustained\tNNP\tI-NP\tO' -p248239 -aS'Release\tRelease\tNNP\tI-NP\tO' -p248240 -aS'Sig\tSig\tNNP\tI-NP\tB-protein' -p248241 -aS':\t:\t:\tO\tO' -p248242 -aS'Two\tTwo\tCD\tB-NP\tO' -p248243 -aS'(\t(\t(\tO\tO' -p248244 -aS'2\t2\tCD\tB-NP\tO' -p248245 -aS')\t)\t)\tO\tO' -p248246 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p248247 -aS'Sustained\tSustained\tNNP\tI-NP\tO' -p248248 -aS'Release\tRelease\tNNP\tI-NP\tO' -p248249 -aS'PO\tPO\tNNP\tI-NP\tO' -p248250 -aS'once\tonce\tRB\tB-ADVP\tO' -p248251 -aS'a\ta\tDT\tB-NP\tO' -p248252 -aS'Sine\tSine\tNN\tI-NP\tO' -p248253 -aS'for\tfor\tIN\tB-PP\tO' -p248254 -aS'2\t2\tCD\tB-NP\tO' -p248255 -aS'weeks\tweek\tNNS\tI-NP\tO' -p248256 -aS'.\t.\t.\tO\tO' -p248257 -asS'Exam only notable for II / VI systolic murmur .' -p248258 -(lp248259 -S'Exam\tExam\tNN\tB-NP\tO' -p248260 -aS'only\tonly\tRB\tB-ADJP\tO' -p248261 -aS'notable\tnotable\tJJ\tI-ADJP\tO' -p248262 -aS'for\tfor\tIN\tB-PP\tO' -p248263 -aS'II\tII\tCD\tB-NP\tO' -p248264 -aS'/\t/\tSYM\tI-NP\tO' -p248265 -aS'VI\tVI\tCD\tI-NP\tO' -p248266 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p248267 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p248268 -aS'.\t.\t.\tO\tO' -p248269 -asS'The patient was admitted to the preoperative holding area and taken electively to the operating room .' -p248270 -(lp248271 -S'The\tThe\tDT\tB-NP\tO' -p248272 -aS'patient\tpatient\tNN\tI-NP\tO' -p248273 -aS'was\tbe\tVBD\tB-VP\tO' -p248274 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p248275 -aS'to\tto\tTO\tB-PP\tO' -p248276 -aS'the\tthe\tDT\tB-NP\tO' -p248277 -aS'preoperative\tpreoperative\tJJ\tI-NP\tO' -p248278 -aS'holding\tholding\tNN\tI-NP\tO' -p248279 -aS'area\tarea\tNN\tI-NP\tO' -p248280 -aS'and\tand\tCC\tO\tO' -p248281 -aS'taken\ttake\tVBN\tB-VP\tO' -p248282 -aS'electively\telectively\tRB\tB-ADVP\tO' -p248283 -aS'to\tto\tTO\tB-PP\tO' -p248284 -aS'the\tthe\tDT\tB-NP\tO' -p248285 -aS'operating\toperating\tNN\tI-NP\tO' -p248286 -aS'room\troom\tNN\tI-NP\tO' -p248287 -aS'.\t.\t.\tO\tO' -p248288 -asS'Muscle tone was increased throughout , and the legs were both extended and internally rotated .' -p248289 -(lp248290 -S'Muscle\tMuscle\tNN\tB-NP\tO' -p248291 -aS'tone\ttone\tNN\tI-NP\tO' -p248292 -aS'was\tbe\tVBD\tB-VP\tO' -p248293 -aS'increased\tincrease\tVBN\tI-VP\tO' -p248294 -aS'throughout\tthroughout\tIN\tB-PRT\tO' -p248295 -aS',\t,\t,\tO\tO' -p248296 -aS'and\tand\tCC\tO\tO' -p248297 -aS'the\tthe\tDT\tB-NP\tO' -p248298 -aS'legs\tleg\tNNS\tI-NP\tO' -p248299 -aS'were\tbe\tVBD\tB-VP\tO' -p248300 -aS'both\tboth\tDT\tO\tO' -p248301 -aS'extended\textend\tVBN\tB-VP\tO' -p248302 -aS'and\tand\tCC\tO\tO' -p248303 -aS'internally\tinternally\tRB\tB-VP\tO' -p248304 -aS'rotated\trotate\tVBN\tI-VP\tO' -p248305 -aS'.\t.\t.\tO\tO' -p248306 -asS'There is a minimum amount of serosanguinous drainage .' -p248307 -(lp248308 -S'There\tThere\tEX\tB-NP\tO' -p248309 -aS'is\tbe\tVBZ\tB-VP\tO' -p248310 -aS'a\ta\tDT\tB-NP\tO' -p248311 -aS'minimum\tminimum\tJJ\tI-NP\tO' -p248312 -aS'amount\tamount\tNN\tI-NP\tO' -p248313 -aS'of\tof\tIN\tB-PP\tO' -p248314 -aS'serosanguinous\tserosanguinous\tJJ\tB-NP\tO' -p248315 -aS'drainage\tdrainage\tNN\tI-NP\tO' -p248316 -aS'.\t.\t.\tO\tO' -p248317 -asS'The patient is unemployed .' -p248318 -(lp248319 -S'The\tThe\tDT\tB-NP\tO' -p248320 -aS'patient\tpatient\tNN\tI-NP\tO' -p248321 -aS'is\tbe\tVBZ\tB-VP\tO' -p248322 -aS'unemployed\tunemployed\tJJ\tB-ADJP\tO' -p248323 -aS'.\t.\t.\tO\tO' -p248324 -asS'The patient was judged to be at risk secondary to her history of somomabodies and vaginal bleeding .' -p248325 -(lp248326 -S'The\tThe\tDT\tB-NP\tO' -p248327 -aS'patient\tpatient\tNN\tI-NP\tO' -p248328 -aS'was\tbe\tVBD\tB-VP\tO' -p248329 -aS'judged\tjudge\tVBN\tI-VP\tO' -p248330 -aS'to\tto\tTO\tI-VP\tO' -p248331 -aS'be\tbe\tVB\tI-VP\tO' -p248332 -aS'at\tat\tIN\tB-PP\tO' -p248333 -aS'risk\trisk\tNN\tB-NP\tO' -p248334 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p248335 -aS'to\tto\tTO\tB-PP\tO' -p248336 -aS'her\ther\tPRP$\tB-NP\tO' -p248337 -aS'history\thistory\tNN\tI-NP\tO' -p248338 -aS'of\tof\tIN\tB-PP\tO' -p248339 -aS'somomabodies\tsomomabody\tNNS\tB-NP\tO' -p248340 -aS'and\tand\tCC\tO\tO' -p248341 -aS'vaginal\tvaginal\tJJ\tB-NP\tO' -p248342 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p248343 -aS'.\t.\t.\tO\tO' -p248344 -asS'3. Ezetimibe 10 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' -p248345 -(lp248346 -S'3.\t3.\tLS\tB-LST\tO' -p248347 -aS'Ezetimibe\tEzetimibe\tNNP\tB-NP\tO' -p248348 -aS'10\t10\tCD\tI-NP\tO' -p248349 -aS'mg\tmg\tNN\tI-NP\tO' -p248350 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p248351 -aS'Sig\tSig\tNNP\tI-NP\tO' -p248352 -aS':\t:\t:\tO\tO' -p248353 -aS'One\tOne\tCD\tB-NP\tO' -p248354 -aS'(\t(\t(\tO\tO' -p248355 -aS'1\t1\tCD\tB-NP\tO' -p248356 -aS')\t)\t)\tO\tO' -p248357 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p248358 -aS'PO\tPO\tNN\tI-NP\tO' -p248359 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p248360 -aS'(\t(\t(\tO\tO' -p248361 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p248362 -aS')\t)\t)\tO\tO' -p248363 -aS'.\t.\t.\tO\tO' -p248364 -asS'PT 14.2 , PTT 108.5 , INR 1.3 .' -p248365 -(lp248366 -S'PT\tPT\tNN\tB-NP\tB-protein' -p248367 -aS'14.2\t14.2\tCD\tI-NP\tI-protein' -p248368 -aS',\t,\t,\tO\tO' -p248369 -aS'PTT\tPTT\tNN\tB-NP\tB-cell_line' -p248370 -aS'108.5\t108.5\tCD\tI-NP\tI-cell_line' -p248371 -aS',\t,\t,\tO\tO' -p248372 -aS'INR\tINR\tNN\tB-NP\tB-protein' -p248373 -aS'1.3\t1.3\tCD\tI-NP\tI-protein' -p248374 -aS'.\t.\t.\tO\tO' -p248375 -asS'5. Reglan 10 mg po three times a day .' -p248376 -(lp248377 -S'5.\t5.\tLS\tB-LST\tO' -p248378 -aS'Reglan\tReglan\tNNP\tB-NP\tO' -p248379 -aS'10\t10\tCD\tI-NP\tO' -p248380 -aS'mg\tmg\tNN\tI-NP\tO' -p248381 -aS'po\tpo\tIN\tB-PP\tO' -p248382 -aS'three\tthree\tCD\tB-NP\tO' -p248383 -aS'times\ttime\tNNS\tI-NP\tO' -p248384 -aS'a\ta\tDT\tB-NP\tO' -p248385 -aS'day\tday\tNN\tI-NP\tO' -p248386 -aS'.\t.\t.\tO\tO' -p248387 -asS'Post op course unremrakable .' -p248388 -(lp248389 -S'Post\tPost\tJJ\tB-NP\tO' -p248390 -aS'op\top\tNN\tI-NP\tO' -p248391 -aS'course\tcourse\tNN\tI-NP\tO' -p248392 -aS'unremrakable\tunremrakable\tJJ\tB-ADJP\tO' -p248393 -aS'.\t.\t.\tO\tO' -p248394 -asS'She is a one pack per day smoker for the last forty years , denies alcohol , is a former nurse with the Storm Mor Hospital And Medical Center .' -p248395 -(lp248396 -S'She\tShe\tPRP\tB-NP\tO' -p248397 -aS'is\tbe\tVBZ\tB-VP\tO' -p248398 -aS'a\ta\tDT\tB-NP\tO' -p248399 -aS'one\tone\tCD\tI-NP\tO' -p248400 -aS'pack\tpack\tNN\tI-NP\tO' -p248401 -aS'per\tper\tIN\tB-PP\tO' -p248402 -aS'day\tday\tNN\tB-NP\tO' -p248403 -aS'smoker\tsmoker\tNN\tI-NP\tO' -p248404 -aS'for\tfor\tIN\tB-PP\tO' -p248405 -aS'the\tthe\tDT\tB-NP\tO' -p248406 -aS'last\tlast\tJJ\tI-NP\tO' -p248407 -aS'forty\tforty\tJJ\tI-NP\tO' -p248408 -aS'years\tyear\tNNS\tI-NP\tO' -p248409 -aS',\t,\t,\tO\tO' -p248410 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p248411 -aS'alcohol\talcohol\tNN\tB-NP\tO' -p248412 -aS',\t,\t,\tO\tO' -p248413 -aS'is\tbe\tVBZ\tB-VP\tO' -p248414 -aS'a\ta\tDT\tB-NP\tO' -p248415 -aS'former\tformer\tJJ\tI-NP\tO' -p248416 -aS'nurse\tnurse\tNN\tI-NP\tO' -p248417 -aS'with\twith\tIN\tB-PP\tO' -p248418 -aS'the\tthe\tDT\tB-NP\tO' -p248419 -aS'Storm\tStorm\tNNP\tI-NP\tO' -p248420 -aS'Mor\tMor\tNNP\tI-NP\tO' -p248421 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p248422 -aS'And\tAnd\tNNP\tI-NP\tO' -p248423 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p248424 -aS'Center\tCenter\tNNP\tI-NP\tO' -p248425 -aS'.\t.\t.\tO\tO' -p248426 -asS'The patient was subsequently transferred to the Cardiac Surgery Recovery Unit , intubated , for further evaluation and management .' -p248427 -(lp248428 -S'The\tThe\tDT\tB-NP\tO' -p248429 -aS'patient\tpatient\tNN\tI-NP\tO' -p248430 -aS'was\tbe\tVBD\tB-VP\tO' -p248431 -aS'subsequently\tsubsequently\tRB\tI-VP\tO' -p248432 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p248433 -aS'to\tto\tTO\tB-PP\tO' -p248434 -aS'the\tthe\tDT\tB-NP\tO' -p248435 -aS'Cardiac\tCardiac\tNNP\tI-NP\tO' -p248436 -aS'Surgery\tSurgery\tNNP\tI-NP\tO' -p248437 -aS'Recovery\tRecovery\tNNP\tI-NP\tO' -p248438 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p248439 -aS',\t,\t,\tO\tO' -p248440 -aS'intubated\tintubate\tVBN\tB-VP\tO' -p248441 -aS',\t,\t,\tO\tO' -p248442 -aS'for\tfor\tIN\tB-PP\tO' -p248443 -aS'further\tfurther\tJJ\tB-NP\tO' -p248444 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p248445 -aS'and\tand\tCC\tI-NP\tO' -p248446 -aS'management\tmanagement\tNN\tI-NP\tO' -p248447 -aS'.\t.\t.\tO\tO' -p248448 -asS'CT at the Ona Hospital in 1989 showed similar findings .' -p248449 -(lp248450 -S'CT\tCT\tNN\tB-NP\tO' -p248451 -aS'at\tat\tIN\tB-PP\tO' -p248452 -aS'the\tthe\tDT\tB-NP\tO' -p248453 -aS'Ona\tOna\tNNP\tI-NP\tO' -p248454 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p248455 -aS'in\tin\tIN\tB-PP\tO' -p248456 -aS'1989\t1989\tCD\tB-NP\tO' -p248457 -aS'showed\tshow\tVBD\tB-VP\tO' -p248458 -aS'similar\tsimilar\tJJ\tB-NP\tO' -p248459 -aS'findings\tfinding\tNNS\tI-NP\tO' -p248460 -aS'.\t.\t.\tO\tO' -p248461 -asS'Infant passed hearing screen prior to discharge .' -p248462 -(lp248463 -S'Infant\tInfant\tNNP\tB-NP\tO' -p248464 -aS'passed\tpass\tVBD\tB-VP\tO' -p248465 -aS'hearing\thear\tVBG\tI-VP\tO' -p248466 -aS'screen\tscreen\tNN\tB-NP\tO' -p248467 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p248468 -aS'to\tto\tTO\tB-VP\tO' -p248469 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p248470 -aS'.\t.\t.\tO\tO' -p248471 -asS'She had extensive disease of the uterus , ovarian tubes , omentum and the periaortic lymph nodes .' -p248472 -(lp248473 -S'She\tShe\tPRP\tB-NP\tO' -p248474 -aS'had\thave\tVBD\tB-VP\tO' -p248475 -aS'extensive\textensive\tJJ\tB-NP\tO' -p248476 -aS'disease\tdisease\tNN\tI-NP\tO' -p248477 -aS'of\tof\tIN\tB-PP\tO' -p248478 -aS'the\tthe\tDT\tB-NP\tO' -p248479 -aS'uterus\tuterus\tNN\tI-NP\tO' -p248480 -aS',\t,\t,\tO\tO' -p248481 -aS'ovarian\tovarian\tJJ\tB-NP\tO' -p248482 -aS'tubes\ttube\tNNS\tI-NP\tO' -p248483 -aS',\t,\t,\tO\tO' -p248484 -aS'omentum\tomentum\tNN\tB-NP\tO' -p248485 -aS'and\tand\tCC\tO\tO' -p248486 -aS'the\tthe\tDT\tB-NP\tO' -p248487 -aS'periaortic\tperiaortic\tJJ\tI-NP\tO' -p248488 -aS'lymph\tlymph\tNN\tI-NP\tO' -p248489 -aS'nodes\tnode\tNNS\tI-NP\tO' -p248490 -aS'.\t.\t.\tO\tO' -p248491 -asS'7. Metoprolol Tartrate 25 mg Tablet Sig : One ( 1 ) Tablet PO TID ( 3 times a day ) .' -p248492 -(lp248493 -S'7.\t7.\tCD\tB-NP\tO' -p248494 -aS'Metoprolol\tMetoprolol\tNNP\tI-NP\tO' -p248495 -aS'Tartrate\tTartrate\tNNP\tI-NP\tO' -p248496 -aS'25\t25\tCD\tI-NP\tO' -p248497 -aS'mg\tmg\tNN\tI-NP\tO' -p248498 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p248499 -aS'Sig\tSig\tNNP\tI-NP\tO' -p248500 -aS':\t:\t:\tO\tO' -p248501 -aS'One\tOne\tCD\tB-NP\tO' -p248502 -aS'(\t(\t(\tO\tO' -p248503 -aS'1\t1\tCD\tB-NP\tO' -p248504 -aS')\t)\t)\tO\tO' -p248505 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p248506 -aS'PO\tPO\tNN\tI-NP\tO' -p248507 -aS'TID\tTID\tNN\tI-NP\tO' -p248508 -aS'(\t(\t(\tO\tO' -p248509 -aS'3\t3\tCD\tB-NP\tO' -p248510 -aS'times\ttime\tNNS\tI-NP\tO' -p248511 -aS'a\ta\tDT\tB-NP\tO' -p248512 -aS'day\tday\tNN\tI-NP\tO' -p248513 -aS')\t)\t)\tO\tO' -p248514 -aS'.\t.\t.\tO\tO' -p248515 -asS'DISCHARGE / DISPOSITION : Home with parents .' -p248516 -(lp248517 -S'DISCHARGE\tDISCHARGE\tNN\tB-NP\tO' -p248518 -aS'/\t/\tSYM\tI-NP\tO' -p248519 -aS'DISPOSITION\tDISPOSITION\tNN\tI-NP\tO' -p248520 -aS':\t:\t:\tO\tO' -p248521 -aS'Home\tHome\tNN\tB-NP\tO' -p248522 -aS'with\twith\tIN\tB-PP\tO' -p248523 -aS'parents\tparent\tNNS\tB-NP\tO' -p248524 -aS'.\t.\t.\tO\tO' -p248525 -asS'No bowel / bladder incont , no aura , no postictal state .' -p248526 -(lp248527 -S'No\tNo\tDT\tB-NP\tO' -p248528 -aS'bowel\tbowel\tNN\tI-NP\tO' -p248529 -aS'/\t/\tSYM\tB-NP\tO' -p248530 -aS'bladder\tbladder\tNN\tI-NP\tO' -p248531 -aS'incont\tincont\tNN\tI-NP\tO' -p248532 -aS',\t,\t,\tO\tO' -p248533 -aS'no\tno\tDT\tB-NP\tO' -p248534 -aS'aura\taura\tNN\tI-NP\tO' -p248535 -aS',\t,\t,\tO\tO' -p248536 -aS'no\tno\tDT\tB-NP\tO' -p248537 -aS'postictal\tpostictal\tJJ\tI-NP\tO' -p248538 -aS'state\tstate\tNN\tI-NP\tO' -p248539 -aS'.\t.\t.\tO\tO' -p248540 -asS'9. Allergic rhinitis .' -p248541 -(lp248542 -S'9.\t9.\tLS\tB-NP\tO' -p248543 -aS'Allergic\tAllergic\tJJ\tI-NP\tO' -p248544 -aS'rhinitis\trhinitis\tNN\tI-NP\tO' -p248545 -aS'.\t.\t.\tO\tO' -p248546 -asS'Sodium 140 , potassium 4.0 , chloride 104 , CO2 28 , BUN 14 , creatinine 1.1 , glucose 243 .' -p248547 -(lp248548 -S'Sodium\tSodium\tNN\tB-NP\tB-protein' -p248549 -aS'140\t140\tCD\tI-NP\tI-protein' -p248550 -aS',\t,\t,\tO\tO' -p248551 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p248552 -aS'4.0\t4.0\tCD\tI-NP\tO' -p248553 -aS',\t,\t,\tO\tO' -p248554 -aS'chloride\tchloride\tNN\tB-NP\tO' -p248555 -aS'104\t104\tCD\tI-NP\tO' -p248556 -aS',\t,\t,\tO\tO' -p248557 -aS'CO2\tCO2\tNN\tB-NP\tO' -p248558 -aS'28\t28\tCD\tI-NP\tO' -p248559 -aS',\t,\t,\tO\tO' -p248560 -aS'BUN\tBUN\tNN\tB-NP\tB-DNA' -p248561 -aS'14\t14\tCD\tI-NP\tI-DNA' -p248562 -aS',\t,\t,\tO\tO' -p248563 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p248564 -aS'1.1\t1.1\tCD\tI-NP\tO' -p248565 -aS',\t,\t,\tO\tO' -p248566 -aS'glucose\tglucose\tNN\tB-NP\tO' -p248567 -aS'243\t243\tCD\tI-NP\tO' -p248568 -aS'.\t.\t.\tO\tO' -p248569 -asS'While still in the emergency department , he had rapid decompensation necessitating intubation for airway protection .' -p248570 -(lp248571 -S'While\tWhile\tIN\tB-SBAR\tO' -p248572 -aS'still\tstill\tRB\tB-ADVP\tO' -p248573 -aS'in\tin\tIN\tB-PP\tO' -p248574 -aS'the\tthe\tDT\tB-NP\tO' -p248575 -aS'emergency\temergency\tNN\tI-NP\tO' -p248576 -aS'department\tdepartment\tNN\tI-NP\tO' -p248577 -aS',\t,\t,\tO\tO' -p248578 -aS'he\the\tPRP\tB-NP\tO' -p248579 -aS'had\thave\tVBD\tB-VP\tO' -p248580 -aS'rapid\trapid\tJJ\tB-NP\tO' -p248581 -aS'decompensation\tdecompensation\tNN\tI-NP\tO' -p248582 -aS'necessitating\tnecessitate\tVBG\tB-VP\tO' -p248583 -aS'intubation\tintubation\tNN\tB-NP\tO' -p248584 -aS'for\tfor\tIN\tB-PP\tO' -p248585 -aS'airway\tairway\tNN\tB-NP\tO' -p248586 -aS'protection\tprotection\tNN\tI-NP\tO' -p248587 -aS'.\t.\t.\tO\tO' -p248588 -asS'She has no family history of gallbladder or pancreatic disease .' -p248589 -(lp248590 -S'She\tShe\tPRP\tB-NP\tO' -p248591 -aS'has\thave\tVBZ\tB-VP\tO' -p248592 -aS'no\tno\tDT\tB-NP\tO' -p248593 -aS'family\tfamily\tNN\tI-NP\tO' -p248594 -aS'history\thistory\tNN\tI-NP\tO' -p248595 -aS'of\tof\tIN\tB-PP\tO' -p248596 -aS'gallbladder\tgallbladder\tNN\tB-NP\tO' -p248597 -aS'or\tor\tCC\tO\tO' -p248598 -aS'pancreatic\tpancreatic\tJJ\tB-NP\tO' -p248599 -aS'disease\tdisease\tNN\tI-NP\tO' -p248600 -aS'.\t.\t.\tO\tO' -p248601 -asS'Her abdomen is soft and nontender with a well healed left lower quadrant incision from her kidney transplantation .' -p248602 -(lp248603 -S'Her\tHer\tPRP$\tB-NP\tO' -p248604 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p248605 -aS'is\tbe\tVBZ\tB-VP\tO' -p248606 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p248607 -aS'and\tand\tCC\tI-ADJP\tO' -p248608 -aS'nontender\tnontender\tJJ\tI-ADJP\tO' -p248609 -aS'with\twith\tIN\tB-PP\tO' -p248610 -aS'a\ta\tDT\tB-NP\tO' -p248611 -aS'well\twell\tRB\tI-NP\tO' -p248612 -aS'healed\theal\tVBN\tI-NP\tO' -p248613 -aS'left\tleave\tVBD\tB-VP\tO' -p248614 -aS'lower\tlow\tJJR\tB-NP\tO' -p248615 -aS'quadrant\tquadrant\tJJ\tI-NP\tO' -p248616 -aS'incision\tincision\tNN\tI-NP\tO' -p248617 -aS'from\tfrom\tIN\tB-PP\tO' -p248618 -aS'her\ther\tPRP$\tB-NP\tO' -p248619 -aS'kidney\tkidney\tNN\tI-NP\tO' -p248620 -aS'transplantation\ttransplantation\tNN\tI-NP\tO' -p248621 -aS'.\t.\t.\tO\tO' -p248622 -asS'1. Diabetic ketoacidosis .' -p248623 -(lp248624 -S'1.\t1.\tLS\tB-NP\tO' -p248625 -aS'Diabetic\tDiabetic\tJJ\tI-NP\tO' -p248626 -aS'ketoacidosis\tketoacidosis\tNN\tI-NP\tO' -p248627 -aS'.\t.\t.\tO\tO' -p248628 -asS'He had intact corneals bilaterally and intact horizontal dull movements bilaterally .' -p248629 -(lp248630 -S'He\tHe\tPRP\tB-NP\tO' -p248631 -aS'had\thave\tVBD\tB-VP\tO' -p248632 -aS'intact\tintact\tJJ\tB-NP\tO' -p248633 -aS'corneals\tcorneal\tNNS\tI-NP\tO' -p248634 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p248635 -aS'and\tand\tCC\tO\tO' -p248636 -aS'intact\tintact\tJJ\tB-NP\tO' -p248637 -aS'horizontal\thorizontal\tJJ\tI-NP\tO' -p248638 -aS'dull\tdull\tJJ\tI-NP\tO' -p248639 -aS'movements\tmovement\tNNS\tI-NP\tO' -p248640 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p248641 -aS'.\t.\t.\tO\tO' -p248642 -asS'8. Nitroglycerin 0.3 mg Tablet , Sublingual Sig : One ( 1 ) Tablet , Sublingual Sublingual PRN ( as needed ) .' -p248643 -(lp248644 -S'8.\t8.\tCD\tB-NP\tO' -p248645 -aS'Nitroglycerin\tNitroglycerin\tNN\tI-NP\tO' -p248646 -aS'0.3\t0.3\tCD\tB-NP\tO' -p248647 -aS'mg\tmg\tNN\tI-NP\tO' -p248648 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p248649 -aS',\t,\t,\tO\tO' -p248650 -aS'Sublingual\tSublingual\tNNP\tB-NP\tO' -p248651 -aS'Sig\tSig\tNNP\tI-NP\tO' -p248652 -aS':\t:\t:\tO\tO' -p248653 -aS'One\tOne\tCD\tB-NP\tO' -p248654 -aS'(\t(\t(\tO\tO' -p248655 -aS'1\t1\tCD\tB-NP\tO' -p248656 -aS')\t)\t)\tO\tO' -p248657 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p248658 -aS',\t,\t,\tO\tO' -p248659 -aS'Sublingual\tSublingual\tNNP\tB-NP\tO' -p248660 -aS'Sublingual\tSublingual\tNNP\tI-NP\tO' -p248661 -aS'PRN\tPRN\tNN\tI-NP\tO' -p248662 -aS'(\t(\t(\tO\tO' -p248663 -aS'as\tas\tIN\tB-SBAR\tO' -p248664 -aS'needed\tneed\tVBN\tB-VP\tO' -p248665 -aS')\t)\t)\tO\tO' -p248666 -aS'.\t.\t.\tO\tO' -p248667 -asS'To nursery at VA Hospital Jamaica Plain Hospital .' -p248668 -(lp248669 -S'To\tTo\tTO\tB-PP\tO' -p248670 -aS'nursery\tnursery\tNN\tB-NP\tO' -p248671 -aS'at\tat\tIN\tB-PP\tO' -p248672 -aS'VA\tVA\tNNP\tB-NP\tO' -p248673 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p248674 -aS'Jamaica\tJamaica\tNNP\tI-NP\tO' -p248675 -aS'Plain\tPlain\tNNP\tI-NP\tO' -p248676 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p248677 -aS'.\t.\t.\tO\tO' -p248678 -asS'Trivial MR .' -p248679 -(lp248680 -S'Trivial\tTrivial\tJJ\tB-NP\tB-protein' -p248681 -aS'MR\tMR\tNN\tI-NP\tI-protein' -p248682 -aS'.\t.\t.\tO\tO' -p248683 -asS'7. h/o clot in AV graft x2 ( March and 2018-07-07 )' -p248684 -(lp248685 -S'7.\t7.\tLS\tB-NP\tO' -p248686 -aS'h/o\th/o\tNN\tI-NP\tO' -p248687 -aS'clot\tclot\tNN\tI-NP\tO' -p248688 -aS'in\tin\tIN\tB-PP\tO' -p248689 -aS'AV\tAV\tNN\tB-NP\tO' -p248690 -aS'graft\tgraft\tNN\tI-NP\tO' -p248691 -aS'x2\tx2\tNN\tI-NP\tO' -p248692 -aS'(\t(\t(\tO\tO' -p248693 -aS'March\tMarch\tNNP\tB-NP\tO' -p248694 -aS'and\tand\tCC\tO\tO' -p248695 -aS'2018-07-07\t2018-07-07\tCD\tB-NP\tO' -p248696 -aS')\t)\t)\tO\tO' -p248697 -asS"Chronic lung disease was unlikely given the patient 's normal pulmonary function tests and DLCO in 2012 as well as a normal CT angiogram ." -p248698 -(lp248699 -S'Chronic\tChronic\tJJ\tB-NP\tO' -p248700 -aS'lung\tlung\tNN\tI-NP\tO' -p248701 -aS'disease\tdisease\tNN\tI-NP\tO' -p248702 -aS'was\tbe\tVBD\tB-VP\tO' -p248703 -aS'unlikely\tunlikely\tJJ\tB-ADJP\tO' -p248704 -aS'given\tgive\tVBN\tB-PP\tO' -p248705 -aS'the\tthe\tDT\tB-NP\tO' -p248706 -aS'patient\tpatient\tNN\tI-NP\tO' -p248707 -aS"'s\t's\tPOS\tB-NP\tO" -p248708 -aS'normal\tnormal\tJJ\tI-NP\tO' -p248709 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p248710 -aS'function\tfunction\tNN\tI-NP\tO' -p248711 -aS'tests\ttest\tNNS\tI-NP\tO' -p248712 -aS'and\tand\tCC\tO\tO' -p248713 -aS'DLCO\tDLCO\tNN\tB-NP\tO' -p248714 -aS'in\tin\tIN\tB-PP\tO' -p248715 -aS'2012\t2012\tCD\tB-NP\tO' -p248716 -aS'as\tas\tRB\tI-NP\tO' -p248717 -aS'well\twell\tRB\tI-NP\tO' -p248718 -aS'as\tas\tIN\tI-NP\tO' -p248719 -aS'a\ta\tDT\tB-NP\tO' -p248720 -aS'normal\tnormal\tJJ\tI-NP\tO' -p248721 -aS'CT\tCT\tNN\tI-NP\tO' -p248722 -aS'angiogram\tangiogram\tNN\tI-NP\tO' -p248723 -aS'.\t.\t.\tO\tO' -p248724 -asS'3. Urinary frequency secondary to interstitial cystitis .' -p248725 -(lp248726 -S'3.\t3.\tLS\tB-NP\tO' -p248727 -aS'Urinary\tUrinary\tJJ\tI-NP\tO' -p248728 -aS'frequency\tfrequency\tNN\tI-NP\tO' -p248729 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p248730 -aS'to\tto\tTO\tB-PP\tO' -p248731 -aS'interstitial\tinterstitial\tJJ\tB-NP\tO' -p248732 -aS'cystitis\tcystitis\tNN\tI-NP\tO' -p248733 -aS'.\t.\t.\tO\tO' -p248734 -asS'Hct 44 .' -p248735 -(lp248736 -S'Hct\tHct\tNN\tB-NP\tB-protein' -p248737 -aS'44\t44\tCD\tI-NP\tI-protein' -p248738 -aS'.\t.\t.\tO\tO' -p248739 -asS'The infant is discharged in guarded condition .' -p248740 -(lp248741 -S'The\tThe\tDT\tB-NP\tO' -p248742 -aS'infant\tinfant\tNN\tI-NP\tO' -p248743 -aS'is\tbe\tVBZ\tB-VP\tO' -p248744 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p248745 -aS'in\tin\tIN\tB-PP\tO' -p248746 -aS'guarded\tguard\tVBN\tB-NP\tO' -p248747 -aS'condition\tcondition\tNN\tI-NP\tO' -p248748 -aS'.\t.\t.\tO\tO' -p248749 -asS'She has follow up with Dr. Schwartz in the Clinic on Monday , 12-22 , at 2:30 p.m. to check her INR and digoxin level .' -p248750 -(lp248751 -S'She\tShe\tPRP\tB-NP\tO' -p248752 -aS'has\thave\tVBZ\tB-VP\tO' -p248753 -aS'follow\tfollow\tVB\tI-VP\tO' -p248754 -aS'up\tup\tRP\tB-PRT\tO' -p248755 -aS'with\twith\tIN\tB-PP\tO' -p248756 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p248757 -aS'Schwartz\tSchwartz\tNNP\tI-NP\tO' -p248758 -aS'in\tin\tIN\tB-PP\tO' -p248759 -aS'the\tthe\tDT\tB-NP\tO' -p248760 -aS'Clinic\tClinic\tNNP\tI-NP\tO' -p248761 -aS'on\ton\tIN\tB-PP\tO' -p248762 -aS'Monday\tMonday\tNNP\tB-NP\tO' -p248763 -aS',\t,\t,\tO\tO' -p248764 -aS'12-22\t12-22\tCD\tB-NP\tO' -p248765 -aS',\t,\t,\tO\tO' -p248766 -aS'at\tat\tIN\tB-PP\tO' -p248767 -aS'2:30\t2:30\tCD\tB-NP\tO' -p248768 -aS'p.m.\tp.m.\tNN\tI-NP\tO' -p248769 -aS'to\tto\tTO\tB-VP\tO' -p248770 -aS'check\tcheck\tVB\tI-VP\tO' -p248771 -aS'her\ther\tPRP$\tB-NP\tO' -p248772 -aS'INR\tINR\tNN\tI-NP\tB-protein' -p248773 -aS'and\tand\tCC\tI-NP\tO' -p248774 -aS'digoxin\tdigoxin\tNN\tI-NP\tO' -p248775 -aS'level\tlevel\tNN\tI-NP\tO' -p248776 -aS'.\t.\t.\tO\tO' -p248777 -asS'6. Warfarin 2 mg Tablet Sig : Two ( 2 ) Tablet PO once a Avrett : target INR 1.5-2 .' -p248778 -(lp248779 -S'6.\t6.\tCD\tB-NP\tO' -p248780 -aS'Warfarin\tWarfarin\tNN\tI-NP\tO' -p248781 -aS'2\t2\tCD\tB-NP\tO' -p248782 -aS'mg\tmg\tNN\tI-NP\tO' -p248783 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p248784 -aS'Sig\tSig\tNNP\tI-NP\tO' -p248785 -aS':\t:\t:\tO\tO' -p248786 -aS'Two\tTwo\tCD\tB-NP\tO' -p248787 -aS'(\t(\t(\tO\tO' -p248788 -aS'2\t2\tCD\tO\tO' -p248789 -aS')\t)\t)\tO\tO' -p248790 -aS'Tablet\tTablet\tNN\tB-NP\tB-protein' -p248791 -aS'PO\tPO\tNN\tI-NP\tI-protein' -p248792 -aS'once\tonce\tIN\tB-SBAR\tO' -p248793 -aS'a\ta\tDT\tB-NP\tO' -p248794 -aS'Avrett\tAvrett\tNNP\tI-NP\tO' -p248795 -aS':\t:\t:\tO\tO' -p248796 -aS'target\ttarget\tNN\tB-NP\tO' -p248797 -aS'INR\tINR\tNN\tI-NP\tO' -p248798 -aS'1.5-2\t1.5-2\tCD\tI-NP\tO' -p248799 -aS'.\t.\t.\tO\tO' -p248800 -asS'She noted that he was actively working full time and was a sales representative at the Leigh and lives at home with her and his daughter , age 18 .' -p248801 -(lp248802 -S'She\tShe\tPRP\tB-NP\tO' -p248803 -aS'noted\tnote\tVBD\tB-VP\tO' -p248804 -aS'that\tthat\tIN\tB-SBAR\tO' -p248805 -aS'he\the\tPRP\tB-NP\tO' -p248806 -aS'was\tbe\tVBD\tB-VP\tO' -p248807 -aS'actively\tactively\tRB\tI-VP\tO' -p248808 -aS'working\twork\tVBG\tI-VP\tO' -p248809 -aS'full\tfull\tJJ\tB-NP\tO' -p248810 -aS'time\ttime\tNN\tI-NP\tO' -p248811 -aS'and\tand\tCC\tO\tO' -p248812 -aS'was\tbe\tVBD\tB-VP\tO' -p248813 -aS'a\ta\tDT\tB-NP\tO' -p248814 -aS'sales\tsale\tNNS\tI-NP\tO' -p248815 -aS'representative\trepresentative\tNN\tI-NP\tO' -p248816 -aS'at\tat\tIN\tB-PP\tO' -p248817 -aS'the\tthe\tDT\tB-NP\tO' -p248818 -aS'Leigh\tLeigh\tNNP\tI-NP\tO' -p248819 -aS'and\tand\tCC\tO\tO' -p248820 -aS'lives\tlive\tVBZ\tB-VP\tO' -p248821 -aS'at\tat\tIN\tB-PP\tO' -p248822 -aS'home\thome\tNN\tB-NP\tO' -p248823 -aS'with\twith\tIN\tB-PP\tO' -p248824 -aS'her\ther\tPRP\tB-NP\tO' -p248825 -aS'and\tand\tCC\tO\tO' -p248826 -aS'his\this\tPRP$\tB-NP\tO' -p248827 -aS'daughter\tdaughter\tNN\tI-NP\tO' -p248828 -aS',\t,\t,\tO\tO' -p248829 -aS'age\tage\tNN\tB-NP\tO' -p248830 -aS'18\t18\tCD\tI-NP\tO' -p248831 -aS'.\t.\t.\tO\tO' -p248832 -asS'Signed electronically by : DR. Exie Culbreath on : SUN 2015-09-06 10:03 PM' -p248833 -(lp248834 -S'Signed\tSign\tVBN\tB-VP\tO' -p248835 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p248836 -aS'by\tby\tIN\tB-PP\tO' -p248837 -aS':\t:\t:\tO\tO' -p248838 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p248839 -aS'Exie\tExie\tNNP\tI-NP\tO' -p248840 -aS'Culbreath\tCulbreath\tNNP\tI-NP\tO' -p248841 -aS'on\ton\tIN\tB-PP\tO' -p248842 -aS':\t:\t:\tO\tO' -p248843 -aS'SUN\tSUN\tNN\tB-NP\tO' -p248844 -aS'2015-09-06\t2015-09-06\tCD\tI-NP\tO' -p248845 -aS'10:03\t10:03\tCD\tI-NP\tO' -p248846 -aS'PM\tPM\tNN\tI-NP\tO' -p248847 -asS'Lipitor , Flexeril , hydrochlorothiazide and Norvasc .' -p248848 -(lp248849 -S'Lipitor\tLipitor\tNNP\tB-NP\tO' -p248850 -aS',\t,\t,\tI-NP\tO' -p248851 -aS'Flexeril\tFlexeril\tNNP\tI-NP\tO' -p248852 -aS',\t,\t,\tI-NP\tO' -p248853 -aS'hydrochlorothiazide\thydrochlorothiazide\tNN\tI-NP\tO' -p248854 -aS'and\tand\tCC\tI-NP\tO' -p248855 -aS'Norvasc\tNorvasc\tNN\tI-NP\tO' -p248856 -aS'.\t.\t.\tO\tO' -p248857 -asS'Cardiac stress test in 2016-03-17 , that was negative for inducible ischemia .' -p248858 -(lp248859 -S'Cardiac\tCardiac\tJJ\tB-NP\tO' -p248860 -aS'stress\tstress\tNN\tI-NP\tO' -p248861 -aS'test\ttest\tNN\tI-NP\tO' -p248862 -aS'in\tin\tIN\tB-PP\tO' -p248863 -aS'2016-03-17\t2016-03-17\tCD\tB-NP\tO' -p248864 -aS',\t,\t,\tO\tO' -p248865 -aS'that\tthat\tWDT\tB-NP\tO' -p248866 -aS'was\tbe\tVBD\tB-VP\tO' -p248867 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p248868 -aS'for\tfor\tIN\tB-PP\tO' -p248869 -aS'inducible\tinducible\tJJ\tB-NP\tO' -p248870 -aS'ischemia\tischemia\tNN\tI-NP\tO' -p248871 -aS'.\t.\t.\tO\tO' -p248872 -asS"1. Subtotal colectomy , end ileostomy , Hartmann's pouch , G-tube" -p248873 -(lp248874 -S'1.\t1.\tLS\tB-NP\tO' -p248875 -aS'Subtotal\tSubtotal\tJJ\tI-NP\tO' -p248876 -aS'colectomy\tcolectomy\tNN\tI-NP\tO' -p248877 -aS',\t,\t,\tO\tO' -p248878 -aS'end\tend\tNN\tB-NP\tO' -p248879 -aS'ileostomy\tileostomy\tNN\tI-NP\tO' -p248880 -aS',\t,\t,\tO\tO' -p248881 -aS"Hartmann's\tHartmann's\tNNP\tB-NP\tO" -p248882 -aS'pouch\tpouch\tNN\tI-NP\tO' -p248883 -aS',\t,\t,\tO\tO' -p248884 -aS'G-tube\tG-tube\tNNP\tB-NP\tO' -p248885 -asS'She only had one episode of apnea on the day prior to discharge .' -p248886 -(lp248887 -S'She\tShe\tPRP\tB-NP\tO' -p248888 -aS'only\tonly\tRB\tB-ADVP\tO' -p248889 -aS'had\thave\tVBD\tB-VP\tO' -p248890 -aS'one\tone\tCD\tB-NP\tO' -p248891 -aS'episode\tepisode\tNN\tI-NP\tO' -p248892 -aS'of\tof\tIN\tB-PP\tO' -p248893 -aS'apnea\tapnea\tNN\tB-NP\tO' -p248894 -aS'on\ton\tIN\tB-PP\tO' -p248895 -aS'the\tthe\tDT\tB-NP\tO' -p248896 -aS'day\tday\tNN\tI-NP\tO' -p248897 -aS'prior\tprior\tRB\tB-ADVP\tO' -p248898 -aS'to\tto\tTO\tB-VP\tO' -p248899 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p248900 -aS'.\t.\t.\tO\tO' -p248901 -asS'The Feeney Gann-Burlington drain on postoperative day number demonstrated medial output of 780 with lateral output of 150 .' -p248902 -(lp248903 -S'The\tThe\tDT\tB-NP\tO' -p248904 -aS'Feeney\tFeeney\tNNP\tI-NP\tO' -p248905 -aS'Gann-Burlington\tGann-Burlington\tNNP\tI-NP\tO' -p248906 -aS'drain\tdrain\tNN\tI-NP\tO' -p248907 -aS'on\ton\tIN\tB-PP\tO' -p248908 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p248909 -aS'day\tday\tNN\tI-NP\tO' -p248910 -aS'number\tnumber\tNN\tI-NP\tO' -p248911 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p248912 -aS'medial\tmedial\tJJ\tB-NP\tO' -p248913 -aS'output\toutput\tNN\tI-NP\tO' -p248914 -aS'of\tof\tIN\tB-PP\tO' -p248915 -aS'780\t780\tCD\tB-NP\tO' -p248916 -aS'with\twith\tIN\tB-PP\tO' -p248917 -aS'lateral\tlateral\tJJ\tB-NP\tO' -p248918 -aS'output\toutput\tNN\tI-NP\tO' -p248919 -aS'of\tof\tIN\tB-PP\tO' -p248920 -aS'150\t150\tCD\tB-NP\tO' -p248921 -aS'.\t.\t.\tO\tO' -p248922 -asS'NL S1 , S2 .' -p248923 -(lp248924 -S'NL\tNL\tNNP\tB-NP\tB-protein' -p248925 -aS'S1\tS1\tNN\tI-NP\tI-protein' -p248926 -aS',\t,\t,\tO\tO' -p248927 -aS'S2\tS2\tNN\tB-NP\tB-protein' -p248928 -aS'.\t.\t.\tO\tO' -p248929 -asS'7. Phenytoin Sodium 50 mg/mL Solution Sig : One 95y ( 150 ) mg Intravenous Q8H ( every 8 hours ) .' -p248930 -(lp248931 -S'7.\t7.\tLS\tB-NP\tO' -p248932 -aS'Phenytoin\tPhenytoin\tNN\tI-NP\tO' -p248933 -aS'Sodium\tSodium\tNN\tI-NP\tO' -p248934 -aS'50\t50\tCD\tI-NP\tO' -p248935 -aS'mg/mL\tmg/mL\tNN\tI-NP\tO' -p248936 -aS'Solution\tSolution\tNNP\tI-NP\tO' -p248937 -aS'Sig\tSig\tNNP\tI-NP\tO' -p248938 -aS':\t:\t:\tO\tO' -p248939 -aS'One\tOne\tCD\tB-NP\tO' -p248940 -aS'95y\t95y\tCD\tI-NP\tO' -p248941 -aS'(\t(\t(\tO\tO' -p248942 -aS'150\t150\tCD\tB-NP\tO' -p248943 -aS')\t)\t)\tO\tO' -p248944 -aS'mg\tmg\tNN\tB-NP\tO' -p248945 -aS'Intravenous\tIntravenous\tJJ\tI-NP\tO' -p248946 -aS'Q8H\tQ8H\tNN\tI-NP\tO' -p248947 -aS'(\t(\t(\tO\tO' -p248948 -aS'every\tevery\tDT\tB-NP\tO' -p248949 -aS'8\t8\tCD\tI-NP\tO' -p248950 -aS'hours\thour\tNNS\tI-NP\tO' -p248951 -aS')\t)\t)\tO\tO' -p248952 -aS'.\t.\t.\tO\tO' -p248953 -asS'His Melranon was weaned off and his ACE inhibitor began .' -p248954 -(lp248955 -S'His\tHis\tPRP$\tB-NP\tB-protein' -p248956 -aS'Melranon\tMelranon\tNNP\tI-NP\tO' -p248957 -aS'was\tbe\tVBD\tB-VP\tO' -p248958 -aS'weaned\twean\tVBN\tI-VP\tO' -p248959 -aS'off\toff\tRP\tB-PRT\tO' -p248960 -aS'and\tand\tCC\tO\tO' -p248961 -aS'his\this\tPRP$\tB-NP\tO' -p248962 -aS'ACE\tACE\tNN\tI-NP\tO' -p248963 -aS'inhibitor\tinhibitor\tNN\tI-NP\tO' -p248964 -aS'began\tbegin\tVBD\tB-VP\tO' -p248965 -aS'.\t.\t.\tO\tO' -p248966 -asS'Severe blunt abdominal trauma .' -p248967 -(lp248968 -S'Severe\tSevere\tJJ\tB-NP\tO' -p248969 -aS'blunt\tblunt\tNN\tI-NP\tO' -p248970 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p248971 -aS'trauma\ttrauma\tNN\tI-NP\tO' -p248972 -aS'.\t.\t.\tO\tO' -p248973 -asS'Infant placed on CPAP .' -p248974 -(lp248975 -S'Infant\tInfant\tNN\tB-NP\tO' -p248976 -aS'placed\tplace\tVBN\tB-VP\tO' -p248977 -aS'on\ton\tIN\tB-PP\tO' -p248978 -aS'CPAP\tCPAP\tNN\tB-NP\tB-protein' -p248979 -aS'.\t.\t.\tO\tO' -p248980 -asS'The patient was transferred to Norri Hospital .' -p248981 -(lp248982 -S'The\tThe\tDT\tB-NP\tO' -p248983 -aS'patient\tpatient\tNN\tI-NP\tO' -p248984 -aS'was\tbe\tVBD\tB-VP\tO' -p248985 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p248986 -aS'to\tto\tTO\tB-PP\tO' -p248987 -aS'Norri\tNorri\tNNP\tB-NP\tO' -p248988 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p248989 -aS'.\t.\t.\tO\tO' -p248990 -asS'He has been scheduled for follow-up with Dr. Martha on 2015-03-25 at 11:00 a.m.' -p248991 -(lp248992 -S'He\tHe\tPRP\tB-NP\tO' -p248993 -aS'has\thave\tVBZ\tB-VP\tO' -p248994 -aS'been\tbe\tVBN\tI-VP\tO' -p248995 -aS'scheduled\tschedule\tVBN\tI-VP\tO' -p248996 -aS'for\tfor\tIN\tB-PP\tO' -p248997 -aS'follow-up\tfollow-up\tNN\tB-NP\tO' -p248998 -aS'with\twith\tIN\tB-PP\tO' -p248999 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p249000 -aS'Martha\tMartha\tNNP\tI-NP\tO' -p249001 -aS'on\ton\tIN\tB-PP\tO' -p249002 -aS'2015-03-25\t2015-03-25\tCD\tB-NP\tO' -p249003 -aS'at\tat\tIN\tB-PP\tO' -p249004 -aS'11:00\t11:00\tCD\tB-NP\tO' -p249005 -aS'a.m.\ta.m.\tNN\tI-NP\tO' -p249006 -asS'She developed additional abdominal tenderness and distention .' -p249007 -(lp249008 -S'She\tShe\tPRP\tB-NP\tO' -p249009 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p249010 -aS'additional\tadditional\tJJ\tB-NP\tO' -p249011 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p249012 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p249013 -aS'and\tand\tCC\tI-NP\tO' -p249014 -aS'distention\tdistention\tNN\tI-NP\tO' -p249015 -aS'.\t.\t.\tO\tO' -p249016 -asS'The BUN was 35 , creatinine 4.3 .' -p249017 -(lp249018 -S'The\tThe\tDT\tB-NP\tO' -p249019 -aS'BUN\tBUN\tNN\tI-NP\tB-protein' -p249020 -aS'was\tbe\tVBD\tB-VP\tO' -p249021 -aS'35\t35\tCD\tB-NP\tO' -p249022 -aS',\t,\t,\tO\tO' -p249023 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p249024 -aS'4.3\t4.3\tCD\tI-NP\tO' -p249025 -aS'.\t.\t.\tO\tO' -p249026 -asS'The day before admission , the patient developed a fever to 102 degrees and increasing abdominal pain .' -p249027 -(lp249028 -S'The\tThe\tDT\tB-NP\tO' -p249029 -aS'day\tday\tNN\tI-NP\tO' -p249030 -aS'before\tbefore\tIN\tB-PP\tO' -p249031 -aS'admission\tadmission\tNN\tB-NP\tO' -p249032 -aS',\t,\t,\tO\tO' -p249033 -aS'the\tthe\tDT\tB-NP\tO' -p249034 -aS'patient\tpatient\tNN\tI-NP\tO' -p249035 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p249036 -aS'a\ta\tDT\tB-NP\tO' -p249037 -aS'fever\tfever\tNN\tI-NP\tO' -p249038 -aS'to\tto\tTO\tB-PP\tO' -p249039 -aS'102\t102\tCD\tB-NP\tO' -p249040 -aS'degrees\tdegree\tNNS\tI-NP\tO' -p249041 -aS'and\tand\tCC\tO\tO' -p249042 -aS'increasing\tincrease\tVBG\tB-VP\tO' -p249043 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p249044 -aS'pain\tpain\tNN\tI-NP\tO' -p249045 -aS'.\t.\t.\tO\tO' -p249046 -asS'Prozac , 60 daily .' -p249047 -(lp249048 -S'Prozac\tProzac\tNN\tB-NP\tO' -p249049 -aS',\t,\t,\tO\tO' -p249050 -aS'60\t60\tCD\tB-NP\tO' -p249051 -aS'daily\tdaily\tRB\tI-NP\tO' -p249052 -aS'.\t.\t.\tO\tO' -p249053 -asS'Around 4:00 AM the next day , an acute decompensation in respiratory status was noted .' -p249054 -(lp249055 -S'Around\tAround\tIN\tB-PP\tO' -p249056 -aS'4:00\t4:00\tCD\tB-NP\tO' -p249057 -aS'AM\tAM\tVBP\tB-VP\tO' -p249058 -aS'the\tthe\tDT\tB-NP\tO' -p249059 -aS'next\tnext\tJJ\tI-NP\tO' -p249060 -aS'day\tday\tNN\tI-NP\tO' -p249061 -aS',\t,\t,\tO\tO' -p249062 -aS'an\tan\tDT\tB-NP\tO' -p249063 -aS'acute\tacute\tJJ\tI-NP\tO' -p249064 -aS'decompensation\tdecompensation\tNN\tI-NP\tO' -p249065 -aS'in\tin\tIN\tB-PP\tO' -p249066 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p249067 -aS'status\tstatus\tNN\tI-NP\tO' -p249068 -aS'was\tbe\tVBD\tB-VP\tO' -p249069 -aS'noted\tnote\tVBN\tI-VP\tO' -p249070 -aS'.\t.\t.\tO\tO' -p249071 -asS'Mild ( 1+ ) aortic regurgitation is seen .' -p249072 -(lp249073 -S'Mild\tMild\tNNP\tB-NP\tO' -p249074 -aS'(\t(\t(\tO\tO' -p249075 -aS'1+\t1+\tJJ\tB-ADJP\tO' -p249076 -aS')\t)\t)\tO\tO' -p249077 -aS'aortic\taortic\tJJ\tB-NP\tO' -p249078 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p249079 -aS'is\tbe\tVBZ\tB-VP\tO' -p249080 -aS'seen\tsee\tVBN\tI-VP\tO' -p249081 -aS'.\t.\t.\tO\tO' -p249082 -asS'Medications on admission were Coumadin , Digoxin Synthroid , Lopressor and Zantac .' -p249083 -(lp249084 -S'Medications\tMedication\tNNS\tB-NP\tO' -p249085 -aS'on\ton\tIN\tB-PP\tO' -p249086 -aS'admission\tadmission\tNN\tB-NP\tO' -p249087 -aS'were\tbe\tVBD\tB-VP\tO' -p249088 -aS'Coumadin\tCoumadin\tNNP\tB-NP\tO' -p249089 -aS',\t,\t,\tO\tO' -p249090 -aS'Digoxin\tDigoxin\tNNP\tB-NP\tO' -p249091 -aS'Synthroid\tSynthroid\tNNP\tI-NP\tO' -p249092 -aS',\t,\t,\tO\tO' -p249093 -aS'Lopressor\tLopressor\tNNP\tB-NP\tO' -p249094 -aS'and\tand\tCC\tO\tO' -p249095 -aS'Zantac\tZantac\tNNP\tB-NP\tO' -p249096 -aS'.\t.\t.\tO\tO' -p249097 -asS'Revealed an obtunded white muscular man who was intubated and sedated .' -p249098 -(lp249099 -S'Revealed\tReveal\tVBD\tB-VP\tO' -p249100 -aS'an\tan\tDT\tB-NP\tO' -p249101 -aS'obtunded\tobtunded\tJJ\tI-NP\tO' -p249102 -aS'white\twhite\tJJ\tI-NP\tO' -p249103 -aS'muscular\tmuscular\tJJ\tI-NP\tO' -p249104 -aS'man\tman\tNN\tI-NP\tO' -p249105 -aS'who\twho\tWP\tB-NP\tO' -p249106 -aS'was\tbe\tVBD\tB-VP\tO' -p249107 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p249108 -aS'and\tand\tCC\tI-VP\tO' -p249109 -aS'sedated\tsedate\tVBN\tI-VP\tO' -p249110 -aS'.\t.\t.\tO\tO' -p249111 -asS'Follow up with Dr. Heird in four weeks , 671 745 2553' -p249112 -(lp249113 -S'Follow\tFollow\tVB\tB-VP\tO' -p249114 -aS'up\tup\tRP\tB-PRT\tO' -p249115 -aS'with\twith\tIN\tB-PP\tO' -p249116 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p249117 -aS'Heird\tHeird\tNNP\tI-NP\tO' -p249118 -aS'in\tin\tIN\tB-PP\tO' -p249119 -aS'four\tfour\tCD\tB-NP\tO' -p249120 -aS'weeks\tweek\tNNS\tI-NP\tO' -p249121 -aS',\t,\t,\tO\tO' -p249122 -aS'671\t671\tCD\tB-NP\tO' -p249123 -aS'745\t745\tCD\tI-NP\tO' -p249124 -aS'2553\t2553\tCD\tI-NP\tO' -p249125 -asS'In addition , she had a fungal urinary tract infection treated with Amphojel bladder irrigation , which was followed by a Klebsiella urinary tract infection for which she received Levofloxacin times fourteen days .' -p249126 -(lp249127 -S'In\tIn\tIN\tB-PP\tO' -p249128 -aS'addition\taddition\tNN\tB-NP\tO' -p249129 -aS',\t,\t,\tO\tO' -p249130 -aS'she\tshe\tPRP\tB-NP\tO' -p249131 -aS'had\thave\tVBD\tB-VP\tO' -p249132 -aS'a\ta\tDT\tB-NP\tO' -p249133 -aS'fungal\tfungal\tJJ\tI-NP\tO' -p249134 -aS'urinary\turinary\tJJ\tI-NP\tO' -p249135 -aS'tract\ttract\tNN\tI-NP\tO' -p249136 -aS'infection\tinfection\tNN\tI-NP\tO' -p249137 -aS'treated\ttreat\tVBN\tB-VP\tO' -p249138 -aS'with\twith\tIN\tB-PP\tO' -p249139 -aS'Amphojel\tAmphojel\tNN\tB-NP\tO' -p249140 -aS'bladder\tbladder\tNN\tI-NP\tO' -p249141 -aS'irrigation\tirrigation\tNN\tI-NP\tO' -p249142 -aS',\t,\t,\tO\tO' -p249143 -aS'which\twhich\tWDT\tB-NP\tO' -p249144 -aS'was\tbe\tVBD\tB-VP\tO' -p249145 -aS'followed\tfollow\tVBN\tI-VP\tO' -p249146 -aS'by\tby\tIN\tB-PP\tO' -p249147 -aS'a\ta\tDT\tB-NP\tO' -p249148 -aS'Klebsiella\tKlebsiella\tNN\tI-NP\tO' -p249149 -aS'urinary\turinary\tJJ\tI-NP\tO' -p249150 -aS'tract\ttract\tNN\tI-NP\tO' -p249151 -aS'infection\tinfection\tNN\tI-NP\tO' -p249152 -aS'for\tfor\tIN\tB-PP\tO' -p249153 -aS'which\twhich\tWDT\tB-NP\tO' -p249154 -aS'she\tshe\tPRP\tB-NP\tO' -p249155 -aS'received\treceive\tVBD\tB-VP\tO' -p249156 -aS'Levofloxacin\tLevofloxacin\tNN\tB-NP\tO' -p249157 -aS'times\ttime\tNNS\tI-NP\tO' -p249158 -aS'fourteen\tfourteen\tCD\tB-NP\tO' -p249159 -aS'days\tday\tNNS\tI-NP\tO' -p249160 -aS'.\t.\t.\tO\tO' -p249161 -asS'His Foley catheter was removed and the patient was transferred to the Floor .' -p249162 -(lp249163 -S'His\tHis\tPRP$\tB-NP\tB-protein' -p249164 -aS'Foley\tFoley\tNNP\tI-NP\tO' -p249165 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p249166 -aS'was\tbe\tVBD\tB-VP\tO' -p249167 -aS'removed\tremove\tVBN\tI-VP\tO' -p249168 -aS'and\tand\tCC\tO\tO' -p249169 -aS'the\tthe\tDT\tB-NP\tO' -p249170 -aS'patient\tpatient\tNN\tI-NP\tO' -p249171 -aS'was\tbe\tVBD\tB-VP\tO' -p249172 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p249173 -aS'to\tto\tTO\tB-PP\tO' -p249174 -aS'the\tthe\tDT\tB-NP\tO' -p249175 -aS'Floor\tFloor\tNN\tI-NP\tO' -p249176 -aS'.\t.\t.\tO\tO' -p249177 -asS'Her sedimentation rate was elevated at 110 .' -p249178 -(lp249179 -S'Her\tHer\tPRP$\tB-NP\tO' -p249180 -aS'sedimentation\tsedimentation\tNN\tI-NP\tO' -p249181 -aS'rate\trate\tNN\tI-NP\tO' -p249182 -aS'was\tbe\tVBD\tB-VP\tO' -p249183 -aS'elevated\televate\tVBN\tI-VP\tO' -p249184 -aS'at\tat\tIN\tB-PP\tO' -p249185 -aS'110\t110\tCD\tB-NP\tO' -p249186 -aS'.\t.\t.\tO\tO' -p249187 -asS'2. If you have further chest pain , shortness of breath , fevers , or other symptoms which concern you , call your doctor .' -p249188 -(lp249189 -S'2.\t2.\tLS\tB-LST\tO' -p249190 -aS'If\tIf\tIN\tB-SBAR\tO' -p249191 -aS'you\tyou\tPRP\tB-NP\tO' -p249192 -aS'have\thave\tVBP\tB-VP\tO' -p249193 -aS'further\tfurther\tRBR\tB-NP\tO' -p249194 -aS'chest\tch\tJJS\tI-NP\tO' -p249195 -aS'pain\tpain\tNN\tI-NP\tO' -p249196 -aS',\t,\t,\tO\tO' -p249197 -aS'shortness\tshortness\tNN\tB-NP\tO' -p249198 -aS'of\tof\tIN\tB-PP\tO' -p249199 -aS'breath\tbreath\tNN\tB-NP\tO' -p249200 -aS',\t,\t,\tO\tO' -p249201 -aS'fevers\tfever\tNNS\tB-NP\tO' -p249202 -aS',\t,\t,\tO\tO' -p249203 -aS'or\tor\tCC\tO\tO' -p249204 -aS'other\tother\tJJ\tB-NP\tO' -p249205 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p249206 -aS'which\twhich\tWDT\tB-NP\tO' -p249207 -aS'concern\tconcern\tVBP\tB-VP\tO' -p249208 -aS'you\tyou\tPRP\tB-NP\tO' -p249209 -aS',\t,\t,\tO\tO' -p249210 -aS'call\tcall\tVB\tB-VP\tO' -p249211 -aS'your\tyour\tPRP$\tB-NP\tO' -p249212 -aS'doctor\tdoctor\tNN\tI-NP\tO' -p249213 -aS'.\t.\t.\tO\tO' -p249214 -asS'Cataract .' -p249215 -(lp249216 -S'Cataract\tCataract\tNNP\tB-NP\tO' -p249217 -aS'.\t.\t.\tO\tO' -p249218 -asS'He does not recall walking home , but he states that the way is well known to him .' -p249219 -(lp249220 -S'He\tHe\tPRP\tB-NP\tO' -p249221 -aS'does\tdo\tVBZ\tB-VP\tO' -p249222 -aS'not\tnot\tRB\tI-VP\tO' -p249223 -aS'recall\trecall\tVB\tI-VP\tO' -p249224 -aS'walking\twalk\tVBG\tI-VP\tO' -p249225 -aS'home\thome\tNN\tB-ADVP\tO' -p249226 -aS',\t,\t,\tO\tO' -p249227 -aS'but\tbut\tCC\tO\tO' -p249228 -aS'he\the\tPRP\tB-NP\tO' -p249229 -aS'states\tstate\tVBZ\tB-VP\tO' -p249230 -aS'that\tthat\tIN\tB-SBAR\tO' -p249231 -aS'the\tthe\tDT\tB-NP\tO' -p249232 -aS'way\tway\tNN\tI-NP\tO' -p249233 -aS'is\tbe\tVBZ\tB-VP\tO' -p249234 -aS'well\twell\tRB\tI-VP\tO' -p249235 -aS'known\tknow\tVBN\tI-VP\tO' -p249236 -aS'to\tto\tTO\tB-PP\tO' -p249237 -aS'him\thim\tPRP\tB-NP\tO' -p249238 -aS'.\t.\t.\tO\tO' -p249239 -asS'2. hypertension , she has had hypertension for 15 years ,' -p249240 -(lp249241 -S'2.\t2.\tLS\tB-NP\tO' -p249242 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p249243 -aS',\t,\t,\tO\tO' -p249244 -aS'she\tshe\tPRP\tB-NP\tO' -p249245 -aS'has\thave\tVBZ\tB-VP\tO' -p249246 -aS'had\thave\tVBN\tI-VP\tO' -p249247 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p249248 -aS'for\tfor\tIN\tB-PP\tO' -p249249 -aS'15\t15\tCD\tB-NP\tO' -p249250 -aS'years\tyear\tNNS\tI-NP\tO' -p249251 -aS',\t,\t,\tO\tO' -p249252 -asS'Current Smoker , history of ; Depression , history of ; Isoimmunization , Rh ; Undesired Fertility' -p249253 -(lp249254 -S'Current\tCurrent\tNNP\tB-NP\tO' -p249255 -aS'Smoker\tSmoker\tNNP\tI-NP\tO' -p249256 -aS',\t,\t,\tO\tO' -p249257 -aS'history\thistory\tNN\tB-NP\tO' -p249258 -aS'of\tof\tIN\tB-PP\tO' -p249259 -aS';\t;\t:\tO\tO' -p249260 -aS'Depression\tDepression\tNN\tB-NP\tO' -p249261 -aS',\t,\t,\tO\tO' -p249262 -aS'history\thistory\tNN\tB-NP\tO' -p249263 -aS'of\tof\tIN\tB-PP\tO' -p249264 -aS';\t;\t:\tO\tO' -p249265 -aS'Isoimmunization\tIsoimmunization\tNN\tB-NP\tO' -p249266 -aS',\t,\t,\tO\tO' -p249267 -aS'Rh\tRh\tNN\tB-NP\tO' -p249268 -aS';\t;\t:\tO\tO' -p249269 -aS'Undesired\tUndesired\tJJ\tB-NP\tO' -p249270 -aS'Fertility\tFertility\tNN\tI-NP\tO' -p249271 -asS'She was maintained on a heparin gtt for bridge to coumadin while on the floor after this was cleared by IR and urology .' -p249272 -(lp249273 -S'She\tShe\tPRP\tB-NP\tO' -p249274 -aS'was\tbe\tVBD\tB-VP\tO' -p249275 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p249276 -aS'on\ton\tIN\tB-PP\tO' -p249277 -aS'a\ta\tDT\tB-NP\tO' -p249278 -aS'heparin\theparin\tNN\tI-NP\tO' -p249279 -aS'gtt\tgtt\tNN\tI-NP\tO' -p249280 -aS'for\tfor\tIN\tB-PP\tO' -p249281 -aS'bridge\tbridge\tNN\tB-NP\tO' -p249282 -aS'to\tto\tTO\tB-PP\tO' -p249283 -aS'coumadin\tcoumadin\tNN\tB-NP\tO' -p249284 -aS'while\twhile\tIN\tB-SBAR\tO' -p249285 -aS'on\ton\tIN\tB-PP\tO' -p249286 -aS'the\tthe\tDT\tB-NP\tO' -p249287 -aS'floor\tfloor\tNN\tI-NP\tO' -p249288 -aS'after\tafter\tIN\tB-PP\tO' -p249289 -aS'this\tthis\tDT\tB-NP\tO' -p249290 -aS'was\tbe\tVBD\tB-VP\tO' -p249291 -aS'cleared\tclear\tVBN\tI-VP\tO' -p249292 -aS'by\tby\tIN\tB-PP\tO' -p249293 -aS'IR\tIR\tNN\tB-NP\tB-protein' -p249294 -aS'and\tand\tCC\tI-NP\tO' -p249295 -aS'urology\turology\tNN\tI-NP\tO' -p249296 -aS'.\t.\t.\tO\tO' -p249297 -asS"Given guaiac positive stools and the patient 's history of gastrointestinal bleed , gastroenterology consult service was contacted for possible esophagogastroduodenoscopy and/or colonoscopy ." -p249298 -(lp249299 -S'Given\tGive\tVBN\tB-PP\tO' -p249300 -aS'guaiac\tguaiac\tJJ\tB-NP\tO' -p249301 -aS'positive\tpositive\tJJ\tI-NP\tO' -p249302 -aS'stools\tstool\tNNS\tI-NP\tO' -p249303 -aS'and\tand\tCC\tO\tO' -p249304 -aS'the\tthe\tDT\tB-NP\tO' -p249305 -aS'patient\tpatient\tNN\tI-NP\tO' -p249306 -aS"'s\t's\tPOS\tB-NP\tO" -p249307 -aS'history\thistory\tNN\tI-NP\tO' -p249308 -aS'of\tof\tIN\tB-PP\tO' -p249309 -aS'gastrointestinal\tgastrointestinal\tJJ\tB-NP\tO' -p249310 -aS'bleed\tbleed\tNN\tI-NP\tO' -p249311 -aS',\t,\t,\tO\tO' -p249312 -aS'gastroenterology\tgastroenterology\tNN\tB-NP\tO' -p249313 -aS'consult\tconsult\tNN\tI-NP\tO' -p249314 -aS'service\tservice\tNN\tI-NP\tO' -p249315 -aS'was\tbe\tVBD\tB-VP\tO' -p249316 -aS'contacted\tcontact\tVBN\tI-VP\tO' -p249317 -aS'for\tfor\tIN\tB-PP\tO' -p249318 -aS'possible\tpossible\tJJ\tB-NP\tO' -p249319 -aS'esophagogastroduodenoscopy\tesophagogastroduodenoscopy\tNN\tI-NP\tO' -p249320 -aS'and/or\tand/or\tCC\tI-NP\tO' -p249321 -aS'colonoscopy\tcolonoscopy\tNN\tI-NP\tO' -p249322 -aS'.\t.\t.\tO\tO' -p249323 -asS'The patient was on subQ Heparin for DVT and ranitidine for GI prophylaxis .' -p249324 -(lp249325 -S'The\tThe\tDT\tB-NP\tO' -p249326 -aS'patient\tpatient\tNN\tI-NP\tO' -p249327 -aS'was\tbe\tVBD\tB-VP\tO' -p249328 -aS'on\ton\tIN\tB-PP\tO' -p249329 -aS'subQ\tsubQ\tNN\tB-NP\tO' -p249330 -aS'Heparin\tHeparin\tNN\tI-NP\tO' -p249331 -aS'for\tfor\tIN\tB-PP\tO' -p249332 -aS'DVT\tDVT\tNN\tB-NP\tO' -p249333 -aS'and\tand\tCC\tI-NP\tO' -p249334 -aS'ranitidine\tranitidine\tNN\tI-NP\tO' -p249335 -aS'for\tfor\tIN\tB-PP\tO' -p249336 -aS'GI\tGI\tNN\tB-NP\tO' -p249337 -aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' -p249338 -aS'.\t.\t.\tO\tO' -p249339 -asS'The ENT physicians did not recommend any procedures , incision and drainage for his right parotitis or left submandibular cervical lymph node necrosis .' -p249340 -(lp249341 -S'The\tThe\tDT\tB-NP\tO' -p249342 -aS'ENT\tENT\tJJ\tI-NP\tO' -p249343 -aS'physicians\tphysician\tNNS\tI-NP\tO' -p249344 -aS'did\tdo\tVBD\tB-VP\tO' -p249345 -aS'not\tnot\tRB\tI-VP\tO' -p249346 -aS'recommend\trecommend\tVB\tI-VP\tO' -p249347 -aS'any\tany\tDT\tB-NP\tO' -p249348 -aS'procedures\tprocedure\tNNS\tI-NP\tO' -p249349 -aS',\t,\t,\tI-NP\tO' -p249350 -aS'incision\tincision\tNN\tI-NP\tO' -p249351 -aS'and\tand\tCC\tI-NP\tO' -p249352 -aS'drainage\tdrainage\tNN\tI-NP\tO' -p249353 -aS'for\tfor\tIN\tB-PP\tO' -p249354 -aS'his\this\tPRP$\tB-NP\tO' -p249355 -aS'right\tright\tJJ\tI-NP\tO' -p249356 -aS'parotitis\tparotitis\tNN\tI-NP\tO' -p249357 -aS'or\tor\tCC\tO\tO' -p249358 -aS'left\tleave\tVBD\tB-VP\tO' -p249359 -aS'submandibular\tsubmandibular\tJJ\tB-NP\tO' -p249360 -aS'cervical\tcervical\tJJ\tI-NP\tO' -p249361 -aS'lymph\tlymph\tNN\tI-NP\tO' -p249362 -aS'node\tnode\tNN\tI-NP\tO' -p249363 -aS'necrosis\tnecrosis\tNN\tI-NP\tO' -p249364 -aS'.\t.\t.\tO\tO' -p249365 -asS'Resting regional wall motion abnormalities include inferior and inferolateral hypokinesis .' -p249366 -(lp249367 -S'Resting\tRest\tVBG\tB-VP\tO' -p249368 -aS'regional\tregional\tJJ\tB-NP\tO' -p249369 -aS'wall\twall\tNN\tI-NP\tO' -p249370 -aS'motion\tmotion\tNN\tI-NP\tO' -p249371 -aS'abnormalities\tabnormality\tNNS\tI-NP\tO' -p249372 -aS'include\tinclude\tVBP\tB-VP\tO' -p249373 -aS'inferior\tinferior\tJJ\tB-NP\tO' -p249374 -aS'and\tand\tCC\tI-NP\tO' -p249375 -aS'inferolateral\tinferolateral\tJJ\tI-NP\tO' -p249376 -aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' -p249377 -aS'.\t.\t.\tO\tO' -p249378 -asS'He does drink alcohol three drinks per day , denies any current tobacco use .' -p249379 -(lp249380 -S'He\tHe\tPRP\tB-NP\tO' -p249381 -aS'does\tdo\tVBZ\tB-VP\tO' -p249382 -aS'drink\tdrink\tVB\tI-VP\tO' -p249383 -aS'alcohol\talcohol\tNN\tB-NP\tO' -p249384 -aS'three\tthree\tCD\tB-NP\tO' -p249385 -aS'drinks\tdrink\tNNS\tI-NP\tO' -p249386 -aS'per\tper\tIN\tB-PP\tO' -p249387 -aS'day\tday\tNN\tB-NP\tO' -p249388 -aS',\t,\t,\tO\tO' -p249389 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p249390 -aS'any\tany\tDT\tB-NP\tO' -p249391 -aS'current\tcurrent\tJJ\tI-NP\tO' -p249392 -aS'tobacco\ttobacco\tNN\tI-NP\tO' -p249393 -aS'use\tuse\tNN\tI-NP\tO' -p249394 -aS'.\t.\t.\tO\tO' -p249395 -asS"She will continue her Coumadin until then and arrangements for her readmission can be made through Dr. Iceca Rhaltkaaispehbreun 's office here ." -p249396 -(lp249397 -S'She\tShe\tPRP\tB-NP\tO' -p249398 -aS'will\twill\tMD\tB-VP\tO' -p249399 -aS'continue\tcontinue\tVB\tI-VP\tO' -p249400 -aS'her\ther\tPRP$\tB-NP\tO' -p249401 -aS'Coumadin\tCoumadin\tNN\tI-NP\tO' -p249402 -aS'until\tuntil\tIN\tB-PP\tO' -p249403 -aS'then\tthen\tRB\tB-NP\tO' -p249404 -aS'and\tand\tCC\tO\tO' -p249405 -aS'arrangements\tarrangement\tNNS\tB-NP\tO' -p249406 -aS'for\tfor\tIN\tB-PP\tO' -p249407 -aS'her\ther\tPRP$\tB-NP\tO' -p249408 -aS'readmission\treadmission\tNN\tI-NP\tO' -p249409 -aS'can\tcan\tMD\tB-VP\tO' -p249410 -aS'be\tbe\tVB\tI-VP\tO' -p249411 -aS'made\tmake\tVBN\tI-VP\tO' -p249412 -aS'through\tthrough\tIN\tB-PP\tO' -p249413 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p249414 -aS'Iceca\tIceca\tNNP\tI-NP\tO' -p249415 -aS'Rhaltkaaispehbreun\tRhaltkaaispehbreun\tNNP\tI-NP\tO' -p249416 -aS"'s\t's\tPOS\tB-NP\tO" -p249417 -aS'office\toffice\tNN\tI-NP\tO' -p249418 -aS'here\there\tRB\tB-ADVP\tO' -p249419 -aS'.\t.\t.\tO\tO' -p249420 -asS'Left eye with conjunctivae injected , no exudate or pus .' -p249421 -(lp249422 -S'Left\tLeft\tJJ\tB-NP\tO' -p249423 -aS'eye\teye\tNN\tI-NP\tO' -p249424 -aS'with\twith\tIN\tB-PP\tO' -p249425 -aS'conjunctivae\tconjunctiva\tNNS\tB-NP\tO' -p249426 -aS'injected\tinject\tVBN\tB-VP\tO' -p249427 -aS',\t,\t,\tO\tO' -p249428 -aS'no\tno\tDT\tB-NP\tO' -p249429 -aS'exudate\texudate\tNN\tI-NP\tO' -p249430 -aS'or\tor\tCC\tI-NP\tO' -p249431 -aS'pus\tpus\tNN\tI-NP\tO' -p249432 -aS'.\t.\t.\tO\tO' -p249433 -asS'74 yo M with lung cancer DVT who presents with 1 day of substernal chest pain .' -p249434 -(lp249435 -S'74\t74\tCD\tB-NP\tO' -p249436 -aS'yo\tyo\tNN\tI-NP\tO' -p249437 -aS'M\tM\tNN\tI-NP\tO' -p249438 -aS'with\twith\tIN\tB-PP\tO' -p249439 -aS'lung\tlung\tNN\tB-NP\tB-protein' -p249440 -aS'cancer\tcancer\tNN\tI-NP\tI-protein' -p249441 -aS'DVT\tDVT\tNN\tI-NP\tI-protein' -p249442 -aS'who\twho\tWP\tB-NP\tI-protein' -p249443 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p249444 -aS'with\twith\tIN\tB-PP\tO' -p249445 -aS'1\t1\tCD\tB-NP\tO' -p249446 -aS'day\tday\tNN\tI-NP\tO' -p249447 -aS'of\tof\tIN\tB-PP\tO' -p249448 -aS'substernal\tsubsternal\tJJ\tB-NP\tO' -p249449 -aS'chest\tchest\tNN\tI-NP\tO' -p249450 -aS'pain\tpain\tNN\tI-NP\tO' -p249451 -aS'.\t.\t.\tO\tO' -p249452 -asS'As the patient appeared to be clinically stable , her stress dose steroids were discontinued and the patient was changed back to her home dose of Prednisone 40mg PO qd for maintenance with anticipated decrease in her blood sugars .' -p249453 -(lp249454 -S'As\tAs\tIN\tB-SBAR\tO' -p249455 -aS'the\tthe\tDT\tB-NP\tO' -p249456 -aS'patient\tpatient\tNN\tI-NP\tO' -p249457 -aS'appeared\tappear\tVBD\tB-VP\tO' -p249458 -aS'to\tto\tTO\tI-VP\tO' -p249459 -aS'be\tbe\tVB\tI-VP\tO' -p249460 -aS'clinically\tclinically\tRB\tB-ADJP\tO' -p249461 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p249462 -aS',\t,\t,\tO\tO' -p249463 -aS'her\ther\tPRP$\tB-NP\tO' -p249464 -aS'stress\tstress\tNN\tI-NP\tO' -p249465 -aS'dose\tdose\tNN\tI-NP\tO' -p249466 -aS'steroids\tsteroid\tNNS\tI-NP\tO' -p249467 -aS'were\tbe\tVBD\tB-VP\tO' -p249468 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p249469 -aS'and\tand\tCC\tO\tO' -p249470 -aS'the\tthe\tDT\tB-NP\tO' -p249471 -aS'patient\tpatient\tNN\tI-NP\tO' -p249472 -aS'was\tbe\tVBD\tB-VP\tO' -p249473 -aS'changed\tchange\tVBN\tI-VP\tO' -p249474 -aS'back\tback\tRB\tB-ADVP\tO' -p249475 -aS'to\tto\tTO\tB-PP\tO' -p249476 -aS'her\ther\tPRP$\tB-NP\tO' -p249477 -aS'home\thome\tNN\tI-NP\tO' -p249478 -aS'dose\tdose\tNN\tI-NP\tO' -p249479 -aS'of\tof\tIN\tB-PP\tO' -p249480 -aS'Prednisone\tPrednisone\tNN\tB-NP\tO' -p249481 -aS'40mg\t40mg\tCD\tI-NP\tO' -p249482 -aS'PO\tPO\tNN\tI-NP\tO' -p249483 -aS'qd\tqd\tNN\tI-NP\tO' -p249484 -aS'for\tfor\tIN\tB-PP\tO' -p249485 -aS'maintenance\tmaintenance\tNN\tB-NP\tO' -p249486 -aS'with\twith\tIN\tB-PP\tO' -p249487 -aS'anticipated\tanticipated\tJJ\tB-NP\tO' -p249488 -aS'decrease\tdecrease\tNN\tI-NP\tO' -p249489 -aS'in\tin\tIN\tB-PP\tO' -p249490 -aS'her\ther\tPRP$\tB-NP\tB-cell_type' -p249491 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p249492 -aS'sugars\tsugar\tNNS\tI-NP\tI-cell_type' -p249493 -aS'.\t.\t.\tO\tO' -p249494 -asS'No hx available at Youville Hospital Katherine , except for abdominal pain .' -p249495 -(lp249496 -S'No\tNo\tDT\tB-NP\tO' -p249497 -aS'hx\thx\tNN\tI-NP\tO' -p249498 -aS'available\tavailable\tJJ\tB-ADJP\tO' -p249499 -aS'at\tat\tIN\tB-PP\tO' -p249500 -aS'Youville\tYouville\tNNP\tB-NP\tO' -p249501 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p249502 -aS'Katherine\tKatherine\tNNP\tI-NP\tO' -p249503 -aS',\t,\t,\tO\tO' -p249504 -aS'except\texcept\tIN\tB-PP\tO' -p249505 -aS'for\tfor\tIN\tB-PP\tO' -p249506 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p249507 -aS'pain\tpain\tNN\tI-NP\tO' -p249508 -aS'.\t.\t.\tO\tO' -p249509 -asS'4. cataract surgery .' -p249510 -(lp249511 -S'4.\t4.\tLS\tB-NP\tO' -p249512 -aS'cataract\tcataract\tNN\tI-NP\tO' -p249513 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p249514 -aS'.\t.\t.\tO\tO' -p249515 -asS'Baseline blood pressure of 144/61 , heart rate of 73 , and oxygen saturation of 96% on room air .' -p249516 -(lp249517 -S'Baseline\tBaseline\tNN\tB-NP\tO' -p249518 -aS'blood\tblood\tNN\tI-NP\tO' -p249519 -aS'pressure\tpressure\tNN\tI-NP\tO' -p249520 -aS'of\tof\tIN\tB-PP\tO' -p249521 -aS'144/61\t144/61\tCD\tB-NP\tO' -p249522 -aS',\t,\t,\tO\tO' -p249523 -aS'heart\theart\tNN\tB-NP\tO' -p249524 -aS'rate\trate\tNN\tI-NP\tO' -p249525 -aS'of\tof\tIN\tB-PP\tO' -p249526 -aS'73\t73\tCD\tB-NP\tO' -p249527 -aS',\t,\t,\tO\tO' -p249528 -aS'and\tand\tCC\tO\tO' -p249529 -aS'oxygen\toxygen\tNN\tB-NP\tO' -p249530 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p249531 -aS'of\tof\tIN\tB-PP\tO' -p249532 -aS'96%\t96%\tNN\tB-NP\tO' -p249533 -aS'on\ton\tIN\tB-PP\tO' -p249534 -aS'room\troom\tNN\tB-NP\tO' -p249535 -aS'air\tair\tNN\tI-NP\tO' -p249536 -aS'.\t.\t.\tO\tO' -p249537 -asS'ALT 77 , AST 159 , amylase 153 , alkaline phosphatase 216 , total bilirubin 0.6 .' -p249538 -(lp249539 -S'ALT\tALT\tNN\tB-NP\tB-protein' -p249540 -aS'77\t77\tCD\tI-NP\tI-protein' -p249541 -aS',\t,\t,\tO\tO' -p249542 -aS'AST\tAST\tNN\tB-NP\tB-cell_line' -p249543 -aS'159\t159\tCD\tI-NP\tI-cell_line' -p249544 -aS',\t,\t,\tO\tO' -p249545 -aS'amylase\tamylase\tNN\tB-NP\tB-protein' -p249546 -aS'153\t153\tCD\tI-NP\tI-protein' -p249547 -aS',\t,\t,\tO\tO' -p249548 -aS'alkaline\talkaline\tNN\tB-NP\tO' -p249549 -aS'phosphatase\tphosphatase\tNN\tI-NP\tO' -p249550 -aS'216\t216\tCD\tI-NP\tO' -p249551 -aS',\t,\t,\tO\tO' -p249552 -aS'total\ttotal\tJJ\tB-NP\tO' -p249553 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p249554 -aS'0.6\t0.6\tCD\tI-NP\tO' -p249555 -aS'.\t.\t.\tO\tO' -p249556 -asS'3. Rhythm : No ectopy post cath/MI' -p249557 -(lp249558 -S'3.\t3.\tLS\tB-NP\tO' -p249559 -aS'Rhythm\tRhythm\tNN\tI-NP\tO' -p249560 -aS':\t:\t:\tO\tO' -p249561 -aS'No\tNo\tDT\tB-NP\tO' -p249562 -aS'ectopy\tectopy\tNN\tI-NP\tO' -p249563 -aS'post\tpost\tNN\tI-NP\tO' -p249564 -aS'cath/MI\tcath/MI\tNN\tI-NP\tO' -p249565 -asS'2. Integrilin drip .' -p249566 -(lp249567 -S'2.\t2.\tLS\tB-NP\tO' -p249568 -aS'Integrilin\tIntegrilin\tNN\tI-NP\tB-protein' -p249569 -aS'drip\tdrip\tNN\tI-NP\tI-protein' -p249570 -aS'.\t.\t.\tO\tO' -p249571 -asS'He was also noted to have axillary temperature of 100.4 and a rectal temperature of 100.9 .' -p249572 -(lp249573 -S'He\tHe\tPRP\tB-NP\tO' -p249574 -aS'was\tbe\tVBD\tB-VP\tO' -p249575 -aS'also\talso\tRB\tI-VP\tO' -p249576 -aS'noted\tnote\tVBN\tI-VP\tO' -p249577 -aS'to\tto\tTO\tI-VP\tO' -p249578 -aS'have\thave\tVB\tI-VP\tO' -p249579 -aS'axillary\taxillary\tJJ\tB-NP\tO' -p249580 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p249581 -aS'of\tof\tIN\tB-PP\tO' -p249582 -aS'100.4\t100.4\tCD\tB-NP\tO' -p249583 -aS'and\tand\tCC\tO\tO' -p249584 -aS'a\ta\tDT\tB-NP\tO' -p249585 -aS'rectal\trectal\tJJ\tI-NP\tO' -p249586 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p249587 -aS'of\tof\tIN\tB-PP\tO' -p249588 -aS'100.9\t100.9\tCD\tB-NP\tO' -p249589 -aS'.\t.\t.\tO\tO' -p249590 -asS'She will need outpatient follow up for her guiac pos stools with endoscopy vs EGD +/- H.pylori serologies .' -p249591 -(lp249592 -S'She\tShe\tPRP\tB-NP\tO' -p249593 -aS'will\twill\tMD\tB-VP\tO' -p249594 -aS'need\tneed\tVB\tI-VP\tO' -p249595 -aS'outpatient\toutpatient\tNN\tB-NP\tO' -p249596 -aS'follow\tfollow\tVB\tB-VP\tO' -p249597 -aS'up\tup\tRP\tB-PRT\tO' -p249598 -aS'for\tfor\tIN\tB-PP\tO' -p249599 -aS'her\ther\tPRP$\tB-NP\tO' -p249600 -aS'guiac\tguiac\tJJ\tI-NP\tO' -p249601 -aS'pos\tpo\tNNS\tI-NP\tO' -p249602 -aS'stools\tstool\tNNS\tI-NP\tO' -p249603 -aS'with\twith\tIN\tB-PP\tO' -p249604 -aS'endoscopy\tendoscopy\tNN\tB-NP\tO' -p249605 -aS'vs\tvs\tIN\tB-PP\tO' -p249606 -aS'EGD\tEGD\tNN\tB-NP\tO' -p249607 -aS'+/-\t+/-\tSYM\tI-NP\tO' -p249608 -aS'H.pylori\tH.pylori\tNN\tI-NP\tO' -p249609 -aS'serologies\tserology\tNNS\tI-NP\tO' -p249610 -aS'.\t.\t.\tO\tO' -p249611 -asS'The heart was bradycardic with regular rhythm , no murmurs , rubs or gallops .' -p249612 -(lp249613 -S'The\tThe\tDT\tB-NP\tO' -p249614 -aS'heart\theart\tNN\tI-NP\tO' -p249615 -aS'was\tbe\tVBD\tB-VP\tO' -p249616 -aS'bradycardic\tbradycardic\tJJ\tB-ADJP\tO' -p249617 -aS'with\twith\tIN\tB-PP\tO' -p249618 -aS'regular\tregular\tJJ\tB-NP\tO' -p249619 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p249620 -aS',\t,\t,\tO\tO' -p249621 -aS'no\tno\tDT\tB-NP\tO' -p249622 -aS'murmurs\tmurmur\tNNS\tI-NP\tO' -p249623 -aS',\t,\t,\tI-NP\tO' -p249624 -aS'rubs\trub\tNNS\tI-NP\tO' -p249625 -aS'or\tor\tCC\tI-NP\tO' -p249626 -aS'gallops\tgallop\tNNS\tI-NP\tO' -p249627 -aS'.\t.\t.\tO\tO' -p249628 -asS'She had no positive cultures during this admission .' -p249629 -(lp249630 -S'She\tShe\tPRP\tB-NP\tO' -p249631 -aS'had\thave\tVBD\tB-VP\tO' -p249632 -aS'no\tno\tDT\tB-NP\tO' -p249633 -aS'positive\tpositive\tJJ\tI-NP\tB-cell_line' -p249634 -aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' -p249635 -aS'during\tduring\tIN\tB-PP\tO' -p249636 -aS'this\tthis\tDT\tB-NP\tO' -p249637 -aS'admission\tadmission\tNN\tI-NP\tO' -p249638 -aS'.\t.\t.\tO\tO' -p249639 -asS'INR was elevated at 2.5 .' -p249640 -(lp249641 -S'INR\tINR\tNN\tB-NP\tB-protein' -p249642 -aS'was\tbe\tVBD\tB-VP\tO' -p249643 -aS'elevated\televate\tVBN\tI-VP\tO' -p249644 -aS'at\tat\tIN\tB-PP\tO' -p249645 -aS'2.5\t2.5\tCD\tB-NP\tO' -p249646 -aS'.\t.\t.\tO\tO' -p249647 -asS'3. Protonics 40 mg PO qd .' -p249648 -(lp249649 -S'3.\t3.\tLS\tB-NP\tO' -p249650 -aS'Protonics\tProtonic\tNNPS\tI-NP\tO' -p249651 -aS'40\t40\tCD\tI-NP\tO' -p249652 -aS'mg\tmg\tNN\tI-NP\tO' -p249653 -aS'PO\tPO\tNN\tI-NP\tO' -p249654 -aS'qd\tqd\tNN\tI-NP\tO' -p249655 -aS'.\t.\t.\tO\tO' -p249656 -asS'3. diarrhea : The patient has been having loose stools at night and was guiac pos x 2 .' -p249657 -(lp249658 -S'3.\t3.\tLS\tB-NP\tO' -p249659 -aS'diarrhea\tdiarrhea\tNN\tI-NP\tO' -p249660 -aS':\t:\t:\tO\tO' -p249661 -aS'The\tThe\tDT\tB-NP\tO' -p249662 -aS'patient\tpatient\tNN\tI-NP\tO' -p249663 -aS'has\thave\tVBZ\tB-VP\tO' -p249664 -aS'been\tbe\tVBN\tI-VP\tO' -p249665 -aS'having\thave\tVBG\tI-VP\tO' -p249666 -aS'loose\tloose\tJJ\tB-NP\tO' -p249667 -aS'stools\tstool\tNNS\tI-NP\tO' -p249668 -aS'at\tat\tIN\tB-PP\tO' -p249669 -aS'night\tnight\tNN\tB-NP\tO' -p249670 -aS'and\tand\tCC\tO\tO' -p249671 -aS'was\tbe\tVBD\tB-VP\tO' -p249672 -aS'guiac\tguiac\tJJ\tB-NP\tB-protein' -p249673 -aS'pos\tpo\tNNS\tI-NP\tI-protein' -p249674 -aS'x\tx\tNN\tI-NP\tI-protein' -p249675 -aS'2\t2\tCD\tI-NP\tI-protein' -p249676 -aS'.\t.\t.\tO\tO' -p249677 -asS'Uremia .' -p249678 -(lp249679 -S'Uremia\tUremia\tNNP\tB-NP\tO' -p249680 -aS'.\t.\t.\tO\tO' -p249681 -asS'Patient initially given 2 mg of Narcan , 4 amps of sodium bicarb , and 5 grams of activated charcoal .' -p249682 -(lp249683 -S'Patient\tPatient\tNN\tB-NP\tO' -p249684 -aS'initially\tinitially\tRB\tB-VP\tO' -p249685 -aS'given\tgive\tVBN\tI-VP\tO' -p249686 -aS'2\t2\tCD\tB-NP\tO' -p249687 -aS'mg\tmg\tNN\tI-NP\tO' -p249688 -aS'of\tof\tIN\tB-PP\tO' -p249689 -aS'Narcan\tNarcan\tNNP\tB-NP\tO' -p249690 -aS',\t,\t,\tO\tO' -p249691 -aS'4\t4\tCD\tB-NP\tO' -p249692 -aS'amps\tamp\tNNS\tI-NP\tO' -p249693 -aS'of\tof\tIN\tB-PP\tO' -p249694 -aS'sodium\tsodium\tNN\tB-NP\tO' -p249695 -aS'bicarb\tbicarb\tNN\tI-NP\tO' -p249696 -aS',\t,\t,\tO\tO' -p249697 -aS'and\tand\tCC\tO\tO' -p249698 -aS'5\t5\tCD\tB-NP\tO' -p249699 -aS'grams\tgram\tNNS\tI-NP\tO' -p249700 -aS'of\tof\tIN\tB-PP\tO' -p249701 -aS'activated\tactivate\tVBN\tB-NP\tO' -p249702 -aS'charcoal\tcharcoal\tNN\tI-NP\tO' -p249703 -aS'.\t.\t.\tO\tO' -p249704 -asS'Discharge Instructions : patient passed away' -p249705 -(lp249706 -S'Discharge\tDischarge\tNNP\tB-NP\tO' -p249707 -aS'Instructions\tInstruction\tNNPS\tI-NP\tO' -p249708 -aS':\t:\t:\tO\tO' -p249709 -aS'patient\tpatient\tNN\tB-NP\tO' -p249710 -aS'passed\tpass\tVBD\tB-VP\tO' -p249711 -aS'away\taway\tRB\tB-ADVP\tO' -p249712 -asS'A small left pleural effusion ?' -p249713 -(lp249714 -S'A\tA\tDT\tB-NP\tO' -p249715 -aS'small\tsmall\tJJ\tI-NP\tO' -p249716 -aS'left\tleft\tJJ\tI-NP\tO' -p249717 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p249718 -aS'effusion\teffusion\tNN\tI-NP\tO' -p249719 -aS'?\t?\t.\tO\tO' -p249720 -asS'Cardiac catheterization showed an ejection fraction of 50% , left ventricular end diastolic pressure of 20 , 90% left anterior descending lesion , 80% left circumflex lesion , 80% mid right coronary artery lesion and 80% distal right coronary artery lesion .' -p249721 -(lp249722 -S'Cardiac\tCardiac\tJJ\tB-NP\tO' -p249723 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p249724 -aS'showed\tshow\tVBD\tB-VP\tO' -p249725 -aS'an\tan\tDT\tB-NP\tO' -p249726 -aS'ejection\tejection\tNN\tI-NP\tO' -p249727 -aS'fraction\tfraction\tNN\tI-NP\tO' -p249728 -aS'of\tof\tIN\tB-PP\tO' -p249729 -aS'50%\t50%\tCD\tB-NP\tO' -p249730 -aS',\t,\t,\tO\tO' -p249731 -aS'left\tleave\tVBD\tB-VP\tO' -p249732 -aS'ventricular\tventricular\tJJ\tB-NP\tO' -p249733 -aS'end\tend\tNN\tI-NP\tO' -p249734 -aS'diastolic\tdiastolic\tJJ\tI-NP\tO' -p249735 -aS'pressure\tpressure\tNN\tI-NP\tO' -p249736 -aS'of\tof\tIN\tB-PP\tO' -p249737 -aS'20\t20\tCD\tB-NP\tO' -p249738 -aS',\t,\t,\tI-NP\tO' -p249739 -aS'90%\t90%\tCD\tI-NP\tO' -p249740 -aS'left\tleave\tVBD\tB-VP\tO' -p249741 -aS'anterior\tanterior\tRB\tI-VP\tO' -p249742 -aS'descending\tdescend\tVBG\tI-VP\tO' -p249743 -aS'lesion\tlesion\tNN\tB-NP\tO' -p249744 -aS',\t,\t,\tO\tO' -p249745 -aS'80%\t80%\tCD\tB-NP\tO' -p249746 -aS'left\tleave\tVBD\tB-VP\tO' -p249747 -aS'circumflex\tcircumflex\tNN\tB-NP\tO' -p249748 -aS'lesion\tlesion\tNN\tI-NP\tO' -p249749 -aS',\t,\t,\tO\tO' -p249750 -aS'80%\t80%\tCD\tB-NP\tO' -p249751 -aS'mid\tmid\tJJ\tI-NP\tO' -p249752 -aS'right\tright\tJJ\tI-NP\tO' -p249753 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p249754 -aS'artery\tartery\tNN\tI-NP\tO' -p249755 -aS'lesion\tlesion\tNN\tI-NP\tO' -p249756 -aS'and\tand\tCC\tO\tO' -p249757 -aS'80%\t80%\tCD\tB-NP\tO' -p249758 -aS'distal\tdistal\tJJ\tI-NP\tO' -p249759 -aS'right\tright\tJJ\tI-NP\tO' -p249760 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p249761 -aS'artery\tartery\tNN\tI-NP\tO' -p249762 -aS'lesion\tlesion\tNN\tI-NP\tO' -p249763 -aS'.\t.\t.\tO\tO' -p249764 -asS'Will need to renally dose all medications .' -p249765 -(lp249766 -S'Will\tWill\tMD\tB-VP\tO' -p249767 -aS'need\tneed\tVB\tI-VP\tO' -p249768 -aS'to\tto\tTO\tB-VP\tO' -p249769 -aS'renally\trenally\tRB\tI-VP\tO' -p249770 -aS'dose\tdose\tVB\tI-VP\tO' -p249771 -aS'all\tall\tDT\tB-NP\tO' -p249772 -aS'medications\tmedication\tNNS\tI-NP\tO' -p249773 -aS'.\t.\t.\tO\tO' -p249774 -asS'4.) Furosemide 10 mg every other day' -p249775 -(lp249776 -S'4.)\t4.)\tLS\tB-NP\tO' -p249777 -aS'Furosemide\tFurosemide\tNN\tI-NP\tO' -p249778 -aS'10\t10\tCD\tI-NP\tO' -p249779 -aS'mg\tmg\tNN\tI-NP\tO' -p249780 -aS'every\tevery\tDT\tB-NP\tO' -p249781 -aS'other\tother\tJJ\tI-NP\tO' -p249782 -aS'day\tday\tNN\tI-NP\tO' -p249783 -asS'II: Pupils equally round and reactive to light , 3to 2 mm bilaterally .' -p249784 -(lp249785 -S'II:\tII:\tJJ\tB-NP\tB-protein' -p249786 -aS'Pupils\tPupil\tNNS\tI-NP\tI-protein' -p249787 -aS'equally\tequally\tRB\tB-ADJP\tO' -p249788 -aS'round\tround\tJJ\tI-ADJP\tO' -p249789 -aS'and\tand\tCC\tI-ADJP\tO' -p249790 -aS'reactive\treactive\tJJ\tI-ADJP\tO' -p249791 -aS'to\tto\tTO\tB-PP\tO' -p249792 -aS'light\tlight\tJJ\tB-ADJP\tO' -p249793 -aS',\t,\t,\tO\tO' -p249794 -aS'3to\t3to\tCD\tB-NP\tO' -p249795 -aS'2\t2\tCD\tI-NP\tO' -p249796 -aS'mm\tmm\tNN\tI-NP\tO' -p249797 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p249798 -aS'.\t.\t.\tO\tO' -p249799 -asS'Bactrim SS 1 tab q. Day .' -p249800 -(lp249801 -S'Bactrim\tBactrim\tJJ\tB-NP\tO' -p249802 -aS'SS\tSS\tNN\tI-NP\tO' -p249803 -aS'1\t1\tCD\tI-NP\tO' -p249804 -aS'tab\ttab\tNN\tI-NP\tO' -p249805 -aS'q.\tq.\tNN\tI-NP\tO' -p249806 -aS'Day\tDay\tNNP\tI-NP\tO' -p249807 -aS'.\t.\t.\tO\tO' -p249808 -asS'( R ) Patient had no events on tele .' -p249809 -(lp249810 -S'(\t(\t(\tO\tO' -p249811 -aS'R\tR\tNN\tB-NP\tO' -p249812 -aS')\t)\t)\tO\tO' -p249813 -aS'Patient\tPatient\tNN\tB-NP\tO' -p249814 -aS'had\thave\tVBD\tB-VP\tO' -p249815 -aS'no\tno\tDT\tB-NP\tO' -p249816 -aS'events\tevent\tNNS\tI-NP\tO' -p249817 -aS'on\ton\tIN\tB-PP\tO' -p249818 -aS'tele\ttele\tNN\tB-NP\tO' -p249819 -aS'.\t.\t.\tO\tO' -p249820 -asS'She had no other complaints by examination .' -p249821 -(lp249822 -S'She\tShe\tPRP\tB-NP\tO' -p249823 -aS'had\thave\tVBD\tB-VP\tO' -p249824 -aS'no\tno\tDT\tB-NP\tO' -p249825 -aS'other\tother\tJJ\tI-NP\tO' -p249826 -aS'complaints\tcomplaint\tNNS\tI-NP\tO' -p249827 -aS'by\tby\tIN\tB-PP\tO' -p249828 -aS'examination\texamination\tNN\tB-NP\tO' -p249829 -aS'.\t.\t.\tO\tO' -p249830 -asS'Respiratory rate was 17 .' -p249831 -(lp249832 -S'Respiratory\tRespiratory\tJJ\tB-NP\tO' -p249833 -aS'rate\trate\tNN\tI-NP\tO' -p249834 -aS'was\tbe\tVBD\tB-VP\tO' -p249835 -aS'17\t17\tCD\tB-NP\tO' -p249836 -aS'.\t.\t.\tO\tO' -p249837 -asS'The patient is a 30 -year-old Gravida III , Para II who presented desiring definitive surgical sterilization .' -p249838 -(lp249839 -S'The\tThe\tDT\tB-NP\tO' -p249840 -aS'patient\tpatient\tNN\tI-NP\tO' -p249841 -aS'is\tbe\tVBZ\tB-VP\tO' -p249842 -aS'a\ta\tDT\tB-NP\tO' -p249843 -aS'30\t30\tCD\tI-NP\tO' -p249844 -aS'-year-old\t-year-old\tJJ\tI-NP\tO' -p249845 -aS'Gravida\tGravida\tNN\tI-NP\tO' -p249846 -aS'III\tIII\tCD\tI-NP\tO' -p249847 -aS',\t,\t,\tO\tO' -p249848 -aS'Para\tPara\tNNP\tB-NP\tO' -p249849 -aS'II\tII\tNNP\tI-NP\tO' -p249850 -aS'who\twho\tWP\tB-NP\tO' -p249851 -aS'presented\tpresent\tVBD\tB-VP\tO' -p249852 -aS'desiring\tdesire\tVBG\tI-VP\tO' -p249853 -aS'definitive\tdefinitive\tJJ\tB-NP\tO' -p249854 -aS'surgical\tsurgical\tJJ\tI-NP\tO' -p249855 -aS'sterilization\tsterilization\tNN\tI-NP\tO' -p249856 -aS'.\t.\t.\tO\tO' -p249857 -asS'Apgars were nine and nine .' -p249858 -(lp249859 -S'Apgars\tApgar\tNNS\tB-NP\tO' -p249860 -aS'were\tbe\tVBD\tB-VP\tO' -p249861 -aS'nine\tnine\tCD\tB-NP\tO' -p249862 -aS'and\tand\tCC\tI-NP\tO' -p249863 -aS'nine\tnine\tCD\tI-NP\tO' -p249864 -aS'.\t.\t.\tO\tO' -p249865 -asS'Not yet received .' -p249866 -(lp249867 -S'Not\tNot\tRB\tB-VP\tO' -p249868 -aS'yet\tyet\tRB\tI-VP\tO' -p249869 -aS'received\treceive\tVBN\tI-VP\tO' -p249870 -aS'.\t.\t.\tO\tO' -p249871 -asS'The left anterior communicating artery fell from the right .' -p249872 -(lp249873 -S'The\tThe\tDT\tB-NP\tO' -p249874 -aS'left\tleft\tJJ\tI-NP\tO' -p249875 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p249876 -aS'communicating\tcommunicate\tVBG\tI-NP\tO' -p249877 -aS'artery\tartery\tNN\tI-NP\tO' -p249878 -aS'fell\tfall\tVBD\tB-VP\tO' -p249879 -aS'from\tfrom\tIN\tB-PP\tO' -p249880 -aS'the\tthe\tDT\tB-NP\tO' -p249881 -aS'right\tright\tNN\tI-NP\tO' -p249882 -aS'.\t.\t.\tO\tO' -p249883 -asS'He should also follow up with Dr. Rankin and Dr. Langhorne .' -p249884 -(lp249885 -S'He\tHe\tPRP\tB-NP\tO' -p249886 -aS'should\tshould\tMD\tB-VP\tO' -p249887 -aS'also\talso\tRB\tI-VP\tO' -p249888 -aS'follow\tfollow\tVB\tI-VP\tO' -p249889 -aS'up\tup\tRP\tB-PRT\tO' -p249890 -aS'with\twith\tIN\tB-PP\tO' -p249891 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p249892 -aS'Rankin\tRankin\tNNP\tI-NP\tO' -p249893 -aS'and\tand\tCC\tO\tO' -p249894 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p249895 -aS'Langhorne\tLanghorne\tNNP\tI-NP\tO' -p249896 -aS'.\t.\t.\tO\tO' -p249897 -asS'Her blood pressure was noted to be up to 220/110 .' -p249898 -(lp249899 -S'Her\tHer\tPRP$\tB-NP\tO' -p249900 -aS'blood\tblood\tNN\tI-NP\tO' -p249901 -aS'pressure\tpressure\tNN\tI-NP\tO' -p249902 -aS'was\tbe\tVBD\tB-VP\tO' -p249903 -aS'noted\tnote\tVBN\tI-VP\tO' -p249904 -aS'to\tto\tTO\tI-VP\tO' -p249905 -aS'be\tbe\tVB\tI-VP\tO' -p249906 -aS'up\tup\tIN\tB-PP\tO' -p249907 -aS'to\tto\tTO\tB-PP\tO' -p249908 -aS'220/110\t220/110\tCD\tB-NP\tO' -p249909 -aS'.\t.\t.\tO\tO' -p249910 -asS'Occasional alcohol use .' -p249911 -(lp249912 -S'Occasional\tOccasional\tJJ\tB-NP\tO' -p249913 -aS'alcohol\talcohol\tNN\tI-NP\tO' -p249914 -aS'use\tuse\tNN\tI-NP\tO' -p249915 -aS'.\t.\t.\tO\tO' -p249916 -asS'Total abdominal hysterectomy , bilateral salpingo oophorectomy 2-19-91 by Dr. Lako Coma .' -p249917 -(lp249918 -S'Total\tTotal\tJJ\tB-NP\tO' -p249919 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p249920 -aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' -p249921 -aS',\t,\t,\tO\tO' -p249922 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p249923 -aS'salpingo\tsalpingo\tNN\tI-NP\tO' -p249924 -aS'oophorectomy\toophorectomy\tNN\tI-NP\tO' -p249925 -aS'2-19-91\t2-19-91\tCD\tI-NP\tO' -p249926 -aS'by\tby\tIN\tB-PP\tO' -p249927 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p249928 -aS'Lako\tLako\tNNP\tI-NP\tO' -p249929 -aS'Coma\tComa\tNNP\tI-NP\tO' -p249930 -aS'.\t.\t.\tO\tO' -p249931 -asS'Critical aortic stenosis , status post aortic valve replacement .' -p249932 -(lp249933 -S'Critical\tCritical\tJJ\tB-NP\tO' -p249934 -aS'aortic\taortic\tJJ\tI-NP\tO' -p249935 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p249936 -aS',\t,\t,\tO\tO' -p249937 -aS'status\tstatus\tNN\tB-NP\tO' -p249938 -aS'post\tpost\tNN\tI-NP\tO' -p249939 -aS'aortic\taortic\tJJ\tI-NP\tO' -p249940 -aS'valve\tvalve\tNN\tI-NP\tO' -p249941 -aS'replacement\treplacement\tNN\tI-NP\tO' -p249942 -aS'.\t.\t.\tO\tO' -p249943 -asS'Equivocal cogwheeling on the right , normal tone on the left .' -p249944 -(lp249945 -S'Equivocal\tEquivocal\tJJ\tB-NP\tO' -p249946 -aS'cogwheeling\tcogwheeling\tNN\tI-NP\tO' -p249947 -aS'on\ton\tIN\tB-PP\tO' -p249948 -aS'the\tthe\tDT\tB-NP\tO' -p249949 -aS'right\tright\tJJ\tI-NP\tO' -p249950 -aS',\t,\t,\tI-NP\tO' -p249951 -aS'normal\tnormal\tJJ\tI-NP\tO' -p249952 -aS'tone\ttone\tNN\tI-NP\tO' -p249953 -aS'on\ton\tIN\tB-PP\tO' -p249954 -aS'the\tthe\tDT\tB-NP\tO' -p249955 -aS'left\tleft\tNN\tI-NP\tO' -p249956 -aS'.\t.\t.\tO\tO' -p249957 -asS'Admission lactate was 0.8 .' -p249958 -(lp249959 -S'Admission\tAdmission\tNN\tB-NP\tO' -p249960 -aS'lactate\tlactate\tNN\tI-NP\tO' -p249961 -aS'was\tbe\tVBD\tB-VP\tO' -p249962 -aS'0.8\t0.8\tCD\tB-NP\tO' -p249963 -aS'.\t.\t.\tO\tO' -p249964 -asS'Her calculated fractional excretion of sodium was 0.13 percent suggesting a prerenal cause .' -p249965 -(lp249966 -S'Her\tHer\tPRP$\tB-NP\tO' -p249967 -aS'calculated\tcalculate\tVBN\tI-NP\tO' -p249968 -aS'fractional\tfractional\tJJ\tI-NP\tO' -p249969 -aS'excretion\texcretion\tNN\tI-NP\tO' -p249970 -aS'of\tof\tIN\tB-PP\tO' -p249971 -aS'sodium\tsodium\tNN\tB-NP\tO' -p249972 -aS'was\tbe\tVBD\tB-VP\tO' -p249973 -aS'0.13\t0.13\tCD\tB-NP\tO' -p249974 -aS'percent\tpercent\tNN\tI-NP\tO' -p249975 -aS'suggesting\tsuggest\tVBG\tB-VP\tO' -p249976 -aS'a\ta\tDT\tB-NP\tO' -p249977 -aS'prerenal\tprerenal\tJJ\tI-NP\tO' -p249978 -aS'cause\tcause\tNN\tI-NP\tO' -p249979 -aS'.\t.\t.\tO\tO' -p249980 -asS'No major vascular territorial infarction is identified .' -p249981 -(lp249982 -S'No\tNo\tDT\tB-NP\tO' -p249983 -aS'major\tmajor\tJJ\tI-NP\tO' -p249984 -aS'vascular\tvascular\tJJ\tI-NP\tO' -p249985 -aS'territorial\tterritorial\tNN\tI-NP\tO' -p249986 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p249987 -aS'is\tbe\tVBZ\tB-VP\tO' -p249988 -aS'identified\tidentify\tVBN\tI-VP\tO' -p249989 -aS'.\t.\t.\tO\tO' -p249990 -asS'Heart sounds were normal .' -p249991 -(lp249992 -S'Heart\tHeart\tNN\tB-NP\tO' -p249993 -aS'sounds\tsound\tNNS\tI-NP\tO' -p249994 -aS'were\tbe\tVBD\tB-VP\tO' -p249995 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p249996 -aS'.\t.\t.\tO\tO' -p249997 -asS'3. Digoxin , 0.125 mg. , intravenously , qD .' -p249998 -(lp249999 -S'3.\t3.\tLS\tB-NP\tO' -p250000 -aS'Digoxin\tDigoxin\tNN\tI-NP\tO' -p250001 -aS',\t,\t,\tO\tO' -p250002 -aS'0.125\t0.125\tCD\tB-NP\tO' -p250003 -aS'mg.\tmg.\tNN\tI-NP\tO' -p250004 -aS',\t,\t,\tO\tO' -p250005 -aS'intravenously\tintravenously\tRB\tB-ADVP\tO' -p250006 -aS',\t,\t,\tO\tO' -p250007 -aS'qD\tqD\tNN\tB-NP\tO' -p250008 -aS'.\t.\t.\tO\tO' -p250009 -asS'Ears-the tympanic membranes were clear with no hemorrhage at the time of admission .' -p250010 -(lp250011 -S'Ears-the\tEars-the\tJJ\tB-NP\tO' -p250012 -aS'tympanic\ttympanic\tJJ\tI-NP\tO' -p250013 -aS'membranes\tmembrane\tNNS\tI-NP\tO' -p250014 -aS'were\tbe\tVBD\tB-VP\tO' -p250015 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p250016 -aS'with\twith\tIN\tB-PP\tO' -p250017 -aS'no\tno\tDT\tB-NP\tO' -p250018 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p250019 -aS'at\tat\tIN\tB-PP\tO' -p250020 -aS'the\tthe\tDT\tB-NP\tO' -p250021 -aS'time\ttime\tNN\tI-NP\tO' -p250022 -aS'of\tof\tIN\tB-PP\tO' -p250023 -aS'admission\tadmission\tNN\tB-NP\tO' -p250024 -aS'.\t.\t.\tO\tO' -p250025 -asS'The patient 's rhythm degenerated to ventricular tachycardia and he was shocked , initially without response but after several doses of Epinephine , one-half mg. of Atropine and a bolus of Lidocaine we were able to obtain a blood pressure and rhythm only briefly , and quickly deteriorated back to ventricular fibrillation .' -p250026 -(lp250027 -S'The\tThe\tDT\tB-NP\tO' -p250028 -aS'patient\tpatient\tNN\tI-NP\tO' -p250029 -aS''s\t'\tNNS\tI-NP\tO' -p250030 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p250031 -aS'degenerated\tdegenerate\tVBD\tB-VP\tO' -p250032 -aS'to\tto\tTO\tB-PP\tO' -p250033 -aS'ventricular\tventricular\tJJ\tB-NP\tO' -p250034 -aS'tachycardia\ttachycardia\tNN\tI-NP\tO' -p250035 -aS'and\tand\tCC\tO\tO' -p250036 -aS'he\the\tPRP\tB-NP\tO' -p250037 -aS'was\tbe\tVBD\tB-VP\tO' -p250038 -aS'shocked\tshock\tVBN\tI-VP\tO' -p250039 -aS',\t,\t,\tO\tO' -p250040 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p250041 -aS'without\twithout\tIN\tB-PP\tO' -p250042 -aS'response\tresponse\tNN\tB-NP\tO' -p250043 -aS'but\tbut\tCC\tB-PP\tO' -p250044 -aS'after\tafter\tIN\tB-PP\tO' -p250045 -aS'several\tseveral\tJJ\tB-NP\tO' -p250046 -aS'doses\tdose\tNNS\tI-NP\tO' -p250047 -aS'of\tof\tIN\tB-PP\tO' -p250048 -aS'Epinephine\tEpinephine\tNN\tB-NP\tO' -p250049 -aS',\t,\t,\tO\tO' -p250050 -aS'one-half\tone-half\tJJ\tB-NP\tO' -p250051 -aS'mg.\tmg.\tNN\tI-NP\tO' -p250052 -aS'of\tof\tIN\tB-PP\tO' -p250053 -aS'Atropine\tAtropine\tNN\tB-NP\tO' -p250054 -aS'and\tand\tCC\tO\tO' -p250055 -aS'a\ta\tDT\tB-NP\tO' -p250056 -aS'bolus\tbolus\tNN\tI-NP\tO' -p250057 -aS'of\tof\tIN\tB-PP\tO' -p250058 -aS'Lidocaine\tLidocaine\tNN\tB-NP\tO' -p250059 -aS'we\twe\tPRP\tB-NP\tO' -p250060 -aS'were\tbe\tVBD\tB-VP\tO' -p250061 -aS'able\table\tJJ\tB-ADJP\tO' -p250062 -aS'to\tto\tTO\tB-VP\tO' -p250063 -aS'obtain\tobtain\tVB\tI-VP\tO' -p250064 -aS'a\ta\tDT\tB-NP\tO' -p250065 -aS'blood\tblood\tNN\tI-NP\tO' -p250066 -aS'pressure\tpressure\tNN\tI-NP\tO' -p250067 -aS'and\tand\tCC\tI-NP\tO' -p250068 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p250069 -aS'only\tonly\tRB\tB-ADVP\tO' -p250070 -aS'briefly\tbriefly\tRB\tI-ADVP\tO' -p250071 -aS',\t,\t,\tO\tO' -p250072 -aS'and\tand\tCC\tO\tO' -p250073 -aS'quickly\tquickly\tRB\tB-VP\tO' -p250074 -aS'deteriorated\tdeteriorate\tVBD\tI-VP\tO' -p250075 -aS'back\tback\tRB\tB-ADVP\tO' -p250076 -aS'to\tto\tTO\tB-PP\tO' -p250077 -aS'ventricular\tventricular\tJJ\tB-NP\tO' -p250078 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p250079 -aS'.\t.\t.\tO\tO' -p250080 -asS'No true source found .' -p250081 -(lp250082 -S'No\tNo\tDT\tB-NP\tO' -p250083 -aS'true\ttrue\tJJ\tI-NP\tO' -p250084 -aS'source\tsource\tNN\tI-NP\tO' -p250085 -aS'found\tfind\tVBN\tB-VP\tO' -p250086 -aS'.\t.\t.\tO\tO' -p250087 -asS'The popliteal pulse on the right side was diminished .' -p250088 -(lp250089 -S'The\tThe\tDT\tB-NP\tO' -p250090 -aS'popliteal\tpopliteal\tJJ\tI-NP\tO' -p250091 -aS'pulse\tpulse\tNN\tI-NP\tO' -p250092 -aS'on\ton\tIN\tB-PP\tO' -p250093 -aS'the\tthe\tDT\tB-NP\tO' -p250094 -aS'right\tright\tJJ\tI-NP\tO' -p250095 -aS'side\tside\tNN\tI-NP\tO' -p250096 -aS'was\tbe\tVBD\tB-VP\tO' -p250097 -aS'diminished\tdiminish\tVBN\tI-VP\tO' -p250098 -aS'.\t.\t.\tO\tO' -p250099 -asS'1. Lovenox 1 mg per kilogram subcutaneously b.i.d.' -p250100 -(lp250101 -S'1.\t1.\tLS\tB-LST\tO' -p250102 -aS'Lovenox\tLovenox\tNN\tB-NP\tO' -p250103 -aS'1\t1\tCD\tI-NP\tO' -p250104 -aS'mg\tmg\tNN\tI-NP\tO' -p250105 -aS'per\tper\tIN\tB-PP\tO' -p250106 -aS'kilogram\tkilogram\tNN\tB-NP\tO' -p250107 -aS'subcutaneously\tsubcutaneously\tRB\tB-ADVP\tO' -p250108 -aS'b.i.d.\tb.i.d.\tRB\tB-ADVP\tO' -p250109 -asS'The EKG showed normal sinus rhythm at 83 , with an 11 degree axis , non-specific ST-T wave changes .' -p250110 -(lp250111 -S'The\tThe\tDT\tB-NP\tO' -p250112 -aS'EKG\tEKG\tNN\tI-NP\tB-protein' -p250113 -aS'showed\tshow\tVBD\tB-VP\tO' -p250114 -aS'normal\tnormal\tJJ\tB-NP\tO' -p250115 -aS'sinus\tsinus\tNN\tI-NP\tO' -p250116 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p250117 -aS'at\tat\tIN\tB-PP\tO' -p250118 -aS'83\t83\tCD\tB-NP\tO' -p250119 -aS',\t,\t,\tO\tO' -p250120 -aS'with\twith\tIN\tB-PP\tO' -p250121 -aS'an\tan\tDT\tB-NP\tO' -p250122 -aS'11\t11\tCD\tI-NP\tO' -p250123 -aS'degree\tdegree\tNN\tI-NP\tO' -p250124 -aS'axis\taxis\tNN\tI-NP\tO' -p250125 -aS',\t,\t,\tO\tO' -p250126 -aS'non-specific\tnon-specific\tJJ\tB-NP\tO' -p250127 -aS'ST-T\tST-T\tNN\tI-NP\tO' -p250128 -aS'wave\twave\tNN\tI-NP\tO' -p250129 -aS'changes\tchange\tNNS\tI-NP\tO' -p250130 -aS'.\t.\t.\tO\tO' -p250131 -asS'The initial bandemia would not have been consistent with a typical influenza presentation , so she was continued on a fourteen day course of Levaquin to eliminate any possibility of a bacterial superinfection or early pneumonia .' -p250132 -(lp250133 -S'The\tThe\tDT\tB-NP\tO' -p250134 -aS'initial\tinitial\tJJ\tI-NP\tO' -p250135 -aS'bandemia\tbandemia\tNN\tI-NP\tO' -p250136 -aS'would\twould\tMD\tB-VP\tO' -p250137 -aS'not\tnot\tRB\tI-VP\tO' -p250138 -aS'have\thave\tVB\tI-VP\tO' -p250139 -aS'been\tbe\tVBN\tI-VP\tO' -p250140 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p250141 -aS'with\twith\tIN\tB-PP\tO' -p250142 -aS'a\ta\tDT\tB-NP\tO' -p250143 -aS'typical\ttypical\tJJ\tI-NP\tO' -p250144 -aS'influenza\tinfluenza\tNN\tI-NP\tO' -p250145 -aS'presentation\tpresentation\tNN\tI-NP\tO' -p250146 -aS',\t,\t,\tO\tO' -p250147 -aS'so\tso\tIN\tB-SBAR\tO' -p250148 -aS'she\tshe\tPRP\tB-NP\tO' -p250149 -aS'was\tbe\tVBD\tB-VP\tO' -p250150 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p250151 -aS'on\ton\tIN\tB-PP\tO' -p250152 -aS'a\ta\tDT\tB-NP\tO' -p250153 -aS'fourteen\tfourteen\tCD\tI-NP\tO' -p250154 -aS'day\tday\tNN\tI-NP\tO' -p250155 -aS'course\tcourse\tNN\tI-NP\tO' -p250156 -aS'of\tof\tIN\tB-PP\tO' -p250157 -aS'Levaquin\tLevaquin\tNNP\tB-NP\tO' -p250158 -aS'to\tto\tTO\tB-VP\tO' -p250159 -aS'eliminate\teliminate\tVB\tI-VP\tO' -p250160 -aS'any\tany\tDT\tB-NP\tO' -p250161 -aS'possibility\tpossibility\tNN\tI-NP\tO' -p250162 -aS'of\tof\tIN\tB-PP\tO' -p250163 -aS'a\ta\tDT\tB-NP\tO' -p250164 -aS'bacterial\tbacterial\tJJ\tI-NP\tO' -p250165 -aS'superinfection\tsuperinfection\tNN\tI-NP\tO' -p250166 -aS'or\tor\tCC\tO\tO' -p250167 -aS'early\tearly\tJJ\tB-NP\tO' -p250168 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p250169 -aS'.\t.\t.\tO\tO' -p250170 -asS'Lung examination at that point showed good air entry , no wheezing , coarse breath sounds throughout .' -p250171 -(lp250172 -S'Lung\tLung\tNN\tB-NP\tO' -p250173 -aS'examination\texamination\tNN\tI-NP\tO' -p250174 -aS'at\tat\tIN\tB-PP\tO' -p250175 -aS'that\tthat\tDT\tB-NP\tO' -p250176 -aS'point\tpoint\tNN\tI-NP\tO' -p250177 -aS'showed\tshow\tVBD\tB-VP\tO' -p250178 -aS'good\tgood\tJJ\tB-NP\tO' -p250179 -aS'air\tair\tNN\tI-NP\tO' -p250180 -aS'entry\tentry\tNN\tI-NP\tO' -p250181 -aS',\t,\t,\tO\tO' -p250182 -aS'no\tno\tDT\tB-NP\tO' -p250183 -aS'wheezing\twheezing\tNN\tI-NP\tO' -p250184 -aS',\t,\t,\tO\tO' -p250185 -aS'coarse\tcoarse\tNN\tB-NP\tO' -p250186 -aS'breath\tbreath\tNN\tI-NP\tO' -p250187 -aS'sounds\tsound\tVBZ\tB-VP\tO' -p250188 -aS'throughout\tthroughout\tIN\tB-ADVP\tO' -p250189 -aS'.\t.\t.\tO\tO' -p250190 -asS'3. Proteinuria .' -p250191 -(lp250192 -S'3.\t3.\tLS\tB-LST\tO' -p250193 -aS'Proteinuria\tProteinuria\tNNP\tB-NP\tO' -p250194 -aS'.\t.\t.\tO\tO' -p250195 -asS'Laboratory studies on admission demonstrated a sodium of 144 , potassium 4.1 , chloride 106 , bicarbonate 20.0 , BUN and creatinine 12/0.7 , glucose 99 , white blood count of 5.7 , hematocrit of 40.6 , platelet count of 226 , prothrombin time was 9.4 , partial thromboplastin time was 29 .' -p250196 -(lp250197 -S'Laboratory\tLaboratory\tNN\tB-NP\tO' -p250198 -aS'studies\tstudy\tNNS\tI-NP\tO' -p250199 -aS'on\ton\tIN\tB-PP\tO' -p250200 -aS'admission\tadmission\tNN\tB-NP\tO' -p250201 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p250202 -aS'a\ta\tDT\tB-NP\tO' -p250203 -aS'sodium\tsodium\tNN\tI-NP\tO' -p250204 -aS'of\tof\tIN\tB-PP\tO' -p250205 -aS'144\t144\tCD\tB-NP\tO' -p250206 -aS',\t,\t,\tO\tO' -p250207 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p250208 -aS'4.1\t4.1\tCD\tI-NP\tO' -p250209 -aS',\t,\t,\tO\tO' -p250210 -aS'chloride\tchloride\tNN\tB-NP\tO' -p250211 -aS'106\t106\tCD\tI-NP\tO' -p250212 -aS',\t,\t,\tO\tO' -p250213 -aS'bicarbonate\tbicarbonate\tNN\tB-NP\tB-protein' -p250214 -aS'20.0\t20.0\tCD\tI-NP\tI-protein' -p250215 -aS',\t,\t,\tO\tO' -p250216 -aS'BUN\tBUN\tNN\tB-NP\tB-protein' -p250217 -aS'and\tand\tCC\tO\tO' -p250218 -aS'creatinine\tcreatinine\tNN\tB-NP\tB-protein' -p250219 -aS'12/0.7\t12/0.7\tCD\tI-NP\tI-protein' -p250220 -aS',\t,\t,\tO\tO' -p250221 -aS'glucose\tglucose\tNN\tB-NP\tB-protein' -p250222 -aS'99\t99\tCD\tI-NP\tI-protein' -p250223 -aS',\t,\t,\tO\tO' -p250224 -aS'white\twhite\tJJ\tB-NP\tO' -p250225 -aS'blood\tblood\tNN\tI-NP\tO' -p250226 -aS'count\tcount\tNN\tI-NP\tO' -p250227 -aS'of\tof\tIN\tB-PP\tO' -p250228 -aS'5.7\t5.7\tCD\tB-NP\tO' -p250229 -aS',\t,\t,\tO\tO' -p250230 -aS'hematocrit\thematocrit\tNN\tB-NP\tO' -p250231 -aS'of\tof\tIN\tB-PP\tO' -p250232 -aS'40.6\t40.6\tCD\tB-NP\tO' -p250233 -aS',\t,\t,\tO\tO' -p250234 -aS'platelet\tplatelet\tNN\tB-NP\tO' -p250235 -aS'count\tcount\tNN\tI-NP\tO' -p250236 -aS'of\tof\tIN\tB-PP\tO' -p250237 -aS'226\t226\tCD\tB-NP\tO' -p250238 -aS',\t,\t,\tO\tO' -p250239 -aS'prothrombin\tprothrombin\tNN\tB-NP\tO' -p250240 -aS'time\ttime\tNN\tI-NP\tO' -p250241 -aS'was\tbe\tVBD\tB-VP\tO' -p250242 -aS'9.4\t9.4\tCD\tB-NP\tO' -p250243 -aS',\t,\t,\tO\tO' -p250244 -aS'partial\tpartial\tJJ\tB-NP\tO' -p250245 -aS'thromboplastin\tthromboplastin\tNN\tI-NP\tO' -p250246 -aS'time\ttime\tNN\tI-NP\tO' -p250247 -aS'was\tbe\tVBD\tB-VP\tO' -p250248 -aS'29\t29\tCD\tB-NP\tO' -p250249 -aS'.\t.\t.\tO\tO' -p250250 -asS'The patient 's preliminary admitting physician is PRIESDOUET , CH J and the preliminary diagnosis is CHOLECYSTITIS .' -p250251 -(lp250252 -S'The\tThe\tDT\tB-NP\tO' -p250253 -aS'patient\tpatient\tNN\tI-NP\tO' -p250254 -aS''s\t'\tNNS\tI-NP\tO' -p250255 -aS'preliminary\tpreliminary\tJJ\tB-NP\tO' -p250256 -aS'admitting\tadmit\tVBG\tI-NP\tO' -p250257 -aS'physician\tphysician\tNN\tI-NP\tO' -p250258 -aS'is\tbe\tVBZ\tB-VP\tO' -p250259 -aS'PRIESDOUET\tPRIESDOUET\tNNP\tB-NP\tO' -p250260 -aS',\t,\t,\tO\tO' -p250261 -aS'CH\tCH\tNNP\tB-NP\tO' -p250262 -aS'J\tJ\tNNP\tI-NP\tO' -p250263 -aS'and\tand\tCC\tO\tO' -p250264 -aS'the\tthe\tDT\tB-NP\tO' -p250265 -aS'preliminary\tpreliminary\tJJ\tI-NP\tO' -p250266 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p250267 -aS'is\tbe\tVBZ\tB-VP\tO' -p250268 -aS'CHOLECYSTITIS\tCHOLECYSTITIS\tNN\tB-NP\tO' -p250269 -aS'.\t.\t.\tO\tO' -p250270 -asS'Due to elevated INR , coumadin was held .' -p250271 -(lp250272 -S'Due\tDue\tJJ\tB-PP\tO' -p250273 -aS'to\tto\tTO\tB-PP\tO' -p250274 -aS'elevated\televated\tJJ\tB-NP\tO' -p250275 -aS'INR\tINR\tNN\tI-NP\tO' -p250276 -aS',\t,\t,\tO\tO' -p250277 -aS'coumadin\tcoumadin\tNN\tB-NP\tO' -p250278 -aS'was\tbe\tVBD\tB-VP\tO' -p250279 -aS'held\thold\tVBN\tI-VP\tO' -p250280 -aS'.\t.\t.\tO\tO' -p250281 -asS'The differential showed 45 polys , 6 bands , 8 lymphs , 32 monos .' -p250282 -(lp250283 -S'The\tThe\tDT\tB-NP\tO' -p250284 -aS'differential\tdifferential\tJJ\tI-NP\tO' -p250285 -aS'showed\tshow\tVBD\tB-VP\tO' -p250286 -aS'45\t45\tCD\tB-NP\tO' -p250287 -aS'polys\tpoly\tNNS\tI-NP\tO' -p250288 -aS',\t,\t,\tO\tO' -p250289 -aS'6\t6\tCD\tB-NP\tO' -p250290 -aS'bands\tband\tNNS\tI-NP\tO' -p250291 -aS',\t,\t,\tO\tO' -p250292 -aS'8\t8\tCD\tB-NP\tO' -p250293 -aS'lymphs\tlymph\tNNS\tI-NP\tO' -p250294 -aS',\t,\t,\tO\tO' -p250295 -aS'32\t32\tCD\tB-NP\tO' -p250296 -aS'monos\tmono\tNNS\tI-NP\tO' -p250297 -aS'.\t.\t.\tO\tO' -p250298 -asS'He withdrew both lower extremities to peripheral stimulation , as well as his upper extremities to peripheral stimulation .' -p250299 -(lp250300 -S'He\tHe\tPRP\tB-NP\tO' -p250301 -aS'withdrew\twithdraw\tVBD\tB-VP\tO' -p250302 -aS'both\tboth\tCC\tO\tO' -p250303 -aS'lower\tlow\tJJR\tB-NP\tO' -p250304 -aS'extremities\textremity\tNNS\tI-NP\tO' -p250305 -aS'to\tto\tTO\tB-PP\tO' -p250306 -aS'peripheral\tperipheral\tJJ\tB-NP\tO' -p250307 -aS'stimulation\tstimulation\tNN\tI-NP\tO' -p250308 -aS',\t,\t,\tO\tO' -p250309 -aS'as\tas\tRB\tB-CONJP\tO' -p250310 -aS'well\twell\tRB\tI-CONJP\tO' -p250311 -aS'as\tas\tIN\tI-CONJP\tO' -p250312 -aS'his\this\tPRP$\tB-NP\tO' -p250313 -aS'upper\tupper\tJJ\tI-NP\tO' -p250314 -aS'extremities\textremity\tNNS\tI-NP\tO' -p250315 -aS'to\tto\tTO\tB-PP\tO' -p250316 -aS'peripheral\tperipheral\tJJ\tB-NP\tO' -p250317 -aS'stimulation\tstimulation\tNN\tI-NP\tO' -p250318 -aS'.\t.\t.\tO\tO' -p250319 -asS"D/c 'ed all lab draws / vitals ." -p250320 -(lp250321 -S'D/c\tD/c\tNN\tB-NP\tO' -p250322 -aS"'ed\t'e\tVBD\tB-VP\tO" -p250323 -aS'all\tall\tDT\tB-NP\tO' -p250324 -aS'lab\tlab\tNN\tI-NP\tO' -p250325 -aS'draws\tdraw\tNNS\tI-NP\tO' -p250326 -aS'/\t/\tSYM\tB-NP\tO' -p250327 -aS'vitals\tvital\tNNS\tI-NP\tO' -p250328 -aS'.\t.\t.\tO\tO' -p250329 -asS'1) ACQUIRED IMMUNODEFICIENCY SYNDROME .' -p250330 -(lp250331 -S'1)\t1)\tLS\tB-LST\tO' -p250332 -aS'ACQUIRED\tACQUIRED\tNNP\tB-NP\tO' -p250333 -aS'IMMUNODEFICIENCY\tIMMUNODEFICIENCY\tNNP\tI-NP\tO' -p250334 -aS'SYNDROME\tSYNDROME\tNNP\tI-NP\tO' -p250335 -aS'.\t.\t.\tO\tO' -p250336 -asS'Disp :* 30 Tablet (s)* Refills :* 1 *' -p250337 -(lp250338 -S'Disp\tDisp\tNN\tB-NP\tO' -p250339 -aS':*\t:*\tSYM\tI-NP\tO' -p250340 -aS'30\t30\tCD\tI-NP\tO' -p250341 -aS'Tablet\tTablet\tNN\tI-NP\tO' -p250342 -aS'(s)*\t(s)*\tSYM\tB-NP\tO' -p250343 -aS'Refills\tRefill\tNNPS\tI-NP\tO' -p250344 -aS':*\t:*\tSYM\tB-NP\tO' -p250345 -aS'1\t1\tCD\tI-NP\tO' -p250346 -aS'*\t*\tSYM\tB-NP\tO' -p250347 -asS'PT 16.2 , PTT 34.7 , INR 1.8 .' -p250348 -(lp250349 -S'PT\tPT\tNN\tB-NP\tB-protein' -p250350 -aS'16.2\t16.2\tCD\tI-NP\tI-protein' -p250351 -aS',\t,\t,\tO\tO' -p250352 -aS'PTT\tPTT\tNN\tB-NP\tB-protein' -p250353 -aS'34.7\t34.7\tCD\tI-NP\tI-protein' -p250354 -aS',\t,\t,\tO\tO' -p250355 -aS'INR\tINR\tNN\tB-NP\tB-protein' -p250356 -aS'1.8\t1.8\tCD\tI-NP\tI-protein' -p250357 -aS'.\t.\t.\tO\tO' -p250358 -asS'144/38 , heart rate 41 , respiratory rate 20 , oxygen saturation' -p250359 -(lp250360 -S'144/38\t144/38\tCD\tB-NP\tO' -p250361 -aS',\t,\t,\tO\tO' -p250362 -aS'heart\theart\tNN\tB-NP\tO' -p250363 -aS'rate\trate\tNN\tI-NP\tO' -p250364 -aS'41\t41\tCD\tI-NP\tO' -p250365 -aS',\t,\t,\tO\tO' -p250366 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p250367 -aS'rate\trate\tNN\tI-NP\tO' -p250368 -aS'20\t20\tCD\tI-NP\tO' -p250369 -aS',\t,\t,\tO\tO' -p250370 -aS'oxygen\toxygen\tNN\tB-NP\tO' -p250371 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p250372 -asS'The patient also had serial electrocardiogram , which showed no change .' -p250373 -(lp250374 -S'The\tThe\tDT\tB-NP\tO' -p250375 -aS'patient\tpatient\tNN\tI-NP\tO' -p250376 -aS'also\talso\tRB\tB-ADVP\tO' -p250377 -aS'had\thave\tVBD\tB-VP\tO' -p250378 -aS'serial\tserial\tJJ\tB-NP\tO' -p250379 -aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' -p250380 -aS',\t,\t,\tO\tO' -p250381 -aS'which\twhich\tWDT\tB-NP\tO' -p250382 -aS'showed\tshow\tVBD\tB-VP\tO' -p250383 -aS'no\tno\tDT\tB-NP\tO' -p250384 -aS'change\tchange\tNN\tI-NP\tO' -p250385 -aS'.\t.\t.\tO\tO' -p250386 -asS'She denies any history of hypertension , diabetes mellitus , coronary artery disease or peptic ulcer disease .' -p250387 -(lp250388 -S'She\tShe\tPRP\tB-NP\tO' -p250389 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p250390 -aS'any\tany\tDT\tB-NP\tO' -p250391 -aS'history\thistory\tNN\tI-NP\tO' -p250392 -aS'of\tof\tIN\tB-PP\tO' -p250393 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p250394 -aS',\t,\t,\tO\tO' -p250395 -aS'diabetes\tdiabetes\tNN\tB-NP\tO' -p250396 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p250397 -aS',\t,\t,\tO\tO' -p250398 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p250399 -aS'artery\tartery\tNN\tI-NP\tO' -p250400 -aS'disease\tdisease\tNN\tI-NP\tO' -p250401 -aS'or\tor\tCC\tO\tO' -p250402 -aS'peptic\tpeptic\tJJ\tB-NP\tO' -p250403 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p250404 -aS'disease\tdisease\tNN\tI-NP\tO' -p250405 -aS'.\t.\t.\tO\tO' -p250406 -asS'Mild retractions , occasional grunting .' -p250407 -(lp250408 -S'Mild\tMild\tJJ\tB-NP\tO' -p250409 -aS'retractions\tretraction\tNNS\tI-NP\tO' -p250410 -aS',\t,\t,\tO\tO' -p250411 -aS'occasional\toccasional\tJJ\tB-NP\tO' -p250412 -aS'grunting\tgrunting\tNN\tI-NP\tO' -p250413 -aS'.\t.\t.\tO\tO' -p250414 -asS'Some rashes on ACW around EKG leads' -p250415 -(lp250416 -S'Some\tSome\tDT\tB-NP\tO' -p250417 -aS'rashes\trash\tNNS\tI-NP\tO' -p250418 -aS'on\ton\tIN\tB-PP\tO' -p250419 -aS'ACW\tACW\tNN\tB-NP\tO' -p250420 -aS'around\taround\tIN\tB-PP\tO' -p250421 -aS'EKG\tEKG\tNN\tB-NP\tB-protein' -p250422 -aS'leads\tlead\tVBZ\tB-VP\tO' -p250423 -asS'The patient was apparently well until one day prior to admission .' -p250424 -(lp250425 -S'The\tThe\tDT\tB-NP\tO' -p250426 -aS'patient\tpatient\tNN\tI-NP\tO' -p250427 -aS'was\tbe\tVBD\tB-VP\tO' -p250428 -aS'apparently\tapparently\tRB\tB-ADVP\tO' -p250429 -aS'well\twell\tRB\tB-ADVP\tO' -p250430 -aS'until\tuntil\tIN\tB-SBAR\tO' -p250431 -aS'one\tone\tCD\tB-NP\tO' -p250432 -aS'day\tday\tNN\tI-NP\tO' -p250433 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p250434 -aS'to\tto\tTO\tB-PP\tO' -p250435 -aS'admission\tadmission\tNN\tB-NP\tO' -p250436 -aS'.\t.\t.\tO\tO' -p250437 -asS'Signed electronically by : DR. Patricia Henley on : Maxine 2014-01-02 10:45 AM' -p250438 -(lp250439 -S'Signed\tSign\tVBN\tB-VP\tO' -p250440 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p250441 -aS'by\tby\tIN\tB-PP\tO' -p250442 -aS':\t:\t:\tO\tO' -p250443 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p250444 -aS'Patricia\tPatricia\tNNP\tI-NP\tO' -p250445 -aS'Henley\tHenley\tNNP\tI-NP\tO' -p250446 -aS'on\ton\tIN\tB-PP\tO' -p250447 -aS':\t:\t:\tO\tO' -p250448 -aS'Maxine\tMaxine\tNN\tB-NP\tO' -p250449 -aS'2014-01-02\t2014-01-02\tCD\tI-NP\tO' -p250450 -aS'10:45\t10:45\tCD\tI-NP\tO' -p250451 -aS'AM\tAM\tNN\tI-NP\tO' -p250452 -asS'It was unable to be delineated whether this represented an anomalous left coronary artery arising from the pulmonary artery ( LCAPA ) or a left coronary artery fistula to the pulmonar artery .' -p250453 -(lp250454 -S'It\tIt\tPRP\tB-NP\tO' -p250455 -aS'was\tbe\tVBD\tB-VP\tO' -p250456 -aS'unable\tunable\tJJ\tB-ADJP\tO' -p250457 -aS'to\tto\tTO\tB-VP\tO' -p250458 -aS'be\tbe\tVB\tI-VP\tO' -p250459 -aS'delineated\tdelineate\tVBN\tI-VP\tO' -p250460 -aS'whether\twhether\tIN\tB-SBAR\tO' -p250461 -aS'this\tthis\tDT\tB-NP\tO' -p250462 -aS'represented\trepresent\tVBD\tB-VP\tO' -p250463 -aS'an\tan\tDT\tB-NP\tO' -p250464 -aS'anomalous\tanomalous\tJJ\tI-NP\tO' -p250465 -aS'left\tleft\tJJ\tI-NP\tO' -p250466 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p250467 -aS'artery\tartery\tNN\tI-NP\tO' -p250468 -aS'arising\tarise\tVBG\tB-VP\tO' -p250469 -aS'from\tfrom\tIN\tB-PP\tO' -p250470 -aS'the\tthe\tDT\tB-NP\tO' -p250471 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p250472 -aS'artery\tartery\tNN\tI-NP\tO' -p250473 -aS'(\t(\t(\tO\tO' -p250474 -aS'LCAPA\tLCAPA\tNN\tB-NP\tB-protein' -p250475 -aS')\t)\t)\tO\tO' -p250476 -aS'or\tor\tCC\tO\tO' -p250477 -aS'a\ta\tDT\tB-NP\tO' -p250478 -aS'left\tleft\tJJ\tI-NP\tO' -p250479 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p250480 -aS'artery\tartery\tNN\tI-NP\tO' -p250481 -aS'fistula\tfistula\tNN\tI-NP\tO' -p250482 -aS'to\tto\tTO\tB-PP\tO' -p250483 -aS'the\tthe\tDT\tB-NP\tO' -p250484 -aS'pulmonar\tpulmonar\tJJ\tI-NP\tO' -p250485 -aS'artery\tartery\tNN\tI-NP\tO' -p250486 -aS'.\t.\t.\tO\tO' -p250487 -asS'2. Cardiovascular : Falmouth has maintained normal heart rates and blood pressures .' -p250488 -(lp250489 -S'2.\t2.\tCD\tB-NP\tO' -p250490 -aS'Cardiovascular\tCardiovascular\tNNP\tI-NP\tO' -p250491 -aS':\t:\t:\tO\tO' -p250492 -aS'Falmouth\tFalmouth\tNNP\tB-NP\tO' -p250493 -aS'has\thave\tVBZ\tB-VP\tO' -p250494 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p250495 -aS'normal\tnormal\tJJ\tB-NP\tO' -p250496 -aS'heart\theart\tNN\tI-NP\tO' -p250497 -aS'rates\trate\tNNS\tI-NP\tO' -p250498 -aS'and\tand\tCC\tO\tO' -p250499 -aS'blood\tblood\tNN\tB-NP\tO' -p250500 -aS'pressures\tpressure\tNNS\tI-NP\tO' -p250501 -aS'.\t.\t.\tO\tO' -p250502 -asS'Seen emergently by stroke team .' -p250503 -(lp250504 -S'Seen\tSeen\tNN\tB-NP\tO' -p250505 -aS'emergently\temergently\tRB\tB-ADVP\tO' -p250506 -aS'by\tby\tIN\tB-PP\tO' -p250507 -aS'stroke\tstroke\tNN\tB-NP\tO' -p250508 -aS'team\tteam\tNN\tI-NP\tO' -p250509 -aS'.\t.\t.\tO\tO' -p250510 -asS'They therefore felt a rapid steroid taper was indicated and topical Erythromycin if desired by the patient .' -p250511 -(lp250512 -S'They\tThey\tPRP\tB-NP\tO' -p250513 -aS'therefore\ttherefore\tRB\tB-ADVP\tO' -p250514 -aS'felt\tfeel\tVBD\tB-VP\tO' -p250515 -aS'a\ta\tDT\tB-NP\tO' -p250516 -aS'rapid\trapid\tJJ\tI-NP\tO' -p250517 -aS'steroid\tsteroid\tNN\tI-NP\tO' -p250518 -aS'taper\ttaper\tNN\tI-NP\tO' -p250519 -aS'was\tbe\tVBD\tB-VP\tO' -p250520 -aS'indicated\tindicate\tVBN\tI-VP\tO' -p250521 -aS'and\tand\tCC\tO\tO' -p250522 -aS'topical\ttopical\tJJ\tB-NP\tO' -p250523 -aS'Erythromycin\tErythromycin\tNN\tI-NP\tO' -p250524 -aS'if\tif\tIN\tB-SBAR\tO' -p250525 -aS'desired\tdesire\tVBN\tB-VP\tO' -p250526 -aS'by\tby\tIN\tB-PP\tO' -p250527 -aS'the\tthe\tDT\tB-NP\tO' -p250528 -aS'patient\tpatient\tNN\tI-NP\tO' -p250529 -aS'.\t.\t.\tO\tO' -p250530 -asS'Multiple angio accesses , TAH at age 18 , cadaveric renal allograft in 03/93 , reoperation for bleed followed by transplant nephrectomy .' -p250531 -(lp250532 -S'Multiple\tMultiple\tJJ\tB-NP\tO' -p250533 -aS'angio\tangio\tNN\tI-NP\tO' -p250534 -aS'accesses\taccess\tNNS\tI-NP\tO' -p250535 -aS',\t,\t,\tO\tO' -p250536 -aS'TAH\tTAH\tNN\tB-NP\tB-protein' -p250537 -aS'at\tat\tIN\tB-PP\tO' -p250538 -aS'age\tage\tNN\tB-NP\tO' -p250539 -aS'18\t18\tCD\tI-NP\tO' -p250540 -aS',\t,\t,\tO\tO' -p250541 -aS'cadaveric\tcadaveric\tJJ\tB-NP\tO' -p250542 -aS'renal\trenal\tJJ\tI-NP\tO' -p250543 -aS'allograft\tallograft\tNN\tI-NP\tO' -p250544 -aS'in\tin\tIN\tB-PP\tO' -p250545 -aS'03/93\t03/93\tCD\tB-NP\tO' -p250546 -aS',\t,\t,\tO\tO' -p250547 -aS'reoperation\treoperation\tNN\tB-NP\tO' -p250548 -aS'for\tfor\tIN\tB-PP\tO' -p250549 -aS'bleed\tbleed\tNN\tB-NP\tO' -p250550 -aS'followed\tfollow\tVBN\tB-VP\tO' -p250551 -aS'by\tby\tIN\tB-PP\tO' -p250552 -aS'transplant\ttransplant\tNN\tB-NP\tO' -p250553 -aS'nephrectomy\tnephrectomy\tNN\tI-NP\tO' -p250554 -aS'.\t.\t.\tO\tO' -p250555 -asS'Pt was subtherapeuticon INR on admission , thus treated with heparin gtt .' -p250556 -(lp250557 -S'Pt\tPt\tNN\tB-NP\tO' -p250558 -aS'was\tbe\tVBD\tB-VP\tO' -p250559 -aS'subtherapeuticon\tsubtherapeuticon\tJJ\tB-NP\tO' -p250560 -aS'INR\tINR\tNN\tI-NP\tO' -p250561 -aS'on\ton\tIN\tB-PP\tO' -p250562 -aS'admission\tadmission\tNN\tB-NP\tO' -p250563 -aS',\t,\t,\tO\tO' -p250564 -aS'thus\tthus\tRB\tB-ADVP\tO' -p250565 -aS'treated\ttreat\tVBN\tB-VP\tO' -p250566 -aS'with\twith\tIN\tB-PP\tO' -p250567 -aS'heparin\theparin\tNN\tB-NP\tO' -p250568 -aS'gtt\tgtt\tNN\tI-NP\tO' -p250569 -aS'.\t.\t.\tO\tO' -p250570 -asS'A hematocrit and reticulocyte count showed a hematocrit of 23 percent and a reticulocyte count of 1.9 percent .' -p250571 -(lp250572 -S'A\tA\tDT\tB-NP\tO' -p250573 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p250574 -aS'and\tand\tCC\tI-NP\tO' -p250575 -aS'reticulocyte\treticulocyte\tNN\tI-NP\tO' -p250576 -aS'count\tcount\tNN\tI-NP\tO' -p250577 -aS'showed\tshow\tVBD\tB-VP\tO' -p250578 -aS'a\ta\tDT\tB-NP\tO' -p250579 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p250580 -aS'of\tof\tIN\tB-PP\tO' -p250581 -aS'23\t23\tCD\tB-NP\tO' -p250582 -aS'percent\tpercent\tNN\tI-NP\tO' -p250583 -aS'and\tand\tCC\tO\tO' -p250584 -aS'a\ta\tDT\tB-NP\tO' -p250585 -aS'reticulocyte\treticulocyte\tNN\tI-NP\tO' -p250586 -aS'count\tcount\tNN\tI-NP\tO' -p250587 -aS'of\tof\tIN\tB-PP\tO' -p250588 -aS'1.9\t1.9\tCD\tB-NP\tO' -p250589 -aS'percent\tpercent\tNN\tI-NP\tO' -p250590 -aS'.\t.\t.\tO\tO' -p250591 -asS'8. Nitroglycerin 0.3 mg Tablet , Sublingual Sig : One ( 1 ) Sublingual as needed as needed for chest pain .' -p250592 -(lp250593 -S'8.\t8.\tCD\tB-NP\tO' -p250594 -aS'Nitroglycerin\tNitroglycerin\tNN\tI-NP\tO' -p250595 -aS'0.3\t0.3\tCD\tB-NP\tO' -p250596 -aS'mg\tmg\tNN\tI-NP\tO' -p250597 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p250598 -aS',\t,\t,\tO\tO' -p250599 -aS'Sublingual\tSublingual\tNNP\tB-NP\tO' -p250600 -aS'Sig\tSig\tNNP\tI-NP\tO' -p250601 -aS':\t:\t:\tO\tO' -p250602 -aS'One\tOne\tCD\tB-NP\tO' -p250603 -aS'(\t(\t(\tO\tO' -p250604 -aS'1\t1\tCD\tB-NP\tO' -p250605 -aS')\t)\t)\tO\tO' -p250606 -aS'Sublingual\tSublingual\tNNP\tO\tO' -p250607 -aS'as\tas\tIN\tB-SBAR\tO' -p250608 -aS'needed\tneed\tVBN\tB-VP\tO' -p250609 -aS'as\tas\tIN\tB-PP\tO' -p250610 -aS'needed\tneed\tVBN\tB-VP\tO' -p250611 -aS'for\tfor\tIN\tB-PP\tO' -p250612 -aS'chest\tchest\tNN\tB-NP\tO' -p250613 -aS'pain\tpain\tNN\tI-NP\tO' -p250614 -aS'.\t.\t.\tO\tO' -p250615 -asS'intravenous chemotherapy 12/4/95 through 12/8/95 .' -p250616 -(lp250617 -S'intravenous\tintravenous\tJJ\tB-NP\tO' -p250618 -aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' -p250619 -aS'12/4/95\t12/4/95\tCD\tI-NP\tO' -p250620 -aS'through\tthrough\tIN\tB-PP\tO' -p250621 -aS'12/8/95\t12/8/95\tCD\tB-NP\tO' -p250622 -aS'.\t.\t.\tO\tO' -p250623 -asS'5. Hypercholesterolemia .' -p250624 -(lp250625 -S'5.\t5.\tLS\tB-NP\tO' -p250626 -aS'Hypercholesterolemia\tHypercholesterolemia\tNN\tI-NP\tO' -p250627 -aS'.\t.\t.\tO\tO' -p250628 -asS'3. Congestive heart failure , unknown EF .' -p250629 -(lp250630 -S'3.\t3.\tLS\tB-NP\tO' -p250631 -aS'Congestive\tCongestive\tJJ\tI-NP\tO' -p250632 -aS'heart\theart\tNN\tI-NP\tO' -p250633 -aS'failure\tfailure\tNN\tI-NP\tO' -p250634 -aS',\t,\t,\tO\tO' -p250635 -aS'unknown\tunknown\tJJ\tB-NP\tO' -p250636 -aS'EF\tEF\tNN\tI-NP\tO' -p250637 -aS'.\t.\t.\tO\tO' -p250638 -asS'Also noted on the day of 11-20 , the patient self-extubated herself .' -p250639 -(lp250640 -S'Also\tAlso\tRB\tB-ADVP\tO' -p250641 -aS'noted\tnote\tVBN\tB-VP\tO' -p250642 -aS'on\ton\tIN\tB-PP\tO' -p250643 -aS'the\tthe\tDT\tB-NP\tO' -p250644 -aS'day\tday\tNN\tI-NP\tO' -p250645 -aS'of\tof\tIN\tB-PP\tO' -p250646 -aS'11-20\t11-20\tCD\tB-NP\tO' -p250647 -aS',\t,\t,\tO\tO' -p250648 -aS'the\tthe\tDT\tB-NP\tO' -p250649 -aS'patient\tpatient\tNN\tI-NP\tO' -p250650 -aS'self-extubated\tself-extubate\tVBD\tB-VP\tO' -p250651 -aS'herself\therself\tPRP\tB-NP\tO' -p250652 -aS'.\t.\t.\tO\tO' -p250653 -asS'She denies dysuria or excessive urinary frequency .' -p250654 -(lp250655 -S'She\tShe\tPRP\tB-NP\tO' -p250656 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p250657 -aS'dysuria\tdysuria\tNN\tB-NP\tO' -p250658 -aS'or\tor\tCC\tI-NP\tO' -p250659 -aS'excessive\texcessive\tJJ\tI-NP\tO' -p250660 -aS'urinary\turinary\tJJ\tI-NP\tO' -p250661 -aS'frequency\tfrequency\tNN\tI-NP\tO' -p250662 -aS'.\t.\t.\tO\tO' -p250663 -asS'Pt asymptomatic .' -p250664 -(lp250665 -S'Pt\tPt\tNN\tB-NP\tO' -p250666 -aS'asymptomatic\tasymptomatic\tJJ\tB-ADJP\tO' -p250667 -aS'.\t.\t.\tO\tO' -p250668 -asS'The Neo-Synephrine was weaned off by postoperative day number three .' -p250669 -(lp250670 -S'The\tThe\tDT\tB-NP\tO' -p250671 -aS'Neo-Synephrine\tNeo-Synephrine\tNN\tI-NP\tO' -p250672 -aS'was\tbe\tVBD\tB-VP\tO' -p250673 -aS'weaned\twean\tVBN\tI-VP\tO' -p250674 -aS'off\toff\tRP\tB-PRT\tO' -p250675 -aS'by\tby\tIN\tB-PP\tO' -p250676 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p250677 -aS'day\tday\tNN\tI-NP\tO' -p250678 -aS'number\tnumber\tNN\tI-NP\tO' -p250679 -aS'three\tthree\tCD\tI-NP\tO' -p250680 -aS'.\t.\t.\tO\tO' -p250681 -asS'58 YEAR-OLD FEMALE S/P GASTRIC BYPASS 03-01 WITHOUT COMPLICATIONS POST-OPERATIVELY , NOW PRESENTS WITH ABOMENAL AND AND ASCOCIATED NAUSEA SINCE THE NIGHT BEFORE ADMISSION .' -p250682 -(lp250683 -S'58\t58\tCD\tB-NP\tO' -p250684 -aS'YEAR-OLD\tYEAR-OLD\tNNP\tI-NP\tO' -p250685 -aS'FEMALE\tFEMALE\tNNP\tI-NP\tO' -p250686 -aS'S/P\tS/P\tNNP\tI-NP\tO' -p250687 -aS'GASTRIC\tGASTRIC\tNNP\tI-NP\tO' -p250688 -aS'BYPASS\tBYPASS\tNNP\tI-NP\tO' -p250689 -aS'03-01\t03-01\tCD\tI-NP\tO' -p250690 -aS'WITHOUT\tWITHOUT\tNNP\tI-NP\tO' -p250691 -aS'COMPLICATIONS\tCOMPLICATIONS\tNNP\tI-NP\tO' -p250692 -aS'POST-OPERATIVELY\tPOST-OPERATIVELY\tNNP\tI-NP\tO' -p250693 -aS',\t,\t,\tO\tO' -p250694 -aS'NOW\tNOW\tNNP\tB-NP\tO' -p250695 -aS'PRESENTS\tPRESENTS\tNNP\tI-NP\tO' -p250696 -aS'WITH\tWITH\tNNP\tI-NP\tO' -p250697 -aS'ABOMENAL\tABOMENAL\tNNP\tI-NP\tO' -p250698 -aS'AND\tAND\tCC\tB-NP\tO' -p250699 -aS'AND\tAND\tCC\tI-NP\tO' -p250700 -aS'ASCOCIATED\tASCOCIATED\tVBN\tI-NP\tO' -p250701 -aS'NAUSEA\tNAUSEA\tNN\tI-NP\tO' -p250702 -aS'SINCE\tSINCE\tNN\tI-NP\tO' -p250703 -aS'THE\tTHE\tDT\tB-NP\tO' -p250704 -aS'NIGHT\tNIGHT\tNN\tI-NP\tO' -p250705 -aS'BEFORE\tBEFORE\tNN\tI-NP\tO' -p250706 -aS'ADMISSION\tADMISSION\tNN\tI-NP\tO' -p250707 -aS'.\t.\t.\tO\tO' -p250708 -asS'An MRI was done on 08/27/03 that showed an 8 cm left lower quadrant mass with both cystic and solid components .' -p250709 -(lp250710 -S'An\tAn\tDT\tB-NP\tO' -p250711 -aS'MRI\tMRI\tNN\tI-NP\tB-protein' -p250712 -aS'was\tbe\tVBD\tB-VP\tO' -p250713 -aS'done\tdo\tVBN\tI-VP\tO' -p250714 -aS'on\ton\tIN\tB-PP\tO' -p250715 -aS'08/27/03\t08/27/03\tCD\tB-NP\tO' -p250716 -aS'that\tthat\tWDT\tB-NP\tO' -p250717 -aS'showed\tshow\tVBD\tB-VP\tO' -p250718 -aS'an\tan\tDT\tB-NP\tO' -p250719 -aS'8\t8\tCD\tI-NP\tO' -p250720 -aS'cm\tcm\tNN\tI-NP\tO' -p250721 -aS'left\tleave\tVBD\tB-VP\tO' -p250722 -aS'lower\tlow\tJJR\tB-NP\tO' -p250723 -aS'quadrant\tquadrant\tJJ\tI-NP\tO' -p250724 -aS'mass\tmass\tNN\tI-NP\tO' -p250725 -aS'with\twith\tIN\tB-PP\tO' -p250726 -aS'both\tboth\tCC\tB-NP\tO' -p250727 -aS'cystic\tcystic\tJJ\tI-NP\tO' -p250728 -aS'and\tand\tCC\tI-NP\tO' -p250729 -aS'solid\tsolid\tJJ\tI-NP\tO' -p250730 -aS'components\tcomponent\tNNS\tI-NP\tO' -p250731 -aS'.\t.\t.\tO\tO' -p250732 -asS'PE was considered but less likely given his fevers and clear pneumonia on CXR .' -p250733 -(lp250734 -S'PE\tPE\tNN\tB-NP\tO' -p250735 -aS'was\tbe\tVBD\tB-VP\tO' -p250736 -aS'considered\tconsider\tVBN\tI-VP\tO' -p250737 -aS'but\tbut\tCC\tO\tO' -p250738 -aS'less\tless\tRBR\tB-ADJP\tO' -p250739 -aS'likely\tlikely\tJJ\tI-ADJP\tO' -p250740 -aS'given\tgive\tVBN\tB-PP\tO' -p250741 -aS'his\this\tPRP$\tB-NP\tO' -p250742 -aS'fevers\tfever\tNNS\tI-NP\tO' -p250743 -aS'and\tand\tCC\tO\tO' -p250744 -aS'clear\tclear\tJJ\tB-NP\tO' -p250745 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p250746 -aS'on\ton\tIN\tB-PP\tO' -p250747 -aS'CXR\tCXR\tNN\tB-NP\tB-protein' -p250748 -aS'.\t.\t.\tO\tO' -p250749 -asS'By postoperative day number five , the patient was noted to be afebrile and stable .' -p250750 -(lp250751 -S'By\tBy\tIN\tB-PP\tO' -p250752 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p250753 -aS'day\tday\tNN\tI-NP\tO' -p250754 -aS'number\tnumber\tNN\tI-NP\tO' -p250755 -aS'five\tfive\tCD\tB-NP\tO' -p250756 -aS',\t,\t,\tO\tO' -p250757 -aS'the\tthe\tDT\tB-NP\tO' -p250758 -aS'patient\tpatient\tNN\tI-NP\tO' -p250759 -aS'was\tbe\tVBD\tB-VP\tO' -p250760 -aS'noted\tnote\tVBN\tI-VP\tO' -p250761 -aS'to\tto\tTO\tI-VP\tO' -p250762 -aS'be\tbe\tVB\tI-VP\tO' -p250763 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p250764 -aS'and\tand\tCC\tI-ADJP\tO' -p250765 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p250766 -aS'.\t.\t.\tO\tO' -p250767 -asS'There was no labor or maternal fever .' -p250768 -(lp250769 -S'There\tThere\tEX\tB-NP\tO' -p250770 -aS'was\tbe\tVBD\tB-VP\tO' -p250771 -aS'no\tno\tDT\tB-NP\tO' -p250772 -aS'labor\tlabor\tNN\tI-NP\tO' -p250773 -aS'or\tor\tCC\tO\tO' -p250774 -aS'maternal\tmaternal\tJJ\tB-NP\tO' -p250775 -aS'fever\tfever\tNN\tI-NP\tO' -p250776 -aS'.\t.\t.\tO\tO' -p250777 -asS'The physical examination revealed him to be afebrile , blood pressure of 130/80 with a pulse rate of 56 and respirations of 24 .' -p250778 -(lp250779 -S'The\tThe\tDT\tB-NP\tO' -p250780 -aS'physical\tphysical\tJJ\tI-NP\tO' -p250781 -aS'examination\texamination\tNN\tI-NP\tO' -p250782 -aS'revealed\treveal\tVBD\tB-VP\tO' -p250783 -aS'him\thim\tPRP\tB-NP\tO' -p250784 -aS'to\tto\tTO\tB-VP\tO' -p250785 -aS'be\tbe\tVB\tI-VP\tO' -p250786 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p250787 -aS',\t,\t,\tO\tO' -p250788 -aS'blood\tblood\tNN\tB-NP\tO' -p250789 -aS'pressure\tpressure\tNN\tI-NP\tO' -p250790 -aS'of\tof\tIN\tB-PP\tO' -p250791 -aS'130/80\t130/80\tCD\tB-NP\tO' -p250792 -aS'with\twith\tIN\tB-PP\tO' -p250793 -aS'a\ta\tDT\tB-NP\tO' -p250794 -aS'pulse\tpulse\tNN\tI-NP\tO' -p250795 -aS'rate\trate\tNN\tI-NP\tO' -p250796 -aS'of\tof\tIN\tB-PP\tO' -p250797 -aS'56\t56\tCD\tB-NP\tO' -p250798 -aS'and\tand\tCC\tO\tO' -p250799 -aS'respirations\trespiration\tNNS\tB-NP\tO' -p250800 -aS'of\tof\tIN\tB-PP\tO' -p250801 -aS'24\t24\tCD\tB-NP\tO' -p250802 -aS'.\t.\t.\tO\tO' -p250803 -asS'That test was negative .' -p250804 -(lp250805 -S'That\tThat\tDT\tB-NP\tO' -p250806 -aS'test\ttest\tNN\tI-NP\tO' -p250807 -aS'was\tbe\tVBD\tB-VP\tO' -p250808 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p250809 -aS'.\t.\t.\tO\tO' -p250810 -asS'Conditions , Infections , Complications , affecting Treatment / Stay asthma' -p250811 -(lp250812 -S'Conditions\tCondition\tNNS\tB-NP\tO' -p250813 -aS',\t,\t,\tO\tO' -p250814 -aS'Infections\tInfection\tNNS\tB-NP\tO' -p250815 -aS',\t,\t,\tO\tO' -p250816 -aS'Complications\tComplication\tNNS\tB-NP\tO' -p250817 -aS',\t,\t,\tO\tO' -p250818 -aS'affecting\taffect\tVBG\tB-VP\tO' -p250819 -aS'Treatment\tTreatment\tNN\tB-NP\tO' -p250820 -aS'/\t/\tSYM\tB-NP\tO' -p250821 -aS'Stay\tStay\tNN\tI-NP\tO' -p250822 -aS'asthma\tasthma\tNN\tI-NP\tO' -p250823 -asS'Discharge Condition : Good .' -p250824 -(lp250825 -S'Discharge\tDischarge\tNNP\tB-NP\tO' -p250826 -aS'Condition\tCondition\tNNP\tI-NP\tO' -p250827 -aS':\t:\t:\tO\tO' -p250828 -aS'Good\tGood\tNNP\tB-NP\tO' -p250829 -aS'.\t.\t.\tO\tO' -p250830 -asS'INDICATIONS : Fall down 20 stairs .' -p250831 -(lp250832 -S'INDICATIONS\tINDICATIONS\tNNS\tB-NP\tO' -p250833 -aS':\t:\t:\tO\tO' -p250834 -aS'Fall\tFall\tNNP\tB-NP\tO' -p250835 -aS'down\tdown\tIN\tB-PP\tO' -p250836 -aS'20\t20\tCD\tB-NP\tO' -p250837 -aS'stairs\tstair\tNNS\tI-NP\tO' -p250838 -aS'.\t.\t.\tO\tO' -p250839 -asS'In 2001-08-31 he stopped his medication and had a generalized tonic - clonic seizure in 12/94 .' -p250840 -(lp250841 -S'In\tIn\tIN\tB-PP\tO' -p250842 -aS'2001-08-31\t2001-08-31\tCD\tB-NP\tO' -p250843 -aS'he\the\tPRP\tB-NP\tO' -p250844 -aS'stopped\tstop\tVBD\tB-VP\tO' -p250845 -aS'his\this\tPRP$\tB-NP\tO' -p250846 -aS'medication\tmedication\tNN\tI-NP\tO' -p250847 -aS'and\tand\tCC\tO\tO' -p250848 -aS'had\thave\tVBD\tB-VP\tO' -p250849 -aS'a\ta\tDT\tB-NP\tO' -p250850 -aS'generalized\tgeneralize\tVBN\tI-NP\tO' -p250851 -aS'tonic\ttonic\tJJ\tI-NP\tO' -p250852 -aS'-\t-\tHYPH\tI-NP\tO' -p250853 -aS'clonic\tclonic\tJJ\tI-NP\tO' -p250854 -aS'seizure\tseizure\tNN\tI-NP\tO' -p250855 -aS'in\tin\tIN\tB-PP\tO' -p250856 -aS'12/94\t12/94\tCD\tB-NP\tO' -p250857 -aS'.\t.\t.\tO\tO' -p250858 -asS'The patient was admitted and pancultured .' -p250859 -(lp250860 -S'The\tThe\tDT\tB-NP\tO' -p250861 -aS'patient\tpatient\tNN\tI-NP\tO' -p250862 -aS'was\tbe\tVBD\tB-VP\tO' -p250863 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p250864 -aS'and\tand\tCC\tO\tO' -p250865 -aS'pancultured\tpanculture\tVBN\tB-VP\tO' -p250866 -aS'.\t.\t.\tO\tO' -p250867 -asS'Random cortisol was 17 and her DFA was positive for influenzae A with a viral culture pending at the time of discharge .' -p250868 -(lp250869 -S'Random\tRandom\tNN\tB-NP\tO' -p250870 -aS'cortisol\tcortisol\tNN\tI-NP\tO' -p250871 -aS'was\tbe\tVBD\tB-VP\tO' -p250872 -aS'17\t17\tCD\tB-NP\tO' -p250873 -aS'and\tand\tCC\tO\tO' -p250874 -aS'her\ther\tPRP$\tB-NP\tO' -p250875 -aS'DFA\tDFA\tNN\tI-NP\tB-protein' -p250876 -aS'was\tbe\tVBD\tB-VP\tO' -p250877 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p250878 -aS'for\tfor\tIN\tB-PP\tO' -p250879 -aS'influenzae\tinfluenzae\tNN\tB-NP\tO' -p250880 -aS'A\tA\tNN\tI-NP\tO' -p250881 -aS'with\twith\tIN\tB-PP\tO' -p250882 -aS'a\ta\tDT\tB-NP\tO' -p250883 -aS'viral\tviral\tJJ\tI-NP\tO' -p250884 -aS'culture\tculture\tNN\tI-NP\tO' -p250885 -aS'pending\tpende\tVBG\tB-VP\tO' -p250886 -aS'at\tat\tIN\tB-PP\tO' -p250887 -aS'the\tthe\tDT\tB-NP\tO' -p250888 -aS'time\ttime\tNN\tI-NP\tO' -p250889 -aS'of\tof\tIN\tB-PP\tO' -p250890 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p250891 -aS'.\t.\t.\tO\tO' -p250892 -asS'Patient placed on FiO2 100% .' -p250893 -(lp250894 -S'Patient\tPatient\tNN\tB-NP\tO' -p250895 -aS'placed\tplace\tVBN\tB-VP\tO' -p250896 -aS'on\ton\tIN\tB-PP\tO' -p250897 -aS'FiO2\tFiO2\tNN\tB-NP\tO' -p250898 -aS'100%\t100%\tCD\tI-NP\tO' -p250899 -aS'.\t.\t.\tO\tO' -p250900 -asS'The patient was admitted , placed on intravenous fluids .' -p250901 -(lp250902 -S'The\tThe\tDT\tB-NP\tO' -p250903 -aS'patient\tpatient\tNN\tI-NP\tO' -p250904 -aS'was\tbe\tVBD\tB-VP\tO' -p250905 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p250906 -aS',\t,\t,\tO\tO' -p250907 -aS'placed\tplace\tVBN\tB-VP\tO' -p250908 -aS'on\ton\tIN\tB-PP\tO' -p250909 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p250910 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p250911 -aS'.\t.\t.\tO\tO' -p250912 -asS'8. Xalatan eyedrops 1 gtt in left eye per day .' -p250913 -(lp250914 -S'8.\t8.\tCD\tB-NP\tO' -p250915 -aS'Xalatan\tXalatan\tNNP\tI-NP\tO' -p250916 -aS'eyedrops\teyedrop\tVBZ\tB-VP\tO' -p250917 -aS'1\t1\tCD\tB-NP\tO' -p250918 -aS'gtt\tgtt\tNN\tI-NP\tO' -p250919 -aS'in\tin\tIN\tB-PP\tO' -p250920 -aS'left\tleft\tJJ\tB-NP\tO' -p250921 -aS'eye\teye\tNN\tI-NP\tO' -p250922 -aS'per\tper\tIN\tB-PP\tO' -p250923 -aS'day\tday\tNN\tB-NP\tO' -p250924 -aS'.\t.\t.\tO\tO' -p250925 -asS'She received a full course of betamethasone complete on 12-17 , magnesium and erythromycin for latency through 12-21 .' -p250926 -(lp250927 -S'She\tShe\tPRP\tB-NP\tO' -p250928 -aS'received\treceive\tVBD\tB-VP\tO' -p250929 -aS'a\ta\tDT\tB-NP\tO' -p250930 -aS'full\tfull\tJJ\tI-NP\tO' -p250931 -aS'course\tcourse\tNN\tI-NP\tO' -p250932 -aS'of\tof\tIN\tB-PP\tO' -p250933 -aS'betamethasone\tbetamethasone\tNN\tB-NP\tO' -p250934 -aS'complete\tcomplete\tJJ\tB-ADJP\tO' -p250935 -aS'on\ton\tIN\tB-PP\tO' -p250936 -aS'12-17\t12-17\tNN\tB-NP\tO' -p250937 -aS',\t,\t,\tI-NP\tO' -p250938 -aS'magnesium\tmagnesium\tNN\tI-NP\tO' -p250939 -aS'and\tand\tCC\tI-NP\tO' -p250940 -aS'erythromycin\terythromycin\tNN\tI-NP\tO' -p250941 -aS'for\tfor\tIN\tB-PP\tO' -p250942 -aS'latency\tlatency\tNN\tB-NP\tO' -p250943 -aS'through\tthrough\tIN\tB-PP\tO' -p250944 -aS'12-21\t12-21\tCD\tB-NP\tO' -p250945 -aS'.\t.\t.\tO\tO' -p250946 -asS'However , given his rapid clinical decline , this was deferred and I do not suspect that he will be a candidate for this , as the degree of his decline bodes a poor prognosis for him .' -p250947 -(lp250948 -S'However\tHowever\tRB\tB-ADVP\tO' -p250949 -aS',\t,\t,\tO\tO' -p250950 -aS'given\tgive\tVBN\tB-VP\tO' -p250951 -aS'his\this\tPRP$\tB-NP\tO' -p250952 -aS'rapid\trapid\tJJ\tI-NP\tO' -p250953 -aS'clinical\tclinical\tJJ\tI-NP\tO' -p250954 -aS'decline\tdecline\tNN\tI-NP\tO' -p250955 -aS',\t,\t,\tO\tO' -p250956 -aS'this\tthis\tDT\tB-NP\tO' -p250957 -aS'was\tbe\tVBD\tB-VP\tO' -p250958 -aS'deferred\tdefer\tVBN\tI-VP\tO' -p250959 -aS'and\tand\tCC\tO\tO' -p250960 -aS'I\tI\tPRP\tB-NP\tO' -p250961 -aS'do\tdo\tVBP\tB-VP\tO' -p250962 -aS'not\tnot\tRB\tI-VP\tO' -p250963 -aS'suspect\tsuspect\tVB\tI-VP\tO' -p250964 -aS'that\tthat\tIN\tB-SBAR\tO' -p250965 -aS'he\the\tPRP\tB-NP\tO' -p250966 -aS'will\twill\tMD\tB-VP\tO' -p250967 -aS'be\tbe\tVB\tI-VP\tO' -p250968 -aS'a\ta\tDT\tB-NP\tO' -p250969 -aS'candidate\tcandidate\tNN\tI-NP\tO' -p250970 -aS'for\tfor\tIN\tB-PP\tO' -p250971 -aS'this\tthis\tDT\tB-NP\tO' -p250972 -aS',\t,\t,\tO\tO' -p250973 -aS'as\tas\tIN\tB-SBAR\tO' -p250974 -aS'the\tthe\tDT\tB-NP\tO' -p250975 -aS'degree\tdegree\tNN\tI-NP\tO' -p250976 -aS'of\tof\tIN\tB-PP\tO' -p250977 -aS'his\this\tPRP$\tB-NP\tO' -p250978 -aS'decline\tdecline\tNN\tI-NP\tO' -p250979 -aS'bodes\tbode\tVBZ\tB-VP\tO' -p250980 -aS'a\ta\tDT\tB-NP\tO' -p250981 -aS'poor\tpoor\tJJ\tI-NP\tO' -p250982 -aS'prognosis\tprognosis\tNN\tI-NP\tO' -p250983 -aS'for\tfor\tIN\tB-PP\tO' -p250984 -aS'him\thim\tPRP\tB-NP\tO' -p250985 -aS'.\t.\t.\tO\tO' -p250986 -asS'The electrocardiogram was remarkable for trigeminy at 91 per minute .' -p250987 -(lp250988 -S'The\tThe\tDT\tB-NP\tO' -p250989 -aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' -p250990 -aS'was\tbe\tVBD\tB-VP\tO' -p250991 -aS'remarkable\tremarkable\tJJ\tB-ADJP\tO' -p250992 -aS'for\tfor\tIN\tB-PP\tO' -p250993 -aS'trigeminy\ttrigeminy\tNN\tB-NP\tO' -p250994 -aS'at\tat\tIN\tB-PP\tO' -p250995 -aS'91\t91\tCD\tB-NP\tO' -p250996 -aS'per\tper\tIN\tB-PP\tO' -p250997 -aS'minute\tminute\tNN\tB-NP\tO' -p250998 -aS'.\t.\t.\tO\tO' -p250999 -asS'Extensive carotid artery calcifications are identified .' -p251000 -(lp251001 -S'Extensive\tExtensive\tJJ\tB-NP\tO' -p251002 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p251003 -aS'artery\tartery\tNN\tI-NP\tO' -p251004 -aS'calcifications\tcalcification\tNNS\tI-NP\tO' -p251005 -aS'are\tbe\tVBP\tB-VP\tO' -p251006 -aS'identified\tidentify\tVBN\tI-VP\tO' -p251007 -aS'.\t.\t.\tO\tO' -p251008 -asS'She is ambulatory .' -p251009 -(lp251010 -S'She\tShe\tPRP\tB-NP\tO' -p251011 -aS'is\tbe\tVBZ\tB-VP\tO' -p251012 -aS'ambulatory\tambulatory\tJJ\tB-ADJP\tO' -p251013 -aS'.\t.\t.\tO\tO' -p251014 -asS'No ethanol .' -p251015 -(lp251016 -S'No\tNo\tDT\tB-NP\tO' -p251017 -aS'ethanol\tethanol\tNN\tI-NP\tO' -p251018 -aS'.\t.\t.\tO\tO' -p251019 -asS'Infectious etiology is less likely due to the focal nature of the involvement .' -p251020 -(lp251021 -S'Infectious\tInfectious\tJJ\tB-NP\tO' -p251022 -aS'etiology\tetiology\tNN\tI-NP\tO' -p251023 -aS'is\tbe\tVBZ\tB-VP\tO' -p251024 -aS'less\tless\tRBR\tB-ADJP\tO' -p251025 -aS'likely\tlikely\tJJ\tI-ADJP\tO' -p251026 -aS'due\tdue\tIN\tB-PP\tO' -p251027 -aS'to\tto\tTO\tB-PP\tO' -p251028 -aS'the\tthe\tDT\tB-NP\tO' -p251029 -aS'focal\tfocal\tJJ\tI-NP\tO' -p251030 -aS'nature\tnature\tNN\tI-NP\tO' -p251031 -aS'of\tof\tIN\tB-PP\tO' -p251032 -aS'the\tthe\tDT\tB-NP\tO' -p251033 -aS'involvement\tinvolvement\tNN\tI-NP\tO' -p251034 -aS'.\t.\t.\tO\tO' -p251035 -asS'After repeated work ups , it was felt that these were probably due to remaining infection in the peripancreatic area .' -p251036 -(lp251037 -S'After\tAfter\tIN\tB-PP\tO' -p251038 -aS'repeated\trepeat\tVBN\tB-NP\tO' -p251039 -aS'work\twork\tNN\tI-NP\tO' -p251040 -aS'ups\tup\tNNS\tI-NP\tO' -p251041 -aS',\t,\t,\tO\tO' -p251042 -aS'it\tit\tPRP\tB-NP\tO' -p251043 -aS'was\tbe\tVBD\tB-VP\tO' -p251044 -aS'felt\tfeel\tVBN\tI-VP\tO' -p251045 -aS'that\tthat\tIN\tB-SBAR\tO' -p251046 -aS'these\tthese\tDT\tB-NP\tO' -p251047 -aS'were\tbe\tVBD\tB-VP\tO' -p251048 -aS'probably\tprobably\tRB\tB-ADVP\tO' -p251049 -aS'due\tdue\tJJ\tB-ADJP\tO' -p251050 -aS'to\tto\tTO\tB-PP\tO' -p251051 -aS'remaining\tremain\tVBG\tB-NP\tO' -p251052 -aS'infection\tinfection\tNN\tI-NP\tO' -p251053 -aS'in\tin\tIN\tB-PP\tO' -p251054 -aS'the\tthe\tDT\tB-NP\tO' -p251055 -aS'peripancreatic\tperipancreatic\tJJ\tI-NP\tO' -p251056 -aS'area\tarea\tNN\tI-NP\tO' -p251057 -aS'.\t.\t.\tO\tO' -p251058 -asS'She was transitioned to on levofloxacin for her bacteremia .' -p251059 -(lp251060 -S'She\tShe\tPRP\tB-NP\tO' -p251061 -aS'was\tbe\tVBD\tB-VP\tO' -p251062 -aS'transitioned\ttransitione\tVBN\tI-VP\tO' -p251063 -aS'to\tto\tTO\tB-PP\tO' -p251064 -aS'on\ton\tIN\tB-PP\tO' -p251065 -aS'levofloxacin\tlevofloxacin\tNN\tB-NP\tO' -p251066 -aS'for\tfor\tIN\tB-PP\tO' -p251067 -aS'her\ther\tPRP$\tB-NP\tO' -p251068 -aS'bacteremia\tbacteremia\tNN\tI-NP\tO' -p251069 -aS'.\t.\t.\tO\tO' -p251070 -asS'On the day of transfer , the patient was noted to be confused with waxing and waning sensorium ; thus , a delirium work-up was initiated looking for precipitants .' -p251071 -(lp251072 -S'On\tOn\tIN\tB-PP\tO' -p251073 -aS'the\tthe\tDT\tB-NP\tO' -p251074 -aS'day\tday\tNN\tI-NP\tO' -p251075 -aS'of\tof\tIN\tB-PP\tO' -p251076 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p251077 -aS',\t,\t,\tO\tO' -p251078 -aS'the\tthe\tDT\tB-NP\tO' -p251079 -aS'patient\tpatient\tNN\tI-NP\tO' -p251080 -aS'was\tbe\tVBD\tB-VP\tO' -p251081 -aS'noted\tnote\tVBN\tI-VP\tO' -p251082 -aS'to\tto\tTO\tI-VP\tO' -p251083 -aS'be\tbe\tVB\tI-VP\tO' -p251084 -aS'confused\tconfuse\tVBN\tI-VP\tO' -p251085 -aS'with\twith\tIN\tB-PP\tO' -p251086 -aS'waxing\twax\tVBG\tB-VP\tO' -p251087 -aS'and\tand\tCC\tI-VP\tO' -p251088 -aS'waning\twan\tVBG\tI-VP\tO' -p251089 -aS'sensorium\tsensorium\tNN\tB-NP\tO' -p251090 -aS';\t;\t:\tO\tO' -p251091 -aS'thus\tthus\tRB\tB-ADVP\tO' -p251092 -aS',\t,\t,\tO\tO' -p251093 -aS'a\ta\tDT\tB-NP\tO' -p251094 -aS'delirium\tdelirium\tNN\tI-NP\tO' -p251095 -aS'work-up\twork-up\tNN\tI-NP\tO' -p251096 -aS'was\tbe\tVBD\tB-VP\tO' -p251097 -aS'initiated\tinitiate\tVBN\tI-VP\tO' -p251098 -aS'looking\tlook\tVBG\tI-VP\tO' -p251099 -aS'for\tfor\tIN\tB-PP\tO' -p251100 -aS'precipitants\tprecipitant\tNNS\tB-NP\tO' -p251101 -aS'.\t.\t.\tO\tO' -p251102 -asS'He is scheduled to follow up with urology to address this issue .' -p251103 -(lp251104 -S'He\tHe\tPRP\tB-NP\tO' -p251105 -aS'is\tbe\tVBZ\tB-VP\tO' -p251106 -aS'scheduled\tschedule\tVBN\tI-VP\tO' -p251107 -aS'to\tto\tTO\tI-VP\tO' -p251108 -aS'follow\tfollow\tVB\tI-VP\tO' -p251109 -aS'up\tup\tRP\tB-PRT\tO' -p251110 -aS'with\twith\tIN\tB-PP\tO' -p251111 -aS'urology\turology\tNN\tB-NP\tO' -p251112 -aS'to\tto\tTO\tB-VP\tO' -p251113 -aS'address\taddress\tVB\tI-VP\tO' -p251114 -aS'this\tthis\tDT\tB-NP\tO' -p251115 -aS'issue\tissue\tNN\tI-NP\tO' -p251116 -aS'.\t.\t.\tO\tO' -p251117 -asS'No paroxysmal nocturnal dyspnea .' -p251118 -(lp251119 -S'No\tNo\tDT\tB-NP\tO' -p251120 -aS'paroxysmal\tparoxysmal\tJJ\tI-NP\tO' -p251121 -aS'nocturnal\tnocturnal\tJJ\tI-NP\tO' -p251122 -aS'dyspnea\tdyspnea\tNN\tI-NP\tO' -p251123 -aS'.\t.\t.\tO\tO' -p251124 -asS'Patient on vent , febrile , hypotensive .' -p251125 -(lp251126 -S'Patient\tPatient\tNN\tB-NP\tO' -p251127 -aS'on\ton\tIN\tB-PP\tO' -p251128 -aS'vent\tvent\tNN\tB-NP\tO' -p251129 -aS',\t,\t,\tO\tO' -p251130 -aS'febrile\tfebrile\tNN\tB-NP\tO' -p251131 -aS',\t,\t,\tO\tO' -p251132 -aS'hypotensive\thypotensive\tJJ\tB-ADJP\tO' -p251133 -aS'.\t.\t.\tO\tO' -p251134 -asS'Prior to his admission , the patient 's gunshot wound was sutured close in the emergency room .' -p251135 -(lp251136 -S'Prior\tPrior\tRB\tB-ADVP\tO' -p251137 -aS'to\tto\tTO\tB-PP\tO' -p251138 -aS'his\this\tPRP$\tB-NP\tO' -p251139 -aS'admission\tadmission\tNN\tI-NP\tO' -p251140 -aS',\t,\t,\tO\tO' -p251141 -aS'the\tthe\tDT\tB-NP\tO' -p251142 -aS'patient\tpatient\tNN\tI-NP\tO' -p251143 -aS''s\t'\tNNS\tI-NP\tO' -p251144 -aS'gunshot\tgunshot\tNN\tI-NP\tO' -p251145 -aS'wound\twound\tNN\tI-NP\tO' -p251146 -aS'was\tbe\tVBD\tB-VP\tO' -p251147 -aS'sutured\tsuture\tVBN\tI-VP\tO' -p251148 -aS'close\tclose\tRB\tB-ADVP\tO' -p251149 -aS'in\tin\tIN\tB-PP\tO' -p251150 -aS'the\tthe\tDT\tB-NP\tO' -p251151 -aS'emergency\temergency\tNN\tI-NP\tO' -p251152 -aS'room\troom\tNN\tI-NP\tO' -p251153 -aS'.\t.\t.\tO\tO' -p251154 -asS'The patient was without any complaints and remained stable .' -p251155 -(lp251156 -S'The\tThe\tDT\tB-NP\tO' -p251157 -aS'patient\tpatient\tNN\tI-NP\tO' -p251158 -aS'was\tbe\tVBD\tB-VP\tO' -p251159 -aS'without\twithout\tIN\tB-PP\tO' -p251160 -aS'any\tany\tDT\tB-NP\tO' -p251161 -aS'complaints\tcomplaint\tNNS\tI-NP\tO' -p251162 -aS'and\tand\tCC\tO\tO' -p251163 -aS'remained\tremain\tVBD\tB-VP\tO' -p251164 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p251165 -aS'.\t.\t.\tO\tO' -p251166 -asS'The plan is to continue the supplemental insulin while he is on steroids and while his sugars remain high .' -p251167 -(lp251168 -S'The\tThe\tDT\tB-NP\tO' -p251169 -aS'plan\tplan\tNN\tI-NP\tO' -p251170 -aS'is\tbe\tVBZ\tB-VP\tO' -p251171 -aS'to\tto\tTO\tB-VP\tO' -p251172 -aS'continue\tcontinue\tVB\tI-VP\tO' -p251173 -aS'the\tthe\tDT\tB-NP\tO' -p251174 -aS'supplemental\tsupplemental\tJJ\tI-NP\tO' -p251175 -aS'insulin\tinsulin\tNN\tI-NP\tO' -p251176 -aS'while\twhile\tIN\tB-SBAR\tO' -p251177 -aS'he\the\tPRP\tB-NP\tO' -p251178 -aS'is\tbe\tVBZ\tB-VP\tO' -p251179 -aS'on\ton\tIN\tB-PP\tO' -p251180 -aS'steroids\tsteroid\tNNS\tB-NP\tO' -p251181 -aS'and\tand\tCC\tB-PP\tO' -p251182 -aS'while\twhile\tIN\tB-SBAR\tO' -p251183 -aS'his\this\tPRP$\tB-NP\tO' -p251184 -aS'sugars\tsugar\tNNS\tI-NP\tO' -p251185 -aS'remain\tremain\tVBP\tB-VP\tO' -p251186 -aS'high\thigh\tJJ\tB-ADJP\tO' -p251187 -aS'.\t.\t.\tO\tO' -p251188 -asS'A cerclage was placed at 18 weeks gestation .' -p251189 -(lp251190 -S'A\tA\tDT\tB-NP\tO' -p251191 -aS'cerclage\tcerclage\tNN\tI-NP\tO' -p251192 -aS'was\tbe\tVBD\tB-VP\tO' -p251193 -aS'placed\tplace\tVBN\tI-VP\tO' -p251194 -aS'at\tat\tIN\tB-PP\tO' -p251195 -aS'18\t18\tCD\tB-NP\tO' -p251196 -aS'weeks\tweek\tNNS\tI-NP\tO' -p251197 -aS'gestation\tgestation\tNN\tI-NP\tO' -p251198 -aS'.\t.\t.\tO\tO' -p251199 -asS'Over the course of the next few days the patient became more accustomed to her Flolan , and Flolan teaching was continued .' -p251200 -(lp251201 -S'Over\tOver\tIN\tB-PP\tO' -p251202 -aS'the\tthe\tDT\tB-NP\tO' -p251203 -aS'course\tcourse\tNN\tI-NP\tO' -p251204 -aS'of\tof\tIN\tB-PP\tO' -p251205 -aS'the\tthe\tDT\tB-NP\tO' -p251206 -aS'next\tnext\tJJ\tI-NP\tO' -p251207 -aS'few\tfew\tJJ\tI-NP\tO' -p251208 -aS'days\tday\tNNS\tI-NP\tO' -p251209 -aS'the\tthe\tDT\tB-NP\tO' -p251210 -aS'patient\tpatient\tNN\tI-NP\tO' -p251211 -aS'became\tbecome\tVBD\tB-VP\tO' -p251212 -aS'more\tmore\tRBR\tB-ADJP\tO' -p251213 -aS'accustomed\taccustomed\tJJ\tI-ADJP\tO' -p251214 -aS'to\tto\tTO\tB-PP\tO' -p251215 -aS'her\ther\tPRP$\tB-NP\tO' -p251216 -aS'Flolan\tFlolan\tNN\tI-NP\tO' -p251217 -aS',\t,\t,\tO\tO' -p251218 -aS'and\tand\tCC\tO\tO' -p251219 -aS'Flolan\tFlolan\tNN\tB-NP\tO' -p251220 -aS'teaching\tteaching\tNN\tI-NP\tO' -p251221 -aS'was\tbe\tVBD\tB-VP\tO' -p251222 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p251223 -aS'.\t.\t.\tO\tO' -p251224 -asS'The patient is afebrile with a recumbent blood pressure of 128/16 , pulse of 76 , and standing blood pressure of 110/60 with a pulse of 88 .' -p251225 -(lp251226 -S'The\tThe\tDT\tB-NP\tO' -p251227 -aS'patient\tpatient\tNN\tI-NP\tO' -p251228 -aS'is\tbe\tVBZ\tB-VP\tO' -p251229 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p251230 -aS'with\twith\tIN\tB-PP\tO' -p251231 -aS'a\ta\tDT\tB-NP\tO' -p251232 -aS'recumbent\trecumbent\tJJ\tI-NP\tO' -p251233 -aS'blood\tblood\tNN\tI-NP\tO' -p251234 -aS'pressure\tpressure\tNN\tI-NP\tO' -p251235 -aS'of\tof\tIN\tB-PP\tO' -p251236 -aS'128/16\t128/16\tCD\tB-NP\tO' -p251237 -aS',\t,\t,\tO\tO' -p251238 -aS'pulse\tpulse\tNN\tB-NP\tO' -p251239 -aS'of\tof\tIN\tB-PP\tO' -p251240 -aS'76\t76\tCD\tB-NP\tO' -p251241 -aS',\t,\t,\tO\tO' -p251242 -aS'and\tand\tCC\tO\tO' -p251243 -aS'standing\tstanding\tNN\tB-NP\tO' -p251244 -aS'blood\tblood\tNN\tI-NP\tO' -p251245 -aS'pressure\tpressure\tNN\tI-NP\tO' -p251246 -aS'of\tof\tIN\tB-PP\tO' -p251247 -aS'110/60\t110/60\tCD\tB-NP\tO' -p251248 -aS'with\twith\tIN\tB-PP\tO' -p251249 -aS'a\ta\tDT\tB-NP\tO' -p251250 -aS'pulse\tpulse\tNN\tI-NP\tO' -p251251 -aS'of\tof\tIN\tB-PP\tO' -p251252 -aS'88\t88\tCD\tB-NP\tO' -p251253 -aS'.\t.\t.\tO\tO' -p251254 -asS'Stop linezolid on 2019-01-17 .' -p251255 -(lp251256 -S'Stop\tStop\tNN\tB-NP\tO' -p251257 -aS'linezolid\tlinezolid\tNN\tI-NP\tO' -p251258 -aS'on\ton\tIN\tB-PP\tO' -p251259 -aS'2019-01-17\t2019-01-17\tCD\tB-NP\tO' -p251260 -aS'.\t.\t.\tO\tO' -p251261 -asS'Signed electronically by : DR. Mary Jones on : SUN 2009-10-04 1:08 PM' -p251262 -(lp251263 -S'Signed\tSign\tVBN\tB-VP\tO' -p251264 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p251265 -aS'by\tby\tIN\tB-PP\tO' -p251266 -aS':\t:\t:\tO\tO' -p251267 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p251268 -aS'Mary\tMary\tNNP\tI-NP\tO' -p251269 -aS'Jones\tJones\tNNP\tI-NP\tO' -p251270 -aS'on\ton\tIN\tB-PP\tO' -p251271 -aS':\t:\t:\tO\tO' -p251272 -aS'SUN\tSUN\tNN\tB-NP\tO' -p251273 -aS'2009-10-04\t2009-10-04\tCD\tI-NP\tO' -p251274 -aS'1:08\t1:08\tCD\tI-NP\tO' -p251275 -aS'PM\tPM\tNN\tI-NP\tO' -p251276 -asS'He was treated with vancomycin and ceftazidime while awaiting wound cultures .' -p251277 -(lp251278 -S'He\tHe\tPRP\tB-NP\tO' -p251279 -aS'was\tbe\tVBD\tB-VP\tO' -p251280 -aS'treated\ttreat\tVBN\tI-VP\tO' -p251281 -aS'with\twith\tIN\tB-PP\tO' -p251282 -aS'vancomycin\tvancomycin\tNN\tB-NP\tO' -p251283 -aS'and\tand\tCC\tI-NP\tO' -p251284 -aS'ceftazidime\tceftazidime\tNN\tI-NP\tO' -p251285 -aS'while\twhile\tIN\tB-SBAR\tO' -p251286 -aS'awaiting\tawait\tVBG\tB-VP\tO' -p251287 -aS'wound\twound\tNN\tB-NP\tO' -p251288 -aS'cultures\tculture\tNNS\tI-NP\tO' -p251289 -aS'.\t.\t.\tO\tO' -p251290 -asS'This is to notify you that your patient , HUHTLAND , CIE arrived in the Emergency Department at Heaonboburg Linpack Grant Medical Center on 09/18/2001 10:52 AM .' -p251291 -(lp251292 -S'This\tThis\tDT\tB-NP\tO' -p251293 -aS'is\tbe\tVBZ\tB-VP\tO' -p251294 -aS'to\tto\tTO\tB-VP\tO' -p251295 -aS'notify\tnotify\tVB\tI-VP\tO' -p251296 -aS'you\tyou\tPRP\tB-NP\tO' -p251297 -aS'that\tthat\tIN\tB-SBAR\tO' -p251298 -aS'your\tyour\tPRP$\tB-NP\tO' -p251299 -aS'patient\tpatient\tNN\tI-NP\tO' -p251300 -aS',\t,\t,\tO\tO' -p251301 -aS'HUHTLAND\tHUHTLAND\tNN\tB-NP\tO' -p251302 -aS',\t,\t,\tO\tO' -p251303 -aS'CIE\tCIE\tNN\tB-NP\tO' -p251304 -aS'arrived\tarrive\tVBD\tB-VP\tO' -p251305 -aS'in\tin\tIN\tB-PP\tO' -p251306 -aS'the\tthe\tDT\tB-NP\tO' -p251307 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p251308 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p251309 -aS'at\tat\tIN\tB-PP\tO' -p251310 -aS'Heaonboburg\tHeaonboburg\tNNP\tB-NP\tO' -p251311 -aS'Linpack\tLinpack\tNNP\tI-NP\tO' -p251312 -aS'Grant\tGrant\tNNP\tI-NP\tO' -p251313 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p251314 -aS'Center\tCenter\tNNP\tI-NP\tO' -p251315 -aS'on\ton\tIN\tB-PP\tO' -p251316 -aS'09/18/2001\t09/18/2001\tCD\tB-NP\tO' -p251317 -aS'10:52\t10:52\tCD\tI-NP\tO' -p251318 -aS'AM\tAM\tNN\tI-NP\tO' -p251319 -aS'.\t.\t.\tO\tO' -p251320 -asS'INR was 1.9 on discharge .' -p251321 -(lp251322 -S'INR\tINR\tNN\tB-NP\tB-protein' -p251323 -aS'was\tbe\tVBD\tB-VP\tO' -p251324 -aS'1.9\t1.9\tCD\tB-NP\tO' -p251325 -aS'on\ton\tIN\tB-PP\tO' -p251326 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p251327 -aS'.\t.\t.\tO\tO' -p251328 -asS'He had scattered wheezes following a 3 liter bolus for hypotension .' -p251329 -(lp251330 -S'He\tHe\tPRP\tB-NP\tO' -p251331 -aS'had\thave\tVBD\tB-VP\tO' -p251332 -aS'scattered\tscatter\tVBN\tI-VP\tO' -p251333 -aS'wheezes\twheeze\tNNS\tB-NP\tO' -p251334 -aS'following\tfollow\tVBG\tB-PP\tO' -p251335 -aS'a\ta\tDT\tB-NP\tO' -p251336 -aS'3\t3\tCD\tI-NP\tO' -p251337 -aS'liter\tliter\tNN\tI-NP\tO' -p251338 -aS'bolus\tbolus\tNN\tI-NP\tO' -p251339 -aS'for\tfor\tIN\tB-PP\tO' -p251340 -aS'hypotension\thypotension\tNN\tB-NP\tO' -p251341 -aS'.\t.\t.\tO\tO' -p251342 -asS'No EtOH or IVDU .' -p251343 -(lp251344 -S'No\tNo\tDT\tB-NP\tO' -p251345 -aS'EtOH\tEtOH\tNN\tI-NP\tB-protein' -p251346 -aS'or\tor\tCC\tI-NP\tO' -p251347 -aS'IVDU\tIVDU\tNN\tI-NP\tB-protein' -p251348 -aS'.\t.\t.\tO\tO' -p251349 -asS'2. adenocarcinoma of the distal esophagus ,' -p251350 -(lp251351 -S'2.\t2.\tLS\tB-NP\tO' -p251352 -aS'adenocarcinoma\tadenocarcinoma\tNN\tI-NP\tO' -p251353 -aS'of\tof\tIN\tB-PP\tO' -p251354 -aS'the\tthe\tDT\tB-NP\tO' -p251355 -aS'distal\tdistal\tJJ\tI-NP\tO' -p251356 -aS'esophagus\tesophagus\tNN\tI-NP\tO' -p251357 -aS',\t,\t,\tO\tO' -p251358 -asS'The patient obtained a degree in law .' -p251359 -(lp251360 -S'The\tThe\tDT\tB-NP\tO' -p251361 -aS'patient\tpatient\tNN\tI-NP\tO' -p251362 -aS'obtained\tobtain\tVBD\tB-VP\tO' -p251363 -aS'a\ta\tDT\tB-NP\tO' -p251364 -aS'degree\tdegree\tNN\tI-NP\tO' -p251365 -aS'in\tin\tIN\tB-PP\tO' -p251366 -aS'law\tlaw\tNN\tB-NP\tO' -p251367 -aS'.\t.\t.\tO\tO' -p251368 -asS'A urinalysis was positive and urine culture grew enterococcus which was pan sensitive .' -p251369 -(lp251370 -S'A\tA\tDT\tB-NP\tO' -p251371 -aS'urinalysis\turinalysis\tNN\tI-NP\tO' -p251372 -aS'was\tbe\tVBD\tB-VP\tO' -p251373 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p251374 -aS'and\tand\tCC\tO\tO' -p251375 -aS'urine\turine\tNN\tB-NP\tO' -p251376 -aS'culture\tculture\tNN\tI-NP\tO' -p251377 -aS'grew\tgrow\tVBD\tB-VP\tO' -p251378 -aS'enterococcus\tenterococcus\tNN\tB-NP\tO' -p251379 -aS'which\twhich\tWDT\tB-NP\tO' -p251380 -aS'was\tbe\tVBD\tB-VP\tO' -p251381 -aS'pan\tpan\tNN\tB-NP\tO' -p251382 -aS'sensitive\tsensitive\tJJ\tB-ADJP\tO' -p251383 -aS'.\t.\t.\tO\tO' -p251384 -asS'Small left effusion .' -p251385 -(lp251386 -S'Small\tSmall\tJJ\tB-NP\tO' -p251387 -aS'left\tleft\tJJ\tI-NP\tO' -p251388 -aS'effusion\teffusion\tNN\tI-NP\tO' -p251389 -aS'.\t.\t.\tO\tO' -p251390 -asS'Pt received bactrim 500 mg x 1 for possible PCP .' -p251391 -(lp251392 -S'Pt\tPt\tNN\tB-NP\tB-protein' -p251393 -aS'received\treceive\tVBD\tB-VP\tI-protein' -p251394 -aS'bactrim\tbactrim\tJJ\tB-NP\tI-protein' -p251395 -aS'500\t500\tCD\tI-NP\tI-protein' -p251396 -aS'mg\tmg\tNN\tI-NP\tI-protein' -p251397 -aS'x\tx\tSYM\tB-NP\tI-protein' -p251398 -aS'1\t1\tCD\tI-NP\tI-protein' -p251399 -aS'for\tfor\tIN\tB-PP\tO' -p251400 -aS'possible\tpossible\tJJ\tB-NP\tO' -p251401 -aS'PCP\tPCP\tNN\tI-NP\tO' -p251402 -aS'.\t.\t.\tO\tO' -p251403 -asS'He was raking leaves on 04-02 and then developed episodes of mid chest pain and burning which radiated to the left arm .' -p251404 -(lp251405 -S'He\tHe\tPRP\tB-NP\tO' -p251406 -aS'was\tbe\tVBD\tB-VP\tO' -p251407 -aS'raking\trake\tVBG\tI-VP\tO' -p251408 -aS'leaves\tleaf\tNNS\tB-NP\tO' -p251409 -aS'on\ton\tIN\tB-PP\tO' -p251410 -aS'04-02\t04-02\tCD\tB-NP\tO' -p251411 -aS'and\tand\tCC\tO\tO' -p251412 -aS'then\tthen\tRB\tB-VP\tO' -p251413 -aS'developed\tdevelop\tVBD\tI-VP\tO' -p251414 -aS'episodes\tepisode\tNNS\tB-NP\tO' -p251415 -aS'of\tof\tIN\tB-PP\tO' -p251416 -aS'mid\tmid\tJJ\tB-NP\tO' -p251417 -aS'chest\tchest\tNN\tI-NP\tO' -p251418 -aS'pain\tpain\tNN\tI-NP\tO' -p251419 -aS'and\tand\tCC\tI-NP\tO' -p251420 -aS'burning\tburning\tNN\tI-NP\tO' -p251421 -aS'which\twhich\tWDT\tB-NP\tO' -p251422 -aS'radiated\tradiate\tVBD\tB-VP\tO' -p251423 -aS'to\tto\tTO\tB-PP\tO' -p251424 -aS'the\tthe\tDT\tB-NP\tO' -p251425 -aS'left\tleft\tJJ\tI-NP\tO' -p251426 -aS'arm\tarm\tNN\tI-NP\tO' -p251427 -aS'.\t.\t.\tO\tO' -p251428 -asS'The patient was started on intravenous heparin and had the studies as described above for rule out source of embolic strokes including carotid noninvasives , transcranial Dopplers , Holter electrocardiogram and echocardiogram .' -p251429 -(lp251430 -S'The\tThe\tDT\tB-NP\tO' -p251431 -aS'patient\tpatient\tNN\tI-NP\tO' -p251432 -aS'was\tbe\tVBD\tB-VP\tO' -p251433 -aS'started\tstart\tVBN\tI-VP\tO' -p251434 -aS'on\ton\tIN\tB-PP\tO' -p251435 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p251436 -aS'heparin\theparin\tNN\tI-NP\tO' -p251437 -aS'and\tand\tCC\tO\tO' -p251438 -aS'had\thave\tVBD\tB-VP\tO' -p251439 -aS'the\tthe\tDT\tB-NP\tO' -p251440 -aS'studies\tstudy\tNNS\tI-NP\tO' -p251441 -aS'as\tas\tIN\tB-SBAR\tO' -p251442 -aS'described\tdescribe\tVBN\tB-VP\tO' -p251443 -aS'above\tabove\tIN\tB-PP\tO' -p251444 -aS'for\tfor\tIN\tB-PP\tO' -p251445 -aS'rule\trule\tNN\tB-NP\tO' -p251446 -aS'out\tout\tIN\tB-PP\tO' -p251447 -aS'source\tsource\tNN\tB-NP\tO' -p251448 -aS'of\tof\tIN\tB-PP\tO' -p251449 -aS'embolic\tembolic\tJJ\tB-NP\tO' -p251450 -aS'strokes\tstroke\tNNS\tI-NP\tO' -p251451 -aS'including\tinclude\tVBG\tB-PP\tO' -p251452 -aS'carotid\tcarotid\tNN\tB-NP\tO' -p251453 -aS'noninvasives\tnoninvasive\tNNS\tI-NP\tO' -p251454 -aS',\t,\t,\tO\tO' -p251455 -aS'transcranial\ttranscranial\tJJ\tB-NP\tO' -p251456 -aS'Dopplers\tDoppler\tNNPS\tI-NP\tO' -p251457 -aS',\t,\t,\tO\tO' -p251458 -aS'Holter\tHolter\tNNP\tB-NP\tO' -p251459 -aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' -p251460 -aS'and\tand\tCC\tI-NP\tO' -p251461 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p251462 -aS'.\t.\t.\tO\tO' -p251463 -asS'She arrived pain free .' -p251464 -(lp251465 -S'She\tShe\tPRP\tB-NP\tO' -p251466 -aS'arrived\tarrive\tVBD\tB-VP\tO' -p251467 -aS'pain\tpain\tNN\tB-NP\tO' -p251468 -aS'free\tfree\tJJ\tB-ADJP\tO' -p251469 -aS'.\t.\t.\tO\tO' -p251470 -asS'Mother is a 29 year-old gravida 4 , para 1 mother , Marian Jane conception , EDC 2016-07-08 .' -p251471 -(lp251472 -S'Mother\tMother\tNNP\tB-NP\tO' -p251473 -aS'is\tbe\tVBZ\tB-VP\tO' -p251474 -aS'a\ta\tDT\tB-NP\tO' -p251475 -aS'29\t29\tCD\tI-NP\tO' -p251476 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p251477 -aS'gravida\tgravida\tNN\tI-NP\tO' -p251478 -aS'4\t4\tCD\tI-NP\tO' -p251479 -aS',\t,\t,\tO\tO' -p251480 -aS'para\tpara\tNN\tB-NP\tO' -p251481 -aS'1\t1\tCD\tI-NP\tO' -p251482 -aS'mother\tmother\tNN\tI-NP\tO' -p251483 -aS',\t,\t,\tO\tO' -p251484 -aS'Marian\tMarian\tNNP\tB-NP\tO' -p251485 -aS'Jane\tJane\tNNP\tI-NP\tO' -p251486 -aS'conception\tconception\tNN\tI-NP\tO' -p251487 -aS',\t,\t,\tO\tO' -p251488 -aS'EDC\tEDC\tNN\tB-NP\tO' -p251489 -aS'2016-07-08\t2016-07-08\tCD\tI-NP\tO' -p251490 -aS'.\t.\t.\tO\tO' -p251491 -asS'Vancomycin levels should be checked every third day for four to six weeks , according to IMD .' -p251492 -(lp251493 -S'Vancomycin\tVancomycin\tNN\tB-NP\tO' -p251494 -aS'levels\tlevel\tNNS\tI-NP\tO' -p251495 -aS'should\tshould\tMD\tB-VP\tO' -p251496 -aS'be\tbe\tVB\tI-VP\tO' -p251497 -aS'checked\tcheck\tVBN\tI-VP\tO' -p251498 -aS'every\tevery\tDT\tB-NP\tO' -p251499 -aS'third\tthird\tJJ\tI-NP\tO' -p251500 -aS'day\tday\tNN\tI-NP\tO' -p251501 -aS'for\tfor\tIN\tB-PP\tO' -p251502 -aS'four\tfour\tCD\tB-NP\tO' -p251503 -aS'to\tto\tTO\tI-NP\tO' -p251504 -aS'six\tsix\tCD\tI-NP\tO' -p251505 -aS'weeks\tweek\tNNS\tI-NP\tO' -p251506 -aS',\t,\t,\tO\tO' -p251507 -aS'according\taccord\tVBG\tB-PP\tO' -p251508 -aS'to\tto\tTO\tB-PP\tO' -p251509 -aS'IMD\tIMD\tNNP\tB-NP\tO' -p251510 -aS'.\t.\t.\tO\tO' -p251511 -asS'Her sister had wanted to keep the current course because she felt she was doing well where she was living and did not want to upset that .' -p251512 -(lp251513 -S'Her\tHer\tPRP$\tB-NP\tO' -p251514 -aS'sister\tsister\tNN\tI-NP\tO' -p251515 -aS'had\thave\tVBD\tB-VP\tO' -p251516 -aS'wanted\twant\tVBN\tI-VP\tO' -p251517 -aS'to\tto\tTO\tI-VP\tO' -p251518 -aS'keep\tkeep\tVB\tI-VP\tO' -p251519 -aS'the\tthe\tDT\tB-NP\tO' -p251520 -aS'current\tcurrent\tJJ\tI-NP\tO' -p251521 -aS'course\tcourse\tNN\tI-NP\tO' -p251522 -aS'because\tbecause\tIN\tB-SBAR\tO' -p251523 -aS'she\tshe\tPRP\tB-NP\tO' -p251524 -aS'felt\tfeel\tVBD\tB-VP\tO' -p251525 -aS'she\tshe\tPRP\tB-NP\tO' -p251526 -aS'was\tbe\tVBD\tB-VP\tO' -p251527 -aS'doing\tdo\tVBG\tI-VP\tO' -p251528 -aS'well\twell\tRB\tB-ADVP\tO' -p251529 -aS'where\twhere\tWRB\tB-ADVP\tO' -p251530 -aS'she\tshe\tPRP\tB-NP\tO' -p251531 -aS'was\tbe\tVBD\tB-VP\tO' -p251532 -aS'living\tlive\tVBG\tI-VP\tO' -p251533 -aS'and\tand\tCC\tO\tO' -p251534 -aS'did\tdo\tVBD\tB-VP\tO' -p251535 -aS'not\tnot\tRB\tI-VP\tO' -p251536 -aS'want\twant\tVB\tI-VP\tO' -p251537 -aS'to\tto\tTO\tI-VP\tO' -p251538 -aS'upset\tupset\tVB\tI-VP\tO' -p251539 -aS'that\tthat\tDT\tB-NP\tO' -p251540 -aS'.\t.\t.\tO\tO' -p251541 -asS'Gastritis and duodenitis .' -p251542 -(lp251543 -S'Gastritis\tGastritis\tNN\tB-NP\tO' -p251544 -aS'and\tand\tCC\tI-NP\tO' -p251545 -aS'duodenitis\tduodenitis\tNN\tI-NP\tO' -p251546 -aS'.\t.\t.\tO\tO' -p251547 -asS'Distant smoking history .' -p251548 -(lp251549 -S'Distant\tDistant\tJJ\tB-NP\tO' -p251550 -aS'smoking\tsmoking\tNN\tI-NP\tO' -p251551 -aS'history\thistory\tNN\tI-NP\tO' -p251552 -aS'.\t.\t.\tO\tO' -p251553 -asS'Premature infant born at 31 and 6/7 weeks gestation , resolved respiratory distress syndrome .' -p251554 -(lp251555 -S'Premature\tPremature\tJJ\tB-NP\tO' -p251556 -aS'infant\tinfant\tNN\tI-NP\tO' -p251557 -aS'born\tbear\tVBN\tB-VP\tO' -p251558 -aS'at\tat\tIN\tB-PP\tO' -p251559 -aS'31\t31\tCD\tB-NP\tO' -p251560 -aS'and\tand\tCC\tI-NP\tO' -p251561 -aS'6/7\t6/7\tCD\tI-NP\tO' -p251562 -aS'weeks\tweek\tNNS\tI-NP\tO' -p251563 -aS'gestation\tgestation\tNN\tI-NP\tO' -p251564 -aS',\t,\t,\tO\tO' -p251565 -aS'resolved\tresolve\tVBD\tB-VP\tO' -p251566 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p251567 -aS'distress\tdistress\tNN\tI-NP\tO' -p251568 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p251569 -aS'.\t.\t.\tO\tO' -p251570 -asS'Medications on Admission : patient passed away' -p251571 -(lp251572 -S'Medications\tMedication\tNNS\tB-NP\tO' -p251573 -aS'on\ton\tIN\tB-PP\tO' -p251574 -aS'Admission\tAdmission\tNN\tB-NP\tO' -p251575 -aS':\t:\t:\tO\tO' -p251576 -aS'patient\tpatient\tNN\tB-NP\tO' -p251577 -aS'passed\tpass\tVBD\tB-VP\tO' -p251578 -aS'away\taway\tRB\tB-ADVP\tO' -p251579 -asS'1 ) The patient will follow-up with her primary care physician , Dr. Tamarg Study , in Arvus after she is discharged from rehabilitation .' -p251580 -(lp251581 -S'1\t1\tLS\tB-LST\tO' -p251582 -aS')\t)\t)\tO\tO' -p251583 -aS'The\tThe\tDT\tB-NP\tO' -p251584 -aS'patient\tpatient\tNN\tI-NP\tO' -p251585 -aS'will\twill\tMD\tB-VP\tO' -p251586 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p251587 -aS'with\twith\tIN\tB-PP\tO' -p251588 -aS'her\ther\tPRP$\tB-NP\tO' -p251589 -aS'primary\tprimary\tJJ\tI-NP\tO' -p251590 -aS'care\tcare\tNN\tI-NP\tO' -p251591 -aS'physician\tphysician\tNN\tI-NP\tO' -p251592 -aS',\t,\t,\tO\tO' -p251593 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p251594 -aS'Tamarg\tTamarg\tNNP\tI-NP\tO' -p251595 -aS'Study\tStudy\tNNP\tI-NP\tO' -p251596 -aS',\t,\t,\tO\tO' -p251597 -aS'in\tin\tIN\tB-PP\tO' -p251598 -aS'Arvus\tArvus\tNNP\tB-NP\tO' -p251599 -aS'after\tafter\tIN\tB-SBAR\tO' -p251600 -aS'she\tshe\tPRP\tB-NP\tO' -p251601 -aS'is\tbe\tVBZ\tB-VP\tO' -p251602 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p251603 -aS'from\tfrom\tIN\tB-PP\tO' -p251604 -aS'rehabilitation\trehabilitation\tNN\tB-NP\tO' -p251605 -aS'.\t.\t.\tO\tO' -p251606 -asS'The patient was in a good state of health until January of 1993 when she developed a serious upper respiratory tract infection associated with weakness and fatigue .' -p251607 -(lp251608 -S'The\tThe\tDT\tB-NP\tO' -p251609 -aS'patient\tpatient\tNN\tI-NP\tO' -p251610 -aS'was\tbe\tVBD\tB-VP\tO' -p251611 -aS'in\tin\tIN\tB-PP\tO' -p251612 -aS'a\ta\tDT\tB-NP\tO' -p251613 -aS'good\tgood\tJJ\tI-NP\tO' -p251614 -aS'state\tstate\tNN\tI-NP\tO' -p251615 -aS'of\tof\tIN\tB-PP\tO' -p251616 -aS'health\thealth\tNN\tB-NP\tO' -p251617 -aS'until\tuntil\tIN\tB-PP\tO' -p251618 -aS'January\tJanuary\tNNP\tB-NP\tO' -p251619 -aS'of\tof\tIN\tB-PP\tO' -p251620 -aS'1993\t1993\tCD\tB-NP\tO' -p251621 -aS'when\twhen\tWRB\tB-ADVP\tO' -p251622 -aS'she\tshe\tPRP\tB-NP\tO' -p251623 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p251624 -aS'a\ta\tDT\tB-NP\tO' -p251625 -aS'serious\tserious\tJJ\tI-NP\tO' -p251626 -aS'upper\tupper\tJJ\tI-NP\tO' -p251627 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p251628 -aS'tract\ttract\tNN\tI-NP\tO' -p251629 -aS'infection\tinfection\tNN\tI-NP\tO' -p251630 -aS'associated\tassociate\tVBN\tB-VP\tO' -p251631 -aS'with\twith\tIN\tB-PP\tO' -p251632 -aS'weakness\tweakness\tNN\tB-NP\tO' -p251633 -aS'and\tand\tCC\tI-NP\tO' -p251634 -aS'fatigue\tfatigue\tNN\tI-NP\tO' -p251635 -aS'.\t.\t.\tO\tO' -p251636 -asS'3. Proscar .' -p251637 -(lp251638 -S'3.\t3.\tLS\tB-NP\tO' -p251639 -aS'Proscar\tProscar\tNN\tI-NP\tO' -p251640 -aS'.\t.\t.\tO\tO' -p251641 -asS'Lisinopril , 30 daily .' -p251642 -(lp251643 -S'Lisinopril\tLisinopril\tNNP\tB-NP\tO' -p251644 -aS',\t,\t,\tO\tO' -p251645 -aS'30\t30\tCD\tB-NP\tO' -p251646 -aS'daily\tdaily\tRB\tI-NP\tO' -p251647 -aS'.\t.\t.\tO\tO' -p251648 -asS'Urinalysis revealed trace glucose , no ketones , no red cells , no white cells and less than one epithelial cells .' -p251649 -(lp251650 -S'Urinalysis\tUrinalysis\tNN\tB-NP\tO' -p251651 -aS'revealed\treveal\tVBD\tB-VP\tO' -p251652 -aS'trace\ttrace\tNN\tB-NP\tO' -p251653 -aS'glucose\tglucose\tNN\tI-NP\tO' -p251654 -aS',\t,\t,\tO\tO' -p251655 -aS'no\tno\tDT\tB-NP\tO' -p251656 -aS'ketones\tketone\tNNS\tI-NP\tO' -p251657 -aS',\t,\t,\tO\tO' -p251658 -aS'no\tno\tDT\tB-NP\tO' -p251659 -aS'red\tred\tJJ\tI-NP\tB-cell_type' -p251660 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p251661 -aS',\t,\t,\tO\tO' -p251662 -aS'no\tno\tDT\tB-NP\tO' -p251663 -aS'white\twhite\tJJ\tI-NP\tB-cell_type' -p251664 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p251665 -aS'and\tand\tCC\tO\tO' -p251666 -aS'less\tless\tJJR\tB-NP\tO' -p251667 -aS'than\tthan\tIN\tI-NP\tO' -p251668 -aS'one\tone\tCD\tI-NP\tO' -p251669 -aS'epithelial\tepithelial\tJJ\tI-NP\tB-cell_type' -p251670 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p251671 -aS'.\t.\t.\tO\tO' -p251672 -asS'A white blood cell count of 14.2 , hematocrit of 35.3 , platelet count of 449,000 .' -p251673 -(lp251674 -S'A\tA\tDT\tB-NP\tO' -p251675 -aS'white\twhite\tJJ\tI-NP\tO' -p251676 -aS'blood\tblood\tNN\tI-NP\tO' -p251677 -aS'cell\tcell\tNN\tI-NP\tO' -p251678 -aS'count\tcount\tNN\tI-NP\tO' -p251679 -aS'of\tof\tIN\tB-PP\tO' -p251680 -aS'14.2\t14.2\tCD\tB-NP\tO' -p251681 -aS',\t,\t,\tO\tO' -p251682 -aS'hematocrit\thematocrit\tNN\tB-NP\tO' -p251683 -aS'of\tof\tIN\tB-PP\tO' -p251684 -aS'35.3\t35.3\tCD\tB-NP\tO' -p251685 -aS',\t,\t,\tO\tO' -p251686 -aS'platelet\tplatelet\tNN\tB-NP\tO' -p251687 -aS'count\tcount\tNN\tI-NP\tO' -p251688 -aS'of\tof\tIN\tB-PP\tO' -p251689 -aS'449,000\t449,000\tCD\tB-NP\tO' -p251690 -aS'.\t.\t.\tO\tO' -p251691 -asS'The patient was taken emergently to the Cardiac Catheterization Laboratory .' -p251692 -(lp251693 -S'The\tThe\tDT\tB-NP\tO' -p251694 -aS'patient\tpatient\tNN\tI-NP\tO' -p251695 -aS'was\tbe\tVBD\tB-VP\tO' -p251696 -aS'taken\ttake\tVBN\tI-VP\tO' -p251697 -aS'emergently\temergently\tRB\tB-ADVP\tO' -p251698 -aS'to\tto\tTO\tB-PP\tO' -p251699 -aS'the\tthe\tDT\tB-NP\tO' -p251700 -aS'Cardiac\tCardiac\tNNP\tI-NP\tO' -p251701 -aS'Catheterization\tCatheterization\tNNP\tI-NP\tO' -p251702 -aS'Laboratory\tLaboratory\tNNP\tI-NP\tO' -p251703 -aS'.\t.\t.\tO\tO' -p251704 -asS'T 98.4 RR 20 Sat 100% RA , P 100 in bed & same standing , BP = 120/65 in bed , same standing .' -p251705 -(lp251706 -S'T\tT\tNN\tB-NP\tO' -p251707 -aS'98.4\t98.4\tCD\tI-NP\tO' -p251708 -aS'RR\tRR\tNN\tI-NP\tO' -p251709 -aS'20\t20\tCD\tB-NP\tO' -p251710 -aS'Sat\tSat\tNNP\tI-NP\tO' -p251711 -aS'100%\t100%\tCD\tI-NP\tO' -p251712 -aS'RA\tRA\tNNP\tI-NP\tO' -p251713 -aS',\t,\t,\tI-NP\tO' -p251714 -aS'P\tP\tNNP\tI-NP\tB-protein' -p251715 -aS'100\t100\tCD\tI-NP\tI-protein' -p251716 -aS'in\tin\tIN\tB-PP\tO' -p251717 -aS'bed\tbed\tNN\tB-NP\tO' -p251718 -aS'&\t&\tCC\tI-NP\tO' -p251719 -aS'same\tsame\tJJ\tI-NP\tO' -p251720 -aS'standing\tstanding\tNN\tI-NP\tO' -p251721 -aS',\t,\t,\tO\tO' -p251722 -aS'BP\tBP\tNN\tB-NP\tO' -p251723 -aS'=\t=\tSYM\tB-VP\tO' -p251724 -aS'120/65\t120/65\tCD\tB-NP\tO' -p251725 -aS'in\tin\tIN\tB-PP\tO' -p251726 -aS'bed\tbed\tNN\tB-NP\tO' -p251727 -aS',\t,\t,\tO\tO' -p251728 -aS'same\tsame\tJJ\tB-NP\tO' -p251729 -aS'standing\tstanding\tNN\tI-NP\tO' -p251730 -aS'.\t.\t.\tO\tO' -p251731 -asS'The oropharynx is clear .' -p251732 -(lp251733 -S'The\tThe\tDT\tB-NP\tO' -p251734 -aS'oropharynx\toropharynx\tNN\tI-NP\tO' -p251735 -aS'is\tbe\tVBZ\tB-VP\tO' -p251736 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p251737 -aS'.\t.\t.\tO\tO' -p251738 -asS'Respiratory rate 12 .' -p251739 -(lp251740 -S'Respiratory\tRespiratory\tJJ\tB-NP\tO' -p251741 -aS'rate\trate\tNN\tI-NP\tO' -p251742 -aS'12\t12\tCD\tI-NP\tO' -p251743 -aS'.\t.\t.\tO\tO' -p251744 -asS'Abdomen soft and non-tender .' -p251745 -(lp251746 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p251747 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p251748 -aS'and\tand\tCC\tI-ADJP\tO' -p251749 -aS'non-tender\tnon-tender\tJJ\tI-ADJP\tO' -p251750 -aS'.\t.\t.\tO\tO' -p251751 -asS'9. Oxycodone - Acetaminophen 5-325 mg Tablet Sig : 1-2 Tablets PO Q4-6H ( every 4 to 6 hours ) as needed for pain .' -p251752 -(lp251753 -S'9.\t9.\tLS\tB-NP\tO' -p251754 -aS'Oxycodone\tOxycodone\tNN\tI-NP\tO' -p251755 -aS'-\t-\tHYPH\tO\tO' -p251756 -aS'Acetaminophen\tAcetaminophen\tNN\tB-NP\tO' -p251757 -aS'5-325\t5-325\tCD\tI-NP\tO' -p251758 -aS'mg\tmg\tNN\tI-NP\tO' -p251759 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p251760 -aS'Sig\tSig\tNNP\tI-NP\tO' -p251761 -aS':\t:\t:\tO\tO' -p251762 -aS'1-2\t1-2\tCD\tB-NP\tO' -p251763 -aS'Tablets\tTablet\tNNS\tI-NP\tO' -p251764 -aS'PO\tPO\tNN\tI-NP\tO' -p251765 -aS'Q4-6H\tQ4-6H\tNN\tI-NP\tO' -p251766 -aS'(\t(\t(\tO\tO' -p251767 -aS'every\tevery\tDT\tB-NP\tO' -p251768 -aS'4\t4\tCD\tI-NP\tO' -p251769 -aS'to\tto\tTO\tI-NP\tO' -p251770 -aS'6\t6\tCD\tI-NP\tO' -p251771 -aS'hours\thour\tNNS\tI-NP\tO' -p251772 -aS')\t)\t)\tO\tO' -p251773 -aS'as\tas\tIN\tB-SBAR\tO' -p251774 -aS'needed\tneed\tVBN\tB-VP\tO' -p251775 -aS'for\tfor\tIN\tB-PP\tO' -p251776 -aS'pain\tpain\tNN\tB-NP\tO' -p251777 -aS'.\t.\t.\tO\tO' -p251778 -asS'his fine finger movements and rapid alternating movements were within normal limits .' -p251779 -(lp251780 -S'his\this\tPRP$\tB-NP\tO' -p251781 -aS'fine\tfine\tJJ\tI-NP\tO' -p251782 -aS'finger\tfinger\tNN\tI-NP\tO' -p251783 -aS'movements\tmovement\tNNS\tI-NP\tO' -p251784 -aS'and\tand\tCC\tO\tO' -p251785 -aS'rapid\trapid\tJJ\tB-NP\tO' -p251786 -aS'alternating\talternate\tVBG\tI-NP\tO' -p251787 -aS'movements\tmovement\tNNS\tI-NP\tO' -p251788 -aS'were\tbe\tVBD\tB-VP\tO' -p251789 -aS'within\twithin\tIN\tB-PP\tO' -p251790 -aS'normal\tnormal\tJJ\tB-NP\tO' -p251791 -aS'limits\tlimit\tNNS\tI-NP\tO' -p251792 -aS'.\t.\t.\tO\tO' -p251793 -asS'He is to call Dr. Class 's office with any questions or concerns .' -p251794 -(lp251795 -S'He\tHe\tPRP\tB-NP\tO' -p251796 -aS'is\tbe\tVBZ\tB-VP\tO' -p251797 -aS'to\tto\tTO\tB-VP\tO' -p251798 -aS'call\tcall\tVB\tI-VP\tO' -p251799 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p251800 -aS'Class\tClass\tNNP\tI-NP\tO' -p251801 -aS''s\t'\tNNS\tI-NP\tO' -p251802 -aS'office\toffice\tNN\tI-NP\tO' -p251803 -aS'with\twith\tIN\tB-PP\tO' -p251804 -aS'any\tany\tDT\tB-NP\tO' -p251805 -aS'questions\tquestion\tNNS\tI-NP\tO' -p251806 -aS'or\tor\tCC\tI-NP\tO' -p251807 -aS'concerns\tconcern\tNNS\tI-NP\tO' -p251808 -aS'.\t.\t.\tO\tO' -p251809 -asS'The patient has been diagnosed with diabetes mellitus since 1991 and has been maintained on Glipizide .' -p251810 -(lp251811 -S'The\tThe\tDT\tB-NP\tO' -p251812 -aS'patient\tpatient\tNN\tI-NP\tO' -p251813 -aS'has\thave\tVBZ\tB-VP\tO' -p251814 -aS'been\tbe\tVBN\tI-VP\tO' -p251815 -aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' -p251816 -aS'with\twith\tIN\tB-PP\tO' -p251817 -aS'diabetes\tdiabetes\tNN\tB-NP\tO' -p251818 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p251819 -aS'since\tsince\tIN\tB-PP\tO' -p251820 -aS'1991\t1991\tCD\tB-NP\tO' -p251821 -aS'and\tand\tCC\tO\tO' -p251822 -aS'has\thave\tVBZ\tB-VP\tO' -p251823 -aS'been\tbe\tVBN\tI-VP\tO' -p251824 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p251825 -aS'on\ton\tIN\tB-PP\tO' -p251826 -aS'Glipizide\tGlipizide\tNN\tB-NP\tO' -p251827 -aS'.\t.\t.\tO\tO' -p251828 -asS'1) Staph. sepsis related to PICC line .' -p251829 -(lp251830 -S'1)\t1)\tLS\tB-NP\tO' -p251831 -aS'Staph.\tStaph.\tNNP\tI-NP\tO' -p251832 -aS'sepsis\tsepsis\tNN\tI-NP\tO' -p251833 -aS'related\trelate\tVBN\tB-VP\tO' -p251834 -aS'to\tto\tTO\tB-PP\tO' -p251835 -aS'PICC\tPICC\tNN\tB-NP\tB-cell_line' -p251836 -aS'line\tline\tNN\tI-NP\tI-cell_line' -p251837 -aS'.\t.\t.\tO\tO' -p251838 -asS'The aldolase was positive at 142 .' -p251839 -(lp251840 -S'The\tThe\tDT\tB-NP\tO' -p251841 -aS'aldolase\taldolase\tNN\tI-NP\tB-protein' -p251842 -aS'was\tbe\tVBD\tB-VP\tO' -p251843 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p251844 -aS'at\tat\tIN\tB-PP\tO' -p251845 -aS'142\t142\tCD\tB-NP\tO' -p251846 -aS'.\t.\t.\tO\tO' -p251847 -asS'Preserved sensation throughout .' -p251848 -(lp251849 -S'Preserved\tPreserve\tVBN\tB-NP\tO' -p251850 -aS'sensation\tsensation\tNN\tI-NP\tO' -p251851 -aS'throughout\tthroughout\tIN\tB-ADVP\tO' -p251852 -aS'.\t.\t.\tO\tO' -p251853 -asS'Mitral stenosis .' -p251854 -(lp251855 -S'Mitral\tMitral\tJJ\tB-NP\tO' -p251856 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p251857 -aS'.\t.\t.\tO\tO' -p251858 -asS'She did not look teric ( ??? ) .' -p251859 -(lp251860 -S'She\tShe\tPRP\tB-NP\tO' -p251861 -aS'did\tdo\tVBD\tB-VP\tO' -p251862 -aS'not\tnot\tRB\tI-VP\tO' -p251863 -aS'look\tlook\tVB\tI-VP\tO' -p251864 -aS'teric\tteric\tJJ\tB-ADJP\tO' -p251865 -aS'(\t(\t(\tO\tO' -p251866 -aS'???\t???\t.\tO\tO' -p251867 -aS')\t)\t)\tO\tO' -p251868 -aS'.\t.\t.\tO\tO' -p251869 -asS'May be taken without regard to meals' -p251870 -(lp251871 -S'May\tMay\tMD\tB-VP\tO' -p251872 -aS'be\tbe\tVB\tI-VP\tO' -p251873 -aS'taken\ttake\tVBN\tI-VP\tO' -p251874 -aS'without\twithout\tIN\tB-PP\tO' -p251875 -aS'regard\tregard\tNN\tB-NP\tO' -p251876 -aS'to\tto\tTO\tB-PP\tO' -p251877 -aS'meals\tmeal\tNNS\tB-NP\tO' -p251878 -asS'Temperature was 100.3 F. ; heart rate was 115 .' -p251879 -(lp251880 -S'Temperature\tTemperature\tNN\tB-NP\tO' -p251881 -aS'was\tbe\tVBD\tB-VP\tO' -p251882 -aS'100.3\t100.3\tCD\tB-NP\tO' -p251883 -aS'F.\tF.\tNNP\tI-NP\tO' -p251884 -aS';\t;\t:\tO\tO' -p251885 -aS'heart\theart\tNN\tB-NP\tO' -p251886 -aS'rate\trate\tNN\tI-NP\tO' -p251887 -aS'was\tbe\tVBD\tB-VP\tO' -p251888 -aS'115\t115\tCD\tB-NP\tO' -p251889 -aS'.\t.\t.\tO\tO' -p251890 -asS'Subarachnoid hemorrhage w/ bilateral intraventricular hemorrhage' -p251891 -(lp251892 -S'Subarachnoid\tSubarachnoid\tJJ\tB-NP\tO' -p251893 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p251894 -aS'w/\tw/\tNN\tI-NP\tO' -p251895 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p251896 -aS'intraventricular\tintraventricular\tJJ\tI-NP\tO' -p251897 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p251898 -asS'9. Inderal .' -p251899 -(lp251900 -S'9.\t9.\tLS\tB-LST\tO' -p251901 -aS'Inderal\tInderal\tNNP\tB-NP\tO' -p251902 -aS'.\t.\t.\tO\tO' -p251903 -asS'Warm to touch , no clubbing , cyanosis , or edema .' -p251904 -(lp251905 -S'Warm\tWarm\tNNP\tB-NP\tO' -p251906 -aS'to\tto\tTO\tB-VP\tO' -p251907 -aS'touch\ttouch\tVB\tI-VP\tO' -p251908 -aS',\t,\t,\tO\tO' -p251909 -aS'no\tno\tDT\tB-NP\tO' -p251910 -aS'clubbing\tclubbing\tNN\tI-NP\tO' -p251911 -aS',\t,\t,\tO\tO' -p251912 -aS'cyanosis\tcyanosis\tNN\tB-NP\tO' -p251913 -aS',\t,\t,\tO\tO' -p251914 -aS'or\tor\tCC\tO\tO' -p251915 -aS'edema\tedema\tNN\tB-NP\tO' -p251916 -aS'.\t.\t.\tO\tO' -p251917 -asS'He follows commands , he is out of bed ambulating with max assist .' -p251918 -(lp251919 -S'He\tHe\tPRP\tB-NP\tO' -p251920 -aS'follows\tfollow\tVBZ\tB-VP\tO' -p251921 -aS'commands\tcommand\tNNS\tB-NP\tO' -p251922 -aS',\t,\t,\tO\tO' -p251923 -aS'he\the\tPRP\tB-NP\tO' -p251924 -aS'is\tbe\tVBZ\tB-VP\tO' -p251925 -aS'out\tout\tIN\tB-PP\tO' -p251926 -aS'of\tof\tIN\tB-PP\tO' -p251927 -aS'bed\tbed\tNN\tB-NP\tO' -p251928 -aS'ambulating\tambulate\tVBG\tB-VP\tO' -p251929 -aS'with\twith\tIN\tB-PP\tO' -p251930 -aS'max\tmax\tNN\tB-NP\tO' -p251931 -aS'assist\tassist\tNN\tI-NP\tO' -p251932 -aS'.\t.\t.\tO\tO' -p251933 -asS'Postoperatively he did well and was transferred to the Cardiac Surgery Intensive Care Unit where he was on pressor support of Neo-Synephrine and he was extubated .' -p251934 -(lp251935 -S'Postoperatively\tPostoperatively\tRB\tB-ADVP\tO' -p251936 -aS'he\the\tPRP\tB-NP\tO' -p251937 -aS'did\tdo\tVBD\tB-VP\tO' -p251938 -aS'well\twell\tRB\tB-ADVP\tO' -p251939 -aS'and\tand\tCC\tO\tO' -p251940 -aS'was\tbe\tVBD\tB-VP\tO' -p251941 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p251942 -aS'to\tto\tTO\tB-PP\tO' -p251943 -aS'the\tthe\tDT\tB-NP\tO' -p251944 -aS'Cardiac\tCardiac\tNNP\tI-NP\tO' -p251945 -aS'Surgery\tSurgery\tNNP\tI-NP\tO' -p251946 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p251947 -aS'Care\tCare\tNNP\tI-NP\tO' -p251948 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p251949 -aS'where\twhere\tWRB\tB-ADVP\tO' -p251950 -aS'he\the\tPRP\tB-NP\tO' -p251951 -aS'was\tbe\tVBD\tB-VP\tO' -p251952 -aS'on\ton\tIN\tB-PP\tO' -p251953 -aS'pressor\tpressor\tNN\tB-NP\tO' -p251954 -aS'support\tsupport\tNN\tI-NP\tO' -p251955 -aS'of\tof\tIN\tB-PP\tO' -p251956 -aS'Neo-Synephrine\tNeo-Synephrine\tNN\tB-NP\tO' -p251957 -aS'and\tand\tCC\tO\tO' -p251958 -aS'he\the\tPRP\tB-NP\tO' -p251959 -aS'was\tbe\tVBD\tB-VP\tO' -p251960 -aS'extubated\textubate\tVBN\tI-VP\tO' -p251961 -aS'.\t.\t.\tO\tO' -p251962 -asS'# AV fistula : pt with h/o numerous clots in AV fistula .' -p251963 -(lp251964 -S'#\t#\t#\tB-NP\tO' -p251965 -aS'AV\tAV\tNN\tI-NP\tO' -p251966 -aS'fistula\tfistula\tNN\tI-NP\tO' -p251967 -aS':\t:\t:\tO\tO' -p251968 -aS'pt\tpt\tNN\tB-NP\tO' -p251969 -aS'with\twith\tIN\tB-PP\tO' -p251970 -aS'h/o\th/o\tNN\tB-NP\tO' -p251971 -aS'numerous\tnumerous\tJJ\tI-NP\tO' -p251972 -aS'clots\tclot\tNNS\tI-NP\tO' -p251973 -aS'in\tin\tIN\tB-PP\tO' -p251974 -aS'AV\tAV\tNN\tB-NP\tO' -p251975 -aS'fistula\tfistula\tNN\tI-NP\tO' -p251976 -aS'.\t.\t.\tO\tO' -p251977 -asS'Infectious Disease consultation was obtained for evaluation of his purulent sputum and the patient was covered with Vancomycin , Ceftazidime and Gentamicin .' -p251978 -(lp251979 -S'Infectious\tInfectious\tJJ\tB-NP\tO' -p251980 -aS'Disease\tDisease\tNN\tI-NP\tO' -p251981 -aS'consultation\tconsultation\tNN\tI-NP\tO' -p251982 -aS'was\tbe\tVBD\tB-VP\tO' -p251983 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p251984 -aS'for\tfor\tIN\tB-PP\tO' -p251985 -aS'evaluation\tevaluation\tNN\tB-NP\tO' -p251986 -aS'of\tof\tIN\tB-PP\tO' -p251987 -aS'his\this\tPRP$\tB-NP\tO' -p251988 -aS'purulent\tpurulent\tJJ\tI-NP\tO' -p251989 -aS'sputum\tsputum\tNN\tI-NP\tO' -p251990 -aS'and\tand\tCC\tO\tO' -p251991 -aS'the\tthe\tDT\tB-NP\tO' -p251992 -aS'patient\tpatient\tNN\tI-NP\tO' -p251993 -aS'was\tbe\tVBD\tB-VP\tO' -p251994 -aS'covered\tcover\tVBN\tI-VP\tO' -p251995 -aS'with\twith\tIN\tB-PP\tO' -p251996 -aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' -p251997 -aS',\t,\t,\tI-NP\tO' -p251998 -aS'Ceftazidime\tCeftazidime\tNN\tI-NP\tO' -p251999 -aS'and\tand\tCC\tI-NP\tO' -p252000 -aS'Gentamicin\tGentamicin\tNN\tI-NP\tO' -p252001 -aS'.\t.\t.\tO\tO' -p252002 -asS'The baby is breastfeeding well .' -p252003 -(lp252004 -S'The\tThe\tDT\tB-NP\tO' -p252005 -aS'baby\tbaby\tNN\tI-NP\tO' -p252006 -aS'is\tbe\tVBZ\tB-VP\tO' -p252007 -aS'breastfeeding\tbreastfeed\tVBG\tI-VP\tO' -p252008 -aS'well\twell\tRB\tB-ADVP\tO' -p252009 -aS'.\t.\t.\tO\tO' -p252010 -asS'CONCLUSION : Improvement in congestion from edema with no worsening , but no significant improvement , in the right upper lobe pneumonia .' -p252011 -(lp252012 -S'CONCLUSION\tCONCLUSION\tNN\tB-NP\tO' -p252013 -aS':\t:\t:\tO\tO' -p252014 -aS'Improvement\tImprovement\tNN\tB-NP\tO' -p252015 -aS'in\tin\tIN\tB-PP\tO' -p252016 -aS'congestion\tcongestion\tNN\tB-NP\tO' -p252017 -aS'from\tfrom\tIN\tB-PP\tO' -p252018 -aS'edema\tedema\tNN\tB-NP\tO' -p252019 -aS'with\twith\tIN\tB-PP\tO' -p252020 -aS'no\tno\tDT\tB-NP\tO' -p252021 -aS'worsening\tworsening\tNN\tI-NP\tO' -p252022 -aS',\t,\t,\tO\tO' -p252023 -aS'but\tbut\tCC\tO\tO' -p252024 -aS'no\tno\tDT\tB-NP\tO' -p252025 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p252026 -aS'improvement\timprovement\tNN\tI-NP\tO' -p252027 -aS',\t,\t,\tO\tO' -p252028 -aS'in\tin\tIN\tB-PP\tO' -p252029 -aS'the\tthe\tDT\tB-NP\tO' -p252030 -aS'right\tright\tJJ\tI-NP\tO' -p252031 -aS'upper\tupper\tJJ\tI-NP\tO' -p252032 -aS'lobe\tlobe\tNN\tI-NP\tO' -p252033 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p252034 -aS'.\t.\t.\tO\tO' -p252035 -asS'Biopsy was taken at colonoscopy on 7/5/99 .' -p252036 -(lp252037 -S'Biopsy\tBiopsy\tNN\tB-NP\tO' -p252038 -aS'was\tbe\tVBD\tB-VP\tO' -p252039 -aS'taken\ttake\tVBN\tI-VP\tO' -p252040 -aS'at\tat\tIN\tB-PP\tO' -p252041 -aS'colonoscopy\tcolonoscopy\tNN\tB-NP\tO' -p252042 -aS'on\ton\tIN\tB-PP\tO' -p252043 -aS'7/5/99\t7/5/99\tCD\tB-NP\tO' -p252044 -aS'.\t.\t.\tO\tO' -p252045 -asS'soft , +BS , NT , Midline surgical scar , nephrostomy bag draining' -p252046 -(lp252047 -S'soft\tsoft\tJJ\tB-ADJP\tO' -p252048 -aS',\t,\t,\tO\tO' -p252049 -aS'+BS\t+BS\tNNP\tB-NP\tO' -p252050 -aS',\t,\t,\tO\tO' -p252051 -aS'NT\tNT\tNNP\tB-NP\tO' -p252052 -aS',\t,\t,\tO\tO' -p252053 -aS'Midline\tMidline\tNNP\tB-NP\tO' -p252054 -aS'surgical\tsurgical\tJJ\tI-NP\tO' -p252055 -aS'scar\tscar\tNN\tI-NP\tO' -p252056 -aS',\t,\t,\tO\tO' -p252057 -aS'nephrostomy\tnephrostomy\tNN\tB-NP\tO' -p252058 -aS'bag\tbag\tNN\tI-NP\tO' -p252059 -aS'draining\tdrain\tVBG\tB-VP\tO' -p252060 -asS'In terms of his amiodarone , he will be discharged on 400mg po bid for a further 7 days followed by 400mg qd thereafter .' -p252061 -(lp252062 -S'In\tIn\tIN\tB-PP\tO' -p252063 -aS'terms\tterm\tNNS\tB-NP\tO' -p252064 -aS'of\tof\tIN\tB-PP\tO' -p252065 -aS'his\this\tPRP$\tB-NP\tO' -p252066 -aS'amiodarone\tamiodarone\tNN\tI-NP\tO' -p252067 -aS',\t,\t,\tO\tO' -p252068 -aS'he\the\tPRP\tB-NP\tO' -p252069 -aS'will\twill\tMD\tB-VP\tO' -p252070 -aS'be\tbe\tVB\tI-VP\tO' -p252071 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p252072 -aS'on\ton\tIN\tB-PP\tO' -p252073 -aS'400mg\t400mg\tNN\tB-NP\tO' -p252074 -aS'po\tpo\tNN\tI-NP\tO' -p252075 -aS'bid\tbid\tNN\tI-NP\tO' -p252076 -aS'for\tfor\tIN\tB-PP\tO' -p252077 -aS'a\ta\tDT\tB-NP\tO' -p252078 -aS'further\tfurther\tJJ\tI-NP\tO' -p252079 -aS'7\t7\tCD\tI-NP\tO' -p252080 -aS'days\tday\tNNS\tI-NP\tO' -p252081 -aS'followed\tfollow\tVBN\tB-VP\tO' -p252082 -aS'by\tby\tIN\tB-PP\tO' -p252083 -aS'400mg\t400mg\tNN\tB-NP\tO' -p252084 -aS'qd\tqd\tNN\tI-NP\tO' -p252085 -aS'thereafter\tthereafter\tRB\tB-ADVP\tO' -p252086 -aS'.\t.\t.\tO\tO' -p252087 -asS'Conditions , Infections , Complications , affecting Treatment / Stay IUP at 36 weeks .' -p252088 -(lp252089 -S'Conditions\tCondition\tNNS\tB-NP\tO' -p252090 -aS',\t,\t,\tO\tO' -p252091 -aS'Infections\tInfection\tNNS\tB-NP\tO' -p252092 -aS',\t,\t,\tO\tO' -p252093 -aS'Complications\tComplication\tNNS\tB-NP\tO' -p252094 -aS',\t,\t,\tO\tO' -p252095 -aS'affecting\taffect\tVBG\tB-VP\tO' -p252096 -aS'Treatment\tTreatment\tNN\tB-NP\tO' -p252097 -aS'/\t/\tSYM\tB-NP\tO' -p252098 -aS'Stay\tStay\tNN\tI-NP\tO' -p252099 -aS'IUP\tIUP\tNN\tI-NP\tO' -p252100 -aS'at\tat\tIN\tB-PP\tO' -p252101 -aS'36\t36\tCD\tB-NP\tO' -p252102 -aS'weeks\tweek\tNNS\tI-NP\tO' -p252103 -aS'.\t.\t.\tO\tO' -p252104 -asS'01-03 .' -p252105 -(lp252106 -S'01-03\t01-03\tCD\tB-NP\tO' -p252107 -aS'.\t.\t.\tO\tO' -p252108 -asS'The aspiration pneumonia was treated with Cefotaxime and Metronidazole .' -p252109 -(lp252110 -S'The\tThe\tDT\tB-NP\tO' -p252111 -aS'aspiration\taspiration\tNN\tI-NP\tO' -p252112 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p252113 -aS'was\tbe\tVBD\tB-VP\tO' -p252114 -aS'treated\ttreat\tVBN\tI-VP\tO' -p252115 -aS'with\twith\tIN\tB-PP\tO' -p252116 -aS'Cefotaxime\tCefotaxime\tNN\tB-NP\tO' -p252117 -aS'and\tand\tCC\tI-NP\tO' -p252118 -aS'Metronidazole\tMetronidazole\tNN\tI-NP\tO' -p252119 -aS'.\t.\t.\tO\tO' -p252120 -asS"Miss Siehjesc is an 85-year-old woman with a past medical history significant for Parkinson 's Disease of ten years duration , supraventricular tachycardia , and a history of colon carcinoma , who was in her usual state of health until 11:30 on the morning of admission when she felt the acute on set of 5 out of 10 right sided chest pain with radiation to her sternum but not to her neck or arms or back ." -p252121 -(lp252122 -S'Miss\tMiss\tNNP\tB-NP\tO' -p252123 -aS'Siehjesc\tSiehjesc\tNNP\tI-NP\tO' -p252124 -aS'is\tbe\tVBZ\tB-VP\tO' -p252125 -aS'an\tan\tDT\tB-NP\tO' -p252126 -aS'85-year-old\t85-year-old\tJJ\tI-NP\tO' -p252127 -aS'woman\twoman\tNN\tI-NP\tO' -p252128 -aS'with\twith\tIN\tB-PP\tO' -p252129 -aS'a\ta\tDT\tB-NP\tO' -p252130 -aS'past\tpast\tJJ\tI-NP\tO' -p252131 -aS'medical\tmedical\tJJ\tI-NP\tO' -p252132 -aS'history\thistory\tNN\tI-NP\tO' -p252133 -aS'significant\tsignificant\tJJ\tB-ADJP\tO' -p252134 -aS'for\tfor\tIN\tB-PP\tO' -p252135 -aS'Parkinson\tParkinson\tNNP\tB-NP\tO' -p252136 -aS"'s\t's\tPOS\tB-NP\tO" -p252137 -aS'Disease\tDisease\tNN\tI-NP\tO' -p252138 -aS'of\tof\tIN\tB-PP\tO' -p252139 -aS'ten\tten\tCD\tB-NP\tO' -p252140 -aS'years\tyear\tNNS\tI-NP\tO' -p252141 -aS'duration\tduration\tNN\tI-NP\tO' -p252142 -aS',\t,\t,\tO\tO' -p252143 -aS'supraventricular\tsupraventricular\tJJ\tB-NP\tO' -p252144 -aS'tachycardia\ttachycardia\tNN\tI-NP\tO' -p252145 -aS',\t,\t,\tO\tO' -p252146 -aS'and\tand\tCC\tO\tO' -p252147 -aS'a\ta\tDT\tB-NP\tO' -p252148 -aS'history\thistory\tNN\tI-NP\tO' -p252149 -aS'of\tof\tIN\tB-PP\tO' -p252150 -aS'colon\tcolon\tNN\tB-NP\tO' -p252151 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p252152 -aS',\t,\t,\tO\tO' -p252153 -aS'who\twho\tWP\tB-NP\tO' -p252154 -aS'was\tbe\tVBD\tB-VP\tO' -p252155 -aS'in\tin\tIN\tB-PP\tO' -p252156 -aS'her\ther\tPRP$\tB-NP\tO' -p252157 -aS'usual\tusual\tJJ\tI-NP\tO' -p252158 -aS'state\tstate\tNN\tI-NP\tO' -p252159 -aS'of\tof\tIN\tB-PP\tO' -p252160 -aS'health\thealth\tNN\tB-NP\tO' -p252161 -aS'until\tuntil\tIN\tB-PP\tO' -p252162 -aS'11:30\t11:30\tCD\tB-NP\tO' -p252163 -aS'on\ton\tIN\tB-PP\tO' -p252164 -aS'the\tthe\tDT\tB-NP\tO' -p252165 -aS'morning\tmorning\tNN\tI-NP\tO' -p252166 -aS'of\tof\tIN\tB-PP\tO' -p252167 -aS'admission\tadmission\tNN\tB-NP\tO' -p252168 -aS'when\twhen\tWRB\tB-ADVP\tO' -p252169 -aS'she\tshe\tPRP\tB-NP\tO' -p252170 -aS'felt\tfeel\tVBD\tB-VP\tO' -p252171 -aS'the\tthe\tDT\tB-NP\tO' -p252172 -aS'acute\tacute\tJJ\tI-NP\tO' -p252173 -aS'on\ton\tIN\tB-PP\tO' -p252174 -aS'set\tset\tNN\tB-NP\tO' -p252175 -aS'of\tof\tIN\tB-PP\tO' -p252176 -aS'5\t5\tCD\tB-NP\tO' -p252177 -aS'out\tout\tIN\tI-NP\tO' -p252178 -aS'of\tof\tIN\tI-NP\tO' -p252179 -aS'10\t10\tCD\tI-NP\tO' -p252180 -aS'right\tright\tJJ\tI-NP\tO' -p252181 -aS'sided\tsided\tJJ\tI-NP\tO' -p252182 -aS'chest\tchest\tNN\tI-NP\tO' -p252183 -aS'pain\tpain\tNN\tI-NP\tO' -p252184 -aS'with\twith\tIN\tB-PP\tO' -p252185 -aS'radiation\tradiation\tNN\tB-NP\tO' -p252186 -aS'to\tto\tTO\tB-PP\tO' -p252187 -aS'her\ther\tPRP$\tB-NP\tO' -p252188 -aS'sternum\tsternum\tNN\tI-NP\tO' -p252189 -aS'but\tbut\tCC\tB-CONJP\tO' -p252190 -aS'not\tnot\tRB\tI-CONJP\tO' -p252191 -aS'to\tto\tTO\tB-PP\tO' -p252192 -aS'her\ther\tPRP$\tB-NP\tO' -p252193 -aS'neck\tneck\tNN\tI-NP\tO' -p252194 -aS'or\tor\tCC\tI-NP\tO' -p252195 -aS'arms\tarm\tNNS\tI-NP\tO' -p252196 -aS'or\tor\tCC\tO\tO' -p252197 -aS'back\tback\tRB\tB-ADVP\tO' -p252198 -aS'.\t.\t.\tO\tO' -p252199 -asS'She was continued on her prior dose of steroids with sliding scale per patient using a 1:15 carb counting scheme with a 1:30 correction factor .' -p252200 -(lp252201 -S'She\tShe\tPRP\tB-NP\tO' -p252202 -aS'was\tbe\tVBD\tB-VP\tO' -p252203 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p252204 -aS'on\ton\tIN\tB-PP\tO' -p252205 -aS'her\ther\tPRP$\tB-NP\tO' -p252206 -aS'prior\tprior\tJJ\tI-NP\tO' -p252207 -aS'dose\tdose\tNN\tI-NP\tO' -p252208 -aS'of\tof\tIN\tB-PP\tO' -p252209 -aS'steroids\tsteroid\tNNS\tB-NP\tO' -p252210 -aS'with\twith\tIN\tB-PP\tO' -p252211 -aS'sliding\tslide\tVBG\tB-VP\tO' -p252212 -aS'scale\tscale\tNN\tB-NP\tO' -p252213 -aS'per\tper\tIN\tB-PP\tO' -p252214 -aS'patient\tpatient\tNN\tB-NP\tO' -p252215 -aS'using\tuse\tVBG\tB-VP\tO' -p252216 -aS'a\ta\tDT\tB-NP\tO' -p252217 -aS'1:15\t1:15\tCD\tI-NP\tO' -p252218 -aS'carb\tcarb\tNN\tI-NP\tO' -p252219 -aS'counting\tcounting\tNN\tI-NP\tO' -p252220 -aS'scheme\tscheme\tNN\tI-NP\tO' -p252221 -aS'with\twith\tIN\tB-PP\tO' -p252222 -aS'a\ta\tDT\tB-NP\tO' -p252223 -aS'1:30\t1:30\tCD\tI-NP\tB-protein' -p252224 -aS'correction\tcorrection\tNN\tI-NP\tI-protein' -p252225 -aS'factor\tfactor\tNN\tI-NP\tI-protein' -p252226 -aS'.\t.\t.\tO\tO' -p252227 -asS'Her home regimen of lantus was resumed for elevated blood glucose .' -p252228 -(lp252229 -S'Her\tHer\tPRP$\tB-NP\tO' -p252230 -aS'home\thome\tNN\tI-NP\tO' -p252231 -aS'regimen\tregimen\tNN\tI-NP\tO' -p252232 -aS'of\tof\tIN\tB-PP\tO' -p252233 -aS'lantus\tlantus\tNN\tB-NP\tO' -p252234 -aS'was\tbe\tVBD\tB-VP\tO' -p252235 -aS'resumed\tresume\tVBN\tI-VP\tO' -p252236 -aS'for\tfor\tIN\tB-PP\tO' -p252237 -aS'elevated\televated\tJJ\tB-NP\tO' -p252238 -aS'blood\tblood\tNN\tI-NP\tO' -p252239 -aS'glucose\tglucose\tNN\tI-NP\tO' -p252240 -aS'.\t.\t.\tO\tO' -p252241 -asS'Also , T wave inversions in II , III , aVF , V1 through V5 ; new evolving right bundle-branch block .' -p252242 -(lp252243 -S'Also\tAlso\tRB\tB-ADVP\tO' -p252244 -aS',\t,\t,\tO\tO' -p252245 -aS'T\tT\tNN\tB-NP\tO' -p252246 -aS'wave\twave\tNN\tI-NP\tO' -p252247 -aS'inversions\tinversion\tNNS\tI-NP\tO' -p252248 -aS'in\tin\tIN\tB-PP\tO' -p252249 -aS'II\tII\tCD\tB-NP\tO' -p252250 -aS',\t,\t,\tI-NP\tO' -p252251 -aS'III\tIII\tCD\tI-NP\tO' -p252252 -aS',\t,\t,\tO\tO' -p252253 -aS'aVF\taVF\tNN\tB-NP\tO' -p252254 -aS',\t,\t,\tO\tO' -p252255 -aS'V1\tV1\tNN\tB-NP\tB-protein' -p252256 -aS'through\tthrough\tIN\tB-PP\tO' -p252257 -aS'V5\tV5\tNN\tB-NP\tB-protein' -p252258 -aS';\t;\t:\tO\tO' -p252259 -aS'new\tnew\tJJ\tB-NP\tO' -p252260 -aS'evolving\tevolve\tVBG\tI-NP\tO' -p252261 -aS'right\tright\tJJ\tI-NP\tO' -p252262 -aS'bundle-branch\tbundle-branch\tNN\tI-NP\tO' -p252263 -aS'block\tblock\tNN\tI-NP\tO' -p252264 -aS'.\t.\t.\tO\tO' -p252265 -asS'11. C. difficile colitis treated with Flagyl ( completed 08-10 )' -p252266 -(lp252267 -S'11.\t11.\tLS\tB-NP\tO' -p252268 -aS'C.\tC.\tNNP\tI-NP\tO' -p252269 -aS'difficile\tdifficile\tJJ\tI-NP\tO' -p252270 -aS'colitis\tcolitis\tNN\tI-NP\tO' -p252271 -aS'treated\ttreat\tVBN\tB-VP\tO' -p252272 -aS'with\twith\tIN\tB-PP\tO' -p252273 -aS'Flagyl\tFlagyl\tNN\tB-NP\tO' -p252274 -aS'(\t(\t(\tO\tO' -p252275 -aS'completed\tcomplete\tVBN\tB-VP\tO' -p252276 -aS'08-10\t08-10\tCD\tB-NP\tO' -p252277 -aS')\t)\t)\tO\tO' -p252278 -asS'The patient was extubated early on postoperative day number one without significant complication .' -p252279 -(lp252280 -S'The\tThe\tDT\tB-NP\tO' -p252281 -aS'patient\tpatient\tNN\tI-NP\tO' -p252282 -aS'was\tbe\tVBD\tB-VP\tO' -p252283 -aS'extubated\textubate\tVBN\tI-VP\tO' -p252284 -aS'early\tearly\tRB\tB-ADVP\tO' -p252285 -aS'on\ton\tIN\tB-PP\tO' -p252286 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p252287 -aS'day\tday\tNN\tI-NP\tO' -p252288 -aS'number\tnumber\tNN\tI-NP\tO' -p252289 -aS'one\tone\tCD\tB-NP\tO' -p252290 -aS'without\twithout\tIN\tB-PP\tO' -p252291 -aS'significant\tsignificant\tJJ\tB-NP\tO' -p252292 -aS'complication\tcomplication\tNN\tI-NP\tO' -p252293 -aS'.\t.\t.\tO\tO' -p252294 -asS'Synagis respiratory syncytial virus prophylaxis should be considered from October through April for infants who meet' -p252295 -(lp252296 -S'Synagis\tSynagis\tNN\tB-NP\tO' -p252297 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p252298 -aS'syncytial\tsyncytial\tJJ\tI-NP\tO' -p252299 -aS'virus\tvirus\tNN\tI-NP\tO' -p252300 -aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' -p252301 -aS'should\tshould\tMD\tB-VP\tO' -p252302 -aS'be\tbe\tVB\tI-VP\tO' -p252303 -aS'considered\tconsider\tVBN\tI-VP\tO' -p252304 -aS'from\tfrom\tIN\tB-PP\tO' -p252305 -aS'October\tOctober\tNNP\tB-NP\tO' -p252306 -aS'through\tthrough\tIN\tB-PP\tO' -p252307 -aS'April\tApril\tNNP\tB-NP\tO' -p252308 -aS'for\tfor\tIN\tB-PP\tO' -p252309 -aS'infants\tinfant\tNNS\tB-NP\tO' -p252310 -aS'who\twho\tWP\tB-NP\tO' -p252311 -aS'meet\tmeet\tVBP\tB-VP\tO' -p252312 -asS'Urinalysis from October 21 , is positive for Citrobacter susceptible to ciprofloxacin , gentamycin , nitrofurantoin , tetracycline and Bactrim .' -p252313 -(lp252314 -S'Urinalysis\tUrinalysis\tNN\tB-NP\tO' -p252315 -aS'from\tfrom\tIN\tB-PP\tO' -p252316 -aS'October\tOctober\tNNP\tB-NP\tB-protein' -p252317 -aS'21\t21\tCD\tI-NP\tI-protein' -p252318 -aS',\t,\t,\tO\tO' -p252319 -aS'is\tbe\tVBZ\tB-VP\tO' -p252320 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p252321 -aS'for\tfor\tIN\tB-PP\tO' -p252322 -aS'Citrobacter\tCitrobacter\tNN\tB-NP\tO' -p252323 -aS'susceptible\tsusceptible\tJJ\tB-ADJP\tO' -p252324 -aS'to\tto\tTO\tB-PP\tO' -p252325 -aS'ciprofloxacin\tciprofloxacin\tNN\tB-NP\tO' -p252326 -aS',\t,\t,\tI-NP\tO' -p252327 -aS'gentamycin\tgentamycin\tNN\tI-NP\tO' -p252328 -aS',\t,\t,\tI-NP\tO' -p252329 -aS'nitrofurantoin\tnitrofurantoin\tNN\tI-NP\tO' -p252330 -aS',\t,\t,\tI-NP\tO' -p252331 -aS'tetracycline\ttetracycline\tNN\tI-NP\tO' -p252332 -aS'and\tand\tCC\tI-NP\tO' -p252333 -aS'Bactrim\tBactrim\tNN\tI-NP\tO' -p252334 -aS'.\t.\t.\tO\tO' -p252335 -asS'4. State Newborn Screen was sent on day of life #3 .' -p252336 -(lp252337 -S'4.\t4.\tLS\tB-LST\tO' -p252338 -aS'State\tState\tNNP\tB-NP\tO' -p252339 -aS'Newborn\tNewborn\tNNP\tI-NP\tO' -p252340 -aS'Screen\tScreen\tNNP\tI-NP\tO' -p252341 -aS'was\tbe\tVBD\tB-VP\tO' -p252342 -aS'sent\tsend\tVBN\tI-VP\tO' -p252343 -aS'on\ton\tIN\tB-PP\tO' -p252344 -aS'day\tday\tNN\tB-NP\tO' -p252345 -aS'of\tof\tIN\tB-PP\tO' -p252346 -aS'life\tlife\tNN\tB-NP\tO' -p252347 -aS'#3\t#3\tNN\tI-NP\tO' -p252348 -aS'.\t.\t.\tO\tO' -p252349 -asS'At this point , his carafate was switched to intravenous Protonix and he was strictly n.p.o.' -p252350 -(lp252351 -S'At\tAt\tIN\tB-PP\tO' -p252352 -aS'this\tthis\tDT\tB-NP\tO' -p252353 -aS'point\tpoint\tNN\tI-NP\tO' -p252354 -aS',\t,\t,\tO\tO' -p252355 -aS'his\this\tPRP$\tB-NP\tO' -p252356 -aS'carafate\tcarafate\tNN\tI-NP\tO' -p252357 -aS'was\tbe\tVBD\tB-VP\tO' -p252358 -aS'switched\tswitch\tVBN\tI-VP\tO' -p252359 -aS'to\tto\tTO\tB-PP\tO' -p252360 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p252361 -aS'Protonix\tProtonix\tNNP\tI-NP\tO' -p252362 -aS'and\tand\tCC\tO\tO' -p252363 -aS'he\the\tPRP\tB-NP\tO' -p252364 -aS'was\tbe\tVBD\tB-VP\tO' -p252365 -aS'strictly\tstrictly\tRB\tB-ADVP\tO' -p252366 -aS'n.p.o.\tn.p.o.\tRB\tB-ADVP\tO' -p252367 -asS'Dictated By : Jean TE Fletcher , M.D.' -p252368 -(lp252369 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p252370 -aS'By\tBy\tIN\tB-PP\tO' -p252371 -aS':\t:\t:\tO\tO' -p252372 -aS'Jean\tJean\tNNP\tB-NP\tO' -p252373 -aS'TE\tTE\tNNP\tI-NP\tO' -p252374 -aS'Fletcher\tFletcher\tNNP\tI-NP\tO' -p252375 -aS',\t,\t,\tO\tO' -p252376 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p252377 -asS'- We continued ASA / imdur / CCB / hold diovan until pt was made CMO .' -p252378 -(lp252379 -S'-\t-\tHYPH\tO\tO' -p252380 -aS'We\tWe\tPRP\tB-NP\tO' -p252381 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p252382 -aS'ASA\tASA\tNN\tB-NP\tO' -p252383 -aS'/\t/\tSYM\tB-NP\tO' -p252384 -aS'imdur\timdur\tNN\tI-NP\tO' -p252385 -aS'/\t/\tSYM\tI-NP\tO' -p252386 -aS'CCB\tCCB\tNN\tI-NP\tB-protein' -p252387 -aS'/\t/\tSYM\tI-NP\tO' -p252388 -aS'hold\thold\tNN\tI-NP\tO' -p252389 -aS'diovan\tdiovan\tNN\tI-NP\tO' -p252390 -aS'until\tuntil\tIN\tB-SBAR\tO' -p252391 -aS'pt\tpt\tNN\tB-NP\tO' -p252392 -aS'was\tbe\tVBD\tB-VP\tO' -p252393 -aS'made\tmake\tVBN\tI-VP\tO' -p252394 -aS'CMO\tCMO\tNN\tB-NP\tB-protein' -p252395 -aS'.\t.\t.\tO\tO' -p252396 -asS'The abdomen was soft , nontender , nondistended .' -p252397 -(lp252398 -S'The\tThe\tDT\tB-NP\tO' -p252399 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p252400 -aS'was\tbe\tVBD\tB-VP\tO' -p252401 -aS'soft\tsoft\tJJ\tB-NP\tO' -p252402 -aS',\t,\t,\tI-NP\tO' -p252403 -aS'nontender\tnontender\tJJ\tI-NP\tO' -p252404 -aS',\t,\t,\tI-NP\tO' -p252405 -aS'nondistended\tnondistended\tJJ\tI-NP\tO' -p252406 -aS'.\t.\t.\tO\tO' -p252407 -asS'The patient works as a welder .' -p252408 -(lp252409 -S'The\tThe\tDT\tB-NP\tO' -p252410 -aS'patient\tpatient\tNN\tI-NP\tO' -p252411 -aS'works\twork\tVBZ\tB-VP\tO' -p252412 -aS'as\tas\tIN\tB-PP\tO' -p252413 -aS'a\ta\tDT\tB-NP\tO' -p252414 -aS'welder\twelder\tNN\tI-NP\tO' -p252415 -aS'.\t.\t.\tO\tO' -p252416 -asS'An abdominal MRI was performed to assess continued elevated liver enzymes ; however , the MRI was negative .' -p252417 -(lp252418 -S'An\tAn\tDT\tB-NP\tO' -p252419 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p252420 -aS'MRI\tMRI\tNN\tI-NP\tO' -p252421 -aS'was\tbe\tVBD\tB-VP\tO' -p252422 -aS'performed\tperform\tVBN\tI-VP\tO' -p252423 -aS'to\tto\tTO\tI-VP\tO' -p252424 -aS'assess\tassess\tVB\tI-VP\tO' -p252425 -aS'continued\tcontinued\tJJ\tB-NP\tB-protein' -p252426 -aS'elevated\televated\tJJ\tI-NP\tI-protein' -p252427 -aS'liver\tliver\tNN\tI-NP\tI-protein' -p252428 -aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' -p252429 -aS';\t;\t:\tO\tO' -p252430 -aS'however\thowever\tRB\tB-ADVP\tO' -p252431 -aS',\t,\t,\tO\tO' -p252432 -aS'the\tthe\tDT\tB-NP\tO' -p252433 -aS'MRI\tMRI\tNN\tI-NP\tB-protein' -p252434 -aS'was\tbe\tVBD\tB-VP\tO' -p252435 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p252436 -aS'.\t.\t.\tO\tO' -p252437 -asS'Pulmonary consult was invited , initially the patient refused bronchoscopy , however , did agree to it during his hospital stay .' -p252438 -(lp252439 -S'Pulmonary\tPulmonary\tJJ\tB-NP\tO' -p252440 -aS'consult\tconsult\tNN\tI-NP\tO' -p252441 -aS'was\tbe\tVBD\tB-VP\tO' -p252442 -aS'invited\tinvite\tVBN\tI-VP\tO' -p252443 -aS',\t,\t,\tO\tO' -p252444 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p252445 -aS'the\tthe\tDT\tB-NP\tO' -p252446 -aS'patient\tpatient\tNN\tI-NP\tO' -p252447 -aS'refused\trefuse\tVBD\tB-VP\tO' -p252448 -aS'bronchoscopy\tbronchoscopy\tNN\tB-NP\tO' -p252449 -aS',\t,\t,\tO\tO' -p252450 -aS'however\thowever\tRB\tB-ADVP\tO' -p252451 -aS',\t,\t,\tO\tO' -p252452 -aS'did\tdo\tVBD\tB-VP\tO' -p252453 -aS'agree\tagree\tVB\tI-VP\tO' -p252454 -aS'to\tto\tTO\tB-PP\tO' -p252455 -aS'it\tit\tPRP\tB-NP\tO' -p252456 -aS'during\tduring\tIN\tB-PP\tO' -p252457 -aS'his\this\tPRP$\tB-NP\tO' -p252458 -aS'hospital\thospital\tNN\tI-NP\tO' -p252459 -aS'stay\tstay\tNN\tI-NP\tO' -p252460 -aS'.\t.\t.\tO\tO' -p252461 -asS'smokes 1ppd for many years , no EtOH or illicit drug use .' -p252462 -(lp252463 -S'smokes\tsmoke\tNNS\tB-NP\tO' -p252464 -aS'1ppd\t1ppd\tNN\tI-NP\tO' -p252465 -aS'for\tfor\tIN\tB-PP\tO' -p252466 -aS'many\tmany\tJJ\tB-NP\tO' -p252467 -aS'years\tyear\tNNS\tI-NP\tO' -p252468 -aS',\t,\t,\tO\tO' -p252469 -aS'no\tno\tDT\tB-NP\tO' -p252470 -aS'EtOH\tEtOH\tNN\tI-NP\tB-protein' -p252471 -aS'or\tor\tCC\tI-NP\tO' -p252472 -aS'illicit\tillicit\tJJ\tI-NP\tO' -p252473 -aS'drug\tdrug\tNN\tI-NP\tO' -p252474 -aS'use\tuse\tNN\tI-NP\tO' -p252475 -aS'.\t.\t.\tO\tO' -p252476 -asS'hypothyroidism following near total thyroidectomy .' -p252477 -(lp252478 -S'hypothyroidism\thypothyroidism\tNN\tB-NP\tO' -p252479 -aS'following\tfollow\tVBG\tB-PP\tO' -p252480 -aS'near\tnear\tIN\tB-PP\tO' -p252481 -aS'total\ttotal\tJJ\tB-NP\tO' -p252482 -aS'thyroidectomy\tthyroidectomy\tNN\tI-NP\tO' -p252483 -aS'.\t.\t.\tO\tO' -p252484 -asS'Initial impression included omphalocele with further imaging of the bowel to be done .' -p252485 -(lp252486 -S'Initial\tInitial\tJJ\tB-NP\tO' -p252487 -aS'impression\timpression\tNN\tI-NP\tO' -p252488 -aS'included\tinclude\tVBD\tB-VP\tO' -p252489 -aS'omphalocele\tomphalocele\tNN\tB-NP\tO' -p252490 -aS'with\twith\tIN\tB-PP\tO' -p252491 -aS'further\tfurther\tJJ\tB-NP\tO' -p252492 -aS'imaging\timaging\tNN\tI-NP\tO' -p252493 -aS'of\tof\tIN\tB-PP\tO' -p252494 -aS'the\tthe\tDT\tB-NP\tO' -p252495 -aS'bowel\tbowel\tNN\tI-NP\tO' -p252496 -aS'to\tto\tTO\tB-VP\tO' -p252497 -aS'be\tbe\tVB\tI-VP\tO' -p252498 -aS'done\tdo\tVBN\tI-VP\tO' -p252499 -aS'.\t.\t.\tO\tO' -p252500 -asS'She has no history of asbestos exposure or tuberculosis exposure .' -p252501 -(lp252502 -S'She\tShe\tPRP\tB-NP\tO' -p252503 -aS'has\thave\tVBZ\tB-VP\tO' -p252504 -aS'no\tno\tDT\tB-NP\tO' -p252505 -aS'history\thistory\tNN\tI-NP\tO' -p252506 -aS'of\tof\tIN\tB-PP\tO' -p252507 -aS'asbestos\tasbestos\tNN\tB-NP\tO' -p252508 -aS'exposure\texposure\tNN\tI-NP\tO' -p252509 -aS'or\tor\tCC\tO\tO' -p252510 -aS'tuberculosis\ttuberculosis\tNN\tB-NP\tO' -p252511 -aS'exposure\texposure\tNN\tI-NP\tO' -p252512 -aS'.\t.\t.\tO\tO' -p252513 -asS'Nevertheless , the patient 's renal failure continued to progress .' -p252514 -(lp252515 -S'Nevertheless\tNevertheless\tRB\tB-ADVP\tO' -p252516 -aS',\t,\t,\tO\tO' -p252517 -aS'the\tthe\tDT\tB-NP\tO' -p252518 -aS'patient\tpatient\tNN\tI-NP\tO' -p252519 -aS''s\t'\tNNS\tI-NP\tO' -p252520 -aS'renal\trenal\tJJ\tB-NP\tO' -p252521 -aS'failure\tfailure\tNN\tI-NP\tO' -p252522 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p252523 -aS'to\tto\tTO\tI-VP\tO' -p252524 -aS'progress\tprogress\tVB\tI-VP\tO' -p252525 -aS'.\t.\t.\tO\tO' -p252526 -asS'3. Apnea of prematurity .' -p252527 -(lp252528 -S'3.\t3.\tLS\tB-NP\tO' -p252529 -aS'Apnea\tApnea\tNN\tI-NP\tO' -p252530 -aS'of\tof\tIN\tB-PP\tO' -p252531 -aS'prematurity\tprematurity\tNN\tB-NP\tO' -p252532 -aS'.\t.\t.\tO\tO' -p252533 -asS'She lives alone in Methuen with five stairs .' -p252534 -(lp252535 -S'She\tShe\tPRP\tB-NP\tO' -p252536 -aS'lives\tlive\tVBZ\tB-VP\tO' -p252537 -aS'alone\talone\tRB\tB-ADVP\tO' -p252538 -aS'in\tin\tIN\tB-PP\tO' -p252539 -aS'Methuen\tMethuen\tNNP\tB-NP\tO' -p252540 -aS'with\twith\tIN\tB-PP\tO' -p252541 -aS'five\tfive\tCD\tB-NP\tO' -p252542 -aS'stairs\tstair\tNNS\tI-NP\tO' -p252543 -aS'.\t.\t.\tO\tO' -p252544 -asS'Without rash or petechiae .' -p252545 -(lp252546 -S'Without\tWithout\tIN\tB-PP\tO' -p252547 -aS'rash\trash\tNN\tB-NP\tO' -p252548 -aS'or\tor\tCC\tI-NP\tO' -p252549 -aS'petechiae\tpetechiae\tNN\tI-NP\tO' -p252550 -aS'.\t.\t.\tO\tO' -p252551 -asS'He was then transferred to the medicine service .' -p252552 -(lp252553 -S'He\tHe\tPRP\tB-NP\tO' -p252554 -aS'was\tbe\tVBD\tB-VP\tO' -p252555 -aS'then\tthen\tRB\tI-VP\tO' -p252556 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p252557 -aS'to\tto\tTO\tB-PP\tO' -p252558 -aS'the\tthe\tDT\tB-NP\tO' -p252559 -aS'medicine\tmedicine\tNN\tI-NP\tO' -p252560 -aS'service\tservice\tNN\tI-NP\tO' -p252561 -aS'.\t.\t.\tO\tO' -p252562 -asS'On serial exams by neurology and ICU attendings in the morning on 2013-11-12 , patient had no clinical signs of brainstem activity .' -p252563 -(lp252564 -S'On\tOn\tIN\tB-PP\tO' -p252565 -aS'serial\tserial\tJJ\tB-NP\tO' -p252566 -aS'exams\texam\tNNS\tI-NP\tO' -p252567 -aS'by\tby\tIN\tB-PP\tO' -p252568 -aS'neurology\tneurology\tNN\tB-NP\tO' -p252569 -aS'and\tand\tCC\tI-NP\tO' -p252570 -aS'ICU\tICU\tNN\tI-NP\tO' -p252571 -aS'attendings\tattending\tNNS\tI-NP\tO' -p252572 -aS'in\tin\tIN\tB-PP\tO' -p252573 -aS'the\tthe\tDT\tB-NP\tO' -p252574 -aS'morning\tmorning\tNN\tI-NP\tO' -p252575 -aS'on\ton\tIN\tB-PP\tO' -p252576 -aS'2013-11-12\t2013-11-12\tNN\tB-NP\tO' -p252577 -aS',\t,\t,\tO\tO' -p252578 -aS'patient\tpatient\tNN\tB-NP\tO' -p252579 -aS'had\thave\tVBD\tB-VP\tO' -p252580 -aS'no\tno\tDT\tB-NP\tO' -p252581 -aS'clinical\tclinical\tJJ\tI-NP\tO' -p252582 -aS'signs\tsign\tNNS\tI-NP\tO' -p252583 -aS'of\tof\tIN\tB-PP\tO' -p252584 -aS'brainstem\tbrainstem\tNN\tB-NP\tO' -p252585 -aS'activity\tactivity\tNN\tI-NP\tO' -p252586 -aS'.\t.\t.\tO\tO' -p252587 -asS'Mr. Bruno is a 60 year old gentleman who initially presented with hematemesis , hemoptysis and on work-up was found to have a left lower lobe mass .' -p252588 -(lp252589 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p252590 -aS'Bruno\tBruno\tNNP\tI-NP\tO' -p252591 -aS'is\tbe\tVBZ\tB-VP\tO' -p252592 -aS'a\ta\tDT\tB-NP\tO' -p252593 -aS'60\t60\tCD\tI-NP\tO' -p252594 -aS'year\tyear\tNN\tI-NP\tO' -p252595 -aS'old\told\tJJ\tI-NP\tO' -p252596 -aS'gentleman\tgentleman\tNN\tI-NP\tO' -p252597 -aS'who\twho\tWP\tB-NP\tO' -p252598 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p252599 -aS'presented\tpresent\tVBD\tB-VP\tO' -p252600 -aS'with\twith\tIN\tB-PP\tO' -p252601 -aS'hematemesis\thematemesis\tNN\tB-NP\tO' -p252602 -aS',\t,\t,\tO\tO' -p252603 -aS'hemoptysis\themoptysis\tNN\tB-NP\tO' -p252604 -aS'and\tand\tCC\tB-PP\tO' -p252605 -aS'on\ton\tIN\tB-PP\tO' -p252606 -aS'work-up\twork-up\tNN\tB-NP\tO' -p252607 -aS'was\tbe\tVBD\tB-VP\tO' -p252608 -aS'found\tfind\tVBN\tI-VP\tO' -p252609 -aS'to\tto\tTO\tI-VP\tO' -p252610 -aS'have\thave\tVB\tI-VP\tO' -p252611 -aS'a\ta\tDT\tB-NP\tO' -p252612 -aS'left\tleft\tJJ\tI-NP\tO' -p252613 -aS'lower\tlow\tJJR\tI-NP\tO' -p252614 -aS'lobe\tlobe\tNN\tI-NP\tO' -p252615 -aS'mass\tmass\tNN\tI-NP\tO' -p252616 -aS'.\t.\t.\tO\tO' -p252617 -asS'At this point , the patient was transferred to the intensive care unit .' -p252618 -(lp252619 -S'At\tAt\tIN\tB-PP\tO' -p252620 -aS'this\tthis\tDT\tB-NP\tO' -p252621 -aS'point\tpoint\tNN\tI-NP\tO' -p252622 -aS',\t,\t,\tO\tO' -p252623 -aS'the\tthe\tDT\tB-NP\tO' -p252624 -aS'patient\tpatient\tNN\tI-NP\tO' -p252625 -aS'was\tbe\tVBD\tB-VP\tO' -p252626 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p252627 -aS'to\tto\tTO\tB-PP\tO' -p252628 -aS'the\tthe\tDT\tB-NP\tO' -p252629 -aS'intensive\tintensive\tJJ\tI-NP\tO' -p252630 -aS'care\tcare\tNN\tI-NP\tO' -p252631 -aS'unit\tunit\tNN\tI-NP\tO' -p252632 -aS'.\t.\t.\tO\tO' -p252633 -asS'Most recently admitted on 2014-03-19 to 2014-03-22 .' -p252634 -(lp252635 -S'Most\tMost\tRBS\tB-ADVP\tO' -p252636 -aS'recently\trecently\tRB\tI-ADVP\tO' -p252637 -aS'admitted\tadmit\tVBN\tB-VP\tO' -p252638 -aS'on\ton\tIN\tB-PP\tO' -p252639 -aS'2014-03-19\t2014-03-19\tCD\tB-NP\tO' -p252640 -aS'to\tto\tTO\tB-PP\tO' -p252641 -aS'2014-03-22\t2014-03-22\tCD\tB-NP\tO' -p252642 -aS'.\t.\t.\tO\tO' -p252643 -asS'4. Pantoprazole 40 mg p.o. q. day .' -p252644 -(lp252645 -S'4.\t4.\tLS\tB-NP\tO' -p252646 -aS'Pantoprazole\tPantoprazole\tNN\tI-NP\tO' -p252647 -aS'40\t40\tCD\tI-NP\tO' -p252648 -aS'mg\tmg\tNN\tI-NP\tO' -p252649 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p252650 -aS'q.\tq.\tNN\tI-NP\tO' -p252651 -aS'day\tday\tNN\tI-NP\tO' -p252652 -aS'.\t.\t.\tO\tO' -p252653 -asS'1. Follow-up appointments , the parents have an appointment with Dr. Avon on Tuesday , 05-14 .' -p252654 -(lp252655 -S'1.\t1.\tLS\tB-NP\tO' -p252656 -aS'Follow-up\tFollow-up\tNN\tI-NP\tO' -p252657 -aS'appointments\tappointment\tNNS\tI-NP\tO' -p252658 -aS',\t,\t,\tO\tO' -p252659 -aS'the\tthe\tDT\tB-NP\tO' -p252660 -aS'parents\tparent\tNNS\tI-NP\tO' -p252661 -aS'have\thave\tVBP\tB-VP\tO' -p252662 -aS'an\tan\tDT\tB-NP\tO' -p252663 -aS'appointment\tappointment\tNN\tI-NP\tO' -p252664 -aS'with\twith\tIN\tB-PP\tO' -p252665 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p252666 -aS'Avon\tAvon\tNNP\tI-NP\tO' -p252667 -aS'on\ton\tIN\tB-PP\tO' -p252668 -aS'Tuesday\tTuesday\tNNP\tB-NP\tO' -p252669 -aS',\t,\t,\tO\tO' -p252670 -aS'05-14\t05-14\tCD\tB-NP\tO' -p252671 -aS'.\t.\t.\tO\tO' -p252672 -asS'The extremity exam was notable for 2+ pitting edema in the right lower extremity extending to the knee .' -p252673 -(lp252674 -S'The\tThe\tDT\tB-NP\tO' -p252675 -aS'extremity\textremity\tNN\tI-NP\tO' -p252676 -aS'exam\texam\tNN\tI-NP\tO' -p252677 -aS'was\tbe\tVBD\tB-VP\tO' -p252678 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p252679 -aS'for\tfor\tIN\tB-PP\tO' -p252680 -aS'2+\t2+\tJJ\tB-NP\tO' -p252681 -aS'pitting\tpitting\tNN\tI-NP\tO' -p252682 -aS'edema\tedema\tNN\tI-NP\tO' -p252683 -aS'in\tin\tIN\tB-PP\tO' -p252684 -aS'the\tthe\tDT\tB-NP\tO' -p252685 -aS'right\tright\tJJ\tI-NP\tO' -p252686 -aS'lower\tlow\tJJR\tI-NP\tO' -p252687 -aS'extremity\textremity\tNN\tI-NP\tO' -p252688 -aS'extending\textend\tVBG\tB-VP\tO' -p252689 -aS'to\tto\tTO\tB-PP\tO' -p252690 -aS'the\tthe\tDT\tB-NP\tO' -p252691 -aS'knee\tknee\tNN\tI-NP\tO' -p252692 -aS'.\t.\t.\tO\tO' -p252693 -asS'The patient was admitted for management of her coronary artery disease and evaluation of her pacemaker .' -p252694 -(lp252695 -S'The\tThe\tDT\tB-NP\tO' -p252696 -aS'patient\tpatient\tNN\tI-NP\tO' -p252697 -aS'was\tbe\tVBD\tB-VP\tO' -p252698 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p252699 -aS'for\tfor\tIN\tB-PP\tO' -p252700 -aS'management\tmanagement\tNN\tB-NP\tO' -p252701 -aS'of\tof\tIN\tB-PP\tO' -p252702 -aS'her\ther\tPRP$\tB-NP\tO' -p252703 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p252704 -aS'artery\tartery\tNN\tI-NP\tO' -p252705 -aS'disease\tdisease\tNN\tI-NP\tO' -p252706 -aS'and\tand\tCC\tO\tO' -p252707 -aS'evaluation\tevaluation\tNN\tB-NP\tO' -p252708 -aS'of\tof\tIN\tB-PP\tO' -p252709 -aS'her\ther\tPRP$\tB-NP\tO' -p252710 -aS'pacemaker\tpacemaker\tNN\tI-NP\tO' -p252711 -aS'.\t.\t.\tO\tO' -p252712 -asS'It was otherwise supple , with no thyromegaly .' -p252713 -(lp252714 -S'It\tIt\tPRP\tB-NP\tO' -p252715 -aS'was\tbe\tVBD\tB-VP\tO' -p252716 -aS'otherwise\totherwise\tRB\tB-ADVP\tO' -p252717 -aS'supple\tsupple\tNN\tB-NP\tO' -p252718 -aS',\t,\t,\tO\tO' -p252719 -aS'with\twith\tIN\tB-PP\tO' -p252720 -aS'no\tno\tDT\tB-NP\tO' -p252721 -aS'thyromegaly\tthyromegaly\tRB\tI-NP\tO' -p252722 -aS'.\t.\t.\tO\tO' -p252723 -asS'2. Vasotec 7.5 mg po q day .' -p252724 -(lp252725 -S'2.\t2.\tLS\tB-LST\tO' -p252726 -aS'Vasotec\tVasotec\tNNP\tB-NP\tO' -p252727 -aS'7.5\t7.5\tCD\tI-NP\tO' -p252728 -aS'mg\tmg\tNN\tI-NP\tO' -p252729 -aS'po\tpo\tNN\tI-NP\tO' -p252730 -aS'q\tq\tNN\tI-NP\tO' -p252731 -aS'day\tday\tNN\tI-NP\tO' -p252732 -aS'.\t.\t.\tO\tO' -p252733 -asS'Direct bilirubin was 1.4 .' -p252734 -(lp252735 -S'Direct\tDirect\tJJ\tB-NP\tO' -p252736 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p252737 -aS'was\tbe\tVBD\tB-VP\tO' -p252738 -aS'1.4\t1.4\tCD\tB-NP\tO' -p252739 -aS'.\t.\t.\tO\tO' -p252740 -asS'Over the next 12 hours while in transit to the hospital , the patient 's right lower extremity became red , swollen , and increasingly painful .' -p252741 -(lp252742 -S'Over\tOver\tIN\tB-PP\tO' -p252743 -aS'the\tthe\tDT\tB-NP\tO' -p252744 -aS'next\tnext\tJJ\tI-NP\tO' -p252745 -aS'12\t12\tCD\tI-NP\tO' -p252746 -aS'hours\thour\tNNS\tI-NP\tO' -p252747 -aS'while\twhile\tIN\tB-SBAR\tO' -p252748 -aS'in\tin\tIN\tB-PP\tO' -p252749 -aS'transit\ttransit\tNN\tB-NP\tO' -p252750 -aS'to\tto\tTO\tB-PP\tO' -p252751 -aS'the\tthe\tDT\tB-NP\tO' -p252752 -aS'hospital\thospital\tNN\tI-NP\tO' -p252753 -aS',\t,\t,\tO\tO' -p252754 -aS'the\tthe\tDT\tB-NP\tO' -p252755 -aS'patient\tpatient\tNN\tI-NP\tO' -p252756 -aS''s\t'\tNNS\tI-NP\tO' -p252757 -aS'right\tright\tRB\tB-NP\tO' -p252758 -aS'lower\tlow\tJJR\tI-NP\tO' -p252759 -aS'extremity\textremity\tNN\tI-NP\tO' -p252760 -aS'became\tbecome\tVBD\tB-VP\tO' -p252761 -aS'red\tred\tJJ\tB-ADJP\tO' -p252762 -aS',\t,\t,\tO\tO' -p252763 -aS'swollen\tswell\tVBN\tB-VP\tO' -p252764 -aS',\t,\t,\tO\tO' -p252765 -aS'and\tand\tCC\tO\tO' -p252766 -aS'increasingly\tincreasingly\tRB\tB-ADJP\tO' -p252767 -aS'painful\tpainful\tJJ\tI-ADJP\tO' -p252768 -aS'.\t.\t.\tO\tO' -p252769 -asS'The patient has been constipated with hard stool , but no bright red blood per rectum .' -p252770 -(lp252771 -S'The\tThe\tDT\tB-NP\tO' -p252772 -aS'patient\tpatient\tNN\tI-NP\tO' -p252773 -aS'has\thave\tVBZ\tB-VP\tO' -p252774 -aS'been\tbe\tVBN\tI-VP\tO' -p252775 -aS'constipated\tconstipate\tVBN\tI-VP\tO' -p252776 -aS'with\twith\tIN\tB-PP\tO' -p252777 -aS'hard\thard\tJJ\tB-NP\tO' -p252778 -aS'stool\tstool\tNN\tI-NP\tO' -p252779 -aS',\t,\t,\tO\tO' -p252780 -aS'but\tbut\tCC\tO\tO' -p252781 -aS'no\tno\tDT\tB-NP\tO' -p252782 -aS'bright\tbright\tJJ\tI-NP\tO' -p252783 -aS'red\tred\tJJ\tI-NP\tO' -p252784 -aS'blood\tblood\tNN\tI-NP\tO' -p252785 -aS'per\tper\tIN\tB-PP\tO' -p252786 -aS'rectum\trectum\tNN\tB-NP\tO' -p252787 -aS'.\t.\t.\tO\tO' -p252788 -asS'The proximal , middle , anterior and posterior cerebral arteries , however , could not be insinuated .' -p252789 -(lp252790 -S'The\tThe\tDT\tB-NP\tO' -p252791 -aS'proximal\tproximal\tJJ\tI-NP\tO' -p252792 -aS',\t,\t,\tI-NP\tO' -p252793 -aS'middle\tmiddle\tJJ\tI-NP\tO' -p252794 -aS',\t,\t,\tI-NP\tO' -p252795 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p252796 -aS'and\tand\tCC\tI-NP\tO' -p252797 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p252798 -aS'cerebral\tcerebral\tJJ\tI-NP\tO' -p252799 -aS'arteries\tartery\tNNS\tI-NP\tO' -p252800 -aS',\t,\t,\tO\tO' -p252801 -aS'however\thowever\tRB\tB-ADVP\tO' -p252802 -aS',\t,\t,\tO\tO' -p252803 -aS'could\tcould\tMD\tB-VP\tO' -p252804 -aS'not\tnot\tRB\tI-VP\tO' -p252805 -aS'be\tbe\tVB\tI-VP\tO' -p252806 -aS'insinuated\tinsinuate\tVBN\tI-VP\tO' -p252807 -aS'.\t.\t.\tO\tO' -p252808 -asS'A biopsy scar on the right breast from 1990 .' -p252809 -(lp252810 -S'A\tA\tDT\tB-NP\tO' -p252811 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p252812 -aS'scar\tscar\tNN\tI-NP\tO' -p252813 -aS'on\ton\tIN\tB-PP\tO' -p252814 -aS'the\tthe\tDT\tB-NP\tO' -p252815 -aS'right\tright\tJJ\tI-NP\tO' -p252816 -aS'breast\tbreast\tNN\tI-NP\tO' -p252817 -aS'from\tfrom\tIN\tB-PP\tO' -p252818 -aS'1990\t1990\tCD\tB-NP\tO' -p252819 -aS'.\t.\t.\tO\tO' -p252820 -asS'1. Feeds at discharge : Enfamil 20 p.o. ad lib .' -p252821 -(lp252822 -S'1.\t1.\tLS\tB-NP\tO' -p252823 -aS'Feeds\tFeed\tNNS\tI-NP\tO' -p252824 -aS'at\tat\tIN\tB-PP\tO' -p252825 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p252826 -aS':\t:\t:\tO\tO' -p252827 -aS'Enfamil\tEnfamil\tNN\tB-NP\tO' -p252828 -aS'20\t20\tCD\tI-NP\tO' -p252829 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p252830 -aS'ad\tad\tNN\tI-NP\tO' -p252831 -aS'lib\tlib\tNN\tI-NP\tO' -p252832 -aS'.\t.\t.\tO\tO' -p252833 -asS'Deceased .' -p252834 -(lp252835 -S'Deceased\tDecease\tVBN\tB-VP\tO' -p252836 -aS'.\t.\t.\tO\tO' -p252837 -asS'No c/o CP .' -p252838 -(lp252839 -S'No\tNo\tDT\tB-NP\tO' -p252840 -aS'c/o\tc/o\tNN\tI-NP\tB-DNA' -p252841 -aS'CP\tCP\tNN\tI-NP\tI-DNA' -p252842 -aS'.\t.\t.\tO\tO' -p252843 -asS'1+ edema of the ankles , pulses present bilaterally .' -p252844 -(lp252845 -S'1+\t1+\tJJ\tB-NP\tO' -p252846 -aS'edema\tedema\tNN\tI-NP\tO' -p252847 -aS'of\tof\tIN\tB-PP\tO' -p252848 -aS'the\tthe\tDT\tB-NP\tO' -p252849 -aS'ankles\tankle\tNNS\tI-NP\tO' -p252850 -aS',\t,\t,\tO\tO' -p252851 -aS'pulses\tpulse\tNNS\tB-NP\tO' -p252852 -aS'present\tpresent\tVBP\tB-VP\tO' -p252853 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p252854 -aS'.\t.\t.\tO\tO' -p252855 -asS'No fevers or chills , no vaginal discharge or bleeding .' -p252856 -(lp252857 -S'No\tNo\tDT\tB-NP\tO' -p252858 -aS'fevers\tfever\tNNS\tI-NP\tO' -p252859 -aS'or\tor\tCC\tI-NP\tO' -p252860 -aS'chills\tchill\tNNS\tI-NP\tO' -p252861 -aS',\t,\t,\tO\tO' -p252862 -aS'no\tno\tDT\tB-NP\tO' -p252863 -aS'vaginal\tvaginal\tJJ\tI-NP\tO' -p252864 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p252865 -aS'or\tor\tCC\tI-NP\tO' -p252866 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p252867 -aS'.\t.\t.\tO\tO' -p252868 -asS'The patient is discharged to an extended discharge facility .' -p252869 -(lp252870 -S'The\tThe\tDT\tB-NP\tO' -p252871 -aS'patient\tpatient\tNN\tI-NP\tO' -p252872 -aS'is\tbe\tVBZ\tB-VP\tO' -p252873 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p252874 -aS'to\tto\tTO\tB-PP\tO' -p252875 -aS'an\tan\tDT\tB-NP\tO' -p252876 -aS'extended\textend\tVBN\tI-NP\tO' -p252877 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p252878 -aS'facility\tfacility\tNN\tI-NP\tO' -p252879 -aS'.\t.\t.\tO\tO' -p252880 -asS'The patient was intubated and then transferred to Hahnemann General Hospital CMED .' -p252881 -(lp252882 -S'The\tThe\tDT\tB-NP\tO' -p252883 -aS'patient\tpatient\tNN\tI-NP\tO' -p252884 -aS'was\tbe\tVBD\tB-VP\tO' -p252885 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p252886 -aS'and\tand\tCC\tO\tO' -p252887 -aS'then\tthen\tRB\tB-VP\tO' -p252888 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p252889 -aS'to\tto\tTO\tB-PP\tO' -p252890 -aS'Hahnemann\tHahnemann\tNNP\tB-NP\tO' -p252891 -aS'General\tGeneral\tNNP\tI-NP\tO' -p252892 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p252893 -aS'CMED\tCMED\tNNP\tI-NP\tO' -p252894 -aS'.\t.\t.\tO\tO' -p252895 -asS'The likely cause of the delirium was a combination of surgery and Intensive Care Unit stay in addition to poly-pharmacy .' -p252896 -(lp252897 -S'The\tThe\tDT\tB-NP\tO' -p252898 -aS'likely\tlikely\tJJ\tI-NP\tO' -p252899 -aS'cause\tcause\tNN\tI-NP\tO' -p252900 -aS'of\tof\tIN\tB-PP\tO' -p252901 -aS'the\tthe\tDT\tB-NP\tO' -p252902 -aS'delirium\tdelirium\tNN\tI-NP\tO' -p252903 -aS'was\tbe\tVBD\tB-VP\tO' -p252904 -aS'a\ta\tDT\tB-NP\tO' -p252905 -aS'combination\tcombination\tNN\tI-NP\tO' -p252906 -aS'of\tof\tIN\tB-PP\tO' -p252907 -aS'surgery\tsurgery\tNN\tB-NP\tO' -p252908 -aS'and\tand\tCC\tO\tO' -p252909 -aS'Intensive\tIntensive\tJJ\tB-NP\tO' -p252910 -aS'Care\tCare\tNNP\tI-NP\tO' -p252911 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p252912 -aS'stay\tstay\tNN\tI-NP\tO' -p252913 -aS'in\tin\tIN\tB-PP\tO' -p252914 -aS'addition\taddition\tNN\tB-NP\tO' -p252915 -aS'to\tto\tTO\tB-PP\tO' -p252916 -aS'poly-pharmacy\tpoly-pharmacy\tNN\tB-NP\tO' -p252917 -aS'.\t.\t.\tO\tO' -p252918 -asS'Dr. Tamatha - Cape Cod Hospital .' -p252919 -(lp252920 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p252921 -aS'Tamatha\tTamatha\tNNP\tI-NP\tO' -p252922 -aS'-\t-\tHYPH\tB-NP\tO' -p252923 -aS'Cape\tCape\tNNP\tI-NP\tO' -p252924 -aS'Cod\tCod\tNNP\tI-NP\tO' -p252925 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p252926 -aS'.\t.\t.\tO\tO' -p252927 -asS'She was found to have a R ureteral stone w/ resultant hydronephrosis and was transferred to Nantucket Cottage Hospital for ureteral stent placement .' -p252928 -(lp252929 -S'She\tShe\tPRP\tB-NP\tO' -p252930 -aS'was\tbe\tVBD\tB-VP\tO' -p252931 -aS'found\tfind\tVBN\tI-VP\tO' -p252932 -aS'to\tto\tTO\tI-VP\tO' -p252933 -aS'have\thave\tVB\tI-VP\tO' -p252934 -aS'a\ta\tDT\tB-NP\tO' -p252935 -aS'R\tR\tNN\tI-NP\tO' -p252936 -aS'ureteral\tureteral\tJJ\tI-NP\tO' -p252937 -aS'stone\tstone\tNN\tI-NP\tO' -p252938 -aS'w/\tw/\tNN\tI-NP\tO' -p252939 -aS'resultant\tresultant\tJJ\tI-NP\tO' -p252940 -aS'hydronephrosis\thydronephrosis\tNN\tI-NP\tO' -p252941 -aS'and\tand\tCC\tO\tO' -p252942 -aS'was\tbe\tVBD\tB-VP\tO' -p252943 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p252944 -aS'to\tto\tTO\tB-PP\tO' -p252945 -aS'Nantucket\tNantucket\tNNP\tB-NP\tO' -p252946 -aS'Cottage\tCottage\tNNP\tI-NP\tO' -p252947 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p252948 -aS'for\tfor\tIN\tB-PP\tO' -p252949 -aS'ureteral\tureteral\tJJ\tB-NP\tO' -p252950 -aS'stent\tstent\tJJ\tI-NP\tO' -p252951 -aS'placement\tplacement\tNN\tI-NP\tO' -p252952 -aS'.\t.\t.\tO\tO' -p252953 -asS'The patient had stable hematocrit of 38% on intravenous heparin .' -p252954 -(lp252955 -S'The\tThe\tDT\tB-NP\tO' -p252956 -aS'patient\tpatient\tNN\tI-NP\tO' -p252957 -aS'had\thave\tVBD\tB-VP\tO' -p252958 -aS'stable\tstable\tJJ\tB-NP\tO' -p252959 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p252960 -aS'of\tof\tIN\tB-PP\tO' -p252961 -aS'38%\t38%\tNN\tB-NP\tO' -p252962 -aS'on\ton\tIN\tB-PP\tO' -p252963 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p252964 -aS'heparin\theparin\tNN\tI-NP\tO' -p252965 -aS'.\t.\t.\tO\tO' -p252966 -asS'3. Niferex 150 milligrams caplet one cap per day .' -p252967 -(lp252968 -S'3.\t3.\tLS\tB-LST\tO' -p252969 -aS'Niferex\tNiferex\tNNP\tB-NP\tO' -p252970 -aS'150\t150\tCD\tB-NP\tO' -p252971 -aS'milligrams\tmilligram\tNNS\tI-NP\tO' -p252972 -aS'caplet\tcaplet\tVB\tB-VP\tO' -p252973 -aS'one\tone\tCD\tB-NP\tO' -p252974 -aS'cap\tcap\tNN\tI-NP\tO' -p252975 -aS'per\tper\tIN\tB-PP\tO' -p252976 -aS'day\tday\tNN\tB-NP\tO' -p252977 -aS'.\t.\t.\tO\tO' -p252978 -asS'Percocet po. q4 to 6 prn .' -p252979 -(lp252980 -S'Percocet\tPercocet\tNNP\tB-NP\tO' -p252981 -aS'po.\tpo.\tNN\tI-NP\tO' -p252982 -aS'q4\tq4\tCD\tB-NP\tO' -p252983 -aS'to\tto\tTO\tI-NP\tO' -p252984 -aS'6\t6\tCD\tI-NP\tO' -p252985 -aS'prn\tprn\tNN\tI-NP\tO' -p252986 -aS'.\t.\t.\tO\tO' -p252987 -asS'GERD as etiology of her chest burning .' -p252988 -(lp252989 -S'GERD\tGERD\tNN\tB-NP\tO' -p252990 -aS'as\tas\tIN\tB-PP\tO' -p252991 -aS'etiology\tetiology\tNN\tB-NP\tO' -p252992 -aS'of\tof\tIN\tB-PP\tO' -p252993 -aS'her\ther\tPRP$\tB-NP\tO' -p252994 -aS'chest\tchest\tNN\tI-NP\tO' -p252995 -aS'burning\tburning\tNN\tI-NP\tO' -p252996 -aS'.\t.\t.\tO\tO' -p252997 -asS'Reflexes were symmetric and 2+ bilaterally at the biceps tendon , 2+ bilaterally at brachial radialis , 2+ bilaterally at the patellar tendon , 1+ bilaterally Achilles tendon .' -p252998 -(lp252999 -S'Reflexes\tReflex\tNNS\tB-NP\tO' -p253000 -aS'were\tbe\tVBD\tB-VP\tO' -p253001 -aS'symmetric\tsymmetric\tJJ\tB-ADJP\tO' -p253002 -aS'and\tand\tCC\tI-ADJP\tO' -p253003 -aS'2+\t2+\tJJ\tI-ADJP\tO' -p253004 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p253005 -aS'at\tat\tIN\tB-PP\tO' -p253006 -aS'the\tthe\tDT\tB-NP\tO' -p253007 -aS'biceps\tbicep\tNNS\tI-NP\tO' -p253008 -aS'tendon\ttendon\tNN\tI-NP\tO' -p253009 -aS',\t,\t,\tO\tO' -p253010 -aS'2+\t2+\tJJ\tB-ADJP\tO' -p253011 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p253012 -aS'at\tat\tIN\tB-PP\tO' -p253013 -aS'brachial\tbrachial\tJJ\tB-NP\tO' -p253014 -aS'radialis\tradialis\tNN\tI-NP\tO' -p253015 -aS',\t,\t,\tO\tO' -p253016 -aS'2+\t2+\tJJ\tB-ADJP\tO' -p253017 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p253018 -aS'at\tat\tIN\tB-PP\tO' -p253019 -aS'the\tthe\tDT\tB-NP\tO' -p253020 -aS'patellar\tpatellar\tJJ\tI-NP\tO' -p253021 -aS'tendon\ttendon\tNN\tI-NP\tO' -p253022 -aS',\t,\t,\tO\tO' -p253023 -aS'1+\t1+\tJJ\tB-ADJP\tO' -p253024 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p253025 -aS'Achilles\tAchille\tVBZ\tB-VP\tO' -p253026 -aS'tendon\ttendon\tNN\tB-NP\tO' -p253027 -aS'.\t.\t.\tO\tO' -p253028 -asS'On 4/17/95 , GI Interventional Radiology performed drainage of the peripancreatic fluid collection .' -p253029 -(lp253030 -S'On\tOn\tIN\tB-PP\tO' -p253031 -aS'4/17/95\t4/17/95\tCD\tB-NP\tO' -p253032 -aS',\t,\t,\tO\tO' -p253033 -aS'GI\tGI\tNNP\tB-NP\tO' -p253034 -aS'Interventional\tInterventional\tNNP\tI-NP\tO' -p253035 -aS'Radiology\tRadiology\tNNP\tI-NP\tO' -p253036 -aS'performed\tperform\tVBD\tB-VP\tO' -p253037 -aS'drainage\tdrainage\tNN\tB-NP\tO' -p253038 -aS'of\tof\tIN\tB-PP\tO' -p253039 -aS'the\tthe\tDT\tB-NP\tO' -p253040 -aS'peripancreatic\tperipancreatic\tJJ\tI-NP\tO' -p253041 -aS'fluid\tfluid\tNN\tI-NP\tO' -p253042 -aS'collection\tcollection\tNN\tI-NP\tO' -p253043 -aS'.\t.\t.\tO\tO' -p253044 -asS'He was seen in the brain tumor clinic on 05-21 and stitches were placed in the incision , however it continued to leak .' -p253045 -(lp253046 -S'He\tHe\tPRP\tB-NP\tO' -p253047 -aS'was\tbe\tVBD\tB-VP\tO' -p253048 -aS'seen\tsee\tVBN\tI-VP\tO' -p253049 -aS'in\tin\tIN\tB-PP\tO' -p253050 -aS'the\tthe\tDT\tB-NP\tO' -p253051 -aS'brain\tbrain\tNN\tI-NP\tO' -p253052 -aS'tumor\ttumor\tNN\tI-NP\tO' -p253053 -aS'clinic\tclinic\tNN\tI-NP\tO' -p253054 -aS'on\ton\tIN\tB-PP\tO' -p253055 -aS'05-21\t05-21\tCD\tB-NP\tO' -p253056 -aS'and\tand\tCC\tO\tO' -p253057 -aS'stitches\tstitch\tNNS\tB-NP\tO' -p253058 -aS'were\tbe\tVBD\tB-VP\tO' -p253059 -aS'placed\tplace\tVBN\tI-VP\tO' -p253060 -aS'in\tin\tIN\tB-PP\tO' -p253061 -aS'the\tthe\tDT\tB-NP\tO' -p253062 -aS'incision\tincision\tNN\tI-NP\tO' -p253063 -aS',\t,\t,\tO\tO' -p253064 -aS'however\thowever\tRB\tB-ADVP\tO' -p253065 -aS'it\tit\tPRP\tB-NP\tO' -p253066 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p253067 -aS'to\tto\tTO\tI-VP\tO' -p253068 -aS'leak\tleak\tVB\tI-VP\tO' -p253069 -aS'.\t.\t.\tO\tO' -p253070 -asS'While in the Intensive Care Unit the patient was put on delirium tremons prophylaxis with Serax around the clock .' -p253071 -(lp253072 -S'While\tWhile\tIN\tB-SBAR\tO' -p253073 -aS'in\tin\tIN\tB-PP\tO' -p253074 -aS'the\tthe\tDT\tB-NP\tO' -p253075 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p253076 -aS'Care\tCare\tNNP\tI-NP\tO' -p253077 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p253078 -aS'the\tthe\tDT\tB-NP\tO' -p253079 -aS'patient\tpatient\tNN\tI-NP\tO' -p253080 -aS'was\tbe\tVBD\tB-VP\tO' -p253081 -aS'put\tput\tVBN\tI-VP\tO' -p253082 -aS'on\ton\tIN\tB-PP\tO' -p253083 -aS'delirium\tdelirium\tNN\tB-NP\tO' -p253084 -aS'tremons\ttremon\tNNS\tI-NP\tO' -p253085 -aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' -p253086 -aS'with\twith\tIN\tB-PP\tO' -p253087 -aS'Serax\tSerax\tNN\tB-NP\tO' -p253088 -aS'around\taround\tIN\tB-PP\tO' -p253089 -aS'the\tthe\tDT\tB-NP\tO' -p253090 -aS'clock\tclock\tNN\tI-NP\tO' -p253091 -aS'.\t.\t.\tO\tO' -p253092 -asS'There were no areas of prominent focal slowing , and there were no epileptiform features' -p253093 -(lp253094 -S'There\tThere\tEX\tB-NP\tO' -p253095 -aS'were\tbe\tVBD\tB-VP\tO' -p253096 -aS'no\tno\tDT\tB-NP\tO' -p253097 -aS'areas\tarea\tNNS\tI-NP\tO' -p253098 -aS'of\tof\tIN\tB-PP\tO' -p253099 -aS'prominent\tprominent\tJJ\tB-NP\tO' -p253100 -aS'focal\tfocal\tJJ\tI-NP\tO' -p253101 -aS'slowing\tslowing\tNN\tI-NP\tO' -p253102 -aS',\t,\t,\tO\tO' -p253103 -aS'and\tand\tCC\tO\tO' -p253104 -aS'there\tthere\tEX\tB-NP\tO' -p253105 -aS'were\tbe\tVBD\tB-VP\tO' -p253106 -aS'no\tno\tDT\tB-NP\tO' -p253107 -aS'epileptiform\tepileptiform\tNN\tI-NP\tO' -p253108 -aS'features\tfeature\tNNS\tI-NP\tO' -p253109 -asS'His hematocrit remained stable .' -p253110 -(lp253111 -S'His\tHis\tPRP$\tB-NP\tO' -p253112 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p253113 -aS'remained\tremain\tVBD\tB-VP\tO' -p253114 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p253115 -aS'.\t.\t.\tO\tO' -p253116 -asS'Ultrasounds have been reassuring with biophysicals 8 out of 8 x2 .' -p253117 -(lp253118 -S'Ultrasounds\tUltrasound\tNNS\tB-NP\tO' -p253119 -aS'have\thave\tVBP\tB-VP\tO' -p253120 -aS'been\tbe\tVBN\tI-VP\tO' -p253121 -aS'reassuring\treassure\tVBG\tI-VP\tO' -p253122 -aS'with\twith\tIN\tB-PP\tO' -p253123 -aS'biophysicals\tbiophysical\tNNS\tB-NP\tO' -p253124 -aS'8\t8\tCD\tB-NP\tO' -p253125 -aS'out\tout\tIN\tB-PP\tO' -p253126 -aS'of\tof\tIN\tB-PP\tO' -p253127 -aS'8\t8\tCD\tB-NP\tO' -p253128 -aS'x2\tx2\tCD\tI-NP\tO' -p253129 -aS'.\t.\t.\tO\tO' -p253130 -asS'281-320 mg / dL 7 Units 8 Units 6 Units 2 Units' -p253131 -(lp253132 -S'281-320\t281-320\tCD\tB-NP\tO' -p253133 -aS'mg\tmg\tNN\tI-NP\tO' -p253134 -aS'/\t/\tSYM\tB-NP\tO' -p253135 -aS'dL\tdL\tNN\tB-NP\tO' -p253136 -aS'7\t7\tCD\tI-NP\tO' -p253137 -aS'Units\tUnit\tVBZ\tB-VP\tO' -p253138 -aS'8\t8\tCD\tB-NP\tO' -p253139 -aS'Units\tUnit\tNNS\tI-NP\tO' -p253140 -aS'6\t6\tCD\tB-NP\tO' -p253141 -aS'Units\tUnit\tNNS\tI-NP\tO' -p253142 -aS'2\t2\tCD\tB-NP\tO' -p253143 -aS'Units\tUnit\tNNS\tI-NP\tO' -p253144 -asS'Physical examination revealed temperature was 96.9 , heart rate was 121 , blood pressure was 122/86 , respiratory rate was 22 , and oxygen saturation was 96% on room air .' -p253145 -(lp253146 -S'Physical\tPhysical\tJJ\tB-NP\tO' -p253147 -aS'examination\texamination\tNN\tI-NP\tO' -p253148 -aS'revealed\treveal\tVBD\tB-VP\tO' -p253149 -aS'temperature\ttemperature\tNN\tB-NP\tO' -p253150 -aS'was\tbe\tVBD\tB-VP\tO' -p253151 -aS'96.9\t96.9\tCD\tB-NP\tO' -p253152 -aS',\t,\t,\tO\tO' -p253153 -aS'heart\theart\tNN\tB-NP\tO' -p253154 -aS'rate\trate\tNN\tI-NP\tO' -p253155 -aS'was\tbe\tVBD\tB-VP\tO' -p253156 -aS'121\t121\tCD\tB-NP\tO' -p253157 -aS',\t,\t,\tO\tO' -p253158 -aS'blood\tblood\tNN\tB-NP\tO' -p253159 -aS'pressure\tpressure\tNN\tI-NP\tO' -p253160 -aS'was\tbe\tVBD\tB-VP\tO' -p253161 -aS'122/86\t122/86\tCD\tB-NP\tO' -p253162 -aS',\t,\t,\tO\tO' -p253163 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p253164 -aS'rate\trate\tNN\tI-NP\tO' -p253165 -aS'was\tbe\tVBD\tB-VP\tO' -p253166 -aS'22\t22\tCD\tB-NP\tO' -p253167 -aS',\t,\t,\tO\tO' -p253168 -aS'and\tand\tCC\tO\tO' -p253169 -aS'oxygen\toxygen\tNN\tB-NP\tO' -p253170 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p253171 -aS'was\tbe\tVBD\tB-VP\tO' -p253172 -aS'96%\t96%\tCD\tB-NP\tO' -p253173 -aS'on\ton\tIN\tB-PP\tO' -p253174 -aS'room\troom\tNN\tB-NP\tO' -p253175 -aS'air\tair\tNN\tI-NP\tO' -p253176 -aS'.\t.\t.\tO\tO' -p253177 -asS'Her PTT goes 50 to 60 at that time .' -p253178 -(lp253179 -S'Her\tHer\tPRP$\tB-NP\tO' -p253180 -aS'PTT\tPTT\tNN\tI-NP\tO' -p253181 -aS'goes\tgo\tVBZ\tB-VP\tO' -p253182 -aS'50\t50\tCD\tB-NP\tO' -p253183 -aS'to\tto\tTO\tI-NP\tO' -p253184 -aS'60\t60\tCD\tI-NP\tO' -p253185 -aS'at\tat\tIN\tB-PP\tO' -p253186 -aS'that\tthat\tDT\tB-NP\tO' -p253187 -aS'time\ttime\tNN\tI-NP\tO' -p253188 -aS'.\t.\t.\tO\tO' -p253189 -asS'Neck was without bruits .' -p253190 -(lp253191 -S'Neck\tNeck\tNN\tB-NP\tO' -p253192 -aS'was\tbe\tVBD\tB-VP\tO' -p253193 -aS'without\twithout\tIN\tB-PP\tO' -p253194 -aS'bruits\tbruit\tNNS\tB-NP\tO' -p253195 -aS'.\t.\t.\tO\tO' -p253196 -asS'Following evaluation and treatment , the patient 's disposition at the end of the visit was ADMITTED AS AN INPATIENT TO RO WOODMA HEALTHCARE .' -p253197 -(lp253198 -S'Following\tFollow\tVBG\tB-PP\tO' -p253199 -aS'evaluation\tevaluation\tNN\tB-NP\tO' -p253200 -aS'and\tand\tCC\tI-NP\tO' -p253201 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p253202 -aS',\t,\t,\tO\tO' -p253203 -aS'the\tthe\tDT\tB-NP\tO' -p253204 -aS'patient\tpatient\tNN\tI-NP\tO' -p253205 -aS''s\t'\tNNS\tI-NP\tO' -p253206 -aS'disposition\tdisposition\tNN\tI-NP\tO' -p253207 -aS'at\tat\tIN\tB-PP\tO' -p253208 -aS'the\tthe\tDT\tB-NP\tO' -p253209 -aS'end\tend\tNN\tI-NP\tO' -p253210 -aS'of\tof\tIN\tB-PP\tO' -p253211 -aS'the\tthe\tDT\tB-NP\tO' -p253212 -aS'visit\tvisit\tNN\tI-NP\tO' -p253213 -aS'was\tbe\tVBD\tB-VP\tO' -p253214 -aS'ADMITTED\tADMITTED\tVBN\tI-VP\tO' -p253215 -aS'AS\tAS\tJJ\tB-NP\tO' -p253216 -aS'AN\tAN\tNN\tI-NP\tO' -p253217 -aS'INPATIENT\tINPATIENT\tNN\tI-NP\tO' -p253218 -aS'TO\tTO\tTO\tB-PP\tO' -p253219 -aS'RO\tRO\tNN\tB-NP\tB-DNA' -p253220 -aS'WOODMA\tWOODMA\tNN\tI-NP\tI-DNA' -p253221 -aS'HEALTHCARE\tHEALTHCARE\tNN\tI-NP\tI-DNA' -p253222 -aS'.\t.\t.\tO\tO' -p253223 -asS'Recommend follow up CT to ensure resolution .' -p253224 -(lp253225 -S'Recommend\tRecommend\tVB\tB-VP\tO' -p253226 -aS'follow\tfollow\tVB\tI-VP\tO' -p253227 -aS'up\tup\tRP\tB-PRT\tO' -p253228 -aS'CT\tCT\tNN\tB-NP\tB-protein' -p253229 -aS'to\tto\tTO\tB-VP\tO' -p253230 -aS'ensure\tensure\tVB\tI-VP\tO' -p253231 -aS'resolution\tresolution\tNN\tB-NP\tO' -p253232 -aS'.\t.\t.\tO\tO' -p253233 -asS'At this time , the patient 's presyncopal symptoms were not felt to be secondary to a cardiovascular etiology .' -p253234 -(lp253235 -S'At\tAt\tIN\tB-PP\tO' -p253236 -aS'this\tthis\tDT\tB-NP\tO' -p253237 -aS'time\ttime\tNN\tI-NP\tO' -p253238 -aS',\t,\t,\tO\tO' -p253239 -aS'the\tthe\tDT\tB-NP\tO' -p253240 -aS'patient\tpatient\tNN\tI-NP\tO' -p253241 -aS''s\t'\tVBZ\tB-VP\tO' -p253242 -aS'presyncopal\tpresyncopal\tJJ\tB-NP\tO' -p253243 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p253244 -aS'were\tbe\tVBD\tB-VP\tO' -p253245 -aS'not\tnot\tRB\tI-VP\tO' -p253246 -aS'felt\tfeel\tVBN\tI-VP\tO' -p253247 -aS'to\tto\tTO\tI-VP\tO' -p253248 -aS'be\tbe\tVB\tI-VP\tO' -p253249 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p253250 -aS'to\tto\tTO\tB-PP\tO' -p253251 -aS'a\ta\tDT\tB-NP\tO' -p253252 -aS'cardiovascular\tcardiovascular\tJJ\tI-NP\tO' -p253253 -aS'etiology\tetiology\tNN\tI-NP\tO' -p253254 -aS'.\t.\t.\tO\tO' -p253255 -asS'2. Bibasilar minor atelectasis , worse on the right and improved on the left .' -p253256 -(lp253257 -S'2.\t2.\tLS\tB-NP\tO' -p253258 -aS'Bibasilar\tBibasilar\tJJ\tI-NP\tO' -p253259 -aS'minor\tminor\tJJ\tI-NP\tO' -p253260 -aS'atelectasis\tatelectasis\tNN\tI-NP\tO' -p253261 -aS',\t,\t,\tO\tO' -p253262 -aS'worse\tworse\tJJR\tB-ADJP\tO' -p253263 -aS'on\ton\tIN\tB-PP\tO' -p253264 -aS'the\tthe\tDT\tB-NP\tO' -p253265 -aS'right\tright\tJJ\tI-NP\tO' -p253266 -aS'and\tand\tCC\tO\tO' -p253267 -aS'improved\timprove\tVBN\tB-VP\tO' -p253268 -aS'on\ton\tIN\tB-PP\tO' -p253269 -aS'the\tthe\tDT\tB-NP\tO' -p253270 -aS'left\tleft\tNN\tI-NP\tO' -p253271 -aS'.\t.\t.\tO\tO' -p253272 -asS'There were cultures obtained seeping from the wound at Retelk County Medical Center and those also grew out Pseudomonas aeruginosa .' -p253273 -(lp253274 -S'There\tThere\tEX\tB-NP\tO' -p253275 -aS'were\tbe\tVBD\tB-VP\tO' -p253276 -aS'cultures\tculture\tNNS\tB-NP\tO' -p253277 -aS'obtained\tobtain\tVBN\tB-VP\tO' -p253278 -aS'seeping\tseep\tVBG\tB-VP\tO' -p253279 -aS'from\tfrom\tIN\tB-PP\tO' -p253280 -aS'the\tthe\tDT\tB-NP\tO' -p253281 -aS'wound\twound\tNN\tI-NP\tO' -p253282 -aS'at\tat\tIN\tB-PP\tO' -p253283 -aS'Retelk\tRetelk\tNNP\tB-NP\tO' -p253284 -aS'County\tCounty\tNNP\tI-NP\tO' -p253285 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p253286 -aS'Center\tCenter\tNNP\tI-NP\tO' -p253287 -aS'and\tand\tCC\tO\tO' -p253288 -aS'those\tthose\tDT\tB-NP\tO' -p253289 -aS'also\talso\tRB\tB-ADVP\tO' -p253290 -aS'grew\tgrow\tVBD\tB-VP\tO' -p253291 -aS'out\tout\tRP\tB-PRT\tO' -p253292 -aS'Pseudomonas\tPseudomonas\tNNP\tB-NP\tO' -p253293 -aS'aeruginosa\taeruginosa\tNN\tI-NP\tO' -p253294 -aS'.\t.\t.\tO\tO' -p253295 -asS'Atrioseptal defect repair in 1970 , cardiomyopathy , right-sided congestive heart failure , pulmonary hypertension , history of atrial fibrillation and atrial flutter , history of prostate cancer , status post brachytherapy , history of rectal bleeding , obstructive sleep apnea on CPAP .' -p253296 -(lp253297 -S'Atrioseptal\tAtrioseptal\tJJ\tB-NP\tO' -p253298 -aS'defect\tdefect\tNN\tI-NP\tO' -p253299 -aS'repair\trepair\tNN\tI-NP\tO' -p253300 -aS'in\tin\tIN\tB-PP\tO' -p253301 -aS'1970\t1970\tCD\tB-NP\tO' -p253302 -aS',\t,\t,\tO\tO' -p253303 -aS'cardiomyopathy\tcardiomyopathy\tNN\tB-NP\tO' -p253304 -aS',\t,\t,\tO\tO' -p253305 -aS'right-sided\tright-sided\tJJ\tB-NP\tO' -p253306 -aS'congestive\tcongestive\tJJ\tI-NP\tO' -p253307 -aS'heart\theart\tNN\tI-NP\tO' -p253308 -aS'failure\tfailure\tNN\tI-NP\tO' -p253309 -aS',\t,\t,\tO\tO' -p253310 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p253311 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p253312 -aS',\t,\t,\tO\tO' -p253313 -aS'history\thistory\tNN\tB-NP\tO' -p253314 -aS'of\tof\tIN\tB-PP\tO' -p253315 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p253316 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p253317 -aS'and\tand\tCC\tO\tO' -p253318 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p253319 -aS'flutter\tflutter\tNN\tI-NP\tO' -p253320 -aS',\t,\t,\tO\tO' -p253321 -aS'history\thistory\tNN\tB-NP\tO' -p253322 -aS'of\tof\tIN\tB-PP\tO' -p253323 -aS'prostate\tprostate\tNN\tB-NP\tO' -p253324 -aS'cancer\tcancer\tNN\tI-NP\tO' -p253325 -aS',\t,\t,\tO\tO' -p253326 -aS'status\tstatus\tNN\tB-NP\tO' -p253327 -aS'post\tpost\tNN\tI-NP\tO' -p253328 -aS'brachytherapy\tbrachytherapy\tNN\tI-NP\tO' -p253329 -aS',\t,\t,\tO\tO' -p253330 -aS'history\thistory\tNN\tB-NP\tO' -p253331 -aS'of\tof\tIN\tB-PP\tO' -p253332 -aS'rectal\trectal\tJJ\tB-NP\tO' -p253333 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p253334 -aS',\t,\t,\tO\tO' -p253335 -aS'obstructive\tobstructive\tJJ\tB-NP\tO' -p253336 -aS'sleep\tsleep\tNN\tI-NP\tO' -p253337 -aS'apnea\tapnea\tNN\tI-NP\tO' -p253338 -aS'on\ton\tIN\tB-PP\tO' -p253339 -aS'CPAP\tCPAP\tNN\tB-NP\tB-protein' -p253340 -aS'.\t.\t.\tO\tO' -p253341 -asS'This was repeated on 08-13 .' -p253342 -(lp253343 -S'This\tThis\tDT\tB-NP\tO' -p253344 -aS'was\tbe\tVBD\tB-VP\tO' -p253345 -aS'repeated\trepeat\tVBN\tI-VP\tO' -p253346 -aS'on\ton\tIN\tB-PP\tO' -p253347 -aS'08-13\t08-13\tCD\tB-NP\tO' -p253348 -aS'.\t.\t.\tO\tO' -p253349 -asS'It has been noted to be improving .' -p253350 -(lp253351 -S'It\tIt\tPRP\tB-NP\tO' -p253352 -aS'has\thave\tVBZ\tB-VP\tO' -p253353 -aS'been\tbe\tVBN\tI-VP\tO' -p253354 -aS'noted\tnote\tVBN\tI-VP\tO' -p253355 -aS'to\tto\tTO\tI-VP\tO' -p253356 -aS'be\tbe\tVB\tI-VP\tO' -p253357 -aS'improving\timprove\tVBG\tI-VP\tO' -p253358 -aS'.\t.\t.\tO\tO' -p253359 -asS'The rectal examination was unremarkable .' -p253360 -(lp253361 -S'The\tThe\tDT\tB-NP\tO' -p253362 -aS'rectal\trectal\tJJ\tI-NP\tO' -p253363 -aS'examination\texamination\tNN\tI-NP\tO' -p253364 -aS'was\tbe\tVBD\tB-VP\tO' -p253365 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p253366 -aS'.\t.\t.\tO\tO' -p253367 -asS'Upper lungs are clear .' -p253368 -(lp253369 -S'Upper\tUpper\tNNP\tB-NP\tO' -p253370 -aS'lungs\tlung\tNNS\tI-NP\tO' -p253371 -aS'are\tbe\tVBP\tB-VP\tO' -p253372 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p253373 -aS'.\t.\t.\tO\tO' -p253374 -asS'LEFT CORONARY ARTERY STENOSIS .' -p253375 -(lp253376 -S'LEFT\tLEFT\tNN\tB-NP\tO' -p253377 -aS'CORONARY\tCORONARY\tNN\tI-NP\tO' -p253378 -aS'ARTERY\tARTERY\tNN\tI-NP\tO' -p253379 -aS'STENOSIS\tSTENOSIS\tNN\tI-NP\tO' -p253380 -aS'.\t.\t.\tO\tO' -p253381 -asS'He also had successful extraction of stone fragments .' -p253382 -(lp253383 -S'He\tHe\tPRP\tB-NP\tO' -p253384 -aS'also\talso\tRB\tB-ADVP\tO' -p253385 -aS'had\thave\tVBD\tB-VP\tO' -p253386 -aS'successful\tsuccessful\tJJ\tB-NP\tO' -p253387 -aS'extraction\textraction\tNN\tI-NP\tO' -p253388 -aS'of\tof\tIN\tB-PP\tO' -p253389 -aS'stone\tstone\tNN\tB-NP\tB-protein' -p253390 -aS'fragments\tfragment\tNNS\tI-NP\tI-protein' -p253391 -aS'.\t.\t.\tO\tO' -p253392 -asS'Lung sounds fairly clear .' -p253393 -(lp253394 -S'Lung\tLung\tNN\tB-NP\tO' -p253395 -aS'sounds\tsound\tVBZ\tB-VP\tO' -p253396 -aS'fairly\tfairly\tRB\tB-ADJP\tO' -p253397 -aS'clear\tclear\tJJ\tI-ADJP\tO' -p253398 -aS'.\t.\t.\tO\tO' -p253399 -asS'Normal aortic root diameter .' -p253400 -(lp253401 -S'Normal\tNormal\tJJ\tB-NP\tO' -p253402 -aS'aortic\taortic\tJJ\tI-NP\tO' -p253403 -aS'root\troot\tNN\tI-NP\tO' -p253404 -aS'diameter\tdiameter\tNN\tI-NP\tO' -p253405 -aS'.\t.\t.\tO\tO' -p253406 -asS'1. End-stage renal disease secondary to type 1 diabetes mellitus ; status post renal transplant in 2003 .' -p253407 -(lp253408 -S'1.\t1.\tLS\tB-NP\tO' -p253409 -aS'End-stage\tEnd-stage\tNN\tI-NP\tO' -p253410 -aS'renal\trenal\tJJ\tI-NP\tO' -p253411 -aS'disease\tdisease\tNN\tI-NP\tO' -p253412 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p253413 -aS'to\tto\tTO\tB-PP\tO' -p253414 -aS'type\ttype\tNN\tB-NP\tO' -p253415 -aS'1\t1\tCD\tI-NP\tO' -p253416 -aS'diabetes\tdiabetes\tNN\tI-NP\tO' -p253417 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p253418 -aS';\t;\t:\tO\tO' -p253419 -aS'status\tstatus\tNN\tB-NP\tO' -p253420 -aS'post\tpost\tNN\tI-NP\tO' -p253421 -aS'renal\trenal\tJJ\tI-NP\tO' -p253422 -aS'transplant\ttransplant\tNN\tI-NP\tO' -p253423 -aS'in\tin\tIN\tB-PP\tO' -p253424 -aS'2003\t2003\tCD\tB-NP\tO' -p253425 -aS'.\t.\t.\tO\tO' -p253426 -asS'She was afebrile , in sinus rhythm , pulse 60 .' -p253427 -(lp253428 -S'She\tShe\tPRP\tB-NP\tO' -p253429 -aS'was\tbe\tVBD\tB-VP\tO' -p253430 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p253431 -aS',\t,\t,\tO\tO' -p253432 -aS'in\tin\tIN\tB-PP\tO' -p253433 -aS'sinus\tsinus\tNN\tB-NP\tO' -p253434 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p253435 -aS',\t,\t,\tO\tO' -p253436 -aS'pulse\tpulse\tNN\tB-NP\tO' -p253437 -aS'60\t60\tCD\tI-NP\tO' -p253438 -aS'.\t.\t.\tO\tO' -p253439 -asS'She does well with tube feeds .' -p253440 -(lp253441 -S'She\tShe\tPRP\tB-NP\tO' -p253442 -aS'does\tdo\tVBZ\tB-VP\tO' -p253443 -aS'well\twell\tRB\tB-ADVP\tO' -p253444 -aS'with\twith\tIN\tB-PP\tO' -p253445 -aS'tube\ttube\tNN\tB-NP\tO' -p253446 -aS'feeds\tfeed\tNNS\tI-NP\tO' -p253447 -aS'.\t.\t.\tO\tO' -p253448 -asS'She received ASA , nitro SL then gtt , morphine , metoprolol , and heparin gtt .' -p253449 -(lp253450 -S'She\tShe\tPRP\tB-NP\tO' -p253451 -aS'received\treceive\tVBD\tB-VP\tO' -p253452 -aS'ASA\tASA\tNN\tB-NP\tO' -p253453 -aS',\t,\t,\tO\tO' -p253454 -aS'nitro\tnitro\tNN\tB-NP\tO' -p253455 -aS'SL\tSL\tNNP\tI-NP\tO' -p253456 -aS'then\tthen\tRB\tB-ADVP\tO' -p253457 -aS'gtt\tgtt\tNN\tB-NP\tO' -p253458 -aS',\t,\t,\tO\tO' -p253459 -aS'morphine\tmorphine\tNN\tB-NP\tO' -p253460 -aS',\t,\t,\tO\tO' -p253461 -aS'metoprolol\tmetoprolol\tNN\tB-NP\tO' -p253462 -aS',\t,\t,\tO\tO' -p253463 -aS'and\tand\tCC\tO\tO' -p253464 -aS'heparin\theparin\tNN\tB-NP\tO' -p253465 -aS'gtt\tgtt\tNN\tI-NP\tO' -p253466 -aS'.\t.\t.\tO\tO' -p253467 -asS'Face was symmetric .' -p253468 -(lp253469 -S'Face\tFace\tNNP\tB-NP\tO' -p253470 -aS'was\tbe\tVBD\tB-VP\tO' -p253471 -aS'symmetric\tsymmetric\tJJ\tB-ADJP\tO' -p253472 -aS'.\t.\t.\tO\tO' -p253473 -asS'The lungs are clear to auscultation bilaterally .' -p253474 -(lp253475 -S'The\tThe\tDT\tB-NP\tO' -p253476 -aS'lungs\tlung\tNNS\tI-NP\tO' -p253477 -aS'are\tbe\tVBP\tB-VP\tO' -p253478 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p253479 -aS'to\tto\tTO\tB-PP\tO' -p253480 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p253481 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p253482 -aS'.\t.\t.\tO\tO' -p253483 -asS'5. Status post indirect hyperbilirubinemia .' -p253484 -(lp253485 -S'5.\t5.\tLS\tB-LST\tO' -p253486 -aS'Status\tStatus\tNNP\tB-NP\tO' -p253487 -aS'post\tpost\tIN\tB-PP\tO' -p253488 -aS'indirect\tindirect\tJJ\tB-NP\tO' -p253489 -aS'hyperbilirubinemia\thyperbilirubinemia\tNN\tI-NP\tO' -p253490 -aS'.\t.\t.\tO\tO' -p253491 -asS'A gastric ulcer was found and this was biopsied and pathology is pending at this time .' -p253492 -(lp253493 -S'A\tA\tDT\tB-NP\tO' -p253494 -aS'gastric\tgastric\tJJ\tI-NP\tO' -p253495 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p253496 -aS'was\tbe\tVBD\tB-VP\tO' -p253497 -aS'found\tfind\tVBN\tI-VP\tO' -p253498 -aS'and\tand\tCC\tO\tO' -p253499 -aS'this\tthis\tDT\tB-NP\tO' -p253500 -aS'was\tbe\tVBD\tB-VP\tO' -p253501 -aS'biopsied\tbiopsie\tVBN\tI-VP\tO' -p253502 -aS'and\tand\tCC\tO\tO' -p253503 -aS'pathology\tpathology\tNN\tB-NP\tO' -p253504 -aS'is\tbe\tVBZ\tB-VP\tO' -p253505 -aS'pending\tpende\tVBG\tB-ADJP\tO' -p253506 -aS'at\tat\tIN\tB-PP\tO' -p253507 -aS'this\tthis\tDT\tB-NP\tO' -p253508 -aS'time\ttime\tNN\tI-NP\tO' -p253509 -aS'.\t.\t.\tO\tO' -p253510 -asS'She was seen by Dr. Freiermthalskush of the renal service for management of her chronic renal insufficiency .' -p253511 -(lp253512 -S'She\tShe\tPRP\tB-NP\tO' -p253513 -aS'was\tbe\tVBD\tB-VP\tO' -p253514 -aS'seen\tsee\tVBN\tI-VP\tO' -p253515 -aS'by\tby\tIN\tB-PP\tO' -p253516 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p253517 -aS'Freiermthalskush\tFreiermthalskush\tNNP\tI-NP\tO' -p253518 -aS'of\tof\tIN\tB-PP\tO' -p253519 -aS'the\tthe\tDT\tB-NP\tO' -p253520 -aS'renal\trenal\tJJ\tI-NP\tO' -p253521 -aS'service\tservice\tNN\tI-NP\tO' -p253522 -aS'for\tfor\tIN\tB-PP\tO' -p253523 -aS'management\tmanagement\tNN\tB-NP\tO' -p253524 -aS'of\tof\tIN\tB-PP\tO' -p253525 -aS'her\ther\tPRP$\tB-NP\tO' -p253526 -aS'chronic\tchronic\tJJ\tI-NP\tO' -p253527 -aS'renal\trenal\tJJ\tI-NP\tO' -p253528 -aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' -p253529 -aS'.\t.\t.\tO\tO' -p253530 -asS'On our exam she is found to have a significant amount of ataxia , especially in the midline and the exact cause of this is unknown .' -p253531 -(lp253532 -S'On\tOn\tIN\tB-PP\tO' -p253533 -aS'our\tour\tPRP$\tB-NP\tO' -p253534 -aS'exam\texam\tNN\tI-NP\tO' -p253535 -aS'she\tshe\tPRP\tB-NP\tO' -p253536 -aS'is\tbe\tVBZ\tB-VP\tO' -p253537 -aS'found\tfind\tVBN\tI-VP\tO' -p253538 -aS'to\tto\tTO\tI-VP\tO' -p253539 -aS'have\thave\tVB\tI-VP\tO' -p253540 -aS'a\ta\tDT\tB-NP\tO' -p253541 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p253542 -aS'amount\tamount\tNN\tI-NP\tO' -p253543 -aS'of\tof\tIN\tB-PP\tO' -p253544 -aS'ataxia\tataxia\tNN\tB-NP\tO' -p253545 -aS',\t,\t,\tO\tO' -p253546 -aS'especially\tespecially\tRB\tB-ADVP\tO' -p253547 -aS'in\tin\tIN\tB-PP\tO' -p253548 -aS'the\tthe\tDT\tB-NP\tO' -p253549 -aS'midline\tmidline\tNN\tI-NP\tO' -p253550 -aS'and\tand\tCC\tO\tO' -p253551 -aS'the\tthe\tDT\tB-NP\tO' -p253552 -aS'exact\texact\tJJ\tI-NP\tO' -p253553 -aS'cause\tcause\tNN\tI-NP\tO' -p253554 -aS'of\tof\tIN\tB-PP\tO' -p253555 -aS'this\tthis\tDT\tB-NP\tO' -p253556 -aS'is\tbe\tVBZ\tB-VP\tO' -p253557 -aS'unknown\tunknown\tJJ\tB-ADJP\tO' -p253558 -aS'.\t.\t.\tO\tO' -p253559 -asS"The patient 's respiratory status improved throughout the remainder of her hospitalization and oxygen was eventually weaned ." -p253560 -(lp253561 -S'The\tThe\tDT\tB-NP\tO' -p253562 -aS'patient\tpatient\tNN\tI-NP\tO' -p253563 -aS"'s\t's\tPOS\tB-NP\tO" -p253564 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p253565 -aS'status\tstatus\tNN\tI-NP\tO' -p253566 -aS'improved\timprove\tVBD\tB-VP\tO' -p253567 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p253568 -aS'the\tthe\tDT\tB-NP\tO' -p253569 -aS'remainder\tremainder\tNN\tI-NP\tO' -p253570 -aS'of\tof\tIN\tB-PP\tO' -p253571 -aS'her\ther\tPRP$\tB-NP\tO' -p253572 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p253573 -aS'and\tand\tCC\tI-NP\tO' -p253574 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p253575 -aS'was\tbe\tVBD\tB-VP\tO' -p253576 -aS'eventually\teventually\tRB\tI-VP\tO' -p253577 -aS'weaned\twean\tVBN\tI-VP\tO' -p253578 -aS'.\t.\t.\tO\tO' -p253579 -asS'She is receiving supplemental iron to provide 2 mg per kilo per day as elemental iron .' -p253580 -(lp253581 -S'She\tShe\tPRP\tB-NP\tO' -p253582 -aS'is\tbe\tVBZ\tB-VP\tO' -p253583 -aS'receiving\treceive\tVBG\tI-VP\tO' -p253584 -aS'supplemental\tsupplemental\tJJ\tB-NP\tO' -p253585 -aS'iron\tiron\tNN\tI-NP\tO' -p253586 -aS'to\tto\tTO\tB-VP\tO' -p253587 -aS'provide\tprovide\tVB\tI-VP\tO' -p253588 -aS'2\t2\tCD\tB-NP\tO' -p253589 -aS'mg\tmg\tNN\tI-NP\tO' -p253590 -aS'per\tper\tIN\tB-PP\tO' -p253591 -aS'kilo\tkilo\tNN\tB-NP\tO' -p253592 -aS'per\tper\tIN\tB-PP\tO' -p253593 -aS'day\tday\tNN\tB-NP\tO' -p253594 -aS'as\tas\tIN\tB-PP\tO' -p253595 -aS'elemental\telemental\tJJ\tB-NP\tO' -p253596 -aS'iron\tiron\tNN\tI-NP\tO' -p253597 -aS'.\t.\t.\tO\tO' -p253598 -asS'A CT of her chest revealed bliateral lung nodules and a right thyroid nodule .' -p253599 -(lp253600 -S'A\tA\tDT\tB-NP\tO' -p253601 -aS'CT\tCT\tNN\tI-NP\tO' -p253602 -aS'of\tof\tIN\tB-PP\tO' -p253603 -aS'her\ther\tPRP$\tB-NP\tO' -p253604 -aS'chest\tchest\tNN\tI-NP\tO' -p253605 -aS'revealed\treveal\tVBD\tB-VP\tO' -p253606 -aS'bliateral\tbliateral\tJJ\tB-NP\tO' -p253607 -aS'lung\tlung\tNN\tI-NP\tO' -p253608 -aS'nodules\tnodule\tNNS\tI-NP\tO' -p253609 -aS'and\tand\tCC\tO\tO' -p253610 -aS'a\ta\tDT\tB-NP\tO' -p253611 -aS'right\tright\tJJ\tI-NP\tO' -p253612 -aS'thyroid\tthyroid\tNN\tI-NP\tO' -p253613 -aS'nodule\tnodule\tNN\tI-NP\tO' -p253614 -aS'.\t.\t.\tO\tO' -p253615 -asS'1. Infectious Disease .' -p253616 -(lp253617 -S'1.\t1.\tLS\tB-NP\tO' -p253618 -aS'Infectious\tInfectious\tJJ\tI-NP\tO' -p253619 -aS'Disease\tDisease\tNN\tI-NP\tO' -p253620 -aS'.\t.\t.\tO\tO' -p253621 -asS'13. Peptic ulcer disease status post gastrectomy 30 years ago .' -p253622 -(lp253623 -S'13.\t13.\tLS\tB-NP\tO' -p253624 -aS'Peptic\tPeptic\tJJ\tI-NP\tO' -p253625 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p253626 -aS'disease\tdisease\tNN\tI-NP\tO' -p253627 -aS'status\tstatus\tNN\tI-NP\tO' -p253628 -aS'post\tpost\tNN\tI-NP\tO' -p253629 -aS'gastrectomy\tgastrectomy\tNN\tI-NP\tO' -p253630 -aS'30\t30\tCD\tB-NP\tO' -p253631 -aS'years\tyear\tNNS\tI-NP\tO' -p253632 -aS'ago\tago\tRB\tB-ADVP\tO' -p253633 -aS'.\t.\t.\tO\tO' -p253634 -asS'5) RIGHT LOWER EXTREMITY WOUND .' -p253635 -(lp253636 -S'5)\t5)\tLS\tB-NP\tO' -p253637 -aS'RIGHT\tRIGHT\tNN\tI-NP\tO' -p253638 -aS'LOWER\tLOWER\tNN\tI-NP\tO' -p253639 -aS'EXTREMITY\tEXTREMITY\tNN\tI-NP\tO' -p253640 -aS'WOUND\tWOUND\tNN\tI-NP\tO' -p253641 -aS'.\t.\t.\tO\tO' -p253642 -asS'The patient was admitted for cardiac catheterization in early December , 1993 .' -p253643 -(lp253644 -S'The\tThe\tDT\tB-NP\tO' -p253645 -aS'patient\tpatient\tNN\tI-NP\tO' -p253646 -aS'was\tbe\tVBD\tB-VP\tO' -p253647 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p253648 -aS'for\tfor\tIN\tB-PP\tO' -p253649 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p253650 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p253651 -aS'in\tin\tIN\tB-PP\tO' -p253652 -aS'early\tearly\tJJ\tB-NP\tO' -p253653 -aS'December\tDecember\tNNP\tI-NP\tO' -p253654 -aS',\t,\t,\tO\tO' -p253655 -aS'1993\t1993\tCD\tB-NP\tO' -p253656 -aS'.\t.\t.\tO\tO' -p253657 -asS'Oropharynx is clear .' -p253658 -(lp253659 -S'Oropharynx\tOropharynx\tNNP\tB-NP\tO' -p253660 -aS'is\tbe\tVBZ\tB-VP\tO' -p253661 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p253662 -aS'.\t.\t.\tO\tO' -p253663 -asS'No retinal hemorrhages .' -p253664 -(lp253665 -S'No\tNo\tDT\tB-NP\tO' -p253666 -aS'retinal\tretinal\tJJ\tI-NP\tO' -p253667 -aS'hemorrhages\themorrhage\tNNS\tI-NP\tO' -p253668 -aS'.\t.\t.\tO\tO' -p253669 -asS'Patient was admited , pain was managed with a PCA and later with PO medication .' -p253670 -(lp253671 -S'Patient\tPatient\tNN\tB-NP\tO' -p253672 -aS'was\tbe\tVBD\tB-VP\tO' -p253673 -aS'admited\tadmit\tVBN\tI-VP\tO' -p253674 -aS',\t,\t,\tO\tO' -p253675 -aS'pain\tpain\tNN\tB-NP\tO' -p253676 -aS'was\tbe\tVBD\tB-VP\tO' -p253677 -aS'managed\tmanage\tVBN\tI-VP\tO' -p253678 -aS'with\twith\tIN\tB-PP\tO' -p253679 -aS'a\ta\tDT\tB-NP\tO' -p253680 -aS'PCA\tPCA\tNN\tI-NP\tB-protein' -p253681 -aS'and\tand\tCC\tO\tO' -p253682 -aS'later\tlater\tRB\tB-ADVP\tO' -p253683 -aS'with\twith\tIN\tB-PP\tO' -p253684 -aS'PO\tPO\tNN\tB-NP\tO' -p253685 -aS'medication\tmedication\tNN\tI-NP\tO' -p253686 -aS'.\t.\t.\tO\tO' -p253687 -asS'There is no family history of hematologic problems .' -p253688 -(lp253689 -S'There\tThere\tEX\tB-NP\tO' -p253690 -aS'is\tbe\tVBZ\tB-VP\tO' -p253691 -aS'no\tno\tDT\tB-NP\tO' -p253692 -aS'family\tfamily\tNN\tI-NP\tO' -p253693 -aS'history\thistory\tNN\tI-NP\tO' -p253694 -aS'of\tof\tIN\tB-PP\tO' -p253695 -aS'hematologic\thematologic\tJJ\tB-NP\tB-cell_type' -p253696 -aS'problems\tproblem\tNNS\tI-NP\tI-cell_type' -p253697 -aS'.\t.\t.\tO\tO' -p253698 -asS'This is an addendum to the discharge summary for the admission starting 2012-01-05 .' -p253699 -(lp253700 -S'This\tThis\tDT\tB-NP\tO' -p253701 -aS'is\tbe\tVBZ\tB-VP\tO' -p253702 -aS'an\tan\tDT\tB-NP\tO' -p253703 -aS'addendum\taddendum\tNN\tI-NP\tO' -p253704 -aS'to\tto\tTO\tB-PP\tO' -p253705 -aS'the\tthe\tDT\tB-NP\tO' -p253706 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p253707 -aS'summary\tsummary\tNN\tI-NP\tO' -p253708 -aS'for\tfor\tIN\tB-PP\tO' -p253709 -aS'the\tthe\tDT\tB-NP\tO' -p253710 -aS'admission\tadmission\tNN\tI-NP\tO' -p253711 -aS'starting\tstart\tVBG\tB-VP\tO' -p253712 -aS'2012-01-05\t2012-01-05\tCD\tB-NP\tO' -p253713 -aS'.\t.\t.\tO\tO' -p253714 -asS'On 05-03 the patient underwent an abdominal ultrasound with paracentesis , and 5 liters of fluid were removed .' -p253715 -(lp253716 -S'On\tOn\tIN\tB-PP\tO' -p253717 -aS'05-03\t05-03\tCD\tB-NP\tO' -p253718 -aS'the\tthe\tDT\tB-NP\tO' -p253719 -aS'patient\tpatient\tNN\tI-NP\tO' -p253720 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p253721 -aS'an\tan\tDT\tB-NP\tO' -p253722 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p253723 -aS'ultrasound\tultrasound\tNN\tI-NP\tO' -p253724 -aS'with\twith\tIN\tB-PP\tO' -p253725 -aS'paracentesis\tparacentesis\tNN\tB-NP\tO' -p253726 -aS',\t,\t,\tO\tO' -p253727 -aS'and\tand\tCC\tO\tO' -p253728 -aS'5\t5\tCD\tB-NP\tO' -p253729 -aS'liters\tliter\tNNS\tI-NP\tO' -p253730 -aS'of\tof\tIN\tB-PP\tO' -p253731 -aS'fluid\tfluid\tNN\tB-NP\tO' -p253732 -aS'were\tbe\tVBD\tB-VP\tO' -p253733 -aS'removed\tremove\tVBN\tI-VP\tO' -p253734 -aS'.\t.\t.\tO\tO' -p253735 -asS'12. Insulin 45 NPH in am with 33 NPH at bedtime' -p253736 -(lp253737 -S'12.\t12.\tCD\tB-NP\tO' -p253738 -aS'Insulin\tInsulin\tNN\tI-NP\tO' -p253739 -aS'45\t45\tCD\tB-NP\tO' -p253740 -aS'NPH\tNPH\tNN\tI-NP\tO' -p253741 -aS'in\tin\tIN\tB-PP\tO' -p253742 -aS'am\tam\tNN\tB-NP\tO' -p253743 -aS'with\twith\tIN\tB-PP\tO' -p253744 -aS'33\t33\tCD\tB-NP\tO' -p253745 -aS'NPH\tNPH\tNN\tI-NP\tO' -p253746 -aS'at\tat\tIN\tB-PP\tO' -p253747 -aS'bedtime\tbedtime\tNN\tB-NP\tO' -p253748 -asS'He also received Lipitor 80 mg , Plavix 300 , heparin IV , integrelin double bolus , followed by a drip .' -p253749 -(lp253750 -S'He\tHe\tPRP\tB-NP\tO' -p253751 -aS'also\talso\tRB\tB-ADVP\tO' -p253752 -aS'received\treceive\tVBD\tB-VP\tO' -p253753 -aS'Lipitor\tLipitor\tNN\tB-NP\tO' -p253754 -aS'80\t80\tCD\tI-NP\tO' -p253755 -aS'mg\tmg\tNN\tI-NP\tO' -p253756 -aS',\t,\t,\tO\tO' -p253757 -aS'Plavix\tPlavix\tNN\tB-NP\tB-protein' -p253758 -aS'300\t300\tCD\tI-NP\tI-protein' -p253759 -aS',\t,\t,\tO\tO' -p253760 -aS'heparin\theparin\tNN\tB-NP\tB-protein' -p253761 -aS'IV\tIV\tCD\tI-NP\tI-protein' -p253762 -aS',\t,\t,\tO\tO' -p253763 -aS'integrelin\tintegrelin\tNN\tB-NP\tO' -p253764 -aS'double\tdouble\tJJ\tI-NP\tO' -p253765 -aS'bolus\tbolus\tNN\tI-NP\tO' -p253766 -aS',\t,\t,\tO\tO' -p253767 -aS'followed\tfollow\tVBN\tB-VP\tO' -p253768 -aS'by\tby\tIN\tB-PP\tO' -p253769 -aS'a\ta\tDT\tB-NP\tO' -p253770 -aS'drip\tdrip\tNN\tI-NP\tO' -p253771 -aS'.\t.\t.\tO\tO' -p253772 -asS'Palpable DP s bilaterally .' -p253773 -(lp253774 -S'Palpable\tPalpable\tJJ\tB-NP\tO' -p253775 -aS'DP\tDP\tNN\tI-NP\tO' -p253776 -aS's\ts\tVBZ\tB-VP\tO' -p253777 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p253778 -aS'.\t.\t.\tO\tO' -p253779 -asS'The patient has gastroesophageal reflux disease , for which he has been receiving Zantac as an inpatient .' -p253780 -(lp253781 -S'The\tThe\tDT\tB-NP\tO' -p253782 -aS'patient\tpatient\tNN\tI-NP\tO' -p253783 -aS'has\thave\tVBZ\tB-VP\tO' -p253784 -aS'gastroesophageal\tgastroesophageal\tJJ\tB-NP\tO' -p253785 -aS'reflux\treflux\tNN\tI-NP\tO' -p253786 -aS'disease\tdisease\tNN\tI-NP\tO' -p253787 -aS',\t,\t,\tO\tO' -p253788 -aS'for\tfor\tIN\tB-PP\tO' -p253789 -aS'which\twhich\tWDT\tB-NP\tO' -p253790 -aS'he\the\tPRP\tB-NP\tO' -p253791 -aS'has\thave\tVBZ\tB-VP\tO' -p253792 -aS'been\tbe\tVBN\tI-VP\tO' -p253793 -aS'receiving\treceive\tVBG\tI-VP\tO' -p253794 -aS'Zantac\tZantac\tNN\tB-NP\tO' -p253795 -aS'as\tas\tIN\tB-PP\tO' -p253796 -aS'an\tan\tDT\tB-NP\tO' -p253797 -aS'inpatient\tinpatient\tNN\tI-NP\tO' -p253798 -aS'.\t.\t.\tO\tO' -p253799 -asS'#. Code : DNR/DNI/CMO verified with Robert Marks 2018-05-29' -p253800 -(lp253801 -S'#.\t#.\tRB\tB-ADVP\tO' -p253802 -aS'Code\tCode\tNNP\tB-NP\tO' -p253803 -aS':\t:\t:\tO\tO' -p253804 -aS'DNR/DNI/CMO\tDNR/DNI/CMO\tNN\tB-NP\tO' -p253805 -aS'verified\tverify\tVBN\tB-VP\tO' -p253806 -aS'with\twith\tIN\tB-PP\tO' -p253807 -aS'Robert\tRobert\tNNP\tB-NP\tO' -p253808 -aS'Marks\tMarks\tNNP\tI-NP\tO' -p253809 -aS'2018-05-29\t2018-05-29\t.\tO\tO' -p253810 -asS'His aorta was cross clamped for 168 minutes .' -p253811 -(lp253812 -S'His\tHis\tPRP$\tB-NP\tO' -p253813 -aS'aorta\taorta\tNN\tI-NP\tO' -p253814 -aS'was\tbe\tVBD\tB-VP\tO' -p253815 -aS'cross\tcross\tRB\tI-VP\tO' -p253816 -aS'clamped\tclamp\tVBN\tI-VP\tO' -p253817 -aS'for\tfor\tIN\tB-PP\tO' -p253818 -aS'168\t168\tCD\tB-NP\tO' -p253819 -aS'minutes\tminute\tNNS\tI-NP\tO' -p253820 -aS'.\t.\t.\tO\tO' -p253821 -asS'He also has had urine and blood cultures sent from the ED on 04/05 and was empirically started on avalox last pm .' -p253822 -(lp253823 -S'He\tHe\tPRP\tB-NP\tO' -p253824 -aS'also\talso\tRB\tB-ADVP\tO' -p253825 -aS'has\thave\tVBZ\tB-VP\tO' -p253826 -aS'had\thave\tVBN\tI-VP\tO' -p253827 -aS'urine\turine\tNN\tB-NP\tO' -p253828 -aS'and\tand\tCC\tI-NP\tO' -p253829 -aS'blood\tblood\tNN\tI-NP\tO' -p253830 -aS'cultures\tculture\tNNS\tI-NP\tO' -p253831 -aS'sent\tsend\tVBN\tB-VP\tO' -p253832 -aS'from\tfrom\tIN\tB-PP\tO' -p253833 -aS'the\tthe\tDT\tB-NP\tO' -p253834 -aS'ED\tED\tNN\tI-NP\tO' -p253835 -aS'on\ton\tIN\tB-PP\tO' -p253836 -aS'04/05\t04/05\tCD\tB-NP\tO' -p253837 -aS'and\tand\tCC\tO\tO' -p253838 -aS'was\tbe\tVBD\tB-VP\tO' -p253839 -aS'empirically\tempirically\tRB\tI-VP\tO' -p253840 -aS'started\tstart\tVBN\tI-VP\tO' -p253841 -aS'on\ton\tIN\tB-PP\tO' -p253842 -aS'avalox\tavalox\tNN\tB-NP\tO' -p253843 -aS'last\tlast\tJJ\tB-NP\tO' -p253844 -aS'pm\tpm\tNN\tI-NP\tO' -p253845 -aS'.\t.\t.\tO\tO' -p253846 -asS"The decision was made to have the patient undergo a cardiac catheterization to fully evaluate the hemodynamics to determine the etiology of the patient 's heart failure ." -p253847 -(lp253848 -S'The\tThe\tDT\tB-NP\tO' -p253849 -aS'decision\tdecision\tNN\tI-NP\tO' -p253850 -aS'was\tbe\tVBD\tB-VP\tO' -p253851 -aS'made\tmake\tVBN\tI-VP\tO' -p253852 -aS'to\tto\tTO\tI-VP\tO' -p253853 -aS'have\thave\tVB\tI-VP\tO' -p253854 -aS'the\tthe\tDT\tB-NP\tO' -p253855 -aS'patient\tpatient\tNN\tI-NP\tO' -p253856 -aS'undergo\tundergo\tVBP\tB-VP\tO' -p253857 -aS'a\ta\tDT\tB-NP\tO' -p253858 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p253859 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p253860 -aS'to\tto\tTO\tB-VP\tO' -p253861 -aS'fully\tfully\tRB\tI-VP\tO' -p253862 -aS'evaluate\tevaluate\tVB\tI-VP\tO' -p253863 -aS'the\tthe\tDT\tB-NP\tO' -p253864 -aS'hemodynamics\themodynamic\tNNS\tI-NP\tO' -p253865 -aS'to\tto\tTO\tB-VP\tO' -p253866 -aS'determine\tdetermine\tVB\tI-VP\tO' -p253867 -aS'the\tthe\tDT\tB-NP\tO' -p253868 -aS'etiology\tetiology\tNN\tI-NP\tO' -p253869 -aS'of\tof\tIN\tB-PP\tO' -p253870 -aS'the\tthe\tDT\tB-NP\tO' -p253871 -aS'patient\tpatient\tNN\tI-NP\tO' -p253872 -aS"'s\t's\tPOS\tB-NP\tO" -p253873 -aS'heart\theart\tNN\tI-NP\tO' -p253874 -aS'failure\tfailure\tNN\tI-NP\tO' -p253875 -aS'.\t.\t.\tO\tO' -p253876 -asS'NSR at 62 , nl axis , nl intervals , Q waves in III , avR , V1 .' -p253877 -(lp253878 -S'NSR\tNSR\tNN\tB-NP\tB-protein' -p253879 -aS'at\tat\tIN\tB-PP\tO' -p253880 -aS'62\t62\tCD\tB-NP\tO' -p253881 -aS',\t,\t,\tO\tO' -p253882 -aS'nl\tnl\tNN\tB-NP\tO' -p253883 -aS'axis\taxis\tNN\tI-NP\tO' -p253884 -aS',\t,\t,\tO\tO' -p253885 -aS'nl\tnl\tNN\tB-NP\tO' -p253886 -aS'intervals\tinterval\tNNS\tI-NP\tO' -p253887 -aS',\t,\t,\tO\tO' -p253888 -aS'Q\tQ\tNNP\tB-NP\tO' -p253889 -aS'waves\twave\tNNS\tI-NP\tO' -p253890 -aS'in\tin\tIN\tB-PP\tO' -p253891 -aS'III\tIII\tCD\tB-NP\tO' -p253892 -aS',\t,\t,\tO\tO' -p253893 -aS'avR\tavR\tNN\tB-NP\tO' -p253894 -aS',\t,\t,\tO\tO' -p253895 -aS'V1\tV1\tNN\tB-NP\tO' -p253896 -aS'.\t.\t.\tO\tO' -p253897 -asS'Gen - Sedated and intubated .' -p253898 -(lp253899 -S'Gen\tGen\tNN\tB-NP\tB-protein' -p253900 -aS'-\t-\tHYPH\tO\tO' -p253901 -aS'Sedated\tSedate\tVBN\tB-VP\tO' -p253902 -aS'and\tand\tCC\tI-VP\tO' -p253903 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p253904 -aS'.\t.\t.\tO\tO' -p253905 -asS'The patient is a 38-year-old gentleman , Spanish-speaking , from the Taheimpromong , with no significant past medical history , who presents with shortness of breath x 2 months as well as a dry cough x 1 month .' -p253906 -(lp253907 -S'The\tThe\tDT\tB-NP\tO' -p253908 -aS'patient\tpatient\tNN\tI-NP\tO' -p253909 -aS'is\tbe\tVBZ\tB-VP\tO' -p253910 -aS'a\ta\tDT\tB-NP\tO' -p253911 -aS'38-year-old\t38-year-old\tJJ\tI-NP\tO' -p253912 -aS'gentleman\tgentleman\tNN\tI-NP\tO' -p253913 -aS',\t,\t,\tO\tO' -p253914 -aS'Spanish-speaking\tSpanish-speaking\tNN\tB-NP\tO' -p253915 -aS',\t,\t,\tO\tO' -p253916 -aS'from\tfrom\tIN\tB-PP\tO' -p253917 -aS'the\tthe\tDT\tB-NP\tO' -p253918 -aS'Taheimpromong\tTaheimpromong\tNNP\tI-NP\tO' -p253919 -aS',\t,\t,\tO\tO' -p253920 -aS'with\twith\tIN\tB-PP\tO' -p253921 -aS'no\tno\tDT\tB-NP\tO' -p253922 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p253923 -aS'past\tpast\tJJ\tI-NP\tO' -p253924 -aS'medical\tmedical\tJJ\tI-NP\tO' -p253925 -aS'history\thistory\tNN\tI-NP\tO' -p253926 -aS',\t,\t,\tO\tO' -p253927 -aS'who\twho\tWP\tB-NP\tO' -p253928 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p253929 -aS'with\twith\tIN\tB-PP\tO' -p253930 -aS'shortness\tshortness\tNN\tB-NP\tO' -p253931 -aS'of\tof\tIN\tB-PP\tO' -p253932 -aS'breath\tbreath\tNN\tB-NP\tO' -p253933 -aS'x\tx\tSYM\tO\tO' -p253934 -aS'2\t2\tCD\tB-NP\tO' -p253935 -aS'months\tmonth\tNNS\tI-NP\tO' -p253936 -aS'as\tas\tRB\tB-CONJP\tO' -p253937 -aS'well\twell\tRB\tI-CONJP\tO' -p253938 -aS'as\tas\tIN\tI-CONJP\tO' -p253939 -aS'a\ta\tDT\tB-NP\tO' -p253940 -aS'dry\tdry\tJJ\tI-NP\tO' -p253941 -aS'cough\tcough\tNN\tI-NP\tO' -p253942 -aS'x\tx\tSYM\tB-NP\tO' -p253943 -aS'1\t1\tCD\tI-NP\tO' -p253944 -aS'month\tmonth\tNN\tI-NP\tO' -p253945 -aS'.\t.\t.\tO\tO' -p253946 -asS'The carotids were 1+ without bruits .' -p253947 -(lp253948 -S'The\tThe\tDT\tB-NP\tO' -p253949 -aS'carotids\tcarotid\tNNS\tI-NP\tO' -p253950 -aS'were\tbe\tVBD\tB-VP\tO' -p253951 -aS'1+\t1+\tJJ\tB-ADJP\tO' -p253952 -aS'without\twithout\tIN\tB-PP\tO' -p253953 -aS'bruits\tbruit\tNNS\tB-NP\tO' -p253954 -aS'.\t.\t.\tO\tO' -p253955 -asS'7. Urinary tract infection .' -p253956 -(lp253957 -S'7.\t7.\tLS\tB-NP\tO' -p253958 -aS'Urinary\tUrinary\tJJ\tI-NP\tO' -p253959 -aS'tract\ttract\tNN\tI-NP\tO' -p253960 -aS'infection\tinfection\tNN\tI-NP\tO' -p253961 -aS'.\t.\t.\tO\tO' -p253962 -asS'He also had multifocal ventricular ectopy at that time .' -p253963 -(lp253964 -S'He\tHe\tPRP\tB-NP\tO' -p253965 -aS'also\talso\tRB\tB-ADVP\tO' -p253966 -aS'had\thave\tVBD\tB-VP\tO' -p253967 -aS'multifocal\tmultifocal\tJJ\tB-NP\tO' -p253968 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p253969 -aS'ectopy\tectopy\tNN\tI-NP\tO' -p253970 -aS'at\tat\tIN\tB-PP\tO' -p253971 -aS'that\tthat\tDT\tB-NP\tO' -p253972 -aS'time\ttime\tNN\tI-NP\tO' -p253973 -aS'.\t.\t.\tO\tO' -p253974 -asS'No grunting , flaring , or retracting .' -p253975 -(lp253976 -S'No\tNo\tDT\tB-NP\tO' -p253977 -aS'grunting\tgrunting\tNN\tI-NP\tO' -p253978 -aS',\t,\t,\tO\tO' -p253979 -aS'flaring\tflaring\tNN\tB-NP\tO' -p253980 -aS',\t,\t,\tO\tO' -p253981 -aS'or\tor\tCC\tO\tO' -p253982 -aS'retracting\tretract\tVBG\tB-VP\tO' -p253983 -aS'.\t.\t.\tO\tO' -p253984 -asS'Intramuscular as well as intravenous Haldol were ordered p.r.n. for emergency use should he become acutely agitated .' -p253985 -(lp253986 -S'Intramuscular\tIntramuscular\tJJ\tO\tO' -p253987 -aS'as\tas\tRB\tB-CONJP\tO' -p253988 -aS'well\twell\tRB\tI-CONJP\tO' -p253989 -aS'as\tas\tIN\tI-CONJP\tO' -p253990 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p253991 -aS'Haldol\tHaldol\tNN\tI-NP\tO' -p253992 -aS'were\tbe\tVBD\tB-VP\tO' -p253993 -aS'ordered\torder\tVBN\tI-VP\tO' -p253994 -aS'p.r.n.\tp.r.n.\tRB\tB-ADVP\tO' -p253995 -aS'for\tfor\tIN\tB-PP\tO' -p253996 -aS'emergency\temergency\tNN\tB-NP\tO' -p253997 -aS'use\tuse\tNN\tI-NP\tO' -p253998 -aS'should\tshould\tMD\tO\tO' -p253999 -aS'he\the\tPRP\tB-NP\tO' -p254000 -aS'become\tbecome\tVB\tB-VP\tO' -p254001 -aS'acutely\tacutely\tRB\tB-ADJP\tO' -p254002 -aS'agitated\tagitate\tVBN\tI-ADJP\tO' -p254003 -aS'.\t.\t.\tO\tO' -p254004 -asS'10/4/88 .' -p254005 -(lp254006 -S'10/4/88\t10/4/88\tCD\tB-NP\tO' -p254007 -aS'.\t.\t.\tO\tO' -p254008 -asS'Benadryl 25 to 50 mg. po. qhs prn .' -p254009 -(lp254010 -S'Benadryl\tBenadryl\tNN\tB-NP\tO' -p254011 -aS'25\t25\tCD\tI-NP\tO' -p254012 -aS'to\tto\tTO\tI-NP\tO' -p254013 -aS'50\t50\tCD\tI-NP\tO' -p254014 -aS'mg.\tmg.\tNN\tI-NP\tO' -p254015 -aS'po.\tpo.\tNN\tI-NP\tO' -p254016 -aS'qhs\tqh\tNNS\tI-NP\tO' -p254017 -aS'prn\tprn\tNN\tI-NP\tO' -p254018 -aS'.\t.\t.\tO\tO' -p254019 -asS'Following evaluation and treatment , the patient 's disposition at the end of the visit was admitted as an inpatient to Ro Woodma Healthcare .' -p254020 -(lp254021 -S'Following\tFollow\tVBG\tB-PP\tO' -p254022 -aS'evaluation\tevaluation\tNN\tB-NP\tO' -p254023 -aS'and\tand\tCC\tI-NP\tO' -p254024 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p254025 -aS',\t,\t,\tO\tO' -p254026 -aS'the\tthe\tDT\tB-NP\tO' -p254027 -aS'patient\tpatient\tNN\tI-NP\tO' -p254028 -aS''s\t'\tNNS\tI-NP\tO' -p254029 -aS'disposition\tdisposition\tNN\tI-NP\tO' -p254030 -aS'at\tat\tIN\tB-PP\tO' -p254031 -aS'the\tthe\tDT\tB-NP\tO' -p254032 -aS'end\tend\tNN\tI-NP\tO' -p254033 -aS'of\tof\tIN\tB-PP\tO' -p254034 -aS'the\tthe\tDT\tB-NP\tO' -p254035 -aS'visit\tvisit\tNN\tI-NP\tO' -p254036 -aS'was\tbe\tVBD\tB-VP\tO' -p254037 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p254038 -aS'as\tas\tIN\tB-PP\tO' -p254039 -aS'an\tan\tDT\tB-NP\tO' -p254040 -aS'inpatient\tinpatient\tNN\tI-NP\tO' -p254041 -aS'to\tto\tTO\tB-PP\tO' -p254042 -aS'Ro\tRo\tNNP\tB-NP\tO' -p254043 -aS'Woodma\tWoodma\tNNP\tI-NP\tO' -p254044 -aS'Healthcare\tHealthcare\tNNP\tI-NP\tO' -p254045 -aS'.\t.\t.\tO\tO' -p254046 -asS'He has a father who had dementia .' -p254047 -(lp254048 -S'He\tHe\tPRP\tB-NP\tO' -p254049 -aS'has\thave\tVBZ\tB-VP\tO' -p254050 -aS'a\ta\tDT\tB-NP\tO' -p254051 -aS'father\tfather\tNN\tI-NP\tO' -p254052 -aS'who\twho\tWP\tB-NP\tO' -p254053 -aS'had\thave\tVBD\tB-VP\tO' -p254054 -aS'dementia\tdementia\tNN\tB-NP\tO' -p254055 -aS'.\t.\t.\tO\tO' -p254056 -asS'The patient 's penile ulcer was cultured and grew positive herpes simplex virus and the patient was started on Acyclovir .' -p254057 -(lp254058 -S'The\tThe\tDT\tB-NP\tO' -p254059 -aS'patient\tpatient\tNN\tI-NP\tO' -p254060 -aS''s\t'\tNNS\tI-NP\tO' -p254061 -aS'penile\tpenile\tJJ\tB-NP\tO' -p254062 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p254063 -aS'was\tbe\tVBD\tB-VP\tO' -p254064 -aS'cultured\tculture\tVBN\tI-VP\tO' -p254065 -aS'and\tand\tCC\tO\tO' -p254066 -aS'grew\tgrow\tVBD\tB-VP\tO' -p254067 -aS'positive\tpositive\tJJ\tB-NP\tO' -p254068 -aS'herpes\therpes\tNN\tI-NP\tO' -p254069 -aS'simplex\tsimplex\tNN\tI-NP\tO' -p254070 -aS'virus\tvirus\tNN\tI-NP\tO' -p254071 -aS'and\tand\tCC\tO\tO' -p254072 -aS'the\tthe\tDT\tB-NP\tO' -p254073 -aS'patient\tpatient\tNN\tI-NP\tO' -p254074 -aS'was\tbe\tVBD\tB-VP\tO' -p254075 -aS'started\tstart\tVBN\tI-VP\tO' -p254076 -aS'on\ton\tIN\tB-PP\tO' -p254077 -aS'Acyclovir\tAcyclovir\tNN\tB-NP\tO' -p254078 -aS'.\t.\t.\tO\tO' -p254079 -asS'IX , X: Palatal elevation symmetrical .' -p254080 -(lp254081 -S'IX\tIX\tCD\tB-NP\tO' -p254082 -aS',\t,\t,\tO\tO' -p254083 -aS'X:\tX:\tNNP\tB-NP\tO' -p254084 -aS'Palatal\tPalatal\tNNP\tI-NP\tO' -p254085 -aS'elevation\televation\tNN\tI-NP\tO' -p254086 -aS'symmetrical\tsymmetrical\tNN\tI-NP\tO' -p254087 -aS'.\t.\t.\tO\tO' -p254088 -asS'Clear to auscultation bilaterally , no wheezes , rales , or rhonchi .' -p254089 -(lp254090 -S'Clear\tClear\tJJ\tB-ADJP\tO' -p254091 -aS'to\tto\tTO\tB-PP\tO' -p254092 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p254093 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p254094 -aS',\t,\t,\tO\tO' -p254095 -aS'no\tno\tDT\tB-NP\tO' -p254096 -aS'wheezes\twheeze\tNNS\tI-NP\tO' -p254097 -aS',\t,\t,\tO\tO' -p254098 -aS'rales\trale\tNNS\tB-NP\tO' -p254099 -aS',\t,\t,\tO\tO' -p254100 -aS'or\tor\tCC\tO\tO' -p254101 -aS'rhonchi\trhonchi\tNN\tB-NP\tO' -p254102 -aS'.\t.\t.\tO\tO' -p254103 -asS'Then progressed to withdrawal of care 05-06 with plan to extubate 05-07 .' -p254104 -(lp254105 -S'Then\tThen\tRB\tO\tO' -p254106 -aS'progressed\tprogress\tVBN\tB-VP\tO' -p254107 -aS'to\tto\tTO\tB-PP\tO' -p254108 -aS'withdrawal\twithdrawal\tNN\tB-NP\tO' -p254109 -aS'of\tof\tIN\tB-PP\tO' -p254110 -aS'care\tcare\tNN\tB-NP\tO' -p254111 -aS'05-06\t05-06\tCD\tI-NP\tO' -p254112 -aS'with\twith\tIN\tB-PP\tO' -p254113 -aS'plan\tplan\tNN\tB-NP\tO' -p254114 -aS'to\tto\tTO\tB-VP\tO' -p254115 -aS'extubate\textubate\tVB\tI-VP\tO' -p254116 -aS'05-07\t05-07\tCD\tB-NP\tO' -p254117 -aS'.\t.\t.\tO\tO' -p254118 -asS'However , mammography repeated in October 1991 showed bilateral breast masses , suspicious for carcinoma .' -p254119 -(lp254120 -S'However\tHowever\tRB\tB-ADVP\tO' -p254121 -aS',\t,\t,\tO\tO' -p254122 -aS'mammography\tmammography\tNN\tB-NP\tO' -p254123 -aS'repeated\trepeat\tVBN\tB-VP\tO' -p254124 -aS'in\tin\tIN\tB-PP\tO' -p254125 -aS'October\tOctober\tNNP\tB-NP\tO' -p254126 -aS'1991\t1991\tCD\tI-NP\tO' -p254127 -aS'showed\tshow\tVBD\tB-VP\tO' -p254128 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p254129 -aS'breast\tbreast\tNN\tI-NP\tO' -p254130 -aS'masses\tmass\tNNS\tI-NP\tO' -p254131 -aS',\t,\t,\tO\tO' -p254132 -aS'suspicious\tsuspicious\tJJ\tB-ADJP\tO' -p254133 -aS'for\tfor\tIN\tB-PP\tO' -p254134 -aS'carcinoma\tcarcinoma\tNN\tB-NP\tO' -p254135 -aS'.\t.\t.\tO\tO' -p254136 -asS'On the following day , 3/11/02 , a fistulogram was obtained which was negative for a fistula from the bowel to the wound .' -p254137 -(lp254138 -S'On\tOn\tIN\tB-PP\tO' -p254139 -aS'the\tthe\tDT\tB-NP\tO' -p254140 -aS'following\tfollow\tVBG\tI-NP\tO' -p254141 -aS'day\tday\tNN\tI-NP\tO' -p254142 -aS',\t,\t,\tO\tO' -p254143 -aS'3/11/02\t3/11/02\tCD\tB-NP\tO' -p254144 -aS',\t,\t,\tO\tO' -p254145 -aS'a\ta\tDT\tB-NP\tO' -p254146 -aS'fistulogram\tfistulogram\tNN\tI-NP\tO' -p254147 -aS'was\tbe\tVBD\tB-VP\tO' -p254148 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p254149 -aS'which\twhich\tWDT\tB-NP\tO' -p254150 -aS'was\tbe\tVBD\tB-VP\tO' -p254151 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p254152 -aS'for\tfor\tIN\tB-PP\tO' -p254153 -aS'a\ta\tDT\tB-NP\tO' -p254154 -aS'fistula\tfistula\tNN\tI-NP\tO' -p254155 -aS'from\tfrom\tIN\tB-PP\tO' -p254156 -aS'the\tthe\tDT\tB-NP\tO' -p254157 -aS'bowel\tbowel\tNN\tI-NP\tO' -p254158 -aS'to\tto\tTO\tB-PP\tO' -p254159 -aS'the\tthe\tDT\tB-NP\tO' -p254160 -aS'wound\twound\tNN\tI-NP\tO' -p254161 -aS'.\t.\t.\tO\tO' -p254162 -asS'The patient is a 48 - year-old woman who was transferred from Shaugnessy-Kaplan Rehab Hospital .' -p254163 -(lp254164 -S'The\tThe\tDT\tB-NP\tO' -p254165 -aS'patient\tpatient\tNN\tI-NP\tO' -p254166 -aS'is\tbe\tVBZ\tB-VP\tO' -p254167 -aS'a\ta\tDT\tB-NP\tO' -p254168 -aS'48\t48\tCD\tI-NP\tO' -p254169 -aS'-\t-\tHYPH\tI-NP\tO' -p254170 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p254171 -aS'woman\twoman\tNN\tI-NP\tO' -p254172 -aS'who\twho\tWP\tB-NP\tO' -p254173 -aS'was\tbe\tVBD\tB-VP\tO' -p254174 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p254175 -aS'from\tfrom\tIN\tB-PP\tO' -p254176 -aS'Shaugnessy-Kaplan\tShaugnessy-Kaplan\tNNP\tB-NP\tO' -p254177 -aS'Rehab\tRehab\tNNP\tI-NP\tO' -p254178 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p254179 -aS'.\t.\t.\tO\tO' -p254180 -asS'The patient received a full course of Flagyl and was C. difficile toxin negative times three prior to transfer .' -p254181 -(lp254182 -S'The\tThe\tDT\tB-NP\tO' -p254183 -aS'patient\tpatient\tNN\tI-NP\tO' -p254184 -aS'received\treceive\tVBD\tB-VP\tO' -p254185 -aS'a\ta\tDT\tB-NP\tO' -p254186 -aS'full\tfull\tJJ\tI-NP\tO' -p254187 -aS'course\tcourse\tNN\tI-NP\tO' -p254188 -aS'of\tof\tIN\tB-PP\tO' -p254189 -aS'Flagyl\tFlagyl\tNN\tB-NP\tO' -p254190 -aS'and\tand\tCC\tO\tO' -p254191 -aS'was\tbe\tVBD\tB-VP\tO' -p254192 -aS'C.\tC.\tFW\tB-NP\tO' -p254193 -aS'difficile\tdifficile\tJJ\tI-NP\tO' -p254194 -aS'toxin\ttoxin\tNN\tI-NP\tO' -p254195 -aS'negative\tnegative\tJJ\tI-NP\tO' -p254196 -aS'times\ttime\tNNS\tI-NP\tO' -p254197 -aS'three\tthree\tCD\tI-NP\tO' -p254198 -aS'prior\tprior\tJJ\tI-NP\tO' -p254199 -aS'to\tto\tTO\tB-VP\tO' -p254200 -aS'transfer\ttransfer\tVB\tI-VP\tO' -p254201 -aS'.\t.\t.\tO\tO' -p254202 -asS'Heis single with no children .' -p254203 -(lp254204 -S'Heis\tHeis\tRB\tB-ADJP\tO' -p254205 -aS'single\tsingle\tJJ\tI-ADJP\tO' -p254206 -aS'with\twith\tIN\tB-PP\tO' -p254207 -aS'no\tno\tDT\tB-NP\tO' -p254208 -aS'children\tchild\tNNS\tI-NP\tO' -p254209 -aS'.\t.\t.\tO\tO' -p254210 -asS'In addition heparin should be started to drip on arrival at 400 units an hour .' -p254211 -(lp254212 -S'In\tIn\tIN\tB-PP\tO' -p254213 -aS'addition\taddition\tNN\tB-NP\tO' -p254214 -aS'heparin\theparin\tNN\tI-NP\tO' -p254215 -aS'should\tshould\tMD\tB-VP\tO' -p254216 -aS'be\tbe\tVB\tI-VP\tO' -p254217 -aS'started\tstart\tVBN\tI-VP\tO' -p254218 -aS'to\tto\tTO\tI-VP\tO' -p254219 -aS'drip\tdrip\tVB\tI-VP\tO' -p254220 -aS'on\ton\tIN\tB-PP\tO' -p254221 -aS'arrival\tarrival\tNN\tB-NP\tO' -p254222 -aS'at\tat\tIN\tB-PP\tO' -p254223 -aS'400\t400\tCD\tB-NP\tB-DNA' -p254224 -aS'units\tunit\tNNS\tI-NP\tI-DNA' -p254225 -aS'an\tan\tDT\tB-NP\tO' -p254226 -aS'hour\thour\tNN\tI-NP\tO' -p254227 -aS'.\t.\t.\tO\tO' -p254228 -asS'Coiling with a stent placement for left carotid artery aneurysm .' -p254229 -(lp254230 -S'Coiling\tCoil\tVBG\tB-VP\tO' -p254231 -aS'with\twith\tIN\tB-PP\tO' -p254232 -aS'a\ta\tDT\tB-NP\tO' -p254233 -aS'stent\tstent\tJJ\tI-NP\tO' -p254234 -aS'placement\tplacement\tNN\tI-NP\tO' -p254235 -aS'for\tfor\tIN\tB-PP\tO' -p254236 -aS'left\tleft\tJJ\tB-NP\tO' -p254237 -aS'carotid\tcarotid\tJJ\tI-NP\tO' -p254238 -aS'artery\tartery\tNN\tI-NP\tO' -p254239 -aS'aneurysm\taneurysm\tNN\tI-NP\tO' -p254240 -aS'.\t.\t.\tO\tO' -p254241 -asS'Blood pressure 115/77 .' -p254242 -(lp254243 -S'Blood\tBlood\tNN\tB-NP\tO' -p254244 -aS'pressure\tpressure\tNN\tI-NP\tO' -p254245 -aS'115/77\t115/77\tCD\tI-NP\tO' -p254246 -aS'.\t.\t.\tO\tO' -p254247 -asS'Pressure lasted for hours at a time .' -p254248 -(lp254249 -S'Pressure\tPressure\tNN\tB-NP\tO' -p254250 -aS'lasted\tlast\tVBD\tB-VP\tO' -p254251 -aS'for\tfor\tIN\tB-PP\tO' -p254252 -aS'hours\thour\tNNS\tB-NP\tO' -p254253 -aS'at\tat\tIN\tB-PP\tO' -p254254 -aS'a\ta\tDT\tB-NP\tO' -p254255 -aS'time\ttime\tNN\tI-NP\tO' -p254256 -aS'.\t.\t.\tO\tO' -p254257 -asS'2. Ureteral stone - The patient had a nephrostomy tube placed by IR to relieve her hydronephrosis .' -p254258 -(lp254259 -S'2.\t2.\tLS\tB-NP\tO' -p254260 -aS'Ureteral\tUreteral\tJJ\tI-NP\tO' -p254261 -aS'stone\tstone\tNN\tI-NP\tO' -p254262 -aS'-\t-\tHYPH\tO\tO' -p254263 -aS'The\tThe\tDT\tB-NP\tO' -p254264 -aS'patient\tpatient\tNN\tI-NP\tO' -p254265 -aS'had\thave\tVBD\tB-VP\tO' -p254266 -aS'a\ta\tDT\tB-NP\tO' -p254267 -aS'nephrostomy\tnephrostomy\tNN\tI-NP\tO' -p254268 -aS'tube\ttube\tNN\tI-NP\tO' -p254269 -aS'placed\tplace\tVBN\tB-VP\tO' -p254270 -aS'by\tby\tIN\tB-PP\tO' -p254271 -aS'IR\tIR\tNN\tB-NP\tB-protein' -p254272 -aS'to\tto\tTO\tB-VP\tO' -p254273 -aS'relieve\trelieve\tVB\tI-VP\tO' -p254274 -aS'her\ther\tPRP$\tB-NP\tO' -p254275 -aS'hydronephrosis\thydronephrosis\tNN\tI-NP\tO' -p254276 -aS'.\t.\t.\tO\tO' -p254277 -asS'The C1-C2 relationship is within normal limits .' -p254278 -(lp254279 -S'The\tThe\tDT\tB-NP\tO' -p254280 -aS'C1-C2\tC1-C2\tNN\tI-NP\tB-DNA' -p254281 -aS'relationship\trelationship\tNN\tI-NP\tO' -p254282 -aS'is\tbe\tVBZ\tB-VP\tO' -p254283 -aS'within\twithin\tIN\tB-PP\tO' -p254284 -aS'normal\tnormal\tJJ\tB-NP\tO' -p254285 -aS'limits\tlimit\tNNS\tI-NP\tO' -p254286 -aS'.\t.\t.\tO\tO' -p254287 -asS'NEUROLOGY : The infant has maintained a normal neurologic examination .' -p254288 -(lp254289 -S'NEUROLOGY\tNEUROLOGY\tNN\tB-NP\tO' -p254290 -aS':\t:\t:\tO\tO' -p254291 -aS'The\tThe\tDT\tB-NP\tO' -p254292 -aS'infant\tinfant\tNN\tI-NP\tO' -p254293 -aS'has\thave\tVBZ\tB-VP\tO' -p254294 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p254295 -aS'a\ta\tDT\tB-NP\tO' -p254296 -aS'normal\tnormal\tJJ\tI-NP\tO' -p254297 -aS'neurologic\tneurologic\tJJ\tI-NP\tO' -p254298 -aS'examination\texamination\tNN\tI-NP\tO' -p254299 -aS'.\t.\t.\tO\tO' -p254300 -asS'The endometrial biopsy showed grade 1 endometrial cancer .' -p254301 -(lp254302 -S'The\tThe\tDT\tB-NP\tO' -p254303 -aS'endometrial\tendometrial\tJJ\tI-NP\tO' -p254304 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p254305 -aS'showed\tshow\tVBD\tB-VP\tO' -p254306 -aS'grade\tgrade\tNN\tB-NP\tO' -p254307 -aS'1\t1\tCD\tI-NP\tO' -p254308 -aS'endometrial\tendometrial\tJJ\tI-NP\tO' -p254309 -aS'cancer\tcancer\tNN\tI-NP\tO' -p254310 -aS'.\t.\t.\tO\tO' -p254311 -asS'He underwent a failed bedside swallow study .' -p254312 -(lp254313 -S'He\tHe\tPRP\tB-NP\tO' -p254314 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p254315 -aS'a\ta\tDT\tB-NP\tO' -p254316 -aS'failed\tfail\tVBN\tI-NP\tO' -p254317 -aS'bedside\tbedside\tNN\tI-NP\tO' -p254318 -aS'swallow\tswallow\tNN\tI-NP\tO' -p254319 -aS'study\tstudy\tNN\tI-NP\tO' -p254320 -aS'.\t.\t.\tO\tO' -p254321 -asS'If symptoms such as fever / chills , nausea / vomiting , increasing pain / redness / purulent discharge from incision , increasing jaundice , please call or go to the emergency room immediately .' -p254322 -(lp254323 -S'If\tIf\tIN\tB-SBAR\tO' -p254324 -aS'symptoms\tsymptom\tNNS\tB-NP\tO' -p254325 -aS'such\tsuch\tJJ\tB-PP\tO' -p254326 -aS'as\tas\tIN\tI-PP\tO' -p254327 -aS'fever\tfever\tNN\tB-NP\tO' -p254328 -aS'/\t/\tSYM\tI-NP\tO' -p254329 -aS'chills\tchill\tNNS\tI-NP\tO' -p254330 -aS',\t,\t,\tO\tO' -p254331 -aS'nausea\tnausea\tNN\tB-NP\tO' -p254332 -aS'/\t/\tSYM\tI-NP\tO' -p254333 -aS'vomiting\tvomiting\tNN\tI-NP\tO' -p254334 -aS',\t,\t,\tO\tO' -p254335 -aS'increasing\tincrease\tVBG\tB-VP\tO' -p254336 -aS'pain\tpain\tNN\tB-NP\tO' -p254337 -aS'/\t/\tSYM\tI-NP\tO' -p254338 -aS'redness\tredness\tNN\tI-NP\tO' -p254339 -aS'/\t/\tSYM\tB-NP\tO' -p254340 -aS'purulent\tpurulent\tJJ\tI-NP\tO' -p254341 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p254342 -aS'from\tfrom\tIN\tB-PP\tO' -p254343 -aS'incision\tincision\tNN\tB-NP\tO' -p254344 -aS',\t,\t,\tO\tO' -p254345 -aS'increasing\tincrease\tVBG\tB-VP\tO' -p254346 -aS'jaundice\tjaundice\tNN\tB-NP\tO' -p254347 -aS',\t,\t,\tO\tO' -p254348 -aS'please\tplease\tVB\tB-VP\tO' -p254349 -aS'call\tcall\tVB\tI-VP\tO' -p254350 -aS'or\tor\tCC\tI-VP\tO' -p254351 -aS'go\tgo\tVB\tI-VP\tO' -p254352 -aS'to\tto\tTO\tB-PP\tO' -p254353 -aS'the\tthe\tDT\tB-NP\tO' -p254354 -aS'emergency\temergency\tNN\tI-NP\tO' -p254355 -aS'room\troom\tNN\tI-NP\tO' -p254356 -aS'immediately\timmediately\tRB\tB-ADVP\tO' -p254357 -aS'.\t.\t.\tO\tO' -p254358 -asS'A TAH-BSO in 1980 and an exploratory laparotomy with resection of a pelvic mass in 06/22 .' -p254359 -(lp254360 -S'A\tA\tDT\tB-NP\tO' -p254361 -aS'TAH-BSO\tTAH-BSO\tNN\tI-NP\tB-protein' -p254362 -aS'in\tin\tIN\tB-PP\tO' -p254363 -aS'1980\t1980\tCD\tB-NP\tO' -p254364 -aS'and\tand\tCC\tO\tO' -p254365 -aS'an\tan\tDT\tB-NP\tO' -p254366 -aS'exploratory\texploratory\tJJ\tI-NP\tO' -p254367 -aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' -p254368 -aS'with\twith\tIN\tB-PP\tO' -p254369 -aS'resection\tresection\tNN\tB-NP\tO' -p254370 -aS'of\tof\tIN\tB-PP\tO' -p254371 -aS'a\ta\tDT\tB-NP\tO' -p254372 -aS'pelvic\tpelvic\tJJ\tI-NP\tO' -p254373 -aS'mass\tmass\tNN\tI-NP\tO' -p254374 -aS'in\tin\tIN\tB-PP\tO' -p254375 -aS'06/22\t06/22\tCD\tB-NP\tO' -p254376 -aS'.\t.\t.\tO\tO' -p254377 -asS'Continued in Melrose-J for comfort per orthopedics .' -p254378 -(lp254379 -S'Continued\tContinue\tVBN\tB-VP\tO' -p254380 -aS'in\tin\tIN\tB-PP\tO' -p254381 -aS'Melrose-J\tMelrose-J\tNN\tB-NP\tB-cell_line' -p254382 -aS'for\tfor\tIN\tB-PP\tO' -p254383 -aS'comfort\tcomfort\tNN\tB-NP\tO' -p254384 -aS'per\tper\tIN\tB-PP\tO' -p254385 -aS'orthopedics\torthopedic\tNNS\tB-NP\tO' -p254386 -aS'.\t.\t.\tO\tO' -p254387 -asS'f / u with dr. white' -p254388 -(lp254389 -S'f\tf\tNN\tB-NP\tO' -p254390 -aS'/\t/\tSYM\tI-NP\tO' -p254391 -aS'u\tu\tNN\tI-NP\tO' -p254392 -aS'with\twith\tIN\tB-PP\tO' -p254393 -aS'dr.\tdr.\tNN\tB-NP\tO' -p254394 -aS'white\twhite\tJJ\tB-NP\tO' -p254395 -asS'He was transferred to Ph University Of Medical Center for further surgical evaluation .'' -p254396 -(lp254397 -S'He\tHe\tPRP\tB-NP\tO' -p254398 -aS'was\tbe\tVBD\tB-VP\tO' -p254399 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p254400 -aS'to\tto\tTO\tB-PP\tO' -p254401 -aS'Ph\tPh\tNNP\tB-NP\tO' -p254402 -aS'University\tUniversity\tNNP\tI-NP\tO' -p254403 -aS'Of\tOf\tNNP\tI-NP\tO' -p254404 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p254405 -aS'Center\tCenter\tNNP\tI-NP\tO' -p254406 -aS'for\tfor\tIN\tB-PP\tO' -p254407 -aS'further\tfurther\tJJ\tB-NP\tO' -p254408 -aS'surgical\tsurgical\tJJ\tI-NP\tO' -p254409 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p254410 -aS'.'\t.'\t.\tO\tO' -p254411 -asS'The patient was on a Lasix drip to aid in diuresis , and was ultimately converted to oral Lasix on postop day 1 .' -p254412 -(lp254413 -S'The\tThe\tDT\tB-NP\tO' -p254414 -aS'patient\tpatient\tNN\tI-NP\tO' -p254415 -aS'was\tbe\tVBD\tB-VP\tO' -p254416 -aS'on\ton\tIN\tB-PP\tO' -p254417 -aS'a\ta\tDT\tB-NP\tO' -p254418 -aS'Lasix\tLasix\tNNP\tI-NP\tO' -p254419 -aS'drip\tdrip\tNN\tI-NP\tO' -p254420 -aS'to\tto\tTO\tB-VP\tO' -p254421 -aS'aid\taid\tVB\tI-VP\tO' -p254422 -aS'in\tin\tIN\tB-PP\tO' -p254423 -aS'diuresis\tdiuresis\tNN\tB-NP\tO' -p254424 -aS',\t,\t,\tO\tO' -p254425 -aS'and\tand\tCC\tO\tO' -p254426 -aS'was\tbe\tVBD\tB-VP\tO' -p254427 -aS'ultimately\tultimately\tRB\tI-VP\tO' -p254428 -aS'converted\tconvert\tVBN\tI-VP\tO' -p254429 -aS'to\tto\tTO\tB-PP\tO' -p254430 -aS'oral\toral\tJJ\tB-NP\tO' -p254431 -aS'Lasix\tLasix\tNNP\tI-NP\tO' -p254432 -aS'on\ton\tIN\tB-PP\tO' -p254433 -aS'postop\tpostop\tJJ\tB-NP\tO' -p254434 -aS'day\tday\tNN\tI-NP\tO' -p254435 -aS'1\t1\tCD\tI-NP\tO' -p254436 -aS'.\t.\t.\tO\tO' -p254437 -asS'She will be treated for total 14 day course .' -p254438 -(lp254439 -S'She\tShe\tPRP\tB-NP\tO' -p254440 -aS'will\twill\tMD\tB-VP\tO' -p254441 -aS'be\tbe\tVB\tI-VP\tO' -p254442 -aS'treated\ttreat\tVBN\tI-VP\tO' -p254443 -aS'for\tfor\tIN\tB-PP\tO' -p254444 -aS'total\ttotal\tJJ\tB-NP\tO' -p254445 -aS'14\t14\tCD\tI-NP\tO' -p254446 -aS'day\tday\tNN\tI-NP\tO' -p254447 -aS'course\tcourse\tNN\tI-NP\tO' -p254448 -aS'.\t.\t.\tO\tO' -p254449 -asS'9. Kay-Ciel 20 mEq po per day .' -p254450 -(lp254451 -S'9.\t9.\tCD\tB-NP\tO' -p254452 -aS'Kay-Ciel\tKay-Ciel\tNNP\tI-NP\tO' -p254453 -aS'20\t20\tCD\tI-NP\tO' -p254454 -aS'mEq\tmEq\tNN\tI-NP\tO' -p254455 -aS'po\tpo\tNN\tI-NP\tO' -p254456 -aS'per\tper\tIN\tB-PP\tO' -p254457 -aS'day\tday\tNN\tB-NP\tO' -p254458 -aS'.\t.\t.\tO\tO' -p254459 -asS'This stress test , although complicated by hypotension again , to the 60 's or 70 's was completed and there was some mild anterior septal thinning , but no evidence of ischemia and an EF from this test was 76% .' -p254460 -(lp254461 -S'This\tThis\tDT\tB-NP\tO' -p254462 -aS'stress\tstress\tNN\tI-NP\tO' -p254463 -aS'test\ttest\tNN\tI-NP\tO' -p254464 -aS',\t,\t,\tO\tO' -p254465 -aS'although\talthough\tIN\tB-SBAR\tO' -p254466 -aS'complicated\tcomplicate\tVBN\tB-VP\tO' -p254467 -aS'by\tby\tIN\tB-PP\tO' -p254468 -aS'hypotension\thypotension\tNN\tB-NP\tO' -p254469 -aS'again\tagain\tRB\tB-ADVP\tO' -p254470 -aS',\t,\t,\tO\tO' -p254471 -aS'to\tto\tTO\tB-PP\tO' -p254472 -aS'the\tthe\tDT\tB-NP\tO' -p254473 -aS'60\t60\tCD\tI-NP\tO' -p254474 -aS''s\t'\tNNS\tI-NP\tO' -p254475 -aS'or\tor\tCC\tO\tO' -p254476 -aS'70\t70\tCD\tB-NP\tO' -p254477 -aS''s\t'\tNNS\tI-NP\tO' -p254478 -aS'was\tbe\tVBD\tB-VP\tO' -p254479 -aS'completed\tcomplete\tVBN\tI-VP\tO' -p254480 -aS'and\tand\tCC\tO\tO' -p254481 -aS'there\tthere\tEX\tB-NP\tO' -p254482 -aS'was\tbe\tVBD\tB-VP\tO' -p254483 -aS'some\tsome\tDT\tB-NP\tO' -p254484 -aS'mild\tmild\tJJ\tI-NP\tO' -p254485 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p254486 -aS'septal\tseptal\tJJ\tI-NP\tO' -p254487 -aS'thinning\tthinning\tNN\tI-NP\tO' -p254488 -aS',\t,\t,\tO\tO' -p254489 -aS'but\tbut\tCC\tO\tO' -p254490 -aS'no\tno\tDT\tB-NP\tO' -p254491 -aS'evidence\tevidence\tNN\tI-NP\tO' -p254492 -aS'of\tof\tIN\tB-PP\tO' -p254493 -aS'ischemia\tischemia\tNN\tB-NP\tO' -p254494 -aS'and\tand\tCC\tO\tO' -p254495 -aS'an\tan\tDT\tB-NP\tO' -p254496 -aS'EF\tEF\tNN\tI-NP\tB-protein' -p254497 -aS'from\tfrom\tIN\tB-PP\tO' -p254498 -aS'this\tthis\tDT\tB-NP\tO' -p254499 -aS'test\ttest\tNN\tI-NP\tO' -p254500 -aS'was\tbe\tVBD\tB-VP\tO' -p254501 -aS'76%\t76%\tCD\tB-NP\tO' -p254502 -aS'.\t.\t.\tO\tO' -p254503 -asS'It was unclear at first as to why the patient required life-long anticoagulation .' -p254504 -(lp254505 -S'It\tIt\tPRP\tB-NP\tO' -p254506 -aS'was\tbe\tVBD\tB-VP\tO' -p254507 -aS'unclear\tunclear\tJJ\tB-ADJP\tO' -p254508 -aS'at\tat\tIN\tB-ADVP\tO' -p254509 -aS'first\tfirst\tRB\tI-ADVP\tO' -p254510 -aS'as\tas\tIN\tB-PP\tO' -p254511 -aS'to\tto\tTO\tB-PP\tO' -p254512 -aS'why\twhy\tWRB\tB-ADVP\tO' -p254513 -aS'the\tthe\tDT\tB-NP\tO' -p254514 -aS'patient\tpatient\tNN\tI-NP\tO' -p254515 -aS'required\trequire\tVBD\tB-VP\tO' -p254516 -aS'life-long\tlife-long\tJJ\tB-NP\tO' -p254517 -aS'anticoagulation\tanticoagulation\tNN\tI-NP\tO' -p254518 -aS'.\t.\t.\tO\tO' -p254519 -asS'Admitted directly to OR from ambulance transfer and underwent cabg x3 with Dr. Howard on 06-13 .' -p254520 -(lp254521 -S'Admitted\tAdmit\tVBN\tB-VP\tO' -p254522 -aS'directly\tdirectly\tRB\tB-ADVP\tO' -p254523 -aS'to\tto\tTO\tB-PP\tO' -p254524 -aS'OR\tOR\tNN\tB-NP\tB-protein' -p254525 -aS'from\tfrom\tIN\tB-PP\tO' -p254526 -aS'ambulance\tambulance\tNN\tB-NP\tO' -p254527 -aS'transfer\ttransfer\tNN\tI-NP\tO' -p254528 -aS'and\tand\tCC\tO\tO' -p254529 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p254530 -aS'cabg\tcabg\tNN\tB-NP\tO' -p254531 -aS'x3\tx3\tNN\tI-NP\tO' -p254532 -aS'with\twith\tIN\tB-PP\tO' -p254533 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p254534 -aS'Howard\tHoward\tNNP\tI-NP\tO' -p254535 -aS'on\ton\tIN\tB-PP\tO' -p254536 -aS'06-13\t06-13\tCD\tB-NP\tO' -p254537 -aS'.\t.\t.\tO\tO' -p254538 -asS'The patient was kept therapeutically anticoagulated throughout this period .' -p254539 -(lp254540 -S'The\tThe\tDT\tB-NP\tO' -p254541 -aS'patient\tpatient\tNN\tI-NP\tO' -p254542 -aS'was\tbe\tVBD\tB-VP\tO' -p254543 -aS'kept\tkeep\tVBN\tI-VP\tO' -p254544 -aS'therapeutically\ttherapeutically\tRB\tB-VP\tO' -p254545 -aS'anticoagulated\tanticoagulate\tVBN\tI-VP\tO' -p254546 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p254547 -aS'this\tthis\tDT\tB-NP\tO' -p254548 -aS'period\tperiod\tNN\tI-NP\tO' -p254549 -aS'.\t.\t.\tO\tO' -p254550 -asS'10. Insulin Regular Human 300 unit / 3 mL Insulin Pen Sig : as directed Subcutaneous four times a day : Please administer 8 units glargine at dinner and regular insulin sliding scale as prescribed .' -p254551 -(lp254552 -S'10.\t10.\tLS\tB-NP\tO' -p254553 -aS'Insulin\tInsulin\tNN\tI-NP\tB-protein' -p254554 -aS'Regular\tRegular\tJJ\tI-NP\tI-protein' -p254555 -aS'Human\tHuman\tJJ\tI-NP\tI-protein' -p254556 -aS'300\t300\tCD\tI-NP\tI-protein' -p254557 -aS'unit\tunit\tNN\tI-NP\tI-protein' -p254558 -aS'/\t/\tSYM\tB-NP\tI-protein' -p254559 -aS'3\t3\tCD\tB-NP\tI-protein' -p254560 -aS'mL\tmL\tNN\tI-NP\tI-protein' -p254561 -aS'Insulin\tInsulin\tNNP\tI-NP\tI-protein' -p254562 -aS'Pen\tPen\tNNP\tI-NP\tO' -p254563 -aS'Sig\tSig\tNNP\tI-NP\tB-protein' -p254564 -aS':\t:\t:\tO\tO' -p254565 -aS'as\tas\tIN\tB-SBAR\tO' -p254566 -aS'directed\tdirect\tVBN\tB-NP\tO' -p254567 -aS'Subcutaneous\tSubcutaneous\tJJ\tI-NP\tO' -p254568 -aS'four\tfour\tCD\tI-NP\tO' -p254569 -aS'times\ttime\tNNS\tI-NP\tO' -p254570 -aS'a\ta\tDT\tB-NP\tO' -p254571 -aS'day\tday\tNN\tI-NP\tO' -p254572 -aS':\t:\t:\tO\tO' -p254573 -aS'Please\tPlease\tNN\tB-NP\tO' -p254574 -aS'administer\tadminister\tNN\tI-NP\tO' -p254575 -aS'8\t8\tCD\tB-NP\tO' -p254576 -aS'units\tunit\tNNS\tI-NP\tO' -p254577 -aS'glargine\tglargine\tNN\tI-NP\tO' -p254578 -aS'at\tat\tIN\tB-PP\tO' -p254579 -aS'dinner\tdinner\tNN\tB-NP\tO' -p254580 -aS'and\tand\tCC\tO\tO' -p254581 -aS'regular\tregular\tJJ\tB-NP\tO' -p254582 -aS'insulin\tinsulin\tNN\tI-NP\tO' -p254583 -aS'sliding\tslide\tVBG\tB-VP\tO' -p254584 -aS'scale\tscale\tNN\tB-NP\tO' -p254585 -aS'as\tas\tIN\tB-SBAR\tO' -p254586 -aS'prescribed\tprescribe\tVBN\tB-VP\tO' -p254587 -aS'.\t.\t.\tO\tO' -p254588 -asS'The pt was being treated at Mediplex Rehab Hospital 4 for suicidal ideation and a suicide attempt on original admission with tylenol and oxycodone .' -p254589 -(lp254590 -S'The\tThe\tDT\tB-NP\tO' -p254591 -aS'pt\tpt\tNN\tI-NP\tO' -p254592 -aS'was\tbe\tVBD\tB-VP\tO' -p254593 -aS'being\tbe\tVBG\tI-VP\tO' -p254594 -aS'treated\ttreat\tVBN\tI-VP\tO' -p254595 -aS'at\tat\tIN\tB-PP\tO' -p254596 -aS'Mediplex\tMediplex\tNNP\tB-NP\tO' -p254597 -aS'Rehab\tRehab\tNNP\tI-NP\tO' -p254598 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p254599 -aS'4\t4\tCD\tI-NP\tO' -p254600 -aS'for\tfor\tIN\tB-PP\tO' -p254601 -aS'suicidal\tsuicidal\tJJ\tB-NP\tO' -p254602 -aS'ideation\tideation\tNN\tI-NP\tO' -p254603 -aS'and\tand\tCC\tO\tO' -p254604 -aS'a\ta\tDT\tB-NP\tO' -p254605 -aS'suicide\tsuicide\tNN\tI-NP\tO' -p254606 -aS'attempt\tattempt\tNN\tI-NP\tO' -p254607 -aS'on\ton\tIN\tB-PP\tO' -p254608 -aS'original\toriginal\tJJ\tB-NP\tO' -p254609 -aS'admission\tadmission\tNN\tI-NP\tO' -p254610 -aS'with\twith\tIN\tB-PP\tO' -p254611 -aS'tylenol\ttylenol\tNN\tB-NP\tO' -p254612 -aS'and\tand\tCC\tI-NP\tO' -p254613 -aS'oxycodone\toxycodone\tNN\tI-NP\tO' -p254614 -aS'.\t.\t.\tO\tO' -p254615 -asS'There was a 1/6 systolic ejection murmur in the upper left sternal border without radiation .' -p254616 -(lp254617 -S'There\tThere\tEX\tB-NP\tO' -p254618 -aS'was\tbe\tVBD\tB-VP\tO' -p254619 -aS'a\ta\tDT\tB-NP\tO' -p254620 -aS'1/6\t1/6\tCD\tI-NP\tO' -p254621 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p254622 -aS'ejection\tejection\tNN\tI-NP\tO' -p254623 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p254624 -aS'in\tin\tIN\tB-PP\tO' -p254625 -aS'the\tthe\tDT\tB-NP\tO' -p254626 -aS'upper\tupper\tJJ\tI-NP\tO' -p254627 -aS'left\tleft\tJJ\tI-NP\tO' -p254628 -aS'sternal\tsternal\tJJ\tI-NP\tO' -p254629 -aS'border\tborder\tNN\tI-NP\tO' -p254630 -aS'without\twithout\tIN\tB-PP\tO' -p254631 -aS'radiation\tradiation\tNN\tB-NP\tO' -p254632 -aS'.\t.\t.\tO\tO' -p254633 -asS'Her Cpine was clearly with both a negative CT Cspine and clinical exam .' -p254634 -(lp254635 -S'Her\tHer\tPRP$\tB-NP\tO' -p254636 -aS'Cpine\tCpine\tNN\tI-NP\tO' -p254637 -aS'was\tbe\tVBD\tB-VP\tO' -p254638 -aS'clearly\tclearly\tRB\tB-ADVP\tO' -p254639 -aS'with\twith\tIN\tB-PP\tO' -p254640 -aS'both\tboth\tCC\tO\tO' -p254641 -aS'a\ta\tDT\tB-NP\tO' -p254642 -aS'negative\tnegative\tJJ\tI-NP\tO' -p254643 -aS'CT\tCT\tNN\tI-NP\tO' -p254644 -aS'Cspine\tCspine\tNN\tI-NP\tO' -p254645 -aS'and\tand\tCC\tO\tO' -p254646 -aS'clinical\tclinical\tJJ\tB-NP\tO' -p254647 -aS'exam\texam\tNN\tI-NP\tO' -p254648 -aS'.\t.\t.\tO\tO' -p254649 -asS'Exertional angina and dyspnea on exertion' -p254650 -(lp254651 -S'Exertional\tExertional\tJJ\tB-NP\tO' -p254652 -aS'angina\tangina\tNN\tI-NP\tO' -p254653 -aS'and\tand\tCC\tI-NP\tO' -p254654 -aS'dyspnea\tdyspnea\tNN\tI-NP\tO' -p254655 -aS'on\ton\tIN\tB-PP\tO' -p254656 -aS'exertion\texertion\tNN\tB-NP\tO' -p254657 -asS'Head CT from the outside hospital just revealed a small right parietal subdural blood .' -p254658 -(lp254659 -S'Head\tHead\tJJ\tB-NP\tO' -p254660 -aS'CT\tCT\tNN\tI-NP\tO' -p254661 -aS'from\tfrom\tIN\tB-PP\tO' -p254662 -aS'the\tthe\tDT\tB-NP\tO' -p254663 -aS'outside\toutside\tJJ\tI-NP\tO' -p254664 -aS'hospital\thospital\tNN\tI-NP\tO' -p254665 -aS'just\tjust\tRB\tB-ADVP\tO' -p254666 -aS'revealed\treveal\tVBD\tB-VP\tO' -p254667 -aS'a\ta\tDT\tB-NP\tO' -p254668 -aS'small\tsmall\tJJ\tI-NP\tO' -p254669 -aS'right\tright\tJJ\tI-NP\tO' -p254670 -aS'parietal\tparietal\tJJ\tI-NP\tO' -p254671 -aS'subdural\tsubdural\tJJ\tI-NP\tO' -p254672 -aS'blood\tblood\tNN\tI-NP\tO' -p254673 -aS'.\t.\t.\tO\tO' -p254674 -asS'Follow up ophthalmology appointment is with Dr. Jundt on Ison 4 at the Addison Gilbert Hospital of Oak Bluffs in three months .' -p254675 -(lp254676 -S'Follow\tFollow\tVB\tB-VP\tO' -p254677 -aS'up\tup\tRP\tB-PRT\tO' -p254678 -aS'ophthalmology\tophthalmology\tNN\tB-NP\tO' -p254679 -aS'appointment\tappointment\tNN\tI-NP\tO' -p254680 -aS'is\tbe\tVBZ\tB-VP\tO' -p254681 -aS'with\twith\tIN\tB-PP\tO' -p254682 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p254683 -aS'Jundt\tJundt\tNNP\tI-NP\tO' -p254684 -aS'on\ton\tIN\tB-PP\tO' -p254685 -aS'Ison\tIson\tNNP\tB-NP\tB-protein' -p254686 -aS'4\t4\tCD\tI-NP\tI-protein' -p254687 -aS'at\tat\tIN\tB-PP\tO' -p254688 -aS'the\tthe\tDT\tB-NP\tO' -p254689 -aS'Addison\tAddison\tNNP\tI-NP\tO' -p254690 -aS'Gilbert\tGilbert\tNNP\tI-NP\tO' -p254691 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p254692 -aS'of\tof\tIN\tB-PP\tO' -p254693 -aS'Oak\tOak\tNNP\tB-NP\tB-protein' -p254694 -aS'Bluffs\tBluff\tNNPS\tI-NP\tO' -p254695 -aS'in\tin\tIN\tB-PP\tO' -p254696 -aS'three\tthree\tCD\tB-NP\tO' -p254697 -aS'months\tmonth\tNNS\tI-NP\tO' -p254698 -aS'.\t.\t.\tO\tO' -p254699 -asS'Following that , the patient was slowly advanced to clear liquids and to a regular diet once her bowels began working when she began having flatus .' -p254700 -(lp254701 -S'Following\tFollow\tVBG\tB-VP\tO' -p254702 -aS'that\tthat\tIN\tB-SBAR\tO' -p254703 -aS',\t,\t,\tO\tO' -p254704 -aS'the\tthe\tDT\tB-NP\tO' -p254705 -aS'patient\tpatient\tNN\tI-NP\tO' -p254706 -aS'was\tbe\tVBD\tB-VP\tO' -p254707 -aS'slowly\tslowly\tRB\tI-VP\tO' -p254708 -aS'advanced\tadvance\tVBN\tI-VP\tO' -p254709 -aS'to\tto\tTO\tB-PP\tO' -p254710 -aS'clear\tclear\tJJ\tB-NP\tO' -p254711 -aS'liquids\tliquid\tNNS\tI-NP\tO' -p254712 -aS'and\tand\tCC\tB-PP\tO' -p254713 -aS'to\tto\tTO\tB-PP\tO' -p254714 -aS'a\ta\tDT\tB-NP\tO' -p254715 -aS'regular\tregular\tJJ\tI-NP\tO' -p254716 -aS'diet\tdiet\tNN\tI-NP\tO' -p254717 -aS'once\tonce\tIN\tB-SBAR\tO' -p254718 -aS'her\ther\tPRP$\tB-NP\tO' -p254719 -aS'bowels\tbowel\tNNS\tI-NP\tO' -p254720 -aS'began\tbegin\tVBD\tB-VP\tO' -p254721 -aS'working\twork\tVBG\tI-VP\tO' -p254722 -aS'when\twhen\tWRB\tB-ADVP\tO' -p254723 -aS'she\tshe\tPRP\tB-NP\tO' -p254724 -aS'began\tbegin\tVBD\tB-VP\tO' -p254725 -aS'having\thave\tVBG\tI-VP\tO' -p254726 -aS'flatus\tflatus\tNN\tB-NP\tO' -p254727 -aS'.\t.\t.\tO\tO' -p254728 -asS'Vascular Surgery was following at the same time and decided that bilateral iliac stenting would be the most optimum treatment currently and suggested that the patient should be worked up for cardiac disease prior to re-vascularization .' -p254729 -(lp254730 -S'Vascular\tVascular\tNNP\tB-NP\tO' -p254731 -aS'Surgery\tSurgery\tNNP\tI-NP\tO' -p254732 -aS'was\tbe\tVBD\tB-VP\tO' -p254733 -aS'following\tfollow\tVBG\tI-VP\tO' -p254734 -aS'at\tat\tIN\tB-PP\tO' -p254735 -aS'the\tthe\tDT\tB-NP\tO' -p254736 -aS'same\tsame\tJJ\tI-NP\tO' -p254737 -aS'time\ttime\tNN\tI-NP\tO' -p254738 -aS'and\tand\tCC\tO\tO' -p254739 -aS'decided\tdecide\tVBD\tB-VP\tO' -p254740 -aS'that\tthat\tIN\tB-SBAR\tO' -p254741 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p254742 -aS'iliac\tiliac\tJJ\tI-NP\tO' -p254743 -aS'stenting\tstenting\tNN\tI-NP\tO' -p254744 -aS'would\twould\tMD\tB-VP\tO' -p254745 -aS'be\tbe\tVB\tI-VP\tO' -p254746 -aS'the\tthe\tDT\tB-NP\tO' -p254747 -aS'most\tmost\tRBS\tI-NP\tO' -p254748 -aS'optimum\toptimum\tJJ\tI-NP\tO' -p254749 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p254750 -aS'currently\tcurrently\tRB\tB-ADVP\tO' -p254751 -aS'and\tand\tCC\tO\tO' -p254752 -aS'suggested\tsuggest\tVBD\tB-VP\tO' -p254753 -aS'that\tthat\tIN\tB-SBAR\tO' -p254754 -aS'the\tthe\tDT\tB-NP\tO' -p254755 -aS'patient\tpatient\tNN\tI-NP\tO' -p254756 -aS'should\tshould\tMD\tB-VP\tO' -p254757 -aS'be\tbe\tVB\tI-VP\tO' -p254758 -aS'worked\twork\tVBN\tI-VP\tO' -p254759 -aS'up\tup\tRP\tB-PRT\tO' -p254760 -aS'for\tfor\tIN\tB-PP\tO' -p254761 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p254762 -aS'disease\tdisease\tNN\tI-NP\tO' -p254763 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p254764 -aS'to\tto\tTO\tB-PP\tO' -p254765 -aS're-vascularization\tre-vascularization\tNN\tB-NP\tO' -p254766 -aS'.\t.\t.\tO\tO' -p254767 -asS'Abd : obese , multiple surgical scars .' -p254768 -(lp254769 -S'Abd\tAbd\tNN\tB-NP\tO' -p254770 -aS':\t:\t:\tO\tO' -p254771 -aS'obese\tobese\tJJ\tB-NP\tO' -p254772 -aS',\t,\t,\tI-NP\tO' -p254773 -aS'multiple\tmultiple\tJJ\tI-NP\tO' -p254774 -aS'surgical\tsurgical\tJJ\tI-NP\tO' -p254775 -aS'scars\tscar\tNNS\tI-NP\tO' -p254776 -aS'.\t.\t.\tO\tO' -p254777 -asS'She is a nonsmoker .' -p254778 -(lp254779 -S'She\tShe\tPRP\tB-NP\tO' -p254780 -aS'is\tbe\tVBZ\tB-VP\tO' -p254781 -aS'a\ta\tDT\tB-NP\tO' -p254782 -aS'nonsmoker\tnonsmoker\tNN\tI-NP\tO' -p254783 -aS'.\t.\t.\tO\tO' -p254784 -asS'2. The left ventricular cavity size is normal .' -p254785 -(lp254786 -S'2.\t2.\tLS\tB-LST\tO' -p254787 -aS'The\tThe\tDT\tB-NP\tO' -p254788 -aS'left\tleft\tJJ\tI-NP\tO' -p254789 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p254790 -aS'cavity\tcavity\tNN\tI-NP\tO' -p254791 -aS'size\tsize\tNN\tI-NP\tO' -p254792 -aS'is\tbe\tVBZ\tB-VP\tO' -p254793 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p254794 -aS'.\t.\t.\tO\tO' -p254795 -asS'Moves all extremities to stimuli , L > R' -p254796 -(lp254797 -S'Moves\tMove\tVBZ\tB-VP\tO' -p254798 -aS'all\tall\tDT\tB-NP\tO' -p254799 -aS'extremities\textremity\tNNS\tI-NP\tO' -p254800 -aS'to\tto\tTO\tB-PP\tO' -p254801 -aS'stimuli\tstimulus\tNNS\tB-NP\tO' -p254802 -aS',\t,\t,\tO\tO' -p254803 -aS'L\tL\tNN\tB-NP\tO' -p254804 -aS'>\t>\tSYM\tB-VP\tO' -p254805 -aS'R\tR\tNN\tB-NP\tO' -p254806 -asS'There were prominent Q-waves in AVL , consistent with lateral myocardial infarction .' -p254807 -(lp254808 -S'There\tThere\tEX\tB-NP\tO' -p254809 -aS'were\tbe\tVBD\tB-VP\tO' -p254810 -aS'prominent\tprominent\tJJ\tB-NP\tO' -p254811 -aS'Q-waves\tQ-wave\tNNS\tI-NP\tO' -p254812 -aS'in\tin\tIN\tB-PP\tO' -p254813 -aS'AVL\tAVL\tNN\tB-NP\tO' -p254814 -aS',\t,\t,\tO\tO' -p254815 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p254816 -aS'with\twith\tIN\tB-PP\tO' -p254817 -aS'lateral\tlateral\tJJ\tB-NP\tO' -p254818 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p254819 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p254820 -aS'.\t.\t.\tO\tO' -p254821 -asS'The patient had a central line placed and went into sustained ventricular tachycardia that was treated with lidocaine .' -p254822 -(lp254823 -S'The\tThe\tDT\tB-NP\tO' -p254824 -aS'patient\tpatient\tNN\tI-NP\tO' -p254825 -aS'had\thave\tVBD\tB-VP\tO' -p254826 -aS'a\ta\tDT\tB-NP\tO' -p254827 -aS'central\tcentral\tJJ\tI-NP\tB-cell_line' -p254828 -aS'line\tline\tNN\tI-NP\tI-cell_line' -p254829 -aS'placed\tplace\tVBD\tB-VP\tO' -p254830 -aS'and\tand\tCC\tO\tO' -p254831 -aS'went\tgo\tVBD\tB-VP\tO' -p254832 -aS'into\tinto\tIN\tB-PP\tO' -p254833 -aS'sustained\tsustained\tJJ\tB-NP\tO' -p254834 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p254835 -aS'tachycardia\ttachycardia\tNN\tI-NP\tO' -p254836 -aS'that\tthat\tWDT\tB-NP\tO' -p254837 -aS'was\tbe\tVBD\tB-VP\tO' -p254838 -aS'treated\ttreat\tVBN\tI-VP\tO' -p254839 -aS'with\twith\tIN\tB-PP\tO' -p254840 -aS'lidocaine\tlidocaine\tNN\tB-NP\tO' -p254841 -aS'.\t.\t.\tO\tO' -p254842 -asS'The patient is in no acute distress , vital signs stable .' -p254843 -(lp254844 -S'The\tThe\tDT\tB-NP\tO' -p254845 -aS'patient\tpatient\tNN\tI-NP\tO' -p254846 -aS'is\tbe\tVBZ\tB-VP\tO' -p254847 -aS'in\tin\tIN\tB-PP\tO' -p254848 -aS'no\tno\tDT\tB-NP\tO' -p254849 -aS'acute\tacute\tJJ\tI-NP\tO' -p254850 -aS'distress\tdistress\tNN\tI-NP\tO' -p254851 -aS',\t,\t,\tO\tO' -p254852 -aS'vital\tvital\tJJ\tB-NP\tO' -p254853 -aS'signs\tsign\tNNS\tI-NP\tO' -p254854 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p254855 -aS'.\t.\t.\tO\tO' -p254856 -asS'Shoulder shrug was 5/5 power .' -p254857 -(lp254858 -S'Shoulder\tShoulder\tNN\tB-NP\tO' -p254859 -aS'shrug\tshrug\tNN\tI-NP\tO' -p254860 -aS'was\tbe\tVBD\tB-VP\tO' -p254861 -aS'5/5\t5/5\tCD\tB-NP\tO' -p254862 -aS'power\tpower\tNN\tI-NP\tO' -p254863 -aS'.\t.\t.\tO\tO' -p254864 -asS'1 cypher stent was place in the LAD while 2 were placed in Lcx .' -p254865 -(lp254866 -S'1\t1\tCD\tB-NP\tO' -p254867 -aS'cypher\tcypher\tNN\tI-NP\tO' -p254868 -aS'stent\tstent\tNN\tI-NP\tO' -p254869 -aS'was\tbe\tVBD\tB-VP\tO' -p254870 -aS'place\tplace\tNN\tB-NP\tO' -p254871 -aS'in\tin\tIN\tB-PP\tO' -p254872 -aS'the\tthe\tDT\tB-NP\tO' -p254873 -aS'LAD\tLAD\tNN\tI-NP\tO' -p254874 -aS'while\twhile\tIN\tB-SBAR\tO' -p254875 -aS'2\t2\tCD\tB-NP\tO' -p254876 -aS'were\tbe\tVBD\tB-VP\tO' -p254877 -aS'placed\tplace\tVBN\tI-VP\tO' -p254878 -aS'in\tin\tIN\tB-PP\tO' -p254879 -aS'Lcx\tLcx\tNN\tB-NP\tB-protein' -p254880 -aS'.\t.\t.\tO\tO' -p254881 -asS'" Flumaran " for circulatory problems .' -p254882 -(lp254883 -S'"\t"\t``\tO\tO' -p254884 -aS'Flumaran\tFlumaran\tNNP\tB-NP\tO' -p254885 -aS'"\t"\t\'\'\tO\tO' -p254886 -aS'for\tfor\tIN\tB-PP\tO' -p254887 -aS'circulatory\tcirculatory\tJJ\tB-NP\tO' -p254888 -aS'problems\tproblem\tNNS\tI-NP\tO' -p254889 -aS'.\t.\t.\tO\tO' -p254890 -asS'Neck supple .' -p254891 -(lp254892 -S'Neck\tNeck\tNN\tB-NP\tO' -p254893 -aS'supple\tsupple\tNN\tI-NP\tO' -p254894 -aS'.\t.\t.\tO\tO' -p254895 -asS'Despite laparotomy and re-exploration through the vaginal cuff , no source for the bleeding could be found .' -p254896 -(lp254897 -S'Despite\tDespite\tIN\tB-PP\tO' -p254898 -aS'laparotomy\tlaparotomy\tNN\tB-NP\tO' -p254899 -aS'and\tand\tCC\tI-NP\tO' -p254900 -aS're-exploration\tre-exploration\tNN\tI-NP\tO' -p254901 -aS'through\tthrough\tIN\tB-PP\tO' -p254902 -aS'the\tthe\tDT\tB-NP\tO' -p254903 -aS'vaginal\tvaginal\tJJ\tI-NP\tO' -p254904 -aS'cuff\tcuff\tNN\tI-NP\tO' -p254905 -aS',\t,\t,\tO\tO' -p254906 -aS'no\tno\tDT\tB-NP\tO' -p254907 -aS'source\tsource\tNN\tI-NP\tO' -p254908 -aS'for\tfor\tIN\tB-PP\tO' -p254909 -aS'the\tthe\tDT\tB-NP\tO' -p254910 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p254911 -aS'could\tcould\tMD\tB-VP\tO' -p254912 -aS'be\tbe\tVB\tI-VP\tO' -p254913 -aS'found\tfind\tVBN\tI-VP\tO' -p254914 -aS'.\t.\t.\tO\tO' -p254915 -asS'After extubation , patient was started on sips and had a speech and swallow evaluation .' -p254916 -(lp254917 -S'After\tAfter\tIN\tB-PP\tO' -p254918 -aS'extubation\textubation\tNN\tB-NP\tO' -p254919 -aS',\t,\t,\tO\tO' -p254920 -aS'patient\tpatient\tNN\tB-NP\tO' -p254921 -aS'was\tbe\tVBD\tB-VP\tO' -p254922 -aS'started\tstart\tVBN\tI-VP\tO' -p254923 -aS'on\ton\tIN\tB-PP\tO' -p254924 -aS'sips\tsip\tNNS\tB-NP\tO' -p254925 -aS'and\tand\tCC\tO\tO' -p254926 -aS'had\thave\tVBD\tB-VP\tO' -p254927 -aS'a\ta\tDT\tB-NP\tO' -p254928 -aS'speech\tspeech\tNN\tI-NP\tO' -p254929 -aS'and\tand\tCC\tO\tO' -p254930 -aS'swallow\tswallow\tVB\tB-VP\tO' -p254931 -aS'evaluation\tevaluation\tNN\tB-NP\tO' -p254932 -aS'.\t.\t.\tO\tO' -p254933 -asS'3/7 -- repeat HCO3 24 and 26 without bicarb drip .' -p254934 -(lp254935 -S'3/7\t3/7\tLS\tB-LST\tO' -p254936 -aS'--\t--\t:\tO\tO' -p254937 -aS'repeat\trepeat\tNN\tB-NP\tO' -p254938 -aS'HCO3\tHCO3\tNN\tI-NP\tO' -p254939 -aS'24\t24\tCD\tB-NP\tO' -p254940 -aS'and\tand\tCC\tI-NP\tO' -p254941 -aS'26\t26\tCD\tI-NP\tO' -p254942 -aS'without\twithout\tIN\tB-PP\tO' -p254943 -aS'bicarb\tbicarb\tNN\tB-NP\tO' -p254944 -aS'drip\tdrip\tNN\tI-NP\tO' -p254945 -aS'.\t.\t.\tO\tO' -p254946 -asS'As mentioned in the HPI , Mr. Mcculley was transferred from MWMC to Nantucket Cottage Hospital for ongoing care ( ? MVR ).' -p254947 -(lp254948 -S'As\tAs\tIN\tB-SBAR\tO' -p254949 -aS'mentioned\tmention\tVBN\tB-VP\tO' -p254950 -aS'in\tin\tIN\tB-PP\tO' -p254951 -aS'the\tthe\tDT\tB-NP\tO' -p254952 -aS'HPI\tHPI\tNNP\tI-NP\tO' -p254953 -aS',\t,\t,\tO\tO' -p254954 -aS'Mr.\tMr.\tNNP\tB-NP\tO' -p254955 -aS'Mcculley\tMcculley\tNNP\tI-NP\tO' -p254956 -aS'was\tbe\tVBD\tB-VP\tO' -p254957 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p254958 -aS'from\tfrom\tIN\tB-PP\tO' -p254959 -aS'MWMC\tMWMC\tNN\tB-NP\tB-cell_type' -p254960 -aS'to\tto\tTO\tB-PP\tO' -p254961 -aS'Nantucket\tNantucket\tNNP\tB-NP\tO' -p254962 -aS'Cottage\tCottage\tNNP\tI-NP\tO' -p254963 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p254964 -aS'for\tfor\tIN\tB-PP\tO' -p254965 -aS'ongoing\tongoing\tJJ\tB-NP\tO' -p254966 -aS'care\tcare\tNN\tI-NP\tO' -p254967 -aS'(\t(\t(\tO\tO' -p254968 -aS'?\t?\t.\tO\tO' -p254969 -aS'MVR\tMVR\tNN\tB-NP\tB-protein' -p254970 -aS').\t).\t.\tO\tO' -p254971 -asS'Cranial nerves II-XII intact .' -p254972 -(lp254973 -S'Cranial\tCranial\tNNP\tB-NP\tO' -p254974 -aS'nerves\tnerve\tVBZ\tB-VP\tO' -p254975 -aS'II-XII\tII-XII\tNN\tB-NP\tB-protein' -p254976 -aS'intact\tintact\tJJ\tI-NP\tO' -p254977 -aS'.\t.\t.\tO\tO' -p254978 -asS'The left simple mastectomy also contained 5.5 cm poorly differentiated infiltrating ductal and intraductal carcinoma with extensive lymphatic vessel invasion .' -p254979 -(lp254980 -S'The\tThe\tDT\tB-NP\tO' -p254981 -aS'left\tleft\tJJ\tI-NP\tO' -p254982 -aS'simple\tsimple\tJJ\tI-NP\tO' -p254983 -aS'mastectomy\tmastectomy\tNN\tI-NP\tO' -p254984 -aS'also\talso\tRB\tB-ADVP\tO' -p254985 -aS'contained\tcontain\tVBD\tB-VP\tO' -p254986 -aS'5.5\t5.5\tCD\tB-NP\tO' -p254987 -aS'cm\tcm\tNN\tI-NP\tO' -p254988 -aS'poorly\tpoorly\tRB\tB-VP\tO' -p254989 -aS'differentiated\tdifferentiate\tVBN\tI-VP\tO' -p254990 -aS'infiltrating\tinfiltrate\tVBG\tB-VP\tO' -p254991 -aS'ductal\tductal\tJJ\tB-NP\tO' -p254992 -aS'and\tand\tCC\tI-NP\tO' -p254993 -aS'intraductal\tintraductal\tJJ\tI-NP\tO' -p254994 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p254995 -aS'with\twith\tIN\tB-PP\tO' -p254996 -aS'extensive\textensive\tJJ\tB-NP\tO' -p254997 -aS'lymphatic\tlymphatic\tJJ\tI-NP\tO' -p254998 -aS'vessel\tvessel\tNN\tI-NP\tO' -p254999 -aS'invasion\tinvasion\tNN\tI-NP\tO' -p255000 -aS'.\t.\t.\tO\tO' -p255001 -asS'An ERCP performed there showed a long segment of distal narrowing of the common bileduct and a transhepatic biliary drain was placed there on December 29 .' -p255002 -(lp255003 -S'An\tAn\tDT\tB-NP\tO' -p255004 -aS'ERCP\tERCP\tNN\tI-NP\tB-DNA' -p255005 -aS'performed\tperform\tVBN\tB-VP\tO' -p255006 -aS'there\tthere\tEX\tB-NP\tO' -p255007 -aS'showed\tshow\tVBD\tB-VP\tO' -p255008 -aS'a\ta\tDT\tB-NP\tO' -p255009 -aS'long\tlong\tJJ\tI-NP\tO' -p255010 -aS'segment\tsegment\tNN\tI-NP\tO' -p255011 -aS'of\tof\tIN\tB-PP\tO' -p255012 -aS'distal\tdistal\tJJ\tB-NP\tO' -p255013 -aS'narrowing\tnarrowing\tNN\tI-NP\tO' -p255014 -aS'of\tof\tIN\tB-PP\tO' -p255015 -aS'the\tthe\tDT\tB-NP\tO' -p255016 -aS'common\tcommon\tJJ\tI-NP\tO' -p255017 -aS'bileduct\tbileduct\tNN\tI-NP\tO' -p255018 -aS'and\tand\tCC\tO\tO' -p255019 -aS'a\ta\tDT\tB-NP\tO' -p255020 -aS'transhepatic\ttranshepatic\tJJ\tI-NP\tO' -p255021 -aS'biliary\tbiliary\tJJ\tI-NP\tO' -p255022 -aS'drain\tdrain\tNN\tI-NP\tO' -p255023 -aS'was\tbe\tVBD\tB-VP\tO' -p255024 -aS'placed\tplace\tVBN\tI-VP\tO' -p255025 -aS'there\tthere\tRB\tB-ADVP\tO' -p255026 -aS'on\ton\tIN\tB-PP\tO' -p255027 -aS'December\tDecember\tNNP\tB-NP\tO' -p255028 -aS'29\t29\tCD\tI-NP\tO' -p255029 -aS'.\t.\t.\tO\tO' -p255030 -asS'Nondistended .' -p255031 -(lp255032 -S'Nondistended\tNondistende\tVBN\tB-VP\tO' -p255033 -aS'.\t.\t.\tO\tO' -p255034 -asS'Patient should follow up with her pain doctor , Dr. Maa Bloch 381-389-5852 , for her chronic pain management' -p255035 -(lp255036 -S'Patient\tPatient\tNN\tB-NP\tO' -p255037 -aS'should\tshould\tMD\tB-VP\tO' -p255038 -aS'follow\tfollow\tVB\tI-VP\tO' -p255039 -aS'up\tup\tRP\tB-PRT\tO' -p255040 -aS'with\twith\tIN\tB-PP\tO' -p255041 -aS'her\ther\tPRP$\tB-NP\tO' -p255042 -aS'pain\tpain\tNN\tI-NP\tO' -p255043 -aS'doctor\tdoctor\tNN\tI-NP\tO' -p255044 -aS',\t,\t,\tO\tO' -p255045 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p255046 -aS'Maa\tMaa\tNNP\tI-NP\tO' -p255047 -aS'Bloch\tBloch\tNNP\tI-NP\tO' -p255048 -aS'381-389-5852\t381-389-5852\tCD\tI-NP\tO' -p255049 -aS',\t,\t,\tO\tO' -p255050 -aS'for\tfor\tIN\tB-PP\tO' -p255051 -aS'her\ther\tPRP$\tB-NP\tO' -p255052 -aS'chronic\tchronic\tJJ\tI-NP\tO' -p255053 -aS'pain\tpain\tNN\tI-NP\tO' -p255054 -aS'management\tmanagement\tNN\tI-NP\tO' -p255055 -asS'There was no splenomegaly .' -p255056 -(lp255057 -S'There\tThere\tEX\tB-NP\tO' -p255058 -aS'was\tbe\tVBD\tB-VP\tO' -p255059 -aS'no\tno\tDT\tB-NP\tO' -p255060 -aS'splenomegaly\tsplenomegaly\tNN\tI-NP\tO' -p255061 -aS'.\t.\t.\tO\tO' -p255062 -asS'His mother is a 31-year-old female gravida 2 , para 1 , now 2 .' -p255063 -(lp255064 -S'His\tHis\tPRP$\tB-NP\tO' -p255065 -aS'mother\tmother\tNN\tI-NP\tO' -p255066 -aS'is\tbe\tVBZ\tB-VP\tO' -p255067 -aS'a\ta\tDT\tB-NP\tO' -p255068 -aS'31-year-old\t31-year-old\tJJ\tI-NP\tO' -p255069 -aS'female\tfemale\tJJ\tI-NP\tO' -p255070 -aS'gravida\tgravida\tNN\tI-NP\tO' -p255071 -aS'2\t2\tCD\tI-NP\tO' -p255072 -aS',\t,\t,\tO\tO' -p255073 -aS'para\tpara\tNN\tB-NP\tO' -p255074 -aS'1\t1\tCD\tI-NP\tO' -p255075 -aS',\t,\t,\tO\tO' -p255076 -aS'now\tnow\tRB\tB-ADVP\tO' -p255077 -aS'2\t2\tCD\tB-NP\tO' -p255078 -aS'.\t.\t.\tO\tO' -p255079 -asS'Both of his Jackson-Pratt drains were removed without incident .' -p255080 -(lp255081 -S'Both\tBoth\tDT\tB-NP\tO' -p255082 -aS'of\tof\tIN\tB-PP\tO' -p255083 -aS'his\this\tPRP$\tB-NP\tO' -p255084 -aS'Jackson-Pratt\tJackson-Pratt\tJJ\tI-NP\tB-protein' -p255085 -aS'drains\tdrain\tNNS\tI-NP\tI-protein' -p255086 -aS'were\tbe\tVBD\tB-VP\tO' -p255087 -aS'removed\tremove\tVBN\tI-VP\tO' -p255088 -aS'without\twithout\tIN\tB-PP\tO' -p255089 -aS'incident\tincident\tNN\tB-NP\tO' -p255090 -aS'.\t.\t.\tO\tO' -p255091 -asS'Sputum culture as late as 2013-05-10 , however was still positive for coagulase positive Staphylococcus which was methicillin resistant Staphylococcus aureus .' -p255092 -(lp255093 -S'Sputum\tSputum\tNN\tB-NP\tO' -p255094 -aS'culture\tculture\tNN\tI-NP\tO' -p255095 -aS'as\tas\tIN\tB-PP\tO' -p255096 -aS'late\tlate\tJJ\tB-ADJP\tO' -p255097 -aS'as\tas\tIN\tB-PP\tO' -p255098 -aS'2013-05-10\t2013-05-10\tCD\tB-NP\tO' -p255099 -aS',\t,\t,\tO\tO' -p255100 -aS'however\thowever\tRB\tB-ADVP\tO' -p255101 -aS'was\tbe\tVBD\tB-VP\tO' -p255102 -aS'still\tstill\tRB\tB-ADVP\tO' -p255103 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p255104 -aS'for\tfor\tIN\tB-PP\tO' -p255105 -aS'coagulase\tcoagulase\tNN\tB-NP\tO' -p255106 -aS'positive\tpositive\tJJ\tI-NP\tO' -p255107 -aS'Staphylococcus\tStaphylococcus\tNN\tI-NP\tO' -p255108 -aS'which\twhich\tWDT\tB-NP\tO' -p255109 -aS'was\tbe\tVBD\tB-VP\tO' -p255110 -aS'methicillin\tmethicillin\tNN\tB-NP\tO' -p255111 -aS'resistant\tresistant\tJJ\tB-NP\tO' -p255112 -aS'Staphylococcus\tStaphylococcus\tNNP\tI-NP\tO' -p255113 -aS'aureus\taureus\tNN\tI-NP\tO' -p255114 -aS'.\t.\t.\tO\tO' -p255115 -asS'4. Neurontin 1800 mg four times a day' -p255116 -(lp255117 -S'4.\t4.\tLS\tB-NP\tO' -p255118 -aS'Neurontin\tNeurontin\tNN\tI-NP\tO' -p255119 -aS'1800\t1800\tCD\tB-NP\tO' -p255120 -aS'mg\tmg\tNN\tI-NP\tO' -p255121 -aS'four\tfour\tCD\tB-NP\tO' -p255122 -aS'times\ttime\tNNS\tI-NP\tO' -p255123 -aS'a\ta\tDT\tB-NP\tO' -p255124 -aS'day\tday\tNN\tI-NP\tO' -p255125 -asS'1. Please follow up with Dr. Faleschird , Dr. Cuchbreunjesc and Dr. Roziesc .' -p255126 -(lp255127 -S'1.\t1.\tLS\tB-NP\tO' -p255128 -aS'Please\tPlease\tNN\tI-NP\tB-protein' -p255129 -aS'follow\tfollow\tVB\tB-VP\tO' -p255130 -aS'up\tup\tRP\tB-PRT\tO' -p255131 -aS'with\twith\tIN\tB-PP\tO' -p255132 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p255133 -aS'Faleschird\tFaleschird\tNNP\tI-NP\tO' -p255134 -aS',\t,\t,\tO\tO' -p255135 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p255136 -aS'Cuchbreunjesc\tCuchbreunjesc\tNNP\tI-NP\tO' -p255137 -aS'and\tand\tCC\tO\tO' -p255138 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p255139 -aS'Roziesc\tRoziesc\tNNP\tI-NP\tO' -p255140 -aS'.\t.\t.\tO\tO' -p255141 -asS'She now present for surgical intervention .' -p255142 -(lp255143 -S'She\tShe\tPRP\tB-NP\tO' -p255144 -aS'now\tnow\tRB\tB-ADVP\tO' -p255145 -aS'present\tpresent\tVBP\tB-VP\tO' -p255146 -aS'for\tfor\tIN\tB-PP\tO' -p255147 -aS'surgical\tsurgical\tJJ\tB-NP\tO' -p255148 -aS'intervention\tintervention\tNN\tI-NP\tO' -p255149 -aS'.\t.\t.\tO\tO' -p255150 -asS'At the time of discharge , her hematocrit is stable in the 28 to 33 range .' -p255151 -(lp255152 -S'At\tAt\tIN\tB-PP\tO' -p255153 -aS'the\tthe\tDT\tB-NP\tO' -p255154 -aS'time\ttime\tNN\tI-NP\tO' -p255155 -aS'of\tof\tIN\tB-PP\tO' -p255156 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p255157 -aS',\t,\t,\tO\tO' -p255158 -aS'her\ther\tPRP$\tB-NP\tO' -p255159 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p255160 -aS'is\tbe\tVBZ\tB-VP\tO' -p255161 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p255162 -aS'in\tin\tIN\tB-PP\tO' -p255163 -aS'the\tthe\tDT\tB-NP\tO' -p255164 -aS'28\t28\tCD\tI-NP\tO' -p255165 -aS'to\tto\tTO\tI-NP\tO' -p255166 -aS'33\t33\tCD\tI-NP\tO' -p255167 -aS'range\trange\tNN\tI-NP\tO' -p255168 -aS'.\t.\t.\tO\tO' -p255169 -asS'Incision and drainage of wound infection on 3/7/02 .' -p255170 -(lp255171 -S'Incision\tIncision\tNN\tB-NP\tO' -p255172 -aS'and\tand\tCC\tI-NP\tO' -p255173 -aS'drainage\tdrainage\tNN\tI-NP\tO' -p255174 -aS'of\tof\tIN\tB-PP\tO' -p255175 -aS'wound\twound\tNN\tB-NP\tO' -p255176 -aS'infection\tinfection\tNN\tI-NP\tO' -p255177 -aS'on\ton\tIN\tB-PP\tO' -p255178 -aS'3/7/02\t3/7/02\tCD\tB-NP\tO' -p255179 -aS'.\t.\t.\tO\tO' -p255180 -asS'- Follow up with Trauma Surgery Clinic with the Result from the CT scan abdomen' -p255181 -(lp255182 -S'-\t-\tHYPH\tO\tO' -p255183 -aS'Follow\tFollow\tVB\tB-VP\tO' -p255184 -aS'up\tup\tRP\tB-PRT\tO' -p255185 -aS'with\twith\tIN\tB-PP\tO' -p255186 -aS'Trauma\tTrauma\tNNP\tB-NP\tO' -p255187 -aS'Surgery\tSurgery\tNNP\tI-NP\tO' -p255188 -aS'Clinic\tClinic\tNNP\tI-NP\tO' -p255189 -aS'with\twith\tIN\tB-PP\tO' -p255190 -aS'the\tthe\tDT\tB-NP\tO' -p255191 -aS'Result\tResult\tNN\tI-NP\tO' -p255192 -aS'from\tfrom\tIN\tB-PP\tO' -p255193 -aS'the\tthe\tDT\tB-NP\tO' -p255194 -aS'CT\tCT\tNN\tI-NP\tO' -p255195 -aS'scan\tscan\tNN\tI-NP\tO' -p255196 -aS'abdomen\tabdoman\tNNS\tI-NP\tO' -p255197 -asS'An Orthopedics consult was obtained and the patient was encouraged to weight bear as tolerated with Physical Therapy assistance .' -p255198 -(lp255199 -S'An\tAn\tDT\tB-NP\tO' -p255200 -aS'Orthopedics\tOrthopedics\tNNP\tI-NP\tO' -p255201 -aS'consult\tconsult\tNN\tI-NP\tO' -p255202 -aS'was\tbe\tVBD\tB-VP\tO' -p255203 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p255204 -aS'and\tand\tCC\tO\tO' -p255205 -aS'the\tthe\tDT\tB-NP\tO' -p255206 -aS'patient\tpatient\tNN\tI-NP\tO' -p255207 -aS'was\tbe\tVBD\tB-VP\tO' -p255208 -aS'encouraged\tencourage\tVBN\tI-VP\tO' -p255209 -aS'to\tto\tTO\tB-PP\tO' -p255210 -aS'weight\tweight\tNN\tB-NP\tO' -p255211 -aS'bear\tbear\tNN\tI-NP\tO' -p255212 -aS'as\tas\tIN\tB-SBAR\tO' -p255213 -aS'tolerated\ttolerate\tVBN\tB-VP\tO' -p255214 -aS'with\twith\tIN\tB-PP\tO' -p255215 -aS'Physical\tPhysical\tJJ\tB-NP\tO' -p255216 -aS'Therapy\tTherapy\tNN\tI-NP\tO' -p255217 -aS'assistance\tassistance\tNN\tI-NP\tO' -p255218 -aS'.\t.\t.\tO\tO' -p255219 -asS'EKG revealed sinus tachycardia at 107 beats per minute .' -p255220 -(lp255221 -S'EKG\tEKG\tNN\tB-NP\tB-protein' -p255222 -aS'revealed\treveal\tVBD\tB-VP\tO' -p255223 -aS'sinus\tsinus\tNN\tB-NP\tO' -p255224 -aS'tachycardia\ttachycardia\tNN\tI-NP\tO' -p255225 -aS'at\tat\tIN\tB-PP\tO' -p255226 -aS'107\t107\tCD\tB-NP\tO' -p255227 -aS'beats\tbeat\tNNS\tI-NP\tO' -p255228 -aS'per\tper\tIN\tB-PP\tO' -p255229 -aS'minute\tminute\tNN\tB-NP\tO' -p255230 -aS'.\t.\t.\tO\tO' -p255231 -asS'9. Valcyte 450 mg po qod .' -p255232 -(lp255233 -S'9.\t9.\tCD\tB-NP\tO' -p255234 -aS'Valcyte\tValcyte\tNN\tI-NP\tO' -p255235 -aS'450\t450\tCD\tB-NP\tO' -p255236 -aS'mg\tmg\tNN\tI-NP\tO' -p255237 -aS'po\tpo\tNN\tI-NP\tO' -p255238 -aS'qod\tqod\tNN\tI-NP\tO' -p255239 -aS'.\t.\t.\tO\tO' -p255240 -asS'While in the hospital he had several episodes of pauses , none longer than 2.5 seconds .' -p255241 -(lp255242 -S'While\tWhile\tIN\tB-SBAR\tO' -p255243 -aS'in\tin\tIN\tB-PP\tO' -p255244 -aS'the\tthe\tDT\tB-NP\tO' -p255245 -aS'hospital\thospital\tNN\tI-NP\tO' -p255246 -aS'he\the\tPRP\tB-NP\tO' -p255247 -aS'had\thave\tVBD\tB-VP\tO' -p255248 -aS'several\tseveral\tJJ\tB-NP\tO' -p255249 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p255250 -aS'of\tof\tIN\tB-PP\tO' -p255251 -aS'pauses\tpause\tNNS\tB-NP\tO' -p255252 -aS',\t,\t,\tO\tO' -p255253 -aS'none\tnone\tNN\tB-NP\tO' -p255254 -aS'longer\tlong\tJJR\tB-ADJP\tO' -p255255 -aS'than\tthan\tIN\tB-PP\tO' -p255256 -aS'2.5\t2.5\tCD\tB-NP\tO' -p255257 -aS'seconds\tsecond\tNNS\tI-NP\tO' -p255258 -aS'.\t.\t.\tO\tO' -p255259 -asS'One day prior to her transfer to the medical floor she was sectioned to initiate ECT , which she had previously refused .' -p255260 -(lp255261 -S'One\tOne\tCD\tB-NP\tO' -p255262 -aS'day\tday\tNN\tI-NP\tO' -p255263 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p255264 -aS'to\tto\tTO\tB-PP\tO' -p255265 -aS'her\ther\tPRP$\tB-NP\tO' -p255266 -aS'transfer\ttransfer\tNN\tI-NP\tO' -p255267 -aS'to\tto\tTO\tB-PP\tO' -p255268 -aS'the\tthe\tDT\tB-NP\tO' -p255269 -aS'medical\tmedical\tJJ\tI-NP\tO' -p255270 -aS'floor\tfloor\tNN\tI-NP\tO' -p255271 -aS'she\tshe\tPRP\tB-NP\tO' -p255272 -aS'was\tbe\tVBD\tB-VP\tO' -p255273 -aS'sectioned\tsection\tVBN\tI-VP\tO' -p255274 -aS'to\tto\tTO\tI-VP\tO' -p255275 -aS'initiate\tinitiate\tVB\tI-VP\tO' -p255276 -aS'ECT\tECT\tNN\tB-NP\tO' -p255277 -aS',\t,\t,\tO\tO' -p255278 -aS'which\twhich\tWDT\tB-NP\tO' -p255279 -aS'she\tshe\tPRP\tB-NP\tO' -p255280 -aS'had\thave\tVBD\tB-VP\tO' -p255281 -aS'previously\tpreviously\tRB\tI-VP\tO' -p255282 -aS'refused\trefuse\tVBN\tI-VP\tO' -p255283 -aS'.\t.\t.\tO\tO' -p255284 -asS'Code status - the patient is a DNR / DNI .' -p255285 -(lp255286 -S'Code\tCode\tNN\tB-NP\tO' -p255287 -aS'status\tstatus\tNN\tI-NP\tO' -p255288 -aS'-\t-\tHYPH\tO\tO' -p255289 -aS'the\tthe\tDT\tB-NP\tO' -p255290 -aS'patient\tpatient\tNN\tI-NP\tO' -p255291 -aS'is\tbe\tVBZ\tB-VP\tO' -p255292 -aS'a\ta\tDT\tB-NP\tO' -p255293 -aS'DNR\tDNR\tNN\tI-NP\tB-protein' -p255294 -aS'/\t/\tSYM\tB-NP\tO' -p255295 -aS'DNI\tDNI\tNN\tI-NP\tO' -p255296 -aS'.\t.\t.\tO\tO' -p255297 -asS'He did much better with PT and OT at the end after his mental status improved .' -p255298 -(lp255299 -S'He\tHe\tPRP\tB-NP\tO' -p255300 -aS'did\tdo\tVBD\tB-VP\tO' -p255301 -aS'much\tmuch\tRB\tB-ADJP\tO' -p255302 -aS'better\tgood\tJJR\tI-ADJP\tO' -p255303 -aS'with\twith\tIN\tB-PP\tO' -p255304 -aS'PT\tPT\tNN\tB-NP\tO' -p255305 -aS'and\tand\tCC\tI-NP\tO' -p255306 -aS'OT\tOT\tNN\tI-NP\tO' -p255307 -aS'at\tat\tIN\tB-PP\tO' -p255308 -aS'the\tthe\tDT\tB-NP\tO' -p255309 -aS'end\tend\tNN\tI-NP\tO' -p255310 -aS'after\tafter\tIN\tB-PP\tO' -p255311 -aS'his\this\tPRP$\tB-NP\tO' -p255312 -aS'mental\tmental\tJJ\tI-NP\tO' -p255313 -aS'status\tstatus\tNN\tI-NP\tO' -p255314 -aS'improved\timprove\tVBD\tB-VP\tO' -p255315 -aS'.\t.\t.\tO\tO' -p255316 -asS'He was transferred back to the CCU and started on a dopamine gtt .' -p255317 -(lp255318 -S'He\tHe\tPRP\tB-NP\tO' -p255319 -aS'was\tbe\tVBD\tB-VP\tO' -p255320 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p255321 -aS'back\tback\tRB\tB-ADVP\tO' -p255322 -aS'to\tto\tTO\tB-PP\tO' -p255323 -aS'the\tthe\tDT\tB-NP\tO' -p255324 -aS'CCU\tCCU\tNN\tI-NP\tB-DNA' -p255325 -aS'and\tand\tCC\tO\tO' -p255326 -aS'started\tstart\tVBD\tB-VP\tO' -p255327 -aS'on\ton\tIN\tB-PP\tO' -p255328 -aS'a\ta\tDT\tB-NP\tO' -p255329 -aS'dopamine\tdopamine\tNN\tI-NP\tO' -p255330 -aS'gtt\tgtt\tNN\tI-NP\tO' -p255331 -aS'.\t.\t.\tO\tO' -p255332 -asS'A work up begun by her internist , Dr. Brain , revealed a white blood cell count of 49,000 with 50% eosinophils .' -p255333 -(lp255334 -S'A\tA\tDT\tB-NP\tO' -p255335 -aS'work\twork\tNN\tI-NP\tO' -p255336 -aS'up\tup\tRB\tB-VP\tO' -p255337 -aS'begun\tbegin\tVBN\tI-VP\tO' -p255338 -aS'by\tby\tIN\tB-PP\tO' -p255339 -aS'her\ther\tPRP$\tB-NP\tO' -p255340 -aS'internist\tinternist\tNN\tI-NP\tO' -p255341 -aS',\t,\t,\tO\tO' -p255342 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p255343 -aS'Brain\tBrain\tNNP\tI-NP\tO' -p255344 -aS',\t,\t,\tO\tO' -p255345 -aS'revealed\treveal\tVBD\tB-VP\tO' -p255346 -aS'a\ta\tDT\tB-NP\tO' -p255347 -aS'white\twhite\tJJ\tI-NP\tO' -p255348 -aS'blood\tblood\tNN\tI-NP\tO' -p255349 -aS'cell\tcell\tNN\tI-NP\tO' -p255350 -aS'count\tcount\tNN\tI-NP\tO' -p255351 -aS'of\tof\tIN\tB-PP\tO' -p255352 -aS'49,000\t49,000\tCD\tB-NP\tO' -p255353 -aS'with\twith\tIN\tB-PP\tO' -p255354 -aS'50%\t50%\tCD\tB-NP\tO' -p255355 -aS'eosinophils\teosinophil\tNNS\tI-NP\tB-cell_type' -p255356 -aS'.\t.\t.\tO\tO' -p255357 -asS'She had been placed on emergency transplant for this difficult access problem .' -p255358 -(lp255359 -S'She\tShe\tPRP\tB-NP\tO' -p255360 -aS'had\thave\tVBD\tB-VP\tO' -p255361 -aS'been\tbe\tVBN\tI-VP\tO' -p255362 -aS'placed\tplace\tVBN\tI-VP\tO' -p255363 -aS'on\ton\tIN\tB-PP\tO' -p255364 -aS'emergency\temergency\tNN\tB-NP\tO' -p255365 -aS'transplant\ttransplant\tNN\tI-NP\tO' -p255366 -aS'for\tfor\tIN\tB-PP\tO' -p255367 -aS'this\tthis\tDT\tB-NP\tO' -p255368 -aS'difficult\tdifficult\tJJ\tI-NP\tO' -p255369 -aS'access\taccess\tNN\tI-NP\tO' -p255370 -aS'problem\tproblem\tNN\tI-NP\tO' -p255371 -aS'.\t.\t.\tO\tO' -p255372 -asS'3. Wellbutrin 200 mg by mouth twice per day .' -p255373 -(lp255374 -S'3.\t3.\tLS\tB-NP\tO' -p255375 -aS'Wellbutrin\tWellbutrin\tNN\tI-NP\tO' -p255376 -aS'200\t200\tCD\tI-NP\tO' -p255377 -aS'mg\tmg\tNN\tI-NP\tO' -p255378 -aS'by\tby\tIN\tB-PP\tO' -p255379 -aS'mouth\tmouth\tNN\tB-NP\tO' -p255380 -aS'twice\ttwice\tRB\tB-ADVP\tO' -p255381 -aS'per\tper\tIN\tB-PP\tO' -p255382 -aS'day\tday\tNN\tB-NP\tO' -p255383 -aS'.\t.\t.\tO\tO' -p255384 -asS'The subsequent overall course was a slow downhill one , with ongoing extreme hyperdynamic ( cardiac output 12 to 15 liters per minute ) and catabolic state .' -p255385 -(lp255386 -S'The\tThe\tDT\tB-NP\tO' -p255387 -aS'subsequent\tsubsequent\tJJ\tI-NP\tO' -p255388 -aS'overall\toverall\tJJ\tI-NP\tO' -p255389 -aS'course\tcourse\tNN\tI-NP\tO' -p255390 -aS'was\tbe\tVBD\tB-VP\tO' -p255391 -aS'a\ta\tDT\tB-NP\tO' -p255392 -aS'slow\tslow\tJJ\tI-NP\tO' -p255393 -aS'downhill\tdownhill\tNN\tI-NP\tO' -p255394 -aS'one\tone\tCD\tI-NP\tO' -p255395 -aS',\t,\t,\tO\tO' -p255396 -aS'with\twith\tIN\tB-PP\tO' -p255397 -aS'ongoing\tongoe\tVBG\tB-VP\tO' -p255398 -aS'extreme\textreme\tJJ\tB-NP\tO' -p255399 -aS'hyperdynamic\thyperdynamic\tJJ\tI-NP\tO' -p255400 -aS'(\t(\t(\tO\tO' -p255401 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p255402 -aS'output\toutput\tNN\tI-NP\tO' -p255403 -aS'12\t12\tCD\tI-NP\tO' -p255404 -aS'to\tto\tTO\tI-NP\tO' -p255405 -aS'15\t15\tCD\tI-NP\tO' -p255406 -aS'liters\tliter\tNNS\tI-NP\tO' -p255407 -aS'per\tper\tIN\tB-PP\tO' -p255408 -aS'minute\tminute\tNN\tB-NP\tO' -p255409 -aS')\t)\t)\tO\tO' -p255410 -aS'and\tand\tCC\tO\tO' -p255411 -aS'catabolic\tcatabolic\tJJ\tB-NP\tO' -p255412 -aS'state\tstate\tNN\tI-NP\tO' -p255413 -aS'.\t.\t.\tO\tO' -p255414 -asS'Lives alone but family is close .' -p255415 -(lp255416 -S'Lives\tLife\tNNS\tB-NP\tO' -p255417 -aS'alone\talone\tRB\tB-ADVP\tO' -p255418 -aS'but\tbut\tCC\tO\tO' -p255419 -aS'family\tfamily\tNN\tB-NP\tO' -p255420 -aS'is\tbe\tVBZ\tB-VP\tO' -p255421 -aS'close\tclose\tJJ\tB-ADJP\tO' -p255422 -aS'.\t.\t.\tO\tO' -p255423 -asS'She was in sinus rhythm with most of the time .' -p255424 -(lp255425 -S'She\tShe\tPRP\tB-NP\tO' -p255426 -aS'was\tbe\tVBD\tB-VP\tO' -p255427 -aS'in\tin\tIN\tB-PP\tO' -p255428 -aS'sinus\tsinus\tNN\tB-NP\tO' -p255429 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p255430 -aS'with\twith\tIN\tB-PP\tO' -p255431 -aS'most\tmost\tJJS\tB-NP\tO' -p255432 -aS'of\tof\tIN\tB-PP\tO' -p255433 -aS'the\tthe\tDT\tB-NP\tO' -p255434 -aS'time\ttime\tNN\tI-NP\tO' -p255435 -aS'.\t.\t.\tO\tO' -p255436 -asS'Heart rate 60 , respiratory rate 18 , blood pressure 116/80 , temperature 97.1 degrees , oxygen saturation 93% on room air .' -p255437 -(lp255438 -S'Heart\tHeart\tNN\tB-NP\tO' -p255439 -aS'rate\trate\tNN\tI-NP\tO' -p255440 -aS'60\t60\tCD\tI-NP\tO' -p255441 -aS',\t,\t,\tI-NP\tO' -p255442 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p255443 -aS'rate\trate\tNN\tI-NP\tO' -p255444 -aS'18\t18\tCD\tI-NP\tO' -p255445 -aS',\t,\t,\tO\tO' -p255446 -aS'blood\tblood\tNN\tB-NP\tO' -p255447 -aS'pressure\tpressure\tNN\tI-NP\tO' -p255448 -aS'116/80\t116/80\tCD\tI-NP\tO' -p255449 -aS',\t,\t,\tO\tO' -p255450 -aS'temperature\ttemperature\tNN\tB-NP\tO' -p255451 -aS'97.1\t97.1\tCD\tB-NP\tO' -p255452 -aS'degrees\tdegree\tNNS\tI-NP\tO' -p255453 -aS',\t,\t,\tO\tO' -p255454 -aS'oxygen\toxygen\tNN\tB-NP\tO' -p255455 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p255456 -aS'93%\t93%\tNN\tI-NP\tO' -p255457 -aS'on\ton\tIN\tB-PP\tO' -p255458 -aS'room\troom\tNN\tB-NP\tO' -p255459 -aS'air\tair\tNN\tI-NP\tO' -p255460 -aS'.\t.\t.\tO\tO' -p255461 -asS'On hospital day four , a routine chest x-ray revealed a left-sided pneumothorax .' -p255462 -(lp255463 -S'On\tOn\tIN\tB-PP\tO' -p255464 -aS'hospital\thospital\tNN\tB-NP\tO' -p255465 -aS'day\tday\tNN\tI-NP\tO' -p255466 -aS'four\tfour\tCD\tB-NP\tO' -p255467 -aS',\t,\t,\tO\tO' -p255468 -aS'a\ta\tDT\tB-NP\tO' -p255469 -aS'routine\troutine\tJJ\tI-NP\tO' -p255470 -aS'chest\tchest\tNN\tI-NP\tO' -p255471 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p255472 -aS'revealed\treveal\tVBD\tB-VP\tO' -p255473 -aS'a\ta\tDT\tB-NP\tO' -p255474 -aS'left-sided\tleft-sided\tJJ\tI-NP\tB-protein' -p255475 -aS'pneumothorax\tpneumothorax\tNN\tI-NP\tI-protein' -p255476 -aS'.\t.\t.\tO\tO' -p255477 -asS'Tylenol 650 mg p.o. q.4h. p.r.n. , Benadryl 25 mg p.o. q.h.s. p.r.n. , Colace 100 mg p.o. q.i.d. , Nortriptyline 25 mg p.o. q.h.s. , Simvastatin 10 mg p.o. q.h.s. , Metamucil one packet p.o. b.i.d. p.r.n. , Neurontin 300 mg p.o. t.i.d. , Levsinex 0.375 mg p.o. q.12h. , Lisinopril / hydrochlorothiazide 20/25 mg p.o. q.d. , hydrocortisone topical ointment to affected areas , MS Contin 30 mg p.o. b.i.d. , MSIR 15 to 30 mg p.o. q.4h. p.r.n. pain .' -p255478 -(lp255479 -S'Tylenol\tTylenol\tNN\tB-NP\tO' -p255480 -aS'650\t650\tCD\tI-NP\tO' -p255481 -aS'mg\tmg\tNN\tI-NP\tO' -p255482 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p255483 -aS'q.4h.\tq.4h.\tNN\tI-NP\tO' -p255484 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p255485 -aS',\t,\t,\tO\tO' -p255486 -aS'Benadryl\tBenadryl\tNN\tB-NP\tO' -p255487 -aS'25\t25\tCD\tI-NP\tO' -p255488 -aS'mg\tmg\tNN\tI-NP\tO' -p255489 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p255490 -aS'q.h.s.\tq.h.s.\tFW\tI-NP\tO' -p255491 -aS'p.r.n.\tp.r.n.\tFW\tI-NP\tO' -p255492 -aS',\t,\t,\tO\tO' -p255493 -aS'Colace\tColace\tNNP\tB-NP\tO' -p255494 -aS'100\t100\tCD\tI-NP\tO' -p255495 -aS'mg\tmg\tNN\tI-NP\tO' -p255496 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p255497 -aS'q.i.d.\tq.i.d.\tNN\tI-NP\tO' -p255498 -aS',\t,\t,\tO\tO' -p255499 -aS'Nortriptyline\tNortriptyline\tNN\tB-NP\tO' -p255500 -aS'25\t25\tCD\tI-NP\tO' -p255501 -aS'mg\tmg\tNN\tI-NP\tO' -p255502 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p255503 -aS'q.h.s.\tq.h.s.\tNN\tI-NP\tO' -p255504 -aS',\t,\t,\tO\tO' -p255505 -aS'Simvastatin\tSimvastatin\tNN\tB-NP\tO' -p255506 -aS'10\t10\tCD\tI-NP\tO' -p255507 -aS'mg\tmg\tNN\tI-NP\tO' -p255508 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p255509 -aS'q.h.s.\tq.h.s.\tNN\tI-NP\tO' -p255510 -aS',\t,\t,\tO\tO' -p255511 -aS'Metamucil\tMetamucil\tNNP\tB-NP\tO' -p255512 -aS'one\tone\tCD\tI-NP\tO' -p255513 -aS'packet\tpacket\tNN\tI-NP\tO' -p255514 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p255515 -aS'b.i.d.\tb.i.d.\tFW\tI-NP\tO' -p255516 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p255517 -aS',\t,\t,\tO\tO' -p255518 -aS'Neurontin\tNeurontin\tNN\tB-NP\tO' -p255519 -aS'300\t300\tCD\tI-NP\tO' -p255520 -aS'mg\tmg\tNN\tI-NP\tO' -p255521 -aS'p.o.\tp.o.\tFW\tB-ADVP\tO' -p255522 -aS't.i.d.\tt.i.d.\tFW\tI-ADVP\tO' -p255523 -aS',\t,\t,\tO\tO' -p255524 -aS'Levsinex\tLevsinex\tNNP\tB-NP\tO' -p255525 -aS'0.375\t0.375\tCD\tI-NP\tO' -p255526 -aS'mg\tmg\tNN\tI-NP\tO' -p255527 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p255528 -aS'q.12h.\tq.12h.\tNN\tI-NP\tO' -p255529 -aS',\t,\t,\tO\tO' -p255530 -aS'Lisinopril\tLisinopril\tNN\tB-NP\tO' -p255531 -aS'/\t/\tSYM\tB-VP\tO' -p255532 -aS'hydrochlorothiazide\thydrochlorothiazide\tNN\tB-NP\tO' -p255533 -aS'20/25\t20/25\tCD\tI-NP\tO' -p255534 -aS'mg\tmg\tNN\tI-NP\tO' -p255535 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p255536 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p255537 -aS',\t,\t,\tO\tO' -p255538 -aS'hydrocortisone\thydrocortisone\tNN\tB-NP\tO' -p255539 -aS'topical\ttopical\tJJ\tI-NP\tO' -p255540 -aS'ointment\tointment\tNN\tI-NP\tO' -p255541 -aS'to\tto\tTO\tB-PP\tO' -p255542 -aS'affected\taffect\tVBN\tB-NP\tO' -p255543 -aS'areas\tarea\tNNS\tI-NP\tO' -p255544 -aS',\t,\t,\tO\tO' -p255545 -aS'MS\tMS\tNNP\tB-NP\tO' -p255546 -aS'Contin\tContin\tNNP\tI-NP\tO' -p255547 -aS'30\t30\tCD\tI-NP\tO' -p255548 -aS'mg\tmg\tNN\tI-NP\tO' -p255549 -aS'p.o.\tp.o.\tFW\tB-ADVP\tO' -p255550 -aS'b.i.d.\tb.i.d.\tFW\tI-ADVP\tO' -p255551 -aS',\t,\t,\tO\tO' -p255552 -aS'MSIR\tMSIR\tNN\tB-NP\tO' -p255553 -aS'15\t15\tCD\tI-NP\tO' -p255554 -aS'to\tto\tTO\tI-NP\tO' -p255555 -aS'30\t30\tCD\tI-NP\tO' -p255556 -aS'mg\tmg\tNN\tI-NP\tO' -p255557 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p255558 -aS'q.4h.\tq.4h.\tNN\tI-NP\tO' -p255559 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p255560 -aS'pain\tpain\tNN\tI-NP\tO' -p255561 -aS'.\t.\t.\tO\tO' -p255562 -asS'The patient already had a follow up appointment with Dr. Sterpbreutzsterp in three weeks , and was instructed to keep that appointment .' -p255563 -(lp255564 -S'The\tThe\tDT\tB-NP\tO' -p255565 -aS'patient\tpatient\tNN\tI-NP\tO' -p255566 -aS'already\talready\tRB\tB-ADVP\tO' -p255567 -aS'had\thave\tVBD\tB-VP\tO' -p255568 -aS'a\ta\tDT\tB-NP\tO' -p255569 -aS'follow\tfollow\tNN\tI-NP\tO' -p255570 -aS'up\tup\tRP\tB-PRT\tO' -p255571 -aS'appointment\tappointment\tNN\tB-NP\tO' -p255572 -aS'with\twith\tIN\tB-PP\tO' -p255573 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p255574 -aS'Sterpbreutzsterp\tSterpbreutzsterp\tNNP\tI-NP\tO' -p255575 -aS'in\tin\tIN\tB-PP\tO' -p255576 -aS'three\tthree\tCD\tB-NP\tO' -p255577 -aS'weeks\tweek\tNNS\tI-NP\tO' -p255578 -aS',\t,\t,\tO\tO' -p255579 -aS'and\tand\tCC\tO\tO' -p255580 -aS'was\tbe\tVBD\tB-VP\tO' -p255581 -aS'instructed\tinstruct\tVBN\tI-VP\tO' -p255582 -aS'to\tto\tTO\tI-VP\tO' -p255583 -aS'keep\tkeep\tVB\tI-VP\tO' -p255584 -aS'that\tthat\tDT\tB-NP\tO' -p255585 -aS'appointment\tappointment\tNN\tI-NP\tO' -p255586 -aS'.\t.\t.\tO\tO' -p255587 -asS'Please continue taking the antibiotics for H. Pylori for full course ( 26 more days ) .' -p255588 -(lp255589 -S'Please\tPlease\tNN\tB-NP\tB-protein' -p255590 -aS'continue\tcontinue\tVBP\tB-VP\tO' -p255591 -aS'taking\ttake\tVBG\tI-VP\tO' -p255592 -aS'the\tthe\tDT\tB-NP\tO' -p255593 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p255594 -aS'for\tfor\tIN\tB-PP\tO' -p255595 -aS'H.\tH.\tNNP\tB-NP\tO' -p255596 -aS'Pylori\tPylori\tNNP\tI-NP\tO' -p255597 -aS'for\tfor\tIN\tB-PP\tO' -p255598 -aS'full\tfull\tJJ\tB-NP\tO' -p255599 -aS'course\tcourse\tNN\tI-NP\tO' -p255600 -aS'(\t(\t(\tO\tO' -p255601 -aS'26\t26\tCD\tB-NP\tO' -p255602 -aS'more\tmore\tJJR\tI-NP\tO' -p255603 -aS'days\tday\tNNS\tI-NP\tO' -p255604 -aS')\t)\t)\tO\tO' -p255605 -aS'.\t.\t.\tO\tO' -p255606 -asS'Dictated By : Rebecca S Jefcoat , M.D.' -p255607 -(lp255608 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p255609 -aS'By\tBy\tIN\tB-PP\tO' -p255610 -aS':\t:\t:\tO\tO' -p255611 -aS'Rebecca\tRebecca\tNNP\tB-NP\tO' -p255612 -aS'S\tS\tNNP\tI-NP\tO' -p255613 -aS'Jefcoat\tJefcoat\tNNP\tI-NP\tO' -p255614 -aS',\t,\t,\tO\tO' -p255615 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p255616 -asS'A copy to Dr. Ca Shuff at Valtawnprinceel Community Memorial Hospital , a copy to Dr. A Skizeis , a copy to Dr. Riemund C. Kennedy , and three copies to Dr. Shuff 's office .' -p255617 -(lp255618 -S'A\tA\tDT\tB-NP\tO' -p255619 -aS'copy\tcopy\tNN\tI-NP\tO' -p255620 -aS'to\tto\tTO\tB-PP\tO' -p255621 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p255622 -aS'Ca\tCa\tNNP\tI-NP\tO' -p255623 -aS'Shuff\tShuff\tNNP\tI-NP\tO' -p255624 -aS'at\tat\tIN\tB-PP\tO' -p255625 -aS'Valtawnprinceel\tValtawnprinceel\tNNP\tB-NP\tO' -p255626 -aS'Community\tCommunity\tNNP\tI-NP\tO' -p255627 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p255628 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p255629 -aS',\t,\t,\tO\tO' -p255630 -aS'a\ta\tDT\tB-NP\tO' -p255631 -aS'copy\tcopy\tNN\tI-NP\tO' -p255632 -aS'to\tto\tTO\tB-PP\tO' -p255633 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p255634 -aS'A\tA\tNNP\tI-NP\tO' -p255635 -aS'Skizeis\tSkizeis\tNNP\tI-NP\tO' -p255636 -aS',\t,\t,\tO\tO' -p255637 -aS'a\ta\tDT\tB-NP\tO' -p255638 -aS'copy\tcopy\tNN\tI-NP\tO' -p255639 -aS'to\tto\tTO\tB-PP\tO' -p255640 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p255641 -aS'Riemund\tRiemund\tNNP\tI-NP\tO' -p255642 -aS'C.\tC.\tNNP\tI-NP\tO' -p255643 -aS'Kennedy\tKennedy\tNNP\tI-NP\tO' -p255644 -aS',\t,\t,\tO\tO' -p255645 -aS'and\tand\tCC\tO\tO' -p255646 -aS'three\tthree\tCD\tB-NP\tO' -p255647 -aS'copies\tcopy\tNNS\tI-NP\tO' -p255648 -aS'to\tto\tTO\tB-PP\tO' -p255649 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p255650 -aS'Shuff\tShuff\tNNP\tI-NP\tO' -p255651 -aS''s\t'\tNNS\tI-NP\tO' -p255652 -aS'office\toffice\tNN\tI-NP\tO' -p255653 -aS'.\t.\t.\tO\tO' -p255654 -asS'Hysterectomy at the age of 32 .' -p255655 -(lp255656 -S'Hysterectomy\tHysterectomy\tNN\tB-NP\tO' -p255657 -aS'at\tat\tIN\tB-PP\tO' -p255658 -aS'the\tthe\tDT\tB-NP\tO' -p255659 -aS'age\tage\tNN\tI-NP\tO' -p255660 -aS'of\tof\tIN\tB-PP\tO' -p255661 -aS'32\t32\tCD\tB-NP\tO' -p255662 -aS'.\t.\t.\tO\tO' -p255663 -asS'The patient was discharged back to Raka St , Mcape Garl , long term facility .' -p255664 -(lp255665 -S'The\tThe\tDT\tB-NP\tO' -p255666 -aS'patient\tpatient\tNN\tI-NP\tO' -p255667 -aS'was\tbe\tVBD\tB-VP\tO' -p255668 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p255669 -aS'back\tback\tRB\tB-ADVP\tO' -p255670 -aS'to\tto\tTO\tB-PP\tO' -p255671 -aS'Raka\tRaka\tNNP\tB-NP\tO' -p255672 -aS'St\tSt\tNNP\tI-NP\tO' -p255673 -aS',\t,\t,\tO\tO' -p255674 -aS'Mcape\tMcape\tNNP\tB-NP\tO' -p255675 -aS'Garl\tGarl\tNNP\tI-NP\tO' -p255676 -aS',\t,\t,\tO\tO' -p255677 -aS'long\tlong\tJJ\tB-NP\tO' -p255678 -aS'term\tterm\tNN\tI-NP\tO' -p255679 -aS'facility\tfacility\tNN\tI-NP\tO' -p255680 -aS'.\t.\t.\tO\tO' -p255681 -asS"Mother 's blood type is O negative ." -p255682 -(lp255683 -S'Mother\tMother\tNNP\tB-NP\tO' -p255684 -aS"'s\t's\tPOS\tB-NP\tO" -p255685 -aS'blood\tblood\tNN\tI-NP\tO' -p255686 -aS'type\ttype\tNN\tI-NP\tO' -p255687 -aS'is\tbe\tVBZ\tB-VP\tO' -p255688 -aS'O\tO\tNN\tB-NP\tO' -p255689 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p255690 -aS'.\t.\t.\tO\tO' -p255691 -asS'She was intially continued on Cipro/Zosyn .' -p255692 -(lp255693 -S'She\tShe\tPRP\tB-NP\tO' -p255694 -aS'was\tbe\tVBD\tB-VP\tO' -p255695 -aS'intially\tintially\tRB\tI-VP\tO' -p255696 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p255697 -aS'on\ton\tIN\tB-PP\tO' -p255698 -aS'Cipro/Zosyn\tCipro/Zosyn\tNN\tB-NP\tO' -p255699 -aS'.\t.\t.\tO\tO' -p255700 -asS'Metamucil instant mix , one teaspoon PO q.day ;' -p255701 -(lp255702 -S'Metamucil\tMetamucil\tNN\tB-NP\tO' -p255703 -aS'instant\tinstant\tJJ\tI-NP\tO' -p255704 -aS'mix\tmix\tNN\tI-NP\tO' -p255705 -aS',\t,\t,\tO\tO' -p255706 -aS'one\tone\tCD\tB-NP\tO' -p255707 -aS'teaspoon\tteaspoon\tNN\tI-NP\tO' -p255708 -aS'PO\tPO\tNN\tI-NP\tO' -p255709 -aS'q.day\tq.day\tNN\tI-NP\tO' -p255710 -aS';\t;\t:\tO\tO' -p255711 -asS'EBL 4000 cc ; IVF 6000 cc crystalloid ; U/O 3500 cc .' -p255712 -(lp255713 -S'EBL\tEBL\tNN\tB-NP\tO' -p255714 -aS'4000\t4000\tCD\tI-NP\tO' -p255715 -aS'cc\tcc\tNN\tI-NP\tO' -p255716 -aS';\t;\t:\tO\tO' -p255717 -aS'IVF\tIVF\tNN\tB-NP\tO' -p255718 -aS'6000\t6000\tCD\tI-NP\tO' -p255719 -aS'cc\tcc\tNN\tI-NP\tO' -p255720 -aS'crystalloid\tcrystalloid\tNN\tI-NP\tO' -p255721 -aS';\t;\t:\tO\tO' -p255722 -aS'U/O\tU/O\tNN\tB-NP\tO' -p255723 -aS'3500\t3500\tCD\tI-NP\tO' -p255724 -aS'cc\tcc\tNN\tI-NP\tO' -p255725 -aS'.\t.\t.\tO\tO' -p255726 -asS'NODES : No supraclavicular , submandibular , axillary or inguinal lymphadenopathy .' -p255727 -(lp255728 -S'NODES\tNODES\tNNS\tB-NP\tO' -p255729 -aS':\t:\t:\tO\tO' -p255730 -aS'No\tNo\tDT\tB-NP\tO' -p255731 -aS'supraclavicular\tsupraclavicular\tJJ\tI-NP\tO' -p255732 -aS',\t,\t,\tI-NP\tO' -p255733 -aS'submandibular\tsubmandibular\tJJ\tI-NP\tO' -p255734 -aS',\t,\t,\tI-NP\tO' -p255735 -aS'axillary\taxillary\tJJ\tI-NP\tO' -p255736 -aS'or\tor\tCC\tI-NP\tO' -p255737 -aS'inguinal\tinguinal\tJJ\tI-NP\tO' -p255738 -aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' -p255739 -aS'.\t.\t.\tO\tO' -p255740 -asS'1) born at less than 32 weeks ,' -p255741 -(lp255742 -S'1)\t1)\tLS\tB-LST\tO' -p255743 -aS'born\tbear\tVBN\tB-VP\tO' -p255744 -aS'at\tat\tIN\tB-PP\tO' -p255745 -aS'less\tless\tJJR\tB-NP\tO' -p255746 -aS'than\tthan\tIN\tI-NP\tO' -p255747 -aS'32\t32\tCD\tI-NP\tO' -p255748 -aS'weeks\tweek\tNNS\tI-NP\tO' -p255749 -aS',\t,\t,\tO\tO' -p255750 -asS'The pt had an NG tube placed and received tube feeds for the majority of his hospitalization .' -p255751 -(lp255752 -S'The\tThe\tDT\tB-NP\tO' -p255753 -aS'pt\tpt\tNN\tI-NP\tO' -p255754 -aS'had\thave\tVBD\tB-VP\tO' -p255755 -aS'an\tan\tDT\tB-NP\tO' -p255756 -aS'NG\tNG\tNN\tI-NP\tO' -p255757 -aS'tube\ttube\tNN\tI-NP\tO' -p255758 -aS'placed\tplace\tVBD\tB-VP\tO' -p255759 -aS'and\tand\tCC\tI-VP\tO' -p255760 -aS'received\treceive\tVBD\tI-VP\tO' -p255761 -aS'tube\ttube\tNN\tB-NP\tO' -p255762 -aS'feeds\tfeed\tNNS\tI-NP\tO' -p255763 -aS'for\tfor\tIN\tB-PP\tO' -p255764 -aS'the\tthe\tDT\tB-NP\tO' -p255765 -aS'majority\tmajority\tNN\tI-NP\tO' -p255766 -aS'of\tof\tIN\tB-PP\tO' -p255767 -aS'his\this\tPRP$\tB-NP\tO' -p255768 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p255769 -aS'.\t.\t.\tO\tO' -p255770 -asS'18) recent suicide attempt with tylenol #3 requiring CMED admission but relatively Jennifer transaminitis with full recovery' -p255771 -(lp255772 -S'18)\t18)\tLS\tB-NP\tO' -p255773 -aS'recent\trecent\tJJ\tI-NP\tO' -p255774 -aS'suicide\tsuicide\tNN\tI-NP\tO' -p255775 -aS'attempt\tattempt\tNN\tI-NP\tO' -p255776 -aS'with\twith\tIN\tB-PP\tO' -p255777 -aS'tylenol\ttylenol\tNN\tB-NP\tO' -p255778 -aS'#3\t#3\tNN\tI-NP\tO' -p255779 -aS'requiring\trequire\tVBG\tB-VP\tO' -p255780 -aS'CMED\tCMED\tVBN\tB-NP\tO' -p255781 -aS'admission\tadmission\tNN\tI-NP\tO' -p255782 -aS'but\tbut\tCC\tO\tO' -p255783 -aS'relatively\trelatively\tRB\tB-NP\tO' -p255784 -aS'Jennifer\tJennif\tJJR\tI-NP\tO' -p255785 -aS'transaminitis\ttransaminitis\tNN\tI-NP\tO' -p255786 -aS'with\twith\tIN\tB-PP\tO' -p255787 -aS'full\tfull\tJJ\tB-NP\tO' -p255788 -aS'recovery\trecovery\tNN\tI-NP\tO' -p255789 -asS'The patient has a history of hypertension , non-insulin dependent diabetes mellitus , diet-controlled , status post myocardial infarctions x two as mentioned above .' -p255790 -(lp255791 -S'The\tThe\tDT\tB-NP\tO' -p255792 -aS'patient\tpatient\tNN\tI-NP\tO' -p255793 -aS'has\thave\tVBZ\tB-VP\tO' -p255794 -aS'a\ta\tDT\tB-NP\tO' -p255795 -aS'history\thistory\tNN\tI-NP\tO' -p255796 -aS'of\tof\tIN\tB-PP\tO' -p255797 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p255798 -aS',\t,\t,\tO\tO' -p255799 -aS'non-insulin\tnon-insulin\tJJ\tB-NP\tO' -p255800 -aS'dependent\tdependent\tJJ\tI-NP\tO' -p255801 -aS'diabetes\tdiabetes\tNN\tI-NP\tO' -p255802 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p255803 -aS',\t,\t,\tO\tO' -p255804 -aS'diet-controlled\tdiet-controlled\tJJ\tB-ADJP\tO' -p255805 -aS',\t,\t,\tO\tO' -p255806 -aS'status\tstatus\tNN\tB-NP\tO' -p255807 -aS'post\tpost\tVBD\tB-VP\tO' -p255808 -aS'myocardial\tmyocardial\tJJ\tB-NP\tO' -p255809 -aS'infarctions\tinfarction\tNNS\tI-NP\tO' -p255810 -aS'x\tx\tVBP\tB-VP\tO' -p255811 -aS'two\ttwo\tCD\tB-NP\tO' -p255812 -aS'as\tas\tIN\tB-SBAR\tO' -p255813 -aS'mentioned\tmention\tVBN\tB-VP\tO' -p255814 -aS'above\tabove\tRB\tB-ADVP\tO' -p255815 -aS'.\t.\t.\tO\tO' -p255816 -asS'Results were discussed with Dr. Leanne Vazquez in the early afternoon on 2014-10-21 .' -p255817 -(lp255818 -S'Results\tResult\tNNS\tB-NP\tO' -p255819 -aS'were\tbe\tVBD\tB-VP\tO' -p255820 -aS'discussed\tdiscuss\tVBN\tI-VP\tO' -p255821 -aS'with\twith\tIN\tB-PP\tO' -p255822 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p255823 -aS'Leanne\tLeanne\tNNP\tI-NP\tO' -p255824 -aS'Vazquez\tVazquez\tNNP\tI-NP\tO' -p255825 -aS'in\tin\tIN\tB-PP\tO' -p255826 -aS'the\tthe\tDT\tB-NP\tO' -p255827 -aS'early\tearly\tJJ\tI-NP\tO' -p255828 -aS'afternoon\tafternoon\tNN\tI-NP\tO' -p255829 -aS'on\ton\tIN\tB-PP\tO' -p255830 -aS'2014-10-21\t2014-10-21\tCD\tB-NP\tO' -p255831 -aS'.\t.\t.\tO\tO' -p255832 -asS'Initially this improved on Clindamycin and Cefotetan , but fevers recurred on this antibiotic regimen .' -p255833 -(lp255834 -S'Initially\tInitially\tRB\tB-NP\tO' -p255835 -aS'this\tthis\tDT\tI-NP\tO' -p255836 -aS'improved\timprove\tVBN\tB-VP\tO' -p255837 -aS'on\ton\tIN\tB-PP\tO' -p255838 -aS'Clindamycin\tClindamycin\tNN\tB-NP\tO' -p255839 -aS'and\tand\tCC\tI-NP\tO' -p255840 -aS'Cefotetan\tCefotetan\tNN\tI-NP\tO' -p255841 -aS',\t,\t,\tO\tO' -p255842 -aS'but\tbut\tCC\tO\tO' -p255843 -aS'fevers\tfever\tNNS\tB-NP\tO' -p255844 -aS'recurred\trecur\tVBN\tB-VP\tO' -p255845 -aS'on\ton\tIN\tB-PP\tO' -p255846 -aS'this\tthis\tDT\tB-NP\tO' -p255847 -aS'antibiotic\tantibiotic\tJJ\tI-NP\tO' -p255848 -aS'regimen\tregimen\tNN\tI-NP\tO' -p255849 -aS'.\t.\t.\tO\tO' -p255850 -asS'Intubated , opens eyes , responds to painful stimulus .' -p255851 -(lp255852 -S'Intubated\tIntubate\tVBN\tB-VP\tO' -p255853 -aS',\t,\t,\tO\tO' -p255854 -aS'opens\topen\tVBZ\tB-VP\tO' -p255855 -aS'eyes\teye\tNNS\tB-NP\tO' -p255856 -aS',\t,\t,\tO\tO' -p255857 -aS'responds\trespond\tVBZ\tB-VP\tO' -p255858 -aS'to\tto\tTO\tB-PP\tO' -p255859 -aS'painful\tpainful\tJJ\tB-NP\tO' -p255860 -aS'stimulus\tstimulus\tNN\tI-NP\tO' -p255861 -aS'.\t.\t.\tO\tO' -p255862 -asS'We will monitor for signs of alcohol withdrawal according to the CIWA scale .' -p255863 -(lp255864 -S'We\tWe\tPRP\tB-NP\tO' -p255865 -aS'will\twill\tMD\tB-VP\tO' -p255866 -aS'monitor\tmonitor\tVB\tI-VP\tO' -p255867 -aS'for\tfor\tIN\tB-PP\tO' -p255868 -aS'signs\tsign\tNNS\tB-NP\tO' -p255869 -aS'of\tof\tIN\tB-PP\tO' -p255870 -aS'alcohol\talcohol\tNN\tB-NP\tO' -p255871 -aS'withdrawal\twithdrawal\tNN\tI-NP\tO' -p255872 -aS'according\taccord\tVBG\tB-PP\tO' -p255873 -aS'to\tto\tTO\tB-PP\tO' -p255874 -aS'the\tthe\tDT\tB-NP\tO' -p255875 -aS'CIWA\tCIWA\tNNP\tI-NP\tO' -p255876 -aS'scale\tscale\tNN\tI-NP\tO' -p255877 -aS'.\t.\t.\tO\tO' -p255878 -asS'She was given a prescription for ten more days .' -p255879 -(lp255880 -S'She\tShe\tPRP\tB-NP\tO' -p255881 -aS'was\tbe\tVBD\tB-VP\tO' -p255882 -aS'given\tgive\tVBN\tI-VP\tO' -p255883 -aS'a\ta\tDT\tB-NP\tO' -p255884 -aS'prescription\tprescription\tNN\tI-NP\tO' -p255885 -aS'for\tfor\tIN\tB-PP\tO' -p255886 -aS'ten\tten\tCD\tB-NP\tO' -p255887 -aS'more\tmore\tJJR\tI-NP\tO' -p255888 -aS'days\tday\tNNS\tI-NP\tO' -p255889 -aS'.\t.\t.\tO\tO' -p255890 -asS'He presents at this time for endovascular repair of this abdominal aortic aneurysm .' -p255891 -(lp255892 -S'He\tHe\tPRP\tB-NP\tO' -p255893 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p255894 -aS'at\tat\tIN\tB-PP\tO' -p255895 -aS'this\tthis\tDT\tB-NP\tO' -p255896 -aS'time\ttime\tNN\tI-NP\tO' -p255897 -aS'for\tfor\tIN\tB-PP\tO' -p255898 -aS'endovascular\tendovascular\tJJ\tB-NP\tO' -p255899 -aS'repair\trepair\tNN\tI-NP\tO' -p255900 -aS'of\tof\tIN\tB-PP\tO' -p255901 -aS'this\tthis\tDT\tB-NP\tO' -p255902 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p255903 -aS'aortic\taortic\tJJ\tI-NP\tO' -p255904 -aS'aneurysm\taneurysm\tNN\tI-NP\tO' -p255905 -aS'.\t.\t.\tO\tO' -p255906 -asS'Signed electronically by : DR. Wanda PARKS on : Yesenia 2017-01-10 6:50 PM' -p255907 -(lp255908 -S'Signed\tSign\tVBN\tB-VP\tO' -p255909 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p255910 -aS'by\tby\tIN\tB-PP\tO' -p255911 -aS':\t:\t:\tO\tO' -p255912 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p255913 -aS'Wanda\tWanda\tNNP\tI-NP\tO' -p255914 -aS'PARKS\tPARKS\tNNP\tI-NP\tO' -p255915 -aS'on\ton\tIN\tB-PP\tO' -p255916 -aS':\t:\t:\tO\tO' -p255917 -aS'Yesenia\tYesenia\tNNP\tB-NP\tO' -p255918 -aS'2017-01-10\t2017-01-10\tCD\tB-NP\tO' -p255919 -aS'6:50\t6:50\tCD\tI-NP\tO' -p255920 -aS'PM\tPM\tNN\tI-NP\tO' -p255921 -asS'Drinks 3-4 beers a few times weekly , no h/o withdrawal symptoms , seizures or DT s.' -p255922 -(lp255923 -S'Drinks\tDrink\tVBZ\tB-VP\tO' -p255924 -aS'3-4\t3-4\tCD\tB-NP\tO' -p255925 -aS'beers\tbeer\tNNS\tI-NP\tO' -p255926 -aS'a\ta\tDT\tB-NP\tO' -p255927 -aS'few\tfew\tJJ\tI-NP\tO' -p255928 -aS'times\ttime\tNNS\tI-NP\tO' -p255929 -aS'weekly\tweekly\tRB\tB-ADVP\tO' -p255930 -aS',\t,\t,\tO\tO' -p255931 -aS'no\tno\tDT\tB-NP\tO' -p255932 -aS'h/o\th/o\tNN\tI-NP\tO' -p255933 -aS'withdrawal\twithdrawal\tNN\tI-NP\tO' -p255934 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p255935 -aS',\t,\t,\tO\tO' -p255936 -aS'seizures\tseizure\tNNS\tB-NP\tO' -p255937 -aS'or\tor\tCC\tO\tO' -p255938 -aS'DT\tDT\tNN\tB-NP\tO' -p255939 -aS's.\ts.\tNN\tI-NP\tO' -p255940 -asS'The patient understood the risks and potential benefits of the procedure and was willing to proceed .' -p255941 -(lp255942 -S'The\tThe\tDT\tB-NP\tO' -p255943 -aS'patient\tpatient\tNN\tI-NP\tO' -p255944 -aS'understood\tunderstand\tVBD\tB-VP\tO' -p255945 -aS'the\tthe\tDT\tB-NP\tO' -p255946 -aS'risks\trisk\tNNS\tI-NP\tO' -p255947 -aS'and\tand\tCC\tO\tO' -p255948 -aS'potential\tpotential\tJJ\tB-NP\tO' -p255949 -aS'benefits\tbenefit\tNNS\tI-NP\tO' -p255950 -aS'of\tof\tIN\tB-PP\tO' -p255951 -aS'the\tthe\tDT\tB-NP\tO' -p255952 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p255953 -aS'and\tand\tCC\tO\tO' -p255954 -aS'was\tbe\tVBD\tB-VP\tO' -p255955 -aS'willing\twilling\tJJ\tB-ADJP\tO' -p255956 -aS'to\tto\tTO\tB-VP\tO' -p255957 -aS'proceed\tproceed\tVB\tI-VP\tO' -p255958 -aS'.\t.\t.\tO\tO' -p255959 -asS'The family history is positive for diabetes mellitus , positive for cancer .' -p255960 -(lp255961 -S'The\tThe\tDT\tB-NP\tO' -p255962 -aS'family\tfamily\tNN\tI-NP\tO' -p255963 -aS'history\thistory\tNN\tI-NP\tO' -p255964 -aS'is\tbe\tVBZ\tB-VP\tO' -p255965 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p255966 -aS'for\tfor\tIN\tB-PP\tO' -p255967 -aS'diabetes\tdiabetes\tNN\tB-NP\tO' -p255968 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p255969 -aS',\t,\t,\tO\tO' -p255970 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p255971 -aS'for\tfor\tIN\tB-PP\tO' -p255972 -aS'cancer\tcancer\tNN\tB-NP\tO' -p255973 -aS'.\t.\t.\tO\tO' -p255974 -asS'Occasional alcohol , does not smoke .' -p255975 -(lp255976 -S'Occasional\tOccasional\tJJ\tB-NP\tO' -p255977 -aS'alcohol\talcohol\tNN\tI-NP\tO' -p255978 -aS',\t,\t,\tO\tO' -p255979 -aS'does\tdo\tVBZ\tB-VP\tO' -p255980 -aS'not\tnot\tRB\tI-VP\tO' -p255981 -aS'smoke\tsmoke\tVB\tI-VP\tO' -p255982 -aS'.\t.\t.\tO\tO' -p255983 -asS'The patient with a history of hypothyroidism .' -p255984 -(lp255985 -S'The\tThe\tDT\tB-NP\tO' -p255986 -aS'patient\tpatient\tNN\tI-NP\tO' -p255987 -aS'with\twith\tIN\tB-PP\tO' -p255988 -aS'a\ta\tDT\tB-NP\tO' -p255989 -aS'history\thistory\tNN\tI-NP\tO' -p255990 -aS'of\tof\tIN\tB-PP\tO' -p255991 -aS'hypothyroidism\thypothyroidism\tNN\tB-NP\tO' -p255992 -aS'.\t.\t.\tO\tO' -p255993 -asS'The patient is a 28-year-old woman who is HIV positive for two years .' -p255994 -(lp255995 -S'The\tThe\tDT\tB-NP\tO' -p255996 -aS'patient\tpatient\tNN\tI-NP\tO' -p255997 -aS'is\tbe\tVBZ\tB-VP\tO' -p255998 -aS'a\ta\tDT\tB-NP\tO' -p255999 -aS'28-year-old\t28-year-old\tJJ\tI-NP\tO' -p256000 -aS'woman\twoman\tNN\tI-NP\tO' -p256001 -aS'who\twho\tWP\tB-NP\tO' -p256002 -aS'is\tbe\tVBZ\tB-VP\tO' -p256003 -aS'HIV\tHIV\tNN\tB-NP\tO' -p256004 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p256005 -aS'for\tfor\tIN\tB-PP\tO' -p256006 -aS'two\ttwo\tCD\tB-NP\tO' -p256007 -aS'years\tyear\tNNS\tI-NP\tO' -p256008 -aS'.\t.\t.\tO\tO' -p256009 -asS'NO POLYMORPHONUCLEAR LEUKOCYTES SEEN .' -p256010 -(lp256011 -S'NO\tNO\tNN\tB-NP\tO' -p256012 -aS'POLYMORPHONUCLEAR\tPOLYMORPHONUCLEAR\tNN\tI-NP\tO' -p256013 -aS'LEUKOCYTES\tLEUKOCYTES\tNN\tI-NP\tO' -p256014 -aS'SEEN\tSEEN\tNN\tI-NP\tO' -p256015 -aS'.\t.\t.\tO\tO' -p256016 -asS'She will begin weekly follow-up in the Transplant Center .' -p256017 -(lp256018 -S'She\tShe\tPRP\tB-NP\tO' -p256019 -aS'will\twill\tMD\tB-VP\tO' -p256020 -aS'begin\tbegin\tVB\tI-VP\tO' -p256021 -aS'weekly\tweekly\tJJ\tB-NP\tO' -p256022 -aS'follow-up\tfollow-up\tNN\tI-NP\tO' -p256023 -aS'in\tin\tIN\tB-PP\tO' -p256024 -aS'the\tthe\tDT\tB-NP\tO' -p256025 -aS'Transplant\tTransplant\tNNP\tI-NP\tO' -p256026 -aS'Center\tCenter\tNNP\tI-NP\tO' -p256027 -aS'.\t.\t.\tO\tO' -p256028 -asS'Temperature was 102 , heart rate was 110 , respiratory rate was 22 , blood pressure was 113/63 .' -p256029 -(lp256030 -S'Temperature\tTemperature\tNN\tB-NP\tO' -p256031 -aS'was\tbe\tVBD\tB-VP\tO' -p256032 -aS'102\t102\tCD\tB-NP\tO' -p256033 -aS',\t,\t,\tO\tO' -p256034 -aS'heart\theart\tNN\tB-NP\tO' -p256035 -aS'rate\trate\tNN\tI-NP\tO' -p256036 -aS'was\tbe\tVBD\tB-VP\tO' -p256037 -aS'110\t110\tCD\tB-NP\tO' -p256038 -aS',\t,\t,\tO\tO' -p256039 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p256040 -aS'rate\trate\tNN\tI-NP\tO' -p256041 -aS'was\tbe\tVBD\tB-VP\tO' -p256042 -aS'22\t22\tCD\tB-NP\tO' -p256043 -aS',\t,\t,\tO\tO' -p256044 -aS'blood\tblood\tNN\tB-NP\tO' -p256045 -aS'pressure\tpressure\tNN\tI-NP\tO' -p256046 -aS'was\tbe\tVBD\tB-VP\tO' -p256047 -aS'113/63\t113/63\tCD\tB-NP\tO' -p256048 -aS'.\t.\t.\tO\tO' -p256049 -asS'The oropharynx was clear with moist mucosa .' -p256050 -(lp256051 -S'The\tThe\tDT\tB-NP\tO' -p256052 -aS'oropharynx\toropharynx\tNN\tI-NP\tO' -p256053 -aS'was\tbe\tVBD\tB-VP\tO' -p256054 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p256055 -aS'with\twith\tIN\tB-PP\tO' -p256056 -aS'moist\tmoist\tNN\tB-NP\tO' -p256057 -aS'mucosa\tmucosa\tNN\tI-NP\tO' -p256058 -aS'.\t.\t.\tO\tO' -p256059 -asS'Transcranial Dopplers were checked following surgery and the patient was started on Decadron 4 mg q6 to prevent swelling .' -p256060 -(lp256061 -S'Transcranial\tTranscranial\tJJ\tB-NP\tO' -p256062 -aS'Dopplers\tDoppler\tNNS\tI-NP\tO' -p256063 -aS'were\tbe\tVBD\tB-VP\tO' -p256064 -aS'checked\tcheck\tVBN\tI-VP\tO' -p256065 -aS'following\tfollow\tVBG\tB-PP\tO' -p256066 -aS'surgery\tsurgery\tNN\tB-NP\tO' -p256067 -aS'and\tand\tCC\tO\tO' -p256068 -aS'the\tthe\tDT\tB-NP\tO' -p256069 -aS'patient\tpatient\tNN\tI-NP\tO' -p256070 -aS'was\tbe\tVBD\tB-VP\tO' -p256071 -aS'started\tstart\tVBN\tI-VP\tO' -p256072 -aS'on\ton\tIN\tB-PP\tO' -p256073 -aS'Decadron\tDecadron\tNNP\tB-NP\tO' -p256074 -aS'4\t4\tCD\tI-NP\tO' -p256075 -aS'mg\tmg\tNN\tI-NP\tO' -p256076 -aS'q6\tq6\tNN\tI-NP\tO' -p256077 -aS'to\tto\tTO\tB-VP\tO' -p256078 -aS'prevent\tprevent\tVB\tI-VP\tO' -p256079 -aS'swelling\tswelling\tNN\tB-NP\tO' -p256080 -aS'.\t.\t.\tO\tO' -p256081 -asS'Electrocardiogram was normal sinus rhythm with a T wave inversion in V2 , but no ST segment elevations .' -p256082 -(lp256083 -S'Electrocardiogram\tElectrocardiogram\tNN\tB-NP\tO' -p256084 -aS'was\tbe\tVBD\tB-VP\tO' -p256085 -aS'normal\tnormal\tJJ\tB-NP\tO' -p256086 -aS'sinus\tsinus\tNN\tI-NP\tO' -p256087 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p256088 -aS'with\twith\tIN\tB-PP\tO' -p256089 -aS'a\ta\tDT\tB-NP\tO' -p256090 -aS'T\tT\tNN\tI-NP\tO' -p256091 -aS'wave\twave\tNN\tI-NP\tO' -p256092 -aS'inversion\tinversion\tNN\tI-NP\tO' -p256093 -aS'in\tin\tIN\tB-PP\tO' -p256094 -aS'V2\tV2\tNN\tB-NP\tO' -p256095 -aS',\t,\t,\tO\tO' -p256096 -aS'but\tbut\tCC\tO\tO' -p256097 -aS'no\tno\tDT\tB-NP\tO' -p256098 -aS'ST\tST\tNN\tI-NP\tO' -p256099 -aS'segment\tsegment\tNN\tI-NP\tO' -p256100 -aS'elevations\televation\tNNS\tI-NP\tO' -p256101 -aS'.\t.\t.\tO\tO' -p256102 -asS'Quit tobacco 20 years ago and currently denies any cigarette .' -p256103 -(lp256104 -S'Quit\tQuit\tNN\tB-NP\tO' -p256105 -aS'tobacco\ttobacco\tNN\tI-NP\tO' -p256106 -aS'20\t20\tCD\tB-NP\tO' -p256107 -aS'years\tyear\tNNS\tI-NP\tO' -p256108 -aS'ago\tago\tRB\tB-ADVP\tO' -p256109 -aS'and\tand\tCC\tO\tO' -p256110 -aS'currently\tcurrently\tRB\tB-VP\tO' -p256111 -aS'denies\tdeny\tVBZ\tI-VP\tO' -p256112 -aS'any\tany\tDT\tB-NP\tO' -p256113 -aS'cigarette\tcigarette\tNN\tI-NP\tO' -p256114 -aS'.\t.\t.\tO\tO' -p256115 -asS'He was placed on a patient-controlled analgesia for pain control .' -p256116 -(lp256117 -S'He\tHe\tPRP\tB-NP\tO' -p256118 -aS'was\tbe\tVBD\tB-VP\tO' -p256119 -aS'placed\tplace\tVBN\tI-VP\tO' -p256120 -aS'on\ton\tIN\tB-PP\tO' -p256121 -aS'a\ta\tDT\tB-NP\tO' -p256122 -aS'patient-controlled\tpatient-controlled\tJJ\tI-NP\tO' -p256123 -aS'analgesia\tanalgesia\tNN\tI-NP\tO' -p256124 -aS'for\tfor\tIN\tB-PP\tO' -p256125 -aS'pain\tpain\tNN\tB-NP\tO' -p256126 -aS'control\tcontrol\tNN\tI-NP\tO' -p256127 -aS'.\t.\t.\tO\tO' -p256128 -asS'When he was seen on 2/3 in the Transplant Clinic , his incision was noted to be more erythematous .' -p256129 -(lp256130 -S'When\tWhen\tWRB\tB-ADVP\tO' -p256131 -aS'he\the\tPRP\tB-NP\tO' -p256132 -aS'was\tbe\tVBD\tB-VP\tO' -p256133 -aS'seen\tsee\tVBN\tI-VP\tO' -p256134 -aS'on\ton\tIN\tB-PP\tO' -p256135 -aS'2/3\t2/3\tNN\tB-NP\tO' -p256136 -aS'in\tin\tIN\tB-PP\tO' -p256137 -aS'the\tthe\tDT\tB-NP\tO' -p256138 -aS'Transplant\tTransplant\tNNP\tI-NP\tO' -p256139 -aS'Clinic\tClinic\tNNP\tI-NP\tO' -p256140 -aS',\t,\t,\tO\tO' -p256141 -aS'his\this\tPRP$\tB-NP\tO' -p256142 -aS'incision\tincision\tNN\tI-NP\tO' -p256143 -aS'was\tbe\tVBD\tB-VP\tO' -p256144 -aS'noted\tnote\tVBN\tI-VP\tO' -p256145 -aS'to\tto\tTO\tI-VP\tO' -p256146 -aS'be\tbe\tVB\tI-VP\tO' -p256147 -aS'more\tmore\tRBR\tB-ADJP\tO' -p256148 -aS'erythematous\terythematous\tJJ\tI-ADJP\tO' -p256149 -aS'.\t.\t.\tO\tO' -p256150 -asS'Otherwise , there were difficulties , and estimated blood loss was minimal .' -p256151 -(lp256152 -S'Otherwise\tOtherwise\tRB\tB-ADVP\tO' -p256153 -aS',\t,\t,\tO\tO' -p256154 -aS'there\tthere\tEX\tB-NP\tO' -p256155 -aS'were\tbe\tVBD\tB-VP\tO' -p256156 -aS'difficulties\tdifficulty\tNNS\tB-NP\tO' -p256157 -aS',\t,\t,\tO\tO' -p256158 -aS'and\tand\tCC\tO\tO' -p256159 -aS'estimated\testimate\tVBN\tB-NP\tO' -p256160 -aS'blood\tblood\tNN\tI-NP\tO' -p256161 -aS'loss\tloss\tNN\tI-NP\tO' -p256162 -aS'was\tbe\tVBD\tB-VP\tO' -p256163 -aS'minimal\tminimal\tJJ\tB-ADJP\tO' -p256164 -aS'.\t.\t.\tO\tO' -p256165 -asS'The patient refused an LP .' -p256166 -(lp256167 -S'The\tThe\tDT\tB-NP\tO' -p256168 -aS'patient\tpatient\tNN\tI-NP\tO' -p256169 -aS'refused\trefuse\tVBD\tB-VP\tO' -p256170 -aS'an\tan\tDT\tB-NP\tO' -p256171 -aS'LP\tLP\tNN\tI-NP\tO' -p256172 -aS'.\t.\t.\tO\tO' -p256173 -asS"The patient was counselled and received 2 units of packed RBC 's at that time ." -p256174 -(lp256175 -S'The\tThe\tDT\tB-NP\tO' -p256176 -aS'patient\tpatient\tNN\tI-NP\tO' -p256177 -aS'was\tbe\tVBD\tB-VP\tO' -p256178 -aS'counselled\tcounsel\tVBN\tI-VP\tO' -p256179 -aS'and\tand\tCC\tO\tO' -p256180 -aS'received\treceive\tVBN\tB-VP\tO' -p256181 -aS'2\t2\tCD\tB-NP\tO' -p256182 -aS'units\tunit\tNNS\tI-NP\tO' -p256183 -aS'of\tof\tIN\tB-PP\tO' -p256184 -aS'packed\tpacked\tJJ\tB-NP\tO' -p256185 -aS'RBC\tRBC\tNN\tI-NP\tO' -p256186 -aS"'s\t's\tPOS\tB-NP\tO" -p256187 -aS'at\tat\tIN\tB-PP\tO' -p256188 -aS'that\tthat\tDT\tB-NP\tO' -p256189 -aS'time\ttime\tNN\tI-NP\tO' -p256190 -aS'.\t.\t.\tO\tO' -p256191 -asS'His BP medications were held on admission .' -p256192 -(lp256193 -S'His\tHis\tPRP$\tB-NP\tO' -p256194 -aS'BP\tBP\tNN\tI-NP\tO' -p256195 -aS'medications\tmedication\tNNS\tI-NP\tO' -p256196 -aS'were\tbe\tVBD\tB-VP\tO' -p256197 -aS'held\thold\tVBN\tI-VP\tO' -p256198 -aS'on\ton\tIN\tB-PP\tO' -p256199 -aS'admission\tadmission\tNN\tB-NP\tO' -p256200 -aS'.\t.\t.\tO\tO' -p256201 -asS'1. Levothyroxine 100 micrograms orally once a day .' -p256202 -(lp256203 -S'1.\t1.\tLS\tB-LST\tO' -p256204 -aS'Levothyroxine\tLevothyroxine\tNNP\tB-NP\tO' -p256205 -aS'100\t100\tCD\tB-NP\tO' -p256206 -aS'micrograms\tmicrogram\tNNS\tI-NP\tO' -p256207 -aS'orally\torally\tRB\tB-ADVP\tO' -p256208 -aS'once\tonce\tRB\tB-ADVP\tO' -p256209 -aS'a\ta\tDT\tB-NP\tO' -p256210 -aS'day\tday\tNN\tI-NP\tO' -p256211 -aS'.\t.\t.\tO\tO' -p256212 -asS'follow-up appointments were scheduled with him as an outpatient .' -p256213 -(lp256214 -S'follow-up\tfollow-up\tJJ\tB-NP\tO' -p256215 -aS'appointments\tappointment\tNNS\tI-NP\tO' -p256216 -aS'were\tbe\tVBD\tB-VP\tO' -p256217 -aS'scheduled\tschedule\tVBN\tI-VP\tO' -p256218 -aS'with\twith\tIN\tB-PP\tO' -p256219 -aS'him\thim\tPRP\tB-NP\tO' -p256220 -aS'as\tas\tIN\tB-PP\tO' -p256221 -aS'an\tan\tDT\tB-NP\tO' -p256222 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p256223 -aS'.\t.\t.\tO\tO' -p256224 -asS'A CT would help for further assessment if indicated .' -p256225 -(lp256226 -S'A\tA\tDT\tB-NP\tO' -p256227 -aS'CT\tCT\tNN\tI-NP\tO' -p256228 -aS'would\twould\tMD\tB-VP\tO' -p256229 -aS'help\thelp\tVB\tI-VP\tO' -p256230 -aS'for\tfor\tIN\tB-PP\tO' -p256231 -aS'further\tfurther\tJJ\tB-NP\tO' -p256232 -aS'assessment\tassessment\tNN\tI-NP\tO' -p256233 -aS'if\tif\tIN\tB-SBAR\tO' -p256234 -aS'indicated\tindicate\tVBN\tB-VP\tO' -p256235 -aS'.\t.\t.\tO\tO' -p256236 -asS'She does use herbal remedies including Primrose oil , Siberian ginseng , and has a history of use of wallerian root .' -p256237 -(lp256238 -S'She\tShe\tPRP\tB-NP\tO' -p256239 -aS'does\tdo\tVBZ\tB-VP\tO' -p256240 -aS'use\tuse\tVB\tI-VP\tO' -p256241 -aS'herbal\therbal\tJJ\tB-NP\tO' -p256242 -aS'remedies\tremedy\tNNS\tI-NP\tO' -p256243 -aS'including\tinclude\tVBG\tB-PP\tO' -p256244 -aS'Primrose\tPrimrose\tNN\tB-NP\tO' -p256245 -aS'oil\toil\tNN\tI-NP\tO' -p256246 -aS',\t,\t,\tO\tO' -p256247 -aS'Siberian\tSiberian\tJJ\tB-NP\tO' -p256248 -aS'ginseng\tginseng\tNN\tI-NP\tO' -p256249 -aS',\t,\t,\tO\tO' -p256250 -aS'and\tand\tCC\tO\tO' -p256251 -aS'has\thave\tVBZ\tB-VP\tO' -p256252 -aS'a\ta\tDT\tB-NP\tO' -p256253 -aS'history\thistory\tNN\tI-NP\tO' -p256254 -aS'of\tof\tIN\tB-PP\tO' -p256255 -aS'use\tuse\tNN\tB-NP\tO' -p256256 -aS'of\tof\tIN\tB-PP\tO' -p256257 -aS'wallerian\twallerian\tJJ\tB-NP\tO' -p256258 -aS'root\troot\tNN\tI-NP\tO' -p256259 -aS'.\t.\t.\tO\tO' -p256260 -asS'On this admission he was continued on prednisone taper .' -p256261 -(lp256262 -S'On\tOn\tIN\tB-PP\tO' -p256263 -aS'this\tthis\tDT\tB-NP\tO' -p256264 -aS'admission\tadmission\tNN\tI-NP\tO' -p256265 -aS'he\the\tPRP\tB-NP\tO' -p256266 -aS'was\tbe\tVBD\tB-VP\tO' -p256267 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p256268 -aS'on\ton\tIN\tB-PP\tO' -p256269 -aS'prednisone\tprednisone\tNN\tB-NP\tO' -p256270 -aS'taper\ttaper\tNN\tI-NP\tO' -p256271 -aS'.\t.\t.\tO\tO' -p256272 -asS'Right hip pain .' -p256273 -(lp256274 -S'Right\tRight\tNN\tB-NP\tO' -p256275 -aS'hip\thip\tNN\tI-NP\tO' -p256276 -aS'pain\tpain\tNN\tI-NP\tO' -p256277 -aS'.\t.\t.\tO\tO' -p256278 -asS'The patient at that time treated himself symptomatically at home but presented to Roing Hospital on the day after the event and was transferred to the Nimaconwood Valley Hospital immediately for evaluation because of his extensive burns .' -p256279 -(lp256280 -S'The\tThe\tDT\tB-NP\tO' -p256281 -aS'patient\tpatient\tNN\tI-NP\tO' -p256282 -aS'at\tat\tIN\tB-PP\tO' -p256283 -aS'that\tthat\tDT\tB-NP\tO' -p256284 -aS'time\ttime\tNN\tI-NP\tO' -p256285 -aS'treated\ttreat\tVBN\tB-VP\tO' -p256286 -aS'himself\thimself\tPRP\tB-NP\tO' -p256287 -aS'symptomatically\tsymptomatically\tRB\tB-ADVP\tO' -p256288 -aS'at\tat\tIN\tB-PP\tO' -p256289 -aS'home\thome\tNN\tB-NP\tO' -p256290 -aS'but\tbut\tCC\tO\tO' -p256291 -aS'presented\tpresent\tVBN\tB-VP\tO' -p256292 -aS'to\tto\tTO\tB-PP\tO' -p256293 -aS'Roing\tRoing\tNNP\tB-NP\tO' -p256294 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p256295 -aS'on\ton\tIN\tB-PP\tO' -p256296 -aS'the\tthe\tDT\tB-NP\tO' -p256297 -aS'day\tday\tNN\tI-NP\tO' -p256298 -aS'after\tafter\tIN\tB-SBAR\tO' -p256299 -aS'the\tthe\tDT\tB-NP\tO' -p256300 -aS'event\tevent\tNN\tI-NP\tO' -p256301 -aS'and\tand\tCC\tO\tO' -p256302 -aS'was\tbe\tVBD\tB-VP\tO' -p256303 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p256304 -aS'to\tto\tTO\tB-PP\tO' -p256305 -aS'the\tthe\tDT\tB-NP\tO' -p256306 -aS'Nimaconwood\tNimaconwood\tNNP\tI-NP\tO' -p256307 -aS'Valley\tValley\tNNP\tI-NP\tO' -p256308 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p256309 -aS'immediately\timmediately\tRB\tB-ADVP\tO' -p256310 -aS'for\tfor\tIN\tB-PP\tO' -p256311 -aS'evaluation\tevaluation\tNN\tB-NP\tO' -p256312 -aS'because\tbecause\tIN\tB-PP\tO' -p256313 -aS'of\tof\tIN\tI-PP\tO' -p256314 -aS'his\this\tPRP$\tB-NP\tO' -p256315 -aS'extensive\textensive\tJJ\tI-NP\tO' -p256316 -aS'burns\tburn\tNNS\tI-NP\tO' -p256317 -aS'.\t.\t.\tO\tO' -p256318 -asS'16. Neutra-Phos 1.25 grams po as needed .' -p256319 -(lp256320 -S'16.\t16.\tCD\tB-NP\tO' -p256321 -aS'Neutra-Phos\tNeutra-Phos\tNNP\tI-NP\tO' -p256322 -aS'1.25\t1.25\tCD\tI-NP\tO' -p256323 -aS'grams\tgram\tNNS\tI-NP\tO' -p256324 -aS'po\tpo\tVBP\tB-VP\tO' -p256325 -aS'as\tas\tIN\tB-SBAR\tO' -p256326 -aS'needed\tneed\tVBN\tB-VP\tO' -p256327 -aS'.\t.\t.\tO\tO' -p256328 -asS'Dr. Shuff .' -p256329 -(lp256330 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p256331 -aS'Shuff\tShuff\tNNP\tI-NP\tO' -p256332 -aS'.\t.\t.\tO\tO' -p256333 -asS'None known .' -p256334 -(lp256335 -S'None\tNone\tNN\tB-NP\tO' -p256336 -aS'known\tknow\tVBN\tB-VP\tO' -p256337 -aS'.\t.\t.\tO\tO' -p256338 -asS'depression .' -p256339 -(lp256340 -S'depression\tdepression\tNN\tB-NP\tO' -p256341 -aS'.\t.\t.\tO\tO' -p256342 -asS'He was evaluated in the Emergency Room .' -p256343 -(lp256344 -S'He\tHe\tPRP\tB-NP\tO' -p256345 -aS'was\tbe\tVBD\tB-VP\tO' -p256346 -aS'evaluated\tevaluate\tVBN\tI-VP\tO' -p256347 -aS'in\tin\tIN\tB-PP\tO' -p256348 -aS'the\tthe\tDT\tB-NP\tO' -p256349 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p256350 -aS'Room\tRoom\tNNP\tI-NP\tO' -p256351 -aS'.\t.\t.\tO\tO' -p256352 -asS'The patient had fevers sporadically during this hospitalization with rising white blood counts .' -p256353 -(lp256354 -S'The\tThe\tDT\tB-NP\tO' -p256355 -aS'patient\tpatient\tNN\tI-NP\tO' -p256356 -aS'had\thave\tVBD\tB-VP\tO' -p256357 -aS'fevers\tfever\tNNS\tB-NP\tO' -p256358 -aS'sporadically\tsporadically\tRB\tB-ADVP\tO' -p256359 -aS'during\tduring\tIN\tB-PP\tO' -p256360 -aS'this\tthis\tDT\tB-NP\tO' -p256361 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p256362 -aS'with\twith\tIN\tB-PP\tO' -p256363 -aS'rising\trise\tVBG\tB-NP\tO' -p256364 -aS'white\twhite\tJJ\tI-NP\tO' -p256365 -aS'blood\tblood\tNN\tI-NP\tO' -p256366 -aS'counts\tcount\tNNS\tI-NP\tO' -p256367 -aS'.\t.\t.\tO\tO' -p256368 -asS'No evidence of portal hypertension is seen .' -p256369 -(lp256370 -S'No\tNo\tDT\tB-NP\tO' -p256371 -aS'evidence\tevidence\tNN\tI-NP\tO' -p256372 -aS'of\tof\tIN\tB-PP\tO' -p256373 -aS'portal\tportal\tJJ\tB-NP\tO' -p256374 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p256375 -aS'is\tbe\tVBZ\tB-VP\tO' -p256376 -aS'seen\tsee\tVBN\tI-VP\tO' -p256377 -aS'.\t.\t.\tO\tO' -p256378 -asS'Despite bleeding from the Hickman site , she did not require any transfusion therapy .' -p256379 -(lp256380 -S'Despite\tDespite\tIN\tB-PP\tO' -p256381 -aS'bleeding\tbleed\tVBG\tB-VP\tO' -p256382 -aS'from\tfrom\tIN\tB-PP\tO' -p256383 -aS'the\tthe\tDT\tB-NP\tO' -p256384 -aS'Hickman\tHickman\tNNP\tI-NP\tB-DNA' -p256385 -aS'site\tsite\tNN\tI-NP\tI-DNA' -p256386 -aS',\t,\t,\tO\tO' -p256387 -aS'she\tshe\tPRP\tB-NP\tO' -p256388 -aS'did\tdo\tVBD\tB-VP\tO' -p256389 -aS'not\tnot\tRB\tI-VP\tO' -p256390 -aS'require\trequire\tVB\tI-VP\tO' -p256391 -aS'any\tany\tDT\tB-NP\tO' -p256392 -aS'transfusion\ttransfusion\tNN\tI-NP\tO' -p256393 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p256394 -aS'.\t.\t.\tO\tO' -p256395 -asS'The patient is divorced with no children .' -p256396 -(lp256397 -S'The\tThe\tDT\tB-NP\tO' -p256398 -aS'patient\tpatient\tNN\tI-NP\tO' -p256399 -aS'is\tbe\tVBZ\tB-VP\tO' -p256400 -aS'divorced\tdivorce\tVBN\tI-VP\tO' -p256401 -aS'with\twith\tIN\tB-PP\tO' -p256402 -aS'no\tno\tDT\tB-NP\tO' -p256403 -aS'children\tchild\tNNS\tI-NP\tO' -p256404 -aS'.\t.\t.\tO\tO' -p256405 -asS'The strength was 5 out of 5 .' -p256406 -(lp256407 -S'The\tThe\tDT\tB-NP\tO' -p256408 -aS'strength\tstrength\tNN\tI-NP\tO' -p256409 -aS'was\tbe\tVBD\tB-VP\tO' -p256410 -aS'5\t5\tCD\tB-NP\tO' -p256411 -aS'out\tout\tIN\tB-PP\tO' -p256412 -aS'of\tof\tIN\tB-PP\tO' -p256413 -aS'5\t5\tCD\tB-NP\tO' -p256414 -aS'.\t.\t.\tO\tO' -p256415 -asS'An angiogram on 11/3 was consistent with thrombosis at the mid basilar artery .' -p256416 -(lp256417 -S'An\tAn\tDT\tB-NP\tO' -p256418 -aS'angiogram\tangiogram\tNN\tI-NP\tO' -p256419 -aS'on\ton\tIN\tB-PP\tO' -p256420 -aS'11/3\t11/3\tNN\tB-NP\tO' -p256421 -aS'was\tbe\tVBD\tB-VP\tO' -p256422 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p256423 -aS'with\twith\tIN\tB-PP\tO' -p256424 -aS'thrombosis\tthrombosis\tNN\tB-NP\tO' -p256425 -aS'at\tat\tIN\tB-PP\tO' -p256426 -aS'the\tthe\tDT\tB-NP\tO' -p256427 -aS'mid\tmid\tJJ\tI-NP\tO' -p256428 -aS'basilar\tbasilar\tJJ\tI-NP\tO' -p256429 -aS'artery\tartery\tNN\tI-NP\tO' -p256430 -aS'.\t.\t.\tO\tO' -p256431 -asS'6) History of temporal arteritis on chronic steroids .' -p256432 -(lp256433 -S'6)\t6)\tLS\tB-NP\tO' -p256434 -aS'History\tHistory\tNN\tI-NP\tO' -p256435 -aS'of\tof\tIN\tB-PP\tO' -p256436 -aS'temporal\ttemporal\tJJ\tB-NP\tO' -p256437 -aS'arteritis\tarteritis\tNN\tI-NP\tO' -p256438 -aS'on\ton\tIN\tB-PP\tO' -p256439 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p256440 -aS'steroids\tsteroid\tNNS\tI-NP\tO' -p256441 -aS'.\t.\t.\tO\tO' -p256442 -asS'If you notice any increase in swelling or erythemia at the incisions , or if you become short of breath or if you have a temperature greater than 101.4 please call the office or go to the emergency room' -p256443 -(lp256444 -S'If\tIf\tIN\tB-SBAR\tO' -p256445 -aS'you\tyou\tPRP\tB-NP\tO' -p256446 -aS'notice\tnotice\tVBP\tB-VP\tO' -p256447 -aS'any\tany\tDT\tB-NP\tO' -p256448 -aS'increase\tincrease\tNN\tI-NP\tO' -p256449 -aS'in\tin\tIN\tB-PP\tO' -p256450 -aS'swelling\tswelling\tNN\tB-NP\tO' -p256451 -aS'or\tor\tCC\tI-NP\tO' -p256452 -aS'erythemia\terythemia\tNN\tI-NP\tO' -p256453 -aS'at\tat\tIN\tB-PP\tO' -p256454 -aS'the\tthe\tDT\tB-NP\tO' -p256455 -aS'incisions\tincision\tNNS\tI-NP\tO' -p256456 -aS',\t,\t,\tO\tO' -p256457 -aS'or\tor\tCC\tO\tO' -p256458 -aS'if\tif\tIN\tB-SBAR\tO' -p256459 -aS'you\tyou\tPRP\tB-NP\tO' -p256460 -aS'become\tbecome\tVBP\tB-VP\tO' -p256461 -aS'short\tshort\tJJ\tB-ADJP\tO' -p256462 -aS'of\tof\tIN\tB-PP\tO' -p256463 -aS'breath\tbreath\tNN\tB-NP\tO' -p256464 -aS'or\tor\tCC\tO\tO' -p256465 -aS'if\tif\tIN\tB-SBAR\tO' -p256466 -aS'you\tyou\tPRP\tB-NP\tO' -p256467 -aS'have\thave\tVBP\tB-VP\tO' -p256468 -aS'a\ta\tDT\tB-NP\tO' -p256469 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p256470 -aS'greater\tgreat\tJJR\tB-NP\tO' -p256471 -aS'than\tthan\tIN\tI-NP\tO' -p256472 -aS'101.4\t101.4\tCD\tI-NP\tO' -p256473 -aS'please\tplease\tNN\tI-NP\tO' -p256474 -aS'call\tcall\tNN\tI-NP\tO' -p256475 -aS'the\tthe\tDT\tB-NP\tO' -p256476 -aS'office\toffice\tNN\tI-NP\tO' -p256477 -aS'or\tor\tCC\tO\tO' -p256478 -aS'go\tgo\tVB\tB-VP\tO' -p256479 -aS'to\tto\tTO\tB-PP\tO' -p256480 -aS'the\tthe\tDT\tB-NP\tO' -p256481 -aS'emergency\temergency\tNN\tI-NP\tO' -p256482 -aS'room\troom\tNN\tI-NP\tO' -p256483 -asS'Once her liver enzymes are completely normal , a seven day course of Fluconazol may be helpful if the thrush is not spontaneously resolving off of antibiotics .' -p256484 -(lp256485 -S'Once\tOnce\tRB\tO\tO' -p256486 -aS'her\ther\tPRP$\tB-NP\tO' -p256487 -aS'liver\tliver\tNN\tI-NP\tB-protein' -p256488 -aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' -p256489 -aS'are\tbe\tVBP\tB-VP\tO' -p256490 -aS'completely\tcompletely\tRB\tB-ADJP\tO' -p256491 -aS'normal\tnormal\tJJ\tI-ADJP\tO' -p256492 -aS',\t,\t,\tO\tO' -p256493 -aS'a\ta\tDT\tB-NP\tO' -p256494 -aS'seven\tseven\tCD\tI-NP\tO' -p256495 -aS'day\tday\tNN\tI-NP\tO' -p256496 -aS'course\tcourse\tNN\tI-NP\tO' -p256497 -aS'of\tof\tIN\tB-PP\tO' -p256498 -aS'Fluconazol\tFluconazol\tNN\tB-NP\tO' -p256499 -aS'may\tmay\tMD\tB-VP\tO' -p256500 -aS'be\tbe\tVB\tI-VP\tO' -p256501 -aS'helpful\thelpful\tJJ\tB-ADJP\tO' -p256502 -aS'if\tif\tIN\tB-SBAR\tO' -p256503 -aS'the\tthe\tDT\tB-NP\tO' -p256504 -aS'thrush\tthrush\tNN\tI-NP\tO' -p256505 -aS'is\tbe\tVBZ\tB-VP\tO' -p256506 -aS'not\tnot\tRB\tI-VP\tO' -p256507 -aS'spontaneously\tspontaneously\tRB\tI-VP\tO' -p256508 -aS'resolving\tresolve\tVBG\tI-VP\tO' -p256509 -aS'off\toff\tRP\tB-PRT\tO' -p256510 -aS'of\tof\tIN\tB-PP\tO' -p256511 -aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' -p256512 -aS'.\t.\t.\tO\tO' -p256513 -asS'3. History of MAT for chronic obstructive pulmonary disease / chronic bronchi ectasis , on home oxygen .' -p256514 -(lp256515 -S'3.\t3.\tLS\tB-NP\tO' -p256516 -aS'History\tHistory\tNN\tI-NP\tO' -p256517 -aS'of\tof\tIN\tB-PP\tO' -p256518 -aS'MAT\tMAT\tNN\tB-NP\tB-protein' -p256519 -aS'for\tfor\tIN\tB-PP\tO' -p256520 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p256521 -aS'obstructive\tobstructive\tJJ\tI-NP\tO' -p256522 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p256523 -aS'disease\tdisease\tNN\tI-NP\tO' -p256524 -aS'/\t/\tSYM\tB-NP\tO' -p256525 -aS'chronic\tchronic\tJJ\tI-NP\tO' -p256526 -aS'bronchi\tbronchi\tNN\tI-NP\tO' -p256527 -aS'ectasis\tectasis\tNN\tI-NP\tO' -p256528 -aS',\t,\t,\tO\tO' -p256529 -aS'on\ton\tIN\tB-PP\tO' -p256530 -aS'home\thome\tNN\tB-NP\tO' -p256531 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p256532 -aS'.\t.\t.\tO\tO' -p256533 -asS'--- Pre-op B-blocker with goal HR < 70' -p256534 -(lp256535 -S'---\t---\tSYM\tO\tO' -p256536 -aS'Pre-op\tPre-op\tJJ\tB-NP\tO' -p256537 -aS'B-blocker\tB-blocker\tNN\tI-NP\tO' -p256538 -aS'with\twith\tIN\tB-PP\tO' -p256539 -aS'goal\tgoal\tNN\tB-NP\tO' -p256540 -aS'HR\tHR\tNN\tI-NP\tO' -p256541 -aS'<\t<\tSYM\tB-NP\tO' -p256542 -aS'70\t70\tCD\tB-NP\tO' -p256543 -asS'Her case was discussed with Ear/Nose/Throat and the Medical Intensive Care Unit attending .' -p256544 -(lp256545 -S'Her\tHer\tPRP$\tB-NP\tO' -p256546 -aS'case\tcase\tNN\tI-NP\tO' -p256547 -aS'was\tbe\tVBD\tB-VP\tO' -p256548 -aS'discussed\tdiscuss\tVBN\tI-VP\tO' -p256549 -aS'with\twith\tIN\tB-PP\tO' -p256550 -aS'Ear/Nose/Throat\tEar/Nose/Throat\tNN\tB-NP\tO' -p256551 -aS'and\tand\tCC\tO\tO' -p256552 -aS'the\tthe\tDT\tB-NP\tO' -p256553 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p256554 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p256555 -aS'Care\tCare\tNNP\tI-NP\tO' -p256556 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p256557 -aS'attending\tattend\tVBG\tB-VP\tO' -p256558 -aS'.\t.\t.\tO\tO' -p256559 -asS'The ______________ was normal .' -p256560 -(lp256561 -S'The\tThe\tDT\tB-NP\tO' -p256562 -aS'______________\t______________\tNN\tI-NP\tO' -p256563 -aS'was\tbe\tVBD\tB-VP\tO' -p256564 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p256565 -aS'.\t.\t.\tO\tO' -p256566 -asS'Rebound bilirubin level on day of life seven was 5.3 with a direct of 0.3 .' -p256567 -(lp256568 -S'Rebound\tRebound\tJJ\tB-NP\tO' -p256569 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p256570 -aS'level\tlevel\tNN\tI-NP\tO' -p256571 -aS'on\ton\tIN\tB-PP\tO' -p256572 -aS'day\tday\tNN\tB-NP\tO' -p256573 -aS'of\tof\tIN\tB-PP\tO' -p256574 -aS'life\tlife\tNN\tB-NP\tO' -p256575 -aS'seven\tseven\tCD\tI-NP\tO' -p256576 -aS'was\tbe\tVBD\tB-VP\tO' -p256577 -aS'5.3\t5.3\tCD\tB-NP\tO' -p256578 -aS'with\twith\tIN\tB-PP\tO' -p256579 -aS'a\ta\tDT\tB-NP\tO' -p256580 -aS'direct\tdirect\tNN\tI-NP\tO' -p256581 -aS'of\tof\tIN\tB-PP\tO' -p256582 -aS'0.3\t0.3\tCD\tB-NP\tO' -p256583 -aS'.\t.\t.\tO\tO' -p256584 -asS'Thus , no embolotherapy was embarked upon .' -p256585 -(lp256586 -S'Thus\tThus\tRB\tB-ADVP\tO' -p256587 -aS',\t,\t,\tO\tO' -p256588 -aS'no\tno\tDT\tB-NP\tO' -p256589 -aS'embolotherapy\tembolotherapy\tNN\tI-NP\tO' -p256590 -aS'was\tbe\tVBD\tB-VP\tO' -p256591 -aS'embarked\tembark\tVBN\tI-VP\tO' -p256592 -aS'upon\tupon\tIN\tB-PP\tO' -p256593 -aS'.\t.\t.\tO\tO' -p256594 -asS'Glucose Insulin Dose Insulin Dose Insulin Dose Insulin Dose' -p256595 -(lp256596 -S'Glucose\tGlucose\tNN\tB-NP\tB-protein' -p256597 -aS'Insulin\tInsulin\tNN\tI-NP\tI-protein' -p256598 -aS'Dose\tDose\tNNP\tI-NP\tO' -p256599 -aS'Insulin\tInsulin\tNNP\tI-NP\tO' -p256600 -aS'Dose\tDose\tNNP\tI-NP\tO' -p256601 -aS'Insulin\tInsulin\tNNP\tI-NP\tO' -p256602 -aS'Dose\tDose\tNNP\tI-NP\tO' -p256603 -aS'Insulin\tInsulin\tNNP\tI-NP\tO' -p256604 -aS'Dose\tDose\tNNP\tI-NP\tO' -p256605 -asS'The morning of transfer his IV came out so he has just been advanced to 120 cc per kg per day of PE-20 and his tolerating these PG feedings without difficulty .' -p256606 -(lp256607 -S'The\tThe\tDT\tB-NP\tO' -p256608 -aS'morning\tmorning\tNN\tI-NP\tO' -p256609 -aS'of\tof\tIN\tB-PP\tO' -p256610 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p256611 -aS'his\this\tPRP$\tB-NP\tO' -p256612 -aS'IV\tIV\tNN\tI-NP\tO' -p256613 -aS'came\tcome\tVBD\tB-VP\tO' -p256614 -aS'out\tout\tRP\tB-PRT\tO' -p256615 -aS'so\tso\tIN\tB-SBAR\tO' -p256616 -aS'he\the\tPRP\tB-NP\tO' -p256617 -aS'has\thave\tVBZ\tB-VP\tO' -p256618 -aS'just\tjust\tRB\tI-VP\tO' -p256619 -aS'been\tbe\tVBN\tI-VP\tO' -p256620 -aS'advanced\tadvance\tVBN\tI-VP\tO' -p256621 -aS'to\tto\tTO\tB-PP\tO' -p256622 -aS'120\t120\tCD\tB-NP\tO' -p256623 -aS'cc\tcc\tNN\tI-NP\tO' -p256624 -aS'per\tper\tIN\tB-PP\tO' -p256625 -aS'kg\tkg\tNN\tB-NP\tO' -p256626 -aS'per\tper\tIN\tB-PP\tO' -p256627 -aS'day\tday\tNN\tB-NP\tO' -p256628 -aS'of\tof\tIN\tB-PP\tO' -p256629 -aS'PE-20\tPE-20\tNN\tB-NP\tB-protein' -p256630 -aS'and\tand\tCC\tO\tO' -p256631 -aS'his\this\tPRP$\tB-NP\tO' -p256632 -aS'tolerating\ttolerate\tVBG\tB-VP\tO' -p256633 -aS'these\tthese\tDT\tB-NP\tO' -p256634 -aS'PG\tPG\tNN\tI-NP\tO' -p256635 -aS'feedings\tfeeding\tNNS\tI-NP\tO' -p256636 -aS'without\twithout\tIN\tB-PP\tO' -p256637 -aS'difficulty\tdifficulty\tNN\tB-NP\tO' -p256638 -aS'.\t.\t.\tO\tO' -p256639 -asS'11. Zanaflex 2 mg twice a day .' -p256640 -(lp256641 -S'11.\t11.\tCD\tB-NP\tO' -p256642 -aS'Zanaflex\tZanaflex\tNN\tI-NP\tO' -p256643 -aS'2\t2\tCD\tB-NP\tO' -p256644 -aS'mg\tmg\tNN\tI-NP\tO' -p256645 -aS'twice\ttwice\tRB\tB-NP\tO' -p256646 -aS'a\ta\tDT\tI-NP\tO' -p256647 -aS'day\tday\tNN\tI-NP\tO' -p256648 -aS'.\t.\t.\tO\tO' -p256649 -asS'Per endocrine at the time of discharge , the pt may need an increase in calcium PO , but at this time they recommended no change .' -p256650 -(lp256651 -S'Per\tPer\tNNP\tB-NP\tO' -p256652 -aS'endocrine\tendocrine\tNN\tI-NP\tO' -p256653 -aS'at\tat\tIN\tB-PP\tO' -p256654 -aS'the\tthe\tDT\tB-NP\tO' -p256655 -aS'time\ttime\tNN\tI-NP\tO' -p256656 -aS'of\tof\tIN\tB-PP\tO' -p256657 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p256658 -aS',\t,\t,\tO\tO' -p256659 -aS'the\tthe\tDT\tB-NP\tO' -p256660 -aS'pt\tpt\tNN\tI-NP\tO' -p256661 -aS'may\tmay\tMD\tB-VP\tO' -p256662 -aS'need\tneed\tVB\tI-VP\tO' -p256663 -aS'an\tan\tDT\tB-NP\tO' -p256664 -aS'increase\tincrease\tNN\tI-NP\tO' -p256665 -aS'in\tin\tIN\tB-PP\tO' -p256666 -aS'calcium\tcalcium\tNN\tB-NP\tO' -p256667 -aS'PO\tPO\tNN\tI-NP\tO' -p256668 -aS',\t,\t,\tO\tO' -p256669 -aS'but\tbut\tCC\tO\tO' -p256670 -aS'at\tat\tIN\tB-PP\tO' -p256671 -aS'this\tthis\tDT\tB-NP\tO' -p256672 -aS'time\ttime\tNN\tI-NP\tO' -p256673 -aS'they\tthey\tPRP\tB-NP\tO' -p256674 -aS'recommended\trecommend\tVBD\tB-VP\tO' -p256675 -aS'no\tno\tDT\tB-NP\tO' -p256676 -aS'change\tchange\tNN\tI-NP\tO' -p256677 -aS'.\t.\t.\tO\tO' -p256678 -asS'Sensory , hearing screening was performed with automated auditory brain stem responses .' -p256679 -(lp256680 -S'Sensory\tSensory\tJJ\tB-ADJP\tO' -p256681 -aS',\t,\t,\tO\tO' -p256682 -aS'hearing\thear\tVBG\tB-VP\tO' -p256683 -aS'screening\tscreening\tNN\tB-NP\tO' -p256684 -aS'was\tbe\tVBD\tB-VP\tO' -p256685 -aS'performed\tperform\tVBN\tI-VP\tO' -p256686 -aS'with\twith\tIN\tB-PP\tO' -p256687 -aS'automated\tautomate\tVBN\tB-NP\tO' -p256688 -aS'auditory\tauditory\tJJ\tI-NP\tO' -p256689 -aS'brain\tbrain\tNN\tI-NP\tO' -p256690 -aS'stem\tstem\tNN\tI-NP\tO' -p256691 -aS'responses\tresponse\tNNS\tI-NP\tO' -p256692 -aS'.\t.\t.\tO\tO' -p256693 -asS'The suprapubic tube was therefore discontinued .' -p256694 -(lp256695 -S'The\tThe\tDT\tB-NP\tO' -p256696 -aS'suprapubic\tsuprapubic\tJJ\tI-NP\tO' -p256697 -aS'tube\ttube\tNN\tI-NP\tO' -p256698 -aS'was\tbe\tVBD\tB-VP\tO' -p256699 -aS'therefore\ttherefore\tRB\tI-VP\tO' -p256700 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p256701 -aS'.\t.\t.\tO\tO' -p256702 -asS'13. Bisacodyl 5 mg Tablet , Delayed Release ( E.C. ) Sig : Two ( 2 ) Tablet , Delayed Release ( E.C. ) PO DAILY ( Daily ) as needed .' -p256703 -(lp256704 -S'13.\t13.\tLS\tB-NP\tO' -p256705 -aS'Bisacodyl\tBisacodyl\tNN\tI-NP\tO' -p256706 -aS'5\t5\tCD\tI-NP\tO' -p256707 -aS'mg\tmg\tNN\tI-NP\tO' -p256708 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p256709 -aS',\t,\t,\tO\tO' -p256710 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p256711 -aS'Release\tRelease\tNNP\tI-NP\tO' -p256712 -aS'(\t(\t(\tO\tO' -p256713 -aS'E.C.\tE.C.\tNNP\tB-NP\tO' -p256714 -aS')\t)\t)\tO\tO' -p256715 -aS'Sig\tSig\tNNP\tB-NP\tO' -p256716 -aS':\t:\t:\tO\tO' -p256717 -aS'Two\tTwo\tCD\tB-NP\tO' -p256718 -aS'(\t(\t(\tO\tO' -p256719 -aS'2\t2\tCD\tB-NP\tO' -p256720 -aS')\t)\t)\tO\tO' -p256721 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p256722 -aS',\t,\t,\tO\tO' -p256723 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p256724 -aS'Release\tRelease\tNNP\tI-NP\tO' -p256725 -aS'(\t(\t(\tO\tO' -p256726 -aS'E.C.\tE.C.\tNNP\tO\tO' -p256727 -aS')\t)\t)\tO\tO' -p256728 -aS'PO\tPO\tNN\tB-NP\tO' -p256729 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p256730 -aS'(\t(\t(\tO\tO' -p256731 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p256732 -aS')\t)\t)\tO\tO' -p256733 -aS'as\tas\tIN\tB-SBAR\tO' -p256734 -aS'needed\tneed\tVBN\tB-VP\tO' -p256735 -aS'.\t.\t.\tO\tO' -p256736 -asS'The tip was culture negative .' -p256737 -(lp256738 -S'The\tThe\tDT\tB-NP\tO' -p256739 -aS'tip\ttip\tNN\tI-NP\tB-protein' -p256740 -aS'was\tbe\tVBD\tB-VP\tO' -p256741 -aS'culture\tculture\tNN\tB-NP\tO' -p256742 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p256743 -aS'.\t.\t.\tO\tO' -p256744 -asS'Lupron x three months prior to embolization .' -p256745 -(lp256746 -S'Lupron\tLupron\tNNP\tB-NP\tO' -p256747 -aS'x\tx\tCC\tO\tO' -p256748 -aS'three\tthree\tCD\tB-NP\tO' -p256749 -aS'months\tmonth\tNNS\tI-NP\tO' -p256750 -aS'prior\tprior\tRB\tB-ADVP\tO' -p256751 -aS'to\tto\tTO\tB-PP\tO' -p256752 -aS'embolization\tembolization\tNN\tB-NP\tO' -p256753 -aS'.\t.\t.\tO\tO' -p256754 -asS'As the patient 's diuresis continued his respiratory status improved .' -p256755 -(lp256756 -S'As\tAs\tIN\tB-SBAR\tO' -p256757 -aS'the\tthe\tDT\tB-NP\tO' -p256758 -aS'patient\tpatient\tNN\tI-NP\tO' -p256759 -aS''s\t'\tNNS\tI-NP\tO' -p256760 -aS'diuresis\tdiuresis\tNN\tI-NP\tO' -p256761 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p256762 -aS'his\this\tPRP$\tB-NP\tO' -p256763 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p256764 -aS'status\tstatus\tNN\tI-NP\tO' -p256765 -aS'improved\timprove\tVBD\tB-VP\tO' -p256766 -aS'.\t.\t.\tO\tO' -p256767 -asS'Lungs clear to apex and equal .' -p256768 -(lp256769 -S'Lungs\tLung\tNNS\tB-NP\tO' -p256770 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p256771 -aS'to\tto\tTO\tB-PP\tO' -p256772 -aS'apex\tapex\tNN\tB-NP\tO' -p256773 -aS'and\tand\tCC\tO\tO' -p256774 -aS'equal\tequal\tJJ\tB-ADJP\tO' -p256775 -aS'.\t.\t.\tO\tO' -p256776 -asS'The patient was brought to the operating room on 06/30/93 after informed consent was obtained .' -p256777 -(lp256778 -S'The\tThe\tDT\tB-NP\tO' -p256779 -aS'patient\tpatient\tNN\tI-NP\tO' -p256780 -aS'was\tbe\tVBD\tB-VP\tO' -p256781 -aS'brought\tbring\tVBN\tI-VP\tO' -p256782 -aS'to\tto\tTO\tB-PP\tO' -p256783 -aS'the\tthe\tDT\tB-NP\tO' -p256784 -aS'operating\toperating\tNN\tI-NP\tO' -p256785 -aS'room\troom\tNN\tI-NP\tO' -p256786 -aS'on\ton\tIN\tB-PP\tO' -p256787 -aS'06/30/93\t06/30/93\tCD\tB-NP\tO' -p256788 -aS'after\tafter\tIN\tB-PP\tO' -p256789 -aS'informed\tinform\tVBN\tB-NP\tO' -p256790 -aS'consent\tconsent\tNN\tI-NP\tO' -p256791 -aS'was\tbe\tVBD\tB-VP\tO' -p256792 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p256793 -aS'.\t.\t.\tO\tO' -p256794 -asS'The patient presented with a chief complaint of SOB .' -p256795 -(lp256796 -S'The\tThe\tDT\tB-NP\tO' -p256797 -aS'patient\tpatient\tNN\tI-NP\tO' -p256798 -aS'presented\tpresent\tVBD\tB-VP\tO' -p256799 -aS'with\twith\tIN\tB-PP\tO' -p256800 -aS'a\ta\tDT\tB-NP\tO' -p256801 -aS'chief\tchief\tJJ\tI-NP\tO' -p256802 -aS'complaint\tcomplaint\tNN\tI-NP\tO' -p256803 -aS'of\tof\tIN\tB-PP\tO' -p256804 -aS'SOB\tSOB\tNN\tB-NP\tB-protein' -p256805 -aS'.\t.\t.\tO\tO' -p256806 -asS'PPROM with bleeding and transverse lie prompted cesarean section .' -p256807 -(lp256808 -S'PPROM\tPPROM\tNN\tB-NP\tB-protein' -p256809 -aS'with\twith\tIN\tB-PP\tO' -p256810 -aS'bleeding\tbleed\tVBG\tB-VP\tO' -p256811 -aS'and\tand\tCC\tO\tO' -p256812 -aS'transverse\ttransverse\tJJ\tB-NP\tO' -p256813 -aS'lie\tlie\tNN\tI-NP\tO' -p256814 -aS'prompted\tprompt\tVBD\tB-VP\tO' -p256815 -aS'cesarean\tcesarean\tJJ\tB-NP\tO' -p256816 -aS'section\tsection\tNN\tI-NP\tO' -p256817 -aS'.\t.\t.\tO\tO' -p256818 -asS'9. Zosyn 4.5 grams intravenously q. six hours times six weeks ; started on 09-10 .' -p256819 -(lp256820 -S'9.\t9.\tCD\tB-NP\tO' -p256821 -aS'Zosyn\tZosyn\tNN\tI-NP\tO' -p256822 -aS'4.5\t4.5\tCD\tB-NP\tO' -p256823 -aS'grams\tgram\tNNS\tI-NP\tO' -p256824 -aS'intravenously\tintravenously\tRB\tB-ADVP\tO' -p256825 -aS'q.\tq.\tVBP\tB-VP\tO' -p256826 -aS'six\tsix\tCD\tB-NP\tO' -p256827 -aS'hours\thour\tNNS\tI-NP\tO' -p256828 -aS'times\ttimes\tCC\tO\tO' -p256829 -aS'six\tsix\tCD\tB-NP\tO' -p256830 -aS'weeks\tweek\tNNS\tI-NP\tO' -p256831 -aS';\t;\t:\tO\tO' -p256832 -aS'started\tstart\tVBN\tB-VP\tO' -p256833 -aS'on\ton\tIN\tB-PP\tO' -p256834 -aS'09-10\t09-10\tCD\tB-NP\tO' -p256835 -aS'.\t.\t.\tO\tO' -p256836 -asS'The patient was alert and oriented times three in no apparent distress .' -p256837 -(lp256838 -S'The\tThe\tDT\tB-NP\tO' -p256839 -aS'patient\tpatient\tNN\tI-NP\tO' -p256840 -aS'was\tbe\tVBD\tB-VP\tO' -p256841 -aS'alert\talert\tJJ\tB-ADJP\tO' -p256842 -aS'and\tand\tCC\tO\tO' -p256843 -aS'oriented\torient\tVBN\tB-VP\tO' -p256844 -aS'times\ttime\tNNS\tB-NP\tO' -p256845 -aS'three\tthree\tCD\tB-NP\tO' -p256846 -aS'in\tin\tIN\tB-PP\tO' -p256847 -aS'no\tno\tDT\tB-NP\tO' -p256848 -aS'apparent\tapparent\tJJ\tI-NP\tO' -p256849 -aS'distress\tdistress\tNN\tI-NP\tO' -p256850 -aS'.\t.\t.\tO\tO' -p256851 -asS'The retroperitoneum was opened , with vigorous bleeding resulting .' -p256852 -(lp256853 -S'The\tThe\tDT\tB-NP\tO' -p256854 -aS'retroperitoneum\tretroperitoneum\tNN\tI-NP\tO' -p256855 -aS'was\tbe\tVBD\tB-VP\tO' -p256856 -aS'opened\topen\tVBN\tI-VP\tO' -p256857 -aS',\t,\t,\tO\tO' -p256858 -aS'with\twith\tIN\tB-PP\tO' -p256859 -aS'vigorous\tvigorous\tJJ\tB-NP\tO' -p256860 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p256861 -aS'resulting\tresult\tVBG\tB-VP\tO' -p256862 -aS'.\t.\t.\tO\tO' -p256863 -asS'12. Lasix 40 mg Tablet Sig : One ( 1 ) Tablet PO q M-W-F .' -p256864 -(lp256865 -S'12.\t12.\tCD\tB-NP\tO' -p256866 -aS'Lasix\tLasix\tNNP\tI-NP\tO' -p256867 -aS'40\t40\tCD\tI-NP\tO' -p256868 -aS'mg\tmg\tNN\tI-NP\tO' -p256869 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p256870 -aS'Sig\tSig\tNNP\tI-NP\tO' -p256871 -aS':\t:\t:\tO\tO' -p256872 -aS'One\tOne\tCD\tB-NP\tO' -p256873 -aS'(\t(\t(\tO\tO' -p256874 -aS'1\t1\tCD\tB-NP\tO' -p256875 -aS')\t)\t)\tO\tO' -p256876 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p256877 -aS'PO\tPO\tNN\tI-NP\tO' -p256878 -aS'q\tq\tNN\tI-NP\tO' -p256879 -aS'M-W-F\tM-W-F\tNN\tI-NP\tO' -p256880 -aS'.\t.\t.\tO\tO' -p256881 -asS'he was alert and oriented x3 .' -p256882 -(lp256883 -S'he\the\tPRP\tB-NP\tO' -p256884 -aS'was\tbe\tVBD\tB-VP\tO' -p256885 -aS'alert\talert\tJJ\tB-ADJP\tO' -p256886 -aS'and\tand\tCC\tO\tO' -p256887 -aS'oriented\torient\tVBN\tB-VP\tO' -p256888 -aS'x3\tx3\tNN\tB-NP\tO' -p256889 -aS'.\t.\t.\tO\tO' -p256890 -asS'She was seen by the dietician and was advised with regard to needing numerous small meals during the day rather than 3 larger meals as she previously was used to .' -p256891 -(lp256892 -S'She\tShe\tPRP\tB-NP\tO' -p256893 -aS'was\tbe\tVBD\tB-VP\tO' -p256894 -aS'seen\tsee\tVBN\tI-VP\tO' -p256895 -aS'by\tby\tIN\tB-PP\tO' -p256896 -aS'the\tthe\tDT\tB-NP\tO' -p256897 -aS'dietician\tdietician\tNN\tI-NP\tO' -p256898 -aS'and\tand\tCC\tO\tO' -p256899 -aS'was\tbe\tVBD\tB-VP\tO' -p256900 -aS'advised\tadvise\tVBN\tI-VP\tO' -p256901 -aS'with\twith\tIN\tB-PP\tO' -p256902 -aS'regard\tregard\tNN\tB-NP\tO' -p256903 -aS'to\tto\tTO\tB-PP\tO' -p256904 -aS'needing\tneed\tVBG\tB-VP\tO' -p256905 -aS'numerous\tnumerous\tJJ\tB-NP\tO' -p256906 -aS'small\tsmall\tJJ\tI-NP\tO' -p256907 -aS'meals\tmeal\tNNS\tI-NP\tO' -p256908 -aS'during\tduring\tIN\tB-PP\tO' -p256909 -aS'the\tthe\tDT\tB-NP\tO' -p256910 -aS'day\tday\tNN\tI-NP\tO' -p256911 -aS'rather\trather\tRB\tB-CONJP\tO' -p256912 -aS'than\tthan\tIN\tI-CONJP\tO' -p256913 -aS'3\t3\tCD\tB-NP\tO' -p256914 -aS'larger\tlarge\tJJR\tI-NP\tO' -p256915 -aS'meals\tmeal\tNNS\tI-NP\tO' -p256916 -aS'as\tas\tIN\tB-SBAR\tO' -p256917 -aS'she\tshe\tPRP\tB-NP\tO' -p256918 -aS'previously\tpreviously\tRB\tB-ADVP\tO' -p256919 -aS'was\tbe\tVBD\tB-VP\tO' -p256920 -aS'used\tuse\tVBN\tI-VP\tO' -p256921 -aS'to\tto\tTO\tB-PP\tO' -p256922 -aS'.\t.\t.\tO\tO' -p256923 -asS'Completed by : Russell Anthony Conner MD 87-672 2014-11-21 @ 1110' -p256924 -(lp256925 -S'Completed\tComplete\tVBN\tB-VP\tO' -p256926 -aS'by\tby\tIN\tB-PP\tO' -p256927 -aS':\t:\t:\tO\tO' -p256928 -aS'Russell\tRussell\tNNP\tB-NP\tO' -p256929 -aS'Anthony\tAnthony\tNNP\tI-NP\tO' -p256930 -aS'Conner\tConner\tNNP\tI-NP\tO' -p256931 -aS'MD\tMD\tNNP\tI-NP\tO' -p256932 -aS'87-672\t87-672\tCD\tI-NP\tO' -p256933 -aS'2014-11-21\t2014-11-21\tCD\tI-NP\tO' -p256934 -aS'@\t@\tNN\tI-NP\tO' -p256935 -aS'1110\t1110\tCD\tB-NP\tO' -p256936 -asS'10) Levofloxacin 250 mg p.o. q. day .' -p256937 -(lp256938 -S'10)\t10)\tCD\tB-NP\tO' -p256939 -aS'Levofloxacin\tLevofloxacin\tNN\tI-NP\tO' -p256940 -aS'250\t250\tCD\tB-NP\tO' -p256941 -aS'mg\tmg\tNN\tI-NP\tO' -p256942 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p256943 -aS'q.\tq.\tNN\tI-NP\tO' -p256944 -aS'day\tday\tNN\tI-NP\tO' -p256945 -aS'.\t.\t.\tO\tO' -p256946 -asS'On the day prior to discharge he noticed a small area of erythema surrounding his R antecubital venous access site .' -p256947 -(lp256948 -S'On\tOn\tIN\tB-PP\tO' -p256949 -aS'the\tthe\tDT\tB-NP\tO' -p256950 -aS'day\tday\tNN\tI-NP\tO' -p256951 -aS'prior\tprior\tRB\tB-ADVP\tO' -p256952 -aS'to\tto\tTO\tB-VP\tO' -p256953 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p256954 -aS'he\the\tPRP\tB-NP\tO' -p256955 -aS'noticed\tnotice\tVBD\tB-VP\tO' -p256956 -aS'a\ta\tDT\tB-NP\tO' -p256957 -aS'small\tsmall\tJJ\tI-NP\tO' -p256958 -aS'area\tarea\tNN\tI-NP\tO' -p256959 -aS'of\tof\tIN\tB-PP\tO' -p256960 -aS'erythema\terythema\tNN\tB-NP\tO' -p256961 -aS'surrounding\tsurround\tVBG\tB-VP\tO' -p256962 -aS'his\this\tPRP$\tB-NP\tO' -p256963 -aS'R\tR\tNN\tI-NP\tB-DNA' -p256964 -aS'antecubital\tantecubital\tJJ\tI-NP\tI-DNA' -p256965 -aS'venous\tvenous\tJJ\tI-NP\tI-DNA' -p256966 -aS'access\taccess\tNN\tI-NP\tI-DNA' -p256967 -aS'site\tsite\tNN\tI-NP\tI-DNA' -p256968 -aS'.\t.\t.\tO\tO' -p256969 -asS'Normal back and hips .' -p256970 -(lp256971 -S'Normal\tNormal\tJJ\tB-ADJP\tO' -p256972 -aS'back\tback\tRB\tB-ADVP\tO' -p256973 -aS'and\tand\tCC\tO\tO' -p256974 -aS'hips\thip\tNNS\tB-NP\tO' -p256975 -aS'.\t.\t.\tO\tO' -p256976 -asS'Patient was put on coumadin that was bridged with lovenox unti lINR theraputic 01-23 .' -p256977 -(lp256978 -S'Patient\tPatient\tNN\tB-NP\tO' -p256979 -aS'was\tbe\tVBD\tB-VP\tO' -p256980 -aS'put\tput\tVBN\tI-VP\tO' -p256981 -aS'on\ton\tIN\tB-PP\tO' -p256982 -aS'coumadin\tcoumadin\tNN\tB-NP\tO' -p256983 -aS'that\tthat\tWDT\tB-NP\tO' -p256984 -aS'was\tbe\tVBD\tB-VP\tO' -p256985 -aS'bridged\tbridge\tVBN\tI-VP\tO' -p256986 -aS'with\twith\tIN\tB-PP\tO' -p256987 -aS'lovenox\tlovenox\tNN\tB-NP\tO' -p256988 -aS'unti\tunti\tNN\tI-NP\tO' -p256989 -aS'lINR\tlINR\tNN\tI-NP\tO' -p256990 -aS'theraputic\ttheraputic\tJJ\tI-NP\tO' -p256991 -aS'01-23\t01-23\tCD\tI-NP\tO' -p256992 -aS'.\t.\t.\tO\tO' -p256993 -asS'13. Synthroid 50 mcg p.o. q day .' -p256994 -(lp256995 -S'13.\t13.\tLS\tB-NP\tO' -p256996 -aS'Synthroid\tSynthroid\tJJ\tI-NP\tO' -p256997 -aS'50\t50\tCD\tI-NP\tO' -p256998 -aS'mcg\tmcg\tNN\tI-NP\tO' -p256999 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p257000 -aS'q\tq\tNN\tI-NP\tO' -p257001 -aS'day\tday\tNN\tI-NP\tO' -p257002 -aS'.\t.\t.\tO\tO' -p257003 -asS'In December of 1994 , a thoracic computerized tomography scan showed a four centimeter soft tissue mass on the left suprahilar region , adjacent to the aortopulmonary window .' -p257004 -(lp257005 -S'In\tIn\tIN\tB-PP\tO' -p257006 -aS'December\tDecember\tNNP\tB-NP\tO' -p257007 -aS'of\tof\tIN\tB-PP\tO' -p257008 -aS'1994\t1994\tCD\tB-NP\tO' -p257009 -aS',\t,\t,\tO\tO' -p257010 -aS'a\ta\tDT\tB-NP\tO' -p257011 -aS'thoracic\tthoracic\tJJ\tI-NP\tO' -p257012 -aS'computerized\tcomputerize\tVBN\tI-NP\tO' -p257013 -aS'tomography\ttomography\tNN\tI-NP\tO' -p257014 -aS'scan\tscan\tNN\tI-NP\tO' -p257015 -aS'showed\tshow\tVBD\tB-VP\tO' -p257016 -aS'a\ta\tDT\tB-NP\tO' -p257017 -aS'four\tfour\tCD\tI-NP\tO' -p257018 -aS'centimeter\tcentimeter\tNN\tI-NP\tO' -p257019 -aS'soft\tsoft\tJJ\tI-NP\tO' -p257020 -aS'tissue\ttissue\tNN\tI-NP\tO' -p257021 -aS'mass\tmass\tNN\tI-NP\tO' -p257022 -aS'on\ton\tIN\tB-PP\tO' -p257023 -aS'the\tthe\tDT\tB-NP\tO' -p257024 -aS'left\tleft\tJJ\tI-NP\tB-DNA' -p257025 -aS'suprahilar\tsuprahilar\tJJ\tI-NP\tI-DNA' -p257026 -aS'region\tregion\tNN\tI-NP\tI-DNA' -p257027 -aS',\t,\t,\tO\tO' -p257028 -aS'adjacent\tadjacent\tJJ\tB-ADJP\tO' -p257029 -aS'to\tto\tTO\tB-PP\tO' -p257030 -aS'the\tthe\tDT\tB-NP\tO' -p257031 -aS'aortopulmonary\taortopulmonary\tJJ\tI-NP\tO' -p257032 -aS'window\twindow\tNN\tI-NP\tO' -p257033 -aS'.\t.\t.\tO\tO' -p257034 -asS'She will also take Percocet .' -p257035 -(lp257036 -S'She\tShe\tPRP\tB-NP\tO' -p257037 -aS'will\twill\tMD\tB-VP\tO' -p257038 -aS'also\talso\tRB\tI-VP\tO' -p257039 -aS'take\ttake\tVB\tI-VP\tO' -p257040 -aS'Percocet\tPercocet\tNNP\tB-NP\tO' -p257041 -aS'.\t.\t.\tO\tO' -p257042 -asS'The patient was admitted to the hospital for further evaluation and work up .' -p257043 -(lp257044 -S'The\tThe\tDT\tB-NP\tO' -p257045 -aS'patient\tpatient\tNN\tI-NP\tO' -p257046 -aS'was\tbe\tVBD\tB-VP\tO' -p257047 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p257048 -aS'to\tto\tTO\tB-PP\tO' -p257049 -aS'the\tthe\tDT\tB-NP\tO' -p257050 -aS'hospital\thospital\tNN\tI-NP\tO' -p257051 -aS'for\tfor\tIN\tB-PP\tO' -p257052 -aS'further\tfurther\tJJ\tB-NP\tO' -p257053 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p257054 -aS'and\tand\tCC\tO\tO' -p257055 -aS'work\twork\tVB\tB-VP\tO' -p257056 -aS'up\tup\tRP\tB-PRT\tO' -p257057 -aS'.\t.\t.\tO\tO' -p257058 -asS'She has been working with Speech Therapy , occupational therapy and physical therapy closely and should continue to show improvement .' -p257059 -(lp257060 -S'She\tShe\tPRP\tB-NP\tO' -p257061 -aS'has\thave\tVBZ\tB-VP\tO' -p257062 -aS'been\tbe\tVBN\tI-VP\tO' -p257063 -aS'working\twork\tVBG\tI-VP\tO' -p257064 -aS'with\twith\tIN\tB-PP\tO' -p257065 -aS'Speech\tSpeech\tNN\tB-NP\tO' -p257066 -aS'Therapy\tTherapy\tNN\tI-NP\tO' -p257067 -aS',\t,\t,\tO\tO' -p257068 -aS'occupational\toccupational\tJJ\tB-NP\tO' -p257069 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p257070 -aS'and\tand\tCC\tO\tO' -p257071 -aS'physical\tphysical\tJJ\tB-NP\tO' -p257072 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p257073 -aS'closely\tclosely\tRB\tB-ADVP\tO' -p257074 -aS'and\tand\tCC\tO\tO' -p257075 -aS'should\tshould\tMD\tB-VP\tO' -p257076 -aS'continue\tcontinue\tVB\tI-VP\tO' -p257077 -aS'to\tto\tTO\tI-VP\tO' -p257078 -aS'show\tshow\tVB\tI-VP\tO' -p257079 -aS'improvement\timprovement\tNN\tB-NP\tO' -p257080 -aS'.\t.\t.\tO\tO' -p257081 -asS'Will cont Ancef 1q8 overnight and trans to Keflex .' -p257082 -(lp257083 -S'Will\tWill\tMD\tB-VP\tO' -p257084 -aS'cont\tcont\tVB\tI-VP\tO' -p257085 -aS'Ancef\tAncef\tNN\tB-NP\tO' -p257086 -aS'1q8\t1q8\tCD\tI-NP\tO' -p257087 -aS'overnight\tovernight\tJJ\tI-NP\tO' -p257088 -aS'and\tand\tCC\tI-NP\tO' -p257089 -aS'trans\ttrans\tJJ\tI-NP\tO' -p257090 -aS'to\tto\tTO\tB-PP\tO' -p257091 -aS'Keflex\tKeflex\tNNP\tB-NP\tO' -p257092 -aS'.\t.\t.\tO\tO' -p257093 -asS'daycare during the RSV season a smoker in the household , neuromuscular disease , airway abnormalities , or school age siblings' -p257094 -(lp257095 -S'daycare\tdaycare\tNN\tB-NP\tO' -p257096 -aS'during\tduring\tIN\tB-PP\tO' -p257097 -aS'the\tthe\tDT\tB-NP\tO' -p257098 -aS'RSV\tRSV\tNN\tI-NP\tO' -p257099 -aS'season\tseason\tNN\tI-NP\tO' -p257100 -aS'a\ta\tDT\tB-NP\tO' -p257101 -aS'smoker\tsmoker\tNN\tI-NP\tO' -p257102 -aS'in\tin\tIN\tB-PP\tO' -p257103 -aS'the\tthe\tDT\tB-NP\tO' -p257104 -aS'household\thousehold\tNN\tI-NP\tO' -p257105 -aS',\t,\t,\tO\tO' -p257106 -aS'neuromuscular\tneuromuscular\tJJ\tB-NP\tO' -p257107 -aS'disease\tdisease\tNN\tI-NP\tO' -p257108 -aS',\t,\t,\tO\tO' -p257109 -aS'airway\tairway\tNN\tB-NP\tO' -p257110 -aS'abnormalities\tabnormality\tNNS\tI-NP\tO' -p257111 -aS',\t,\t,\tO\tO' -p257112 -aS'or\tor\tCC\tO\tO' -p257113 -aS'school\tschool\tNN\tB-NP\tO' -p257114 -aS'age\tage\tNN\tI-NP\tO' -p257115 -aS'siblings\tsibling\tNNS\tI-NP\tO' -p257116 -asS'Cardiac - regular rate and rhythm with frequent premature beats and a 2/6 systolic ejection murmur at the apex .' -p257117 -(lp257118 -S'Cardiac\tCardiac\tJJ\tB-NP\tO' -p257119 -aS'-\t-\tHYPH\tI-NP\tO' -p257120 -aS'regular\tregular\tJJ\tI-NP\tO' -p257121 -aS'rate\trate\tNN\tI-NP\tO' -p257122 -aS'and\tand\tCC\tI-NP\tO' -p257123 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p257124 -aS'with\twith\tIN\tB-PP\tO' -p257125 -aS'frequent\tfrequent\tJJ\tB-NP\tO' -p257126 -aS'premature\tpremature\tJJ\tI-NP\tO' -p257127 -aS'beats\tbeat\tNNS\tI-NP\tO' -p257128 -aS'and\tand\tCC\tO\tO' -p257129 -aS'a\ta\tDT\tB-NP\tO' -p257130 -aS'2/6\t2/6\tCD\tI-NP\tO' -p257131 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p257132 -aS'ejection\tejection\tNN\tI-NP\tO' -p257133 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p257134 -aS'at\tat\tIN\tB-PP\tO' -p257135 -aS'the\tthe\tDT\tB-NP\tO' -p257136 -aS'apex\tapex\tNN\tI-NP\tO' -p257137 -aS'.\t.\t.\tO\tO' -p257138 -asS'Depending on the family , patient , and the OMR records , the exact duration of the most recent one was unclear .' -p257139 -(lp257140 -S'Depending\tDepend\tVBG\tB-PP\tO' -p257141 -aS'on\ton\tIN\tB-PP\tO' -p257142 -aS'the\tthe\tDT\tB-NP\tO' -p257143 -aS'family\tfamily\tNN\tI-NP\tO' -p257144 -aS',\t,\t,\tO\tO' -p257145 -aS'patient\tpatient\tNN\tB-NP\tO' -p257146 -aS',\t,\t,\tO\tO' -p257147 -aS'and\tand\tCC\tO\tO' -p257148 -aS'the\tthe\tDT\tB-NP\tO' -p257149 -aS'OMR\tOMR\tNN\tI-NP\tO' -p257150 -aS'records\trecord\tNNS\tI-NP\tO' -p257151 -aS',\t,\t,\tO\tO' -p257152 -aS'the\tthe\tDT\tB-NP\tO' -p257153 -aS'exact\texact\tJJ\tI-NP\tO' -p257154 -aS'duration\tduration\tNN\tI-NP\tO' -p257155 -aS'of\tof\tIN\tB-PP\tO' -p257156 -aS'the\tthe\tDT\tB-NP\tO' -p257157 -aS'most\tmost\tRBS\tI-NP\tO' -p257158 -aS'recent\trecent\tJJ\tI-NP\tO' -p257159 -aS'one\tone\tNN\tI-NP\tO' -p257160 -aS'was\tbe\tVBD\tB-VP\tO' -p257161 -aS'unclear\tunclear\tJJ\tB-ADJP\tO' -p257162 -aS'.\t.\t.\tO\tO' -p257163 -asS'Per Infectious Disease , okay for the patient to be discharged in stable condition to Waltham/Weston Hospital facility .' -p257164 -(lp257165 -S'Per\tPer\tIN\tB-PP\tO' -p257166 -aS'Infectious\tInfectious\tJJ\tB-NP\tO' -p257167 -aS'Disease\tDisease\tNN\tI-NP\tO' -p257168 -aS',\t,\t,\tO\tO' -p257169 -aS'okay\tokay\tNN\tB-NP\tO' -p257170 -aS'for\tfor\tIN\tB-PP\tO' -p257171 -aS'the\tthe\tDT\tB-NP\tO' -p257172 -aS'patient\tpatient\tNN\tI-NP\tO' -p257173 -aS'to\tto\tTO\tB-VP\tO' -p257174 -aS'be\tbe\tVB\tI-VP\tO' -p257175 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p257176 -aS'in\tin\tIN\tB-PP\tO' -p257177 -aS'stable\tstable\tJJ\tB-NP\tO' -p257178 -aS'condition\tcondition\tNN\tI-NP\tO' -p257179 -aS'to\tto\tTO\tB-PP\tO' -p257180 -aS'Waltham/Weston\tWaltham/Weston\tNNP\tB-NP\tO' -p257181 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p257182 -aS'facility\tfacility\tNN\tI-NP\tO' -p257183 -aS'.\t.\t.\tO\tO' -p257184 -asS'Her electrocardiogram demonstrated normal sinus rhythm without acute ischemic changes .' -p257185 -(lp257186 -S'Her\tHer\tPRP$\tB-NP\tO' -p257187 -aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' -p257188 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p257189 -aS'normal\tnormal\tJJ\tB-NP\tO' -p257190 -aS'sinus\tsinus\tNN\tI-NP\tO' -p257191 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p257192 -aS'without\twithout\tIN\tB-PP\tO' -p257193 -aS'acute\tacute\tJJ\tB-NP\tO' -p257194 -aS'ischemic\tischemic\tJJ\tI-NP\tO' -p257195 -aS'changes\tchange\tNNS\tI-NP\tO' -p257196 -aS'.\t.\t.\tO\tO' -p257197 -asS'A chest x-ray revealed an enlarged mediastinum with clear lung fields bilaterally .' -p257198 -(lp257199 -S'A\tA\tDT\tB-NP\tO' -p257200 -aS'chest\tchest\tNN\tI-NP\tO' -p257201 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p257202 -aS'revealed\treveal\tVBD\tB-VP\tO' -p257203 -aS'an\tan\tDT\tB-NP\tO' -p257204 -aS'enlarged\tenlarged\tJJ\tI-NP\tO' -p257205 -aS'mediastinum\tmediastinum\tNN\tI-NP\tO' -p257206 -aS'with\twith\tIN\tB-PP\tO' -p257207 -aS'clear\tclear\tJJ\tB-NP\tO' -p257208 -aS'lung\tlung\tNN\tI-NP\tO' -p257209 -aS'fields\tfield\tNNS\tI-NP\tO' -p257210 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p257211 -aS'.\t.\t.\tO\tO' -p257212 -asS'Gastroenteritis .' -p257213 -(lp257214 -S'Gastroenteritis\tGastroenteritis\tNN\tB-NP\tO' -p257215 -aS'.\t.\t.\tO\tO' -p257216 -asS'3 plus pitting edema to the knee bilaterally with areas of darkened erythema which is crusted , indented .' -p257217 -(lp257218 -S'3\t3\tCD\tB-NP\tO' -p257219 -aS'plus\tplus\tCC\tO\tO' -p257220 -aS'pitting\tpit\tVBG\tB-VP\tO' -p257221 -aS'edema\tedema\tNN\tB-NP\tO' -p257222 -aS'to\tto\tTO\tB-PP\tO' -p257223 -aS'the\tthe\tDT\tB-NP\tO' -p257224 -aS'knee\tknee\tNN\tI-NP\tO' -p257225 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p257226 -aS'with\twith\tIN\tB-PP\tO' -p257227 -aS'areas\tarea\tNNS\tB-NP\tO' -p257228 -aS'of\tof\tIN\tB-PP\tO' -p257229 -aS'darkened\tdarkened\tJJ\tB-NP\tO' -p257230 -aS'erythema\terythema\tNN\tI-NP\tO' -p257231 -aS'which\twhich\tWDT\tB-NP\tO' -p257232 -aS'is\tbe\tVBZ\tB-VP\tO' -p257233 -aS'crusted\tcrust\tVBN\tI-VP\tO' -p257234 -aS',\t,\t,\tO\tO' -p257235 -aS'indented\tindent\tVBN\tB-VP\tO' -p257236 -aS'.\t.\t.\tO\tO' -p257237 -asS'Mother is 17 years old , and has been accompanied on the majority of her visits by her parents , both of whom are students .' -p257238 -(lp257239 -S'Mother\tMother\tNNP\tB-NP\tO' -p257240 -aS'is\tbe\tVBZ\tB-VP\tO' -p257241 -aS'17\t17\tCD\tB-NP\tO' -p257242 -aS'years\tyear\tNNS\tI-NP\tO' -p257243 -aS'old\told\tJJ\tB-ADJP\tO' -p257244 -aS',\t,\t,\tO\tO' -p257245 -aS'and\tand\tCC\tO\tO' -p257246 -aS'has\thave\tVBZ\tB-VP\tO' -p257247 -aS'been\tbe\tVBN\tI-VP\tO' -p257248 -aS'accompanied\taccompany\tVBN\tI-VP\tO' -p257249 -aS'on\ton\tIN\tB-PP\tO' -p257250 -aS'the\tthe\tDT\tB-NP\tO' -p257251 -aS'majority\tmajority\tNN\tI-NP\tO' -p257252 -aS'of\tof\tIN\tB-PP\tO' -p257253 -aS'her\ther\tPRP$\tB-NP\tO' -p257254 -aS'visits\tvisit\tNNS\tI-NP\tO' -p257255 -aS'by\tby\tIN\tB-PP\tO' -p257256 -aS'her\ther\tPRP$\tB-NP\tO' -p257257 -aS'parents\tparent\tNNS\tI-NP\tO' -p257258 -aS',\t,\t,\tO\tO' -p257259 -aS'both\tboth\tDT\tB-NP\tO' -p257260 -aS'of\tof\tIN\tB-PP\tO' -p257261 -aS'whom\twhom\tWP\tB-NP\tO' -p257262 -aS'are\tbe\tVBP\tB-VP\tO' -p257263 -aS'students\tstudent\tNNS\tB-NP\tO' -p257264 -aS'.\t.\t.\tO\tO' -p257265 -asS"The patient 's fluid hydration from D5 one-half normal saline with 20 mEq of K to D5W and acuchecks from this time showed blood sugars routinely between 20 and 50 ." -p257266 -(lp257267 -S'The\tThe\tDT\tB-NP\tO' -p257268 -aS'patient\tpatient\tNN\tI-NP\tO' -p257269 -aS"'s\t's\tPOS\tB-NP\tO" -p257270 -aS'fluid\tfluid\tJJ\tI-NP\tO' -p257271 -aS'hydration\thydration\tNN\tI-NP\tO' -p257272 -aS'from\tfrom\tIN\tB-PP\tO' -p257273 -aS'D5\tD5\tNN\tB-NP\tO' -p257274 -aS'one-half\tone-half\tNN\tI-NP\tO' -p257275 -aS'normal\tnormal\tJJ\tI-NP\tO' -p257276 -aS'saline\tsaline\tNN\tI-NP\tO' -p257277 -aS'with\twith\tIN\tB-PP\tO' -p257278 -aS'20\t20\tCD\tB-NP\tO' -p257279 -aS'mEq\tmEq\tNN\tI-NP\tO' -p257280 -aS'of\tof\tIN\tB-PP\tO' -p257281 -aS'K\tK\tNN\tB-NP\tO' -p257282 -aS'to\tto\tTO\tB-PP\tO' -p257283 -aS'D5W\tD5W\tNN\tB-NP\tB-protein' -p257284 -aS'and\tand\tCC\tI-NP\tO' -p257285 -aS'acuchecks\tacucheck\tNNS\tI-NP\tO' -p257286 -aS'from\tfrom\tIN\tB-PP\tO' -p257287 -aS'this\tthis\tDT\tB-NP\tO' -p257288 -aS'time\ttime\tNN\tI-NP\tO' -p257289 -aS'showed\tshow\tVBD\tB-VP\tO' -p257290 -aS'blood\tblood\tNN\tB-NP\tO' -p257291 -aS'sugars\tsugar\tNNS\tI-NP\tO' -p257292 -aS'routinely\troutinely\tRB\tB-ADVP\tO' -p257293 -aS'between\tbetween\tIN\tB-PP\tO' -p257294 -aS'20\t20\tCD\tB-NP\tO' -p257295 -aS'and\tand\tCC\tI-NP\tO' -p257296 -aS'50\t50\tCD\tI-NP\tO' -p257297 -aS'.\t.\t.\tO\tO' -p257298 -asS'2. Carbidopa-Levodopa 25 - 250 mg Tablet Sig : One ( 1 ) Tablet PO 5 TIMES A DAY ( ) .' -p257299 -(lp257300 -S'2.\t2.\tLS\tB-LST\tO' -p257301 -aS'Carbidopa-Levodopa\tCarbidopa-Levodopa\tNNP\tB-NP\tO' -p257302 -aS'25\t25\tCD\tI-NP\tO' -p257303 -aS'-\t-\tHYPH\tI-NP\tO' -p257304 -aS'250\t250\tCD\tI-NP\tO' -p257305 -aS'mg\tmg\tNN\tI-NP\tO' -p257306 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p257307 -aS'Sig\tSig\tNNP\tI-NP\tO' -p257308 -aS':\t:\t:\tO\tO' -p257309 -aS'One\tOne\tCD\tB-NP\tO' -p257310 -aS'(\t(\t(\tO\tO' -p257311 -aS'1\t1\tCD\tB-NP\tO' -p257312 -aS')\t)\t)\tO\tO' -p257313 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p257314 -aS'PO\tPO\tNN\tI-NP\tO' -p257315 -aS'5\t5\tCD\tI-NP\tO' -p257316 -aS'TIMES\tTIMES\tNN\tI-NP\tO' -p257317 -aS'A\tA\tNN\tI-NP\tO' -p257318 -aS'DAY\tDAY\tNN\tI-NP\tO' -p257319 -aS'(\t(\t(\tO\tO' -p257320 -aS')\t)\t)\tO\tO' -p257321 -aS'.\t.\t.\tO\tO' -p257322 -asS'His abdomen was distended with massive hepatosplenomegaly , which was somewhat tender .' -p257323 -(lp257324 -S'His\tHis\tPRP$\tB-NP\tO' -p257325 -aS'abdomen\tabdoman\tNNS\tI-NP\tO' -p257326 -aS'was\tbe\tVBD\tB-VP\tO' -p257327 -aS'distended\tdistend\tVBN\tI-VP\tO' -p257328 -aS'with\twith\tIN\tB-PP\tO' -p257329 -aS'massive\tmassive\tJJ\tB-NP\tO' -p257330 -aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tI-NP\tO' -p257331 -aS',\t,\t,\tO\tO' -p257332 -aS'which\twhich\tWDT\tB-NP\tO' -p257333 -aS'was\tbe\tVBD\tB-VP\tO' -p257334 -aS'somewhat\tsomewhat\tDT\tB-NP\tO' -p257335 -aS'tender\ttender\tNN\tI-NP\tO' -p257336 -aS'.\t.\t.\tO\tO' -p257337 -asS'The patient 's mental status slowly began to recover , however on the morning of the first day of admission , August 16 , 1998 , the patient was found after having fallen .' -p257338 -(lp257339 -S'The\tThe\tDT\tB-NP\tO' -p257340 -aS'patient\tpatient\tNN\tI-NP\tO' -p257341 -aS''s\t'\tNNS\tI-NP\tO' -p257342 -aS'mental\tmental\tJJ\tB-NP\tO' -p257343 -aS'status\tstatus\tNN\tI-NP\tO' -p257344 -aS'slowly\tslowly\tRB\tB-ADVP\tO' -p257345 -aS'began\tbegin\tVBD\tB-VP\tO' -p257346 -aS'to\tto\tTO\tI-VP\tO' -p257347 -aS'recover\trecover\tVB\tI-VP\tO' -p257348 -aS',\t,\t,\tO\tO' -p257349 -aS'however\thowever\tRB\tB-ADVP\tO' -p257350 -aS'on\ton\tIN\tB-PP\tO' -p257351 -aS'the\tthe\tDT\tB-NP\tO' -p257352 -aS'morning\tmorning\tNN\tI-NP\tO' -p257353 -aS'of\tof\tIN\tB-PP\tO' -p257354 -aS'the\tthe\tDT\tB-NP\tO' -p257355 -aS'first\tfirst\tJJ\tI-NP\tO' -p257356 -aS'day\tday\tNN\tI-NP\tO' -p257357 -aS'of\tof\tIN\tB-PP\tO' -p257358 -aS'admission\tadmission\tNN\tB-NP\tO' -p257359 -aS',\t,\t,\tO\tO' -p257360 -aS'August\tAugust\tNNP\tB-NP\tO' -p257361 -aS'16\t16\tCD\tI-NP\tO' -p257362 -aS',\t,\t,\tI-NP\tO' -p257363 -aS'1998\t1998\tCD\tI-NP\tO' -p257364 -aS',\t,\t,\tO\tO' -p257365 -aS'the\tthe\tDT\tB-NP\tO' -p257366 -aS'patient\tpatient\tNN\tI-NP\tO' -p257367 -aS'was\tbe\tVBD\tB-VP\tO' -p257368 -aS'found\tfind\tVBN\tI-VP\tO' -p257369 -aS'after\tafter\tIN\tB-PP\tO' -p257370 -aS'having\thave\tVBG\tB-VP\tO' -p257371 -aS'fallen\tfall\tVBN\tI-VP\tO' -p257372 -aS'.\t.\t.\tO\tO' -p257373 -asS'An arterial blood gas at that time showed pO2 of 68 , saturation of 95% , a pH of 7.5l , pCO2 of 37 , a bicarbonate of 37 , and a pCO2 of 3l with a +7 base .' -p257374 -(lp257375 -S'An\tAn\tDT\tB-NP\tO' -p257376 -aS'arterial\tarterial\tJJ\tI-NP\tO' -p257377 -aS'blood\tblood\tNN\tI-NP\tO' -p257378 -aS'gas\tgas\tNN\tI-NP\tO' -p257379 -aS'at\tat\tIN\tB-PP\tO' -p257380 -aS'that\tthat\tDT\tB-NP\tO' -p257381 -aS'time\ttime\tNN\tI-NP\tO' -p257382 -aS'showed\tshow\tVBD\tB-VP\tO' -p257383 -aS'pO2\tpO2\tNN\tB-NP\tO' -p257384 -aS'of\tof\tIN\tB-PP\tO' -p257385 -aS'68\t68\tCD\tB-NP\tO' -p257386 -aS',\t,\t,\tO\tO' -p257387 -aS'saturation\tsaturation\tNN\tB-NP\tO' -p257388 -aS'of\tof\tIN\tB-PP\tO' -p257389 -aS'95%\t95%\tNN\tB-NP\tO' -p257390 -aS',\t,\t,\tO\tO' -p257391 -aS'a\ta\tDT\tB-NP\tO' -p257392 -aS'pH\tpH\tNN\tI-NP\tO' -p257393 -aS'of\tof\tIN\tB-PP\tO' -p257394 -aS'7.5l\t7.5l\tNN\tB-NP\tO' -p257395 -aS',\t,\t,\tO\tO' -p257396 -aS'pCO2\tpCO2\tNN\tB-NP\tO' -p257397 -aS'of\tof\tIN\tB-PP\tO' -p257398 -aS'37\t37\tCD\tB-NP\tO' -p257399 -aS',\t,\t,\tO\tO' -p257400 -aS'a\ta\tDT\tB-NP\tO' -p257401 -aS'bicarbonate\tbicarbonate\tNN\tI-NP\tO' -p257402 -aS'of\tof\tIN\tB-PP\tO' -p257403 -aS'37\t37\tCD\tB-NP\tO' -p257404 -aS',\t,\t,\tO\tO' -p257405 -aS'and\tand\tCC\tO\tO' -p257406 -aS'a\ta\tDT\tB-NP\tO' -p257407 -aS'pCO2\tpCO2\tNN\tI-NP\tO' -p257408 -aS'of\tof\tIN\tB-PP\tO' -p257409 -aS'3l\t3l\tNN\tB-NP\tO' -p257410 -aS'with\twith\tIN\tB-PP\tO' -p257411 -aS'a\ta\tDT\tB-NP\tO' -p257412 -aS'+7\t+7\tCD\tI-NP\tO' -p257413 -aS'base\tbase\tNN\tI-NP\tO' -p257414 -aS'.\t.\t.\tO\tO' -p257415 -asS'Mild-to-moderate MR , TR .' -p257416 -(lp257417 -S'Mild-to-moderate\tMild-to-moderate\tJJ\tB-NP\tO' -p257418 -aS'MR\tMR\tNN\tI-NP\tB-protein' -p257419 -aS',\t,\t,\tO\tO' -p257420 -aS'TR\tTR\tNN\tB-NP\tB-protein' -p257421 -aS'.\t.\t.\tO\tO' -p257422 -asS'Married with children , wheelchair bound mostly .' -p257423 -(lp257424 -S'Married\tMarry\tVBN\tB-VP\tO' -p257425 -aS'with\twith\tIN\tB-PP\tO' -p257426 -aS'children\tchild\tNNS\tB-NP\tO' -p257427 -aS',\t,\t,\tO\tO' -p257428 -aS'wheelchair\twheelchair\tNN\tB-NP\tO' -p257429 -aS'bound\tbind\tVBD\tB-VP\tO' -p257430 -aS'mostly\tmostly\tRB\tB-ADVP\tO' -p257431 -aS'.\t.\t.\tO\tO' -p257432 -asS"Patient 's renal function remained stable and her CKs trended down gradually ." -p257433 -(lp257434 -S'Patient\tPatient\tNNP\tB-NP\tO' -p257435 -aS"'s\t's\tPOS\tB-NP\tO" -p257436 -aS'renal\trenal\tJJ\tI-NP\tO' -p257437 -aS'function\tfunction\tNN\tI-NP\tO' -p257438 -aS'remained\tremain\tVBD\tB-VP\tO' -p257439 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p257440 -aS'and\tand\tCC\tO\tO' -p257441 -aS'her\ther\tPRP$\tB-NP\tO' -p257442 -aS'CKs\tCK\tNNS\tI-NP\tB-protein' -p257443 -aS'trended\ttrend\tVBD\tB-VP\tO' -p257444 -aS'down\tdown\tRB\tB-ADVP\tO' -p257445 -aS'gradually\tgradually\tRB\tB-ADVP\tO' -p257446 -aS'.\t.\t.\tO\tO' -p257447 -asS'Lipase was elevated to 600 .' -p257448 -(lp257449 -S'Lipase\tLipase\tNN\tB-NP\tB-protein' -p257450 -aS'was\tbe\tVBD\tB-VP\tO' -p257451 -aS'elevated\televate\tVBN\tI-VP\tO' -p257452 -aS'to\tto\tTO\tB-PP\tO' -p257453 -aS'600\t600\tCD\tB-NP\tO' -p257454 -aS'.\t.\t.\tO\tO' -p257455 -asS'There is a question of an allergy to Tylenol .' -p257456 -(lp257457 -S'There\tThere\tEX\tB-NP\tO' -p257458 -aS'is\tbe\tVBZ\tB-VP\tO' -p257459 -aS'a\ta\tDT\tB-NP\tO' -p257460 -aS'question\tquestion\tNN\tI-NP\tO' -p257461 -aS'of\tof\tIN\tB-PP\tO' -p257462 -aS'an\tan\tDT\tB-NP\tO' -p257463 -aS'allergy\tallergy\tNN\tI-NP\tO' -p257464 -aS'to\tto\tTO\tB-PP\tO' -p257465 -aS'Tylenol\tTylenol\tNN\tB-NP\tO' -p257466 -aS'.\t.\t.\tO\tO' -p257467 -asS'Subsequent lower extremities noninvasive studies and D-dimer test were both negative rendering the probability of acute pulmonary embolism less than 2 percent .' -p257468 -(lp257469 -S'Subsequent\tSubsequent\tJJ\tB-NP\tO' -p257470 -aS'lower\tlow\tJJR\tI-NP\tO' -p257471 -aS'extremities\textremity\tNNS\tI-NP\tO' -p257472 -aS'noninvasive\tnoninvasive\tJJ\tB-NP\tO' -p257473 -aS'studies\tstudy\tNNS\tI-NP\tO' -p257474 -aS'and\tand\tCC\tO\tO' -p257475 -aS'D-dimer\tD-dimer\tNN\tB-NP\tO' -p257476 -aS'test\ttest\tNN\tI-NP\tO' -p257477 -aS'were\tbe\tVBD\tB-VP\tO' -p257478 -aS'both\tboth\tDT\tO\tO' -p257479 -aS'negative\tnegative\tJJ\tO\tO' -p257480 -aS'rendering\trender\tVBG\tB-VP\tO' -p257481 -aS'the\tthe\tDT\tB-NP\tO' -p257482 -aS'probability\tprobability\tNN\tI-NP\tO' -p257483 -aS'of\tof\tIN\tB-PP\tO' -p257484 -aS'acute\tacute\tJJ\tB-NP\tO' -p257485 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p257486 -aS'embolism\tembolism\tNN\tI-NP\tO' -p257487 -aS'less\tless\tJJR\tB-NP\tO' -p257488 -aS'than\tthan\tIN\tI-NP\tO' -p257489 -aS'2\t2\tCD\tI-NP\tO' -p257490 -aS'percent\tpercent\tNN\tI-NP\tO' -p257491 -aS'.\t.\t.\tO\tO' -p257492 -asS'He was able to use a Passy-Muir valve intermittently for his trach .' -p257493 -(lp257494 -S'He\tHe\tPRP\tB-NP\tO' -p257495 -aS'was\tbe\tVBD\tB-VP\tO' -p257496 -aS'able\table\tJJ\tB-ADJP\tO' -p257497 -aS'to\tto\tTO\tB-VP\tO' -p257498 -aS'use\tuse\tVB\tI-VP\tO' -p257499 -aS'a\ta\tDT\tB-NP\tO' -p257500 -aS'Passy-Muir\tPassy-Muir\tNNP\tI-NP\tO' -p257501 -aS'valve\tvalve\tVBP\tB-VP\tO' -p257502 -aS'intermittently\tintermittently\tRB\tB-ADVP\tO' -p257503 -aS'for\tfor\tIN\tB-PP\tO' -p257504 -aS'his\this\tPRP$\tB-NP\tO' -p257505 -aS'trach\ttrach\tNN\tI-NP\tO' -p257506 -aS'.\t.\t.\tO\tO' -p257507 -asS'Length was 40 cm , 50th percentile .' -p257508 -(lp257509 -S'Length\tLength\tNN\tB-NP\tO' -p257510 -aS'was\tbe\tVBD\tB-VP\tO' -p257511 -aS'40\t40\tCD\tB-NP\tO' -p257512 -aS'cm\tcm\tNN\tI-NP\tO' -p257513 -aS',\t,\t,\tO\tO' -p257514 -aS'50th\t50th\tJJ\tB-NP\tO' -p257515 -aS'percentile\tpercentile\tNN\tI-NP\tO' -p257516 -aS'.\t.\t.\tO\tO' -p257517 -asS'8. Clindamycin 900 q 8 .' -p257518 -(lp257519 -S'8.\t8.\tCD\tB-NP\tO' -p257520 -aS'Clindamycin\tClindamycin\tNN\tI-NP\tO' -p257521 -aS'900\t900\tCD\tB-NP\tO' -p257522 -aS'q\tq\tNN\tI-NP\tO' -p257523 -aS'8\t8\tCD\tI-NP\tO' -p257524 -aS'.\t.\t.\tO\tO' -p257525 -asS'Sclerae anicteric .' -p257526 -(lp257527 -S'Sclerae\tSclerae\tNNP\tB-NP\tO' -p257528 -aS'anicteric\tanicteric\tJJ\tI-NP\tO' -p257529 -aS'.\t.\t.\tO\tO' -p257530 -asS'- Albuterol 90 mcg 1-2 Puffs INH q6hr PRN' -p257531 -(lp257532 -S'-\t-\tHYPH\tB-NP\tO' -p257533 -aS'Albuterol\tAlbuterol\tNN\tI-NP\tO' -p257534 -aS'90\t90\tCD\tI-NP\tO' -p257535 -aS'mcg\tmcg\tNN\tI-NP\tO' -p257536 -aS'1-2\t1-2\tNN\tI-NP\tO' -p257537 -aS'Puffs\tPuff\tNNS\tI-NP\tO' -p257538 -aS'INH\tINH\tNN\tI-NP\tO' -p257539 -aS'q6hr\tq6hr\tNN\tI-NP\tO' -p257540 -aS'PRN\tPRN\tNN\tI-NP\tO' -p257541 -asS'She was started on Pitressin , a Blakemore tube was inserted .' -p257542 -(lp257543 -S'She\tShe\tPRP\tB-NP\tO' -p257544 -aS'was\tbe\tVBD\tB-VP\tO' -p257545 -aS'started\tstart\tVBN\tI-VP\tO' -p257546 -aS'on\ton\tIN\tB-PP\tO' -p257547 -aS'Pitressin\tPitressin\tNNP\tB-NP\tO' -p257548 -aS',\t,\t,\tO\tO' -p257549 -aS'a\ta\tDT\tB-NP\tO' -p257550 -aS'Blakemore\tBlakemore\tNNP\tI-NP\tO' -p257551 -aS'tube\ttube\tNN\tI-NP\tO' -p257552 -aS'was\tbe\tVBD\tB-VP\tO' -p257553 -aS'inserted\tinsert\tVBN\tI-VP\tO' -p257554 -aS'.\t.\t.\tO\tO' -p257555 -asS'On January 4 , he had a desaturation .' -p257556 -(lp257557 -S'On\tOn\tIN\tB-PP\tO' -p257558 -aS'January\tJanuary\tNNP\tB-NP\tO' -p257559 -aS'4\t4\tCD\tI-NP\tO' -p257560 -aS',\t,\t,\tO\tO' -p257561 -aS'he\the\tPRP\tB-NP\tO' -p257562 -aS'had\thave\tVBD\tB-VP\tO' -p257563 -aS'a\ta\tDT\tB-NP\tO' -p257564 -aS'desaturation\tdesaturation\tNN\tI-NP\tO' -p257565 -aS'.\t.\t.\tO\tO' -p257566 -asS'Anterior fontanelle is soft , open and flat .' -p257567 -(lp257568 -S'Anterior\tAnterior\tJJ\tB-NP\tO' -p257569 -aS'fontanelle\tfontanelle\tNN\tI-NP\tO' -p257570 -aS'is\tbe\tVBZ\tB-VP\tO' -p257571 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p257572 -aS',\t,\t,\tI-ADJP\tO' -p257573 -aS'open\topen\tJJ\tI-ADJP\tO' -p257574 -aS'and\tand\tCC\tI-ADJP\tO' -p257575 -aS'flat\tflat\tJJ\tI-ADJP\tO' -p257576 -aS'.\t.\t.\tO\tO' -p257577 -asS'Crackles were increased 1/4 of the way up .' -p257578 -(lp257579 -S'Crackles\tCrackle\tNNS\tB-NP\tO' -p257580 -aS'were\tbe\tVBD\tB-VP\tO' -p257581 -aS'increased\tincrease\tVBN\tI-VP\tO' -p257582 -aS'1/4\t1/4\tCD\tB-NP\tO' -p257583 -aS'of\tof\tIN\tB-PP\tO' -p257584 -aS'the\tthe\tDT\tB-NP\tO' -p257585 -aS'way\tway\tNN\tI-NP\tO' -p257586 -aS'up\tup\tRP\tB-PRT\tO' -p257587 -aS'.\t.\t.\tO\tO' -p257588 -asS'She had a negative Chvostek 's and negative Trousseau 's sign .' -p257589 -(lp257590 -S'She\tShe\tPRP\tB-NP\tO' -p257591 -aS'had\thave\tVBD\tB-VP\tO' -p257592 -aS'a\ta\tDT\tB-NP\tO' -p257593 -aS'negative\tnegative\tJJ\tI-NP\tO' -p257594 -aS'Chvostek\tChvostek\tNNP\tI-NP\tO' -p257595 -aS''s\t'\tNNS\tI-NP\tO' -p257596 -aS'and\tand\tCC\tO\tO' -p257597 -aS'negative\tnegative\tJJ\tB-NP\tO' -p257598 -aS'Trousseau\tTrousseau\tNN\tI-NP\tO' -p257599 -aS''s\t'\tNNS\tI-NP\tO' -p257600 -aS'sign\tsign\tNN\tI-NP\tO' -p257601 -aS'.\t.\t.\tO\tO' -p257602 -asS'This is a 62-year-old male with severe osteoarthritis of the right hip who after discussion , including the nature , risks , benefits and alternative treatment plans , signed informed consent for a right total hip replacement .' -p257603 -(lp257604 -S'This\tThis\tDT\tB-NP\tO' -p257605 -aS'is\tbe\tVBZ\tB-VP\tO' -p257606 -aS'a\ta\tDT\tB-NP\tO' -p257607 -aS'62-year-old\t62-year-old\tJJ\tI-NP\tO' -p257608 -aS'male\tmale\tNN\tI-NP\tO' -p257609 -aS'with\twith\tIN\tB-PP\tO' -p257610 -aS'severe\tsevere\tJJ\tB-NP\tO' -p257611 -aS'osteoarthritis\tosteoarthritis\tNN\tI-NP\tO' -p257612 -aS'of\tof\tIN\tB-PP\tO' -p257613 -aS'the\tthe\tDT\tB-NP\tO' -p257614 -aS'right\tright\tJJ\tI-NP\tO' -p257615 -aS'hip\thip\tNN\tI-NP\tO' -p257616 -aS'who\twho\tWP\tB-NP\tO' -p257617 -aS'after\tafter\tIN\tB-PP\tO' -p257618 -aS'discussion\tdiscussion\tNN\tB-NP\tO' -p257619 -aS',\t,\t,\tO\tO' -p257620 -aS'including\tinclude\tVBG\tB-PP\tO' -p257621 -aS'the\tthe\tDT\tB-NP\tO' -p257622 -aS'nature\tnature\tNN\tI-NP\tO' -p257623 -aS',\t,\t,\tO\tO' -p257624 -aS'risks\trisk\tNNS\tB-NP\tO' -p257625 -aS',\t,\t,\tO\tO' -p257626 -aS'benefits\tbenefit\tNNS\tB-NP\tO' -p257627 -aS'and\tand\tCC\tO\tO' -p257628 -aS'alternative\talternative\tJJ\tB-NP\tO' -p257629 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p257630 -aS'plans\tplan\tNNS\tI-NP\tO' -p257631 -aS',\t,\t,\tO\tO' -p257632 -aS'signed\tsign\tVBD\tB-VP\tO' -p257633 -aS'informed\tinform\tVBN\tB-NP\tO' -p257634 -aS'consent\tconsent\tNN\tI-NP\tO' -p257635 -aS'for\tfor\tIN\tB-PP\tO' -p257636 -aS'a\ta\tDT\tB-NP\tO' -p257637 -aS'right\tright\tJJ\tI-NP\tO' -p257638 -aS'total\ttotal\tJJ\tI-NP\tO' -p257639 -aS'hip\thip\tNN\tI-NP\tO' -p257640 -aS'replacement\treplacement\tNN\tI-NP\tO' -p257641 -aS'.\t.\t.\tO\tO' -p257642 -asS'She was rescoped on 10-28 and varices were sclerosed ( no banding due to latex allergy ) and diuretics of lasix and aldactone were readded for ascites since BP stable .' -p257643 -(lp257644 -S'She\tShe\tPRP\tB-NP\tO' -p257645 -aS'was\tbe\tVBD\tB-VP\tO' -p257646 -aS'rescoped\trescope\tVBN\tI-VP\tO' -p257647 -aS'on\ton\tIN\tB-PP\tO' -p257648 -aS'10-28\t10-28\tCD\tB-NP\tO' -p257649 -aS'and\tand\tCC\tO\tO' -p257650 -aS'varices\tvarix\tNNS\tB-NP\tO' -p257651 -aS'were\tbe\tVBD\tB-VP\tO' -p257652 -aS'sclerosed\tsclerose\tVBN\tI-VP\tO' -p257653 -aS'(\t(\t(\tO\tO' -p257654 -aS'no\tno\tDT\tB-NP\tO' -p257655 -aS'banding\tbanding\tNN\tI-NP\tO' -p257656 -aS'due\tdue\tJJ\tB-ADJP\tO' -p257657 -aS'to\tto\tTO\tB-PP\tO' -p257658 -aS'latex\tlatex\tJJ\tB-NP\tO' -p257659 -aS'allergy\tallergy\tNN\tI-NP\tO' -p257660 -aS')\t)\t)\tO\tO' -p257661 -aS'and\tand\tCC\tO\tO' -p257662 -aS'diuretics\tdiuretic\tNNS\tB-NP\tO' -p257663 -aS'of\tof\tIN\tB-PP\tO' -p257664 -aS'lasix\tlasix\tNN\tB-NP\tO' -p257665 -aS'and\tand\tCC\tI-NP\tO' -p257666 -aS'aldactone\taldactone\tNN\tI-NP\tO' -p257667 -aS'were\tbe\tVBD\tB-VP\tO' -p257668 -aS'readded\treadde\tVBN\tI-VP\tO' -p257669 -aS'for\tfor\tIN\tB-PP\tO' -p257670 -aS'ascites\tascite\tNNS\tB-NP\tO' -p257671 -aS'since\tsince\tIN\tB-PP\tO' -p257672 -aS'BP\tBP\tNN\tB-NP\tO' -p257673 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p257674 -aS'.\t.\t.\tO\tO' -p257675 -asS'10. Hypercholesterolemia .' -p257676 -(lp257677 -S'10.\t10.\tLS\tB-LST\tO' -p257678 -aS'Hypercholesterolemia\tHypercholesterolemia\tNNP\tB-NP\tO' -p257679 -aS'.\t.\t.\tO\tO' -p257680 -asS'1. Eight mm right proximal ureteral stone with right-sided hydronephrosis and inflammatory stranding .' -p257681 -(lp257682 -S'1.\t1.\tLS\tB-NP\tO' -p257683 -aS'Eight\tEight\tCD\tI-NP\tO' -p257684 -aS'mm\tmm\tNN\tI-NP\tO' -p257685 -aS'right\tright\tJJ\tI-NP\tO' -p257686 -aS'proximal\tproximal\tJJ\tI-NP\tO' -p257687 -aS'ureteral\tureteral\tJJ\tI-NP\tO' -p257688 -aS'stone\tstone\tNN\tI-NP\tO' -p257689 -aS'with\twith\tIN\tB-PP\tO' -p257690 -aS'right-sided\tright-sided\tJJ\tB-NP\tO' -p257691 -aS'hydronephrosis\thydronephrosis\tNN\tI-NP\tO' -p257692 -aS'and\tand\tCC\tO\tO' -p257693 -aS'inflammatory\tinflammatory\tJJ\tB-NP\tO' -p257694 -aS'stranding\tstranding\tNN\tI-NP\tO' -p257695 -aS'.\t.\t.\tO\tO' -p257696 -asS'TUMS 500 mg twice a day .' -p257697 -(lp257698 -S'TUMS\tTUMS\tNN\tB-NP\tO' -p257699 -aS'500\t500\tCD\tI-NP\tO' -p257700 -aS'mg\tmg\tNN\tI-NP\tO' -p257701 -aS'twice\ttwice\tRB\tB-NP\tO' -p257702 -aS'a\ta\tDT\tI-NP\tO' -p257703 -aS'day\tday\tNN\tI-NP\tO' -p257704 -aS'.\t.\t.\tO\tO' -p257705 -asS'She was continued on Solu-Medrol 80 mg q.8h. then converted to prednisone at 60 mg p.o. q.d.' -p257706 -(lp257707 -S'She\tShe\tPRP\tB-NP\tO' -p257708 -aS'was\tbe\tVBD\tB-VP\tO' -p257709 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p257710 -aS'on\ton\tIN\tB-PP\tO' -p257711 -aS'Solu-Medrol\tSolu-Medrol\tNN\tB-NP\tO' -p257712 -aS'80\t80\tCD\tI-NP\tO' -p257713 -aS'mg\tmg\tNN\tI-NP\tO' -p257714 -aS'q.8h.\tq.8h.\tNN\tI-NP\tO' -p257715 -aS'then\tthen\tRB\tB-ADVP\tO' -p257716 -aS'converted\tconvert\tVBD\tB-VP\tO' -p257717 -aS'to\tto\tTO\tB-PP\tO' -p257718 -aS'prednisone\tprednisone\tNN\tB-NP\tO' -p257719 -aS'at\tat\tIN\tB-PP\tO' -p257720 -aS'60\t60\tCD\tB-NP\tO' -p257721 -aS'mg\tmg\tNN\tI-NP\tO' -p257722 -aS'p.o.\tp.o.\tFW\tB-ADVP\tO' -p257723 -aS'q.d.\tq.d.\tFW\tI-ADVP\tO' -p257724 -asS'4. Flovent 110 mcg two puffs b.i.d.' -p257725 -(lp257726 -S'4.\t4.\tLS\tB-LST\tO' -p257727 -aS'Flovent\tFlovent\tNNP\tB-NP\tO' -p257728 -aS'110\t110\tCD\tI-NP\tO' -p257729 -aS'mcg\tmcg\tNN\tI-NP\tO' -p257730 -aS'two\ttwo\tCD\tB-NP\tO' -p257731 -aS'puffs\tpuff\tNNS\tI-NP\tO' -p257732 -aS'b.i.d.\tb.i.d.\tRB\tB-ADVP\tO' -p257733 -asS'HEENT : PERRL , some dried blood on lips , tongue' -p257734 -(lp257735 -S'HEENT\tHEENT\tNN\tB-NP\tO' -p257736 -aS':\t:\t:\tO\tO' -p257737 -aS'PERRL\tPERRL\tNN\tB-NP\tB-protein' -p257738 -aS',\t,\t,\tO\tO' -p257739 -aS'some\tsome\tDT\tB-NP\tO' -p257740 -aS'dried\tdry\tVBN\tI-NP\tO' -p257741 -aS'blood\tblood\tNN\tI-NP\tO' -p257742 -aS'on\ton\tIN\tB-PP\tO' -p257743 -aS'lips\tlip\tNNS\tB-NP\tO' -p257744 -aS',\t,\t,\tO\tO' -p257745 -aS'tongue\ttongue\tNN\tB-NP\tO' -p257746 -asS'Midodrine 10 mg Tablet Sig : 1.5 Tablets PO twice a day : at 8am and noon .' -p257747 -(lp257748 -S'Midodrine\tMidodrine\tNN\tB-NP\tO' -p257749 -aS'10\t10\tCD\tI-NP\tO' -p257750 -aS'mg\tmg\tNN\tI-NP\tO' -p257751 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p257752 -aS'Sig\tSig\tNNP\tI-NP\tO' -p257753 -aS':\t:\t:\tO\tO' -p257754 -aS'1.5\t1.5\tCD\tB-NP\tO' -p257755 -aS'Tablets\tTablet\tNNS\tI-NP\tB-protein' -p257756 -aS'PO\tPO\tNN\tI-NP\tI-protein' -p257757 -aS'twice\ttwice\tRB\tB-NP\tO' -p257758 -aS'a\ta\tDT\tI-NP\tO' -p257759 -aS'day\tday\tNN\tI-NP\tO' -p257760 -aS':\t:\t:\tO\tO' -p257761 -aS'at\tat\tIN\tB-PP\tO' -p257762 -aS'8am\t8am\tNN\tB-NP\tO' -p257763 -aS'and\tand\tCC\tI-NP\tO' -p257764 -aS'noon\tnoon\tNN\tI-NP\tO' -p257765 -aS'.\t.\t.\tO\tO' -p257766 -asS'PORT will be replaced on 2019-02-11 per IR ( Dr. Welsh placed last PORT , then removed it on 01-23 ), ordered placed in OMR .' -p257767 -(lp257768 -S'PORT\tPORT\tNN\tB-NP\tO' -p257769 -aS'will\twill\tMD\tB-VP\tO' -p257770 -aS'be\tbe\tVB\tI-VP\tO' -p257771 -aS'replaced\treplace\tVBN\tI-VP\tO' -p257772 -aS'on\ton\tIN\tB-PP\tO' -p257773 -aS'2019-02-11\t2019-02-11\tCD\tB-NP\tO' -p257774 -aS'per\tper\tIN\tB-PP\tO' -p257775 -aS'IR\tIR\tNNP\tB-NP\tO' -p257776 -aS'(\t(\t(\tO\tO' -p257777 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p257778 -aS'Welsh\tWelsh\tNNP\tI-NP\tO' -p257779 -aS'placed\tplace\tVBD\tB-VP\tO' -p257780 -aS'last\tlast\tJJ\tB-NP\tO' -p257781 -aS'PORT\tPORT\tNN\tI-NP\tO' -p257782 -aS',\t,\t,\tO\tO' -p257783 -aS'then\tthen\tRB\tB-ADVP\tO' -p257784 -aS'removed\tremove\tVBD\tB-VP\tO' -p257785 -aS'it\tit\tPRP\tB-NP\tO' -p257786 -aS'on\ton\tIN\tB-PP\tO' -p257787 -aS'01-23\t01-23\tCD\tB-NP\tO' -p257788 -aS'),\t),\tNN\tI-NP\tO' -p257789 -aS'ordered\torder\tVBD\tB-VP\tO' -p257790 -aS'placed\tplace\tVBN\tI-VP\tO' -p257791 -aS'in\tin\tIN\tB-PP\tO' -p257792 -aS'OMR\tOMR\tNN\tB-NP\tB-protein' -p257793 -aS'.\t.\t.\tO\tO' -p257794 -asS"She was readmitted and had a complete febrile work-up that included CT abdomene / pelvis , chest x-ray , blood culture 's , urine cultures , all of which were unremarkable ." -p257795 -(lp257796 -S'She\tShe\tPRP\tB-NP\tO' -p257797 -aS'was\tbe\tVBD\tB-VP\tO' -p257798 -aS'readmitted\treadmitte\tVBN\tI-VP\tO' -p257799 -aS'and\tand\tCC\tO\tO' -p257800 -aS'had\thave\tVBD\tB-VP\tO' -p257801 -aS'a\ta\tDT\tB-NP\tO' -p257802 -aS'complete\tcomplete\tJJ\tI-NP\tO' -p257803 -aS'febrile\tfebrile\tJJ\tI-NP\tO' -p257804 -aS'work-up\twork-up\tNN\tI-NP\tO' -p257805 -aS'that\tthat\tWDT\tB-NP\tO' -p257806 -aS'included\tinclude\tVBD\tB-VP\tO' -p257807 -aS'CT\tCT\tNN\tB-NP\tO' -p257808 -aS'abdomene\tabdomene\tNN\tI-NP\tO' -p257809 -aS'/\t/\tSYM\tB-VP\tO' -p257810 -aS'pelvis\tpelvis\tNN\tB-NP\tO' -p257811 -aS',\t,\t,\tO\tO' -p257812 -aS'chest\tchest\tNN\tB-NP\tO' -p257813 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p257814 -aS',\t,\t,\tO\tO' -p257815 -aS'blood\tblood\tNN\tB-NP\tO' -p257816 -aS'culture\tculture\tNN\tI-NP\tO' -p257817 -aS"'s\t's\tPOS\tB-NP\tO" -p257818 -aS',\t,\t,\tO\tO' -p257819 -aS'urine\turine\tNN\tB-NP\tB-cell_line' -p257820 -aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' -p257821 -aS',\t,\t,\tO\tO' -p257822 -aS'all\tall\tDT\tB-NP\tO' -p257823 -aS'of\tof\tIN\tB-PP\tO' -p257824 -aS'which\twhich\tWDT\tB-NP\tO' -p257825 -aS'were\tbe\tVBD\tB-VP\tO' -p257826 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p257827 -aS'.\t.\t.\tO\tO' -p257828 -asS'normal electrolytes , normal coags and normal renal function .' -p257829 -(lp257830 -S'normal\tnormal\tJJ\tB-NP\tO' -p257831 -aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' -p257832 -aS',\t,\t,\tO\tO' -p257833 -aS'normal\tnormal\tJJ\tB-NP\tO' -p257834 -aS'coags\tcoag\tNNS\tI-NP\tO' -p257835 -aS'and\tand\tCC\tO\tO' -p257836 -aS'normal\tnormal\tJJ\tB-NP\tO' -p257837 -aS'renal\trenal\tJJ\tI-NP\tO' -p257838 -aS'function\tfunction\tNN\tI-NP\tO' -p257839 -aS'.\t.\t.\tO\tO' -p257840 -asS'On admission weight 1670 grams approximately 50 th percentile , length 43 cm 50 th percentile , head circumference not done .' -p257841 -(lp257842 -S'On\tOn\tIN\tB-PP\tO' -p257843 -aS'admission\tadmission\tNN\tB-NP\tO' -p257844 -aS'weight\tweight\tNN\tI-NP\tO' -p257845 -aS'1670\t1670\tCD\tB-NP\tO' -p257846 -aS'grams\tgram\tNNS\tI-NP\tO' -p257847 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p257848 -aS'50\t50\tCD\tI-NP\tO' -p257849 -aS'th\tth\tJJ\tI-NP\tO' -p257850 -aS'percentile\tpercentile\tNN\tI-NP\tO' -p257851 -aS',\t,\t,\tO\tO' -p257852 -aS'length\tlength\tNN\tB-NP\tO' -p257853 -aS'43\t43\tCD\tI-NP\tO' -p257854 -aS'cm\tcm\tNN\tI-NP\tO' -p257855 -aS'50\t50\tCD\tB-NP\tO' -p257856 -aS'th\tth\tJJ\tI-NP\tO' -p257857 -aS'percentile\tpercentile\tNN\tI-NP\tO' -p257858 -aS',\t,\t,\tO\tO' -p257859 -aS'head\thead\tNN\tB-NP\tO' -p257860 -aS'circumference\tcircumference\tNN\tI-NP\tO' -p257861 -aS'not\tnot\tRB\tB-VP\tO' -p257862 -aS'done\tdo\tVBN\tI-VP\tO' -p257863 -aS'.\t.\t.\tO\tO' -p257864 -asS'5. Oxycodone - Acetaminophen 5-325 mg Tablet Sig : 1-2 Tablets PO every 4-6 hours as needed for pain .' -p257865 -(lp257866 -S'5.\t5.\tLS\tB-NP\tO' -p257867 -aS'Oxycodone\tOxycodone\tNN\tI-NP\tO' -p257868 -aS'-\t-\tHYPH\tO\tO' -p257869 -aS'Acetaminophen\tAcetaminophen\tNN\tB-NP\tO' -p257870 -aS'5-325\t5-325\tCD\tI-NP\tO' -p257871 -aS'mg\tmg\tNN\tI-NP\tO' -p257872 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p257873 -aS'Sig\tSig\tNNP\tI-NP\tO' -p257874 -aS':\t:\t:\tO\tO' -p257875 -aS'1-2\t1-2\tCD\tB-NP\tO' -p257876 -aS'Tablets\tTablet\tNNS\tI-NP\tO' -p257877 -aS'PO\tPO\tNN\tI-NP\tO' -p257878 -aS'every\tevery\tDT\tB-NP\tO' -p257879 -aS'4-6\t4-6\tCD\tI-NP\tO' -p257880 -aS'hours\thour\tNNS\tI-NP\tO' -p257881 -aS'as\tas\tIN\tB-SBAR\tO' -p257882 -aS'needed\tneed\tVBN\tB-VP\tO' -p257883 -aS'for\tfor\tIN\tB-PP\tO' -p257884 -aS'pain\tpain\tNN\tB-NP\tO' -p257885 -aS'.\t.\t.\tO\tO' -p257886 -asS'Head computerized tomography scan , echocardiogram , transcranial Dopplers , carotid noninvasives , Holter electrocardiogram , electroencephalogram , and visual field testing .' -p257887 -(lp257888 -S'Head\tHead\tJJ\tB-NP\tO' -p257889 -aS'computerized\tcomputerized\tJJ\tI-NP\tO' -p257890 -aS'tomography\ttomography\tNN\tI-NP\tO' -p257891 -aS'scan\tscan\tNN\tI-NP\tO' -p257892 -aS',\t,\t,\tO\tO' -p257893 -aS'echocardiogram\techocardiogram\tNN\tB-NP\tO' -p257894 -aS',\t,\t,\tO\tO' -p257895 -aS'transcranial\ttranscranial\tJJ\tB-NP\tO' -p257896 -aS'Dopplers\tDoppler\tNNS\tI-NP\tO' -p257897 -aS',\t,\t,\tO\tO' -p257898 -aS'carotid\tcarotid\tNN\tB-NP\tO' -p257899 -aS'noninvasives\tnoninvasive\tNNS\tI-NP\tO' -p257900 -aS',\t,\t,\tO\tO' -p257901 -aS'Holter\tHolter\tNNP\tB-NP\tO' -p257902 -aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' -p257903 -aS',\t,\t,\tO\tO' -p257904 -aS'electroencephalogram\telectroencephalogram\tNN\tB-NP\tO' -p257905 -aS',\t,\t,\tO\tO' -p257906 -aS'and\tand\tCC\tO\tO' -p257907 -aS'visual\tvisual\tJJ\tB-NP\tO' -p257908 -aS'field\tfield\tNN\tI-NP\tO' -p257909 -aS'testing\ttesting\tNN\tI-NP\tO' -p257910 -aS'.\t.\t.\tO\tO' -p257911 -asS'Motor examination revealed 5/5 power in all groups in the proximal and distal upper and lower extremities .' -p257912 -(lp257913 -S'Motor\tMotor\tNN\tB-NP\tO' -p257914 -aS'examination\texamination\tNN\tI-NP\tO' -p257915 -aS'revealed\treveal\tVBD\tB-VP\tO' -p257916 -aS'5/5\t5/5\tCD\tB-NP\tO' -p257917 -aS'power\tpower\tNN\tI-NP\tO' -p257918 -aS'in\tin\tIN\tB-PP\tO' -p257919 -aS'all\tall\tDT\tB-NP\tO' -p257920 -aS'groups\tgroup\tNNS\tI-NP\tO' -p257921 -aS'in\tin\tIN\tB-PP\tO' -p257922 -aS'the\tthe\tDT\tB-NP\tO' -p257923 -aS'proximal\tproximal\tJJ\tI-NP\tO' -p257924 -aS'and\tand\tCC\tI-NP\tO' -p257925 -aS'distal\tdistal\tJJ\tI-NP\tO' -p257926 -aS'upper\tupper\tJJ\tI-NP\tO' -p257927 -aS'and\tand\tCC\tI-NP\tO' -p257928 -aS'lower\tlow\tJJR\tI-NP\tO' -p257929 -aS'extremities\textremity\tNNS\tI-NP\tO' -p257930 -aS'.\t.\t.\tO\tO' -p257931 -asS'with Dr. Gunter for an eventual percutaneous coronary intervention , and her surgeon ( Dr. Halcomb ) following her thoracotomy .' -p257932 -(lp257933 -S'with\twith\tIN\tB-PP\tO' -p257934 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p257935 -aS'Gunter\tGunter\tNNP\tI-NP\tO' -p257936 -aS'for\tfor\tIN\tB-PP\tO' -p257937 -aS'an\tan\tDT\tB-NP\tO' -p257938 -aS'eventual\teventual\tJJ\tI-NP\tO' -p257939 -aS'percutaneous\tpercutaneous\tJJ\tI-NP\tO' -p257940 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p257941 -aS'intervention\tintervention\tNN\tI-NP\tO' -p257942 -aS',\t,\t,\tO\tO' -p257943 -aS'and\tand\tCC\tO\tO' -p257944 -aS'her\ther\tPRP$\tB-NP\tO' -p257945 -aS'surgeon\tsurgeon\tNN\tI-NP\tO' -p257946 -aS'(\t(\t(\tO\tO' -p257947 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p257948 -aS'Halcomb\tHalcomb\tNNP\tI-NP\tO' -p257949 -aS')\t)\t)\tO\tO' -p257950 -aS'following\tfollow\tVBG\tB-PP\tO' -p257951 -aS'her\ther\tPRP$\tB-NP\tO' -p257952 -aS'thoracotomy\tthoracotomy\tNN\tI-NP\tO' -p257953 -aS'.\t.\t.\tO\tO' -p257954 -asS'1. Levothyroxine 50 mcg p.o. once daily .' -p257955 -(lp257956 -S'1.\t1.\tLS\tB-LST\tO' -p257957 -aS'Levothyroxine\tLevothyroxine\tNNP\tB-NP\tO' -p257958 -aS'50\t50\tCD\tI-NP\tO' -p257959 -aS'mcg\tmcg\tNN\tI-NP\tO' -p257960 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p257961 -aS'once\tonce\tRB\tB-ADVP\tO' -p257962 -aS'daily\tdaily\tRB\tI-ADVP\tO' -p257963 -aS'.\t.\t.\tO\tO' -p257964 -asS'Pulses normal to the femorals with weak dorsalis pedis pulses .' -p257965 -(lp257966 -S'Pulses\tPulse\tNNS\tB-NP\tO' -p257967 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p257968 -aS'to\tto\tTO\tB-PP\tO' -p257969 -aS'the\tthe\tDT\tB-NP\tO' -p257970 -aS'femorals\tfemoral\tNNS\tI-NP\tO' -p257971 -aS'with\twith\tIN\tB-PP\tO' -p257972 -aS'weak\tweak\tJJ\tB-NP\tO' -p257973 -aS'dorsalis\tdorsalis\tNN\tI-NP\tO' -p257974 -aS'pedis\tpedis\tNN\tI-NP\tO' -p257975 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p257976 -aS'.\t.\t.\tO\tO' -p257977 -asS'No scapular fractures were present .' -p257978 -(lp257979 -S'No\tNo\tDT\tB-NP\tO' -p257980 -aS'scapular\tscapular\tJJ\tI-NP\tO' -p257981 -aS'fractures\tfracture\tNNS\tI-NP\tO' -p257982 -aS'were\tbe\tVBD\tB-VP\tO' -p257983 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p257984 -aS'.\t.\t.\tO\tO' -p257985 -asS'Of note , this echocardiogram was performed when the patient was tachycardiac .' -p257986 -(lp257987 -S'Of\tOf\tIN\tB-PP\tO' -p257988 -aS'note\tnote\tNN\tB-NP\tO' -p257989 -aS',\t,\t,\tO\tO' -p257990 -aS'this\tthis\tDT\tB-NP\tO' -p257991 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p257992 -aS'was\tbe\tVBD\tB-VP\tO' -p257993 -aS'performed\tperform\tVBN\tI-VP\tO' -p257994 -aS'when\twhen\tWRB\tB-ADVP\tO' -p257995 -aS'the\tthe\tDT\tB-NP\tO' -p257996 -aS'patient\tpatient\tNN\tI-NP\tO' -p257997 -aS'was\tbe\tVBD\tB-VP\tO' -p257998 -aS'tachycardiac\ttachycardiac\tJJ\tB-ADJP\tO' -p257999 -aS'.\t.\t.\tO\tO' -p258000 -asS'3. Fatty liver resolved .' -p258001 -(lp258002 -S'3.\t3.\tLS\tB-LST\tO' -p258003 -aS'Fatty\tFatty\tJJ\tB-NP\tO' -p258004 -aS'liver\tliver\tNN\tI-NP\tO' -p258005 -aS'resolved\tresolve\tVBN\tB-VP\tO' -p258006 -aS'.\t.\t.\tO\tO' -p258007 -asS'Sensation was intact in the median , radius , and ulnar-nerve distributions .' -p258008 -(lp258009 -S'Sensation\tSensation\tNN\tB-NP\tO' -p258010 -aS'was\tbe\tVBD\tB-VP\tO' -p258011 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p258012 -aS'in\tin\tIN\tB-PP\tO' -p258013 -aS'the\tthe\tDT\tB-NP\tO' -p258014 -aS'median\tmedian\tNN\tI-NP\tO' -p258015 -aS',\t,\t,\tO\tO' -p258016 -aS'radius\tradius\tNN\tB-NP\tO' -p258017 -aS',\t,\t,\tO\tO' -p258018 -aS'and\tand\tCC\tO\tO' -p258019 -aS'ulnar-nerve\tulnar-nerve\tJJ\tB-NP\tO' -p258020 -aS'distributions\tdistribution\tNNS\tI-NP\tO' -p258021 -aS'.\t.\t.\tO\tO' -p258022 -asS'For unclear reasons , he was placed on a NRB in the Juan .' -p258023 -(lp258024 -S'For\tFor\tIN\tB-PP\tO' -p258025 -aS'unclear\tunclear\tJJ\tB-NP\tO' -p258026 -aS'reasons\treason\tNNS\tI-NP\tO' -p258027 -aS',\t,\t,\tO\tO' -p258028 -aS'he\the\tPRP\tB-NP\tO' -p258029 -aS'was\tbe\tVBD\tB-VP\tO' -p258030 -aS'placed\tplace\tVBN\tI-VP\tO' -p258031 -aS'on\ton\tIN\tB-PP\tO' -p258032 -aS'a\ta\tDT\tB-NP\tO' -p258033 -aS'NRB\tNRB\tNN\tI-NP\tB-protein' -p258034 -aS'in\tin\tIN\tB-PP\tO' -p258035 -aS'the\tthe\tDT\tB-NP\tO' -p258036 -aS'Juan\tJuan\tNNP\tI-NP\tO' -p258037 -aS'.\t.\t.\tO\tO' -p258038 -asS'Please follow up with Dr. Bergeron in clinic in 2 weeks , please call 953 6923 to Posada that appointment .' -p258039 -(lp258040 -S'Please\tPlease\tVB\tB-VP\tO' -p258041 -aS'follow\tfollow\tVB\tI-VP\tO' -p258042 -aS'up\tup\tRP\tB-PRT\tO' -p258043 -aS'with\twith\tIN\tB-PP\tO' -p258044 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p258045 -aS'Bergeron\tBergeron\tNNP\tI-NP\tO' -p258046 -aS'in\tin\tIN\tB-PP\tO' -p258047 -aS'clinic\tclinic\tNN\tB-NP\tO' -p258048 -aS'in\tin\tIN\tB-PP\tO' -p258049 -aS'2\t2\tCD\tB-NP\tO' -p258050 -aS'weeks\tweek\tNNS\tI-NP\tO' -p258051 -aS',\t,\t,\tO\tO' -p258052 -aS'please\tplease\tVB\tB-VP\tO' -p258053 -aS'call\tcall\tNN\tB-NP\tO' -p258054 -aS'953\t953\tCD\tB-NP\tO' -p258055 -aS'6923\t6923\tCD\tI-NP\tO' -p258056 -aS'to\tto\tTO\tB-PP\tO' -p258057 -aS'Posada\tPosada\tNNP\tB-NP\tO' -p258058 -aS'that\tthat\tIN\tB-SBAR\tO' -p258059 -aS'appointment\tappointment\tNN\tB-NP\tO' -p258060 -aS'.\t.\t.\tO\tO' -p258061 -asS'Atenolol , 25 mg PO qd .' -p258062 -(lp258063 -S'Atenolol\tAtenolol\tNN\tB-NP\tO' -p258064 -aS',\t,\t,\tO\tO' -p258065 -aS'25\t25\tCD\tB-NP\tO' -p258066 -aS'mg\tmg\tNN\tI-NP\tO' -p258067 -aS'PO\tPO\tNN\tI-NP\tO' -p258068 -aS'qd\tqd\tNN\tI-NP\tO' -p258069 -aS'.\t.\t.\tO\tO' -p258070 -asS'5. BENIGN PROSTATIC HYPERTROPHY .' -p258071 -(lp258072 -S'5.\t5.\tLS\tB-NP\tO' -p258073 -aS'BENIGN\tBENIGN\tNN\tI-NP\tO' -p258074 -aS'PROSTATIC\tPROSTATIC\tNN\tI-NP\tO' -p258075 -aS'HYPERTROPHY\tHYPERTROPHY\tNN\tI-NP\tO' -p258076 -aS'.\t.\t.\tO\tO' -p258077 -asS'4. Hydroxyzine HCl 25 mg Tablet Sig : One ( 1 ) Tablet PO Q4-6H ( every 4 to 6 hours ) as needed .' -p258078 -(lp258079 -S'4.\t4.\tLS\tB-NP\tO' -p258080 -aS'Hydroxyzine\tHydroxyzine\tNN\tI-NP\tO' -p258081 -aS'HCl\tHCl\tNN\tI-NP\tO' -p258082 -aS'25\t25\tCD\tI-NP\tO' -p258083 -aS'mg\tmg\tNN\tI-NP\tO' -p258084 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p258085 -aS'Sig\tSig\tNNP\tI-NP\tO' -p258086 -aS':\t:\t:\tO\tO' -p258087 -aS'One\tOne\tCD\tB-NP\tO' -p258088 -aS'(\t(\t(\tO\tO' -p258089 -aS'1\t1\tCD\tB-NP\tO' -p258090 -aS')\t)\t)\tO\tO' -p258091 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p258092 -aS'PO\tPO\tNN\tI-NP\tO' -p258093 -aS'Q4-6H\tQ4-6H\tNN\tI-NP\tO' -p258094 -aS'(\t(\t(\tO\tO' -p258095 -aS'every\tevery\tDT\tB-NP\tO' -p258096 -aS'4\t4\tCD\tI-NP\tO' -p258097 -aS'to\tto\tTO\tI-NP\tO' -p258098 -aS'6\t6\tCD\tI-NP\tO' -p258099 -aS'hours\thour\tNNS\tI-NP\tO' -p258100 -aS')\t)\t)\tO\tO' -p258101 -aS'as\tas\tIN\tB-SBAR\tO' -p258102 -aS'needed\tneed\tVBN\tB-VP\tO' -p258103 -aS'.\t.\t.\tO\tO' -p258104 -asS'She reports dyspnea on exertion and chest tightness daily which worsened significantly one day prior to admission .' -p258105 -(lp258106 -S'She\tShe\tPRP\tB-NP\tO' -p258107 -aS'reports\treport\tVBZ\tB-VP\tO' -p258108 -aS'dyspnea\tdyspnea\tNN\tB-NP\tO' -p258109 -aS'on\ton\tIN\tB-PP\tO' -p258110 -aS'exertion\texertion\tNN\tB-NP\tO' -p258111 -aS'and\tand\tCC\tI-NP\tO' -p258112 -aS'chest\tchest\tNN\tI-NP\tO' -p258113 -aS'tightness\ttightness\tNN\tI-NP\tO' -p258114 -aS'daily\tdaily\tNN\tI-NP\tO' -p258115 -aS'which\twhich\tWDT\tB-NP\tO' -p258116 -aS'worsened\tworsen\tVBD\tB-VP\tO' -p258117 -aS'significantly\tsignificantly\tRB\tB-NP\tO' -p258118 -aS'one\tone\tCD\tI-NP\tO' -p258119 -aS'day\tday\tNN\tI-NP\tO' -p258120 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p258121 -aS'to\tto\tTO\tB-PP\tO' -p258122 -aS'admission\tadmission\tNN\tB-NP\tO' -p258123 -aS'.\t.\t.\tO\tO' -p258124 -asS'17. Benadryl as needed .' -p258125 -(lp258126 -S'17.\t17.\tLS\tB-NP\tO' -p258127 -aS'Benadryl\tBenadryl\tNN\tI-NP\tO' -p258128 -aS'as\tas\tIN\tB-SBAR\tO' -p258129 -aS'needed\tneed\tVBN\tB-VP\tO' -p258130 -aS'.\t.\t.\tO\tO' -p258131 -asS'The patient was discharged to home .' -p258132 -(lp258133 -S'The\tThe\tDT\tB-NP\tO' -p258134 -aS'patient\tpatient\tNN\tI-NP\tO' -p258135 -aS'was\tbe\tVBD\tB-VP\tO' -p258136 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p258137 -aS'to\tto\tTO\tB-PP\tO' -p258138 -aS'home\thome\tNN\tB-NP\tO' -p258139 -aS'.\t.\t.\tO\tO' -p258140 -asS'Urine analysis showed 20-50 white blood cells and 3-5 red blood cells .' -p258141 -(lp258142 -S'Urine\tUrine\tNN\tB-NP\tO' -p258143 -aS'analysis\tanalysis\tNN\tI-NP\tO' -p258144 -aS'showed\tshow\tVBD\tB-VP\tO' -p258145 -aS'20-50\t20-50\tCD\tB-NP\tO' -p258146 -aS'white\twhite\tJJ\tI-NP\tB-cell_type' -p258147 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p258148 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p258149 -aS'and\tand\tCC\tO\tO' -p258150 -aS'3-5\t3-5\tCD\tB-NP\tO' -p258151 -aS'red\tred\tJJ\tI-NP\tO' -p258152 -aS'blood\tblood\tNN\tI-NP\tO' -p258153 -aS'cells\tcell\tNNS\tI-NP\tO' -p258154 -aS'.\t.\t.\tO\tO' -p258155 -asS'3 ) Premarin 0.625 mg p.o. q. day .' -p258156 -(lp258157 -S'3\t3\tLS\tB-LST\tO' -p258158 -aS')\t)\t)\tO\tO' -p258159 -aS'Premarin\tPremarin\tNN\tB-NP\tO' -p258160 -aS'0.625\t0.625\tCD\tI-NP\tO' -p258161 -aS'mg\tmg\tNN\tI-NP\tO' -p258162 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p258163 -aS'q.\tq.\tNN\tI-NP\tO' -p258164 -aS'day\tday\tNN\tI-NP\tO' -p258165 -aS'.\t.\t.\tO\tO' -p258166 -asS'4. Status post ileostomy without evidence of small-bowel obstruction .' -p258167 -(lp258168 -S'4.\t4.\tLS\tB-NP\tO' -p258169 -aS'Status\tStatus\tNNP\tI-NP\tO' -p258170 -aS'post\tpost\tNN\tI-NP\tO' -p258171 -aS'ileostomy\tileostomy\tNN\tI-NP\tO' -p258172 -aS'without\twithout\tIN\tB-PP\tO' -p258173 -aS'evidence\tevidence\tNN\tB-NP\tO' -p258174 -aS'of\tof\tIN\tB-PP\tO' -p258175 -aS'small-bowel\tsmall-bowel\tJJ\tB-NP\tO' -p258176 -aS'obstruction\tobstruction\tNN\tI-NP\tO' -p258177 -aS'.\t.\t.\tO\tO' -p258178 -asS'Rare .' -p258179 -(lp258180 -S'Rare\tRare\tNN\tB-NP\tB-DNA' -p258181 -aS'.\t.\t.\tO\tO' -p258182 -asS'No family history of leukemia or lymphoma .' -p258183 -(lp258184 -S'No\tNo\tDT\tB-NP\tO' -p258185 -aS'family\tfamily\tNN\tI-NP\tO' -p258186 -aS'history\thistory\tNN\tI-NP\tO' -p258187 -aS'of\tof\tIN\tB-PP\tO' -p258188 -aS'leukemia\tleukemia\tNN\tB-NP\tO' -p258189 -aS'or\tor\tCC\tI-NP\tO' -p258190 -aS'lymphoma\tlymphoma\tNN\tI-NP\tO' -p258191 -aS'.\t.\t.\tO\tO' -p258192 -asS'pt with 2/4 bottles coag neg staph on 01-19 and again on 01-20 .' -p258193 -(lp258194 -S'pt\tpt\tNN\tB-NP\tO' -p258195 -aS'with\twith\tIN\tB-PP\tO' -p258196 -aS'2/4\t2/4\tCD\tB-NP\tO' -p258197 -aS'bottles\tbottle\tNNS\tI-NP\tO' -p258198 -aS'coag\tcoag\tNN\tI-NP\tO' -p258199 -aS'neg\tneg\tNN\tI-NP\tO' -p258200 -aS'staph\tstaph\tNN\tI-NP\tO' -p258201 -aS'on\ton\tIN\tB-PP\tO' -p258202 -aS'01-19\t01-19\tCD\tB-NP\tO' -p258203 -aS'and\tand\tCC\tB-PP\tO' -p258204 -aS'again\tagain\tRB\tB-ADVP\tO' -p258205 -aS'on\ton\tIN\tB-PP\tO' -p258206 -aS'01-20\t01-20\tCD\tB-NP\tO' -p258207 -aS'.\t.\t.\tO\tO' -p258208 -asS'Please return to the hospital if you experience chest pain , shortness of breath , lightheadedness or dizziness .' -p258209 -(lp258210 -S'Please\tPlease\tVB\tB-VP\tO' -p258211 -aS'return\treturn\tVB\tI-VP\tO' -p258212 -aS'to\tto\tTO\tB-PP\tO' -p258213 -aS'the\tthe\tDT\tB-NP\tO' -p258214 -aS'hospital\thospital\tNN\tI-NP\tO' -p258215 -aS'if\tif\tIN\tB-SBAR\tO' -p258216 -aS'you\tyou\tPRP\tB-NP\tO' -p258217 -aS'experience\texperience\tVBP\tB-VP\tO' -p258218 -aS'chest\tchest\tNN\tB-NP\tO' -p258219 -aS'pain\tpain\tNN\tI-NP\tO' -p258220 -aS',\t,\t,\tO\tO' -p258221 -aS'shortness\tshortness\tNN\tB-NP\tO' -p258222 -aS'of\tof\tIN\tB-PP\tO' -p258223 -aS'breath\tbreath\tNN\tB-NP\tO' -p258224 -aS',\t,\t,\tI-NP\tO' -p258225 -aS'lightheadedness\tlightheadedness\tNN\tI-NP\tO' -p258226 -aS'or\tor\tCC\tI-NP\tO' -p258227 -aS'dizziness\tdizziness\tNN\tI-NP\tO' -p258228 -aS'.\t.\t.\tO\tO' -p258229 -asS'Signed electronically by : DR. Victoria Williams on : MON 2010-11-08 3:18 PM' -p258230 -(lp258231 -S'Signed\tSign\tVBN\tB-VP\tO' -p258232 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p258233 -aS'by\tby\tIN\tB-PP\tO' -p258234 -aS':\t:\t:\tO\tO' -p258235 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p258236 -aS'Victoria\tVictoria\tNNP\tI-NP\tO' -p258237 -aS'Williams\tWilliams\tNNP\tI-NP\tO' -p258238 -aS'on\ton\tIN\tB-PP\tO' -p258239 -aS':\t:\t:\tO\tO' -p258240 -aS'MON\tMON\tNN\tB-NP\tO' -p258241 -aS'2010-11-08\t2010-11-08\tCD\tI-NP\tO' -p258242 -aS'3:18\t3:18\tCD\tI-NP\tO' -p258243 -aS'PM\tPM\tNN\tI-NP\tO' -p258244 -asS'The same blurred vision was also noticed later when the patient was watching television and also when he was reading .' -p258245 -(lp258246 -S'The\tThe\tDT\tB-NP\tO' -p258247 -aS'same\tsame\tJJ\tI-NP\tO' -p258248 -aS'blurred\tblurred\tJJ\tI-NP\tO' -p258249 -aS'vision\tvision\tNN\tI-NP\tO' -p258250 -aS'was\tbe\tVBD\tB-VP\tO' -p258251 -aS'also\talso\tRB\tI-VP\tO' -p258252 -aS'noticed\tnotice\tVBN\tI-VP\tO' -p258253 -aS'later\tlater\tRB\tB-ADVP\tO' -p258254 -aS'when\twhen\tWRB\tB-ADVP\tO' -p258255 -aS'the\tthe\tDT\tB-NP\tO' -p258256 -aS'patient\tpatient\tNN\tI-NP\tO' -p258257 -aS'was\tbe\tVBD\tB-VP\tO' -p258258 -aS'watching\twatch\tVBG\tI-VP\tO' -p258259 -aS'television\ttelevision\tNN\tB-NP\tO' -p258260 -aS'and\tand\tCC\tO\tO' -p258261 -aS'also\talso\tRB\tB-ADVP\tO' -p258262 -aS'when\twhen\tWRB\tB-ADVP\tO' -p258263 -aS'he\the\tPRP\tB-NP\tO' -p258264 -aS'was\tbe\tVBD\tB-VP\tO' -p258265 -aS'reading\tread\tVBG\tI-VP\tO' -p258266 -aS'.\t.\t.\tO\tO' -p258267 -asS'Transfer from Lewis to Hallmark Health System CMED CSRU' -p258268 -(lp258269 -S'Transfer\tTransfer\tNNP\tB-NP\tO' -p258270 -aS'from\tfrom\tIN\tB-PP\tO' -p258271 -aS'Lewis\tLewis\tNNP\tB-NP\tO' -p258272 -aS'to\tto\tTO\tB-PP\tO' -p258273 -aS'Hallmark\tHallmark\tNNP\tB-NP\tO' -p258274 -aS'Health\tHealth\tNNP\tI-NP\tO' -p258275 -aS'System\tSystem\tNNP\tI-NP\tO' -p258276 -aS'CMED\tCMED\tNNP\tI-NP\tO' -p258277 -aS'CSRU\tCSRU\tNNP\tI-NP\tO' -p258278 -asS'The patient is a 34-year-old female with a 22 week intrauterine pregnancy who was transferred from Bri Health with diffuse metastatic adenocarcinoma of unknown primary .' -p258279 -(lp258280 -S'The\tThe\tDT\tB-NP\tO' -p258281 -aS'patient\tpatient\tNN\tI-NP\tO' -p258282 -aS'is\tbe\tVBZ\tB-VP\tO' -p258283 -aS'a\ta\tDT\tB-NP\tO' -p258284 -aS'34-year-old\t34-year-old\tJJ\tI-NP\tO' -p258285 -aS'female\tfemale\tNN\tI-NP\tO' -p258286 -aS'with\twith\tIN\tB-PP\tO' -p258287 -aS'a\ta\tDT\tB-NP\tO' -p258288 -aS'22\t22\tCD\tI-NP\tO' -p258289 -aS'week\tweek\tNN\tI-NP\tO' -p258290 -aS'intrauterine\tintrauterine\tJJ\tI-NP\tO' -p258291 -aS'pregnancy\tpregnancy\tNN\tI-NP\tO' -p258292 -aS'who\twho\tWP\tB-NP\tO' -p258293 -aS'was\tbe\tVBD\tB-VP\tO' -p258294 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p258295 -aS'from\tfrom\tIN\tB-PP\tO' -p258296 -aS'Bri\tBri\tNNP\tB-NP\tO' -p258297 -aS'Health\tHealth\tNNP\tI-NP\tO' -p258298 -aS'with\twith\tIN\tB-PP\tO' -p258299 -aS'diffuse\tdiffuse\tJJ\tB-NP\tO' -p258300 -aS'metastatic\tmetastatic\tJJ\tI-NP\tO' -p258301 -aS'adenocarcinoma\tadenocarcinoma\tNN\tI-NP\tO' -p258302 -aS'of\tof\tIN\tB-PP\tO' -p258303 -aS'unknown\tunknown\tJJ\tB-NP\tO' -p258304 -aS'primary\tprimary\tNN\tI-NP\tO' -p258305 -aS'.\t.\t.\tO\tO' -p258306 -asS'R Lung Mass , likely cancer' -p258307 -(lp258308 -S'R\tR\tNNP\tB-NP\tO' -p258309 -aS'Lung\tLung\tNNP\tI-NP\tO' -p258310 -aS'Mass\tMass\tNNP\tI-NP\tO' -p258311 -aS',\t,\t,\tO\tO' -p258312 -aS'likely\tlikely\tRB\tB-NP\tO' -p258313 -aS'cancer\tcancer\tNN\tI-NP\tO' -p258314 -asS'He had carotid ultrasound studies 3 months ago that were normal without evidence for stenosis .' -p258315 -(lp258316 -S'He\tHe\tPRP\tB-NP\tO' -p258317 -aS'had\thave\tVBD\tB-VP\tO' -p258318 -aS'carotid\tcarotid\tJJ\tB-NP\tO' -p258319 -aS'ultrasound\tultrasound\tNN\tI-NP\tO' -p258320 -aS'studies\tstudy\tNNS\tI-NP\tO' -p258321 -aS'3\t3\tCD\tB-NP\tO' -p258322 -aS'months\tmonth\tNNS\tI-NP\tO' -p258323 -aS'ago\tago\tIN\tB-ADVP\tO' -p258324 -aS'that\tthat\tWDT\tB-NP\tO' -p258325 -aS'were\tbe\tVBD\tB-VP\tO' -p258326 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p258327 -aS'without\twithout\tIN\tB-PP\tO' -p258328 -aS'evidence\tevidence\tNN\tB-NP\tO' -p258329 -aS'for\tfor\tIN\tB-PP\tO' -p258330 -aS'stenosis\tstenosis\tNN\tB-NP\tO' -p258331 -aS'.\t.\t.\tO\tO' -p258332 -asS'Ext - w/wp , no edema , R leg swollen compared to left' -p258333 -(lp258334 -S'Ext\tExt\tJJ\tB-NP\tO' -p258335 -aS'-\t-\tHYPH\tI-NP\tO' -p258336 -aS'w/wp\tw/wp\tNN\tI-NP\tO' -p258337 -aS',\t,\t,\tO\tO' -p258338 -aS'no\tno\tDT\tB-NP\tO' -p258339 -aS'edema\tedema\tNN\tI-NP\tO' -p258340 -aS',\t,\t,\tO\tO' -p258341 -aS'R\tR\tNN\tB-NP\tO' -p258342 -aS'leg\tleg\tNN\tI-NP\tO' -p258343 -aS'swollen\tswollen\tNN\tI-NP\tO' -p258344 -aS'compared\tcompare\tVBN\tB-VP\tO' -p258345 -aS'to\tto\tTO\tI-VP\tO' -p258346 -aS'left\tleft\tVB\tI-VP\tO' -p258347 -asS'She is to also call the office if she has any fever greater than 101 , bleeding from the surgical wounds , or pus from the wounds .' -p258348 -(lp258349 -S'She\tShe\tPRP\tB-NP\tO' -p258350 -aS'is\tbe\tVBZ\tB-VP\tO' -p258351 -aS'to\tto\tTO\tB-VP\tO' -p258352 -aS'also\talso\tRB\tI-VP\tO' -p258353 -aS'call\tcall\tVB\tI-VP\tO' -p258354 -aS'the\tthe\tDT\tB-NP\tO' -p258355 -aS'office\toffice\tNN\tI-NP\tO' -p258356 -aS'if\tif\tIN\tB-SBAR\tO' -p258357 -aS'she\tshe\tPRP\tB-NP\tO' -p258358 -aS'has\thave\tVBZ\tB-VP\tO' -p258359 -aS'any\tany\tDT\tB-NP\tO' -p258360 -aS'fever\tfever\tRB\tI-NP\tO' -p258361 -aS'greater\tgreat\tJJR\tB-ADJP\tO' -p258362 -aS'than\tthan\tIN\tB-PP\tO' -p258363 -aS'101\t101\tCD\tB-NP\tO' -p258364 -aS',\t,\t,\tO\tO' -p258365 -aS'bleeding\tbleed\tVBG\tB-VP\tO' -p258366 -aS'from\tfrom\tIN\tB-PP\tO' -p258367 -aS'the\tthe\tDT\tB-NP\tO' -p258368 -aS'surgical\tsurgical\tJJ\tI-NP\tO' -p258369 -aS'wounds\twound\tNNS\tI-NP\tO' -p258370 -aS',\t,\t,\tO\tO' -p258371 -aS'or\tor\tCC\tO\tO' -p258372 -aS'pus\tpus\tNN\tB-NP\tO' -p258373 -aS'from\tfrom\tIN\tB-PP\tO' -p258374 -aS'the\tthe\tDT\tB-NP\tO' -p258375 -aS'wounds\twound\tNNS\tI-NP\tO' -p258376 -aS'.\t.\t.\tO\tO' -p258377 -asS'His deep tendon reflexes were 2+ at the right brachial radialis and right patella ; everywhere else his reflexes were 1 .' -p258378 -(lp258379 -S'His\tHis\tPRP$\tB-NP\tO' -p258380 -aS'deep\tdeep\tJJ\tI-NP\tO' -p258381 -aS'tendon\ttendon\tNN\tI-NP\tO' -p258382 -aS'reflexes\treflex\tNNS\tI-NP\tO' -p258383 -aS'were\tbe\tVBD\tB-VP\tO' -p258384 -aS'2+\t2+\tJJ\tB-ADJP\tO' -p258385 -aS'at\tat\tIN\tB-PP\tO' -p258386 -aS'the\tthe\tDT\tB-NP\tO' -p258387 -aS'right\tright\tJJ\tI-NP\tO' -p258388 -aS'brachial\tbrachial\tJJ\tI-NP\tO' -p258389 -aS'radialis\tradialis\tNN\tI-NP\tO' -p258390 -aS'and\tand\tCC\tO\tO' -p258391 -aS'right\tright\tJJ\tB-NP\tO' -p258392 -aS'patella\tpatella\tNN\tI-NP\tO' -p258393 -aS';\t;\t:\tO\tO' -p258394 -aS'everywhere\teverywhere\tRB\tB-NP\tO' -p258395 -aS'else\telse\tRB\tI-NP\tO' -p258396 -aS'his\this\tPRP$\tB-NP\tO' -p258397 -aS'reflexes\treflex\tNNS\tI-NP\tO' -p258398 -aS'were\tbe\tVBD\tB-VP\tO' -p258399 -aS'1\t1\tCD\tB-NP\tO' -p258400 -aS'.\t.\t.\tO\tO' -p258401 -asS'Hepatitis B surface antigen negative , rubella immune .' -p258402 -(lp258403 -S'Hepatitis\tHepatitis\tNN\tB-NP\tB-protein' -p258404 -aS'B\tB\tNN\tI-NP\tI-protein' -p258405 -aS'surface\tsurface\tNN\tI-NP\tI-protein' -p258406 -aS'antigen\tantigen\tNN\tI-NP\tI-protein' -p258407 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p258408 -aS',\t,\t,\tO\tO' -p258409 -aS'rubella\trubella\tNN\tB-NP\tO' -p258410 -aS'immune\timmune\tJJ\tB-ADJP\tO' -p258411 -aS'.\t.\t.\tO\tO' -p258412 -asS'1 ) Aspirin 81 mg p.o. q. day .' -p258413 -(lp258414 -S'1\t1\tLS\tB-LST\tO' -p258415 -aS')\t)\t)\tO\tO' -p258416 -aS'Aspirin\tAspirin\tNN\tB-NP\tO' -p258417 -aS'81\t81\tCD\tI-NP\tO' -p258418 -aS'mg\tmg\tNN\tI-NP\tO' -p258419 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p258420 -aS'q.\tq.\tNN\tI-NP\tO' -p258421 -aS'day\tday\tNN\tI-NP\tO' -p258422 -aS'.\t.\t.\tO\tO' -p258423 -asS'He was also evaluated by the Neuro-Rehabilitation Service who thought that he had a post-head injury syndrome with diffuse cognitive deficits .' -p258424 -(lp258425 -S'He\tHe\tPRP\tB-NP\tO' -p258426 -aS'was\tbe\tVBD\tB-VP\tO' -p258427 -aS'also\talso\tRB\tI-VP\tO' -p258428 -aS'evaluated\tevaluate\tVBN\tI-VP\tO' -p258429 -aS'by\tby\tIN\tB-PP\tO' -p258430 -aS'the\tthe\tDT\tB-NP\tO' -p258431 -aS'Neuro-Rehabilitation\tNeuro-Rehabilitation\tNNP\tI-NP\tO' -p258432 -aS'Service\tService\tNNP\tI-NP\tO' -p258433 -aS'who\twho\tWP\tB-NP\tO' -p258434 -aS'thought\tthink\tVBD\tB-VP\tO' -p258435 -aS'that\tthat\tIN\tB-SBAR\tO' -p258436 -aS'he\the\tPRP\tB-NP\tO' -p258437 -aS'had\thave\tVBD\tB-VP\tO' -p258438 -aS'a\ta\tDT\tB-NP\tO' -p258439 -aS'post-head\tpost-head\tJJ\tI-NP\tO' -p258440 -aS'injury\tinjury\tNN\tI-NP\tO' -p258441 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p258442 -aS'with\twith\tIN\tB-PP\tO' -p258443 -aS'diffuse\tdiffuse\tJJ\tB-NP\tO' -p258444 -aS'cognitive\tcognitive\tJJ\tI-NP\tO' -p258445 -aS'deficits\tdeficit\tNNS\tI-NP\tO' -p258446 -aS'.\t.\t.\tO\tO' -p258447 -asS'Gastrointestinal - The patient was admitted with a history of gastrointestinal bleed with guaiac positive stools on admission .' -p258448 -(lp258449 -S'Gastrointestinal\tGastrointestinal\tJJ\tB-ADJP\tO' -p258450 -aS'-\t-\tHYPH\tO\tO' -p258451 -aS'The\tThe\tDT\tB-NP\tO' -p258452 -aS'patient\tpatient\tNN\tI-NP\tO' -p258453 -aS'was\tbe\tVBD\tB-VP\tO' -p258454 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p258455 -aS'with\twith\tIN\tB-PP\tO' -p258456 -aS'a\ta\tDT\tB-NP\tO' -p258457 -aS'history\thistory\tNN\tI-NP\tO' -p258458 -aS'of\tof\tIN\tB-PP\tO' -p258459 -aS'gastrointestinal\tgastrointestinal\tJJ\tB-NP\tO' -p258460 -aS'bleed\tbleed\tNN\tI-NP\tO' -p258461 -aS'with\twith\tIN\tB-PP\tO' -p258462 -aS'guaiac\tguaiac\tJJ\tB-NP\tO' -p258463 -aS'positive\tpositive\tJJ\tI-NP\tO' -p258464 -aS'stools\tstool\tNNS\tI-NP\tO' -p258465 -aS'on\ton\tIN\tB-PP\tO' -p258466 -aS'admission\tadmission\tNN\tB-NP\tO' -p258467 -aS'.\t.\t.\tO\tO' -p258468 -asS"Later in her Intensive Care Unit course family meetings took place and given the patient 's overall poor prognosis with decreased mental status it was decided that the patient would become CMO ." -p258469 -(lp258470 -S'Later\tLater\tRB\tB-ADVP\tO' -p258471 -aS'in\tin\tIN\tB-PP\tO' -p258472 -aS'her\ther\tPRP$\tB-NP\tO' -p258473 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p258474 -aS'Care\tCare\tNNP\tI-NP\tO' -p258475 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p258476 -aS'course\tcourse\tNN\tI-NP\tO' -p258477 -aS'family\tfamily\tNN\tI-NP\tO' -p258478 -aS'meetings\tmeeting\tNNS\tI-NP\tO' -p258479 -aS'took\ttake\tVBD\tB-VP\tO' -p258480 -aS'place\tplace\tNN\tB-NP\tO' -p258481 -aS'and\tand\tCC\tO\tO' -p258482 -aS'given\tgive\tVBN\tB-VP\tO' -p258483 -aS'the\tthe\tDT\tB-NP\tO' -p258484 -aS'patient\tpatient\tNN\tI-NP\tO' -p258485 -aS"'s\t's\tPOS\tB-NP\tO" -p258486 -aS'overall\toverall\tJJ\tI-NP\tO' -p258487 -aS'poor\tpoor\tJJ\tI-NP\tO' -p258488 -aS'prognosis\tprognosis\tNN\tI-NP\tO' -p258489 -aS'with\twith\tIN\tB-PP\tO' -p258490 -aS'decreased\tdecrease\tVBN\tB-NP\tO' -p258491 -aS'mental\tmental\tJJ\tI-NP\tO' -p258492 -aS'status\tstatus\tNN\tI-NP\tO' -p258493 -aS'it\tit\tPRP\tB-NP\tO' -p258494 -aS'was\tbe\tVBD\tB-VP\tO' -p258495 -aS'decided\tdecide\tVBN\tI-VP\tO' -p258496 -aS'that\tthat\tIN\tB-SBAR\tO' -p258497 -aS'the\tthe\tDT\tB-NP\tO' -p258498 -aS'patient\tpatient\tNN\tI-NP\tO' -p258499 -aS'would\twould\tMD\tB-VP\tO' -p258500 -aS'become\tbecome\tVB\tI-VP\tO' -p258501 -aS'CMO\tCMO\tNN\tB-NP\tB-protein' -p258502 -aS'.\t.\t.\tO\tO' -p258503 -asS'8. Chronic renal insufficiency .' -p258504 -(lp258505 -S'8.\t8.\tLS\tB-NP\tO' -p258506 -aS'Chronic\tChronic\tJJ\tI-NP\tO' -p258507 -aS'renal\trenal\tJJ\tI-NP\tO' -p258508 -aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' -p258509 -aS'.\t.\t.\tO\tO' -p258510 -asS'He was seen by the vascular surgery who felt that he is too medically sick and malnourished to have surgery at this time .' -p258511 -(lp258512 -S'He\tHe\tPRP\tB-NP\tO' -p258513 -aS'was\tbe\tVBD\tB-VP\tO' -p258514 -aS'seen\tsee\tVBN\tI-VP\tO' -p258515 -aS'by\tby\tIN\tB-PP\tO' -p258516 -aS'the\tthe\tDT\tB-NP\tO' -p258517 -aS'vascular\tvascular\tJJ\tI-NP\tO' -p258518 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p258519 -aS'who\twho\tWP\tB-NP\tO' -p258520 -aS'felt\tfeel\tVBD\tB-VP\tO' -p258521 -aS'that\tthat\tIN\tB-SBAR\tO' -p258522 -aS'he\the\tPRP\tB-NP\tO' -p258523 -aS'is\tbe\tVBZ\tB-VP\tO' -p258524 -aS'too\ttoo\tRB\tB-ADJP\tO' -p258525 -aS'medically\tmedically\tRB\tI-ADJP\tO' -p258526 -aS'sick\tsick\tJJ\tI-ADJP\tO' -p258527 -aS'and\tand\tCC\tO\tO' -p258528 -aS'malnourished\tmalnourishe\tVBN\tB-VP\tO' -p258529 -aS'to\tto\tTO\tI-VP\tO' -p258530 -aS'have\thave\tVB\tI-VP\tO' -p258531 -aS'surgery\tsurgery\tNN\tB-NP\tO' -p258532 -aS'at\tat\tIN\tB-PP\tO' -p258533 -aS'this\tthis\tDT\tB-NP\tO' -p258534 -aS'time\ttime\tNN\tI-NP\tO' -p258535 -aS'.\t.\t.\tO\tO' -p258536 -asS'Podiatry continued to follow for evaluation of his left foot ulcer .' -p258537 -(lp258538 -S'Podiatry\tPodiatry\tNNP\tB-NP\tO' -p258539 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p258540 -aS'to\tto\tTO\tI-VP\tO' -p258541 -aS'follow\tfollow\tVB\tI-VP\tO' -p258542 -aS'for\tfor\tIN\tB-PP\tO' -p258543 -aS'evaluation\tevaluation\tNN\tB-NP\tO' -p258544 -aS'of\tof\tIN\tB-PP\tO' -p258545 -aS'his\this\tPRP$\tB-NP\tO' -p258546 -aS'left\tleft\tJJ\tI-NP\tO' -p258547 -aS'foot\tfoot\tNN\tI-NP\tO' -p258548 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p258549 -aS'.\t.\t.\tO\tO' -p258550 -asS'His hypertension was well controlled and he was tolerating tube feeds .' -p258551 -(lp258552 -S'His\tHis\tPRP$\tB-NP\tO' -p258553 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p258554 -aS'was\tbe\tVBD\tB-VP\tO' -p258555 -aS'well\twell\tRB\tI-VP\tO' -p258556 -aS'controlled\tcontrol\tVBN\tI-VP\tO' -p258557 -aS'and\tand\tCC\tO\tO' -p258558 -aS'he\the\tPRP\tB-NP\tO' -p258559 -aS'was\tbe\tVBD\tB-VP\tO' -p258560 -aS'tolerating\ttolerate\tVBG\tI-VP\tO' -p258561 -aS'tube\ttube\tNN\tB-NP\tO' -p258562 -aS'feeds\tfeed\tNNS\tI-NP\tO' -p258563 -aS'.\t.\t.\tO\tO' -p258564 -asS'Was excellent .' -p258565 -(lp258566 -S'Was\tBe\tVBD\tB-VP\tO' -p258567 -aS'excellent\texcellent\tJJ\tB-ADJP\tO' -p258568 -aS'.\t.\t.\tO\tO' -p258569 -asS'His most recent bilirubin was 6.6 on day of life six , the day of discharge , and his phototherapy was discontinued. He will need a rebound bilirubin level in am .' -p258570 -(lp258571 -S'His\tHis\tPRP$\tB-NP\tB-protein' -p258572 -aS'most\tmost\tRBS\tI-NP\tO' -p258573 -aS'recent\trecent\tJJ\tI-NP\tO' -p258574 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p258575 -aS'was\tbe\tVBD\tB-VP\tO' -p258576 -aS'6.6\t6.6\tCD\tB-NP\tO' -p258577 -aS'on\ton\tIN\tB-PP\tO' -p258578 -aS'day\tday\tNN\tB-NP\tO' -p258579 -aS'of\tof\tIN\tB-PP\tO' -p258580 -aS'life\tlife\tNN\tB-NP\tO' -p258581 -aS'six\tsix\tCD\tI-NP\tO' -p258582 -aS',\t,\t,\tO\tO' -p258583 -aS'the\tthe\tDT\tB-NP\tO' -p258584 -aS'day\tday\tNN\tI-NP\tO' -p258585 -aS'of\tof\tIN\tB-PP\tO' -p258586 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p258587 -aS',\t,\t,\tO\tO' -p258588 -aS'and\tand\tCC\tO\tO' -p258589 -aS'his\this\tPRP$\tB-NP\tO' -p258590 -aS'phototherapy\tphototherapy\tNN\tI-NP\tO' -p258591 -aS'was\tbe\tVBD\tB-VP\tO' -p258592 -aS'discontinued.\tdiscontinued.\tVBN\tI-VP\tO' -p258593 -aS'He\tHe\tPRP\tB-NP\tO' -p258594 -aS'will\twill\tMD\tB-VP\tO' -p258595 -aS'need\tneed\tVB\tI-VP\tO' -p258596 -aS'a\ta\tDT\tB-NP\tO' -p258597 -aS'rebound\trebound\tJJ\tI-NP\tO' -p258598 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p258599 -aS'level\tlevel\tNN\tI-NP\tO' -p258600 -aS'in\tin\tIN\tB-PP\tO' -p258601 -aS'am\tam\tNN\tB-NP\tO' -p258602 -aS'.\t.\t.\tO\tO' -p258603 -asS'No statin .' -p258604 -(lp258605 -S'No\tNo\tDT\tB-NP\tO' -p258606 -aS'statin\tstatin\tNN\tI-NP\tO' -p258607 -aS'.\t.\t.\tO\tO' -p258608 -asS'Calcium 9.6 , magnesium 2.2 , phosphorus 7.4 , vitamin B12 level 320 , folate 9.5 , TSH 1.4 , acetone negative .' -p258609 -(lp258610 -S'Calcium\tCalcium\tNN\tB-NP\tO' -p258611 -aS'9.6\t9.6\tCD\tI-NP\tO' -p258612 -aS',\t,\t,\tO\tO' -p258613 -aS'magnesium\tmagnesium\tNN\tB-NP\tO' -p258614 -aS'2.2\t2.2\tCD\tI-NP\tO' -p258615 -aS',\t,\t,\tO\tO' -p258616 -aS'phosphorus\tphosphorus\tNN\tB-NP\tO' -p258617 -aS'7.4\t7.4\tCD\tI-NP\tO' -p258618 -aS',\t,\t,\tO\tO' -p258619 -aS'vitamin\tvitamin\tNN\tB-NP\tO' -p258620 -aS'B12\tB12\tNN\tI-NP\tO' -p258621 -aS'level\tlevel\tNN\tI-NP\tO' -p258622 -aS'320\t320\tCD\tI-NP\tO' -p258623 -aS',\t,\t,\tO\tO' -p258624 -aS'folate\tfolate\tNN\tB-NP\tO' -p258625 -aS'9.5\t9.5\tCD\tI-NP\tO' -p258626 -aS',\t,\t,\tO\tO' -p258627 -aS'TSH\tTSH\tNN\tB-NP\tB-protein' -p258628 -aS'1.4\t1.4\tCD\tI-NP\tI-protein' -p258629 -aS',\t,\t,\tO\tO' -p258630 -aS'acetone\tacetone\tNN\tB-NP\tO' -p258631 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p258632 -aS'.\t.\t.\tO\tO' -p258633 -asS'There is a 41 x 23 mm area of hyperdensity within the right frontal lobe , with moderate surrounding vasogenic edema' -p258634 -(lp258635 -S'There\tThere\tEX\tB-NP\tO' -p258636 -aS'is\tbe\tVBZ\tB-VP\tO' -p258637 -aS'a\ta\tDT\tB-NP\tO' -p258638 -aS'41\t41\tCD\tI-NP\tO' -p258639 -aS'x\tx\tSYM\tI-NP\tO' -p258640 -aS'23\t23\tCD\tI-NP\tO' -p258641 -aS'mm\tmm\tNN\tI-NP\tO' -p258642 -aS'area\tarea\tNN\tI-NP\tO' -p258643 -aS'of\tof\tIN\tB-PP\tO' -p258644 -aS'hyperdensity\thyperdensity\tNN\tB-NP\tO' -p258645 -aS'within\twithin\tIN\tB-PP\tO' -p258646 -aS'the\tthe\tDT\tB-NP\tO' -p258647 -aS'right\tright\tJJ\tI-NP\tO' -p258648 -aS'frontal\tfrontal\tJJ\tI-NP\tO' -p258649 -aS'lobe\tlobe\tNN\tI-NP\tO' -p258650 -aS',\t,\t,\tO\tO' -p258651 -aS'with\twith\tIN\tB-PP\tO' -p258652 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p258653 -aS'surrounding\tsurround\tVBG\tB-VP\tO' -p258654 -aS'vasogenic\tvasogenic\tJJ\tB-NP\tO' -p258655 -aS'edema\tedema\tNN\tI-NP\tO' -p258656 -asS'Percocet 5 mg in 325 mg one to two tabs po q4 to 6 prn pain .' -p258657 -(lp258658 -S'Percocet\tPercocet\tIN\tB-PP\tO' -p258659 -aS'5\t5\tCD\tB-NP\tO' -p258660 -aS'mg\tmg\tNN\tI-NP\tO' -p258661 -aS'in\tin\tIN\tB-PP\tO' -p258662 -aS'325\t325\tCD\tB-NP\tO' -p258663 -aS'mg\tmg\tNN\tI-NP\tO' -p258664 -aS'one\tone\tCD\tB-NP\tO' -p258665 -aS'to\tto\tTO\tI-NP\tO' -p258666 -aS'two\ttwo\tCD\tI-NP\tO' -p258667 -aS'tabs\ttab\tNNS\tI-NP\tO' -p258668 -aS'po\tpo\tVBP\tB-VP\tO' -p258669 -aS'q4\tq4\tCD\tB-NP\tO' -p258670 -aS'to\tto\tTO\tI-NP\tO' -p258671 -aS'6\t6\tCD\tI-NP\tO' -p258672 -aS'prn\tprn\tNN\tI-NP\tO' -p258673 -aS'pain\tpain\tNN\tI-NP\tO' -p258674 -aS'.\t.\t.\tO\tO' -p258675 -asS'Gastric lavage was grossly positive for coffee ground material .' -p258676 -(lp258677 -S'Gastric\tGastric\tJJ\tB-NP\tO' -p258678 -aS'lavage\tlavage\tNN\tI-NP\tO' -p258679 -aS'was\tbe\tVBD\tB-VP\tO' -p258680 -aS'grossly\tgrossly\tRB\tB-ADJP\tO' -p258681 -aS'positive\tpositive\tJJ\tI-ADJP\tO' -p258682 -aS'for\tfor\tIN\tB-PP\tO' -p258683 -aS'coffee\tcoffee\tNN\tB-NP\tO' -p258684 -aS'ground\tground\tNN\tI-NP\tO' -p258685 -aS'material\tmaterial\tNN\tI-NP\tO' -p258686 -aS'.\t.\t.\tO\tO' -p258687 -asS'The patient was therefore treated conservatively with fluid restriction and blood pressure management .' -p258688 -(lp258689 -S'The\tThe\tDT\tB-NP\tO' -p258690 -aS'patient\tpatient\tNN\tI-NP\tO' -p258691 -aS'was\tbe\tVBD\tB-VP\tO' -p258692 -aS'therefore\ttherefore\tRB\tI-VP\tO' -p258693 -aS'treated\ttreat\tVBN\tI-VP\tO' -p258694 -aS'conservatively\tconservatively\tRB\tB-ADVP\tO' -p258695 -aS'with\twith\tIN\tB-PP\tO' -p258696 -aS'fluid\tfluid\tNN\tB-NP\tO' -p258697 -aS'restriction\trestriction\tNN\tI-NP\tO' -p258698 -aS'and\tand\tCC\tO\tO' -p258699 -aS'blood\tblood\tNN\tB-NP\tO' -p258700 -aS'pressure\tpressure\tNN\tI-NP\tO' -p258701 -aS'management\tmanagement\tNN\tI-NP\tO' -p258702 -aS'.\t.\t.\tO\tO' -p258703 -asS'Breast feeding was limited to four to five minutes on each side per recommendation of neurology after their evaluation to try and minimize incidence of gastroesophageal reflux .' -p258704 -(lp258705 -S'Breast\tBreast\tNN\tB-NP\tO' -p258706 -aS'feeding\tfeeding\tNN\tI-NP\tO' -p258707 -aS'was\tbe\tVBD\tB-VP\tO' -p258708 -aS'limited\tlimit\tVBN\tI-VP\tO' -p258709 -aS'to\tto\tTO\tB-PP\tO' -p258710 -aS'four\tfour\tCD\tB-NP\tO' -p258711 -aS'to\tto\tTO\tI-NP\tO' -p258712 -aS'five\tfive\tCD\tI-NP\tO' -p258713 -aS'minutes\tminute\tNNS\tI-NP\tO' -p258714 -aS'on\ton\tIN\tB-PP\tO' -p258715 -aS'each\teach\tDT\tB-NP\tO' -p258716 -aS'side\tside\tNN\tI-NP\tO' -p258717 -aS'per\tper\tIN\tB-PP\tO' -p258718 -aS'recommendation\trecommendation\tNN\tB-NP\tO' -p258719 -aS'of\tof\tIN\tB-PP\tO' -p258720 -aS'neurology\tneurology\tNN\tB-NP\tO' -p258721 -aS'after\tafter\tIN\tB-PP\tO' -p258722 -aS'their\ttheir\tPRP$\tB-NP\tO' -p258723 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p258724 -aS'to\tto\tTO\tB-VP\tO' -p258725 -aS'try\ttry\tVB\tI-VP\tO' -p258726 -aS'and\tand\tCC\tI-VP\tO' -p258727 -aS'minimize\tminimize\tVB\tI-VP\tO' -p258728 -aS'incidence\tincidence\tNN\tB-NP\tO' -p258729 -aS'of\tof\tIN\tB-PP\tO' -p258730 -aS'gastroesophageal\tgastroesophageal\tJJ\tB-NP\tO' -p258731 -aS'reflux\treflux\tNN\tI-NP\tO' -p258732 -aS'.\t.\t.\tO\tO' -p258733 -asS'- laser conization of cervix 2004' -p258734 -(lp258735 -S'-\t-\tHYPH\tB-NP\tO' -p258736 -aS'laser\tlaser\tNN\tI-NP\tO' -p258737 -aS'conization\tconization\tNN\tI-NP\tO' -p258738 -aS'of\tof\tIN\tB-PP\tO' -p258739 -aS'cervix\tcervix\tNN\tB-NP\tO' -p258740 -aS'2004\t2004\tCD\tI-NP\tO' -p258741 -asS'In addition , he gadolinium scan did not show enhancement at the area of his hemorrhage , so tumor was felt to be unlikely .' -p258742 -(lp258743 -S'In\tIn\tIN\tB-PP\tO' -p258744 -aS'addition\taddition\tNN\tB-NP\tO' -p258745 -aS',\t,\t,\tO\tO' -p258746 -aS'he\the\tPRP\tB-NP\tO' -p258747 -aS'gadolinium\tgadolinium\tNN\tI-NP\tO' -p258748 -aS'scan\tscan\tNN\tI-NP\tO' -p258749 -aS'did\tdo\tVBD\tB-VP\tO' -p258750 -aS'not\tnot\tRB\tI-VP\tO' -p258751 -aS'show\tshow\tVB\tI-VP\tO' -p258752 -aS'enhancement\tenhancement\tNN\tB-NP\tO' -p258753 -aS'at\tat\tIN\tB-PP\tO' -p258754 -aS'the\tthe\tDT\tB-NP\tO' -p258755 -aS'area\tarea\tNN\tI-NP\tO' -p258756 -aS'of\tof\tIN\tB-PP\tO' -p258757 -aS'his\this\tPRP$\tB-NP\tO' -p258758 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p258759 -aS',\t,\t,\tO\tO' -p258760 -aS'so\tso\tIN\tO\tO' -p258761 -aS'tumor\ttumor\tNN\tB-NP\tO' -p258762 -aS'was\tbe\tVBD\tB-VP\tO' -p258763 -aS'felt\tfeel\tVBN\tI-VP\tO' -p258764 -aS'to\tto\tTO\tI-VP\tO' -p258765 -aS'be\tbe\tVB\tI-VP\tO' -p258766 -aS'unlikely\tunlikely\tJJ\tB-ADJP\tO' -p258767 -aS'.\t.\t.\tO\tO' -p258768 -asS'Blood pressure 126/66 .' -p258769 -(lp258770 -S'Blood\tBlood\tNN\tB-NP\tO' -p258771 -aS'pressure\tpressure\tNN\tI-NP\tO' -p258772 -aS'126/66\t126/66\tCD\tI-NP\tO' -p258773 -aS'.\t.\t.\tO\tO' -p258774 -asS'Language : Speech fluent with good comprehension and repetition .' -p258775 -(lp258776 -S'Language\tLanguage\tNN\tB-NP\tO' -p258777 -aS':\t:\t:\tO\tO' -p258778 -aS'Speech\tSpeech\tNN\tB-NP\tO' -p258779 -aS'fluent\tfluent\tJJ\tB-ADJP\tO' -p258780 -aS'with\twith\tIN\tB-PP\tO' -p258781 -aS'good\tgood\tJJ\tB-NP\tO' -p258782 -aS'comprehension\tcomprehension\tNN\tI-NP\tO' -p258783 -aS'and\tand\tCC\tI-NP\tO' -p258784 -aS'repetition\trepetition\tNN\tI-NP\tO' -p258785 -aS'.\t.\t.\tO\tO' -p258786 -asS'Her vital signs showed a blood pressure of 126/72 , pulse 84 , respirations 22 , temperature 98.6 .' -p258787 -(lp258788 -S'Her\tHer\tPRP$\tB-NP\tO' -p258789 -aS'vital\tvital\tJJ\tI-NP\tO' -p258790 -aS'signs\tsign\tNNS\tI-NP\tO' -p258791 -aS'showed\tshow\tVBD\tB-VP\tO' -p258792 -aS'a\ta\tDT\tB-NP\tO' -p258793 -aS'blood\tblood\tNN\tI-NP\tO' -p258794 -aS'pressure\tpressure\tNN\tI-NP\tO' -p258795 -aS'of\tof\tIN\tB-PP\tO' -p258796 -aS'126/72\t126/72\tCD\tB-NP\tO' -p258797 -aS',\t,\t,\tO\tO' -p258798 -aS'pulse\tpulse\tNN\tB-NP\tO' -p258799 -aS'84\t84\tCD\tI-NP\tO' -p258800 -aS',\t,\t,\tO\tO' -p258801 -aS'respirations\trespiration\tNNS\tB-NP\tO' -p258802 -aS'22\t22\tCD\tB-NP\tO' -p258803 -aS',\t,\t,\tO\tO' -p258804 -aS'temperature\ttemperature\tNN\tB-NP\tO' -p258805 -aS'98.6\t98.6\tCD\tI-NP\tO' -p258806 -aS'.\t.\t.\tO\tO' -p258807 -asS'Attending : Samuel A. Brown , M.D.' -p258808 -(lp258809 -S'Attending\tAttend\tVBG\tB-VP\tO' -p258810 -aS':\t:\t:\tO\tO' -p258811 -aS'Samuel\tSamuel\tNNP\tB-NP\tO' -p258812 -aS'A.\tA.\tNNP\tI-NP\tO' -p258813 -aS'Brown\tBrown\tNNP\tI-NP\tO' -p258814 -aS',\t,\t,\tO\tO' -p258815 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p258816 -asS'- Resume home medications .' -p258817 -(lp258818 -S'-\t-\tHYPH\tB-NP\tO' -p258819 -aS'Resume\tResume\tNN\tI-NP\tO' -p258820 -aS'home\thome\tNN\tI-NP\tO' -p258821 -aS'medications\tmedication\tNNS\tI-NP\tO' -p258822 -aS'.\t.\t.\tO\tO' -p258823 -asS'Electrolytes on day of life 1 showed a sodium of 142 , potassium of 5.1 , chloride of 108 , and total CO2 of 23 .' -p258824 -(lp258825 -S'Electrolytes\tElectrolyte\tNNS\tB-NP\tO' -p258826 -aS'on\ton\tIN\tB-PP\tO' -p258827 -aS'day\tday\tNN\tB-NP\tO' -p258828 -aS'of\tof\tIN\tB-PP\tO' -p258829 -aS'life\tlife\tNN\tB-NP\tO' -p258830 -aS'1\t1\tCD\tI-NP\tO' -p258831 -aS'showed\tshow\tVBD\tB-VP\tO' -p258832 -aS'a\ta\tDT\tB-NP\tO' -p258833 -aS'sodium\tsodium\tNN\tI-NP\tO' -p258834 -aS'of\tof\tIN\tB-PP\tO' -p258835 -aS'142\t142\tCD\tB-NP\tO' -p258836 -aS',\t,\t,\tO\tO' -p258837 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p258838 -aS'of\tof\tIN\tB-PP\tO' -p258839 -aS'5.1\t5.1\tCD\tB-NP\tO' -p258840 -aS',\t,\t,\tO\tO' -p258841 -aS'chloride\tchloride\tNN\tB-NP\tO' -p258842 -aS'of\tof\tIN\tB-PP\tO' -p258843 -aS'108\t108\tCD\tB-NP\tO' -p258844 -aS',\t,\t,\tO\tO' -p258845 -aS'and\tand\tCC\tO\tO' -p258846 -aS'total\ttotal\tJJ\tB-NP\tO' -p258847 -aS'CO2\tCO2\tNN\tI-NP\tO' -p258848 -aS'of\tof\tIN\tB-PP\tO' -p258849 -aS'23\t23\tCD\tB-NP\tO' -p258850 -aS'.\t.\t.\tO\tO' -p258851 -asS'He was continued on BIPAP .' -p258852 -(lp258853 -S'He\tHe\tPRP\tB-NP\tO' -p258854 -aS'was\tbe\tVBD\tB-VP\tO' -p258855 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p258856 -aS'on\ton\tIN\tB-PP\tO' -p258857 -aS'BIPAP\tBIPAP\tNN\tB-NP\tB-protein' -p258858 -aS'.\t.\t.\tO\tO' -p258859 -asS'Toes downgoing .' -p258860 -(lp258861 -S'Toes\tToes\tNNP\tB-NP\tO' -p258862 -aS'downgoing\tdowngoe\tVBG\tB-VP\tO' -p258863 -aS'.\t.\t.\tO\tO' -p258864 -asS'42 year old female with h/o cholangiocarcinoma dx in 2009 s/p resection , with recent CT showing met cholangiocarcinoma in 9/2004 .' -p258865 -(lp258866 -S'42\t42\tCD\tB-NP\tO' -p258867 -aS'year\tyear\tNN\tI-NP\tO' -p258868 -aS'old\told\tJJ\tI-NP\tO' -p258869 -aS'female\tfemale\tNN\tI-NP\tO' -p258870 -aS'with\twith\tIN\tB-PP\tO' -p258871 -aS'h/o\th/o\tNN\tB-NP\tO' -p258872 -aS'cholangiocarcinoma\tcholangiocarcinoma\tNN\tI-NP\tO' -p258873 -aS'dx\tdx\tNN\tI-NP\tO' -p258874 -aS'in\tin\tIN\tB-PP\tO' -p258875 -aS'2009\t2009\tCD\tB-NP\tO' -p258876 -aS's/p\ts/p\tNN\tI-NP\tO' -p258877 -aS'resection\tresection\tNN\tI-NP\tO' -p258878 -aS',\t,\t,\tO\tO' -p258879 -aS'with\twith\tIN\tB-PP\tO' -p258880 -aS'recent\trecent\tJJ\tB-NP\tO' -p258881 -aS'CT\tCT\tNN\tI-NP\tO' -p258882 -aS'showing\tshow\tVBG\tB-VP\tO' -p258883 -aS'met\tmeet\tVBN\tB-NP\tO' -p258884 -aS'cholangiocarcinoma\tcholangiocarcinoma\tNN\tI-NP\tO' -p258885 -aS'in\tin\tIN\tB-PP\tO' -p258886 -aS'9/2004\t9/2004\tCD\tB-NP\tO' -p258887 -aS'.\t.\t.\tO\tO' -p258888 -asS'2. Lorazepam 0.5 mg Tablet Sig : 0.5-2 mg PO Q4-6H ( every 4 to 6 hours ) as needed for aggitation / seizure : Please dispense liquid .' -p258889 -(lp258890 -S'2.\t2.\tLS\tB-LST\tO' -p258891 -aS'Lorazepam\tLorazepam\tNNP\tB-NP\tO' -p258892 -aS'0.5\t0.5\tCD\tI-NP\tO' -p258893 -aS'mg\tmg\tNN\tI-NP\tO' -p258894 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p258895 -aS'Sig\tSig\tNNP\tI-NP\tO' -p258896 -aS':\t:\t:\tO\tO' -p258897 -aS'0.5-2\t0.5-2\tCD\tB-NP\tO' -p258898 -aS'mg\tmg\tNN\tI-NP\tO' -p258899 -aS'PO\tPO\tNN\tI-NP\tO' -p258900 -aS'Q4-6H\tQ4-6H\tNN\tI-NP\tO' -p258901 -aS'(\t(\t(\tO\tO' -p258902 -aS'every\tevery\tDT\tB-NP\tO' -p258903 -aS'4\t4\tCD\tI-NP\tO' -p258904 -aS'to\tto\tTO\tI-NP\tO' -p258905 -aS'6\t6\tCD\tI-NP\tO' -p258906 -aS'hours\thour\tNNS\tI-NP\tO' -p258907 -aS')\t)\t)\tO\tO' -p258908 -aS'as\tas\tIN\tB-SBAR\tO' -p258909 -aS'needed\tneed\tVBN\tB-VP\tO' -p258910 -aS'for\tfor\tIN\tB-PP\tO' -p258911 -aS'aggitation\taggitation\tNN\tB-NP\tO' -p258912 -aS'/\t/\tSYM\tI-NP\tO' -p258913 -aS'seizure\tseizure\tNN\tI-NP\tO' -p258914 -aS':\t:\t:\tO\tO' -p258915 -aS'Please\tPlease\tNN\tB-NP\tO' -p258916 -aS'dispense\tdispense\tNN\tI-NP\tO' -p258917 -aS'liquid\tliquid\tNN\tI-NP\tO' -p258918 -aS'.\t.\t.\tO\tO' -p258919 -asS'10. Glomerulosclerosis .' -p258920 -(lp258921 -S'10.\t10.\tLS\tB-NP\tO' -p258922 -aS'Glomerulosclerosis\tGlomerulosclerosis\tNN\tI-NP\tO' -p258923 -aS'.\t.\t.\tO\tO' -p258924 -asS'On postoperative day # 1 , the patient was restarted on 2 mg of Coumadin .' -p258925 -(lp258926 -S'On\tOn\tIN\tB-PP\tO' -p258927 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p258928 -aS'day\tday\tNN\tI-NP\tO' -p258929 -aS'#\t#\t#\tB-NP\tO' -p258930 -aS'1\t1\tCD\tI-NP\tO' -p258931 -aS',\t,\t,\tO\tO' -p258932 -aS'the\tthe\tDT\tB-NP\tO' -p258933 -aS'patient\tpatient\tNN\tI-NP\tO' -p258934 -aS'was\tbe\tVBD\tB-VP\tO' -p258935 -aS'restarted\trestart\tVBN\tI-VP\tO' -p258936 -aS'on\ton\tIN\tB-PP\tO' -p258937 -aS'2\t2\tCD\tB-NP\tO' -p258938 -aS'mg\tmg\tNN\tI-NP\tO' -p258939 -aS'of\tof\tIN\tB-PP\tO' -p258940 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p258941 -aS'.\t.\t.\tO\tO' -p258942 -asS'Atrial fibrillation was rate-controlled on dilt drip .' -p258943 -(lp258944 -S'Atrial\tAtrial\tJJ\tB-NP\tO' -p258945 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p258946 -aS'was\tbe\tVBD\tB-VP\tO' -p258947 -aS'rate-controlled\trate-controlled\tJJ\tB-ADJP\tO' -p258948 -aS'on\ton\tIN\tB-PP\tO' -p258949 -aS'dilt\tdilt\tJJ\tB-NP\tO' -p258950 -aS'drip\tdrip\tNN\tI-NP\tO' -p258951 -aS'.\t.\t.\tO\tO' -p258952 -asS'White blood cell count 10.5 , hematocrit 38.1 , platelets 254 , INR 1.8 .' -p258953 -(lp258954 -S'White\tWhite\tJJ\tB-NP\tO' -p258955 -aS'blood\tblood\tNN\tI-NP\tO' -p258956 -aS'cell\tcell\tNN\tI-NP\tO' -p258957 -aS'count\tcount\tNN\tI-NP\tO' -p258958 -aS'10.5\t10.5\tCD\tB-NP\tO' -p258959 -aS',\t,\t,\tO\tO' -p258960 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p258961 -aS'38.1\t38.1\tCD\tI-NP\tI-protein' -p258962 -aS',\t,\t,\tO\tO' -p258963 -aS'platelets\tplatelet\tNNS\tB-NP\tB-protein' -p258964 -aS'254\t254\tCD\tB-NP\tI-protein' -p258965 -aS',\t,\t,\tO\tO' -p258966 -aS'INR\tINR\tNN\tB-NP\tB-protein' -p258967 -aS'1.8\t1.8\tCD\tI-NP\tI-protein' -p258968 -aS'.\t.\t.\tO\tO' -p258969 -asS'The patient should follow-up with his cardiologist in one to two weeks .' -p258970 -(lp258971 -S'The\tThe\tDT\tB-NP\tO' -p258972 -aS'patient\tpatient\tNN\tI-NP\tO' -p258973 -aS'should\tshould\tMD\tB-VP\tO' -p258974 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p258975 -aS'with\twith\tIN\tB-PP\tO' -p258976 -aS'his\this\tPRP$\tB-NP\tO' -p258977 -aS'cardiologist\tcardiologist\tNN\tI-NP\tO' -p258978 -aS'in\tin\tIN\tB-PP\tO' -p258979 -aS'one\tone\tCD\tB-NP\tO' -p258980 -aS'to\tto\tTO\tI-NP\tO' -p258981 -aS'two\ttwo\tCD\tI-NP\tO' -p258982 -aS'weeks\tweek\tNNS\tI-NP\tO' -p258983 -aS'.\t.\t.\tO\tO' -p258984 -asS'Her skin is intact without lesions .' -p258985 -(lp258986 -S'Her\tHer\tPRP$\tB-NP\tO' -p258987 -aS'skin\tskin\tNN\tI-NP\tO' -p258988 -aS'is\tbe\tVBZ\tB-VP\tO' -p258989 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p258990 -aS'without\twithout\tIN\tB-PP\tO' -p258991 -aS'lesions\tlesion\tNNS\tB-NP\tO' -p258992 -aS'.\t.\t.\tO\tO' -p258993 -asS'Signed electronically by : DR. David Randazzo on : MON 2013-12-16 7:25 AM' -p258994 -(lp258995 -S'Signed\tSign\tVBN\tB-VP\tO' -p258996 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p258997 -aS'by\tby\tIN\tB-PP\tO' -p258998 -aS':\t:\t:\tO\tO' -p258999 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p259000 -aS'David\tDavid\tNNP\tI-NP\tO' -p259001 -aS'Randazzo\tRandazzo\tNNP\tI-NP\tO' -p259002 -aS'on\ton\tIN\tB-PP\tO' -p259003 -aS':\t:\t:\tO\tO' -p259004 -aS'MON\tMON\tNN\tB-NP\tO' -p259005 -aS'2013-12-16\t2013-12-16\tCD\tI-NP\tO' -p259006 -aS'7:25\t7:25\tCD\tI-NP\tO' -p259007 -aS'AM\tAM\tNN\tI-NP\tO' -p259008 -asS'Gallstones , thought to be inactive .' -p259009 -(lp259010 -S'Gallstones\tGallstone\tNNS\tB-NP\tO' -p259011 -aS',\t,\t,\tO\tO' -p259012 -aS'thought\tthink\tVBN\tB-VP\tO' -p259013 -aS'to\tto\tTO\tI-VP\tO' -p259014 -aS'be\tbe\tVB\tI-VP\tO' -p259015 -aS'inactive\tinactive\tJJ\tB-ADJP\tO' -p259016 -aS'.\t.\t.\tO\tO' -p259017 -asS'His left chest tube was discontinued at this time and his right chest tube was removed the following day on' -p259018 -(lp259019 -S'His\tHis\tPRP$\tB-NP\tO' -p259020 -aS'left\tleft\tJJ\tI-NP\tO' -p259021 -aS'chest\tchest\tNN\tI-NP\tO' -p259022 -aS'tube\ttube\tNN\tI-NP\tO' -p259023 -aS'was\tbe\tVBD\tB-VP\tO' -p259024 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p259025 -aS'at\tat\tIN\tB-PP\tO' -p259026 -aS'this\tthis\tDT\tB-NP\tO' -p259027 -aS'time\ttime\tNN\tI-NP\tO' -p259028 -aS'and\tand\tCC\tO\tO' -p259029 -aS'his\this\tPRP$\tB-NP\tO' -p259030 -aS'right\tright\tJJ\tI-NP\tO' -p259031 -aS'chest\tchest\tNN\tI-NP\tO' -p259032 -aS'tube\ttube\tNN\tI-NP\tO' -p259033 -aS'was\tbe\tVBD\tB-VP\tO' -p259034 -aS'removed\tremove\tVBN\tI-VP\tO' -p259035 -aS'the\tthe\tDT\tB-NP\tO' -p259036 -aS'following\tfollow\tVBG\tI-NP\tO' -p259037 -aS'day\tday\tNN\tI-NP\tO' -p259038 -aS'on\ton\tIN\tB-PP\tO' -p259039 -asS'We have advised a BRAT diet .' -p259040 -(lp259041 -S'We\tWe\tPRP\tB-NP\tO' -p259042 -aS'have\thave\tVBP\tB-VP\tO' -p259043 -aS'advised\tadvise\tVBN\tI-VP\tO' -p259044 -aS'a\ta\tDT\tB-NP\tO' -p259045 -aS'BRAT\tBRAT\tNN\tI-NP\tO' -p259046 -aS'diet\tdiet\tNN\tI-NP\tO' -p259047 -aS'.\t.\t.\tO\tO' -p259048 -asS'Alert and oriented x 3 .' -p259049 -(lp259050 -S'Alert\tAlert\tNNP\tB-NP\tO' -p259051 -aS'and\tand\tCC\tO\tO' -p259052 -aS'oriented\torient\tVBD\tB-VP\tO' -p259053 -aS'x\tx\tNN\tB-NP\tB-DNA' -p259054 -aS'3\t3\tCD\tI-NP\tI-DNA' -p259055 -aS'.\t.\t.\tO\tO' -p259056 -asS'There were normoactive bowel sounds .' -p259057 -(lp259058 -S'There\tThere\tEX\tB-NP\tO' -p259059 -aS'were\tbe\tVBD\tB-VP\tO' -p259060 -aS'normoactive\tnormoactive\tJJ\tB-NP\tO' -p259061 -aS'bowel\tbowel\tNN\tI-NP\tO' -p259062 -aS'sounds\tsound\tNNS\tI-NP\tO' -p259063 -aS'.\t.\t.\tO\tO' -p259064 -asS'>25 PMNs and <10 epithelial cells/100X field .' -p259065 -(lp259066 -S'>25\t>25\tCD\tB-NP\tO' -p259067 -aS'PMNs\tPMN\tNNS\tI-NP\tB-cell_type' -p259068 -aS'and\tand\tCC\tO\tO' -p259069 -aS'<10\t<10\tCD\tB-NP\tO' -p259070 -aS'epithelial\tepithelial\tJJ\tI-NP\tO' -p259071 -aS'cells/100X\tcells/100X\tNN\tI-NP\tO' -p259072 -aS'field\tfield\tNN\tI-NP\tO' -p259073 -aS'.\t.\t.\tO\tO' -p259074 -asS'4. Urology : Foley was discontinued in the CMED CCU at 12 p.m.' -p259075 -(lp259076 -S'4.\t4.\tCD\tB-NP\tO' -p259077 -aS'Urology\tUrology\tNNP\tI-NP\tO' -p259078 -aS':\t:\t:\tO\tO' -p259079 -aS'Foley\tFoley\tNNP\tB-NP\tO' -p259080 -aS'was\tbe\tVBD\tB-VP\tO' -p259081 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p259082 -aS'in\tin\tIN\tB-PP\tO' -p259083 -aS'the\tthe\tDT\tB-NP\tO' -p259084 -aS'CMED\tCMED\tJJ\tI-NP\tO' -p259085 -aS'CCU\tCCU\tNN\tI-NP\tO' -p259086 -aS'at\tat\tIN\tB-PP\tO' -p259087 -aS'12\t12\tCD\tB-NP\tO' -p259088 -aS'p.m.\tp.m.\tNN\tI-NP\tO' -p259089 -asS'Pertinent Results : wbc 6.7 46% pmn 40% bands , na 128 tbili 9.1 , alb 2.3 , inr 2.1 , lactate 4.4 ecg unremarkable' -p259090 -(lp259091 -S'Pertinent\tPertinent\tJJ\tB-NP\tO' -p259092 -aS'Results\tResult\tNNS\tI-NP\tO' -p259093 -aS':\t:\t:\tO\tO' -p259094 -aS'wbc\twbc\tNN\tB-NP\tO' -p259095 -aS'6.7\t6.7\tCD\tB-NP\tO' -p259096 -aS'46%\t46%\tCD\tI-NP\tO' -p259097 -aS'pmn\tpmn\tNN\tI-NP\tO' -p259098 -aS'40%\t40%\tNN\tI-NP\tO' -p259099 -aS'bands\tband\tNNS\tI-NP\tO' -p259100 -aS',\t,\t,\tO\tO' -p259101 -aS'na\tna\tNN\tB-NP\tB-protein' -p259102 -aS'128\t128\tCD\tB-NP\tI-protein' -p259103 -aS'tbili\ttbili\tNNS\tI-NP\tI-protein' -p259104 -aS'9.1\t9.1\tCD\tB-NP\tI-protein' -p259105 -aS',\t,\t,\tO\tO' -p259106 -aS'alb\talb\tNN\tB-NP\tB-protein' -p259107 -aS'2.3\t2.3\tCD\tI-NP\tI-protein' -p259108 -aS',\t,\t,\tO\tO' -p259109 -aS'inr\tinr\tNN\tB-NP\tO' -p259110 -aS'2.1\t2.1\tCD\tI-NP\tO' -p259111 -aS',\t,\t,\tO\tO' -p259112 -aS'lactate\tlactate\tNN\tB-NP\tO' -p259113 -aS'4.4\t4.4\tCD\tI-NP\tO' -p259114 -aS'ecg\tecg\tNN\tI-NP\tO' -p259115 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p259116 -asS'Albuterol nebulizers 2.5 mg q.4h. and Atrovent nebulizers 0.5 mg q.4h. , please alternate albuterol and Atrovent ; Rocaltrol 0.25 mcg per NG tube q.d.; calcium carbonate 1250 mg per NG tube q.i.d.; vitamin B12 1000 mcg IM q. month , next dose is due Nov 18 ; diltiazem 60 mg per NG tube t.i.d.; ferrous sulfate 300 mg per NG t.i.d.; Haldol 5 mg IV q.h.s.; hydralazine 10 mg IV q.6h. p.r.n. hypertension ; lisinopril 10 mg per NG tube q.d.; Ativan 1 mg per NG tube q.h.s.; Lopressor 25 mg per NG tube t.i.d.; Zantac 150 mg per NG tube b.i.d.; multivitamin 10 ml per NG tube q.d.; Macrodantin 100 mg per NG tube q.i.d. x 10 days beginning on 11/3/00 .' -p259117 -(lp259118 -S'Albuterol\tAlbuterol\tNN\tB-NP\tO' -p259119 -aS'nebulizers\tnebulizer\tNNS\tI-NP\tO' -p259120 -aS'2.5\t2.5\tCD\tB-NP\tO' -p259121 -aS'mg\tmg\tNN\tI-NP\tO' -p259122 -aS'q.4h.\tq.4h.\tNN\tI-NP\tO' -p259123 -aS'and\tand\tCC\tI-NP\tO' -p259124 -aS'Atrovent\tAtrovent\tNN\tI-NP\tO' -p259125 -aS'nebulizers\tnebulizer\tNNS\tI-NP\tO' -p259126 -aS'0.5\t0.5\tCD\tB-NP\tO' -p259127 -aS'mg\tmg\tNN\tI-NP\tO' -p259128 -aS'q.4h.\tq.4h.\tNN\tI-NP\tO' -p259129 -aS',\t,\t,\tO\tO' -p259130 -aS'please\tplease\tVB\tB-VP\tO' -p259131 -aS'alternate\talternate\tJJ\tB-NP\tO' -p259132 -aS'albuterol\talbuterol\tNN\tI-NP\tO' -p259133 -aS'and\tand\tCC\tI-NP\tO' -p259134 -aS'Atrovent\tAtrovent\tNN\tI-NP\tO' -p259135 -aS';\t;\t:\tO\tO' -p259136 -aS'Rocaltrol\tRocaltrol\tNN\tB-NP\tO' -p259137 -aS'0.25\t0.25\tCD\tI-NP\tO' -p259138 -aS'mcg\tmcg\tNN\tI-NP\tO' -p259139 -aS'per\tper\tIN\tB-PP\tO' -p259140 -aS'NG\tNG\tNN\tB-NP\tO' -p259141 -aS'tube\ttube\tNN\tI-NP\tO' -p259142 -aS'q.d.;\tq.d.;\tNN\tI-NP\tO' -p259143 -aS'calcium\tcalcium\tNN\tI-NP\tO' -p259144 -aS'carbonate\tcarbonate\tNN\tI-NP\tO' -p259145 -aS'1250\t1250\tCD\tI-NP\tO' -p259146 -aS'mg\tmg\tNN\tI-NP\tO' -p259147 -aS'per\tper\tIN\tB-PP\tO' -p259148 -aS'NG\tNG\tNN\tB-NP\tO' -p259149 -aS'tube\ttube\tNN\tI-NP\tO' -p259150 -aS'q.i.d.;\tq.i.d.;\tNN\tI-NP\tO' -p259151 -aS'vitamin\tvitamin\tNN\tI-NP\tO' -p259152 -aS'B12\tB12\tNN\tI-NP\tO' -p259153 -aS'1000\t1000\tCD\tI-NP\tO' -p259154 -aS'mcg\tmcg\tNN\tI-NP\tO' -p259155 -aS'IM\tIM\tNN\tI-NP\tO' -p259156 -aS'q.\tq.\tNN\tI-NP\tO' -p259157 -aS'month\tmonth\tNN\tI-NP\tO' -p259158 -aS',\t,\t,\tO\tO' -p259159 -aS'next\tnext\tJJ\tB-NP\tO' -p259160 -aS'dose\tdose\tNN\tI-NP\tO' -p259161 -aS'is\tbe\tVBZ\tB-VP\tO' -p259162 -aS'due\tdue\tJJ\tB-ADJP\tO' -p259163 -aS'Nov\tNov\tNNP\tB-NP\tO' -p259164 -aS'18\t18\tCD\tI-NP\tO' -p259165 -aS';\t;\t:\tO\tO' -p259166 -aS'diltiazem\tdiltiazem\tNN\tB-NP\tO' -p259167 -aS'60\t60\tCD\tI-NP\tO' -p259168 -aS'mg\tmg\tNN\tI-NP\tO' -p259169 -aS'per\tper\tIN\tB-PP\tO' -p259170 -aS'NG\tNG\tNN\tB-NP\tB-protein' -p259171 -aS'tube\ttube\tNN\tI-NP\tI-protein' -p259172 -aS't.i.d.;\tt.i.d.;\tNN\tI-NP\tI-protein' -p259173 -aS'ferrous\tferrous\tJJ\tI-NP\tI-protein' -p259174 -aS'sulfate\tsulfate\tNN\tI-NP\tI-protein' -p259175 -aS'300\t300\tCD\tI-NP\tI-protein' -p259176 -aS'mg\tmg\tNN\tI-NP\tI-protein' -p259177 -aS'per\tper\tIN\tB-PP\tI-protein' -p259178 -aS'NG\tNG\tNN\tB-NP\tI-protein' -p259179 -aS't.i.d.;\tt.i.d.;\tNN\tI-NP\tI-protein' -p259180 -aS'Haldol\tHaldol\tNN\tI-NP\tI-protein' -p259181 -aS'5\t5\tCD\tI-NP\tI-protein' -p259182 -aS'mg\tmg\tNN\tI-NP\tI-protein' -p259183 -aS'IV\tIV\tCD\tI-NP\tI-protein' -p259184 -aS'q.h.s.;\tq.h.s.;\t:\tO\tO' -p259185 -aS'hydralazine\thydralazine\tNN\tB-NP\tO' -p259186 -aS'10\t10\tCD\tI-NP\tO' -p259187 -aS'mg\tmg\tNN\tI-NP\tO' -p259188 -aS'IV\tIV\tCD\tB-NP\tO' -p259189 -aS'q.6h.\tq.6h.\tNN\tI-NP\tO' -p259190 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p259191 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p259192 -aS';\t;\t:\tO\tO' -p259193 -aS'lisinopril\tlisinopril\tNN\tB-NP\tO' -p259194 -aS'10\t10\tCD\tI-NP\tO' -p259195 -aS'mg\tmg\tNN\tI-NP\tO' -p259196 -aS'per\tper\tIN\tB-PP\tO' -p259197 -aS'NG\tNG\tNN\tB-NP\tB-protein' -p259198 -aS'tube\ttube\tNN\tI-NP\tI-protein' -p259199 -aS'q.d.;\tq.d.;\tNN\tI-NP\tI-protein' -p259200 -aS'Ativan\tAtivan\tIN\tB-NP\tO' -p259201 -aS'1\t1\tCD\tI-NP\tO' -p259202 -aS'mg\tmg\tNN\tI-NP\tO' -p259203 -aS'per\tper\tIN\tB-PP\tO' -p259204 -aS'NG\tNG\tNN\tB-NP\tB-protein' -p259205 -aS'tube\ttube\tNN\tI-NP\tI-protein' -p259206 -aS'q.h.s.;\tq.h.s.;\tNN\tI-NP\tI-protein' -p259207 -aS'Lopressor\tLopressor\tNN\tI-NP\tI-protein' -p259208 -aS'25\t25\tCD\tI-NP\tI-protein' -p259209 -aS'mg\tmg\tNN\tI-NP\tI-protein' -p259210 -aS'per\tper\tIN\tB-PP\tI-protein' -p259211 -aS'NG\tNG\tNN\tB-NP\tI-protein' -p259212 -aS'tube\ttube\tNN\tI-NP\tI-protein' -p259213 -aS't.i.d.;\tt.i.d.;\tNN\tI-NP\tI-protein' -p259214 -aS'Zantac\tZantac\tNN\tI-NP\tI-protein' -p259215 -aS'150\t150\tCD\tI-NP\tI-protein' -p259216 -aS'mg\tmg\tNN\tI-NP\tI-protein' -p259217 -aS'per\tper\tIN\tB-PP\tI-protein' -p259218 -aS'NG\tNG\tNN\tB-NP\tI-protein' -p259219 -aS'tube\ttube\tNN\tI-NP\tI-protein' -p259220 -aS'b.i.d.;\tb.i.d.;\tNN\tI-NP\tI-protein' -p259221 -aS'multivitamin\tmultivitamin\tNN\tI-NP\tI-protein' -p259222 -aS'10\t10\tCD\tI-NP\tI-protein' -p259223 -aS'ml\tml\tNN\tI-NP\tI-protein' -p259224 -aS'per\tper\tIN\tB-PP\tI-protein' -p259225 -aS'NG\tNG\tNN\tB-NP\tI-protein' -p259226 -aS'tube\ttube\tNN\tI-NP\tI-protein' -p259227 -aS'q.d.;\tq.d.;\tNN\tI-NP\tI-protein' -p259228 -aS'Macrodantin\tMacrodantin\tNN\tI-NP\tI-protein' -p259229 -aS'100\t100\tCD\tI-NP\tI-protein' -p259230 -aS'mg\tmg\tNN\tI-NP\tI-protein' -p259231 -aS'per\tper\tIN\tB-PP\tO' -p259232 -aS'NG\tNG\tNN\tB-NP\tO' -p259233 -aS'tube\ttube\tNN\tI-NP\tO' -p259234 -aS'q.i.d.\tq.i.d.\tNN\tI-NP\tO' -p259235 -aS'x\tx\tSYM\tB-NP\tO' -p259236 -aS'10\t10\tCD\tB-NP\tO' -p259237 -aS'days\tday\tNNS\tI-NP\tO' -p259238 -aS'beginning\tbegin\tVBG\tB-PP\tO' -p259239 -aS'on\ton\tIN\tB-PP\tO' -p259240 -aS'11/3/00\t11/3/00\tCD\tB-NP\tO' -p259241 -aS'.\t.\t.\tO\tO' -p259242 -asS'Explained to pt which of the meds he should no longer take that he was taking pre-admission .' -p259243 -(lp259244 -S'Explained\tExplain\tVBN\tB-VP\tO' -p259245 -aS'to\tto\tTO\tB-VP\tO' -p259246 -aS'pt\tpt\tVB\tI-VP\tO' -p259247 -aS'which\twhich\tWDT\tB-NP\tO' -p259248 -aS'of\tof\tIN\tB-PP\tO' -p259249 -aS'the\tthe\tDT\tB-NP\tO' -p259250 -aS'meds\tmed\tNNS\tI-NP\tO' -p259251 -aS'he\the\tPRP\tB-NP\tO' -p259252 -aS'should\tshould\tMD\tB-VP\tO' -p259253 -aS'no\tno\tRB\tI-VP\tO' -p259254 -aS'longer\tlonger\tRB\tI-VP\tO' -p259255 -aS'take\ttake\tVB\tI-VP\tO' -p259256 -aS'that\tthat\tIN\tB-SBAR\tO' -p259257 -aS'he\the\tPRP\tB-NP\tO' -p259258 -aS'was\tbe\tVBD\tB-VP\tO' -p259259 -aS'taking\ttake\tVBG\tI-VP\tO' -p259260 -aS'pre-admission\tpre-admission\tNN\tB-NP\tO' -p259261 -aS'.\t.\t.\tO\tO' -p259262 -asS'NECK : Supple .' -p259263 -(lp259264 -S'NECK\tNECK\tNN\tB-NP\tO' -p259265 -aS':\t:\t:\tO\tO' -p259266 -aS'Supple\tSupple\tNN\tB-NP\tO' -p259267 -aS'.\t.\t.\tO\tO' -p259268 -asS'Disp :* 60 Tablet Sustained Release ( s )* Refills :* 2 *' -p259269 -(lp259270 -S'Disp\tDisp\tNN\tB-NP\tO' -p259271 -aS':*\t:*\tSYM\tI-NP\tO' -p259272 -aS'60\t60\tCD\tI-NP\tO' -p259273 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p259274 -aS'Sustained\tSustained\tNNP\tI-NP\tO' -p259275 -aS'Release\tRelease\tNNP\tI-NP\tO' -p259276 -aS'(\t(\t(\tO\tO' -p259277 -aS's\ts\tNNS\tB-NP\tO' -p259278 -aS')*\t)*\tSYM\tO\tO' -p259279 -aS'Refills\tRefill\tNNPS\tB-NP\tO' -p259280 -aS':*\t:*\tSYM\tI-NP\tO' -p259281 -aS'2\t2\tCD\tI-NP\tO' -p259282 -aS'*\t*\tSYM\tB-NP\tO' -p259283 -asS'Tip of the left internal jugular line projects over the SVC .' -p259284 -(lp259285 -S'Tip\tTip\tNN\tB-NP\tB-protein' -p259286 -aS'of\tof\tIN\tB-PP\tO' -p259287 -aS'the\tthe\tDT\tB-NP\tO' -p259288 -aS'left\tleft\tJJ\tI-NP\tO' -p259289 -aS'internal\tinternal\tJJ\tI-NP\tO' -p259290 -aS'jugular\tjugular\tJJ\tI-NP\tO' -p259291 -aS'line\tline\tNN\tI-NP\tO' -p259292 -aS'projects\tproject\tNNS\tI-NP\tO' -p259293 -aS'over\tover\tIN\tB-PP\tO' -p259294 -aS'the\tthe\tDT\tB-NP\tO' -p259295 -aS'SVC\tSVC\tNN\tI-NP\tB-protein' -p259296 -aS'.\t.\t.\tO\tO' -p259297 -asS'These images were essentially unchanged compared with the previous Thallium images in May 1993 .' -p259298 -(lp259299 -S'These\tThese\tDT\tB-NP\tO' -p259300 -aS'images\timage\tNNS\tI-NP\tO' -p259301 -aS'were\tbe\tVBD\tB-VP\tO' -p259302 -aS'essentially\tessentially\tRB\tB-ADJP\tO' -p259303 -aS'unchanged\tunchanged\tJJ\tI-ADJP\tO' -p259304 -aS'compared\tcompare\tVBN\tB-PP\tO' -p259305 -aS'with\twith\tIN\tB-PP\tO' -p259306 -aS'the\tthe\tDT\tB-NP\tO' -p259307 -aS'previous\tprevious\tJJ\tI-NP\tO' -p259308 -aS'Thallium\tThallium\tNN\tI-NP\tO' -p259309 -aS'images\timage\tNNS\tI-NP\tO' -p259310 -aS'in\tin\tIN\tB-PP\tO' -p259311 -aS'May\tMay\tNNP\tB-NP\tO' -p259312 -aS'1993\t1993\tCD\tI-NP\tO' -p259313 -aS'.\t.\t.\tO\tO' -p259314 -asS'Dr. Manuel Burke , 1 Parkway , Fall River , New Mexico 57362 .' -p259315 -(lp259316 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p259317 -aS'Manuel\tManuel\tNNP\tI-NP\tO' -p259318 -aS'Burke\tBurke\tNNP\tI-NP\tO' -p259319 -aS',\t,\t,\tO\tO' -p259320 -aS'1\t1\tCD\tB-NP\tO' -p259321 -aS'Parkway\tParkway\tNNP\tI-NP\tO' -p259322 -aS',\t,\t,\tO\tO' -p259323 -aS'Fall\tFall\tNNP\tB-NP\tO' -p259324 -aS'River\tRiver\tNNP\tI-NP\tO' -p259325 -aS',\t,\t,\tO\tO' -p259326 -aS'New\tNew\tNNP\tB-NP\tO' -p259327 -aS'Mexico\tMexico\tNNP\tI-NP\tO' -p259328 -aS'57362\t57362\tCD\tI-NP\tO' -p259329 -aS'.\t.\t.\tO\tO' -p259330 -asS'Feedings breast milk or Enfamil 24 calories per ounce , breast milk mixed with 4 calories per ounce of Enfamil powder , minimum of 140 cc per kilogram per day po .' -p259331 -(lp259332 -S'Feedings\tFeeding\tNNS\tB-NP\tO' -p259333 -aS'breast\tbreast\tNN\tI-NP\tO' -p259334 -aS'milk\tmilk\tNN\tI-NP\tO' -p259335 -aS'or\tor\tCC\tO\tO' -p259336 -aS'Enfamil\tEnfamil\tNN\tB-NP\tO' -p259337 -aS'24\t24\tCD\tB-NP\tO' -p259338 -aS'calories\tcalorie\tNNS\tI-NP\tO' -p259339 -aS'per\tper\tIN\tB-PP\tO' -p259340 -aS'ounce\tounce\tNN\tB-NP\tO' -p259341 -aS',\t,\t,\tO\tO' -p259342 -aS'breast\tbreast\tNN\tB-NP\tO' -p259343 -aS'milk\tmilk\tNN\tI-NP\tO' -p259344 -aS'mixed\tmix\tVBN\tB-VP\tO' -p259345 -aS'with\twith\tIN\tB-PP\tO' -p259346 -aS'4\t4\tCD\tB-NP\tO' -p259347 -aS'calories\tcalorie\tNNS\tI-NP\tO' -p259348 -aS'per\tper\tIN\tB-PP\tO' -p259349 -aS'ounce\tounce\tNN\tB-NP\tO' -p259350 -aS'of\tof\tIN\tB-PP\tO' -p259351 -aS'Enfamil\tEnfamil\tNN\tB-NP\tO' -p259352 -aS'powder\tpowder\tNN\tI-NP\tO' -p259353 -aS',\t,\t,\tO\tO' -p259354 -aS'minimum\tminimum\tNN\tB-NP\tO' -p259355 -aS'of\tof\tIN\tB-PP\tO' -p259356 -aS'140\t140\tCD\tB-NP\tO' -p259357 -aS'cc\tcc\tNN\tI-NP\tO' -p259358 -aS'per\tper\tIN\tB-PP\tO' -p259359 -aS'kilogram\tkilogram\tNN\tB-NP\tO' -p259360 -aS'per\tper\tIN\tB-PP\tO' -p259361 -aS'day\tday\tNN\tB-NP\tO' -p259362 -aS'po\tpo\tNN\tI-NP\tO' -p259363 -aS'.\t.\t.\tO\tO' -p259364 -asS'We continued CMED CSRU gtt .' -p259365 -(lp259366 -S'We\tWe\tPRP\tB-NP\tO' -p259367 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p259368 -aS'CMED\tCMED\tVBN\tI-VP\tO' -p259369 -aS'CSRU\tCSRU\tNNP\tB-NP\tO' -p259370 -aS'gtt\tgtt\tNN\tI-NP\tO' -p259371 -aS'.\t.\t.\tO\tO' -p259372 -asS'Pulm : coarse breath sounds throughout' -p259373 -(lp259374 -S'Pulm\tPulm\tNN\tB-NP\tO' -p259375 -aS':\t:\t:\tO\tO' -p259376 -aS'coarse\tcoarse\tNN\tB-NP\tO' -p259377 -aS'breath\tbreath\tNN\tI-NP\tO' -p259378 -aS'sounds\tsound\tVBZ\tB-VP\tO' -p259379 -aS'throughout\tthroughout\tIN\tB-ADVP\tO' -p259380 -asS'She was transferred out of the Intensive Care Unit on postoperative day five and was stable on the floor for the next two days .' -p259381 -(lp259382 -S'She\tShe\tPRP\tB-NP\tO' -p259383 -aS'was\tbe\tVBD\tB-VP\tO' -p259384 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p259385 -aS'out\tout\tIN\tB-PP\tO' -p259386 -aS'of\tof\tIN\tB-PP\tO' -p259387 -aS'the\tthe\tDT\tB-NP\tO' -p259388 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p259389 -aS'Care\tCare\tNNP\tI-NP\tO' -p259390 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p259391 -aS'on\ton\tIN\tB-PP\tO' -p259392 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p259393 -aS'day\tday\tNN\tI-NP\tO' -p259394 -aS'five\tfive\tCD\tI-NP\tO' -p259395 -aS'and\tand\tCC\tO\tO' -p259396 -aS'was\tbe\tVBD\tB-VP\tO' -p259397 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p259398 -aS'on\ton\tIN\tB-PP\tO' -p259399 -aS'the\tthe\tDT\tB-NP\tO' -p259400 -aS'floor\tfloor\tNN\tI-NP\tO' -p259401 -aS'for\tfor\tIN\tB-PP\tO' -p259402 -aS'the\tthe\tDT\tB-NP\tO' -p259403 -aS'next\tnext\tJJ\tI-NP\tO' -p259404 -aS'two\ttwo\tCD\tI-NP\tO' -p259405 -aS'days\tday\tNNS\tI-NP\tO' -p259406 -aS'.\t.\t.\tO\tO' -p259407 -asS'This can be followed as an outpatient .' -p259408 -(lp259409 -S'This\tThis\tDT\tB-NP\tO' -p259410 -aS'can\tcan\tMD\tB-VP\tO' -p259411 -aS'be\tbe\tVB\tI-VP\tO' -p259412 -aS'followed\tfollow\tVBN\tI-VP\tO' -p259413 -aS'as\tas\tIN\tB-PP\tO' -p259414 -aS'an\tan\tDT\tB-NP\tO' -p259415 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p259416 -aS'.\t.\t.\tO\tO' -p259417 -asS'2. Vague right lower lobe opacity most likely represents pulmonary edema though if opacity persistent after diuresis , aspiration and pneumonia will become considerations .' -p259418 -(lp259419 -S'2.\t2.\tLS\tB-LST\tO' -p259420 -aS'Vague\tVague\tNNP\tB-NP\tO' -p259421 -aS'right\tright\tRB\tB-NP\tO' -p259422 -aS'lower\tlow\tJJR\tI-NP\tO' -p259423 -aS'lobe\tlobe\tNN\tI-NP\tO' -p259424 -aS'opacity\topacity\tNN\tI-NP\tO' -p259425 -aS'most\tmost\tRBS\tB-ADVP\tO' -p259426 -aS'likely\tlikely\tRB\tI-ADVP\tO' -p259427 -aS'represents\trepresent\tVBZ\tB-VP\tO' -p259428 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p259429 -aS'edema\tedema\tNN\tI-NP\tO' -p259430 -aS'though\tthough\tIN\tB-SBAR\tO' -p259431 -aS'if\tif\tIN\tB-SBAR\tO' -p259432 -aS'opacity\topacity\tNN\tB-NP\tO' -p259433 -aS'persistent\tpersistent\tJJ\tB-ADJP\tO' -p259434 -aS'after\tafter\tIN\tB-PP\tO' -p259435 -aS'diuresis\tdiuresis\tNN\tB-NP\tO' -p259436 -aS',\t,\t,\tI-NP\tO' -p259437 -aS'aspiration\taspiration\tNN\tI-NP\tO' -p259438 -aS'and\tand\tCC\tI-NP\tO' -p259439 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p259440 -aS'will\twill\tMD\tB-VP\tO' -p259441 -aS'become\tbecome\tVB\tI-VP\tO' -p259442 -aS'considerations\tconsideration\tNNS\tB-NP\tO' -p259443 -aS'.\t.\t.\tO\tO' -p259444 -asS'The rest of the dictation is to follow .' -p259445 -(lp259446 -S'The\tThe\tDT\tB-NP\tO' -p259447 -aS'rest\trest\tNN\tI-NP\tO' -p259448 -aS'of\tof\tIN\tB-PP\tO' -p259449 -aS'the\tthe\tDT\tB-NP\tO' -p259450 -aS'dictation\tdictation\tNN\tI-NP\tO' -p259451 -aS'is\tbe\tVBZ\tB-VP\tO' -p259452 -aS'to\tto\tTO\tB-VP\tO' -p259453 -aS'follow\tfollow\tVB\tI-VP\tO' -p259454 -aS'.\t.\t.\tO\tO' -p259455 -asS'Return to ED or call PCP if symptoms worsen or if fever with headache .' -p259456 -(lp259457 -S'Return\tReturn\tNN\tB-NP\tO' -p259458 -aS'to\tto\tTO\tB-PP\tO' -p259459 -aS'ED\tED\tNN\tB-NP\tO' -p259460 -aS'or\tor\tCC\tI-NP\tO' -p259461 -aS'call\tcall\tNN\tI-NP\tO' -p259462 -aS'PCP\tPCP\tNN\tI-NP\tO' -p259463 -aS'if\tif\tIN\tB-SBAR\tO' -p259464 -aS'symptoms\tsymptom\tNNS\tB-NP\tO' -p259465 -aS'worsen\tworsen\tVBN\tB-VP\tO' -p259466 -aS'or\tor\tCC\tO\tO' -p259467 -aS'if\tif\tIN\tB-SBAR\tO' -p259468 -aS'fever\tfever\tNN\tB-NP\tO' -p259469 -aS'with\twith\tIN\tB-PP\tO' -p259470 -aS'headache\theadache\tNN\tB-NP\tO' -p259471 -aS'.\t.\t.\tO\tO' -p259472 -asS'# Access - R IJ changed sterilly over wire 05-01' -p259473 -(lp259474 -S'#\t#\t#\tB-NP\tO' -p259475 -aS'Access\tAccess\tNN\tI-NP\tO' -p259476 -aS'-\t-\tHYPH\tB-NP\tO' -p259477 -aS'R\tR\tNN\tI-NP\tB-protein' -p259478 -aS'IJ\tIJ\tNN\tI-NP\tI-protein' -p259479 -aS'changed\tchange\tVBD\tB-VP\tO' -p259480 -aS'sterilly\tsterilly\tRB\tB-ADVP\tO' -p259481 -aS'over\tover\tIN\tB-PP\tO' -p259482 -aS'wire\twire\tNN\tB-NP\tO' -p259483 -aS'05-01\t05-01\tCD\tI-NP\tO' -p259484 -asS'Physical Exam : see dc summary' -p259485 -(lp259486 -S'Physical\tPhysical\tNNP\tB-NP\tO' -p259487 -aS'Exam\tExam\tNNP\tI-NP\tO' -p259488 -aS':\t:\t:\tO\tO' -p259489 -aS'see\tsee\tVB\tB-VP\tO' -p259490 -aS'dc\tdc\tNN\tB-NP\tO' -p259491 -aS'summary\tsummary\tNN\tI-NP\tO' -p259492 -asS'This is to notify you that your patient , FALMDREPSGREND , LINE arrived in the Emergency Department at Ph University Of Medical Center on 04/16/2001 03:46 PM .' -p259493 -(lp259494 -S'This\tThis\tDT\tB-NP\tO' -p259495 -aS'is\tbe\tVBZ\tB-VP\tO' -p259496 -aS'to\tto\tTO\tB-VP\tO' -p259497 -aS'notify\tnotify\tVB\tI-VP\tO' -p259498 -aS'you\tyou\tPRP\tB-NP\tO' -p259499 -aS'that\tthat\tIN\tB-SBAR\tO' -p259500 -aS'your\tyour\tPRP$\tB-NP\tO' -p259501 -aS'patient\tpatient\tNN\tI-NP\tO' -p259502 -aS',\t,\t,\tO\tO' -p259503 -aS'FALMDREPSGREND\tFALMDREPSGREND\tNN\tB-NP\tO' -p259504 -aS',\t,\t,\tO\tO' -p259505 -aS'LINE\tLINE\tNNP\tB-NP\tO' -p259506 -aS'arrived\tarrive\tVBD\tB-VP\tO' -p259507 -aS'in\tin\tIN\tB-PP\tO' -p259508 -aS'the\tthe\tDT\tB-NP\tO' -p259509 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p259510 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p259511 -aS'at\tat\tIN\tB-PP\tO' -p259512 -aS'Ph\tPh\tNNP\tB-NP\tO' -p259513 -aS'University\tUniversity\tNNP\tI-NP\tO' -p259514 -aS'Of\tOf\tNNP\tI-NP\tO' -p259515 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p259516 -aS'Center\tCenter\tNNP\tI-NP\tO' -p259517 -aS'on\ton\tIN\tB-PP\tO' -p259518 -aS'04/16/2001\t04/16/2001\tCD\tB-NP\tO' -p259519 -aS'03:46\t03:46\tCD\tI-NP\tO' -p259520 -aS'PM\tPM\tNN\tI-NP\tO' -p259521 -aS'.\t.\t.\tO\tO' -p259522 -asS'This waxed and waned for thirty to sixty minutes , and he took a number of nitroglycerins .' -p259523 -(lp259524 -S'This\tThis\tDT\tB-NP\tO' -p259525 -aS'waxed\twax\tVBD\tB-VP\tO' -p259526 -aS'and\tand\tCC\tO\tO' -p259527 -aS'waned\twan\tVBD\tB-VP\tO' -p259528 -aS'for\tfor\tIN\tB-PP\tO' -p259529 -aS'thirty\tthirty\tCD\tB-NP\tO' -p259530 -aS'to\tto\tTO\tI-NP\tO' -p259531 -aS'sixty\tsixty\tCD\tI-NP\tO' -p259532 -aS'minutes\tminute\tNNS\tI-NP\tO' -p259533 -aS',\t,\t,\tO\tO' -p259534 -aS'and\tand\tCC\tO\tO' -p259535 -aS'he\the\tPRP\tB-NP\tO' -p259536 -aS'took\ttake\tVBD\tB-VP\tO' -p259537 -aS'a\ta\tDT\tB-NP\tO' -p259538 -aS'number\tnumber\tNN\tI-NP\tO' -p259539 -aS'of\tof\tIN\tB-PP\tO' -p259540 -aS'nitroglycerins\tnitroglycerin\tNNS\tB-NP\tB-protein' -p259541 -aS'.\t.\t.\tO\tO' -p259542 -asS'Wall thickness and cavity dimensions were obtained from 2D images .' -p259543 -(lp259544 -S'Wall\tWall\tJJ\tB-NP\tO' -p259545 -aS'thickness\tthickness\tNN\tI-NP\tO' -p259546 -aS'and\tand\tCC\tI-NP\tO' -p259547 -aS'cavity\tcavity\tNN\tI-NP\tO' -p259548 -aS'dimensions\tdimension\tNNS\tI-NP\tO' -p259549 -aS'were\tbe\tVBD\tB-VP\tO' -p259550 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p259551 -aS'from\tfrom\tIN\tB-PP\tO' -p259552 -aS'2D\t2D\tNN\tB-NP\tO' -p259553 -aS'images\timage\tNNS\tI-NP\tO' -p259554 -aS'.\t.\t.\tO\tO' -p259555 -asS'Alleyne bilirubin on 2018-05-09 was 10.4 ; at which time he was discharged to home .' -p259556 -(lp259557 -S'Alleyne\tAlleyne\tNN\tB-NP\tO' -p259558 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p259559 -aS'on\ton\tIN\tB-PP\tO' -p259560 -aS'2018-05-09\t2018-05-09\tCD\tB-NP\tO' -p259561 -aS'was\tbe\tVBD\tB-VP\tO' -p259562 -aS'10.4\t10.4\tCD\tB-NP\tO' -p259563 -aS';\t;\t:\tO\tO' -p259564 -aS'at\tat\tIN\tB-PP\tO' -p259565 -aS'which\twhich\tWDT\tB-NP\tO' -p259566 -aS'time\ttime\tNN\tI-NP\tO' -p259567 -aS'he\the\tPRP\tB-NP\tO' -p259568 -aS'was\tbe\tVBD\tB-VP\tO' -p259569 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p259570 -aS'to\tto\tTO\tB-PP\tO' -p259571 -aS'home\thome\tNN\tB-NP\tO' -p259572 -aS'.\t.\t.\tO\tO' -p259573 -asS'The patient was evaluated by Cardiology .' -p259574 -(lp259575 -S'The\tThe\tDT\tB-NP\tO' -p259576 -aS'patient\tpatient\tNN\tI-NP\tO' -p259577 -aS'was\tbe\tVBD\tB-VP\tO' -p259578 -aS'evaluated\tevaluate\tVBN\tI-VP\tO' -p259579 -aS'by\tby\tIN\tB-PP\tO' -p259580 -aS'Cardiology\tCardiology\tNNP\tB-NP\tO' -p259581 -aS'.\t.\t.\tO\tO' -p259582 -asS'He denied any other drug use .' -p259583 -(lp259584 -S'He\tHe\tPRP\tB-NP\tO' -p259585 -aS'denied\tdeny\tVBD\tB-VP\tO' -p259586 -aS'any\tany\tDT\tB-NP\tO' -p259587 -aS'other\tother\tJJ\tI-NP\tO' -p259588 -aS'drug\tdrug\tNN\tI-NP\tO' -p259589 -aS'use\tuse\tNN\tI-NP\tO' -p259590 -aS'.\t.\t.\tO\tO' -p259591 -asS'Please stay on top of the sliding scale so that the patient can keep a euglycemic level .' -p259592 -(lp259593 -S'Please\tPlease\tVB\tB-VP\tO' -p259594 -aS'stay\tstay\tVB\tI-VP\tO' -p259595 -aS'on\ton\tIN\tB-PP\tO' -p259596 -aS'top\ttop\tNN\tB-NP\tO' -p259597 -aS'of\tof\tIN\tB-PP\tO' -p259598 -aS'the\tthe\tDT\tB-NP\tO' -p259599 -aS'sliding\tslide\tVBG\tI-NP\tO' -p259600 -aS'scale\tscale\tNN\tI-NP\tO' -p259601 -aS'so\tso\tIN\tB-SBAR\tO' -p259602 -aS'that\tthat\tIN\tI-SBAR\tO' -p259603 -aS'the\tthe\tDT\tB-NP\tO' -p259604 -aS'patient\tpatient\tNN\tI-NP\tO' -p259605 -aS'can\tcan\tMD\tB-VP\tO' -p259606 -aS'keep\tkeep\tVB\tI-VP\tO' -p259607 -aS'a\ta\tDT\tB-NP\tO' -p259608 -aS'euglycemic\teuglycemic\tJJ\tI-NP\tO' -p259609 -aS'level\tlevel\tNN\tI-NP\tO' -p259610 -aS'.\t.\t.\tO\tO' -p259611 -asS'Rheumatology recommended a taper of his prednisone to 20 mg q.d. and the patient will be followed by the rheumatology service .' -p259612 -(lp259613 -S'Rheumatology\tRheumatology\tNN\tB-NP\tO' -p259614 -aS'recommended\trecommend\tVBD\tB-VP\tO' -p259615 -aS'a\ta\tDT\tB-NP\tO' -p259616 -aS'taper\ttaper\tNN\tI-NP\tO' -p259617 -aS'of\tof\tIN\tB-PP\tO' -p259618 -aS'his\this\tPRP$\tB-NP\tO' -p259619 -aS'prednisone\tprednisone\tNN\tI-NP\tO' -p259620 -aS'to\tto\tTO\tB-PP\tO' -p259621 -aS'20\t20\tCD\tB-NP\tO' -p259622 -aS'mg\tmg\tNN\tI-NP\tO' -p259623 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p259624 -aS'and\tand\tCC\tO\tO' -p259625 -aS'the\tthe\tDT\tB-NP\tO' -p259626 -aS'patient\tpatient\tNN\tI-NP\tO' -p259627 -aS'will\twill\tMD\tB-VP\tO' -p259628 -aS'be\tbe\tVB\tI-VP\tO' -p259629 -aS'followed\tfollow\tVBN\tI-VP\tO' -p259630 -aS'by\tby\tIN\tB-PP\tO' -p259631 -aS'the\tthe\tDT\tB-NP\tO' -p259632 -aS'rheumatology\trheumatology\tNN\tI-NP\tO' -p259633 -aS'service\tservice\tNN\tI-NP\tO' -p259634 -aS'.\t.\t.\tO\tO' -p259635 -asS'Vancomycin and Zosyn were started .' -p259636 -(lp259637 -S'Vancomycin\tVancomycin\tNN\tB-NP\tO' -p259638 -aS'and\tand\tCC\tI-NP\tO' -p259639 -aS'Zosyn\tZosyn\tNN\tI-NP\tO' -p259640 -aS'were\tbe\tVBD\tB-VP\tO' -p259641 -aS'started\tstart\tVBN\tI-VP\tO' -p259642 -aS'.\t.\t.\tO\tO' -p259643 -asS'She was given 200 mg IV lasix X 1 with an additional 100 cc of urine output the evening of 5/16 .' -p259644 -(lp259645 -S'She\tShe\tPRP\tB-NP\tO' -p259646 -aS'was\tbe\tVBD\tB-VP\tO' -p259647 -aS'given\tgive\tVBN\tI-VP\tO' -p259648 -aS'200\t200\tCD\tB-NP\tO' -p259649 -aS'mg\tmg\tNN\tI-NP\tO' -p259650 -aS'IV\tIV\tCD\tB-NP\tO' -p259651 -aS'lasix\tlasix\tCD\tI-NP\tO' -p259652 -aS'X\tX\tSYM\tB-NP\tO' -p259653 -aS'1\t1\tCD\tI-NP\tO' -p259654 -aS'with\twith\tIN\tB-PP\tO' -p259655 -aS'an\tan\tDT\tB-NP\tO' -p259656 -aS'additional\tadditional\tJJ\tI-NP\tO' -p259657 -aS'100\t100\tCD\tI-NP\tO' -p259658 -aS'cc\tcc\tNN\tI-NP\tO' -p259659 -aS'of\tof\tIN\tB-PP\tO' -p259660 -aS'urine\turine\tNN\tB-NP\tO' -p259661 -aS'output\toutput\tNN\tI-NP\tO' -p259662 -aS'the\tthe\tDT\tB-NP\tO' -p259663 -aS'evening\tevening\tNN\tI-NP\tO' -p259664 -aS'of\tof\tIN\tB-PP\tO' -p259665 -aS'5/16\t5/16\tCD\tB-NP\tO' -p259666 -aS'.\t.\t.\tO\tO' -p259667 -asS'Recent CT scan showed no significant lymphadenopathy .' -p259668 -(lp259669 -S'Recent\tRecent\tJJ\tB-NP\tO' -p259670 -aS'CT\tCT\tNN\tI-NP\tO' -p259671 -aS'scan\tscan\tNN\tI-NP\tO' -p259672 -aS'showed\tshow\tVBD\tB-VP\tO' -p259673 -aS'no\tno\tDT\tB-NP\tO' -p259674 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p259675 -aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' -p259676 -aS'.\t.\t.\tO\tO' -p259677 -asS'His oxygen requirement decreased , and his overall status improved quickly .' -p259678 -(lp259679 -S'His\tHis\tPRP$\tB-NP\tO' -p259680 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p259681 -aS'requirement\trequirement\tNN\tI-NP\tO' -p259682 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p259683 -aS',\t,\t,\tO\tO' -p259684 -aS'and\tand\tCC\tO\tO' -p259685 -aS'his\this\tPRP$\tB-NP\tO' -p259686 -aS'overall\toverall\tJJ\tI-NP\tO' -p259687 -aS'status\tstatus\tNN\tI-NP\tO' -p259688 -aS'improved\timprove\tVBD\tB-VP\tO' -p259689 -aS'quickly\tquickly\tRB\tB-ADVP\tO' -p259690 -aS'.\t.\t.\tO\tO' -p259691 -asS'The NG tube was D/C'd on postoperative day #2 .' -p259692 -(lp259693 -S'The\tThe\tDT\tB-NP\tO' -p259694 -aS'NG\tNG\tNN\tI-NP\tO' -p259695 -aS'tube\ttube\tNN\tI-NP\tO' -p259696 -aS'was\tbe\tVBD\tB-VP\tO' -p259697 -aS'D/C'd\tD/C'd\tNN\tB-NP\tO' -p259698 -aS'on\ton\tIN\tB-PP\tO' -p259699 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p259700 -aS'day\tday\tNN\tI-NP\tO' -p259701 -aS'#2\t#2\tNN\tI-NP\tO' -p259702 -aS'.\t.\t.\tO\tO' -p259703 -asS'She also has a history of lactose intolerance , peptic ulcer disease , with a remote gastrointestinal bleed and multiple ectopic pregnancies and mid term miscarriages .' -p259704 -(lp259705 -S'She\tShe\tPRP\tB-NP\tO' -p259706 -aS'also\talso\tRB\tB-ADVP\tO' -p259707 -aS'has\thave\tVBZ\tB-VP\tO' -p259708 -aS'a\ta\tDT\tB-NP\tO' -p259709 -aS'history\thistory\tNN\tI-NP\tO' -p259710 -aS'of\tof\tIN\tB-PP\tO' -p259711 -aS'lactose\tlactose\tNN\tB-NP\tO' -p259712 -aS'intolerance\tintolerance\tNN\tI-NP\tO' -p259713 -aS',\t,\t,\tO\tO' -p259714 -aS'peptic\tpeptic\tJJ\tB-NP\tO' -p259715 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p259716 -aS'disease\tdisease\tNN\tI-NP\tO' -p259717 -aS',\t,\t,\tO\tO' -p259718 -aS'with\twith\tIN\tB-PP\tO' -p259719 -aS'a\ta\tDT\tB-NP\tO' -p259720 -aS'remote\tremote\tJJ\tI-NP\tO' -p259721 -aS'gastrointestinal\tgastrointestinal\tJJ\tI-NP\tO' -p259722 -aS'bleed\tbleed\tNN\tI-NP\tO' -p259723 -aS'and\tand\tCC\tO\tO' -p259724 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p259725 -aS'ectopic\tectopic\tJJ\tI-NP\tO' -p259726 -aS'pregnancies\tpregnancy\tNNS\tI-NP\tO' -p259727 -aS'and\tand\tCC\tO\tO' -p259728 -aS'mid\tmid\tJJ\tB-NP\tO' -p259729 -aS'term\tterm\tNN\tI-NP\tO' -p259730 -aS'miscarriages\tmiscarriage\tNNS\tI-NP\tO' -p259731 -aS'.\t.\t.\tO\tO' -p259732 -asS'Selective coronary angiography showed an occluded right coronary artery in its midportion .' -p259733 -(lp259734 -S'Selective\tSelective\tJJ\tB-NP\tO' -p259735 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p259736 -aS'angiography\tangiography\tNN\tI-NP\tO' -p259737 -aS'showed\tshow\tVBD\tB-VP\tO' -p259738 -aS'an\tan\tDT\tB-NP\tO' -p259739 -aS'occluded\tocclude\tVBN\tI-NP\tO' -p259740 -aS'right\tright\tJJ\tI-NP\tO' -p259741 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p259742 -aS'artery\tartery\tNN\tI-NP\tO' -p259743 -aS'in\tin\tIN\tB-PP\tO' -p259744 -aS'its\tits\tPRP$\tB-NP\tO' -p259745 -aS'midportion\tmidportion\tNN\tI-NP\tO' -p259746 -aS'.\t.\t.\tO\tO' -p259747 -asS'region nodularity , which is identified previously by endoscopic retrograde cholangiopancreatography , and regional lymph nodes were all sent to pathology .' -p259748 -(lp259749 -S'region\tregion\tNN\tB-NP\tO' -p259750 -aS'nodularity\tnodularity\tNN\tI-NP\tO' -p259751 -aS',\t,\t,\tO\tO' -p259752 -aS'which\twhich\tWDT\tB-NP\tO' -p259753 -aS'is\tbe\tVBZ\tB-VP\tO' -p259754 -aS'identified\tidentify\tVBN\tI-VP\tO' -p259755 -aS'previously\tpreviously\tRB\tB-ADVP\tO' -p259756 -aS'by\tby\tIN\tB-PP\tO' -p259757 -aS'endoscopic\tendoscopic\tJJ\tB-NP\tO' -p259758 -aS'retrograde\tretrograde\tJJ\tI-NP\tO' -p259759 -aS'cholangiopancreatography\tcholangiopancreatography\tNN\tI-NP\tO' -p259760 -aS',\t,\t,\tO\tO' -p259761 -aS'and\tand\tCC\tO\tO' -p259762 -aS'regional\tregional\tJJ\tB-NP\tO' -p259763 -aS'lymph\tlymph\tNN\tI-NP\tO' -p259764 -aS'nodes\tnode\tNNS\tI-NP\tO' -p259765 -aS'were\tbe\tVBD\tB-VP\tO' -p259766 -aS'all\tall\tDT\tO\tO' -p259767 -aS'sent\tsend\tVBN\tB-VP\tO' -p259768 -aS'to\tto\tTO\tB-PP\tO' -p259769 -aS'pathology\tpathology\tNN\tB-NP\tO' -p259770 -aS'.\t.\t.\tO\tO' -p259771 -asS'Dictated By : Sherry G Christie , M.D.' -p259772 -(lp259773 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p259774 -aS'By\tBy\tIN\tB-PP\tO' -p259775 -aS':\t:\t:\tO\tO' -p259776 -aS'Sherry\tSherry\tNNP\tB-NP\tO' -p259777 -aS'G\tG\tNNP\tI-NP\tO' -p259778 -aS'Christie\tChristie\tNNP\tI-NP\tO' -p259779 -aS',\t,\t,\tO\tO' -p259780 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p259781 -asS'Regular rate and rhythm , S1 and S2 with no murmurs , rubs or gallops .' -p259782 -(lp259783 -S'Regular\tRegular\tJJ\tB-NP\tO' -p259784 -aS'rate\trate\tNN\tI-NP\tO' -p259785 -aS'and\tand\tCC\tO\tO' -p259786 -aS'rhythm\trhythm\tNN\tB-NP\tO' -p259787 -aS',\t,\t,\tO\tO' -p259788 -aS'S1\tS1\tNN\tB-NP\tB-protein' -p259789 -aS'and\tand\tCC\tO\tO' -p259790 -aS'S2\tS2\tNN\tB-NP\tB-protein' -p259791 -aS'with\twith\tIN\tB-PP\tO' -p259792 -aS'no\tno\tDT\tB-NP\tO' -p259793 -aS'murmurs\tmurmur\tNNS\tI-NP\tO' -p259794 -aS',\t,\t,\tI-NP\tO' -p259795 -aS'rubs\trub\tNNS\tI-NP\tO' -p259796 -aS'or\tor\tCC\tI-NP\tO' -p259797 -aS'gallops\tgallop\tNNS\tI-NP\tO' -p259798 -aS'.\t.\t.\tO\tO' -p259799 -asS'He lives with his wife who has a baby with another boyfriend of two years .' -p259800 -(lp259801 -S'He\tHe\tPRP\tB-NP\tO' -p259802 -aS'lives\tlive\tVBZ\tB-VP\tO' -p259803 -aS'with\twith\tIN\tB-PP\tO' -p259804 -aS'his\this\tPRP$\tB-NP\tO' -p259805 -aS'wife\twife\tNN\tI-NP\tO' -p259806 -aS'who\twho\tWP\tB-NP\tO' -p259807 -aS'has\thave\tVBZ\tB-VP\tO' -p259808 -aS'a\ta\tDT\tB-NP\tO' -p259809 -aS'baby\tbaby\tNN\tI-NP\tO' -p259810 -aS'with\twith\tIN\tB-PP\tO' -p259811 -aS'another\tanother\tDT\tB-NP\tO' -p259812 -aS'boyfriend\tboyfriend\tNN\tI-NP\tO' -p259813 -aS'of\tof\tIN\tB-PP\tO' -p259814 -aS'two\ttwo\tCD\tB-NP\tO' -p259815 -aS'years\tyear\tNNS\tI-NP\tO' -p259816 -aS'.\t.\t.\tO\tO' -p259817 -asS'carduac enzymes mildly elevated , felt 02-08 demand ischemia in setting of hypertensive urgency , CK and MB trended Mcewen at time of admission to medical floor .' -p259818 -(lp259819 -S'carduac\tcarduac\tNN\tB-NP\tB-protein' -p259820 -aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' -p259821 -aS'mildly\tmildly\tRB\tB-VP\tO' -p259822 -aS'elevated\televate\tVBN\tI-VP\tO' -p259823 -aS',\t,\t,\tO\tO' -p259824 -aS'felt\tfeel\tVBD\tB-VP\tO' -p259825 -aS'02-08\t02-08\tJJ\tB-NP\tO' -p259826 -aS'demand\tdemand\tNN\tI-NP\tO' -p259827 -aS'ischemia\tischemia\tNN\tI-NP\tO' -p259828 -aS'in\tin\tIN\tB-PP\tO' -p259829 -aS'setting\tsetting\tNN\tB-NP\tO' -p259830 -aS'of\tof\tIN\tB-PP\tO' -p259831 -aS'hypertensive\thypertensive\tJJ\tB-NP\tO' -p259832 -aS'urgency\turgency\tNN\tI-NP\tO' -p259833 -aS',\t,\t,\tI-NP\tO' -p259834 -aS'CK\tCK\tNN\tI-NP\tB-protein' -p259835 -aS'and\tand\tCC\tI-NP\tO' -p259836 -aS'MB\tMB\tNN\tI-NP\tB-protein' -p259837 -aS'trended\ttrend\tVBD\tB-VP\tO' -p259838 -aS'Mcewen\tMcewen\tNNP\tB-NP\tO' -p259839 -aS'at\tat\tIN\tB-PP\tO' -p259840 -aS'time\ttime\tNN\tB-NP\tO' -p259841 -aS'of\tof\tIN\tB-PP\tO' -p259842 -aS'admission\tadmission\tNN\tB-NP\tO' -p259843 -aS'to\tto\tTO\tB-PP\tO' -p259844 -aS'medical\tmedical\tJJ\tB-NP\tO' -p259845 -aS'floor\tfloor\tNN\tI-NP\tO' -p259846 -aS'.\t.\t.\tO\tO' -p259847 -asS'He had been started on Heparin from the time of his admission .' -p259848 -(lp259849 -S'He\tHe\tPRP\tB-NP\tO' -p259850 -aS'had\thave\tVBD\tB-VP\tO' -p259851 -aS'been\tbe\tVBN\tI-VP\tO' -p259852 -aS'started\tstart\tVBN\tI-VP\tO' -p259853 -aS'on\ton\tIN\tB-PP\tO' -p259854 -aS'Heparin\tHeparin\tNN\tB-NP\tO' -p259855 -aS'from\tfrom\tIN\tB-PP\tO' -p259856 -aS'the\tthe\tDT\tB-NP\tO' -p259857 -aS'time\ttime\tNN\tI-NP\tO' -p259858 -aS'of\tof\tIN\tB-PP\tO' -p259859 -aS'his\this\tPRP$\tB-NP\tO' -p259860 -aS'admission\tadmission\tNN\tI-NP\tO' -p259861 -aS'.\t.\t.\tO\tO' -p259862 -asS'Urine cx from Rehab showed gram negative rods > 100 K enterobacter cloacae .' -p259863 -(lp259864 -S'Urine\tUrine\tNN\tB-NP\tO' -p259865 -aS'cx\tcx\tNN\tI-NP\tO' -p259866 -aS'from\tfrom\tIN\tB-PP\tO' -p259867 -aS'Rehab\tRehab\tNN\tB-NP\tO' -p259868 -aS'showed\tshow\tVBD\tB-VP\tO' -p259869 -aS'gram\tgram\tNN\tB-NP\tO' -p259870 -aS'negative\tnegative\tJJ\tI-NP\tO' -p259871 -aS'rods\trod\tNNS\tI-NP\tO' -p259872 -aS'>\t>\tSYM\tO\tO' -p259873 -aS'100\t100\tCD\tB-NP\tO' -p259874 -aS'K\tK\tNN\tI-NP\tO' -p259875 -aS'enterobacter\tenterobacter\tNN\tI-NP\tO' -p259876 -aS'cloacae\tcloaca\tNNS\tI-NP\tO' -p259877 -aS'.\t.\t.\tO\tO' -p259878 -asS'Supple neck .' -p259879 -(lp259880 -S'Supple\tSupple\tNN\tB-NP\tO' -p259881 -aS'neck\tneck\tNN\tI-NP\tO' -p259882 -aS'.\t.\t.\tO\tO' -p259883 -asS'Review of systems were notable for lower extremity edema which worsened in May .' -p259884 -(lp259885 -S'Review\tReview\tNN\tB-NP\tO' -p259886 -aS'of\tof\tIN\tB-PP\tO' -p259887 -aS'systems\tsystem\tNNS\tB-NP\tO' -p259888 -aS'were\tbe\tVBD\tB-VP\tO' -p259889 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p259890 -aS'for\tfor\tIN\tB-PP\tO' -p259891 -aS'lower\tlow\tJJR\tB-NP\tO' -p259892 -aS'extremity\textremity\tNN\tI-NP\tO' -p259893 -aS'edema\tedema\tNN\tI-NP\tO' -p259894 -aS'which\twhich\tWDT\tB-NP\tO' -p259895 -aS'worsened\tworsen\tVBD\tB-VP\tO' -p259896 -aS'in\tin\tIN\tB-PP\tO' -p259897 -aS'May\tMay\tNNP\tB-NP\tO' -p259898 -aS'.\t.\t.\tO\tO' -p259899 -asS'The patient was married and denied any tobacco or alcohol use .' -p259900 -(lp259901 -S'The\tThe\tDT\tB-NP\tO' -p259902 -aS'patient\tpatient\tNN\tI-NP\tO' -p259903 -aS'was\tbe\tVBD\tB-VP\tO' -p259904 -aS'married\tmarry\tVBN\tI-VP\tO' -p259905 -aS'and\tand\tCC\tO\tO' -p259906 -aS'denied\tdeny\tVBD\tB-VP\tO' -p259907 -aS'any\tany\tDT\tB-NP\tO' -p259908 -aS'tobacco\ttobacco\tNN\tI-NP\tO' -p259909 -aS'or\tor\tCC\tI-NP\tO' -p259910 -aS'alcohol\talcohol\tNN\tI-NP\tO' -p259911 -aS'use\tuse\tNN\tI-NP\tO' -p259912 -aS'.\t.\t.\tO\tO' -p259913 -asS'Please call White , Leslie L. at ( 602 ) 743 8709 to schedule an appointment with him in 1 week .' -p259914 -(lp259915 -S'Please\tPlease\tNNP\tB-NP\tO' -p259916 -aS'call\tcall\tMD\tB-VP\tO' -p259917 -aS'White\tWhite\tNNP\tB-NP\tO' -p259918 -aS',\t,\t,\tO\tO' -p259919 -aS'Leslie\tLeslie\tNNP\tB-NP\tO' -p259920 -aS'L.\tL.\tNNP\tI-NP\tO' -p259921 -aS'at\tat\tIN\tB-PP\tO' -p259922 -aS'(\t(\t(\tO\tO' -p259923 -aS'602\t602\tCD\tB-NP\tO' -p259924 -aS')\t)\t)\tO\tO' -p259925 -aS'743\t743\tCD\tB-NP\tO' -p259926 -aS'8709\t8709\tCD\tI-NP\tO' -p259927 -aS'to\tto\tTO\tB-VP\tO' -p259928 -aS'schedule\tschedule\tVB\tI-VP\tO' -p259929 -aS'an\tan\tDT\tB-NP\tO' -p259930 -aS'appointment\tappointment\tNN\tI-NP\tO' -p259931 -aS'with\twith\tIN\tB-PP\tO' -p259932 -aS'him\thim\tPRP\tB-NP\tO' -p259933 -aS'in\tin\tIN\tB-PP\tO' -p259934 -aS'1\t1\tCD\tB-NP\tO' -p259935 -aS'week\tweek\tNN\tI-NP\tO' -p259936 -aS'.\t.\t.\tO\tO' -p259937 -asS'no known drug allergies , but has shellfish allergy , and question of an Iodine allergy .' -p259938 -(lp259939 -S'no\tno\tDT\tB-NP\tO' -p259940 -aS'known\tknow\tVBN\tI-NP\tO' -p259941 -aS'drug\tdrug\tNN\tI-NP\tO' -p259942 -aS'allergies\tallergy\tNNS\tI-NP\tO' -p259943 -aS',\t,\t,\tO\tO' -p259944 -aS'but\tbut\tCC\tO\tO' -p259945 -aS'has\thave\tVBZ\tB-VP\tO' -p259946 -aS'shellfish\tshellfish\tNN\tB-NP\tO' -p259947 -aS'allergy\tallergy\tNN\tI-NP\tO' -p259948 -aS',\t,\t,\tO\tO' -p259949 -aS'and\tand\tCC\tO\tO' -p259950 -aS'question\tquestion\tNN\tB-NP\tO' -p259951 -aS'of\tof\tIN\tB-PP\tO' -p259952 -aS'an\tan\tDT\tB-NP\tO' -p259953 -aS'Iodine\tIodine\tNN\tI-NP\tO' -p259954 -aS'allergy\tallergy\tNN\tI-NP\tO' -p259955 -aS'.\t.\t.\tO\tO' -p259956 -asS'She was moving all extremities and exhibiting good strength .' -p259957 -(lp259958 -S'She\tShe\tPRP\tB-NP\tO' -p259959 -aS'was\tbe\tVBD\tB-VP\tO' -p259960 -aS'moving\tmove\tVBG\tI-VP\tO' -p259961 -aS'all\tall\tDT\tB-NP\tO' -p259962 -aS'extremities\textremity\tNNS\tI-NP\tO' -p259963 -aS'and\tand\tCC\tO\tO' -p259964 -aS'exhibiting\texhibit\tVBG\tB-VP\tO' -p259965 -aS'good\tgood\tJJ\tB-NP\tO' -p259966 -aS'strength\tstrength\tNN\tI-NP\tO' -p259967 -aS'.\t.\t.\tO\tO' -p259968 -asS'Cardiology was consulted and aspirin and beta blocker added to his regimen , as well as chest wall nitroglycerin around the time of surgery , which was subsequently discontinued .' -p259969 -(lp259970 -S'Cardiology\tCardiology\tNN\tB-NP\tO' -p259971 -aS'was\tbe\tVBD\tB-VP\tO' -p259972 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p259973 -aS'and\tand\tCC\tO\tO' -p259974 -aS'aspirin\taspirin\tNN\tB-NP\tO' -p259975 -aS'and\tand\tCC\tO\tO' -p259976 -aS'beta\tbeta\tNN\tB-NP\tO' -p259977 -aS'blocker\tblocker\tNN\tI-NP\tO' -p259978 -aS'added\tadd\tVBN\tB-VP\tO' -p259979 -aS'to\tto\tTO\tB-PP\tO' -p259980 -aS'his\this\tPRP$\tB-NP\tO' -p259981 -aS'regimen\tregimen\tNN\tI-NP\tO' -p259982 -aS',\t,\t,\tO\tO' -p259983 -aS'as\tas\tRB\tB-CONJP\tO' -p259984 -aS'well\twell\tRB\tI-CONJP\tO' -p259985 -aS'as\tas\tIN\tI-CONJP\tO' -p259986 -aS'chest\tchest\tNN\tB-NP\tO' -p259987 -aS'wall\twall\tNN\tI-NP\tO' -p259988 -aS'nitroglycerin\tnitroglycerin\tNN\tI-NP\tO' -p259989 -aS'around\taround\tIN\tB-PP\tO' -p259990 -aS'the\tthe\tDT\tB-NP\tO' -p259991 -aS'time\ttime\tNN\tI-NP\tO' -p259992 -aS'of\tof\tIN\tB-PP\tO' -p259993 -aS'surgery\tsurgery\tNN\tB-NP\tO' -p259994 -aS',\t,\t,\tO\tO' -p259995 -aS'which\twhich\tWDT\tB-NP\tO' -p259996 -aS'was\tbe\tVBD\tB-VP\tO' -p259997 -aS'subsequently\tsubsequently\tRB\tI-VP\tO' -p259998 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p259999 -aS'.\t.\t.\tO\tO' -p260000 -asS'Pursuit was interrupted by >.....< when tracking from left to right .' -p260001 -(lp260002 -S'Pursuit\tPursuit\tNN\tB-NP\tO' -p260003 -aS'was\tbe\tVBD\tB-VP\tO' -p260004 -aS'interrupted\tinterrupt\tVBN\tI-VP\tO' -p260005 -aS'by\tby\tIN\tB-PP\tO' -p260006 -aS'>.....<\t>.....<\tSYM\tB-NP\tO' -p260007 -aS'when\twhen\tWRB\tB-ADVP\tO' -p260008 -aS'tracking\ttrack\tVBG\tB-VP\tO' -p260009 -aS'from\tfrom\tIN\tB-PP\tO' -p260010 -aS'left\tleave\tVBN\tB-VP\tO' -p260011 -aS'to\tto\tTO\tB-PP\tO' -p260012 -aS'right\tright\tJJ\tB-NP\tO' -p260013 -aS'.\t.\t.\tO\tO' -p260014 -asS'# h/o CAD - There were new changes on EKG but pt was ruled out with 3 sets of negative cardiac enzymes .' -p260015 -(lp260016 -S'#\t#\t#\tB-NP\tO' -p260017 -aS'h/o\th/o\tNN\tI-NP\tO' -p260018 -aS'CAD\tCAD\tNN\tI-NP\tO' -p260019 -aS'-\t-\tHYPH\tO\tO' -p260020 -aS'There\tThere\tEX\tB-NP\tO' -p260021 -aS'were\tbe\tVBD\tB-VP\tO' -p260022 -aS'new\tnew\tJJ\tB-NP\tO' -p260023 -aS'changes\tchange\tNNS\tI-NP\tO' -p260024 -aS'on\ton\tIN\tB-PP\tO' -p260025 -aS'EKG\tEKG\tNN\tB-NP\tB-protein' -p260026 -aS'but\tbut\tCC\tO\tO' -p260027 -aS'pt\tpt\tNN\tB-NP\tO' -p260028 -aS'was\tbe\tVBD\tB-VP\tO' -p260029 -aS'ruled\trule\tVBN\tI-VP\tO' -p260030 -aS'out\tout\tRP\tB-PRT\tO' -p260031 -aS'with\twith\tIN\tB-PP\tO' -p260032 -aS'3\t3\tCD\tB-NP\tO' -p260033 -aS'sets\tset\tNNS\tI-NP\tO' -p260034 -aS'of\tof\tIN\tB-PP\tO' -p260035 -aS'negative\tnegative\tJJ\tB-NP\tB-protein' -p260036 -aS'cardiac\tcardiac\tJJ\tI-NP\tI-protein' -p260037 -aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' -p260038 -aS'.\t.\t.\tO\tO' -p260039 -asS'In 2003 , he had a non ST elevation MI , came to the RWH , and had a cath done , which showed a 40% RCA , which was hazy .' -p260040 -(lp260041 -S'In\tIn\tIN\tB-PP\tO' -p260042 -aS'2003\t2003\tCD\tB-NP\tO' -p260043 -aS',\t,\t,\tO\tO' -p260044 -aS'he\the\tPRP\tB-NP\tO' -p260045 -aS'had\thave\tVBD\tB-VP\tO' -p260046 -aS'a\ta\tDT\tB-NP\tO' -p260047 -aS'non\tnon\tJJ\tI-NP\tO' -p260048 -aS'ST\tST\tNN\tI-NP\tO' -p260049 -aS'elevation\televation\tNN\tI-NP\tO' -p260050 -aS'MI\tMI\tNN\tI-NP\tO' -p260051 -aS',\t,\t,\tO\tO' -p260052 -aS'came\tcome\tVBD\tB-VP\tO' -p260053 -aS'to\tto\tTO\tB-PP\tO' -p260054 -aS'the\tthe\tDT\tB-NP\tO' -p260055 -aS'RWH\tRWH\tNN\tI-NP\tB-protein' -p260056 -aS',\t,\t,\tO\tO' -p260057 -aS'and\tand\tCC\tO\tO' -p260058 -aS'had\thave\tVBD\tB-VP\tO' -p260059 -aS'a\ta\tDT\tB-NP\tO' -p260060 -aS'cath\tcath\tNN\tI-NP\tO' -p260061 -aS'done\tdone\tNN\tI-NP\tO' -p260062 -aS',\t,\t,\tO\tO' -p260063 -aS'which\twhich\tWDT\tB-NP\tO' -p260064 -aS'showed\tshow\tVBD\tB-VP\tO' -p260065 -aS'a\ta\tDT\tB-NP\tO' -p260066 -aS'40%\t40%\tJJ\tI-NP\tO' -p260067 -aS'RCA\tRCA\tNN\tI-NP\tO' -p260068 -aS',\t,\t,\tO\tO' -p260069 -aS'which\twhich\tWDT\tB-NP\tO' -p260070 -aS'was\tbe\tVBD\tB-VP\tO' -p260071 -aS'hazy\thazy\tJJ\tB-ADJP\tO' -p260072 -aS'.\t.\t.\tO\tO' -p260073 -asS'Cardiac catheterization at the end of October revealed a dilated aortic root to 4.4 cm and 80% stenosis of the mid left anterior descending at the bifurcation involving the diagonal branch , 70% stenoses of the left circumflex and oblique marginal artery and 90% stenosis of the posterior descending artery .' -p260074 -(lp260075 -S'Cardiac\tCardiac\tJJ\tB-NP\tO' -p260076 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p260077 -aS'at\tat\tIN\tB-PP\tO' -p260078 -aS'the\tthe\tDT\tB-NP\tO' -p260079 -aS'end\tend\tNN\tI-NP\tO' -p260080 -aS'of\tof\tIN\tB-PP\tO' -p260081 -aS'October\tOctober\tNNP\tB-NP\tO' -p260082 -aS'revealed\treveal\tVBD\tB-VP\tO' -p260083 -aS'a\ta\tDT\tB-NP\tO' -p260084 -aS'dilated\tdilated\tJJ\tI-NP\tO' -p260085 -aS'aortic\taortic\tJJ\tI-NP\tO' -p260086 -aS'root\troot\tNN\tI-NP\tO' -p260087 -aS'to\tto\tTO\tB-PP\tO' -p260088 -aS'4.4\t4.4\tCD\tB-NP\tO' -p260089 -aS'cm\tcm\tNN\tI-NP\tO' -p260090 -aS'and\tand\tCC\tO\tO' -p260091 -aS'80%\t80%\tCD\tB-NP\tO' -p260092 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p260093 -aS'of\tof\tIN\tB-PP\tO' -p260094 -aS'the\tthe\tDT\tB-NP\tO' -p260095 -aS'mid\tmid\tJJ\tI-NP\tO' -p260096 -aS'left\tleft\tNN\tI-NP\tO' -p260097 -aS'anterior\tanterior\tRB\tB-VP\tO' -p260098 -aS'descending\tdescend\tVBG\tI-VP\tO' -p260099 -aS'at\tat\tIN\tB-PP\tO' -p260100 -aS'the\tthe\tDT\tB-NP\tO' -p260101 -aS'bifurcation\tbifurcation\tNN\tI-NP\tO' -p260102 -aS'involving\tinvolve\tVBG\tB-VP\tO' -p260103 -aS'the\tthe\tDT\tB-NP\tO' -p260104 -aS'diagonal\tdiagonal\tJJ\tI-NP\tO' -p260105 -aS'branch\tbranch\tNN\tI-NP\tO' -p260106 -aS',\t,\t,\tO\tO' -p260107 -aS'70%\t70%\tJJ\tB-NP\tO' -p260108 -aS'stenoses\tstenosis\tNNS\tI-NP\tO' -p260109 -aS'of\tof\tIN\tB-PP\tO' -p260110 -aS'the\tthe\tDT\tB-NP\tO' -p260111 -aS'left\tleft\tJJ\tI-NP\tO' -p260112 -aS'circumflex\tcircumflex\tNN\tI-NP\tO' -p260113 -aS'and\tand\tCC\tO\tO' -p260114 -aS'oblique\toblique\tJJ\tB-NP\tO' -p260115 -aS'marginal\tmarginal\tJJ\tI-NP\tO' -p260116 -aS'artery\tartery\tNN\tI-NP\tO' -p260117 -aS'and\tand\tCC\tI-NP\tO' -p260118 -aS'90%\t90%\tNN\tI-NP\tO' -p260119 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p260120 -aS'of\tof\tIN\tB-PP\tO' -p260121 -aS'the\tthe\tDT\tB-NP\tO' -p260122 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p260123 -aS'descending\tdescend\tVBG\tI-NP\tO' -p260124 -aS'artery\tartery\tNN\tI-NP\tO' -p260125 -aS'.\t.\t.\tO\tO' -p260126 -asS'For this reason , it was decided to maximize her beta blockers and nitrates .' -p260127 -(lp260128 -S'For\tFor\tIN\tB-PP\tO' -p260129 -aS'this\tthis\tDT\tB-NP\tO' -p260130 -aS'reason\treason\tNN\tI-NP\tO' -p260131 -aS',\t,\t,\tO\tO' -p260132 -aS'it\tit\tPRP\tB-NP\tO' -p260133 -aS'was\tbe\tVBD\tB-VP\tO' -p260134 -aS'decided\tdecide\tVBN\tI-VP\tO' -p260135 -aS'to\tto\tTO\tI-VP\tO' -p260136 -aS'maximize\tmaximize\tVB\tI-VP\tO' -p260137 -aS'her\ther\tPRP$\tB-NP\tO' -p260138 -aS'beta\tbeta\tNN\tI-NP\tO' -p260139 -aS'blockers\tblocker\tNNS\tI-NP\tO' -p260140 -aS'and\tand\tCC\tI-NP\tO' -p260141 -aS'nitrates\tnitrate\tNNS\tI-NP\tO' -p260142 -aS'.\t.\t.\tO\tO' -p260143 -asS'Recent pneumonia .' -p260144 -(lp260145 -S'Recent\tRecent\tJJ\tB-NP\tO' -p260146 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p260147 -aS'.\t.\t.\tO\tO' -p260148 -asS'The transfusion was stopped and the patient was given Tylenol 1 mg with epinephrine , 100 mg of hydrocortisone , 25 mg of Benadryl and Demerol 15 as well as Pepcid .' -p260149 -(lp260150 -S'The\tThe\tDT\tB-NP\tO' -p260151 -aS'transfusion\ttransfusion\tNN\tI-NP\tO' -p260152 -aS'was\tbe\tVBD\tB-VP\tO' -p260153 -aS'stopped\tstop\tVBN\tI-VP\tO' -p260154 -aS'and\tand\tCC\tO\tO' -p260155 -aS'the\tthe\tDT\tB-NP\tO' -p260156 -aS'patient\tpatient\tNN\tI-NP\tO' -p260157 -aS'was\tbe\tVBD\tB-VP\tO' -p260158 -aS'given\tgive\tVBN\tI-VP\tO' -p260159 -aS'Tylenol\tTylenol\tNN\tB-NP\tO' -p260160 -aS'1\t1\tCD\tI-NP\tO' -p260161 -aS'mg\tmg\tNN\tI-NP\tO' -p260162 -aS'with\twith\tIN\tB-PP\tO' -p260163 -aS'epinephrine\tepinephrine\tNN\tB-NP\tO' -p260164 -aS',\t,\t,\tO\tO' -p260165 -aS'100\t100\tCD\tB-NP\tO' -p260166 -aS'mg\tmg\tNN\tI-NP\tO' -p260167 -aS'of\tof\tIN\tB-PP\tO' -p260168 -aS'hydrocortisone\thydrocortisone\tNN\tB-NP\tO' -p260169 -aS',\t,\t,\tO\tO' -p260170 -aS'25\t25\tCD\tB-NP\tO' -p260171 -aS'mg\tmg\tNN\tI-NP\tO' -p260172 -aS'of\tof\tIN\tB-PP\tO' -p260173 -aS'Benadryl\tBenadryl\tNN\tB-NP\tO' -p260174 -aS'and\tand\tCC\tO\tO' -p260175 -aS'Demerol\tDemerol\tNN\tB-NP\tO' -p260176 -aS'15\t15\tCD\tI-NP\tO' -p260177 -aS'as\tas\tRB\tB-CONJP\tO' -p260178 -aS'well\twell\tRB\tI-CONJP\tO' -p260179 -aS'as\tas\tIN\tI-CONJP\tO' -p260180 -aS'Pepcid\tPepcid\tNNP\tB-NP\tO' -p260181 -aS'.\t.\t.\tO\tO' -p260182 -asS'As stated above , the patient self-extubated herself .' -p260183 -(lp260184 -S'As\tAs\tIN\tB-SBAR\tO' -p260185 -aS'stated\tstate\tVBN\tB-VP\tO' -p260186 -aS'above\tabove\tRB\tB-ADVP\tO' -p260187 -aS',\t,\t,\tO\tO' -p260188 -aS'the\tthe\tDT\tB-NP\tO' -p260189 -aS'patient\tpatient\tNN\tI-NP\tO' -p260190 -aS'self-extubated\tself-extubate\tVBD\tB-VP\tO' -p260191 -aS'herself\therself\tPRP\tB-NP\tO' -p260192 -aS'.\t.\t.\tO\tO' -p260193 -asS'She was maintained on intravenous heparin and was brought back to the cardiac catheterization laboratory on 08-18-93 for a relook coronary angiography .' -p260194 -(lp260195 -S'She\tShe\tPRP\tB-NP\tO' -p260196 -aS'was\tbe\tVBD\tB-VP\tO' -p260197 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p260198 -aS'on\ton\tIN\tB-PP\tO' -p260199 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p260200 -aS'heparin\theparin\tNN\tI-NP\tO' -p260201 -aS'and\tand\tCC\tO\tO' -p260202 -aS'was\tbe\tVBD\tB-VP\tO' -p260203 -aS'brought\tbring\tVBN\tI-VP\tO' -p260204 -aS'back\tback\tRB\tB-ADVP\tO' -p260205 -aS'to\tto\tTO\tB-PP\tO' -p260206 -aS'the\tthe\tDT\tB-NP\tO' -p260207 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p260208 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p260209 -aS'laboratory\tlaboratory\tNN\tI-NP\tO' -p260210 -aS'on\ton\tIN\tB-PP\tO' -p260211 -aS'08-18-93\t08-18-93\tCD\tB-NP\tO' -p260212 -aS'for\tfor\tIN\tB-PP\tO' -p260213 -aS'a\ta\tDT\tB-NP\tO' -p260214 -aS'relook\trelook\tNN\tI-NP\tO' -p260215 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p260216 -aS'angiography\tangiography\tNN\tI-NP\tO' -p260217 -aS'.\t.\t.\tO\tO' -p260218 -asS'A Holter showed atrial fibrillation with period of ventricular bigemini .' -p260219 -(lp260220 -S'A\tA\tDT\tB-NP\tO' -p260221 -aS'Holter\tHolter\tNNP\tI-NP\tO' -p260222 -aS'showed\tshow\tVBD\tB-VP\tO' -p260223 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p260224 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p260225 -aS'with\twith\tIN\tB-PP\tO' -p260226 -aS'period\tperiod\tNN\tB-NP\tO' -p260227 -aS'of\tof\tIN\tB-PP\tO' -p260228 -aS'ventricular\tventricular\tJJ\tB-NP\tB-protein' -p260229 -aS'bigemini\tbigemini\tNNS\tI-NP\tI-protein' -p260230 -aS'.\t.\t.\tO\tO' -p260231 -asS'4. Metoprolol Tartrate 25 mg Tablet Sig : 0.5 Tablet PO BID ( 2 times a day ) .' -p260232 -(lp260233 -S'4.\t4.\tLS\tB-NP\tO' -p260234 -aS'Metoprolol\tMetoprolol\tNN\tI-NP\tO' -p260235 -aS'Tartrate\tTartrate\tNN\tI-NP\tO' -p260236 -aS'25\t25\tCD\tI-NP\tO' -p260237 -aS'mg\tmg\tNN\tI-NP\tO' -p260238 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p260239 -aS'Sig\tSig\tNNP\tI-NP\tO' -p260240 -aS':\t:\t:\tO\tO' -p260241 -aS'0.5\t0.5\tCD\tB-NP\tO' -p260242 -aS'Tablet\tTablet\tNN\tI-NP\tO' -p260243 -aS'PO\tPO\tNN\tI-NP\tO' -p260244 -aS'BID\tBID\tNN\tI-NP\tO' -p260245 -aS'(\t(\t(\tO\tO' -p260246 -aS'2\t2\tCD\tB-NP\tO' -p260247 -aS'times\ttime\tNNS\tI-NP\tO' -p260248 -aS'a\ta\tDT\tB-NP\tO' -p260249 -aS'day\tday\tNN\tI-NP\tO' -p260250 -aS')\t)\t)\tO\tO' -p260251 -aS'.\t.\t.\tO\tO' -p260252 -asS'5. Knee surgeries .' -p260253 -(lp260254 -S'5.\t5.\tLS\tB-NP\tO' -p260255 -aS'Knee\tKnee\tNNP\tI-NP\tO' -p260256 -aS'surgeries\tsurgery\tNNS\tI-NP\tO' -p260257 -aS'.\t.\t.\tO\tO' -p260258 -asS'She was admitted for likely gastroparesis and eventually had a complete fever work-up that included a negative chest x-ray , blood cultures , and urine culture .' -p260259 -(lp260260 -S'She\tShe\tPRP\tB-NP\tO' -p260261 -aS'was\tbe\tVBD\tB-VP\tO' -p260262 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p260263 -aS'for\tfor\tIN\tB-PP\tO' -p260264 -aS'likely\tlikely\tJJ\tB-NP\tO' -p260265 -aS'gastroparesis\tgastroparesis\tNN\tI-NP\tO' -p260266 -aS'and\tand\tCC\tO\tO' -p260267 -aS'eventually\teventually\tRB\tB-VP\tO' -p260268 -aS'had\thave\tVBD\tI-VP\tO' -p260269 -aS'a\ta\tDT\tB-NP\tO' -p260270 -aS'complete\tcomplete\tJJ\tI-NP\tO' -p260271 -aS'fever\tfever\tNN\tI-NP\tO' -p260272 -aS'work-up\twork-up\tNN\tI-NP\tO' -p260273 -aS'that\tthat\tWDT\tB-NP\tO' -p260274 -aS'included\tinclude\tVBD\tB-VP\tO' -p260275 -aS'a\ta\tDT\tB-NP\tO' -p260276 -aS'negative\tnegative\tJJ\tI-NP\tO' -p260277 -aS'chest\tchest\tNN\tI-NP\tO' -p260278 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p260279 -aS',\t,\t,\tO\tO' -p260280 -aS'blood\tblood\tNN\tB-NP\tO' -p260281 -aS'cultures\tculture\tNNS\tI-NP\tO' -p260282 -aS',\t,\t,\tO\tO' -p260283 -aS'and\tand\tCC\tO\tO' -p260284 -aS'urine\turine\tNN\tB-NP\tO' -p260285 -aS'culture\tculture\tNN\tI-NP\tO' -p260286 -aS'.\t.\t.\tO\tO' -p260287 -asS'Delivery by cesarean section was prompted by ongoing labor .' -p260288 -(lp260289 -S'Delivery\tDelivery\tNN\tB-NP\tO' -p260290 -aS'by\tby\tIN\tB-PP\tO' -p260291 -aS'cesarean\tcesarean\tJJ\tB-NP\tO' -p260292 -aS'section\tsection\tNN\tI-NP\tO' -p260293 -aS'was\tbe\tVBD\tB-VP\tO' -p260294 -aS'prompted\tprompt\tVBN\tI-VP\tO' -p260295 -aS'by\tby\tIN\tB-PP\tO' -p260296 -aS'ongoing\tongoing\tJJ\tB-NP\tO' -p260297 -aS'labor\tlabor\tNN\tI-NP\tO' -p260298 -aS'.\t.\t.\tO\tO' -p260299 -asS"He was transferred to St. Margaret 's Center for Women & Infants John for further management on AC , RR 15 , PEEP 5 , Vt 500 , Fi02 1.0 ." -p260300 -(lp260301 -S'He\tHe\tPRP\tB-NP\tO' -p260302 -aS'was\tbe\tVBD\tB-VP\tO' -p260303 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p260304 -aS'to\tto\tTO\tB-PP\tO' -p260305 -aS'St.\tSt.\tNNP\tB-NP\tO' -p260306 -aS'Margaret\tMargaret\tNNP\tI-NP\tO' -p260307 -aS"'s\t's\tPOS\tB-NP\tO" -p260308 -aS'Center\tCenter\tNNP\tI-NP\tO' -p260309 -aS'for\tfor\tIN\tB-PP\tO' -p260310 -aS'Women\tWomen\tNNP\tB-NP\tO' -p260311 -aS'&\t&\tCC\tI-NP\tO' -p260312 -aS'Infants\tInfants\tNNP\tI-NP\tO' -p260313 -aS'John\tJohn\tNNP\tI-NP\tO' -p260314 -aS'for\tfor\tIN\tB-PP\tO' -p260315 -aS'further\tfurther\tJJ\tB-NP\tO' -p260316 -aS'management\tmanagement\tNN\tI-NP\tO' -p260317 -aS'on\ton\tIN\tB-PP\tO' -p260318 -aS'AC\tAC\tNNP\tB-NP\tO' -p260319 -aS',\t,\t,\tO\tO' -p260320 -aS'RR\tRR\tNNP\tB-NP\tB-protein' -p260321 -aS'15\t15\tCD\tI-NP\tI-protein' -p260322 -aS',\t,\t,\tO\tO' -p260323 -aS'PEEP\tPEEP\tNN\tB-NP\tB-protein' -p260324 -aS'5\t5\tCD\tI-NP\tI-protein' -p260325 -aS',\t,\t,\tO\tO' -p260326 -aS'Vt\tVt\tNNP\tB-NP\tO' -p260327 -aS'500\t500\tCD\tI-NP\tO' -p260328 -aS',\t,\t,\tO\tO' -p260329 -aS'Fi02\tFi02\tCD\tB-NP\tO' -p260330 -aS'1.0\t1.0\tCD\tI-NP\tO' -p260331 -aS'.\t.\t.\tO\tO' -p260332 -asS'92 year old woman with MS changes , abd pain hypotension and bloody lavage on Lovenox+ASA' -p260333 -(lp260334 -S'92\t92\tCD\tB-NP\tO' -p260335 -aS'year\tyear\tNN\tI-NP\tO' -p260336 -aS'old\told\tJJ\tI-NP\tO' -p260337 -aS'woman\twoman\tNN\tI-NP\tO' -p260338 -aS'with\twith\tIN\tB-PP\tO' -p260339 -aS'MS\tMS\tNN\tB-NP\tO' -p260340 -aS'changes\tchange\tNNS\tI-NP\tO' -p260341 -aS',\t,\t,\tO\tO' -p260342 -aS'abd\tabd\tNN\tB-NP\tO' -p260343 -aS'pain\tpain\tNN\tI-NP\tO' -p260344 -aS'hypotension\thypotension\tNN\tI-NP\tO' -p260345 -aS'and\tand\tCC\tO\tO' -p260346 -aS'bloody\tbloody\tJJ\tB-NP\tO' -p260347 -aS'lavage\tlavage\tNN\tI-NP\tO' -p260348 -aS'on\ton\tIN\tB-PP\tO' -p260349 -aS'Lovenox+ASA\tLovenox+ASA\tNN\tB-NP\tO' -p260350 -asS'She was doing well with at least 4+ strength in all of her extremities , when on 11/13 , she had an acute drop in her systolic blood pressure to 70 for unclear reasons and without evidence of acute sepsis .' -p260351 -(lp260352 -S'She\tShe\tPRP\tB-NP\tO' -p260353 -aS'was\tbe\tVBD\tB-VP\tO' -p260354 -aS'doing\tdo\tVBG\tI-VP\tO' -p260355 -aS'well\twell\tRB\tB-ADVP\tO' -p260356 -aS'with\twith\tIN\tB-PP\tO' -p260357 -aS'at\tat\tIN\tB-NP\tO' -p260358 -aS'least\tleast\tJJS\tI-NP\tO' -p260359 -aS'4+\t4+\tJJ\tI-NP\tO' -p260360 -aS'strength\tstrength\tNN\tI-NP\tO' -p260361 -aS'in\tin\tIN\tB-PP\tO' -p260362 -aS'all\tall\tDT\tB-NP\tO' -p260363 -aS'of\tof\tIN\tB-PP\tO' -p260364 -aS'her\ther\tPRP$\tB-NP\tO' -p260365 -aS'extremities\textremity\tNNS\tI-NP\tO' -p260366 -aS',\t,\t,\tO\tO' -p260367 -aS'when\twhen\tWRB\tB-ADVP\tO' -p260368 -aS'on\ton\tIN\tB-PP\tO' -p260369 -aS'11/13\t11/13\tCD\tB-NP\tO' -p260370 -aS',\t,\t,\tO\tO' -p260371 -aS'she\tshe\tPRP\tB-NP\tO' -p260372 -aS'had\thave\tVBD\tB-VP\tO' -p260373 -aS'an\tan\tDT\tB-NP\tO' -p260374 -aS'acute\tacute\tJJ\tI-NP\tO' -p260375 -aS'drop\tdrop\tNN\tI-NP\tO' -p260376 -aS'in\tin\tIN\tB-PP\tO' -p260377 -aS'her\ther\tPRP$\tB-NP\tO' -p260378 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p260379 -aS'blood\tblood\tNN\tI-NP\tO' -p260380 -aS'pressure\tpressure\tNN\tI-NP\tO' -p260381 -aS'to\tto\tTO\tB-PP\tO' -p260382 -aS'70\t70\tCD\tB-NP\tO' -p260383 -aS'for\tfor\tIN\tB-PP\tO' -p260384 -aS'unclear\tunclear\tJJ\tB-NP\tO' -p260385 -aS'reasons\treason\tNNS\tI-NP\tO' -p260386 -aS'and\tand\tCC\tB-PP\tO' -p260387 -aS'without\twithout\tIN\tB-PP\tO' -p260388 -aS'evidence\tevidence\tNN\tB-NP\tO' -p260389 -aS'of\tof\tIN\tB-PP\tO' -p260390 -aS'acute\tacute\tJJ\tB-NP\tO' -p260391 -aS'sepsis\tsepsis\tNN\tI-NP\tO' -p260392 -aS'.\t.\t.\tO\tO' -p260393 -asS'Endovascular repair of abdominal aortic aneurysm with bifurcated device on September 9 , 2003 .' -p260394 -(lp260395 -S'Endovascular\tEndovascular\tJJ\tB-NP\tO' -p260396 -aS'repair\trepair\tNN\tI-NP\tO' -p260397 -aS'of\tof\tIN\tB-PP\tO' -p260398 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p260399 -aS'aortic\taortic\tJJ\tI-NP\tO' -p260400 -aS'aneurysm\taneurysm\tNN\tI-NP\tO' -p260401 -aS'with\twith\tIN\tB-PP\tO' -p260402 -aS'bifurcated\tbifurcate\tVBN\tB-NP\tO' -p260403 -aS'device\tdevice\tNN\tI-NP\tO' -p260404 -aS'on\ton\tIN\tB-PP\tO' -p260405 -aS'September\tSeptember\tNNP\tB-NP\tO' -p260406 -aS'9\t9\tCD\tI-NP\tO' -p260407 -aS',\t,\t,\tI-NP\tO' -p260408 -aS'2003\t2003\tCD\tI-NP\tO' -p260409 -aS'.\t.\t.\tO\tO' -p260410 -asS'I certify that I was present for this procedure in compliance with HCFA regulations .' -p260411 -(lp260412 -S'I\tI\tPRP\tB-NP\tO' -p260413 -aS'certify\tcertify\tVBP\tB-VP\tO' -p260414 -aS'that\tthat\tIN\tB-SBAR\tO' -p260415 -aS'I\tI\tPRP\tB-NP\tO' -p260416 -aS'was\tbe\tVBD\tB-VP\tO' -p260417 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p260418 -aS'for\tfor\tIN\tB-PP\tO' -p260419 -aS'this\tthis\tDT\tB-NP\tO' -p260420 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p260421 -aS'in\tin\tIN\tB-PP\tO' -p260422 -aS'compliance\tcompliance\tNN\tB-NP\tO' -p260423 -aS'with\twith\tIN\tB-PP\tO' -p260424 -aS'HCFA\tHCFA\tNN\tB-NP\tO' -p260425 -aS'regulations\tregulation\tNNS\tI-NP\tO' -p260426 -aS'.\t.\t.\tO\tO' -p260427 -asS'left coronary artery stenosis .' -p260428 -(lp260429 -S'left\tleft\tJJ\tB-NP\tO' -p260430 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p260431 -aS'artery\tartery\tNN\tI-NP\tO' -p260432 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p260433 -aS'.\t.\t.\tO\tO' -p260434 -asS'Her MESNA alone was continued at that time for IV infusion .' -p260435 -(lp260436 -S'Her\tHer\tPRP$\tB-NP\tO' -p260437 -aS'MESNA\tMESNA\tNN\tI-NP\tB-protein' -p260438 -aS'alone\talone\tRB\tB-ADVP\tO' -p260439 -aS'was\tbe\tVBD\tB-VP\tO' -p260440 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p260441 -aS'at\tat\tIN\tB-PP\tO' -p260442 -aS'that\tthat\tDT\tB-NP\tO' -p260443 -aS'time\ttime\tNN\tI-NP\tO' -p260444 -aS'for\tfor\tIN\tB-PP\tO' -p260445 -aS'IV\tIV\tCD\tB-NP\tO' -p260446 -aS'infusion\tinfusion\tNN\tI-NP\tO' -p260447 -aS'.\t.\t.\tO\tO' -p260448 -asS'He has had worsening dyspnea and paroxysmal nocturnal dyspnea , though denies orthopnea .' -p260449 -(lp260450 -S'He\tHe\tPRP\tB-NP\tO' -p260451 -aS'has\thave\tVBZ\tB-VP\tO' -p260452 -aS'had\thave\tVBN\tI-VP\tO' -p260453 -aS'worsening\tworsen\tVBG\tI-VP\tO' -p260454 -aS'dyspnea\tdyspnea\tNN\tB-NP\tO' -p260455 -aS'and\tand\tCC\tO\tO' -p260456 -aS'paroxysmal\tparoxysmal\tJJ\tB-NP\tO' -p260457 -aS'nocturnal\tnocturnal\tJJ\tI-NP\tO' -p260458 -aS'dyspnea\tdyspnea\tNN\tI-NP\tO' -p260459 -aS',\t,\t,\tO\tO' -p260460 -aS'though\tthough\tIN\tB-SBAR\tO' -p260461 -aS'denies\tdeny\tNNS\tB-NP\tO' -p260462 -aS'orthopnea\torthopnea\tNN\tI-NP\tO' -p260463 -aS'.\t.\t.\tO\tO' -p260464 -asS'Note , please draw blood for vancomycin levels on 25 May 1998 , before the next dose , to get the trough level .' -p260465 -(lp260466 -S'Note\tNote\tVB\tB-VP\tO' -p260467 -aS',\t,\t,\tO\tO' -p260468 -aS'please\tplease\tVB\tB-VP\tO' -p260469 -aS'draw\tdraw\tNN\tB-NP\tO' -p260470 -aS'blood\tblood\tNN\tI-NP\tO' -p260471 -aS'for\tfor\tIN\tB-PP\tO' -p260472 -aS'vancomycin\tvancomycin\tNN\tB-NP\tO' -p260473 -aS'levels\tlevel\tNNS\tI-NP\tO' -p260474 -aS'on\ton\tIN\tB-PP\tO' -p260475 -aS'25\t25\tCD\tB-NP\tO' -p260476 -aS'May\tMay\tNNP\tI-NP\tO' -p260477 -aS'1998\t1998\tCD\tI-NP\tO' -p260478 -aS',\t,\t,\tO\tO' -p260479 -aS'before\tbefore\tIN\tB-PP\tO' -p260480 -aS'the\tthe\tDT\tB-NP\tO' -p260481 -aS'next\tnext\tJJ\tI-NP\tO' -p260482 -aS'dose\tdose\tNN\tI-NP\tO' -p260483 -aS',\t,\t,\tO\tO' -p260484 -aS'to\tto\tTO\tB-VP\tO' -p260485 -aS'get\tget\tVB\tI-VP\tO' -p260486 -aS'the\tthe\tDT\tB-NP\tO' -p260487 -aS'trough\ttrough\tNN\tI-NP\tO' -p260488 -aS'level\tlevel\tNN\tI-NP\tO' -p260489 -aS'.\t.\t.\tO\tO' -p260490 -asS'This is a 75 year old righthanded Caucasian female who was admitted to the Fairm of Ijordcompmac Hospital because of left facial droop and hand weakness after glaucoma laser surgery .' -p260491 -(lp260492 -S'This\tThis\tDT\tB-NP\tO' -p260493 -aS'is\tbe\tVBZ\tB-VP\tO' -p260494 -aS'a\ta\tDT\tB-NP\tO' -p260495 -aS'75\t75\tCD\tI-NP\tO' -p260496 -aS'year\tyear\tNN\tI-NP\tO' -p260497 -aS'old\told\tJJ\tI-NP\tO' -p260498 -aS'righthanded\trighthanded\tJJ\tI-NP\tO' -p260499 -aS'Caucasian\tCaucasian\tJJ\tI-NP\tO' -p260500 -aS'female\tfemale\tNN\tI-NP\tO' -p260501 -aS'who\twho\tWP\tB-NP\tO' -p260502 -aS'was\tbe\tVBD\tB-VP\tO' -p260503 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p260504 -aS'to\tto\tTO\tB-PP\tO' -p260505 -aS'the\tthe\tDT\tB-NP\tO' -p260506 -aS'Fairm\tFairm\tNNP\tI-NP\tO' -p260507 -aS'of\tof\tIN\tB-PP\tO' -p260508 -aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' -p260509 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p260510 -aS'because\tbecause\tIN\tB-PP\tO' -p260511 -aS'of\tof\tIN\tI-PP\tO' -p260512 -aS'left\tleft\tJJ\tB-NP\tO' -p260513 -aS'facial\tfacial\tJJ\tI-NP\tO' -p260514 -aS'droop\tdroop\tNN\tI-NP\tO' -p260515 -aS'and\tand\tCC\tI-NP\tO' -p260516 -aS'hand\thand\tNN\tI-NP\tO' -p260517 -aS'weakness\tweakness\tNN\tI-NP\tO' -p260518 -aS'after\tafter\tIN\tB-PP\tO' -p260519 -aS'glaucoma\tglaucoma\tNN\tB-NP\tO' -p260520 -aS'laser\tlaser\tNN\tI-NP\tO' -p260521 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p260522 -aS'.\t.\t.\tO\tO' -p260523 -asS'The patient was to be transferred to the floor on postoperative day #2 , however , due to the lack of beds , he remained in the ICU until postoperative day #3 .' -p260524 -(lp260525 -S'The\tThe\tDT\tB-NP\tO' -p260526 -aS'patient\tpatient\tNN\tI-NP\tO' -p260527 -aS'was\tbe\tVBD\tB-VP\tO' -p260528 -aS'to\tto\tTO\tI-VP\tO' -p260529 -aS'be\tbe\tVB\tI-VP\tO' -p260530 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p260531 -aS'to\tto\tTO\tB-PP\tO' -p260532 -aS'the\tthe\tDT\tB-NP\tO' -p260533 -aS'floor\tfloor\tNN\tI-NP\tO' -p260534 -aS'on\ton\tIN\tB-PP\tO' -p260535 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p260536 -aS'day\tday\tNN\tI-NP\tO' -p260537 -aS'#2\t#2\tNN\tI-NP\tO' -p260538 -aS',\t,\t,\tO\tO' -p260539 -aS'however\thowever\tRB\tB-ADVP\tO' -p260540 -aS',\t,\t,\tO\tO' -p260541 -aS'due\tdue\tJJ\tB-PP\tO' -p260542 -aS'to\tto\tTO\tI-PP\tO' -p260543 -aS'the\tthe\tDT\tB-NP\tO' -p260544 -aS'lack\tlack\tNN\tI-NP\tO' -p260545 -aS'of\tof\tIN\tB-PP\tO' -p260546 -aS'beds\tbed\tNNS\tB-NP\tO' -p260547 -aS',\t,\t,\tO\tO' -p260548 -aS'he\the\tPRP\tB-NP\tO' -p260549 -aS'remained\tremain\tVBD\tB-VP\tO' -p260550 -aS'in\tin\tIN\tB-PP\tO' -p260551 -aS'the\tthe\tDT\tB-NP\tO' -p260552 -aS'ICU\tICU\tNN\tI-NP\tB-DNA' -p260553 -aS'until\tuntil\tIN\tB-PP\tO' -p260554 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p260555 -aS'day\tday\tNN\tI-NP\tO' -p260556 -aS'#3\t#3\tNN\tI-NP\tO' -p260557 -aS'.\t.\t.\tO\tO' -p260558 -asS'No effusions or pneumothorax .' -p260559 -(lp260560 -S'No\tNo\tDT\tB-NP\tO' -p260561 -aS'effusions\teffusion\tNNS\tI-NP\tO' -p260562 -aS'or\tor\tCC\tI-NP\tO' -p260563 -aS'pneumothorax\tpneumothorax\tNN\tI-NP\tO' -p260564 -aS'.\t.\t.\tO\tO' -p260565 -asS'Basilar artery stenosis with basilar thrombosis and " top of the basilar " syndrome .' -p260566 -(lp260567 -S'Basilar\tBasilar\tJJ\tB-NP\tO' -p260568 -aS'artery\tartery\tNN\tI-NP\tO' -p260569 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p260570 -aS'with\twith\tIN\tB-PP\tO' -p260571 -aS'basilar\tbasilar\tJJ\tB-NP\tO' -p260572 -aS'thrombosis\tthrombosis\tNN\tI-NP\tO' -p260573 -aS'and\tand\tCC\tI-NP\tO' -p260574 -aS'"\t"\tNN\tI-NP\tO' -p260575 -aS'top\ttop\tNN\tI-NP\tO' -p260576 -aS'of\tof\tIN\tB-PP\tO' -p260577 -aS'the\tthe\tDT\tB-NP\tO' -p260578 -aS'basilar\tbasilar\tJJ\tI-NP\tO' -p260579 -aS'"\t"\tNN\tI-NP\tO' -p260580 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p260581 -aS'.\t.\t.\tO\tO' -p260582 -asS'Disp :* 60 Capsule (s)* Refills :* 0 *' -p260583 -(lp260584 -S'Disp\tDisp\tNN\tB-NP\tO' -p260585 -aS':*\t:*\tSYM\tI-NP\tO' -p260586 -aS'60\t60\tCD\tI-NP\tO' -p260587 -aS'Capsule\tCapsule\tNN\tI-NP\tO' -p260588 -aS'(s)*\t(s)*\tSYM\tB-NP\tO' -p260589 -aS'Refills\tRefill\tNNPS\tI-NP\tO' -p260590 -aS':*\t:*\tSYM\tB-NP\tO' -p260591 -aS'0\t0\tCD\tI-NP\tO' -p260592 -aS'*\t*\tSYM\tB-NP\tO' -p260593 -asS'However , he does require diuresis to prevent increased volume overload in his lungs from his hypoalbunemic state .' -p260594 -(lp260595 -S'However\tHowever\tRB\tB-ADVP\tO' -p260596 -aS',\t,\t,\tO\tO' -p260597 -aS'he\the\tPRP\tB-NP\tO' -p260598 -aS'does\tdo\tVBZ\tB-VP\tO' -p260599 -aS'require\trequire\tVB\tI-VP\tO' -p260600 -aS'diuresis\tdiuresis\tNN\tB-NP\tO' -p260601 -aS'to\tto\tTO\tB-VP\tO' -p260602 -aS'prevent\tprevent\tVB\tI-VP\tO' -p260603 -aS'increased\tincrease\tVBN\tB-NP\tO' -p260604 -aS'volume\tvolume\tNN\tI-NP\tO' -p260605 -aS'overload\toverload\tNN\tI-NP\tO' -p260606 -aS'in\tin\tIN\tB-PP\tO' -p260607 -aS'his\this\tPRP$\tB-NP\tO' -p260608 -aS'lungs\tlung\tNNS\tI-NP\tO' -p260609 -aS'from\tfrom\tIN\tB-PP\tO' -p260610 -aS'his\this\tPRP$\tB-NP\tO' -p260611 -aS'hypoalbunemic\thypoalbunemic\tJJ\tI-NP\tO' -p260612 -aS'state\tstate\tNN\tI-NP\tO' -p260613 -aS'.\t.\t.\tO\tO' -p260614 -asS'Please hold dose of warfarin on the night of the 16 , and please recheck INR on 2016-11-16 and dose warfarin appropriately for INR of 2 to 2.5.' -p260615 -(lp260616 -S'Please\tPlease\tNN\tB-NP\tB-protein' -p260617 -aS'hold\thold\tVBP\tB-VP\tO' -p260618 -aS'dose\tdose\tNN\tB-NP\tO' -p260619 -aS'of\tof\tIN\tB-PP\tO' -p260620 -aS'warfarin\twarfarin\tNN\tB-NP\tO' -p260621 -aS'on\ton\tIN\tB-PP\tO' -p260622 -aS'the\tthe\tDT\tB-NP\tO' -p260623 -aS'night\tnight\tNN\tI-NP\tO' -p260624 -aS'of\tof\tIN\tB-PP\tO' -p260625 -aS'the\tthe\tDT\tB-NP\tO' -p260626 -aS'16\t16\tCD\tI-NP\tO' -p260627 -aS',\t,\t,\tO\tO' -p260628 -aS'and\tand\tCC\tO\tO' -p260629 -aS'please\tplease\tVB\tB-VP\tO' -p260630 -aS'recheck\trecheck\tNN\tB-NP\tO' -p260631 -aS'INR\tINR\tNN\tI-NP\tO' -p260632 -aS'on\ton\tIN\tB-PP\tO' -p260633 -aS'2016-11-16\t2016-11-16\tCD\tB-NP\tO' -p260634 -aS'and\tand\tCC\tO\tO' -p260635 -aS'dose\tdose\tNN\tB-NP\tO' -p260636 -aS'warfarin\twarfarin\tNN\tI-NP\tO' -p260637 -aS'appropriately\tappropriately\tRB\tB-ADVP\tO' -p260638 -aS'for\tfor\tIN\tB-PP\tO' -p260639 -aS'INR\tINR\tNN\tB-NP\tB-protein' -p260640 -aS'of\tof\tIN\tB-PP\tO' -p260641 -aS'2\t2\tCD\tB-NP\tO' -p260642 -aS'to\tto\tTO\tB-PP\tO' -p260643 -aS'2.5.\t2.5.\tCD\tB-NP\tO' -p260644 -asS'Briley von der Ross , M.D.' -p260645 -(lp260646 -S'Briley\tBriley\tNNP\tB-NP\tO' -p260647 -aS'von\tvon\tNNP\tI-NP\tO' -p260648 -aS'der\tder\tNNP\tI-NP\tO' -p260649 -aS'Ross\tRoss\tNNP\tI-NP\tO' -p260650 -aS',\t,\t,\tO\tO' -p260651 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p260652 -asS'All range of motion with his right shoulder was painful .' -p260653 -(lp260654 -S'All\tAll\tDT\tB-NP\tO' -p260655 -aS'range\trange\tNN\tI-NP\tO' -p260656 -aS'of\tof\tIN\tB-PP\tO' -p260657 -aS'motion\tmotion\tNN\tB-NP\tO' -p260658 -aS'with\twith\tIN\tB-PP\tO' -p260659 -aS'his\this\tPRP$\tB-NP\tO' -p260660 -aS'right\tright\tJJ\tI-NP\tO' -p260661 -aS'shoulder\tshoulder\tNN\tI-NP\tO' -p260662 -aS'was\tbe\tVBD\tB-VP\tO' -p260663 -aS'painful\tpainful\tJJ\tB-ADJP\tO' -p260664 -aS'.\t.\t.\tO\tO' -p260665 -asS'Patient is a pleasant female , in no apparent distress .' -p260666 -(lp260667 -S'Patient\tPatient\tNN\tB-NP\tO' -p260668 -aS'is\tbe\tVBZ\tB-VP\tO' -p260669 -aS'a\ta\tDT\tB-NP\tO' -p260670 -aS'pleasant\tpleasant\tJJ\tI-NP\tO' -p260671 -aS'female\tfemale\tNN\tI-NP\tO' -p260672 -aS',\t,\t,\tO\tO' -p260673 -aS'in\tin\tIN\tB-PP\tO' -p260674 -aS'no\tno\tDT\tB-NP\tO' -p260675 -aS'apparent\tapparent\tJJ\tI-NP\tO' -p260676 -aS'distress\tdistress\tNN\tI-NP\tO' -p260677 -aS'.\t.\t.\tO\tO' -p260678 -asS'The patient 's liver enzymes were noted to be elevated mid way through her hospital course , to about three times normal , especially the SGOT and SGPT .' -p260679 -(lp260680 -S'The\tThe\tDT\tB-NP\tO' -p260681 -aS'patient\tpatient\tNN\tI-NP\tO' -p260682 -aS''s\t'\tVBZ\tB-VP\tO' -p260683 -aS'liver\tliver\tNN\tB-NP\tB-protein' -p260684 -aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' -p260685 -aS'were\tbe\tVBD\tB-VP\tO' -p260686 -aS'noted\tnote\tVBN\tI-VP\tO' -p260687 -aS'to\tto\tTO\tI-VP\tO' -p260688 -aS'be\tbe\tVB\tI-VP\tO' -p260689 -aS'elevated\televate\tVBN\tI-VP\tO' -p260690 -aS'mid\tmid\tJJ\tB-NP\tO' -p260691 -aS'way\tway\tNN\tI-NP\tO' -p260692 -aS'through\tthrough\tIN\tB-PP\tO' -p260693 -aS'her\ther\tPRP$\tB-NP\tO' -p260694 -aS'hospital\thospital\tNN\tI-NP\tO' -p260695 -aS'course\tcourse\tNN\tI-NP\tO' -p260696 -aS',\t,\t,\tO\tO' -p260697 -aS'to\tto\tTO\tB-PP\tO' -p260698 -aS'about\tabout\tIN\tB-NP\tO' -p260699 -aS'three\tthree\tCD\tI-NP\tO' -p260700 -aS'times\ttime\tNNS\tI-NP\tO' -p260701 -aS'normal\tnormal\tJJ\tI-NP\tO' -p260702 -aS',\t,\t,\tO\tO' -p260703 -aS'especially\tespecially\tRB\tB-ADVP\tO' -p260704 -aS'the\tthe\tDT\tB-NP\tO' -p260705 -aS'SGOT\tSGOT\tNN\tI-NP\tO' -p260706 -aS'and\tand\tCC\tI-NP\tO' -p260707 -aS'SGPT\tSGPT\tNN\tI-NP\tO' -p260708 -aS'.\t.\t.\tO\tO' -p260709 -asS'11. Magnesium Hydroxide 400 mg / 5 mL Suspension Sig : Thirty ( 30 ) ML PO Q6H ( every 6 hours ) as needed .' -p260710 -(lp260711 -S'11.\t11.\tLS\tB-NP\tO' -p260712 -aS'Magnesium\tMagnesium\tNNP\tI-NP\tO' -p260713 -aS'Hydroxide\tHydroxide\tNNP\tI-NP\tO' -p260714 -aS'400\t400\tCD\tI-NP\tO' -p260715 -aS'mg\tmg\tNN\tI-NP\tO' -p260716 -aS'/\t/\tSYM\tB-NP\tO' -p260717 -aS'5\t5\tCD\tB-NP\tO' -p260718 -aS'mL\tmL\tNN\tI-NP\tO' -p260719 -aS'Suspension\tSuspension\tNNP\tI-NP\tO' -p260720 -aS'Sig\tSig\tNNP\tI-NP\tO' -p260721 -aS':\t:\t:\tO\tO' -p260722 -aS'Thirty\tThirty\tCD\tB-NP\tO' -p260723 -aS'(\t(\t(\tO\tO' -p260724 -aS'30\t30\tCD\tO\tO' -p260725 -aS')\t)\t)\tO\tO' -p260726 -aS'ML\tML\tNN\tB-NP\tO' -p260727 -aS'PO\tPO\tNN\tI-NP\tO' -p260728 -aS'Q6H\tQ6H\tNN\tI-NP\tO' -p260729 -aS'(\t(\t(\tO\tO' -p260730 -aS'every\tevery\tDT\tB-NP\tO' -p260731 -aS'6\t6\tCD\tI-NP\tO' -p260732 -aS'hours\thour\tNNS\tI-NP\tO' -p260733 -aS')\t)\t)\tO\tO' -p260734 -aS'as\tas\tIN\tB-SBAR\tO' -p260735 -aS'needed\tneed\tVBN\tB-VP\tO' -p260736 -aS'.\t.\t.\tO\tO' -p260737 -asS'She is currently receiving 11 mg po every day .' -p260738 -(lp260739 -S'She\tShe\tPRP\tB-NP\tO' -p260740 -aS'is\tbe\tVBZ\tB-VP\tO' -p260741 -aS'currently\tcurrently\tRB\tI-VP\tO' -p260742 -aS'receiving\treceive\tVBG\tI-VP\tO' -p260743 -aS'11\t11\tCD\tB-NP\tO' -p260744 -aS'mg\tmg\tNN\tI-NP\tO' -p260745 -aS'po\tpo\tRB\tB-NP\tO' -p260746 -aS'every\tevery\tDT\tI-NP\tO' -p260747 -aS'day\tday\tNN\tI-NP\tO' -p260748 -aS'.\t.\t.\tO\tO' -p260749 -asS'Hct stabilized to 24 for three days prior to discharge .' -p260750 -(lp260751 -S'Hct\tHct\tNN\tB-NP\tO' -p260752 -aS'stabilized\tstabilize\tVBD\tB-VP\tO' -p260753 -aS'to\tto\tTO\tB-PP\tO' -p260754 -aS'24\t24\tCD\tB-NP\tO' -p260755 -aS'for\tfor\tIN\tB-PP\tO' -p260756 -aS'three\tthree\tCD\tB-NP\tO' -p260757 -aS'days\tday\tNNS\tI-NP\tO' -p260758 -aS'prior\tprior\tRB\tB-ADVP\tO' -p260759 -aS'to\tto\tTO\tB-VP\tO' -p260760 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p260761 -aS'.\t.\t.\tO\tO' -p260762 -asS'Snorts cocaine 1-2 times monthly .' -p260763 -(lp260764 -S'Snorts\tSnort\tNNS\tB-NP\tO' -p260765 -aS'cocaine\tcocaine\tNN\tI-NP\tO' -p260766 -aS'1-2\t1-2\tCD\tB-NP\tO' -p260767 -aS'times\ttime\tNNS\tI-NP\tO' -p260768 -aS'monthly\tmonthly\tRB\tB-ADVP\tO' -p260769 -aS'.\t.\t.\tO\tO' -p260770 -asS'An echocardiogram performed at the outside hospital while he was septic showed decreased global EF .' -p260771 -(lp260772 -S'An\tAn\tDT\tB-NP\tO' -p260773 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p260774 -aS'performed\tperform\tVBN\tB-VP\tO' -p260775 -aS'at\tat\tIN\tB-PP\tO' -p260776 -aS'the\tthe\tDT\tB-NP\tO' -p260777 -aS'outside\toutside\tJJ\tI-NP\tO' -p260778 -aS'hospital\thospital\tNN\tI-NP\tO' -p260779 -aS'while\twhile\tIN\tB-SBAR\tO' -p260780 -aS'he\the\tPRP\tB-NP\tO' -p260781 -aS'was\tbe\tVBD\tB-VP\tO' -p260782 -aS'septic\tseptic\tJJ\tB-ADJP\tO' -p260783 -aS'showed\tshow\tVBD\tB-VP\tO' -p260784 -aS'decreased\tdecrease\tVBN\tI-VP\tO' -p260785 -aS'global\tglobal\tJJ\tB-NP\tB-protein' -p260786 -aS'EF\tEF\tNN\tI-NP\tI-protein' -p260787 -aS'.\t.\t.\tO\tO' -p260788 -asS'# Fevers : in the Amanda , high WBC , possible pneumonia .' -p260789 -(lp260790 -S'#\t#\t#\tB-NP\tO' -p260791 -aS'Fevers\tFever\tNNPS\tI-NP\tO' -p260792 -aS':\t:\t:\tO\tO' -p260793 -aS'in\tin\tIN\tB-PP\tO' -p260794 -aS'the\tthe\tDT\tB-NP\tO' -p260795 -aS'Amanda\tAmanda\tNNP\tI-NP\tO' -p260796 -aS',\t,\t,\tI-NP\tO' -p260797 -aS'high\thigh\tJJ\tI-NP\tO' -p260798 -aS'WBC\tWBC\tNNP\tI-NP\tO' -p260799 -aS',\t,\t,\tO\tO' -p260800 -aS'possible\tpossible\tJJ\tB-NP\tO' -p260801 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p260802 -aS'.\t.\t.\tO\tO' -p260803 -asS'Significant for Guillain-Barr syndrome , Lupus , status post multiple decubiti , peripheral vascular disease , status post right total knee replacement and status post cholecystectomy , status post hysterectomy , status post goiter and left lung fibrosis , status post methicillin resistant Staphylococcus aureus pneumonia .' -p260804 -(lp260805 -S'Significant\tSignificant\tJJ\tB-ADJP\tO' -p260806 -aS'for\tfor\tIN\tB-PP\tO' -p260807 -aS'Guillain-Barr\tGuillain-Barr\tJJ\tB-NP\tO' -p260808 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p260809 -aS',\t,\t,\tO\tO' -p260810 -aS'Lupus\tLupus\tNN\tB-NP\tO' -p260811 -aS',\t,\t,\tO\tO' -p260812 -aS'status\tstatus\tNN\tB-NP\tO' -p260813 -aS'post\tpost\tNN\tI-NP\tO' -p260814 -aS'multiple\tmultiple\tJJ\tI-NP\tO' -p260815 -aS'decubiti\tdecubiti\tNN\tI-NP\tO' -p260816 -aS',\t,\t,\tO\tO' -p260817 -aS'peripheral\tperipheral\tJJ\tB-NP\tO' -p260818 -aS'vascular\tvascular\tJJ\tI-NP\tO' -p260819 -aS'disease\tdisease\tNN\tI-NP\tO' -p260820 -aS',\t,\t,\tO\tO' -p260821 -aS'status\tstatus\tNN\tB-NP\tO' -p260822 -aS'post\tpost\tVBD\tB-VP\tO' -p260823 -aS'right\tright\tJJ\tB-NP\tO' -p260824 -aS'total\ttotal\tJJ\tI-NP\tO' -p260825 -aS'knee\tknee\tNN\tI-NP\tO' -p260826 -aS'replacement\treplacement\tNN\tI-NP\tO' -p260827 -aS'and\tand\tCC\tO\tO' -p260828 -aS'status\tstatus\tNN\tB-NP\tO' -p260829 -aS'post\tpost\tNN\tI-NP\tO' -p260830 -aS'cholecystectomy\tcholecystectomy\tNN\tI-NP\tO' -p260831 -aS',\t,\t,\tO\tO' -p260832 -aS'status\tstatus\tNN\tB-NP\tO' -p260833 -aS'post\tpost\tNN\tI-NP\tO' -p260834 -aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' -p260835 -aS',\t,\t,\tO\tO' -p260836 -aS'status\tstatus\tNN\tB-NP\tO' -p260837 -aS'post\tpost\tNN\tI-NP\tO' -p260838 -aS'goiter\tgoiter\tNN\tI-NP\tO' -p260839 -aS'and\tand\tCC\tO\tO' -p260840 -aS'left\tleave\tVBD\tB-VP\tO' -p260841 -aS'lung\tlung\tNN\tB-NP\tO' -p260842 -aS'fibrosis\tfibrosis\tNN\tI-NP\tO' -p260843 -aS',\t,\t,\tO\tO' -p260844 -aS'status\tstatus\tNN\tB-NP\tB-protein' -p260845 -aS'post\tpost\tNN\tI-NP\tI-protein' -p260846 -aS'methicillin\tmethicillin\tNN\tI-NP\tI-protein' -p260847 -aS'resistant\tresistant\tJJ\tI-NP\tO' -p260848 -aS'Staphylococcus\tStaphylococcus\tFW\tI-NP\tO' -p260849 -aS'aureus\taureus\tFW\tI-NP\tO' -p260850 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p260851 -aS'.\t.\t.\tO\tO' -p260852 -asS'The chest was clear and the cardiac rhythm was regular .' -p260853 -(lp260854 -S'The\tThe\tDT\tB-NP\tO' -p260855 -aS'chest\tchest\tNN\tI-NP\tO' -p260856 -aS'was\tbe\tVBD\tB-VP\tO' -p260857 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p260858 -aS'and\tand\tCC\tO\tO' -p260859 -aS'the\tthe\tDT\tB-NP\tO' -p260860 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p260861 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p260862 -aS'was\tbe\tVBD\tB-VP\tO' -p260863 -aS'regular\tregular\tJJ\tB-ADJP\tO' -p260864 -aS'.\t.\t.\tO\tO' -p260865 -asS'Augmentin 500/125 1 tab PO tid x 7 days .' -p260866 -(lp260867 -S'Augmentin\tAugmentin\tIN\tB-PP\tO' -p260868 -aS'500/125\t500/125\tCD\tB-NP\tO' -p260869 -aS'1\t1\tCD\tI-NP\tO' -p260870 -aS'tab\ttab\tNN\tI-NP\tO' -p260871 -aS'PO\tPO\tNN\tI-NP\tO' -p260872 -aS'tid\ttid\tNN\tI-NP\tO' -p260873 -aS'x\tx\tSYM\tB-VP\tO' -p260874 -aS'7\t7\tCD\tB-NP\tO' -p260875 -aS'days\tday\tNNS\tI-NP\tO' -p260876 -aS'.\t.\t.\tO\tO' -p260877 -asS'Tender , external hemorrhoids , guaiac negative .' -p260878 -(lp260879 -S'Tender\tTender\tNN\tB-NP\tO' -p260880 -aS',\t,\t,\tO\tO' -p260881 -aS'external\texternal\tJJ\tB-NP\tO' -p260882 -aS'hemorrhoids\themorrhoid\tNNS\tI-NP\tO' -p260883 -aS',\t,\t,\tO\tO' -p260884 -aS'guaiac\tguaiac\tNN\tB-NP\tO' -p260885 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p260886 -aS'.\t.\t.\tO\tO' -p260887 -asS'4. Status post respiratory distress syndrome .' -p260888 -(lp260889 -S'4.\t4.\tLS\tB-LST\tO' -p260890 -aS'Status\tStatus\tNNP\tB-NP\tO' -p260891 -aS'post\tpost\tIN\tB-PP\tO' -p260892 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p260893 -aS'distress\tdistress\tNN\tI-NP\tO' -p260894 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p260895 -aS'.\t.\t.\tO\tO' -p260896 -asS'Waiting for a subsidized apartment .' -p260897 -(lp260898 -S'Waiting\tWait\tVBG\tB-VP\tO' -p260899 -aS'for\tfor\tIN\tB-PP\tO' -p260900 -aS'a\ta\tDT\tB-NP\tO' -p260901 -aS'subsidized\tsubsidized\tJJ\tI-NP\tO' -p260902 -aS'apartment\tapartment\tNN\tI-NP\tO' -p260903 -aS'.\t.\t.\tO\tO' -p260904 -asS'The patient was given respiratory therapy in the way of nebulizer treatments in the Oaksgekesser/ Memorial Hospital Emergency Room because of a longstanding desire by patient and family to refrain from intubation to be considered Do Not Resuscitate .' -p260905 -(lp260906 -S'The\tThe\tDT\tB-NP\tO' -p260907 -aS'patient\tpatient\tNN\tI-NP\tO' -p260908 -aS'was\tbe\tVBD\tB-VP\tO' -p260909 -aS'given\tgive\tVBN\tI-VP\tO' -p260910 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p260911 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p260912 -aS'in\tin\tIN\tB-PP\tO' -p260913 -aS'the\tthe\tDT\tB-NP\tO' -p260914 -aS'way\tway\tNN\tI-NP\tO' -p260915 -aS'of\tof\tIN\tB-PP\tO' -p260916 -aS'nebulizer\tnebulizer\tNN\tB-NP\tO' -p260917 -aS'treatments\ttreatment\tNNS\tI-NP\tO' -p260918 -aS'in\tin\tIN\tB-PP\tO' -p260919 -aS'the\tthe\tDT\tB-NP\tO' -p260920 -aS'Oaksgekesser/\tOaksgekesser/\tNNP\tI-NP\tO' -p260921 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p260922 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p260923 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p260924 -aS'Room\tRoom\tNNP\tI-NP\tO' -p260925 -aS'because\tbecause\tIN\tB-PP\tO' -p260926 -aS'of\tof\tIN\tI-PP\tO' -p260927 -aS'a\ta\tDT\tB-NP\tO' -p260928 -aS'longstanding\tlongstanding\tJJ\tI-NP\tO' -p260929 -aS'desire\tdesire\tNN\tI-NP\tO' -p260930 -aS'by\tby\tIN\tB-PP\tO' -p260931 -aS'patient\tpatient\tNN\tB-NP\tO' -p260932 -aS'and\tand\tCC\tI-NP\tO' -p260933 -aS'family\tfamily\tNN\tI-NP\tO' -p260934 -aS'to\tto\tTO\tB-VP\tO' -p260935 -aS'refrain\trefrain\tVB\tI-VP\tO' -p260936 -aS'from\tfrom\tIN\tB-PP\tO' -p260937 -aS'intubation\tintubation\tNN\tB-NP\tO' -p260938 -aS'to\tto\tTO\tB-VP\tO' -p260939 -aS'be\tbe\tVB\tI-VP\tO' -p260940 -aS'considered\tconsider\tVBN\tI-VP\tO' -p260941 -aS'Do\tDo\tNNP\tB-NP\tO' -p260942 -aS'Not\tNot\tNNP\tI-NP\tO' -p260943 -aS'Resuscitate\tResuscitate\tNNP\tI-NP\tO' -p260944 -aS'.\t.\t.\tO\tO' -p260945 -asS'She received postoperative chemotherapy .' -p260946 -(lp260947 -S'She\tShe\tPRP\tB-NP\tO' -p260948 -aS'received\treceive\tVBD\tB-VP\tO' -p260949 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p260950 -aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' -p260951 -aS'.\t.\t.\tO\tO' -p260952 -asS'Fluid challenge with 36gm of albumin , one unit of PRBCs and 2L of NS .' -p260953 -(lp260954 -S'Fluid\tFluid\tNN\tB-NP\tO' -p260955 -aS'challenge\tchallenge\tNN\tI-NP\tO' -p260956 -aS'with\twith\tIN\tB-PP\tO' -p260957 -aS'36gm\t36gm\tNN\tB-NP\tO' -p260958 -aS'of\tof\tIN\tB-PP\tO' -p260959 -aS'albumin\talbumin\tNN\tB-NP\tB-protein' -p260960 -aS',\t,\t,\tO\tO' -p260961 -aS'one\tone\tCD\tB-NP\tO' -p260962 -aS'unit\tunit\tNN\tI-NP\tO' -p260963 -aS'of\tof\tIN\tB-PP\tO' -p260964 -aS'PRBCs\tPRBC\tNNS\tB-NP\tB-cell_type' -p260965 -aS'and\tand\tCC\tO\tO' -p260966 -aS'2L\t2L\tNN\tB-NP\tO' -p260967 -aS'of\tof\tIN\tB-PP\tO' -p260968 -aS'NS\tNS\tNN\tB-NP\tB-protein' -p260969 -aS'.\t.\t.\tO\tO' -p260970 -asS'The stabbing , sharp pain that she occasionally has on the left chest wall was significantly diminished and she also noticed periods of time when she did not have any of that pain .' -p260971 -(lp260972 -S'The\tThe\tDT\tB-NP\tO' -p260973 -aS'stabbing\tstabbing\tNN\tI-NP\tO' -p260974 -aS',\t,\t,\tO\tO' -p260975 -aS'sharp\tsharp\tJJ\tB-NP\tO' -p260976 -aS'pain\tpain\tNN\tI-NP\tO' -p260977 -aS'that\tthat\tIN\tB-SBAR\tO' -p260978 -aS'she\tshe\tPRP\tB-NP\tO' -p260979 -aS'occasionally\toccasionally\tRB\tB-ADVP\tO' -p260980 -aS'has\thave\tVBZ\tB-VP\tO' -p260981 -aS'on\ton\tIN\tB-PP\tO' -p260982 -aS'the\tthe\tDT\tB-NP\tO' -p260983 -aS'left\tleft\tJJ\tI-NP\tO' -p260984 -aS'chest\tchest\tNN\tI-NP\tO' -p260985 -aS'wall\twall\tNN\tI-NP\tO' -p260986 -aS'was\tbe\tVBD\tB-VP\tO' -p260987 -aS'significantly\tsignificantly\tRB\tI-VP\tO' -p260988 -aS'diminished\tdiminish\tVBN\tI-VP\tO' -p260989 -aS'and\tand\tCC\tO\tO' -p260990 -aS'she\tshe\tPRP\tB-NP\tO' -p260991 -aS'also\talso\tRB\tB-ADVP\tO' -p260992 -aS'noticed\tnotice\tVBD\tB-VP\tO' -p260993 -aS'periods\tperiod\tNNS\tB-NP\tO' -p260994 -aS'of\tof\tIN\tB-PP\tO' -p260995 -aS'time\ttime\tNN\tB-NP\tO' -p260996 -aS'when\twhen\tWRB\tB-ADVP\tO' -p260997 -aS'she\tshe\tPRP\tB-NP\tO' -p260998 -aS'did\tdo\tVBD\tB-VP\tO' -p260999 -aS'not\tnot\tRB\tI-VP\tO' -p261000 -aS'have\thave\tVB\tI-VP\tO' -p261001 -aS'any\tany\tDT\tB-NP\tO' -p261002 -aS'of\tof\tIN\tB-PP\tO' -p261003 -aS'that\tthat\tDT\tB-NP\tO' -p261004 -aS'pain\tpain\tNN\tI-NP\tO' -p261005 -aS'.\t.\t.\tO\tO' -p261006 -asS'He underwent a staging CT scan torso which suggested no significant increase in tumor burden .' -p261007 -(lp261008 -S'He\tHe\tPRP\tB-NP\tO' -p261009 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p261010 -aS'a\ta\tDT\tB-NP\tO' -p261011 -aS'staging\tstag\tVBG\tI-NP\tO' -p261012 -aS'CT\tCT\tNN\tI-NP\tO' -p261013 -aS'scan\tscan\tNN\tI-NP\tO' -p261014 -aS'torso\ttorso\tNN\tI-NP\tO' -p261015 -aS'which\twhich\tWDT\tB-NP\tO' -p261016 -aS'suggested\tsuggest\tVBD\tB-VP\tO' -p261017 -aS'no\tno\tDT\tB-NP\tO' -p261018 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p261019 -aS'increase\tincrease\tNN\tI-NP\tO' -p261020 -aS'in\tin\tIN\tB-PP\tO' -p261021 -aS'tumor\ttumor\tNN\tB-NP\tO' -p261022 -aS'burden\tburden\tNN\tI-NP\tO' -p261023 -aS'.\t.\t.\tO\tO' -p261024 -asS'6 ) Levoxyl 100 mg p.o. q. day .' -p261025 -(lp261026 -S'6\t6\tCD\tB-NP\tO' -p261027 -aS')\t)\t)\tO\tO' -p261028 -aS'Levoxyl\tLevoxyl\tNN\tB-NP\tO' -p261029 -aS'100\t100\tCD\tI-NP\tO' -p261030 -aS'mg\tmg\tNN\tI-NP\tO' -p261031 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p261032 -aS'q.\tq.\tNN\tI-NP\tO' -p261033 -aS'day\tday\tNN\tI-NP\tO' -p261034 -aS'.\t.\t.\tO\tO' -p261035 -asS'Follow-up was arranged with neurosurgery in 5-6 weeks with repeat head ct to be arranged by neurosurgery office to make sure blood has cleared , and if indicated , to look for a possible underlying lesion ( although unlikely ) .' -p261036 -(lp261037 -S'Follow-up\tFollow-up\tNN\tB-NP\tO' -p261038 -aS'was\tbe\tVBD\tB-VP\tO' -p261039 -aS'arranged\tarrange\tVBN\tI-VP\tO' -p261040 -aS'with\twith\tIN\tB-PP\tO' -p261041 -aS'neurosurgery\tneurosurgery\tNN\tB-NP\tO' -p261042 -aS'in\tin\tIN\tB-PP\tO' -p261043 -aS'5-6\t5-6\tCD\tB-NP\tO' -p261044 -aS'weeks\tweek\tNNS\tI-NP\tO' -p261045 -aS'with\twith\tIN\tB-PP\tO' -p261046 -aS'repeat\trepeat\tNN\tB-NP\tO' -p261047 -aS'head\thead\tNN\tI-NP\tO' -p261048 -aS'ct\tct\tNN\tI-NP\tO' -p261049 -aS'to\tto\tTO\tB-VP\tO' -p261050 -aS'be\tbe\tVB\tI-VP\tO' -p261051 -aS'arranged\tarrange\tVBN\tI-VP\tO' -p261052 -aS'by\tby\tIN\tB-PP\tO' -p261053 -aS'neurosurgery\tneurosurgery\tNN\tB-NP\tO' -p261054 -aS'office\toffice\tNN\tI-NP\tO' -p261055 -aS'to\tto\tTO\tB-VP\tO' -p261056 -aS'make\tmake\tVB\tI-VP\tO' -p261057 -aS'sure\tsure\tJJ\tB-ADJP\tO' -p261058 -aS'blood\tblood\tNN\tB-NP\tO' -p261059 -aS'has\thave\tVBZ\tB-VP\tO' -p261060 -aS'cleared\tclear\tVBN\tI-VP\tO' -p261061 -aS',\t,\t,\tO\tO' -p261062 -aS'and\tand\tCC\tO\tO' -p261063 -aS'if\tif\tIN\tB-SBAR\tO' -p261064 -aS'indicated\tindicate\tVBN\tB-VP\tO' -p261065 -aS',\t,\t,\tO\tO' -p261066 -aS'to\tto\tTO\tB-VP\tO' -p261067 -aS'look\tlook\tVB\tI-VP\tO' -p261068 -aS'for\tfor\tIN\tB-PP\tO' -p261069 -aS'a\ta\tDT\tB-NP\tO' -p261070 -aS'possible\tpossible\tJJ\tI-NP\tO' -p261071 -aS'underlying\tunderlie\tVBG\tI-NP\tO' -p261072 -aS'lesion\tlesion\tNN\tI-NP\tO' -p261073 -aS'(\t(\t(\tO\tO' -p261074 -aS'although\talthough\tIN\tB-SBAR\tO' -p261075 -aS'unlikely\tunlikely\tJJ\tB-ADJP\tO' -p261076 -aS')\t)\t)\tO\tO' -p261077 -aS'.\t.\t.\tO\tO' -p261078 -asS'12. status post left breast biopsy .' -p261079 -(lp261080 -S'12.\t12.\tLS\tB-NP\tO' -p261081 -aS'status\tstatus\tNN\tI-NP\tO' -p261082 -aS'post\tpost\tNN\tI-NP\tO' -p261083 -aS'left\tleave\tVBD\tB-VP\tO' -p261084 -aS'breast\tbreast\tNN\tB-NP\tO' -p261085 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p261086 -aS'.\t.\t.\tO\tO' -p261087 -asS'She received one dose of Survanta and then weaned well on ventilator settings .' -p261088 -(lp261089 -S'She\tShe\tPRP\tB-NP\tO' -p261090 -aS'received\treceive\tVBD\tB-VP\tO' -p261091 -aS'one\tone\tCD\tB-NP\tO' -p261092 -aS'dose\tdose\tNN\tI-NP\tO' -p261093 -aS'of\tof\tIN\tB-PP\tO' -p261094 -aS'Survanta\tSurvanta\tNN\tB-NP\tO' -p261095 -aS'and\tand\tCC\tO\tO' -p261096 -aS'then\tthen\tRB\tB-VP\tO' -p261097 -aS'weaned\twean\tVBD\tI-VP\tO' -p261098 -aS'well\twell\tRB\tB-ADVP\tO' -p261099 -aS'on\ton\tIN\tB-PP\tO' -p261100 -aS'ventilator\tventilator\tNN\tB-NP\tO' -p261101 -aS'settings\tsetting\tNNS\tI-NP\tO' -p261102 -aS'.\t.\t.\tO\tO' -p261103 -asS'3. Type I diabetes mellitus .' -p261104 -(lp261105 -S'3.\t3.\tLS\tB-LST\tO' -p261106 -aS'Type\tType\tNN\tB-NP\tO' -p261107 -aS'I\tI\tCD\tI-NP\tO' -p261108 -aS'diabetes\tdiabetes\tNN\tI-NP\tO' -p261109 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p261110 -aS'.\t.\t.\tO\tO' -p261111 -asS'1) Aortic stenosis , severe , echocardiogram in July of 1998 with a peak gradient of 6-8 mm of mercury , aortic valve area calculated to be 0.5 cm squared by the continuity equation .' -p261112 -(lp261113 -S'1)\t1)\tLS\tB-NP\tO' -p261114 -aS'Aortic\tAortic\tJJ\tI-NP\tO' -p261115 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p261116 -aS',\t,\t,\tO\tO' -p261117 -aS'severe\tsevere\tJJ\tB-ADJP\tO' -p261118 -aS',\t,\t,\tO\tO' -p261119 -aS'echocardiogram\techocardiogram\tNN\tB-NP\tO' -p261120 -aS'in\tin\tIN\tB-PP\tO' -p261121 -aS'July\tJuly\tNNP\tB-NP\tO' -p261122 -aS'of\tof\tIN\tB-PP\tO' -p261123 -aS'1998\t1998\tCD\tB-NP\tO' -p261124 -aS'with\twith\tIN\tB-PP\tO' -p261125 -aS'a\ta\tDT\tB-NP\tO' -p261126 -aS'peak\tpeak\tJJ\tI-NP\tO' -p261127 -aS'gradient\tgradient\tNN\tI-NP\tO' -p261128 -aS'of\tof\tIN\tB-PP\tO' -p261129 -aS'6-8\t6-8\tCD\tB-NP\tO' -p261130 -aS'mm\tmm\tNN\tI-NP\tO' -p261131 -aS'of\tof\tIN\tB-PP\tO' -p261132 -aS'mercury\tmercury\tNN\tB-NP\tO' -p261133 -aS',\t,\t,\tO\tO' -p261134 -aS'aortic\taortic\tJJ\tB-NP\tO' -p261135 -aS'valve\tvalve\tNN\tI-NP\tO' -p261136 -aS'area\tarea\tNN\tI-NP\tO' -p261137 -aS'calculated\tcalculate\tVBN\tB-VP\tO' -p261138 -aS'to\tto\tTO\tI-VP\tO' -p261139 -aS'be\tbe\tVB\tI-VP\tO' -p261140 -aS'0.5\t0.5\tCD\tB-NP\tO' -p261141 -aS'cm\tcm\tNN\tI-NP\tO' -p261142 -aS'squared\tsquare\tVBN\tB-VP\tO' -p261143 -aS'by\tby\tIN\tB-PP\tO' -p261144 -aS'the\tthe\tDT\tB-NP\tO' -p261145 -aS'continuity\tcontinuity\tNN\tI-NP\tO' -p261146 -aS'equation\tequation\tNN\tI-NP\tO' -p261147 -aS'.\t.\t.\tO\tO' -p261148 -asS'On postoperative day 2 , another attempt was made to wean the patient off of Neo-Synephrine unsuccessfully .' -p261149 -(lp261150 -S'On\tOn\tIN\tB-PP\tO' -p261151 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p261152 -aS'day\tday\tNN\tI-NP\tO' -p261153 -aS'2\t2\tCD\tI-NP\tO' -p261154 -aS',\t,\t,\tO\tO' -p261155 -aS'another\tanother\tDT\tB-NP\tO' -p261156 -aS'attempt\tattempt\tNN\tI-NP\tO' -p261157 -aS'was\tbe\tVBD\tB-VP\tO' -p261158 -aS'made\tmake\tVBN\tI-VP\tO' -p261159 -aS'to\tto\tTO\tB-VP\tO' -p261160 -aS'wean\twean\tVB\tI-VP\tO' -p261161 -aS'the\tthe\tDT\tB-NP\tO' -p261162 -aS'patient\tpatient\tNN\tI-NP\tO' -p261163 -aS'off\toff\tRP\tB-PRT\tO' -p261164 -aS'of\tof\tIN\tB-PP\tO' -p261165 -aS'Neo-Synephrine\tNeo-Synephrine\tNN\tB-NP\tO' -p261166 -aS'unsuccessfully\tunsuccessfully\tRB\tB-ADVP\tO' -p261167 -aS'.\t.\t.\tO\tO' -p261168 -asS'works at a deli in beaconhill .' -p261169 -(lp261170 -S'works\twork\tNNS\tB-NP\tO' -p261171 -aS'at\tat\tIN\tB-PP\tO' -p261172 -aS'a\ta\tDT\tB-NP\tO' -p261173 -aS'deli\tdeli\tNN\tI-NP\tO' -p261174 -aS'in\tin\tIN\tB-PP\tO' -p261175 -aS'beaconhill\tbeaconhill\tNN\tB-NP\tO' -p261176 -aS'.\t.\t.\tO\tO' -p261177 -asS'The left ventricular inflow pattern suggests a restrictive filling abnormality , with elevated left atrial pressure .' -p261178 -(lp261179 -S'The\tThe\tDT\tB-NP\tO' -p261180 -aS'left\tleft\tJJ\tI-NP\tO' -p261181 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p261182 -aS'inflow\tinflow\tNN\tI-NP\tO' -p261183 -aS'pattern\tpattern\tNN\tI-NP\tO' -p261184 -aS'suggests\tsuggest\tVBZ\tB-VP\tO' -p261185 -aS'a\ta\tDT\tB-NP\tO' -p261186 -aS'restrictive\trestrictive\tJJ\tI-NP\tO' -p261187 -aS'filling\tfilling\tNN\tI-NP\tO' -p261188 -aS'abnormality\tabnormality\tNN\tI-NP\tO' -p261189 -aS',\t,\t,\tO\tO' -p261190 -aS'with\twith\tIN\tB-PP\tO' -p261191 -aS'elevated\televated\tJJ\tB-NP\tO' -p261192 -aS'left\tleft\tJJ\tI-NP\tO' -p261193 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p261194 -aS'pressure\tpressure\tNN\tI-NP\tO' -p261195 -aS'.\t.\t.\tO\tO' -p261196 -asS'Completed 7 days of vanc/fluc , 13/14 days of cipro/zosyn .' -p261197 -(lp261198 -S'Completed\tComplete\tVBN\tB-VP\tO' -p261199 -aS'7\t7\tCD\tB-NP\tO' -p261200 -aS'days\tday\tNNS\tI-NP\tO' -p261201 -aS'of\tof\tIN\tB-PP\tO' -p261202 -aS'vanc/fluc\tvanc/fluc\tNN\tB-NP\tO' -p261203 -aS',\t,\t,\tO\tO' -p261204 -aS'13/14\t13/14\tCD\tB-NP\tO' -p261205 -aS'days\tday\tNNS\tI-NP\tO' -p261206 -aS'of\tof\tIN\tB-PP\tO' -p261207 -aS'cipro/zosyn\tcipro/zosyn\tNN\tB-NP\tO' -p261208 -aS'.\t.\t.\tO\tO' -p261209 -asS'One to two weeks with his primary care physician and two to three weeks with his cardiologist and at one month with Dr. Costello .' -p261210 -(lp261211 -S'One\tOne\tCD\tB-NP\tO' -p261212 -aS'to\tto\tTO\tI-NP\tO' -p261213 -aS'two\ttwo\tCD\tI-NP\tO' -p261214 -aS'weeks\tweek\tNNS\tI-NP\tO' -p261215 -aS'with\twith\tIN\tB-PP\tO' -p261216 -aS'his\this\tPRP$\tB-NP\tO' -p261217 -aS'primary\tprimary\tJJ\tI-NP\tO' -p261218 -aS'care\tcare\tNN\tI-NP\tO' -p261219 -aS'physician\tphysician\tNN\tI-NP\tO' -p261220 -aS'and\tand\tCC\tO\tO' -p261221 -aS'two\ttwo\tCD\tB-NP\tO' -p261222 -aS'to\tto\tTO\tI-NP\tO' -p261223 -aS'three\tthree\tCD\tI-NP\tO' -p261224 -aS'weeks\tweek\tNNS\tI-NP\tO' -p261225 -aS'with\twith\tIN\tB-PP\tO' -p261226 -aS'his\this\tPRP$\tB-NP\tO' -p261227 -aS'cardiologist\tcardiologist\tNN\tI-NP\tO' -p261228 -aS'and\tand\tCC\tB-PP\tO' -p261229 -aS'at\tat\tIN\tB-PP\tO' -p261230 -aS'one\tone\tCD\tB-NP\tO' -p261231 -aS'month\tmonth\tNN\tI-NP\tO' -p261232 -aS'with\twith\tIN\tB-PP\tO' -p261233 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p261234 -aS'Costello\tCostello\tNNP\tI-NP\tO' -p261235 -aS'.\t.\t.\tO\tO' -p261236 -asS'She has a 5-year-old son .' -p261237 -(lp261238 -S'She\tShe\tPRP\tB-NP\tO' -p261239 -aS'has\thave\tVBZ\tB-VP\tO' -p261240 -aS'a\ta\tDT\tB-NP\tO' -p261241 -aS'5-year-old\t5-year-old\tJJ\tI-NP\tO' -p261242 -aS'son\tson\tNN\tI-NP\tO' -p261243 -aS'.\t.\t.\tO\tO' -p261244 -asS'Gentamicin , and ibuprofen .' -p261245 -(lp261246 -S'Gentamicin\tGentamicin\tNN\tB-NP\tO' -p261247 -aS',\t,\t,\tO\tO' -p261248 -aS'and\tand\tCC\tO\tO' -p261249 -aS'ibuprofen\tibuprofen\tNN\tB-NP\tO' -p261250 -aS'.\t.\t.\tO\tO' -p261251 -asS'A STAT HCT drawn at this time was 19.5 .' -p261252 -(lp261253 -S'A\tA\tDT\tB-NP\tO' -p261254 -aS'STAT\tSTAT\tNN\tI-NP\tB-protein' -p261255 -aS'HCT\tHCT\tNN\tI-NP\tO' -p261256 -aS'drawn\tdraw\tVBN\tB-VP\tO' -p261257 -aS'at\tat\tIN\tB-PP\tO' -p261258 -aS'this\tthis\tDT\tB-NP\tO' -p261259 -aS'time\ttime\tNN\tI-NP\tO' -p261260 -aS'was\tbe\tVBD\tB-VP\tO' -p261261 -aS'19.5\t19.5\tCD\tB-NP\tO' -p261262 -aS'.\t.\t.\tO\tO' -p261263 -asS'Sigmoid diverticulosis with focal narrowing of the sigmoid colon just distal to the dilatation with wall thickening , due to diverticulitis .' -p261264 -(lp261265 -S'Sigmoid\tSigmoid\tJJ\tB-NP\tO' -p261266 -aS'diverticulosis\tdiverticulosis\tNN\tI-NP\tO' -p261267 -aS'with\twith\tIN\tB-PP\tO' -p261268 -aS'focal\tfocal\tJJ\tB-NP\tO' -p261269 -aS'narrowing\tnarrowing\tNN\tI-NP\tO' -p261270 -aS'of\tof\tIN\tB-PP\tO' -p261271 -aS'the\tthe\tDT\tB-NP\tO' -p261272 -aS'sigmoid\tsigmoid\tJJ\tI-NP\tO' -p261273 -aS'colon\tcolon\tNN\tI-NP\tO' -p261274 -aS'just\tjust\tRB\tB-ADJP\tO' -p261275 -aS'distal\tdistal\tJJ\tI-ADJP\tO' -p261276 -aS'to\tto\tTO\tB-PP\tO' -p261277 -aS'the\tthe\tDT\tB-NP\tO' -p261278 -aS'dilatation\tdilatation\tNN\tI-NP\tO' -p261279 -aS'with\twith\tIN\tB-PP\tO' -p261280 -aS'wall\twall\tNN\tB-NP\tO' -p261281 -aS'thickening\tthickening\tNN\tI-NP\tO' -p261282 -aS',\t,\t,\tO\tO' -p261283 -aS'due\tdue\tIN\tB-PP\tO' -p261284 -aS'to\tto\tTO\tI-PP\tO' -p261285 -aS'diverticulitis\tdiverticulitis\tNN\tB-NP\tO' -p261286 -aS'.\t.\t.\tO\tO' -p261287 -asS'It was believed that a troponin on admission in addition to the wall motion abnormalities she underwent a non-Q wave myocardial infarction prior to resulted in her current cardiac failure .' -p261288 -(lp261289 -S'It\tIt\tPRP\tB-NP\tO' -p261290 -aS'was\tbe\tVBD\tB-VP\tO' -p261291 -aS'believed\tbelieve\tVBN\tI-VP\tO' -p261292 -aS'that\tthat\tIN\tB-SBAR\tO' -p261293 -aS'a\ta\tDT\tB-NP\tO' -p261294 -aS'troponin\ttroponin\tNN\tI-NP\tO' -p261295 -aS'on\ton\tIN\tB-PP\tO' -p261296 -aS'admission\tadmission\tNN\tB-NP\tO' -p261297 -aS'in\tin\tIN\tB-PP\tO' -p261298 -aS'addition\taddition\tNN\tB-NP\tO' -p261299 -aS'to\tto\tTO\tB-PP\tO' -p261300 -aS'the\tthe\tDT\tB-NP\tO' -p261301 -aS'wall\twall\tNN\tI-NP\tO' -p261302 -aS'motion\tmotion\tNN\tI-NP\tO' -p261303 -aS'abnormalities\tabnormality\tNNS\tI-NP\tO' -p261304 -aS'she\tshe\tPRP\tB-NP\tO' -p261305 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p261306 -aS'a\ta\tDT\tB-NP\tO' -p261307 -aS'non-Q\tnon-Q\tJJ\tI-NP\tO' -p261308 -aS'wave\twave\tNN\tI-NP\tO' -p261309 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p261310 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p261311 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p261312 -aS'to\tto\tTO\tB-VP\tO' -p261313 -aS'resulted\tresult\tVBD\tI-VP\tO' -p261314 -aS'in\tin\tIN\tB-PP\tO' -p261315 -aS'her\ther\tPRP$\tB-NP\tO' -p261316 -aS'current\tcurrent\tJJ\tI-NP\tO' -p261317 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p261318 -aS'failure\tfailure\tNN\tI-NP\tO' -p261319 -aS'.\t.\t.\tO\tO' -p261320 -asS'The abdomen showed a 10 cm liver with the edge palpable 2 fingerbreadths below the right costal margin .' -p261321 -(lp261322 -S'The\tThe\tDT\tB-NP\tO' -p261323 -aS'abdomen\tabdoman\tNNS\tI-NP\tO' -p261324 -aS'showed\tshow\tVBD\tB-VP\tO' -p261325 -aS'a\ta\tDT\tB-NP\tO' -p261326 -aS'10\t10\tCD\tI-NP\tO' -p261327 -aS'cm\tcm\tNN\tI-NP\tO' -p261328 -aS'liver\tliver\tNN\tI-NP\tO' -p261329 -aS'with\twith\tIN\tB-PP\tO' -p261330 -aS'the\tthe\tDT\tB-NP\tO' -p261331 -aS'edge\tedge\tNN\tI-NP\tO' -p261332 -aS'palpable\tpalpable\tJJ\tI-NP\tO' -p261333 -aS'2\t2\tCD\tI-NP\tO' -p261334 -aS'fingerbreadths\tfingerbreadth\tNNS\tI-NP\tO' -p261335 -aS'below\tbelow\tIN\tB-PP\tO' -p261336 -aS'the\tthe\tDT\tB-NP\tO' -p261337 -aS'right\tright\tJJ\tI-NP\tO' -p261338 -aS'costal\tcostal\tJJ\tI-NP\tO' -p261339 -aS'margin\tmargin\tNN\tI-NP\tO' -p261340 -aS'.\t.\t.\tO\tO' -p261341 -asS'Abdomen remained soft and nontender .' -p261342 -(lp261343 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p261344 -aS'remained\tremain\tVBD\tB-VP\tO' -p261345 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p261346 -aS'and\tand\tCC\tI-ADJP\tO' -p261347 -aS'nontender\tnontender\tJJ\tI-ADJP\tO' -p261348 -aS'.\t.\t.\tO\tO' -p261349 -asS'Monitor wounds for infection - redness , drainage , or increased pain' -p261350 -(lp261351 -S'Monitor\tMonitor\tNN\tB-NP\tO' -p261352 -aS'wounds\twound\tNNS\tI-NP\tO' -p261353 -aS'for\tfor\tIN\tB-PP\tO' -p261354 -aS'infection\tinfection\tNN\tB-NP\tO' -p261355 -aS'-\t-\tHYPH\tO\tO' -p261356 -aS'redness\tredness\tNN\tB-NP\tO' -p261357 -aS',\t,\t,\tO\tO' -p261358 -aS'drainage\tdrainage\tNN\tB-NP\tO' -p261359 -aS',\t,\t,\tO\tO' -p261360 -aS'or\tor\tCC\tO\tO' -p261361 -aS'increased\tincrease\tVBN\tB-NP\tO' -p261362 -aS'pain\tpain\tNN\tI-NP\tO' -p261363 -asS'She was transferred to step down .' -p261364 -(lp261365 -S'She\tShe\tPRP\tB-NP\tO' -p261366 -aS'was\tbe\tVBD\tB-VP\tO' -p261367 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p261368 -aS'to\tto\tTO\tI-VP\tO' -p261369 -aS'step\tstep\tVB\tI-VP\tO' -p261370 -aS'down\tdown\tRP\tB-PRT\tO' -p261371 -aS'.\t.\t.\tO\tO' -p261372 -asS'unremarkable .' -p261373 -(lp261374 -S'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p261375 -aS'.\t.\t.\tO\tO' -p261376 -asS'He was started on p.o. steroids and to CMED for management of COPD exacerbation but he appeared in more respiratory distress overnight and was started on IV Solu-Medrol and more frequent nebulizers for COPD .' -p261377 -(lp261378 -S'He\tHe\tPRP\tB-NP\tO' -p261379 -aS'was\tbe\tVBD\tB-VP\tO' -p261380 -aS'started\tstart\tVBN\tI-VP\tO' -p261381 -aS'on\ton\tIN\tB-PP\tO' -p261382 -aS'p.o.\tp.o.\tNN\tB-NP\tO' -p261383 -aS'steroids\tsteroid\tNNS\tI-NP\tO' -p261384 -aS'and\tand\tCC\tO\tO' -p261385 -aS'to\tto\tTO\tB-VP\tO' -p261386 -aS'CMED\tCMED\tVBN\tI-VP\tO' -p261387 -aS'for\tfor\tIN\tB-PP\tO' -p261388 -aS'management\tmanagement\tNN\tB-NP\tO' -p261389 -aS'of\tof\tIN\tB-PP\tO' -p261390 -aS'COPD\tCOPD\tNN\tB-NP\tO' -p261391 -aS'exacerbation\texacerbation\tNN\tI-NP\tO' -p261392 -aS'but\tbut\tCC\tO\tO' -p261393 -aS'he\the\tPRP\tB-NP\tO' -p261394 -aS'appeared\tappear\tVBD\tB-VP\tO' -p261395 -aS'in\tin\tIN\tB-PP\tO' -p261396 -aS'more\tmore\tRBR\tB-NP\tO' -p261397 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p261398 -aS'distress\tdistress\tNN\tI-NP\tO' -p261399 -aS'overnight\tovernight\tNN\tI-NP\tO' -p261400 -aS'and\tand\tCC\tO\tO' -p261401 -aS'was\tbe\tVBD\tB-VP\tO' -p261402 -aS'started\tstart\tVBN\tI-VP\tO' -p261403 -aS'on\ton\tIN\tB-PP\tO' -p261404 -aS'IV\tIV\tCD\tB-NP\tO' -p261405 -aS'Solu-Medrol\tSolu-Medrol\tNN\tI-NP\tO' -p261406 -aS'and\tand\tCC\tO\tO' -p261407 -aS'more\tmore\tRBR\tB-NP\tO' -p261408 -aS'frequent\tfrequent\tJJ\tI-NP\tO' -p261409 -aS'nebulizers\tnebulizer\tNNS\tI-NP\tO' -p261410 -aS'for\tfor\tIN\tB-PP\tO' -p261411 -aS'COPD\tCOPD\tNN\tB-NP\tO' -p261412 -aS'.\t.\t.\tO\tO' -p261413 -asS'exam within normal limits .' -p261414 -(lp261415 -S'exam\texam\tNN\tB-NP\tO' -p261416 -aS'within\twithin\tIN\tB-PP\tO' -p261417 -aS'normal\tnormal\tJJ\tB-NP\tO' -p261418 -aS'limits\tlimit\tNNS\tI-NP\tO' -p261419 -aS'.\t.\t.\tO\tO' -p261420 -asS'1. The patient will be followed by Orthopedics , Dr. Johnson .' -p261421 -(lp261422 -S'1.\t1.\tLS\tB-LST\tO' -p261423 -aS'The\tThe\tDT\tB-NP\tO' -p261424 -aS'patient\tpatient\tNN\tI-NP\tO' -p261425 -aS'will\twill\tMD\tB-VP\tO' -p261426 -aS'be\tbe\tVB\tI-VP\tO' -p261427 -aS'followed\tfollow\tVBN\tI-VP\tO' -p261428 -aS'by\tby\tIN\tB-PP\tO' -p261429 -aS'Orthopedics\tOrthopedics\tNNP\tB-NP\tO' -p261430 -aS',\t,\t,\tO\tO' -p261431 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p261432 -aS'Johnson\tJohnson\tNNP\tI-NP\tO' -p261433 -aS'.\t.\t.\tO\tO' -p261434 -asS'Quinine , Quinidine , Bactrim , Plaquenil .' -p261435 -(lp261436 -S'Quinine\tQuinine\tNNP\tB-NP\tO' -p261437 -aS',\t,\t,\tO\tO' -p261438 -aS'Quinidine\tQuinidine\tNNP\tB-NP\tO' -p261439 -aS',\t,\t,\tO\tO' -p261440 -aS'Bactrim\tBactrim\tNNP\tB-NP\tO' -p261441 -aS',\t,\t,\tO\tO' -p261442 -aS'Plaquenil\tPlaquenil\tNNP\tB-NP\tO' -p261443 -aS'.\t.\t.\tO\tO' -p261444 -asS'PCW was 11 .' -p261445 -(lp261446 -S'PCW\tPCW\tNN\tB-NP\tB-protein' -p261447 -aS'was\tbe\tVBD\tB-VP\tO' -p261448 -aS'11\t11\tCD\tB-NP\tO' -p261449 -aS'.\t.\t.\tO\tO' -p261450 -asS'An echocardiogram on 4/12 revealed a dilated left ventricle which was diffusely mildly hypokinetic with no vegetations .' -p261451 -(lp261452 -S'An\tAn\tDT\tB-NP\tO' -p261453 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p261454 -aS'on\ton\tIN\tB-PP\tO' -p261455 -aS'4/12\t4/12\tCD\tB-NP\tO' -p261456 -aS'revealed\treveal\tVBD\tB-VP\tO' -p261457 -aS'a\ta\tDT\tB-NP\tO' -p261458 -aS'dilated\tdilated\tJJ\tI-NP\tO' -p261459 -aS'left\tleft\tJJ\tI-NP\tO' -p261460 -aS'ventricle\tventricle\tNN\tI-NP\tO' -p261461 -aS'which\twhich\tWDT\tB-NP\tO' -p261462 -aS'was\tbe\tVBD\tB-VP\tO' -p261463 -aS'diffusely\tdiffusely\tRB\tB-ADJP\tO' -p261464 -aS'mildly\tmildly\tRB\tI-ADJP\tO' -p261465 -aS'hypokinetic\thypokinetic\tJJ\tI-ADJP\tO' -p261466 -aS'with\twith\tIN\tB-PP\tO' -p261467 -aS'no\tno\tDT\tB-NP\tO' -p261468 -aS'vegetations\tvegetation\tNNS\tI-NP\tO' -p261469 -aS'.\t.\t.\tO\tO' -p261470 -asS'Her physical examination at the time of admission revealed a pleasant lady in no acute distress .' -p261471 -(lp261472 -S'Her\tHer\tPRP$\tB-NP\tO' -p261473 -aS'physical\tphysical\tJJ\tI-NP\tO' -p261474 -aS'examination\texamination\tNN\tI-NP\tO' -p261475 -aS'at\tat\tIN\tB-PP\tO' -p261476 -aS'the\tthe\tDT\tB-NP\tO' -p261477 -aS'time\ttime\tNN\tI-NP\tO' -p261478 -aS'of\tof\tIN\tB-PP\tO' -p261479 -aS'admission\tadmission\tNN\tB-NP\tO' -p261480 -aS'revealed\treveal\tVBD\tB-VP\tO' -p261481 -aS'a\ta\tDT\tB-NP\tO' -p261482 -aS'pleasant\tpleasant\tJJ\tI-NP\tO' -p261483 -aS'lady\tlady\tNN\tI-NP\tO' -p261484 -aS'in\tin\tIN\tB-PP\tO' -p261485 -aS'no\tno\tDT\tB-NP\tO' -p261486 -aS'acute\tacute\tJJ\tI-NP\tO' -p261487 -aS'distress\tdistress\tNN\tI-NP\tO' -p261488 -aS'.\t.\t.\tO\tO' -p261489 -asS'Finger - nose - finger testing and heel - to - shin testing were normal .' -p261490 -(lp261491 -S'Finger\tFinger\tNN\tB-NP\tO' -p261492 -aS'-\t-\tHYPH\tI-NP\tO' -p261493 -aS'nose\tnose\tNN\tI-NP\tO' -p261494 -aS'-\t-\tHYPH\tI-NP\tO' -p261495 -aS'finger\tfinger\tNN\tI-NP\tO' -p261496 -aS'testing\ttesting\tNN\tI-NP\tO' -p261497 -aS'and\tand\tCC\tI-NP\tO' -p261498 -aS'heel\theel\tNN\tI-NP\tO' -p261499 -aS'-\t-\tHYPH\tB-ADJP\tO' -p261500 -aS'to\tto\tTO\tB-PP\tO' -p261501 -aS'-\t-\tHYPH\tB-NP\tO' -p261502 -aS'shin\tshin\tNN\tI-NP\tO' -p261503 -aS'testing\ttesting\tNN\tI-NP\tO' -p261504 -aS'were\tbe\tVBD\tB-VP\tO' -p261505 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p261506 -aS'.\t.\t.\tO\tO' -p261507 -asS'Her blood pressure was high so Captopril was titrated up to 50 mg p.o. t.i.d. .' -p261508 -(lp261509 -S'Her\tHer\tPRP$\tB-NP\tO' -p261510 -aS'blood\tblood\tNN\tI-NP\tO' -p261511 -aS'pressure\tpressure\tNN\tI-NP\tO' -p261512 -aS'was\tbe\tVBD\tB-VP\tO' -p261513 -aS'high\thigh\tJJ\tB-ADJP\tO' -p261514 -aS'so\tso\tIN\tB-SBAR\tO' -p261515 -aS'Captopril\tCaptopril\tNNP\tB-NP\tO' -p261516 -aS'was\tbe\tVBD\tB-VP\tO' -p261517 -aS'titrated\ttitrate\tVBN\tI-VP\tO' -p261518 -aS'up\tup\tRB\tB-NP\tO' -p261519 -aS'to\tto\tTO\tI-NP\tO' -p261520 -aS'50\t50\tCD\tI-NP\tO' -p261521 -aS'mg\tmg\tNN\tI-NP\tO' -p261522 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p261523 -aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' -p261524 -aS'.\t.\t.\tO\tO' -p261525 -asS'Her hematocrit was 38.8 , hemoglobin 13.7 , platelet count 155,000 , PT 12.7/10.1 , PTT 33.9 , erythrocyte sedimentation rate 18 , calcium 7.5 , phosphorus 3.5 , sodium 136 , potassium 3.7 , BUN 15 , total protein 5.9 , albumin 2.3 , globulin 3.6 , alkaline phosphatase 379 , SGOT 37 , Digoxin level 0.7 .' -p261526 -(lp261527 -S'Her\tHer\tPRP$\tB-NP\tO' -p261528 -aS'hematocrit\thematocrit\tNN\tI-NP\tB-protein' -p261529 -aS'was\tbe\tVBD\tB-VP\tI-protein' -p261530 -aS'38.8\t38.8\tCD\tB-NP\tI-protein' -p261531 -aS',\t,\t,\tO\tO' -p261532 -aS'hemoglobin\themoglobin\tNN\tB-NP\tB-protein' -p261533 -aS'13.7\t13.7\tCD\tI-NP\tI-protein' -p261534 -aS',\t,\t,\tO\tO' -p261535 -aS'platelet\tplatelet\tNN\tB-NP\tB-protein' -p261536 -aS'count\tcount\tNN\tI-NP\tI-protein' -p261537 -aS'155,000\t155,000\tCD\tI-NP\tI-protein' -p261538 -aS',\t,\t,\tO\tO' -p261539 -aS'PT\tPT\tNN\tB-NP\tB-protein' -p261540 -aS'12.7/10.1\t12.7/10.1\tCD\tI-NP\tI-protein' -p261541 -aS',\t,\t,\tO\tO' -p261542 -aS'PTT\tPTT\tNN\tB-NP\tB-protein' -p261543 -aS'33.9\t33.9\tCD\tI-NP\tI-protein' -p261544 -aS',\t,\t,\tO\tO' -p261545 -aS'erythrocyte\terythrocyte\tNN\tB-NP\tB-protein' -p261546 -aS'sedimentation\tsedimentation\tNN\tI-NP\tI-protein' -p261547 -aS'rate\trate\tNN\tI-NP\tI-protein' -p261548 -aS'18\t18\tCD\tI-NP\tI-protein' -p261549 -aS',\t,\t,\tO\tO' -p261550 -aS'calcium\tcalcium\tNN\tB-NP\tO' -p261551 -aS'7.5\t7.5\tCD\tI-NP\tO' -p261552 -aS',\t,\t,\tO\tO' -p261553 -aS'phosphorus\tphosphorus\tNN\tB-NP\tO' -p261554 -aS'3.5\t3.5\tCD\tI-NP\tO' -p261555 -aS',\t,\t,\tO\tO' -p261556 -aS'sodium\tsodium\tNN\tB-NP\tO' -p261557 -aS'136\t136\tCD\tI-NP\tO' -p261558 -aS',\t,\t,\tO\tO' -p261559 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p261560 -aS'3.7\t3.7\tCD\tI-NP\tO' -p261561 -aS',\t,\t,\tO\tO' -p261562 -aS'BUN\tBUN\tNNP\tB-NP\tO' -p261563 -aS'15\t15\tCD\tI-NP\tO' -p261564 -aS',\t,\t,\tO\tO' -p261565 -aS'total\ttotal\tJJ\tB-NP\tO' -p261566 -aS'protein\tprotein\tNN\tI-NP\tO' -p261567 -aS'5.9\t5.9\tCD\tI-NP\tO' -p261568 -aS',\t,\t,\tO\tO' -p261569 -aS'albumin\talbumin\tNN\tB-NP\tB-protein' -p261570 -aS'2.3\t2.3\tCD\tI-NP\tI-protein' -p261571 -aS',\t,\t,\tO\tO' -p261572 -aS'globulin\tglobulin\tNN\tB-NP\tB-protein' -p261573 -aS'3.6\t3.6\tCD\tI-NP\tI-protein' -p261574 -aS',\t,\t,\tO\tO' -p261575 -aS'alkaline\talkaline\tNN\tB-NP\tO' -p261576 -aS'phosphatase\tphosphatase\tNN\tI-NP\tO' -p261577 -aS'379\t379\tCD\tI-NP\tO' -p261578 -aS',\t,\t,\tO\tO' -p261579 -aS'SGOT\tSGOT\tNN\tB-NP\tB-DNA' -p261580 -aS'37\t37\tCD\tI-NP\tI-DNA' -p261581 -aS',\t,\t,\tO\tO' -p261582 -aS'Digoxin\tDigoxin\tNN\tB-NP\tO' -p261583 -aS'level\tlevel\tNN\tI-NP\tO' -p261584 -aS'0.7\t0.7\tCD\tI-NP\tO' -p261585 -aS'.\t.\t.\tO\tO' -p261586 -asS'The head , eyes , ears , nose , throat examination was within normal limits .' -p261587 -(lp261588 -S'The\tThe\tDT\tB-NP\tO' -p261589 -aS'head\thead\tNN\tI-NP\tO' -p261590 -aS',\t,\t,\tO\tO' -p261591 -aS'eyes\teye\tNNS\tB-NP\tO' -p261592 -aS',\t,\t,\tO\tO' -p261593 -aS'ears\tear\tNNS\tB-NP\tO' -p261594 -aS',\t,\t,\tO\tO' -p261595 -aS'nose\tnose\tNN\tB-NP\tO' -p261596 -aS',\t,\t,\tO\tO' -p261597 -aS'throat\tthroat\tDT\tB-NP\tO' -p261598 -aS'examination\texamination\tNN\tI-NP\tO' -p261599 -aS'was\tbe\tVBD\tB-VP\tO' -p261600 -aS'within\twithin\tIN\tB-PP\tO' -p261601 -aS'normal\tnormal\tJJ\tB-NP\tO' -p261602 -aS'limits\tlimit\tNNS\tI-NP\tO' -p261603 -aS'.\t.\t.\tO\tO' -p261604 -asS'The patient was transitioned to a low fat , low residue diet .' -p261605 -(lp261606 -S'The\tThe\tDT\tB-NP\tO' -p261607 -aS'patient\tpatient\tNN\tI-NP\tO' -p261608 -aS'was\tbe\tVBD\tB-VP\tO' -p261609 -aS'transitioned\ttransitione\tVBN\tI-VP\tO' -p261610 -aS'to\tto\tTO\tB-PP\tO' -p261611 -aS'a\ta\tDT\tB-NP\tO' -p261612 -aS'low\tlow\tJJ\tI-NP\tO' -p261613 -aS'fat\tfat\tNN\tI-NP\tO' -p261614 -aS',\t,\t,\tO\tO' -p261615 -aS'low\tlow\tJJ\tB-NP\tO' -p261616 -aS'residue\tresidue\tNN\tI-NP\tO' -p261617 -aS'diet\tdiet\tNN\tI-NP\tO' -p261618 -aS'.\t.\t.\tO\tO' -p261619 -asS'4. Atrial fibrillation .' -p261620 -(lp261621 -S'4.\t4.\tLS\tB-NP\tO' -p261622 -aS'Atrial\tAtrial\tJJ\tI-NP\tO' -p261623 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p261624 -aS'.\t.\t.\tO\tO' -p261625 -asS'Nantucket passed in both ears .' -p261626 -(lp261627 -S'Nantucket\tNantucket\tNN\tB-NP\tO' -p261628 -aS'passed\tpass\tVBN\tB-VP\tO' -p261629 -aS'in\tin\tIN\tB-PP\tO' -p261630 -aS'both\tboth\tDT\tB-NP\tO' -p261631 -aS'ears\tear\tNNS\tI-NP\tO' -p261632 -aS'.\t.\t.\tO\tO' -p261633 -asS'HEENT : Normocephalic , atraumatic .' -p261634 -(lp261635 -S'HEENT\tHEENT\tNN\tB-NP\tO' -p261636 -aS':\t:\t:\tO\tO' -p261637 -aS'Normocephalic\tNormocephalic\tJJ\tB-NP\tO' -p261638 -aS',\t,\t,\tI-NP\tO' -p261639 -aS'atraumatic\tatraumatic\tJJ\tI-NP\tO' -p261640 -aS'.\t.\t.\tO\tO' -p261641 -asS'Allowing for the limitations , the vertebral bodies are normal in height and normally aligned .' -p261642 -(lp261643 -S'Allowing\tAllow\tVBG\tB-VP\tO' -p261644 -aS'for\tfor\tIN\tB-PP\tO' -p261645 -aS'the\tthe\tDT\tB-NP\tO' -p261646 -aS'limitations\tlimitation\tNNS\tI-NP\tO' -p261647 -aS',\t,\t,\tO\tO' -p261648 -aS'the\tthe\tDT\tB-NP\tO' -p261649 -aS'vertebral\tvertebral\tJJ\tI-NP\tO' -p261650 -aS'bodies\tbody\tNNS\tI-NP\tO' -p261651 -aS'are\tbe\tVBP\tB-VP\tO' -p261652 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p261653 -aS'in\tin\tIN\tB-PP\tO' -p261654 -aS'height\theight\tNN\tB-NP\tO' -p261655 -aS'and\tand\tCC\tO\tO' -p261656 -aS'normally\tnormally\tRB\tB-VP\tO' -p261657 -aS'aligned\talign\tVBN\tI-VP\tO' -p261658 -aS'.\t.\t.\tO\tO' -p261659 -asS'1. Risperidone 0.5 mg Tablet Sig : Two ( 2 ) Tablet PO HS ( at bedtime ) .' -p261660 -(lp261661 -S'1.\t1.\tLS\tB-NP\tO' -p261662 -aS'Risperidone\tRisperidone\tNN\tI-NP\tO' -p261663 -aS'0.5\t0.5\tCD\tI-NP\tO' -p261664 -aS'mg\tmg\tNN\tI-NP\tO' -p261665 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p261666 -aS'Sig\tSig\tNNP\tI-NP\tO' -p261667 -aS':\t:\t:\tO\tO' -p261668 -aS'Two\tTwo\tCD\tB-NP\tO' -p261669 -aS'(\t(\t(\tO\tO' -p261670 -aS'2\t2\tCD\tO\tO' -p261671 -aS')\t)\t)\tO\tO' -p261672 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p261673 -aS'PO\tPO\tNN\tI-NP\tO' -p261674 -aS'HS\tHS\tNN\tI-NP\tO' -p261675 -aS'(\t(\t(\tO\tO' -p261676 -aS'at\tat\tIN\tB-PP\tO' -p261677 -aS'bedtime\tbedtime\tNN\tB-NP\tO' -p261678 -aS')\t)\t)\tO\tO' -p261679 -aS'.\t.\t.\tO\tO' -p261680 -asS'Left arm shows a flexor contracture and markedly increased tone .' -p261681 -(lp261682 -S'Left\tLeave\tVBN\tB-NP\tO' -p261683 -aS'arm\tarm\tNN\tI-NP\tO' -p261684 -aS'shows\tshow\tVBZ\tB-VP\tO' -p261685 -aS'a\ta\tDT\tB-NP\tO' -p261686 -aS'flexor\tflexor\tNN\tI-NP\tO' -p261687 -aS'contracture\tcontracture\tNN\tI-NP\tO' -p261688 -aS'and\tand\tCC\tO\tO' -p261689 -aS'markedly\tmarkedly\tRB\tB-VP\tO' -p261690 -aS'increased\tincrease\tVBD\tI-VP\tO' -p261691 -aS'tone\ttone\tNN\tB-NP\tO' -p261692 -aS'.\t.\t.\tO\tO' -p261693 -asS'Propanolol 5 mg. p.o. t.i.d. [ hold for SBP less than 110 ] , Isosorbide 5 mg. p.o. t.i.d. , hold for SBP less than 110 , Colace 100 mg. p.o. b.i.d. Pilocarpine 4% one drop q.i.d. O.D. Pilocarpine 2% one drop b.i.d. O.S. Betasan 0.5% one drop b.i.d. O.D. .' -p261694 -(lp261695 -S'Propanolol\tPropanolol\tNN\tB-NP\tO' -p261696 -aS'5\t5\tCD\tI-NP\tO' -p261697 -aS'mg.\tmg.\tNN\tI-NP\tO' -p261698 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p261699 -aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' -p261700 -aS'[\t[\t(\tO\tO' -p261701 -aS'hold\thold\tNN\tB-NP\tO' -p261702 -aS'for\tfor\tIN\tB-PP\tO' -p261703 -aS'SBP\tSBP\tNN\tB-NP\tB-protein' -p261704 -aS'less\tless\tJJR\tB-NP\tO' -p261705 -aS'than\tthan\tIN\tI-NP\tO' -p261706 -aS'110\t110\tCD\tI-NP\tO' -p261707 -aS']\t]\t)\tO\tO' -p261708 -aS',\t,\t,\tO\tO' -p261709 -aS'Isosorbide\tIsosorbide\tNN\tB-NP\tO' -p261710 -aS'5\t5\tCD\tI-NP\tO' -p261711 -aS'mg.\tmg.\tNN\tI-NP\tO' -p261712 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p261713 -aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' -p261714 -aS',\t,\t,\tO\tO' -p261715 -aS'hold\thold\tVBP\tB-VP\tO' -p261716 -aS'for\tfor\tIN\tB-PP\tO' -p261717 -aS'SBP\tSBP\tNN\tB-NP\tB-protein' -p261718 -aS'less\tless\tJJR\tB-ADJP\tO' -p261719 -aS'than\tthan\tIN\tB-PP\tO' -p261720 -aS'110\t110\tCD\tB-NP\tO' -p261721 -aS',\t,\t,\tO\tO' -p261722 -aS'Colace\tColace\tNNP\tB-NP\tO' -p261723 -aS'100\t100\tCD\tI-NP\tO' -p261724 -aS'mg.\tmg.\tNN\tI-NP\tO' -p261725 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p261726 -aS'b.i.d.\tb.i.d.\tFW\tI-NP\tO' -p261727 -aS'Pilocarpine\tPilocarpine\tNNP\tB-NP\tO' -p261728 -aS'4%\t4%\tCD\tI-NP\tO' -p261729 -aS'one\tone\tCD\tI-NP\tO' -p261730 -aS'drop\tdrop\tNN\tI-NP\tO' -p261731 -aS'q.i.d.\tq.i.d.\tNN\tI-NP\tO' -p261732 -aS'O.D.\tO.D.\tNNP\tI-NP\tO' -p261733 -aS'Pilocarpine\tPilocarpine\tNNP\tI-NP\tO' -p261734 -aS'2%\t2%\tCD\tI-NP\tO' -p261735 -aS'one\tone\tCD\tI-NP\tO' -p261736 -aS'drop\tdrop\tNN\tI-NP\tO' -p261737 -aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' -p261738 -aS'O.S.\tO.S.\tNNP\tI-NP\tO' -p261739 -aS'Betasan\tBetasan\tNNP\tI-NP\tO' -p261740 -aS'0.5%\t0.5%\tCD\tI-NP\tO' -p261741 -aS'one\tone\tCD\tI-NP\tO' -p261742 -aS'drop\tdrop\tNN\tI-NP\tO' -p261743 -aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' -p261744 -aS'O.D.\tO.D.\tNNP\tI-NP\tO' -p261745 -aS'.\t.\t.\tO\tO' -p261746 -asS'Pt was treated with 3 days of an antibiotics , followed by a 10 day course of levaquin ( completed 2 days PTA ) .' -p261747 -(lp261748 -S'Pt\tPt\tNN\tB-NP\tO' -p261749 -aS'was\tbe\tVBD\tB-VP\tO' -p261750 -aS'treated\ttreat\tVBN\tI-VP\tO' -p261751 -aS'with\twith\tIN\tB-PP\tO' -p261752 -aS'3\t3\tCD\tB-NP\tO' -p261753 -aS'days\tday\tNNS\tI-NP\tO' -p261754 -aS'of\tof\tIN\tB-PP\tO' -p261755 -aS'an\tan\tDT\tB-NP\tO' -p261756 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p261757 -aS',\t,\t,\tO\tO' -p261758 -aS'followed\tfollow\tVBN\tB-VP\tO' -p261759 -aS'by\tby\tIN\tB-PP\tO' -p261760 -aS'a\ta\tDT\tB-NP\tO' -p261761 -aS'10\t10\tCD\tI-NP\tO' -p261762 -aS'day\tday\tNN\tI-NP\tO' -p261763 -aS'course\tcourse\tNN\tI-NP\tO' -p261764 -aS'of\tof\tIN\tB-PP\tO' -p261765 -aS'levaquin\tlevaquin\tNN\tB-NP\tO' -p261766 -aS'(\t(\t(\tO\tO' -p261767 -aS'completed\tcomplete\tVBN\tB-VP\tO' -p261768 -aS'2\t2\tCD\tB-NP\tO' -p261769 -aS'days\tday\tNNS\tI-NP\tO' -p261770 -aS'PTA\tPTA\tNN\tI-NP\tB-protein' -p261771 -aS')\t)\t)\tO\tO' -p261772 -aS'.\t.\t.\tO\tO' -p261773 -asS'disease .' -p261774 -(lp261775 -S'disease\tdisease\tNN\tB-NP\tO' -p261776 -aS'.\t.\t.\tO\tO' -p261777 -asS'This is a 57-year-old nursing home resident female , who had been in her usual state of' -p261778 -(lp261779 -S'This\tThis\tDT\tB-NP\tO' -p261780 -aS'is\tbe\tVBZ\tB-VP\tO' -p261781 -aS'a\ta\tDT\tB-NP\tO' -p261782 -aS'57-year-old\t57-year-old\tJJ\tI-NP\tO' -p261783 -aS'nursing\tnursing\tNN\tI-NP\tO' -p261784 -aS'home\thome\tNN\tI-NP\tO' -p261785 -aS'resident\tresident\tNN\tI-NP\tO' -p261786 -aS'female\tfemale\tNN\tI-NP\tO' -p261787 -aS',\t,\t,\tO\tO' -p261788 -aS'who\twho\tWP\tB-NP\tO' -p261789 -aS'had\thave\tVBD\tB-VP\tO' -p261790 -aS'been\tbe\tVBN\tI-VP\tO' -p261791 -aS'in\tin\tIN\tB-PP\tO' -p261792 -aS'her\ther\tPRP$\tB-NP\tO' -p261793 -aS'usual\tusual\tJJ\tI-NP\tO' -p261794 -aS'state\tstate\tNN\tI-NP\tO' -p261795 -aS'of\tof\tIN\tB-PP\tO' -p261796 -asS'Pupils equal , round , and reactive to light .' -p261797 -(lp261798 -S'Pupils\tPupil\tNNS\tB-NP\tO' -p261799 -aS'equal\tequal\tJJ\tB-ADJP\tO' -p261800 -aS',\t,\t,\tO\tO' -p261801 -aS'round\tround\tJJ\tB-ADJP\tO' -p261802 -aS',\t,\t,\tO\tO' -p261803 -aS'and\tand\tCC\tO\tO' -p261804 -aS'reactive\treactive\tJJ\tB-ADJP\tO' -p261805 -aS'to\tto\tTO\tB-PP\tO' -p261806 -aS'light\tlight\tNN\tB-NP\tO' -p261807 -aS'.\t.\t.\tO\tO' -p261808 -asS'Signed electronically by : DR. Mae Behlmer on : MON 2017-10-09 5:18 AM' -p261809 -(lp261810 -S'Signed\tSign\tVBN\tB-VP\tO' -p261811 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p261812 -aS'by\tby\tIN\tB-PP\tO' -p261813 -aS':\t:\t:\tO\tO' -p261814 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p261815 -aS'Mae\tMae\tNNP\tI-NP\tO' -p261816 -aS'Behlmer\tBehlmer\tNNP\tI-NP\tO' -p261817 -aS'on\ton\tIN\tB-PP\tO' -p261818 -aS':\t:\t:\tO\tO' -p261819 -aS'MON\tMON\tNN\tB-NP\tO' -p261820 -aS'2017-10-09\t2017-10-09\tCD\tI-NP\tO' -p261821 -aS'5:18\t5:18\tCD\tI-NP\tO' -p261822 -aS'AM\tAM\tNN\tI-NP\tO' -p261823 -asS'She will continue on her previous outpatient medical regimen .' -p261824 -(lp261825 -S'She\tShe\tPRP\tB-NP\tO' -p261826 -aS'will\twill\tMD\tB-VP\tO' -p261827 -aS'continue\tcontinue\tVB\tI-VP\tO' -p261828 -aS'on\ton\tIN\tB-PP\tO' -p261829 -aS'her\ther\tPRP$\tB-NP\tO' -p261830 -aS'previous\tprevious\tJJ\tI-NP\tO' -p261831 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p261832 -aS'medical\tmedical\tJJ\tI-NP\tO' -p261833 -aS'regimen\tregimen\tNN\tI-NP\tO' -p261834 -aS'.\t.\t.\tO\tO' -p261835 -asS'After 600 cc of serosanguineous pericardial fluid was removed , the patient was noted to have a pulmonary capillary wedge pressure of 9 and a right atrial pressure of 2 ; indicating resolution of tamponade physiology .' -p261836 -(lp261837 -S'After\tAfter\tIN\tB-PP\tO' -p261838 -aS'600\t600\tCD\tB-NP\tO' -p261839 -aS'cc\tcc\tNN\tI-NP\tO' -p261840 -aS'of\tof\tIN\tB-PP\tO' -p261841 -aS'serosanguineous\tserosanguineous\tJJ\tB-NP\tO' -p261842 -aS'pericardial\tpericardial\tJJ\tI-NP\tO' -p261843 -aS'fluid\tfluid\tNN\tI-NP\tO' -p261844 -aS'was\tbe\tVBD\tB-VP\tO' -p261845 -aS'removed\tremove\tVBN\tI-VP\tO' -p261846 -aS',\t,\t,\tO\tO' -p261847 -aS'the\tthe\tDT\tB-NP\tO' -p261848 -aS'patient\tpatient\tNN\tI-NP\tO' -p261849 -aS'was\tbe\tVBD\tB-VP\tO' -p261850 -aS'noted\tnote\tVBN\tI-VP\tO' -p261851 -aS'to\tto\tTO\tI-VP\tO' -p261852 -aS'have\thave\tVB\tI-VP\tO' -p261853 -aS'a\ta\tDT\tB-NP\tO' -p261854 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p261855 -aS'capillary\tcapillary\tJJ\tI-NP\tO' -p261856 -aS'wedge\twedge\tNN\tI-NP\tO' -p261857 -aS'pressure\tpressure\tNN\tI-NP\tO' -p261858 -aS'of\tof\tIN\tB-PP\tO' -p261859 -aS'9\t9\tCD\tB-NP\tO' -p261860 -aS'and\tand\tCC\tO\tO' -p261861 -aS'a\ta\tDT\tB-NP\tO' -p261862 -aS'right\tright\tJJ\tI-NP\tO' -p261863 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p261864 -aS'pressure\tpressure\tNN\tI-NP\tO' -p261865 -aS'of\tof\tIN\tB-PP\tO' -p261866 -aS'2\t2\tCD\tB-NP\tO' -p261867 -aS';\t;\t:\tO\tO' -p261868 -aS'indicating\tindicate\tVBG\tB-VP\tO' -p261869 -aS'resolution\tresolution\tNN\tB-NP\tO' -p261870 -aS'of\tof\tIN\tB-PP\tO' -p261871 -aS'tamponade\ttamponade\tNN\tB-NP\tO' -p261872 -aS'physiology\tphysiology\tNN\tI-NP\tO' -p261873 -aS'.\t.\t.\tO\tO' -p261874 -asS'He had hypotension with beta blockers and therefore they were not started .' -p261875 -(lp261876 -S'He\tHe\tPRP\tB-NP\tO' -p261877 -aS'had\thave\tVBD\tB-VP\tO' -p261878 -aS'hypotension\thypotension\tNN\tB-NP\tO' -p261879 -aS'with\twith\tIN\tB-PP\tO' -p261880 -aS'beta\tbeta\tNN\tB-NP\tO' -p261881 -aS'blockers\tblocker\tNNS\tI-NP\tO' -p261882 -aS'and\tand\tCC\tO\tO' -p261883 -aS'therefore\ttherefore\tRB\tB-ADVP\tO' -p261884 -aS'they\tthey\tPRP\tB-NP\tO' -p261885 -aS'were\tbe\tVBD\tB-VP\tO' -p261886 -aS'not\tnot\tRB\tI-VP\tO' -p261887 -aS'started\tstart\tVBN\tI-VP\tO' -p261888 -aS'.\t.\t.\tO\tO' -p261889 -asS'The patient went to his nursing home on 7-9-91 but the next day he developed a temperature to 102.4 degrees , diarrhea , and orthostasis and he was transferred back to Gaanvantsir .' -p261890 -(lp261891 -S'The\tThe\tDT\tB-NP\tO' -p261892 -aS'patient\tpatient\tNN\tI-NP\tO' -p261893 -aS'went\tgo\tVBD\tB-VP\tO' -p261894 -aS'to\tto\tTO\tB-PP\tO' -p261895 -aS'his\this\tPRP$\tB-NP\tB-DNA' -p261896 -aS'nursing\tnurse\tVBG\tB-VP\tO' -p261897 -aS'home\thome\tNN\tB-ADVP\tO' -p261898 -aS'on\ton\tIN\tB-PP\tO' -p261899 -aS'7-9-91\t7-9-91\tNN\tB-NP\tO' -p261900 -aS'but\tbut\tCC\tO\tO' -p261901 -aS'the\tthe\tDT\tB-NP\tO' -p261902 -aS'next\tnext\tJJ\tI-NP\tO' -p261903 -aS'day\tday\tNN\tI-NP\tO' -p261904 -aS'he\the\tPRP\tB-NP\tO' -p261905 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p261906 -aS'a\ta\tDT\tB-NP\tO' -p261907 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p261908 -aS'to\tto\tTO\tB-PP\tO' -p261909 -aS'102.4\t102.4\tCD\tB-NP\tO' -p261910 -aS'degrees\tdegree\tNNS\tI-NP\tO' -p261911 -aS',\t,\t,\tO\tO' -p261912 -aS'diarrhea\tdiarrhea\tNN\tB-NP\tO' -p261913 -aS',\t,\t,\tO\tO' -p261914 -aS'and\tand\tCC\tO\tO' -p261915 -aS'orthostasis\torthostasis\tNN\tB-NP\tO' -p261916 -aS'and\tand\tCC\tO\tO' -p261917 -aS'he\the\tPRP\tB-NP\tO' -p261918 -aS'was\tbe\tVBD\tB-VP\tO' -p261919 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p261920 -aS'back\tback\tRB\tB-ADVP\tO' -p261921 -aS'to\tto\tTO\tB-PP\tO' -p261922 -aS'Gaanvantsir\tGaanvantsir\tNNP\tB-NP\tO' -p261923 -aS'.\t.\t.\tO\tO' -p261924 -asS'Suboptimal technical quality , a focal LV wall motion abnormality cannot be fully excluded .' -p261925 -(lp261926 -S'Suboptimal\tSuboptimal\tJJ\tB-NP\tO' -p261927 -aS'technical\ttechnical\tJJ\tI-NP\tO' -p261928 -aS'quality\tquality\tNN\tI-NP\tO' -p261929 -aS',\t,\t,\tO\tO' -p261930 -aS'a\ta\tDT\tB-NP\tO' -p261931 -aS'focal\tfocal\tJJ\tI-NP\tO' -p261932 -aS'LV\tLV\tNN\tI-NP\tO' -p261933 -aS'wall\twall\tNN\tI-NP\tO' -p261934 -aS'motion\tmotion\tNN\tI-NP\tO' -p261935 -aS'abnormality\tabnormality\tNN\tI-NP\tO' -p261936 -aS'cannot\tcannot\tMD\tB-VP\tO' -p261937 -aS'be\tbe\tVB\tI-VP\tO' -p261938 -aS'fully\tfully\tRB\tI-VP\tO' -p261939 -aS'excluded\texclude\tVBN\tI-VP\tO' -p261940 -aS'.\t.\t.\tO\tO' -p261941 -asS'The patient has been very closely with the Pain Service here while admitted .' -p261942 -(lp261943 -S'The\tThe\tDT\tB-NP\tO' -p261944 -aS'patient\tpatient\tNN\tI-NP\tO' -p261945 -aS'has\thave\tVBZ\tB-VP\tO' -p261946 -aS'been\tbe\tVBN\tI-VP\tO' -p261947 -aS'very\tvery\tRB\tB-ADVP\tO' -p261948 -aS'closely\tclosely\tRB\tI-ADVP\tO' -p261949 -aS'with\twith\tIN\tB-PP\tO' -p261950 -aS'the\tthe\tDT\tB-NP\tO' -p261951 -aS'Pain\tPain\tNNP\tI-NP\tO' -p261952 -aS'Service\tService\tNNP\tI-NP\tO' -p261953 -aS'here\there\tRB\tB-ADVP\tO' -p261954 -aS'while\twhile\tIN\tB-SBAR\tO' -p261955 -aS'admitted\tadmit\tVBN\tB-VP\tO' -p261956 -aS'.\t.\t.\tO\tO' -p261957 -asS'Crackles at base and mid-lungs bilaterally' -p261958 -(lp261959 -S'Crackles\tCrackle\tNNS\tB-NP\tO' -p261960 -aS'at\tat\tIN\tB-PP\tO' -p261961 -aS'base\tbase\tNN\tB-NP\tO' -p261962 -aS'and\tand\tCC\tI-NP\tO' -p261963 -aS'mid-lungs\tmid-lung\tNNS\tI-NP\tO' -p261964 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p261965 -asS'Anemia workup revealed a picture of anemia of chronic disease ( TIBC 225 , B12 and Folate normal , Hapto 397 , Ferritin 51 , TRF 173 , Iron 35 ) .' -p261966 -(lp261967 -S'Anemia\tAnemia\tNN\tB-NP\tO' -p261968 -aS'workup\tworkup\tNN\tI-NP\tO' -p261969 -aS'revealed\treveal\tVBD\tB-VP\tO' -p261970 -aS'a\ta\tDT\tB-NP\tO' -p261971 -aS'picture\tpicture\tNN\tI-NP\tO' -p261972 -aS'of\tof\tIN\tB-PP\tO' -p261973 -aS'anemia\tanemia\tNN\tB-NP\tO' -p261974 -aS'of\tof\tIN\tB-PP\tO' -p261975 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p261976 -aS'disease\tdisease\tNN\tI-NP\tO' -p261977 -aS'(\t(\t(\tO\tO' -p261978 -aS'TIBC\tTIBC\tNN\tB-NP\tB-DNA' -p261979 -aS'225\t225\tCD\tI-NP\tI-DNA' -p261980 -aS',\t,\t,\tO\tO' -p261981 -aS'B12\tB12\tNN\tB-NP\tB-protein' -p261982 -aS'and\tand\tCC\tI-NP\tO' -p261983 -aS'Folate\tFolate\tNN\tI-NP\tO' -p261984 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p261985 -aS',\t,\t,\tO\tO' -p261986 -aS'Hapto\tHapto\tNNP\tB-NP\tO' -p261987 -aS'397\t397\tCD\tI-NP\tO' -p261988 -aS',\t,\t,\tO\tO' -p261989 -aS'Ferritin\tFerritin\tNN\tB-NP\tB-protein' -p261990 -aS'51\t51\tCD\tI-NP\tI-protein' -p261991 -aS',\t,\t,\tO\tO' -p261992 -aS'TRF\tTRF\tNN\tB-NP\tB-protein' -p261993 -aS'173\t173\tCD\tI-NP\tI-protein' -p261994 -aS',\t,\t,\tO\tO' -p261995 -aS'Iron\tIron\tNNP\tB-NP\tO' -p261996 -aS'35\t35\tCD\tI-NP\tO' -p261997 -aS')\t)\t)\tO\tO' -p261998 -aS'.\t.\t.\tO\tO' -p261999 -asS'4. Pantoprazole 40 mg Tablet , Delayed Release ( E.C. ) Sig : One ( 1 ) Tablet , Delayed Release ( E.C. ) PO Q24H ( every 24 hours ) .' -p262000 -(lp262001 -S'4.\t4.\tLS\tB-NP\tO' -p262002 -aS'Pantoprazole\tPantoprazole\tNN\tI-NP\tO' -p262003 -aS'40\t40\tCD\tI-NP\tO' -p262004 -aS'mg\tmg\tNN\tI-NP\tO' -p262005 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p262006 -aS',\t,\t,\tO\tO' -p262007 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p262008 -aS'Release\tRelease\tNNP\tI-NP\tO' -p262009 -aS'(\t(\t(\tO\tO' -p262010 -aS'E.C.\tE.C.\tNNP\tB-NP\tO' -p262011 -aS')\t)\t)\tO\tO' -p262012 -aS'Sig\tSig\tNNP\tB-NP\tO' -p262013 -aS':\t:\t:\tO\tO' -p262014 -aS'One\tOne\tCD\tB-NP\tO' -p262015 -aS'(\t(\t(\tO\tO' -p262016 -aS'1\t1\tCD\tB-NP\tO' -p262017 -aS')\t)\t)\tO\tO' -p262018 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p262019 -aS',\t,\t,\tO\tO' -p262020 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p262021 -aS'Release\tRelease\tNNP\tI-NP\tO' -p262022 -aS'(\t(\t(\tO\tO' -p262023 -aS'E.C.\tE.C.\tNNP\tO\tO' -p262024 -aS')\t)\t)\tO\tO' -p262025 -aS'PO\tPO\tNN\tB-NP\tO' -p262026 -aS'Q24H\tQ24H\tNN\tI-NP\tO' -p262027 -aS'(\t(\t(\tO\tO' -p262028 -aS'every\tevery\tDT\tB-NP\tO' -p262029 -aS'24\t24\tCD\tI-NP\tO' -p262030 -aS'hours\thour\tNNS\tI-NP\tO' -p262031 -aS')\t)\t)\tO\tO' -p262032 -aS'.\t.\t.\tO\tO' -p262033 -asS'On the right foot dry crusted ulcer over the medial aspect of the first metatarsal head and medial posterior heel .' -p262034 -(lp262035 -S'On\tOn\tIN\tB-PP\tO' -p262036 -aS'the\tthe\tDT\tB-NP\tO' -p262037 -aS'right\tright\tJJ\tI-NP\tO' -p262038 -aS'foot\tfoot\tNN\tI-NP\tO' -p262039 -aS'dry\tdry\tJJ\tI-NP\tO' -p262040 -aS'crusted\tcrust\tVBN\tI-NP\tO' -p262041 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p262042 -aS'over\tover\tIN\tB-PP\tO' -p262043 -aS'the\tthe\tDT\tB-NP\tO' -p262044 -aS'medial\tmedial\tJJ\tI-NP\tO' -p262045 -aS'aspect\taspect\tNN\tI-NP\tO' -p262046 -aS'of\tof\tIN\tB-PP\tO' -p262047 -aS'the\tthe\tDT\tB-NP\tO' -p262048 -aS'first\tfirst\tJJ\tI-NP\tO' -p262049 -aS'metatarsal\tmetatarsal\tJJ\tI-NP\tO' -p262050 -aS'head\thead\tNN\tI-NP\tO' -p262051 -aS'and\tand\tCC\tO\tO' -p262052 -aS'medial\tmedial\tJJ\tB-NP\tO' -p262053 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p262054 -aS'heel\theel\tNN\tI-NP\tO' -p262055 -aS'.\t.\t.\tO\tO' -p262056 -asS'There was no significant change from his baseline EKG .' -p262057 -(lp262058 -S'There\tThere\tEX\tB-NP\tO' -p262059 -aS'was\tbe\tVBD\tB-VP\tO' -p262060 -aS'no\tno\tDT\tB-NP\tO' -p262061 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p262062 -aS'change\tchange\tNN\tI-NP\tO' -p262063 -aS'from\tfrom\tIN\tB-PP\tO' -p262064 -aS'his\this\tPRP$\tB-NP\tO' -p262065 -aS'baseline\tbaseline\tNN\tI-NP\tO' -p262066 -aS'EKG\tEKG\tNN\tI-NP\tO' -p262067 -aS'.\t.\t.\tO\tO' -p262068 -asS'15. Pamidronate 30 mg IV every month .' -p262069 -(lp262070 -S'15.\t15.\tCD\tB-NP\tO' -p262071 -aS'Pamidronate\tPamidronate\tNN\tI-NP\tO' -p262072 -aS'30\t30\tCD\tB-NP\tO' -p262073 -aS'mg\tmg\tNN\tI-NP\tO' -p262074 -aS'IV\tIV\tCD\tI-NP\tO' -p262075 -aS'every\tevery\tDT\tB-NP\tO' -p262076 -aS'month\tmonth\tNN\tI-NP\tO' -p262077 -aS'.\t.\t.\tO\tO' -p262078 -asS's/p neoadjuvant chemo/XRT now s/p surgery .' -p262079 -(lp262080 -S's/p\ts/p\tNN\tB-NP\tO' -p262081 -aS'neoadjuvant\tneoadjuvant\tJJ\tI-NP\tO' -p262082 -aS'chemo/XRT\tchemo/XRT\tNN\tI-NP\tO' -p262083 -aS'now\tnow\tRB\tB-ADVP\tO' -p262084 -aS's/p\ts/p\tVBP\tB-VP\tO' -p262085 -aS'surgery\tsurgery\tNN\tB-NP\tO' -p262086 -aS'.\t.\t.\tO\tO' -p262087 -asS'He has not had fever and night sweats but reports weakness and weight loss for several months recently .' -p262088 -(lp262089 -S'He\tHe\tPRP\tB-NP\tO' -p262090 -aS'has\thave\tVBZ\tB-VP\tO' -p262091 -aS'not\tnot\tRB\tI-VP\tO' -p262092 -aS'had\thave\tVBN\tI-VP\tO' -p262093 -aS'fever\tfever\tNN\tB-NP\tO' -p262094 -aS'and\tand\tCC\tI-NP\tO' -p262095 -aS'night\tnight\tNN\tI-NP\tO' -p262096 -aS'sweats\tsweat\tNNS\tI-NP\tO' -p262097 -aS'but\tbut\tCC\tI-NP\tO' -p262098 -aS'reports\treport\tNNS\tI-NP\tO' -p262099 -aS'weakness\tweakness\tNN\tI-NP\tO' -p262100 -aS'and\tand\tCC\tI-NP\tO' -p262101 -aS'weight\tweight\tNN\tI-NP\tO' -p262102 -aS'loss\tloss\tNN\tI-NP\tO' -p262103 -aS'for\tfor\tIN\tB-PP\tO' -p262104 -aS'several\tseveral\tJJ\tB-NP\tO' -p262105 -aS'months\tmonth\tNNS\tI-NP\tO' -p262106 -aS'recently\trecently\tRB\tB-ADVP\tO' -p262107 -aS'.\t.\t.\tO\tO' -p262108 -asS'New England Sinai Hospital & Rehab Center - Everett' -p262109 -(lp262110 -S'New\tNew\tNNP\tB-NP\tO' -p262111 -aS'England\tEngland\tNNP\tI-NP\tO' -p262112 -aS'Sinai\tSinai\tNNP\tI-NP\tO' -p262113 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p262114 -aS'&\t&\tCC\tI-NP\tO' -p262115 -aS'Rehab\tRehab\tNNP\tI-NP\tO' -p262116 -aS'Center\tCenter\tNNP\tI-NP\tO' -p262117 -aS'-\t-\tHYPH\tO\tO' -p262118 -aS'Everett\tEverett\tNNP\tB-NP\tO' -p262119 -asS'Etoh use , 01-21 drinks / day , most recently on day of admission' -p262120 -(lp262121 -S'Etoh\tEtoh\tNN\tB-NP\tO' -p262122 -aS'use\tuse\tNN\tI-NP\tO' -p262123 -aS',\t,\t,\tO\tO' -p262124 -aS'01-21\t01-21\tCD\tB-NP\tO' -p262125 -aS'drinks\tdrink\tNNS\tI-NP\tO' -p262126 -aS'/\t/\tSYM\tB-NP\tO' -p262127 -aS'day\tday\tNN\tI-NP\tO' -p262128 -aS',\t,\t,\tO\tO' -p262129 -aS'most\tmost\tRBS\tB-ADVP\tO' -p262130 -aS'recently\trecently\tRB\tI-ADVP\tO' -p262131 -aS'on\ton\tIN\tB-PP\tO' -p262132 -aS'day\tday\tNN\tB-NP\tO' -p262133 -aS'of\tof\tIN\tB-PP\tO' -p262134 -aS'admission\tadmission\tNN\tB-NP\tO' -p262135 -asS'This 86 yo man with h/o CVA , CHF , recent episodes of aspiration pneumonia , presented with dyspnea from his NH , likely from new RLL pneumonia .' -p262136 -(lp262137 -S'This\tThis\tDT\tB-NP\tO' -p262138 -aS'86\t86\tCD\tI-NP\tO' -p262139 -aS'yo\tyo\tNN\tI-NP\tO' -p262140 -aS'man\tman\tNN\tI-NP\tO' -p262141 -aS'with\twith\tIN\tB-PP\tO' -p262142 -aS'h/o\th/o\tNN\tB-NP\tO' -p262143 -aS'CVA\tCVA\tNN\tI-NP\tO' -p262144 -aS',\t,\t,\tO\tO' -p262145 -aS'CHF\tCHF\tNN\tB-NP\tB-protein' -p262146 -aS',\t,\t,\tO\tO' -p262147 -aS'recent\trecent\tJJ\tB-NP\tO' -p262148 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p262149 -aS'of\tof\tIN\tB-PP\tO' -p262150 -aS'aspiration\taspiration\tNN\tB-NP\tO' -p262151 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p262152 -aS',\t,\t,\tO\tO' -p262153 -aS'presented\tpresent\tVBD\tB-VP\tO' -p262154 -aS'with\twith\tIN\tB-PP\tO' -p262155 -aS'dyspnea\tdyspnea\tNN\tB-NP\tO' -p262156 -aS'from\tfrom\tIN\tB-PP\tO' -p262157 -aS'his\this\tPRP$\tB-NP\tO' -p262158 -aS'NH\tNH\tNN\tI-NP\tO' -p262159 -aS',\t,\t,\tO\tO' -p262160 -aS'likely\tlikely\tRB\tB-ADJP\tO' -p262161 -aS'from\tfrom\tIN\tB-PP\tO' -p262162 -aS'new\tnew\tJJ\tB-NP\tO' -p262163 -aS'RLL\tRLL\tNN\tI-NP\tO' -p262164 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p262165 -aS'.\t.\t.\tO\tO' -p262166 -asS'Chemistries were notable for a sodium of 143 , potassium 3.2 , chloride and bicarbonate of 104 and 24 , respectively , with blood urea nitrogen and creatinine of 7 and 0.4 , respectively .' -p262167 -(lp262168 -S'Chemistries\tChemistry\tNNS\tB-NP\tO' -p262169 -aS'were\tbe\tVBD\tB-VP\tO' -p262170 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p262171 -aS'for\tfor\tIN\tB-PP\tO' -p262172 -aS'a\ta\tDT\tB-NP\tO' -p262173 -aS'sodium\tsodium\tNN\tI-NP\tO' -p262174 -aS'of\tof\tIN\tB-PP\tO' -p262175 -aS'143\t143\tCD\tB-NP\tO' -p262176 -aS',\t,\t,\tO\tO' -p262177 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p262178 -aS'3.2\t3.2\tCD\tI-NP\tO' -p262179 -aS',\t,\t,\tO\tO' -p262180 -aS'chloride\tchloride\tNN\tB-NP\tO' -p262181 -aS'and\tand\tCC\tI-NP\tO' -p262182 -aS'bicarbonate\tbicarbonate\tNN\tI-NP\tO' -p262183 -aS'of\tof\tIN\tB-PP\tO' -p262184 -aS'104\t104\tCD\tB-NP\tO' -p262185 -aS'and\tand\tCC\tI-NP\tO' -p262186 -aS'24\t24\tCD\tI-NP\tO' -p262187 -aS',\t,\t,\tO\tO' -p262188 -aS'respectively\trespectively\tRB\tB-ADVP\tO' -p262189 -aS',\t,\t,\tO\tO' -p262190 -aS'with\twith\tIN\tB-PP\tO' -p262191 -aS'blood\tblood\tNN\tB-NP\tO' -p262192 -aS'urea\turea\tNN\tI-NP\tO' -p262193 -aS'nitrogen\tnitrogen\tNN\tI-NP\tO' -p262194 -aS'and\tand\tCC\tI-NP\tO' -p262195 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p262196 -aS'of\tof\tIN\tB-PP\tO' -p262197 -aS'7\t7\tCD\tB-NP\tO' -p262198 -aS'and\tand\tCC\tI-NP\tO' -p262199 -aS'0.4\t0.4\tCD\tI-NP\tO' -p262200 -aS',\t,\t,\tO\tO' -p262201 -aS'respectively\trespectively\tRB\tB-ADVP\tO' -p262202 -aS'.\t.\t.\tO\tO' -p262203 -asS'The patient transfused 2 units on 10/20/97 for a hematocrit of 28.2.10 .' -p262204 -(lp262205 -S'The\tThe\tDT\tB-NP\tO' -p262206 -aS'patient\tpatient\tNN\tI-NP\tO' -p262207 -aS'transfused\ttransfuse\tVBN\tB-VP\tO' -p262208 -aS'2\t2\tCD\tB-NP\tO' -p262209 -aS'units\tunit\tNNS\tI-NP\tO' -p262210 -aS'on\ton\tIN\tB-PP\tO' -p262211 -aS'10/20/97\t10/20/97\tCD\tB-NP\tO' -p262212 -aS'for\tfor\tIN\tB-PP\tO' -p262213 -aS'a\ta\tDT\tB-NP\tO' -p262214 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p262215 -aS'of\tof\tIN\tB-PP\tO' -p262216 -aS'28.2.10\t28.2.10\tCD\tB-NP\tO' -p262217 -aS'.\t.\t.\tO\tO' -p262218 -asS'Pt denied any bleeding or clotting disorders and has never had a clot in the past .' -p262219 -(lp262220 -S'Pt\tPt\tNN\tB-NP\tO' -p262221 -aS'denied\tdeny\tVBD\tB-VP\tO' -p262222 -aS'any\tany\tDT\tB-NP\tO' -p262223 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p262224 -aS'or\tor\tCC\tI-NP\tO' -p262225 -aS'clotting\tclotting\tNN\tI-NP\tO' -p262226 -aS'disorders\tdisorder\tNNS\tI-NP\tO' -p262227 -aS'and\tand\tCC\tO\tO' -p262228 -aS'has\thave\tVBZ\tB-VP\tO' -p262229 -aS'never\tnever\tRB\tI-VP\tO' -p262230 -aS'had\thave\tVBD\tI-VP\tO' -p262231 -aS'a\ta\tDT\tB-NP\tO' -p262232 -aS'clot\tclot\tNN\tI-NP\tO' -p262233 -aS'in\tin\tIN\tB-PP\tO' -p262234 -aS'the\tthe\tDT\tB-NP\tO' -p262235 -aS'past\tpast\tNN\tI-NP\tO' -p262236 -aS'.\t.\t.\tO\tO' -p262237 -asS'Mild pain with resistive test and his Pigott sign is mildly positive on the right , negative on the left .' -p262238 -(lp262239 -S'Mild\tMild\tJJ\tB-NP\tO' -p262240 -aS'pain\tpain\tNN\tI-NP\tO' -p262241 -aS'with\twith\tIN\tB-PP\tO' -p262242 -aS'resistive\tresistive\tJJ\tB-NP\tO' -p262243 -aS'test\ttest\tNN\tI-NP\tO' -p262244 -aS'and\tand\tCC\tO\tO' -p262245 -aS'his\this\tPRP$\tB-NP\tO' -p262246 -aS'Pigott\tPigott\tNNP\tI-NP\tO' -p262247 -aS'sign\tsign\tNN\tI-NP\tO' -p262248 -aS'is\tbe\tVBZ\tB-VP\tO' -p262249 -aS'mildly\tmildly\tRB\tB-ADJP\tO' -p262250 -aS'positive\tpositive\tJJ\tI-ADJP\tO' -p262251 -aS'on\ton\tIN\tB-PP\tO' -p262252 -aS'the\tthe\tDT\tB-NP\tO' -p262253 -aS'right\tright\tJJ\tI-NP\tO' -p262254 -aS',\t,\t,\tI-NP\tO' -p262255 -aS'negative\tnegative\tJJ\tI-NP\tO' -p262256 -aS'on\ton\tIN\tB-PP\tO' -p262257 -aS'the\tthe\tDT\tB-NP\tO' -p262258 -aS'left\tleft\tNN\tI-NP\tO' -p262259 -aS'.\t.\t.\tO\tO' -p262260 -asS'She did well and was admitted to the GYN Service postoperatively because the patient had persistent pain .' -p262261 -(lp262262 -S'She\tShe\tPRP\tB-NP\tO' -p262263 -aS'did\tdo\tVBD\tB-VP\tO' -p262264 -aS'well\twell\tRB\tB-ADVP\tO' -p262265 -aS'and\tand\tCC\tO\tO' -p262266 -aS'was\tbe\tVBD\tB-VP\tO' -p262267 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p262268 -aS'to\tto\tTO\tB-PP\tO' -p262269 -aS'the\tthe\tDT\tB-NP\tO' -p262270 -aS'GYN\tGYN\tNNP\tI-NP\tO' -p262271 -aS'Service\tService\tNNP\tI-NP\tO' -p262272 -aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' -p262273 -aS'because\tbecause\tIN\tB-SBAR\tO' -p262274 -aS'the\tthe\tDT\tB-NP\tO' -p262275 -aS'patient\tpatient\tNN\tI-NP\tO' -p262276 -aS'had\thave\tVBD\tB-VP\tO' -p262277 -aS'persistent\tpersistent\tJJ\tB-NP\tO' -p262278 -aS'pain\tpain\tNN\tI-NP\tO' -p262279 -aS'.\t.\t.\tO\tO' -p262280 -asS'After one day in the Medical Intensive Care Unit the patient was stable enough to go to the floor where he continued the rest of his treatment .' -p262281 -(lp262282 -S'After\tAfter\tIN\tB-PP\tO' -p262283 -aS'one\tone\tCD\tB-NP\tO' -p262284 -aS'day\tday\tNN\tI-NP\tO' -p262285 -aS'in\tin\tIN\tB-PP\tO' -p262286 -aS'the\tthe\tDT\tB-NP\tO' -p262287 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p262288 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p262289 -aS'Care\tCare\tNNP\tI-NP\tO' -p262290 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p262291 -aS'the\tthe\tDT\tB-NP\tO' -p262292 -aS'patient\tpatient\tNN\tI-NP\tO' -p262293 -aS'was\tbe\tVBD\tB-VP\tO' -p262294 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p262295 -aS'enough\tenough\tRB\tI-ADJP\tO' -p262296 -aS'to\tto\tTO\tB-VP\tO' -p262297 -aS'go\tgo\tVB\tI-VP\tO' -p262298 -aS'to\tto\tTO\tB-PP\tO' -p262299 -aS'the\tthe\tDT\tB-NP\tO' -p262300 -aS'floor\tfloor\tNN\tI-NP\tO' -p262301 -aS'where\twhere\tWRB\tB-ADVP\tO' -p262302 -aS'he\the\tPRP\tB-NP\tO' -p262303 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p262304 -aS'the\tthe\tDT\tB-NP\tO' -p262305 -aS'rest\trest\tNN\tI-NP\tO' -p262306 -aS'of\tof\tIN\tB-PP\tO' -p262307 -aS'his\this\tPRP$\tB-NP\tO' -p262308 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p262309 -aS'.\t.\t.\tO\tO' -p262310 -asS'5) L femur xray ( 06-18 ): Predominantly sclerotic lesion with interval periosteal new bone formation involving the intertrochanteric and subtrochanteric regions .' -p262311 -(lp262312 -S'5)\t5)\tLS\tB-NP\tO' -p262313 -aS'L\tL\tNN\tI-NP\tO' -p262314 -aS'femur\tfemur\tNN\tI-NP\tO' -p262315 -aS'xray\txray\tNN\tI-NP\tO' -p262316 -aS'(\t(\t(\tO\tO' -p262317 -aS'06-18\t06-18\tCD\tB-NP\tO' -p262318 -aS'):\t):\t)\tO\tO' -p262319 -aS'Predominantly\tPredominantly\tRB\tB-NP\tO' -p262320 -aS'sclerotic\tsclerotic\tJJ\tI-NP\tO' -p262321 -aS'lesion\tlesion\tNN\tI-NP\tO' -p262322 -aS'with\twith\tIN\tB-PP\tO' -p262323 -aS'interval\tinterval\tJJ\tB-NP\tO' -p262324 -aS'periosteal\tperiosteal\tJJ\tI-NP\tO' -p262325 -aS'new\tnew\tJJ\tI-NP\tO' -p262326 -aS'bone\tbone\tNN\tI-NP\tO' -p262327 -aS'formation\tformation\tNN\tI-NP\tO' -p262328 -aS'involving\tinvolve\tVBG\tB-VP\tO' -p262329 -aS'the\tthe\tDT\tB-NP\tO' -p262330 -aS'intertrochanteric\tintertrochanteric\tJJ\tI-NP\tO' -p262331 -aS'and\tand\tCC\tI-NP\tO' -p262332 -aS'subtrochanteric\tsubtrochanteric\tJJ\tI-NP\tO' -p262333 -aS'regions\tregion\tNNS\tI-NP\tO' -p262334 -aS'.\t.\t.\tO\tO' -p262335 -asS'There was no areas of restricted diffusion to indicate infarction .' -p262336 -(lp262337 -S'There\tThere\tEX\tB-NP\tO' -p262338 -aS'was\tbe\tVBD\tB-VP\tO' -p262339 -aS'no\tno\tDT\tB-NP\tO' -p262340 -aS'areas\tarea\tNNS\tI-NP\tO' -p262341 -aS'of\tof\tIN\tB-PP\tO' -p262342 -aS'restricted\trestricted\tJJ\tB-NP\tO' -p262343 -aS'diffusion\tdiffusion\tNN\tI-NP\tO' -p262344 -aS'to\tto\tTO\tB-VP\tO' -p262345 -aS'indicate\tindicate\tVB\tI-VP\tO' -p262346 -aS'infarction\tinfarction\tNN\tB-NP\tO' -p262347 -aS'.\t.\t.\tO\tO' -p262348 -asS'The pelvic examination is normal except for the presence of a full right ovary .' -p262349 -(lp262350 -S'The\tThe\tDT\tB-NP\tO' -p262351 -aS'pelvic\tpelvic\tJJ\tI-NP\tO' -p262352 -aS'examination\texamination\tNN\tI-NP\tO' -p262353 -aS'is\tbe\tVBZ\tB-VP\tO' -p262354 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p262355 -aS'except\texcept\tIN\tB-PP\tO' -p262356 -aS'for\tfor\tIN\tB-PP\tO' -p262357 -aS'the\tthe\tDT\tB-NP\tO' -p262358 -aS'presence\tpresence\tNN\tI-NP\tO' -p262359 -aS'of\tof\tIN\tB-PP\tO' -p262360 -aS'a\ta\tDT\tB-NP\tO' -p262361 -aS'full\tfull\tJJ\tI-NP\tO' -p262362 -aS'right\tright\tJJ\tI-NP\tO' -p262363 -aS'ovary\tovary\tNN\tI-NP\tO' -p262364 -aS'.\t.\t.\tO\tO' -p262365 -asS'She had undergone a previous nasal arterial embolization for treatment of recurrent epistaxis .' -p262366 -(lp262367 -S'She\tShe\tPRP\tB-NP\tO' -p262368 -aS'had\thave\tVBD\tB-VP\tO' -p262369 -aS'undergone\tundergo\tVBN\tI-VP\tO' -p262370 -aS'a\ta\tDT\tB-NP\tO' -p262371 -aS'previous\tprevious\tJJ\tI-NP\tO' -p262372 -aS'nasal\tnasal\tJJ\tI-NP\tO' -p262373 -aS'arterial\tarterial\tJJ\tI-NP\tO' -p262374 -aS'embolization\tembolization\tNN\tI-NP\tO' -p262375 -aS'for\tfor\tIN\tB-PP\tO' -p262376 -aS'treatment\ttreatment\tNN\tB-NP\tO' -p262377 -aS'of\tof\tIN\tB-PP\tO' -p262378 -aS'recurrent\trecurrent\tJJ\tB-NP\tO' -p262379 -aS'epistaxis\tepistaxis\tNN\tI-NP\tO' -p262380 -aS'.\t.\t.\tO\tO' -p262381 -asS'This is a 50 year old man in his usual state of health until two weeks prior to admission when the patient developed epigastric pain after meals .' -p262382 -(lp262383 -S'This\tThis\tDT\tB-NP\tO' -p262384 -aS'is\tbe\tVBZ\tB-VP\tO' -p262385 -aS'a\ta\tDT\tB-NP\tO' -p262386 -aS'50\t50\tCD\tI-NP\tO' -p262387 -aS'year\tyear\tNN\tI-NP\tO' -p262388 -aS'old\told\tJJ\tI-NP\tO' -p262389 -aS'man\tman\tNN\tI-NP\tO' -p262390 -aS'in\tin\tIN\tB-PP\tO' -p262391 -aS'his\this\tPRP$\tB-NP\tO' -p262392 -aS'usual\tusual\tJJ\tI-NP\tO' -p262393 -aS'state\tstate\tNN\tI-NP\tO' -p262394 -aS'of\tof\tIN\tB-PP\tO' -p262395 -aS'health\thealth\tNN\tB-NP\tO' -p262396 -aS'until\tuntil\tIN\tB-PP\tO' -p262397 -aS'two\ttwo\tCD\tB-NP\tO' -p262398 -aS'weeks\tweek\tNNS\tI-NP\tO' -p262399 -aS'prior\tprior\tRB\tB-ADVP\tO' -p262400 -aS'to\tto\tTO\tB-PP\tO' -p262401 -aS'admission\tadmission\tNN\tB-NP\tO' -p262402 -aS'when\twhen\tWRB\tB-ADVP\tO' -p262403 -aS'the\tthe\tDT\tB-NP\tO' -p262404 -aS'patient\tpatient\tNN\tI-NP\tO' -p262405 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p262406 -aS'epigastric\tepigastric\tJJ\tB-NP\tO' -p262407 -aS'pain\tpain\tNN\tI-NP\tO' -p262408 -aS'after\tafter\tIN\tB-PP\tO' -p262409 -aS'meals\tmeal\tNNS\tB-NP\tO' -p262410 -aS'.\t.\t.\tO\tO' -p262411 -asS'The patient lightly bumped his head on the top three times on the previous night and the patient had frontal headaches and a tight neck .' -p262412 -(lp262413 -S'The\tThe\tDT\tB-NP\tO' -p262414 -aS'patient\tpatient\tNN\tI-NP\tO' -p262415 -aS'lightly\tlightly\tRB\tB-ADVP\tO' -p262416 -aS'bumped\tbump\tVBD\tB-VP\tO' -p262417 -aS'his\this\tPRP$\tB-NP\tO' -p262418 -aS'head\thead\tNN\tI-NP\tO' -p262419 -aS'on\ton\tIN\tB-PP\tO' -p262420 -aS'the\tthe\tDT\tB-NP\tO' -p262421 -aS'top\ttop\tJJ\tI-NP\tO' -p262422 -aS'three\tthree\tCD\tI-NP\tO' -p262423 -aS'times\ttime\tNNS\tI-NP\tO' -p262424 -aS'on\ton\tIN\tB-PP\tO' -p262425 -aS'the\tthe\tDT\tB-NP\tO' -p262426 -aS'previous\tprevious\tJJ\tI-NP\tO' -p262427 -aS'night\tnight\tNN\tI-NP\tO' -p262428 -aS'and\tand\tCC\tO\tO' -p262429 -aS'the\tthe\tDT\tB-NP\tO' -p262430 -aS'patient\tpatient\tNN\tI-NP\tO' -p262431 -aS'had\thave\tVBD\tB-VP\tO' -p262432 -aS'frontal\tfrontal\tJJ\tB-NP\tO' -p262433 -aS'headaches\theadache\tNNS\tI-NP\tO' -p262434 -aS'and\tand\tCC\tO\tO' -p262435 -aS'a\ta\tDT\tB-NP\tO' -p262436 -aS'tight\ttight\tJJ\tI-NP\tO' -p262437 -aS'neck\tneck\tNN\tI-NP\tO' -p262438 -aS'.\t.\t.\tO\tO' -p262439 -asS'No bony abnormalities or petechiae noted .' -p262440 -(lp262441 -S'No\tNo\tDT\tB-NP\tO' -p262442 -aS'bony\tbony\tNN\tI-NP\tO' -p262443 -aS'abnormalities\tabnormality\tNNS\tI-NP\tO' -p262444 -aS'or\tor\tCC\tI-NP\tO' -p262445 -aS'petechiae\tpetechiae\tNNS\tI-NP\tO' -p262446 -aS'noted\tnote\tVBD\tB-VP\tO' -p262447 -aS'.\t.\t.\tO\tO' -p262448 -asS'NO MICROORGANISMS SEEN .' -p262449 -(lp262450 -S'NO\tNO\tNN\tB-NP\tO' -p262451 -aS'MICROORGANISMS\tMICROORGANISMS\tNN\tI-NP\tO' -p262452 -aS'SEEN\tSEEN\tNN\tI-NP\tO' -p262453 -aS'.\t.\t.\tO\tO' -p262454 -asS'The patient underwent 6 cycles of CAP in Pemrancetul Tonsst. .' -p262455 -(lp262456 -S'The\tThe\tDT\tB-NP\tO' -p262457 -aS'patient\tpatient\tNN\tI-NP\tO' -p262458 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p262459 -aS'6\t6\tCD\tB-NP\tO' -p262460 -aS'cycles\tcycle\tNNS\tI-NP\tO' -p262461 -aS'of\tof\tIN\tB-PP\tO' -p262462 -aS'CAP\tCAP\tNN\tB-NP\tB-protein' -p262463 -aS'in\tin\tIN\tB-PP\tO' -p262464 -aS'Pemrancetul\tPemrancetul\tNNP\tB-NP\tO' -p262465 -aS'Tonsst.\tTonsst.\tNNP\tI-NP\tO' -p262466 -aS'.\t.\t.\tO\tO' -p262467 -asS'1. Docusate sodium 100 mg p.o. b.i.d.' -p262468 -(lp262469 -S'1.\t1.\tLS\tB-NP\tO' -p262470 -aS'Docusate\tDocusate\tNN\tI-NP\tO' -p262471 -aS'sodium\tsodium\tNN\tI-NP\tO' -p262472 -aS'100\t100\tCD\tI-NP\tO' -p262473 -aS'mg\tmg\tNN\tI-NP\tO' -p262474 -aS'p.o.\tp.o.\tFW\tB-ADVP\tO' -p262475 -aS'b.i.d.\tb.i.d.\tFW\tI-ADVP\tO' -p262476 -asS'smoker in the household , with preschool siblings , or with chronic lung disease ;' -p262477 -(lp262478 -S'smoker\tsmoker\tNN\tB-NP\tO' -p262479 -aS'in\tin\tIN\tB-PP\tO' -p262480 -aS'the\tthe\tDT\tB-NP\tO' -p262481 -aS'household\thousehold\tNN\tI-NP\tO' -p262482 -aS',\t,\t,\tO\tO' -p262483 -aS'with\twith\tIN\tB-PP\tO' -p262484 -aS'preschool\tpreschool\tNN\tB-NP\tO' -p262485 -aS'siblings\tsibling\tNNS\tI-NP\tO' -p262486 -aS',\t,\t,\tO\tO' -p262487 -aS'or\tor\tCC\tO\tO' -p262488 -aS'with\twith\tIN\tB-PP\tO' -p262489 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p262490 -aS'lung\tlung\tNN\tI-NP\tO' -p262491 -aS'disease\tdisease\tNN\tI-NP\tO' -p262492 -aS';\t;\t:\tO\tO' -p262493 -asS'It will need to be monitored over time .' -p262494 -(lp262495 -S'It\tIt\tPRP\tB-NP\tO' -p262496 -aS'will\twill\tMD\tB-VP\tO' -p262497 -aS'need\tneed\tVB\tI-VP\tO' -p262498 -aS'to\tto\tTO\tI-VP\tO' -p262499 -aS'be\tbe\tVB\tI-VP\tO' -p262500 -aS'monitored\tmonitor\tVBN\tI-VP\tO' -p262501 -aS'over\tover\tIN\tB-PP\tO' -p262502 -aS'time\ttime\tNN\tB-NP\tO' -p262503 -aS'.\t.\t.\tO\tO' -p262504 -asS'Your patient was admitted under the care of ANER , AEA M with a preliminary diagnosis of LINE SEPSIS .' -p262505 -(lp262506 -S'Your\tYour\tPRP$\tB-NP\tO' -p262507 -aS'patient\tpatient\tNN\tI-NP\tO' -p262508 -aS'was\tbe\tVBD\tB-VP\tO' -p262509 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p262510 -aS'under\tunder\tIN\tB-PP\tO' -p262511 -aS'the\tthe\tDT\tB-NP\tO' -p262512 -aS'care\tcare\tNN\tI-NP\tO' -p262513 -aS'of\tof\tIN\tB-PP\tO' -p262514 -aS'ANER\tANER\tNN\tB-NP\tB-protein' -p262515 -aS',\t,\t,\tO\tO' -p262516 -aS'AEA\tAEA\tNN\tB-NP\tB-protein' -p262517 -aS'M\tM\tNN\tI-NP\tI-protein' -p262518 -aS'with\twith\tIN\tB-PP\tO' -p262519 -aS'a\ta\tDT\tB-NP\tO' -p262520 -aS'preliminary\tpreliminary\tJJ\tI-NP\tO' -p262521 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p262522 -aS'of\tof\tIN\tB-PP\tO' -p262523 -aS'LINE\tLINE\tNNP\tB-NP\tO' -p262524 -aS'SEPSIS\tSEPSIS\tNNP\tI-NP\tO' -p262525 -aS'.\t.\t.\tO\tO' -p262526 -asS'The patient has seen his primary care physician who referred him to physical therapy for his gait weakness but his symptoms failed to improve .' -p262527 -(lp262528 -S'The\tThe\tDT\tB-NP\tO' -p262529 -aS'patient\tpatient\tNN\tI-NP\tO' -p262530 -aS'has\thave\tVBZ\tB-VP\tO' -p262531 -aS'seen\tsee\tVBN\tI-VP\tO' -p262532 -aS'his\this\tPRP$\tB-NP\tO' -p262533 -aS'primary\tprimary\tJJ\tI-NP\tO' -p262534 -aS'care\tcare\tNN\tI-NP\tO' -p262535 -aS'physician\tphysician\tNN\tI-NP\tO' -p262536 -aS'who\twho\tWP\tB-NP\tO' -p262537 -aS'referred\trefer\tVBD\tB-VP\tO' -p262538 -aS'him\thim\tPRP\tB-NP\tO' -p262539 -aS'to\tto\tTO\tB-PP\tO' -p262540 -aS'physical\tphysical\tJJ\tB-NP\tO' -p262541 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p262542 -aS'for\tfor\tIN\tB-PP\tO' -p262543 -aS'his\this\tPRP$\tB-NP\tO' -p262544 -aS'gait\tgait\tNN\tI-NP\tO' -p262545 -aS'weakness\tweakness\tNN\tI-NP\tO' -p262546 -aS'but\tbut\tCC\tO\tO' -p262547 -aS'his\this\tPRP$\tB-NP\tO' -p262548 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p262549 -aS'failed\tfail\tVBD\tB-VP\tO' -p262550 -aS'to\tto\tTO\tI-VP\tO' -p262551 -aS'improve\timprove\tVB\tI-VP\tO' -p262552 -aS'.\t.\t.\tO\tO' -p262553 -asS'The patient expressed concern that he had several utility bills that he was unable to pay .' -p262554 -(lp262555 -S'The\tThe\tDT\tB-NP\tO' -p262556 -aS'patient\tpatient\tNN\tI-NP\tO' -p262557 -aS'expressed\texpress\tVBD\tB-VP\tO' -p262558 -aS'concern\tconcern\tNN\tB-NP\tO' -p262559 -aS'that\tthat\tIN\tB-SBAR\tO' -p262560 -aS'he\the\tPRP\tB-NP\tO' -p262561 -aS'had\thave\tVBD\tB-VP\tO' -p262562 -aS'several\tseveral\tJJ\tB-NP\tO' -p262563 -aS'utility\tutility\tNN\tI-NP\tO' -p262564 -aS'bills\tbill\tNNS\tI-NP\tO' -p262565 -aS'that\tthat\tIN\tB-SBAR\tO' -p262566 -aS'he\the\tPRP\tB-NP\tO' -p262567 -aS'was\tbe\tVBD\tB-VP\tO' -p262568 -aS'unable\tunable\tJJ\tB-ADJP\tO' -p262569 -aS'to\tto\tTO\tB-VP\tO' -p262570 -aS'pay\tpay\tVB\tI-VP\tO' -p262571 -aS'.\t.\t.\tO\tO' -p262572 -asS'The CT scan that was obtained on 3/10/02 demonstrated no connection between bowel and the wound .' -p262573 -(lp262574 -S'The\tThe\tDT\tB-NP\tO' -p262575 -aS'CT\tCT\tNN\tI-NP\tO' -p262576 -aS'scan\tscan\tNN\tI-NP\tO' -p262577 -aS'that\tthat\tWDT\tB-NP\tO' -p262578 -aS'was\tbe\tVBD\tB-VP\tO' -p262579 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p262580 -aS'on\ton\tIN\tB-PP\tO' -p262581 -aS'3/10/02\t3/10/02\tNN\tB-NP\tO' -p262582 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p262583 -aS'no\tno\tDT\tB-NP\tO' -p262584 -aS'connection\tconnection\tNN\tI-NP\tO' -p262585 -aS'between\tbetween\tIN\tB-PP\tO' -p262586 -aS'bowel\tbowel\tNN\tB-NP\tO' -p262587 -aS'and\tand\tCC\tO\tO' -p262588 -aS'the\tthe\tDT\tB-NP\tO' -p262589 -aS'wound\twound\tNN\tI-NP\tO' -p262590 -aS'.\t.\t.\tO\tO' -p262591 -asS'His depakote was continued for his bipolar disorder .' -p262592 -(lp262593 -S'His\tHis\tPRP$\tB-NP\tO' -p262594 -aS'depakote\tdepakote\tNN\tI-NP\tO' -p262595 -aS'was\tbe\tVBD\tB-VP\tO' -p262596 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p262597 -aS'for\tfor\tIN\tB-PP\tO' -p262598 -aS'his\this\tPRP$\tB-NP\tO' -p262599 -aS'bipolar\tbipolar\tJJ\tI-NP\tO' -p262600 -aS'disorder\tdisorder\tNN\tI-NP\tO' -p262601 -aS'.\t.\t.\tO\tO' -p262602 -asS'On transfer to the Lemgarson Hospital service , her hematocrit was 31.2 , white count 11.1 and a platelet count 80 .' -p262603 -(lp262604 -S'On\tOn\tIN\tB-PP\tO' -p262605 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p262606 -aS'to\tto\tTO\tB-PP\tO' -p262607 -aS'the\tthe\tDT\tB-NP\tO' -p262608 -aS'Lemgarson\tLemgarson\tNNP\tI-NP\tO' -p262609 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p262610 -aS'service\tservice\tNN\tI-NP\tO' -p262611 -aS',\t,\t,\tO\tO' -p262612 -aS'her\ther\tPRP$\tB-NP\tO' -p262613 -aS'hematocrit\thematocrit\tNN\tI-NP\tB-protein' -p262614 -aS'was\tbe\tVBD\tB-VP\tI-protein' -p262615 -aS'31.2\t31.2\tCD\tB-NP\tI-protein' -p262616 -aS',\t,\t,\tO\tO' -p262617 -aS'white\twhite\tJJ\tB-NP\tO' -p262618 -aS'count\tcount\tNN\tI-NP\tO' -p262619 -aS'11.1\t11.1\tCD\tI-NP\tO' -p262620 -aS'and\tand\tCC\tO\tO' -p262621 -aS'a\ta\tDT\tB-NP\tO' -p262622 -aS'platelet\tplatelet\tNN\tI-NP\tB-protein' -p262623 -aS'count\tcount\tNN\tI-NP\tI-protein' -p262624 -aS'80\t80\tCD\tI-NP\tI-protein' -p262625 -aS'.\t.\t.\tO\tO' -p262626 -asS'Right shoulder instability .' -p262627 -(lp262628 -S'Right\tRight\tRB\tB-NP\tO' -p262629 -aS'shoulder\tshoulder\tNN\tI-NP\tO' -p262630 -aS'instability\tinstability\tNN\tI-NP\tO' -p262631 -aS'.\t.\t.\tO\tO' -p262632 -asS'4. Captopril 100 mg po three times a day .' -p262633 -(lp262634 -S'4.\t4.\tLS\tB-NP\tO' -p262635 -aS'Captopril\tCaptopril\tNNP\tI-NP\tO' -p262636 -aS'100\t100\tCD\tI-NP\tO' -p262637 -aS'mg\tmg\tNN\tI-NP\tO' -p262638 -aS'po\tpo\tIN\tB-PP\tO' -p262639 -aS'three\tthree\tCD\tB-NP\tO' -p262640 -aS'times\ttime\tNNS\tI-NP\tO' -p262641 -aS'a\ta\tDT\tB-NP\tO' -p262642 -aS'day\tday\tNN\tI-NP\tO' -p262643 -aS'.\t.\t.\tO\tO' -p262644 -asS'Distant heart sounds , tachycardia , regular rhythm .' -p262645 -(lp262646 -S'Distant\tDistant\tJJ\tB-NP\tO' -p262647 -aS'heart\theart\tNN\tI-NP\tO' -p262648 -aS'sounds\tsound\tNNS\tI-NP\tO' -p262649 -aS',\t,\t,\tO\tO' -p262650 -aS'tachycardia\ttachycardia\tNN\tB-NP\tO' -p262651 -aS',\t,\t,\tO\tO' -p262652 -aS'regular\tregular\tJJ\tB-NP\tO' -p262653 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p262654 -aS'.\t.\t.\tO\tO' -p262655 -asS'The complete blood count was notable for a white count of 5.3,000 , hematocrit 39 1/2 and platelet count of 180,000 and normal coags were measured .' -p262656 -(lp262657 -S'The\tThe\tDT\tB-NP\tO' -p262658 -aS'complete\tcomplete\tJJ\tI-NP\tO' -p262659 -aS'blood\tblood\tNN\tI-NP\tO' -p262660 -aS'count\tcount\tNN\tI-NP\tO' -p262661 -aS'was\tbe\tVBD\tB-VP\tO' -p262662 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p262663 -aS'for\tfor\tIN\tB-PP\tO' -p262664 -aS'a\ta\tDT\tB-NP\tO' -p262665 -aS'white\twhite\tJJ\tI-NP\tO' -p262666 -aS'count\tcount\tNN\tI-NP\tO' -p262667 -aS'of\tof\tIN\tB-PP\tO' -p262668 -aS'5.3,000\t5.3,000\tCD\tB-NP\tO' -p262669 -aS',\t,\t,\tO\tO' -p262670 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p262671 -aS'39\t39\tCD\tI-NP\tI-protein' -p262672 -aS'1/2\t1/2\tCD\tI-NP\tI-protein' -p262673 -aS'and\tand\tCC\tO\tO' -p262674 -aS'platelet\tplatelet\tNN\tB-NP\tO' -p262675 -aS'count\tcount\tNN\tI-NP\tO' -p262676 -aS'of\tof\tIN\tB-PP\tO' -p262677 -aS'180,000\t180,000\tCD\tB-NP\tO' -p262678 -aS'and\tand\tCC\tO\tO' -p262679 -aS'normal\tnormal\tJJ\tB-NP\tO' -p262680 -aS'coags\tcoag\tNNS\tI-NP\tO' -p262681 -aS'were\tbe\tVBD\tB-VP\tO' -p262682 -aS'measured\tmeasure\tVBN\tI-VP\tO' -p262683 -aS'.\t.\t.\tO\tO' -p262684 -asS'However the same problem recurred for a third time and a computer tomogram scan at an outside hospital showed an anterior hematoma .' -p262685 -(lp262686 -S'However\tHowever\tRB\tB-NP\tO' -p262687 -aS'the\tthe\tDT\tI-NP\tO' -p262688 -aS'same\tsame\tJJ\tI-NP\tO' -p262689 -aS'problem\tproblem\tNN\tI-NP\tO' -p262690 -aS'recurred\trecur\tVBD\tB-VP\tO' -p262691 -aS'for\tfor\tIN\tB-PP\tO' -p262692 -aS'a\ta\tDT\tB-NP\tO' -p262693 -aS'third\tthird\tJJ\tI-NP\tO' -p262694 -aS'time\ttime\tNN\tI-NP\tO' -p262695 -aS'and\tand\tCC\tO\tO' -p262696 -aS'a\ta\tDT\tB-NP\tO' -p262697 -aS'computer\tcomputer\tNN\tI-NP\tO' -p262698 -aS'tomogram\ttomogram\tNN\tI-NP\tO' -p262699 -aS'scan\tscan\tNN\tI-NP\tO' -p262700 -aS'at\tat\tIN\tB-PP\tO' -p262701 -aS'an\tan\tDT\tB-NP\tO' -p262702 -aS'outside\toutside\tJJ\tI-NP\tO' -p262703 -aS'hospital\thospital\tNN\tI-NP\tO' -p262704 -aS'showed\tshow\tVBD\tB-VP\tO' -p262705 -aS'an\tan\tDT\tB-NP\tO' -p262706 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p262707 -aS'hematoma\thematoma\tNN\tI-NP\tO' -p262708 -aS'.\t.\t.\tO\tO' -p262709 -asS'agitation , and 2 mg of ceftriaxone was given for a temperature of 101.3 with a concern for meningitis as a LP was done prior .' -p262710 -(lp262711 -S'agitation\tagitation\tNN\tB-NP\tO' -p262712 -aS',\t,\t,\tO\tO' -p262713 -aS'and\tand\tCC\tO\tO' -p262714 -aS'2\t2\tCD\tB-NP\tO' -p262715 -aS'mg\tmg\tNN\tI-NP\tO' -p262716 -aS'of\tof\tIN\tB-PP\tO' -p262717 -aS'ceftriaxone\tceftriaxone\tNN\tB-NP\tO' -p262718 -aS'was\tbe\tVBD\tB-VP\tO' -p262719 -aS'given\tgive\tVBN\tI-VP\tO' -p262720 -aS'for\tfor\tIN\tB-PP\tO' -p262721 -aS'a\ta\tDT\tB-NP\tO' -p262722 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p262723 -aS'of\tof\tIN\tB-PP\tO' -p262724 -aS'101.3\t101.3\tCD\tB-NP\tO' -p262725 -aS'with\twith\tIN\tB-PP\tO' -p262726 -aS'a\ta\tDT\tB-NP\tO' -p262727 -aS'concern\tconcern\tNN\tI-NP\tO' -p262728 -aS'for\tfor\tIN\tB-PP\tO' -p262729 -aS'meningitis\tmeningitis\tNN\tB-NP\tO' -p262730 -aS'as\tas\tIN\tB-PP\tO' -p262731 -aS'a\ta\tDT\tB-NP\tO' -p262732 -aS'LP\tLP\tNN\tI-NP\tO' -p262733 -aS'was\tbe\tVBD\tB-VP\tO' -p262734 -aS'done\tdo\tVBN\tI-VP\tO' -p262735 -aS'prior\tprior\tRB\tB-ADVP\tO' -p262736 -aS'.\t.\t.\tO\tO' -p262737 -asS'No anorexia .' -p262738 -(lp262739 -S'No\tNo\tDT\tB-NP\tO' -p262740 -aS'anorexia\tanorexia\tNN\tI-NP\tO' -p262741 -aS'.\t.\t.\tO\tO' -p262742 -asS'He was evaluated by the physical therapist in the hospital and was found to desaturate to 84% with ambulating on room air .' -p262743 -(lp262744 -S'He\tHe\tPRP\tB-NP\tO' -p262745 -aS'was\tbe\tVBD\tB-VP\tO' -p262746 -aS'evaluated\tevaluate\tVBN\tI-VP\tO' -p262747 -aS'by\tby\tIN\tB-PP\tO' -p262748 -aS'the\tthe\tDT\tB-NP\tO' -p262749 -aS'physical\tphysical\tJJ\tI-NP\tO' -p262750 -aS'therapist\ttherapist\tNN\tI-NP\tO' -p262751 -aS'in\tin\tIN\tB-PP\tO' -p262752 -aS'the\tthe\tDT\tB-NP\tO' -p262753 -aS'hospital\thospital\tNN\tI-NP\tO' -p262754 -aS'and\tand\tCC\tO\tO' -p262755 -aS'was\tbe\tVBD\tB-VP\tO' -p262756 -aS'found\tfind\tVBN\tI-VP\tO' -p262757 -aS'to\tto\tTO\tI-VP\tO' -p262758 -aS'desaturate\tdesaturate\tVB\tI-VP\tO' -p262759 -aS'to\tto\tTO\tI-VP\tO' -p262760 -aS'84%\t84%\tVB\tI-VP\tO' -p262761 -aS'with\twith\tIN\tB-PP\tO' -p262762 -aS'ambulating\tambulate\tVBG\tB-VP\tO' -p262763 -aS'on\ton\tIN\tB-PP\tO' -p262764 -aS'room\troom\tNN\tB-NP\tO' -p262765 -aS'air\tair\tNN\tI-NP\tO' -p262766 -aS'.\t.\t.\tO\tO' -p262767 -asS'The right suggested decreased flow .' -p262768 -(lp262769 -S'The\tThe\tDT\tB-NP\tO' -p262770 -aS'right\tright\tNN\tI-NP\tO' -p262771 -aS'suggested\tsuggest\tVBD\tB-VP\tO' -p262772 -aS'decreased\tdecrease\tVBN\tB-NP\tO' -p262773 -aS'flow\tflow\tNN\tI-NP\tO' -p262774 -aS'.\t.\t.\tO\tO' -p262775 -asS'September 11 , 1994 , coronary artery bypass surgery .' -p262776 -(lp262777 -S'September\tSeptember\tNNP\tB-NP\tO' -p262778 -aS'11\t11\tCD\tI-NP\tO' -p262779 -aS',\t,\t,\tI-NP\tO' -p262780 -aS'1994\t1994\tCD\tI-NP\tO' -p262781 -aS',\t,\t,\tI-NP\tO' -p262782 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p262783 -aS'artery\tartery\tNN\tI-NP\tO' -p262784 -aS'bypass\tbypass\tIN\tB-PP\tO' -p262785 -aS'surgery\tsurgery\tNN\tB-NP\tO' -p262786 -aS'.\t.\t.\tO\tO' -p262787 -asS'The patient is status post uterine artery embolization on 2009-01-07 secondary to fibroids .' -p262788 -(lp262789 -S'The\tThe\tDT\tB-NP\tO' -p262790 -aS'patient\tpatient\tNN\tI-NP\tO' -p262791 -aS'is\tbe\tVBZ\tB-VP\tO' -p262792 -aS'status\tstatus\tNN\tB-NP\tO' -p262793 -aS'post\tpost\tNN\tI-NP\tO' -p262794 -aS'uterine\tuterine\tJJ\tI-NP\tO' -p262795 -aS'artery\tartery\tNN\tI-NP\tO' -p262796 -aS'embolization\tembolization\tNN\tI-NP\tO' -p262797 -aS'on\ton\tIN\tB-PP\tO' -p262798 -aS'2009-01-07\t2009-01-07\tCD\tB-NP\tO' -p262799 -aS'secondary\tsecondary\tJJ\tI-NP\tO' -p262800 -aS'to\tto\tTO\tB-PP\tO' -p262801 -aS'fibroids\tfibroid\tNNS\tB-NP\tO' -p262802 -aS'.\t.\t.\tO\tO' -p262803 -asS'The baby received no blood products .' -p262804 -(lp262805 -S'The\tThe\tDT\tB-NP\tO' -p262806 -aS'baby\tbaby\tNN\tI-NP\tB-protein' -p262807 -aS'received\treceive\tVBD\tB-VP\tI-protein' -p262808 -aS'no\tno\tDT\tB-NP\tI-protein' -p262809 -aS'blood\tblood\tNN\tI-NP\tI-protein' -p262810 -aS'products\tproduct\tNNS\tI-NP\tI-protein' -p262811 -aS'.\t.\t.\tO\tO' -p262812 -asS'He was noted to be large for gestational age with a weight of 4525 grams .' -p262813 -(lp262814 -S'He\tHe\tPRP\tB-NP\tO' -p262815 -aS'was\tbe\tVBD\tB-VP\tO' -p262816 -aS'noted\tnote\tVBN\tI-VP\tO' -p262817 -aS'to\tto\tTO\tI-VP\tO' -p262818 -aS'be\tbe\tVB\tI-VP\tO' -p262819 -aS'large\tlarge\tJJ\tB-ADJP\tO' -p262820 -aS'for\tfor\tIN\tB-PP\tO' -p262821 -aS'gestational\tgestational\tJJ\tB-NP\tO' -p262822 -aS'age\tage\tNN\tI-NP\tO' -p262823 -aS'with\twith\tIN\tB-PP\tO' -p262824 -aS'a\ta\tDT\tB-NP\tO' -p262825 -aS'weight\tweight\tNN\tI-NP\tO' -p262826 -aS'of\tof\tIN\tB-PP\tO' -p262827 -aS'4525\t4525\tCD\tB-NP\tO' -p262828 -aS'grams\tgram\tNNS\tI-NP\tO' -p262829 -aS'.\t.\t.\tO\tO' -p262830 -asS'Our leading theory at this point is that her cerebellar dysfunction relates to perineoplastic syndrome , relating to her history of breast Ca .' -p262831 -(lp262832 -S'Our\tOur\tPRP$\tB-NP\tO' -p262833 -aS'leading\tleading\tJJ\tI-NP\tO' -p262834 -aS'theory\ttheory\tNN\tI-NP\tO' -p262835 -aS'at\tat\tIN\tB-PP\tO' -p262836 -aS'this\tthis\tDT\tB-NP\tO' -p262837 -aS'point\tpoint\tNN\tI-NP\tO' -p262838 -aS'is\tbe\tVBZ\tB-VP\tO' -p262839 -aS'that\tthat\tIN\tB-SBAR\tO' -p262840 -aS'her\ther\tPRP$\tB-NP\tO' -p262841 -aS'cerebellar\tcerebellar\tJJ\tI-NP\tO' -p262842 -aS'dysfunction\tdysfunction\tNN\tI-NP\tO' -p262843 -aS'relates\trelate\tVBZ\tB-VP\tO' -p262844 -aS'to\tto\tTO\tB-PP\tO' -p262845 -aS'perineoplastic\tperineoplastic\tJJ\tB-NP\tO' -p262846 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p262847 -aS',\t,\t,\tO\tO' -p262848 -aS'relating\trelate\tVBG\tB-VP\tO' -p262849 -aS'to\tto\tTO\tB-PP\tO' -p262850 -aS'her\ther\tPRP$\tB-NP\tO' -p262851 -aS'history\thistory\tNN\tI-NP\tO' -p262852 -aS'of\tof\tIN\tB-PP\tO' -p262853 -aS'breast\tbreast\tNN\tB-NP\tO' -p262854 -aS'Ca\tCa\tNN\tI-NP\tO' -p262855 -aS'.\t.\t.\tO\tO' -p262856 -asS'On examination , he is afebrile .' -p262857 -(lp262858 -S'On\tOn\tIN\tB-PP\tO' -p262859 -aS'examination\texamination\tNN\tB-NP\tO' -p262860 -aS',\t,\t,\tO\tO' -p262861 -aS'he\the\tPRP\tB-NP\tO' -p262862 -aS'is\tbe\tVBZ\tB-VP\tO' -p262863 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p262864 -aS'.\t.\t.\tO\tO' -p262865 -asS'The patient lives in Napro with her husband who is her primary caregiver .' -p262866 -(lp262867 -S'The\tThe\tDT\tB-NP\tO' -p262868 -aS'patient\tpatient\tNN\tI-NP\tO' -p262869 -aS'lives\tlife\tNNS\tI-NP\tO' -p262870 -aS'in\tin\tIN\tB-PP\tO' -p262871 -aS'Napro\tNapro\tNNP\tB-NP\tO' -p262872 -aS'with\twith\tIN\tB-PP\tO' -p262873 -aS'her\ther\tPRP$\tB-NP\tO' -p262874 -aS'husband\thusband\tNN\tI-NP\tO' -p262875 -aS'who\twho\tWP\tB-NP\tO' -p262876 -aS'is\tbe\tVBZ\tB-VP\tO' -p262877 -aS'her\ther\tPRP$\tB-NP\tO' -p262878 -aS'primary\tprimary\tJJ\tI-NP\tO' -p262879 -aS'caregiver\tcaregiver\tNN\tI-NP\tO' -p262880 -aS'.\t.\t.\tO\tO' -p262881 -asS'Since that time he had been ambulating with a walker and has had increasing difficulty with falls in the last two weeks .' -p262882 -(lp262883 -S'Since\tSince\tIN\tB-PP\tO' -p262884 -aS'that\tthat\tDT\tB-NP\tO' -p262885 -aS'time\ttime\tNN\tI-NP\tO' -p262886 -aS'he\the\tPRP\tB-NP\tO' -p262887 -aS'had\thave\tVBD\tB-VP\tO' -p262888 -aS'been\tbe\tVBN\tI-VP\tO' -p262889 -aS'ambulating\tambulate\tVBG\tI-VP\tO' -p262890 -aS'with\twith\tIN\tB-PP\tO' -p262891 -aS'a\ta\tDT\tB-NP\tO' -p262892 -aS'walker\twalker\tNN\tI-NP\tO' -p262893 -aS'and\tand\tCC\tO\tO' -p262894 -aS'has\thave\tVBZ\tB-VP\tO' -p262895 -aS'had\thave\tVBN\tI-VP\tO' -p262896 -aS'increasing\tincrease\tVBG\tB-NP\tO' -p262897 -aS'difficulty\tdifficulty\tNN\tI-NP\tO' -p262898 -aS'with\twith\tIN\tB-PP\tO' -p262899 -aS'falls\tfall\tNNS\tB-NP\tO' -p262900 -aS'in\tin\tIN\tB-PP\tO' -p262901 -aS'the\tthe\tDT\tB-NP\tO' -p262902 -aS'last\tlast\tJJ\tI-NP\tO' -p262903 -aS'two\ttwo\tCD\tI-NP\tO' -p262904 -aS'weeks\tweek\tNNS\tI-NP\tO' -p262905 -aS'.\t.\t.\tO\tO' -p262906 -asS'As of 05-17 , he was switched over to bolus infusion in preparation of continued home factor 8 administration .' -p262907 -(lp262908 -S'As\tAs\tIN\tB-PP\tO' -p262909 -aS'of\tof\tIN\tB-PP\tO' -p262910 -aS'05-17\t05-17\tCD\tB-NP\tO' -p262911 -aS',\t,\t,\tO\tO' -p262912 -aS'he\the\tPRP\tB-NP\tO' -p262913 -aS'was\tbe\tVBD\tB-VP\tO' -p262914 -aS'switched\tswitch\tVBN\tI-VP\tO' -p262915 -aS'over\tover\tRP\tB-PRT\tO' -p262916 -aS'to\tto\tTO\tB-PP\tO' -p262917 -aS'bolus\tbolus\tNN\tB-NP\tO' -p262918 -aS'infusion\tinfusion\tNN\tI-NP\tO' -p262919 -aS'in\tin\tIN\tB-PP\tO' -p262920 -aS'preparation\tpreparation\tNN\tB-NP\tO' -p262921 -aS'of\tof\tIN\tB-PP\tO' -p262922 -aS'continued\tcontinue\tVBN\tB-NP\tO' -p262923 -aS'home\thome\tNN\tI-NP\tO' -p262924 -aS'factor\tfactor\tNN\tI-NP\tO' -p262925 -aS'8\t8\tCD\tI-NP\tO' -p262926 -aS'administration\tadministration\tNN\tI-NP\tO' -p262927 -aS'.\t.\t.\tO\tO' -p262928 -asS'No other acute fractures are appreciated .' -p262929 -(lp262930 -S'No\tNo\tDT\tB-NP\tO' -p262931 -aS'other\tother\tJJ\tI-NP\tO' -p262932 -aS'acute\tacute\tJJ\tI-NP\tO' -p262933 -aS'fractures\tfracture\tNNS\tI-NP\tO' -p262934 -aS'are\tbe\tVBP\tB-VP\tO' -p262935 -aS'appreciated\tappreciate\tVBN\tI-VP\tO' -p262936 -aS'.\t.\t.\tO\tO' -p262937 -asS'The PICC line should be discontinued promptly after the linezolid course is completed .' -p262938 -(lp262939 -S'The\tThe\tDT\tB-NP\tO' -p262940 -aS'PICC\tPICC\tNN\tI-NP\tB-cell_line' -p262941 -aS'line\tline\tNN\tI-NP\tI-cell_line' -p262942 -aS'should\tshould\tMD\tB-VP\tO' -p262943 -aS'be\tbe\tVB\tI-VP\tO' -p262944 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p262945 -aS'promptly\tpromptly\tRB\tB-ADVP\tO' -p262946 -aS'after\tafter\tIN\tB-PP\tO' -p262947 -aS'the\tthe\tDT\tB-NP\tO' -p262948 -aS'linezolid\tlinezolid\tJJ\tI-NP\tO' -p262949 -aS'course\tcourse\tNN\tI-NP\tO' -p262950 -aS'is\tbe\tVBZ\tB-VP\tO' -p262951 -aS'completed\tcomplete\tVBN\tI-VP\tO' -p262952 -aS'.\t.\t.\tO\tO' -p262953 -asS'She underwent an immediate head CT and Neuro consult and was transferred back to the CSRU .' -p262954 -(lp262955 -S'She\tShe\tPRP\tB-NP\tO' -p262956 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p262957 -aS'an\tan\tDT\tB-NP\tO' -p262958 -aS'immediate\timmediate\tJJ\tI-NP\tO' -p262959 -aS'head\thead\tNN\tI-NP\tO' -p262960 -aS'CT\tCT\tNN\tI-NP\tO' -p262961 -aS'and\tand\tCC\tO\tO' -p262962 -aS'Neuro\tNeuro\tNN\tB-NP\tO' -p262963 -aS'consult\tconsult\tNN\tI-NP\tO' -p262964 -aS'and\tand\tCC\tO\tO' -p262965 -aS'was\tbe\tVBD\tB-VP\tO' -p262966 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p262967 -aS'back\tback\tRB\tB-ADVP\tO' -p262968 -aS'to\tto\tTO\tB-PP\tO' -p262969 -aS'the\tthe\tDT\tB-NP\tO' -p262970 -aS'CSRU\tCSRU\tNN\tI-NP\tB-DNA' -p262971 -aS'.\t.\t.\tO\tO' -p262972 -asS'Sat 94% on 4L .' -p262973 -(lp262974 -S'Sat\tSat\tNNP\tB-NP\tO' -p262975 -aS'94%\t94%\tCD\tI-NP\tO' -p262976 -aS'on\ton\tIN\tB-PP\tO' -p262977 -aS'4L\t4L\tNN\tB-NP\tB-protein' -p262978 -aS'.\t.\t.\tO\tO' -p262979 -asS'No bruit or JVD .' -p262980 -(lp262981 -S'No\tNo\tDT\tB-NP\tO' -p262982 -aS'bruit\tbruit\tNN\tI-NP\tO' -p262983 -aS'or\tor\tCC\tI-NP\tO' -p262984 -aS'JVD\tJVD\tNN\tI-NP\tB-protein' -p262985 -aS'.\t.\t.\tO\tO' -p262986 -asS'He did well on this and his Levophed drip was weaned to off as tolerated .' -p262987 -(lp262988 -S'He\tHe\tPRP\tB-NP\tO' -p262989 -aS'did\tdo\tVBD\tB-VP\tO' -p262990 -aS'well\twell\tRB\tB-ADVP\tO' -p262991 -aS'on\ton\tIN\tB-PP\tO' -p262992 -aS'this\tthis\tDT\tB-NP\tO' -p262993 -aS'and\tand\tCC\tO\tO' -p262994 -aS'his\this\tPRP$\tB-NP\tO' -p262995 -aS'Levophed\tLevophed\tNNP\tI-NP\tO' -p262996 -aS'drip\tdrip\tNN\tI-NP\tO' -p262997 -aS'was\tbe\tVBD\tB-VP\tO' -p262998 -aS'weaned\twean\tVBN\tI-VP\tO' -p262999 -aS'to\tto\tTO\tB-PP\tO' -p263000 -aS'off\toff\tRP\tB-PRT\tO' -p263001 -aS'as\tas\tIN\tB-SBAR\tO' -p263002 -aS'tolerated\ttolerate\tVBN\tB-VP\tO' -p263003 -aS'.\t.\t.\tO\tO' -p263004 -asS'After his procedure on 10/17/97 , elevated CPKs were noted on 10/19/97 to 10/20/97 , and the first level was 744 , CPK # 2 635 , and CPK # 3 461 .' -p263005 -(lp263006 -S'After\tAfter\tIN\tB-PP\tO' -p263007 -aS'his\this\tPRP$\tB-NP\tO' -p263008 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p263009 -aS'on\ton\tIN\tB-PP\tO' -p263010 -aS'10/17/97\t10/17/97\tCD\tB-NP\tO' -p263011 -aS',\t,\t,\tO\tO' -p263012 -aS'elevated\televate\tVBN\tB-NP\tO' -p263013 -aS'CPKs\tCPK\tNNS\tI-NP\tB-protein' -p263014 -aS'were\tbe\tVBD\tB-VP\tO' -p263015 -aS'noted\tnote\tVBN\tI-VP\tO' -p263016 -aS'on\ton\tIN\tB-PP\tO' -p263017 -aS'10/19/97\t10/19/97\tCD\tB-NP\tO' -p263018 -aS'to\tto\tTO\tB-PP\tO' -p263019 -aS'10/20/97\t10/20/97\tCD\tB-NP\tO' -p263020 -aS',\t,\t,\tO\tO' -p263021 -aS'and\tand\tCC\tO\tO' -p263022 -aS'the\tthe\tDT\tB-NP\tO' -p263023 -aS'first\tfirst\tJJ\tI-NP\tO' -p263024 -aS'level\tlevel\tNN\tI-NP\tO' -p263025 -aS'was\tbe\tVBD\tB-VP\tO' -p263026 -aS'744\t744\tCD\tB-NP\tO' -p263027 -aS',\t,\t,\tO\tO' -p263028 -aS'CPK\tCPK\tNNP\tB-NP\tO' -p263029 -aS'#\t#\t#\tI-NP\tO' -p263030 -aS'2\t2\tCD\tI-NP\tO' -p263031 -aS'635\t635\tCD\tI-NP\tO' -p263032 -aS',\t,\t,\tO\tO' -p263033 -aS'and\tand\tCC\tO\tO' -p263034 -aS'CPK\tCPK\tNN\tB-NP\tB-protein' -p263035 -aS'#\t#\t#\tB-NP\tO' -p263036 -aS'3\t3\tCD\tI-NP\tO' -p263037 -aS'461\t461\tCD\tI-NP\tO' -p263038 -aS'.\t.\t.\tO\tO' -p263039 -asS'Thus , the patient was discharged to home .' -p263040 -(lp263041 -S'Thus\tThus\tRB\tB-ADVP\tO' -p263042 -aS',\t,\t,\tO\tO' -p263043 -aS'the\tthe\tDT\tB-NP\tO' -p263044 -aS'patient\tpatient\tNN\tI-NP\tO' -p263045 -aS'was\tbe\tVBD\tB-VP\tO' -p263046 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p263047 -aS'to\tto\tTO\tB-PP\tO' -p263048 -aS'home\thome\tNN\tB-NP\tO' -p263049 -aS'.\t.\t.\tO\tO' -p263050 -asS'The sodium was 142 ; potassium 4.5 ; chloride 105 ; bicarbonate 27 ; BUN and creatinine 31 and 1.3 ; glucose 107 ; total protein 7.7 ; albumin 3.2 ; globulin 4.5 ; uric acid 4.2 ; alkaline phosphatase 114 ; serum glutamic oxaloacetic transaminase 46 ; lactic acid dehydrogenase 370 ; white blood count 11,000 with 83 polymorphonuclear leukocytes ; hematocrit 42 ; platelet count 227,000 .' -p263051 -(lp263052 -S'The\tThe\tDT\tB-NP\tO' -p263053 -aS'sodium\tsodium\tNN\tI-NP\tO' -p263054 -aS'was\tbe\tVBD\tB-VP\tO' -p263055 -aS'142\t142\tCD\tB-NP\tO' -p263056 -aS';\t;\t:\tO\tO' -p263057 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p263058 -aS'4.5\t4.5\tCD\tI-NP\tO' -p263059 -aS';\t;\t:\tO\tO' -p263060 -aS'chloride\tchloride\tNN\tB-NP\tO' -p263061 -aS'105\t105\tCD\tI-NP\tO' -p263062 -aS';\t;\t:\tO\tO' -p263063 -aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' -p263064 -aS'27\t27\tCD\tI-NP\tO' -p263065 -aS';\t;\t:\tO\tO' -p263066 -aS'BUN\tBUN\tNN\tB-NP\tO' -p263067 -aS'and\tand\tCC\tI-NP\tO' -p263068 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p263069 -aS'31\t31\tCD\tI-NP\tO' -p263070 -aS'and\tand\tCC\tI-NP\tO' -p263071 -aS'1.3\t1.3\tCD\tI-NP\tO' -p263072 -aS';\t;\t:\tO\tO' -p263073 -aS'glucose\tglucose\tNN\tB-NP\tO' -p263074 -aS'107\t107\tCD\tI-NP\tO' -p263075 -aS';\t;\t:\tO\tO' -p263076 -aS'total\ttotal\tJJ\tB-NP\tO' -p263077 -aS'protein\tprotein\tNN\tI-NP\tO' -p263078 -aS'7.7\t7.7\tCD\tI-NP\tO' -p263079 -aS';\t;\t:\tO\tO' -p263080 -aS'albumin\talbumin\tNN\tB-NP\tO' -p263081 -aS'3.2\t3.2\tCD\tI-NP\tO' -p263082 -aS';\t;\t:\tO\tO' -p263083 -aS'globulin\tglobulin\tNN\tB-NP\tO' -p263084 -aS'4.5\t4.5\tCD\tI-NP\tO' -p263085 -aS';\t;\t:\tO\tO' -p263086 -aS'uric\turic\tJJ\tB-NP\tO' -p263087 -aS'acid\tacid\tNN\tI-NP\tO' -p263088 -aS'4.2\t4.2\tCD\tI-NP\tO' -p263089 -aS';\t;\t:\tO\tO' -p263090 -aS'alkaline\talkaline\tNN\tB-NP\tO' -p263091 -aS'phosphatase\tphosphatase\tNN\tI-NP\tO' -p263092 -aS'114\t114\tCD\tI-NP\tO' -p263093 -aS';\t;\t:\tO\tO' -p263094 -aS'serum\tserum\tNN\tB-NP\tO' -p263095 -aS'glutamic\tglutamic\tJJ\tI-NP\tO' -p263096 -aS'oxaloacetic\toxaloacetic\tJJ\tI-NP\tO' -p263097 -aS'transaminase\ttransaminase\tNN\tI-NP\tO' -p263098 -aS'46\t46\tCD\tI-NP\tO' -p263099 -aS';\t;\t:\tO\tO' -p263100 -aS'lactic\tlactic\tJJ\tB-NP\tO' -p263101 -aS'acid\tacid\tNN\tI-NP\tO' -p263102 -aS'dehydrogenase\tdehydrogenase\tNN\tI-NP\tO' -p263103 -aS'370\t370\tCD\tI-NP\tO' -p263104 -aS';\t;\t:\tO\tO' -p263105 -aS'white\twhite\tJJ\tB-NP\tO' -p263106 -aS'blood\tblood\tNN\tI-NP\tO' -p263107 -aS'count\tcount\tNN\tI-NP\tO' -p263108 -aS'11,000\t11,000\tCD\tI-NP\tO' -p263109 -aS'with\twith\tIN\tB-PP\tO' -p263110 -aS'83\t83\tCD\tB-NP\tO' -p263111 -aS'polymorphonuclear\tpolymorphonuclear\tJJ\tI-NP\tB-cell_type' -p263112 -aS'leukocytes\tleukocyte\tNNS\tI-NP\tI-cell_type' -p263113 -aS';\t;\t:\tO\tO' -p263114 -aS'hematocrit\thematocrit\tNN\tB-NP\tO' -p263115 -aS'42\t42\tCD\tI-NP\tO' -p263116 -aS';\t;\t:\tO\tO' -p263117 -aS'platelet\tplatelet\tNN\tB-NP\tO' -p263118 -aS'count\tcount\tNN\tI-NP\tO' -p263119 -aS'227,000\t227,000\tCD\tI-NP\tO' -p263120 -aS'.\t.\t.\tO\tO' -p263121 -asS'The report from the frozen section sent in the surgery came back with poorly differentiated adenocarcinoma , possibly serous carcinoma of the ovary .' -p263122 -(lp263123 -S'The\tThe\tDT\tB-NP\tO' -p263124 -aS'report\treport\tNN\tI-NP\tO' -p263125 -aS'from\tfrom\tIN\tB-PP\tO' -p263126 -aS'the\tthe\tDT\tB-NP\tO' -p263127 -aS'frozen\tfrozen\tJJ\tI-NP\tO' -p263128 -aS'section\tsection\tNN\tI-NP\tO' -p263129 -aS'sent\tsend\tVBN\tB-VP\tO' -p263130 -aS'in\tin\tIN\tB-PP\tO' -p263131 -aS'the\tthe\tDT\tB-NP\tO' -p263132 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p263133 -aS'came\tcome\tVBD\tB-VP\tO' -p263134 -aS'back\tback\tRB\tB-ADVP\tO' -p263135 -aS'with\twith\tIN\tB-PP\tO' -p263136 -aS'poorly\tpoorly\tRB\tB-NP\tO' -p263137 -aS'differentiated\tdifferentiate\tVBN\tI-NP\tO' -p263138 -aS'adenocarcinoma\tadenocarcinoma\tNN\tI-NP\tO' -p263139 -aS',\t,\t,\tO\tO' -p263140 -aS'possibly\tpossibly\tRB\tB-NP\tO' -p263141 -aS'serous\tserous\tJJ\tI-NP\tO' -p263142 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p263143 -aS'of\tof\tIN\tB-PP\tO' -p263144 -aS'the\tthe\tDT\tB-NP\tO' -p263145 -aS'ovary\tovary\tNN\tI-NP\tO' -p263146 -aS'.\t.\t.\tO\tO' -p263147 -asS'Disp :* 168 Capsule (s)* Refills :* 0 *' -p263148 -(lp263149 -S'Disp\tDisp\tNN\tB-NP\tO' -p263150 -aS':*\t:*\tSYM\tI-NP\tO' -p263151 -aS'168\t168\tCD\tI-NP\tO' -p263152 -aS'Capsule\tCapsule\tNN\tI-NP\tO' -p263153 -aS'(s)*\t(s)*\tSYM\tB-NP\tO' -p263154 -aS'Refills\tRefill\tNNPS\tI-NP\tO' -p263155 -aS':*\t:*\tSYM\tI-NP\tO' -p263156 -aS'0\t0\tCD\tI-NP\tO' -p263157 -aS'*\t*\tSYM\tB-NP\tO' -p263158 -asS'No headache , no nausea , vomiting or diarrhea .' -p263159 -(lp263160 -S'No\tNo\tDT\tB-NP\tO' -p263161 -aS'headache\theadache\tNN\tI-NP\tO' -p263162 -aS',\t,\t,\tO\tO' -p263163 -aS'no\tno\tDT\tB-NP\tO' -p263164 -aS'nausea\tnausea\tNN\tI-NP\tO' -p263165 -aS',\t,\t,\tI-NP\tO' -p263166 -aS'vomiting\tvomiting\tNN\tI-NP\tO' -p263167 -aS'or\tor\tCC\tI-NP\tO' -p263168 -aS'diarrhea\tdiarrhea\tNN\tI-NP\tO' -p263169 -aS'.\t.\t.\tO\tO' -p263170 -asS'He did have problems with po intake .' -p263171 -(lp263172 -S'He\tHe\tPRP\tB-NP\tO' -p263173 -aS'did\tdo\tVBD\tB-VP\tO' -p263174 -aS'have\thave\tVB\tI-VP\tO' -p263175 -aS'problems\tproblem\tNNS\tB-NP\tO' -p263176 -aS'with\twith\tIN\tB-PP\tO' -p263177 -aS'po\tpo\tNN\tB-NP\tO' -p263178 -aS'intake\tintake\tNN\tI-NP\tO' -p263179 -aS'.\t.\t.\tO\tO' -p263180 -asS'1. CAD , s/p MI in 2011 with stenting of LAD' -p263181 -(lp263182 -S'1.\t1.\tLS\tB-LST\tO' -p263183 -aS'CAD\tCAD\tNN\tB-NP\tO' -p263184 -aS',\t,\t,\tO\tO' -p263185 -aS's/p\ts/p\tNN\tB-NP\tO' -p263186 -aS'MI\tMI\tNN\tI-NP\tO' -p263187 -aS'in\tin\tIN\tB-PP\tO' -p263188 -aS'2011\t2011\tCD\tB-NP\tO' -p263189 -aS'with\twith\tIN\tB-PP\tO' -p263190 -aS'stenting\tstente\tVBG\tB-NP\tO' -p263191 -aS'of\tof\tIN\tB-PP\tO' -p263192 -aS'LAD\tLAD\tNN\tB-NP\tO' -p263193 -asS'In 08/94 , the patient developed lower back pain .' -p263194 -(lp263195 -S'In\tIn\tIN\tB-PP\tO' -p263196 -aS'08/94\t08/94\tCD\tB-NP\tO' -p263197 -aS',\t,\t,\tO\tO' -p263198 -aS'the\tthe\tDT\tB-NP\tO' -p263199 -aS'patient\tpatient\tNN\tI-NP\tO' -p263200 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p263201 -aS'lower\tlow\tJJR\tB-NP\tO' -p263202 -aS'back\tback\tJJ\tI-NP\tO' -p263203 -aS'pain\tpain\tNN\tI-NP\tO' -p263204 -aS'.\t.\t.\tO\tO' -p263205 -asS'9. Docusate Sodium 150 mg / 15 mL Liquid Sig : One Hundred ( 100 ) mg PO BID ( 2 times a day ).' -p263206 -(lp263207 -S'9.\t9.\tLS\tB-NP\tO' -p263208 -aS'Docusate\tDocusate\tNNP\tI-NP\tO' -p263209 -aS'Sodium\tSodium\tNNP\tI-NP\tO' -p263210 -aS'150\t150\tCD\tI-NP\tO' -p263211 -aS'mg\tmg\tNN\tI-NP\tO' -p263212 -aS'/\t/\tSYM\tB-NP\tO' -p263213 -aS'15\t15\tCD\tI-NP\tO' -p263214 -aS'mL\tmL\tNN\tI-NP\tO' -p263215 -aS'Liquid\tLiquid\tNNP\tI-NP\tO' -p263216 -aS'Sig\tSig\tNNP\tI-NP\tO' -p263217 -aS':\t:\t:\tO\tO' -p263218 -aS'One\tOne\tCD\tB-NP\tO' -p263219 -aS'Hundred\tHundre\tVBN\tB-VP\tO' -p263220 -aS'(\t(\t(\tO\tO' -p263221 -aS'100\t100\tCD\tB-NP\tO' -p263222 -aS')\t)\t)\tO\tO' -p263223 -aS'mg\tmg\tNN\tB-NP\tO' -p263224 -aS'PO\tPO\tNN\tI-NP\tO' -p263225 -aS'BID\tBID\tNN\tI-NP\tO' -p263226 -aS'(\t(\t(\tO\tO' -p263227 -aS'2\t2\tCD\tB-NP\tO' -p263228 -aS'times\ttime\tNNS\tI-NP\tO' -p263229 -aS'a\ta\tDT\tB-NP\tO' -p263230 -aS'day\tday\tNN\tI-NP\tO' -p263231 -aS').\t).\t.\tO\tO' -p263232 -asS'During this time , a needle aspiration of what was felt to be the pericardium was performed revealing bloody fluid coming back .' -p263233 -(lp263234 -S'During\tDuring\tIN\tB-PP\tO' -p263235 -aS'this\tthis\tDT\tB-NP\tO' -p263236 -aS'time\ttime\tNN\tI-NP\tO' -p263237 -aS',\t,\t,\tO\tO' -p263238 -aS'a\ta\tDT\tB-NP\tO' -p263239 -aS'needle\tneedle\tNN\tI-NP\tO' -p263240 -aS'aspiration\taspiration\tNN\tI-NP\tO' -p263241 -aS'of\tof\tIN\tB-PP\tO' -p263242 -aS'what\twhat\tWP\tB-NP\tO' -p263243 -aS'was\tbe\tVBD\tB-VP\tO' -p263244 -aS'felt\tfeel\tVBN\tI-VP\tO' -p263245 -aS'to\tto\tTO\tI-VP\tO' -p263246 -aS'be\tbe\tVB\tI-VP\tO' -p263247 -aS'the\tthe\tDT\tB-NP\tO' -p263248 -aS'pericardium\tpericardium\tNN\tI-NP\tO' -p263249 -aS'was\tbe\tVBD\tB-VP\tO' -p263250 -aS'performed\tperform\tVBN\tI-VP\tO' -p263251 -aS'revealing\treveal\tVBG\tB-VP\tO' -p263252 -aS'bloody\tbloody\tJJ\tB-NP\tO' -p263253 -aS'fluid\tfluid\tNN\tI-NP\tO' -p263254 -aS'coming\tcome\tVBG\tB-VP\tO' -p263255 -aS'back\tback\tRB\tB-ADVP\tO' -p263256 -aS'.\t.\t.\tO\tO' -p263257 -asS'There was a II / VI systolic ejection murmur loudest at the left upper sternal border .' -p263258 -(lp263259 -S'There\tThere\tEX\tB-NP\tO' -p263260 -aS'was\tbe\tVBD\tB-VP\tO' -p263261 -aS'a\ta\tDT\tB-NP\tO' -p263262 -aS'II\tII\tCD\tI-NP\tO' -p263263 -aS'/\t/\tSYM\tI-NP\tO' -p263264 -aS'VI\tVI\tCD\tI-NP\tO' -p263265 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p263266 -aS'ejection\tejection\tNN\tI-NP\tO' -p263267 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p263268 -aS'loudest\tloud\tJJS\tB-ADJP\tO' -p263269 -aS'at\tat\tIN\tB-PP\tO' -p263270 -aS'the\tthe\tDT\tB-NP\tO' -p263271 -aS'left\tleft\tJJ\tI-NP\tO' -p263272 -aS'upper\tupper\tJJ\tI-NP\tO' -p263273 -aS'sternal\tsternal\tJJ\tI-NP\tO' -p263274 -aS'border\tborder\tNN\tI-NP\tO' -p263275 -aS'.\t.\t.\tO\tO' -p263276 -asS'6. Albuterol nebulizers q6h as needed .' -p263277 -(lp263278 -S'6.\t6.\tLS\tB-NP\tO' -p263279 -aS'Albuterol\tAlbuterol\tNN\tI-NP\tO' -p263280 -aS'nebulizers\tnebulizer\tNNS\tI-NP\tO' -p263281 -aS'q6h\tq6h\tNN\tI-NP\tO' -p263282 -aS'as\tas\tIN\tB-SBAR\tO' -p263283 -aS'needed\tneed\tVBN\tB-VP\tO' -p263284 -aS'.\t.\t.\tO\tO' -p263285 -asS'He was given D50 , but continued to have progressive respiratory failure , was therefore intubated and transferred to the Austen Riggs Center where he was noted to have multifocal pneumonia and bacteremia with enterobacter and MSSA .' -p263286 -(lp263287 -S'He\tHe\tPRP\tB-NP\tO' -p263288 -aS'was\tbe\tVBD\tB-VP\tO' -p263289 -aS'given\tgive\tVBN\tI-VP\tO' -p263290 -aS'D50\tD50\tNN\tB-NP\tB-protein' -p263291 -aS',\t,\t,\tO\tO' -p263292 -aS'but\tbut\tCC\tO\tO' -p263293 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p263294 -aS'to\tto\tTO\tI-VP\tO' -p263295 -aS'have\thave\tVB\tI-VP\tO' -p263296 -aS'progressive\tprogressive\tJJ\tB-NP\tO' -p263297 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p263298 -aS'failure\tfailure\tNN\tI-NP\tO' -p263299 -aS',\t,\t,\tO\tO' -p263300 -aS'was\tbe\tVBD\tB-VP\tO' -p263301 -aS'therefore\ttherefore\tRB\tI-VP\tO' -p263302 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p263303 -aS'and\tand\tCC\tO\tO' -p263304 -aS'transferred\ttransfer\tVBN\tB-VP\tO' -p263305 -aS'to\tto\tTO\tB-PP\tO' -p263306 -aS'the\tthe\tDT\tB-NP\tO' -p263307 -aS'Austen\tAusten\tNNP\tI-NP\tO' -p263308 -aS'Riggs\tRiggs\tNNP\tI-NP\tO' -p263309 -aS'Center\tCenter\tNNP\tI-NP\tO' -p263310 -aS'where\twhere\tWRB\tB-ADVP\tO' -p263311 -aS'he\the\tPRP\tB-NP\tO' -p263312 -aS'was\tbe\tVBD\tB-VP\tO' -p263313 -aS'noted\tnote\tVBN\tI-VP\tO' -p263314 -aS'to\tto\tTO\tI-VP\tO' -p263315 -aS'have\thave\tVB\tI-VP\tO' -p263316 -aS'multifocal\tmultifocal\tJJ\tB-NP\tO' -p263317 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p263318 -aS'and\tand\tCC\tI-NP\tO' -p263319 -aS'bacteremia\tbacteremia\tNN\tI-NP\tO' -p263320 -aS'with\twith\tIN\tB-PP\tO' -p263321 -aS'enterobacter\tenterobacter\tNN\tB-NP\tO' -p263322 -aS'and\tand\tCC\tI-NP\tO' -p263323 -aS'MSSA\tMSSA\tNN\tI-NP\tB-protein' -p263324 -aS'.\t.\t.\tO\tO' -p263325 -asS'5. Pantoprazole Sodium 40 mg Tablet , Delayed Release ( E.C. ) Sig : One ( 1 ) Tablet , Delayed Release ( E.C. ) PO Q24H ( every 24 hours ) .' -p263326 -(lp263327 -S'5.\t5.\tLS\tB-NP\tO' -p263328 -aS'Pantoprazole\tPantoprazole\tNN\tI-NP\tO' -p263329 -aS'Sodium\tSodium\tNN\tI-NP\tO' -p263330 -aS'40\t40\tCD\tI-NP\tO' -p263331 -aS'mg\tmg\tNN\tI-NP\tO' -p263332 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p263333 -aS',\t,\t,\tO\tO' -p263334 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p263335 -aS'Release\tRelease\tNNP\tI-NP\tO' -p263336 -aS'(\t(\t(\tO\tO' -p263337 -aS'E.C.\tE.C.\tNNP\tB-NP\tO' -p263338 -aS')\t)\t)\tO\tO' -p263339 -aS'Sig\tSig\tNNP\tB-NP\tO' -p263340 -aS':\t:\t:\tO\tO' -p263341 -aS'One\tOne\tCD\tB-NP\tO' -p263342 -aS'(\t(\t(\tO\tO' -p263343 -aS'1\t1\tCD\tB-NP\tO' -p263344 -aS')\t)\t)\tO\tO' -p263345 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p263346 -aS',\t,\t,\tO\tO' -p263347 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p263348 -aS'Release\tRelease\tNNP\tI-NP\tO' -p263349 -aS'(\t(\t(\tO\tO' -p263350 -aS'E.C.\tE.C.\tNNP\tO\tO' -p263351 -aS')\t)\t)\tO\tO' -p263352 -aS'PO\tPO\tNN\tB-NP\tO' -p263353 -aS'Q24H\tQ24H\tNN\tI-NP\tO' -p263354 -aS'(\t(\t(\tO\tO' -p263355 -aS'every\tevery\tDT\tB-NP\tO' -p263356 -aS'24\t24\tCD\tI-NP\tO' -p263357 -aS'hours\thour\tNNS\tI-NP\tO' -p263358 -aS')\t)\t)\tO\tO' -p263359 -aS'.\t.\t.\tO\tO' -p263360 -asS'PLEASE KEEP PATIENT AWAY FROM THE SUN .' -p263361 -(lp263362 -S'PLEASE\tPLEASE\tNN\tB-NP\tO' -p263363 -aS'KEEP\tKEEP\tNN\tI-NP\tO' -p263364 -aS'PATIENT\tPATIENT\tNN\tI-NP\tO' -p263365 -aS'AWAY\tAWAY\tNN\tI-NP\tO' -p263366 -aS'FROM\tFROM\tNN\tI-NP\tO' -p263367 -aS'THE\tTHE\tDT\tB-NP\tO' -p263368 -aS'SUN\tSUN\tNN\tI-NP\tB-protein' -p263369 -aS'.\t.\t.\tO\tO' -p263370 -asS'Please see the Operative Note for further details .' -p263371 -(lp263372 -S'Please\tPlease\tVB\tB-VP\tO' -p263373 -aS'see\tsee\tVB\tI-VP\tO' -p263374 -aS'the\tthe\tDT\tB-NP\tO' -p263375 -aS'Operative\tOperative\tJJ\tI-NP\tO' -p263376 -aS'Note\tNote\tNNP\tI-NP\tO' -p263377 -aS'for\tfor\tIN\tB-PP\tO' -p263378 -aS'further\tfurther\tJJ\tB-NP\tO' -p263379 -aS'details\tdetail\tNNS\tI-NP\tO' -p263380 -aS'.\t.\t.\tO\tO' -p263381 -asS'He is due to have his state screen sent today .' -p263382 -(lp263383 -S'He\tHe\tPRP\tB-NP\tO' -p263384 -aS'is\tbe\tVBZ\tB-VP\tO' -p263385 -aS'due\tdue\tJJ\tB-ADJP\tO' -p263386 -aS'to\tto\tTO\tB-VP\tO' -p263387 -aS'have\thave\tVB\tI-VP\tO' -p263388 -aS'his\this\tPRP$\tB-NP\tO' -p263389 -aS'state\tstate\tNN\tI-NP\tO' -p263390 -aS'screen\tscreen\tNN\tI-NP\tO' -p263391 -aS'sent\tsend\tVBD\tB-VP\tO' -p263392 -aS'today\ttoday\tNN\tB-NP\tO' -p263393 -aS'.\t.\t.\tO\tO' -p263394 -asS'8. Docusate sodium 100 mg b.i.d.' -p263395 -(lp263396 -S'8.\t8.\tLS\tB-NP\tO' -p263397 -aS'Docusate\tDocusate\tNN\tI-NP\tO' -p263398 -aS'sodium\tsodium\tNN\tI-NP\tO' -p263399 -aS'100\t100\tCD\tI-NP\tO' -p263400 -aS'mg\tmg\tNN\tI-NP\tO' -p263401 -aS'b.i.d.\tb.i.d.\t.\tO\tO' -p263402 -asS'Dictated By : Carmen Y.R. Martinez , M.D.' -p263403 -(lp263404 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p263405 -aS'By\tBy\tIN\tB-PP\tO' -p263406 -aS':\t:\t:\tO\tO' -p263407 -aS'Carmen\tCarmen\tNNP\tB-NP\tO' -p263408 -aS'Y.R.\tY.R.\tNNP\tI-NP\tO' -p263409 -aS'Martinez\tMartinez\tNNP\tI-NP\tO' -p263410 -aS',\t,\t,\tO\tO' -p263411 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p263412 -asS'A CXR was obtained which showed complete collapse of the L lung thought to be a result of bursting a bleb associated with her severe COPD .' -p263413 -(lp263414 -S'A\tA\tDT\tB-NP\tO' -p263415 -aS'CXR\tCXR\tNN\tI-NP\tB-protein' -p263416 -aS'was\tbe\tVBD\tB-VP\tO' -p263417 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p263418 -aS'which\twhich\tWDT\tB-NP\tO' -p263419 -aS'showed\tshow\tVBD\tB-VP\tO' -p263420 -aS'complete\tcomplete\tJJ\tB-NP\tO' -p263421 -aS'collapse\tcollapse\tNN\tI-NP\tO' -p263422 -aS'of\tof\tIN\tB-PP\tO' -p263423 -aS'the\tthe\tDT\tB-NP\tO' -p263424 -aS'L\tL\tNN\tI-NP\tO' -p263425 -aS'lung\tlung\tNN\tI-NP\tO' -p263426 -aS'thought\tthink\tVBN\tB-VP\tO' -p263427 -aS'to\tto\tTO\tI-VP\tO' -p263428 -aS'be\tbe\tVB\tI-VP\tO' -p263429 -aS'a\ta\tDT\tB-NP\tO' -p263430 -aS'result\tresult\tNN\tI-NP\tO' -p263431 -aS'of\tof\tIN\tB-PP\tO' -p263432 -aS'bursting\tburst\tVBG\tB-VP\tO' -p263433 -aS'a\ta\tDT\tB-NP\tO' -p263434 -aS'bleb\tbleb\tNN\tI-NP\tO' -p263435 -aS'associated\tassociate\tVBN\tB-VP\tO' -p263436 -aS'with\twith\tIN\tB-PP\tO' -p263437 -aS'her\ther\tPRP$\tB-NP\tO' -p263438 -aS'severe\tsevere\tJJ\tI-NP\tO' -p263439 -aS'COPD\tCOPD\tNN\tI-NP\tO' -p263440 -aS'.\t.\t.\tO\tO' -p263441 -asS'4. State Newborn Screen sent .' -p263442 -(lp263443 -S'4.\t4.\tLS\tB-LST\tO' -p263444 -aS'State\tState\tNNP\tB-NP\tO' -p263445 -aS'Newborn\tNewborn\tNNP\tI-NP\tO' -p263446 -aS'Screen\tScreen\tNNP\tI-NP\tO' -p263447 -aS'sent\tsend\tVBD\tB-VP\tO' -p263448 -aS'.\t.\t.\tO\tO' -p263449 -asS'The patient was admitted to the GYN / Oncology Service under the care of Dr. Top on June 26 , 1994 .' -p263450 -(lp263451 -S'The\tThe\tDT\tB-NP\tO' -p263452 -aS'patient\tpatient\tNN\tI-NP\tO' -p263453 -aS'was\tbe\tVBD\tB-VP\tO' -p263454 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p263455 -aS'to\tto\tTO\tB-PP\tO' -p263456 -aS'the\tthe\tDT\tB-NP\tO' -p263457 -aS'GYN\tGYN\tNN\tI-NP\tB-protein' -p263458 -aS'/\t/\tSYM\tB-NP\tO' -p263459 -aS'Oncology\tOncology\tNN\tI-NP\tO' -p263460 -aS'Service\tService\tNN\tI-NP\tO' -p263461 -aS'under\tunder\tIN\tB-PP\tO' -p263462 -aS'the\tthe\tDT\tB-NP\tO' -p263463 -aS'care\tcare\tNN\tI-NP\tO' -p263464 -aS'of\tof\tIN\tB-PP\tO' -p263465 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p263466 -aS'Top\tTop\tNNP\tI-NP\tO' -p263467 -aS'on\ton\tIN\tB-PP\tO' -p263468 -aS'June\tJune\tNNP\tB-NP\tO' -p263469 -aS'26\t26\tCD\tI-NP\tO' -p263470 -aS',\t,\t,\tI-NP\tO' -p263471 -aS'1994\t1994\tCD\tI-NP\tO' -p263472 -aS'.\t.\t.\tO\tO' -p263473 -asS"In addition , plans were made to evaluate the patient 's cardiac arteries to determine if he had any component of ischemic cardiomyopathy ." -p263474 -(lp263475 -S'In\tIn\tIN\tB-PP\tO' -p263476 -aS'addition\taddition\tNN\tB-NP\tO' -p263477 -aS',\t,\t,\tO\tO' -p263478 -aS'plans\tplan\tNNS\tB-NP\tO' -p263479 -aS'were\tbe\tVBD\tB-VP\tO' -p263480 -aS'made\tmake\tVBN\tI-VP\tO' -p263481 -aS'to\tto\tTO\tB-VP\tO' -p263482 -aS'evaluate\tevaluate\tVB\tI-VP\tO' -p263483 -aS'the\tthe\tDT\tB-NP\tO' -p263484 -aS'patient\tpatient\tNN\tI-NP\tO' -p263485 -aS"'s\t's\tPOS\tB-NP\tO" -p263486 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p263487 -aS'arteries\tartery\tNNS\tI-NP\tO' -p263488 -aS'to\tto\tTO\tB-VP\tO' -p263489 -aS'determine\tdetermine\tVB\tI-VP\tO' -p263490 -aS'if\tif\tIN\tB-SBAR\tO' -p263491 -aS'he\the\tPRP\tB-NP\tO' -p263492 -aS'had\thave\tVBD\tB-VP\tO' -p263493 -aS'any\tany\tDT\tB-NP\tO' -p263494 -aS'component\tcomponent\tNN\tI-NP\tO' -p263495 -aS'of\tof\tIN\tB-PP\tO' -p263496 -aS'ischemic\tischemic\tJJ\tB-NP\tO' -p263497 -aS'cardiomyopathy\tcardiomyopathy\tNN\tI-NP\tO' -p263498 -aS'.\t.\t.\tO\tO' -p263499 -asS'Polypectomy in 2011 , tooth extraction ( all ) in 1980 , and hernia in 1977 .' -p263500 -(lp263501 -S'Polypectomy\tPolypectomy\tNN\tB-NP\tO' -p263502 -aS'in\tin\tIN\tB-PP\tO' -p263503 -aS'2011\t2011\tCD\tB-NP\tO' -p263504 -aS',\t,\t,\tO\tO' -p263505 -aS'tooth\ttooth\tCC\tO\tO' -p263506 -aS'extraction\textraction\tNN\tB-NP\tO' -p263507 -aS'(\t(\t(\tO\tO' -p263508 -aS'all\tall\tDT\tB-NP\tO' -p263509 -aS')\t)\t)\tO\tO' -p263510 -aS'in\tin\tIN\tB-PP\tO' -p263511 -aS'1980\t1980\tCD\tB-NP\tO' -p263512 -aS',\t,\t,\tO\tO' -p263513 -aS'and\tand\tCC\tO\tO' -p263514 -aS'hernia\thernia\tNN\tB-NP\tO' -p263515 -aS'in\tin\tIN\tB-PP\tO' -p263516 -aS'1977\t1977\tCD\tB-NP\tO' -p263517 -aS'.\t.\t.\tO\tO' -p263518 -asS'This has resulted in marked bilateral lower extremity and presacral edema with ascites .' -p263519 -(lp263520 -S'This\tThis\tDT\tB-NP\tO' -p263521 -aS'has\thave\tVBZ\tB-VP\tO' -p263522 -aS'resulted\tresult\tVBN\tI-VP\tO' -p263523 -aS'in\tin\tIN\tB-PP\tO' -p263524 -aS'marked\tmarked\tJJ\tB-NP\tO' -p263525 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p263526 -aS'lower\tlow\tJJR\tI-NP\tO' -p263527 -aS'extremity\textremity\tNN\tI-NP\tO' -p263528 -aS'and\tand\tCC\tO\tO' -p263529 -aS'presacral\tpresacral\tJJ\tB-NP\tO' -p263530 -aS'edema\tedema\tNN\tI-NP\tO' -p263531 -aS'with\twith\tIN\tB-PP\tO' -p263532 -aS'ascites\tascite\tNNS\tB-NP\tO' -p263533 -aS'.\t.\t.\tO\tO' -p263534 -asS'On HD#5 flexible sigmoidoscopy was performed for colonic decompression .' -p263535 -(lp263536 -S'On\tOn\tIN\tB-PP\tO' -p263537 -aS'HD#5\tHD#5\tNN\tB-NP\tB-protein' -p263538 -aS'flexible\tflexible\tJJ\tI-NP\tO' -p263539 -aS'sigmoidoscopy\tsigmoidoscopy\tNN\tI-NP\tO' -p263540 -aS'was\tbe\tVBD\tB-VP\tO' -p263541 -aS'performed\tperform\tVBN\tI-VP\tO' -p263542 -aS'for\tfor\tIN\tB-PP\tO' -p263543 -aS'colonic\tcolonic\tJJ\tB-NP\tO' -p263544 -aS'decompression\tdecompression\tNN\tI-NP\tO' -p263545 -aS'.\t.\t.\tO\tO' -p263546 -asS'His wound was intact , clean and dry and it was covered with perioperative antibiotics .' -p263547 -(lp263548 -S'His\tHis\tPRP$\tB-NP\tO' -p263549 -aS'wound\twound\tNN\tI-NP\tO' -p263550 -aS'was\tbe\tVBD\tB-VP\tO' -p263551 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p263552 -aS',\t,\t,\tI-ADJP\tO' -p263553 -aS'clean\tclean\tJJ\tI-ADJP\tO' -p263554 -aS'and\tand\tCC\tI-ADJP\tO' -p263555 -aS'dry\tdry\tJJ\tI-ADJP\tO' -p263556 -aS'and\tand\tCC\tO\tO' -p263557 -aS'it\tit\tPRP\tB-NP\tO' -p263558 -aS'was\tbe\tVBD\tB-VP\tO' -p263559 -aS'covered\tcover\tVBN\tI-VP\tO' -p263560 -aS'with\twith\tIN\tB-PP\tO' -p263561 -aS'perioperative\tperioperative\tJJ\tB-NP\tO' -p263562 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p263563 -aS'.\t.\t.\tO\tO' -p263564 -asS'Dopplers of her lower extremities were negative on this admission .' -p263565 -(lp263566 -S'Dopplers\tDoppler\tNNS\tB-NP\tO' -p263567 -aS'of\tof\tIN\tB-PP\tO' -p263568 -aS'her\ther\tPRP$\tB-NP\tO' -p263569 -aS'lower\tlow\tJJR\tI-NP\tO' -p263570 -aS'extremities\textremity\tNNS\tI-NP\tO' -p263571 -aS'were\tbe\tVBD\tB-VP\tO' -p263572 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p263573 -aS'on\ton\tIN\tB-PP\tO' -p263574 -aS'this\tthis\tDT\tB-NP\tO' -p263575 -aS'admission\tadmission\tNN\tI-NP\tO' -p263576 -aS'.\t.\t.\tO\tO' -p263577 -asS'Supple .' -p263578 -(lp263579 -S'Supple\tSupple\tNNP\tB-NP\tO' -p263580 -aS'.\t.\t.\tO\tO' -p263581 -asS'Light activities until seen in clinic .' -p263582 -(lp263583 -S'Light\tLight\tNN\tB-NP\tO' -p263584 -aS'activities\tactivity\tNNS\tI-NP\tO' -p263585 -aS'until\tuntil\tIN\tB-SBAR\tO' -p263586 -aS'seen\tsee\tVBN\tB-VP\tO' -p263587 -aS'in\tin\tIN\tB-PP\tO' -p263588 -aS'clinic\tclinic\tNN\tB-NP\tO' -p263589 -aS'.\t.\t.\tO\tO' -p263590 -asS'Over the ensuing days , Mr. Nina CHF was managed by the CCU Team and he received treatment for what was now determined to be a Klebsiella pneumonia .' -p263591 -(lp263592 -S'Over\tOver\tIN\tB-PP\tO' -p263593 -aS'the\tthe\tDT\tB-NP\tO' -p263594 -aS'ensuing\tensue\tVBG\tI-NP\tO' -p263595 -aS'days\tday\tNNS\tI-NP\tO' -p263596 -aS',\t,\t,\tO\tO' -p263597 -aS'Mr.\tMr.\tNNP\tB-NP\tO' -p263598 -aS'Nina\tNina\tNNP\tI-NP\tO' -p263599 -aS'CHF\tCHF\tNNP\tI-NP\tO' -p263600 -aS'was\tbe\tVBD\tB-VP\tO' -p263601 -aS'managed\tmanage\tVBN\tI-VP\tO' -p263602 -aS'by\tby\tIN\tB-PP\tO' -p263603 -aS'the\tthe\tDT\tB-NP\tO' -p263604 -aS'CCU\tCCU\tNN\tI-NP\tO' -p263605 -aS'Team\tTeam\tNN\tI-NP\tO' -p263606 -aS'and\tand\tCC\tO\tO' -p263607 -aS'he\the\tPRP\tB-NP\tO' -p263608 -aS'received\treceive\tVBD\tB-VP\tO' -p263609 -aS'treatment\ttreatment\tNN\tB-NP\tO' -p263610 -aS'for\tfor\tIN\tB-PP\tO' -p263611 -aS'what\twhat\tWP\tB-NP\tO' -p263612 -aS'was\tbe\tVBD\tB-VP\tO' -p263613 -aS'now\tnow\tRB\tI-VP\tO' -p263614 -aS'determined\tdetermine\tVBN\tI-VP\tO' -p263615 -aS'to\tto\tTO\tI-VP\tO' -p263616 -aS'be\tbe\tVB\tI-VP\tO' -p263617 -aS'a\ta\tDT\tB-NP\tO' -p263618 -aS'Klebsiella\tKlebsiella\tNNP\tI-NP\tO' -p263619 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p263620 -aS'.\t.\t.\tO\tO' -p263621 -asS'She has a history of glaucoma and a questionable history of claudication in her legs as well as a history of hypertension .' -p263622 -(lp263623 -S'She\tShe\tPRP\tB-NP\tO' -p263624 -aS'has\thave\tVBZ\tB-VP\tO' -p263625 -aS'a\ta\tDT\tB-NP\tO' -p263626 -aS'history\thistory\tNN\tI-NP\tO' -p263627 -aS'of\tof\tIN\tB-PP\tO' -p263628 -aS'glaucoma\tglaucoma\tNN\tB-NP\tO' -p263629 -aS'and\tand\tCC\tO\tO' -p263630 -aS'a\ta\tDT\tB-NP\tO' -p263631 -aS'questionable\tquestionable\tJJ\tI-NP\tO' -p263632 -aS'history\thistory\tNN\tI-NP\tO' -p263633 -aS'of\tof\tIN\tB-PP\tO' -p263634 -aS'claudication\tclaudication\tNN\tB-NP\tO' -p263635 -aS'in\tin\tIN\tB-PP\tO' -p263636 -aS'her\ther\tPRP$\tB-NP\tO' -p263637 -aS'legs\tleg\tNNS\tI-NP\tO' -p263638 -aS'as\tas\tRB\tB-CONJP\tO' -p263639 -aS'well\twell\tRB\tI-CONJP\tO' -p263640 -aS'as\tas\tIN\tI-CONJP\tO' -p263641 -aS'a\ta\tDT\tB-NP\tO' -p263642 -aS'history\thistory\tNN\tI-NP\tO' -p263643 -aS'of\tof\tIN\tB-PP\tO' -p263644 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p263645 -aS'.\t.\t.\tO\tO' -p263646 -asS'There is a persistent flow through an inferior branch of the left anterior descending to PA fistula and a persistent branch of the circumflex to PA branch fistula which anatomically were not suitable for coil embolization .' -p263647 -(lp263648 -S'There\tThere\tEX\tB-NP\tO' -p263649 -aS'is\tbe\tVBZ\tB-VP\tO' -p263650 -aS'a\ta\tDT\tB-NP\tO' -p263651 -aS'persistent\tpersistent\tJJ\tI-NP\tO' -p263652 -aS'flow\tflow\tNN\tI-NP\tO' -p263653 -aS'through\tthrough\tIN\tB-PP\tO' -p263654 -aS'an\tan\tDT\tB-NP\tO' -p263655 -aS'inferior\tinferior\tJJ\tI-NP\tO' -p263656 -aS'branch\tbranch\tNN\tI-NP\tO' -p263657 -aS'of\tof\tIN\tB-PP\tO' -p263658 -aS'the\tthe\tDT\tB-NP\tO' -p263659 -aS'left\tleft\tJJ\tI-NP\tO' -p263660 -aS'anterior\tanterior\tNN\tI-NP\tO' -p263661 -aS'descending\tdescend\tVBG\tB-VP\tO' -p263662 -aS'to\tto\tTO\tB-PP\tO' -p263663 -aS'PA\tPA\tNN\tB-NP\tO' -p263664 -aS'fistula\tfistula\tNN\tI-NP\tO' -p263665 -aS'and\tand\tCC\tO\tO' -p263666 -aS'a\ta\tDT\tB-NP\tO' -p263667 -aS'persistent\tpersistent\tJJ\tI-NP\tO' -p263668 -aS'branch\tbranch\tNN\tI-NP\tO' -p263669 -aS'of\tof\tIN\tB-PP\tO' -p263670 -aS'the\tthe\tDT\tB-NP\tO' -p263671 -aS'circumflex\tcircumflex\tNN\tI-NP\tO' -p263672 -aS'to\tto\tTO\tB-PP\tO' -p263673 -aS'PA\tPA\tNN\tB-NP\tO' -p263674 -aS'branch\tbranch\tNN\tI-NP\tO' -p263675 -aS'fistula\tfistula\tNN\tI-NP\tO' -p263676 -aS'which\twhich\tWDT\tB-NP\tO' -p263677 -aS'anatomically\tanatomically\tRB\tB-ADVP\tO' -p263678 -aS'were\tbe\tVBD\tB-VP\tO' -p263679 -aS'not\tnot\tRB\tO\tO' -p263680 -aS'suitable\tsuitable\tJJ\tB-ADJP\tO' -p263681 -aS'for\tfor\tIN\tB-PP\tO' -p263682 -aS'coil\tcoil\tNN\tB-NP\tO' -p263683 -aS'embolization\tembolization\tNN\tI-NP\tO' -p263684 -aS'.\t.\t.\tO\tO' -p263685 -asS'Signed electronically by : DR. Stacie Henry on : MON 2019-05-06 12:14 PM' -p263686 -(lp263687 -S'Signed\tSign\tVBN\tB-VP\tO' -p263688 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p263689 -aS'by\tby\tIN\tB-PP\tO' -p263690 -aS':\t:\t:\tO\tO' -p263691 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p263692 -aS'Stacie\tStacie\tNNP\tI-NP\tO' -p263693 -aS'Henry\tHenry\tNNP\tI-NP\tO' -p263694 -aS'on\ton\tIN\tB-PP\tO' -p263695 -aS':\t:\t:\tO\tO' -p263696 -aS'MON\tMON\tNN\tB-NP\tO' -p263697 -aS'2019-05-06\t2019-05-06\tCD\tI-NP\tO' -p263698 -aS'12:14\t12:14\tCD\tI-NP\tO' -p263699 -aS'PM\tPM\tNN\tI-NP\tO' -p263700 -asS'eventhough uptake was noted in the rt LQ , no clear site of bleeding was noticed on colonoscopy .' -p263701 -(lp263702 -S'eventhough\teventhough\tIN\tB-PP\tO' -p263703 -aS'uptake\tuptake\tNN\tB-NP\tO' -p263704 -aS'was\tbe\tVBD\tB-VP\tO' -p263705 -aS'noted\tnote\tVBN\tI-VP\tO' -p263706 -aS'in\tin\tIN\tB-PP\tO' -p263707 -aS'the\tthe\tDT\tB-NP\tO' -p263708 -aS'rt\trt\tNN\tI-NP\tO' -p263709 -aS'LQ\tLQ\tNN\tI-NP\tO' -p263710 -aS',\t,\t,\tO\tO' -p263711 -aS'no\tno\tDT\tB-NP\tO' -p263712 -aS'clear\tclear\tJJ\tI-NP\tO' -p263713 -aS'site\tsite\tNN\tI-NP\tO' -p263714 -aS'of\tof\tIN\tB-PP\tO' -p263715 -aS'bleeding\tbleeding\tNN\tB-NP\tO' -p263716 -aS'was\tbe\tVBD\tB-VP\tO' -p263717 -aS'noticed\tnotice\tVBN\tI-VP\tO' -p263718 -aS'on\ton\tIN\tB-PP\tO' -p263719 -aS'colonoscopy\tcolonoscopy\tNN\tB-NP\tO' -p263720 -aS'.\t.\t.\tO\tO' -p263721 -asS'She had 5 out of 5 strength bilaterally and her toes were downgoing .' -p263722 -(lp263723 -S'She\tShe\tPRP\tB-NP\tO' -p263724 -aS'had\thave\tVBD\tB-VP\tO' -p263725 -aS'5\t5\tCD\tB-NP\tO' -p263726 -aS'out\tout\tIN\tI-NP\tO' -p263727 -aS'of\tof\tIN\tI-NP\tO' -p263728 -aS'5\t5\tCD\tI-NP\tO' -p263729 -aS'strength\tstrength\tNN\tI-NP\tO' -p263730 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p263731 -aS'and\tand\tCC\tO\tO' -p263732 -aS'her\ther\tPRP$\tB-NP\tO' -p263733 -aS'toes\ttoe\tNNS\tI-NP\tO' -p263734 -aS'were\tbe\tVBD\tB-VP\tO' -p263735 -aS'downgoing\tdowngoe\tVBG\tI-VP\tO' -p263736 -aS'.\t.\t.\tO\tO' -p263737 -asS'The patient was taken to the operating room on 2018-12-04 for TVH , sacrospinous fixation , SPARC , anterior and posterior repair with mesh , cystoscopy; for pelvic organ prolapse .' -p263738 -(lp263739 -S'The\tThe\tDT\tB-NP\tO' -p263740 -aS'patient\tpatient\tNN\tI-NP\tO' -p263741 -aS'was\tbe\tVBD\tB-VP\tO' -p263742 -aS'taken\ttake\tVBN\tI-VP\tO' -p263743 -aS'to\tto\tTO\tB-PP\tO' -p263744 -aS'the\tthe\tDT\tB-NP\tO' -p263745 -aS'operating\toperating\tNN\tI-NP\tO' -p263746 -aS'room\troom\tNN\tI-NP\tO' -p263747 -aS'on\ton\tIN\tB-PP\tO' -p263748 -aS'2018-12-04\t2018-12-04\tCD\tB-NP\tO' -p263749 -aS'for\tfor\tIN\tB-PP\tO' -p263750 -aS'TVH\tTVH\tNN\tB-NP\tB-protein' -p263751 -aS',\t,\t,\tO\tO' -p263752 -aS'sacrospinous\tsacrospinous\tJJ\tB-NP\tO' -p263753 -aS'fixation\tfixation\tNN\tI-NP\tO' -p263754 -aS',\t,\t,\tO\tO' -p263755 -aS'SPARC\tSPARC\tNN\tB-NP\tB-protein' -p263756 -aS',\t,\t,\tO\tO' -p263757 -aS'anterior\tanterior\tJJ\tB-NP\tO' -p263758 -aS'and\tand\tCC\tI-NP\tO' -p263759 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p263760 -aS'repair\trepair\tNN\tI-NP\tO' -p263761 -aS'with\twith\tIN\tB-PP\tO' -p263762 -aS'mesh\tmesh\tNN\tB-NP\tO' -p263763 -aS',\t,\t,\tO\tO' -p263764 -aS'cystoscopy;\tcystoscopy;\tNN\tB-NP\tO' -p263765 -aS'for\tfor\tIN\tB-PP\tO' -p263766 -aS'pelvic\tpelvic\tJJ\tB-NP\tO' -p263767 -aS'organ\torgan\tNN\tI-NP\tO' -p263768 -aS'prolapse\tprolapse\tNN\tI-NP\tO' -p263769 -aS'.\t.\t.\tO\tO' -p263770 -asS"By 04-03 , captopril and atenolol were started , and the patient 's leg bandage from the vein harvest was removed ." -p263771 -(lp263772 -S'By\tBy\tIN\tB-PP\tO' -p263773 -aS'04-03\t04-03\tCD\tB-NP\tO' -p263774 -aS',\t,\t,\tO\tO' -p263775 -aS'captopril\tcaptopril\tNN\tB-NP\tO' -p263776 -aS'and\tand\tCC\tI-NP\tO' -p263777 -aS'atenolol\tatenolol\tNN\tI-NP\tO' -p263778 -aS'were\tbe\tVBD\tB-VP\tO' -p263779 -aS'started\tstart\tVBN\tI-VP\tO' -p263780 -aS',\t,\t,\tO\tO' -p263781 -aS'and\tand\tCC\tO\tO' -p263782 -aS'the\tthe\tDT\tB-NP\tO' -p263783 -aS'patient\tpatient\tNN\tI-NP\tO' -p263784 -aS"'s\t's\tPOS\tB-NP\tO" -p263785 -aS'leg\tleg\tNN\tI-NP\tO' -p263786 -aS'bandage\tbandage\tNN\tI-NP\tO' -p263787 -aS'from\tfrom\tIN\tB-PP\tO' -p263788 -aS'the\tthe\tDT\tB-NP\tO' -p263789 -aS'vein\tvein\tNN\tI-NP\tO' -p263790 -aS'harvest\tharvest\tNN\tI-NP\tO' -p263791 -aS'was\tbe\tVBD\tB-VP\tO' -p263792 -aS'removed\tremove\tVBN\tI-VP\tO' -p263793 -aS'.\t.\t.\tO\tO' -p263794 -asS'During his admission to Rehab Hospital of the Cape & Islands Hospital , the patient had dropped his hematocrit to the 30 s with recorded melena .' -p263795 -(lp263796 -S'During\tDuring\tIN\tB-PP\tO' -p263797 -aS'his\this\tPRP$\tB-NP\tO' -p263798 -aS'admission\tadmission\tNN\tI-NP\tO' -p263799 -aS'to\tto\tTO\tB-VP\tO' -p263800 -aS'Rehab\tRehab\tVB\tI-VP\tO' -p263801 -aS'Hospital\tHospital\tNN\tB-NP\tO' -p263802 -aS'of\tof\tIN\tB-PP\tO' -p263803 -aS'the\tthe\tDT\tB-NP\tO' -p263804 -aS'Cape\tCape\tNNP\tI-NP\tO' -p263805 -aS'&\t&\tCC\tI-NP\tO' -p263806 -aS'Islands\tIslands\tNNP\tI-NP\tO' -p263807 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p263808 -aS',\t,\t,\tO\tO' -p263809 -aS'the\tthe\tDT\tB-NP\tO' -p263810 -aS'patient\tpatient\tNN\tI-NP\tO' -p263811 -aS'had\thave\tVBD\tB-VP\tO' -p263812 -aS'dropped\tdrop\tVBN\tI-VP\tO' -p263813 -aS'his\this\tPRP$\tB-NP\tO' -p263814 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p263815 -aS'to\tto\tTO\tB-PP\tO' -p263816 -aS'the\tthe\tDT\tB-NP\tO' -p263817 -aS'30\t30\tCD\tI-NP\tO' -p263818 -aS's\ts\tNN\tI-NP\tO' -p263819 -aS'with\twith\tIN\tB-PP\tO' -p263820 -aS'recorded\trecord\tVBN\tB-NP\tO' -p263821 -aS'melena\tmelena\tNN\tI-NP\tO' -p263822 -aS'.\t.\t.\tO\tO' -p263823 -asS'Electrolytes were within normal limits , liver function tests within normal limits , and EKG showed a heart rate of 128 , axis 73 , and possible ectopic P .' -p263824 -(lp263825 -S'Electrolytes\tElectrolyte\tNNS\tB-NP\tO' -p263826 -aS'were\tbe\tVBD\tB-VP\tO' -p263827 -aS'within\twithin\tIN\tB-PP\tO' -p263828 -aS'normal\tnormal\tJJ\tB-NP\tO' -p263829 -aS'limits\tlimit\tNNS\tI-NP\tO' -p263830 -aS',\t,\t,\tO\tO' -p263831 -aS'liver\tliver\tNN\tB-NP\tO' -p263832 -aS'function\tfunction\tNN\tI-NP\tO' -p263833 -aS'tests\ttest\tNNS\tI-NP\tO' -p263834 -aS'within\twithin\tIN\tB-PP\tO' -p263835 -aS'normal\tnormal\tJJ\tB-NP\tO' -p263836 -aS'limits\tlimit\tNNS\tI-NP\tO' -p263837 -aS',\t,\t,\tO\tO' -p263838 -aS'and\tand\tCC\tO\tO' -p263839 -aS'EKG\tEKG\tNN\tB-NP\tB-protein' -p263840 -aS'showed\tshow\tVBD\tB-VP\tO' -p263841 -aS'a\ta\tDT\tB-NP\tO' -p263842 -aS'heart\theart\tNN\tI-NP\tO' -p263843 -aS'rate\trate\tNN\tI-NP\tO' -p263844 -aS'of\tof\tIN\tB-PP\tO' -p263845 -aS'128\t128\tCD\tB-NP\tO' -p263846 -aS',\t,\t,\tO\tO' -p263847 -aS'axis\taxis\tNN\tB-NP\tO' -p263848 -aS'73\t73\tCD\tI-NP\tO' -p263849 -aS',\t,\t,\tO\tO' -p263850 -aS'and\tand\tCC\tO\tO' -p263851 -aS'possible\tpossible\tJJ\tB-NP\tO' -p263852 -aS'ectopic\tectopic\tJJ\tI-NP\tO' -p263853 -aS'P\tP\tNN\tI-NP\tO' -p263854 -aS'.\t.\t.\tO\tO' -p263855 -asS'1. NATA NELMI PAIN , M.D. , Sonsantna .' -p263856 -(lp263857 -S'1.\t1.\tLS\tB-LST\tO' -p263858 -aS'NATA\tNATA\tNNP\tB-NP\tO' -p263859 -aS'NELMI\tNELMI\tNNP\tI-NP\tO' -p263860 -aS'PAIN\tPAIN\tNNP\tI-NP\tO' -p263861 -aS',\t,\t,\tO\tO' -p263862 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p263863 -aS',\t,\t,\tO\tO' -p263864 -aS'Sonsantna\tSonsantna\tNNP\tB-NP\tO' -p263865 -aS'.\t.\t.\tO\tO' -p263866 -asS'Patient was maintained on p.o. voriconazole and IV pentamidine , with pentamidine nasal washings , with re-CT of sinuses near end of stay showing no change in disease burden .' -p263867 -(lp263868 -S'Patient\tPatient\tNN\tB-NP\tO' -p263869 -aS'was\tbe\tVBD\tB-VP\tO' -p263870 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p263871 -aS'on\ton\tIN\tB-PP\tO' -p263872 -aS'p.o.\tp.o.\tNN\tB-NP\tO' -p263873 -aS'voriconazole\tvoriconazole\tNN\tI-NP\tO' -p263874 -aS'and\tand\tCC\tO\tO' -p263875 -aS'IV\tIV\tCD\tB-NP\tO' -p263876 -aS'pentamidine\tpentamidine\tNN\tI-NP\tO' -p263877 -aS',\t,\t,\tO\tO' -p263878 -aS'with\twith\tIN\tB-PP\tO' -p263879 -aS'pentamidine\tpentamidine\tNN\tB-NP\tO' -p263880 -aS'nasal\tnasal\tJJ\tI-NP\tO' -p263881 -aS'washings\twashing\tNNS\tI-NP\tO' -p263882 -aS',\t,\t,\tO\tO' -p263883 -aS'with\twith\tIN\tB-PP\tO' -p263884 -aS're-CT\tre-CT\tNN\tB-NP\tO' -p263885 -aS'of\tof\tIN\tB-PP\tO' -p263886 -aS'sinuses\tsinus\tNNS\tB-NP\tO' -p263887 -aS'near\tnear\tIN\tB-PP\tO' -p263888 -aS'end\tend\tNN\tB-NP\tO' -p263889 -aS'of\tof\tIN\tB-PP\tO' -p263890 -aS'stay\tstay\tNN\tB-NP\tO' -p263891 -aS'showing\tshow\tVBG\tB-VP\tO' -p263892 -aS'no\tno\tDT\tB-NP\tO' -p263893 -aS'change\tchange\tNN\tI-NP\tO' -p263894 -aS'in\tin\tIN\tB-PP\tO' -p263895 -aS'disease\tdisease\tNN\tB-NP\tO' -p263896 -aS'burden\tburden\tNN\tI-NP\tO' -p263897 -aS'.\t.\t.\tO\tO' -p263898 -asS'A CT scan on admission revealed no evidence of hemorrhage though he did have sphenoid sinusitis .' -p263899 -(lp263900 -S'A\tA\tDT\tB-NP\tO' -p263901 -aS'CT\tCT\tNN\tI-NP\tO' -p263902 -aS'scan\tscan\tNN\tI-NP\tO' -p263903 -aS'on\ton\tIN\tB-PP\tO' -p263904 -aS'admission\tadmission\tNN\tB-NP\tO' -p263905 -aS'revealed\treveal\tVBD\tB-VP\tO' -p263906 -aS'no\tno\tDT\tB-NP\tO' -p263907 -aS'evidence\tevidence\tNN\tI-NP\tO' -p263908 -aS'of\tof\tIN\tB-PP\tO' -p263909 -aS'hemorrhage\themorrhage\tNN\tB-NP\tO' -p263910 -aS'though\tthough\tIN\tB-SBAR\tO' -p263911 -aS'he\the\tPRP\tB-NP\tO' -p263912 -aS'did\tdo\tVBD\tB-VP\tO' -p263913 -aS'have\thave\tVB\tI-VP\tO' -p263914 -aS'sphenoid\tsphenoid\tJJ\tB-NP\tO' -p263915 -aS'sinusitis\tsinusitis\tNN\tI-NP\tO' -p263916 -aS'.\t.\t.\tO\tO' -p263917 -asS'No intraspinal lesions are identified .' -p263918 -(lp263919 -S'No\tNo\tDT\tB-NP\tO' -p263920 -aS'intraspinal\tintraspinal\tJJ\tI-NP\tO' -p263921 -aS'lesions\tlesion\tNNS\tI-NP\tO' -p263922 -aS'are\tbe\tVBP\tB-VP\tO' -p263923 -aS'identified\tidentify\tVBN\tI-VP\tO' -p263924 -aS'.\t.\t.\tO\tO' -p263925 -asS'Pt ambulates 10 feet with significant fatigue as per daughter .' -p263926 -(lp263927 -S'Pt\tPt\tNN\tB-NP\tO' -p263928 -aS'ambulates\tambulate\tVBZ\tB-VP\tO' -p263929 -aS'10\t10\tCD\tB-NP\tO' -p263930 -aS'feet\tfoot\tNNS\tI-NP\tO' -p263931 -aS'with\twith\tIN\tB-PP\tO' -p263932 -aS'significant\tsignificant\tJJ\tB-NP\tO' -p263933 -aS'fatigue\tfatigue\tNN\tI-NP\tO' -p263934 -aS'as\tas\tIN\tB-PP\tO' -p263935 -aS'per\tper\tIN\tB-PP\tO' -p263936 -aS'daughter\tdaughter\tNN\tB-NP\tO' -p263937 -aS'.\t.\t.\tO\tO' -p263938 -asS'Her neurological exam was alert and oriented .' -p263939 -(lp263940 -S'Her\tHer\tPRP$\tB-NP\tO' -p263941 -aS'neurological\tneurological\tJJ\tI-NP\tO' -p263942 -aS'exam\texam\tNN\tI-NP\tO' -p263943 -aS'was\tbe\tVBD\tB-VP\tO' -p263944 -aS'alert\talert\tJJ\tB-ADJP\tO' -p263945 -aS'and\tand\tCC\tO\tO' -p263946 -aS'oriented\torient\tVBN\tB-VP\tO' -p263947 -aS'.\t.\t.\tO\tO' -p263948 -asS'The patient continued to need diuresis .' -p263949 -(lp263950 -S'The\tThe\tDT\tB-NP\tO' -p263951 -aS'patient\tpatient\tNN\tI-NP\tO' -p263952 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p263953 -aS'to\tto\tTO\tI-VP\tO' -p263954 -aS'need\tneed\tVB\tI-VP\tO' -p263955 -aS'diuresis\tdiuresis\tNN\tB-NP\tO' -p263956 -aS'.\t.\t.\tO\tO' -p263957 -asS'Reason : eval for alignment , post op changes' -p263958 -(lp263959 -S'Reason\tReason\tNNP\tB-NP\tO' -p263960 -aS':\t:\t:\tO\tO' -p263961 -aS'eval\teval\tNN\tB-NP\tO' -p263962 -aS'for\tfor\tIN\tB-PP\tO' -p263963 -aS'alignment\talignment\tNN\tB-NP\tO' -p263964 -aS',\t,\t,\tO\tO' -p263965 -aS'post\tpost\tJJ\tB-NP\tO' -p263966 -aS'op\top\tNN\tI-NP\tO' -p263967 -aS'changes\tchange\tNNS\tI-NP\tO' -p263968 -asS'Unremarkable without rashes or lesions .' -p263969 -(lp263970 -S'Unremarkable\tUnremarkable\tJJ\tB-ADJP\tO' -p263971 -aS'without\twithout\tIN\tB-PP\tO' -p263972 -aS'rashes\trash\tNNS\tB-NP\tO' -p263973 -aS'or\tor\tCC\tI-NP\tO' -p263974 -aS'lesions\tlesion\tNNS\tI-NP\tO' -p263975 -aS'.\t.\t.\tO\tO' -p263976 -asS'He did not have any episodes of spontaneous apnea or bradycardia .' -p263977 -(lp263978 -S'He\tHe\tPRP\tB-NP\tO' -p263979 -aS'did\tdo\tVBD\tB-VP\tO' -p263980 -aS'not\tnot\tRB\tI-VP\tO' -p263981 -aS'have\thave\tVB\tI-VP\tO' -p263982 -aS'any\tany\tDT\tB-NP\tO' -p263983 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p263984 -aS'of\tof\tIN\tB-PP\tO' -p263985 -aS'spontaneous\tspontaneous\tJJ\tB-NP\tO' -p263986 -aS'apnea\tapnea\tNN\tI-NP\tO' -p263987 -aS'or\tor\tCC\tI-NP\tO' -p263988 -aS'bradycardia\tbradycardia\tNN\tI-NP\tO' -p263989 -aS'.\t.\t.\tO\tO' -p263990 -asS'Other than that , the patient remained completely stable .' -p263991 -(lp263992 -S'Other\tOther\tJJ\tB-ADJP\tO' -p263993 -aS'than\tthan\tIN\tB-PP\tO' -p263994 -aS'that\tthat\tDT\tB-NP\tO' -p263995 -aS',\t,\t,\tO\tO' -p263996 -aS'the\tthe\tDT\tB-NP\tO' -p263997 -aS'patient\tpatient\tNN\tI-NP\tO' -p263998 -aS'remained\tremain\tVBD\tB-VP\tO' -p263999 -aS'completely\tcompletely\tRB\tB-ADJP\tO' -p264000 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p264001 -aS'.\t.\t.\tO\tO' -p264002 -asS'2+ carotids without bruits .' -p264003 -(lp264004 -S'2+\t2+\tJJ\tB-NP\tO' -p264005 -aS'carotids\tcarotid\tNNS\tI-NP\tO' -p264006 -aS'without\twithout\tIN\tB-PP\tO' -p264007 -aS'bruits\tbruit\tNNS\tB-NP\tO' -p264008 -aS'.\t.\t.\tO\tO' -p264009 -asS'Socially he drinks alcohol .' -p264010 -(lp264011 -S'Socially\tSocially\tRB\tB-ADVP\tO' -p264012 -aS'he\the\tPRP\tB-NP\tO' -p264013 -aS'drinks\tdrink\tVBZ\tB-VP\tO' -p264014 -aS'alcohol\talcohol\tNN\tB-NP\tO' -p264015 -aS'.\t.\t.\tO\tO' -p264016 -asS'The patient also has significant edema in both arms now and also some mild edema in the lower extremities , so I think that fluid restriction should help with that .' -p264017 -(lp264018 -S'The\tThe\tDT\tB-NP\tO' -p264019 -aS'patient\tpatient\tNN\tI-NP\tO' -p264020 -aS'also\talso\tRB\tB-ADVP\tO' -p264021 -aS'has\thave\tVBZ\tB-VP\tO' -p264022 -aS'significant\tsignificant\tJJ\tB-NP\tO' -p264023 -aS'edema\tedema\tNN\tI-NP\tO' -p264024 -aS'in\tin\tIN\tB-PP\tO' -p264025 -aS'both\tboth\tDT\tB-NP\tO' -p264026 -aS'arms\tarm\tNNS\tI-NP\tO' -p264027 -aS'now\tnow\tRB\tB-ADVP\tO' -p264028 -aS'and\tand\tCC\tI-ADVP\tO' -p264029 -aS'also\talso\tRB\tI-ADVP\tO' -p264030 -aS'some\tsome\tDT\tB-NP\tO' -p264031 -aS'mild\tmild\tJJ\tI-NP\tO' -p264032 -aS'edema\tedema\tNN\tI-NP\tO' -p264033 -aS'in\tin\tIN\tB-PP\tO' -p264034 -aS'the\tthe\tDT\tB-NP\tO' -p264035 -aS'lower\tlow\tJJR\tI-NP\tO' -p264036 -aS'extremities\textremity\tNNS\tI-NP\tO' -p264037 -aS',\t,\t,\tO\tO' -p264038 -aS'so\tso\tIN\tO\tO' -p264039 -aS'I\tI\tPRP\tB-NP\tO' -p264040 -aS'think\tthink\tVBP\tB-VP\tO' -p264041 -aS'that\tthat\tIN\tB-SBAR\tO' -p264042 -aS'fluid\tfluid\tNN\tB-NP\tO' -p264043 -aS'restriction\trestriction\tNN\tI-NP\tO' -p264044 -aS'should\tshould\tMD\tB-VP\tO' -p264045 -aS'help\thelp\tVB\tI-VP\tO' -p264046 -aS'with\twith\tIN\tB-PP\tO' -p264047 -aS'that\tthat\tDT\tB-NP\tO' -p264048 -aS'.\t.\t.\tO\tO' -p264049 -asS'She had a physical over there , and the evaluation included an ultrasound which showed an ovarian mass .' -p264050 -(lp264051 -S'She\tShe\tPRP\tB-NP\tO' -p264052 -aS'had\thave\tVBD\tB-VP\tO' -p264053 -aS'a\ta\tDT\tB-NP\tO' -p264054 -aS'physical\tphysical\tJJ\tI-NP\tO' -p264055 -aS'over\tover\tIN\tB-PP\tO' -p264056 -aS'there\tthere\tRB\tB-NP\tO' -p264057 -aS',\t,\t,\tO\tO' -p264058 -aS'and\tand\tCC\tO\tO' -p264059 -aS'the\tthe\tDT\tB-NP\tO' -p264060 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p264061 -aS'included\tinclude\tVBD\tB-VP\tO' -p264062 -aS'an\tan\tDT\tB-NP\tO' -p264063 -aS'ultrasound\tultrasound\tNN\tI-NP\tO' -p264064 -aS'which\twhich\tWDT\tB-NP\tO' -p264065 -aS'showed\tshow\tVBD\tB-VP\tO' -p264066 -aS'an\tan\tDT\tB-NP\tO' -p264067 -aS'ovarian\tovarian\tJJ\tI-NP\tO' -p264068 -aS'mass\tmass\tNN\tI-NP\tO' -p264069 -aS'.\t.\t.\tO\tO' -p264070 -asS'Limited CMED CCU movements in upgaze .' -p264071 -(lp264072 -S'Limited\tLimited\tJJ\tB-NP\tO' -p264073 -aS'CMED\tCMED\tVBN\tI-NP\tO' -p264074 -aS'CCU\tCCU\tNN\tI-NP\tO' -p264075 -aS'movements\tmovement\tNNS\tI-NP\tO' -p264076 -aS'in\tin\tIN\tB-PP\tO' -p264077 -aS'upgaze\tupgaze\tNN\tB-NP\tO' -p264078 -aS'.\t.\t.\tO\tO' -p264079 -asS'She claims she does not know why she is HIV positive .' -p264080 -(lp264081 -S'She\tShe\tPRP\tB-NP\tO' -p264082 -aS'claims\tclaim\tVBZ\tB-VP\tO' -p264083 -aS'she\tshe\tPRP\tB-NP\tO' -p264084 -aS'does\tdo\tVBZ\tB-VP\tO' -p264085 -aS'not\tnot\tRB\tI-VP\tO' -p264086 -aS'know\tknow\tVB\tI-VP\tO' -p264087 -aS'why\twhy\tWRB\tB-ADVP\tO' -p264088 -aS'she\tshe\tPRP\tB-NP\tO' -p264089 -aS'is\tbe\tVBZ\tB-VP\tO' -p264090 -aS'HIV\tHIV\tNN\tB-NP\tO' -p264091 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p264092 -aS'.\t.\t.\tO\tO' -p264093 -asS'Follow-up with Dr. Loydsadd in one to two weeks .' -p264094 -(lp264095 -S'Follow-up\tFollow-up\tNN\tB-NP\tO' -p264096 -aS'with\twith\tIN\tB-PP\tO' -p264097 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p264098 -aS'Loydsadd\tLoydsadd\tNNP\tI-NP\tO' -p264099 -aS'in\tin\tIN\tB-PP\tO' -p264100 -aS'one\tone\tCD\tB-NP\tO' -p264101 -aS'to\tto\tTO\tI-NP\tO' -p264102 -aS'two\ttwo\tCD\tI-NP\tO' -p264103 -aS'weeks\tweek\tNNS\tI-NP\tO' -p264104 -aS'.\t.\t.\tO\tO' -p264105 -asS'This was intermittent .' -p264106 -(lp264107 -S'This\tThis\tDT\tB-NP\tO' -p264108 -aS'was\tbe\tVBD\tB-VP\tO' -p264109 -aS'intermittent\tintermittent\tJJ\tB-ADJP\tO' -p264110 -aS'.\t.\t.\tO\tO' -p264111 -asS'The patient had a BUN and creatinine of 12 and 1.2 , a white count of 6.7 , a hematocrit of 39.4 , negative urinalysis , and a potassium of 4.6 .' -p264112 -(lp264113 -S'The\tThe\tDT\tB-NP\tO' -p264114 -aS'patient\tpatient\tNN\tI-NP\tO' -p264115 -aS'had\thave\tVBD\tB-VP\tO' -p264116 -aS'a\ta\tDT\tB-NP\tO' -p264117 -aS'BUN\tBUN\tNN\tI-NP\tB-protein' -p264118 -aS'and\tand\tCC\tI-NP\tO' -p264119 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p264120 -aS'of\tof\tIN\tB-PP\tO' -p264121 -aS'12\t12\tCD\tB-NP\tO' -p264122 -aS'and\tand\tCC\tI-NP\tO' -p264123 -aS'1.2\t1.2\tCD\tI-NP\tO' -p264124 -aS',\t,\t,\tO\tO' -p264125 -aS'a\ta\tDT\tB-NP\tO' -p264126 -aS'white\twhite\tJJ\tI-NP\tO' -p264127 -aS'count\tcount\tNN\tI-NP\tO' -p264128 -aS'of\tof\tIN\tB-PP\tO' -p264129 -aS'6.7\t6.7\tCD\tB-NP\tO' -p264130 -aS',\t,\t,\tO\tO' -p264131 -aS'a\ta\tDT\tB-NP\tO' -p264132 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p264133 -aS'of\tof\tIN\tB-PP\tO' -p264134 -aS'39.4\t39.4\tCD\tB-NP\tO' -p264135 -aS',\t,\t,\tO\tO' -p264136 -aS'negative\tnegative\tJJ\tB-NP\tO' -p264137 -aS'urinalysis\turinalysis\tNN\tI-NP\tO' -p264138 -aS',\t,\t,\tO\tO' -p264139 -aS'and\tand\tCC\tO\tO' -p264140 -aS'a\ta\tDT\tB-NP\tO' -p264141 -aS'potassium\tpotassium\tNN\tI-NP\tO' -p264142 -aS'of\tof\tIN\tB-PP\tO' -p264143 -aS'4.6\t4.6\tCD\tB-NP\tO' -p264144 -aS'.\t.\t.\tO\tO' -p264145 -asS'He was accepted at the Vo Yd Burgsygu Hospital Center Intensive Care Unit and his hospital course will be reviewed by problems .' -p264146 -(lp264147 -S'He\tHe\tPRP\tB-NP\tO' -p264148 -aS'was\tbe\tVBD\tB-VP\tO' -p264149 -aS'accepted\taccept\tVBN\tI-VP\tO' -p264150 -aS'at\tat\tIN\tB-PP\tO' -p264151 -aS'the\tthe\tDT\tB-NP\tO' -p264152 -aS'Vo\tVo\tNNP\tI-NP\tO' -p264153 -aS'Yd\tYd\tNNP\tI-NP\tO' -p264154 -aS'Burgsygu\tBurgsygu\tNNP\tI-NP\tO' -p264155 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p264156 -aS'Center\tCenter\tNNP\tI-NP\tO' -p264157 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p264158 -aS'Care\tCare\tNNP\tI-NP\tO' -p264159 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p264160 -aS'and\tand\tCC\tO\tO' -p264161 -aS'his\this\tPRP$\tB-NP\tO' -p264162 -aS'hospital\thospital\tNN\tI-NP\tO' -p264163 -aS'course\tcourse\tNN\tI-NP\tO' -p264164 -aS'will\twill\tMD\tB-VP\tO' -p264165 -aS'be\tbe\tVB\tI-VP\tO' -p264166 -aS'reviewed\treview\tVBN\tI-VP\tO' -p264167 -aS'by\tby\tIN\tB-PP\tO' -p264168 -aS'problems\tproblem\tNNS\tB-NP\tO' -p264169 -aS'.\t.\t.\tO\tO' -p264170 -asS'No relief with nitroglycerin x3 .' -p264171 -(lp264172 -S'No\tNo\tDT\tB-NP\tO' -p264173 -aS'relief\trelief\tNN\tI-NP\tO' -p264174 -aS'with\twith\tIN\tB-PP\tO' -p264175 -aS'nitroglycerin\tnitroglycerin\tNN\tB-NP\tB-protein' -p264176 -aS'x3\tx3\tNN\tI-NP\tI-protein' -p264177 -aS'.\t.\t.\tO\tO' -p264178 -asS'Please have CBC and alkaline phosphatase and total bilirubin checked on Monday 11-04' -p264179 -(lp264180 -S'Please\tPlease\tNN\tB-NP\tB-protein' -p264181 -aS'have\thave\tVBP\tB-VP\tO' -p264182 -aS'CBC\tCBC\tNN\tB-NP\tB-protein' -p264183 -aS'and\tand\tCC\tI-NP\tO' -p264184 -aS'alkaline\talkaline\tNN\tI-NP\tB-protein' -p264185 -aS'phosphatase\tphosphatase\tNN\tI-NP\tI-protein' -p264186 -aS'and\tand\tCC\tO\tO' -p264187 -aS'total\ttotal\tJJ\tB-NP\tO' -p264188 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p264189 -aS'checked\tcheck\tVBD\tB-VP\tO' -p264190 -aS'on\ton\tIN\tB-PP\tO' -p264191 -aS'Monday\tMonday\tNNP\tB-NP\tO' -p264192 -aS'11-04\t11-04\tCD\tI-NP\tO' -p264193 -asS'He was then transferred to the Retelk County Medical Center for further management .' -p264194 -(lp264195 -S'He\tHe\tPRP\tB-NP\tO' -p264196 -aS'was\tbe\tVBD\tB-VP\tO' -p264197 -aS'then\tthen\tRB\tI-VP\tO' -p264198 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p264199 -aS'to\tto\tTO\tB-PP\tO' -p264200 -aS'the\tthe\tDT\tB-NP\tO' -p264201 -aS'Retelk\tRetelk\tNNP\tI-NP\tO' -p264202 -aS'County\tCounty\tNNP\tI-NP\tO' -p264203 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p264204 -aS'Center\tCenter\tNNP\tI-NP\tO' -p264205 -aS'for\tfor\tIN\tB-PP\tO' -p264206 -aS'further\tfurther\tJJ\tB-NP\tO' -p264207 -aS'management\tmanagement\tNN\tI-NP\tO' -p264208 -aS'.\t.\t.\tO\tO' -p264209 -asS'No CPR / No defib /' -p264210 -(lp264211 -S'No\tNo\tDT\tB-NP\tO' -p264212 -aS'CPR\tCPR\tNN\tI-NP\tB-protein' -p264213 -aS'/\t/\tSYM\tB-NP\tO' -p264214 -aS'No\tNo\tNN\tI-NP\tO' -p264215 -aS'defib\tdefib\tNN\tI-NP\tO' -p264216 -aS'/\t/\tSYM\tB-NP\tO' -p264217 -asS'His recovery was essentially unremarkable .' -p264218 -(lp264219 -S'His\tHis\tPRP$\tB-NP\tO' -p264220 -aS'recovery\trecovery\tNN\tI-NP\tO' -p264221 -aS'was\tbe\tVBD\tB-VP\tO' -p264222 -aS'essentially\tessentially\tRB\tB-ADJP\tO' -p264223 -aS'unremarkable\tunremarkable\tJJ\tI-ADJP\tO' -p264224 -aS'.\t.\t.\tO\tO' -p264225 -asS'There are numerous areas of decreased attenuation in the periventricular and subcortical white matter of both cerebral hemispheres , indicating chronic microvascular infarction .' -p264226 -(lp264227 -S'There\tThere\tEX\tB-NP\tO' -p264228 -aS'are\tbe\tVBP\tB-VP\tO' -p264229 -aS'numerous\tnumerous\tJJ\tB-NP\tO' -p264230 -aS'areas\tarea\tNNS\tI-NP\tO' -p264231 -aS'of\tof\tIN\tB-PP\tO' -p264232 -aS'decreased\tdecrease\tVBN\tB-NP\tO' -p264233 -aS'attenuation\tattenuation\tNN\tI-NP\tO' -p264234 -aS'in\tin\tIN\tB-PP\tO' -p264235 -aS'the\tthe\tDT\tB-NP\tO' -p264236 -aS'periventricular\tperiventricular\tJJ\tI-NP\tO' -p264237 -aS'and\tand\tCC\tI-NP\tO' -p264238 -aS'subcortical\tsubcortical\tJJ\tI-NP\tO' -p264239 -aS'white\twhite\tJJ\tI-NP\tO' -p264240 -aS'matter\tmatter\tNN\tI-NP\tO' -p264241 -aS'of\tof\tIN\tB-PP\tO' -p264242 -aS'both\tboth\tDT\tB-NP\tO' -p264243 -aS'cerebral\tcerebral\tJJ\tI-NP\tO' -p264244 -aS'hemispheres\themisphere\tNNS\tI-NP\tO' -p264245 -aS',\t,\t,\tO\tO' -p264246 -aS'indicating\tindicate\tVBG\tB-VP\tO' -p264247 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p264248 -aS'microvascular\tmicrovascular\tJJ\tI-NP\tO' -p264249 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p264250 -aS'.\t.\t.\tO\tO' -p264251 -asS'papillary carcinoma .' -p264252 -(lp264253 -S'papillary\tpapillary\tJJ\tB-NP\tO' -p264254 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p264255 -aS'.\t.\t.\tO\tO' -p264256 -asS'Lipitor , 20 daily .' -p264257 -(lp264258 -S'Lipitor\tLipitor\tNN\tB-NP\tO' -p264259 -aS',\t,\t,\tO\tO' -p264260 -aS'20\t20\tCD\tB-NP\tO' -p264261 -aS'daily\tdaily\tRB\tI-NP\tO' -p264262 -aS'.\t.\t.\tO\tO' -p264263 -asS'The patient had a follow-up chest x-ray , which was essentially unchanged from previously , showing a normal heart and lungs without infiltrate .' -p264264 -(lp264265 -S'The\tThe\tDT\tB-NP\tO' -p264266 -aS'patient\tpatient\tNN\tI-NP\tO' -p264267 -aS'had\thave\tVBD\tB-VP\tO' -p264268 -aS'a\ta\tDT\tB-NP\tO' -p264269 -aS'follow-up\tfollow-up\tJJ\tI-NP\tO' -p264270 -aS'chest\tchest\tNN\tI-NP\tO' -p264271 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p264272 -aS',\t,\t,\tO\tO' -p264273 -aS'which\twhich\tWDT\tB-NP\tO' -p264274 -aS'was\tbe\tVBD\tB-VP\tO' -p264275 -aS'essentially\tessentially\tRB\tB-ADJP\tO' -p264276 -aS'unchanged\tunchanged\tJJ\tI-ADJP\tO' -p264277 -aS'from\tfrom\tIN\tB-PP\tO' -p264278 -aS'previously\tpreviously\tRB\tB-NP\tO' -p264279 -aS',\t,\t,\tO\tO' -p264280 -aS'showing\tshow\tVBG\tB-VP\tO' -p264281 -aS'a\ta\tDT\tB-NP\tO' -p264282 -aS'normal\tnormal\tJJ\tI-NP\tO' -p264283 -aS'heart\theart\tNN\tI-NP\tO' -p264284 -aS'and\tand\tCC\tI-NP\tO' -p264285 -aS'lungs\tlung\tNNS\tI-NP\tO' -p264286 -aS'without\twithout\tIN\tB-PP\tO' -p264287 -aS'infiltrate\tinfiltrate\tNN\tB-NP\tO' -p264288 -aS'.\t.\t.\tO\tO' -p264289 -asS'6. Atrovent multiple dose inhalers , one to two puffs q. six hours as needed .' -p264290 -(lp264291 -S'6.\t6.\tLS\tB-NP\tO' -p264292 -aS'Atrovent\tAtrovent\tJJ\tI-NP\tO' -p264293 -aS'multiple\tmultiple\tJJ\tI-NP\tO' -p264294 -aS'dose\tdose\tNN\tI-NP\tO' -p264295 -aS'inhalers\tinhaler\tNNS\tI-NP\tO' -p264296 -aS',\t,\t,\tO\tO' -p264297 -aS'one\tone\tCD\tB-NP\tO' -p264298 -aS'to\tto\tTO\tI-NP\tO' -p264299 -aS'two\ttwo\tCD\tI-NP\tO' -p264300 -aS'puffs\tpuff\tNNS\tI-NP\tO' -p264301 -aS'q.\tq.\tRB\tB-NP\tO' -p264302 -aS'six\tsix\tCD\tI-NP\tO' -p264303 -aS'hours\thour\tNNS\tI-NP\tO' -p264304 -aS'as\tas\tIN\tB-SBAR\tO' -p264305 -aS'needed\tneed\tVBN\tB-VP\tO' -p264306 -aS'.\t.\t.\tO\tO' -p264307 -asS'Multiple left-sided rib fractures are seen .' -p264308 -(lp264309 -S'Multiple\tMultiple\tJJ\tB-NP\tO' -p264310 -aS'left-sided\tleft-sided\tJJ\tI-NP\tO' -p264311 -aS'rib\trib\tNN\tI-NP\tO' -p264312 -aS'fractures\tfracture\tNNS\tI-NP\tO' -p264313 -aS'are\tbe\tVBP\tB-VP\tO' -p264314 -aS'seen\tsee\tVBN\tI-VP\tO' -p264315 -aS'.\t.\t.\tO\tO' -p264316 -asS'After surgery he had a ongoing sinus tachycardia .' -p264317 -(lp264318 -S'After\tAfter\tIN\tB-PP\tO' -p264319 -aS'surgery\tsurgery\tNN\tB-NP\tO' -p264320 -aS'he\the\tPRP\tB-NP\tO' -p264321 -aS'had\thave\tVBD\tB-VP\tO' -p264322 -aS'a\ta\tDT\tB-NP\tO' -p264323 -aS'ongoing\tongoing\tJJ\tI-NP\tO' -p264324 -aS'sinus\tsinus\tNN\tI-NP\tO' -p264325 -aS'tachycardia\ttachycardia\tNN\tI-NP\tO' -p264326 -aS'.\t.\t.\tO\tO' -p264327 -asS'Please keep your appointment with Dr. Ryan on Monday , 12-07 at 11 AM .' -p264328 -(lp264329 -S'Please\tPlease\tVB\tB-VP\tO' -p264330 -aS'keep\tkeep\tVB\tI-VP\tO' -p264331 -aS'your\tyour\tPRP$\tB-NP\tO' -p264332 -aS'appointment\tappointment\tNN\tI-NP\tO' -p264333 -aS'with\twith\tIN\tB-PP\tO' -p264334 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p264335 -aS'Ryan\tRyan\tNNP\tI-NP\tO' -p264336 -aS'on\ton\tIN\tB-PP\tO' -p264337 -aS'Monday\tMonday\tNNP\tB-NP\tO' -p264338 -aS',\t,\t,\tO\tO' -p264339 -aS'12-07\t12-07\tCD\tB-NP\tO' -p264340 -aS'at\tat\tIN\tB-PP\tO' -p264341 -aS'11\t11\tCD\tB-NP\tO' -p264342 -aS'AM\tAM\tNN\tI-NP\tO' -p264343 -aS'.\t.\t.\tO\tO' -p264344 -asS'The Ifex was held as it was felt that it could have precipitated the mental status changes and that she was to receive no further Ifex .' -p264345 -(lp264346 -S'The\tThe\tDT\tB-NP\tO' -p264347 -aS'Ifex\tIfex\tNNP\tI-NP\tO' -p264348 -aS'was\tbe\tVBD\tB-VP\tO' -p264349 -aS'held\thold\tVBN\tI-VP\tO' -p264350 -aS'as\tas\tIN\tB-SBAR\tO' -p264351 -aS'it\tit\tPRP\tB-NP\tO' -p264352 -aS'was\tbe\tVBD\tB-VP\tO' -p264353 -aS'felt\tfeel\tVBN\tI-VP\tO' -p264354 -aS'that\tthat\tIN\tB-SBAR\tO' -p264355 -aS'it\tit\tPRP\tB-NP\tO' -p264356 -aS'could\tcould\tMD\tB-VP\tO' -p264357 -aS'have\thave\tVB\tI-VP\tO' -p264358 -aS'precipitated\tprecipitate\tVBN\tI-VP\tO' -p264359 -aS'the\tthe\tDT\tB-NP\tO' -p264360 -aS'mental\tmental\tJJ\tI-NP\tO' -p264361 -aS'status\tstatus\tNN\tI-NP\tO' -p264362 -aS'changes\tchange\tNNS\tI-NP\tO' -p264363 -aS'and\tand\tCC\tO\tO' -p264364 -aS'that\tthat\tIN\tB-SBAR\tO' -p264365 -aS'she\tshe\tPRP\tB-NP\tO' -p264366 -aS'was\tbe\tVBD\tB-VP\tO' -p264367 -aS'to\tto\tTO\tI-VP\tO' -p264368 -aS'receive\treceive\tVB\tI-VP\tO' -p264369 -aS'no\tno\tDT\tB-NP\tO' -p264370 -aS'further\tfurther\tJJ\tI-NP\tO' -p264371 -aS'Ifex\tIfex\tNNP\tI-NP\tO' -p264372 -aS'.\t.\t.\tO\tO' -p264373 -asS'Unfortunately , oligoclonal bands could not be sent from the CSF ( lab sent CSF for other studies and there was not enough left over for OCB s).' -p264374 -(lp264375 -S'Unfortunately\tUnfortunately\tRB\tB-ADVP\tO' -p264376 -aS',\t,\t,\tO\tO' -p264377 -aS'oligoclonal\toligoclonal\tJJ\tB-NP\tO' -p264378 -aS'bands\tband\tNNS\tI-NP\tO' -p264379 -aS'could\tcould\tMD\tB-VP\tO' -p264380 -aS'not\tnot\tRB\tI-VP\tO' -p264381 -aS'be\tbe\tVB\tI-VP\tO' -p264382 -aS'sent\tsend\tVBN\tI-VP\tO' -p264383 -aS'from\tfrom\tIN\tB-PP\tO' -p264384 -aS'the\tthe\tDT\tB-NP\tO' -p264385 -aS'CSF\tCSF\tNN\tI-NP\tB-protein' -p264386 -aS'(\t(\t(\tO\tO' -p264387 -aS'lab\tlab\tNN\tB-NP\tO' -p264388 -aS'sent\tsend\tVBD\tB-VP\tO' -p264389 -aS'CSF\tCSF\tNN\tB-NP\tB-protein' -p264390 -aS'for\tfor\tIN\tB-PP\tO' -p264391 -aS'other\tother\tJJ\tB-NP\tO' -p264392 -aS'studies\tstudy\tNNS\tI-NP\tO' -p264393 -aS'and\tand\tCC\tO\tO' -p264394 -aS'there\tthere\tEX\tB-NP\tO' -p264395 -aS'was\tbe\tVBD\tB-VP\tO' -p264396 -aS'not\tnot\tRB\tO\tO' -p264397 -aS'enough\tenough\tRB\tB-ADVP\tO' -p264398 -aS'left\tleave\tVBD\tB-VP\tO' -p264399 -aS'over\tover\tRP\tB-PRT\tO' -p264400 -aS'for\tfor\tIN\tB-PP\tO' -p264401 -aS'OCB\tOCB\tNN\tB-NP\tB-protein' -p264402 -aS's).\ts).\tNN\tI-NP\tI-protein' -p264403 -asS'95 yo F with MMP who sustained a mechanical fall down stairs resulting in a hip and arm fracture .' -p264404 -(lp264405 -S'95\t95\tCD\tB-NP\tO' -p264406 -aS'yo\tyo\tNN\tI-NP\tO' -p264407 -aS'F\tF\tNN\tI-NP\tO' -p264408 -aS'with\twith\tIN\tB-PP\tO' -p264409 -aS'MMP\tMMP\tNN\tB-NP\tB-protein' -p264410 -aS'who\twho\tWP\tB-NP\tO' -p264411 -aS'sustained\tsustain\tVBD\tB-VP\tO' -p264412 -aS'a\ta\tDT\tB-NP\tO' -p264413 -aS'mechanical\tmechanical\tJJ\tI-NP\tO' -p264414 -aS'fall\tfall\tNN\tI-NP\tO' -p264415 -aS'down\tdown\tIN\tB-PP\tO' -p264416 -aS'stairs\tstair\tNNS\tB-NP\tO' -p264417 -aS'resulting\tresult\tVBG\tB-VP\tO' -p264418 -aS'in\tin\tIN\tB-PP\tO' -p264419 -aS'a\ta\tDT\tB-NP\tO' -p264420 -aS'hip\thip\tNN\tI-NP\tO' -p264421 -aS'and\tand\tCC\tI-NP\tO' -p264422 -aS'arm\tarm\tNN\tI-NP\tO' -p264423 -aS'fracture\tfracture\tNN\tI-NP\tO' -p264424 -aS'.\t.\t.\tO\tO' -p264425 -asS'He was at Orlak on the day of admission and was found unresponsive with left tonic-clonic movements , greater in the arms than in the legs .' -p264426 -(lp264427 -S'He\tHe\tPRP\tB-NP\tO' -p264428 -aS'was\tbe\tVBD\tB-VP\tO' -p264429 -aS'at\tat\tIN\tB-PP\tO' -p264430 -aS'Orlak\tOrlak\tNNP\tB-NP\tO' -p264431 -aS'on\ton\tIN\tB-PP\tO' -p264432 -aS'the\tthe\tDT\tB-NP\tO' -p264433 -aS'day\tday\tNN\tI-NP\tO' -p264434 -aS'of\tof\tIN\tB-PP\tO' -p264435 -aS'admission\tadmission\tNN\tB-NP\tO' -p264436 -aS'and\tand\tCC\tO\tO' -p264437 -aS'was\tbe\tVBD\tB-VP\tO' -p264438 -aS'found\tfind\tVBN\tI-VP\tO' -p264439 -aS'unresponsive\tunresponsive\tJJ\tB-ADJP\tO' -p264440 -aS'with\twith\tIN\tB-PP\tO' -p264441 -aS'left\tleft\tJJ\tB-NP\tO' -p264442 -aS'tonic-clonic\ttonic-clonic\tJJ\tI-NP\tO' -p264443 -aS'movements\tmovement\tNNS\tI-NP\tO' -p264444 -aS',\t,\t,\tO\tO' -p264445 -aS'greater\tgreat\tJJR\tB-ADJP\tO' -p264446 -aS'in\tin\tIN\tB-PP\tO' -p264447 -aS'the\tthe\tDT\tB-NP\tO' -p264448 -aS'arms\tarm\tNNS\tI-NP\tO' -p264449 -aS'than\tthan\tIN\tB-PP\tO' -p264450 -aS'in\tin\tIN\tB-PP\tO' -p264451 -aS'the\tthe\tDT\tB-NP\tO' -p264452 -aS'legs\tleg\tNNS\tI-NP\tO' -p264453 -aS'.\t.\t.\tO\tO' -p264454 -asS'6. Simvastatin 40 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' -p264455 -(lp264456 -S'6.\t6.\tCD\tB-NP\tO' -p264457 -aS'Simvastatin\tSimvastatin\tNN\tI-NP\tO' -p264458 -aS'40\t40\tCD\tB-NP\tO' -p264459 -aS'mg\tmg\tNN\tI-NP\tO' -p264460 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p264461 -aS'Sig\tSig\tNNP\tI-NP\tO' -p264462 -aS':\t:\t:\tO\tO' -p264463 -aS'One\tOne\tCD\tB-NP\tO' -p264464 -aS'(\t(\t(\tO\tO' -p264465 -aS'1\t1\tCD\tB-NP\tO' -p264466 -aS')\t)\t)\tO\tO' -p264467 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p264468 -aS'PO\tPO\tNN\tI-NP\tO' -p264469 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p264470 -aS'(\t(\t(\tO\tO' -p264471 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p264472 -aS')\t)\t)\tO\tO' -p264473 -aS'.\t.\t.\tO\tO' -p264474 -asS'On 11/20/03 , a PE protocol CT was negative for both DVT and PE .' -p264475 -(lp264476 -S'On\tOn\tIN\tB-PP\tO' -p264477 -aS'11/20/03\t11/20/03\tCD\tB-NP\tO' -p264478 -aS',\t,\t,\tO\tO' -p264479 -aS'a\ta\tDT\tB-NP\tO' -p264480 -aS'PE\tPE\tNN\tI-NP\tB-protein' -p264481 -aS'protocol\tprotocol\tNN\tI-NP\tI-protein' -p264482 -aS'CT\tCT\tNN\tI-NP\tI-protein' -p264483 -aS'was\tbe\tVBD\tB-VP\tO' -p264484 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p264485 -aS'for\tfor\tIN\tB-PP\tO' -p264486 -aS'both\tboth\tCC\tO\tO' -p264487 -aS'DVT\tDVT\tNN\tB-NP\tB-protein' -p264488 -aS'and\tand\tCC\tI-NP\tO' -p264489 -aS'PE\tPE\tNN\tI-NP\tO' -p264490 -aS'.\t.\t.\tO\tO' -p264491 -asS'There was no evidence of significant groin hematomas .' -p264492 -(lp264493 -S'There\tThere\tEX\tB-NP\tO' -p264494 -aS'was\tbe\tVBD\tB-VP\tO' -p264495 -aS'no\tno\tDT\tB-NP\tO' -p264496 -aS'evidence\tevidence\tNN\tI-NP\tO' -p264497 -aS'of\tof\tIN\tB-PP\tO' -p264498 -aS'significant\tsignificant\tJJ\tB-NP\tO' -p264499 -aS'groin\tgroin\tNN\tI-NP\tO' -p264500 -aS'hematomas\thematoma\tNNS\tI-NP\tO' -p264501 -aS'.\t.\t.\tO\tO' -p264502 -asS'11. Vitamin B-12 1,000 mcg / mL One Injection every other week .' -p264503 -(lp264504 -S'11.\t11.\tLS\tB-NP\tO' -p264505 -aS'Vitamin\tVitamin\tNN\tI-NP\tO' -p264506 -aS'B-12\tB-12\tNN\tI-NP\tO' -p264507 -aS'1,000\t1,000\tCD\tI-NP\tO' -p264508 -aS'mcg\tmcg\tNN\tI-NP\tO' -p264509 -aS'/\t/\tSYM\tB-NP\tO' -p264510 -aS'mL\tmL\tNN\tB-NP\tO' -p264511 -aS'One\tOne\tCD\tI-NP\tO' -p264512 -aS'Injection\tInjection\tNN\tI-NP\tO' -p264513 -aS'every\tevery\tDT\tB-NP\tO' -p264514 -aS'other\tother\tJJ\tI-NP\tO' -p264515 -aS'week\tweek\tNN\tI-NP\tO' -p264516 -aS'.\t.\t.\tO\tO' -p264517 -asS'Insulin 44 units NPH qam ; 8 units qpm ; Vasotec 2.5 qd ; Lasix 40 qd ; Mevacor 40 qd ; Cardizem CD 180 qd ; Ciprofloxacin for urinary tract infection ; aspirin .' -p264518 -(lp264519 -S'Insulin\tInsulin\tNN\tB-NP\tO' -p264520 -aS'44\t44\tCD\tI-NP\tO' -p264521 -aS'units\tunit\tNNS\tI-NP\tO' -p264522 -aS'NPH\tNPH\tNN\tI-NP\tO' -p264523 -aS'qam\tqam\tNN\tI-NP\tO' -p264524 -aS';\t;\t:\tO\tO' -p264525 -aS'8\t8\tCD\tB-NP\tO' -p264526 -aS'units\tunit\tNNS\tI-NP\tO' -p264527 -aS'qpm\tqpm\tNN\tI-NP\tO' -p264528 -aS';\t;\t:\tO\tO' -p264529 -aS'Vasotec\tVasotec\tNNP\tB-NP\tO' -p264530 -aS'2.5\t2.5\tCD\tB-NP\tO' -p264531 -aS'qd\tqd\tNN\tI-NP\tO' -p264532 -aS';\t;\t:\tO\tO' -p264533 -aS'Lasix\tLasix\tNNP\tB-NP\tO' -p264534 -aS'40\t40\tCD\tB-NP\tO' -p264535 -aS'qd\tqd\tNN\tI-NP\tO' -p264536 -aS';\t;\t:\tO\tO' -p264537 -aS'Mevacor\tMevacor\tNNP\tB-NP\tO' -p264538 -aS'40\t40\tCD\tB-NP\tO' -p264539 -aS'qd\tqd\tNN\tI-NP\tO' -p264540 -aS';\t;\t:\tO\tO' -p264541 -aS'Cardizem\tCardizem\tNNP\tB-NP\tO' -p264542 -aS'CD\tCD\tNNP\tI-NP\tO' -p264543 -aS'180\t180\tCD\tI-NP\tO' -p264544 -aS'qd\tqd\tNN\tI-NP\tO' -p264545 -aS';\t;\t:\tO\tO' -p264546 -aS'Ciprofloxacin\tCiprofloxacin\tNN\tB-NP\tO' -p264547 -aS'for\tfor\tIN\tB-PP\tO' -p264548 -aS'urinary\turinary\tJJ\tB-NP\tO' -p264549 -aS'tract\ttract\tNN\tI-NP\tO' -p264550 -aS'infection\tinfection\tNN\tI-NP\tO' -p264551 -aS';\t;\t:\tO\tO' -p264552 -aS'aspirin\taspirin\tNN\tB-NP\tO' -p264553 -aS'.\t.\t.\tO\tO' -p264554 -asS'The patient was to be discharged to a rehabilitation hospital , the location of which was undetermined at this time of this discharge summary .' -p264555 -(lp264556 -S'The\tThe\tDT\tB-NP\tO' -p264557 -aS'patient\tpatient\tNN\tI-NP\tO' -p264558 -aS'was\tbe\tVBD\tB-VP\tO' -p264559 -aS'to\tto\tTO\tI-VP\tO' -p264560 -aS'be\tbe\tVB\tI-VP\tO' -p264561 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p264562 -aS'to\tto\tTO\tB-PP\tO' -p264563 -aS'a\ta\tDT\tB-NP\tO' -p264564 -aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' -p264565 -aS'hospital\thospital\tNN\tI-NP\tO' -p264566 -aS',\t,\t,\tO\tO' -p264567 -aS'the\tthe\tDT\tB-NP\tO' -p264568 -aS'location\tlocation\tNN\tI-NP\tO' -p264569 -aS'of\tof\tIN\tB-PP\tO' -p264570 -aS'which\twhich\tWDT\tB-NP\tO' -p264571 -aS'was\tbe\tVBD\tB-VP\tO' -p264572 -aS'undetermined\tundetermined\tJJ\tB-ADJP\tO' -p264573 -aS'at\tat\tIN\tB-PP\tO' -p264574 -aS'this\tthis\tDT\tB-NP\tO' -p264575 -aS'time\ttime\tNN\tI-NP\tO' -p264576 -aS'of\tof\tIN\tB-PP\tO' -p264577 -aS'this\tthis\tDT\tB-NP\tO' -p264578 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p264579 -aS'summary\tsummary\tNN\tI-NP\tO' -p264580 -aS'.\t.\t.\tO\tO' -p264581 -asS'The patient 's bronchiolitis obliterans organizing pneumonia appeared to improve slowly throughout her hospital course , however on July 12 , 1998 , after starting dialysis ( see below ) , the patient desaturated and required supplemental oxygen .' -p264582 -(lp264583 -S'The\tThe\tDT\tB-NP\tO' -p264584 -aS'patient\tpatient\tNN\tI-NP\tO' -p264585 -aS''s\t'\tVBZ\tB-VP\tO' -p264586 -aS'bronchiolitis\tbronchiolitis\tNN\tB-NP\tO' -p264587 -aS'obliterans\tobliteran\tNNS\tI-NP\tO' -p264588 -aS'organizing\torganize\tVBG\tB-VP\tO' -p264589 -aS'pneumonia\tpneumonia\tNN\tB-NP\tO' -p264590 -aS'appeared\tappear\tVBD\tB-VP\tO' -p264591 -aS'to\tto\tTO\tI-VP\tO' -p264592 -aS'improve\timprove\tVB\tI-VP\tO' -p264593 -aS'slowly\tslowly\tRB\tB-ADVP\tO' -p264594 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p264595 -aS'her\ther\tPRP$\tB-NP\tO' -p264596 -aS'hospital\thospital\tNN\tI-NP\tO' -p264597 -aS'course\tcourse\tNN\tI-NP\tO' -p264598 -aS',\t,\t,\tO\tO' -p264599 -aS'however\thowever\tRB\tB-ADVP\tO' -p264600 -aS'on\ton\tIN\tB-PP\tO' -p264601 -aS'July\tJuly\tNNP\tB-NP\tO' -p264602 -aS'12\t12\tCD\tI-NP\tO' -p264603 -aS',\t,\t,\tI-NP\tO' -p264604 -aS'1998\t1998\tCD\tI-NP\tO' -p264605 -aS',\t,\t,\tO\tO' -p264606 -aS'after\tafter\tIN\tB-PP\tO' -p264607 -aS'starting\tstart\tVBG\tB-VP\tO' -p264608 -aS'dialysis\tdialysis\tNN\tB-NP\tO' -p264609 -aS'(\t(\t(\tO\tO' -p264610 -aS'see\tsee\tVB\tB-VP\tO' -p264611 -aS'below\tbelow\tIN\tB-PP\tO' -p264612 -aS')\t)\t)\tO\tO' -p264613 -aS',\t,\t,\tO\tO' -p264614 -aS'the\tthe\tDT\tB-NP\tO' -p264615 -aS'patient\tpatient\tNN\tI-NP\tO' -p264616 -aS'desaturated\tdesaturate\tVBD\tB-VP\tO' -p264617 -aS'and\tand\tCC\tI-VP\tO' -p264618 -aS'required\trequire\tVBD\tI-VP\tO' -p264619 -aS'supplemental\tsupplemental\tJJ\tB-NP\tO' -p264620 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p264621 -aS'.\t.\t.\tO\tO' -p264622 -asS'She also denies having hoarseness , difficulties in finding words , speaking , hiccups , or diplopia .' -p264623 -(lp264624 -S'She\tShe\tPRP\tB-NP\tO' -p264625 -aS'also\talso\tRB\tB-ADVP\tO' -p264626 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p264627 -aS'having\thave\tVBG\tI-VP\tO' -p264628 -aS'hoarseness\thoarseness\tNN\tB-NP\tO' -p264629 -aS',\t,\t,\tO\tO' -p264630 -aS'difficulties\tdifficulty\tNNS\tB-NP\tO' -p264631 -aS'in\tin\tIN\tB-PP\tO' -p264632 -aS'finding\tfind\tVBG\tB-VP\tO' -p264633 -aS'words\tword\tNNS\tB-NP\tO' -p264634 -aS',\t,\t,\tO\tO' -p264635 -aS'speaking\tspeak\tVBG\tB-VP\tO' -p264636 -aS',\t,\t,\tO\tO' -p264637 -aS'hiccups\thiccup\tNNS\tB-NP\tO' -p264638 -aS',\t,\t,\tO\tO' -p264639 -aS'or\tor\tCC\tO\tO' -p264640 -aS'diplopia\tdiplopia\tNN\tB-NP\tO' -p264641 -aS'.\t.\t.\tO\tO' -p264642 -asS'283,000 .' -p264643 -(lp264644 -S'283,000\t283,000\tCD\tB-NP\tO' -p264645 -aS'.\t.\t.\tO\tO' -p264646 -asS'ROS : patient unable to communicate at current time' -p264647 -(lp264648 -S'ROS\tROS\tNN\tB-NP\tO' -p264649 -aS':\t:\t:\tO\tO' -p264650 -aS'patient\tpatient\tNN\tB-NP\tO' -p264651 -aS'unable\tunable\tJJ\tB-ADJP\tO' -p264652 -aS'to\tto\tTO\tB-VP\tO' -p264653 -aS'communicate\tcommunicate\tVB\tI-VP\tO' -p264654 -aS'at\tat\tIN\tB-PP\tO' -p264655 -aS'current\tcurrent\tJJ\tB-NP\tO' -p264656 -aS'time\ttime\tNN\tI-NP\tO' -p264657 -asS'Over the course of the next few minutes the patient became increasingly more responsive .' -p264658 -(lp264659 -S'Over\tOver\tIN\tB-PP\tO' -p264660 -aS'the\tthe\tDT\tB-NP\tO' -p264661 -aS'course\tcourse\tNN\tI-NP\tO' -p264662 -aS'of\tof\tIN\tB-PP\tO' -p264663 -aS'the\tthe\tDT\tB-NP\tO' -p264664 -aS'next\tnext\tJJ\tI-NP\tO' -p264665 -aS'few\tfew\tJJ\tI-NP\tO' -p264666 -aS'minutes\tminute\tNNS\tI-NP\tO' -p264667 -aS'the\tthe\tDT\tB-NP\tO' -p264668 -aS'patient\tpatient\tNN\tI-NP\tO' -p264669 -aS'became\tbecome\tVBD\tB-VP\tO' -p264670 -aS'increasingly\tincreasingly\tRB\tB-ADJP\tO' -p264671 -aS'more\tmore\tRBR\tI-ADJP\tO' -p264672 -aS'responsive\tresponsive\tJJ\tI-ADJP\tO' -p264673 -aS'.\t.\t.\tO\tO' -p264674 -asS'19. Spironolactone 25 mg Tablet Sig : Two ( 2 ) Tablet PO DAILY ( Daily ) .' -p264675 -(lp264676 -S'19.\t19.\tCD\tB-NP\tO' -p264677 -aS'Spironolactone\tSpironolactone\tNN\tI-NP\tO' -p264678 -aS'25\t25\tCD\tB-NP\tO' -p264679 -aS'mg\tmg\tNN\tI-NP\tO' -p264680 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p264681 -aS'Sig\tSig\tNNP\tI-NP\tO' -p264682 -aS':\t:\t:\tO\tO' -p264683 -aS'Two\tTwo\tCD\tB-NP\tO' -p264684 -aS'(\t(\t(\tO\tO' -p264685 -aS'2\t2\tCD\tO\tO' -p264686 -aS')\t)\t)\tO\tO' -p264687 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p264688 -aS'PO\tPO\tNN\tI-NP\tO' -p264689 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p264690 -aS'(\t(\t(\tO\tO' -p264691 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p264692 -aS')\t)\t)\tO\tO' -p264693 -aS'.\t.\t.\tO\tO' -p264694 -asS'Cylert .' -p264695 -(lp264696 -S'Cylert\tCylert\tNN\tB-NP\tO' -p264697 -aS'.\t.\t.\tO\tO' -p264698 -asS'Proximal LAD with hazy ulceration , proximal circumflex with 80% hazy , totally occluded PLB with collaterals' -p264699 -(lp264700 -S'Proximal\tProximal\tJJ\tB-NP\tO' -p264701 -aS'LAD\tLAD\tNN\tI-NP\tO' -p264702 -aS'with\twith\tIN\tB-PP\tO' -p264703 -aS'hazy\thazy\tJJ\tB-NP\tO' -p264704 -aS'ulceration\tulceration\tNN\tI-NP\tO' -p264705 -aS',\t,\t,\tO\tO' -p264706 -aS'proximal\tproximal\tJJ\tB-NP\tO' -p264707 -aS'circumflex\tcircumflex\tNN\tI-NP\tO' -p264708 -aS'with\twith\tIN\tB-PP\tO' -p264709 -aS'80%\t80%\tCD\tB-NP\tO' -p264710 -aS'hazy\thazy\tNN\tI-NP\tO' -p264711 -aS',\t,\t,\tO\tO' -p264712 -aS'totally\ttotally\tRB\tB-ADVP\tO' -p264713 -aS'occluded\tocclude\tVBD\tB-VP\tO' -p264714 -aS'PLB\tPLB\tNN\tB-NP\tB-protein' -p264715 -aS'with\twith\tIN\tB-PP\tO' -p264716 -aS'collaterals\tcollateral\tNNS\tB-NP\tO' -p264717 -asS'He did report a 20 lbs weight loss over the last several months .' -p264718 -(lp264719 -S'He\tHe\tPRP\tB-NP\tO' -p264720 -aS'did\tdo\tVBD\tB-VP\tO' -p264721 -aS'report\treport\tVB\tI-VP\tO' -p264722 -aS'a\ta\tDT\tB-NP\tO' -p264723 -aS'20\t20\tCD\tI-NP\tO' -p264724 -aS'lbs\tlb\tNNS\tI-NP\tO' -p264725 -aS'weight\tweight\tNN\tI-NP\tO' -p264726 -aS'loss\tloss\tNN\tI-NP\tO' -p264727 -aS'over\tover\tIN\tB-PP\tO' -p264728 -aS'the\tthe\tDT\tB-NP\tO' -p264729 -aS'last\tlast\tJJ\tI-NP\tO' -p264730 -aS'several\tseveral\tJJ\tI-NP\tO' -p264731 -aS'months\tmonth\tNNS\tI-NP\tO' -p264732 -aS'.\t.\t.\tO\tO' -p264733 -asS'She was making adequate urine output anywhere between 20 to 50 ccs an hour .' -p264734 -(lp264735 -S'She\tShe\tPRP\tB-NP\tO' -p264736 -aS'was\tbe\tVBD\tB-VP\tO' -p264737 -aS'making\tmake\tVBG\tI-VP\tO' -p264738 -aS'adequate\tadequate\tJJ\tB-NP\tO' -p264739 -aS'urine\turine\tNN\tI-NP\tO' -p264740 -aS'output\toutput\tNN\tI-NP\tO' -p264741 -aS'anywhere\tanywhere\tRB\tB-NP\tO' -p264742 -aS'between\tbetween\tIN\tI-NP\tO' -p264743 -aS'20\t20\tCD\tI-NP\tO' -p264744 -aS'to\tto\tTO\tI-NP\tO' -p264745 -aS'50\t50\tCD\tI-NP\tO' -p264746 -aS'ccs\tcc\tNNS\tI-NP\tO' -p264747 -aS'an\tan\tDT\tB-NP\tO' -p264748 -aS'hour\thour\tNN\tI-NP\tO' -p264749 -aS'.\t.\t.\tO\tO' -p264750 -asS'Copies to Dr. Liasun Mass , Dr. Tomedankell New of Cardiology , and Dr. Scosthuang of Vassdiysey Medical Center .' -p264751 -(lp264752 -S'Copies\tCopy\tNNS\tB-NP\tO' -p264753 -aS'to\tto\tTO\tB-PP\tO' -p264754 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p264755 -aS'Liasun\tLiasun\tNNP\tI-NP\tO' -p264756 -aS'Mass\tMass\tNNP\tI-NP\tO' -p264757 -aS',\t,\t,\tO\tO' -p264758 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p264759 -aS'Tomedankell\tTomedankell\tNNP\tI-NP\tO' -p264760 -aS'New\tNew\tNNP\tI-NP\tO' -p264761 -aS'of\tof\tIN\tB-PP\tO' -p264762 -aS'Cardiology\tCardiology\tNNP\tB-NP\tO' -p264763 -aS',\t,\t,\tO\tO' -p264764 -aS'and\tand\tCC\tO\tO' -p264765 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p264766 -aS'Scosthuang\tScosthuang\tNNP\tI-NP\tO' -p264767 -aS'of\tof\tIN\tB-PP\tO' -p264768 -aS'Vassdiysey\tVassdiysey\tNNP\tB-NP\tO' -p264769 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p264770 -aS'Center\tCenter\tNNP\tI-NP\tO' -p264771 -aS'.\t.\t.\tO\tO' -p264772 -asS'Plan to continue to follow MS , expect improvement as steroids are continued to be tapered .' -p264773 -(lp264774 -S'Plan\tPlan\tNN\tB-NP\tO' -p264775 -aS'to\tto\tTO\tB-VP\tO' -p264776 -aS'continue\tcontinue\tVB\tI-VP\tO' -p264777 -aS'to\tto\tTO\tI-VP\tO' -p264778 -aS'follow\tfollow\tVB\tI-VP\tO' -p264779 -aS'MS\tMS\tNN\tB-NP\tO' -p264780 -aS',\t,\t,\tO\tO' -p264781 -aS'expect\texpect\tVBP\tB-VP\tO' -p264782 -aS'improvement\timprovement\tNN\tB-NP\tO' -p264783 -aS'as\tas\tIN\tB-SBAR\tO' -p264784 -aS'steroids\tsteroid\tNNS\tB-NP\tO' -p264785 -aS'are\tbe\tVBP\tB-VP\tO' -p264786 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p264787 -aS'to\tto\tTO\tI-VP\tO' -p264788 -aS'be\tbe\tVB\tI-VP\tO' -p264789 -aS'tapered\ttaper\tVBN\tI-VP\tO' -p264790 -aS'.\t.\t.\tO\tO' -p264791 -asS'He is now admitted to the CCU for further care .' -p264792 -(lp264793 -S'He\tHe\tPRP\tB-NP\tO' -p264794 -aS'is\tbe\tVBZ\tB-VP\tO' -p264795 -aS'now\tnow\tRB\tI-VP\tO' -p264796 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p264797 -aS'to\tto\tTO\tB-PP\tO' -p264798 -aS'the\tthe\tDT\tB-NP\tO' -p264799 -aS'CCU\tCCU\tNN\tI-NP\tO' -p264800 -aS'for\tfor\tIN\tB-PP\tO' -p264801 -aS'further\tfurther\tJJ\tB-NP\tO' -p264802 -aS'care\tcare\tNN\tI-NP\tO' -p264803 -aS'.\t.\t.\tO\tO' -p264804 -asS'D-sticks of 117 .' -p264805 -(lp264806 -S'D-sticks\tD-stick\tNNS\tB-NP\tO' -p264807 -aS'of\tof\tIN\tB-PP\tO' -p264808 -aS'117\t117\tCD\tB-NP\tO' -p264809 -aS'.\t.\t.\tO\tO' -p264810 -asS'PAtient began feeding first post op day and has done well .' -p264811 -(lp264812 -S'PAtient\tPAtient\tNN\tB-NP\tO' -p264813 -aS'began\tbegin\tVBD\tB-VP\tO' -p264814 -aS'feeding\tfeed\tVBG\tI-VP\tO' -p264815 -aS'first\tfirst\tJJ\tB-NP\tO' -p264816 -aS'post\tpost\tNN\tI-NP\tO' -p264817 -aS'op\top\tNN\tI-NP\tO' -p264818 -aS'day\tday\tNN\tI-NP\tO' -p264819 -aS'and\tand\tCC\tO\tO' -p264820 -aS'has\thave\tVBZ\tB-VP\tO' -p264821 -aS'done\tdo\tVBN\tI-VP\tO' -p264822 -aS'well\twell\tRB\tB-ADVP\tO' -p264823 -aS'.\t.\t.\tO\tO' -p264824 -asS'158/60 with a heart rate of 85 , temperature 99.7 , respirations 14 .' -p264825 -(lp264826 -S'158/60\t158/60\tCD\tB-NP\tO' -p264827 -aS'with\twith\tIN\tB-PP\tO' -p264828 -aS'a\ta\tDT\tB-NP\tO' -p264829 -aS'heart\theart\tNN\tI-NP\tO' -p264830 -aS'rate\trate\tNN\tI-NP\tO' -p264831 -aS'of\tof\tIN\tB-PP\tO' -p264832 -aS'85\t85\tCD\tB-NP\tO' -p264833 -aS',\t,\t,\tO\tO' -p264834 -aS'temperature\ttemperature\tNN\tB-NP\tO' -p264835 -aS'99.7\t99.7\tCD\tI-NP\tO' -p264836 -aS',\t,\t,\tO\tO' -p264837 -aS'respirations\trespiration\tNNS\tB-NP\tO' -p264838 -aS'14\t14\tCD\tB-NP\tO' -p264839 -aS'.\t.\t.\tO\tO' -p264840 -asS'This report was created by SHUFF , RONRIN 10/18/2005 03:53 PM' -p264841 -(lp264842 -S'This\tThis\tDT\tB-NP\tO' -p264843 -aS'report\treport\tNN\tI-NP\tO' -p264844 -aS'was\tbe\tVBD\tB-VP\tO' -p264845 -aS'created\tcreate\tVBN\tI-VP\tO' -p264846 -aS'by\tby\tIN\tB-PP\tO' -p264847 -aS'SHUFF\tSHUFF\tNN\tB-NP\tB-protein' -p264848 -aS',\t,\t,\tO\tO' -p264849 -aS'RONRIN\tRONRIN\tNN\tB-NP\tO' -p264850 -aS'10/18/2005\t10/18/2005\tCD\tI-NP\tO' -p264851 -aS'03:53\t03:53\tCD\tI-NP\tO' -p264852 -aS'PM\tPM\tNN\tI-NP\tO' -p264853 -asS'This was achieved with good effect , and they were subsequently weaned off .' -p264854 -(lp264855 -S'This\tThis\tDT\tB-NP\tO' -p264856 -aS'was\tbe\tVBD\tB-VP\tO' -p264857 -aS'achieved\tachieve\tVBN\tI-VP\tO' -p264858 -aS'with\twith\tIN\tB-PP\tO' -p264859 -aS'good\tgood\tJJ\tB-NP\tO' -p264860 -aS'effect\teffect\tNN\tI-NP\tO' -p264861 -aS',\t,\t,\tO\tO' -p264862 -aS'and\tand\tCC\tO\tO' -p264863 -aS'they\tthey\tPRP\tB-NP\tO' -p264864 -aS'were\tbe\tVBD\tB-VP\tO' -p264865 -aS'subsequently\tsubsequently\tRB\tI-VP\tO' -p264866 -aS'weaned\twean\tVBN\tI-VP\tO' -p264867 -aS'off\toff\tRP\tB-PRT\tO' -p264868 -aS'.\t.\t.\tO\tO' -p264869 -asS'There is no hydrocephalus .' -p264870 -(lp264871 -S'There\tThere\tEX\tB-NP\tO' -p264872 -aS'is\tbe\tVBZ\tB-VP\tO' -p264873 -aS'no\tno\tDT\tB-NP\tO' -p264874 -aS'hydrocephalus\thydrocephalus\tNN\tI-NP\tO' -p264875 -aS'.\t.\t.\tO\tO' -p264876 -asS'No mass/thrombus is seen in the left atrium or left atrial appendage .' -p264877 -(lp264878 -S'No\tNo\tDT\tB-NP\tO' -p264879 -aS'mass/thrombus\tmass/thrombus\tNN\tI-NP\tO' -p264880 -aS'is\tbe\tVBZ\tB-VP\tO' -p264881 -aS'seen\tsee\tVBN\tI-VP\tO' -p264882 -aS'in\tin\tIN\tB-PP\tO' -p264883 -aS'the\tthe\tDT\tB-NP\tO' -p264884 -aS'left\tleft\tJJ\tI-NP\tO' -p264885 -aS'atrium\tatrium\tNN\tI-NP\tO' -p264886 -aS'or\tor\tCC\tO\tO' -p264887 -aS'left\tleave\tVBD\tB-VP\tO' -p264888 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p264889 -aS'appendage\tappendage\tNN\tI-NP\tO' -p264890 -aS'.\t.\t.\tO\tO' -p264891 -asS'We started her on dilt for additional a fib control ( revert back to a fib on 05-29 ), which was stopped when the pt was made CMO .' -p264892 -(lp264893 -S'We\tWe\tPRP\tB-NP\tO' -p264894 -aS'started\tstart\tVBD\tB-VP\tO' -p264895 -aS'her\ther\tPRP\tB-NP\tO' -p264896 -aS'on\ton\tIN\tB-PP\tO' -p264897 -aS'dilt\tdilt\tNN\tB-NP\tO' -p264898 -aS'for\tfor\tIN\tB-PP\tO' -p264899 -aS'additional\tadditional\tJJ\tB-NP\tO' -p264900 -aS'a\ta\tDT\tI-NP\tO' -p264901 -aS'fib\tfib\tNN\tI-NP\tO' -p264902 -aS'control\tcontrol\tNN\tI-NP\tO' -p264903 -aS'(\t(\t(\tO\tO' -p264904 -aS'revert\trevert\tVB\tB-VP\tO' -p264905 -aS'back\tback\tRB\tB-ADVP\tO' -p264906 -aS'to\tto\tTO\tB-PP\tO' -p264907 -aS'a\ta\tDT\tB-NP\tO' -p264908 -aS'fib\tfib\tNN\tI-NP\tB-protein' -p264909 -aS'on\ton\tIN\tB-PP\tO' -p264910 -aS'05-29\t05-29\tCD\tB-NP\tO' -p264911 -aS'),\t),\tNN\tI-NP\tO' -p264912 -aS'which\twhich\tWDT\tB-NP\tO' -p264913 -aS'was\tbe\tVBD\tB-VP\tO' -p264914 -aS'stopped\tstop\tVBN\tI-VP\tO' -p264915 -aS'when\twhen\tWRB\tB-ADVP\tO' -p264916 -aS'the\tthe\tDT\tB-NP\tO' -p264917 -aS'pt\tpt\tNN\tI-NP\tO' -p264918 -aS'was\tbe\tVBD\tB-VP\tO' -p264919 -aS'made\tmake\tVBN\tI-VP\tO' -p264920 -aS'CMO\tCMO\tNN\tB-NP\tB-protein' -p264921 -aS'.\t.\t.\tO\tO' -p264922 -asS'VULVAR CANCER .' -p264923 -(lp264924 -S'VULVAR\tVULVAR\tNN\tB-NP\tO' -p264925 -aS'CANCER\tCANCER\tNN\tI-NP\tO' -p264926 -aS'.\t.\t.\tO\tO' -p264927 -asS'The infant is NPO .' -p264928 -(lp264929 -S'The\tThe\tDT\tB-NP\tO' -p264930 -aS'infant\tinfant\tNN\tI-NP\tO' -p264931 -aS'is\tbe\tVBZ\tB-VP\tO' -p264932 -aS'NPO\tNPO\tNN\tB-NP\tB-protein' -p264933 -aS'.\t.\t.\tO\tO' -p264934 -asS'He was treated with oxygen , aspirin , five sublingual nitroglycerins , heparin , and was eventually made pain free with that regimen .' -p264935 -(lp264936 -S'He\tHe\tPRP\tB-NP\tO' -p264937 -aS'was\tbe\tVBD\tB-VP\tO' -p264938 -aS'treated\ttreat\tVBN\tI-VP\tO' -p264939 -aS'with\twith\tIN\tB-PP\tO' -p264940 -aS'oxygen\toxygen\tNN\tB-NP\tO' -p264941 -aS',\t,\t,\tO\tO' -p264942 -aS'aspirin\taspirin\tNN\tB-NP\tO' -p264943 -aS',\t,\t,\tO\tO' -p264944 -aS'five\tfive\tCD\tB-NP\tO' -p264945 -aS'sublingual\tsublingual\tJJ\tI-NP\tO' -p264946 -aS'nitroglycerins\tnitroglycerin\tNNS\tI-NP\tO' -p264947 -aS',\t,\t,\tO\tO' -p264948 -aS'heparin\theparin\tNN\tB-NP\tO' -p264949 -aS',\t,\t,\tO\tO' -p264950 -aS'and\tand\tCC\tO\tO' -p264951 -aS'was\tbe\tVBD\tB-VP\tO' -p264952 -aS'eventually\teventually\tRB\tI-VP\tO' -p264953 -aS'made\tmake\tVBN\tI-VP\tO' -p264954 -aS'pain\tpain\tNN\tB-NP\tO' -p264955 -aS'free\tfree\tJJ\tB-ADJP\tO' -p264956 -aS'with\twith\tIN\tB-PP\tO' -p264957 -aS'that\tthat\tDT\tB-NP\tO' -p264958 -aS'regimen\tregimen\tNN\tI-NP\tO' -p264959 -aS'.\t.\t.\tO\tO' -p264960 -asS'She received no Coumadin during her admission and by the time of discharge , her PT was down to 16.2 .' -p264961 -(lp264962 -S'She\tShe\tPRP\tB-NP\tO' -p264963 -aS'received\treceive\tVBD\tB-VP\tO' -p264964 -aS'no\tno\tDT\tB-NP\tO' -p264965 -aS'Coumadin\tCoumadin\tNN\tI-NP\tO' -p264966 -aS'during\tduring\tIN\tB-PP\tO' -p264967 -aS'her\ther\tPRP$\tB-NP\tO' -p264968 -aS'admission\tadmission\tNN\tI-NP\tO' -p264969 -aS'and\tand\tCC\tB-PP\tO' -p264970 -aS'by\tby\tIN\tB-PP\tO' -p264971 -aS'the\tthe\tDT\tB-NP\tO' -p264972 -aS'time\ttime\tNN\tI-NP\tO' -p264973 -aS'of\tof\tIN\tB-PP\tO' -p264974 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p264975 -aS',\t,\t,\tO\tO' -p264976 -aS'her\ther\tPRP$\tB-NP\tO' -p264977 -aS'PT\tPT\tNN\tI-NP\tO' -p264978 -aS'was\tbe\tVBD\tB-VP\tO' -p264979 -aS'down\tdown\tRB\tB-ADVP\tO' -p264980 -aS'to\tto\tTO\tB-PP\tO' -p264981 -aS'16.2\t16.2\tCD\tB-NP\tO' -p264982 -aS'.\t.\t.\tO\tO' -p264983 -asS'Right Atrium - Four Chamber Length : * 6.2 cm ( nl <= 5.0 cm )' -p264984 -(lp264985 -S'Right\tRight\tNNP\tB-NP\tO' -p264986 -aS'Atrium\tAtrium\tNNP\tI-NP\tO' -p264987 -aS'-\t-\tHYPH\tB-NP\tO' -p264988 -aS'Four\tFour\tNNP\tI-NP\tO' -p264989 -aS'Chamber\tChamber\tNNP\tI-NP\tO' -p264990 -aS'Length\tLength\tNNP\tI-NP\tO' -p264991 -aS':\t:\t:\tO\tO' -p264992 -aS'*\t*\tSYM\tO\tO' -p264993 -aS'6.2\t6.2\tCD\tB-NP\tO' -p264994 -aS'cm\tcm\tNN\tI-NP\tO' -p264995 -aS'(\t(\t(\tO\tO' -p264996 -aS'nl\tnl\tNN\tB-NP\tO' -p264997 -aS'<=\t<=\tSYM\tO\tO' -p264998 -aS'5.0\t5.0\tCD\tB-NP\tO' -p264999 -aS'cm\tcm\tNN\tI-NP\tO' -p265000 -aS')\t)\t)\tO\tO' -p265001 -asS'Head CT scan without contrast showed normal brain parenchyma and no intracranial process .' -p265002 -(lp265003 -S'Head\tHead\tJJ\tB-NP\tO' -p265004 -aS'CT\tCT\tNN\tI-NP\tO' -p265005 -aS'scan\tscan\tNN\tI-NP\tO' -p265006 -aS'without\twithout\tIN\tB-PP\tO' -p265007 -aS'contrast\tcontrast\tNN\tB-NP\tO' -p265008 -aS'showed\tshow\tVBD\tB-VP\tO' -p265009 -aS'normal\tnormal\tJJ\tB-NP\tO' -p265010 -aS'brain\tbrain\tNN\tI-NP\tO' -p265011 -aS'parenchyma\tparenchyma\tNN\tI-NP\tO' -p265012 -aS'and\tand\tCC\tO\tO' -p265013 -aS'no\tno\tDT\tB-NP\tO' -p265014 -aS'intracranial\tintracranial\tJJ\tI-NP\tO' -p265015 -aS'process\tprocess\tNN\tI-NP\tO' -p265016 -aS'.\t.\t.\tO\tO' -p265017 -asS'There was no evidence of developing hydrocephalus , which was a concern due to the surrounding edema , and possible suppression of the fourth ventricle .' -p265018 -(lp265019 -S'There\tThere\tEX\tB-NP\tO' -p265020 -aS'was\tbe\tVBD\tB-VP\tO' -p265021 -aS'no\tno\tDT\tB-NP\tO' -p265022 -aS'evidence\tevidence\tNN\tI-NP\tO' -p265023 -aS'of\tof\tIN\tB-PP\tO' -p265024 -aS'developing\tdevelop\tVBG\tB-VP\tO' -p265025 -aS'hydrocephalus\thydrocephalus\tNN\tB-NP\tO' -p265026 -aS',\t,\t,\tO\tO' -p265027 -aS'which\twhich\tWDT\tB-NP\tO' -p265028 -aS'was\tbe\tVBD\tB-VP\tO' -p265029 -aS'a\ta\tDT\tB-NP\tO' -p265030 -aS'concern\tconcern\tNN\tI-NP\tO' -p265031 -aS'due\tdue\tJJ\tB-ADJP\tO' -p265032 -aS'to\tto\tTO\tB-PP\tO' -p265033 -aS'the\tthe\tDT\tB-NP\tO' -p265034 -aS'surrounding\tsurround\tVBG\tI-NP\tO' -p265035 -aS'edema\tedema\tNN\tI-NP\tO' -p265036 -aS',\t,\t,\tO\tO' -p265037 -aS'and\tand\tCC\tO\tO' -p265038 -aS'possible\tpossible\tJJ\tB-NP\tO' -p265039 -aS'suppression\tsuppression\tNN\tI-NP\tO' -p265040 -aS'of\tof\tIN\tB-PP\tO' -p265041 -aS'the\tthe\tDT\tB-NP\tO' -p265042 -aS'fourth\tfourth\tJJ\tI-NP\tO' -p265043 -aS'ventricle\tventricle\tNN\tI-NP\tO' -p265044 -aS'.\t.\t.\tO\tO' -p265045 -asS'There is mild amount of surrounding erythema and the patient was started on Ancef at that time .' -p265046 -(lp265047 -S'There\tThere\tEX\tB-NP\tO' -p265048 -aS'is\tbe\tVBZ\tB-VP\tO' -p265049 -aS'mild\tmild\tJJ\tB-NP\tO' -p265050 -aS'amount\tamount\tNN\tI-NP\tO' -p265051 -aS'of\tof\tIN\tB-PP\tO' -p265052 -aS'surrounding\tsurround\tVBG\tB-VP\tO' -p265053 -aS'erythema\terythema\tNN\tB-NP\tO' -p265054 -aS'and\tand\tCC\tO\tO' -p265055 -aS'the\tthe\tDT\tB-NP\tO' -p265056 -aS'patient\tpatient\tNN\tI-NP\tO' -p265057 -aS'was\tbe\tVBD\tB-VP\tO' -p265058 -aS'started\tstart\tVBN\tI-VP\tO' -p265059 -aS'on\ton\tIN\tB-PP\tO' -p265060 -aS'Ancef\tAncef\tNN\tB-NP\tO' -p265061 -aS'at\tat\tIN\tB-PP\tO' -p265062 -aS'that\tthat\tDT\tB-NP\tO' -p265063 -aS'time\ttime\tNN\tI-NP\tO' -p265064 -aS'.\t.\t.\tO\tO' -p265065 -asS'Flolan was initiated on 12-08 at 5 nanograms per kilogram per minute .' -p265066 -(lp265067 -S'Flolan\tFlolan\tNN\tB-NP\tO' -p265068 -aS'was\tbe\tVBD\tB-VP\tO' -p265069 -aS'initiated\tinitiate\tVBN\tI-VP\tO' -p265070 -aS'on\ton\tIN\tB-PP\tO' -p265071 -aS'12-08\t12-08\tCD\tB-NP\tO' -p265072 -aS'at\tat\tIN\tB-PP\tO' -p265073 -aS'5\t5\tCD\tB-NP\tO' -p265074 -aS'nanograms\tnanogram\tNNS\tI-NP\tO' -p265075 -aS'per\tper\tIN\tB-PP\tO' -p265076 -aS'kilogram\tkilogram\tNN\tB-NP\tO' -p265077 -aS'per\tper\tIN\tB-PP\tO' -p265078 -aS'minute\tminute\tNN\tB-NP\tO' -p265079 -aS'.\t.\t.\tO\tO' -p265080 -asS'The review of systems is negative , except as above .' -p265081 -(lp265082 -S'The\tThe\tDT\tB-NP\tO' -p265083 -aS'review\treview\tNN\tI-NP\tO' -p265084 -aS'of\tof\tIN\tB-PP\tO' -p265085 -aS'systems\tsystem\tNNS\tB-NP\tO' -p265086 -aS'is\tbe\tVBZ\tB-VP\tO' -p265087 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p265088 -aS',\t,\t,\tO\tO' -p265089 -aS'except\texcept\tIN\tB-PP\tO' -p265090 -aS'as\tas\tIN\tB-PP\tO' -p265091 -aS'above\tabove\tRB\tB-ADVP\tO' -p265092 -aS'.\t.\t.\tO\tO' -p265093 -asS'The patient will be randomized on the Wars study early next week by the Stroke Service at Ph University Of Medical Center .' -p265094 -(lp265095 -S'The\tThe\tDT\tB-NP\tO' -p265096 -aS'patient\tpatient\tNN\tI-NP\tO' -p265097 -aS'will\twill\tMD\tB-VP\tO' -p265098 -aS'be\tbe\tVB\tI-VP\tO' -p265099 -aS'randomized\trandomize\tVBN\tI-VP\tO' -p265100 -aS'on\ton\tIN\tB-PP\tO' -p265101 -aS'the\tthe\tDT\tB-NP\tO' -p265102 -aS'Wars\tWar\tNNS\tI-NP\tO' -p265103 -aS'study\tstudy\tNN\tI-NP\tO' -p265104 -aS'early\tearly\tJJ\tB-NP\tO' -p265105 -aS'next\tnext\tJJ\tI-NP\tO' -p265106 -aS'week\tweek\tNN\tI-NP\tO' -p265107 -aS'by\tby\tIN\tB-PP\tO' -p265108 -aS'the\tthe\tDT\tB-NP\tO' -p265109 -aS'Stroke\tStroke\tNNP\tI-NP\tO' -p265110 -aS'Service\tService\tNNP\tI-NP\tO' -p265111 -aS'at\tat\tIN\tB-PP\tO' -p265112 -aS'Ph\tPh\tNNP\tB-NP\tO' -p265113 -aS'University\tUniversity\tNNP\tI-NP\tO' -p265114 -aS'Of\tOf\tNNP\tI-NP\tO' -p265115 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p265116 -aS'Center\tCenter\tNNP\tI-NP\tO' -p265117 -aS'.\t.\t.\tO\tO' -p265118 -asS'The patient was admitted to the hospital for acute and chronic shortness of breath .' -p265119 -(lp265120 -S'The\tThe\tDT\tB-NP\tO' -p265121 -aS'patient\tpatient\tNN\tI-NP\tO' -p265122 -aS'was\tbe\tVBD\tB-VP\tO' -p265123 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p265124 -aS'to\tto\tTO\tB-PP\tO' -p265125 -aS'the\tthe\tDT\tB-NP\tO' -p265126 -aS'hospital\thospital\tNN\tI-NP\tO' -p265127 -aS'for\tfor\tIN\tB-PP\tO' -p265128 -aS'acute\tacute\tJJ\tB-NP\tO' -p265129 -aS'and\tand\tCC\tI-NP\tO' -p265130 -aS'chronic\tchronic\tJJ\tI-NP\tO' -p265131 -aS'shortness\tshortness\tNN\tI-NP\tO' -p265132 -aS'of\tof\tIN\tB-PP\tO' -p265133 -aS'breath\tbreath\tNN\tB-NP\tO' -p265134 -aS'.\t.\t.\tO\tO' -p265135 -asS'90 year-old woman with h/o of HTN p/w substernal chest pain shortly after exercise at nursing home , with EKG showing ST depressions in V1-V4 and troponin 0.07.' -p265136 -(lp265137 -S'90\t90\tCD\tB-NP\tO' -p265138 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p265139 -aS'woman\twoman\tNN\tI-NP\tO' -p265140 -aS'with\twith\tIN\tB-PP\tO' -p265141 -aS'h/o\th/o\tNN\tB-NP\tO' -p265142 -aS'of\tof\tIN\tB-PP\tO' -p265143 -aS'HTN\tHTN\tNN\tB-NP\tB-protein' -p265144 -aS'p/w\tp/w\tNN\tI-NP\tI-protein' -p265145 -aS'substernal\tsubsternal\tJJ\tI-NP\tI-protein' -p265146 -aS'chest\tchest\tNN\tI-NP\tI-protein' -p265147 -aS'pain\tpain\tNN\tI-NP\tI-protein' -p265148 -aS'shortly\tshortly\tRB\tB-ADVP\tO' -p265149 -aS'after\tafter\tIN\tB-PP\tO' -p265150 -aS'exercise\texercise\tNN\tB-NP\tO' -p265151 -aS'at\tat\tIN\tB-PP\tO' -p265152 -aS'nursing\tnurse\tVBG\tB-VP\tO' -p265153 -aS'home\thome\tNN\tB-NP\tO' -p265154 -aS',\t,\t,\tO\tO' -p265155 -aS'with\twith\tIN\tB-PP\tO' -p265156 -aS'EKG\tEKG\tNN\tB-NP\tB-protein' -p265157 -aS'showing\tshow\tVBG\tB-VP\tO' -p265158 -aS'ST\tST\tJJ\tB-NP\tO' -p265159 -aS'depressions\tdepression\tNNS\tI-NP\tO' -p265160 -aS'in\tin\tIN\tB-PP\tO' -p265161 -aS'V1-V4\tV1-V4\tNN\tB-NP\tO' -p265162 -aS'and\tand\tCC\tO\tO' -p265163 -aS'troponin\ttroponin\tNN\tB-NP\tO' -p265164 -aS'0.07.\t0.07.\tCD\tI-NP\tO' -p265165 -asS'chest pressure ; r / o mi' -p265166 -(lp265167 -S'chest\tch\tJJS\tB-NP\tO' -p265168 -aS'pressure\tpressure\tNN\tI-NP\tO' -p265169 -aS';\t;\t:\tO\tO' -p265170 -aS'r\tr\tNN\tB-NP\tO' -p265171 -aS'/\t/\tSYM\tB-NP\tO' -p265172 -aS'o\to\tNN\tI-NP\tO' -p265173 -aS'mi\tmi\tNNS\tI-NP\tO' -p265174 -asS'The patient was tachycardiac on admission and it was felt she was dehydrated and / or anxious at the time of her initial evaluation .' -p265175 -(lp265176 -S'The\tThe\tDT\tB-NP\tO' -p265177 -aS'patient\tpatient\tNN\tI-NP\tO' -p265178 -aS'was\tbe\tVBD\tB-VP\tO' -p265179 -aS'tachycardiac\ttachycardiac\tJJ\tB-ADJP\tO' -p265180 -aS'on\ton\tIN\tB-PP\tO' -p265181 -aS'admission\tadmission\tNN\tB-NP\tO' -p265182 -aS'and\tand\tCC\tO\tO' -p265183 -aS'it\tit\tPRP\tB-NP\tO' -p265184 -aS'was\tbe\tVBD\tB-VP\tO' -p265185 -aS'felt\tfeel\tVBN\tI-VP\tO' -p265186 -aS'she\tshe\tPRP\tB-NP\tO' -p265187 -aS'was\tbe\tVBD\tB-VP\tO' -p265188 -aS'dehydrated\tdehydrate\tVBN\tI-VP\tO' -p265189 -aS'and\tand\tCC\tO\tO' -p265190 -aS'/\t/\tSYM\tB-NP\tO' -p265191 -aS'or\tor\tCC\tO\tO' -p265192 -aS'anxious\tanxious\tJJ\tB-ADJP\tO' -p265193 -aS'at\tat\tIN\tB-PP\tO' -p265194 -aS'the\tthe\tDT\tB-NP\tO' -p265195 -aS'time\ttime\tNN\tI-NP\tO' -p265196 -aS'of\tof\tIN\tB-PP\tO' -p265197 -aS'her\ther\tPRP$\tB-NP\tO' -p265198 -aS'initial\tinitial\tJJ\tI-NP\tO' -p265199 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p265200 -aS'.\t.\t.\tO\tO' -p265201 -asS'6. Niaspan 500 mg p.o. q. day .' -p265202 -(lp265203 -S'6.\t6.\tCD\tB-NP\tO' -p265204 -aS'Niaspan\tNiaspan\tNNP\tI-NP\tO' -p265205 -aS'500\t500\tCD\tI-NP\tO' -p265206 -aS'mg\tmg\tNN\tI-NP\tO' -p265207 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p265208 -aS'q.\tq.\tNN\tI-NP\tO' -p265209 -aS'day\tday\tNN\tI-NP\tO' -p265210 -aS'.\t.\t.\tO\tO' -p265211 -asS'Patient was seen by CHF ( echo results are detailed above ) .' -p265212 -(lp265213 -S'Patient\tPatient\tNN\tB-NP\tO' -p265214 -aS'was\tbe\tVBD\tB-VP\tO' -p265215 -aS'seen\tsee\tVBN\tI-VP\tO' -p265216 -aS'by\tby\tIN\tB-PP\tO' -p265217 -aS'CHF\tCHF\tNN\tB-NP\tB-protein' -p265218 -aS'(\t(\t(\tO\tO' -p265219 -aS'echo\techo\tJJ\tB-NP\tO' -p265220 -aS'results\tresult\tNNS\tI-NP\tO' -p265221 -aS'are\tbe\tVBP\tB-VP\tO' -p265222 -aS'detailed\tdetail\tVBN\tI-VP\tO' -p265223 -aS'above\tabove\tIN\tB-PP\tO' -p265224 -aS')\t)\t)\tO\tO' -p265225 -aS'.\t.\t.\tO\tO' -p265226 -asS'She also received Cisplatin 35 per meter squared on 06/19 and Ifex and Mesna on 06/18 .' -p265227 -(lp265228 -S'She\tShe\tPRP\tB-NP\tO' -p265229 -aS'also\talso\tRB\tB-ADVP\tO' -p265230 -aS'received\treceive\tVBD\tB-VP\tO' -p265231 -aS'Cisplatin\tCisplatin\tNN\tB-NP\tO' -p265232 -aS'35\t35\tCD\tI-NP\tO' -p265233 -aS'per\tper\tIN\tB-PP\tO' -p265234 -aS'meter\tmeter\tNN\tB-NP\tO' -p265235 -aS'squared\tsquare\tVBD\tB-VP\tO' -p265236 -aS'on\ton\tIN\tB-PP\tO' -p265237 -aS'06/19\t06/19\tCD\tB-NP\tO' -p265238 -aS'and\tand\tCC\tO\tO' -p265239 -aS'Ifex\tIfex\tNNP\tB-NP\tO' -p265240 -aS'and\tand\tCC\tI-NP\tO' -p265241 -aS'Mesna\tMesna\tNNP\tI-NP\tO' -p265242 -aS'on\ton\tIN\tB-PP\tO' -p265243 -aS'06/18\t06/18\tCD\tB-NP\tO' -p265244 -aS'.\t.\t.\tO\tO' -p265245 -asS'white blood count 6.2 , hemoglobin 12.4 , hematocrit 36.1 , platelet count 265,000 .' -p265246 -(lp265247 -S'white\twhite\tJJ\tB-NP\tO' -p265248 -aS'blood\tblood\tNN\tI-NP\tO' -p265249 -aS'count\tcount\tNN\tI-NP\tO' -p265250 -aS'6.2\t6.2\tCD\tI-NP\tO' -p265251 -aS',\t,\t,\tO\tO' -p265252 -aS'hemoglobin\themoglobin\tNN\tB-NP\tB-protein' -p265253 -aS'12.4\t12.4\tCD\tI-NP\tI-protein' -p265254 -aS',\t,\t,\tO\tO' -p265255 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p265256 -aS'36.1\t36.1\tCD\tI-NP\tI-protein' -p265257 -aS',\t,\t,\tO\tO' -p265258 -aS'platelet\tplatelet\tNN\tB-NP\tB-protein' -p265259 -aS'count\tcount\tNN\tI-NP\tI-protein' -p265260 -aS'265,000\t265,000\tCD\tI-NP\tI-protein' -p265261 -aS'.\t.\t.\tO\tO' -p265262 -asS'- controlled on captopril + lopressor to 110-130s ; NTG paste causing 30 pt drop so d / c'd .' -p265263 -(lp265264 -S'-\t-\tHYPH\tB-NP\tO' -p265265 -aS'controlled\tcontrol\tVBN\tB-VP\tO' -p265266 -aS'on\ton\tIN\tB-PP\tO' -p265267 -aS'captopril\tcaptopril\tNN\tB-NP\tO' -p265268 -aS'+\t+\tSYM\tI-NP\tO' -p265269 -aS'lopressor\tlopressor\tNN\tI-NP\tO' -p265270 -aS'to\tto\tTO\tB-PP\tO' -p265271 -aS'110-130s\t110-130s\tCD\tB-NP\tO' -p265272 -aS';\t;\t:\tO\tO' -p265273 -aS'NTG\tNTG\tNN\tB-NP\tO' -p265274 -aS'paste\tpaste\tNN\tI-NP\tO' -p265275 -aS'causing\tcause\tVBG\tB-VP\tO' -p265276 -aS'30\t30\tCD\tB-NP\tO' -p265277 -aS'pt\tpt\tJJ\tI-NP\tO' -p265278 -aS'drop\tdrop\tNN\tI-NP\tO' -p265279 -aS'so\tso\tIN\tB-PP\tO' -p265280 -aS'd\td\tNN\tB-NP\tO' -p265281 -aS'/\t/\tSYM\tB-NP\tO' -p265282 -aS'c'd\tc'd\tNN\tI-NP\tO' -p265283 -aS'.\t.\t.\tO\tO' -p265284 -asS'2. Chronic pleural effusion .' -p265285 -(lp265286 -S'2.\t2.\tLS\tB-NP\tO' -p265287 -aS'Chronic\tChronic\tJJ\tI-NP\tO' -p265288 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p265289 -aS'effusion\teffusion\tNN\tI-NP\tO' -p265290 -aS'.\t.\t.\tO\tO' -p265291 -asS'ibuoprofen 800 every 6-8 hrs as needed skelaxin 800mg for muscle relaxation vicodin 1 tab po every 4-6 hrs for severe pain' -p265292 -(lp265293 -S'ibuoprofen\tibuoprofen\tIN\tB-PP\tO' -p265294 -aS'800\t800\tCD\tB-NP\tO' -p265295 -aS'every\tevery\tDT\tB-NP\tO' -p265296 -aS'6-8\t6-8\tCD\tI-NP\tO' -p265297 -aS'hrs\thr\tNNS\tI-NP\tO' -p265298 -aS'as\tas\tIN\tB-PP\tO' -p265299 -aS'needed\tneed\tVBN\tB-NP\tO' -p265300 -aS'skelaxin\tskelaxin\tNN\tI-NP\tO' -p265301 -aS'800mg\t800mg\tNN\tI-NP\tO' -p265302 -aS'for\tfor\tIN\tB-PP\tO' -p265303 -aS'muscle\tmuscle\tNN\tB-NP\tB-protein' -p265304 -aS'relaxation\trelaxation\tNN\tI-NP\tI-protein' -p265305 -aS'vicodin\tvicodin\tNN\tI-NP\tI-protein' -p265306 -aS'1\t1\tCD\tI-NP\tI-protein' -p265307 -aS'tab\ttab\tNN\tI-NP\tI-protein' -p265308 -aS'po\tpo\tNN\tI-NP\tI-protein' -p265309 -aS'every\tevery\tDT\tB-NP\tI-protein' -p265310 -aS'4-6\t4-6\tCD\tI-NP\tI-protein' -p265311 -aS'hrs\thr\tNNS\tI-NP\tI-protein' -p265312 -aS'for\tfor\tIN\tB-PP\tO' -p265313 -aS'severe\tsevere\tJJ\tB-NP\tO' -p265314 -aS'pain\tpain\tNN\tI-NP\tO' -p265315 -asS'Sodium 141 , potassium 5.0 , BUN 18 , creatinine 1.0 , PT 12.3 , PTT 24 , WBC 7.6 , hematocrit 41 , platelets 278,000 .' -p265316 -(lp265317 -S'Sodium\tSodium\tNN\tB-NP\tB-protein' -p265318 -aS'141\t141\tCD\tI-NP\tI-protein' -p265319 -aS',\t,\t,\tO\tO' -p265320 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p265321 -aS'5.0\t5.0\tCD\tI-NP\tO' -p265322 -aS',\t,\t,\tO\tO' -p265323 -aS'BUN\tBUN\tNN\tB-NP\tB-DNA' -p265324 -aS'18\t18\tCD\tI-NP\tI-DNA' -p265325 -aS',\t,\t,\tO\tO' -p265326 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p265327 -aS'1.0\t1.0\tCD\tI-NP\tO' -p265328 -aS',\t,\t,\tO\tO' -p265329 -aS'PT\tPT\tNN\tB-NP\tB-protein' -p265330 -aS'12.3\t12.3\tCD\tI-NP\tI-protein' -p265331 -aS',\t,\t,\tO\tO' -p265332 -aS'PTT\tPTT\tNN\tB-NP\tB-DNA' -p265333 -aS'24\t24\tCD\tI-NP\tI-DNA' -p265334 -aS',\t,\t,\tO\tO' -p265335 -aS'WBC\tWBC\tNNP\tB-NP\tB-cell_line' -p265336 -aS'7.6\t7.6\tCD\tI-NP\tI-cell_line' -p265337 -aS',\t,\t,\tO\tO' -p265338 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p265339 -aS'41\t41\tCD\tI-NP\tI-protein' -p265340 -aS',\t,\t,\tO\tO' -p265341 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p265342 -aS'278,000\t278,000\tCD\tB-NP\tO' -p265343 -aS'.\t.\t.\tO\tO' -p265344 -asS'Her oxygen sats did not improve .' -p265345 -(lp265346 -S'Her\tHer\tPRP$\tB-NP\tO' -p265347 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p265348 -aS'sats\tsat\tNNS\tI-NP\tO' -p265349 -aS'did\tdo\tVBD\tB-VP\tO' -p265350 -aS'not\tnot\tRB\tI-VP\tO' -p265351 -aS'improve\timprove\tVB\tI-VP\tO' -p265352 -aS'.\t.\t.\tO\tO' -p265353 -asS'No ethanol or tobacco use .' -p265354 -(lp265355 -S'No\tNo\tDT\tB-NP\tO' -p265356 -aS'ethanol\tethanol\tNN\tI-NP\tO' -p265357 -aS'or\tor\tCC\tI-NP\tO' -p265358 -aS'tobacco\ttobacco\tNN\tI-NP\tO' -p265359 -aS'use\tuse\tNN\tI-NP\tO' -p265360 -aS'.\t.\t.\tO\tO' -p265361 -asS'The patient did have a hypotensive episode and the systolic blood pressure was 80 , after the patient received his regular cardiac medications .' -p265362 -(lp265363 -S'The\tThe\tDT\tB-NP\tO' -p265364 -aS'patient\tpatient\tNN\tI-NP\tO' -p265365 -aS'did\tdo\tVBD\tB-VP\tO' -p265366 -aS'have\thave\tVB\tI-VP\tO' -p265367 -aS'a\ta\tDT\tB-NP\tO' -p265368 -aS'hypotensive\thypotensive\tJJ\tI-NP\tO' -p265369 -aS'episode\tepisode\tNN\tI-NP\tO' -p265370 -aS'and\tand\tCC\tO\tO' -p265371 -aS'the\tthe\tDT\tB-NP\tO' -p265372 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p265373 -aS'blood\tblood\tNN\tI-NP\tO' -p265374 -aS'pressure\tpressure\tNN\tI-NP\tO' -p265375 -aS'was\tbe\tVBD\tB-VP\tO' -p265376 -aS'80\t80\tCD\tB-NP\tO' -p265377 -aS',\t,\t,\tO\tO' -p265378 -aS'after\tafter\tIN\tB-PP\tO' -p265379 -aS'the\tthe\tDT\tB-NP\tO' -p265380 -aS'patient\tpatient\tNN\tI-NP\tO' -p265381 -aS'received\treceive\tVBD\tB-VP\tO' -p265382 -aS'his\this\tPRP$\tB-NP\tO' -p265383 -aS'regular\tregular\tJJ\tI-NP\tO' -p265384 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p265385 -aS'medications\tmedication\tNNS\tI-NP\tO' -p265386 -aS'.\t.\t.\tO\tO' -p265387 -asS"The patient 's postoperative course was unremarkable aside from the photophobia ." -p265388 -(lp265389 -S'The\tThe\tDT\tB-NP\tO' -p265390 -aS'patient\tpatient\tNN\tI-NP\tO' -p265391 -aS"'s\t's\tPOS\tB-NP\tO" -p265392 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p265393 -aS'course\tcourse\tNN\tI-NP\tO' -p265394 -aS'was\tbe\tVBD\tB-VP\tO' -p265395 -aS'unremarkable\tunremarkable\tJJ\tB-NP\tO' -p265396 -aS'aside\taside\tNN\tI-NP\tO' -p265397 -aS'from\tfrom\tIN\tB-PP\tO' -p265398 -aS'the\tthe\tDT\tB-NP\tO' -p265399 -aS'photophobia\tphotophobia\tNN\tI-NP\tO' -p265400 -aS'.\t.\t.\tO\tO' -p265401 -asS'Reflexes were brisk in the legs with 4-5 beats of clonus at the ankles bilaterally .' -p265402 -(lp265403 -S'Reflexes\tReflex\tNNS\tB-NP\tO' -p265404 -aS'were\tbe\tVBD\tB-VP\tO' -p265405 -aS'brisk\tbrisk\tJJ\tB-ADJP\tO' -p265406 -aS'in\tin\tIN\tB-PP\tO' -p265407 -aS'the\tthe\tDT\tB-NP\tO' -p265408 -aS'legs\tleg\tNNS\tI-NP\tO' -p265409 -aS'with\twith\tIN\tB-PP\tO' -p265410 -aS'4-5\t4-5\tCD\tB-NP\tO' -p265411 -aS'beats\tbeat\tNNS\tI-NP\tO' -p265412 -aS'of\tof\tIN\tB-PP\tO' -p265413 -aS'clonus\tclonus\tNN\tB-NP\tO' -p265414 -aS'at\tat\tIN\tB-PP\tO' -p265415 -aS'the\tthe\tDT\tB-NP\tO' -p265416 -aS'ankles\tankle\tNNS\tI-NP\tO' -p265417 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p265418 -aS'.\t.\t.\tO\tO' -p265419 -asS'An IVUS was done , and it was felt that it was more severe .' -p265420 -(lp265421 -S'An\tAn\tDT\tB-NP\tO' -p265422 -aS'IVUS\tIVUS\tNN\tI-NP\tO' -p265423 -aS'was\tbe\tVBD\tB-VP\tO' -p265424 -aS'done\tdo\tVBN\tI-VP\tO' -p265425 -aS',\t,\t,\tO\tO' -p265426 -aS'and\tand\tCC\tO\tO' -p265427 -aS'it\tit\tPRP\tB-NP\tO' -p265428 -aS'was\tbe\tVBD\tB-VP\tO' -p265429 -aS'felt\tfeel\tVBN\tI-VP\tO' -p265430 -aS'that\tthat\tIN\tB-SBAR\tO' -p265431 -aS'it\tit\tPRP\tB-NP\tO' -p265432 -aS'was\tbe\tVBD\tB-VP\tO' -p265433 -aS'more\tmore\tRBR\tB-ADJP\tO' -p265434 -aS'severe\tsevere\tJJ\tI-ADJP\tO' -p265435 -aS'.\t.\t.\tO\tO' -p265436 -asS'No apneic or brady episodes .' -p265437 -(lp265438 -S'No\tNo\tDT\tB-NP\tO' -p265439 -aS'apneic\tapneic\tJJ\tI-NP\tO' -p265440 -aS'or\tor\tCC\tI-NP\tO' -p265441 -aS'brady\tbrady\tJJ\tI-NP\tO' -p265442 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p265443 -aS'.\t.\t.\tO\tO' -p265444 -asS'Notable for multiple cavernous hemangiomas .' -p265445 -(lp265446 -S'Notable\tNotable\tJJ\tB-ADJP\tO' -p265447 -aS'for\tfor\tIN\tB-PP\tO' -p265448 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p265449 -aS'cavernous\tcavernous\tJJ\tI-NP\tO' -p265450 -aS'hemangiomas\themangioma\tNNS\tI-NP\tO' -p265451 -aS'.\t.\t.\tO\tO' -p265452 -asS'2 plus carotids .' -p265453 -(lp265454 -S'2\t2\tCD\tB-NP\tO' -p265455 -aS'plus\tplus\tCC\tI-NP\tO' -p265456 -aS'carotids\tcarotid\tNNS\tB-NP\tO' -p265457 -aS'.\t.\t.\tO\tO' -p265458 -asS'INDICATION : 18-year-old hit by car .' -p265459 -(lp265460 -S'INDICATION\tINDICATION\tNN\tB-NP\tO' -p265461 -aS':\t:\t:\tO\tO' -p265462 -aS'18-year-old\t18-year-old\tJJ\tB-NP\tO' -p265463 -aS'hit\thit\tNN\tI-NP\tO' -p265464 -aS'by\tby\tIN\tB-PP\tO' -p265465 -aS'car\tcar\tNN\tB-NP\tB-protein' -p265466 -aS'.\t.\t.\tO\tO' -p265467 -asS"The patient 's liver function tests all improved appropriately by the time of discharge ." -p265468 -(lp265469 -S'The\tThe\tDT\tB-NP\tO' -p265470 -aS'patient\tpatient\tNN\tI-NP\tO' -p265471 -aS"'s\t's\tPOS\tB-NP\tO" -p265472 -aS'liver\tliver\tNN\tI-NP\tO' -p265473 -aS'function\tfunction\tNN\tI-NP\tO' -p265474 -aS'tests\ttest\tVBZ\tB-VP\tO' -p265475 -aS'all\tall\tDT\tO\tO' -p265476 -aS'improved\timprove\tVBN\tB-VP\tO' -p265477 -aS'appropriately\tappropriately\tRB\tB-ADVP\tO' -p265478 -aS'by\tby\tIN\tB-PP\tO' -p265479 -aS'the\tthe\tDT\tB-NP\tO' -p265480 -aS'time\ttime\tNN\tI-NP\tO' -p265481 -aS'of\tof\tIN\tB-PP\tO' -p265482 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p265483 -aS'.\t.\t.\tO\tO' -p265484 -asS'HEENT examination was normocephalic and atraumatic .' -p265485 -(lp265486 -S'HEENT\tHEENT\tNN\tB-NP\tO' -p265487 -aS'examination\texamination\tNN\tI-NP\tO' -p265488 -aS'was\tbe\tVBD\tB-VP\tO' -p265489 -aS'normocephalic\tnormocephalic\tJJ\tB-ADJP\tO' -p265490 -aS'and\tand\tCC\tI-ADJP\tO' -p265491 -aS'atraumatic\tatraumatic\tJJ\tI-ADJP\tO' -p265492 -aS'.\t.\t.\tO\tO' -p265493 -asS'She had bilateral expiratory wheezes .' -p265494 -(lp265495 -S'She\tShe\tPRP\tB-NP\tO' -p265496 -aS'had\thave\tVBD\tB-VP\tO' -p265497 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p265498 -aS'expiratory\texpiratory\tJJ\tI-NP\tO' -p265499 -aS'wheezes\twheeze\tNNS\tI-NP\tO' -p265500 -aS'.\t.\t.\tO\tO' -p265501 -asS'revealed greater than 24,000 white blood cell count in the ascites which is consistent with SVT .' -p265502 -(lp265503 -S'revealed\treveal\tVBD\tB-VP\tO' -p265504 -aS'greater\tgreat\tJJR\tB-NP\tO' -p265505 -aS'than\tthan\tIN\tI-NP\tO' -p265506 -aS'24,000\t24,000\tCD\tI-NP\tO' -p265507 -aS'white\twhite\tJJ\tI-NP\tO' -p265508 -aS'blood\tblood\tNN\tI-NP\tO' -p265509 -aS'cell\tcell\tNN\tI-NP\tO' -p265510 -aS'count\tcount\tNN\tI-NP\tO' -p265511 -aS'in\tin\tIN\tB-PP\tO' -p265512 -aS'the\tthe\tDT\tB-NP\tO' -p265513 -aS'ascites\tascite\tNNS\tI-NP\tO' -p265514 -aS'which\twhich\tWDT\tB-NP\tO' -p265515 -aS'is\tbe\tVBZ\tB-VP\tO' -p265516 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p265517 -aS'with\twith\tIN\tB-PP\tO' -p265518 -aS'SVT\tSVT\tNN\tB-NP\tB-protein' -p265519 -aS'.\t.\t.\tO\tO' -p265520 -asS'12. Docusate Sodium 100 mg Capsule Sig : One ( 1 ) Capsule PO TID ( 3 times a day ) .' -p265521 -(lp265522 -S'12.\t12.\tLS\tB-NP\tO' -p265523 -aS'Docusate\tDocusate\tNNP\tI-NP\tO' -p265524 -aS'Sodium\tSodium\tNNP\tI-NP\tO' -p265525 -aS'100\t100\tCD\tI-NP\tO' -p265526 -aS'mg\tmg\tNN\tI-NP\tO' -p265527 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p265528 -aS'Sig\tSig\tNNP\tI-NP\tO' -p265529 -aS':\t:\t:\tO\tO' -p265530 -aS'One\tOne\tCD\tB-NP\tO' -p265531 -aS'(\t(\t(\tO\tO' -p265532 -aS'1\t1\tCD\tB-NP\tO' -p265533 -aS')\t)\t)\tO\tO' -p265534 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p265535 -aS'PO\tPO\tNNP\tI-NP\tO' -p265536 -aS'TID\tTID\tNNP\tI-NP\tO' -p265537 -aS'(\t(\t(\tO\tO' -p265538 -aS'3\t3\tCD\tB-NP\tO' -p265539 -aS'times\ttime\tNNS\tI-NP\tO' -p265540 -aS'a\ta\tDT\tB-NP\tO' -p265541 -aS'day\tday\tNN\tI-NP\tO' -p265542 -aS')\t)\t)\tO\tO' -p265543 -aS'.\t.\t.\tO\tO' -p265544 -asS'The operation was subsequently complicated by a postoperative bleeding .' -p265545 -(lp265546 -S'The\tThe\tDT\tB-NP\tO' -p265547 -aS'operation\toperation\tNN\tI-NP\tO' -p265548 -aS'was\tbe\tVBD\tB-VP\tO' -p265549 -aS'subsequently\tsubsequently\tRB\tI-VP\tO' -p265550 -aS'complicated\tcomplicate\tVBN\tI-VP\tO' -p265551 -aS'by\tby\tIN\tB-PP\tO' -p265552 -aS'a\ta\tDT\tB-NP\tO' -p265553 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p265554 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p265555 -aS'.\t.\t.\tO\tO' -p265556 -asS'30 yo F with metastatic squamous cell carcinoma of unknown primary who presented to OSH 04-25 with pseudomonal urosepsis , vaginal bleeding from tumor extension/anti-coagulation .' -p265557 -(lp265558 -S'30\t30\tCD\tB-NP\tO' -p265559 -aS'yo\tyo\tNN\tI-NP\tO' -p265560 -aS'F\tF\tNN\tI-NP\tO' -p265561 -aS'with\twith\tIN\tB-PP\tO' -p265562 -aS'metastatic\tmetastatic\tJJ\tB-NP\tO' -p265563 -aS'squamous\tsquamous\tJJ\tI-NP\tO' -p265564 -aS'cell\tcell\tNN\tI-NP\tO' -p265565 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p265566 -aS'of\tof\tIN\tB-PP\tO' -p265567 -aS'unknown\tunknown\tJJ\tB-NP\tO' -p265568 -aS'primary\tprimary\tNN\tI-NP\tO' -p265569 -aS'who\twho\tWP\tB-NP\tO' -p265570 -aS'presented\tpresent\tVBD\tB-VP\tO' -p265571 -aS'to\tto\tTO\tB-PP\tO' -p265572 -aS'OSH\tOSH\tNN\tB-NP\tO' -p265573 -aS'04-25\t04-25\tCD\tI-NP\tO' -p265574 -aS'with\twith\tIN\tB-PP\tO' -p265575 -aS'pseudomonal\tpseudomonal\tJJ\tB-NP\tO' -p265576 -aS'urosepsis\turosepsis\tNN\tI-NP\tO' -p265577 -aS',\t,\t,\tO\tO' -p265578 -aS'vaginal\tvaginal\tJJ\tB-NP\tO' -p265579 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p265580 -aS'from\tfrom\tIN\tB-PP\tO' -p265581 -aS'tumor\ttumor\tNN\tB-NP\tO' -p265582 -aS'extension/anti-coagulation\textension/anti-coagulation\tNN\tI-NP\tO' -p265583 -aS'.\t.\t.\tO\tO' -p265584 -asS'Abd : soft , +distension with tympany , no HSM , hyperactive BS' -p265585 -(lp265586 -S'Abd\tAbd\tNN\tB-NP\tO' -p265587 -aS':\t:\t:\tO\tO' -p265588 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p265589 -aS',\t,\t,\tO\tO' -p265590 -aS'+distension\t+distension\tNN\tB-NP\tO' -p265591 -aS'with\twith\tIN\tB-PP\tO' -p265592 -aS'tympany\ttympany\tNN\tB-NP\tO' -p265593 -aS',\t,\t,\tO\tO' -p265594 -aS'no\tno\tDT\tB-NP\tO' -p265595 -aS'HSM\tHSM\tNN\tI-NP\tB-protein' -p265596 -aS',\t,\t,\tO\tO' -p265597 -aS'hyperactive\thyperactive\tJJ\tB-NP\tO' -p265598 -aS'BS\tBS\tNNS\tI-NP\tO' -p265599 -asS'There were no ventricular premature contractions .' -p265600 -(lp265601 -S'There\tThere\tEX\tB-NP\tO' -p265602 -aS'were\tbe\tVBD\tB-VP\tO' -p265603 -aS'no\tno\tDT\tB-NP\tO' -p265604 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p265605 -aS'premature\tpremature\tJJ\tI-NP\tO' -p265606 -aS'contractions\tcontraction\tNNS\tI-NP\tO' -p265607 -aS'.\t.\t.\tO\tO' -p265608 -asS'Pregnancy was complicated by severe polyhydramnios with an AFI of 45 just prior to delivery .' -p265609 -(lp265610 -S'Pregnancy\tPregnancy\tNN\tB-NP\tO' -p265611 -aS'was\tbe\tVBD\tB-VP\tO' -p265612 -aS'complicated\tcomplicate\tVBN\tI-VP\tO' -p265613 -aS'by\tby\tIN\tB-PP\tO' -p265614 -aS'severe\tsevere\tJJ\tB-NP\tO' -p265615 -aS'polyhydramnios\tpolyhydramnio\tNNS\tI-NP\tO' -p265616 -aS'with\twith\tIN\tB-PP\tO' -p265617 -aS'an\tan\tDT\tB-NP\tO' -p265618 -aS'AFI\tAFI\tNN\tI-NP\tO' -p265619 -aS'of\tof\tIN\tB-PP\tO' -p265620 -aS'45\t45\tCD\tB-NP\tO' -p265621 -aS'just\tjust\tRB\tI-NP\tO' -p265622 -aS'prior\tprior\tJJ\tI-NP\tO' -p265623 -aS'to\tto\tTO\tB-PP\tO' -p265624 -aS'delivery\tdelivery\tNN\tB-NP\tO' -p265625 -aS'.\t.\t.\tO\tO' -p265626 -asS'surgical midline incision and previous surgery for history of gastric ulcer .' -p265627 -(lp265628 -S'surgical\tsurgical\tJJ\tB-NP\tO' -p265629 -aS'midline\tmidline\tNN\tI-NP\tO' -p265630 -aS'incision\tincision\tNN\tI-NP\tO' -p265631 -aS'and\tand\tCC\tO\tO' -p265632 -aS'previous\tprevious\tJJ\tB-NP\tO' -p265633 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p265634 -aS'for\tfor\tIN\tB-PP\tO' -p265635 -aS'history\thistory\tNN\tB-NP\tO' -p265636 -aS'of\tof\tIN\tB-PP\tO' -p265637 -aS'gastric\tgastric\tJJ\tB-NP\tO' -p265638 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p265639 -aS'.\t.\t.\tO\tO' -p265640 -asS'She denied any chest pain or pressure , and no shortness of breath during this event .' -p265641 -(lp265642 -S'She\tShe\tPRP\tB-NP\tO' -p265643 -aS'denied\tdeny\tVBD\tB-VP\tO' -p265644 -aS'any\tany\tDT\tB-NP\tO' -p265645 -aS'chest\tchest\tNN\tI-NP\tO' -p265646 -aS'pain\tpain\tNN\tI-NP\tO' -p265647 -aS'or\tor\tCC\tI-NP\tO' -p265648 -aS'pressure\tpressure\tNN\tI-NP\tO' -p265649 -aS',\t,\t,\tO\tO' -p265650 -aS'and\tand\tCC\tO\tO' -p265651 -aS'no\tno\tDT\tB-NP\tO' -p265652 -aS'shortness\tshortness\tNN\tI-NP\tO' -p265653 -aS'of\tof\tIN\tB-PP\tO' -p265654 -aS'breath\tbreath\tNN\tB-NP\tO' -p265655 -aS'during\tduring\tIN\tB-PP\tO' -p265656 -aS'this\tthis\tDT\tB-NP\tO' -p265657 -aS'event\tevent\tNN\tI-NP\tO' -p265658 -aS'.\t.\t.\tO\tO' -p265659 -asS'He currently drinks 10 beers every other day .' -p265660 -(lp265661 -S'He\tHe\tPRP\tB-NP\tO' -p265662 -aS'currently\tcurrently\tRB\tB-ADVP\tO' -p265663 -aS'drinks\tdrink\tVBZ\tB-VP\tO' -p265664 -aS'10\t10\tCD\tB-NP\tO' -p265665 -aS'beers\tbeer\tNNS\tI-NP\tO' -p265666 -aS'every\tevery\tDT\tB-NP\tO' -p265667 -aS'other\tother\tJJ\tI-NP\tO' -p265668 -aS'day\tday\tNN\tI-NP\tO' -p265669 -aS'.\t.\t.\tO\tO' -p265670 -asS'8. Apnea of prematurity .' -p265671 -(lp265672 -S'8.\t8.\tLS\tB-LST\tO' -p265673 -aS'Apnea\tApnea\tNNP\tB-NP\tO' -p265674 -aS'of\tof\tIN\tB-PP\tO' -p265675 -aS'prematurity\tprematurity\tNN\tB-NP\tO' -p265676 -aS'.\t.\t.\tO\tO' -p265677 -asS'The study was halted for shortness of breath and there was no chest pain .' -p265678 -(lp265679 -S'The\tThe\tDT\tB-NP\tO' -p265680 -aS'study\tstudy\tNN\tI-NP\tO' -p265681 -aS'was\tbe\tVBD\tB-VP\tO' -p265682 -aS'halted\thalt\tVBN\tI-VP\tO' -p265683 -aS'for\tfor\tIN\tB-PP\tO' -p265684 -aS'shortness\tshortness\tNN\tB-NP\tO' -p265685 -aS'of\tof\tIN\tB-PP\tO' -p265686 -aS'breath\tbreath\tNN\tB-NP\tO' -p265687 -aS'and\tand\tCC\tO\tO' -p265688 -aS'there\tthere\tEX\tB-NP\tO' -p265689 -aS'was\tbe\tVBD\tB-VP\tO' -p265690 -aS'no\tno\tDT\tB-NP\tO' -p265691 -aS'chest\tchest\tNN\tI-NP\tO' -p265692 -aS'pain\tpain\tNN\tI-NP\tO' -p265693 -aS'.\t.\t.\tO\tO' -p265694 -asS'Dictated By : John Z. Toledo , M.D.' -p265695 -(lp265696 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p265697 -aS'By\tBy\tIN\tB-PP\tO' -p265698 -aS':\t:\t:\tO\tO' -p265699 -aS'John\tJohn\tNNP\tB-NP\tO' -p265700 -aS'Z.\tZ.\tNNP\tI-NP\tO' -p265701 -aS'Toledo\tToledo\tNNP\tI-NP\tO' -p265702 -aS',\t,\t,\tO\tO' -p265703 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p265704 -asS'Chest x-ray showed degenerative joint disease , an ill defined left hemi-diaphragm without air space disease .' -p265705 -(lp265706 -S'Chest\tCh\tJJS\tB-NP\tO' -p265707 -aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' -p265708 -aS'showed\tshow\tVBD\tB-VP\tO' -p265709 -aS'degenerative\tdegenerative\tJJ\tB-NP\tO' -p265710 -aS'joint\tjoint\tJJ\tI-NP\tO' -p265711 -aS'disease\tdisease\tNN\tI-NP\tO' -p265712 -aS',\t,\t,\tO\tO' -p265713 -aS'an\tan\tDT\tB-NP\tO' -p265714 -aS'ill\till\tNN\tI-NP\tO' -p265715 -aS'defined\tdefine\tVBN\tB-VP\tO' -p265716 -aS'left\tleft\tJJ\tB-NP\tO' -p265717 -aS'hemi-diaphragm\themi-diaphragm\tNN\tI-NP\tO' -p265718 -aS'without\twithout\tIN\tB-PP\tO' -p265719 -aS'air\tair\tNN\tB-NP\tO' -p265720 -aS'space\tspace\tNN\tI-NP\tO' -p265721 -aS'disease\tdisease\tNN\tI-NP\tO' -p265722 -aS'.\t.\t.\tO\tO' -p265723 -asS'The patient is a 55-year-old gentleman with a history of CAD status post non ST elevation MI in 11/17 who presents with chest pain X 48 hours .' -p265724 -(lp265725 -S'The\tThe\tDT\tB-NP\tO' -p265726 -aS'patient\tpatient\tNN\tI-NP\tO' -p265727 -aS'is\tbe\tVBZ\tB-VP\tO' -p265728 -aS'a\ta\tDT\tB-NP\tO' -p265729 -aS'55-year-old\t55-year-old\tJJ\tI-NP\tO' -p265730 -aS'gentleman\tgentleman\tNN\tI-NP\tO' -p265731 -aS'with\twith\tIN\tB-PP\tO' -p265732 -aS'a\ta\tDT\tB-NP\tO' -p265733 -aS'history\thistory\tNN\tI-NP\tO' -p265734 -aS'of\tof\tIN\tB-PP\tO' -p265735 -aS'CAD\tCAD\tNN\tB-NP\tO' -p265736 -aS'status\tstatus\tNN\tI-NP\tO' -p265737 -aS'post\tpost\tIN\tB-PP\tO' -p265738 -aS'non\tnon\tJJ\tB-NP\tO' -p265739 -aS'ST\tST\tJJ\tI-NP\tO' -p265740 -aS'elevation\televation\tNN\tI-NP\tO' -p265741 -aS'MI\tMI\tNN\tI-NP\tO' -p265742 -aS'in\tin\tIN\tB-PP\tO' -p265743 -aS'11/17\t11/17\tCD\tB-NP\tO' -p265744 -aS'who\twho\tWP\tB-NP\tO' -p265745 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p265746 -aS'with\twith\tIN\tB-PP\tO' -p265747 -aS'chest\tchest\tNN\tB-NP\tO' -p265748 -aS'pain\tpain\tNN\tI-NP\tO' -p265749 -aS'X\tX\tSYM\tB-NP\tO' -p265750 -aS'48\t48\tCD\tB-NP\tO' -p265751 -aS'hours\thour\tNNS\tI-NP\tO' -p265752 -aS'.\t.\t.\tO\tO' -p265753 -asS'5. Aspirin 325 mg times 3 doses .' -p265754 -(lp265755 -S'5.\t5.\tLS\tB-NP\tO' -p265756 -aS'Aspirin\tAspirin\tNN\tI-NP\tO' -p265757 -aS'325\t325\tCD\tI-NP\tO' -p265758 -aS'mg\tmg\tNN\tI-NP\tO' -p265759 -aS'times\ttime\tNNS\tI-NP\tO' -p265760 -aS'3\t3\tCD\tB-NP\tO' -p265761 -aS'doses\tdose\tNNS\tI-NP\tO' -p265762 -aS'.\t.\t.\tO\tO' -p265763 -asS'3. Left ventriculography was not performed due to the presence of moderate renal insufficiency ( creatinine 1.6 ).' -p265764 -(lp265765 -S'3.\t3.\tLS\tB-NP\tO' -p265766 -aS'Left\tLeft\tNN\tI-NP\tO' -p265767 -aS'ventriculography\tventriculography\tNN\tI-NP\tO' -p265768 -aS'was\tbe\tVBD\tB-VP\tO' -p265769 -aS'not\tnot\tRB\tI-VP\tO' -p265770 -aS'performed\tperform\tVBN\tI-VP\tO' -p265771 -aS'due\tdue\tJJ\tB-ADJP\tO' -p265772 -aS'to\tto\tTO\tB-PP\tO' -p265773 -aS'the\tthe\tDT\tB-NP\tO' -p265774 -aS'presence\tpresence\tNN\tI-NP\tO' -p265775 -aS'of\tof\tIN\tB-PP\tO' -p265776 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p265777 -aS'renal\trenal\tJJ\tI-NP\tO' -p265778 -aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' -p265779 -aS'(\t(\t(\tO\tO' -p265780 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p265781 -aS'1.6\t1.6\tCD\tI-NP\tO' -p265782 -aS').\t).\t.\tO\tO' -p265783 -asS'Gait does not appear unsteady , uses crutches for support .' -p265784 -(lp265785 -S'Gait\tGait\tNNP\tB-NP\tO' -p265786 -aS'does\tdo\tVBZ\tB-VP\tO' -p265787 -aS'not\tnot\tRB\tI-VP\tO' -p265788 -aS'appear\tappear\tVB\tI-VP\tO' -p265789 -aS'unsteady\tunsteady\tJJ\tB-ADJP\tO' -p265790 -aS',\t,\t,\tO\tO' -p265791 -aS'uses\tuse\tVBZ\tB-VP\tO' -p265792 -aS'crutches\tcrutch\tNNS\tB-NP\tO' -p265793 -aS'for\tfor\tIN\tB-PP\tO' -p265794 -aS'support\tsupport\tNN\tB-NP\tO' -p265795 -aS'.\t.\t.\tO\tO' -p265796 -asS'There was mild posterior vasal thinning .' -p265797 -(lp265798 -S'There\tThere\tEX\tB-NP\tO' -p265799 -aS'was\tbe\tVBD\tB-VP\tO' -p265800 -aS'mild\tmild\tJJ\tB-NP\tO' -p265801 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p265802 -aS'vasal\tvasal\tJJ\tI-NP\tO' -p265803 -aS'thinning\tthinning\tNN\tI-NP\tO' -p265804 -aS'.\t.\t.\tO\tO' -p265805 -asS'The patient is to be transferred to the Cambridge Hospital Hospital Special Care Nursery .' -p265806 -(lp265807 -S'The\tThe\tDT\tB-NP\tO' -p265808 -aS'patient\tpatient\tNN\tI-NP\tO' -p265809 -aS'is\tbe\tVBZ\tB-VP\tO' -p265810 -aS'to\tto\tTO\tI-VP\tO' -p265811 -aS'be\tbe\tVB\tI-VP\tO' -p265812 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p265813 -aS'to\tto\tTO\tB-PP\tO' -p265814 -aS'the\tthe\tDT\tB-NP\tO' -p265815 -aS'Cambridge\tCambridge\tNNP\tI-NP\tO' -p265816 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p265817 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p265818 -aS'Special\tSpecial\tNNP\tI-NP\tO' -p265819 -aS'Care\tCare\tNNP\tI-NP\tO' -p265820 -aS'Nursery\tNursery\tNNP\tI-NP\tO' -p265821 -aS'.\t.\t.\tO\tO' -p265822 -asS'One month prior to this admission , the patient reports not feeling well with worsening gastric distress .' -p265823 -(lp265824 -S'One\tOne\tCD\tB-NP\tO' -p265825 -aS'month\tmonth\tNN\tI-NP\tO' -p265826 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p265827 -aS'to\tto\tTO\tB-PP\tO' -p265828 -aS'this\tthis\tDT\tB-NP\tO' -p265829 -aS'admission\tadmission\tNN\tI-NP\tO' -p265830 -aS',\t,\t,\tO\tO' -p265831 -aS'the\tthe\tDT\tB-NP\tO' -p265832 -aS'patient\tpatient\tNN\tI-NP\tO' -p265833 -aS'reports\treport\tVBZ\tB-VP\tO' -p265834 -aS'not\tnot\tRB\tI-VP\tO' -p265835 -aS'feeling\tfeel\tVBG\tI-VP\tO' -p265836 -aS'well\twell\tRB\tB-ADVP\tO' -p265837 -aS'with\twith\tIN\tB-PP\tO' -p265838 -aS'worsening\tworsen\tVBG\tB-VP\tO' -p265839 -aS'gastric\tgastric\tJJ\tB-NP\tO' -p265840 -aS'distress\tdistress\tNN\tI-NP\tO' -p265841 -aS'.\t.\t.\tO\tO' -p265842 -asS'1. Wegener 's granulomatosis .' -p265843 -(lp265844 -S'1.\t1.\tLS\tB-NP\tO' -p265845 -aS'Wegener\tWegener\tNN\tI-NP\tO' -p265846 -aS''s\t'\tNNS\tI-NP\tO' -p265847 -aS'granulomatosis\tgranulomatosis\tNN\tI-NP\tO' -p265848 -aS'.\t.\t.\tO\tO' -p265849 -asS'The patient was to follow up with his primary cardiologist , Dr. Thomas , within one week .' -p265850 -(lp265851 -S'The\tThe\tDT\tB-NP\tO' -p265852 -aS'patient\tpatient\tNN\tI-NP\tO' -p265853 -aS'was\tbe\tVBD\tB-VP\tO' -p265854 -aS'to\tto\tTO\tB-VP\tO' -p265855 -aS'follow\tfollow\tVB\tI-VP\tO' -p265856 -aS'up\tup\tRP\tB-PRT\tO' -p265857 -aS'with\twith\tIN\tB-PP\tO' -p265858 -aS'his\this\tPRP$\tB-NP\tO' -p265859 -aS'primary\tprimary\tJJ\tI-NP\tO' -p265860 -aS'cardiologist\tcardiologist\tNN\tI-NP\tO' -p265861 -aS',\t,\t,\tO\tO' -p265862 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p265863 -aS'Thomas\tThomas\tNNP\tI-NP\tO' -p265864 -aS',\t,\t,\tO\tO' -p265865 -aS'within\twithin\tIN\tB-PP\tO' -p265866 -aS'one\tone\tCD\tB-NP\tO' -p265867 -aS'week\tweek\tNN\tI-NP\tO' -p265868 -aS'.\t.\t.\tO\tO' -p265869 -asS'The patient is also complaining of several years urinary incontinence .' -p265870 -(lp265871 -S'The\tThe\tDT\tB-NP\tO' -p265872 -aS'patient\tpatient\tNN\tI-NP\tO' -p265873 -aS'is\tbe\tVBZ\tB-VP\tO' -p265874 -aS'also\talso\tRB\tI-VP\tO' -p265875 -aS'complaining\tcomplain\tVBG\tI-VP\tO' -p265876 -aS'of\tof\tIN\tB-PP\tO' -p265877 -aS'several\tseveral\tJJ\tB-NP\tO' -p265878 -aS'years\tyear\tNNS\tI-NP\tO' -p265879 -aS'urinary\turinary\tJJ\tI-NP\tO' -p265880 -aS'incontinence\tincontinence\tNN\tI-NP\tO' -p265881 -aS'.\t.\t.\tO\tO' -p265882 -asS'Dobutamine stress test , cardiac ultrasound , EGD , chest x-ray , PICC placement .' -p265883 -(lp265884 -S'Dobutamine\tDobutamine\tNN\tB-NP\tO' -p265885 -aS'stress\tstress\tNN\tI-NP\tO' -p265886 -aS'test\ttest\tNN\tI-NP\tO' -p265887 -aS',\t,\t,\tO\tO' -p265888 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p265889 -aS'ultrasound\tultrasound\tNN\tI-NP\tO' -p265890 -aS',\t,\t,\tO\tO' -p265891 -aS'EGD\tEGD\tNN\tB-NP\tB-protein' -p265892 -aS',\t,\t,\tO\tO' -p265893 -aS'chest\tchest\tNN\tB-NP\tO' -p265894 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p265895 -aS',\t,\t,\tO\tO' -p265896 -aS'PICC\tPICC\tNN\tB-NP\tO' -p265897 -aS'placement\tplacement\tNN\tI-NP\tO' -p265898 -aS'.\t.\t.\tO\tO' -p265899 -asS'On March 31 , 1994 , her pressor support requirement increased and she continued to have tachypneic episodes .' -p265900 -(lp265901 -S'On\tOn\tIN\tB-PP\tO' -p265902 -aS'March\tMarch\tNNP\tB-NP\tO' -p265903 -aS'31\t31\tCD\tI-NP\tO' -p265904 -aS',\t,\t,\tI-NP\tO' -p265905 -aS'1994\t1994\tCD\tI-NP\tO' -p265906 -aS',\t,\t,\tO\tO' -p265907 -aS'her\ther\tPRP$\tB-NP\tO' -p265908 -aS'pressor\tpressor\tNN\tI-NP\tO' -p265909 -aS'support\tsupport\tNN\tI-NP\tO' -p265910 -aS'requirement\trequirement\tNN\tI-NP\tO' -p265911 -aS'increased\tincrease\tVBD\tB-VP\tO' -p265912 -aS'and\tand\tCC\tO\tO' -p265913 -aS'she\tshe\tPRP\tB-NP\tO' -p265914 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p265915 -aS'to\tto\tTO\tI-VP\tO' -p265916 -aS'have\thave\tVB\tI-VP\tO' -p265917 -aS'tachypneic\ttachypneic\tJJ\tB-NP\tO' -p265918 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p265919 -aS'.\t.\t.\tO\tO' -p265920 -asS'Patient was gently hydrated and IV fluids started up on a p.o. diet regimen .' -p265921 -(lp265922 -S'Patient\tPatient\tNN\tB-NP\tO' -p265923 -aS'was\tbe\tVBD\tB-VP\tO' -p265924 -aS'gently\tgently\tRB\tI-VP\tO' -p265925 -aS'hydrated\thydrate\tVBN\tI-VP\tO' -p265926 -aS'and\tand\tCC\tO\tO' -p265927 -aS'IV\tIV\tCD\tB-NP\tO' -p265928 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p265929 -aS'started\tstart\tVBD\tB-VP\tO' -p265930 -aS'up\tup\tRP\tB-PRT\tO' -p265931 -aS'on\ton\tIN\tB-PP\tO' -p265932 -aS'a\ta\tDT\tB-NP\tO' -p265933 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p265934 -aS'diet\tdiet\tNN\tI-NP\tO' -p265935 -aS'regimen\tregimen\tNN\tI-NP\tO' -p265936 -aS'.\t.\t.\tO\tO' -p265937 -asS'She is to continue monitoring her blood sugar twice a day .' -p265938 -(lp265939 -S'She\tShe\tPRP\tB-NP\tO' -p265940 -aS'is\tbe\tVBZ\tB-VP\tO' -p265941 -aS'to\tto\tTO\tI-VP\tO' -p265942 -aS'continue\tcontinue\tVB\tI-VP\tO' -p265943 -aS'monitoring\tmonitor\tVBG\tI-VP\tO' -p265944 -aS'her\ther\tPRP$\tB-NP\tO' -p265945 -aS'blood\tblood\tNN\tI-NP\tO' -p265946 -aS'sugar\tsugar\tNN\tI-NP\tO' -p265947 -aS'twice\ttwice\tRB\tB-NP\tO' -p265948 -aS'a\ta\tDT\tI-NP\tO' -p265949 -aS'day\tday\tNN\tI-NP\tO' -p265950 -aS'.\t.\t.\tO\tO' -p265951 -asS'Mr. Kacholera Junk was a 34 year old gentleman with no significant past medical history except for a history of of intravenous drug abuse .' -p265952 -(lp265953 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p265954 -aS'Kacholera\tKacholera\tNNP\tI-NP\tO' -p265955 -aS'Junk\tJunk\tNNP\tI-NP\tO' -p265956 -aS'was\tbe\tVBD\tB-VP\tO' -p265957 -aS'a\ta\tDT\tB-NP\tO' -p265958 -aS'34\t34\tCD\tI-NP\tO' -p265959 -aS'year\tyear\tNN\tI-NP\tO' -p265960 -aS'old\told\tJJ\tI-NP\tO' -p265961 -aS'gentleman\tgentleman\tNN\tI-NP\tO' -p265962 -aS'with\twith\tIN\tB-PP\tO' -p265963 -aS'no\tno\tDT\tB-NP\tO' -p265964 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p265965 -aS'past\tpast\tJJ\tI-NP\tO' -p265966 -aS'medical\tmedical\tJJ\tI-NP\tO' -p265967 -aS'history\thistory\tNN\tI-NP\tO' -p265968 -aS'except\texcept\tIN\tB-PP\tO' -p265969 -aS'for\tfor\tIN\tB-PP\tO' -p265970 -aS'a\ta\tDT\tB-NP\tO' -p265971 -aS'history\thistory\tNN\tI-NP\tO' -p265972 -aS'of\tof\tIN\tB-PP\tO' -p265973 -aS'of\tof\tIN\tB-PP\tO' -p265974 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p265975 -aS'drug\tdrug\tNN\tI-NP\tO' -p265976 -aS'abuse\tabuse\tNN\tI-NP\tO' -p265977 -aS'.\t.\t.\tO\tO' -p265978 -asS'The patient was admitted with concern for hepatorenal syndrome .' -p265979 -(lp265980 -S'The\tThe\tDT\tB-NP\tO' -p265981 -aS'patient\tpatient\tNN\tI-NP\tO' -p265982 -aS'was\tbe\tVBD\tB-VP\tO' -p265983 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p265984 -aS'with\twith\tIN\tB-PP\tO' -p265985 -aS'concern\tconcern\tNN\tB-NP\tO' -p265986 -aS'for\tfor\tIN\tB-PP\tO' -p265987 -aS'hepatorenal\thepatorenal\tJJ\tB-NP\tO' -p265988 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p265989 -aS'.\t.\t.\tO\tO' -p265990 -asS'The patient will see Dr. State , as noted , in follow up .' -p265991 -(lp265992 -S'The\tThe\tDT\tB-NP\tO' -p265993 -aS'patient\tpatient\tNN\tI-NP\tO' -p265994 -aS'will\twill\tMD\tB-VP\tO' -p265995 -aS'see\tsee\tVB\tI-VP\tO' -p265996 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p265997 -aS'State\tState\tNNP\tI-NP\tO' -p265998 -aS',\t,\t,\tO\tO' -p265999 -aS'as\tas\tIN\tB-SBAR\tO' -p266000 -aS'noted\tnote\tVBN\tB-VP\tO' -p266001 -aS',\t,\t,\tO\tO' -p266002 -aS'in\tin\tIN\tB-PP\tO' -p266003 -aS'follow\tfollow\tVB\tB-VP\tO' -p266004 -aS'up\tup\tIN\tB-PRT\tO' -p266005 -aS'.\t.\t.\tO\tO' -p266006 -asS'2. Left lower quadrant thick-walled peripherally enhancing fluid collection , which appears to communicate with the sutured end of the proximal sigmoid colon via a small collection of extraluminal gas .' -p266007 -(lp266008 -S'2.\t2.\tLS\tB-LST\tO' -p266009 -aS'Left\tLeave\tVBD\tB-VP\tO' -p266010 -aS'lower\tlow\tJJR\tB-NP\tO' -p266011 -aS'quadrant\tquadrant\tJJ\tI-NP\tO' -p266012 -aS'thick-walled\tthick-walle\tVBN\tI-NP\tO' -p266013 -aS'peripherally\tperipherally\tRB\tI-NP\tO' -p266014 -aS'enhancing\tenhance\tVBG\tI-VP\tO' -p266015 -aS'fluid\tfluid\tNN\tB-NP\tO' -p266016 -aS'collection\tcollection\tNN\tI-NP\tO' -p266017 -aS',\t,\t,\tO\tO' -p266018 -aS'which\twhich\tWDT\tB-NP\tO' -p266019 -aS'appears\tappear\tVBZ\tB-VP\tO' -p266020 -aS'to\tto\tTO\tI-VP\tO' -p266021 -aS'communicate\tcommunicate\tVB\tI-VP\tO' -p266022 -aS'with\twith\tIN\tB-PP\tO' -p266023 -aS'the\tthe\tDT\tB-NP\tO' -p266024 -aS'sutured\tsutured\tJJ\tI-NP\tO' -p266025 -aS'end\tend\tNN\tI-NP\tO' -p266026 -aS'of\tof\tIN\tB-PP\tO' -p266027 -aS'the\tthe\tDT\tB-NP\tO' -p266028 -aS'proximal\tproximal\tJJ\tI-NP\tO' -p266029 -aS'sigmoid\tsigmoid\tJJ\tI-NP\tO' -p266030 -aS'colon\tcolon\tNN\tI-NP\tO' -p266031 -aS'via\tvia\tIN\tB-PP\tO' -p266032 -aS'a\ta\tDT\tB-NP\tO' -p266033 -aS'small\tsmall\tJJ\tI-NP\tO' -p266034 -aS'collection\tcollection\tNN\tI-NP\tO' -p266035 -aS'of\tof\tIN\tB-PP\tO' -p266036 -aS'extraluminal\textraluminal\tJJ\tB-NP\tO' -p266037 -aS'gas\tgas\tNN\tI-NP\tO' -p266038 -aS'.\t.\t.\tO\tO' -p266039 -asS'Supporting lines and tubes in unchanged position .' -p266040 -(lp266041 -S'Supporting\tSupport\tVBG\tB-VP\tO' -p266042 -aS'lines\tline\tNNS\tB-NP\tO' -p266043 -aS'and\tand\tCC\tI-NP\tO' -p266044 -aS'tubes\ttube\tNNS\tI-NP\tO' -p266045 -aS'in\tin\tIN\tB-PP\tO' -p266046 -aS'unchanged\tunchanged\tJJ\tB-NP\tO' -p266047 -aS'position\tposition\tNN\tI-NP\tO' -p266048 -aS'.\t.\t.\tO\tO' -p266049 -asS'The patient decided not to pursue further testing with a neck CT scan .' -p266050 -(lp266051 -S'The\tThe\tDT\tB-NP\tO' -p266052 -aS'patient\tpatient\tNN\tI-NP\tO' -p266053 -aS'decided\tdecide\tVBD\tB-VP\tO' -p266054 -aS'not\tnot\tRB\tO\tO' -p266055 -aS'to\tto\tTO\tB-VP\tO' -p266056 -aS'pursue\tpursue\tVB\tI-VP\tO' -p266057 -aS'further\tfurther\tJJ\tB-NP\tO' -p266058 -aS'testing\ttesting\tNN\tI-NP\tO' -p266059 -aS'with\twith\tIN\tB-PP\tO' -p266060 -aS'a\ta\tDT\tB-NP\tO' -p266061 -aS'neck\tneck\tNN\tI-NP\tO' -p266062 -aS'CT\tCT\tNN\tI-NP\tO' -p266063 -aS'scan\tscan\tNN\tI-NP\tO' -p266064 -aS'.\t.\t.\tO\tO' -p266065 -asS"The patient 's shortness of breath was also considered possibly related to a coronary event and she was admitted for rule out myocardial infarction ." -p266066 -(lp266067 -S'The\tThe\tDT\tB-NP\tO' -p266068 -aS'patient\tpatient\tNN\tI-NP\tO' -p266069 -aS"'s\t's\tPOS\tB-NP\tO" -p266070 -aS'shortness\tshortness\tNN\tI-NP\tO' -p266071 -aS'of\tof\tIN\tB-PP\tO' -p266072 -aS'breath\tbreath\tNN\tB-NP\tO' -p266073 -aS'was\tbe\tVBD\tB-VP\tO' -p266074 -aS'also\talso\tRB\tI-VP\tO' -p266075 -aS'considered\tconsider\tVBN\tI-VP\tO' -p266076 -aS'possibly\tpossibly\tRB\tB-ADJP\tO' -p266077 -aS'related\trelate\tVBN\tI-ADJP\tO' -p266078 -aS'to\tto\tTO\tB-PP\tO' -p266079 -aS'a\ta\tDT\tB-NP\tO' -p266080 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p266081 -aS'event\tevent\tNN\tI-NP\tO' -p266082 -aS'and\tand\tCC\tO\tO' -p266083 -aS'she\tshe\tPRP\tB-NP\tO' -p266084 -aS'was\tbe\tVBD\tB-VP\tO' -p266085 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p266086 -aS'for\tfor\tIN\tB-PP\tO' -p266087 -aS'rule\trule\tNN\tB-NP\tO' -p266088 -aS'out\tout\tIN\tB-PP\tO' -p266089 -aS'myocardial\tmyocardial\tJJ\tB-NP\tO' -p266090 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p266091 -aS'.\t.\t.\tO\tO' -p266092 -asS'EKG showed question of MAT vs. atrial fibrillation with a ventricular response of 118 , axis was 0 degrees .' -p266093 -(lp266094 -S'EKG\tEKG\tNN\tB-NP\tB-protein' -p266095 -aS'showed\tshow\tVBD\tB-VP\tO' -p266096 -aS'question\tquestion\tNN\tB-NP\tO' -p266097 -aS'of\tof\tIN\tB-PP\tO' -p266098 -aS'MAT\tMAT\tNN\tB-NP\tB-protein' -p266099 -aS'vs.\tvs.\tCC\tO\tO' -p266100 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p266101 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p266102 -aS'with\twith\tIN\tB-PP\tO' -p266103 -aS'a\ta\tDT\tB-NP\tO' -p266104 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p266105 -aS'response\tresponse\tNN\tI-NP\tO' -p266106 -aS'of\tof\tIN\tB-PP\tO' -p266107 -aS'118\t118\tCD\tB-NP\tO' -p266108 -aS',\t,\t,\tO\tO' -p266109 -aS'axis\taxis\tNN\tB-NP\tO' -p266110 -aS'was\tbe\tVBD\tB-VP\tO' -p266111 -aS'0\t0\tCD\tB-NP\tO' -p266112 -aS'degrees\tdegree\tNNS\tI-NP\tO' -p266113 -aS'.\t.\t.\tO\tO' -p266114 -asS'Feet no edema .' -p266115 -(lp266116 -S'Feet\tFeet\tVB\tB-VP\tO' -p266117 -aS'no\tno\tDT\tB-NP\tO' -p266118 -aS'edema\tedema\tNN\tI-NP\tO' -p266119 -aS'.\t.\t.\tO\tO' -p266120 -asS'14. Lasix 40 mg Tablet Sig : One ( 1 ) Tablet PO once a day : 40 mg daily x 1 week then 40 mg every other day as prior to surgery .' -p266121 -(lp266122 -S'14.\t14.\tCD\tB-NP\tO' -p266123 -aS'Lasix\tLasix\tNNP\tI-NP\tO' -p266124 -aS'40\t40\tCD\tI-NP\tO' -p266125 -aS'mg\tmg\tNN\tI-NP\tO' -p266126 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p266127 -aS'Sig\tSig\tNNP\tI-NP\tO' -p266128 -aS':\t:\t:\tO\tO' -p266129 -aS'One\tOne\tCD\tB-NP\tO' -p266130 -aS'(\t(\t(\tO\tO' -p266131 -aS'1\t1\tCD\tB-NP\tO' -p266132 -aS')\t)\t)\tO\tO' -p266133 -aS'Tablet\tTablet\tNN\tB-NP\tB-protein' -p266134 -aS'PO\tPO\tNN\tI-NP\tI-protein' -p266135 -aS'once\tonce\tRB\tO\tO' -p266136 -aS'a\ta\tDT\tB-NP\tO' -p266137 -aS'day\tday\tNN\tI-NP\tO' -p266138 -aS':\t:\t:\tO\tO' -p266139 -aS'40\t40\tCD\tB-NP\tO' -p266140 -aS'mg\tmg\tNN\tI-NP\tO' -p266141 -aS'daily\tdaily\tJJ\tI-NP\tO' -p266142 -aS'x\tx\tSYM\tB-NP\tO' -p266143 -aS'1\t1\tCD\tI-NP\tO' -p266144 -aS'week\tweek\tNN\tI-NP\tO' -p266145 -aS'then\tthen\tRB\tO\tO' -p266146 -aS'40\t40\tCD\tB-NP\tO' -p266147 -aS'mg\tmg\tNN\tI-NP\tO' -p266148 -aS'every\tevery\tDT\tB-NP\tO' -p266149 -aS'other\tother\tJJ\tI-NP\tO' -p266150 -aS'day\tday\tNN\tI-NP\tO' -p266151 -aS'as\tas\tIN\tB-PP\tO' -p266152 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p266153 -aS'to\tto\tTO\tB-PP\tO' -p266154 -aS'surgery\tsurgery\tNN\tB-NP\tO' -p266155 -aS'.\t.\t.\tO\tO' -p266156 -asS'She has no known drug allergies .' -p266157 -(lp266158 -S'She\tShe\tPRP\tB-NP\tO' -p266159 -aS'has\thave\tVBZ\tB-VP\tO' -p266160 -aS'no\tno\tDT\tB-NP\tO' -p266161 -aS'known\tknow\tVBN\tI-NP\tO' -p266162 -aS'drug\tdrug\tNN\tI-NP\tO' -p266163 -aS'allergies\tallergy\tNNS\tI-NP\tO' -p266164 -aS'.\t.\t.\tO\tO' -p266165 -asS'She again tolerated the procedure well and did well postoperatively .' -p266166 -(lp266167 -S'She\tShe\tPRP\tB-NP\tO' -p266168 -aS'again\tagain\tRB\tB-ADVP\tO' -p266169 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p266170 -aS'the\tthe\tDT\tB-NP\tO' -p266171 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p266172 -aS'well\twell\tRB\tB-ADVP\tO' -p266173 -aS'and\tand\tCC\tO\tO' -p266174 -aS'did\tdo\tVBD\tB-VP\tO' -p266175 -aS'well\twell\tRB\tB-ADVP\tO' -p266176 -aS'postoperatively\tpostoperatively\tRB\tI-ADVP\tO' -p266177 -aS'.\t.\t.\tO\tO' -p266178 -asS'5. Amiodarone 200 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' -p266179 -(lp266180 -S'5.\t5.\tLS\tB-NP\tO' -p266181 -aS'Amiodarone\tAmiodarone\tNN\tI-NP\tO' -p266182 -aS'200\t200\tCD\tI-NP\tO' -p266183 -aS'mg\tmg\tNN\tI-NP\tO' -p266184 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p266185 -aS'Sig\tSig\tNNP\tI-NP\tO' -p266186 -aS':\t:\t:\tO\tO' -p266187 -aS'One\tOne\tCD\tB-NP\tO' -p266188 -aS'(\t(\t(\tO\tO' -p266189 -aS'1\t1\tCD\tB-NP\tO' -p266190 -aS')\t)\t)\tO\tO' -p266191 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p266192 -aS'PO\tPO\tNN\tI-NP\tO' -p266193 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p266194 -aS'(\t(\t(\tO\tO' -p266195 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p266196 -aS')\t)\t)\tO\tO' -p266197 -aS'.\t.\t.\tO\tO' -p266198 -asS'We decided to discontinue telemetry and held all hypertension medications including Lisinopril , Mavik , hydrochlorothiazide .' -p266199 -(lp266200 -S'We\tWe\tPRP\tB-NP\tO' -p266201 -aS'decided\tdecide\tVBD\tB-VP\tO' -p266202 -aS'to\tto\tTO\tI-VP\tO' -p266203 -aS'discontinue\tdiscontinue\tVB\tI-VP\tO' -p266204 -aS'telemetry\ttelemetry\tNN\tB-NP\tO' -p266205 -aS'and\tand\tCC\tO\tO' -p266206 -aS'held\thold\tVBD\tB-VP\tO' -p266207 -aS'all\tall\tDT\tB-NP\tO' -p266208 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p266209 -aS'medications\tmedication\tNNS\tI-NP\tO' -p266210 -aS'including\tinclude\tVBG\tB-PP\tO' -p266211 -aS'Lisinopril\tLisinopril\tNNP\tB-NP\tO' -p266212 -aS',\t,\t,\tI-NP\tO' -p266213 -aS'Mavik\tMavik\tNNP\tI-NP\tO' -p266214 -aS',\t,\t,\tI-NP\tO' -p266215 -aS'hydrochlorothiazide\thydrochlorothiazide\tNN\tI-NP\tO' -p266216 -aS'.\t.\t.\tO\tO' -p266217 -asS'Pulse was 60 to 70 .' -p266218 -(lp266219 -S'Pulse\tPulse\tNN\tB-NP\tO' -p266220 -aS'was\tbe\tVBD\tB-VP\tO' -p266221 -aS'60\t60\tCD\tB-NP\tO' -p266222 -aS'to\tto\tTO\tB-PP\tO' -p266223 -aS'70\t70\tCD\tB-NP\tO' -p266224 -aS'.\t.\t.\tO\tO' -p266225 -asS'Electrocardiogram showed atrial fibrillation , moderate ventricular response , incomplete right bundle branch block , right axis deviation , right ventricular hypertrophy and possible apical infarction .' -p266226 -(lp266227 -S'Electrocardiogram\tElectrocardiogram\tNN\tB-NP\tO' -p266228 -aS'showed\tshow\tVBD\tB-VP\tO' -p266229 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p266230 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p266231 -aS',\t,\t,\tO\tO' -p266232 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p266233 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p266234 -aS'response\tresponse\tNN\tI-NP\tO' -p266235 -aS',\t,\t,\tO\tO' -p266236 -aS'incomplete\tincomplete\tJJ\tB-NP\tO' -p266237 -aS'right\tright\tJJ\tI-NP\tO' -p266238 -aS'bundle\tbundle\tNN\tI-NP\tO' -p266239 -aS'branch\tbranch\tNN\tI-NP\tO' -p266240 -aS'block\tblock\tNN\tI-NP\tO' -p266241 -aS',\t,\t,\tO\tO' -p266242 -aS'right\tright\tJJ\tB-NP\tO' -p266243 -aS'axis\taxis\tNN\tI-NP\tO' -p266244 -aS'deviation\tdeviation\tNN\tI-NP\tO' -p266245 -aS',\t,\t,\tO\tO' -p266246 -aS'right\tright\tJJ\tB-NP\tO' -p266247 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p266248 -aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' -p266249 -aS'and\tand\tCC\tO\tO' -p266250 -aS'possible\tpossible\tJJ\tB-NP\tO' -p266251 -aS'apical\tapical\tJJ\tI-NP\tO' -p266252 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p266253 -aS'.\t.\t.\tO\tO' -p266254 -asS'1. Heparin ( Porcine ) 5,000 unit / mL Solution Sig : One ( 1 ) mL Injection TID ( 3 times a day ).' -p266255 -(lp266256 -S'1.\t1.\tLS\tB-LST\tO' -p266257 -aS'Heparin\tHeparin\tNN\tB-NP\tB-protein' -p266258 -aS'(\t(\t(\tO\tI-protein' -p266259 -aS'Porcine\tPorcine\tNN\tB-NP\tI-protein' -p266260 -aS')\t)\t)\tO\tI-protein' -p266261 -aS'5,000\t5,000\tCD\tB-NP\tI-protein' -p266262 -aS'unit\tunit\tNN\tI-NP\tI-protein' -p266263 -aS'/\t/\tSYM\tB-NP\tO' -p266264 -aS'mL\tmL\tNN\tI-NP\tO' -p266265 -aS'Solution\tSolution\tNNP\tI-NP\tO' -p266266 -aS'Sig\tSig\tNNP\tI-NP\tO' -p266267 -aS':\t:\t:\tO\tO' -p266268 -aS'One\tOne\tCD\tB-NP\tO' -p266269 -aS'(\t(\t(\tO\tO' -p266270 -aS'1\t1\tCD\tB-NP\tO' -p266271 -aS')\t)\t)\tO\tO' -p266272 -aS'mL\tmL\tNN\tB-NP\tO' -p266273 -aS'Injection\tInjection\tNN\tI-NP\tO' -p266274 -aS'TID\tTID\tNN\tI-NP\tO' -p266275 -aS'(\t(\t(\tO\tO' -p266276 -aS'3\t3\tCD\tB-NP\tO' -p266277 -aS'times\ttime\tNNS\tI-NP\tO' -p266278 -aS'a\ta\tDT\tB-NP\tO' -p266279 -aS'day\tday\tNN\tI-NP\tO' -p266280 -aS').\t).\t.\tO\tO' -p266281 -asS'It is hoped that when he is transferred to a rehab facility that he will continue with physical therapy to regain his strength and regain independence in activities of daily living .' -p266282 -(lp266283 -S'It\tIt\tPRP\tB-NP\tO' -p266284 -aS'is\tbe\tVBZ\tB-VP\tO' -p266285 -aS'hoped\thop\tVBN\tI-VP\tO' -p266286 -aS'that\tthat\tIN\tB-SBAR\tO' -p266287 -aS'when\twhen\tWRB\tB-ADVP\tO' -p266288 -aS'he\the\tPRP\tB-NP\tO' -p266289 -aS'is\tbe\tVBZ\tB-VP\tO' -p266290 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p266291 -aS'to\tto\tTO\tB-PP\tO' -p266292 -aS'a\ta\tDT\tB-NP\tO' -p266293 -aS'rehab\trehab\tNN\tI-NP\tO' -p266294 -aS'facility\tfacility\tNN\tI-NP\tO' -p266295 -aS'that\tthat\tIN\tB-SBAR\tO' -p266296 -aS'he\the\tPRP\tB-NP\tO' -p266297 -aS'will\twill\tMD\tB-VP\tO' -p266298 -aS'continue\tcontinue\tVB\tI-VP\tO' -p266299 -aS'with\twith\tIN\tB-PP\tO' -p266300 -aS'physical\tphysical\tJJ\tB-NP\tO' -p266301 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p266302 -aS'to\tto\tTO\tB-VP\tO' -p266303 -aS'regain\tregain\tVB\tI-VP\tO' -p266304 -aS'his\this\tPRP$\tB-NP\tO' -p266305 -aS'strength\tstrength\tNN\tI-NP\tO' -p266306 -aS'and\tand\tCC\tI-NP\tO' -p266307 -aS'regain\tregain\tNN\tI-NP\tO' -p266308 -aS'independence\tindependence\tNN\tI-NP\tO' -p266309 -aS'in\tin\tIN\tB-PP\tO' -p266310 -aS'activities\tactivity\tNNS\tB-NP\tO' -p266311 -aS'of\tof\tIN\tB-PP\tO' -p266312 -aS'daily\tdaily\tJJ\tB-NP\tO' -p266313 -aS'living\tliving\tNN\tI-NP\tO' -p266314 -aS'.\t.\t.\tO\tO' -p266315 -asS'The patient is a 58 year old female with a history of Parkinson 's disease for more than twenty years who presented to the Gemenadentoolpai Medical Center with a revolving anterolateral wall myocardial infarction on 08-01-93 .' -p266316 -(lp266317 -S'The\tThe\tDT\tB-NP\tO' -p266318 -aS'patient\tpatient\tNN\tI-NP\tO' -p266319 -aS'is\tbe\tVBZ\tB-VP\tO' -p266320 -aS'a\ta\tDT\tB-NP\tO' -p266321 -aS'58\t58\tCD\tI-NP\tO' -p266322 -aS'year\tyear\tNN\tI-NP\tO' -p266323 -aS'old\told\tJJ\tI-NP\tO' -p266324 -aS'female\tfemale\tNN\tI-NP\tO' -p266325 -aS'with\twith\tIN\tB-PP\tO' -p266326 -aS'a\ta\tDT\tB-NP\tO' -p266327 -aS'history\thistory\tNN\tI-NP\tO' -p266328 -aS'of\tof\tIN\tB-PP\tO' -p266329 -aS'Parkinson\tParkinson\tNNP\tB-NP\tO' -p266330 -aS''s\t's\tCC\tO\tO' -p266331 -aS'disease\tdisease\tNN\tB-NP\tO' -p266332 -aS'for\tfor\tIN\tB-PP\tO' -p266333 -aS'more\tmore\tJJR\tB-NP\tO' -p266334 -aS'than\tthan\tIN\tI-NP\tO' -p266335 -aS'twenty\ttwenty\tCD\tI-NP\tO' -p266336 -aS'years\tyear\tNNS\tI-NP\tO' -p266337 -aS'who\twho\tWP\tB-NP\tO' -p266338 -aS'presented\tpresent\tVBD\tB-VP\tO' -p266339 -aS'to\tto\tTO\tB-PP\tO' -p266340 -aS'the\tthe\tDT\tB-NP\tO' -p266341 -aS'Gemenadentoolpai\tGemenadentoolpai\tNNP\tI-NP\tO' -p266342 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p266343 -aS'Center\tCenter\tNNP\tI-NP\tO' -p266344 -aS'with\twith\tIN\tB-PP\tO' -p266345 -aS'a\ta\tDT\tB-NP\tO' -p266346 -aS'revolving\trevolve\tVBG\tI-NP\tO' -p266347 -aS'anterolateral\tanterolateral\tJJ\tI-NP\tO' -p266348 -aS'wall\twall\tNN\tI-NP\tO' -p266349 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p266350 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p266351 -aS'on\ton\tIN\tB-PP\tO' -p266352 -aS'08-01-93\t08-01-93\tCD\tB-NP\tO' -p266353 -aS'.\t.\t.\tO\tO' -p266354 -asS'The infant delivered with moderate tone and respiratory effort responding well to stimulation and brief blow by O2 .' -p266355 -(lp266356 -S'The\tThe\tDT\tB-NP\tO' -p266357 -aS'infant\tinfant\tNN\tI-NP\tO' -p266358 -aS'delivered\tdeliver\tVBN\tB-VP\tO' -p266359 -aS'with\twith\tIN\tB-PP\tO' -p266360 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p266361 -aS'tone\ttone\tNN\tI-NP\tO' -p266362 -aS'and\tand\tCC\tI-NP\tO' -p266363 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p266364 -aS'effort\teffort\tNN\tI-NP\tO' -p266365 -aS'responding\trespond\tVBG\tB-VP\tO' -p266366 -aS'well\twell\tRB\tB-ADVP\tO' -p266367 -aS'to\tto\tTO\tB-PP\tO' -p266368 -aS'stimulation\tstimulation\tNN\tB-NP\tO' -p266369 -aS'and\tand\tCC\tO\tO' -p266370 -aS'brief\tbrief\tJJ\tB-NP\tO' -p266371 -aS'blow\tblow\tNN\tI-NP\tO' -p266372 -aS'by\tby\tIN\tB-PP\tO' -p266373 -aS'O2\tO2\tNN\tB-NP\tB-protein' -p266374 -aS'.\t.\t.\tO\tO' -p266375 -asS'From admission , vital signs 98.3 , blood pressure 128/74 , 68 to 112 is her heart rate , respiratory rate 24 , 100 percent on room air .' -p266376 -(lp266377 -S'From\tFrom\tIN\tB-PP\tO' -p266378 -aS'admission\tadmission\tNN\tB-NP\tO' -p266379 -aS',\t,\t,\tO\tO' -p266380 -aS'vital\tvital\tJJ\tB-NP\tO' -p266381 -aS'signs\tsign\tNNS\tI-NP\tO' -p266382 -aS'98.3\t98.3\tNN\tI-NP\tB-protein' -p266383 -aS',\t,\t,\tO\tO' -p266384 -aS'blood\tblood\tNN\tB-NP\tO' -p266385 -aS'pressure\tpressure\tNN\tI-NP\tO' -p266386 -aS'128/74\t128/74\tCD\tI-NP\tO' -p266387 -aS',\t,\t,\tI-NP\tO' -p266388 -aS'68\t68\tCD\tI-NP\tO' -p266389 -aS'to\tto\tTO\tB-PP\tO' -p266390 -aS'112\t112\tCD\tB-NP\tO' -p266391 -aS'is\tbe\tVBZ\tB-VP\tO' -p266392 -aS'her\ther\tPRP$\tB-NP\tO' -p266393 -aS'heart\theart\tNN\tI-NP\tO' -p266394 -aS'rate\trate\tNN\tI-NP\tO' -p266395 -aS',\t,\t,\tO\tO' -p266396 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p266397 -aS'rate\trate\tNN\tI-NP\tO' -p266398 -aS'24\t24\tCD\tI-NP\tO' -p266399 -aS',\t,\t,\tO\tO' -p266400 -aS'100\t100\tCD\tB-NP\tO' -p266401 -aS'percent\tpercent\tNN\tI-NP\tO' -p266402 -aS'on\ton\tIN\tB-PP\tO' -p266403 -aS'room\troom\tNN\tB-NP\tO' -p266404 -aS'air\tair\tNN\tI-NP\tO' -p266405 -aS'.\t.\t.\tO\tO' -p266406 -asS'Colace 100 mg. p.o. t.i.d. Senokot 1 p.o. q. h.s. Nystatin powder to affected area t.i.d. Lopressor 25 mg. p.o. b.i.d. Atrovent 0.8/2.5 c.c. normal saline nebulizers q. 8 h. Albuterol 2.5/5 c.c. normal saline nebulizers q. 4 h. with q. 2 h. p.r.n. Percocet 1-2 p.o. q. 4 h. p.r.n. pain .' -p266407 -(lp266408 -S'Colace\tColace\tNNP\tB-NP\tO' -p266409 -aS'100\t100\tCD\tI-NP\tO' -p266410 -aS'mg.\tmg.\tNN\tI-NP\tO' -p266411 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p266412 -aS't.i.d.\tt.i.d.\tFW\tI-NP\tO' -p266413 -aS'Senokot\tSenokot\tNNP\tI-NP\tO' -p266414 -aS'1\t1\tCD\tI-NP\tO' -p266415 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p266416 -aS'q.\tq.\tNN\tI-NP\tO' -p266417 -aS'h.s.\th.s.\tNN\tI-NP\tO' -p266418 -aS'Nystatin\tNystatin\tNN\tI-NP\tO' -p266419 -aS'powder\tpowder\tNN\tI-NP\tO' -p266420 -aS'to\tto\tTO\tB-PP\tO' -p266421 -aS'affected\taffect\tVBN\tB-NP\tO' -p266422 -aS'area\tarea\tNN\tI-NP\tO' -p266423 -aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' -p266424 -aS'Lopressor\tLopressor\tNN\tI-NP\tO' -p266425 -aS'25\t25\tCD\tI-NP\tO' -p266426 -aS'mg.\tmg.\tNN\tI-NP\tO' -p266427 -aS'p.o.\tp.o.\tFW\tB-ADVP\tO' -p266428 -aS'b.i.d.\tb.i.d.\tFW\tI-ADVP\tO' -p266429 -aS'Atrovent\tAtrovent\tNNP\tB-NP\tO' -p266430 -aS'0.8/2.5\t0.8/2.5\tCD\tI-NP\tO' -p266431 -aS'c.c.\tc.c.\tNN\tI-NP\tO' -p266432 -aS'normal\tnormal\tJJ\tI-NP\tO' -p266433 -aS'saline\tsaline\tNN\tI-NP\tO' -p266434 -aS'nebulizers\tnebulizer\tNNS\tI-NP\tO' -p266435 -aS'q.\tq.\tVBP\tB-VP\tO' -p266436 -aS'8\t8\tCD\tB-NP\tO' -p266437 -aS'h.\th.\tNN\tI-NP\tO' -p266438 -aS'Albuterol\tAlbuterol\tNNP\tB-NP\tO' -p266439 -aS'2.5/5\t2.5/5\tCD\tI-NP\tO' -p266440 -aS'c.c.\tc.c.\tNN\tI-NP\tO' -p266441 -aS'normal\tnormal\tJJ\tI-NP\tO' -p266442 -aS'saline\tsaline\tNN\tI-NP\tO' -p266443 -aS'nebulizers\tnebulizer\tNNS\tI-NP\tO' -p266444 -aS'q.\tq.\tNN\tI-NP\tO' -p266445 -aS'4\t4\tCD\tI-NP\tO' -p266446 -aS'h.\th.\tNN\tI-NP\tO' -p266447 -aS'with\twith\tIN\tB-PP\tO' -p266448 -aS'q.\tq.\tNN\tB-NP\tB-protein' -p266449 -aS'2\t2\tCD\tI-NP\tI-protein' -p266450 -aS'h.\th.\tNN\tI-NP\tI-protein' -p266451 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tI-protein' -p266452 -aS'Percocet\tPercocet\tNNP\tB-NP\tI-protein' -p266453 -aS'1-2\t1-2\tCD\tI-NP\tI-protein' -p266454 -aS'p.o.\tp.o.\tNN\tI-NP\tI-protein' -p266455 -aS'q.\tq.\tNN\tI-NP\tI-protein' -p266456 -aS'4\t4\tCD\tI-NP\tI-protein' -p266457 -aS'h.\th.\tNN\tI-NP\tI-protein' -p266458 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tI-protein' -p266459 -aS'pain\tpain\tNN\tI-NP\tI-protein' -p266460 -aS'.\t.\t.\tO\tO' -p266461 -asS"The infant 's first name is Ralph and after discharge the infant 's last name will be Neoma ." -p266462 -(lp266463 -S'The\tThe\tDT\tB-NP\tO' -p266464 -aS'infant\tinfant\tNN\tI-NP\tO' -p266465 -aS"'s\t's\tPOS\tB-NP\tO" -p266466 -aS'first\tfirst\tJJ\tI-NP\tO' -p266467 -aS'name\tname\tNN\tI-NP\tO' -p266468 -aS'is\tbe\tVBZ\tB-VP\tO' -p266469 -aS'Ralph\tRalph\tNNP\tB-NP\tO' -p266470 -aS'and\tand\tCC\tB-PP\tO' -p266471 -aS'after\tafter\tIN\tB-PP\tO' -p266472 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p266473 -aS'the\tthe\tDT\tB-NP\tO' -p266474 -aS'infant\tinfant\tNN\tI-NP\tO' -p266475 -aS"'s\t's\tPOS\tB-NP\tO" -p266476 -aS'last\tlast\tJJ\tI-NP\tO' -p266477 -aS'name\tname\tNN\tI-NP\tO' -p266478 -aS'will\twill\tMD\tB-VP\tO' -p266479 -aS'be\tbe\tVB\tI-VP\tO' -p266480 -aS'Neoma\tNeoma\tNN\tB-NP\tO' -p266481 -aS'.\t.\t.\tO\tO' -p266482 -asS'Epidural site is without erythema , drainage or tenderness .' -p266483 -(lp266484 -S'Epidural\tEpidural\tJJ\tB-NP\tB-DNA' -p266485 -aS'site\tsite\tNN\tI-NP\tI-DNA' -p266486 -aS'is\tbe\tVBZ\tB-VP\tO' -p266487 -aS'without\twithout\tIN\tB-PP\tO' -p266488 -aS'erythema\terythema\tNN\tB-NP\tO' -p266489 -aS',\t,\t,\tO\tO' -p266490 -aS'drainage\tdrainage\tNN\tB-NP\tO' -p266491 -aS'or\tor\tCC\tI-NP\tO' -p266492 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p266493 -aS'.\t.\t.\tO\tO' -p266494 -asS'Mrs. Dua is a 34 year old white female with an unclear history of hypertension for at least five years .' -p266495 -(lp266496 -S'Mrs.\tMrs.\tNNP\tB-NP\tO' -p266497 -aS'Dua\tDua\tNNP\tI-NP\tO' -p266498 -aS'is\tbe\tVBZ\tB-VP\tO' -p266499 -aS'a\ta\tDT\tB-NP\tO' -p266500 -aS'34\t34\tCD\tI-NP\tO' -p266501 -aS'year\tyear\tNN\tI-NP\tO' -p266502 -aS'old\told\tJJ\tI-NP\tO' -p266503 -aS'white\twhite\tJJ\tI-NP\tO' -p266504 -aS'female\tfemale\tNN\tI-NP\tO' -p266505 -aS'with\twith\tIN\tB-PP\tO' -p266506 -aS'an\tan\tDT\tB-NP\tO' -p266507 -aS'unclear\tunclear\tJJ\tI-NP\tO' -p266508 -aS'history\thistory\tNN\tI-NP\tO' -p266509 -aS'of\tof\tIN\tB-PP\tO' -p266510 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p266511 -aS'for\tfor\tIN\tB-PP\tO' -p266512 -aS'at\tat\tIN\tB-NP\tO' -p266513 -aS'least\tleast\tJJS\tI-NP\tO' -p266514 -aS'five\tfive\tCD\tI-NP\tO' -p266515 -aS'years\tyear\tNNS\tI-NP\tO' -p266516 -aS'.\t.\t.\tO\tO' -p266517 -asS'She is a chronically ill-appearing female , in no acute distress .' -p266518 -(lp266519 -S'She\tShe\tPRP\tB-NP\tO' -p266520 -aS'is\tbe\tVBZ\tB-VP\tO' -p266521 -aS'a\ta\tDT\tB-NP\tO' -p266522 -aS'chronically\tchronically\tRB\tI-NP\tO' -p266523 -aS'ill-appearing\till-appearing\tJJ\tI-NP\tO' -p266524 -aS'female\tfemale\tNN\tI-NP\tO' -p266525 -aS',\t,\t,\tO\tO' -p266526 -aS'in\tin\tIN\tB-PP\tO' -p266527 -aS'no\tno\tDT\tB-NP\tO' -p266528 -aS'acute\tacute\tJJ\tI-NP\tO' -p266529 -aS'distress\tdistress\tNN\tI-NP\tO' -p266530 -aS'.\t.\t.\tO\tO' -p266531 -asS'Her blood pressure was stable after three liters of normal saline .' -p266532 -(lp266533 -S'Her\tHer\tPRP$\tB-NP\tO' -p266534 -aS'blood\tblood\tNN\tI-NP\tO' -p266535 -aS'pressure\tpressure\tNN\tI-NP\tO' -p266536 -aS'was\tbe\tVBD\tB-VP\tO' -p266537 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p266538 -aS'after\tafter\tIN\tB-PP\tO' -p266539 -aS'three\tthree\tCD\tB-NP\tO' -p266540 -aS'liters\tliter\tNNS\tI-NP\tO' -p266541 -aS'of\tof\tIN\tB-PP\tO' -p266542 -aS'normal\tnormal\tJJ\tB-NP\tO' -p266543 -aS'saline\tsaline\tNN\tI-NP\tO' -p266544 -aS'.\t.\t.\tO\tO' -p266545 -asS'Dictated By : Judy J Johnston , M.D.' -p266546 -(lp266547 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p266548 -aS'By\tBy\tIN\tB-PP\tO' -p266549 -aS':\t:\t:\tO\tO' -p266550 -aS'Judy\tJudy\tNNP\tB-NP\tO' -p266551 -aS'J\tJ\tNNP\tI-NP\tO' -p266552 -aS'Johnston\tJohnston\tNNP\tI-NP\tO' -p266553 -aS',\t,\t,\tO\tO' -p266554 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p266555 -asS'The right ventricular cavity is dilated .' -p266556 -(lp266557 -S'The\tThe\tDT\tB-NP\tO' -p266558 -aS'right\tright\tJJ\tI-NP\tO' -p266559 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p266560 -aS'cavity\tcavity\tNN\tI-NP\tO' -p266561 -aS'is\tbe\tVBZ\tB-VP\tO' -p266562 -aS'dilated\tdilate\tVBN\tI-VP\tO' -p266563 -aS'.\t.\t.\tO\tO' -p266564 -asS'An adenosine SESTAMIBI was performed on 10/12/97 , which showed a negative electrocardiogram for ischemia and cardiac perfusion scans , with a moderate-sized , dense , fixed inferior defect indicative of scar .' -p266565 -(lp266566 -S'An\tAn\tDT\tB-NP\tO' -p266567 -aS'adenosine\tadenosine\tNN\tI-NP\tO' -p266568 -aS'SESTAMIBI\tSESTAMIBI\tNNP\tB-NP\tO' -p266569 -aS'was\tbe\tVBD\tB-VP\tO' -p266570 -aS'performed\tperform\tVBN\tI-VP\tO' -p266571 -aS'on\ton\tIN\tB-PP\tO' -p266572 -aS'10/12/97\t10/12/97\tCD\tB-NP\tO' -p266573 -aS',\t,\t,\tO\tO' -p266574 -aS'which\twhich\tWDT\tB-NP\tO' -p266575 -aS'showed\tshow\tVBD\tB-VP\tO' -p266576 -aS'a\ta\tDT\tB-NP\tO' -p266577 -aS'negative\tnegative\tJJ\tI-NP\tO' -p266578 -aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' -p266579 -aS'for\tfor\tIN\tB-PP\tO' -p266580 -aS'ischemia\tischemia\tNN\tB-NP\tO' -p266581 -aS'and\tand\tCC\tO\tO' -p266582 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p266583 -aS'perfusion\tperfusion\tNN\tI-NP\tO' -p266584 -aS'scans\tscan\tNNS\tI-NP\tO' -p266585 -aS',\t,\t,\tO\tO' -p266586 -aS'with\twith\tIN\tB-PP\tO' -p266587 -aS'a\ta\tDT\tB-NP\tO' -p266588 -aS'moderate-sized\tmoderate-sized\tJJ\tI-NP\tO' -p266589 -aS',\t,\t,\tI-NP\tO' -p266590 -aS'dense\tdense\tJJ\tI-NP\tO' -p266591 -aS',\t,\t,\tI-NP\tO' -p266592 -aS'fixed\tfixed\tJJ\tI-NP\tO' -p266593 -aS'inferior\tinferior\tJJ\tI-NP\tO' -p266594 -aS'defect\tdefect\tNN\tI-NP\tO' -p266595 -aS'indicative\tindicative\tJJ\tB-ADJP\tO' -p266596 -aS'of\tof\tIN\tB-PP\tO' -p266597 -aS'scar\tscar\tNN\tB-NP\tO' -p266598 -aS'.\t.\t.\tO\tO' -p266599 -asS'Right superiorly based rectus abdominis flap .' -p266600 -(lp266601 -S'Right\tRight\tRB\tB-ADVP\tO' -p266602 -aS'superiorly\tsuperiorly\tRB\tI-ADVP\tO' -p266603 -aS'based\tbase\tVBN\tB-NP\tO' -p266604 -aS'rectus\trectus\tNN\tI-NP\tO' -p266605 -aS'abdominis\tabdominis\tNN\tI-NP\tO' -p266606 -aS'flap\tflap\tNN\tI-NP\tO' -p266607 -aS'.\t.\t.\tO\tO' -p266608 -asS'She was treated with a fluid bolus .' -p266609 -(lp266610 -S'She\tShe\tPRP\tB-NP\tO' -p266611 -aS'was\tbe\tVBD\tB-VP\tO' -p266612 -aS'treated\ttreat\tVBN\tI-VP\tO' -p266613 -aS'with\twith\tIN\tB-PP\tO' -p266614 -aS'a\ta\tDT\tB-NP\tO' -p266615 -aS'fluid\tfluid\tNN\tI-NP\tO' -p266616 -aS'bolus\tbolus\tNN\tI-NP\tO' -p266617 -aS'.\t.\t.\tO\tO' -p266618 -asS'Her sodium went down to 121 and before that on admission she was 133 .' -p266619 -(lp266620 -S'Her\tHer\tPRP$\tB-NP\tO' -p266621 -aS'sodium\tsodium\tNN\tI-NP\tO' -p266622 -aS'went\tgo\tVBD\tB-VP\tO' -p266623 -aS'down\tdown\tRB\tB-ADVP\tO' -p266624 -aS'to\tto\tTO\tB-PP\tO' -p266625 -aS'121\t121\tCD\tB-NP\tO' -p266626 -aS'and\tand\tCC\tO\tO' -p266627 -aS'before\tbefore\tIN\tB-PP\tO' -p266628 -aS'that\tthat\tDT\tB-NP\tO' -p266629 -aS'on\ton\tIN\tB-PP\tO' -p266630 -aS'admission\tadmission\tNN\tB-NP\tO' -p266631 -aS'she\tshe\tPRP\tB-NP\tO' -p266632 -aS'was\tbe\tVBD\tB-VP\tO' -p266633 -aS'133\t133\tCD\tB-NP\tO' -p266634 -aS'.\t.\t.\tO\tO' -p266635 -asS'Please call ( 664 ) 369-9786 to set up an appointment with your primary care doctor Dr. Andrew Shelton in 1-2 wks after discharge .' -p266636 -(lp266637 -S'Please\tPlease\tNN\tB-NP\tO' -p266638 -aS'call\tcall\tNN\tI-NP\tO' -p266639 -aS'(\t(\t(\tO\tO' -p266640 -aS'664\t664\tCD\tB-NP\tO' -p266641 -aS')\t)\t)\tO\tO' -p266642 -aS'369-9786\t369-9786\tCD\tB-NP\tO' -p266643 -aS'to\tto\tTO\tB-VP\tO' -p266644 -aS'set\tset\tVB\tI-VP\tO' -p266645 -aS'up\tup\tRP\tB-PRT\tO' -p266646 -aS'an\tan\tDT\tB-NP\tO' -p266647 -aS'appointment\tappointment\tNN\tI-NP\tO' -p266648 -aS'with\twith\tIN\tB-PP\tO' -p266649 -aS'your\tyour\tPRP$\tB-NP\tO' -p266650 -aS'primary\tprimary\tJJ\tI-NP\tO' -p266651 -aS'care\tcare\tNN\tI-NP\tO' -p266652 -aS'doctor\tdoctor\tNN\tI-NP\tO' -p266653 -aS'Dr.\tDr.\tNNP\tI-NP\tO' -p266654 -aS'Andrew\tAndrew\tNNP\tI-NP\tO' -p266655 -aS'Shelton\tShelton\tNNP\tI-NP\tO' -p266656 -aS'in\tin\tIN\tB-PP\tO' -p266657 -aS'1-2\t1-2\tCD\tB-NP\tO' -p266658 -aS'wks\twk\tNNS\tI-NP\tO' -p266659 -aS'after\tafter\tIN\tB-PP\tO' -p266660 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p266661 -aS'.\t.\t.\tO\tO' -p266662 -asS'Electrolytes at this time were a sodium of 148 , potassium 1.7 .' -p266663 -(lp266664 -S'Electrolytes\tElectrolyte\tNNS\tB-NP\tO' -p266665 -aS'at\tat\tIN\tB-PP\tO' -p266666 -aS'this\tthis\tDT\tB-NP\tO' -p266667 -aS'time\ttime\tNN\tI-NP\tO' -p266668 -aS'were\tbe\tVBD\tB-VP\tO' -p266669 -aS'a\ta\tDT\tB-NP\tO' -p266670 -aS'sodium\tsodium\tNN\tI-NP\tO' -p266671 -aS'of\tof\tIN\tB-PP\tO' -p266672 -aS'148\t148\tCD\tB-NP\tO' -p266673 -aS',\t,\t,\tO\tO' -p266674 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p266675 -aS'1.7\t1.7\tCD\tI-NP\tO' -p266676 -aS'.\t.\t.\tO\tO' -p266677 -asS'CT OF THE PELVIS WITHOUT IV CONTRAST : As previously noted , there is a small amount of free fluid surrounding the right colon , tracking along the mesentery and into the pelvis .' -p266678 -(lp266679 -S'CT\tCT\tNN\tB-NP\tO' -p266680 -aS'OF\tOF\tIN\tB-PP\tO' -p266681 -aS'THE\tTHE\tDT\tB-NP\tO' -p266682 -aS'PELVIS\tPELVIS\tNN\tI-NP\tO' -p266683 -aS'WITHOUT\tWITHOUT\tNN\tI-NP\tO' -p266684 -aS'IV\tIV\tCD\tI-NP\tO' -p266685 -aS'CONTRAST\tCONTRAST\tNN\tI-NP\tO' -p266686 -aS':\t:\t:\tO\tO' -p266687 -aS'As\tAs\tIN\tB-SBAR\tO' -p266688 -aS'previously\tpreviously\tRB\tB-ADVP\tO' -p266689 -aS'noted\tnote\tVBN\tB-VP\tO' -p266690 -aS',\t,\t,\tO\tO' -p266691 -aS'there\tthere\tEX\tB-NP\tO' -p266692 -aS'is\tbe\tVBZ\tB-VP\tO' -p266693 -aS'a\ta\tDT\tB-NP\tO' -p266694 -aS'small\tsmall\tJJ\tI-NP\tO' -p266695 -aS'amount\tamount\tNN\tI-NP\tO' -p266696 -aS'of\tof\tIN\tB-PP\tO' -p266697 -aS'free\tfree\tJJ\tB-NP\tO' -p266698 -aS'fluid\tfluid\tNN\tI-NP\tO' -p266699 -aS'surrounding\tsurround\tVBG\tB-VP\tO' -p266700 -aS'the\tthe\tDT\tB-NP\tO' -p266701 -aS'right\tright\tJJ\tI-NP\tO' -p266702 -aS'colon\tcolon\tNN\tI-NP\tO' -p266703 -aS',\t,\t,\tO\tO' -p266704 -aS'tracking\ttrack\tVBG\tB-VP\tO' -p266705 -aS'along\talong\tIN\tB-PP\tO' -p266706 -aS'the\tthe\tDT\tB-NP\tO' -p266707 -aS'mesentery\tmesentery\tNN\tI-NP\tO' -p266708 -aS'and\tand\tCC\tB-PP\tO' -p266709 -aS'into\tinto\tIN\tB-PP\tO' -p266710 -aS'the\tthe\tDT\tB-NP\tO' -p266711 -aS'pelvis\tpelvis\tNN\tI-NP\tO' -p266712 -aS'.\t.\t.\tO\tO' -p266713 -asS'PT 12.8 , PTT 19.1 .' -p266714 -(lp266715 -S'PT\tPT\tNN\tB-NP\tB-protein' -p266716 -aS'12.8\t12.8\tCD\tI-NP\tI-protein' -p266717 -aS',\t,\t,\tO\tO' -p266718 -aS'PTT\tPTT\tNN\tB-NP\tB-protein' -p266719 -aS'19.1\t19.1\tCD\tI-NP\tI-protein' -p266720 -aS'.\t.\t.\tO\tO' -p266721 -asS'She had some initial nausea but had no emesis .' -p266722 -(lp266723 -S'She\tShe\tPRP\tB-NP\tO' -p266724 -aS'had\thave\tVBD\tB-VP\tO' -p266725 -aS'some\tsome\tDT\tB-NP\tO' -p266726 -aS'initial\tinitial\tJJ\tI-NP\tO' -p266727 -aS'nausea\tnausea\tNN\tI-NP\tO' -p266728 -aS'but\tbut\tCC\tO\tO' -p266729 -aS'had\thave\tVBD\tB-VP\tO' -p266730 -aS'no\tno\tDT\tB-NP\tO' -p266731 -aS'emesis\temesis\tNN\tI-NP\tO' -p266732 -aS'.\t.\t.\tO\tO' -p266733 -asS'Long QT interval ( QTc 462 ms ).' -p266734 -(lp266735 -S'Long\tLong\tJJ\tB-NP\tO' -p266736 -aS'QT\tQT\tNN\tI-NP\tO' -p266737 -aS'interval\tinterval\tNN\tI-NP\tO' -p266738 -aS'(\t(\t(\tO\tO' -p266739 -aS'QTc\tQTc\tNN\tB-NP\tO' -p266740 -aS'462\t462\tCD\tI-NP\tO' -p266741 -aS'ms\tms\tNN\tI-NP\tO' -p266742 -aS').\t).\t)\tO\tO' -p266743 -asS'He is stable on February 24 and ready for discharge to home .' -p266744 -(lp266745 -S'He\tHe\tPRP\tB-NP\tO' -p266746 -aS'is\tbe\tVBZ\tB-VP\tO' -p266747 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p266748 -aS'on\ton\tIN\tB-PP\tO' -p266749 -aS'February\tFebruary\tNNP\tB-NP\tO' -p266750 -aS'24\t24\tCD\tI-NP\tO' -p266751 -aS'and\tand\tCC\tO\tO' -p266752 -aS'ready\tready\tJJ\tB-ADJP\tO' -p266753 -aS'for\tfor\tIN\tB-PP\tO' -p266754 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p266755 -aS'to\tto\tTO\tB-PP\tO' -p266756 -aS'home\thome\tNN\tB-NP\tO' -p266757 -aS'.\t.\t.\tO\tO' -p266758 -asS'He had no evident edema .' -p266759 -(lp266760 -S'He\tHe\tPRP\tB-NP\tO' -p266761 -aS'had\thave\tVBD\tB-VP\tO' -p266762 -aS'no\tno\tDT\tB-NP\tO' -p266763 -aS'evident\tevident\tJJ\tI-NP\tO' -p266764 -aS'edema\tedema\tNN\tI-NP\tO' -p266765 -aS'.\t.\t.\tO\tO' -p266766 -asS'Her Holter showed up to 12 beats of SVT , but was otherwise unremarkable .' -p266767 -(lp266768 -S'Her\tHer\tPRP$\tB-NP\tO' -p266769 -aS'Holter\tHolter\tNNP\tI-NP\tO' -p266770 -aS'showed\tshow\tVBD\tB-VP\tO' -p266771 -aS'up\tup\tRB\tB-NP\tO' -p266772 -aS'to\tto\tTO\tI-NP\tO' -p266773 -aS'12\t12\tCD\tI-NP\tO' -p266774 -aS'beats\tbeat\tNNS\tI-NP\tO' -p266775 -aS'of\tof\tIN\tB-PP\tO' -p266776 -aS'SVT\tSVT\tNN\tB-NP\tO' -p266777 -aS',\t,\t,\tO\tO' -p266778 -aS'but\tbut\tCC\tO\tO' -p266779 -aS'was\tbe\tVBD\tB-VP\tO' -p266780 -aS'otherwise\totherwise\tRB\tB-ADJP\tO' -p266781 -aS'unremarkable\tunremarkable\tJJ\tI-ADJP\tO' -p266782 -aS'.\t.\t.\tO\tO' -p266783 -asS'His blood pressure is 130/80 and heart rate was 100. jugular venous pressure was increasing .' -p266784 -(lp266785 -S'His\tHis\tPRP$\tB-NP\tO' -p266786 -aS'blood\tblood\tNN\tI-NP\tO' -p266787 -aS'pressure\tpressure\tNN\tI-NP\tO' -p266788 -aS'is\tbe\tVBZ\tB-VP\tO' -p266789 -aS'130/80\t130/80\tCD\tB-NP\tO' -p266790 -aS'and\tand\tCC\tO\tO' -p266791 -aS'heart\theart\tNN\tB-NP\tO' -p266792 -aS'rate\trate\tNN\tI-NP\tO' -p266793 -aS'was\tbe\tVBD\tB-VP\tO' -p266794 -aS'100.\t100.\tCD\tB-NP\tO' -p266795 -aS'jugular\tjugular\tJJ\tI-NP\tO' -p266796 -aS'venous\tvenous\tJJ\tI-NP\tO' -p266797 -aS'pressure\tpressure\tNN\tI-NP\tO' -p266798 -aS'was\tbe\tVBD\tB-VP\tO' -p266799 -aS'increasing\tincrease\tVBG\tI-VP\tO' -p266800 -aS'.\t.\t.\tO\tO' -p266801 -asS'Maternal aunt with breast cancer .' -p266802 -(lp266803 -S'Maternal\tMaternal\tJJ\tB-NP\tO' -p266804 -aS'aunt\taunt\tNN\tI-NP\tO' -p266805 -aS'with\twith\tIN\tB-PP\tO' -p266806 -aS'breast\tbreast\tNN\tB-NP\tO' -p266807 -aS'cancer\tcancer\tNN\tI-NP\tO' -p266808 -aS'.\t.\t.\tO\tO' -p266809 -asS'GENERAL : pleasant female in no apparent distress , jaundiced skin .' -p266810 -(lp266811 -S'GENERAL\tGENERAL\tNNP\tB-NP\tO' -p266812 -aS':\t:\t:\tO\tO' -p266813 -aS'pleasant\tpleasant\tJJ\tB-NP\tO' -p266814 -aS'female\tfemale\tNN\tI-NP\tO' -p266815 -aS'in\tin\tIN\tB-PP\tO' -p266816 -aS'no\tno\tDT\tB-NP\tO' -p266817 -aS'apparent\tapparent\tJJ\tI-NP\tO' -p266818 -aS'distress\tdistress\tNN\tI-NP\tO' -p266819 -aS',\t,\t,\tO\tO' -p266820 -aS'jaundiced\tjaundice\tVBN\tB-NP\tO' -p266821 -aS'skin\tskin\tNN\tI-NP\tO' -p266822 -aS'.\t.\t.\tO\tO' -p266823 -asS'She will need advance calorie density for better growth .' -p266824 -(lp266825 -S'She\tShe\tPRP\tB-NP\tO' -p266826 -aS'will\twill\tMD\tB-VP\tO' -p266827 -aS'need\tneed\tVB\tI-VP\tO' -p266828 -aS'advance\tadvance\tNN\tB-NP\tO' -p266829 -aS'calorie\tcalorie\tNN\tI-NP\tO' -p266830 -aS'density\tdensity\tNN\tI-NP\tO' -p266831 -aS'for\tfor\tIN\tB-PP\tO' -p266832 -aS'better\tgood\tJJR\tB-NP\tO' -p266833 -aS'growth\tgrowth\tNN\tI-NP\tO' -p266834 -aS'.\t.\t.\tO\tO' -p266835 -asS'Levoxine 0.125 mg PO q.day , Vasotec 10 mg PO b.i.d. , Maxzide 75/50 , 30 mg PO q.day .' -p266836 -(lp266837 -S'Levoxine\tLevoxine\tNN\tB-NP\tO' -p266838 -aS'0.125\t0.125\tCD\tI-NP\tO' -p266839 -aS'mg\tmg\tNN\tI-NP\tO' -p266840 -aS'PO\tPO\tNN\tI-NP\tO' -p266841 -aS'q.day\tq.day\tNN\tI-NP\tO' -p266842 -aS',\t,\t,\tO\tO' -p266843 -aS'Vasotec\tVasotec\tNNP\tB-NP\tO' -p266844 -aS'10\t10\tCD\tI-NP\tO' -p266845 -aS'mg\tmg\tNN\tI-NP\tO' -p266846 -aS'PO\tPO\tNN\tI-NP\tO' -p266847 -aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' -p266848 -aS',\t,\t,\tO\tO' -p266849 -aS'Maxzide\tMaxzide\tNNP\tB-NP\tO' -p266850 -aS'75/50\t75/50\tCD\tI-NP\tO' -p266851 -aS',\t,\t,\tO\tO' -p266852 -aS'30\t30\tCD\tB-NP\tO' -p266853 -aS'mg\tmg\tNN\tI-NP\tO' -p266854 -aS'PO\tPO\tNN\tI-NP\tO' -p266855 -aS'q.day\tq.day\tNN\tI-NP\tO' -p266856 -aS'.\t.\t.\tO\tO' -p266857 -asS'Follow-up appointments recommended with the primary pediatrician , Dr. Marilyn Daley of Stockbridge , Village Pediatrics , Dr. Lynn Warren of Neurology from Emerson Hospital and Ophthalmology to follow her ophthalmology status .' -p266858 -(lp266859 -S'Follow-up\tFollow-up\tJJ\tB-NP\tO' -p266860 -aS'appointments\tappointment\tNNS\tI-NP\tO' -p266861 -aS'recommended\trecommend\tVBN\tB-VP\tO' -p266862 -aS'with\twith\tIN\tB-PP\tO' -p266863 -aS'the\tthe\tDT\tB-NP\tO' -p266864 -aS'primary\tprimary\tJJ\tI-NP\tO' -p266865 -aS'pediatrician\tpediatrician\tNN\tI-NP\tO' -p266866 -aS',\t,\t,\tO\tO' -p266867 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p266868 -aS'Marilyn\tMarilyn\tNNP\tI-NP\tO' -p266869 -aS'Daley\tDaley\tNNP\tI-NP\tO' -p266870 -aS'of\tof\tIN\tB-PP\tO' -p266871 -aS'Stockbridge\tStockbridge\tNNP\tB-NP\tO' -p266872 -aS',\t,\t,\tO\tO' -p266873 -aS'Village\tVillage\tNNP\tB-NP\tO' -p266874 -aS'Pediatrics\tPediatrics\tNNP\tI-NP\tO' -p266875 -aS',\t,\t,\tO\tO' -p266876 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p266877 -aS'Lynn\tLynn\tNNP\tI-NP\tO' -p266878 -aS'Warren\tWarren\tNNP\tI-NP\tO' -p266879 -aS'of\tof\tIN\tB-PP\tO' -p266880 -aS'Neurology\tNeurology\tNNP\tB-NP\tO' -p266881 -aS'from\tfrom\tIN\tB-PP\tO' -p266882 -aS'Emerson\tEmerson\tNNP\tB-NP\tO' -p266883 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p266884 -aS'and\tand\tCC\tO\tO' -p266885 -aS'Ophthalmology\tOphthalmology\tNNP\tB-NP\tO' -p266886 -aS'to\tto\tTO\tB-VP\tO' -p266887 -aS'follow\tfollow\tVB\tI-VP\tO' -p266888 -aS'her\ther\tPRP$\tB-NP\tO' -p266889 -aS'ophthalmology\tophthalmology\tNN\tI-NP\tO' -p266890 -aS'status\tstatus\tNN\tI-NP\tO' -p266891 -aS'.\t.\t.\tO\tO' -p266892 -asS'Chest xray showed expanded lungs with biapical pulmonary opacities .' -p266893 -(lp266894 -S'Chest\tChest\tNNP\tB-NP\tO' -p266895 -aS'xray\txray\tNNP\tI-NP\tO' -p266896 -aS'showed\tshow\tVBD\tB-VP\tO' -p266897 -aS'expanded\texpand\tVBN\tB-NP\tO' -p266898 -aS'lungs\tlung\tNNS\tI-NP\tO' -p266899 -aS'with\twith\tIN\tB-PP\tO' -p266900 -aS'biapical\tbiapical\tJJ\tB-NP\tO' -p266901 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p266902 -aS'opacities\topacity\tNNS\tI-NP\tO' -p266903 -aS'.\t.\t.\tO\tO' -p266904 -asS'Soft palate was in the midline and moved upward nicely , but did not respond to gag .' -p266905 -(lp266906 -S'Soft\tSoft\tJJ\tB-NP\tO' -p266907 -aS'palate\tpalate\tNN\tI-NP\tO' -p266908 -aS'was\tbe\tVBD\tB-VP\tO' -p266909 -aS'in\tin\tIN\tB-PP\tO' -p266910 -aS'the\tthe\tDT\tB-NP\tO' -p266911 -aS'midline\tmidline\tNN\tI-NP\tO' -p266912 -aS'and\tand\tCC\tO\tO' -p266913 -aS'moved\tmove\tVBD\tB-VP\tO' -p266914 -aS'upward\tupward\tRB\tB-ADVP\tO' -p266915 -aS'nicely\tnicely\tRB\tI-ADVP\tO' -p266916 -aS',\t,\t,\tO\tO' -p266917 -aS'but\tbut\tCC\tO\tO' -p266918 -aS'did\tdo\tVBD\tB-VP\tO' -p266919 -aS'not\tnot\tRB\tI-VP\tO' -p266920 -aS'respond\trespond\tVB\tI-VP\tO' -p266921 -aS'to\tto\tTO\tB-PP\tO' -p266922 -aS'gag\tgag\tNN\tB-NP\tO' -p266923 -aS'.\t.\t.\tO\tO' -p266924 -asS'Mucosal membranes are moist .' -p266925 -(lp266926 -S'Mucosal\tMucosal\tJJ\tB-NP\tO' -p266927 -aS'membranes\tmembrane\tNNS\tI-NP\tO' -p266928 -aS'are\tbe\tVBP\tB-VP\tO' -p266929 -aS'moist\tmoist\tJJ\tB-ADJP\tO' -p266930 -aS'.\t.\t.\tO\tO' -p266931 -asS'The patient had a long history of hypertension , hypercholesterolemia , tobacco abuse , and family history of coronary artery disease , who was in the usual state of health until Saturday previous to admission when she experienced bilateral arm and chest discomfort while carrying groceries .' -p266932 -(lp266933 -S'The\tThe\tDT\tB-NP\tO' -p266934 -aS'patient\tpatient\tNN\tI-NP\tO' -p266935 -aS'had\thave\tVBD\tB-VP\tO' -p266936 -aS'a\ta\tDT\tB-NP\tO' -p266937 -aS'long\tlong\tJJ\tI-NP\tO' -p266938 -aS'history\thistory\tNN\tI-NP\tO' -p266939 -aS'of\tof\tIN\tB-PP\tO' -p266940 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p266941 -aS',\t,\t,\tO\tO' -p266942 -aS'hypercholesterolemia\thypercholesterolemia\tNN\tB-NP\tO' -p266943 -aS',\t,\t,\tO\tO' -p266944 -aS'tobacco\ttobacco\tNN\tB-NP\tO' -p266945 -aS'abuse\tabuse\tNN\tI-NP\tO' -p266946 -aS',\t,\t,\tO\tO' -p266947 -aS'and\tand\tCC\tO\tO' -p266948 -aS'family\tfamily\tNN\tB-NP\tO' -p266949 -aS'history\thistory\tNN\tI-NP\tO' -p266950 -aS'of\tof\tIN\tB-PP\tO' -p266951 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p266952 -aS'artery\tartery\tNN\tI-NP\tO' -p266953 -aS'disease\tdisease\tNN\tI-NP\tO' -p266954 -aS',\t,\t,\tO\tO' -p266955 -aS'who\twho\tWP\tB-NP\tO' -p266956 -aS'was\tbe\tVBD\tB-VP\tO' -p266957 -aS'in\tin\tIN\tB-PP\tO' -p266958 -aS'the\tthe\tDT\tB-NP\tO' -p266959 -aS'usual\tusual\tJJ\tI-NP\tO' -p266960 -aS'state\tstate\tNN\tI-NP\tO' -p266961 -aS'of\tof\tIN\tB-PP\tO' -p266962 -aS'health\thealth\tNN\tB-NP\tO' -p266963 -aS'until\tuntil\tIN\tB-PP\tO' -p266964 -aS'Saturday\tSaturday\tNNP\tB-NP\tO' -p266965 -aS'previous\tprevious\tJJ\tB-ADJP\tO' -p266966 -aS'to\tto\tTO\tB-PP\tO' -p266967 -aS'admission\tadmission\tNN\tB-NP\tO' -p266968 -aS'when\twhen\tWRB\tB-ADVP\tO' -p266969 -aS'she\tshe\tPRP\tB-NP\tO' -p266970 -aS'experienced\texperience\tVBD\tB-VP\tO' -p266971 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p266972 -aS'arm\tarm\tNN\tI-NP\tO' -p266973 -aS'and\tand\tCC\tI-NP\tO' -p266974 -aS'chest\tchest\tNN\tI-NP\tO' -p266975 -aS'discomfort\tdiscomfort\tNN\tI-NP\tO' -p266976 -aS'while\twhile\tIN\tB-SBAR\tO' -p266977 -aS'carrying\tcarry\tVBG\tB-VP\tO' -p266978 -aS'groceries\tgrocery\tNNS\tB-NP\tO' -p266979 -aS'.\t.\t.\tO\tO' -p266980 -asS'In the last 12 hours of her life , her pulsus was 12 , and she was felt to likely to have aspect of tamponade physiology , since her preload was reduced .' -p266981 -(lp266982 -S'In\tIn\tIN\tB-PP\tO' -p266983 -aS'the\tthe\tDT\tB-NP\tO' -p266984 -aS'last\tlast\tJJ\tI-NP\tO' -p266985 -aS'12\t12\tCD\tI-NP\tO' -p266986 -aS'hours\thour\tNNS\tI-NP\tO' -p266987 -aS'of\tof\tIN\tB-PP\tO' -p266988 -aS'her\ther\tPRP$\tB-NP\tO' -p266989 -aS'life\tlife\tNN\tI-NP\tO' -p266990 -aS',\t,\t,\tO\tO' -p266991 -aS'her\ther\tPRP$\tB-NP\tO' -p266992 -aS'pulsus\tpulsus\tNN\tI-NP\tO' -p266993 -aS'was\tbe\tVBD\tB-VP\tO' -p266994 -aS'12\t12\tCD\tB-NP\tO' -p266995 -aS',\t,\t,\tO\tO' -p266996 -aS'and\tand\tCC\tO\tO' -p266997 -aS'she\tshe\tPRP\tB-NP\tO' -p266998 -aS'was\tbe\tVBD\tB-VP\tO' -p266999 -aS'felt\tfeel\tVBN\tI-VP\tO' -p267000 -aS'to\tto\tTO\tB-PP\tO' -p267001 -aS'likely\tlikely\tJJ\tB-ADJP\tO' -p267002 -aS'to\tto\tTO\tB-VP\tO' -p267003 -aS'have\thave\tVB\tI-VP\tO' -p267004 -aS'aspect\taspect\tNN\tB-NP\tO' -p267005 -aS'of\tof\tIN\tB-PP\tO' -p267006 -aS'tamponade\ttamponade\tNN\tB-NP\tO' -p267007 -aS'physiology\tphysiology\tNN\tI-NP\tO' -p267008 -aS',\t,\t,\tO\tO' -p267009 -aS'since\tsince\tIN\tB-SBAR\tO' -p267010 -aS'her\ther\tPRP$\tB-NP\tO' -p267011 -aS'preload\tpreload\tNN\tI-NP\tO' -p267012 -aS'was\tbe\tVBD\tB-VP\tO' -p267013 -aS'reduced\treduce\tVBN\tI-VP\tO' -p267014 -aS'.\t.\t.\tO\tO' -p267015 -asS'Complex tear involving the posterior Ellison and body .' -p267016 -(lp267017 -S'Complex\tComplex\tNN\tB-NP\tO' -p267018 -aS'tear\ttear\tNN\tI-NP\tO' -p267019 -aS'involving\tinvolve\tVBG\tB-VP\tO' -p267020 -aS'the\tthe\tDT\tB-NP\tO' -p267021 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p267022 -aS'Ellison\tEllison\tNN\tI-NP\tO' -p267023 -aS'and\tand\tCC\tI-NP\tO' -p267024 -aS'body\tbody\tNN\tI-NP\tO' -p267025 -aS'.\t.\t.\tO\tO' -p267026 -asS'Attempts to visualize colon by conventional and CT virtual colonoscopy failed because of sigmoid angulation and inadequate preparation , respectively .' -p267027 -(lp267028 -S'Attempts\tAttempt\tNNS\tB-NP\tO' -p267029 -aS'to\tto\tTO\tB-VP\tO' -p267030 -aS'visualize\tvisualize\tVB\tI-VP\tO' -p267031 -aS'colon\tcolon\tNN\tB-NP\tO' -p267032 -aS'by\tby\tIN\tB-PP\tO' -p267033 -aS'conventional\tconventional\tJJ\tB-NP\tO' -p267034 -aS'and\tand\tCC\tI-NP\tO' -p267035 -aS'CT\tCT\tNN\tI-NP\tO' -p267036 -aS'virtual\tvirtual\tJJ\tI-NP\tO' -p267037 -aS'colonoscopy\tcolonoscopy\tNN\tI-NP\tO' -p267038 -aS'failed\tfail\tVBD\tB-VP\tO' -p267039 -aS'because\tbecause\tIN\tB-PP\tO' -p267040 -aS'of\tof\tIN\tI-PP\tO' -p267041 -aS'sigmoid\tsigmoid\tJJ\tB-NP\tO' -p267042 -aS'angulation\tangulation\tNN\tI-NP\tO' -p267043 -aS'and\tand\tCC\tO\tO' -p267044 -aS'inadequate\tinadequate\tJJ\tB-NP\tO' -p267045 -aS'preparation\tpreparation\tNN\tI-NP\tO' -p267046 -aS',\t,\t,\tO\tO' -p267047 -aS'respectively\trespectively\tRB\tB-ADVP\tO' -p267048 -aS'.\t.\t.\tO\tO' -p267049 -asS'She was transfered to AttleboroHospital after an arrest .' -p267050 -(lp267051 -S'She\tShe\tPRP\tB-NP\tO' -p267052 -aS'was\tbe\tVBD\tB-VP\tO' -p267053 -aS'transfered\ttransfer\tVBN\tI-VP\tO' -p267054 -aS'to\tto\tTO\tB-PP\tO' -p267055 -aS'AttleboroHospital\tAttleboroHospital\tNN\tB-NP\tO' -p267056 -aS'after\tafter\tIN\tB-PP\tO' -p267057 -aS'an\tan\tDT\tB-NP\tO' -p267058 -aS'arrest\tarrest\tNN\tI-NP\tO' -p267059 -aS'.\t.\t.\tO\tO' -p267060 -asS'If you are unable to keep down liquids or have any fainting episodes we should see you again as well .' -p267061 -(lp267062 -S'If\tIf\tIN\tB-SBAR\tO' -p267063 -aS'you\tyou\tPRP\tB-NP\tO' -p267064 -aS'are\tbe\tVBP\tB-VP\tO' -p267065 -aS'unable\tunable\tJJ\tB-ADJP\tO' -p267066 -aS'to\tto\tTO\tB-VP\tO' -p267067 -aS'keep\tkeep\tVB\tI-VP\tO' -p267068 -aS'down\tdown\tRP\tB-PRT\tO' -p267069 -aS'liquids\tliquid\tNNS\tB-NP\tO' -p267070 -aS'or\tor\tCC\tO\tO' -p267071 -aS'have\thave\tVB\tB-VP\tO' -p267072 -aS'any\tany\tDT\tB-NP\tO' -p267073 -aS'fainting\tfainting\tNN\tI-NP\tO' -p267074 -aS'episodes\tepisode\tVBZ\tB-VP\tO' -p267075 -aS'we\twe\tPRP\tB-NP\tO' -p267076 -aS'should\tshould\tMD\tB-VP\tO' -p267077 -aS'see\tsee\tVB\tI-VP\tO' -p267078 -aS'you\tyou\tPRP\tB-NP\tO' -p267079 -aS'again\tagain\tRB\tB-ADVP\tO' -p267080 -aS'as\tas\tRB\tB-ADVP\tO' -p267081 -aS'well\twell\tRB\tI-ADVP\tO' -p267082 -aS'.\t.\t.\tO\tO' -p267083 -asS'Responding to commands .' -p267084 -(lp267085 -S'Responding\tRespond\tVBG\tB-VP\tO' -p267086 -aS'to\tto\tTO\tB-PP\tO' -p267087 -aS'commands\tcommand\tNNS\tB-NP\tO' -p267088 -aS'.\t.\t.\tO\tO' -p267089 -asS'3. Aluminum-Magnesium Hydroxide 225-200 mg / 5 mL Suspension Sig : 15-30 MLs PO QID ( 4 times a day ) as needed .' -p267090 -(lp267091 -S'3.\t3.\tLS\tB-NP\tO' -p267092 -aS'Aluminum-Magnesium\tAluminum-Magnesium\tNN\tI-NP\tO' -p267093 -aS'Hydroxide\tHydroxide\tNN\tI-NP\tO' -p267094 -aS'225-200\t225-200\tCD\tI-NP\tO' -p267095 -aS'mg\tmg\tNN\tI-NP\tO' -p267096 -aS'/\t/\tSYM\tB-NP\tO' -p267097 -aS'5\t5\tCD\tB-NP\tO' -p267098 -aS'mL\tmL\tNN\tI-NP\tO' -p267099 -aS'Suspension\tSuspension\tNNP\tI-NP\tO' -p267100 -aS'Sig\tSig\tNNP\tI-NP\tO' -p267101 -aS':\t:\t:\tO\tO' -p267102 -aS'15-30\t15-30\tCD\tB-NP\tO' -p267103 -aS'MLs\tML\tNNS\tI-NP\tO' -p267104 -aS'PO\tPO\tNN\tI-NP\tO' -p267105 -aS'QID\tQID\tNN\tI-NP\tO' -p267106 -aS'(\t(\t(\tO\tO' -p267107 -aS'4\t4\tCD\tB-NP\tO' -p267108 -aS'times\ttime\tNNS\tI-NP\tO' -p267109 -aS'a\ta\tDT\tB-NP\tO' -p267110 -aS'day\tday\tNN\tI-NP\tO' -p267111 -aS')\t)\t)\tO\tO' -p267112 -aS'as\tas\tIN\tB-SBAR\tO' -p267113 -aS'needed\tneed\tVBN\tB-VP\tO' -p267114 -aS'.\t.\t.\tO\tO' -p267115 -asS'Dictated By : James H. Acosta , M.D.' -p267116 -(lp267117 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p267118 -aS'By\tBy\tIN\tB-PP\tO' -p267119 -aS':\t:\t:\tO\tO' -p267120 -aS'James\tJames\tNNP\tB-NP\tO' -p267121 -aS'H.\tH.\tNNP\tI-NP\tO' -p267122 -aS'Acosta\tAcosta\tNNP\tI-NP\tO' -p267123 -aS',\t,\t,\tO\tO' -p267124 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p267125 -asS'The patient had gradual improvement in her oxygenation .' -p267126 -(lp267127 -S'The\tThe\tDT\tB-NP\tO' -p267128 -aS'patient\tpatient\tNN\tI-NP\tO' -p267129 -aS'had\thave\tVBD\tB-VP\tO' -p267130 -aS'gradual\tgradual\tJJ\tB-NP\tO' -p267131 -aS'improvement\timprovement\tNN\tI-NP\tO' -p267132 -aS'in\tin\tIN\tB-PP\tO' -p267133 -aS'her\ther\tPRP$\tB-NP\tO' -p267134 -aS'oxygenation\toxygenation\tNN\tI-NP\tO' -p267135 -aS'.\t.\t.\tO\tO' -p267136 -asS'The pt will be made comfortable , with goals of care shifted towards suppressing her air hunger and pain .' -p267137 -(lp267138 -S'The\tThe\tDT\tB-NP\tO' -p267139 -aS'pt\tpt\tNN\tI-NP\tO' -p267140 -aS'will\twill\tMD\tB-VP\tO' -p267141 -aS'be\tbe\tVB\tI-VP\tO' -p267142 -aS'made\tmake\tVBN\tI-VP\tO' -p267143 -aS'comfortable\tcomfortable\tJJ\tB-ADJP\tO' -p267144 -aS',\t,\t,\tO\tO' -p267145 -aS'with\twith\tIN\tB-PP\tO' -p267146 -aS'goals\tgoal\tNNS\tB-NP\tO' -p267147 -aS'of\tof\tIN\tB-PP\tO' -p267148 -aS'care\tcare\tNN\tB-NP\tO' -p267149 -aS'shifted\tshift\tVBD\tB-VP\tO' -p267150 -aS'towards\ttowards\tIN\tB-PP\tO' -p267151 -aS'suppressing\tsuppress\tVBG\tB-VP\tO' -p267152 -aS'her\ther\tPRP$\tB-NP\tO' -p267153 -aS'air\tair\tNN\tI-NP\tO' -p267154 -aS'hunger\thunger\tNN\tI-NP\tO' -p267155 -aS'and\tand\tCC\tI-NP\tO' -p267156 -aS'pain\tpain\tNN\tI-NP\tO' -p267157 -aS'.\t.\t.\tO\tO' -p267158 -asS'Blood pressure 110/80 .' -p267159 -(lp267160 -S'Blood\tBlood\tNN\tB-NP\tO' -p267161 -aS'pressure\tpressure\tNN\tI-NP\tO' -p267162 -aS'110/80\t110/80\tCD\tI-NP\tO' -p267163 -aS'.\t.\t.\tO\tO' -p267164 -asS'Baby Davis is the 3.160 kilogram product of a term pregnancy .' -p267165 -(lp267166 -S'Baby\tBaby\tNNP\tB-NP\tO' -p267167 -aS'Davis\tDavis\tNNP\tI-NP\tO' -p267168 -aS'is\tbe\tVBZ\tB-VP\tO' -p267169 -aS'the\tthe\tDT\tB-NP\tO' -p267170 -aS'3.160\t3.160\tCD\tI-NP\tO' -p267171 -aS'kilogram\tkilogram\tNN\tI-NP\tO' -p267172 -aS'product\tproduct\tNN\tI-NP\tO' -p267173 -aS'of\tof\tIN\tB-PP\tO' -p267174 -aS'a\ta\tDT\tB-NP\tO' -p267175 -aS'term\tterm\tNN\tI-NP\tO' -p267176 -aS'pregnancy\tpregnancy\tNN\tI-NP\tO' -p267177 -aS'.\t.\t.\tO\tO' -p267178 -asS'Car seat position screening passed on 06-07 .' -p267179 -(lp267180 -S'Car\tCar\tNN\tB-NP\tB-protein' -p267181 -aS'seat\tseat\tNN\tI-NP\tO' -p267182 -aS'position\tposition\tNN\tI-NP\tO' -p267183 -aS'screening\tscreening\tNN\tI-NP\tO' -p267184 -aS'passed\tpass\tVBN\tB-VP\tO' -p267185 -aS'on\ton\tIN\tB-PP\tO' -p267186 -aS'06-07\t06-07\tCD\tB-NP\tO' -p267187 -aS'.\t.\t.\tO\tO' -p267188 -asS'Lungs revealed decreased breath sounds and dullness to percussion in the left lung base .' -p267189 -(lp267190 -S'Lungs\tLung\tNNS\tB-NP\tO' -p267191 -aS'revealed\treveal\tVBD\tB-VP\tO' -p267192 -aS'decreased\tdecrease\tVBN\tB-NP\tO' -p267193 -aS'breath\tbreath\tNN\tI-NP\tO' -p267194 -aS'sounds\tsound\tNNS\tI-NP\tO' -p267195 -aS'and\tand\tCC\tO\tO' -p267196 -aS'dullness\tdullness\tNN\tB-NP\tO' -p267197 -aS'to\tto\tTO\tB-PP\tO' -p267198 -aS'percussion\tpercussion\tNN\tB-NP\tO' -p267199 -aS'in\tin\tIN\tB-PP\tO' -p267200 -aS'the\tthe\tDT\tB-NP\tO' -p267201 -aS'left\tleft\tJJ\tI-NP\tO' -p267202 -aS'lung\tlung\tNN\tI-NP\tO' -p267203 -aS'base\tbase\tNN\tI-NP\tO' -p267204 -aS'.\t.\t.\tO\tO' -p267205 -asS'ABG done 7.1 , 89/72 - he was placed on AC 600 / 0.4 and 6 PEEP - sats up to 94% .' -p267206 -(lp267207 -S'ABG\tABG\tNN\tB-NP\tO' -p267208 -aS'done\tdo\tVBN\tB-VP\tO' -p267209 -aS'7.1\t7.1\tCD\tB-NP\tO' -p267210 -aS',\t,\t,\tI-NP\tO' -p267211 -aS'89/72\t89/72\tCD\tI-NP\tO' -p267212 -aS'-\t-\tHYPH\tO\tO' -p267213 -aS'he\the\tPRP\tB-NP\tO' -p267214 -aS'was\tbe\tVBD\tB-VP\tO' -p267215 -aS'placed\tplace\tVBN\tI-VP\tO' -p267216 -aS'on\ton\tIN\tB-PP\tO' -p267217 -aS'AC\tAC\tNN\tB-NP\tB-DNA' -p267218 -aS'600\t600\tCD\tI-NP\tI-DNA' -p267219 -aS'/\t/\tSYM\tI-NP\tO' -p267220 -aS'0.4\t0.4\tCD\tI-NP\tO' -p267221 -aS'and\tand\tCC\tI-NP\tO' -p267222 -aS'6\t6\tCD\tI-NP\tO' -p267223 -aS'PEEP\tPEEP\tNN\tI-NP\tO' -p267224 -aS'-\t-\tHYPH\tI-NP\tO' -p267225 -aS'sats\tsat\tNNS\tI-NP\tO' -p267226 -aS'up\tup\tIN\tB-PP\tO' -p267227 -aS'to\tto\tTO\tB-PP\tO' -p267228 -aS'94%\t94%\tCD\tB-NP\tO' -p267229 -aS'.\t.\t.\tO\tO' -p267230 -asS'8. Dilaudid .' -p267231 -(lp267232 -S'8.\t8.\tCD\tB-NP\tO' -p267233 -aS'Dilaudid\tDilaudid\tNNP\tI-NP\tO' -p267234 -aS'.\t.\t.\tO\tO' -p267235 -asS'She was made DNR/DNI and the plan is that she will be transferred to WIH and extubated there upon arrival with initiation of full palliative care .' -p267236 -(lp267237 -S'She\tShe\tPRP\tB-NP\tO' -p267238 -aS'was\tbe\tVBD\tB-VP\tO' -p267239 -aS'made\tmake\tVBN\tI-VP\tO' -p267240 -aS'DNR/DNI\tDNR/DNI\tNN\tB-NP\tO' -p267241 -aS'and\tand\tCC\tO\tO' -p267242 -aS'the\tthe\tDT\tB-NP\tO' -p267243 -aS'plan\tplan\tNN\tI-NP\tO' -p267244 -aS'is\tbe\tVBZ\tB-VP\tO' -p267245 -aS'that\tthat\tIN\tB-SBAR\tO' -p267246 -aS'she\tshe\tPRP\tB-NP\tO' -p267247 -aS'will\twill\tMD\tB-VP\tO' -p267248 -aS'be\tbe\tVB\tI-VP\tO' -p267249 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p267250 -aS'to\tto\tTO\tB-PP\tO' -p267251 -aS'WIH\tWIH\tNN\tB-NP\tO' -p267252 -aS'and\tand\tCC\tO\tO' -p267253 -aS'extubated\textubate\tVBN\tB-VP\tO' -p267254 -aS'there\tthere\tRB\tB-ADVP\tO' -p267255 -aS'upon\tupon\tIN\tB-PP\tO' -p267256 -aS'arrival\tarrival\tNN\tB-NP\tO' -p267257 -aS'with\twith\tIN\tB-PP\tO' -p267258 -aS'initiation\tinitiation\tNN\tB-NP\tO' -p267259 -aS'of\tof\tIN\tB-PP\tO' -p267260 -aS'full\tfull\tJJ\tB-NP\tO' -p267261 -aS'palliative\tpalliative\tJJ\tI-NP\tO' -p267262 -aS'care\tcare\tNN\tI-NP\tO' -p267263 -aS'.\t.\t.\tO\tO' -p267264 -asS'4. 1.4 cm hypodense lesion in right lobe of the liver is incompletely characterized .' -p267265 -(lp267266 -S'4.\t4.\tLS\tB-NP\tO' -p267267 -aS'1.4\t1.4\tCD\tI-NP\tO' -p267268 -aS'cm\tcm\tNN\tI-NP\tO' -p267269 -aS'hypodense\thypodense\tNN\tI-NP\tO' -p267270 -aS'lesion\tlesion\tNN\tI-NP\tO' -p267271 -aS'in\tin\tIN\tB-PP\tO' -p267272 -aS'right\tright\tJJ\tB-NP\tO' -p267273 -aS'lobe\tlobe\tNN\tI-NP\tO' -p267274 -aS'of\tof\tIN\tB-PP\tO' -p267275 -aS'the\tthe\tDT\tB-NP\tO' -p267276 -aS'liver\tliver\tNN\tI-NP\tO' -p267277 -aS'is\tbe\tVBZ\tB-VP\tO' -p267278 -aS'incompletely\tincompletely\tRB\tI-VP\tO' -p267279 -aS'characterized\tcharacterize\tVBN\tI-VP\tO' -p267280 -aS'.\t.\t.\tO\tO' -p267281 -asS'Within the next couple of days , the patient noticed a significant improvement in her pain pattern .' -p267282 -(lp267283 -S'Within\tWithin\tIN\tB-PP\tO' -p267284 -aS'the\tthe\tDT\tB-NP\tO' -p267285 -aS'next\tnext\tJJ\tI-NP\tO' -p267286 -aS'couple\tcouple\tNN\tI-NP\tO' -p267287 -aS'of\tof\tIN\tB-PP\tO' -p267288 -aS'days\tday\tNNS\tB-NP\tO' -p267289 -aS',\t,\t,\tO\tO' -p267290 -aS'the\tthe\tDT\tB-NP\tO' -p267291 -aS'patient\tpatient\tNN\tI-NP\tO' -p267292 -aS'noticed\tnotice\tVBD\tB-VP\tO' -p267293 -aS'a\ta\tDT\tB-NP\tO' -p267294 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p267295 -aS'improvement\timprovement\tNN\tI-NP\tO' -p267296 -aS'in\tin\tIN\tB-PP\tO' -p267297 -aS'her\ther\tPRP$\tB-NP\tO' -p267298 -aS'pain\tpain\tNN\tI-NP\tO' -p267299 -aS'pattern\tpattern\tNN\tI-NP\tO' -p267300 -aS'.\t.\t.\tO\tO' -p267301 -asS'Norvasc 2.5 mg PO qd .' -p267302 -(lp267303 -S'Norvasc\tNorvasc\tRB\tB-NP\tO' -p267304 -aS'2.5\t2.5\tCD\tI-NP\tO' -p267305 -aS'mg\tmg\tNN\tI-NP\tO' -p267306 -aS'PO\tPO\tNN\tI-NP\tO' -p267307 -aS'qd\tqd\tNN\tI-NP\tO' -p267308 -aS'.\t.\t.\tO\tO' -p267309 -asS'Percocet 1-2 PO q4h prn .' -p267310 -(lp267311 -S'Percocet\tPercocet\tIN\tB-PP\tO' -p267312 -aS'1-2\t1-2\tCD\tB-NP\tO' -p267313 -aS'PO\tPO\tNN\tI-NP\tO' -p267314 -aS'q4h\tq4h\tNN\tI-NP\tO' -p267315 -aS'prn\tprn\tNN\tI-NP\tO' -p267316 -aS'.\t.\t.\tO\tO' -p267317 -asS'Patient has no history of diabetes , and fasting glucose was 78 , but A1C was slightly elevated at 5.9 .' -p267318 -(lp267319 -S'Patient\tPatient\tNN\tB-NP\tO' -p267320 -aS'has\thave\tVBZ\tB-VP\tO' -p267321 -aS'no\tno\tDT\tB-NP\tO' -p267322 -aS'history\thistory\tNN\tI-NP\tO' -p267323 -aS'of\tof\tIN\tB-PP\tO' -p267324 -aS'diabetes\tdiabetes\tNN\tB-NP\tO' -p267325 -aS',\t,\t,\tO\tO' -p267326 -aS'and\tand\tCC\tO\tO' -p267327 -aS'fasting\tfast\tVBG\tB-VP\tO' -p267328 -aS'glucose\tglucose\tNN\tB-NP\tO' -p267329 -aS'was\tbe\tVBD\tB-VP\tO' -p267330 -aS'78\t78\tCD\tB-NP\tO' -p267331 -aS',\t,\t,\tO\tO' -p267332 -aS'but\tbut\tCC\tO\tO' -p267333 -aS'A1C\tA1C\tNN\tB-NP\tB-protein' -p267334 -aS'was\tbe\tVBD\tB-VP\tO' -p267335 -aS'slightly\tslightly\tRB\tB-ADJP\tO' -p267336 -aS'elevated\televated\tJJ\tI-ADJP\tO' -p267337 -aS'at\tat\tIN\tB-PP\tO' -p267338 -aS'5.9\t5.9\tCD\tB-NP\tO' -p267339 -aS'.\t.\t.\tO\tO' -p267340 -asS'7. Aberrant left coronary artery .' -p267341 -(lp267342 -S'7.\t7.\tLS\tB-NP\tO' -p267343 -aS'Aberrant\tAberrant\tJJ\tI-NP\tO' -p267344 -aS'left\tleft\tJJ\tI-NP\tO' -p267345 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p267346 -aS'artery\tartery\tNN\tI-NP\tO' -p267347 -aS'.\t.\t.\tO\tO' -p267348 -asS'Sodium of 136 , chloride 96 , bicarbonate 8 , BUN 25 , creatinine 1.2 , glucose 720 .' -p267349 -(lp267350 -S'Sodium\tSodium\tNN\tB-NP\tO' -p267351 -aS'of\tof\tIN\tB-PP\tO' -p267352 -aS'136\t136\tCD\tB-NP\tO' -p267353 -aS',\t,\t,\tO\tO' -p267354 -aS'chloride\tchloride\tNN\tB-NP\tO' -p267355 -aS'96\t96\tCD\tI-NP\tO' -p267356 -aS',\t,\t,\tO\tO' -p267357 -aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' -p267358 -aS'8\t8\tCD\tI-NP\tO' -p267359 -aS',\t,\t,\tO\tO' -p267360 -aS'BUN\tBUN\tNN\tB-NP\tB-DNA' -p267361 -aS'25\t25\tCD\tI-NP\tI-DNA' -p267362 -aS',\t,\t,\tO\tO' -p267363 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p267364 -aS'1.2\t1.2\tCD\tI-NP\tO' -p267365 -aS',\t,\t,\tO\tO' -p267366 -aS'glucose\tglucose\tNN\tB-NP\tO' -p267367 -aS'720\t720\tCD\tI-NP\tO' -p267368 -aS'.\t.\t.\tO\tO' -p267369 -asS'Responsible After Study for Causing Admission ) SAVD' -p267370 -(lp267371 -S'Responsible\tResponsible\tJJ\tB-ADJP\tO' -p267372 -aS'After\tAfter\tIN\tB-PP\tO' -p267373 -aS'Study\tStudy\tNN\tB-NP\tO' -p267374 -aS'for\tfor\tIN\tB-PP\tO' -p267375 -aS'Causing\tCause\tVBG\tB-VP\tO' -p267376 -aS'Admission\tAdmission\tNN\tB-NP\tO' -p267377 -aS')\t)\t)\tO\tO' -p267378 -aS'SAVD\tSAVD\tNN\tB-NP\tO' -p267379 -asS'Physical examination on admission revealed an elderly woman , sleeping , responsive only to noxious stimuli after having received some sedation in the emergency department .' -p267380 -(lp267381 -S'Physical\tPhysical\tJJ\tB-NP\tO' -p267382 -aS'examination\texamination\tNN\tI-NP\tO' -p267383 -aS'on\ton\tIN\tB-PP\tO' -p267384 -aS'admission\tadmission\tNN\tB-NP\tO' -p267385 -aS'revealed\treveal\tVBD\tB-VP\tO' -p267386 -aS'an\tan\tDT\tB-NP\tO' -p267387 -aS'elderly\telderly\tJJ\tI-NP\tO' -p267388 -aS'woman\twoman\tNN\tI-NP\tO' -p267389 -aS',\t,\t,\tO\tO' -p267390 -aS'sleeping\tsleep\tVBG\tB-VP\tO' -p267391 -aS',\t,\t,\tO\tO' -p267392 -aS'responsive\tresponsive\tJJ\tB-ADJP\tO' -p267393 -aS'only\tonly\tRB\tI-ADJP\tO' -p267394 -aS'to\tto\tTO\tB-PP\tO' -p267395 -aS'noxious\tnoxious\tJJ\tB-NP\tO' -p267396 -aS'stimuli\tstimulus\tNNS\tI-NP\tO' -p267397 -aS'after\tafter\tIN\tB-PP\tO' -p267398 -aS'having\thave\tVBG\tB-VP\tO' -p267399 -aS'received\treceive\tVBN\tI-VP\tO' -p267400 -aS'some\tsome\tDT\tB-NP\tO' -p267401 -aS'sedation\tsedation\tNN\tI-NP\tO' -p267402 -aS'in\tin\tIN\tB-PP\tO' -p267403 -aS'the\tthe\tDT\tB-NP\tO' -p267404 -aS'emergency\temergency\tNN\tI-NP\tO' -p267405 -aS'department\tdepartment\tNN\tI-NP\tO' -p267406 -aS'.\t.\t.\tO\tO' -p267407 -asS'There was a small bleed resulting from the sphincterotomy , but it was controlled by epinepherine injections .' -p267408 -(lp267409 -S'There\tThere\tEX\tB-NP\tO' -p267410 -aS'was\tbe\tVBD\tB-VP\tO' -p267411 -aS'a\ta\tDT\tB-NP\tO' -p267412 -aS'small\tsmall\tJJ\tI-NP\tO' -p267413 -aS'bleed\tbleed\tNN\tI-NP\tO' -p267414 -aS'resulting\tresult\tVBG\tB-VP\tO' -p267415 -aS'from\tfrom\tIN\tB-PP\tO' -p267416 -aS'the\tthe\tDT\tB-NP\tO' -p267417 -aS'sphincterotomy\tsphincterotomy\tNN\tI-NP\tO' -p267418 -aS',\t,\t,\tO\tO' -p267419 -aS'but\tbut\tCC\tO\tO' -p267420 -aS'it\tit\tPRP\tB-NP\tO' -p267421 -aS'was\tbe\tVBD\tB-VP\tO' -p267422 -aS'controlled\tcontrol\tVBN\tI-VP\tO' -p267423 -aS'by\tby\tIN\tB-PP\tO' -p267424 -aS'epinepherine\tepinepherine\tNN\tB-NP\tO' -p267425 -aS'injections\tinjection\tNNS\tI-NP\tO' -p267426 -aS'.\t.\t.\tO\tO' -p267427 -asS'2. Ultram .' -p267428 -(lp267429 -S'2.\t2.\tLS\tB-NP\tO' -p267430 -aS'Ultram\tUltram\tNN\tI-NP\tO' -p267431 -aS'.\t.\t.\tO\tO' -p267432 -asS'EGD on 2013-12-08 demonstrated 5 cores of varices , grade 1 to 2 at the lower third of the esophagus .' -p267433 -(lp267434 -S'EGD\tEGD\tNN\tB-NP\tB-protein' -p267435 -aS'on\ton\tIN\tB-PP\tO' -p267436 -aS'2013-12-08\t2013-12-08\tCD\tB-NP\tO' -p267437 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p267438 -aS'5\t5\tCD\tB-NP\tO' -p267439 -aS'cores\tcore\tNNS\tI-NP\tO' -p267440 -aS'of\tof\tIN\tB-PP\tO' -p267441 -aS'varices\tvarix\tNNS\tB-NP\tO' -p267442 -aS',\t,\t,\tO\tO' -p267443 -aS'grade\tgrade\tNN\tB-NP\tO' -p267444 -aS'1\t1\tCD\tI-NP\tO' -p267445 -aS'to\tto\tTO\tB-PP\tO' -p267446 -aS'2\t2\tCD\tB-NP\tO' -p267447 -aS'at\tat\tIN\tB-PP\tO' -p267448 -aS'the\tthe\tDT\tB-NP\tO' -p267449 -aS'lower\tlow\tJJR\tI-NP\tO' -p267450 -aS'third\tthird\tNN\tI-NP\tO' -p267451 -aS'of\tof\tIN\tB-PP\tO' -p267452 -aS'the\tthe\tDT\tB-NP\tO' -p267453 -aS'esophagus\tesophagus\tNN\tI-NP\tO' -p267454 -aS'.\t.\t.\tO\tO' -p267455 -asS'I personally talked with Dr Pannell at the time of discharge to update him with the hospital events .' -p267456 -(lp267457 -S'I\tI\tPRP\tB-NP\tO' -p267458 -aS'personally\tpersonally\tRB\tB-ADVP\tO' -p267459 -aS'talked\ttalk\tVBD\tB-VP\tO' -p267460 -aS'with\twith\tIN\tB-PP\tO' -p267461 -aS'Dr\tDr\tNNP\tB-NP\tO' -p267462 -aS'Pannell\tPannell\tNNP\tI-NP\tO' -p267463 -aS'at\tat\tIN\tB-PP\tO' -p267464 -aS'the\tthe\tDT\tB-NP\tO' -p267465 -aS'time\ttime\tNN\tI-NP\tO' -p267466 -aS'of\tof\tIN\tB-PP\tO' -p267467 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p267468 -aS'to\tto\tTO\tB-VP\tO' -p267469 -aS'update\tupdate\tVB\tI-VP\tO' -p267470 -aS'him\thim\tPRP\tB-NP\tO' -p267471 -aS'with\twith\tIN\tB-PP\tO' -p267472 -aS'the\tthe\tDT\tB-NP\tO' -p267473 -aS'hospital\thospital\tNN\tI-NP\tO' -p267474 -aS'events\tevent\tNNS\tI-NP\tO' -p267475 -aS'.\t.\t.\tO\tO' -p267476 -asS'The patient had coarse rhonchi on examination .' -p267477 -(lp267478 -S'The\tThe\tDT\tB-NP\tO' -p267479 -aS'patient\tpatient\tNN\tI-NP\tO' -p267480 -aS'had\thave\tVBD\tB-VP\tO' -p267481 -aS'coarse\tcoarse\tNN\tB-NP\tO' -p267482 -aS'rhonchi\trhonchi\tNN\tI-NP\tO' -p267483 -aS'on\ton\tIN\tB-PP\tO' -p267484 -aS'examination\texamination\tNN\tB-NP\tO' -p267485 -aS'.\t.\t.\tO\tO' -p267486 -asS'Her extraocular movements were intact for horizontal and vertical pursuits .' -p267487 -(lp267488 -S'Her\tHer\tPRP$\tB-NP\tO' -p267489 -aS'extraocular\textraocular\tJJ\tI-NP\tO' -p267490 -aS'movements\tmovement\tNNS\tI-NP\tO' -p267491 -aS'were\tbe\tVBD\tB-VP\tO' -p267492 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p267493 -aS'for\tfor\tIN\tB-PP\tO' -p267494 -aS'horizontal\thorizontal\tJJ\tB-NP\tO' -p267495 -aS'and\tand\tCC\tI-NP\tO' -p267496 -aS'vertical\tvertical\tJJ\tI-NP\tO' -p267497 -aS'pursuits\tpursuit\tNNS\tI-NP\tO' -p267498 -aS'.\t.\t.\tO\tO' -p267499 -asS'elevated glu on admit BMP and FSG also concurring --> follow and Lispro ; will probably need w / u as outpt' -p267500 -(lp267501 -S'elevated\televated\tJJ\tB-NP\tO' -p267502 -aS'glu\tglu\tNN\tI-NP\tO' -p267503 -aS'on\ton\tIN\tB-PP\tO' -p267504 -aS'admit\tadmit\tNN\tB-NP\tO' -p267505 -aS'BMP\tBMP\tNN\tI-NP\tO' -p267506 -aS'and\tand\tCC\tI-NP\tO' -p267507 -aS'FSG\tFSG\tNN\tI-NP\tB-protein' -p267508 -aS'also\talso\tRB\tB-ADVP\tO' -p267509 -aS'concurring\tconcur\tVBG\tB-VP\tO' -p267510 -aS'-->\t-->\tSYM\tB-NP\tO' -p267511 -aS'follow\tfollow\tNN\tI-NP\tO' -p267512 -aS'and\tand\tCC\tI-NP\tO' -p267513 -aS'Lispro\tLispro\tNN\tI-NP\tO' -p267514 -aS';\t;\t:\tO\tO' -p267515 -aS'will\twill\tMD\tB-VP\tO' -p267516 -aS'probably\tprobably\tRB\tI-VP\tO' -p267517 -aS'need\tneed\tVB\tI-VP\tO' -p267518 -aS'w\tw\tNN\tB-NP\tO' -p267519 -aS'/\t/\tSYM\tB-NP\tO' -p267520 -aS'u\tu\tNN\tI-NP\tO' -p267521 -aS'as\tas\tIN\tB-PP\tO' -p267522 -aS'outpt\toutpt\tNN\tB-NP\tO' -p267523 -asS'The sclerae were anicteric .' -p267524 -(lp267525 -S'The\tThe\tDT\tB-NP\tO' -p267526 -aS'sclerae\tsclerae\tNNS\tI-NP\tO' -p267527 -aS'were\tbe\tVBD\tB-VP\tO' -p267528 -aS'anicteric\tanicteric\tJJ\tB-ADJP\tO' -p267529 -aS'.\t.\t.\tO\tO' -p267530 -asS'The patient proceeded to rule out formyocardial infarction by enzymes .' -p267531 -(lp267532 -S'The\tThe\tDT\tB-NP\tO' -p267533 -aS'patient\tpatient\tNN\tI-NP\tO' -p267534 -aS'proceeded\tproceed\tVBD\tB-VP\tO' -p267535 -aS'to\tto\tTO\tI-VP\tO' -p267536 -aS'rule\trule\tVB\tI-VP\tO' -p267537 -aS'out\tout\tRP\tB-PRT\tO' -p267538 -aS'formyocardial\tformyocardial\tJJ\tB-NP\tO' -p267539 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p267540 -aS'by\tby\tIN\tB-PP\tO' -p267541 -aS'enzymes\tenzyme\tNNS\tB-NP\tB-protein' -p267542 -aS'.\t.\t.\tO\tO' -p267543 -asS'Initial CBC had a white count of 20 , platelet count of 386 , 63 polys , 2 bands , 23 lymphs .' -p267544 -(lp267545 -S'Initial\tInitial\tJJ\tB-NP\tO' -p267546 -aS'CBC\tCBC\tNN\tI-NP\tO' -p267547 -aS'had\thave\tVBD\tB-VP\tO' -p267548 -aS'a\ta\tDT\tB-NP\tO' -p267549 -aS'white\twhite\tJJ\tI-NP\tO' -p267550 -aS'count\tcount\tNN\tI-NP\tO' -p267551 -aS'of\tof\tIN\tB-PP\tO' -p267552 -aS'20\t20\tCD\tB-NP\tO' -p267553 -aS',\t,\t,\tO\tO' -p267554 -aS'platelet\tplatelet\tNN\tB-NP\tO' -p267555 -aS'count\tcount\tNN\tI-NP\tO' -p267556 -aS'of\tof\tIN\tB-PP\tO' -p267557 -aS'386\t386\tCD\tB-NP\tO' -p267558 -aS',\t,\t,\tO\tO' -p267559 -aS'63\t63\tCD\tB-NP\tO' -p267560 -aS'polys\tpoly\tNNS\tI-NP\tO' -p267561 -aS',\t,\t,\tO\tO' -p267562 -aS'2\t2\tCD\tB-NP\tO' -p267563 -aS'bands\tband\tNNS\tI-NP\tO' -p267564 -aS',\t,\t,\tO\tO' -p267565 -aS'23\t23\tCD\tB-NP\tO' -p267566 -aS'lymphs\tlymph\tNNS\tI-NP\tO' -p267567 -aS'.\t.\t.\tO\tO' -p267568 -asS'Once the patient was transferred out of the ICU and after extubation , the antibiotics were gradually narrowed .' -p267569 -(lp267570 -S'Once\tOnce\tRB\tO\tO' -p267571 -aS'the\tthe\tDT\tB-NP\tO' -p267572 -aS'patient\tpatient\tNN\tI-NP\tO' -p267573 -aS'was\tbe\tVBD\tB-VP\tO' -p267574 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p267575 -aS'out\tout\tIN\tB-PP\tO' -p267576 -aS'of\tof\tIN\tB-PP\tO' -p267577 -aS'the\tthe\tDT\tB-NP\tO' -p267578 -aS'ICU\tICU\tNN\tI-NP\tB-DNA' -p267579 -aS'and\tand\tCC\tB-PP\tO' -p267580 -aS'after\tafter\tIN\tB-PP\tO' -p267581 -aS'extubation\textubation\tNN\tB-NP\tO' -p267582 -aS',\t,\t,\tO\tO' -p267583 -aS'the\tthe\tDT\tB-NP\tO' -p267584 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p267585 -aS'were\tbe\tVBD\tB-VP\tO' -p267586 -aS'gradually\tgradually\tRB\tI-VP\tO' -p267587 -aS'narrowed\tnarrow\tVBN\tI-VP\tO' -p267588 -aS'.\t.\t.\tO\tO' -p267589 -asS'Ext : 2 + pitting edema b/l , warm with faint DP' -p267590 -(lp267591 -S'Ext\tExt\tNN\tB-NP\tO' -p267592 -aS':\t:\t:\tO\tO' -p267593 -aS'2\t2\tCD\tB-NP\tO' -p267594 -aS'+\t+\tSYM\tI-NP\tO' -p267595 -aS'pitting\tpit\tVBG\tI-NP\tO' -p267596 -aS'edema\tedema\tNN\tI-NP\tO' -p267597 -aS'b/l\tb/l\tNN\tI-NP\tO' -p267598 -aS',\t,\t,\tO\tO' -p267599 -aS'warm\twarm\tJJ\tB-ADJP\tO' -p267600 -aS'with\twith\tIN\tB-PP\tO' -p267601 -aS'faint\tfaint\tJJ\tB-NP\tO' -p267602 -aS'DP\tDP\tNN\tI-NP\tO' -p267603 -asS'The patient wears dentures .' -p267604 -(lp267605 -S'The\tThe\tDT\tB-NP\tO' -p267606 -aS'patient\tpatient\tNN\tI-NP\tO' -p267607 -aS'wears\twear\tVBZ\tB-VP\tO' -p267608 -aS'dentures\tdenture\tNNS\tB-NP\tO' -p267609 -aS'.\t.\t.\tO\tO' -p267610 -asS'He underwent a head CT scan to rule out intracranial pathology leading to diabetes insipidus .' -p267611 -(lp267612 -S'He\tHe\tPRP\tB-NP\tO' -p267613 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p267614 -aS'a\ta\tDT\tB-NP\tO' -p267615 -aS'head\thead\tNN\tI-NP\tO' -p267616 -aS'CT\tCT\tNN\tI-NP\tO' -p267617 -aS'scan\tscan\tNN\tI-NP\tO' -p267618 -aS'to\tto\tTO\tB-VP\tO' -p267619 -aS'rule\trule\tVB\tI-VP\tO' -p267620 -aS'out\tout\tRP\tB-PRT\tO' -p267621 -aS'intracranial\tintracranial\tJJ\tB-NP\tO' -p267622 -aS'pathology\tpathology\tNN\tI-NP\tO' -p267623 -aS'leading\tlead\tVBG\tB-VP\tO' -p267624 -aS'to\tto\tTO\tB-PP\tO' -p267625 -aS'diabetes\tdiabetes\tNN\tB-NP\tO' -p267626 -aS'insipidus\tinsipidus\tNN\tI-NP\tO' -p267627 -aS'.\t.\t.\tO\tO' -p267628 -asS'Extensive mental status testing was normal , except for recalling only one out of three objects at five minutes .' -p267629 -(lp267630 -S'Extensive\tExtensive\tJJ\tB-NP\tO' -p267631 -aS'mental\tmental\tJJ\tI-NP\tO' -p267632 -aS'status\tstatus\tNN\tI-NP\tO' -p267633 -aS'testing\ttesting\tNN\tI-NP\tO' -p267634 -aS'was\tbe\tVBD\tB-VP\tO' -p267635 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p267636 -aS',\t,\t,\tO\tO' -p267637 -aS'except\texcept\tIN\tB-PP\tO' -p267638 -aS'for\tfor\tIN\tB-PP\tO' -p267639 -aS'recalling\trecall\tVBG\tB-VP\tO' -p267640 -aS'only\tonly\tRB\tB-NP\tO' -p267641 -aS'one\tone\tCD\tI-NP\tO' -p267642 -aS'out\tout\tIN\tB-PP\tO' -p267643 -aS'of\tof\tIN\tB-PP\tO' -p267644 -aS'three\tthree\tCD\tB-NP\tO' -p267645 -aS'objects\tobject\tNNS\tI-NP\tO' -p267646 -aS'at\tat\tIN\tB-PP\tO' -p267647 -aS'five\tfive\tCD\tB-NP\tO' -p267648 -aS'minutes\tminute\tNNS\tI-NP\tO' -p267649 -aS'.\t.\t.\tO\tO' -p267650 -asS'No evidence of pneumothorax .' -p267651 -(lp267652 -S'No\tNo\tDT\tB-NP\tO' -p267653 -aS'evidence\tevidence\tNN\tI-NP\tO' -p267654 -aS'of\tof\tIN\tB-PP\tO' -p267655 -aS'pneumothorax\tpneumothorax\tNN\tB-NP\tO' -p267656 -aS'.\t.\t.\tO\tO' -p267657 -asS'Prevacid 30 mg 1 1 time per day' -p267658 -(lp267659 -S'Prevacid\tPrevacid\tNN\tB-NP\tO' -p267660 -aS'30\t30\tCD\tI-NP\tO' -p267661 -aS'mg\tmg\tNN\tI-NP\tO' -p267662 -aS'1\t1\tCD\tB-NP\tO' -p267663 -aS'1\t1\tCD\tI-NP\tO' -p267664 -aS'time\ttime\tNN\tI-NP\tO' -p267665 -aS'per\tper\tIN\tB-PP\tO' -p267666 -aS'day\tday\tNN\tB-NP\tO' -p267667 -asS'White blood cell count 9.0 , hematocrit 39.3 , platelets 296 , neutrophil count 82 , lymphocytes 14 , 4 monocytes , troponin was less then 0.3 .' -p267668 -(lp267669 -S'White\tWhite\tJJ\tB-NP\tO' -p267670 -aS'blood\tblood\tNN\tI-NP\tO' -p267671 -aS'cell\tcell\tNN\tI-NP\tO' -p267672 -aS'count\tcount\tNN\tI-NP\tO' -p267673 -aS'9.0\t9.0\tCD\tB-NP\tO' -p267674 -aS',\t,\t,\tO\tO' -p267675 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p267676 -aS'39.3\t39.3\tCD\tI-NP\tI-protein' -p267677 -aS',\t,\t,\tO\tO' -p267678 -aS'platelets\tplatelet\tNNS\tB-NP\tB-protein' -p267679 -aS'296\t296\tCD\tB-NP\tI-protein' -p267680 -aS',\t,\t,\tO\tO' -p267681 -aS'neutrophil\tneutrophil\tNN\tB-NP\tO' -p267682 -aS'count\tcount\tNN\tI-NP\tO' -p267683 -aS'82\t82\tCD\tI-NP\tO' -p267684 -aS',\t,\t,\tO\tO' -p267685 -aS'lymphocytes\tlymphocyte\tNNS\tB-NP\tB-cell_type' -p267686 -aS'14\t14\tCD\tB-NP\tO' -p267687 -aS',\t,\t,\tO\tO' -p267688 -aS'4\t4\tCD\tB-NP\tO' -p267689 -aS'monocytes\tmonocyte\tNNS\tI-NP\tB-cell_type' -p267690 -aS',\t,\t,\tO\tO' -p267691 -aS'troponin\ttroponin\tNN\tB-NP\tO' -p267692 -aS'was\tbe\tVBD\tB-VP\tO' -p267693 -aS'less\tless\tRBR\tB-ADVP\tO' -p267694 -aS'then\tthen\tRB\tB-ADVP\tO' -p267695 -aS'0.3\t0.3\tCD\tB-NP\tO' -p267696 -aS'.\t.\t.\tO\tO' -p267697 -asS'The patient was discharged home and instructed to follow up with her PCP .' -p267698 -(lp267699 -S'The\tThe\tDT\tB-NP\tO' -p267700 -aS'patient\tpatient\tNN\tI-NP\tO' -p267701 -aS'was\tbe\tVBD\tB-VP\tO' -p267702 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p267703 -aS'home\thome\tNN\tB-ADVP\tO' -p267704 -aS'and\tand\tCC\tO\tO' -p267705 -aS'instructed\tinstruct\tVBN\tB-VP\tO' -p267706 -aS'to\tto\tTO\tI-VP\tO' -p267707 -aS'follow\tfollow\tVB\tI-VP\tO' -p267708 -aS'up\tup\tRP\tB-PRT\tO' -p267709 -aS'with\twith\tIN\tB-PP\tO' -p267710 -aS'her\ther\tPRP$\tB-NP\tO' -p267711 -aS'PCP\tPCP\tNN\tI-NP\tB-protein' -p267712 -aS'.\t.\t.\tO\tO' -p267713 -asS'During his hospitalization , two subsequent CAT scans were obtained ; one on hospital day two .' -p267714 -(lp267715 -S'During\tDuring\tIN\tB-PP\tO' -p267716 -aS'his\this\tPRP$\tB-NP\tO' -p267717 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p267718 -aS',\t,\t,\tO\tO' -p267719 -aS'two\ttwo\tCD\tB-NP\tO' -p267720 -aS'subsequent\tsubsequent\tJJ\tI-NP\tO' -p267721 -aS'CAT\tCAT\tNN\tI-NP\tO' -p267722 -aS'scans\tscan\tNNS\tI-NP\tO' -p267723 -aS'were\tbe\tVBD\tB-VP\tO' -p267724 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p267725 -aS';\t;\t:\tO\tO' -p267726 -aS'one\tone\tCD\tB-NP\tO' -p267727 -aS'on\ton\tIN\tB-PP\tO' -p267728 -aS'hospital\thospital\tNN\tB-NP\tO' -p267729 -aS'day\tday\tNN\tI-NP\tO' -p267730 -aS'two\ttwo\tCD\tI-NP\tO' -p267731 -aS'.\t.\t.\tO\tO' -p267732 -asS'The left vertebral artery was not visualized .' -p267733 -(lp267734 -S'The\tThe\tDT\tB-NP\tO' -p267735 -aS'left\tleft\tJJ\tI-NP\tO' -p267736 -aS'vertebral\tvertebral\tJJ\tI-NP\tO' -p267737 -aS'artery\tartery\tNN\tI-NP\tO' -p267738 -aS'was\tbe\tVBD\tB-VP\tO' -p267739 -aS'not\tnot\tRB\tI-VP\tO' -p267740 -aS'visualized\tvisualize\tVBN\tI-VP\tO' -p267741 -aS'.\t.\t.\tO\tO' -p267742 -asS'Quinine Celebrex .' -p267743 -(lp267744 -S'Quinine\tQuinine\tNNP\tB-NP\tO' -p267745 -aS'Celebrex\tCelebrex\tNNP\tI-NP\tO' -p267746 -aS'.\t.\t.\tO\tO' -p267747 -asS'Her temperature was 97.6 .' -p267748 -(lp267749 -S'Her\tHer\tPRP$\tB-NP\tO' -p267750 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p267751 -aS'was\tbe\tVBD\tB-VP\tO' -p267752 -aS'97.6\t97.6\tCD\tB-NP\tO' -p267753 -aS'.\t.\t.\tO\tO' -p267754 -asS'Such a situation frequently makes it very difficult to swallow without aspirating .' -p267755 -(lp267756 -S'Such\tSuch\tPDT\tB-NP\tO' -p267757 -aS'a\ta\tDT\tI-NP\tO' -p267758 -aS'situation\tsituation\tNN\tI-NP\tO' -p267759 -aS'frequently\tfrequently\tRB\tB-ADVP\tO' -p267760 -aS'makes\tmake\tVBZ\tB-VP\tO' -p267761 -aS'it\tit\tPRP\tB-NP\tO' -p267762 -aS'very\tvery\tRB\tB-ADJP\tO' -p267763 -aS'difficult\tdifficult\tJJ\tI-ADJP\tO' -p267764 -aS'to\tto\tTO\tB-VP\tO' -p267765 -aS'swallow\tswallow\tVB\tI-VP\tO' -p267766 -aS'without\twithout\tIN\tB-PP\tO' -p267767 -aS'aspirating\taspirate\tVBG\tB-VP\tO' -p267768 -aS'.\t.\t.\tO\tO' -p267769 -asS'His birth weight was 2905 grams .' -p267770 -(lp267771 -S'His\tHis\tPRP$\tB-NP\tO' -p267772 -aS'birth\tbirth\tNN\tI-NP\tO' -p267773 -aS'weight\tweight\tNN\tI-NP\tO' -p267774 -aS'was\tbe\tVBD\tB-VP\tO' -p267775 -aS'2905\t2905\tCD\tB-NP\tO' -p267776 -aS'grams\tgram\tNNS\tI-NP\tO' -p267777 -aS'.\t.\t.\tO\tO' -p267778 -asS'Dictated By : Cora C. Haskett , M.D.' -p267779 -(lp267780 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p267781 -aS'By\tBy\tIN\tB-PP\tO' -p267782 -aS':\t:\t:\tO\tO' -p267783 -aS'Cora\tCora\tNNP\tB-NP\tO' -p267784 -aS'C.\tC.\tNNP\tI-NP\tO' -p267785 -aS'Haskett\tHaskett\tNNP\tI-NP\tO' -p267786 -aS',\t,\t,\tO\tO' -p267787 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p267788 -asS'The epidural was discontinued on 07/26/99 and was considered a successful trial .' -p267789 -(lp267790 -S'The\tThe\tDT\tB-NP\tO' -p267791 -aS'epidural\tepidural\tNN\tI-NP\tO' -p267792 -aS'was\tbe\tVBD\tB-VP\tO' -p267793 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p267794 -aS'on\ton\tIN\tB-PP\tO' -p267795 -aS'07/26/99\t07/26/99\tCD\tB-NP\tO' -p267796 -aS'and\tand\tCC\tO\tO' -p267797 -aS'was\tbe\tVBD\tB-VP\tO' -p267798 -aS'considered\tconsider\tVBN\tI-VP\tO' -p267799 -aS'a\ta\tDT\tB-NP\tO' -p267800 -aS'successful\tsuccessful\tJJ\tI-NP\tO' -p267801 -aS'trial\ttrial\tNN\tI-NP\tO' -p267802 -aS'.\t.\t.\tO\tO' -p267803 -asS'1. CORONARY ARTERY DISEASE : The patient was taken to Cardiac Catheterization where she was found to have two vessel disease .' -p267804 -(lp267805 -S'1.\t1.\tLS\tB-NP\tO' -p267806 -aS'CORONARY\tCORONARY\tNN\tI-NP\tO' -p267807 -aS'ARTERY\tARTERY\tNN\tI-NP\tO' -p267808 -aS'DISEASE\tDISEASE\tNN\tI-NP\tO' -p267809 -aS':\t:\t:\tO\tO' -p267810 -aS'The\tThe\tDT\tB-NP\tO' -p267811 -aS'patient\tpatient\tNN\tI-NP\tO' -p267812 -aS'was\tbe\tVBD\tB-VP\tO' -p267813 -aS'taken\ttake\tVBN\tI-VP\tO' -p267814 -aS'to\tto\tTO\tB-PP\tO' -p267815 -aS'Cardiac\tCardiac\tJJ\tB-NP\tO' -p267816 -aS'Catheterization\tCatheterization\tNN\tI-NP\tO' -p267817 -aS'where\twhere\tWRB\tB-ADVP\tO' -p267818 -aS'she\tshe\tPRP\tB-NP\tO' -p267819 -aS'was\tbe\tVBD\tB-VP\tO' -p267820 -aS'found\tfind\tVBN\tI-VP\tO' -p267821 -aS'to\tto\tTO\tI-VP\tO' -p267822 -aS'have\thave\tVB\tI-VP\tO' -p267823 -aS'two\ttwo\tCD\tB-NP\tO' -p267824 -aS'vessel\tvessel\tNN\tI-NP\tO' -p267825 -aS'disease\tdisease\tNN\tI-NP\tO' -p267826 -aS'.\t.\t.\tO\tO' -p267827 -asS'Examination of her abdomen revealed a flat nontender abdomen without palpable masses .' -p267828 -(lp267829 -S'Examination\tExamination\tNN\tB-NP\tO' -p267830 -aS'of\tof\tIN\tB-PP\tO' -p267831 -aS'her\ther\tPRP$\tB-NP\tO' -p267832 -aS'abdomen\tabdoman\tNNS\tI-NP\tO' -p267833 -aS'revealed\treveal\tVBD\tB-VP\tO' -p267834 -aS'a\ta\tDT\tB-NP\tO' -p267835 -aS'flat\tflat\tJJ\tI-NP\tO' -p267836 -aS'nontender\tnontender\tJJ\tI-NP\tO' -p267837 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p267838 -aS'without\twithout\tIN\tB-PP\tO' -p267839 -aS'palpable\tpalpable\tJJ\tB-NP\tO' -p267840 -aS'masses\tmass\tNNS\tI-NP\tO' -p267841 -aS'.\t.\t.\tO\tO' -p267842 -asS'Mirtazapine 30 mg Tablet Sig : 0.5 Tablet PO HS ( at bedtime ) .' -p267843 -(lp267844 -S'Mirtazapine\tMirtazapine\tNN\tB-NP\tO' -p267845 -aS'30\t30\tCD\tI-NP\tO' -p267846 -aS'mg\tmg\tNN\tI-NP\tO' -p267847 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p267848 -aS'Sig\tSig\tNNP\tI-NP\tO' -p267849 -aS':\t:\t:\tO\tO' -p267850 -aS'0.5\t0.5\tCD\tB-NP\tO' -p267851 -aS'Tablet\tTablet\tNN\tI-NP\tO' -p267852 -aS'PO\tPO\tNN\tI-NP\tO' -p267853 -aS'HS\tHS\tNN\tI-NP\tO' -p267854 -aS'(\t(\t(\tO\tO' -p267855 -aS'at\tat\tIN\tB-PP\tO' -p267856 -aS'bedtime\tbedtime\tNN\tB-NP\tO' -p267857 -aS')\t)\t)\tO\tO' -p267858 -aS'.\t.\t.\tO\tO' -p267859 -asS'call dr koorskote 's office tomorrow' -p267860 -(lp267861 -S'call\tcall\tNN\tB-NP\tO' -p267862 -aS'dr\tdr\tNN\tI-NP\tO' -p267863 -aS'koorskote\tkoorskote\tNN\tI-NP\tO' -p267864 -aS''s\t'\tNNS\tI-NP\tO' -p267865 -aS'office\toffice\tNN\tI-NP\tO' -p267866 -aS'tomorrow\ttomorrow\tNN\tB-NP\tO' -p267867 -asS'He was also found to have a bilateral Staphylococcus pneumonia .' -p267868 -(lp267869 -S'He\tHe\tPRP\tB-NP\tO' -p267870 -aS'was\tbe\tVBD\tB-VP\tO' -p267871 -aS'also\talso\tRB\tI-VP\tO' -p267872 -aS'found\tfind\tVBN\tI-VP\tO' -p267873 -aS'to\tto\tTO\tI-VP\tO' -p267874 -aS'have\thave\tVB\tI-VP\tO' -p267875 -aS'a\ta\tDT\tB-NP\tO' -p267876 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p267877 -aS'Staphylococcus\tStaphylococcus\tNNP\tI-NP\tO' -p267878 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p267879 -aS'.\t.\t.\tO\tO' -p267880 -asS'She was continued on free H20 boluses and D5 1/2 NS and corrected .' -p267881 -(lp267882 -S'She\tShe\tPRP\tB-NP\tO' -p267883 -aS'was\tbe\tVBD\tB-VP\tO' -p267884 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p267885 -aS'on\ton\tIN\tB-PP\tO' -p267886 -aS'free\tfree\tJJ\tB-NP\tO' -p267887 -aS'H20\tH20\tNN\tI-NP\tO' -p267888 -aS'boluses\tbolus\tNNS\tI-NP\tO' -p267889 -aS'and\tand\tCC\tO\tO' -p267890 -aS'D5\tD5\tNN\tB-NP\tO' -p267891 -aS'1/2\t1/2\tCD\tI-NP\tO' -p267892 -aS'NS\tNS\tNN\tI-NP\tO' -p267893 -aS'and\tand\tCC\tO\tO' -p267894 -aS'corrected\tcorrect\tVBN\tB-VP\tO' -p267895 -aS'.\t.\t.\tO\tO' -p267896 -asS'Head CT scan performed in the emergency department revealed no bleed .' -p267897 -(lp267898 -S'Head\tHead\tJJ\tB-NP\tO' -p267899 -aS'CT\tCT\tNN\tI-NP\tO' -p267900 -aS'scan\tscan\tNN\tI-NP\tO' -p267901 -aS'performed\tperform\tVBN\tB-VP\tO' -p267902 -aS'in\tin\tIN\tB-PP\tO' -p267903 -aS'the\tthe\tDT\tB-NP\tO' -p267904 -aS'emergency\temergency\tNN\tI-NP\tO' -p267905 -aS'department\tdepartment\tNN\tI-NP\tO' -p267906 -aS'revealed\treveal\tVBD\tB-VP\tO' -p267907 -aS'no\tno\tDT\tB-NP\tO' -p267908 -aS'bleed\tbleed\tNN\tI-NP\tO' -p267909 -aS'.\t.\t.\tO\tO' -p267910 -asS'Crusting around the right eyelid but the pupils were equal , round , and reactive to light .' -p267911 -(lp267912 -S'Crusting\tCrust\tVBG\tB-VP\tO' -p267913 -aS'around\taround\tIN\tB-PP\tO' -p267914 -aS'the\tthe\tDT\tB-NP\tO' -p267915 -aS'right\tright\tJJ\tI-NP\tO' -p267916 -aS'eyelid\teyelid\tNN\tI-NP\tO' -p267917 -aS'but\tbut\tCC\tO\tO' -p267918 -aS'the\tthe\tDT\tB-NP\tO' -p267919 -aS'pupils\tpupil\tNNS\tI-NP\tO' -p267920 -aS'were\tbe\tVBD\tB-VP\tO' -p267921 -aS'equal\tequal\tJJ\tB-ADJP\tO' -p267922 -aS',\t,\t,\tO\tO' -p267923 -aS'round\tround\tJJ\tB-ADJP\tO' -p267924 -aS',\t,\t,\tO\tO' -p267925 -aS'and\tand\tCC\tO\tO' -p267926 -aS'reactive\treactive\tJJ\tB-ADJP\tO' -p267927 -aS'to\tto\tTO\tB-PP\tO' -p267928 -aS'light\tlight\tNN\tB-NP\tO' -p267929 -aS'.\t.\t.\tO\tO' -p267930 -asS'The contact social worker can be reached at ( 756 ) 599-4849 .' -p267931 -(lp267932 -S'The\tThe\tDT\tB-NP\tO' -p267933 -aS'contact\tcontact\tNN\tI-NP\tO' -p267934 -aS'social\tsocial\tJJ\tI-NP\tO' -p267935 -aS'worker\tworker\tNN\tI-NP\tO' -p267936 -aS'can\tcan\tMD\tB-VP\tO' -p267937 -aS'be\tbe\tVB\tI-VP\tO' -p267938 -aS'reached\treach\tVBN\tI-VP\tO' -p267939 -aS'at\tat\tIN\tB-PP\tO' -p267940 -aS'(\t(\t(\tO\tO' -p267941 -aS'756\t756\tCD\tB-NP\tO' -p267942 -aS')\t)\t)\tO\tO' -p267943 -aS'599-4849\t599-4849\tCD\tB-NP\tO' -p267944 -aS'.\t.\t.\tO\tO' -p267945 -asS'He developed right foot pain the Sunday prior to admission and was seen by his Podiatrist , who diagnosed him with gout .' -p267946 -(lp267947 -S'He\tHe\tPRP\tB-NP\tO' -p267948 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p267949 -aS'right\tright\tJJ\tB-NP\tO' -p267950 -aS'foot\tfoot\tNN\tI-NP\tO' -p267951 -aS'pain\tpain\tNN\tI-NP\tO' -p267952 -aS'the\tthe\tDT\tB-NP\tO' -p267953 -aS'Sunday\tSunday\tNNP\tI-NP\tO' -p267954 -aS'prior\tprior\tRB\tB-ADVP\tO' -p267955 -aS'to\tto\tTO\tB-PP\tO' -p267956 -aS'admission\tadmission\tNN\tB-NP\tO' -p267957 -aS'and\tand\tCC\tO\tO' -p267958 -aS'was\tbe\tVBD\tB-VP\tO' -p267959 -aS'seen\tsee\tVBN\tI-VP\tO' -p267960 -aS'by\tby\tIN\tB-PP\tO' -p267961 -aS'his\this\tPRP$\tB-NP\tO' -p267962 -aS'Podiatrist\tPodiatrist\tNN\tI-NP\tO' -p267963 -aS',\t,\t,\tO\tO' -p267964 -aS'who\twho\tWP\tB-NP\tO' -p267965 -aS'diagnosed\tdiagnose\tVBD\tB-VP\tO' -p267966 -aS'him\thim\tPRP\tB-NP\tO' -p267967 -aS'with\twith\tIN\tB-PP\tO' -p267968 -aS'gout\tgout\tNN\tB-NP\tO' -p267969 -aS'.\t.\t.\tO\tO' -p267970 -asS"The patient 's trachea was noted to be midline ." -p267971 -(lp267972 -S'The\tThe\tDT\tB-NP\tO' -p267973 -aS'patient\tpatient\tNN\tI-NP\tO' -p267974 -aS"'s\t's\tPOS\tB-NP\tO" -p267975 -aS'trachea\ttrachea\tNN\tI-NP\tO' -p267976 -aS'was\tbe\tVBD\tB-VP\tO' -p267977 -aS'noted\tnote\tVBN\tI-VP\tO' -p267978 -aS'to\tto\tTO\tI-VP\tO' -p267979 -aS'be\tbe\tVB\tI-VP\tO' -p267980 -aS'midline\tmidline\tNN\tB-NP\tO' -p267981 -aS'.\t.\t.\tO\tO' -p267982 -asS'The response was brisk .' -p267983 -(lp267984 -S'The\tThe\tDT\tB-NP\tO' -p267985 -aS'response\tresponse\tNN\tI-NP\tO' -p267986 -aS'was\tbe\tVBD\tB-VP\tO' -p267987 -aS'brisk\tbrisk\tJJ\tB-ADJP\tO' -p267988 -aS'.\t.\t.\tO\tO' -p267989 -asS'On hospital day two , her creatinine returned to 0.8 , and she remained with a creatinine of 0.8 for the remainder of her hospital stay .' -p267990 -(lp267991 -S'On\tOn\tIN\tB-PP\tO' -p267992 -aS'hospital\thospital\tNN\tB-NP\tO' -p267993 -aS'day\tday\tNN\tI-NP\tO' -p267994 -aS'two\ttwo\tCD\tB-ADVP\tO' -p267995 -aS',\t,\t,\tO\tO' -p267996 -aS'her\ther\tPRP$\tB-NP\tO' -p267997 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p267998 -aS'returned\treturn\tVBD\tB-VP\tO' -p267999 -aS'to\tto\tTO\tB-PP\tO' -p268000 -aS'0.8\t0.8\tCD\tB-NP\tO' -p268001 -aS',\t,\t,\tO\tO' -p268002 -aS'and\tand\tCC\tO\tO' -p268003 -aS'she\tshe\tPRP\tB-NP\tO' -p268004 -aS'remained\tremain\tVBD\tB-VP\tO' -p268005 -aS'with\twith\tIN\tB-PP\tO' -p268006 -aS'a\ta\tDT\tB-NP\tO' -p268007 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p268008 -aS'of\tof\tIN\tB-PP\tO' -p268009 -aS'0.8\t0.8\tCD\tB-NP\tO' -p268010 -aS'for\tfor\tIN\tB-PP\tO' -p268011 -aS'the\tthe\tDT\tB-NP\tO' -p268012 -aS'remainder\tremainder\tNN\tI-NP\tO' -p268013 -aS'of\tof\tIN\tB-PP\tO' -p268014 -aS'her\ther\tPRP$\tB-NP\tO' -p268015 -aS'hospital\thospital\tNN\tI-NP\tO' -p268016 -aS'stay\tstay\tNN\tI-NP\tO' -p268017 -aS'.\t.\t.\tO\tO' -p268018 -asS'The family was notified and came in to see the patient .' -p268019 -(lp268020 -S'The\tThe\tDT\tB-NP\tO' -p268021 -aS'family\tfamily\tNN\tI-NP\tO' -p268022 -aS'was\tbe\tVBD\tB-VP\tO' -p268023 -aS'notified\tnotify\tVBN\tI-VP\tO' -p268024 -aS'and\tand\tCC\tO\tO' -p268025 -aS'came\tcome\tVBD\tB-VP\tO' -p268026 -aS'in\tin\tRP\tB-PRT\tO' -p268027 -aS'to\tto\tTO\tB-VP\tO' -p268028 -aS'see\tsee\tVB\tI-VP\tO' -p268029 -aS'the\tthe\tDT\tB-NP\tO' -p268030 -aS'patient\tpatient\tNN\tI-NP\tO' -p268031 -aS'.\t.\t.\tO\tO' -p268032 -asS'Her temperature was 100.4 in the office , and she had no chills .' -p268033 -(lp268034 -S'Her\tHer\tPRP$\tB-NP\tO' -p268035 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p268036 -aS'was\tbe\tVBD\tB-VP\tO' -p268037 -aS'100.4\t100.4\tCD\tB-NP\tO' -p268038 -aS'in\tin\tIN\tB-PP\tO' -p268039 -aS'the\tthe\tDT\tB-NP\tO' -p268040 -aS'office\toffice\tNN\tI-NP\tO' -p268041 -aS',\t,\t,\tO\tO' -p268042 -aS'and\tand\tCC\tO\tO' -p268043 -aS'she\tshe\tPRP\tB-NP\tO' -p268044 -aS'had\thave\tVBD\tB-VP\tO' -p268045 -aS'no\tno\tDT\tB-NP\tO' -p268046 -aS'chills\tchill\tNNS\tI-NP\tO' -p268047 -aS'.\t.\t.\tO\tO' -p268048 -asS'Also noted to be bradycardic to the 50s , which responded to atropine .' -p268049 -(lp268050 -S'Also\tAlso\tRB\tB-ADVP\tO' -p268051 -aS'noted\tnote\tVBN\tB-VP\tO' -p268052 -aS'to\tto\tTO\tI-VP\tO' -p268053 -aS'be\tbe\tVB\tI-VP\tO' -p268054 -aS'bradycardic\tbradycardic\tJJ\tB-ADJP\tO' -p268055 -aS'to\tto\tTO\tB-PP\tO' -p268056 -aS'the\tthe\tDT\tB-NP\tO' -p268057 -aS'50s\t50\tNNS\tI-NP\tO' -p268058 -aS',\t,\t,\tO\tO' -p268059 -aS'which\twhich\tWDT\tB-NP\tO' -p268060 -aS'responded\trespond\tVBD\tB-VP\tO' -p268061 -aS'to\tto\tTO\tB-PP\tO' -p268062 -aS'atropine\tatropine\tNN\tB-NP\tO' -p268063 -aS'.\t.\t.\tO\tO' -p268064 -asS'She has good femoral pulses bilaterally .' -p268065 -(lp268066 -S'She\tShe\tPRP\tB-NP\tO' -p268067 -aS'has\thave\tVBZ\tB-VP\tO' -p268068 -aS'good\tgood\tJJ\tB-NP\tO' -p268069 -aS'femoral\tfemoral\tJJ\tI-NP\tO' -p268070 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p268071 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p268072 -aS'.\t.\t.\tO\tO' -p268073 -asS'She was then admitted again on 2016-03-30 for an elective coronary artery bypass graft .' -p268074 -(lp268075 -S'She\tShe\tPRP\tB-NP\tO' -p268076 -aS'was\tbe\tVBD\tB-VP\tO' -p268077 -aS'then\tthen\tRB\tI-VP\tO' -p268078 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p268079 -aS'again\tagain\tRB\tB-ADVP\tO' -p268080 -aS'on\ton\tIN\tB-PP\tO' -p268081 -aS'2016-03-30\t2016-03-30\tCD\tB-NP\tO' -p268082 -aS'for\tfor\tIN\tB-PP\tO' -p268083 -aS'an\tan\tDT\tB-NP\tO' -p268084 -aS'elective\telective\tJJ\tI-NP\tO' -p268085 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p268086 -aS'artery\tartery\tNN\tI-NP\tO' -p268087 -aS'bypass\tbypass\tIN\tB-PP\tO' -p268088 -aS'graft\tgraft\tNN\tB-NP\tO' -p268089 -aS'.\t.\t.\tO\tO' -p268090 -asS'3. Duloxetine 20 mg Capsule , Delayed Release( E.C. ) Sig : One ( 1 ) Capsule , Delayed Release ( E.C. ) PO QHS ( once a day ( at bedtime ) ) .' -p268091 -(lp268092 -S'3.\t3.\tLS\tB-NP\tO' -p268093 -aS'Duloxetine\tDuloxetine\tNN\tI-NP\tO' -p268094 -aS'20\t20\tCD\tI-NP\tO' -p268095 -aS'mg\tmg\tNN\tI-NP\tO' -p268096 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p268097 -aS',\t,\t,\tO\tO' -p268098 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p268099 -aS'Release(\tRelease(\tNNP\tI-NP\tO' -p268100 -aS'E.C.\tE.C.\tNNP\tI-NP\tO' -p268101 -aS')\t)\t)\tO\tO' -p268102 -aS'Sig\tSig\tNNP\tB-NP\tO' -p268103 -aS':\t:\t:\tO\tO' -p268104 -aS'One\tOne\tCD\tB-NP\tO' -p268105 -aS'(\t(\t(\tO\tO' -p268106 -aS'1\t1\tCD\tB-NP\tO' -p268107 -aS')\t)\t)\tO\tO' -p268108 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p268109 -aS',\t,\t,\tO\tO' -p268110 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p268111 -aS'Release\tRelease\tNNP\tI-NP\tO' -p268112 -aS'(\t(\t(\tO\tO' -p268113 -aS'E.C.\tE.C.\tNNP\tO\tO' -p268114 -aS')\t)\t)\tO\tO' -p268115 -aS'PO\tPO\tNN\tB-NP\tO' -p268116 -aS'QHS\tQHS\tNN\tI-NP\tO' -p268117 -aS'(\t(\t(\tO\tO' -p268118 -aS'once\tonce\tRB\tB-ADVP\tO' -p268119 -aS'a\ta\tDT\tB-NP\tO' -p268120 -aS'day\tday\tNN\tI-NP\tO' -p268121 -aS'(\t(\t(\tO\tO' -p268122 -aS'at\tat\tIN\tB-PP\tO' -p268123 -aS'bedtime\tbedtime\tNN\tB-NP\tO' -p268124 -aS')\t)\t)\tO\tO' -p268125 -aS')\t)\t)\tO\tO' -p268126 -aS'.\t.\t.\tO\tO' -p268127 -asS'Placed on Dilantin .' -p268128 -(lp268129 -S'Placed\tPlace\tVBN\tB-VP\tO' -p268130 -aS'on\ton\tIN\tB-PP\tO' -p268131 -aS'Dilantin\tDilantin\tNN\tB-NP\tB-protein' -p268132 -aS'.\t.\t.\tO\tO' -p268133 -asS"The patient 's electrolytes were repleted as necessary ." -p268134 -(lp268135 -S'The\tThe\tDT\tB-NP\tO' -p268136 -aS'patient\tpatient\tNN\tI-NP\tO' -p268137 -aS"'s\t's\tPOS\tB-NP\tO" -p268138 -aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' -p268139 -aS'were\tbe\tVBD\tB-VP\tO' -p268140 -aS'repleted\treplete\tVBN\tI-VP\tO' -p268141 -aS'as\tas\tIN\tB-PP\tO' -p268142 -aS'necessary\tnecessary\tJJ\tB-ADJP\tO' -p268143 -aS'.\t.\t.\tO\tO' -p268144 -asS'However , it could not be completely excised , moreover the tumor metastasized to the liver was discovered on follow up scan in 06/95 .' -p268145 -(lp268146 -S'However\tHowever\tRB\tB-ADVP\tO' -p268147 -aS',\t,\t,\tO\tO' -p268148 -aS'it\tit\tPRP\tB-NP\tO' -p268149 -aS'could\tcould\tMD\tB-VP\tO' -p268150 -aS'not\tnot\tRB\tI-VP\tO' -p268151 -aS'be\tbe\tVB\tI-VP\tO' -p268152 -aS'completely\tcompletely\tRB\tI-VP\tO' -p268153 -aS'excised\texcise\tVBN\tI-VP\tO' -p268154 -aS',\t,\t,\tO\tO' -p268155 -aS'moreover\tmoreover\tRB\tB-ADVP\tO' -p268156 -aS'the\tthe\tDT\tB-NP\tO' -p268157 -aS'tumor\ttumor\tNN\tI-NP\tO' -p268158 -aS'metastasized\tmetastasize\tVBN\tB-VP\tO' -p268159 -aS'to\tto\tTO\tB-PP\tO' -p268160 -aS'the\tthe\tDT\tB-NP\tO' -p268161 -aS'liver\tliver\tNN\tI-NP\tO' -p268162 -aS'was\tbe\tVBD\tB-VP\tO' -p268163 -aS'discovered\tdiscover\tVBN\tI-VP\tO' -p268164 -aS'on\ton\tIN\tB-PP\tO' -p268165 -aS'follow\tfollow\tNN\tB-VP\tO' -p268166 -aS'up\tup\tRP\tB-PRT\tO' -p268167 -aS'scan\tscan\tNN\tB-NP\tO' -p268168 -aS'in\tin\tIN\tB-PP\tO' -p268169 -aS'06/95\t06/95\tCD\tB-NP\tO' -p268170 -aS'.\t.\t.\tO\tO' -p268171 -asS'She tolerated this well .' -p268172 -(lp268173 -S'She\tShe\tPRP\tB-NP\tO' -p268174 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p268175 -aS'this\tthis\tDT\tB-NP\tO' -p268176 -aS'well\twell\tRB\tI-NP\tO' -p268177 -aS'.\t.\t.\tO\tO' -p268178 -asS'The patient continues to improve with regard to his scrotal and lower extremity edema .' -p268179 -(lp268180 -S'The\tThe\tDT\tB-NP\tO' -p268181 -aS'patient\tpatient\tNN\tI-NP\tO' -p268182 -aS'continues\tcontinue\tVBZ\tB-VP\tO' -p268183 -aS'to\tto\tTO\tI-VP\tO' -p268184 -aS'improve\timprove\tVB\tI-VP\tO' -p268185 -aS'with\twith\tIN\tB-PP\tO' -p268186 -aS'regard\tregard\tNN\tB-NP\tO' -p268187 -aS'to\tto\tTO\tB-PP\tO' -p268188 -aS'his\this\tPRP$\tB-NP\tO' -p268189 -aS'scrotal\tscrotal\tJJ\tI-NP\tO' -p268190 -aS'and\tand\tCC\tI-NP\tO' -p268191 -aS'lower\tlow\tJJR\tI-NP\tO' -p268192 -aS'extremity\textremity\tNN\tI-NP\tO' -p268193 -aS'edema\tedema\tNN\tI-NP\tO' -p268194 -aS'.\t.\t.\tO\tO' -p268195 -asS'1. Amiodarone HCl 400 mg Tablet Sig : One ( 1 ) Tablet PO one tid for 2 weeks , then 1 qd for 2 months for 2 months : Please take 1 tablet 3 times per day for 2 weeks , then take 1 tablet per day for 2 months .' -p268196 -(lp268197 -S'1.\t1.\tLS\tB-NP\tO' -p268198 -aS'Amiodarone\tAmiodarone\tNN\tI-NP\tO' -p268199 -aS'HCl\tHCl\tNN\tI-NP\tO' -p268200 -aS'400\t400\tCD\tI-NP\tO' -p268201 -aS'mg\tmg\tNN\tI-NP\tO' -p268202 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p268203 -aS'Sig\tSig\tNNP\tI-NP\tO' -p268204 -aS':\t:\t:\tO\tO' -p268205 -aS'One\tOne\tCD\tB-NP\tO' -p268206 -aS'(\t(\t(\tO\tO' -p268207 -aS'1\t1\tCD\tB-NP\tO' -p268208 -aS')\t)\t)\tO\tO' -p268209 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p268210 -aS'PO\tPO\tNN\tI-NP\tO' -p268211 -aS'one\tone\tCD\tB-NP\tO' -p268212 -aS'tid\ttid\tNN\tI-NP\tO' -p268213 -aS'for\tfor\tIN\tB-PP\tO' -p268214 -aS'2\t2\tCD\tB-NP\tO' -p268215 -aS'weeks\tweek\tNNS\tI-NP\tO' -p268216 -aS',\t,\t,\tO\tO' -p268217 -aS'then\tthen\tRB\tO\tO' -p268218 -aS'1\t1\tCD\tB-NP\tO' -p268219 -aS'qd\tqd\tNN\tI-NP\tO' -p268220 -aS'for\tfor\tIN\tB-PP\tO' -p268221 -aS'2\t2\tCD\tB-NP\tO' -p268222 -aS'months\tmonth\tNNS\tI-NP\tO' -p268223 -aS'for\tfor\tIN\tB-PP\tO' -p268224 -aS'2\t2\tCD\tB-NP\tO' -p268225 -aS'months\tmonth\tNNS\tI-NP\tO' -p268226 -aS':\t:\t:\tO\tO' -p268227 -aS'Please\tPlease\tNN\tB-NP\tB-protein' -p268228 -aS'take\ttake\tVB\tB-VP\tO' -p268229 -aS'1\t1\tCD\tB-NP\tO' -p268230 -aS'tablet\ttablet\tNN\tI-NP\tO' -p268231 -aS'3\t3\tCD\tB-NP\tO' -p268232 -aS'times\ttime\tNNS\tI-NP\tO' -p268233 -aS'per\tper\tIN\tB-PP\tO' -p268234 -aS'day\tday\tNN\tB-NP\tO' -p268235 -aS'for\tfor\tIN\tB-PP\tO' -p268236 -aS'2\t2\tCD\tB-NP\tO' -p268237 -aS'weeks\tweek\tNNS\tI-NP\tO' -p268238 -aS',\t,\t,\tO\tO' -p268239 -aS'then\tthen\tRB\tO\tO' -p268240 -aS'take\ttake\tVB\tB-VP\tO' -p268241 -aS'1\t1\tCD\tB-NP\tO' -p268242 -aS'tablet\ttablet\tNN\tI-NP\tO' -p268243 -aS'per\tper\tIN\tB-PP\tO' -p268244 -aS'day\tday\tNN\tB-NP\tO' -p268245 -aS'for\tfor\tIN\tB-PP\tO' -p268246 -aS'2\t2\tCD\tB-NP\tO' -p268247 -aS'months\tmonth\tNNS\tI-NP\tO' -p268248 -aS'.\t.\t.\tO\tO' -p268249 -asS'She reports a 10 pound weight loss over the past several months .' -p268250 -(lp268251 -S'She\tShe\tPRP\tB-NP\tO' -p268252 -aS'reports\treport\tVBZ\tB-VP\tO' -p268253 -aS'a\ta\tDT\tB-NP\tO' -p268254 -aS'10\t10\tCD\tI-NP\tO' -p268255 -aS'pound\tpound\tNN\tI-NP\tO' -p268256 -aS'weight\tweight\tNN\tI-NP\tO' -p268257 -aS'loss\tloss\tNN\tI-NP\tO' -p268258 -aS'over\tover\tIN\tB-PP\tO' -p268259 -aS'the\tthe\tDT\tB-NP\tO' -p268260 -aS'past\tpast\tJJ\tI-NP\tO' -p268261 -aS'several\tseveral\tJJ\tI-NP\tO' -p268262 -aS'months\tmonth\tNNS\tI-NP\tO' -p268263 -aS'.\t.\t.\tO\tO' -p268264 -asS"The patient 's cardiovascular status has been stable throughout his CMED CSRU stay ." -p268265 -(lp268266 -S'The\tThe\tDT\tB-NP\tO' -p268267 -aS'patient\tpatient\tNN\tI-NP\tO' -p268268 -aS"'s\t's\tPOS\tB-NP\tO" -p268269 -aS'cardiovascular\tcardiovascular\tJJ\tI-NP\tO' -p268270 -aS'status\tstatus\tNN\tI-NP\tO' -p268271 -aS'has\thave\tVBZ\tB-VP\tO' -p268272 -aS'been\tbe\tVBN\tI-VP\tO' -p268273 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p268274 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p268275 -aS'his\this\tPRP$\tB-NP\tO' -p268276 -aS'CMED\tCMED\tNNP\tI-NP\tO' -p268277 -aS'CSRU\tCSRU\tNNP\tI-NP\tO' -p268278 -aS'stay\tstay\tNN\tI-NP\tO' -p268279 -aS'.\t.\t.\tO\tO' -p268280 -asS'It is felt that the patient 's thrombotic thrombocytopenic purpura has resolved .' -p268281 -(lp268282 -S'It\tIt\tPRP\tB-NP\tO' -p268283 -aS'is\tbe\tVBZ\tB-VP\tO' -p268284 -aS'felt\tfeel\tVBN\tI-VP\tO' -p268285 -aS'that\tthat\tIN\tB-SBAR\tO' -p268286 -aS'the\tthe\tDT\tB-NP\tO' -p268287 -aS'patient\tpatient\tNN\tI-NP\tO' -p268288 -aS''s\t'\tVBZ\tB-VP\tO' -p268289 -aS'thrombotic\tthrombotic\tJJ\tB-NP\tB-protein' -p268290 -aS'thrombocytopenic\tthrombocytopenic\tJJ\tI-NP\tI-protein' -p268291 -aS'purpura\tpurpura\tNN\tI-NP\tI-protein' -p268292 -aS'has\thave\tVBZ\tB-VP\tO' -p268293 -aS'resolved\tresolve\tVBN\tI-VP\tO' -p268294 -aS'.\t.\t.\tO\tO' -p268295 -asS'Cranial nerves - The pupils are equal and reactive to light and accommodation .' -p268296 -(lp268297 -S'Cranial\tCranial\tNNP\tB-NP\tO' -p268298 -aS'nerves\tnerve\tVBZ\tB-VP\tO' -p268299 -aS'-\t-\tHYPH\tO\tO' -p268300 -aS'The\tThe\tDT\tB-NP\tO' -p268301 -aS'pupils\tpupil\tNNS\tI-NP\tO' -p268302 -aS'are\tbe\tVBP\tB-VP\tO' -p268303 -aS'equal\tequal\tJJ\tB-ADJP\tO' -p268304 -aS'and\tand\tCC\tI-ADJP\tO' -p268305 -aS'reactive\treactive\tJJ\tI-ADJP\tO' -p268306 -aS'to\tto\tTO\tB-PP\tO' -p268307 -aS'light\tlight\tNN\tB-NP\tO' -p268308 -aS'and\tand\tCC\tI-NP\tO' -p268309 -aS'accommodation\taccommodation\tNN\tI-NP\tO' -p268310 -aS'.\t.\t.\tO\tO' -p268311 -asS'ST changes as compared to 2017-05-01 EKG .' -p268312 -(lp268313 -S'ST\tST\tNN\tB-NP\tO' -p268314 -aS'changes\tchange\tNNS\tI-NP\tO' -p268315 -aS'as\tas\tIN\tB-SBAR\tO' -p268316 -aS'compared\tcompare\tVBN\tB-VP\tO' -p268317 -aS'to\tto\tTO\tB-PP\tO' -p268318 -aS'2017-05-01\t2017-05-01\tCD\tB-NP\tO' -p268319 -aS'EKG\tEKG\tNN\tI-NP\tO' -p268320 -aS'.\t.\t.\tO\tO' -p268321 -asS'GI was consulted on 10/15/97 for melena , decreased hematocrit prior to his humeral fixation surgery .' -p268322 -(lp268323 -S'GI\tGI\tNN\tB-NP\tO' -p268324 -aS'was\tbe\tVBD\tB-VP\tO' -p268325 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p268326 -aS'on\ton\tIN\tB-PP\tO' -p268327 -aS'10/15/97\t10/15/97\tCD\tB-NP\tO' -p268328 -aS'for\tfor\tIN\tB-PP\tO' -p268329 -aS'melena\tmelena\tNN\tB-NP\tO' -p268330 -aS',\t,\t,\tO\tO' -p268331 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p268332 -aS'hematocrit\thematocrit\tNN\tB-NP\tO' -p268333 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p268334 -aS'to\tto\tTO\tB-PP\tO' -p268335 -aS'his\this\tPRP$\tB-NP\tO' -p268336 -aS'humeral\thumeral\tJJ\tI-NP\tO' -p268337 -aS'fixation\tfixation\tNN\tI-NP\tO' -p268338 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p268339 -aS'.\t.\t.\tO\tO' -p268340 -asS"The patient 's pelvis was stable to AP and lateral compression ." -p268341 -(lp268342 -S'The\tThe\tDT\tB-NP\tO' -p268343 -aS'patient\tpatient\tNN\tI-NP\tO' -p268344 -aS"'s\t's\tPOS\tB-NP\tO" -p268345 -aS'pelvis\tpelvis\tNN\tI-NP\tO' -p268346 -aS'was\tbe\tVBD\tB-VP\tO' -p268347 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p268348 -aS'to\tto\tTO\tB-PP\tO' -p268349 -aS'AP\tAP\tNN\tB-NP\tO' -p268350 -aS'and\tand\tCC\tO\tO' -p268351 -aS'lateral\tlateral\tJJ\tB-NP\tO' -p268352 -aS'compression\tcompression\tNN\tI-NP\tO' -p268353 -aS'.\t.\t.\tO\tO' -p268354 -asS"He 'd been having lower abdominal pain for approximately the past week , a symptom for which he 's been admitted in the past ." -p268355 -(lp268356 -S'He\tHe\tPRP\tB-NP\tO' -p268357 -aS"'d\t'd\tVBD\tB-VP\tO" -p268358 -aS'been\tbe\tVBN\tI-VP\tO' -p268359 -aS'having\thave\tVBG\tI-VP\tO' -p268360 -aS'lower\tlow\tJJR\tB-NP\tO' -p268361 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p268362 -aS'pain\tpain\tNN\tI-NP\tO' -p268363 -aS'for\tfor\tIN\tB-PP\tO' -p268364 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p268365 -aS'the\tthe\tDT\tI-NP\tO' -p268366 -aS'past\tpast\tNN\tI-NP\tO' -p268367 -aS'week\tweek\tNN\tI-NP\tO' -p268368 -aS',\t,\t,\tO\tO' -p268369 -aS'a\ta\tDT\tB-NP\tO' -p268370 -aS'symptom\tsymptom\tNN\tI-NP\tO' -p268371 -aS'for\tfor\tIN\tB-PP\tO' -p268372 -aS'which\twhich\tWDT\tB-NP\tO' -p268373 -aS'he\the\tPRP\tB-NP\tO' -p268374 -aS"'s\t'\tVBZ\tB-VP\tO" -p268375 -aS'been\tbe\tVBN\tI-VP\tO' -p268376 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p268377 -aS'in\tin\tIN\tB-PP\tO' -p268378 -aS'the\tthe\tDT\tB-NP\tO' -p268379 -aS'past\tpast\tNN\tI-NP\tO' -p268380 -aS'.\t.\t.\tO\tO' -p268381 -asS'Neuro exam-the Mental Status Exam was variable , intermittently responsive , unable to follow commands .' -p268382 -(lp268383 -S'Neuro\tNeuro\tNNP\tB-NP\tO' -p268384 -aS'exam-the\texam-the\tNNP\tI-NP\tO' -p268385 -aS'Mental\tMental\tNNP\tI-NP\tO' -p268386 -aS'Status\tStatus\tNNP\tI-NP\tO' -p268387 -aS'Exam\tExam\tNNP\tI-NP\tO' -p268388 -aS'was\tbe\tVBD\tB-VP\tO' -p268389 -aS'variable\tvariable\tJJ\tB-ADJP\tO' -p268390 -aS',\t,\t,\tO\tO' -p268391 -aS'intermittently\tintermittently\tRB\tB-ADJP\tO' -p268392 -aS'responsive\tresponsive\tJJ\tI-ADJP\tO' -p268393 -aS',\t,\t,\tO\tO' -p268394 -aS'unable\tunable\tJJ\tB-ADJP\tO' -p268395 -aS'to\tto\tTO\tB-VP\tO' -p268396 -aS'follow\tfollow\tVB\tI-VP\tO' -p268397 -aS'commands\tcommand\tNNS\tB-NP\tO' -p268398 -aS'.\t.\t.\tO\tO' -p268399 -asS'Mild swelling was noted in the left hand .' -p268400 -(lp268401 -S'Mild\tMild\tNNP\tB-NP\tO' -p268402 -aS'swelling\tswelling\tNN\tI-NP\tO' -p268403 -aS'was\tbe\tVBD\tB-VP\tO' -p268404 -aS'noted\tnote\tVBN\tI-VP\tO' -p268405 -aS'in\tin\tIN\tB-PP\tO' -p268406 -aS'the\tthe\tDT\tB-NP\tO' -p268407 -aS'left\tleft\tJJ\tI-NP\tO' -p268408 -aS'hand\thand\tNN\tI-NP\tO' -p268409 -aS'.\t.\t.\tO\tO' -p268410 -asS'Her skin looked very bronze and tan , especially in the sun exposed areas .' -p268411 -(lp268412 -S'Her\tHer\tPRP$\tB-NP\tO' -p268413 -aS'skin\tskin\tNN\tI-NP\tO' -p268414 -aS'looked\tlook\tVBD\tB-VP\tO' -p268415 -aS'very\tvery\tRB\tB-NP\tO' -p268416 -aS'bronze\tbronze\tNN\tI-NP\tO' -p268417 -aS'and\tand\tCC\tI-NP\tO' -p268418 -aS'tan\ttan\tNN\tI-NP\tO' -p268419 -aS',\t,\t,\tO\tO' -p268420 -aS'especially\tespecially\tRB\tB-ADVP\tO' -p268421 -aS'in\tin\tIN\tB-PP\tO' -p268422 -aS'the\tthe\tDT\tB-NP\tO' -p268423 -aS'sun\tsun\tNN\tI-NP\tO' -p268424 -aS'exposed\texpose\tVBN\tI-NP\tO' -p268425 -aS'areas\tarea\tNNS\tI-NP\tO' -p268426 -aS'.\t.\t.\tO\tO' -p268427 -asS'Slight conjunctival pallor .' -p268428 -(lp268429 -S'Slight\tSlight\tJJ\tB-NP\tO' -p268430 -aS'conjunctival\tconjunctival\tJJ\tI-NP\tO' -p268431 -aS'pallor\tpallor\tNN\tI-NP\tO' -p268432 -aS'.\t.\t.\tO\tO' -p268433 -asS'He uses alcohol occasionally .' -p268434 -(lp268435 -S'He\tHe\tPRP\tB-NP\tO' -p268436 -aS'uses\tuse\tVBZ\tB-VP\tO' -p268437 -aS'alcohol\talcohol\tNN\tB-NP\tO' -p268438 -aS'occasionally\toccasionally\tRB\tB-ADVP\tO' -p268439 -aS'.\t.\t.\tO\tO' -p268440 -asS'On admission , white blood cell count was 11 , hematocrit was 30 , platelets were 269 .' -p268441 -(lp268442 -S'On\tOn\tIN\tB-PP\tO' -p268443 -aS'admission\tadmission\tNN\tB-NP\tO' -p268444 -aS',\t,\t,\tO\tO' -p268445 -aS'white\twhite\tJJ\tB-NP\tO' -p268446 -aS'blood\tblood\tNN\tI-NP\tO' -p268447 -aS'cell\tcell\tNN\tI-NP\tO' -p268448 -aS'count\tcount\tNN\tI-NP\tO' -p268449 -aS'was\tbe\tVBD\tB-VP\tO' -p268450 -aS'11\t11\tCD\tB-NP\tO' -p268451 -aS',\t,\t,\tO\tO' -p268452 -aS'hematocrit\thematocrit\tNN\tB-NP\tO' -p268453 -aS'was\tbe\tVBD\tB-VP\tO' -p268454 -aS'30\t30\tCD\tB-NP\tO' -p268455 -aS',\t,\t,\tO\tO' -p268456 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p268457 -aS'were\tbe\tVBD\tB-VP\tO' -p268458 -aS'269\t269\tCD\tB-NP\tO' -p268459 -aS'.\t.\t.\tO\tO' -p268460 -asS'The heart size , and mediastinal and hilar contours are normal .' -p268461 -(lp268462 -S'The\tThe\tDT\tB-NP\tO' -p268463 -aS'heart\theart\tNN\tI-NP\tO' -p268464 -aS'size\tsize\tNN\tI-NP\tO' -p268465 -aS',\t,\t,\tO\tO' -p268466 -aS'and\tand\tCC\tO\tO' -p268467 -aS'mediastinal\tmediastinal\tJJ\tB-NP\tO' -p268468 -aS'and\tand\tCC\tI-NP\tO' -p268469 -aS'hilar\thilar\tJJ\tI-NP\tO' -p268470 -aS'contours\tcontour\tNNS\tI-NP\tO' -p268471 -aS'are\tbe\tVBP\tB-VP\tO' -p268472 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p268473 -aS'.\t.\t.\tO\tO' -p268474 -asS'Dr. Berca Gachfrum performed a right modified mastectomy and left simple mastectomy on November 4 , 1991 .' -p268475 -(lp268476 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p268477 -aS'Berca\tBerca\tNNP\tI-NP\tO' -p268478 -aS'Gachfrum\tGachfrum\tNNP\tI-NP\tO' -p268479 -aS'performed\tperform\tVBD\tB-VP\tO' -p268480 -aS'a\ta\tDT\tB-NP\tO' -p268481 -aS'right\tright\tJJ\tI-NP\tO' -p268482 -aS'modified\tmodify\tVBN\tI-NP\tO' -p268483 -aS'mastectomy\tmastectomy\tNN\tI-NP\tO' -p268484 -aS'and\tand\tCC\tO\tO' -p268485 -aS'left\tleave\tVBD\tB-VP\tO' -p268486 -aS'simple\tsimple\tJJ\tB-NP\tO' -p268487 -aS'mastectomy\tmastectomy\tNN\tI-NP\tO' -p268488 -aS'on\ton\tIN\tB-PP\tO' -p268489 -aS'November\tNovember\tNNP\tB-NP\tO' -p268490 -aS'4\t4\tCD\tI-NP\tO' -p268491 -aS',\t,\t,\tI-NP\tO' -p268492 -aS'1991\t1991\tCD\tI-NP\tO' -p268493 -aS'.\t.\t.\tO\tO' -p268494 -asS'The patient was treated with ampicillin , gentamicin , and Flagyl .' -p268495 -(lp268496 -S'The\tThe\tDT\tB-NP\tO' -p268497 -aS'patient\tpatient\tNN\tI-NP\tO' -p268498 -aS'was\tbe\tVBD\tB-VP\tO' -p268499 -aS'treated\ttreat\tVBN\tI-VP\tO' -p268500 -aS'with\twith\tIN\tB-PP\tO' -p268501 -aS'ampicillin\tampicillin\tNN\tB-NP\tO' -p268502 -aS',\t,\t,\tO\tO' -p268503 -aS'gentamicin\tgentamicin\tNN\tB-NP\tO' -p268504 -aS',\t,\t,\tO\tO' -p268505 -aS'and\tand\tCC\tO\tO' -p268506 -aS'Flagyl\tFlagyl\tNN\tB-NP\tO' -p268507 -aS'.\t.\t.\tO\tO' -p268508 -asS'His Atenolol was held , and he had no further pauses during his stay .' -p268509 -(lp268510 -S'His\tHis\tPRP$\tB-NP\tO' -p268511 -aS'Atenolol\tAtenolol\tNN\tI-NP\tO' -p268512 -aS'was\tbe\tVBD\tB-VP\tO' -p268513 -aS'held\thold\tVBN\tI-VP\tO' -p268514 -aS',\t,\t,\tO\tO' -p268515 -aS'and\tand\tCC\tO\tO' -p268516 -aS'he\the\tPRP\tB-NP\tO' -p268517 -aS'had\thave\tVBD\tB-VP\tO' -p268518 -aS'no\tno\tDT\tB-NP\tO' -p268519 -aS'further\tfurther\tJJ\tI-NP\tO' -p268520 -aS'pauses\tpause\tNNS\tI-NP\tO' -p268521 -aS'during\tduring\tIN\tB-PP\tO' -p268522 -aS'his\this\tPRP$\tB-NP\tO' -p268523 -aS'stay\tstay\tNN\tI-NP\tO' -p268524 -aS'.\t.\t.\tO\tO' -p268525 -asS'3. Uniretic 15/25 .' -p268526 -(lp268527 -S'3.\t3.\tLS\tB-NP\tO' -p268528 -aS'Uniretic\tUniretic\tJJ\tI-NP\tO' -p268529 -aS'15/25\t15/25\tCD\tI-NP\tO' -p268530 -aS'.\t.\t.\tO\tO' -p268531 -asS'As volume depletion was thought to be the cause of her low BP , only the BBlocker was restarted .' -p268532 -(lp268533 -S'As\tAs\tIN\tB-SBAR\tO' -p268534 -aS'volume\tvolume\tNN\tB-NP\tO' -p268535 -aS'depletion\tdepletion\tNN\tI-NP\tO' -p268536 -aS'was\tbe\tVBD\tB-VP\tO' -p268537 -aS'thought\tthink\tVBN\tI-VP\tO' -p268538 -aS'to\tto\tTO\tI-VP\tO' -p268539 -aS'be\tbe\tVB\tI-VP\tO' -p268540 -aS'the\tthe\tDT\tB-NP\tO' -p268541 -aS'cause\tcause\tNN\tI-NP\tO' -p268542 -aS'of\tof\tIN\tB-PP\tO' -p268543 -aS'her\ther\tPRP$\tB-NP\tO' -p268544 -aS'low\tlow\tJJ\tI-NP\tO' -p268545 -aS'BP\tBP\tNN\tI-NP\tO' -p268546 -aS',\t,\t,\tO\tO' -p268547 -aS'only\tonly\tRB\tB-NP\tO' -p268548 -aS'the\tthe\tDT\tI-NP\tO' -p268549 -aS'BBlocker\tBBlocker\tNNP\tI-NP\tO' -p268550 -aS'was\tbe\tVBD\tB-VP\tO' -p268551 -aS'restarted\trestart\tVBN\tI-VP\tO' -p268552 -aS'.\t.\t.\tO\tO' -p268553 -asS'Furthermore , his Foley catheter was removed and he was started on anti-coagulation for his episodes of atrial fibrillation .' -p268554 -(lp268555 -S'Furthermore\tFurthermore\tRB\tB-ADVP\tO' -p268556 -aS',\t,\t,\tO\tO' -p268557 -aS'his\this\tPRP$\tB-NP\tO' -p268558 -aS'Foley\tFoley\tNNP\tI-NP\tO' -p268559 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p268560 -aS'was\tbe\tVBD\tB-VP\tO' -p268561 -aS'removed\tremove\tVBN\tI-VP\tO' -p268562 -aS'and\tand\tCC\tO\tO' -p268563 -aS'he\the\tPRP\tB-NP\tO' -p268564 -aS'was\tbe\tVBD\tB-VP\tO' -p268565 -aS'started\tstart\tVBN\tI-VP\tO' -p268566 -aS'on\ton\tIN\tB-PP\tO' -p268567 -aS'anti-coagulation\tanti-coagulation\tNN\tB-NP\tO' -p268568 -aS'for\tfor\tIN\tB-PP\tO' -p268569 -aS'his\this\tPRP$\tB-NP\tO' -p268570 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p268571 -aS'of\tof\tIN\tB-PP\tO' -p268572 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p268573 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p268574 -aS'.\t.\t.\tO\tO' -p268575 -asS'The chronic encephalomalacic changes at the adjacent right frontal lobe and the right parietal / occipital region remain stable in appearance .' -p268576 -(lp268577 -S'The\tThe\tDT\tB-NP\tO' -p268578 -aS'chronic\tchronic\tJJ\tI-NP\tO' -p268579 -aS'encephalomalacic\tencephalomalacic\tJJ\tI-NP\tO' -p268580 -aS'changes\tchange\tNNS\tI-NP\tO' -p268581 -aS'at\tat\tIN\tB-PP\tO' -p268582 -aS'the\tthe\tDT\tB-NP\tO' -p268583 -aS'adjacent\tadjacent\tJJ\tI-NP\tO' -p268584 -aS'right\tright\tJJ\tI-NP\tO' -p268585 -aS'frontal\tfrontal\tJJ\tI-NP\tO' -p268586 -aS'lobe\tlobe\tNN\tI-NP\tO' -p268587 -aS'and\tand\tCC\tO\tO' -p268588 -aS'the\tthe\tDT\tB-NP\tO' -p268589 -aS'right\tright\tJJ\tI-NP\tB-DNA' -p268590 -aS'parietal\tparietal\tNN\tI-NP\tI-DNA' -p268591 -aS'/\t/\tSYM\tB-VP\tI-DNA' -p268592 -aS'occipital\toccipital\tNN\tB-NP\tI-DNA' -p268593 -aS'region\tregion\tNN\tI-NP\tI-DNA' -p268594 -aS'remain\tremain\tVBP\tB-VP\tO' -p268595 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p268596 -aS'in\tin\tIN\tB-PP\tO' -p268597 -aS'appearance\tappearance\tNN\tB-NP\tO' -p268598 -aS'.\t.\t.\tO\tO' -p268599 -asS'9. Docusate Sodium 100 mg Capsule Sig : One ( 1 ) Capsule PO BID ( 2 times a day ) .' -p268600 -(lp268601 -S'9.\t9.\tLS\tB-NP\tO' -p268602 -aS'Docusate\tDocusate\tNNP\tI-NP\tO' -p268603 -aS'Sodium\tSodium\tNNP\tI-NP\tO' -p268604 -aS'100\t100\tCD\tI-NP\tO' -p268605 -aS'mg\tmg\tNN\tI-NP\tO' -p268606 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p268607 -aS'Sig\tSig\tNNP\tI-NP\tO' -p268608 -aS':\t:\t:\tO\tO' -p268609 -aS'One\tOne\tCD\tB-NP\tO' -p268610 -aS'(\t(\t(\tO\tO' -p268611 -aS'1\t1\tCD\tB-NP\tO' -p268612 -aS')\t)\t)\tO\tO' -p268613 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p268614 -aS'PO\tPO\tNNP\tI-NP\tO' -p268615 -aS'BID\tBID\tNNP\tI-NP\tO' -p268616 -aS'(\t(\t(\tO\tO' -p268617 -aS'2\t2\tCD\tB-NP\tO' -p268618 -aS'times\ttime\tNNS\tI-NP\tO' -p268619 -aS'a\ta\tDT\tB-NP\tO' -p268620 -aS'day\tday\tNN\tI-NP\tO' -p268621 -aS')\t)\t)\tO\tO' -p268622 -aS'.\t.\t.\tO\tO' -p268623 -asS'CTA was performed which was negative for PE , but revealed bilateral patchy ground glass opacities c/w aspiration vs. pneumonia vs. edema .' -p268624 -(lp268625 -S'CTA\tCTA\tNN\tB-NP\tB-protein' -p268626 -aS'was\tbe\tVBD\tB-VP\tO' -p268627 -aS'performed\tperform\tVBN\tI-VP\tO' -p268628 -aS'which\twhich\tWDT\tB-NP\tO' -p268629 -aS'was\tbe\tVBD\tB-VP\tO' -p268630 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p268631 -aS'for\tfor\tIN\tB-PP\tO' -p268632 -aS'PE\tPE\tNN\tB-NP\tO' -p268633 -aS',\t,\t,\tO\tO' -p268634 -aS'but\tbut\tCC\tO\tO' -p268635 -aS'revealed\treveal\tVBD\tB-VP\tO' -p268636 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p268637 -aS'patchy\tpatchy\tNN\tI-NP\tO' -p268638 -aS'ground\tground\tNN\tI-NP\tO' -p268639 -aS'glass\tglass\tNN\tI-NP\tO' -p268640 -aS'opacities\topacity\tNNS\tI-NP\tO' -p268641 -aS'c/w\tc/w\tVBP\tB-VP\tO' -p268642 -aS'aspiration\taspiration\tNN\tB-NP\tO' -p268643 -aS'vs.\tvs.\tIN\tB-PP\tO' -p268644 -aS'pneumonia\tpneumonia\tNN\tB-NP\tO' -p268645 -aS'vs.\tvs.\tIN\tB-PP\tO' -p268646 -aS'edema\tedema\tNN\tB-NP\tO' -p268647 -aS'.\t.\t.\tO\tO' -p268648 -asS'Occasional bleeding when she flosses and occasional dizziness secondary to a drop in blood pressure transiently at home .' -p268649 -(lp268650 -S'Occasional\tOccasional\tJJ\tB-ADJP\tO' -p268651 -aS'bleeding\tbleed\tVBG\tB-VP\tO' -p268652 -aS'when\twhen\tWRB\tB-ADVP\tO' -p268653 -aS'she\tshe\tPRP\tB-NP\tO' -p268654 -aS'flosses\tfloss\tVBZ\tB-VP\tO' -p268655 -aS'and\tand\tCC\tO\tO' -p268656 -aS'occasional\toccasional\tJJ\tB-NP\tO' -p268657 -aS'dizziness\tdizziness\tNN\tI-NP\tO' -p268658 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p268659 -aS'to\tto\tTO\tB-PP\tO' -p268660 -aS'a\ta\tDT\tB-NP\tO' -p268661 -aS'drop\tdrop\tNN\tI-NP\tO' -p268662 -aS'in\tin\tIN\tB-PP\tO' -p268663 -aS'blood\tblood\tNN\tB-NP\tO' -p268664 -aS'pressure\tpressure\tNN\tI-NP\tO' -p268665 -aS'transiently\ttransiently\tRB\tB-ADVP\tO' -p268666 -aS'at\tat\tIN\tB-PP\tO' -p268667 -aS'home\thome\tNN\tB-NP\tO' -p268668 -aS'.\t.\t.\tO\tO' -p268669 -asS'Signed electronically by : DR. Marion SCHNEIDER on : Sandra 2014-03-25 12:56 PM' -p268670 -(lp268671 -S'Signed\tSign\tVBN\tB-VP\tO' -p268672 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p268673 -aS'by\tby\tIN\tB-PP\tO' -p268674 -aS':\t:\t:\tO\tO' -p268675 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p268676 -aS'Marion\tMarion\tNNP\tI-NP\tO' -p268677 -aS'SCHNEIDER\tSCHNEIDER\tNNP\tI-NP\tO' -p268678 -aS'on\ton\tIN\tB-PP\tO' -p268679 -aS':\t:\t:\tO\tO' -p268680 -aS'Sandra\tSandra\tNNP\tB-NP\tO' -p268681 -aS'2014-03-25\t2014-03-25\tCD\tB-NP\tO' -p268682 -aS'12:56\t12:56\tCD\tI-NP\tO' -p268683 -aS'PM\tPM\tNN\tI-NP\tO' -p268684 -asS'She has a previous right mastectomy .' -p268685 -(lp268686 -S'She\tShe\tPRP\tB-NP\tO' -p268687 -aS'has\thave\tVBZ\tB-VP\tO' -p268688 -aS'a\ta\tDT\tB-NP\tO' -p268689 -aS'previous\tprevious\tJJ\tI-NP\tO' -p268690 -aS'right\tright\tJJ\tI-NP\tO' -p268691 -aS'mastectomy\tmastectomy\tNN\tI-NP\tO' -p268692 -aS'.\t.\t.\tO\tO' -p268693 -asS'Apgars were 9 and 9 at 1 and 5 minutes .' -p268694 -(lp268695 -S'Apgars\tApgar\tNNS\tB-NP\tO' -p268696 -aS'were\tbe\tVBD\tB-VP\tO' -p268697 -aS'9\t9\tCD\tB-NP\tO' -p268698 -aS'and\tand\tCC\tI-NP\tO' -p268699 -aS'9\t9\tCD\tI-NP\tO' -p268700 -aS'at\tat\tIN\tB-PP\tO' -p268701 -aS'1\t1\tCD\tB-NP\tO' -p268702 -aS'and\tand\tCC\tI-NP\tO' -p268703 -aS'5\t5\tCD\tI-NP\tO' -p268704 -aS'minutes\tminute\tNNS\tI-NP\tO' -p268705 -aS'.\t.\t.\tO\tO' -p268706 -asS'On transfer , the patient was not sedated , but was unresponsive and extremely dyssynchronous with the ventilator .' -p268707 -(lp268708 -S'On\tOn\tIN\tB-PP\tO' -p268709 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p268710 -aS',\t,\t,\tO\tO' -p268711 -aS'the\tthe\tDT\tB-NP\tO' -p268712 -aS'patient\tpatient\tNN\tI-NP\tO' -p268713 -aS'was\tbe\tVBD\tB-VP\tO' -p268714 -aS'not\tnot\tRB\tI-VP\tO' -p268715 -aS'sedated\tsedate\tVBN\tI-VP\tO' -p268716 -aS',\t,\t,\tO\tO' -p268717 -aS'but\tbut\tCC\tO\tO' -p268718 -aS'was\tbe\tVBD\tB-VP\tO' -p268719 -aS'unresponsive\tunresponsive\tJJ\tB-ADJP\tO' -p268720 -aS'and\tand\tCC\tO\tO' -p268721 -aS'extremely\textremely\tRB\tB-ADJP\tO' -p268722 -aS'dyssynchronous\tdyssynchronous\tJJ\tI-ADJP\tO' -p268723 -aS'with\twith\tIN\tB-PP\tO' -p268724 -aS'the\tthe\tDT\tB-NP\tO' -p268725 -aS'ventilator\tventilator\tNN\tI-NP\tO' -p268726 -aS'.\t.\t.\tO\tO' -p268727 -asS'However , the patient reports emesis in the hospital more frequently .' -p268728 -(lp268729 -S'However\tHowever\tRB\tB-ADVP\tO' -p268730 -aS',\t,\t,\tO\tO' -p268731 -aS'the\tthe\tDT\tB-NP\tO' -p268732 -aS'patient\tpatient\tNN\tI-NP\tO' -p268733 -aS'reports\treport\tVBZ\tB-VP\tO' -p268734 -aS'emesis\temesis\tNN\tB-NP\tO' -p268735 -aS'in\tin\tIN\tB-PP\tO' -p268736 -aS'the\tthe\tDT\tB-NP\tO' -p268737 -aS'hospital\thospital\tNN\tI-NP\tO' -p268738 -aS'more\tmore\tRBR\tB-ADVP\tO' -p268739 -aS'frequently\tfrequently\tRB\tI-ADVP\tO' -p268740 -aS'.\t.\t.\tO\tO' -p268741 -asS'Ext : warm well perfused No CCE' -p268742 -(lp268743 -S'Ext\tExt\tNNP\tB-NP\tO' -p268744 -aS':\t:\t:\tO\tO' -p268745 -aS'warm\twarm\tJJ\tB-ADJP\tO' -p268746 -aS'well\twell\tRB\tB-VP\tO' -p268747 -aS'perfused\tperfuse\tVBN\tI-VP\tO' -p268748 -aS'No\tNo\tDT\tB-NP\tO' -p268749 -aS'CCE\tCCE\tNN\tI-NP\tO' -p268750 -asS'His dressings were changed by the nursing staff accordingly .' -p268751 -(lp268752 -S'His\tHis\tPRP$\tB-NP\tO' -p268753 -aS'dressings\tdressing\tNNS\tI-NP\tO' -p268754 -aS'were\tbe\tVBD\tB-VP\tO' -p268755 -aS'changed\tchange\tVBN\tI-VP\tO' -p268756 -aS'by\tby\tIN\tB-PP\tO' -p268757 -aS'the\tthe\tDT\tB-NP\tO' -p268758 -aS'nursing\tnursing\tNN\tI-NP\tO' -p268759 -aS'staff\tstaff\tNN\tI-NP\tO' -p268760 -aS'accordingly\taccordingly\tRB\tB-ADVP\tO' -p268761 -aS'.\t.\t.\tO\tO' -p268762 -asS'The patient is thus stage IV endometrial and stage III-C ovarian vs metastatic endometrial for line II , cycle I chemotherapy IFEX , MESNA and VP-16 .' -p268763 -(lp268764 -S'The\tThe\tDT\tB-NP\tO' -p268765 -aS'patient\tpatient\tNN\tI-NP\tO' -p268766 -aS'is\tbe\tVBZ\tB-VP\tO' -p268767 -aS'thus\tthus\tRB\tB-ADVP\tO' -p268768 -aS'stage\tstage\tNN\tB-NP\tO' -p268769 -aS'IV\tIV\tCD\tI-NP\tO' -p268770 -aS'endometrial\tendometrial\tJJ\tI-NP\tO' -p268771 -aS'and\tand\tCC\tI-NP\tO' -p268772 -aS'stage\tstage\tNN\tI-NP\tO' -p268773 -aS'III-C\tIII-C\tNN\tI-NP\tO' -p268774 -aS'ovarian\tovarian\tJJ\tB-ADJP\tO' -p268775 -aS'vs\tvs\tIN\tB-PP\tO' -p268776 -aS'metastatic\tmetastatic\tJJ\tB-NP\tO' -p268777 -aS'endometrial\tendometrial\tNN\tI-NP\tO' -p268778 -aS'for\tfor\tIN\tB-PP\tO' -p268779 -aS'line\tline\tNN\tB-NP\tO' -p268780 -aS'II\tII\tCD\tI-NP\tO' -p268781 -aS',\t,\t,\tO\tO' -p268782 -aS'cycle\tcycle\tNN\tB-NP\tO' -p268783 -aS'I\tI\tCD\tI-NP\tO' -p268784 -aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' -p268785 -aS'IFEX\tIFEX\tNN\tI-NP\tO' -p268786 -aS',\t,\t,\tO\tO' -p268787 -aS'MESNA\tMESNA\tNN\tB-NP\tB-protein' -p268788 -aS'and\tand\tCC\tI-NP\tO' -p268789 -aS'VP-16\tVP-16\tNN\tI-NP\tB-protein' -p268790 -aS'.\t.\t.\tO\tO' -p268791 -asS"On the third hospital day the patient 's pain was improving and the rebound was decreasing ." -p268792 -(lp268793 -S'On\tOn\tIN\tB-PP\tO' -p268794 -aS'the\tthe\tDT\tB-NP\tO' -p268795 -aS'third\tthird\tJJ\tI-NP\tO' -p268796 -aS'hospital\thospital\tNN\tI-NP\tO' -p268797 -aS'day\tday\tNN\tI-NP\tO' -p268798 -aS'the\tthe\tDT\tB-NP\tO' -p268799 -aS'patient\tpatient\tNN\tI-NP\tO' -p268800 -aS"'s\t's\tPOS\tB-NP\tO" -p268801 -aS'pain\tpain\tNN\tI-NP\tO' -p268802 -aS'was\tbe\tVBD\tB-VP\tO' -p268803 -aS'improving\timprove\tVBG\tI-VP\tO' -p268804 -aS'and\tand\tCC\tO\tO' -p268805 -aS'the\tthe\tDT\tB-NP\tO' -p268806 -aS'rebound\trebound\tNN\tI-NP\tO' -p268807 -aS'was\tbe\tVBD\tB-VP\tO' -p268808 -aS'decreasing\tdecrease\tVBG\tI-VP\tO' -p268809 -aS'.\t.\t.\tO\tO' -p268810 -asS'The patient was started on Propafenone 300 mg three times a day and underwent an attempt at electrical cardioversion after seven doses of this .' -p268811 -(lp268812 -S'The\tThe\tDT\tB-NP\tO' -p268813 -aS'patient\tpatient\tNN\tI-NP\tO' -p268814 -aS'was\tbe\tVBD\tB-VP\tO' -p268815 -aS'started\tstart\tVBN\tI-VP\tO' -p268816 -aS'on\ton\tIN\tB-PP\tO' -p268817 -aS'Propafenone\tPropafenone\tNN\tB-NP\tO' -p268818 -aS'300\t300\tCD\tI-NP\tO' -p268819 -aS'mg\tmg\tNN\tI-NP\tO' -p268820 -aS'three\tthree\tCD\tB-NP\tO' -p268821 -aS'times\ttime\tNNS\tI-NP\tO' -p268822 -aS'a\ta\tDT\tB-NP\tO' -p268823 -aS'day\tday\tNN\tI-NP\tO' -p268824 -aS'and\tand\tCC\tO\tO' -p268825 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p268826 -aS'an\tan\tDT\tB-NP\tO' -p268827 -aS'attempt\tattempt\tNN\tI-NP\tO' -p268828 -aS'at\tat\tIN\tB-PP\tO' -p268829 -aS'electrical\telectrical\tJJ\tB-NP\tO' -p268830 -aS'cardioversion\tcardioversion\tNN\tI-NP\tO' -p268831 -aS'after\tafter\tIN\tB-PP\tO' -p268832 -aS'seven\tseven\tCD\tB-NP\tO' -p268833 -aS'doses\tdose\tNNS\tI-NP\tO' -p268834 -aS'of\tof\tIN\tB-PP\tO' -p268835 -aS'this\tthis\tDT\tB-NP\tO' -p268836 -aS'.\t.\t.\tO\tO' -p268837 -asS'The patient is to be discharged home with visiting nurses .' -p268838 -(lp268839 -S'The\tThe\tDT\tB-NP\tO' -p268840 -aS'patient\tpatient\tNN\tI-NP\tO' -p268841 -aS'is\tbe\tVBZ\tB-VP\tO' -p268842 -aS'to\tto\tTO\tI-VP\tO' -p268843 -aS'be\tbe\tVB\tI-VP\tO' -p268844 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p268845 -aS'home\thome\tNN\tB-ADVP\tO' -p268846 -aS'with\twith\tIN\tB-PP\tO' -p268847 -aS'visiting\tvisit\tVBG\tB-NP\tO' -p268848 -aS'nurses\tnurse\tNNS\tI-NP\tO' -p268849 -aS'.\t.\t.\tO\tO' -p268850 -asS'On postoperative nine , her JP drain was discontinued .' -p268851 -(lp268852 -S'On\tOn\tIN\tB-PP\tO' -p268853 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p268854 -aS'nine\tnine\tCD\tI-NP\tO' -p268855 -aS',\t,\t,\tO\tO' -p268856 -aS'her\ther\tPRP$\tB-NP\tO' -p268857 -aS'JP\tJP\tNN\tI-NP\tB-protein' -p268858 -aS'drain\tdrain\tNN\tI-NP\tI-protein' -p268859 -aS'was\tbe\tVBD\tB-VP\tO' -p268860 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p268861 -aS'.\t.\t.\tO\tO' -p268862 -asS'On transfer include Vancomycin , Ceftazidime , gentamicin , Solu Cortef 100 mg q8h , Lasix , Synthroid , insulin , MS Contin 60 mg b.i.d. , MSO4 2 mg p.r.n. pain IV , Dopamine 12 mcg per minute .' -p268863 -(lp268864 -S'On\tOn\tIN\tB-PP\tO' -p268865 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p268866 -aS'include\tinclude\tVBP\tB-VP\tO' -p268867 -aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' -p268868 -aS',\t,\t,\tO\tO' -p268869 -aS'Ceftazidime\tCeftazidime\tNN\tB-NP\tO' -p268870 -aS',\t,\t,\tO\tO' -p268871 -aS'gentamicin\tgentamicin\tNN\tB-NP\tO' -p268872 -aS',\t,\t,\tO\tO' -p268873 -aS'Solu\tSolu\tNNP\tB-NP\tO' -p268874 -aS'Cortef\tCortef\tNNP\tI-NP\tO' -p268875 -aS'100\t100\tCD\tI-NP\tO' -p268876 -aS'mg\tmg\tNN\tI-NP\tO' -p268877 -aS'q8h\tq8h\tNN\tI-NP\tO' -p268878 -aS',\t,\t,\tO\tO' -p268879 -aS'Lasix\tLasix\tNNP\tB-NP\tO' -p268880 -aS',\t,\t,\tO\tO' -p268881 -aS'Synthroid\tSynthroid\tNNP\tB-NP\tO' -p268882 -aS',\t,\t,\tO\tO' -p268883 -aS'insulin\tinsulin\tNN\tB-NP\tB-protein' -p268884 -aS',\t,\t,\tO\tO' -p268885 -aS'MS\tMS\tNN\tB-NP\tO' -p268886 -aS'Contin\tContin\tNN\tI-NP\tO' -p268887 -aS'60\t60\tCD\tI-NP\tO' -p268888 -aS'mg\tmg\tNN\tI-NP\tO' -p268889 -aS'b.i.d.\tb.i.d.\tRB\tB-ADVP\tO' -p268890 -aS',\t,\t,\tO\tO' -p268891 -aS'MSO4\tMSO4\tNN\tB-NP\tB-protein' -p268892 -aS'2\t2\tCD\tI-NP\tI-protein' -p268893 -aS'mg\tmg\tNN\tI-NP\tI-protein' -p268894 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tI-protein' -p268895 -aS'pain\tpain\tNN\tI-NP\tI-protein' -p268896 -aS'IV\tIV\tCD\tI-NP\tI-protein' -p268897 -aS',\t,\t,\tO\tO' -p268898 -aS'Dopamine\tDopamine\tNN\tB-NP\tO' -p268899 -aS'12\t12\tCD\tI-NP\tO' -p268900 -aS'mcg\tmcg\tNN\tI-NP\tO' -p268901 -aS'per\tper\tIN\tB-PP\tO' -p268902 -aS'minute\tminute\tNN\tB-NP\tO' -p268903 -aS'.\t.\t.\tO\tO' -p268904 -asS'Abnormal Pap Test , history of ; Bacterial Vaginitis ; Contraception Management ; Hiv Counseled' -p268905 -(lp268906 -S'Abnormal\tAbnormal\tJJ\tB-NP\tO' -p268907 -aS'Pap\tPap\tNN\tI-NP\tO' -p268908 -aS'Test\tTest\tNN\tI-NP\tO' -p268909 -aS',\t,\t,\tO\tO' -p268910 -aS'history\thistory\tNN\tB-NP\tO' -p268911 -aS'of\tof\tIN\tB-PP\tO' -p268912 -aS';\t;\t:\tO\tO' -p268913 -aS'Bacterial\tBacterial\tNNP\tB-NP\tO' -p268914 -aS'Vaginitis\tVaginitis\tNNP\tI-NP\tO' -p268915 -aS';\t;\t:\tO\tO' -p268916 -aS'Contraception\tContraception\tNNP\tB-NP\tO' -p268917 -aS'Management\tManagement\tNNP\tI-NP\tO' -p268918 -aS';\t;\t:\tO\tO' -p268919 -aS'Hiv\tHiv\tNNP\tB-NP\tO' -p268920 -aS'Counseled\tCounseled\tNNP\tI-NP\tO' -p268921 -asS'The gradients are higher than expected for this type of prosthesis .' -p268922 -(lp268923 -S'The\tThe\tDT\tB-NP\tO' -p268924 -aS'gradients\tgradient\tNNS\tI-NP\tO' -p268925 -aS'are\tbe\tVBP\tB-VP\tO' -p268926 -aS'higher\thigh\tJJR\tB-ADJP\tO' -p268927 -aS'than\tthan\tIN\tB-SBAR\tO' -p268928 -aS'expected\texpect\tVBN\tB-VP\tO' -p268929 -aS'for\tfor\tIN\tB-PP\tO' -p268930 -aS'this\tthis\tDT\tB-NP\tO' -p268931 -aS'type\ttype\tNN\tI-NP\tO' -p268932 -aS'of\tof\tIN\tB-PP\tO' -p268933 -aS'prosthesis\tprosthesis\tNN\tB-NP\tO' -p268934 -aS'.\t.\t.\tO\tO' -p268935 -asS'Superficial varicose veins .' -p268936 -(lp268937 -S'Superficial\tSuperficial\tJJ\tB-NP\tO' -p268938 -aS'varicose\tvaricose\tNN\tI-NP\tO' -p268939 -aS'veins\tvein\tNNS\tI-NP\tO' -p268940 -aS'.\t.\t.\tO\tO' -p268941 -asS'On the morning of possible radiation , patient and family met with interventional pulmonary team who explained that the most recent CT showed further invasion of the tumor into the trachea .' -p268942 -(lp268943 -S'On\tOn\tIN\tB-PP\tO' -p268944 -aS'the\tthe\tDT\tB-NP\tO' -p268945 -aS'morning\tmorning\tNN\tI-NP\tO' -p268946 -aS'of\tof\tIN\tB-PP\tO' -p268947 -aS'possible\tpossible\tJJ\tB-NP\tO' -p268948 -aS'radiation\tradiation\tNN\tI-NP\tO' -p268949 -aS',\t,\t,\tI-NP\tO' -p268950 -aS'patient\tpatient\tNN\tI-NP\tO' -p268951 -aS'and\tand\tCC\tI-NP\tO' -p268952 -aS'family\tfamily\tNN\tI-NP\tO' -p268953 -aS'met\tmeet\tVBD\tB-VP\tO' -p268954 -aS'with\twith\tIN\tB-PP\tO' -p268955 -aS'interventional\tinterventional\tJJ\tB-NP\tO' -p268956 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p268957 -aS'team\tteam\tNN\tI-NP\tO' -p268958 -aS'who\twho\tWP\tB-NP\tO' -p268959 -aS'explained\texplain\tVBD\tB-VP\tO' -p268960 -aS'that\tthat\tIN\tB-SBAR\tO' -p268961 -aS'the\tthe\tDT\tB-NP\tO' -p268962 -aS'most\tmost\tRBS\tI-NP\tO' -p268963 -aS'recent\trecent\tJJ\tI-NP\tO' -p268964 -aS'CT\tCT\tNN\tI-NP\tO' -p268965 -aS'showed\tshow\tVBD\tB-VP\tO' -p268966 -aS'further\tfurther\tJJ\tB-NP\tO' -p268967 -aS'invasion\tinvasion\tNN\tI-NP\tO' -p268968 -aS'of\tof\tIN\tB-PP\tO' -p268969 -aS'the\tthe\tDT\tB-NP\tO' -p268970 -aS'tumor\ttumor\tNN\tI-NP\tO' -p268971 -aS'into\tinto\tIN\tB-PP\tO' -p268972 -aS'the\tthe\tDT\tB-NP\tO' -p268973 -aS'trachea\ttrachea\tNN\tI-NP\tO' -p268974 -aS'.\t.\t.\tO\tO' -p268975 -asS'She was readmitted because of a problem with uremia and high BUN and creatinine when she seen in the office and the BUN and creatinine was ordered .' -p268976 -(lp268977 -S'She\tShe\tPRP\tB-NP\tO' -p268978 -aS'was\tbe\tVBD\tB-VP\tO' -p268979 -aS'readmitted\treadmitte\tVBN\tI-VP\tO' -p268980 -aS'because\tbecause\tRB\tB-PP\tO' -p268981 -aS'of\tof\tIN\tI-PP\tO' -p268982 -aS'a\ta\tDT\tB-NP\tO' -p268983 -aS'problem\tproblem\tNN\tI-NP\tO' -p268984 -aS'with\twith\tIN\tB-PP\tO' -p268985 -aS'uremia\turemia\tNN\tB-NP\tO' -p268986 -aS'and\tand\tCC\tO\tO' -p268987 -aS'high\thigh\tJJ\tB-NP\tO' -p268988 -aS'BUN\tBUN\tNN\tI-NP\tO' -p268989 -aS'and\tand\tCC\tI-NP\tO' -p268990 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p268991 -aS'when\twhen\tWRB\tB-ADVP\tO' -p268992 -aS'she\tshe\tPRP\tB-NP\tO' -p268993 -aS'seen\tsee\tVBN\tB-VP\tO' -p268994 -aS'in\tin\tIN\tB-PP\tO' -p268995 -aS'the\tthe\tDT\tB-NP\tO' -p268996 -aS'office\toffice\tNN\tI-NP\tO' -p268997 -aS'and\tand\tCC\tO\tO' -p268998 -aS'the\tthe\tDT\tB-NP\tO' -p268999 -aS'BUN\tBUN\tNN\tI-NP\tO' -p269000 -aS'and\tand\tCC\tI-NP\tO' -p269001 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p269002 -aS'was\tbe\tVBD\tB-VP\tO' -p269003 -aS'ordered\torder\tVBN\tI-VP\tO' -p269004 -aS'.\t.\t.\tO\tO' -p269005 -asS'The patient underwent an exchange peritoneal dialysis .' -p269006 -(lp269007 -S'The\tThe\tDT\tB-NP\tO' -p269008 -aS'patient\tpatient\tNN\tI-NP\tO' -p269009 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p269010 -aS'an\tan\tDT\tB-NP\tO' -p269011 -aS'exchange\texchange\tNN\tI-NP\tO' -p269012 -aS'peritoneal\tperitoneal\tJJ\tI-NP\tO' -p269013 -aS'dialysis\tdialysis\tNN\tI-NP\tO' -p269014 -aS'.\t.\t.\tO\tO' -p269015 -asS'Breath sounds were of good intensity .' -p269016 -(lp269017 -S'Breath\tBreath\tNN\tB-NP\tO' -p269018 -aS'sounds\tsound\tNNS\tI-NP\tO' -p269019 -aS'were\tbe\tVBD\tB-VP\tO' -p269020 -aS'of\tof\tIN\tB-PP\tO' -p269021 -aS'good\tgood\tJJ\tB-NP\tO' -p269022 -aS'intensity\tintensity\tNN\tI-NP\tO' -p269023 -aS'.\t.\t.\tO\tO' -p269024 -asS'The patient , at the time of transfer , was tolerating clears with low stoma output , likely to tolerate slow advancement .' -p269025 -(lp269026 -S'The\tThe\tDT\tB-NP\tO' -p269027 -aS'patient\tpatient\tNN\tI-NP\tO' -p269028 -aS',\t,\t,\tO\tO' -p269029 -aS'at\tat\tIN\tB-PP\tO' -p269030 -aS'the\tthe\tDT\tB-NP\tO' -p269031 -aS'time\ttime\tNN\tI-NP\tO' -p269032 -aS'of\tof\tIN\tB-PP\tO' -p269033 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p269034 -aS',\t,\t,\tO\tO' -p269035 -aS'was\tbe\tVBD\tB-VP\tO' -p269036 -aS'tolerating\ttolerate\tVBG\tI-VP\tO' -p269037 -aS'clears\tclear\tNNS\tB-NP\tO' -p269038 -aS'with\twith\tIN\tB-PP\tO' -p269039 -aS'low\tlow\tJJ\tB-NP\tO' -p269040 -aS'stoma\tstoma\tNN\tI-NP\tO' -p269041 -aS'output\toutput\tNN\tI-NP\tO' -p269042 -aS',\t,\t,\tO\tO' -p269043 -aS'likely\tlikely\tJJ\tB-ADJP\tO' -p269044 -aS'to\tto\tTO\tB-VP\tO' -p269045 -aS'tolerate\ttolerate\tVB\tI-VP\tO' -p269046 -aS'slow\tslow\tJJ\tB-NP\tO' -p269047 -aS'advancement\tadvancement\tNN\tI-NP\tO' -p269048 -aS'.\t.\t.\tO\tO' -p269049 -asS'The patient was born at 32 and 4/7 weeks gestation and brought directly to the CMED CSRU .' -p269050 -(lp269051 -S'The\tThe\tDT\tB-NP\tO' -p269052 -aS'patient\tpatient\tNN\tI-NP\tO' -p269053 -aS'was\tbe\tVBD\tB-VP\tO' -p269054 -aS'born\tbear\tVBN\tI-VP\tO' -p269055 -aS'at\tat\tIN\tB-PP\tO' -p269056 -aS'32\t32\tCD\tB-NP\tO' -p269057 -aS'and\tand\tCC\tI-NP\tO' -p269058 -aS'4/7\t4/7\tCD\tI-NP\tO' -p269059 -aS'weeks\tweek\tNNS\tI-NP\tO' -p269060 -aS'gestation\tgestation\tNN\tI-NP\tO' -p269061 -aS'and\tand\tCC\tO\tO' -p269062 -aS'brought\tbring\tVBD\tB-VP\tO' -p269063 -aS'directly\tdirectly\tRB\tB-ADVP\tO' -p269064 -aS'to\tto\tTO\tB-PP\tO' -p269065 -aS'the\tthe\tDT\tB-NP\tO' -p269066 -aS'CMED\tCMED\tNNP\tI-NP\tO' -p269067 -aS'CSRU\tCSRU\tNNP\tI-NP\tO' -p269068 -aS'.\t.\t.\tO\tO' -p269069 -asS'gen - lying in bed , NAD' -p269070 -(lp269071 -S'gen\tgen\tNN\tB-NP\tO' -p269072 -aS'-\t-\tHYPH\tO\tO' -p269073 -aS'lying\tlie\tVBG\tB-VP\tO' -p269074 -aS'in\tin\tIN\tB-PP\tO' -p269075 -aS'bed\tbed\tNN\tB-NP\tO' -p269076 -aS',\t,\t,\tO\tO' -p269077 -aS'NAD\tNAD\tNN\tB-NP\tO' -p269078 -asS'A code was called , + pulse .' -p269079 -(lp269080 -S'A\tA\tDT\tB-NP\tO' -p269081 -aS'code\tcode\tNN\tI-NP\tO' -p269082 -aS'was\tbe\tVBD\tB-VP\tO' -p269083 -aS'called\tcall\tVBN\tI-VP\tO' -p269084 -aS',\t,\t,\tO\tO' -p269085 -aS'+\t+\tSYM\tB-NP\tO' -p269086 -aS'pulse\tpulse\tNN\tI-NP\tO' -p269087 -aS'.\t.\t.\tO\tO' -p269088 -asS'Urachal duct remnanr found , removed and bladder repaired .' -p269089 -(lp269090 -S'Urachal\tUrachal\tJJ\tB-NP\tO' -p269091 -aS'duct\tduct\tNN\tI-NP\tO' -p269092 -aS'remnanr\tremnanr\tNN\tI-NP\tO' -p269093 -aS'found\tfind\tVBN\tB-VP\tO' -p269094 -aS',\t,\t,\tO\tO' -p269095 -aS'removed\tremove\tVBN\tB-VP\tO' -p269096 -aS'and\tand\tCC\tO\tO' -p269097 -aS'bladder\tbladder\tNN\tB-NP\tO' -p269098 -aS'repaired\trepair\tVBN\tB-VP\tO' -p269099 -aS'.\t.\t.\tO\tO' -p269100 -asS'Abd : soft , slightly obese , nondistended , +BS' -p269101 -(lp269102 -S'Abd\tAbd\tNN\tB-NP\tO' -p269103 -aS':\t:\t:\tO\tO' -p269104 -aS'soft\tsoft\tJJ\tB-NP\tO' -p269105 -aS',\t,\t,\tI-NP\tO' -p269106 -aS'slightly\tslightly\tRB\tI-NP\tO' -p269107 -aS'obese\tobese\tJJ\tI-NP\tO' -p269108 -aS',\t,\t,\tI-NP\tO' -p269109 -aS'nondistended\tnondistended\tJJ\tI-NP\tO' -p269110 -aS',\t,\t,\tO\tO' -p269111 -aS'+BS\t+BS\tNNP\tB-NP\tO' -p269112 -asS'9) Hypernatremia - While in the CMED CSRU the pt developed hypernatremia .' -p269113 -(lp269114 -S'9)\t9)\tLS\tB-NP\tO' -p269115 -aS'Hypernatremia\tHypernatremia\tNN\tI-NP\tO' -p269116 -aS'-\t-\tHYPH\tB-VP\tO' -p269117 -aS'While\tWhile\tIN\tB-SBAR\tO' -p269118 -aS'in\tin\tIN\tB-PP\tO' -p269119 -aS'the\tthe\tDT\tB-NP\tO' -p269120 -aS'CMED\tCMED\tNNP\tI-NP\tO' -p269121 -aS'CSRU\tCSRU\tNNP\tI-NP\tO' -p269122 -aS'the\tthe\tDT\tB-NP\tO' -p269123 -aS'pt\tpt\tNN\tI-NP\tO' -p269124 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p269125 -aS'hypernatremia\thypernatremia\tNN\tB-NP\tO' -p269126 -aS'.\t.\t.\tO\tO' -p269127 -asS'Sedation was held to allow for frequent exams .' -p269128 -(lp269129 -S'Sedation\tSedation\tNN\tB-NP\tO' -p269130 -aS'was\tbe\tVBD\tB-VP\tO' -p269131 -aS'held\thold\tVBN\tI-VP\tO' -p269132 -aS'to\tto\tTO\tB-VP\tO' -p269133 -aS'allow\tallow\tVB\tI-VP\tO' -p269134 -aS'for\tfor\tIN\tB-PP\tO' -p269135 -aS'frequent\tfrequent\tJJ\tB-NP\tO' -p269136 -aS'exams\texam\tNNS\tI-NP\tO' -p269137 -aS'.\t.\t.\tO\tO' -p269138 -asS'She was also to obtain a second opinion regarding the question of possible surgical management .' -p269139 -(lp269140 -S'She\tShe\tPRP\tB-NP\tO' -p269141 -aS'was\tbe\tVBD\tB-VP\tO' -p269142 -aS'also\talso\tRB\tB-ADVP\tO' -p269143 -aS'to\tto\tTO\tB-VP\tO' -p269144 -aS'obtain\tobtain\tVB\tI-VP\tO' -p269145 -aS'a\ta\tDT\tB-NP\tO' -p269146 -aS'second\tsecond\tJJ\tI-NP\tO' -p269147 -aS'opinion\topinion\tNN\tI-NP\tO' -p269148 -aS'regarding\tregard\tVBG\tB-VP\tO' -p269149 -aS'the\tthe\tDT\tB-NP\tO' -p269150 -aS'question\tquestion\tNN\tI-NP\tO' -p269151 -aS'of\tof\tIN\tB-PP\tO' -p269152 -aS'possible\tpossible\tJJ\tB-NP\tO' -p269153 -aS'surgical\tsurgical\tJJ\tI-NP\tO' -p269154 -aS'management\tmanagement\tNN\tI-NP\tO' -p269155 -aS'.\t.\t.\tO\tO' -p269156 -asS'6. GERD .' -p269157 -(lp269158 -S'6.\t6.\tLS\tB-LST\tO' -p269159 -aS'GERD\tGERD\tNNP\tB-NP\tO' -p269160 -aS'.\t.\t.\tO\tO' -p269161 -asS'He continued to diurese and he was moved to the floor since he no longer required intensive level care .' -p269162 -(lp269163 -S'He\tHe\tPRP\tB-NP\tO' -p269164 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p269165 -aS'to\tto\tTO\tI-VP\tO' -p269166 -aS'diurese\tdiurese\tVB\tI-VP\tO' -p269167 -aS'and\tand\tCC\tO\tO' -p269168 -aS'he\the\tPRP\tB-NP\tO' -p269169 -aS'was\tbe\tVBD\tB-VP\tO' -p269170 -aS'moved\tmove\tVBN\tI-VP\tO' -p269171 -aS'to\tto\tTO\tB-PP\tO' -p269172 -aS'the\tthe\tDT\tB-NP\tO' -p269173 -aS'floor\tfloor\tNN\tI-NP\tO' -p269174 -aS'since\tsince\tIN\tB-SBAR\tO' -p269175 -aS'he\the\tPRP\tB-NP\tO' -p269176 -aS'no\tno\tRB\tB-ADVP\tO' -p269177 -aS'longer\tlonger\tRBR\tI-ADVP\tO' -p269178 -aS'required\trequire\tVBD\tB-VP\tO' -p269179 -aS'intensive\tintensive\tJJ\tB-NP\tO' -p269180 -aS'level\tlevel\tNN\tI-NP\tO' -p269181 -aS'care\tcare\tNN\tI-NP\tO' -p269182 -aS'.\t.\t.\tO\tO' -p269183 -asS'7) Magnesium hydroxide 30 milliliters p.o. q day .' -p269184 -(lp269185 -S'7)\t7)\tLS\tB-NP\tO' -p269186 -aS'Magnesium\tMagnesium\tNN\tI-NP\tO' -p269187 -aS'hydroxide\thydroxide\tNN\tI-NP\tO' -p269188 -aS'30\t30\tCD\tB-NP\tO' -p269189 -aS'milliliters\tmilliliter\tNNS\tI-NP\tO' -p269190 -aS'p.o.\tp.o.\tFW\tB-NP\tO' -p269191 -aS'q\tq\tNN\tI-NP\tO' -p269192 -aS'day\tday\tNN\tI-NP\tO' -p269193 -aS'.\t.\t.\tO\tO' -p269194 -asS'3. Posttraumatic stress disorder .' -p269195 -(lp269196 -S'3.\t3.\tLS\tB-NP\tO' -p269197 -aS'Posttraumatic\tPosttraumatic\tJJ\tI-NP\tO' -p269198 -aS'stress\tstress\tNN\tI-NP\tO' -p269199 -aS'disorder\tdisorder\tNN\tI-NP\tO' -p269200 -aS'.\t.\t.\tO\tO' -p269201 -asS'The Intensive Care Unit course was also notable for negative chest x-ray , two units of packed red blood cells for a hematocrit of 24.0 with appropriate bump in her hematocrit and no evidence of bleeding , stable blood pressure despite a net fluid balance of negative 2.5 liters .' -p269202 -(lp269203 -S'The\tThe\tDT\tB-NP\tO' -p269204 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p269205 -aS'Care\tCare\tNNP\tI-NP\tO' -p269206 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p269207 -aS'course\tcourse\tNN\tI-NP\tO' -p269208 -aS'was\tbe\tVBD\tB-VP\tO' -p269209 -aS'also\talso\tRB\tB-ADVP\tO' -p269210 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p269211 -aS'for\tfor\tIN\tB-PP\tO' -p269212 -aS'negative\tnegative\tJJ\tB-NP\tO' -p269213 -aS'chest\tchest\tNN\tI-NP\tO' -p269214 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p269215 -aS',\t,\t,\tO\tO' -p269216 -aS'two\ttwo\tCD\tB-NP\tO' -p269217 -aS'units\tunit\tNNS\tI-NP\tO' -p269218 -aS'of\tof\tIN\tB-PP\tO' -p269219 -aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' -p269220 -aS'red\tred\tJJ\tI-NP\tI-cell_type' -p269221 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p269222 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p269223 -aS'for\tfor\tIN\tB-PP\tO' -p269224 -aS'a\ta\tDT\tB-NP\tO' -p269225 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p269226 -aS'of\tof\tIN\tB-PP\tO' -p269227 -aS'24.0\t24.0\tCD\tB-NP\tO' -p269228 -aS'with\twith\tIN\tB-PP\tO' -p269229 -aS'appropriate\tappropriate\tJJ\tB-NP\tO' -p269230 -aS'bump\tbump\tNN\tI-NP\tO' -p269231 -aS'in\tin\tIN\tB-PP\tO' -p269232 -aS'her\ther\tPRP$\tB-NP\tO' -p269233 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p269234 -aS'and\tand\tCC\tO\tO' -p269235 -aS'no\tno\tDT\tB-NP\tO' -p269236 -aS'evidence\tevidence\tNN\tI-NP\tO' -p269237 -aS'of\tof\tIN\tB-PP\tO' -p269238 -aS'bleeding\tbleeding\tNN\tB-NP\tO' -p269239 -aS',\t,\t,\tO\tO' -p269240 -aS'stable\tstable\tJJ\tB-NP\tO' -p269241 -aS'blood\tblood\tNN\tI-NP\tO' -p269242 -aS'pressure\tpressure\tNN\tI-NP\tO' -p269243 -aS'despite\tdespite\tIN\tB-PP\tO' -p269244 -aS'a\ta\tDT\tB-NP\tO' -p269245 -aS'net\tnet\tJJ\tI-NP\tO' -p269246 -aS'fluid\tfluid\tNN\tI-NP\tO' -p269247 -aS'balance\tbalance\tNN\tI-NP\tO' -p269248 -aS'of\tof\tIN\tB-PP\tO' -p269249 -aS'negative\tnegative\tJJ\tB-NP\tO' -p269250 -aS'2.5\t2.5\tCD\tI-NP\tO' -p269251 -aS'liters\tliter\tNNS\tI-NP\tO' -p269252 -aS'.\t.\t.\tO\tO' -p269253 -asS'The infant does not meet criteria for head ultrasound .' -p269254 -(lp269255 -S'The\tThe\tDT\tB-NP\tO' -p269256 -aS'infant\tinfant\tNN\tI-NP\tO' -p269257 -aS'does\tdo\tVBZ\tB-VP\tO' -p269258 -aS'not\tnot\tRB\tI-VP\tO' -p269259 -aS'meet\tmeet\tVB\tI-VP\tO' -p269260 -aS'criteria\tcriterion\tNNS\tB-NP\tO' -p269261 -aS'for\tfor\tIN\tB-PP\tO' -p269262 -aS'head\thead\tNN\tB-NP\tO' -p269263 -aS'ultrasound\tultrasound\tNN\tI-NP\tO' -p269264 -aS'.\t.\t.\tO\tO' -p269265 -asS'The patient was placed on telemetry and had no telemetry events while an inpatient .' -p269266 -(lp269267 -S'The\tThe\tDT\tB-NP\tO' -p269268 -aS'patient\tpatient\tNN\tI-NP\tO' -p269269 -aS'was\tbe\tVBD\tB-VP\tO' -p269270 -aS'placed\tplace\tVBN\tI-VP\tO' -p269271 -aS'on\ton\tIN\tB-PP\tO' -p269272 -aS'telemetry\ttelemetry\tNN\tB-NP\tO' -p269273 -aS'and\tand\tCC\tO\tO' -p269274 -aS'had\thave\tVBD\tB-VP\tO' -p269275 -aS'no\tno\tDT\tB-NP\tO' -p269276 -aS'telemetry\ttelemetry\tNN\tI-NP\tO' -p269277 -aS'events\tevent\tNNS\tI-NP\tO' -p269278 -aS'while\twhile\tIN\tB-SBAR\tO' -p269279 -aS'an\tan\tDT\tB-NP\tO' -p269280 -aS'inpatient\tinpatient\tNN\tI-NP\tO' -p269281 -aS'.\t.\t.\tO\tO' -p269282 -asS'Urgent resuscitation measures were initiated .' -p269283 -(lp269284 -S'Urgent\tUrgent\tJJ\tB-NP\tO' -p269285 -aS'resuscitation\tresuscitation\tNN\tI-NP\tO' -p269286 -aS'measures\tmeasure\tNNS\tI-NP\tO' -p269287 -aS'were\tbe\tVBD\tB-VP\tO' -p269288 -aS'initiated\tinitiate\tVBN\tI-VP\tO' -p269289 -aS'.\t.\t.\tO\tO' -p269290 -asS'There are simple atheroma in the aortic root .' -p269291 -(lp269292 -S'There\tThere\tEX\tB-NP\tO' -p269293 -aS'are\tbe\tVBP\tB-VP\tO' -p269294 -aS'simple\tsimple\tJJ\tB-NP\tO' -p269295 -aS'atheroma\tatheroma\tNN\tI-NP\tO' -p269296 -aS'in\tin\tIN\tB-PP\tO' -p269297 -aS'the\tthe\tDT\tB-NP\tO' -p269298 -aS'aortic\taortic\tJJ\tI-NP\tO' -p269299 -aS'root\troot\tNN\tI-NP\tO' -p269300 -aS'.\t.\t.\tO\tO' -p269301 -asS'Aerobid .' -p269302 -(lp269303 -S'Aerobid\tAerobid\tNNP\tB-NP\tO' -p269304 -aS'.\t.\t.\tO\tO' -p269305 -asS'Alzheimer 's disease secondary to Down 's syndrome .' -p269306 -(lp269307 -S'Alzheimer\tAlzheimer\tNNP\tB-NP\tO' -p269308 -aS''s\t'\tNNS\tI-NP\tO' -p269309 -aS'disease\tdisease\tNN\tI-NP\tO' -p269310 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p269311 -aS'to\tto\tTO\tB-PP\tO' -p269312 -aS'Down\tDown\tJJ\tB-NP\tO' -p269313 -aS''s\t'\tNNS\tI-NP\tO' -p269314 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p269315 -aS'.\t.\t.\tO\tO' -p269316 -asS'No bathing in tub or swimming .' -p269317 -(lp269318 -S'No\tNo\tDT\tB-NP\tO' -p269319 -aS'bathing\tbathing\tNN\tI-NP\tO' -p269320 -aS'in\tin\tIN\tB-PP\tO' -p269321 -aS'tub\ttub\tNN\tB-NP\tO' -p269322 -aS'or\tor\tCC\tI-NP\tO' -p269323 -aS'swimming\tswimming\tNN\tI-NP\tO' -p269324 -aS'.\t.\t.\tO\tO' -p269325 -asS'The patient is a pleasant white female in no acute distress .' -p269326 -(lp269327 -S'The\tThe\tDT\tB-NP\tO' -p269328 -aS'patient\tpatient\tNN\tI-NP\tO' -p269329 -aS'is\tbe\tVBZ\tB-VP\tO' -p269330 -aS'a\ta\tDT\tB-NP\tO' -p269331 -aS'pleasant\tpleasant\tJJ\tI-NP\tO' -p269332 -aS'white\twhite\tJJ\tI-NP\tO' -p269333 -aS'female\tfemale\tNN\tI-NP\tO' -p269334 -aS'in\tin\tIN\tB-PP\tO' -p269335 -aS'no\tno\tDT\tB-NP\tO' -p269336 -aS'acute\tacute\tJJ\tI-NP\tO' -p269337 -aS'distress\tdistress\tNN\tI-NP\tO' -p269338 -aS'.\t.\t.\tO\tO' -p269339 -asS'Neurologic examination was grossly intact .' -p269340 -(lp269341 -S'Neurologic\tNeurologic\tJJ\tB-NP\tO' -p269342 -aS'examination\texamination\tNN\tI-NP\tO' -p269343 -aS'was\tbe\tVBD\tB-VP\tO' -p269344 -aS'grossly\tgrossly\tRB\tB-ADJP\tO' -p269345 -aS'intact\tintact\tJJ\tI-ADJP\tO' -p269346 -aS'.\t.\t.\tO\tO' -p269347 -asS'It was discussed with him the need to schedule follow-up for colonoscopy with his PCP as well .' -p269348 -(lp269349 -S'It\tIt\tPRP\tB-NP\tO' -p269350 -aS'was\tbe\tVBD\tB-VP\tO' -p269351 -aS'discussed\tdiscuss\tVBN\tI-VP\tO' -p269352 -aS'with\twith\tIN\tB-PP\tO' -p269353 -aS'him\thim\tPRP\tB-NP\tO' -p269354 -aS'the\tthe\tDT\tB-NP\tO' -p269355 -aS'need\tneed\tNN\tI-NP\tO' -p269356 -aS'to\tto\tTO\tB-VP\tO' -p269357 -aS'schedule\tschedule\tVB\tI-VP\tO' -p269358 -aS'follow-up\tfollow-up\tNN\tB-NP\tO' -p269359 -aS'for\tfor\tIN\tB-PP\tO' -p269360 -aS'colonoscopy\tcolonoscopy\tNN\tB-NP\tO' -p269361 -aS'with\twith\tIN\tB-PP\tO' -p269362 -aS'his\this\tPRP$\tB-NP\tO' -p269363 -aS'PCP\tPCP\tNN\tI-NP\tB-protein' -p269364 -aS'as\tas\tRB\tB-ADVP\tO' -p269365 -aS'well\twell\tRB\tI-ADVP\tO' -p269366 -aS'.\t.\t.\tO\tO' -p269367 -asS'Notable on admission were BUN and creatinine of 8.0 and 0.7 .' -p269368 -(lp269369 -S'Notable\tNotable\tJJ\tB-ADJP\tO' -p269370 -aS'on\ton\tIN\tB-PP\tO' -p269371 -aS'admission\tadmission\tNN\tB-NP\tO' -p269372 -aS'were\tbe\tVBD\tB-VP\tO' -p269373 -aS'BUN\tBUN\tNN\tB-NP\tO' -p269374 -aS'and\tand\tCC\tI-NP\tO' -p269375 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p269376 -aS'of\tof\tIN\tB-PP\tO' -p269377 -aS'8.0\t8.0\tCD\tB-NP\tO' -p269378 -aS'and\tand\tCC\tI-NP\tO' -p269379 -aS'0.7\t0.7\tCD\tI-NP\tO' -p269380 -aS'.\t.\t.\tO\tO' -p269381 -asS'Creatine kinase 100 , MB 4 , troponin of less than 0.3 .' -p269382 -(lp269383 -S'Creatine\tCreatine\tNN\tB-NP\tO' -p269384 -aS'kinase\tkinase\tNN\tI-NP\tO' -p269385 -aS'100\t100\tCD\tI-NP\tO' -p269386 -aS',\t,\t,\tO\tO' -p269387 -aS'MB\tMB\tNN\tB-NP\tB-protein' -p269388 -aS'4\t4\tCD\tI-NP\tI-protein' -p269389 -aS',\t,\t,\tO\tO' -p269390 -aS'troponin\ttroponin\tNN\tB-NP\tO' -p269391 -aS'of\tof\tIN\tB-PP\tO' -p269392 -aS'less\tless\tJJR\tB-NP\tO' -p269393 -aS'than\tthan\tIN\tI-NP\tO' -p269394 -aS'0.3\t0.3\tCD\tI-NP\tO' -p269395 -aS'.\t.\t.\tO\tO' -p269396 -asS'The patient is discharged to home and is to follow up with Dr. Cancer , as well as Dr. Kotefold and Dr. Cancer .' -p269397 -(lp269398 -S'The\tThe\tDT\tB-NP\tO' -p269399 -aS'patient\tpatient\tNN\tI-NP\tO' -p269400 -aS'is\tbe\tVBZ\tB-VP\tO' -p269401 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p269402 -aS'to\tto\tTO\tB-PP\tO' -p269403 -aS'home\thome\tNN\tB-NP\tO' -p269404 -aS'and\tand\tCC\tO\tO' -p269405 -aS'is\tbe\tVBZ\tB-VP\tO' -p269406 -aS'to\tto\tTO\tI-VP\tO' -p269407 -aS'follow\tfollow\tVB\tI-VP\tO' -p269408 -aS'up\tup\tRP\tB-PRT\tO' -p269409 -aS'with\twith\tIN\tB-PP\tO' -p269410 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p269411 -aS'Cancer\tCancer\tNNP\tI-NP\tO' -p269412 -aS',\t,\t,\tO\tO' -p269413 -aS'as\tas\tRB\tB-CONJP\tO' -p269414 -aS'well\twell\tRB\tI-CONJP\tO' -p269415 -aS'as\tas\tIN\tI-CONJP\tO' -p269416 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p269417 -aS'Kotefold\tKotefold\tNNP\tI-NP\tO' -p269418 -aS'and\tand\tCC\tO\tO' -p269419 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p269420 -aS'Cancer\tCancer\tNNP\tI-NP\tO' -p269421 -aS'.\t.\t.\tO\tO' -p269422 -asS'In the postoperative recovery room the patient had a hematocrit of 29.2 with low urine output .' -p269423 -(lp269424 -S'In\tIn\tIN\tB-PP\tO' -p269425 -aS'the\tthe\tDT\tB-NP\tO' -p269426 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p269427 -aS'recovery\trecovery\tNN\tI-NP\tO' -p269428 -aS'room\troom\tNN\tI-NP\tO' -p269429 -aS'the\tthe\tDT\tB-NP\tO' -p269430 -aS'patient\tpatient\tNN\tI-NP\tO' -p269431 -aS'had\thave\tVBD\tB-VP\tO' -p269432 -aS'a\ta\tDT\tB-NP\tO' -p269433 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p269434 -aS'of\tof\tIN\tB-PP\tO' -p269435 -aS'29.2\t29.2\tCD\tB-NP\tO' -p269436 -aS'with\twith\tIN\tB-PP\tO' -p269437 -aS'low\tlow\tJJ\tB-NP\tO' -p269438 -aS'urine\turine\tNN\tI-NP\tO' -p269439 -aS'output\toutput\tNN\tI-NP\tO' -p269440 -aS'.\t.\t.\tO\tO' -p269441 -asS'It was more likely due to CRI .' -p269442 -(lp269443 -S'It\tIt\tPRP\tB-NP\tO' -p269444 -aS'was\tbe\tVBD\tB-VP\tO' -p269445 -aS'more\tmore\tRBR\tB-ADJP\tO' -p269446 -aS'likely\tlikely\tJJ\tI-ADJP\tO' -p269447 -aS'due\tdue\tIN\tB-PP\tO' -p269448 -aS'to\tto\tTO\tB-PP\tO' -p269449 -aS'CRI\tCRI\tNN\tB-NP\tB-protein' -p269450 -aS'.\t.\t.\tO\tO' -p269451 -asS'Please call ( 994 ) 944-4238 in 2-3 days to obtain results of the lab tests that were ordered .' -p269452 -(lp269453 -S'Please\tPlease\tNN\tB-NP\tO' -p269454 -aS'call\tcall\tNN\tI-NP\tO' -p269455 -aS'(\t(\t(\tO\tO' -p269456 -aS'994\t994\tCD\tB-NP\tO' -p269457 -aS')\t)\t)\tO\tO' -p269458 -aS'944-4238\t944-4238\tCD\tB-NP\tO' -p269459 -aS'in\tin\tIN\tB-PP\tO' -p269460 -aS'2-3\t2-3\tCD\tB-NP\tO' -p269461 -aS'days\tday\tNNS\tI-NP\tO' -p269462 -aS'to\tto\tTO\tB-VP\tO' -p269463 -aS'obtain\tobtain\tVB\tI-VP\tO' -p269464 -aS'results\tresult\tNNS\tB-NP\tO' -p269465 -aS'of\tof\tIN\tB-PP\tO' -p269466 -aS'the\tthe\tDT\tB-NP\tO' -p269467 -aS'lab\tlab\tNN\tI-NP\tO' -p269468 -aS'tests\ttest\tNNS\tI-NP\tO' -p269469 -aS'that\tthat\tWDT\tB-NP\tO' -p269470 -aS'were\tbe\tVBD\tB-VP\tO' -p269471 -aS'ordered\torder\tVBN\tI-VP\tO' -p269472 -aS'.\t.\t.\tO\tO' -p269473 -asS'7. Furosemide 20 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' -p269474 -(lp269475 -S'7.\t7.\tCD\tB-NP\tO' -p269476 -aS'Furosemide\tFurosemide\tNN\tI-NP\tO' -p269477 -aS'20\t20\tCD\tB-NP\tO' -p269478 -aS'mg\tmg\tNN\tI-NP\tO' -p269479 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p269480 -aS'Sig\tSig\tNNP\tI-NP\tO' -p269481 -aS':\t:\t:\tO\tO' -p269482 -aS'One\tOne\tCD\tB-NP\tO' -p269483 -aS'(\t(\t(\tO\tO' -p269484 -aS'1\t1\tCD\tB-NP\tO' -p269485 -aS')\t)\t)\tO\tO' -p269486 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p269487 -aS'PO\tPO\tNN\tI-NP\tO' -p269488 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p269489 -aS'(\t(\t(\tO\tO' -p269490 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p269491 -aS')\t)\t)\tO\tO' -p269492 -aS'.\t.\t.\tO\tO' -p269493 -asS'She lives with her single daughter .' -p269494 -(lp269495 -S'She\tShe\tPRP\tB-NP\tO' -p269496 -aS'lives\tlive\tVBZ\tB-VP\tO' -p269497 -aS'with\twith\tIN\tB-PP\tO' -p269498 -aS'her\ther\tPRP$\tB-NP\tO' -p269499 -aS'single\tsingle\tJJ\tI-NP\tO' -p269500 -aS'daughter\tdaughter\tNN\tI-NP\tO' -p269501 -aS'.\t.\t.\tO\tO' -p269502 -asS'She was told to make an appointment two weeks after her surgery for removal of her retention sutures .' -p269503 -(lp269504 -S'She\tShe\tPRP\tB-NP\tO' -p269505 -aS'was\tbe\tVBD\tB-VP\tO' -p269506 -aS'told\ttell\tVBN\tI-VP\tO' -p269507 -aS'to\tto\tTO\tI-VP\tO' -p269508 -aS'make\tmake\tVB\tI-VP\tO' -p269509 -aS'an\tan\tDT\tB-NP\tO' -p269510 -aS'appointment\tappointment\tNN\tI-NP\tO' -p269511 -aS'two\ttwo\tCD\tB-NP\tO' -p269512 -aS'weeks\tweek\tNNS\tI-NP\tO' -p269513 -aS'after\tafter\tIN\tB-PP\tO' -p269514 -aS'her\ther\tPRP$\tB-NP\tO' -p269515 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p269516 -aS'for\tfor\tIN\tB-PP\tO' -p269517 -aS'removal\tremoval\tNN\tB-NP\tO' -p269518 -aS'of\tof\tIN\tB-PP\tO' -p269519 -aS'her\ther\tPRP$\tB-NP\tO' -p269520 -aS'retention\tretention\tNN\tI-NP\tO' -p269521 -aS'sutures\tsuture\tNNS\tI-NP\tO' -p269522 -aS'.\t.\t.\tO\tO' -p269523 -asS'1. Thoracic aneurysm repair .' -p269524 -(lp269525 -S'1.\t1.\tLS\tB-NP\tO' -p269526 -aS'Thoracic\tThoracic\tJJ\tI-NP\tO' -p269527 -aS'aneurysm\taneurysm\tNN\tI-NP\tO' -p269528 -aS'repair\trepair\tNN\tI-NP\tO' -p269529 -aS'.\t.\t.\tO\tO' -p269530 -asS'Parents involved .' -p269531 -(lp269532 -S'Parents\tParent\tNNS\tB-NP\tO' -p269533 -aS'involved\tinvolve\tVBN\tB-ADJP\tO' -p269534 -aS'.\t.\t.\tO\tO' -p269535 -asS'Lungs were clear bilaterally .' -p269536 -(lp269537 -S'Lungs\tLung\tNNS\tB-NP\tO' -p269538 -aS'were\tbe\tVBD\tB-VP\tO' -p269539 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p269540 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p269541 -aS'.\t.\t.\tO\tO' -p269542 -asS'Then about a week ago , the patient and his wife noted that his gait became even more unsteady , though he did not fall .' -p269543 -(lp269544 -S'Then\tThen\tRB\tO\tO' -p269545 -aS'about\tabout\tRB\tB-NP\tO' -p269546 -aS'a\ta\tDT\tI-NP\tO' -p269547 -aS'week\tweek\tNN\tI-NP\tO' -p269548 -aS'ago\tago\tRB\tB-ADVP\tO' -p269549 -aS',\t,\t,\tO\tO' -p269550 -aS'the\tthe\tDT\tB-NP\tO' -p269551 -aS'patient\tpatient\tNN\tI-NP\tO' -p269552 -aS'and\tand\tCC\tO\tO' -p269553 -aS'his\this\tPRP$\tB-NP\tO' -p269554 -aS'wife\twife\tNN\tI-NP\tO' -p269555 -aS'noted\tnote\tVBD\tB-VP\tO' -p269556 -aS'that\tthat\tDT\tO\tO' -p269557 -aS'his\this\tPRP$\tB-NP\tO' -p269558 -aS'gait\tgait\tNN\tI-NP\tO' -p269559 -aS'became\tbecome\tVBD\tB-VP\tO' -p269560 -aS'even\teven\tRB\tB-ADJP\tO' -p269561 -aS'more\tmore\tRBR\tI-ADJP\tO' -p269562 -aS'unsteady\tunsteady\tJJ\tI-ADJP\tO' -p269563 -aS',\t,\t,\tO\tO' -p269564 -aS'though\tthough\tIN\tB-SBAR\tO' -p269565 -aS'he\the\tPRP\tB-NP\tO' -p269566 -aS'did\tdo\tVBD\tB-VP\tO' -p269567 -aS'not\tnot\tRB\tI-VP\tO' -p269568 -aS'fall\tfall\tVB\tI-VP\tO' -p269569 -aS'.\t.\t.\tO\tO' -p269570 -asS'He lis currently widowed .' -p269571 -(lp269572 -S'He\tHe\tPRP\tB-NP\tO' -p269573 -aS'lis\tli\tVBZ\tB-VP\tO' -p269574 -aS'currently\tcurrently\tRB\tI-VP\tO' -p269575 -aS'widowed\twidow\tVBN\tI-VP\tO' -p269576 -aS'.\t.\t.\tO\tO' -p269577 -asS'On 2014-04-09 , patient continued to do very well , ambulating , tolerating a diet , urinating without difficulty .' -p269578 -(lp269579 -S'On\tOn\tIN\tB-PP\tO' -p269580 -aS'2014-04-09\t2014-04-09\tCD\tB-NP\tO' -p269581 -aS',\t,\t,\tO\tO' -p269582 -aS'patient\tpatient\tNN\tB-NP\tO' -p269583 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p269584 -aS'to\tto\tTO\tI-VP\tO' -p269585 -aS'do\tdo\tVB\tI-VP\tO' -p269586 -aS'very\tvery\tRB\tB-ADVP\tO' -p269587 -aS'well\twell\tRB\tI-ADVP\tO' -p269588 -aS',\t,\t,\tO\tO' -p269589 -aS'ambulating\tambulate\tVBG\tB-VP\tO' -p269590 -aS',\t,\t,\tO\tO' -p269591 -aS'tolerating\ttolerate\tVBG\tB-VP\tO' -p269592 -aS'a\ta\tDT\tB-NP\tO' -p269593 -aS'diet\tdiet\tNN\tI-NP\tO' -p269594 -aS',\t,\t,\tO\tO' -p269595 -aS'urinating\turinate\tVBG\tB-VP\tO' -p269596 -aS'without\twithout\tIN\tB-PP\tO' -p269597 -aS'difficulty\tdifficulty\tNN\tB-NP\tO' -p269598 -aS'.\t.\t.\tO\tO' -p269599 -asS'Palpation of the neck discloses a multinodular goiter , larger on the right side , with no associated cervical lymphadenopathy .' -p269600 -(lp269601 -S'Palpation\tPalpation\tNN\tB-NP\tO' -p269602 -aS'of\tof\tIN\tB-PP\tO' -p269603 -aS'the\tthe\tDT\tB-NP\tO' -p269604 -aS'neck\tneck\tNN\tI-NP\tO' -p269605 -aS'discloses\tdisclose\tVBZ\tB-VP\tO' -p269606 -aS'a\ta\tDT\tB-NP\tO' -p269607 -aS'multinodular\tmultinodular\tJJ\tI-NP\tO' -p269608 -aS'goiter\tgoiter\tNN\tI-NP\tO' -p269609 -aS',\t,\t,\tO\tO' -p269610 -aS'larger\tlarge\tJJR\tB-ADJP\tO' -p269611 -aS'on\ton\tIN\tB-PP\tO' -p269612 -aS'the\tthe\tDT\tB-NP\tO' -p269613 -aS'right\tright\tJJ\tI-NP\tO' -p269614 -aS'side\tside\tNN\tI-NP\tO' -p269615 -aS',\t,\t,\tO\tO' -p269616 -aS'with\twith\tIN\tB-PP\tO' -p269617 -aS'no\tno\tDT\tB-NP\tO' -p269618 -aS'associated\tassociate\tVBN\tI-NP\tO' -p269619 -aS'cervical\tcervical\tJJ\tI-NP\tO' -p269620 -aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' -p269621 -aS'.\t.\t.\tO\tO' -p269622 -asS'7) THROMBOCYTOPENIA STATUS POST BONE MARROW TRANSPLANT .' -p269623 -(lp269624 -S'7)\t7)\tLS\tB-LST\tO' -p269625 -aS'THROMBOCYTOPENIA\tTHROMBOCYTOPENIA\tNNP\tB-NP\tO' -p269626 -aS'STATUS\tSTATUS\tNNP\tI-NP\tO' -p269627 -aS'POST\tPOST\tNNP\tI-NP\tO' -p269628 -aS'BONE\tBONE\tNNP\tI-NP\tO' -p269629 -aS'MARROW\tMARROW\tNNP\tI-NP\tO' -p269630 -aS'TRANSPLANT\tTRANSPLANT\tNNP\tI-NP\tO' -p269631 -aS'.\t.\t.\tO\tO' -p269632 -asS'6. Nystatin 100,000 unit / g Cream Sig : One ( 1 ) Appl Topical BID ( 2 times a day ) .' -p269633 -(lp269634 -S'6.\t6.\tLS\tB-NP\tO' -p269635 -aS'Nystatin\tNystatin\tNN\tI-NP\tB-protein' -p269636 -aS'100,000\t100,000\tCD\tI-NP\tI-protein' -p269637 -aS'unit\tunit\tNN\tI-NP\tI-protein' -p269638 -aS'/\t/\tSYM\tB-NP\tO' -p269639 -aS'g\tg\tNN\tI-NP\tO' -p269640 -aS'Cream\tCream\tNNP\tI-NP\tO' -p269641 -aS'Sig\tSig\tNNP\tI-NP\tO' -p269642 -aS':\t:\t:\tO\tO' -p269643 -aS'One\tOne\tCD\tB-NP\tO' -p269644 -aS'(\t(\t(\tO\tO' -p269645 -aS'1\t1\tCD\tB-NP\tO' -p269646 -aS')\t)\t)\tO\tO' -p269647 -aS'Appl\tAppl\tNNP\tB-NP\tO' -p269648 -aS'Topical\tTopical\tJJ\tI-NP\tO' -p269649 -aS'BID\tBID\tNN\tI-NP\tO' -p269650 -aS'(\t(\t(\tO\tO' -p269651 -aS'2\t2\tCD\tB-NP\tO' -p269652 -aS'times\ttime\tNNS\tI-NP\tO' -p269653 -aS'a\ta\tDT\tB-NP\tO' -p269654 -aS'day\tday\tNN\tI-NP\tO' -p269655 -aS')\t)\t)\tO\tO' -p269656 -aS'.\t.\t.\tO\tO' -p269657 -asS'He did note some weight loss over the past several months , though the amount was unknown .' -p269658 -(lp269659 -S'He\tHe\tPRP\tB-NP\tO' -p269660 -aS'did\tdo\tVBD\tB-VP\tO' -p269661 -aS'note\tnote\tVB\tI-VP\tO' -p269662 -aS'some\tsome\tDT\tB-NP\tO' -p269663 -aS'weight\tweight\tNN\tI-NP\tO' -p269664 -aS'loss\tloss\tNN\tI-NP\tO' -p269665 -aS'over\tover\tIN\tB-PP\tO' -p269666 -aS'the\tthe\tDT\tB-NP\tO' -p269667 -aS'past\tpast\tJJ\tI-NP\tO' -p269668 -aS'several\tseveral\tJJ\tI-NP\tO' -p269669 -aS'months\tmonth\tNNS\tI-NP\tO' -p269670 -aS',\t,\t,\tO\tO' -p269671 -aS'though\tthough\tIN\tB-SBAR\tO' -p269672 -aS'the\tthe\tDT\tB-NP\tO' -p269673 -aS'amount\tamount\tNN\tI-NP\tO' -p269674 -aS'was\tbe\tVBD\tB-VP\tO' -p269675 -aS'unknown\tunknown\tJJ\tB-ADJP\tO' -p269676 -aS'.\t.\t.\tO\tO' -p269677 -asS'She should be continued with pulmonary oximetry testing .' -p269678 -(lp269679 -S'She\tShe\tPRP\tB-NP\tO' -p269680 -aS'should\tshould\tMD\tB-VP\tO' -p269681 -aS'be\tbe\tVB\tI-VP\tO' -p269682 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p269683 -aS'with\twith\tIN\tB-PP\tO' -p269684 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p269685 -aS'oximetry\toximetry\tNN\tI-NP\tO' -p269686 -aS'testing\ttesting\tNN\tI-NP\tO' -p269687 -aS'.\t.\t.\tO\tO' -p269688 -asS'TEE was negative .' -p269689 -(lp269690 -S'TEE\tTEE\tNN\tB-NP\tO' -p269691 -aS'was\tbe\tVBD\tB-VP\tO' -p269692 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p269693 -aS'.\t.\t.\tO\tO' -p269694 -asS'Mother is a 37 year old Gravida 1 , Para 0 now 2 woman whose blood type is A negative , antibody negative , rubella immune , RPR nonreactive , hepatitis B surface antigen negative and Group B Streptococcus unknown .' -p269695 -(lp269696 -S'Mother\tMother\tNNP\tB-NP\tO' -p269697 -aS'is\tbe\tVBZ\tB-VP\tO' -p269698 -aS'a\ta\tDT\tB-NP\tO' -p269699 -aS'37\t37\tCD\tI-NP\tO' -p269700 -aS'year\tyear\tNN\tI-NP\tO' -p269701 -aS'old\told\tJJ\tB-ADJP\tO' -p269702 -aS'Gravida\tGravida\tNNP\tB-NP\tO' -p269703 -aS'1\t1\tCD\tI-NP\tO' -p269704 -aS',\t,\t,\tO\tO' -p269705 -aS'Para\tPara\tNNP\tB-NP\tO' -p269706 -aS'0\t0\tCD\tI-NP\tO' -p269707 -aS'now\tnow\tRB\tB-ADVP\tO' -p269708 -aS'2\t2\tCD\tB-NP\tO' -p269709 -aS'woman\twoman\tNN\tI-NP\tO' -p269710 -aS'whose\twhose\tWP$\tB-NP\tO' -p269711 -aS'blood\tblood\tNN\tI-NP\tO' -p269712 -aS'type\ttype\tNN\tI-NP\tO' -p269713 -aS'is\tbe\tVBZ\tB-VP\tO' -p269714 -aS'A\tA\tDT\tB-NP\tO' -p269715 -aS'negative\tnegative\tJJ\tI-NP\tO' -p269716 -aS',\t,\t,\tI-NP\tO' -p269717 -aS'antibody\tantibody\tNN\tI-NP\tO' -p269718 -aS'negative\tnegative\tJJ\tI-NP\tO' -p269719 -aS',\t,\t,\tO\tO' -p269720 -aS'rubella\trubella\tNN\tB-NP\tO' -p269721 -aS'immune\timmune\tJJ\tB-ADJP\tO' -p269722 -aS',\t,\t,\tO\tO' -p269723 -aS'RPR\tRPR\tNN\tB-NP\tB-protein' -p269724 -aS'nonreactive\tnonreactive\tJJ\tB-ADJP\tO' -p269725 -aS',\t,\t,\tO\tO' -p269726 -aS'hepatitis\thepatitis\tNN\tB-NP\tB-protein' -p269727 -aS'B\tB\tNN\tI-NP\tI-protein' -p269728 -aS'surface\tsurface\tNN\tI-NP\tI-protein' -p269729 -aS'antigen\tantigen\tNN\tI-NP\tI-protein' -p269730 -aS'negative\tnegative\tJJ\tI-NP\tO' -p269731 -aS'and\tand\tCC\tI-NP\tO' -p269732 -aS'Group\tGroup\tNN\tI-NP\tO' -p269733 -aS'B\tB\tNN\tI-NP\tO' -p269734 -aS'Streptococcus\tStreptococcus\tNN\tI-NP\tO' -p269735 -aS'unknown\tunknown\tJJ\tB-ADJP\tO' -p269736 -aS'.\t.\t.\tO\tO' -p269737 -asS'At that time , an intravenous of D-10-W was started at 80 cc / kilogram per day .' -p269738 -(lp269739 -S'At\tAt\tIN\tB-PP\tO' -p269740 -aS'that\tthat\tDT\tB-NP\tO' -p269741 -aS'time\ttime\tNN\tI-NP\tO' -p269742 -aS',\t,\t,\tO\tO' -p269743 -aS'an\tan\tDT\tB-NP\tO' -p269744 -aS'intravenous\tintravenous\tJJ\tI-NP\tO' -p269745 -aS'of\tof\tIN\tB-PP\tO' -p269746 -aS'D-10-W\tD-10-W\tNN\tB-NP\tO' -p269747 -aS'was\tbe\tVBD\tB-VP\tO' -p269748 -aS'started\tstart\tVBN\tI-VP\tO' -p269749 -aS'at\tat\tIN\tB-PP\tO' -p269750 -aS'80\t80\tCD\tB-NP\tO' -p269751 -aS'cc\tcc\tNN\tI-NP\tO' -p269752 -aS'/\t/\tSYM\tB-NP\tO' -p269753 -aS'kilogram\tkilogram\tNN\tI-NP\tO' -p269754 -aS'per\tper\tIN\tB-PP\tO' -p269755 -aS'day\tday\tNN\tB-NP\tO' -p269756 -aS'.\t.\t.\tO\tO' -p269757 -asS'His arterial blood gas on 50% was pO2 92 , pCO2 24 , and pH 7.46 .' -p269758 -(lp269759 -S'His\tHis\tPRP$\tB-NP\tO' -p269760 -aS'arterial\tarterial\tJJ\tI-NP\tO' -p269761 -aS'blood\tblood\tNN\tI-NP\tO' -p269762 -aS'gas\tgas\tNN\tI-NP\tO' -p269763 -aS'on\ton\tIN\tB-PP\tO' -p269764 -aS'50%\t50%\tCD\tB-NP\tO' -p269765 -aS'was\tbe\tVBD\tB-VP\tO' -p269766 -aS'pO2\tpO2\tNN\tB-NP\tO' -p269767 -aS'92\t92\tCD\tI-NP\tO' -p269768 -aS',\t,\t,\tO\tO' -p269769 -aS'pCO2\tpCO2\tNN\tB-NP\tO' -p269770 -aS'24\t24\tCD\tI-NP\tO' -p269771 -aS',\t,\t,\tO\tO' -p269772 -aS'and\tand\tCC\tO\tO' -p269773 -aS'pH\tpH\tNN\tB-NP\tO' -p269774 -aS'7.46\t7.46\tCD\tI-NP\tO' -p269775 -aS'.\t.\t.\tO\tO' -p269776 -asS'Continue to deteriorate spiking fevers with ventilatory support on pressors to hold the bp. with no improvement in mental staus was made CMO 5/20/5 .' -p269777 -(lp269778 -S'Continue\tContinue\tNNP\tB-NP\tO' -p269779 -aS'to\tto\tTO\tB-VP\tO' -p269780 -aS'deteriorate\tdeteriorate\tVB\tI-VP\tO' -p269781 -aS'spiking\tspiking\tNN\tB-NP\tO' -p269782 -aS'fevers\tfever\tNNS\tI-NP\tO' -p269783 -aS'with\twith\tIN\tB-PP\tO' -p269784 -aS'ventilatory\tventilatory\tJJ\tB-NP\tO' -p269785 -aS'support\tsupport\tNN\tI-NP\tO' -p269786 -aS'on\ton\tIN\tB-PP\tO' -p269787 -aS'pressors\tpressor\tNNS\tB-NP\tO' -p269788 -aS'to\tto\tTO\tB-VP\tO' -p269789 -aS'hold\thold\tVB\tI-VP\tO' -p269790 -aS'the\tthe\tDT\tB-NP\tO' -p269791 -aS'bp.\tbp.\tNN\tI-NP\tO' -p269792 -aS'with\twith\tIN\tB-PP\tO' -p269793 -aS'no\tno\tDT\tB-NP\tO' -p269794 -aS'improvement\timprovement\tNN\tI-NP\tO' -p269795 -aS'in\tin\tIN\tB-PP\tO' -p269796 -aS'mental\tmental\tJJ\tB-NP\tO' -p269797 -aS'staus\tstaus\tNN\tI-NP\tO' -p269798 -aS'was\tbe\tVBD\tB-VP\tO' -p269799 -aS'made\tmake\tVBN\tI-VP\tO' -p269800 -aS'CMO\tCMO\tNN\tB-NP\tO' -p269801 -aS'5/20/5\t5/20/5\tCD\tI-NP\tO' -p269802 -aS'.\t.\t.\tO\tO' -p269803 -asS'The patient had also used cocaine in the past , but had also stopped in 1996 .' -p269804 -(lp269805 -S'The\tThe\tDT\tB-NP\tO' -p269806 -aS'patient\tpatient\tNN\tI-NP\tO' -p269807 -aS'had\thave\tVBD\tB-VP\tO' -p269808 -aS'also\talso\tRB\tI-VP\tO' -p269809 -aS'used\tuse\tVBN\tI-VP\tO' -p269810 -aS'cocaine\tcocaine\tNN\tB-NP\tO' -p269811 -aS'in\tin\tIN\tB-PP\tO' -p269812 -aS'the\tthe\tDT\tB-NP\tO' -p269813 -aS'past\tpast\tNN\tI-NP\tO' -p269814 -aS',\t,\t,\tO\tO' -p269815 -aS'but\tbut\tCC\tO\tO' -p269816 -aS'had\thave\tVBD\tB-VP\tO' -p269817 -aS'also\talso\tRB\tI-VP\tO' -p269818 -aS'stopped\tstop\tVBN\tI-VP\tO' -p269819 -aS'in\tin\tIN\tB-PP\tO' -p269820 -aS'1996\t1996\tCD\tB-NP\tO' -p269821 -aS'.\t.\t.\tO\tO' -p269822 -asS'No lower extremity edema .' -p269823 -(lp269824 -S'No\tNo\tDT\tB-NP\tO' -p269825 -aS'lower\tlow\tJJR\tI-NP\tO' -p269826 -aS'extremity\textremity\tNN\tI-NP\tO' -p269827 -aS'edema\tedema\tNN\tI-NP\tO' -p269828 -aS'.\t.\t.\tO\tO' -p269829 -asS'She arrived intubated and was hemodynamically stable despite concerns of a dissecting aortic arch aneurysm .' -p269830 -(lp269831 -S'She\tShe\tPRP\tB-NP\tO' -p269832 -aS'arrived\tarrive\tVBD\tB-VP\tO' -p269833 -aS'intubated\tintubate\tVBN\tB-ADJP\tO' -p269834 -aS'and\tand\tCC\tO\tO' -p269835 -aS'was\tbe\tVBD\tB-VP\tO' -p269836 -aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' -p269837 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p269838 -aS'despite\tdespite\tIN\tB-PP\tO' -p269839 -aS'concerns\tconcern\tNNS\tB-NP\tO' -p269840 -aS'of\tof\tIN\tB-PP\tO' -p269841 -aS'a\ta\tDT\tB-NP\tO' -p269842 -aS'dissecting\tdissect\tVBG\tI-NP\tO' -p269843 -aS'aortic\taortic\tJJ\tI-NP\tO' -p269844 -aS'arch\tarch\tNN\tI-NP\tO' -p269845 -aS'aneurysm\taneurysm\tNN\tI-NP\tO' -p269846 -aS'.\t.\t.\tO\tO' -p269847 -asS'On postoperative day seven , the patient had a peak blood pressure of 210/100 .' -p269848 -(lp269849 -S'On\tOn\tIN\tB-PP\tO' -p269850 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p269851 -aS'day\tday\tNN\tI-NP\tO' -p269852 -aS'seven\tseven\tCD\tI-NP\tO' -p269853 -aS',\t,\t,\tO\tO' -p269854 -aS'the\tthe\tDT\tB-NP\tO' -p269855 -aS'patient\tpatient\tNN\tI-NP\tO' -p269856 -aS'had\thave\tVBD\tB-VP\tO' -p269857 -aS'a\ta\tDT\tB-NP\tO' -p269858 -aS'peak\tpeak\tJJ\tI-NP\tO' -p269859 -aS'blood\tblood\tNN\tI-NP\tO' -p269860 -aS'pressure\tpressure\tNN\tI-NP\tO' -p269861 -aS'of\tof\tIN\tB-PP\tO' -p269862 -aS'210/100\t210/100\tCD\tB-NP\tO' -p269863 -aS'.\t.\t.\tO\tO' -p269864 -asS'She was counseled to follow-up with her PCP F 6-12 months regading the right thyroid nodule and the bilateral small lung nodules seen on her chest CT .' -p269865 -(lp269866 -S'She\tShe\tPRP\tB-NP\tO' -p269867 -aS'was\tbe\tVBD\tB-VP\tO' -p269868 -aS'counseled\tcounsel\tVBN\tI-VP\tO' -p269869 -aS'to\tto\tTO\tI-VP\tO' -p269870 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p269871 -aS'with\twith\tIN\tB-PP\tO' -p269872 -aS'her\ther\tPRP$\tB-NP\tO' -p269873 -aS'PCP\tPCP\tNN\tI-NP\tO' -p269874 -aS'F\tF\tNN\tI-NP\tO' -p269875 -aS'6-12\t6-12\tCD\tB-NP\tO' -p269876 -aS'months\tmonth\tNNS\tI-NP\tO' -p269877 -aS'regading\tregade\tVBG\tB-VP\tO' -p269878 -aS'the\tthe\tDT\tB-NP\tO' -p269879 -aS'right\tright\tJJ\tI-NP\tO' -p269880 -aS'thyroid\tthyroid\tNN\tI-NP\tO' -p269881 -aS'nodule\tnodule\tNN\tI-NP\tO' -p269882 -aS'and\tand\tCC\tO\tO' -p269883 -aS'the\tthe\tDT\tB-NP\tO' -p269884 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p269885 -aS'small\tsmall\tJJ\tI-NP\tO' -p269886 -aS'lung\tlung\tNN\tI-NP\tO' -p269887 -aS'nodules\tnodule\tNNS\tI-NP\tO' -p269888 -aS'seen\tsee\tVBN\tB-VP\tO' -p269889 -aS'on\ton\tIN\tB-PP\tO' -p269890 -aS'her\ther\tPRP$\tB-NP\tO' -p269891 -aS'chest\tchest\tNN\tI-NP\tO' -p269892 -aS'CT\tCT\tNN\tI-NP\tO' -p269893 -aS'.\t.\t.\tO\tO' -p269894 -asS'She had some nausea / vomiting and generally was taking poor pos at her NH .' -p269895 -(lp269896 -S'She\tShe\tPRP\tB-NP\tO' -p269897 -aS'had\thave\tVBD\tB-VP\tO' -p269898 -aS'some\tsome\tDT\tB-NP\tO' -p269899 -aS'nausea\tnausea\tNN\tI-NP\tO' -p269900 -aS'/\t/\tSYM\tB-NP\tO' -p269901 -aS'vomiting\tvomiting\tNN\tI-NP\tO' -p269902 -aS'and\tand\tCC\tO\tO' -p269903 -aS'generally\tgenerally\tRB\tB-VP\tO' -p269904 -aS'was\tbe\tVBD\tI-VP\tO' -p269905 -aS'taking\ttake\tVBG\tI-VP\tO' -p269906 -aS'poor\tpoor\tJJ\tB-NP\tO' -p269907 -aS'pos\tpo\tNNS\tI-NP\tO' -p269908 -aS'at\tat\tIN\tB-PP\tO' -p269909 -aS'her\ther\tPRP$\tB-NP\tO' -p269910 -aS'NH\tNH\tNN\tI-NP\tO' -p269911 -aS'.\t.\t.\tO\tO' -p269912 -asS'Electronically signed by Tracy Kimball , MD , Interpreting physician' -p269913 -(lp269914 -S'Electronically\tElectronically\tRB\tB-ADVP\tO' -p269915 -aS'signed\tsign\tVBN\tB-VP\tO' -p269916 -aS'by\tby\tIN\tB-PP\tO' -p269917 -aS'Tracy\tTracy\tNNP\tB-NP\tO' -p269918 -aS'Kimball\tKimball\tNNP\tI-NP\tO' -p269919 -aS',\t,\t,\tO\tO' -p269920 -aS'MD\tMD\tNNP\tB-NP\tO' -p269921 -aS',\t,\t,\tO\tO' -p269922 -aS'Interpreting\tInterpreting\tNNP\tB-NP\tO' -p269923 -aS'physician\tphysician\tNN\tI-NP\tO' -p269924 -asS'Following evaluation and treatment , the patient 's disposition at the end of the visit was ADMITTED AS AN INPATIENT TO TECAL GALENCOUNXOPT COMMUNITY HOSPITAL .' -p269925 -(lp269926 -S'Following\tFollow\tVBG\tB-PP\tO' -p269927 -aS'evaluation\tevaluation\tNN\tB-NP\tO' -p269928 -aS'and\tand\tCC\tI-NP\tO' -p269929 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p269930 -aS',\t,\t,\tO\tO' -p269931 -aS'the\tthe\tDT\tB-NP\tO' -p269932 -aS'patient\tpatient\tNN\tI-NP\tO' -p269933 -aS''s\t'\tNNS\tI-NP\tO' -p269934 -aS'disposition\tdisposition\tNN\tI-NP\tO' -p269935 -aS'at\tat\tIN\tB-PP\tO' -p269936 -aS'the\tthe\tDT\tB-NP\tO' -p269937 -aS'end\tend\tNN\tI-NP\tO' -p269938 -aS'of\tof\tIN\tB-PP\tO' -p269939 -aS'the\tthe\tDT\tB-NP\tO' -p269940 -aS'visit\tvisit\tNN\tI-NP\tO' -p269941 -aS'was\tbe\tVBD\tB-VP\tO' -p269942 -aS'ADMITTED\tADMITTED\tVBN\tI-VP\tO' -p269943 -aS'AS\tAS\tNNP\tB-NP\tO' -p269944 -aS'AN\tAN\tNNP\tI-NP\tO' -p269945 -aS'INPATIENT\tINPATIENT\tNNP\tI-NP\tO' -p269946 -aS'TO\tTO\tNNP\tI-NP\tO' -p269947 -aS'TECAL\tTECAL\tNNP\tI-NP\tO' -p269948 -aS'GALENCOUNXOPT\tGALENCOUNXOPT\tNNP\tI-NP\tO' -p269949 -aS'COMMUNITY\tCOMMUNITY\tNNP\tI-NP\tO' -p269950 -aS'HOSPITAL\tHOSPITAL\tNNP\tI-NP\tO' -p269951 -aS'.\t.\t.\tO\tO' -p269952 -asS'The patient will be discharged to an outside hospital .' -p269953 -(lp269954 -S'The\tThe\tDT\tB-NP\tO' -p269955 -aS'patient\tpatient\tNN\tI-NP\tO' -p269956 -aS'will\twill\tMD\tB-VP\tO' -p269957 -aS'be\tbe\tVB\tI-VP\tO' -p269958 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p269959 -aS'to\tto\tTO\tB-PP\tO' -p269960 -aS'an\tan\tDT\tB-NP\tO' -p269961 -aS'outside\toutside\tJJ\tI-NP\tO' -p269962 -aS'hospital\thospital\tNN\tI-NP\tO' -p269963 -aS'.\t.\t.\tO\tO' -p269964 -asS'LIGHT ACTIVITIES UNTIL SEEN IN CLINIC .' -p269965 -(lp269966 -S'LIGHT\tLIGHT\tNNP\tB-NP\tO' -p269967 -aS'ACTIVITIES\tACTIVITIES\tNNP\tI-NP\tO' -p269968 -aS'UNTIL\tUNTIL\tNNP\tI-NP\tO' -p269969 -aS'SEEN\tSEEN\tNNP\tI-NP\tO' -p269970 -aS'IN\tIN\tNNP\tI-NP\tO' -p269971 -aS'CLINIC\tCLINIC\tNNP\tI-NP\tO' -p269972 -aS'.\t.\t.\tO\tO' -p269973 -asS'Disp :* qs Disk with Device ( s )* Refills :* 2 *' -p269974 -(lp269975 -S'Disp\tDisp\tNN\tB-NP\tO' -p269976 -aS':*\t:*\tSYM\tI-NP\tO' -p269977 -aS'qs\tq\tNNS\tI-NP\tO' -p269978 -aS'Disk\tDisk\tVBP\tB-VP\tO' -p269979 -aS'with\twith\tIN\tB-PP\tO' -p269980 -aS'Device\tDevice\tNN\tB-NP\tO' -p269981 -aS'(\t(\t(\tO\tO' -p269982 -aS's\ts\tNNS\tB-NP\tO' -p269983 -aS')*\t)*\tSYM\tO\tO' -p269984 -aS'Refills\tRefill\tNNPS\tB-NP\tO' -p269985 -aS':*\t:*\tSYM\tI-NP\tO' -p269986 -aS'2\t2\tCD\tI-NP\tO' -p269987 -aS'*\t*\tSYM\tB-NP\tO' -p269988 -asS'No evidence of acute or chronic infarction .' -p269989 -(lp269990 -S'No\tNo\tDT\tB-NP\tO' -p269991 -aS'evidence\tevidence\tNN\tI-NP\tO' -p269992 -aS'of\tof\tIN\tB-PP\tO' -p269993 -aS'acute\tacute\tJJ\tB-NP\tO' -p269994 -aS'or\tor\tCC\tI-NP\tO' -p269995 -aS'chronic\tchronic\tJJ\tI-NP\tO' -p269996 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p269997 -aS'.\t.\t.\tO\tO' -p269998 -asS'The patient was transferred to the Fairm of Ijordcompmac Hospital .' -p269999 -(lp270000 -S'The\tThe\tDT\tB-NP\tO' -p270001 -aS'patient\tpatient\tNN\tI-NP\tO' -p270002 -aS'was\tbe\tVBD\tB-VP\tO' -p270003 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p270004 -aS'to\tto\tTO\tB-PP\tO' -p270005 -aS'the\tthe\tDT\tB-NP\tO' -p270006 -aS'Fairm\tFairm\tNNP\tI-NP\tO' -p270007 -aS'of\tof\tIN\tB-PP\tO' -p270008 -aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' -p270009 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p270010 -aS'.\t.\t.\tO\tO' -p270011 -asS'The left external carotid artery was occluded at its origin , with collaterals from the internal carotid artery .' -p270012 -(lp270013 -S'The\tThe\tDT\tB-NP\tO' -p270014 -aS'left\tleft\tJJ\tI-NP\tO' -p270015 -aS'external\texternal\tJJ\tI-NP\tO' -p270016 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p270017 -aS'artery\tartery\tNN\tI-NP\tO' -p270018 -aS'was\tbe\tVBD\tB-VP\tO' -p270019 -aS'occluded\tocclude\tVBN\tI-VP\tO' -p270020 -aS'at\tat\tIN\tB-PP\tO' -p270021 -aS'its\tits\tPRP$\tB-NP\tO' -p270022 -aS'origin\torigin\tNN\tI-NP\tO' -p270023 -aS',\t,\t,\tO\tO' -p270024 -aS'with\twith\tIN\tB-PP\tO' -p270025 -aS'collaterals\tcollateral\tNNS\tB-NP\tO' -p270026 -aS'from\tfrom\tIN\tB-PP\tO' -p270027 -aS'the\tthe\tDT\tB-NP\tO' -p270028 -aS'internal\tinternal\tJJ\tI-NP\tO' -p270029 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p270030 -aS'artery\tartery\tNN\tI-NP\tO' -p270031 -aS'.\t.\t.\tO\tO' -p270032 -asS'The abdominal examination was benign .' -p270033 -(lp270034 -S'The\tThe\tDT\tB-NP\tO' -p270035 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p270036 -aS'examination\texamination\tNN\tI-NP\tO' -p270037 -aS'was\tbe\tVBD\tB-VP\tO' -p270038 -aS'benign\tbenign\tJJ\tB-ADJP\tO' -p270039 -aS'.\t.\t.\tO\tO' -p270040 -asS"With regards to the patient 's documented Strep septicemia in the outside hospital , the Infectious Disease Team was formally consulted ." -p270041 -(lp270042 -S'With\tWith\tIN\tB-SBAR\tO' -p270043 -aS'regards\tregard\tNNS\tB-NP\tO' -p270044 -aS'to\tto\tTO\tB-PP\tO' -p270045 -aS'the\tthe\tDT\tB-NP\tO' -p270046 -aS'patient\tpatient\tNN\tI-NP\tO' -p270047 -aS"'s\t's\tPOS\tB-NP\tO" -p270048 -aS'documented\tdocument\tVBN\tI-NP\tO' -p270049 -aS'Strep\tStrep\tNN\tI-NP\tO' -p270050 -aS'septicemia\tsepticemia\tNN\tI-NP\tO' -p270051 -aS'in\tin\tIN\tB-PP\tO' -p270052 -aS'the\tthe\tDT\tB-NP\tO' -p270053 -aS'outside\toutside\tJJ\tI-NP\tO' -p270054 -aS'hospital\thospital\tNN\tI-NP\tO' -p270055 -aS',\t,\t,\tO\tO' -p270056 -aS'the\tthe\tDT\tB-NP\tO' -p270057 -aS'Infectious\tInfectious\tJJ\tI-NP\tO' -p270058 -aS'Disease\tDisease\tNN\tI-NP\tO' -p270059 -aS'Team\tTeam\tNN\tI-NP\tO' -p270060 -aS'was\tbe\tVBD\tB-VP\tO' -p270061 -aS'formally\tformally\tRB\tI-VP\tO' -p270062 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p270063 -aS'.\t.\t.\tO\tO' -p270064 -asS'Repeat platelet count on day of life three was 229 .' -p270065 -(lp270066 -S'Repeat\tRepeat\tNN\tB-NP\tO' -p270067 -aS'platelet\tplatelet\tNN\tI-NP\tO' -p270068 -aS'count\tcount\tNN\tI-NP\tO' -p270069 -aS'on\ton\tIN\tB-PP\tO' -p270070 -aS'day\tday\tNN\tB-NP\tO' -p270071 -aS'of\tof\tIN\tB-PP\tO' -p270072 -aS'life\tlife\tNN\tB-NP\tO' -p270073 -aS'three\tthree\tCD\tI-NP\tO' -p270074 -aS'was\tbe\tVBD\tB-VP\tO' -p270075 -aS'229\t229\tCD\tB-NP\tO' -p270076 -aS'.\t.\t.\tO\tO' -p270077 -asS'Deep tendon reflexes were 2+ in the upper extremities , 1+ in the patella reflexes , no reflexes at the ankles , upgoing Babinski toes bilaterally .' -p270078 -(lp270079 -S'Deep\tDeep\tJJ\tB-NP\tO' -p270080 -aS'tendon\ttendon\tNN\tI-NP\tO' -p270081 -aS'reflexes\treflex\tNNS\tI-NP\tO' -p270082 -aS'were\tbe\tVBD\tB-VP\tO' -p270083 -aS'2+\t2+\tJJ\tB-ADJP\tO' -p270084 -aS'in\tin\tIN\tB-PP\tO' -p270085 -aS'the\tthe\tDT\tB-NP\tO' -p270086 -aS'upper\tupper\tJJ\tI-NP\tO' -p270087 -aS'extremities\textremity\tNNS\tI-NP\tO' -p270088 -aS',\t,\t,\tO\tO' -p270089 -aS'1+\t1+\tJJ\tB-ADJP\tO' -p270090 -aS'in\tin\tIN\tB-PP\tO' -p270091 -aS'the\tthe\tDT\tB-NP\tO' -p270092 -aS'patella\tpatella\tNN\tI-NP\tO' -p270093 -aS'reflexes\treflex\tNNS\tI-NP\tO' -p270094 -aS',\t,\t,\tO\tO' -p270095 -aS'no\tno\tDT\tB-NP\tO' -p270096 -aS'reflexes\treflex\tNNS\tI-NP\tO' -p270097 -aS'at\tat\tIN\tB-PP\tO' -p270098 -aS'the\tthe\tDT\tB-NP\tO' -p270099 -aS'ankles\tankle\tNNS\tI-NP\tO' -p270100 -aS',\t,\t,\tO\tO' -p270101 -aS'upgoing\tupgoe\tVBG\tB-VP\tO' -p270102 -aS'Babinski\tBabinski\tNNP\tB-NP\tO' -p270103 -aS'toes\ttoe\tVBZ\tB-VP\tO' -p270104 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p270105 -aS'.\t.\t.\tO\tO' -p270106 -asS'Chronic lymphocytic thyroiditis , status post right total and left subtotal oophorectomy , asthma , migraine , history of Droperidol allergy .' -p270107 -(lp270108 -S'Chronic\tChronic\tJJ\tB-NP\tO' -p270109 -aS'lymphocytic\tlymphocytic\tJJ\tI-NP\tO' -p270110 -aS'thyroiditis\tthyroiditis\tNN\tI-NP\tO' -p270111 -aS',\t,\t,\tO\tO' -p270112 -aS'status\tstatus\tNN\tB-NP\tO' -p270113 -aS'post\tpost\tNN\tI-NP\tO' -p270114 -aS'right\tright\tJJ\tI-NP\tO' -p270115 -aS'total\ttotal\tNN\tI-NP\tO' -p270116 -aS'and\tand\tCC\tO\tO' -p270117 -aS'left\tleave\tVBD\tB-VP\tO' -p270118 -aS'subtotal\tsubtotal\tJJ\tB-NP\tO' -p270119 -aS'oophorectomy\toophorectomy\tNN\tI-NP\tO' -p270120 -aS',\t,\t,\tO\tO' -p270121 -aS'asthma\tasthma\tNN\tB-NP\tO' -p270122 -aS',\t,\t,\tO\tO' -p270123 -aS'migraine\tmigraine\tNN\tB-NP\tO' -p270124 -aS',\t,\t,\tO\tO' -p270125 -aS'history\thistory\tNN\tB-NP\tO' -p270126 -aS'of\tof\tIN\tB-PP\tO' -p270127 -aS'Droperidol\tDroperidol\tNN\tB-NP\tO' -p270128 -aS'allergy\tallergy\tNN\tI-NP\tO' -p270129 -aS'.\t.\t.\tO\tO' -p270130 -asS'Normal neurological examination .' -p270131 -(lp270132 -S'Normal\tNormal\tJJ\tB-NP\tO' -p270133 -aS'neurological\tneurological\tJJ\tI-NP\tO' -p270134 -aS'examination\texamination\tNN\tI-NP\tO' -p270135 -aS'.\t.\t.\tO\tO' -p270136 -asS'He was treated with appropriate antibiotics for his Serratia pneumonia , as well as for his abdominal process .' -p270137 -(lp270138 -S'He\tHe\tPRP\tB-NP\tO' -p270139 -aS'was\tbe\tVBD\tB-VP\tO' -p270140 -aS'treated\ttreat\tVBN\tI-VP\tO' -p270141 -aS'with\twith\tIN\tB-PP\tO' -p270142 -aS'appropriate\tappropriate\tJJ\tB-NP\tO' -p270143 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p270144 -aS'for\tfor\tIN\tB-PP\tO' -p270145 -aS'his\this\tPRP$\tB-NP\tO' -p270146 -aS'Serratia\tSerratia\tNNP\tI-NP\tO' -p270147 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p270148 -aS',\t,\t,\tO\tO' -p270149 -aS'as\tas\tRB\tB-CONJP\tO' -p270150 -aS'well\twell\tRB\tI-CONJP\tO' -p270151 -aS'as\tas\tIN\tI-CONJP\tO' -p270152 -aS'for\tfor\tIN\tB-PP\tO' -p270153 -aS'his\this\tPRP$\tB-NP\tO' -p270154 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p270155 -aS'process\tprocess\tNN\tI-NP\tO' -p270156 -aS'.\t.\t.\tO\tO' -p270157 -asS'Most likely source of fevers was judged to be progressive Acanthamoeba infection , even on maximal antimicrobial therapy .' -p270158 -(lp270159 -S'Most\tMost\tRBS\tB-NP\tO' -p270160 -aS'likely\tlikely\tJJ\tI-NP\tO' -p270161 -aS'source\tsource\tNN\tI-NP\tO' -p270162 -aS'of\tof\tIN\tB-PP\tO' -p270163 -aS'fevers\tfever\tNNS\tB-NP\tO' -p270164 -aS'was\tbe\tVBD\tB-VP\tO' -p270165 -aS'judged\tjudge\tVBN\tI-VP\tO' -p270166 -aS'to\tto\tTO\tI-VP\tO' -p270167 -aS'be\tbe\tVB\tI-VP\tO' -p270168 -aS'progressive\tprogressive\tJJ\tB-NP\tO' -p270169 -aS'Acanthamoeba\tAcanthamoeba\tNNP\tI-NP\tO' -p270170 -aS'infection\tinfection\tNN\tI-NP\tO' -p270171 -aS',\t,\t,\tO\tO' -p270172 -aS'even\teven\tRB\tB-ADVP\tO' -p270173 -aS'on\ton\tIN\tB-PP\tO' -p270174 -aS'maximal\tmaximal\tJJ\tB-NP\tO' -p270175 -aS'antimicrobial\tantimicrobial\tJJ\tI-NP\tO' -p270176 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p270177 -aS'.\t.\t.\tO\tO' -p270178 -asS'MAY SHOWER -- DAB DRY , DO NOT SCRUB .' -p270179 -(lp270180 -S'MAY\tMAY\tNNP\tB-NP\tO' -p270181 -aS'SHOWER\tSHOWER\tNNP\tI-NP\tO' -p270182 -aS'--\t--\t:\tO\tO' -p270183 -aS'DAB\tDAB\tNN\tB-NP\tO' -p270184 -aS'DRY\tDRY\tNN\tI-NP\tO' -p270185 -aS',\t,\t,\tO\tO' -p270186 -aS'DO\tDO\tNN\tB-NP\tO' -p270187 -aS'NOT\tNOT\tNN\tI-NP\tO' -p270188 -aS'SCRUB\tSCRUB\tNN\tI-NP\tB-protein' -p270189 -aS'.\t.\t.\tO\tO' -p270190 -asS'15. Lorazepam 0.5-1 mg IV Q3-4H : PRN anxiety , nausea hold for sedation .' -p270191 -(lp270192 -S'15.\t15.\tLS\tB-NP\tO' -p270193 -aS'Lorazepam\tLorazepam\tNNP\tI-NP\tO' -p270194 -aS'0.5-1\t0.5-1\tCD\tI-NP\tO' -p270195 -aS'mg\tmg\tNN\tI-NP\tO' -p270196 -aS'IV\tIV\tCD\tB-NP\tO' -p270197 -aS'Q3-4H\tQ3-4H\tNN\tI-NP\tO' -p270198 -aS':\t:\t:\tO\tO' -p270199 -aS'PRN\tPRN\tNN\tB-NP\tO' -p270200 -aS'anxiety\tanxiety\tNN\tI-NP\tO' -p270201 -aS',\t,\t,\tO\tO' -p270202 -aS'nausea\tnausea\tNN\tB-NP\tO' -p270203 -aS'hold\thold\tNN\tI-NP\tO' -p270204 -aS'for\tfor\tIN\tB-PP\tO' -p270205 -aS'sedation\tsedation\tNN\tB-NP\tO' -p270206 -aS'.\t.\t.\tO\tO' -p270207 -asS'It turns out that several people in her family have a similar bleeding diathesis of unknown etiology .' -p270208 -(lp270209 -S'It\tIt\tPRP\tB-NP\tO' -p270210 -aS'turns\tturn\tVBZ\tB-VP\tO' -p270211 -aS'out\tout\tRP\tB-PRT\tO' -p270212 -aS'that\tthat\tIN\tB-SBAR\tO' -p270213 -aS'several\tseveral\tJJ\tB-NP\tO' -p270214 -aS'people\tpeople\tNNS\tI-NP\tO' -p270215 -aS'in\tin\tIN\tB-PP\tO' -p270216 -aS'her\ther\tPRP$\tB-NP\tO' -p270217 -aS'family\tfamily\tNN\tI-NP\tO' -p270218 -aS'have\thave\tVBP\tB-VP\tO' -p270219 -aS'a\ta\tDT\tB-NP\tO' -p270220 -aS'similar\tsimilar\tJJ\tI-NP\tO' -p270221 -aS'bleeding\tbleed\tVBG\tI-NP\tO' -p270222 -aS'diathesis\tdiathesis\tNN\tI-NP\tO' -p270223 -aS'of\tof\tIN\tB-PP\tO' -p270224 -aS'unknown\tunknown\tJJ\tB-NP\tO' -p270225 -aS'etiology\tetiology\tNN\tI-NP\tO' -p270226 -aS'.\t.\t.\tO\tO' -p270227 -asS'He was kept in the Unit for observation of his airway and b.i.d. laryngoscopy .' -p270228 -(lp270229 -S'He\tHe\tPRP\tB-NP\tO' -p270230 -aS'was\tbe\tVBD\tB-VP\tO' -p270231 -aS'kept\tkeep\tVBN\tI-VP\tO' -p270232 -aS'in\tin\tIN\tB-PP\tO' -p270233 -aS'the\tthe\tDT\tB-NP\tO' -p270234 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p270235 -aS'for\tfor\tIN\tB-PP\tO' -p270236 -aS'observation\tobservation\tNN\tB-NP\tO' -p270237 -aS'of\tof\tIN\tB-PP\tO' -p270238 -aS'his\this\tPRP$\tB-NP\tO' -p270239 -aS'airway\tairway\tNN\tI-NP\tO' -p270240 -aS'and\tand\tCC\tI-NP\tO' -p270241 -aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' -p270242 -aS'laryngoscopy\tlaryngoscopy\tNN\tI-NP\tO' -p270243 -aS'.\t.\t.\tO\tO' -p270244 -asS'The patient was seen in consultation by Dr. Signs for Dr. Churlaunt of Cardiology .' -p270245 -(lp270246 -S'The\tThe\tDT\tB-NP\tO' -p270247 -aS'patient\tpatient\tNN\tI-NP\tO' -p270248 -aS'was\tbe\tVBD\tB-VP\tO' -p270249 -aS'seen\tsee\tVBN\tI-VP\tO' -p270250 -aS'in\tin\tIN\tB-PP\tO' -p270251 -aS'consultation\tconsultation\tNN\tB-NP\tO' -p270252 -aS'by\tby\tIN\tB-PP\tO' -p270253 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p270254 -aS'Signs\tSigns\tNNP\tI-NP\tO' -p270255 -aS'for\tfor\tIN\tB-PP\tO' -p270256 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p270257 -aS'Churlaunt\tChurlaunt\tNNP\tI-NP\tO' -p270258 -aS'of\tof\tIN\tB-PP\tO' -p270259 -aS'Cardiology\tCardiology\tNNP\tB-NP\tO' -p270260 -aS'.\t.\t.\tO\tO' -p270261 -asS'On examination , blood pressure was 200/100 ; heart rate 120 per minute ( atrial fibrillation ) .' -p270262 -(lp270263 -S'On\tOn\tIN\tB-PP\tO' -p270264 -aS'examination\texamination\tNN\tB-NP\tO' -p270265 -aS',\t,\t,\tO\tO' -p270266 -aS'blood\tblood\tNN\tB-NP\tO' -p270267 -aS'pressure\tpressure\tNN\tI-NP\tO' -p270268 -aS'was\tbe\tVBD\tB-VP\tO' -p270269 -aS'200/100\t200/100\tCD\tB-NP\tO' -p270270 -aS';\t;\t:\tO\tO' -p270271 -aS'heart\theart\tNN\tB-NP\tO' -p270272 -aS'rate\trate\tNN\tI-NP\tO' -p270273 -aS'120\t120\tCD\tI-NP\tO' -p270274 -aS'per\tper\tIN\tB-PP\tO' -p270275 -aS'minute\tminute\tNN\tB-NP\tO' -p270276 -aS'(\t(\t(\tO\tO' -p270277 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p270278 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p270279 -aS')\t)\t)\tO\tO' -p270280 -aS'.\t.\t.\tO\tO' -p270281 -asS'The neurology service was consulted and attributed these findings to cholesterol emboli .' -p270282 -(lp270283 -S'The\tThe\tDT\tB-NP\tO' -p270284 -aS'neurology\tneurology\tNN\tI-NP\tO' -p270285 -aS'service\tservice\tNN\tI-NP\tO' -p270286 -aS'was\tbe\tVBD\tB-VP\tO' -p270287 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p270288 -aS'and\tand\tCC\tO\tO' -p270289 -aS'attributed\tattribute\tVBD\tB-VP\tO' -p270290 -aS'these\tthese\tDT\tB-NP\tO' -p270291 -aS'findings\tfinding\tNNS\tI-NP\tO' -p270292 -aS'to\tto\tTO\tB-PP\tO' -p270293 -aS'cholesterol\tcholesterol\tNN\tB-NP\tO' -p270294 -aS'emboli\tembolus\tNNS\tI-NP\tO' -p270295 -aS'.\t.\t.\tO\tO' -p270296 -asS'2) MITRAL REGURGITATION .' -p270297 -(lp270298 -S'2)\t2)\tLS\tB-NP\tO' -p270299 -aS'MITRAL\tMITRAL\tNN\tI-NP\tO' -p270300 -aS'REGURGITATION\tREGURGITATION\tNN\tI-NP\tO' -p270301 -aS'.\t.\t.\tO\tO' -p270302 -asS'Heart rate 150 to 160 , mean blood pressure 40 to 54 .' -p270303 -(lp270304 -S'Heart\tHeart\tNN\tB-NP\tO' -p270305 -aS'rate\trate\tNN\tI-NP\tO' -p270306 -aS'150\t150\tCD\tB-NP\tO' -p270307 -aS'to\tto\tTO\tB-PP\tO' -p270308 -aS'160\t160\tCD\tB-NP\tO' -p270309 -aS',\t,\t,\tO\tO' -p270310 -aS'mean\tmean\tJJ\tB-NP\tO' -p270311 -aS'blood\tblood\tNN\tI-NP\tO' -p270312 -aS'pressure\tpressure\tNN\tI-NP\tO' -p270313 -aS'40\t40\tCD\tB-NP\tO' -p270314 -aS'to\tto\tTO\tB-PP\tO' -p270315 -aS'54\t54\tCD\tB-NP\tO' -p270316 -aS'.\t.\t.\tO\tO' -p270317 -asS'Patient was restarted on Digoxin just prior to discharge .' -p270318 -(lp270319 -S'Patient\tPatient\tNN\tB-NP\tO' -p270320 -aS'was\tbe\tVBD\tB-VP\tO' -p270321 -aS'restarted\trestart\tVBN\tI-VP\tO' -p270322 -aS'on\ton\tIN\tB-PP\tO' -p270323 -aS'Digoxin\tDigoxin\tNN\tB-NP\tO' -p270324 -aS'just\tjust\tRB\tB-ADJP\tO' -p270325 -aS'prior\tprior\tJJ\tI-ADJP\tO' -p270326 -aS'to\tto\tTO\tB-VP\tO' -p270327 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p270328 -aS'.\t.\t.\tO\tO' -p270329 -asS'This is an 80 year old female with a history of Stage I breast cancer , hypertension , hyperlipidemia , who presents with a leukocytosis/bandemia , hypotension in the setting of dehydration and influenza .' -p270330 -(lp270331 -S'This\tThis\tDT\tB-NP\tO' -p270332 -aS'is\tbe\tVBZ\tB-VP\tO' -p270333 -aS'an\tan\tDT\tB-NP\tO' -p270334 -aS'80\t80\tCD\tI-NP\tO' -p270335 -aS'year\tyear\tNN\tI-NP\tO' -p270336 -aS'old\told\tJJ\tI-NP\tO' -p270337 -aS'female\tfemale\tNN\tI-NP\tO' -p270338 -aS'with\twith\tIN\tB-PP\tO' -p270339 -aS'a\ta\tDT\tB-NP\tO' -p270340 -aS'history\thistory\tNN\tI-NP\tO' -p270341 -aS'of\tof\tIN\tB-PP\tO' -p270342 -aS'Stage\tStage\tNN\tB-NP\tO' -p270343 -aS'I\tI\tCD\tI-NP\tO' -p270344 -aS'breast\tbreast\tNN\tI-NP\tO' -p270345 -aS'cancer\tcancer\tNN\tI-NP\tO' -p270346 -aS',\t,\t,\tO\tO' -p270347 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p270348 -aS',\t,\t,\tO\tO' -p270349 -aS'hyperlipidemia\thyperlipidemia\tNN\tB-NP\tO' -p270350 -aS',\t,\t,\tO\tO' -p270351 -aS'who\twho\tWP\tB-NP\tO' -p270352 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p270353 -aS'with\twith\tIN\tB-PP\tO' -p270354 -aS'a\ta\tDT\tB-NP\tO' -p270355 -aS'leukocytosis/bandemia\tleukocytosis/bandemia\tNN\tI-NP\tO' -p270356 -aS',\t,\t,\tO\tO' -p270357 -aS'hypotension\thypotension\tNN\tB-NP\tO' -p270358 -aS'in\tin\tIN\tB-PP\tO' -p270359 -aS'the\tthe\tDT\tB-NP\tO' -p270360 -aS'setting\tsetting\tNN\tI-NP\tO' -p270361 -aS'of\tof\tIN\tB-PP\tO' -p270362 -aS'dehydration\tdehydration\tNN\tB-NP\tO' -p270363 -aS'and\tand\tCC\tI-NP\tO' -p270364 -aS'influenza\tinfluenza\tNN\tI-NP\tO' -p270365 -aS'.\t.\t.\tO\tO' -p270366 -asS'CXR 05-11 revealed ? pneumonia vs atelectasis at the R lung base .' -p270367 -(lp270368 -S'CXR\tCXR\tNN\tB-NP\tO' -p270369 -aS'05-11\t05-11\tCD\tI-NP\tO' -p270370 -aS'revealed\treveal\tVBD\tB-VP\tO' -p270371 -aS'?\t?\t.\tO\tO' -p270372 -aS'pneumonia\tpneumonia\tNN\tB-NP\tO' -p270373 -aS'vs\tvs\tCC\tI-NP\tO' -p270374 -aS'atelectasis\tatelectasis\tNN\tI-NP\tO' -p270375 -aS'at\tat\tIN\tB-PP\tO' -p270376 -aS'the\tthe\tDT\tB-NP\tO' -p270377 -aS'R\tR\tNN\tI-NP\tB-protein' -p270378 -aS'lung\tlung\tNN\tI-NP\tI-protein' -p270379 -aS'base\tbase\tNN\tI-NP\tI-protein' -p270380 -aS'.\t.\t.\tO\tO' -p270381 -asS'Pulmonary function test 11/04 .' -p270382 -(lp270383 -S'Pulmonary\tPulmonary\tJJ\tB-NP\tO' -p270384 -aS'function\tfunction\tNN\tI-NP\tO' -p270385 -aS'test\ttest\tNN\tI-NP\tO' -p270386 -aS'11/04\t11/04\tCD\tI-NP\tO' -p270387 -aS'.\t.\t.\tO\tO' -p270388 -asS'However , this responded to IV fluids and his ACE inhibitor was restarted at the time of discharge .' -p270389 -(lp270390 -S'However\tHowever\tRB\tB-ADVP\tO' -p270391 -aS',\t,\t,\tO\tO' -p270392 -aS'this\tthis\tDT\tB-NP\tO' -p270393 -aS'responded\trespond\tVBD\tB-VP\tO' -p270394 -aS'to\tto\tTO\tB-PP\tO' -p270395 -aS'IV\tIV\tCD\tB-NP\tO' -p270396 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p270397 -aS'and\tand\tCC\tO\tO' -p270398 -aS'his\this\tPRP$\tB-NP\tO' -p270399 -aS'ACE\tACE\tNN\tI-NP\tO' -p270400 -aS'inhibitor\tinhibitor\tNN\tI-NP\tO' -p270401 -aS'was\tbe\tVBD\tB-VP\tO' -p270402 -aS'restarted\trestart\tVBN\tI-VP\tO' -p270403 -aS'at\tat\tIN\tB-PP\tO' -p270404 -aS'the\tthe\tDT\tB-NP\tO' -p270405 -aS'time\ttime\tNN\tI-NP\tO' -p270406 -aS'of\tof\tIN\tB-PP\tO' -p270407 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p270408 -aS'.\t.\t.\tO\tO' -p270409 -asS'Mills was admitted to the newborn intensive care unit with moderate respiratory distress .' -p270410 -(lp270411 -S'Mills\tMill\tNNS\tB-NP\tO' -p270412 -aS'was\tbe\tVBD\tB-VP\tO' -p270413 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p270414 -aS'to\tto\tTO\tB-PP\tO' -p270415 -aS'the\tthe\tDT\tB-NP\tO' -p270416 -aS'newborn\tnewborn\tJJ\tI-NP\tO' -p270417 -aS'intensive\tintensive\tJJ\tI-NP\tO' -p270418 -aS'care\tcare\tNN\tI-NP\tO' -p270419 -aS'unit\tunit\tNN\tI-NP\tO' -p270420 -aS'with\twith\tIN\tB-PP\tO' -p270421 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p270422 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p270423 -aS'distress\tdistress\tNN\tI-NP\tO' -p270424 -aS'.\t.\t.\tO\tO' -p270425 -asS'Please discuss the use of beta-blockers with your cardiologist .' -p270426 -(lp270427 -S'Please\tPlease\tNN\tB-NP\tB-protein' -p270428 -aS'discuss\tdiscuss\tVBP\tB-VP\tO' -p270429 -aS'the\tthe\tDT\tB-NP\tO' -p270430 -aS'use\tuse\tNN\tI-NP\tO' -p270431 -aS'of\tof\tIN\tB-PP\tO' -p270432 -aS'beta-blockers\tbeta-blocker\tNNS\tB-NP\tO' -p270433 -aS'with\twith\tIN\tB-PP\tO' -p270434 -aS'your\tyour\tPRP$\tB-NP\tO' -p270435 -aS'cardiologist\tcardiologist\tNN\tI-NP\tO' -p270436 -aS'.\t.\t.\tO\tO' -p270437 -asS'Neurosurgery was immediately called for an EVD and anesthesia was called STAT to the bedside for intubation at 10:45 am in order to assist in hyperventilation .' -p270438 -(lp270439 -S'Neurosurgery\tNeurosurgery\tNN\tB-NP\tO' -p270440 -aS'was\tbe\tVBD\tB-VP\tO' -p270441 -aS'immediately\timmediately\tRB\tI-VP\tO' -p270442 -aS'called\tcall\tVBN\tI-VP\tO' -p270443 -aS'for\tfor\tIN\tB-PP\tO' -p270444 -aS'an\tan\tDT\tB-NP\tO' -p270445 -aS'EVD\tEVD\tNN\tI-NP\tO' -p270446 -aS'and\tand\tCC\tI-NP\tO' -p270447 -aS'anesthesia\tanesthesia\tNN\tI-NP\tO' -p270448 -aS'was\tbe\tVBD\tB-VP\tO' -p270449 -aS'called\tcall\tVBN\tI-VP\tO' -p270450 -aS'STAT\tSTAT\tNN\tB-NP\tB-protein' -p270451 -aS'to\tto\tTO\tB-PP\tO' -p270452 -aS'the\tthe\tDT\tB-NP\tO' -p270453 -aS'bedside\tbedside\tNN\tI-NP\tO' -p270454 -aS'for\tfor\tIN\tB-PP\tO' -p270455 -aS'intubation\tintubation\tNN\tB-NP\tO' -p270456 -aS'at\tat\tIN\tB-PP\tO' -p270457 -aS'10:45\t10:45\tCD\tB-NP\tO' -p270458 -aS'am\tam\tNN\tI-NP\tO' -p270459 -aS'in\tin\tIN\tB-SBAR\tO' -p270460 -aS'order\torder\tNN\tO\tO' -p270461 -aS'to\tto\tTO\tB-VP\tO' -p270462 -aS'assist\tassist\tVB\tI-VP\tO' -p270463 -aS'in\tin\tIN\tB-PP\tO' -p270464 -aS'hyperventilation\thyperventilation\tNN\tB-NP\tO' -p270465 -aS'.\t.\t.\tO\tO' -p270466 -asS'He stayed at the local Comfort Inn before his return back to Aujer Cin .' -p270467 -(lp270468 -S'He\tHe\tPRP\tB-NP\tO' -p270469 -aS'stayed\tstay\tVBD\tB-VP\tO' -p270470 -aS'at\tat\tIN\tB-PP\tO' -p270471 -aS'the\tthe\tDT\tB-NP\tO' -p270472 -aS'local\tlocal\tJJ\tI-NP\tO' -p270473 -aS'Comfort\tComfort\tNNP\tI-NP\tO' -p270474 -aS'Inn\tInn\tNNP\tI-NP\tO' -p270475 -aS'before\tbefore\tIN\tB-PP\tO' -p270476 -aS'his\this\tPRP$\tB-NP\tO' -p270477 -aS'return\treturn\tNN\tI-NP\tO' -p270478 -aS'back\tback\tRB\tB-ADVP\tO' -p270479 -aS'to\tto\tTO\tB-PP\tO' -p270480 -aS'Aujer\tAujer\tNNP\tB-NP\tO' -p270481 -aS'Cin\tCin\tNNP\tI-NP\tO' -p270482 -aS'.\t.\t.\tO\tO' -p270483 -asS'8. Hydralazine 75 mg q6hours .' -p270484 -(lp270485 -S'8.\t8.\tCD\tB-NP\tO' -p270486 -aS'Hydralazine\tHydralazine\tNN\tI-NP\tO' -p270487 -aS'75\t75\tCD\tB-NP\tO' -p270488 -aS'mg\tmg\tNN\tI-NP\tO' -p270489 -aS'q6hours\tq6hour\tNNS\tI-NP\tO' -p270490 -aS'.\t.\t.\tO\tO' -p270491 -asS'He continued to progress and was eventually cleared for discharge to home on postoperative day 7 .' -p270492 -(lp270493 -S'He\tHe\tPRP\tB-NP\tO' -p270494 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p270495 -aS'to\tto\tTO\tI-VP\tO' -p270496 -aS'progress\tprogress\tVB\tI-VP\tO' -p270497 -aS'and\tand\tCC\tO\tO' -p270498 -aS'was\tbe\tVBD\tB-VP\tO' -p270499 -aS'eventually\teventually\tRB\tI-VP\tO' -p270500 -aS'cleared\tclear\tVBN\tI-VP\tO' -p270501 -aS'for\tfor\tIN\tB-PP\tO' -p270502 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p270503 -aS'to\tto\tTO\tB-PP\tO' -p270504 -aS'home\thome\tNN\tB-NP\tO' -p270505 -aS'on\ton\tIN\tB-PP\tO' -p270506 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p270507 -aS'day\tday\tNN\tI-NP\tO' -p270508 -aS'7\t7\tCD\tI-NP\tO' -p270509 -aS'.\t.\t.\tO\tO' -p270510 -asS'PICC line was removed empirically .' -p270511 -(lp270512 -S'PICC\tPICC\tNN\tB-NP\tB-cell_line' -p270513 -aS'line\tline\tNN\tI-NP\tI-cell_line' -p270514 -aS'was\tbe\tVBD\tB-VP\tO' -p270515 -aS'removed\tremove\tVBN\tI-VP\tO' -p270516 -aS'empirically\tempirically\tRB\tB-ADVP\tO' -p270517 -aS'.\t.\t.\tO\tO' -p270518 -asS'He is breast and bottle feeding every 3 hours with expressed breast milk and / or Enfamil .' -p270519 -(lp270520 -S'He\tHe\tPRP\tB-NP\tO' -p270521 -aS'is\tbe\tVBZ\tB-VP\tO' -p270522 -aS'breast\tbreast\tNN\tB-NP\tO' -p270523 -aS'and\tand\tCC\tI-NP\tO' -p270524 -aS'bottle\tbottle\tNN\tI-NP\tO' -p270525 -aS'feeding\tfeed\tVBG\tB-VP\tO' -p270526 -aS'every\tevery\tDT\tB-NP\tO' -p270527 -aS'3\t3\tCD\tI-NP\tO' -p270528 -aS'hours\thour\tNNS\tI-NP\tO' -p270529 -aS'with\twith\tIN\tB-PP\tO' -p270530 -aS'expressed\texpress\tVBN\tB-NP\tO' -p270531 -aS'breast\tbreast\tNN\tI-NP\tO' -p270532 -aS'milk\tmilk\tNN\tI-NP\tO' -p270533 -aS'and\tand\tCC\tO\tO' -p270534 -aS'/\t/\tSYM\tB-NP\tO' -p270535 -aS'or\tor\tCC\tO\tO' -p270536 -aS'Enfamil\tEnfamil\tNNP\tB-NP\tO' -p270537 -aS'.\t.\t.\tO\tO' -p270538 -asS'Laxity is noted as well as markedly positive apprehension sign on the right .' -p270539 -(lp270540 -S'Laxity\tLaxity\tNN\tB-NP\tO' -p270541 -aS'is\tbe\tVBZ\tB-VP\tO' -p270542 -aS'noted\tnote\tVBN\tI-VP\tO' -p270543 -aS'as\tas\tRB\tB-CONJP\tO' -p270544 -aS'well\twell\tRB\tI-CONJP\tO' -p270545 -aS'as\tas\tIN\tI-CONJP\tO' -p270546 -aS'markedly\tmarkedly\tRB\tB-NP\tO' -p270547 -aS'positive\tpositive\tJJ\tI-NP\tO' -p270548 -aS'apprehension\tapprehension\tNN\tI-NP\tO' -p270549 -aS'sign\tsign\tNN\tI-NP\tO' -p270550 -aS'on\ton\tIN\tB-PP\tO' -p270551 -aS'the\tthe\tDT\tB-NP\tO' -p270552 -aS'right\tright\tNN\tI-NP\tO' -p270553 -aS'.\t.\t.\tO\tO' -p270554 -asS'These findings were consistent with the cord compression .' -p270555 -(lp270556 -S'These\tThese\tDT\tB-NP\tO' -p270557 -aS'findings\tfinding\tNNS\tI-NP\tO' -p270558 -aS'were\tbe\tVBD\tB-VP\tO' -p270559 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p270560 -aS'with\twith\tIN\tB-PP\tO' -p270561 -aS'the\tthe\tDT\tB-NP\tO' -p270562 -aS'cord\tcord\tNN\tI-NP\tO' -p270563 -aS'compression\tcompression\tNN\tI-NP\tO' -p270564 -aS'.\t.\t.\tO\tO' -p270565 -asS'The patient was out of bed .' -p270566 -(lp270567 -S'The\tThe\tDT\tB-NP\tO' -p270568 -aS'patient\tpatient\tNN\tI-NP\tO' -p270569 -aS'was\tbe\tVBD\tB-VP\tO' -p270570 -aS'out\tout\tIN\tB-PP\tO' -p270571 -aS'of\tof\tIN\tB-PP\tO' -p270572 -aS'bed\tbed\tNN\tB-NP\tO' -p270573 -aS'.\t.\t.\tO\tO' -p270574 -asS'Her neck showed no JVD .' -p270575 -(lp270576 -S'Her\tHer\tPRP$\tB-NP\tO' -p270577 -aS'neck\tneck\tNN\tI-NP\tO' -p270578 -aS'showed\tshow\tVBD\tB-VP\tO' -p270579 -aS'no\tno\tDT\tB-NP\tO' -p270580 -aS'JVD\tJVD\tNN\tI-NP\tB-protein' -p270581 -aS'.\t.\t.\tO\tO' -p270582 -asS'RTA diagnosed at 14 months of age , she had a history of scarlet fever at 14 months of age .' -p270583 -(lp270584 -S'RTA\tRTA\tNN\tB-NP\tB-protein' -p270585 -aS'diagnosed\tdiagnose\tVBN\tB-VP\tO' -p270586 -aS'at\tat\tIN\tB-PP\tO' -p270587 -aS'14\t14\tCD\tB-NP\tO' -p270588 -aS'months\tmonth\tNNS\tI-NP\tO' -p270589 -aS'of\tof\tIN\tB-PP\tO' -p270590 -aS'age\tage\tNN\tB-NP\tO' -p270591 -aS',\t,\t,\tO\tO' -p270592 -aS'she\tshe\tPRP\tB-NP\tO' -p270593 -aS'had\thave\tVBD\tB-VP\tO' -p270594 -aS'a\ta\tDT\tB-NP\tO' -p270595 -aS'history\thistory\tNN\tI-NP\tO' -p270596 -aS'of\tof\tIN\tB-PP\tO' -p270597 -aS'scarlet\tscarlet\tNN\tB-NP\tO' -p270598 -aS'fever\tfever\tNN\tI-NP\tO' -p270599 -aS'at\tat\tIN\tB-PP\tO' -p270600 -aS'14\t14\tCD\tB-NP\tO' -p270601 -aS'months\tmonth\tNNS\tI-NP\tO' -p270602 -aS'of\tof\tIN\tB-PP\tO' -p270603 -aS'age\tage\tNN\tB-NP\tO' -p270604 -aS'.\t.\t.\tO\tO' -p270605 -asS'The estimated blood loss was 200 cc. and she tolerated the procedure well .' -p270606 -(lp270607 -S'The\tThe\tDT\tB-NP\tO' -p270608 -aS'estimated\testimate\tVBN\tI-NP\tO' -p270609 -aS'blood\tblood\tNN\tI-NP\tO' -p270610 -aS'loss\tloss\tNN\tI-NP\tO' -p270611 -aS'was\tbe\tVBD\tB-VP\tO' -p270612 -aS'200\t200\tCD\tB-NP\tO' -p270613 -aS'cc.\tcc.\tNN\tI-NP\tO' -p270614 -aS'and\tand\tCC\tO\tO' -p270615 -aS'she\tshe\tPRP\tB-NP\tO' -p270616 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p270617 -aS'the\tthe\tDT\tB-NP\tO' -p270618 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p270619 -aS'well\twell\tRB\tB-ADVP\tO' -p270620 -aS'.\t.\t.\tO\tO' -p270621 -asS'He gradually improved and was A&Ox3 and near baseline before Amesbury Hospital transferred to the CMED CSRU in respiratory distress .' -p270622 -(lp270623 -S'He\tHe\tPRP\tB-NP\tO' -p270624 -aS'gradually\tgradually\tRB\tB-ADVP\tO' -p270625 -aS'improved\timprove\tVBD\tB-VP\tO' -p270626 -aS'and\tand\tCC\tO\tO' -p270627 -aS'was\tbe\tVBD\tB-VP\tO' -p270628 -aS'A&Ox3\tA&Ox3\tNN\tB-NP\tO' -p270629 -aS'and\tand\tCC\tO\tO' -p270630 -aS'near\tnear\tJJ\tB-NP\tO' -p270631 -aS'baseline\tbaseline\tNN\tI-NP\tO' -p270632 -aS'before\tbefore\tIN\tB-PP\tO' -p270633 -aS'Amesbury\tAmesbury\tNNP\tB-NP\tO' -p270634 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p270635 -aS'transferred\ttransfer\tVBD\tB-VP\tO' -p270636 -aS'to\tto\tTO\tB-PP\tO' -p270637 -aS'the\tthe\tDT\tB-NP\tO' -p270638 -aS'CMED\tCMED\tVBN\tI-NP\tO' -p270639 -aS'CSRU\tCSRU\tNN\tI-NP\tO' -p270640 -aS'in\tin\tIN\tB-PP\tO' -p270641 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p270642 -aS'distress\tdistress\tNN\tI-NP\tO' -p270643 -aS'.\t.\t.\tO\tO' -p270644 -asS'The patient was transfused from a Hct 29 to 34 on the day of discharge .' -p270645 -(lp270646 -S'The\tThe\tDT\tB-NP\tO' -p270647 -aS'patient\tpatient\tNN\tI-NP\tO' -p270648 -aS'was\tbe\tVBD\tB-VP\tO' -p270649 -aS'transfused\ttransfuse\tVBN\tI-VP\tO' -p270650 -aS'from\tfrom\tIN\tB-PP\tO' -p270651 -aS'a\ta\tDT\tB-NP\tO' -p270652 -aS'Hct\tHct\tNN\tI-NP\tO' -p270653 -aS'29\t29\tCD\tI-NP\tO' -p270654 -aS'to\tto\tTO\tB-PP\tO' -p270655 -aS'34\t34\tCD\tB-NP\tO' -p270656 -aS'on\ton\tIN\tB-PP\tO' -p270657 -aS'the\tthe\tDT\tB-NP\tO' -p270658 -aS'day\tday\tNN\tI-NP\tO' -p270659 -aS'of\tof\tIN\tB-PP\tO' -p270660 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p270661 -aS'.\t.\t.\tO\tO' -p270662 -asS'3. Prilosec 20 mg p.o. q. day .' -p270663 -(lp270664 -S'3.\t3.\tLS\tB-NP\tO' -p270665 -aS'Prilosec\tPrilosec\tNNP\tI-NP\tO' -p270666 -aS'20\t20\tCD\tI-NP\tO' -p270667 -aS'mg\tmg\tNN\tI-NP\tO' -p270668 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p270669 -aS'q.\tq.\tNN\tI-NP\tO' -p270670 -aS'day\tday\tNN\tI-NP\tO' -p270671 -aS'.\t.\t.\tO\tO' -p270672 -asS'Has chronic shortness of breath which has worsened over the past few days .' -p270673 -(lp270674 -S'Has\tHas\tJJ\tB-NP\tO' -p270675 -aS'chronic\tchronic\tJJ\tI-NP\tO' -p270676 -aS'shortness\tshortness\tNN\tI-NP\tO' -p270677 -aS'of\tof\tIN\tB-PP\tO' -p270678 -aS'breath\tbreath\tNN\tB-NP\tO' -p270679 -aS'which\twhich\tWDT\tB-NP\tO' -p270680 -aS'has\thave\tVBZ\tB-VP\tO' -p270681 -aS'worsened\tworsen\tVBN\tI-VP\tO' -p270682 -aS'over\tover\tIN\tB-PP\tO' -p270683 -aS'the\tthe\tDT\tB-NP\tO' -p270684 -aS'past\tpast\tJJ\tI-NP\tO' -p270685 -aS'few\tfew\tJJ\tI-NP\tO' -p270686 -aS'days\tday\tNNS\tI-NP\tO' -p270687 -aS'.\t.\t.\tO\tO' -p270688 -asS'The patient was discharged to home on 11/15/02 with instructions to the family to observe her gait in her home environment and to observe her behavior in her home environment over the next day and to report back to the primary neurologist , Dr. Flythegach , as to changes .' -p270689 -(lp270690 -S'The\tThe\tDT\tB-NP\tO' -p270691 -aS'patient\tpatient\tNN\tI-NP\tO' -p270692 -aS'was\tbe\tVBD\tB-VP\tO' -p270693 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p270694 -aS'to\tto\tTO\tB-PP\tO' -p270695 -aS'home\thome\tNN\tB-NP\tO' -p270696 -aS'on\ton\tIN\tB-PP\tO' -p270697 -aS'11/15/02\t11/15/02\tCD\tB-NP\tO' -p270698 -aS'with\twith\tIN\tB-PP\tO' -p270699 -aS'instructions\tinstruction\tNNS\tB-NP\tO' -p270700 -aS'to\tto\tTO\tB-PP\tO' -p270701 -aS'the\tthe\tDT\tB-NP\tO' -p270702 -aS'family\tfamily\tNN\tI-NP\tO' -p270703 -aS'to\tto\tTO\tB-VP\tO' -p270704 -aS'observe\tobserve\tVB\tI-VP\tO' -p270705 -aS'her\ther\tPRP$\tB-NP\tO' -p270706 -aS'gait\tgait\tNN\tI-NP\tO' -p270707 -aS'in\tin\tIN\tB-PP\tO' -p270708 -aS'her\ther\tPRP$\tB-NP\tO' -p270709 -aS'home\thome\tNN\tI-NP\tO' -p270710 -aS'environment\tenvironment\tNN\tI-NP\tO' -p270711 -aS'and\tand\tCC\tO\tO' -p270712 -aS'to\tto\tTO\tB-VP\tO' -p270713 -aS'observe\tobserve\tVB\tI-VP\tO' -p270714 -aS'her\ther\tPRP$\tB-NP\tO' -p270715 -aS'behavior\tbehavior\tNN\tI-NP\tO' -p270716 -aS'in\tin\tIN\tB-PP\tO' -p270717 -aS'her\ther\tPRP$\tB-NP\tO' -p270718 -aS'home\thome\tNN\tI-NP\tO' -p270719 -aS'environment\tenvironment\tNN\tI-NP\tO' -p270720 -aS'over\tover\tIN\tB-PP\tO' -p270721 -aS'the\tthe\tDT\tB-NP\tO' -p270722 -aS'next\tnext\tJJ\tI-NP\tO' -p270723 -aS'day\tday\tNN\tI-NP\tO' -p270724 -aS'and\tand\tCC\tO\tO' -p270725 -aS'to\tto\tTO\tB-VP\tO' -p270726 -aS'report\treport\tVB\tI-VP\tO' -p270727 -aS'back\tback\tRB\tB-ADVP\tO' -p270728 -aS'to\tto\tTO\tB-PP\tO' -p270729 -aS'the\tthe\tDT\tB-NP\tO' -p270730 -aS'primary\tprimary\tJJ\tI-NP\tO' -p270731 -aS'neurologist\tneurologist\tNN\tI-NP\tO' -p270732 -aS',\t,\t,\tO\tO' -p270733 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p270734 -aS'Flythegach\tFlythegach\tNNP\tI-NP\tO' -p270735 -aS',\t,\t,\tO\tO' -p270736 -aS'as\tas\tIN\tB-PP\tO' -p270737 -aS'to\tto\tTO\tB-PP\tO' -p270738 -aS'changes\tchange\tNNS\tB-NP\tO' -p270739 -aS'.\t.\t.\tO\tO' -p270740 -asS'Mr. Vessels 's postoperative course has been marked by CMV infection , hypertension , poorly controlled lipids , peripheral vascular disease , and chronic renal insufficiency with a creatinine of 1.8 or so .' -p270741 -(lp270742 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p270743 -aS'Vessels\tVessels\tNNP\tI-NP\tO' -p270744 -aS''s\t'\tVBZ\tB-VP\tO' -p270745 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p270746 -aS'course\tcourse\tNN\tI-NP\tO' -p270747 -aS'has\thave\tVBZ\tB-VP\tO' -p270748 -aS'been\tbe\tVBN\tI-VP\tO' -p270749 -aS'marked\tmark\tVBN\tI-VP\tO' -p270750 -aS'by\tby\tIN\tB-PP\tO' -p270751 -aS'CMV\tCMV\tNN\tB-NP\tO' -p270752 -aS'infection\tinfection\tNN\tI-NP\tO' -p270753 -aS',\t,\t,\tO\tO' -p270754 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p270755 -aS',\t,\t,\tO\tO' -p270756 -aS'poorly\tpoorly\tRB\tB-NP\tO' -p270757 -aS'controlled\tcontrol\tVBN\tI-NP\tO' -p270758 -aS'lipids\tlipid\tNNS\tI-NP\tO' -p270759 -aS',\t,\t,\tO\tO' -p270760 -aS'peripheral\tperipheral\tJJ\tB-NP\tO' -p270761 -aS'vascular\tvascular\tJJ\tI-NP\tO' -p270762 -aS'disease\tdisease\tNN\tI-NP\tO' -p270763 -aS',\t,\t,\tO\tO' -p270764 -aS'and\tand\tCC\tO\tO' -p270765 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p270766 -aS'renal\trenal\tJJ\tI-NP\tO' -p270767 -aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' -p270768 -aS'with\twith\tIN\tB-PP\tO' -p270769 -aS'a\ta\tDT\tB-NP\tO' -p270770 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p270771 -aS'of\tof\tIN\tB-PP\tO' -p270772 -aS'1.8\t1.8\tCD\tB-NP\tO' -p270773 -aS'or\tor\tCC\tI-NP\tO' -p270774 -aS'so\tso\tRB\tI-NP\tO' -p270775 -aS'.\t.\t.\tO\tO' -p270776 -asS'On hospital day the patient underwent conscious sedation in the operating room where lumbar puncture was performed .' -p270777 -(lp270778 -S'On\tOn\tIN\tB-PP\tO' -p270779 -aS'hospital\thospital\tNN\tB-NP\tO' -p270780 -aS'day\tday\tNN\tI-NP\tO' -p270781 -aS'the\tthe\tDT\tB-NP\tO' -p270782 -aS'patient\tpatient\tNN\tI-NP\tO' -p270783 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p270784 -aS'conscious\tconscious\tJJ\tB-NP\tO' -p270785 -aS'sedation\tsedation\tNN\tI-NP\tO' -p270786 -aS'in\tin\tIN\tB-PP\tO' -p270787 -aS'the\tthe\tDT\tB-NP\tO' -p270788 -aS'operating\toperating\tNN\tI-NP\tO' -p270789 -aS'room\troom\tNN\tI-NP\tO' -p270790 -aS'where\twhere\tWRB\tB-ADVP\tO' -p270791 -aS'lumbar\tlumbar\tNN\tB-NP\tO' -p270792 -aS'puncture\tpuncture\tNN\tI-NP\tO' -p270793 -aS'was\tbe\tVBD\tB-VP\tO' -p270794 -aS'performed\tperform\tVBN\tI-VP\tO' -p270795 -aS'.\t.\t.\tO\tO' -p270796 -asS'Cholangiogram on postoperative day number two showed no evidence of leakage at the anastomosis site .' -p270797 -(lp270798 -S'Cholangiogram\tCholangiogram\tNN\tB-NP\tO' -p270799 -aS'on\ton\tIN\tB-PP\tO' -p270800 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p270801 -aS'day\tday\tNN\tI-NP\tO' -p270802 -aS'number\tnumber\tNN\tI-NP\tO' -p270803 -aS'two\ttwo\tCD\tB-NP\tO' -p270804 -aS'showed\tshow\tVBD\tB-VP\tO' -p270805 -aS'no\tno\tDT\tB-NP\tO' -p270806 -aS'evidence\tevidence\tNN\tI-NP\tO' -p270807 -aS'of\tof\tIN\tB-PP\tO' -p270808 -aS'leakage\tleakage\tNN\tB-NP\tO' -p270809 -aS'at\tat\tIN\tB-PP\tO' -p270810 -aS'the\tthe\tDT\tB-NP\tO' -p270811 -aS'anastomosis\tanastomosis\tNN\tI-NP\tB-DNA' -p270812 -aS'site\tsite\tNN\tI-NP\tI-DNA' -p270813 -aS'.\t.\t.\tO\tO' -p270814 -asS'Nontender , nondistended .' -p270815 -(lp270816 -S'Nontender\tNontender\tRB\tB-ADVP\tO' -p270817 -aS',\t,\t,\tO\tO' -p270818 -aS'nondistended\tnondistended\tJJ\tB-ADJP\tO' -p270819 -aS'.\t.\t.\tO\tO' -p270820 -asS'HEENT : NCAT .' -p270821 -(lp270822 -S'HEENT\tHEENT\tNN\tB-NP\tO' -p270823 -aS':\t:\t:\tO\tO' -p270824 -aS'NCAT\tNCAT\tNN\tB-NP\tB-protein' -p270825 -aS'.\t.\t.\tO\tO' -p270826 -asS'55 year old man with history of metastatic bladder cancer and recurrent DVT s on Lovenox admitted with lower GI bleeding .' -p270827 -(lp270828 -S'55\t55\tCD\tB-NP\tO' -p270829 -aS'year\tyear\tNN\tI-NP\tO' -p270830 -aS'old\told\tJJ\tI-NP\tO' -p270831 -aS'man\tman\tNN\tI-NP\tO' -p270832 -aS'with\twith\tIN\tB-PP\tO' -p270833 -aS'history\thistory\tNN\tB-NP\tO' -p270834 -aS'of\tof\tIN\tB-PP\tO' -p270835 -aS'metastatic\tmetastatic\tJJ\tB-NP\tO' -p270836 -aS'bladder\tbladder\tNN\tI-NP\tO' -p270837 -aS'cancer\tcancer\tNN\tI-NP\tO' -p270838 -aS'and\tand\tCC\tO\tO' -p270839 -aS'recurrent\trecurrent\tJJ\tB-NP\tO' -p270840 -aS'DVT\tDVT\tNN\tI-NP\tO' -p270841 -aS's\ts\tNNS\tI-NP\tO' -p270842 -aS'on\ton\tIN\tB-PP\tO' -p270843 -aS'Lovenox\tLovenox\tNN\tB-NP\tO' -p270844 -aS'admitted\tadmit\tVBN\tB-VP\tO' -p270845 -aS'with\twith\tIN\tB-PP\tO' -p270846 -aS'lower\tlow\tJJR\tB-NP\tO' -p270847 -aS'GI\tGI\tNN\tI-NP\tO' -p270848 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p270849 -aS'.\t.\t.\tO\tO' -p270850 -asS'The patient while in bed had her legs elevated .' -p270851 -(lp270852 -S'The\tThe\tDT\tB-NP\tO' -p270853 -aS'patient\tpatient\tNN\tI-NP\tO' -p270854 -aS'while\twhile\tIN\tB-SBAR\tO' -p270855 -aS'in\tin\tIN\tB-PP\tO' -p270856 -aS'bed\tbed\tNN\tB-NP\tO' -p270857 -aS'had\thave\tVBD\tB-VP\tO' -p270858 -aS'her\ther\tPRP$\tB-NP\tO' -p270859 -aS'legs\tleg\tNNS\tI-NP\tO' -p270860 -aS'elevated\televate\tVBN\tB-VP\tO' -p270861 -aS'.\t.\t.\tO\tO' -p270862 -asS'He was intubated and was on mechanical ventilation from 9/13-10/11 , but he was started on levofloxacin' -p270863 -(lp270864 -S'He\tHe\tPRP\tB-NP\tO' -p270865 -aS'was\tbe\tVBD\tB-VP\tO' -p270866 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p270867 -aS'and\tand\tCC\tO\tO' -p270868 -aS'was\tbe\tVBD\tB-VP\tO' -p270869 -aS'on\ton\tIN\tB-PP\tO' -p270870 -aS'mechanical\tmechanical\tJJ\tB-NP\tO' -p270871 -aS'ventilation\tventilation\tNN\tI-NP\tO' -p270872 -aS'from\tfrom\tIN\tB-PP\tO' -p270873 -aS'9/13-10/11\t9/13-10/11\tCD\tB-NP\tO' -p270874 -aS',\t,\t,\tO\tO' -p270875 -aS'but\tbut\tCC\tO\tO' -p270876 -aS'he\the\tPRP\tB-NP\tO' -p270877 -aS'was\tbe\tVBD\tB-VP\tO' -p270878 -aS'started\tstart\tVBN\tI-VP\tO' -p270879 -aS'on\ton\tIN\tB-PP\tO' -p270880 -aS'levofloxacin\tlevofloxacin\tNN\tB-NP\tO' -p270881 -asS'Moderate to severe enlargement of the cardiac silhouette , and particularly the left atrium accompanied by pulmonary vascular congestion and mild pulmonary edema consistent with heart failure .' -p270882 -(lp270883 -S'Moderate\tModerate\tJJ\tB-ADJP\tO' -p270884 -aS'to\tto\tTO\tB-PP\tO' -p270885 -aS'severe\tsevere\tJJ\tB-NP\tO' -p270886 -aS'enlargement\tenlargement\tNN\tI-NP\tO' -p270887 -aS'of\tof\tIN\tB-PP\tO' -p270888 -aS'the\tthe\tDT\tB-NP\tO' -p270889 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p270890 -aS'silhouette\tsilhouette\tNN\tI-NP\tO' -p270891 -aS',\t,\t,\tO\tO' -p270892 -aS'and\tand\tCC\tO\tO' -p270893 -aS'particularly\tparticularly\tRB\tB-ADVP\tO' -p270894 -aS'the\tthe\tDT\tB-NP\tO' -p270895 -aS'left\tleft\tJJ\tI-NP\tO' -p270896 -aS'atrium\tatrium\tNN\tI-NP\tO' -p270897 -aS'accompanied\taccompany\tVBN\tB-VP\tO' -p270898 -aS'by\tby\tIN\tB-PP\tO' -p270899 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p270900 -aS'vascular\tvascular\tJJ\tI-NP\tO' -p270901 -aS'congestion\tcongestion\tNN\tI-NP\tO' -p270902 -aS'and\tand\tCC\tO\tO' -p270903 -aS'mild\tmild\tJJ\tB-NP\tO' -p270904 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p270905 -aS'edema\tedema\tNN\tI-NP\tO' -p270906 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p270907 -aS'with\twith\tIN\tB-PP\tO' -p270908 -aS'heart\theart\tNN\tB-NP\tO' -p270909 -aS'failure\tfailure\tNN\tI-NP\tO' -p270910 -aS'.\t.\t.\tO\tO' -p270911 -asS'4. Dementia .' -p270912 -(lp270913 -S'4.\t4.\tLS\tB-LST\tO' -p270914 -aS'Dementia\tDementia\tNNP\tB-NP\tO' -p270915 -aS'.\t.\t.\tO\tO' -p270916 -asS'CK was 62 .' -p270917 -(lp270918 -S'CK\tCK\tNN\tB-NP\tB-protein' -p270919 -aS'was\tbe\tVBD\tB-VP\tO' -p270920 -aS'62\t62\tCD\tB-NP\tO' -p270921 -aS'.\t.\t.\tO\tO' -p270922 -asS'He was started on nitrates there as well as heparin and Integrelin and remained pain-free .' -p270923 -(lp270924 -S'He\tHe\tPRP\tB-NP\tO' -p270925 -aS'was\tbe\tVBD\tB-VP\tO' -p270926 -aS'started\tstart\tVBN\tI-VP\tO' -p270927 -aS'on\ton\tIN\tB-PP\tO' -p270928 -aS'nitrates\tnitrate\tNNS\tB-NP\tO' -p270929 -aS'there\tthere\tEX\tO\tO' -p270930 -aS'as\tas\tRB\tB-CONJP\tO' -p270931 -aS'well\twell\tRB\tI-CONJP\tO' -p270932 -aS'as\tas\tIN\tI-CONJP\tO' -p270933 -aS'heparin\theparin\tNN\tB-NP\tO' -p270934 -aS'and\tand\tCC\tI-NP\tO' -p270935 -aS'Integrelin\tIntegrelin\tNN\tI-NP\tB-protein' -p270936 -aS'and\tand\tCC\tO\tO' -p270937 -aS'remained\tremain\tVBD\tB-VP\tO' -p270938 -aS'pain-free\tpain-free\tJJ\tB-ADJP\tO' -p270939 -aS'.\t.\t.\tO\tO' -p270940 -asS'The patient required multiple boluses of albumin for hypotension , patient also required multiple boluses of calcium because of hypocalcemia and hypotension .' -p270941 -(lp270942 -S'The\tThe\tDT\tB-NP\tO' -p270943 -aS'patient\tpatient\tNN\tI-NP\tO' -p270944 -aS'required\trequire\tVBD\tB-VP\tO' -p270945 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p270946 -aS'boluses\tbolus\tNNS\tI-NP\tO' -p270947 -aS'of\tof\tIN\tB-PP\tO' -p270948 -aS'albumin\talbumin\tNN\tB-NP\tB-protein' -p270949 -aS'for\tfor\tIN\tB-PP\tO' -p270950 -aS'hypotension\thypotension\tNN\tB-NP\tO' -p270951 -aS',\t,\t,\tO\tO' -p270952 -aS'patient\tpatient\tNN\tB-NP\tO' -p270953 -aS'also\talso\tRB\tB-ADVP\tO' -p270954 -aS'required\trequire\tVBD\tB-VP\tO' -p270955 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p270956 -aS'boluses\tbolus\tNNS\tI-NP\tO' -p270957 -aS'of\tof\tIN\tB-PP\tO' -p270958 -aS'calcium\tcalcium\tNN\tB-NP\tO' -p270959 -aS'because\tbecause\tIN\tB-PP\tO' -p270960 -aS'of\tof\tIN\tI-PP\tO' -p270961 -aS'hypocalcemia\thypocalcemia\tNN\tB-NP\tO' -p270962 -aS'and\tand\tCC\tI-NP\tO' -p270963 -aS'hypotension\thypotension\tNN\tI-NP\tO' -p270964 -aS'.\t.\t.\tO\tO' -p270965 -asS'Lasix prn .' -p270966 -(lp270967 -S'Lasix\tLasix\tNN\tB-NP\tO' -p270968 -aS'prn\tprn\tNN\tI-NP\tO' -p270969 -aS'.\t.\t.\tO\tO' -p270970 -asS'A lumbar puncture was considered , although not performed due to the fact that the cerebrospinal fluid was not breached during the procedure .' -p270971 -(lp270972 -S'A\tA\tDT\tB-NP\tO' -p270973 -aS'lumbar\tlumbar\tNN\tI-NP\tO' -p270974 -aS'puncture\tpuncture\tNN\tI-NP\tO' -p270975 -aS'was\tbe\tVBD\tB-VP\tO' -p270976 -aS'considered\tconsider\tVBN\tI-VP\tO' -p270977 -aS',\t,\t,\tO\tO' -p270978 -aS'although\talthough\tIN\tB-SBAR\tO' -p270979 -aS'not\tnot\tRB\tO\tO' -p270980 -aS'performed\tperform\tVBN\tB-VP\tO' -p270981 -aS'due\tdue\tJJ\tB-ADJP\tO' -p270982 -aS'to\tto\tTO\tB-PP\tO' -p270983 -aS'the\tthe\tDT\tB-NP\tO' -p270984 -aS'fact\tfact\tNN\tI-NP\tO' -p270985 -aS'that\tthat\tIN\tB-SBAR\tO' -p270986 -aS'the\tthe\tDT\tB-NP\tO' -p270987 -aS'cerebrospinal\tcerebrospinal\tJJ\tI-NP\tO' -p270988 -aS'fluid\tfluid\tNN\tI-NP\tO' -p270989 -aS'was\tbe\tVBD\tB-VP\tO' -p270990 -aS'not\tnot\tRB\tI-VP\tO' -p270991 -aS'breached\tbreach\tVBN\tI-VP\tO' -p270992 -aS'during\tduring\tIN\tB-PP\tO' -p270993 -aS'the\tthe\tDT\tB-NP\tO' -p270994 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p270995 -aS'.\t.\t.\tO\tO' -p270996 -asS'Denied IV drug abuse .' -p270997 -(lp270998 -S'Denied\tDeny\tVBN\tB-NP\tO' -p270999 -aS'IV\tIV\tCD\tI-NP\tO' -p271000 -aS'drug\tdrug\tNN\tI-NP\tO' -p271001 -aS'abuse\tabuse\tNN\tI-NP\tO' -p271002 -aS'.\t.\t.\tO\tO' -p271003 -asS'The patient decreased the amount of Demerol she was using and supplemented with Tylenol and continued her frequent ambulation .' -p271004 -(lp271005 -S'The\tThe\tDT\tB-NP\tO' -p271006 -aS'patient\tpatient\tNN\tI-NP\tO' -p271007 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p271008 -aS'the\tthe\tDT\tB-NP\tO' -p271009 -aS'amount\tamount\tNN\tI-NP\tO' -p271010 -aS'of\tof\tIN\tB-PP\tO' -p271011 -aS'Demerol\tDemerol\tNN\tB-NP\tO' -p271012 -aS'she\tshe\tPRP\tB-NP\tO' -p271013 -aS'was\tbe\tVBD\tB-VP\tO' -p271014 -aS'using\tuse\tVBG\tI-VP\tO' -p271015 -aS'and\tand\tCC\tO\tO' -p271016 -aS'supplemented\tsupplement\tVBN\tB-VP\tO' -p271017 -aS'with\twith\tIN\tB-PP\tO' -p271018 -aS'Tylenol\tTylenol\tNN\tB-NP\tO' -p271019 -aS'and\tand\tCC\tO\tO' -p271020 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p271021 -aS'her\ther\tPRP$\tB-NP\tO' -p271022 -aS'frequent\tfrequent\tJJ\tI-NP\tO' -p271023 -aS'ambulation\tambulation\tNN\tI-NP\tO' -p271024 -aS'.\t.\t.\tO\tO' -p271025 -asS'With positive pressure ventilation and continued diuresis , his arterial blood gases improved .' -p271026 -(lp271027 -S'With\tWith\tIN\tB-PP\tO' -p271028 -aS'positive\tpositive\tJJ\tB-NP\tO' -p271029 -aS'pressure\tpressure\tNN\tI-NP\tO' -p271030 -aS'ventilation\tventilation\tNN\tI-NP\tO' -p271031 -aS'and\tand\tCC\tO\tO' -p271032 -aS'continued\tcontinued\tJJ\tB-NP\tO' -p271033 -aS'diuresis\tdiuresis\tNN\tI-NP\tO' -p271034 -aS',\t,\t,\tO\tO' -p271035 -aS'his\this\tPRP$\tB-NP\tO' -p271036 -aS'arterial\tarterial\tJJ\tI-NP\tB-protein' -p271037 -aS'blood\tblood\tNN\tI-NP\tI-protein' -p271038 -aS'gases\tgas\tNNS\tI-NP\tI-protein' -p271039 -aS'improved\timprove\tVBD\tB-VP\tO' -p271040 -aS'.\t.\t.\tO\tO' -p271041 -asS'4. Sepsis suspect .' -p271042 -(lp271043 -S'4.\t4.\tLS\tB-LST\tO' -p271044 -aS'Sepsis\tSepsis\tNNP\tB-NP\tO' -p271045 -aS'suspect\tsuspect\tVB\tB-VP\tO' -p271046 -aS'.\t.\t.\tO\tO' -p271047 -asS'No smoking , alcohol or drugs .' -p271048 -(lp271049 -S'No\tNo\tDT\tB-NP\tO' -p271050 -aS'smoking\tsmoking\tNN\tI-NP\tO' -p271051 -aS',\t,\t,\tI-NP\tO' -p271052 -aS'alcohol\talcohol\tNN\tI-NP\tO' -p271053 -aS'or\tor\tCC\tI-NP\tO' -p271054 -aS'drugs\tdrug\tNNS\tI-NP\tO' -p271055 -aS'.\t.\t.\tO\tO' -p271056 -asS'7. Montelukast sodium 10 mg p.o. q.h.s.' -p271057 -(lp271058 -S'7.\t7.\tLS\tB-NP\tO' -p271059 -aS'Montelukast\tMontelukast\tNN\tI-NP\tO' -p271060 -aS'sodium\tsodium\tNN\tI-NP\tO' -p271061 -aS'10\t10\tCD\tI-NP\tO' -p271062 -aS'mg\tmg\tNN\tI-NP\tO' -p271063 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p271064 -aS'q.h.s.\tq.h.s.\tNN\tI-NP\tO' -p271065 -asS'Please follow up with Dr. Rowles , your oncologist , in 2-3 weeks' -p271066 -(lp271067 -S'Please\tPlease\tVB\tB-VP\tO' -p271068 -aS'follow\tfollow\tVB\tI-VP\tO' -p271069 -aS'up\tup\tRP\tB-PRT\tO' -p271070 -aS'with\twith\tIN\tB-PP\tO' -p271071 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p271072 -aS'Rowles\tRowles\tNNP\tI-NP\tO' -p271073 -aS',\t,\t,\tO\tO' -p271074 -aS'your\tyour\tPRP$\tB-NP\tO' -p271075 -aS'oncologist\toncologist\tNN\tI-NP\tO' -p271076 -aS',\t,\t,\tO\tO' -p271077 -aS'in\tin\tIN\tB-PP\tO' -p271078 -aS'2-3\t2-3\tCD\tB-NP\tO' -p271079 -aS'weeks\tweek\tNNS\tI-NP\tO' -p271080 -asS'Urine lytes with Na of 10 indicating either pre-renal or hepatorenal .' -p271081 -(lp271082 -S'Urine\tUrine\tNN\tB-NP\tO' -p271083 -aS'lytes\tlyte\tNNS\tI-NP\tO' -p271084 -aS'with\twith\tIN\tB-PP\tO' -p271085 -aS'Na\tNa\tNN\tB-NP\tO' -p271086 -aS'of\tof\tIN\tB-PP\tO' -p271087 -aS'10\t10\tCD\tB-NP\tO' -p271088 -aS'indicating\tindicate\tVBG\tB-VP\tO' -p271089 -aS'either\teither\tCC\tO\tO' -p271090 -aS'pre-renal\tpre-renal\tJJ\tB-ADJP\tO' -p271091 -aS'or\tor\tCC\tI-ADJP\tO' -p271092 -aS'hepatorenal\thepatorenal\tJJ\tI-ADJP\tO' -p271093 -aS'.\t.\t.\tO\tO' -p271094 -asS'During his hospitalization , his was treated with vancomycin for his gram-negative rods , imipenem , and Flagyl .' -p271095 -(lp271096 -S'During\tDuring\tIN\tB-PP\tO' -p271097 -aS'his\this\tPRP$\tB-NP\tO' -p271098 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p271099 -aS',\t,\t,\tO\tO' -p271100 -aS'his\this\tPRP$\tB-NP\tB-DNA' -p271101 -aS'was\tbe\tVBD\tB-VP\tO' -p271102 -aS'treated\ttreat\tVBN\tI-VP\tO' -p271103 -aS'with\twith\tIN\tB-PP\tO' -p271104 -aS'vancomycin\tvancomycin\tNN\tB-NP\tO' -p271105 -aS'for\tfor\tIN\tB-PP\tO' -p271106 -aS'his\this\tPRP$\tB-NP\tO' -p271107 -aS'gram-negative\tgram-negative\tJJ\tI-NP\tO' -p271108 -aS'rods\trod\tNNS\tI-NP\tO' -p271109 -aS',\t,\t,\tO\tO' -p271110 -aS'imipenem\timipenem\tNN\tB-NP\tO' -p271111 -aS',\t,\t,\tO\tO' -p271112 -aS'and\tand\tCC\tO\tO' -p271113 -aS'Flagyl\tFlagyl\tNN\tB-NP\tO' -p271114 -aS'.\t.\t.\tO\tO' -p271115 -asS'This trend of improvement continued , and she was discharged in stable condition .' -p271116 -(lp271117 -S'This\tThis\tDT\tB-NP\tO' -p271118 -aS'trend\ttrend\tNN\tI-NP\tO' -p271119 -aS'of\tof\tIN\tB-PP\tO' -p271120 -aS'improvement\timprovement\tNN\tB-NP\tO' -p271121 -aS'continued\tcontinue\tVBN\tB-VP\tO' -p271122 -aS',\t,\t,\tO\tO' -p271123 -aS'and\tand\tCC\tO\tO' -p271124 -aS'she\tshe\tPRP\tB-NP\tO' -p271125 -aS'was\tbe\tVBD\tB-VP\tO' -p271126 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p271127 -aS'in\tin\tIN\tB-PP\tO' -p271128 -aS'stable\tstable\tJJ\tB-NP\tO' -p271129 -aS'condition\tcondition\tNN\tI-NP\tO' -p271130 -aS'.\t.\t.\tO\tO' -p271131 -asS'His pulmonary status was so tenuous that we were unable to transfer him to the regular patient care floor during his hospitalization .' -p271132 -(lp271133 -S'His\tHis\tPRP$\tB-NP\tO' -p271134 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p271135 -aS'status\tstatus\tNN\tI-NP\tO' -p271136 -aS'was\tbe\tVBD\tB-VP\tO' -p271137 -aS'so\tso\tRB\tB-ADJP\tO' -p271138 -aS'tenuous\ttenuous\tJJ\tI-ADJP\tO' -p271139 -aS'that\tthat\tIN\tB-SBAR\tO' -p271140 -aS'we\twe\tPRP\tB-NP\tO' -p271141 -aS'were\tbe\tVBD\tB-VP\tO' -p271142 -aS'unable\tunable\tJJ\tB-ADJP\tO' -p271143 -aS'to\tto\tTO\tB-VP\tO' -p271144 -aS'transfer\ttransfer\tVB\tI-VP\tO' -p271145 -aS'him\thim\tPRP\tB-NP\tO' -p271146 -aS'to\tto\tTO\tB-PP\tO' -p271147 -aS'the\tthe\tDT\tB-NP\tO' -p271148 -aS'regular\tregular\tJJ\tI-NP\tO' -p271149 -aS'patient\tpatient\tNN\tI-NP\tO' -p271150 -aS'care\tcare\tNN\tI-NP\tO' -p271151 -aS'floor\tfloor\tNN\tI-NP\tO' -p271152 -aS'during\tduring\tIN\tB-PP\tO' -p271153 -aS'his\this\tPRP$\tB-NP\tO' -p271154 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p271155 -aS'.\t.\t.\tO\tO' -p271156 -asS'The neutropenia resolved and he was felt to be in satisfactory condition on discharge on 10/20/95 .' -p271157 -(lp271158 -S'The\tThe\tDT\tB-NP\tO' -p271159 -aS'neutropenia\tneutropenia\tNN\tI-NP\tO' -p271160 -aS'resolved\tresolve\tVBN\tB-VP\tO' -p271161 -aS'and\tand\tCC\tO\tO' -p271162 -aS'he\the\tPRP\tB-NP\tO' -p271163 -aS'was\tbe\tVBD\tB-VP\tO' -p271164 -aS'felt\tfeel\tVBN\tI-VP\tO' -p271165 -aS'to\tto\tTO\tI-VP\tO' -p271166 -aS'be\tbe\tVB\tI-VP\tO' -p271167 -aS'in\tin\tIN\tB-PP\tO' -p271168 -aS'satisfactory\tsatisfactory\tJJ\tB-NP\tO' -p271169 -aS'condition\tcondition\tNN\tI-NP\tO' -p271170 -aS'on\ton\tIN\tB-PP\tO' -p271171 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p271172 -aS'on\ton\tIN\tB-PP\tO' -p271173 -aS'10/20/95\t10/20/95\tCD\tB-NP\tO' -p271174 -aS'.\t.\t.\tO\tO' -p271175 -asS'Atonic bladder with suprapubic catheter .' -p271176 -(lp271177 -S'Atonic\tAtonic\tJJ\tB-NP\tO' -p271178 -aS'bladder\tbladder\tNN\tI-NP\tO' -p271179 -aS'with\twith\tIN\tB-PP\tO' -p271180 -aS'suprapubic\tsuprapubic\tJJ\tB-NP\tO' -p271181 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p271182 -aS'.\t.\t.\tO\tO' -p271183 -asS'She continued to have no change in her shortness of breath or cardiac examination and was discharged home on 06/22/91 after completing her 5-FU and Cisplatin chemotherapy .' -p271184 -(lp271185 -S'She\tShe\tPRP\tB-NP\tO' -p271186 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p271187 -aS'to\tto\tTO\tI-VP\tO' -p271188 -aS'have\thave\tVB\tI-VP\tO' -p271189 -aS'no\tno\tDT\tB-NP\tO' -p271190 -aS'change\tchange\tNN\tI-NP\tO' -p271191 -aS'in\tin\tIN\tB-PP\tO' -p271192 -aS'her\ther\tPRP$\tB-NP\tO' -p271193 -aS'shortness\tshortness\tNN\tI-NP\tO' -p271194 -aS'of\tof\tIN\tB-PP\tO' -p271195 -aS'breath\tbreath\tNN\tB-NP\tO' -p271196 -aS'or\tor\tCC\tO\tO' -p271197 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p271198 -aS'examination\texamination\tNN\tI-NP\tO' -p271199 -aS'and\tand\tCC\tO\tO' -p271200 -aS'was\tbe\tVBD\tB-VP\tO' -p271201 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p271202 -aS'home\thome\tNN\tB-ADVP\tO' -p271203 -aS'on\ton\tIN\tB-PP\tO' -p271204 -aS'06/22/91\t06/22/91\tCD\tB-NP\tO' -p271205 -aS'after\tafter\tIN\tB-PP\tO' -p271206 -aS'completing\tcomplete\tVBG\tB-VP\tO' -p271207 -aS'her\ther\tPRP$\tB-NP\tO' -p271208 -aS'5-FU\t5-FU\tNN\tI-NP\tO' -p271209 -aS'and\tand\tCC\tI-NP\tO' -p271210 -aS'Cisplatin\tCisplatin\tNN\tI-NP\tO' -p271211 -aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' -p271212 -aS'.\t.\t.\tO\tO' -p271213 -asS'After a very slow wean from ventilatory support , Mr. Knueppel was successfully extubated on postoperative day number nine .' -p271214 -(lp271215 -S'After\tAfter\tIN\tB-PP\tO' -p271216 -aS'a\ta\tDT\tB-NP\tO' -p271217 -aS'very\tvery\tRB\tI-NP\tO' -p271218 -aS'slow\tslow\tJJ\tI-NP\tO' -p271219 -aS'wean\twean\tNN\tI-NP\tO' -p271220 -aS'from\tfrom\tIN\tB-PP\tO' -p271221 -aS'ventilatory\tventilatory\tJJ\tB-NP\tO' -p271222 -aS'support\tsupport\tNN\tI-NP\tO' -p271223 -aS',\t,\t,\tO\tO' -p271224 -aS'Mr.\tMr.\tNNP\tB-NP\tO' -p271225 -aS'Knueppel\tKnueppel\tNNP\tI-NP\tO' -p271226 -aS'was\tbe\tVBD\tB-VP\tO' -p271227 -aS'successfully\tsuccessfully\tRB\tI-VP\tO' -p271228 -aS'extubated\textubate\tVBN\tI-VP\tO' -p271229 -aS'on\ton\tIN\tB-PP\tO' -p271230 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p271231 -aS'day\tday\tNN\tI-NP\tO' -p271232 -aS'number\tnumber\tNN\tI-NP\tO' -p271233 -aS'nine\tnine\tCD\tI-NP\tO' -p271234 -aS'.\t.\t.\tO\tO' -p271235 -asS'He was returned previous to this admission for repeat bone marrow harvest and at that time he was given Neupogen prior to his harvest , and sufficient cells were not obtained to proceed with autologous bone marrow transplantation .' -p271236 -(lp271237 -S'He\tHe\tPRP\tB-NP\tO' -p271238 -aS'was\tbe\tVBD\tB-VP\tO' -p271239 -aS'returned\treturn\tVBN\tI-VP\tO' -p271240 -aS'previous\tprevious\tJJ\tB-ADJP\tO' -p271241 -aS'to\tto\tTO\tB-PP\tO' -p271242 -aS'this\tthis\tDT\tB-NP\tO' -p271243 -aS'admission\tadmission\tNN\tI-NP\tO' -p271244 -aS'for\tfor\tIN\tB-PP\tO' -p271245 -aS'repeat\trepeat\tNN\tB-NP\tO' -p271246 -aS'bone\tbone\tNN\tI-NP\tO' -p271247 -aS'marrow\tmarrow\tNN\tI-NP\tO' -p271248 -aS'harvest\tharvest\tNN\tI-NP\tO' -p271249 -aS'and\tand\tCC\tB-PP\tO' -p271250 -aS'at\tat\tIN\tB-PP\tO' -p271251 -aS'that\tthat\tDT\tB-NP\tO' -p271252 -aS'time\ttime\tNN\tI-NP\tO' -p271253 -aS'he\the\tPRP\tB-NP\tO' -p271254 -aS'was\tbe\tVBD\tB-VP\tO' -p271255 -aS'given\tgive\tVBN\tI-VP\tO' -p271256 -aS'Neupogen\tNeupogen\tNN\tB-NP\tO' -p271257 -aS'prior\tprior\tRB\tB-ADVP\tO' -p271258 -aS'to\tto\tTO\tB-PP\tO' -p271259 -aS'his\this\tPRP$\tB-NP\tO' -p271260 -aS'harvest\tharvest\tNN\tI-NP\tO' -p271261 -aS',\t,\t,\tO\tO' -p271262 -aS'and\tand\tCC\tO\tO' -p271263 -aS'sufficient\tsufficient\tJJ\tB-NP\tO' -p271264 -aS'cells\tcell\tNNS\tI-NP\tO' -p271265 -aS'were\tbe\tVBD\tB-VP\tO' -p271266 -aS'not\tnot\tRB\tI-VP\tO' -p271267 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p271268 -aS'to\tto\tTO\tI-VP\tO' -p271269 -aS'proceed\tproceed\tVB\tI-VP\tO' -p271270 -aS'with\twith\tIN\tB-PP\tO' -p271271 -aS'autologous\tautologous\tJJ\tB-NP\tO' -p271272 -aS'bone\tbone\tNN\tI-NP\tO' -p271273 -aS'marrow\tmarrow\tNN\tI-NP\tO' -p271274 -aS'transplantation\ttransplantation\tNN\tI-NP\tO' -p271275 -aS'.\t.\t.\tO\tO' -p271276 -asS'11 ) Insulin sliding scale .' -p271277 -(lp271278 -S'11\t11\tCD\tB-NP\tO' -p271279 -aS')\t)\t)\tO\tO' -p271280 -aS'Insulin\tInsulin\tNN\tB-NP\tO' -p271281 -aS'sliding\tslide\tVBG\tB-VP\tO' -p271282 -aS'scale\tscale\tNN\tB-NP\tO' -p271283 -aS'.\t.\t.\tO\tO' -p271284 -asS'One apnea and bradycardia event which was self resolved on day of life four .' -p271285 -(lp271286 -S'One\tOne\tCD\tB-NP\tO' -p271287 -aS'apnea\tapnea\tNN\tI-NP\tO' -p271288 -aS'and\tand\tCC\tI-NP\tO' -p271289 -aS'bradycardia\tbradycardia\tNN\tI-NP\tO' -p271290 -aS'event\tevent\tNN\tI-NP\tO' -p271291 -aS'which\twhich\tWDT\tB-NP\tO' -p271292 -aS'was\tbe\tVBD\tB-VP\tO' -p271293 -aS'self\tself\tPRP\tB-NP\tO' -p271294 -aS'resolved\tresolve\tVBN\tB-VP\tO' -p271295 -aS'on\ton\tIN\tB-PP\tO' -p271296 -aS'day\tday\tNN\tB-NP\tO' -p271297 -aS'of\tof\tIN\tB-PP\tO' -p271298 -aS'life\tlife\tNN\tB-NP\tO' -p271299 -aS'four\tfour\tCD\tI-NP\tO' -p271300 -aS'.\t.\t.\tO\tO' -p271301 -asS'Magnesium of 1.9 .' -p271302 -(lp271303 -S'Magnesium\tMagnesium\tNN\tB-NP\tO' -p271304 -aS'of\tof\tIN\tB-PP\tO' -p271305 -aS'1.9\t1.9\tCD\tB-NP\tO' -p271306 -aS'.\t.\t.\tO\tO' -p271307 -asS'Heparin was maintained during her hospital course and then Lovenox was started .' -p271308 -(lp271309 -S'Heparin\tHeparin\tNN\tB-NP\tO' -p271310 -aS'was\tbe\tVBD\tB-VP\tO' -p271311 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p271312 -aS'during\tduring\tIN\tB-PP\tO' -p271313 -aS'her\ther\tPRP$\tB-NP\tO' -p271314 -aS'hospital\thospital\tNN\tI-NP\tO' -p271315 -aS'course\tcourse\tNN\tI-NP\tO' -p271316 -aS'and\tand\tCC\tO\tO' -p271317 -aS'then\tthen\tRB\tB-ADVP\tO' -p271318 -aS'Lovenox\tLovenox\tNNP\tB-NP\tO' -p271319 -aS'was\tbe\tVBD\tB-VP\tO' -p271320 -aS'started\tstart\tVBN\tI-VP\tO' -p271321 -aS'.\t.\t.\tO\tO' -p271322 -asS'AST was 89 .' -p271323 -(lp271324 -S'AST\tAST\tNN\tB-NP\tO' -p271325 -aS'was\tbe\tVBD\tB-VP\tO' -p271326 -aS'89\t89\tCD\tB-NP\tO' -p271327 -aS'.\t.\t.\tO\tO' -p271328 -asS'A single blood culture positive for coagulase negative Staphylococcus was treated with a course of vancomycin in the setting of a PICC line and a chest x-ray on November 20 indicating possible developing pneumonia , resulted in a course of levofloxacin , for both possible pneumonia , as well as treatment of any bacterial superinfection of Acanthamoeba sinusitis .' -p271329 -(lp271330 -S'A\tA\tDT\tB-NP\tO' -p271331 -aS'single\tsingle\tJJ\tI-NP\tO' -p271332 -aS'blood\tblood\tNN\tI-NP\tO' -p271333 -aS'culture\tculture\tNN\tI-NP\tO' -p271334 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p271335 -aS'for\tfor\tIN\tB-PP\tO' -p271336 -aS'coagulase\tcoagulase\tNN\tB-NP\tB-protein' -p271337 -aS'negative\tnegative\tJJ\tI-NP\tO' -p271338 -aS'Staphylococcus\tStaphylococcus\tNN\tI-NP\tO' -p271339 -aS'was\tbe\tVBD\tB-VP\tO' -p271340 -aS'treated\ttreat\tVBN\tI-VP\tO' -p271341 -aS'with\twith\tIN\tB-PP\tO' -p271342 -aS'a\ta\tDT\tB-NP\tO' -p271343 -aS'course\tcourse\tNN\tI-NP\tO' -p271344 -aS'of\tof\tIN\tB-PP\tO' -p271345 -aS'vancomycin\tvancomycin\tNN\tB-NP\tO' -p271346 -aS'in\tin\tIN\tB-PP\tO' -p271347 -aS'the\tthe\tDT\tB-NP\tO' -p271348 -aS'setting\tsetting\tNN\tI-NP\tO' -p271349 -aS'of\tof\tIN\tB-PP\tO' -p271350 -aS'a\ta\tDT\tB-NP\tO' -p271351 -aS'PICC\tPICC\tNN\tI-NP\tB-cell_line' -p271352 -aS'line\tline\tNN\tI-NP\tI-cell_line' -p271353 -aS'and\tand\tCC\tO\tO' -p271354 -aS'a\ta\tDT\tB-NP\tO' -p271355 -aS'chest\tchest\tNN\tI-NP\tO' -p271356 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p271357 -aS'on\ton\tIN\tB-PP\tO' -p271358 -aS'November\tNovember\tNNP\tB-NP\tO' -p271359 -aS'20\t20\tCD\tI-NP\tO' -p271360 -aS'indicating\tindicate\tVBG\tB-VP\tO' -p271361 -aS'possible\tpossible\tJJ\tB-NP\tO' -p271362 -aS'developing\tdevelop\tVBG\tI-NP\tO' -p271363 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p271364 -aS',\t,\t,\tO\tO' -p271365 -aS'resulted\tresult\tVBD\tB-VP\tO' -p271366 -aS'in\tin\tIN\tB-PP\tO' -p271367 -aS'a\ta\tDT\tB-NP\tO' -p271368 -aS'course\tcourse\tNN\tI-NP\tO' -p271369 -aS'of\tof\tIN\tB-PP\tO' -p271370 -aS'levofloxacin\tlevofloxacin\tNN\tB-NP\tO' -p271371 -aS',\t,\t,\tO\tO' -p271372 -aS'for\tfor\tIN\tB-PP\tO' -p271373 -aS'both\tboth\tCC\tB-NP\tO' -p271374 -aS'possible\tpossible\tJJ\tI-NP\tO' -p271375 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p271376 -aS',\t,\t,\tO\tO' -p271377 -aS'as\tas\tRB\tB-CONJP\tO' -p271378 -aS'well\twell\tRB\tI-CONJP\tO' -p271379 -aS'as\tas\tIN\tI-CONJP\tO' -p271380 -aS'treatment\ttreatment\tNN\tB-NP\tO' -p271381 -aS'of\tof\tIN\tB-PP\tO' -p271382 -aS'any\tany\tDT\tB-NP\tO' -p271383 -aS'bacterial\tbacterial\tJJ\tI-NP\tO' -p271384 -aS'superinfection\tsuperinfection\tNN\tI-NP\tO' -p271385 -aS'of\tof\tIN\tB-PP\tO' -p271386 -aS'Acanthamoeba\tAcanthamoeba\tNN\tB-NP\tO' -p271387 -aS'sinusitis\tsinusitis\tNN\tI-NP\tO' -p271388 -aS'.\t.\t.\tO\tO' -p271389 -asS'In addition a small ventral hernia was noted upon abdominal exploration within a previous surgical incision .' -p271390 -(lp271391 -S'In\tIn\tIN\tB-PP\tO' -p271392 -aS'addition\taddition\tNN\tB-NP\tO' -p271393 -aS'a\ta\tDT\tB-NP\tO' -p271394 -aS'small\tsmall\tJJ\tI-NP\tO' -p271395 -aS'ventral\tventral\tJJ\tI-NP\tO' -p271396 -aS'hernia\thernia\tNN\tI-NP\tO' -p271397 -aS'was\tbe\tVBD\tB-VP\tO' -p271398 -aS'noted\tnote\tVBN\tI-VP\tO' -p271399 -aS'upon\tupon\tIN\tB-PP\tO' -p271400 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p271401 -aS'exploration\texploration\tNN\tI-NP\tO' -p271402 -aS'within\twithin\tIN\tB-PP\tO' -p271403 -aS'a\ta\tDT\tB-NP\tO' -p271404 -aS'previous\tprevious\tJJ\tI-NP\tO' -p271405 -aS'surgical\tsurgical\tJJ\tI-NP\tO' -p271406 -aS'incision\tincision\tNN\tI-NP\tO' -p271407 -aS'.\t.\t.\tO\tO' -p271408 -asS'O+ , hepatitis B surface antigen negative ,' -p271409 -(lp271410 -S'O+\tO+\tJJ\tB-NP\tO' -p271411 -aS',\t,\t,\tI-NP\tO' -p271412 -aS'hepatitis\thepatitis\tNN\tI-NP\tB-protein' -p271413 -aS'B\tB\tNN\tI-NP\tI-protein' -p271414 -aS'surface\tsurface\tNN\tI-NP\tI-protein' -p271415 -aS'antigen\tantigen\tNN\tI-NP\tI-protein' -p271416 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p271417 -aS',\t,\t,\tO\tO' -p271418 -asS'Hypertension and gout .' -p271419 -(lp271420 -S'Hypertension\tHypertension\tNN\tB-NP\tO' -p271421 -aS'and\tand\tCC\tI-NP\tO' -p271422 -aS'gout\tgout\tNN\tI-NP\tO' -p271423 -aS'.\t.\t.\tO\tO' -p271424 -asS'Patient was pronounced dead at 6:15 a.m. on 2017-01-16 .' -p271425 -(lp271426 -S'Patient\tPatient\tNN\tB-NP\tO' -p271427 -aS'was\tbe\tVBD\tB-VP\tO' -p271428 -aS'pronounced\tpronounce\tVBN\tI-VP\tO' -p271429 -aS'dead\tdead\tJJ\tB-ADJP\tO' -p271430 -aS'at\tat\tIN\tB-PP\tO' -p271431 -aS'6:15\t6:15\tCD\tB-NP\tO' -p271432 -aS'a.m.\ta.m.\tNN\tI-NP\tO' -p271433 -aS'on\ton\tIN\tB-PP\tO' -p271434 -aS'2017-01-16\t2017-01-16\tCD\tB-NP\tO' -p271435 -aS'.\t.\t.\tO\tO' -p271436 -asS'She has no nausea or vomiting , chills , dysuria , hematochezia , or melena .' -p271437 -(lp271438 -S'She\tShe\tPRP\tB-NP\tO' -p271439 -aS'has\thave\tVBZ\tB-VP\tO' -p271440 -aS'no\tno\tDT\tB-NP\tO' -p271441 -aS'nausea\tnausea\tNN\tI-NP\tO' -p271442 -aS'or\tor\tCC\tI-NP\tO' -p271443 -aS'vomiting\tvomiting\tNN\tI-NP\tO' -p271444 -aS',\t,\t,\tO\tO' -p271445 -aS'chills\tchill\tNNS\tB-NP\tO' -p271446 -aS',\t,\t,\tO\tO' -p271447 -aS'dysuria\tdysuria\tNN\tB-NP\tO' -p271448 -aS',\t,\t,\tO\tO' -p271449 -aS'hematochezia\thematochezia\tNN\tB-NP\tO' -p271450 -aS',\t,\t,\tO\tO' -p271451 -aS'or\tor\tCC\tO\tO' -p271452 -aS'melena\tmelena\tNN\tB-NP\tO' -p271453 -aS'.\t.\t.\tO\tO' -p271454 -asS'13. Tramadol 50 mg Tablet Sig : One ( 1 ) Tablet PO Q4-6H ( every 4 to 6 hours ) as needed .' -p271455 -(lp271456 -S'13.\t13.\tCD\tB-NP\tO' -p271457 -aS'Tramadol\tTramadol\tNN\tI-NP\tO' -p271458 -aS'50\t50\tCD\tB-NP\tO' -p271459 -aS'mg\tmg\tNN\tI-NP\tO' -p271460 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p271461 -aS'Sig\tSig\tNNP\tI-NP\tO' -p271462 -aS':\t:\t:\tO\tO' -p271463 -aS'One\tOne\tCD\tB-NP\tO' -p271464 -aS'(\t(\t(\tO\tO' -p271465 -aS'1\t1\tCD\tB-NP\tO' -p271466 -aS')\t)\t)\tO\tO' -p271467 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p271468 -aS'PO\tPO\tNN\tI-NP\tO' -p271469 -aS'Q4-6H\tQ4-6H\tNN\tI-NP\tO' -p271470 -aS'(\t(\t(\tO\tO' -p271471 -aS'every\tevery\tDT\tB-NP\tO' -p271472 -aS'4\t4\tCD\tI-NP\tO' -p271473 -aS'to\tto\tTO\tI-NP\tO' -p271474 -aS'6\t6\tCD\tI-NP\tO' -p271475 -aS'hours\thour\tNNS\tI-NP\tO' -p271476 -aS')\t)\t)\tO\tO' -p271477 -aS'as\tas\tIN\tB-SBAR\tO' -p271478 -aS'needed\tneed\tVBN\tB-VP\tO' -p271479 -aS'.\t.\t.\tO\tO' -p271480 -asS'The physical examination on admission revealed a blood pressure of 110/70 , a heart rate of 66 , respirations of 24 , temperature of 98 .' -p271481 -(lp271482 -S'The\tThe\tDT\tB-NP\tO' -p271483 -aS'physical\tphysical\tJJ\tI-NP\tO' -p271484 -aS'examination\texamination\tNN\tI-NP\tO' -p271485 -aS'on\ton\tIN\tB-PP\tO' -p271486 -aS'admission\tadmission\tNN\tB-NP\tO' -p271487 -aS'revealed\treveal\tVBD\tB-VP\tO' -p271488 -aS'a\ta\tDT\tB-NP\tO' -p271489 -aS'blood\tblood\tNN\tI-NP\tO' -p271490 -aS'pressure\tpressure\tNN\tI-NP\tO' -p271491 -aS'of\tof\tIN\tB-PP\tO' -p271492 -aS'110/70\t110/70\tCD\tB-NP\tO' -p271493 -aS',\t,\t,\tO\tO' -p271494 -aS'a\ta\tDT\tB-NP\tO' -p271495 -aS'heart\theart\tNN\tI-NP\tO' -p271496 -aS'rate\trate\tNN\tI-NP\tO' -p271497 -aS'of\tof\tIN\tB-PP\tO' -p271498 -aS'66\t66\tCD\tB-NP\tO' -p271499 -aS',\t,\t,\tO\tO' -p271500 -aS'respirations\trespiration\tNNS\tB-NP\tO' -p271501 -aS'of\tof\tIN\tB-PP\tO' -p271502 -aS'24\t24\tCD\tB-NP\tO' -p271503 -aS',\t,\t,\tO\tO' -p271504 -aS'temperature\ttemperature\tNN\tB-NP\tO' -p271505 -aS'of\tof\tIN\tB-PP\tO' -p271506 -aS'98\t98\tCD\tB-NP\tO' -p271507 -aS'.\t.\t.\tO\tO' -p271508 -asS'BPH .' -p271509 -(lp271510 -S'BPH\tBPH\tNN\tB-NP\tO' -p271511 -aS'.\t.\t.\tO\tO' -p271512 -asS'Cath at Kindred/North Shore today showed 80% LM lesion with normal LAD , CX , RCA .' -p271513 -(lp271514 -S'Cath\tCath\tNNP\tB-NP\tO' -p271515 -aS'at\tat\tIN\tB-PP\tO' -p271516 -aS'Kindred/North\tKindred/North\tNNP\tB-NP\tO' -p271517 -aS'Shore\tShore\tNNP\tI-NP\tO' -p271518 -aS'today\ttoday\tNN\tB-NP\tO' -p271519 -aS'showed\tshow\tVBD\tB-VP\tO' -p271520 -aS'80%\t80%\tCD\tB-NP\tO' -p271521 -aS'LM\tLM\tNN\tI-NP\tO' -p271522 -aS'lesion\tlesion\tNN\tI-NP\tO' -p271523 -aS'with\twith\tIN\tB-PP\tO' -p271524 -aS'normal\tnormal\tJJ\tB-NP\tO' -p271525 -aS'LAD\tLAD\tNN\tI-NP\tO' -p271526 -aS',\t,\t,\tO\tO' -p271527 -aS'CX\tCX\tNN\tB-NP\tB-protein' -p271528 -aS',\t,\t,\tO\tO' -p271529 -aS'RCA\tRCA\tNN\tB-NP\tB-protein' -p271530 -aS'.\t.\t.\tO\tO' -p271531 -asS'The patient has a history of end-stage renal failure secondary to type 1 diabetes with a baseline creatinine of around 5 .' -p271532 -(lp271533 -S'The\tThe\tDT\tB-NP\tO' -p271534 -aS'patient\tpatient\tNN\tI-NP\tO' -p271535 -aS'has\thave\tVBZ\tB-VP\tO' -p271536 -aS'a\ta\tDT\tB-NP\tO' -p271537 -aS'history\thistory\tNN\tI-NP\tO' -p271538 -aS'of\tof\tIN\tB-PP\tO' -p271539 -aS'end-stage\tend-stage\tJJ\tB-NP\tO' -p271540 -aS'renal\trenal\tJJ\tI-NP\tO' -p271541 -aS'failure\tfailure\tNN\tI-NP\tO' -p271542 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p271543 -aS'to\tto\tTO\tB-PP\tO' -p271544 -aS'type\ttype\tNN\tB-NP\tO' -p271545 -aS'1\t1\tCD\tI-NP\tO' -p271546 -aS'diabetes\tdiabetes\tNN\tI-NP\tO' -p271547 -aS'with\twith\tIN\tB-PP\tO' -p271548 -aS'a\ta\tDT\tB-NP\tO' -p271549 -aS'baseline\tbaseline\tNN\tI-NP\tO' -p271550 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p271551 -aS'of\tof\tIN\tB-PP\tO' -p271552 -aS'around\taround\tIN\tB-NP\tO' -p271553 -aS'5\t5\tCD\tI-NP\tO' -p271554 -aS'.\t.\t.\tO\tO' -p271555 -asS'1. Metformin .' -p271556 -(lp271557 -S'1.\t1.\tLS\tB-NP\tO' -p271558 -aS'Metformin\tMetformin\tNN\tI-NP\tO' -p271559 -aS'.\t.\t.\tO\tO' -p271560 -asS'Postoperatively , his course was relatively uncomplicated .' -p271561 -(lp271562 -S'Postoperatively\tPostoperatively\tRB\tB-ADVP\tO' -p271563 -aS',\t,\t,\tO\tO' -p271564 -aS'his\this\tPRP$\tB-NP\tO' -p271565 -aS'course\tcourse\tNN\tI-NP\tO' -p271566 -aS'was\tbe\tVBD\tB-VP\tO' -p271567 -aS'relatively\trelatively\tRB\tB-ADJP\tO' -p271568 -aS'uncomplicated\tuncomplicated\tJJ\tI-ADJP\tO' -p271569 -aS'.\t.\t.\tO\tO' -p271570 -asS'Erythromycin , vancomycin , and Bacitracin .' -p271571 -(lp271572 -S'Erythromycin\tErythromycin\tNN\tB-NP\tO' -p271573 -aS',\t,\t,\tO\tO' -p271574 -aS'vancomycin\tvancomycin\tNN\tB-NP\tO' -p271575 -aS',\t,\t,\tO\tO' -p271576 -aS'and\tand\tCC\tO\tO' -p271577 -aS'Bacitracin\tBacitracin\tNN\tB-NP\tO' -p271578 -aS'.\t.\t.\tO\tO' -p271579 -asS'She was restarted on heparin prior to d/c as a bridge to therapeutic coumadin anticoagulation .' -p271580 -(lp271581 -S'She\tShe\tPRP\tB-NP\tO' -p271582 -aS'was\tbe\tVBD\tB-VP\tO' -p271583 -aS'restarted\trestart\tVBN\tI-VP\tO' -p271584 -aS'on\ton\tIN\tB-PP\tO' -p271585 -aS'heparin\theparin\tNN\tB-NP\tO' -p271586 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p271587 -aS'to\tto\tTO\tB-PP\tO' -p271588 -aS'd/c\td/c\tNN\tB-NP\tO' -p271589 -aS'as\tas\tIN\tB-PP\tO' -p271590 -aS'a\ta\tDT\tB-NP\tO' -p271591 -aS'bridge\tbridge\tNN\tI-NP\tO' -p271592 -aS'to\tto\tTO\tB-PP\tO' -p271593 -aS'therapeutic\ttherapeutic\tJJ\tB-NP\tO' -p271594 -aS'coumadin\tcoumadin\tNN\tI-NP\tO' -p271595 -aS'anticoagulation\tanticoagulation\tNN\tI-NP\tO' -p271596 -aS'.\t.\t.\tO\tO' -p271597 -asS'The patient gradually lost brain systolic ejection murmur function and was pronounced dead on 07/02/00 .' -p271598 -(lp271599 -S'The\tThe\tDT\tB-NP\tO' -p271600 -aS'patient\tpatient\tNN\tI-NP\tO' -p271601 -aS'gradually\tgradually\tRB\tB-ADVP\tO' -p271602 -aS'lost\tlose\tVBD\tB-VP\tO' -p271603 -aS'brain\tbrain\tNN\tB-NP\tO' -p271604 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p271605 -aS'ejection\tejection\tNN\tI-NP\tO' -p271606 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p271607 -aS'function\tfunction\tNN\tI-NP\tO' -p271608 -aS'and\tand\tCC\tO\tO' -p271609 -aS'was\tbe\tVBD\tB-VP\tO' -p271610 -aS'pronounced\tpronounce\tVBN\tI-VP\tO' -p271611 -aS'dead\tdead\tJJ\tB-ADJP\tO' -p271612 -aS'on\ton\tIN\tB-PP\tO' -p271613 -aS'07/02/00\t07/02/00\tCD\tB-NP\tO' -p271614 -aS'.\t.\t.\tO\tO' -p271615 -asS'Chest x-ray is pending at the time of physical .' -p271616 -(lp271617 -S'Chest\tCh\tJJS\tB-NP\tO' -p271618 -aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' -p271619 -aS'is\tbe\tVBZ\tB-VP\tO' -p271620 -aS'pending\tpende\tVBG\tB-ADJP\tO' -p271621 -aS'at\tat\tIN\tB-PP\tO' -p271622 -aS'the\tthe\tDT\tB-NP\tO' -p271623 -aS'time\ttime\tNN\tI-NP\tO' -p271624 -aS'of\tof\tIN\tB-PP\tO' -p271625 -aS'physical\tphysical\tNN\tB-NP\tO' -p271626 -aS'.\t.\t.\tO\tO' -p271627 -asS'PSEUDOMONAS AERUGINOSA .' -p271628 -(lp271629 -S'PSEUDOMONAS\tPSEUDOMONAS\tNNP\tB-NP\tO' -p271630 -aS'AERUGINOSA\tAERUGINOSA\tNNP\tI-NP\tO' -p271631 -aS'.\t.\t.\tO\tO' -p271632 -asS'The patient was maintained on albuterol nebulizer treatments and Ipratropium nebulizer treatments , as this was apparently thought to be related to her chronic obstructive pulmonary disease .' -p271633 -(lp271634 -S'The\tThe\tDT\tB-NP\tO' -p271635 -aS'patient\tpatient\tNN\tI-NP\tO' -p271636 -aS'was\tbe\tVBD\tB-VP\tO' -p271637 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p271638 -aS'on\ton\tIN\tB-PP\tO' -p271639 -aS'albuterol\talbuterol\tNN\tB-NP\tO' -p271640 -aS'nebulizer\tnebulizer\tNN\tI-NP\tO' -p271641 -aS'treatments\ttreatment\tNNS\tI-NP\tO' -p271642 -aS'and\tand\tCC\tO\tO' -p271643 -aS'Ipratropium\tIpratropium\tNN\tB-NP\tO' -p271644 -aS'nebulizer\tnebulizer\tNN\tI-NP\tO' -p271645 -aS'treatments\ttreatment\tNNS\tI-NP\tO' -p271646 -aS',\t,\t,\tO\tO' -p271647 -aS'as\tas\tIN\tB-SBAR\tO' -p271648 -aS'this\tthis\tDT\tB-NP\tO' -p271649 -aS'was\tbe\tVBD\tB-VP\tO' -p271650 -aS'apparently\tapparently\tRB\tI-VP\tO' -p271651 -aS'thought\tthink\tVBN\tI-VP\tO' -p271652 -aS'to\tto\tTO\tI-VP\tO' -p271653 -aS'be\tbe\tVB\tI-VP\tO' -p271654 -aS'related\trelate\tVBN\tI-VP\tO' -p271655 -aS'to\tto\tTO\tB-PP\tO' -p271656 -aS'her\ther\tPRP$\tB-NP\tO' -p271657 -aS'chronic\tchronic\tJJ\tI-NP\tO' -p271658 -aS'obstructive\tobstructive\tJJ\tI-NP\tO' -p271659 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p271660 -aS'disease\tdisease\tNN\tI-NP\tO' -p271661 -aS'.\t.\t.\tO\tO' -p271662 -asS'Pediatrics , 4952 Washington St. in Dr. John C. Corrigan Mental Health Center .' -p271663 -(lp271664 -S'Pediatrics\tPediatrics\tNNP\tB-NP\tO' -p271665 -aS',\t,\t,\tO\tO' -p271666 -aS'4952\t4952\tCD\tB-NP\tO' -p271667 -aS'Washington\tWashington\tNNP\tI-NP\tO' -p271668 -aS'St.\tSt.\tNNP\tI-NP\tO' -p271669 -aS'in\tin\tIN\tB-PP\tO' -p271670 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p271671 -aS'John\tJohn\tNNP\tI-NP\tO' -p271672 -aS'C.\tC.\tNNP\tI-NP\tO' -p271673 -aS'Corrigan\tCorrigan\tNNP\tI-NP\tO' -p271674 -aS'Mental\tMental\tNNP\tI-NP\tO' -p271675 -aS'Health\tHealth\tNNP\tI-NP\tO' -p271676 -aS'Center\tCenter\tNNP\tI-NP\tO' -p271677 -aS'.\t.\t.\tO\tO' -p271678 -asS'In the Amanda : VS T 103 rectal BP90/44 HR : 84 RR 16 Sats : 98 + guiac stool .' -p271679 -(lp271680 -S'In\tIn\tIN\tB-PP\tO' -p271681 -aS'the\tthe\tDT\tB-NP\tO' -p271682 -aS'Amanda\tAmanda\tNNP\tI-NP\tO' -p271683 -aS':\t:\t:\tO\tO' -p271684 -aS'VS\tVS\tNN\tB-NP\tO' -p271685 -aS'T\tT\tNN\tI-NP\tO' -p271686 -aS'103\t103\tCD\tI-NP\tO' -p271687 -aS'rectal\trectal\tJJ\tI-NP\tO' -p271688 -aS'BP90/44\tBP90/44\tNN\tI-NP\tO' -p271689 -aS'HR\tHR\tNN\tI-NP\tO' -p271690 -aS':\t:\t:\tO\tO' -p271691 -aS'84\t84\tCD\tB-NP\tO' -p271692 -aS'RR\tRR\tNN\tI-NP\tO' -p271693 -aS'16\t16\tCD\tB-NP\tO' -p271694 -aS'Sats\tSat\tNNS\tI-NP\tO' -p271695 -aS':\t:\t:\tO\tO' -p271696 -aS'98\t98\tCD\tB-NP\tO' -p271697 -aS'+\t+\tSYM\tI-NP\tO' -p271698 -aS'guiac\tguiac\tNN\tI-NP\tO' -p271699 -aS'stool\tstool\tNN\tI-NP\tO' -p271700 -aS'.\t.\t.\tO\tO' -p271701 -asS'This is a 39 year-old female with a history of diabetes type I on an insulin pump , anemia , hypothyroidism , gastroparesis , GERD , who was transferred from Mediplex Rehab Hospital Hospital for further management of hypoxic respiratory failure .' -p271702 -(lp271703 -S'This\tThis\tDT\tB-NP\tO' -p271704 -aS'is\tbe\tVBZ\tB-VP\tO' -p271705 -aS'a\ta\tDT\tB-NP\tO' -p271706 -aS'39\t39\tCD\tI-NP\tO' -p271707 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p271708 -aS'female\tfemale\tNN\tI-NP\tO' -p271709 -aS'with\twith\tIN\tB-PP\tO' -p271710 -aS'a\ta\tDT\tB-NP\tO' -p271711 -aS'history\thistory\tNN\tI-NP\tO' -p271712 -aS'of\tof\tIN\tB-PP\tO' -p271713 -aS'diabetes\tdiabetes\tNN\tB-NP\tO' -p271714 -aS'type\ttype\tNN\tI-NP\tO' -p271715 -aS'I\tI\tCD\tI-NP\tO' -p271716 -aS'on\ton\tIN\tB-PP\tO' -p271717 -aS'an\tan\tDT\tB-NP\tO' -p271718 -aS'insulin\tinsulin\tNN\tI-NP\tO' -p271719 -aS'pump\tpump\tNN\tI-NP\tO' -p271720 -aS',\t,\t,\tO\tO' -p271721 -aS'anemia\tanemia\tNN\tB-NP\tO' -p271722 -aS',\t,\t,\tO\tO' -p271723 -aS'hypothyroidism\thypothyroidism\tNN\tB-NP\tO' -p271724 -aS',\t,\t,\tO\tO' -p271725 -aS'gastroparesis\tgastroparesis\tNN\tB-NP\tO' -p271726 -aS',\t,\t,\tO\tO' -p271727 -aS'GERD\tGERD\tNNP\tB-NP\tO' -p271728 -aS',\t,\t,\tO\tO' -p271729 -aS'who\twho\tWP\tB-NP\tO' -p271730 -aS'was\tbe\tVBD\tB-VP\tO' -p271731 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p271732 -aS'from\tfrom\tIN\tB-PP\tO' -p271733 -aS'Mediplex\tMediplex\tNNP\tB-NP\tO' -p271734 -aS'Rehab\tRehab\tNNP\tI-NP\tO' -p271735 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p271736 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p271737 -aS'for\tfor\tIN\tB-PP\tO' -p271738 -aS'further\tfurther\tJJ\tB-NP\tO' -p271739 -aS'management\tmanagement\tNN\tI-NP\tO' -p271740 -aS'of\tof\tIN\tB-PP\tO' -p271741 -aS'hypoxic\thypoxic\tJJ\tB-NP\tO' -p271742 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p271743 -aS'failure\tfailure\tNN\tI-NP\tO' -p271744 -aS'.\t.\t.\tO\tO' -p271745 -asS'A thyroid ultrasound showed an inferior thyroid mass .' -p271746 -(lp271747 -S'A\tA\tDT\tB-NP\tO' -p271748 -aS'thyroid\tthyroid\tJJ\tI-NP\tO' -p271749 -aS'ultrasound\tultrasound\tNN\tI-NP\tO' -p271750 -aS'showed\tshow\tVBD\tB-VP\tO' -p271751 -aS'an\tan\tDT\tB-NP\tO' -p271752 -aS'inferior\tinferior\tJJ\tI-NP\tO' -p271753 -aS'thyroid\tthyroid\tNN\tI-NP\tO' -p271754 -aS'mass\tmass\tNN\tI-NP\tO' -p271755 -aS'.\t.\t.\tO\tO' -p271756 -asS'His discharge date is pending .' -p271757 -(lp271758 -S'His\tHis\tPRP$\tB-NP\tO' -p271759 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p271760 -aS'date\tdate\tNN\tI-NP\tO' -p271761 -aS'is\tbe\tVBZ\tB-VP\tO' -p271762 -aS'pending\tpende\tVBG\tB-ADJP\tO' -p271763 -aS'.\t.\t.\tO\tO' -p271764 -asS'Provider : Mary , Francis Z. 739-488-1975 Call to schedule appointment .' -p271765 -(lp271766 -S'Provider\tProvider\tNN\tB-NP\tO' -p271767 -aS':\t:\t:\tO\tO' -p271768 -aS'Mary\tMary\tNNP\tB-NP\tO' -p271769 -aS',\t,\t,\tO\tO' -p271770 -aS'Francis\tFrancis\tNNP\tB-NP\tO' -p271771 -aS'Z.\tZ.\tNNP\tI-NP\tO' -p271772 -aS'739-488-1975\t739-488-1975\tCD\tI-NP\tO' -p271773 -aS'Call\tCall\tNN\tI-NP\tO' -p271774 -aS'to\tto\tTO\tB-PP\tO' -p271775 -aS'schedule\tschedule\tNN\tB-NP\tO' -p271776 -aS'appointment\tappointment\tNN\tI-NP\tO' -p271777 -aS'.\t.\t.\tO\tO' -p271778 -asS'Patient was ambulating .' -p271779 -(lp271780 -S'Patient\tPatient\tNN\tB-NP\tO' -p271781 -aS'was\tbe\tVBD\tB-VP\tO' -p271782 -aS'ambulating\tambulate\tVBG\tI-VP\tO' -p271783 -aS'.\t.\t.\tO\tO' -p271784 -asS'PVD s/p multiple failed femoral distal bypass' -p271785 -(lp271786 -S'PVD\tPVD\tNN\tB-NP\tO' -p271787 -aS's/p\ts/p\tNN\tI-NP\tO' -p271788 -aS'multiple\tmultiple\tJJ\tB-ADJP\tO' -p271789 -aS'failed\tfail\tVBD\tB-VP\tO' -p271790 -aS'femoral\tfemoral\tJJ\tB-NP\tO' -p271791 -aS'distal\tdistal\tJJ\tI-NP\tO' -p271792 -aS'bypass\tbypass\tNN\tI-NP\tO' -p271793 -asS'Signed electronically by : DR. Felix Willis on : FRI 2012-06-22 12:49 PM' -p271794 -(lp271795 -S'Signed\tSign\tVBN\tB-VP\tO' -p271796 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p271797 -aS'by\tby\tIN\tB-PP\tO' -p271798 -aS':\t:\t:\tO\tO' -p271799 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p271800 -aS'Felix\tFelix\tNNP\tI-NP\tO' -p271801 -aS'Willis\tWillis\tNNP\tI-NP\tO' -p271802 -aS'on\ton\tIN\tB-PP\tO' -p271803 -aS':\t:\t:\tO\tO' -p271804 -aS'FRI\tFRI\tCD\tB-NP\tO' -p271805 -aS'2012-06-22\t2012-06-22\tCD\tI-NP\tO' -p271806 -aS'12:49\t12:49\tCD\tI-NP\tO' -p271807 -aS'PM\tPM\tNN\tI-NP\tO' -p271808 -asS'Sodium 141 , potassium 3.6 , BUN 14 , creatinine 1.1 , hematocrit 37% , platelets 177 , white blood count 4.1 .' -p271809 -(lp271810 -S'Sodium\tSodium\tNN\tB-NP\tB-protein' -p271811 -aS'141\t141\tCD\tI-NP\tI-protein' -p271812 -aS',\t,\t,\tO\tO' -p271813 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p271814 -aS'3.6\t3.6\tCD\tI-NP\tO' -p271815 -aS',\t,\t,\tO\tO' -p271816 -aS'BUN\tBUN\tNN\tB-NP\tB-DNA' -p271817 -aS'14\t14\tCD\tI-NP\tI-DNA' -p271818 -aS',\t,\t,\tO\tO' -p271819 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p271820 -aS'1.1\t1.1\tCD\tI-NP\tO' -p271821 -aS',\t,\t,\tO\tO' -p271822 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p271823 -aS'37%\t37%\tNN\tI-NP\tI-protein' -p271824 -aS',\t,\t,\tO\tO' -p271825 -aS'platelets\tplatelet\tNNS\tB-NP\tB-protein' -p271826 -aS'177\t177\tCD\tB-NP\tI-protein' -p271827 -aS',\t,\t,\tO\tO' -p271828 -aS'white\twhite\tJJ\tB-NP\tO' -p271829 -aS'blood\tblood\tNN\tI-NP\tO' -p271830 -aS'count\tcount\tNN\tI-NP\tO' -p271831 -aS'4.1\t4.1\tCD\tI-NP\tO' -p271832 -aS'.\t.\t.\tO\tO' -p271833 -asS'The platelet count was 9,000 , hematocrit was 26.5 , with an mean corpuscular volume of about 73 .' -p271834 -(lp271835 -S'The\tThe\tDT\tB-NP\tO' -p271836 -aS'platelet\tplatelet\tNN\tI-NP\tO' -p271837 -aS'count\tcount\tNN\tI-NP\tO' -p271838 -aS'was\tbe\tVBD\tB-VP\tO' -p271839 -aS'9,000\t9,000\tCD\tB-NP\tO' -p271840 -aS',\t,\t,\tO\tO' -p271841 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p271842 -aS'was\tbe\tVBD\tB-VP\tI-protein' -p271843 -aS'26.5\t26.5\tCD\tB-NP\tI-protein' -p271844 -aS',\t,\t,\tO\tO' -p271845 -aS'with\twith\tIN\tB-PP\tO' -p271846 -aS'an\tan\tDT\tB-NP\tO' -p271847 -aS'mean\tmean\tJJ\tI-NP\tO' -p271848 -aS'corpuscular\tcorpuscular\tJJ\tI-NP\tO' -p271849 -aS'volume\tvolume\tNN\tI-NP\tO' -p271850 -aS'of\tof\tIN\tB-PP\tO' -p271851 -aS'about\tabout\tIN\tB-NP\tO' -p271852 -aS'73\t73\tCD\tI-NP\tO' -p271853 -aS'.\t.\t.\tO\tO' -p271854 -asS'It was quite difficult weaning her off of neo-synephrine .' -p271855 -(lp271856 -S'It\tIt\tPRP\tB-NP\tO' -p271857 -aS'was\tbe\tVBD\tB-VP\tO' -p271858 -aS'quite\tquite\tRB\tB-ADJP\tO' -p271859 -aS'difficult\tdifficult\tJJ\tI-ADJP\tO' -p271860 -aS'weaning\twean\tVBG\tB-VP\tO' -p271861 -aS'her\ther\tPRP$\tB-NP\tO' -p271862 -aS'off\toff\tNN\tI-NP\tO' -p271863 -aS'of\tof\tIN\tB-PP\tO' -p271864 -aS'neo-synephrine\tneo-synephrine\tNN\tB-NP\tO' -p271865 -aS'.\t.\t.\tO\tO' -p271866 -asS'Patent anus .' -p271867 -(lp271868 -S'Patent\tPatent\tNN\tB-NP\tO' -p271869 -aS'anus\tanus\tNN\tI-NP\tO' -p271870 -aS'.\t.\t.\tO\tO' -p271871 -asS'1. llame a su doctor y haga cita para verlo dentro de 1 semana .' -p271872 -(lp271873 -S'1.\t1.\tLS\tB-LST\tO' -p271874 -aS'llame\tllame\t:\tO\tO' -p271875 -aS'a\ta\tDT\tB-NP\tO' -p271876 -aS'su\tsu\tNN\tI-NP\tO' -p271877 -aS'doctor\tdoctor\tNN\tI-NP\tO' -p271878 -aS'y\ty\tNN\tI-NP\tO' -p271879 -aS'haga\thaga\tNN\tI-NP\tO' -p271880 -aS'cita\tcita\tNN\tI-NP\tO' -p271881 -aS'para\tpara\tFW\tB-NP\tO' -p271882 -aS'verlo\tverlo\tFW\tI-NP\tO' -p271883 -aS'dentro\tdentro\tFW\tI-NP\tO' -p271884 -aS'de\tde\tIN\tI-NP\tO' -p271885 -aS'1\t1\tCD\tI-NP\tO' -p271886 -aS'semana\tsemana\tNN\tI-NP\tO' -p271887 -aS'.\t.\t.\tO\tO' -p271888 -asS'Follow up with Dr. Topping after your discharge from rehabilitation' -p271889 -(lp271890 -S'Follow\tFollow\tVB\tB-VP\tO' -p271891 -aS'up\tup\tRP\tB-PRT\tO' -p271892 -aS'with\twith\tIN\tB-PP\tO' -p271893 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p271894 -aS'Topping\tTopping\tNNP\tI-NP\tO' -p271895 -aS'after\tafter\tIN\tB-PP\tO' -p271896 -aS'your\tyour\tPRP$\tB-NP\tO' -p271897 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p271898 -aS'from\tfrom\tIN\tB-PP\tO' -p271899 -aS'rehabilitation\trehabilitation\tNN\tB-NP\tO' -p271900 -asS'Copies to Dr. Bodejove at Valtawnprinceel Community Memorial Hospital , Dr. A Eu Wave , Dr. Riemund C. Wave , and three copies to Dr. Ca Shuff edited 12/31/93 qm' -p271901 -(lp271902 -S'Copies\tCopy\tNNS\tB-NP\tO' -p271903 -aS'to\tto\tTO\tB-PP\tO' -p271904 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p271905 -aS'Bodejove\tBodejove\tNNP\tI-NP\tO' -p271906 -aS'at\tat\tIN\tB-PP\tO' -p271907 -aS'Valtawnprinceel\tValtawnprinceel\tNNP\tB-NP\tO' -p271908 -aS'Community\tCommunity\tNNP\tI-NP\tO' -p271909 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p271910 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p271911 -aS',\t,\t,\tO\tO' -p271912 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p271913 -aS'A\tA\tNNP\tI-NP\tO' -p271914 -aS'Eu\tEu\tNNP\tI-NP\tO' -p271915 -aS'Wave\tWave\tNNP\tI-NP\tO' -p271916 -aS',\t,\t,\tO\tO' -p271917 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p271918 -aS'Riemund\tRiemund\tNNP\tI-NP\tO' -p271919 -aS'C.\tC.\tNNP\tI-NP\tO' -p271920 -aS'Wave\tWave\tNNP\tI-NP\tO' -p271921 -aS',\t,\t,\tO\tO' -p271922 -aS'and\tand\tCC\tO\tO' -p271923 -aS'three\tthree\tCD\tB-NP\tO' -p271924 -aS'copies\tcopy\tNNS\tI-NP\tO' -p271925 -aS'to\tto\tTO\tB-PP\tO' -p271926 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p271927 -aS'Ca\tCa\tNNP\tI-NP\tO' -p271928 -aS'Shuff\tShuff\tNNP\tI-NP\tO' -p271929 -aS'edited\tedit\tVBD\tB-VP\tO' -p271930 -aS'12/31/93\t12/31/93\tCD\tB-NP\tO' -p271931 -aS'qm\tqm\tNN\tI-NP\tO' -p271932 -asS'She was treated with radiation therapy .' -p271933 -(lp271934 -S'She\tShe\tPRP\tB-NP\tO' -p271935 -aS'was\tbe\tVBD\tB-VP\tO' -p271936 -aS'treated\ttreat\tVBN\tI-VP\tO' -p271937 -aS'with\twith\tIN\tB-PP\tO' -p271938 -aS'radiation\tradiation\tNN\tB-NP\tO' -p271939 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p271940 -aS'.\t.\t.\tO\tO' -p271941 -asS'10. Calcium Carbonate 500 mg Tablet , Chewable Sig : One ( 1 ) Tablet , Chewable PO BID ( 2 times a day ).' -p271942 -(lp271943 -S'10.\t10.\tLS\tB-NP\tO' -p271944 -aS'Calcium\tCalcium\tNN\tI-NP\tO' -p271945 -aS'Carbonate\tCarbonate\tNN\tI-NP\tO' -p271946 -aS'500\t500\tCD\tI-NP\tO' -p271947 -aS'mg\tmg\tNN\tI-NP\tO' -p271948 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p271949 -aS',\t,\t,\tO\tO' -p271950 -aS'Chewable\tChewable\tNNP\tB-NP\tO' -p271951 -aS'Sig\tSig\tNNP\tI-NP\tO' -p271952 -aS':\t:\t:\tO\tO' -p271953 -aS'One\tOne\tCD\tB-NP\tO' -p271954 -aS'(\t(\t(\tO\tO' -p271955 -aS'1\t1\tCD\tB-NP\tO' -p271956 -aS')\t)\t)\tO\tO' -p271957 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p271958 -aS',\t,\t,\tO\tO' -p271959 -aS'Chewable\tChewable\tJJ\tB-NP\tO' -p271960 -aS'PO\tPO\tNN\tI-NP\tO' -p271961 -aS'BID\tBID\tNN\tI-NP\tO' -p271962 -aS'(\t(\t(\tO\tO' -p271963 -aS'2\t2\tCD\tB-NP\tO' -p271964 -aS'times\ttime\tNNS\tI-NP\tO' -p271965 -aS'a\ta\tDT\tB-NP\tO' -p271966 -aS'day\tday\tNN\tI-NP\tO' -p271967 -aS').\t).\t.\tO\tO' -p271968 -asS'1. Left middle cerebral artery territory cerebral infarction .' -p271969 -(lp271970 -S'1.\t1.\tLS\tB-LST\tO' -p271971 -aS'Left\tLeave\tVBD\tB-VP\tO' -p271972 -aS'middle\tmiddle\tJJ\tB-NP\tO' -p271973 -aS'cerebral\tcerebral\tJJ\tI-NP\tO' -p271974 -aS'artery\tartery\tNN\tI-NP\tO' -p271975 -aS'territory\tterritory\tNN\tI-NP\tO' -p271976 -aS'cerebral\tcerebral\tJJ\tI-NP\tO' -p271977 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p271978 -aS'.\t.\t.\tO\tO' -p271979 -asS'This prompted further staging work-up .' -p271980 -(lp271981 -S'This\tThis\tDT\tB-NP\tO' -p271982 -aS'prompted\tprompt\tVBD\tB-VP\tO' -p271983 -aS'further\tfurther\tRB\tI-VP\tO' -p271984 -aS'staging\tstag\tVBG\tI-VP\tO' -p271985 -aS'work-up\twork-up\tNN\tB-NP\tO' -p271986 -aS'.\t.\t.\tO\tO' -p271987 -asS'Potassium was given with her intravenous fluids and phosphate will be repleted as patient increases her po intake .' -p271988 -(lp271989 -S'Potassium\tPotassium\tNN\tB-NP\tO' -p271990 -aS'was\tbe\tVBD\tB-VP\tO' -p271991 -aS'given\tgive\tVBN\tI-VP\tO' -p271992 -aS'with\twith\tIN\tB-PP\tO' -p271993 -aS'her\ther\tPRP$\tB-NP\tO' -p271994 -aS'intravenous\tintravenous\tJJ\tI-NP\tO' -p271995 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p271996 -aS'and\tand\tCC\tI-NP\tO' -p271997 -aS'phosphate\tphosphate\tNN\tI-NP\tO' -p271998 -aS'will\twill\tMD\tB-VP\tO' -p271999 -aS'be\tbe\tVB\tI-VP\tO' -p272000 -aS'repleted\treplete\tVBN\tI-VP\tO' -p272001 -aS'as\tas\tIN\tB-SBAR\tO' -p272002 -aS'patient\tpatient\tNN\tB-NP\tO' -p272003 -aS'increases\tincrease\tVBZ\tB-VP\tO' -p272004 -aS'her\ther\tPRP$\tB-NP\tO' -p272005 -aS'po\tpo\tNN\tI-NP\tO' -p272006 -aS'intake\tintake\tNN\tI-NP\tO' -p272007 -aS'.\t.\t.\tO\tO' -p272008 -asS'Cardiac catheterization performed on 2013-01-03 : Three vessel disease in the right dominant system .' -p272009 -(lp272010 -S'Cardiac\tCardiac\tJJ\tB-NP\tO' -p272011 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p272012 -aS'performed\tperform\tVBN\tB-VP\tO' -p272013 -aS'on\ton\tIN\tB-PP\tO' -p272014 -aS'2013-01-03\t2013-01-03\tCD\tB-NP\tO' -p272015 -aS':\t:\t:\tO\tO' -p272016 -aS'Three\tThree\tCD\tB-NP\tO' -p272017 -aS'vessel\tvessel\tNN\tI-NP\tO' -p272018 -aS'disease\tdisease\tNN\tI-NP\tO' -p272019 -aS'in\tin\tIN\tB-PP\tO' -p272020 -aS'the\tthe\tDT\tB-NP\tO' -p272021 -aS'right\tright\tJJ\tI-NP\tO' -p272022 -aS'dominant\tdominant\tJJ\tI-NP\tO' -p272023 -aS'system\tsystem\tNN\tI-NP\tO' -p272024 -aS'.\t.\t.\tO\tO' -p272025 -asS'5. Status post hernia repair .' -p272026 -(lp272027 -S'5.\t5.\tLS\tB-NP\tO' -p272028 -aS'Status\tStatus\tNNP\tI-NP\tO' -p272029 -aS'post\tpost\tNN\tI-NP\tO' -p272030 -aS'hernia\thernia\tNN\tI-NP\tO' -p272031 -aS'repair\trepair\tNN\tI-NP\tO' -p272032 -aS'.\t.\t.\tO\tO' -p272033 -asS'8 units RBC , 6FFP , 1 cryo , 1 pack plt .' -p272034 -(lp272035 -S'8\t8\tCD\tB-NP\tO' -p272036 -aS'units\tunit\tNNS\tI-NP\tO' -p272037 -aS'RBC\tRBC\tNN\tI-NP\tB-protein' -p272038 -aS',\t,\t,\tO\tO' -p272039 -aS'6FFP\t6FFP\tNN\tB-NP\tO' -p272040 -aS',\t,\t,\tO\tO' -p272041 -aS'1\t1\tCD\tB-NP\tO' -p272042 -aS'cryo\tcryo\tNN\tI-NP\tO' -p272043 -aS',\t,\t,\tO\tO' -p272044 -aS'1\t1\tCD\tB-NP\tO' -p272045 -aS'pack\tpack\tNN\tI-NP\tO' -p272046 -aS'plt\tplt\tNN\tI-NP\tO' -p272047 -aS'.\t.\t.\tO\tO' -p272048 -asS'He will follow up with Dr. Dye in the Clinic .' -p272049 -(lp272050 -S'He\tHe\tPRP\tB-NP\tO' -p272051 -aS'will\twill\tMD\tB-VP\tO' -p272052 -aS'follow\tfollow\tVB\tI-VP\tO' -p272053 -aS'up\tup\tRP\tB-PRT\tO' -p272054 -aS'with\twith\tIN\tB-PP\tO' -p272055 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p272056 -aS'Dye\tDye\tNNP\tI-NP\tO' -p272057 -aS'in\tin\tIN\tB-PP\tO' -p272058 -aS'the\tthe\tDT\tB-NP\tO' -p272059 -aS'Clinic\tClinic\tNNP\tI-NP\tO' -p272060 -aS'.\t.\t.\tO\tO' -p272061 -asS'His hematocrit was 34.7 .' -p272062 -(lp272063 -S'His\tHis\tPRP$\tB-NP\tO' -p272064 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p272065 -aS'was\tbe\tVBD\tB-VP\tO' -p272066 -aS'34.7\t34.7\tCD\tB-NP\tO' -p272067 -aS'.\t.\t.\tO\tO' -p272068 -asS'Other than this , the patient did very well .' -p272069 -(lp272070 -S'Other\tOther\tJJ\tB-ADJP\tO' -p272071 -aS'than\tthan\tIN\tB-PP\tO' -p272072 -aS'this\tthis\tDT\tB-NP\tO' -p272073 -aS',\t,\t,\tO\tO' -p272074 -aS'the\tthe\tDT\tB-NP\tO' -p272075 -aS'patient\tpatient\tNN\tI-NP\tO' -p272076 -aS'did\tdo\tVBD\tB-VP\tO' -p272077 -aS'very\tvery\tRB\tB-ADVP\tO' -p272078 -aS'well\twell\tRB\tI-ADVP\tO' -p272079 -aS'.\t.\t.\tO\tO' -p272080 -asS'Cardiopulmonary bypass time was 234 minutes .' -p272081 -(lp272082 -S'Cardiopulmonary\tCardiopulmonary\tJJ\tB-NP\tO' -p272083 -aS'bypass\tbypass\tNN\tI-NP\tO' -p272084 -aS'time\ttime\tNN\tI-NP\tO' -p272085 -aS'was\tbe\tVBD\tB-VP\tO' -p272086 -aS'234\t234\tCD\tB-NP\tO' -p272087 -aS'minutes\tminute\tNNS\tI-NP\tO' -p272088 -aS'.\t.\t.\tO\tO' -p272089 -asS"The patient 's electrocardiogram performed on hospital day number two was concerning for 2:1 heart block and the cardiology consult service was contacted for evaluation ." -p272090 -(lp272091 -S'The\tThe\tDT\tB-NP\tO' -p272092 -aS'patient\tpatient\tNN\tI-NP\tO' -p272093 -aS"'s\t's\tPOS\tB-NP\tO" -p272094 -aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' -p272095 -aS'performed\tperform\tVBN\tB-VP\tO' -p272096 -aS'on\ton\tIN\tB-PP\tO' -p272097 -aS'hospital\thospital\tNN\tB-NP\tO' -p272098 -aS'day\tday\tNN\tI-NP\tO' -p272099 -aS'number\tnumber\tNN\tI-NP\tO' -p272100 -aS'two\ttwo\tCD\tB-NP\tO' -p272101 -aS'was\tbe\tVBD\tB-VP\tO' -p272102 -aS'concerning\tconcern\tVBG\tI-VP\tO' -p272103 -aS'for\tfor\tIN\tB-PP\tO' -p272104 -aS'2:1\t2:1\tCD\tB-NP\tO' -p272105 -aS'heart\theart\tNN\tI-NP\tO' -p272106 -aS'block\tblock\tNN\tI-NP\tO' -p272107 -aS'and\tand\tCC\tO\tO' -p272108 -aS'the\tthe\tDT\tB-NP\tO' -p272109 -aS'cardiology\tcardiology\tNN\tI-NP\tO' -p272110 -aS'consult\tconsult\tNN\tI-NP\tO' -p272111 -aS'service\tservice\tNN\tI-NP\tO' -p272112 -aS'was\tbe\tVBD\tB-VP\tO' -p272113 -aS'contacted\tcontact\tVBN\tI-VP\tO' -p272114 -aS'for\tfor\tIN\tB-PP\tO' -p272115 -aS'evaluation\tevaluation\tNN\tB-NP\tO' -p272116 -aS'.\t.\t.\tO\tO' -p272117 -asS'Hct dropped 34 -> 22 .' -p272118 -(lp272119 -S'Hct\tHct\tNNP\tB-NP\tO' -p272120 -aS'dropped\tdrop\tVBD\tB-VP\tO' -p272121 -aS'34\t34\tCD\tB-NP\tO' -p272122 -aS'->\t->\tSYM\tB-NP\tO' -p272123 -aS'22\t22\tCD\tI-NP\tO' -p272124 -aS'.\t.\t.\tO\tO' -p272125 -asS'A CT of her C-spine revealed a possible fracture of right C7 pedicle .' -p272126 -(lp272127 -S'A\tA\tDT\tB-NP\tO' -p272128 -aS'CT\tCT\tNN\tI-NP\tO' -p272129 -aS'of\tof\tIN\tB-PP\tO' -p272130 -aS'her\ther\tPRP$\tB-NP\tO' -p272131 -aS'C-spine\tC-spine\tNN\tI-NP\tO' -p272132 -aS'revealed\treveal\tVBD\tB-VP\tO' -p272133 -aS'a\ta\tDT\tB-NP\tO' -p272134 -aS'possible\tpossible\tJJ\tI-NP\tO' -p272135 -aS'fracture\tfracture\tNN\tI-NP\tO' -p272136 -aS'of\tof\tIN\tB-PP\tO' -p272137 -aS'right\tright\tJJ\tB-NP\tO' -p272138 -aS'C7\tC7\tNN\tI-NP\tO' -p272139 -aS'pedicle\tpedicle\tNN\tI-NP\tO' -p272140 -aS'.\t.\t.\tO\tO' -p272141 -asS'BACTRIM ( SEVERE RASH ) , GANCICLOVIR ( RASH , HAS BEEN DESENSITIZED ) .' -p272142 -(lp272143 -S'BACTRIM\tBACTRIM\tNN\tB-NP\tO' -p272144 -aS'(\t(\t(\tO\tO' -p272145 -aS'SEVERE\tSEVERE\tNN\tB-NP\tO' -p272146 -aS'RASH\tRASH\tNN\tI-NP\tO' -p272147 -aS')\t)\t)\tO\tO' -p272148 -aS',\t,\t,\tO\tO' -p272149 -aS'GANCICLOVIR\tGANCICLOVIR\tNN\tB-NP\tB-protein' -p272150 -aS'(\t(\t(\tO\tO' -p272151 -aS'RASH\tRASH\tNN\tB-NP\tB-protein' -p272152 -aS',\t,\t,\tO\tO' -p272153 -aS'HAS\tHAS\tNNP\tB-NP\tO' -p272154 -aS'BEEN\tBEEN\tNNP\tI-NP\tO' -p272155 -aS'DESENSITIZED\tDESENSITIZED\tNNP\tI-NP\tO' -p272156 -aS')\t)\t)\tO\tO' -p272157 -aS'.\t.\t.\tO\tO' -p272158 -asS'placement for a bile leak from the duct of Luschka .' -p272159 -(lp272160 -S'placement\tplacement\tNN\tB-NP\tO' -p272161 -aS'for\tfor\tIN\tB-PP\tO' -p272162 -aS'a\ta\tDT\tB-NP\tO' -p272163 -aS'bile\tbile\tNN\tI-NP\tO' -p272164 -aS'leak\tleak\tNN\tI-NP\tO' -p272165 -aS'from\tfrom\tIN\tB-PP\tO' -p272166 -aS'the\tthe\tDT\tB-NP\tO' -p272167 -aS'duct\tduct\tNN\tI-NP\tO' -p272168 -aS'of\tof\tIN\tB-PP\tO' -p272169 -aS'Luschka\tLuschka\tNNP\tB-NP\tO' -p272170 -aS'.\t.\t.\tO\tO' -p272171 -asS'There was no radiographic correlation with this .' -p272172 -(lp272173 -S'There\tThere\tEX\tB-NP\tO' -p272174 -aS'was\tbe\tVBD\tB-VP\tO' -p272175 -aS'no\tno\tDT\tB-NP\tO' -p272176 -aS'radiographic\tradiographic\tJJ\tI-NP\tO' -p272177 -aS'correlation\tcorrelation\tNN\tI-NP\tO' -p272178 -aS'with\twith\tIN\tB-PP\tO' -p272179 -aS'this\tthis\tDT\tB-NP\tO' -p272180 -aS'.\t.\t.\tO\tO' -p272181 -asS'There were no wheezes or rhonchi .' -p272182 -(lp272183 -S'There\tThere\tEX\tB-NP\tO' -p272184 -aS'were\tbe\tVBD\tB-VP\tO' -p272185 -aS'no\tno\tDT\tB-NP\tO' -p272186 -aS'wheezes\twheeze\tNNS\tI-NP\tO' -p272187 -aS'or\tor\tCC\tI-NP\tO' -p272188 -aS'rhonchi\trhonchus\tNNS\tI-NP\tO' -p272189 -aS'.\t.\t.\tO\tO' -p272190 -asS'Na 134 , K 4.2 , Cl 98 , bicarb 26 , BUN 11 , creatinine 0.5 , glucose 119 .' -p272191 -(lp272192 -S'Na\tNa\tNN\tB-NP\tB-protein' -p272193 -aS'134\t134\tCD\tI-NP\tI-protein' -p272194 -aS',\t,\t,\tO\tO' -p272195 -aS'K\tK\tNN\tB-NP\tB-cell_line' -p272196 -aS'4.2\t4.2\tNN\tI-NP\tI-cell_line' -p272197 -aS',\t,\t,\tO\tO' -p272198 -aS'Cl\tCl\tNN\tB-NP\tO' -p272199 -aS'98\t98\tCD\tI-NP\tO' -p272200 -aS',\t,\t,\tO\tO' -p272201 -aS'bicarb\tbicarb\tNN\tB-NP\tO' -p272202 -aS'26\t26\tCD\tI-NP\tO' -p272203 -aS',\t,\t,\tO\tO' -p272204 -aS'BUN\tBUN\tNN\tB-NP\tB-DNA' -p272205 -aS'11\t11\tCD\tI-NP\tI-DNA' -p272206 -aS',\t,\t,\tO\tO' -p272207 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p272208 -aS'0.5\t0.5\tCD\tI-NP\tO' -p272209 -aS',\t,\t,\tO\tO' -p272210 -aS'glucose\tglucose\tNN\tB-NP\tO' -p272211 -aS'119\t119\tCD\tI-NP\tO' -p272212 -aS'.\t.\t.\tO\tO' -p272213 -asS'3. F/U appt with Dr Boston , Massachusetts General Hospital Surgery in approx 4 weeks .' -p272214 -(lp272215 -S'3.\t3.\tLS\tB-NP\tO' -p272216 -aS'F/U\tF/U\tNN\tI-NP\tO' -p272217 -aS'appt\tappt\tNN\tI-NP\tO' -p272218 -aS'with\twith\tIN\tB-PP\tO' -p272219 -aS'Dr\tDr\tNNP\tB-NP\tO' -p272220 -aS'Boston\tBoston\tNNP\tI-NP\tO' -p272221 -aS',\t,\t,\tO\tO' -p272222 -aS'Massachusetts\tMassachusetts\tNNP\tB-NP\tO' -p272223 -aS'General\tGeneral\tNNP\tI-NP\tO' -p272224 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p272225 -aS'Surgery\tSurgery\tNNP\tI-NP\tO' -p272226 -aS'in\tin\tIN\tB-PP\tO' -p272227 -aS'approx\tapprox\tNN\tB-NP\tO' -p272228 -aS'4\t4\tCD\tB-NP\tO' -p272229 -aS'weeks\tweek\tNNS\tI-NP\tO' -p272230 -aS'.\t.\t.\tO\tO' -p272231 -asS'2) 2+ E. coli sensitive to Ampicillin and Levofloxacin ,' -p272232 -(lp272233 -S'2)\t2)\tLS\tB-LST\tO' -p272234 -aS'2+\t2+\tJJ\tB-NP\tO' -p272235 -aS'E.\tE.\tFW\tI-NP\tO' -p272236 -aS'coli\tcoli\tFW\tI-NP\tO' -p272237 -aS'sensitive\tsensitive\tJJ\tB-ADJP\tO' -p272238 -aS'to\tto\tTO\tB-PP\tO' -p272239 -aS'Ampicillin\tAmpicillin\tNN\tB-NP\tB-protein' -p272240 -aS'and\tand\tCC\tI-NP\tO' -p272241 -aS'Levofloxacin\tLevofloxacin\tNN\tI-NP\tO' -p272242 -aS',\t,\t,\tO\tO' -p272243 -asS'3. Steroid-induced diabetes .' -p272244 -(lp272245 -S'3.\t3.\tLS\tB-NP\tO' -p272246 -aS'Steroid-induced\tSteroid-induced\tJJ\tI-NP\tO' -p272247 -aS'diabetes\tdiabete\tNNS\tI-NP\tO' -p272248 -aS'.\t.\t.\tO\tO' -p272249 -asS'The patient is a 59 year-old female status post endoscopic retrograde cholangiopancreatography on the day of admission , which had been done to evaluate for possible bile leak after cholecystectomy was performed four days ago .' -p272250 -(lp272251 -S'The\tThe\tDT\tB-NP\tO' -p272252 -aS'patient\tpatient\tNN\tI-NP\tO' -p272253 -aS'is\tbe\tVBZ\tB-VP\tO' -p272254 -aS'a\ta\tDT\tB-NP\tO' -p272255 -aS'59\t59\tCD\tI-NP\tO' -p272256 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p272257 -aS'female\tfemale\tJJ\tI-NP\tO' -p272258 -aS'status\tstatus\tNN\tI-NP\tO' -p272259 -aS'post\tpost\tIN\tB-PP\tO' -p272260 -aS'endoscopic\tendoscopic\tJJ\tB-NP\tO' -p272261 -aS'retrograde\tretrograde\tJJ\tI-NP\tO' -p272262 -aS'cholangiopancreatography\tcholangiopancreatography\tNN\tI-NP\tO' -p272263 -aS'on\ton\tIN\tB-PP\tO' -p272264 -aS'the\tthe\tDT\tB-NP\tO' -p272265 -aS'day\tday\tNN\tI-NP\tO' -p272266 -aS'of\tof\tIN\tB-PP\tO' -p272267 -aS'admission\tadmission\tNN\tB-NP\tO' -p272268 -aS',\t,\t,\tO\tO' -p272269 -aS'which\twhich\tWDT\tB-NP\tO' -p272270 -aS'had\thave\tVBD\tB-VP\tO' -p272271 -aS'been\tbe\tVBN\tI-VP\tO' -p272272 -aS'done\tdo\tVBN\tI-VP\tO' -p272273 -aS'to\tto\tTO\tI-VP\tO' -p272274 -aS'evaluate\tevaluate\tVB\tI-VP\tO' -p272275 -aS'for\tfor\tIN\tB-PP\tO' -p272276 -aS'possible\tpossible\tJJ\tB-NP\tO' -p272277 -aS'bile\tbile\tNN\tI-NP\tO' -p272278 -aS'leak\tleak\tNN\tI-NP\tO' -p272279 -aS'after\tafter\tIN\tB-PP\tO' -p272280 -aS'cholecystectomy\tcholecystectomy\tNN\tB-NP\tO' -p272281 -aS'was\tbe\tVBD\tB-VP\tO' -p272282 -aS'performed\tperform\tVBN\tI-VP\tO' -p272283 -aS'four\tfour\tCD\tB-NP\tO' -p272284 -aS'days\tday\tNNS\tI-NP\tO' -p272285 -aS'ago\tago\tRB\tB-ADVP\tO' -p272286 -aS'.\t.\t.\tO\tO' -p272287 -asS'He was given Unasyn for empiric antibiotic treatment .' -p272288 -(lp272289 -S'He\tHe\tPRP\tB-NP\tO' -p272290 -aS'was\tbe\tVBD\tB-VP\tO' -p272291 -aS'given\tgive\tVBN\tI-VP\tO' -p272292 -aS'Unasyn\tUnasyn\tNNP\tB-NP\tO' -p272293 -aS'for\tfor\tIN\tB-PP\tO' -p272294 -aS'empiric\tempiric\tJJ\tB-NP\tO' -p272295 -aS'antibiotic\tantibiotic\tJJ\tI-NP\tO' -p272296 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p272297 -aS'.\t.\t.\tO\tO' -p272298 -asS'She will need to continue for at least 10 more days or as clinically indicated by the course of her cellulitis .' -p272299 -(lp272300 -S'She\tShe\tPRP\tB-NP\tO' -p272301 -aS'will\twill\tMD\tB-VP\tO' -p272302 -aS'need\tneed\tVB\tI-VP\tO' -p272303 -aS'to\tto\tTO\tI-VP\tO' -p272304 -aS'continue\tcontinue\tVB\tI-VP\tO' -p272305 -aS'for\tfor\tIN\tB-PP\tO' -p272306 -aS'at\tat\tIN\tB-NP\tO' -p272307 -aS'least\tleast\tJJS\tI-NP\tO' -p272308 -aS'10\t10\tCD\tI-NP\tO' -p272309 -aS'more\tmore\tJJR\tI-NP\tO' -p272310 -aS'days\tday\tNNS\tI-NP\tO' -p272311 -aS'or\tor\tCC\tO\tO' -p272312 -aS'as\tas\tIN\tB-SBAR\tO' -p272313 -aS'clinically\tclinically\tRB\tB-ADVP\tO' -p272314 -aS'indicated\tindicate\tVBN\tB-VP\tO' -p272315 -aS'by\tby\tIN\tB-PP\tO' -p272316 -aS'the\tthe\tDT\tB-NP\tO' -p272317 -aS'course\tcourse\tNN\tI-NP\tO' -p272318 -aS'of\tof\tIN\tB-PP\tO' -p272319 -aS'her\ther\tPRP$\tB-NP\tO' -p272320 -aS'cellulitis\tcellulitis\tNN\tI-NP\tO' -p272321 -aS'.\t.\t.\tO\tO' -p272322 -asS'Large bore cannulas were inserted into the femoral veins , bilateral chest tubes were placed , and his blood pressure rose to 110 systolic after two liters of crystalloid .' -p272323 -(lp272324 -S'Large\tLarge\tJJ\tB-NP\tO' -p272325 -aS'bore\tbore\tNN\tI-NP\tO' -p272326 -aS'cannulas\tcannula\tNNS\tI-NP\tO' -p272327 -aS'were\tbe\tVBD\tB-VP\tO' -p272328 -aS'inserted\tinsert\tVBN\tI-VP\tO' -p272329 -aS'into\tinto\tIN\tB-PP\tO' -p272330 -aS'the\tthe\tDT\tB-NP\tO' -p272331 -aS'femoral\tfemoral\tJJ\tI-NP\tO' -p272332 -aS'veins\tvein\tNNS\tI-NP\tO' -p272333 -aS',\t,\t,\tO\tO' -p272334 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p272335 -aS'chest\tchest\tNN\tI-NP\tO' -p272336 -aS'tubes\ttube\tNNS\tI-NP\tO' -p272337 -aS'were\tbe\tVBD\tB-VP\tO' -p272338 -aS'placed\tplace\tVBN\tI-VP\tO' -p272339 -aS',\t,\t,\tO\tO' -p272340 -aS'and\tand\tCC\tO\tO' -p272341 -aS'his\this\tPRP$\tB-NP\tO' -p272342 -aS'blood\tblood\tNN\tI-NP\tO' -p272343 -aS'pressure\tpressure\tNN\tI-NP\tO' -p272344 -aS'rose\trise\tVBD\tB-VP\tO' -p272345 -aS'to\tto\tTO\tB-PP\tO' -p272346 -aS'110\t110\tCD\tB-NP\tO' -p272347 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p272348 -aS'after\tafter\tIN\tB-PP\tO' -p272349 -aS'two\ttwo\tCD\tB-NP\tO' -p272350 -aS'liters\tliter\tNNS\tI-NP\tO' -p272351 -aS'of\tof\tIN\tB-PP\tO' -p272352 -aS'crystalloid\tcrystalloid\tNN\tB-NP\tO' -p272353 -aS'.\t.\t.\tO\tO' -p272354 -asS'Electrocardiogram shows normal sinus rhythm at 50 .' -p272355 -(lp272356 -S'Electrocardiogram\tElectrocardiogram\tNN\tB-NP\tO' -p272357 -aS'shows\tshow\tVBZ\tB-VP\tO' -p272358 -aS'normal\tnormal\tJJ\tB-NP\tO' -p272359 -aS'sinus\tsinus\tNN\tI-NP\tO' -p272360 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p272361 -aS'at\tat\tIN\tB-PP\tO' -p272362 -aS'50\t50\tCD\tB-NP\tO' -p272363 -aS'.\t.\t.\tO\tO' -p272364 -asS'2. Cardiovascular - The patient has been cardiovascularly stable without murmur .' -p272365 -(lp272366 -S'2.\t2.\tLS\tB-LST\tO' -p272367 -aS'Cardiovascular\tCardiovascular\tJJ\tB-ADJP\tO' -p272368 -aS'-\t-\tHYPH\tO\tO' -p272369 -aS'The\tThe\tDT\tB-NP\tO' -p272370 -aS'patient\tpatient\tNN\tI-NP\tO' -p272371 -aS'has\thave\tVBZ\tB-VP\tO' -p272372 -aS'been\tbe\tVBN\tI-VP\tO' -p272373 -aS'cardiovascularly\tcardiovascularly\tRB\tB-ADJP\tO' -p272374 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p272375 -aS'without\twithout\tIN\tB-PP\tO' -p272376 -aS'murmur\tmurmur\tNN\tB-NP\tO' -p272377 -aS'.\t.\t.\tO\tO' -p272378 -asS'7. Clozapine 25 mg Tablet Sig : One ( 1 ) Tablet PO HS ( at bedtime ) .' -p272379 -(lp272380 -S'7.\t7.\tCD\tB-NP\tO' -p272381 -aS'Clozapine\tClozapine\tNN\tI-NP\tO' -p272382 -aS'25\t25\tCD\tB-NP\tO' -p272383 -aS'mg\tmg\tNN\tI-NP\tO' -p272384 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p272385 -aS'Sig\tSig\tNNP\tI-NP\tO' -p272386 -aS':\t:\t:\tO\tO' -p272387 -aS'One\tOne\tCD\tB-NP\tO' -p272388 -aS'(\t(\t(\tO\tO' -p272389 -aS'1\t1\tCD\tB-NP\tO' -p272390 -aS')\t)\t)\tO\tO' -p272391 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p272392 -aS'PO\tPO\tNN\tI-NP\tO' -p272393 -aS'HS\tHS\tNN\tI-NP\tO' -p272394 -aS'(\t(\t(\tO\tO' -p272395 -aS'at\tat\tIN\tB-PP\tO' -p272396 -aS'bedtime\tbedtime\tNN\tB-NP\tO' -p272397 -aS')\t)\t)\tO\tO' -p272398 -aS'.\t.\t.\tO\tO' -p272399 -asS'The patient is status post appendectomy , hysterectomy and right salpingo-oophorectomy , bladder suspension and a tumor removal from the right neck .' -p272400 -(lp272401 -S'The\tThe\tDT\tB-NP\tO' -p272402 -aS'patient\tpatient\tNN\tI-NP\tO' -p272403 -aS'is\tbe\tVBZ\tB-VP\tO' -p272404 -aS'status\tstatus\tNN\tB-NP\tO' -p272405 -aS'post\tpost\tNN\tI-NP\tO' -p272406 -aS'appendectomy\tappendectomy\tNN\tI-NP\tO' -p272407 -aS',\t,\t,\tO\tO' -p272408 -aS'hysterectomy\thysterectomy\tNN\tB-NP\tO' -p272409 -aS'and\tand\tCC\tO\tO' -p272410 -aS'right\tright\tJJ\tB-NP\tO' -p272411 -aS'salpingo-oophorectomy\tsalpingo-oophorectomy\tNN\tI-NP\tO' -p272412 -aS',\t,\t,\tO\tO' -p272413 -aS'bladder\tbladder\tNN\tB-NP\tO' -p272414 -aS'suspension\tsuspension\tNN\tI-NP\tO' -p272415 -aS'and\tand\tCC\tO\tO' -p272416 -aS'a\ta\tDT\tB-NP\tO' -p272417 -aS'tumor\ttumor\tNN\tI-NP\tO' -p272418 -aS'removal\tremoval\tNN\tI-NP\tO' -p272419 -aS'from\tfrom\tIN\tB-PP\tO' -p272420 -aS'the\tthe\tDT\tB-NP\tO' -p272421 -aS'right\tright\tJJ\tI-NP\tO' -p272422 -aS'neck\tneck\tNN\tI-NP\tO' -p272423 -aS'.\t.\t.\tO\tO' -p272424 -asS'Hematocrit was 28.7 .' -p272425 -(lp272426 -S'Hematocrit\tHematocrit\tNN\tB-NP\tB-protein' -p272427 -aS'was\tbe\tVBD\tB-VP\tI-protein' -p272428 -aS'28.7\t28.7\tCD\tB-NP\tI-protein' -p272429 -aS'.\t.\t.\tO\tO' -p272430 -asS'7. Insulin Glargine 100 unit / mL Cartridge Sig : Ten ( 10 ) units Subcutaneous once a day .' -p272431 -(lp272432 -S'7.\t7.\tLS\tB-NP\tO' -p272433 -aS'Insulin\tInsulin\tNN\tI-NP\tB-protein' -p272434 -aS'Glargine\tGlargine\tNN\tI-NP\tI-protein' -p272435 -aS'100\t100\tCD\tI-NP\tI-protein' -p272436 -aS'unit\tunit\tNN\tI-NP\tI-protein' -p272437 -aS'/\t/\tSYM\tB-NP\tO' -p272438 -aS'mL\tmL\tNN\tI-NP\tO' -p272439 -aS'Cartridge\tCartridge\tNNP\tI-NP\tO' -p272440 -aS'Sig\tSig\tNNP\tI-NP\tO' -p272441 -aS':\t:\t:\tO\tO' -p272442 -aS'Ten\tTen\tCD\tB-NP\tO' -p272443 -aS'(\t(\t(\tO\tO' -p272444 -aS'10\t10\tCD\tB-NP\tO' -p272445 -aS')\t)\t)\tO\tO' -p272446 -aS'units\tunit\tNNS\tB-NP\tO' -p272447 -aS'Subcutaneous\tSubcutaneous\tJJ\tB-ADJP\tO' -p272448 -aS'once\tonce\tIN\tB-SBAR\tO' -p272449 -aS'a\ta\tDT\tB-NP\tO' -p272450 -aS'day\tday\tNN\tI-NP\tO' -p272451 -aS'.\t.\t.\tO\tO' -p272452 -asS'She was given a lasix drip IV upon call-out of the ICU , and additional boluses of IV lasix , 200 mg then 300 mg IV were given with a good response , however , she remained net positive fluid balance .' -p272453 -(lp272454 -S'She\tShe\tPRP\tB-NP\tO' -p272455 -aS'was\tbe\tVBD\tB-VP\tO' -p272456 -aS'given\tgive\tVBN\tI-VP\tO' -p272457 -aS'a\ta\tDT\tB-NP\tO' -p272458 -aS'lasix\tlasix\tNN\tI-NP\tO' -p272459 -aS'drip\tdrip\tNN\tI-NP\tO' -p272460 -aS'IV\tIV\tCD\tI-NP\tO' -p272461 -aS'upon\tupon\tIN\tB-PP\tO' -p272462 -aS'call-out\tcall-out\tNN\tB-NP\tO' -p272463 -aS'of\tof\tIN\tB-PP\tO' -p272464 -aS'the\tthe\tDT\tB-NP\tO' -p272465 -aS'ICU\tICU\tNN\tI-NP\tB-protein' -p272466 -aS',\t,\t,\tO\tO' -p272467 -aS'and\tand\tCC\tO\tO' -p272468 -aS'additional\tadditional\tJJ\tB-NP\tO' -p272469 -aS'boluses\tbolus\tNNS\tI-NP\tO' -p272470 -aS'of\tof\tIN\tB-PP\tO' -p272471 -aS'IV\tIV\tCD\tB-NP\tO' -p272472 -aS'lasix\tlasix\tCD\tI-NP\tO' -p272473 -aS',\t,\t,\tO\tO' -p272474 -aS'200\t200\tCD\tB-NP\tO' -p272475 -aS'mg\tmg\tNN\tI-NP\tO' -p272476 -aS'then\tthen\tRB\tB-ADVP\tO' -p272477 -aS'300\t300\tCD\tB-NP\tO' -p272478 -aS'mg\tmg\tNN\tI-NP\tO' -p272479 -aS'IV\tIV\tCD\tI-NP\tO' -p272480 -aS'were\tbe\tVBD\tB-VP\tO' -p272481 -aS'given\tgive\tVBN\tI-VP\tO' -p272482 -aS'with\twith\tIN\tB-PP\tO' -p272483 -aS'a\ta\tDT\tB-NP\tO' -p272484 -aS'good\tgood\tJJ\tI-NP\tO' -p272485 -aS'response\tresponse\tNN\tI-NP\tO' -p272486 -aS',\t,\t,\tO\tO' -p272487 -aS'however\thowever\tRB\tB-ADVP\tO' -p272488 -aS',\t,\t,\tO\tO' -p272489 -aS'she\tshe\tPRP\tB-NP\tO' -p272490 -aS'remained\tremain\tVBD\tB-VP\tO' -p272491 -aS'net\tnet\tJJ\tB-NP\tO' -p272492 -aS'positive\tpositive\tJJ\tI-NP\tO' -p272493 -aS'fluid\tfluid\tNN\tI-NP\tO' -p272494 -aS'balance\tbalance\tNN\tI-NP\tO' -p272495 -aS'.\t.\t.\tO\tO' -p272496 -asS'Diabetes Mellitis ( Pancreatic Trauma )' -p272497 -(lp272498 -S'Diabetes\tDiabetes\tNN\tB-NP\tO' -p272499 -aS'Mellitis\tMellitis\tNN\tI-NP\tO' -p272500 -aS'(\t(\t(\tO\tO' -p272501 -aS'Pancreatic\tPancreatic\tJJ\tB-NP\tO' -p272502 -aS'Trauma\tTrauma\tNNP\tI-NP\tO' -p272503 -aS')\t)\t)\tO\tO' -p272504 -asS'5. Fall - The patient had a mechanical fall during his admission .' -p272505 -(lp272506 -S'5.\t5.\tLS\tB-NP\tO' -p272507 -aS'Fall\tFall\tNN\tI-NP\tO' -p272508 -aS'-\t-\tHYPH\tO\tO' -p272509 -aS'The\tThe\tDT\tB-NP\tO' -p272510 -aS'patient\tpatient\tNN\tI-NP\tO' -p272511 -aS'had\thave\tVBD\tB-VP\tO' -p272512 -aS'a\ta\tDT\tB-NP\tO' -p272513 -aS'mechanical\tmechanical\tJJ\tI-NP\tO' -p272514 -aS'fall\tfall\tNN\tI-NP\tO' -p272515 -aS'during\tduring\tIN\tB-PP\tO' -p272516 -aS'his\this\tPRP$\tB-NP\tO' -p272517 -aS'admission\tadmission\tNN\tI-NP\tO' -p272518 -aS'.\t.\t.\tO\tO' -p272519 -asS'He has been on increasing doses of insulin receiving NPH in the morning and night in addition to a CZI sliding scale on a q6h basis .' -p272520 -(lp272521 -S'He\tHe\tPRP\tB-NP\tO' -p272522 -aS'has\thave\tVBZ\tB-VP\tO' -p272523 -aS'been\tbe\tVBN\tI-VP\tO' -p272524 -aS'on\ton\tIN\tB-PP\tO' -p272525 -aS'increasing\tincrease\tVBG\tB-NP\tO' -p272526 -aS'doses\tdose\tNNS\tI-NP\tO' -p272527 -aS'of\tof\tIN\tB-PP\tO' -p272528 -aS'insulin\tinsulin\tNN\tB-NP\tB-protein' -p272529 -aS'receiving\treceive\tVBG\tB-VP\tO' -p272530 -aS'NPH\tNPH\tNN\tB-NP\tB-protein' -p272531 -aS'in\tin\tIN\tB-PP\tO' -p272532 -aS'the\tthe\tDT\tB-NP\tO' -p272533 -aS'morning\tmorning\tNN\tI-NP\tO' -p272534 -aS'and\tand\tCC\tI-NP\tO' -p272535 -aS'night\tnight\tNN\tI-NP\tO' -p272536 -aS'in\tin\tIN\tB-PP\tO' -p272537 -aS'addition\taddition\tNN\tB-NP\tO' -p272538 -aS'to\tto\tTO\tB-PP\tO' -p272539 -aS'a\ta\tDT\tB-NP\tO' -p272540 -aS'CZI\tCZI\tNN\tI-NP\tB-protein' -p272541 -aS'sliding\tslide\tVBG\tB-VP\tO' -p272542 -aS'scale\tscale\tNN\tB-NP\tO' -p272543 -aS'on\ton\tIN\tB-PP\tO' -p272544 -aS'a\ta\tDT\tB-NP\tO' -p272545 -aS'q6h\tq6h\tNN\tI-NP\tO' -p272546 -aS'basis\tbasis\tNN\tI-NP\tO' -p272547 -aS'.\t.\t.\tO\tO' -p272548 -asS'The skin is intact .' -p272549 -(lp272550 -S'The\tThe\tDT\tB-NP\tO' -p272551 -aS'skin\tskin\tNN\tI-NP\tO' -p272552 -aS'is\tbe\tVBZ\tB-VP\tO' -p272553 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p272554 -aS'.\t.\t.\tO\tO' -p272555 -asS'There is no aortic valve stenosis .' -p272556 -(lp272557 -S'There\tThere\tEX\tB-NP\tO' -p272558 -aS'is\tbe\tVBZ\tB-VP\tO' -p272559 -aS'no\tno\tDT\tB-NP\tO' -p272560 -aS'aortic\taortic\tJJ\tI-NP\tO' -p272561 -aS'valve\tvalve\tNN\tI-NP\tO' -p272562 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p272563 -aS'.\t.\t.\tO\tO' -p272564 -asS'From 2/25 - 2/27/00 , the patient 's fever defervesced and his abdominal pain gradually subsided .' -p272565 -(lp272566 -S'From\tFrom\tIN\tB-PP\tO' -p272567 -aS'2/25\t2/25\tCD\tB-NP\tO' -p272568 -aS'-\t-\tHYPH\tI-NP\tO' -p272569 -aS'2/27/00\t2/27/00\tCD\tI-NP\tO' -p272570 -aS',\t,\t,\tO\tO' -p272571 -aS'the\tthe\tDT\tB-NP\tO' -p272572 -aS'patient\tpatient\tNN\tI-NP\tO' -p272573 -aS''s\t'\tNNS\tI-NP\tO' -p272574 -aS'fever\tfever\tNN\tI-NP\tO' -p272575 -aS'defervesced\tdefervesce\tVBN\tB-VP\tO' -p272576 -aS'and\tand\tCC\tO\tO' -p272577 -aS'his\this\tPRP$\tB-NP\tO' -p272578 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p272579 -aS'pain\tpain\tNN\tI-NP\tO' -p272580 -aS'gradually\tgradually\tRB\tB-ADVP\tO' -p272581 -aS'subsided\tsubside\tVBD\tB-VP\tO' -p272582 -aS'.\t.\t.\tO\tO' -p272583 -asS'Alert and oriented x 3 , moves all extremities , conversant .' -p272584 -(lp272585 -S'Alert\tAlert\tNNP\tB-NP\tO' -p272586 -aS'and\tand\tCC\tO\tO' -p272587 -aS'oriented\torient\tVBD\tB-VP\tO' -p272588 -aS'x\tx\tNN\tB-NP\tO' -p272589 -aS'3\t3\tCD\tI-NP\tO' -p272590 -aS',\t,\t,\tO\tO' -p272591 -aS'moves\tmove\tVBZ\tB-VP\tO' -p272592 -aS'all\tall\tDT\tB-NP\tO' -p272593 -aS'extremities\textremity\tNNS\tI-NP\tO' -p272594 -aS',\t,\t,\tO\tO' -p272595 -aS'conversant\tconversant\tNN\tB-NP\tO' -p272596 -aS'.\t.\t.\tO\tO' -p272597 -asS'Restared coumadin on 12-29 .' -p272598 -(lp272599 -S'Restared\tRestare\tVBN\tB-NP\tO' -p272600 -aS'coumadin\tcoumadin\tNN\tI-NP\tO' -p272601 -aS'on\ton\tIN\tB-PP\tO' -p272602 -aS'12-29\t12-29\tCD\tB-NP\tO' -p272603 -aS'.\t.\t.\tO\tO' -p272604 -asS'He was treated w/ ASA 325 mg , lasix 10 mg IV , and hydralazine 10 mg IV x 2 .' -p272605 -(lp272606 -S'He\tHe\tPRP\tB-NP\tO' -p272607 -aS'was\tbe\tVBD\tB-VP\tO' -p272608 -aS'treated\ttreat\tVBN\tI-VP\tO' -p272609 -aS'w/\tw/\tSYM\tB-NP\tO' -p272610 -aS'ASA\tASA\tNN\tB-NP\tO' -p272611 -aS'325\t325\tCD\tI-NP\tO' -p272612 -aS'mg\tmg\tNN\tI-NP\tO' -p272613 -aS',\t,\t,\tO\tO' -p272614 -aS'lasix\tlasix\tNN\tB-NP\tB-protein' -p272615 -aS'10\t10\tCD\tI-NP\tI-protein' -p272616 -aS'mg\tmg\tNN\tI-NP\tI-protein' -p272617 -aS'IV\tIV\tCD\tI-NP\tI-protein' -p272618 -aS',\t,\t,\tO\tO' -p272619 -aS'and\tand\tCC\tO\tO' -p272620 -aS'hydralazine\thydralazine\tNN\tB-NP\tB-protein' -p272621 -aS'10\t10\tCD\tI-NP\tI-protein' -p272622 -aS'mg\tmg\tNN\tI-NP\tI-protein' -p272623 -aS'IV\tIV\tCD\tB-NP\tI-protein' -p272624 -aS'x\tx\tNN\tI-NP\tI-protein' -p272625 -aS'2\t2\tCD\tI-NP\tI-protein' -p272626 -aS'.\t.\t.\tO\tO' -p272627 -asS'The extra ocular movements are full .' -p272628 -(lp272629 -S'The\tThe\tDT\tB-NP\tO' -p272630 -aS'extra\textra\tJJ\tI-NP\tO' -p272631 -aS'ocular\tocular\tJJ\tI-NP\tO' -p272632 -aS'movements\tmovement\tNNS\tI-NP\tO' -p272633 -aS'are\tbe\tVBP\tB-VP\tO' -p272634 -aS'full\tfull\tJJ\tB-ADJP\tO' -p272635 -aS'.\t.\t.\tO\tO' -p272636 -asS"She was transfered back to Mediplex Rehab Hospital Hospital per the patient 's and husband 's request so that she would be closer to home once her respiratory status was stable ." -p272637 -(lp272638 -S'She\tShe\tPRP\tB-NP\tO' -p272639 -aS'was\tbe\tVBD\tB-VP\tO' -p272640 -aS'transfered\ttransfer\tVBN\tI-VP\tO' -p272641 -aS'back\tback\tRB\tB-ADVP\tO' -p272642 -aS'to\tto\tTO\tB-PP\tO' -p272643 -aS'Mediplex\tMediplex\tNNP\tB-NP\tO' -p272644 -aS'Rehab\tRehab\tNNP\tI-NP\tO' -p272645 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p272646 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p272647 -aS'per\tper\tIN\tB-PP\tO' -p272648 -aS'the\tthe\tDT\tB-NP\tO' -p272649 -aS'patient\tpatient\tNN\tI-NP\tO' -p272650 -aS"'s\t's\tPOS\tB-NP\tO" -p272651 -aS'and\tand\tCC\tO\tO' -p272652 -aS'husband\thusband\tNN\tB-NP\tO' -p272653 -aS"'s\t's\tPOS\tB-NP\tO" -p272654 -aS'request\trequest\tNN\tI-NP\tO' -p272655 -aS'so\tso\tIN\tB-SBAR\tO' -p272656 -aS'that\tthat\tIN\tI-SBAR\tO' -p272657 -aS'she\tshe\tPRP\tB-NP\tO' -p272658 -aS'would\twould\tMD\tB-VP\tO' -p272659 -aS'be\tbe\tVB\tI-VP\tO' -p272660 -aS'closer\tclose\tJJR\tB-ADJP\tO' -p272661 -aS'to\tto\tTO\tB-VP\tO' -p272662 -aS'home\thome\tVB\tI-VP\tO' -p272663 -aS'once\tonce\tRB\tB-ADVP\tO' -p272664 -aS'her\ther\tPRP$\tB-NP\tO' -p272665 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p272666 -aS'status\tstatus\tNN\tI-NP\tO' -p272667 -aS'was\tbe\tVBD\tB-VP\tO' -p272668 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p272669 -aS'.\t.\t.\tO\tO' -p272670 -asS'Non-hodgkins lymphoma - s/p Cytoxan in 2003 and 2001 , History of Varicella Zoster with opthalmic lesions , History of Menieres Disease , GERD , Glaucoma , History of chronic sinusitis , s/p cataract surgery , s/p TAH and BSO , s/p appendectomy , s/p bilateral breast reduction' -p272671 -(lp272672 -S'Non-hodgkins\tNon-hodgkins\tJJ\tB-NP\tO' -p272673 -aS'lymphoma\tlymphoma\tNN\tI-NP\tO' -p272674 -aS'-\t-\tHYPH\tI-NP\tO' -p272675 -aS's/p\ts/p\tNN\tI-NP\tO' -p272676 -aS'Cytoxan\tCytoxan\tNN\tI-NP\tO' -p272677 -aS'in\tin\tIN\tB-PP\tO' -p272678 -aS'2003\t2003\tCD\tB-NP\tO' -p272679 -aS'and\tand\tCC\tI-NP\tO' -p272680 -aS'2001\t2001\tCD\tI-NP\tO' -p272681 -aS',\t,\t,\tO\tO' -p272682 -aS'History\tHistory\tNNP\tB-NP\tO' -p272683 -aS'of\tof\tIN\tB-PP\tO' -p272684 -aS'Varicella\tVaricella\tNNP\tB-NP\tO' -p272685 -aS'Zoster\tZoster\tNNP\tI-NP\tO' -p272686 -aS'with\twith\tIN\tB-PP\tO' -p272687 -aS'opthalmic\topthalmic\tJJ\tB-NP\tO' -p272688 -aS'lesions\tlesion\tNNS\tI-NP\tO' -p272689 -aS',\t,\t,\tO\tO' -p272690 -aS'History\tHistory\tNN\tB-NP\tO' -p272691 -aS'of\tof\tIN\tB-PP\tO' -p272692 -aS'Menieres\tMenieres\tNNP\tB-NP\tO' -p272693 -aS'Disease\tDisease\tNN\tI-NP\tO' -p272694 -aS',\t,\t,\tO\tO' -p272695 -aS'GERD\tGERD\tNN\tB-NP\tO' -p272696 -aS',\t,\t,\tO\tO' -p272697 -aS'Glaucoma\tGlaucoma\tNN\tB-NP\tO' -p272698 -aS',\t,\t,\tO\tO' -p272699 -aS'History\tHistory\tNN\tB-NP\tO' -p272700 -aS'of\tof\tIN\tB-PP\tO' -p272701 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p272702 -aS'sinusitis\tsinusitis\tNN\tI-NP\tO' -p272703 -aS',\t,\t,\tO\tO' -p272704 -aS's/p\ts/p\tNN\tB-NP\tO' -p272705 -aS'cataract\tcataract\tNN\tI-NP\tO' -p272706 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p272707 -aS',\t,\t,\tO\tO' -p272708 -aS's/p\ts/p\tNN\tB-NP\tO' -p272709 -aS'TAH\tTAH\tNN\tI-NP\tO' -p272710 -aS'and\tand\tCC\tO\tO' -p272711 -aS'BSO\tBSO\tNN\tB-NP\tO' -p272712 -aS',\t,\t,\tO\tO' -p272713 -aS's/p\ts/p\tNN\tB-NP\tO' -p272714 -aS'appendectomy\tappendectomy\tNN\tI-NP\tO' -p272715 -aS',\t,\t,\tO\tO' -p272716 -aS's/p\ts/p\tNN\tB-NP\tO' -p272717 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p272718 -aS'breast\tbreast\tNN\tI-NP\tO' -p272719 -aS'reduction\treduction\tNN\tI-NP\tO' -p272720 -asS'The patient also had vaginal bleeding in April 1992 following radiation therapy .' -p272721 -(lp272722 -S'The\tThe\tDT\tB-NP\tO' -p272723 -aS'patient\tpatient\tNN\tI-NP\tO' -p272724 -aS'also\talso\tRB\tB-ADVP\tO' -p272725 -aS'had\thave\tVBD\tB-VP\tO' -p272726 -aS'vaginal\tvaginal\tJJ\tB-NP\tO' -p272727 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p272728 -aS'in\tin\tIN\tB-PP\tO' -p272729 -aS'April\tApril\tNNP\tB-NP\tO' -p272730 -aS'1992\t1992\tCD\tI-NP\tO' -p272731 -aS'following\tfollow\tVBG\tB-PP\tO' -p272732 -aS'radiation\tradiation\tNN\tB-NP\tO' -p272733 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p272734 -aS'.\t.\t.\tO\tO' -p272735 -asS'Sudafed 30 mg. po. bid .' -p272736 -(lp272737 -S'Sudafed\tSudafe\tVBN\tB-NP\tO' -p272738 -aS'30\t30\tCD\tI-NP\tO' -p272739 -aS'mg.\tmg.\tNN\tI-NP\tO' -p272740 -aS'po.\tpo.\tNN\tI-NP\tO' -p272741 -aS'bid\tbid\tNN\tI-NP\tO' -p272742 -aS'.\t.\t.\tO\tO' -p272743 -asS'4. Lactulose 10 g / 15 mL Syrup Sig : Thirty ( 30 ) ML PO BID ( 2 times a day ) .' -p272744 -(lp272745 -S'4.\t4.\tLS\tB-NP\tO' -p272746 -aS'Lactulose\tLactulose\tNN\tI-NP\tO' -p272747 -aS'10\t10\tCD\tI-NP\tO' -p272748 -aS'g\tg\tNN\tI-NP\tO' -p272749 -aS'/\t/\tSYM\tB-NP\tO' -p272750 -aS'15\t15\tCD\tI-NP\tO' -p272751 -aS'mL\tmL\tNN\tI-NP\tO' -p272752 -aS'Syrup\tSyrup\tNNP\tI-NP\tO' -p272753 -aS'Sig\tSig\tNNP\tI-NP\tO' -p272754 -aS':\t:\t:\tO\tO' -p272755 -aS'Thirty\tThirty\tCD\tB-NP\tO' -p272756 -aS'(\t(\t(\tO\tO' -p272757 -aS'30\t30\tCD\tO\tO' -p272758 -aS')\t)\t)\tO\tO' -p272759 -aS'ML\tML\tNN\tB-NP\tO' -p272760 -aS'PO\tPO\tNN\tI-NP\tO' -p272761 -aS'BID\tBID\tNN\tI-NP\tO' -p272762 -aS'(\t(\t(\tO\tO' -p272763 -aS'2\t2\tCD\tB-NP\tO' -p272764 -aS'times\ttime\tNNS\tI-NP\tO' -p272765 -aS'a\ta\tDT\tB-NP\tO' -p272766 -aS'day\tday\tNN\tI-NP\tO' -p272767 -aS')\t)\t)\tO\tO' -p272768 -aS'.\t.\t.\tO\tO' -p272769 -asS'The patient was again seen by his primary care physician and a CG scan revealed a mass in the right parietal lobe .' -p272770 -(lp272771 -S'The\tThe\tDT\tB-NP\tO' -p272772 -aS'patient\tpatient\tNN\tI-NP\tO' -p272773 -aS'was\tbe\tVBD\tB-VP\tO' -p272774 -aS'again\tagain\tRB\tI-VP\tO' -p272775 -aS'seen\tsee\tVBN\tI-VP\tO' -p272776 -aS'by\tby\tIN\tB-PP\tO' -p272777 -aS'his\this\tPRP$\tB-NP\tO' -p272778 -aS'primary\tprimary\tJJ\tI-NP\tO' -p272779 -aS'care\tcare\tNN\tI-NP\tO' -p272780 -aS'physician\tphysician\tNN\tI-NP\tO' -p272781 -aS'and\tand\tCC\tO\tO' -p272782 -aS'a\ta\tDT\tB-NP\tO' -p272783 -aS'CG\tCG\tNN\tI-NP\tO' -p272784 -aS'scan\tscan\tNN\tI-NP\tO' -p272785 -aS'revealed\treveal\tVBD\tB-VP\tO' -p272786 -aS'a\ta\tDT\tB-NP\tO' -p272787 -aS'mass\tmass\tNN\tI-NP\tO' -p272788 -aS'in\tin\tIN\tB-PP\tO' -p272789 -aS'the\tthe\tDT\tB-NP\tO' -p272790 -aS'right\tright\tJJ\tI-NP\tO' -p272791 -aS'parietal\tparietal\tJJ\tI-NP\tO' -p272792 -aS'lobe\tlobe\tNN\tI-NP\tO' -p272793 -aS'.\t.\t.\tO\tO' -p272794 -asS'Several skin folds are present in the left hemithorax but there is no pneumothorax .' -p272795 -(lp272796 -S'Several\tSeveral\tJJ\tB-NP\tO' -p272797 -aS'skin\tskin\tNN\tI-NP\tO' -p272798 -aS'folds\tfold\tNNS\tI-NP\tO' -p272799 -aS'are\tbe\tVBP\tB-VP\tO' -p272800 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p272801 -aS'in\tin\tIN\tB-PP\tO' -p272802 -aS'the\tthe\tDT\tB-NP\tO' -p272803 -aS'left\tleft\tJJ\tI-NP\tO' -p272804 -aS'hemithorax\themithorax\tNN\tI-NP\tO' -p272805 -aS'but\tbut\tCC\tO\tO' -p272806 -aS'there\tthere\tEX\tB-NP\tO' -p272807 -aS'is\tbe\tVBZ\tB-VP\tO' -p272808 -aS'no\tno\tDT\tB-NP\tO' -p272809 -aS'pneumothorax\tpneumothorax\tNN\tI-NP\tO' -p272810 -aS'.\t.\t.\tO\tO' -p272811 -asS"The patient 's hematocrit remained stable over the course of her hospital stay ." -p272812 -(lp272813 -S'The\tThe\tDT\tB-NP\tO' -p272814 -aS'patient\tpatient\tNN\tI-NP\tO' -p272815 -aS"'s\t's\tPOS\tB-NP\tO" -p272816 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p272817 -aS'remained\tremain\tVBD\tB-VP\tO' -p272818 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p272819 -aS'over\tover\tIN\tB-PP\tO' -p272820 -aS'the\tthe\tDT\tB-NP\tO' -p272821 -aS'course\tcourse\tNN\tI-NP\tO' -p272822 -aS'of\tof\tIN\tB-PP\tO' -p272823 -aS'her\ther\tPRP$\tB-NP\tO' -p272824 -aS'hospital\thospital\tNN\tI-NP\tO' -p272825 -aS'stay\tstay\tNN\tI-NP\tO' -p272826 -aS'.\t.\t.\tO\tO' -p272827 -asS'EKG revealed a normal sinus rhythm with a rate of 69 , left ventricular hyper-trophy with poor anterior progression of R-waves .' -p272828 -(lp272829 -S'EKG\tEKG\tNN\tB-NP\tB-protein' -p272830 -aS'revealed\treveal\tVBD\tB-VP\tO' -p272831 -aS'a\ta\tDT\tB-NP\tO' -p272832 -aS'normal\tnormal\tJJ\tI-NP\tO' -p272833 -aS'sinus\tsinus\tNN\tI-NP\tO' -p272834 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p272835 -aS'with\twith\tIN\tB-PP\tO' -p272836 -aS'a\ta\tDT\tB-NP\tO' -p272837 -aS'rate\trate\tNN\tI-NP\tO' -p272838 -aS'of\tof\tIN\tB-PP\tO' -p272839 -aS'69\t69\tCD\tB-NP\tO' -p272840 -aS',\t,\t,\tO\tO' -p272841 -aS'left\tleave\tVBD\tB-VP\tO' -p272842 -aS'ventricular\tventricular\tJJ\tB-NP\tO' -p272843 -aS'hyper-trophy\thyper-trophy\tNN\tI-NP\tO' -p272844 -aS'with\twith\tIN\tB-PP\tO' -p272845 -aS'poor\tpoor\tJJ\tB-NP\tO' -p272846 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p272847 -aS'progression\tprogression\tNN\tI-NP\tO' -p272848 -aS'of\tof\tIN\tB-PP\tO' -p272849 -aS'R-waves\tR-wave\tNNS\tB-NP\tO' -p272850 -aS'.\t.\t.\tO\tO' -p272851 -asS'No evidence of ongoing seizures was seen .' -p272852 -(lp272853 -S'No\tNo\tDT\tB-NP\tO' -p272854 -aS'evidence\tevidence\tNN\tI-NP\tO' -p272855 -aS'of\tof\tIN\tB-PP\tO' -p272856 -aS'ongoing\tongoing\tJJ\tB-NP\tO' -p272857 -aS'seizures\tseizure\tNNS\tI-NP\tO' -p272858 -aS'was\tbe\tVBD\tB-VP\tO' -p272859 -aS'seen\tsee\tVBN\tI-VP\tO' -p272860 -aS'.\t.\t.\tO\tO' -p272861 -asS'This is to notify you that your patient , AKOTE , RALPRI arrived in the Emergency Department at Ph University Of Medical Center on 04/14/2004 02:47 PM .' -p272862 -(lp272863 -S'This\tThis\tDT\tB-NP\tO' -p272864 -aS'is\tbe\tVBZ\tB-VP\tO' -p272865 -aS'to\tto\tTO\tB-VP\tO' -p272866 -aS'notify\tnotify\tVB\tI-VP\tO' -p272867 -aS'you\tyou\tPRP\tB-NP\tO' -p272868 -aS'that\tthat\tIN\tB-SBAR\tO' -p272869 -aS'your\tyour\tPRP$\tB-NP\tO' -p272870 -aS'patient\tpatient\tNN\tI-NP\tO' -p272871 -aS',\t,\t,\tO\tO' -p272872 -aS'AKOTE\tAKOTE\tNN\tB-NP\tO' -p272873 -aS',\t,\t,\tO\tO' -p272874 -aS'RALPRI\tRALPRI\tNN\tB-NP\tB-protein' -p272875 -aS'arrived\tarrive\tVBD\tB-VP\tO' -p272876 -aS'in\tin\tIN\tB-PP\tO' -p272877 -aS'the\tthe\tDT\tB-NP\tO' -p272878 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p272879 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p272880 -aS'at\tat\tIN\tB-PP\tO' -p272881 -aS'Ph\tPh\tNNP\tB-NP\tO' -p272882 -aS'University\tUniversity\tNNP\tI-NP\tO' -p272883 -aS'Of\tOf\tNNP\tI-NP\tO' -p272884 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p272885 -aS'Center\tCenter\tNNP\tI-NP\tO' -p272886 -aS'on\ton\tIN\tB-PP\tO' -p272887 -aS'04/14/2004\t04/14/2004\tCD\tB-NP\tO' -p272888 -aS'02:47\t02:47\tCD\tI-NP\tO' -p272889 -aS'PM\tPM\tNN\tI-NP\tO' -p272890 -aS'.\t.\t.\tO\tO' -p272891 -asS'The patient presented to the Sloan- Center Emergency Department , where he was resuscitated with normal saline and received morphine for pain .' -p272892 -(lp272893 -S'The\tThe\tDT\tB-NP\tO' -p272894 -aS'patient\tpatient\tNN\tI-NP\tO' -p272895 -aS'presented\tpresent\tVBN\tB-VP\tO' -p272896 -aS'to\tto\tTO\tB-PP\tO' -p272897 -aS'the\tthe\tDT\tB-NP\tO' -p272898 -aS'Sloan-\tSloan-\tNNP\tI-NP\tO' -p272899 -aS'Center\tCenter\tNNP\tI-NP\tO' -p272900 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p272901 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p272902 -aS',\t,\t,\tO\tO' -p272903 -aS'where\twhere\tWRB\tB-ADVP\tO' -p272904 -aS'he\the\tPRP\tB-NP\tO' -p272905 -aS'was\tbe\tVBD\tB-VP\tO' -p272906 -aS'resuscitated\tresuscitate\tVBN\tI-VP\tO' -p272907 -aS'with\twith\tIN\tB-PP\tO' -p272908 -aS'normal\tnormal\tJJ\tB-NP\tO' -p272909 -aS'saline\tsaline\tNN\tI-NP\tO' -p272910 -aS'and\tand\tCC\tO\tO' -p272911 -aS'received\treceive\tVBD\tB-VP\tO' -p272912 -aS'morphine\tmorphine\tNN\tB-NP\tO' -p272913 -aS'for\tfor\tIN\tB-PP\tO' -p272914 -aS'pain\tpain\tNN\tB-NP\tO' -p272915 -aS'.\t.\t.\tO\tO' -p272916 -asS'8. Glyburide 1.25 mg po qam .' -p272917 -(lp272918 -S'8.\t8.\tCD\tB-NP\tO' -p272919 -aS'Glyburide\tGlyburide\tNN\tI-NP\tO' -p272920 -aS'1.25\t1.25\tCD\tB-NP\tO' -p272921 -aS'mg\tmg\tNN\tI-NP\tO' -p272922 -aS'po\tpo\tNN\tI-NP\tO' -p272923 -aS'qam\tqam\tNN\tI-NP\tO' -p272924 -aS'.\t.\t.\tO\tO' -p272925 -asS'The patient initially continued to have rhythm consistent with EMV and he was bolused with Levophed and given some volume while compressions continued .' -p272926 -(lp272927 -S'The\tThe\tDT\tB-NP\tO' -p272928 -aS'patient\tpatient\tNN\tI-NP\tO' -p272929 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p272930 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p272931 -aS'to\tto\tTO\tI-VP\tO' -p272932 -aS'have\thave\tVB\tI-VP\tO' -p272933 -aS'rhythm\trhythm\tNN\tB-NP\tO' -p272934 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p272935 -aS'with\twith\tIN\tB-PP\tO' -p272936 -aS'EMV\tEMV\tNN\tB-NP\tB-protein' -p272937 -aS'and\tand\tCC\tO\tO' -p272938 -aS'he\the\tPRP\tB-NP\tO' -p272939 -aS'was\tbe\tVBD\tB-VP\tO' -p272940 -aS'bolused\tboluse\tVBN\tI-VP\tO' -p272941 -aS'with\twith\tIN\tB-PP\tO' -p272942 -aS'Levophed\tLevophe\tVBN\tB-NP\tO' -p272943 -aS'and\tand\tCC\tI-NP\tO' -p272944 -aS'given\tgive\tVBN\tI-NP\tO' -p272945 -aS'some\tsome\tDT\tB-NP\tO' -p272946 -aS'volume\tvolume\tNN\tI-NP\tO' -p272947 -aS'while\twhile\tIN\tB-SBAR\tO' -p272948 -aS'compressions\tcompression\tNNS\tB-NP\tO' -p272949 -aS'continued\tcontinue\tVBN\tB-VP\tO' -p272950 -aS'.\t.\t.\tO\tO' -p272951 -asS'Chest was clear to auscultation bilaterally .' -p272952 -(lp272953 -S'Chest\tChest\tNNP\tB-NP\tO' -p272954 -aS'was\tbe\tVBD\tB-VP\tO' -p272955 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p272956 -aS'to\tto\tTO\tB-PP\tO' -p272957 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p272958 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p272959 -aS'.\t.\t.\tO\tO' -p272960 -asS'There was no rotary component .' -p272961 -(lp272962 -S'There\tThere\tEX\tB-NP\tO' -p272963 -aS'was\tbe\tVBD\tB-VP\tO' -p272964 -aS'no\tno\tDT\tB-NP\tO' -p272965 -aS'rotary\trotary\tJJ\tI-NP\tO' -p272966 -aS'component\tcomponent\tNN\tI-NP\tO' -p272967 -aS'.\t.\t.\tO\tO' -p272968 -asS'She was hypoxic requiring 3L nasal cannula O2 .' -p272969 -(lp272970 -S'She\tShe\tPRP\tB-NP\tO' -p272971 -aS'was\tbe\tVBD\tB-VP\tO' -p272972 -aS'hypoxic\thypoxic\tJJ\tB-NP\tO' -p272973 -aS'requiring\trequire\tVBG\tI-NP\tO' -p272974 -aS'3L\t3L\tNN\tI-NP\tO' -p272975 -aS'nasal\tnasal\tJJ\tI-NP\tO' -p272976 -aS'cannula\tcannula\tNN\tI-NP\tO' -p272977 -aS'O2\tO2\tNN\tI-NP\tO' -p272978 -aS'.\t.\t.\tO\tO' -p272979 -asS'She was kept NPO initially and her diet was slowly advanced as tolerated .' -p272980 -(lp272981 -S'She\tShe\tPRP\tB-NP\tO' -p272982 -aS'was\tbe\tVBD\tB-VP\tO' -p272983 -aS'kept\tkeep\tVBN\tI-VP\tO' -p272984 -aS'NPO\tNPO\tNN\tB-NP\tB-protein' -p272985 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p272986 -aS'and\tand\tCC\tO\tO' -p272987 -aS'her\ther\tPRP$\tB-NP\tO' -p272988 -aS'diet\tdiet\tNN\tI-NP\tO' -p272989 -aS'was\tbe\tVBD\tB-VP\tO' -p272990 -aS'slowly\tslowly\tRB\tI-VP\tO' -p272991 -aS'advanced\tadvance\tVBN\tI-VP\tO' -p272992 -aS'as\tas\tIN\tB-SBAR\tO' -p272993 -aS'tolerated\ttolerate\tVBN\tB-VP\tO' -p272994 -aS'.\t.\t.\tO\tO' -p272995 -asS'The patient was aggressively hydrated given that she was NPO .' -p272996 -(lp272997 -S'The\tThe\tDT\tB-NP\tO' -p272998 -aS'patient\tpatient\tNN\tI-NP\tO' -p272999 -aS'was\tbe\tVBD\tB-VP\tO' -p273000 -aS'aggressively\taggressively\tRB\tI-VP\tO' -p273001 -aS'hydrated\thydrate\tVBN\tI-VP\tO' -p273002 -aS'given\tgive\tVBN\tI-VP\tO' -p273003 -aS'that\tthat\tIN\tB-SBAR\tO' -p273004 -aS'she\tshe\tPRP\tB-NP\tO' -p273005 -aS'was\tbe\tVBD\tB-VP\tO' -p273006 -aS'NPO\tNPO\tNN\tB-NP\tB-protein' -p273007 -aS'.\t.\t.\tO\tO' -p273008 -asS'Goals of care were clarified with her Murphy , Robert Sanchez .' -p273009 -(lp273010 -S'Goals\tGoal\tNNS\tB-NP\tO' -p273011 -aS'of\tof\tIN\tB-PP\tO' -p273012 -aS'care\tcare\tNN\tB-NP\tO' -p273013 -aS'were\tbe\tVBD\tB-VP\tO' -p273014 -aS'clarified\tclarify\tVBN\tI-VP\tO' -p273015 -aS'with\twith\tIN\tB-PP\tO' -p273016 -aS'her\ther\tPRP$\tB-NP\tO' -p273017 -aS'Murphy\tMurphy\tNNP\tI-NP\tO' -p273018 -aS',\t,\t,\tO\tO' -p273019 -aS'Robert\tRobert\tNNP\tB-NP\tO' -p273020 -aS'Sanchez\tSanchez\tNNP\tI-NP\tO' -p273021 -aS'.\t.\t.\tO\tO' -p273022 -asS'His last BUN and creatinine were 42 and 1.5 with an INR of 2.5 .' -p273023 -(lp273024 -S'His\tHis\tPRP$\tB-NP\tO' -p273025 -aS'last\tlast\tJJ\tI-NP\tO' -p273026 -aS'BUN\tBUN\tNN\tI-NP\tO' -p273027 -aS'and\tand\tCC\tI-NP\tO' -p273028 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p273029 -aS'were\tbe\tVBD\tB-VP\tO' -p273030 -aS'42\t42\tCD\tB-NP\tO' -p273031 -aS'and\tand\tCC\tI-NP\tO' -p273032 -aS'1.5\t1.5\tCD\tI-NP\tO' -p273033 -aS'with\twith\tIN\tB-PP\tO' -p273034 -aS'an\tan\tDT\tB-NP\tO' -p273035 -aS'INR\tINR\tNN\tI-NP\tB-protein' -p273036 -aS'of\tof\tIN\tB-PP\tO' -p273037 -aS'2.5\t2.5\tCD\tB-NP\tO' -p273038 -aS'.\t.\t.\tO\tO' -p273039 -asS'She reports that the pain shot through her back .' -p273040 -(lp273041 -S'She\tShe\tPRP\tB-NP\tO' -p273042 -aS'reports\treport\tVBZ\tB-VP\tO' -p273043 -aS'that\tthat\tIN\tB-SBAR\tO' -p273044 -aS'the\tthe\tDT\tB-NP\tO' -p273045 -aS'pain\tpain\tNN\tI-NP\tO' -p273046 -aS'shot\tshot\tNN\tI-NP\tO' -p273047 -aS'through\tthrough\tIN\tB-PP\tO' -p273048 -aS'her\ther\tPRP$\tB-NP\tO' -p273049 -aS'back\tback\tNN\tI-NP\tO' -p273050 -aS'.\t.\t.\tO\tO' -p273051 -asS'She is receiving a kidney from her sister .' -p273052 -(lp273053 -S'She\tShe\tPRP\tB-NP\tO' -p273054 -aS'is\tbe\tVBZ\tB-VP\tO' -p273055 -aS'receiving\treceive\tVBG\tI-VP\tO' -p273056 -aS'a\ta\tDT\tB-NP\tO' -p273057 -aS'kidney\tkidney\tNN\tI-NP\tO' -p273058 -aS'from\tfrom\tIN\tB-PP\tO' -p273059 -aS'her\ther\tPRP$\tB-NP\tO' -p273060 -aS'sister\tsister\tNN\tI-NP\tO' -p273061 -aS'.\t.\t.\tO\tO' -p273062 -asS'CV : RR , NL rate .' -p273063 -(lp273064 -S'CV\tCV\tNN\tB-NP\tO' -p273065 -aS':\t:\t:\tO\tO' -p273066 -aS'RR\tRR\tNN\tB-NP\tB-protein' -p273067 -aS',\t,\t,\tO\tO' -p273068 -aS'NL\tNL\tNN\tB-NP\tB-protein' -p273069 -aS'rate\trate\tNN\tI-NP\tO' -p273070 -aS'.\t.\t.\tO\tO' -p273071 -asS'14. Humalog 100 unit / mL Solution Sig : USE AS DIRECTED Subcutaneous four times a day : please use attached sliding scale .' -p273072 -(lp273073 -S'14.\t14.\tCD\tB-NP\tO' -p273074 -aS'Humalog\tHumalog\tNNP\tI-NP\tO' -p273075 -aS'100\t100\tCD\tI-NP\tO' -p273076 -aS'unit\tunit\tNN\tI-NP\tO' -p273077 -aS'/\t/\tSYM\tB-NP\tO' -p273078 -aS'mL\tmL\tNN\tI-NP\tO' -p273079 -aS'Solution\tSolution\tNNP\tI-NP\tO' -p273080 -aS'Sig\tSig\tNNP\tI-NP\tO' -p273081 -aS':\t:\t:\tO\tO' -p273082 -aS'USE\tUSE\tNNP\tB-NP\tO' -p273083 -aS'AS\tAS\tNNP\tI-NP\tO' -p273084 -aS'DIRECTED\tDIRECTED\tNNP\tI-NP\tO' -p273085 -aS'Subcutaneous\tSubcutaneous\tNNP\tI-NP\tO' -p273086 -aS'four\tfour\tCD\tB-NP\tO' -p273087 -aS'times\ttime\tNNS\tI-NP\tO' -p273088 -aS'a\ta\tDT\tB-NP\tO' -p273089 -aS'day\tday\tNN\tI-NP\tO' -p273090 -aS':\t:\t:\tO\tO' -p273091 -aS'please\tplease\tVB\tB-VP\tO' -p273092 -aS'use\tuse\tNN\tB-NP\tO' -p273093 -aS'attached\tattach\tVBN\tB-VP\tO' -p273094 -aS'sliding\tslide\tVBG\tB-VP\tO' -p273095 -aS'scale\tscale\tNN\tB-NP\tO' -p273096 -aS'.\t.\t.\tO\tO' -p273097 -asS'4. Carpal tunnel syndrome .' -p273098 -(lp273099 -S'4.\t4.\tLS\tB-NP\tO' -p273100 -aS'Carpal\tCarpal\tJJ\tI-NP\tO' -p273101 -aS'tunnel\ttunnel\tNN\tI-NP\tO' -p273102 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p273103 -aS'.\t.\t.\tO\tO' -p273104 -asS'Audiology hearing has not yet been obtained .' -p273105 -(lp273106 -S'Audiology\tAudiology\tNN\tB-NP\tO' -p273107 -aS'hearing\thearing\tNN\tI-NP\tO' -p273108 -aS'has\thave\tVBZ\tB-VP\tO' -p273109 -aS'not\tnot\tRB\tI-VP\tO' -p273110 -aS'yet\tyet\tRB\tI-VP\tO' -p273111 -aS'been\tbe\tVBN\tI-VP\tO' -p273112 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p273113 -aS'.\t.\t.\tO\tO' -p273114 -asS'Two sisters with h/o depression and suicidality .' -p273115 -(lp273116 -S'Two\tTwo\tCD\tB-NP\tO' -p273117 -aS'sisters\tsister\tNNS\tI-NP\tO' -p273118 -aS'with\twith\tIN\tB-PP\tO' -p273119 -aS'h/o\th/o\tNN\tB-NP\tO' -p273120 -aS'depression\tdepression\tNN\tI-NP\tO' -p273121 -aS'and\tand\tCC\tI-NP\tO' -p273122 -aS'suicidality\tsuicidality\tNN\tI-NP\tO' -p273123 -aS'.\t.\t.\tO\tO' -p273124 -asS'A small amount of free fluid is seen tracking around the liver , right pericolic gutter , along the mesentery and surrounding the right colon , which is collapsed .' -p273125 -(lp273126 -S'A\tA\tDT\tB-NP\tO' -p273127 -aS'small\tsmall\tJJ\tI-NP\tO' -p273128 -aS'amount\tamount\tNN\tI-NP\tO' -p273129 -aS'of\tof\tIN\tB-PP\tO' -p273130 -aS'free\tfree\tJJ\tB-NP\tO' -p273131 -aS'fluid\tfluid\tNN\tI-NP\tO' -p273132 -aS'is\tbe\tVBZ\tB-VP\tO' -p273133 -aS'seen\tsee\tVBN\tI-VP\tO' -p273134 -aS'tracking\ttrack\tVBG\tI-VP\tO' -p273135 -aS'around\taround\tIN\tB-PP\tO' -p273136 -aS'the\tthe\tDT\tB-NP\tO' -p273137 -aS'liver\tliver\tNN\tI-NP\tO' -p273138 -aS',\t,\t,\tO\tO' -p273139 -aS'right\tright\tJJ\tB-NP\tO' -p273140 -aS'pericolic\tpericolic\tJJ\tI-NP\tO' -p273141 -aS'gutter\tgutter\tNN\tI-NP\tO' -p273142 -aS',\t,\t,\tO\tO' -p273143 -aS'along\talong\tIN\tB-PP\tO' -p273144 -aS'the\tthe\tDT\tB-NP\tO' -p273145 -aS'mesentery\tmesentery\tNN\tI-NP\tO' -p273146 -aS'and\tand\tCC\tO\tO' -p273147 -aS'surrounding\tsurround\tVBG\tB-VP\tO' -p273148 -aS'the\tthe\tDT\tB-NP\tO' -p273149 -aS'right\tright\tJJ\tI-NP\tO' -p273150 -aS'colon\tcolon\tNN\tI-NP\tO' -p273151 -aS',\t,\t,\tO\tO' -p273152 -aS'which\twhich\tWDT\tB-NP\tO' -p273153 -aS'is\tbe\tVBZ\tB-VP\tO' -p273154 -aS'collapsed\tcollapse\tVBN\tI-VP\tO' -p273155 -aS'.\t.\t.\tO\tO' -p273156 -asS'2 ) HEPATIC ENCEPHALOPATHY .' -p273157 -(lp273158 -S'2\t2\tLS\tB-LST\tO' -p273159 -aS')\t)\t)\tO\tO' -p273160 -aS'HEPATIC\tHEPATIC\tNN\tB-NP\tO' -p273161 -aS'ENCEPHALOPATHY\tENCEPHALOPATHY\tNN\tI-NP\tO' -p273162 -aS'.\t.\t.\tO\tO' -p273163 -asS'4. AORTIC STENOSIS WITH PORCINE VALVE .' -p273164 -(lp273165 -S'4.\t4.\tLS\tB-NP\tO' -p273166 -aS'AORTIC\tAORTIC\tNN\tI-NP\tO' -p273167 -aS'STENOSIS\tSTENOSIS\tNN\tI-NP\tO' -p273168 -aS'WITH\tWITH\tNNP\tI-NP\tO' -p273169 -aS'PORCINE\tPORCINE\tNNP\tI-NP\tO' -p273170 -aS'VALVE\tVALVE\tNNP\tI-NP\tO' -p273171 -aS'.\t.\t.\tO\tO' -p273172 -asS'EXT : 3+ bilateral edema , LLE edema and erythema , no chords , + warmth , + chronic venous changes , negative Homens' -p273173 -(lp273174 -S'EXT\tEXT\tNN\tB-NP\tO' -p273175 -aS':\t:\t:\tO\tO' -p273176 -aS'3+\t3+\tJJ\tB-NP\tO' -p273177 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p273178 -aS'edema\tedema\tNN\tI-NP\tO' -p273179 -aS',\t,\t,\tO\tO' -p273180 -aS'LLE\tLLE\tNN\tB-NP\tB-protein' -p273181 -aS'edema\tedema\tNN\tI-NP\tI-protein' -p273182 -aS'and\tand\tCC\tO\tO' -p273183 -aS'erythema\terythema\tNN\tB-NP\tO' -p273184 -aS',\t,\t,\tO\tO' -p273185 -aS'no\tno\tDT\tB-NP\tO' -p273186 -aS'chords\tchord\tNNS\tI-NP\tO' -p273187 -aS',\t,\t,\tO\tO' -p273188 -aS'+\t+\tSYM\tB-NP\tO' -p273189 -aS'warmth\twarmth\tNN\tI-NP\tO' -p273190 -aS',\t,\t,\tO\tO' -p273191 -aS'+\t+\tSYM\tB-NP\tO' -p273192 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p273193 -aS'venous\tvenous\tJJ\tI-NP\tO' -p273194 -aS'changes\tchange\tNNS\tI-NP\tO' -p273195 -aS',\t,\t,\tO\tO' -p273196 -aS'negative\tnegative\tJJ\tB-NP\tO' -p273197 -aS'Homens\tHomen\tNNS\tI-NP\tO' -p273198 -asS'Examination of the back revealed lumbar tenderness with no point tenderness .' -p273199 -(lp273200 -S'Examination\tExamination\tNN\tB-NP\tO' -p273201 -aS'of\tof\tIN\tB-PP\tO' -p273202 -aS'the\tthe\tDT\tB-NP\tO' -p273203 -aS'back\tback\tNN\tI-NP\tO' -p273204 -aS'revealed\treveal\tVBD\tB-VP\tO' -p273205 -aS'lumbar\tlumbar\tJJ\tB-NP\tO' -p273206 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p273207 -aS'with\twith\tIN\tB-PP\tO' -p273208 -aS'no\tno\tDT\tB-NP\tO' -p273209 -aS'point\tpoint\tNN\tI-NP\tO' -p273210 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p273211 -aS'.\t.\t.\tO\tO' -p273212 -asS'She is a half to one pack per day smoker for 10 years who quit approximately one week prior to her admission .' -p273213 -(lp273214 -S'She\tShe\tPRP\tB-NP\tO' -p273215 -aS'is\tbe\tVBZ\tB-VP\tO' -p273216 -aS'a\ta\tDT\tB-NP\tO' -p273217 -aS'half\thalf\tNN\tI-NP\tO' -p273218 -aS'to\tto\tTO\tB-PP\tO' -p273219 -aS'one\tone\tCD\tB-NP\tO' -p273220 -aS'pack\tpack\tNN\tI-NP\tO' -p273221 -aS'per\tper\tIN\tB-PP\tO' -p273222 -aS'day\tday\tNN\tB-NP\tO' -p273223 -aS'smoker\tsmoker\tNN\tI-NP\tO' -p273224 -aS'for\tfor\tIN\tB-PP\tO' -p273225 -aS'10\t10\tCD\tB-NP\tO' -p273226 -aS'years\tyear\tNNS\tI-NP\tO' -p273227 -aS'who\twho\tWP\tB-NP\tO' -p273228 -aS'quit\tquit\tVBP\tB-VP\tO' -p273229 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p273230 -aS'one\tone\tCD\tI-NP\tO' -p273231 -aS'week\tweek\tNN\tI-NP\tO' -p273232 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p273233 -aS'to\tto\tTO\tB-PP\tO' -p273234 -aS'her\ther\tPRP$\tB-NP\tO' -p273235 -aS'admission\tadmission\tNN\tI-NP\tO' -p273236 -aS'.\t.\t.\tO\tO' -p273237 -asS'Keep all your follow-up appointments .' -p273238 -(lp273239 -S'Keep\tKeep\tVB\tB-VP\tO' -p273240 -aS'all\tall\tDT\tB-NP\tO' -p273241 -aS'your\tyour\tPRP$\tI-NP\tO' -p273242 -aS'follow-up\tfollow-up\tJJ\tI-NP\tO' -p273243 -aS'appointments\tappointment\tNNS\tI-NP\tO' -p273244 -aS'.\t.\t.\tO\tO' -p273245 -asS'She continues to deny chest pain , palpitations , shortness of breath , fevers , nausea , vomiting , abdominal pain , bright red blood per rectum , melena , dysuria , urinary frequency and urgency .' -p273246 -(lp273247 -S'She\tShe\tPRP\tB-NP\tO' -p273248 -aS'continues\tcontinue\tVBZ\tB-VP\tO' -p273249 -aS'to\tto\tTO\tI-VP\tO' -p273250 -aS'deny\tdeny\tVB\tI-VP\tO' -p273251 -aS'chest\tchest\tNN\tB-NP\tO' -p273252 -aS'pain\tpain\tNN\tI-NP\tO' -p273253 -aS',\t,\t,\tO\tO' -p273254 -aS'palpitations\tpalpitation\tNNS\tB-NP\tO' -p273255 -aS',\t,\t,\tO\tO' -p273256 -aS'shortness\tshortness\tNN\tB-NP\tO' -p273257 -aS'of\tof\tIN\tB-PP\tO' -p273258 -aS'breath\tbreath\tNN\tB-NP\tO' -p273259 -aS',\t,\t,\tO\tO' -p273260 -aS'fevers\tfever\tNNS\tB-NP\tO' -p273261 -aS',\t,\t,\tO\tO' -p273262 -aS'nausea\tnausea\tNN\tB-NP\tO' -p273263 -aS',\t,\t,\tO\tO' -p273264 -aS'vomiting\tvomit\tVBG\tB-VP\tO' -p273265 -aS',\t,\t,\tO\tO' -p273266 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p273267 -aS'pain\tpain\tNN\tI-NP\tO' -p273268 -aS',\t,\t,\tO\tO' -p273269 -aS'bright\tbright\tJJ\tB-NP\tO' -p273270 -aS'red\tred\tJJ\tI-NP\tO' -p273271 -aS'blood\tblood\tNN\tI-NP\tO' -p273272 -aS'per\tper\tIN\tB-PP\tO' -p273273 -aS'rectum\trectum\tNN\tB-NP\tO' -p273274 -aS',\t,\t,\tO\tO' -p273275 -aS'melena\tmelena\tNN\tB-NP\tO' -p273276 -aS',\t,\t,\tO\tO' -p273277 -aS'dysuria\tdysuria\tNN\tB-NP\tO' -p273278 -aS',\t,\t,\tO\tO' -p273279 -aS'urinary\turinary\tJJ\tB-NP\tO' -p273280 -aS'frequency\tfrequency\tNN\tI-NP\tO' -p273281 -aS'and\tand\tCC\tI-NP\tO' -p273282 -aS'urgency\turgency\tNN\tI-NP\tO' -p273283 -aS'.\t.\t.\tO\tO' -p273284 -asS'Screens have been sent and results are pending .' -p273285 -(lp273286 -S'Screens\tScreen\tNNS\tB-NP\tO' -p273287 -aS'have\thave\tVBP\tB-VP\tO' -p273288 -aS'been\tbe\tVBN\tI-VP\tO' -p273289 -aS'sent\tsend\tVBN\tI-VP\tO' -p273290 -aS'and\tand\tCC\tO\tO' -p273291 -aS'results\tresult\tNNS\tB-NP\tO' -p273292 -aS'are\tbe\tVBP\tB-VP\tO' -p273293 -aS'pending\tpende\tVBG\tI-VP\tO' -p273294 -aS'.\t.\t.\tO\tO' -p273295 -asS'X-rays of her right lower extremity were negative for any acute injury .' -p273296 -(lp273297 -S'X-rays\tX-ray\tNNS\tB-NP\tO' -p273298 -aS'of\tof\tIN\tB-PP\tO' -p273299 -aS'her\ther\tPRP$\tB-NP\tO' -p273300 -aS'right\tright\tJJ\tI-NP\tO' -p273301 -aS'lower\tlow\tJJR\tI-NP\tO' -p273302 -aS'extremity\textremity\tNN\tI-NP\tO' -p273303 -aS'were\tbe\tVBD\tB-VP\tO' -p273304 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p273305 -aS'for\tfor\tIN\tB-PP\tO' -p273306 -aS'any\tany\tDT\tB-NP\tO' -p273307 -aS'acute\tacute\tJJ\tI-NP\tO' -p273308 -aS'injury\tinjury\tNN\tI-NP\tO' -p273309 -aS'.\t.\t.\tO\tO' -p273310 -asS'5. Distended gallbladder .' -p273311 -(lp273312 -S'5.\t5.\tLS\tB-LST\tO' -p273313 -aS'Distended\tDistend\tVBD\tB-VP\tO' -p273314 -aS'gallbladder\tgallbladder\tNN\tB-NP\tO' -p273315 -aS'.\t.\t.\tO\tO' -p273316 -asS'She is allergic to Amoxicillin , having developed a rash , does not smoke , does not drink .' -p273317 -(lp273318 -S'She\tShe\tPRP\tB-NP\tO' -p273319 -aS'is\tbe\tVBZ\tB-VP\tO' -p273320 -aS'allergic\tallergic\tJJ\tB-ADJP\tO' -p273321 -aS'to\tto\tTO\tB-PP\tO' -p273322 -aS'Amoxicillin\tAmoxicillin\tNN\tB-NP\tB-protein' -p273323 -aS',\t,\t,\tO\tO' -p273324 -aS'having\thave\tVBG\tB-VP\tO' -p273325 -aS'developed\tdevelop\tVBN\tI-VP\tO' -p273326 -aS'a\ta\tDT\tB-NP\tO' -p273327 -aS'rash\trash\tNN\tI-NP\tO' -p273328 -aS',\t,\t,\tO\tO' -p273329 -aS'does\tdo\tVBZ\tB-VP\tO' -p273330 -aS'not\tnot\tRB\tI-VP\tO' -p273331 -aS'smoke\tsmoke\tVB\tI-VP\tO' -p273332 -aS',\t,\t,\tO\tO' -p273333 -aS'does\tdo\tVBZ\tB-VP\tO' -p273334 -aS'not\tnot\tRB\tI-VP\tO' -p273335 -aS'drink\tdrink\tVB\tI-VP\tO' -p273336 -aS'.\t.\t.\tO\tO' -p273337 -asS'Clinical progression of skin and sinus infection on maximal antimicrobial therapy continued , with emergence on November 20 of a new right-sided ptosis in association with a left homonymous hemianopsia , and fleeting confusion while febrile , prompting head MRI which revealed a large 5 x 2 x 4.3 cm region in the right occipital lobe of hemorrhage and edema , with dural and , likely , leptomeningeal enhancement in association with small foci in the right cerebellum and pons , concerning for early lesions of similar type .' -p273338 -(lp273339 -S'Clinical\tClinical\tJJ\tB-NP\tO' -p273340 -aS'progression\tprogression\tNN\tI-NP\tO' -p273341 -aS'of\tof\tIN\tB-PP\tO' -p273342 -aS'skin\tskin\tNN\tB-NP\tO' -p273343 -aS'and\tand\tCC\tI-NP\tO' -p273344 -aS'sinus\tsinus\tNN\tI-NP\tO' -p273345 -aS'infection\tinfection\tNN\tI-NP\tO' -p273346 -aS'on\ton\tIN\tB-PP\tO' -p273347 -aS'maximal\tmaximal\tJJ\tB-NP\tO' -p273348 -aS'antimicrobial\tantimicrobial\tJJ\tI-NP\tO' -p273349 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p273350 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p273351 -aS',\t,\t,\tO\tO' -p273352 -aS'with\twith\tIN\tB-PP\tO' -p273353 -aS'emergence\temergence\tNN\tB-NP\tO' -p273354 -aS'on\ton\tIN\tB-PP\tO' -p273355 -aS'November\tNovember\tNNP\tB-NP\tO' -p273356 -aS'20\t20\tCD\tI-NP\tO' -p273357 -aS'of\tof\tIN\tB-PP\tO' -p273358 -aS'a\ta\tDT\tB-NP\tO' -p273359 -aS'new\tnew\tJJ\tI-NP\tO' -p273360 -aS'right-sided\tright-sided\tJJ\tI-NP\tO' -p273361 -aS'ptosis\tptosis\tNN\tI-NP\tO' -p273362 -aS'in\tin\tIN\tB-PP\tO' -p273363 -aS'association\tassociation\tNN\tB-NP\tO' -p273364 -aS'with\twith\tIN\tB-PP\tO' -p273365 -aS'a\ta\tDT\tB-NP\tO' -p273366 -aS'left\tleft\tJJ\tI-NP\tO' -p273367 -aS'homonymous\thomonymous\tJJ\tI-NP\tO' -p273368 -aS'hemianopsia\themianopsia\tNN\tI-NP\tO' -p273369 -aS',\t,\t,\tO\tO' -p273370 -aS'and\tand\tCC\tO\tO' -p273371 -aS'fleeting\tfleeting\tJJ\tB-NP\tO' -p273372 -aS'confusion\tconfusion\tNN\tI-NP\tO' -p273373 -aS'while\twhile\tIN\tB-SBAR\tO' -p273374 -aS'febrile\tfebrile\tNN\tB-NP\tO' -p273375 -aS',\t,\t,\tO\tO' -p273376 -aS'prompting\tprompt\tVBG\tB-VP\tO' -p273377 -aS'head\thead\tNN\tB-NP\tO' -p273378 -aS'MRI\tMRI\tNN\tI-NP\tO' -p273379 -aS'which\twhich\tWDT\tB-NP\tO' -p273380 -aS'revealed\treveal\tVBD\tB-VP\tO' -p273381 -aS'a\ta\tDT\tB-NP\tO' -p273382 -aS'large\tlarge\tJJ\tI-NP\tB-DNA' -p273383 -aS'5\t5\tCD\tI-NP\tI-DNA' -p273384 -aS'x\tx\tSYM\tI-NP\tI-DNA' -p273385 -aS'2\t2\tCD\tI-NP\tI-DNA' -p273386 -aS'x\tx\tSYM\tI-NP\tI-DNA' -p273387 -aS'4.3\t4.3\tCD\tI-NP\tI-DNA' -p273388 -aS'cm\tcm\tNN\tI-NP\tI-DNA' -p273389 -aS'region\tregion\tNN\tI-NP\tI-DNA' -p273390 -aS'in\tin\tIN\tB-PP\tO' -p273391 -aS'the\tthe\tDT\tB-NP\tO' -p273392 -aS'right\tright\tJJ\tI-NP\tO' -p273393 -aS'occipital\toccipital\tNN\tI-NP\tO' -p273394 -aS'lobe\tlobe\tNN\tI-NP\tO' -p273395 -aS'of\tof\tIN\tB-PP\tO' -p273396 -aS'hemorrhage\themorrhage\tNN\tB-NP\tO' -p273397 -aS'and\tand\tCC\tI-NP\tO' -p273398 -aS'edema\tedema\tNN\tI-NP\tO' -p273399 -aS',\t,\t,\tO\tO' -p273400 -aS'with\twith\tIN\tB-PP\tO' -p273401 -aS'dural\tdural\tJJ\tB-ADJP\tO' -p273402 -aS'and\tand\tCC\tO\tO' -p273403 -aS',\t,\t,\tO\tO' -p273404 -aS'likely\tlikely\tRB\tB-ADVP\tO' -p273405 -aS',\t,\t,\tO\tO' -p273406 -aS'leptomeningeal\tleptomeningeal\tJJ\tB-NP\tO' -p273407 -aS'enhancement\tenhancement\tNN\tI-NP\tO' -p273408 -aS'in\tin\tIN\tB-PP\tO' -p273409 -aS'association\tassociation\tNN\tB-NP\tO' -p273410 -aS'with\twith\tIN\tB-PP\tO' -p273411 -aS'small\tsmall\tJJ\tB-NP\tO' -p273412 -aS'foci\tfocus\tNNS\tI-NP\tO' -p273413 -aS'in\tin\tIN\tB-PP\tO' -p273414 -aS'the\tthe\tDT\tB-NP\tO' -p273415 -aS'right\tright\tJJ\tI-NP\tO' -p273416 -aS'cerebellum\tcerebellum\tNN\tI-NP\tO' -p273417 -aS'and\tand\tCC\tI-NP\tO' -p273418 -aS'pons\tpon\tNNS\tI-NP\tO' -p273419 -aS',\t,\t,\tO\tO' -p273420 -aS'concerning\tconcern\tVBG\tB-VP\tO' -p273421 -aS'for\tfor\tIN\tB-PP\tO' -p273422 -aS'early\tearly\tJJ\tB-NP\tO' -p273423 -aS'lesions\tlesion\tNNS\tI-NP\tO' -p273424 -aS'of\tof\tIN\tB-PP\tO' -p273425 -aS'similar\tsimilar\tJJ\tB-NP\tO' -p273426 -aS'type\ttype\tNN\tI-NP\tO' -p273427 -aS'.\t.\t.\tO\tO' -p273428 -asS'Neurology concluded episode was most concerning for TIA .' -p273429 -(lp273430 -S'Neurology\tNeurology\tNNP\tB-NP\tO' -p273431 -aS'concluded\tconclude\tVBD\tB-VP\tO' -p273432 -aS'episode\tepisode\tNN\tB-NP\tO' -p273433 -aS'was\tbe\tVBD\tB-VP\tO' -p273434 -aS'most\tmost\tRBS\tI-VP\tO' -p273435 -aS'concerning\tconcern\tVBG\tI-VP\tO' -p273436 -aS'for\tfor\tIN\tB-PP\tO' -p273437 -aS'TIA\tTIA\tNN\tB-NP\tB-protein' -p273438 -aS'.\t.\t.\tO\tO' -p273439 -asS'Accordingly , the patient was discharged to home on postoperative day 2 .' -p273440 -(lp273441 -S'Accordingly\tAccordingly\tRB\tB-ADVP\tO' -p273442 -aS',\t,\t,\tO\tO' -p273443 -aS'the\tthe\tDT\tB-NP\tO' -p273444 -aS'patient\tpatient\tNN\tI-NP\tO' -p273445 -aS'was\tbe\tVBD\tB-VP\tO' -p273446 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p273447 -aS'to\tto\tTO\tI-VP\tO' -p273448 -aS'home\thome\tVB\tI-VP\tO' -p273449 -aS'on\ton\tIN\tB-PP\tO' -p273450 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p273451 -aS'day\tday\tNN\tI-NP\tO' -p273452 -aS'2\t2\tCD\tI-NP\tO' -p273453 -aS'.\t.\t.\tO\tO' -p273454 -asS'Grimaces eyes when they are opened .' -p273455 -(lp273456 -S'Grimaces\tGrimace\tNNS\tB-NP\tO' -p273457 -aS'eyes\teye\tNNS\tI-NP\tO' -p273458 -aS'when\twhen\tWRB\tB-ADVP\tO' -p273459 -aS'they\tthey\tPRP\tB-NP\tO' -p273460 -aS'are\tbe\tVBP\tB-VP\tO' -p273461 -aS'opened\topen\tVBN\tI-VP\tO' -p273462 -aS'.\t.\t.\tO\tO' -p273463 -asS'Hematocrit on admission was 43% with a white blood count of 6600 .' -p273464 -(lp273465 -S'Hematocrit\tHematocrit\tNN\tB-NP\tO' -p273466 -aS'on\ton\tIN\tB-PP\tO' -p273467 -aS'admission\tadmission\tNN\tB-NP\tO' -p273468 -aS'was\tbe\tVBD\tB-VP\tO' -p273469 -aS'43%\t43%\tCD\tB-NP\tO' -p273470 -aS'with\twith\tIN\tB-PP\tO' -p273471 -aS'a\ta\tDT\tB-NP\tO' -p273472 -aS'white\twhite\tJJ\tI-NP\tO' -p273473 -aS'blood\tblood\tNN\tI-NP\tO' -p273474 -aS'count\tcount\tNN\tI-NP\tO' -p273475 -aS'of\tof\tIN\tB-PP\tO' -p273476 -aS'6600\t6600\tCD\tB-NP\tO' -p273477 -aS'.\t.\t.\tO\tO' -p273478 -asS'He was admitted to the Retelk County Medical Center at that time and was treated with Bactrim and steroids .' -p273479 -(lp273480 -S'He\tHe\tPRP\tB-NP\tO' -p273481 -aS'was\tbe\tVBD\tB-VP\tO' -p273482 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p273483 -aS'to\tto\tTO\tB-PP\tO' -p273484 -aS'the\tthe\tDT\tB-NP\tO' -p273485 -aS'Retelk\tRetelk\tNNP\tI-NP\tO' -p273486 -aS'County\tCounty\tNNP\tI-NP\tO' -p273487 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p273488 -aS'Center\tCenter\tNNP\tI-NP\tO' -p273489 -aS'at\tat\tIN\tB-PP\tO' -p273490 -aS'that\tthat\tDT\tB-NP\tO' -p273491 -aS'time\ttime\tNN\tI-NP\tO' -p273492 -aS'and\tand\tCC\tO\tO' -p273493 -aS'was\tbe\tVBD\tB-VP\tO' -p273494 -aS'treated\ttreat\tVBN\tI-VP\tO' -p273495 -aS'with\twith\tIN\tB-PP\tO' -p273496 -aS'Bactrim\tBactrim\tNN\tB-NP\tO' -p273497 -aS'and\tand\tCC\tI-NP\tO' -p273498 -aS'steroids\tsteroid\tNNS\tI-NP\tO' -p273499 -aS'.\t.\t.\tO\tO' -p273500 -asS'Left ventricular wall thickness , cavity size , and systolic function are normal ( LVEF >55% ) .' -p273501 -(lp273502 -S'Left\tLeave\tVBN\tB-NP\tO' -p273503 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p273504 -aS'wall\twall\tNN\tI-NP\tO' -p273505 -aS'thickness\tthickness\tNN\tI-NP\tO' -p273506 -aS',\t,\t,\tO\tO' -p273507 -aS'cavity\tcavity\tNN\tB-NP\tO' -p273508 -aS'size\tsize\tNN\tI-NP\tO' -p273509 -aS',\t,\t,\tO\tO' -p273510 -aS'and\tand\tCC\tO\tO' -p273511 -aS'systolic\tsystolic\tJJ\tB-NP\tO' -p273512 -aS'function\tfunction\tNN\tI-NP\tO' -p273513 -aS'are\tbe\tVBP\tB-VP\tO' -p273514 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p273515 -aS'(\t(\t(\tO\tO' -p273516 -aS'LVEF\tLVEF\tNN\tB-NP\tB-protein' -p273517 -aS'>55%\t>55%\tNN\tI-NP\tI-protein' -p273518 -aS')\t)\t)\tO\tO' -p273519 -aS'.\t.\t.\tO\tO' -p273520 -asS'Bowel sounds are present .' -p273521 -(lp273522 -S'Bowel\tBowel\tNN\tB-NP\tO' -p273523 -aS'sounds\tsound\tNNS\tI-NP\tO' -p273524 -aS'are\tbe\tVBP\tB-VP\tO' -p273525 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p273526 -aS'.\t.\t.\tO\tO' -p273527 -asS'The patient was transferred to the ICU intubated with stable .' -p273528 -(lp273529 -S'The\tThe\tDT\tB-NP\tO' -p273530 -aS'patient\tpatient\tNN\tI-NP\tO' -p273531 -aS'was\tbe\tVBD\tB-VP\tO' -p273532 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p273533 -aS'to\tto\tTO\tB-PP\tO' -p273534 -aS'the\tthe\tDT\tB-NP\tO' -p273535 -aS'ICU\tICU\tNN\tI-NP\tB-DNA' -p273536 -aS'intubated\tintubate\tVBN\tB-VP\tO' -p273537 -aS'with\twith\tIN\tB-PP\tO' -p273538 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p273539 -aS'.\t.\t.\tO\tO' -p273540 -asS'2. Large for gestational age term male .' -p273541 -(lp273542 -S'2.\t2.\tLS\tB-NP\tO' -p273543 -aS'Large\tLarge\tNN\tI-NP\tO' -p273544 -aS'for\tfor\tIN\tB-PP\tO' -p273545 -aS'gestational\tgestational\tJJ\tB-NP\tO' -p273546 -aS'age\tage\tNN\tI-NP\tO' -p273547 -aS'term\tterm\tNN\tI-NP\tO' -p273548 -aS'male\tmale\tNN\tI-NP\tO' -p273549 -aS'.\t.\t.\tO\tO' -p273550 -asS'12. Colace .' -p273551 -(lp273552 -S'12.\t12.\tLS\tB-LST\tO' -p273553 -aS'Colace\tColace\tNNP\tB-NP\tO' -p273554 -aS'.\t.\t.\tO\tO' -p273555 -asS'7. Digoxin 0.25 mg po q day .' -p273556 -(lp273557 -S'7.\t7.\tCD\tB-NP\tO' -p273558 -aS'Digoxin\tDigoxin\tNN\tI-NP\tO' -p273559 -aS'0.25\t0.25\tCD\tB-NP\tO' -p273560 -aS'mg\tmg\tNN\tI-NP\tO' -p273561 -aS'po\tpo\tNN\tI-NP\tO' -p273562 -aS'q\tq\tNN\tI-NP\tO' -p273563 -aS'day\tday\tNN\tI-NP\tO' -p273564 -aS'.\t.\t.\tO\tO' -p273565 -asS'3. Fluids , electrolytes and nutrition .' -p273566 -(lp273567 -S'3.\t3.\tLS\tB-NP\tO' -p273568 -aS'Fluids\tFluid\tNNS\tI-NP\tO' -p273569 -aS',\t,\t,\tO\tO' -p273570 -aS'electrolytes\telectrolyte\tNNS\tB-NP\tO' -p273571 -aS'and\tand\tCC\tO\tO' -p273572 -aS'nutrition\tnutrition\tNN\tB-NP\tO' -p273573 -aS'.\t.\t.\tO\tO' -p273574 -asS'She was also given whiskey spirits because of the fact that she drank one to two drinks of scotch per day .' -p273575 -(lp273576 -S'She\tShe\tPRP\tB-NP\tO' -p273577 -aS'was\tbe\tVBD\tB-VP\tO' -p273578 -aS'also\talso\tRB\tI-VP\tO' -p273579 -aS'given\tgive\tVBN\tI-VP\tO' -p273580 -aS'whiskey\twhiskey\tNN\tB-NP\tO' -p273581 -aS'spirits\tspirit\tNNS\tI-NP\tO' -p273582 -aS'because\tbecause\tIN\tB-PP\tO' -p273583 -aS'of\tof\tIN\tI-PP\tO' -p273584 -aS'the\tthe\tDT\tB-NP\tO' -p273585 -aS'fact\tfact\tNN\tI-NP\tO' -p273586 -aS'that\tthat\tIN\tB-SBAR\tO' -p273587 -aS'she\tshe\tPRP\tB-NP\tO' -p273588 -aS'drank\tdrink\tVBD\tB-VP\tO' -p273589 -aS'one\tone\tCD\tB-NP\tO' -p273590 -aS'to\tto\tTO\tB-PP\tO' -p273591 -aS'two\ttwo\tCD\tB-NP\tO' -p273592 -aS'drinks\tdrink\tNNS\tI-NP\tO' -p273593 -aS'of\tof\tIN\tB-PP\tO' -p273594 -aS'scotch\tscotch\tNN\tB-NP\tO' -p273595 -aS'per\tper\tIN\tB-PP\tO' -p273596 -aS'day\tday\tNN\tB-NP\tO' -p273597 -aS'.\t.\t.\tO\tO' -p273598 -asS'The patient is a 69-year-old male with multiple medical problems and known transfusion dependent secondary to myelodysplastic syndrome admitted with decreased hematocrit .' -p273599 -(lp273600 -S'The\tThe\tDT\tB-NP\tO' -p273601 -aS'patient\tpatient\tNN\tI-NP\tO' -p273602 -aS'is\tbe\tVBZ\tB-VP\tO' -p273603 -aS'a\ta\tDT\tB-NP\tO' -p273604 -aS'69-year-old\t69-year-old\tJJ\tI-NP\tO' -p273605 -aS'male\tmale\tNN\tI-NP\tO' -p273606 -aS'with\twith\tIN\tB-PP\tO' -p273607 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p273608 -aS'medical\tmedical\tJJ\tI-NP\tO' -p273609 -aS'problems\tproblem\tNNS\tI-NP\tO' -p273610 -aS'and\tand\tCC\tO\tO' -p273611 -aS'known\tknow\tVBN\tB-NP\tO' -p273612 -aS'transfusion\ttransfusion\tNN\tI-NP\tO' -p273613 -aS'dependent\tdependent\tJJ\tI-NP\tO' -p273614 -aS'secondary\tsecondary\tJJ\tI-NP\tO' -p273615 -aS'to\tto\tTO\tB-PP\tO' -p273616 -aS'myelodysplastic\tmyelodysplastic\tJJ\tB-NP\tO' -p273617 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p273618 -aS'admitted\tadmit\tVBN\tB-VP\tO' -p273619 -aS'with\twith\tIN\tB-PP\tO' -p273620 -aS'decreased\tdecrease\tVBN\tB-NP\tO' -p273621 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p273622 -aS'.\t.\t.\tO\tO' -p273623 -asS'Hematology .' -p273624 -(lp273625 -S'Hematology\tHematology\tNN\tB-NP\tO' -p273626 -aS'.\t.\t.\tO\tO' -p273627 -asS'There was also evidence of bone metastasis at that time .' -p273628 -(lp273629 -S'There\tThere\tEX\tB-NP\tO' -p273630 -aS'was\tbe\tVBD\tB-VP\tO' -p273631 -aS'also\talso\tRB\tB-ADVP\tO' -p273632 -aS'evidence\tevidence\tNN\tB-NP\tO' -p273633 -aS'of\tof\tIN\tB-PP\tO' -p273634 -aS'bone\tbone\tNN\tB-NP\tO' -p273635 -aS'metastasis\tmetastasis\tNN\tI-NP\tO' -p273636 -aS'at\tat\tIN\tB-PP\tO' -p273637 -aS'that\tthat\tDT\tB-NP\tO' -p273638 -aS'time\ttime\tNN\tI-NP\tO' -p273639 -aS'.\t.\t.\tO\tO' -p273640 -asS'11. Mesalamine 400 mg Tablet , Delayed Release ( E.C. ) Sig : Three ( 3 ) Tablet , Delayed Release ( E.C. ) PO TID ( 3 times a day ) as needed for ulcerative colitis w/o recent severe flares .' -p273641 -(lp273642 -S'11.\t11.\tLS\tB-NP\tO' -p273643 -aS'Mesalamine\tMesalamine\tNN\tI-NP\tO' -p273644 -aS'400\t400\tCD\tB-NP\tO' -p273645 -aS'mg\tmg\tNN\tI-NP\tO' -p273646 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p273647 -aS',\t,\t,\tO\tO' -p273648 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p273649 -aS'Release\tRelease\tNNP\tI-NP\tO' -p273650 -aS'(\t(\t(\tO\tO' -p273651 -aS'E.C.\tE.C.\tNNP\tB-NP\tO' -p273652 -aS')\t)\t)\tO\tO' -p273653 -aS'Sig\tSig\tNNP\tB-NP\tO' -p273654 -aS':\t:\t:\tO\tO' -p273655 -aS'Three\tThree\tCD\tB-NP\tO' -p273656 -aS'(\t(\t(\tO\tO' -p273657 -aS'3\t3\tCD\tB-NP\tO' -p273658 -aS')\t)\t)\tO\tO' -p273659 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p273660 -aS',\t,\t,\tO\tO' -p273661 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p273662 -aS'Release\tRelease\tNNP\tI-NP\tO' -p273663 -aS'(\t(\t(\tO\tO' -p273664 -aS'E.C.\tE.C.\tNNP\tO\tO' -p273665 -aS')\t)\t)\tO\tO' -p273666 -aS'PO\tPO\tNN\tB-NP\tO' -p273667 -aS'TID\tTID\tNN\tI-NP\tO' -p273668 -aS'(\t(\t(\tO\tO' -p273669 -aS'3\t3\tCD\tB-NP\tO' -p273670 -aS'times\ttime\tNNS\tI-NP\tO' -p273671 -aS'a\ta\tDT\tB-NP\tO' -p273672 -aS'day\tday\tNN\tI-NP\tO' -p273673 -aS')\t)\t)\tO\tO' -p273674 -aS'as\tas\tIN\tB-SBAR\tO' -p273675 -aS'needed\tneed\tVBN\tB-VP\tO' -p273676 -aS'for\tfor\tIN\tB-PP\tO' -p273677 -aS'ulcerative\tulcerative\tJJ\tB-NP\tO' -p273678 -aS'colitis\tcolitis\tNN\tI-NP\tO' -p273679 -aS'w/o\tw/o\tNN\tI-NP\tO' -p273680 -aS'recent\trecent\tJJ\tI-NP\tO' -p273681 -aS'severe\tsevere\tJJ\tI-NP\tO' -p273682 -aS'flares\tflare\tNNS\tI-NP\tO' -p273683 -aS'.\t.\t.\tO\tO' -p273684 -asS'The patient has some difficulty talking and grasping right hand .' -p273685 -(lp273686 -S'The\tThe\tDT\tB-NP\tO' -p273687 -aS'patient\tpatient\tNN\tI-NP\tO' -p273688 -aS'has\thave\tVBZ\tB-VP\tO' -p273689 -aS'some\tsome\tDT\tB-NP\tO' -p273690 -aS'difficulty\tdifficulty\tNN\tI-NP\tO' -p273691 -aS'talking\ttalk\tVBG\tB-VP\tO' -p273692 -aS'and\tand\tCC\tI-VP\tO' -p273693 -aS'grasping\tgrasp\tVBG\tI-VP\tO' -p273694 -aS'right\tright\tJJ\tB-NP\tO' -p273695 -aS'hand\thand\tNN\tI-NP\tO' -p273696 -aS'.\t.\t.\tO\tO' -p273697 -asS'Neuro : CN 03-31 grossly intact , strength 5/5 bilaterally , AAO to person , place ( hospital in Burlington ) , and time ( 1997-02-23 )' -p273698 -(lp273699 -S'Neuro\tNeuro\tNNP\tB-NP\tO' -p273700 -aS':\t:\t:\tO\tO' -p273701 -aS'CN\tCN\tNN\tB-NP\tO' -p273702 -aS'03-31\t03-31\tCD\tI-NP\tO' -p273703 -aS'grossly\tgrossly\tRB\tB-ADJP\tO' -p273704 -aS'intact\tintact\tJJ\tI-ADJP\tO' -p273705 -aS',\t,\t,\tO\tO' -p273706 -aS'strength\tstrength\tNN\tB-NP\tO' -p273707 -aS'5/5\t5/5\tCD\tI-NP\tO' -p273708 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p273709 -aS',\t,\t,\tO\tO' -p273710 -aS'AAO\tAAO\tNN\tB-NP\tO' -p273711 -aS'to\tto\tTO\tB-PP\tO' -p273712 -aS'person\tperson\tNN\tB-NP\tO' -p273713 -aS',\t,\t,\tO\tO' -p273714 -aS'place\tplace\tNN\tB-NP\tO' -p273715 -aS'(\t(\t(\tO\tO' -p273716 -aS'hospital\thospital\tNN\tB-NP\tO' -p273717 -aS'in\tin\tIN\tB-PP\tO' -p273718 -aS'Burlington\tBurlington\tNNP\tB-NP\tO' -p273719 -aS')\t)\t)\tO\tO' -p273720 -aS',\t,\t,\tO\tO' -p273721 -aS'and\tand\tCC\tO\tO' -p273722 -aS'time\ttime\tNN\tB-NP\tO' -p273723 -aS'(\t(\t(\tO\tO' -p273724 -aS'1997-02-23\t1997-02-23\tCD\tB-NP\tO' -p273725 -aS')\t)\t)\tO\tO' -p273726 -asS'The patient was initially diagnosed with prostate cancer in August of 1989 .' -p273727 -(lp273728 -S'The\tThe\tDT\tB-NP\tO' -p273729 -aS'patient\tpatient\tNN\tI-NP\tO' -p273730 -aS'was\tbe\tVBD\tB-VP\tO' -p273731 -aS'initially\tinitially\tRB\tI-VP\tO' -p273732 -aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' -p273733 -aS'with\twith\tIN\tB-PP\tO' -p273734 -aS'prostate\tprostate\tNN\tB-NP\tO' -p273735 -aS'cancer\tcancer\tNN\tI-NP\tO' -p273736 -aS'in\tin\tIN\tB-PP\tO' -p273737 -aS'August\tAugust\tNNP\tB-NP\tO' -p273738 -aS'of\tof\tIN\tB-PP\tO' -p273739 -aS'1989\t1989\tCD\tB-NP\tO' -p273740 -aS'.\t.\t.\tO\tO' -p273741 -asS'The patient was treated empirically with Nafcillin and Ceftriaxone for meningitis and sinusitis .' -p273742 -(lp273743 -S'The\tThe\tDT\tB-NP\tO' -p273744 -aS'patient\tpatient\tNN\tI-NP\tO' -p273745 -aS'was\tbe\tVBD\tB-VP\tO' -p273746 -aS'treated\ttreat\tVBN\tI-VP\tO' -p273747 -aS'empirically\tempirically\tRB\tB-ADVP\tO' -p273748 -aS'with\twith\tIN\tB-PP\tO' -p273749 -aS'Nafcillin\tNafcillin\tNN\tB-NP\tB-protein' -p273750 -aS'and\tand\tCC\tI-NP\tO' -p273751 -aS'Ceftriaxone\tCeftriaxone\tNN\tI-NP\tO' -p273752 -aS'for\tfor\tIN\tB-PP\tO' -p273753 -aS'meningitis\tmeningitis\tNN\tB-NP\tO' -p273754 -aS'and\tand\tCC\tI-NP\tO' -p273755 -aS'sinusitis\tsinusitis\tNN\tI-NP\tO' -p273756 -aS'.\t.\t.\tO\tO' -p273757 -asS'There is mild inferior wall hypokinesis .' -p273758 -(lp273759 -S'There\tThere\tEX\tB-NP\tO' -p273760 -aS'is\tbe\tVBZ\tB-VP\tO' -p273761 -aS'mild\tmild\tJJ\tB-NP\tO' -p273762 -aS'inferior\tinferior\tJJ\tI-NP\tO' -p273763 -aS'wall\twall\tNN\tI-NP\tO' -p273764 -aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' -p273765 -aS'.\t.\t.\tO\tO' -p273766 -asS'Nondysmorphic infant .' -p273767 -(lp273768 -S'Nondysmorphic\tNondysmorphic\tJJ\tB-NP\tO' -p273769 -aS'infant\tinfant\tNN\tI-NP\tO' -p273770 -aS'.\t.\t.\tO\tO' -p273771 -asS'In the Amanda the patients pain resolved with NTG and morphine .' -p273772 -(lp273773 -S'In\tIn\tIN\tB-PP\tO' -p273774 -aS'the\tthe\tDT\tB-NP\tO' -p273775 -aS'Amanda\tAmanda\tNNP\tI-NP\tO' -p273776 -aS'the\tthe\tDT\tB-NP\tO' -p273777 -aS'patients\tpatient\tNNS\tI-NP\tO' -p273778 -aS'pain\tpain\tVBP\tB-VP\tO' -p273779 -aS'resolved\tresolve\tVBN\tI-VP\tO' -p273780 -aS'with\twith\tIN\tB-PP\tO' -p273781 -aS'NTG\tNTG\tNN\tB-NP\tB-protein' -p273782 -aS'and\tand\tCC\tI-NP\tO' -p273783 -aS'morphine\tmorphine\tNN\tI-NP\tO' -p273784 -aS'.\t.\t.\tO\tO' -p273785 -asS'She has approximately one glass of wine every day .' -p273786 -(lp273787 -S'She\tShe\tPRP\tB-NP\tO' -p273788 -aS'has\thave\tVBZ\tB-VP\tO' -p273789 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p273790 -aS'one\tone\tCD\tI-NP\tO' -p273791 -aS'glass\tglass\tNN\tI-NP\tO' -p273792 -aS'of\tof\tIN\tB-PP\tO' -p273793 -aS'wine\twine\tNN\tB-NP\tO' -p273794 -aS'every\tevery\tDT\tB-NP\tO' -p273795 -aS'day\tday\tNN\tI-NP\tO' -p273796 -aS'.\t.\t.\tO\tO' -p273797 -asS'3) 3+ Enterococci sensitive to Ampicillin and Levofloxacin ,' -p273798 -(lp273799 -S'3)\t3)\tLS\tB-NP\tO' -p273800 -aS'3+\t3+\tJJ\tI-NP\tO' -p273801 -aS'Enterococci\tEnterococci\tNNS\tI-NP\tO' -p273802 -aS'sensitive\tsensitive\tJJ\tB-ADJP\tO' -p273803 -aS'to\tto\tTO\tB-PP\tO' -p273804 -aS'Ampicillin\tAmpicillin\tNN\tB-NP\tB-protein' -p273805 -aS'and\tand\tCC\tI-NP\tO' -p273806 -aS'Levofloxacin\tLevofloxacin\tNN\tI-NP\tO' -p273807 -aS',\t,\t,\tO\tO' -p273808 -asS'Exploratory laparotomy revealed hemoperitonium and approximately 1 L of blood was evacuated .' -p273809 -(lp273810 -S'Exploratory\tExploratory\tJJ\tB-NP\tO' -p273811 -aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' -p273812 -aS'revealed\treveal\tVBD\tB-VP\tO' -p273813 -aS'hemoperitonium\themoperitonium\tNN\tB-NP\tO' -p273814 -aS'and\tand\tCC\tO\tO' -p273815 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p273816 -aS'1\t1\tCD\tI-NP\tO' -p273817 -aS'L\tL\tNN\tI-NP\tO' -p273818 -aS'of\tof\tIN\tB-PP\tO' -p273819 -aS'blood\tblood\tNN\tB-NP\tO' -p273820 -aS'was\tbe\tVBD\tB-VP\tO' -p273821 -aS'evacuated\tevacuate\tVBN\tI-VP\tO' -p273822 -aS'.\t.\t.\tO\tO' -p273823 -asS'Audiology hearing screen was performed with automated auditory brainstem responses and the infant passed on both ears .' -p273824 -(lp273825 -S'Audiology\tAudiology\tNN\tB-NP\tO' -p273826 -aS'hearing\thearing\tNN\tI-NP\tO' -p273827 -aS'screen\tscreen\tNN\tI-NP\tO' -p273828 -aS'was\tbe\tVBD\tB-VP\tO' -p273829 -aS'performed\tperform\tVBN\tI-VP\tO' -p273830 -aS'with\twith\tIN\tB-PP\tO' -p273831 -aS'automated\tautomate\tVBN\tB-NP\tO' -p273832 -aS'auditory\tauditory\tJJ\tI-NP\tO' -p273833 -aS'brainstem\tbrainstem\tNN\tI-NP\tO' -p273834 -aS'responses\tresponse\tNNS\tI-NP\tO' -p273835 -aS'and\tand\tCC\tO\tO' -p273836 -aS'the\tthe\tDT\tB-NP\tO' -p273837 -aS'infant\tinfant\tNN\tI-NP\tO' -p273838 -aS'passed\tpass\tVBN\tB-VP\tO' -p273839 -aS'on\ton\tIN\tB-PP\tO' -p273840 -aS'both\tboth\tDT\tB-NP\tO' -p273841 -aS'ears\tear\tNNS\tI-NP\tO' -p273842 -aS'.\t.\t.\tO\tO' -p273843 -asS'Her lungs were clear to auscultation .' -p273844 -(lp273845 -S'Her\tHer\tPRP$\tB-NP\tO' -p273846 -aS'lungs\tlung\tNNS\tI-NP\tO' -p273847 -aS'were\tbe\tVBD\tB-VP\tO' -p273848 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p273849 -aS'to\tto\tTO\tB-PP\tO' -p273850 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p273851 -aS'.\t.\t.\tO\tO' -p273852 -asS'This report was created by DREWEILLTRIEVKEMME , QUELOISEVIER 03/06/2002 06:28 AM' -p273853 -(lp273854 -S'This\tThis\tDT\tB-NP\tO' -p273855 -aS'report\treport\tNN\tI-NP\tO' -p273856 -aS'was\tbe\tVBD\tB-VP\tO' -p273857 -aS'created\tcreate\tVBN\tI-VP\tO' -p273858 -aS'by\tby\tIN\tB-PP\tO' -p273859 -aS'DREWEILLTRIEVKEMME\tDREWEILLTRIEVKEMME\tNNP\tB-NP\tO' -p273860 -aS',\t,\t,\tO\tO' -p273861 -aS'QUELOISEVIER\tQUELOISEVIER\tNNP\tB-NP\tO' -p273862 -aS'03/06/2002\t03/06/2002\tCD\tB-NP\tO' -p273863 -aS'06:28\t06:28\tCD\tI-NP\tO' -p273864 -aS'AM\tAM\tNN\tI-NP\tO' -p273865 -asS'Primary pediatric care will be provided by Dr. Hortencia Conner of Milton Hospital Pediatric Group , 3408 E. Fifth Rd. , Bridgewater State Hospital , Tennessee 06546 , telephone number is 433-0531 .' -p273866 -(lp273867 -S'Primary\tPrimary\tJJ\tB-NP\tO' -p273868 -aS'pediatric\tpediatric\tJJ\tI-NP\tO' -p273869 -aS'care\tcare\tNN\tI-NP\tO' -p273870 -aS'will\twill\tMD\tB-VP\tO' -p273871 -aS'be\tbe\tVB\tI-VP\tO' -p273872 -aS'provided\tprovide\tVBN\tI-VP\tO' -p273873 -aS'by\tby\tIN\tB-PP\tO' -p273874 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p273875 -aS'Hortencia\tHortencia\tNNP\tI-NP\tO' -p273876 -aS'Conner\tConner\tNNP\tI-NP\tO' -p273877 -aS'of\tof\tIN\tB-PP\tO' -p273878 -aS'Milton\tMilton\tNNP\tB-NP\tO' -p273879 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p273880 -aS'Pediatric\tPediatric\tNNP\tI-NP\tO' -p273881 -aS'Group\tGroup\tNNP\tI-NP\tO' -p273882 -aS',\t,\t,\tO\tO' -p273883 -aS'3408\t3408\tCD\tB-NP\tO' -p273884 -aS'E.\tE.\tNNP\tI-NP\tO' -p273885 -aS'Fifth\tFifth\tNNP\tI-NP\tO' -p273886 -aS'Rd.\tRd.\tNNP\tI-NP\tO' -p273887 -aS',\t,\t,\tO\tO' -p273888 -aS'Bridgewater\tBridgewater\tNNP\tB-NP\tO' -p273889 -aS'State\tState\tNNP\tI-NP\tO' -p273890 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p273891 -aS',\t,\t,\tO\tO' -p273892 -aS'Tennessee\tTennessee\tNNP\tB-NP\tO' -p273893 -aS'06546\t06546\tCD\tI-NP\tO' -p273894 -aS',\t,\t,\tO\tO' -p273895 -aS'telephone\ttelephone\tNN\tB-NP\tO' -p273896 -aS'number\tnumber\tNN\tI-NP\tO' -p273897 -aS'is\tbe\tVBZ\tB-VP\tO' -p273898 -aS'433-0531\t433-0531\tCD\tB-NP\tO' -p273899 -aS'.\t.\t.\tO\tO' -p273900 -asS'His admission physical exam reveals a vigorous nondysmorphic term infant .' -p273901 -(lp273902 -S'His\tHis\tPRP$\tB-NP\tO' -p273903 -aS'admission\tadmission\tNN\tI-NP\tO' -p273904 -aS'physical\tphysical\tJJ\tI-NP\tO' -p273905 -aS'exam\texam\tNN\tI-NP\tO' -p273906 -aS'reveals\treveal\tVBZ\tB-VP\tO' -p273907 -aS'a\ta\tDT\tB-NP\tO' -p273908 -aS'vigorous\tvigorous\tJJ\tI-NP\tO' -p273909 -aS'nondysmorphic\tnondysmorphic\tJJ\tI-NP\tO' -p273910 -aS'term\tterm\tNN\tI-NP\tO' -p273911 -aS'infant\tinfant\tNN\tI-NP\tO' -p273912 -aS'.\t.\t.\tO\tO' -p273913 -asS'No prior comparisons .' -p273914 -(lp273915 -S'No\tNo\tDT\tB-NP\tO' -p273916 -aS'prior\tprior\tJJ\tI-NP\tO' -p273917 -aS'comparisons\tcomparison\tNNS\tI-NP\tO' -p273918 -aS'.\t.\t.\tO\tO' -p273919 -asS'Throughout this he remained hemodynamically stable .' -p273920 -(lp273921 -S'Throughout\tThroughout\tIN\tB-PP\tO' -p273922 -aS'this\tthis\tDT\tB-NP\tO' -p273923 -aS'he\the\tPRP\tB-NP\tO' -p273924 -aS'remained\tremain\tVBD\tB-VP\tO' -p273925 -aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' -p273926 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p273927 -aS'.\t.\t.\tO\tO' -p273928 -asS'In general , sleepy but arousable .' -p273929 -(lp273930 -S'In\tIn\tIN\tB-PP\tO' -p273931 -aS'general\tgeneral\tJJ\tB-ADJP\tO' -p273932 -aS',\t,\t,\tI-ADJP\tO' -p273933 -aS'sleepy\tsleepy\tJJ\tI-ADJP\tO' -p273934 -aS'but\tbut\tCC\tI-ADJP\tO' -p273935 -aS'arousable\tarousable\tJJ\tI-ADJP\tO' -p273936 -aS'.\t.\t.\tO\tO' -p273937 -asS'2. At the age of 40 he had problems with frequent headaches .' -p273938 -(lp273939 -S'2.\t2.\tLS\tB-LST\tO' -p273940 -aS'At\tAt\tIN\tB-PP\tO' -p273941 -aS'the\tthe\tDT\tB-NP\tO' -p273942 -aS'age\tage\tNN\tI-NP\tO' -p273943 -aS'of\tof\tIN\tB-PP\tO' -p273944 -aS'40\t40\tCD\tB-NP\tO' -p273945 -aS'he\the\tPRP\tB-NP\tO' -p273946 -aS'had\thave\tVBD\tB-VP\tO' -p273947 -aS'problems\tproblem\tNNS\tB-NP\tO' -p273948 -aS'with\twith\tIN\tB-PP\tO' -p273949 -aS'frequent\tfrequent\tJJ\tB-NP\tO' -p273950 -aS'headaches\theadache\tNNS\tI-NP\tO' -p273951 -aS'.\t.\t.\tO\tO' -p273952 -asS'Once on the floor , the patient had an uneventful hospital course , remaining afebrile for the remainder of his hospital stay .' -p273953 -(lp273954 -S'Once\tOnce\tRB\tO\tO' -p273955 -aS'on\ton\tIN\tB-PP\tO' -p273956 -aS'the\tthe\tDT\tB-NP\tO' -p273957 -aS'floor\tfloor\tNN\tI-NP\tO' -p273958 -aS',\t,\t,\tO\tO' -p273959 -aS'the\tthe\tDT\tB-NP\tO' -p273960 -aS'patient\tpatient\tNN\tI-NP\tO' -p273961 -aS'had\thave\tVBD\tB-VP\tO' -p273962 -aS'an\tan\tDT\tB-NP\tO' -p273963 -aS'uneventful\tuneventful\tJJ\tI-NP\tO' -p273964 -aS'hospital\thospital\tNN\tI-NP\tO' -p273965 -aS'course\tcourse\tNN\tI-NP\tO' -p273966 -aS',\t,\t,\tO\tO' -p273967 -aS'remaining\tremain\tVBG\tB-VP\tO' -p273968 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p273969 -aS'for\tfor\tIN\tB-PP\tO' -p273970 -aS'the\tthe\tDT\tB-NP\tO' -p273971 -aS'remainder\tremainder\tNN\tI-NP\tO' -p273972 -aS'of\tof\tIN\tB-PP\tO' -p273973 -aS'his\this\tPRP$\tB-NP\tO' -p273974 -aS'hospital\thospital\tNN\tI-NP\tO' -p273975 -aS'stay\tstay\tNN\tI-NP\tO' -p273976 -aS'.\t.\t.\tO\tO' -p273977 -asS'This appears to stop short of the carotid canal .' -p273978 -(lp273979 -S'This\tThis\tDT\tB-NP\tO' -p273980 -aS'appears\tappear\tVBZ\tB-VP\tO' -p273981 -aS'to\tto\tTO\tI-VP\tO' -p273982 -aS'stop\tstop\tVB\tI-VP\tO' -p273983 -aS'short\tshort\tRB\tB-ADVP\tO' -p273984 -aS'of\tof\tIN\tB-PP\tO' -p273985 -aS'the\tthe\tDT\tB-NP\tO' -p273986 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p273987 -aS'canal\tcanal\tNN\tI-NP\tO' -p273988 -aS'.\t.\t.\tO\tO' -p273989 -asS'Admission medications .' -p273990 -(lp273991 -S'Admission\tAdmission\tNN\tB-NP\tO' -p273992 -aS'medications\tmedication\tNNS\tI-NP\tO' -p273993 -aS'.\t.\t.\tO\tO' -p273994 -asS'She awoke with nausea on the day of admission and pleuritic chest pain .' -p273995 -(lp273996 -S'She\tShe\tPRP\tB-NP\tO' -p273997 -aS'awoke\tawake\tVBD\tB-VP\tO' -p273998 -aS'with\twith\tIN\tB-PP\tO' -p273999 -aS'nausea\tnausea\tNN\tB-NP\tO' -p274000 -aS'on\ton\tIN\tB-PP\tO' -p274001 -aS'the\tthe\tDT\tB-NP\tO' -p274002 -aS'day\tday\tNN\tI-NP\tO' -p274003 -aS'of\tof\tIN\tB-PP\tO' -p274004 -aS'admission\tadmission\tNN\tB-NP\tO' -p274005 -aS'and\tand\tCC\tO\tO' -p274006 -aS'pleuritic\tpleuritic\tJJ\tB-NP\tO' -p274007 -aS'chest\tchest\tNN\tI-NP\tO' -p274008 -aS'pain\tpain\tNN\tI-NP\tO' -p274009 -aS'.\t.\t.\tO\tO' -p274010 -asS'Concerned , the staff sent her directly to the Nantucket Cottage Hospital .' -p274011 -(lp274012 -S'Concerned\tConcern\tVBN\tB-VP\tO' -p274013 -aS',\t,\t,\tO\tO' -p274014 -aS'the\tthe\tDT\tB-NP\tO' -p274015 -aS'staff\tstaff\tNN\tI-NP\tO' -p274016 -aS'sent\tsend\tVBD\tB-VP\tO' -p274017 -aS'her\ther\tPRP\tB-NP\tO' -p274018 -aS'directly\tdirectly\tRB\tB-ADVP\tO' -p274019 -aS'to\tto\tTO\tB-PP\tO' -p274020 -aS'the\tthe\tDT\tB-NP\tO' -p274021 -aS'Nantucket\tNantucket\tNNP\tI-NP\tO' -p274022 -aS'Cottage\tCottage\tNNP\tI-NP\tO' -p274023 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p274024 -aS'.\t.\t.\tO\tO' -p274025 -asS'State newborn screen was sent on day of life #3 and at discharge .' -p274026 -(lp274027 -S'State\tState\tNN\tB-NP\tO' -p274028 -aS'newborn\tnewborn\tJJ\tI-NP\tO' -p274029 -aS'screen\tscreen\tNN\tI-NP\tO' -p274030 -aS'was\tbe\tVBD\tB-VP\tO' -p274031 -aS'sent\tsend\tVBN\tI-VP\tO' -p274032 -aS'on\ton\tIN\tB-PP\tO' -p274033 -aS'day\tday\tNN\tB-NP\tO' -p274034 -aS'of\tof\tIN\tB-PP\tO' -p274035 -aS'life\tlife\tNN\tB-NP\tO' -p274036 -aS'#3\t#3\tNN\tI-NP\tO' -p274037 -aS'and\tand\tCC\tB-PP\tO' -p274038 -aS'at\tat\tIN\tB-PP\tO' -p274039 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p274040 -aS'.\t.\t.\tO\tO' -p274041 -asS'2. Depression .' -p274042 -(lp274043 -S'2.\t2.\tLS\tB-NP\tO' -p274044 -aS'Depression\tDepression\tNN\tI-NP\tO' -p274045 -aS'.\t.\t.\tO\tO' -p274046 -asS'CAD : On admission Ck low normal , MB not done .' -p274047 -(lp274048 -S'CAD\tCAD\tNN\tB-NP\tO' -p274049 -aS':\t:\t:\tO\tO' -p274050 -aS'On\tOn\tIN\tB-PP\tO' -p274051 -aS'admission\tadmission\tNN\tB-NP\tO' -p274052 -aS'Ck\tCk\tNN\tI-NP\tO' -p274053 -aS'low\tlow\tJJ\tI-NP\tO' -p274054 -aS'normal\tnormal\tJJ\tI-NP\tO' -p274055 -aS',\t,\t,\tO\tO' -p274056 -aS'MB\tMB\tNN\tB-NP\tB-protein' -p274057 -aS'not\tnot\tRB\tB-VP\tO' -p274058 -aS'done\tdo\tVBN\tI-VP\tO' -p274059 -aS'.\t.\t.\tO\tO' -p274060 -asS'Cardiovascular system revealed normal S1 and S2 , no murmurs or gallops and regular rate and rhythm .' -p274061 -(lp274062 -S'Cardiovascular\tCardiovascular\tJJ\tB-NP\tO' -p274063 -aS'system\tsystem\tNN\tI-NP\tO' -p274064 -aS'revealed\treveal\tVBD\tB-VP\tO' -p274065 -aS'normal\tnormal\tJJ\tB-NP\tO' -p274066 -aS'S1\tS1\tNN\tI-NP\tB-protein' -p274067 -aS'and\tand\tCC\tO\tO' -p274068 -aS'S2\tS2\tNN\tB-NP\tB-protein' -p274069 -aS',\t,\t,\tO\tO' -p274070 -aS'no\tno\tDT\tB-NP\tO' -p274071 -aS'murmurs\tmurmur\tNNS\tI-NP\tO' -p274072 -aS'or\tor\tCC\tI-NP\tO' -p274073 -aS'gallops\tgallop\tNNS\tI-NP\tO' -p274074 -aS'and\tand\tCC\tO\tO' -p274075 -aS'regular\tregular\tJJ\tB-NP\tO' -p274076 -aS'rate\trate\tNN\tI-NP\tO' -p274077 -aS'and\tand\tCC\tI-NP\tO' -p274078 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p274079 -aS'.\t.\t.\tO\tO' -p274080 -asS'At that time he had presented with abdominal pain , and was found to have acute cholecystectomy .' -p274081 -(lp274082 -S'At\tAt\tIN\tB-PP\tO' -p274083 -aS'that\tthat\tDT\tB-NP\tO' -p274084 -aS'time\ttime\tNN\tI-NP\tO' -p274085 -aS'he\the\tPRP\tB-NP\tO' -p274086 -aS'had\thave\tVBD\tB-VP\tO' -p274087 -aS'presented\tpresent\tVBN\tI-VP\tO' -p274088 -aS'with\twith\tIN\tB-PP\tO' -p274089 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p274090 -aS'pain\tpain\tNN\tI-NP\tO' -p274091 -aS',\t,\t,\tO\tO' -p274092 -aS'and\tand\tCC\tO\tO' -p274093 -aS'was\tbe\tVBD\tB-VP\tO' -p274094 -aS'found\tfind\tVBN\tI-VP\tO' -p274095 -aS'to\tto\tTO\tI-VP\tO' -p274096 -aS'have\thave\tVB\tI-VP\tO' -p274097 -aS'acute\tacute\tJJ\tB-NP\tO' -p274098 -aS'cholecystectomy\tcholecystectomy\tNN\tI-NP\tO' -p274099 -aS'.\t.\t.\tO\tO' -p274100 -asS'Breast lesion excision , 1989 .' -p274101 -(lp274102 -S'Breast\tBreast\tNN\tB-NP\tO' -p274103 -aS'lesion\tlesion\tNN\tI-NP\tO' -p274104 -aS'excision\texcision\tNN\tI-NP\tO' -p274105 -aS',\t,\t,\tO\tO' -p274106 -aS'1989\t1989\tCD\tB-NP\tO' -p274107 -aS'.\t.\t.\tO\tO' -p274108 -asS'Now with an episode of pain consistent with his anginal equivalent .' -p274109 -(lp274110 -S'Now\tNow\tRB\tB-ADVP\tO' -p274111 -aS'with\twith\tIN\tB-PP\tO' -p274112 -aS'an\tan\tDT\tB-NP\tO' -p274113 -aS'episode\tepisode\tNN\tI-NP\tO' -p274114 -aS'of\tof\tIN\tB-PP\tO' -p274115 -aS'pain\tpain\tNN\tB-NP\tO' -p274116 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p274117 -aS'with\twith\tIN\tB-PP\tO' -p274118 -aS'his\this\tPRP$\tB-NP\tO' -p274119 -aS'anginal\tanginal\tJJ\tI-NP\tO' -p274120 -aS'equivalent\tequivalent\tNN\tI-NP\tO' -p274121 -aS'.\t.\t.\tO\tO' -p274122 -asS'Addendum from the dates of 2014-02-04 until 2014-02-09 .' -p274123 -(lp274124 -S'Addendum\tAddendum\tNN\tB-NP\tO' -p274125 -aS'from\tfrom\tIN\tB-PP\tO' -p274126 -aS'the\tthe\tDT\tB-NP\tO' -p274127 -aS'dates\tdate\tNNS\tI-NP\tO' -p274128 -aS'of\tof\tIN\tB-PP\tO' -p274129 -aS'2014-02-04\t2014-02-04\tCD\tB-NP\tO' -p274130 -aS'until\tuntil\tIN\tB-PP\tO' -p274131 -aS'2014-02-09\t2014-02-09\tCD\tB-NP\tO' -p274132 -aS'.\t.\t.\tO\tO' -p274133 -asS'Pt was diuresed with iv lasix / acetazolamide and given iv morphine / prn for respiratory distress and BIPAP was tried .' -p274134 -(lp274135 -S'Pt\tPt\tNN\tB-NP\tO' -p274136 -aS'was\tbe\tVBD\tB-VP\tO' -p274137 -aS'diuresed\tdiurese\tVBN\tI-VP\tO' -p274138 -aS'with\twith\tIN\tB-PP\tO' -p274139 -aS'iv\tiv\tNN\tB-NP\tO' -p274140 -aS'lasix\tlasix\tNN\tI-NP\tO' -p274141 -aS'/\t/\tSYM\tB-NP\tO' -p274142 -aS'acetazolamide\tacetazolamide\tNN\tI-NP\tO' -p274143 -aS'and\tand\tCC\tO\tO' -p274144 -aS'given\tgive\tVBN\tB-NP\tO' -p274145 -aS'iv\tiv\tNN\tI-NP\tO' -p274146 -aS'morphine\tmorphine\tNN\tI-NP\tO' -p274147 -aS'/\t/\tSYM\tB-NP\tO' -p274148 -aS'prn\tprn\tNN\tI-NP\tO' -p274149 -aS'for\tfor\tIN\tB-PP\tO' -p274150 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p274151 -aS'distress\tdistress\tNN\tI-NP\tO' -p274152 -aS'and\tand\tCC\tI-NP\tO' -p274153 -aS'BIPAP\tBIPAP\tNN\tI-NP\tB-protein' -p274154 -aS'was\tbe\tVBD\tB-VP\tO' -p274155 -aS'tried\ttry\tVBN\tI-VP\tO' -p274156 -aS'.\t.\t.\tO\tO' -p274157 -asS'She received ASA 81 mg x 2 and nitro SL x 2 with partial relief at nursing home .' -p274158 -(lp274159 -S'She\tShe\tPRP\tB-NP\tO' -p274160 -aS'received\treceive\tVBD\tB-VP\tO' -p274161 -aS'ASA\tASA\tNN\tB-NP\tO' -p274162 -aS'81\t81\tCD\tI-NP\tO' -p274163 -aS'mg\tmg\tNN\tI-NP\tO' -p274164 -aS'x\tx\tSYM\tB-NP\tO' -p274165 -aS'2\t2\tCD\tB-NP\tO' -p274166 -aS'and\tand\tCC\tO\tO' -p274167 -aS'nitro\tnitro\tNN\tB-NP\tB-protein' -p274168 -aS'SL\tSL\tNN\tI-NP\tI-protein' -p274169 -aS'x\tx\tSYM\tB-NP\tI-protein' -p274170 -aS'2\t2\tCD\tB-NP\tI-protein' -p274171 -aS'with\twith\tIN\tB-PP\tO' -p274172 -aS'partial\tpartial\tJJ\tB-NP\tO' -p274173 -aS'relief\trelief\tNN\tI-NP\tO' -p274174 -aS'at\tat\tIN\tB-PP\tO' -p274175 -aS'nursing\tnurse\tVBG\tB-VP\tO' -p274176 -aS'home\thome\tNN\tB-NP\tO' -p274177 -aS'.\t.\t.\tO\tO' -p274178 -asS"He was followed by Dr. Gregory Dumas , with serial MRI 's." -p274179 -(lp274180 -S'He\tHe\tPRP\tB-NP\tO' -p274181 -aS'was\tbe\tVBD\tB-VP\tO' -p274182 -aS'followed\tfollow\tVBN\tI-VP\tO' -p274183 -aS'by\tby\tIN\tB-PP\tO' -p274184 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p274185 -aS'Gregory\tGregory\tNNP\tI-NP\tO' -p274186 -aS'Dumas\tDumas\tNNP\tI-NP\tO' -p274187 -aS',\t,\t,\tO\tO' -p274188 -aS'with\twith\tIN\tB-PP\tO' -p274189 -aS'serial\tserial\tJJ\tB-NP\tO' -p274190 -aS'MRI\tMRI\tNN\tI-NP\tO' -p274191 -aS"'s.\t's.\tPOS\tB-NP\tO" -p274192 -asS'1. Exploratory laparotomy with drainage of intra-abdominal abscess and peritonitis with gross soilage with bile and gastric contents .' -p274193 -(lp274194 -S'1.\t1.\tLS\tB-NP\tO' -p274195 -aS'Exploratory\tExploratory\tJJ\tI-NP\tO' -p274196 -aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' -p274197 -aS'with\twith\tIN\tB-PP\tO' -p274198 -aS'drainage\tdrainage\tNN\tB-NP\tO' -p274199 -aS'of\tof\tIN\tB-PP\tO' -p274200 -aS'intra-abdominal\tintra-abdominal\tJJ\tB-NP\tO' -p274201 -aS'abscess\tabscess\tNN\tI-NP\tO' -p274202 -aS'and\tand\tCC\tI-NP\tO' -p274203 -aS'peritonitis\tperitonitis\tNN\tI-NP\tO' -p274204 -aS'with\twith\tIN\tB-PP\tO' -p274205 -aS'gross\tgross\tJJ\tB-NP\tO' -p274206 -aS'soilage\tsoilage\tNN\tI-NP\tO' -p274207 -aS'with\twith\tIN\tB-PP\tO' -p274208 -aS'bile\tbile\tNN\tB-NP\tO' -p274209 -aS'and\tand\tCC\tO\tO' -p274210 -aS'gastric\tgastric\tJJ\tB-NP\tO' -p274211 -aS'contents\tcontent\tNNS\tI-NP\tO' -p274212 -aS'.\t.\t.\tO\tO' -p274213 -asS'Overall systolic function is good ( LVEF > 40% ).' -p274214 -(lp274215 -S'Overall\tOverall\tJJ\tB-NP\tO' -p274216 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p274217 -aS'function\tfunction\tNN\tI-NP\tO' -p274218 -aS'is\tbe\tVBZ\tB-VP\tO' -p274219 -aS'good\tgood\tJJ\tB-ADJP\tO' -p274220 -aS'(\t(\t(\tO\tO' -p274221 -aS'LVEF\tLVEF\tNN\tB-NP\tB-protein' -p274222 -aS'>\t>\tSYM\tB-NP\tO' -p274223 -aS'40%\t40%\tCD\tI-NP\tO' -p274224 -aS').\t).\t)\tO\tO' -p274225 -asS'10 days prior to admission , the patient 's primary care physician increased his sulfasalazine dose to two tabs three times a day .' -p274226 -(lp274227 -S'10\t10\tCD\tB-NP\tO' -p274228 -aS'days\tday\tNNS\tI-NP\tO' -p274229 -aS'prior\tprior\tRB\tB-ADVP\tO' -p274230 -aS'to\tto\tTO\tB-PP\tO' -p274231 -aS'admission\tadmission\tNN\tB-NP\tO' -p274232 -aS',\t,\t,\tO\tO' -p274233 -aS'the\tthe\tDT\tB-NP\tO' -p274234 -aS'patient\tpatient\tNN\tI-NP\tO' -p274235 -aS''s\t'\tNNS\tI-NP\tO' -p274236 -aS'primary\tprimary\tJJ\tB-NP\tO' -p274237 -aS'care\tcare\tNN\tI-NP\tO' -p274238 -aS'physician\tphysician\tNN\tI-NP\tO' -p274239 -aS'increased\tincrease\tVBD\tB-VP\tO' -p274240 -aS'his\this\tPRP$\tB-NP\tO' -p274241 -aS'sulfasalazine\tsulfasalazine\tNN\tI-NP\tO' -p274242 -aS'dose\tdose\tNN\tI-NP\tO' -p274243 -aS'to\tto\tTO\tB-PP\tO' -p274244 -aS'two\ttwo\tCD\tB-NP\tO' -p274245 -aS'tabs\ttab\tNNS\tI-NP\tO' -p274246 -aS'three\tthree\tCD\tB-NP\tO' -p274247 -aS'times\ttime\tNNS\tI-NP\tO' -p274248 -aS'a\ta\tDT\tB-NP\tO' -p274249 -aS'day\tday\tNN\tI-NP\tO' -p274250 -aS'.\t.\t.\tO\tO' -p274251 -asS'Left shoulder hemiarthroplasty .' -p274252 -(lp274253 -S'Left\tLeave\tVBN\tB-NP\tO' -p274254 -aS'shoulder\tshoulder\tNN\tI-NP\tO' -p274255 -aS'hemiarthroplasty\themiarthroplasty\tNN\tI-NP\tO' -p274256 -aS'.\t.\t.\tO\tO' -p274257 -asS'PTT is 24 .' -p274258 -(lp274259 -S'PTT\tPTT\tNN\tB-NP\tO' -p274260 -aS'is\tbe\tVBZ\tB-VP\tO' -p274261 -aS'24\t24\tCD\tB-NP\tO' -p274262 -aS'.\t.\t.\tO\tO' -p274263 -asS'Sternum is stable .' -p274264 -(lp274265 -S'Sternum\tSternum\tNNP\tB-NP\tO' -p274266 -aS'is\tbe\tVBZ\tB-VP\tO' -p274267 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p274268 -aS'.\t.\t.\tO\tO' -p274269 -asS'The pt has a history of paranoia / depression .' -p274270 -(lp274271 -S'The\tThe\tDT\tB-NP\tO' -p274272 -aS'pt\tpt\tNN\tI-NP\tO' -p274273 -aS'has\thave\tVBZ\tB-VP\tO' -p274274 -aS'a\ta\tDT\tB-NP\tO' -p274275 -aS'history\thistory\tNN\tI-NP\tO' -p274276 -aS'of\tof\tIN\tB-PP\tO' -p274277 -aS'paranoia\tparanoia\tNN\tB-NP\tO' -p274278 -aS'/\t/\tSYM\tB-NP\tO' -p274279 -aS'depression\tdepression\tNN\tI-NP\tO' -p274280 -aS'.\t.\t.\tO\tO' -p274281 -asS'AG on admission 18 ( bicarb 17 , down from 23 on a previous admission ) , down to AG 15 this AM .' -p274282 -(lp274283 -S'AG\tAG\tNN\tB-NP\tB-protein' -p274284 -aS'on\ton\tIN\tB-PP\tO' -p274285 -aS'admission\tadmission\tNN\tB-NP\tO' -p274286 -aS'18\t18\tCD\tI-NP\tO' -p274287 -aS'(\t(\t(\tO\tO' -p274288 -aS'bicarb\tbicarb\tNN\tB-NP\tO' -p274289 -aS'17\t17\tCD\tI-NP\tO' -p274290 -aS',\t,\t,\tO\tO' -p274291 -aS'down\tdown\tRB\tB-ADVP\tO' -p274292 -aS'from\tfrom\tIN\tB-PP\tO' -p274293 -aS'23\t23\tCD\tB-NP\tO' -p274294 -aS'on\ton\tIN\tB-PP\tO' -p274295 -aS'a\ta\tDT\tB-NP\tO' -p274296 -aS'previous\tprevious\tJJ\tI-NP\tO' -p274297 -aS'admission\tadmission\tNN\tI-NP\tO' -p274298 -aS')\t)\t)\tO\tO' -p274299 -aS',\t,\t,\tO\tO' -p274300 -aS'down\tdown\tRB\tB-ADVP\tO' -p274301 -aS'to\tto\tTO\tB-PP\tO' -p274302 -aS'AG\tAG\tNNP\tB-NP\tO' -p274303 -aS'15\t15\tCD\tI-NP\tO' -p274304 -aS'this\tthis\tDT\tB-NP\tO' -p274305 -aS'AM\tAM\tNN\tI-NP\tO' -p274306 -aS'.\t.\t.\tO\tO' -p274307 -asS'Disp :* 120 Capsule , Sustained Release (s)* Refills :* 2 *' -p274308 -(lp274309 -S'Disp\tDisp\tNN\tB-NP\tO' -p274310 -aS':*\t:*\tSYM\tI-NP\tO' -p274311 -aS'120\t120\tCD\tI-NP\tO' -p274312 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p274313 -aS',\t,\t,\tO\tO' -p274314 -aS'Sustained\tSustained\tNNP\tB-NP\tO' -p274315 -aS'Release\tRelease\tNNP\tI-NP\tO' -p274316 -aS'(s)*\t(s)*\tSYM\tB-NP\tO' -p274317 -aS'Refills\tRefill\tNNPS\tI-NP\tO' -p274318 -aS':*\t:*\tSYM\tI-NP\tO' -p274319 -aS'2\t2\tCD\tI-NP\tO' -p274320 -aS'*\t*\tSYM\tB-NP\tO' -p274321 -asS'The patient was maintained on IV Solu - Medrol 60 mg q. 8 h.' -p274322 -(lp274323 -S'The\tThe\tDT\tB-NP\tO' -p274324 -aS'patient\tpatient\tNN\tI-NP\tO' -p274325 -aS'was\tbe\tVBD\tB-VP\tO' -p274326 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p274327 -aS'on\ton\tIN\tB-PP\tO' -p274328 -aS'IV\tIV\tCD\tB-NP\tO' -p274329 -aS'Solu\tSolu\tNN\tI-NP\tO' -p274330 -aS'-\t-\tHYPH\tB-NP\tO' -p274331 -aS'Medrol\tMedrol\tNN\tI-NP\tO' -p274332 -aS'60\t60\tCD\tI-NP\tO' -p274333 -aS'mg\tmg\tNN\tI-NP\tO' -p274334 -aS'q.\tq.\tNN\tI-NP\tO' -p274335 -aS'8\t8\tCD\tB-NP\tO' -p274336 -aS'h.\th.\tNN\tI-NP\tO' -p274337 -asS'He remained in the Intensive Care Unit as he was unable to be weaned off of his Neo-Synephrine drip .' -p274338 -(lp274339 -S'He\tHe\tPRP\tB-NP\tO' -p274340 -aS'remained\tremain\tVBD\tB-VP\tO' -p274341 -aS'in\tin\tIN\tB-PP\tO' -p274342 -aS'the\tthe\tDT\tB-NP\tO' -p274343 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p274344 -aS'Care\tCare\tNNP\tI-NP\tO' -p274345 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p274346 -aS'as\tas\tIN\tB-SBAR\tO' -p274347 -aS'he\the\tPRP\tB-NP\tO' -p274348 -aS'was\tbe\tVBD\tB-VP\tO' -p274349 -aS'unable\tunable\tJJ\tB-ADJP\tO' -p274350 -aS'to\tto\tTO\tB-VP\tO' -p274351 -aS'be\tbe\tVB\tI-VP\tO' -p274352 -aS'weaned\twean\tVBN\tI-VP\tO' -p274353 -aS'off\toff\tRP\tB-PRT\tO' -p274354 -aS'of\tof\tIN\tB-PP\tO' -p274355 -aS'his\this\tPRP$\tB-NP\tO' -p274356 -aS'Neo-Synephrine\tNeo-Synephrine\tJJ\tI-NP\tO' -p274357 -aS'drip\tdrip\tNN\tI-NP\tO' -p274358 -aS'.\t.\t.\tO\tO' -p274359 -asS'3. Regular 10 units intravenously q.6h. as needed .' -p274360 -(lp274361 -S'3.\t3.\tLS\tB-NP\tO' -p274362 -aS'Regular\tRegular\tJJ\tI-NP\tB-protein' -p274363 -aS'10\t10\tCD\tI-NP\tI-protein' -p274364 -aS'units\tunit\tNNS\tI-NP\tI-protein' -p274365 -aS'intravenously\tintravenously\tRB\tB-ADJP\tO' -p274366 -aS'q.6h.\tq.6h.\tNN\tI-ADJP\tO' -p274367 -aS'as\tas\tIN\tB-SBAR\tO' -p274368 -aS'needed\tneed\tVBN\tB-VP\tO' -p274369 -aS'.\t.\t.\tO\tO' -p274370 -asS'zocor 10 mg Tab / day GT' -p274371 -(lp274372 -S'zocor\tzocor\tNN\tB-NP\tB-protein' -p274373 -aS'10\t10\tCD\tI-NP\tI-protein' -p274374 -aS'mg\tmg\tNN\tI-NP\tI-protein' -p274375 -aS'Tab\tTab\tNN\tI-NP\tI-protein' -p274376 -aS'/\t/\tSYM\tB-NP\tO' -p274377 -aS'day\tday\tNN\tI-NP\tO' -p274378 -aS'GT\tGT\tNN\tI-NP\tO' -p274379 -asS'His wife found him with weak right leg , flaccid right arm , and severe dysarthria .' -p274380 -(lp274381 -S'His\tHis\tPRP$\tB-NP\tO' -p274382 -aS'wife\twife\tNN\tI-NP\tO' -p274383 -aS'found\tfind\tVBD\tB-VP\tO' -p274384 -aS'him\thim\tPRP\tB-NP\tO' -p274385 -aS'with\twith\tIN\tB-PP\tO' -p274386 -aS'weak\tweak\tJJ\tB-NP\tO' -p274387 -aS'right\tright\tJJ\tI-NP\tO' -p274388 -aS'leg\tleg\tNN\tI-NP\tO' -p274389 -aS',\t,\t,\tO\tO' -p274390 -aS'flaccid\tflaccid\tJJ\tB-NP\tO' -p274391 -aS'right\tright\tJJ\tI-NP\tO' -p274392 -aS'arm\tarm\tNN\tI-NP\tO' -p274393 -aS',\t,\t,\tO\tO' -p274394 -aS'and\tand\tCC\tO\tO' -p274395 -aS'severe\tsevere\tJJ\tB-NP\tO' -p274396 -aS'dysarthria\tdysarthria\tNN\tI-NP\tO' -p274397 -aS'.\t.\t.\tO\tO' -p274398 -asS'Because of the patient 's deteriorating state , the patient was brought to the operating room on 4/28/95 .' -p274399 -(lp274400 -S'Because\tBecause\tIN\tB-PP\tO' -p274401 -aS'of\tof\tIN\tI-PP\tO' -p274402 -aS'the\tthe\tDT\tB-NP\tO' -p274403 -aS'patient\tpatient\tNN\tI-NP\tO' -p274404 -aS''s\t'\tNNS\tI-NP\tO' -p274405 -aS'deteriorating\tdeteriorate\tVBG\tB-VP\tO' -p274406 -aS'state\tstate\tNN\tB-NP\tO' -p274407 -aS',\t,\t,\tO\tO' -p274408 -aS'the\tthe\tDT\tB-NP\tO' -p274409 -aS'patient\tpatient\tNN\tI-NP\tO' -p274410 -aS'was\tbe\tVBD\tB-VP\tO' -p274411 -aS'brought\tbring\tVBN\tI-VP\tO' -p274412 -aS'to\tto\tTO\tB-PP\tO' -p274413 -aS'the\tthe\tDT\tB-NP\tO' -p274414 -aS'operating\toperating\tNN\tI-NP\tO' -p274415 -aS'room\troom\tNN\tI-NP\tO' -p274416 -aS'on\ton\tIN\tB-PP\tO' -p274417 -aS'4/28/95\t4/28/95\tCD\tB-NP\tO' -p274418 -aS'.\t.\t.\tO\tO' -p274419 -asS'regular rate and rhythm , no murmur appreciated , normal S1 and S2 .' -p274420 -(lp274421 -S'regular\tregular\tJJ\tB-NP\tO' -p274422 -aS'rate\trate\tNN\tI-NP\tO' -p274423 -aS'and\tand\tCC\tI-NP\tO' -p274424 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p274425 -aS',\t,\t,\tO\tO' -p274426 -aS'no\tno\tDT\tB-NP\tO' -p274427 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p274428 -aS'appreciated\tappreciate\tVBN\tB-VP\tO' -p274429 -aS',\t,\t,\tO\tO' -p274430 -aS'normal\tnormal\tJJ\tB-NP\tO' -p274431 -aS'S1\tS1\tNN\tI-NP\tB-protein' -p274432 -aS'and\tand\tCC\tO\tO' -p274433 -aS'S2\tS2\tNN\tB-NP\tB-protein' -p274434 -aS'.\t.\t.\tO\tO' -p274435 -asS'Signed electronically by : DR. William Dunbar on : FRI 2020-09-25 1:30 PM' -p274436 -(lp274437 -S'Signed\tSign\tVBN\tB-VP\tO' -p274438 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p274439 -aS'by\tby\tIN\tB-PP\tO' -p274440 -aS':\t:\t:\tO\tO' -p274441 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p274442 -aS'William\tWilliam\tNNP\tI-NP\tO' -p274443 -aS'Dunbar\tDunbar\tNNP\tI-NP\tO' -p274444 -aS'on\ton\tIN\tB-PP\tO' -p274445 -aS':\t:\t:\tO\tO' -p274446 -aS'FRI\tFRI\tCD\tB-NP\tO' -p274447 -aS'2020-09-25\t2020-09-25\tCD\tI-NP\tO' -p274448 -aS'1:30\t1:30\tCD\tI-NP\tO' -p274449 -aS'PM\tPM\tNN\tI-NP\tO' -p274450 -asS'After a history on BiPAP about a half an hour , her ABG was 7.29 , 79 , and 106 on 30% pressure support of 5 and PEEP of 10 .' -p274451 -(lp274452 -S'After\tAfter\tIN\tB-PP\tO' -p274453 -aS'a\ta\tDT\tB-NP\tO' -p274454 -aS'history\thistory\tNN\tI-NP\tO' -p274455 -aS'on\ton\tIN\tB-PP\tO' -p274456 -aS'BiPAP\tBiPAP\tNN\tB-NP\tB-protein' -p274457 -aS'about\tabout\tIN\tB-PP\tO' -p274458 -aS'a\ta\tDT\tB-NP\tO' -p274459 -aS'half\thalf\tPDT\tI-NP\tO' -p274460 -aS'an\tan\tDT\tI-NP\tO' -p274461 -aS'hour\thour\tNN\tI-NP\tO' -p274462 -aS',\t,\t,\tO\tO' -p274463 -aS'her\ther\tPRP$\tB-NP\tO' -p274464 -aS'ABG\tABG\tNN\tI-NP\tO' -p274465 -aS'was\tbe\tVBD\tB-VP\tO' -p274466 -aS'7.29\t7.29\tCD\tB-NP\tO' -p274467 -aS',\t,\t,\tI-NP\tO' -p274468 -aS'79\t79\tCD\tI-NP\tO' -p274469 -aS',\t,\t,\tO\tO' -p274470 -aS'and\tand\tCC\tO\tO' -p274471 -aS'106\t106\tCD\tB-NP\tO' -p274472 -aS'on\ton\tIN\tB-PP\tO' -p274473 -aS'30%\t30%\tCD\tB-NP\tO' -p274474 -aS'pressure\tpressure\tNN\tI-NP\tO' -p274475 -aS'support\tsupport\tNN\tI-NP\tO' -p274476 -aS'of\tof\tIN\tB-PP\tO' -p274477 -aS'5\t5\tCD\tB-NP\tO' -p274478 -aS'and\tand\tCC\tI-NP\tO' -p274479 -aS'PEEP\tPEEP\tNN\tI-NP\tO' -p274480 -aS'of\tof\tIN\tB-PP\tO' -p274481 -aS'10\t10\tCD\tB-NP\tO' -p274482 -aS'.\t.\t.\tO\tO' -p274483 -asS'The patient reports no history of radiation exposure , no family history of thyroid carcinoma , no recent travels or exposure to tuberculosis .' -p274484 -(lp274485 -S'The\tThe\tDT\tB-NP\tO' -p274486 -aS'patient\tpatient\tNN\tI-NP\tO' -p274487 -aS'reports\treport\tVBZ\tB-VP\tO' -p274488 -aS'no\tno\tDT\tB-NP\tO' -p274489 -aS'history\thistory\tNN\tI-NP\tO' -p274490 -aS'of\tof\tIN\tB-PP\tO' -p274491 -aS'radiation\tradiation\tNN\tB-NP\tO' -p274492 -aS'exposure\texposure\tNN\tI-NP\tO' -p274493 -aS',\t,\t,\tO\tO' -p274494 -aS'no\tno\tDT\tB-NP\tO' -p274495 -aS'family\tfamily\tNN\tI-NP\tO' -p274496 -aS'history\thistory\tNN\tI-NP\tO' -p274497 -aS'of\tof\tIN\tB-PP\tO' -p274498 -aS'thyroid\tthyroid\tJJ\tB-NP\tO' -p274499 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p274500 -aS',\t,\t,\tO\tO' -p274501 -aS'no\tno\tDT\tB-NP\tO' -p274502 -aS'recent\trecent\tJJ\tI-NP\tO' -p274503 -aS'travels\ttravel\tNNS\tI-NP\tO' -p274504 -aS'or\tor\tCC\tI-NP\tO' -p274505 -aS'exposure\texposure\tNN\tI-NP\tO' -p274506 -aS'to\tto\tTO\tB-PP\tO' -p274507 -aS'tuberculosis\ttuberculosis\tNN\tB-NP\tO' -p274508 -aS'.\t.\t.\tO\tO' -p274509 -asS'She does not drink .' -p274510 -(lp274511 -S'She\tShe\tPRP\tB-NP\tO' -p274512 -aS'does\tdo\tVBZ\tB-VP\tO' -p274513 -aS'not\tnot\tRB\tI-VP\tO' -p274514 -aS'drink\tdrink\tVB\tI-VP\tO' -p274515 -aS'.\t.\t.\tO\tO' -p274516 -asS'11. Metoprolol Tartrate 25 mg Tablet Sig : 0.5 Tablet PO BID ( 2 times a day ) .' -p274517 -(lp274518 -S'11.\t11.\tLS\tB-NP\tO' -p274519 -aS'Metoprolol\tMetoprolol\tNN\tI-NP\tO' -p274520 -aS'Tartrate\tTartrate\tNN\tI-NP\tO' -p274521 -aS'25\t25\tCD\tI-NP\tO' -p274522 -aS'mg\tmg\tNN\tI-NP\tO' -p274523 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p274524 -aS'Sig\tSig\tNNP\tI-NP\tO' -p274525 -aS':\t:\t:\tO\tO' -p274526 -aS'0.5\t0.5\tCD\tB-NP\tO' -p274527 -aS'Tablet\tTablet\tNN\tI-NP\tO' -p274528 -aS'PO\tPO\tNN\tI-NP\tO' -p274529 -aS'BID\tBID\tNN\tI-NP\tO' -p274530 -aS'(\t(\t(\tO\tO' -p274531 -aS'2\t2\tCD\tB-NP\tO' -p274532 -aS'times\ttime\tNNS\tI-NP\tO' -p274533 -aS'a\ta\tDT\tB-NP\tO' -p274534 -aS'day\tday\tNN\tI-NP\tO' -p274535 -aS')\t)\t)\tO\tO' -p274536 -aS'.\t.\t.\tO\tO' -p274537 -asS'The patient was admitted to Nantucket Cottage Hospital on 2013-03-27 following a motor vehicle crash as described previously .' -p274538 -(lp274539 -S'The\tThe\tDT\tB-NP\tO' -p274540 -aS'patient\tpatient\tNN\tI-NP\tO' -p274541 -aS'was\tbe\tVBD\tB-VP\tO' -p274542 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p274543 -aS'to\tto\tTO\tB-PP\tO' -p274544 -aS'Nantucket\tNantucket\tNNP\tB-NP\tO' -p274545 -aS'Cottage\tCottage\tNNP\tI-NP\tO' -p274546 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p274547 -aS'on\ton\tIN\tB-PP\tO' -p274548 -aS'2013-03-27\t2013-03-27\tCD\tB-NP\tO' -p274549 -aS'following\tfollow\tVBG\tB-PP\tO' -p274550 -aS'a\ta\tDT\tB-NP\tO' -p274551 -aS'motor\tmotor\tNN\tI-NP\tO' -p274552 -aS'vehicle\tvehicle\tNN\tI-NP\tO' -p274553 -aS'crash\tcrash\tNN\tI-NP\tO' -p274554 -aS'as\tas\tIN\tB-SBAR\tO' -p274555 -aS'described\tdescribe\tVBN\tB-VP\tO' -p274556 -aS'previously\tpreviously\tRB\tB-ADVP\tO' -p274557 -aS'.\t.\t.\tO\tO' -p274558 -asS'She was afebrile , her vital signs were stable .' -p274559 -(lp274560 -S'She\tShe\tPRP\tB-NP\tO' -p274561 -aS'was\tbe\tVBD\tB-VP\tO' -p274562 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p274563 -aS',\t,\t,\tO\tO' -p274564 -aS'her\ther\tPRP$\tB-NP\tO' -p274565 -aS'vital\tvital\tJJ\tI-NP\tO' -p274566 -aS'signs\tsign\tNNS\tI-NP\tO' -p274567 -aS'were\tbe\tVBD\tB-VP\tO' -p274568 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p274569 -aS'.\t.\t.\tO\tO' -p274570 -asS'The patient complained of some urinary incontinence and difficulty initiating urine on December 30 , 2000 .' -p274571 -(lp274572 -S'The\tThe\tDT\tB-NP\tO' -p274573 -aS'patient\tpatient\tNN\tI-NP\tO' -p274574 -aS'complained\tcomplain\tVBD\tB-VP\tO' -p274575 -aS'of\tof\tIN\tB-PP\tO' -p274576 -aS'some\tsome\tDT\tB-NP\tO' -p274577 -aS'urinary\turinary\tJJ\tI-NP\tO' -p274578 -aS'incontinence\tincontinence\tNN\tI-NP\tO' -p274579 -aS'and\tand\tCC\tI-NP\tO' -p274580 -aS'difficulty\tdifficulty\tNN\tI-NP\tO' -p274581 -aS'initiating\tinitiate\tVBG\tB-VP\tO' -p274582 -aS'urine\turine\tNN\tB-NP\tO' -p274583 -aS'on\ton\tIN\tB-PP\tO' -p274584 -aS'December\tDecember\tNNP\tB-NP\tO' -p274585 -aS'30\t30\tCD\tI-NP\tO' -p274586 -aS',\t,\t,\tI-NP\tO' -p274587 -aS'2000\t2000\tCD\tI-NP\tO' -p274588 -aS'.\t.\t.\tO\tO' -p274589 -asS'Past OB history remarkable for postpartum depression .' -p274590 -(lp274591 -S'Past\tPast\tNN\tB-NP\tO' -p274592 -aS'OB\tOB\tNN\tI-NP\tO' -p274593 -aS'history\thistory\tNN\tI-NP\tO' -p274594 -aS'remarkable\tremarkable\tJJ\tB-ADJP\tO' -p274595 -aS'for\tfor\tIN\tB-PP\tO' -p274596 -aS'postpartum\tpostpartum\tNN\tB-NP\tO' -p274597 -aS'depression\tdepression\tNN\tI-NP\tO' -p274598 -aS'.\t.\t.\tO\tO' -p274599 -asS'Patient conitnued to have SI while on floor and was transferred to psychiatry .' -p274600 -(lp274601 -S'Patient\tPatient\tNN\tB-NP\tO' -p274602 -aS'conitnued\tconitnue\tVBD\tB-VP\tO' -p274603 -aS'to\tto\tTO\tI-VP\tO' -p274604 -aS'have\thave\tVB\tI-VP\tO' -p274605 -aS'SI\tSI\tNN\tB-NP\tO' -p274606 -aS'while\twhile\tIN\tB-SBAR\tO' -p274607 -aS'on\ton\tIN\tB-PP\tO' -p274608 -aS'floor\tfloor\tNN\tB-NP\tO' -p274609 -aS'and\tand\tCC\tO\tO' -p274610 -aS'was\tbe\tVBD\tB-VP\tO' -p274611 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p274612 -aS'to\tto\tTO\tB-PP\tO' -p274613 -aS'psychiatry\tpsychiatry\tNN\tB-NP\tO' -p274614 -aS'.\t.\t.\tO\tO' -p274615 -asS'The patient refused a biopsy for this admission and desires follow-up mammograms .' -p274616 -(lp274617 -S'The\tThe\tDT\tB-NP\tO' -p274618 -aS'patient\tpatient\tNN\tI-NP\tO' -p274619 -aS'refused\trefuse\tVBD\tB-VP\tO' -p274620 -aS'a\ta\tDT\tB-NP\tO' -p274621 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p274622 -aS'for\tfor\tIN\tB-PP\tO' -p274623 -aS'this\tthis\tDT\tB-NP\tO' -p274624 -aS'admission\tadmission\tNN\tI-NP\tO' -p274625 -aS'and\tand\tCC\tO\tO' -p274626 -aS'desires\tdesire\tVBZ\tB-VP\tO' -p274627 -aS'follow-up\tfollow-up\tJJ\tB-NP\tO' -p274628 -aS'mammograms\tmammogram\tNNS\tI-NP\tO' -p274629 -aS'.\t.\t.\tO\tO' -p274630 -asS"# Access -- 2 large bore PIV's" -p274631 -(lp274632 -S'#\t#\t#\tB-NP\tO' -p274633 -aS'Access\tAccess\tNNP\tI-NP\tO' -p274634 -aS'--\t--\t:\tO\tO' -p274635 -aS'2\t2\tCD\tB-NP\tO' -p274636 -aS'large\tlarge\tJJ\tI-NP\tO' -p274637 -aS'bore\tbore\tJJ\tI-NP\tO' -p274638 -aS"PIV's\tPIV'\tNNS\tI-NP\tO" -p274639 -asS'When this medication was discontinued , her BP came back up to the 70s-90s / 30s-50s .' -p274640 -(lp274641 -S'When\tWhen\tWRB\tB-ADVP\tO' -p274642 -aS'this\tthis\tDT\tB-NP\tO' -p274643 -aS'medication\tmedication\tNN\tI-NP\tO' -p274644 -aS'was\tbe\tVBD\tB-VP\tO' -p274645 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p274646 -aS',\t,\t,\tO\tO' -p274647 -aS'her\ther\tPRP$\tB-NP\tO' -p274648 -aS'BP\tBP\tNN\tI-NP\tO' -p274649 -aS'came\tcome\tVBD\tB-VP\tO' -p274650 -aS'back\tback\tRB\tB-ADVP\tO' -p274651 -aS'up\tup\tIN\tB-PP\tO' -p274652 -aS'to\tto\tTO\tB-PP\tO' -p274653 -aS'the\tthe\tDT\tB-NP\tO' -p274654 -aS'70s-90s\t70s-90s\tCD\tI-NP\tO' -p274655 -aS'/\t/\tSYM\tI-NP\tO' -p274656 -aS'30s-50s\t30s-50s\tCD\tI-NP\tO' -p274657 -aS'.\t.\t.\tO\tO' -p274658 -asS'6. Levofloxacin 250 mg p.o. q48 hours for the next five weeks for osteomyelitis .' -p274659 -(lp274660 -S'6.\t6.\tCD\tB-NP\tO' -p274661 -aS'Levofloxacin\tLevofloxacin\tNN\tI-NP\tO' -p274662 -aS'250\t250\tCD\tB-NP\tO' -p274663 -aS'mg\tmg\tNN\tI-NP\tO' -p274664 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p274665 -aS'q48\tq48\tNN\tI-NP\tO' -p274666 -aS'hours\thour\tNNS\tI-NP\tO' -p274667 -aS'for\tfor\tIN\tB-PP\tO' -p274668 -aS'the\tthe\tDT\tB-NP\tO' -p274669 -aS'next\tnext\tJJ\tI-NP\tO' -p274670 -aS'five\tfive\tCD\tI-NP\tO' -p274671 -aS'weeks\tweek\tNNS\tI-NP\tO' -p274672 -aS'for\tfor\tIN\tB-PP\tO' -p274673 -aS'osteomyelitis\tosteomyelitis\tNN\tB-NP\tO' -p274674 -aS'.\t.\t.\tO\tO' -p274675 -asS'Calcium 8.1 .' -p274676 -(lp274677 -S'Calcium\tCalcium\tNN\tB-NP\tO' -p274678 -aS'8.1\t8.1\tCD\tI-NP\tO' -p274679 -aS'.\t.\t.\tO\tO' -p274680 -asS'srom .' -p274681 -(lp274682 -S'srom\tsrom\tNN\tB-NP\tO' -p274683 -aS'.\t.\t.\tO\tO' -p274684 -asS'Cervix 1 cm dilated .' -p274685 -(lp274686 -S'Cervix\tCervix\tNN\tB-NP\tO' -p274687 -aS'1\t1\tCD\tI-NP\tO' -p274688 -aS'cm\tcm\tNN\tI-NP\tO' -p274689 -aS'dilated\tdilate\tVBN\tB-VP\tO' -p274690 -aS'.\t.\t.\tO\tO' -p274691 -asS'The contact social worker can be reached at ( 374 ) 419-2007 .' -p274692 -(lp274693 -S'The\tThe\tDT\tB-NP\tO' -p274694 -aS'contact\tcontact\tNN\tI-NP\tO' -p274695 -aS'social\tsocial\tJJ\tI-NP\tO' -p274696 -aS'worker\tworker\tNN\tI-NP\tO' -p274697 -aS'can\tcan\tMD\tB-VP\tO' -p274698 -aS'be\tbe\tVB\tI-VP\tO' -p274699 -aS'reached\treach\tVBN\tI-VP\tO' -p274700 -aS'at\tat\tIN\tB-PP\tO' -p274701 -aS'(\t(\t(\tO\tO' -p274702 -aS'374\t374\tCD\tB-NP\tO' -p274703 -aS')\t)\t)\tO\tO' -p274704 -aS'419-2007\t419-2007\tCD\tB-NP\tO' -p274705 -aS'.\t.\t.\tO\tO' -p274706 -asS'Review of these angiograms demonstrated a dominant right coronary artery with a focal 50% stenosis in the mid-portion .' -p274707 -(lp274708 -S'Review\tReview\tNN\tB-NP\tO' -p274709 -aS'of\tof\tIN\tB-PP\tO' -p274710 -aS'these\tthese\tDT\tB-NP\tO' -p274711 -aS'angiograms\tangiogram\tNNS\tI-NP\tO' -p274712 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p274713 -aS'a\ta\tDT\tB-NP\tO' -p274714 -aS'dominant\tdominant\tJJ\tI-NP\tO' -p274715 -aS'right\tright\tJJ\tI-NP\tO' -p274716 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p274717 -aS'artery\tartery\tNN\tI-NP\tO' -p274718 -aS'with\twith\tIN\tB-PP\tO' -p274719 -aS'a\ta\tDT\tB-NP\tO' -p274720 -aS'focal\tfocal\tJJ\tI-NP\tO' -p274721 -aS'50%\t50%\tCD\tI-NP\tO' -p274722 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p274723 -aS'in\tin\tIN\tB-PP\tO' -p274724 -aS'the\tthe\tDT\tB-NP\tO' -p274725 -aS'mid-portion\tmid-portion\tNN\tI-NP\tO' -p274726 -aS'.\t.\t.\tO\tO' -p274727 -asS'Pulmonary toilet and aggressive chest Physical Therapy was continued and the patient was able to be weaned from his oxygen .' -p274728 -(lp274729 -S'Pulmonary\tPulmonary\tJJ\tB-NP\tO' -p274730 -aS'toilet\ttoilet\tNN\tI-NP\tO' -p274731 -aS'and\tand\tCC\tO\tO' -p274732 -aS'aggressive\taggressive\tJJ\tB-NP\tO' -p274733 -aS'chest\tchest\tNN\tI-NP\tO' -p274734 -aS'Physical\tPhysical\tJJ\tI-NP\tO' -p274735 -aS'Therapy\tTherapy\tNN\tI-NP\tO' -p274736 -aS'was\tbe\tVBD\tB-VP\tO' -p274737 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p274738 -aS'and\tand\tCC\tO\tO' -p274739 -aS'the\tthe\tDT\tB-NP\tO' -p274740 -aS'patient\tpatient\tNN\tI-NP\tO' -p274741 -aS'was\tbe\tVBD\tB-VP\tO' -p274742 -aS'able\table\tJJ\tB-ADJP\tO' -p274743 -aS'to\tto\tTO\tB-VP\tO' -p274744 -aS'be\tbe\tVB\tI-VP\tO' -p274745 -aS'weaned\twean\tVBN\tI-VP\tO' -p274746 -aS'from\tfrom\tIN\tB-PP\tO' -p274747 -aS'his\this\tPRP$\tB-NP\tO' -p274748 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p274749 -aS'.\t.\t.\tO\tO' -p274750 -asS'Congestive heart failure .' -p274751 -(lp274752 -S'Congestive\tCongestive\tJJ\tB-NP\tO' -p274753 -aS'heart\theart\tNN\tI-NP\tO' -p274754 -aS'failure\tfailure\tNN\tI-NP\tO' -p274755 -aS'.\t.\t.\tO\tO' -p274756 -asS'Room air arterial blood gas was 56/40/7.45 .' -p274757 -(lp274758 -S'Room\tRoom\tNN\tB-NP\tO' -p274759 -aS'air\tair\tNN\tI-NP\tO' -p274760 -aS'arterial\tarterial\tJJ\tI-NP\tO' -p274761 -aS'blood\tblood\tNN\tI-NP\tO' -p274762 -aS'gas\tgas\tNN\tI-NP\tO' -p274763 -aS'was\tbe\tVBD\tB-VP\tO' -p274764 -aS'56/40/7.45\t56/40/7.45\tCD\tB-NP\tO' -p274765 -aS'.\t.\t.\tO\tO' -p274766 -asS'She had no further rebound .' -p274767 -(lp274768 -S'She\tShe\tPRP\tB-NP\tO' -p274769 -aS'had\thave\tVBD\tB-VP\tO' -p274770 -aS'no\tno\tDT\tB-NP\tO' -p274771 -aS'further\tfurther\tJJ\tI-NP\tO' -p274772 -aS'rebound\trebound\tNN\tI-NP\tO' -p274773 -aS'.\t.\t.\tO\tO' -p274774 -asS'On 2014-04-02 , the patient was awake , alert and oriented , taking Lactulose .' -p274775 -(lp274776 -S'On\tOn\tIN\tB-PP\tO' -p274777 -aS'2014-04-02\t2014-04-02\tCD\tB-NP\tO' -p274778 -aS',\t,\t,\tO\tO' -p274779 -aS'the\tthe\tDT\tB-NP\tO' -p274780 -aS'patient\tpatient\tNN\tI-NP\tO' -p274781 -aS'was\tbe\tVBD\tB-VP\tO' -p274782 -aS'awake\tawake\tJJ\tB-NP\tO' -p274783 -aS',\t,\t,\tI-NP\tO' -p274784 -aS'alert\talert\tJJ\tI-NP\tO' -p274785 -aS'and\tand\tCC\tI-NP\tO' -p274786 -aS'oriented\torient\tVBN\tI-NP\tO' -p274787 -aS',\t,\t,\tO\tO' -p274788 -aS'taking\ttake\tVBG\tB-VP\tO' -p274789 -aS'Lactulose\tLactulose\tNN\tB-NP\tO' -p274790 -aS'.\t.\t.\tO\tO' -p274791 -asS'There was no communication >.......< in the visualized vessels and the angiomas .' -p274792 -(lp274793 -S'There\tThere\tEX\tB-NP\tO' -p274794 -aS'was\tbe\tVBD\tB-VP\tO' -p274795 -aS'no\tno\tDT\tB-NP\tO' -p274796 -aS'communication\tcommunication\tNN\tI-NP\tO' -p274797 -aS'>.......<\t>.......<\tNN\tI-NP\tO' -p274798 -aS'in\tin\tIN\tB-PP\tO' -p274799 -aS'the\tthe\tDT\tB-NP\tO' -p274800 -aS'visualized\tvisualize\tVBN\tI-NP\tO' -p274801 -aS'vessels\tvessel\tNNS\tI-NP\tO' -p274802 -aS'and\tand\tCC\tO\tO' -p274803 -aS'the\tthe\tDT\tB-NP\tO' -p274804 -aS'angiomas\tangioma\tNNS\tI-NP\tO' -p274805 -aS'.\t.\t.\tO\tO' -p274806 -asS'He had a blood pressure 110/70 , heart rate 110 beats per minute and regular , respiratory rate 25 .' -p274807 -(lp274808 -S'He\tHe\tPRP\tB-NP\tO' -p274809 -aS'had\thave\tVBD\tB-VP\tO' -p274810 -aS'a\ta\tDT\tB-NP\tO' -p274811 -aS'blood\tblood\tNN\tI-NP\tO' -p274812 -aS'pressure\tpressure\tNN\tI-NP\tO' -p274813 -aS'110/70\t110/70\tCD\tI-NP\tO' -p274814 -aS',\t,\t,\tO\tO' -p274815 -aS'heart\theart\tNN\tB-NP\tO' -p274816 -aS'rate\trate\tNN\tI-NP\tO' -p274817 -aS'110\t110\tCD\tB-NP\tO' -p274818 -aS'beats\tbeat\tNNS\tI-NP\tO' -p274819 -aS'per\tper\tIN\tB-PP\tO' -p274820 -aS'minute\tminute\tNN\tB-NP\tO' -p274821 -aS'and\tand\tCC\tO\tO' -p274822 -aS'regular\tregular\tJJ\tB-NP\tO' -p274823 -aS',\t,\t,\tI-NP\tO' -p274824 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p274825 -aS'rate\trate\tNN\tI-NP\tO' -p274826 -aS'25\t25\tCD\tI-NP\tO' -p274827 -aS'.\t.\t.\tO\tO' -p274828 -asS'2. Warfarin 3 mg p.o. q h.s.' -p274829 -(lp274830 -S'2.\t2.\tLS\tB-NP\tO' -p274831 -aS'Warfarin\tWarfarin\tNNP\tI-NP\tO' -p274832 -aS'3\t3\tCD\tI-NP\tO' -p274833 -aS'mg\tmg\tNN\tI-NP\tO' -p274834 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p274835 -aS'q\tq\tNN\tI-NP\tO' -p274836 -aS'h.s.\th.s.\tNN\tI-NP\tO' -p274837 -asS'Biopsy of the lytic lesion was consistent with metastases papillary carcinoma of the thyroid .' -p274838 -(lp274839 -S'Biopsy\tBiopsy\tNN\tB-NP\tO' -p274840 -aS'of\tof\tIN\tB-PP\tO' -p274841 -aS'the\tthe\tDT\tB-NP\tO' -p274842 -aS'lytic\tlytic\tJJ\tI-NP\tO' -p274843 -aS'lesion\tlesion\tNN\tI-NP\tO' -p274844 -aS'was\tbe\tVBD\tB-VP\tO' -p274845 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p274846 -aS'with\twith\tIN\tB-PP\tO' -p274847 -aS'metastases\tmetastasis\tNNS\tB-NP\tO' -p274848 -aS'papillary\tpapillary\tJJ\tB-NP\tO' -p274849 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p274850 -aS'of\tof\tIN\tB-PP\tO' -p274851 -aS'the\tthe\tDT\tB-NP\tO' -p274852 -aS'thyroid\tthyroid\tNN\tI-NP\tO' -p274853 -aS'.\t.\t.\tO\tO' -p274854 -asS'The patient has a history of MI in 1989 .' -p274855 -(lp274856 -S'The\tThe\tDT\tB-NP\tO' -p274857 -aS'patient\tpatient\tNN\tI-NP\tO' -p274858 -aS'has\thave\tVBZ\tB-VP\tO' -p274859 -aS'a\ta\tDT\tB-NP\tO' -p274860 -aS'history\thistory\tNN\tI-NP\tO' -p274861 -aS'of\tof\tIN\tB-PP\tO' -p274862 -aS'MI\tMI\tNN\tB-NP\tB-protein' -p274863 -aS'in\tin\tIN\tB-PP\tO' -p274864 -aS'1989\t1989\tCD\tB-NP\tO' -p274865 -aS'.\t.\t.\tO\tO' -p274866 -asS'You were diagnosed with an epidural abscess .' -p274867 -(lp274868 -S'You\tYou\tPRP\tB-NP\tO' -p274869 -aS'were\tbe\tVBD\tB-VP\tO' -p274870 -aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' -p274871 -aS'with\twith\tIN\tB-PP\tO' -p274872 -aS'an\tan\tDT\tB-NP\tO' -p274873 -aS'epidural\tepidural\tJJ\tI-NP\tO' -p274874 -aS'abscess\tabscess\tNN\tI-NP\tO' -p274875 -aS'.\t.\t.\tO\tO' -p274876 -asS'The patient was then evaluated by Cardiac Surgery for probable re-do aortic valve replacement and possible re-do coronary artery bypass grafting .' -p274877 -(lp274878 -S'The\tThe\tDT\tB-NP\tO' -p274879 -aS'patient\tpatient\tNN\tI-NP\tO' -p274880 -aS'was\tbe\tVBD\tB-VP\tO' -p274881 -aS'then\tthen\tRB\tI-VP\tO' -p274882 -aS'evaluated\tevaluate\tVBN\tI-VP\tO' -p274883 -aS'by\tby\tIN\tB-PP\tO' -p274884 -aS'Cardiac\tCardiac\tNNP\tB-NP\tO' -p274885 -aS'Surgery\tSurgery\tNNP\tI-NP\tO' -p274886 -aS'for\tfor\tIN\tB-PP\tO' -p274887 -aS'probable\tprobable\tJJ\tB-NP\tO' -p274888 -aS're-do\tre-do\tJJ\tI-NP\tO' -p274889 -aS'aortic\taortic\tJJ\tI-NP\tO' -p274890 -aS'valve\tvalve\tNN\tI-NP\tO' -p274891 -aS'replacement\treplacement\tNN\tI-NP\tO' -p274892 -aS'and\tand\tCC\tO\tO' -p274893 -aS'possible\tpossible\tJJ\tB-NP\tO' -p274894 -aS're-do\tre-do\tJJ\tI-NP\tO' -p274895 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p274896 -aS'artery\tartery\tNN\tI-NP\tO' -p274897 -aS'bypass\tbypass\tIN\tB-PP\tO' -p274898 -aS'grafting\tgrafting\tNN\tB-NP\tO' -p274899 -aS'.\t.\t.\tO\tO' -p274900 -asS'The patient had multiple antibiotics withdrawn .' -p274901 -(lp274902 -S'The\tThe\tDT\tB-NP\tO' -p274903 -aS'patient\tpatient\tNN\tI-NP\tO' -p274904 -aS'had\thave\tVBD\tB-VP\tO' -p274905 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p274906 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p274907 -aS'withdrawn\twithdraw\tVBN\tB-VP\tO' -p274908 -aS'.\t.\t.\tO\tO' -p274909 -asS'C. difficile was negative times three prior to discharge .' -p274910 -(lp274911 -S'C.\tC.\tNN\tB-NP\tO' -p274912 -aS'difficile\tdifficile\tNN\tI-NP\tO' -p274913 -aS'was\tbe\tVBD\tB-VP\tO' -p274914 -aS'negative\tnegative\tJJ\tB-NP\tO' -p274915 -aS'times\ttime\tNNS\tI-NP\tO' -p274916 -aS'three\tthree\tCD\tI-NP\tO' -p274917 -aS'prior\tprior\tJJ\tI-NP\tO' -p274918 -aS'to\tto\tTO\tB-VP\tO' -p274919 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p274920 -aS'.\t.\t.\tO\tO' -p274921 -asS'No autopsy was obtained .' -p274922 -(lp274923 -S'No\tNo\tDT\tB-NP\tO' -p274924 -aS'autopsy\tautopsy\tNN\tI-NP\tO' -p274925 -aS'was\tbe\tVBD\tB-VP\tO' -p274926 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p274927 -aS'.\t.\t.\tO\tO' -p274928 -asS'She has known dilated cardiomyopathy with a baseline ejection fraction of approximately 25% .' -p274929 -(lp274930 -S'She\tShe\tPRP\tB-NP\tO' -p274931 -aS'has\thave\tVBZ\tB-VP\tO' -p274932 -aS'known\tknow\tVBN\tI-VP\tO' -p274933 -aS'dilated\tdilated\tJJ\tB-NP\tO' -p274934 -aS'cardiomyopathy\tcardiomyopathy\tNN\tI-NP\tO' -p274935 -aS'with\twith\tIN\tB-PP\tO' -p274936 -aS'a\ta\tDT\tB-NP\tO' -p274937 -aS'baseline\tbaseline\tNN\tI-NP\tO' -p274938 -aS'ejection\tejection\tNN\tI-NP\tO' -p274939 -aS'fraction\tfraction\tNN\tI-NP\tO' -p274940 -aS'of\tof\tIN\tB-PP\tO' -p274941 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p274942 -aS'25%\t25%\tCD\tI-NP\tO' -p274943 -aS'.\t.\t.\tO\tO' -p274944 -asS'He went to the Operating Room quickly and had an intramedullary rodding of the femur and open reduction and internal fixation of the radius and ulna .' -p274945 -(lp274946 -S'He\tHe\tPRP\tB-NP\tO' -p274947 -aS'went\tgo\tVBD\tB-VP\tO' -p274948 -aS'to\tto\tTO\tB-PP\tO' -p274949 -aS'the\tthe\tDT\tB-NP\tO' -p274950 -aS'Operating\tOperating\tNNP\tI-NP\tO' -p274951 -aS'Room\tRoom\tNNP\tI-NP\tO' -p274952 -aS'quickly\tquickly\tRB\tB-ADVP\tO' -p274953 -aS'and\tand\tCC\tO\tO' -p274954 -aS'had\thave\tVBD\tB-VP\tO' -p274955 -aS'an\tan\tDT\tB-NP\tO' -p274956 -aS'intramedullary\tintramedullary\tJJ\tI-NP\tO' -p274957 -aS'rodding\trodding\tNN\tI-NP\tO' -p274958 -aS'of\tof\tIN\tB-PP\tO' -p274959 -aS'the\tthe\tDT\tB-NP\tO' -p274960 -aS'femur\tfemur\tNN\tI-NP\tO' -p274961 -aS'and\tand\tCC\tI-NP\tO' -p274962 -aS'open\topen\tJJ\tI-NP\tO' -p274963 -aS'reduction\treduction\tNN\tI-NP\tO' -p274964 -aS'and\tand\tCC\tI-NP\tO' -p274965 -aS'internal\tinternal\tJJ\tI-NP\tO' -p274966 -aS'fixation\tfixation\tNN\tI-NP\tO' -p274967 -aS'of\tof\tIN\tB-PP\tO' -p274968 -aS'the\tthe\tDT\tB-NP\tO' -p274969 -aS'radius\tradius\tNN\tI-NP\tO' -p274970 -aS'and\tand\tCC\tI-NP\tO' -p274971 -aS'ulna\tulna\tNN\tI-NP\tO' -p274972 -aS'.\t.\t.\tO\tO' -p274973 -asS'He had a cardiac catheterization which revealed 3-vessel disease .' -p274974 -(lp274975 -S'He\tHe\tPRP\tB-NP\tO' -p274976 -aS'had\thave\tVBD\tB-VP\tO' -p274977 -aS'a\ta\tDT\tB-NP\tO' -p274978 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p274979 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p274980 -aS'which\twhich\tWDT\tB-NP\tO' -p274981 -aS'revealed\treveal\tVBD\tB-VP\tO' -p274982 -aS'3-vessel\t3-vessel\tJJ\tB-NP\tO' -p274983 -aS'disease\tdisease\tNN\tI-NP\tO' -p274984 -aS'.\t.\t.\tO\tO' -p274985 -asS'He had no complications and no subsequently pancreatitis .' -p274986 -(lp274987 -S'He\tHe\tPRP\tB-NP\tO' -p274988 -aS'had\thave\tVBD\tB-VP\tO' -p274989 -aS'no\tno\tDT\tB-NP\tO' -p274990 -aS'complications\tcomplication\tNNS\tI-NP\tO' -p274991 -aS'and\tand\tCC\tO\tO' -p274992 -aS'no\tno\tDT\tB-NP\tO' -p274993 -aS'subsequently\tsubsequently\tRB\tI-NP\tO' -p274994 -aS'pancreatitis\tpancreatitis\tNN\tI-NP\tO' -p274995 -aS'.\t.\t.\tO\tO' -p274996 -asS'4. Fluconazole 200 mg po qd .' -p274997 -(lp274998 -S'4.\t4.\tLS\tB-NP\tO' -p274999 -aS'Fluconazole\tFluconazole\tNN\tI-NP\tO' -p275000 -aS'200\t200\tCD\tI-NP\tO' -p275001 -aS'mg\tmg\tNN\tI-NP\tO' -p275002 -aS'po\tpo\tNN\tI-NP\tO' -p275003 -aS'qd\tqd\tNN\tI-NP\tO' -p275004 -aS'.\t.\t.\tO\tO' -p275005 -asS'Non-focal , except unable to assess left upper extremity secondary to the patient 's broken humeral fracture .' -p275006 -(lp275007 -S'Non-focal\tNon-focal\tJJ\tB-ADVP\tO' -p275008 -aS',\t,\t,\tO\tO' -p275009 -aS'except\texcept\tIN\tB-PP\tO' -p275010 -aS'unable\tunable\tJJ\tB-ADJP\tO' -p275011 -aS'to\tto\tTO\tB-VP\tO' -p275012 -aS'assess\tassess\tVB\tI-VP\tO' -p275013 -aS'left\tleft\tJJ\tB-NP\tO' -p275014 -aS'upper\tupper\tJJ\tI-NP\tO' -p275015 -aS'extremity\textremity\tNN\tI-NP\tO' -p275016 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p275017 -aS'to\tto\tTO\tB-PP\tO' -p275018 -aS'the\tthe\tDT\tB-NP\tO' -p275019 -aS'patient\tpatient\tNN\tI-NP\tO' -p275020 -aS''s\t'\tNNS\tI-NP\tO' -p275021 -aS'broken\tbreak\tVBP\tB-VP\tO' -p275022 -aS'humeral\thumeral\tJJ\tB-NP\tO' -p275023 -aS'fracture\tfracture\tNN\tI-NP\tO' -p275024 -aS'.\t.\t.\tO\tO' -p275025 -asS'The patient was not diuresed but allowed to auto-diurese any additional fluids and is currently with O2 sats 97-98% on room air .' -p275026 -(lp275027 -S'The\tThe\tDT\tB-NP\tO' -p275028 -aS'patient\tpatient\tNN\tI-NP\tO' -p275029 -aS'was\tbe\tVBD\tB-VP\tO' -p275030 -aS'not\tnot\tRB\tI-VP\tO' -p275031 -aS'diuresed\tdiurese\tVBN\tI-VP\tO' -p275032 -aS'but\tbut\tCC\tO\tO' -p275033 -aS'allowed\tallow\tVBN\tB-VP\tO' -p275034 -aS'to\tto\tTO\tI-VP\tO' -p275035 -aS'auto-diurese\tauto-diurese\tVB\tI-VP\tO' -p275036 -aS'any\tany\tDT\tB-NP\tO' -p275037 -aS'additional\tadditional\tJJ\tI-NP\tO' -p275038 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p275039 -aS'and\tand\tCC\tO\tO' -p275040 -aS'is\tbe\tVBZ\tB-VP\tO' -p275041 -aS'currently\tcurrently\tRB\tB-ADVP\tO' -p275042 -aS'with\twith\tIN\tB-PP\tO' -p275043 -aS'O2\tO2\tNN\tB-NP\tO' -p275044 -aS'sats\tsat\tNNS\tI-NP\tO' -p275045 -aS'97-98%\t97-98%\tJJ\tB-ADJP\tO' -p275046 -aS'on\ton\tIN\tB-PP\tO' -p275047 -aS'room\troom\tNN\tB-NP\tO' -p275048 -aS'air\tair\tNN\tI-NP\tO' -p275049 -aS'.\t.\t.\tO\tO' -p275050 -asS'Ms. Less was initially admitted to the Vascular Surgery Service for Dr. Scosthuang and was recently transferred to the Neurosurgery Service under the care of Dr. Pae .' -p275051 -(lp275052 -S'Ms.\tMs.\tNNP\tB-NP\tO' -p275053 -aS'Less\tLess\tNNP\tI-NP\tO' -p275054 -aS'was\tbe\tVBD\tB-VP\tO' -p275055 -aS'initially\tinitially\tRB\tI-VP\tO' -p275056 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p275057 -aS'to\tto\tTO\tB-PP\tO' -p275058 -aS'the\tthe\tDT\tB-NP\tO' -p275059 -aS'Vascular\tVascular\tNNP\tI-NP\tO' -p275060 -aS'Surgery\tSurgery\tNNP\tI-NP\tO' -p275061 -aS'Service\tService\tNNP\tI-NP\tO' -p275062 -aS'for\tfor\tIN\tB-PP\tO' -p275063 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p275064 -aS'Scosthuang\tScosthuang\tNNP\tI-NP\tO' -p275065 -aS'and\tand\tCC\tO\tO' -p275066 -aS'was\tbe\tVBD\tB-VP\tO' -p275067 -aS'recently\trecently\tRB\tI-VP\tO' -p275068 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p275069 -aS'to\tto\tTO\tB-PP\tO' -p275070 -aS'the\tthe\tDT\tB-NP\tO' -p275071 -aS'Neurosurgery\tNeurosurgery\tNNP\tI-NP\tO' -p275072 -aS'Service\tService\tNNP\tI-NP\tO' -p275073 -aS'under\tunder\tIN\tB-PP\tO' -p275074 -aS'the\tthe\tDT\tB-NP\tO' -p275075 -aS'care\tcare\tNN\tI-NP\tO' -p275076 -aS'of\tof\tIN\tB-PP\tO' -p275077 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p275078 -aS'Pae\tPae\tNNP\tI-NP\tO' -p275079 -aS'.\t.\t.\tO\tO' -p275080 -asS'She continued to remained nauseated so she was treated with phenergan , anzemet , zofran , and ativan .' -p275081 -(lp275082 -S'She\tShe\tPRP\tB-NP\tO' -p275083 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p275084 -aS'to\tto\tTO\tI-VP\tO' -p275085 -aS'remained\tremain\tVBN\tI-VP\tO' -p275086 -aS'nauseated\tnauseate\tVBN\tI-VP\tO' -p275087 -aS'so\tso\tIN\tB-SBAR\tO' -p275088 -aS'she\tshe\tPRP\tB-NP\tO' -p275089 -aS'was\tbe\tVBD\tB-VP\tO' -p275090 -aS'treated\ttreat\tVBN\tI-VP\tO' -p275091 -aS'with\twith\tIN\tB-PP\tO' -p275092 -aS'phenergan\tphenergan\tNN\tB-NP\tO' -p275093 -aS',\t,\t,\tO\tO' -p275094 -aS'anzemet\tanzemet\tNN\tB-NP\tO' -p275095 -aS',\t,\t,\tO\tO' -p275096 -aS'zofran\tzofran\tNN\tB-NP\tO' -p275097 -aS',\t,\t,\tO\tO' -p275098 -aS'and\tand\tCC\tO\tO' -p275099 -aS'ativan\tativan\tNN\tB-NP\tO' -p275100 -aS'.\t.\t.\tO\tO' -p275101 -asS'There is no midline shift , mass effect , hydrocephalus , or territorial infarct .' -p275102 -(lp275103 -S'There\tThere\tEX\tB-NP\tO' -p275104 -aS'is\tbe\tVBZ\tB-VP\tO' -p275105 -aS'no\tno\tDT\tB-NP\tO' -p275106 -aS'midline\tmidline\tNN\tI-NP\tO' -p275107 -aS'shift\tshift\tNN\tI-NP\tO' -p275108 -aS',\t,\t,\tO\tO' -p275109 -aS'mass\tmass\tNN\tB-NP\tO' -p275110 -aS'effect\teffect\tNN\tI-NP\tO' -p275111 -aS',\t,\t,\tO\tO' -p275112 -aS'hydrocephalus\thydrocephalus\tNN\tB-NP\tO' -p275113 -aS',\t,\t,\tO\tO' -p275114 -aS'or\tor\tCC\tO\tO' -p275115 -aS'territorial\tterritorial\tJJ\tB-NP\tO' -p275116 -aS'infarct\tinfarct\tNN\tI-NP\tO' -p275117 -aS'.\t.\t.\tO\tO' -p275118 -asS'2. Marinol 2.5 mg p.o. b.i.d. before breakfast and dinner .' -p275119 -(lp275120 -S'2.\t2.\tLS\tB-NP\tO' -p275121 -aS'Marinol\tMarinol\tNNP\tI-NP\tO' -p275122 -aS'2.5\t2.5\tCD\tI-NP\tO' -p275123 -aS'mg\tmg\tNN\tI-NP\tO' -p275124 -aS'p.o.\tp.o.\tFW\tB-ADVP\tO' -p275125 -aS'b.i.d.\tb.i.d.\tFW\tI-ADVP\tO' -p275126 -aS'before\tbefore\tIN\tB-PP\tO' -p275127 -aS'breakfast\tbreakfast\tNN\tB-NP\tO' -p275128 -aS'and\tand\tCC\tI-NP\tO' -p275129 -aS'dinner\tdinner\tNN\tI-NP\tO' -p275130 -aS'.\t.\t.\tO\tO' -p275131 -asS'Heparin 3000 U tu , thursday saturday' -p275132 -(lp275133 -S'Heparin\tHeparin\tNN\tB-NP\tO' -p275134 -aS'3000\t3000\tCD\tI-NP\tO' -p275135 -aS'U\tU\tNN\tI-NP\tO' -p275136 -aS'tu\ttu\tNN\tI-NP\tO' -p275137 -aS',\t,\t,\tO\tO' -p275138 -aS'thursday\tthursday\tNN\tB-NP\tO' -p275139 -aS'saturday\tsaturday\tNN\tI-NP\tO' -p275140 -asS'1) Bilateral LE doppler ( 06-14 ): No evidence of deep venous thrombosis in the lower extremities bilaterally .' -p275141 -(lp275142 -S'1)\t1)\tLS\tB-NP\tO' -p275143 -aS'Bilateral\tBilateral\tJJ\tI-NP\tO' -p275144 -aS'LE\tLE\tNN\tI-NP\tO' -p275145 -aS'doppler\tdoppler\tNN\tI-NP\tO' -p275146 -aS'(\t(\t(\tO\tO' -p275147 -aS'06-14\t06-14\tCD\tB-NP\tO' -p275148 -aS'):\t):\t)\tO\tO' -p275149 -aS'No\tNo\tDT\tB-NP\tO' -p275150 -aS'evidence\tevidence\tNN\tI-NP\tO' -p275151 -aS'of\tof\tIN\tB-PP\tO' -p275152 -aS'deep\tdeep\tJJ\tB-NP\tO' -p275153 -aS'venous\tvenous\tJJ\tI-NP\tO' -p275154 -aS'thrombosis\tthrombosis\tNN\tI-NP\tO' -p275155 -aS'in\tin\tIN\tB-PP\tO' -p275156 -aS'the\tthe\tDT\tB-NP\tO' -p275157 -aS'lower\tlow\tJJR\tI-NP\tO' -p275158 -aS'extremities\textremity\tNNS\tI-NP\tO' -p275159 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p275160 -aS'.\t.\t.\tO\tO' -p275161 -asS'Brief Hospital Course : see dc summary' -p275162 -(lp275163 -S'Brief\tBrief\tNNP\tB-NP\tO' -p275164 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p275165 -aS'Course\tCourse\tNNP\tI-NP\tO' -p275166 -aS':\t:\t:\tO\tO' -p275167 -aS'see\tsee\tVB\tB-VP\tO' -p275168 -aS'dc\tdc\tNN\tB-NP\tO' -p275169 -aS'summary\tsummary\tNN\tI-NP\tO' -p275170 -asS'Therefore , the cause of her mild diarrhea ( few loose BM / liquid stool / night ) may be either viral or secondary to resolving abdominal hematoma with resultant irritation of GI system .' -p275171 -(lp275172 -S'Therefore\tTherefore\tRB\tB-ADVP\tO' -p275173 -aS',\t,\t,\tO\tO' -p275174 -aS'the\tthe\tDT\tB-NP\tO' -p275175 -aS'cause\tcause\tNN\tI-NP\tO' -p275176 -aS'of\tof\tIN\tB-PP\tO' -p275177 -aS'her\ther\tPRP$\tB-NP\tO' -p275178 -aS'mild\tmild\tJJ\tI-NP\tO' -p275179 -aS'diarrhea\tdiarrhea\tNN\tI-NP\tO' -p275180 -aS'(\t(\t(\tO\tO' -p275181 -aS'few\tfew\tJJ\tB-NP\tO' -p275182 -aS'loose\tloose\tJJ\tI-NP\tO' -p275183 -aS'BM\tBM\tNN\tI-NP\tO' -p275184 -aS'/\t/\tSYM\tB-NP\tO' -p275185 -aS'liquid\tliquid\tNN\tI-NP\tO' -p275186 -aS'stool\tstool\tNN\tI-NP\tO' -p275187 -aS'/\t/\tSYM\tB-NP\tO' -p275188 -aS'night\tnight\tNN\tI-NP\tO' -p275189 -aS')\t)\t)\tO\tO' -p275190 -aS'may\tmay\tMD\tB-VP\tO' -p275191 -aS'be\tbe\tVB\tI-VP\tO' -p275192 -aS'either\teither\tCC\tO\tO' -p275193 -aS'viral\tviral\tJJ\tB-ADJP\tO' -p275194 -aS'or\tor\tCC\tI-ADJP\tO' -p275195 -aS'secondary\tsecondary\tJJ\tI-ADJP\tO' -p275196 -aS'to\tto\tTO\tB-PP\tO' -p275197 -aS'resolving\tresolve\tVBG\tB-VP\tO' -p275198 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p275199 -aS'hematoma\thematoma\tNN\tI-NP\tO' -p275200 -aS'with\twith\tIN\tB-PP\tO' -p275201 -aS'resultant\tresultant\tJJ\tB-NP\tO' -p275202 -aS'irritation\tirritation\tNN\tI-NP\tO' -p275203 -aS'of\tof\tIN\tB-PP\tO' -p275204 -aS'GI\tGI\tNN\tB-NP\tO' -p275205 -aS'system\tsystem\tNN\tI-NP\tO' -p275206 -aS'.\t.\t.\tO\tO' -p275207 -asS'- worsening pain or weakness in your legs , loss of bowel or bladder function or any other concerning symptoms .' -p275208 -(lp275209 -S'-\t-\tHYPH\tB-NP\tO' -p275210 -aS'worsening\tworsen\tVBG\tB-VP\tO' -p275211 -aS'pain\tpain\tNN\tB-NP\tO' -p275212 -aS'or\tor\tCC\tI-NP\tO' -p275213 -aS'weakness\tweakness\tNN\tI-NP\tO' -p275214 -aS'in\tin\tIN\tB-PP\tO' -p275215 -aS'your\tyour\tPRP$\tB-NP\tO' -p275216 -aS'legs\tleg\tNNS\tI-NP\tO' -p275217 -aS',\t,\t,\tO\tO' -p275218 -aS'loss\tloss\tNN\tB-NP\tO' -p275219 -aS'of\tof\tIN\tB-PP\tO' -p275220 -aS'bowel\tbowel\tNN\tB-NP\tO' -p275221 -aS'or\tor\tCC\tI-NP\tO' -p275222 -aS'bladder\tbladder\tNN\tI-NP\tO' -p275223 -aS'function\tfunction\tNN\tI-NP\tO' -p275224 -aS'or\tor\tCC\tO\tO' -p275225 -aS'any\tany\tDT\tB-NP\tO' -p275226 -aS'other\tother\tJJ\tI-NP\tO' -p275227 -aS'concerning\tconcern\tVBG\tI-NP\tO' -p275228 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p275229 -aS'.\t.\t.\tO\tO' -p275230 -asS'He has had no recent weight loss , no light-headedness or dizziness .' -p275231 -(lp275232 -S'He\tHe\tPRP\tB-NP\tO' -p275233 -aS'has\thave\tVBZ\tB-VP\tO' -p275234 -aS'had\thave\tVBN\tI-VP\tO' -p275235 -aS'no\tno\tDT\tB-NP\tO' -p275236 -aS'recent\trecent\tJJ\tI-NP\tO' -p275237 -aS'weight\tweight\tNN\tI-NP\tO' -p275238 -aS'loss\tloss\tNN\tI-NP\tO' -p275239 -aS',\t,\t,\tO\tO' -p275240 -aS'no\tno\tDT\tB-NP\tO' -p275241 -aS'light-headedness\tlight-headedness\tNN\tI-NP\tO' -p275242 -aS'or\tor\tCC\tI-NP\tO' -p275243 -aS'dizziness\tdizziness\tNN\tI-NP\tO' -p275244 -aS'.\t.\t.\tO\tO' -p275245 -asS'MS Contin , MSIR , and Percocet .' -p275246 -(lp275247 -S'MS\tMS\tNN\tB-NP\tB-protein' -p275248 -aS'Contin\tContin\tNN\tI-NP\tI-protein' -p275249 -aS',\t,\t,\tO\tO' -p275250 -aS'MSIR\tMSIR\tNN\tB-NP\tB-protein' -p275251 -aS',\t,\t,\tO\tO' -p275252 -aS'and\tand\tCC\tO\tO' -p275253 -aS'Percocet\tPercocet\tNNP\tB-NP\tO' -p275254 -aS'.\t.\t.\tO\tO' -p275255 -asS'OF TWO COLONIAL MORPHOLOGIES .' -p275256 -(lp275257 -S'OF\tOF\tIN\tB-PP\tO' -p275258 -aS'TWO\tTWO\tCD\tB-NP\tO' -p275259 -aS'COLONIAL\tCOLONIAL\tJJ\tI-NP\tO' -p275260 -aS'MORPHOLOGIES\tMORPHOLOGIES\tNNS\tI-NP\tO' -p275261 -aS'.\t.\t.\tO\tO' -p275262 -asS'Please contact lab control at Mattapan Community Health Center for results : ( 409 ) 238-8236 .' -p275263 -(lp275264 -S'Please\tPlease\tNN\tB-NP\tO' -p275265 -aS'contact\tcontact\tNN\tI-NP\tO' -p275266 -aS'lab\tlab\tNN\tI-NP\tO' -p275267 -aS'control\tcontrol\tNN\tI-NP\tO' -p275268 -aS'at\tat\tIN\tB-PP\tO' -p275269 -aS'Mattapan\tMattapan\tNNP\tB-NP\tO' -p275270 -aS'Community\tCommunity\tNNP\tI-NP\tO' -p275271 -aS'Health\tHealth\tNNP\tI-NP\tO' -p275272 -aS'Center\tCenter\tNNP\tI-NP\tO' -p275273 -aS'for\tfor\tIN\tB-PP\tO' -p275274 -aS'results\tresult\tNNS\tB-NP\tO' -p275275 -aS':\t:\t:\tO\tO' -p275276 -aS'(\t(\t(\tO\tO' -p275277 -aS'409\t409\tCD\tB-NP\tO' -p275278 -aS')\t)\t)\tO\tO' -p275279 -aS'238-8236\t238-8236\tCD\tB-NP\tO' -p275280 -aS'.\t.\t.\tO\tO' -p275281 -asS'Head ultrasound on day of life seven showed no intraventricular hemorrhage .' -p275282 -(lp275283 -S'Head\tHead\tJJ\tB-NP\tO' -p275284 -aS'ultrasound\tultrasound\tNN\tI-NP\tO' -p275285 -aS'on\ton\tIN\tB-PP\tO' -p275286 -aS'day\tday\tNN\tB-NP\tO' -p275287 -aS'of\tof\tIN\tB-PP\tO' -p275288 -aS'life\tlife\tNN\tB-NP\tO' -p275289 -aS'seven\tseven\tCD\tI-NP\tO' -p275290 -aS'showed\tshow\tVBD\tB-VP\tO' -p275291 -aS'no\tno\tDT\tB-NP\tO' -p275292 -aS'intraventricular\tintraventricular\tJJ\tI-NP\tO' -p275293 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p275294 -aS'.\t.\t.\tO\tO' -p275295 -asS'Also ehancing is 3 mm linear lesion in the left hippocampal cortex anteriorly , not seen on the 08-20 MR , but that study was very motion - degraded .' -p275296 -(lp275297 -S'Also\tAlso\tRB\tB-ADVP\tO' -p275298 -aS'ehancing\tehance\tVBG\tB-VP\tO' -p275299 -aS'is\tbe\tVBZ\tB-VP\tO' -p275300 -aS'3\t3\tCD\tB-NP\tO' -p275301 -aS'mm\tmm\tNN\tI-NP\tO' -p275302 -aS'linear\tlinear\tJJ\tI-NP\tO' -p275303 -aS'lesion\tlesion\tNN\tI-NP\tO' -p275304 -aS'in\tin\tIN\tB-PP\tO' -p275305 -aS'the\tthe\tDT\tB-NP\tO' -p275306 -aS'left\tleft\tJJ\tI-NP\tO' -p275307 -aS'hippocampal\thippocampal\tJJ\tI-NP\tO' -p275308 -aS'cortex\tcortex\tNN\tI-NP\tO' -p275309 -aS'anteriorly\tanteriorly\tRB\tB-ADVP\tO' -p275310 -aS',\t,\t,\tO\tO' -p275311 -aS'not\tnot\tRB\tB-VP\tO' -p275312 -aS'seen\tsee\tVBN\tI-VP\tO' -p275313 -aS'on\ton\tIN\tB-PP\tO' -p275314 -aS'the\tthe\tDT\tB-NP\tO' -p275315 -aS'08-20\t08-20\tJJ\tI-NP\tB-protein' -p275316 -aS'MR\tMR\tNN\tI-NP\tI-protein' -p275317 -aS',\t,\t,\tO\tO' -p275318 -aS'but\tbut\tCC\tO\tO' -p275319 -aS'that\tthat\tIN\tB-SBAR\tO' -p275320 -aS'study\tstudy\tNN\tB-NP\tO' -p275321 -aS'was\tbe\tVBD\tB-VP\tO' -p275322 -aS'very\tvery\tRB\tB-NP\tO' -p275323 -aS'motion\tmotion\tNN\tI-NP\tO' -p275324 -aS'-\t-\tHYPH\tB-NP\tO' -p275325 -aS'degraded\tdegrade\tVBN\tB-VP\tO' -p275326 -aS'.\t.\t.\tO\tO' -p275327 -asS'His activity level was increased with the assistance of physical therapy department and the nursing staff .' -p275328 -(lp275329 -S'His\tHis\tPRP$\tB-NP\tB-protein' -p275330 -aS'activity\tactivity\tNN\tI-NP\tO' -p275331 -aS'level\tlevel\tNN\tI-NP\tO' -p275332 -aS'was\tbe\tVBD\tB-VP\tO' -p275333 -aS'increased\tincrease\tVBN\tI-VP\tO' -p275334 -aS'with\twith\tIN\tB-PP\tO' -p275335 -aS'the\tthe\tDT\tB-NP\tO' -p275336 -aS'assistance\tassistance\tNN\tI-NP\tO' -p275337 -aS'of\tof\tIN\tB-PP\tO' -p275338 -aS'physical\tphysical\tJJ\tB-NP\tO' -p275339 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p275340 -aS'department\tdepartment\tNN\tI-NP\tO' -p275341 -aS'and\tand\tCC\tO\tO' -p275342 -aS'the\tthe\tDT\tB-NP\tO' -p275343 -aS'nursing\tnursing\tNN\tI-NP\tO' -p275344 -aS'staff\tstaff\tNN\tI-NP\tO' -p275345 -aS'.\t.\t.\tO\tO' -p275346 -asS"She was seen again by primary care physician , Roderick since she had complaints of dizziness , as well as a new complaint of decreased hearing and the sensation of static in her ears , meniere 's disease was considered ." -p275347 -(lp275348 -S'She\tShe\tPRP\tB-NP\tO' -p275349 -aS'was\tbe\tVBD\tB-VP\tO' -p275350 -aS'seen\tsee\tVBN\tI-VP\tO' -p275351 -aS'again\tagain\tRB\tB-ADVP\tO' -p275352 -aS'by\tby\tIN\tB-PP\tO' -p275353 -aS'primary\tprimary\tJJ\tB-NP\tO' -p275354 -aS'care\tcare\tNN\tI-NP\tO' -p275355 -aS'physician\tphysician\tNN\tI-NP\tO' -p275356 -aS',\t,\t,\tO\tO' -p275357 -aS'Roderick\tRoderick\tNNP\tB-NP\tO' -p275358 -aS'since\tsince\tIN\tB-SBAR\tO' -p275359 -aS'she\tshe\tPRP\tB-NP\tO' -p275360 -aS'had\thave\tVBD\tB-VP\tO' -p275361 -aS'complaints\tcomplaint\tNNS\tB-NP\tO' -p275362 -aS'of\tof\tIN\tB-PP\tO' -p275363 -aS'dizziness\tdizziness\tNN\tB-NP\tO' -p275364 -aS',\t,\t,\tO\tO' -p275365 -aS'as\tas\tRB\tB-CONJP\tO' -p275366 -aS'well\twell\tRB\tI-CONJP\tO' -p275367 -aS'as\tas\tIN\tI-CONJP\tO' -p275368 -aS'a\ta\tDT\tB-NP\tO' -p275369 -aS'new\tnew\tJJ\tI-NP\tO' -p275370 -aS'complaint\tcomplaint\tNN\tI-NP\tO' -p275371 -aS'of\tof\tIN\tB-PP\tO' -p275372 -aS'decreased\tdecrease\tVBN\tB-NP\tO' -p275373 -aS'hearing\thearing\tNN\tI-NP\tO' -p275374 -aS'and\tand\tCC\tO\tO' -p275375 -aS'the\tthe\tDT\tB-NP\tO' -p275376 -aS'sensation\tsensation\tNN\tI-NP\tO' -p275377 -aS'of\tof\tIN\tB-PP\tO' -p275378 -aS'static\tstatic\tJJ\tB-NP\tO' -p275379 -aS'in\tin\tIN\tB-PP\tO' -p275380 -aS'her\ther\tPRP$\tB-NP\tO' -p275381 -aS'ears\tear\tNNS\tI-NP\tO' -p275382 -aS',\t,\t,\tO\tO' -p275383 -aS'meniere\tmeniere\tVBP\tB-VP\tO' -p275384 -aS"'s\t's\tPOS\tB-NP\tO" -p275385 -aS'disease\tdisease\tNN\tI-NP\tO' -p275386 -aS'was\tbe\tVBD\tB-VP\tO' -p275387 -aS'considered\tconsider\tVBN\tI-VP\tO' -p275388 -aS'.\t.\t.\tO\tO' -p275389 -asS'The lungs were coarse bilaterally with moderate retractions .' -p275390 -(lp275391 -S'The\tThe\tDT\tB-NP\tO' -p275392 -aS'lungs\tlung\tNNS\tI-NP\tO' -p275393 -aS'were\tbe\tVBD\tB-VP\tO' -p275394 -aS'coarse\tcoarse\tNN\tB-NP\tO' -p275395 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p275396 -aS'with\twith\tIN\tB-PP\tO' -p275397 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p275398 -aS'retractions\tretraction\tNNS\tI-NP\tO' -p275399 -aS'.\t.\t.\tO\tO' -p275400 -asS'Brain atrophy .' -p275401 -(lp275402 -S'Brain\tBrain\tNN\tB-NP\tO' -p275403 -aS'atrophy\tatrophy\tNN\tI-NP\tO' -p275404 -aS'.\t.\t.\tO\tO' -p275405 -asS"Patient 's blood pressures were noted to decrease systolics to the 80s , which responded to IV fluids and insulin / glucose drips ." -p275406 -(lp275407 -S'Patient\tPatient\tNN\tB-NP\tO' -p275408 -aS"'s\t's\tPOS\tB-NP\tO" -p275409 -aS'blood\tblood\tNN\tI-NP\tO' -p275410 -aS'pressures\tpressure\tNNS\tI-NP\tO' -p275411 -aS'were\tbe\tVBD\tB-VP\tO' -p275412 -aS'noted\tnote\tVBN\tI-VP\tO' -p275413 -aS'to\tto\tTO\tI-VP\tO' -p275414 -aS'decrease\tdecrease\tVB\tI-VP\tO' -p275415 -aS'systolics\tsystolic\tNNS\tB-NP\tO' -p275416 -aS'to\tto\tTO\tB-PP\tO' -p275417 -aS'the\tthe\tDT\tB-NP\tO' -p275418 -aS'80s\t80\tNNS\tI-NP\tO' -p275419 -aS',\t,\t,\tO\tO' -p275420 -aS'which\twhich\tWDT\tB-NP\tO' -p275421 -aS'responded\trespond\tVBD\tB-VP\tO' -p275422 -aS'to\tto\tTO\tB-PP\tO' -p275423 -aS'IV\tIV\tCD\tB-NP\tO' -p275424 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p275425 -aS'and\tand\tCC\tI-NP\tO' -p275426 -aS'insulin\tinsulin\tNN\tI-NP\tB-protein' -p275427 -aS'/\t/\tSYM\tB-NP\tO' -p275428 -aS'glucose\tglucose\tNN\tB-NP\tB-protein' -p275429 -aS'drips\tdrip\tNNS\tI-NP\tI-protein' -p275430 -aS'.\t.\t.\tO\tO' -p275431 -asS'Pupils equal round and reactive to light , extraocular movements intact' -p275432 -(lp275433 -S'Pupils\tPupil\tNNS\tB-NP\tO' -p275434 -aS'equal\tequal\tJJ\tI-NP\tO' -p275435 -aS'round\tround\tJJ\tI-NP\tO' -p275436 -aS'and\tand\tCC\tI-NP\tO' -p275437 -aS'reactive\treactive\tJJ\tI-NP\tO' -p275438 -aS'to\tto\tTO\tB-PP\tO' -p275439 -aS'light\tlight\tJJ\tB-NP\tO' -p275440 -aS',\t,\t,\tI-NP\tO' -p275441 -aS'extraocular\textraocular\tJJ\tI-NP\tO' -p275442 -aS'movements\tmovement\tNNS\tI-NP\tO' -p275443 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p275444 -asS'He is continuing on the radiation therapy to date .' -p275445 -(lp275446 -S'He\tHe\tPRP\tB-NP\tO' -p275447 -aS'is\tbe\tVBZ\tB-VP\tO' -p275448 -aS'continuing\tcontinue\tVBG\tI-VP\tO' -p275449 -aS'on\ton\tIN\tB-PP\tO' -p275450 -aS'the\tthe\tDT\tB-NP\tO' -p275451 -aS'radiation\tradiation\tNN\tI-NP\tO' -p275452 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p275453 -aS'to\tto\tTO\tB-PP\tO' -p275454 -aS'date\tdate\tNN\tB-NP\tO' -p275455 -aS'.\t.\t.\tO\tO' -p275456 -asS'A heparin independent antibody was sent off on 2014-04-07 which was unremarkable .' -p275457 -(lp275458 -S'A\tA\tDT\tB-NP\tO' -p275459 -aS'heparin\theparin\tNN\tI-NP\tB-protein' -p275460 -aS'independent\tindependent\tJJ\tI-NP\tI-protein' -p275461 -aS'antibody\tantibody\tNN\tI-NP\tI-protein' -p275462 -aS'was\tbe\tVBD\tB-VP\tO' -p275463 -aS'sent\tsend\tVBN\tI-VP\tO' -p275464 -aS'off\toff\tRP\tB-PRT\tO' -p275465 -aS'on\ton\tIN\tB-PP\tO' -p275466 -aS'2014-04-07\t2014-04-07\tCD\tB-NP\tO' -p275467 -aS'which\twhich\tWDT\tB-NP\tO' -p275468 -aS'was\tbe\tVBD\tB-VP\tO' -p275469 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p275470 -aS'.\t.\t.\tO\tO' -p275471 -asS'She denies any tunnel vision , darkened vision , or focal weakness this morning .' -p275472 -(lp275473 -S'She\tShe\tPRP\tB-NP\tO' -p275474 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p275475 -aS'any\tany\tDT\tB-NP\tO' -p275476 -aS'tunnel\ttunnel\tNN\tI-NP\tO' -p275477 -aS'vision\tvision\tNN\tI-NP\tO' -p275478 -aS',\t,\t,\tO\tO' -p275479 -aS'darkened\tdarken\tVBN\tB-VP\tO' -p275480 -aS'vision\tvision\tNN\tB-NP\tO' -p275481 -aS',\t,\t,\tO\tO' -p275482 -aS'or\tor\tCC\tO\tO' -p275483 -aS'focal\tfocal\tJJ\tB-NP\tO' -p275484 -aS'weakness\tweakness\tNN\tI-NP\tO' -p275485 -aS'this\tthis\tDT\tB-NP\tO' -p275486 -aS'morning\tmorning\tNN\tI-NP\tO' -p275487 -aS'.\t.\t.\tO\tO' -p275488 -asS'1. Chronic obstructive pulmonary disease .' -p275489 -(lp275490 -S'1.\t1.\tLS\tB-NP\tO' -p275491 -aS'Chronic\tChronic\tJJ\tI-NP\tO' -p275492 -aS'obstructive\tobstructive\tJJ\tI-NP\tO' -p275493 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p275494 -aS'disease\tdisease\tNN\tI-NP\tO' -p275495 -aS'.\t.\t.\tO\tO' -p275496 -asS'Cardiac exam ; she has positive S1 , S2 without murmur , rub or gallop .' -p275497 -(lp275498 -S'Cardiac\tCardiac\tJJ\tB-NP\tO' -p275499 -aS'exam\texam\tNN\tI-NP\tO' -p275500 -aS';\t;\t:\tO\tO' -p275501 -aS'she\tshe\tPRP\tB-NP\tO' -p275502 -aS'has\thave\tVBZ\tB-VP\tO' -p275503 -aS'positive\tpositive\tJJ\tB-NP\tO' -p275504 -aS'S1\tS1\tNN\tI-NP\tO' -p275505 -aS',\t,\t,\tO\tO' -p275506 -aS'S2\tS2\tNN\tB-NP\tB-protein' -p275507 -aS'without\twithout\tIN\tB-PP\tO' -p275508 -aS'murmur\tmurmur\tNN\tB-NP\tO' -p275509 -aS',\t,\t,\tI-NP\tO' -p275510 -aS'rub\trub\tNN\tI-NP\tO' -p275511 -aS'or\tor\tCC\tI-NP\tO' -p275512 -aS'gallop\tgallop\tNN\tI-NP\tO' -p275513 -aS'.\t.\t.\tO\tO' -p275514 -asS'Please call physician if you develop shortness of breath , weakness in your legs or arms , sudden blurry vision or slurred speech , chest pain , faintness , or significant unexplained weight loss .' -p275515 -(lp275516 -S'Please\tPlease\tVB\tB-VP\tO' -p275517 -aS'call\tcall\tNN\tB-NP\tO' -p275518 -aS'physician\tphysician\tNN\tI-NP\tO' -p275519 -aS'if\tif\tIN\tB-SBAR\tO' -p275520 -aS'you\tyou\tPRP\tB-NP\tO' -p275521 -aS'develop\tdevelop\tVBP\tB-VP\tO' -p275522 -aS'shortness\tshortness\tNN\tB-NP\tO' -p275523 -aS'of\tof\tIN\tB-PP\tO' -p275524 -aS'breath\tbreath\tNN\tB-NP\tO' -p275525 -aS',\t,\t,\tO\tO' -p275526 -aS'weakness\tweakness\tNN\tB-NP\tO' -p275527 -aS'in\tin\tIN\tB-PP\tO' -p275528 -aS'your\tyour\tPRP$\tB-NP\tO' -p275529 -aS'legs\tleg\tNNS\tI-NP\tO' -p275530 -aS'or\tor\tCC\tI-NP\tO' -p275531 -aS'arms\tarm\tNNS\tI-NP\tO' -p275532 -aS',\t,\t,\tO\tO' -p275533 -aS'sudden\tsudden\tJJ\tB-NP\tO' -p275534 -aS'blurry\tblurry\tNN\tI-NP\tO' -p275535 -aS'vision\tvision\tNN\tI-NP\tO' -p275536 -aS'or\tor\tCC\tO\tO' -p275537 -aS'slurred\tslur\tVBD\tB-VP\tO' -p275538 -aS'speech\tspeech\tNN\tB-NP\tO' -p275539 -aS',\t,\t,\tO\tO' -p275540 -aS'chest\tchest\tNN\tB-NP\tO' -p275541 -aS'pain\tpain\tNN\tI-NP\tO' -p275542 -aS',\t,\t,\tO\tO' -p275543 -aS'faintness\tfaintness\tNN\tB-NP\tO' -p275544 -aS',\t,\t,\tO\tO' -p275545 -aS'or\tor\tCC\tO\tO' -p275546 -aS'significant\tsignificant\tJJ\tB-NP\tO' -p275547 -aS'unexplained\tunexplained\tJJ\tI-NP\tO' -p275548 -aS'weight\tweight\tNN\tI-NP\tO' -p275549 -aS'loss\tloss\tNN\tI-NP\tO' -p275550 -aS'.\t.\t.\tO\tO' -p275551 -asS'Brief Hospital Course : patient was admitted on 2012-05-24 after having drainage from his incision for the last couple of days .' -p275552 -(lp275553 -S'Brief\tBrief\tNNP\tB-NP\tO' -p275554 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p275555 -aS'Course\tCourse\tNNP\tI-NP\tO' -p275556 -aS':\t:\t:\tO\tO' -p275557 -aS'patient\tpatient\tNN\tB-NP\tO' -p275558 -aS'was\tbe\tVBD\tB-VP\tO' -p275559 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p275560 -aS'on\ton\tIN\tB-PP\tO' -p275561 -aS'2012-05-24\t2012-05-24\tCD\tB-NP\tO' -p275562 -aS'after\tafter\tIN\tB-PP\tO' -p275563 -aS'having\thave\tVBG\tB-VP\tO' -p275564 -aS'drainage\tdrainage\tNN\tB-NP\tO' -p275565 -aS'from\tfrom\tIN\tB-PP\tO' -p275566 -aS'his\this\tPRP$\tB-NP\tO' -p275567 -aS'incision\tincision\tNN\tI-NP\tO' -p275568 -aS'for\tfor\tIN\tB-PP\tO' -p275569 -aS'the\tthe\tDT\tB-NP\tO' -p275570 -aS'last\tlast\tJJ\tI-NP\tO' -p275571 -aS'couple\tcouple\tNN\tI-NP\tO' -p275572 -aS'of\tof\tIN\tB-PP\tO' -p275573 -aS'days\tday\tNNS\tB-NP\tO' -p275574 -aS'.\t.\t.\tO\tO' -p275575 -asS'Following triage , the patient LEFT WITHOUT TREATMENT .' -p275576 -(lp275577 -S'Following\tFollow\tVBG\tB-PP\tO' -p275578 -aS'triage\ttriage\tNN\tB-NP\tO' -p275579 -aS',\t,\t,\tO\tO' -p275580 -aS'the\tthe\tDT\tB-NP\tO' -p275581 -aS'patient\tpatient\tNN\tI-NP\tO' -p275582 -aS'LEFT\tLEFT\tNN\tI-NP\tO' -p275583 -aS'WITHOUT\tWITHOUT\tNN\tI-NP\tO' -p275584 -aS'TREATMENT\tTREATMENT\tNN\tI-NP\tO' -p275585 -aS'.\t.\t.\tO\tO' -p275586 -asS'The infant was born to a 38 year old , gravida V , para III , woman .' -p275587 -(lp275588 -S'The\tThe\tDT\tB-NP\tO' -p275589 -aS'infant\tinfant\tNN\tI-NP\tO' -p275590 -aS'was\tbe\tVBD\tB-VP\tO' -p275591 -aS'born\tbear\tVBN\tI-VP\tO' -p275592 -aS'to\tto\tTO\tB-PP\tO' -p275593 -aS'a\ta\tDT\tB-NP\tO' -p275594 -aS'38\t38\tCD\tI-NP\tO' -p275595 -aS'year\tyear\tNN\tI-NP\tO' -p275596 -aS'old\told\tJJ\tB-ADJP\tO' -p275597 -aS',\t,\t,\tO\tO' -p275598 -aS'gravida\tgravida\tNNP\tB-NP\tO' -p275599 -aS'V\tV\tNNP\tI-NP\tO' -p275600 -aS',\t,\t,\tO\tO' -p275601 -aS'para\tpara\tNN\tB-NP\tO' -p275602 -aS'III\tIII\tCD\tI-NP\tO' -p275603 -aS',\t,\t,\tO\tO' -p275604 -aS'woman\twoman\tNN\tB-NP\tO' -p275605 -aS'.\t.\t.\tO\tO' -p275606 -asS'His Neurosurgical issues were nonoperative ; he was loaded with Dilantin ; serial head CT scans were performed and were stable .' -p275607 -(lp275608 -S'His\tHis\tPRP$\tB-NP\tO' -p275609 -aS'Neurosurgical\tNeurosurgical\tJJ\tI-NP\tO' -p275610 -aS'issues\tissue\tNNS\tI-NP\tO' -p275611 -aS'were\tbe\tVBD\tB-VP\tO' -p275612 -aS'nonoperative\tnonoperative\tJJ\tB-ADJP\tO' -p275613 -aS';\t;\t:\tO\tO' -p275614 -aS'he\the\tPRP\tB-NP\tO' -p275615 -aS'was\tbe\tVBD\tB-VP\tO' -p275616 -aS'loaded\tload\tVBN\tI-VP\tO' -p275617 -aS'with\twith\tIN\tB-PP\tO' -p275618 -aS'Dilantin\tDilantin\tNN\tB-NP\tB-protein' -p275619 -aS';\t;\t:\tO\tO' -p275620 -aS'serial\tserial\tJJ\tB-NP\tO' -p275621 -aS'head\thead\tNN\tI-NP\tO' -p275622 -aS'CT\tCT\tNN\tI-NP\tO' -p275623 -aS'scans\tscan\tNNS\tI-NP\tO' -p275624 -aS'were\tbe\tVBD\tB-VP\tO' -p275625 -aS'performed\tperform\tVBN\tI-VP\tO' -p275626 -aS'and\tand\tCC\tO\tO' -p275627 -aS'were\tbe\tVBD\tB-VP\tO' -p275628 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p275629 -aS'.\t.\t.\tO\tO' -p275630 -asS'Normal female external genitalia .' -p275631 -(lp275632 -S'Normal\tNormal\tJJ\tB-NP\tO' -p275633 -aS'female\tfemale\tJJ\tI-NP\tO' -p275634 -aS'external\texternal\tJJ\tI-NP\tO' -p275635 -aS'genitalia\tgenitalia\tNN\tI-NP\tO' -p275636 -aS'.\t.\t.\tO\tO' -p275637 -asS"discussed this plan with renal service ( Anthony Mcknight ) who will communicate with pt 's outpatient dialysis service ." -p275638 -(lp275639 -S'discussed\tdiscuss\tVBN\tB-VP\tO' -p275640 -aS'this\tthis\tDT\tB-NP\tO' -p275641 -aS'plan\tplan\tNN\tI-NP\tO' -p275642 -aS'with\twith\tIN\tB-PP\tO' -p275643 -aS'renal\trenal\tJJ\tB-NP\tO' -p275644 -aS'service\tservice\tNN\tI-NP\tO' -p275645 -aS'(\t(\t(\tO\tO' -p275646 -aS'Anthony\tAnthony\tNNP\tB-NP\tO' -p275647 -aS'Mcknight\tMcknight\tNNP\tI-NP\tO' -p275648 -aS')\t)\t)\tO\tO' -p275649 -aS'who\twho\tWP\tB-NP\tO' -p275650 -aS'will\twill\tMD\tB-VP\tO' -p275651 -aS'communicate\tcommunicate\tVB\tI-VP\tO' -p275652 -aS'with\twith\tIN\tB-PP\tO' -p275653 -aS'pt\tpt\tNN\tB-NP\tO' -p275654 -aS"'s\t's\tPOS\tB-NP\tO" -p275655 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p275656 -aS'dialysis\tdialysis\tNN\tI-NP\tO' -p275657 -aS'service\tservice\tNN\tI-NP\tO' -p275658 -aS'.\t.\t.\tO\tO' -p275659 -asS'ST segment depression in V3 through V6 .' -p275660 -(lp275661 -S'ST\tST\tJJ\tB-NP\tO' -p275662 -aS'segment\tsegment\tNN\tI-NP\tO' -p275663 -aS'depression\tdepression\tNN\tI-NP\tO' -p275664 -aS'in\tin\tIN\tB-PP\tO' -p275665 -aS'V3\tV3\tNN\tB-NP\tO' -p275666 -aS'through\tthrough\tIN\tB-PP\tO' -p275667 -aS'V6\tV6\tNN\tB-NP\tB-protein' -p275668 -aS'.\t.\t.\tO\tO' -p275669 -asS'Pt is very SOB at baseline , not on home ox , no CP at rest , no LE edema , no PND , stable orthopnea ( 2 pillows ) .' -p275670 -(lp275671 -S'Pt\tPt\tNN\tB-NP\tO' -p275672 -aS'is\tbe\tVBZ\tB-VP\tO' -p275673 -aS'very\tvery\tRB\tB-ADJP\tO' -p275674 -aS'SOB\tSOB\tNN\tI-ADJP\tB-protein' -p275675 -aS'at\tat\tIN\tB-PP\tO' -p275676 -aS'baseline\tbaseline\tNN\tB-NP\tO' -p275677 -aS',\t,\t,\tB-PP\tO' -p275678 -aS'not\tnot\tRB\tI-PP\tO' -p275679 -aS'on\ton\tIN\tB-PP\tO' -p275680 -aS'home\thome\tNN\tB-NP\tO' -p275681 -aS'ox\tox\tNN\tI-NP\tO' -p275682 -aS',\t,\t,\tO\tO' -p275683 -aS'no\tno\tDT\tB-NP\tO' -p275684 -aS'CP\tCP\tNN\tI-NP\tB-DNA' -p275685 -aS'at\tat\tIN\tB-PP\tO' -p275686 -aS'rest\trest\tNN\tB-NP\tO' -p275687 -aS',\t,\t,\tO\tO' -p275688 -aS'no\tno\tDT\tB-NP\tO' -p275689 -aS'LE\tLE\tNN\tI-NP\tO' -p275690 -aS'edema\tedema\tNN\tI-NP\tO' -p275691 -aS',\t,\t,\tO\tO' -p275692 -aS'no\tno\tDT\tB-NP\tO' -p275693 -aS'PND\tPND\tNN\tI-NP\tB-protein' -p275694 -aS',\t,\t,\tO\tO' -p275695 -aS'stable\tstable\tJJ\tB-NP\tO' -p275696 -aS'orthopnea\torthopnea\tNN\tI-NP\tO' -p275697 -aS'(\t(\t(\tO\tO' -p275698 -aS'2\t2\tCD\tB-NP\tO' -p275699 -aS'pillows\tpillow\tNNS\tI-NP\tO' -p275700 -aS')\t)\t)\tO\tO' -p275701 -aS'.\t.\t.\tO\tO' -p275702 -asS'Previous hospital course ( per H&P ):' -p275703 -(lp275704 -S'Previous\tPrevious\tJJ\tB-NP\tO' -p275705 -aS'hospital\thospital\tNN\tI-NP\tO' -p275706 -aS'course\tcourse\tNN\tI-NP\tO' -p275707 -aS'(\t(\t(\tO\tO' -p275708 -aS'per\tper\tIN\tB-PP\tO' -p275709 -aS'H&P\tH&P\tNNP\tB-NP\tO' -p275710 -aS'):\t):\t.\tO\tO' -p275711 -asS'Medications are Tri-Vi-Michael 1 cc by mouth each day .' -p275712 -(lp275713 -S'Medications\tMedication\tNNS\tB-NP\tO' -p275714 -aS'are\tbe\tVBP\tB-VP\tO' -p275715 -aS'Tri-Vi-Michael\tTri-Vi-Michael\tNNP\tB-NP\tO' -p275716 -aS'1\t1\tCD\tI-NP\tO' -p275717 -aS'cc\tcc\tNN\tI-NP\tO' -p275718 -aS'by\tby\tIN\tB-PP\tO' -p275719 -aS'mouth\tmouth\tNN\tB-NP\tO' -p275720 -aS'each\teach\tDT\tB-NP\tO' -p275721 -aS'day\tday\tNN\tI-NP\tO' -p275722 -aS'.\t.\t.\tO\tO' -p275723 -asS'2014-04-22 Chest x-ray : No evidence of pneumothorax .' -p275724 -(lp275725 -S'2014-04-22\t2014-04-22\tCD\tB-NP\tO' -p275726 -aS'Chest\tChest\tNNP\tI-NP\tO' -p275727 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p275728 -aS':\t:\t:\tO\tO' -p275729 -aS'No\tNo\tDT\tB-NP\tO' -p275730 -aS'evidence\tevidence\tNN\tI-NP\tO' -p275731 -aS'of\tof\tIN\tB-PP\tO' -p275732 -aS'pneumothorax\tpneumothorax\tNN\tB-NP\tO' -p275733 -aS'.\t.\t.\tO\tO' -p275734 -asS'Maalox Plus , Extra Strength , 15 cc p.o. q 6 hours prn indigestion ; magnesium sulfate ; sliding scale IV and potassium chloride , sliding scale IV .' -p275735 -(lp275736 -S'Maalox\tMaalox\tNNP\tB-NP\tO' -p275737 -aS'Plus\tPlus\tNNP\tI-NP\tO' -p275738 -aS',\t,\t,\tO\tO' -p275739 -aS'Extra\tExtra\tNNP\tB-NP\tO' -p275740 -aS'Strength\tStrength\tNNP\tI-NP\tO' -p275741 -aS',\t,\t,\tO\tO' -p275742 -aS'15\t15\tCD\tB-NP\tO' -p275743 -aS'cc\tcc\tNN\tI-NP\tO' -p275744 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p275745 -aS'q\tq\tNN\tI-NP\tO' -p275746 -aS'6\t6\tCD\tB-NP\tO' -p275747 -aS'hours\thour\tNNS\tI-NP\tO' -p275748 -aS'prn\tprn\tVBP\tB-VP\tO' -p275749 -aS'indigestion\tindigestion\tNN\tB-NP\tO' -p275750 -aS';\t;\t:\tO\tO' -p275751 -aS'magnesium\tmagnesium\tNN\tB-NP\tO' -p275752 -aS'sulfate\tsulfate\tNN\tI-NP\tO' -p275753 -aS';\t;\t:\tO\tO' -p275754 -aS'sliding\tslide\tVBG\tB-VP\tO' -p275755 -aS'scale\tscale\tNN\tB-NP\tO' -p275756 -aS'IV\tIV\tCD\tI-NP\tO' -p275757 -aS'and\tand\tCC\tO\tO' -p275758 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p275759 -aS'chloride\tchloride\tNN\tI-NP\tO' -p275760 -aS',\t,\t,\tO\tO' -p275761 -aS'sliding\tslide\tVBG\tB-VP\tO' -p275762 -aS'scale\tscale\tNN\tB-NP\tO' -p275763 -aS'IV\tIV\tCD\tI-NP\tO' -p275764 -aS'.\t.\t.\tO\tO' -p275765 -asS'5. Tubal ligation many years ago .' -p275766 -(lp275767 -S'5.\t5.\tLS\tB-NP\tO' -p275768 -aS'Tubal\tTubal\tJJ\tI-NP\tO' -p275769 -aS'ligation\tligation\tNN\tI-NP\tO' -p275770 -aS'many\tmany\tJJ\tB-NP\tO' -p275771 -aS'years\tyear\tNNS\tI-NP\tO' -p275772 -aS'ago\tago\tRB\tB-ADVP\tO' -p275773 -aS'.\t.\t.\tO\tO' -p275774 -asS'His glucose on the morning of discharge was about 60 so we opted to decrease his p.m. NPH dose slightly for discharge and continue covering him with sliding scale insulin .' -p275775 -(lp275776 -S'His\tHis\tPRP$\tB-NP\tO' -p275777 -aS'glucose\tglucose\tNN\tI-NP\tO' -p275778 -aS'on\ton\tIN\tB-PP\tO' -p275779 -aS'the\tthe\tDT\tB-NP\tO' -p275780 -aS'morning\tmorning\tNN\tI-NP\tO' -p275781 -aS'of\tof\tIN\tB-PP\tO' -p275782 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p275783 -aS'was\tbe\tVBD\tB-VP\tO' -p275784 -aS'about\tabout\tRB\tB-NP\tO' -p275785 -aS'60\t60\tCD\tI-NP\tO' -p275786 -aS'so\tso\tIN\tB-ADVP\tO' -p275787 -aS'we\twe\tPRP\tB-NP\tO' -p275788 -aS'opted\topte\tVBD\tB-VP\tO' -p275789 -aS'to\tto\tTO\tI-VP\tO' -p275790 -aS'decrease\tdecrease\tVB\tI-VP\tO' -p275791 -aS'his\this\tPRP$\tB-NP\tO' -p275792 -aS'p.m.\tp.m.\tNN\tI-NP\tO' -p275793 -aS'NPH\tNPH\tNN\tI-NP\tO' -p275794 -aS'dose\tdose\tNN\tI-NP\tO' -p275795 -aS'slightly\tslightly\tRB\tB-ADVP\tO' -p275796 -aS'for\tfor\tIN\tB-PP\tO' -p275797 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p275798 -aS'and\tand\tCC\tO\tO' -p275799 -aS'continue\tcontinue\tVB\tB-VP\tO' -p275800 -aS'covering\tcover\tVBG\tI-VP\tO' -p275801 -aS'him\thim\tPRP\tB-NP\tO' -p275802 -aS'with\twith\tIN\tB-PP\tO' -p275803 -aS'sliding\tslide\tVBG\tB-VP\tO' -p275804 -aS'scale\tscale\tNN\tB-NP\tB-protein' -p275805 -aS'insulin\tinsulin\tNN\tI-NP\tI-protein' -p275806 -aS'.\t.\t.\tO\tO' -p275807 -asS'He underwent cardiac catheterization today which revealed OM , no obstructive disease , left anterior descending minimal disease , left circumflex 40% mid-stenosis .' -p275808 -(lp275809 -S'He\tHe\tPRP\tB-NP\tO' -p275810 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p275811 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p275812 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p275813 -aS'today\ttoday\tNN\tB-NP\tO' -p275814 -aS'which\twhich\tWDT\tB-NP\tO' -p275815 -aS'revealed\treveal\tVBD\tB-VP\tO' -p275816 -aS'OM\tOM\tNNP\tB-NP\tO' -p275817 -aS',\t,\t,\tO\tO' -p275818 -aS'no\tno\tDT\tB-NP\tO' -p275819 -aS'obstructive\tobstructive\tJJ\tI-NP\tO' -p275820 -aS'disease\tdisease\tNN\tI-NP\tO' -p275821 -aS',\t,\t,\tO\tO' -p275822 -aS'left\tleave\tVBD\tB-VP\tO' -p275823 -aS'anterior\tanterior\tRB\tI-VP\tO' -p275824 -aS'descending\tdescend\tVBG\tI-VP\tO' -p275825 -aS'minimal\tminimal\tJJ\tB-NP\tO' -p275826 -aS'disease\tdisease\tNN\tI-NP\tO' -p275827 -aS',\t,\t,\tO\tO' -p275828 -aS'left\tleave\tVBD\tB-VP\tO' -p275829 -aS'circumflex\tcircumflex\tJJ\tB-NP\tO' -p275830 -aS'40%\t40%\tJJ\tI-NP\tO' -p275831 -aS'mid-stenosis\tmid-stenosis\tNN\tI-NP\tO' -p275832 -aS'.\t.\t.\tO\tO' -p275833 -asS'Disp : *60 Tablet( s )*' -p275834 -(lp275835 -S'Disp\tDisp\tNN\tB-NP\tO' -p275836 -aS':\t:\t:\tO\tO' -p275837 -aS'*60\t*60\tCD\tB-NP\tO' -p275838 -aS'Tablet(\tTablet(\t(\tI-NP\tO' -p275839 -aS's\ts\tNN\tI-NP\tO' -p275840 -aS')*\t)*\tSYM\tB-NP\tO' -p275841 -asS'At the time of this dictation , the CT of her chest was still pending .' -p275842 -(lp275843 -S'At\tAt\tIN\tB-PP\tO' -p275844 -aS'the\tthe\tDT\tB-NP\tO' -p275845 -aS'time\ttime\tNN\tI-NP\tO' -p275846 -aS'of\tof\tIN\tB-PP\tO' -p275847 -aS'this\tthis\tDT\tB-NP\tO' -p275848 -aS'dictation\tdictation\tNN\tI-NP\tO' -p275849 -aS',\t,\t,\tO\tO' -p275850 -aS'the\tthe\tDT\tB-NP\tO' -p275851 -aS'CT\tCT\tNN\tI-NP\tB-protein' -p275852 -aS'of\tof\tIN\tB-PP\tO' -p275853 -aS'her\ther\tPRP$\tB-NP\tO' -p275854 -aS'chest\tchest\tNN\tI-NP\tO' -p275855 -aS'was\tbe\tVBD\tB-VP\tO' -p275856 -aS'still\tstill\tRB\tI-VP\tO' -p275857 -aS'pending\tpende\tVBG\tI-VP\tO' -p275858 -aS'.\t.\t.\tO\tO' -p275859 -asS"The baby 's weight was 3.160 kilograms ( 7 pounds 3 ounces )." -p275860 -(lp275861 -S'The\tThe\tDT\tB-NP\tO' -p275862 -aS'baby\tbaby\tNN\tI-NP\tO' -p275863 -aS"'s\t's\tPOS\tB-NP\tO" -p275864 -aS'weight\tweight\tNN\tI-NP\tO' -p275865 -aS'was\tbe\tVBD\tB-VP\tO' -p275866 -aS'3.160\t3.160\tCD\tB-NP\tO' -p275867 -aS'kilograms\tkilogram\tNNS\tI-NP\tO' -p275868 -aS'(\t(\t(\tO\tO' -p275869 -aS'7\t7\tCD\tB-NP\tO' -p275870 -aS'pounds\tpound\tNNS\tI-NP\tO' -p275871 -aS'3\t3\tCD\tB-NP\tO' -p275872 -aS'ounces\tounce\tNNS\tI-NP\tO' -p275873 -aS').\t).\t)\tO\tO' -p275874 -asS'05-12- Blood cultures : no growth to date on 6/6 bottles' -p275875 -(lp275876 -S'05-12-\t05-12-\tCD\tB-NP\tO' -p275877 -aS'Blood\tBlood\tNNP\tI-NP\tO' -p275878 -aS'cultures\tculture\tNNS\tI-NP\tO' -p275879 -aS':\t:\t:\tO\tO' -p275880 -aS'no\tno\tDT\tB-NP\tO' -p275881 -aS'growth\tgrowth\tNN\tI-NP\tO' -p275882 -aS'to\tto\tTO\tB-PP\tO' -p275883 -aS'date\tdate\tNN\tB-NP\tO' -p275884 -aS'on\ton\tIN\tB-PP\tO' -p275885 -aS'6/6\t6/6\tCD\tB-NP\tO' -p275886 -aS'bottles\tbottle\tNNS\tI-NP\tO' -p275887 -asS'His chest tube drainage reduced significantly after the first 24 hours and on hospital day three his chest tube was discontinued .' -p275888 -(lp275889 -S'His\tHis\tPRP$\tB-NP\tB-protein' -p275890 -aS'chest\tch\tJJS\tI-NP\tO' -p275891 -aS'tube\ttube\tNN\tI-NP\tO' -p275892 -aS'drainage\tdrainage\tNN\tI-NP\tO' -p275893 -aS'reduced\treduce\tVBD\tB-VP\tO' -p275894 -aS'significantly\tsignificantly\tRB\tB-ADVP\tO' -p275895 -aS'after\tafter\tIN\tB-PP\tO' -p275896 -aS'the\tthe\tDT\tB-NP\tO' -p275897 -aS'first\tfirst\tJJ\tI-NP\tO' -p275898 -aS'24\t24\tCD\tI-NP\tO' -p275899 -aS'hours\thour\tNNS\tI-NP\tO' -p275900 -aS'and\tand\tCC\tB-PP\tO' -p275901 -aS'on\ton\tIN\tB-PP\tO' -p275902 -aS'hospital\thospital\tNN\tB-NP\tO' -p275903 -aS'day\tday\tNN\tI-NP\tO' -p275904 -aS'three\tthree\tCD\tI-NP\tO' -p275905 -aS'his\this\tPRP$\tB-NP\tO' -p275906 -aS'chest\tchest\tNN\tI-NP\tO' -p275907 -aS'tube\ttube\tNN\tI-NP\tO' -p275908 -aS'was\tbe\tVBD\tB-VP\tO' -p275909 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p275910 -aS'.\t.\t.\tO\tO' -p275911 -asS'She is neurologically stable .' -p275912 -(lp275913 -S'She\tShe\tPRP\tB-NP\tO' -p275914 -aS'is\tbe\tVBZ\tB-VP\tO' -p275915 -aS'neurologically\tneurologically\tRB\tB-ADJP\tO' -p275916 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p275917 -aS'.\t.\t.\tO\tO' -p275918 -asS'Postoperative hypokalemia , resolved .' -p275919 -(lp275920 -S'Postoperative\tPostoperative\tJJ\tB-NP\tO' -p275921 -aS'hypokalemia\thypokalemia\tNN\tI-NP\tO' -p275922 -aS',\t,\t,\tO\tO' -p275923 -aS'resolved\tresolve\tVBN\tB-VP\tO' -p275924 -aS'.\t.\t.\tO\tO' -p275925 -asS'On hospital day 2 , the patient had no complaints .' -p275926 -(lp275927 -S'On\tOn\tIN\tB-PP\tO' -p275928 -aS'hospital\thospital\tNN\tB-NP\tO' -p275929 -aS'day\tday\tNN\tI-NP\tO' -p275930 -aS'2\t2\tCD\tI-NP\tO' -p275931 -aS',\t,\t,\tO\tO' -p275932 -aS'the\tthe\tDT\tB-NP\tO' -p275933 -aS'patient\tpatient\tNN\tI-NP\tO' -p275934 -aS'had\thave\tVBD\tB-VP\tO' -p275935 -aS'no\tno\tDT\tB-NP\tO' -p275936 -aS'complaints\tcomplaint\tNNS\tI-NP\tO' -p275937 -aS'.\t.\t.\tO\tO' -p275938 -asS'Tip could not be cultured due to contamination .' -p275939 -(lp275940 -S'Tip\tTip\tNN\tB-NP\tB-protein' -p275941 -aS'could\tcould\tMD\tB-VP\tO' -p275942 -aS'not\tnot\tRB\tI-VP\tO' -p275943 -aS'be\tbe\tVB\tI-VP\tO' -p275944 -aS'cultured\tculture\tVBN\tI-VP\tO' -p275945 -aS'due\tdue\tJJ\tB-ADJP\tO' -p275946 -aS'to\tto\tTO\tB-PP\tO' -p275947 -aS'contamination\tcontamination\tNN\tB-NP\tO' -p275948 -aS'.\t.\t.\tO\tO' -p275949 -asS'Notable for anemia , hypercholesterolemia , narcolepsy for the past 6 years on Dexedrine , impotence with decreased testosterone , status post implant , peptic ulcer disease , status post duodenal resection , cervical stenosis , status post decompression '92 , hernia , status post herniorrhaphy .' -p275950 -(lp275951 -S'Notable\tNotable\tJJ\tB-ADJP\tO' -p275952 -aS'for\tfor\tIN\tB-PP\tO' -p275953 -aS'anemia\tanemia\tNN\tB-NP\tO' -p275954 -aS',\t,\t,\tO\tO' -p275955 -aS'hypercholesterolemia\thypercholesterolemia\tNN\tB-NP\tO' -p275956 -aS',\t,\t,\tO\tO' -p275957 -aS'narcolepsy\tnarcolepsy\tNN\tB-NP\tO' -p275958 -aS'for\tfor\tIN\tB-PP\tO' -p275959 -aS'the\tthe\tDT\tB-NP\tO' -p275960 -aS'past\tpast\tJJ\tI-NP\tO' -p275961 -aS'6\t6\tCD\tI-NP\tO' -p275962 -aS'years\tyear\tNNS\tI-NP\tO' -p275963 -aS'on\ton\tIN\tB-PP\tO' -p275964 -aS'Dexedrine\tDexedrine\tNN\tB-NP\tO' -p275965 -aS',\t,\t,\tO\tO' -p275966 -aS'impotence\timpotence\tNN\tB-NP\tO' -p275967 -aS'with\twith\tIN\tB-PP\tO' -p275968 -aS'decreased\tdecrease\tVBN\tB-NP\tO' -p275969 -aS'testosterone\ttestosterone\tNN\tI-NP\tO' -p275970 -aS',\t,\t,\tO\tO' -p275971 -aS'status\tstatus\tNN\tB-NP\tO' -p275972 -aS'post\tpost\tNN\tI-NP\tO' -p275973 -aS'implant\timplant\tNN\tI-NP\tO' -p275974 -aS',\t,\t,\tO\tO' -p275975 -aS'peptic\tpeptic\tJJ\tB-NP\tO' -p275976 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p275977 -aS'disease\tdisease\tNN\tI-NP\tO' -p275978 -aS',\t,\t,\tO\tO' -p275979 -aS'status\tstatus\tNN\tB-NP\tO' -p275980 -aS'post\tpost\tNN\tI-NP\tO' -p275981 -aS'duodenal\tduodenal\tJJ\tI-NP\tO' -p275982 -aS'resection\tresection\tNN\tI-NP\tO' -p275983 -aS',\t,\t,\tO\tO' -p275984 -aS'cervical\tcervical\tJJ\tB-NP\tO' -p275985 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p275986 -aS',\t,\t,\tO\tO' -p275987 -aS'status\tstatus\tNN\tB-NP\tB-protein' -p275988 -aS'post\tpost\tNN\tI-NP\tI-protein' -p275989 -aS'decompression\tdecompression\tNN\tI-NP\tI-protein' -p275990 -aS''92\t'92\tNN\tI-NP\tI-protein' -p275991 -aS',\t,\t,\tO\tO' -p275992 -aS'hernia\thernia\tNN\tB-NP\tO' -p275993 -aS',\t,\t,\tO\tO' -p275994 -aS'status\tstatus\tNN\tB-NP\tO' -p275995 -aS'post\tpost\tNN\tI-NP\tO' -p275996 -aS'herniorrhaphy\therniorrhaphy\tNN\tI-NP\tO' -p275997 -aS'.\t.\t.\tO\tO' -p275998 -asS'2. Pantoprazole one tablet once a day .' -p275999 -(lp276000 -S'2.\t2.\tLS\tB-NP\tO' -p276001 -aS'Pantoprazole\tPantoprazole\tNN\tI-NP\tO' -p276002 -aS'one\tone\tCD\tB-NP\tO' -p276003 -aS'tablet\ttablet\tNN\tI-NP\tO' -p276004 -aS'once\tonce\tRB\tB-ADVP\tO' -p276005 -aS'a\ta\tDT\tB-NP\tO' -p276006 -aS'day\tday\tNN\tI-NP\tO' -p276007 -aS'.\t.\t.\tO\tO' -p276008 -asS'14. Percocet 5/325 one to two p.o. q. four to six hours p.r.n.' -p276009 -(lp276010 -S'14.\t14.\tCD\tB-NP\tO' -p276011 -aS'Percocet\tPercocet\tNNP\tI-NP\tO' -p276012 -aS'5/325\t5/325\tCD\tI-NP\tO' -p276013 -aS'one\tone\tCD\tI-NP\tO' -p276014 -aS'to\tto\tTO\tB-PP\tO' -p276015 -aS'two\ttwo\tCD\tB-NP\tO' -p276016 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p276017 -aS'q.\tq.\tFW\tI-NP\tO' -p276018 -aS'four\tfour\tCD\tI-NP\tO' -p276019 -aS'to\tto\tTO\tI-NP\tO' -p276020 -aS'six\tsix\tCD\tI-NP\tO' -p276021 -aS'hours\thour\tNNS\tI-NP\tO' -p276022 -aS'p.r.n.\tp.r.n.\tRB\tB-ADVP\tO' -p276023 -asS'On admission the infant required CPAP 6 cm of water , 30% oxygen .' -p276024 -(lp276025 -S'On\tOn\tIN\tB-PP\tO' -p276026 -aS'admission\tadmission\tNN\tB-NP\tO' -p276027 -aS'the\tthe\tDT\tB-NP\tO' -p276028 -aS'infant\tinfant\tNN\tI-NP\tO' -p276029 -aS'required\trequire\tVBD\tB-VP\tO' -p276030 -aS'CPAP\tCPAP\tNN\tB-NP\tB-protein' -p276031 -aS'6\t6\tCD\tI-NP\tI-protein' -p276032 -aS'cm\tcm\tNN\tI-NP\tO' -p276033 -aS'of\tof\tIN\tB-PP\tO' -p276034 -aS'water\twater\tNN\tB-NP\tO' -p276035 -aS',\t,\t,\tO\tO' -p276036 -aS'30%\t30%\tCD\tB-NP\tO' -p276037 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p276038 -aS'.\t.\t.\tO\tO' -p276039 -asS'DISCHARGE DIAGNOSIS : ST elevation myocardial infarction , status post left anterior descending artery stent .' -p276040 -(lp276041 -S'DISCHARGE\tDISCHARGE\tNN\tB-NP\tO' -p276042 -aS'DIAGNOSIS\tDIAGNOSIS\tNN\tI-NP\tO' -p276043 -aS':\t:\t:\tO\tO' -p276044 -aS'ST\tST\tJJ\tB-NP\tO' -p276045 -aS'elevation\televation\tNN\tI-NP\tO' -p276046 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p276047 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p276048 -aS',\t,\t,\tO\tO' -p276049 -aS'status\tstatus\tNN\tB-NP\tO' -p276050 -aS'post\tpost\tNN\tI-NP\tO' -p276051 -aS'left\tleave\tVBD\tB-VP\tO' -p276052 -aS'anterior\tanterior\tRB\tI-VP\tO' -p276053 -aS'descending\tdescend\tVBG\tI-VP\tO' -p276054 -aS'artery\tartery\tNN\tB-NP\tO' -p276055 -aS'stent\tstent\tNN\tI-NP\tO' -p276056 -aS'.\t.\t.\tO\tO' -p276057 -asS'The patient passed away peacefully on 2013-09-18 .' -p276058 -(lp276059 -S'The\tThe\tDT\tB-NP\tO' -p276060 -aS'patient\tpatient\tNN\tI-NP\tO' -p276061 -aS'passed\tpass\tVBD\tB-VP\tO' -p276062 -aS'away\taway\tRB\tB-ADVP\tO' -p276063 -aS'peacefully\tpeacefully\tRB\tB-ADVP\tO' -p276064 -aS'on\ton\tIN\tB-PP\tO' -p276065 -aS'2013-09-18\t2013-09-18\tCD\tB-NP\tO' -p276066 -aS'.\t.\t.\tO\tO' -p276067 -asS'He was seen in consultation by the Nutrition Service , who followed him for dietary management of his diabetes mellitus .' -p276068 -(lp276069 -S'He\tHe\tPRP\tB-NP\tO' -p276070 -aS'was\tbe\tVBD\tB-VP\tO' -p276071 -aS'seen\tsee\tVBN\tI-VP\tO' -p276072 -aS'in\tin\tIN\tB-PP\tO' -p276073 -aS'consultation\tconsultation\tNN\tB-NP\tO' -p276074 -aS'by\tby\tIN\tB-PP\tO' -p276075 -aS'the\tthe\tDT\tB-NP\tO' -p276076 -aS'Nutrition\tNutrition\tNNP\tI-NP\tO' -p276077 -aS'Service\tService\tNNP\tI-NP\tO' -p276078 -aS',\t,\t,\tO\tO' -p276079 -aS'who\twho\tWP\tB-NP\tO' -p276080 -aS'followed\tfollow\tVBD\tB-VP\tO' -p276081 -aS'him\thim\tPRP\tB-NP\tO' -p276082 -aS'for\tfor\tIN\tB-PP\tO' -p276083 -aS'dietary\tdietary\tJJ\tB-NP\tO' -p276084 -aS'management\tmanagement\tNN\tI-NP\tO' -p276085 -aS'of\tof\tIN\tB-PP\tO' -p276086 -aS'his\this\tPRP$\tB-NP\tO' -p276087 -aS'diabetes\tdiabetes\tNN\tI-NP\tO' -p276088 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p276089 -aS'.\t.\t.\tO\tO' -p276090 -asS'She was tolerating diet and able to ambulate without difficulty .' -p276091 -(lp276092 -S'She\tShe\tPRP\tB-NP\tO' -p276093 -aS'was\tbe\tVBD\tB-VP\tO' -p276094 -aS'tolerating\ttolerate\tVBG\tI-VP\tO' -p276095 -aS'diet\tdiet\tNN\tB-NP\tO' -p276096 -aS'and\tand\tCC\tO\tO' -p276097 -aS'able\table\tJJ\tB-ADJP\tO' -p276098 -aS'to\tto\tTO\tB-VP\tO' -p276099 -aS'ambulate\tambulate\tVB\tI-VP\tO' -p276100 -aS'without\twithout\tIN\tB-PP\tO' -p276101 -aS'difficulty\tdifficulty\tNN\tB-NP\tO' -p276102 -aS'.\t.\t.\tO\tO' -p276103 -asS'No clubbing , cyanosis , or edema of the extremities .' -p276104 -(lp276105 -S'No\tNo\tDT\tB-NP\tO' -p276106 -aS'clubbing\tclubbing\tNN\tI-NP\tO' -p276107 -aS',\t,\t,\tO\tO' -p276108 -aS'cyanosis\tcyanosis\tNN\tB-NP\tO' -p276109 -aS',\t,\t,\tO\tO' -p276110 -aS'or\tor\tCC\tO\tO' -p276111 -aS'edema\tedema\tNN\tB-NP\tO' -p276112 -aS'of\tof\tIN\tB-PP\tO' -p276113 -aS'the\tthe\tDT\tB-NP\tO' -p276114 -aS'extremities\textremity\tNNS\tI-NP\tO' -p276115 -aS'.\t.\t.\tO\tO' -p276116 -asS"4. Sick sinus syndrome s/p pacer placement in ' 98" -p276117 -(lp276118 -S'4.\t4.\tLS\tB-NP\tO' -p276119 -aS'Sick\tSick\tNNP\tI-NP\tO' -p276120 -aS'sinus\tsinus\tNN\tI-NP\tO' -p276121 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p276122 -aS's/p\ts/p\tNN\tI-NP\tO' -p276123 -aS'pacer\tpacer\tNN\tI-NP\tO' -p276124 -aS'placement\tplacement\tNN\tI-NP\tO' -p276125 -aS'in\tin\tIN\tB-PP\tO' -p276126 -aS"'\t'\t``\tO\tO" -p276127 -aS'98\t98\tCD\tB-NP\tO' -p276128 -asS'After he passed the video swallowing , he was tolerating ground consistent solids .' -p276129 -(lp276130 -S'After\tAfter\tIN\tB-SBAR\tO' -p276131 -aS'he\the\tPRP\tB-NP\tO' -p276132 -aS'passed\tpass\tVBD\tB-VP\tO' -p276133 -aS'the\tthe\tDT\tB-NP\tO' -p276134 -aS'video\tvideo\tNN\tI-NP\tO' -p276135 -aS'swallowing\tswallow\tVBG\tB-VP\tO' -p276136 -aS',\t,\t,\tO\tO' -p276137 -aS'he\the\tPRP\tB-NP\tO' -p276138 -aS'was\tbe\tVBD\tB-VP\tO' -p276139 -aS'tolerating\ttolerate\tVBG\tI-VP\tO' -p276140 -aS'ground\tground\tNN\tB-NP\tO' -p276141 -aS'consistent\tconsistent\tJJ\tI-NP\tO' -p276142 -aS'solids\tsolid\tNNS\tI-NP\tO' -p276143 -aS'.\t.\t.\tO\tO' -p276144 -asS'There has been no GI or GU symptoms except for constipation .' -p276145 -(lp276146 -S'There\tThere\tEX\tB-NP\tO' -p276147 -aS'has\thave\tVBZ\tB-VP\tO' -p276148 -aS'been\tbe\tVBN\tI-VP\tO' -p276149 -aS'no\tno\tDT\tB-NP\tO' -p276150 -aS'GI\tGI\tNN\tI-NP\tO' -p276151 -aS'or\tor\tCC\tI-NP\tO' -p276152 -aS'GU\tGU\tNN\tI-NP\tO' -p276153 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p276154 -aS'except\texcept\tIN\tB-PP\tO' -p276155 -aS'for\tfor\tIN\tB-PP\tO' -p276156 -aS'constipation\tconstipation\tNN\tB-NP\tO' -p276157 -aS'.\t.\t.\tO\tO' -p276158 -asS'The serum toxicology was positive for Cocaine on admission to the Fairm of Ijordcompmac Hospital as well as the Sephsandpot Center .' -p276159 -(lp276160 -S'The\tThe\tDT\tB-NP\tO' -p276161 -aS'serum\tserum\tNN\tI-NP\tO' -p276162 -aS'toxicology\ttoxicology\tNN\tI-NP\tO' -p276163 -aS'was\tbe\tVBD\tB-VP\tO' -p276164 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p276165 -aS'for\tfor\tIN\tB-PP\tO' -p276166 -aS'Cocaine\tCocaine\tNN\tB-NP\tO' -p276167 -aS'on\ton\tIN\tB-PP\tO' -p276168 -aS'admission\tadmission\tNN\tB-NP\tO' -p276169 -aS'to\tto\tTO\tB-PP\tO' -p276170 -aS'the\tthe\tDT\tB-NP\tO' -p276171 -aS'Fairm\tFairm\tNNP\tI-NP\tO' -p276172 -aS'of\tof\tIN\tB-PP\tO' -p276173 -aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' -p276174 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p276175 -aS'as\tas\tRB\tB-CONJP\tO' -p276176 -aS'well\twell\tRB\tI-CONJP\tO' -p276177 -aS'as\tas\tIN\tI-CONJP\tO' -p276178 -aS'the\tthe\tDT\tB-NP\tO' -p276179 -aS'Sephsandpot\tSephsandpot\tNNP\tI-NP\tO' -p276180 -aS'Center\tCenter\tNNP\tI-NP\tO' -p276181 -aS'.\t.\t.\tO\tO' -p276182 -asS'He was given three liters of IV hydration with good urine output response .' -p276183 -(lp276184 -S'He\tHe\tPRP\tB-NP\tO' -p276185 -aS'was\tbe\tVBD\tB-VP\tO' -p276186 -aS'given\tgive\tVBN\tI-VP\tO' -p276187 -aS'three\tthree\tCD\tB-NP\tO' -p276188 -aS'liters\tliter\tNNS\tI-NP\tO' -p276189 -aS'of\tof\tIN\tB-PP\tO' -p276190 -aS'IV\tIV\tCD\tB-NP\tO' -p276191 -aS'hydration\thydration\tNN\tI-NP\tO' -p276192 -aS'with\twith\tIN\tB-PP\tO' -p276193 -aS'good\tgood\tJJ\tB-NP\tO' -p276194 -aS'urine\turine\tNN\tI-NP\tO' -p276195 -aS'output\toutput\tNN\tI-NP\tO' -p276196 -aS'response\tresponse\tNN\tI-NP\tO' -p276197 -aS'.\t.\t.\tO\tO' -p276198 -asS'INR 1.1 .' -p276199 -(lp276200 -S'INR\tINR\tNN\tB-NP\tO' -p276201 -aS'1.1\t1.1\tCD\tI-NP\tO' -p276202 -aS'.\t.\t.\tO\tO' -p276203 -asS'His son is a policeman working in Ludlow .' -p276204 -(lp276205 -S'His\tHis\tPRP$\tB-NP\tO' -p276206 -aS'son\tson\tNN\tI-NP\tO' -p276207 -aS'is\tbe\tVBZ\tB-VP\tO' -p276208 -aS'a\ta\tDT\tB-NP\tO' -p276209 -aS'policeman\tpoliceman\tNN\tI-NP\tO' -p276210 -aS'working\twork\tVBG\tB-VP\tO' -p276211 -aS'in\tin\tIN\tB-PP\tO' -p276212 -aS'Ludlow\tLudlow\tNNP\tB-NP\tO' -p276213 -aS'.\t.\t.\tO\tO' -p276214 -asS'In no apparent distress and denied pain .' -p276215 -(lp276216 -S'In\tIn\tIN\tB-PP\tO' -p276217 -aS'no\tno\tDT\tB-NP\tO' -p276218 -aS'apparent\tapparent\tJJ\tI-NP\tO' -p276219 -aS'distress\tdistress\tNN\tI-NP\tO' -p276220 -aS'and\tand\tCC\tO\tO' -p276221 -aS'denied\tdeny\tVBN\tB-VP\tO' -p276222 -aS'pain\tpain\tNN\tB-NP\tO' -p276223 -aS'.\t.\t.\tO\tO' -p276224 -asS'In addition we gave her a sodium chloride one gram per day and that also helped , so that now at the time of discharge , the patient 's sodium is between 126 and 129 ; prior to that it had gone down to as low 116.' -p276225 -(lp276226 -S'In\tIn\tIN\tB-PP\tO' -p276227 -aS'addition\taddition\tNN\tB-NP\tO' -p276228 -aS'we\twe\tPRP\tB-NP\tO' -p276229 -aS'gave\tgive\tVBD\tB-VP\tO' -p276230 -aS'her\ther\tPRP\tB-NP\tO' -p276231 -aS'a\ta\tDT\tB-NP\tO' -p276232 -aS'sodium\tsodium\tNN\tI-NP\tO' -p276233 -aS'chloride\tchloride\tNN\tI-NP\tO' -p276234 -aS'one\tone\tCD\tB-NP\tO' -p276235 -aS'gram\tgram\tNN\tI-NP\tO' -p276236 -aS'per\tper\tIN\tB-PP\tO' -p276237 -aS'day\tday\tNN\tB-NP\tO' -p276238 -aS'and\tand\tCC\tO\tO' -p276239 -aS'that\tthat\tIN\tB-NP\tO' -p276240 -aS'also\talso\tRB\tB-ADVP\tO' -p276241 -aS'helped\thelp\tVBD\tB-VP\tO' -p276242 -aS',\t,\t,\tO\tO' -p276243 -aS'so\tso\tIN\tB-SBAR\tO' -p276244 -aS'that\tthat\tIN\tI-SBAR\tO' -p276245 -aS'now\tnow\tRB\tB-ADVP\tO' -p276246 -aS'at\tat\tIN\tB-PP\tO' -p276247 -aS'the\tthe\tDT\tB-NP\tO' -p276248 -aS'time\ttime\tNN\tI-NP\tO' -p276249 -aS'of\tof\tIN\tB-PP\tO' -p276250 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p276251 -aS',\t,\t,\tO\tO' -p276252 -aS'the\tthe\tDT\tB-NP\tO' -p276253 -aS'patient\tpatient\tNN\tI-NP\tO' -p276254 -aS''s\t'\tNNS\tI-NP\tO' -p276255 -aS'sodium\tsodium\tNN\tI-NP\tO' -p276256 -aS'is\tbe\tVBZ\tB-VP\tO' -p276257 -aS'between\tbetween\tIN\tB-PP\tO' -p276258 -aS'126\t126\tCD\tB-NP\tO' -p276259 -aS'and\tand\tCC\tI-NP\tO' -p276260 -aS'129\t129\tCD\tI-NP\tO' -p276261 -aS';\t;\t:\tO\tO' -p276262 -aS'prior\tprior\tRB\tB-ADVP\tO' -p276263 -aS'to\tto\tTO\tB-PP\tO' -p276264 -aS'that\tthat\tIN\tB-NP\tO' -p276265 -aS'it\tit\tPRP\tB-NP\tO' -p276266 -aS'had\thave\tVBD\tB-VP\tO' -p276267 -aS'gone\tgo\tVBN\tI-VP\tO' -p276268 -aS'down\tdown\tRB\tB-ADVP\tO' -p276269 -aS'to\tto\tTO\tB-PP\tO' -p276270 -aS'as\tas\tRB\tB-NP\tO' -p276271 -aS'low\tlow\tJJ\tI-NP\tO' -p276272 -aS'116.\t116.\tCD\tI-NP\tO' -p276273 -asS'The results of these biopsies are still pending in pathology .' -p276274 -(lp276275 -S'The\tThe\tDT\tB-NP\tO' -p276276 -aS'results\tresult\tNNS\tI-NP\tO' -p276277 -aS'of\tof\tIN\tB-PP\tO' -p276278 -aS'these\tthese\tDT\tB-NP\tO' -p276279 -aS'biopsies\tbiopsy\tNNS\tI-NP\tO' -p276280 -aS'are\tbe\tVBP\tB-VP\tO' -p276281 -aS'still\tstill\tRB\tI-VP\tO' -p276282 -aS'pending\tpende\tVBG\tI-VP\tO' -p276283 -aS'in\tin\tIN\tB-PP\tO' -p276284 -aS'pathology\tpathology\tNN\tB-NP\tO' -p276285 -aS'.\t.\t.\tO\tO' -p276286 -asS'The patient needs prothrombin time checked daily , patient needs potassium checked daily , patient needs sodium checked at least every other day .' -p276287 -(lp276288 -S'The\tThe\tDT\tB-NP\tO' -p276289 -aS'patient\tpatient\tNN\tI-NP\tO' -p276290 -aS'needs\tneed\tVBZ\tB-VP\tO' -p276291 -aS'prothrombin\tprothrombin\tNN\tB-NP\tO' -p276292 -aS'time\ttime\tNN\tI-NP\tO' -p276293 -aS'checked\tcheck\tVBD\tB-VP\tO' -p276294 -aS'daily\tdaily\tRB\tB-ADVP\tO' -p276295 -aS',\t,\t,\tO\tO' -p276296 -aS'patient\tpatient\tNN\tB-NP\tO' -p276297 -aS'needs\tneed\tNNS\tI-NP\tO' -p276298 -aS'potassium\tpotassium\tNN\tI-NP\tO' -p276299 -aS'checked\tcheck\tVBD\tB-VP\tO' -p276300 -aS'daily\tdaily\tRB\tB-ADVP\tO' -p276301 -aS',\t,\t,\tO\tO' -p276302 -aS'patient\tpatient\tNN\tB-NP\tO' -p276303 -aS'needs\tneed\tNNS\tI-NP\tO' -p276304 -aS'sodium\tsodium\tNN\tI-NP\tO' -p276305 -aS'checked\tcheck\tVBD\tB-VP\tO' -p276306 -aS'at\tat\tIN\tB-ADVP\tO' -p276307 -aS'least\tleast\tJJS\tI-ADVP\tO' -p276308 -aS'every\tevery\tDT\tB-NP\tO' -p276309 -aS'other\tother\tJJ\tI-NP\tO' -p276310 -aS'day\tday\tNN\tI-NP\tO' -p276311 -aS'.\t.\t.\tO\tO' -p276312 -asS'The MCV is 88 .' -p276313 -(lp276314 -S'The\tThe\tDT\tB-NP\tO' -p276315 -aS'MCV\tMCV\tNN\tI-NP\tB-protein' -p276316 -aS'is\tbe\tVBZ\tB-VP\tO' -p276317 -aS'88\t88\tCD\tB-NP\tO' -p276318 -aS'.\t.\t.\tO\tO' -p276319 -asS'CXR revealed evidence of cardiomegaly and pulm edema .' -p276320 -(lp276321 -S'CXR\tCXR\tNN\tB-NP\tB-protein' -p276322 -aS'revealed\treveal\tVBD\tB-VP\tO' -p276323 -aS'evidence\tevidence\tNN\tB-NP\tO' -p276324 -aS'of\tof\tIN\tB-PP\tO' -p276325 -aS'cardiomegaly\tcardiomegaly\tNN\tB-NP\tO' -p276326 -aS'and\tand\tCC\tI-NP\tO' -p276327 -aS'pulm\tpulm\tNN\tI-NP\tO' -p276328 -aS'edema\tedema\tNN\tI-NP\tO' -p276329 -aS'.\t.\t.\tO\tO' -p276330 -asS'In clinic today , the patient desaturated to low 90 s with ambulation and also had complaints of progressive swelling " like my throat is going to close up " with increasing drooling , unable to swallow the HIV medications .' -p276331 -(lp276332 -S'In\tIn\tIN\tB-PP\tO' -p276333 -aS'clinic\tclinic\tNN\tB-NP\tO' -p276334 -aS'today\ttoday\tNN\tB-NP\tO' -p276335 -aS',\t,\t,\tO\tO' -p276336 -aS'the\tthe\tDT\tB-NP\tO' -p276337 -aS'patient\tpatient\tNN\tI-NP\tO' -p276338 -aS'desaturated\tdesaturate\tVBN\tB-VP\tO' -p276339 -aS'to\tto\tTO\tB-PP\tO' -p276340 -aS'low\tlow\tJJ\tB-NP\tO' -p276341 -aS'90\t90\tCD\tI-NP\tO' -p276342 -aS's\ts\tNN\tI-NP\tO' -p276343 -aS'with\twith\tIN\tB-PP\tO' -p276344 -aS'ambulation\tambulation\tNN\tB-NP\tO' -p276345 -aS'and\tand\tCC\tO\tO' -p276346 -aS'also\talso\tRB\tB-VP\tO' -p276347 -aS'had\thave\tVBD\tI-VP\tO' -p276348 -aS'complaints\tcomplaint\tNNS\tB-NP\tO' -p276349 -aS'of\tof\tIN\tB-PP\tO' -p276350 -aS'progressive\tprogressive\tJJ\tB-NP\tO' -p276351 -aS'swelling\tswelling\tNN\tI-NP\tO' -p276352 -aS'"\t"\t\'\'\tO\tO' -p276353 -aS'like\tlike\tIN\tB-PP\tO' -p276354 -aS'my\tmy\tPRP$\tB-NP\tO' -p276355 -aS'throat\tthroat\tNN\tI-NP\tO' -p276356 -aS'is\tbe\tVBZ\tB-VP\tO' -p276357 -aS'going\tgo\tVBG\tI-VP\tO' -p276358 -aS'to\tto\tTO\tI-VP\tO' -p276359 -aS'close\tclose\tVB\tI-VP\tO' -p276360 -aS'up\tup\tRP\tB-PRT\tO' -p276361 -aS'"\t"\t\'\'\tO\tO' -p276362 -aS'with\twith\tIN\tB-PP\tO' -p276363 -aS'increasing\tincrease\tVBG\tB-NP\tO' -p276364 -aS'drooling\tdrooling\tNN\tI-NP\tO' -p276365 -aS',\t,\t,\tO\tO' -p276366 -aS'unable\tunable\tJJ\tB-ADJP\tO' -p276367 -aS'to\tto\tTO\tB-VP\tO' -p276368 -aS'swallow\tswallow\tVB\tI-VP\tO' -p276369 -aS'the\tthe\tDT\tB-NP\tO' -p276370 -aS'HIV\tHIV\tNN\tI-NP\tO' -p276371 -aS'medications\tmedication\tNNS\tI-NP\tO' -p276372 -aS'.\t.\t.\tO\tO' -p276373 -asS'A head CT was performed and was completely negative for any metastatic process involving the brain .' -p276374 -(lp276375 -S'A\tA\tDT\tB-NP\tO' -p276376 -aS'head\thead\tNN\tI-NP\tO' -p276377 -aS'CT\tCT\tNN\tI-NP\tO' -p276378 -aS'was\tbe\tVBD\tB-VP\tO' -p276379 -aS'performed\tperform\tVBN\tI-VP\tO' -p276380 -aS'and\tand\tCC\tO\tO' -p276381 -aS'was\tbe\tVBD\tB-VP\tO' -p276382 -aS'completely\tcompletely\tRB\tB-ADJP\tO' -p276383 -aS'negative\tnegative\tJJ\tI-ADJP\tO' -p276384 -aS'for\tfor\tIN\tB-PP\tO' -p276385 -aS'any\tany\tDT\tB-NP\tO' -p276386 -aS'metastatic\tmetastatic\tJJ\tI-NP\tO' -p276387 -aS'process\tprocess\tNN\tI-NP\tO' -p276388 -aS'involving\tinvolve\tVBG\tB-VP\tO' -p276389 -aS'the\tthe\tDT\tB-NP\tO' -p276390 -aS'brain\tbrain\tNN\tI-NP\tO' -p276391 -aS'.\t.\t.\tO\tO' -p276392 -asS'Obese , no acute distress .' -p276393 -(lp276394 -S'Obese\tObese\tNN\tB-NP\tO' -p276395 -aS',\t,\t,\tO\tO' -p276396 -aS'no\tno\tDT\tB-NP\tO' -p276397 -aS'acute\tacute\tJJ\tI-NP\tO' -p276398 -aS'distress\tdistress\tNN\tI-NP\tO' -p276399 -aS'.\t.\t.\tO\tO' -p276400 -asS'Married , retired accountant with six children .' -p276401 -(lp276402 -S'Married\tMarried\tJJ\tB-NP\tO' -p276403 -aS',\t,\t,\tI-NP\tO' -p276404 -aS'retired\tretired\tJJ\tI-NP\tO' -p276405 -aS'accountant\taccountant\tNN\tI-NP\tO' -p276406 -aS'with\twith\tIN\tB-PP\tO' -p276407 -aS'six\tsix\tCD\tB-NP\tO' -p276408 -aS'children\tchild\tNNS\tI-NP\tO' -p276409 -aS'.\t.\t.\tO\tO' -p276410 -asS'Infectious disease .' -p276411 -(lp276412 -S'Infectious\tInfectious\tJJ\tB-NP\tO' -p276413 -aS'disease\tdisease\tNN\tI-NP\tO' -p276414 -aS'.\t.\t.\tO\tO' -p276415 -asS'MB was negative .' -p276416 -(lp276417 -S'MB\tMB\tNN\tB-NP\tB-protein' -p276418 -aS'was\tbe\tVBD\tB-VP\tO' -p276419 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p276420 -aS'.\t.\t.\tO\tO' -p276421 -asS'Chief Complaint : see dc summary' -p276422 -(lp276423 -S'Chief\tChief\tNNP\tB-NP\tO' -p276424 -aS'Complaint\tComplaint\tNNP\tI-NP\tO' -p276425 -aS':\t:\t:\tO\tO' -p276426 -aS'see\tsee\tVB\tB-VP\tO' -p276427 -aS'dc\tdc\tNN\tB-NP\tO' -p276428 -aS'summary\tsummary\tNN\tI-NP\tO' -p276429 -asS'Given this , the decision was made to make his care comfort measures only .' -p276430 -(lp276431 -S'Given\tGive\tVBN\tB-PP\tO' -p276432 -aS'this\tthis\tDT\tB-NP\tO' -p276433 -aS',\t,\t,\tO\tO' -p276434 -aS'the\tthe\tDT\tB-NP\tO' -p276435 -aS'decision\tdecision\tNN\tI-NP\tO' -p276436 -aS'was\tbe\tVBD\tB-VP\tO' -p276437 -aS'made\tmake\tVBN\tI-VP\tO' -p276438 -aS'to\tto\tTO\tB-VP\tO' -p276439 -aS'make\tmake\tVB\tI-VP\tO' -p276440 -aS'his\this\tPRP$\tB-NP\tO' -p276441 -aS'care\tcare\tNN\tI-NP\tO' -p276442 -aS'comfort\tcomfort\tNN\tI-NP\tO' -p276443 -aS'measures\tmeasure\tVBZ\tB-VP\tO' -p276444 -aS'only\tonly\tRB\tB-ADVP\tO' -p276445 -aS'.\t.\t.\tO\tO' -p276446 -asS'No pericardial effusion .' -p276447 -(lp276448 -S'No\tNo\tDT\tB-NP\tO' -p276449 -aS'pericardial\tpericardial\tJJ\tI-NP\tO' -p276450 -aS'effusion\teffusion\tNN\tI-NP\tO' -p276451 -aS'.\t.\t.\tO\tO' -p276452 -asS'The patient takes poorly his po. diet .' -p276453 -(lp276454 -S'The\tThe\tDT\tB-NP\tO' -p276455 -aS'patient\tpatient\tNN\tI-NP\tO' -p276456 -aS'takes\ttake\tVBZ\tB-VP\tO' -p276457 -aS'poorly\tpoorly\tRB\tB-ADVP\tO' -p276458 -aS'his\this\tPRP$\tB-NP\tO' -p276459 -aS'po.\tpo.\tNN\tI-NP\tO' -p276460 -aS'diet\tdiet\tNN\tI-NP\tO' -p276461 -aS'.\t.\t.\tO\tO' -p276462 -asS'Tylenol was continued to control fevers and prednisone was continued to control inflammation and prevent precipitation of adrenal insufficiency .' -p276463 -(lp276464 -S'Tylenol\tTylenol\tNN\tB-NP\tO' -p276465 -aS'was\tbe\tVBD\tB-VP\tO' -p276466 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p276467 -aS'to\tto\tTO\tI-VP\tO' -p276468 -aS'control\tcontrol\tVB\tI-VP\tO' -p276469 -aS'fevers\tfever\tNNS\tB-NP\tO' -p276470 -aS'and\tand\tCC\tI-NP\tO' -p276471 -aS'prednisone\tprednisone\tNN\tI-NP\tO' -p276472 -aS'was\tbe\tVBD\tB-VP\tO' -p276473 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p276474 -aS'to\tto\tTO\tI-VP\tO' -p276475 -aS'control\tcontrol\tVB\tI-VP\tO' -p276476 -aS'inflammation\tinflammation\tNN\tB-NP\tO' -p276477 -aS'and\tand\tCC\tO\tO' -p276478 -aS'prevent\tprevent\tVB\tB-VP\tO' -p276479 -aS'precipitation\tprecipitation\tNN\tB-NP\tO' -p276480 -aS'of\tof\tIN\tB-PP\tO' -p276481 -aS'adrenal\tadrenal\tJJ\tB-NP\tO' -p276482 -aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' -p276483 -aS'.\t.\t.\tO\tO' -p276484 -asS'He had a blood pressure of 60 systolic upon arrival of the Giles Min General Hospital crew .' -p276485 -(lp276486 -S'He\tHe\tPRP\tB-NP\tO' -p276487 -aS'had\thave\tVBD\tB-VP\tO' -p276488 -aS'a\ta\tDT\tB-NP\tO' -p276489 -aS'blood\tblood\tNN\tI-NP\tO' -p276490 -aS'pressure\tpressure\tNN\tI-NP\tO' -p276491 -aS'of\tof\tIN\tB-PP\tO' -p276492 -aS'60\t60\tCD\tB-NP\tO' -p276493 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p276494 -aS'upon\tupon\tIN\tB-PP\tO' -p276495 -aS'arrival\tarrival\tNN\tB-NP\tO' -p276496 -aS'of\tof\tIN\tB-PP\tO' -p276497 -aS'the\tthe\tDT\tB-NP\tO' -p276498 -aS'Giles\tGiles\tNNP\tI-NP\tO' -p276499 -aS'Min\tMin\tNNP\tI-NP\tO' -p276500 -aS'General\tGeneral\tNNP\tI-NP\tO' -p276501 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p276502 -aS'crew\tcrew\tVBD\tB-VP\tO' -p276503 -aS'.\t.\t.\tO\tO' -p276504 -asS'Antibiotics were discontinued on day of life three and infant has remained clinically well off antibiotics .' -p276505 -(lp276506 -S'Antibiotics\tAntibiotic\tNNS\tB-NP\tO' -p276507 -aS'were\tbe\tVBD\tB-VP\tO' -p276508 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p276509 -aS'on\ton\tIN\tB-PP\tO' -p276510 -aS'day\tday\tNN\tB-NP\tO' -p276511 -aS'of\tof\tIN\tB-PP\tO' -p276512 -aS'life\tlife\tNN\tB-NP\tO' -p276513 -aS'three\tthree\tCD\tB-NP\tO' -p276514 -aS'and\tand\tCC\tI-NP\tO' -p276515 -aS'infant\tinfant\tNN\tI-NP\tO' -p276516 -aS'has\thave\tVBZ\tB-VP\tO' -p276517 -aS'remained\tremain\tVBN\tI-VP\tO' -p276518 -aS'clinically\tclinically\tRB\tB-ADVP\tO' -p276519 -aS'well\twell\tRB\tI-ADVP\tO' -p276520 -aS'off\toff\tIN\tB-PP\tO' -p276521 -aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' -p276522 -aS'.\t.\t.\tO\tO' -p276523 -asS'Calcium 7.3 , phos 1.8 , magnesium 1.5 .' -p276524 -(lp276525 -S'Calcium\tCalcium\tNN\tB-NP\tO' -p276526 -aS'7.3\t7.3\tCD\tI-NP\tO' -p276527 -aS',\t,\t,\tO\tO' -p276528 -aS'phos\tpho\tNNS\tB-NP\tO' -p276529 -aS'1.8\t1.8\tCD\tB-NP\tO' -p276530 -aS',\t,\t,\tO\tO' -p276531 -aS'magnesium\tmagnesium\tNN\tB-NP\tO' -p276532 -aS'1.5\t1.5\tCD\tI-NP\tO' -p276533 -aS'.\t.\t.\tO\tO' -p276534 -asS'His dressing changes for his foot continued per the Podiatry Service and his leg ulcer was noted to be slowly healing .' -p276535 -(lp276536 -S'His\tHis\tPRP$\tB-NP\tB-protein' -p276537 -aS'dressing\tdress\tVBG\tI-NP\tO' -p276538 -aS'changes\tchange\tNNS\tI-NP\tO' -p276539 -aS'for\tfor\tIN\tB-PP\tO' -p276540 -aS'his\this\tPRP$\tB-NP\tO' -p276541 -aS'foot\tfoot\tNN\tI-NP\tO' -p276542 -aS'continued\tcontinue\tVBN\tB-VP\tO' -p276543 -aS'per\tper\tIN\tB-PP\tO' -p276544 -aS'the\tthe\tDT\tB-NP\tO' -p276545 -aS'Podiatry\tPodiatry\tNNP\tI-NP\tO' -p276546 -aS'Service\tService\tNNP\tI-NP\tO' -p276547 -aS'and\tand\tCC\tO\tO' -p276548 -aS'his\this\tPRP$\tB-NP\tO' -p276549 -aS'leg\tleg\tNN\tI-NP\tO' -p276550 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p276551 -aS'was\tbe\tVBD\tB-VP\tO' -p276552 -aS'noted\tnote\tVBN\tI-VP\tO' -p276553 -aS'to\tto\tTO\tI-VP\tO' -p276554 -aS'be\tbe\tVB\tI-VP\tO' -p276555 -aS'slowly\tslowly\tRB\tB-ADVP\tO' -p276556 -aS'healing\theal\tVBG\tB-VP\tO' -p276557 -aS'.\t.\t.\tO\tO' -p276558 -asS'Partial embolization of blood supply to nose , 8/22 .' -p276559 -(lp276560 -S'Partial\tPartial\tJJ\tB-NP\tO' -p276561 -aS'embolization\tembolization\tNN\tI-NP\tO' -p276562 -aS'of\tof\tIN\tB-PP\tO' -p276563 -aS'blood\tblood\tNN\tB-NP\tO' -p276564 -aS'supply\tsupply\tNN\tI-NP\tO' -p276565 -aS'to\tto\tTO\tB-PP\tO' -p276566 -aS'nose\tnose\tNN\tB-NP\tO' -p276567 -aS',\t,\t,\tO\tO' -p276568 -aS'8/22\t8/22\tCD\tB-NP\tO' -p276569 -aS'.\t.\t.\tO\tO' -p276570 -asS'He will be discharged to home , in good condition , with very specific intructions to follow up with Albano for his diabetic care and the Transplant Clinic for his transplant care .' -p276571 -(lp276572 -S'He\tHe\tPRP\tB-NP\tO' -p276573 -aS'will\twill\tMD\tB-VP\tO' -p276574 -aS'be\tbe\tVB\tI-VP\tO' -p276575 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p276576 -aS'to\tto\tTO\tB-PP\tO' -p276577 -aS'home\thome\tNN\tB-NP\tO' -p276578 -aS',\t,\t,\tO\tO' -p276579 -aS'in\tin\tIN\tB-PP\tO' -p276580 -aS'good\tgood\tJJ\tB-NP\tO' -p276581 -aS'condition\tcondition\tNN\tI-NP\tO' -p276582 -aS',\t,\t,\tO\tO' -p276583 -aS'with\twith\tIN\tB-PP\tO' -p276584 -aS'very\tvery\tRB\tB-NP\tO' -p276585 -aS'specific\tspecific\tJJ\tI-NP\tO' -p276586 -aS'intructions\tintruction\tNNS\tI-NP\tO' -p276587 -aS'to\tto\tTO\tB-VP\tO' -p276588 -aS'follow\tfollow\tVB\tI-VP\tO' -p276589 -aS'up\tup\tRP\tB-PRT\tO' -p276590 -aS'with\twith\tIN\tB-PP\tO' -p276591 -aS'Albano\tAlbano\tNNP\tB-NP\tO' -p276592 -aS'for\tfor\tIN\tB-PP\tO' -p276593 -aS'his\this\tPRP$\tB-NP\tO' -p276594 -aS'diabetic\tdiabetic\tJJ\tI-NP\tO' -p276595 -aS'care\tcare\tNN\tI-NP\tO' -p276596 -aS'and\tand\tCC\tO\tO' -p276597 -aS'the\tthe\tDT\tB-NP\tO' -p276598 -aS'Transplant\tTransplant\tNNP\tI-NP\tO' -p276599 -aS'Clinic\tClinic\tNNP\tI-NP\tO' -p276600 -aS'for\tfor\tIN\tB-PP\tO' -p276601 -aS'his\this\tPRP$\tB-NP\tO' -p276602 -aS'transplant\ttransplant\tNN\tI-NP\tO' -p276603 -aS'care\tcare\tNN\tI-NP\tO' -p276604 -aS'.\t.\t.\tO\tO' -p276605 -asS"The patient 's family eventually decided to withdraw care , and the patient was extubated and passed away on 2009-07-12 ." -p276606 -(lp276607 -S'The\tThe\tDT\tB-NP\tO' -p276608 -aS'patient\tpatient\tNN\tI-NP\tO' -p276609 -aS"'s\t's\tPOS\tB-NP\tO" -p276610 -aS'family\tfamily\tNN\tI-NP\tO' -p276611 -aS'eventually\teventually\tRB\tB-ADVP\tO' -p276612 -aS'decided\tdecide\tVBD\tB-VP\tO' -p276613 -aS'to\tto\tTO\tI-VP\tO' -p276614 -aS'withdraw\twithdraw\tVB\tI-VP\tO' -p276615 -aS'care\tcare\tNN\tB-NP\tO' -p276616 -aS',\t,\t,\tO\tO' -p276617 -aS'and\tand\tCC\tO\tO' -p276618 -aS'the\tthe\tDT\tB-NP\tO' -p276619 -aS'patient\tpatient\tNN\tI-NP\tO' -p276620 -aS'was\tbe\tVBD\tB-VP\tO' -p276621 -aS'extubated\textubate\tVBN\tI-VP\tO' -p276622 -aS'and\tand\tCC\tO\tO' -p276623 -aS'passed\tpass\tVBN\tB-VP\tO' -p276624 -aS'away\taway\tRB\tB-ADVP\tO' -p276625 -aS'on\ton\tIN\tB-PP\tO' -p276626 -aS'2009-07-12\t2009-07-12\tCD\tB-NP\tO' -p276627 -aS'.\t.\t.\tO\tO' -p276628 -asS'Left vocal cord with glottic airway visible but narrow .' -p276629 -(lp276630 -S'Left\tLeave\tVBN\tB-NP\tO' -p276631 -aS'vocal\tvocal\tJJ\tI-NP\tO' -p276632 -aS'cord\tcord\tNN\tI-NP\tO' -p276633 -aS'with\twith\tIN\tB-PP\tO' -p276634 -aS'glottic\tglottic\tJJ\tB-NP\tO' -p276635 -aS'airway\tairway\tNN\tI-NP\tO' -p276636 -aS'visible\tvisible\tJJ\tB-ADJP\tO' -p276637 -aS'but\tbut\tCC\tI-ADJP\tO' -p276638 -aS'narrow\tnarrow\tJJ\tI-ADJP\tO' -p276639 -aS'.\t.\t.\tO\tO' -p276640 -asS'He was to be called out to the medical floor on 2019-01-20 but became somnolent after receiving pain and anti-nausea meds , so he stayed in the ICU for closer monitoring of respiratory status , which spontaneously improved .' -p276641 -(lp276642 -S'He\tHe\tPRP\tB-NP\tO' -p276643 -aS'was\tbe\tVBD\tB-VP\tO' -p276644 -aS'to\tto\tTO\tI-VP\tO' -p276645 -aS'be\tbe\tVB\tI-VP\tO' -p276646 -aS'called\tcall\tVBN\tI-VP\tO' -p276647 -aS'out\tout\tRP\tB-PRT\tO' -p276648 -aS'to\tto\tTO\tB-PP\tO' -p276649 -aS'the\tthe\tDT\tB-NP\tO' -p276650 -aS'medical\tmedical\tJJ\tI-NP\tO' -p276651 -aS'floor\tfloor\tNN\tI-NP\tO' -p276652 -aS'on\ton\tIN\tB-PP\tO' -p276653 -aS'2019-01-20\t2019-01-20\tCD\tB-NP\tO' -p276654 -aS'but\tbut\tCC\tO\tO' -p276655 -aS'became\tbecome\tVBD\tB-VP\tO' -p276656 -aS'somnolent\tsomnolent\tRB\tB-ADVP\tO' -p276657 -aS'after\tafter\tIN\tB-PP\tO' -p276658 -aS'receiving\treceive\tVBG\tB-VP\tO' -p276659 -aS'pain\tpain\tNN\tB-NP\tO' -p276660 -aS'and\tand\tCC\tO\tO' -p276661 -aS'anti-nausea\tanti-nausea\tJJ\tB-NP\tO' -p276662 -aS'meds\tmed\tNNS\tI-NP\tO' -p276663 -aS',\t,\t,\tO\tO' -p276664 -aS'so\tso\tIN\tO\tO' -p276665 -aS'he\the\tPRP\tB-NP\tO' -p276666 -aS'stayed\tstay\tVBD\tB-VP\tO' -p276667 -aS'in\tin\tIN\tB-PP\tO' -p276668 -aS'the\tthe\tDT\tB-NP\tO' -p276669 -aS'ICU\tICU\tNN\tI-NP\tO' -p276670 -aS'for\tfor\tIN\tB-PP\tO' -p276671 -aS'closer\tclose\tJJR\tB-NP\tO' -p276672 -aS'monitoring\tmonitoring\tNN\tI-NP\tO' -p276673 -aS'of\tof\tIN\tB-PP\tO' -p276674 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p276675 -aS'status\tstatus\tNN\tI-NP\tO' -p276676 -aS',\t,\t,\tO\tO' -p276677 -aS'which\twhich\tWDT\tB-NP\tO' -p276678 -aS'spontaneously\tspontaneously\tRB\tB-ADVP\tO' -p276679 -aS'improved\timprove\tVBD\tB-VP\tO' -p276680 -aS'.\t.\t.\tO\tO' -p276681 -asS'Celexa 10 mg p.o. q.d.; Lasix 40 mg p.o. q.d.; Capoten 50 mg p.o. b.i.d.; Pepcid 20 mg p.o. q.d.; Cardizem 180 mg p.o. q.d.; Xanax 0.5 mg tabs .' -p276682 -(lp276683 -S'Celexa\tCelexa\tNN\tB-NP\tB-protein' -p276684 -aS'10\t10\tCD\tI-NP\tI-protein' -p276685 -aS'mg\tmg\tNN\tI-NP\tI-protein' -p276686 -aS'p.o.\tp.o.\tNN\tI-NP\tI-protein' -p276687 -aS'q.d.;\tq.d.;\tNN\tI-NP\tI-protein' -p276688 -aS'Lasix\tLasix\tNNP\tB-NP\tI-protein' -p276689 -aS'40\t40\tCD\tI-NP\tI-protein' -p276690 -aS'mg\tmg\tNN\tI-NP\tI-protein' -p276691 -aS'p.o.\tp.o.\tNN\tI-NP\tI-protein' -p276692 -aS'q.d.;\tq.d.;\tNN\tI-NP\tI-protein' -p276693 -aS'Capoten\tCapoten\tNNP\tB-NP\tI-protein' -p276694 -aS'50\t50\tCD\tI-NP\tI-protein' -p276695 -aS'mg\tmg\tNN\tI-NP\tI-protein' -p276696 -aS'p.o.\tp.o.\tFW\tI-NP\tI-protein' -p276697 -aS'b.i.d.;\tb.i.d.;\tNN\tI-NP\tI-protein' -p276698 -aS'Pepcid\tPepcid\tNN\tI-NP\tI-protein' -p276699 -aS'20\t20\tCD\tI-NP\tI-protein' -p276700 -aS'mg\tmg\tNN\tI-NP\tI-protein' -p276701 -aS'p.o.\tp.o.\tNN\tI-NP\tI-protein' -p276702 -aS'q.d.;\tq.d.;\tNN\tI-NP\tI-protein' -p276703 -aS'Cardizem\tCardizem\tNNP\tB-NP\tI-protein' -p276704 -aS'180\t180\tCD\tI-NP\tI-protein' -p276705 -aS'mg\tmg\tNN\tI-NP\tI-protein' -p276706 -aS'p.o.\tp.o.\tFW\tI-NP\tI-protein' -p276707 -aS'q.d.;\tq.d.;\tNN\tI-NP\tI-protein' -p276708 -aS'Xanax\tXanax\tNN\tI-NP\tI-protein' -p276709 -aS'0.5\t0.5\tCD\tI-NP\tI-protein' -p276710 -aS'mg\tmg\tNN\tI-NP\tI-protein' -p276711 -aS'tabs\ttab\tNNS\tI-NP\tI-protein' -p276712 -aS'.\t.\t.\tO\tO' -p276713 -asS'She was transferred to the newborn Intensive Care Unit for further management .' -p276714 -(lp276715 -S'She\tShe\tPRP\tB-NP\tO' -p276716 -aS'was\tbe\tVBD\tB-VP\tO' -p276717 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p276718 -aS'to\tto\tTO\tB-PP\tO' -p276719 -aS'the\tthe\tDT\tB-NP\tO' -p276720 -aS'newborn\tnewborn\tJJ\tI-NP\tO' -p276721 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p276722 -aS'Care\tCare\tNNP\tI-NP\tO' -p276723 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p276724 -aS'for\tfor\tIN\tB-PP\tO' -p276725 -aS'further\tfurther\tJJ\tB-NP\tO' -p276726 -aS'management\tmanagement\tNN\tI-NP\tO' -p276727 -aS'.\t.\t.\tO\tO' -p276728 -asS'The patient was consented for surgery and on the day of admission was taken to the operating room for transverse colectomy for tumor .' -p276729 -(lp276730 -S'The\tThe\tDT\tB-NP\tO' -p276731 -aS'patient\tpatient\tNN\tI-NP\tO' -p276732 -aS'was\tbe\tVBD\tB-VP\tO' -p276733 -aS'consented\tconsent\tVBN\tI-VP\tO' -p276734 -aS'for\tfor\tIN\tB-PP\tO' -p276735 -aS'surgery\tsurgery\tNN\tB-NP\tO' -p276736 -aS'and\tand\tCC\tB-PP\tO' -p276737 -aS'on\ton\tIN\tB-PP\tO' -p276738 -aS'the\tthe\tDT\tB-NP\tO' -p276739 -aS'day\tday\tNN\tI-NP\tO' -p276740 -aS'of\tof\tIN\tB-PP\tO' -p276741 -aS'admission\tadmission\tNN\tB-NP\tO' -p276742 -aS'was\tbe\tVBD\tB-VP\tO' -p276743 -aS'taken\ttake\tVBN\tI-VP\tO' -p276744 -aS'to\tto\tTO\tB-PP\tO' -p276745 -aS'the\tthe\tDT\tB-NP\tO' -p276746 -aS'operating\toperating\tNN\tI-NP\tO' -p276747 -aS'room\troom\tNN\tI-NP\tO' -p276748 -aS'for\tfor\tIN\tB-PP\tO' -p276749 -aS'transverse\ttransverse\tJJ\tB-NP\tO' -p276750 -aS'colectomy\tcolectomy\tNN\tI-NP\tO' -p276751 -aS'for\tfor\tIN\tB-PP\tO' -p276752 -aS'tumor\ttumor\tNN\tB-NP\tO' -p276753 -aS'.\t.\t.\tO\tO' -p276754 -asS'# Afib - In sinus during admission .' -p276755 -(lp276756 -S'#\t#\t#\tB-NP\tO' -p276757 -aS'Afib\tAfib\tNNP\tI-NP\tO' -p276758 -aS'-\t-\t:\tO\tO' -p276759 -aS'In\tIn\tIN\tB-PP\tO' -p276760 -aS'sinus\tsinus\tNN\tB-NP\tO' -p276761 -aS'during\tduring\tIN\tB-PP\tO' -p276762 -aS'admission\tadmission\tNN\tB-NP\tO' -p276763 -aS'.\t.\t.\tO\tO' -p276764 -asS'She tolerated the procedure well and was transferred back to the Surgical Intensive Care Unit with her new tracheostomy working well .' -p276765 -(lp276766 -S'She\tShe\tPRP\tB-NP\tO' -p276767 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p276768 -aS'the\tthe\tDT\tB-NP\tO' -p276769 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p276770 -aS'well\twell\tRB\tB-ADVP\tO' -p276771 -aS'and\tand\tCC\tO\tO' -p276772 -aS'was\tbe\tVBD\tB-VP\tO' -p276773 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p276774 -aS'back\tback\tRB\tB-ADVP\tO' -p276775 -aS'to\tto\tTO\tB-PP\tO' -p276776 -aS'the\tthe\tDT\tB-NP\tO' -p276777 -aS'Surgical\tSurgical\tNNP\tI-NP\tO' -p276778 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p276779 -aS'Care\tCare\tNNP\tI-NP\tO' -p276780 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p276781 -aS'with\twith\tIN\tB-PP\tO' -p276782 -aS'her\ther\tPRP$\tB-NP\tO' -p276783 -aS'new\tnew\tJJ\tI-NP\tO' -p276784 -aS'tracheostomy\ttracheostomy\tNN\tI-NP\tO' -p276785 -aS'working\twork\tVBG\tB-VP\tO' -p276786 -aS'well\twell\tRB\tB-ADVP\tO' -p276787 -aS'.\t.\t.\tO\tO' -p276788 -asS"At 6pm pt 's respiratory status worsened and she died ." -p276789 -(lp276790 -S'At\tAt\tIN\tB-PP\tO' -p276791 -aS'6pm\t6pm\tCD\tB-NP\tO' -p276792 -aS'pt\tpt\tNN\tI-NP\tO' -p276793 -aS"'s\t's\tPOS\tB-NP\tO" -p276794 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p276795 -aS'status\tstatus\tNN\tI-NP\tO' -p276796 -aS'worsened\tworsen\tVBD\tB-VP\tO' -p276797 -aS'and\tand\tCC\tO\tO' -p276798 -aS'she\tshe\tPRP\tB-NP\tO' -p276799 -aS'died\tdie\tVBD\tB-VP\tO' -p276800 -aS'.\t.\t.\tO\tO' -p276801 -asS'The cross extension reflex was positive on the left .' -p276802 -(lp276803 -S'The\tThe\tDT\tB-NP\tO' -p276804 -aS'cross\tcross\tJJ\tI-NP\tO' -p276805 -aS'extension\textension\tNN\tI-NP\tO' -p276806 -aS'reflex\treflex\tNN\tI-NP\tO' -p276807 -aS'was\tbe\tVBD\tB-VP\tO' -p276808 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p276809 -aS'on\ton\tIN\tB-PP\tO' -p276810 -aS'the\tthe\tDT\tB-NP\tO' -p276811 -aS'left\tleft\tNN\tI-NP\tO' -p276812 -aS'.\t.\t.\tO\tO' -p276813 -asS'As mentioned , her wounds healed well without incident and the staples were removed on the 10th postoperative day just prior to discharge .' -p276814 -(lp276815 -S'As\tAs\tIN\tB-SBAR\tO' -p276816 -aS'mentioned\tmention\tVBN\tB-VP\tO' -p276817 -aS',\t,\t,\tO\tO' -p276818 -aS'her\ther\tPRP$\tB-NP\tO' -p276819 -aS'wounds\twound\tNNS\tI-NP\tO' -p276820 -aS'healed\theal\tVBD\tB-VP\tO' -p276821 -aS'well\twell\tRB\tB-ADVP\tO' -p276822 -aS'without\twithout\tIN\tB-PP\tO' -p276823 -aS'incident\tincident\tNN\tB-NP\tO' -p276824 -aS'and\tand\tCC\tO\tO' -p276825 -aS'the\tthe\tDT\tB-NP\tO' -p276826 -aS'staples\tstaple\tNNS\tI-NP\tO' -p276827 -aS'were\tbe\tVBD\tB-VP\tO' -p276828 -aS'removed\tremove\tVBN\tI-VP\tO' -p276829 -aS'on\ton\tIN\tB-PP\tO' -p276830 -aS'the\tthe\tDT\tB-NP\tO' -p276831 -aS'10th\t10th\tJJ\tI-NP\tO' -p276832 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p276833 -aS'day\tday\tNN\tI-NP\tO' -p276834 -aS'just\tjust\tRB\tB-ADJP\tO' -p276835 -aS'prior\tprior\tJJ\tI-ADJP\tO' -p276836 -aS'to\tto\tTO\tB-VP\tO' -p276837 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p276838 -aS'.\t.\t.\tO\tO' -p276839 -asS'The patient was continued on nebs' -p276840 -(lp276841 -S'The\tThe\tDT\tB-NP\tO' -p276842 -aS'patient\tpatient\tNN\tI-NP\tO' -p276843 -aS'was\tbe\tVBD\tB-VP\tO' -p276844 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p276845 -aS'on\ton\tIN\tB-PP\tO' -p276846 -aS'nebs\tneb\tNNS\tB-NP\tO' -p276847 -asS'No pressors or central line per HCP .' -p276848 -(lp276849 -S'No\tNo\tDT\tB-NP\tO' -p276850 -aS'pressors\tpressor\tNNS\tI-NP\tO' -p276851 -aS'or\tor\tCC\tI-NP\tO' -p276852 -aS'central\tcentral\tJJ\tI-NP\tO' -p276853 -aS'line\tline\tNN\tI-NP\tO' -p276854 -aS'per\tper\tIN\tB-PP\tO' -p276855 -aS'HCP\tHCP\tNN\tB-NP\tB-DNA' -p276856 -aS'.\t.\t.\tO\tO' -p276857 -asS'Ultimately , the patient was transferred to the floor and anticoagulation with Coumadin was begun .' -p276858 -(lp276859 -S'Ultimately\tUltimately\tRB\tB-ADVP\tO' -p276860 -aS',\t,\t,\tO\tO' -p276861 -aS'the\tthe\tDT\tB-NP\tO' -p276862 -aS'patient\tpatient\tNN\tI-NP\tO' -p276863 -aS'was\tbe\tVBD\tB-VP\tO' -p276864 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p276865 -aS'to\tto\tTO\tB-PP\tO' -p276866 -aS'the\tthe\tDT\tB-NP\tO' -p276867 -aS'floor\tfloor\tNN\tI-NP\tO' -p276868 -aS'and\tand\tCC\tI-NP\tO' -p276869 -aS'anticoagulation\tanticoagulation\tNN\tI-NP\tO' -p276870 -aS'with\twith\tIN\tB-PP\tO' -p276871 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p276872 -aS'was\tbe\tVBD\tB-VP\tO' -p276873 -aS'begun\tbegin\tVBN\tI-VP\tO' -p276874 -aS'.\t.\t.\tO\tO' -p276875 -asS'EPISTAXIS .' -p276876 -(lp276877 -S'EPISTAXIS\tEPISTAXIS\tNNS\tB-NP\tO' -p276878 -aS'.\t.\t.\tO\tO' -p276879 -asS'Last CD4 count of 268 , viral load undetectable , followed at the Boston Regional Medical Centerr Clinic by Dr. Taylor .' -p276880 -(lp276881 -S'Last\tLast\tJJ\tB-NP\tO' -p276882 -aS'CD4\tCD4\tNN\tI-NP\tO' -p276883 -aS'count\tcount\tNN\tI-NP\tO' -p276884 -aS'of\tof\tIN\tB-PP\tO' -p276885 -aS'268\t268\tCD\tB-NP\tO' -p276886 -aS',\t,\t,\tO\tO' -p276887 -aS'viral\tviral\tJJ\tB-NP\tO' -p276888 -aS'load\tload\tNN\tI-NP\tO' -p276889 -aS'undetectable\tundetectable\tJJ\tB-ADJP\tO' -p276890 -aS',\t,\t,\tO\tO' -p276891 -aS'followed\tfollow\tVBN\tB-VP\tO' -p276892 -aS'at\tat\tIN\tB-PP\tO' -p276893 -aS'the\tthe\tDT\tB-NP\tO' -p276894 -aS'Boston\tBoston\tNNP\tI-NP\tO' -p276895 -aS'Regional\tRegional\tNNP\tI-NP\tO' -p276896 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p276897 -aS'Centerr\tCenterr\tNNP\tI-NP\tO' -p276898 -aS'Clinic\tClinic\tNNP\tI-NP\tO' -p276899 -aS'by\tby\tIN\tB-PP\tO' -p276900 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p276901 -aS'Taylor\tTaylor\tNNP\tI-NP\tO' -p276902 -aS'.\t.\t.\tO\tO' -p276903 -asS'The patient ruled out for myocardial infarction .' -p276904 -(lp276905 -S'The\tThe\tDT\tB-NP\tO' -p276906 -aS'patient\tpatient\tNN\tI-NP\tO' -p276907 -aS'ruled\trule\tVBD\tB-VP\tO' -p276908 -aS'out\tout\tRP\tB-PRT\tO' -p276909 -aS'for\tfor\tIN\tB-PP\tO' -p276910 -aS'myocardial\tmyocardial\tJJ\tB-NP\tO' -p276911 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p276912 -aS'.\t.\t.\tO\tO' -p276913 -asS'Patient was 4.4 , blood urea nitrogen was 14 , creatinine was 0.6 , and glucose was 147 .' -p276914 -(lp276915 -S'Patient\tPatient\tNN\tB-NP\tO' -p276916 -aS'was\tbe\tVBD\tB-VP\tO' -p276917 -aS'4.4\t4.4\tCD\tB-NP\tO' -p276918 -aS',\t,\t,\tO\tO' -p276919 -aS'blood\tblood\tNN\tB-NP\tO' -p276920 -aS'urea\turea\tNN\tI-NP\tO' -p276921 -aS'nitrogen\tnitrogen\tNN\tI-NP\tO' -p276922 -aS'was\tbe\tVBD\tB-VP\tO' -p276923 -aS'14\t14\tCD\tB-NP\tO' -p276924 -aS',\t,\t,\tO\tO' -p276925 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p276926 -aS'was\tbe\tVBD\tB-VP\tO' -p276927 -aS'0.6\t0.6\tCD\tB-NP\tO' -p276928 -aS',\t,\t,\tO\tO' -p276929 -aS'and\tand\tCC\tO\tO' -p276930 -aS'glucose\tglucose\tNN\tB-NP\tB-protein' -p276931 -aS'was\tbe\tVBD\tB-VP\tI-protein' -p276932 -aS'147\t147\tCD\tB-NP\tI-protein' -p276933 -aS'.\t.\t.\tO\tO' -p276934 -asS'The heart , pericardium , and great vessels are stable .' -p276935 -(lp276936 -S'The\tThe\tDT\tB-NP\tO' -p276937 -aS'heart\theart\tNN\tI-NP\tO' -p276938 -aS',\t,\t,\tO\tO' -p276939 -aS'pericardium\tpericardium\tNN\tB-NP\tO' -p276940 -aS',\t,\t,\tO\tO' -p276941 -aS'and\tand\tCC\tO\tO' -p276942 -aS'great\tgreat\tJJ\tB-NP\tO' -p276943 -aS'vessels\tvessel\tNNS\tI-NP\tO' -p276944 -aS'are\tbe\tVBP\tB-VP\tO' -p276945 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p276946 -aS'.\t.\t.\tO\tO' -p276947 -asS'He was admitted to the Neuro Surgical Intensive Care Unit for close monitoring and Neuro-checks .' -p276948 -(lp276949 -S'He\tHe\tPRP\tB-NP\tO' -p276950 -aS'was\tbe\tVBD\tB-VP\tO' -p276951 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p276952 -aS'to\tto\tTO\tB-PP\tO' -p276953 -aS'the\tthe\tDT\tB-NP\tO' -p276954 -aS'Neuro\tNeuro\tNNP\tI-NP\tO' -p276955 -aS'Surgical\tSurgical\tNNP\tI-NP\tO' -p276956 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p276957 -aS'Care\tCare\tNNP\tI-NP\tO' -p276958 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p276959 -aS'for\tfor\tIN\tB-PP\tO' -p276960 -aS'close\tclose\tJJ\tB-NP\tO' -p276961 -aS'monitoring\tmonitoring\tNN\tI-NP\tO' -p276962 -aS'and\tand\tCC\tI-NP\tO' -p276963 -aS'Neuro-checks\tNeuro-check\tNNS\tI-NP\tB-protein' -p276964 -aS'.\t.\t.\tO\tO' -p276965 -asS'There , her pulmonary wedge pressure was 12 and her right atrial pressure was 4 and pulmonary artery pressure 44/17 .' -p276966 -(lp276967 -S'There\tThere\tRB\tB-ADVP\tO' -p276968 -aS',\t,\t,\tO\tO' -p276969 -aS'her\ther\tPRP$\tB-NP\tO' -p276970 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p276971 -aS'wedge\twedge\tNN\tI-NP\tO' -p276972 -aS'pressure\tpressure\tNN\tI-NP\tO' -p276973 -aS'was\tbe\tVBD\tB-VP\tO' -p276974 -aS'12\t12\tCD\tB-NP\tO' -p276975 -aS'and\tand\tCC\tO\tO' -p276976 -aS'her\ther\tPRP$\tB-NP\tO' -p276977 -aS'right\tright\tJJ\tI-NP\tO' -p276978 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p276979 -aS'pressure\tpressure\tNN\tI-NP\tO' -p276980 -aS'was\tbe\tVBD\tB-VP\tO' -p276981 -aS'4\t4\tCD\tB-NP\tO' -p276982 -aS'and\tand\tCC\tO\tO' -p276983 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p276984 -aS'artery\tartery\tNN\tI-NP\tO' -p276985 -aS'pressure\tpressure\tNN\tI-NP\tO' -p276986 -aS'44/17\t44/17\tCD\tI-NP\tO' -p276987 -aS'.\t.\t.\tO\tO' -p276988 -asS'Neck supple , carotids without bruits .' -p276989 -(lp276990 -S'Neck\tNeck\tNN\tB-NP\tO' -p276991 -aS'supple\tsupple\tNN\tI-NP\tO' -p276992 -aS',\t,\t,\tO\tO' -p276993 -aS'carotids\tcarotid\tNNS\tB-NP\tO' -p276994 -aS'without\twithout\tIN\tB-PP\tO' -p276995 -aS'bruits\tbruit\tNNS\tB-NP\tO' -p276996 -aS'.\t.\t.\tO\tO' -p276997 -asS'4. Dilaudid one to two tablets by mouth q.4-6h. as needed ( for pain ) .' -p276998 -(lp276999 -S'4.\t4.\tLS\tB-LST\tO' -p277000 -aS'Dilaudid\tDilaudid\tVBD\tB-VP\tO' -p277001 -aS'one\tone\tCD\tB-NP\tO' -p277002 -aS'to\tto\tTO\tB-PP\tO' -p277003 -aS'two\ttwo\tCD\tB-NP\tO' -p277004 -aS'tablets\ttablet\tNNS\tI-NP\tO' -p277005 -aS'by\tby\tIN\tB-PP\tO' -p277006 -aS'mouth\tmouth\tNN\tB-NP\tO' -p277007 -aS'q.4-6h.\tq.4-6h.\tNN\tI-NP\tO' -p277008 -aS'as\tas\tIN\tB-SBAR\tO' -p277009 -aS'needed\tneed\tVBN\tB-VP\tO' -p277010 -aS'(\t(\t(\tO\tO' -p277011 -aS'for\tfor\tIN\tB-PP\tO' -p277012 -aS'pain\tpain\tNN\tB-NP\tO' -p277013 -aS')\t)\t)\tO\tO' -p277014 -aS'.\t.\t.\tO\tO' -p277015 -asS'Please have a copy in the chart ; the patient will be leaving on the morning of 07/16/95 .' -p277016 -(lp277017 -S'Please\tPlease\tNN\tB-NP\tB-protein' -p277018 -aS'have\thave\tVBP\tB-VP\tO' -p277019 -aS'a\ta\tDT\tB-NP\tO' -p277020 -aS'copy\tcopy\tNN\tI-NP\tO' -p277021 -aS'in\tin\tIN\tB-PP\tO' -p277022 -aS'the\tthe\tDT\tB-NP\tO' -p277023 -aS'chart\tchart\tNN\tI-NP\tO' -p277024 -aS';\t;\t:\tO\tO' -p277025 -aS'the\tthe\tDT\tB-NP\tO' -p277026 -aS'patient\tpatient\tNN\tI-NP\tO' -p277027 -aS'will\twill\tMD\tB-VP\tO' -p277028 -aS'be\tbe\tVB\tI-VP\tO' -p277029 -aS'leaving\tleave\tVBG\tI-VP\tO' -p277030 -aS'on\ton\tIN\tB-PP\tO' -p277031 -aS'the\tthe\tDT\tB-NP\tO' -p277032 -aS'morning\tmorning\tNN\tI-NP\tO' -p277033 -aS'of\tof\tIN\tB-PP\tO' -p277034 -aS'07/16/95\t07/16/95\tCD\tB-NP\tO' -p277035 -aS'.\t.\t.\tO\tO' -p277036 -asS'regular rate and rhythm , normal Sl and S2 , no murmur , rub or gallop .' -p277037 -(lp277038 -S'regular\tregular\tJJ\tB-NP\tO' -p277039 -aS'rate\trate\tNN\tI-NP\tO' -p277040 -aS'and\tand\tCC\tI-NP\tO' -p277041 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p277042 -aS',\t,\t,\tO\tO' -p277043 -aS'normal\tnormal\tJJ\tB-NP\tO' -p277044 -aS'Sl\tSl\tNN\tI-NP\tO' -p277045 -aS'and\tand\tCC\tO\tO' -p277046 -aS'S2\tS2\tNN\tB-NP\tB-protein' -p277047 -aS',\t,\t,\tO\tO' -p277048 -aS'no\tno\tDT\tB-NP\tO' -p277049 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p277050 -aS',\t,\t,\tI-NP\tO' -p277051 -aS'rub\trub\tNN\tI-NP\tO' -p277052 -aS'or\tor\tCC\tI-NP\tO' -p277053 -aS'gallop\tgallop\tNN\tI-NP\tO' -p277054 -aS'.\t.\t.\tO\tO' -p277055 -asS'She was started on vancomycin for this .' -p277056 -(lp277057 -S'She\tShe\tPRP\tB-NP\tO' -p277058 -aS'was\tbe\tVBD\tB-VP\tO' -p277059 -aS'started\tstart\tVBN\tI-VP\tO' -p277060 -aS'on\ton\tIN\tB-PP\tO' -p277061 -aS'vancomycin\tvancomycin\tNN\tB-NP\tO' -p277062 -aS'for\tfor\tIN\tB-PP\tO' -p277063 -aS'this\tthis\tDT\tB-NP\tO' -p277064 -aS'.\t.\t.\tO\tO' -p277065 -asS'67 y/o male with worsening shortness of breath. Had abnormal ETT and referred for cath .' -p277066 -(lp277067 -S'67\t67\tCD\tB-NP\tO' -p277068 -aS'y/o\ty/o\tNN\tI-NP\tO' -p277069 -aS'male\tmale\tJJ\tB-ADJP\tO' -p277070 -aS'with\twith\tIN\tB-PP\tO' -p277071 -aS'worsening\tworsen\tVBG\tB-VP\tO' -p277072 -aS'shortness\tshortness\tNN\tB-NP\tO' -p277073 -aS'of\tof\tIN\tB-PP\tO' -p277074 -aS'breath.\tbreath.\tNN\tB-NP\tO' -p277075 -aS'Had\tHave\tVBD\tB-VP\tO' -p277076 -aS'abnormal\tabnormal\tJJ\tB-NP\tO' -p277077 -aS'ETT\tETT\tNN\tI-NP\tO' -p277078 -aS'and\tand\tCC\tO\tO' -p277079 -aS'referred\trefer\tVBN\tB-VP\tO' -p277080 -aS'for\tfor\tIN\tB-PP\tO' -p277081 -aS'cath\tcath\tNN\tB-NP\tO' -p277082 -aS'.\t.\t.\tO\tO' -p277083 -asS'She was treated with levaquin on the floor and will complete a 14d course at rehab .' -p277084 -(lp277085 -S'She\tShe\tPRP\tB-NP\tO' -p277086 -aS'was\tbe\tVBD\tB-VP\tO' -p277087 -aS'treated\ttreat\tVBN\tI-VP\tO' -p277088 -aS'with\twith\tIN\tB-PP\tO' -p277089 -aS'levaquin\tlevaquin\tNN\tB-NP\tO' -p277090 -aS'on\ton\tIN\tB-PP\tO' -p277091 -aS'the\tthe\tDT\tB-NP\tO' -p277092 -aS'floor\tfloor\tNN\tI-NP\tO' -p277093 -aS'and\tand\tCC\tO\tO' -p277094 -aS'will\twill\tMD\tB-VP\tO' -p277095 -aS'complete\tcomplete\tVB\tI-VP\tO' -p277096 -aS'a\ta\tDT\tB-NP\tO' -p277097 -aS'14d\t14d\tJJ\tI-NP\tO' -p277098 -aS'course\tcourse\tNN\tI-NP\tO' -p277099 -aS'at\tat\tIN\tB-PP\tO' -p277100 -aS'rehab\trehab\tNN\tB-NP\tO' -p277101 -aS'.\t.\t.\tO\tO' -p277102 -asS'Mr. Larsen was a 50-year-old salesman who in 12/26 was noted to have an elevated platelet count of 778,000 .' -p277103 -(lp277104 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p277105 -aS'Larsen\tLarsen\tNNP\tI-NP\tO' -p277106 -aS'was\tbe\tVBD\tB-VP\tO' -p277107 -aS'a\ta\tDT\tB-NP\tO' -p277108 -aS'50-year-old\t50-year-old\tJJ\tI-NP\tO' -p277109 -aS'salesman\tsalesman\tNN\tI-NP\tO' -p277110 -aS'who\twho\tWP\tB-NP\tO' -p277111 -aS'in\tin\tIN\tB-PP\tO' -p277112 -aS'12/26\t12/26\tCD\tB-NP\tO' -p277113 -aS'was\tbe\tVBD\tB-VP\tO' -p277114 -aS'noted\tnote\tVBN\tI-VP\tO' -p277115 -aS'to\tto\tTO\tI-VP\tO' -p277116 -aS'have\thave\tVB\tI-VP\tO' -p277117 -aS'an\tan\tDT\tB-NP\tO' -p277118 -aS'elevated\televated\tJJ\tI-NP\tO' -p277119 -aS'platelet\tplatelet\tNN\tI-NP\tO' -p277120 -aS'count\tcount\tNN\tI-NP\tO' -p277121 -aS'of\tof\tIN\tB-PP\tO' -p277122 -aS'778,000\t778,000\tCD\tB-NP\tO' -p277123 -aS'.\t.\t.\tO\tO' -p277124 -asS'CARDIOVASCULAR : No cardiovascular issues .' -p277125 -(lp277126 -S'CARDIOVASCULAR\tCARDIOVASCULAR\tNN\tB-NP\tO' -p277127 -aS':\t:\t:\tO\tO' -p277128 -aS'No\tNo\tDT\tB-NP\tO' -p277129 -aS'cardiovascular\tcardiovascular\tJJ\tI-NP\tO' -p277130 -aS'issues\tissue\tNNS\tI-NP\tO' -p277131 -aS'.\t.\t.\tO\tO' -p277132 -asS'4. Warfarin Sodium 5 mg Tablet Sig : One ( 1 ) Tablet PO HS ( at bedtime ) .' -p277133 -(lp277134 -S'4.\t4.\tLS\tB-NP\tO' -p277135 -aS'Warfarin\tWarfarin\tNN\tI-NP\tO' -p277136 -aS'Sodium\tSodium\tNN\tI-NP\tO' -p277137 -aS'5\t5\tCD\tI-NP\tO' -p277138 -aS'mg\tmg\tNN\tI-NP\tO' -p277139 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p277140 -aS'Sig\tSig\tNNP\tI-NP\tO' -p277141 -aS':\t:\t:\tO\tO' -p277142 -aS'One\tOne\tCD\tB-NP\tO' -p277143 -aS'(\t(\t(\tO\tO' -p277144 -aS'1\t1\tCD\tB-NP\tO' -p277145 -aS')\t)\t)\tO\tO' -p277146 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p277147 -aS'PO\tPO\tNN\tI-NP\tO' -p277148 -aS'HS\tHS\tNN\tI-NP\tO' -p277149 -aS'(\t(\t(\tO\tO' -p277150 -aS'at\tat\tIN\tB-PP\tO' -p277151 -aS'bedtime\tbedtime\tNN\tB-NP\tO' -p277152 -aS')\t)\t)\tO\tO' -p277153 -aS'.\t.\t.\tO\tO' -p277154 -asS'These resolved without incident .' -p277155 -(lp277156 -S'These\tThese\tDT\tB-NP\tO' -p277157 -aS'resolved\tresolve\tVBN\tB-VP\tO' -p277158 -aS'without\twithout\tIN\tB-PP\tO' -p277159 -aS'incident\tincident\tNN\tB-NP\tO' -p277160 -aS'.\t.\t.\tO\tO' -p277161 -asS'Pulse of 94 .' -p277162 -(lp277163 -S'Pulse\tPulse\tNN\tB-NP\tO' -p277164 -aS'of\tof\tIN\tB-PP\tO' -p277165 -aS'94\t94\tCD\tB-NP\tO' -p277166 -aS'.\t.\t.\tO\tO' -p277167 -asS'At this point CMED was consulted again and he was transferred to the CMED triage for further care .' -p277168 -(lp277169 -S'At\tAt\tIN\tB-PP\tO' -p277170 -aS'this\tthis\tDT\tB-NP\tO' -p277171 -aS'point\tpoint\tNN\tI-NP\tO' -p277172 -aS'CMED\tCMED\tNN\tI-NP\tO' -p277173 -aS'was\tbe\tVBD\tB-VP\tO' -p277174 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p277175 -aS'again\tagain\tRB\tB-ADVP\tO' -p277176 -aS'and\tand\tCC\tO\tO' -p277177 -aS'he\the\tPRP\tB-NP\tO' -p277178 -aS'was\tbe\tVBD\tB-VP\tO' -p277179 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p277180 -aS'to\tto\tTO\tB-PP\tO' -p277181 -aS'the\tthe\tDT\tB-NP\tO' -p277182 -aS'CMED\tCMED\tVBN\tI-NP\tO' -p277183 -aS'triage\ttriage\tNN\tI-NP\tO' -p277184 -aS'for\tfor\tIN\tB-PP\tO' -p277185 -aS'further\tfurther\tJJ\tB-NP\tO' -p277186 -aS'care\tcare\tNN\tI-NP\tO' -p277187 -aS'.\t.\t.\tO\tO' -p277188 -asS'An echocardiogram was obtained which showed moderate left ventricular dysfunction with hypokinetic and akinetic areas throughout the left and right ventricle .' -p277189 -(lp277190 -S'An\tAn\tDT\tB-NP\tO' -p277191 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p277192 -aS'was\tbe\tVBD\tB-VP\tO' -p277193 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p277194 -aS'which\twhich\tWDT\tB-NP\tO' -p277195 -aS'showed\tshow\tVBD\tB-VP\tO' -p277196 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p277197 -aS'left\tleft\tJJ\tI-NP\tO' -p277198 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p277199 -aS'dysfunction\tdysfunction\tNN\tI-NP\tO' -p277200 -aS'with\twith\tIN\tB-PP\tO' -p277201 -aS'hypokinetic\thypokinetic\tJJ\tB-NP\tO' -p277202 -aS'and\tand\tCC\tI-NP\tO' -p277203 -aS'akinetic\takinetic\tJJ\tI-NP\tO' -p277204 -aS'areas\tarea\tNNS\tI-NP\tO' -p277205 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p277206 -aS'the\tthe\tDT\tB-NP\tO' -p277207 -aS'left\tleft\tJJ\tI-NP\tO' -p277208 -aS'and\tand\tCC\tI-NP\tO' -p277209 -aS'right\tright\tJJ\tI-NP\tO' -p277210 -aS'ventricle\tventricle\tNN\tI-NP\tO' -p277211 -aS'.\t.\t.\tO\tO' -p277212 -asS'Zestril 10 mg q.d. and atenolol 25 mg q.d. at discharge .' -p277213 -(lp277214 -S'Zestril\tZestril\tNNP\tB-NP\tO' -p277215 -aS'10\t10\tCD\tI-NP\tO' -p277216 -aS'mg\tmg\tNN\tI-NP\tO' -p277217 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p277218 -aS'and\tand\tCC\tO\tO' -p277219 -aS'atenolol\tatenolol\tNN\tB-NP\tO' -p277220 -aS'25\t25\tCD\tI-NP\tO' -p277221 -aS'mg\tmg\tNN\tI-NP\tO' -p277222 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p277223 -aS'at\tat\tIN\tB-PP\tO' -p277224 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p277225 -aS'.\t.\t.\tO\tO' -p277226 -asS'5. CAD , with known TO RCA .' -p277227 -(lp277228 -S'5.\t5.\tLS\tB-NP\tO' -p277229 -aS'CAD\tCAD\tNN\tI-NP\tO' -p277230 -aS',\t,\t,\tO\tO' -p277231 -aS'with\twith\tIN\tB-PP\tO' -p277232 -aS'known\tknow\tVBN\tB-VP\tO' -p277233 -aS'TO\tTO\tTO\tB-PP\tB-protein' -p277234 -aS'RCA\tRCA\tNN\tB-NP\tI-protein' -p277235 -aS'.\t.\t.\tO\tO' -p277236 -asS'He had a cardiac catheterization performed which revealed a three vessel coronary artery disease with an occluded RCA , 70%-80% proximal LAD , and a high grade left circumflex lesion after the OM with distal left circumflex occlusion .' -p277237 -(lp277238 -S'He\tHe\tPRP\tB-NP\tO' -p277239 -aS'had\thave\tVBD\tB-VP\tO' -p277240 -aS'a\ta\tDT\tB-NP\tO' -p277241 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p277242 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p277243 -aS'performed\tperform\tVBN\tB-VP\tO' -p277244 -aS'which\twhich\tWDT\tB-NP\tO' -p277245 -aS'revealed\treveal\tVBD\tB-VP\tO' -p277246 -aS'a\ta\tDT\tB-NP\tO' -p277247 -aS'three\tthree\tCD\tI-NP\tO' -p277248 -aS'vessel\tvessel\tNN\tI-NP\tO' -p277249 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p277250 -aS'artery\tartery\tNN\tI-NP\tO' -p277251 -aS'disease\tdisease\tNN\tI-NP\tO' -p277252 -aS'with\twith\tIN\tB-PP\tO' -p277253 -aS'an\tan\tDT\tB-NP\tO' -p277254 -aS'occluded\tocclude\tVBN\tI-NP\tO' -p277255 -aS'RCA\tRCA\tNN\tI-NP\tB-protein' -p277256 -aS',\t,\t,\tO\tO' -p277257 -aS'70%-80%\t70%-80%\tJJ\tB-NP\tO' -p277258 -aS'proximal\tproximal\tJJ\tI-NP\tO' -p277259 -aS'LAD\tLAD\tNN\tI-NP\tO' -p277260 -aS',\t,\t,\tO\tO' -p277261 -aS'and\tand\tCC\tO\tO' -p277262 -aS'a\ta\tDT\tB-NP\tO' -p277263 -aS'high\thigh\tJJ\tI-NP\tO' -p277264 -aS'grade\tgrade\tNN\tI-NP\tO' -p277265 -aS'left\tleave\tVBD\tB-VP\tO' -p277266 -aS'circumflex\tcircumflex\tNN\tB-NP\tO' -p277267 -aS'lesion\tlesion\tNN\tI-NP\tO' -p277268 -aS'after\tafter\tIN\tB-PP\tO' -p277269 -aS'the\tthe\tDT\tB-NP\tO' -p277270 -aS'OM\tOM\tNN\tI-NP\tO' -p277271 -aS'with\twith\tIN\tB-PP\tO' -p277272 -aS'distal\tdistal\tJJ\tB-NP\tO' -p277273 -aS'left\tleft\tJJ\tI-NP\tO' -p277274 -aS'circumflex\tcircumflex\tNN\tI-NP\tO' -p277275 -aS'occlusion\tocclusion\tNN\tI-NP\tO' -p277276 -aS'.\t.\t.\tO\tO' -p277277 -asS'Facial movement symmetrical ; no facial droop .' -p277278 -(lp277279 -S'Facial\tFacial\tJJ\tB-NP\tO' -p277280 -aS'movement\tmovement\tNN\tI-NP\tO' -p277281 -aS'symmetrical\tsymmetrical\tJJ\tB-ADJP\tO' -p277282 -aS';\t;\t:\tO\tO' -p277283 -aS'no\tno\tDT\tB-NP\tO' -p277284 -aS'facial\tfacial\tJJ\tI-NP\tO' -p277285 -aS'droop\tdroop\tNN\tI-NP\tO' -p277286 -aS'.\t.\t.\tO\tO' -p277287 -asS'The patient did not have chest pain until approximately 1-1/2 years ago , when he began to have chest tightness ( pressure ) approximately every three months with stress .' -p277288 -(lp277289 -S'The\tThe\tDT\tB-NP\tO' -p277290 -aS'patient\tpatient\tNN\tI-NP\tO' -p277291 -aS'did\tdo\tVBD\tB-VP\tO' -p277292 -aS'not\tnot\tRB\tI-VP\tO' -p277293 -aS'have\thave\tVB\tI-VP\tO' -p277294 -aS'chest\tchest\tNN\tB-NP\tO' -p277295 -aS'pain\tpain\tNN\tI-NP\tO' -p277296 -aS'until\tuntil\tIN\tB-PP\tO' -p277297 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p277298 -aS'1-1/2\t1-1/2\tCD\tI-NP\tO' -p277299 -aS'years\tyear\tNNS\tI-NP\tO' -p277300 -aS'ago\tago\tRB\tB-ADVP\tO' -p277301 -aS',\t,\t,\tO\tO' -p277302 -aS'when\twhen\tWRB\tB-ADVP\tO' -p277303 -aS'he\the\tPRP\tB-NP\tO' -p277304 -aS'began\tbegin\tVBD\tB-VP\tO' -p277305 -aS'to\tto\tTO\tI-VP\tO' -p277306 -aS'have\thave\tVB\tI-VP\tO' -p277307 -aS'chest\tchest\tNN\tB-NP\tO' -p277308 -aS'tightness\ttightness\tNN\tI-NP\tO' -p277309 -aS'(\t(\t(\tO\tO' -p277310 -aS'pressure\tpressure\tNN\tB-NP\tO' -p277311 -aS')\t)\t)\tO\tO' -p277312 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p277313 -aS'every\tevery\tDT\tI-NP\tO' -p277314 -aS'three\tthree\tCD\tI-NP\tO' -p277315 -aS'months\tmonth\tNNS\tI-NP\tO' -p277316 -aS'with\twith\tIN\tB-PP\tO' -p277317 -aS'stress\tstress\tNN\tB-NP\tO' -p277318 -aS'.\t.\t.\tO\tO' -p277319 -asS'Is negative , there is no breast carcinoma .' -p277320 -(lp277321 -S'Is\tBe\tVBZ\tO\tO' -p277322 -aS'negative\tnegative\tJJ\tB-NP\tO' -p277323 -aS',\t,\t,\tO\tO' -p277324 -aS'there\tthere\tEX\tB-NP\tO' -p277325 -aS'is\tbe\tVBZ\tB-VP\tO' -p277326 -aS'no\tno\tDT\tB-NP\tO' -p277327 -aS'breast\tbreast\tNN\tI-NP\tO' -p277328 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p277329 -aS'.\t.\t.\tO\tO' -p277330 -asS'The patient was taken to the cardiac catheterization laboratory , where he was noted initially to have a pulmonary wedge pressure of 45 with a pulmonary artery pressure of 82/40 .' -p277331 -(lp277332 -S'The\tThe\tDT\tB-NP\tO' -p277333 -aS'patient\tpatient\tNN\tI-NP\tO' -p277334 -aS'was\tbe\tVBD\tB-VP\tO' -p277335 -aS'taken\ttake\tVBN\tI-VP\tO' -p277336 -aS'to\tto\tTO\tB-PP\tO' -p277337 -aS'the\tthe\tDT\tB-NP\tO' -p277338 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p277339 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p277340 -aS'laboratory\tlaboratory\tNN\tI-NP\tO' -p277341 -aS',\t,\t,\tO\tO' -p277342 -aS'where\twhere\tWRB\tB-ADVP\tO' -p277343 -aS'he\the\tPRP\tB-NP\tO' -p277344 -aS'was\tbe\tVBD\tB-VP\tO' -p277345 -aS'noted\tnote\tVBN\tI-VP\tO' -p277346 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p277347 -aS'to\tto\tTO\tB-VP\tO' -p277348 -aS'have\thave\tVB\tI-VP\tO' -p277349 -aS'a\ta\tDT\tB-NP\tO' -p277350 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p277351 -aS'wedge\twedge\tNN\tI-NP\tO' -p277352 -aS'pressure\tpressure\tNN\tI-NP\tO' -p277353 -aS'of\tof\tIN\tB-PP\tO' -p277354 -aS'45\t45\tCD\tB-NP\tO' -p277355 -aS'with\twith\tIN\tB-PP\tO' -p277356 -aS'a\ta\tDT\tB-NP\tO' -p277357 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p277358 -aS'artery\tartery\tNN\tI-NP\tO' -p277359 -aS'pressure\tpressure\tNN\tI-NP\tO' -p277360 -aS'of\tof\tIN\tB-PP\tO' -p277361 -aS'82/40\t82/40\tCD\tB-NP\tO' -p277362 -aS'.\t.\t.\tO\tO' -p277363 -asS"Patient 's Coumadin was held for right heart catheterization and biopsy , and then EP study with ICD placement ." -p277364 -(lp277365 -S'Patient\tPatient\tNN\tB-NP\tO' -p277366 -aS"'s\t's\tPOS\tB-NP\tO" -p277367 -aS'Coumadin\tCoumadin\tNN\tI-NP\tO' -p277368 -aS'was\tbe\tVBD\tB-VP\tO' -p277369 -aS'held\thold\tVBN\tI-VP\tO' -p277370 -aS'for\tfor\tIN\tB-PP\tO' -p277371 -aS'right\tright\tJJ\tB-NP\tO' -p277372 -aS'heart\theart\tNN\tI-NP\tO' -p277373 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p277374 -aS'and\tand\tCC\tI-NP\tO' -p277375 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p277376 -aS',\t,\t,\tO\tO' -p277377 -aS'and\tand\tCC\tO\tO' -p277378 -aS'then\tthen\tRB\tO\tO' -p277379 -aS'EP\tEP\tNN\tB-NP\tO' -p277380 -aS'study\tstudy\tNN\tI-NP\tO' -p277381 -aS'with\twith\tIN\tB-PP\tO' -p277382 -aS'ICD\tICD\tNN\tB-NP\tO' -p277383 -aS'placement\tplacement\tNN\tI-NP\tO' -p277384 -aS'.\t.\t.\tO\tO' -p277385 -asS'He was also orthostatic given 3 units PRBC and IVF .' -p277386 -(lp277387 -S'He\tHe\tPRP\tB-NP\tO' -p277388 -aS'was\tbe\tVBD\tB-VP\tO' -p277389 -aS'also\talso\tRB\tB-ADVP\tO' -p277390 -aS'orthostatic\torthostatic\tJJ\tB-ADJP\tO' -p277391 -aS'given\tgive\tVBN\tB-NP\tO' -p277392 -aS'3\t3\tCD\tI-NP\tO' -p277393 -aS'units\tunit\tNNS\tI-NP\tO' -p277394 -aS'PRBC\tPRBC\tNN\tI-NP\tB-protein' -p277395 -aS'and\tand\tCC\tI-NP\tO' -p277396 -aS'IVF\tIVF\tNN\tI-NP\tB-protein' -p277397 -aS'.\t.\t.\tO\tO' -p277398 -asS'The right lower extremity shows a 3/5 on hip flexion , 4/5 at knee flexion and extension and full power on dorsi and plantar flexion .' -p277399 -(lp277400 -S'The\tThe\tDT\tB-NP\tO' -p277401 -aS'right\tright\tJJ\tI-NP\tO' -p277402 -aS'lower\tlow\tJJR\tI-NP\tO' -p277403 -aS'extremity\textremity\tNN\tI-NP\tO' -p277404 -aS'shows\tshow\tVBZ\tB-VP\tO' -p277405 -aS'a\ta\tDT\tB-NP\tO' -p277406 -aS'3/5\t3/5\tNN\tI-NP\tO' -p277407 -aS'on\ton\tIN\tB-PP\tO' -p277408 -aS'hip\thip\tNN\tB-NP\tO' -p277409 -aS'flexion\tflexion\tNN\tI-NP\tO' -p277410 -aS',\t,\t,\tO\tO' -p277411 -aS'4/5\t4/5\tCD\tB-NP\tO' -p277412 -aS'at\tat\tIN\tB-PP\tO' -p277413 -aS'knee\tknee\tNN\tB-NP\tO' -p277414 -aS'flexion\tflexion\tNN\tI-NP\tO' -p277415 -aS'and\tand\tCC\tI-NP\tO' -p277416 -aS'extension\textension\tNN\tI-NP\tO' -p277417 -aS'and\tand\tCC\tO\tO' -p277418 -aS'full\tfull\tJJ\tB-NP\tO' -p277419 -aS'power\tpower\tNN\tI-NP\tO' -p277420 -aS'on\ton\tIN\tB-PP\tO' -p277421 -aS'dorsi\tdorsi\tNN\tB-NP\tO' -p277422 -aS'and\tand\tCC\tI-NP\tO' -p277423 -aS'plantar\tplantar\tNN\tI-NP\tO' -p277424 -aS'flexion\tflexion\tNN\tI-NP\tO' -p277425 -aS'.\t.\t.\tO\tO' -p277426 -asS'9. Left femoral AV fistula 2017-04-19' -p277427 -(lp277428 -S'9.\t9.\tLS\tB-NP\tO' -p277429 -aS'Left\tLeft\tJJ\tI-NP\tO' -p277430 -aS'femoral\tfemoral\tJJ\tI-NP\tO' -p277431 -aS'AV\tAV\tNN\tI-NP\tO' -p277432 -aS'fistula\tfistula\tNN\tI-NP\tO' -p277433 -aS'2017-04-19\t2017-04-19\tCD\tI-NP\tO' -p277434 -asS'electrocardiogram showed 2 mm of ST depressions in V4-6 .' -p277435 -(lp277436 -S'electrocardiogram\telectrocardiogram\tNN\tB-NP\tO' -p277437 -aS'showed\tshow\tVBD\tB-VP\tO' -p277438 -aS'2\t2\tCD\tB-NP\tO' -p277439 -aS'mm\tmm\tNN\tI-NP\tO' -p277440 -aS'of\tof\tIN\tB-PP\tO' -p277441 -aS'ST\tST\tJJ\tB-NP\tO' -p277442 -aS'depressions\tdepression\tNNS\tI-NP\tO' -p277443 -aS'in\tin\tIN\tB-PP\tO' -p277444 -aS'V4-6\tV4-6\tNN\tB-NP\tB-protein' -p277445 -aS'.\t.\t.\tO\tO' -p277446 -asS'This produced substantially further hemoptysis and the need for transfusion .' -p277447 -(lp277448 -S'This\tThis\tDT\tB-NP\tO' -p277449 -aS'produced\tproduce\tVBD\tB-VP\tO' -p277450 -aS'substantially\tsubstantially\tRB\tB-NP\tO' -p277451 -aS'further\tfurther\tJJ\tI-NP\tO' -p277452 -aS'hemoptysis\themoptysis\tNN\tI-NP\tO' -p277453 -aS'and\tand\tCC\tO\tO' -p277454 -aS'the\tthe\tDT\tB-NP\tO' -p277455 -aS'need\tneed\tNN\tI-NP\tO' -p277456 -aS'for\tfor\tIN\tB-PP\tO' -p277457 -aS'transfusion\ttransfusion\tNN\tB-NP\tO' -p277458 -aS'.\t.\t.\tO\tO' -p277459 -asS'The patient was taken to the Operting Room on 8/7/92 , where a right modified radical mastectomy was performed .' -p277460 -(lp277461 -S'The\tThe\tDT\tB-NP\tO' -p277462 -aS'patient\tpatient\tNN\tI-NP\tO' -p277463 -aS'was\tbe\tVBD\tB-VP\tO' -p277464 -aS'taken\ttake\tVBN\tI-VP\tO' -p277465 -aS'to\tto\tTO\tB-PP\tO' -p277466 -aS'the\tthe\tDT\tB-NP\tO' -p277467 -aS'Operting\tOperting\tNNP\tI-NP\tO' -p277468 -aS'Room\tRoom\tNNP\tI-NP\tO' -p277469 -aS'on\ton\tIN\tB-PP\tO' -p277470 -aS'8/7/92\t8/7/92\tCD\tB-NP\tO' -p277471 -aS',\t,\t,\tO\tO' -p277472 -aS'where\twhere\tWRB\tB-ADVP\tO' -p277473 -aS'a\ta\tDT\tB-NP\tO' -p277474 -aS'right\tright\tJJ\tI-NP\tO' -p277475 -aS'modified\tmodified\tJJ\tI-NP\tO' -p277476 -aS'radical\tradical\tJJ\tI-NP\tO' -p277477 -aS'mastectomy\tmastectomy\tNN\tI-NP\tO' -p277478 -aS'was\tbe\tVBD\tB-VP\tO' -p277479 -aS'performed\tperform\tVBN\tI-VP\tO' -p277480 -aS'.\t.\t.\tO\tO' -p277481 -asS'The patient was seen in consultation by a variety of consultants including Infectious Disease , Cardiology , Endocrine , Psychiatry , ENT , and Neuro-ophthalmology .' -p277482 -(lp277483 -S'The\tThe\tDT\tB-NP\tO' -p277484 -aS'patient\tpatient\tNN\tI-NP\tO' -p277485 -aS'was\tbe\tVBD\tB-VP\tO' -p277486 -aS'seen\tsee\tVBN\tI-VP\tO' -p277487 -aS'in\tin\tIN\tB-PP\tO' -p277488 -aS'consultation\tconsultation\tNN\tB-NP\tO' -p277489 -aS'by\tby\tIN\tB-PP\tO' -p277490 -aS'a\ta\tDT\tB-NP\tO' -p277491 -aS'variety\tvariety\tNN\tI-NP\tO' -p277492 -aS'of\tof\tIN\tB-PP\tO' -p277493 -aS'consultants\tconsultant\tNNS\tB-NP\tO' -p277494 -aS'including\tinclude\tVBG\tB-PP\tO' -p277495 -aS'Infectious\tInfectious\tJJ\tB-NP\tO' -p277496 -aS'Disease\tDisease\tNN\tI-NP\tO' -p277497 -aS',\t,\t,\tO\tO' -p277498 -aS'Cardiology\tCardiology\tNNP\tB-NP\tO' -p277499 -aS',\t,\t,\tO\tO' -p277500 -aS'Endocrine\tEndocrine\tNNP\tB-NP\tO' -p277501 -aS',\t,\t,\tO\tO' -p277502 -aS'Psychiatry\tPsychiatry\tNNP\tB-NP\tO' -p277503 -aS',\t,\t,\tO\tO' -p277504 -aS'ENT\tENT\tNNP\tB-NP\tO' -p277505 -aS',\t,\t,\tO\tO' -p277506 -aS'and\tand\tCC\tO\tO' -p277507 -aS'Neuro-ophthalmology\tNeuro-ophthalmology\tNN\tB-NP\tO' -p277508 -aS'.\t.\t.\tO\tO' -p277509 -asS'2) Pulmonary infiltrates : THere was initially concern that he was developing ARDS from aspiration pneumonia in the setting of being found unconscious .' -p277510 -(lp277511 -S'2)\t2)\tLS\tB-NP\tO' -p277512 -aS'Pulmonary\tPulmonary\tJJ\tI-NP\tB-cell_type' -p277513 -aS'infiltrates\tinfiltrate\tNNS\tI-NP\tI-cell_type' -p277514 -aS':\t:\t:\tO\tO' -p277515 -aS'THere\tTHere\tNN\tB-NP\tO' -p277516 -aS'was\tbe\tVBD\tB-VP\tO' -p277517 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p277518 -aS'concern\tconcern\tNN\tB-NP\tO' -p277519 -aS'that\tthat\tIN\tB-SBAR\tO' -p277520 -aS'he\the\tPRP\tB-NP\tO' -p277521 -aS'was\tbe\tVBD\tB-VP\tO' -p277522 -aS'developing\tdevelop\tVBG\tI-VP\tO' -p277523 -aS'ARDS\tARDS\tNN\tB-NP\tO' -p277524 -aS'from\tfrom\tIN\tB-PP\tO' -p277525 -aS'aspiration\taspiration\tNN\tB-NP\tO' -p277526 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p277527 -aS'in\tin\tIN\tB-PP\tO' -p277528 -aS'the\tthe\tDT\tB-NP\tO' -p277529 -aS'setting\tsetting\tNN\tI-NP\tO' -p277530 -aS'of\tof\tIN\tB-PP\tO' -p277531 -aS'being\tbe\tVBG\tB-VP\tO' -p277532 -aS'found\tfind\tVBN\tI-VP\tO' -p277533 -aS'unconscious\tunconscious\tJJ\tB-ADJP\tO' -p277534 -aS'.\t.\t.\tO\tO' -p277535 -asS'Her angiography showed a right proximal popliteal occlusion , anterior tibial dominant foot vessel .' -p277536 -(lp277537 -S'Her\tHer\tPRP$\tB-NP\tO' -p277538 -aS'angiography\tangiography\tNN\tI-NP\tO' -p277539 -aS'showed\tshow\tVBD\tB-VP\tO' -p277540 -aS'a\ta\tDT\tB-NP\tO' -p277541 -aS'right\tright\tJJ\tI-NP\tO' -p277542 -aS'proximal\tproximal\tJJ\tI-NP\tO' -p277543 -aS'popliteal\tpopliteal\tJJ\tI-NP\tO' -p277544 -aS'occlusion\tocclusion\tNN\tI-NP\tO' -p277545 -aS',\t,\t,\tO\tO' -p277546 -aS'anterior\tanterior\tJJ\tB-NP\tO' -p277547 -aS'tibial\ttibial\tJJ\tI-NP\tO' -p277548 -aS'dominant\tdominant\tJJ\tI-NP\tO' -p277549 -aS'foot\tfoot\tNN\tI-NP\tO' -p277550 -aS'vessel\tvessel\tNN\tI-NP\tO' -p277551 -aS'.\t.\t.\tO\tO' -p277552 -asS'Discharge Diagnosis : humoral rejection of renal transplant perinephric transplant hemorrhage' -p277553 -(lp277554 -S'Discharge\tDischarge\tNN\tB-NP\tO' -p277555 -aS'Diagnosis\tDiagnosis\tNN\tI-NP\tO' -p277556 -aS':\t:\t:\tO\tO' -p277557 -aS'humoral\thumoral\tJJ\tB-NP\tO' -p277558 -aS'rejection\trejection\tNN\tI-NP\tO' -p277559 -aS'of\tof\tIN\tB-PP\tO' -p277560 -aS'renal\trenal\tJJ\tB-NP\tO' -p277561 -aS'transplant\ttransplant\tNN\tI-NP\tO' -p277562 -aS'perinephric\tperinephric\tJJ\tI-NP\tO' -p277563 -aS'transplant\ttransplant\tNN\tI-NP\tO' -p277564 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p277565 -asS'In 1980 she had quadruple coronary artery bypass graft surgery by Dr. Elks at Feargunwake Otacaa Community Hospital and did well until 1988 when she had exertional angina and a positive stress test and found that three or four grafts were occluded .' -p277566 -(lp277567 -S'In\tIn\tIN\tB-PP\tO' -p277568 -aS'1980\t1980\tCD\tB-NP\tO' -p277569 -aS'she\tshe\tPRP\tB-NP\tO' -p277570 -aS'had\thave\tVBD\tB-VP\tO' -p277571 -aS'quadruple\tquadruple\tJJ\tB-NP\tO' -p277572 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p277573 -aS'artery\tartery\tNN\tI-NP\tO' -p277574 -aS'bypass\tbypass\tIN\tB-PP\tO' -p277575 -aS'graft\tgraft\tNN\tB-NP\tO' -p277576 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p277577 -aS'by\tby\tIN\tB-PP\tO' -p277578 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p277579 -aS'Elks\tElks\tNNP\tI-NP\tO' -p277580 -aS'at\tat\tIN\tB-PP\tO' -p277581 -aS'Feargunwake\tFeargunwake\tNNP\tB-NP\tO' -p277582 -aS'Otacaa\tOtacaa\tNNP\tI-NP\tO' -p277583 -aS'Community\tCommunity\tNNP\tI-NP\tO' -p277584 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p277585 -aS'and\tand\tCC\tO\tO' -p277586 -aS'did\tdo\tVBD\tB-VP\tO' -p277587 -aS'well\twell\tRB\tB-ADVP\tO' -p277588 -aS'until\tuntil\tIN\tB-PP\tO' -p277589 -aS'1988\t1988\tCD\tB-NP\tO' -p277590 -aS'when\twhen\tWRB\tB-ADVP\tO' -p277591 -aS'she\tshe\tPRP\tB-NP\tO' -p277592 -aS'had\thave\tVBD\tB-VP\tO' -p277593 -aS'exertional\texertional\tJJ\tB-NP\tO' -p277594 -aS'angina\tangina\tNN\tI-NP\tO' -p277595 -aS'and\tand\tCC\tO\tO' -p277596 -aS'a\ta\tDT\tB-NP\tO' -p277597 -aS'positive\tpositive\tJJ\tI-NP\tO' -p277598 -aS'stress\tstress\tNN\tI-NP\tO' -p277599 -aS'test\ttest\tNN\tI-NP\tO' -p277600 -aS'and\tand\tCC\tO\tO' -p277601 -aS'found\tfind\tVBD\tB-VP\tO' -p277602 -aS'that\tthat\tIN\tB-SBAR\tO' -p277603 -aS'three\tthree\tCD\tB-NP\tO' -p277604 -aS'or\tor\tCC\tI-NP\tO' -p277605 -aS'four\tfour\tCD\tI-NP\tO' -p277606 -aS'grafts\tgraft\tNNS\tI-NP\tO' -p277607 -aS'were\tbe\tVBD\tB-VP\tO' -p277608 -aS'occluded\tocclude\tVBN\tI-VP\tO' -p277609 -aS'.\t.\t.\tO\tO' -p277610 -asS'A transthoracic echocardiogram showed a mildly dilated and elongated left atrium , with a markedly dilated right atrium .' -p277611 -(lp277612 -S'A\tA\tDT\tB-NP\tO' -p277613 -aS'transthoracic\ttransthoracic\tJJ\tI-NP\tO' -p277614 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p277615 -aS'showed\tshow\tVBD\tB-VP\tO' -p277616 -aS'a\ta\tDT\tB-NP\tO' -p277617 -aS'mildly\tmildly\tRB\tI-NP\tO' -p277618 -aS'dilated\tdilate\tVBN\tI-NP\tO' -p277619 -aS'and\tand\tCC\tO\tO' -p277620 -aS'elongated\telongate\tVBD\tB-VP\tO' -p277621 -aS'left\tleft\tJJ\tB-NP\tO' -p277622 -aS'atrium\tatrium\tNN\tI-NP\tO' -p277623 -aS',\t,\t,\tO\tO' -p277624 -aS'with\twith\tIN\tB-PP\tO' -p277625 -aS'a\ta\tDT\tB-NP\tO' -p277626 -aS'markedly\tmarkedly\tRB\tI-NP\tO' -p277627 -aS'dilated\tdilate\tVBN\tI-NP\tO' -p277628 -aS'right\tright\tJJ\tI-NP\tO' -p277629 -aS'atrium\tatrium\tNN\tI-NP\tO' -p277630 -aS'.\t.\t.\tO\tO' -p277631 -asS'3. Ferrous Sulfate 325 PO Daily' -p277632 -(lp277633 -S'3.\t3.\tLS\tB-NP\tO' -p277634 -aS'Ferrous\tFerrous\tNNP\tI-NP\tO' -p277635 -aS'Sulfate\tSulfate\tNNP\tI-NP\tO' -p277636 -aS'325\t325\tCD\tI-NP\tO' -p277637 -aS'PO\tPO\tNNP\tI-NP\tO' -p277638 -aS'Daily\tDaily\tNNP\tI-NP\tO' -p277639 -asS'As per CMED CSRU spine , the patient was instructed to follow-up in 2 weeks for repeat X-rays .' -p277640 -(lp277641 -S'As\tAs\tIN\tB-PP\tO' -p277642 -aS'per\tper\tIN\tB-PP\tO' -p277643 -aS'CMED\tCMED\tVBN\tB-NP\tO' -p277644 -aS'CSRU\tCSRU\tNN\tI-NP\tO' -p277645 -aS'spine\tspine\tNN\tI-NP\tO' -p277646 -aS',\t,\t,\tO\tO' -p277647 -aS'the\tthe\tDT\tB-NP\tO' -p277648 -aS'patient\tpatient\tNN\tI-NP\tO' -p277649 -aS'was\tbe\tVBD\tB-VP\tO' -p277650 -aS'instructed\tinstruct\tVBN\tI-VP\tO' -p277651 -aS'to\tto\tTO\tB-PP\tO' -p277652 -aS'follow-up\tfollow-up\tNN\tB-NP\tO' -p277653 -aS'in\tin\tIN\tB-PP\tO' -p277654 -aS'2\t2\tCD\tB-NP\tO' -p277655 -aS'weeks\tweek\tNNS\tI-NP\tO' -p277656 -aS'for\tfor\tIN\tB-PP\tO' -p277657 -aS'repeat\trepeat\tNN\tB-NP\tO' -p277658 -aS'X-rays\tX-ray\tNNS\tI-NP\tO' -p277659 -aS'.\t.\t.\tO\tO' -p277660 -asS'Her lungs revealed coarse bilateral rhonchi from base to midline .' -p277661 -(lp277662 -S'Her\tHer\tPRP$\tB-NP\tO' -p277663 -aS'lungs\tlung\tNNS\tI-NP\tO' -p277664 -aS'revealed\treveal\tVBD\tB-VP\tO' -p277665 -aS'coarse\tcoarse\tNN\tB-NP\tO' -p277666 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p277667 -aS'rhonchi\trhonchi\tNN\tI-NP\tO' -p277668 -aS'from\tfrom\tIN\tB-PP\tO' -p277669 -aS'base\tbase\tNN\tB-NP\tO' -p277670 -aS'to\tto\tTO\tB-PP\tO' -p277671 -aS'midline\tmidline\tNN\tB-NP\tO' -p277672 -aS'.\t.\t.\tO\tO' -p277673 -asS'You likely have a bleeding source in your colon that we have been unable to visualize .' -p277674 -(lp277675 -S'You\tYou\tPRP\tB-NP\tO' -p277676 -aS'likely\tlikely\tRB\tB-ADVP\tO' -p277677 -aS'have\thave\tVBP\tB-VP\tO' -p277678 -aS'a\ta\tDT\tB-NP\tO' -p277679 -aS'bleeding\tbleed\tVBG\tI-NP\tO' -p277680 -aS'source\tsource\tNN\tI-NP\tO' -p277681 -aS'in\tin\tIN\tB-PP\tO' -p277682 -aS'your\tyour\tPRP$\tB-NP\tO' -p277683 -aS'colon\tcolon\tNN\tI-NP\tO' -p277684 -aS'that\tthat\tIN\tB-SBAR\tO' -p277685 -aS'we\twe\tPRP\tB-NP\tO' -p277686 -aS'have\thave\tVBP\tB-VP\tO' -p277687 -aS'been\tbe\tVBN\tI-VP\tO' -p277688 -aS'unable\tunable\tJJ\tB-ADJP\tO' -p277689 -aS'to\tto\tTO\tB-VP\tO' -p277690 -aS'visualize\tvisualize\tVB\tI-VP\tO' -p277691 -aS'.\t.\t.\tO\tO' -p277692 -asS'Arterial blood gases showed a pH of 7.19 , pCO2 of 22 and PO2 of 102 and a potassium of 3.9 .' -p277693 -(lp277694 -S'Arterial\tArterial\tJJ\tB-NP\tB-protein' -p277695 -aS'blood\tblood\tNN\tI-NP\tI-protein' -p277696 -aS'gases\tgas\tNNS\tI-NP\tI-protein' -p277697 -aS'showed\tshow\tVBD\tB-VP\tO' -p277698 -aS'a\ta\tDT\tB-NP\tO' -p277699 -aS'pH\tpH\tNN\tI-NP\tO' -p277700 -aS'of\tof\tIN\tB-PP\tO' -p277701 -aS'7.19\t7.19\tCD\tB-NP\tO' -p277702 -aS',\t,\t,\tO\tO' -p277703 -aS'pCO2\tpCO2\tNN\tB-NP\tO' -p277704 -aS'of\tof\tIN\tB-PP\tO' -p277705 -aS'22\t22\tCD\tB-NP\tO' -p277706 -aS'and\tand\tCC\tO\tO' -p277707 -aS'PO2\tPO2\tNN\tB-NP\tO' -p277708 -aS'of\tof\tIN\tB-PP\tO' -p277709 -aS'102\t102\tCD\tB-NP\tO' -p277710 -aS'and\tand\tCC\tO\tO' -p277711 -aS'a\ta\tDT\tB-NP\tO' -p277712 -aS'potassium\tpotassium\tNN\tI-NP\tO' -p277713 -aS'of\tof\tIN\tB-PP\tO' -p277714 -aS'3.9\t3.9\tCD\tB-NP\tO' -p277715 -aS'.\t.\t.\tO\tO' -p277716 -asS'Nystatin swish and swallow tid .' -p277717 -(lp277718 -S'Nystatin\tNystatin\tNN\tB-NP\tB-protein' -p277719 -aS'swish\tswish\tVB\tB-VP\tO' -p277720 -aS'and\tand\tCC\tI-VP\tO' -p277721 -aS'swallow\tswallow\tVB\tI-VP\tO' -p277722 -aS'tid\ttid\tNN\tB-NP\tO' -p277723 -aS'.\t.\t.\tO\tO' -p277724 -asS'He was noted to have some apnea and bradycardic spells of prematurity and was therefore started on caffeine .' -p277725 -(lp277726 -S'He\tHe\tPRP\tB-NP\tO' -p277727 -aS'was\tbe\tVBD\tB-VP\tO' -p277728 -aS'noted\tnote\tVBN\tI-VP\tO' -p277729 -aS'to\tto\tTO\tI-VP\tO' -p277730 -aS'have\thave\tVB\tI-VP\tO' -p277731 -aS'some\tsome\tDT\tB-NP\tO' -p277732 -aS'apnea\tapnea\tNN\tI-NP\tO' -p277733 -aS'and\tand\tCC\tO\tO' -p277734 -aS'bradycardic\tbradycardic\tJJ\tB-NP\tO' -p277735 -aS'spells\tspell\tNNS\tI-NP\tO' -p277736 -aS'of\tof\tIN\tB-PP\tO' -p277737 -aS'prematurity\tprematurity\tNN\tB-NP\tO' -p277738 -aS'and\tand\tCC\tO\tO' -p277739 -aS'was\tbe\tVBD\tB-VP\tO' -p277740 -aS'therefore\ttherefore\tRB\tI-VP\tO' -p277741 -aS'started\tstart\tVBN\tI-VP\tO' -p277742 -aS'on\ton\tIN\tB-PP\tO' -p277743 -aS'caffeine\tcaffeine\tNN\tB-NP\tO' -p277744 -aS'.\t.\t.\tO\tO' -p277745 -asS'At that time he had a Mitral Valve replacement , aortoomy , and left atrial appendage resection .' -p277746 -(lp277747 -S'At\tAt\tIN\tB-PP\tO' -p277748 -aS'that\tthat\tDT\tB-NP\tO' -p277749 -aS'time\ttime\tNN\tI-NP\tO' -p277750 -aS'he\the\tPRP\tB-NP\tO' -p277751 -aS'had\thave\tVBD\tB-VP\tO' -p277752 -aS'a\ta\tDT\tB-NP\tO' -p277753 -aS'Mitral\tMitral\tNNP\tI-NP\tO' -p277754 -aS'Valve\tValve\tNNP\tI-NP\tO' -p277755 -aS'replacement\treplacement\tNN\tI-NP\tO' -p277756 -aS',\t,\t,\tO\tO' -p277757 -aS'aortoomy\taortoomy\tNN\tB-NP\tO' -p277758 -aS',\t,\t,\tO\tO' -p277759 -aS'and\tand\tCC\tO\tO' -p277760 -aS'left\tleave\tVBD\tB-VP\tO' -p277761 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p277762 -aS'appendage\tappendage\tNN\tI-NP\tO' -p277763 -aS'resection\tresection\tNN\tI-NP\tO' -p277764 -aS'.\t.\t.\tO\tO' -p277765 -asS'12. Trazodone 50 mg Tablet Sig : One ( 1 ) Tablet PO HS ( at bedtime ) as needed for insomnia .' -p277766 -(lp277767 -S'12.\t12.\tCD\tB-NP\tO' -p277768 -aS'Trazodone\tTrazodone\tNN\tI-NP\tO' -p277769 -aS'50\t50\tCD\tB-NP\tO' -p277770 -aS'mg\tmg\tNN\tI-NP\tO' -p277771 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p277772 -aS'Sig\tSig\tNNP\tI-NP\tO' -p277773 -aS':\t:\t:\tO\tO' -p277774 -aS'One\tOne\tCD\tB-NP\tO' -p277775 -aS'(\t(\t(\tO\tO' -p277776 -aS'1\t1\tCD\tB-NP\tO' -p277777 -aS')\t)\t)\tO\tO' -p277778 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p277779 -aS'PO\tPO\tNN\tI-NP\tO' -p277780 -aS'HS\tHS\tNN\tI-NP\tO' -p277781 -aS'(\t(\t(\tO\tO' -p277782 -aS'at\tat\tIN\tB-PP\tO' -p277783 -aS'bedtime\tbedtime\tNN\tB-NP\tO' -p277784 -aS')\t)\t)\tO\tO' -p277785 -aS'as\tas\tIN\tB-SBAR\tO' -p277786 -aS'needed\tneed\tVBN\tB-VP\tO' -p277787 -aS'for\tfor\tIN\tB-PP\tO' -p277788 -aS'insomnia\tinsomnia\tNN\tB-NP\tO' -p277789 -aS'.\t.\t.\tO\tO' -p277790 -asS'Pt started on CTX 05-27 .' -p277791 -(lp277792 -S'Pt\tPt\tNN\tB-NP\tO' -p277793 -aS'started\tstart\tVBD\tB-VP\tO' -p277794 -aS'on\ton\tIN\tB-PP\tO' -p277795 -aS'CTX\tCTX\tNN\tB-NP\tB-DNA' -p277796 -aS'05-27\t05-27\tCD\tI-NP\tI-DNA' -p277797 -aS'.\t.\t.\tO\tO' -p277798 -asS'He had pharmacologic circulatory arrest for 18 minutes .' -p277799 -(lp277800 -S'He\tHe\tPRP\tB-NP\tO' -p277801 -aS'had\thave\tVBD\tB-VP\tO' -p277802 -aS'pharmacologic\tpharmacologic\tJJ\tB-NP\tO' -p277803 -aS'circulatory\tcirculatory\tJJ\tI-NP\tO' -p277804 -aS'arrest\tarrest\tNN\tI-NP\tO' -p277805 -aS'for\tfor\tIN\tB-PP\tO' -p277806 -aS'18\t18\tCD\tB-NP\tO' -p277807 -aS'minutes\tminute\tNNS\tI-NP\tO' -p277808 -aS'.\t.\t.\tO\tO' -p277809 -asS'The patient was seen by physical therapy .' -p277810 -(lp277811 -S'The\tThe\tDT\tB-NP\tO' -p277812 -aS'patient\tpatient\tNN\tI-NP\tO' -p277813 -aS'was\tbe\tVBD\tB-VP\tO' -p277814 -aS'seen\tsee\tVBN\tI-VP\tO' -p277815 -aS'by\tby\tIN\tB-PP\tO' -p277816 -aS'physical\tphysical\tJJ\tB-NP\tO' -p277817 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p277818 -aS'.\t.\t.\tO\tO' -p277819 -asS'Extrem : Warm and well-perfused .' -p277820 -(lp277821 -S'Extrem\tExtrem\tNNP\tB-NP\tO' -p277822 -aS':\t:\t:\tO\tO' -p277823 -aS'Warm\tWarm\tNNP\tB-NP\tO' -p277824 -aS'and\tand\tCC\tO\tO' -p277825 -aS'well-perfused\twell-perfused\tJJ\tB-ADJP\tO' -p277826 -aS'.\t.\t.\tO\tO' -p277827 -asS'Please see OR report for full details .' -p277828 -(lp277829 -S'Please\tPlease\tVB\tB-VP\tO' -p277830 -aS'see\tsee\tVB\tI-VP\tO' -p277831 -aS'OR\tOR\tNN\tB-NP\tO' -p277832 -aS'report\treport\tNN\tI-NP\tO' -p277833 -aS'for\tfor\tIN\tB-PP\tO' -p277834 -aS'full\tfull\tJJ\tB-NP\tO' -p277835 -aS'details\tdetail\tNNS\tI-NP\tO' -p277836 -aS'.\t.\t.\tO\tO' -p277837 -asS'2+ DP pulses bilaterally .' -p277838 -(lp277839 -S'2+\t2+\tJJ\tB-NP\tO' -p277840 -aS'DP\tDP\tNN\tI-NP\tO' -p277841 -aS'pulses\tpulse\tVBZ\tB-VP\tO' -p277842 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p277843 -aS'.\t.\t.\tO\tO' -p277844 -asS'9. Hypercholesterolemia .' -p277845 -(lp277846 -S'9.\t9.\tLS\tB-LST\tO' -p277847 -aS'Hypercholesterolemia\tHypercholesterolemia\tNNP\tB-NP\tO' -p277848 -aS'.\t.\t.\tO\tO' -p277849 -asS'This resulted in tremendous third spacing of fluid and persistent intervascular hypovolemia .' -p277850 -(lp277851 -S'This\tThis\tDT\tB-NP\tO' -p277852 -aS'resulted\tresult\tVBD\tB-VP\tO' -p277853 -aS'in\tin\tIN\tB-PP\tO' -p277854 -aS'tremendous\ttremendous\tJJ\tB-NP\tO' -p277855 -aS'third\tthird\tJJ\tI-NP\tO' -p277856 -aS'spacing\tspacing\tNN\tI-NP\tO' -p277857 -aS'of\tof\tIN\tB-PP\tO' -p277858 -aS'fluid\tfluid\tNN\tB-NP\tO' -p277859 -aS'and\tand\tCC\tO\tO' -p277860 -aS'persistent\tpersistent\tJJ\tB-NP\tO' -p277861 -aS'intervascular\tintervascular\tJJ\tI-NP\tO' -p277862 -aS'hypovolemia\thypovolemia\tNN\tI-NP\tO' -p277863 -aS'.\t.\t.\tO\tO' -p277864 -asS'PENICILLIN causes a rash .' -p277865 -(lp277866 -S'PENICILLIN\tPENICILLIN\tNN\tB-NP\tB-protein' -p277867 -aS'causes\tcause\tVBZ\tB-VP\tO' -p277868 -aS'a\ta\tDT\tB-NP\tO' -p277869 -aS'rash\trash\tNN\tI-NP\tO' -p277870 -aS'.\t.\t.\tO\tO' -p277871 -asS'He was laying flat , very tense .' -p277872 -(lp277873 -S'He\tHe\tPRP\tB-NP\tO' -p277874 -aS'was\tbe\tVBD\tB-VP\tO' -p277875 -aS'laying\tlay\tVBG\tI-VP\tO' -p277876 -aS'flat\tflat\tJJ\tB-ADJP\tO' -p277877 -aS',\t,\t,\tO\tO' -p277878 -aS'very\tvery\tRB\tB-ADJP\tO' -p277879 -aS'tense\ttense\tJJ\tI-ADJP\tO' -p277880 -aS'.\t.\t.\tO\tO' -p277881 -asS'Peripheral pulses were all intact , and there was venous stasis changes on her legs , with some edema .' -p277882 -(lp277883 -S'Peripheral\tPeripheral\tJJ\tB-NP\tO' -p277884 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p277885 -aS'were\tbe\tVBD\tB-VP\tO' -p277886 -aS'all\tall\tDT\tO\tO' -p277887 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p277888 -aS',\t,\t,\tO\tO' -p277889 -aS'and\tand\tCC\tO\tO' -p277890 -aS'there\tthere\tEX\tB-NP\tO' -p277891 -aS'was\tbe\tVBD\tB-VP\tO' -p277892 -aS'venous\tvenous\tJJ\tB-NP\tO' -p277893 -aS'stasis\tstasis\tNN\tI-NP\tO' -p277894 -aS'changes\tchange\tNNS\tI-NP\tO' -p277895 -aS'on\ton\tIN\tB-PP\tO' -p277896 -aS'her\ther\tPRP$\tB-NP\tO' -p277897 -aS'legs\tleg\tNNS\tI-NP\tO' -p277898 -aS',\t,\t,\tO\tO' -p277899 -aS'with\twith\tIN\tB-PP\tO' -p277900 -aS'some\tsome\tDT\tB-NP\tO' -p277901 -aS'edema\tedema\tNN\tI-NP\tO' -p277902 -aS'.\t.\t.\tO\tO' -p277903 -asS'On 03-24 AM p/w with respiratory failure , continued tachycardia on dilt. gtt.' -p277904 -(lp277905 -S'On\tOn\tIN\tB-PP\tO' -p277906 -aS'03-24\t03-24\tCD\tB-NP\tO' -p277907 -aS'AM\tAM\tNNP\tI-NP\tO' -p277908 -aS'p/w\tp/w\tNN\tI-NP\tO' -p277909 -aS'with\twith\tIN\tB-PP\tO' -p277910 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p277911 -aS'failure\tfailure\tNN\tI-NP\tO' -p277912 -aS',\t,\t,\tO\tO' -p277913 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p277914 -aS'tachycardia\ttachycardia\tNN\tB-NP\tO' -p277915 -aS'on\ton\tIN\tB-PP\tO' -p277916 -aS'dilt.\tdilt.\tNN\tB-NP\tO' -p277917 -aS'gtt.\tgtt.\tNN\tI-NP\tO' -p277918 -asS'The patient was kept an additional two days to follow her hcts and titrate her BP meds .' -p277919 -(lp277920 -S'The\tThe\tDT\tB-NP\tO' -p277921 -aS'patient\tpatient\tNN\tI-NP\tO' -p277922 -aS'was\tbe\tVBD\tB-VP\tO' -p277923 -aS'kept\tkeep\tVBN\tI-VP\tO' -p277924 -aS'an\tan\tDT\tB-NP\tO' -p277925 -aS'additional\tadditional\tJJ\tI-NP\tO' -p277926 -aS'two\ttwo\tCD\tI-NP\tO' -p277927 -aS'days\tday\tNNS\tI-NP\tO' -p277928 -aS'to\tto\tTO\tB-VP\tO' -p277929 -aS'follow\tfollow\tVB\tI-VP\tO' -p277930 -aS'her\ther\tPRP$\tB-NP\tO' -p277931 -aS'hcts\thct\tNNS\tI-NP\tO' -p277932 -aS'and\tand\tCC\tO\tO' -p277933 -aS'titrate\ttitrate\tVB\tB-VP\tO' -p277934 -aS'her\ther\tPRP$\tB-NP\tO' -p277935 -aS'BP\tBP\tNN\tI-NP\tO' -p277936 -aS'meds\tmed\tNNS\tI-NP\tO' -p277937 -aS'.\t.\t.\tO\tO' -p277938 -asS'Raymond passed in both ears .' -p277939 -(lp277940 -S'Raymond\tRaymond\tNNP\tB-NP\tO' -p277941 -aS'passed\tpass\tVBD\tB-VP\tO' -p277942 -aS'in\tin\tIN\tB-PP\tO' -p277943 -aS'both\tboth\tDT\tB-NP\tO' -p277944 -aS'ears\tear\tNNS\tI-NP\tO' -p277945 -aS'.\t.\t.\tO\tO' -p277946 -asS'Patient was also found to have several complaints of awaking in the middle of the night with tachypnea and some bilateral chest pain associated with breathing .' -p277947 -(lp277948 -S'Patient\tPatient\tNN\tB-NP\tO' -p277949 -aS'was\tbe\tVBD\tB-VP\tO' -p277950 -aS'also\talso\tRB\tI-VP\tO' -p277951 -aS'found\tfind\tVBN\tI-VP\tO' -p277952 -aS'to\tto\tTO\tI-VP\tO' -p277953 -aS'have\thave\tVB\tI-VP\tO' -p277954 -aS'several\tseveral\tJJ\tB-NP\tO' -p277955 -aS'complaints\tcomplaint\tNNS\tI-NP\tO' -p277956 -aS'of\tof\tIN\tB-PP\tO' -p277957 -aS'awaking\tawake\tVBG\tB-VP\tO' -p277958 -aS'in\tin\tIN\tB-PP\tO' -p277959 -aS'the\tthe\tDT\tB-NP\tO' -p277960 -aS'middle\tmiddle\tNN\tI-NP\tO' -p277961 -aS'of\tof\tIN\tB-PP\tO' -p277962 -aS'the\tthe\tDT\tB-NP\tO' -p277963 -aS'night\tnight\tNN\tI-NP\tO' -p277964 -aS'with\twith\tIN\tB-PP\tO' -p277965 -aS'tachypnea\ttachypnea\tNN\tB-NP\tO' -p277966 -aS'and\tand\tCC\tO\tO' -p277967 -aS'some\tsome\tDT\tB-NP\tO' -p277968 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p277969 -aS'chest\tchest\tNN\tI-NP\tO' -p277970 -aS'pain\tpain\tNN\tI-NP\tO' -p277971 -aS'associated\tassociate\tVBN\tB-VP\tO' -p277972 -aS'with\twith\tIN\tB-PP\tO' -p277973 -aS'breathing\tbreathing\tNN\tB-NP\tO' -p277974 -aS'.\t.\t.\tO\tO' -p277975 -asS'His coumadin was held during his stay given his acute bleed but restarted per his PCP with the guidance of GI on the day of discharge .' -p277976 -(lp277977 -S'His\tHis\tPRP$\tB-NP\tO' -p277978 -aS'coumadin\tcoumadin\tNN\tI-NP\tO' -p277979 -aS'was\tbe\tVBD\tB-VP\tO' -p277980 -aS'held\thold\tVBN\tI-VP\tO' -p277981 -aS'during\tduring\tIN\tB-PP\tO' -p277982 -aS'his\this\tPRP$\tB-NP\tO' -p277983 -aS'stay\tstay\tNN\tI-NP\tO' -p277984 -aS'given\tgive\tVBN\tB-VP\tO' -p277985 -aS'his\this\tPRP$\tB-NP\tO' -p277986 -aS'acute\tacute\tJJ\tI-NP\tO' -p277987 -aS'bleed\tbleed\tNN\tI-NP\tO' -p277988 -aS'but\tbut\tCC\tO\tO' -p277989 -aS'restarted\trestart\tVBD\tB-VP\tO' -p277990 -aS'per\tper\tIN\tB-PP\tO' -p277991 -aS'his\this\tPRP$\tB-NP\tO' -p277992 -aS'PCP\tPCP\tNN\tI-NP\tB-protein' -p277993 -aS'with\twith\tIN\tB-PP\tO' -p277994 -aS'the\tthe\tDT\tB-NP\tO' -p277995 -aS'guidance\tguidance\tNN\tI-NP\tO' -p277996 -aS'of\tof\tIN\tB-PP\tO' -p277997 -aS'GI\tGI\tNN\tB-NP\tO' -p277998 -aS'on\ton\tIN\tB-PP\tO' -p277999 -aS'the\tthe\tDT\tB-NP\tO' -p278000 -aS'day\tday\tNN\tI-NP\tO' -p278001 -aS'of\tof\tIN\tB-PP\tO' -p278002 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p278003 -aS'.\t.\t.\tO\tO' -p278004 -asS'His BP decreased to 100 systolic despite hydration with 2L of NS .' -p278005 -(lp278006 -S'His\tHis\tPRP$\tB-NP\tO' -p278007 -aS'BP\tBP\tNN\tI-NP\tO' -p278008 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p278009 -aS'to\tto\tTO\tB-PP\tO' -p278010 -aS'100\t100\tCD\tB-NP\tO' -p278011 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p278012 -aS'despite\tdespite\tIN\tB-PP\tO' -p278013 -aS'hydration\thydration\tNN\tB-NP\tO' -p278014 -aS'with\twith\tIN\tB-PP\tO' -p278015 -aS'2L\t2L\tNN\tB-NP\tO' -p278016 -aS'of\tof\tIN\tB-PP\tO' -p278017 -aS'NS\tNS\tNN\tB-NP\tB-protein' -p278018 -aS'.\t.\t.\tO\tO' -p278019 -asS'She denied HI , SI , and illusions / hallucinations .' -p278020 -(lp278021 -S'She\tShe\tPRP\tB-NP\tO' -p278022 -aS'denied\tdeny\tVBD\tB-VP\tO' -p278023 -aS'HI\tHI\tNN\tB-NP\tO' -p278024 -aS',\t,\t,\tO\tO' -p278025 -aS'SI\tSI\tNN\tB-NP\tO' -p278026 -aS',\t,\t,\tO\tO' -p278027 -aS'and\tand\tCC\tO\tO' -p278028 -aS'illusions\tillusion\tNNS\tB-NP\tO' -p278029 -aS'/\t/\tSYM\tB-NP\tO' -p278030 -aS'hallucinations\thallucination\tNNS\tI-NP\tO' -p278031 -aS'.\t.\t.\tO\tO' -p278032 -asS'She developed a urinary tract infection for which she was started on Bactrim .' -p278033 -(lp278034 -S'She\tShe\tPRP\tB-NP\tO' -p278035 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p278036 -aS'a\ta\tDT\tB-NP\tO' -p278037 -aS'urinary\turinary\tJJ\tI-NP\tO' -p278038 -aS'tract\ttract\tNN\tI-NP\tO' -p278039 -aS'infection\tinfection\tNN\tI-NP\tO' -p278040 -aS'for\tfor\tIN\tB-PP\tO' -p278041 -aS'which\twhich\tWDT\tB-NP\tO' -p278042 -aS'she\tshe\tPRP\tB-NP\tO' -p278043 -aS'was\tbe\tVBD\tB-VP\tO' -p278044 -aS'started\tstart\tVBN\tI-VP\tO' -p278045 -aS'on\ton\tIN\tB-PP\tO' -p278046 -aS'Bactrim\tBactrim\tNNP\tB-NP\tO' -p278047 -aS'.\t.\t.\tO\tO' -p278048 -asS'45F with recent inferior STEMI s / p stent to RCA .' -p278049 -(lp278050 -S'45F\t45F\tNN\tB-NP\tO' -p278051 -aS'with\twith\tIN\tB-PP\tO' -p278052 -aS'recent\trecent\tJJ\tB-NP\tO' -p278053 -aS'inferior\tinferior\tJJ\tI-NP\tO' -p278054 -aS'STEMI\tSTEMI\tNN\tI-NP\tO' -p278055 -aS's\ts\tNN\tI-NP\tO' -p278056 -aS'/\t/\tSYM\tB-NP\tO' -p278057 -aS'p\tp\tNN\tI-NP\tO' -p278058 -aS'stent\tstent\tJJ\tB-ADJP\tO' -p278059 -aS'to\tto\tTO\tB-PP\tO' -p278060 -aS'RCA\tRCA\tNN\tB-NP\tB-protein' -p278061 -aS'.\t.\t.\tO\tO' -p278062 -asS'coronary artery disease .' -p278063 -(lp278064 -S'coronary\tcoronary\tJJ\tB-NP\tO' -p278065 -aS'artery\tartery\tNN\tI-NP\tO' -p278066 -aS'disease\tdisease\tNN\tI-NP\tO' -p278067 -aS'.\t.\t.\tO\tO' -p278068 -asS'The patient ambulating without difficulty , tolerating p.o. , stable oxygen saturation , and stable voice by the time of discharge .' -p278069 -(lp278070 -S'The\tThe\tDT\tB-NP\tO' -p278071 -aS'patient\tpatient\tNN\tI-NP\tO' -p278072 -aS'ambulating\tambulate\tVBG\tB-VP\tO' -p278073 -aS'without\twithout\tIN\tB-PP\tO' -p278074 -aS'difficulty\tdifficulty\tNN\tB-NP\tO' -p278075 -aS',\t,\t,\tO\tO' -p278076 -aS'tolerating\ttolerate\tVBG\tB-VP\tO' -p278077 -aS'p.o.\tp.o.\tNN\tB-NP\tO' -p278078 -aS',\t,\t,\tO\tO' -p278079 -aS'stable\tstable\tJJ\tB-NP\tO' -p278080 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p278081 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p278082 -aS',\t,\t,\tO\tO' -p278083 -aS'and\tand\tCC\tO\tO' -p278084 -aS'stable\tstable\tJJ\tB-NP\tO' -p278085 -aS'voice\tvoice\tNN\tI-NP\tO' -p278086 -aS'by\tby\tIN\tB-PP\tO' -p278087 -aS'the\tthe\tDT\tB-NP\tO' -p278088 -aS'time\ttime\tNN\tI-NP\tO' -p278089 -aS'of\tof\tIN\tB-PP\tO' -p278090 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p278091 -aS'.\t.\t.\tO\tO' -p278092 -asS'He believes he is up-to-date on all his vaccines .' -p278093 -(lp278094 -S'He\tHe\tPRP\tB-NP\tO' -p278095 -aS'believes\tbelieve\tVBZ\tB-VP\tO' -p278096 -aS'he\the\tPRP\tB-NP\tO' -p278097 -aS'is\tbe\tVBZ\tB-VP\tO' -p278098 -aS'up-to-date\tup-to-date\tJJ\tB-ADJP\tO' -p278099 -aS'on\ton\tIN\tB-PP\tO' -p278100 -aS'all\tall\tPDT\tB-NP\tO' -p278101 -aS'his\this\tPRP$\tI-NP\tO' -p278102 -aS'vaccines\tvaccine\tNNS\tI-NP\tO' -p278103 -aS'.\t.\t.\tO\tO' -p278104 -asS'The patient was CMED-flighted to Quincy Medical Center , and he was intubated upon arrival in the Emergency Department .' -p278105 -(lp278106 -S'The\tThe\tDT\tB-NP\tO' -p278107 -aS'patient\tpatient\tNN\tI-NP\tO' -p278108 -aS'was\tbe\tVBD\tB-VP\tO' -p278109 -aS'CMED-flighted\tCMED-flighted\tJJ\tB-ADJP\tO' -p278110 -aS'to\tto\tTO\tB-PP\tO' -p278111 -aS'Quincy\tQuincy\tNNP\tB-NP\tO' -p278112 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p278113 -aS'Center\tCenter\tNNP\tI-NP\tO' -p278114 -aS',\t,\t,\tO\tO' -p278115 -aS'and\tand\tCC\tO\tO' -p278116 -aS'he\the\tPRP\tB-NP\tO' -p278117 -aS'was\tbe\tVBD\tB-VP\tO' -p278118 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p278119 -aS'upon\tupon\tIN\tB-PP\tO' -p278120 -aS'arrival\tarrival\tNN\tB-NP\tO' -p278121 -aS'in\tin\tIN\tB-PP\tO' -p278122 -aS'the\tthe\tDT\tB-NP\tO' -p278123 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p278124 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p278125 -aS'.\t.\t.\tO\tO' -p278126 -asS'Initially on Vanc and Cipro on Friday but then seen by ID who reccommended no abx but a bone biopsy , blood cx .' -p278127 -(lp278128 -S'Initially\tInitially\tRB\tB-ADVP\tO' -p278129 -aS'on\ton\tIN\tB-PP\tO' -p278130 -aS'Vanc\tVanc\tNNP\tB-NP\tO' -p278131 -aS'and\tand\tCC\tI-NP\tO' -p278132 -aS'Cipro\tCipro\tNNP\tI-NP\tO' -p278133 -aS'on\ton\tIN\tB-PP\tO' -p278134 -aS'Friday\tFriday\tNNP\tB-NP\tO' -p278135 -aS'but\tbut\tCC\tO\tO' -p278136 -aS'then\tthen\tRB\tB-VP\tO' -p278137 -aS'seen\tsee\tVBN\tI-VP\tO' -p278138 -aS'by\tby\tIN\tB-PP\tO' -p278139 -aS'ID\tID\tNN\tB-NP\tO' -p278140 -aS'who\twho\tWP\tB-NP\tO' -p278141 -aS'reccommended\treccommende\tVBD\tB-VP\tO' -p278142 -aS'no\tno\tDT\tB-NP\tO' -p278143 -aS'abx\tabx\tNN\tI-NP\tO' -p278144 -aS'but\tbut\tCC\tO\tO' -p278145 -aS'a\ta\tDT\tB-NP\tO' -p278146 -aS'bone\tbone\tNN\tI-NP\tO' -p278147 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p278148 -aS',\t,\t,\tO\tO' -p278149 -aS'blood\tblood\tNN\tB-NP\tO' -p278150 -aS'cx\tcx\tNN\tI-NP\tO' -p278151 -aS'.\t.\t.\tO\tO' -p278152 -asS'2) Slight increase in epidural fluid collection adjacent to the craniotomy site .' -p278153 -(lp278154 -S'2)\t2)\tLS\tB-NP\tO' -p278155 -aS'Slight\tSlight\tNN\tI-NP\tO' -p278156 -aS'increase\tincrease\tNN\tI-NP\tO' -p278157 -aS'in\tin\tIN\tB-PP\tO' -p278158 -aS'epidural\tepidural\tJJ\tB-NP\tO' -p278159 -aS'fluid\tfluid\tNN\tI-NP\tO' -p278160 -aS'collection\tcollection\tNN\tI-NP\tO' -p278161 -aS'adjacent\tadjacent\tJJ\tB-ADJP\tO' -p278162 -aS'to\tto\tTO\tB-PP\tO' -p278163 -aS'the\tthe\tDT\tB-NP\tO' -p278164 -aS'craniotomy\tcraniotomy\tNN\tI-NP\tB-DNA' -p278165 -aS'site\tsite\tNN\tI-NP\tI-DNA' -p278166 -aS'.\t.\t.\tO\tO' -p278167 -asS'Influenza immunization should be considered annually in the fall for preterm infants with chronic lung disease once they reach six months of age .' -p278168 -(lp278169 -S'Influenza\tInfluenza\tNN\tB-NP\tO' -p278170 -aS'immunization\timmunization\tNN\tI-NP\tO' -p278171 -aS'should\tshould\tMD\tB-VP\tO' -p278172 -aS'be\tbe\tVB\tI-VP\tO' -p278173 -aS'considered\tconsider\tVBN\tI-VP\tO' -p278174 -aS'annually\tannually\tRB\tB-ADVP\tO' -p278175 -aS'in\tin\tIN\tB-PP\tO' -p278176 -aS'the\tthe\tDT\tB-NP\tO' -p278177 -aS'fall\tfall\tNN\tI-NP\tO' -p278178 -aS'for\tfor\tIN\tB-PP\tO' -p278179 -aS'preterm\tpreterm\tJJ\tB-NP\tO' -p278180 -aS'infants\tinfant\tNNS\tI-NP\tO' -p278181 -aS'with\twith\tIN\tB-PP\tO' -p278182 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p278183 -aS'lung\tlung\tNN\tI-NP\tO' -p278184 -aS'disease\tdisease\tNN\tI-NP\tO' -p278185 -aS'once\tonce\tIN\tB-SBAR\tO' -p278186 -aS'they\tthey\tPRP\tB-NP\tO' -p278187 -aS'reach\treach\tVBP\tB-VP\tO' -p278188 -aS'six\tsix\tCD\tB-NP\tO' -p278189 -aS'months\tmonth\tNNS\tI-NP\tO' -p278190 -aS'of\tof\tIN\tB-PP\tO' -p278191 -aS'age\tage\tNN\tB-NP\tO' -p278192 -aS'.\t.\t.\tO\tO' -p278193 -asS'No change since prior study of 2015-09-24 .' -p278194 -(lp278195 -S'No\tNo\tDT\tB-NP\tO' -p278196 -aS'change\tchange\tNN\tI-NP\tO' -p278197 -aS'since\tsince\tIN\tB-PP\tO' -p278198 -aS'prior\tprior\tJJ\tB-NP\tO' -p278199 -aS'study\tstudy\tNN\tI-NP\tO' -p278200 -aS'of\tof\tIN\tB-PP\tO' -p278201 -aS'2015-09-24\t2015-09-24\tCD\tB-NP\tO' -p278202 -aS'.\t.\t.\tO\tO' -p278203 -asS'House / NAS / Low chol / low sat. fat < FDI >' -p278204 -(lp278205 -S'House\tHouse\tNN\tB-NP\tO' -p278206 -aS'/\t/\tSYM\tI-NP\tO' -p278207 -aS'NAS\tNAS\tNN\tI-NP\tB-protein' -p278208 -aS'/\t/\tSYM\tB-NP\tO' -p278209 -aS'Low\tLow\tNN\tI-NP\tO' -p278210 -aS'chol\tchol\tNN\tI-NP\tO' -p278211 -aS'/\t/\tSYM\tB-NP\tO' -p278212 -aS'low\tlow\tJJ\tI-NP\tO' -p278213 -aS'sat.\tsat.\tNN\tI-NP\tO' -p278214 -aS'fat\tfat\tNN\tI-NP\tO' -p278215 -aS'<\t<\tCC\tO\tO' -p278216 -aS'FDI\tFDI\tNNP\tB-NP\tO' -p278217 -aS'>\t>\t:\tO\tO' -p278218 -asS'3. Imdur 30 mg po qd' -p278219 -(lp278220 -S'3.\t3.\tLS\tB-LST\tO' -p278221 -aS'Imdur\tImdur\tNN\tB-NP\tO' -p278222 -aS'30\t30\tCD\tI-NP\tO' -p278223 -aS'mg\tmg\tNN\tI-NP\tO' -p278224 -aS'po\tpo\tNN\tI-NP\tO' -p278225 -aS'qd\tqd\tNN\tI-NP\tO' -p278226 -asS'The patient quit smoking 20 years ago ; ethanol one glass of wine a day .' -p278227 -(lp278228 -S'The\tThe\tDT\tB-NP\tO' -p278229 -aS'patient\tpatient\tNN\tI-NP\tO' -p278230 -aS'quit\tquit\tVBD\tB-VP\tO' -p278231 -aS'smoking\tsmoke\tVBG\tI-VP\tO' -p278232 -aS'20\t20\tCD\tB-NP\tO' -p278233 -aS'years\tyear\tNNS\tI-NP\tO' -p278234 -aS'ago\tago\tRB\tB-ADVP\tO' -p278235 -aS';\t;\t:\tO\tO' -p278236 -aS'ethanol\tethanol\tNN\tB-NP\tO' -p278237 -aS'one\tone\tCD\tI-NP\tO' -p278238 -aS'glass\tglass\tNN\tI-NP\tO' -p278239 -aS'of\tof\tIN\tB-PP\tO' -p278240 -aS'wine\twine\tNN\tB-NP\tO' -p278241 -aS'a\ta\tDT\tB-NP\tO' -p278242 -aS'day\tday\tNN\tI-NP\tO' -p278243 -aS'.\t.\t.\tO\tO' -p278244 -asS'He was continued on his dressing changes .' -p278245 -(lp278246 -S'He\tHe\tPRP\tB-NP\tO' -p278247 -aS'was\tbe\tVBD\tB-VP\tO' -p278248 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p278249 -aS'on\ton\tIN\tB-PP\tO' -p278250 -aS'his\this\tPRP$\tB-NP\tB-DNA' -p278251 -aS'dressing\tdress\tVBG\tI-NP\tO' -p278252 -aS'changes\tchange\tNNS\tI-NP\tO' -p278253 -aS'.\t.\t.\tO\tO' -p278254 -asS'Disp : *40 Tablet( s )*' -p278255 -(lp278256 -S'Disp\tDisp\tNN\tB-NP\tO' -p278257 -aS':\t:\t:\tO\tO' -p278258 -aS'*40\t*40\tCD\tB-NP\tO' -p278259 -aS'Tablet(\tTablet(\t(\tI-NP\tO' -p278260 -aS's\ts\tNN\tI-NP\tO' -p278261 -aS')*\t)*\tSYM\tB-NP\tO' -p278262 -asS'Tums , 500-1250 mg PO tid .' -p278263 -(lp278264 -S'Tums\tTum\tNNS\tB-NP\tO' -p278265 -aS',\t,\t,\tO\tO' -p278266 -aS'500-1250\t500-1250\tCD\tB-NP\tO' -p278267 -aS'mg\tmg\tNN\tI-NP\tO' -p278268 -aS'PO\tPO\tNN\tI-NP\tO' -p278269 -aS'tid\ttid\tNN\tI-NP\tO' -p278270 -aS'.\t.\t.\tO\tO' -p278271 -asS'Normal liver function tests .' -p278272 -(lp278273 -S'Normal\tNormal\tJJ\tB-NP\tO' -p278274 -aS'liver\tliver\tNN\tI-NP\tO' -p278275 -aS'function\tfunction\tNN\tI-NP\tO' -p278276 -aS'tests\ttest\tNNS\tI-NP\tO' -p278277 -aS'.\t.\t.\tO\tO' -p278278 -asS'3. tear of transverse mesocolon ,' -p278279 -(lp278280 -S'3.\t3.\tLS\tB-NP\tO' -p278281 -aS'tear\ttear\tNN\tI-NP\tO' -p278282 -aS'of\tof\tIN\tB-PP\tO' -p278283 -aS'transverse\ttransverse\tJJ\tB-NP\tO' -p278284 -aS'mesocolon\tmesocolon\tNN\tI-NP\tO' -p278285 -aS',\t,\t,\tO\tO' -p278286 -asS'- Lives w/ wife & son in Jose , MA' -p278287 -(lp278288 -S'-\t-\tHYPH\tB-NP\tO' -p278289 -aS'Lives\tLive\tVBZ\tB-VP\tO' -p278290 -aS'w/\tw/\tNN\tB-NP\tO' -p278291 -aS'wife\twife\tNN\tI-NP\tO' -p278292 -aS'&\t&\tCC\tI-NP\tO' -p278293 -aS'son\tson\tNN\tI-NP\tO' -p278294 -aS'in\tin\tIN\tB-PP\tO' -p278295 -aS'Jose\tJose\tNNP\tB-NP\tO' -p278296 -aS',\t,\t,\tO\tO' -p278297 -aS'MA\tMA\tNNP\tB-NP\tO' -p278298 -asS'He tolerated his trach collar , and tube feeds at goal .' -p278299 -(lp278300 -S'He\tHe\tPRP\tB-NP\tO' -p278301 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p278302 -aS'his\this\tPRP$\tB-NP\tO' -p278303 -aS'trach\ttrach\tNN\tI-NP\tO' -p278304 -aS'collar\tcollar\tNN\tI-NP\tO' -p278305 -aS',\t,\t,\tO\tO' -p278306 -aS'and\tand\tCC\tO\tO' -p278307 -aS'tube\ttube\tNN\tB-NP\tO' -p278308 -aS'feeds\tfeed\tNNS\tI-NP\tO' -p278309 -aS'at\tat\tIN\tB-PP\tO' -p278310 -aS'goal\tgoal\tNN\tB-NP\tO' -p278311 -aS'.\t.\t.\tO\tO' -p278312 -asS'Denies history of tobacco , etoh , drugs .' -p278313 -(lp278314 -S'Denies\tDeny\tNNS\tB-NP\tO' -p278315 -aS'history\thistory\tNN\tI-NP\tO' -p278316 -aS'of\tof\tIN\tB-PP\tO' -p278317 -aS'tobacco\ttobacco\tNN\tB-NP\tO' -p278318 -aS',\t,\t,\tO\tO' -p278319 -aS'etoh\tetoh\tNN\tB-NP\tO' -p278320 -aS',\t,\t,\tO\tO' -p278321 -aS'drugs\tdrug\tNNS\tB-NP\tO' -p278322 -aS'.\t.\t.\tO\tO' -p278323 -asS'6. Lipitor 10 mg once daily .' -p278324 -(lp278325 -S'6.\t6.\tCD\tB-NP\tO' -p278326 -aS'Lipitor\tLipitor\tNN\tI-NP\tO' -p278327 -aS'10\t10\tCD\tB-NP\tO' -p278328 -aS'mg\tmg\tNN\tI-NP\tO' -p278329 -aS'once\tonce\tRB\tB-ADVP\tO' -p278330 -aS'daily\tdaily\tRB\tI-ADVP\tO' -p278331 -aS'.\t.\t.\tO\tO' -p278332 -asS'Lanoxin 0.375 mg. daily .' -p278333 -(lp278334 -S'Lanoxin\tLanoxin\tNN\tB-NP\tO' -p278335 -aS'0.375\t0.375\tCD\tI-NP\tO' -p278336 -aS'mg.\tmg.\tNN\tI-NP\tO' -p278337 -aS'daily\tdaily\tRB\tB-ADVP\tO' -p278338 -aS'.\t.\t.\tO\tO' -p278339 -asS'If needed to you can give her some nifedipine SL to decrease her blood pressure .' -p278340 -(lp278341 -S'If\tIf\tIN\tB-SBAR\tO' -p278342 -aS'needed\tneed\tVBN\tB-VP\tO' -p278343 -aS'to\tto\tTO\tB-PP\tO' -p278344 -aS'you\tyou\tPRP\tB-NP\tO' -p278345 -aS'can\tcan\tMD\tB-VP\tO' -p278346 -aS'give\tgive\tVB\tI-VP\tO' -p278347 -aS'her\ther\tPRP\tB-NP\tO' -p278348 -aS'some\tsome\tDT\tB-NP\tO' -p278349 -aS'nifedipine\tnifedipine\tNN\tI-NP\tO' -p278350 -aS'SL\tSL\tNN\tI-NP\tO' -p278351 -aS'to\tto\tTO\tB-VP\tO' -p278352 -aS'decrease\tdecrease\tVB\tI-VP\tO' -p278353 -aS'her\ther\tPRP$\tB-NP\tO' -p278354 -aS'blood\tblood\tNN\tI-NP\tO' -p278355 -aS'pressure\tpressure\tNN\tI-NP\tO' -p278356 -aS'.\t.\t.\tO\tO' -p278357 -asS'The patient ruled in for myocardial infarction with a peak CPK of 219 and 20.9% MB fraction .' -p278358 -(lp278359 -S'The\tThe\tDT\tB-NP\tO' -p278360 -aS'patient\tpatient\tNN\tI-NP\tO' -p278361 -aS'ruled\trule\tVBD\tB-VP\tO' -p278362 -aS'in\tin\tIN\tB-PP\tO' -p278363 -aS'for\tfor\tIN\tB-PP\tO' -p278364 -aS'myocardial\tmyocardial\tJJ\tB-NP\tO' -p278365 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p278366 -aS'with\twith\tIN\tB-PP\tO' -p278367 -aS'a\ta\tDT\tB-NP\tO' -p278368 -aS'peak\tpeak\tJJ\tI-NP\tO' -p278369 -aS'CPK\tCPK\tNN\tI-NP\tB-protein' -p278370 -aS'of\tof\tIN\tB-PP\tO' -p278371 -aS'219\t219\tCD\tB-NP\tO' -p278372 -aS'and\tand\tCC\tI-NP\tO' -p278373 -aS'20.9%\t20.9%\tCD\tI-NP\tO' -p278374 -aS'MB\tMB\tNN\tI-NP\tO' -p278375 -aS'fraction\tfraction\tNN\tI-NP\tO' -p278376 -aS'.\t.\t.\tO\tO' -p278377 -asS'Abdominal ultrasound on 2/23/00 - This study revealed gallbladder sludge but no cholelithiasis .' -p278378 -(lp278379 -S'Abdominal\tAbdominal\tJJ\tB-NP\tO' -p278380 -aS'ultrasound\tultrasound\tNN\tI-NP\tO' -p278381 -aS'on\ton\tIN\tB-PP\tO' -p278382 -aS'2/23/00\t2/23/00\tCD\tB-NP\tO' -p278383 -aS'-\t-\tHYPH\tO\tO' -p278384 -aS'This\tThis\tDT\tB-NP\tO' -p278385 -aS'study\tstudy\tNN\tI-NP\tO' -p278386 -aS'revealed\treveal\tVBD\tB-VP\tO' -p278387 -aS'gallbladder\tgallbladder\tNN\tB-NP\tO' -p278388 -aS'sludge\tsludge\tNN\tI-NP\tO' -p278389 -aS'but\tbut\tCC\tO\tO' -p278390 -aS'no\tno\tDT\tB-NP\tO' -p278391 -aS'cholelithiasis\tcholelithiasis\tNN\tI-NP\tO' -p278392 -aS'.\t.\t.\tO\tO' -p278393 -asS'Breasts were unremarkable .' -p278394 -(lp278395 -S'Breasts\tBreast\tNNS\tB-NP\tO' -p278396 -aS'were\tbe\tVBD\tB-VP\tO' -p278397 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p278398 -aS'.\t.\t.\tO\tO' -p278399 -asS'Patient was placed on BiPAP .' -p278400 -(lp278401 -S'Patient\tPatient\tNN\tB-NP\tO' -p278402 -aS'was\tbe\tVBD\tB-VP\tO' -p278403 -aS'placed\tplace\tVBN\tI-VP\tO' -p278404 -aS'on\ton\tIN\tB-PP\tO' -p278405 -aS'BiPAP\tBiPAP\tNN\tB-NP\tB-protein' -p278406 -aS'.\t.\t.\tO\tO' -p278407 -asS'# Shortness of Breath / loculated Effusion - patient with increaing loculated pleural effusion .' -p278408 -(lp278409 -S'#\t#\t#\tB-NP\tO' -p278410 -aS'Shortness\tShortness\tNN\tI-NP\tO' -p278411 -aS'of\tof\tIN\tB-PP\tO' -p278412 -aS'Breath\tBreath\tNN\tB-NP\tO' -p278413 -aS'/\t/\tSYM\tB-VP\tO' -p278414 -aS'loculated\tloculate\tVBN\tB-NP\tO' -p278415 -aS'Effusion\tEffusion\tNN\tI-NP\tO' -p278416 -aS'-\t-\tHYPH\tO\tO' -p278417 -aS'patient\tpatient\tNN\tB-NP\tO' -p278418 -aS'with\twith\tIN\tB-PP\tO' -p278419 -aS'increaing\tincreae\tVBG\tB-VP\tO' -p278420 -aS'loculated\tloculated\tJJ\tB-NP\tO' -p278421 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p278422 -aS'effusion\teffusion\tNN\tI-NP\tO' -p278423 -aS'.\t.\t.\tO\tO' -p278424 -asS'Pyelonephritis of the left kidney without left sided hydronephrosis .' -p278425 -(lp278426 -S'Pyelonephritis\tPyelonephritis\tNN\tB-NP\tO' -p278427 -aS'of\tof\tIN\tB-PP\tO' -p278428 -aS'the\tthe\tDT\tB-NP\tO' -p278429 -aS'left\tleft\tJJ\tI-NP\tO' -p278430 -aS'kidney\tkidney\tNN\tI-NP\tO' -p278431 -aS'without\twithout\tIN\tB-PP\tO' -p278432 -aS'left\tleft\tJJ\tB-NP\tO' -p278433 -aS'sided\tsided\tJJ\tI-NP\tO' -p278434 -aS'hydronephrosis\thydronephrosis\tNN\tI-NP\tO' -p278435 -aS'.\t.\t.\tO\tO' -p278436 -asS'Her diabetes mellitus has been complicated by retinopathy and nephropathy as well as peripheral neuropathy .' -p278437 -(lp278438 -S'Her\tHer\tPRP$\tB-NP\tO' -p278439 -aS'diabetes\tdiabetes\tNN\tI-NP\tO' -p278440 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p278441 -aS'has\thave\tVBZ\tB-VP\tO' -p278442 -aS'been\tbe\tVBN\tI-VP\tO' -p278443 -aS'complicated\tcomplicate\tVBN\tI-VP\tO' -p278444 -aS'by\tby\tIN\tB-PP\tO' -p278445 -aS'retinopathy\tretinopathy\tNN\tB-NP\tO' -p278446 -aS'and\tand\tCC\tI-NP\tO' -p278447 -aS'nephropathy\tnephropathy\tNN\tI-NP\tO' -p278448 -aS'as\tas\tRB\tB-CONJP\tO' -p278449 -aS'well\twell\tRB\tI-CONJP\tO' -p278450 -aS'as\tas\tIN\tI-CONJP\tO' -p278451 -aS'peripheral\tperipheral\tJJ\tB-NP\tO' -p278452 -aS'neuropathy\tneuropathy\tNN\tI-NP\tO' -p278453 -aS'.\t.\t.\tO\tO' -p278454 -asS'Grimaces to nasal tickle .' -p278455 -(lp278456 -S'Grimaces\tGrimace\tNNS\tB-NP\tO' -p278457 -aS'to\tto\tTO\tB-PP\tO' -p278458 -aS'nasal\tnasal\tJJ\tB-NP\tO' -p278459 -aS'tickle\ttickle\tNN\tI-NP\tO' -p278460 -aS'.\t.\t.\tO\tO' -p278461 -asS'Fluconazole 400 mg q. 24 hours .' -p278462 -(lp278463 -S'Fluconazole\tFluconazole\tNN\tB-NP\tO' -p278464 -aS'400\t400\tCD\tI-NP\tO' -p278465 -aS'mg\tmg\tNN\tI-NP\tO' -p278466 -aS'q.\tq.\tNN\tI-NP\tO' -p278467 -aS'24\t24\tCD\tB-NP\tO' -p278468 -aS'hours\thour\tNNS\tI-NP\tO' -p278469 -aS'.\t.\t.\tO\tO' -p278470 -asS'Physical Therapy consult is pending today .' -p278471 -(lp278472 -S'Physical\tPhysical\tJJ\tB-NP\tO' -p278473 -aS'Therapy\tTherapy\tNN\tI-NP\tO' -p278474 -aS'consult\tconsult\tNN\tI-NP\tO' -p278475 -aS'is\tbe\tVBZ\tB-VP\tO' -p278476 -aS'pending\tpende\tVBG\tB-PP\tO' -p278477 -aS'today\ttoday\tNN\tB-NP\tO' -p278478 -aS'.\t.\t.\tO\tO' -p278479 -asS"This was initiated after several conversations with the patient 's mother , who stated that the patient had desired to be DNR / DNI for many years , not just in the recent past ." -p278480 -(lp278481 -S'This\tThis\tDT\tB-NP\tO' -p278482 -aS'was\tbe\tVBD\tB-VP\tO' -p278483 -aS'initiated\tinitiate\tVBN\tI-VP\tO' -p278484 -aS'after\tafter\tIN\tB-PP\tO' -p278485 -aS'several\tseveral\tJJ\tB-NP\tO' -p278486 -aS'conversations\tconversation\tNNS\tI-NP\tO' -p278487 -aS'with\twith\tIN\tB-PP\tO' -p278488 -aS'the\tthe\tDT\tB-NP\tO' -p278489 -aS'patient\tpatient\tNN\tI-NP\tO' -p278490 -aS"'s\t's\tPOS\tB-NP\tO" -p278491 -aS'mother\tmother\tNN\tI-NP\tO' -p278492 -aS',\t,\t,\tO\tO' -p278493 -aS'who\twho\tWP\tB-NP\tO' -p278494 -aS'stated\tstate\tVBD\tB-VP\tO' -p278495 -aS'that\tthat\tIN\tB-SBAR\tO' -p278496 -aS'the\tthe\tDT\tB-NP\tO' -p278497 -aS'patient\tpatient\tNN\tI-NP\tO' -p278498 -aS'had\thave\tVBD\tB-VP\tO' -p278499 -aS'desired\tdesire\tVBN\tI-VP\tO' -p278500 -aS'to\tto\tTO\tI-VP\tO' -p278501 -aS'be\tbe\tVB\tI-VP\tO' -p278502 -aS'DNR\tDNR\tNN\tB-NP\tB-protein' -p278503 -aS'/\t/\tSYM\tB-NP\tO' -p278504 -aS'DNI\tDNI\tNN\tI-NP\tO' -p278505 -aS'for\tfor\tIN\tB-PP\tO' -p278506 -aS'many\tmany\tJJ\tB-NP\tO' -p278507 -aS'years\tyear\tNNS\tI-NP\tO' -p278508 -aS',\t,\t,\tO\tO' -p278509 -aS'not\tnot\tRB\tB-CONJP\tO' -p278510 -aS'just\tjust\tRB\tI-CONJP\tO' -p278511 -aS'in\tin\tIN\tB-PP\tO' -p278512 -aS'the\tthe\tDT\tB-NP\tO' -p278513 -aS'recent\trecent\tJJ\tI-NP\tO' -p278514 -aS'past\tpast\tNN\tI-NP\tO' -p278515 -aS'.\t.\t.\tO\tO' -p278516 -asS'Finally , Fairm of Ijordcompmac Hospital transport team was called and transport team arrived on 9/7/93 , 6:30 a.m. , and on arrival patient was seizing with rhythmic eye movement to left .' -p278517 -(lp278518 -S'Finally\tFinally\tRB\tB-ADVP\tO' -p278519 -aS',\t,\t,\tO\tO' -p278520 -aS'Fairm\tFairm\tNNP\tB-NP\tO' -p278521 -aS'of\tof\tIN\tB-PP\tO' -p278522 -aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' -p278523 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p278524 -aS'transport\ttransport\tNN\tI-NP\tO' -p278525 -aS'team\tteam\tNN\tI-NP\tO' -p278526 -aS'was\tbe\tVBD\tB-VP\tO' -p278527 -aS'called\tcall\tVBN\tI-VP\tO' -p278528 -aS'and\tand\tCC\tO\tO' -p278529 -aS'transport\ttransport\tNN\tB-NP\tO' -p278530 -aS'team\tteam\tNN\tI-NP\tO' -p278531 -aS'arrived\tarrive\tVBN\tB-VP\tO' -p278532 -aS'on\ton\tIN\tB-PP\tO' -p278533 -aS'9/7/93\t9/7/93\tCD\tB-NP\tO' -p278534 -aS',\t,\t,\tO\tO' -p278535 -aS'6:30\t6:30\tCD\tB-NP\tO' -p278536 -aS'a.m.\ta.m.\tRB\tB-ADVP\tO' -p278537 -aS',\t,\t,\tO\tO' -p278538 -aS'and\tand\tCC\tO\tO' -p278539 -aS'on\ton\tIN\tB-PP\tO' -p278540 -aS'arrival\tarrival\tJJ\tB-NP\tO' -p278541 -aS'patient\tpatient\tNN\tI-NP\tO' -p278542 -aS'was\tbe\tVBD\tB-VP\tO' -p278543 -aS'seizing\tseize\tVBG\tI-VP\tO' -p278544 -aS'with\twith\tIN\tB-PP\tO' -p278545 -aS'rhythmic\trhythmic\tJJ\tB-NP\tO' -p278546 -aS'eye\teye\tNN\tI-NP\tO' -p278547 -aS'movement\tmovement\tNN\tI-NP\tO' -p278548 -aS'to\tto\tTO\tB-VP\tO' -p278549 -aS'left\tleft\tVB\tI-VP\tO' -p278550 -aS'.\t.\t.\tO\tO' -p278551 -asS'Positive for ETOH ( 10 glasses a week ), positive for drugs , marijuana in college .' -p278552 -(lp278553 -S'Positive\tPositive\tJJ\tB-ADJP\tO' -p278554 -aS'for\tfor\tIN\tB-PP\tO' -p278555 -aS'ETOH\tETOH\tNN\tB-NP\tB-protein' -p278556 -aS'(\t(\t(\tO\tO' -p278557 -aS'10\t10\tCD\tB-NP\tO' -p278558 -aS'glasses\tglass\tNNS\tI-NP\tO' -p278559 -aS'a\ta\tDT\tB-NP\tO' -p278560 -aS'week\tweek\tNN\tI-NP\tO' -p278561 -aS'),\t),\tVBD\tB-VP\tO' -p278562 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p278563 -aS'for\tfor\tIN\tB-PP\tO' -p278564 -aS'drugs\tdrug\tNNS\tB-NP\tO' -p278565 -aS',\t,\t,\tO\tO' -p278566 -aS'marijuana\tmarijuana\tNN\tB-NP\tO' -p278567 -aS'in\tin\tIN\tB-PP\tO' -p278568 -aS'college\tcollege\tNN\tB-NP\tO' -p278569 -aS'.\t.\t.\tO\tO' -p278570 -asS'The left atrium is elongated .' -p278571 -(lp278572 -S'The\tThe\tDT\tB-NP\tO' -p278573 -aS'left\tleft\tJJ\tI-NP\tO' -p278574 -aS'atrium\tatrium\tNN\tI-NP\tO' -p278575 -aS'is\tbe\tVBZ\tB-VP\tO' -p278576 -aS'elongated\telongate\tVBN\tI-VP\tO' -p278577 -aS'.\t.\t.\tO\tO' -p278578 -asS'- Lovenox 40 mg SC q24 for DVT ppx' -p278579 -(lp278580 -S'-\t-\tHYPH\tB-NP\tO' -p278581 -aS'Lovenox\tLovenox\tNN\tI-NP\tO' -p278582 -aS'40\t40\tCD\tI-NP\tO' -p278583 -aS'mg\tmg\tNN\tI-NP\tO' -p278584 -aS'SC\tSC\tNN\tI-NP\tO' -p278585 -aS'q24\tq24\tNN\tI-NP\tO' -p278586 -aS'for\tfor\tIN\tB-PP\tO' -p278587 -aS'DVT\tDVT\tNN\tB-NP\tO' -p278588 -aS'ppx\tppx\tNN\tI-NP\tO' -p278589 -asS'PERRL , EOMI , oropharynx clear , moist buccal mucosa .' -p278590 -(lp278591 -S'PERRL\tPERRL\tNN\tB-NP\tB-protein' -p278592 -aS',\t,\t,\tO\tO' -p278593 -aS'EOMI\tEOMI\tNN\tB-NP\tB-protein' -p278594 -aS',\t,\t,\tO\tO' -p278595 -aS'oropharynx\toropharynx\tNN\tB-NP\tO' -p278596 -aS'clear\tclear\tJJ\tI-NP\tO' -p278597 -aS',\t,\t,\tI-NP\tO' -p278598 -aS'moist\tmoist\tJJ\tI-NP\tO' -p278599 -aS'buccal\tbuccal\tJJ\tI-NP\tO' -p278600 -aS'mucosa\tmucosa\tNN\tI-NP\tO' -p278601 -aS'.\t.\t.\tO\tO' -p278602 -asS'Crackles in the right lung field .' -p278603 -(lp278604 -S'Crackles\tCrackle\tNNS\tB-NP\tO' -p278605 -aS'in\tin\tIN\tB-PP\tO' -p278606 -aS'the\tthe\tDT\tB-NP\tO' -p278607 -aS'right\tright\tJJ\tI-NP\tO' -p278608 -aS'lung\tlung\tNN\tI-NP\tO' -p278609 -aS'field\tfield\tNN\tI-NP\tO' -p278610 -aS'.\t.\t.\tO\tO' -p278611 -asS'Full code .' -p278612 -(lp278613 -S'Full\tFull\tJJ\tB-NP\tO' -p278614 -aS'code\tcode\tNN\tI-NP\tO' -p278615 -aS'.\t.\t.\tO\tO' -p278616 -asS'She therefore elected to undergo surgical treatment .' -p278617 -(lp278618 -S'She\tShe\tPRP\tB-NP\tO' -p278619 -aS'therefore\ttherefore\tRB\tB-ADVP\tO' -p278620 -aS'elected\telect\tVBD\tB-VP\tO' -p278621 -aS'to\tto\tTO\tI-VP\tO' -p278622 -aS'undergo\tundergo\tVB\tI-VP\tO' -p278623 -aS'surgical\tsurgical\tJJ\tB-NP\tO' -p278624 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p278625 -aS'.\t.\t.\tO\tO' -p278626 -asS'The patient tolerated this procedure well and had no complications .' -p278627 -(lp278628 -S'The\tThe\tDT\tB-NP\tO' -p278629 -aS'patient\tpatient\tNN\tI-NP\tO' -p278630 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p278631 -aS'this\tthis\tDT\tB-NP\tO' -p278632 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p278633 -aS'well\twell\tRB\tB-ADVP\tO' -p278634 -aS'and\tand\tCC\tO\tO' -p278635 -aS'had\thave\tVBD\tB-VP\tO' -p278636 -aS'no\tno\tDT\tB-NP\tO' -p278637 -aS'complications\tcomplication\tNNS\tI-NP\tO' -p278638 -aS'.\t.\t.\tO\tO' -p278639 -asS'The most recent hematocrit on day of life two was 47% .' -p278640 -(lp278641 -S'The\tThe\tDT\tB-NP\tO' -p278642 -aS'most\tmost\tRBS\tI-NP\tO' -p278643 -aS'recent\trecent\tJJ\tI-NP\tO' -p278644 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p278645 -aS'on\ton\tIN\tB-PP\tO' -p278646 -aS'day\tday\tNN\tB-NP\tO' -p278647 -aS'of\tof\tIN\tB-PP\tO' -p278648 -aS'life\tlife\tNN\tB-NP\tO' -p278649 -aS'two\ttwo\tCD\tI-NP\tO' -p278650 -aS'was\tbe\tVBD\tB-VP\tO' -p278651 -aS'47%\t47%\tCD\tB-NP\tO' -p278652 -aS'.\t.\t.\tO\tO' -p278653 -asS'13 ) Nephrocaps one tablet p.o. q. day .' -p278654 -(lp278655 -S'13\t13\tCD\tB-NP\tO' -p278656 -aS')\t)\t)\tO\tO' -p278657 -aS'Nephrocaps\tNephrocap\tVBZ\tB-VP\tO' -p278658 -aS'one\tone\tCD\tB-NP\tO' -p278659 -aS'tablet\ttablet\tNN\tI-NP\tO' -p278660 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p278661 -aS'q.\tq.\tNN\tI-NP\tO' -p278662 -aS'day\tday\tNN\tI-NP\tO' -p278663 -aS'.\t.\t.\tO\tO' -p278664 -asS'Percocet as needed for pain .' -p278665 -(lp278666 -S'Percocet\tPercocet\tNN\tB-NP\tO' -p278667 -aS'as\tas\tIN\tB-PP\tO' -p278668 -aS'needed\tneed\tVBN\tB-VP\tO' -p278669 -aS'for\tfor\tIN\tB-PP\tO' -p278670 -aS'pain\tpain\tNN\tB-NP\tO' -p278671 -aS'.\t.\t.\tO\tO' -p278672 -asS'The patient also has a history of hyperparathyroidism secondary to papillary thyroid cancer .' -p278673 -(lp278674 -S'The\tThe\tDT\tB-NP\tO' -p278675 -aS'patient\tpatient\tNN\tI-NP\tO' -p278676 -aS'also\talso\tRB\tB-ADVP\tO' -p278677 -aS'has\thave\tVBZ\tB-VP\tO' -p278678 -aS'a\ta\tDT\tB-NP\tO' -p278679 -aS'history\thistory\tNN\tI-NP\tO' -p278680 -aS'of\tof\tIN\tB-PP\tO' -p278681 -aS'hyperparathyroidism\thyperparathyroidism\tNN\tB-NP\tO' -p278682 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p278683 -aS'to\tto\tTO\tB-PP\tO' -p278684 -aS'papillary\tpapillary\tJJ\tB-NP\tO' -p278685 -aS'thyroid\tthyroid\tNN\tI-NP\tO' -p278686 -aS'cancer\tcancer\tNN\tI-NP\tO' -p278687 -aS'.\t.\t.\tO\tO' -p278688 -asS'Also c / o chest pain , substernal discomfort for past few days .' -p278689 -(lp278690 -S'Also\tAlso\tRB\tB-NP\tO' -p278691 -aS'c\tc\tNN\tI-NP\tO' -p278692 -aS'/\t/\tSYM\tB-NP\tO' -p278693 -aS'o\to\tNN\tI-NP\tO' -p278694 -aS'chest\tchest\tNN\tI-NP\tO' -p278695 -aS'pain\tpain\tNN\tI-NP\tO' -p278696 -aS',\t,\t,\tO\tO' -p278697 -aS'substernal\tsubsternal\tJJ\tB-NP\tO' -p278698 -aS'discomfort\tdiscomfort\tNN\tI-NP\tO' -p278699 -aS'for\tfor\tIN\tB-PP\tO' -p278700 -aS'past\tpast\tJJ\tB-NP\tO' -p278701 -aS'few\tfew\tJJ\tI-NP\tO' -p278702 -aS'days\tday\tNNS\tI-NP\tO' -p278703 -aS'.\t.\t.\tO\tO' -p278704 -asS'The patient tolerated the procedure well without any complications .' -p278705 -(lp278706 -S'The\tThe\tDT\tB-NP\tO' -p278707 -aS'patient\tpatient\tNN\tI-NP\tO' -p278708 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p278709 -aS'the\tthe\tDT\tB-NP\tO' -p278710 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p278711 -aS'well\twell\tRB\tB-ADVP\tO' -p278712 -aS'without\twithout\tIN\tB-PP\tO' -p278713 -aS'any\tany\tDT\tB-NP\tO' -p278714 -aS'complications\tcomplication\tNNS\tI-NP\tO' -p278715 -aS'.\t.\t.\tO\tO' -p278716 -asS'CBC on admission white blood cell count 8.9 , hematocrit 47% , platelets 243,000 , 6% neutrophils , 0 bands .' -p278717 -(lp278718 -S'CBC\tCBC\tNN\tB-NP\tB-protein' -p278719 -aS'on\ton\tIN\tB-PP\tO' -p278720 -aS'admission\tadmission\tNN\tB-NP\tO' -p278721 -aS'white\twhite\tJJ\tI-NP\tO' -p278722 -aS'blood\tblood\tNN\tI-NP\tO' -p278723 -aS'cell\tcell\tNN\tI-NP\tO' -p278724 -aS'count\tcount\tNN\tI-NP\tO' -p278725 -aS'8.9\t8.9\tCD\tB-NP\tO' -p278726 -aS',\t,\t,\tO\tO' -p278727 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p278728 -aS'47%\t47%\tNN\tI-NP\tI-protein' -p278729 -aS',\t,\t,\tO\tO' -p278730 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p278731 -aS'243,000\t243,000\tCD\tB-NP\tO' -p278732 -aS',\t,\t,\tO\tO' -p278733 -aS'6%\t6%\tCD\tB-NP\tO' -p278734 -aS'neutrophils\tneutrophil\tNNS\tI-NP\tB-cell_type' -p278735 -aS',\t,\t,\tO\tO' -p278736 -aS'0\t0\tCD\tB-NP\tO' -p278737 -aS'bands\tband\tNNS\tI-NP\tO' -p278738 -aS'.\t.\t.\tO\tO' -p278739 -asS'Required diuresis of > 9 L while in the ICU , after 2nd surgery .' -p278740 -(lp278741 -S'Required\tRequire\tVBN\tB-NP\tO' -p278742 -aS'diuresis\tdiuresis\tNN\tI-NP\tO' -p278743 -aS'of\tof\tIN\tB-PP\tO' -p278744 -aS'>\t>\tJJR\tB-NP\tO' -p278745 -aS'9\t9\tCD\tI-NP\tO' -p278746 -aS'L\tL\tNN\tI-NP\tO' -p278747 -aS'while\twhile\tIN\tB-SBAR\tO' -p278748 -aS'in\tin\tIN\tB-PP\tO' -p278749 -aS'the\tthe\tDT\tB-NP\tO' -p278750 -aS'ICU\tICU\tNN\tI-NP\tB-DNA' -p278751 -aS',\t,\t,\tO\tO' -p278752 -aS'after\tafter\tIN\tB-PP\tO' -p278753 -aS'2nd\t2nd\tCD\tB-NP\tO' -p278754 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p278755 -aS'.\t.\t.\tO\tO' -p278756 -asS'4. State Newborn Screens were sent on 09-27 and 2011-10-05 with no notification of abnormal results to date .' -p278757 -(lp278758 -S'4.\t4.\tLS\tB-LST\tO' -p278759 -aS'State\tState\tNNP\tB-NP\tO' -p278760 -aS'Newborn\tNewborn\tNNP\tI-NP\tO' -p278761 -aS'Screens\tScreens\tNNP\tI-NP\tO' -p278762 -aS'were\tbe\tVBD\tB-VP\tO' -p278763 -aS'sent\tsend\tVBN\tI-VP\tO' -p278764 -aS'on\ton\tIN\tB-PP\tO' -p278765 -aS'09-27\t09-27\tCD\tB-NP\tO' -p278766 -aS'and\tand\tCC\tI-NP\tO' -p278767 -aS'2011-10-05\t2011-10-05\tCD\tI-NP\tO' -p278768 -aS'with\twith\tIN\tB-PP\tO' -p278769 -aS'no\tno\tDT\tB-NP\tO' -p278770 -aS'notification\tnotification\tNN\tI-NP\tO' -p278771 -aS'of\tof\tIN\tB-PP\tO' -p278772 -aS'abnormal\tabnormal\tJJ\tB-NP\tO' -p278773 -aS'results\tresult\tNNS\tI-NP\tO' -p278774 -aS'to\tto\tTO\tB-PP\tO' -p278775 -aS'date\tdate\tNN\tB-NP\tO' -p278776 -aS'.\t.\t.\tO\tO' -p278777 -asS'8. Furosemide 20 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ) for 5 days .' -p278778 -(lp278779 -S'8.\t8.\tCD\tB-NP\tO' -p278780 -aS'Furosemide\tFurosemide\tNN\tI-NP\tO' -p278781 -aS'20\t20\tCD\tB-NP\tO' -p278782 -aS'mg\tmg\tNN\tI-NP\tO' -p278783 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p278784 -aS'Sig\tSig\tNNP\tI-NP\tO' -p278785 -aS':\t:\t:\tO\tO' -p278786 -aS'One\tOne\tCD\tB-NP\tO' -p278787 -aS'(\t(\t(\tO\tO' -p278788 -aS'1\t1\tCD\tB-NP\tO' -p278789 -aS')\t)\t)\tO\tO' -p278790 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p278791 -aS'PO\tPO\tNN\tI-NP\tO' -p278792 -aS'BID\tBID\tNN\tI-NP\tO' -p278793 -aS'(\t(\t(\tO\tO' -p278794 -aS'2\t2\tCD\tB-NP\tO' -p278795 -aS'times\ttime\tNNS\tI-NP\tO' -p278796 -aS'a\ta\tDT\tB-NP\tO' -p278797 -aS'day\tday\tNN\tI-NP\tO' -p278798 -aS')\t)\t)\tO\tO' -p278799 -aS'for\tfor\tIN\tB-PP\tO' -p278800 -aS'5\t5\tCD\tB-NP\tO' -p278801 -aS'days\tday\tNNS\tI-NP\tO' -p278802 -aS'.\t.\t.\tO\tO' -p278803 -asS'She was obtunded and was thus intubated for airway protection .' -p278804 -(lp278805 -S'She\tShe\tPRP\tB-NP\tO' -p278806 -aS'was\tbe\tVBD\tB-VP\tO' -p278807 -aS'obtunded\tobtund\tVBN\tI-VP\tO' -p278808 -aS'and\tand\tCC\tO\tO' -p278809 -aS'was\tbe\tVBD\tB-VP\tO' -p278810 -aS'thus\tthus\tRB\tI-VP\tO' -p278811 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p278812 -aS'for\tfor\tIN\tB-PP\tO' -p278813 -aS'airway\tairway\tNN\tB-NP\tO' -p278814 -aS'protection\tprotection\tNN\tI-NP\tO' -p278815 -aS'.\t.\t.\tO\tO' -p278816 -asS'He was transfered to the regular part of the hospital on POD#2 , where he began working with physical therapy .' -p278817 -(lp278818 -S'He\tHe\tPRP\tB-NP\tO' -p278819 -aS'was\tbe\tVBD\tB-VP\tO' -p278820 -aS'transfered\ttransfer\tVBN\tI-VP\tO' -p278821 -aS'to\tto\tTO\tB-PP\tO' -p278822 -aS'the\tthe\tDT\tB-NP\tO' -p278823 -aS'regular\tregular\tJJ\tI-NP\tO' -p278824 -aS'part\tpart\tNN\tI-NP\tO' -p278825 -aS'of\tof\tIN\tB-PP\tO' -p278826 -aS'the\tthe\tDT\tB-NP\tO' -p278827 -aS'hospital\thospital\tNN\tI-NP\tO' -p278828 -aS'on\ton\tIN\tB-PP\tO' -p278829 -aS'POD#2\tPOD#2\tNN\tB-NP\tB-protein' -p278830 -aS',\t,\t,\tO\tO' -p278831 -aS'where\twhere\tWRB\tB-ADVP\tO' -p278832 -aS'he\the\tPRP\tB-NP\tO' -p278833 -aS'began\tbegin\tVBD\tB-VP\tO' -p278834 -aS'working\twork\tVBG\tI-VP\tO' -p278835 -aS'with\twith\tIN\tB-PP\tO' -p278836 -aS'physical\tphysical\tJJ\tB-NP\tO' -p278837 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p278838 -aS'.\t.\t.\tO\tO' -p278839 -asS'Ativan 1 mg PO Q6H prn' -p278840 -(lp278841 -S'Ativan\tAtivan\tIN\tB-PP\tO' -p278842 -aS'1\t1\tCD\tB-NP\tO' -p278843 -aS'mg\tmg\tNN\tI-NP\tO' -p278844 -aS'PO\tPO\tNN\tI-NP\tO' -p278845 -aS'Q6H\tQ6H\tNN\tI-NP\tO' -p278846 -aS'prn\tprn\tNN\tI-NP\tO' -p278847 -asS'Codeine , reaction unknown .' -p278848 -(lp278849 -S'Codeine\tCodeine\tNN\tB-NP\tO' -p278850 -aS',\t,\t,\tI-NP\tO' -p278851 -aS'reaction\treaction\tNN\tI-NP\tO' -p278852 -aS'unknown\tunknown\tJJ\tI-NP\tO' -p278853 -aS'.\t.\t.\tO\tO' -p278854 -asS'His respiratory condition continued to deteriorate despite aggressive chest physical therapy for possible blood , given Lasix for congestive heart failure , became hypotensive , hypoxic and intubated .' -p278855 -(lp278856 -S'His\tHis\tPRP$\tB-NP\tO' -p278857 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p278858 -aS'condition\tcondition\tNN\tI-NP\tO' -p278859 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p278860 -aS'to\tto\tTO\tI-VP\tO' -p278861 -aS'deteriorate\tdeteriorate\tVB\tI-VP\tO' -p278862 -aS'despite\tdespite\tIN\tB-PP\tO' -p278863 -aS'aggressive\taggressive\tJJ\tB-NP\tO' -p278864 -aS'chest\tchest\tNN\tI-NP\tO' -p278865 -aS'physical\tphysical\tJJ\tI-NP\tO' -p278866 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p278867 -aS'for\tfor\tIN\tB-PP\tO' -p278868 -aS'possible\tpossible\tJJ\tB-NP\tO' -p278869 -aS'blood\tblood\tNN\tI-NP\tO' -p278870 -aS',\t,\t,\tO\tO' -p278871 -aS'given\tgive\tVBN\tB-PP\tO' -p278872 -aS'Lasix\tLasix\tNNP\tB-NP\tO' -p278873 -aS'for\tfor\tIN\tB-PP\tO' -p278874 -aS'congestive\tcongestive\tJJ\tB-NP\tO' -p278875 -aS'heart\theart\tNN\tI-NP\tO' -p278876 -aS'failure\tfailure\tNN\tI-NP\tO' -p278877 -aS',\t,\t,\tO\tO' -p278878 -aS'became\tbecome\tVBD\tB-VP\tO' -p278879 -aS'hypotensive\thypotensive\tJJ\tB-ADJP\tO' -p278880 -aS',\t,\t,\tI-ADJP\tO' -p278881 -aS'hypoxic\thypoxic\tJJ\tI-ADJP\tO' -p278882 -aS'and\tand\tCC\tI-ADJP\tO' -p278883 -aS'intubated\tintubated\tJJ\tI-ADJP\tO' -p278884 -aS'.\t.\t.\tO\tO' -p278885 -asS'Refractory CLL with bone marrow involvement , status post MUD , mini-allo stem cell transplant , December , 2002 , Acanthamoeba infection of skin and sinuses , recently treated with IV pentamidine and p.o. voriconazole , history of recurrent CMB infection , recent ARS on CRI , thought due to medication toxicity ( creatinine on discharge from Retelk County Medical Center on October 16 was 2.6) .' -p278886 -(lp278887 -S'Refractory\tRefractory\tJJ\tB-NP\tO' -p278888 -aS'CLL\tCLL\tNN\tI-NP\tO' -p278889 -aS'with\twith\tIN\tB-PP\tO' -p278890 -aS'bone\tbone\tNN\tB-NP\tO' -p278891 -aS'marrow\tmarrow\tNN\tI-NP\tO' -p278892 -aS'involvement\tinvolvement\tNN\tI-NP\tO' -p278893 -aS',\t,\t,\tO\tO' -p278894 -aS'status\tstatus\tNN\tB-NP\tO' -p278895 -aS'post\tpost\tNN\tI-NP\tO' -p278896 -aS'MUD\tMUD\tNN\tI-NP\tO' -p278897 -aS',\t,\t,\tO\tO' -p278898 -aS'mini-allo\tmini-allo\tJJ\tB-NP\tO' -p278899 -aS'stem\tstem\tNN\tI-NP\tO' -p278900 -aS'cell\tcell\tNN\tI-NP\tO' -p278901 -aS'transplant\ttransplant\tNN\tI-NP\tO' -p278902 -aS',\t,\t,\tO\tO' -p278903 -aS'December\tDecember\tNNP\tB-NP\tO' -p278904 -aS',\t,\t,\tO\tO' -p278905 -aS'2002\t2002\tCD\tB-NP\tO' -p278906 -aS',\t,\t,\tO\tO' -p278907 -aS'Acanthamoeba\tAcanthamoeba\tNNP\tB-NP\tO' -p278908 -aS'infection\tinfection\tNN\tI-NP\tO' -p278909 -aS'of\tof\tIN\tB-PP\tO' -p278910 -aS'skin\tskin\tNN\tB-NP\tO' -p278911 -aS'and\tand\tCC\tI-NP\tO' -p278912 -aS'sinuses\tsinus\tNNS\tI-NP\tO' -p278913 -aS',\t,\t,\tO\tO' -p278914 -aS'recently\trecently\tRB\tB-VP\tO' -p278915 -aS'treated\ttreat\tVBN\tI-VP\tO' -p278916 -aS'with\twith\tIN\tB-PP\tO' -p278917 -aS'IV\tIV\tCD\tB-NP\tO' -p278918 -aS'pentamidine\tpentamidine\tNN\tI-NP\tO' -p278919 -aS'and\tand\tCC\tI-NP\tO' -p278920 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p278921 -aS'voriconazole\tvoriconazole\tNN\tI-NP\tO' -p278922 -aS',\t,\t,\tO\tO' -p278923 -aS'history\thistory\tNN\tB-NP\tO' -p278924 -aS'of\tof\tIN\tB-PP\tO' -p278925 -aS'recurrent\trecurrent\tJJ\tB-NP\tO' -p278926 -aS'CMB\tCMB\tNN\tI-NP\tO' -p278927 -aS'infection\tinfection\tNN\tI-NP\tO' -p278928 -aS',\t,\t,\tO\tO' -p278929 -aS'recent\trecent\tJJ\tB-NP\tO' -p278930 -aS'ARS\tARS\tNN\tI-NP\tB-protein' -p278931 -aS'on\ton\tIN\tB-PP\tO' -p278932 -aS'CRI\tCRI\tNN\tB-NP\tB-protein' -p278933 -aS',\t,\t,\tO\tO' -p278934 -aS'thought\tthink\tVBD\tB-VP\tO' -p278935 -aS'due\tdue\tIN\tB-PP\tO' -p278936 -aS'to\tto\tTO\tB-PP\tO' -p278937 -aS'medication\tmedication\tNN\tB-NP\tO' -p278938 -aS'toxicity\ttoxicity\tNN\tI-NP\tO' -p278939 -aS'(\t(\t(\tO\tO' -p278940 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p278941 -aS'on\ton\tIN\tB-PP\tO' -p278942 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p278943 -aS'from\tfrom\tIN\tB-PP\tO' -p278944 -aS'Retelk\tRetelk\tNNP\tB-NP\tO' -p278945 -aS'County\tCounty\tNNP\tI-NP\tO' -p278946 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p278947 -aS'Center\tCenter\tNNP\tI-NP\tO' -p278948 -aS'on\ton\tIN\tB-PP\tO' -p278949 -aS'October\tOctober\tNNP\tB-NP\tB-protein' -p278950 -aS'16\t16\tCD\tI-NP\tI-protein' -p278951 -aS'was\tbe\tVBD\tB-VP\tI-protein' -p278952 -aS'2.6)\t2.6)\tCD\tB-NP\tI-protein' -p278953 -aS'.\t.\t.\tO\tO' -p278954 -asS"Pt was stable and had appropriate Hct bump to 25 after 2U PRBC 's." -p278955 -(lp278956 -S'Pt\tPt\tNN\tB-NP\tO' -p278957 -aS'was\tbe\tVBD\tB-VP\tO' -p278958 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p278959 -aS'and\tand\tCC\tO\tO' -p278960 -aS'had\thave\tVBD\tB-VP\tO' -p278961 -aS'appropriate\tappropriate\tJJ\tB-NP\tO' -p278962 -aS'Hct\tHct\tNN\tI-NP\tO' -p278963 -aS'bump\tbump\tNN\tI-NP\tO' -p278964 -aS'to\tto\tTO\tB-PP\tO' -p278965 -aS'25\t25\tCD\tB-NP\tO' -p278966 -aS'after\tafter\tIN\tB-SBAR\tO' -p278967 -aS'2U\t2U\tNN\tB-NP\tO' -p278968 -aS'PRBC\tPRBC\tNN\tI-NP\tO' -p278969 -aS"'s.\t's.\tPOS\tB-NP\tO" -p278970 -asS'Morphine sulfate 4 mg q2 hrs prn' -p278971 -(lp278972 -S'Morphine\tMorphine\tNN\tB-NP\tO' -p278973 -aS'sulfate\tsulfate\tNN\tI-NP\tO' -p278974 -aS'4\t4\tCD\tI-NP\tO' -p278975 -aS'mg\tmg\tNN\tI-NP\tO' -p278976 -aS'q2\tq2\tNN\tI-NP\tO' -p278977 -aS'hrs\thr\tNNS\tI-NP\tO' -p278978 -aS'prn\tprn\tVBP\tB-VP\tO' -p278979 -asS'Mr. Breutzfarstxei is a 30 year old man with recently diagnosed acquired immunodeficiency syndrome and Pneumocystis carinii pneumonia who presented with pneumonia , developed adult respiratory distress syndrome , and died in the hospital after failed efforts of ventilatory support .' -p278980 -(lp278981 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p278982 -aS'Breutzfarstxei\tBreutzfarstxei\tNNP\tI-NP\tO' -p278983 -aS'is\tbe\tVBZ\tB-VP\tO' -p278984 -aS'a\ta\tDT\tB-NP\tO' -p278985 -aS'30\t30\tCD\tI-NP\tO' -p278986 -aS'year\tyear\tNN\tI-NP\tO' -p278987 -aS'old\told\tJJ\tI-NP\tO' -p278988 -aS'man\tman\tNN\tI-NP\tO' -p278989 -aS'with\twith\tIN\tB-PP\tO' -p278990 -aS'recently\trecently\tRB\tB-NP\tO' -p278991 -aS'diagnosed\tdiagnose\tVBN\tI-NP\tO' -p278992 -aS'acquired\tacquire\tVBN\tI-NP\tO' -p278993 -aS'immunodeficiency\timmunodeficiency\tNN\tI-NP\tO' -p278994 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p278995 -aS'and\tand\tCC\tO\tO' -p278996 -aS'Pneumocystis\tPneumocystis\tNN\tB-NP\tO' -p278997 -aS'carinii\tcarinii\tNN\tI-NP\tO' -p278998 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p278999 -aS'who\twho\tWP\tB-NP\tO' -p279000 -aS'presented\tpresent\tVBD\tB-VP\tO' -p279001 -aS'with\twith\tIN\tB-PP\tO' -p279002 -aS'pneumonia\tpneumonia\tNN\tB-NP\tO' -p279003 -aS',\t,\t,\tO\tO' -p279004 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p279005 -aS'adult\tadult\tJJ\tB-NP\tO' -p279006 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p279007 -aS'distress\tdistress\tNN\tI-NP\tO' -p279008 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p279009 -aS',\t,\t,\tO\tO' -p279010 -aS'and\tand\tCC\tO\tO' -p279011 -aS'died\tdie\tVBD\tB-VP\tO' -p279012 -aS'in\tin\tIN\tB-PP\tO' -p279013 -aS'the\tthe\tDT\tB-NP\tO' -p279014 -aS'hospital\thospital\tNN\tI-NP\tO' -p279015 -aS'after\tafter\tIN\tB-PP\tO' -p279016 -aS'failed\tfail\tVBN\tB-NP\tO' -p279017 -aS'efforts\teffort\tNNS\tI-NP\tO' -p279018 -aS'of\tof\tIN\tB-PP\tO' -p279019 -aS'ventilatory\tventilatory\tJJ\tB-NP\tO' -p279020 -aS'support\tsupport\tNN\tI-NP\tO' -p279021 -aS'.\t.\t.\tO\tO' -p279022 -asS'Supporting tubes and lines are in unchanged position and the patient has a single lead pacemaker projected on the left .' -p279023 -(lp279024 -S'Supporting\tSupport\tVBG\tB-VP\tO' -p279025 -aS'tubes\ttube\tNNS\tB-NP\tO' -p279026 -aS'and\tand\tCC\tI-NP\tO' -p279027 -aS'lines\tline\tNNS\tI-NP\tO' -p279028 -aS'are\tbe\tVBP\tB-VP\tO' -p279029 -aS'in\tin\tIN\tB-PP\tO' -p279030 -aS'unchanged\tunchanged\tJJ\tB-NP\tO' -p279031 -aS'position\tposition\tNN\tI-NP\tO' -p279032 -aS'and\tand\tCC\tO\tO' -p279033 -aS'the\tthe\tDT\tB-NP\tO' -p279034 -aS'patient\tpatient\tNN\tI-NP\tO' -p279035 -aS'has\thave\tVBZ\tB-VP\tO' -p279036 -aS'a\ta\tDT\tB-NP\tO' -p279037 -aS'single\tsingle\tJJ\tI-NP\tO' -p279038 -aS'lead\tlead\tNN\tI-NP\tO' -p279039 -aS'pacemaker\tpacemaker\tNN\tI-NP\tO' -p279040 -aS'projected\tproject\tVBN\tB-VP\tO' -p279041 -aS'on\ton\tIN\tB-PP\tO' -p279042 -aS'the\tthe\tDT\tB-NP\tO' -p279043 -aS'left\tleft\tNN\tI-NP\tO' -p279044 -aS'.\t.\t.\tO\tO' -p279045 -asS'He returns from the nursing home with fever , leukocytosis , and azotemia .' -p279046 -(lp279047 -S'He\tHe\tPRP\tB-NP\tO' -p279048 -aS'returns\treturn\tVBZ\tB-VP\tO' -p279049 -aS'from\tfrom\tIN\tB-PP\tO' -p279050 -aS'the\tthe\tDT\tB-NP\tO' -p279051 -aS'nursing\tnursing\tNN\tI-NP\tO' -p279052 -aS'home\thome\tNN\tI-NP\tO' -p279053 -aS'with\twith\tIN\tB-PP\tO' -p279054 -aS'fever\tfever\tNN\tB-NP\tO' -p279055 -aS',\t,\t,\tO\tO' -p279056 -aS'leukocytosis\tleukocytosis\tNN\tB-NP\tO' -p279057 -aS',\t,\t,\tO\tO' -p279058 -aS'and\tand\tCC\tO\tO' -p279059 -aS'azotemia\tazotemia\tNN\tB-NP\tO' -p279060 -aS'.\t.\t.\tO\tO' -p279061 -asS'1. C4-C5 , C5-C6 , anterior microdiscectomy and fusion with right iliac bone graft .' -p279062 -(lp279063 -S'1.\t1.\tLS\tB-LST\tO' -p279064 -aS'C4-C5\tC4-C5\tNN\tB-NP\tB-DNA' -p279065 -aS',\t,\t,\tO\tO' -p279066 -aS'C5-C6\tC5-C6\tNN\tB-NP\tB-DNA' -p279067 -aS',\t,\t,\tO\tO' -p279068 -aS'anterior\tanterior\tJJ\tB-NP\tO' -p279069 -aS'microdiscectomy\tmicrodiscectomy\tNN\tI-NP\tO' -p279070 -aS'and\tand\tCC\tI-NP\tO' -p279071 -aS'fusion\tfusion\tNN\tI-NP\tO' -p279072 -aS'with\twith\tIN\tB-PP\tO' -p279073 -aS'right\tright\tJJ\tB-NP\tO' -p279074 -aS'iliac\tiliac\tJJ\tI-NP\tO' -p279075 -aS'bone\tbone\tNN\tI-NP\tO' -p279076 -aS'graft\tgraft\tNN\tI-NP\tO' -p279077 -aS'.\t.\t.\tO\tO' -p279078 -asS'1. Pulmonary Edema and Hypoxic Respiratory Failure' -p279079 -(lp279080 -S'1.\t1.\tLS\tB-LST\tO' -p279081 -aS'Pulmonary\tPulmonary\tNNP\tB-NP\tO' -p279082 -aS'Edema\tEdema\tNNP\tI-NP\tO' -p279083 -aS'and\tand\tCC\tO\tO' -p279084 -aS'Hypoxic\tHypoxic\tNNP\tB-NP\tO' -p279085 -aS'Respiratory\tRespiratory\tNNP\tI-NP\tO' -p279086 -aS'Failure\tFailure\tNN\tI-NP\tO' -p279087 -asS'He was warm and well perfused .' -p279088 -(lp279089 -S'He\tHe\tPRP\tB-NP\tO' -p279090 -aS'was\tbe\tVBD\tB-VP\tO' -p279091 -aS'warm\twarm\tJJ\tB-ADJP\tO' -p279092 -aS'and\tand\tCC\tO\tO' -p279093 -aS'well\twell\tRB\tB-ADJP\tO' -p279094 -aS'perfused\tperfuse\tVBN\tI-ADJP\tO' -p279095 -aS'.\t.\t.\tO\tO' -p279096 -asS'There was no organomegaly .' -p279097 -(lp279098 -S'There\tThere\tEX\tB-NP\tO' -p279099 -aS'was\tbe\tVBD\tB-VP\tO' -p279100 -aS'no\tno\tDT\tB-NP\tO' -p279101 -aS'organomegaly\torganomegaly\tNN\tI-NP\tO' -p279102 -aS'.\t.\t.\tO\tO' -p279103 -asS'discharged on ACE-I .' -p279104 -(lp279105 -S'discharged\tdischarge\tVBN\tB-VP\tO' -p279106 -aS'on\ton\tIN\tB-PP\tO' -p279107 -aS'ACE-I\tACE-I\tNN\tB-NP\tB-protein' -p279108 -aS'.\t.\t.\tO\tO' -p279109 -asS'Initially treated with intravenous ceftizoxime , gentamicin , and Flagyl for presumed sepsis , either with urine or bowel source .' -p279110 -(lp279111 -S'Initially\tInitially\tRB\tB-ADVP\tO' -p279112 -aS'treated\ttreat\tVBN\tB-VP\tO' -p279113 -aS'with\twith\tIN\tB-PP\tO' -p279114 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p279115 -aS'ceftizoxime\tceftizoxime\tNN\tI-NP\tO' -p279116 -aS',\t,\t,\tO\tO' -p279117 -aS'gentamicin\tgentamicin\tNN\tB-NP\tO' -p279118 -aS',\t,\t,\tO\tO' -p279119 -aS'and\tand\tCC\tO\tO' -p279120 -aS'Flagyl\tFlagyl\tNN\tB-NP\tO' -p279121 -aS'for\tfor\tIN\tB-PP\tO' -p279122 -aS'presumed\tpresume\tVBN\tB-NP\tO' -p279123 -aS'sepsis\tsepsis\tNN\tI-NP\tO' -p279124 -aS',\t,\t,\tO\tO' -p279125 -aS'either\teither\tCC\tB-PP\tO' -p279126 -aS'with\twith\tIN\tI-PP\tO' -p279127 -aS'urine\turine\tNN\tB-NP\tO' -p279128 -aS'or\tor\tCC\tI-NP\tO' -p279129 -aS'bowel\tbowel\tNN\tI-NP\tO' -p279130 -aS'source\tsource\tNN\tI-NP\tO' -p279131 -aS'.\t.\t.\tO\tO' -p279132 -asS'4 ) Cardizem 125 mg p.o. q. day .' -p279133 -(lp279134 -S'4\t4\tLS\tB-LST\tO' -p279135 -aS')\t)\t)\tO\tO' -p279136 -aS'Cardizem\tCardizem\tVB\tB-VP\tO' -p279137 -aS'125\t125\tCD\tB-NP\tO' -p279138 -aS'mg\tmg\tNN\tI-NP\tO' -p279139 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p279140 -aS'q.\tq.\tNN\tI-NP\tO' -p279141 -aS'day\tday\tNN\tI-NP\tO' -p279142 -aS'.\t.\t.\tO\tO' -p279143 -asS'Her echocardiogram , however , was essentially normal with an ejection fraction of 55% without any gross wall motion abnormalities or valvular pathology .' -p279144 -(lp279145 -S'Her\tHer\tPRP$\tB-NP\tO' -p279146 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p279147 -aS',\t,\t,\tO\tO' -p279148 -aS'however\thowever\tRB\tB-ADVP\tO' -p279149 -aS',\t,\t,\tO\tO' -p279150 -aS'was\tbe\tVBD\tB-VP\tO' -p279151 -aS'essentially\tessentially\tRB\tB-ADJP\tO' -p279152 -aS'normal\tnormal\tJJ\tI-ADJP\tO' -p279153 -aS'with\twith\tIN\tB-PP\tO' -p279154 -aS'an\tan\tDT\tB-NP\tO' -p279155 -aS'ejection\tejection\tNN\tI-NP\tO' -p279156 -aS'fraction\tfraction\tNN\tI-NP\tO' -p279157 -aS'of\tof\tIN\tB-PP\tO' -p279158 -aS'55%\t55%\tNN\tB-NP\tO' -p279159 -aS'without\twithout\tIN\tB-PP\tO' -p279160 -aS'any\tany\tDT\tB-NP\tO' -p279161 -aS'gross\tgross\tJJ\tI-NP\tO' -p279162 -aS'wall\twall\tNN\tI-NP\tO' -p279163 -aS'motion\tmotion\tNN\tI-NP\tO' -p279164 -aS'abnormalities\tabnormality\tNNS\tI-NP\tO' -p279165 -aS'or\tor\tCC\tO\tO' -p279166 -aS'valvular\tvalvular\tJJ\tB-NP\tO' -p279167 -aS'pathology\tpathology\tNN\tI-NP\tO' -p279168 -aS'.\t.\t.\tO\tO' -p279169 -asS'The patient is do not resuscitate at family 's request .' -p279170 -(lp279171 -S'The\tThe\tDT\tB-NP\tO' -p279172 -aS'patient\tpatient\tNN\tI-NP\tO' -p279173 -aS'is\tbe\tVBZ\tB-VP\tO' -p279174 -aS'do\tdo\tVBP\tI-VP\tO' -p279175 -aS'not\tnot\tRB\tI-VP\tO' -p279176 -aS'resuscitate\tresuscitate\tVB\tI-VP\tO' -p279177 -aS'at\tat\tIN\tB-PP\tO' -p279178 -aS'family\tfamily\tNN\tB-NP\tO' -p279179 -aS''s\t'\tNNS\tI-NP\tO' -p279180 -aS'request\trequest\tNN\tI-NP\tO' -p279181 -aS'.\t.\t.\tO\tO' -p279182 -asS'Musculoskeletal : Has suffered significant deconditioning since admission , but has consisitently recieved PT .' -p279183 -(lp279184 -S'Musculoskeletal\tMusculoskeletal\tJJ\tB-ADJP\tO' -p279185 -aS':\t:\t:\tO\tO' -p279186 -aS'Has\tHas\tNNP\tB-NP\tO' -p279187 -aS'suffered\tsuffer\tVBD\tB-VP\tO' -p279188 -aS'significant\tsignificant\tJJ\tB-NP\tO' -p279189 -aS'deconditioning\tdeconditioning\tNN\tI-NP\tO' -p279190 -aS'since\tsince\tIN\tB-PP\tO' -p279191 -aS'admission\tadmission\tNN\tB-NP\tO' -p279192 -aS',\t,\t,\tO\tO' -p279193 -aS'but\tbut\tCC\tO\tO' -p279194 -aS'has\thave\tVBZ\tB-VP\tO' -p279195 -aS'consisitently\tconsisitently\tRB\tI-VP\tO' -p279196 -aS'recieved\trecieve\tVBN\tI-VP\tO' -p279197 -aS'PT\tPT\tNN\tB-NP\tO' -p279198 -aS'.\t.\t.\tO\tO' -p279199 -asS'Denies incontinence .' -p279200 -(lp279201 -S'Denies\tDeny\tNNS\tB-NP\tO' -p279202 -aS'incontinence\tincontinence\tNN\tI-NP\tO' -p279203 -aS'.\t.\t.\tO\tO' -p279204 -asS'As directed .' -p279205 -(lp279206 -S'As\tAs\tIN\tB-SBAR\tO' -p279207 -aS'directed\tdirect\tVBN\tB-VP\tO' -p279208 -aS'.\t.\t.\tO\tO' -p279209 -asS'Cardiac regular rate and rhythm , normal S1 and S2 , I/VI holosystolic murmur at the apex .' -p279210 -(lp279211 -S'Cardiac\tCardiac\tJJ\tB-NP\tO' -p279212 -aS'regular\tregular\tJJ\tI-NP\tO' -p279213 -aS'rate\trate\tNN\tI-NP\tO' -p279214 -aS'and\tand\tCC\tI-NP\tO' -p279215 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p279216 -aS',\t,\t,\tO\tO' -p279217 -aS'normal\tnormal\tJJ\tB-NP\tO' -p279218 -aS'S1\tS1\tNN\tI-NP\tB-protein' -p279219 -aS'and\tand\tCC\tO\tO' -p279220 -aS'S2\tS2\tNN\tB-NP\tB-protein' -p279221 -aS',\t,\t,\tO\tO' -p279222 -aS'I/VI\tI/VI\tNN\tB-NP\tO' -p279223 -aS'holosystolic\tholosystolic\tJJ\tI-NP\tO' -p279224 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p279225 -aS'at\tat\tIN\tB-PP\tO' -p279226 -aS'the\tthe\tDT\tB-NP\tO' -p279227 -aS'apex\tapex\tNN\tI-NP\tO' -p279228 -aS'.\t.\t.\tO\tO' -p279229 -asS'He had a positive exercise tolerance test with Thallium and repeat cardiac catheterization showed left anterior descending being patent and distal posterior descending artery lesion with circumflex lesion after the obtuse marginal 1 .' -p279230 -(lp279231 -S'He\tHe\tPRP\tB-NP\tO' -p279232 -aS'had\thave\tVBD\tB-VP\tO' -p279233 -aS'a\ta\tDT\tB-NP\tO' -p279234 -aS'positive\tpositive\tJJ\tI-NP\tO' -p279235 -aS'exercise\texercise\tNN\tI-NP\tO' -p279236 -aS'tolerance\ttolerance\tNN\tI-NP\tO' -p279237 -aS'test\ttest\tNN\tI-NP\tO' -p279238 -aS'with\twith\tIN\tB-PP\tO' -p279239 -aS'Thallium\tThallium\tNN\tB-NP\tO' -p279240 -aS'and\tand\tCC\tI-NP\tO' -p279241 -aS'repeat\trepeat\tNN\tI-NP\tO' -p279242 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p279243 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p279244 -aS'showed\tshow\tVBD\tB-VP\tO' -p279245 -aS'left\tleft\tJJ\tB-NP\tO' -p279246 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p279247 -aS'descending\tdescend\tVBG\tI-NP\tO' -p279248 -aS'being\tbe\tVBG\tB-VP\tO' -p279249 -aS'patent\tpatent\tNN\tB-NP\tO' -p279250 -aS'and\tand\tCC\tO\tO' -p279251 -aS'distal\tdistal\tJJ\tB-NP\tO' -p279252 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p279253 -aS'descending\tdescend\tVBG\tI-NP\tO' -p279254 -aS'artery\tartery\tNN\tI-NP\tO' -p279255 -aS'lesion\tlesion\tNN\tI-NP\tO' -p279256 -aS'with\twith\tIN\tB-PP\tO' -p279257 -aS'circumflex\tcircumflex\tNN\tB-NP\tO' -p279258 -aS'lesion\tlesion\tNN\tI-NP\tO' -p279259 -aS'after\tafter\tIN\tB-PP\tO' -p279260 -aS'the\tthe\tDT\tB-NP\tO' -p279261 -aS'obtuse\tobtuse\tNN\tI-NP\tO' -p279262 -aS'marginal\tmarginal\tJJ\tI-NP\tO' -p279263 -aS'1\t1\tCD\tI-NP\tO' -p279264 -aS'.\t.\t.\tO\tO' -p279265 -asS'Dictated By : Harriet E. Evans , M.D.' -p279266 -(lp279267 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p279268 -aS'By\tBy\tIN\tB-PP\tO' -p279269 -aS':\t:\t:\tO\tO' -p279270 -aS'Harriet\tHarriet\tNNP\tB-NP\tO' -p279271 -aS'E.\tE.\tNNP\tI-NP\tO' -p279272 -aS'Evans\tEvans\tNNP\tI-NP\tO' -p279273 -aS',\t,\t,\tO\tO' -p279274 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p279275 -asS'Dictated By : Leonard J. Pellegrino , M.D.' -p279276 -(lp279277 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p279278 -aS'By\tBy\tIN\tB-PP\tO' -p279279 -aS':\t:\t:\tO\tO' -p279280 -aS'Leonard\tLeonard\tNNP\tB-NP\tO' -p279281 -aS'J.\tJ.\tNNP\tI-NP\tO' -p279282 -aS'Pellegrino\tPellegrino\tNNP\tI-NP\tO' -p279283 -aS',\t,\t,\tO\tO' -p279284 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p279285 -asS'Do gentle range of motion exercises for the next few days .' -p279286 -(lp279287 -S'Do\tDo\tVBP\tO\tO' -p279288 -aS'gentle\tgentle\tJJ\tB-NP\tO' -p279289 -aS'range\trange\tNN\tI-NP\tO' -p279290 -aS'of\tof\tIN\tB-PP\tO' -p279291 -aS'motion\tmotion\tNN\tB-NP\tO' -p279292 -aS'exercises\texercise\tNNS\tI-NP\tO' -p279293 -aS'for\tfor\tIN\tB-PP\tO' -p279294 -aS'the\tthe\tDT\tB-NP\tO' -p279295 -aS'next\tnext\tJJ\tI-NP\tO' -p279296 -aS'few\tfew\tJJ\tI-NP\tO' -p279297 -aS'days\tday\tNNS\tI-NP\tO' -p279298 -aS'.\t.\t.\tO\tO' -p279299 -asS'My pager number at Verg Medical Center is number 54930 .' -p279300 -(lp279301 -S'My\tMy\tPRP$\tB-NP\tO' -p279302 -aS'pager\tpager\tNN\tI-NP\tO' -p279303 -aS'number\tnumber\tNN\tI-NP\tO' -p279304 -aS'at\tat\tIN\tB-PP\tO' -p279305 -aS'Verg\tVerg\tNNP\tB-NP\tO' -p279306 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p279307 -aS'Center\tCenter\tNNP\tI-NP\tO' -p279308 -aS'is\tbe\tVBZ\tB-VP\tO' -p279309 -aS'number\tnumber\tNN\tB-NP\tO' -p279310 -aS'54930\t54930\tCD\tI-NP\tO' -p279311 -aS'.\t.\t.\tO\tO' -p279312 -asS'Therefore , she was continued on a Neo-Synephrine drip to maintain a systolic blood pressure greater than 110 .' -p279313 -(lp279314 -S'Therefore\tTherefore\tRB\tB-ADVP\tO' -p279315 -aS',\t,\t,\tO\tO' -p279316 -aS'she\tshe\tPRP\tB-NP\tO' -p279317 -aS'was\tbe\tVBD\tB-VP\tO' -p279318 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p279319 -aS'on\ton\tIN\tB-PP\tO' -p279320 -aS'a\ta\tDT\tB-NP\tO' -p279321 -aS'Neo-Synephrine\tNeo-Synephrine\tJJ\tI-NP\tO' -p279322 -aS'drip\tdrip\tNN\tI-NP\tO' -p279323 -aS'to\tto\tTO\tB-VP\tO' -p279324 -aS'maintain\tmaintain\tVB\tI-VP\tO' -p279325 -aS'a\ta\tDT\tB-NP\tO' -p279326 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p279327 -aS'blood\tblood\tNN\tI-NP\tO' -p279328 -aS'pressure\tpressure\tNN\tI-NP\tO' -p279329 -aS'greater\tgreat\tJJR\tB-ADJP\tO' -p279330 -aS'than\tthan\tIN\tB-PP\tO' -p279331 -aS'110\t110\tCD\tB-NP\tO' -p279332 -aS'.\t.\t.\tO\tO' -p279333 -asS'He remained on imipenem , and Vancomycin was also started .' -p279334 -(lp279335 -S'He\tHe\tPRP\tB-NP\tO' -p279336 -aS'remained\tremain\tVBD\tB-VP\tO' -p279337 -aS'on\ton\tIN\tB-PP\tO' -p279338 -aS'imipenem\timipenem\tNN\tB-NP\tO' -p279339 -aS',\t,\t,\tO\tO' -p279340 -aS'and\tand\tCC\tO\tO' -p279341 -aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' -p279342 -aS'was\tbe\tVBD\tB-VP\tO' -p279343 -aS'also\talso\tRB\tI-VP\tO' -p279344 -aS'started\tstart\tVBN\tI-VP\tO' -p279345 -aS'.\t.\t.\tO\tO' -p279346 -asS'chest x-ray revealed prominent pulmonary vessels and enlarged heart .' -p279347 -(lp279348 -S'chest\tch\tJJS\tB-NP\tO' -p279349 -aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' -p279350 -aS'revealed\treveal\tVBD\tB-VP\tO' -p279351 -aS'prominent\tprominent\tJJ\tB-NP\tO' -p279352 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p279353 -aS'vessels\tvessel\tNNS\tI-NP\tO' -p279354 -aS'and\tand\tCC\tO\tO' -p279355 -aS'enlarged\tenlarged\tJJ\tB-NP\tO' -p279356 -aS'heart\theart\tNN\tI-NP\tO' -p279357 -aS'.\t.\t.\tO\tO' -p279358 -asS'Postoperative physical examination demonstrated that he was afebrile at 97 degrees ; blood pressure 145/80 ; pulse 60 ; respiratory rate 10 ; 100% on a non-rebreather .' -p279359 -(lp279360 -S'Postoperative\tPostoperative\tJJ\tB-NP\tO' -p279361 -aS'physical\tphysical\tJJ\tI-NP\tO' -p279362 -aS'examination\texamination\tNN\tI-NP\tO' -p279363 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p279364 -aS'that\tthat\tIN\tB-SBAR\tO' -p279365 -aS'he\the\tPRP\tB-NP\tO' -p279366 -aS'was\tbe\tVBD\tB-VP\tO' -p279367 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p279368 -aS'at\tat\tIN\tB-PP\tO' -p279369 -aS'97\t97\tCD\tB-NP\tO' -p279370 -aS'degrees\tdegree\tNNS\tI-NP\tO' -p279371 -aS';\t;\t:\tO\tO' -p279372 -aS'blood\tblood\tNN\tB-NP\tO' -p279373 -aS'pressure\tpressure\tNN\tI-NP\tO' -p279374 -aS'145/80\t145/80\tCD\tI-NP\tO' -p279375 -aS';\t;\t:\tO\tO' -p279376 -aS'pulse\tpulse\tNN\tB-NP\tO' -p279377 -aS'60\t60\tCD\tI-NP\tO' -p279378 -aS';\t;\t:\tO\tO' -p279379 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p279380 -aS'rate\trate\tNN\tI-NP\tO' -p279381 -aS'10\t10\tCD\tI-NP\tO' -p279382 -aS';\t;\t:\tO\tO' -p279383 -aS'100%\t100%\tCD\tB-NP\tO' -p279384 -aS'on\ton\tIN\tB-PP\tO' -p279385 -aS'a\ta\tDT\tB-NP\tO' -p279386 -aS'non-rebreather\tnon-rebreather\tJJ\tI-NP\tO' -p279387 -aS'.\t.\t.\tO\tO' -p279388 -asS'No cyanosis , clubbing , or edema .' -p279389 -(lp279390 -S'No\tNo\tDT\tB-NP\tO' -p279391 -aS'cyanosis\tcyanosis\tNN\tI-NP\tO' -p279392 -aS',\t,\t,\tO\tO' -p279393 -aS'clubbing\tclubbing\tNN\tB-NP\tO' -p279394 -aS',\t,\t,\tO\tO' -p279395 -aS'or\tor\tCC\tO\tO' -p279396 -aS'edema\tedema\tNN\tB-NP\tO' -p279397 -aS'.\t.\t.\tO\tO' -p279398 -asS'We have been giving her Haldol at bedtime as well as Ativan p.r.n. throughout the day .' -p279399 -(lp279400 -S'We\tWe\tPRP\tB-NP\tO' -p279401 -aS'have\thave\tVBP\tB-VP\tO' -p279402 -aS'been\tbe\tVBN\tI-VP\tO' -p279403 -aS'giving\tgive\tVBG\tI-VP\tO' -p279404 -aS'her\ther\tPRP$\tB-NP\tO' -p279405 -aS'Haldol\tHaldol\tNN\tI-NP\tO' -p279406 -aS'at\tat\tIN\tB-PP\tO' -p279407 -aS'bedtime\tbedtime\tNN\tB-NP\tO' -p279408 -aS'as\tas\tRB\tB-CONJP\tO' -p279409 -aS'well\twell\tRB\tI-CONJP\tO' -p279410 -aS'as\tas\tIN\tI-CONJP\tO' -p279411 -aS'Ativan\tAtivan\tNNP\tB-NP\tO' -p279412 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p279413 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p279414 -aS'the\tthe\tDT\tB-NP\tO' -p279415 -aS'day\tday\tNN\tI-NP\tO' -p279416 -aS'.\t.\t.\tO\tO' -p279417 -asS'Make an appointment with Dr. Madden for 1-2 weeks .' -p279418 -(lp279419 -S'Make\tMake\tVB\tB-VP\tO' -p279420 -aS'an\tan\tDT\tB-NP\tO' -p279421 -aS'appointment\tappointment\tNN\tI-NP\tO' -p279422 -aS'with\twith\tIN\tB-PP\tO' -p279423 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p279424 -aS'Madden\tMadden\tNNP\tI-NP\tO' -p279425 -aS'for\tfor\tIN\tB-PP\tO' -p279426 -aS'1-2\t1-2\tCD\tB-NP\tO' -p279427 -aS'weeks\tweek\tNNS\tI-NP\tO' -p279428 -aS'.\t.\t.\tO\tO' -p279429 -asS'Abdomen is obese , soft , non-tender , and without palpable masses .' -p279430 -(lp279431 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p279432 -aS'is\tbe\tVBZ\tB-VP\tO' -p279433 -aS'obese\tobese\tJJ\tB-NP\tO' -p279434 -aS',\t,\t,\tI-NP\tO' -p279435 -aS'soft\tsoft\tJJ\tI-NP\tO' -p279436 -aS',\t,\t,\tI-NP\tO' -p279437 -aS'non-tender\tnon-tender\tJJ\tI-NP\tO' -p279438 -aS',\t,\t,\tI-NP\tO' -p279439 -aS'and\tand\tCC\tI-NP\tO' -p279440 -aS'without\twithout\tIN\tB-PP\tO' -p279441 -aS'palpable\tpalpable\tJJ\tB-NP\tO' -p279442 -aS'masses\tmass\tNNS\tI-NP\tO' -p279443 -aS'.\t.\t.\tO\tO' -p279444 -asS'Somatostatin and midodrine were also given for this condition and he also received packed red blood cells .' -p279445 -(lp279446 -S'Somatostatin\tSomatostatin\tNN\tB-NP\tO' -p279447 -aS'and\tand\tCC\tI-NP\tO' -p279448 -aS'midodrine\tmidodrine\tNN\tI-NP\tO' -p279449 -aS'were\tbe\tVBD\tB-VP\tO' -p279450 -aS'also\talso\tRB\tI-VP\tO' -p279451 -aS'given\tgive\tVBN\tI-VP\tO' -p279452 -aS'for\tfor\tIN\tB-PP\tO' -p279453 -aS'this\tthis\tDT\tB-NP\tO' -p279454 -aS'condition\tcondition\tNN\tI-NP\tO' -p279455 -aS'and\tand\tCC\tO\tO' -p279456 -aS'he\the\tPRP\tB-NP\tO' -p279457 -aS'also\talso\tRB\tB-ADVP\tO' -p279458 -aS'received\treceive\tVBD\tB-VP\tO' -p279459 -aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' -p279460 -aS'red\tred\tJJ\tI-NP\tI-cell_type' -p279461 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p279462 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p279463 -aS'.\t.\t.\tO\tO' -p279464 -asS'As per the Infectious Disease Service the patient was continued on Levofloxacin , Vancomycin as antibiotic coverage .' -p279465 -(lp279466 -S'As\tAs\tIN\tB-PP\tO' -p279467 -aS'per\tper\tIN\tB-PP\tO' -p279468 -aS'the\tthe\tDT\tB-NP\tO' -p279469 -aS'Infectious\tInfectious\tNNP\tI-NP\tO' -p279470 -aS'Disease\tDisease\tNNP\tI-NP\tO' -p279471 -aS'Service\tService\tNNP\tI-NP\tO' -p279472 -aS'the\tthe\tDT\tB-NP\tO' -p279473 -aS'patient\tpatient\tNN\tI-NP\tO' -p279474 -aS'was\tbe\tVBD\tB-VP\tO' -p279475 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p279476 -aS'on\ton\tIN\tB-PP\tO' -p279477 -aS'Levofloxacin\tLevofloxacin\tNN\tB-NP\tO' -p279478 -aS',\t,\t,\tO\tO' -p279479 -aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' -p279480 -aS'as\tas\tIN\tB-PP\tO' -p279481 -aS'antibiotic\tantibiotic\tJJ\tB-NP\tO' -p279482 -aS'coverage\tcoverage\tNN\tI-NP\tO' -p279483 -aS'.\t.\t.\tO\tO' -p279484 -asS'Lactate was 6.3 , acetone negative , ammonia 26 , uric acids 26.9 , albumin 4.0 , globulin 3.0 , amylase 259 , lipase 34 , magnesium 3.5 , phosphorus 1.9 , calcium 9.4. The white blood count was 19.7 with 89% polys , 7% bands , 4% lymphs , with toxic granulations .' -p279485 -(lp279486 -S'Lactate\tLactate\tNN\tB-NP\tO' -p279487 -aS'was\tbe\tVBD\tB-VP\tO' -p279488 -aS'6.3\t6.3\tCD\tB-NP\tO' -p279489 -aS',\t,\t,\tO\tO' -p279490 -aS'acetone\tacetone\tNN\tB-NP\tO' -p279491 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p279492 -aS',\t,\t,\tO\tO' -p279493 -aS'ammonia\tammonia\tNN\tB-NP\tO' -p279494 -aS'26\t26\tCD\tI-NP\tO' -p279495 -aS',\t,\t,\tO\tO' -p279496 -aS'uric\turic\tJJ\tB-NP\tO' -p279497 -aS'acids\tacid\tNNS\tI-NP\tO' -p279498 -aS'26.9\t26.9\tCD\tB-NP\tO' -p279499 -aS',\t,\t,\tO\tO' -p279500 -aS'albumin\talbumin\tNN\tB-NP\tB-protein' -p279501 -aS'4.0\t4.0\tCD\tI-NP\tI-protein' -p279502 -aS',\t,\t,\tO\tO' -p279503 -aS'globulin\tglobulin\tNN\tB-NP\tB-protein' -p279504 -aS'3.0\t3.0\tCD\tI-NP\tI-protein' -p279505 -aS',\t,\t,\tO\tO' -p279506 -aS'amylase\tamylase\tNN\tB-NP\tO' -p279507 -aS'259\t259\tCD\tI-NP\tO' -p279508 -aS',\t,\t,\tO\tO' -p279509 -aS'lipase\tlipase\tNN\tB-NP\tO' -p279510 -aS'34\t34\tCD\tI-NP\tO' -p279511 -aS',\t,\t,\tO\tO' -p279512 -aS'magnesium\tmagnesium\tNN\tB-NP\tO' -p279513 -aS'3.5\t3.5\tCD\tI-NP\tO' -p279514 -aS',\t,\t,\tO\tO' -p279515 -aS'phosphorus\tphosphorus\tNN\tB-NP\tO' -p279516 -aS'1.9\t1.9\tCD\tI-NP\tO' -p279517 -aS',\t,\t,\tO\tO' -p279518 -aS'calcium\tcalcium\tNN\tB-NP\tO' -p279519 -aS'9.4.\t9.4.\tCD\tI-NP\tO' -p279520 -aS'The\tThe\tDT\tB-NP\tO' -p279521 -aS'white\twhite\tJJ\tI-NP\tO' -p279522 -aS'blood\tblood\tNN\tI-NP\tO' -p279523 -aS'count\tcount\tNN\tI-NP\tO' -p279524 -aS'was\tbe\tVBD\tB-VP\tO' -p279525 -aS'19.7\t19.7\tCD\tB-NP\tO' -p279526 -aS'with\twith\tIN\tB-PP\tO' -p279527 -aS'89%\t89%\tCD\tB-NP\tO' -p279528 -aS'polys\tpoly\tNNS\tI-NP\tO' -p279529 -aS',\t,\t,\tO\tO' -p279530 -aS'7%\t7%\tNN\tB-NP\tO' -p279531 -aS'bands\tband\tNNS\tI-NP\tO' -p279532 -aS',\t,\t,\tO\tO' -p279533 -aS'4%\t4%\tNN\tB-NP\tO' -p279534 -aS'lymphs\tlymph\tNNS\tI-NP\tO' -p279535 -aS',\t,\t,\tO\tO' -p279536 -aS'with\twith\tIN\tB-PP\tO' -p279537 -aS'toxic\ttoxic\tJJ\tB-NP\tO' -p279538 -aS'granulations\tgranulation\tNNS\tI-NP\tO' -p279539 -aS'.\t.\t.\tO\tO' -p279540 -asS'She has been worked up with barium enema in 09/97 which showed multiple diverticula throughout the colon , but mostly in the sigmoid .' -p279541 -(lp279542 -S'She\tShe\tPRP\tB-NP\tO' -p279543 -aS'has\thave\tVBZ\tB-VP\tO' -p279544 -aS'been\tbe\tVBN\tI-VP\tO' -p279545 -aS'worked\twork\tVBN\tI-VP\tO' -p279546 -aS'up\tup\tRP\tB-PRT\tO' -p279547 -aS'with\twith\tIN\tB-PP\tO' -p279548 -aS'barium\tbarium\tNN\tB-NP\tO' -p279549 -aS'enema\tenema\tNN\tI-NP\tO' -p279550 -aS'in\tin\tIN\tB-PP\tO' -p279551 -aS'09/97\t09/97\tCD\tB-NP\tO' -p279552 -aS'which\twhich\tWDT\tB-NP\tO' -p279553 -aS'showed\tshow\tVBD\tB-VP\tO' -p279554 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p279555 -aS'diverticula\tdiverticula\tNN\tI-NP\tO' -p279556 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p279557 -aS'the\tthe\tDT\tB-NP\tO' -p279558 -aS'colon\tcolon\tNN\tI-NP\tO' -p279559 -aS',\t,\t,\tO\tO' -p279560 -aS'but\tbut\tCC\tO\tO' -p279561 -aS'mostly\tmostly\tRB\tB-ADVP\tO' -p279562 -aS'in\tin\tIN\tB-PP\tO' -p279563 -aS'the\tthe\tDT\tB-NP\tO' -p279564 -aS'sigmoid\tsigmoid\tNN\tI-NP\tO' -p279565 -aS'.\t.\t.\tO\tO' -p279566 -asS'At that time , his oxygen saturation was only 90% on room air and his chest X-Ray showed no change .' -p279567 -(lp279568 -S'At\tAt\tIN\tB-PP\tO' -p279569 -aS'that\tthat\tDT\tB-NP\tO' -p279570 -aS'time\ttime\tNN\tI-NP\tO' -p279571 -aS',\t,\t,\tO\tO' -p279572 -aS'his\this\tPRP$\tB-NP\tO' -p279573 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p279574 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p279575 -aS'was\tbe\tVBD\tB-VP\tO' -p279576 -aS'only\tonly\tRB\tB-NP\tO' -p279577 -aS'90%\t90%\tCD\tI-NP\tO' -p279578 -aS'on\ton\tIN\tB-PP\tO' -p279579 -aS'room\troom\tNN\tB-NP\tO' -p279580 -aS'air\tair\tNN\tI-NP\tO' -p279581 -aS'and\tand\tCC\tO\tO' -p279582 -aS'his\this\tPRP$\tB-NP\tO' -p279583 -aS'chest\tchest\tNN\tI-NP\tO' -p279584 -aS'X-Ray\tX-Ray\tNN\tI-NP\tO' -p279585 -aS'showed\tshow\tVBD\tB-VP\tO' -p279586 -aS'no\tno\tDT\tB-NP\tO' -p279587 -aS'change\tchange\tNN\tI-NP\tO' -p279588 -aS'.\t.\t.\tO\tO' -p279589 -asS'Creatinine stayed stable from 1.3-1.5 .' -p279590 -(lp279591 -S'Creatinine\tCreatinine\tNN\tB-NP\tO' -p279592 -aS'stayed\tstay\tVBD\tB-VP\tO' -p279593 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p279594 -aS'from\tfrom\tIN\tB-PP\tO' -p279595 -aS'1.3-1.5\t1.3-1.5\tCD\tB-NP\tO' -p279596 -aS'.\t.\t.\tO\tO' -p279597 -asS'She was admitted to Weekscook University Medical Center with a diagnosis of possible asthma .' -p279598 -(lp279599 -S'She\tShe\tPRP\tB-NP\tO' -p279600 -aS'was\tbe\tVBD\tB-VP\tO' -p279601 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p279602 -aS'to\tto\tTO\tB-PP\tO' -p279603 -aS'Weekscook\tWeekscook\tNNP\tB-NP\tO' -p279604 -aS'University\tUniversity\tNNP\tI-NP\tO' -p279605 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p279606 -aS'Center\tCenter\tNNP\tI-NP\tO' -p279607 -aS'with\twith\tIN\tB-PP\tO' -p279608 -aS'a\ta\tDT\tB-NP\tO' -p279609 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p279610 -aS'of\tof\tIN\tB-PP\tO' -p279611 -aS'possible\tpossible\tJJ\tB-NP\tO' -p279612 -aS'asthma\tasthma\tNN\tI-NP\tO' -p279613 -aS'.\t.\t.\tO\tO' -p279614 -asS'The patient went for a repeat MRI which showed no change in the previously noted enumerable hepatic cyst in her liver .' -p279615 -(lp279616 -S'The\tThe\tDT\tB-NP\tO' -p279617 -aS'patient\tpatient\tNN\tI-NP\tO' -p279618 -aS'went\tgo\tVBD\tB-VP\tO' -p279619 -aS'for\tfor\tIN\tB-PP\tO' -p279620 -aS'a\ta\tDT\tB-NP\tO' -p279621 -aS'repeat\trepeat\tNN\tI-NP\tO' -p279622 -aS'MRI\tMRI\tNN\tI-NP\tO' -p279623 -aS'which\twhich\tWDT\tB-NP\tO' -p279624 -aS'showed\tshow\tVBD\tB-VP\tO' -p279625 -aS'no\tno\tDT\tB-NP\tO' -p279626 -aS'change\tchange\tNN\tI-NP\tO' -p279627 -aS'in\tin\tIN\tB-PP\tO' -p279628 -aS'the\tthe\tDT\tB-NP\tO' -p279629 -aS'previously\tpreviously\tRB\tI-NP\tO' -p279630 -aS'noted\tnote\tVBN\tI-NP\tO' -p279631 -aS'enumerable\tenumerable\tJJ\tI-NP\tO' -p279632 -aS'hepatic\thepatic\tJJ\tI-NP\tO' -p279633 -aS'cyst\tcyst\tNN\tI-NP\tO' -p279634 -aS'in\tin\tIN\tB-PP\tO' -p279635 -aS'her\ther\tPRP$\tB-NP\tO' -p279636 -aS'liver\tliver\tNN\tI-NP\tO' -p279637 -aS'.\t.\t.\tO\tO' -p279638 -asS'1. Lasix 40 mg po bid .' -p279639 -(lp279640 -S'1.\t1.\tLS\tB-NP\tO' -p279641 -aS'Lasix\tLasix\tNNP\tI-NP\tO' -p279642 -aS'40\t40\tCD\tI-NP\tO' -p279643 -aS'mg\tmg\tNN\tI-NP\tO' -p279644 -aS'po\tpo\tNN\tI-NP\tO' -p279645 -aS'bid\tbid\tNN\tI-NP\tO' -p279646 -aS'.\t.\t.\tO\tO' -p279647 -asS'Because of her prolonged intubation and inability to wean , on February 24 , 1994 , she had a tracheostomy placed .' -p279648 -(lp279649 -S'Because\tBecause\tIN\tB-PP\tO' -p279650 -aS'of\tof\tIN\tI-PP\tO' -p279651 -aS'her\ther\tPRP$\tB-NP\tO' -p279652 -aS'prolonged\tprolonged\tJJ\tI-NP\tO' -p279653 -aS'intubation\tintubation\tNN\tI-NP\tO' -p279654 -aS'and\tand\tCC\tI-NP\tO' -p279655 -aS'inability\tinability\tNN\tI-NP\tO' -p279656 -aS'to\tto\tTO\tB-VP\tO' -p279657 -aS'wean\twean\tVB\tI-VP\tO' -p279658 -aS',\t,\t,\tO\tO' -p279659 -aS'on\ton\tIN\tB-PP\tO' -p279660 -aS'February\tFebruary\tNNP\tB-NP\tO' -p279661 -aS'24\t24\tCD\tI-NP\tO' -p279662 -aS',\t,\t,\tI-NP\tO' -p279663 -aS'1994\t1994\tCD\tI-NP\tO' -p279664 -aS',\t,\t,\tO\tO' -p279665 -aS'she\tshe\tPRP\tB-NP\tO' -p279666 -aS'had\thave\tVBD\tB-VP\tO' -p279667 -aS'a\ta\tDT\tB-NP\tO' -p279668 -aS'tracheostomy\ttracheostomy\tNN\tI-NP\tO' -p279669 -aS'placed\tplace\tVBN\tB-VP\tO' -p279670 -aS'.\t.\t.\tO\tO' -p279671 -asS'2. Mitral valve regurgitation , status post coronary artery bypass graft x2 and mitral valve annuloplasty' -p279672 -(lp279673 -S'2.\t2.\tLS\tB-NP\tO' -p279674 -aS'Mitral\tMitral\tJJ\tI-NP\tO' -p279675 -aS'valve\tvalve\tNN\tI-NP\tO' -p279676 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p279677 -aS',\t,\t,\tO\tO' -p279678 -aS'status\tstatus\tNN\tB-NP\tB-protein' -p279679 -aS'post\tpost\tNN\tI-NP\tI-protein' -p279680 -aS'coronary\tcoronary\tJJ\tI-NP\tI-protein' -p279681 -aS'artery\tartery\tNN\tI-NP\tI-protein' -p279682 -aS'bypass\tbypass\tIN\tB-PP\tI-protein' -p279683 -aS'graft\tgraft\tNN\tB-NP\tI-protein' -p279684 -aS'x2\tx2\tNN\tI-NP\tI-protein' -p279685 -aS'and\tand\tCC\tO\tO' -p279686 -aS'mitral\tmitral\tJJ\tB-NP\tO' -p279687 -aS'valve\tvalve\tNN\tI-NP\tO' -p279688 -aS'annuloplasty\tannuloplasty\tJJ\tB-ADJP\tO' -p279689 -asS'Peak bilirubin was on day of life #2 of 4.8/0.3 .' -p279690 -(lp279691 -S'Peak\tPeak\tJJ\tB-NP\tO' -p279692 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p279693 -aS'was\tbe\tVBD\tB-VP\tO' -p279694 -aS'on\ton\tIN\tB-PP\tO' -p279695 -aS'day\tday\tNN\tB-NP\tO' -p279696 -aS'of\tof\tIN\tB-PP\tO' -p279697 -aS'life\tlife\tNN\tB-NP\tO' -p279698 -aS'#2\t#2\tCD\tI-NP\tO' -p279699 -aS'of\tof\tIN\tB-PP\tO' -p279700 -aS'4.8/0.3\t4.8/0.3\tCD\tB-NP\tO' -p279701 -aS'.\t.\t.\tO\tO' -p279702 -asS"Victoria 't worked since 2008 , prior to that worked in a school cafeteria ." -p279703 -(lp279704 -S'Victoria\tVictoria\tNNP\tB-NP\tO' -p279705 -aS"'t\t't\tPOS\tB-NP\tO" -p279706 -aS'worked\twork\tVBD\tB-VP\tO' -p279707 -aS'since\tsince\tIN\tB-PP\tO' -p279708 -aS'2008\t2008\tCD\tB-NP\tO' -p279709 -aS',\t,\t,\tO\tO' -p279710 -aS'prior\tprior\tJJ\tB-ADVP\tO' -p279711 -aS'to\tto\tTO\tB-PP\tO' -p279712 -aS'that\tthat\tDT\tB-NP\tO' -p279713 -aS'worked\twork\tVBD\tB-VP\tO' -p279714 -aS'in\tin\tIN\tB-PP\tO' -p279715 -aS'a\ta\tDT\tB-NP\tO' -p279716 -aS'school\tschool\tNN\tI-NP\tO' -p279717 -aS'cafeteria\tcafeteria\tNN\tI-NP\tO' -p279718 -aS'.\t.\t.\tO\tO' -p279719 -asS'Neck supple and without masses .' -p279720 -(lp279721 -S'Neck\tNeck\tNN\tB-NP\tO' -p279722 -aS'supple\tsupple\tNN\tI-NP\tO' -p279723 -aS'and\tand\tCC\tB-PP\tO' -p279724 -aS'without\twithout\tIN\tB-PP\tO' -p279725 -aS'masses\tmass\tNNS\tB-NP\tO' -p279726 -aS'.\t.\t.\tO\tO' -p279727 -asS'Dictated By : Elizabeth F. Wells , M.D.' -p279728 -(lp279729 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p279730 -aS'By\tBy\tIN\tB-PP\tO' -p279731 -aS':\t:\t:\tO\tO' -p279732 -aS'Elizabeth\tElizabeth\tNNP\tB-NP\tO' -p279733 -aS'F.\tF.\tNNP\tI-NP\tO' -p279734 -aS'Wells\tWells\tNNP\tI-NP\tO' -p279735 -aS',\t,\t,\tO\tO' -p279736 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p279737 -asS'9. Fluconazole 200 mg Tablet Sig : One ( 1 ) Tablet PO Q24H ( every 24 hours ) for 2 days .' -p279738 -(lp279739 -S'9.\t9.\tCD\tB-NP\tO' -p279740 -aS'Fluconazole\tFluconazole\tNN\tI-NP\tO' -p279741 -aS'200\t200\tCD\tB-NP\tO' -p279742 -aS'mg\tmg\tNN\tI-NP\tO' -p279743 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p279744 -aS'Sig\tSig\tNNP\tI-NP\tO' -p279745 -aS':\t:\t:\tO\tO' -p279746 -aS'One\tOne\tCD\tB-NP\tO' -p279747 -aS'(\t(\t(\tO\tO' -p279748 -aS'1\t1\tCD\tB-NP\tO' -p279749 -aS')\t)\t)\tO\tO' -p279750 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p279751 -aS'PO\tPO\tNN\tI-NP\tO' -p279752 -aS'Q24H\tQ24H\tNN\tI-NP\tO' -p279753 -aS'(\t(\t(\tO\tO' -p279754 -aS'every\tevery\tDT\tB-NP\tO' -p279755 -aS'24\t24\tCD\tI-NP\tO' -p279756 -aS'hours\thour\tNNS\tI-NP\tO' -p279757 -aS')\t)\t)\tO\tO' -p279758 -aS'for\tfor\tIN\tB-PP\tO' -p279759 -aS'2\t2\tCD\tB-NP\tO' -p279760 -aS'days\tday\tNNS\tI-NP\tO' -p279761 -aS'.\t.\t.\tO\tO' -p279762 -asS'However she is followed by a Dr. Joasscchird at Vaila Medical Center .' -p279763 -(lp279764 -S'However\tHowever\tRB\tB-ADVP\tO' -p279765 -aS'she\tshe\tPRP\tB-NP\tO' -p279766 -aS'is\tbe\tVBZ\tB-VP\tO' -p279767 -aS'followed\tfollow\tVBN\tI-VP\tO' -p279768 -aS'by\tby\tIN\tB-PP\tO' -p279769 -aS'a\ta\tDT\tB-NP\tO' -p279770 -aS'Dr.\tDr.\tNNP\tI-NP\tO' -p279771 -aS'Joasscchird\tJoasscchird\tNNP\tI-NP\tO' -p279772 -aS'at\tat\tIN\tB-PP\tO' -p279773 -aS'Vaila\tVaila\tNNP\tB-NP\tO' -p279774 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p279775 -aS'Center\tCenter\tNNP\tI-NP\tO' -p279776 -aS'.\t.\t.\tO\tO' -p279777 -asS'She recieved further resection of remaining colon , repair of a leak from Relaford pouch and repair of colovesicular fistula .' -p279778 -(lp279779 -S'She\tShe\tPRP\tB-NP\tO' -p279780 -aS'recieved\trecieve\tVBD\tB-VP\tO' -p279781 -aS'further\tfurther\tJJ\tB-NP\tO' -p279782 -aS'resection\tresection\tNN\tI-NP\tO' -p279783 -aS'of\tof\tIN\tB-PP\tO' -p279784 -aS'remaining\tremain\tVBG\tB-VP\tO' -p279785 -aS'colon\tcolon\tNN\tB-NP\tO' -p279786 -aS',\t,\t,\tO\tO' -p279787 -aS'repair\trepair\tNN\tB-NP\tO' -p279788 -aS'of\tof\tIN\tB-PP\tO' -p279789 -aS'a\ta\tDT\tB-NP\tO' -p279790 -aS'leak\tleak\tNN\tI-NP\tO' -p279791 -aS'from\tfrom\tIN\tB-PP\tO' -p279792 -aS'Relaford\tRelaford\tNNP\tB-NP\tO' -p279793 -aS'pouch\tpouch\tNN\tI-NP\tO' -p279794 -aS'and\tand\tCC\tI-NP\tO' -p279795 -aS'repair\trepair\tNN\tI-NP\tO' -p279796 -aS'of\tof\tIN\tB-PP\tO' -p279797 -aS'colovesicular\tcolovesicular\tJJ\tB-NP\tO' -p279798 -aS'fistula\tfistula\tNN\tI-NP\tO' -p279799 -aS'.\t.\t.\tO\tO' -p279800 -asS'Electrocardiogram has sinus rhythm with Q wave in 2 , 3 , and F , flattened T waves in the lateral leads , sinus rhythm at a rate of 56 .' -p279801 -(lp279802 -S'Electrocardiogram\tElectrocardiogram\tNN\tB-NP\tO' -p279803 -aS'has\thave\tVBZ\tB-VP\tO' -p279804 -aS'sinus\tsinus\tNN\tB-NP\tO' -p279805 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p279806 -aS'with\twith\tIN\tB-PP\tO' -p279807 -aS'Q\tQ\tNN\tB-NP\tO' -p279808 -aS'wave\twave\tNN\tI-NP\tO' -p279809 -aS'in\tin\tIN\tB-PP\tO' -p279810 -aS'2\t2\tCD\tB-NP\tO' -p279811 -aS',\t,\t,\tI-NP\tO' -p279812 -aS'3\t3\tCD\tI-NP\tO' -p279813 -aS',\t,\t,\tO\tO' -p279814 -aS'and\tand\tCC\tO\tO' -p279815 -aS'F\tF\tNNP\tB-NP\tO' -p279816 -aS',\t,\t,\tO\tO' -p279817 -aS'flattened\tflatten\tVBD\tB-VP\tO' -p279818 -aS'T\tT\tNN\tB-NP\tO' -p279819 -aS'waves\twave\tNNS\tI-NP\tO' -p279820 -aS'in\tin\tIN\tB-PP\tO' -p279821 -aS'the\tthe\tDT\tB-NP\tO' -p279822 -aS'lateral\tlateral\tJJ\tI-NP\tO' -p279823 -aS'leads\tlead\tNNS\tI-NP\tO' -p279824 -aS',\t,\t,\tO\tO' -p279825 -aS'sinus\tsinus\tNN\tB-NP\tO' -p279826 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p279827 -aS'at\tat\tIN\tB-PP\tO' -p279828 -aS'a\ta\tDT\tB-NP\tO' -p279829 -aS'rate\trate\tNN\tI-NP\tO' -p279830 -aS'of\tof\tIN\tB-PP\tO' -p279831 -aS'56\t56\tCD\tB-NP\tO' -p279832 -aS'.\t.\t.\tO\tO' -p279833 -asS'5. Papain - Urea 544 287 0616 unit - mg / g Ointment Sig : One ( 1 ) Appl Topical DAILY ( Daily ) .' -p279834 -(lp279835 -S'5.\t5.\tLS\tB-NP\tO' -p279836 -aS'Papain\tPapain\tNNP\tI-NP\tO' -p279837 -aS'-\t-\tHYPH\tO\tO' -p279838 -aS'Urea\tUrea\tNNP\tB-NP\tB-DNA' -p279839 -aS'544\t544\tCD\tI-NP\tI-DNA' -p279840 -aS'287\t287\tCD\tI-NP\tI-DNA' -p279841 -aS'0616\t0616\tCD\tI-NP\tI-DNA' -p279842 -aS'unit\tunit\tNN\tI-NP\tI-DNA' -p279843 -aS'-\t-\tHYPH\tB-NP\tO' -p279844 -aS'mg\tmg\tNN\tI-NP\tO' -p279845 -aS'/\t/\tSYM\tB-NP\tO' -p279846 -aS'g\tg\tNN\tI-NP\tO' -p279847 -aS'Ointment\tOintment\tNNP\tI-NP\tO' -p279848 -aS'Sig\tSig\tNNP\tI-NP\tO' -p279849 -aS':\t:\t:\tO\tO' -p279850 -aS'One\tOne\tCD\tB-NP\tO' -p279851 -aS'(\t(\t(\tO\tO' -p279852 -aS'1\t1\tCD\tB-NP\tO' -p279853 -aS')\t)\t)\tO\tO' -p279854 -aS'Appl\tAppl\tNNP\tB-NP\tO' -p279855 -aS'Topical\tTopical\tJJ\tI-NP\tO' -p279856 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p279857 -aS'(\t(\t(\tO\tO' -p279858 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p279859 -aS')\t)\t)\tO\tO' -p279860 -aS'.\t.\t.\tO\tO' -p279861 -asS'Sputum gram stain showed no polys and no bacteria .' -p279862 -(lp279863 -S'Sputum\tSputum\tNN\tB-NP\tO' -p279864 -aS'gram\tgram\tNN\tI-NP\tO' -p279865 -aS'stain\tstain\tNN\tI-NP\tO' -p279866 -aS'showed\tshow\tVBD\tB-VP\tO' -p279867 -aS'no\tno\tDT\tB-NP\tO' -p279868 -aS'polys\tpoly\tNNS\tI-NP\tO' -p279869 -aS'and\tand\tCC\tO\tO' -p279870 -aS'no\tno\tDT\tB-NP\tO' -p279871 -aS'bacteria\tbacteria\tNNS\tI-NP\tO' -p279872 -aS'.\t.\t.\tO\tO' -p279873 -asS'AST was 20 , ALT 12 , alkaline phosphatase 80 , bilirubin 0.5. CK was 113 .' -p279874 -(lp279875 -S'AST\tAST\tNN\tB-NP\tO' -p279876 -aS'was\tbe\tVBD\tB-VP\tO' -p279877 -aS'20\t20\tCD\tB-NP\tO' -p279878 -aS',\t,\t,\tO\tO' -p279879 -aS'ALT\tALT\tNN\tB-NP\tB-DNA' -p279880 -aS'12\t12\tCD\tI-NP\tI-DNA' -p279881 -aS',\t,\t,\tO\tO' -p279882 -aS'alkaline\talkaline\tNN\tB-NP\tO' -p279883 -aS'phosphatase\tphosphatase\tNN\tI-NP\tO' -p279884 -aS'80\t80\tCD\tI-NP\tO' -p279885 -aS',\t,\t,\tO\tO' -p279886 -aS'bilirubin\tbilirubin\tNN\tB-NP\tO' -p279887 -aS'0.5.\t0.5.\tCD\tI-NP\tO' -p279888 -aS'CK\tCK\tNN\tI-NP\tO' -p279889 -aS'was\tbe\tVBD\tB-VP\tO' -p279890 -aS'113\t113\tCD\tB-NP\tO' -p279891 -aS'.\t.\t.\tO\tO' -p279892 -asS'They felt it was most likely a malignant lymphangitic spread with pericardial involvement versus infectious , other cardiovascular causes , or viral bronchiolitis .' -p279893 -(lp279894 -S'They\tThey\tPRP\tB-NP\tO' -p279895 -aS'felt\tfeel\tVBD\tB-VP\tO' -p279896 -aS'it\tit\tPRP\tB-NP\tO' -p279897 -aS'was\tbe\tVBD\tB-VP\tO' -p279898 -aS'most\tmost\tRBS\tB-ADVP\tO' -p279899 -aS'likely\tlikely\tRB\tI-ADVP\tO' -p279900 -aS'a\ta\tDT\tB-NP\tO' -p279901 -aS'malignant\tmalignant\tJJ\tI-NP\tO' -p279902 -aS'lymphangitic\tlymphangitic\tJJ\tI-NP\tO' -p279903 -aS'spread\tspread\tNN\tI-NP\tO' -p279904 -aS'with\twith\tIN\tB-PP\tO' -p279905 -aS'pericardial\tpericardial\tJJ\tB-NP\tO' -p279906 -aS'involvement\tinvolvement\tNN\tI-NP\tO' -p279907 -aS'versus\tversus\tIN\tB-PP\tO' -p279908 -aS'infectious\tinfectious\tJJ\tB-NP\tO' -p279909 -aS',\t,\t,\tI-NP\tO' -p279910 -aS'other\tother\tJJ\tI-NP\tO' -p279911 -aS'cardiovascular\tcardiovascular\tJJ\tI-NP\tO' -p279912 -aS'causes\tcause\tNNS\tI-NP\tO' -p279913 -aS',\t,\t,\tO\tO' -p279914 -aS'or\tor\tCC\tO\tO' -p279915 -aS'viral\tviral\tJJ\tB-NP\tO' -p279916 -aS'bronchiolitis\tbronchiolitis\tNN\tI-NP\tO' -p279917 -aS'.\t.\t.\tO\tO' -p279918 -asS'Tylenol 650 mg p.o. q 4-6 hours p.r.n. headache , enteric coated aspirin 325 mg p.o. q day , calcium gluconate 1000 mg p.o. b.i.d. , Colace 100 mg p.o. b.i.d. , enema of choice and laxative of choice p.o. q day p.r.n. constipation , Lasix 20 mg p.o. q day , Coumadin 7.5 mg p.o.q.h.s. for goal INR of 2.0-3.0 .' -p279919 -(lp279920 -S'Tylenol\tTylenol\tNN\tB-NP\tO' -p279921 -aS'650\t650\tCD\tI-NP\tO' -p279922 -aS'mg\tmg\tNN\tI-NP\tO' -p279923 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p279924 -aS'q\tq\tNN\tI-NP\tO' -p279925 -aS'4-6\t4-6\tCD\tB-NP\tO' -p279926 -aS'hours\thour\tNNS\tI-NP\tO' -p279927 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p279928 -aS'headache\theadache\tNN\tI-NP\tO' -p279929 -aS',\t,\t,\tO\tO' -p279930 -aS'enteric\tenteric\tJJ\tB-NP\tO' -p279931 -aS'coated\tcoated\tJJ\tI-NP\tO' -p279932 -aS'aspirin\taspirin\tNN\tI-NP\tO' -p279933 -aS'325\t325\tCD\tI-NP\tO' -p279934 -aS'mg\tmg\tNN\tI-NP\tO' -p279935 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p279936 -aS'q\tq\tNN\tI-NP\tO' -p279937 -aS'day\tday\tNN\tI-NP\tO' -p279938 -aS',\t,\t,\tO\tO' -p279939 -aS'calcium\tcalcium\tNN\tB-NP\tO' -p279940 -aS'gluconate\tgluconate\tNN\tI-NP\tO' -p279941 -aS'1000\t1000\tCD\tI-NP\tO' -p279942 -aS'mg\tmg\tNN\tI-NP\tO' -p279943 -aS'p.o.\tp.o.\tFW\tB-ADVP\tO' -p279944 -aS'b.i.d.\tb.i.d.\tFW\tI-ADVP\tO' -p279945 -aS',\t,\t,\tO\tO' -p279946 -aS'Colace\tColace\tNNP\tB-NP\tO' -p279947 -aS'100\t100\tCD\tI-NP\tO' -p279948 -aS'mg\tmg\tNN\tI-NP\tO' -p279949 -aS'p.o.\tp.o.\tFW\tB-ADVP\tO' -p279950 -aS'b.i.d.\tb.i.d.\tFW\tI-ADVP\tO' -p279951 -aS',\t,\t,\tO\tO' -p279952 -aS'enema\tenema\tNN\tB-NP\tO' -p279953 -aS'of\tof\tIN\tB-PP\tO' -p279954 -aS'choice\tchoice\tNN\tB-NP\tO' -p279955 -aS'and\tand\tCC\tI-NP\tO' -p279956 -aS'laxative\tlaxative\tNN\tI-NP\tO' -p279957 -aS'of\tof\tIN\tB-PP\tO' -p279958 -aS'choice\tchoice\tNN\tB-NP\tO' -p279959 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p279960 -aS'q\tq\tNN\tI-NP\tO' -p279961 -aS'day\tday\tNN\tI-NP\tO' -p279962 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p279963 -aS'constipation\tconstipation\tNN\tI-NP\tO' -p279964 -aS',\t,\t,\tO\tO' -p279965 -aS'Lasix\tLasix\tNN\tB-NP\tO' -p279966 -aS'20\t20\tCD\tI-NP\tO' -p279967 -aS'mg\tmg\tNN\tI-NP\tO' -p279968 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p279969 -aS'q\tq\tNN\tI-NP\tO' -p279970 -aS'day\tday\tNN\tI-NP\tO' -p279971 -aS',\t,\t,\tO\tO' -p279972 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p279973 -aS'7.5\t7.5\tCD\tI-NP\tO' -p279974 -aS'mg\tmg\tNN\tI-NP\tO' -p279975 -aS'p.o.q.h.s.\tp.o.q.h.s.\tNN\tI-NP\tO' -p279976 -aS'for\tfor\tIN\tB-PP\tO' -p279977 -aS'goal\tgoal\tNN\tB-NP\tO' -p279978 -aS'INR\tINR\tNN\tI-NP\tO' -p279979 -aS'of\tof\tIN\tB-PP\tO' -p279980 -aS'2.0-3.0\t2.0-3.0\tCD\tB-NP\tO' -p279981 -aS'.\t.\t.\tO\tO' -p279982 -asS'His electrocardiogram showed increased T wave inversions in V3 and V4 and 1 mm .' -p279983 -(lp279984 -S'His\tHis\tPRP$\tB-NP\tO' -p279985 -aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' -p279986 -aS'showed\tshow\tVBD\tB-VP\tO' -p279987 -aS'increased\tincrease\tVBN\tB-NP\tO' -p279988 -aS'T\tT\tNN\tI-NP\tO' -p279989 -aS'wave\twave\tNN\tI-NP\tO' -p279990 -aS'inversions\tinversion\tNNS\tI-NP\tO' -p279991 -aS'in\tin\tIN\tB-PP\tO' -p279992 -aS'V3\tV3\tNN\tB-NP\tO' -p279993 -aS'and\tand\tCC\tI-NP\tO' -p279994 -aS'V4\tV4\tNN\tI-NP\tO' -p279995 -aS'and\tand\tCC\tO\tO' -p279996 -aS'1\t1\tCD\tB-NP\tO' -p279997 -aS'mm\tmm\tNN\tI-NP\tO' -p279998 -aS'.\t.\t.\tO\tO' -p279999 -asS'Without hepatosplenomegaly , without masses .' -p280000 -(lp280001 -S'Without\tWithout\tIN\tB-PP\tO' -p280002 -aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tB-NP\tO' -p280003 -aS',\t,\t,\tO\tO' -p280004 -aS'without\twithout\tIN\tB-PP\tO' -p280005 -aS'masses\tmass\tNNS\tB-NP\tO' -p280006 -aS'.\t.\t.\tO\tO' -p280007 -asS'Fall was witnessed by daughter .' -p280008 -(lp280009 -S'Fall\tFall\tNN\tB-NP\tO' -p280010 -aS'was\tbe\tVBD\tB-VP\tO' -p280011 -aS'witnessed\twitness\tVBN\tI-VP\tO' -p280012 -aS'by\tby\tIN\tB-PP\tO' -p280013 -aS'daughter\tdaughter\tNN\tB-NP\tO' -p280014 -aS'.\t.\t.\tO\tO' -p280015 -asS'Signed electronically by : DR. Santos von der Ross on : TUE 2013-11-05 7:12 AM' -p280016 -(lp280017 -S'Signed\tSign\tVBN\tB-VP\tO' -p280018 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p280019 -aS'by\tby\tIN\tB-PP\tO' -p280020 -aS':\t:\t:\tO\tO' -p280021 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p280022 -aS'Santos\tSantos\tNNP\tI-NP\tO' -p280023 -aS'von\tvon\tNNP\tI-NP\tO' -p280024 -aS'der\tder\tNNP\tI-NP\tO' -p280025 -aS'Ross\tRoss\tNNP\tI-NP\tO' -p280026 -aS'on\ton\tIN\tB-PP\tO' -p280027 -aS':\t:\t:\tO\tO' -p280028 -aS'TUE\tTUE\tNN\tB-NP\tO' -p280029 -aS'2013-11-05\t2013-11-05\tCD\tI-NP\tO' -p280030 -aS'7:12\t7:12\tCD\tI-NP\tO' -p280031 -aS'AM\tAM\tNN\tI-NP\tO' -p280032 -asS'White blood cell count was 11.14 .' -p280033 -(lp280034 -S'White\tWhite\tJJ\tB-NP\tO' -p280035 -aS'blood\tblood\tNN\tI-NP\tO' -p280036 -aS'cell\tcell\tNN\tI-NP\tO' -p280037 -aS'count\tcount\tNN\tI-NP\tO' -p280038 -aS'was\tbe\tVBD\tB-VP\tO' -p280039 -aS'11.14\t11.14\tCD\tB-NP\tO' -p280040 -aS'.\t.\t.\tO\tO' -p280041 -asS'CSF showed white count of 7 , reds 4 , protein 119 , glucose 69 .' -p280042 -(lp280043 -S'CSF\tCSF\tNN\tB-NP\tB-protein' -p280044 -aS'showed\tshow\tVBD\tB-VP\tO' -p280045 -aS'white\twhite\tJJ\tB-NP\tO' -p280046 -aS'count\tcount\tNN\tI-NP\tO' -p280047 -aS'of\tof\tIN\tB-PP\tO' -p280048 -aS'7\t7\tCD\tB-NP\tO' -p280049 -aS',\t,\t,\tO\tO' -p280050 -aS'reds\tred\tVBZ\tB-VP\tO' -p280051 -aS'4\t4\tCD\tB-NP\tO' -p280052 -aS',\t,\t,\tO\tO' -p280053 -aS'protein\tprotein\tNN\tB-NP\tO' -p280054 -aS'119\t119\tCD\tI-NP\tO' -p280055 -aS',\t,\t,\tO\tO' -p280056 -aS'glucose\tglucose\tNN\tB-NP\tO' -p280057 -aS'69\t69\tCD\tI-NP\tO' -p280058 -aS'.\t.\t.\tO\tO' -p280059 -asS'6. Type 1 diabetes mellitus with triopathy , retinopathy , neuropathy , nephropathy .' -p280060 -(lp280061 -S'6.\t6.\tLS\tB-LST\tO' -p280062 -aS'Type\tType\tNN\tB-NP\tO' -p280063 -aS'1\t1\tCD\tI-NP\tO' -p280064 -aS'diabetes\tdiabetes\tNN\tI-NP\tO' -p280065 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p280066 -aS'with\twith\tIN\tB-PP\tO' -p280067 -aS'triopathy\ttriopathy\tNN\tB-NP\tO' -p280068 -aS',\t,\t,\tO\tO' -p280069 -aS'retinopathy\tretinopathy\tNN\tB-NP\tO' -p280070 -aS',\t,\t,\tO\tO' -p280071 -aS'neuropathy\tneuropathy\tNN\tB-NP\tO' -p280072 -aS',\t,\t,\tO\tO' -p280073 -aS'nephropathy\tnephropathy\tNN\tB-NP\tO' -p280074 -aS'.\t.\t.\tO\tO' -p280075 -asS'The patient is married with two children .' -p280076 -(lp280077 -S'The\tThe\tDT\tB-NP\tO' -p280078 -aS'patient\tpatient\tNN\tI-NP\tO' -p280079 -aS'is\tbe\tVBZ\tB-VP\tO' -p280080 -aS'married\tmarry\tVBN\tI-VP\tO' -p280081 -aS'with\twith\tIN\tB-PP\tO' -p280082 -aS'two\ttwo\tCD\tB-NP\tO' -p280083 -aS'children\tchild\tNNS\tI-NP\tO' -p280084 -aS'.\t.\t.\tO\tO' -p280085 -asS'There was no clubbing .' -p280086 -(lp280087 -S'There\tThere\tEX\tB-NP\tO' -p280088 -aS'was\tbe\tVBD\tB-VP\tO' -p280089 -aS'no\tno\tDT\tB-NP\tO' -p280090 -aS'clubbing\tclubbing\tNN\tI-NP\tO' -p280091 -aS'.\t.\t.\tO\tO' -p280092 -asS'Condition was good .' -p280093 -(lp280094 -S'Condition\tCondition\tNN\tB-NP\tO' -p280095 -aS'was\tbe\tVBD\tB-VP\tO' -p280096 -aS'good\tgood\tJJ\tB-ADJP\tO' -p280097 -aS'.\t.\t.\tO\tO' -p280098 -asS'Rifampin should not be used alone for therapy .' -p280099 -(lp280100 -S'Rifampin\tRifampin\tNN\tB-NP\tO' -p280101 -aS'should\tshould\tMD\tB-VP\tO' -p280102 -aS'not\tnot\tRB\tI-VP\tO' -p280103 -aS'be\tbe\tVB\tI-VP\tO' -p280104 -aS'used\tuse\tVBN\tI-VP\tO' -p280105 -aS'alone\talone\tRB\tB-ADVP\tO' -p280106 -aS'for\tfor\tIN\tB-PP\tO' -p280107 -aS'therapy\ttherapy\tNN\tB-NP\tO' -p280108 -aS'.\t.\t.\tO\tO' -p280109 -asS"DM2 - dx 'd at the age of 48" -p280110 -(lp280111 -S'DM2\tDM2\tNN\tB-NP\tB-protein' -p280112 -aS'-\t-\tHYPH\tI-NP\tO' -p280113 -aS'dx\tdx\tNN\tI-NP\tO' -p280114 -aS"'d\t'd\tNN\tI-NP\tO" -p280115 -aS'at\tat\tIN\tB-PP\tO' -p280116 -aS'the\tthe\tDT\tB-NP\tO' -p280117 -aS'age\tage\tNN\tI-NP\tO' -p280118 -aS'of\tof\tIN\tB-PP\tO' -p280119 -aS'48\t48\tCD\tB-NP\tO' -p280120 -asS"Of note , the patient 's daughter and son-in-law confirm his desire to be DNR/DNI , stating that they want him to be comfortable ." -p280121 -(lp280122 -S'Of\tOf\tIN\tB-PP\tO' -p280123 -aS'note\tnote\tNN\tB-NP\tO' -p280124 -aS',\t,\t,\tO\tO' -p280125 -aS'the\tthe\tDT\tB-NP\tO' -p280126 -aS'patient\tpatient\tNN\tI-NP\tO' -p280127 -aS"'s\t's\tPOS\tB-NP\tO" -p280128 -aS'daughter\tdaughter\tNN\tI-NP\tO' -p280129 -aS'and\tand\tCC\tI-NP\tO' -p280130 -aS'son-in-law\tson-in-law\tNN\tI-NP\tO' -p280131 -aS'confirm\tconfirm\tVBP\tB-VP\tO' -p280132 -aS'his\this\tPRP$\tB-NP\tO' -p280133 -aS'desire\tdesire\tNN\tI-NP\tO' -p280134 -aS'to\tto\tTO\tB-VP\tO' -p280135 -aS'be\tbe\tVB\tI-VP\tO' -p280136 -aS'DNR/DNI\tDNR/DNI\tNNP\tB-NP\tO' -p280137 -aS',\t,\t,\tO\tO' -p280138 -aS'stating\tstate\tVBG\tB-VP\tO' -p280139 -aS'that\tthat\tIN\tB-SBAR\tO' -p280140 -aS'they\tthey\tPRP\tB-NP\tO' -p280141 -aS'want\twant\tVBP\tB-VP\tO' -p280142 -aS'him\thim\tPRP\tB-NP\tO' -p280143 -aS'to\tto\tTO\tB-VP\tO' -p280144 -aS'be\tbe\tVB\tI-VP\tO' -p280145 -aS'comfortable\tcomfortable\tJJ\tB-ADJP\tO' -p280146 -aS'.\t.\t.\tO\tO' -p280147 -asS'With repeated blood cultures that were negative , the patient was reduced to single Mckenzie of intravenous Ampicillin .' -p280148 -(lp280149 -S'With\tWith\tIN\tB-PP\tO' -p280150 -aS'repeated\trepeat\tVBN\tB-NP\tO' -p280151 -aS'blood\tblood\tNN\tI-NP\tO' -p280152 -aS'cultures\tculture\tNNS\tI-NP\tO' -p280153 -aS'that\tthat\tWDT\tB-NP\tO' -p280154 -aS'were\tbe\tVBD\tB-VP\tO' -p280155 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p280156 -aS',\t,\t,\tO\tO' -p280157 -aS'the\tthe\tDT\tB-NP\tO' -p280158 -aS'patient\tpatient\tNN\tI-NP\tO' -p280159 -aS'was\tbe\tVBD\tB-VP\tO' -p280160 -aS'reduced\treduce\tVBN\tI-VP\tO' -p280161 -aS'to\tto\tTO\tB-PP\tO' -p280162 -aS'single\tsingle\tJJ\tB-NP\tO' -p280163 -aS'Mckenzie\tMckenzie\tNNP\tI-NP\tO' -p280164 -aS'of\tof\tIN\tB-PP\tO' -p280165 -aS'intravenous\tintravenous\tJJ\tB-NP\tB-protein' -p280166 -aS'Ampicillin\tAmpicillin\tNN\tI-NP\tI-protein' -p280167 -aS'.\t.\t.\tO\tO' -p280168 -asS'2. Rule out sepsis , ruled out .' -p280169 -(lp280170 -S'2.\t2.\tLS\tB-LST\tO' -p280171 -aS'Rule\tRule\tNNP\tB-NP\tO' -p280172 -aS'out\tout\tIN\tB-PP\tO' -p280173 -aS'sepsis\tsepsis\tNN\tB-NP\tO' -p280174 -aS',\t,\t,\tO\tO' -p280175 -aS'ruled\trule\tVBD\tB-VP\tO' -p280176 -aS'out\tout\tRP\tB-PRT\tO' -p280177 -aS'.\t.\t.\tO\tO' -p280178 -asS'were without edema .' -p280179 -(lp280180 -S'were\tbe\tVBD\tB-VP\tO' -p280181 -aS'without\twithout\tIN\tB-PP\tO' -p280182 -aS'edema\tedema\tNN\tB-NP\tO' -p280183 -aS'.\t.\t.\tO\tO' -p280184 -asS'Chest was clear to auscultation .' -p280185 -(lp280186 -S'Chest\tChest\tNNP\tB-NP\tO' -p280187 -aS'was\tbe\tVBD\tB-VP\tO' -p280188 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p280189 -aS'to\tto\tTO\tB-PP\tO' -p280190 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p280191 -aS'.\t.\t.\tO\tO' -p280192 -asS'Married .' -p280193 -(lp280194 -S'Married\tMarry\tVBN\tB-VP\tO' -p280195 -aS'.\t.\t.\tO\tO' -p280196 -asS'continue levoxyl for hypothyroidism , synarel for endometriosis .' -p280197 -(lp280198 -S'continue\tcontinue\tJJ\tB-NP\tO' -p280199 -aS'levoxyl\tlevoxyl\tNN\tI-NP\tO' -p280200 -aS'for\tfor\tIN\tB-PP\tO' -p280201 -aS'hypothyroidism\thypothyroidism\tNN\tB-NP\tO' -p280202 -aS',\t,\t,\tO\tO' -p280203 -aS'synarel\tsynarel\tNN\tB-NP\tO' -p280204 -aS'for\tfor\tIN\tB-PP\tO' -p280205 -aS'endometriosis\tendometriosis\tNN\tB-NP\tO' -p280206 -aS'.\t.\t.\tO\tO' -p280207 -asS'13. Oxycodone 5 mg Tablet Sig : One ( 1 ) Tablet PO Q4H ( every 4 hours ) as needed .' -p280208 -(lp280209 -S'13.\t13.\tCD\tB-NP\tO' -p280210 -aS'Oxycodone\tOxycodone\tNN\tI-NP\tO' -p280211 -aS'5\t5\tCD\tB-NP\tO' -p280212 -aS'mg\tmg\tNN\tI-NP\tO' -p280213 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p280214 -aS'Sig\tSig\tNNP\tI-NP\tO' -p280215 -aS':\t:\t:\tO\tO' -p280216 -aS'One\tOne\tCD\tB-NP\tO' -p280217 -aS'(\t(\t(\tO\tO' -p280218 -aS'1\t1\tCD\tB-NP\tO' -p280219 -aS')\t)\t)\tO\tO' -p280220 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p280221 -aS'PO\tPO\tNN\tI-NP\tO' -p280222 -aS'Q4H\tQ4H\tNN\tI-NP\tO' -p280223 -aS'(\t(\t(\tO\tO' -p280224 -aS'every\tevery\tDT\tB-NP\tO' -p280225 -aS'4\t4\tCD\tI-NP\tO' -p280226 -aS'hours\thour\tNNS\tI-NP\tO' -p280227 -aS')\t)\t)\tO\tO' -p280228 -aS'as\tas\tIN\tB-SBAR\tO' -p280229 -aS'needed\tneed\tVBN\tB-VP\tO' -p280230 -aS'.\t.\t.\tO\tO' -p280231 -asS'Newborn State Screen phone number #( 822 ) 923-2683 .' -p280232 -(lp280233 -S'Newborn\tNewborn\tNNP\tB-NP\tO' -p280234 -aS'State\tState\tNNP\tI-NP\tO' -p280235 -aS'Screen\tScreen\tNNP\tI-NP\tO' -p280236 -aS'phone\tphone\tNN\tI-NP\tO' -p280237 -aS'number\tnumber\tNN\tI-NP\tO' -p280238 -aS'#(\t#(\t(\tO\tO' -p280239 -aS'822\t822\tCD\tB-NP\tO' -p280240 -aS')\t)\t)\tO\tO' -p280241 -aS'923-2683\t923-2683\tCD\tB-NP\tO' -p280242 -aS'.\t.\t.\tO\tO' -p280243 -asS'Chest x-ray showed right upper lobe pneumonia .' -p280244 -(lp280245 -S'Chest\tCh\tJJS\tB-NP\tO' -p280246 -aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' -p280247 -aS'showed\tshow\tVBD\tB-VP\tO' -p280248 -aS'right\tright\tJJ\tB-NP\tO' -p280249 -aS'upper\tupper\tJJ\tI-NP\tO' -p280250 -aS'lobe\tlobe\tNN\tI-NP\tO' -p280251 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p280252 -aS'.\t.\t.\tO\tO' -p280253 -asS'On the night of 05-01 , the patient complained of increased vomiting .' -p280254 -(lp280255 -S'On\tOn\tIN\tB-PP\tO' -p280256 -aS'the\tthe\tDT\tB-NP\tO' -p280257 -aS'night\tnight\tNN\tI-NP\tO' -p280258 -aS'of\tof\tIN\tB-PP\tO' -p280259 -aS'05-01\t05-01\tCD\tB-NP\tO' -p280260 -aS',\t,\t,\tO\tO' -p280261 -aS'the\tthe\tDT\tB-NP\tO' -p280262 -aS'patient\tpatient\tNN\tI-NP\tO' -p280263 -aS'complained\tcomplain\tVBD\tB-VP\tO' -p280264 -aS'of\tof\tIN\tB-PP\tO' -p280265 -aS'increased\tincrease\tVBN\tB-NP\tO' -p280266 -aS'vomiting\tvomiting\tNN\tI-NP\tO' -p280267 -aS'.\t.\t.\tO\tO' -p280268 -asS'Trauma series normal .' -p280269 -(lp280270 -S'Trauma\tTrauma\tNN\tB-NP\tO' -p280271 -aS'series\tseries\tNN\tI-NP\tO' -p280272 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p280273 -aS'.\t.\t.\tO\tO' -p280274 -asS'Coumadin dose was started and her INR were followed .' -p280275 -(lp280276 -S'Coumadin\tCoumadin\tNN\tB-NP\tO' -p280277 -aS'dose\tdose\tNN\tI-NP\tO' -p280278 -aS'was\tbe\tVBD\tB-VP\tO' -p280279 -aS'started\tstart\tVBN\tI-VP\tO' -p280280 -aS'and\tand\tCC\tO\tO' -p280281 -aS'her\ther\tPRP$\tB-NP\tO' -p280282 -aS'INR\tINR\tNN\tI-NP\tB-protein' -p280283 -aS'were\tbe\tVBD\tB-VP\tO' -p280284 -aS'followed\tfollow\tVBN\tI-VP\tO' -p280285 -aS'.\t.\t.\tO\tO' -p280286 -asS'2. PUMP : The patient had an echocardiogram to assess her LV function .' -p280287 -(lp280288 -S'2.\t2.\tCD\tB-NP\tO' -p280289 -aS'PUMP\tPUMP\tNN\tI-NP\tO' -p280290 -aS':\t:\t:\tO\tO' -p280291 -aS'The\tThe\tDT\tB-NP\tO' -p280292 -aS'patient\tpatient\tNN\tI-NP\tO' -p280293 -aS'had\thave\tVBD\tB-VP\tO' -p280294 -aS'an\tan\tDT\tB-NP\tO' -p280295 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p280296 -aS'to\tto\tTO\tB-VP\tO' -p280297 -aS'assess\tassess\tVB\tI-VP\tO' -p280298 -aS'her\ther\tPRP$\tB-NP\tO' -p280299 -aS'LV\tLV\tNN\tI-NP\tO' -p280300 -aS'function\tfunction\tNN\tI-NP\tO' -p280301 -aS'.\t.\t.\tO\tO' -p280302 -asS'A 34 year old white female lying in bed , anxious ; blood pressure of 220/120 , afebrile .' -p280303 -(lp280304 -S'A\tA\tDT\tB-NP\tO' -p280305 -aS'34\t34\tCD\tI-NP\tO' -p280306 -aS'year\tyear\tNN\tI-NP\tO' -p280307 -aS'old\told\tJJ\tI-NP\tO' -p280308 -aS'white\twhite\tJJ\tI-NP\tO' -p280309 -aS'female\tfemale\tNN\tI-NP\tO' -p280310 -aS'lying\tlie\tVBG\tB-VP\tO' -p280311 -aS'in\tin\tIN\tB-PP\tO' -p280312 -aS'bed\tbed\tNN\tB-NP\tO' -p280313 -aS',\t,\t,\tO\tO' -p280314 -aS'anxious\tanxious\tJJ\tB-ADJP\tO' -p280315 -aS';\t;\t:\tO\tO' -p280316 -aS'blood\tblood\tNN\tB-NP\tO' -p280317 -aS'pressure\tpressure\tNN\tI-NP\tO' -p280318 -aS'of\tof\tIN\tB-PP\tO' -p280319 -aS'220/120\t220/120\tCD\tB-NP\tO' -p280320 -aS',\t,\t,\tO\tO' -p280321 -aS'afebrile\tafebrile\tRB\tB-ADVP\tO' -p280322 -aS'.\t.\t.\tO\tO' -p280323 -asS'The patient is to follow up with Dr. Pop in one week and the patient was afebrile with stable vital signs at the time of discharge .' -p280324 -(lp280325 -S'The\tThe\tDT\tB-NP\tO' -p280326 -aS'patient\tpatient\tNN\tI-NP\tO' -p280327 -aS'is\tbe\tVBZ\tB-VP\tO' -p280328 -aS'to\tto\tTO\tB-VP\tO' -p280329 -aS'follow\tfollow\tVB\tI-VP\tO' -p280330 -aS'up\tup\tRP\tB-PRT\tO' -p280331 -aS'with\twith\tIN\tB-PP\tO' -p280332 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p280333 -aS'Pop\tPop\tNNP\tI-NP\tO' -p280334 -aS'in\tin\tIN\tB-PP\tO' -p280335 -aS'one\tone\tCD\tB-NP\tO' -p280336 -aS'week\tweek\tNN\tI-NP\tO' -p280337 -aS'and\tand\tCC\tO\tO' -p280338 -aS'the\tthe\tDT\tB-NP\tO' -p280339 -aS'patient\tpatient\tNN\tI-NP\tO' -p280340 -aS'was\tbe\tVBD\tB-VP\tO' -p280341 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p280342 -aS'with\twith\tIN\tB-PP\tO' -p280343 -aS'stable\tstable\tJJ\tB-NP\tO' -p280344 -aS'vital\tvital\tJJ\tI-NP\tO' -p280345 -aS'signs\tsign\tNNS\tI-NP\tO' -p280346 -aS'at\tat\tIN\tB-PP\tO' -p280347 -aS'the\tthe\tDT\tB-NP\tO' -p280348 -aS'time\ttime\tNN\tI-NP\tO' -p280349 -aS'of\tof\tIN\tB-PP\tO' -p280350 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p280351 -aS'.\t.\t.\tO\tO' -p280352 -asS'Tube feedings were started thorugh peg tube .' -p280353 -(lp280354 -S'Tube\tTube\tNN\tB-NP\tO' -p280355 -aS'feedings\tfeeding\tNNS\tI-NP\tO' -p280356 -aS'were\tbe\tVBD\tB-VP\tO' -p280357 -aS'started\tstart\tVBN\tI-VP\tO' -p280358 -aS'thorugh\tthorugh\tIN\tB-PP\tO' -p280359 -aS'peg\tpeg\tNN\tB-NP\tO' -p280360 -aS'tube\ttube\tNN\tI-NP\tO' -p280361 -aS'.\t.\t.\tO\tO' -p280362 -asS'Gastric ulcer and gastric pericardial fistula , constricting pericarditis , adult respiratory distress syndrome , status post gunshot wounds and paraplegia since 1991 of T4 on down .' -p280363 -(lp280364 -S'Gastric\tGastric\tJJ\tB-NP\tO' -p280365 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p280366 -aS'and\tand\tCC\tO\tO' -p280367 -aS'gastric\tgastric\tJJ\tB-NP\tO' -p280368 -aS'pericardial\tpericardial\tJJ\tI-NP\tO' -p280369 -aS'fistula\tfistula\tNN\tI-NP\tO' -p280370 -aS',\t,\t,\tO\tO' -p280371 -aS'constricting\tconstrict\tVBG\tB-VP\tO' -p280372 -aS'pericarditis\tpericarditis\tNN\tB-NP\tO' -p280373 -aS',\t,\t,\tO\tO' -p280374 -aS'adult\tadult\tJJ\tB-NP\tO' -p280375 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p280376 -aS'distress\tdistress\tNN\tI-NP\tO' -p280377 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p280378 -aS',\t,\t,\tO\tO' -p280379 -aS'status\tstatus\tNN\tB-NP\tO' -p280380 -aS'post\tpost\tNN\tI-NP\tO' -p280381 -aS'gunshot\tgunshot\tNN\tI-NP\tO' -p280382 -aS'wounds\twound\tNNS\tI-NP\tO' -p280383 -aS'and\tand\tCC\tO\tO' -p280384 -aS'paraplegia\tparaplegia\tNN\tB-NP\tO' -p280385 -aS'since\tsince\tIN\tB-PP\tO' -p280386 -aS'1991\t1991\tCD\tB-NP\tO' -p280387 -aS'of\tof\tIN\tB-PP\tO' -p280388 -aS'T4\tT4\tNN\tB-NP\tO' -p280389 -aS'on\ton\tIN\tB-PP\tO' -p280390 -aS'down\tdown\tRB\tB-ADVP\tO' -p280391 -aS'.\t.\t.\tO\tO' -p280392 -asS'She was in her usual state of health until 3/20/97 when she experienced the fairly sudden onset of predominantly right-sided arm and leg weakness and ataxia .' -p280393 -(lp280394 -S'She\tShe\tPRP\tB-NP\tO' -p280395 -aS'was\tbe\tVBD\tB-VP\tO' -p280396 -aS'in\tin\tIN\tB-PP\tO' -p280397 -aS'her\ther\tPRP$\tB-NP\tO' -p280398 -aS'usual\tusual\tJJ\tI-NP\tO' -p280399 -aS'state\tstate\tNN\tI-NP\tO' -p280400 -aS'of\tof\tIN\tB-PP\tO' -p280401 -aS'health\thealth\tNN\tB-NP\tO' -p280402 -aS'until\tuntil\tIN\tB-PP\tO' -p280403 -aS'3/20/97\t3/20/97\tCD\tB-NP\tO' -p280404 -aS'when\twhen\tWRB\tB-ADVP\tO' -p280405 -aS'she\tshe\tPRP\tB-NP\tO' -p280406 -aS'experienced\texperience\tVBD\tB-VP\tO' -p280407 -aS'the\tthe\tDT\tB-NP\tO' -p280408 -aS'fairly\tfairly\tRB\tI-NP\tO' -p280409 -aS'sudden\tsudden\tJJ\tI-NP\tO' -p280410 -aS'onset\tonset\tNN\tI-NP\tO' -p280411 -aS'of\tof\tIN\tB-PP\tO' -p280412 -aS'predominantly\tpredominantly\tRB\tB-NP\tO' -p280413 -aS'right-sided\tright-sided\tJJ\tI-NP\tO' -p280414 -aS'arm\tarm\tNN\tI-NP\tO' -p280415 -aS'and\tand\tCC\tI-NP\tO' -p280416 -aS'leg\tleg\tNN\tI-NP\tO' -p280417 -aS'weakness\tweakness\tNN\tI-NP\tO' -p280418 -aS'and\tand\tCC\tO\tO' -p280419 -aS'ataxia\tataxia\tNN\tB-NP\tO' -p280420 -aS'.\t.\t.\tO\tO' -p280421 -asS'Crackles in lower lung fields .' -p280422 -(lp280423 -S'Crackles\tCrackle\tNNS\tB-NP\tO' -p280424 -aS'in\tin\tIN\tB-PP\tO' -p280425 -aS'lower\tlow\tJJR\tB-NP\tO' -p280426 -aS'lung\tlung\tNN\tI-NP\tO' -p280427 -aS'fields\tfield\tNNS\tI-NP\tO' -p280428 -aS'.\t.\t.\tO\tO' -p280429 -asS'Drank ETOH heavily until 8 years ago when he quit .' -p280430 -(lp280431 -S'Drank\tDrank\tNN\tB-NP\tO' -p280432 -aS'ETOH\tETOH\tNN\tI-NP\tO' -p280433 -aS'heavily\theavily\tRB\tB-ADVP\tO' -p280434 -aS'until\tuntil\tIN\tB-PP\tO' -p280435 -aS'8\t8\tCD\tB-NP\tO' -p280436 -aS'years\tyear\tNNS\tI-NP\tO' -p280437 -aS'ago\tago\tRB\tB-ADVP\tO' -p280438 -aS'when\twhen\tWRB\tB-ADVP\tO' -p280439 -aS'he\the\tPRP\tB-NP\tO' -p280440 -aS'quit\tquit\tVBD\tB-VP\tO' -p280441 -aS'.\t.\t.\tO\tO' -p280442 -asS'2. Trusopt 1 gtt left eye three times a day .' -p280443 -(lp280444 -S'2.\t2.\tCD\tB-NP\tO' -p280445 -aS'Trusopt\tTrusopt\tNNP\tI-NP\tO' -p280446 -aS'1\t1\tCD\tI-NP\tO' -p280447 -aS'gtt\tgtt\tNN\tI-NP\tO' -p280448 -aS'left\tleave\tVBD\tB-VP\tO' -p280449 -aS'eye\teye\tNN\tB-NP\tO' -p280450 -aS'three\tthree\tCD\tB-NP\tO' -p280451 -aS'times\ttime\tNNS\tI-NP\tO' -p280452 -aS'a\ta\tDT\tB-NP\tO' -p280453 -aS'day\tday\tNN\tI-NP\tO' -p280454 -aS'.\t.\t.\tO\tO' -p280455 -asS'The patient is discharged on Thursday , 12-31 , to a rehabilitation facility , on postoperative day 93 , in stable condition , from the cardiac surgery recovery unit .' -p280456 -(lp280457 -S'The\tThe\tDT\tB-NP\tO' -p280458 -aS'patient\tpatient\tNN\tI-NP\tO' -p280459 -aS'is\tbe\tVBZ\tB-VP\tO' -p280460 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p280461 -aS'on\ton\tIN\tB-PP\tO' -p280462 -aS'Thursday\tThursday\tNNP\tB-NP\tO' -p280463 -aS',\t,\t,\tO\tO' -p280464 -aS'12-31\t12-31\tCD\tB-NP\tO' -p280465 -aS',\t,\t,\tO\tO' -p280466 -aS'to\tto\tTO\tB-PP\tO' -p280467 -aS'a\ta\tDT\tB-NP\tO' -p280468 -aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' -p280469 -aS'facility\tfacility\tNN\tI-NP\tO' -p280470 -aS',\t,\t,\tO\tO' -p280471 -aS'on\ton\tIN\tB-PP\tO' -p280472 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p280473 -aS'day\tday\tNN\tI-NP\tO' -p280474 -aS'93\t93\tCD\tI-NP\tO' -p280475 -aS',\t,\t,\tO\tO' -p280476 -aS'in\tin\tIN\tB-PP\tO' -p280477 -aS'stable\tstable\tJJ\tB-NP\tO' -p280478 -aS'condition\tcondition\tNN\tI-NP\tO' -p280479 -aS',\t,\t,\tO\tO' -p280480 -aS'from\tfrom\tIN\tB-PP\tO' -p280481 -aS'the\tthe\tDT\tB-NP\tO' -p280482 -aS'cardiac\tcardiac\tJJ\tI-NP\tB-DNA' -p280483 -aS'surgery\tsurgery\tNN\tI-NP\tI-DNA' -p280484 -aS'recovery\trecovery\tNN\tI-NP\tI-DNA' -p280485 -aS'unit\tunit\tNN\tI-NP\tI-DNA' -p280486 -aS'.\t.\t.\tO\tO' -p280487 -asS'Going to UMass Memorial Medical Center 4 .' -p280488 -(lp280489 -S'Going\tGo\tVBG\tB-VP\tO' -p280490 -aS'to\tto\tTO\tB-PP\tO' -p280491 -aS'UMass\tUMass\tNNP\tB-NP\tO' -p280492 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p280493 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p280494 -aS'Center\tCenter\tNNP\tI-NP\tO' -p280495 -aS'4\t4\tCD\tI-NP\tO' -p280496 -aS'.\t.\t.\tO\tO' -p280497 -asS'extremity angiography on the day of admission , but due to his renal failure the procedure was cancelled .' -p280498 -(lp280499 -S'extremity\textremity\tNN\tB-NP\tO' -p280500 -aS'angiography\tangiography\tNN\tI-NP\tO' -p280501 -aS'on\ton\tIN\tB-PP\tO' -p280502 -aS'the\tthe\tDT\tB-NP\tO' -p280503 -aS'day\tday\tNN\tI-NP\tO' -p280504 -aS'of\tof\tIN\tB-PP\tO' -p280505 -aS'admission\tadmission\tNN\tB-NP\tO' -p280506 -aS',\t,\t,\tO\tO' -p280507 -aS'but\tbut\tCC\tO\tO' -p280508 -aS'due\tdue\tIN\tB-PP\tO' -p280509 -aS'to\tto\tTO\tB-PP\tO' -p280510 -aS'his\this\tPRP$\tB-NP\tO' -p280511 -aS'renal\trenal\tJJ\tI-NP\tO' -p280512 -aS'failure\tfailure\tNN\tI-NP\tO' -p280513 -aS'the\tthe\tDT\tB-NP\tO' -p280514 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p280515 -aS'was\tbe\tVBD\tB-VP\tO' -p280516 -aS'cancelled\tcancel\tVBN\tI-VP\tO' -p280517 -aS'.\t.\t.\tO\tO' -p280518 -asS'The patient had no signs or symptoms of infection at the time of admission .' -p280519 -(lp280520 -S'The\tThe\tDT\tB-NP\tO' -p280521 -aS'patient\tpatient\tNN\tI-NP\tO' -p280522 -aS'had\thave\tVBD\tB-VP\tO' -p280523 -aS'no\tno\tDT\tB-NP\tO' -p280524 -aS'signs\tsign\tNNS\tI-NP\tO' -p280525 -aS'or\tor\tCC\tI-NP\tO' -p280526 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p280527 -aS'of\tof\tIN\tB-PP\tO' -p280528 -aS'infection\tinfection\tNN\tB-NP\tO' -p280529 -aS'at\tat\tIN\tB-PP\tO' -p280530 -aS'the\tthe\tDT\tB-NP\tO' -p280531 -aS'time\ttime\tNN\tI-NP\tO' -p280532 -aS'of\tof\tIN\tB-PP\tO' -p280533 -aS'admission\tadmission\tNN\tB-NP\tO' -p280534 -aS'.\t.\t.\tO\tO' -p280535 -asS'3. Stable appearance of hypodense lesion within the caudate lobe of the liver , too small to fully characterize .' -p280536 -(lp280537 -S'3.\t3.\tLS\tB-NP\tO' -p280538 -aS'Stable\tStable\tJJ\tI-NP\tO' -p280539 -aS'appearance\tappearance\tNN\tI-NP\tO' -p280540 -aS'of\tof\tIN\tB-PP\tO' -p280541 -aS'hypodense\thypodense\tNN\tB-NP\tO' -p280542 -aS'lesion\tlesion\tNN\tI-NP\tO' -p280543 -aS'within\twithin\tIN\tB-PP\tO' -p280544 -aS'the\tthe\tDT\tB-NP\tO' -p280545 -aS'caudate\tcaudate\tJJ\tI-NP\tO' -p280546 -aS'lobe\tlobe\tNN\tI-NP\tO' -p280547 -aS'of\tof\tIN\tB-PP\tO' -p280548 -aS'the\tthe\tDT\tB-NP\tO' -p280549 -aS'liver\tliver\tNN\tI-NP\tO' -p280550 -aS',\t,\t,\tO\tO' -p280551 -aS'too\ttoo\tRB\tB-ADJP\tO' -p280552 -aS'small\tsmall\tJJ\tI-ADJP\tO' -p280553 -aS'to\tto\tTO\tB-VP\tO' -p280554 -aS'fully\tfully\tRB\tI-VP\tO' -p280555 -aS'characterize\tcharacterize\tVB\tI-VP\tO' -p280556 -aS'.\t.\t.\tO\tO' -p280557 -asS'- Levothyroxine 175 mcg PO qd' -p280558 -(lp280559 -S'-\t-\tHYPH\tB-NP\tO' -p280560 -aS'Levothyroxine\tLevothyroxine\tNN\tI-NP\tO' -p280561 -aS'175\t175\tCD\tI-NP\tO' -p280562 -aS'mcg\tmcg\tNN\tI-NP\tO' -p280563 -aS'PO\tPO\tNN\tI-NP\tO' -p280564 -aS'qd\tqd\tNN\tI-NP\tO' -p280565 -asS'There is no pedal edema but there is evidence of some psoriasis of the lower extremities , right greater than left .' -p280566 -(lp280567 -S'There\tThere\tEX\tB-NP\tO' -p280568 -aS'is\tbe\tVBZ\tB-VP\tO' -p280569 -aS'no\tno\tDT\tB-NP\tO' -p280570 -aS'pedal\tpedal\tJJ\tI-NP\tO' -p280571 -aS'edema\tedema\tNN\tI-NP\tO' -p280572 -aS'but\tbut\tCC\tO\tO' -p280573 -aS'there\tthere\tEX\tB-NP\tO' -p280574 -aS'is\tbe\tVBZ\tB-VP\tO' -p280575 -aS'evidence\tevidence\tNN\tB-NP\tO' -p280576 -aS'of\tof\tIN\tB-PP\tO' -p280577 -aS'some\tsome\tDT\tB-NP\tO' -p280578 -aS'psoriasis\tpsoriasis\tNN\tI-NP\tO' -p280579 -aS'of\tof\tIN\tB-PP\tO' -p280580 -aS'the\tthe\tDT\tB-NP\tO' -p280581 -aS'lower\tlow\tJJR\tI-NP\tO' -p280582 -aS'extremities\textremity\tNNS\tI-NP\tO' -p280583 -aS',\t,\t,\tO\tO' -p280584 -aS'right\tright\tRB\tB-ADVP\tO' -p280585 -aS'greater\tgreat\tJJR\tI-ADVP\tO' -p280586 -aS'than\tthan\tIN\tB-PP\tO' -p280587 -aS'left\tleft\tJJ\tB-ADJP\tO' -p280588 -aS'.\t.\t.\tO\tO' -p280589 -asS'His mucous membranes were moist .' -p280590 -(lp280591 -S'His\tHis\tPRP$\tB-NP\tO' -p280592 -aS'mucous\tmucous\tJJ\tI-NP\tO' -p280593 -aS'membranes\tmembrane\tNNS\tI-NP\tO' -p280594 -aS'were\tbe\tVBD\tB-VP\tO' -p280595 -aS'moist\tmoist\tNN\tB-NP\tO' -p280596 -aS'.\t.\t.\tO\tO' -p280597 -asS'On 12-15 , the patient went for placement of a pacemaker .' -p280598 -(lp280599 -S'On\tOn\tIN\tB-PP\tO' -p280600 -aS'12-15\t12-15\tCD\tB-NP\tO' -p280601 -aS',\t,\t,\tO\tO' -p280602 -aS'the\tthe\tDT\tB-NP\tO' -p280603 -aS'patient\tpatient\tNN\tI-NP\tO' -p280604 -aS'went\tgo\tVBD\tB-VP\tO' -p280605 -aS'for\tfor\tIN\tB-PP\tO' -p280606 -aS'placement\tplacement\tNN\tB-NP\tO' -p280607 -aS'of\tof\tIN\tB-PP\tO' -p280608 -aS'a\ta\tDT\tB-NP\tO' -p280609 -aS'pacemaker\tpacemaker\tNN\tI-NP\tO' -p280610 -aS'.\t.\t.\tO\tO' -p280611 -asS'Claire was to see Dr. Michael Majerowski at the Sturdy Memorial Clinic on the east campus , on Bissonette Six , in the South Suite , on 31-05-03 at 11:30 a.m.' -p280612 -(lp280613 -S'Claire\tClaire\tNN\tB-NP\tO' -p280614 -aS'was\tbe\tVBD\tB-VP\tO' -p280615 -aS'to\tto\tTO\tB-VP\tO' -p280616 -aS'see\tsee\tVB\tI-VP\tO' -p280617 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p280618 -aS'Michael\tMichael\tNNP\tI-NP\tO' -p280619 -aS'Majerowski\tMajerowski\tNNP\tI-NP\tO' -p280620 -aS'at\tat\tIN\tB-PP\tO' -p280621 -aS'the\tthe\tDT\tB-NP\tO' -p280622 -aS'Sturdy\tSturdy\tNNP\tI-NP\tO' -p280623 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p280624 -aS'Clinic\tClinic\tNNP\tI-NP\tO' -p280625 -aS'on\ton\tIN\tB-PP\tO' -p280626 -aS'the\tthe\tDT\tB-NP\tO' -p280627 -aS'east\teast\tJJ\tI-NP\tO' -p280628 -aS'campus\tcampus\tNN\tI-NP\tO' -p280629 -aS',\t,\t,\tO\tO' -p280630 -aS'on\ton\tIN\tB-PP\tO' -p280631 -aS'Bissonette\tBissonette\tNNP\tB-NP\tO' -p280632 -aS'Six\tSix\tNNP\tI-NP\tO' -p280633 -aS',\t,\t,\tO\tO' -p280634 -aS'in\tin\tIN\tB-PP\tO' -p280635 -aS'the\tthe\tDT\tB-NP\tO' -p280636 -aS'South\tSouth\tNNP\tI-NP\tO' -p280637 -aS'Suite\tSuite\tNNP\tI-NP\tO' -p280638 -aS',\t,\t,\tO\tO' -p280639 -aS'on\ton\tIN\tB-PP\tO' -p280640 -aS'31-05-03\t31-05-03\tCD\tB-NP\tO' -p280641 -aS'at\tat\tIN\tB-PP\tO' -p280642 -aS'11:30\t11:30\tCD\tB-NP\tO' -p280643 -aS'a.m.\ta.m.\tNN\tI-NP\tO' -p280644 -asS'This was done on 05/05/93 at FIH .' -p280645 -(lp280646 -S'This\tThis\tDT\tB-NP\tO' -p280647 -aS'was\tbe\tVBD\tB-VP\tO' -p280648 -aS'done\tdo\tVBN\tI-VP\tO' -p280649 -aS'on\ton\tIN\tB-PP\tO' -p280650 -aS'05/05/93\t05/05/93\tCD\tB-NP\tO' -p280651 -aS'at\tat\tIN\tB-PP\tO' -p280652 -aS'FIH\tFIH\tNN\tB-NP\tO' -p280653 -aS'.\t.\t.\tO\tO' -p280654 -asS'Pupils equal , round , reactive to light and accommodation , and extraocular movements intact . , with a benign oropharynx .' -p280655 -(lp280656 -S'Pupils\tPupil\tNNS\tB-NP\tO' -p280657 -aS'equal\tequal\tJJ\tI-NP\tO' -p280658 -aS',\t,\t,\tI-NP\tO' -p280659 -aS'round\tround\tJJ\tI-NP\tO' -p280660 -aS',\t,\t,\tI-NP\tO' -p280661 -aS'reactive\treactive\tJJ\tI-NP\tO' -p280662 -aS'to\tto\tTO\tB-PP\tO' -p280663 -aS'light\tlight\tNN\tB-NP\tO' -p280664 -aS'and\tand\tCC\tI-NP\tO' -p280665 -aS'accommodation\taccommodation\tNN\tI-NP\tO' -p280666 -aS',\t,\t,\tO\tO' -p280667 -aS'and\tand\tCC\tO\tO' -p280668 -aS'extraocular\textraocular\tJJ\tB-NP\tO' -p280669 -aS'movements\tmovement\tNNS\tI-NP\tO' -p280670 -aS'intact\tintact\tJJ\tB-NP\tO' -p280671 -aS'.\t.\tNN\tI-NP\tO' -p280672 -aS',\t,\t,\tO\tO' -p280673 -aS'with\twith\tIN\tB-PP\tO' -p280674 -aS'a\ta\tDT\tB-NP\tO' -p280675 -aS'benign\tbenign\tJJ\tI-NP\tO' -p280676 -aS'oropharynx\toropharynx\tNN\tI-NP\tO' -p280677 -aS'.\t.\t.\tO\tO' -p280678 -asS'A computerized tomography scan of the head reveals a small external skull fracture , approximately 1-2 millemeters in size , near the right frontoparietal apex .' -p280679 -(lp280680 -S'A\tA\tDT\tB-NP\tO' -p280681 -aS'computerized\tcomputerized\tJJ\tI-NP\tO' -p280682 -aS'tomography\ttomography\tNN\tI-NP\tO' -p280683 -aS'scan\tscan\tNN\tI-NP\tO' -p280684 -aS'of\tof\tIN\tB-PP\tO' -p280685 -aS'the\tthe\tDT\tB-NP\tO' -p280686 -aS'head\thead\tNN\tI-NP\tO' -p280687 -aS'reveals\treveal\tVBZ\tB-VP\tO' -p280688 -aS'a\ta\tDT\tB-NP\tO' -p280689 -aS'small\tsmall\tJJ\tI-NP\tO' -p280690 -aS'external\texternal\tJJ\tI-NP\tO' -p280691 -aS'skull\tskull\tNN\tI-NP\tO' -p280692 -aS'fracture\tfracture\tNN\tI-NP\tO' -p280693 -aS',\t,\t,\tO\tO' -p280694 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p280695 -aS'1-2\t1-2\tCD\tI-NP\tO' -p280696 -aS'millemeters\tmillemeter\tNNS\tI-NP\tO' -p280697 -aS'in\tin\tIN\tB-PP\tO' -p280698 -aS'size\tsize\tNN\tB-NP\tO' -p280699 -aS',\t,\t,\tO\tO' -p280700 -aS'near\tnear\tIN\tB-PP\tO' -p280701 -aS'the\tthe\tDT\tB-NP\tO' -p280702 -aS'right\tright\tJJ\tI-NP\tO' -p280703 -aS'frontoparietal\tfrontoparietal\tJJ\tI-NP\tO' -p280704 -aS'apex\tapex\tNN\tI-NP\tO' -p280705 -aS'.\t.\t.\tO\tO' -p280706 -asS'Erosions in the antrum and pre-pyloric region , granularity , erythema and congestion of the anterior bulb and posterior bulb compatible with duodenitis .' -p280707 -(lp280708 -S'Erosions\tErosion\tNNS\tB-NP\tO' -p280709 -aS'in\tin\tIN\tB-PP\tO' -p280710 -aS'the\tthe\tDT\tB-NP\tO' -p280711 -aS'antrum\tantrum\tNN\tI-NP\tB-DNA' -p280712 -aS'and\tand\tCC\tO\tI-DNA' -p280713 -aS'pre-pyloric\tpre-pyloric\tJJ\tB-NP\tI-DNA' -p280714 -aS'region\tregion\tNN\tI-NP\tI-DNA' -p280715 -aS',\t,\t,\tO\tO' -p280716 -aS'granularity\tgranularity\tNN\tB-NP\tO' -p280717 -aS',\t,\t,\tO\tO' -p280718 -aS'erythema\terythema\tNN\tB-NP\tO' -p280719 -aS'and\tand\tCC\tI-NP\tO' -p280720 -aS'congestion\tcongestion\tNN\tI-NP\tO' -p280721 -aS'of\tof\tIN\tB-PP\tO' -p280722 -aS'the\tthe\tDT\tB-NP\tO' -p280723 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p280724 -aS'bulb\tbulb\tNN\tI-NP\tO' -p280725 -aS'and\tand\tCC\tO\tO' -p280726 -aS'posterior\tposterior\tJJ\tB-NP\tO' -p280727 -aS'bulb\tbulb\tNN\tI-NP\tO' -p280728 -aS'compatible\tcompatible\tJJ\tB-ADJP\tO' -p280729 -aS'with\twith\tIN\tB-PP\tO' -p280730 -aS'duodenitis\tduodenitis\tNN\tB-NP\tO' -p280731 -aS'.\t.\t.\tO\tO' -p280732 -asS'Pt was seen by GI on 13 EGD was performed HD2 which was negative for gastritis , stricture or ulcer .' -p280733 -(lp280734 -S'Pt\tPt\tNN\tB-NP\tO' -p280735 -aS'was\tbe\tVBD\tB-VP\tO' -p280736 -aS'seen\tsee\tVBN\tI-VP\tO' -p280737 -aS'by\tby\tIN\tB-PP\tO' -p280738 -aS'GI\tGI\tNN\tB-NP\tO' -p280739 -aS'on\ton\tIN\tB-PP\tO' -p280740 -aS'13\t13\tCD\tB-NP\tO' -p280741 -aS'EGD\tEGD\tNN\tI-NP\tO' -p280742 -aS'was\tbe\tVBD\tB-VP\tO' -p280743 -aS'performed\tperform\tVBN\tI-VP\tO' -p280744 -aS'HD2\tHD2\tNN\tB-NP\tB-protein' -p280745 -aS'which\twhich\tWDT\tB-NP\tO' -p280746 -aS'was\tbe\tVBD\tB-VP\tO' -p280747 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p280748 -aS'for\tfor\tIN\tB-PP\tO' -p280749 -aS'gastritis\tgastritis\tNN\tB-NP\tO' -p280750 -aS',\t,\t,\tI-NP\tO' -p280751 -aS'stricture\tstricture\tNN\tI-NP\tO' -p280752 -aS'or\tor\tCC\tI-NP\tO' -p280753 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p280754 -aS'.\t.\t.\tO\tO' -p280755 -asS'On admission , the patient was noted to have elevated bilirubins in the 3 range and mildly elevated alkaline phosphatase consistent with a cholestatic picture .' -p280756 -(lp280757 -S'On\tOn\tIN\tB-PP\tO' -p280758 -aS'admission\tadmission\tNN\tB-NP\tO' -p280759 -aS',\t,\t,\tO\tO' -p280760 -aS'the\tthe\tDT\tB-NP\tO' -p280761 -aS'patient\tpatient\tNN\tI-NP\tO' -p280762 -aS'was\tbe\tVBD\tB-VP\tO' -p280763 -aS'noted\tnote\tVBN\tI-VP\tO' -p280764 -aS'to\tto\tTO\tI-VP\tO' -p280765 -aS'have\thave\tVB\tI-VP\tO' -p280766 -aS'elevated\televate\tVBN\tI-VP\tO' -p280767 -aS'bilirubins\tbilirubin\tNNS\tB-NP\tO' -p280768 -aS'in\tin\tIN\tB-PP\tO' -p280769 -aS'the\tthe\tDT\tB-NP\tO' -p280770 -aS'3\t3\tCD\tI-NP\tO' -p280771 -aS'range\trange\tNN\tI-NP\tO' -p280772 -aS'and\tand\tCC\tO\tO' -p280773 -aS'mildly\tmildly\tRB\tB-NP\tO' -p280774 -aS'elevated\televated\tJJ\tI-NP\tO' -p280775 -aS'alkaline\talkaline\tJJ\tI-NP\tO' -p280776 -aS'phosphatase\tphosphatase\tNN\tI-NP\tO' -p280777 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p280778 -aS'with\twith\tIN\tB-PP\tO' -p280779 -aS'a\ta\tDT\tB-NP\tO' -p280780 -aS'cholestatic\tcholestatic\tJJ\tI-NP\tO' -p280781 -aS'picture\tpicture\tNN\tI-NP\tO' -p280782 -aS'.\t.\t.\tO\tO' -p280783 -asS"There is moderate prominence of ventricles and sulci , inappropriate for the patient 's age ." -p280784 -(lp280785 -S'There\tThere\tEX\tB-NP\tO' -p280786 -aS'is\tbe\tVBZ\tB-VP\tO' -p280787 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p280788 -aS'prominence\tprominence\tNN\tI-NP\tO' -p280789 -aS'of\tof\tIN\tB-PP\tO' -p280790 -aS'ventricles\tventricle\tNNS\tB-NP\tO' -p280791 -aS'and\tand\tCC\tI-NP\tO' -p280792 -aS'sulci\tsulcus\tNNS\tI-NP\tO' -p280793 -aS',\t,\t,\tO\tO' -p280794 -aS'inappropriate\tinappropriate\tJJ\tB-ADJP\tO' -p280795 -aS'for\tfor\tIN\tB-PP\tO' -p280796 -aS'the\tthe\tDT\tB-NP\tO' -p280797 -aS'patient\tpatient\tNN\tI-NP\tO' -p280798 -aS"'s\t's\tPOS\tB-NP\tO" -p280799 -aS'age\tage\tNN\tI-NP\tO' -p280800 -aS'.\t.\t.\tO\tO' -p280801 -asS'Sinus tachycardia at 106 beats per minute , left axis deviation , T-wave inversions in leads I and aVL that are old .' -p280802 -(lp280803 -S'Sinus\tSinus\tNNP\tB-NP\tO' -p280804 -aS'tachycardia\ttachycardia\tNN\tI-NP\tO' -p280805 -aS'at\tat\tIN\tB-PP\tO' -p280806 -aS'106\t106\tCD\tB-NP\tO' -p280807 -aS'beats\tbeat\tNNS\tI-NP\tO' -p280808 -aS'per\tper\tIN\tB-PP\tO' -p280809 -aS'minute\tminute\tNN\tB-NP\tO' -p280810 -aS',\t,\t,\tO\tO' -p280811 -aS'left\tleave\tVBD\tB-VP\tO' -p280812 -aS'axis\taxis\tNN\tB-NP\tO' -p280813 -aS'deviation\tdeviation\tNN\tI-NP\tO' -p280814 -aS',\t,\t,\tO\tO' -p280815 -aS'T-wave\tT-wave\tJJ\tB-NP\tO' -p280816 -aS'inversions\tinversion\tNNS\tI-NP\tO' -p280817 -aS'in\tin\tIN\tB-PP\tO' -p280818 -aS'leads\tlead\tNNS\tB-NP\tO' -p280819 -aS'I\tI\tCD\tB-NP\tO' -p280820 -aS'and\tand\tCC\tO\tO' -p280821 -aS'aVL\taVL\tNN\tB-NP\tO' -p280822 -aS'that\tthat\tWDT\tB-NP\tO' -p280823 -aS'are\tbe\tVBP\tB-VP\tO' -p280824 -aS'old\told\tJJ\tB-ADJP\tO' -p280825 -aS'.\t.\t.\tO\tO' -p280826 -asS'This was accompanied by substantial decrement in neurologic function .' -p280827 -(lp280828 -S'This\tThis\tDT\tB-NP\tO' -p280829 -aS'was\tbe\tVBD\tB-VP\tO' -p280830 -aS'accompanied\taccompany\tVBN\tI-VP\tO' -p280831 -aS'by\tby\tIN\tB-PP\tO' -p280832 -aS'substantial\tsubstantial\tJJ\tB-NP\tO' -p280833 -aS'decrement\tdecrement\tNN\tI-NP\tO' -p280834 -aS'in\tin\tIN\tB-PP\tO' -p280835 -aS'neurologic\tneurologic\tJJ\tB-NP\tO' -p280836 -aS'function\tfunction\tNN\tI-NP\tO' -p280837 -aS'.\t.\t.\tO\tO' -p280838 -asS'The cardiovascular examination revealed S1 and S2 regular , no murmurs , 2+ femoral pulses .' -p280839 -(lp280840 -S'The\tThe\tDT\tB-NP\tO' -p280841 -aS'cardiovascular\tcardiovascular\tJJ\tI-NP\tO' -p280842 -aS'examination\texamination\tNN\tI-NP\tO' -p280843 -aS'revealed\treveal\tVBD\tB-VP\tO' -p280844 -aS'S1\tS1\tNN\tB-NP\tB-protein' -p280845 -aS'and\tand\tCC\tO\tO' -p280846 -aS'S2\tS2\tNN\tB-NP\tB-protein' -p280847 -aS'regular\tregular\tJJ\tB-ADJP\tO' -p280848 -aS',\t,\t,\tO\tO' -p280849 -aS'no\tno\tDT\tB-NP\tO' -p280850 -aS'murmurs\tmurmur\tNNS\tI-NP\tO' -p280851 -aS',\t,\t,\tO\tO' -p280852 -aS'2+\t2+\tJJ\tB-NP\tO' -p280853 -aS'femoral\tfemoral\tJJ\tI-NP\tO' -p280854 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p280855 -aS'.\t.\t.\tO\tO' -p280856 -asS'Stronger narcotics were avoided given somnolence and MS changes .' -p280857 -(lp280858 -S'Stronger\tStrong\tJJR\tB-NP\tO' -p280859 -aS'narcotics\tnarcotic\tNNS\tI-NP\tO' -p280860 -aS'were\tbe\tVBD\tB-VP\tO' -p280861 -aS'avoided\tavoid\tVBN\tI-VP\tO' -p280862 -aS'given\tgive\tVBN\tB-PP\tO' -p280863 -aS'somnolence\tsomnolence\tNN\tB-NP\tO' -p280864 -aS'and\tand\tCC\tI-NP\tO' -p280865 -aS'MS\tMS\tNN\tI-NP\tO' -p280866 -aS'changes\tchange\tNNS\tI-NP\tO' -p280867 -aS'.\t.\t.\tO\tO' -p280868 -asS'CXR at Erich Lindemann Mental Health Center 05-26 : bilateral pleural eff and pericardial eff' -p280869 -(lp280870 -S'CXR\tCXR\tNN\tB-NP\tB-protein' -p280871 -aS'at\tat\tIN\tB-PP\tO' -p280872 -aS'Erich\tErich\tNNP\tB-NP\tO' -p280873 -aS'Lindemann\tLindemann\tNNP\tI-NP\tO' -p280874 -aS'Mental\tMental\tNNP\tI-NP\tO' -p280875 -aS'Health\tHealth\tNNP\tI-NP\tO' -p280876 -aS'Center\tCenter\tNNP\tI-NP\tO' -p280877 -aS'05-26\t05-26\tCD\tI-NP\tO' -p280878 -aS':\t:\t:\tO\tO' -p280879 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p280880 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p280881 -aS'eff\teff\tNN\tI-NP\tO' -p280882 -aS'and\tand\tCC\tO\tO' -p280883 -aS'pericardial\tpericardial\tJJ\tB-NP\tO' -p280884 -aS'eff\teff\tNN\tI-NP\tO' -p280885 -asS'Her Hct dropped from Hct 38.9 before fluids to 35.5 s/p 1.5L NS and was thought to be dilutional .' -p280886 -(lp280887 -S'Her\tHer\tPRP$\tB-NP\tO' -p280888 -aS'Hct\tHct\tNN\tI-NP\tB-protein' -p280889 -aS'dropped\tdrop\tVBD\tB-VP\tO' -p280890 -aS'from\tfrom\tIN\tB-PP\tO' -p280891 -aS'Hct\tHct\tNN\tB-NP\tB-DNA' -p280892 -aS'38.9\t38.9\tCD\tI-NP\tI-DNA' -p280893 -aS'before\tbefore\tIN\tB-SBAR\tO' -p280894 -aS'fluids\tfluid\tNNS\tB-NP\tO' -p280895 -aS'to\tto\tTO\tB-PP\tO' -p280896 -aS'35.5\t35.5\tCD\tB-NP\tO' -p280897 -aS's/p\ts/p\tNN\tI-NP\tO' -p280898 -aS'1.5L\t1.5L\tNN\tI-NP\tO' -p280899 -aS'NS\tNS\tNN\tI-NP\tO' -p280900 -aS'and\tand\tCC\tO\tO' -p280901 -aS'was\tbe\tVBD\tB-VP\tO' -p280902 -aS'thought\tthink\tVBN\tI-VP\tO' -p280903 -aS'to\tto\tTO\tI-VP\tO' -p280904 -aS'be\tbe\tVB\tI-VP\tO' -p280905 -aS'dilutional\tdilutional\tJJ\tB-ADJP\tO' -p280906 -aS'.\t.\t.\tO\tO' -p280907 -asS'4. GI .' -p280908 -(lp280909 -S'4.\t4.\tLS\tB-NP\tO' -p280910 -aS'GI\tGI\tNN\tI-NP\tO' -p280911 -aS'.\t.\t.\tO\tO' -p280912 -asS'2) No other definite fractures identified. degenerative changes of the lumbosacral spine ."' -p280913 -(lp280914 -S'2)\t2)\tLS\tB-LST\tO' -p280915 -aS'No\tNo\tDT\tB-NP\tO' -p280916 -aS'other\tother\tJJ\tI-NP\tO' -p280917 -aS'definite\tdefinite\tJJ\tI-NP\tO' -p280918 -aS'fractures\tfracture\tNNS\tI-NP\tO' -p280919 -aS'identified.\tidentified.\tVBP\tB-VP\tO' -p280920 -aS'degenerative\tdegenerative\tJJ\tB-NP\tO' -p280921 -aS'changes\tchange\tNNS\tI-NP\tO' -p280922 -aS'of\tof\tIN\tB-PP\tO' -p280923 -aS'the\tthe\tDT\tB-NP\tO' -p280924 -aS'lumbosacral\tlumbosacral\tJJ\tI-NP\tO' -p280925 -aS'spine\tspine\tNN\tI-NP\tO' -p280926 -aS'."\t."\t.\tO\tO' -p280927 -asS'h.pylori tx .' -p280928 -(lp280929 -S'h.pylori\th.pylori\tNN\tB-NP\tO' -p280930 -aS'tx\ttx\tNN\tI-NP\tO' -p280931 -aS'.\t.\t.\tO\tO' -p280932 -asS'8. Oncology .' -p280933 -(lp280934 -S'8.\t8.\tCD\tB-NP\tO' -p280935 -aS'Oncology\tOncology\tNNP\tI-NP\tO' -p280936 -aS'.\t.\t.\tO\tO' -p280937 -asS'Hct was maintained in stable range with product transfusions .' -p280938 -(lp280939 -S'Hct\tHct\tNN\tB-NP\tB-protein' -p280940 -aS'was\tbe\tVBD\tB-VP\tO' -p280941 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p280942 -aS'in\tin\tIN\tB-PP\tO' -p280943 -aS'stable\tstable\tJJ\tB-NP\tO' -p280944 -aS'range\trange\tNN\tI-NP\tO' -p280945 -aS'with\twith\tIN\tB-PP\tO' -p280946 -aS'product\tproduct\tNN\tB-NP\tO' -p280947 -aS'transfusions\ttransfusion\tNNS\tI-NP\tO' -p280948 -aS'.\t.\t.\tO\tO' -p280949 -asS'Disp :* 24 Capsule (s)* Refills :* 0 *' -p280950 -(lp280951 -S'Disp\tDisp\tNN\tB-NP\tO' -p280952 -aS':*\t:*\tSYM\tI-NP\tO' -p280953 -aS'24\t24\tCD\tI-NP\tO' -p280954 -aS'Capsule\tCapsule\tNN\tI-NP\tO' -p280955 -aS'(s)*\t(s)*\tSYM\tB-NP\tO' -p280956 -aS'Refills\tRefill\tNNPS\tI-NP\tO' -p280957 -aS':*\t:*\tSYM\tI-NP\tO' -p280958 -aS'0\t0\tCD\tI-NP\tO' -p280959 -aS'*\t*\tSYM\tB-NP\tO' -p280960 -asS'5. Miconazole Nitrate 2 % Powder Sig : One ( 1 ) Appl Topical TID ( 3 times a day ) as needed .' -p280961 -(lp280962 -S'5.\t5.\tLS\tB-NP\tO' -p280963 -aS'Miconazole\tMiconazole\tNN\tI-NP\tO' -p280964 -aS'Nitrate\tNitrate\tNN\tI-NP\tO' -p280965 -aS'2\t2\tCD\tB-NP\tO' -p280966 -aS'%\t%\tNN\tI-NP\tO' -p280967 -aS'Powder\tPowder\tNNP\tI-NP\tO' -p280968 -aS'Sig\tSig\tNNP\tI-NP\tO' -p280969 -aS':\t:\t:\tO\tO' -p280970 -aS'One\tOne\tCD\tB-NP\tO' -p280971 -aS'(\t(\t(\tO\tO' -p280972 -aS'1\t1\tCD\tB-NP\tO' -p280973 -aS')\t)\t)\tO\tO' -p280974 -aS'Appl\tAppl\tNNP\tB-NP\tO' -p280975 -aS'Topical\tTopical\tJJ\tI-NP\tO' -p280976 -aS'TID\tTID\tNN\tI-NP\tO' -p280977 -aS'(\t(\t(\tO\tO' -p280978 -aS'3\t3\tCD\tB-NP\tO' -p280979 -aS'times\ttime\tNNS\tI-NP\tO' -p280980 -aS'a\ta\tDT\tB-NP\tO' -p280981 -aS'day\tday\tNN\tI-NP\tO' -p280982 -aS')\t)\t)\tO\tO' -p280983 -aS'as\tas\tIN\tB-SBAR\tO' -p280984 -aS'needed\tneed\tVBN\tB-VP\tO' -p280985 -aS'.\t.\t.\tO\tO' -p280986 -asS'Serum sodium 141 , potassium 4.0 , chloride 106 , C02 29.6 , calcium 9.2 , phosphorus 3.6 .' -p280987 -(lp280988 -S'Serum\tSerum\tNN\tB-NP\tB-protein' -p280989 -aS'sodium\tsodium\tNN\tI-NP\tI-protein' -p280990 -aS'141\t141\tCD\tI-NP\tI-protein' -p280991 -aS',\t,\t,\tO\tO' -p280992 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p280993 -aS'4.0\t4.0\tCD\tI-NP\tO' -p280994 -aS',\t,\t,\tO\tO' -p280995 -aS'chloride\tchloride\tNN\tB-NP\tO' -p280996 -aS'106\t106\tCD\tI-NP\tO' -p280997 -aS',\t,\t,\tO\tO' -p280998 -aS'C02\tC02\tNN\tB-NP\tB-protein' -p280999 -aS'29.6\t29.6\tCD\tI-NP\tI-protein' -p281000 -aS',\t,\t,\tO\tO' -p281001 -aS'calcium\tcalcium\tNN\tB-NP\tO' -p281002 -aS'9.2\t9.2\tCD\tI-NP\tO' -p281003 -aS',\t,\t,\tO\tO' -p281004 -aS'phosphorus\tphosphorus\tNN\tB-NP\tO' -p281005 -aS'3.6\t3.6\tCD\tI-NP\tO' -p281006 -aS'.\t.\t.\tO\tO' -p281007 -asS'Follow up will be with Dr. A Flow from Stromware St. , Balt who is the patient 's primary oncologist there .' -p281008 -(lp281009 -S'Follow\tFollow\tVB\tB-VP\tO' -p281010 -aS'up\tup\tRP\tB-PRT\tO' -p281011 -aS'will\twill\tMD\tB-VP\tO' -p281012 -aS'be\tbe\tVB\tI-VP\tO' -p281013 -aS'with\twith\tIN\tB-PP\tO' -p281014 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p281015 -aS'A\tA\tNNP\tI-NP\tO' -p281016 -aS'Flow\tFlow\tNNP\tI-NP\tO' -p281017 -aS'from\tfrom\tIN\tB-PP\tO' -p281018 -aS'Stromware\tStromware\tNNP\tB-NP\tO' -p281019 -aS'St.\tSt.\tNNP\tI-NP\tO' -p281020 -aS',\t,\t,\tO\tO' -p281021 -aS'Balt\tBalt\tNNP\tB-NP\tO' -p281022 -aS'who\twho\tWP\tB-NP\tO' -p281023 -aS'is\tbe\tVBZ\tB-VP\tO' -p281024 -aS'the\tthe\tDT\tB-NP\tO' -p281025 -aS'patient\tpatient\tNN\tI-NP\tO' -p281026 -aS''s\t'\tNNS\tI-NP\tO' -p281027 -aS'primary\tprimary\tJJ\tB-NP\tO' -p281028 -aS'oncologist\toncologist\tNN\tI-NP\tO' -p281029 -aS'there\tthere\tRB\tB-ADVP\tO' -p281030 -aS'.\t.\t.\tO\tO' -p281031 -asS'The tricuspid valve leaflets are mildly thickened .' -p281032 -(lp281033 -S'The\tThe\tDT\tB-NP\tO' -p281034 -aS'tricuspid\ttricuspid\tJJ\tI-NP\tO' -p281035 -aS'valve\tvalve\tNN\tI-NP\tO' -p281036 -aS'leaflets\tleaflet\tNNS\tI-NP\tO' -p281037 -aS'are\tbe\tVBP\tB-VP\tO' -p281038 -aS'mildly\tmildly\tRB\tI-VP\tO' -p281039 -aS'thickened\tthicken\tVBN\tI-VP\tO' -p281040 -aS'.\t.\t.\tO\tO' -p281041 -asS'He then became dusky and cyanotic , and stopped breathing on his own .' -p281042 -(lp281043 -S'He\tHe\tPRP\tB-NP\tO' -p281044 -aS'then\tthen\tRB\tB-ADVP\tO' -p281045 -aS'became\tbecome\tVBD\tB-VP\tO' -p281046 -aS'dusky\tdusky\tJJ\tB-ADJP\tO' -p281047 -aS'and\tand\tCC\tI-ADJP\tO' -p281048 -aS'cyanotic\tcyanotic\tJJ\tI-ADJP\tO' -p281049 -aS',\t,\t,\tO\tO' -p281050 -aS'and\tand\tCC\tO\tO' -p281051 -aS'stopped\tstop\tVBD\tB-VP\tO' -p281052 -aS'breathing\tbreathe\tVBG\tI-VP\tO' -p281053 -aS'on\ton\tIN\tB-PP\tO' -p281054 -aS'his\this\tPRP$\tB-NP\tO' -p281055 -aS'own\town\tJJ\tI-NP\tO' -p281056 -aS'.\t.\t.\tO\tO' -p281057 -asS'In the emergency department , CT of head , neck and abdomen were performed .' -p281058 -(lp281059 -S'In\tIn\tIN\tB-PP\tO' -p281060 -aS'the\tthe\tDT\tB-NP\tO' -p281061 -aS'emergency\temergency\tNN\tI-NP\tO' -p281062 -aS'department\tdepartment\tNN\tI-NP\tO' -p281063 -aS',\t,\t,\tO\tO' -p281064 -aS'CT\tCT\tNN\tB-NP\tO' -p281065 -aS'of\tof\tIN\tB-PP\tO' -p281066 -aS'head\thead\tNN\tB-NP\tO' -p281067 -aS',\t,\t,\tI-NP\tO' -p281068 -aS'neck\tneck\tNN\tI-NP\tO' -p281069 -aS'and\tand\tCC\tI-NP\tO' -p281070 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p281071 -aS'were\tbe\tVBD\tB-VP\tO' -p281072 -aS'performed\tperform\tVBN\tI-VP\tO' -p281073 -aS'.\t.\t.\tO\tO' -p281074 -asS'LENIs were negative at that time .' -p281075 -(lp281076 -S'LENIs\tLENI\tNNS\tB-NP\tB-protein' -p281077 -aS'were\tbe\tVBD\tB-VP\tO' -p281078 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p281079 -aS'at\tat\tIN\tB-PP\tO' -p281080 -aS'that\tthat\tDT\tB-NP\tO' -p281081 -aS'time\ttime\tNN\tI-NP\tO' -p281082 -aS'.\t.\t.\tO\tO' -p281083 -asS'Functionally , she was at the level of pre-gait training and able to stand and take several steps with upper body support .' -p281084 -(lp281085 -S'Functionally\tFunctionally\tRB\tB-ADVP\tO' -p281086 -aS',\t,\t,\tO\tO' -p281087 -aS'she\tshe\tPRP\tB-NP\tO' -p281088 -aS'was\tbe\tVBD\tB-VP\tO' -p281089 -aS'at\tat\tIN\tB-PP\tO' -p281090 -aS'the\tthe\tDT\tB-NP\tO' -p281091 -aS'level\tlevel\tNN\tI-NP\tO' -p281092 -aS'of\tof\tIN\tB-PP\tO' -p281093 -aS'pre-gait\tpre-gait\tJJ\tB-NP\tO' -p281094 -aS'training\ttraining\tNN\tI-NP\tO' -p281095 -aS'and\tand\tCC\tO\tO' -p281096 -aS'able\table\tJJ\tB-ADJP\tO' -p281097 -aS'to\tto\tTO\tB-VP\tO' -p281098 -aS'stand\tstand\tVB\tI-VP\tO' -p281099 -aS'and\tand\tCC\tI-VP\tO' -p281100 -aS'take\ttake\tVB\tI-VP\tO' -p281101 -aS'several\tseveral\tJJ\tB-NP\tO' -p281102 -aS'steps\tstep\tNNS\tI-NP\tO' -p281103 -aS'with\twith\tIN\tB-PP\tO' -p281104 -aS'upper\tupper\tJJ\tB-NP\tO' -p281105 -aS'body\tbody\tNN\tI-NP\tO' -p281106 -aS'support\tsupport\tNN\tI-NP\tO' -p281107 -aS'.\t.\t.\tO\tO' -p281108 -asS'Discharge instructions have been given .' -p281109 -(lp281110 -S'Discharge\tDischarge\tNN\tB-NP\tO' -p281111 -aS'instructions\tinstruction\tNNS\tI-NP\tO' -p281112 -aS'have\thave\tVBP\tB-VP\tO' -p281113 -aS'been\tbe\tVBN\tI-VP\tO' -p281114 -aS'given\tgive\tVBN\tI-VP\tO' -p281115 -aS'.\t.\t.\tO\tO' -p281116 -asS'NONCONTRAST CERVICAL SPINE CT : There are minimally displaced and comminuted fractures through the left C7 and T1 transverse processes .' -p281117 -(lp281118 -S'NONCONTRAST\tNONCONTRAST\tRB\tB-NP\tO' -p281119 -aS'CERVICAL\tCERVICAL\tNN\tI-NP\tO' -p281120 -aS'SPINE\tSPINE\tNN\tI-NP\tO' -p281121 -aS'CT\tCT\tNN\tI-NP\tO' -p281122 -aS':\t:\t:\tO\tO' -p281123 -aS'There\tThere\tEX\tB-NP\tO' -p281124 -aS'are\tbe\tVBP\tB-VP\tO' -p281125 -aS'minimally\tminimally\tRB\tI-VP\tO' -p281126 -aS'displaced\tdisplace\tVBN\tB-NP\tO' -p281127 -aS'and\tand\tCC\tI-NP\tO' -p281128 -aS'comminuted\tcomminute\tVBN\tI-NP\tO' -p281129 -aS'fractures\tfracture\tNNS\tI-NP\tO' -p281130 -aS'through\tthrough\tIN\tB-PP\tO' -p281131 -aS'the\tthe\tDT\tB-NP\tO' -p281132 -aS'left\tleft\tJJ\tI-NP\tO' -p281133 -aS'C7\tC7\tNN\tI-NP\tO' -p281134 -aS'and\tand\tCC\tI-NP\tO' -p281135 -aS'T1\tT1\tNN\tI-NP\tO' -p281136 -aS'transverse\ttransverse\tJJ\tI-NP\tO' -p281137 -aS'processes\tprocess\tNNS\tI-NP\tO' -p281138 -aS'.\t.\t.\tO\tO' -p281139 -asS'The patient 's only post-Surgical Intensive Care Unit course was remarkable for hypertension requiring Nipride and bleeding which was controlled with fresh frozen plasma , platelets .' -p281140 -(lp281141 -S'The\tThe\tDT\tB-NP\tO' -p281142 -aS'patient\tpatient\tNN\tI-NP\tO' -p281143 -aS''s\t'\tNNS\tI-NP\tO' -p281144 -aS'only\tonly\tRB\tB-NP\tO' -p281145 -aS'post-Surgical\tpost-Surgical\tJJ\tI-NP\tO' -p281146 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p281147 -aS'Care\tCare\tNNP\tI-NP\tO' -p281148 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p281149 -aS'course\tcourse\tNN\tI-NP\tO' -p281150 -aS'was\tbe\tVBD\tB-VP\tO' -p281151 -aS'remarkable\tremarkable\tJJ\tB-ADJP\tO' -p281152 -aS'for\tfor\tIN\tB-PP\tO' -p281153 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p281154 -aS'requiring\trequire\tVBG\tB-VP\tO' -p281155 -aS'Nipride\tNipride\tNN\tB-NP\tO' -p281156 -aS'and\tand\tCC\tI-NP\tO' -p281157 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p281158 -aS'which\twhich\tWDT\tB-NP\tO' -p281159 -aS'was\tbe\tVBD\tB-VP\tO' -p281160 -aS'controlled\tcontrol\tVBN\tI-VP\tO' -p281161 -aS'with\twith\tIN\tB-PP\tO' -p281162 -aS'fresh\tfresh\tJJ\tB-NP\tO' -p281163 -aS'frozen\tfreeze\tVBN\tI-NP\tO' -p281164 -aS'plasma\tplasma\tNN\tI-NP\tO' -p281165 -aS',\t,\t,\tO\tO' -p281166 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p281167 -aS'.\t.\t.\tO\tO' -p281168 -asS'On POD#8 a CT scan was obtained which revealed an abcess with a colovesicular fistula .' -p281169 -(lp281170 -S'On\tOn\tIN\tB-PP\tO' -p281171 -aS'POD#8\tPOD#8\tNN\tB-NP\tB-protein' -p281172 -aS'a\ta\tDT\tB-NP\tO' -p281173 -aS'CT\tCT\tNN\tI-NP\tO' -p281174 -aS'scan\tscan\tNN\tI-NP\tO' -p281175 -aS'was\tbe\tVBD\tB-VP\tO' -p281176 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p281177 -aS'which\twhich\tWDT\tB-NP\tO' -p281178 -aS'revealed\treveal\tVBD\tB-VP\tO' -p281179 -aS'an\tan\tDT\tB-NP\tO' -p281180 -aS'abcess\tabcess\tNN\tI-NP\tO' -p281181 -aS'with\twith\tIN\tB-PP\tO' -p281182 -aS'a\ta\tDT\tB-NP\tO' -p281183 -aS'colovesicular\tcolovesicular\tJJ\tI-NP\tO' -p281184 -aS'fistula\tfistula\tNN\tI-NP\tO' -p281185 -aS'.\t.\t.\tO\tO' -p281186 -asS'Given 48 hours off sedation with out change in mental status ( last morphine was 2016-05-07 ) .' -p281187 -(lp281188 -S'Given\tGive\tVBN\tB-PP\tO' -p281189 -aS'48\t48\tCD\tB-NP\tO' -p281190 -aS'hours\thour\tNNS\tI-NP\tO' -p281191 -aS'off\toff\tIN\tB-PP\tO' -p281192 -aS'sedation\tsedation\tNN\tB-NP\tO' -p281193 -aS'with\twith\tIN\tB-PP\tO' -p281194 -aS'out\tout\tRP\tB-PRT\tO' -p281195 -aS'change\tchange\tNN\tB-NP\tO' -p281196 -aS'in\tin\tIN\tB-PP\tO' -p281197 -aS'mental\tmental\tJJ\tB-NP\tO' -p281198 -aS'status\tstatus\tNN\tI-NP\tO' -p281199 -aS'(\t(\t(\tO\tO' -p281200 -aS'last\tlast\tJJ\tB-NP\tO' -p281201 -aS'morphine\tmorphine\tNN\tI-NP\tO' -p281202 -aS'was\tbe\tVBD\tB-VP\tO' -p281203 -aS'2016-05-07\t2016-05-07\tCD\tB-NP\tO' -p281204 -aS')\t)\t)\tO\tO' -p281205 -aS'.\t.\t.\tO\tO' -p281206 -asS'Cardiac and diabetic diet .' -p281207 -(lp281208 -S'Cardiac\tCardiac\tJJ\tB-NP\tO' -p281209 -aS'and\tand\tCC\tI-NP\tO' -p281210 -aS'diabetic\tdiabetic\tJJ\tI-NP\tO' -p281211 -aS'diet\tdiet\tNN\tI-NP\tO' -p281212 -aS'.\t.\t.\tO\tO' -p281213 -asS'Liver function tests were within normal limits .' -p281214 -(lp281215 -S'Liver\tLiver\tNN\tB-NP\tO' -p281216 -aS'function\tfunction\tNN\tI-NP\tO' -p281217 -aS'tests\ttest\tNNS\tI-NP\tO' -p281218 -aS'were\tbe\tVBD\tB-VP\tO' -p281219 -aS'within\twithin\tIN\tB-PP\tO' -p281220 -aS'normal\tnormal\tJJ\tB-NP\tO' -p281221 -aS'limits\tlimit\tNNS\tI-NP\tO' -p281222 -aS'.\t.\t.\tO\tO' -p281223 -asS'Service .' -p281224 -(lp281225 -S'Service\tService\tNN\tB-NP\tO' -p281226 -aS'.\t.\t.\tO\tO' -p281227 -asS'He developed epigastric pain on 07/31 which previously had been ignored but in retrospect was probably his anginal equivalent .' -p281228 -(lp281229 -S'He\tHe\tPRP\tB-NP\tO' -p281230 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p281231 -aS'epigastric\tepigastric\tJJ\tB-NP\tO' -p281232 -aS'pain\tpain\tNN\tI-NP\tO' -p281233 -aS'on\ton\tIN\tB-PP\tO' -p281234 -aS'07/31\t07/31\tCD\tB-NP\tO' -p281235 -aS'which\twhich\tWDT\tB-NP\tO' -p281236 -aS'previously\tpreviously\tRB\tB-ADVP\tO' -p281237 -aS'had\thave\tVBD\tB-VP\tO' -p281238 -aS'been\tbe\tVBN\tI-VP\tO' -p281239 -aS'ignored\tignore\tVBN\tI-VP\tO' -p281240 -aS'but\tbut\tCC\tO\tO' -p281241 -aS'in\tin\tIN\tB-PP\tO' -p281242 -aS'retrospect\tretrospect\tNN\tB-NP\tO' -p281243 -aS'was\tbe\tVBD\tB-VP\tO' -p281244 -aS'probably\tprobably\tRB\tB-ADVP\tO' -p281245 -aS'his\this\tPRP$\tB-NP\tO' -p281246 -aS'anginal\tanginal\tJJ\tI-NP\tO' -p281247 -aS'equivalent\tequivalent\tNN\tI-NP\tO' -p281248 -aS'.\t.\t.\tO\tO' -p281249 -asS'5 cc of purulent material drained by needle aspiration' -p281250 -(lp281251 -S'5\t5\tCD\tB-NP\tO' -p281252 -aS'cc\tcc\tNN\tI-NP\tO' -p281253 -aS'of\tof\tIN\tB-PP\tO' -p281254 -aS'purulent\tpurulent\tJJ\tB-NP\tO' -p281255 -aS'material\tmaterial\tNN\tI-NP\tO' -p281256 -aS'drained\tdrain\tVBN\tB-VP\tO' -p281257 -aS'by\tby\tIN\tB-PP\tO' -p281258 -aS'needle\tneedle\tNN\tB-NP\tO' -p281259 -aS'aspiration\taspiration\tNN\tI-NP\tO' -p281260 -asS'Continues to spike fever .' -p281261 -(lp281262 -S'Continues\tContinue\tNNS\tB-NP\tO' -p281263 -aS'to\tto\tTO\tB-VP\tO' -p281264 -aS'spike\tspike\tVB\tI-VP\tO' -p281265 -aS'fever\tfever\tNN\tB-NP\tO' -p281266 -aS'.\t.\t.\tO\tO' -p281267 -asS'Pupils dilated and sluggish .' -p281268 -(lp281269 -S'Pupils\tPupil\tNNS\tB-NP\tO' -p281270 -aS'dilated\tdilated\tJJ\tB-ADJP\tO' -p281271 -aS'and\tand\tCC\tI-ADJP\tO' -p281272 -aS'sluggish\tsluggish\tJJ\tI-ADJP\tO' -p281273 -aS'.\t.\t.\tO\tO' -p281274 -asS'Pupils equally round and reactive to light and accommodation bilaterally .' -p281275 -(lp281276 -S'Pupils\tPupil\tNNS\tB-NP\tO' -p281277 -aS'equally\tequally\tRB\tB-ADJP\tO' -p281278 -aS'round\tround\tJJ\tI-ADJP\tO' -p281279 -aS'and\tand\tCC\tI-ADJP\tO' -p281280 -aS'reactive\treactive\tJJ\tI-ADJP\tO' -p281281 -aS'to\tto\tTO\tB-PP\tO' -p281282 -aS'light\tlight\tNN\tB-NP\tO' -p281283 -aS'and\tand\tCC\tI-NP\tO' -p281284 -aS'accommodation\taccommodation\tNN\tI-NP\tO' -p281285 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p281286 -aS'.\t.\t.\tO\tO' -p281287 -asS'Digoxin 0.25 mg .' -p281288 -(lp281289 -S'Digoxin\tDigoxin\tNN\tB-NP\tO' -p281290 -aS'0.25\t0.25\tCD\tI-NP\tO' -p281291 -aS'mg\tmg\tNN\tI-NP\tO' -p281292 -aS'.\t.\t.\tO\tO' -p281293 -asS'He had a bedside echocardiogram done in the Catheterization Laboratory which showed normal LV wall thickness and normal LV cavity size .' -p281294 -(lp281295 -S'He\tHe\tPRP\tB-NP\tO' -p281296 -aS'had\thave\tVBD\tB-VP\tO' -p281297 -aS'a\ta\tDT\tB-NP\tO' -p281298 -aS'bedside\tbedside\tNN\tI-NP\tO' -p281299 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p281300 -aS'done\tdo\tVBN\tB-VP\tO' -p281301 -aS'in\tin\tIN\tB-PP\tO' -p281302 -aS'the\tthe\tDT\tB-NP\tO' -p281303 -aS'Catheterization\tCatheterization\tNNP\tI-NP\tO' -p281304 -aS'Laboratory\tLaboratory\tNNP\tI-NP\tO' -p281305 -aS'which\twhich\tWDT\tB-NP\tO' -p281306 -aS'showed\tshow\tVBD\tB-VP\tO' -p281307 -aS'normal\tnormal\tJJ\tB-NP\tO' -p281308 -aS'LV\tLV\tNN\tI-NP\tO' -p281309 -aS'wall\twall\tNN\tI-NP\tO' -p281310 -aS'thickness\tthickness\tNN\tI-NP\tO' -p281311 -aS'and\tand\tCC\tO\tO' -p281312 -aS'normal\tnormal\tJJ\tB-NP\tO' -p281313 -aS'LV\tLV\tNN\tI-NP\tO' -p281314 -aS'cavity\tcavity\tNN\tI-NP\tO' -p281315 -aS'size\tsize\tNN\tI-NP\tO' -p281316 -aS'.\t.\t.\tO\tO' -p281317 -asS'An endocrine consult was obtained to help manage his serum electrolytes .' -p281318 -(lp281319 -S'An\tAn\tDT\tB-NP\tO' -p281320 -aS'endocrine\tendocrine\tJJ\tI-NP\tO' -p281321 -aS'consult\tconsult\tNN\tI-NP\tO' -p281322 -aS'was\tbe\tVBD\tB-VP\tO' -p281323 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p281324 -aS'to\tto\tTO\tI-VP\tO' -p281325 -aS'help\thelp\tVB\tI-VP\tO' -p281326 -aS'manage\tmanage\tVB\tI-VP\tO' -p281327 -aS'his\this\tPRP$\tB-NP\tO' -p281328 -aS'serum\tserum\tNN\tI-NP\tO' -p281329 -aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' -p281330 -aS'.\t.\t.\tO\tO' -p281331 -asS'His mental status improved as his metabolic process was resolved as detailed above .' -p281332 -(lp281333 -S'His\tHis\tPRP$\tB-NP\tO' -p281334 -aS'mental\tmental\tJJ\tI-NP\tO' -p281335 -aS'status\tstatus\tNN\tI-NP\tO' -p281336 -aS'improved\timprove\tVBD\tB-VP\tO' -p281337 -aS'as\tas\tIN\tB-PP\tO' -p281338 -aS'his\this\tPRP$\tB-NP\tO' -p281339 -aS'metabolic\tmetabolic\tJJ\tI-NP\tO' -p281340 -aS'process\tprocess\tNN\tI-NP\tO' -p281341 -aS'was\tbe\tVBD\tB-VP\tO' -p281342 -aS'resolved\tresolve\tVBN\tI-VP\tO' -p281343 -aS'as\tas\tIN\tB-PP\tO' -p281344 -aS'detailed\tdetailed\tJJ\tB-ADJP\tO' -p281345 -aS'above\tabove\tRB\tB-ADVP\tO' -p281346 -aS'.\t.\t.\tO\tO' -p281347 -asS'No C/C/E .' -p281348 -(lp281349 -S'No\tNo\tDT\tB-NP\tO' -p281350 -aS'C/C/E\tC/C/E\tNN\tI-NP\tB-protein' -p281351 -aS'.\t.\t.\tO\tO' -p281352 -asS'Right tibial-fibular film series demonstrated no evidence of fracture displacement .' -p281353 -(lp281354 -S'Right\tRight\tRB\tB-NP\tO' -p281355 -aS'tibial-fibular\ttibial-fibular\tJJ\tI-NP\tO' -p281356 -aS'film\tfilm\tNN\tI-NP\tO' -p281357 -aS'series\tseries\tNN\tI-NP\tO' -p281358 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p281359 -aS'no\tno\tDT\tB-NP\tO' -p281360 -aS'evidence\tevidence\tNN\tI-NP\tO' -p281361 -aS'of\tof\tIN\tB-PP\tO' -p281362 -aS'fracture\tfracture\tNN\tB-NP\tO' -p281363 -aS'displacement\tdisplacement\tNN\tI-NP\tO' -p281364 -aS'.\t.\t.\tO\tO' -p281365 -asS'It was decided that he would have very close monitoring of his anticoagulation status in the future to prevent further problems .' -p281366 -(lp281367 -S'It\tIt\tPRP\tB-NP\tO' -p281368 -aS'was\tbe\tVBD\tB-VP\tO' -p281369 -aS'decided\tdecide\tVBN\tI-VP\tO' -p281370 -aS'that\tthat\tIN\tB-SBAR\tO' -p281371 -aS'he\the\tPRP\tB-NP\tO' -p281372 -aS'would\twould\tMD\tB-VP\tO' -p281373 -aS'have\thave\tVB\tI-VP\tO' -p281374 -aS'very\tvery\tRB\tB-NP\tO' -p281375 -aS'close\tclose\tJJ\tI-NP\tO' -p281376 -aS'monitoring\tmonitoring\tNN\tI-NP\tO' -p281377 -aS'of\tof\tIN\tB-PP\tO' -p281378 -aS'his\this\tPRP$\tB-NP\tO' -p281379 -aS'anticoagulation\tanticoagulation\tNN\tI-NP\tO' -p281380 -aS'status\tstatus\tNN\tI-NP\tO' -p281381 -aS'in\tin\tIN\tB-PP\tO' -p281382 -aS'the\tthe\tDT\tB-NP\tO' -p281383 -aS'future\tfuture\tNN\tI-NP\tO' -p281384 -aS'to\tto\tTO\tB-VP\tO' -p281385 -aS'prevent\tprevent\tVB\tI-VP\tO' -p281386 -aS'further\tfurther\tJJ\tB-NP\tO' -p281387 -aS'problems\tproblem\tNNS\tI-NP\tO' -p281388 -aS'.\t.\t.\tO\tO' -p281389 -asS'Her LDH which peaked at 1255 decreased to the mid 200s , but remained elevated .' -p281390 -(lp281391 -S'Her\tHer\tPRP$\tB-NP\tO' -p281392 -aS'LDH\tLDH\tNN\tI-NP\tB-protein' -p281393 -aS'which\twhich\tWDT\tB-NP\tO' -p281394 -aS'peaked\tpeak\tVBD\tB-VP\tO' -p281395 -aS'at\tat\tIN\tB-PP\tO' -p281396 -aS'1255\t1255\tCD\tB-NP\tO' -p281397 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p281398 -aS'to\tto\tTO\tB-PP\tO' -p281399 -aS'the\tthe\tDT\tB-NP\tO' -p281400 -aS'mid\tmid\tNN\tI-NP\tO' -p281401 -aS'200s\t200s\tCD\tI-NP\tO' -p281402 -aS',\t,\t,\tO\tO' -p281403 -aS'but\tbut\tCC\tO\tO' -p281404 -aS'remained\tremain\tVBD\tB-VP\tO' -p281405 -aS'elevated\televate\tVBN\tI-VP\tO' -p281406 -aS'.\t.\t.\tO\tO' -p281407 -asS'2) Cxray ( 06-14 ): New bibasilar consolidations are demonstrated accompanied by bilateral small pleural effusion .' -p281408 -(lp281409 -S'2)\t2)\tLS\tB-NP\tO' -p281410 -aS'Cxray\tCxray\tNN\tI-NP\tO' -p281411 -aS'(\t(\t(\tO\tO' -p281412 -aS'06-14\t06-14\tCD\tB-NP\tO' -p281413 -aS'):\t):\t)\tO\tO' -p281414 -aS'New\tNew\tNNP\tB-NP\tO' -p281415 -aS'bibasilar\tbibasilar\tJJ\tI-NP\tO' -p281416 -aS'consolidations\tconsolidation\tNNS\tI-NP\tO' -p281417 -aS'are\tbe\tVBP\tB-VP\tO' -p281418 -aS'demonstrated\tdemonstrate\tVBN\tI-VP\tO' -p281419 -aS'accompanied\taccompany\tVBN\tI-VP\tO' -p281420 -aS'by\tby\tIN\tB-PP\tO' -p281421 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p281422 -aS'small\tsmall\tJJ\tI-NP\tO' -p281423 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p281424 -aS'effusion\teffusion\tNN\tI-NP\tO' -p281425 -aS'.\t.\t.\tO\tO' -p281426 -asS'White count 18.3 , neutrophils 89 percent , hematocrit 41 , platelets 261 , INR 1.2 , and chem-7 otherwise normal .' -p281427 -(lp281428 -S'White\tWhite\tJJ\tB-NP\tO' -p281429 -aS'count\tcount\tNN\tI-NP\tO' -p281430 -aS'18.3\t18.3\tCD\tI-NP\tO' -p281431 -aS',\t,\t,\tO\tO' -p281432 -aS'neutrophils\tneutrophil\tVBZ\tB-VP\tO' -p281433 -aS'89\t89\tCD\tB-NP\tO' -p281434 -aS'percent\tpercent\tNN\tI-NP\tO' -p281435 -aS',\t,\t,\tO\tO' -p281436 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p281437 -aS'41\t41\tCD\tI-NP\tI-protein' -p281438 -aS',\t,\t,\tO\tO' -p281439 -aS'platelets\tplatelet\tNNS\tB-NP\tB-protein' -p281440 -aS'261\t261\tCD\tB-NP\tI-protein' -p281441 -aS',\t,\t,\tO\tO' -p281442 -aS'INR\tINR\tNN\tB-NP\tB-protein' -p281443 -aS'1.2\t1.2\tCD\tI-NP\tI-protein' -p281444 -aS',\t,\t,\tO\tO' -p281445 -aS'and\tand\tCC\tO\tO' -p281446 -aS'chem-7\tchem-7\tNN\tB-NP\tO' -p281447 -aS'otherwise\totherwise\tRB\tB-ADJP\tO' -p281448 -aS'normal\tnormal\tJJ\tI-ADJP\tO' -p281449 -aS'.\t.\t.\tO\tO' -p281450 -asS'You were treated with medications to improve your blood pressure .' -p281451 -(lp281452 -S'You\tYou\tPRP\tB-NP\tO' -p281453 -aS'were\tbe\tVBD\tB-VP\tO' -p281454 -aS'treated\ttreat\tVBN\tI-VP\tO' -p281455 -aS'with\twith\tIN\tB-PP\tO' -p281456 -aS'medications\tmedication\tNNS\tB-NP\tO' -p281457 -aS'to\tto\tTO\tB-VP\tO' -p281458 -aS'improve\timprove\tVB\tI-VP\tO' -p281459 -aS'your\tyour\tPRP$\tB-NP\tO' -p281460 -aS'blood\tblood\tNN\tI-NP\tO' -p281461 -aS'pressure\tpressure\tNN\tI-NP\tO' -p281462 -aS'.\t.\t.\tO\tO' -p281463 -asS'All of his wounds including sternotomy wound were clean , dry , and intact .' -p281464 -(lp281465 -S'All\tAll\tDT\tB-NP\tO' -p281466 -aS'of\tof\tIN\tB-PP\tO' -p281467 -aS'his\this\tPRP$\tB-NP\tO' -p281468 -aS'wounds\twound\tNNS\tI-NP\tO' -p281469 -aS'including\tinclude\tVBG\tB-PP\tO' -p281470 -aS'sternotomy\tsternotomy\tNN\tB-NP\tO' -p281471 -aS'wound\twound\tNN\tI-NP\tO' -p281472 -aS'were\tbe\tVBD\tB-VP\tO' -p281473 -aS'clean\tclean\tJJ\tB-ADJP\tO' -p281474 -aS',\t,\t,\tO\tO' -p281475 -aS'dry\tdry\tJJ\tB-ADJP\tO' -p281476 -aS',\t,\t,\tO\tO' -p281477 -aS'and\tand\tCC\tO\tO' -p281478 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p281479 -aS'.\t.\t.\tO\tO' -p281480 -asS'Postoperatively , the patient did very well and was neurovascularly intact .' -p281481 -(lp281482 -S'Postoperatively\tPostoperatively\tRB\tB-ADVP\tO' -p281483 -aS',\t,\t,\tO\tO' -p281484 -aS'the\tthe\tDT\tB-NP\tO' -p281485 -aS'patient\tpatient\tNN\tI-NP\tO' -p281486 -aS'did\tdo\tVBD\tB-VP\tO' -p281487 -aS'very\tvery\tRB\tB-ADVP\tO' -p281488 -aS'well\twell\tRB\tI-ADVP\tO' -p281489 -aS'and\tand\tCC\tO\tO' -p281490 -aS'was\tbe\tVBD\tB-VP\tO' -p281491 -aS'neurovascularly\tneurovascularly\tRB\tB-ADJP\tO' -p281492 -aS'intact\tintact\tJJ\tI-ADJP\tO' -p281493 -aS'.\t.\t.\tO\tO' -p281494 -asS'The patient was evaluated by the Surgical Service who felt that the wound was clean with some erythema but without evidence of true cellulitis .' -p281495 -(lp281496 -S'The\tThe\tDT\tB-NP\tO' -p281497 -aS'patient\tpatient\tNN\tI-NP\tO' -p281498 -aS'was\tbe\tVBD\tB-VP\tO' -p281499 -aS'evaluated\tevaluate\tVBN\tI-VP\tO' -p281500 -aS'by\tby\tIN\tB-PP\tO' -p281501 -aS'the\tthe\tDT\tB-NP\tO' -p281502 -aS'Surgical\tSurgical\tNNP\tI-NP\tO' -p281503 -aS'Service\tService\tNNP\tI-NP\tO' -p281504 -aS'who\twho\tWP\tB-NP\tO' -p281505 -aS'felt\tfeel\tVBD\tB-VP\tO' -p281506 -aS'that\tthat\tIN\tB-SBAR\tO' -p281507 -aS'the\tthe\tDT\tB-NP\tO' -p281508 -aS'wound\twound\tNN\tI-NP\tO' -p281509 -aS'was\tbe\tVBD\tB-VP\tO' -p281510 -aS'clean\tclean\tJJ\tB-ADJP\tO' -p281511 -aS'with\twith\tIN\tB-PP\tO' -p281512 -aS'some\tsome\tDT\tB-NP\tO' -p281513 -aS'erythema\terythema\tNN\tI-NP\tO' -p281514 -aS'but\tbut\tCC\tB-PP\tO' -p281515 -aS'without\twithout\tIN\tB-PP\tO' -p281516 -aS'evidence\tevidence\tNN\tB-NP\tO' -p281517 -aS'of\tof\tIN\tB-PP\tO' -p281518 -aS'true\ttrue\tJJ\tB-NP\tO' -p281519 -aS'cellulitis\tcellulitis\tNN\tI-NP\tO' -p281520 -aS'.\t.\t.\tO\tO' -p281521 -asS'Muscle spasms were managed with Flexeril 10 PO t.i.d.' -p281522 -(lp281523 -S'Muscle\tMuscle\tNN\tB-NP\tO' -p281524 -aS'spasms\tspasm\tNNS\tI-NP\tO' -p281525 -aS'were\tbe\tVBD\tB-VP\tO' -p281526 -aS'managed\tmanage\tVBN\tI-VP\tO' -p281527 -aS'with\twith\tIN\tB-PP\tO' -p281528 -aS'Flexeril\tFlexeril\tNNP\tB-NP\tB-protein' -p281529 -aS'10\t10\tCD\tI-NP\tI-protein' -p281530 -aS'PO\tPO\tNNP\tI-NP\tI-protein' -p281531 -aS't.i.d.\tt.i.d.\t.\tO\tO' -p281532 -asS'The abdomen was soft , positive bowel sounds , non tender , large , hard mass occupying the lower abdomen and left upper quadrant .' -p281533 -(lp281534 -S'The\tThe\tDT\tB-NP\tO' -p281535 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p281536 -aS'was\tbe\tVBD\tB-VP\tO' -p281537 -aS'soft\tsoft\tJJ\tB-NP\tO' -p281538 -aS',\t,\t,\tI-NP\tO' -p281539 -aS'positive\tpositive\tJJ\tI-NP\tO' -p281540 -aS'bowel\tbowel\tNN\tI-NP\tO' -p281541 -aS'sounds\tsound\tNNS\tI-NP\tO' -p281542 -aS',\t,\t,\tO\tO' -p281543 -aS'non\tnon\tJJ\tB-NP\tO' -p281544 -aS'tender\ttender\tNN\tI-NP\tO' -p281545 -aS',\t,\t,\tO\tO' -p281546 -aS'large\tlarge\tJJ\tB-NP\tO' -p281547 -aS',\t,\t,\tI-NP\tO' -p281548 -aS'hard\thard\tJJ\tI-NP\tO' -p281549 -aS'mass\tmass\tNN\tI-NP\tO' -p281550 -aS'occupying\toccupy\tVBG\tB-VP\tO' -p281551 -aS'the\tthe\tDT\tB-NP\tO' -p281552 -aS'lower\tlow\tJJR\tI-NP\tO' -p281553 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p281554 -aS'and\tand\tCC\tO\tO' -p281555 -aS'left\tleave\tVBD\tB-VP\tO' -p281556 -aS'upper\tupper\tJJ\tB-NP\tO' -p281557 -aS'quadrant\tquadrant\tNN\tI-NP\tO' -p281558 -aS'.\t.\t.\tO\tO' -p281559 -asS'Rapid alternating movement was normal .' -p281560 -(lp281561 -S'Rapid\tRapid\tJJ\tB-NP\tO' -p281562 -aS'alternating\talternate\tVBG\tI-NP\tO' -p281563 -aS'movement\tmovement\tNN\tI-NP\tO' -p281564 -aS'was\tbe\tVBD\tB-VP\tO' -p281565 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p281566 -aS'.\t.\t.\tO\tO' -p281567 -asS'Similac 22 calories per ounce by mouth ad lib with a goal of decreasing to 20 calories per ounce for dextrose sticks of greater than 60 .' -p281568 -(lp281569 -S'Similac\tSimilac\tNN\tB-NP\tO' -p281570 -aS'22\t22\tCD\tI-NP\tO' -p281571 -aS'calories\tcalorie\tNNS\tI-NP\tO' -p281572 -aS'per\tper\tIN\tB-PP\tO' -p281573 -aS'ounce\tounce\tNN\tB-NP\tO' -p281574 -aS'by\tby\tIN\tB-PP\tO' -p281575 -aS'mouth\tmouth\tNN\tB-NP\tO' -p281576 -aS'ad\tad\tNN\tI-NP\tO' -p281577 -aS'lib\tlib\tNN\tI-NP\tO' -p281578 -aS'with\twith\tIN\tB-PP\tO' -p281579 -aS'a\ta\tDT\tB-NP\tO' -p281580 -aS'goal\tgoal\tNN\tI-NP\tO' -p281581 -aS'of\tof\tIN\tB-PP\tO' -p281582 -aS'decreasing\tdecrease\tVBG\tB-VP\tO' -p281583 -aS'to\tto\tTO\tB-PP\tO' -p281584 -aS'20\t20\tCD\tB-NP\tO' -p281585 -aS'calories\tcalorie\tNNS\tI-NP\tO' -p281586 -aS'per\tper\tIN\tB-PP\tO' -p281587 -aS'ounce\tounce\tNN\tB-NP\tO' -p281588 -aS'for\tfor\tIN\tB-PP\tO' -p281589 -aS'dextrose\tdextrose\tNN\tB-NP\tO' -p281590 -aS'sticks\tstick\tNNS\tI-NP\tO' -p281591 -aS'of\tof\tIN\tB-PP\tO' -p281592 -aS'greater\tgreat\tJJR\tB-NP\tO' -p281593 -aS'than\tthan\tIN\tI-NP\tO' -p281594 -aS'60\t60\tCD\tI-NP\tO' -p281595 -aS'.\t.\t.\tO\tO' -p281596 -asS'The procedure performed was homograft replacement of the ascending aorta with omentopexy and an open chest .' -p281597 -(lp281598 -S'The\tThe\tDT\tB-NP\tO' -p281599 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p281600 -aS'performed\tperform\tVBN\tB-VP\tO' -p281601 -aS'was\tbe\tVBD\tB-VP\tO' -p281602 -aS'homograft\thomograft\tNN\tB-NP\tO' -p281603 -aS'replacement\treplacement\tNN\tI-NP\tO' -p281604 -aS'of\tof\tIN\tB-PP\tO' -p281605 -aS'the\tthe\tDT\tB-NP\tO' -p281606 -aS'ascending\tascend\tVBG\tI-NP\tO' -p281607 -aS'aorta\taorta\tNN\tI-NP\tO' -p281608 -aS'with\twith\tIN\tB-PP\tO' -p281609 -aS'omentopexy\tomentopexy\tNN\tB-NP\tO' -p281610 -aS'and\tand\tCC\tO\tO' -p281611 -aS'an\tan\tDT\tB-NP\tO' -p281612 -aS'open\topen\tJJ\tI-NP\tO' -p281613 -aS'chest\tchest\tNN\tI-NP\tO' -p281614 -aS'.\t.\t.\tO\tO' -p281615 -asS'Biopsy revealed adenocarcinoma .' -p281616 -(lp281617 -S'Biopsy\tBiopsy\tNN\tB-NP\tO' -p281618 -aS'revealed\treveal\tVBD\tB-VP\tO' -p281619 -aS'adenocarcinoma\tadenocarcinoma\tNN\tB-NP\tO' -p281620 -aS'.\t.\t.\tO\tO' -p281621 -asS'Interestingly , she reports that both her mother and father died of stomach carcinoma .' -p281622 -(lp281623 -S'Interestingly\tInterestingly\tRB\tB-ADVP\tO' -p281624 -aS',\t,\t,\tO\tO' -p281625 -aS'she\tshe\tPRP\tB-NP\tO' -p281626 -aS'reports\treport\tVBZ\tB-VP\tO' -p281627 -aS'that\tthat\tIN\tB-SBAR\tO' -p281628 -aS'both\tboth\tCC\tO\tO' -p281629 -aS'her\ther\tPRP$\tB-NP\tO' -p281630 -aS'mother\tmother\tNN\tI-NP\tO' -p281631 -aS'and\tand\tCC\tI-NP\tO' -p281632 -aS'father\tfather\tNN\tI-NP\tO' -p281633 -aS'died\tdie\tVBD\tB-VP\tO' -p281634 -aS'of\tof\tIN\tB-PP\tO' -p281635 -aS'stomach\tstomach\tNN\tB-NP\tO' -p281636 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p281637 -aS'.\t.\t.\tO\tO' -p281638 -asS'She remained ventilator dependent postoperatively and was taken to the Respiratory Intensive Care Unit .' -p281639 -(lp281640 -S'She\tShe\tPRP\tB-NP\tO' -p281641 -aS'remained\tremain\tVBD\tB-VP\tO' -p281642 -aS'ventilator\tventilator\tNN\tB-NP\tO' -p281643 -aS'dependent\tdependent\tJJ\tB-ADJP\tO' -p281644 -aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' -p281645 -aS'and\tand\tCC\tO\tO' -p281646 -aS'was\tbe\tVBD\tB-VP\tO' -p281647 -aS'taken\ttake\tVBN\tI-VP\tO' -p281648 -aS'to\tto\tTO\tB-PP\tO' -p281649 -aS'the\tthe\tDT\tB-NP\tO' -p281650 -aS'Respiratory\tRespiratory\tNNP\tI-NP\tO' -p281651 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p281652 -aS'Care\tCare\tNNP\tI-NP\tO' -p281653 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p281654 -aS'.\t.\t.\tO\tO' -p281655 -asS'Theyalso had diabetes and hypertension .' -p281656 -(lp281657 -S'Theyalso\tTheyalso\tRB\tB-ADVP\tO' -p281658 -aS'had\thave\tVBD\tB-VP\tO' -p281659 -aS'diabetes\tdiabetes\tNN\tB-NP\tO' -p281660 -aS'and\tand\tCC\tI-NP\tO' -p281661 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p281662 -aS'.\t.\t.\tO\tO' -p281663 -asS'His chest x-ray was clear .' -p281664 -(lp281665 -S'His\tHis\tPRP$\tB-NP\tO' -p281666 -aS'chest\tchest\tNN\tI-NP\tO' -p281667 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p281668 -aS'was\tbe\tVBD\tB-VP\tO' -p281669 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p281670 -aS'.\t.\t.\tO\tO' -p281671 -asS'Keflex 500 mg qid .' -p281672 -(lp281673 -S'Keflex\tKeflex\tNNP\tB-NP\tO' -p281674 -aS'500\t500\tCD\tI-NP\tO' -p281675 -aS'mg\tmg\tNN\tI-NP\tO' -p281676 -aS'qid\tqid\tNN\tI-NP\tO' -p281677 -aS'.\t.\t.\tO\tO' -p281678 -asS'Postoperatively , the patient did well and was able to cough and phonate completely with no changes from preoperative .' -p281679 -(lp281680 -S'Postoperatively\tPostoperatively\tRB\tB-ADVP\tO' -p281681 -aS',\t,\t,\tO\tO' -p281682 -aS'the\tthe\tDT\tB-NP\tO' -p281683 -aS'patient\tpatient\tNN\tI-NP\tO' -p281684 -aS'did\tdo\tVBD\tB-VP\tO' -p281685 -aS'well\twell\tRB\tB-ADVP\tO' -p281686 -aS'and\tand\tCC\tO\tO' -p281687 -aS'was\tbe\tVBD\tB-VP\tO' -p281688 -aS'able\table\tJJ\tB-ADJP\tO' -p281689 -aS'to\tto\tTO\tB-PP\tO' -p281690 -aS'cough\tcough\tNN\tB-NP\tO' -p281691 -aS'and\tand\tCC\tI-NP\tO' -p281692 -aS'phonate\tphonate\tNN\tI-NP\tO' -p281693 -aS'completely\tcompletely\tRB\tB-ADVP\tO' -p281694 -aS'with\twith\tIN\tB-PP\tO' -p281695 -aS'no\tno\tDT\tB-NP\tO' -p281696 -aS'changes\tchange\tNNS\tI-NP\tO' -p281697 -aS'from\tfrom\tIN\tB-PP\tO' -p281698 -aS'preoperative\tpreoperative\tJJ\tB-ADJP\tO' -p281699 -aS'.\t.\t.\tO\tO' -p281700 -asS'The patient is an 81 year old female , G2 , P2 , who status post total abdominal hysterectomy-bilateral salpingo-oophorectomy one years ago for a mixed mesodermal cancer who presents with vaginal apex recurrence .' -p281701 -(lp281702 -S'The\tThe\tDT\tB-NP\tO' -p281703 -aS'patient\tpatient\tNN\tI-NP\tO' -p281704 -aS'is\tbe\tVBZ\tB-VP\tO' -p281705 -aS'an\tan\tDT\tB-NP\tO' -p281706 -aS'81\t81\tCD\tI-NP\tO' -p281707 -aS'year\tyear\tNN\tI-NP\tO' -p281708 -aS'old\told\tJJ\tI-NP\tO' -p281709 -aS'female\tfemale\tNN\tI-NP\tO' -p281710 -aS',\t,\t,\tO\tO' -p281711 -aS'G2\tG2\tNN\tB-NP\tO' -p281712 -aS',\t,\t,\tO\tO' -p281713 -aS'P2\tP2\tNN\tB-NP\tB-DNA' -p281714 -aS',\t,\t,\tO\tO' -p281715 -aS'who\twho\tWP\tB-NP\tO' -p281716 -aS'status\tstatu\tVBZ\tB-VP\tO' -p281717 -aS'post\tpost\tRBS\tB-NP\tO' -p281718 -aS'total\ttotal\tJJ\tI-NP\tO' -p281719 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p281720 -aS'hysterectomy-bilateral\thysterectomy-bilateral\tJJ\tI-NP\tO' -p281721 -aS'salpingo-oophorectomy\tsalpingo-oophorectomy\tNN\tI-NP\tO' -p281722 -aS'one\tone\tCD\tB-NP\tO' -p281723 -aS'years\tyear\tNNS\tI-NP\tO' -p281724 -aS'ago\tago\tRB\tB-ADVP\tO' -p281725 -aS'for\tfor\tIN\tB-PP\tO' -p281726 -aS'a\ta\tDT\tB-NP\tO' -p281727 -aS'mixed\tmix\tVBN\tI-NP\tO' -p281728 -aS'mesodermal\tmesodermal\tJJ\tI-NP\tO' -p281729 -aS'cancer\tcancer\tNN\tI-NP\tO' -p281730 -aS'who\twho\tWP\tB-NP\tO' -p281731 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p281732 -aS'with\twith\tIN\tB-PP\tO' -p281733 -aS'vaginal\tvaginal\tJJ\tB-NP\tO' -p281734 -aS'apex\tapex\tNN\tI-NP\tO' -p281735 -aS'recurrence\trecurrence\tNN\tI-NP\tO' -p281736 -aS'.\t.\t.\tO\tO' -p281737 -asS'3. Ranitidine HCl 150 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ).' -p281738 -(lp281739 -S'3.\t3.\tLS\tB-NP\tO' -p281740 -aS'Ranitidine\tRanitidine\tNN\tI-NP\tB-protein' -p281741 -aS'HCl\tHCl\tNN\tI-NP\tI-protein' -p281742 -aS'150\t150\tCD\tI-NP\tI-protein' -p281743 -aS'mg\tmg\tNN\tI-NP\tI-protein' -p281744 -aS'Tablet\tTablet\tNNP\tI-NP\tI-protein' -p281745 -aS'Sig\tSig\tNNP\tI-NP\tI-protein' -p281746 -aS':\t:\t:\tO\tO' -p281747 -aS'One\tOne\tCD\tB-NP\tO' -p281748 -aS'(\t(\t(\tO\tO' -p281749 -aS'1\t1\tCD\tB-NP\tO' -p281750 -aS')\t)\t)\tO\tO' -p281751 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p281752 -aS'PO\tPO\tNN\tI-NP\tO' -p281753 -aS'BID\tBID\tNN\tI-NP\tO' -p281754 -aS'(\t(\t(\tO\tO' -p281755 -aS'2\t2\tCD\tB-NP\tO' -p281756 -aS'times\ttime\tNNS\tI-NP\tO' -p281757 -aS'a\ta\tDT\tB-NP\tO' -p281758 -aS'day\tday\tNN\tI-NP\tO' -p281759 -aS').\t).\t.\tO\tO' -p281760 -asS'Neuro : a/o x 3 , CN 04-04 intact' -p281761 -(lp281762 -S'Neuro\tNeuro\tNNP\tB-NP\tO' -p281763 -aS':\t:\t:\tO\tO' -p281764 -aS'a/o\ta/o\tNN\tB-NP\tO' -p281765 -aS'x\tx\tCC\tO\tO' -p281766 -aS'3\t3\tCD\tB-NP\tO' -p281767 -aS',\t,\t,\tO\tO' -p281768 -aS'CN\tCN\tNN\tB-NP\tO' -p281769 -aS'04-04\t04-04\tCD\tI-NP\tO' -p281770 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p281771 -asS'Iron and vitamin C were started for postoperative anemia .' -p281772 -(lp281773 -S'Iron\tIron\tNN\tB-NP\tO' -p281774 -aS'and\tand\tCC\tI-NP\tO' -p281775 -aS'vitamin\tvitamin\tNN\tI-NP\tO' -p281776 -aS'C\tC\tNN\tI-NP\tO' -p281777 -aS'were\tbe\tVBD\tB-VP\tO' -p281778 -aS'started\tstart\tVBN\tI-VP\tO' -p281779 -aS'for\tfor\tIN\tB-PP\tO' -p281780 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p281781 -aS'anemia\tanemia\tNN\tI-NP\tO' -p281782 -aS'.\t.\t.\tO\tO' -p281783 -asS'Her pulse was 61 , respirations 12 , and her O2 saturation was 98 percent on room air .' -p281784 -(lp281785 -S'Her\tHer\tPRP$\tB-NP\tO' -p281786 -aS'pulse\tpulse\tNN\tI-NP\tO' -p281787 -aS'was\tbe\tVBD\tB-VP\tO' -p281788 -aS'61\t61\tCD\tB-NP\tO' -p281789 -aS',\t,\t,\tO\tO' -p281790 -aS'respirations\trespiration\tNNS\tB-NP\tO' -p281791 -aS'12\t12\tCD\tB-NP\tO' -p281792 -aS',\t,\t,\tO\tO' -p281793 -aS'and\tand\tCC\tO\tO' -p281794 -aS'her\ther\tPRP$\tB-NP\tO' -p281795 -aS'O2\tO2\tNN\tI-NP\tO' -p281796 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p281797 -aS'was\tbe\tVBD\tB-VP\tO' -p281798 -aS'98\t98\tCD\tB-NP\tO' -p281799 -aS'percent\tpercent\tNN\tI-NP\tO' -p281800 -aS'on\ton\tIN\tB-PP\tO' -p281801 -aS'room\troom\tNN\tB-NP\tO' -p281802 -aS'air\tair\tNN\tI-NP\tO' -p281803 -aS'.\t.\t.\tO\tO' -p281804 -asS'Chemotherapy for metastatic cervical cancer was discussed with the patient and she was started on 5-FU 800 mg per meter squared days 06/18 , 06/19 , and 06/20 .' -p281805 -(lp281806 -S'Chemotherapy\tChemotherapy\tNN\tB-NP\tO' -p281807 -aS'for\tfor\tIN\tB-PP\tO' -p281808 -aS'metastatic\tmetastatic\tJJ\tB-NP\tO' -p281809 -aS'cervical\tcervical\tJJ\tI-NP\tO' -p281810 -aS'cancer\tcancer\tNN\tI-NP\tO' -p281811 -aS'was\tbe\tVBD\tB-VP\tO' -p281812 -aS'discussed\tdiscuss\tVBN\tI-VP\tO' -p281813 -aS'with\twith\tIN\tB-PP\tO' -p281814 -aS'the\tthe\tDT\tB-NP\tO' -p281815 -aS'patient\tpatient\tNN\tI-NP\tO' -p281816 -aS'and\tand\tCC\tO\tO' -p281817 -aS'she\tshe\tPRP\tB-NP\tO' -p281818 -aS'was\tbe\tVBD\tB-VP\tO' -p281819 -aS'started\tstart\tVBN\tI-VP\tO' -p281820 -aS'on\ton\tIN\tB-PP\tO' -p281821 -aS'5-FU\t5-FU\tNN\tB-NP\tO' -p281822 -aS'800\t800\tCD\tI-NP\tO' -p281823 -aS'mg\tmg\tNN\tI-NP\tO' -p281824 -aS'per\tper\tIN\tB-PP\tO' -p281825 -aS'meter\tmeter\tNN\tB-NP\tO' -p281826 -aS'squared\tsquare\tVBD\tB-VP\tO' -p281827 -aS'days\tday\tNNS\tB-NP\tO' -p281828 -aS'06/18\t06/18\tCD\tB-NP\tO' -p281829 -aS',\t,\t,\tI-NP\tO' -p281830 -aS'06/19\t06/19\tCD\tI-NP\tO' -p281831 -aS',\t,\t,\tO\tO' -p281832 -aS'and\tand\tCC\tO\tO' -p281833 -aS'06/20\t06/20\tCD\tB-NP\tO' -p281834 -aS'.\t.\t.\tO\tO' -p281835 -asS'Antibiotics were discontinued on POD#8 and pt remained afebrile thereafter .' -p281836 -(lp281837 -S'Antibiotics\tAntibiotic\tNNS\tB-NP\tO' -p281838 -aS'were\tbe\tVBD\tB-VP\tO' -p281839 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p281840 -aS'on\ton\tIN\tB-PP\tO' -p281841 -aS'POD#8\tPOD#8\tNN\tB-NP\tB-protein' -p281842 -aS'and\tand\tCC\tI-NP\tO' -p281843 -aS'pt\tpt\tNN\tI-NP\tO' -p281844 -aS'remained\tremain\tVBD\tB-VP\tO' -p281845 -aS'afebrile\tafebrile\tRB\tB-ADVP\tO' -p281846 -aS'thereafter\tthereafter\tRB\tI-ADVP\tO' -p281847 -aS'.\t.\t.\tO\tO' -p281848 -asS'He will be followed-up by his cardiologist after discharge .' -p281849 -(lp281850 -S'He\tHe\tPRP\tB-NP\tO' -p281851 -aS'will\twill\tMD\tB-VP\tO' -p281852 -aS'be\tbe\tVB\tI-VP\tO' -p281853 -aS'followed-up\tfollowed-up\tJJ\tB-ADJP\tO' -p281854 -aS'by\tby\tIN\tB-PP\tO' -p281855 -aS'his\this\tPRP$\tB-NP\tO' -p281856 -aS'cardiologist\tcardiologist\tNN\tI-NP\tO' -p281857 -aS'after\tafter\tIN\tB-PP\tO' -p281858 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p281859 -aS'.\t.\t.\tO\tO' -p281860 -asS'The patient is also to keep her left arm elevated and to remain on a low sodium diet .' -p281861 -(lp281862 -S'The\tThe\tDT\tB-NP\tO' -p281863 -aS'patient\tpatient\tNN\tI-NP\tO' -p281864 -aS'is\tbe\tVBZ\tB-VP\tO' -p281865 -aS'also\talso\tRB\tB-ADVP\tO' -p281866 -aS'to\tto\tTO\tB-VP\tO' -p281867 -aS'keep\tkeep\tVB\tI-VP\tO' -p281868 -aS'her\ther\tPRP$\tB-NP\tO' -p281869 -aS'left\tleft\tJJ\tI-NP\tO' -p281870 -aS'arm\tarm\tNN\tI-NP\tO' -p281871 -aS'elevated\televate\tVBN\tB-VP\tO' -p281872 -aS'and\tand\tCC\tO\tO' -p281873 -aS'to\tto\tTO\tB-VP\tO' -p281874 -aS'remain\tremain\tVB\tI-VP\tO' -p281875 -aS'on\ton\tIN\tB-PP\tO' -p281876 -aS'a\ta\tDT\tB-NP\tO' -p281877 -aS'low\tlow\tJJ\tI-NP\tO' -p281878 -aS'sodium\tsodium\tNN\tI-NP\tO' -p281879 -aS'diet\tdiet\tNN\tI-NP\tO' -p281880 -aS'.\t.\t.\tO\tO' -p281881 -asS'CN : PERRL , corneal reflex intact , nasal tickle intact , face symmetric .' -p281882 -(lp281883 -S'CN\tCN\tNN\tB-NP\tB-protein' -p281884 -aS':\t:\t:\tO\tO' -p281885 -aS'PERRL\tPERRL\tNN\tB-NP\tB-protein' -p281886 -aS',\t,\t,\tO\tO' -p281887 -aS'corneal\tcorneal\tJJ\tB-NP\tO' -p281888 -aS'reflex\treflex\tNN\tI-NP\tO' -p281889 -aS'intact\tintact\tJJ\tB-NP\tO' -p281890 -aS',\t,\t,\tI-NP\tO' -p281891 -aS'nasal\tnasal\tJJ\tI-NP\tO' -p281892 -aS'tickle\ttickle\tNN\tI-NP\tO' -p281893 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p281894 -aS',\t,\t,\tO\tO' -p281895 -aS'face\tface\tVBP\tB-VP\tO' -p281896 -aS'symmetric\tsymmetric\tJJ\tB-ADJP\tO' -p281897 -aS'.\t.\t.\tO\tO' -p281898 -asS'ICU for 24hr post-op cardiac monitoring .' -p281899 -(lp281900 -S'ICU\tICU\tNN\tB-NP\tO' -p281901 -aS'for\tfor\tIN\tB-PP\tO' -p281902 -aS'24hr\t24hr\tNN\tB-NP\tO' -p281903 -aS'post-op\tpost-op\tJJ\tI-NP\tO' -p281904 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p281905 -aS'monitoring\tmonitoring\tNN\tI-NP\tO' -p281906 -aS'.\t.\t.\tO\tO' -p281907 -asS'HEENT unremarkable .' -p281908 -(lp281909 -S'HEENT\tHEENT\tNN\tB-NP\tO' -p281910 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p281911 -aS'.\t.\t.\tO\tO' -p281912 -asS'10. Bacitracin-Polymyxin-Neosp HC Ointment Sig : One ( 1 ) Topical three times a day .' -p281913 -(lp281914 -S'10.\t10.\tLS\tB-LST\tO' -p281915 -aS'Bacitracin-Polymyxin-Neosp\tBacitracin-Polymyxin-Neosp\tNNP\tB-NP\tO' -p281916 -aS'HC\tHC\tNNP\tI-NP\tO' -p281917 -aS'Ointment\tOintment\tNNP\tI-NP\tO' -p281918 -aS'Sig\tSig\tNNP\tI-NP\tO' -p281919 -aS':\t:\t:\tO\tO' -p281920 -aS'One\tOne\tCD\tB-NP\tO' -p281921 -aS'(\t(\t(\tO\tO' -p281922 -aS'1\t1\tCD\tB-NP\tO' -p281923 -aS')\t)\t)\tO\tO' -p281924 -aS'Topical\tTopical\tJJ\tB-VP\tO' -p281925 -aS'three\tthree\tCD\tB-NP\tO' -p281926 -aS'times\ttime\tNNS\tI-NP\tO' -p281927 -aS'a\ta\tDT\tB-NP\tO' -p281928 -aS'day\tday\tNN\tI-NP\tO' -p281929 -aS'.\t.\t.\tO\tO' -p281930 -asS'# Chest Pain / Ischemia - Patient with history of CAD a/p MI .' -p281931 -(lp281932 -S'#\t#\t#\tB-NP\tO' -p281933 -aS'Chest\tCh\tJJS\tI-NP\tO' -p281934 -aS'Pain\tPain\tNN\tI-NP\tB-protein' -p281935 -aS'/\t/\tSYM\tB-NP\tO' -p281936 -aS'Ischemia\tIschemia\tNN\tI-NP\tO' -p281937 -aS'-\t-\tHYPH\tB-NP\tO' -p281938 -aS'Patient\tPatient\tNN\tI-NP\tO' -p281939 -aS'with\twith\tIN\tB-PP\tO' -p281940 -aS'history\thistory\tNN\tB-NP\tO' -p281941 -aS'of\tof\tIN\tB-PP\tO' -p281942 -aS'CAD\tCAD\tNN\tB-NP\tB-protein' -p281943 -aS'a/p\ta/p\tNN\tI-NP\tI-protein' -p281944 -aS'MI\tMI\tNN\tI-NP\tI-protein' -p281945 -aS'.\t.\t.\tO\tO' -p281946 -asS'He required no blood transfusions for four days prior to discharge .' -p281947 -(lp281948 -S'He\tHe\tPRP\tB-NP\tO' -p281949 -aS'required\trequire\tVBD\tB-VP\tO' -p281950 -aS'no\tno\tDT\tB-NP\tO' -p281951 -aS'blood\tblood\tNN\tI-NP\tO' -p281952 -aS'transfusions\ttransfusion\tNNS\tI-NP\tO' -p281953 -aS'for\tfor\tIN\tB-PP\tO' -p281954 -aS'four\tfour\tCD\tB-NP\tO' -p281955 -aS'days\tday\tNNS\tI-NP\tO' -p281956 -aS'prior\tprior\tRB\tB-ADVP\tO' -p281957 -aS'to\tto\tTO\tB-VP\tO' -p281958 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p281959 -aS'.\t.\t.\tO\tO' -p281960 -asS'1. Percocet 5/325 one to two q4hours p.r.n.' -p281961 -(lp281962 -S'1.\t1.\tLS\tB-LST\tO' -p281963 -aS'Percocet\tPercocet\tNNP\tB-NP\tO' -p281964 -aS'5/325\t5/325\tCD\tB-NP\tO' -p281965 -aS'one\tone\tCD\tI-NP\tO' -p281966 -aS'to\tto\tTO\tB-PP\tO' -p281967 -aS'two\ttwo\tCD\tB-NP\tO' -p281968 -aS'q4hours\tq4hour\tNNS\tI-NP\tO' -p281969 -aS'p.r.n.\tp.r.n.\tRB\tB-ADVP\tO' -p281970 -asS'The patient was felt to be stable on her current Flolan dose and was therefore transferred back to the floor .' -p281971 -(lp281972 -S'The\tThe\tDT\tB-NP\tO' -p281973 -aS'patient\tpatient\tNN\tI-NP\tO' -p281974 -aS'was\tbe\tVBD\tB-VP\tO' -p281975 -aS'felt\tfeel\tVBN\tI-VP\tO' -p281976 -aS'to\tto\tTO\tI-VP\tO' -p281977 -aS'be\tbe\tVB\tI-VP\tO' -p281978 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p281979 -aS'on\ton\tIN\tB-PP\tO' -p281980 -aS'her\ther\tPRP$\tB-NP\tO' -p281981 -aS'current\tcurrent\tJJ\tI-NP\tO' -p281982 -aS'Flolan\tFlolan\tNNP\tI-NP\tO' -p281983 -aS'dose\tdose\tNN\tI-NP\tO' -p281984 -aS'and\tand\tCC\tO\tO' -p281985 -aS'was\tbe\tVBD\tB-VP\tO' -p281986 -aS'therefore\ttherefore\tRB\tI-VP\tO' -p281987 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p281988 -aS'back\tback\tRB\tB-ADVP\tO' -p281989 -aS'to\tto\tTO\tB-PP\tO' -p281990 -aS'the\tthe\tDT\tB-NP\tO' -p281991 -aS'floor\tfloor\tNN\tI-NP\tO' -p281992 -aS'.\t.\t.\tO\tO' -p281993 -asS'This emergent cricothyroidotomy was converted then to a formal tracheostomy .' -p281994 -(lp281995 -S'This\tThis\tDT\tB-NP\tO' -p281996 -aS'emergent\temergent\tJJ\tI-NP\tO' -p281997 -aS'cricothyroidotomy\tcricothyroidotomy\tNN\tI-NP\tO' -p281998 -aS'was\tbe\tVBD\tB-VP\tO' -p281999 -aS'converted\tconvert\tVBN\tI-VP\tO' -p282000 -aS'then\tthen\tRB\tB-ADVP\tO' -p282001 -aS'to\tto\tTO\tB-PP\tO' -p282002 -aS'a\ta\tDT\tB-NP\tO' -p282003 -aS'formal\tformal\tJJ\tI-NP\tO' -p282004 -aS'tracheostomy\ttracheostomy\tNN\tI-NP\tO' -p282005 -aS'.\t.\t.\tO\tO' -p282006 -asS'The ventricles and sulci are normal in size and symmetrical .' -p282007 -(lp282008 -S'The\tThe\tDT\tB-NP\tO' -p282009 -aS'ventricles\tventricle\tNNS\tI-NP\tO' -p282010 -aS'and\tand\tCC\tI-NP\tO' -p282011 -aS'sulci\tsulcus\tNNS\tI-NP\tO' -p282012 -aS'are\tbe\tVBP\tB-VP\tO' -p282013 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p282014 -aS'in\tin\tIN\tB-PP\tO' -p282015 -aS'size\tsize\tNN\tB-NP\tO' -p282016 -aS'and\tand\tCC\tI-NP\tO' -p282017 -aS'symmetrical\tsymmetrical\tNN\tI-NP\tO' -p282018 -aS'.\t.\t.\tO\tO' -p282019 -asS'She is married with three children .' -p282020 -(lp282021 -S'She\tShe\tPRP\tB-NP\tO' -p282022 -aS'is\tbe\tVBZ\tB-VP\tO' -p282023 -aS'married\tmarry\tVBN\tI-VP\tO' -p282024 -aS'with\twith\tIN\tB-PP\tO' -p282025 -aS'three\tthree\tCD\tB-NP\tO' -p282026 -aS'children\tchild\tNNS\tI-NP\tO' -p282027 -aS'.\t.\t.\tO\tO' -p282028 -asS'TECHNIQUE : PA and lateral views of the chest .' -p282029 -(lp282030 -S'TECHNIQUE\tTECHNIQUE\tNN\tB-NP\tO' -p282031 -aS':\t:\t:\tO\tO' -p282032 -aS'PA\tPA\tNN\tB-NP\tO' -p282033 -aS'and\tand\tCC\tO\tO' -p282034 -aS'lateral\tlateral\tJJ\tB-NP\tO' -p282035 -aS'views\tview\tNNS\tI-NP\tO' -p282036 -aS'of\tof\tIN\tB-PP\tO' -p282037 -aS'the\tthe\tDT\tB-NP\tO' -p282038 -aS'chest\tchest\tNN\tI-NP\tO' -p282039 -aS'.\t.\t.\tO\tO' -p282040 -asS'5. Lisinopril 5 mg p.o. once daily .' -p282041 -(lp282042 -S'5.\t5.\tLS\tB-LST\tO' -p282043 -aS'Lisinopril\tLisinopril\tNNP\tB-NP\tO' -p282044 -aS'5\t5\tCD\tI-NP\tO' -p282045 -aS'mg\tmg\tNN\tI-NP\tO' -p282046 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p282047 -aS'once\tonce\tRB\tB-ADVP\tO' -p282048 -aS'daily\tdaily\tRB\tI-ADVP\tO' -p282049 -aS'.\t.\t.\tO\tO' -p282050 -asS'The patient was given a work note ( English ) .' -p282051 -(lp282052 -S'The\tThe\tDT\tB-NP\tO' -p282053 -aS'patient\tpatient\tNN\tI-NP\tO' -p282054 -aS'was\tbe\tVBD\tB-VP\tO' -p282055 -aS'given\tgive\tVBN\tI-VP\tO' -p282056 -aS'a\ta\tDT\tB-NP\tO' -p282057 -aS'work\twork\tNN\tI-NP\tO' -p282058 -aS'note\tnote\tNN\tI-NP\tO' -p282059 -aS'(\t(\t(\tO\tO' -p282060 -aS'English\tEnglish\tNN\tB-NP\tO' -p282061 -aS')\t)\t)\tO\tO' -p282062 -aS'.\t.\t.\tO\tO' -p282063 -asS'Right hip flexion and extension 40 and 0 .' -p282064 -(lp282065 -S'Right\tRight\tNN\tB-NP\tO' -p282066 -aS'hip\thip\tNN\tI-NP\tO' -p282067 -aS'flexion\tflexion\tNN\tI-NP\tO' -p282068 -aS'and\tand\tCC\tO\tO' -p282069 -aS'extension\textension\tNN\tB-NP\tO' -p282070 -aS'40\t40\tCD\tI-NP\tO' -p282071 -aS'and\tand\tCC\tI-NP\tO' -p282072 -aS'0\t0\tCD\tI-NP\tO' -p282073 -aS'.\t.\t.\tO\tO' -p282074 -asS'METASTATIC CERVICAL CARCINOMA .' -p282075 -(lp282076 -S'METASTATIC\tMETASTATIC\tNN\tB-NP\tO' -p282077 -aS'CERVICAL\tCERVICAL\tNN\tI-NP\tO' -p282078 -aS'CARCINOMA\tCARCINOMA\tNN\tI-NP\tO' -p282079 -aS'.\t.\t.\tO\tO' -p282080 -asS'The patient also had an omentectomy and ileostomy .' -p282081 -(lp282082 -S'The\tThe\tDT\tB-NP\tO' -p282083 -aS'patient\tpatient\tNN\tI-NP\tO' -p282084 -aS'also\talso\tRB\tB-ADVP\tO' -p282085 -aS'had\thave\tVBD\tB-VP\tO' -p282086 -aS'an\tan\tDT\tB-NP\tO' -p282087 -aS'omentectomy\tomentectomy\tNN\tI-NP\tO' -p282088 -aS'and\tand\tCC\tI-NP\tO' -p282089 -aS'ileostomy\tileostomy\tNN\tI-NP\tO' -p282090 -aS'.\t.\t.\tO\tO' -p282091 -asS'He did require two units of transfused blood but otherwise did quite well and was extubated on the night of surgery .' -p282092 -(lp282093 -S'He\tHe\tPRP\tB-NP\tO' -p282094 -aS'did\tdo\tVBD\tB-VP\tO' -p282095 -aS'require\trequire\tVB\tI-VP\tO' -p282096 -aS'two\ttwo\tCD\tB-NP\tO' -p282097 -aS'units\tunit\tNNS\tI-NP\tO' -p282098 -aS'of\tof\tIN\tB-PP\tO' -p282099 -aS'transfused\ttransfuse\tVBN\tB-NP\tO' -p282100 -aS'blood\tblood\tNN\tI-NP\tO' -p282101 -aS'but\tbut\tCC\tO\tO' -p282102 -aS'otherwise\totherwise\tRB\tB-VP\tO' -p282103 -aS'did\tdo\tVBD\tI-VP\tO' -p282104 -aS'quite\tquite\tRB\tB-ADVP\tO' -p282105 -aS'well\twell\tRB\tI-ADVP\tO' -p282106 -aS'and\tand\tCC\tO\tO' -p282107 -aS'was\tbe\tVBD\tB-VP\tO' -p282108 -aS'extubated\textubate\tVBN\tI-VP\tO' -p282109 -aS'on\ton\tIN\tB-PP\tO' -p282110 -aS'the\tthe\tDT\tB-NP\tO' -p282111 -aS'night\tnight\tNN\tI-NP\tO' -p282112 -aS'of\tof\tIN\tB-PP\tO' -p282113 -aS'surgery\tsurgery\tNN\tB-NP\tO' -p282114 -aS'.\t.\t.\tO\tO' -p282115 -asS'Start morphine ggt and titrate to comfort .' -p282116 -(lp282117 -S'Start\tStart\tNN\tB-NP\tO' -p282118 -aS'morphine\tmorphine\tNN\tI-NP\tO' -p282119 -aS'ggt\tggt\tNN\tI-NP\tO' -p282120 -aS'and\tand\tCC\tO\tO' -p282121 -aS'titrate\ttitrate\tNN\tB-NP\tO' -p282122 -aS'to\tto\tTO\tB-PP\tO' -p282123 -aS'comfort\tcomfort\tNN\tB-NP\tO' -p282124 -aS'.\t.\t.\tO\tO' -p282125 -asS'The birth length was 44 centimeters , the 75th percentile and the birth head circumference was 30.6 centimeters , in the 65th percentile' -p282126 -(lp282127 -S'The\tThe\tDT\tB-NP\tO' -p282128 -aS'birth\tbirth\tNN\tI-NP\tO' -p282129 -aS'length\tlength\tNN\tI-NP\tO' -p282130 -aS'was\tbe\tVBD\tB-VP\tO' -p282131 -aS'44\t44\tCD\tB-NP\tO' -p282132 -aS'centimeters\tcentimeter\tNNS\tI-NP\tO' -p282133 -aS',\t,\t,\tO\tO' -p282134 -aS'the\tthe\tDT\tB-NP\tO' -p282135 -aS'75th\t75th\tJJ\tI-NP\tO' -p282136 -aS'percentile\tpercentile\tNN\tI-NP\tO' -p282137 -aS'and\tand\tCC\tO\tO' -p282138 -aS'the\tthe\tDT\tB-NP\tO' -p282139 -aS'birth\tbirth\tNN\tI-NP\tO' -p282140 -aS'head\thead\tNN\tI-NP\tO' -p282141 -aS'circumference\tcircumference\tNN\tI-NP\tO' -p282142 -aS'was\tbe\tVBD\tB-VP\tO' -p282143 -aS'30.6\t30.6\tCD\tB-NP\tO' -p282144 -aS'centimeters\tcentimeter\tNNS\tI-NP\tO' -p282145 -aS',\t,\t,\tO\tO' -p282146 -aS'in\tin\tIN\tB-PP\tO' -p282147 -aS'the\tthe\tDT\tB-NP\tO' -p282148 -aS'65th\t65th\tNN\tI-NP\tO' -p282149 -aS'percentile\tpercentile\tNN\tI-NP\tO' -p282150 -asS'The patient and his family agreed to transfer from Nimaconwood Valley Hospital to Ianehutche Medical Center .' -p282151 -(lp282152 -S'The\tThe\tDT\tB-NP\tO' -p282153 -aS'patient\tpatient\tNN\tI-NP\tO' -p282154 -aS'and\tand\tCC\tO\tO' -p282155 -aS'his\this\tPRP$\tB-NP\tO' -p282156 -aS'family\tfamily\tNN\tI-NP\tO' -p282157 -aS'agreed\tagree\tVBD\tB-VP\tO' -p282158 -aS'to\tto\tTO\tI-VP\tO' -p282159 -aS'transfer\ttransfer\tVB\tI-VP\tO' -p282160 -aS'from\tfrom\tIN\tB-PP\tO' -p282161 -aS'Nimaconwood\tNimaconwood\tNNP\tB-NP\tO' -p282162 -aS'Valley\tValley\tNNP\tI-NP\tO' -p282163 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p282164 -aS'to\tto\tTO\tB-PP\tO' -p282165 -aS'Ianehutche\tIanehutche\tNNP\tB-NP\tO' -p282166 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p282167 -aS'Center\tCenter\tNNP\tI-NP\tO' -p282168 -aS'.\t.\t.\tO\tO' -p282169 -asS'11. Benzonatate 100 mg Capsule Sig : One ( 1 ) Capsule PO TID ( 3 times a day ) as needed for cough .' -p282170 -(lp282171 -S'11.\t11.\tCD\tB-NP\tO' -p282172 -aS'Benzonatate\tBenzonatate\tNN\tI-NP\tO' -p282173 -aS'100\t100\tCD\tB-NP\tO' -p282174 -aS'mg\tmg\tNN\tI-NP\tO' -p282175 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p282176 -aS'Sig\tSig\tNNP\tI-NP\tO' -p282177 -aS':\t:\t:\tO\tO' -p282178 -aS'One\tOne\tCD\tB-NP\tO' -p282179 -aS'(\t(\t(\tO\tO' -p282180 -aS'1\t1\tCD\tB-NP\tO' -p282181 -aS')\t)\t)\tO\tO' -p282182 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p282183 -aS'PO\tPO\tNNP\tI-NP\tO' -p282184 -aS'TID\tTID\tNNP\tI-NP\tO' -p282185 -aS'(\t(\t(\tO\tO' -p282186 -aS'3\t3\tCD\tB-NP\tO' -p282187 -aS'times\ttime\tNNS\tI-NP\tO' -p282188 -aS'a\ta\tDT\tB-NP\tO' -p282189 -aS'day\tday\tNN\tI-NP\tO' -p282190 -aS')\t)\t)\tO\tO' -p282191 -aS'as\tas\tIN\tB-SBAR\tO' -p282192 -aS'needed\tneed\tVBN\tB-VP\tO' -p282193 -aS'for\tfor\tIN\tB-PP\tO' -p282194 -aS'cough\tcough\tNN\tB-NP\tO' -p282195 -aS'.\t.\t.\tO\tO' -p282196 -asS'She smokes one pack per day x45 years .' -p282197 -(lp282198 -S'She\tShe\tPRP\tB-NP\tO' -p282199 -aS'smokes\tsmoke\tVBZ\tB-VP\tO' -p282200 -aS'one\tone\tCD\tB-NP\tO' -p282201 -aS'pack\tpack\tNN\tI-NP\tO' -p282202 -aS'per\tper\tIN\tB-PP\tO' -p282203 -aS'day\tday\tNN\tB-NP\tO' -p282204 -aS'x45\tx45\tCD\tB-NP\tO' -p282205 -aS'years\tyear\tNNS\tI-NP\tO' -p282206 -aS'.\t.\t.\tO\tO' -p282207 -asS'He is circumcised with testes descended bilaterally .' -p282208 -(lp282209 -S'He\tHe\tPRP\tB-NP\tO' -p282210 -aS'is\tbe\tVBZ\tB-VP\tO' -p282211 -aS'circumcised\tcircumcise\tVBN\tI-VP\tO' -p282212 -aS'with\twith\tIN\tB-PP\tO' -p282213 -aS'testes\ttestis\tNNS\tB-NP\tO' -p282214 -aS'descended\tdescend\tVBN\tB-VP\tO' -p282215 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p282216 -aS'.\t.\t.\tO\tO' -p282217 -asS"History was obtained per the Emergency Department report as well as from the patient 's family ." -p282218 -(lp282219 -S'History\tHistory\tNN\tB-NP\tO' -p282220 -aS'was\tbe\tVBD\tB-VP\tO' -p282221 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p282222 -aS'per\tper\tIN\tB-PP\tO' -p282223 -aS'the\tthe\tDT\tB-NP\tO' -p282224 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p282225 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p282226 -aS'report\treport\tNN\tI-NP\tO' -p282227 -aS'as\tas\tRB\tB-CONJP\tO' -p282228 -aS'well\twell\tRB\tI-CONJP\tO' -p282229 -aS'as\tas\tIN\tI-CONJP\tO' -p282230 -aS'from\tfrom\tIN\tB-PP\tO' -p282231 -aS'the\tthe\tDT\tB-NP\tO' -p282232 -aS'patient\tpatient\tNN\tI-NP\tO' -p282233 -aS"'s\t's\tPOS\tB-NP\tO" -p282234 -aS'family\tfamily\tNN\tI-NP\tO' -p282235 -aS'.\t.\t.\tO\tO' -p282236 -asS'20. Calcium Carbonate 500 mg Tablet , Chewable Sig : Three ( 3 ) Tablet , Chewable PO TID ( 3 times a day ) .' -p282237 -(lp282238 -S'20.\t20.\tLS\tB-NP\tO' -p282239 -aS'Calcium\tCalcium\tNN\tI-NP\tO' -p282240 -aS'Carbonate\tCarbonate\tNN\tI-NP\tO' -p282241 -aS'500\t500\tCD\tI-NP\tO' -p282242 -aS'mg\tmg\tNN\tI-NP\tO' -p282243 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p282244 -aS',\t,\t,\tO\tO' -p282245 -aS'Chewable\tChewable\tNNP\tB-NP\tO' -p282246 -aS'Sig\tSig\tNNP\tI-NP\tO' -p282247 -aS':\t:\t:\tO\tO' -p282248 -aS'Three\tThree\tCD\tB-NP\tO' -p282249 -aS'(\t(\t(\tO\tO' -p282250 -aS'3\t3\tCD\tB-NP\tO' -p282251 -aS')\t)\t)\tO\tO' -p282252 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p282253 -aS',\t,\t,\tO\tO' -p282254 -aS'Chewable\tChewable\tJJ\tB-NP\tO' -p282255 -aS'PO\tPO\tNN\tI-NP\tO' -p282256 -aS'TID\tTID\tNN\tI-NP\tO' -p282257 -aS'(\t(\t(\tO\tO' -p282258 -aS'3\t3\tCD\tB-NP\tO' -p282259 -aS'times\ttime\tNNS\tI-NP\tO' -p282260 -aS'a\ta\tDT\tB-NP\tO' -p282261 -aS'day\tday\tNN\tI-NP\tO' -p282262 -aS')\t)\t)\tO\tO' -p282263 -aS'.\t.\t.\tO\tO' -p282264 -asS'The U/A was negative .' -p282265 -(lp282266 -S'The\tThe\tDT\tB-NP\tO' -p282267 -aS'U/A\tU/A\tNN\tI-NP\tO' -p282268 -aS'was\tbe\tVBD\tB-VP\tO' -p282269 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p282270 -aS'.\t.\t.\tO\tO' -p282271 -asS'He was afebrile , blood pressure 154/75 , on Nipride drip , heart rate 81 , oxygen saturation 97% .' -p282272 -(lp282273 -S'He\tHe\tPRP\tB-NP\tO' -p282274 -aS'was\tbe\tVBD\tB-VP\tO' -p282275 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p282276 -aS',\t,\t,\tO\tO' -p282277 -aS'blood\tblood\tNN\tB-NP\tO' -p282278 -aS'pressure\tpressure\tNN\tI-NP\tO' -p282279 -aS'154/75\t154/75\tCD\tI-NP\tO' -p282280 -aS',\t,\t,\tO\tO' -p282281 -aS'on\ton\tIN\tB-PP\tO' -p282282 -aS'Nipride\tNipride\tNN\tB-NP\tB-protein' -p282283 -aS'drip\tdrip\tNN\tI-NP\tI-protein' -p282284 -aS',\t,\t,\tO\tO' -p282285 -aS'heart\theart\tNN\tB-NP\tO' -p282286 -aS'rate\trate\tNN\tI-NP\tO' -p282287 -aS'81\t81\tCD\tI-NP\tO' -p282288 -aS',\t,\t,\tO\tO' -p282289 -aS'oxygen\toxygen\tNN\tB-NP\tO' -p282290 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p282291 -aS'97%\t97%\tCD\tI-NP\tO' -p282292 -aS'.\t.\t.\tO\tO' -p282293 -asS'He tolerated the procedure well , please see Dr. Allgood Operative Note for detail .' -p282294 -(lp282295 -S'He\tHe\tPRP\tB-NP\tO' -p282296 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p282297 -aS'the\tthe\tDT\tB-NP\tO' -p282298 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p282299 -aS'well\twell\tRB\tB-ADVP\tO' -p282300 -aS',\t,\t,\tO\tO' -p282301 -aS'please\tplease\tVB\tB-INTJ\tO' -p282302 -aS'see\tsee\tVB\tB-VP\tO' -p282303 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p282304 -aS'Allgood\tAllgood\tNNP\tI-NP\tO' -p282305 -aS'Operative\tOperative\tNNP\tI-NP\tO' -p282306 -aS'Note\tNote\tNNP\tI-NP\tO' -p282307 -aS'for\tfor\tIN\tB-PP\tO' -p282308 -aS'detail\tdetail\tNN\tB-NP\tO' -p282309 -aS'.\t.\t.\tO\tO' -p282310 -asS'He was also started on intravenous Ticarcillin for possible gram negative pneumonia .' -p282311 -(lp282312 -S'He\tHe\tPRP\tB-NP\tO' -p282313 -aS'was\tbe\tVBD\tB-VP\tO' -p282314 -aS'also\talso\tRB\tI-VP\tO' -p282315 -aS'started\tstart\tVBN\tI-VP\tO' -p282316 -aS'on\ton\tIN\tB-PP\tO' -p282317 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p282318 -aS'Ticarcillin\tTicarcillin\tNN\tI-NP\tO' -p282319 -aS'for\tfor\tIN\tB-PP\tO' -p282320 -aS'possible\tpossible\tJJ\tB-NP\tO' -p282321 -aS'gram\tgram\tNN\tI-NP\tO' -p282322 -aS'negative\tnegative\tJJ\tI-NP\tO' -p282323 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p282324 -aS'.\t.\t.\tO\tO' -p282325 -asS'Glucose 191 .' -p282326 -(lp282327 -S'Glucose\tGlucose\tNN\tB-NP\tB-protein' -p282328 -aS'191\t191\tCD\tI-NP\tI-protein' -p282329 -aS'.\t.\t.\tO\tO' -p282330 -asS'Fluids of D5 water with 30 mEq of sodium acetate per liter , 30 ml per liter of phosphate , and 30 mEq of K acetate per liter at 90 cc's per hour was given .' -p282331 -(lp282332 -S'Fluids\tFluid\tNNS\tB-NP\tO' -p282333 -aS'of\tof\tIN\tB-PP\tO' -p282334 -aS'D5\tD5\tNN\tB-NP\tO' -p282335 -aS'water\twater\tNN\tI-NP\tO' -p282336 -aS'with\twith\tIN\tB-PP\tO' -p282337 -aS'30\t30\tCD\tB-NP\tO' -p282338 -aS'mEq\tmEq\tNN\tI-NP\tO' -p282339 -aS'of\tof\tIN\tB-PP\tO' -p282340 -aS'sodium\tsodium\tNN\tB-NP\tO' -p282341 -aS'acetate\tacetate\tNN\tI-NP\tO' -p282342 -aS'per\tper\tIN\tB-PP\tO' -p282343 -aS'liter\tliter\tNN\tB-NP\tO' -p282344 -aS',\t,\t,\tO\tO' -p282345 -aS'30\t30\tCD\tB-NP\tO' -p282346 -aS'ml\tml\tNN\tI-NP\tO' -p282347 -aS'per\tper\tIN\tB-PP\tO' -p282348 -aS'liter\tliter\tNN\tB-NP\tO' -p282349 -aS'of\tof\tIN\tB-PP\tO' -p282350 -aS'phosphate\tphosphate\tNN\tB-NP\tO' -p282351 -aS',\t,\t,\tO\tO' -p282352 -aS'and\tand\tCC\tO\tO' -p282353 -aS'30\t30\tCD\tB-NP\tO' -p282354 -aS'mEq\tmEq\tNN\tI-NP\tO' -p282355 -aS'of\tof\tIN\tB-PP\tO' -p282356 -aS'K\tK\tNN\tB-NP\tO' -p282357 -aS'acetate\tacetate\tNN\tI-NP\tO' -p282358 -aS'per\tper\tIN\tB-PP\tO' -p282359 -aS'liter\tliter\tNN\tB-NP\tO' -p282360 -aS'at\tat\tIN\tB-PP\tO' -p282361 -aS'90\t90\tCD\tB-NP\tO' -p282362 -aS'cc's\tcc'\tNNS\tI-NP\tO' -p282363 -aS'per\tper\tIN\tB-PP\tO' -p282364 -aS'hour\thour\tNN\tB-NP\tO' -p282365 -aS'was\tbe\tVBD\tB-VP\tO' -p282366 -aS'given\tgive\tVBN\tI-VP\tO' -p282367 -aS'.\t.\t.\tO\tO' -p282368 -asS'Discharge Medications : patient passed away' -p282369 -(lp282370 -S'Discharge\tDischarge\tNNP\tB-NP\tO' -p282371 -aS'Medications\tMedication\tNNPS\tI-NP\tO' -p282372 -aS':\t:\t:\tO\tO' -p282373 -aS'patient\tpatient\tNN\tB-NP\tO' -p282374 -aS'passed\tpass\tVBD\tB-VP\tO' -p282375 -aS'away\taway\tRB\tB-ADVP\tO' -p282376 -asS'The patient has a history of anemia as per past medical history above .' -p282377 -(lp282378 -S'The\tThe\tDT\tB-NP\tO' -p282379 -aS'patient\tpatient\tNN\tI-NP\tO' -p282380 -aS'has\thave\tVBZ\tB-VP\tO' -p282381 -aS'a\ta\tDT\tB-NP\tO' -p282382 -aS'history\thistory\tNN\tI-NP\tO' -p282383 -aS'of\tof\tIN\tB-PP\tO' -p282384 -aS'anemia\tanemia\tNN\tB-NP\tO' -p282385 -aS'as\tas\tIN\tB-PP\tO' -p282386 -aS'per\tper\tIN\tB-PP\tO' -p282387 -aS'past\tpast\tJJ\tB-NP\tO' -p282388 -aS'medical\tmedical\tJJ\tI-NP\tO' -p282389 -aS'history\thistory\tNN\tI-NP\tO' -p282390 -aS'above\tabove\tIN\tB-ADVP\tO' -p282391 -aS'.\t.\t.\tO\tO' -p282392 -asS'The head , eyes , ears , nose , throat examination revealed an entry wound approximately 1 1/2 inches above the right ear , which is approximately 1 cm. in length and surrounded by powder burn .' -p282393 -(lp282394 -S'The\tThe\tDT\tB-NP\tO' -p282395 -aS'head\thead\tNN\tI-NP\tO' -p282396 -aS',\t,\t,\tO\tO' -p282397 -aS'eyes\teye\tNNS\tB-NP\tO' -p282398 -aS',\t,\t,\tO\tO' -p282399 -aS'ears\tear\tNNS\tB-NP\tO' -p282400 -aS',\t,\t,\tO\tO' -p282401 -aS'nose\tnose\tNN\tB-NP\tO' -p282402 -aS',\t,\t,\tO\tO' -p282403 -aS'throat\tthroat\tDT\tB-NP\tO' -p282404 -aS'examination\texamination\tNN\tI-NP\tO' -p282405 -aS'revealed\treveal\tVBD\tB-VP\tO' -p282406 -aS'an\tan\tDT\tB-NP\tO' -p282407 -aS'entry\tentry\tNN\tI-NP\tO' -p282408 -aS'wound\twound\tNN\tI-NP\tO' -p282409 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p282410 -aS'1\t1\tCD\tI-NP\tO' -p282411 -aS'1/2\t1/2\tCD\tI-NP\tO' -p282412 -aS'inches\tinch\tNNS\tI-NP\tO' -p282413 -aS'above\tabove\tIN\tB-PP\tO' -p282414 -aS'the\tthe\tDT\tB-NP\tO' -p282415 -aS'right\tright\tJJ\tI-NP\tO' -p282416 -aS'ear\tear\tNN\tI-NP\tO' -p282417 -aS',\t,\t,\tO\tO' -p282418 -aS'which\twhich\tWDT\tB-NP\tO' -p282419 -aS'is\tbe\tVBZ\tB-VP\tO' -p282420 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p282421 -aS'1\t1\tCD\tI-NP\tO' -p282422 -aS'cm.\tcm.\tNN\tI-NP\tO' -p282423 -aS'in\tin\tIN\tB-PP\tO' -p282424 -aS'length\tlength\tNN\tB-NP\tO' -p282425 -aS'and\tand\tCC\tO\tO' -p282426 -aS'surrounded\tsurround\tVBN\tB-VP\tO' -p282427 -aS'by\tby\tIN\tB-PP\tO' -p282428 -aS'powder\tpowder\tNN\tB-NP\tO' -p282429 -aS'burn\tburn\tNN\tI-NP\tO' -p282430 -aS'.\t.\t.\tO\tO' -p282431 -asS'Cdiff from 04/08 , 04/09 , 04/10 were negative .' -p282432 -(lp282433 -S'Cdiff\tCdiff\tNN\tB-NP\tO' -p282434 -aS'from\tfrom\tIN\tB-PP\tO' -p282435 -aS'04/08\t04/08\tCD\tB-NP\tO' -p282436 -aS',\t,\t,\tI-NP\tO' -p282437 -aS'04/09\t04/09\tCD\tI-NP\tO' -p282438 -aS',\t,\t,\tI-NP\tO' -p282439 -aS'04/10\t04/10\tCD\tI-NP\tO' -p282440 -aS'were\tbe\tVBD\tB-VP\tO' -p282441 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p282442 -aS'.\t.\t.\tO\tO' -p282443 -asS'Over several days she continued to make good amounts or urine .' -p282444 -(lp282445 -S'Over\tOver\tIN\tB-PP\tO' -p282446 -aS'several\tseveral\tJJ\tB-NP\tO' -p282447 -aS'days\tday\tNNS\tI-NP\tO' -p282448 -aS'she\tshe\tPRP\tB-NP\tO' -p282449 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p282450 -aS'to\tto\tTO\tI-VP\tO' -p282451 -aS'make\tmake\tVB\tI-VP\tO' -p282452 -aS'good\tgood\tJJ\tB-NP\tO' -p282453 -aS'amounts\tamount\tNNS\tI-NP\tO' -p282454 -aS'or\tor\tCC\tO\tO' -p282455 -aS'urine\turine\tNN\tB-NP\tO' -p282456 -aS'.\t.\t.\tO\tO' -p282457 -asS'9. FEN : cardiac diet , watch for aspiration given somnolent status at this time , ck and replete Mg/K/Ca aggressively' -p282458 -(lp282459 -S'9.\t9.\tCD\tB-NP\tO' -p282460 -aS'FEN\tFEN\tNNP\tI-NP\tO' -p282461 -aS':\t:\t:\tO\tO' -p282462 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p282463 -aS'diet\tdiet\tNN\tI-NP\tO' -p282464 -aS',\t,\t,\tO\tO' -p282465 -aS'watch\twatch\tNN\tB-NP\tO' -p282466 -aS'for\tfor\tIN\tB-PP\tO' -p282467 -aS'aspiration\taspiration\tNN\tB-NP\tO' -p282468 -aS'given\tgive\tVBN\tB-VP\tO' -p282469 -aS'somnolent\tsomnolent\tJJ\tB-NP\tO' -p282470 -aS'status\tstatus\tNN\tI-NP\tO' -p282471 -aS'at\tat\tIN\tB-PP\tO' -p282472 -aS'this\tthis\tDT\tB-NP\tO' -p282473 -aS'time\ttime\tNN\tI-NP\tO' -p282474 -aS',\t,\t,\tO\tO' -p282475 -aS'ck\tck\tNN\tB-NP\tO' -p282476 -aS'and\tand\tCC\tO\tO' -p282477 -aS'replete\treplete\tJJ\tB-NP\tO' -p282478 -aS'Mg/K/Ca\tMg/K/Ca\tNN\tI-NP\tO' -p282479 -aS'aggressively\taggressively\tRB\tB-ADVP\tO' -p282480 -asS'She has a remote tobacco history , quit in October , one pack per day for 50 years .' -p282481 -(lp282482 -S'She\tShe\tPRP\tB-NP\tO' -p282483 -aS'has\thave\tVBZ\tB-VP\tO' -p282484 -aS'a\ta\tDT\tB-NP\tO' -p282485 -aS'remote\tremote\tJJ\tI-NP\tO' -p282486 -aS'tobacco\ttobacco\tNN\tI-NP\tO' -p282487 -aS'history\thistory\tNN\tI-NP\tO' -p282488 -aS',\t,\t,\tO\tO' -p282489 -aS'quit\tquit\tVBN\tB-VP\tO' -p282490 -aS'in\tin\tIN\tB-PP\tO' -p282491 -aS'October\tOctober\tNNP\tB-NP\tO' -p282492 -aS',\t,\t,\tO\tO' -p282493 -aS'one\tone\tCD\tB-NP\tO' -p282494 -aS'pack\tpack\tNN\tI-NP\tO' -p282495 -aS'per\tper\tIN\tB-PP\tO' -p282496 -aS'day\tday\tNN\tB-NP\tO' -p282497 -aS'for\tfor\tIN\tB-PP\tO' -p282498 -aS'50\t50\tCD\tB-NP\tO' -p282499 -aS'years\tyear\tNNS\tI-NP\tO' -p282500 -aS'.\t.\t.\tO\tO' -p282501 -asS'1. Digoxin 375 mcg and 250 mcg alternating doses each day .' -p282502 -(lp282503 -S'1.\t1.\tLS\tB-NP\tO' -p282504 -aS'Digoxin\tDigoxin\tNN\tI-NP\tO' -p282505 -aS'375\t375\tCD\tB-NP\tO' -p282506 -aS'mcg\tmcg\tNN\tI-NP\tO' -p282507 -aS'and\tand\tCC\tO\tO' -p282508 -aS'250\t250\tCD\tB-NP\tO' -p282509 -aS'mcg\tmcg\tNN\tI-NP\tO' -p282510 -aS'alternating\talternate\tVBG\tB-VP\tO' -p282511 -aS'doses\tdose\tNNS\tB-NP\tO' -p282512 -aS'each\teach\tDT\tB-NP\tO' -p282513 -aS'day\tday\tNN\tI-NP\tO' -p282514 -aS'.\t.\t.\tO\tO' -p282515 -asS'2. Insulin drip at 2 .' -p282516 -(lp282517 -S'2.\t2.\tLS\tB-NP\tO' -p282518 -aS'Insulin\tInsulin\tNN\tI-NP\tB-protein' -p282519 -aS'drip\tdrip\tNN\tI-NP\tI-protein' -p282520 -aS'at\tat\tIN\tB-PP\tI-protein' -p282521 -aS'2\t2\tCD\tB-NP\tI-protein' -p282522 -aS'.\t.\t.\tO\tO' -p282523 -asS'6. Penicillin G Pot in Dextrose 2,000,000 unit / 50 mL Piggyback Sig : One ( 1 ) Intravenous Q4H ( every 4 hours ).' -p282524 -(lp282525 -S'6.\t6.\tLS\tB-LST\tO' -p282526 -aS'Penicillin\tPenicillin\tNNP\tB-NP\tO' -p282527 -aS'G\tG\tNNP\tI-NP\tO' -p282528 -aS'Pot\tPot\tNNP\tI-NP\tO' -p282529 -aS'in\tin\tIN\tB-PP\tO' -p282530 -aS'Dextrose\tDextrose\tNNP\tB-NP\tO' -p282531 -aS'2,000,000\t2,000,000\tCD\tI-NP\tO' -p282532 -aS'unit\tunit\tNN\tI-NP\tO' -p282533 -aS'/\t/\tSYM\tB-NP\tO' -p282534 -aS'50\t50\tCD\tB-NP\tO' -p282535 -aS'mL\tmL\tNN\tI-NP\tO' -p282536 -aS'Piggyback\tPiggyback\tNNP\tI-NP\tO' -p282537 -aS'Sig\tSig\tNNP\tI-NP\tO' -p282538 -aS':\t:\t:\tO\tO' -p282539 -aS'One\tOne\tCD\tB-NP\tO' -p282540 -aS'(\t(\t(\tO\tO' -p282541 -aS'1\t1\tCD\tB-NP\tO' -p282542 -aS')\t)\t)\tO\tO' -p282543 -aS'Intravenous\tIntravenous\tJJ\tB-NP\tO' -p282544 -aS'Q4H\tQ4H\tNN\tI-NP\tO' -p282545 -aS'(\t(\t(\tO\tO' -p282546 -aS'every\tevery\tDT\tB-NP\tO' -p282547 -aS'4\t4\tCD\tI-NP\tO' -p282548 -aS'hours\thour\tNNS\tI-NP\tO' -p282549 -aS').\t).\t)\tO\tO' -p282550 -asS'2. Bilateral basilar compressive atelectasis .' -p282551 -(lp282552 -S'2.\t2.\tLS\tB-NP\tO' -p282553 -aS'Bilateral\tBilateral\tJJ\tI-NP\tO' -p282554 -aS'basilar\tbasilar\tJJ\tI-NP\tO' -p282555 -aS'compressive\tcompressive\tJJ\tI-NP\tO' -p282556 -aS'atelectasis\tatelectasis\tNN\tI-NP\tO' -p282557 -aS'.\t.\t.\tO\tO' -p282558 -asS'She remained in a coma .' -p282559 -(lp282560 -S'She\tShe\tPRP\tB-NP\tO' -p282561 -aS'remained\tremain\tVBD\tB-VP\tO' -p282562 -aS'in\tin\tIN\tB-PP\tO' -p282563 -aS'a\ta\tDT\tB-NP\tO' -p282564 -aS'coma\tcoma\tNN\tI-NP\tO' -p282565 -aS'.\t.\t.\tO\tO' -p282566 -asS'The head , eyes , ears , nose and throat unremarkable .' -p282567 -(lp282568 -S'The\tThe\tDT\tB-NP\tO' -p282569 -aS'head\thead\tNN\tI-NP\tO' -p282570 -aS',\t,\t,\tO\tO' -p282571 -aS'eyes\teye\tNNS\tB-NP\tO' -p282572 -aS',\t,\t,\tO\tO' -p282573 -aS'ears\tear\tNNS\tB-NP\tO' -p282574 -aS',\t,\t,\tO\tO' -p282575 -aS'nose\tnose\tNN\tB-NP\tO' -p282576 -aS'and\tand\tCC\tI-NP\tO' -p282577 -aS'throat\tthroat\tNN\tI-NP\tO' -p282578 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p282579 -aS'.\t.\t.\tO\tO' -p282580 -asS'On January 2 , pleurodesis was performed .' -p282581 -(lp282582 -S'On\tOn\tIN\tB-PP\tO' -p282583 -aS'January\tJanuary\tNNP\tB-NP\tO' -p282584 -aS'2\t2\tCD\tI-NP\tO' -p282585 -aS',\t,\t,\tO\tO' -p282586 -aS'pleurodesis\tpleurodesis\tNN\tB-NP\tO' -p282587 -aS'was\tbe\tVBD\tB-VP\tO' -p282588 -aS'performed\tperform\tVBN\tI-VP\tO' -p282589 -aS'.\t.\t.\tO\tO' -p282590 -asS'5. Patent medial and lateral plantar arteries , filled through collaterals arising mostly from the peroneal artery .' -p282591 -(lp282592 -S'5.\t5.\tLS\tB-NP\tO' -p282593 -aS'Patent\tPatent\tNN\tI-NP\tO' -p282594 -aS'medial\tmedial\tJJ\tI-NP\tO' -p282595 -aS'and\tand\tCC\tI-NP\tO' -p282596 -aS'lateral\tlateral\tJJ\tI-NP\tO' -p282597 -aS'plantar\tplantar\tNN\tI-NP\tO' -p282598 -aS'arteries\tartery\tNNS\tI-NP\tO' -p282599 -aS',\t,\t,\tO\tO' -p282600 -aS'filled\tfill\tVBN\tB-VP\tO' -p282601 -aS'through\tthrough\tIN\tB-PP\tO' -p282602 -aS'collaterals\tcollateral\tNNS\tB-NP\tO' -p282603 -aS'arising\tarise\tVBG\tB-VP\tO' -p282604 -aS'mostly\tmostly\tRB\tB-ADVP\tO' -p282605 -aS'from\tfrom\tIN\tB-PP\tO' -p282606 -aS'the\tthe\tDT\tB-NP\tO' -p282607 -aS'peroneal\tperoneal\tJJ\tI-NP\tO' -p282608 -aS'artery\tartery\tNN\tI-NP\tO' -p282609 -aS'.\t.\t.\tO\tO' -p282610 -asS'No lymph nodes palpated .' -p282611 -(lp282612 -S'No\tNo\tDT\tB-NP\tO' -p282613 -aS'lymph\tlymph\tNN\tI-NP\tO' -p282614 -aS'nodes\tnode\tNNS\tI-NP\tO' -p282615 -aS'palpated\tpalpate\tVBN\tB-VP\tO' -p282616 -aS'.\t.\t.\tO\tO' -p282617 -asS'1. Grade II / V laceration of liver ,' -p282618 -(lp282619 -S'1.\t1.\tLS\tB-NP\tO' -p282620 -aS'Grade\tGrade\tNN\tI-NP\tB-protein' -p282621 -aS'II\tII\tCD\tI-NP\tI-protein' -p282622 -aS'/\t/\tSYM\tI-NP\tO' -p282623 -aS'V\tV\tNN\tI-NP\tO' -p282624 -aS'laceration\tlaceration\tNN\tI-NP\tO' -p282625 -aS'of\tof\tIN\tB-PP\tO' -p282626 -aS'liver\tliver\tNN\tB-NP\tO' -p282627 -aS',\t,\t,\tO\tO' -p282628 -asS'The patient 's neuro examination was largely unchanged from the admission neuro examination .' -p282629 -(lp282630 -S'The\tThe\tDT\tB-NP\tO' -p282631 -aS'patient\tpatient\tNN\tI-NP\tO' -p282632 -aS''s\t'\tNNS\tI-NP\tO' -p282633 -aS'neuro\tneuro\tNN\tI-NP\tO' -p282634 -aS'examination\texamination\tNN\tI-NP\tO' -p282635 -aS'was\tbe\tVBD\tB-VP\tO' -p282636 -aS'largely\tlargely\tRB\tB-ADJP\tO' -p282637 -aS'unchanged\tunchanged\tJJ\tI-ADJP\tO' -p282638 -aS'from\tfrom\tIN\tB-PP\tO' -p282639 -aS'the\tthe\tDT\tB-NP\tO' -p282640 -aS'admission\tadmission\tNN\tI-NP\tO' -p282641 -aS'neuro\tneuro\tNN\tI-NP\tO' -p282642 -aS'examination\texamination\tNN\tI-NP\tO' -p282643 -aS'.\t.\t.\tO\tO' -p282644 -asS'Renal consult team saw him 2019-01-20 and plan to next dialyze him on 2019-01-21 .' -p282645 -(lp282646 -S'Renal\tRenal\tJJ\tB-NP\tO' -p282647 -aS'consult\tconsult\tNN\tI-NP\tO' -p282648 -aS'team\tteam\tNN\tI-NP\tO' -p282649 -aS'saw\tsee\tVBD\tB-VP\tO' -p282650 -aS'him\thim\tPRP\tB-NP\tO' -p282651 -aS'2019-01-20\t2019-01-20\tCD\tB-NP\tO' -p282652 -aS'and\tand\tCC\tO\tO' -p282653 -aS'plan\tplan\tNN\tB-NP\tO' -p282654 -aS'to\tto\tTO\tB-VP\tO' -p282655 -aS'next\tnext\tRB\tI-VP\tO' -p282656 -aS'dialyze\tdialyze\tVB\tI-VP\tO' -p282657 -aS'him\thim\tPRP\tB-NP\tO' -p282658 -aS'on\ton\tIN\tB-PP\tO' -p282659 -aS'2019-01-21\t2019-01-21\tCD\tB-NP\tO' -p282660 -aS'.\t.\t.\tO\tO' -p282661 -asS'Until then , his foley should remain in place .' -p282662 -(lp282663 -S'Until\tUntil\tIN\tB-PP\tO' -p282664 -aS'then\tthen\tRB\tB-NP\tO' -p282665 -aS',\t,\t,\tO\tO' -p282666 -aS'his\this\tPRP$\tB-NP\tO' -p282667 -aS'foley\tfoley\tNN\tI-NP\tO' -p282668 -aS'should\tshould\tMD\tB-VP\tO' -p282669 -aS'remain\tremain\tVB\tI-VP\tO' -p282670 -aS'in\tin\tIN\tB-PP\tO' -p282671 -aS'place\tplace\tNN\tB-NP\tO' -p282672 -aS'.\t.\t.\tO\tO' -p282673 -asS'In the CMED , urology was consulted and the patient received a R nephrostomy tube .' -p282674 -(lp282675 -S'In\tIn\tIN\tB-PP\tO' -p282676 -aS'the\tthe\tDT\tB-NP\tO' -p282677 -aS'CMED\tCMED\tNN\tI-NP\tO' -p282678 -aS',\t,\t,\tO\tO' -p282679 -aS'urology\turology\tNN\tB-NP\tO' -p282680 -aS'was\tbe\tVBD\tB-VP\tO' -p282681 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p282682 -aS'and\tand\tCC\tO\tO' -p282683 -aS'the\tthe\tDT\tB-NP\tO' -p282684 -aS'patient\tpatient\tNN\tI-NP\tO' -p282685 -aS'received\treceive\tVBD\tB-VP\tO' -p282686 -aS'a\ta\tDT\tB-NP\tO' -p282687 -aS'R\tR\tNN\tI-NP\tO' -p282688 -aS'nephrostomy\tnephrostomy\tNN\tI-NP\tO' -p282689 -aS'tube\ttube\tNN\tI-NP\tO' -p282690 -aS'.\t.\t.\tO\tO' -p282691 -asS'Triglycerides 281 .' -p282692 -(lp282693 -S'Triglycerides\tTriglyceride\tNNS\tB-NP\tO' -p282694 -aS'281\t281\tCD\tB-NP\tO' -p282695 -aS'.\t.\t.\tO\tO' -p282696 -asS'On 4/28/95 , the patient had new onset of abdominal pain .' -p282697 -(lp282698 -S'On\tOn\tIN\tB-PP\tO' -p282699 -aS'4/28/95\t4/28/95\tCD\tB-NP\tO' -p282700 -aS',\t,\t,\tO\tO' -p282701 -aS'the\tthe\tDT\tB-NP\tO' -p282702 -aS'patient\tpatient\tNN\tI-NP\tO' -p282703 -aS'had\thave\tVBD\tB-VP\tO' -p282704 -aS'new\tnew\tJJ\tB-NP\tO' -p282705 -aS'onset\tonset\tNN\tI-NP\tO' -p282706 -aS'of\tof\tIN\tB-PP\tO' -p282707 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p282708 -aS'pain\tpain\tNN\tI-NP\tO' -p282709 -aS'.\t.\t.\tO\tO' -p282710 -asS'Moves all extremities well .' -p282711 -(lp282712 -S'Moves\tMove\tVBZ\tB-VP\tO' -p282713 -aS'all\tall\tDT\tB-NP\tO' -p282714 -aS'extremities\textremity\tNNS\tI-NP\tO' -p282715 -aS'well\twell\tRB\tB-ADVP\tO' -p282716 -aS'.\t.\t.\tO\tO' -p282717 -asS'Additionally on the night before discharge , flexion and extension views of the lumbosacral spine were obtained , and showed no fracture or instability .' -p282718 -(lp282719 -S'Additionally\tAdditionally\tRB\tB-ADVP\tO' -p282720 -aS'on\ton\tIN\tB-PP\tO' -p282721 -aS'the\tthe\tDT\tB-NP\tO' -p282722 -aS'night\tnight\tNN\tI-NP\tO' -p282723 -aS'before\tbefore\tIN\tB-PP\tO' -p282724 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p282725 -aS',\t,\t,\tI-NP\tO' -p282726 -aS'flexion\tflexion\tNN\tI-NP\tO' -p282727 -aS'and\tand\tCC\tI-NP\tO' -p282728 -aS'extension\textension\tNN\tI-NP\tO' -p282729 -aS'views\tview\tNNS\tI-NP\tO' -p282730 -aS'of\tof\tIN\tB-PP\tO' -p282731 -aS'the\tthe\tDT\tB-NP\tO' -p282732 -aS'lumbosacral\tlumbosacral\tJJ\tI-NP\tO' -p282733 -aS'spine\tspine\tNN\tI-NP\tO' -p282734 -aS'were\tbe\tVBD\tB-VP\tO' -p282735 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p282736 -aS',\t,\t,\tO\tO' -p282737 -aS'and\tand\tCC\tO\tO' -p282738 -aS'showed\tshow\tVBD\tB-VP\tO' -p282739 -aS'no\tno\tDT\tB-NP\tO' -p282740 -aS'fracture\tfracture\tNN\tI-NP\tO' -p282741 -aS'or\tor\tCC\tI-NP\tO' -p282742 -aS'instability\tinstability\tNN\tI-NP\tO' -p282743 -aS'.\t.\t.\tO\tO' -p282744 -asS'She was transferred to the Everett Firm on the 2011-03-11 and was mentating well and was stable for transfer .' -p282745 -(lp282746 -S'She\tShe\tPRP\tB-NP\tO' -p282747 -aS'was\tbe\tVBD\tB-VP\tO' -p282748 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p282749 -aS'to\tto\tTO\tB-PP\tO' -p282750 -aS'the\tthe\tDT\tB-NP\tO' -p282751 -aS'Everett\tEverett\tNNP\tI-NP\tO' -p282752 -aS'Firm\tFirm\tNNP\tI-NP\tO' -p282753 -aS'on\ton\tIN\tB-PP\tO' -p282754 -aS'the\tthe\tDT\tB-NP\tO' -p282755 -aS'2011-03-11\t2011-03-11\tCD\tI-NP\tO' -p282756 -aS'and\tand\tCC\tO\tO' -p282757 -aS'was\tbe\tVBD\tB-VP\tO' -p282758 -aS'mentating\tmentate\tVBG\tI-VP\tO' -p282759 -aS'well\twell\tRB\tB-ADVP\tO' -p282760 -aS'and\tand\tCC\tO\tO' -p282761 -aS'was\tbe\tVBD\tB-VP\tO' -p282762 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p282763 -aS'for\tfor\tIN\tB-PP\tO' -p282764 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p282765 -aS'.\t.\t.\tO\tO' -p282766 -asS'Based on all the tests above , it was felt that the patient was stable for discharge home .' -p282767 -(lp282768 -S'Based\tBase\tVBN\tB-PP\tO' -p282769 -aS'on\ton\tIN\tB-PP\tO' -p282770 -aS'all\tall\tPDT\tB-NP\tO' -p282771 -aS'the\tthe\tDT\tI-NP\tO' -p282772 -aS'tests\ttest\tNNS\tI-NP\tO' -p282773 -aS'above\tabove\tIN\tB-ADVP\tO' -p282774 -aS',\t,\t,\tO\tO' -p282775 -aS'it\tit\tPRP\tB-NP\tO' -p282776 -aS'was\tbe\tVBD\tB-VP\tO' -p282777 -aS'felt\tfeel\tVBN\tI-VP\tO' -p282778 -aS'that\tthat\tIN\tB-SBAR\tO' -p282779 -aS'the\tthe\tDT\tB-NP\tO' -p282780 -aS'patient\tpatient\tNN\tI-NP\tO' -p282781 -aS'was\tbe\tVBD\tB-VP\tO' -p282782 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p282783 -aS'for\tfor\tIN\tB-PP\tO' -p282784 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p282785 -aS'home\thome\tNN\tI-NP\tO' -p282786 -aS'.\t.\t.\tO\tO' -p282787 -asS'Electrolytes and thyroid studies were noted to be in the normal range with serum sodium of 136 , potassium 4.7 , chloride 98 and CO2 34 .' -p282788 -(lp282789 -S'Electrolytes\tElectrolyte\tNNS\tB-NP\tO' -p282790 -aS'and\tand\tCC\tO\tO' -p282791 -aS'thyroid\tthyroid\tJJ\tB-NP\tO' -p282792 -aS'studies\tstudy\tNNS\tI-NP\tO' -p282793 -aS'were\tbe\tVBD\tB-VP\tO' -p282794 -aS'noted\tnote\tVBN\tI-VP\tO' -p282795 -aS'to\tto\tTO\tI-VP\tO' -p282796 -aS'be\tbe\tVB\tI-VP\tO' -p282797 -aS'in\tin\tIN\tB-PP\tO' -p282798 -aS'the\tthe\tDT\tB-NP\tO' -p282799 -aS'normal\tnormal\tJJ\tI-NP\tO' -p282800 -aS'range\trange\tNN\tI-NP\tO' -p282801 -aS'with\twith\tIN\tB-PP\tO' -p282802 -aS'serum\tserum\tNN\tB-NP\tO' -p282803 -aS'sodium\tsodium\tNN\tI-NP\tO' -p282804 -aS'of\tof\tIN\tB-PP\tO' -p282805 -aS'136\t136\tCD\tB-NP\tO' -p282806 -aS',\t,\t,\tO\tO' -p282807 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p282808 -aS'4.7\t4.7\tCD\tI-NP\tO' -p282809 -aS',\t,\t,\tO\tO' -p282810 -aS'chloride\tchloride\tNN\tB-NP\tO' -p282811 -aS'98\t98\tCD\tI-NP\tO' -p282812 -aS'and\tand\tCC\tO\tO' -p282813 -aS'CO2\tCO2\tNN\tB-NP\tO' -p282814 -aS'34\t34\tCD\tI-NP\tO' -p282815 -aS'.\t.\t.\tO\tO' -p282816 -asS'Output resent for cytology which was pending at time of discharge .' -p282817 -(lp282818 -S'Output\tOutput\tNN\tB-NP\tO' -p282819 -aS'resent\tresent\tJJ\tB-ADJP\tO' -p282820 -aS'for\tfor\tIN\tB-PP\tO' -p282821 -aS'cytology\tcytology\tNN\tB-NP\tO' -p282822 -aS'which\twhich\tWDT\tB-NP\tO' -p282823 -aS'was\tbe\tVBD\tB-VP\tO' -p282824 -aS'pending\tpende\tVBG\tI-VP\tO' -p282825 -aS'at\tat\tIN\tB-PP\tO' -p282826 -aS'time\ttime\tNN\tB-NP\tO' -p282827 -aS'of\tof\tIN\tB-PP\tO' -p282828 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p282829 -aS'.\t.\t.\tO\tO' -p282830 -asS'Tramadol 50 mg Tablet Sig : Two ( 2 ) Tablet PO TID ( 3 times a day) .' -p282831 -(lp282832 -S'Tramadol\tTramadol\tNN\tB-NP\tO' -p282833 -aS'50\t50\tCD\tI-NP\tO' -p282834 -aS'mg\tmg\tNN\tI-NP\tO' -p282835 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p282836 -aS'Sig\tSig\tNNP\tI-NP\tO' -p282837 -aS':\t:\t:\tO\tO' -p282838 -aS'Two\tTwo\tCD\tB-NP\tO' -p282839 -aS'(\t(\t(\tO\tO' -p282840 -aS'2\t2\tCD\tO\tO' -p282841 -aS')\t)\t)\tO\tO' -p282842 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p282843 -aS'PO\tPO\tNN\tI-NP\tO' -p282844 -aS'TID\tTID\tNN\tI-NP\tO' -p282845 -aS'(\t(\t(\tO\tO' -p282846 -aS'3\t3\tCD\tB-NP\tO' -p282847 -aS'times\ttime\tNNS\tI-NP\tO' -p282848 -aS'a\ta\tDT\tB-NP\tO' -p282849 -aS'day)\tday)\tNN\tI-NP\tO' -p282850 -aS'.\t.\t.\tO\tO' -p282851 -asS'A left pleural effusion developed and this was tapped with ultrasound guidance , and found to be sterile , and without evidence of empyema .' -p282852 -(lp282853 -S'A\tA\tDT\tB-NP\tO' -p282854 -aS'left\tleft\tJJ\tI-NP\tO' -p282855 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p282856 -aS'effusion\teffusion\tNN\tI-NP\tO' -p282857 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p282858 -aS'and\tand\tCC\tO\tO' -p282859 -aS'this\tthis\tDT\tB-NP\tO' -p282860 -aS'was\tbe\tVBD\tB-VP\tO' -p282861 -aS'tapped\ttap\tVBN\tI-VP\tO' -p282862 -aS'with\twith\tIN\tB-PP\tO' -p282863 -aS'ultrasound\tultrasound\tJJ\tB-NP\tO' -p282864 -aS'guidance\tguidance\tNN\tI-NP\tO' -p282865 -aS',\t,\t,\tO\tO' -p282866 -aS'and\tand\tCC\tO\tO' -p282867 -aS'found\tfind\tVBN\tB-VP\tO' -p282868 -aS'to\tto\tTO\tI-VP\tO' -p282869 -aS'be\tbe\tVB\tI-VP\tO' -p282870 -aS'sterile\tsterile\tJJ\tB-ADJP\tO' -p282871 -aS',\t,\t,\tO\tO' -p282872 -aS'and\tand\tCC\tO\tO' -p282873 -aS'without\twithout\tIN\tB-PP\tO' -p282874 -aS'evidence\tevidence\tNN\tB-NP\tO' -p282875 -aS'of\tof\tIN\tB-PP\tO' -p282876 -aS'empyema\tempyema\tNN\tB-NP\tO' -p282877 -aS'.\t.\t.\tO\tO' -p282878 -asS'She was taken urgently to the operating room , where she underwent embolectomy of the profunda superficial femoral vessels .' -p282879 -(lp282880 -S'She\tShe\tPRP\tB-NP\tO' -p282881 -aS'was\tbe\tVBD\tB-VP\tO' -p282882 -aS'taken\ttake\tVBN\tI-VP\tO' -p282883 -aS'urgently\turgently\tRB\tB-ADVP\tO' -p282884 -aS'to\tto\tTO\tB-PP\tO' -p282885 -aS'the\tthe\tDT\tB-NP\tO' -p282886 -aS'operating\toperating\tNN\tI-NP\tO' -p282887 -aS'room\troom\tNN\tI-NP\tO' -p282888 -aS',\t,\t,\tO\tO' -p282889 -aS'where\twhere\tWRB\tB-ADVP\tO' -p282890 -aS'she\tshe\tPRP\tB-NP\tO' -p282891 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p282892 -aS'embolectomy\tembolectomy\tNN\tB-NP\tO' -p282893 -aS'of\tof\tIN\tB-PP\tO' -p282894 -aS'the\tthe\tDT\tB-NP\tO' -p282895 -aS'profunda\tprofunda\tNN\tI-NP\tO' -p282896 -aS'superficial\tsuperficial\tJJ\tI-NP\tO' -p282897 -aS'femoral\tfemoral\tJJ\tI-NP\tO' -p282898 -aS'vessels\tvessel\tNNS\tI-NP\tO' -p282899 -aS'.\t.\t.\tO\tO' -p282900 -asS"Over the following days until discharge , the patient remained afebrile and on 2012-03-09 , in fact all the patient 's antibiotics were discontinued ." -p282901 -(lp282902 -S'Over\tOver\tIN\tB-PP\tO' -p282903 -aS'the\tthe\tDT\tB-NP\tO' -p282904 -aS'following\tfollow\tVBG\tI-NP\tO' -p282905 -aS'days\tday\tNNS\tI-NP\tO' -p282906 -aS'until\tuntil\tIN\tB-PP\tO' -p282907 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p282908 -aS',\t,\t,\tO\tO' -p282909 -aS'the\tthe\tDT\tB-NP\tO' -p282910 -aS'patient\tpatient\tNN\tI-NP\tO' -p282911 -aS'remained\tremain\tVBD\tB-VP\tO' -p282912 -aS'afebrile\tafebrile\tRB\tB-ADVP\tO' -p282913 -aS'and\tand\tCC\tO\tO' -p282914 -aS'on\ton\tIN\tB-PP\tO' -p282915 -aS'2012-03-09\t2012-03-09\tCD\tB-NP\tO' -p282916 -aS',\t,\t,\tO\tO' -p282917 -aS'in\tin\tIN\tB-PP\tO' -p282918 -aS'fact\tfact\tNN\tB-NP\tO' -p282919 -aS'all\tall\tPDT\tO\tO' -p282920 -aS'the\tthe\tDT\tB-NP\tO' -p282921 -aS'patient\tpatient\tNN\tI-NP\tO' -p282922 -aS"'s\t's\tPOS\tB-NP\tO" -p282923 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p282924 -aS'were\tbe\tVBD\tB-VP\tO' -p282925 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p282926 -aS'.\t.\t.\tO\tO' -p282927 -asS'The patient was admitted to the Verg Medical Center .' -p282928 -(lp282929 -S'The\tThe\tDT\tB-NP\tO' -p282930 -aS'patient\tpatient\tNN\tI-NP\tO' -p282931 -aS'was\tbe\tVBD\tB-VP\tO' -p282932 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p282933 -aS'to\tto\tTO\tB-PP\tO' -p282934 -aS'the\tthe\tDT\tB-NP\tO' -p282935 -aS'Verg\tVerg\tNNP\tI-NP\tO' -p282936 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p282937 -aS'Center\tCenter\tNNP\tI-NP\tO' -p282938 -aS'.\t.\t.\tO\tO' -p282939 -asS'Slight effacement of posterior insular cortex .' -p282940 -(lp282941 -S'Slight\tSlight\tJJ\tB-NP\tO' -p282942 -aS'effacement\teffacement\tNN\tI-NP\tO' -p282943 -aS'of\tof\tIN\tB-PP\tO' -p282944 -aS'posterior\tposterior\tJJ\tB-NP\tO' -p282945 -aS'insular\tinsular\tJJ\tI-NP\tO' -p282946 -aS'cortex\tcortex\tNN\tI-NP\tO' -p282947 -aS'.\t.\t.\tO\tO' -p282948 -asS'The chest is clear to auscultation bilaterally without sternal click or discharge .' -p282949 -(lp282950 -S'The\tThe\tDT\tB-NP\tO' -p282951 -aS'chest\tchest\tNN\tI-NP\tO' -p282952 -aS'is\tbe\tVBZ\tB-VP\tO' -p282953 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p282954 -aS'to\tto\tTO\tB-PP\tO' -p282955 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p282956 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p282957 -aS'without\twithout\tIN\tB-PP\tO' -p282958 -aS'sternal\tsternal\tJJ\tB-NP\tO' -p282959 -aS'click\tclick\tNN\tI-NP\tO' -p282960 -aS'or\tor\tCC\tI-NP\tO' -p282961 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p282962 -aS'.\t.\t.\tO\tO' -p282963 -asS'She was bolused w/out effect and had little response to neo so she was changed to levophed , given doses of cipro / vanco / gent and transferred to the CMED CSRU for management .' -p282964 -(lp282965 -S'She\tShe\tPRP\tB-NP\tO' -p282966 -aS'was\tbe\tVBD\tB-VP\tO' -p282967 -aS'bolused\tboluse\tVBN\tI-VP\tO' -p282968 -aS'w/out\tw/out\tIN\tB-PP\tO' -p282969 -aS'effect\teffect\tNN\tB-NP\tO' -p282970 -aS'and\tand\tCC\tO\tO' -p282971 -aS'had\thave\tVBD\tB-VP\tO' -p282972 -aS'little\tlittle\tJJ\tB-NP\tO' -p282973 -aS'response\tresponse\tNN\tI-NP\tO' -p282974 -aS'to\tto\tTO\tB-VP\tO' -p282975 -aS'neo\tneo\tVB\tI-VP\tO' -p282976 -aS'so\tso\tIN\tB-SBAR\tO' -p282977 -aS'she\tshe\tPRP\tB-NP\tO' -p282978 -aS'was\tbe\tVBD\tB-VP\tO' -p282979 -aS'changed\tchange\tVBN\tI-VP\tO' -p282980 -aS'to\tto\tTO\tB-PP\tO' -p282981 -aS'levophed\tlevophe\tVBN\tB-NP\tO' -p282982 -aS',\t,\t,\tO\tO' -p282983 -aS'given\tgive\tVBN\tB-PP\tO' -p282984 -aS'doses\tdose\tNNS\tB-NP\tO' -p282985 -aS'of\tof\tIN\tB-PP\tO' -p282986 -aS'cipro\tcipro\tNN\tB-NP\tO' -p282987 -aS'/\t/\tSYM\tB-NP\tO' -p282988 -aS'vanco\tvanco\tNN\tI-NP\tO' -p282989 -aS'/\t/\tSYM\tB-NP\tO' -p282990 -aS'gent\tgent\tNN\tI-NP\tO' -p282991 -aS'and\tand\tCC\tO\tO' -p282992 -aS'transferred\ttransfer\tVBN\tB-VP\tO' -p282993 -aS'to\tto\tTO\tB-PP\tO' -p282994 -aS'the\tthe\tDT\tB-NP\tO' -p282995 -aS'CMED\tCMED\tVBN\tI-NP\tO' -p282996 -aS'CSRU\tCSRU\tNN\tI-NP\tO' -p282997 -aS'for\tfor\tIN\tB-PP\tO' -p282998 -aS'management\tmanagement\tNN\tB-NP\tO' -p282999 -aS'.\t.\t.\tO\tO' -p283000 -asS"Infectious disease - Over the course of his hospital stay , the patient 's white blood cell count rose to a peak of 17 ." -p283001 -(lp283002 -S'Infectious\tInfectious\tJJ\tB-NP\tO' -p283003 -aS'disease\tdisease\tNN\tI-NP\tO' -p283004 -aS'-\t-\tHYPH\tB-ADJP\tO' -p283005 -aS'Over\tOver\tIN\tB-PP\tO' -p283006 -aS'the\tthe\tDT\tB-NP\tO' -p283007 -aS'course\tcourse\tNN\tI-NP\tO' -p283008 -aS'of\tof\tIN\tB-PP\tO' -p283009 -aS'his\this\tPRP$\tB-NP\tO' -p283010 -aS'hospital\thospital\tNN\tI-NP\tO' -p283011 -aS'stay\tstay\tNN\tI-NP\tO' -p283012 -aS',\t,\t,\tO\tO' -p283013 -aS'the\tthe\tDT\tB-NP\tO' -p283014 -aS'patient\tpatient\tNN\tI-NP\tO' -p283015 -aS"'s\t's\tPOS\tB-NP\tO" -p283016 -aS'white\twhite\tJJ\tI-NP\tO' -p283017 -aS'blood\tblood\tNN\tI-NP\tO' -p283018 -aS'cell\tcell\tNN\tI-NP\tO' -p283019 -aS'count\tcount\tNN\tI-NP\tO' -p283020 -aS'rose\trise\tVBD\tB-VP\tO' -p283021 -aS'to\tto\tTO\tB-PP\tO' -p283022 -aS'a\ta\tDT\tB-NP\tO' -p283023 -aS'peak\tpeak\tNN\tI-NP\tO' -p283024 -aS'of\tof\tIN\tB-PP\tO' -p283025 -aS'17\t17\tCD\tB-NP\tO' -p283026 -aS'.\t.\t.\tO\tO' -p283027 -asS'He also developed a urinary incontinence .' -p283028 -(lp283029 -S'He\tHe\tPRP\tB-NP\tO' -p283030 -aS'also\talso\tRB\tB-ADVP\tO' -p283031 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p283032 -aS'a\ta\tDT\tB-NP\tO' -p283033 -aS'urinary\turinary\tJJ\tI-NP\tO' -p283034 -aS'incontinence\tincontinence\tNN\tI-NP\tO' -p283035 -aS'.\t.\t.\tO\tO' -p283036 -asS'Cardiac examination revealed a regular rate and rhythm with a normal S1 and S2 , 3/6 systolic murmur at the right upper sternal border , no gallop was detected .' -p283037 -(lp283038 -S'Cardiac\tCardiac\tJJ\tB-NP\tO' -p283039 -aS'examination\texamination\tNN\tI-NP\tO' -p283040 -aS'revealed\treveal\tVBD\tB-VP\tO' -p283041 -aS'a\ta\tDT\tB-NP\tO' -p283042 -aS'regular\tregular\tJJ\tI-NP\tO' -p283043 -aS'rate\trate\tNN\tI-NP\tO' -p283044 -aS'and\tand\tCC\tI-NP\tO' -p283045 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p283046 -aS'with\twith\tIN\tB-PP\tO' -p283047 -aS'a\ta\tDT\tB-NP\tO' -p283048 -aS'normal\tnormal\tJJ\tI-NP\tO' -p283049 -aS'S1\tS1\tNN\tI-NP\tB-protein' -p283050 -aS'and\tand\tCC\tO\tO' -p283051 -aS'S2\tS2\tNN\tB-NP\tB-protein' -p283052 -aS',\t,\t,\tO\tO' -p283053 -aS'3/6\t3/6\tCD\tB-NP\tO' -p283054 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p283055 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p283056 -aS'at\tat\tIN\tB-PP\tO' -p283057 -aS'the\tthe\tDT\tB-NP\tO' -p283058 -aS'right\tright\tJJ\tI-NP\tO' -p283059 -aS'upper\tupper\tJJ\tI-NP\tO' -p283060 -aS'sternal\tsternal\tJJ\tI-NP\tO' -p283061 -aS'border\tborder\tNN\tI-NP\tO' -p283062 -aS',\t,\t,\tO\tO' -p283063 -aS'no\tno\tDT\tB-NP\tO' -p283064 -aS'gallop\tgallop\tNN\tI-NP\tO' -p283065 -aS'was\tbe\tVBD\tB-VP\tO' -p283066 -aS'detected\tdetect\tVBN\tI-VP\tO' -p283067 -aS'.\t.\t.\tO\tO' -p283068 -asS'12. Acetaminophen 325 mg Tablet Sig : Two ( 2 ) Tablet PO Q6H ( every 6 hours ) as needed for pain .' -p283069 -(lp283070 -S'12.\t12.\tCD\tB-NP\tO' -p283071 -aS'Acetaminophen\tAcetaminophen\tNN\tI-NP\tO' -p283072 -aS'325\t325\tCD\tB-NP\tO' -p283073 -aS'mg\tmg\tNN\tI-NP\tO' -p283074 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p283075 -aS'Sig\tSig\tNNP\tI-NP\tO' -p283076 -aS':\t:\t:\tO\tO' -p283077 -aS'Two\tTwo\tCD\tB-NP\tO' -p283078 -aS'(\t(\t(\tO\tO' -p283079 -aS'2\t2\tCD\tO\tO' -p283080 -aS')\t)\t)\tO\tO' -p283081 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p283082 -aS'PO\tPO\tNN\tI-NP\tO' -p283083 -aS'Q6H\tQ6H\tNN\tI-NP\tO' -p283084 -aS'(\t(\t(\tO\tO' -p283085 -aS'every\tevery\tDT\tB-NP\tO' -p283086 -aS'6\t6\tCD\tI-NP\tO' -p283087 -aS'hours\thour\tNNS\tI-NP\tO' -p283088 -aS')\t)\t)\tO\tO' -p283089 -aS'as\tas\tIN\tB-SBAR\tO' -p283090 -aS'needed\tneed\tVBN\tB-VP\tO' -p283091 -aS'for\tfor\tIN\tB-PP\tO' -p283092 -aS'pain\tpain\tNN\tB-NP\tO' -p283093 -aS'.\t.\t.\tO\tO' -p283094 -asS'The procedure proceeded without complications , and the patient was transferred to the intensive care unit while still intubated following the procedure .' -p283095 -(lp283096 -S'The\tThe\tDT\tB-NP\tO' -p283097 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p283098 -aS'proceeded\tproceed\tVBD\tB-VP\tO' -p283099 -aS'without\twithout\tIN\tB-PP\tO' -p283100 -aS'complications\tcomplication\tNNS\tB-NP\tO' -p283101 -aS',\t,\t,\tO\tO' -p283102 -aS'and\tand\tCC\tO\tO' -p283103 -aS'the\tthe\tDT\tB-NP\tO' -p283104 -aS'patient\tpatient\tNN\tI-NP\tO' -p283105 -aS'was\tbe\tVBD\tB-VP\tO' -p283106 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p283107 -aS'to\tto\tTO\tB-PP\tO' -p283108 -aS'the\tthe\tDT\tB-NP\tO' -p283109 -aS'intensive\tintensive\tJJ\tI-NP\tO' -p283110 -aS'care\tcare\tNN\tI-NP\tO' -p283111 -aS'unit\tunit\tNN\tI-NP\tO' -p283112 -aS'while\twhile\tIN\tB-SBAR\tO' -p283113 -aS'still\tstill\tRB\tB-ADVP\tO' -p283114 -aS'intubated\tintubate\tVBN\tB-VP\tO' -p283115 -aS'following\tfollow\tVBG\tB-PP\tO' -p283116 -aS'the\tthe\tDT\tB-NP\tO' -p283117 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p283118 -aS'.\t.\t.\tO\tO' -p283119 -asS'There is mild symmetric left ventricular hypertrophy with normal cavity size .' -p283120 -(lp283121 -S'There\tThere\tEX\tB-NP\tO' -p283122 -aS'is\tbe\tVBZ\tB-VP\tO' -p283123 -aS'mild\tmild\tJJ\tB-NP\tO' -p283124 -aS'symmetric\tsymmetric\tJJ\tI-NP\tO' -p283125 -aS'left\tleft\tJJ\tI-NP\tO' -p283126 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p283127 -aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' -p283128 -aS'with\twith\tIN\tB-PP\tO' -p283129 -aS'normal\tnormal\tJJ\tB-NP\tO' -p283130 -aS'cavity\tcavity\tNN\tI-NP\tO' -p283131 -aS'size\tsize\tNN\tI-NP\tO' -p283132 -aS'.\t.\t.\tO\tO' -p283133 -asS'Her O2 sat was stable at 94-97% on 2.5L of supplemental O2 .' -p283134 -(lp283135 -S'Her\tHer\tPRP$\tB-NP\tO' -p283136 -aS'O2\tO2\tNN\tI-NP\tO' -p283137 -aS'sat\tsat\tNN\tI-NP\tO' -p283138 -aS'was\tbe\tVBD\tB-VP\tO' -p283139 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p283140 -aS'at\tat\tIN\tB-PP\tO' -p283141 -aS'94-97%\t94-97%\tNN\tB-NP\tO' -p283142 -aS'on\ton\tIN\tB-PP\tO' -p283143 -aS'2.5L\t2.5L\tNN\tB-NP\tO' -p283144 -aS'of\tof\tIN\tB-PP\tO' -p283145 -aS'supplemental\tsupplemental\tJJ\tB-NP\tO' -p283146 -aS'O2\tO2\tNN\tI-NP\tO' -p283147 -aS'.\t.\t.\tO\tO' -p283148 -asS'His blood pressure fell to 60 systolic as he was being transferred to the computerized tomography scan table ; the scan was aborted and he was taken directly to the operating room at 03:00 .' -p283149 -(lp283150 -S'His\tHis\tPRP$\tB-NP\tO' -p283151 -aS'blood\tblood\tNN\tI-NP\tO' -p283152 -aS'pressure\tpressure\tNN\tI-NP\tO' -p283153 -aS'fell\tfall\tVBD\tB-VP\tO' -p283154 -aS'to\tto\tTO\tB-PP\tO' -p283155 -aS'60\t60\tCD\tB-NP\tO' -p283156 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p283157 -aS'as\tas\tIN\tB-SBAR\tO' -p283158 -aS'he\the\tPRP\tB-NP\tO' -p283159 -aS'was\tbe\tVBD\tB-VP\tO' -p283160 -aS'being\tbe\tVBG\tI-VP\tO' -p283161 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p283162 -aS'to\tto\tTO\tB-PP\tO' -p283163 -aS'the\tthe\tDT\tB-NP\tO' -p283164 -aS'computerized\tcomputerized\tJJ\tI-NP\tO' -p283165 -aS'tomography\ttomography\tNN\tI-NP\tO' -p283166 -aS'scan\tscan\tNN\tI-NP\tO' -p283167 -aS'table\ttable\tNN\tI-NP\tO' -p283168 -aS';\t;\t:\tO\tO' -p283169 -aS'the\tthe\tDT\tB-NP\tO' -p283170 -aS'scan\tscan\tNN\tI-NP\tO' -p283171 -aS'was\tbe\tVBD\tB-VP\tO' -p283172 -aS'aborted\tabort\tVBN\tI-VP\tO' -p283173 -aS'and\tand\tCC\tO\tO' -p283174 -aS'he\the\tPRP\tB-NP\tO' -p283175 -aS'was\tbe\tVBD\tB-VP\tO' -p283176 -aS'taken\ttake\tVBN\tI-VP\tO' -p283177 -aS'directly\tdirectly\tRB\tB-ADVP\tO' -p283178 -aS'to\tto\tTO\tB-PP\tO' -p283179 -aS'the\tthe\tDT\tB-NP\tO' -p283180 -aS'operating\toperating\tNN\tI-NP\tO' -p283181 -aS'room\troom\tNN\tI-NP\tO' -p283182 -aS'at\tat\tIN\tB-PP\tO' -p283183 -aS'03:00\t03:00\tCD\tB-NP\tO' -p283184 -aS'.\t.\t.\tO\tO' -p283185 -asS'Titers for CMV and Epstein-Barr virus were sent and a titer for toxoplasma was sent .' -p283186 -(lp283187 -S'Titers\tTiter\tNNS\tB-NP\tO' -p283188 -aS'for\tfor\tIN\tB-PP\tO' -p283189 -aS'CMV\tCMV\tNN\tB-NP\tO' -p283190 -aS'and\tand\tCC\tO\tO' -p283191 -aS'Epstein-Barr\tEpstein-Barr\tJJ\tB-NP\tO' -p283192 -aS'virus\tvirus\tNN\tI-NP\tO' -p283193 -aS'were\tbe\tVBD\tB-VP\tO' -p283194 -aS'sent\tsend\tVBN\tI-VP\tO' -p283195 -aS'and\tand\tCC\tO\tO' -p283196 -aS'a\ta\tDT\tB-NP\tO' -p283197 -aS'titer\ttiter\tNN\tI-NP\tO' -p283198 -aS'for\tfor\tIN\tB-PP\tO' -p283199 -aS'toxoplasma\ttoxoplasma\tNN\tB-NP\tO' -p283200 -aS'was\tbe\tVBD\tB-VP\tO' -p283201 -aS'sent\tsend\tVBN\tI-VP\tO' -p283202 -aS'.\t.\t.\tO\tO' -p283203 -asS'CBC had a white blood cell count of 9 , 17 polys , 0 bands , platelets of 326 .' -p283204 -(lp283205 -S'CBC\tCBC\tNN\tB-NP\tB-protein' -p283206 -aS'had\thave\tVBD\tB-VP\tO' -p283207 -aS'a\ta\tDT\tB-NP\tO' -p283208 -aS'white\twhite\tJJ\tI-NP\tO' -p283209 -aS'blood\tblood\tNN\tI-NP\tO' -p283210 -aS'cell\tcell\tNN\tI-NP\tO' -p283211 -aS'count\tcount\tNN\tI-NP\tO' -p283212 -aS'of\tof\tIN\tB-PP\tO' -p283213 -aS'9\t9\tCD\tB-NP\tO' -p283214 -aS',\t,\t,\tO\tO' -p283215 -aS'17\t17\tCD\tB-NP\tO' -p283216 -aS'polys\tpoly\tNNS\tI-NP\tO' -p283217 -aS',\t,\t,\tO\tO' -p283218 -aS'0\t0\tCD\tB-NP\tO' -p283219 -aS'bands\tband\tNNS\tI-NP\tO' -p283220 -aS',\t,\t,\tO\tO' -p283221 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p283222 -aS'of\tof\tIN\tB-PP\tO' -p283223 -aS'326\t326\tCD\tB-NP\tO' -p283224 -aS'.\t.\t.\tO\tO' -p283225 -asS'Cardiovascular stable , significant hypertension was noted on 9/7/93 at 5:10 a.m. and therefore 10 cc's per kilo albumin was given .' -p283226 -(lp283227 -S'Cardiovascular\tCardiovascular\tJJ\tB-NP\tO' -p283228 -aS'stable\tstable\tJJ\tI-NP\tO' -p283229 -aS',\t,\t,\tI-NP\tO' -p283230 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p283231 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p283232 -aS'was\tbe\tVBD\tB-VP\tO' -p283233 -aS'noted\tnote\tVBN\tI-VP\tO' -p283234 -aS'on\ton\tIN\tB-PP\tO' -p283235 -aS'9/7/93\t9/7/93\tCD\tB-NP\tO' -p283236 -aS'at\tat\tIN\tB-PP\tO' -p283237 -aS'5:10\t5:10\tCD\tB-NP\tO' -p283238 -aS'a.m.\ta.m.\tRB\tI-NP\tO' -p283239 -aS'and\tand\tCC\tO\tO' -p283240 -aS'therefore\ttherefore\tRB\tB-ADVP\tO' -p283241 -aS'10\t10\tCD\tB-NP\tO' -p283242 -aS'cc's\tcc'\tNNS\tI-NP\tO' -p283243 -aS'per\tper\tIN\tB-PP\tO' -p283244 -aS'kilo\tkilo\tNN\tB-NP\tO' -p283245 -aS'albumin\talbumin\tNN\tI-NP\tO' -p283246 -aS'was\tbe\tVBD\tB-VP\tO' -p283247 -aS'given\tgive\tVBN\tI-VP\tO' -p283248 -aS'.\t.\t.\tO\tO' -p283249 -asS'Guaiac positive stools .' -p283250 -(lp283251 -S'Guaiac\tGuaiac\tJJ\tB-NP\tO' -p283252 -aS'positive\tpositive\tJJ\tI-NP\tO' -p283253 -aS'stools\tstool\tNNS\tI-NP\tO' -p283254 -aS'.\t.\t.\tO\tO' -p283255 -asS'His stools were noted to be Guaiac positive at the outside hospital and there was still concern for possible GI bleed given continued Guaiac positive stools during this admission and a slight drop in his hematocrit from 39 to 33 .' -p283256 -(lp283257 -S'His\tHis\tPRP$\tB-NP\tO' -p283258 -aS'stools\tstool\tNNS\tI-NP\tO' -p283259 -aS'were\tbe\tVBD\tB-VP\tO' -p283260 -aS'noted\tnote\tVBN\tI-VP\tO' -p283261 -aS'to\tto\tTO\tI-VP\tO' -p283262 -aS'be\tbe\tVB\tI-VP\tO' -p283263 -aS'Guaiac\tGuaiac\tJJ\tB-ADJP\tO' -p283264 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p283265 -aS'at\tat\tIN\tB-PP\tO' -p283266 -aS'the\tthe\tDT\tB-NP\tO' -p283267 -aS'outside\toutside\tJJ\tI-NP\tO' -p283268 -aS'hospital\thospital\tNN\tI-NP\tO' -p283269 -aS'and\tand\tCC\tO\tO' -p283270 -aS'there\tthere\tEX\tB-NP\tO' -p283271 -aS'was\tbe\tVBD\tB-VP\tO' -p283272 -aS'still\tstill\tRB\tB-ADVP\tO' -p283273 -aS'concern\tconcern\tNN\tB-NP\tO' -p283274 -aS'for\tfor\tIN\tB-PP\tO' -p283275 -aS'possible\tpossible\tJJ\tB-NP\tO' -p283276 -aS'GI\tGI\tNN\tI-NP\tO' -p283277 -aS'bleed\tbleed\tNN\tI-NP\tO' -p283278 -aS'given\tgive\tVBN\tB-VP\tO' -p283279 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p283280 -aS'Guaiac\tGuaiac\tJJ\tB-NP\tO' -p283281 -aS'positive\tpositive\tJJ\tI-NP\tO' -p283282 -aS'stools\tstool\tNNS\tI-NP\tO' -p283283 -aS'during\tduring\tIN\tB-PP\tO' -p283284 -aS'this\tthis\tDT\tB-NP\tO' -p283285 -aS'admission\tadmission\tNN\tI-NP\tO' -p283286 -aS'and\tand\tCC\tO\tO' -p283287 -aS'a\ta\tDT\tB-NP\tO' -p283288 -aS'slight\tslight\tJJ\tI-NP\tO' -p283289 -aS'drop\tdrop\tNN\tI-NP\tO' -p283290 -aS'in\tin\tIN\tB-PP\tO' -p283291 -aS'his\this\tPRP$\tB-NP\tO' -p283292 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p283293 -aS'from\tfrom\tIN\tB-PP\tO' -p283294 -aS'39\t39\tCD\tB-NP\tO' -p283295 -aS'to\tto\tTO\tB-PP\tO' -p283296 -aS'33\t33\tCD\tB-NP\tO' -p283297 -aS'.\t.\t.\tO\tO' -p283298 -asS'Albumin 2.3 .' -p283299 -(lp283300 -S'Albumin\tAlbumin\tNNP\tB-NP\tO' -p283301 -aS'2.3\t2.3\tCD\tI-NP\tO' -p283302 -aS'.\t.\t.\tO\tO' -p283303 -asS'In the setting of inadvertently decreasing Lasix from 80 mg. po 40 mg. a day Mr. State had sudden onset dyspnea after approximate day and a half prodrome culminating in severe dyspnea .' -p283304 -(lp283305 -S'In\tIn\tIN\tB-PP\tO' -p283306 -aS'the\tthe\tDT\tB-NP\tO' -p283307 -aS'setting\tsetting\tNN\tI-NP\tO' -p283308 -aS'of\tof\tIN\tB-PP\tO' -p283309 -aS'inadvertently\tinadvertently\tRB\tB-VP\tO' -p283310 -aS'decreasing\tdecrease\tVBG\tI-VP\tO' -p283311 -aS'Lasix\tLasix\tNNP\tB-NP\tO' -p283312 -aS'from\tfrom\tIN\tB-PP\tO' -p283313 -aS'80\t80\tCD\tB-NP\tO' -p283314 -aS'mg.\tmg.\tNN\tI-NP\tO' -p283315 -aS'po\tpo\tIN\tB-PP\tO' -p283316 -aS'40\t40\tCD\tB-NP\tO' -p283317 -aS'mg.\tmg.\tNN\tI-NP\tO' -p283318 -aS'a\ta\tDT\tB-NP\tO' -p283319 -aS'day\tday\tNN\tI-NP\tO' -p283320 -aS'Mr.\tMr.\tNNP\tB-NP\tO' -p283321 -aS'State\tState\tNNP\tI-NP\tO' -p283322 -aS'had\thave\tVBD\tB-VP\tO' -p283323 -aS'sudden\tsudden\tJJ\tB-NP\tO' -p283324 -aS'onset\tonset\tNN\tI-NP\tO' -p283325 -aS'dyspnea\tdyspnea\tNN\tI-NP\tO' -p283326 -aS'after\tafter\tIN\tB-PP\tO' -p283327 -aS'approximate\tapproximate\tJJ\tB-NP\tO' -p283328 -aS'day\tday\tNN\tI-NP\tO' -p283329 -aS'and\tand\tCC\tO\tO' -p283330 -aS'a\ta\tDT\tB-NP\tO' -p283331 -aS'half\thalf\tJJ\tI-NP\tO' -p283332 -aS'prodrome\tprodrome\tNN\tI-NP\tO' -p283333 -aS'culminating\tculminate\tVBG\tB-VP\tO' -p283334 -aS'in\tin\tIN\tB-PP\tO' -p283335 -aS'severe\tsevere\tJJ\tB-NP\tO' -p283336 -aS'dyspnea\tdyspnea\tNN\tI-NP\tO' -p283337 -aS'.\t.\t.\tO\tO' -p283338 -asS'However , near the end of her hospitalization the patient began describing increased urinary frequency which persisted once her Foley catheter was removed .' -p283339 -(lp283340 -S'However\tHowever\tRB\tB-ADVP\tO' -p283341 -aS',\t,\t,\tO\tO' -p283342 -aS'near\tnear\tIN\tB-PP\tO' -p283343 -aS'the\tthe\tDT\tB-NP\tO' -p283344 -aS'end\tend\tNN\tI-NP\tO' -p283345 -aS'of\tof\tIN\tB-PP\tO' -p283346 -aS'her\ther\tPRP$\tB-NP\tO' -p283347 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p283348 -aS'the\tthe\tDT\tB-NP\tO' -p283349 -aS'patient\tpatient\tNN\tI-NP\tO' -p283350 -aS'began\tbegin\tVBD\tB-VP\tO' -p283351 -aS'describing\tdescribe\tVBG\tI-VP\tO' -p283352 -aS'increased\tincrease\tVBN\tB-NP\tO' -p283353 -aS'urinary\turinary\tJJ\tI-NP\tO' -p283354 -aS'frequency\tfrequency\tNN\tI-NP\tO' -p283355 -aS'which\twhich\tWDT\tB-NP\tO' -p283356 -aS'persisted\tpersist\tVBD\tB-VP\tO' -p283357 -aS'once\tonce\tRB\tB-ADVP\tO' -p283358 -aS'her\ther\tPRP$\tB-NP\tO' -p283359 -aS'Foley\tFoley\tNNP\tI-NP\tO' -p283360 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p283361 -aS'was\tbe\tVBD\tB-VP\tO' -p283362 -aS'removed\tremove\tVBN\tI-VP\tO' -p283363 -aS'.\t.\t.\tO\tO' -p283364 -asS'13. Status post tracheostomy 2017-07-21 02-22 failure to wean' -p283365 -(lp283366 -S'13.\t13.\tLS\tB-NP\tO' -p283367 -aS'Status\tStatus\tNNP\tI-NP\tO' -p283368 -aS'post\tpost\tNN\tI-NP\tO' -p283369 -aS'tracheostomy\ttracheostomy\tNN\tI-NP\tO' -p283370 -aS'2017-07-21\t2017-07-21\tCD\tI-NP\tO' -p283371 -aS'02-22\t02-22\tCD\tI-NP\tO' -p283372 -aS'failure\tfailure\tNN\tI-NP\tO' -p283373 -aS'to\tto\tTO\tB-VP\tO' -p283374 -aS'wean\twean\tVB\tI-VP\tO' -p283375 -asS'Levo and flagyl for presumed aspiration pneumonia / pneuomonitis .' -p283376 -(lp283377 -S'Levo\tLevo\tNN\tB-NP\tO' -p283378 -aS'and\tand\tCC\tI-NP\tO' -p283379 -aS'flagyl\tflagyl\tNN\tI-NP\tO' -p283380 -aS'for\tfor\tIN\tB-PP\tO' -p283381 -aS'presumed\tpresume\tVBN\tB-NP\tO' -p283382 -aS'aspiration\taspiration\tNN\tI-NP\tO' -p283383 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p283384 -aS'/\t/\tSYM\tB-NP\tO' -p283385 -aS'pneuomonitis\tpneuomonitis\tNN\tI-NP\tO' -p283386 -aS'.\t.\t.\tO\tO' -p283387 -asS'He was intubated with multiple abrasions , and severe swelling and contusions of his face .' -p283388 -(lp283389 -S'He\tHe\tPRP\tB-NP\tO' -p283390 -aS'was\tbe\tVBD\tB-VP\tO' -p283391 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p283392 -aS'with\twith\tIN\tB-PP\tO' -p283393 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p283394 -aS'abrasions\tabrasion\tNNS\tI-NP\tO' -p283395 -aS',\t,\t,\tO\tO' -p283396 -aS'and\tand\tCC\tO\tO' -p283397 -aS'severe\tsevere\tJJ\tB-NP\tO' -p283398 -aS'swelling\tswelling\tNN\tI-NP\tO' -p283399 -aS'and\tand\tCC\tI-NP\tO' -p283400 -aS'contusions\tcontusion\tNNS\tI-NP\tO' -p283401 -aS'of\tof\tIN\tB-PP\tO' -p283402 -aS'his\this\tPRP$\tB-NP\tO' -p283403 -aS'face\tface\tNN\tI-NP\tO' -p283404 -aS'.\t.\t.\tO\tO' -p283405 -asS'Pt previously diagnosed with hepatorenal and was started on midodrine , octreotide and albumin ; these were' -p283406 -(lp283407 -S'Pt\tPt\tNN\tB-NP\tO' -p283408 -aS'previously\tpreviously\tRB\tB-VP\tO' -p283409 -aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' -p283410 -aS'with\twith\tIN\tB-PP\tO' -p283411 -aS'hepatorenal\thepatorenal\tJJ\tB-ADJP\tO' -p283412 -aS'and\tand\tCC\tO\tO' -p283413 -aS'was\tbe\tVBD\tB-VP\tO' -p283414 -aS'started\tstart\tVBN\tI-VP\tO' -p283415 -aS'on\ton\tIN\tB-PP\tO' -p283416 -aS'midodrine\tmidodrine\tNN\tB-NP\tO' -p283417 -aS',\t,\t,\tI-NP\tO' -p283418 -aS'octreotide\toctreotide\tNN\tI-NP\tO' -p283419 -aS'and\tand\tCC\tI-NP\tO' -p283420 -aS'albumin\talbumin\tNN\tI-NP\tO' -p283421 -aS';\t;\t:\tO\tO' -p283422 -aS'these\tthese\tDT\tB-NP\tO' -p283423 -aS'were\tbe\tVBD\tB-VP\tO' -p283424 -asS'4. Docusate Sodium 100 mg Capsule Sig : One ( 1 ) Capsule PO BID ( 2 times a Costa ).' -p283425 -(lp283426 -S'4.\t4.\tLS\tB-NP\tO' -p283427 -aS'Docusate\tDocusate\tNN\tI-NP\tO' -p283428 -aS'Sodium\tSodium\tNN\tI-NP\tO' -p283429 -aS'100\t100\tCD\tI-NP\tO' -p283430 -aS'mg\tmg\tNN\tI-NP\tO' -p283431 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p283432 -aS'Sig\tSig\tNNP\tI-NP\tO' -p283433 -aS':\t:\t:\tO\tO' -p283434 -aS'One\tOne\tCD\tB-NP\tO' -p283435 -aS'(\t(\t(\tO\tO' -p283436 -aS'1\t1\tCD\tB-NP\tO' -p283437 -aS')\t)\t)\tO\tO' -p283438 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p283439 -aS'PO\tPO\tNNP\tI-NP\tO' -p283440 -aS'BID\tBID\tNNP\tI-NP\tO' -p283441 -aS'(\t(\t(\tO\tO' -p283442 -aS'2\t2\tCD\tB-NP\tO' -p283443 -aS'times\ttime\tNNS\tI-NP\tO' -p283444 -aS'a\ta\tDT\tB-NP\tO' -p283445 -aS'Costa\tCosta\tNNP\tI-NP\tO' -p283446 -aS').\t).\tNNP\tI-NP\tO' -p283447 -asS'This had been noted in the outpatient setting approximately one to two years prior to admission .' -p283448 -(lp283449 -S'This\tThis\tDT\tB-NP\tO' -p283450 -aS'had\thave\tVBD\tB-VP\tO' -p283451 -aS'been\tbe\tVBN\tI-VP\tO' -p283452 -aS'noted\tnote\tVBN\tI-VP\tO' -p283453 -aS'in\tin\tIN\tB-PP\tO' -p283454 -aS'the\tthe\tDT\tB-NP\tO' -p283455 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p283456 -aS'setting\tset\tVBG\tB-VP\tO' -p283457 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p283458 -aS'one\tone\tCD\tI-NP\tO' -p283459 -aS'to\tto\tTO\tI-NP\tO' -p283460 -aS'two\ttwo\tCD\tI-NP\tO' -p283461 -aS'years\tyear\tNNS\tI-NP\tO' -p283462 -aS'prior\tprior\tRB\tB-ADVP\tO' -p283463 -aS'to\tto\tTO\tB-PP\tO' -p283464 -aS'admission\tadmission\tNN\tB-NP\tO' -p283465 -aS'.\t.\t.\tO\tO' -p283466 -asS'Call his office for an appointment .' -p283467 -(lp283468 -S'Call\tCall\tVB\tB-VP\tO' -p283469 -aS'his\this\tPRP$\tB-NP\tO' -p283470 -aS'office\toffice\tNN\tI-NP\tO' -p283471 -aS'for\tfor\tIN\tB-PP\tO' -p283472 -aS'an\tan\tDT\tB-NP\tO' -p283473 -aS'appointment\tappointment\tNN\tI-NP\tO' -p283474 -aS'.\t.\t.\tO\tO' -p283475 -asS'GI . Bilirubin peaked on day of life #2 of 9.0 / 0.3 .' -p283476 -(lp283477 -S'GI\tGI\tLS\tB-LST\tO' -p283478 -aS'.\t.\t.\tO\tO' -p283479 -aS'Bilirubin\tBilirubin\tNNP\tB-NP\tO' -p283480 -aS'peaked\tpeak\tVBD\tB-VP\tO' -p283481 -aS'on\ton\tIN\tB-PP\tO' -p283482 -aS'day\tday\tNN\tB-NP\tO' -p283483 -aS'of\tof\tIN\tB-PP\tO' -p283484 -aS'life\tlife\tNN\tB-NP\tO' -p283485 -aS'#2\t#2\tCD\tI-NP\tO' -p283486 -aS'of\tof\tIN\tB-PP\tO' -p283487 -aS'9.0\t9.0\tCD\tB-NP\tO' -p283488 -aS'/\t/\tSYM\tI-NP\tO' -p283489 -aS'0.3\t0.3\tCD\tI-NP\tO' -p283490 -aS'.\t.\t.\tO\tO' -p283491 -asS'She was transferred to the Post Anesthesia Care Unit postoperatively in stable condition .' -p283492 -(lp283493 -S'She\tShe\tPRP\tB-NP\tO' -p283494 -aS'was\tbe\tVBD\tB-VP\tO' -p283495 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p283496 -aS'to\tto\tTO\tB-PP\tO' -p283497 -aS'the\tthe\tDT\tB-NP\tO' -p283498 -aS'Post\tPost\tNNP\tI-NP\tO' -p283499 -aS'Anesthesia\tAnesthesia\tNNP\tI-NP\tO' -p283500 -aS'Care\tCare\tNNP\tI-NP\tO' -p283501 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p283502 -aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' -p283503 -aS'in\tin\tIN\tB-PP\tO' -p283504 -aS'stable\tstable\tJJ\tB-NP\tO' -p283505 -aS'condition\tcondition\tNN\tI-NP\tO' -p283506 -aS'.\t.\t.\tO\tO' -p283507 -asS'This 63-year-old man had a mass in the duodenum , discovered in 02/95 .' -p283508 -(lp283509 -S'This\tThis\tDT\tB-NP\tO' -p283510 -aS'63-year-old\t63-year-old\tJJ\tI-NP\tO' -p283511 -aS'man\tman\tNN\tI-NP\tO' -p283512 -aS'had\thave\tVBD\tB-VP\tO' -p283513 -aS'a\ta\tDT\tB-NP\tO' -p283514 -aS'mass\tmass\tNN\tI-NP\tO' -p283515 -aS'in\tin\tIN\tB-PP\tO' -p283516 -aS'the\tthe\tDT\tB-NP\tO' -p283517 -aS'duodenum\tduodenum\tNN\tI-NP\tO' -p283518 -aS',\t,\t,\tO\tO' -p283519 -aS'discovered\tdiscover\tVBN\tB-VP\tO' -p283520 -aS'in\tin\tIN\tB-PP\tO' -p283521 -aS'02/95\t02/95\tCD\tB-NP\tO' -p283522 -aS'.\t.\t.\tO\tO' -p283523 -asS'The patient required an additional blood transfusion during her hospital stay as her hematocrit had decreased to 27 on postoperative day three .' -p283524 -(lp283525 -S'The\tThe\tDT\tB-NP\tO' -p283526 -aS'patient\tpatient\tNN\tI-NP\tO' -p283527 -aS'required\trequire\tVBD\tB-VP\tO' -p283528 -aS'an\tan\tDT\tB-NP\tO' -p283529 -aS'additional\tadditional\tJJ\tI-NP\tO' -p283530 -aS'blood\tblood\tNN\tI-NP\tO' -p283531 -aS'transfusion\ttransfusion\tNN\tI-NP\tO' -p283532 -aS'during\tduring\tIN\tB-PP\tO' -p283533 -aS'her\ther\tPRP$\tB-NP\tO' -p283534 -aS'hospital\thospital\tNN\tI-NP\tO' -p283535 -aS'stay\tstay\tNN\tI-NP\tO' -p283536 -aS'as\tas\tIN\tB-PP\tO' -p283537 -aS'her\ther\tPRP$\tB-NP\tO' -p283538 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p283539 -aS'had\thave\tVBD\tB-VP\tO' -p283540 -aS'decreased\tdecrease\tVBN\tI-VP\tO' -p283541 -aS'to\tto\tTO\tB-PP\tO' -p283542 -aS'27\t27\tCD\tB-NP\tO' -p283543 -aS'on\ton\tIN\tB-PP\tO' -p283544 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p283545 -aS'day\tday\tNN\tI-NP\tO' -p283546 -aS'three\tthree\tCD\tI-NP\tO' -p283547 -aS'.\t.\t.\tO\tO' -p283548 -asS'However , his nitroglycerin was old and the script was expired .' -p283549 -(lp283550 -S'However\tHowever\tRB\tB-ADVP\tO' -p283551 -aS',\t,\t,\tO\tO' -p283552 -aS'his\this\tPRP$\tB-NP\tO' -p283553 -aS'nitroglycerin\tnitroglycerin\tNN\tI-NP\tO' -p283554 -aS'was\tbe\tVBD\tB-VP\tO' -p283555 -aS'old\told\tJJ\tB-ADJP\tO' -p283556 -aS'and\tand\tCC\tO\tO' -p283557 -aS'the\tthe\tDT\tB-NP\tO' -p283558 -aS'script\tscript\tNN\tI-NP\tO' -p283559 -aS'was\tbe\tVBD\tB-VP\tO' -p283560 -aS'expired\texpire\tVBN\tI-VP\tO' -p283561 -aS'.\t.\t.\tO\tO' -p283562 -asS'8. Metoprolol Tartrate 25 mg Tablet Sig : 0.5 Tablet PO BID ( 2 times a day ).' -p283563 -(lp283564 -S'8.\t8.\tCD\tB-NP\tO' -p283565 -aS'Metoprolol\tMetoprolol\tNNP\tI-NP\tO' -p283566 -aS'Tartrate\tTartrate\tNNP\tI-NP\tO' -p283567 -aS'25\t25\tCD\tI-NP\tO' -p283568 -aS'mg\tmg\tNN\tI-NP\tO' -p283569 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p283570 -aS'Sig\tSig\tNNP\tI-NP\tO' -p283571 -aS':\t:\t:\tO\tO' -p283572 -aS'0.5\t0.5\tCD\tB-NP\tO' -p283573 -aS'Tablet\tTablet\tNN\tI-NP\tO' -p283574 -aS'PO\tPO\tNN\tI-NP\tO' -p283575 -aS'BID\tBID\tNN\tI-NP\tO' -p283576 -aS'(\t(\t(\tO\tO' -p283577 -aS'2\t2\tCD\tB-NP\tO' -p283578 -aS'times\ttime\tNNS\tI-NP\tO' -p283579 -aS'a\ta\tDT\tB-NP\tO' -p283580 -aS'day\tday\tNN\tI-NP\tO' -p283581 -aS').\t).\t.\tO\tO' -p283582 -asS'She is status post coiling with stent placement for left carotid ophthalmic aneurysm .' -p283583 -(lp283584 -S'She\tShe\tPRP\tB-NP\tO' -p283585 -aS'is\tbe\tVBZ\tB-VP\tO' -p283586 -aS'status\tstatus\tNN\tB-NP\tO' -p283587 -aS'post\tpost\tNN\tI-NP\tO' -p283588 -aS'coiling\tcoil\tVBG\tB-VP\tO' -p283589 -aS'with\twith\tIN\tB-PP\tO' -p283590 -aS'stent\tstent\tJJ\tB-NP\tO' -p283591 -aS'placement\tplacement\tNN\tI-NP\tO' -p283592 -aS'for\tfor\tIN\tB-PP\tO' -p283593 -aS'left\tleft\tJJ\tB-NP\tO' -p283594 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p283595 -aS'ophthalmic\tophthalmic\tJJ\tI-NP\tO' -p283596 -aS'aneurysm\taneurysm\tNN\tI-NP\tO' -p283597 -aS'.\t.\t.\tO\tO' -p283598 -asS'He was continued on his imipenem , intravenously .' -p283599 -(lp283600 -S'He\tHe\tPRP\tB-NP\tO' -p283601 -aS'was\tbe\tVBD\tB-VP\tO' -p283602 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p283603 -aS'on\ton\tIN\tB-PP\tO' -p283604 -aS'his\this\tPRP$\tB-NP\tO' -p283605 -aS'imipenem\timipenem\tNN\tI-NP\tO' -p283606 -aS',\t,\t,\tO\tO' -p283607 -aS'intravenously\tintravenously\tRB\tB-ADVP\tO' -p283608 -aS'.\t.\t.\tO\tO' -p283609 -asS'EKG without changes .' -p283610 -(lp283611 -S'EKG\tEKG\tNN\tB-NP\tB-protein' -p283612 -aS'without\twithout\tIN\tB-PP\tO' -p283613 -aS'changes\tchange\tNNS\tB-NP\tO' -p283614 -aS'.\t.\t.\tO\tO' -p283615 -asS'A computerized tomography scan of the abdomen was performed .' -p283616 -(lp283617 -S'A\tA\tDT\tB-NP\tO' -p283618 -aS'computerized\tcomputerized\tJJ\tI-NP\tO' -p283619 -aS'tomography\ttomography\tNN\tI-NP\tO' -p283620 -aS'scan\tscan\tNN\tI-NP\tO' -p283621 -aS'of\tof\tIN\tB-PP\tO' -p283622 -aS'the\tthe\tDT\tB-NP\tO' -p283623 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p283624 -aS'was\tbe\tVBD\tB-VP\tO' -p283625 -aS'performed\tperform\tVBN\tI-VP\tO' -p283626 -aS'.\t.\t.\tO\tO' -p283627 -asS'4. Physiologic jaundice .' -p283628 -(lp283629 -S'4.\t4.\tLS\tB-NP\tO' -p283630 -aS'Physiologic\tPhysiologic\tJJ\tI-NP\tO' -p283631 -aS'jaundice\tjaundice\tNN\tI-NP\tO' -p283632 -aS'.\t.\t.\tO\tO' -p283633 -asS'Prograf was increased to 12 mg bid on 08-16 for a trough level of 7.1 .' -p283634 -(lp283635 -S'Prograf\tPrograf\tNN\tB-NP\tO' -p283636 -aS'was\tbe\tVBD\tB-VP\tO' -p283637 -aS'increased\tincrease\tVBN\tI-VP\tO' -p283638 -aS'to\tto\tTO\tB-PP\tO' -p283639 -aS'12\t12\tCD\tB-NP\tO' -p283640 -aS'mg\tmg\tNN\tI-NP\tO' -p283641 -aS'bid\tbid\tRB\tB-ADVP\tO' -p283642 -aS'on\ton\tIN\tB-PP\tO' -p283643 -aS'08-16\t08-16\tCD\tB-NP\tO' -p283644 -aS'for\tfor\tIN\tB-PP\tO' -p283645 -aS'a\ta\tDT\tB-NP\tO' -p283646 -aS'trough\ttrough\tNN\tI-NP\tO' -p283647 -aS'level\tlevel\tNN\tI-NP\tO' -p283648 -aS'of\tof\tIN\tB-PP\tO' -p283649 -aS'7.1\t7.1\tCD\tB-NP\tO' -p283650 -aS'.\t.\t.\tO\tO' -p283651 -asS'18 units qam and 7 units qhs' -p283652 -(lp283653 -S'18\t18\tCD\tB-NP\tO' -p283654 -aS'units\tunit\tNNS\tI-NP\tO' -p283655 -aS'qam\tqam\tNN\tB-NP\tO' -p283656 -aS'and\tand\tCC\tO\tO' -p283657 -aS'7\t7\tCD\tB-NP\tO' -p283658 -aS'units\tunit\tNNS\tI-NP\tO' -p283659 -aS'qhs\tqh\tNNS\tI-NP\tO' -p283660 -asS'The patient , on admission , was placed on Ampicillin , Gentamycin and Flagyl .' -p283661 -(lp283662 -S'The\tThe\tDT\tB-NP\tO' -p283663 -aS'patient\tpatient\tNN\tI-NP\tO' -p283664 -aS',\t,\t,\tO\tO' -p283665 -aS'on\ton\tIN\tB-PP\tO' -p283666 -aS'admission\tadmission\tNN\tB-NP\tO' -p283667 -aS',\t,\t,\tO\tO' -p283668 -aS'was\tbe\tVBD\tB-VP\tO' -p283669 -aS'placed\tplace\tVBN\tI-VP\tO' -p283670 -aS'on\ton\tIN\tB-PP\tO' -p283671 -aS'Ampicillin\tAmpicillin\tNN\tB-NP\tB-protein' -p283672 -aS',\t,\t,\tI-NP\tO' -p283673 -aS'Gentamycin\tGentamycin\tNN\tI-NP\tO' -p283674 -aS'and\tand\tCC\tI-NP\tO' -p283675 -aS'Flagyl\tFlagyl\tNN\tI-NP\tO' -p283676 -aS'.\t.\t.\tO\tO' -p283677 -asS'Signed electronically by : DR. Suzanne Simpson on : FRI 2009-04-24 12:48 PM' -p283678 -(lp283679 -S'Signed\tSign\tVBN\tB-VP\tO' -p283680 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p283681 -aS'by\tby\tIN\tB-PP\tO' -p283682 -aS':\t:\t:\tO\tO' -p283683 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p283684 -aS'Suzanne\tSuzanne\tNNP\tI-NP\tO' -p283685 -aS'Simpson\tSimpson\tNNP\tI-NP\tO' -p283686 -aS'on\ton\tIN\tB-PP\tO' -p283687 -aS':\t:\t:\tO\tO' -p283688 -aS'FRI\tFRI\tCD\tB-NP\tO' -p283689 -aS'2009-04-24\t2009-04-24\tCD\tI-NP\tO' -p283690 -aS'12:48\t12:48\tCD\tI-NP\tO' -p283691 -aS'PM\tPM\tNN\tI-NP\tO' -p283692 -asS'The carotid noninvasives preoperatively were negative .' -p283693 -(lp283694 -S'The\tThe\tDT\tB-NP\tO' -p283695 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p283696 -aS'noninvasives\tnoninvasive\tNNS\tI-NP\tO' -p283697 -aS'preoperatively\tpreoperatively\tRB\tB-ADVP\tO' -p283698 -aS'were\tbe\tVBD\tB-VP\tO' -p283699 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p283700 -aS'.\t.\t.\tO\tO' -p283701 -asS'Medications , continue caffeine citrate of 11 mg po every day .' -p283702 -(lp283703 -S'Medications\tMedication\tNNS\tB-NP\tO' -p283704 -aS',\t,\t,\tO\tO' -p283705 -aS'continue\tcontinue\tVBP\tB-VP\tO' -p283706 -aS'caffeine\tcaffeine\tNN\tB-NP\tO' -p283707 -aS'citrate\tcitrate\tNN\tI-NP\tO' -p283708 -aS'of\tof\tIN\tB-PP\tO' -p283709 -aS'11\t11\tCD\tB-NP\tO' -p283710 -aS'mg\tmg\tNN\tI-NP\tO' -p283711 -aS'po\tpo\tRB\tB-NP\tO' -p283712 -aS'every\tevery\tDT\tI-NP\tO' -p283713 -aS'day\tday\tNN\tI-NP\tO' -p283714 -aS'.\t.\t.\tO\tO' -p283715 -asS'Hazy patchy opacities are noted in the left lung field but no frank consolidation is seen .' -p283716 -(lp283717 -S'Hazy\tHazy\tJJ\tB-NP\tO' -p283718 -aS'patchy\tpatchy\tNN\tI-NP\tO' -p283719 -aS'opacities\topacity\tNNS\tI-NP\tO' -p283720 -aS'are\tbe\tVBP\tB-VP\tO' -p283721 -aS'noted\tnote\tVBN\tI-VP\tO' -p283722 -aS'in\tin\tIN\tB-PP\tO' -p283723 -aS'the\tthe\tDT\tB-NP\tO' -p283724 -aS'left\tleft\tJJ\tI-NP\tO' -p283725 -aS'lung\tlung\tNN\tI-NP\tO' -p283726 -aS'field\tfield\tNN\tI-NP\tO' -p283727 -aS'but\tbut\tCC\tO\tO' -p283728 -aS'no\tno\tDT\tB-NP\tO' -p283729 -aS'frank\tfrank\tNN\tI-NP\tO' -p283730 -aS'consolidation\tconsolidation\tNN\tI-NP\tO' -p283731 -aS'is\tbe\tVBZ\tB-VP\tO' -p283732 -aS'seen\tsee\tVBN\tI-VP\tO' -p283733 -aS'.\t.\t.\tO\tO' -p283734 -asS'21. Lopressor 75 mg p.o. twice a day .' -p283735 -(lp283736 -S'21.\t21.\tLS\tB-NP\tO' -p283737 -aS'Lopressor\tLopressor\tNN\tI-NP\tO' -p283738 -aS'75\t75\tCD\tI-NP\tO' -p283739 -aS'mg\tmg\tNN\tI-NP\tO' -p283740 -aS'p.o.\tp.o.\tRB\tB-NP\tO' -p283741 -aS'twice\ttwice\tRB\tI-NP\tO' -p283742 -aS'a\ta\tDT\tI-NP\tO' -p283743 -aS'day\tday\tNN\tI-NP\tO' -p283744 -aS'.\t.\t.\tO\tO' -p283745 -asS'10. Pantoprazole 40 mg Tablet , Delayed Release ( E.C. ) Sig : One ( 1 ) Tablet , Delayed Release ( E.C. ) PO Q12H ( every 12 hours ) .' -p283746 -(lp283747 -S'10.\t10.\tLS\tB-NP\tO' -p283748 -aS'Pantoprazole\tPantoprazole\tNN\tI-NP\tO' -p283749 -aS'40\t40\tCD\tI-NP\tO' -p283750 -aS'mg\tmg\tNN\tI-NP\tO' -p283751 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p283752 -aS',\t,\t,\tO\tO' -p283753 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p283754 -aS'Release\tRelease\tNNP\tI-NP\tO' -p283755 -aS'(\t(\t(\tO\tO' -p283756 -aS'E.C.\tE.C.\tNNP\tB-NP\tO' -p283757 -aS')\t)\t)\tO\tO' -p283758 -aS'Sig\tSig\tNNP\tB-NP\tO' -p283759 -aS':\t:\t:\tO\tO' -p283760 -aS'One\tOne\tCD\tB-NP\tO' -p283761 -aS'(\t(\t(\tO\tO' -p283762 -aS'1\t1\tCD\tB-NP\tO' -p283763 -aS')\t)\t)\tO\tO' -p283764 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p283765 -aS',\t,\t,\tO\tO' -p283766 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p283767 -aS'Release\tRelease\tNNP\tI-NP\tO' -p283768 -aS'(\t(\t(\tO\tO' -p283769 -aS'E.C.\tE.C.\tNNP\tO\tO' -p283770 -aS')\t)\t)\tO\tO' -p283771 -aS'PO\tPO\tNN\tB-NP\tO' -p283772 -aS'Q12H\tQ12H\tNN\tI-NP\tO' -p283773 -aS'(\t(\t(\tO\tO' -p283774 -aS'every\tevery\tDT\tB-NP\tO' -p283775 -aS'12\t12\tCD\tI-NP\tO' -p283776 -aS'hours\thour\tNNS\tI-NP\tO' -p283777 -aS')\t)\t)\tO\tO' -p283778 -aS'.\t.\t.\tO\tO' -p283779 -asS'Now size is 6.5cm*6.5cm .' -p283780 -(lp283781 -S'Now\tNow\tRB\tB-NP\tO' -p283782 -aS'size\tsize\tNN\tI-NP\tO' -p283783 -aS'is\tbe\tVBZ\tB-VP\tO' -p283784 -aS'6.5cm*6.5cm\t6.5cm*6.5cm\tNN\tB-NP\tO' -p283785 -aS'.\t.\t.\tO\tO' -p283786 -asS'A computerized tomography scan of his head showed no signs of an acute bleed , a chest X-ray showed no new infiltrates or masses .' -p283787 -(lp283788 -S'A\tA\tDT\tB-NP\tO' -p283789 -aS'computerized\tcomputerized\tJJ\tI-NP\tO' -p283790 -aS'tomography\ttomography\tNN\tI-NP\tO' -p283791 -aS'scan\tscan\tNN\tI-NP\tO' -p283792 -aS'of\tof\tIN\tB-PP\tO' -p283793 -aS'his\this\tPRP$\tB-NP\tO' -p283794 -aS'head\thead\tNN\tI-NP\tO' -p283795 -aS'showed\tshow\tVBD\tB-VP\tO' -p283796 -aS'no\tno\tDT\tB-NP\tO' -p283797 -aS'signs\tsign\tNNS\tI-NP\tO' -p283798 -aS'of\tof\tIN\tB-PP\tO' -p283799 -aS'an\tan\tDT\tB-NP\tO' -p283800 -aS'acute\tacute\tJJ\tI-NP\tO' -p283801 -aS'bleed\tbleed\tNN\tI-NP\tO' -p283802 -aS',\t,\t,\tO\tO' -p283803 -aS'a\ta\tDT\tB-NP\tO' -p283804 -aS'chest\tchest\tNN\tI-NP\tO' -p283805 -aS'X-ray\tX-ray\tNN\tI-NP\tO' -p283806 -aS'showed\tshow\tVBD\tB-VP\tO' -p283807 -aS'no\tno\tDT\tB-NP\tO' -p283808 -aS'new\tnew\tJJ\tI-NP\tO' -p283809 -aS'infiltrates\tinfiltrate\tNNS\tI-NP\tO' -p283810 -aS'or\tor\tCC\tI-NP\tO' -p283811 -aS'masses\tmass\tNNS\tI-NP\tO' -p283812 -aS'.\t.\t.\tO\tO' -p283813 -asS'She does not drink , use IV drugs or smoke .' -p283814 -(lp283815 -S'She\tShe\tPRP\tB-NP\tO' -p283816 -aS'does\tdo\tVBZ\tB-VP\tO' -p283817 -aS'not\tnot\tRB\tI-VP\tO' -p283818 -aS'drink\tdrink\tVB\tI-VP\tO' -p283819 -aS',\t,\t,\tI-VP\tO' -p283820 -aS'use\tuse\tVB\tI-VP\tO' -p283821 -aS'IV\tIV\tCD\tB-NP\tO' -p283822 -aS'drugs\tdrug\tNNS\tI-NP\tO' -p283823 -aS'or\tor\tCC\tI-NP\tO' -p283824 -aS'smoke\tsmoke\tNN\tI-NP\tO' -p283825 -aS'.\t.\t.\tO\tO' -p283826 -asS'ALLERGIES : No known drug allergies .' -p283827 -(lp283828 -S'ALLERGIES\tALLERGIES\tNNS\tB-NP\tO' -p283829 -aS':\t:\t:\tO\tO' -p283830 -aS'No\tNo\tDT\tB-NP\tO' -p283831 -aS'known\tknow\tVBN\tI-NP\tO' -p283832 -aS'drug\tdrug\tNN\tI-NP\tO' -p283833 -aS'allergies\tallergy\tNNS\tI-NP\tO' -p283834 -aS'.\t.\t.\tO\tO' -p283835 -asS'3) Please follow up with PCP to have ultrasound of right kidney and bladder to assess right kidney cyst and bladder diverticula seen incidentally' -p283836 -(lp283837 -S'3)\t3)\tLS\tB-NP\tO' -p283838 -aS'Please\tPlease\tNN\tI-NP\tB-protein' -p283839 -aS'follow\tfollow\tVB\tB-VP\tO' -p283840 -aS'up\tup\tRP\tB-PRT\tO' -p283841 -aS'with\twith\tIN\tB-PP\tO' -p283842 -aS'PCP\tPCP\tNN\tB-NP\tO' -p283843 -aS'to\tto\tTO\tB-VP\tO' -p283844 -aS'have\thave\tVB\tI-VP\tO' -p283845 -aS'ultrasound\tultrasound\tNN\tB-NP\tO' -p283846 -aS'of\tof\tIN\tB-PP\tO' -p283847 -aS'right\tright\tJJ\tB-NP\tO' -p283848 -aS'kidney\tkidney\tNN\tI-NP\tO' -p283849 -aS'and\tand\tCC\tI-NP\tO' -p283850 -aS'bladder\tbladder\tNN\tI-NP\tO' -p283851 -aS'to\tto\tTO\tB-VP\tO' -p283852 -aS'assess\tassess\tVB\tI-VP\tO' -p283853 -aS'right\tright\tJJ\tB-NP\tO' -p283854 -aS'kidney\tkidney\tNN\tI-NP\tO' -p283855 -aS'cyst\tcyst\tNN\tI-NP\tO' -p283856 -aS'and\tand\tCC\tO\tO' -p283857 -aS'bladder\tbladder\tNN\tB-NP\tO' -p283858 -aS'diverticula\tdiverticula\tNN\tI-NP\tO' -p283859 -aS'seen\tsee\tVBN\tB-VP\tO' -p283860 -aS'incidentally\tincidentally\tRB\tB-ADVP\tO' -p283861 -asS'Ranitidine 150 mg twice a day , enteric-coated aspirin 325 mg once daily , Glucovance 5/500 one tablet twice a day , metoprolol 25 mg twice a day , Furosemide 20 mg once daily for 14 days , potassium chloride 20 mEq once daily for 14 days , Colace 100 mg twice a day , Niferex 150 mg once daily , Percocet 5/325 one to two tablets every four hours as needed , ibuprofen 400 mg every six hours as needed .' -p283862 -(lp283863 -S'Ranitidine\tRanitidine\tNN\tB-NP\tO' -p283864 -aS'150\t150\tCD\tI-NP\tO' -p283865 -aS'mg\tmg\tNN\tI-NP\tO' -p283866 -aS'twice\ttwice\tRB\tB-NP\tO' -p283867 -aS'a\ta\tDT\tI-NP\tO' -p283868 -aS'day\tday\tNN\tI-NP\tO' -p283869 -aS',\t,\t,\tO\tO' -p283870 -aS'enteric-coated\tenteric-coated\tJJ\tB-NP\tO' -p283871 -aS'aspirin\taspirin\tNN\tI-NP\tO' -p283872 -aS'325\t325\tCD\tI-NP\tO' -p283873 -aS'mg\tmg\tNN\tI-NP\tO' -p283874 -aS'once\tonce\tRB\tB-ADVP\tO' -p283875 -aS'daily\tdaily\tRB\tI-ADVP\tO' -p283876 -aS',\t,\t,\tO\tO' -p283877 -aS'Glucovance\tGlucovance\tNNP\tB-NP\tO' -p283878 -aS'5/500\t5/500\tCD\tI-NP\tO' -p283879 -aS'one\tone\tCD\tI-NP\tO' -p283880 -aS'tablet\ttablet\tNN\tI-NP\tO' -p283881 -aS'twice\ttwice\tRB\tB-NP\tO' -p283882 -aS'a\ta\tDT\tI-NP\tO' -p283883 -aS'day\tday\tNN\tI-NP\tO' -p283884 -aS',\t,\t,\tO\tO' -p283885 -aS'metoprolol\tmetoprolol\tNN\tB-NP\tO' -p283886 -aS'25\t25\tCD\tI-NP\tO' -p283887 -aS'mg\tmg\tNN\tI-NP\tO' -p283888 -aS'twice\ttwice\tRB\tB-NP\tO' -p283889 -aS'a\ta\tDT\tI-NP\tO' -p283890 -aS'day\tday\tNN\tI-NP\tO' -p283891 -aS',\t,\t,\tO\tO' -p283892 -aS'Furosemide\tFurosemide\tNN\tB-NP\tO' -p283893 -aS'20\t20\tCD\tI-NP\tO' -p283894 -aS'mg\tmg\tNN\tI-NP\tO' -p283895 -aS'once\tonce\tRB\tB-ADVP\tO' -p283896 -aS'daily\tdaily\tRB\tI-ADVP\tO' -p283897 -aS'for\tfor\tIN\tB-PP\tO' -p283898 -aS'14\t14\tCD\tB-NP\tO' -p283899 -aS'days\tday\tNNS\tI-NP\tO' -p283900 -aS',\t,\t,\tO\tO' -p283901 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p283902 -aS'chloride\tchloride\tNN\tI-NP\tO' -p283903 -aS'20\t20\tCD\tI-NP\tO' -p283904 -aS'mEq\tmEq\tNN\tI-NP\tO' -p283905 -aS'once\tonce\tRB\tB-ADVP\tO' -p283906 -aS'daily\tdaily\tRB\tI-ADVP\tO' -p283907 -aS'for\tfor\tIN\tB-PP\tO' -p283908 -aS'14\t14\tCD\tB-NP\tO' -p283909 -aS'days\tday\tNNS\tI-NP\tO' -p283910 -aS',\t,\t,\tO\tO' -p283911 -aS'Colace\tColace\tNNP\tB-NP\tO' -p283912 -aS'100\t100\tCD\tI-NP\tO' -p283913 -aS'mg\tmg\tNN\tI-NP\tO' -p283914 -aS'twice\ttwice\tRB\tB-NP\tO' -p283915 -aS'a\ta\tDT\tI-NP\tO' -p283916 -aS'day\tday\tNN\tI-NP\tO' -p283917 -aS',\t,\t,\tO\tO' -p283918 -aS'Niferex\tNiferex\tNNP\tB-NP\tO' -p283919 -aS'150\t150\tCD\tI-NP\tO' -p283920 -aS'mg\tmg\tNN\tI-NP\tO' -p283921 -aS'once\tonce\tRB\tB-ADVP\tO' -p283922 -aS'daily\tdaily\tRB\tI-ADVP\tO' -p283923 -aS',\t,\t,\tO\tO' -p283924 -aS'Percocet\tPercocet\tNNP\tB-NP\tO' -p283925 -aS'5/325\t5/325\tCD\tB-NP\tO' -p283926 -aS'one\tone\tCD\tI-NP\tO' -p283927 -aS'to\tto\tTO\tB-PP\tO' -p283928 -aS'two\ttwo\tCD\tB-NP\tO' -p283929 -aS'tablets\ttablet\tNNS\tI-NP\tO' -p283930 -aS'every\tevery\tDT\tB-NP\tO' -p283931 -aS'four\tfour\tCD\tI-NP\tO' -p283932 -aS'hours\thour\tNNS\tI-NP\tO' -p283933 -aS'as\tas\tIN\tB-SBAR\tO' -p283934 -aS'needed\tneed\tVBN\tB-VP\tO' -p283935 -aS',\t,\t,\tO\tO' -p283936 -aS'ibuprofen\tibuprofen\tIN\tB-ADVP\tO' -p283937 -aS'400\t400\tCD\tB-NP\tO' -p283938 -aS'mg\tmg\tNN\tI-NP\tO' -p283939 -aS'every\tevery\tDT\tB-NP\tO' -p283940 -aS'six\tsix\tCD\tI-NP\tO' -p283941 -aS'hours\thour\tNNS\tI-NP\tO' -p283942 -aS'as\tas\tIN\tB-SBAR\tO' -p283943 -aS'needed\tneed\tVBN\tB-VP\tO' -p283944 -aS'.\t.\t.\tO\tO' -p283945 -asS'10/27/96 date of birth ; September 30 , 1917' -p283946 -(lp283947 -S'10/27/96\t10/27/96\tCD\tB-NP\tO' -p283948 -aS'date\tdate\tNN\tI-NP\tO' -p283949 -aS'of\tof\tIN\tB-PP\tO' -p283950 -aS'birth\tbirth\tNN\tB-NP\tO' -p283951 -aS';\t;\t:\tO\tO' -p283952 -aS'September\tSeptember\tNNP\tB-NP\tO' -p283953 -aS'30\t30\tCD\tI-NP\tO' -p283954 -aS',\t,\t,\tI-NP\tO' -p283955 -aS'1917\t1917\tCD\tI-NP\tO' -p283956 -asS'His weight is 3015 gm on day of life 5 .' -p283957 -(lp283958 -S'His\tHis\tPRP$\tB-NP\tO' -p283959 -aS'weight\tweight\tNN\tI-NP\tO' -p283960 -aS'is\tbe\tVBZ\tB-VP\tO' -p283961 -aS'3015\t3015\tCD\tB-NP\tO' -p283962 -aS'gm\tgm\tNN\tI-NP\tO' -p283963 -aS'on\ton\tIN\tB-PP\tO' -p283964 -aS'day\tday\tNN\tB-NP\tO' -p283965 -aS'of\tof\tIN\tB-PP\tO' -p283966 -aS'life\tlife\tNN\tB-NP\tB-protein' -p283967 -aS'5\t5\tCD\tI-NP\tI-protein' -p283968 -aS'.\t.\t.\tO\tO' -p283969 -asS'will monitor .' -p283970 -(lp283971 -S'will\twill\tMD\tB-VP\tO' -p283972 -aS'monitor\tmonitor\tVB\tI-VP\tO' -p283973 -aS'.\t.\t.\tO\tO' -p283974 -asS'The patient should have follow up with his primary care physician Dr. Rod Linkeboltshieltrus at the TRE 453 about one week after discharge from rehab facility .' -p283975 -(lp283976 -S'The\tThe\tDT\tB-NP\tO' -p283977 -aS'patient\tpatient\tNN\tI-NP\tO' -p283978 -aS'should\tshould\tMD\tB-VP\tO' -p283979 -aS'have\thave\tVB\tI-VP\tO' -p283980 -aS'follow\tfollow\tVB\tI-VP\tO' -p283981 -aS'up\tup\tRP\tB-PRT\tO' -p283982 -aS'with\twith\tIN\tB-PP\tO' -p283983 -aS'his\this\tPRP$\tB-NP\tO' -p283984 -aS'primary\tprimary\tJJ\tI-NP\tO' -p283985 -aS'care\tcare\tNN\tI-NP\tO' -p283986 -aS'physician\tphysician\tNN\tI-NP\tO' -p283987 -aS'Dr.\tDr.\tNNP\tI-NP\tO' -p283988 -aS'Rod\tRod\tNNP\tI-NP\tO' -p283989 -aS'Linkeboltshieltrus\tLinkeboltshieltrus\tNNP\tI-NP\tO' -p283990 -aS'at\tat\tIN\tB-PP\tO' -p283991 -aS'the\tthe\tDT\tB-NP\tO' -p283992 -aS'TRE\tTRE\tNN\tI-NP\tB-DNA' -p283993 -aS'453\t453\tCD\tI-NP\tO' -p283994 -aS'about\tabout\tIN\tB-NP\tO' -p283995 -aS'one\tone\tCD\tI-NP\tO' -p283996 -aS'week\tweek\tNN\tI-NP\tO' -p283997 -aS'after\tafter\tIN\tB-PP\tO' -p283998 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p283999 -aS'from\tfrom\tIN\tB-PP\tO' -p284000 -aS'rehab\trehab\tNN\tB-NP\tO' -p284001 -aS'facility\tfacility\tNN\tI-NP\tO' -p284002 -aS'.\t.\t.\tO\tO' -p284003 -asS'26. Fludrocortisone 0.1 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' -p284004 -(lp284005 -S'26.\t26.\tCD\tB-NP\tO' -p284006 -aS'Fludrocortisone\tFludrocortisone\tNN\tI-NP\tO' -p284007 -aS'0.1\t0.1\tCD\tB-NP\tO' -p284008 -aS'mg\tmg\tNN\tI-NP\tO' -p284009 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p284010 -aS'Sig\tSig\tNNP\tI-NP\tO' -p284011 -aS':\t:\t:\tO\tO' -p284012 -aS'One\tOne\tCD\tB-NP\tO' -p284013 -aS'(\t(\t(\tO\tO' -p284014 -aS'1\t1\tCD\tB-NP\tO' -p284015 -aS')\t)\t)\tO\tO' -p284016 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p284017 -aS'PO\tPO\tNN\tI-NP\tO' -p284018 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p284019 -aS'(\t(\t(\tO\tO' -p284020 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p284021 -aS')\t)\t)\tO\tO' -p284022 -aS'.\t.\t.\tO\tO' -p284023 -asS'His chest X-Ray showed bilateral nodular infiltrates .' -p284024 -(lp284025 -S'His\tHis\tPRP$\tB-NP\tO' -p284026 -aS'chest\tchest\tNN\tI-NP\tO' -p284027 -aS'X-Ray\tX-Ray\tNN\tI-NP\tO' -p284028 -aS'showed\tshow\tVBD\tB-VP\tO' -p284029 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p284030 -aS'nodular\tnodular\tJJ\tI-NP\tO' -p284031 -aS'infiltrates\tinfiltrate\tNNS\tI-NP\tO' -p284032 -aS'.\t.\t.\tO\tO' -p284033 -asS'Echocardiogram showed left ventricle at the upper limits of normal for size , low normal function , moderate to mild effusion with pericardial pressures exceeding right atrial pressures , and right ventricular pressures at various points of patient 's cycle without any change in the effusion from 06/11 .' -p284034 -(lp284035 -S'Echocardiogram\tEchocardiogram\tNN\tB-NP\tO' -p284036 -aS'showed\tshow\tVBD\tB-VP\tO' -p284037 -aS'left\tleft\tJJ\tB-NP\tO' -p284038 -aS'ventricle\tventricle\tNN\tI-NP\tO' -p284039 -aS'at\tat\tIN\tB-PP\tO' -p284040 -aS'the\tthe\tDT\tB-NP\tO' -p284041 -aS'upper\tupper\tJJ\tI-NP\tO' -p284042 -aS'limits\tlimit\tNNS\tI-NP\tO' -p284043 -aS'of\tof\tIN\tB-PP\tO' -p284044 -aS'normal\tnormal\tJJ\tB-NP\tO' -p284045 -aS'for\tfor\tIN\tB-PP\tO' -p284046 -aS'size\tsize\tNN\tB-NP\tO' -p284047 -aS',\t,\t,\tO\tO' -p284048 -aS'low\tlow\tJJ\tB-NP\tO' -p284049 -aS'normal\tnormal\tJJ\tI-NP\tO' -p284050 -aS'function\tfunction\tNN\tI-NP\tO' -p284051 -aS',\t,\t,\tO\tO' -p284052 -aS'moderate\tmoderate\tJJ\tB-ADJP\tO' -p284053 -aS'to\tto\tTO\tB-PP\tO' -p284054 -aS'mild\tmild\tJJ\tB-NP\tO' -p284055 -aS'effusion\teffusion\tNN\tI-NP\tO' -p284056 -aS'with\twith\tIN\tB-PP\tO' -p284057 -aS'pericardial\tpericardial\tJJ\tB-NP\tO' -p284058 -aS'pressures\tpressure\tNNS\tI-NP\tO' -p284059 -aS'exceeding\texceed\tVBG\tB-VP\tO' -p284060 -aS'right\tright\tJJ\tB-NP\tO' -p284061 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p284062 -aS'pressures\tpressure\tNNS\tI-NP\tO' -p284063 -aS',\t,\t,\tO\tO' -p284064 -aS'and\tand\tCC\tO\tO' -p284065 -aS'right\tright\tJJ\tB-NP\tO' -p284066 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p284067 -aS'pressures\tpressure\tNNS\tI-NP\tO' -p284068 -aS'at\tat\tIN\tB-PP\tO' -p284069 -aS'various\tvarious\tJJ\tB-NP\tO' -p284070 -aS'points\tpoint\tNNS\tI-NP\tO' -p284071 -aS'of\tof\tIN\tB-PP\tO' -p284072 -aS'patient\tpatient\tNN\tB-NP\tO' -p284073 -aS''s\t'\tNNS\tI-NP\tO' -p284074 -aS'cycle\tcycle\tNN\tI-NP\tO' -p284075 -aS'without\twithout\tIN\tB-PP\tO' -p284076 -aS'any\tany\tDT\tB-NP\tO' -p284077 -aS'change\tchange\tNN\tI-NP\tO' -p284078 -aS'in\tin\tIN\tB-PP\tO' -p284079 -aS'the\tthe\tDT\tB-NP\tO' -p284080 -aS'effusion\teffusion\tNN\tI-NP\tO' -p284081 -aS'from\tfrom\tIN\tB-PP\tO' -p284082 -aS'06/11\t06/11\tCD\tB-NP\tO' -p284083 -aS'.\t.\t.\tO\tO' -p284084 -asS'His family was notified .' -p284085 -(lp284086 -S'His\tHis\tPRP$\tB-NP\tO' -p284087 -aS'family\tfamily\tNN\tI-NP\tO' -p284088 -aS'was\tbe\tVBD\tB-VP\tO' -p284089 -aS'notified\tnotify\tVBN\tI-VP\tO' -p284090 -aS'.\t.\t.\tO\tO' -p284091 -asS'His Penrose drain was discontinued at this time .' -p284092 -(lp284093 -S'His\tHis\tPRP$\tB-NP\tB-protein' -p284094 -aS'Penrose\tPenrose\tNNP\tI-NP\tO' -p284095 -aS'drain\tdrain\tNN\tI-NP\tO' -p284096 -aS'was\tbe\tVBD\tB-VP\tO' -p284097 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p284098 -aS'at\tat\tIN\tB-PP\tO' -p284099 -aS'this\tthis\tDT\tB-NP\tO' -p284100 -aS'time\ttime\tNN\tI-NP\tO' -p284101 -aS'.\t.\t.\tO\tO' -p284102 -asS'Pt was continued on BB , ASA , and nitrates .' -p284103 -(lp284104 -S'Pt\tPt\tNN\tB-NP\tO' -p284105 -aS'was\tbe\tVBD\tB-VP\tO' -p284106 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p284107 -aS'on\ton\tIN\tB-PP\tO' -p284108 -aS'BB\tBB\tNN\tB-NP\tO' -p284109 -aS',\t,\t,\tO\tO' -p284110 -aS'ASA\tASA\tNN\tB-NP\tO' -p284111 -aS',\t,\t,\tO\tO' -p284112 -aS'and\tand\tCC\tO\tO' -p284113 -aS'nitrates\tnitrate\tNNS\tB-NP\tO' -p284114 -aS'.\t.\t.\tO\tO' -p284115 -asS'1. Cerebrovascular accident .' -p284116 -(lp284117 -S'1.\t1.\tLS\tB-NP\tO' -p284118 -aS'Cerebrovascular\tCerebrovascular\tJJ\tI-NP\tO' -p284119 -aS'accident\taccident\tNN\tI-NP\tO' -p284120 -aS'.\t.\t.\tO\tO' -p284121 -asS'6. Ursodiol 300 mg Capsule Sig : One ( 1 ) Capsule PO TID ( 3 times a day ) .' -p284122 -(lp284123 -S'6.\t6.\tCD\tB-NP\tO' -p284124 -aS'Ursodiol\tUrsodiol\tNN\tI-NP\tO' -p284125 -aS'300\t300\tCD\tB-NP\tO' -p284126 -aS'mg\tmg\tNN\tI-NP\tO' -p284127 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p284128 -aS'Sig\tSig\tNNP\tI-NP\tO' -p284129 -aS':\t:\t:\tO\tO' -p284130 -aS'One\tOne\tCD\tB-NP\tO' -p284131 -aS'(\t(\t(\tO\tO' -p284132 -aS'1\t1\tCD\tB-NP\tO' -p284133 -aS')\t)\t)\tO\tO' -p284134 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p284135 -aS'PO\tPO\tNNP\tI-NP\tO' -p284136 -aS'TID\tTID\tNNP\tI-NP\tO' -p284137 -aS'(\t(\t(\tO\tO' -p284138 -aS'3\t3\tCD\tB-NP\tO' -p284139 -aS'times\ttime\tNNS\tI-NP\tO' -p284140 -aS'a\ta\tDT\tB-NP\tO' -p284141 -aS'day\tday\tNN\tI-NP\tO' -p284142 -aS')\t)\t)\tO\tO' -p284143 -aS'.\t.\t.\tO\tO' -p284144 -asS'14. Aspirin 81 mg Tablet , Chewable Sig : One ( 1 ) Tablet , Chewable PO DAILY ( Daily ) .' -p284145 -(lp284146 -S'14.\t14.\tCD\tB-NP\tO' -p284147 -aS'Aspirin\tAspirin\tNN\tI-NP\tO' -p284148 -aS'81\t81\tCD\tB-NP\tO' -p284149 -aS'mg\tmg\tNN\tI-NP\tO' -p284150 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p284151 -aS',\t,\t,\tO\tO' -p284152 -aS'Chewable\tChewable\tNNP\tB-NP\tO' -p284153 -aS'Sig\tSig\tNNP\tI-NP\tO' -p284154 -aS':\t:\t:\tO\tO' -p284155 -aS'One\tOne\tCD\tB-NP\tO' -p284156 -aS'(\t(\t(\tO\tO' -p284157 -aS'1\t1\tCD\tB-NP\tO' -p284158 -aS')\t)\t)\tO\tO' -p284159 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p284160 -aS',\t,\t,\tO\tO' -p284161 -aS'Chewable\tChewable\tNNP\tB-NP\tO' -p284162 -aS'PO\tPO\tNNP\tI-NP\tO' -p284163 -aS'DAILY\tDAILY\tNNP\tI-NP\tO' -p284164 -aS'(\t(\t(\tO\tO' -p284165 -aS'Daily\tDaily\tNNP\tB-NP\tO' -p284166 -aS')\t)\t)\tO\tO' -p284167 -aS'.\t.\t.\tO\tO' -p284168 -asS'He then had an angiogram with Gel foam to try to control his GI bleed .' -p284169 -(lp284170 -S'He\tHe\tPRP\tB-NP\tO' -p284171 -aS'then\tthen\tRB\tB-ADVP\tO' -p284172 -aS'had\thave\tVBD\tB-VP\tO' -p284173 -aS'an\tan\tDT\tB-NP\tO' -p284174 -aS'angiogram\tangiogram\tNN\tI-NP\tO' -p284175 -aS'with\twith\tIN\tB-PP\tO' -p284176 -aS'Gel\tGel\tNN\tB-NP\tO' -p284177 -aS'foam\tfoam\tNN\tI-NP\tO' -p284178 -aS'to\tto\tTO\tB-VP\tO' -p284179 -aS'try\ttry\tVB\tI-VP\tO' -p284180 -aS'to\tto\tTO\tI-VP\tO' -p284181 -aS'control\tcontrol\tVB\tI-VP\tO' -p284182 -aS'his\this\tPRP$\tB-NP\tB-DNA' -p284183 -aS'GI\tGI\tNNP\tI-NP\tO' -p284184 -aS'bleed\tbleed\tNN\tI-NP\tO' -p284185 -aS'.\t.\t.\tO\tO' -p284186 -asS'Lungs clear to auscultation .' -p284187 -(lp284188 -S'Lungs\tLung\tNNS\tB-NP\tO' -p284189 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p284190 -aS'to\tto\tTO\tB-PP\tO' -p284191 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p284192 -aS'.\t.\t.\tO\tO' -p284193 -asS'2. Flomax 0.4 mg p.o. q. day .' -p284194 -(lp284195 -S'2.\t2.\tLS\tB-LST\tO' -p284196 -aS'Flomax\tFlomax\tNN\tB-NP\tO' -p284197 -aS'0.4\t0.4\tCD\tI-NP\tO' -p284198 -aS'mg\tmg\tNN\tI-NP\tO' -p284199 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p284200 -aS'q.\tq.\tNN\tI-NP\tO' -p284201 -aS'day\tday\tNN\tI-NP\tO' -p284202 -aS'.\t.\t.\tO\tO' -p284203 -asS'COPD ( s / p lung resection FEV1 25% ) , chronic pericardial effusion , PVD , R renal artery stenosis , osteoporosis , presbylaryngis' -p284204 -(lp284205 -S'COPD\tCOPD\tNN\tB-NP\tO' -p284206 -aS'(\t(\t(\tI-NP\tO' -p284207 -aS's\ts\tNN\tI-NP\tB-protein' -p284208 -aS'/\t/\tSYM\tI-NP\tI-protein' -p284209 -aS'p\tp\tNN\tI-NP\tI-protein' -p284210 -aS'lung\tlung\tNN\tI-NP\tI-protein' -p284211 -aS'resection\tresection\tNN\tI-NP\tI-protein' -p284212 -aS'FEV1\tFEV1\tNN\tI-NP\tI-protein' -p284213 -aS'25%\t25%\tNN\tI-NP\tI-protein' -p284214 -aS')\t)\t)\tO\tO' -p284215 -aS',\t,\t,\tO\tO' -p284216 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p284217 -aS'pericardial\tpericardial\tJJ\tI-NP\tO' -p284218 -aS'effusion\teffusion\tNN\tI-NP\tO' -p284219 -aS',\t,\t,\tO\tO' -p284220 -aS'PVD\tPVD\tNN\tB-NP\tB-protein' -p284221 -aS',\t,\t,\tO\tO' -p284222 -aS'R\tR\tNN\tB-NP\tO' -p284223 -aS'renal\trenal\tJJ\tI-NP\tO' -p284224 -aS'artery\tartery\tNN\tI-NP\tO' -p284225 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p284226 -aS',\t,\t,\tO\tO' -p284227 -aS'osteoporosis\tosteoporosis\tNN\tB-NP\tO' -p284228 -aS',\t,\t,\tO\tO' -p284229 -aS'presbylaryngis\tpresbylaryngis\tNN\tB-NP\tO' -p284230 -asS'The patient has an intention tremor with the left hand .' -p284231 -(lp284232 -S'The\tThe\tDT\tB-NP\tO' -p284233 -aS'patient\tpatient\tNN\tI-NP\tO' -p284234 -aS'has\thave\tVBZ\tB-VP\tO' -p284235 -aS'an\tan\tDT\tB-NP\tO' -p284236 -aS'intention\tintention\tNN\tI-NP\tO' -p284237 -aS'tremor\ttremor\tNN\tI-NP\tO' -p284238 -aS'with\twith\tIN\tB-PP\tO' -p284239 -aS'the\tthe\tDT\tB-NP\tO' -p284240 -aS'left\tleft\tJJ\tI-NP\tO' -p284241 -aS'hand\thand\tNN\tI-NP\tO' -p284242 -aS'.\t.\t.\tO\tO' -p284243 -asS'The patient has six children and 10 grandchildren , all in excellent health .' -p284244 -(lp284245 -S'The\tThe\tDT\tB-NP\tO' -p284246 -aS'patient\tpatient\tNN\tI-NP\tO' -p284247 -aS'has\thave\tVBZ\tB-VP\tO' -p284248 -aS'six\tsix\tCD\tB-NP\tO' -p284249 -aS'children\tchild\tNNS\tI-NP\tO' -p284250 -aS'and\tand\tCC\tO\tO' -p284251 -aS'10\t10\tCD\tB-NP\tO' -p284252 -aS'grandchildren\tgrandchild\tNNS\tI-NP\tO' -p284253 -aS',\t,\t,\tO\tO' -p284254 -aS'all\tall\tDT\tB-NP\tO' -p284255 -aS'in\tin\tIN\tB-PP\tO' -p284256 -aS'excellent\texcellent\tJJ\tB-NP\tO' -p284257 -aS'health\thealth\tNN\tI-NP\tO' -p284258 -aS'.\t.\t.\tO\tO' -p284259 -asS'10. Acetaminophen 325 mg Tablet Sig : 1-2 Tablets PO Q4-6H ( every 4 to 6 hours ) as needed .' -p284260 -(lp284261 -S'10.\t10.\tCD\tB-NP\tO' -p284262 -aS'Acetaminophen\tAcetaminophen\tNN\tI-NP\tO' -p284263 -aS'325\t325\tCD\tB-NP\tO' -p284264 -aS'mg\tmg\tNN\tI-NP\tO' -p284265 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p284266 -aS'Sig\tSig\tNNP\tI-NP\tO' -p284267 -aS':\t:\t:\tO\tO' -p284268 -aS'1-2\t1-2\tCD\tB-NP\tO' -p284269 -aS'Tablets\tTablet\tNNS\tI-NP\tO' -p284270 -aS'PO\tPO\tNN\tI-NP\tO' -p284271 -aS'Q4-6H\tQ4-6H\tNN\tI-NP\tO' -p284272 -aS'(\t(\t(\tO\tO' -p284273 -aS'every\tevery\tDT\tB-NP\tO' -p284274 -aS'4\t4\tCD\tI-NP\tO' -p284275 -aS'to\tto\tTO\tI-NP\tO' -p284276 -aS'6\t6\tCD\tI-NP\tO' -p284277 -aS'hours\thour\tNNS\tI-NP\tO' -p284278 -aS')\t)\t)\tO\tO' -p284279 -aS'as\tas\tIN\tB-SBAR\tO' -p284280 -aS'needed\tneed\tVBN\tB-VP\tO' -p284281 -aS'.\t.\t.\tO\tO' -p284282 -asS'A hip ultrasound due to breech / breech presentation of twins .' -p284283 -(lp284284 -S'A\tA\tDT\tB-NP\tO' -p284285 -aS'hip\thip\tNN\tI-NP\tO' -p284286 -aS'ultrasound\tultrasound\tNN\tI-NP\tO' -p284287 -aS'due\tdue\tIN\tB-PP\tO' -p284288 -aS'to\tto\tTO\tB-PP\tO' -p284289 -aS'breech\tbreech\tNN\tB-NP\tO' -p284290 -aS'/\t/\tSYM\tI-NP\tO' -p284291 -aS'breech\tbreech\tNN\tB-NP\tO' -p284292 -aS'presentation\tpresentation\tNN\tI-NP\tO' -p284293 -aS'of\tof\tIN\tB-PP\tO' -p284294 -aS'twins\ttwin\tNNS\tB-NP\tO' -p284295 -aS'.\t.\t.\tO\tO' -p284296 -asS'She had CA-125 which was pending at the time of discharge .' -p284297 -(lp284298 -S'She\tShe\tPRP\tB-NP\tO' -p284299 -aS'had\thave\tVBD\tB-VP\tO' -p284300 -aS'CA-125\tCA-125\tNN\tB-NP\tB-protein' -p284301 -aS'which\twhich\tWDT\tB-NP\tO' -p284302 -aS'was\tbe\tVBD\tB-VP\tO' -p284303 -aS'pending\tpende\tVBG\tI-VP\tO' -p284304 -aS'at\tat\tIN\tB-PP\tO' -p284305 -aS'the\tthe\tDT\tB-NP\tO' -p284306 -aS'time\ttime\tNN\tI-NP\tO' -p284307 -aS'of\tof\tIN\tB-PP\tO' -p284308 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p284309 -aS'.\t.\t.\tO\tO' -p284310 -asS'Mr. Mcelveen 51 year-old male with metastatic RCC on Sutent since 2018-12-21 , admitted with fever , hypoxemia , and bibasilar pneumonia .' -p284311 -(lp284312 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p284313 -aS'Mcelveen\tMcelveen\tNNP\tI-NP\tO' -p284314 -aS'51\t51\tCD\tB-NP\tO' -p284315 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p284316 -aS'male\tmale\tNN\tI-NP\tO' -p284317 -aS'with\twith\tIN\tB-PP\tO' -p284318 -aS'metastatic\tmetastatic\tJJ\tB-NP\tO' -p284319 -aS'RCC\tRCC\tNN\tI-NP\tO' -p284320 -aS'on\ton\tIN\tB-PP\tO' -p284321 -aS'Sutent\tSutent\tNNP\tB-NP\tO' -p284322 -aS'since\tsince\tIN\tB-PP\tO' -p284323 -aS'2018-12-21\t2018-12-21\tCD\tB-NP\tO' -p284324 -aS',\t,\t,\tO\tO' -p284325 -aS'admitted\tadmit\tVBN\tB-VP\tO' -p284326 -aS'with\twith\tIN\tB-PP\tO' -p284327 -aS'fever\tfever\tNN\tB-NP\tO' -p284328 -aS',\t,\t,\tO\tO' -p284329 -aS'hypoxemia\thypoxemia\tNN\tB-NP\tO' -p284330 -aS',\t,\t,\tO\tO' -p284331 -aS'and\tand\tCC\tO\tO' -p284332 -aS'bibasilar\tbibasilar\tJJ\tB-NP\tO' -p284333 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p284334 -aS'.\t.\t.\tO\tO' -p284335 -asS'Left lower extremity examination demonstrated no gross deformities and intact motor , sensory , and vascular examinations in all distributions .' -p284336 -(lp284337 -S'Left\tLeave\tVBN\tB-VP\tO' -p284338 -aS'lower\tlow\tJJR\tB-NP\tO' -p284339 -aS'extremity\textremity\tNN\tI-NP\tO' -p284340 -aS'examination\texamination\tNN\tI-NP\tO' -p284341 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p284342 -aS'no\tno\tDT\tB-NP\tO' -p284343 -aS'gross\tgross\tJJ\tI-NP\tO' -p284344 -aS'deformities\tdeformity\tNNS\tI-NP\tO' -p284345 -aS'and\tand\tCC\tO\tO' -p284346 -aS'intact\tintact\tJJ\tB-NP\tO' -p284347 -aS'motor\tmotor\tNN\tI-NP\tO' -p284348 -aS',\t,\t,\tO\tO' -p284349 -aS'sensory\tsensory\tNN\tB-NP\tO' -p284350 -aS',\t,\t,\tO\tO' -p284351 -aS'and\tand\tCC\tO\tO' -p284352 -aS'vascular\tvascular\tJJ\tB-NP\tO' -p284353 -aS'examinations\texamination\tNNS\tI-NP\tO' -p284354 -aS'in\tin\tIN\tB-PP\tO' -p284355 -aS'all\tall\tDT\tB-NP\tO' -p284356 -aS'distributions\tdistribution\tNNS\tI-NP\tO' -p284357 -aS'.\t.\t.\tO\tO' -p284358 -asS'We changed the dressings tid instead of bid for continued drainage .' -p284359 -(lp284360 -S'We\tWe\tPRP\tB-NP\tO' -p284361 -aS'changed\tchange\tVBD\tB-VP\tO' -p284362 -aS'the\tthe\tDT\tB-NP\tO' -p284363 -aS'dressings\tdressing\tNNS\tI-NP\tO' -p284364 -aS'tid\ttid\tVBD\tB-VP\tO' -p284365 -aS'instead\tinstead\tRB\tB-CONJP\tO' -p284366 -aS'of\tof\tIN\tI-CONJP\tO' -p284367 -aS'bid\tbid\tNN\tB-NP\tO' -p284368 -aS'for\tfor\tIN\tB-PP\tO' -p284369 -aS'continued\tcontinued\tJJ\tB-NP\tO' -p284370 -aS'drainage\tdrainage\tNN\tI-NP\tO' -p284371 -aS'.\t.\t.\tO\tO' -p284372 -asS'no masses , neck revealed lymphadenopathy .' -p284373 -(lp284374 -S'no\tno\tDT\tB-NP\tO' -p284375 -aS'masses\tmass\tNNS\tI-NP\tO' -p284376 -aS',\t,\t,\tO\tO' -p284377 -aS'neck\tneck\tNN\tB-NP\tO' -p284378 -aS'revealed\treveal\tVBD\tB-VP\tO' -p284379 -aS'lymphadenopathy\tlymphadenopathy\tNN\tB-NP\tO' -p284380 -aS'.\t.\t.\tO\tO' -p284381 -asS'Grim .' -p284382 -(lp284383 -S'Grim\tGrim\tNNP\tB-NP\tO' -p284384 -aS'.\t.\t.\tO\tO' -p284385 -asS'On physical examination , he is a cachectic white male looking older than his stated age , who is in no acute distress .' -p284386 -(lp284387 -S'On\tOn\tIN\tB-PP\tO' -p284388 -aS'physical\tphysical\tJJ\tB-NP\tO' -p284389 -aS'examination\texamination\tNN\tI-NP\tO' -p284390 -aS',\t,\t,\tO\tO' -p284391 -aS'he\the\tPRP\tB-NP\tO' -p284392 -aS'is\tbe\tVBZ\tB-VP\tO' -p284393 -aS'a\ta\tDT\tB-NP\tO' -p284394 -aS'cachectic\tcachectic\tJJ\tI-NP\tO' -p284395 -aS'white\twhite\tJJ\tI-NP\tO' -p284396 -aS'male\tmale\tNN\tI-NP\tO' -p284397 -aS'looking\tlook\tVBG\tB-VP\tO' -p284398 -aS'older\told\tJJR\tB-ADJP\tO' -p284399 -aS'than\tthan\tIN\tB-PP\tO' -p284400 -aS'his\this\tPRP$\tB-NP\tB-DNA' -p284401 -aS'stated\tstate\tVBN\tI-NP\tO' -p284402 -aS'age\tage\tNN\tI-NP\tO' -p284403 -aS',\t,\t,\tO\tO' -p284404 -aS'who\twho\tWP\tB-NP\tO' -p284405 -aS'is\tbe\tVBZ\tB-VP\tO' -p284406 -aS'in\tin\tIN\tB-PP\tO' -p284407 -aS'no\tno\tDT\tB-NP\tO' -p284408 -aS'acute\tacute\tJJ\tI-NP\tO' -p284409 -aS'distress\tdistress\tNN\tI-NP\tO' -p284410 -aS'.\t.\t.\tO\tO' -p284411 -asS'Normal testes and penis .' -p284412 -(lp284413 -S'Normal\tNormal\tJJ\tB-NP\tO' -p284414 -aS'testes\ttestis\tNNS\tI-NP\tO' -p284415 -aS'and\tand\tCC\tI-NP\tO' -p284416 -aS'penis\tpeni\tNNS\tI-NP\tO' -p284417 -aS'.\t.\t.\tO\tO' -p284418 -asS'The patient was presumed to have a rheumatoid factor negative , rheumatoid arthritis and he was prescribed Naprosyn , prednisone and sulfasalazine .' -p284419 -(lp284420 -S'The\tThe\tDT\tB-NP\tO' -p284421 -aS'patient\tpatient\tNN\tI-NP\tO' -p284422 -aS'was\tbe\tVBD\tB-VP\tO' -p284423 -aS'presumed\tpresume\tVBN\tI-VP\tO' -p284424 -aS'to\tto\tTO\tI-VP\tO' -p284425 -aS'have\thave\tVB\tI-VP\tO' -p284426 -aS'a\ta\tDT\tB-NP\tO' -p284427 -aS'rheumatoid\trheumatoid\tJJ\tI-NP\tB-protein' -p284428 -aS'factor\tfactor\tNN\tI-NP\tI-protein' -p284429 -aS'negative\tnegative\tJJ\tI-NP\tO' -p284430 -aS',\t,\t,\tI-NP\tO' -p284431 -aS'rheumatoid\trheumatoid\tJJ\tI-NP\tO' -p284432 -aS'arthritis\tarthritis\tNN\tI-NP\tO' -p284433 -aS'and\tand\tCC\tO\tO' -p284434 -aS'he\the\tPRP\tB-NP\tO' -p284435 -aS'was\tbe\tVBD\tB-VP\tO' -p284436 -aS'prescribed\tprescribe\tVBN\tI-VP\tO' -p284437 -aS'Naprosyn\tNaprosyn\tNN\tB-NP\tO' -p284438 -aS',\t,\t,\tI-NP\tO' -p284439 -aS'prednisone\tprednisone\tNN\tI-NP\tO' -p284440 -aS'and\tand\tCC\tI-NP\tO' -p284441 -aS'sulfasalazine\tsulfasalazine\tNN\tI-NP\tO' -p284442 -aS'.\t.\t.\tO\tO' -p284443 -asS'There were no rashes .' -p284444 -(lp284445 -S'There\tThere\tEX\tB-NP\tO' -p284446 -aS'were\tbe\tVBD\tB-VP\tO' -p284447 -aS'no\tno\tDT\tB-NP\tO' -p284448 -aS'rashes\trash\tNNS\tI-NP\tO' -p284449 -aS'.\t.\t.\tO\tO' -p284450 -asS'This was relayed to the family , and they will readdress this with Dr. Ford ( MS Hoyos ).' -p284451 -(lp284452 -S'This\tThis\tDT\tB-NP\tO' -p284453 -aS'was\tbe\tVBD\tB-VP\tO' -p284454 -aS'relayed\trelay\tVBN\tI-VP\tO' -p284455 -aS'to\tto\tTO\tB-PP\tO' -p284456 -aS'the\tthe\tDT\tB-NP\tO' -p284457 -aS'family\tfamily\tNN\tI-NP\tO' -p284458 -aS',\t,\t,\tO\tO' -p284459 -aS'and\tand\tCC\tO\tO' -p284460 -aS'they\tthey\tPRP\tB-NP\tO' -p284461 -aS'will\twill\tMD\tB-VP\tO' -p284462 -aS'readdress\treaddress\tVB\tI-VP\tO' -p284463 -aS'this\tthis\tDT\tB-NP\tO' -p284464 -aS'with\twith\tIN\tB-PP\tO' -p284465 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p284466 -aS'Ford\tFord\tNNP\tI-NP\tO' -p284467 -aS'(\t(\t(\tO\tO' -p284468 -aS'MS\tMS\tNNP\tB-NP\tO' -p284469 -aS'Hoyos\tHoyos\tNNP\tI-NP\tO' -p284470 -aS').\t).\tNNP\tI-NP\tO' -p284471 -asS'1. 7-2-93 , emergency room exploratory laparotomy , repair of liver laceration , repair of torn transverse mesocolon , repair of serosal tear of transverse colon , ligation and division of ruptured left renal vein , exploration of pancreas ,' -p284472 -(lp284473 -S'1.\t1.\tLS\tB-LST\tO' -p284474 -aS'7-2-93\t7-2-93\tNN\tB-NP\tO' -p284475 -aS',\t,\t,\tO\tO' -p284476 -aS'emergency\temergency\tNN\tB-NP\tO' -p284477 -aS'room\troom\tNN\tI-NP\tO' -p284478 -aS'exploratory\texploratory\tNN\tI-NP\tO' -p284479 -aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' -p284480 -aS',\t,\t,\tO\tO' -p284481 -aS'repair\trepair\tNN\tB-NP\tO' -p284482 -aS'of\tof\tIN\tB-PP\tO' -p284483 -aS'liver\tliver\tNN\tB-NP\tO' -p284484 -aS'laceration\tlaceration\tNN\tI-NP\tO' -p284485 -aS',\t,\t,\tO\tO' -p284486 -aS'repair\trepair\tNN\tB-NP\tO' -p284487 -aS'of\tof\tIN\tB-PP\tO' -p284488 -aS'torn\ttear\tVBN\tB-NP\tO' -p284489 -aS'transverse\ttransverse\tJJ\tI-NP\tO' -p284490 -aS'mesocolon\tmesocolon\tNN\tI-NP\tO' -p284491 -aS',\t,\t,\tO\tO' -p284492 -aS'repair\trepair\tNN\tB-NP\tO' -p284493 -aS'of\tof\tIN\tB-PP\tO' -p284494 -aS'serosal\tserosal\tJJ\tB-NP\tO' -p284495 -aS'tear\ttear\tNN\tI-NP\tO' -p284496 -aS'of\tof\tIN\tB-PP\tO' -p284497 -aS'transverse\ttransverse\tJJ\tB-NP\tO' -p284498 -aS'colon\tcolon\tNN\tI-NP\tO' -p284499 -aS',\t,\t,\tI-NP\tO' -p284500 -aS'ligation\tligation\tNN\tI-NP\tO' -p284501 -aS'and\tand\tCC\tI-NP\tO' -p284502 -aS'division\tdivision\tNN\tI-NP\tO' -p284503 -aS'of\tof\tIN\tB-PP\tO' -p284504 -aS'ruptured\truptured\tJJ\tB-NP\tO' -p284505 -aS'left\tleft\tJJ\tI-NP\tO' -p284506 -aS'renal\trenal\tJJ\tI-NP\tO' -p284507 -aS'vein\tvein\tNN\tI-NP\tO' -p284508 -aS',\t,\t,\tO\tO' -p284509 -aS'exploration\texploration\tNN\tB-NP\tO' -p284510 -aS'of\tof\tIN\tB-PP\tO' -p284511 -aS'pancreas\tpancreas\tNN\tB-NP\tO' -p284512 -aS',\t,\t,\tO\tO' -p284513 -asS'PTT was 27.3 .' -p284514 -(lp284515 -S'PTT\tPTT\tNN\tB-NP\tO' -p284516 -aS'was\tbe\tVBD\tB-VP\tO' -p284517 -aS'27.3\t27.3\tCD\tB-NP\tO' -p284518 -aS'.\t.\t.\tO\tO' -p284519 -asS'By hospital day 4 , he remained afebrile throughout his hospital course .' -p284520 -(lp284521 -S'By\tBy\tIN\tB-PP\tO' -p284522 -aS'hospital\thospital\tNN\tB-NP\tO' -p284523 -aS'day\tday\tNN\tI-NP\tO' -p284524 -aS'4\t4\tCD\tI-NP\tO' -p284525 -aS',\t,\t,\tO\tO' -p284526 -aS'he\the\tPRP\tB-NP\tO' -p284527 -aS'remained\tremain\tVBD\tB-VP\tO' -p284528 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p284529 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p284530 -aS'his\this\tPRP$\tB-NP\tO' -p284531 -aS'hospital\thospital\tNN\tI-NP\tO' -p284532 -aS'course\tcourse\tNN\tI-NP\tO' -p284533 -aS'.\t.\t.\tO\tO' -p284534 -asS'A left-to-right shunt across the interatrial septum is seen at rest .' -p284535 -(lp284536 -S'A\tA\tDT\tB-NP\tO' -p284537 -aS'left-to-right\tleft-to-right\tJJ\tI-NP\tO' -p284538 -aS'shunt\tshunt\tNN\tI-NP\tO' -p284539 -aS'across\tacross\tIN\tB-PP\tO' -p284540 -aS'the\tthe\tDT\tB-NP\tO' -p284541 -aS'interatrial\tinteratrial\tJJ\tI-NP\tO' -p284542 -aS'septum\tseptum\tNN\tI-NP\tO' -p284543 -aS'is\tbe\tVBZ\tB-VP\tO' -p284544 -aS'seen\tsee\tVBN\tI-VP\tO' -p284545 -aS'at\tat\tIN\tB-PP\tO' -p284546 -aS'rest\trest\tNN\tB-NP\tO' -p284547 -aS'.\t.\t.\tO\tO' -p284548 -asS'His hematocrit dropped down to the level of 20 .' -p284549 -(lp284550 -S'His\tHis\tPRP$\tB-NP\tO' -p284551 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p284552 -aS'dropped\tdrop\tVBD\tB-VP\tO' -p284553 -aS'down\tdown\tRB\tB-ADVP\tO' -p284554 -aS'to\tto\tTO\tB-PP\tO' -p284555 -aS'the\tthe\tDT\tB-NP\tO' -p284556 -aS'level\tlevel\tNN\tI-NP\tO' -p284557 -aS'of\tof\tIN\tB-PP\tO' -p284558 -aS'20\t20\tCD\tB-NP\tO' -p284559 -aS'.\t.\t.\tO\tO' -p284560 -asS'2. Compazine 10 mg p.o. q 6hours p.r.n. nausea .' -p284561 -(lp284562 -S'2.\t2.\tLS\tB-LST\tO' -p284563 -aS'Compazine\tCompazine\tNN\tB-NP\tO' -p284564 -aS'10\t10\tCD\tI-NP\tO' -p284565 -aS'mg\tmg\tNN\tI-NP\tO' -p284566 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p284567 -aS'q\tq\tNN\tI-NP\tO' -p284568 -aS'6hours\t6hour\tNNS\tI-NP\tO' -p284569 -aS'p.r.n.\tp.r.n.\tFW\tB-NP\tO' -p284570 -aS'nausea\tnausea\tNN\tI-NP\tO' -p284571 -aS'.\t.\t.\tO\tO' -p284572 -asS'The patient did have any nausea , vomiting or evidence of gastrointestinal bleeding .' -p284573 -(lp284574 -S'The\tThe\tDT\tB-NP\tO' -p284575 -aS'patient\tpatient\tNN\tI-NP\tO' -p284576 -aS'did\tdo\tVBD\tB-VP\tO' -p284577 -aS'have\thave\tVB\tI-VP\tO' -p284578 -aS'any\tany\tDT\tB-NP\tO' -p284579 -aS'nausea\tnausea\tNN\tI-NP\tO' -p284580 -aS',\t,\t,\tI-NP\tO' -p284581 -aS'vomiting\tvomiting\tNN\tI-NP\tO' -p284582 -aS'or\tor\tCC\tI-NP\tO' -p284583 -aS'evidence\tevidence\tNN\tI-NP\tO' -p284584 -aS'of\tof\tIN\tB-PP\tO' -p284585 -aS'gastrointestinal\tgastrointestinal\tJJ\tB-NP\tO' -p284586 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p284587 -aS'.\t.\t.\tO\tO' -p284588 -asS'This is a 79 y/o M with h/o HTN , DM , recent CVA , chronic ventilatory failure , CRI on HD who presents with change in MS and febrile in the Amanda , admitted to CMED .' -p284589 -(lp284590 -S'This\tThis\tDT\tB-NP\tO' -p284591 -aS'is\tbe\tVBZ\tB-VP\tO' -p284592 -aS'a\ta\tDT\tB-NP\tO' -p284593 -aS'79\t79\tCD\tI-NP\tO' -p284594 -aS'y/o\ty/o\tNN\tI-NP\tO' -p284595 -aS'M\tM\tNN\tI-NP\tO' -p284596 -aS'with\twith\tIN\tB-PP\tO' -p284597 -aS'h/o\th/o\tNN\tB-NP\tO' -p284598 -aS'HTN\tHTN\tNN\tI-NP\tO' -p284599 -aS',\t,\t,\tO\tO' -p284600 -aS'DM\tDM\tNN\tB-NP\tO' -p284601 -aS',\t,\t,\tO\tO' -p284602 -aS'recent\trecent\tJJ\tB-NP\tO' -p284603 -aS'CVA\tCVA\tNN\tI-NP\tO' -p284604 -aS',\t,\t,\tO\tO' -p284605 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p284606 -aS'ventilatory\tventilatory\tJJ\tI-NP\tO' -p284607 -aS'failure\tfailure\tNN\tI-NP\tO' -p284608 -aS',\t,\t,\tO\tO' -p284609 -aS'CRI\tCRI\tNN\tB-NP\tB-protein' -p284610 -aS'on\ton\tIN\tB-PP\tO' -p284611 -aS'HD\tHD\tNN\tB-NP\tB-DNA' -p284612 -aS'who\twho\tWP\tB-NP\tI-DNA' -p284613 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p284614 -aS'with\twith\tIN\tB-PP\tO' -p284615 -aS'change\tchange\tNN\tB-NP\tO' -p284616 -aS'in\tin\tIN\tB-PP\tO' -p284617 -aS'MS\tMS\tNN\tB-NP\tO' -p284618 -aS'and\tand\tCC\tI-NP\tO' -p284619 -aS'febrile\tfebrile\tNN\tI-NP\tO' -p284620 -aS'in\tin\tIN\tB-PP\tO' -p284621 -aS'the\tthe\tDT\tB-NP\tO' -p284622 -aS'Amanda\tAmanda\tNNP\tI-NP\tO' -p284623 -aS',\t,\t,\tO\tO' -p284624 -aS'admitted\tadmit\tVBD\tB-VP\tO' -p284625 -aS'to\tto\tTO\tB-PP\tO' -p284626 -aS'CMED\tCMED\tNN\tB-NP\tO' -p284627 -aS'.\t.\t.\tO\tO' -p284628 -asS'There were no lifts or heaves on examination .' -p284629 -(lp284630 -S'There\tThere\tEX\tB-NP\tO' -p284631 -aS'were\tbe\tVBD\tB-VP\tO' -p284632 -aS'no\tno\tDT\tB-NP\tO' -p284633 -aS'lifts\tlift\tNNS\tI-NP\tO' -p284634 -aS'or\tor\tCC\tI-NP\tO' -p284635 -aS'heaves\theave\tNNS\tI-NP\tO' -p284636 -aS'on\ton\tIN\tB-PP\tO' -p284637 -aS'examination\texamination\tNN\tB-NP\tO' -p284638 -aS'.\t.\t.\tO\tO' -p284639 -asS'Left upper and lower extremities revealed no deformities .' -p284640 -(lp284641 -S'Left\tLeave\tVBN\tB-NP\tO' -p284642 -aS'upper\tupper\tJJ\tI-NP\tO' -p284643 -aS'and\tand\tCC\tI-NP\tO' -p284644 -aS'lower\tlow\tJJR\tI-NP\tO' -p284645 -aS'extremities\textremity\tNNS\tI-NP\tO' -p284646 -aS'revealed\treveal\tVBD\tB-VP\tO' -p284647 -aS'no\tno\tDT\tB-NP\tO' -p284648 -aS'deformities\tdeformity\tNNS\tI-NP\tO' -p284649 -aS'.\t.\t.\tO\tO' -p284650 -asS'Linda is breast feeding every 3 hours and supplementing with expressed breast milk .' -p284651 -(lp284652 -S'Linda\tLinda\tNNP\tB-NP\tO' -p284653 -aS'is\tbe\tVBZ\tB-VP\tO' -p284654 -aS'breast\tbreast\tNN\tB-NP\tO' -p284655 -aS'feeding\tfeed\tVBG\tB-VP\tO' -p284656 -aS'every\tevery\tDT\tB-NP\tO' -p284657 -aS'3\t3\tCD\tI-NP\tO' -p284658 -aS'hours\thour\tNNS\tI-NP\tO' -p284659 -aS'and\tand\tCC\tO\tO' -p284660 -aS'supplementing\tsupplement\tVBG\tB-VP\tO' -p284661 -aS'with\twith\tIN\tB-PP\tO' -p284662 -aS'expressed\texpress\tVBN\tB-NP\tO' -p284663 -aS'breast\tbreast\tNN\tI-NP\tO' -p284664 -aS'milk\tmilk\tNN\tI-NP\tO' -p284665 -aS'.\t.\t.\tO\tO' -p284666 -asS'It was felt that given her age , multiple co-morbidities , that her prognosis was poor even prior to CCU admission , possible pericardial drainage or repeat thoracenteses .' -p284667 -(lp284668 -S'It\tIt\tPRP\tB-NP\tO' -p284669 -aS'was\tbe\tVBD\tB-VP\tO' -p284670 -aS'felt\tfeel\tVBN\tI-VP\tO' -p284671 -aS'that\tthat\tIN\tB-SBAR\tO' -p284672 -aS'given\tgive\tVBN\tB-PP\tO' -p284673 -aS'her\ther\tPRP$\tB-NP\tO' -p284674 -aS'age\tage\tNN\tI-NP\tO' -p284675 -aS',\t,\t,\tO\tO' -p284676 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p284677 -aS'co-morbidities\tco-morbidity\tNNS\tI-NP\tO' -p284678 -aS',\t,\t,\tO\tO' -p284679 -aS'that\tthat\tIN\tB-SBAR\tO' -p284680 -aS'her\ther\tPRP$\tB-NP\tO' -p284681 -aS'prognosis\tprognosis\tNN\tI-NP\tO' -p284682 -aS'was\tbe\tVBD\tB-VP\tO' -p284683 -aS'poor\tpoor\tJJ\tB-ADJP\tO' -p284684 -aS'even\teven\tRB\tB-ADVP\tO' -p284685 -aS'prior\tprior\tRB\tI-ADVP\tO' -p284686 -aS'to\tto\tTO\tB-PP\tO' -p284687 -aS'CCU\tCCU\tNN\tB-NP\tO' -p284688 -aS'admission\tadmission\tNN\tI-NP\tO' -p284689 -aS',\t,\t,\tO\tO' -p284690 -aS'possible\tpossible\tJJ\tB-NP\tO' -p284691 -aS'pericardial\tpericardial\tJJ\tI-NP\tO' -p284692 -aS'drainage\tdrainage\tNN\tI-NP\tO' -p284693 -aS'or\tor\tCC\tI-NP\tO' -p284694 -aS'repeat\trepeat\tNN\tI-NP\tO' -p284695 -aS'thoracenteses\tthoracentes\tNNS\tI-NP\tO' -p284696 -aS'.\t.\t.\tO\tO' -p284697 -asS'No history of catheterization prior to admission to the Saint Vincent Hospital .' -p284698 -(lp284699 -S'No\tNo\tDT\tB-NP\tO' -p284700 -aS'history\thistory\tNN\tI-NP\tO' -p284701 -aS'of\tof\tIN\tB-PP\tO' -p284702 -aS'catheterization\tcatheterization\tNN\tB-NP\tO' -p284703 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p284704 -aS'to\tto\tTO\tB-PP\tO' -p284705 -aS'admission\tadmission\tNN\tB-NP\tO' -p284706 -aS'to\tto\tTO\tB-PP\tO' -p284707 -aS'the\tthe\tDT\tB-NP\tO' -p284708 -aS'Saint\tSaint\tNNP\tI-NP\tO' -p284709 -aS'Vincent\tVincent\tNNP\tI-NP\tO' -p284710 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p284711 -aS'.\t.\t.\tO\tO' -p284712 -asS'He is going out on a cardiac healthy , diabetic diet , as tolerated with Boost supplements .' -p284713 -(lp284714 -S'He\tHe\tPRP\tB-NP\tO' -p284715 -aS'is\tbe\tVBZ\tB-VP\tO' -p284716 -aS'going\tgo\tVBG\tI-VP\tO' -p284717 -aS'out\tout\tRP\tB-PRT\tO' -p284718 -aS'on\ton\tIN\tB-PP\tO' -p284719 -aS'a\ta\tDT\tB-NP\tO' -p284720 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p284721 -aS'healthy\thealthy\tJJ\tI-NP\tO' -p284722 -aS',\t,\t,\tI-NP\tO' -p284723 -aS'diabetic\tdiabetic\tJJ\tI-NP\tO' -p284724 -aS'diet\tdiet\tNN\tI-NP\tO' -p284725 -aS',\t,\t,\tO\tO' -p284726 -aS'as\tas\tIN\tB-SBAR\tO' -p284727 -aS'tolerated\ttolerate\tVBN\tB-VP\tO' -p284728 -aS'with\twith\tIN\tB-PP\tO' -p284729 -aS'Boost\tBoost\tNN\tB-NP\tO' -p284730 -aS'supplements\tsupplement\tNNS\tI-NP\tO' -p284731 -aS'.\t.\t.\tO\tO' -p284732 -asS'Over the next several days , her neurological status slowly improved .' -p284733 -(lp284734 -S'Over\tOver\tIN\tB-PP\tO' -p284735 -aS'the\tthe\tDT\tB-NP\tO' -p284736 -aS'next\tnext\tJJ\tI-NP\tO' -p284737 -aS'several\tseveral\tJJ\tI-NP\tO' -p284738 -aS'days\tday\tNNS\tI-NP\tO' -p284739 -aS',\t,\t,\tO\tO' -p284740 -aS'her\ther\tPRP$\tB-NP\tO' -p284741 -aS'neurological\tneurological\tJJ\tI-NP\tO' -p284742 -aS'status\tstatus\tNN\tI-NP\tO' -p284743 -aS'slowly\tslowly\tRB\tB-VP\tO' -p284744 -aS'improved\timprove\tVBN\tI-VP\tO' -p284745 -aS'.\t.\t.\tO\tO' -p284746 -asS'5. Levoxyl 100 mEq q. day .' -p284747 -(lp284748 -S'5.\t5.\tLS\tB-NP\tO' -p284749 -aS'Levoxyl\tLevoxyl\tNNP\tI-NP\tO' -p284750 -aS'100\t100\tCD\tI-NP\tO' -p284751 -aS'mEq\tmEq\tNN\tI-NP\tO' -p284752 -aS'q.\tq.\tNN\tI-NP\tO' -p284753 -aS'day\tday\tNN\tI-NP\tO' -p284754 -aS'.\t.\t.\tO\tO' -p284755 -asS'4. Hypothyroidism .' -p284756 -(lp284757 -S'4.\t4.\tLS\tB-NP\tO' -p284758 -aS'Hypothyroidism\tHypothyroidism\tNN\tI-NP\tO' -p284759 -aS'.\t.\t.\tO\tO' -p284760 -asS'The patient was then transferred to Medicine Team D given her tenuous hemodynamic status .' -p284761 -(lp284762 -S'The\tThe\tDT\tB-NP\tO' -p284763 -aS'patient\tpatient\tNN\tI-NP\tO' -p284764 -aS'was\tbe\tVBD\tB-VP\tO' -p284765 -aS'then\tthen\tRB\tI-VP\tO' -p284766 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p284767 -aS'to\tto\tTO\tB-PP\tO' -p284768 -aS'Medicine\tMedicine\tNNP\tB-NP\tO' -p284769 -aS'Team\tTeam\tNNP\tI-NP\tO' -p284770 -aS'D\tD\tNNP\tI-NP\tO' -p284771 -aS'given\tgive\tVBN\tB-VP\tO' -p284772 -aS'her\ther\tPRP$\tB-NP\tO' -p284773 -aS'tenuous\ttenuous\tJJ\tI-NP\tO' -p284774 -aS'hemodynamic\themodynamic\tJJ\tI-NP\tO' -p284775 -aS'status\tstatus\tNN\tI-NP\tO' -p284776 -aS'.\t.\t.\tO\tO' -p284777 -asS'9 ) Premarin 0.625 mg p.o. q. day .' -p284778 -(lp284779 -S'9\t9\tCD\tB-NP\tO' -p284780 -aS')\t)\t)\tO\tO' -p284781 -aS'Premarin\tPremarin\tNN\tB-NP\tO' -p284782 -aS'0.625\t0.625\tCD\tI-NP\tO' -p284783 -aS'mg\tmg\tNN\tI-NP\tO' -p284784 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p284785 -aS'q.\tq.\tNN\tI-NP\tO' -p284786 -aS'day\tday\tNN\tI-NP\tO' -p284787 -aS'.\t.\t.\tO\tO' -p284788 -asS"2. Atrial fibrillation - The patient 's Digoxin had been weaned off prior to his admission ." -p284789 -(lp284790 -S'2.\t2.\tLS\tB-NP\tO' -p284791 -aS'Atrial\tAtrial\tJJ\tI-NP\tO' -p284792 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p284793 -aS'-\t-\tHYPH\tO\tO' -p284794 -aS'The\tThe\tDT\tB-NP\tO' -p284795 -aS'patient\tpatient\tNN\tI-NP\tO' -p284796 -aS"'s\t's\tPOS\tB-NP\tO" -p284797 -aS'Digoxin\tDigoxin\tNN\tI-NP\tO' -p284798 -aS'had\thave\tVBD\tB-VP\tO' -p284799 -aS'been\tbe\tVBN\tI-VP\tO' -p284800 -aS'weaned\twean\tVBN\tI-VP\tO' -p284801 -aS'off\toff\tRP\tB-PRT\tO' -p284802 -aS'prior\tprior\tRB\tB-ADVP\tO' -p284803 -aS'to\tto\tTO\tB-PP\tO' -p284804 -aS'his\this\tPRP$\tB-NP\tO' -p284805 -aS'admission\tadmission\tNN\tI-NP\tO' -p284806 -aS'.\t.\t.\tO\tO' -p284807 -asS'Also , at the time of discharge , for increased afterload reduction , she was started on lisinopril 5 mg p.o. q.d.' -p284808 -(lp284809 -S'Also\tAlso\tRB\tB-ADVP\tO' -p284810 -aS',\t,\t,\tO\tO' -p284811 -aS'at\tat\tIN\tB-PP\tO' -p284812 -aS'the\tthe\tDT\tB-NP\tO' -p284813 -aS'time\ttime\tNN\tI-NP\tO' -p284814 -aS'of\tof\tIN\tB-PP\tO' -p284815 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p284816 -aS',\t,\t,\tO\tO' -p284817 -aS'for\tfor\tIN\tB-PP\tO' -p284818 -aS'increased\tincrease\tVBN\tB-NP\tO' -p284819 -aS'afterload\tafterload\tJJ\tI-NP\tO' -p284820 -aS'reduction\treduction\tNN\tI-NP\tO' -p284821 -aS',\t,\t,\tO\tO' -p284822 -aS'she\tshe\tPRP\tB-NP\tO' -p284823 -aS'was\tbe\tVBD\tB-VP\tO' -p284824 -aS'started\tstart\tVBN\tI-VP\tO' -p284825 -aS'on\ton\tIN\tB-PP\tO' -p284826 -aS'lisinopril\tlisinopril\tNN\tB-NP\tO' -p284827 -aS'5\t5\tCD\tI-NP\tO' -p284828 -aS'mg\tmg\tNN\tI-NP\tO' -p284829 -aS'p.o.\tp.o.\tFW\tB-ADVP\tO' -p284830 -aS'q.d.\tq.d.\tFW\tI-ADVP\tO' -p284831 -asS'sodium 142 , potassium 3.3 , chloride 98 , bicarbonate 34 , BUN and creatinine 14/0.9 .' -p284832 -(lp284833 -S'sodium\tsodium\tNN\tB-NP\tO' -p284834 -aS'142\t142\tCD\tI-NP\tO' -p284835 -aS',\t,\t,\tO\tO' -p284836 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p284837 -aS'3.3\t3.3\tCD\tI-NP\tO' -p284838 -aS',\t,\t,\tO\tO' -p284839 -aS'chloride\tchloride\tNN\tB-NP\tO' -p284840 -aS'98\t98\tCD\tI-NP\tO' -p284841 -aS',\t,\t,\tO\tO' -p284842 -aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' -p284843 -aS'34\t34\tCD\tI-NP\tO' -p284844 -aS',\t,\t,\tO\tO' -p284845 -aS'BUN\tBUN\tNN\tB-NP\tO' -p284846 -aS'and\tand\tCC\tO\tO' -p284847 -aS'creatinine\tcreatinine\tNN\tB-NP\tB-protein' -p284848 -aS'14/0.9\t14/0.9\tCD\tI-NP\tI-protein' -p284849 -aS'.\t.\t.\tO\tO' -p284850 -asS'Conditions , Infections , Complications , affecting Treatment / Stay Allergies - PCN - rash - Bactrim - hives - Erythro - nausea - Ceclor - nausea - Clarythro = rash' -p284851 -(lp284852 -S'Conditions\tCondition\tNNS\tB-NP\tO' -p284853 -aS',\t,\t,\tO\tO' -p284854 -aS'Infections\tInfection\tNNS\tB-NP\tO' -p284855 -aS',\t,\t,\tO\tO' -p284856 -aS'Complications\tComplication\tNNS\tB-NP\tO' -p284857 -aS',\t,\t,\tO\tO' -p284858 -aS'affecting\taffect\tVBG\tB-VP\tO' -p284859 -aS'Treatment\tTreatment\tNN\tB-NP\tO' -p284860 -aS'/\t/\tSYM\tO\tO' -p284861 -aS'Stay\tStay\tNN\tB-NP\tO' -p284862 -aS'Allergies\tAllergy\tNNPS\tI-NP\tO' -p284863 -aS'-\t-\tHYPH\tB-NP\tO' -p284864 -aS'PCN\tPCN\tNN\tI-NP\tB-protein' -p284865 -aS'-\t-\tHYPH\tB-NP\tO' -p284866 -aS'rash\trash\tNN\tI-NP\tO' -p284867 -aS'-\t-\tHYPH\tB-NP\tO' -p284868 -aS'Bactrim\tBactrim\tNN\tI-NP\tO' -p284869 -aS'-\t-\tHYPH\tB-NP\tO' -p284870 -aS'hives\thive\tVBZ\tB-VP\tO' -p284871 -aS'-\t-\tHYPH\tB-NP\tO' -p284872 -aS'Erythro\tErythro\tNN\tI-NP\tB-protein' -p284873 -aS'-\t-\tHYPH\tB-NP\tI-protein' -p284874 -aS'nausea\tnausea\tNN\tI-NP\tI-protein' -p284875 -aS'-\t-\tHYPH\tB-NP\tO' -p284876 -aS'Ceclor\tCeclor\tNN\tI-NP\tO' -p284877 -aS'-\t-\tHYPH\tB-NP\tO' -p284878 -aS'nausea\tnausea\tNN\tI-NP\tO' -p284879 -aS'-\t-\tHYPH\tB-NP\tO' -p284880 -aS'Clarythro\tClarythro\tNN\tI-NP\tO' -p284881 -aS'=\t=\tJJ\tI-NP\tO' -p284882 -aS'rash\trash\tNN\tI-NP\tO' -p284883 -asS'On the day of discharge , he is stating approximately 91 to 92% on three to four liters .' -p284884 -(lp284885 -S'On\tOn\tIN\tB-PP\tO' -p284886 -aS'the\tthe\tDT\tB-NP\tO' -p284887 -aS'day\tday\tNN\tI-NP\tO' -p284888 -aS'of\tof\tIN\tB-PP\tO' -p284889 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p284890 -aS',\t,\t,\tO\tO' -p284891 -aS'he\the\tPRP\tB-NP\tO' -p284892 -aS'is\tbe\tVBZ\tB-VP\tO' -p284893 -aS'stating\tstate\tVBG\tI-VP\tO' -p284894 -aS'approximately\tapproximately\tRB\tB-ADVP\tO' -p284895 -aS'91\t91\tCD\tB-NP\tO' -p284896 -aS'to\tto\tTO\tB-PP\tO' -p284897 -aS'92%\t92%\tCD\tB-NP\tO' -p284898 -aS'on\ton\tIN\tB-PP\tO' -p284899 -aS'three\tthree\tCD\tB-NP\tO' -p284900 -aS'to\tto\tTO\tI-NP\tO' -p284901 -aS'four\tfour\tCD\tI-NP\tO' -p284902 -aS'liters\tliter\tNNS\tI-NP\tO' -p284903 -aS'.\t.\t.\tO\tO' -p284904 -asS'3. Prior transient ischemic attacks .' -p284905 -(lp284906 -S'3.\t3.\tLS\tB-NP\tO' -p284907 -aS'Prior\tPrior\tJJ\tI-NP\tO' -p284908 -aS'transient\ttransient\tJJ\tI-NP\tO' -p284909 -aS'ischemic\tischemic\tJJ\tI-NP\tO' -p284910 -aS'attacks\tattack\tNNS\tI-NP\tO' -p284911 -aS'.\t.\t.\tO\tO' -p284912 -asS'UAC and UVC lines were placed upon admission to the CMED .' -p284913 -(lp284914 -S'UAC\tUAC\tNN\tB-NP\tO' -p284915 -aS'and\tand\tCC\tI-NP\tO' -p284916 -aS'UVC\tUVC\tNN\tI-NP\tB-cell_line' -p284917 -aS'lines\tline\tNNS\tI-NP\tI-cell_line' -p284918 -aS'were\tbe\tVBD\tB-VP\tO' -p284919 -aS'placed\tplace\tVBN\tI-VP\tO' -p284920 -aS'upon\tupon\tIN\tB-PP\tO' -p284921 -aS'admission\tadmission\tNN\tB-NP\tO' -p284922 -aS'to\tto\tTO\tB-PP\tO' -p284923 -aS'the\tthe\tDT\tB-NP\tO' -p284924 -aS'CMED\tCMED\tNN\tI-NP\tO' -p284925 -aS'.\t.\t.\tO\tO' -p284926 -asS'He was transfered to the ICU in stable condition .' -p284927 -(lp284928 -S'He\tHe\tPRP\tB-NP\tO' -p284929 -aS'was\tbe\tVBD\tB-VP\tO' -p284930 -aS'transfered\ttransfer\tVBN\tI-VP\tO' -p284931 -aS'to\tto\tTO\tB-PP\tO' -p284932 -aS'the\tthe\tDT\tB-NP\tO' -p284933 -aS'ICU\tICU\tNN\tI-NP\tB-DNA' -p284934 -aS'in\tin\tIN\tB-PP\tO' -p284935 -aS'stable\tstable\tJJ\tB-NP\tO' -p284936 -aS'condition\tcondition\tNN\tI-NP\tO' -p284937 -aS'.\t.\t.\tO\tO' -p284938 -asS'Blood culture grew staph coagulase negative and the baby received seven days of vancomycin and gentamicin .' -p284939 -(lp284940 -S'Blood\tBlood\tNN\tB-NP\tO' -p284941 -aS'culture\tculture\tNN\tI-NP\tO' -p284942 -aS'grew\tgrow\tVBD\tB-VP\tO' -p284943 -aS'staph\tstaph\tNN\tB-NP\tB-protein' -p284944 -aS'coagulase\tcoagulase\tNN\tI-NP\tI-protein' -p284945 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p284946 -aS'and\tand\tCC\tO\tO' -p284947 -aS'the\tthe\tDT\tB-NP\tO' -p284948 -aS'baby\tbaby\tNN\tI-NP\tO' -p284949 -aS'received\treceive\tVBD\tB-VP\tO' -p284950 -aS'seven\tseven\tCD\tB-NP\tO' -p284951 -aS'days\tday\tNNS\tI-NP\tO' -p284952 -aS'of\tof\tIN\tB-PP\tO' -p284953 -aS'vancomycin\tvancomycin\tNN\tB-NP\tO' -p284954 -aS'and\tand\tCC\tI-NP\tO' -p284955 -aS'gentamicin\tgentamicin\tNN\tI-NP\tO' -p284956 -aS'.\t.\t.\tO\tO' -p284957 -asS'He was continued on p.o. prednisone and frequent nebulizers for COPD .' -p284958 -(lp284959 -S'He\tHe\tPRP\tB-NP\tO' -p284960 -aS'was\tbe\tVBD\tB-VP\tO' -p284961 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p284962 -aS'on\ton\tIN\tB-PP\tO' -p284963 -aS'p.o.\tp.o.\tNN\tB-NP\tO' -p284964 -aS'prednisone\tprednisone\tNN\tI-NP\tO' -p284965 -aS'and\tand\tCC\tO\tO' -p284966 -aS'frequent\tfrequent\tJJ\tB-NP\tO' -p284967 -aS'nebulizers\tnebulizer\tNNS\tI-NP\tO' -p284968 -aS'for\tfor\tIN\tB-PP\tO' -p284969 -aS'COPD\tCOPD\tNN\tB-NP\tO' -p284970 -aS'.\t.\t.\tO\tO' -p284971 -asS'She was started on Levofloxacin 500 mg po daily .' -p284972 -(lp284973 -S'She\tShe\tPRP\tB-NP\tO' -p284974 -aS'was\tbe\tVBD\tB-VP\tO' -p284975 -aS'started\tstart\tVBN\tI-VP\tO' -p284976 -aS'on\ton\tIN\tB-PP\tO' -p284977 -aS'Levofloxacin\tLevofloxacin\tNN\tB-NP\tO' -p284978 -aS'500\t500\tCD\tI-NP\tO' -p284979 -aS'mg\tmg\tNN\tI-NP\tO' -p284980 -aS'po\tpo\tRB\tB-ADVP\tO' -p284981 -aS'daily\tdaily\tRB\tI-ADVP\tO' -p284982 -aS'.\t.\t.\tO\tO' -p284983 -asS'Sepsis , myocardial infarction , ARDS , pneumonia' -p284984 -(lp284985 -S'Sepsis\tSepsis\tNN\tB-NP\tO' -p284986 -aS',\t,\t,\tO\tO' -p284987 -aS'myocardial\tmyocardial\tJJ\tB-NP\tO' -p284988 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p284989 -aS',\t,\t,\tO\tO' -p284990 -aS'ARDS\tARDS\tNN\tB-NP\tO' -p284991 -aS',\t,\t,\tO\tO' -p284992 -aS'pneumonia\tpneumonia\tNN\tB-NP\tO' -p284993 -asS'If you need additional information please call 662-747-1199 .' -p284994 -(lp284995 -S'If\tIf\tIN\tB-SBAR\tO' -p284996 -aS'you\tyou\tPRP\tB-NP\tO' -p284997 -aS'need\tneed\tVBP\tB-VP\tO' -p284998 -aS'additional\tadditional\tJJ\tB-NP\tO' -p284999 -aS'information\tinformation\tNN\tI-NP\tO' -p285000 -aS'please\tplease\tNN\tI-NP\tO' -p285001 -aS'call\tcall\tNN\tI-NP\tO' -p285002 -aS'662-747-1199\t662-747-1199\tCD\tI-NP\tO' -p285003 -aS'.\t.\t.\tO\tO' -p285004 -asS'Dr. Lloyd van de Clark in approximately one month postoperative .' -p285005 -(lp285006 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p285007 -aS'Lloyd\tLloyd\tNNP\tI-NP\tO' -p285008 -aS'van\tvan\tNNP\tI-NP\tO' -p285009 -aS'de\tde\tNNP\tI-NP\tO' -p285010 -aS'Clark\tClark\tNNP\tI-NP\tO' -p285011 -aS'in\tin\tIN\tB-PP\tO' -p285012 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p285013 -aS'one\tone\tCD\tI-NP\tO' -p285014 -aS'month\tmonth\tNN\tI-NP\tO' -p285015 -aS'postoperative\tpostoperative\tJJ\tB-ADJP\tO' -p285016 -aS'.\t.\t.\tO\tO' -p285017 -asS'In the Emergency Department , stool guaiac was trace positive .' -p285018 -(lp285019 -S'In\tIn\tIN\tB-PP\tO' -p285020 -aS'the\tthe\tDT\tB-NP\tO' -p285021 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p285022 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p285023 -aS',\t,\t,\tO\tO' -p285024 -aS'stool\tstool\tNN\tB-NP\tO' -p285025 -aS'guaiac\tguaiac\tNN\tI-NP\tO' -p285026 -aS'was\tbe\tVBD\tB-VP\tO' -p285027 -aS'trace\ttrace\tNN\tB-NP\tO' -p285028 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p285029 -aS'.\t.\t.\tO\tO' -p285030 -asS'2. Oxycodone - Acetaminophen 5-325 mg Tablet Sig : 1-2 Tablets PO Q4-6H ( every 4 to 6 hours ) as needed .' -p285031 -(lp285032 -S'2.\t2.\tLS\tB-NP\tO' -p285033 -aS'Oxycodone\tOxycodone\tNN\tI-NP\tO' -p285034 -aS'-\t-\tHYPH\tO\tO' -p285035 -aS'Acetaminophen\tAcetaminophen\tNN\tB-NP\tO' -p285036 -aS'5-325\t5-325\tCD\tI-NP\tO' -p285037 -aS'mg\tmg\tNN\tI-NP\tO' -p285038 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p285039 -aS'Sig\tSig\tNNP\tI-NP\tO' -p285040 -aS':\t:\t:\tO\tO' -p285041 -aS'1-2\t1-2\tCD\tB-NP\tO' -p285042 -aS'Tablets\tTablet\tNNS\tI-NP\tO' -p285043 -aS'PO\tPO\tNN\tI-NP\tO' -p285044 -aS'Q4-6H\tQ4-6H\tNN\tI-NP\tO' -p285045 -aS'(\t(\t(\tO\tO' -p285046 -aS'every\tevery\tDT\tB-NP\tO' -p285047 -aS'4\t4\tCD\tI-NP\tO' -p285048 -aS'to\tto\tTO\tI-NP\tO' -p285049 -aS'6\t6\tCD\tI-NP\tO' -p285050 -aS'hours\thour\tNNS\tI-NP\tO' -p285051 -aS')\t)\t)\tO\tO' -p285052 -aS'as\tas\tIN\tB-SBAR\tO' -p285053 -aS'needed\tneed\tVBN\tB-VP\tO' -p285054 -aS'.\t.\t.\tO\tO' -p285055 -asS'The examination of the remainder of the abdominal contents revealed no other injury ; in particular , the entire anterior surface and the immediately juxtaduodenal posterior surface of the pancreas were normal .' -p285056 -(lp285057 -S'The\tThe\tDT\tB-NP\tO' -p285058 -aS'examination\texamination\tNN\tI-NP\tO' -p285059 -aS'of\tof\tIN\tB-PP\tO' -p285060 -aS'the\tthe\tDT\tB-NP\tO' -p285061 -aS'remainder\tremainder\tNN\tI-NP\tO' -p285062 -aS'of\tof\tIN\tB-PP\tO' -p285063 -aS'the\tthe\tDT\tB-NP\tO' -p285064 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p285065 -aS'contents\tcontent\tNNS\tI-NP\tO' -p285066 -aS'revealed\treveal\tVBD\tB-VP\tO' -p285067 -aS'no\tno\tDT\tB-NP\tO' -p285068 -aS'other\tother\tJJ\tI-NP\tO' -p285069 -aS'injury\tinjury\tNN\tI-NP\tO' -p285070 -aS';\t;\t:\tO\tO' -p285071 -aS'in\tin\tIN\tB-PP\tO' -p285072 -aS'particular\tparticular\tJJ\tB-ADJP\tO' -p285073 -aS',\t,\t,\tO\tO' -p285074 -aS'the\tthe\tDT\tB-NP\tO' -p285075 -aS'entire\tentire\tJJ\tI-NP\tO' -p285076 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p285077 -aS'surface\tsurface\tNN\tI-NP\tO' -p285078 -aS'and\tand\tCC\tO\tO' -p285079 -aS'the\tthe\tDT\tB-NP\tO' -p285080 -aS'immediately\timmediately\tRB\tI-NP\tO' -p285081 -aS'juxtaduodenal\tjuxtaduodenal\tJJ\tI-NP\tO' -p285082 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p285083 -aS'surface\tsurface\tNN\tI-NP\tO' -p285084 -aS'of\tof\tIN\tB-PP\tO' -p285085 -aS'the\tthe\tDT\tB-NP\tO' -p285086 -aS'pancreas\tpancreas\tNN\tI-NP\tO' -p285087 -aS'were\tbe\tVBD\tB-VP\tO' -p285088 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p285089 -aS'.\t.\t.\tO\tO' -p285090 -asS'Abruption noted .' -p285091 -(lp285092 -S'Abruption\tAbruption\tNN\tB-NP\tO' -p285093 -aS'noted\tnote\tVBD\tB-VP\tO' -p285094 -aS'.\t.\t.\tO\tO' -p285095 -asS'Weight on discharge was 5200 grams .' -p285096 -(lp285097 -S'Weight\tWeight\tNN\tB-NP\tO' -p285098 -aS'on\ton\tIN\tB-PP\tO' -p285099 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p285100 -aS'was\tbe\tVBD\tB-VP\tO' -p285101 -aS'5200\t5200\tCD\tB-NP\tO' -p285102 -aS'grams\tgram\tNNS\tI-NP\tO' -p285103 -aS'.\t.\t.\tO\tO' -p285104 -asS'IVC filter placed 04-26 .' -p285105 -(lp285106 -S'IVC\tIVC\tNN\tB-NP\tO' -p285107 -aS'filter\tfilter\tNN\tI-NP\tO' -p285108 -aS'placed\tplace\tVBD\tB-VP\tO' -p285109 -aS'04-26\t04-26\tCD\tB-NP\tO' -p285110 -aS'.\t.\t.\tO\tO' -p285111 -asS'The motor examination , the tone and bulk were normal .' -p285112 -(lp285113 -S'The\tThe\tDT\tB-NP\tO' -p285114 -aS'motor\tmotor\tNN\tI-NP\tO' -p285115 -aS'examination\texamination\tNN\tI-NP\tO' -p285116 -aS',\t,\t,\tO\tO' -p285117 -aS'the\tthe\tDT\tB-NP\tO' -p285118 -aS'tone\ttone\tNN\tI-NP\tO' -p285119 -aS'and\tand\tCC\tI-NP\tO' -p285120 -aS'bulk\tbulk\tNN\tI-NP\tO' -p285121 -aS'were\tbe\tVBD\tB-VP\tO' -p285122 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p285123 -aS'.\t.\t.\tO\tO' -p285124 -asS'Physical examination at the time of admission revealed she was in no acute distress .' -p285125 -(lp285126 -S'Physical\tPhysical\tJJ\tB-NP\tO' -p285127 -aS'examination\texamination\tNN\tI-NP\tO' -p285128 -aS'at\tat\tIN\tB-PP\tO' -p285129 -aS'the\tthe\tDT\tB-NP\tO' -p285130 -aS'time\ttime\tNN\tI-NP\tO' -p285131 -aS'of\tof\tIN\tB-PP\tO' -p285132 -aS'admission\tadmission\tNN\tB-NP\tO' -p285133 -aS'revealed\treveal\tVBD\tB-VP\tO' -p285134 -aS'she\tshe\tPRP\tB-NP\tO' -p285135 -aS'was\tbe\tVBD\tB-VP\tO' -p285136 -aS'in\tin\tIN\tB-PP\tO' -p285137 -aS'no\tno\tDT\tB-NP\tO' -p285138 -aS'acute\tacute\tJJ\tI-NP\tO' -p285139 -aS'distress\tdistress\tNN\tI-NP\tO' -p285140 -aS'.\t.\t.\tO\tO' -p285141 -asS'An IVC filter placement was accomplished without complication .' -p285142 -(lp285143 -S'An\tAn\tDT\tB-NP\tO' -p285144 -aS'IVC\tIVC\tNN\tI-NP\tO' -p285145 -aS'filter\tfilter\tNN\tI-NP\tO' -p285146 -aS'placement\tplacement\tNN\tI-NP\tO' -p285147 -aS'was\tbe\tVBD\tB-VP\tO' -p285148 -aS'accomplished\taccomplish\tVBN\tI-VP\tO' -p285149 -aS'without\twithout\tIN\tB-PP\tO' -p285150 -aS'complication\tcomplication\tNN\tB-NP\tO' -p285151 -aS'.\t.\t.\tO\tO' -p285152 -asS'Geriatric consult was obtained to assist with management .' -p285153 -(lp285154 -S'Geriatric\tGeriatric\tJJ\tB-NP\tO' -p285155 -aS'consult\tconsult\tNN\tI-NP\tO' -p285156 -aS'was\tbe\tVBD\tB-VP\tO' -p285157 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p285158 -aS'to\tto\tTO\tI-VP\tO' -p285159 -aS'assist\tassist\tVB\tI-VP\tO' -p285160 -aS'with\twith\tIN\tB-PP\tO' -p285161 -aS'management\tmanagement\tNN\tB-NP\tO' -p285162 -aS'.\t.\t.\tO\tO' -p285163 -asS'Physical Exam : t 98.9 , bp 63/28 on neo , p 114 , AC fi02 1/ vt 550/ peep 5/ breathing at 16/22 , w/ volumes of 500 s .' -p285164 -(lp285165 -S'Physical\tPhysical\tNNP\tB-NP\tO' -p285166 -aS'Exam\tExam\tNNP\tI-NP\tO' -p285167 -aS':\t:\t:\tO\tO' -p285168 -aS't\tt\tNN\tB-NP\tB-protein' -p285169 -aS'98.9\t98.9\tCD\tI-NP\tI-protein' -p285170 -aS',\t,\t,\tO\tO' -p285171 -aS'bp\tbp\tNN\tB-NP\tO' -p285172 -aS'63/28\t63/28\tCD\tI-NP\tO' -p285173 -aS'on\ton\tIN\tB-PP\tO' -p285174 -aS'neo\tneo\tNN\tB-NP\tO' -p285175 -aS',\t,\t,\tO\tO' -p285176 -aS'p\tp\tNN\tB-NP\tB-protein' -p285177 -aS'114\t114\tCD\tI-NP\tI-protein' -p285178 -aS',\t,\t,\tO\tO' -p285179 -aS'AC\tAC\tNN\tB-NP\tO' -p285180 -aS'fi02\tfi02\tNN\tI-NP\tO' -p285181 -aS'1/\t1/\tCD\tB-NP\tO' -p285182 -aS'vt\tvt\tNN\tI-NP\tO' -p285183 -aS'550/\t550/\tCD\tB-NP\tO' -p285184 -aS'peep\tpeep\tJJ\tI-NP\tO' -p285185 -aS'5/\t5/\tCD\tI-NP\tO' -p285186 -aS'breathing\tbreathing\tNN\tI-NP\tO' -p285187 -aS'at\tat\tIN\tB-PP\tO' -p285188 -aS'16/22\t16/22\tCD\tB-NP\tO' -p285189 -aS',\t,\t,\tO\tO' -p285190 -aS'w/\tw/\tNN\tB-NP\tO' -p285191 -aS'volumes\tvolume\tNNS\tI-NP\tO' -p285192 -aS'of\tof\tIN\tB-PP\tO' -p285193 -aS'500\t500\tCD\tB-NP\tO' -p285194 -aS's\ts\tNN\tI-NP\tO' -p285195 -aS'.\t.\t.\tO\tO' -p285196 -asS'This was tried for approximately seven days with no real progress made toward facilitating her vent wean .' -p285197 -(lp285198 -S'This\tThis\tDT\tB-NP\tO' -p285199 -aS'was\tbe\tVBD\tB-VP\tO' -p285200 -aS'tried\ttry\tVBN\tI-VP\tO' -p285201 -aS'for\tfor\tIN\tB-PP\tO' -p285202 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p285203 -aS'seven\tseven\tCD\tI-NP\tO' -p285204 -aS'days\tday\tNNS\tI-NP\tO' -p285205 -aS'with\twith\tIN\tB-PP\tO' -p285206 -aS'no\tno\tDT\tB-NP\tO' -p285207 -aS'real\treal\tJJ\tI-NP\tO' -p285208 -aS'progress\tprogress\tNN\tI-NP\tO' -p285209 -aS'made\tmake\tVBN\tB-VP\tO' -p285210 -aS'toward\ttoward\tIN\tB-PP\tO' -p285211 -aS'facilitating\tfacilitate\tVBG\tB-VP\tO' -p285212 -aS'her\ther\tPRP$\tB-NP\tO' -p285213 -aS'vent\tvent\tNN\tI-NP\tO' -p285214 -aS'wean\twean\tNN\tI-NP\tO' -p285215 -aS'.\t.\t.\tO\tO' -p285216 -asS'Soft and supple .' -p285217 -(lp285218 -S'Soft\tSoft\tJJ\tB-NP\tO' -p285219 -aS'and\tand\tCC\tI-NP\tO' -p285220 -aS'supple\tsupple\tNN\tI-NP\tO' -p285221 -aS'.\t.\t.\tO\tO' -p285222 -asS'She continued to exhibit asymptomatic atrial fibrillation .' -p285223 -(lp285224 -S'She\tShe\tPRP\tB-NP\tO' -p285225 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p285226 -aS'to\tto\tTO\tI-VP\tO' -p285227 -aS'exhibit\texhibit\tVB\tI-VP\tO' -p285228 -aS'asymptomatic\tasymptomatic\tJJ\tB-NP\tO' -p285229 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p285230 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p285231 -aS'.\t.\t.\tO\tO' -p285232 -asS'Neurological examination was nonfocal .' -p285233 -(lp285234 -S'Neurological\tNeurological\tJJ\tB-NP\tO' -p285235 -aS'examination\texamination\tNN\tI-NP\tO' -p285236 -aS'was\tbe\tVBD\tB-VP\tO' -p285237 -aS'nonfocal\tnonfocal\tJJ\tB-ADJP\tO' -p285238 -aS'.\t.\t.\tO\tO' -p285239 -asS'2. Zantac , 150 mg PO bid .' -p285240 -(lp285241 -S'2.\t2.\tLS\tB-NP\tO' -p285242 -aS'Zantac\tZantac\tNN\tI-NP\tO' -p285243 -aS',\t,\t,\tO\tO' -p285244 -aS'150\t150\tCD\tB-NP\tO' -p285245 -aS'mg\tmg\tNN\tI-NP\tO' -p285246 -aS'PO\tPO\tNN\tI-NP\tO' -p285247 -aS'bid\tbid\tNN\tI-NP\tO' -p285248 -aS'.\t.\t.\tO\tO' -p285249 -asS'The patient was also instructed in range of motion exercises for the left middle finger .' -p285250 -(lp285251 -S'The\tThe\tDT\tB-NP\tO' -p285252 -aS'patient\tpatient\tNN\tI-NP\tO' -p285253 -aS'was\tbe\tVBD\tB-VP\tO' -p285254 -aS'also\talso\tRB\tI-VP\tO' -p285255 -aS'instructed\tinstruct\tVBN\tI-VP\tO' -p285256 -aS'in\tin\tIN\tB-PP\tO' -p285257 -aS'range\trange\tNN\tB-NP\tO' -p285258 -aS'of\tof\tIN\tB-PP\tO' -p285259 -aS'motion\tmotion\tNN\tB-NP\tO' -p285260 -aS'exercises\texercise\tNNS\tI-NP\tO' -p285261 -aS'for\tfor\tIN\tB-PP\tO' -p285262 -aS'the\tthe\tDT\tB-NP\tO' -p285263 -aS'left\tleft\tJJ\tI-NP\tO' -p285264 -aS'middle\tmiddle\tJJ\tI-NP\tO' -p285265 -aS'finger\tfinger\tNN\tI-NP\tO' -p285266 -aS'.\t.\t.\tO\tO' -p285267 -asS'Temperature 96.7F , pulse 63 , respiratory rate 20 , blood pressure 167/68 , 02 sat 99% on room air .' -p285268 -(lp285269 -S'Temperature\tTemperature\tNN\tB-NP\tO' -p285270 -aS'96.7F\t96.7F\tNN\tI-NP\tO' -p285271 -aS',\t,\t,\tO\tO' -p285272 -aS'pulse\tpulse\tNN\tB-NP\tO' -p285273 -aS'63\t63\tCD\tI-NP\tO' -p285274 -aS',\t,\t,\tO\tO' -p285275 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p285276 -aS'rate\trate\tNN\tI-NP\tO' -p285277 -aS'20\t20\tCD\tI-NP\tO' -p285278 -aS',\t,\t,\tO\tO' -p285279 -aS'blood\tblood\tNN\tB-NP\tO' -p285280 -aS'pressure\tpressure\tNN\tI-NP\tO' -p285281 -aS'167/68\t167/68\tCD\tI-NP\tO' -p285282 -aS',\t,\t,\tI-NP\tO' -p285283 -aS'02\t02\tCD\tI-NP\tO' -p285284 -aS'sat\tsit\tVBD\tB-VP\tO' -p285285 -aS'99%\t99%\tCD\tB-NP\tO' -p285286 -aS'on\ton\tIN\tB-PP\tO' -p285287 -aS'room\troom\tNN\tB-NP\tO' -p285288 -aS'air\tair\tNN\tI-NP\tO' -p285289 -aS'.\t.\t.\tO\tO' -p285290 -asS"5) Encephalopathy : It was unclear why the pt 's mental status initially did not improve more quickly after all sedatives were removed and he was extubated ." -p285291 -(lp285292 -S'5)\t5)\tCD\tB-NP\tO' -p285293 -aS'Encephalopathy\tEncephalopathy\tNN\tI-NP\tO' -p285294 -aS':\t:\t:\tO\tO' -p285295 -aS'It\tIt\tPRP\tB-NP\tO' -p285296 -aS'was\tbe\tVBD\tB-VP\tO' -p285297 -aS'unclear\tunclear\tJJ\tB-ADJP\tO' -p285298 -aS'why\twhy\tWRB\tB-ADVP\tO' -p285299 -aS'the\tthe\tDT\tB-NP\tO' -p285300 -aS'pt\tpt\tNN\tI-NP\tO' -p285301 -aS"'s\t's\tPOS\tB-NP\tO" -p285302 -aS'mental\tmental\tJJ\tI-NP\tO' -p285303 -aS'status\tstatus\tNN\tI-NP\tO' -p285304 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p285305 -aS'did\tdo\tVBD\tB-VP\tO' -p285306 -aS'not\tnot\tRB\tI-VP\tO' -p285307 -aS'improve\timprove\tVB\tI-VP\tO' -p285308 -aS'more\tmore\tRBR\tB-ADVP\tO' -p285309 -aS'quickly\tquickly\tRB\tI-ADVP\tO' -p285310 -aS'after\tafter\tIN\tB-SBAR\tO' -p285311 -aS'all\tall\tDT\tB-NP\tO' -p285312 -aS'sedatives\tsedative\tNNS\tI-NP\tO' -p285313 -aS'were\tbe\tVBD\tB-VP\tO' -p285314 -aS'removed\tremove\tVBN\tI-VP\tO' -p285315 -aS'and\tand\tCC\tO\tO' -p285316 -aS'he\the\tPRP\tB-NP\tO' -p285317 -aS'was\tbe\tVBD\tB-VP\tO' -p285318 -aS'extubated\textubate\tVBN\tI-VP\tO' -p285319 -aS'.\t.\t.\tO\tO' -p285320 -asS'Gradually , the dopamine gtt was weaned .' -p285321 -(lp285322 -S'Gradually\tGradually\tRB\tB-ADVP\tO' -p285323 -aS',\t,\t,\tO\tO' -p285324 -aS'the\tthe\tDT\tB-NP\tO' -p285325 -aS'dopamine\tdopamine\tNN\tI-NP\tO' -p285326 -aS'gtt\tgtt\tNN\tI-NP\tO' -p285327 -aS'was\tbe\tVBD\tB-VP\tO' -p285328 -aS'weaned\twean\tVBN\tI-VP\tO' -p285329 -aS'.\t.\t.\tO\tO' -p285330 -asS'That was at the highest percentage that he had and after this his percentage came down to 1.6 , 1.0 on subsequent CKMBs and was felt that he had a very small " leaflet " .' -p285331 -(lp285332 -S'That\tThat\tDT\tB-NP\tO' -p285333 -aS'was\tbe\tVBD\tB-VP\tO' -p285334 -aS'at\tat\tIN\tB-PP\tO' -p285335 -aS'the\tthe\tDT\tB-NP\tO' -p285336 -aS'highest\thigh\tJJS\tI-NP\tO' -p285337 -aS'percentage\tpercentage\tNN\tI-NP\tO' -p285338 -aS'that\tthat\tIN\tB-SBAR\tO' -p285339 -aS'he\the\tPRP\tB-NP\tO' -p285340 -aS'had\thave\tVBD\tB-VP\tO' -p285341 -aS'and\tand\tCC\tO\tO' -p285342 -aS'after\tafter\tIN\tB-SBAR\tO' -p285343 -aS'this\tthis\tDT\tB-NP\tO' -p285344 -aS'his\this\tPRP$\tI-NP\tO' -p285345 -aS'percentage\tpercentage\tNN\tI-NP\tO' -p285346 -aS'came\tcome\tVBD\tB-VP\tO' -p285347 -aS'down\tdown\tRB\tB-ADVP\tO' -p285348 -aS'to\tto\tTO\tB-PP\tO' -p285349 -aS'1.6\t1.6\tCD\tB-NP\tO' -p285350 -aS',\t,\t,\tO\tO' -p285351 -aS'1.0\t1.0\tCD\tB-NP\tO' -p285352 -aS'on\ton\tIN\tB-PP\tO' -p285353 -aS'subsequent\tsubsequent\tJJ\tB-NP\tO' -p285354 -aS'CKMBs\tCKMB\tNNS\tI-NP\tB-protein' -p285355 -aS'and\tand\tCC\tO\tO' -p285356 -aS'was\tbe\tVBD\tB-VP\tO' -p285357 -aS'felt\tfeel\tVBN\tI-VP\tO' -p285358 -aS'that\tthat\tIN\tB-SBAR\tO' -p285359 -aS'he\the\tPRP\tB-NP\tO' -p285360 -aS'had\thave\tVBD\tB-VP\tO' -p285361 -aS'a\ta\tDT\tB-NP\tO' -p285362 -aS'very\tvery\tRB\tI-NP\tO' -p285363 -aS'small\tsmall\tJJ\tI-NP\tO' -p285364 -aS'"\t"\tCC\tI-NP\tO' -p285365 -aS'leaflet\tleaflet\tNN\tI-NP\tO' -p285366 -aS'"\t"\tNN\tI-NP\tO' -p285367 -aS'.\t.\t.\tO\tO' -p285368 -asS'His voice became slurred and he had a mild central dull headache .' -p285369 -(lp285370 -S'His\tHis\tPRP$\tB-NP\tO' -p285371 -aS'voice\tvoice\tNN\tI-NP\tO' -p285372 -aS'became\tbecome\tVBD\tB-VP\tO' -p285373 -aS'slurred\tslur\tVBN\tB-ADJP\tO' -p285374 -aS'and\tand\tCC\tO\tO' -p285375 -aS'he\the\tPRP\tB-NP\tO' -p285376 -aS'had\thave\tVBD\tB-VP\tO' -p285377 -aS'a\ta\tDT\tB-NP\tO' -p285378 -aS'mild\tmild\tJJ\tI-NP\tO' -p285379 -aS'central\tcentral\tJJ\tI-NP\tO' -p285380 -aS'dull\tdull\tJJ\tI-NP\tO' -p285381 -aS'headache\theadache\tNN\tI-NP\tO' -p285382 -aS'.\t.\t.\tO\tO' -p285383 -asS'Insulin SC ( per Insulin Flowsheet )' -p285384 -(lp285385 -S'Insulin\tInsulin\tNN\tB-NP\tB-protein' -p285386 -aS'SC\tSC\tNN\tI-NP\tI-protein' -p285387 -aS'(\t(\t(\tO\tO' -p285388 -aS'per\tper\tIN\tB-PP\tO' -p285389 -aS'Insulin\tInsulin\tNNP\tB-NP\tO' -p285390 -aS'Flowsheet\tFlowsheet\tNNP\tI-NP\tO' -p285391 -aS')\t)\t)\tO\tO' -p285392 -asS'Bilateral coarse breath sounds .' -p285393 -(lp285394 -S'Bilateral\tBilateral\tJJ\tB-NP\tO' -p285395 -aS'coarse\tcoarse\tNN\tI-NP\tO' -p285396 -aS'breath\tbreath\tNN\tI-NP\tO' -p285397 -aS'sounds\tsound\tNNS\tI-NP\tO' -p285398 -aS'.\t.\t.\tO\tO' -p285399 -asS'CT of the abdomen and pelvis showed no evidence of bleed .' -p285400 -(lp285401 -S'CT\tCT\tNN\tB-NP\tO' -p285402 -aS'of\tof\tIN\tB-PP\tO' -p285403 -aS'the\tthe\tDT\tB-NP\tO' -p285404 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p285405 -aS'and\tand\tCC\tI-NP\tO' -p285406 -aS'pelvis\tpelvis\tNN\tI-NP\tO' -p285407 -aS'showed\tshow\tVBD\tB-VP\tO' -p285408 -aS'no\tno\tDT\tB-NP\tO' -p285409 -aS'evidence\tevidence\tNN\tI-NP\tO' -p285410 -aS'of\tof\tIN\tB-PP\tO' -p285411 -aS'bleed\tbleed\tNN\tB-NP\tO' -p285412 -aS'.\t.\t.\tO\tO' -p285413 -asS'There is no step-off at the back .' -p285414 -(lp285415 -S'There\tThere\tEX\tB-NP\tO' -p285416 -aS'is\tbe\tVBZ\tB-VP\tO' -p285417 -aS'no\tno\tDT\tB-NP\tO' -p285418 -aS'step-off\tstep-off\tNN\tI-NP\tB-protein' -p285419 -aS'at\tat\tIN\tB-PP\tO' -p285420 -aS'the\tthe\tDT\tB-NP\tO' -p285421 -aS'back\tback\tNN\tI-NP\tO' -p285422 -aS'.\t.\t.\tO\tO' -p285423 -asS'9. Morphine 2 mg / mL Syringe Sig : One ( 1 ) Injection Q4H ( every 4 hours ) as needed .' -p285424 -(lp285425 -S'9.\t9.\tCD\tB-NP\tO' -p285426 -aS'Morphine\tMorphine\tNN\tI-NP\tO' -p285427 -aS'2\t2\tCD\tB-NP\tO' -p285428 -aS'mg\tmg\tNN\tI-NP\tO' -p285429 -aS'/\t/\tSYM\tB-NP\tO' -p285430 -aS'mL\tmL\tNN\tI-NP\tO' -p285431 -aS'Syringe\tSyringe\tNNP\tI-NP\tO' -p285432 -aS'Sig\tSig\tNNP\tI-NP\tO' -p285433 -aS':\t:\t:\tO\tO' -p285434 -aS'One\tOne\tCD\tB-NP\tO' -p285435 -aS'(\t(\t(\tO\tO' -p285436 -aS'1\t1\tCD\tB-NP\tO' -p285437 -aS')\t)\t)\tO\tO' -p285438 -aS'Injection\tInjection\tNN\tB-NP\tO' -p285439 -aS'Q4H\tQ4H\tNN\tI-NP\tO' -p285440 -aS'(\t(\t(\tO\tO' -p285441 -aS'every\tevery\tDT\tB-NP\tO' -p285442 -aS'4\t4\tCD\tI-NP\tO' -p285443 -aS'hours\thour\tNNS\tI-NP\tO' -p285444 -aS')\t)\t)\tO\tO' -p285445 -aS'as\tas\tIN\tB-SBAR\tO' -p285446 -aS'needed\tneed\tVBN\tB-VP\tO' -p285447 -aS'.\t.\t.\tO\tO' -p285448 -asS'Signed electronically by : DR. John della Hopper on : WED 2011-11-16 7:16 PM' -p285449 -(lp285450 -S'Signed\tSign\tVBN\tB-VP\tO' -p285451 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p285452 -aS'by\tby\tIN\tB-PP\tO' -p285453 -aS':\t:\t:\tO\tO' -p285454 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p285455 -aS'John\tJohn\tNNP\tI-NP\tO' -p285456 -aS'della\tdella\tNNP\tI-NP\tO' -p285457 -aS'Hopper\tHopper\tNNP\tI-NP\tO' -p285458 -aS'on\ton\tIN\tB-PP\tO' -p285459 -aS':\t:\t:\tO\tO' -p285460 -aS'WED\tWED\tVBD\tB-VP\tO' -p285461 -aS'2011-11-16\t2011-11-16\tCD\tB-NP\tO' -p285462 -aS'7:16\t7:16\tCD\tI-NP\tO' -p285463 -aS'PM\tPM\tNN\tI-NP\tO' -p285464 -asS'On postoperative day number 17 , the patient was discharged .' -p285465 -(lp285466 -S'On\tOn\tIN\tB-PP\tO' -p285467 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p285468 -aS'day\tday\tNN\tI-NP\tO' -p285469 -aS'number\tnumber\tNN\tI-NP\tO' -p285470 -aS'17\t17\tCD\tI-NP\tO' -p285471 -aS',\t,\t,\tO\tO' -p285472 -aS'the\tthe\tDT\tB-NP\tO' -p285473 -aS'patient\tpatient\tNN\tI-NP\tO' -p285474 -aS'was\tbe\tVBD\tB-VP\tO' -p285475 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p285476 -aS'.\t.\t.\tO\tO' -p285477 -asS'Pt was transferred to New England Baptist Hospital , where his surgeon is located .' -p285478 -(lp285479 -S'Pt\tPt\tNN\tB-NP\tO' -p285480 -aS'was\tbe\tVBD\tB-VP\tO' -p285481 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p285482 -aS'to\tto\tTO\tB-PP\tO' -p285483 -aS'New\tNew\tNNP\tB-NP\tO' -p285484 -aS'England\tEngland\tNNP\tI-NP\tO' -p285485 -aS'Baptist\tBaptist\tNNP\tI-NP\tO' -p285486 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p285487 -aS',\t,\t,\tO\tO' -p285488 -aS'where\twhere\tWRB\tB-ADVP\tO' -p285489 -aS'his\this\tPRP$\tB-NP\tO' -p285490 -aS'surgeon\tsurgeon\tNN\tI-NP\tO' -p285491 -aS'is\tbe\tVBZ\tB-VP\tO' -p285492 -aS'located\tlocated\tJJ\tB-ADJP\tO' -p285493 -aS'.\t.\t.\tO\tO' -p285494 -asS'Urinalysis demonstrated trace leukocyte esterase , 5-10 white blood cells and 1+ squamous epithelial cells .' -p285495 -(lp285496 -S'Urinalysis\tUrinalysis\tNN\tB-NP\tO' -p285497 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p285498 -aS'trace\ttrace\tNN\tB-NP\tB-protein' -p285499 -aS'leukocyte\tleukocyte\tNN\tI-NP\tI-protein' -p285500 -aS'esterase\testerase\tNN\tI-NP\tI-protein' -p285501 -aS',\t,\t,\tO\tO' -p285502 -aS'5-10\t5-10\tCD\tB-NP\tO' -p285503 -aS'white\twhite\tJJ\tI-NP\tB-cell_type' -p285504 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p285505 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p285506 -aS'and\tand\tCC\tO\tO' -p285507 -aS'1+\t1+\tJJ\tB-NP\tB-cell_type' -p285508 -aS'squamous\tsquamous\tJJ\tI-NP\tI-cell_type' -p285509 -aS'epithelial\tepithelial\tJJ\tI-NP\tI-cell_type' -p285510 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p285511 -aS'.\t.\t.\tO\tO' -p285512 -asS'She was alert and oriented times three .' -p285513 -(lp285514 -S'She\tShe\tPRP\tB-NP\tO' -p285515 -aS'was\tbe\tVBD\tB-VP\tO' -p285516 -aS'alert\talert\tJJ\tB-ADJP\tO' -p285517 -aS'and\tand\tCC\tO\tO' -p285518 -aS'oriented\torient\tVBN\tB-VP\tO' -p285519 -aS'times\ttime\tNNS\tB-NP\tO' -p285520 -aS'three\tthree\tCD\tB-NP\tO' -p285521 -aS'.\t.\t.\tO\tO' -p285522 -asS'You are being transfered to Mediplex Rehab Hospital Hospital for further care as you have requested to be closer to home .' -p285523 -(lp285524 -S'You\tYou\tPRP\tB-NP\tB-protein' -p285525 -aS'are\tbe\tVBP\tB-VP\tO' -p285526 -aS'being\tbe\tVBG\tI-VP\tO' -p285527 -aS'transfered\ttransfer\tVBN\tI-VP\tO' -p285528 -aS'to\tto\tTO\tB-PP\tO' -p285529 -aS'Mediplex\tMediplex\tNNP\tB-NP\tO' -p285530 -aS'Rehab\tRehab\tNNP\tI-NP\tO' -p285531 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p285532 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p285533 -aS'for\tfor\tIN\tB-PP\tO' -p285534 -aS'further\tfurther\tJJ\tB-NP\tO' -p285535 -aS'care\tcare\tNN\tI-NP\tO' -p285536 -aS'as\tas\tIN\tB-SBAR\tO' -p285537 -aS'you\tyou\tPRP\tB-NP\tO' -p285538 -aS'have\thave\tVBP\tB-VP\tO' -p285539 -aS'requested\trequest\tVBN\tI-VP\tO' -p285540 -aS'to\tto\tTO\tI-VP\tO' -p285541 -aS'be\tbe\tVB\tI-VP\tO' -p285542 -aS'closer\tclose\tJJR\tB-ADJP\tO' -p285543 -aS'to\tto\tTO\tB-PP\tO' -p285544 -aS'home\thome\tNN\tB-NP\tO' -p285545 -aS'.\t.\t.\tO\tO' -p285546 -asS'Abd : Soft , NT , ND , +NABS .' -p285547 -(lp285548 -S'Abd\tAbd\tNN\tB-NP\tO' -p285549 -aS':\t:\t:\tO\tO' -p285550 -aS'Soft\tSoft\tNNP\tB-NP\tO' -p285551 -aS',\t,\t,\tO\tO' -p285552 -aS'NT\tNT\tNNP\tB-NP\tO' -p285553 -aS',\t,\t,\tO\tO' -p285554 -aS'ND\tND\tNNP\tB-NP\tO' -p285555 -aS',\t,\t,\tO\tO' -p285556 -aS'+NABS\t+NABS\tNNP\tB-NP\tB-protein' -p285557 -aS'.\t.\t.\tO\tO' -p285558 -asS'General - The patient appears stated age , found lying flat in bed , in no acute distress .' -p285559 -(lp285560 -S'General\tGeneral\tNNP\tB-NP\tO' -p285561 -aS'-\t-\t:\tO\tO' -p285562 -aS'The\tThe\tDT\tB-NP\tO' -p285563 -aS'patient\tpatient\tNN\tI-NP\tO' -p285564 -aS'appears\tappear\tVBZ\tB-VP\tO' -p285565 -aS'stated\tstate\tVBN\tI-VP\tO' -p285566 -aS'age\tage\tNN\tB-NP\tO' -p285567 -aS',\t,\t,\tO\tO' -p285568 -aS'found\tfind\tVBD\tB-VP\tO' -p285569 -aS'lying\tlie\tVBG\tI-VP\tO' -p285570 -aS'flat\tflat\tJJ\tB-ADJP\tO' -p285571 -aS'in\tin\tIN\tB-PP\tO' -p285572 -aS'bed\tbed\tNN\tB-NP\tO' -p285573 -aS',\t,\t,\tO\tO' -p285574 -aS'in\tin\tIN\tB-PP\tO' -p285575 -aS'no\tno\tDT\tB-NP\tO' -p285576 -aS'acute\tacute\tJJ\tI-NP\tO' -p285577 -aS'distress\tdistress\tNN\tI-NP\tO' -p285578 -aS'.\t.\t.\tO\tO' -p285579 -asS'CT abd showed an 8 mm right proximal ureteral stone with right-sided hydronephrosis and inflammatory stranding , in addition to pyelonephritis of the left kidney without left sided hydronephrosis .' -p285580 -(lp285581 -S'CT\tCT\tNN\tB-NP\tO' -p285582 -aS'abd\tabd\tNN\tI-NP\tO' -p285583 -aS'showed\tshow\tVBD\tB-VP\tO' -p285584 -aS'an\tan\tDT\tB-NP\tO' -p285585 -aS'8\t8\tCD\tI-NP\tO' -p285586 -aS'mm\tmm\tNN\tI-NP\tO' -p285587 -aS'right\tright\tJJ\tI-NP\tO' -p285588 -aS'proximal\tproximal\tJJ\tI-NP\tO' -p285589 -aS'ureteral\tureteral\tJJ\tI-NP\tO' -p285590 -aS'stone\tstone\tNN\tI-NP\tO' -p285591 -aS'with\twith\tIN\tB-PP\tO' -p285592 -aS'right-sided\tright-sided\tJJ\tB-NP\tO' -p285593 -aS'hydronephrosis\thydronephrosis\tNN\tI-NP\tO' -p285594 -aS'and\tand\tCC\tO\tO' -p285595 -aS'inflammatory\tinflammatory\tJJ\tB-NP\tO' -p285596 -aS'stranding\tstranding\tNN\tI-NP\tO' -p285597 -aS',\t,\t,\tO\tO' -p285598 -aS'in\tin\tIN\tB-PP\tO' -p285599 -aS'addition\taddition\tNN\tB-NP\tO' -p285600 -aS'to\tto\tTO\tB-PP\tO' -p285601 -aS'pyelonephritis\tpyelonephritis\tNN\tB-NP\tO' -p285602 -aS'of\tof\tIN\tB-PP\tO' -p285603 -aS'the\tthe\tDT\tB-NP\tO' -p285604 -aS'left\tleft\tJJ\tI-NP\tO' -p285605 -aS'kidney\tkidney\tNN\tI-NP\tO' -p285606 -aS'without\twithout\tIN\tB-PP\tO' -p285607 -aS'left\tleft\tJJ\tB-NP\tO' -p285608 -aS'sided\tsided\tJJ\tI-NP\tO' -p285609 -aS'hydronephrosis\thydronephrosis\tNN\tI-NP\tO' -p285610 -aS'.\t.\t.\tO\tO' -p285611 -asS'Following evaluation and treatment , the patient 's disposition at the end of the visit was TREATED AND RELEASED .' -p285612 -(lp285613 -S'Following\tFollow\tVBG\tB-PP\tO' -p285614 -aS'evaluation\tevaluation\tNN\tB-NP\tO' -p285615 -aS'and\tand\tCC\tI-NP\tO' -p285616 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p285617 -aS',\t,\t,\tO\tO' -p285618 -aS'the\tthe\tDT\tB-NP\tO' -p285619 -aS'patient\tpatient\tNN\tI-NP\tO' -p285620 -aS''s\t'\tNNS\tI-NP\tO' -p285621 -aS'disposition\tdisposition\tNN\tI-NP\tO' -p285622 -aS'at\tat\tIN\tB-PP\tO' -p285623 -aS'the\tthe\tDT\tB-NP\tO' -p285624 -aS'end\tend\tNN\tI-NP\tO' -p285625 -aS'of\tof\tIN\tB-PP\tO' -p285626 -aS'the\tthe\tDT\tB-NP\tO' -p285627 -aS'visit\tvisit\tNN\tI-NP\tO' -p285628 -aS'was\tbe\tVBD\tB-VP\tO' -p285629 -aS'TREATED\tTREATED\tVBN\tI-VP\tO' -p285630 -aS'AND\tAND\tCC\tI-VP\tO' -p285631 -aS'RELEASED\tRELEASED\tVBN\tI-VP\tO' -p285632 -aS'.\t.\t.\tO\tO' -p285633 -asS'The patient is married .' -p285634 -(lp285635 -S'The\tThe\tDT\tB-NP\tO' -p285636 -aS'patient\tpatient\tNN\tI-NP\tO' -p285637 -aS'is\tbe\tVBZ\tB-VP\tO' -p285638 -aS'married\tmarry\tVBN\tI-VP\tO' -p285639 -aS'.\t.\t.\tO\tO' -p285640 -asS'6. There is moderate pulmonary artery systolic hypertension .' -p285641 -(lp285642 -S'6.\t6.\tLS\tB-LST\tO' -p285643 -aS'There\tThere\tEX\tB-NP\tO' -p285644 -aS'is\tbe\tVBZ\tB-VP\tO' -p285645 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p285646 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p285647 -aS'artery\tartery\tNN\tI-NP\tO' -p285648 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p285649 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p285650 -aS'.\t.\t.\tO\tO' -p285651 -asS'He then presented to Mass. Mental Health Center where he was ruled out for an myocardial infarction by enzymes and electrocardiograms .' -p285652 -(lp285653 -S'He\tHe\tPRP\tB-NP\tO' -p285654 -aS'then\tthen\tRB\tB-ADVP\tO' -p285655 -aS'presented\tpresent\tVBD\tB-VP\tO' -p285656 -aS'to\tto\tTO\tB-PP\tO' -p285657 -aS'Mass.\tMass.\tNNP\tB-NP\tO' -p285658 -aS'Mental\tMental\tNNP\tI-NP\tO' -p285659 -aS'Health\tHealth\tNNP\tI-NP\tO' -p285660 -aS'Center\tCenter\tNNP\tI-NP\tO' -p285661 -aS'where\twhere\tWRB\tB-ADVP\tO' -p285662 -aS'he\the\tPRP\tB-NP\tO' -p285663 -aS'was\tbe\tVBD\tB-VP\tO' -p285664 -aS'ruled\trule\tVBN\tI-VP\tO' -p285665 -aS'out\tout\tRP\tB-PRT\tO' -p285666 -aS'for\tfor\tIN\tB-PP\tO' -p285667 -aS'an\tan\tDT\tB-NP\tO' -p285668 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p285669 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p285670 -aS'by\tby\tIN\tB-PP\tO' -p285671 -aS'enzymes\tenzyme\tNNS\tB-NP\tB-protein' -p285672 -aS'and\tand\tCC\tI-NP\tO' -p285673 -aS'electrocardiograms\telectrocardiogram\tNNS\tI-NP\tO' -p285674 -aS'.\t.\t.\tO\tO' -p285675 -asS'On postop day 9 , bilateral upper extremity Dopplers revealed a right IJ clot .' -p285676 -(lp285677 -S'On\tOn\tIN\tB-PP\tO' -p285678 -aS'postop\tpostop\tJJ\tB-NP\tO' -p285679 -aS'day\tday\tNN\tI-NP\tO' -p285680 -aS'9\t9\tCD\tI-NP\tO' -p285681 -aS',\t,\t,\tO\tO' -p285682 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p285683 -aS'upper\tupper\tJJ\tI-NP\tO' -p285684 -aS'extremity\textremity\tNN\tI-NP\tO' -p285685 -aS'Dopplers\tDoppler\tNNS\tI-NP\tO' -p285686 -aS'revealed\treveal\tVBD\tB-VP\tO' -p285687 -aS'a\ta\tDT\tB-NP\tO' -p285688 -aS'right\tright\tJJ\tI-NP\tO' -p285689 -aS'IJ\tIJ\tNN\tI-NP\tO' -p285690 -aS'clot\tclot\tNN\tI-NP\tO' -p285691 -aS'.\t.\t.\tO\tO' -p285692 -asS'19. Lantus 30 units Lantus insulin with breakfast' -p285693 -(lp285694 -S'19.\t19.\tCD\tB-NP\tO' -p285695 -aS'Lantus\tLantus\tNNP\tI-NP\tO' -p285696 -aS'30\t30\tCD\tI-NP\tO' -p285697 -aS'units\tunit\tNNS\tI-NP\tO' -p285698 -aS'Lantus\tLantus\tNNP\tB-NP\tO' -p285699 -aS'insulin\tinsulin\tNN\tI-NP\tO' -p285700 -aS'with\twith\tIN\tB-PP\tO' -p285701 -aS'breakfast\tbreakfast\tNN\tB-NP\tO' -p285702 -asS'If on dialysis, please take after dialysis treatment .' -p285703 -(lp285704 -S'If\tIf\tIN\tB-SBAR\tO' -p285705 -aS'on\ton\tIN\tB-PP\tO' -p285706 -aS'dialysis,\tdialysis,\tNN\tB-NP\tO' -p285707 -aS'please\tplease\tNN\tI-NP\tO' -p285708 -aS'take\ttake\tVBP\tB-VP\tO' -p285709 -aS'after\tafter\tIN\tB-PP\tO' -p285710 -aS'dialysis\tdialysis\tNN\tB-NP\tO' -p285711 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p285712 -aS'.\t.\t.\tO\tO' -p285713 -asS'He was continued on IV vancomycin throughout his course and had therapeutic troughs .' -p285714 -(lp285715 -S'He\tHe\tPRP\tB-NP\tO' -p285716 -aS'was\tbe\tVBD\tB-VP\tO' -p285717 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p285718 -aS'on\ton\tIN\tB-PP\tO' -p285719 -aS'IV\tIV\tCD\tB-NP\tO' -p285720 -aS'vancomycin\tvancomycin\tNN\tI-NP\tO' -p285721 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p285722 -aS'his\this\tPRP$\tB-NP\tO' -p285723 -aS'course\tcourse\tNN\tI-NP\tO' -p285724 -aS'and\tand\tCC\tO\tO' -p285725 -aS'had\thave\tVBD\tB-VP\tO' -p285726 -aS'therapeutic\ttherapeutic\tJJ\tB-NP\tO' -p285727 -aS'troughs\ttrough\tNNS\tI-NP\tO' -p285728 -aS'.\t.\t.\tO\tO' -p285729 -asS'Anticoagulation therapy was initiated with heparin and coumadin beginning on the evening of 2016-08-23 .' -p285730 -(lp285731 -S'Anticoagulation\tAnticoagulation\tNN\tB-NP\tO' -p285732 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p285733 -aS'was\tbe\tVBD\tB-VP\tO' -p285734 -aS'initiated\tinitiate\tVBN\tI-VP\tO' -p285735 -aS'with\twith\tIN\tB-PP\tO' -p285736 -aS'heparin\theparin\tNN\tB-NP\tO' -p285737 -aS'and\tand\tCC\tI-NP\tO' -p285738 -aS'coumadin\tcoumadin\tNN\tI-NP\tO' -p285739 -aS'beginning\tbegin\tVBG\tB-PP\tO' -p285740 -aS'on\ton\tIN\tB-PP\tO' -p285741 -aS'the\tthe\tDT\tB-NP\tO' -p285742 -aS'evening\tevening\tNN\tI-NP\tO' -p285743 -aS'of\tof\tIN\tB-PP\tO' -p285744 -aS'2016-08-23\t2016-08-23\tCD\tB-NP\tO' -p285745 -aS'.\t.\t.\tO\tO' -p285746 -asS'She was also noted to be more confused over the last few days and especially today .' -p285747 -(lp285748 -S'She\tShe\tPRP\tB-NP\tO' -p285749 -aS'was\tbe\tVBD\tB-VP\tO' -p285750 -aS'also\talso\tRB\tI-VP\tO' -p285751 -aS'noted\tnote\tVBN\tI-VP\tO' -p285752 -aS'to\tto\tTO\tI-VP\tO' -p285753 -aS'be\tbe\tVB\tI-VP\tO' -p285754 -aS'more\tmore\tRBR\tB-ADJP\tO' -p285755 -aS'confused\tconfuse\tVBN\tI-ADJP\tO' -p285756 -aS'over\tover\tIN\tB-PP\tO' -p285757 -aS'the\tthe\tDT\tB-NP\tO' -p285758 -aS'last\tlast\tJJ\tI-NP\tO' -p285759 -aS'few\tfew\tJJ\tI-NP\tO' -p285760 -aS'days\tday\tNNS\tI-NP\tO' -p285761 -aS'and\tand\tCC\tB-NP\tO' -p285762 -aS'especially\tespecially\tRB\tI-NP\tO' -p285763 -aS'today\ttoday\tNN\tB-NP\tO' -p285764 -aS'.\t.\t.\tO\tO' -p285765 -asS'1. Diltiazem HCl 240 mg Capsule , Sustained Release Sig : One ( 1 ) Capsule , Sustained Release PO DAILY ( Daily ).' -p285766 -(lp285767 -S'1.\t1.\tLS\tB-NP\tO' -p285768 -aS'Diltiazem\tDiltiazem\tNN\tI-NP\tO' -p285769 -aS'HCl\tHCl\tNN\tI-NP\tO' -p285770 -aS'240\t240\tCD\tI-NP\tO' -p285771 -aS'mg\tmg\tNN\tI-NP\tO' -p285772 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p285773 -aS',\t,\t,\tO\tO' -p285774 -aS'Sustained\tSustained\tNNP\tB-NP\tO' -p285775 -aS'Release\tRelease\tNNP\tI-NP\tO' -p285776 -aS'Sig\tSig\tNNP\tI-NP\tB-protein' -p285777 -aS':\t:\t:\tO\tO' -p285778 -aS'One\tOne\tCD\tB-NP\tO' -p285779 -aS'(\t(\t(\tO\tO' -p285780 -aS'1\t1\tCD\tB-NP\tO' -p285781 -aS')\t)\t)\tO\tO' -p285782 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p285783 -aS',\t,\t,\tO\tO' -p285784 -aS'Sustained\tSustained\tNNP\tB-NP\tO' -p285785 -aS'Release\tRelease\tNNP\tI-NP\tO' -p285786 -aS'PO\tPO\tNNP\tI-NP\tO' -p285787 -aS'DAILY\tDAILY\tNNP\tI-NP\tO' -p285788 -aS'(\t(\t(\tO\tO' -p285789 -aS'Daily\tDaily\tNNP\tB-NP\tO' -p285790 -aS').\t).\t)\tO\tO' -p285791 -asS'3. Wegener 's granulomatosis , with associated chronic renal insufficiency .' -p285792 -(lp285793 -S'3.\t3.\tLS\tB-NP\tO' -p285794 -aS'Wegener\tWegener\tNN\tI-NP\tO' -p285795 -aS''s\t'\tNNS\tI-NP\tO' -p285796 -aS'granulomatosis\tgranulomatosis\tNN\tI-NP\tO' -p285797 -aS',\t,\t,\tO\tO' -p285798 -aS'with\twith\tIN\tB-PP\tO' -p285799 -aS'associated\tassociate\tVBN\tB-NP\tO' -p285800 -aS'chronic\tchronic\tJJ\tI-NP\tO' -p285801 -aS'renal\trenal\tJJ\tI-NP\tO' -p285802 -aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' -p285803 -aS'.\t.\t.\tO\tO' -p285804 -asS'She continued to have trouble with afib and required a dilt gtt on the day prior to call-out to control this rhythm but she was transitioned to PO diltiazem and has been in NSR since this time .' -p285805 -(lp285806 -S'She\tShe\tPRP\tB-NP\tO' -p285807 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p285808 -aS'to\tto\tTO\tI-VP\tO' -p285809 -aS'have\thave\tVB\tI-VP\tO' -p285810 -aS'trouble\ttrouble\tNN\tB-NP\tO' -p285811 -aS'with\twith\tIN\tB-PP\tO' -p285812 -aS'afib\tafib\tNN\tB-NP\tO' -p285813 -aS'and\tand\tCC\tO\tO' -p285814 -aS'required\trequire\tVBD\tB-VP\tO' -p285815 -aS'a\ta\tDT\tB-NP\tO' -p285816 -aS'dilt\tdilt\tJJ\tI-NP\tO' -p285817 -aS'gtt\tgtt\tNN\tI-NP\tO' -p285818 -aS'on\ton\tIN\tB-PP\tO' -p285819 -aS'the\tthe\tDT\tB-NP\tO' -p285820 -aS'day\tday\tNN\tI-NP\tO' -p285821 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p285822 -aS'to\tto\tTO\tB-VP\tO' -p285823 -aS'call-out\tcall-out\tVB\tI-VP\tO' -p285824 -aS'to\tto\tTO\tI-VP\tO' -p285825 -aS'control\tcontrol\tVB\tI-VP\tO' -p285826 -aS'this\tthis\tDT\tB-NP\tO' -p285827 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p285828 -aS'but\tbut\tCC\tO\tO' -p285829 -aS'she\tshe\tPRP\tB-NP\tO' -p285830 -aS'was\tbe\tVBD\tB-VP\tO' -p285831 -aS'transitioned\ttransitione\tVBN\tI-VP\tO' -p285832 -aS'to\tto\tTO\tB-PP\tO' -p285833 -aS'PO\tPO\tNN\tB-NP\tO' -p285834 -aS'diltiazem\tdiltiazem\tNN\tI-NP\tO' -p285835 -aS'and\tand\tCC\tO\tO' -p285836 -aS'has\thave\tVBZ\tB-VP\tO' -p285837 -aS'been\tbe\tVBN\tI-VP\tO' -p285838 -aS'in\tin\tIN\tB-PP\tO' -p285839 -aS'NSR\tNSR\tNN\tB-NP\tB-protein' -p285840 -aS'since\tsince\tIN\tB-PP\tO' -p285841 -aS'this\tthis\tDT\tB-NP\tO' -p285842 -aS'time\ttime\tNN\tI-NP\tO' -p285843 -aS'.\t.\t.\tO\tO' -p285844 -asS'Docusate Sodium 100 mg PO BID' -p285845 -(lp285846 -S'Docusate\tDocusate\tNNP\tB-NP\tO' -p285847 -aS'Sodium\tSodium\tNNP\tI-NP\tO' -p285848 -aS'100\t100\tCD\tI-NP\tO' -p285849 -aS'mg\tmg\tNN\tI-NP\tO' -p285850 -aS'PO\tPO\tNN\tI-NP\tO' -p285851 -aS'BID\tBID\tNN\tI-NP\tO' -p285852 -asS'6. Oxycodone-Acetaminophen 5-325 mg Tablet Sig : 1-2 Tablets PO every 4-6 hours as needed for pain .' -p285853 -(lp285854 -S'6.\t6.\tCD\tB-NP\tO' -p285855 -aS'Oxycodone-Acetaminophen\tOxycodone-Acetaminophen\tJJ\tI-NP\tO' -p285856 -aS'5-325\t5-325\tCD\tI-NP\tO' -p285857 -aS'mg\tmg\tNN\tI-NP\tO' -p285858 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p285859 -aS'Sig\tSig\tNNP\tI-NP\tO' -p285860 -aS':\t:\t:\tO\tO' -p285861 -aS'1-2\t1-2\tCD\tB-NP\tO' -p285862 -aS'Tablets\tTablet\tNNS\tI-NP\tO' -p285863 -aS'PO\tPO\tNN\tI-NP\tO' -p285864 -aS'every\tevery\tDT\tB-NP\tO' -p285865 -aS'4-6\t4-6\tCD\tI-NP\tO' -p285866 -aS'hours\thour\tNNS\tI-NP\tO' -p285867 -aS'as\tas\tIN\tB-SBAR\tO' -p285868 -aS'needed\tneed\tVBN\tB-VP\tO' -p285869 -aS'for\tfor\tIN\tB-PP\tO' -p285870 -aS'pain\tpain\tNN\tB-NP\tO' -p285871 -aS'.\t.\t.\tO\tO' -p285872 -asS'The patient was placed on Flagyl and Levaquin for treatment of pneumonia .' -p285873 -(lp285874 -S'The\tThe\tDT\tB-NP\tO' -p285875 -aS'patient\tpatient\tNN\tI-NP\tO' -p285876 -aS'was\tbe\tVBD\tB-VP\tO' -p285877 -aS'placed\tplace\tVBN\tI-VP\tO' -p285878 -aS'on\ton\tIN\tB-PP\tO' -p285879 -aS'Flagyl\tFlagyl\tNN\tB-NP\tO' -p285880 -aS'and\tand\tCC\tI-NP\tO' -p285881 -aS'Levaquin\tLevaquin\tNN\tI-NP\tO' -p285882 -aS'for\tfor\tIN\tB-PP\tO' -p285883 -aS'treatment\ttreatment\tNN\tB-NP\tO' -p285884 -aS'of\tof\tIN\tB-PP\tO' -p285885 -aS'pneumonia\tpneumonia\tNN\tB-NP\tO' -p285886 -aS'.\t.\t.\tO\tO' -p285887 -asS'Pediatrician should have low threshold for endocrinology reconsult if any signs of pituitary problems .' -p285888 -(lp285889 -S'Pediatrician\tPediatrician\tNN\tB-NP\tO' -p285890 -aS'should\tshould\tMD\tB-VP\tO' -p285891 -aS'have\thave\tVB\tI-VP\tO' -p285892 -aS'low\tlow\tJJ\tB-NP\tO' -p285893 -aS'threshold\tthreshold\tNN\tI-NP\tO' -p285894 -aS'for\tfor\tIN\tB-PP\tO' -p285895 -aS'endocrinology\tendocrinology\tNN\tB-NP\tO' -p285896 -aS'reconsult\treconsult\tNN\tI-NP\tO' -p285897 -aS'if\tif\tIN\tB-SBAR\tO' -p285898 -aS'any\tany\tDT\tB-NP\tO' -p285899 -aS'signs\tsign\tNNS\tI-NP\tO' -p285900 -aS'of\tof\tIN\tB-PP\tO' -p285901 -aS'pituitary\tpituitary\tJJ\tB-NP\tO' -p285902 -aS'problems\tproblem\tNNS\tI-NP\tO' -p285903 -aS'.\t.\t.\tO\tO' -p285904 -asS'Potassium 20 mEq twice a day times seven days .' -p285905 -(lp285906 -S'Potassium\tPotassium\tNN\tB-NP\tO' -p285907 -aS'20\t20\tCD\tI-NP\tO' -p285908 -aS'mEq\tmEq\tNN\tI-NP\tO' -p285909 -aS'twice\ttwice\tRB\tB-NP\tO' -p285910 -aS'a\ta\tDT\tI-NP\tO' -p285911 -aS'day\tday\tNN\tI-NP\tO' -p285912 -aS'times\ttime\tVBZ\tB-VP\tO' -p285913 -aS'seven\tseven\tCD\tB-NP\tO' -p285914 -aS'days\tday\tNNS\tI-NP\tO' -p285915 -aS'.\t.\t.\tO\tO' -p285916 -asS'4) History of cerebrovascular disease .' -p285917 -(lp285918 -S'4)\t4)\tLS\tB-NP\tO' -p285919 -aS'History\tHistory\tNN\tI-NP\tO' -p285920 -aS'of\tof\tIN\tB-PP\tO' -p285921 -aS'cerebrovascular\tcerebrovascular\tJJ\tB-NP\tO' -p285922 -aS'disease\tdisease\tNN\tI-NP\tO' -p285923 -aS'.\t.\t.\tO\tO' -p285924 -asS'On post-op day #4 , the patient failed the first of his void trials .' -p285925 -(lp285926 -S'On\tOn\tIN\tB-PP\tO' -p285927 -aS'post-op\tpost-op\tJJ\tB-NP\tO' -p285928 -aS'day\tday\tNN\tI-NP\tO' -p285929 -aS'#4\t#4\tNN\tI-NP\tO' -p285930 -aS',\t,\t,\tO\tO' -p285931 -aS'the\tthe\tDT\tB-NP\tO' -p285932 -aS'patient\tpatient\tNN\tI-NP\tO' -p285933 -aS'failed\tfail\tVBD\tB-VP\tO' -p285934 -aS'the\tthe\tDT\tB-NP\tO' -p285935 -aS'first\tfirst\tJJ\tI-NP\tO' -p285936 -aS'of\tof\tIN\tB-PP\tO' -p285937 -aS'his\this\tPRP$\tB-NP\tO' -p285938 -aS'void\tvoid\tJJ\tI-NP\tO' -p285939 -aS'trials\ttrial\tNNS\tI-NP\tO' -p285940 -aS'.\t.\t.\tO\tO' -p285941 -asS'He had pulsatile pulse volume recordings , in both lower extremities , and both renal arteries were noted to be patent , as were both internal iliac arteries .' -p285942 -(lp285943 -S'He\tHe\tPRP\tB-NP\tO' -p285944 -aS'had\thave\tVBD\tB-VP\tO' -p285945 -aS'pulsatile\tpulsatile\tJJ\tB-NP\tO' -p285946 -aS'pulse\tpulse\tNN\tI-NP\tO' -p285947 -aS'volume\tvolume\tNN\tI-NP\tO' -p285948 -aS'recordings\trecording\tNNS\tI-NP\tO' -p285949 -aS',\t,\t,\tO\tO' -p285950 -aS'in\tin\tIN\tB-PP\tO' -p285951 -aS'both\tboth\tCC\tB-NP\tO' -p285952 -aS'lower\tlow\tJJR\tI-NP\tO' -p285953 -aS'extremities\textremity\tNNS\tI-NP\tO' -p285954 -aS',\t,\t,\tO\tO' -p285955 -aS'and\tand\tCC\tO\tO' -p285956 -aS'both\tboth\tDT\tB-NP\tO' -p285957 -aS'renal\trenal\tJJ\tI-NP\tO' -p285958 -aS'arteries\tartery\tNNS\tI-NP\tO' -p285959 -aS'were\tbe\tVBD\tB-VP\tO' -p285960 -aS'noted\tnote\tVBN\tI-VP\tO' -p285961 -aS'to\tto\tTO\tI-VP\tO' -p285962 -aS'be\tbe\tVB\tI-VP\tO' -p285963 -aS'patent\tpatent\tNN\tB-NP\tO' -p285964 -aS',\t,\t,\tO\tO' -p285965 -aS'as\tas\tIN\tB-SBAR\tO' -p285966 -aS'were\tbe\tVBD\tB-VP\tO' -p285967 -aS'both\tboth\tDT\tO\tO' -p285968 -aS'internal\tinternal\tJJ\tB-NP\tO' -p285969 -aS'iliac\tiliac\tJJ\tI-NP\tO' -p285970 -aS'arteries\tartery\tNNS\tI-NP\tO' -p285971 -aS'.\t.\t.\tO\tO' -p285972 -asS'Vaginal delivery .' -p285973 -(lp285974 -S'Vaginal\tVaginal\tJJ\tB-NP\tO' -p285975 -aS'delivery\tdelivery\tNN\tI-NP\tO' -p285976 -aS'.\t.\t.\tO\tO' -p285977 -asS'1. Docusate Sodium 100 mg Capsule Sig : One ( 1 ) Capsule PO BID ( 2 times a day ) for 4 days .' -p285978 -(lp285979 -S'1.\t1.\tLS\tB-NP\tO' -p285980 -aS'Docusate\tDocusate\tNN\tI-NP\tO' -p285981 -aS'Sodium\tSodium\tNN\tI-NP\tO' -p285982 -aS'100\t100\tCD\tI-NP\tO' -p285983 -aS'mg\tmg\tNN\tI-NP\tO' -p285984 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p285985 -aS'Sig\tSig\tNNP\tI-NP\tO' -p285986 -aS':\t:\t:\tO\tO' -p285987 -aS'One\tOne\tCD\tB-NP\tO' -p285988 -aS'(\t(\t(\tO\tO' -p285989 -aS'1\t1\tCD\tB-NP\tO' -p285990 -aS')\t)\t)\tO\tO' -p285991 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p285992 -aS'PO\tPO\tNNP\tI-NP\tO' -p285993 -aS'BID\tBID\tNNP\tI-NP\tO' -p285994 -aS'(\t(\t(\tO\tO' -p285995 -aS'2\t2\tCD\tB-NP\tO' -p285996 -aS'times\ttime\tNNS\tI-NP\tO' -p285997 -aS'a\ta\tDT\tB-NP\tO' -p285998 -aS'day\tday\tNN\tI-NP\tO' -p285999 -aS')\t)\t)\tO\tO' -p286000 -aS'for\tfor\tIN\tB-PP\tO' -p286001 -aS'4\t4\tCD\tB-NP\tO' -p286002 -aS'days\tday\tNNS\tI-NP\tO' -p286003 -aS'.\t.\t.\tO\tO' -p286004 -asS'9. Diabetes mellitus , on oral medications' -p286005 -(lp286006 -S'9.\t9.\tLS\tB-NP\tO' -p286007 -aS'Diabetes\tDiabetes\tNN\tI-NP\tO' -p286008 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p286009 -aS',\t,\t,\tO\tO' -p286010 -aS'on\ton\tIN\tB-PP\tO' -p286011 -aS'oral\toral\tJJ\tB-NP\tO' -p286012 -aS'medications\tmedication\tNNS\tI-NP\tO' -p286013 -asS'Right occipital hemorrhagic stroke .' -p286014 -(lp286015 -S'Right\tRight\tRB\tB-NP\tO' -p286016 -aS'occipital\toccipital\tJJ\tI-NP\tO' -p286017 -aS'hemorrhagic\themorrhagic\tJJ\tI-NP\tO' -p286018 -aS'stroke\tstroke\tNN\tI-NP\tO' -p286019 -aS'.\t.\t.\tO\tO' -p286020 -asS'She underwent a wide resection of a left breast mass by Dr. Ausguall on 8/17/93 .' -p286021 -(lp286022 -S'She\tShe\tPRP\tB-NP\tO' -p286023 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p286024 -aS'a\ta\tDT\tB-NP\tO' -p286025 -aS'wide\twide\tJJ\tI-NP\tO' -p286026 -aS'resection\tresection\tNN\tI-NP\tO' -p286027 -aS'of\tof\tIN\tB-PP\tO' -p286028 -aS'a\ta\tDT\tB-NP\tO' -p286029 -aS'left\tleft\tJJ\tI-NP\tO' -p286030 -aS'breast\tbreast\tNN\tI-NP\tO' -p286031 -aS'mass\tmass\tNN\tI-NP\tO' -p286032 -aS'by\tby\tIN\tB-PP\tO' -p286033 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p286034 -aS'Ausguall\tAusguall\tNNP\tI-NP\tO' -p286035 -aS'on\ton\tIN\tB-PP\tO' -p286036 -aS'8/17/93\t8/17/93\tCD\tB-NP\tO' -p286037 -aS'.\t.\t.\tO\tO' -p286038 -asS'Ativan was used for breakthrough seizures ( facial twitching ).' -p286039 -(lp286040 -S'Ativan\tAtivan\tNNP\tB-NP\tO' -p286041 -aS'was\tbe\tVBD\tB-VP\tO' -p286042 -aS'used\tuse\tVBN\tI-VP\tO' -p286043 -aS'for\tfor\tIN\tB-PP\tO' -p286044 -aS'breakthrough\tbreakthrough\tJJ\tB-NP\tO' -p286045 -aS'seizures\tseizure\tNNS\tI-NP\tO' -p286046 -aS'(\t(\t(\tO\tO' -p286047 -aS'facial\tfacial\tJJ\tB-NP\tO' -p286048 -aS'twitching\ttwitching\tNN\tI-NP\tO' -p286049 -aS').\t).\t.\tO\tO' -p286050 -asS'He gave an equivocal history of fevers and chills on the days prior to admission .' -p286051 -(lp286052 -S'He\tHe\tPRP\tB-NP\tO' -p286053 -aS'gave\tgive\tVBD\tB-VP\tO' -p286054 -aS'an\tan\tDT\tB-NP\tO' -p286055 -aS'equivocal\tequivocal\tJJ\tI-NP\tO' -p286056 -aS'history\thistory\tNN\tI-NP\tO' -p286057 -aS'of\tof\tIN\tB-PP\tO' -p286058 -aS'fevers\tfever\tNNS\tB-NP\tO' -p286059 -aS'and\tand\tCC\tI-NP\tO' -p286060 -aS'chills\tchill\tNNS\tI-NP\tO' -p286061 -aS'on\ton\tIN\tB-PP\tO' -p286062 -aS'the\tthe\tDT\tB-NP\tO' -p286063 -aS'days\tday\tNNS\tI-NP\tO' -p286064 -aS'prior\tprior\tRB\tB-ADVP\tO' -p286065 -aS'to\tto\tTO\tB-PP\tO' -p286066 -aS'admission\tadmission\tNN\tB-NP\tO' -p286067 -aS'.\t.\t.\tO\tO' -p286068 -asS'Her previous occupation was an executive secretary , home trainer / nurse , rental aide .' -p286069 -(lp286070 -S'Her\tHer\tPRP$\tB-NP\tO' -p286071 -aS'previous\tprevious\tJJ\tI-NP\tO' -p286072 -aS'occupation\toccupation\tNN\tI-NP\tO' -p286073 -aS'was\tbe\tVBD\tB-VP\tO' -p286074 -aS'an\tan\tDT\tB-NP\tO' -p286075 -aS'executive\texecutive\tNN\tI-NP\tO' -p286076 -aS'secretary\tsecretary\tNN\tI-NP\tO' -p286077 -aS',\t,\t,\tO\tO' -p286078 -aS'home\thome\tNN\tB-NP\tO' -p286079 -aS'trainer\ttrainer\tNN\tI-NP\tO' -p286080 -aS'/\t/\tSYM\tB-NP\tO' -p286081 -aS'nurse\tnurse\tNN\tI-NP\tO' -p286082 -aS',\t,\t,\tO\tO' -p286083 -aS'rental\trental\tJJ\tB-NP\tO' -p286084 -aS'aide\taide\tNN\tI-NP\tO' -p286085 -aS'.\t.\t.\tO\tO' -p286086 -asS'No peripheral edema was noted .' -p286087 -(lp286088 -S'No\tNo\tDT\tB-NP\tO' -p286089 -aS'peripheral\tperipheral\tJJ\tI-NP\tO' -p286090 -aS'edema\tedema\tNN\tI-NP\tO' -p286091 -aS'was\tbe\tVBD\tB-VP\tO' -p286092 -aS'noted\tnote\tVBN\tI-VP\tO' -p286093 -aS'.\t.\t.\tO\tO' -p286094 -asS'diabetic gastropathy causing inability to toleral oral antihypertensive medication prompting repeated Donald presentation for hypertensive urgency .' -p286095 -(lp286096 -S'diabetic\tdiabetic\tJJ\tB-NP\tO' -p286097 -aS'gastropathy\tgastropathy\tNN\tI-NP\tO' -p286098 -aS'causing\tcause\tVBG\tB-VP\tO' -p286099 -aS'inability\tinability\tNN\tB-NP\tO' -p286100 -aS'to\tto\tTO\tB-PP\tO' -p286101 -aS'toleral\ttoleral\tJJ\tB-NP\tO' -p286102 -aS'oral\toral\tJJ\tI-NP\tO' -p286103 -aS'antihypertensive\tantihypertensive\tJJ\tI-NP\tO' -p286104 -aS'medication\tmedication\tNN\tI-NP\tO' -p286105 -aS'prompting\tprompt\tVBG\tB-VP\tO' -p286106 -aS'repeated\trepeat\tVBN\tB-VP\tO' -p286107 -aS'Donald\tDonald\tNNP\tB-NP\tO' -p286108 -aS'presentation\tpresentation\tNN\tI-NP\tO' -p286109 -aS'for\tfor\tIN\tB-PP\tO' -p286110 -aS'hypertensive\thypertensive\tJJ\tB-NP\tO' -p286111 -aS'urgency\turgency\tNN\tI-NP\tO' -p286112 -aS'.\t.\t.\tO\tO' -p286113 -asS'Extensive carotid arterial calcifications are present in the bulb regions bilaterally .' -p286114 -(lp286115 -S'Extensive\tExtensive\tJJ\tB-NP\tO' -p286116 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p286117 -aS'arterial\tarterial\tJJ\tI-NP\tO' -p286118 -aS'calcifications\tcalcification\tNNS\tI-NP\tO' -p286119 -aS'are\tbe\tVBP\tB-VP\tO' -p286120 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p286121 -aS'in\tin\tIN\tB-PP\tO' -p286122 -aS'the\tthe\tDT\tB-NP\tO' -p286123 -aS'bulb\tbulb\tNN\tI-NP\tB-DNA' -p286124 -aS'regions\tregion\tNNS\tI-NP\tI-DNA' -p286125 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p286126 -aS'.\t.\t.\tO\tO' -p286127 -asS'2. Levothyroxine 100 mcg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' -p286128 -(lp286129 -S'2.\t2.\tLS\tB-NP\tO' -p286130 -aS'Levothyroxine\tLevothyroxine\tNNP\tI-NP\tO' -p286131 -aS'100\t100\tCD\tI-NP\tO' -p286132 -aS'mcg\tmcg\tNN\tI-NP\tO' -p286133 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p286134 -aS'Sig\tSig\tNNP\tI-NP\tO' -p286135 -aS':\t:\t:\tO\tO' -p286136 -aS'One\tOne\tCD\tB-NP\tO' -p286137 -aS'(\t(\t(\tO\tO' -p286138 -aS'1\t1\tCD\tB-NP\tO' -p286139 -aS')\t)\t)\tO\tO' -p286140 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p286141 -aS'PO\tPO\tNN\tI-NP\tO' -p286142 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p286143 -aS'(\t(\t(\tO\tO' -p286144 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p286145 -aS')\t)\t)\tO\tO' -p286146 -aS'.\t.\t.\tO\tO' -p286147 -asS"Patient 's gait was noted to have a right foot drag as well as right foot drop ." -p286148 -(lp286149 -S'Patient\tPatient\tNN\tB-NP\tO' -p286150 -aS"'s\t's\tPOS\tB-NP\tO" -p286151 -aS'gait\tgait\tNN\tI-NP\tO' -p286152 -aS'was\tbe\tVBD\tB-VP\tO' -p286153 -aS'noted\tnote\tVBN\tI-VP\tO' -p286154 -aS'to\tto\tTO\tI-VP\tO' -p286155 -aS'have\thave\tVB\tI-VP\tO' -p286156 -aS'a\ta\tDT\tB-NP\tO' -p286157 -aS'right\tright\tJJ\tI-NP\tO' -p286158 -aS'foot\tfoot\tNN\tI-NP\tO' -p286159 -aS'drag\tdrag\tNN\tI-NP\tO' -p286160 -aS'as\tas\tRB\tB-CONJP\tO' -p286161 -aS'well\twell\tRB\tI-CONJP\tO' -p286162 -aS'as\tas\tIN\tI-CONJP\tO' -p286163 -aS'right\tright\tJJ\tB-NP\tO' -p286164 -aS'foot\tfoot\tNN\tI-NP\tO' -p286165 -aS'drop\tdrop\tNN\tI-NP\tO' -p286166 -aS'.\t.\t.\tO\tO' -p286167 -asS'Patient continued to bleed in and around the tube .' -p286168 -(lp286169 -S'Patient\tPatient\tNN\tB-NP\tO' -p286170 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p286171 -aS'to\tto\tTO\tI-VP\tO' -p286172 -aS'bleed\tbleed\tVB\tI-VP\tO' -p286173 -aS'in\tin\tIN\tB-PP\tO' -p286174 -aS'and\tand\tCC\tI-PP\tO' -p286175 -aS'around\taround\tIN\tI-PP\tO' -p286176 -aS'the\tthe\tDT\tB-NP\tO' -p286177 -aS'tube\ttube\tNN\tI-NP\tO' -p286178 -aS'.\t.\t.\tO\tO' -p286179 -asS'Notable for her diffuse expiratory wheezes and scattered expiratory crackles .' -p286180 -(lp286181 -S'Notable\tNotable\tJJ\tB-ADJP\tO' -p286182 -aS'for\tfor\tIN\tB-PP\tO' -p286183 -aS'her\ther\tPRP$\tB-NP\tO' -p286184 -aS'diffuse\tdiffuse\tJJ\tI-NP\tO' -p286185 -aS'expiratory\texpiratory\tJJ\tI-NP\tO' -p286186 -aS'wheezes\twheeze\tNNS\tI-NP\tO' -p286187 -aS'and\tand\tCC\tO\tO' -p286188 -aS'scattered\tscatter\tVBD\tB-VP\tO' -p286189 -aS'expiratory\texpiratory\tJJ\tB-NP\tO' -p286190 -aS'crackles\tcrackle\tNNS\tI-NP\tO' -p286191 -aS'.\t.\t.\tO\tO' -p286192 -asS'IVF pregnancy complicated by IUGR , 2 vessel cord , normal fetal echo reverse diastolic flow and demise of twin A at 27 weeks .' -p286193 -(lp286194 -S'IVF\tIVF\tNN\tB-NP\tO' -p286195 -aS'pregnancy\tpregnancy\tNN\tI-NP\tO' -p286196 -aS'complicated\tcomplicate\tVBN\tB-VP\tO' -p286197 -aS'by\tby\tIN\tB-PP\tO' -p286198 -aS'IUGR\tIUGR\tNN\tB-NP\tB-protein' -p286199 -aS',\t,\t,\tO\tO' -p286200 -aS'2\t2\tCD\tB-NP\tO' -p286201 -aS'vessel\tvessel\tNN\tI-NP\tO' -p286202 -aS'cord\tcord\tNN\tI-NP\tO' -p286203 -aS',\t,\t,\tO\tO' -p286204 -aS'normal\tnormal\tJJ\tB-NP\tO' -p286205 -aS'fetal\tfetal\tJJ\tI-NP\tO' -p286206 -aS'echo\techo\tJJ\tI-NP\tO' -p286207 -aS'reverse\treverse\tJJ\tI-NP\tO' -p286208 -aS'diastolic\tdiastolic\tJJ\tI-NP\tO' -p286209 -aS'flow\tflow\tNN\tI-NP\tO' -p286210 -aS'and\tand\tCC\tI-NP\tO' -p286211 -aS'demise\tdemise\tNN\tI-NP\tO' -p286212 -aS'of\tof\tIN\tB-PP\tO' -p286213 -aS'twin\ttwin\tNN\tB-NP\tO' -p286214 -aS'A\tA\tNN\tI-NP\tO' -p286215 -aS'at\tat\tIN\tB-PP\tO' -p286216 -aS'27\t27\tCD\tB-NP\tO' -p286217 -aS'weeks\tweek\tNNS\tI-NP\tO' -p286218 -aS'.\t.\t.\tO\tO' -p286219 -asS'However , there was no evidence for neurologic deficit on examination and this will be followed-up by her primary care physician .' -p286220 -(lp286221 -S'However\tHowever\tRB\tB-ADVP\tO' -p286222 -aS',\t,\t,\tO\tO' -p286223 -aS'there\tthere\tEX\tB-NP\tO' -p286224 -aS'was\tbe\tVBD\tB-VP\tO' -p286225 -aS'no\tno\tDT\tB-NP\tO' -p286226 -aS'evidence\tevidence\tNN\tI-NP\tO' -p286227 -aS'for\tfor\tIN\tB-PP\tO' -p286228 -aS'neurologic\tneurologic\tJJ\tB-NP\tO' -p286229 -aS'deficit\tdeficit\tNN\tI-NP\tO' -p286230 -aS'on\ton\tIN\tB-PP\tO' -p286231 -aS'examination\texamination\tNN\tB-NP\tO' -p286232 -aS'and\tand\tCC\tO\tO' -p286233 -aS'this\tthis\tDT\tB-NP\tO' -p286234 -aS'will\twill\tMD\tB-VP\tO' -p286235 -aS'be\tbe\tVB\tI-VP\tO' -p286236 -aS'followed-up\tfollowed-up\tJJ\tB-ADJP\tO' -p286237 -aS'by\tby\tIN\tB-PP\tO' -p286238 -aS'her\ther\tPRP$\tB-NP\tO' -p286239 -aS'primary\tprimary\tJJ\tI-NP\tO' -p286240 -aS'care\tcare\tNN\tI-NP\tO' -p286241 -aS'physician\tphysician\tNN\tI-NP\tO' -p286242 -aS'.\t.\t.\tO\tO' -p286243 -asS'Sodium 139 , potassium 3.5 , chloride 103 , bicarbonate 25 , BUN 9 , creatinine 0.9 , and glucose 83 .' -p286244 -(lp286245 -S'Sodium\tSodium\tNN\tB-NP\tB-protein' -p286246 -aS'139\t139\tCD\tI-NP\tI-protein' -p286247 -aS',\t,\t,\tO\tO' -p286248 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p286249 -aS'3.5\t3.5\tCD\tI-NP\tO' -p286250 -aS',\t,\t,\tO\tO' -p286251 -aS'chloride\tchloride\tNN\tB-NP\tO' -p286252 -aS'103\t103\tCD\tI-NP\tO' -p286253 -aS',\t,\t,\tO\tO' -p286254 -aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' -p286255 -aS'25\t25\tCD\tI-NP\tO' -p286256 -aS',\t,\t,\tO\tO' -p286257 -aS'BUN\tBUN\tNN\tB-NP\tB-protein' -p286258 -aS'9\t9\tCD\tI-NP\tI-protein' -p286259 -aS',\t,\t,\tO\tO' -p286260 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p286261 -aS'0.9\t0.9\tCD\tI-NP\tO' -p286262 -aS',\t,\t,\tO\tO' -p286263 -aS'and\tand\tCC\tO\tO' -p286264 -aS'glucose\tglucose\tNN\tB-NP\tB-protein' -p286265 -aS'83\t83\tCD\tI-NP\tI-protein' -p286266 -aS'.\t.\t.\tO\tO' -p286267 -asS'Pt was pan-cultured and switched from unasyn ( started at OSH for foot ulcer ) to zosyn .' -p286268 -(lp286269 -S'Pt\tPt\tNN\tB-NP\tO' -p286270 -aS'was\tbe\tVBD\tB-VP\tO' -p286271 -aS'pan-cultured\tpan-cultured\tJJ\tB-ADJP\tO' -p286272 -aS'and\tand\tCC\tO\tO' -p286273 -aS'switched\tswitch\tVBN\tB-VP\tO' -p286274 -aS'from\tfrom\tIN\tB-PP\tO' -p286275 -aS'unasyn\tunasyn\tJJ\tO\tO' -p286276 -aS'(\t(\t(\tO\tO' -p286277 -aS'started\tstart\tVBN\tB-VP\tO' -p286278 -aS'at\tat\tIN\tB-PP\tO' -p286279 -aS'OSH\tOSH\tNN\tB-NP\tB-protein' -p286280 -aS'for\tfor\tIN\tB-PP\tO' -p286281 -aS'foot\tfoot\tNN\tB-NP\tO' -p286282 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p286283 -aS')\t)\t)\tO\tO' -p286284 -aS'to\tto\tTO\tB-PP\tO' -p286285 -aS'zosyn\tzosyn\tNN\tB-NP\tO' -p286286 -aS'.\t.\t.\tO\tO' -p286287 -asS'The patient was stable .' -p286288 -(lp286289 -S'The\tThe\tDT\tB-NP\tO' -p286290 -aS'patient\tpatient\tNN\tI-NP\tO' -p286291 -aS'was\tbe\tVBD\tB-VP\tO' -p286292 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p286293 -aS'.\t.\t.\tO\tO' -p286294 -asS'Her wounds were stable without any erythema or drainage .' -p286295 -(lp286296 -S'Her\tHer\tPRP$\tB-NP\tO' -p286297 -aS'wounds\twound\tNNS\tI-NP\tO' -p286298 -aS'were\tbe\tVBD\tB-VP\tO' -p286299 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p286300 -aS'without\twithout\tIN\tB-PP\tO' -p286301 -aS'any\tany\tDT\tB-NP\tO' -p286302 -aS'erythema\terythema\tNN\tI-NP\tO' -p286303 -aS'or\tor\tCC\tI-NP\tO' -p286304 -aS'drainage\tdrainage\tNN\tI-NP\tO' -p286305 -aS'.\t.\t.\tO\tO' -p286306 -asS'The question was whether or not whether she had two primaries vs metastatic endometrial cancer .' -p286307 -(lp286308 -S'The\tThe\tDT\tB-NP\tO' -p286309 -aS'question\tquestion\tNN\tI-NP\tO' -p286310 -aS'was\tbe\tVBD\tB-VP\tO' -p286311 -aS'whether\twhether\tIN\tB-SBAR\tO' -p286312 -aS'or\tor\tCC\tO\tO' -p286313 -aS'not\tnot\tRB\tO\tO' -p286314 -aS'whether\twhether\tIN\tB-SBAR\tO' -p286315 -aS'she\tshe\tPRP\tB-NP\tO' -p286316 -aS'had\thave\tVBD\tB-VP\tO' -p286317 -aS'two\ttwo\tCD\tB-NP\tO' -p286318 -aS'primaries\tprimary\tNNS\tI-NP\tO' -p286319 -aS'vs\tvs\tCC\tO\tO' -p286320 -aS'metastatic\tmetastatic\tJJ\tB-NP\tO' -p286321 -aS'endometrial\tendometrial\tJJ\tI-NP\tO' -p286322 -aS'cancer\tcancer\tNN\tI-NP\tO' -p286323 -aS'.\t.\t.\tO\tO' -p286324 -asS'1. Hyperthyroid disease status post radioactive iodine ablation , now hypothyroid on Levoxyl .' -p286325 -(lp286326 -S'1.\t1.\tLS\tB-NP\tO' -p286327 -aS'Hyperthyroid\tHyperthyroid\tNN\tI-NP\tO' -p286328 -aS'disease\tdisease\tNN\tI-NP\tO' -p286329 -aS'status\tstatus\tNN\tI-NP\tO' -p286330 -aS'post\tpost\tNN\tI-NP\tO' -p286331 -aS'radioactive\tradioactive\tJJ\tI-NP\tO' -p286332 -aS'iodine\tiodine\tNN\tI-NP\tO' -p286333 -aS'ablation\tablation\tNN\tI-NP\tO' -p286334 -aS',\t,\t,\tO\tO' -p286335 -aS'now\tnow\tRB\tB-ADJP\tO' -p286336 -aS'hypothyroid\thypothyroid\tJJ\tI-ADJP\tO' -p286337 -aS'on\ton\tIN\tB-PP\tO' -p286338 -aS'Levoxyl\tLevoxyl\tNN\tB-NP\tO' -p286339 -aS'.\t.\t.\tO\tO' -p286340 -asS'Ms. Bridge is a 74 y/o female admitted to outside hospital on 2015-10-21 with chest discomfort , vomiting and shortness of breath .' -p286341 -(lp286342 -S'Ms.\tMs.\tNNP\tB-NP\tO' -p286343 -aS'Bridge\tBridge\tNNP\tI-NP\tO' -p286344 -aS'is\tbe\tVBZ\tB-VP\tO' -p286345 -aS'a\ta\tDT\tB-NP\tO' -p286346 -aS'74\t74\tCD\tI-NP\tO' -p286347 -aS'y/o\ty/o\tNN\tI-NP\tO' -p286348 -aS'female\tfemale\tJJ\tI-NP\tO' -p286349 -aS'admitted\tadmit\tVBN\tB-VP\tO' -p286350 -aS'to\tto\tTO\tB-PP\tO' -p286351 -aS'outside\toutside\tJJ\tB-NP\tO' -p286352 -aS'hospital\thospital\tNN\tI-NP\tO' -p286353 -aS'on\ton\tIN\tB-PP\tO' -p286354 -aS'2015-10-21\t2015-10-21\tNN\tB-NP\tO' -p286355 -aS'with\twith\tIN\tB-PP\tO' -p286356 -aS'chest\tchest\tNN\tB-NP\tO' -p286357 -aS'discomfort\tdiscomfort\tNN\tI-NP\tO' -p286358 -aS',\t,\t,\tO\tO' -p286359 -aS'vomiting\tvomiting\tNN\tB-NP\tO' -p286360 -aS'and\tand\tCC\tO\tO' -p286361 -aS'shortness\tshortness\tNN\tB-NP\tO' -p286362 -aS'of\tof\tIN\tB-PP\tO' -p286363 -aS'breath\tbreath\tNN\tB-NP\tO' -p286364 -aS'.\t.\t.\tO\tO' -p286365 -asS'The patient may shower but should not take baths .' -p286366 -(lp286367 -S'The\tThe\tDT\tB-NP\tO' -p286368 -aS'patient\tpatient\tNN\tI-NP\tO' -p286369 -aS'may\tmay\tMD\tB-VP\tO' -p286370 -aS'shower\tshower\tVB\tI-VP\tO' -p286371 -aS'but\tbut\tCC\tO\tO' -p286372 -aS'should\tshould\tMD\tB-VP\tO' -p286373 -aS'not\tnot\tRB\tI-VP\tO' -p286374 -aS'take\ttake\tVB\tI-VP\tO' -p286375 -aS'baths\tbath\tNNS\tB-NP\tO' -p286376 -aS'.\t.\t.\tO\tO' -p286377 -asS'6. Headaches .' -p286378 -(lp286379 -S'6.\t6.\tLS\tB-LST\tO' -p286380 -aS'Headaches\tHeadaches\tNNP\tB-NP\tO' -p286381 -aS'.\t.\t.\tO\tO' -p286382 -asS'This report was created by SHUFF , RONRIN 04/30/2005 03:52 PM' -p286383 -(lp286384 -S'This\tThis\tDT\tB-NP\tO' -p286385 -aS'report\treport\tNN\tI-NP\tO' -p286386 -aS'was\tbe\tVBD\tB-VP\tO' -p286387 -aS'created\tcreate\tVBN\tI-VP\tO' -p286388 -aS'by\tby\tIN\tB-PP\tO' -p286389 -aS'SHUFF\tSHUFF\tNN\tB-NP\tB-protein' -p286390 -aS',\t,\t,\tO\tO' -p286391 -aS'RONRIN\tRONRIN\tNN\tB-NP\tO' -p286392 -aS'04/30/2005\t04/30/2005\tCD\tI-NP\tO' -p286393 -aS'03:52\t03:52\tCD\tI-NP\tO' -p286394 -aS'PM\tPM\tNN\tI-NP\tO' -p286395 -asS'9. CVA x2 with left-sided weakness' -p286396 -(lp286397 -S'9.\t9.\tLS\tB-NP\tO' -p286398 -aS'CVA\tCVA\tNN\tI-NP\tB-protein' -p286399 -aS'x2\tx2\tNN\tI-NP\tI-protein' -p286400 -aS'with\twith\tIN\tB-PP\tO' -p286401 -aS'left-sided\tleft-sided\tJJ\tB-NP\tO' -p286402 -aS'weakness\tweakness\tNN\tI-NP\tO' -p286403 -asS'Echo showed normal function , trace AR , and no MR .' -p286404 -(lp286405 -S'Echo\tEcho\tNNP\tB-NP\tO' -p286406 -aS'showed\tshow\tVBD\tB-VP\tO' -p286407 -aS'normal\tnormal\tJJ\tB-NP\tO' -p286408 -aS'function\tfunction\tNN\tI-NP\tO' -p286409 -aS',\t,\t,\tO\tO' -p286410 -aS'trace\ttrace\tNN\tB-NP\tB-protein' -p286411 -aS'AR\tAR\tNNS\tI-NP\tI-protein' -p286412 -aS',\t,\t,\tO\tO' -p286413 -aS'and\tand\tCC\tO\tO' -p286414 -aS'no\tno\tDT\tB-NP\tO' -p286415 -aS'MR\tMR\tNN\tI-NP\tB-protein' -p286416 -aS'.\t.\t.\tO\tO' -p286417 -asS'3. Right breast calcification .' -p286418 -(lp286419 -S'3.\t3.\tLS\tB-NP\tO' -p286420 -aS'Right\tRight\tNN\tI-NP\tO' -p286421 -aS'breast\tbreast\tNN\tI-NP\tO' -p286422 -aS'calcification\tcalcification\tNN\tI-NP\tO' -p286423 -aS'.\t.\t.\tO\tO' -p286424 -asS'The patient was brought to the Operating Room , on April 22 .' -p286425 -(lp286426 -S'The\tThe\tDT\tB-NP\tO' -p286427 -aS'patient\tpatient\tNN\tI-NP\tO' -p286428 -aS'was\tbe\tVBD\tB-VP\tO' -p286429 -aS'brought\tbring\tVBN\tI-VP\tO' -p286430 -aS'to\tto\tTO\tB-PP\tO' -p286431 -aS'the\tthe\tDT\tB-NP\tO' -p286432 -aS'Operating\tOperating\tNNP\tI-NP\tO' -p286433 -aS'Room\tRoom\tNNP\tI-NP\tO' -p286434 -aS',\t,\t,\tO\tO' -p286435 -aS'on\ton\tIN\tB-PP\tO' -p286436 -aS'April\tApril\tNNP\tB-NP\tO' -p286437 -aS'22\t22\tCD\tI-NP\tO' -p286438 -aS'.\t.\t.\tO\tO' -p286439 -asS'No gag provoked , but biting ETT at times .' -p286440 -(lp286441 -S'No\tNo\tDT\tB-NP\tO' -p286442 -aS'gag\tgag\tNN\tI-NP\tO' -p286443 -aS'provoked\tprovoke\tVBD\tB-VP\tO' -p286444 -aS',\t,\t,\tO\tO' -p286445 -aS'but\tbut\tCC\tO\tO' -p286446 -aS'biting\tbite\tVBG\tB-VP\tO' -p286447 -aS'ETT\tETT\tNN\tB-NP\tO' -p286448 -aS'at\tat\tIN\tB-PP\tO' -p286449 -aS'times\ttime\tNNS\tB-NP\tO' -p286450 -aS'.\t.\t.\tO\tO' -p286451 -asS'On admission revealed a white blood cell count of 9.46 with 89% polys , 2% bands , 7% lymphocytes , 2% monocytes .' -p286452 -(lp286453 -S'On\tOn\tIN\tB-PP\tO' -p286454 -aS'admission\tadmission\tNN\tB-NP\tO' -p286455 -aS'revealed\treveal\tVBD\tB-VP\tO' -p286456 -aS'a\ta\tDT\tB-NP\tO' -p286457 -aS'white\twhite\tJJ\tI-NP\tO' -p286458 -aS'blood\tblood\tNN\tI-NP\tO' -p286459 -aS'cell\tcell\tNN\tI-NP\tO' -p286460 -aS'count\tcount\tNN\tI-NP\tO' -p286461 -aS'of\tof\tIN\tB-PP\tO' -p286462 -aS'9.46\t9.46\tCD\tB-NP\tO' -p286463 -aS'with\twith\tIN\tB-PP\tO' -p286464 -aS'89%\t89%\tCD\tB-NP\tO' -p286465 -aS'polys\tpoly\tNNS\tI-NP\tO' -p286466 -aS',\t,\t,\tO\tO' -p286467 -aS'2%\t2%\tNN\tB-NP\tO' -p286468 -aS'bands\tband\tNNS\tI-NP\tO' -p286469 -aS',\t,\t,\tO\tO' -p286470 -aS'7%\t7%\tNN\tB-NP\tB-cell_line' -p286471 -aS'lymphocytes\tlymphocyte\tNNS\tI-NP\tI-cell_line' -p286472 -aS',\t,\t,\tO\tO' -p286473 -aS'2%\t2%\tCD\tB-NP\tO' -p286474 -aS'monocytes\tmonocyte\tNNS\tI-NP\tB-cell_type' -p286475 -aS'.\t.\t.\tO\tO' -p286476 -asS'There is a small paravavluar leak in the area adjacent to the anterior mitral leaflet , resulting in some trace insuffiency outside the sewing ring .' -p286477 -(lp286478 -S'There\tThere\tEX\tB-NP\tO' -p286479 -aS'is\tbe\tVBZ\tB-VP\tO' -p286480 -aS'a\ta\tDT\tB-NP\tO' -p286481 -aS'small\tsmall\tJJ\tI-NP\tO' -p286482 -aS'paravavluar\tparavavluar\tJJ\tI-NP\tO' -p286483 -aS'leak\tleak\tNN\tI-NP\tO' -p286484 -aS'in\tin\tIN\tB-PP\tO' -p286485 -aS'the\tthe\tDT\tB-NP\tO' -p286486 -aS'area\tarea\tNN\tI-NP\tO' -p286487 -aS'adjacent\tadjacent\tJJ\tB-ADJP\tO' -p286488 -aS'to\tto\tTO\tB-PP\tO' -p286489 -aS'the\tthe\tDT\tB-NP\tO' -p286490 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p286491 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p286492 -aS'leaflet\tleaflet\tNN\tI-NP\tO' -p286493 -aS',\t,\t,\tO\tO' -p286494 -aS'resulting\tresult\tVBG\tB-VP\tO' -p286495 -aS'in\tin\tIN\tB-PP\tO' -p286496 -aS'some\tsome\tDT\tB-NP\tO' -p286497 -aS'trace\ttrace\tNN\tI-NP\tO' -p286498 -aS'insuffiency\tinsuffiency\tNN\tI-NP\tO' -p286499 -aS'outside\toutside\tIN\tB-PP\tO' -p286500 -aS'the\tthe\tDT\tB-NP\tO' -p286501 -aS'sewing\tsew\tVBG\tI-NP\tO' -p286502 -aS'ring\tring\tNN\tI-NP\tO' -p286503 -aS'.\t.\t.\tO\tO' -p286504 -asS'She normally receives HD on Mon , Wed , and Fri .' -p286505 -(lp286506 -S'She\tShe\tPRP\tB-NP\tO' -p286507 -aS'normally\tnormally\tRB\tB-ADVP\tO' -p286508 -aS'receives\treceive\tVBZ\tB-VP\tO' -p286509 -aS'HD\tHD\tNN\tB-NP\tO' -p286510 -aS'on\ton\tIN\tB-PP\tO' -p286511 -aS'Mon\tMon\tNNP\tB-NP\tO' -p286512 -aS',\t,\t,\tO\tO' -p286513 -aS'Wed\tWed\tNNP\tB-NP\tO' -p286514 -aS',\t,\t,\tO\tO' -p286515 -aS'and\tand\tCC\tO\tO' -p286516 -aS'Fri\tFri\tNNP\tB-NP\tO' -p286517 -aS'.\t.\t.\tO\tO' -p286518 -asS'The patient has a history of severe aortic stenosis and was recently admitted to the Retelk County Medical Center for a Nafcillin sensitive Staphylococcus aureus cellulitis of the right leg treated with a course of Nafcillin and Levofloxacin .' -p286519 -(lp286520 -S'The\tThe\tDT\tB-NP\tO' -p286521 -aS'patient\tpatient\tNN\tI-NP\tO' -p286522 -aS'has\thave\tVBZ\tB-VP\tO' -p286523 -aS'a\ta\tDT\tB-NP\tO' -p286524 -aS'history\thistory\tNN\tI-NP\tO' -p286525 -aS'of\tof\tIN\tB-PP\tO' -p286526 -aS'severe\tsevere\tJJ\tB-NP\tO' -p286527 -aS'aortic\taortic\tJJ\tI-NP\tO' -p286528 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p286529 -aS'and\tand\tCC\tO\tO' -p286530 -aS'was\tbe\tVBD\tB-VP\tO' -p286531 -aS'recently\trecently\tRB\tI-VP\tO' -p286532 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p286533 -aS'to\tto\tTO\tB-PP\tO' -p286534 -aS'the\tthe\tDT\tB-NP\tO' -p286535 -aS'Retelk\tRetelk\tNNP\tI-NP\tO' -p286536 -aS'County\tCounty\tNNP\tI-NP\tO' -p286537 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p286538 -aS'Center\tCenter\tNNP\tI-NP\tO' -p286539 -aS'for\tfor\tIN\tB-PP\tO' -p286540 -aS'a\ta\tDT\tB-NP\tO' -p286541 -aS'Nafcillin\tNafcillin\tNN\tI-NP\tO' -p286542 -aS'sensitive\tsensitive\tJJ\tI-NP\tO' -p286543 -aS'Staphylococcus\tStaphylococcus\tFW\tI-NP\tO' -p286544 -aS'aureus\taureus\tFW\tI-NP\tO' -p286545 -aS'cellulitis\tcellulitis\tNN\tI-NP\tO' -p286546 -aS'of\tof\tIN\tB-PP\tO' -p286547 -aS'the\tthe\tDT\tB-NP\tO' -p286548 -aS'right\tright\tJJ\tI-NP\tO' -p286549 -aS'leg\tleg\tNN\tI-NP\tO' -p286550 -aS'treated\ttreat\tVBN\tB-VP\tO' -p286551 -aS'with\twith\tIN\tB-PP\tO' -p286552 -aS'a\ta\tDT\tB-NP\tO' -p286553 -aS'course\tcourse\tNN\tI-NP\tO' -p286554 -aS'of\tof\tIN\tB-PP\tO' -p286555 -aS'Nafcillin\tNafcillin\tNN\tB-NP\tB-protein' -p286556 -aS'and\tand\tCC\tI-NP\tO' -p286557 -aS'Levofloxacin\tLevofloxacin\tNN\tI-NP\tO' -p286558 -aS'.\t.\t.\tO\tO' -p286559 -asS'She was known to have gram-positive cocci in her sputum at the outside hospital .' -p286560 -(lp286561 -S'She\tShe\tPRP\tB-NP\tO' -p286562 -aS'was\tbe\tVBD\tB-VP\tO' -p286563 -aS'known\tknow\tVBN\tI-VP\tO' -p286564 -aS'to\tto\tTO\tI-VP\tO' -p286565 -aS'have\thave\tVB\tI-VP\tO' -p286566 -aS'gram-positive\tgram-positive\tJJ\tB-NP\tO' -p286567 -aS'cocci\tcoccus\tNNS\tI-NP\tO' -p286568 -aS'in\tin\tIN\tB-PP\tO' -p286569 -aS'her\ther\tPRP$\tB-NP\tO' -p286570 -aS'sputum\tsputum\tNN\tI-NP\tO' -p286571 -aS'at\tat\tIN\tB-PP\tO' -p286572 -aS'the\tthe\tDT\tB-NP\tO' -p286573 -aS'outside\toutside\tJJ\tI-NP\tO' -p286574 -aS'hospital\thospital\tNN\tI-NP\tO' -p286575 -aS'.\t.\t.\tO\tO' -p286576 -asS'6. Bisacodyl 10 mg Suppository Sig : One ( 1 ) Suppository Rectal BID ( 2 times a day ) as needed for constipation .' -p286577 -(lp286578 -S'6.\t6.\tLS\tB-LST\tO' -p286579 -aS'Bisacodyl\tBisacodyl\tNN\tB-NP\tO' -p286580 -aS'10\t10\tCD\tI-NP\tO' -p286581 -aS'mg\tmg\tNN\tI-NP\tO' -p286582 -aS'Suppository\tSuppository\tNNP\tI-NP\tO' -p286583 -aS'Sig\tSig\tNNP\tI-NP\tO' -p286584 -aS':\t:\t:\tO\tO' -p286585 -aS'One\tOne\tCD\tB-NP\tO' -p286586 -aS'(\t(\t(\tO\tO' -p286587 -aS'1\t1\tCD\tB-NP\tO' -p286588 -aS')\t)\t)\tO\tO' -p286589 -aS'Suppository\tSuppository\tJJ\tB-NP\tO' -p286590 -aS'Rectal\tRectal\tJJ\tI-NP\tO' -p286591 -aS'BID\tBID\tNN\tI-NP\tO' -p286592 -aS'(\t(\t(\tO\tO' -p286593 -aS'2\t2\tCD\tB-NP\tO' -p286594 -aS'times\ttime\tNNS\tI-NP\tO' -p286595 -aS'a\ta\tDT\tB-NP\tO' -p286596 -aS'day\tday\tNN\tI-NP\tO' -p286597 -aS')\t)\t)\tO\tO' -p286598 -aS'as\tas\tIN\tB-SBAR\tO' -p286599 -aS'needed\tneed\tVBN\tB-VP\tO' -p286600 -aS'for\tfor\tIN\tB-PP\tO' -p286601 -aS'constipation\tconstipation\tNN\tB-NP\tO' -p286602 -aS'.\t.\t.\tO\tO' -p286603 -asS'01-24 PICC removal .' -p286604 -(lp286605 -S'01-24\t01-24\tCD\tB-NP\tO' -p286606 -aS'PICC\tPICC\tNN\tI-NP\tO' -p286607 -aS'removal\tremoval\tNN\tI-NP\tO' -p286608 -aS'.\t.\t.\tO\tO' -p286609 -asS'Patient was taken to the Operating Room on April 21 where patient underwent a left parietal stereotactic guided brain biopsy .' -p286610 -(lp286611 -S'Patient\tPatient\tNN\tB-NP\tO' -p286612 -aS'was\tbe\tVBD\tB-VP\tO' -p286613 -aS'taken\ttake\tVBN\tI-VP\tO' -p286614 -aS'to\tto\tTO\tB-PP\tO' -p286615 -aS'the\tthe\tDT\tB-NP\tO' -p286616 -aS'Operating\tOperating\tNNP\tI-NP\tO' -p286617 -aS'Room\tRoom\tNNP\tI-NP\tO' -p286618 -aS'on\ton\tIN\tB-PP\tO' -p286619 -aS'April\tApril\tNNP\tB-NP\tO' -p286620 -aS'21\t21\tCD\tI-NP\tO' -p286621 -aS'where\twhere\tWRB\tB-ADVP\tO' -p286622 -aS'patient\tpatient\tNN\tB-NP\tO' -p286623 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p286624 -aS'a\ta\tDT\tB-NP\tO' -p286625 -aS'left\tleft\tJJ\tI-NP\tO' -p286626 -aS'parietal\tparietal\tJJ\tI-NP\tO' -p286627 -aS'stereotactic\tstereotactic\tJJ\tI-NP\tO' -p286628 -aS'guided\tguided\tJJ\tI-NP\tO' -p286629 -aS'brain\tbrain\tNN\tI-NP\tO' -p286630 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p286631 -aS'.\t.\t.\tO\tO' -p286632 -asS'is significant for a myocardial infarction in 1984 .' -p286633 -(lp286634 -S'is\tbe\tVBZ\tB-VP\tO' -p286635 -aS'significant\tsignificant\tJJ\tB-ADJP\tO' -p286636 -aS'for\tfor\tIN\tB-PP\tO' -p286637 -aS'a\ta\tDT\tB-NP\tO' -p286638 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p286639 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p286640 -aS'in\tin\tIN\tB-PP\tO' -p286641 -aS'1984\t1984\tCD\tB-NP\tO' -p286642 -aS'.\t.\t.\tO\tO' -p286643 -asS'Intact to simple comprehension such as " show your left hand " but not " show your left thumb " .' -p286644 -(lp286645 -S'Intact\tIntact\tJJ\tB-ADJP\tO' -p286646 -aS'to\tto\tTO\tB-PP\tO' -p286647 -aS'simple\tsimple\tJJ\tB-NP\tO' -p286648 -aS'comprehension\tcomprehension\tNN\tI-NP\tO' -p286649 -aS'such\tsuch\tJJ\tB-PP\tO' -p286650 -aS'as\tas\tIN\tI-PP\tO' -p286651 -aS'"\t"\t\'\'\tO\tB-DNA' -p286652 -aS'show\tshow\tVBP\tB-VP\tO' -p286653 -aS'your\tyour\tPRP$\tB-NP\tO' -p286654 -aS'left\tleft\tJJ\tI-NP\tO' -p286655 -aS'hand\thand\tNN\tI-NP\tO' -p286656 -aS'"\t"\t\'\'\tO\tO' -p286657 -aS'but\tbut\tCC\tO\tO' -p286658 -aS'not\tnot\tRB\tO\tO' -p286659 -aS'"\t"\t\'\'\tO\tB-protein' -p286660 -aS'show\tshow\tVB\tB-VP\tO' -p286661 -aS'your\tyour\tPRP$\tB-NP\tO' -p286662 -aS'left\tleft\tJJ\tI-NP\tO' -p286663 -aS'thumb\tthumb\tNN\tI-NP\tO' -p286664 -aS'"\t"\t\'\'\tO\tO' -p286665 -aS'.\t.\t.\tO\tO' -p286666 -asS'Dorsalis pedis pulses were intact bilaterally .' -p286667 -(lp286668 -S'Dorsalis\tDorsalis\tNNP\tB-NP\tO' -p286669 -aS'pedis\tpedis\tNN\tI-NP\tO' -p286670 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p286671 -aS'were\tbe\tVBD\tB-VP\tO' -p286672 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p286673 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p286674 -aS'.\t.\t.\tO\tO' -p286675 -asS'Pt needs to be on amiodarone 400mg BID x 7 days ( loading dose ) and then 400mg daily for maintenance .' -p286676 -(lp286677 -S'Pt\tPt\tNN\tB-NP\tO' -p286678 -aS'needs\tneed\tVBZ\tB-VP\tO' -p286679 -aS'to\tto\tTO\tI-VP\tO' -p286680 -aS'be\tbe\tVB\tI-VP\tO' -p286681 -aS'on\ton\tIN\tB-PP\tO' -p286682 -aS'amiodarone\tamiodarone\tNN\tB-NP\tO' -p286683 -aS'400mg\t400mg\tCD\tI-NP\tO' -p286684 -aS'BID\tBID\tNN\tI-NP\tO' -p286685 -aS'x\tx\tSYM\tB-NP\tO' -p286686 -aS'7\t7\tCD\tB-NP\tO' -p286687 -aS'days\tday\tNNS\tI-NP\tO' -p286688 -aS'(\t(\t(\tO\tO' -p286689 -aS'loading\tload\tVBG\tB-VP\tO' -p286690 -aS'dose\tdose\tNN\tB-NP\tO' -p286691 -aS')\t)\t)\tO\tO' -p286692 -aS'and\tand\tCC\tO\tO' -p286693 -aS'then\tthen\tRB\tO\tO' -p286694 -aS'400mg\t400mg\tCD\tB-NP\tO' -p286695 -aS'daily\tdaily\tRB\tB-ADVP\tO' -p286696 -aS'for\tfor\tIN\tB-PP\tO' -p286697 -aS'maintenance\tmaintenance\tNN\tB-NP\tO' -p286698 -aS'.\t.\t.\tO\tO' -p286699 -asS'Other medical problems included chronic liver disease of uncertain etiology , for which he had been advised not to drink any alcohol .' -p286700 -(lp286701 -S'Other\tOther\tJJ\tB-NP\tO' -p286702 -aS'medical\tmedical\tJJ\tI-NP\tO' -p286703 -aS'problems\tproblem\tNNS\tI-NP\tO' -p286704 -aS'included\tinclude\tVBD\tB-VP\tO' -p286705 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p286706 -aS'liver\tliver\tNN\tI-NP\tO' -p286707 -aS'disease\tdisease\tNN\tI-NP\tO' -p286708 -aS'of\tof\tIN\tB-PP\tO' -p286709 -aS'uncertain\tuncertain\tJJ\tB-NP\tO' -p286710 -aS'etiology\tetiology\tNN\tI-NP\tO' -p286711 -aS',\t,\t,\tO\tO' -p286712 -aS'for\tfor\tIN\tB-PP\tO' -p286713 -aS'which\twhich\tWDT\tB-NP\tO' -p286714 -aS'he\the\tPRP\tB-NP\tO' -p286715 -aS'had\thave\tVBD\tB-VP\tO' -p286716 -aS'been\tbe\tVBN\tI-VP\tO' -p286717 -aS'advised\tadvise\tVBN\tI-VP\tO' -p286718 -aS'not\tnot\tRB\tO\tO' -p286719 -aS'to\tto\tTO\tB-VP\tO' -p286720 -aS'drink\tdrink\tVB\tI-VP\tO' -p286721 -aS'any\tany\tDT\tB-NP\tO' -p286722 -aS'alcohol\talcohol\tNN\tI-NP\tO' -p286723 -aS'.\t.\t.\tO\tO' -p286724 -asS'AFB stain was negative .' -p286725 -(lp286726 -S'AFB\tAFB\tNN\tB-NP\tB-protein' -p286727 -aS'stain\tstain\tNN\tI-NP\tI-protein' -p286728 -aS'was\tbe\tVBD\tB-VP\tO' -p286729 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p286730 -aS'.\t.\t.\tO\tO' -p286731 -asS'69 yo M with known Atrial fibrillation and coronary artery disease admitted preop for transition fro Coumadin to Heparin .' -p286732 -(lp286733 -S'69\t69\tCD\tB-NP\tO' -p286734 -aS'yo\tyo\tNN\tI-NP\tO' -p286735 -aS'M\tM\tNN\tI-NP\tO' -p286736 -aS'with\twith\tIN\tB-PP\tO' -p286737 -aS'known\tknown\tJJ\tB-NP\tO' -p286738 -aS'Atrial\tAtrial\tJJ\tI-NP\tO' -p286739 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p286740 -aS'and\tand\tCC\tO\tO' -p286741 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p286742 -aS'artery\tartery\tNN\tI-NP\tO' -p286743 -aS'disease\tdisease\tNN\tI-NP\tO' -p286744 -aS'admitted\tadmit\tVBD\tB-VP\tO' -p286745 -aS'preop\tpreop\tNN\tB-NP\tO' -p286746 -aS'for\tfor\tIN\tB-PP\tO' -p286747 -aS'transition\ttransition\tNN\tB-NP\tO' -p286748 -aS'fro\tfro\tNN\tI-NP\tO' -p286749 -aS'Coumadin\tCoumadin\tNN\tI-NP\tO' -p286750 -aS'to\tto\tTO\tB-PP\tO' -p286751 -aS'Heparin\tHeparin\tNN\tB-NP\tO' -p286752 -aS'.\t.\t.\tO\tO' -p286753 -asS'It was noted that she became very symptomatic when she was not on a beta blocker but that on a beta blocker she had significant pacemaker failure .' -p286754 -(lp286755 -S'It\tIt\tPRP\tB-NP\tO' -p286756 -aS'was\tbe\tVBD\tB-VP\tO' -p286757 -aS'noted\tnote\tVBN\tI-VP\tO' -p286758 -aS'that\tthat\tIN\tB-SBAR\tO' -p286759 -aS'she\tshe\tPRP\tB-NP\tO' -p286760 -aS'became\tbecome\tVBD\tB-VP\tO' -p286761 -aS'very\tvery\tRB\tB-ADJP\tO' -p286762 -aS'symptomatic\tsymptomatic\tJJ\tI-ADJP\tO' -p286763 -aS'when\twhen\tWRB\tB-ADVP\tO' -p286764 -aS'she\tshe\tPRP\tB-NP\tO' -p286765 -aS'was\tbe\tVBD\tB-VP\tO' -p286766 -aS'not\tnot\tRB\tO\tO' -p286767 -aS'on\ton\tIN\tB-PP\tO' -p286768 -aS'a\ta\tDT\tB-NP\tO' -p286769 -aS'beta\tbeta\tNN\tI-NP\tO' -p286770 -aS'blocker\tblocker\tNN\tI-NP\tO' -p286771 -aS'but\tbut\tCC\tO\tO' -p286772 -aS'that\tthat\tDT\tB-NP\tO' -p286773 -aS'on\ton\tIN\tB-PP\tO' -p286774 -aS'a\ta\tDT\tB-NP\tO' -p286775 -aS'beta\tbeta\tNN\tI-NP\tO' -p286776 -aS'blocker\tblocker\tNN\tI-NP\tO' -p286777 -aS'she\tshe\tPRP\tB-NP\tO' -p286778 -aS'had\thave\tVBD\tB-VP\tO' -p286779 -aS'significant\tsignificant\tJJ\tB-NP\tO' -p286780 -aS'pacemaker\tpacemaker\tNN\tI-NP\tO' -p286781 -aS'failure\tfailure\tNN\tI-NP\tO' -p286782 -aS'.\t.\t.\tO\tO' -p286783 -asS'THe patient had no signs of alcohol withdrawal .' -p286784 -(lp286785 -S'THe\tTHe\tNN\tB-NP\tO' -p286786 -aS'patient\tpatient\tNN\tI-NP\tO' -p286787 -aS'had\thave\tVBD\tB-VP\tO' -p286788 -aS'no\tno\tDT\tB-NP\tO' -p286789 -aS'signs\tsign\tNNS\tI-NP\tO' -p286790 -aS'of\tof\tIN\tB-PP\tO' -p286791 -aS'alcohol\talcohol\tNN\tB-NP\tO' -p286792 -aS'withdrawal\twithdrawal\tNN\tI-NP\tO' -p286793 -aS'.\t.\t.\tO\tO' -p286794 -asS'No cholecystitis .' -p286795 -(lp286796 -S'No\tNo\tDT\tB-NP\tO' -p286797 -aS'cholecystitis\tcholecystitis\tNN\tI-NP\tO' -p286798 -aS'.\t.\t.\tO\tO' -p286799 -asS'Thoracentesis revealed a pH of 7.18 , glucose 52 , white blood cell count 200 ; evaluated by thoracic surgery , no chest tube placed .' -p286800 -(lp286801 -S'Thoracentesis\tThoracentesis\tNN\tB-NP\tO' -p286802 -aS'revealed\treveal\tVBD\tB-VP\tO' -p286803 -aS'a\ta\tDT\tB-NP\tO' -p286804 -aS'pH\tpH\tNN\tI-NP\tO' -p286805 -aS'of\tof\tIN\tB-PP\tO' -p286806 -aS'7.18\t7.18\tCD\tB-NP\tO' -p286807 -aS',\t,\t,\tO\tO' -p286808 -aS'glucose\tglucose\tNN\tB-NP\tB-protein' -p286809 -aS'52\t52\tCD\tI-NP\tI-protein' -p286810 -aS',\t,\t,\tO\tO' -p286811 -aS'white\twhite\tJJ\tB-NP\tO' -p286812 -aS'blood\tblood\tNN\tI-NP\tO' -p286813 -aS'cell\tcell\tNN\tI-NP\tO' -p286814 -aS'count\tcount\tNN\tI-NP\tO' -p286815 -aS'200\t200\tCD\tI-NP\tO' -p286816 -aS';\t;\t:\tO\tO' -p286817 -aS'evaluated\tevaluate\tVBN\tB-VP\tO' -p286818 -aS'by\tby\tIN\tB-PP\tO' -p286819 -aS'thoracic\tthoracic\tJJ\tB-NP\tO' -p286820 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p286821 -aS',\t,\t,\tO\tO' -p286822 -aS'no\tno\tDT\tB-NP\tO' -p286823 -aS'chest\tchest\tNN\tI-NP\tO' -p286824 -aS'tube\ttube\tNN\tI-NP\tO' -p286825 -aS'placed\tplace\tVBN\tB-VP\tO' -p286826 -aS'.\t.\t.\tO\tO' -p286827 -asS'Social History : ex tobacco denies ETOH nursing home resident' -p286828 -(lp286829 -S'Social\tSocial\tNNP\tB-NP\tO' -p286830 -aS'History\tHistory\tNNP\tI-NP\tO' -p286831 -aS':\t:\t:\tO\tO' -p286832 -aS'ex\tex\tNN\tB-NP\tO' -p286833 -aS'tobacco\ttobacco\tNN\tI-NP\tO' -p286834 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p286835 -aS'ETOH\tETOH\tNN\tB-NP\tO' -p286836 -aS'nursing\tnursing\tNN\tI-NP\tO' -p286837 -aS'home\thome\tNN\tI-NP\tO' -p286838 -aS'resident\tresident\tNN\tI-NP\tO' -p286839 -asS'LDH was 511 .' -p286840 -(lp286841 -S'LDH\tLDH\tNN\tB-NP\tB-protein' -p286842 -aS'was\tbe\tVBD\tB-VP\tO' -p286843 -aS'511\t511\tCD\tB-NP\tO' -p286844 -aS'.\t.\t.\tO\tO' -p286845 -asS'MEDICATIONS : She is on Lasix 40 mg p.o. b.i.d. , Aldactone 25 mg p.o. b.i.d. , Prilosec 20 mg p.o. daily , ciprofloxacin 250 mg p.o. daily , this is for prophylaxis for cholangitis and iron .' -p286846 -(lp286847 -S'MEDICATIONS\tMEDICATIONS\tNNS\tB-NP\tO' -p286848 -aS':\t:\t:\tO\tO' -p286849 -aS'She\tShe\tPRP\tB-NP\tO' -p286850 -aS'is\tbe\tVBZ\tB-VP\tO' -p286851 -aS'on\ton\tIN\tB-PP\tO' -p286852 -aS'Lasix\tLasix\tNNP\tB-NP\tO' -p286853 -aS'40\t40\tCD\tI-NP\tO' -p286854 -aS'mg\tmg\tNN\tI-NP\tO' -p286855 -aS'p.o.\tp.o.\tFW\tB-ADVP\tO' -p286856 -aS'b.i.d.\tb.i.d.\tFW\tI-ADVP\tO' -p286857 -aS',\t,\t,\tO\tO' -p286858 -aS'Aldactone\tAldactone\tNNP\tB-NP\tO' -p286859 -aS'25\t25\tCD\tI-NP\tO' -p286860 -aS'mg\tmg\tNN\tI-NP\tO' -p286861 -aS'p.o.\tp.o.\tFW\tB-ADVP\tO' -p286862 -aS'b.i.d.\tb.i.d.\tFW\tI-ADVP\tO' -p286863 -aS',\t,\t,\tO\tO' -p286864 -aS'Prilosec\tPrilosec\tNNP\tB-NP\tO' -p286865 -aS'20\t20\tCD\tI-NP\tO' -p286866 -aS'mg\tmg\tNN\tI-NP\tO' -p286867 -aS'p.o.\tp.o.\tRB\tB-ADVP\tO' -p286868 -aS'daily\tdaily\tRB\tI-ADVP\tO' -p286869 -aS',\t,\t,\tO\tO' -p286870 -aS'ciprofloxacin\tciprofloxacin\tNN\tB-NP\tO' -p286871 -aS'250\t250\tCD\tI-NP\tO' -p286872 -aS'mg\tmg\tNN\tI-NP\tO' -p286873 -aS'p.o.\tp.o.\tRB\tB-ADVP\tO' -p286874 -aS'daily\tdaily\tRB\tI-ADVP\tO' -p286875 -aS',\t,\t,\tO\tO' -p286876 -aS'this\tthis\tDT\tB-NP\tO' -p286877 -aS'is\tbe\tVBZ\tB-VP\tO' -p286878 -aS'for\tfor\tIN\tB-PP\tO' -p286879 -aS'prophylaxis\tprophylaxis\tNN\tB-NP\tO' -p286880 -aS'for\tfor\tIN\tB-PP\tO' -p286881 -aS'cholangitis\tcholangitis\tNN\tB-NP\tO' -p286882 -aS'and\tand\tCC\tI-NP\tO' -p286883 -aS'iron\tiron\tNN\tI-NP\tO' -p286884 -aS'.\t.\t.\tO\tO' -p286885 -asS'She underwent a parathyroid exploration with resection of a ruptured ectopic right upper parathyroid adenoma , a biopsy of a normal left and right lower parathyroids , resection of a left upper parathyroid , and tracheostomy .' -p286886 -(lp286887 -S'She\tShe\tPRP\tB-NP\tO' -p286888 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p286889 -aS'a\ta\tDT\tB-NP\tO' -p286890 -aS'parathyroid\tparathyroid\tJJ\tI-NP\tO' -p286891 -aS'exploration\texploration\tNN\tI-NP\tO' -p286892 -aS'with\twith\tIN\tB-PP\tO' -p286893 -aS'resection\tresection\tNN\tB-NP\tO' -p286894 -aS'of\tof\tIN\tB-PP\tO' -p286895 -aS'a\ta\tDT\tB-NP\tO' -p286896 -aS'ruptured\truptured\tJJ\tI-NP\tO' -p286897 -aS'ectopic\tectopic\tJJ\tI-NP\tO' -p286898 -aS'right\tright\tJJ\tI-NP\tO' -p286899 -aS'upper\tupper\tJJ\tI-NP\tO' -p286900 -aS'parathyroid\tparathyroid\tJJ\tI-NP\tO' -p286901 -aS'adenoma\tadenoma\tNN\tI-NP\tO' -p286902 -aS',\t,\t,\tO\tO' -p286903 -aS'a\ta\tDT\tB-NP\tO' -p286904 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p286905 -aS'of\tof\tIN\tB-PP\tO' -p286906 -aS'a\ta\tDT\tB-NP\tO' -p286907 -aS'normal\tnormal\tJJ\tI-NP\tO' -p286908 -aS'left\tleft\tNN\tI-NP\tO' -p286909 -aS'and\tand\tCC\tO\tO' -p286910 -aS'right\tright\tRB\tB-NP\tO' -p286911 -aS'lower\tlow\tJJR\tI-NP\tO' -p286912 -aS'parathyroids\tparathyroid\tNNS\tI-NP\tO' -p286913 -aS',\t,\t,\tO\tO' -p286914 -aS'resection\tresection\tNN\tB-NP\tO' -p286915 -aS'of\tof\tIN\tB-PP\tO' -p286916 -aS'a\ta\tDT\tB-NP\tO' -p286917 -aS'left\tleft\tJJ\tI-NP\tO' -p286918 -aS'upper\tupper\tJJ\tI-NP\tO' -p286919 -aS'parathyroid\tparathyroid\tNN\tI-NP\tO' -p286920 -aS',\t,\t,\tO\tO' -p286921 -aS'and\tand\tCC\tO\tO' -p286922 -aS'tracheostomy\ttracheostomy\tNN\tB-NP\tO' -p286923 -aS'.\t.\t.\tO\tO' -p286924 -asS'The patient 's heparin induced thrombocytopenia became positive and so he is allergic to heparin .' -p286925 -(lp286926 -S'The\tThe\tDT\tB-NP\tO' -p286927 -aS'patient\tpatient\tNN\tI-NP\tO' -p286928 -aS''s\t'\tNNS\tI-NP\tO' -p286929 -aS'heparin\theparin\tNN\tI-NP\tO' -p286930 -aS'induced\tinduce\tVBN\tI-NP\tO' -p286931 -aS'thrombocytopenia\tthrombocytopenia\tNN\tI-NP\tO' -p286932 -aS'became\tbecome\tVBD\tB-VP\tO' -p286933 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p286934 -aS'and\tand\tCC\tO\tO' -p286935 -aS'so\tso\tIN\tB-ADVP\tO' -p286936 -aS'he\the\tPRP\tB-NP\tO' -p286937 -aS'is\tbe\tVBZ\tB-VP\tO' -p286938 -aS'allergic\tallergic\tJJ\tB-ADJP\tO' -p286939 -aS'to\tto\tTO\tB-PP\tO' -p286940 -aS'heparin\theparin\tNN\tB-NP\tO' -p286941 -aS'.\t.\t.\tO\tO' -p286942 -asS'7) History of colitis .' -p286943 -(lp286944 -S'7)\t7)\tLS\tB-NP\tO' -p286945 -aS'History\tHistory\tNN\tI-NP\tO' -p286946 -aS'of\tof\tIN\tB-PP\tO' -p286947 -aS'colitis\tcolitis\tNN\tB-NP\tO' -p286948 -aS'.\t.\t.\tO\tO' -p286949 -asS'The patient was maintained on her aspirin and Lasix .' -p286950 -(lp286951 -S'The\tThe\tDT\tB-NP\tO' -p286952 -aS'patient\tpatient\tNN\tI-NP\tO' -p286953 -aS'was\tbe\tVBD\tB-VP\tO' -p286954 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p286955 -aS'on\ton\tIN\tB-PP\tO' -p286956 -aS'her\ther\tPRP$\tB-NP\tO' -p286957 -aS'aspirin\taspirin\tNN\tI-NP\tO' -p286958 -aS'and\tand\tCC\tI-NP\tO' -p286959 -aS'Lasix\tLasix\tNN\tI-NP\tO' -p286960 -aS'.\t.\t.\tO\tO' -p286961 -asS'Discussed with night float cover Dr. Dennis COmmander and Dr. Mike French .' -p286962 -(lp286963 -S'Discussed\tDiscuss\tVBN\tB-VP\tO' -p286964 -aS'with\twith\tIN\tB-PP\tO' -p286965 -aS'night\tnight\tNN\tB-NP\tO' -p286966 -aS'float\tfloat\tNN\tI-NP\tO' -p286967 -aS'cover\tcover\tNN\tI-NP\tO' -p286968 -aS'Dr.\tDr.\tNNP\tI-NP\tO' -p286969 -aS'Dennis\tDennis\tNNP\tI-NP\tO' -p286970 -aS'COmmander\tCOmmander\tNNP\tI-NP\tO' -p286971 -aS'and\tand\tCC\tO\tO' -p286972 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p286973 -aS'Mike\tMike\tNNP\tI-NP\tO' -p286974 -aS'French\tFrench\tNNP\tI-NP\tO' -p286975 -aS'.\t.\t.\tO\tO' -p286976 -asS'The patient was admitted to Urology .' -p286977 -(lp286978 -S'The\tThe\tDT\tB-NP\tO' -p286979 -aS'patient\tpatient\tNN\tI-NP\tO' -p286980 -aS'was\tbe\tVBD\tB-VP\tO' -p286981 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p286982 -aS'to\tto\tTO\tB-PP\tO' -p286983 -aS'Urology\tUrology\tNNP\tB-NP\tO' -p286984 -aS'.\t.\t.\tO\tO' -p286985 -asS'declared him at first an aspiration risk .' -p286986 -(lp286987 -S'declared\tdeclare\tVBD\tB-VP\tO' -p286988 -aS'him\thim\tPRP\tB-NP\tO' -p286989 -aS'at\tat\tIN\tB-PP\tO' -p286990 -aS'first\tfirst\tRB\tB-NP\tO' -p286991 -aS'an\tan\tDT\tI-NP\tO' -p286992 -aS'aspiration\taspiration\tNN\tI-NP\tO' -p286993 -aS'risk\trisk\tNN\tI-NP\tO' -p286994 -aS'.\t.\t.\tO\tO' -p286995 -asS'He reports that the pain was increasing in intensity .' -p286996 -(lp286997 -S'He\tHe\tPRP\tB-NP\tO' -p286998 -aS'reports\treport\tVBZ\tB-VP\tO' -p286999 -aS'that\tthat\tIN\tB-SBAR\tO' -p287000 -aS'the\tthe\tDT\tB-NP\tO' -p287001 -aS'pain\tpain\tNN\tI-NP\tO' -p287002 -aS'was\tbe\tVBD\tB-VP\tO' -p287003 -aS'increasing\tincrease\tVBG\tI-VP\tO' -p287004 -aS'in\tin\tIN\tB-PP\tO' -p287005 -aS'intensity\tintensity\tNN\tB-NP\tO' -p287006 -aS'.\t.\t.\tO\tO' -p287007 -asS'A thyroid scan revealed decreased function and displacement of the thyroid by a cold mass located inferiorly with calcifications on the right side .' -p287008 -(lp287009 -S'A\tA\tDT\tB-NP\tO' -p287010 -aS'thyroid\tthyroid\tJJ\tI-NP\tO' -p287011 -aS'scan\tscan\tNN\tI-NP\tO' -p287012 -aS'revealed\treveal\tVBD\tB-VP\tO' -p287013 -aS'decreased\tdecrease\tVBN\tI-VP\tO' -p287014 -aS'function\tfunction\tNN\tB-NP\tO' -p287015 -aS'and\tand\tCC\tI-NP\tO' -p287016 -aS'displacement\tdisplacement\tNN\tI-NP\tO' -p287017 -aS'of\tof\tIN\tB-PP\tO' -p287018 -aS'the\tthe\tDT\tB-NP\tO' -p287019 -aS'thyroid\tthyroid\tNN\tI-NP\tO' -p287020 -aS'by\tby\tIN\tB-PP\tO' -p287021 -aS'a\ta\tDT\tB-NP\tO' -p287022 -aS'cold\tcold\tJJ\tI-NP\tO' -p287023 -aS'mass\tmass\tNN\tI-NP\tO' -p287024 -aS'located\tlocate\tVBN\tB-VP\tO' -p287025 -aS'inferiorly\tinferiorly\tRB\tB-ADVP\tO' -p287026 -aS'with\twith\tIN\tB-PP\tO' -p287027 -aS'calcifications\tcalcification\tNNS\tB-NP\tO' -p287028 -aS'on\ton\tIN\tB-PP\tO' -p287029 -aS'the\tthe\tDT\tB-NP\tO' -p287030 -aS'right\tright\tJJ\tI-NP\tO' -p287031 -aS'side\tside\tNN\tI-NP\tO' -p287032 -aS'.\t.\t.\tO\tO' -p287033 -asS'Before we removed her chest tube , we had to give her platelets .' -p287034 -(lp287035 -S'Before\tBefore\tIN\tB-SBAR\tO' -p287036 -aS'we\twe\tPRP\tB-NP\tO' -p287037 -aS'removed\tremove\tVBD\tB-VP\tO' -p287038 -aS'her\ther\tPRP$\tB-NP\tO' -p287039 -aS'chest\tchest\tNN\tI-NP\tO' -p287040 -aS'tube\ttube\tNN\tI-NP\tO' -p287041 -aS',\t,\t,\tO\tO' -p287042 -aS'we\twe\tPRP\tB-NP\tO' -p287043 -aS'had\thave\tVBD\tB-VP\tO' -p287044 -aS'to\tto\tTO\tI-VP\tO' -p287045 -aS'give\tgive\tVB\tI-VP\tO' -p287046 -aS'her\ther\tPRP$\tB-NP\tO' -p287047 -aS'platelets\tplatelet\tNNS\tI-NP\tB-cell_type' -p287048 -aS'.\t.\t.\tO\tO' -p287049 -asS'Motrin for pain .' -p287050 -(lp287051 -S'Motrin\tMotrin\tNN\tB-NP\tO' -p287052 -aS'for\tfor\tIN\tB-PP\tO' -p287053 -aS'pain\tpain\tNN\tB-NP\tO' -p287054 -aS'.\t.\t.\tO\tO' -p287055 -asS'As her baseline mental status is completely alert and oriented , this caused concern amongst the staff of the rehabilitation center and the patient was transferred to the Retelk County Medical Center .' -p287056 -(lp287057 -S'As\tAs\tIN\tB-SBAR\tO' -p287058 -aS'her\ther\tPRP$\tB-NP\tO' -p287059 -aS'baseline\tbaseline\tNN\tI-NP\tO' -p287060 -aS'mental\tmental\tJJ\tI-NP\tO' -p287061 -aS'status\tstatus\tNN\tI-NP\tO' -p287062 -aS'is\tbe\tVBZ\tB-VP\tO' -p287063 -aS'completely\tcompletely\tRB\tB-ADJP\tO' -p287064 -aS'alert\talert\tJJ\tI-ADJP\tO' -p287065 -aS'and\tand\tCC\tI-ADJP\tO' -p287066 -aS'oriented\toriented\tJJ\tI-ADJP\tO' -p287067 -aS',\t,\t,\tO\tO' -p287068 -aS'this\tthis\tDT\tB-NP\tO' -p287069 -aS'caused\tcause\tVBD\tB-VP\tO' -p287070 -aS'concern\tconcern\tNN\tB-NP\tO' -p287071 -aS'amongst\tamongst\tIN\tB-PP\tO' -p287072 -aS'the\tthe\tDT\tB-NP\tO' -p287073 -aS'staff\tstaff\tNN\tI-NP\tO' -p287074 -aS'of\tof\tIN\tB-PP\tO' -p287075 -aS'the\tthe\tDT\tB-NP\tO' -p287076 -aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' -p287077 -aS'center\tcenter\tNN\tI-NP\tO' -p287078 -aS'and\tand\tCC\tO\tO' -p287079 -aS'the\tthe\tDT\tB-NP\tO' -p287080 -aS'patient\tpatient\tNN\tI-NP\tO' -p287081 -aS'was\tbe\tVBD\tB-VP\tO' -p287082 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p287083 -aS'to\tto\tTO\tB-PP\tO' -p287084 -aS'the\tthe\tDT\tB-NP\tO' -p287085 -aS'Retelk\tRetelk\tNNP\tI-NP\tO' -p287086 -aS'County\tCounty\tNNP\tI-NP\tO' -p287087 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p287088 -aS'Center\tCenter\tNNP\tI-NP\tO' -p287089 -aS'.\t.\t.\tO\tO' -p287090 -asS'Her pupils were 3 to 2 bilaterally , briskly reactive .' -p287091 -(lp287092 -S'Her\tHer\tPRP$\tB-NP\tO' -p287093 -aS'pupils\tpupil\tNNS\tI-NP\tO' -p287094 -aS'were\tbe\tVBD\tB-VP\tO' -p287095 -aS'3\t3\tCD\tB-NP\tO' -p287096 -aS'to\tto\tTO\tB-PP\tO' -p287097 -aS'2\t2\tCD\tB-NP\tO' -p287098 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p287099 -aS',\t,\t,\tO\tO' -p287100 -aS'briskly\tbriskly\tRB\tB-ADJP\tO' -p287101 -aS'reactive\treactive\tJJ\tI-ADJP\tO' -p287102 -aS'.\t.\t.\tO\tO' -p287103 -asS'You have some erosions in the esophagus which are no longer bleeding .' -p287104 -(lp287105 -S'You\tYou\tPRP\tB-NP\tB-protein' -p287106 -aS'have\thave\tVBP\tB-VP\tO' -p287107 -aS'some\tsome\tDT\tB-NP\tO' -p287108 -aS'erosions\terosion\tNNS\tI-NP\tO' -p287109 -aS'in\tin\tIN\tB-PP\tO' -p287110 -aS'the\tthe\tDT\tB-NP\tO' -p287111 -aS'esophagus\tesophagus\tNN\tI-NP\tO' -p287112 -aS'which\twhich\tWDT\tB-NP\tO' -p287113 -aS'are\tbe\tVBP\tB-VP\tO' -p287114 -aS'no\tno\tRB\tI-VP\tO' -p287115 -aS'longer\tlonger\tRB\tI-VP\tO' -p287116 -aS'bleeding\tbleed\tVBG\tI-VP\tO' -p287117 -aS'.\t.\t.\tO\tO' -p287118 -asS'FINDINGS : The heart is of normal size .' -p287119 -(lp287120 -S'FINDINGS\tFINDINGS\tNNS\tB-NP\tO' -p287121 -aS':\t:\t:\tO\tO' -p287122 -aS'The\tThe\tDT\tB-NP\tO' -p287123 -aS'heart\theart\tNN\tI-NP\tO' -p287124 -aS'is\tbe\tVBZ\tB-VP\tO' -p287125 -aS'of\tof\tIN\tB-PP\tO' -p287126 -aS'normal\tnormal\tJJ\tB-NP\tO' -p287127 -aS'size\tsize\tNN\tI-NP\tO' -p287128 -aS'.\t.\t.\tO\tO' -p287129 -asS'Chief Complaint : pt sent to ER after routine F/U for UE DVT with vascular surgery .' -p287130 -(lp287131 -S'Chief\tChief\tNNP\tB-NP\tO' -p287132 -aS'Complaint\tComplaint\tNNP\tI-NP\tO' -p287133 -aS':\t:\t:\tO\tO' -p287134 -aS'pt\tpt\tNN\tB-NP\tO' -p287135 -aS'sent\tsend\tVBN\tB-VP\tO' -p287136 -aS'to\tto\tTO\tB-PP\tO' -p287137 -aS'ER\tER\tNN\tB-NP\tB-protein' -p287138 -aS'after\tafter\tIN\tB-PP\tO' -p287139 -aS'routine\troutine\tJJ\tB-NP\tO' -p287140 -aS'F/U\tF/U\tNN\tI-NP\tO' -p287141 -aS'for\tfor\tIN\tB-PP\tO' -p287142 -aS'UE\tUE\tNN\tB-NP\tB-protein' -p287143 -aS'DVT\tDVT\tNN\tI-NP\tI-protein' -p287144 -aS'with\twith\tIN\tB-PP\tO' -p287145 -aS'vascular\tvascular\tJJ\tB-NP\tO' -p287146 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p287147 -aS'.\t.\t.\tO\tO' -p287148 -asS'10. Protonix 40 mg p.o. once per day .' -p287149 -(lp287150 -S'10.\t10.\tCD\tB-NP\tO' -p287151 -aS'Protonix\tProtonix\tNNP\tI-NP\tO' -p287152 -aS'40\t40\tCD\tI-NP\tO' -p287153 -aS'mg\tmg\tNN\tI-NP\tO' -p287154 -aS'p.o.\tp.o.\tRB\tB-ADVP\tO' -p287155 -aS'once\tonce\tRB\tI-ADVP\tO' -p287156 -aS'per\tper\tIN\tB-PP\tO' -p287157 -aS'day\tday\tNN\tB-NP\tO' -p287158 -aS'.\t.\t.\tO\tO' -p287159 -asS'# Epidural abscess : The patient was evaluated by orthopedic spine consult service and ID .' -p287160 -(lp287161 -S'#\t#\t#\tB-NP\tO' -p287162 -aS'Epidural\tEpidural\tJJ\tI-NP\tO' -p287163 -aS'abscess\tabscess\tNN\tI-NP\tO' -p287164 -aS':\t:\t:\tO\tO' -p287165 -aS'The\tThe\tDT\tB-NP\tO' -p287166 -aS'patient\tpatient\tNN\tI-NP\tO' -p287167 -aS'was\tbe\tVBD\tB-VP\tO' -p287168 -aS'evaluated\tevaluate\tVBN\tI-VP\tO' -p287169 -aS'by\tby\tIN\tB-PP\tO' -p287170 -aS'orthopedic\torthopedic\tJJ\tB-NP\tO' -p287171 -aS'spine\tspine\tNN\tI-NP\tO' -p287172 -aS'consult\tconsult\tNN\tI-NP\tO' -p287173 -aS'service\tservice\tNN\tI-NP\tO' -p287174 -aS'and\tand\tCC\tI-NP\tO' -p287175 -aS'ID\tID\tNN\tI-NP\tO' -p287176 -aS'.\t.\t.\tO\tO' -p287177 -asS'An EEG was performed .' -p287178 -(lp287179 -S'An\tAn\tDT\tB-NP\tO' -p287180 -aS'EEG\tEEG\tNN\tI-NP\tB-protein' -p287181 -aS'was\tbe\tVBD\tB-VP\tO' -p287182 -aS'performed\tperform\tVBN\tI-VP\tO' -p287183 -aS'.\t.\t.\tO\tO' -p287184 -asS'Newborn state screen was sent on day of life three .' -p287185 -(lp287186 -S'Newborn\tNewborn\tJJ\tB-NP\tO' -p287187 -aS'state\tstate\tNN\tI-NP\tO' -p287188 -aS'screen\tscreen\tNN\tI-NP\tO' -p287189 -aS'was\tbe\tVBD\tB-VP\tO' -p287190 -aS'sent\tsend\tVBN\tI-VP\tO' -p287191 -aS'on\ton\tIN\tB-PP\tO' -p287192 -aS'day\tday\tNN\tB-NP\tO' -p287193 -aS'of\tof\tIN\tB-PP\tO' -p287194 -aS'life\tlife\tNN\tB-NP\tO' -p287195 -aS'three\tthree\tCD\tI-NP\tO' -p287196 -aS'.\t.\t.\tO\tO' -p287197 -asS'Dilaudid IV was continued for the remainder of the patient 's hospitalization .' -p287198 -(lp287199 -S'Dilaudid\tDilaudid\tNN\tB-NP\tB-protein' -p287200 -aS'IV\tIV\tCD\tI-NP\tI-protein' -p287201 -aS'was\tbe\tVBD\tB-VP\tO' -p287202 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p287203 -aS'for\tfor\tIN\tB-PP\tO' -p287204 -aS'the\tthe\tDT\tB-NP\tO' -p287205 -aS'remainder\tremainder\tNN\tI-NP\tO' -p287206 -aS'of\tof\tIN\tB-PP\tO' -p287207 -aS'the\tthe\tDT\tB-NP\tO' -p287208 -aS'patient\tpatient\tNN\tI-NP\tO' -p287209 -aS''s\t'\tNNS\tI-NP\tO' -p287210 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p287211 -aS'.\t.\t.\tO\tO' -p287212 -asS'7. Hyperlipidemia : on lipitor 80 .' -p287213 -(lp287214 -S'7.\t7.\tCD\tB-NP\tO' -p287215 -aS'Hyperlipidemia\tHyperlipidemia\tNNP\tI-NP\tO' -p287216 -aS':\t:\t:\tO\tO' -p287217 -aS'on\ton\tIN\tB-PP\tO' -p287218 -aS'lipitor\tlipitor\tNN\tB-NP\tO' -p287219 -aS'80\t80\tCD\tI-NP\tO' -p287220 -aS'.\t.\t.\tO\tO' -p287221 -asS'In the Juan , she received vancomycin , levofloxacin , flagyl , and cefepime ( 2 gm ).' -p287222 -(lp287223 -S'In\tIn\tIN\tB-PP\tO' -p287224 -aS'the\tthe\tDT\tB-NP\tO' -p287225 -aS'Juan\tJuan\tNNP\tI-NP\tO' -p287226 -aS',\t,\t,\tO\tO' -p287227 -aS'she\tshe\tPRP\tB-NP\tO' -p287228 -aS'received\treceive\tVBD\tB-VP\tO' -p287229 -aS'vancomycin\tvancomycin\tNN\tB-NP\tO' -p287230 -aS',\t,\t,\tO\tO' -p287231 -aS'levofloxacin\tlevofloxacin\tNN\tB-NP\tO' -p287232 -aS',\t,\t,\tO\tO' -p287233 -aS'flagyl\tflagyl\tNN\tB-NP\tO' -p287234 -aS',\t,\t,\tO\tO' -p287235 -aS'and\tand\tCC\tO\tO' -p287236 -aS'cefepime\tcefepime\tNN\tB-NP\tO' -p287237 -aS'(\t(\t(\tO\tO' -p287238 -aS'2\t2\tCD\tB-NP\tO' -p287239 -aS'gm\tgm\tNN\tI-NP\tO' -p287240 -aS').\t).\t)\tO\tO' -p287241 -asS'Mild ST elevation in V3 .' -p287242 -(lp287243 -S'Mild\tMild\tJJ\tB-NP\tO' -p287244 -aS'ST\tST\tJJ\tI-NP\tO' -p287245 -aS'elevation\televation\tNN\tI-NP\tO' -p287246 -aS'in\tin\tIN\tB-PP\tO' -p287247 -aS'V3\tV3\tNN\tB-NP\tB-protein' -p287248 -aS'.\t.\t.\tO\tO' -p287249 -asS'No murmurs , rubs or gallops .' -p287250 -(lp287251 -S'No\tNo\tDT\tB-NP\tO' -p287252 -aS'murmurs\tmurmur\tNNS\tI-NP\tO' -p287253 -aS',\t,\t,\tI-NP\tO' -p287254 -aS'rubs\trub\tNNS\tI-NP\tO' -p287255 -aS'or\tor\tCC\tI-NP\tO' -p287256 -aS'gallops\tgallop\tNNS\tI-NP\tO' -p287257 -aS'.\t.\t.\tO\tO' -p287258 -asS'Follow up CT scan .' -p287259 -(lp287260 -S'Follow\tFollow\tVB\tB-VP\tO' -p287261 -aS'up\tup\tRP\tB-PRT\tO' -p287262 -aS'CT\tCT\tNN\tB-NP\tO' -p287263 -aS'scan\tscan\tNN\tI-NP\tO' -p287264 -aS'.\t.\t.\tO\tO' -p287265 -asS'10. Demerol , prn .' -p287266 -(lp287267 -S'10.\t10.\tLS\tB-NP\tO' -p287268 -aS'Demerol\tDemerol\tNNP\tI-NP\tO' -p287269 -aS',\t,\t,\tI-NP\tO' -p287270 -aS'prn\tprn\tNN\tI-NP\tO' -p287271 -aS'.\t.\t.\tO\tO' -p287272 -asS'This work-up demonstrated a small left basal ganglia infarct , likely cardioembolic .' -p287273 -(lp287274 -S'This\tThis\tDT\tB-NP\tO' -p287275 -aS'work-up\twork-up\tNN\tI-NP\tO' -p287276 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p287277 -aS'a\ta\tDT\tB-NP\tO' -p287278 -aS'small\tsmall\tJJ\tI-NP\tO' -p287279 -aS'left\tleft\tJJ\tI-NP\tO' -p287280 -aS'basal\tbasal\tJJ\tI-NP\tO' -p287281 -aS'ganglia\tganglia\tNNS\tI-NP\tO' -p287282 -aS'infarct\tinfarct\tNN\tI-NP\tO' -p287283 -aS',\t,\t,\tO\tO' -p287284 -aS'likely\tlikely\tRB\tB-ADJP\tO' -p287285 -aS'cardioembolic\tcardioembolic\tJJ\tI-ADJP\tO' -p287286 -aS'.\t.\t.\tO\tO' -p287287 -asS'ABDOMEN : Soft .' -p287288 -(lp287289 -S'ABDOMEN\tABDOMEN\tNN\tB-NP\tO' -p287290 -aS':\t:\t:\tO\tO' -p287291 -aS'Soft\tSoft\tNNP\tB-NP\tO' -p287292 -aS'.\t.\t.\tO\tO' -p287293 -asS'Patient was eventually placed on BiPAP on hospital day three , on the date prior to discharge of BiPAP settings of 12/8/5 liters of oxygen with saturations of 96% with a gas of 7.38 , 67 , and 91 with an aim of a goal pCO2 of 67 .' -p287294 -(lp287295 -S'Patient\tPatient\tNN\tB-NP\tO' -p287296 -aS'was\tbe\tVBD\tB-VP\tO' -p287297 -aS'eventually\teventually\tRB\tI-VP\tO' -p287298 -aS'placed\tplace\tVBN\tI-VP\tO' -p287299 -aS'on\ton\tIN\tB-PP\tO' -p287300 -aS'BiPAP\tBiPAP\tNN\tB-NP\tB-protein' -p287301 -aS'on\ton\tIN\tB-PP\tO' -p287302 -aS'hospital\thospital\tNN\tB-NP\tO' -p287303 -aS'day\tday\tNN\tI-NP\tO' -p287304 -aS'three\tthree\tCD\tB-NP\tO' -p287305 -aS',\t,\t,\tO\tO' -p287306 -aS'on\ton\tIN\tB-PP\tO' -p287307 -aS'the\tthe\tDT\tB-NP\tO' -p287308 -aS'date\tdate\tNN\tI-NP\tO' -p287309 -aS'prior\tprior\tRB\tB-ADVP\tO' -p287310 -aS'to\tto\tTO\tB-VP\tO' -p287311 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p287312 -aS'of\tof\tIN\tB-PP\tO' -p287313 -aS'BiPAP\tBiPAP\tNN\tB-NP\tO' -p287314 -aS'settings\tsetting\tNNS\tI-NP\tO' -p287315 -aS'of\tof\tIN\tB-PP\tO' -p287316 -aS'12/8/5\t12/8/5\tCD\tB-NP\tO' -p287317 -aS'liters\tliter\tNNS\tI-NP\tO' -p287318 -aS'of\tof\tIN\tB-PP\tO' -p287319 -aS'oxygen\toxygen\tNN\tB-NP\tO' -p287320 -aS'with\twith\tIN\tB-PP\tO' -p287321 -aS'saturations\tsaturation\tNNS\tB-NP\tO' -p287322 -aS'of\tof\tIN\tB-PP\tO' -p287323 -aS'96%\t96%\tCD\tB-NP\tO' -p287324 -aS'with\twith\tIN\tB-PP\tO' -p287325 -aS'a\ta\tDT\tB-NP\tO' -p287326 -aS'gas\tgas\tNN\tI-NP\tB-DNA' -p287327 -aS'of\tof\tIN\tB-PP\tO' -p287328 -aS'7.38\t7.38\tCD\tB-NP\tO' -p287329 -aS',\t,\t,\tI-NP\tO' -p287330 -aS'67\t67\tCD\tI-NP\tO' -p287331 -aS',\t,\t,\tO\tO' -p287332 -aS'and\tand\tCC\tO\tO' -p287333 -aS'91\t91\tCD\tB-NP\tO' -p287334 -aS'with\twith\tIN\tB-PP\tO' -p287335 -aS'an\tan\tDT\tB-NP\tO' -p287336 -aS'aim\taim\tNN\tI-NP\tO' -p287337 -aS'of\tof\tIN\tB-PP\tO' -p287338 -aS'a\ta\tDT\tB-NP\tO' -p287339 -aS'goal\tgoal\tNN\tI-NP\tO' -p287340 -aS'pCO2\tpCO2\tNN\tI-NP\tO' -p287341 -aS'of\tof\tIN\tB-PP\tO' -p287342 -aS'67\t67\tCD\tB-NP\tO' -p287343 -aS'.\t.\t.\tO\tO' -p287344 -asS'Patient is a 64 year old white male with a past medical history of smoking , coronary artery disese , hypertension , and hypercholesterolemia with a l0 cm abdominal aortic aneurysm .' -p287345 -(lp287346 -S'Patient\tPatient\tNN\tB-NP\tO' -p287347 -aS'is\tbe\tVBZ\tB-VP\tO' -p287348 -aS'a\ta\tDT\tB-NP\tO' -p287349 -aS'64\t64\tCD\tI-NP\tO' -p287350 -aS'year\tyear\tNN\tI-NP\tO' -p287351 -aS'old\told\tJJ\tI-NP\tO' -p287352 -aS'white\twhite\tJJ\tI-NP\tO' -p287353 -aS'male\tmale\tNN\tI-NP\tO' -p287354 -aS'with\twith\tIN\tB-PP\tO' -p287355 -aS'a\ta\tDT\tB-NP\tO' -p287356 -aS'past\tpast\tJJ\tI-NP\tO' -p287357 -aS'medical\tmedical\tJJ\tI-NP\tO' -p287358 -aS'history\thistory\tNN\tI-NP\tO' -p287359 -aS'of\tof\tIN\tB-PP\tO' -p287360 -aS'smoking\tsmoking\tNN\tB-NP\tO' -p287361 -aS',\t,\t,\tO\tO' -p287362 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p287363 -aS'artery\tartery\tNN\tI-NP\tO' -p287364 -aS'disese\tdisese\tNN\tI-NP\tO' -p287365 -aS',\t,\t,\tO\tO' -p287366 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p287367 -aS',\t,\t,\tO\tO' -p287368 -aS'and\tand\tCC\tO\tO' -p287369 -aS'hypercholesterolemia\thypercholesterolemia\tNN\tB-NP\tO' -p287370 -aS'with\twith\tIN\tB-PP\tO' -p287371 -aS'a\ta\tDT\tB-NP\tO' -p287372 -aS'l0\tl0\tNN\tI-NP\tO' -p287373 -aS'cm\tcm\tNN\tI-NP\tO' -p287374 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p287375 -aS'aortic\taortic\tJJ\tI-NP\tO' -p287376 -aS'aneurysm\taneurysm\tNN\tI-NP\tO' -p287377 -aS'.\t.\t.\tO\tO' -p287378 -asS'His neck was supple with no jugular venous distention or thyromegaly .' -p287379 -(lp287380 -S'His\tHis\tPRP$\tB-NP\tO' -p287381 -aS'neck\tneck\tNN\tI-NP\tO' -p287382 -aS'was\tbe\tVBD\tB-VP\tO' -p287383 -aS'supple\tsupple\tNN\tB-NP\tO' -p287384 -aS'with\twith\tIN\tB-PP\tO' -p287385 -aS'no\tno\tDT\tB-NP\tO' -p287386 -aS'jugular\tjugular\tJJ\tI-NP\tO' -p287387 -aS'venous\tvenous\tJJ\tI-NP\tO' -p287388 -aS'distention\tdistention\tNN\tI-NP\tO' -p287389 -aS'or\tor\tCC\tO\tO' -p287390 -aS'thyromegaly\tthyromegaly\tRB\tB-ADVP\tO' -p287391 -aS'.\t.\t.\tO\tO' -p287392 -asS'The amylase on admission was 279 with a lipase of 161 .' -p287393 -(lp287394 -S'The\tThe\tDT\tB-NP\tO' -p287395 -aS'amylase\tamylase\tNN\tI-NP\tB-protein' -p287396 -aS'on\ton\tIN\tB-PP\tO' -p287397 -aS'admission\tadmission\tNN\tB-NP\tO' -p287398 -aS'was\tbe\tVBD\tB-VP\tO' -p287399 -aS'279\t279\tCD\tB-NP\tO' -p287400 -aS'with\twith\tIN\tB-PP\tO' -p287401 -aS'a\ta\tDT\tB-NP\tO' -p287402 -aS'lipase\tlipase\tNN\tI-NP\tO' -p287403 -aS'of\tof\tIN\tB-PP\tO' -p287404 -aS'161\t161\tCD\tB-NP\tO' -p287405 -aS'.\t.\t.\tO\tO' -p287406 -asS'2. Congestive heart failure .' -p287407 -(lp287408 -S'2.\t2.\tLS\tB-NP\tO' -p287409 -aS'Congestive\tCongestive\tJJ\tI-NP\tO' -p287410 -aS'heart\theart\tNN\tI-NP\tO' -p287411 -aS'failure\tfailure\tNN\tI-NP\tO' -p287412 -aS'.\t.\t.\tO\tO' -p287413 -asS'Head of bed was kept at 30 degrees .' -p287414 -(lp287415 -S'Head\tHead\tNN\tB-NP\tO' -p287416 -aS'of\tof\tIN\tB-PP\tO' -p287417 -aS'bed\tbed\tNN\tB-NP\tO' -p287418 -aS'was\tbe\tVBD\tB-VP\tO' -p287419 -aS'kept\tkeep\tVBN\tI-VP\tO' -p287420 -aS'at\tat\tIN\tB-PP\tO' -p287421 -aS'30\t30\tCD\tB-NP\tO' -p287422 -aS'degrees\tdegree\tNNS\tI-NP\tO' -p287423 -aS'.\t.\t.\tO\tO' -p287424 -asS'His last reported INR on discharge was 2.5 .' -p287425 -(lp287426 -S'His\tHis\tPRP$\tB-NP\tO' -p287427 -aS'last\tlast\tJJ\tI-NP\tO' -p287428 -aS'reported\treport\tVBN\tI-NP\tO' -p287429 -aS'INR\tINR\tNN\tI-NP\tB-protein' -p287430 -aS'on\ton\tIN\tB-PP\tO' -p287431 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p287432 -aS'was\tbe\tVBD\tB-VP\tO' -p287433 -aS'2.5\t2.5\tCD\tB-NP\tO' -p287434 -aS'.\t.\t.\tO\tO' -p287435 -asS'2 ) BRONCHIOLITIS OBLITERANS ORGANIZING PNEUMONIA .' -p287436 -(lp287437 -S'2\t2\tLS\tB-LST\tO' -p287438 -aS')\t)\t)\tO\tO' -p287439 -aS'BRONCHIOLITIS\tBRONCHIOLITIS\tNNPS\tB-NP\tO' -p287440 -aS'OBLITERANS\tOBLITERANS\tVBZ\tB-VP\tO' -p287441 -aS'ORGANIZING\tORGANIZING\tNNP\tB-NP\tO' -p287442 -aS'PNEUMONIA\tPNEUMONIA\tNNP\tI-NP\tO' -p287443 -aS'.\t.\t.\tO\tO' -p287444 -asS'201-240 mg / dL 5 Units 6 Units 4 Units 0 Units' -p287445 -(lp287446 -S'201-240\t201-240\tCD\tB-NP\tO' -p287447 -aS'mg\tmg\tNN\tI-NP\tO' -p287448 -aS'/\t/\tSYM\tB-NP\tO' -p287449 -aS'dL\tdL\tNN\tB-NP\tO' -p287450 -aS'5\t5\tCD\tI-NP\tO' -p287451 -aS'Units\tUnit\tVBZ\tB-VP\tO' -p287452 -aS'6\t6\tCD\tB-NP\tO' -p287453 -aS'Units\tUnit\tNNS\tI-NP\tO' -p287454 -aS'4\t4\tCD\tI-NP\tO' -p287455 -aS'Units\tUnits\tNNP\tI-NP\tO' -p287456 -aS'0\t0\tCD\tI-NP\tO' -p287457 -aS'Units\tUnit\tNNS\tI-NP\tO' -p287458 -asS'8. Venous stasis .' -p287459 -(lp287460 -S'8.\t8.\tCD\tB-NP\tO' -p287461 -aS'Venous\tVenous\tJJ\tI-NP\tO' -p287462 -aS'stasis\tstasis\tNN\tI-NP\tO' -p287463 -aS'.\t.\t.\tO\tO' -p287464 -asS'His appetite is decreasing somewhat as his disease process progresses , therefore , we have liberalized his diet for him to take what he wishes .' -p287465 -(lp287466 -S'His\tHis\tPRP$\tB-NP\tO' -p287467 -aS'appetite\tappetite\tNN\tI-NP\tO' -p287468 -aS'is\tbe\tVBZ\tB-VP\tO' -p287469 -aS'decreasing\tdecrease\tVBG\tI-VP\tO' -p287470 -aS'somewhat\tsomewhat\tRB\tB-ADVP\tO' -p287471 -aS'as\tas\tIN\tB-PP\tO' -p287472 -aS'his\this\tPRP$\tB-NP\tO' -p287473 -aS'disease\tdisease\tNN\tI-NP\tO' -p287474 -aS'process\tprocess\tNN\tI-NP\tO' -p287475 -aS'progresses\tprogress\tNNS\tI-NP\tO' -p287476 -aS',\t,\t,\tO\tO' -p287477 -aS'therefore\ttherefore\tRB\tB-ADVP\tO' -p287478 -aS',\t,\t,\tO\tO' -p287479 -aS'we\twe\tPRP\tB-NP\tO' -p287480 -aS'have\thave\tVBP\tB-VP\tO' -p287481 -aS'liberalized\tliberalize\tVBN\tI-VP\tO' -p287482 -aS'his\this\tPRP$\tB-NP\tO' -p287483 -aS'diet\tdiet\tNN\tI-NP\tO' -p287484 -aS'for\tfor\tIN\tB-SBAR\tO' -p287485 -aS'him\thim\tPRP\tB-NP\tO' -p287486 -aS'to\tto\tTO\tB-VP\tO' -p287487 -aS'take\ttake\tVB\tI-VP\tO' -p287488 -aS'what\twhat\tWP\tB-NP\tO' -p287489 -aS'he\the\tPRP\tB-NP\tO' -p287490 -aS'wishes\twish\tVBZ\tB-VP\tO' -p287491 -aS'.\t.\t.\tO\tO' -p287492 -asS'The lung volumes are slightly increased .' -p287493 -(lp287494 -S'The\tThe\tDT\tB-NP\tO' -p287495 -aS'lung\tlung\tNN\tI-NP\tO' -p287496 -aS'volumes\tvolume\tNNS\tI-NP\tO' -p287497 -aS'are\tbe\tVBP\tB-VP\tO' -p287498 -aS'slightly\tslightly\tRB\tI-VP\tO' -p287499 -aS'increased\tincrease\tVBN\tI-VP\tO' -p287500 -aS'.\t.\t.\tO\tO' -p287501 -asS'5. Heme .' -p287502 -(lp287503 -S'5.\t5.\tLS\tB-LST\tO' -p287504 -aS'Heme\tHeme\tNNP\tB-NP\tB-protein' -p287505 -aS'.\t.\t.\tO\tO' -p287506 -asS'Attending : Karen U.O. Berliner , M.D.' -p287507 -(lp287508 -S'Attending\tAttend\tVBG\tB-VP\tO' -p287509 -aS':\t:\t:\tO\tO' -p287510 -aS'Karen\tKaren\tNNP\tB-NP\tO' -p287511 -aS'U.O.\tU.O.\tNNP\tI-NP\tO' -p287512 -aS'Berliner\tBerliner\tNNP\tI-NP\tO' -p287513 -aS',\t,\t,\tO\tO' -p287514 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p287515 -asS"On transfer , the patient 's mean arterial pressure was 76 , CVP 12 , PAD 17 , and his Bennie was 25 ." -p287516 -(lp287517 -S'On\tOn\tIN\tB-PP\tO' -p287518 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p287519 -aS',\t,\t,\tO\tO' -p287520 -aS'the\tthe\tDT\tB-NP\tO' -p287521 -aS'patient\tpatient\tNN\tI-NP\tO' -p287522 -aS"'s\t's\tPOS\tB-NP\tO" -p287523 -aS'mean\tmean\tJJ\tI-NP\tO' -p287524 -aS'arterial\tarterial\tJJ\tI-NP\tO' -p287525 -aS'pressure\tpressure\tNN\tI-NP\tO' -p287526 -aS'was\tbe\tVBD\tB-VP\tO' -p287527 -aS'76\t76\tCD\tB-NP\tO' -p287528 -aS',\t,\t,\tO\tO' -p287529 -aS'CVP\tCVP\tNN\tB-NP\tB-protein' -p287530 -aS'12\t12\tCD\tI-NP\tI-protein' -p287531 -aS',\t,\t,\tO\tO' -p287532 -aS'PAD\tPAD\tNN\tB-NP\tB-protein' -p287533 -aS'17\t17\tCD\tI-NP\tI-protein' -p287534 -aS',\t,\t,\tO\tO' -p287535 -aS'and\tand\tCC\tO\tO' -p287536 -aS'his\this\tPRP$\tB-NP\tO' -p287537 -aS'Bennie\tBennie\tNNP\tI-NP\tO' -p287538 -aS'was\tbe\tVBD\tB-VP\tO' -p287539 -aS'25\t25\tCD\tB-NP\tO' -p287540 -aS'.\t.\t.\tO\tO' -p287541 -asS'She has been afebrile since she was called out to the floor .' -p287542 -(lp287543 -S'She\tShe\tPRP\tB-NP\tO' -p287544 -aS'has\thave\tVBZ\tB-VP\tO' -p287545 -aS'been\tbe\tVBN\tI-VP\tO' -p287546 -aS'afebrile\tafebrile\tRB\tB-ADVP\tO' -p287547 -aS'since\tsince\tIN\tB-SBAR\tO' -p287548 -aS'she\tshe\tPRP\tB-NP\tO' -p287549 -aS'was\tbe\tVBD\tB-VP\tO' -p287550 -aS'called\tcall\tVBN\tI-VP\tO' -p287551 -aS'out\tout\tRP\tB-PRT\tO' -p287552 -aS'to\tto\tTO\tB-PP\tO' -p287553 -aS'the\tthe\tDT\tB-NP\tO' -p287554 -aS'floor\tfloor\tNN\tI-NP\tO' -p287555 -aS'.\t.\t.\tO\tO' -p287556 -asS'GASTROESOPHAGEAL REFLUX DISEASE .' -p287557 -(lp287558 -S'GASTROESOPHAGEAL\tGASTROESOPHAGEAL\tNN\tB-NP\tO' -p287559 -aS'REFLUX\tREFLUX\tNN\tI-NP\tO' -p287560 -aS'DISEASE\tDISEASE\tNN\tI-NP\tO' -p287561 -aS'.\t.\t.\tO\tO' -p287562 -asS'His injuries included bilateral zygomal and orbital rim fractures , a right temporal fracture , bilateral frontal contusions , and a right temporal epidural versus subdural hematoma .' -p287563 -(lp287564 -S'His\tHis\tPRP$\tB-NP\tO' -p287565 -aS'injuries\tinjury\tNNS\tI-NP\tO' -p287566 -aS'included\tinclude\tVBD\tB-VP\tO' -p287567 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p287568 -aS'zygomal\tzygomal\tJJ\tI-NP\tO' -p287569 -aS'and\tand\tCC\tI-NP\tO' -p287570 -aS'orbital\torbital\tJJ\tI-NP\tO' -p287571 -aS'rim\trim\tJJ\tI-NP\tO' -p287572 -aS'fractures\tfracture\tNNS\tI-NP\tO' -p287573 -aS',\t,\t,\tO\tO' -p287574 -aS'a\ta\tDT\tB-NP\tO' -p287575 -aS'right\tright\tJJ\tI-NP\tO' -p287576 -aS'temporal\ttemporal\tJJ\tI-NP\tO' -p287577 -aS'fracture\tfracture\tNN\tI-NP\tO' -p287578 -aS',\t,\t,\tO\tO' -p287579 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p287580 -aS'frontal\tfrontal\tJJ\tI-NP\tO' -p287581 -aS'contusions\tcontusion\tNNS\tI-NP\tO' -p287582 -aS',\t,\t,\tO\tO' -p287583 -aS'and\tand\tCC\tO\tO' -p287584 -aS'a\ta\tDT\tB-NP\tO' -p287585 -aS'right\tright\tJJ\tI-NP\tO' -p287586 -aS'temporal\ttemporal\tJJ\tI-NP\tO' -p287587 -aS'epidural\tepidural\tJJ\tI-NP\tO' -p287588 -aS'versus\tversus\tIN\tB-PP\tO' -p287589 -aS'subdural\tsubdural\tJJ\tB-NP\tO' -p287590 -aS'hematoma\thematoma\tNN\tI-NP\tO' -p287591 -aS'.\t.\t.\tO\tO' -p287592 -asS'Lopressor IV was given to control his heart rate .' -p287593 -(lp287594 -S'Lopressor\tLopressor\tNN\tB-NP\tB-protein' -p287595 -aS'IV\tIV\tCD\tI-NP\tI-protein' -p287596 -aS'was\tbe\tVBD\tB-VP\tO' -p287597 -aS'given\tgive\tVBN\tI-VP\tO' -p287598 -aS'to\tto\tTO\tI-VP\tO' -p287599 -aS'control\tcontrol\tVB\tI-VP\tO' -p287600 -aS'his\this\tPRP$\tB-NP\tO' -p287601 -aS'heart\theart\tNN\tI-NP\tO' -p287602 -aS'rate\trate\tNN\tI-NP\tO' -p287603 -aS'.\t.\t.\tO\tO' -p287604 -asS'Telephone No .' -p287605 -(lp287606 -S'Telephone\tTelephone\tNNP\tB-NP\tO' -p287607 -aS'No\tNo\tNNP\tI-NP\tO' -p287608 -aS'.\t.\t.\tO\tO' -p287609 -asS'1. The patient will be sent home on 7 days of Augmentin PO .' -p287610 -(lp287611 -S'1.\t1.\tLS\tB-LST\tO' -p287612 -aS'The\tThe\tDT\tB-NP\tO' -p287613 -aS'patient\tpatient\tNN\tI-NP\tO' -p287614 -aS'will\twill\tMD\tB-VP\tO' -p287615 -aS'be\tbe\tVB\tI-VP\tO' -p287616 -aS'sent\tsend\tVBN\tI-VP\tO' -p287617 -aS'home\thome\tNN\tB-ADVP\tO' -p287618 -aS'on\ton\tIN\tB-PP\tO' -p287619 -aS'7\t7\tCD\tB-NP\tO' -p287620 -aS'days\tday\tNNS\tI-NP\tO' -p287621 -aS'of\tof\tIN\tB-PP\tO' -p287622 -aS'Augmentin\tAugmentin\tNNP\tB-NP\tO' -p287623 -aS'PO\tPO\tNNP\tI-NP\tO' -p287624 -aS'.\t.\t.\tO\tO' -p287625 -asS'She received multiple bronchoscopies for pulmonary toilet .' -p287626 -(lp287627 -S'She\tShe\tPRP\tB-NP\tO' -p287628 -aS'received\treceive\tVBD\tB-VP\tO' -p287629 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p287630 -aS'bronchoscopies\tbronchoscopy\tNNS\tI-NP\tO' -p287631 -aS'for\tfor\tIN\tB-PP\tO' -p287632 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p287633 -aS'toilet\ttoilet\tNN\tI-NP\tO' -p287634 -aS'.\t.\t.\tO\tO' -p287635 -asS'1. Benign prostatic hypertrophy .' -p287636 -(lp287637 -S'1.\t1.\tLS\tB-NP\tO' -p287638 -aS'Benign\tBenign\tJJ\tI-NP\tO' -p287639 -aS'prostatic\tprostatic\tJJ\tI-NP\tO' -p287640 -aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' -p287641 -aS'.\t.\t.\tO\tO' -p287642 -asS'She denies tobacco and alcohol abuse .' -p287643 -(lp287644 -S'She\tShe\tPRP\tB-NP\tO' -p287645 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p287646 -aS'tobacco\ttobacco\tNN\tB-NP\tO' -p287647 -aS'and\tand\tCC\tI-NP\tO' -p287648 -aS'alcohol\talcohol\tNN\tI-NP\tO' -p287649 -aS'abuse\tabuse\tNN\tI-NP\tO' -p287650 -aS'.\t.\t.\tO\tO' -p287651 -asS"His past medical history is significant for prostate cancer , benign prostatic hypertrophy , hypothyroidism , status post radiation for non Hodgkin 's lymphoma , chronic painless hematuria , degenerative joint disease and history of a murmur ." -p287652 -(lp287653 -S'His\tHis\tPRP$\tB-NP\tO' -p287654 -aS'past\tpast\tJJ\tI-NP\tO' -p287655 -aS'medical\tmedical\tJJ\tI-NP\tO' -p287656 -aS'history\thistory\tNN\tI-NP\tO' -p287657 -aS'is\tbe\tVBZ\tB-VP\tO' -p287658 -aS'significant\tsignificant\tJJ\tB-ADJP\tO' -p287659 -aS'for\tfor\tIN\tB-PP\tO' -p287660 -aS'prostate\tprostate\tNN\tB-NP\tO' -p287661 -aS'cancer\tcancer\tNN\tI-NP\tO' -p287662 -aS',\t,\t,\tO\tO' -p287663 -aS'benign\tbenign\tJJ\tB-NP\tO' -p287664 -aS'prostatic\tprostatic\tJJ\tI-NP\tO' -p287665 -aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' -p287666 -aS',\t,\t,\tO\tO' -p287667 -aS'hypothyroidism\thypothyroidism\tNN\tB-NP\tO' -p287668 -aS',\t,\t,\tO\tO' -p287669 -aS'status\tstatus\tNN\tB-NP\tO' -p287670 -aS'post\tpost\tNN\tI-NP\tO' -p287671 -aS'radiation\tradiation\tNN\tI-NP\tO' -p287672 -aS'for\tfor\tIN\tB-PP\tO' -p287673 -aS'non\tnon\tJJ\tB-NP\tO' -p287674 -aS'Hodgkin\tHodgkin\tNN\tI-NP\tO' -p287675 -aS"'s\t's\tPOS\tB-NP\tO" -p287676 -aS'lymphoma\tlymphoma\tNN\tI-NP\tO' -p287677 -aS',\t,\t,\tO\tO' -p287678 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p287679 -aS'painless\tpainless\tJJ\tI-NP\tO' -p287680 -aS'hematuria\thematuria\tNN\tI-NP\tO' -p287681 -aS',\t,\t,\tO\tO' -p287682 -aS'degenerative\tdegenerative\tJJ\tB-NP\tO' -p287683 -aS'joint\tjoint\tNN\tI-NP\tO' -p287684 -aS'disease\tdisease\tNN\tI-NP\tO' -p287685 -aS'and\tand\tCC\tO\tO' -p287686 -aS'history\thistory\tNN\tB-NP\tO' -p287687 -aS'of\tof\tIN\tB-PP\tO' -p287688 -aS'a\ta\tDT\tB-NP\tO' -p287689 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p287690 -aS'.\t.\t.\tO\tO' -p287691 -asS'No edema or cyanosis .' -p287692 -(lp287693 -S'No\tNo\tDT\tB-NP\tO' -p287694 -aS'edema\tedema\tNN\tI-NP\tO' -p287695 -aS'or\tor\tCC\tI-NP\tO' -p287696 -aS'cyanosis\tcyanosis\tNN\tI-NP\tO' -p287697 -aS'.\t.\t.\tO\tO' -p287698 -asS'He had no asterixis .' -p287699 -(lp287700 -S'He\tHe\tPRP\tB-NP\tO' -p287701 -aS'had\thave\tVBD\tB-VP\tO' -p287702 -aS'no\tno\tDT\tB-NP\tO' -p287703 -aS'asterixis\tasterixis\tNN\tI-NP\tO' -p287704 -aS'.\t.\t.\tO\tO' -p287705 -asS'Her peak bilirubin occurred on day of life five and was total 12.1 , direct 0.3 ; the last bilirubin on day of life six was total 11.1 , direct 0.4 .' -p287706 -(lp287707 -S'Her\tHer\tPRP$\tB-NP\tO' -p287708 -aS'peak\tpeak\tJJ\tI-NP\tO' -p287709 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p287710 -aS'occurred\toccur\tVBD\tB-VP\tO' -p287711 -aS'on\ton\tIN\tB-PP\tO' -p287712 -aS'day\tday\tNN\tB-NP\tO' -p287713 -aS'of\tof\tIN\tB-PP\tO' -p287714 -aS'life\tlife\tNN\tB-NP\tO' -p287715 -aS'five\tfive\tCD\tI-NP\tO' -p287716 -aS'and\tand\tCC\tO\tO' -p287717 -aS'was\tbe\tVBD\tB-VP\tO' -p287718 -aS'total\ttotal\tJJ\tB-NP\tO' -p287719 -aS'12.1\t12.1\tCD\tI-NP\tO' -p287720 -aS',\t,\t,\tO\tO' -p287721 -aS'direct\tdirect\tJJ\tB-NP\tO' -p287722 -aS'0.3\t0.3\tCD\tI-NP\tO' -p287723 -aS';\t;\t:\tO\tO' -p287724 -aS'the\tthe\tDT\tB-NP\tO' -p287725 -aS'last\tlast\tJJ\tI-NP\tO' -p287726 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p287727 -aS'on\ton\tIN\tB-PP\tO' -p287728 -aS'day\tday\tNN\tB-NP\tO' -p287729 -aS'of\tof\tIN\tB-PP\tO' -p287730 -aS'life\tlife\tNN\tB-NP\tO' -p287731 -aS'six\tsix\tCD\tI-NP\tO' -p287732 -aS'was\tbe\tVBD\tB-VP\tO' -p287733 -aS'total\ttotal\tJJ\tB-NP\tO' -p287734 -aS'11.1\t11.1\tCD\tI-NP\tO' -p287735 -aS',\t,\t,\tO\tO' -p287736 -aS'direct\tdirect\tJJ\tB-NP\tO' -p287737 -aS'0.4\t0.4\tCD\tI-NP\tO' -p287738 -aS'.\t.\t.\tO\tO' -p287739 -asS'Overall there were no unanticipated side effects of this chemotherapy .' -p287740 -(lp287741 -S'Overall\tOverall\tRB\tB-ADVP\tO' -p287742 -aS'there\tthere\tEX\tB-NP\tO' -p287743 -aS'were\tbe\tVBD\tB-VP\tO' -p287744 -aS'no\tno\tDT\tB-NP\tO' -p287745 -aS'unanticipated\tunanticipated\tJJ\tI-NP\tO' -p287746 -aS'side\tside\tNN\tI-NP\tO' -p287747 -aS'effects\teffect\tNNS\tI-NP\tO' -p287748 -aS'of\tof\tIN\tB-PP\tO' -p287749 -aS'this\tthis\tDT\tB-NP\tO' -p287750 -aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' -p287751 -aS'.\t.\t.\tO\tO' -p287752 -asS'Appropriate tone and activity for gestational age .' -p287753 -(lp287754 -S'Appropriate\tAppropriate\tJJ\tB-NP\tO' -p287755 -aS'tone\ttone\tNN\tI-NP\tO' -p287756 -aS'and\tand\tCC\tI-NP\tO' -p287757 -aS'activity\tactivity\tNN\tI-NP\tO' -p287758 -aS'for\tfor\tIN\tB-PP\tO' -p287759 -aS'gestational\tgestational\tJJ\tB-NP\tO' -p287760 -aS'age\tage\tNN\tI-NP\tO' -p287761 -aS'.\t.\t.\tO\tO' -p287762 -asS'Previous echoes have shown MVP at the Ona Hospital .' -p287763 -(lp287764 -S'Previous\tPrevious\tJJ\tB-NP\tO' -p287765 -aS'echoes\techo\tNNS\tI-NP\tO' -p287766 -aS'have\thave\tVBP\tB-VP\tO' -p287767 -aS'shown\tshow\tVBN\tI-VP\tO' -p287768 -aS'MVP\tMVP\tNN\tB-NP\tO' -p287769 -aS'at\tat\tIN\tB-PP\tO' -p287770 -aS'the\tthe\tDT\tB-NP\tO' -p287771 -aS'Ona\tOna\tNNP\tI-NP\tO' -p287772 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p287773 -aS'.\t.\t.\tO\tO' -p287774 -asS'Other things that happened during this admission - we obtained ahead CT for her on the 8th of January because of her clouded thinking and altered mental status , which was probably due to the morphine that she was taking .' -p287775 -(lp287776 -S'Other\tOther\tJJ\tB-NP\tO' -p287777 -aS'things\tthing\tNNS\tI-NP\tO' -p287778 -aS'that\tthat\tWDT\tB-NP\tO' -p287779 -aS'happened\thappen\tVBD\tB-VP\tO' -p287780 -aS'during\tduring\tIN\tB-PP\tO' -p287781 -aS'this\tthis\tDT\tB-NP\tO' -p287782 -aS'admission\tadmission\tNN\tI-NP\tO' -p287783 -aS'-\t-\tHYPH\tO\tO' -p287784 -aS'we\twe\tPRP\tB-NP\tO' -p287785 -aS'obtained\tobtain\tVBD\tB-VP\tO' -p287786 -aS'ahead\tahead\tRB\tB-NP\tO' -p287787 -aS'CT\tCT\tNN\tI-NP\tO' -p287788 -aS'for\tfor\tIN\tB-PP\tO' -p287789 -aS'her\ther\tPRP\tB-NP\tO' -p287790 -aS'on\ton\tIN\tB-PP\tO' -p287791 -aS'the\tthe\tDT\tB-NP\tO' -p287792 -aS'8th\t8th\tNN\tI-NP\tO' -p287793 -aS'of\tof\tIN\tB-PP\tO' -p287794 -aS'January\tJanuary\tNNP\tB-NP\tO' -p287795 -aS'because\tbecause\tIN\tB-PP\tO' -p287796 -aS'of\tof\tIN\tI-PP\tO' -p287797 -aS'her\ther\tPRP$\tB-NP\tO' -p287798 -aS'clouded\tclouded\tJJ\tI-NP\tO' -p287799 -aS'thinking\tthinking\tNN\tI-NP\tO' -p287800 -aS'and\tand\tCC\tO\tO' -p287801 -aS'altered\talter\tVBD\tB-VP\tO' -p287802 -aS'mental\tmental\tJJ\tB-NP\tO' -p287803 -aS'status\tstatus\tNN\tI-NP\tO' -p287804 -aS',\t,\t,\tO\tO' -p287805 -aS'which\twhich\tWDT\tB-NP\tO' -p287806 -aS'was\tbe\tVBD\tB-VP\tO' -p287807 -aS'probably\tprobably\tRB\tB-ADVP\tO' -p287808 -aS'due\tdue\tJJ\tB-ADJP\tO' -p287809 -aS'to\tto\tTO\tB-PP\tO' -p287810 -aS'the\tthe\tDT\tB-NP\tO' -p287811 -aS'morphine\tmorphine\tNN\tI-NP\tO' -p287812 -aS'that\tthat\tIN\tB-SBAR\tO' -p287813 -aS'she\tshe\tPRP\tB-NP\tO' -p287814 -aS'was\tbe\tVBD\tB-VP\tO' -p287815 -aS'taking\ttake\tVBG\tI-VP\tO' -p287816 -aS'.\t.\t.\tO\tO' -p287817 -asS'Feeds were restarted .' -p287818 -(lp287819 -S'Feeds\tFeed\tNNS\tB-NP\tO' -p287820 -aS'were\tbe\tVBD\tB-VP\tO' -p287821 -aS'restarted\trestart\tVBN\tI-VP\tO' -p287822 -aS'.\t.\t.\tO\tO' -p287823 -asS'Afebrile > 24 hours off abx .' -p287824 -(lp287825 -S'Afebrile\tAfebrile\tNN\tB-NP\tO' -p287826 -aS'>\t>\tSYM\tO\tO' -p287827 -aS'24\t24\tCD\tB-NP\tO' -p287828 -aS'hours\thour\tNNS\tI-NP\tO' -p287829 -aS'off\toff\tIN\tB-PP\tO' -p287830 -aS'abx\tabx\tNN\tB-NP\tO' -p287831 -aS'.\t.\t.\tO\tO' -p287832 -asS'Most recent electrolytes done on day of life one showed a sodium of 132 , potassium 6.1 , chloride 100 , Co2 20 .' -p287833 -(lp287834 -S'Most\tMost\tJJS\tB-NP\tO' -p287835 -aS'recent\trecent\tJJ\tI-NP\tO' -p287836 -aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' -p287837 -aS'done\tdo\tVBN\tB-VP\tO' -p287838 -aS'on\ton\tIN\tB-PP\tO' -p287839 -aS'day\tday\tNN\tB-NP\tO' -p287840 -aS'of\tof\tIN\tB-PP\tO' -p287841 -aS'life\tlife\tNN\tB-NP\tO' -p287842 -aS'one\tone\tCD\tI-NP\tO' -p287843 -aS'showed\tshow\tVBD\tB-VP\tO' -p287844 -aS'a\ta\tDT\tB-NP\tO' -p287845 -aS'sodium\tsodium\tNN\tI-NP\tO' -p287846 -aS'of\tof\tIN\tB-PP\tO' -p287847 -aS'132\t132\tCD\tB-NP\tO' -p287848 -aS',\t,\t,\tO\tO' -p287849 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p287850 -aS'6.1\t6.1\tCD\tI-NP\tO' -p287851 -aS',\t,\t,\tO\tO' -p287852 -aS'chloride\tchloride\tNN\tB-NP\tO' -p287853 -aS'100\t100\tCD\tI-NP\tO' -p287854 -aS',\t,\t,\tO\tO' -p287855 -aS'Co2\tCo2\tNN\tB-NP\tO' -p287856 -aS'20\t20\tCD\tI-NP\tO' -p287857 -aS'.\t.\t.\tO\tO' -p287858 -asS'The patient had received ten units of packed red blood cells , five units of fresh frozen plasma , seven units of platelets , and nine liters of Ringer 's lactate .' -p287859 -(lp287860 -S'The\tThe\tDT\tB-NP\tO' -p287861 -aS'patient\tpatient\tNN\tI-NP\tO' -p287862 -aS'had\thave\tVBD\tB-VP\tO' -p287863 -aS'received\treceive\tVBN\tI-VP\tO' -p287864 -aS'ten\tten\tCD\tB-NP\tO' -p287865 -aS'units\tunit\tNNS\tI-NP\tO' -p287866 -aS'of\tof\tIN\tB-PP\tO' -p287867 -aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' -p287868 -aS'red\tred\tJJ\tI-NP\tI-cell_type' -p287869 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p287870 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p287871 -aS',\t,\t,\tO\tO' -p287872 -aS'five\tfive\tCD\tB-NP\tO' -p287873 -aS'units\tunit\tNNS\tI-NP\tO' -p287874 -aS'of\tof\tIN\tB-PP\tO' -p287875 -aS'fresh\tfresh\tJJ\tB-NP\tO' -p287876 -aS'frozen\tfreeze\tVBN\tI-NP\tO' -p287877 -aS'plasma\tplasma\tNN\tI-NP\tO' -p287878 -aS',\t,\t,\tO\tO' -p287879 -aS'seven\tseven\tCD\tB-NP\tO' -p287880 -aS'units\tunit\tNNS\tI-NP\tO' -p287881 -aS'of\tof\tIN\tB-PP\tO' -p287882 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p287883 -aS',\t,\t,\tO\tO' -p287884 -aS'and\tand\tCC\tO\tO' -p287885 -aS'nine\tnine\tCD\tB-NP\tO' -p287886 -aS'liters\tliter\tNNS\tI-NP\tO' -p287887 -aS'of\tof\tIN\tB-PP\tO' -p287888 -aS'Ringer\tRinger\tNN\tB-NP\tB-protein' -p287889 -aS''s\t'\tNNS\tI-NP\tI-protein' -p287890 -aS'lactate\tlactate\tVBP\tB-VP\tO' -p287891 -aS'.\t.\t.\tO\tO' -p287892 -asS'FENa was 0.37 .' -p287893 -(lp287894 -S'FENa\tFENa\tNNP\tB-NP\tO' -p287895 -aS'was\tbe\tVBD\tB-VP\tO' -p287896 -aS'0.37\t0.37\tCD\tB-NP\tO' -p287897 -aS'.\t.\t.\tO\tO' -p287898 -asS'After this , the patient 's platelet count rose to a maximum of 177 on discharge .' -p287899 -(lp287900 -S'After\tAfter\tIN\tB-PP\tO' -p287901 -aS'this\tthis\tDT\tB-NP\tO' -p287902 -aS',\t,\t,\tO\tO' -p287903 -aS'the\tthe\tDT\tB-NP\tO' -p287904 -aS'patient\tpatient\tNN\tI-NP\tO' -p287905 -aS''s\t'\tNNS\tI-NP\tO' -p287906 -aS'platelet\tplatelet\tNN\tI-NP\tO' -p287907 -aS'count\tcount\tNN\tI-NP\tO' -p287908 -aS'rose\trise\tVBD\tB-VP\tO' -p287909 -aS'to\tto\tTO\tB-PP\tO' -p287910 -aS'a\ta\tDT\tB-NP\tO' -p287911 -aS'maximum\tmaximum\tNN\tI-NP\tO' -p287912 -aS'of\tof\tIN\tB-PP\tO' -p287913 -aS'177\t177\tCD\tB-NP\tO' -p287914 -aS'on\ton\tIN\tB-PP\tO' -p287915 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p287916 -aS'.\t.\t.\tO\tO' -p287917 -asS'history , physical , lab , Abdominal CT scan' -p287918 -(lp287919 -S'history\thistory\tNN\tB-NP\tO' -p287920 -aS',\t,\t,\tI-NP\tO' -p287921 -aS'physical\tphysical\tNN\tI-NP\tO' -p287922 -aS',\t,\t,\tI-NP\tO' -p287923 -aS'lab\tlab\tNN\tI-NP\tB-protein' -p287924 -aS',\t,\t,\tI-NP\tO' -p287925 -aS'Abdominal\tAbdominal\tJJ\tI-NP\tO' -p287926 -aS'CT\tCT\tNN\tI-NP\tO' -p287927 -aS'scan\tscan\tNN\tI-NP\tO' -p287928 -asS'1 ) Enteric coated aspirin 325 mg p.o. q. day .' -p287929 -(lp287930 -S'1\t1\tLS\tB-LST\tO' -p287931 -aS')\t)\t)\tO\tO' -p287932 -aS'Enteric\tEnteric\tJJ\tB-NP\tO' -p287933 -aS'coated\tcoated\tJJ\tI-NP\tO' -p287934 -aS'aspirin\taspirin\tNN\tI-NP\tO' -p287935 -aS'325\t325\tCD\tI-NP\tO' -p287936 -aS'mg\tmg\tNN\tI-NP\tO' -p287937 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p287938 -aS'q.\tq.\tNN\tI-NP\tO' -p287939 -aS'day\tday\tNN\tI-NP\tO' -p287940 -aS'.\t.\t.\tO\tO' -p287941 -asS'She was started on zonegran at 50 mg daily with plans to increase by 50 mg every other week to a goal dose of 200 mg / day ; she was on 100 mg daily at discharge and should have her dose increased on 10-12 and again on 10-26 .' -p287942 -(lp287943 -S'She\tShe\tPRP\tB-NP\tO' -p287944 -aS'was\tbe\tVBD\tB-VP\tO' -p287945 -aS'started\tstart\tVBN\tI-VP\tO' -p287946 -aS'on\ton\tIN\tB-PP\tO' -p287947 -aS'zonegran\tzonegran\tNN\tB-NP\tO' -p287948 -aS'at\tat\tIN\tB-PP\tO' -p287949 -aS'50\t50\tCD\tB-NP\tO' -p287950 -aS'mg\tmg\tNN\tI-NP\tO' -p287951 -aS'daily\tdaily\tRB\tB-ADVP\tO' -p287952 -aS'with\twith\tIN\tB-PP\tO' -p287953 -aS'plans\tplan\tNNS\tB-NP\tO' -p287954 -aS'to\tto\tTO\tB-VP\tO' -p287955 -aS'increase\tincrease\tVB\tI-VP\tO' -p287956 -aS'by\tby\tIN\tB-PP\tO' -p287957 -aS'50\t50\tCD\tB-NP\tO' -p287958 -aS'mg\tmg\tNN\tI-NP\tO' -p287959 -aS'every\tevery\tDT\tB-NP\tO' -p287960 -aS'other\tother\tJJ\tI-NP\tO' -p287961 -aS'week\tweek\tNN\tI-NP\tO' -p287962 -aS'to\tto\tTO\tB-PP\tO' -p287963 -aS'a\ta\tDT\tB-NP\tO' -p287964 -aS'goal\tgoal\tNN\tI-NP\tO' -p287965 -aS'dose\tdose\tNN\tI-NP\tO' -p287966 -aS'of\tof\tIN\tB-PP\tO' -p287967 -aS'200\t200\tCD\tB-NP\tO' -p287968 -aS'mg\tmg\tNN\tI-NP\tO' -p287969 -aS'/\t/\tSYM\tB-NP\tO' -p287970 -aS'day\tday\tNN\tI-NP\tO' -p287971 -aS';\t;\t:\tO\tO' -p287972 -aS'she\tshe\tPRP\tB-NP\tO' -p287973 -aS'was\tbe\tVBD\tB-VP\tO' -p287974 -aS'on\ton\tIN\tB-PP\tO' -p287975 -aS'100\t100\tCD\tB-NP\tO' -p287976 -aS'mg\tmg\tNN\tI-NP\tO' -p287977 -aS'daily\tdaily\tRB\tB-ADVP\tO' -p287978 -aS'at\tat\tIN\tB-PP\tO' -p287979 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p287980 -aS'and\tand\tCC\tO\tO' -p287981 -aS'should\tshould\tMD\tB-VP\tO' -p287982 -aS'have\thave\tVB\tI-VP\tO' -p287983 -aS'her\ther\tPRP$\tB-NP\tO' -p287984 -aS'dose\tdose\tNN\tI-NP\tO' -p287985 -aS'increased\tincrease\tVBD\tB-VP\tO' -p287986 -aS'on\ton\tIN\tB-PP\tO' -p287987 -aS'10-12\t10-12\tCD\tB-NP\tO' -p287988 -aS'and\tand\tCC\tB-PP\tO' -p287989 -aS'again\tagain\tRB\tB-ADVP\tO' -p287990 -aS'on\ton\tIN\tB-PP\tO' -p287991 -aS'10-26\t10-26\tCD\tB-NP\tO' -p287992 -aS'.\t.\t.\tO\tO' -p287993 -asS'Coronary exam is regular rate and rhythm .' -p287994 -(lp287995 -S'Coronary\tCoronary\tJJ\tB-NP\tO' -p287996 -aS'exam\texam\tNN\tI-NP\tO' -p287997 -aS'is\tbe\tVBZ\tB-VP\tO' -p287998 -aS'regular\tregular\tJJ\tB-NP\tO' -p287999 -aS'rate\trate\tNN\tI-NP\tO' -p288000 -aS'and\tand\tCC\tI-NP\tO' -p288001 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p288002 -aS'.\t.\t.\tO\tO' -p288003 -asS'# Squamous Cell Cancer - unknown primary .' -p288004 -(lp288005 -S'#\t#\t#\tB-NP\tO' -p288006 -aS'Squamous\tSquamous\tNNP\tI-NP\tO' -p288007 -aS'Cell\tCell\tNNP\tI-NP\tO' -p288008 -aS'Cancer\tCancer\tNNP\tI-NP\tO' -p288009 -aS'-\t-\tHYPH\tB-NP\tO' -p288010 -aS'unknown\tunknown\tJJ\tI-NP\tO' -p288011 -aS'primary\tprimary\tNN\tI-NP\tO' -p288012 -aS'.\t.\t.\tO\tO' -p288013 -asS'Although she had mediastinal recurrence , bone scan , head and liver CT were negative for metastatic disease .' -p288014 -(lp288015 -S'Although\tAlthough\tIN\tB-SBAR\tO' -p288016 -aS'she\tshe\tPRP\tB-NP\tO' -p288017 -aS'had\thave\tVBD\tB-VP\tO' -p288018 -aS'mediastinal\tmediastinal\tJJ\tB-NP\tO' -p288019 -aS'recurrence\trecurrence\tNN\tI-NP\tO' -p288020 -aS',\t,\t,\tO\tO' -p288021 -aS'bone\tbone\tNN\tB-NP\tO' -p288022 -aS'scan\tscan\tNN\tI-NP\tO' -p288023 -aS',\t,\t,\tO\tO' -p288024 -aS'head\thead\tNN\tB-NP\tO' -p288025 -aS'and\tand\tCC\tO\tO' -p288026 -aS'liver\tliver\tNN\tB-NP\tO' -p288027 -aS'CT\tCT\tNN\tI-NP\tO' -p288028 -aS'were\tbe\tVBD\tB-VP\tO' -p288029 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p288030 -aS'for\tfor\tIN\tB-PP\tO' -p288031 -aS'metastatic\tmetastatic\tJJ\tB-NP\tO' -p288032 -aS'disease\tdisease\tNN\tI-NP\tO' -p288033 -aS'.\t.\t.\tO\tO' -p288034 -asS'He tolerated the procedure well , was taken to the floor in stable condition .' -p288035 -(lp288036 -S'He\tHe\tPRP\tB-NP\tO' -p288037 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p288038 -aS'the\tthe\tDT\tB-NP\tO' -p288039 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p288040 -aS'well\twell\tRB\tB-ADVP\tO' -p288041 -aS',\t,\t,\tO\tO' -p288042 -aS'was\tbe\tVBD\tB-VP\tO' -p288043 -aS'taken\ttake\tVBN\tI-VP\tO' -p288044 -aS'to\tto\tTO\tB-PP\tO' -p288045 -aS'the\tthe\tDT\tB-NP\tO' -p288046 -aS'floor\tfloor\tNN\tI-NP\tO' -p288047 -aS'in\tin\tIN\tB-PP\tO' -p288048 -aS'stable\tstable\tJJ\tB-NP\tO' -p288049 -aS'condition\tcondition\tNN\tI-NP\tO' -p288050 -aS'.\t.\t.\tO\tO' -p288051 -asS'She then presented to Jordan Hospital Hospital where she was noted to be 5 cm dilated with a transverse lie presentation .' -p288052 -(lp288053 -S'She\tShe\tPRP\tB-NP\tO' -p288054 -aS'then\tthen\tRB\tB-ADVP\tO' -p288055 -aS'presented\tpresent\tVBD\tB-VP\tO' -p288056 -aS'to\tto\tTO\tB-PP\tO' -p288057 -aS'Jordan\tJordan\tNNP\tB-NP\tO' -p288058 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p288059 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p288060 -aS'where\twhere\tWRB\tB-ADVP\tO' -p288061 -aS'she\tshe\tPRP\tB-NP\tO' -p288062 -aS'was\tbe\tVBD\tB-VP\tO' -p288063 -aS'noted\tnote\tVBN\tI-VP\tO' -p288064 -aS'to\tto\tTO\tI-VP\tO' -p288065 -aS'be\tbe\tVB\tI-VP\tO' -p288066 -aS'5\t5\tCD\tB-NP\tO' -p288067 -aS'cm\tcm\tNN\tI-NP\tO' -p288068 -aS'dilated\tdilate\tVBN\tB-VP\tO' -p288069 -aS'with\twith\tIN\tB-PP\tO' -p288070 -aS'a\ta\tDT\tB-NP\tO' -p288071 -aS'transverse\ttransverse\tJJ\tI-NP\tO' -p288072 -aS'lie\tlie\tNN\tI-NP\tO' -p288073 -aS'presentation\tpresentation\tNN\tI-NP\tO' -p288074 -aS'.\t.\t.\tO\tO' -p288075 -asS'Coronary artery disease requiring surgical intervention' -p288076 -(lp288077 -S'Coronary\tCoronary\tJJ\tB-NP\tO' -p288078 -aS'artery\tartery\tNN\tI-NP\tO' -p288079 -aS'disease\tdisease\tNN\tI-NP\tO' -p288080 -aS'requiring\trequire\tVBG\tB-VP\tO' -p288081 -aS'surgical\tsurgical\tJJ\tB-NP\tO' -p288082 -aS'intervention\tintervention\tNN\tI-NP\tO' -p288083 -asS'2. The mitral valve leaflets are mildly thickened .' -p288084 -(lp288085 -S'2.\t2.\tLS\tB-LST\tO' -p288086 -aS'The\tThe\tDT\tB-NP\tO' -p288087 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p288088 -aS'valve\tvalve\tNN\tI-NP\tO' -p288089 -aS'leaflets\tleaflet\tNNS\tI-NP\tO' -p288090 -aS'are\tbe\tVBP\tB-VP\tO' -p288091 -aS'mildly\tmildly\tRB\tI-VP\tO' -p288092 -aS'thickened\tthicken\tVBN\tI-VP\tO' -p288093 -aS'.\t.\t.\tO\tO' -p288094 -asS'(2) Bilateral cataracts .' -p288095 -(lp288096 -S'(2)\t(2)\tLS\tB-NP\tO' -p288097 -aS'Bilateral\tBilateral\tJJ\tI-NP\tO' -p288098 -aS'cataracts\tcataract\tNNS\tI-NP\tO' -p288099 -aS'.\t.\t.\tO\tO' -p288100 -asS"PEG placement was unsuccessful by GI due to the patient 's anantomy ." -p288101 -(lp288102 -S'PEG\tPEG\tNN\tB-NP\tO' -p288103 -aS'placement\tplacement\tNN\tI-NP\tO' -p288104 -aS'was\tbe\tVBD\tB-VP\tO' -p288105 -aS'unsuccessful\tunsuccessful\tJJ\tB-ADJP\tO' -p288106 -aS'by\tby\tIN\tB-PP\tO' -p288107 -aS'GI\tGI\tNN\tB-NP\tO' -p288108 -aS'due\tdue\tJJ\tB-ADJP\tO' -p288109 -aS'to\tto\tTO\tB-PP\tO' -p288110 -aS'the\tthe\tDT\tB-NP\tO' -p288111 -aS'patient\tpatient\tNN\tI-NP\tO' -p288112 -aS"'s\t's\tPOS\tB-NP\tO" -p288113 -aS'anantomy\tanantomy\tNN\tI-NP\tO' -p288114 -aS'.\t.\t.\tO\tO' -p288115 -asS'Heart was regular with no murmurs , rubs , or gallops .' -p288116 -(lp288117 -S'Heart\tHeart\tNNP\tB-NP\tO' -p288118 -aS'was\tbe\tVBD\tB-VP\tO' -p288119 -aS'regular\tregular\tJJ\tB-ADJP\tO' -p288120 -aS'with\twith\tIN\tB-PP\tO' -p288121 -aS'no\tno\tDT\tB-NP\tO' -p288122 -aS'murmurs\tmurmur\tNNS\tI-NP\tO' -p288123 -aS',\t,\t,\tO\tO' -p288124 -aS'rubs\trub\tNNS\tB-NP\tO' -p288125 -aS',\t,\t,\tO\tO' -p288126 -aS'or\tor\tCC\tO\tO' -p288127 -aS'gallops\tgallop\tNNS\tB-NP\tO' -p288128 -aS'.\t.\t.\tO\tO' -p288129 -asS'His chemotherapy the week before was decreased because the white blood count dropped to 2.8 .' -p288130 -(lp288131 -S'His\tHis\tPRP$\tB-NP\tO' -p288132 -aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' -p288133 -aS'the\tthe\tDT\tB-NP\tO' -p288134 -aS'week\tweek\tNN\tI-NP\tO' -p288135 -aS'before\tbefore\tIN\tB-SBAR\tO' -p288136 -aS'was\tbe\tVBD\tB-VP\tO' -p288137 -aS'decreased\tdecrease\tVBN\tI-VP\tO' -p288138 -aS'because\tbecause\tIN\tB-SBAR\tO' -p288139 -aS'the\tthe\tDT\tB-NP\tO' -p288140 -aS'white\twhite\tJJ\tI-NP\tO' -p288141 -aS'blood\tblood\tNN\tI-NP\tO' -p288142 -aS'count\tcount\tNN\tI-NP\tO' -p288143 -aS'dropped\tdrop\tVBD\tB-VP\tO' -p288144 -aS'to\tto\tTO\tB-PP\tO' -p288145 -aS'2.8\t2.8\tCD\tB-NP\tO' -p288146 -aS'.\t.\t.\tO\tO' -p288147 -asS'PTT of 38.7 .' -p288148 -(lp288149 -S'PTT\tPTT\tNN\tB-NP\tO' -p288150 -aS'of\tof\tIN\tB-PP\tO' -p288151 -aS'38.7\t38.7\tCD\tB-NP\tO' -p288152 -aS'.\t.\t.\tO\tO' -p288153 -asS'The day prior to discharge , she was nauseated and not taking pos .' -p288154 -(lp288155 -S'The\tThe\tDT\tB-NP\tO' -p288156 -aS'day\tday\tNN\tI-NP\tO' -p288157 -aS'prior\tprior\tRB\tB-ADVP\tO' -p288158 -aS'to\tto\tTO\tB-VP\tO' -p288159 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p288160 -aS',\t,\t,\tO\tO' -p288161 -aS'she\tshe\tPRP\tB-NP\tO' -p288162 -aS'was\tbe\tVBD\tB-VP\tO' -p288163 -aS'nauseated\tnauseate\tVBN\tI-VP\tO' -p288164 -aS'and\tand\tCC\tO\tO' -p288165 -aS'not\tnot\tRB\tB-VP\tO' -p288166 -aS'taking\ttake\tVBG\tI-VP\tO' -p288167 -aS'pos\tpo\tNNS\tB-NP\tO' -p288168 -aS'.\t.\t.\tO\tO' -p288169 -asS'Dictated By : Ervin Y. Nobles , M.D.' -p288170 -(lp288171 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p288172 -aS'By\tBy\tIN\tB-PP\tO' -p288173 -aS':\t:\t:\tO\tO' -p288174 -aS'Ervin\tErvin\tNNP\tB-NP\tO' -p288175 -aS'Y.\tY.\tNNP\tI-NP\tO' -p288176 -aS'Nobles\tNobles\tNNP\tI-NP\tO' -p288177 -aS',\t,\t,\tO\tO' -p288178 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p288179 -asS'11. Tacrolimus 0.5 mg Capsule Sig : Three ( 3 ) Capsule PO twice a day .' -p288180 -(lp288181 -S'11.\t11.\tCD\tB-NP\tO' -p288182 -aS'Tacrolimus\tTacrolimus\tNNP\tI-NP\tO' -p288183 -aS'0.5\t0.5\tCD\tI-NP\tO' -p288184 -aS'mg\tmg\tNN\tI-NP\tO' -p288185 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p288186 -aS'Sig\tSig\tNNP\tI-NP\tO' -p288187 -aS':\t:\t:\tO\tO' -p288188 -aS'Three\tThree\tCD\tB-NP\tO' -p288189 -aS'(\t(\t(\tO\tO' -p288190 -aS'3\t3\tCD\tB-NP\tO' -p288191 -aS')\t)\t)\tO\tO' -p288192 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p288193 -aS'PO\tPO\tNNP\tI-NP\tO' -p288194 -aS'twice\ttwice\tRB\tB-NP\tO' -p288195 -aS'a\ta\tDT\tI-NP\tO' -p288196 -aS'day\tday\tNN\tI-NP\tO' -p288197 -aS'.\t.\t.\tO\tO' -p288198 -asS'Heparin was subsequently DCd once his INR reached a therapeutic level between 2.5-3.5 .' -p288199 -(lp288200 -S'Heparin\tHeparin\tNN\tB-NP\tO' -p288201 -aS'was\tbe\tVBD\tB-VP\tO' -p288202 -aS'subsequently\tsubsequently\tRB\tB-NP\tO' -p288203 -aS'DCd\tDCd\tNN\tI-NP\tO' -p288204 -aS'once\tonce\tRB\tO\tO' -p288205 -aS'his\this\tPRP$\tB-NP\tO' -p288206 -aS'INR\tINR\tNN\tI-NP\tB-protein' -p288207 -aS'reached\treach\tVBD\tB-VP\tO' -p288208 -aS'a\ta\tDT\tB-NP\tO' -p288209 -aS'therapeutic\ttherapeutic\tJJ\tI-NP\tO' -p288210 -aS'level\tlevel\tNN\tI-NP\tO' -p288211 -aS'between\tbetween\tIN\tB-PP\tO' -p288212 -aS'2.5-3.5\t2.5-3.5\tCD\tB-NP\tO' -p288213 -aS'.\t.\t.\tO\tO' -p288214 -asS'4 ) The patient will eventually need a permanent dialysis fistula .' -p288215 -(lp288216 -S'4\t4\tLS\tB-LST\tO' -p288217 -aS')\t)\t)\tO\tO' -p288218 -aS'The\tThe\tDT\tB-NP\tO' -p288219 -aS'patient\tpatient\tNN\tI-NP\tO' -p288220 -aS'will\twill\tMD\tB-VP\tO' -p288221 -aS'eventually\teventually\tRB\tI-VP\tO' -p288222 -aS'need\tneed\tVB\tI-VP\tO' -p288223 -aS'a\ta\tDT\tB-NP\tO' -p288224 -aS'permanent\tpermanent\tJJ\tI-NP\tO' -p288225 -aS'dialysis\tdialysis\tNN\tI-NP\tO' -p288226 -aS'fistula\tfistula\tNN\tI-NP\tO' -p288227 -aS'.\t.\t.\tO\tO' -p288228 -asS'So if it goes much lower than 2 , then we would consider increasing it to perhaps coumadin 2.5 and 5 alternating every other night .' -p288229 -(lp288230 -S'So\tSo\tRB\tO\tO' -p288231 -aS'if\tif\tIN\tB-SBAR\tO' -p288232 -aS'it\tit\tPRP\tB-NP\tO' -p288233 -aS'goes\tgo\tVBZ\tB-VP\tO' -p288234 -aS'much\tmuch\tRB\tB-ADVP\tO' -p288235 -aS'lower\tlow\tJJR\tI-ADVP\tO' -p288236 -aS'than\tthan\tIN\tB-PP\tO' -p288237 -aS'2\t2\tCD\tB-NP\tO' -p288238 -aS',\t,\t,\tO\tO' -p288239 -aS'then\tthen\tRB\tB-ADVP\tO' -p288240 -aS'we\twe\tPRP\tB-NP\tO' -p288241 -aS'would\twould\tMD\tB-VP\tO' -p288242 -aS'consider\tconsider\tVB\tI-VP\tO' -p288243 -aS'increasing\tincrease\tVBG\tI-VP\tO' -p288244 -aS'it\tit\tPRP\tB-NP\tO' -p288245 -aS'to\tto\tTO\tB-VP\tO' -p288246 -aS'perhaps\tperhaps\tRB\tI-VP\tO' -p288247 -aS'coumadin\tcoumadin\tVB\tI-VP\tO' -p288248 -aS'2.5\t2.5\tCD\tB-NP\tO' -p288249 -aS'and\tand\tCC\tI-NP\tO' -p288250 -aS'5\t5\tCD\tI-NP\tO' -p288251 -aS'alternating\talternate\tVBG\tB-VP\tO' -p288252 -aS'every\tevery\tDT\tB-NP\tO' -p288253 -aS'other\tother\tJJ\tI-NP\tO' -p288254 -aS'night\tnight\tNN\tI-NP\tO' -p288255 -aS'.\t.\t.\tO\tO' -p288256 -asS'The patient was given antenatal corticosteroids for fetal lung maturity .' -p288257 -(lp288258 -S'The\tThe\tDT\tB-NP\tO' -p288259 -aS'patient\tpatient\tNN\tI-NP\tO' -p288260 -aS'was\tbe\tVBD\tB-VP\tO' -p288261 -aS'given\tgive\tVBN\tI-VP\tO' -p288262 -aS'antenatal\tantenatal\tJJ\tB-NP\tO' -p288263 -aS'corticosteroids\tcorticosteroid\tNNS\tI-NP\tO' -p288264 -aS'for\tfor\tIN\tB-PP\tO' -p288265 -aS'fetal\tfetal\tJJ\tB-NP\tO' -p288266 -aS'lung\tlung\tNN\tI-NP\tO' -p288267 -aS'maturity\tmaturity\tNN\tI-NP\tO' -p288268 -aS'.\t.\t.\tO\tO' -p288269 -asS'In addition a complete blood count was obtained on admission with a white count of 10.1 with 43 polys and 0 bands .' -p288270 -(lp288271 -S'In\tIn\tIN\tB-PP\tO' -p288272 -aS'addition\taddition\tNN\tB-NP\tO' -p288273 -aS'a\ta\tDT\tB-NP\tO' -p288274 -aS'complete\tcomplete\tJJ\tI-NP\tO' -p288275 -aS'blood\tblood\tNN\tI-NP\tO' -p288276 -aS'count\tcount\tNN\tI-NP\tO' -p288277 -aS'was\tbe\tVBD\tB-VP\tO' -p288278 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p288279 -aS'on\ton\tIN\tB-PP\tO' -p288280 -aS'admission\tadmission\tNN\tB-NP\tO' -p288281 -aS'with\twith\tIN\tB-PP\tO' -p288282 -aS'a\ta\tDT\tB-NP\tO' -p288283 -aS'white\twhite\tJJ\tI-NP\tO' -p288284 -aS'count\tcount\tNN\tI-NP\tO' -p288285 -aS'of\tof\tIN\tB-PP\tO' -p288286 -aS'10.1\t10.1\tCD\tB-NP\tO' -p288287 -aS'with\twith\tIN\tB-PP\tO' -p288288 -aS'43\t43\tCD\tB-NP\tO' -p288289 -aS'polys\tpoly\tNNS\tI-NP\tO' -p288290 -aS'and\tand\tCC\tO\tO' -p288291 -aS'0\t0\tCD\tB-NP\tO' -p288292 -aS'bands\tband\tNNS\tI-NP\tO' -p288293 -aS'.\t.\t.\tO\tO' -p288294 -asS'She John , tolerated a regular diet , and was discharged home in good condition on 12-21 .' -p288295 -(lp288296 -S'She\tShe\tNNP\tB-NP\tO' -p288297 -aS'John\tJohn\tNNP\tI-NP\tO' -p288298 -aS',\t,\t,\tO\tO' -p288299 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p288300 -aS'a\ta\tDT\tB-NP\tO' -p288301 -aS'regular\tregular\tJJ\tI-NP\tO' -p288302 -aS'diet\tdiet\tNN\tI-NP\tO' -p288303 -aS',\t,\t,\tO\tO' -p288304 -aS'and\tand\tCC\tO\tO' -p288305 -aS'was\tbe\tVBD\tB-VP\tO' -p288306 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p288307 -aS'home\thome\tNN\tB-ADVP\tO' -p288308 -aS'in\tin\tIN\tB-PP\tO' -p288309 -aS'good\tgood\tJJ\tB-NP\tO' -p288310 -aS'condition\tcondition\tNN\tI-NP\tO' -p288311 -aS'on\ton\tIN\tB-PP\tO' -p288312 -aS'12-21\t12-21\tNN\tB-NP\tO' -p288313 -aS'.\t.\t.\tO\tO' -p288314 -asS'Palate intact .' -p288315 -(lp288316 -S'Palate\tPalate\tNN\tB-NP\tO' -p288317 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p288318 -aS'.\t.\t.\tO\tO' -p288319 -asS'Please follow-up with your Primary Care doctor Marion Bock as below .' -p288320 -(lp288321 -S'Please\tPlease\tNN\tB-NP\tO' -p288322 -aS'follow-up\tfollow-up\tNN\tI-NP\tO' -p288323 -aS'with\twith\tIN\tB-PP\tO' -p288324 -aS'your\tyour\tPRP$\tB-NP\tO' -p288325 -aS'Primary\tPrimary\tJJ\tI-NP\tO' -p288326 -aS'Care\tCare\tNNP\tI-NP\tO' -p288327 -aS'doctor\tdoctor\tNN\tI-NP\tO' -p288328 -aS'Marion\tMarion\tNNP\tI-NP\tO' -p288329 -aS'Bock\tBock\tNNP\tI-NP\tO' -p288330 -aS'as\tas\tIN\tB-PP\tO' -p288331 -aS'below\tbelow\tRB\tB-ADVP\tO' -p288332 -aS'.\t.\t.\tO\tO' -p288333 -asS'Weight 2.985 kg , 95th percentile; length 48 cm , 85th percentile; head circumference 35 cm , greater than 95th percentile .' -p288334 -(lp288335 -S'Weight\tWeight\tRB\tB-NP\tO' -p288336 -aS'2.985\t2.985\tCD\tI-NP\tO' -p288337 -aS'kg\tkg\tNN\tI-NP\tO' -p288338 -aS',\t,\t,\tO\tO' -p288339 -aS'95th\t95th\tJJ\tB-NP\tO' -p288340 -aS'percentile;\tpercentile;\tNN\tI-NP\tO' -p288341 -aS'length\tlength\tNN\tI-NP\tO' -p288342 -aS'48\t48\tCD\tI-NP\tO' -p288343 -aS'cm\tcm\tNN\tI-NP\tO' -p288344 -aS',\t,\t,\tO\tO' -p288345 -aS'85th\t85th\tJJ\tB-NP\tO' -p288346 -aS'percentile;\tpercentile;\tNN\tI-NP\tO' -p288347 -aS'head\thead\tNN\tI-NP\tO' -p288348 -aS'circumference\tcircumference\tNN\tI-NP\tO' -p288349 -aS'35\t35\tCD\tI-NP\tO' -p288350 -aS'cm\tcm\tNN\tI-NP\tO' -p288351 -aS',\t,\t,\tO\tO' -p288352 -aS'greater\tgreat\tJJR\tB-ADJP\tO' -p288353 -aS'than\tthan\tIN\tB-PP\tO' -p288354 -aS'95th\t95th\tJJ\tB-NP\tO' -p288355 -aS'percentile\tpercentile\tNN\tI-NP\tO' -p288356 -aS'.\t.\t.\tO\tO' -p288357 -asS'The history of this 49 year old male is provided in detail in the typed admission note dated June 30 , 1992 .' -p288358 -(lp288359 -S'The\tThe\tDT\tB-NP\tO' -p288360 -aS'history\thistory\tNN\tI-NP\tO' -p288361 -aS'of\tof\tIN\tB-PP\tO' -p288362 -aS'this\tthis\tDT\tB-NP\tO' -p288363 -aS'49\t49\tCD\tI-NP\tO' -p288364 -aS'year\tyear\tNN\tI-NP\tO' -p288365 -aS'old\told\tJJ\tI-NP\tO' -p288366 -aS'male\tmale\tNN\tI-NP\tO' -p288367 -aS'is\tbe\tVBZ\tB-VP\tO' -p288368 -aS'provided\tprovide\tVBN\tI-VP\tO' -p288369 -aS'in\tin\tIN\tB-PP\tO' -p288370 -aS'detail\tdetail\tNN\tB-NP\tO' -p288371 -aS'in\tin\tIN\tB-PP\tO' -p288372 -aS'the\tthe\tDT\tB-NP\tO' -p288373 -aS'typed\ttype\tVBN\tI-NP\tO' -p288374 -aS'admission\tadmission\tNN\tI-NP\tO' -p288375 -aS'note\tnote\tNN\tI-NP\tO' -p288376 -aS'dated\tdate\tVBN\tB-VP\tO' -p288377 -aS'June\tJune\tNNP\tB-NP\tO' -p288378 -aS'30\t30\tCD\tI-NP\tO' -p288379 -aS',\t,\t,\tI-NP\tO' -p288380 -aS'1992\t1992\tCD\tI-NP\tO' -p288381 -aS'.\t.\t.\tO\tO' -p288382 -asS'SGPT 22 , SGOT 41 , amylase 31 , lipase less than 1 .' -p288383 -(lp288384 -S'SGPT\tSGPT\tNN\tB-NP\tB-protein' -p288385 -aS'22\t22\tCD\tI-NP\tI-protein' -p288386 -aS',\t,\t,\tO\tO' -p288387 -aS'SGOT\tSGOT\tNN\tB-NP\tO' -p288388 -aS'41\t41\tCD\tI-NP\tO' -p288389 -aS',\t,\t,\tO\tO' -p288390 -aS'amylase\tamylase\tNN\tB-NP\tO' -p288391 -aS'31\t31\tCD\tI-NP\tO' -p288392 -aS',\t,\t,\tO\tO' -p288393 -aS'lipase\tlipase\tNN\tB-NP\tO' -p288394 -aS'less\tless\tJJR\tB-ADJP\tO' -p288395 -aS'than\tthan\tIN\tB-PP\tO' -p288396 -aS'1\t1\tCD\tB-NP\tO' -p288397 -aS'.\t.\t.\tO\tO' -p288398 -asS'Heart had a normal S1 and S2 , with no murmurs , gallops or rubs .' -p288399 -(lp288400 -S'Heart\tHeart\tNNP\tB-NP\tO' -p288401 -aS'had\thave\tVBD\tB-VP\tO' -p288402 -aS'a\ta\tDT\tB-NP\tO' -p288403 -aS'normal\tnormal\tJJ\tI-NP\tO' -p288404 -aS'S1\tS1\tNN\tI-NP\tB-protein' -p288405 -aS'and\tand\tCC\tO\tO' -p288406 -aS'S2\tS2\tNN\tB-NP\tB-protein' -p288407 -aS',\t,\t,\tO\tO' -p288408 -aS'with\twith\tIN\tB-PP\tO' -p288409 -aS'no\tno\tDT\tB-NP\tO' -p288410 -aS'murmurs\tmurmur\tNNS\tI-NP\tO' -p288411 -aS',\t,\t,\tI-NP\tO' -p288412 -aS'gallops\tgallop\tNNS\tI-NP\tO' -p288413 -aS'or\tor\tCC\tI-NP\tO' -p288414 -aS'rubs\trub\tNNS\tI-NP\tO' -p288415 -aS'.\t.\t.\tO\tO' -p288416 -asS'No dysarthria or paraphasic errors .' -p288417 -(lp288418 -S'No\tNo\tDT\tB-NP\tO' -p288419 -aS'dysarthria\tdysarthria\tNN\tI-NP\tO' -p288420 -aS'or\tor\tCC\tO\tO' -p288421 -aS'paraphasic\tparaphasic\tJJ\tB-NP\tO' -p288422 -aS'errors\terror\tNNS\tI-NP\tO' -p288423 -aS'.\t.\t.\tO\tO' -p288424 -asS'Of note , the patient is admitted to hospital 3 times every month for similar complaints with last admission 1/20-2/1/07 .' -p288425 -(lp288426 -S'Of\tOf\tIN\tB-PP\tO' -p288427 -aS'note\tnote\tNN\tB-NP\tO' -p288428 -aS',\t,\t,\tO\tO' -p288429 -aS'the\tthe\tDT\tB-NP\tO' -p288430 -aS'patient\tpatient\tNN\tI-NP\tO' -p288431 -aS'is\tbe\tVBZ\tB-VP\tO' -p288432 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p288433 -aS'to\tto\tTO\tB-PP\tO' -p288434 -aS'hospital\thospital\tNN\tB-NP\tO' -p288435 -aS'3\t3\tCD\tB-NP\tO' -p288436 -aS'times\ttime\tNNS\tI-NP\tO' -p288437 -aS'every\tevery\tDT\tB-NP\tO' -p288438 -aS'month\tmonth\tNN\tI-NP\tO' -p288439 -aS'for\tfor\tIN\tB-PP\tO' -p288440 -aS'similar\tsimilar\tJJ\tB-NP\tO' -p288441 -aS'complaints\tcomplaint\tNNS\tI-NP\tO' -p288442 -aS'with\twith\tIN\tB-PP\tO' -p288443 -aS'last\tlast\tJJ\tB-NP\tB-protein' -p288444 -aS'admission\tadmission\tNN\tI-NP\tI-protein' -p288445 -aS'1/20-2/1/07\t1/20-2/1/07\tCD\tI-NP\tI-protein' -p288446 -aS'.\t.\t.\tO\tO' -p288447 -asS'A CT scan with po contrast showed dilation of intrahepatic common bile duct which is improved from previous studies .' -p288448 -(lp288449 -S'A\tA\tDT\tB-NP\tO' -p288450 -aS'CT\tCT\tNN\tI-NP\tO' -p288451 -aS'scan\tscan\tNN\tI-NP\tO' -p288452 -aS'with\twith\tIN\tB-PP\tO' -p288453 -aS'po\tpo\tNN\tB-NP\tO' -p288454 -aS'contrast\tcontrast\tNN\tI-NP\tO' -p288455 -aS'showed\tshow\tVBD\tB-VP\tO' -p288456 -aS'dilation\tdilation\tNN\tB-NP\tO' -p288457 -aS'of\tof\tIN\tB-PP\tO' -p288458 -aS'intrahepatic\tintrahepatic\tJJ\tB-NP\tO' -p288459 -aS'common\tcommon\tJJ\tI-NP\tO' -p288460 -aS'bile\tbile\tNN\tI-NP\tO' -p288461 -aS'duct\tduct\tNN\tI-NP\tO' -p288462 -aS'which\twhich\tWDT\tB-NP\tO' -p288463 -aS'is\tbe\tVBZ\tB-VP\tO' -p288464 -aS'improved\timprove\tVBN\tI-VP\tO' -p288465 -aS'from\tfrom\tIN\tB-PP\tO' -p288466 -aS'previous\tprevious\tJJ\tB-NP\tO' -p288467 -aS'studies\tstudy\tNNS\tI-NP\tO' -p288468 -aS'.\t.\t.\tO\tO' -p288469 -asS'He has a family history of hypertension as well .' -p288470 -(lp288471 -S'He\tHe\tPRP\tB-NP\tO' -p288472 -aS'has\thave\tVBZ\tB-VP\tO' -p288473 -aS'a\ta\tDT\tB-NP\tO' -p288474 -aS'family\tfamily\tNN\tI-NP\tO' -p288475 -aS'history\thistory\tNN\tI-NP\tO' -p288476 -aS'of\tof\tIN\tB-PP\tO' -p288477 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p288478 -aS'as\tas\tRB\tB-ADVP\tO' -p288479 -aS'well\twell\tRB\tI-ADVP\tO' -p288480 -aS'.\t.\t.\tO\tO' -p288481 -asS'Has a history of qualude use since high school , also in remission .' -p288482 -(lp288483 -S'Has\tHas\tIN\tB-PP\tO' -p288484 -aS'a\ta\tDT\tB-NP\tO' -p288485 -aS'history\thistory\tNN\tI-NP\tO' -p288486 -aS'of\tof\tIN\tB-PP\tO' -p288487 -aS'qualude\tqualude\tNN\tB-NP\tO' -p288488 -aS'use\tuse\tNN\tI-NP\tO' -p288489 -aS'since\tsince\tIN\tB-PP\tO' -p288490 -aS'high\thigh\tJJ\tB-NP\tO' -p288491 -aS'school\tschool\tNN\tI-NP\tO' -p288492 -aS',\t,\t,\tO\tO' -p288493 -aS'also\talso\tRB\tB-ADVP\tO' -p288494 -aS'in\tin\tIN\tB-PP\tO' -p288495 -aS'remission\tremission\tNN\tB-NP\tO' -p288496 -aS'.\t.\t.\tO\tO' -p288497 -asS'8. Erythropoietin 10,000 units two times a week Tuesday and Saturday .' -p288498 -(lp288499 -S'8.\t8.\tCD\tB-NP\tO' -p288500 -aS'Erythropoietin\tErythropoietin\tNN\tI-NP\tO' -p288501 -aS'10,000\t10,000\tCD\tB-NP\tO' -p288502 -aS'units\tunit\tNNS\tI-NP\tO' -p288503 -aS'two\ttwo\tCD\tB-NP\tO' -p288504 -aS'times\ttime\tNNS\tI-NP\tO' -p288505 -aS'a\ta\tDT\tB-NP\tO' -p288506 -aS'week\tweek\tNN\tI-NP\tO' -p288507 -aS'Tuesday\tTuesday\tNNP\tB-NP\tO' -p288508 -aS'and\tand\tCC\tO\tO' -p288509 -aS'Saturday\tSaturday\tNNP\tB-NP\tO' -p288510 -aS'.\t.\t.\tO\tO' -p288511 -asS'His head was normocephalic , atraumatic .' -p288512 -(lp288513 -S'His\tHis\tPRP$\tB-NP\tO' -p288514 -aS'head\thead\tNN\tI-NP\tO' -p288515 -aS'was\tbe\tVBD\tB-VP\tO' -p288516 -aS'normocephalic\tnormocephalic\tJJ\tB-ADJP\tO' -p288517 -aS',\t,\t,\tO\tO' -p288518 -aS'atraumatic\tatraumatic\tJJ\tB-ADJP\tO' -p288519 -aS'.\t.\t.\tO\tO' -p288520 -asS'2. Fusion at L3-L4 .' -p288521 -(lp288522 -S'2.\t2.\tLS\tB-NP\tO' -p288523 -aS'Fusion\tFusion\tNN\tI-NP\tO' -p288524 -aS'at\tat\tIN\tB-PP\tO' -p288525 -aS'L3-L4\tL3-L4\tNN\tB-NP\tB-DNA' -p288526 -aS'.\t.\t.\tO\tO' -p288527 -asS'Bilateral lower lobe consolidations mostly in dependent portion , with small pleural effusion and diffuse ground-glass opacity in bilateral upper and lower lobes , consistent with ARDS with pulmonary edema given the history .' -p288528 -(lp288529 -S'Bilateral\tBilateral\tJJ\tB-NP\tO' -p288530 -aS'lower\tlow\tJJR\tI-NP\tO' -p288531 -aS'lobe\tlobe\tNN\tI-NP\tO' -p288532 -aS'consolidations\tconsolidation\tNNS\tI-NP\tO' -p288533 -aS'mostly\tmostly\tRB\tB-ADVP\tO' -p288534 -aS'in\tin\tIN\tB-PP\tO' -p288535 -aS'dependent\tdependent\tJJ\tB-NP\tO' -p288536 -aS'portion\tportion\tNN\tI-NP\tO' -p288537 -aS',\t,\t,\tO\tO' -p288538 -aS'with\twith\tIN\tB-PP\tO' -p288539 -aS'small\tsmall\tJJ\tB-NP\tO' -p288540 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p288541 -aS'effusion\teffusion\tNN\tI-NP\tO' -p288542 -aS'and\tand\tCC\tI-NP\tO' -p288543 -aS'diffuse\tdiffuse\tJJ\tI-NP\tO' -p288544 -aS'ground-glass\tground-glass\tJJ\tI-NP\tO' -p288545 -aS'opacity\topacity\tNN\tI-NP\tO' -p288546 -aS'in\tin\tIN\tB-PP\tO' -p288547 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p288548 -aS'upper\tupper\tJJ\tI-NP\tO' -p288549 -aS'and\tand\tCC\tI-NP\tO' -p288550 -aS'lower\tlow\tJJR\tI-NP\tO' -p288551 -aS'lobes\tlobe\tNNS\tI-NP\tO' -p288552 -aS',\t,\t,\tO\tO' -p288553 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p288554 -aS'with\twith\tIN\tB-PP\tO' -p288555 -aS'ARDS\tARDS\tNN\tB-NP\tO' -p288556 -aS'with\twith\tIN\tB-PP\tO' -p288557 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p288558 -aS'edema\tedema\tNN\tI-NP\tO' -p288559 -aS'given\tgive\tVBN\tB-PP\tO' -p288560 -aS'the\tthe\tDT\tB-NP\tO' -p288561 -aS'history\thistory\tNN\tI-NP\tO' -p288562 -aS'.\t.\t.\tO\tO' -p288563 -asS'Large left middle cerebral artery stroke along with posterior cerebral artery strokes bilaterally .' -p288564 -(lp288565 -S'Large\tLarge\tJJ\tB-NP\tO' -p288566 -aS'left\tleft\tJJ\tI-NP\tO' -p288567 -aS'middle\tmiddle\tJJ\tI-NP\tO' -p288568 -aS'cerebral\tcerebral\tJJ\tI-NP\tO' -p288569 -aS'artery\tartery\tNN\tI-NP\tO' -p288570 -aS'stroke\tstroke\tVBD\tB-VP\tO' -p288571 -aS'along\talong\tIN\tB-PP\tO' -p288572 -aS'with\twith\tIN\tB-PP\tO' -p288573 -aS'posterior\tposterior\tJJ\tB-NP\tO' -p288574 -aS'cerebral\tcerebral\tJJ\tI-NP\tO' -p288575 -aS'artery\tartery\tNN\tI-NP\tO' -p288576 -aS'strokes\tstroke\tVBZ\tB-VP\tO' -p288577 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p288578 -aS'.\t.\t.\tO\tO' -p288579 -asS'1. Coronary angiography demonstrated single vessel disease in a right dominant system .' -p288580 -(lp288581 -S'1.\t1.\tLS\tB-NP\tO' -p288582 -aS'Coronary\tCoronary\tJJ\tI-NP\tO' -p288583 -aS'angiography\tangiography\tNN\tI-NP\tO' -p288584 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p288585 -aS'single\tsingle\tJJ\tB-NP\tO' -p288586 -aS'vessel\tvessel\tNN\tI-NP\tO' -p288587 -aS'disease\tdisease\tNN\tI-NP\tO' -p288588 -aS'in\tin\tIN\tB-PP\tO' -p288589 -aS'a\ta\tDT\tB-NP\tO' -p288590 -aS'right\tright\tJJ\tI-NP\tO' -p288591 -aS'dominant\tdominant\tJJ\tI-NP\tO' -p288592 -aS'system\tsystem\tNN\tI-NP\tO' -p288593 -aS'.\t.\t.\tO\tO' -p288594 -asS'Throughout admission , hematemesis flow decreased while on PPI and clear liquids .' -p288595 -(lp288596 -S'Throughout\tThroughout\tIN\tB-PP\tO' -p288597 -aS'admission\tadmission\tNN\tB-NP\tO' -p288598 -aS',\t,\t,\tO\tO' -p288599 -aS'hematemesis\thematemesis\tNN\tB-NP\tO' -p288600 -aS'flow\tflow\tNN\tI-NP\tO' -p288601 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p288602 -aS'while\twhile\tIN\tB-SBAR\tO' -p288603 -aS'on\ton\tIN\tB-PP\tO' -p288604 -aS'PPI\tPPI\tNN\tB-NP\tB-protein' -p288605 -aS'and\tand\tCC\tO\tO' -p288606 -aS'clear\tclear\tJJ\tB-NP\tO' -p288607 -aS'liquids\tliquid\tNNS\tI-NP\tO' -p288608 -aS'.\t.\t.\tO\tO' -p288609 -asS'2+ edema both upper extremities , sacral edema .' -p288610 -(lp288611 -S'2+\t2+\tJJ\tB-NP\tO' -p288612 -aS'edema\tedema\tNN\tI-NP\tO' -p288613 -aS'both\tboth\tCC\tO\tO' -p288614 -aS'upper\tupper\tJJ\tB-NP\tO' -p288615 -aS'extremities\textremity\tNNS\tI-NP\tO' -p288616 -aS',\t,\t,\tO\tO' -p288617 -aS'sacral\tsacral\tJJ\tB-NP\tO' -p288618 -aS'edema\tedema\tNN\tI-NP\tO' -p288619 -aS'.\t.\t.\tO\tO' -p288620 -asS'sodium 135 , potassium 4.1 , chloride 101 , C02 28.4 , BUN 17 , creatinine 1.0 , glucose 302 , calcium 8.6 , phosphorus 2.5 , magnesium 1.6 , total protein 6.7 , albumin 3.3 , globulin 3.4 , uric acid 6.3 , totalbilirubin .7 , alkaline phosphatase 93 , SGOT 20 , LDH 258 , CPK 95 , whiteblood count 15.3 , hematocrit 49.7 , platelet count 159 , MCV 98 .' -p288621 -(lp288622 -S'sodium\tsodium\tNN\tB-NP\tO' -p288623 -aS'135\t135\tCD\tI-NP\tO' -p288624 -aS',\t,\t,\tO\tO' -p288625 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p288626 -aS'4.1\t4.1\tCD\tI-NP\tO' -p288627 -aS',\t,\t,\tO\tO' -p288628 -aS'chloride\tchloride\tNN\tB-NP\tO' -p288629 -aS'101\t101\tCD\tI-NP\tO' -p288630 -aS',\t,\t,\tO\tO' -p288631 -aS'C02\tC02\tNN\tB-NP\tB-protein' -p288632 -aS'28.4\t28.4\tCD\tI-NP\tI-protein' -p288633 -aS',\t,\t,\tO\tO' -p288634 -aS'BUN\tBUN\tNN\tB-NP\tB-DNA' -p288635 -aS'17\t17\tCD\tI-NP\tI-DNA' -p288636 -aS',\t,\t,\tO\tO' -p288637 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p288638 -aS'1.0\t1.0\tCD\tI-NP\tO' -p288639 -aS',\t,\t,\tO\tO' -p288640 -aS'glucose\tglucose\tNN\tB-NP\tO' -p288641 -aS'302\t302\tCD\tI-NP\tO' -p288642 -aS',\t,\t,\tO\tO' -p288643 -aS'calcium\tcalcium\tNN\tB-NP\tO' -p288644 -aS'8.6\t8.6\tCD\tI-NP\tO' -p288645 -aS',\t,\t,\tO\tO' -p288646 -aS'phosphorus\tphosphorus\tNN\tB-NP\tO' -p288647 -aS'2.5\t2.5\tCD\tI-NP\tO' -p288648 -aS',\t,\t,\tO\tO' -p288649 -aS'magnesium\tmagnesium\tNN\tB-NP\tO' -p288650 -aS'1.6\t1.6\tCD\tI-NP\tO' -p288651 -aS',\t,\t,\tO\tO' -p288652 -aS'total\ttotal\tJJ\tB-NP\tO' -p288653 -aS'protein\tprotein\tNN\tI-NP\tO' -p288654 -aS'6.7\t6.7\tCD\tI-NP\tO' -p288655 -aS',\t,\t,\tO\tO' -p288656 -aS'albumin\talbumin\tNN\tB-NP\tB-protein' -p288657 -aS'3.3\t3.3\tCD\tI-NP\tI-protein' -p288658 -aS',\t,\t,\tO\tO' -p288659 -aS'globulin\tglobulin\tNN\tB-NP\tB-protein' -p288660 -aS'3.4\t3.4\tCD\tI-NP\tI-protein' -p288661 -aS',\t,\t,\tO\tO' -p288662 -aS'uric\turic\tJJ\tB-NP\tO' -p288663 -aS'acid\tacid\tNN\tI-NP\tO' -p288664 -aS'6.3\t6.3\tCD\tI-NP\tO' -p288665 -aS',\t,\t,\tO\tO' -p288666 -aS'totalbilirubin\ttotalbilirubin\tNN\tB-NP\tO' -p288667 -aS'.7\t.7\tCD\tI-NP\tO' -p288668 -aS',\t,\t,\tO\tO' -p288669 -aS'alkaline\talkaline\tNN\tB-NP\tO' -p288670 -aS'phosphatase\tphosphatase\tNN\tI-NP\tO' -p288671 -aS'93\t93\tCD\tI-NP\tO' -p288672 -aS',\t,\t,\tO\tO' -p288673 -aS'SGOT\tSGOT\tNN\tB-NP\tO' -p288674 -aS'20\t20\tCD\tI-NP\tO' -p288675 -aS',\t,\t,\tO\tO' -p288676 -aS'LDH\tLDH\tNN\tB-NP\tB-protein' -p288677 -aS'258\t258\tCD\tI-NP\tI-protein' -p288678 -aS',\t,\t,\tO\tO' -p288679 -aS'CPK\tCPK\tNN\tB-NP\tB-DNA' -p288680 -aS'95\t95\tCD\tI-NP\tI-DNA' -p288681 -aS',\t,\t,\tO\tO' -p288682 -aS'whiteblood\twhiteblood\tNN\tB-NP\tO' -p288683 -aS'count\tcount\tNN\tI-NP\tO' -p288684 -aS'15.3\t15.3\tNN\tI-NP\tO' -p288685 -aS',\t,\t,\tO\tO' -p288686 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p288687 -aS'49.7\t49.7\tCD\tI-NP\tI-protein' -p288688 -aS',\t,\t,\tO\tO' -p288689 -aS'platelet\tplatelet\tNN\tB-NP\tB-protein' -p288690 -aS'count\tcount\tNN\tI-NP\tI-protein' -p288691 -aS'159\t159\tCD\tI-NP\tI-protein' -p288692 -aS',\t,\t,\tO\tO' -p288693 -aS'MCV\tMCV\tNN\tB-NP\tB-DNA' -p288694 -aS'98\t98\tCD\tI-NP\tI-DNA' -p288695 -aS'.\t.\t.\tO\tO' -p288696 -asS'5. Levaquin 500 mg per day to be continued until 4/12/99 .' -p288697 -(lp288698 -S'5.\t5.\tLS\tB-LST\tO' -p288699 -aS'Levaquin\tLevaquin\tNNP\tB-NP\tO' -p288700 -aS'500\t500\tCD\tI-NP\tO' -p288701 -aS'mg\tmg\tNN\tI-NP\tO' -p288702 -aS'per\tper\tIN\tB-PP\tO' -p288703 -aS'day\tday\tNN\tB-NP\tO' -p288704 -aS'to\tto\tTO\tB-VP\tO' -p288705 -aS'be\tbe\tVB\tI-VP\tO' -p288706 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p288707 -aS'until\tuntil\tIN\tB-PP\tO' -p288708 -aS'4/12/99\t4/12/99\tCD\tB-NP\tO' -p288709 -aS'.\t.\t.\tO\tO' -p288710 -asS'The cuff on his tracheostomy tube was put down on 11-23 , postoperative day two which he tolerated well with minimal secretions and a strong adequate cough .' -p288711 -(lp288712 -S'The\tThe\tDT\tB-NP\tO' -p288713 -aS'cuff\tcuff\tNN\tI-NP\tO' -p288714 -aS'on\ton\tIN\tB-PP\tO' -p288715 -aS'his\this\tPRP$\tB-NP\tO' -p288716 -aS'tracheostomy\ttracheostomy\tNN\tI-NP\tO' -p288717 -aS'tube\ttube\tNN\tI-NP\tO' -p288718 -aS'was\tbe\tVBD\tB-VP\tO' -p288719 -aS'put\tput\tVBN\tI-VP\tO' -p288720 -aS'down\tdown\tRP\tB-PRT\tO' -p288721 -aS'on\ton\tIN\tB-PP\tO' -p288722 -aS'11-23\t11-23\tCD\tB-NP\tO' -p288723 -aS',\t,\t,\tO\tO' -p288724 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p288725 -aS'day\tday\tNN\tI-NP\tO' -p288726 -aS'two\ttwo\tCD\tB-NP\tO' -p288727 -aS'which\twhich\tWDT\tB-NP\tO' -p288728 -aS'he\the\tPRP\tB-NP\tO' -p288729 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p288730 -aS'well\twell\tRB\tB-ADVP\tO' -p288731 -aS'with\twith\tIN\tB-PP\tO' -p288732 -aS'minimal\tminimal\tJJ\tB-NP\tO' -p288733 -aS'secretions\tsecretion\tNNS\tI-NP\tO' -p288734 -aS'and\tand\tCC\tO\tO' -p288735 -aS'a\ta\tDT\tB-NP\tO' -p288736 -aS'strong\tstrong\tJJ\tI-NP\tO' -p288737 -aS'adequate\tadequate\tJJ\tI-NP\tO' -p288738 -aS'cough\tcough\tNN\tI-NP\tO' -p288739 -aS'.\t.\t.\tO\tO' -p288740 -asS'Angioectasias in the proximal jejunum and mid jejunum' -p288741 -(lp288742 -S'Angioectasias\tAngioectasia\tNNS\tB-NP\tO' -p288743 -aS'in\tin\tIN\tB-PP\tO' -p288744 -aS'the\tthe\tDT\tB-NP\tO' -p288745 -aS'proximal\tproximal\tJJ\tI-NP\tO' -p288746 -aS'jejunum\tjejunum\tNN\tI-NP\tO' -p288747 -aS'and\tand\tCC\tI-NP\tO' -p288748 -aS'mid\tmid\tNN\tI-NP\tO' -p288749 -aS'jejunum\tjejunum\tNN\tI-NP\tO' -p288750 -asS'Patient struggled with GVHD , with extensive skin involvement , taking Cellcept , prednisone and cyclosporine at time of last admission .' -p288751 -(lp288752 -S'Patient\tPatient\tNN\tB-NP\tO' -p288753 -aS'struggled\tstruggle\tVBD\tB-VP\tO' -p288754 -aS'with\twith\tIN\tB-PP\tO' -p288755 -aS'GVHD\tGVHD\tNN\tB-NP\tO' -p288756 -aS',\t,\t,\tO\tO' -p288757 -aS'with\twith\tIN\tB-PP\tO' -p288758 -aS'extensive\textensive\tJJ\tB-NP\tO' -p288759 -aS'skin\tskin\tNN\tI-NP\tO' -p288760 -aS'involvement\tinvolvement\tNN\tI-NP\tO' -p288761 -aS',\t,\t,\tO\tO' -p288762 -aS'taking\ttake\tVBG\tB-VP\tO' -p288763 -aS'Cellcept\tCellcept\tNN\tB-NP\tO' -p288764 -aS',\t,\t,\tI-NP\tO' -p288765 -aS'prednisone\tprednisone\tNN\tI-NP\tO' -p288766 -aS'and\tand\tCC\tI-NP\tO' -p288767 -aS'cyclosporine\tcyclosporine\tNN\tI-NP\tO' -p288768 -aS'at\tat\tIN\tB-PP\tO' -p288769 -aS'time\ttime\tNN\tB-NP\tO' -p288770 -aS'of\tof\tIN\tB-PP\tO' -p288771 -aS'last\tlast\tJJ\tB-NP\tO' -p288772 -aS'admission\tadmission\tNN\tI-NP\tO' -p288773 -aS'.\t.\t.\tO\tO' -p288774 -asS'Sigmoidoscopy .' -p288775 -(lp288776 -S'Sigmoidoscopy\tSigmoidoscopy\tNN\tB-NP\tO' -p288777 -aS'.\t.\t.\tO\tO' -p288778 -asS'The patient was in her usual state of health until she experienced the onset of abdominal pain in early 1992 .' -p288779 -(lp288780 -S'The\tThe\tDT\tB-NP\tO' -p288781 -aS'patient\tpatient\tNN\tI-NP\tO' -p288782 -aS'was\tbe\tVBD\tB-VP\tO' -p288783 -aS'in\tin\tIN\tB-PP\tO' -p288784 -aS'her\ther\tPRP$\tB-NP\tO' -p288785 -aS'usual\tusual\tJJ\tI-NP\tO' -p288786 -aS'state\tstate\tNN\tI-NP\tO' -p288787 -aS'of\tof\tIN\tB-PP\tO' -p288788 -aS'health\thealth\tNN\tB-NP\tO' -p288789 -aS'until\tuntil\tIN\tB-SBAR\tO' -p288790 -aS'she\tshe\tPRP\tB-NP\tO' -p288791 -aS'experienced\texperience\tVBD\tB-VP\tO' -p288792 -aS'the\tthe\tDT\tB-NP\tO' -p288793 -aS'onset\tonset\tNN\tI-NP\tO' -p288794 -aS'of\tof\tIN\tB-PP\tO' -p288795 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p288796 -aS'pain\tpain\tNN\tI-NP\tO' -p288797 -aS'in\tin\tIN\tB-PP\tO' -p288798 -aS'early\tearly\tJJ\tB-NP\tO' -p288799 -aS'1992\t1992\tCD\tI-NP\tO' -p288800 -aS'.\t.\t.\tO\tO' -p288801 -asS'Vetrano probably does not need Synagis at least until her sibling is discharged from the hospital .' -p288802 -(lp288803 -S'Vetrano\tVetrano\tNNP\tB-NP\tO' -p288804 -aS'probably\tprobably\tRB\tB-ADVP\tO' -p288805 -aS'does\tdo\tVBZ\tB-VP\tO' -p288806 -aS'not\tnot\tRB\tI-VP\tO' -p288807 -aS'need\tneed\tVB\tI-VP\tO' -p288808 -aS'Synagis\tSynagis\tNNP\tB-NP\tO' -p288809 -aS'at\tat\tIN\tB-ADVP\tO' -p288810 -aS'least\tleast\tJJS\tI-ADVP\tO' -p288811 -aS'until\tuntil\tIN\tB-PP\tO' -p288812 -aS'her\ther\tPRP$\tB-NP\tO' -p288813 -aS'sibling\tsibling\tNN\tI-NP\tO' -p288814 -aS'is\tbe\tVBZ\tB-VP\tO' -p288815 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p288816 -aS'from\tfrom\tIN\tB-PP\tO' -p288817 -aS'the\tthe\tDT\tB-NP\tO' -p288818 -aS'hospital\thospital\tNN\tI-NP\tO' -p288819 -aS'.\t.\t.\tO\tO' -p288820 -asS'Recieved nebulizer treatments post-op in the ICU , after successfully extubated .' -p288821 -(lp288822 -S'Recieved\tRecieve\tVBN\tB-NP\tO' -p288823 -aS'nebulizer\tnebulizer\tNN\tI-NP\tO' -p288824 -aS'treatments\ttreatment\tNNS\tI-NP\tO' -p288825 -aS'post-op\tpost-op\tJJ\tB-ADJP\tO' -p288826 -aS'in\tin\tIN\tB-PP\tO' -p288827 -aS'the\tthe\tDT\tB-NP\tO' -p288828 -aS'ICU\tICU\tNN\tI-NP\tB-DNA' -p288829 -aS',\t,\t,\tO\tO' -p288830 -aS'after\tafter\tIN\tB-SBAR\tO' -p288831 -aS'successfully\tsuccessfully\tRB\tB-ADVP\tO' -p288832 -aS'extubated\textubate\tVBN\tB-VP\tO' -p288833 -aS'.\t.\t.\tO\tO' -p288834 -asS'Dictated By : Julia Q Mcafee , M.D.' -p288835 -(lp288836 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p288837 -aS'By\tBy\tIN\tB-PP\tO' -p288838 -aS':\t:\t:\tO\tO' -p288839 -aS'Julia\tJulia\tNNP\tB-NP\tO' -p288840 -aS'Q\tQ\tNNP\tI-NP\tO' -p288841 -aS'Mcafee\tMcafee\tNNP\tI-NP\tO' -p288842 -aS',\t,\t,\tO\tO' -p288843 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p288844 -asS'5. Dulcolax 10 to 20 mg PR b.i.d. p.r.n. constipation .' -p288845 -(lp288846 -S'5.\t5.\tLS\tB-NP\tO' -p288847 -aS'Dulcolax\tDulcolax\tNN\tI-NP\tO' -p288848 -aS'10\t10\tCD\tB-NP\tO' -p288849 -aS'to\tto\tTO\tI-NP\tO' -p288850 -aS'20\t20\tCD\tI-NP\tO' -p288851 -aS'mg\tmg\tNN\tI-NP\tO' -p288852 -aS'PR\tPR\tNN\tI-NP\tO' -p288853 -aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' -p288854 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p288855 -aS'constipation\tconstipation\tNN\tI-NP\tO' -p288856 -aS'.\t.\t.\tO\tO' -p288857 -asS'She described this episode as an uncomfortable feeling in her chest .' -p288858 -(lp288859 -S'She\tShe\tPRP\tB-NP\tO' -p288860 -aS'described\tdescribe\tVBD\tB-VP\tO' -p288861 -aS'this\tthis\tDT\tB-NP\tO' -p288862 -aS'episode\tepisode\tNN\tI-NP\tO' -p288863 -aS'as\tas\tIN\tB-PP\tO' -p288864 -aS'an\tan\tDT\tB-NP\tO' -p288865 -aS'uncomfortable\tuncomfortable\tJJ\tI-NP\tO' -p288866 -aS'feeling\tfeeling\tNN\tI-NP\tO' -p288867 -aS'in\tin\tIN\tB-PP\tO' -p288868 -aS'her\ther\tPRP$\tB-NP\tO' -p288869 -aS'chest\tchest\tNN\tI-NP\tO' -p288870 -aS'.\t.\t.\tO\tO' -p288871 -asS'Infrarenal abdominal aortic aneurysm .' -p288872 -(lp288873 -S'Infrarenal\tInfrarenal\tJJ\tB-NP\tO' -p288874 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p288875 -aS'aortic\taortic\tJJ\tI-NP\tO' -p288876 -aS'aneurysm\taneurysm\tNN\tI-NP\tO' -p288877 -aS'.\t.\t.\tO\tO' -p288878 -asS'She has a questionable sensitivity to iodine .' -p288879 -(lp288880 -S'She\tShe\tPRP\tB-NP\tO' -p288881 -aS'has\thave\tVBZ\tB-VP\tO' -p288882 -aS'a\ta\tDT\tB-NP\tO' -p288883 -aS'questionable\tquestionable\tJJ\tI-NP\tO' -p288884 -aS'sensitivity\tsensitivity\tNN\tI-NP\tO' -p288885 -aS'to\tto\tTO\tB-PP\tO' -p288886 -aS'iodine\tiodine\tNN\tB-NP\tO' -p288887 -aS'.\t.\t.\tO\tO' -p288888 -asS'3. Right proximal humeral fracture status post fixation .' -p288889 -(lp288890 -S'3.\t3.\tLS\tB-NP\tO' -p288891 -aS'Right\tRight\tNN\tI-NP\tO' -p288892 -aS'proximal\tproximal\tJJ\tI-NP\tO' -p288893 -aS'humeral\thumeral\tJJ\tI-NP\tO' -p288894 -aS'fracture\tfracture\tNN\tI-NP\tO' -p288895 -aS'status\tstatus\tNN\tI-NP\tO' -p288896 -aS'post\tpost\tNN\tI-NP\tO' -p288897 -aS'fixation\tfixation\tNN\tI-NP\tO' -p288898 -aS'.\t.\t.\tO\tO' -p288899 -asS'The patient did well in the postoperative period .' -p288900 -(lp288901 -S'The\tThe\tDT\tB-NP\tO' -p288902 -aS'patient\tpatient\tNN\tI-NP\tO' -p288903 -aS'did\tdo\tVBD\tB-VP\tO' -p288904 -aS'well\twell\tRB\tB-ADVP\tO' -p288905 -aS'in\tin\tIN\tB-PP\tO' -p288906 -aS'the\tthe\tDT\tB-NP\tO' -p288907 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p288908 -aS'period\tperiod\tNN\tI-NP\tO' -p288909 -aS'.\t.\t.\tO\tO' -p288910 -asS'# Lung Cancer - patient currently with no evidence of disease .' -p288911 -(lp288912 -S'#\t#\t#\tB-NP\tO' -p288913 -aS'Lung\tLung\tNNP\tI-NP\tO' -p288914 -aS'Cancer\tCancer\tNNP\tI-NP\tO' -p288915 -aS'-\t-\tHYPH\tB-NP\tO' -p288916 -aS'patient\tpatient\tNN\tI-NP\tO' -p288917 -aS'currently\tcurrently\tRB\tB-ADVP\tO' -p288918 -aS'with\twith\tIN\tB-PP\tO' -p288919 -aS'no\tno\tDT\tB-NP\tO' -p288920 -aS'evidence\tevidence\tNN\tI-NP\tO' -p288921 -aS'of\tof\tIN\tB-PP\tO' -p288922 -aS'disease\tdisease\tNN\tB-NP\tO' -p288923 -aS'.\t.\t.\tO\tO' -p288924 -asS'On 2010-02-05 , the patient had a repeat CAT scan of the head revealing no change in the subdural bleed .' -p288925 -(lp288926 -S'On\tOn\tIN\tB-PP\tO' -p288927 -aS'2010-02-05\t2010-02-05\tCD\tB-NP\tO' -p288928 -aS',\t,\t,\tO\tO' -p288929 -aS'the\tthe\tDT\tB-NP\tO' -p288930 -aS'patient\tpatient\tNN\tI-NP\tO' -p288931 -aS'had\thave\tVBD\tB-VP\tO' -p288932 -aS'a\ta\tDT\tB-NP\tO' -p288933 -aS'repeat\trepeat\tNN\tI-NP\tO' -p288934 -aS'CAT\tCAT\tNN\tI-NP\tO' -p288935 -aS'scan\tscan\tNN\tI-NP\tO' -p288936 -aS'of\tof\tIN\tB-PP\tO' -p288937 -aS'the\tthe\tDT\tB-NP\tO' -p288938 -aS'head\thead\tNN\tI-NP\tO' -p288939 -aS'revealing\treveal\tVBG\tB-VP\tO' -p288940 -aS'no\tno\tDT\tB-NP\tO' -p288941 -aS'change\tchange\tNN\tI-NP\tO' -p288942 -aS'in\tin\tIN\tB-PP\tO' -p288943 -aS'the\tthe\tDT\tB-NP\tO' -p288944 -aS'subdural\tsubdural\tJJ\tI-NP\tO' -p288945 -aS'bleed\tbleed\tNN\tI-NP\tO' -p288946 -aS'.\t.\t.\tO\tO' -p288947 -asS'Left lung mass status post resection .' -p288948 -(lp288949 -S'Left\tLeave\tVBN\tB-NP\tO' -p288950 -aS'lung\tlung\tNN\tI-NP\tO' -p288951 -aS'mass\tmass\tNN\tI-NP\tO' -p288952 -aS'status\tstatus\tNN\tI-NP\tO' -p288953 -aS'post\tpost\tNN\tI-NP\tO' -p288954 -aS'resection\tresection\tNN\tI-NP\tO' -p288955 -aS'.\t.\t.\tO\tO' -p288956 -asS'The patient was stabilized in the Medical Intensive Care Unit .' -p288957 -(lp288958 -S'The\tThe\tDT\tB-NP\tO' -p288959 -aS'patient\tpatient\tNN\tI-NP\tO' -p288960 -aS'was\tbe\tVBD\tB-VP\tO' -p288961 -aS'stabilized\tstabilize\tVBN\tI-VP\tO' -p288962 -aS'in\tin\tIN\tB-PP\tO' -p288963 -aS'the\tthe\tDT\tB-NP\tO' -p288964 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p288965 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p288966 -aS'Care\tCare\tNNP\tI-NP\tO' -p288967 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p288968 -aS'.\t.\t.\tO\tO' -p288969 -asS'- obtaining pcp set of Reginald' -p288970 -(lp288971 -S'-\t-\tHYPH\tB-NP\tO' -p288972 -aS'obtaining\tobtain\tVBG\tB-VP\tO' -p288973 -aS'pcp\tpcp\tNN\tB-NP\tO' -p288974 -aS'set\tset\tNN\tI-NP\tO' -p288975 -aS'of\tof\tIN\tB-PP\tO' -p288976 -aS'Reginald\tReginald\tNNP\tB-NP\tO' -p288977 -asS'Reflexes were 2+ and symmetrical all over .' -p288978 -(lp288979 -S'Reflexes\tReflex\tNNS\tB-NP\tO' -p288980 -aS'were\tbe\tVBD\tB-VP\tO' -p288981 -aS'2+\t2+\tJJ\tB-ADJP\tO' -p288982 -aS'and\tand\tCC\tI-ADJP\tO' -p288983 -aS'symmetrical\tsymmetrical\tJJ\tI-ADJP\tO' -p288984 -aS'all\tall\tDT\tB-ADVP\tO' -p288985 -aS'over\tover\tIN\tI-ADVP\tO' -p288986 -aS'.\t.\t.\tO\tO' -p288987 -asS'She required aggressive intravenous fluids and later required pressor support with neo-synephrine .' -p288988 -(lp288989 -S'She\tShe\tPRP\tB-NP\tO' -p288990 -aS'required\trequire\tVBD\tB-VP\tO' -p288991 -aS'aggressive\taggressive\tJJ\tB-NP\tO' -p288992 -aS'intravenous\tintravenous\tJJ\tI-NP\tO' -p288993 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p288994 -aS'and\tand\tCC\tO\tO' -p288995 -aS'later\tlater\tRB\tB-VP\tO' -p288996 -aS'required\trequire\tVBD\tI-VP\tO' -p288997 -aS'pressor\tpressor\tNN\tB-NP\tO' -p288998 -aS'support\tsupport\tNN\tI-NP\tO' -p288999 -aS'with\twith\tIN\tB-PP\tO' -p289000 -aS'neo-synephrine\tneo-synephrine\tNN\tB-NP\tO' -p289001 -aS'.\t.\t.\tO\tO' -p289002 -asS'The patient was given printed instructions for abdominal pain ( Spanish ) .' -p289003 -(lp289004 -S'The\tThe\tDT\tB-NP\tO' -p289005 -aS'patient\tpatient\tNN\tI-NP\tO' -p289006 -aS'was\tbe\tVBD\tB-VP\tO' -p289007 -aS'given\tgive\tVBN\tI-VP\tO' -p289008 -aS'printed\tprint\tVBN\tB-NP\tO' -p289009 -aS'instructions\tinstruction\tNNS\tI-NP\tO' -p289010 -aS'for\tfor\tIN\tB-PP\tO' -p289011 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p289012 -aS'pain\tpain\tNN\tI-NP\tO' -p289013 -aS'(\t(\t(\tO\tO' -p289014 -aS'Spanish\tSpanish\tNN\tB-NP\tO' -p289015 -aS')\t)\t)\tO\tO' -p289016 -aS'.\t.\t.\tO\tO' -p289017 -asS'Responsible After Study for Causing Admission ) Obstructive Sleep Apnea' -p289018 -(lp289019 -S'Responsible\tResponsible\tJJ\tB-ADJP\tO' -p289020 -aS'After\tAfter\tIN\tB-PP\tO' -p289021 -aS'Study\tStudy\tNN\tB-NP\tO' -p289022 -aS'for\tfor\tIN\tB-PP\tO' -p289023 -aS'Causing\tCause\tVBG\tB-VP\tO' -p289024 -aS'Admission\tAdmission\tNN\tB-NP\tO' -p289025 -aS')\t)\t)\tO\tO' -p289026 -aS'Obstructive\tObstructive\tJJ\tB-NP\tO' -p289027 -aS'Sleep\tSleep\tNNP\tI-NP\tO' -p289028 -aS'Apnea\tApnea\tNNP\tI-NP\tO' -p289029 -asS'He had stertorous breathing , positional tremors of the left upper extremity , a spastic left hemiparesis in flexion .' -p289030 -(lp289031 -S'He\tHe\tPRP\tB-NP\tO' -p289032 -aS'had\thave\tVBD\tB-VP\tO' -p289033 -aS'stertorous\tstertorous\tJJ\tB-NP\tO' -p289034 -aS'breathing\tbreathing\tNN\tI-NP\tO' -p289035 -aS',\t,\t,\tO\tO' -p289036 -aS'positional\tpositional\tJJ\tB-NP\tO' -p289037 -aS'tremors\ttremor\tNNS\tI-NP\tO' -p289038 -aS'of\tof\tIN\tB-PP\tO' -p289039 -aS'the\tthe\tDT\tB-NP\tO' -p289040 -aS'left\tleft\tJJ\tI-NP\tO' -p289041 -aS'upper\tupper\tJJ\tI-NP\tO' -p289042 -aS'extremity\textremity\tNN\tI-NP\tO' -p289043 -aS',\t,\t,\tO\tO' -p289044 -aS'a\ta\tDT\tB-NP\tO' -p289045 -aS'spastic\tspastic\tJJ\tI-NP\tO' -p289046 -aS'left\tleft\tJJ\tI-NP\tO' -p289047 -aS'hemiparesis\themiparesis\tNN\tI-NP\tO' -p289048 -aS'in\tin\tIN\tB-PP\tO' -p289049 -aS'flexion\tflexion\tNN\tB-NP\tO' -p289050 -aS'.\t.\t.\tO\tO' -p289051 -asS'Decadron 3 mg p.o. q.6h. times one week then 2 mg p.o.q.6h. thereafter , Colace 100 mg b.i.d. , Heparin 5000 units subcutaneously b.i.d. until ambulating well , Hydrochlorothiazide 25mg q.d. , Dilantin 100 mg p.o. b.i.d. , Zantac 150 mg b.i.d. , and Percocet p.r.n.' -p289052 -(lp289053 -S'Decadron\tDecadron\tNNP\tB-NP\tO' -p289054 -aS'3\t3\tCD\tI-NP\tO' -p289055 -aS'mg\tmg\tNN\tI-NP\tO' -p289056 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p289057 -aS'q.6h.\tq.6h.\tNN\tI-NP\tO' -p289058 -aS'times\ttime\tNNS\tI-NP\tO' -p289059 -aS'one\tone\tCD\tB-NP\tO' -p289060 -aS'week\tweek\tNN\tI-NP\tO' -p289061 -aS'then\tthen\tRB\tO\tO' -p289062 -aS'2\t2\tCD\tB-NP\tO' -p289063 -aS'mg\tmg\tNN\tI-NP\tO' -p289064 -aS'p.o.q.6h.\tp.o.q.6h.\tNN\tI-NP\tO' -p289065 -aS'thereafter\tthereafter\tRB\tB-ADVP\tO' -p289066 -aS',\t,\t,\tO\tO' -p289067 -aS'Colace\tColace\tNNP\tB-NP\tO' -p289068 -aS'100\t100\tCD\tI-NP\tO' -p289069 -aS'mg\tmg\tNN\tI-NP\tO' -p289070 -aS'b.i.d.\tb.i.d.\tRB\tB-ADVP\tO' -p289071 -aS',\t,\t,\tO\tO' -p289072 -aS'Heparin\tHeparin\tNN\tB-NP\tB-protein' -p289073 -aS'5000\t5000\tCD\tB-NP\tI-protein' -p289074 -aS'units\tunit\tNNS\tI-NP\tI-protein' -p289075 -aS'subcutaneously\tsubcutaneously\tRB\tB-ADJP\tO' -p289076 -aS'b.i.d.\tb.i.d.\tRB\tI-ADJP\tO' -p289077 -aS'until\tuntil\tIN\tB-PP\tO' -p289078 -aS'ambulating\tambulate\tVBG\tB-VP\tO' -p289079 -aS'well\twell\tRB\tB-ADVP\tO' -p289080 -aS',\t,\t,\tO\tO' -p289081 -aS'Hydrochlorothiazide\tHydrochlorothiazide\tNN\tB-NP\tO' -p289082 -aS'25mg\t25mg\tNN\tI-NP\tO' -p289083 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p289084 -aS',\t,\t,\tO\tO' -p289085 -aS'Dilantin\tDilantin\tNN\tB-NP\tO' -p289086 -aS'100\t100\tCD\tI-NP\tO' -p289087 -aS'mg\tmg\tNN\tI-NP\tO' -p289088 -aS'p.o.\tp.o.\tFW\tB-ADVP\tO' -p289089 -aS'b.i.d.\tb.i.d.\tFW\tI-ADVP\tO' -p289090 -aS',\t,\t,\tO\tO' -p289091 -aS'Zantac\tZantac\tNN\tB-NP\tO' -p289092 -aS'150\t150\tCD\tI-NP\tO' -p289093 -aS'mg\tmg\tNN\tI-NP\tO' -p289094 -aS'b.i.d.\tb.i.d.\tRB\tB-ADVP\tO' -p289095 -aS',\t,\t,\tO\tO' -p289096 -aS'and\tand\tCC\tO\tO' -p289097 -aS'Percocet\tPercocet\tNNP\tB-NP\tO' -p289098 -aS'p.r.n.\tp.r.n.\t.\tO\tO' -p289099 -asS'Was treated with ceftriaxone 2 gm IV daily with multiple repeat paracenteses .' -p289100 -(lp289101 -S'Was\tWa\tNNS\tB-NP\tB-protein' -p289102 -aS'treated\ttreat\tVBN\tB-VP\tO' -p289103 -aS'with\twith\tIN\tB-PP\tO' -p289104 -aS'ceftriaxone\tceftriaxone\tNN\tB-NP\tO' -p289105 -aS'2\t2\tCD\tI-NP\tO' -p289106 -aS'gm\tgm\tNN\tI-NP\tO' -p289107 -aS'IV\tIV\tCD\tB-NP\tO' -p289108 -aS'daily\tdaily\tRB\tB-ADVP\tO' -p289109 -aS'with\twith\tIN\tB-PP\tO' -p289110 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p289111 -aS'repeat\trepeat\tNN\tI-NP\tO' -p289112 -aS'paracenteses\tparacentes\tNNS\tI-NP\tO' -p289113 -aS'.\t.\t.\tO\tO' -p289114 -asS'Waltham was monitored for 90 minutes without any episodes of apnea or oxygen desaturation .' -p289115 -(lp289116 -S'Waltham\tWaltham\tNNP\tB-NP\tO' -p289117 -aS'was\tbe\tVBD\tB-VP\tO' -p289118 -aS'monitored\tmonitor\tVBN\tI-VP\tO' -p289119 -aS'for\tfor\tIN\tB-PP\tO' -p289120 -aS'90\t90\tCD\tB-NP\tO' -p289121 -aS'minutes\tminute\tNNS\tI-NP\tO' -p289122 -aS'without\twithout\tIN\tB-PP\tO' -p289123 -aS'any\tany\tDT\tB-NP\tO' -p289124 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p289125 -aS'of\tof\tIN\tB-PP\tO' -p289126 -aS'apnea\tapnea\tNN\tB-NP\tO' -p289127 -aS'or\tor\tCC\tI-NP\tO' -p289128 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p289129 -aS'desaturation\tdesaturation\tNN\tI-NP\tO' -p289130 -aS'.\t.\t.\tO\tO' -p289131 -asS'6. Plavix 75 mg once daily' -p289132 -(lp289133 -S'6.\t6.\tCD\tB-NP\tO' -p289134 -aS'Plavix\tPlavix\tNNP\tI-NP\tO' -p289135 -aS'75\t75\tCD\tI-NP\tO' -p289136 -aS'mg\tmg\tNN\tI-NP\tO' -p289137 -aS'once\tonce\tRB\tB-ADVP\tO' -p289138 -aS'daily\tdaily\tRB\tI-ADVP\tO' -p289139 -asS'1) Aspirin 81 mg p.o. q. day .' -p289140 -(lp289141 -S'1)\t1)\tLS\tB-LST\tO' -p289142 -aS'Aspirin\tAspirin\tNN\tB-NP\tO' -p289143 -aS'81\t81\tCD\tI-NP\tO' -p289144 -aS'mg\tmg\tNN\tI-NP\tO' -p289145 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p289146 -aS'q.\tq.\tNN\tI-NP\tO' -p289147 -aS'day\tday\tNN\tI-NP\tO' -p289148 -aS'.\t.\t.\tO\tO' -p289149 -asS'There is increased signal seen in both basal ganglia region as well as along the rolandic region bilaterally which is suggestive of global hypoxic injury to the brain .' -p289150 -(lp289151 -S'There\tThere\tEX\tB-NP\tO' -p289152 -aS'is\tbe\tVBZ\tB-VP\tO' -p289153 -aS'increased\tincrease\tVBN\tB-NP\tO' -p289154 -aS'signal\tsignal\tNN\tI-NP\tO' -p289155 -aS'seen\tsee\tVBN\tB-VP\tO' -p289156 -aS'in\tin\tIN\tB-PP\tO' -p289157 -aS'both\tboth\tCC\tB-NP\tO' -p289158 -aS'basal\tbasal\tJJ\tI-NP\tO' -p289159 -aS'ganglia\tganglia\tNNS\tI-NP\tO' -p289160 -aS'region\tregion\tNN\tI-NP\tO' -p289161 -aS'as\tas\tRB\tB-CONJP\tO' -p289162 -aS'well\twell\tRB\tI-CONJP\tO' -p289163 -aS'as\tas\tIN\tI-CONJP\tO' -p289164 -aS'along\talong\tIN\tB-PP\tO' -p289165 -aS'the\tthe\tDT\tB-NP\tO' -p289166 -aS'rolandic\trolandic\tJJ\tI-NP\tB-DNA' -p289167 -aS'region\tregion\tNN\tI-NP\tI-DNA' -p289168 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p289169 -aS'which\twhich\tWDT\tB-NP\tO' -p289170 -aS'is\tbe\tVBZ\tB-VP\tO' -p289171 -aS'suggestive\tsuggestive\tJJ\tB-ADJP\tO' -p289172 -aS'of\tof\tIN\tB-PP\tO' -p289173 -aS'global\tglobal\tJJ\tB-NP\tO' -p289174 -aS'hypoxic\thypoxic\tJJ\tI-NP\tO' -p289175 -aS'injury\tinjury\tNN\tI-NP\tO' -p289176 -aS'to\tto\tTO\tB-PP\tO' -p289177 -aS'the\tthe\tDT\tB-NP\tO' -p289178 -aS'brain\tbrain\tNN\tI-NP\tO' -p289179 -aS'.\t.\t.\tO\tO' -p289180 -asS'History of syncope .' -p289181 -(lp289182 -S'History\tHistory\tNN\tB-NP\tO' -p289183 -aS'of\tof\tIN\tB-PP\tO' -p289184 -aS'syncope\tsyncope\tNN\tB-NP\tO' -p289185 -aS'.\t.\t.\tO\tO' -p289186 -asS'STAT discharge summary .' -p289187 -(lp289188 -S'STAT\tSTAT\tNN\tB-NP\tB-protein' -p289189 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p289190 -aS'summary\tsummary\tNN\tI-NP\tO' -p289191 -aS'.\t.\t.\tO\tO' -p289192 -asS'You may take showers ( no baths ) after your dressings have been removed from your wounds .' -p289193 -(lp289194 -S'You\tYou\tPRP\tB-NP\tB-protein' -p289195 -aS'may\tmay\tMD\tB-VP\tO' -p289196 -aS'take\ttake\tVB\tI-VP\tO' -p289197 -aS'showers\tshower\tNNS\tB-NP\tO' -p289198 -aS'(\t(\t(\tO\tO' -p289199 -aS'no\tno\tDT\tB-NP\tO' -p289200 -aS'baths\tbath\tNNS\tI-NP\tO' -p289201 -aS')\t)\t)\tO\tO' -p289202 -aS'after\tafter\tIN\tB-SBAR\tO' -p289203 -aS'your\tyour\tPRP$\tB-NP\tO' -p289204 -aS'dressings\tdressing\tNNS\tI-NP\tO' -p289205 -aS'have\thave\tVBP\tB-VP\tO' -p289206 -aS'been\tbe\tVBN\tI-VP\tO' -p289207 -aS'removed\tremove\tVBN\tI-VP\tO' -p289208 -aS'from\tfrom\tIN\tB-PP\tO' -p289209 -aS'your\tyour\tPRP$\tB-NP\tO' -p289210 -aS'wounds\twound\tNNS\tI-NP\tO' -p289211 -aS'.\t.\t.\tO\tO' -p289212 -asS'Upon discharge it was the recommendation of the cardiology team that the patient 's prothrombin time be monitored weekly and be kept at a ratio of 3-4 IU .' -p289213 -(lp289214 -S'Upon\tUpon\tIN\tB-PP\tO' -p289215 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p289216 -aS'it\tit\tPRP\tB-NP\tO' -p289217 -aS'was\tbe\tVBD\tB-VP\tO' -p289218 -aS'the\tthe\tDT\tB-NP\tO' -p289219 -aS'recommendation\trecommendation\tNN\tI-NP\tO' -p289220 -aS'of\tof\tIN\tB-PP\tO' -p289221 -aS'the\tthe\tDT\tB-NP\tO' -p289222 -aS'cardiology\tcardiology\tNN\tI-NP\tO' -p289223 -aS'team\tteam\tNN\tI-NP\tO' -p289224 -aS'that\tthat\tIN\tB-SBAR\tO' -p289225 -aS'the\tthe\tDT\tB-NP\tO' -p289226 -aS'patient\tpatient\tNN\tI-NP\tO' -p289227 -aS''s\t'\tNNS\tI-NP\tO' -p289228 -aS'prothrombin\tprothrombin\tNN\tI-NP\tO' -p289229 -aS'time\ttime\tNN\tI-NP\tO' -p289230 -aS'be\tbe\tVB\tB-VP\tO' -p289231 -aS'monitored\tmonitor\tVBN\tI-VP\tO' -p289232 -aS'weekly\tweekly\tRB\tB-ADVP\tO' -p289233 -aS'and\tand\tCC\tO\tO' -p289234 -aS'be\tbe\tVB\tB-VP\tO' -p289235 -aS'kept\tkeep\tVBN\tI-VP\tO' -p289236 -aS'at\tat\tIN\tB-PP\tO' -p289237 -aS'a\ta\tDT\tB-NP\tO' -p289238 -aS'ratio\tratio\tNN\tI-NP\tO' -p289239 -aS'of\tof\tIN\tB-PP\tO' -p289240 -aS'3-4\t3-4\tCD\tB-NP\tO' -p289241 -aS'IU\tIU\tNN\tI-NP\tO' -p289242 -aS'.\t.\t.\tO\tO' -p289243 -asS'It was not felt that the patient would be in need of chronic Coumadin therapy in lieu of this low probability findings in toto .' -p289244 -(lp289245 -S'It\tIt\tPRP\tB-NP\tO' -p289246 -aS'was\tbe\tVBD\tB-VP\tO' -p289247 -aS'not\tnot\tRB\tI-VP\tO' -p289248 -aS'felt\tfelt\tVB\tI-VP\tO' -p289249 -aS'that\tthat\tIN\tB-SBAR\tO' -p289250 -aS'the\tthe\tDT\tB-NP\tO' -p289251 -aS'patient\tpatient\tNN\tI-NP\tO' -p289252 -aS'would\twould\tMD\tB-VP\tO' -p289253 -aS'be\tbe\tVB\tI-VP\tO' -p289254 -aS'in\tin\tIN\tB-PP\tO' -p289255 -aS'need\tneed\tNN\tB-NP\tO' -p289256 -aS'of\tof\tIN\tB-PP\tO' -p289257 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p289258 -aS'Coumadin\tCoumadin\tNN\tI-NP\tO' -p289259 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p289260 -aS'in\tin\tIN\tB-PP\tO' -p289261 -aS'lieu\tlieu\tNN\tB-NP\tO' -p289262 -aS'of\tof\tIN\tB-PP\tO' -p289263 -aS'this\tthis\tDT\tB-NP\tO' -p289264 -aS'low\tlow\tJJ\tI-NP\tO' -p289265 -aS'probability\tprobability\tNN\tI-NP\tO' -p289266 -aS'findings\tfinding\tNNS\tI-NP\tO' -p289267 -aS'in\tin\tIN\tB-PP\tO' -p289268 -aS'toto\ttoto\tNN\tB-NP\tO' -p289269 -aS'.\t.\t.\tO\tO' -p289270 -asS'Protein C , protein S and plasminogen level within normal limits .' -p289271 -(lp289272 -S'Protein\tProtein\tNN\tB-NP\tO' -p289273 -aS'C\tC\tNN\tI-NP\tO' -p289274 -aS',\t,\t,\tO\tO' -p289275 -aS'protein\tprotein\tNN\tB-NP\tO' -p289276 -aS'S\tS\tNN\tI-NP\tO' -p289277 -aS'and\tand\tCC\tI-NP\tO' -p289278 -aS'plasminogen\tplasminogen\tNN\tI-NP\tO' -p289279 -aS'level\tlevel\tNN\tI-NP\tO' -p289280 -aS'within\twithin\tIN\tB-PP\tO' -p289281 -aS'normal\tnormal\tJJ\tB-NP\tO' -p289282 -aS'limits\tlimit\tNNS\tI-NP\tO' -p289283 -aS'.\t.\t.\tO\tO' -p289284 -asS'Colon cancer .' -p289285 -(lp289286 -S'Colon\tColon\tNN\tB-NP\tO' -p289287 -aS'cancer\tcancer\tNN\tI-NP\tO' -p289288 -aS'.\t.\t.\tO\tO' -p289289 -asS"TWI 's in III , V1 ." -p289290 -(lp289291 -S'TWI\tTWI\tNN\tB-NP\tO' -p289292 -aS"'s\t's\tPOS\tB-NP\tO" -p289293 -aS'in\tin\tIN\tB-PP\tO' -p289294 -aS'III\tIII\tCD\tB-NP\tO' -p289295 -aS',\t,\t,\tO\tO' -p289296 -aS'V1\tV1\tNN\tB-NP\tO' -p289297 -aS'.\t.\t.\tO\tO' -p289298 -asS'She developed a right pleural effusion and had a right chest tube placed .' -p289299 -(lp289300 -S'She\tShe\tPRP\tB-NP\tO' -p289301 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p289302 -aS'a\ta\tDT\tB-NP\tO' -p289303 -aS'right\tright\tJJ\tI-NP\tO' -p289304 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p289305 -aS'effusion\teffusion\tNN\tI-NP\tO' -p289306 -aS'and\tand\tCC\tO\tO' -p289307 -aS'had\thave\tVBD\tB-VP\tO' -p289308 -aS'a\ta\tDT\tB-NP\tO' -p289309 -aS'right\tright\tJJ\tI-NP\tO' -p289310 -aS'chest\tchest\tNN\tI-NP\tO' -p289311 -aS'tube\ttube\tNN\tI-NP\tO' -p289312 -aS'placed\tplace\tVBN\tB-VP\tO' -p289313 -aS'.\t.\t.\tO\tO' -p289314 -asS'An magnetic resonance imaging study showed basilar artery disease , questionable aneurysm .' -p289315 -(lp289316 -S'An\tAn\tDT\tB-NP\tO' -p289317 -aS'magnetic\tmagnetic\tJJ\tI-NP\tO' -p289318 -aS'resonance\tresonance\tNN\tI-NP\tO' -p289319 -aS'imaging\timaging\tNN\tI-NP\tO' -p289320 -aS'study\tstudy\tNN\tI-NP\tO' -p289321 -aS'showed\tshow\tVBD\tB-VP\tO' -p289322 -aS'basilar\tbasilar\tJJ\tB-NP\tO' -p289323 -aS'artery\tartery\tNN\tI-NP\tO' -p289324 -aS'disease\tdisease\tNN\tI-NP\tO' -p289325 -aS',\t,\t,\tO\tO' -p289326 -aS'questionable\tquestionable\tJJ\tB-NP\tO' -p289327 -aS'aneurysm\taneurysm\tNN\tI-NP\tO' -p289328 -aS'.\t.\t.\tO\tO' -p289329 -asS'51 yo F h / o HTN , hyperchol , p / w SS chest pressure x 3 days .' -p289330 -(lp289331 -S'51\t51\tCD\tB-NP\tO' -p289332 -aS'yo\tyo\tNN\tI-NP\tO' -p289333 -aS'F\tF\tNN\tI-NP\tO' -p289334 -aS'h\th\tNN\tI-NP\tO' -p289335 -aS'/\t/\tSYM\tB-NP\tO' -p289336 -aS'o\to\tNN\tI-NP\tO' -p289337 -aS'HTN\tHTN\tNN\tI-NP\tO' -p289338 -aS',\t,\t,\tO\tO' -p289339 -aS'hyperchol\thyperchol\tNN\tB-NP\tO' -p289340 -aS',\t,\t,\tO\tO' -p289341 -aS'p\tp\tNN\tB-NP\tO' -p289342 -aS'/\t/\tSYM\tB-NP\tO' -p289343 -aS'w\tw\tNN\tI-NP\tO' -p289344 -aS'SS\tSS\tNN\tI-NP\tO' -p289345 -aS'chest\tchest\tNN\tI-NP\tO' -p289346 -aS'pressure\tpressure\tNN\tI-NP\tO' -p289347 -aS'x\tx\tSYM\tB-VP\tO' -p289348 -aS'3\t3\tCD\tB-NP\tO' -p289349 -aS'days\tday\tNNS\tI-NP\tO' -p289350 -aS'.\t.\t.\tO\tO' -p289351 -asS'You must continue to wear your cervical collar for the next 4 weeks ( through 12-11 ).' -p289352 -(lp289353 -S'You\tYou\tPRP\tB-NP\tB-protein' -p289354 -aS'must\tmust\tMD\tB-VP\tO' -p289355 -aS'continue\tcontinue\tVB\tI-VP\tO' -p289356 -aS'to\tto\tTO\tI-VP\tO' -p289357 -aS'wear\twear\tVB\tI-VP\tO' -p289358 -aS'your\tyour\tPRP$\tB-NP\tO' -p289359 -aS'cervical\tcervical\tJJ\tI-NP\tO' -p289360 -aS'collar\tcollar\tNN\tI-NP\tO' -p289361 -aS'for\tfor\tIN\tB-PP\tO' -p289362 -aS'the\tthe\tDT\tB-NP\tO' -p289363 -aS'next\tnext\tJJ\tI-NP\tO' -p289364 -aS'4\t4\tCD\tI-NP\tO' -p289365 -aS'weeks\tweek\tNNS\tI-NP\tO' -p289366 -aS'(\t(\t(\tO\tO' -p289367 -aS'through\tthrough\tIN\tB-PP\tO' -p289368 -aS'12-11\t12-11\tNN\tB-NP\tO' -p289369 -aS').\t).\t.\tO\tO' -p289370 -asS'The patient did well postoperatively and had a regular diet by the third postoperative day .' -p289371 -(lp289372 -S'The\tThe\tDT\tB-NP\tO' -p289373 -aS'patient\tpatient\tNN\tI-NP\tO' -p289374 -aS'did\tdo\tVBD\tB-VP\tO' -p289375 -aS'well\twell\tRB\tB-ADVP\tO' -p289376 -aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' -p289377 -aS'and\tand\tCC\tO\tO' -p289378 -aS'had\thave\tVBD\tB-VP\tO' -p289379 -aS'a\ta\tDT\tB-NP\tO' -p289380 -aS'regular\tregular\tJJ\tI-NP\tO' -p289381 -aS'diet\tdiet\tNN\tI-NP\tO' -p289382 -aS'by\tby\tIN\tB-PP\tO' -p289383 -aS'the\tthe\tDT\tB-NP\tO' -p289384 -aS'third\tthird\tJJ\tI-NP\tO' -p289385 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p289386 -aS'day\tday\tNN\tI-NP\tO' -p289387 -aS'.\t.\t.\tO\tO' -p289388 -asS'Ms. Swanson also carries a diagnosis of " atypical MS ", which she brought with her to Dr. Billie .' -p289389 -(lp289390 -S'Ms.\tMs.\tNNP\tB-NP\tO' -p289391 -aS'Swanson\tSwanson\tNNP\tI-NP\tO' -p289392 -aS'also\talso\tRB\tB-ADVP\tO' -p289393 -aS'carries\tcarry\tVBZ\tB-VP\tO' -p289394 -aS'a\ta\tDT\tB-NP\tO' -p289395 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p289396 -aS'of\tof\tIN\tB-PP\tO' -p289397 -aS'"\t"\t``\tO\tB-protein' -p289398 -aS'atypical\tatypical\tJJ\tB-NP\tI-protein' -p289399 -aS'MS\tMS\tNN\tI-NP\tI-protein' -p289400 -aS'",\t",\tNN\tI-NP\tI-protein' -p289401 -aS'which\twhich\tWDT\tB-NP\tO' -p289402 -aS'she\tshe\tPRP\tB-NP\tO' -p289403 -aS'brought\tbring\tVBD\tB-VP\tO' -p289404 -aS'with\twith\tIN\tB-PP\tO' -p289405 -aS'her\ther\tPRP\tB-NP\tO' -p289406 -aS'to\tto\tTO\tB-PP\tO' -p289407 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p289408 -aS'Billie\tBillie\tNNP\tI-NP\tO' -p289409 -aS'.\t.\t.\tO\tO' -p289410 -asS'Signed electronically by : DR. Barbara Rogers on : WED 2015-03-25 9:51 AM' -p289411 -(lp289412 -S'Signed\tSign\tVBN\tB-VP\tO' -p289413 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p289414 -aS'by\tby\tIN\tB-PP\tO' -p289415 -aS':\t:\t:\tO\tO' -p289416 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p289417 -aS'Barbara\tBarbara\tNNP\tI-NP\tO' -p289418 -aS'Rogers\tRogers\tNNP\tI-NP\tO' -p289419 -aS'on\ton\tIN\tB-PP\tO' -p289420 -aS':\t:\t:\tO\tO' -p289421 -aS'WED\tWED\tVBD\tB-VP\tO' -p289422 -aS'2015-03-25\t2015-03-25\tCD\tB-NP\tO' -p289423 -aS'9:51\t9:51\tCD\tI-NP\tO' -p289424 -aS'AM\tAM\tNN\tI-NP\tO' -p289425 -asS'Such measures have been continued through December 3 , and patient remains comfortable through this time .' -p289426 -(lp289427 -S'Such\tSuch\tJJ\tB-NP\tO' -p289428 -aS'measures\tmeasure\tNNS\tI-NP\tO' -p289429 -aS'have\thave\tVBP\tB-VP\tO' -p289430 -aS'been\tbe\tVBN\tI-VP\tO' -p289431 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p289432 -aS'through\tthrough\tIN\tB-PP\tO' -p289433 -aS'December\tDecember\tNNP\tB-NP\tO' -p289434 -aS'3\t3\tCD\tI-NP\tO' -p289435 -aS',\t,\t,\tO\tO' -p289436 -aS'and\tand\tCC\tO\tO' -p289437 -aS'patient\tpatient\tNN\tB-NP\tO' -p289438 -aS'remains\tremain\tVBZ\tB-VP\tO' -p289439 -aS'comfortable\tcomfortable\tJJ\tB-ADJP\tO' -p289440 -aS'through\tthrough\tIN\tB-PP\tO' -p289441 -aS'this\tthis\tDT\tB-NP\tO' -p289442 -aS'time\ttime\tNN\tI-NP\tO' -p289443 -aS'.\t.\t.\tO\tO' -p289444 -asS'Clear to auscultation with no wheezes or rales .' -p289445 -(lp289446 -S'Clear\tClear\tJJ\tB-ADJP\tO' -p289447 -aS'to\tto\tTO\tB-PP\tO' -p289448 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p289449 -aS'with\twith\tIN\tB-PP\tO' -p289450 -aS'no\tno\tDT\tB-NP\tO' -p289451 -aS'wheezes\twheeze\tNNS\tI-NP\tO' -p289452 -aS'or\tor\tCC\tI-NP\tO' -p289453 -aS'rales\trale\tNNS\tI-NP\tO' -p289454 -aS'.\t.\t.\tO\tO' -p289455 -asS'The patient is also to follow up with his primary care physician for diabetes management .' -p289456 -(lp289457 -S'The\tThe\tDT\tB-NP\tO' -p289458 -aS'patient\tpatient\tNN\tI-NP\tO' -p289459 -aS'is\tbe\tVBZ\tB-VP\tO' -p289460 -aS'also\talso\tRB\tB-ADVP\tO' -p289461 -aS'to\tto\tTO\tB-VP\tO' -p289462 -aS'follow\tfollow\tVB\tI-VP\tO' -p289463 -aS'up\tup\tRP\tB-PRT\tO' -p289464 -aS'with\twith\tIN\tB-PP\tO' -p289465 -aS'his\this\tPRP$\tB-NP\tO' -p289466 -aS'primary\tprimary\tJJ\tI-NP\tO' -p289467 -aS'care\tcare\tNN\tI-NP\tO' -p289468 -aS'physician\tphysician\tNN\tI-NP\tO' -p289469 -aS'for\tfor\tIN\tB-PP\tO' -p289470 -aS'diabetes\tdiabetes\tNN\tB-NP\tO' -p289471 -aS'management\tmanagement\tNN\tI-NP\tO' -p289472 -aS'.\t.\t.\tO\tO' -p289473 -asS'In 2011 she had mediastinal lymphadenopathy treated with Taxol and changed to Navelbine on 03-28 .' -p289474 -(lp289475 -S'In\tIn\tIN\tB-PP\tO' -p289476 -aS'2011\t2011\tCD\tB-NP\tO' -p289477 -aS'she\tshe\tPRP\tB-NP\tO' -p289478 -aS'had\thave\tVBD\tB-VP\tO' -p289479 -aS'mediastinal\tmediastinal\tJJ\tB-NP\tO' -p289480 -aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' -p289481 -aS'treated\ttreat\tVBN\tB-VP\tO' -p289482 -aS'with\twith\tIN\tB-PP\tO' -p289483 -aS'Taxol\tTaxol\tNN\tB-NP\tO' -p289484 -aS'and\tand\tCC\tO\tO' -p289485 -aS'changed\tchange\tVBD\tB-VP\tO' -p289486 -aS'to\tto\tTO\tB-PP\tO' -p289487 -aS'Navelbine\tNavelbine\tNNP\tB-NP\tO' -p289488 -aS'on\ton\tIN\tB-PP\tO' -p289489 -aS'03-28\t03-28\tCD\tB-NP\tO' -p289490 -aS'.\t.\t.\tO\tO' -p289491 -asS"6. Degenerative disc disease s/p two back surgeries in 80 's" -p289492 -(lp289493 -S'6.\t6.\tLS\tB-NP\tO' -p289494 -aS'Degenerative\tDegenerative\tJJ\tI-NP\tO' -p289495 -aS'disc\tdisc\tNN\tI-NP\tO' -p289496 -aS'disease\tdisease\tNN\tI-NP\tO' -p289497 -aS's/p\ts/p\tNN\tI-NP\tO' -p289498 -aS'two\ttwo\tCD\tB-NP\tO' -p289499 -aS'back\tback\tJJ\tI-NP\tO' -p289500 -aS'surgeries\tsurgery\tNNS\tI-NP\tO' -p289501 -aS'in\tin\tIN\tB-PP\tO' -p289502 -aS'80\t80\tCD\tB-NP\tO' -p289503 -aS"'s\t's\tPOS\tB-NP\tO" -p289504 -asS'Disp :* 135 Tablet (s)* Refills :* 2 *' -p289505 -(lp289506 -S'Disp\tDisp\tNN\tB-NP\tO' -p289507 -aS':*\t:*\tSYM\tI-NP\tO' -p289508 -aS'135\t135\tCD\tI-NP\tO' -p289509 -aS'Tablet\tTablet\tNN\tI-NP\tO' -p289510 -aS'(s)*\t(s)*\tSYM\tB-NP\tO' -p289511 -aS'Refills\tRefill\tNNPS\tI-NP\tO' -p289512 -aS':*\t:*\tSYM\tI-NP\tO' -p289513 -aS'2\t2\tCD\tI-NP\tO' -p289514 -aS'*\t*\tSYM\tB-NP\tO' -p289515 -asS'Norwood nursing facility suggested that the patient had been having shortness of breath and cough for approximately one day with difficulty ambulating , needing to travel in a wheelchair .' -p289516 -(lp289517 -S'Norwood\tNorwood\tNNP\tB-NP\tO' -p289518 -aS'nursing\tnursing\tNN\tI-NP\tO' -p289519 -aS'facility\tfacility\tNN\tI-NP\tO' -p289520 -aS'suggested\tsuggest\tVBD\tB-VP\tO' -p289521 -aS'that\tthat\tIN\tB-SBAR\tO' -p289522 -aS'the\tthe\tDT\tB-NP\tO' -p289523 -aS'patient\tpatient\tNN\tI-NP\tO' -p289524 -aS'had\thave\tVBD\tB-VP\tO' -p289525 -aS'been\tbe\tVBN\tI-VP\tO' -p289526 -aS'having\thave\tVBG\tI-VP\tO' -p289527 -aS'shortness\tshortness\tNN\tB-NP\tO' -p289528 -aS'of\tof\tIN\tB-PP\tO' -p289529 -aS'breath\tbreath\tNN\tB-NP\tO' -p289530 -aS'and\tand\tCC\tI-NP\tO' -p289531 -aS'cough\tcough\tNN\tI-NP\tO' -p289532 -aS'for\tfor\tIN\tB-PP\tO' -p289533 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p289534 -aS'one\tone\tCD\tI-NP\tO' -p289535 -aS'day\tday\tNN\tI-NP\tO' -p289536 -aS'with\twith\tIN\tB-PP\tO' -p289537 -aS'difficulty\tdifficulty\tNN\tB-NP\tO' -p289538 -aS'ambulating\tambulate\tVBG\tB-VP\tO' -p289539 -aS',\t,\t,\tO\tO' -p289540 -aS'needing\tneed\tVBG\tB-VP\tO' -p289541 -aS'to\tto\tTO\tI-VP\tO' -p289542 -aS'travel\ttravel\tVB\tI-VP\tO' -p289543 -aS'in\tin\tIN\tB-PP\tO' -p289544 -aS'a\ta\tDT\tB-NP\tO' -p289545 -aS'wheelchair\twheelchair\tNN\tI-NP\tO' -p289546 -aS'.\t.\t.\tO\tO' -p289547 -asS'5. Fluticasone 50 mcg / Actuation Aerosol , Spray Sig : Two ( 2 ) Spray Nasal DAILY ( Daily ).' -p289548 -(lp289549 -S'5.\t5.\tLS\tB-NP\tO' -p289550 -aS'Fluticasone\tFluticasone\tNN\tI-NP\tO' -p289551 -aS'50\t50\tCD\tI-NP\tO' -p289552 -aS'mcg\tmcg\tNN\tI-NP\tO' -p289553 -aS'/\t/\tSYM\tB-NP\tO' -p289554 -aS'Actuation\tActuation\tNN\tI-NP\tO' -p289555 -aS'Aerosol\tAerosol\tNN\tI-NP\tO' -p289556 -aS',\t,\t,\tO\tO' -p289557 -aS'Spray\tSpray\tNNP\tB-NP\tO' -p289558 -aS'Sig\tSig\tNNP\tI-NP\tO' -p289559 -aS':\t:\t:\tO\tO' -p289560 -aS'Two\tTwo\tCD\tB-NP\tO' -p289561 -aS'(\t(\t(\tO\tO' -p289562 -aS'2\t2\tCD\tB-NP\tO' -p289563 -aS')\t)\t)\tO\tO' -p289564 -aS'Spray\tSpray\tNNP\tB-NP\tO' -p289565 -aS'Nasal\tNasal\tNNP\tI-NP\tO' -p289566 -aS'DAILY\tDAILY\tNNP\tI-NP\tO' -p289567 -aS'(\t(\t(\tO\tO' -p289568 -aS'Daily\tDaily\tNNP\tB-NP\tO' -p289569 -aS').\t).\t)\tO\tO' -p289570 -asS"The baby 's autopsy was reported to be normal ." -p289571 -(lp289572 -S'The\tThe\tDT\tB-NP\tO' -p289573 -aS'baby\tbaby\tNN\tI-NP\tO' -p289574 -aS"'s\t's\tPOS\tB-NP\tO" -p289575 -aS'autopsy\tautopsy\tNN\tI-NP\tO' -p289576 -aS'was\tbe\tVBD\tB-VP\tO' -p289577 -aS'reported\treport\tVBN\tI-VP\tO' -p289578 -aS'to\tto\tTO\tI-VP\tO' -p289579 -aS'be\tbe\tVB\tI-VP\tO' -p289580 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p289581 -aS'.\t.\t.\tO\tO' -p289582 -asS'7. Milk of Magnesia 30 cc q.h.s. p.r.n.' -p289583 -(lp289584 -S'7.\t7.\tLS\tB-LST\tO' -p289585 -aS'Milk\tMilk\tNNP\tB-NP\tO' -p289586 -aS'of\tof\tIN\tB-PP\tO' -p289587 -aS'Magnesia\tMagnesia\tNNP\tB-NP\tO' -p289588 -aS'30\t30\tCD\tI-NP\tO' -p289589 -aS'cc\tcc\tNN\tI-NP\tO' -p289590 -aS'q.h.s.\tq.h.s.\tNN\tI-NP\tO' -p289591 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p289592 -asS'Rectal was guaiac negative with brown stool , good tone but unable to squeeze .' -p289593 -(lp289594 -S'Rectal\tRectal\tJJ\tB-NP\tO' -p289595 -aS'was\tbe\tVBD\tB-VP\tO' -p289596 -aS'guaiac\tguaiac\tJJ\tB-ADJP\tO' -p289597 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p289598 -aS'with\twith\tIN\tB-PP\tO' -p289599 -aS'brown\tbrown\tJJ\tB-NP\tO' -p289600 -aS'stool\tstool\tNN\tI-NP\tO' -p289601 -aS',\t,\t,\tO\tO' -p289602 -aS'good\tgood\tJJ\tB-NP\tO' -p289603 -aS'tone\ttone\tNN\tI-NP\tO' -p289604 -aS'but\tbut\tCC\tO\tO' -p289605 -aS'unable\tunable\tJJ\tB-ADJP\tO' -p289606 -aS'to\tto\tTO\tB-VP\tO' -p289607 -aS'squeeze\tsqueeze\tVB\tI-VP\tO' -p289608 -aS'.\t.\t.\tO\tO' -p289609 -asS'The ascites quickly accumulated after each tap .' -p289610 -(lp289611 -S'The\tThe\tDT\tB-NP\tO' -p289612 -aS'ascites\tascite\tNNS\tI-NP\tO' -p289613 -aS'quickly\tquickly\tRB\tB-ADVP\tO' -p289614 -aS'accumulated\taccumulate\tVBD\tB-VP\tO' -p289615 -aS'after\tafter\tIN\tB-SBAR\tO' -p289616 -aS'each\teach\tDT\tB-NP\tO' -p289617 -aS'tap\ttap\tNN\tI-NP\tB-protein' -p289618 -aS'.\t.\t.\tO\tO' -p289619 -asS'Proceed to the ER/EW/Monica if your wound becomes red , swollen , warm , or produces pus .' -p289620 -(lp289621 -S'Proceed\tProceed\tVB\tB-VP\tO' -p289622 -aS'to\tto\tTO\tB-PP\tO' -p289623 -aS'the\tthe\tDT\tB-NP\tO' -p289624 -aS'ER/EW/Monica\tER/EW/Monica\tNNP\tI-NP\tO' -p289625 -aS'if\tif\tIN\tB-SBAR\tO' -p289626 -aS'your\tyour\tPRP$\tB-NP\tO' -p289627 -aS'wound\twound\tNN\tI-NP\tO' -p289628 -aS'becomes\tbecome\tVBZ\tB-VP\tO' -p289629 -aS'red\tred\tJJ\tB-ADJP\tO' -p289630 -aS',\t,\t,\tO\tO' -p289631 -aS'swollen\tswollen\tNN\tB-NP\tO' -p289632 -aS',\t,\t,\tO\tO' -p289633 -aS'warm\twarm\tNN\tB-NP\tO' -p289634 -aS',\t,\t,\tO\tO' -p289635 -aS'or\tor\tCC\tO\tO' -p289636 -aS'produces\tproduce\tVBZ\tB-VP\tO' -p289637 -aS'pus\tpus\tNN\tB-NP\tO' -p289638 -aS'.\t.\t.\tO\tO' -p289639 -asS'The patient 's workup up until that time included a diagnosis of periampullary adenocarcinoma , which was proven by EGD directed biopsy , and a left renal mass , which was biopsied and found to be an oncocytoma .' -p289640 -(lp289641 -S'The\tThe\tDT\tB-NP\tO' -p289642 -aS'patient\tpatient\tNN\tI-NP\tO' -p289643 -aS''s\t'\tNNS\tI-NP\tO' -p289644 -aS'workup\tworkup\tVBP\tB-VP\tO' -p289645 -aS'up\tup\tRP\tB-PRT\tO' -p289646 -aS'until\tuntil\tIN\tB-PP\tO' -p289647 -aS'that\tthat\tDT\tB-NP\tO' -p289648 -aS'time\ttime\tNN\tI-NP\tO' -p289649 -aS'included\tinclude\tVBD\tB-VP\tO' -p289650 -aS'a\ta\tDT\tB-NP\tO' -p289651 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p289652 -aS'of\tof\tIN\tB-PP\tO' -p289653 -aS'periampullary\tperiampullary\tJJ\tB-NP\tO' -p289654 -aS'adenocarcinoma\tadenocarcinoma\tNN\tI-NP\tO' -p289655 -aS',\t,\t,\tO\tO' -p289656 -aS'which\twhich\tWDT\tB-NP\tO' -p289657 -aS'was\tbe\tVBD\tB-VP\tO' -p289658 -aS'proven\tprove\tVBN\tI-VP\tO' -p289659 -aS'by\tby\tIN\tB-PP\tO' -p289660 -aS'EGD\tEGD\tNN\tB-NP\tB-protein' -p289661 -aS'directed\tdirect\tVBD\tB-VP\tO' -p289662 -aS'biopsy\tbiopsy\tNN\tB-NP\tO' -p289663 -aS',\t,\t,\tO\tO' -p289664 -aS'and\tand\tCC\tO\tO' -p289665 -aS'a\ta\tDT\tB-NP\tO' -p289666 -aS'left\tleft\tJJ\tI-NP\tO' -p289667 -aS'renal\trenal\tJJ\tI-NP\tO' -p289668 -aS'mass\tmass\tNN\tI-NP\tO' -p289669 -aS',\t,\t,\tO\tO' -p289670 -aS'which\twhich\tWDT\tB-NP\tO' -p289671 -aS'was\tbe\tVBD\tB-VP\tO' -p289672 -aS'biopsied\tbiopsie\tVBN\tI-VP\tO' -p289673 -aS'and\tand\tCC\tO\tO' -p289674 -aS'found\tfind\tVBN\tB-VP\tO' -p289675 -aS'to\tto\tTO\tI-VP\tO' -p289676 -aS'be\tbe\tVB\tI-VP\tO' -p289677 -aS'an\tan\tDT\tB-NP\tO' -p289678 -aS'oncocytoma\toncocytoma\tNN\tI-NP\tO' -p289679 -aS'.\t.\t.\tO\tO' -p289680 -asS'Her chest tubes were discontinued and , at the end of the day , she was transferred from the Cardiothoracic Intensive Care Unit to the floor for continuing postoperative care and cardiac rehabilitation .' -p289681 -(lp289682 -S'Her\tHer\tPRP$\tB-NP\tB-protein' -p289683 -aS'chest\tch\tJJS\tI-NP\tO' -p289684 -aS'tubes\ttube\tNNS\tI-NP\tO' -p289685 -aS'were\tbe\tVBD\tB-VP\tO' -p289686 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p289687 -aS'and\tand\tCC\tO\tO' -p289688 -aS',\t,\t,\tO\tO' -p289689 -aS'at\tat\tIN\tB-PP\tO' -p289690 -aS'the\tthe\tDT\tB-NP\tO' -p289691 -aS'end\tend\tNN\tI-NP\tO' -p289692 -aS'of\tof\tIN\tB-PP\tO' -p289693 -aS'the\tthe\tDT\tB-NP\tO' -p289694 -aS'day\tday\tNN\tI-NP\tO' -p289695 -aS',\t,\t,\tO\tO' -p289696 -aS'she\tshe\tPRP\tB-NP\tO' -p289697 -aS'was\tbe\tVBD\tB-VP\tO' -p289698 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p289699 -aS'from\tfrom\tIN\tB-PP\tO' -p289700 -aS'the\tthe\tDT\tB-NP\tO' -p289701 -aS'Cardiothoracic\tCardiothoracic\tNNP\tI-NP\tO' -p289702 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p289703 -aS'Care\tCare\tNNP\tI-NP\tO' -p289704 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p289705 -aS'to\tto\tTO\tB-PP\tO' -p289706 -aS'the\tthe\tDT\tB-NP\tO' -p289707 -aS'floor\tfloor\tNN\tI-NP\tO' -p289708 -aS'for\tfor\tIN\tB-PP\tO' -p289709 -aS'continuing\tcontinue\tVBG\tB-NP\tO' -p289710 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p289711 -aS'care\tcare\tNN\tI-NP\tO' -p289712 -aS'and\tand\tCC\tI-NP\tO' -p289713 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p289714 -aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' -p289715 -aS'.\t.\t.\tO\tO' -p289716 -asS'This is a 37 y/o male patient with PMH Type I DM , HTN , gastroparesis , ESRD on HD ( last in 12/26 per patient ) who presents to CMED CCU with hypertensive urgency unable from the Larry .' -p289717 -(lp289718 -S'This\tThis\tDT\tB-NP\tO' -p289719 -aS'is\tbe\tVBZ\tB-VP\tO' -p289720 -aS'a\ta\tDT\tB-NP\tO' -p289721 -aS'37\t37\tCD\tI-NP\tO' -p289722 -aS'y/o\ty/o\tNN\tI-NP\tO' -p289723 -aS'male\tmale\tJJ\tI-NP\tO' -p289724 -aS'patient\tpatient\tNN\tI-NP\tO' -p289725 -aS'with\twith\tIN\tB-PP\tO' -p289726 -aS'PMH\tPMH\tNN\tB-NP\tO' -p289727 -aS'Type\tType\tNN\tI-NP\tO' -p289728 -aS'I\tI\tCD\tI-NP\tO' -p289729 -aS'DM\tDM\tNN\tI-NP\tO' -p289730 -aS',\t,\t,\tO\tO' -p289731 -aS'HTN\tHTN\tNN\tB-NP\tB-protein' -p289732 -aS',\t,\t,\tO\tO' -p289733 -aS'gastroparesis\tgastroparesis\tNN\tB-NP\tO' -p289734 -aS',\t,\t,\tO\tO' -p289735 -aS'ESRD\tESRD\tNN\tB-NP\tO' -p289736 -aS'on\ton\tIN\tB-PP\tO' -p289737 -aS'HD\tHD\tNN\tB-NP\tO' -p289738 -aS'(\t(\t(\tO\tO' -p289739 -aS'last\tlast\tJJ\tB-ADJP\tO' -p289740 -aS'in\tin\tIN\tB-PP\tO' -p289741 -aS'12/26\t12/26\tCD\tB-NP\tO' -p289742 -aS'per\tper\tIN\tB-PP\tO' -p289743 -aS'patient\tpatient\tNN\tB-NP\tO' -p289744 -aS')\t)\t)\tO\tO' -p289745 -aS'who\twho\tWP\tB-NP\tO' -p289746 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p289747 -aS'to\tto\tTO\tB-PP\tO' -p289748 -aS'CMED\tCMED\tVBN\tB-NP\tO' -p289749 -aS'CCU\tCCU\tNN\tI-NP\tO' -p289750 -aS'with\twith\tIN\tB-PP\tO' -p289751 -aS'hypertensive\thypertensive\tJJ\tB-NP\tO' -p289752 -aS'urgency\turgency\tNN\tI-NP\tO' -p289753 -aS'unable\tunable\tJJ\tB-ADJP\tO' -p289754 -aS'from\tfrom\tIN\tB-PP\tO' -p289755 -aS'the\tthe\tDT\tB-NP\tO' -p289756 -aS'Larry\tLarry\tNNP\tI-NP\tO' -p289757 -aS'.\t.\t.\tO\tO' -p289758 -asS'27. Potassium Chloride 10 mEq Capsule , Sustained Release Sig : Four ( 4 ) Capsule , Sustained Release PO DAILY ( Daily ) .' -p289759 -(lp289760 -S'27.\t27.\tLS\tB-NP\tO' -p289761 -aS'Potassium\tPotassium\tNNP\tI-NP\tO' -p289762 -aS'Chloride\tChloride\tNNP\tI-NP\tO' -p289763 -aS'10\t10\tCD\tI-NP\tO' -p289764 -aS'mEq\tmEq\tNN\tI-NP\tO' -p289765 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p289766 -aS',\t,\t,\tO\tO' -p289767 -aS'Sustained\tSustained\tNNP\tB-NP\tO' -p289768 -aS'Release\tRelease\tNNP\tI-NP\tO' -p289769 -aS'Sig\tSig\tNNP\tI-NP\tB-protein' -p289770 -aS':\t:\t:\tO\tO' -p289771 -aS'Four\tFour\tCD\tB-NP\tO' -p289772 -aS'(\t(\t(\tO\tO' -p289773 -aS'4\t4\tCD\tB-NP\tO' -p289774 -aS')\t)\t)\tO\tO' -p289775 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p289776 -aS',\t,\t,\tO\tO' -p289777 -aS'Sustained\tSustained\tNNP\tB-NP\tO' -p289778 -aS'Release\tRelease\tNNP\tI-NP\tO' -p289779 -aS'PO\tPO\tNNP\tI-NP\tO' -p289780 -aS'DAILY\tDAILY\tNNP\tI-NP\tO' -p289781 -aS'(\t(\t(\tO\tO' -p289782 -aS'Daily\tDaily\tNNP\tB-NP\tO' -p289783 -aS')\t)\t)\tO\tO' -p289784 -aS'.\t.\t.\tO\tO' -p289785 -asS'Per report , She had elevated LFTs at the outside hospital .' -p289786 -(lp289787 -S'Per\tPer\tNNP\tB-NP\tO' -p289788 -aS'report\treport\tNN\tI-NP\tO' -p289789 -aS',\t,\t,\tO\tO' -p289790 -aS'She\tShe\tNNP\tB-NP\tO' -p289791 -aS'had\thave\tVBD\tB-VP\tO' -p289792 -aS'elevated\televate\tVBN\tI-VP\tO' -p289793 -aS'LFTs\tLFT\tNNS\tB-NP\tB-protein' -p289794 -aS'at\tat\tIN\tB-PP\tO' -p289795 -aS'the\tthe\tDT\tB-NP\tO' -p289796 -aS'outside\toutside\tJJ\tI-NP\tO' -p289797 -aS'hospital\thospital\tNN\tI-NP\tO' -p289798 -aS'.\t.\t.\tO\tO' -p289799 -asS'Bacitracin ointment one drop O.D. q.h.s. Ciprofloxacin 500 mg. one p.o. b.i.d. x four more days [ until 5/25/92 ] , for recently discovered siderobacter UTI .' -p289800 -(lp289801 -S'Bacitracin\tBacitracin\tNN\tB-NP\tO' -p289802 -aS'ointment\tointment\tNN\tI-NP\tO' -p289803 -aS'one\tone\tCD\tB-NP\tO' -p289804 -aS'drop\tdrop\tNN\tI-NP\tO' -p289805 -aS'O.D.\tO.D.\tNNP\tB-NP\tO' -p289806 -aS'q.h.s.\tq.h.s.\tFW\tI-NP\tO' -p289807 -aS'Ciprofloxacin\tCiprofloxacin\tNNP\tI-NP\tO' -p289808 -aS'500\t500\tCD\tI-NP\tO' -p289809 -aS'mg.\tmg.\tNN\tI-NP\tO' -p289810 -aS'one\tone\tCD\tB-NP\tO' -p289811 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p289812 -aS'b.i.d.\tb.i.d.\tFW\tI-NP\tO' -p289813 -aS'x\tx\tSYM\tI-NP\tO' -p289814 -aS'four\tfour\tCD\tI-NP\tO' -p289815 -aS'more\tmore\tJJR\tI-NP\tO' -p289816 -aS'days\tday\tNNS\tI-NP\tO' -p289817 -aS'[\t[\t(\tO\tO' -p289818 -aS'until\tuntil\tIN\tB-PP\tO' -p289819 -aS'5/25/92\t5/25/92\tCD\tB-NP\tO' -p289820 -aS']\t]\t)\tO\tO' -p289821 -aS',\t,\t,\tO\tO' -p289822 -aS'for\tfor\tIN\tB-PP\tO' -p289823 -aS'recently\trecently\tRB\tB-NP\tO' -p289824 -aS'discovered\tdiscover\tVBN\tI-NP\tO' -p289825 -aS'siderobacter\tsiderobacter\tNN\tI-NP\tO' -p289826 -aS'UTI\tUTI\tNN\tI-NP\tO' -p289827 -aS'.\t.\t.\tO\tO' -p289828 -asS'The patient continued to do well and his recurrent atrial fibrillation slowly improved ; p.o. doses of Lopressor slowly increased to get better control of his rate and the patient was able to be controlled with a heart rate in the 50s to 60s with Lopressor .' -p289829 -(lp289830 -S'The\tThe\tDT\tB-NP\tO' -p289831 -aS'patient\tpatient\tNN\tI-NP\tO' -p289832 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p289833 -aS'to\tto\tTO\tI-VP\tO' -p289834 -aS'do\tdo\tVB\tI-VP\tO' -p289835 -aS'well\twell\tRB\tB-ADVP\tO' -p289836 -aS'and\tand\tCC\tO\tO' -p289837 -aS'his\this\tPRP$\tB-NP\tO' -p289838 -aS'recurrent\trecurrent\tJJ\tI-NP\tO' -p289839 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p289840 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p289841 -aS'slowly\tslowly\tRB\tB-ADVP\tO' -p289842 -aS'improved\timprove\tVBD\tB-VP\tO' -p289843 -aS';\t;\t:\tO\tO' -p289844 -aS'p.o.\tp.o.\tLS\tB-NP\tO' -p289845 -aS'doses\tdose\tNNS\tI-NP\tO' -p289846 -aS'of\tof\tIN\tB-PP\tO' -p289847 -aS'Lopressor\tLopressor\tNN\tB-NP\tO' -p289848 -aS'slowly\tslowly\tRB\tB-VP\tO' -p289849 -aS'increased\tincrease\tVBN\tI-VP\tO' -p289850 -aS'to\tto\tTO\tB-VP\tO' -p289851 -aS'get\tget\tVB\tI-VP\tO' -p289852 -aS'better\tgood\tJJR\tB-NP\tO' -p289853 -aS'control\tcontrol\tNN\tI-NP\tO' -p289854 -aS'of\tof\tIN\tB-PP\tO' -p289855 -aS'his\this\tPRP$\tB-NP\tO' -p289856 -aS'rate\trate\tNN\tI-NP\tO' -p289857 -aS'and\tand\tCC\tO\tO' -p289858 -aS'the\tthe\tDT\tB-NP\tO' -p289859 -aS'patient\tpatient\tNN\tI-NP\tO' -p289860 -aS'was\tbe\tVBD\tB-VP\tO' -p289861 -aS'able\table\tJJ\tB-ADJP\tO' -p289862 -aS'to\tto\tTO\tB-VP\tO' -p289863 -aS'be\tbe\tVB\tI-VP\tO' -p289864 -aS'controlled\tcontrol\tVBN\tI-VP\tO' -p289865 -aS'with\twith\tIN\tB-PP\tO' -p289866 -aS'a\ta\tDT\tB-NP\tO' -p289867 -aS'heart\theart\tNN\tI-NP\tO' -p289868 -aS'rate\trate\tNN\tI-NP\tO' -p289869 -aS'in\tin\tIN\tB-PP\tO' -p289870 -aS'the\tthe\tDT\tB-NP\tO' -p289871 -aS'50s\t50s\tCD\tI-NP\tO' -p289872 -aS'to\tto\tTO\tB-PP\tO' -p289873 -aS'60s\t60\tNNS\tB-NP\tO' -p289874 -aS'with\twith\tIN\tB-PP\tO' -p289875 -aS'Lopressor\tLopressor\tNN\tB-NP\tB-protein' -p289876 -aS'.\t.\t.\tO\tO' -p289877 -asS'She had a chest tube placed intraoperatively and another placed postoperatively in the recovery room , for what was presumed to be a left pleural effusion .' -p289878 -(lp289879 -S'She\tShe\tPRP\tB-NP\tO' -p289880 -aS'had\thave\tVBD\tB-VP\tO' -p289881 -aS'a\ta\tDT\tB-NP\tO' -p289882 -aS'chest\tchest\tNN\tI-NP\tO' -p289883 -aS'tube\ttube\tNN\tI-NP\tO' -p289884 -aS'placed\tplace\tVBD\tB-VP\tO' -p289885 -aS'intraoperatively\tintraoperatively\tRB\tB-ADVP\tO' -p289886 -aS'and\tand\tCC\tO\tO' -p289887 -aS'another\tanother\tDT\tB-NP\tO' -p289888 -aS'placed\tplace\tVBN\tB-VP\tO' -p289889 -aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' -p289890 -aS'in\tin\tIN\tB-PP\tO' -p289891 -aS'the\tthe\tDT\tB-NP\tO' -p289892 -aS'recovery\trecovery\tNN\tI-NP\tO' -p289893 -aS'room\troom\tNN\tI-NP\tO' -p289894 -aS',\t,\t,\tO\tO' -p289895 -aS'for\tfor\tIN\tB-PP\tO' -p289896 -aS'what\twhat\tWP\tB-NP\tO' -p289897 -aS'was\tbe\tVBD\tB-VP\tO' -p289898 -aS'presumed\tpresume\tVBN\tI-VP\tO' -p289899 -aS'to\tto\tTO\tI-VP\tO' -p289900 -aS'be\tbe\tVB\tI-VP\tO' -p289901 -aS'a\ta\tDT\tB-NP\tO' -p289902 -aS'left\tleft\tJJ\tI-NP\tO' -p289903 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p289904 -aS'effusion\teffusion\tNN\tI-NP\tO' -p289905 -aS'.\t.\t.\tO\tO' -p289906 -asS'On 11-24 he received a permanent DDD pacemaker with a lead that was externally placed on his chest wall due to his healing and infected chest wound .' -p289907 -(lp289908 -S'On\tOn\tIN\tB-PP\tO' -p289909 -aS'11-24\t11-24\tCD\tB-NP\tO' -p289910 -aS'he\the\tPRP\tB-NP\tO' -p289911 -aS'received\treceive\tVBD\tB-VP\tO' -p289912 -aS'a\ta\tDT\tB-NP\tO' -p289913 -aS'permanent\tpermanent\tJJ\tI-NP\tO' -p289914 -aS'DDD\tDDD\tNN\tI-NP\tO' -p289915 -aS'pacemaker\tpacemaker\tNN\tI-NP\tO' -p289916 -aS'with\twith\tIN\tB-PP\tO' -p289917 -aS'a\ta\tDT\tB-NP\tO' -p289918 -aS'lead\tlead\tNN\tI-NP\tO' -p289919 -aS'that\tthat\tWDT\tB-NP\tO' -p289920 -aS'was\tbe\tVBD\tB-VP\tO' -p289921 -aS'externally\texternally\tRB\tI-VP\tO' -p289922 -aS'placed\tplace\tVBN\tI-VP\tO' -p289923 -aS'on\ton\tIN\tB-PP\tO' -p289924 -aS'his\this\tPRP$\tB-NP\tO' -p289925 -aS'chest\tchest\tNN\tI-NP\tO' -p289926 -aS'wall\twall\tNN\tI-NP\tO' -p289927 -aS'due\tdue\tIN\tB-PP\tO' -p289928 -aS'to\tto\tTO\tB-PP\tO' -p289929 -aS'his\this\tPRP$\tB-NP\tO' -p289930 -aS'healing\thealing\tJJ\tI-NP\tO' -p289931 -aS'and\tand\tCC\tI-NP\tO' -p289932 -aS'infected\tinfected\tJJ\tI-NP\tO' -p289933 -aS'chest\tchest\tNN\tI-NP\tO' -p289934 -aS'wound\twound\tNN\tI-NP\tO' -p289935 -aS'.\t.\t.\tO\tO' -p289936 -asS'He was diuresed and was soon saturating very well on room air .' -p289937 -(lp289938 -S'He\tHe\tPRP\tB-NP\tO' -p289939 -aS'was\tbe\tVBD\tB-VP\tO' -p289940 -aS'diuresed\tdiurese\tVBN\tI-VP\tO' -p289941 -aS'and\tand\tCC\tO\tO' -p289942 -aS'was\tbe\tVBD\tB-VP\tO' -p289943 -aS'soon\tsoon\tRB\tI-VP\tO' -p289944 -aS'saturating\tsaturate\tVBG\tI-VP\tO' -p289945 -aS'very\tvery\tRB\tB-ADVP\tO' -p289946 -aS'well\twell\tRB\tI-ADVP\tO' -p289947 -aS'on\ton\tIN\tB-PP\tO' -p289948 -aS'room\troom\tNN\tB-NP\tO' -p289949 -aS'air\tair\tNN\tI-NP\tO' -p289950 -aS'.\t.\t.\tO\tO' -p289951 -asS'There is moderate surrounding edema with 10 mm rightward shift of the normally midline structures with associated mass effect on the lateral ventricles .' -p289952 -(lp289953 -S'There\tThere\tEX\tB-NP\tO' -p289954 -aS'is\tbe\tVBZ\tB-VP\tO' -p289955 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p289956 -aS'surrounding\tsurround\tVBG\tI-NP\tO' -p289957 -aS'edema\tedema\tNN\tI-NP\tO' -p289958 -aS'with\twith\tIN\tB-PP\tO' -p289959 -aS'10\t10\tCD\tB-NP\tO' -p289960 -aS'mm\tmm\tNN\tI-NP\tO' -p289961 -aS'rightward\trightward\tJJ\tI-NP\tO' -p289962 -aS'shift\tshift\tNN\tI-NP\tO' -p289963 -aS'of\tof\tIN\tB-PP\tO' -p289964 -aS'the\tthe\tDT\tB-NP\tO' -p289965 -aS'normally\tnormally\tRB\tI-NP\tO' -p289966 -aS'midline\tmidline\tNN\tI-NP\tO' -p289967 -aS'structures\tstructure\tNNS\tI-NP\tO' -p289968 -aS'with\twith\tIN\tB-PP\tO' -p289969 -aS'associated\tassociate\tVBN\tB-NP\tO' -p289970 -aS'mass\tmass\tNN\tI-NP\tO' -p289971 -aS'effect\teffect\tNN\tI-NP\tO' -p289972 -aS'on\ton\tIN\tB-PP\tO' -p289973 -aS'the\tthe\tDT\tB-NP\tO' -p289974 -aS'lateral\tlateral\tJJ\tI-NP\tO' -p289975 -aS'ventricles\tventricle\tNNS\tI-NP\tO' -p289976 -aS'.\t.\t.\tO\tO' -p289977 -asS'Patient has 8 children , 40 grandchildren and one great-grandaughter .' -p289978 -(lp289979 -S'Patient\tPatient\tNNP\tB-NP\tO' -p289980 -aS'has\thave\tVBZ\tB-VP\tO' -p289981 -aS'8\t8\tCD\tB-NP\tO' -p289982 -aS'children\tchild\tNNS\tI-NP\tO' -p289983 -aS',\t,\t,\tO\tO' -p289984 -aS'40\t40\tCD\tB-NP\tO' -p289985 -aS'grandchildren\tgrandchild\tNNS\tI-NP\tO' -p289986 -aS'and\tand\tCC\tO\tO' -p289987 -aS'one\tone\tCD\tB-NP\tO' -p289988 -aS'great-grandaughter\tgreat-grandaughter\tNN\tI-NP\tO' -p289989 -aS'.\t.\t.\tO\tO' -p289990 -asS'Blood pressure stayed high with an SBP in the 170s , so amlodipine 10 mg q.d. was added and that blood pressure was still elevated .' -p289991 -(lp289992 -S'Blood\tBlood\tNN\tB-NP\tO' -p289993 -aS'pressure\tpressure\tNN\tI-NP\tO' -p289994 -aS'stayed\tstay\tVBD\tB-VP\tO' -p289995 -aS'high\thigh\tJJ\tB-ADJP\tO' -p289996 -aS'with\twith\tIN\tB-PP\tO' -p289997 -aS'an\tan\tDT\tB-NP\tO' -p289998 -aS'SBP\tSBP\tNN\tI-NP\tB-protein' -p289999 -aS'in\tin\tIN\tB-PP\tO' -p290000 -aS'the\tthe\tDT\tB-NP\tO' -p290001 -aS'170s\t170\tNNS\tI-NP\tB-DNA' -p290002 -aS',\t,\t,\tO\tO' -p290003 -aS'so\tso\tRB\tB-NP\tO' -p290004 -aS'amlodipine\tamlodipine\tJJ\tI-NP\tO' -p290005 -aS'10\t10\tCD\tI-NP\tO' -p290006 -aS'mg\tmg\tNN\tI-NP\tO' -p290007 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p290008 -aS'was\tbe\tVBD\tB-VP\tO' -p290009 -aS'added\tadd\tVBN\tI-VP\tO' -p290010 -aS'and\tand\tCC\tO\tO' -p290011 -aS'that\tthat\tIN\tB-SBAR\tO' -p290012 -aS'blood\tblood\tNN\tB-NP\tO' -p290013 -aS'pressure\tpressure\tNN\tI-NP\tO' -p290014 -aS'was\tbe\tVBD\tB-VP\tO' -p290015 -aS'still\tstill\tRB\tI-VP\tO' -p290016 -aS'elevated\televate\tVBN\tI-VP\tO' -p290017 -aS'.\t.\t.\tO\tO' -p290018 -asS'On May 27 , 1998 , the patient desaturated to 40% with a temperature of 100.5 degrees .' -p290019 -(lp290020 -S'On\tOn\tIN\tB-PP\tO' -p290021 -aS'May\tMay\tNNP\tB-NP\tO' -p290022 -aS'27\t27\tCD\tI-NP\tO' -p290023 -aS',\t,\t,\tI-NP\tO' -p290024 -aS'1998\t1998\tCD\tI-NP\tO' -p290025 -aS',\t,\t,\tO\tO' -p290026 -aS'the\tthe\tDT\tB-NP\tO' -p290027 -aS'patient\tpatient\tNN\tI-NP\tO' -p290028 -aS'desaturated\tdesaturate\tVBN\tB-VP\tO' -p290029 -aS'to\tto\tTO\tB-VP\tO' -p290030 -aS'40%\t40%\tVB\tI-VP\tO' -p290031 -aS'with\twith\tIN\tB-PP\tO' -p290032 -aS'a\ta\tDT\tB-NP\tO' -p290033 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p290034 -aS'of\tof\tIN\tB-PP\tO' -p290035 -aS'100.5\t100.5\tCD\tB-NP\tO' -p290036 -aS'degrees\tdegree\tNNS\tI-NP\tO' -p290037 -aS'.\t.\t.\tO\tO' -p290038 -asS'Her hematocrit continued to drop over the next couple of days despite normal platelet count , normal coags , and no obvious source of bleeding .' -p290039 -(lp290040 -S'Her\tHer\tPRP$\tB-NP\tO' -p290041 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p290042 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p290043 -aS'to\tto\tTO\tI-VP\tO' -p290044 -aS'drop\tdrop\tVB\tI-VP\tO' -p290045 -aS'over\tover\tIN\tB-PP\tO' -p290046 -aS'the\tthe\tDT\tB-NP\tO' -p290047 -aS'next\tnext\tJJ\tI-NP\tO' -p290048 -aS'couple\tcouple\tNN\tI-NP\tO' -p290049 -aS'of\tof\tIN\tB-PP\tO' -p290050 -aS'days\tday\tNNS\tB-NP\tO' -p290051 -aS'despite\tdespite\tIN\tB-PP\tO' -p290052 -aS'normal\tnormal\tJJ\tB-NP\tO' -p290053 -aS'platelet\tplatelet\tNN\tI-NP\tO' -p290054 -aS'count\tcount\tNN\tI-NP\tO' -p290055 -aS',\t,\t,\tO\tO' -p290056 -aS'normal\tnormal\tJJ\tB-NP\tO' -p290057 -aS'coags\tcoag\tNNS\tI-NP\tO' -p290058 -aS',\t,\t,\tO\tO' -p290059 -aS'and\tand\tCC\tO\tO' -p290060 -aS'no\tno\tDT\tB-NP\tO' -p290061 -aS'obvious\tobvious\tJJ\tI-NP\tO' -p290062 -aS'source\tsource\tNN\tI-NP\tO' -p290063 -aS'of\tof\tIN\tB-PP\tO' -p290064 -aS'bleeding\tbleed\tVBG\tB-NP\tO' -p290065 -aS'.\t.\t.\tO\tO' -p290066 -asS'The patient had back folliculitis .' -p290067 -(lp290068 -S'The\tThe\tDT\tB-NP\tO' -p290069 -aS'patient\tpatient\tNN\tI-NP\tO' -p290070 -aS'had\thave\tVBD\tB-VP\tO' -p290071 -aS'back\tback\tJJ\tB-NP\tO' -p290072 -aS'folliculitis\tfolliculitis\tNN\tI-NP\tO' -p290073 -aS'.\t.\t.\tO\tO' -p290074 -asS'6. Diverticulosis within the right remnant sigmoid colon .' -p290075 -(lp290076 -S'6.\t6.\tLS\tB-NP\tO' -p290077 -aS'Diverticulosis\tDiverticulosis\tNN\tI-NP\tO' -p290078 -aS'within\twithin\tIN\tB-PP\tO' -p290079 -aS'the\tthe\tDT\tB-NP\tO' -p290080 -aS'right\tright\tJJ\tI-NP\tO' -p290081 -aS'remnant\tremnant\tNN\tI-NP\tO' -p290082 -aS'sigmoid\tsigmoid\tJJ\tI-NP\tO' -p290083 -aS'colon\tcolon\tNN\tI-NP\tO' -p290084 -aS'.\t.\t.\tO\tO' -p290085 -asS'The patient presented to the Emergency Department with a complaint of painless jaundice , weight loss , and fatigue .' -p290086 -(lp290087 -S'The\tThe\tDT\tB-NP\tO' -p290088 -aS'patient\tpatient\tNN\tI-NP\tO' -p290089 -aS'presented\tpresent\tVBN\tB-VP\tO' -p290090 -aS'to\tto\tTO\tB-PP\tO' -p290091 -aS'the\tthe\tDT\tB-NP\tO' -p290092 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p290093 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p290094 -aS'with\twith\tIN\tB-PP\tO' -p290095 -aS'a\ta\tDT\tB-NP\tO' -p290096 -aS'complaint\tcomplaint\tNN\tI-NP\tO' -p290097 -aS'of\tof\tIN\tB-PP\tO' -p290098 -aS'painless\tpainless\tJJ\tB-NP\tO' -p290099 -aS'jaundice\tjaundice\tNN\tI-NP\tO' -p290100 -aS',\t,\t,\tO\tO' -p290101 -aS'weight\tweight\tNN\tB-NP\tO' -p290102 -aS'loss\tloss\tNN\tI-NP\tO' -p290103 -aS',\t,\t,\tO\tO' -p290104 -aS'and\tand\tCC\tO\tO' -p290105 -aS'fatigue\tfatigue\tNN\tB-NP\tO' -p290106 -aS'.\t.\t.\tO\tO' -p290107 -asS'He had no spontaneous movements .' -p290108 -(lp290109 -S'He\tHe\tPRP\tB-NP\tO' -p290110 -aS'had\thave\tVBD\tB-VP\tO' -p290111 -aS'no\tno\tDT\tB-NP\tO' -p290112 -aS'spontaneous\tspontaneous\tJJ\tI-NP\tO' -p290113 -aS'movements\tmovement\tNNS\tI-NP\tO' -p290114 -aS'.\t.\t.\tO\tO' -p290115 -asS'He had a left internal mammary artery graft of the LAD , a single saphenous vein to the right coronary artery with 280 cc per minute flow , and a saphenous vein snake graft to the diagonal and circumflex with 150 cc per minute flow .' -p290116 -(lp290117 -S'He\tHe\tPRP\tB-NP\tO' -p290118 -aS'had\thave\tVBD\tB-VP\tO' -p290119 -aS'a\ta\tDT\tB-NP\tO' -p290120 -aS'left\tleft\tJJ\tI-NP\tO' -p290121 -aS'internal\tinternal\tJJ\tI-NP\tO' -p290122 -aS'mammary\tmammary\tJJ\tI-NP\tO' -p290123 -aS'artery\tartery\tNN\tI-NP\tO' -p290124 -aS'graft\tgraft\tNN\tI-NP\tO' -p290125 -aS'of\tof\tIN\tB-PP\tO' -p290126 -aS'the\tthe\tDT\tB-NP\tO' -p290127 -aS'LAD\tLAD\tNN\tI-NP\tB-protein' -p290128 -aS',\t,\t,\tO\tO' -p290129 -aS'a\ta\tDT\tB-NP\tO' -p290130 -aS'single\tsingle\tJJ\tI-NP\tO' -p290131 -aS'saphenous\tsaphenous\tJJ\tI-NP\tO' -p290132 -aS'vein\tvein\tNN\tI-NP\tO' -p290133 -aS'to\tto\tTO\tB-PP\tO' -p290134 -aS'the\tthe\tDT\tB-NP\tO' -p290135 -aS'right\tright\tJJ\tI-NP\tO' -p290136 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p290137 -aS'artery\tartery\tNN\tI-NP\tO' -p290138 -aS'with\twith\tIN\tB-PP\tO' -p290139 -aS'280\t280\tCD\tB-NP\tO' -p290140 -aS'cc\tcc\tNN\tI-NP\tO' -p290141 -aS'per\tper\tIN\tB-PP\tO' -p290142 -aS'minute\tminute\tNN\tB-NP\tO' -p290143 -aS'flow\tflow\tNN\tI-NP\tO' -p290144 -aS',\t,\t,\tO\tO' -p290145 -aS'and\tand\tCC\tO\tO' -p290146 -aS'a\ta\tDT\tB-NP\tO' -p290147 -aS'saphenous\tsaphenous\tJJ\tI-NP\tO' -p290148 -aS'vein\tvein\tNN\tI-NP\tO' -p290149 -aS'snake\tsnake\tNN\tI-NP\tO' -p290150 -aS'graft\tgraft\tNN\tI-NP\tO' -p290151 -aS'to\tto\tTO\tB-PP\tO' -p290152 -aS'the\tthe\tDT\tB-NP\tO' -p290153 -aS'diagonal\tdiagonal\tJJ\tI-NP\tO' -p290154 -aS'and\tand\tCC\tI-NP\tO' -p290155 -aS'circumflex\tcircumflex\tJJ\tI-NP\tO' -p290156 -aS'with\twith\tIN\tB-PP\tO' -p290157 -aS'150\t150\tCD\tB-NP\tO' -p290158 -aS'cc\tcc\tNN\tI-NP\tO' -p290159 -aS'per\tper\tIN\tB-PP\tO' -p290160 -aS'minute\tminute\tNN\tB-NP\tO' -p290161 -aS'flow\tflow\tNN\tI-NP\tO' -p290162 -aS'.\t.\t.\tO\tO' -p290163 -asS'# ARF : Creatinine has increased from 0.9 on admission to 1.9 on admission to ICU .' -p290164 -(lp290165 -S'#\t#\t#\tB-NP\tO' -p290166 -aS'ARF\tARF\tNN\tI-NP\tB-protein' -p290167 -aS':\t:\t:\tO\tO' -p290168 -aS'Creatinine\tCreatinine\tNN\tB-NP\tO' -p290169 -aS'has\thave\tVBZ\tB-VP\tO' -p290170 -aS'increased\tincrease\tVBN\tI-VP\tO' -p290171 -aS'from\tfrom\tIN\tB-PP\tO' -p290172 -aS'0.9\t0.9\tCD\tB-NP\tO' -p290173 -aS'on\ton\tIN\tB-PP\tO' -p290174 -aS'admission\tadmission\tNN\tB-NP\tO' -p290175 -aS'to\tto\tTO\tB-PP\tO' -p290176 -aS'1.9\t1.9\tCD\tB-NP\tO' -p290177 -aS'on\ton\tIN\tB-PP\tO' -p290178 -aS'admission\tadmission\tNN\tB-NP\tO' -p290179 -aS'to\tto\tTO\tB-PP\tO' -p290180 -aS'ICU\tICU\tNN\tB-NP\tB-protein' -p290181 -aS'.\t.\t.\tO\tO' -p290182 -asS'The patient was started on low dose Lasix and Lopressor which he tolerated well .' -p290183 -(lp290184 -S'The\tThe\tDT\tB-NP\tO' -p290185 -aS'patient\tpatient\tNN\tI-NP\tO' -p290186 -aS'was\tbe\tVBD\tB-VP\tO' -p290187 -aS'started\tstart\tVBN\tI-VP\tO' -p290188 -aS'on\ton\tIN\tB-PP\tO' -p290189 -aS'low\tlow\tJJ\tB-NP\tO' -p290190 -aS'dose\tdose\tNN\tI-NP\tO' -p290191 -aS'Lasix\tLasix\tNN\tI-NP\tO' -p290192 -aS'and\tand\tCC\tI-NP\tO' -p290193 -aS'Lopressor\tLopressor\tNN\tI-NP\tO' -p290194 -aS'which\twhich\tWDT\tB-NP\tO' -p290195 -aS'he\the\tPRP\tB-NP\tO' -p290196 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p290197 -aS'well\twell\tRB\tB-ADVP\tO' -p290198 -aS'.\t.\t.\tO\tO' -p290199 -asS'His Chem-7 revealed sodium of 132 , potassium of 43 , chloride of 97 , bicarbonate of 28 , BUN of 25 , creatinine of 1.3 , glucose of 220 .' -p290200 -(lp290201 -S'His\tHis\tPRP$\tB-NP\tO' -p290202 -aS'Chem-7\tChem-7\tNN\tI-NP\tB-protein' -p290203 -aS'revealed\treveal\tVBD\tB-VP\tO' -p290204 -aS'sodium\tsodium\tNN\tB-NP\tO' -p290205 -aS'of\tof\tIN\tB-PP\tO' -p290206 -aS'132\t132\tCD\tB-NP\tO' -p290207 -aS',\t,\t,\tO\tO' -p290208 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p290209 -aS'of\tof\tIN\tB-PP\tO' -p290210 -aS'43\t43\tCD\tB-NP\tO' -p290211 -aS',\t,\t,\tO\tO' -p290212 -aS'chloride\tchloride\tNN\tB-NP\tO' -p290213 -aS'of\tof\tIN\tB-PP\tO' -p290214 -aS'97\t97\tCD\tB-NP\tO' -p290215 -aS',\t,\t,\tO\tO' -p290216 -aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' -p290217 -aS'of\tof\tIN\tB-PP\tO' -p290218 -aS'28\t28\tCD\tB-NP\tO' -p290219 -aS',\t,\t,\tO\tO' -p290220 -aS'BUN\tBUN\tNN\tB-NP\tO' -p290221 -aS'of\tof\tIN\tB-PP\tO' -p290222 -aS'25\t25\tCD\tB-NP\tO' -p290223 -aS',\t,\t,\tO\tO' -p290224 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p290225 -aS'of\tof\tIN\tB-PP\tO' -p290226 -aS'1.3\t1.3\tCD\tB-NP\tO' -p290227 -aS',\t,\t,\tO\tO' -p290228 -aS'glucose\tglucose\tNN\tB-NP\tO' -p290229 -aS'of\tof\tIN\tB-PP\tO' -p290230 -aS'220\t220\tCD\tB-NP\tO' -p290231 -aS'.\t.\t.\tO\tO' -p290232 -asS'He was started on Coumadin for DVT prophylaxis and Ancef for routine antimicrobial coverage .' -p290233 -(lp290234 -S'He\tHe\tPRP\tB-NP\tO' -p290235 -aS'was\tbe\tVBD\tB-VP\tO' -p290236 -aS'started\tstart\tVBN\tI-VP\tO' -p290237 -aS'on\ton\tIN\tB-PP\tO' -p290238 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p290239 -aS'for\tfor\tIN\tB-PP\tO' -p290240 -aS'DVT\tDVT\tNN\tB-NP\tO' -p290241 -aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' -p290242 -aS'and\tand\tCC\tI-NP\tO' -p290243 -aS'Ancef\tAncef\tNN\tI-NP\tO' -p290244 -aS'for\tfor\tIN\tB-PP\tO' -p290245 -aS'routine\troutine\tJJ\tB-NP\tO' -p290246 -aS'antimicrobial\tantimicrobial\tJJ\tI-NP\tO' -p290247 -aS'coverage\tcoverage\tNN\tI-NP\tO' -p290248 -aS'.\t.\t.\tO\tO' -p290249 -asS'4. Aorta is intact post decannulation' -p290250 -(lp290251 -S'4.\t4.\tLS\tB-LST\tO' -p290252 -aS'Aorta\tAorta\tNNP\tB-NP\tO' -p290253 -aS'is\tbe\tVBZ\tB-VP\tO' -p290254 -aS'intact\tintact\tJJ\tB-NP\tO' -p290255 -aS'post\tpost\tNN\tI-NP\tO' -p290256 -aS'decannulation\tdecannulation\tNN\tI-NP\tO' -p290257 -asS'69 y/o female wtih PMH significant for ESRD on HD , type 2 DM , and recent PE resulting in PEA arrest admitted through the Juan with sepsis of unknown etiology .' -p290258 -(lp290259 -S'69\t69\tCD\tB-NP\tO' -p290260 -aS'y/o\ty/o\tNN\tI-NP\tO' -p290261 -aS'female\tfemale\tJJ\tI-NP\tO' -p290262 -aS'wtih\twtih\tNN\tI-NP\tO' -p290263 -aS'PMH\tPMH\tNN\tI-NP\tO' -p290264 -aS'significant\tsignificant\tJJ\tB-ADJP\tO' -p290265 -aS'for\tfor\tIN\tB-PP\tO' -p290266 -aS'ESRD\tESRD\tNN\tB-NP\tO' -p290267 -aS'on\ton\tIN\tB-PP\tO' -p290268 -aS'HD\tHD\tNN\tB-NP\tO' -p290269 -aS',\t,\t,\tO\tO' -p290270 -aS'type\ttype\tNN\tB-NP\tO' -p290271 -aS'2\t2\tCD\tI-NP\tO' -p290272 -aS'DM\tDM\tNN\tI-NP\tO' -p290273 -aS',\t,\t,\tO\tO' -p290274 -aS'and\tand\tCC\tO\tO' -p290275 -aS'recent\trecent\tJJ\tB-NP\tO' -p290276 -aS'PE\tPE\tNN\tI-NP\tO' -p290277 -aS'resulting\tresult\tVBG\tB-VP\tO' -p290278 -aS'in\tin\tIN\tB-PP\tO' -p290279 -aS'PEA\tPEA\tNN\tB-NP\tO' -p290280 -aS'arrest\tarrest\tNN\tI-NP\tO' -p290281 -aS'admitted\tadmit\tVBN\tB-VP\tO' -p290282 -aS'through\tthrough\tIN\tB-PP\tO' -p290283 -aS'the\tthe\tDT\tB-NP\tO' -p290284 -aS'Juan\tJuan\tNN\tI-NP\tO' -p290285 -aS'with\twith\tIN\tB-PP\tO' -p290286 -aS'sepsis\tsepsis\tNN\tB-NP\tO' -p290287 -aS'of\tof\tIN\tB-PP\tO' -p290288 -aS'unknown\tunknown\tJJ\tB-NP\tO' -p290289 -aS'etiology\tetiology\tNN\tI-NP\tO' -p290290 -aS'.\t.\t.\tO\tO' -p290291 -asS'The patient is a 60-year-old male with a past medical history notable for coronary artery disease and CABG x2 in 2001 .' -p290292 -(lp290293 -S'The\tThe\tDT\tB-NP\tO' -p290294 -aS'patient\tpatient\tNN\tI-NP\tO' -p290295 -aS'is\tbe\tVBZ\tB-VP\tO' -p290296 -aS'a\ta\tDT\tB-NP\tO' -p290297 -aS'60-year-old\t60-year-old\tJJ\tI-NP\tO' -p290298 -aS'male\tmale\tNN\tI-NP\tO' -p290299 -aS'with\twith\tIN\tB-PP\tO' -p290300 -aS'a\ta\tDT\tB-NP\tO' -p290301 -aS'past\tpast\tJJ\tI-NP\tO' -p290302 -aS'medical\tmedical\tJJ\tI-NP\tO' -p290303 -aS'history\thistory\tNN\tI-NP\tO' -p290304 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p290305 -aS'for\tfor\tIN\tB-PP\tO' -p290306 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p290307 -aS'artery\tartery\tNN\tI-NP\tO' -p290308 -aS'disease\tdisease\tNN\tI-NP\tO' -p290309 -aS'and\tand\tCC\tO\tO' -p290310 -aS'CABG\tCABG\tNN\tB-NP\tB-protein' -p290311 -aS'x2\tx2\tNN\tI-NP\tI-protein' -p290312 -aS'in\tin\tIN\tB-PP\tO' -p290313 -aS'2001\t2001\tCD\tB-NP\tO' -p290314 -aS'.\t.\t.\tO\tO' -p290315 -asS'The patient 's admitting chest x-ray showed an elevated left hemidiaphragm consistent with atelectasis versus splinting on that side .' -p290316 -(lp290317 -S'The\tThe\tDT\tB-NP\tO' -p290318 -aS'patient\tpatient\tNN\tI-NP\tO' -p290319 -aS''s\t'\tNNS\tI-NP\tO' -p290320 -aS'admitting\tadmit\tVBG\tB-VP\tO' -p290321 -aS'chest\tchest\tNN\tB-NP\tO' -p290322 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p290323 -aS'showed\tshow\tVBD\tB-VP\tO' -p290324 -aS'an\tan\tDT\tB-NP\tO' -p290325 -aS'elevated\televated\tJJ\tI-NP\tO' -p290326 -aS'left\tleft\tJJ\tI-NP\tO' -p290327 -aS'hemidiaphragm\themidiaphragm\tNN\tI-NP\tO' -p290328 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p290329 -aS'with\twith\tIN\tB-PP\tO' -p290330 -aS'atelectasis\tatelectasis\tNN\tB-NP\tO' -p290331 -aS'versus\tversus\tCC\tI-NP\tO' -p290332 -aS'splinting\tsplinting\tNN\tI-NP\tO' -p290333 -aS'on\ton\tIN\tB-PP\tO' -p290334 -aS'that\tthat\tDT\tB-NP\tO' -p290335 -aS'side\tside\tNN\tI-NP\tO' -p290336 -aS'.\t.\t.\tO\tO' -p290337 -asS'Drug toxicity would be a consideration , although somewhat less likely given the unilaterality of the findings .' -p290338 -(lp290339 -S'Drug\tDrug\tNN\tB-NP\tO' -p290340 -aS'toxicity\ttoxicity\tNN\tI-NP\tO' -p290341 -aS'would\twould\tMD\tB-VP\tO' -p290342 -aS'be\tbe\tVB\tI-VP\tO' -p290343 -aS'a\ta\tDT\tB-NP\tO' -p290344 -aS'consideration\tconsideration\tNN\tI-NP\tO' -p290345 -aS',\t,\t,\tO\tO' -p290346 -aS'although\talthough\tIN\tB-SBAR\tO' -p290347 -aS'somewhat\tsomewhat\tRB\tB-ADJP\tO' -p290348 -aS'less\tless\tRBR\tI-ADJP\tO' -p290349 -aS'likely\tlikely\tJJ\tI-ADJP\tO' -p290350 -aS'given\tgive\tVBN\tB-PP\tO' -p290351 -aS'the\tthe\tDT\tB-NP\tO' -p290352 -aS'unilaterality\tunilaterality\tNN\tI-NP\tO' -p290353 -aS'of\tof\tIN\tB-PP\tO' -p290354 -aS'the\tthe\tDT\tB-NP\tO' -p290355 -aS'findings\tfinding\tNNS\tI-NP\tO' -p290356 -aS'.\t.\t.\tO\tO' -p290357 -asS'Prothrombin time 11.7 , partial thromboplastin time 30.4 .' -p290358 -(lp290359 -S'Prothrombin\tProthrombin\tNN\tB-NP\tB-protein' -p290360 -aS'time\ttime\tNN\tI-NP\tI-protein' -p290361 -aS'11.7\t11.7\tCD\tB-NP\tI-protein' -p290362 -aS',\t,\t,\tO\tO' -p290363 -aS'partial\tpartial\tJJ\tB-NP\tO' -p290364 -aS'thromboplastin\tthromboplastin\tNN\tI-NP\tO' -p290365 -aS'time\ttime\tNN\tI-NP\tO' -p290366 -aS'30.4\t30.4\tCD\tB-NP\tO' -p290367 -aS'.\t.\t.\tO\tO' -p290368 -asS'To Boston Medical Center .' -p290369 -(lp290370 -S'To\tTo\tTO\tB-PP\tO' -p290371 -aS'Boston\tBoston\tNNP\tB-NP\tO' -p290372 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p290373 -aS'Center\tCenter\tNNP\tI-NP\tO' -p290374 -aS'.\t.\t.\tO\tO' -p290375 -asS'Rectal examination was heme negative with normal tone .' -p290376 -(lp290377 -S'Rectal\tRectal\tJJ\tB-NP\tO' -p290378 -aS'examination\texamination\tNN\tI-NP\tO' -p290379 -aS'was\tbe\tVBD\tB-VP\tO' -p290380 -aS'heme\theme\tNN\tB-NP\tO' -p290381 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p290382 -aS'with\twith\tIN\tB-PP\tO' -p290383 -aS'normal\tnormal\tJJ\tB-NP\tO' -p290384 -aS'tone\ttone\tNN\tI-NP\tO' -p290385 -aS'.\t.\t.\tO\tO' -p290386 -asS'Prior to this , he drank a bottle of wine a day' -p290387 -(lp290388 -S'Prior\tPrior\tRB\tB-ADVP\tO' -p290389 -aS'to\tto\tTO\tB-PP\tO' -p290390 -aS'this\tthis\tDT\tB-NP\tO' -p290391 -aS',\t,\t,\tO\tO' -p290392 -aS'he\the\tPRP\tB-NP\tO' -p290393 -aS'drank\tdrink\tVBD\tB-VP\tO' -p290394 -aS'a\ta\tDT\tB-NP\tO' -p290395 -aS'bottle\tbottle\tNN\tI-NP\tO' -p290396 -aS'of\tof\tIN\tB-PP\tO' -p290397 -aS'wine\twine\tNN\tB-NP\tO' -p290398 -aS'a\ta\tDT\tB-NP\tO' -p290399 -aS'day\tday\tNN\tI-NP\tO' -p290400 -asS'The patient subsequently had a limited chest CT at Bri Health which showed diffuse bilateral pulmonary metastases , metastases to the sternum , rib , multiple spinal levels ; internal mammary lymphadenopathy .' -p290401 -(lp290402 -S'The\tThe\tDT\tB-NP\tO' -p290403 -aS'patient\tpatient\tNN\tI-NP\tO' -p290404 -aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' -p290405 -aS'had\thave\tVBD\tB-VP\tO' -p290406 -aS'a\ta\tDT\tB-NP\tO' -p290407 -aS'limited\tlimited\tJJ\tI-NP\tO' -p290408 -aS'chest\tchest\tNN\tI-NP\tO' -p290409 -aS'CT\tCT\tNN\tI-NP\tO' -p290410 -aS'at\tat\tIN\tB-PP\tO' -p290411 -aS'Bri\tBri\tNNP\tB-NP\tO' -p290412 -aS'Health\tHealth\tNNP\tI-NP\tO' -p290413 -aS'which\twhich\tWDT\tB-NP\tO' -p290414 -aS'showed\tshow\tVBD\tB-VP\tO' -p290415 -aS'diffuse\tdiffuse\tJJ\tB-NP\tO' -p290416 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p290417 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p290418 -aS'metastases\tmetastasis\tNNS\tI-NP\tO' -p290419 -aS',\t,\t,\tO\tO' -p290420 -aS'metastases\tmetastasis\tNNS\tB-NP\tO' -p290421 -aS'to\tto\tTO\tB-PP\tO' -p290422 -aS'the\tthe\tDT\tB-NP\tO' -p290423 -aS'sternum\tsternum\tNN\tI-NP\tO' -p290424 -aS',\t,\t,\tO\tO' -p290425 -aS'rib\trib\tNN\tB-NP\tB-protein' -p290426 -aS',\t,\t,\tO\tO' -p290427 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p290428 -aS'spinal\tspinal\tJJ\tI-NP\tO' -p290429 -aS'levels\tlevel\tNNS\tI-NP\tO' -p290430 -aS';\t;\t:\tO\tO' -p290431 -aS'internal\tinternal\tJJ\tB-NP\tO' -p290432 -aS'mammary\tmammary\tJJ\tI-NP\tO' -p290433 -aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' -p290434 -aS'.\t.\t.\tO\tO' -p290435 -asS'6) bilateral Neuropathy of lower extremities' -p290436 -(lp290437 -S'6)\t6)\tLS\tB-NP\tO' -p290438 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p290439 -aS'Neuropathy\tNeuropathy\tNN\tI-NP\tO' -p290440 -aS'of\tof\tIN\tB-PP\tO' -p290441 -aS'lower\tlow\tJJR\tB-NP\tO' -p290442 -aS'extremities\textremity\tNNS\tI-NP\tO' -p290443 -asS'A head and neck CT scan , non-contrast , were ordered though to evaluate for such processes .' -p290444 -(lp290445 -S'A\tA\tDT\tB-NP\tO' -p290446 -aS'head\thead\tNN\tI-NP\tO' -p290447 -aS'and\tand\tCC\tI-NP\tO' -p290448 -aS'neck\tneck\tNN\tI-NP\tO' -p290449 -aS'CT\tCT\tNN\tI-NP\tO' -p290450 -aS'scan\tscan\tNN\tI-NP\tO' -p290451 -aS',\t,\t,\tO\tO' -p290452 -aS'non-contrast\tnon-contrast\tJJ\tB-ADJP\tO' -p290453 -aS',\t,\t,\tO\tO' -p290454 -aS'were\tbe\tVBD\tB-VP\tO' -p290455 -aS'ordered\torder\tVBN\tI-VP\tO' -p290456 -aS'though\tthough\tIN\tB-SBAR\tO' -p290457 -aS'to\tto\tTO\tB-VP\tO' -p290458 -aS'evaluate\tevaluate\tVB\tI-VP\tO' -p290459 -aS'for\tfor\tIN\tB-PP\tO' -p290460 -aS'such\tsuch\tJJ\tB-NP\tO' -p290461 -aS'processes\tprocess\tNNS\tI-NP\tO' -p290462 -aS'.\t.\t.\tO\tO' -p290463 -asS'The patient will have SMH Service that comes to her home once a day for adressing change .' -p290464 -(lp290465 -S'The\tThe\tDT\tB-NP\tO' -p290466 -aS'patient\tpatient\tNN\tI-NP\tO' -p290467 -aS'will\twill\tMD\tB-VP\tO' -p290468 -aS'have\thave\tVB\tI-VP\tO' -p290469 -aS'SMH\tSMH\tNNP\tB-NP\tO' -p290470 -aS'Service\tService\tNNP\tI-NP\tO' -p290471 -aS'that\tthat\tWDT\tB-NP\tO' -p290472 -aS'comes\tcome\tVBZ\tB-VP\tO' -p290473 -aS'to\tto\tTO\tB-PP\tO' -p290474 -aS'her\ther\tPRP$\tB-NP\tO' -p290475 -aS'home\thome\tNN\tI-NP\tO' -p290476 -aS'once\tonce\tIN\tB-SBAR\tO' -p290477 -aS'a\ta\tDT\tB-NP\tO' -p290478 -aS'day\tday\tNN\tI-NP\tO' -p290479 -aS'for\tfor\tIN\tB-PP\tO' -p290480 -aS'adressing\tadresse\tVBG\tB-VP\tO' -p290481 -aS'change\tchange\tNN\tB-NP\tO' -p290482 -aS'.\t.\t.\tO\tO' -p290483 -asS'Blood pressure was 150/79 , a pulse of 81 .' -p290484 -(lp290485 -S'Blood\tBlood\tNN\tB-NP\tO' -p290486 -aS'pressure\tpressure\tNN\tI-NP\tO' -p290487 -aS'was\tbe\tVBD\tB-VP\tO' -p290488 -aS'150/79\t150/79\tCD\tB-NP\tO' -p290489 -aS',\t,\t,\tO\tO' -p290490 -aS'a\ta\tDT\tB-NP\tO' -p290491 -aS'pulse\tpulse\tNN\tI-NP\tO' -p290492 -aS'of\tof\tIN\tB-PP\tO' -p290493 -aS'81\t81\tCD\tB-NP\tO' -p290494 -aS'.\t.\t.\tO\tO' -p290495 -asS'After starting broad spectrum antibiotics - cefepime - vancomycin and flagyl ( for initial concern of aspiration pneumonia ), he responded clinically .' -p290496 -(lp290497 -S'After\tAfter\tIN\tB-PP\tO' -p290498 -aS'starting\tstart\tVBG\tB-VP\tO' -p290499 -aS'broad\tbroad\tJJ\tB-NP\tO' -p290500 -aS'spectrum\tspectrum\tNN\tI-NP\tO' -p290501 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p290502 -aS'-\t-\tHYPH\tB-NP\tO' -p290503 -aS'cefepime\tcefepime\tNN\tI-NP\tO' -p290504 -aS'-\t-\tHYPH\tB-NP\tO' -p290505 -aS'vancomycin\tvancomycin\tNN\tI-NP\tO' -p290506 -aS'and\tand\tCC\tI-NP\tO' -p290507 -aS'flagyl\tflagyl\tNN\tI-NP\tO' -p290508 -aS'(\t(\t(\tO\tO' -p290509 -aS'for\tfor\tIN\tB-PP\tO' -p290510 -aS'initial\tinitial\tJJ\tB-NP\tO' -p290511 -aS'concern\tconcern\tNN\tI-NP\tO' -p290512 -aS'of\tof\tIN\tB-PP\tO' -p290513 -aS'aspiration\taspiration\tNN\tB-NP\tO' -p290514 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p290515 -aS'),\t),\tVBD\tB-VP\tO' -p290516 -aS'he\the\tPRP\tB-NP\tO' -p290517 -aS'responded\trespond\tVBD\tB-VP\tO' -p290518 -aS'clinically\tclinically\tRB\tB-ADVP\tO' -p290519 -aS'.\t.\t.\tO\tO' -p290520 -asS'Thad lesion was read as a facet hypertrophy and not an infectious process .' -p290521 -(lp290522 -S'Thad\tThad\tJJ\tB-NP\tO' -p290523 -aS'lesion\tlesion\tNN\tI-NP\tO' -p290524 -aS'was\tbe\tVBD\tB-VP\tO' -p290525 -aS'read\tread\tVBN\tI-VP\tO' -p290526 -aS'as\tas\tIN\tB-PP\tO' -p290527 -aS'a\ta\tDT\tB-NP\tO' -p290528 -aS'facet\tfacet\tJJ\tI-NP\tO' -p290529 -aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' -p290530 -aS'and\tand\tCC\tB-NP\tO' -p290531 -aS'not\tnot\tRB\tI-NP\tO' -p290532 -aS'an\tan\tDT\tB-NP\tO' -p290533 -aS'infectious\tinfectious\tJJ\tI-NP\tO' -p290534 -aS'process\tprocess\tNN\tI-NP\tO' -p290535 -aS'.\t.\t.\tO\tO' -p290536 -asS'Pilonidal cyst removal .' -p290537 -(lp290538 -S'Pilonidal\tPilonidal\tJJ\tB-NP\tO' -p290539 -aS'cyst\tcyst\tNN\tI-NP\tO' -p290540 -aS'removal\tremoval\tNN\tI-NP\tO' -p290541 -aS'.\t.\t.\tO\tO' -p290542 -asS'Left ventricular function .' -p290543 -(lp290544 -S'Left\tLeave\tVBN\tB-NP\tO' -p290545 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p290546 -aS'function\tfunction\tNN\tI-NP\tO' -p290547 -aS'.\t.\t.\tO\tO' -p290548 -asS'His hematocrit was 44.4 , with white blood count of 11.9 , and platelet count of 410 .' -p290549 -(lp290550 -S'His\tHis\tPRP$\tB-NP\tO' -p290551 -aS'hematocrit\thematocrit\tNN\tI-NP\tB-protein' -p290552 -aS'was\tbe\tVBD\tB-VP\tI-protein' -p290553 -aS'44.4\t44.4\tCD\tB-NP\tI-protein' -p290554 -aS',\t,\t,\tO\tO' -p290555 -aS'with\twith\tIN\tB-PP\tO' -p290556 -aS'white\twhite\tJJ\tB-NP\tO' -p290557 -aS'blood\tblood\tNN\tI-NP\tO' -p290558 -aS'count\tcount\tNN\tI-NP\tO' -p290559 -aS'of\tof\tIN\tB-PP\tO' -p290560 -aS'11.9\t11.9\tCD\tB-NP\tO' -p290561 -aS',\t,\t,\tO\tO' -p290562 -aS'and\tand\tCC\tO\tO' -p290563 -aS'platelet\tplatelet\tNN\tB-NP\tO' -p290564 -aS'count\tcount\tNN\tI-NP\tO' -p290565 -aS'of\tof\tIN\tB-PP\tO' -p290566 -aS'410\t410\tCD\tB-NP\tO' -p290567 -aS'.\t.\t.\tO\tO' -p290568 -asS'4. Tube gastrostomy .' -p290569 -(lp290570 -S'4.\t4.\tLS\tB-NP\tO' -p290571 -aS'Tube\tTube\tNN\tI-NP\tO' -p290572 -aS'gastrostomy\tgastrostomy\tNN\tI-NP\tO' -p290573 -aS'.\t.\t.\tO\tO' -p290574 -asS'Follow-up with his various doctors as noted above .' -p290575 -(lp290576 -S'Follow-up\tFollow-up\tNN\tB-NP\tO' -p290577 -aS'with\twith\tIN\tB-PP\tO' -p290578 -aS'his\this\tPRP$\tB-NP\tO' -p290579 -aS'various\tvarious\tJJ\tI-NP\tO' -p290580 -aS'doctors\tdoctor\tNNS\tI-NP\tO' -p290581 -aS'as\tas\tIN\tB-SBAR\tO' -p290582 -aS'noted\tnote\tVBN\tB-VP\tO' -p290583 -aS'above\tabove\tRB\tB-ADVP\tO' -p290584 -aS'.\t.\t.\tO\tO' -p290585 -asS'Chronic GI bleeding : documented AVMs' -p290586 -(lp290587 -S'Chronic\tChronic\tJJ\tB-NP\tO' -p290588 -aS'GI\tGI\tNN\tI-NP\tO' -p290589 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p290590 -aS':\t:\t:\tO\tO' -p290591 -aS'documented\tdocument\tVBN\tB-NP\tO' -p290592 -aS'AVMs\tAVM\tNNS\tI-NP\tO' -p290593 -asS'Estimated blood loss of 300 cc .' -p290594 -(lp290595 -S'Estimated\tEstimate\tVBN\tB-NP\tO' -p290596 -aS'blood\tblood\tNN\tI-NP\tO' -p290597 -aS'loss\tloss\tNN\tI-NP\tO' -p290598 -aS'of\tof\tIN\tB-PP\tO' -p290599 -aS'300\t300\tCD\tB-NP\tO' -p290600 -aS'cc\tcc\tNN\tI-NP\tO' -p290601 -aS'.\t.\t.\tO\tO' -p290602 -asS'1. AGA 32-5/7 week pre-term female .' -p290603 -(lp290604 -S'1.\t1.\tLS\tB-LST\tO' -p290605 -aS'AGA\tAGA\tNN\tB-NP\tO' -p290606 -aS'32-5/7\t32-5/7\tCD\tI-NP\tO' -p290607 -aS'week\tweek\tNN\tI-NP\tO' -p290608 -aS'pre-term\tpre-term\tJJ\tI-NP\tO' -p290609 -aS'female\tfemale\tNN\tI-NP\tO' -p290610 -aS'.\t.\t.\tO\tO' -p290611 -asS'She continued to have profound weakness , a decreased appetite and weight loss .' -p290612 -(lp290613 -S'She\tShe\tPRP\tB-NP\tO' -p290614 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p290615 -aS'to\tto\tTO\tI-VP\tO' -p290616 -aS'have\thave\tVB\tI-VP\tO' -p290617 -aS'profound\tprofound\tJJ\tB-NP\tO' -p290618 -aS'weakness\tweakness\tNN\tI-NP\tO' -p290619 -aS',\t,\t,\tO\tO' -p290620 -aS'a\ta\tDT\tB-NP\tO' -p290621 -aS'decreased\tdecrease\tVBN\tI-NP\tO' -p290622 -aS'appetite\tappetite\tNN\tI-NP\tO' -p290623 -aS'and\tand\tCC\tI-NP\tO' -p290624 -aS'weight\tweight\tNN\tI-NP\tO' -p290625 -aS'loss\tloss\tNN\tI-NP\tO' -p290626 -aS'.\t.\t.\tO\tO' -p290627 -asS'He denied any history of recent travel .' -p290628 -(lp290629 -S'He\tHe\tPRP\tB-NP\tO' -p290630 -aS'denied\tdeny\tVBD\tB-VP\tO' -p290631 -aS'any\tany\tDT\tB-NP\tO' -p290632 -aS'history\thistory\tNN\tI-NP\tO' -p290633 -aS'of\tof\tIN\tB-PP\tO' -p290634 -aS'recent\trecent\tJJ\tB-NP\tO' -p290635 -aS'travel\ttravel\tNN\tI-NP\tO' -p290636 -aS'.\t.\t.\tO\tO' -p290637 -asS'Chest x-ray shows no infiltrate or pneumothorax .' -p290638 -(lp290639 -S'Chest\tCh\tJJS\tB-NP\tO' -p290640 -aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' -p290641 -aS'shows\tshow\tVBZ\tB-VP\tO' -p290642 -aS'no\tno\tDT\tB-NP\tO' -p290643 -aS'infiltrate\tinfiltrate\tNN\tI-NP\tO' -p290644 -aS'or\tor\tCC\tI-NP\tO' -p290645 -aS'pneumothorax\tpneumothorax\tNN\tI-NP\tO' -p290646 -aS'.\t.\t.\tO\tO' -p290647 -asS'He remained hemodynamically stable throughout the remainder of his operative day .' -p290648 -(lp290649 -S'He\tHe\tPRP\tB-NP\tO' -p290650 -aS'remained\tremain\tVBD\tB-VP\tO' -p290651 -aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' -p290652 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p290653 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p290654 -aS'the\tthe\tDT\tB-NP\tO' -p290655 -aS'remainder\tremainder\tNN\tI-NP\tO' -p290656 -aS'of\tof\tIN\tB-PP\tO' -p290657 -aS'his\this\tPRP$\tB-NP\tO' -p290658 -aS'operative\toperative\tJJ\tI-NP\tO' -p290659 -aS'day\tday\tNN\tI-NP\tO' -p290660 -aS'.\t.\t.\tO\tO' -p290661 -asS'Included Prinzide 12.5 mg po daily , albuterol inhaler prn' -p290662 -(lp290663 -S'Included\tInclude\tVBD\tB-VP\tO' -p290664 -aS'Prinzide\tPrinzide\tNNP\tB-NP\tO' -p290665 -aS'12.5\t12.5\tCD\tI-NP\tO' -p290666 -aS'mg\tmg\tNN\tI-NP\tO' -p290667 -aS'po\tpo\tRB\tB-ADVP\tO' -p290668 -aS'daily\tdaily\tRB\tI-ADVP\tO' -p290669 -aS',\t,\t,\tO\tO' -p290670 -aS'albuterol\talbuterol\tNN\tB-NP\tO' -p290671 -aS'inhaler\tinhaler\tNN\tI-NP\tO' -p290672 -aS'prn\tprn\tNN\tI-NP\tO' -p290673 -asS'He has been asymptomatic .' -p290674 -(lp290675 -S'He\tHe\tPRP\tB-NP\tO' -p290676 -aS'has\thave\tVBZ\tB-VP\tO' -p290677 -aS'been\tbe\tVBN\tI-VP\tO' -p290678 -aS'asymptomatic\tasymptomatic\tJJ\tB-ADJP\tO' -p290679 -aS'.\t.\t.\tO\tO' -p290680 -asS'Had tubular breath sounds especially in the lower lung fields .' -p290681 -(lp290682 -S'Had\tHave\tVBD\tB-VP\tO' -p290683 -aS'tubular\ttubular\tJJ\tB-NP\tO' -p290684 -aS'breath\tbreath\tNN\tI-NP\tO' -p290685 -aS'sounds\tsound\tVBZ\tB-VP\tO' -p290686 -aS'especially\tespecially\tRB\tB-ADVP\tO' -p290687 -aS'in\tin\tIN\tB-PP\tO' -p290688 -aS'the\tthe\tDT\tB-NP\tO' -p290689 -aS'lower\tlow\tJJR\tI-NP\tO' -p290690 -aS'lung\tlung\tNN\tI-NP\tO' -p290691 -aS'fields\tfield\tNNS\tI-NP\tO' -p290692 -aS'.\t.\t.\tO\tO' -p290693 -asS'The patient is to follow-up with Dr. Brenda Hummer four weeks following discharge .' -p290694 -(lp290695 -S'The\tThe\tDT\tB-NP\tO' -p290696 -aS'patient\tpatient\tNN\tI-NP\tO' -p290697 -aS'is\tbe\tVBZ\tB-VP\tO' -p290698 -aS'to\tto\tTO\tB-VP\tO' -p290699 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p290700 -aS'with\twith\tIN\tB-PP\tO' -p290701 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p290702 -aS'Brenda\tBrenda\tNNP\tI-NP\tO' -p290703 -aS'Hummer\tHummer\tNNP\tI-NP\tO' -p290704 -aS'four\tfour\tCD\tB-NP\tO' -p290705 -aS'weeks\tweek\tNNS\tI-NP\tO' -p290706 -aS'following\tfollow\tVBG\tB-PP\tO' -p290707 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p290708 -aS'.\t.\t.\tO\tO' -p290709 -asS'The hCG on admission was 30,710 and on 1/19 was 805 .' -p290710 -(lp290711 -S'The\tThe\tDT\tB-NP\tO' -p290712 -aS'hCG\thCG\tNN\tI-NP\tO' -p290713 -aS'on\ton\tIN\tB-PP\tO' -p290714 -aS'admission\tadmission\tNN\tB-NP\tO' -p290715 -aS'was\tbe\tVBD\tB-VP\tO' -p290716 -aS'30,710\t30,710\tCD\tB-NP\tO' -p290717 -aS'and\tand\tCC\tO\tO' -p290718 -aS'on\ton\tIN\tB-PP\tO' -p290719 -aS'1/19\t1/19\tCD\tB-NP\tO' -p290720 -aS'was\tbe\tVBD\tB-VP\tO' -p290721 -aS'805\t805\tCD\tB-NP\tO' -p290722 -aS'.\t.\t.\tO\tO' -p290723 -asS'Sating 98% on 3 liters .' -p290724 -(lp290725 -S'Sating\tSate\tVBG\tB-VP\tO' -p290726 -aS'98%\t98%\tCD\tB-NP\tO' -p290727 -aS'on\ton\tIN\tB-PP\tO' -p290728 -aS'3\t3\tCD\tB-NP\tO' -p290729 -aS'liters\tliter\tNNS\tI-NP\tO' -p290730 -aS'.\t.\t.\tO\tO' -p290731 -asS'At discharge after about two weeks post-extubation , he had an O2 saturation of approximately 95% on room air .' -p290732 -(lp290733 -S'At\tAt\tIN\tB-PP\tO' -p290734 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p290735 -aS'after\tafter\tIN\tB-PP\tO' -p290736 -aS'about\tabout\tIN\tB-NP\tO' -p290737 -aS'two\ttwo\tCD\tI-NP\tO' -p290738 -aS'weeks\tweek\tNNS\tI-NP\tO' -p290739 -aS'post-extubation\tpost-extubation\tJJ\tB-ADJP\tO' -p290740 -aS',\t,\t,\tO\tO' -p290741 -aS'he\the\tPRP\tB-NP\tO' -p290742 -aS'had\thave\tVBD\tB-VP\tO' -p290743 -aS'an\tan\tDT\tB-NP\tO' -p290744 -aS'O2\tO2\tNN\tI-NP\tO' -p290745 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p290746 -aS'of\tof\tIN\tB-PP\tO' -p290747 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p290748 -aS'95%\t95%\tCD\tI-NP\tO' -p290749 -aS'on\ton\tIN\tB-PP\tO' -p290750 -aS'room\troom\tNN\tB-NP\tO' -p290751 -aS'air\tair\tNN\tI-NP\tO' -p290752 -aS'.\t.\t.\tO\tO' -p290753 -asS'She had an echocardiogram which showed a hyperdynamic left ventricular of normal thickness and size , and no significant valvular disease .' -p290754 -(lp290755 -S'She\tShe\tPRP\tB-NP\tO' -p290756 -aS'had\thave\tVBD\tB-VP\tO' -p290757 -aS'an\tan\tDT\tB-NP\tO' -p290758 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p290759 -aS'which\twhich\tWDT\tB-NP\tO' -p290760 -aS'showed\tshow\tVBD\tB-VP\tO' -p290761 -aS'a\ta\tDT\tB-NP\tO' -p290762 -aS'hyperdynamic\thyperdynamic\tJJ\tI-NP\tO' -p290763 -aS'left\tleft\tNN\tI-NP\tO' -p290764 -aS'ventricular\tventricular\tJJ\tB-ADJP\tO' -p290765 -aS'of\tof\tIN\tB-PP\tO' -p290766 -aS'normal\tnormal\tJJ\tB-NP\tO' -p290767 -aS'thickness\tthickness\tNN\tI-NP\tO' -p290768 -aS'and\tand\tCC\tI-NP\tO' -p290769 -aS'size\tsize\tNN\tI-NP\tO' -p290770 -aS',\t,\t,\tO\tO' -p290771 -aS'and\tand\tCC\tO\tO' -p290772 -aS'no\tno\tDT\tB-NP\tO' -p290773 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p290774 -aS'valvular\tvalvular\tJJ\tI-NP\tO' -p290775 -aS'disease\tdisease\tNN\tI-NP\tO' -p290776 -aS'.\t.\t.\tO\tO' -p290777 -asS'He was told to call a doctor or come to the emergency room should he have any further troubles , breathing , chest pain , or fevers .' -p290778 -(lp290779 -S'He\tHe\tPRP\tB-NP\tO' -p290780 -aS'was\tbe\tVBD\tB-VP\tO' -p290781 -aS'told\ttell\tVBN\tI-VP\tO' -p290782 -aS'to\tto\tTO\tI-VP\tO' -p290783 -aS'call\tcall\tVB\tI-VP\tO' -p290784 -aS'a\ta\tDT\tB-NP\tO' -p290785 -aS'doctor\tdoctor\tNN\tI-NP\tO' -p290786 -aS'or\tor\tCC\tO\tO' -p290787 -aS'come\tcome\tVBN\tB-VP\tO' -p290788 -aS'to\tto\tTO\tB-PP\tO' -p290789 -aS'the\tthe\tDT\tB-NP\tO' -p290790 -aS'emergency\temergency\tNN\tI-NP\tO' -p290791 -aS'room\troom\tNN\tI-NP\tO' -p290792 -aS'should\tshould\tMD\tO\tO' -p290793 -aS'he\the\tPRP\tB-NP\tO' -p290794 -aS'have\thave\tVB\tB-VP\tO' -p290795 -aS'any\tany\tDT\tB-NP\tO' -p290796 -aS'further\tfurther\tJJ\tI-NP\tO' -p290797 -aS'troubles\ttrouble\tNNS\tI-NP\tO' -p290798 -aS',\t,\t,\tO\tO' -p290799 -aS'breathing\tbreathing\tNN\tB-NP\tO' -p290800 -aS',\t,\t,\tO\tO' -p290801 -aS'chest\tchest\tNN\tB-NP\tO' -p290802 -aS'pain\tpain\tNN\tI-NP\tO' -p290803 -aS',\t,\t,\tO\tO' -p290804 -aS'or\tor\tCC\tO\tO' -p290805 -aS'fevers\tfever\tNNS\tB-NP\tO' -p290806 -aS'.\t.\t.\tO\tO' -p290807 -asS'Neck , she has II+ bilateral carotids , no bruits , no jugular venous distention .' -p290808 -(lp290809 -S'Neck\tNeck\tRB\tB-ADVP\tO' -p290810 -aS',\t,\t,\tO\tO' -p290811 -aS'she\tshe\tPRP\tB-NP\tO' -p290812 -aS'has\thave\tVBZ\tB-VP\tO' -p290813 -aS'II+\tII+\tJJ\tB-NP\tO' -p290814 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p290815 -aS'carotids\tcarotid\tNNS\tI-NP\tO' -p290816 -aS',\t,\t,\tO\tO' -p290817 -aS'no\tno\tDT\tB-NP\tO' -p290818 -aS'bruits\tbruit\tNNS\tI-NP\tO' -p290819 -aS',\t,\t,\tO\tO' -p290820 -aS'no\tno\tDT\tB-NP\tO' -p290821 -aS'jugular\tjugular\tJJ\tI-NP\tO' -p290822 -aS'venous\tvenous\tJJ\tI-NP\tO' -p290823 -aS'distention\tdistention\tNN\tI-NP\tO' -p290824 -aS'.\t.\t.\tO\tO' -p290825 -asS'02/90 , total abdominal hysterectomy complicated by ureteral transection with right ureteral tube placed for six weeks , stent tube placed in left ureter six weeks prior to admission for a hydronephrosis post , in 03/91 , bilateral salpingo-oophorectomy and appendectomy .' -p290826 -(lp290827 -S'02/90\t02/90\tCD\tB-NP\tO' -p290828 -aS',\t,\t,\tO\tO' -p290829 -aS'total\ttotal\tJJ\tB-NP\tO' -p290830 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p290831 -aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' -p290832 -aS'complicated\tcomplicate\tVBN\tB-VP\tO' -p290833 -aS'by\tby\tIN\tB-PP\tO' -p290834 -aS'ureteral\tureteral\tJJ\tB-NP\tO' -p290835 -aS'transection\ttransection\tNN\tI-NP\tO' -p290836 -aS'with\twith\tIN\tB-PP\tO' -p290837 -aS'right\tright\tJJ\tB-NP\tO' -p290838 -aS'ureteral\tureteral\tJJ\tI-NP\tO' -p290839 -aS'tube\ttube\tNN\tI-NP\tO' -p290840 -aS'placed\tplace\tVBN\tB-VP\tO' -p290841 -aS'for\tfor\tIN\tB-PP\tO' -p290842 -aS'six\tsix\tCD\tB-NP\tO' -p290843 -aS'weeks\tweek\tNNS\tI-NP\tO' -p290844 -aS',\t,\t,\tO\tO' -p290845 -aS'stent\tstent\tJJ\tB-NP\tO' -p290846 -aS'tube\ttube\tNN\tI-NP\tO' -p290847 -aS'placed\tplace\tVBN\tB-VP\tO' -p290848 -aS'in\tin\tIN\tB-PP\tO' -p290849 -aS'left\tleft\tJJ\tB-NP\tO' -p290850 -aS'ureter\tureter\tNN\tI-NP\tO' -p290851 -aS'six\tsix\tCD\tB-NP\tO' -p290852 -aS'weeks\tweek\tNNS\tI-NP\tO' -p290853 -aS'prior\tprior\tRB\tB-ADVP\tO' -p290854 -aS'to\tto\tTO\tB-PP\tO' -p290855 -aS'admission\tadmission\tNN\tB-NP\tO' -p290856 -aS'for\tfor\tIN\tB-PP\tO' -p290857 -aS'a\ta\tDT\tB-NP\tO' -p290858 -aS'hydronephrosis\thydronephrosis\tNN\tI-NP\tO' -p290859 -aS'post\tpost\tNN\tI-NP\tO' -p290860 -aS',\t,\t,\tO\tO' -p290861 -aS'in\tin\tIN\tB-PP\tO' -p290862 -aS'03/91\t03/91\tCD\tB-NP\tO' -p290863 -aS',\t,\t,\tO\tO' -p290864 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p290865 -aS'salpingo-oophorectomy\tsalpingo-oophorectomy\tNN\tI-NP\tO' -p290866 -aS'and\tand\tCC\tI-NP\tO' -p290867 -aS'appendectomy\tappendectomy\tNN\tI-NP\tO' -p290868 -aS'.\t.\t.\tO\tO' -p290869 -asS'This is a 32 year old male who was recently discharged from Mediplex Rehab Hospital and presents again to us with chief complaint of abdominal pain ( sudden onset left-sided abdominal pain ).' -p290870 -(lp290871 -S'This\tThis\tDT\tB-NP\tO' -p290872 -aS'is\tbe\tVBZ\tB-VP\tO' -p290873 -aS'a\ta\tDT\tB-NP\tO' -p290874 -aS'32\t32\tCD\tI-NP\tO' -p290875 -aS'year\tyear\tNN\tI-NP\tO' -p290876 -aS'old\told\tJJ\tI-NP\tO' -p290877 -aS'male\tmale\tNN\tI-NP\tO' -p290878 -aS'who\twho\tWP\tB-NP\tO' -p290879 -aS'was\tbe\tVBD\tB-VP\tO' -p290880 -aS'recently\trecently\tRB\tI-VP\tO' -p290881 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p290882 -aS'from\tfrom\tIN\tB-PP\tO' -p290883 -aS'Mediplex\tMediplex\tNNP\tB-NP\tO' -p290884 -aS'Rehab\tRehab\tNNP\tI-NP\tO' -p290885 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p290886 -aS'and\tand\tCC\tO\tO' -p290887 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p290888 -aS'again\tagain\tRB\tB-ADVP\tO' -p290889 -aS'to\tto\tTO\tB-PP\tO' -p290890 -aS'us\tus\tPRP\tB-NP\tO' -p290891 -aS'with\twith\tIN\tB-PP\tO' -p290892 -aS'chief\tchief\tNN\tB-NP\tO' -p290893 -aS'complaint\tcomplaint\tNN\tI-NP\tO' -p290894 -aS'of\tof\tIN\tB-PP\tO' -p290895 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p290896 -aS'pain\tpain\tNN\tI-NP\tO' -p290897 -aS'(\t(\t(\tO\tO' -p290898 -aS'sudden\tsudden\tJJ\tB-NP\tO' -p290899 -aS'onset\tonset\tNN\tI-NP\tO' -p290900 -aS'left-sided\tleft-sided\tJJ\tI-NP\tO' -p290901 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p290902 -aS'pain\tpain\tNN\tI-NP\tO' -p290903 -aS').\t).\t.\tO\tO' -p290904 -asS'Ultrasound was obtained of the biliary tree which demonstrated no abnormalities .' -p290905 -(lp290906 -S'Ultrasound\tUltrasound\tNN\tB-NP\tO' -p290907 -aS'was\tbe\tVBD\tB-VP\tO' -p290908 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p290909 -aS'of\tof\tIN\tB-PP\tO' -p290910 -aS'the\tthe\tDT\tB-NP\tO' -p290911 -aS'biliary\tbiliary\tJJ\tI-NP\tO' -p290912 -aS'tree\ttree\tNN\tI-NP\tO' -p290913 -aS'which\twhich\tWDT\tB-NP\tO' -p290914 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p290915 -aS'no\tno\tDT\tB-NP\tO' -p290916 -aS'abnormalities\tabnormality\tNNS\tI-NP\tO' -p290917 -aS'.\t.\t.\tO\tO' -p290918 -asS'His Avandia was discontinued secondary to the side effect profile .' -p290919 -(lp290920 -S'His\tHis\tNNP\tB-NP\tO' -p290921 -aS'Avandia\tAvandia\tNNP\tI-NP\tO' -p290922 -aS'was\tbe\tVBD\tB-VP\tO' -p290923 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p290924 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p290925 -aS'to\tto\tTO\tB-PP\tO' -p290926 -aS'the\tthe\tDT\tB-NP\tO' -p290927 -aS'side\tside\tNN\tI-NP\tO' -p290928 -aS'effect\teffect\tNN\tI-NP\tO' -p290929 -aS'profile\tprofile\tNN\tI-NP\tO' -p290930 -aS'.\t.\t.\tO\tO' -p290931 -asS'Signed electronically by : DR. Kenneth Din on : TUE 2013-09-17 11:14 AM' -p290932 -(lp290933 -S'Signed\tSign\tVBN\tB-VP\tO' -p290934 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p290935 -aS'by\tby\tIN\tB-PP\tO' -p290936 -aS':\t:\t:\tO\tO' -p290937 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p290938 -aS'Kenneth\tKenneth\tNNP\tI-NP\tO' -p290939 -aS'Din\tDin\tNNP\tI-NP\tO' -p290940 -aS'on\ton\tIN\tB-PP\tO' -p290941 -aS':\t:\t:\tO\tO' -p290942 -aS'TUE\tTUE\tNN\tB-NP\tO' -p290943 -aS'2013-09-17\t2013-09-17\tCD\tI-NP\tO' -p290944 -aS'11:14\t11:14\tCD\tI-NP\tO' -p290945 -aS'AM\tAM\tNN\tI-NP\tO' -p290946 -asS'The patient is to be discharged to home with instructions for follow-up .' -p290947 -(lp290948 -S'The\tThe\tDT\tB-NP\tO' -p290949 -aS'patient\tpatient\tNN\tI-NP\tO' -p290950 -aS'is\tbe\tVBZ\tB-VP\tO' -p290951 -aS'to\tto\tTO\tI-VP\tO' -p290952 -aS'be\tbe\tVB\tI-VP\tO' -p290953 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p290954 -aS'to\tto\tTO\tB-PP\tO' -p290955 -aS'home\thome\tNN\tB-NP\tO' -p290956 -aS'with\twith\tIN\tB-PP\tO' -p290957 -aS'instructions\tinstruction\tNNS\tB-NP\tO' -p290958 -aS'for\tfor\tIN\tB-PP\tO' -p290959 -aS'follow-up\tfollow-up\tNN\tB-NP\tO' -p290960 -aS'.\t.\t.\tO\tO' -p290961 -asS"3. Congestive heart failure - During the initial course of the patient 's admission , it was unclear as to whether or not he was volume overloaded or volume depleted ." -p290962 -(lp290963 -S'3.\t3.\tLS\tB-NP\tO' -p290964 -aS'Congestive\tCongestive\tJJ\tI-NP\tO' -p290965 -aS'heart\theart\tNN\tI-NP\tO' -p290966 -aS'failure\tfailure\tNN\tI-NP\tO' -p290967 -aS'-\t-\tHYPH\tB-ADJP\tO' -p290968 -aS'During\tDuring\tIN\tB-PP\tO' -p290969 -aS'the\tthe\tDT\tB-NP\tO' -p290970 -aS'initial\tinitial\tJJ\tI-NP\tO' -p290971 -aS'course\tcourse\tNN\tI-NP\tO' -p290972 -aS'of\tof\tIN\tB-PP\tO' -p290973 -aS'the\tthe\tDT\tB-NP\tO' -p290974 -aS'patient\tpatient\tNN\tI-NP\tO' -p290975 -aS"'s\t's\tPOS\tB-NP\tO" -p290976 -aS'admission\tadmission\tNN\tI-NP\tO' -p290977 -aS',\t,\t,\tO\tO' -p290978 -aS'it\tit\tPRP\tB-NP\tO' -p290979 -aS'was\tbe\tVBD\tB-VP\tO' -p290980 -aS'unclear\tunclear\tJJ\tB-ADJP\tO' -p290981 -aS'as\tas\tIN\tB-PP\tO' -p290982 -aS'to\tto\tTO\tB-PP\tO' -p290983 -aS'whether\twhether\tIN\tB-SBAR\tO' -p290984 -aS'or\tor\tCC\tO\tO' -p290985 -aS'not\tnot\tRB\tO\tO' -p290986 -aS'he\the\tPRP\tB-NP\tO' -p290987 -aS'was\tbe\tVBD\tB-VP\tO' -p290988 -aS'volume\tvolume\tNN\tB-NP\tO' -p290989 -aS'overloaded\toverloaded\tJJ\tB-ADJP\tO' -p290990 -aS'or\tor\tCC\tO\tO' -p290991 -aS'volume\tvolume\tNN\tB-NP\tO' -p290992 -aS'depleted\tdeplete\tVBN\tB-VP\tO' -p290993 -aS'.\t.\t.\tO\tO' -p290994 -asS"## SLE w/ h/o pericarditis , last flare couple years ago , didn 't flare w/ urosepsis" -p290995 -(lp290996 -S'##\t##\t#\tB-NP\tO' -p290997 -aS'SLE\tSLE\tNN\tI-NP\tO' -p290998 -aS'w/\tw/\tNN\tI-NP\tO' -p290999 -aS'h/o\th/o\tNN\tI-NP\tO' -p291000 -aS'pericarditis\tpericarditis\tNN\tI-NP\tO' -p291001 -aS',\t,\t,\tO\tO' -p291002 -aS'last\tlast\tJJ\tB-NP\tO' -p291003 -aS'flare\tflare\tNN\tI-NP\tO' -p291004 -aS'couple\tcouple\tNN\tI-NP\tO' -p291005 -aS'years\tyear\tNNS\tI-NP\tO' -p291006 -aS'ago\tago\tRB\tB-ADVP\tO' -p291007 -aS',\t,\t,\tO\tO' -p291008 -aS'didn\tdidn\tNN\tB-NP\tO' -p291009 -aS"'t\t't\tPOS\tB-NP\tO" -p291010 -aS'flare\tflare\tNN\tI-NP\tO' -p291011 -aS'w/\tw/\tNN\tI-NP\tO' -p291012 -aS'urosepsis\turosepsis\tNN\tI-NP\tO' -p291013 -asS'6) Hyperglycemia : Although he has no known history of diabetes , his elevated FS noted in field with glycosuria prompted fingerstick check but he has not required insulin coverage .' -p291014 -(lp291015 -S'6)\t6)\tCD\tB-NP\tO' -p291016 -aS'Hyperglycemia\tHyperglycemia\tNNP\tI-NP\tO' -p291017 -aS':\t:\t:\tO\tO' -p291018 -aS'Although\tAlthough\tIN\tB-SBAR\tO' -p291019 -aS'he\the\tPRP\tB-NP\tO' -p291020 -aS'has\thave\tVBZ\tB-VP\tO' -p291021 -aS'no\tno\tDT\tB-NP\tO' -p291022 -aS'known\tknow\tVBN\tI-NP\tO' -p291023 -aS'history\thistory\tNN\tI-NP\tO' -p291024 -aS'of\tof\tIN\tB-PP\tO' -p291025 -aS'diabetes\tdiabete\tNNS\tB-NP\tO' -p291026 -aS',\t,\t,\tO\tO' -p291027 -aS'his\this\tPRP$\tB-NP\tO' -p291028 -aS'elevated\televated\tJJ\tI-NP\tO' -p291029 -aS'FS\tFS\tNN\tI-NP\tO' -p291030 -aS'noted\tnote\tVBN\tB-VP\tO' -p291031 -aS'in\tin\tIN\tB-PP\tO' -p291032 -aS'field\tfield\tNN\tB-NP\tO' -p291033 -aS'with\twith\tIN\tB-PP\tO' -p291034 -aS'glycosuria\tglycosuria\tNN\tB-NP\tB-protein' -p291035 -aS'prompted\tprompt\tVBD\tB-VP\tI-protein' -p291036 -aS'fingerstick\tfingerstick\tNN\tB-NP\tI-protein' -p291037 -aS'check\tcheck\tNN\tI-NP\tI-protein' -p291038 -aS'but\tbut\tCC\tO\tO' -p291039 -aS'he\the\tPRP\tB-NP\tO' -p291040 -aS'has\thave\tVBZ\tB-VP\tO' -p291041 -aS'not\tnot\tRB\tI-VP\tO' -p291042 -aS'required\trequire\tVBN\tI-VP\tO' -p291043 -aS'insulin\tinsulin\tNN\tB-NP\tO' -p291044 -aS'coverage\tcoverage\tNN\tI-NP\tO' -p291045 -aS'.\t.\t.\tO\tO' -p291046 -asS'Right lower quadrant source of bleed on red blood cell scan .' -p291047 -(lp291048 -S'Right\tRight\tRB\tB-NP\tO' -p291049 -aS'lower\tlow\tJJR\tI-NP\tO' -p291050 -aS'quadrant\tquadrant\tJJ\tI-NP\tO' -p291051 -aS'source\tsource\tNN\tI-NP\tO' -p291052 -aS'of\tof\tIN\tB-PP\tO' -p291053 -aS'bleed\tbleed\tNN\tB-NP\tO' -p291054 -aS'on\ton\tIN\tB-PP\tO' -p291055 -aS'red\tred\tJJ\tB-NP\tO' -p291056 -aS'blood\tblood\tNN\tI-NP\tO' -p291057 -aS'cell\tcell\tNN\tI-NP\tO' -p291058 -aS'scan\tscan\tNN\tI-NP\tO' -p291059 -aS'.\t.\t.\tO\tO' -p291060 -asS'We contacted the patient 's primary care physician , Dr. Aslinke ______ , regarding his cardiac medication management .' -p291061 -(lp291062 -S'We\tWe\tPRP\tB-NP\tO' -p291063 -aS'contacted\tcontact\tVBD\tB-VP\tO' -p291064 -aS'the\tthe\tDT\tB-NP\tO' -p291065 -aS'patient\tpatient\tNN\tI-NP\tO' -p291066 -aS''s\t'\tNNS\tI-NP\tO' -p291067 -aS'primary\tprimary\tJJ\tB-NP\tO' -p291068 -aS'care\tcare\tNN\tI-NP\tO' -p291069 -aS'physician\tphysician\tNN\tI-NP\tO' -p291070 -aS',\t,\t,\tO\tO' -p291071 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p291072 -aS'Aslinke\tAslinke\tNNP\tI-NP\tO' -p291073 -aS'______\t______\tNNP\tI-NP\tO' -p291074 -aS',\t,\t,\tO\tO' -p291075 -aS'regarding\tregard\tVBG\tB-VP\tO' -p291076 -aS'his\this\tPRP$\tB-NP\tO' -p291077 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p291078 -aS'medication\tmedication\tNN\tI-NP\tO' -p291079 -aS'management\tmanagement\tNN\tI-NP\tO' -p291080 -aS'.\t.\t.\tO\tO' -p291081 -asS'Thyroidectomy .' -p291082 -(lp291083 -S'Thyroidectomy\tThyroidectomy\tNN\tB-NP\tO' -p291084 -aS'.\t.\t.\tO\tO' -p291085 -asS'No history of thyroid disease .' -p291086 -(lp291087 -S'No\tNo\tDT\tB-NP\tO' -p291088 -aS'history\thistory\tNN\tI-NP\tO' -p291089 -aS'of\tof\tIN\tB-PP\tO' -p291090 -aS'thyroid\tthyroid\tJJ\tB-NP\tO' -p291091 -aS'disease\tdisease\tNN\tI-NP\tO' -p291092 -aS'.\t.\t.\tO\tO' -p291093 -asS'She is to follow up with Dr. Acrookesjo in one week and Dr. Work the gastrointestinal fellow here at PUOMC in 2 weeks .' -p291094 -(lp291095 -S'She\tShe\tPRP\tB-NP\tO' -p291096 -aS'is\tbe\tVBZ\tB-VP\tO' -p291097 -aS'to\tto\tTO\tB-VP\tO' -p291098 -aS'follow\tfollow\tVB\tI-VP\tO' -p291099 -aS'up\tup\tRP\tB-PRT\tO' -p291100 -aS'with\twith\tIN\tB-PP\tO' -p291101 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p291102 -aS'Acrookesjo\tAcrookesjo\tNNP\tI-NP\tO' -p291103 -aS'in\tin\tIN\tB-PP\tO' -p291104 -aS'one\tone\tCD\tB-NP\tO' -p291105 -aS'week\tweek\tNN\tI-NP\tO' -p291106 -aS'and\tand\tCC\tO\tO' -p291107 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p291108 -aS'Work\tWork\tNNP\tI-NP\tO' -p291109 -aS'the\tthe\tDT\tB-NP\tO' -p291110 -aS'gastrointestinal\tgastrointestinal\tJJ\tI-NP\tO' -p291111 -aS'fellow\tfellow\tNN\tI-NP\tO' -p291112 -aS'here\there\tRB\tB-ADVP\tO' -p291113 -aS'at\tat\tIN\tB-PP\tO' -p291114 -aS'PUOMC\tPUOMC\tNN\tB-NP\tB-protein' -p291115 -aS'in\tin\tIN\tB-PP\tO' -p291116 -aS'2\t2\tCD\tB-NP\tO' -p291117 -aS'weeks\tweek\tNNS\tI-NP\tO' -p291118 -aS'.\t.\t.\tO\tO' -p291119 -asS'Pt was recently admitted to The Hospital for Orthopedics from 12-07 thorugh 12-14 with hypotension thought to be secondary to overdiuresis at HD.' -p291120 -(lp291121 -S'Pt\tPt\tNN\tB-NP\tO' -p291122 -aS'was\tbe\tVBD\tB-VP\tO' -p291123 -aS'recently\trecently\tRB\tI-VP\tO' -p291124 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p291125 -aS'to\tto\tTO\tB-PP\tO' -p291126 -aS'The\tThe\tDT\tB-NP\tO' -p291127 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p291128 -aS'for\tfor\tIN\tB-PP\tO' -p291129 -aS'Orthopedics\tOrthopedics\tNNP\tB-NP\tO' -p291130 -aS'from\tfrom\tIN\tB-PP\tO' -p291131 -aS'12-07\t12-07\tCD\tB-NP\tO' -p291132 -aS'thorugh\tthorugh\tIN\tB-PP\tO' -p291133 -aS'12-14\t12-14\tCD\tB-NP\tO' -p291134 -aS'with\twith\tIN\tB-PP\tO' -p291135 -aS'hypotension\thypotension\tNN\tB-NP\tO' -p291136 -aS'thought\tthink\tVBN\tB-VP\tO' -p291137 -aS'to\tto\tTO\tI-VP\tO' -p291138 -aS'be\tbe\tVB\tI-VP\tO' -p291139 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p291140 -aS'to\tto\tTO\tB-PP\tO' -p291141 -aS'overdiuresis\toverdiuresis\tNN\tB-NP\tO' -p291142 -aS'at\tat\tIN\tB-PP\tO' -p291143 -aS'HD.\tHD.\tNN\tB-NP\tO' -p291144 -asS'On admission included an ALT of 108 , AST of 286 .' -p291145 -(lp291146 -S'On\tOn\tIN\tB-PP\tO' -p291147 -aS'admission\tadmission\tNN\tB-NP\tO' -p291148 -aS'included\tinclude\tVBD\tB-VP\tO' -p291149 -aS'an\tan\tDT\tB-NP\tO' -p291150 -aS'ALT\tALT\tNN\tI-NP\tB-protein' -p291151 -aS'of\tof\tIN\tB-PP\tO' -p291152 -aS'108\t108\tCD\tB-NP\tO' -p291153 -aS',\t,\t,\tO\tO' -p291154 -aS'AST\tAST\tNN\tB-NP\tO' -p291155 -aS'of\tof\tIN\tB-PP\tO' -p291156 -aS'286\t286\tCD\tB-NP\tO' -p291157 -aS'.\t.\t.\tO\tO' -p291158 -asS'9. Bactrim double strength once daily .' -p291159 -(lp291160 -S'9.\t9.\tLS\tB-NP\tO' -p291161 -aS'Bactrim\tBactrim\tNNP\tI-NP\tO' -p291162 -aS'double\tdouble\tJJ\tI-NP\tO' -p291163 -aS'strength\tstrength\tNN\tI-NP\tO' -p291164 -aS'once\tonce\tRB\tB-ADVP\tO' -p291165 -aS'daily\tdaily\tRB\tI-ADVP\tO' -p291166 -aS'.\t.\t.\tO\tO' -p291167 -asS'On 10 May 1998 , she underwent sternal wound debridement and closure , performed by Dr. Falccouette and Dr. Shuffzeln .' -p291168 -(lp291169 -S'On\tOn\tIN\tB-PP\tO' -p291170 -aS'10\t10\tCD\tB-NP\tO' -p291171 -aS'May\tMay\tNNP\tI-NP\tO' -p291172 -aS'1998\t1998\tCD\tI-NP\tO' -p291173 -aS',\t,\t,\tO\tO' -p291174 -aS'she\tshe\tPRP\tB-NP\tO' -p291175 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p291176 -aS'sternal\tsternal\tJJ\tB-NP\tO' -p291177 -aS'wound\twound\tNN\tI-NP\tO' -p291178 -aS'debridement\tdebridement\tNN\tI-NP\tO' -p291179 -aS'and\tand\tCC\tI-NP\tO' -p291180 -aS'closure\tclosure\tNN\tI-NP\tO' -p291181 -aS',\t,\t,\tO\tO' -p291182 -aS'performed\tperform\tVBN\tB-VP\tO' -p291183 -aS'by\tby\tIN\tB-PP\tO' -p291184 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p291185 -aS'Falccouette\tFalccouette\tNNP\tI-NP\tO' -p291186 -aS'and\tand\tCC\tO\tO' -p291187 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p291188 -aS'Shuffzeln\tShuffzeln\tNNP\tI-NP\tO' -p291189 -aS'.\t.\t.\tO\tO' -p291190 -asS'CD4 ct .' -p291191 -(lp291192 -S'CD4\tCD4\tNN\tB-NP\tB-protein' -p291193 -aS'ct\tct\tNN\tI-NP\tO' -p291194 -aS'.\t.\t.\tO\tO' -p291195 -asS'She was also on round-the-clock Atrovent and albuterol nebulizers .' -p291196 -(lp291197 -S'She\tShe\tPRP\tB-NP\tO' -p291198 -aS'was\tbe\tVBD\tB-VP\tO' -p291199 -aS'also\talso\tRB\tB-ADVP\tO' -p291200 -aS'on\ton\tIN\tB-PP\tO' -p291201 -aS'round-the-clock\tround-the-clock\tJJ\tB-NP\tO' -p291202 -aS'Atrovent\tAtrovent\tNN\tI-NP\tO' -p291203 -aS'and\tand\tCC\tI-NP\tO' -p291204 -aS'albuterol\talbuterol\tNN\tI-NP\tO' -p291205 -aS'nebulizers\tnebulizer\tNNS\tI-NP\tO' -p291206 -aS'.\t.\t.\tO\tO' -p291207 -asS"There was some question regarding restarting of the patient 's Coumadin given her positive lupus anti-coagulant status as well as the presence of her basilar artery stenosis ." -p291208 -(lp291209 -S'There\tThere\tEX\tB-NP\tO' -p291210 -aS'was\tbe\tVBD\tB-VP\tO' -p291211 -aS'some\tsome\tDT\tB-NP\tO' -p291212 -aS'question\tquestion\tNN\tI-NP\tO' -p291213 -aS'regarding\tregard\tVBG\tB-PP\tO' -p291214 -aS'restarting\trestart\tVBG\tB-NP\tO' -p291215 -aS'of\tof\tIN\tB-PP\tO' -p291216 -aS'the\tthe\tDT\tB-NP\tO' -p291217 -aS'patient\tpatient\tNN\tI-NP\tO' -p291218 -aS"'s\t's\tPOS\tB-NP\tO" -p291219 -aS'Coumadin\tCoumadin\tNN\tI-NP\tO' -p291220 -aS'given\tgive\tVBN\tB-VP\tO' -p291221 -aS'her\ther\tPRP$\tB-NP\tO' -p291222 -aS'positive\tpositive\tJJ\tI-NP\tO' -p291223 -aS'lupus\tlupus\tNN\tI-NP\tO' -p291224 -aS'anti-coagulant\tanti-coagulant\tJJ\tI-NP\tO' -p291225 -aS'status\tstatus\tNN\tI-NP\tO' -p291226 -aS'as\tas\tRB\tB-CONJP\tO' -p291227 -aS'well\twell\tRB\tI-CONJP\tO' -p291228 -aS'as\tas\tIN\tI-CONJP\tO' -p291229 -aS'the\tthe\tDT\tB-NP\tO' -p291230 -aS'presence\tpresence\tNN\tI-NP\tO' -p291231 -aS'of\tof\tIN\tB-PP\tO' -p291232 -aS'her\ther\tPRP$\tB-NP\tO' -p291233 -aS'basilar\tbasilar\tJJ\tI-NP\tO' -p291234 -aS'artery\tartery\tNN\tI-NP\tO' -p291235 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p291236 -aS'.\t.\t.\tO\tO' -p291237 -asS'Blood cultures 04/05 revealed Bacteroides fragilis ; 04/06 Fluid collection drainage from IR revealed' -p291238 -(lp291239 -S'Blood\tBlood\tNN\tB-NP\tO' -p291240 -aS'cultures\tculture\tNNS\tI-NP\tO' -p291241 -aS'04/05\t04/05\tCD\tB-NP\tO' -p291242 -aS'revealed\treveal\tVBD\tB-VP\tO' -p291243 -aS'Bacteroides\tBacteroide\tNNS\tB-NP\tO' -p291244 -aS'fragilis\tfragilis\tNN\tI-NP\tO' -p291245 -aS';\t;\t:\tO\tO' -p291246 -aS'04/06\t04/06\tCD\tB-NP\tO' -p291247 -aS'Fluid\tFluid\tNN\tI-NP\tO' -p291248 -aS'collection\tcollection\tNN\tI-NP\tO' -p291249 -aS'drainage\tdrainage\tNN\tI-NP\tO' -p291250 -aS'from\tfrom\tIN\tB-PP\tO' -p291251 -aS'IR\tIR\tNN\tB-NP\tB-protein' -p291252 -aS'revealed\treveal\tVBD\tB-VP\tO' -p291253 -asS'7. Pericarditis .' -p291254 -(lp291255 -S'7.\t7.\tCD\tB-NP\tO' -p291256 -aS'Pericarditis\tPericarditis\tNNP\tI-NP\tO' -p291257 -aS'.\t.\t.\tO\tO' -p291258 -asS'Inform the office that you will need a repeat head CT scan for this appointment .' -p291259 -(lp291260 -S'Inform\tInform\tVB\tB-VP\tO' -p291261 -aS'the\tthe\tDT\tB-NP\tO' -p291262 -aS'office\toffice\tNN\tI-NP\tO' -p291263 -aS'that\tthat\tIN\tB-SBAR\tO' -p291264 -aS'you\tyou\tPRP\tB-NP\tO' -p291265 -aS'will\twill\tMD\tB-VP\tO' -p291266 -aS'need\tneed\tVB\tI-VP\tO' -p291267 -aS'a\ta\tDT\tB-NP\tO' -p291268 -aS'repeat\trepeat\tNN\tI-NP\tO' -p291269 -aS'head\thead\tNN\tI-NP\tO' -p291270 -aS'CT\tCT\tNN\tI-NP\tO' -p291271 -aS'scan\tscan\tNN\tI-NP\tO' -p291272 -aS'for\tfor\tIN\tB-PP\tO' -p291273 -aS'this\tthis\tDT\tB-NP\tO' -p291274 -aS'appointment\tappointment\tNN\tI-NP\tO' -p291275 -aS'.\t.\t.\tO\tO' -p291276 -asS'Dictated By : Marjorie I. Taylor , M.D.' -p291277 -(lp291278 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p291279 -aS'By\tBy\tIN\tB-PP\tO' -p291280 -aS':\t:\t:\tO\tO' -p291281 -aS'Marjorie\tMarjorie\tNNP\tB-NP\tO' -p291282 -aS'I.\tI.\tNNP\tI-NP\tO' -p291283 -aS'Taylor\tTaylor\tNNP\tI-NP\tO' -p291284 -aS',\t,\t,\tO\tO' -p291285 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p291286 -asS'Social smoker in her youth .' -p291287 -(lp291288 -S'Social\tSocial\tJJ\tB-NP\tO' -p291289 -aS'smoker\tsmoker\tNN\tI-NP\tO' -p291290 -aS'in\tin\tIN\tB-PP\tO' -p291291 -aS'her\ther\tPRP$\tB-NP\tO' -p291292 -aS'youth\tyouth\tNN\tI-NP\tO' -p291293 -aS'.\t.\t.\tO\tO' -p291294 -asS'The patient put out 1385 cc urine the day after placement , 950 cc of which came from nephrostomy tube .' -p291295 -(lp291296 -S'The\tThe\tDT\tB-NP\tO' -p291297 -aS'patient\tpatient\tNN\tI-NP\tO' -p291298 -aS'put\tput\tVBD\tB-VP\tO' -p291299 -aS'out\tout\tRP\tB-PRT\tO' -p291300 -aS'1385\t1385\tCD\tB-NP\tO' -p291301 -aS'cc\tcc\tNN\tI-NP\tO' -p291302 -aS'urine\turine\tNN\tI-NP\tO' -p291303 -aS'the\tthe\tDT\tB-NP\tO' -p291304 -aS'day\tday\tNN\tI-NP\tO' -p291305 -aS'after\tafter\tIN\tB-PP\tO' -p291306 -aS'placement\tplacement\tNN\tB-NP\tO' -p291307 -aS',\t,\t,\tO\tO' -p291308 -aS'950\t950\tCD\tB-NP\tO' -p291309 -aS'cc\tcc\tNN\tI-NP\tO' -p291310 -aS'of\tof\tIN\tB-PP\tO' -p291311 -aS'which\twhich\tWDT\tB-NP\tO' -p291312 -aS'came\tcome\tVBD\tB-VP\tO' -p291313 -aS'from\tfrom\tIN\tB-PP\tO' -p291314 -aS'nephrostomy\tnephrostomy\tNN\tB-NP\tO' -p291315 -aS'tube\ttube\tNN\tI-NP\tO' -p291316 -aS'.\t.\t.\tO\tO' -p291317 -asS'--- Hold coumadin for afib given hx of upper GIB and surgery in AM' -p291318 -(lp291319 -S'---\t---\tSYM\tO\tO' -p291320 -aS'Hold\tHold\tNN\tB-NP\tO' -p291321 -aS'coumadin\tcoumadin\tNN\tI-NP\tO' -p291322 -aS'for\tfor\tIN\tB-PP\tO' -p291323 -aS'afib\tafib\tJJ\tB-NP\tO' -p291324 -aS'given\tgive\tVBN\tI-NP\tO' -p291325 -aS'hx\thx\tNN\tI-NP\tO' -p291326 -aS'of\tof\tIN\tB-PP\tO' -p291327 -aS'upper\tupper\tJJ\tB-NP\tO' -p291328 -aS'GIB\tGIB\tNN\tI-NP\tO' -p291329 -aS'and\tand\tCC\tI-NP\tO' -p291330 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p291331 -aS'in\tin\tIN\tB-PP\tO' -p291332 -aS'AM\tAM\tNN\tB-NP\tO' -p291333 -asS'The patient received nebulizer treatment with oxygen saturations increasing up to 98 percent on room air .' -p291334 -(lp291335 -S'The\tThe\tDT\tB-NP\tO' -p291336 -aS'patient\tpatient\tNN\tI-NP\tO' -p291337 -aS'received\treceive\tVBD\tB-VP\tO' -p291338 -aS'nebulizer\tnebulizer\tNN\tB-NP\tO' -p291339 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p291340 -aS'with\twith\tIN\tB-PP\tO' -p291341 -aS'oxygen\toxygen\tNN\tB-NP\tO' -p291342 -aS'saturations\tsaturation\tNNS\tI-NP\tO' -p291343 -aS'increasing\tincrease\tVBG\tB-VP\tO' -p291344 -aS'up\tup\tRB\tB-NP\tO' -p291345 -aS'to\tto\tTO\tI-NP\tO' -p291346 -aS'98\t98\tCD\tI-NP\tO' -p291347 -aS'percent\tpercent\tNN\tI-NP\tO' -p291348 -aS'on\ton\tIN\tB-PP\tO' -p291349 -aS'room\troom\tNN\tB-NP\tO' -p291350 -aS'air\tair\tNN\tI-NP\tO' -p291351 -aS'.\t.\t.\tO\tO' -p291352 -asS'MS. Marshall IS A 64-YEAR OLD , MENTALLY RETARDED , FEMALE WHO PRESENTED WITH AN AQUIRED DEFECT OF THE RIGHT NASAL ALA AND MEDIAL CHEEK REGION AFTER BASAL CELL CARCINOMA WAS RESECTED BY DERMATOLOGY .' -p291353 -(lp291354 -S'MS.\tMS.\tNNP\tB-NP\tO' -p291355 -aS'Marshall\tMarshall\tNNP\tI-NP\tO' -p291356 -aS'IS\tIS\tNNP\tI-NP\tO' -p291357 -aS'A\tA\tNNP\tI-NP\tO' -p291358 -aS'64-YEAR\t64-YEAR\tNNP\tI-NP\tO' -p291359 -aS'OLD\tOLD\tNNP\tI-NP\tO' -p291360 -aS',\t,\t,\tO\tO' -p291361 -aS'MENTALLY\tMENTALLY\tNNP\tB-NP\tO' -p291362 -aS'RETARDED\tRETARDED\tNNP\tI-NP\tO' -p291363 -aS',\t,\t,\tO\tO' -p291364 -aS'FEMALE\tFEMALE\tNNP\tB-NP\tO' -p291365 -aS'WHO\tWHO\tNNP\tI-NP\tO' -p291366 -aS'PRESENTED\tPRESENTED\tNNP\tI-NP\tO' -p291367 -aS'WITH\tWITH\tNNP\tI-NP\tO' -p291368 -aS'AN\tAN\tNN\tI-NP\tO' -p291369 -aS'AQUIRED\tAQUIRED\tVBD\tB-VP\tO' -p291370 -aS'DEFECT\tDEFECT\tNN\tB-NP\tO' -p291371 -aS'OF\tOF\tIN\tB-PP\tO' -p291372 -aS'THE\tTHE\tDT\tB-NP\tO' -p291373 -aS'RIGHT\tRIGHT\tNNP\tI-NP\tO' -p291374 -aS'NASAL\tNASAL\tNNP\tI-NP\tO' -p291375 -aS'ALA\tALA\tNNP\tI-NP\tO' -p291376 -aS'AND\tAND\tNNP\tI-NP\tO' -p291377 -aS'MEDIAL\tMEDIAL\tNNP\tI-NP\tO' -p291378 -aS'CHEEK\tCHEEK\tNNP\tI-NP\tO' -p291379 -aS'REGION\tREGION\tNNP\tI-NP\tO' -p291380 -aS'AFTER\tAFTER\tNNP\tI-NP\tO' -p291381 -aS'BASAL\tBASAL\tNNP\tI-NP\tO' -p291382 -aS'CELL\tCELL\tNNP\tI-NP\tO' -p291383 -aS'CARCINOMA\tCARCINOMA\tNNP\tI-NP\tO' -p291384 -aS'WAS\tWAS\tNNP\tI-NP\tO' -p291385 -aS'RESECTED\tRESECTED\tNNP\tI-NP\tO' -p291386 -aS'BY\tBY\tNNP\tI-NP\tO' -p291387 -aS'DERMATOLOGY\tDERMATOLOGY\tNNP\tI-NP\tO' -p291388 -aS'.\t.\t.\tO\tO' -p291389 -asS'Her electrocardiogram findings were compatible with hypokalemia ( flattening T waves and ST changes ) .' -p291390 -(lp291391 -S'Her\tHer\tPRP$\tB-NP\tO' -p291392 -aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' -p291393 -aS'findings\tfinding\tNNS\tI-NP\tO' -p291394 -aS'were\tbe\tVBD\tB-VP\tO' -p291395 -aS'compatible\tcompatible\tJJ\tB-ADJP\tO' -p291396 -aS'with\twith\tIN\tB-PP\tO' -p291397 -aS'hypokalemia\thypokalemia\tNN\tB-NP\tO' -p291398 -aS'(\t(\t(\tO\tO' -p291399 -aS'flattening\tflatten\tVBG\tB-VP\tO' -p291400 -aS'T\tT\tNN\tB-NP\tO' -p291401 -aS'waves\twave\tNNS\tI-NP\tO' -p291402 -aS'and\tand\tCC\tO\tO' -p291403 -aS'ST\tST\tNN\tB-NP\tO' -p291404 -aS'changes\tchange\tNNS\tI-NP\tO' -p291405 -aS')\t)\t)\tO\tO' -p291406 -aS'.\t.\t.\tO\tO' -p291407 -asS'Consulting Urology was Ryna Baker , M.D.' -p291408 -(lp291409 -S'Consulting\tConsulting\tNNP\tB-NP\tO' -p291410 -aS'Urology\tUrology\tNNP\tI-NP\tO' -p291411 -aS'was\tbe\tVBD\tB-VP\tO' -p291412 -aS'Ryna\tRyna\tNNP\tB-NP\tO' -p291413 -aS'Baker\tBaker\tNNP\tI-NP\tO' -p291414 -aS',\t,\t,\tO\tO' -p291415 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p291416 -asS'The patient is a 79 year old gentleman with a history of an ascending aortic graft replacement in 1991 for aortic dissection .' -p291417 -(lp291418 -S'The\tThe\tDT\tB-NP\tO' -p291419 -aS'patient\tpatient\tNN\tI-NP\tO' -p291420 -aS'is\tbe\tVBZ\tB-VP\tO' -p291421 -aS'a\ta\tDT\tB-NP\tO' -p291422 -aS'79\t79\tCD\tI-NP\tO' -p291423 -aS'year\tyear\tNN\tI-NP\tO' -p291424 -aS'old\told\tJJ\tI-NP\tO' -p291425 -aS'gentleman\tgentleman\tNN\tI-NP\tO' -p291426 -aS'with\twith\tIN\tB-PP\tO' -p291427 -aS'a\ta\tDT\tB-NP\tO' -p291428 -aS'history\thistory\tNN\tI-NP\tO' -p291429 -aS'of\tof\tIN\tB-PP\tO' -p291430 -aS'an\tan\tDT\tB-NP\tO' -p291431 -aS'ascending\tascend\tVBG\tI-NP\tO' -p291432 -aS'aortic\taortic\tJJ\tI-NP\tO' -p291433 -aS'graft\tgraft\tNN\tI-NP\tO' -p291434 -aS'replacement\treplacement\tNN\tI-NP\tO' -p291435 -aS'in\tin\tIN\tB-PP\tO' -p291436 -aS'1991\t1991\tCD\tB-NP\tO' -p291437 -aS'for\tfor\tIN\tB-PP\tO' -p291438 -aS'aortic\taortic\tJJ\tB-NP\tO' -p291439 -aS'dissection\tdissection\tNN\tI-NP\tO' -p291440 -aS'.\t.\t.\tO\tO' -p291441 -asS'She was begun on a heparin drip .' -p291442 -(lp291443 -S'She\tShe\tPRP\tB-NP\tO' -p291444 -aS'was\tbe\tVBD\tB-VP\tO' -p291445 -aS'begun\tbegin\tVBN\tI-VP\tO' -p291446 -aS'on\ton\tIN\tB-PP\tO' -p291447 -aS'a\ta\tDT\tB-NP\tO' -p291448 -aS'heparin\theparin\tNN\tI-NP\tB-protein' -p291449 -aS'drip\tdrip\tNN\tI-NP\tI-protein' -p291450 -aS'.\t.\t.\tO\tO' -p291451 -asS'Weight at time of discharge is 3.13 kilograms .' -p291452 -(lp291453 -S'Weight\tWeight\tNN\tB-NP\tO' -p291454 -aS'at\tat\tIN\tB-PP\tO' -p291455 -aS'time\ttime\tNN\tB-NP\tO' -p291456 -aS'of\tof\tIN\tB-PP\tO' -p291457 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p291458 -aS'is\tbe\tVBZ\tB-VP\tO' -p291459 -aS'3.13\t3.13\tCD\tB-NP\tO' -p291460 -aS'kilograms\tkilogram\tNNS\tI-NP\tO' -p291461 -aS'.\t.\t.\tO\tO' -p291462 -asS'However , she declined further blocks , which were offered to her .' -p291463 -(lp291464 -S'However\tHowever\tRB\tB-ADVP\tO' -p291465 -aS',\t,\t,\tO\tO' -p291466 -aS'she\tshe\tPRP\tB-NP\tO' -p291467 -aS'declined\tdecline\tVBD\tB-VP\tO' -p291468 -aS'further\tfurther\tJJ\tB-NP\tO' -p291469 -aS'blocks\tblock\tNNS\tI-NP\tO' -p291470 -aS',\t,\t,\tO\tO' -p291471 -aS'which\twhich\tWDT\tB-NP\tO' -p291472 -aS'were\tbe\tVBD\tB-VP\tO' -p291473 -aS'offered\toffer\tVBN\tI-VP\tO' -p291474 -aS'to\tto\tTO\tB-PP\tO' -p291475 -aS'her\ther\tPRP\tB-NP\tO' -p291476 -aS'.\t.\t.\tO\tO' -p291477 -asS'The patient was on Propofol for 2 days .' -p291478 -(lp291479 -S'The\tThe\tDT\tB-NP\tO' -p291480 -aS'patient\tpatient\tNN\tI-NP\tO' -p291481 -aS'was\tbe\tVBD\tB-VP\tO' -p291482 -aS'on\ton\tIN\tB-PP\tO' -p291483 -aS'Propofol\tPropofol\tNN\tB-NP\tO' -p291484 -aS'for\tfor\tIN\tB-PP\tO' -p291485 -aS'2\t2\tCD\tB-NP\tO' -p291486 -aS'days\tday\tNNS\tI-NP\tO' -p291487 -aS'.\t.\t.\tO\tO' -p291488 -asS'3. Levaquin 500 mg q.d. for 7 days after discharge .' -p291489 -(lp291490 -S'3.\t3.\tLS\tB-LST\tO' -p291491 -aS'Levaquin\tLevaquin\tNNP\tB-NP\tO' -p291492 -aS'500\t500\tCD\tI-NP\tO' -p291493 -aS'mg\tmg\tNN\tI-NP\tO' -p291494 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p291495 -aS'for\tfor\tIN\tB-PP\tO' -p291496 -aS'7\t7\tCD\tB-NP\tO' -p291497 -aS'days\tday\tNNS\tI-NP\tO' -p291498 -aS'after\tafter\tIN\tB-PP\tO' -p291499 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p291500 -aS'.\t.\t.\tO\tO' -p291501 -asS'Subsequently , the mass continued to increase in size .' -p291502 -(lp291503 -S'Subsequently\tSubsequently\tRB\tB-ADVP\tO' -p291504 -aS',\t,\t,\tO\tO' -p291505 -aS'the\tthe\tDT\tB-NP\tO' -p291506 -aS'mass\tmass\tNN\tI-NP\tO' -p291507 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p291508 -aS'to\tto\tTO\tI-VP\tO' -p291509 -aS'increase\tincrease\tVB\tI-VP\tO' -p291510 -aS'in\tin\tIN\tB-PP\tO' -p291511 -aS'size\tsize\tNN\tB-NP\tO' -p291512 -aS'.\t.\t.\tO\tO' -p291513 -asS'2. Status post respiratory distress .' -p291514 -(lp291515 -S'2.\t2.\tLS\tB-LST\tO' -p291516 -aS'Status\tStatus\tNNP\tB-NP\tO' -p291517 -aS'post\tpost\tIN\tB-PP\tO' -p291518 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p291519 -aS'distress\tdistress\tNN\tI-NP\tO' -p291520 -aS'.\t.\t.\tO\tO' -p291521 -asS'The right upper extremity shows generalized reduction in strength , 4/5 in all joints .' -p291522 -(lp291523 -S'The\tThe\tDT\tB-NP\tO' -p291524 -aS'right\tright\tJJ\tI-NP\tO' -p291525 -aS'upper\tupper\tJJ\tI-NP\tO' -p291526 -aS'extremity\textremity\tNN\tI-NP\tO' -p291527 -aS'shows\tshow\tVBZ\tB-VP\tO' -p291528 -aS'generalized\tgeneralize\tVBN\tB-NP\tO' -p291529 -aS'reduction\treduction\tNN\tI-NP\tO' -p291530 -aS'in\tin\tIN\tB-PP\tO' -p291531 -aS'strength\tstrength\tNN\tB-NP\tO' -p291532 -aS',\t,\t,\tO\tO' -p291533 -aS'4/5\t4/5\tCD\tB-NP\tO' -p291534 -aS'in\tin\tIN\tB-PP\tO' -p291535 -aS'all\tall\tDT\tB-NP\tO' -p291536 -aS'joints\tjoint\tNNS\tI-NP\tO' -p291537 -aS'.\t.\t.\tO\tO' -p291538 -asS'The drain was replaced over the wire , 8-10 by IR , when it was accidentally removed .' -p291539 -(lp291540 -S'The\tThe\tDT\tB-NP\tO' -p291541 -aS'drain\tdrain\tNN\tI-NP\tO' -p291542 -aS'was\tbe\tVBD\tB-VP\tO' -p291543 -aS'replaced\treplace\tVBN\tI-VP\tO' -p291544 -aS'over\tover\tIN\tB-PP\tO' -p291545 -aS'the\tthe\tDT\tB-NP\tO' -p291546 -aS'wire\twire\tNN\tI-NP\tO' -p291547 -aS',\t,\t,\tO\tO' -p291548 -aS'8-10\t8-10\tCD\tB-NP\tO' -p291549 -aS'by\tby\tIN\tB-PP\tO' -p291550 -aS'IR\tIR\tNN\tB-NP\tB-protein' -p291551 -aS',\t,\t,\tO\tO' -p291552 -aS'when\twhen\tWRB\tB-ADVP\tO' -p291553 -aS'it\tit\tPRP\tB-NP\tO' -p291554 -aS'was\tbe\tVBD\tB-VP\tO' -p291555 -aS'accidentally\taccidentally\tRB\tI-VP\tO' -p291556 -aS'removed\tremove\tVBN\tI-VP\tO' -p291557 -aS'.\t.\t.\tO\tO' -p291558 -asS'Her postoperative recovery was really quite remarkable .' -p291559 -(lp291560 -S'Her\tHer\tPRP$\tB-NP\tO' -p291561 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p291562 -aS'recovery\trecovery\tNN\tI-NP\tO' -p291563 -aS'was\tbe\tVBD\tB-VP\tO' -p291564 -aS'really\treally\tRB\tB-ADVP\tO' -p291565 -aS'quite\tquite\tRB\tB-ADJP\tO' -p291566 -aS'remarkable\tremarkable\tJJ\tI-ADJP\tO' -p291567 -aS'.\t.\t.\tO\tO' -p291568 -asS'His family stated that he had a progressive mental decline over the past three years and was initially diagnosed with Parkinson 's disease or features consistent with Parkinsonism .' -p291569 -(lp291570 -S'His\tHis\tPRP$\tB-NP\tO' -p291571 -aS'family\tfamily\tNN\tI-NP\tO' -p291572 -aS'stated\tstate\tVBD\tB-VP\tO' -p291573 -aS'that\tthat\tIN\tB-SBAR\tO' -p291574 -aS'he\the\tPRP\tB-NP\tO' -p291575 -aS'had\thave\tVBD\tB-VP\tO' -p291576 -aS'a\ta\tDT\tB-NP\tO' -p291577 -aS'progressive\tprogressive\tJJ\tI-NP\tO' -p291578 -aS'mental\tmental\tJJ\tI-NP\tO' -p291579 -aS'decline\tdecline\tNN\tI-NP\tO' -p291580 -aS'over\tover\tIN\tB-PP\tO' -p291581 -aS'the\tthe\tDT\tB-NP\tO' -p291582 -aS'past\tpast\tJJ\tI-NP\tO' -p291583 -aS'three\tthree\tCD\tI-NP\tO' -p291584 -aS'years\tyear\tNNS\tI-NP\tO' -p291585 -aS'and\tand\tCC\tO\tO' -p291586 -aS'was\tbe\tVBD\tB-VP\tO' -p291587 -aS'initially\tinitially\tRB\tI-VP\tO' -p291588 -aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' -p291589 -aS'with\twith\tIN\tB-PP\tO' -p291590 -aS'Parkinson\tParkinson\tNNP\tB-NP\tO' -p291591 -aS''s\t'\tNNS\tI-NP\tO' -p291592 -aS'disease\tdisease\tNN\tI-NP\tO' -p291593 -aS'or\tor\tCC\tO\tO' -p291594 -aS'features\tfeature\tNNS\tB-NP\tO' -p291595 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p291596 -aS'with\twith\tIN\tB-PP\tO' -p291597 -aS'Parkinsonism\tParkinsonism\tNNP\tB-NP\tO' -p291598 -aS'.\t.\t.\tO\tO' -p291599 -asS'The vital signs showed a blood pressure of 69 , pulse 80 , respirations 14 , and temperature 99.8 .' -p291600 -(lp291601 -S'The\tThe\tDT\tB-NP\tO' -p291602 -aS'vital\tvital\tJJ\tI-NP\tO' -p291603 -aS'signs\tsign\tNNS\tI-NP\tO' -p291604 -aS'showed\tshow\tVBD\tB-VP\tO' -p291605 -aS'a\ta\tDT\tB-NP\tO' -p291606 -aS'blood\tblood\tNN\tI-NP\tO' -p291607 -aS'pressure\tpressure\tNN\tI-NP\tO' -p291608 -aS'of\tof\tIN\tB-PP\tO' -p291609 -aS'69\t69\tCD\tB-NP\tO' -p291610 -aS',\t,\t,\tO\tO' -p291611 -aS'pulse\tpulse\tNN\tB-NP\tO' -p291612 -aS'80\t80\tCD\tI-NP\tO' -p291613 -aS',\t,\t,\tO\tO' -p291614 -aS'respirations\trespiration\tNNS\tB-NP\tO' -p291615 -aS'14\t14\tCD\tB-NP\tO' -p291616 -aS',\t,\t,\tO\tO' -p291617 -aS'and\tand\tCC\tO\tO' -p291618 -aS'temperature\ttemperature\tNN\tB-NP\tB-protein' -p291619 -aS'99.8\t99.8\tCD\tI-NP\tI-protein' -p291620 -aS'.\t.\t.\tO\tO' -p291621 -asS'Joint is mobile .' -p291622 -(lp291623 -S'Joint\tJoint\tNNP\tB-NP\tO' -p291624 -aS'is\tbe\tVBZ\tB-VP\tO' -p291625 -aS'mobile\tmobile\tJJ\tB-ADJP\tO' -p291626 -aS'.\t.\t.\tO\tO' -p291627 -asS'Prednisone taper as above .' -p291628 -(lp291629 -S'Prednisone\tPrednisone\tNN\tB-NP\tO' -p291630 -aS'taper\ttaper\tNN\tI-NP\tO' -p291631 -aS'as\tas\tIN\tB-PP\tO' -p291632 -aS'above\tabove\tRB\tI-PP\tO' -p291633 -aS'.\t.\t.\tO\tO' -p291634 -asS'At Erich Lindemann Mental Health Center she was discovered to have ARF , a large pericardial effusion , and bilateral pleural effusions .' -p291635 -(lp291636 -S'At\tAt\tIN\tB-PP\tO' -p291637 -aS'Erich\tErich\tNNP\tB-NP\tO' -p291638 -aS'Lindemann\tLindemann\tNNP\tI-NP\tO' -p291639 -aS'Mental\tMental\tNNP\tI-NP\tO' -p291640 -aS'Health\tHealth\tNNP\tI-NP\tO' -p291641 -aS'Center\tCenter\tNNP\tI-NP\tO' -p291642 -aS'she\tshe\tPRP\tB-NP\tO' -p291643 -aS'was\tbe\tVBD\tB-VP\tO' -p291644 -aS'discovered\tdiscover\tVBN\tI-VP\tO' -p291645 -aS'to\tto\tTO\tI-VP\tO' -p291646 -aS'have\thave\tVB\tI-VP\tO' -p291647 -aS'ARF\tARF\tNN\tB-NP\tB-protein' -p291648 -aS',\t,\t,\tO\tO' -p291649 -aS'a\ta\tDT\tB-NP\tO' -p291650 -aS'large\tlarge\tJJ\tI-NP\tO' -p291651 -aS'pericardial\tpericardial\tJJ\tI-NP\tO' -p291652 -aS'effusion\teffusion\tNN\tI-NP\tO' -p291653 -aS',\t,\t,\tO\tO' -p291654 -aS'and\tand\tCC\tO\tO' -p291655 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p291656 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p291657 -aS'effusions\teffusion\tNNS\tI-NP\tO' -p291658 -aS'.\t.\t.\tO\tO' -p291659 -asS'EP was called to deactivate pt dual chamber ICD as per family wishes .' -p291660 -(lp291661 -S'EP\tEP\tNN\tB-NP\tB-protein' -p291662 -aS'was\tbe\tVBD\tB-VP\tO' -p291663 -aS'called\tcall\tVBN\tI-VP\tO' -p291664 -aS'to\tto\tTO\tB-VP\tO' -p291665 -aS'deactivate\tdeactivate\tVB\tI-VP\tO' -p291666 -aS'pt\tpt\tJJ\tB-NP\tO' -p291667 -aS'dual\tdual\tJJ\tI-NP\tO' -p291668 -aS'chamber\tchamber\tNN\tI-NP\tO' -p291669 -aS'ICD\tICD\tNN\tI-NP\tO' -p291670 -aS'as\tas\tIN\tB-PP\tO' -p291671 -aS'per\tper\tIN\tB-PP\tO' -p291672 -aS'family\tfamily\tNN\tB-NP\tO' -p291673 -aS'wishes\twish\tNNS\tI-NP\tO' -p291674 -aS'.\t.\t.\tO\tO' -p291675 -asS'Regular .' -p291676 -(lp291677 -S'Regular\tRegular\tJJ\tB-ADJP\tO' -p291678 -aS'.\t.\t.\tO\tO' -p291679 -asS'He was started on Zosyn and Vanco for his presumed aspiration , " hospital " aquired PNA .' -p291680 -(lp291681 -S'He\tHe\tPRP\tB-NP\tO' -p291682 -aS'was\tbe\tVBD\tB-VP\tO' -p291683 -aS'started\tstart\tVBN\tI-VP\tO' -p291684 -aS'on\ton\tIN\tB-PP\tO' -p291685 -aS'Zosyn\tZosyn\tNNP\tB-NP\tO' -p291686 -aS'and\tand\tCC\tI-NP\tO' -p291687 -aS'Vanco\tVanco\tNNP\tI-NP\tO' -p291688 -aS'for\tfor\tIN\tB-PP\tO' -p291689 -aS'his\this\tPRP$\tB-NP\tB-DNA' -p291690 -aS'presumed\tpresume\tVBN\tI-NP\tO' -p291691 -aS'aspiration\taspiration\tNN\tI-NP\tO' -p291692 -aS',\t,\t,\tO\tO' -p291693 -aS'"\t"\t``\tB-NP\tO' -p291694 -aS'hospital\thospital\tNN\tI-NP\tO' -p291695 -aS'"\t"\t\'\'\tI-NP\tO' -p291696 -aS'aquired\taquired\tJJ\tI-NP\tO' -p291697 -aS'PNA\tPNA\tNN\tI-NP\tO' -p291698 -aS'.\t.\t.\tO\tO' -p291699 -asS'She received a full course of azithromycin for this with resolution of her cough and sputum production .' -p291700 -(lp291701 -S'She\tShe\tPRP\tB-NP\tO' -p291702 -aS'received\treceive\tVBD\tB-VP\tO' -p291703 -aS'a\ta\tDT\tB-NP\tO' -p291704 -aS'full\tfull\tJJ\tI-NP\tO' -p291705 -aS'course\tcourse\tNN\tI-NP\tO' -p291706 -aS'of\tof\tIN\tB-PP\tO' -p291707 -aS'azithromycin\tazithromycin\tNN\tB-NP\tO' -p291708 -aS'for\tfor\tIN\tB-PP\tO' -p291709 -aS'this\tthis\tDT\tB-NP\tO' -p291710 -aS'with\twith\tIN\tB-PP\tO' -p291711 -aS'resolution\tresolution\tNN\tB-NP\tO' -p291712 -aS'of\tof\tIN\tB-PP\tO' -p291713 -aS'her\ther\tPRP$\tB-NP\tO' -p291714 -aS'cough\tcough\tNN\tI-NP\tO' -p291715 -aS'and\tand\tCC\tI-NP\tO' -p291716 -aS'sputum\tsputum\tNN\tI-NP\tO' -p291717 -aS'production\tproduction\tNN\tI-NP\tO' -p291718 -aS'.\t.\t.\tO\tO' -p291719 -asS'Temperature 100.4 , pulse 108 , respirations 20 , blood pressure 110/70 , oxygen saturation 100% on room air .' -p291720 -(lp291721 -S'Temperature\tTemperature\tNN\tB-NP\tB-protein' -p291722 -aS'100.4\t100.4\tCD\tI-NP\tI-protein' -p291723 -aS',\t,\t,\tO\tO' -p291724 -aS'pulse\tpulse\tNN\tB-NP\tO' -p291725 -aS'108\t108\tCD\tI-NP\tO' -p291726 -aS',\t,\t,\tO\tO' -p291727 -aS'respirations\trespiration\tNNS\tB-NP\tO' -p291728 -aS'20\t20\tCD\tB-NP\tO' -p291729 -aS',\t,\t,\tO\tO' -p291730 -aS'blood\tblood\tNN\tB-NP\tO' -p291731 -aS'pressure\tpressure\tNN\tI-NP\tO' -p291732 -aS'110/70\t110/70\tCD\tI-NP\tO' -p291733 -aS',\t,\t,\tO\tO' -p291734 -aS'oxygen\toxygen\tNN\tB-NP\tO' -p291735 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p291736 -aS'100%\t100%\tCD\tI-NP\tO' -p291737 -aS'on\ton\tIN\tB-PP\tO' -p291738 -aS'room\troom\tNN\tB-NP\tO' -p291739 -aS'air\tair\tNN\tI-NP\tO' -p291740 -aS'.\t.\t.\tO\tO' -p291741 -asS'Her dose was increased to 7.5 mg q day the day prior to discharge .' -p291742 -(lp291743 -S'Her\tHer\tPRP$\tB-NP\tO' -p291744 -aS'dose\tdose\tNN\tI-NP\tO' -p291745 -aS'was\tbe\tVBD\tB-VP\tO' -p291746 -aS'increased\tincrease\tVBN\tI-VP\tO' -p291747 -aS'to\tto\tTO\tB-PP\tO' -p291748 -aS'7.5\t7.5\tCD\tB-NP\tO' -p291749 -aS'mg\tmg\tNN\tI-NP\tO' -p291750 -aS'q\tq\tNN\tI-NP\tO' -p291751 -aS'day\tday\tNN\tI-NP\tO' -p291752 -aS'the\tthe\tDT\tB-NP\tO' -p291753 -aS'day\tday\tNN\tI-NP\tO' -p291754 -aS'prior\tprior\tRB\tB-ADVP\tO' -p291755 -aS'to\tto\tTO\tB-VP\tO' -p291756 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p291757 -aS'.\t.\t.\tO\tO' -p291758 -asS'The patient is to follow up in clinic .' -p291759 -(lp291760 -S'The\tThe\tDT\tB-NP\tO' -p291761 -aS'patient\tpatient\tNN\tI-NP\tO' -p291762 -aS'is\tbe\tVBZ\tB-VP\tO' -p291763 -aS'to\tto\tTO\tB-VP\tO' -p291764 -aS'follow\tfollow\tVB\tI-VP\tO' -p291765 -aS'up\tup\tRP\tB-PRT\tO' -p291766 -aS'in\tin\tIN\tB-PP\tO' -p291767 -aS'clinic\tclinic\tNN\tB-NP\tO' -p291768 -aS'.\t.\t.\tO\tO' -p291769 -asS'Nonfocal .' -p291770 -(lp291771 -S'Nonfocal\tNonfocal\tJJ\tB-ADJP\tO' -p291772 -aS'.\t.\t.\tO\tO' -p291773 -asS'Significant for metastatic breast cancer , complicated by fever and neutropenia .' -p291774 -(lp291775 -S'Significant\tSignificant\tJJ\tB-ADJP\tO' -p291776 -aS'for\tfor\tIN\tB-PP\tO' -p291777 -aS'metastatic\tmetastatic\tJJ\tB-NP\tO' -p291778 -aS'breast\tbreast\tNN\tI-NP\tO' -p291779 -aS'cancer\tcancer\tNN\tI-NP\tO' -p291780 -aS',\t,\t,\tO\tO' -p291781 -aS'complicated\tcomplicate\tVBN\tB-VP\tO' -p291782 -aS'by\tby\tIN\tB-PP\tO' -p291783 -aS'fever\tfever\tNN\tB-NP\tO' -p291784 -aS'and\tand\tCC\tI-NP\tO' -p291785 -aS'neutropenia\tneutropenia\tNN\tI-NP\tO' -p291786 -aS'.\t.\t.\tO\tO' -p291787 -asS'Of note , there was a question of misplaced NGT .' -p291788 -(lp291789 -S'Of\tOf\tIN\tB-PP\tO' -p291790 -aS'note\tnote\tNN\tB-NP\tO' -p291791 -aS',\t,\t,\tO\tO' -p291792 -aS'there\tthere\tEX\tB-NP\tO' -p291793 -aS'was\tbe\tVBD\tB-VP\tO' -p291794 -aS'a\ta\tDT\tB-NP\tO' -p291795 -aS'question\tquestion\tNN\tI-NP\tO' -p291796 -aS'of\tof\tIN\tB-PP\tO' -p291797 -aS'misplaced\tmisplace\tVBN\tB-NP\tO' -p291798 -aS'NGT\tNGT\tNN\tI-NP\tO' -p291799 -aS'.\t.\t.\tO\tO' -p291800 -asS'Admitted to TSICU for subarachnoid hemorrhage and multiple spinal fractures .' -p291801 -(lp291802 -S'Admitted\tAdmit\tVBN\tB-VP\tO' -p291803 -aS'to\tto\tTO\tB-PP\tO' -p291804 -aS'TSICU\tTSICU\tNN\tB-NP\tB-protein' -p291805 -aS'for\tfor\tIN\tB-PP\tO' -p291806 -aS'subarachnoid\tsubarachnoid\tJJ\tB-NP\tO' -p291807 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p291808 -aS'and\tand\tCC\tO\tO' -p291809 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p291810 -aS'spinal\tspinal\tJJ\tI-NP\tO' -p291811 -aS'fractures\tfracture\tNNS\tI-NP\tO' -p291812 -aS'.\t.\t.\tO\tO' -p291813 -asS'An echocardiogram was performed to evaluate the LV function , which showed an ejection fraction of 53% with inferoposteriorakinesis / hypokinesis .' -p291814 -(lp291815 -S'An\tAn\tDT\tB-NP\tO' -p291816 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p291817 -aS'was\tbe\tVBD\tB-VP\tO' -p291818 -aS'performed\tperform\tVBN\tI-VP\tO' -p291819 -aS'to\tto\tTO\tI-VP\tO' -p291820 -aS'evaluate\tevaluate\tVB\tI-VP\tO' -p291821 -aS'the\tthe\tDT\tB-NP\tO' -p291822 -aS'LV\tLV\tNN\tI-NP\tO' -p291823 -aS'function\tfunction\tNN\tI-NP\tO' -p291824 -aS',\t,\t,\tO\tO' -p291825 -aS'which\twhich\tWDT\tB-NP\tO' -p291826 -aS'showed\tshow\tVBD\tB-VP\tO' -p291827 -aS'an\tan\tDT\tB-NP\tO' -p291828 -aS'ejection\tejection\tNN\tI-NP\tO' -p291829 -aS'fraction\tfraction\tNN\tI-NP\tO' -p291830 -aS'of\tof\tIN\tB-PP\tO' -p291831 -aS'53%\t53%\tNN\tB-NP\tO' -p291832 -aS'with\twith\tIN\tB-PP\tO' -p291833 -aS'inferoposteriorakinesis\tinferoposteriorakinesis\tNN\tB-NP\tO' -p291834 -aS'/\t/\tSYM\tB-NP\tO' -p291835 -aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' -p291836 -aS'.\t.\t.\tO\tO' -p291837 -asS'Her heart showed a regular rate and rhythm with an S1-S2 , no murmur .' -p291838 -(lp291839 -S'Her\tHer\tPRP$\tB-NP\tO' -p291840 -aS'heart\theart\tNN\tI-NP\tO' -p291841 -aS'showed\tshow\tVBD\tB-VP\tO' -p291842 -aS'a\ta\tDT\tB-NP\tO' -p291843 -aS'regular\tregular\tJJ\tI-NP\tO' -p291844 -aS'rate\trate\tNN\tI-NP\tO' -p291845 -aS'and\tand\tCC\tI-NP\tO' -p291846 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p291847 -aS'with\twith\tIN\tB-PP\tO' -p291848 -aS'an\tan\tDT\tB-NP\tO' -p291849 -aS'S1-S2\tS1-S2\tNN\tI-NP\tB-DNA' -p291850 -aS',\t,\t,\tO\tO' -p291851 -aS'no\tno\tDT\tB-NP\tO' -p291852 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p291853 -aS'.\t.\t.\tO\tO' -p291854 -asS'Lungs had bibasilar rales 1/4 of the way up bilaterally , otherwise clear .' -p291855 -(lp291856 -S'Lungs\tLung\tNNS\tB-NP\tB-protein' -p291857 -aS'had\thave\tVBD\tB-VP\tI-protein' -p291858 -aS'bibasilar\tbibasilar\tJJ\tB-NP\tI-protein' -p291859 -aS'rales\trale\tNNS\tI-NP\tI-protein' -p291860 -aS'1/4\t1/4\tCD\tB-NP\tI-protein' -p291861 -aS'of\tof\tIN\tB-PP\tO' -p291862 -aS'the\tthe\tDT\tB-NP\tO' -p291863 -aS'way\tway\tNN\tI-NP\tO' -p291864 -aS'up\tup\tRB\tB-ADVP\tO' -p291865 -aS'bilaterally\tbilaterally\tRB\tI-ADVP\tO' -p291866 -aS',\t,\t,\tO\tO' -p291867 -aS'otherwise\totherwise\tRB\tB-ADJP\tO' -p291868 -aS'clear\tclear\tJJ\tI-ADJP\tO' -p291869 -aS'.\t.\t.\tO\tO' -p291870 -asS'7. Calcium Acetate 667 mg Tablet Sig : One ( 1 ) Tablet PO TID W/ MEALS ( 3 TIMES A DAY WITH MEALS ) .' -p291871 -(lp291872 -S'7.\t7.\tLS\tB-NP\tO' -p291873 -aS'Calcium\tCalcium\tNN\tI-NP\tO' -p291874 -aS'Acetate\tAcetate\tNN\tI-NP\tO' -p291875 -aS'667\t667\tCD\tI-NP\tO' -p291876 -aS'mg\tmg\tNN\tI-NP\tO' -p291877 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p291878 -aS'Sig\tSig\tNNP\tI-NP\tO' -p291879 -aS':\t:\t:\tO\tO' -p291880 -aS'One\tOne\tCD\tB-NP\tO' -p291881 -aS'(\t(\t(\tO\tO' -p291882 -aS'1\t1\tCD\tB-NP\tO' -p291883 -aS')\t)\t)\tO\tO' -p291884 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p291885 -aS'PO\tPO\tNNP\tI-NP\tO' -p291886 -aS'TID\tTID\tNNP\tI-NP\tO' -p291887 -aS'W/\tW/\tNNP\tI-NP\tO' -p291888 -aS'MEALS\tMEALS\tNNP\tI-NP\tO' -p291889 -aS'(\t(\t(\tO\tO' -p291890 -aS'3\t3\tCD\tB-NP\tO' -p291891 -aS'TIMES\tTIMES\tNN\tI-NP\tO' -p291892 -aS'A\tA\tNN\tI-NP\tO' -p291893 -aS'DAY\tDAY\tNN\tI-NP\tO' -p291894 -aS'WITH\tWITH\tNN\tI-NP\tO' -p291895 -aS'MEALS\tMEALS\tNN\tI-NP\tO' -p291896 -aS')\t)\t)\tO\tO' -p291897 -aS'.\t.\t.\tO\tO' -p291898 -asS'He was transferred to the North Adams Regional Hospital for catheterization .' -p291899 -(lp291900 -S'He\tHe\tPRP\tB-NP\tO' -p291901 -aS'was\tbe\tVBD\tB-VP\tO' -p291902 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p291903 -aS'to\tto\tTO\tB-PP\tO' -p291904 -aS'the\tthe\tDT\tB-NP\tO' -p291905 -aS'North\tNorth\tNNP\tI-NP\tO' -p291906 -aS'Adams\tAdams\tNNP\tI-NP\tO' -p291907 -aS'Regional\tRegional\tNNP\tI-NP\tO' -p291908 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p291909 -aS'for\tfor\tIN\tB-PP\tO' -p291910 -aS'catheterization\tcatheterization\tNN\tB-NP\tO' -p291911 -aS'.\t.\t.\tO\tO' -p291912 -asS'Protonix 40 qd , Colchicine 6 mg bid , Meclizine 25 mg qid prn , glucosamine and oxycodone prn , tessalon prn .' -p291913 -(lp291914 -S'Protonix\tProtonix\tNNP\tB-NP\tO' -p291915 -aS'40\t40\tCD\tI-NP\tO' -p291916 -aS'qd\tqd\tNN\tI-NP\tO' -p291917 -aS',\t,\t,\tO\tO' -p291918 -aS'Colchicine\tColchicine\tNN\tB-NP\tO' -p291919 -aS'6\t6\tCD\tI-NP\tO' -p291920 -aS'mg\tmg\tNN\tI-NP\tO' -p291921 -aS'bid\tbid\tRB\tB-ADVP\tO' -p291922 -aS',\t,\t,\tO\tO' -p291923 -aS'Meclizine\tMeclizine\tNN\tB-NP\tO' -p291924 -aS'25\t25\tCD\tI-NP\tO' -p291925 -aS'mg\tmg\tNN\tI-NP\tO' -p291926 -aS'qid\tqid\tNN\tI-NP\tO' -p291927 -aS'prn\tprn\tNN\tI-NP\tO' -p291928 -aS',\t,\t,\tO\tO' -p291929 -aS'glucosamine\tglucosamine\tNN\tB-NP\tO' -p291930 -aS'and\tand\tCC\tO\tO' -p291931 -aS'oxycodone\toxycodone\tNN\tB-NP\tO' -p291932 -aS'prn\tprn\tNN\tI-NP\tO' -p291933 -aS',\t,\t,\tO\tO' -p291934 -aS'tessalon\ttessalon\tNN\tB-NP\tO' -p291935 -aS'prn\tprn\tNN\tI-NP\tO' -p291936 -aS'.\t.\t.\tO\tO' -p291937 -asS'LLQ pain has improved over the course of this hospitalization .' -p291938 -(lp291939 -S'LLQ\tLLQ\tNN\tB-NP\tB-protein' -p291940 -aS'pain\tpain\tNN\tI-NP\tI-protein' -p291941 -aS'has\thave\tVBZ\tB-VP\tO' -p291942 -aS'improved\timprove\tVBN\tI-VP\tO' -p291943 -aS'over\tover\tIN\tB-PP\tO' -p291944 -aS'the\tthe\tDT\tB-NP\tO' -p291945 -aS'course\tcourse\tNN\tI-NP\tO' -p291946 -aS'of\tof\tIN\tB-PP\tO' -p291947 -aS'this\tthis\tDT\tB-NP\tO' -p291948 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p291949 -aS'.\t.\t.\tO\tO' -p291950 -asS"Given her hx of ileostomy secondary to crohn 's disease and resultant short gut syndrome , the pt requires nutritional support via TPN ." -p291951 -(lp291952 -S'Given\tGive\tVBN\tB-PP\tO' -p291953 -aS'her\ther\tPRP$\tB-NP\tO' -p291954 -aS'hx\thx\tNN\tI-NP\tO' -p291955 -aS'of\tof\tIN\tB-PP\tO' -p291956 -aS'ileostomy\tileostomy\tNN\tB-NP\tO' -p291957 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p291958 -aS'to\tto\tTO\tB-PP\tO' -p291959 -aS'crohn\tcrohn\tNN\tB-NP\tO' -p291960 -aS"'s\t's\tPOS\tB-NP\tO" -p291961 -aS'disease\tdisease\tNN\tI-NP\tO' -p291962 -aS'and\tand\tCC\tO\tO' -p291963 -aS'resultant\tresultant\tJJ\tB-NP\tO' -p291964 -aS'short\tshort\tJJ\tI-NP\tO' -p291965 -aS'gut\tgut\tNN\tI-NP\tO' -p291966 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p291967 -aS',\t,\t,\tO\tO' -p291968 -aS'the\tthe\tDT\tB-NP\tO' -p291969 -aS'pt\tpt\tNN\tI-NP\tO' -p291970 -aS'requires\trequire\tVBZ\tB-VP\tO' -p291971 -aS'nutritional\tnutritional\tJJ\tB-NP\tO' -p291972 -aS'support\tsupport\tNN\tI-NP\tO' -p291973 -aS'via\tvia\tIN\tB-PP\tO' -p291974 -aS'TPN\tTPN\tNN\tB-NP\tB-protein' -p291975 -aS'.\t.\t.\tO\tO' -p291976 -asS'She was reinstated on iron at discharge and her hematocrit was stable .' -p291977 -(lp291978 -S'She\tShe\tPRP\tB-NP\tO' -p291979 -aS'was\tbe\tVBD\tB-VP\tO' -p291980 -aS'reinstated\treinstate\tVBN\tI-VP\tO' -p291981 -aS'on\ton\tIN\tB-PP\tO' -p291982 -aS'iron\tiron\tNN\tB-NP\tO' -p291983 -aS'at\tat\tIN\tB-PP\tO' -p291984 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p291985 -aS'and\tand\tCC\tO\tO' -p291986 -aS'her\ther\tPRP$\tB-NP\tO' -p291987 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p291988 -aS'was\tbe\tVBD\tB-VP\tO' -p291989 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p291990 -aS'.\t.\t.\tO\tO' -p291991 -asS"This is consistent with the remainder of the pt 's history including fever , chills , sob and an elevated WBC count ." -p291992 -(lp291993 -S'This\tThis\tDT\tB-NP\tO' -p291994 -aS'is\tbe\tVBZ\tB-VP\tO' -p291995 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p291996 -aS'with\twith\tIN\tB-PP\tO' -p291997 -aS'the\tthe\tDT\tB-NP\tO' -p291998 -aS'remainder\tremainder\tNN\tI-NP\tO' -p291999 -aS'of\tof\tIN\tB-PP\tO' -p292000 -aS'the\tthe\tDT\tB-NP\tO' -p292001 -aS'pt\tpt\tNN\tI-NP\tO' -p292002 -aS"'s\t's\tPOS\tB-NP\tO" -p292003 -aS'history\thistory\tNN\tI-NP\tO' -p292004 -aS'including\tinclude\tVBG\tB-PP\tO' -p292005 -aS'fever\tfever\tNN\tB-NP\tO' -p292006 -aS',\t,\t,\tO\tO' -p292007 -aS'chills\tchill\tNNS\tB-NP\tO' -p292008 -aS',\t,\t,\tO\tO' -p292009 -aS'sob\tsob\tNN\tB-NP\tB-protein' -p292010 -aS'and\tand\tCC\tO\tO' -p292011 -aS'an\tan\tDT\tB-NP\tO' -p292012 -aS'elevated\televated\tJJ\tI-NP\tO' -p292013 -aS'WBC\tWBC\tNNP\tI-NP\tO' -p292014 -aS'count\tcount\tNN\tI-NP\tO' -p292015 -aS'.\t.\t.\tO\tO' -p292016 -asS'The patient denies any alcohol or tobacco .' -p292017 -(lp292018 -S'The\tThe\tDT\tB-NP\tO' -p292019 -aS'patient\tpatient\tNN\tI-NP\tO' -p292020 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p292021 -aS'any\tany\tDT\tB-NP\tO' -p292022 -aS'alcohol\talcohol\tNN\tI-NP\tO' -p292023 -aS'or\tor\tCC\tI-NP\tO' -p292024 -aS'tobacco\ttobacco\tNN\tI-NP\tO' -p292025 -aS'.\t.\t.\tO\tO' -p292026 -asS'Dictated By : Todd N. Brannon , M.D.' -p292027 -(lp292028 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p292029 -aS'By\tBy\tIN\tB-PP\tO' -p292030 -aS':\t:\t:\tO\tO' -p292031 -aS'Todd\tTodd\tNNP\tB-NP\tO' -p292032 -aS'N.\tN.\tNNP\tI-NP\tO' -p292033 -aS'Brannon\tBrannon\tNNP\tI-NP\tO' -p292034 -aS',\t,\t,\tO\tO' -p292035 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p292036 -asS'4. Chronic renal insufficiency with azotemia .' -p292037 -(lp292038 -S'4.\t4.\tLS\tB-NP\tO' -p292039 -aS'Chronic\tChronic\tJJ\tI-NP\tO' -p292040 -aS'renal\trenal\tJJ\tI-NP\tO' -p292041 -aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' -p292042 -aS'with\twith\tIN\tB-PP\tO' -p292043 -aS'azotemia\tazotemia\tNN\tB-NP\tO' -p292044 -aS'.\t.\t.\tO\tO' -p292045 -asS'FLUIDS , ELECTROLYTES AND NUTRITION : Infant initiated on 60 cc per kg per day of D10W .' -p292046 -(lp292047 -S'FLUIDS\tFLUIDS\tNN\tB-NP\tO' -p292048 -aS',\t,\t,\tI-NP\tO' -p292049 -aS'ELECTROLYTES\tELECTROLYTES\tNN\tI-NP\tO' -p292050 -aS'AND\tAND\tCC\tI-NP\tO' -p292051 -aS'NUTRITION\tNUTRITION\tNN\tI-NP\tO' -p292052 -aS':\t:\t:\tO\tO' -p292053 -aS'Infant\tInfant\tNN\tB-NP\tO' -p292054 -aS'initiated\tinitiate\tVBN\tB-VP\tO' -p292055 -aS'on\ton\tIN\tB-PP\tO' -p292056 -aS'60\t60\tCD\tB-NP\tO' -p292057 -aS'cc\tcc\tNN\tI-NP\tO' -p292058 -aS'per\tper\tIN\tB-PP\tO' -p292059 -aS'kg\tkg\tNN\tB-NP\tO' -p292060 -aS'per\tper\tIN\tB-PP\tO' -p292061 -aS'day\tday\tNN\tB-NP\tO' -p292062 -aS'of\tof\tIN\tB-PP\tO' -p292063 -aS'D10W\tD10W\tNN\tB-NP\tB-protein' -p292064 -aS'.\t.\t.\tO\tO' -p292065 -asS'On physical examination , the patient was resting comfortably when seen , slightly sleepy at first but readily arousable , awake , alert , oriented and conversant .' -p292066 -(lp292067 -S'On\tOn\tIN\tB-PP\tO' -p292068 -aS'physical\tphysical\tJJ\tB-NP\tO' -p292069 -aS'examination\texamination\tNN\tI-NP\tO' -p292070 -aS',\t,\t,\tO\tO' -p292071 -aS'the\tthe\tDT\tB-NP\tO' -p292072 -aS'patient\tpatient\tNN\tI-NP\tO' -p292073 -aS'was\tbe\tVBD\tB-VP\tO' -p292074 -aS'resting\trest\tVBG\tI-VP\tO' -p292075 -aS'comfortably\tcomfortably\tRB\tB-ADVP\tO' -p292076 -aS'when\twhen\tWRB\tB-ADVP\tO' -p292077 -aS'seen\tsee\tVBN\tB-VP\tO' -p292078 -aS',\t,\t,\tO\tO' -p292079 -aS'slightly\tslightly\tRB\tB-ADJP\tO' -p292080 -aS'sleepy\tsleepy\tJJ\tI-ADJP\tO' -p292081 -aS'at\tat\tIN\tB-PP\tO' -p292082 -aS'first\tfirst\tJJ\tB-NP\tO' -p292083 -aS'but\tbut\tCC\tI-NP\tO' -p292084 -aS'readily\treadily\tRB\tI-NP\tO' -p292085 -aS'arousable\tarousable\tJJ\tI-NP\tO' -p292086 -aS',\t,\t,\tI-NP\tO' -p292087 -aS'awake\tawake\tJJ\tI-NP\tO' -p292088 -aS',\t,\t,\tI-NP\tO' -p292089 -aS'alert\talert\tJJ\tI-NP\tO' -p292090 -aS',\t,\t,\tI-NP\tO' -p292091 -aS'oriented\torient\tVBN\tI-NP\tO' -p292092 -aS'and\tand\tCC\tI-NP\tO' -p292093 -aS'conversant\tconversant\tNN\tI-NP\tO' -p292094 -aS'.\t.\t.\tO\tO' -p292095 -asS"The patient 's actual date of discharge was 2011-03-21 ." -p292096 -(lp292097 -S'The\tThe\tDT\tB-NP\tO' -p292098 -aS'patient\tpatient\tNN\tI-NP\tO' -p292099 -aS"'s\t's\tPOS\tB-NP\tO" -p292100 -aS'actual\tactual\tJJ\tI-NP\tO' -p292101 -aS'date\tdate\tNN\tI-NP\tO' -p292102 -aS'of\tof\tIN\tB-PP\tO' -p292103 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p292104 -aS'was\tbe\tVBD\tB-VP\tO' -p292105 -aS'2011-03-21\t2011-03-21\tCD\tB-NP\tO' -p292106 -aS'.\t.\t.\tO\tO' -p292107 -asS'INR 1.1 , PTT 30.3.Chest x-ray shows cardiomegaly .' -p292108 -(lp292109 -S'INR\tINR\tNN\tB-NP\tO' -p292110 -aS'1.1\t1.1\tCD\tI-NP\tO' -p292111 -aS',\t,\t,\tO\tO' -p292112 -aS'PTT\tPTT\tNNP\tB-NP\tO' -p292113 -aS'30.3.Chest\t30.3.Chest\tNNP\tI-NP\tO' -p292114 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p292115 -aS'shows\tshow\tVBZ\tB-VP\tO' -p292116 -aS'cardiomegaly\tcardiomegaly\tRB\tB-ADVP\tO' -p292117 -aS'.\t.\t.\tO\tO' -p292118 -asS'+ lightheadedness when he stood up prompting him to go to OSH Nellie .' -p292119 -(lp292120 -S'+\t+\tSYM\tO\tO' -p292121 -aS'lightheadedness\tlightheadedness\tNN\tB-NP\tO' -p292122 -aS'when\twhen\tWRB\tB-ADVP\tO' -p292123 -aS'he\the\tPRP\tB-NP\tO' -p292124 -aS'stood\tstand\tVBD\tB-VP\tO' -p292125 -aS'up\tup\tRP\tB-PRT\tO' -p292126 -aS'prompting\tprompt\tVBG\tB-VP\tO' -p292127 -aS'him\thim\tPRP\tB-NP\tO' -p292128 -aS'to\tto\tTO\tB-VP\tO' -p292129 -aS'go\tgo\tVB\tI-VP\tO' -p292130 -aS'to\tto\tTO\tB-PP\tO' -p292131 -aS'OSH\tOSH\tNNP\tB-NP\tO' -p292132 -aS'Nellie\tNellie\tNNP\tI-NP\tO' -p292133 -aS'.\t.\t.\tO\tO' -p292134 -asS'She received one unit of PRBC s.' -p292135 -(lp292136 -S'She\tShe\tPRP\tB-NP\tO' -p292137 -aS'received\treceive\tVBD\tB-VP\tO' -p292138 -aS'one\tone\tCD\tB-NP\tO' -p292139 -aS'unit\tunit\tNN\tI-NP\tO' -p292140 -aS'of\tof\tIN\tB-PP\tO' -p292141 -aS'PRBC\tPRBC\tNN\tB-NP\tB-protein' -p292142 -aS's.\ts.\tNN\tI-NP\tI-protein' -p292143 -asS'Studies of her autonomic system did not document any dysautonomia .' -p292144 -(lp292145 -S'Studies\tStudy\tNNS\tB-NP\tO' -p292146 -aS'of\tof\tIN\tB-PP\tO' -p292147 -aS'her\ther\tPRP$\tB-NP\tO' -p292148 -aS'autonomic\tautonomic\tJJ\tI-NP\tO' -p292149 -aS'system\tsystem\tNN\tI-NP\tO' -p292150 -aS'did\tdo\tVBD\tB-VP\tO' -p292151 -aS'not\tnot\tRB\tI-VP\tO' -p292152 -aS'document\tdocument\tVB\tI-VP\tO' -p292153 -aS'any\tany\tDT\tB-NP\tO' -p292154 -aS'dysautonomia\tdysautonomia\tNN\tI-NP\tO' -p292155 -aS'.\t.\t.\tO\tO' -p292156 -asS'The cytology for this biopsy is still pending .' -p292157 -(lp292158 -S'The\tThe\tDT\tB-NP\tO' -p292159 -aS'cytology\tcytology\tNN\tI-NP\tO' -p292160 -aS'for\tfor\tIN\tB-PP\tO' -p292161 -aS'this\tthis\tDT\tB-NP\tO' -p292162 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p292163 -aS'is\tbe\tVBZ\tB-VP\tO' -p292164 -aS'still\tstill\tRB\tI-VP\tO' -p292165 -aS'pending\tpende\tVBG\tI-VP\tO' -p292166 -aS'.\t.\t.\tO\tO' -p292167 -asS'Chest x-ray demonstrating pulmonary edema .' -p292168 -(lp292169 -S'Chest\tCh\tJJS\tB-NP\tO' -p292170 -aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' -p292171 -aS'demonstrating\tdemonstrate\tVBG\tB-VP\tO' -p292172 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p292173 -aS'edema\tedema\tNN\tI-NP\tO' -p292174 -aS'.\t.\t.\tO\tO' -p292175 -asS'Signal average EKG .' -p292176 -(lp292177 -S'Signal\tSignal\tNN\tB-NP\tB-protein' -p292178 -aS'average\taverage\tJJ\tI-NP\tI-protein' -p292179 -aS'EKG\tEKG\tNN\tI-NP\tI-protein' -p292180 -aS'.\t.\t.\tO\tO' -p292181 -asS'Head , eyes , ears , nose , and throat examination revealed the oropharynx was clear .' -p292182 -(lp292183 -S'Head\tHead\tRB\tB-ADVP\tO' -p292184 -aS',\t,\t,\tO\tO' -p292185 -aS'eyes\teye\tNNS\tB-NP\tO' -p292186 -aS',\t,\t,\tO\tO' -p292187 -aS'ears\tear\tNNS\tB-NP\tO' -p292188 -aS',\t,\t,\tO\tO' -p292189 -aS'nose\tnose\tNN\tB-NP\tO' -p292190 -aS',\t,\t,\tO\tO' -p292191 -aS'and\tand\tCC\tO\tO' -p292192 -aS'throat\tthroat\tNN\tB-NP\tO' -p292193 -aS'examination\texamination\tNN\tI-NP\tO' -p292194 -aS'revealed\treveal\tVBD\tB-VP\tO' -p292195 -aS'the\tthe\tDT\tB-NP\tO' -p292196 -aS'oropharynx\toropharynx\tNN\tI-NP\tO' -p292197 -aS'was\tbe\tVBD\tB-VP\tO' -p292198 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p292199 -aS'.\t.\t.\tO\tO' -p292200 -asS'99% saturation on room air .' -p292201 -(lp292202 -S'99%\t99%\tCD\tB-NP\tO' -p292203 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p292204 -aS'on\ton\tIN\tB-PP\tO' -p292205 -aS'room\troom\tNN\tB-NP\tO' -p292206 -aS'air\tair\tNN\tI-NP\tO' -p292207 -aS'.\t.\t.\tO\tO' -p292208 -asS'There were no complications , and the patient tolerated the procedure well .' -p292209 -(lp292210 -S'There\tThere\tEX\tB-NP\tO' -p292211 -aS'were\tbe\tVBD\tB-VP\tO' -p292212 -aS'no\tno\tDT\tB-NP\tO' -p292213 -aS'complications\tcomplication\tNNS\tI-NP\tO' -p292214 -aS',\t,\t,\tO\tO' -p292215 -aS'and\tand\tCC\tO\tO' -p292216 -aS'the\tthe\tDT\tB-NP\tO' -p292217 -aS'patient\tpatient\tNN\tI-NP\tO' -p292218 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p292219 -aS'the\tthe\tDT\tB-NP\tO' -p292220 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p292221 -aS'well\twell\tRB\tB-ADVP\tO' -p292222 -aS'.\t.\t.\tO\tO' -p292223 -asS'1) Born at less than 32 weeks ,' -p292224 -(lp292225 -S'1)\t1)\tLS\tB-LST\tO' -p292226 -aS'Born\tBorn\tNNP\tB-NP\tO' -p292227 -aS'at\tat\tIN\tB-PP\tO' -p292228 -aS'less\tless\tJJR\tB-NP\tO' -p292229 -aS'than\tthan\tIN\tI-NP\tO' -p292230 -aS'32\t32\tCD\tI-NP\tO' -p292231 -aS'weeks\tweek\tNNS\tI-NP\tO' -p292232 -aS',\t,\t,\tO\tO' -p292233 -asS'She was discharged on 09/03/2004 at 12:07 pm in good condition .' -p292234 -(lp292235 -S'She\tShe\tPRP\tB-NP\tO' -p292236 -aS'was\tbe\tVBD\tB-VP\tO' -p292237 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p292238 -aS'on\ton\tIN\tB-PP\tO' -p292239 -aS'09/03/2004\t09/03/2004\tCD\tB-NP\tO' -p292240 -aS'at\tat\tIN\tB-PP\tO' -p292241 -aS'12:07\t12:07\tCD\tB-NP\tO' -p292242 -aS'pm\tpm\tNN\tI-NP\tO' -p292243 -aS'in\tin\tIN\tB-PP\tO' -p292244 -aS'good\tgood\tJJ\tB-NP\tO' -p292245 -aS'condition\tcondition\tNN\tI-NP\tO' -p292246 -aS'.\t.\t.\tO\tO' -p292247 -asS'Non-insulin-requiring diabetes mellitus , and hypercholesterolemia .' -p292248 -(lp292249 -S'Non-insulin-requiring\tNon-insulin-requiring\tJJ\tB-NP\tO' -p292250 -aS'diabetes\tdiabetes\tNN\tI-NP\tO' -p292251 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p292252 -aS',\t,\t,\tO\tO' -p292253 -aS'and\tand\tCC\tO\tO' -p292254 -aS'hypercholesterolemia\thypercholesterolemia\tNN\tB-NP\tO' -p292255 -aS'.\t.\t.\tO\tO' -p292256 -asS'Foley was placed in Deanna .' -p292257 -(lp292258 -S'Foley\tFoley\tNNP\tB-NP\tO' -p292259 -aS'was\tbe\tVBD\tB-VP\tO' -p292260 -aS'placed\tplace\tVBN\tI-VP\tO' -p292261 -aS'in\tin\tIN\tB-PP\tO' -p292262 -aS'Deanna\tDeanna\tNNP\tB-NP\tO' -p292263 -aS'.\t.\t.\tO\tO' -p292264 -asS'HEPATOCELLULAR CARCINOMA , AND HEPATITIS C .' -p292265 -(lp292266 -S'HEPATOCELLULAR\tHEPATOCELLULAR\tNN\tB-NP\tO' -p292267 -aS'CARCINOMA\tCARCINOMA\tNN\tI-NP\tO' -p292268 -aS',\t,\t,\tO\tO' -p292269 -aS'AND\tAND\tCC\tO\tO' -p292270 -aS'HEPATITIS\tHEPATITIS\tNN\tB-NP\tO' -p292271 -aS'C\tC\tNN\tI-NP\tO' -p292272 -aS'.\t.\t.\tO\tO' -p292273 -asS'Pulm had previously been consulted and felt that presentation was c/w PCP , Joann started on Bactrim .' -p292274 -(lp292275 -S'Pulm\tPulm\tNN\tB-NP\tO' -p292276 -aS'had\thave\tVBD\tB-VP\tO' -p292277 -aS'previously\tpreviously\tRB\tI-VP\tO' -p292278 -aS'been\tbe\tVBN\tI-VP\tO' -p292279 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p292280 -aS'and\tand\tCC\tO\tO' -p292281 -aS'felt\tfeel\tVBD\tB-VP\tO' -p292282 -aS'that\tthat\tIN\tB-SBAR\tO' -p292283 -aS'presentation\tpresentation\tNN\tB-NP\tO' -p292284 -aS'was\tbe\tVBD\tB-VP\tO' -p292285 -aS'c/w\tc/w\tNN\tB-NP\tO' -p292286 -aS'PCP\tPCP\tNN\tI-NP\tO' -p292287 -aS',\t,\t,\tO\tO' -p292288 -aS'Joann\tJoann\tNNP\tB-NP\tO' -p292289 -aS'started\tstart\tVBD\tB-VP\tO' -p292290 -aS'on\ton\tIN\tB-PP\tO' -p292291 -aS'Bactrim\tBactrim\tNNP\tB-NP\tO' -p292292 -aS'.\t.\t.\tO\tO' -p292293 -asS'Her pupils were reactive bilaterally .' -p292294 -(lp292295 -S'Her\tHer\tPRP$\tB-NP\tO' -p292296 -aS'pupils\tpupil\tNNS\tI-NP\tO' -p292297 -aS'were\tbe\tVBD\tB-VP\tO' -p292298 -aS'reactive\treactive\tJJ\tB-ADJP\tO' -p292299 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p292300 -aS'.\t.\t.\tO\tO' -p292301 -asS'regular rate and rhythm .' -p292302 -(lp292303 -S'regular\tregular\tJJ\tB-NP\tO' -p292304 -aS'rate\trate\tNN\tI-NP\tO' -p292305 -aS'and\tand\tCC\tI-NP\tO' -p292306 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p292307 -aS'.\t.\t.\tO\tO' -p292308 -asS'Please call Dr. Lewis office for an appointment in 2 weeks .' -p292309 -(lp292310 -S'Please\tPlease\tNNP\tB-NP\tO' -p292311 -aS'call\tcall\tNN\tI-NP\tO' -p292312 -aS'Dr.\tDr.\tNNP\tI-NP\tO' -p292313 -aS'Lewis\tLewis\tNNP\tI-NP\tO' -p292314 -aS'office\toffice\tNN\tI-NP\tO' -p292315 -aS'for\tfor\tIN\tB-PP\tO' -p292316 -aS'an\tan\tDT\tB-NP\tO' -p292317 -aS'appointment\tappointment\tNN\tI-NP\tO' -p292318 -aS'in\tin\tIN\tB-PP\tO' -p292319 -aS'2\t2\tCD\tB-NP\tO' -p292320 -aS'weeks\tweek\tNNS\tI-NP\tO' -p292321 -aS'.\t.\t.\tO\tO' -p292322 -asS'The patient is a 83 yo R-handed man with a history of multiple intracranial hemorrhages during the last few years , pacemaker , hyperlipidemia , arrhythmia who now presents with gradual decline in gait and slowing of mentation over the last week .' -p292323 -(lp292324 -S'The\tThe\tDT\tB-NP\tO' -p292325 -aS'patient\tpatient\tNN\tI-NP\tO' -p292326 -aS'is\tbe\tVBZ\tB-VP\tO' -p292327 -aS'a\ta\tDT\tB-NP\tO' -p292328 -aS'83\t83\tCD\tI-NP\tO' -p292329 -aS'yo\tyo\tNN\tI-NP\tO' -p292330 -aS'R-handed\tR-handed\tJJ\tI-NP\tO' -p292331 -aS'man\tman\tNN\tI-NP\tO' -p292332 -aS'with\twith\tIN\tB-PP\tO' -p292333 -aS'a\ta\tDT\tB-NP\tO' -p292334 -aS'history\thistory\tNN\tI-NP\tO' -p292335 -aS'of\tof\tIN\tB-PP\tO' -p292336 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p292337 -aS'intracranial\tintracranial\tJJ\tI-NP\tO' -p292338 -aS'hemorrhages\themorrhage\tNNS\tI-NP\tO' -p292339 -aS'during\tduring\tIN\tB-PP\tO' -p292340 -aS'the\tthe\tDT\tB-NP\tO' -p292341 -aS'last\tlast\tJJ\tI-NP\tO' -p292342 -aS'few\tfew\tJJ\tI-NP\tO' -p292343 -aS'years\tyear\tNNS\tI-NP\tO' -p292344 -aS',\t,\t,\tO\tO' -p292345 -aS'pacemaker\tpacemaker\tNN\tB-NP\tO' -p292346 -aS',\t,\t,\tO\tO' -p292347 -aS'hyperlipidemia\thyperlipidemia\tNN\tB-NP\tO' -p292348 -aS',\t,\t,\tO\tO' -p292349 -aS'arrhythmia\tarrhythmia\tNN\tB-NP\tO' -p292350 -aS'who\twho\tWP\tB-NP\tO' -p292351 -aS'now\tnow\tRB\tB-ADVP\tO' -p292352 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p292353 -aS'with\twith\tIN\tB-PP\tO' -p292354 -aS'gradual\tgradual\tJJ\tB-NP\tO' -p292355 -aS'decline\tdecline\tNN\tI-NP\tO' -p292356 -aS'in\tin\tIN\tB-PP\tO' -p292357 -aS'gait\tgait\tNN\tB-NP\tO' -p292358 -aS'and\tand\tCC\tI-NP\tO' -p292359 -aS'slowing\tslowing\tNN\tI-NP\tO' -p292360 -aS'of\tof\tIN\tB-PP\tO' -p292361 -aS'mentation\tmentation\tNN\tB-NP\tO' -p292362 -aS'over\tover\tIN\tB-PP\tO' -p292363 -aS'the\tthe\tDT\tB-NP\tO' -p292364 -aS'last\tlast\tJJ\tI-NP\tO' -p292365 -aS'week\tweek\tNN\tI-NP\tO' -p292366 -aS'.\t.\t.\tO\tO' -p292367 -asS'EOMs with full range of movement , no nystagmus .' -p292368 -(lp292369 -S'EOMs\tEOM\tNNS\tB-NP\tO' -p292370 -aS'with\twith\tIN\tB-PP\tO' -p292371 -aS'full\tfull\tJJ\tB-NP\tO' -p292372 -aS'range\trange\tNN\tI-NP\tO' -p292373 -aS'of\tof\tIN\tB-PP\tO' -p292374 -aS'movement\tmovement\tNN\tB-NP\tO' -p292375 -aS',\t,\t,\tO\tO' -p292376 -aS'no\tno\tDT\tB-NP\tO' -p292377 -aS'nystagmus\tnystagmus\tNN\tI-NP\tO' -p292378 -aS'.\t.\t.\tO\tO' -p292379 -asS'The heart rate is regular without murmur .' -p292380 -(lp292381 -S'The\tThe\tDT\tB-NP\tO' -p292382 -aS'heart\theart\tNN\tI-NP\tO' -p292383 -aS'rate\trate\tNN\tI-NP\tO' -p292384 -aS'is\tbe\tVBZ\tB-VP\tO' -p292385 -aS'regular\tregular\tJJ\tB-ADJP\tO' -p292386 -aS'without\twithout\tIN\tB-PP\tO' -p292387 -aS'murmur\tmurmur\tNN\tB-NP\tO' -p292388 -aS'.\t.\t.\tO\tO' -p292389 -asS'However , on the night prior to the planned surgical date the patient suffered an episode of bleeding from her Hickman catheter site .' -p292390 -(lp292391 -S'However\tHowever\tRB\tB-ADVP\tO' -p292392 -aS',\t,\t,\tO\tO' -p292393 -aS'on\ton\tIN\tB-PP\tO' -p292394 -aS'the\tthe\tDT\tB-NP\tO' -p292395 -aS'night\tnight\tNN\tI-NP\tO' -p292396 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p292397 -aS'to\tto\tTO\tB-PP\tO' -p292398 -aS'the\tthe\tDT\tB-NP\tO' -p292399 -aS'planned\tplan\tVBN\tI-NP\tO' -p292400 -aS'surgical\tsurgical\tJJ\tI-NP\tO' -p292401 -aS'date\tdate\tNN\tI-NP\tO' -p292402 -aS'the\tthe\tDT\tB-NP\tO' -p292403 -aS'patient\tpatient\tNN\tI-NP\tO' -p292404 -aS'suffered\tsuffer\tVBD\tB-VP\tO' -p292405 -aS'an\tan\tDT\tB-NP\tO' -p292406 -aS'episode\tepisode\tNN\tI-NP\tO' -p292407 -aS'of\tof\tIN\tB-PP\tO' -p292408 -aS'bleeding\tbleed\tVBG\tB-VP\tO' -p292409 -aS'from\tfrom\tIN\tB-PP\tO' -p292410 -aS'her\ther\tPRP$\tB-NP\tB-DNA' -p292411 -aS'Hickman\tHickman\tNNP\tI-NP\tI-DNA' -p292412 -aS'catheter\tcatheter\tNN\tI-NP\tI-DNA' -p292413 -aS'site\tsite\tNN\tI-NP\tI-DNA' -p292414 -aS'.\t.\t.\tO\tO' -p292415 -asS'Apparently , a bone marrow biopsy at the time confirmed the diagnosis of chronic myelomonocytic leukemia .' -p292416 -(lp292417 -S'Apparently\tApparently\tRB\tB-ADVP\tO' -p292418 -aS',\t,\t,\tO\tO' -p292419 -aS'a\ta\tDT\tB-NP\tO' -p292420 -aS'bone\tbone\tNN\tI-NP\tO' -p292421 -aS'marrow\tmarrow\tNN\tI-NP\tO' -p292422 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p292423 -aS'at\tat\tIN\tB-PP\tO' -p292424 -aS'the\tthe\tDT\tB-NP\tO' -p292425 -aS'time\ttime\tNN\tI-NP\tO' -p292426 -aS'confirmed\tconfirm\tVBD\tB-VP\tO' -p292427 -aS'the\tthe\tDT\tB-NP\tO' -p292428 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p292429 -aS'of\tof\tIN\tB-PP\tO' -p292430 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p292431 -aS'myelomonocytic\tmyelomonocytic\tJJ\tI-NP\tO' -p292432 -aS'leukemia\tleukemia\tNN\tI-NP\tO' -p292433 -aS'.\t.\t.\tO\tO' -p292434 -asS'After this therapy he achieved a protocol eligible minimal disease state .' -p292435 -(lp292436 -S'After\tAfter\tIN\tB-PP\tO' -p292437 -aS'this\tthis\tDT\tB-NP\tO' -p292438 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p292439 -aS'he\the\tPRP\tB-NP\tO' -p292440 -aS'achieved\tachieve\tVBD\tB-VP\tO' -p292441 -aS'a\ta\tDT\tB-NP\tO' -p292442 -aS'protocol\tprotocol\tNN\tI-NP\tO' -p292443 -aS'eligible\teligible\tJJ\tI-NP\tO' -p292444 -aS'minimal\tminimal\tJJ\tI-NP\tO' -p292445 -aS'disease\tdisease\tNN\tI-NP\tO' -p292446 -aS'state\tstate\tNN\tI-NP\tO' -p292447 -aS'.\t.\t.\tO\tO' -p292448 -asS'Dispo : PT/OT worked with patient during admission' -p292449 -(lp292450 -S'Dispo\tDispo\tNNP\tB-NP\tO' -p292451 -aS':\t:\t:\tO\tO' -p292452 -aS'PT/OT\tPT/OT\tNN\tB-NP\tO' -p292453 -aS'worked\twork\tVBD\tB-VP\tO' -p292454 -aS'with\twith\tIN\tB-PP\tO' -p292455 -aS'patient\tpatient\tNN\tB-NP\tO' -p292456 -aS'during\tduring\tIN\tB-PP\tO' -p292457 -aS'admission\tadmission\tNN\tB-NP\tO' -p292458 -asS'The epidural catheter had a morphine infusion initially started at 1 mg a day and increased to 3 mg a day in a period of three days .' -p292459 -(lp292460 -S'The\tThe\tDT\tB-NP\tO' -p292461 -aS'epidural\tepidural\tJJ\tI-NP\tO' -p292462 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p292463 -aS'had\thave\tVBD\tB-VP\tO' -p292464 -aS'a\ta\tDT\tB-NP\tO' -p292465 -aS'morphine\tmorphine\tNN\tI-NP\tO' -p292466 -aS'infusion\tinfusion\tNN\tI-NP\tO' -p292467 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p292468 -aS'started\tstart\tVBD\tB-VP\tO' -p292469 -aS'at\tat\tIN\tB-PP\tO' -p292470 -aS'1\t1\tCD\tB-NP\tO' -p292471 -aS'mg\tmg\tNN\tI-NP\tO' -p292472 -aS'a\ta\tDT\tB-NP\tO' -p292473 -aS'day\tday\tNN\tI-NP\tO' -p292474 -aS'and\tand\tCC\tO\tO' -p292475 -aS'increased\tincrease\tVBD\tB-VP\tO' -p292476 -aS'to\tto\tTO\tB-PP\tO' -p292477 -aS'3\t3\tCD\tB-NP\tO' -p292478 -aS'mg\tmg\tNN\tI-NP\tO' -p292479 -aS'a\ta\tDT\tB-NP\tO' -p292480 -aS'day\tday\tNN\tI-NP\tO' -p292481 -aS'in\tin\tIN\tB-PP\tO' -p292482 -aS'a\ta\tDT\tB-NP\tO' -p292483 -aS'period\tperiod\tNN\tI-NP\tO' -p292484 -aS'of\tof\tIN\tB-PP\tO' -p292485 -aS'three\tthree\tCD\tB-NP\tO' -p292486 -aS'days\tday\tNNS\tI-NP\tO' -p292487 -aS'.\t.\t.\tO\tO' -p292488 -asS'9. Psychosocial - As noted above , paternal aunt was the gestational carrier .' -p292489 -(lp292490 -S'9.\t9.\tLS\tB-NP\tO' -p292491 -aS'Psychosocial\tPsychosocial\tNN\tI-NP\tO' -p292492 -aS'-\t-\tHYPH\tB-ADJP\tO' -p292493 -aS'As\tAs\tIN\tB-SBAR\tO' -p292494 -aS'noted\tnote\tVBN\tB-VP\tO' -p292495 -aS'above\tabove\tRB\tB-ADVP\tO' -p292496 -aS',\t,\t,\tO\tO' -p292497 -aS'paternal\tpaternal\tJJ\tB-NP\tO' -p292498 -aS'aunt\taunt\tNN\tI-NP\tO' -p292499 -aS'was\tbe\tVBD\tB-VP\tO' -p292500 -aS'the\tthe\tDT\tB-NP\tO' -p292501 -aS'gestational\tgestational\tJJ\tI-NP\tO' -p292502 -aS'carrier\tcarrier\tNN\tI-NP\tO' -p292503 -aS'.\t.\t.\tO\tO' -p292504 -asS'White count 7 , hematocrit 24.2 , platelet count was 183 .' -p292505 -(lp292506 -S'White\tWhite\tJJ\tB-NP\tO' -p292507 -aS'count\tcount\tNN\tI-NP\tO' -p292508 -aS'7\t7\tCD\tI-NP\tO' -p292509 -aS',\t,\t,\tO\tO' -p292510 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p292511 -aS'24.2\t24.2\tCD\tI-NP\tI-protein' -p292512 -aS',\t,\t,\tO\tO' -p292513 -aS'platelet\tplatelet\tNN\tB-NP\tB-protein' -p292514 -aS'count\tcount\tNN\tI-NP\tI-protein' -p292515 -aS'was\tbe\tVBD\tB-VP\tI-protein' -p292516 -aS'183\t183\tCD\tB-NP\tI-protein' -p292517 -aS'.\t.\t.\tO\tO' -p292518 -asS'Once the patient was transferred out of the Coronary Care Unit , she appeared to have an element of heart failure in addition to her chronic obstructive pulmonary disease .' -p292519 -(lp292520 -S'Once\tOnce\tRB\tO\tO' -p292521 -aS'the\tthe\tDT\tB-NP\tO' -p292522 -aS'patient\tpatient\tNN\tI-NP\tO' -p292523 -aS'was\tbe\tVBD\tB-VP\tO' -p292524 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p292525 -aS'out\tout\tIN\tB-PP\tO' -p292526 -aS'of\tof\tIN\tB-PP\tO' -p292527 -aS'the\tthe\tDT\tB-NP\tO' -p292528 -aS'Coronary\tCoronary\tNNP\tI-NP\tO' -p292529 -aS'Care\tCare\tNNP\tI-NP\tO' -p292530 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p292531 -aS',\t,\t,\tO\tO' -p292532 -aS'she\tshe\tPRP\tB-NP\tO' -p292533 -aS'appeared\tappear\tVBD\tB-VP\tO' -p292534 -aS'to\tto\tTO\tI-VP\tO' -p292535 -aS'have\thave\tVB\tI-VP\tO' -p292536 -aS'an\tan\tDT\tB-NP\tO' -p292537 -aS'element\telement\tNN\tI-NP\tO' -p292538 -aS'of\tof\tIN\tB-PP\tO' -p292539 -aS'heart\theart\tNN\tB-NP\tO' -p292540 -aS'failure\tfailure\tNN\tI-NP\tO' -p292541 -aS'in\tin\tIN\tB-PP\tO' -p292542 -aS'addition\taddition\tNN\tB-NP\tO' -p292543 -aS'to\tto\tTO\tB-PP\tO' -p292544 -aS'her\ther\tPRP$\tB-NP\tO' -p292545 -aS'chronic\tchronic\tJJ\tI-NP\tO' -p292546 -aS'obstructive\tobstructive\tJJ\tI-NP\tO' -p292547 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p292548 -aS'disease\tdisease\tNN\tI-NP\tO' -p292549 -aS'.\t.\t.\tO\tO' -p292550 -asS'On 2016-02-15 , the patient was taken to the operating room and had an off pump coronary artery bypass graft performed with the left internal mammary artery to the left anterior descending , saphenous vein graft to obtuse marginal and posterior descending artery .' -p292551 -(lp292552 -S'On\tOn\tIN\tB-PP\tO' -p292553 -aS'2016-02-15\t2016-02-15\tCD\tB-NP\tO' -p292554 -aS',\t,\t,\tO\tO' -p292555 -aS'the\tthe\tDT\tB-NP\tO' -p292556 -aS'patient\tpatient\tNN\tI-NP\tO' -p292557 -aS'was\tbe\tVBD\tB-VP\tO' -p292558 -aS'taken\ttake\tVBN\tI-VP\tO' -p292559 -aS'to\tto\tTO\tB-PP\tO' -p292560 -aS'the\tthe\tDT\tB-NP\tO' -p292561 -aS'operating\toperating\tNN\tI-NP\tO' -p292562 -aS'room\troom\tNN\tI-NP\tO' -p292563 -aS'and\tand\tCC\tO\tO' -p292564 -aS'had\thave\tVBD\tB-VP\tO' -p292565 -aS'an\tan\tDT\tB-NP\tO' -p292566 -aS'off\toff\tJJ\tI-NP\tO' -p292567 -aS'pump\tpump\tNN\tI-NP\tO' -p292568 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p292569 -aS'artery\tartery\tNN\tI-NP\tO' -p292570 -aS'bypass\tbypass\tIN\tB-PP\tO' -p292571 -aS'graft\tgraft\tNN\tB-NP\tO' -p292572 -aS'performed\tperform\tVBN\tB-VP\tO' -p292573 -aS'with\twith\tIN\tB-PP\tO' -p292574 -aS'the\tthe\tDT\tB-NP\tO' -p292575 -aS'left\tleft\tJJ\tI-NP\tO' -p292576 -aS'internal\tinternal\tJJ\tI-NP\tO' -p292577 -aS'mammary\tmammary\tJJ\tI-NP\tO' -p292578 -aS'artery\tartery\tNN\tI-NP\tO' -p292579 -aS'to\tto\tTO\tB-PP\tO' -p292580 -aS'the\tthe\tDT\tB-NP\tO' -p292581 -aS'left\tleft\tJJ\tI-NP\tO' -p292582 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p292583 -aS'descending\tdescending\tNN\tI-NP\tO' -p292584 -aS',\t,\t,\tO\tO' -p292585 -aS'saphenous\tsaphenous\tJJ\tB-NP\tO' -p292586 -aS'vein\tvein\tNN\tI-NP\tO' -p292587 -aS'graft\tgraft\tNN\tI-NP\tO' -p292588 -aS'to\tto\tTO\tB-VP\tO' -p292589 -aS'obtuse\tobtuse\tVB\tI-VP\tO' -p292590 -aS'marginal\tmarginal\tJJ\tB-NP\tO' -p292591 -aS'and\tand\tCC\tI-NP\tO' -p292592 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p292593 -aS'descending\tdescend\tVBG\tI-NP\tO' -p292594 -aS'artery\tartery\tNN\tI-NP\tO' -p292595 -aS'.\t.\t.\tO\tO' -p292596 -asS'As above with colostomy .' -p292597 -(lp292598 -S'As\tAs\tIN\tB-PP\tO' -p292599 -aS'above\tabove\tIN\tB-PP\tO' -p292600 -aS'with\twith\tIN\tB-PP\tO' -p292601 -aS'colostomy\tcolostomy\tNN\tB-NP\tO' -p292602 -aS'.\t.\t.\tO\tO' -p292603 -asS'She received blood transfusions intraoperatively and postoperatively in addition to autologous blood .' -p292604 -(lp292605 -S'She\tShe\tPRP\tB-NP\tO' -p292606 -aS'received\treceive\tVBD\tB-VP\tO' -p292607 -aS'blood\tblood\tNN\tB-NP\tO' -p292608 -aS'transfusions\ttransfusion\tNNS\tI-NP\tO' -p292609 -aS'intraoperatively\tintraoperatively\tRB\tB-ADVP\tO' -p292610 -aS'and\tand\tCC\tI-ADVP\tO' -p292611 -aS'postoperatively\tpostoperatively\tRB\tI-ADVP\tO' -p292612 -aS'in\tin\tIN\tB-PP\tO' -p292613 -aS'addition\taddition\tNN\tB-NP\tO' -p292614 -aS'to\tto\tTO\tB-PP\tO' -p292615 -aS'autologous\tautologous\tJJ\tB-NP\tO' -p292616 -aS'blood\tblood\tNN\tI-NP\tO' -p292617 -aS'.\t.\t.\tO\tO' -p292618 -asS'Echocardiogram results were within normal limits revealing a PPS murmur .' -p292619 -(lp292620 -S'Echocardiogram\tEchocardiogram\tNN\tB-NP\tO' -p292621 -aS'results\tresult\tNNS\tI-NP\tO' -p292622 -aS'were\tbe\tVBD\tB-VP\tO' -p292623 -aS'within\twithin\tIN\tB-PP\tO' -p292624 -aS'normal\tnormal\tJJ\tB-NP\tO' -p292625 -aS'limits\tlimit\tNNS\tI-NP\tO' -p292626 -aS'revealing\treveal\tVBG\tB-VP\tO' -p292627 -aS'a\ta\tDT\tB-NP\tO' -p292628 -aS'PPS\tPPS\tNN\tI-NP\tB-protein' -p292629 -aS'murmur\tmurmur\tNN\tI-NP\tI-protein' -p292630 -aS'.\t.\t.\tO\tO' -p292631 -asS'You will be given pain medication which may make you drowsy .' -p292632 -(lp292633 -S'You\tYou\tPRP\tB-NP\tB-protein' -p292634 -aS'will\twill\tMD\tB-VP\tO' -p292635 -aS'be\tbe\tVB\tI-VP\tO' -p292636 -aS'given\tgive\tVBN\tI-VP\tO' -p292637 -aS'pain\tpain\tNN\tB-NP\tO' -p292638 -aS'medication\tmedication\tNN\tI-NP\tO' -p292639 -aS'which\twhich\tWDT\tB-NP\tO' -p292640 -aS'may\tmay\tMD\tB-VP\tO' -p292641 -aS'make\tmake\tVB\tI-VP\tO' -p292642 -aS'you\tyou\tPRP\tB-NP\tO' -p292643 -aS'drowsy\tdrowsy\tJJ\tB-ADJP\tO' -p292644 -aS'.\t.\t.\tO\tO' -p292645 -asS'He received 1 mg IV Narcan ( numerous bottles of oxycontin , percocet were found in room ); his pupils dilated to ~ 8 mm and he became combative / agitated .' -p292646 -(lp292647 -S'He\tHe\tPRP\tB-NP\tO' -p292648 -aS'received\treceive\tVBD\tB-VP\tO' -p292649 -aS'1\t1\tCD\tB-NP\tO' -p292650 -aS'mg\tmg\tNN\tI-NP\tO' -p292651 -aS'IV\tIV\tCD\tB-NP\tO' -p292652 -aS'Narcan\tNarcan\tNN\tI-NP\tO' -p292653 -aS'(\t(\t(\tO\tO' -p292654 -aS'numerous\tnumerous\tJJ\tB-NP\tO' -p292655 -aS'bottles\tbottle\tNNS\tI-NP\tO' -p292656 -aS'of\tof\tIN\tB-PP\tO' -p292657 -aS'oxycontin\toxycontin\tNN\tB-NP\tO' -p292658 -aS',\t,\t,\tO\tO' -p292659 -aS'percocet\tpercocet\tNN\tB-NP\tO' -p292660 -aS'were\tbe\tVBD\tB-VP\tO' -p292661 -aS'found\tfind\tVBN\tI-VP\tO' -p292662 -aS'in\tin\tIN\tB-PP\tO' -p292663 -aS'room\troom\tNN\tB-NP\tO' -p292664 -aS');\t);\tIN\tB-PP\tO' -p292665 -aS'his\this\tPRP$\tB-NP\tO' -p292666 -aS'pupils\tpupil\tNNS\tI-NP\tO' -p292667 -aS'dilated\tdilate\tVBN\tB-VP\tO' -p292668 -aS'to\tto\tTO\tB-VP\tO' -p292669 -aS'~\t~\tVB\tI-VP\tO' -p292670 -aS'8\t8\tCD\tB-NP\tO' -p292671 -aS'mm\tmm\tNN\tI-NP\tO' -p292672 -aS'and\tand\tCC\tO\tO' -p292673 -aS'he\the\tPRP\tB-NP\tO' -p292674 -aS'became\tbecome\tVBD\tB-VP\tO' -p292675 -aS'combative\tcombative\tJJ\tB-ADJP\tO' -p292676 -aS'/\t/\tSYM\tB-NP\tO' -p292677 -aS'agitated\tagitated\tJJ\tB-ADJP\tO' -p292678 -aS'.\t.\t.\tO\tO' -p292679 -asS'Patient was stable with complete clearance of her mental status , advancement of her diet ,' -p292680 -(lp292681 -S'Patient\tPatient\tNN\tB-NP\tO' -p292682 -aS'was\tbe\tVBD\tB-VP\tO' -p292683 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p292684 -aS'with\twith\tIN\tB-PP\tO' -p292685 -aS'complete\tcomplete\tJJ\tB-NP\tO' -p292686 -aS'clearance\tclearance\tNN\tI-NP\tO' -p292687 -aS'of\tof\tIN\tB-PP\tO' -p292688 -aS'her\ther\tPRP$\tB-NP\tO' -p292689 -aS'mental\tmental\tJJ\tI-NP\tO' -p292690 -aS'status\tstatus\tNN\tI-NP\tO' -p292691 -aS',\t,\t,\tO\tO' -p292692 -aS'advancement\tadvancement\tNN\tB-NP\tO' -p292693 -aS'of\tof\tIN\tB-PP\tO' -p292694 -aS'her\ther\tPRP$\tB-NP\tO' -p292695 -aS'diet\tdiet\tNN\tI-NP\tO' -p292696 -aS',\t,\t,\tO\tO' -p292697 -asS'8. Lasix , 20 mg. , po , qD .' -p292698 -(lp292699 -S'8.\t8.\tCD\tB-NP\tO' -p292700 -aS'Lasix\tLasix\tNNP\tI-NP\tO' -p292701 -aS',\t,\t,\tO\tO' -p292702 -aS'20\t20\tCD\tB-NP\tO' -p292703 -aS'mg.\tmg.\tNN\tI-NP\tO' -p292704 -aS',\t,\t,\tO\tO' -p292705 -aS'po\tpo\tNN\tB-NP\tO' -p292706 -aS',\t,\t,\tO\tO' -p292707 -aS'qD\tqD\tNN\tB-NP\tO' -p292708 -aS'.\t.\t.\tO\tO' -p292709 -asS'Recent herpes zoster .' -p292710 -(lp292711 -S'Recent\tRecent\tJJ\tB-NP\tO' -p292712 -aS'herpes\therpes\tNN\tI-NP\tO' -p292713 -aS'zoster\tzoster\tNN\tI-NP\tO' -p292714 -aS'.\t.\t.\tO\tO' -p292715 -asS'PSC , status post hepaticojejunostomy .' -p292716 -(lp292717 -S'PSC\tPSC\tNN\tB-NP\tB-protein' -p292718 -aS',\t,\t,\tO\tO' -p292719 -aS'status\tstatus\tNN\tB-NP\tO' -p292720 -aS'post\tpost\tNN\tI-NP\tO' -p292721 -aS'hepaticojejunostomy\thepaticojejunostomy\tNN\tI-NP\tO' -p292722 -aS'.\t.\t.\tO\tO' -p292723 -asS'You should restart your BP medications after you see your PCP .' -p292724 -(lp292725 -S'You\tYou\tPRP\tB-NP\tB-protein' -p292726 -aS'should\tshould\tMD\tB-VP\tO' -p292727 -aS'restart\trestart\tVB\tI-VP\tO' -p292728 -aS'your\tyour\tPRP$\tB-NP\tO' -p292729 -aS'BP\tBP\tNN\tI-NP\tO' -p292730 -aS'medications\tmedication\tNNS\tI-NP\tO' -p292731 -aS'after\tafter\tIN\tB-SBAR\tO' -p292732 -aS'you\tyou\tPRP\tB-NP\tO' -p292733 -aS'see\tsee\tVBP\tB-VP\tO' -p292734 -aS'your\tyour\tPRP$\tB-NP\tO' -p292735 -aS'PCP\tPCP\tNN\tI-NP\tB-protein' -p292736 -aS'.\t.\t.\tO\tO' -p292737 -asS'Group B strep screening was negative .' -p292738 -(lp292739 -S'Group\tGroup\tNN\tB-NP\tO' -p292740 -aS'B\tB\tNN\tI-NP\tO' -p292741 -aS'strep\tstrep\tNN\tI-NP\tO' -p292742 -aS'screening\tscreening\tNN\tI-NP\tO' -p292743 -aS'was\tbe\tVBD\tB-VP\tO' -p292744 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p292745 -aS'.\t.\t.\tO\tO' -p292746 -asS'No abdominal exercises for 6 weeks' -p292747 -(lp292748 -S'No\tNo\tDT\tB-NP\tO' -p292749 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p292750 -aS'exercises\texercise\tNNS\tI-NP\tO' -p292751 -aS'for\tfor\tIN\tB-PP\tO' -p292752 -aS'6\t6\tCD\tB-NP\tO' -p292753 -aS'weeks\tweek\tNNS\tI-NP\tO' -p292754 -asS'A potassium three days prior to surgery was 2.8 , the level being normalized with p.o. kay ciel prior to admission .' -p292755 -(lp292756 -S'A\tA\tDT\tB-NP\tO' -p292757 -aS'potassium\tpotassium\tNN\tI-NP\tO' -p292758 -aS'three\tthree\tCD\tB-NP\tO' -p292759 -aS'days\tday\tNNS\tI-NP\tO' -p292760 -aS'prior\tprior\tRB\tB-ADVP\tO' -p292761 -aS'to\tto\tTO\tB-PP\tO' -p292762 -aS'surgery\tsurgery\tNN\tB-NP\tO' -p292763 -aS'was\tbe\tVBD\tB-VP\tO' -p292764 -aS'2.8\t2.8\tCD\tB-NP\tO' -p292765 -aS',\t,\t,\tO\tO' -p292766 -aS'the\tthe\tDT\tB-NP\tO' -p292767 -aS'level\tlevel\tNN\tI-NP\tO' -p292768 -aS'being\tbe\tVBG\tB-VP\tO' -p292769 -aS'normalized\tnormalize\tVBN\tI-VP\tO' -p292770 -aS'with\twith\tIN\tB-PP\tO' -p292771 -aS'p.o.\tp.o.\tFW\tB-NP\tO' -p292772 -aS'kay\tkay\tFW\tI-NP\tO' -p292773 -aS'ciel\tciel\tNN\tI-NP\tO' -p292774 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p292775 -aS'to\tto\tTO\tB-PP\tO' -p292776 -aS'admission\tadmission\tNN\tB-NP\tO' -p292777 -aS'.\t.\t.\tO\tO' -p292778 -asS'There was no costovertebral angle tenderness .' -p292779 -(lp292780 -S'There\tThere\tEX\tB-NP\tO' -p292781 -aS'was\tbe\tVBD\tB-VP\tO' -p292782 -aS'no\tno\tDT\tB-NP\tO' -p292783 -aS'costovertebral\tcostovertebral\tJJ\tI-NP\tO' -p292784 -aS'angle\tangle\tNN\tI-NP\tO' -p292785 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p292786 -aS'.\t.\t.\tO\tO' -p292787 -asS'Initially , the patient did well in terms of his pre-status and required less oxygen .' -p292788 -(lp292789 -S'Initially\tInitially\tRB\tB-ADVP\tO' -p292790 -aS',\t,\t,\tO\tO' -p292791 -aS'the\tthe\tDT\tB-NP\tO' -p292792 -aS'patient\tpatient\tNN\tI-NP\tO' -p292793 -aS'did\tdo\tVBD\tB-VP\tO' -p292794 -aS'well\twell\tRB\tB-ADVP\tO' -p292795 -aS'in\tin\tIN\tB-PP\tO' -p292796 -aS'terms\tterm\tNNS\tB-NP\tO' -p292797 -aS'of\tof\tIN\tB-PP\tO' -p292798 -aS'his\this\tPRP$\tB-NP\tO' -p292799 -aS'pre-status\tpre-status\tNN\tI-NP\tO' -p292800 -aS'and\tand\tCC\tO\tO' -p292801 -aS'required\trequire\tVBD\tB-VP\tO' -p292802 -aS'less\tless\tJJR\tB-NP\tO' -p292803 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p292804 -aS'.\t.\t.\tO\tO' -p292805 -asS'The patient was initially told that this was a benign tumor and that it could simply be watched and definitively treated after the delivery of her baby .' -p292806 -(lp292807 -S'The\tThe\tDT\tB-NP\tO' -p292808 -aS'patient\tpatient\tNN\tI-NP\tO' -p292809 -aS'was\tbe\tVBD\tB-VP\tO' -p292810 -aS'initially\tinitially\tRB\tI-VP\tO' -p292811 -aS'told\ttell\tVBN\tI-VP\tO' -p292812 -aS'that\tthat\tIN\tB-SBAR\tO' -p292813 -aS'this\tthis\tDT\tB-NP\tO' -p292814 -aS'was\tbe\tVBD\tB-VP\tO' -p292815 -aS'a\ta\tDT\tB-NP\tO' -p292816 -aS'benign\tbenign\tJJ\tI-NP\tO' -p292817 -aS'tumor\ttumor\tNN\tI-NP\tO' -p292818 -aS'and\tand\tCC\tO\tO' -p292819 -aS'that\tthat\tIN\tB-SBAR\tO' -p292820 -aS'it\tit\tPRP\tB-NP\tO' -p292821 -aS'could\tcould\tMD\tB-VP\tO' -p292822 -aS'simply\tsimply\tRB\tI-VP\tO' -p292823 -aS'be\tbe\tVB\tI-VP\tO' -p292824 -aS'watched\twatch\tVBN\tI-VP\tO' -p292825 -aS'and\tand\tCC\tO\tO' -p292826 -aS'definitively\tdefinitively\tRB\tB-VP\tO' -p292827 -aS'treated\ttreat\tVBN\tI-VP\tO' -p292828 -aS'after\tafter\tIN\tB-PP\tO' -p292829 -aS'the\tthe\tDT\tB-NP\tO' -p292830 -aS'delivery\tdelivery\tNN\tI-NP\tO' -p292831 -aS'of\tof\tIN\tB-PP\tO' -p292832 -aS'her\ther\tPRP$\tB-NP\tO' -p292833 -aS'baby\tbaby\tNN\tI-NP\tO' -p292834 -aS'.\t.\t.\tO\tO' -p292835 -asS'Breath sounds were decreased at the bases only with distant heart sounds and a 2 out of 6 systolic ejection murmur consistent with aortic stenosis with Gallavardin like radiation to the apex .' -p292836 -(lp292837 -S'Breath\tBreath\tNN\tB-NP\tO' -p292838 -aS'sounds\tsound\tNNS\tI-NP\tO' -p292839 -aS'were\tbe\tVBD\tB-VP\tO' -p292840 -aS'decreased\tdecrease\tVBN\tI-VP\tO' -p292841 -aS'at\tat\tIN\tB-PP\tO' -p292842 -aS'the\tthe\tDT\tB-NP\tO' -p292843 -aS'bases\tbase\tNNS\tI-NP\tO' -p292844 -aS'only\tonly\tRB\tB-ADVP\tO' -p292845 -aS'with\twith\tIN\tB-PP\tO' -p292846 -aS'distant\tdistant\tJJ\tB-NP\tO' -p292847 -aS'heart\theart\tNN\tI-NP\tO' -p292848 -aS'sounds\tsound\tNNS\tI-NP\tO' -p292849 -aS'and\tand\tCC\tO\tO' -p292850 -aS'a\ta\tDT\tB-NP\tO' -p292851 -aS'2\t2\tCD\tI-NP\tO' -p292852 -aS'out\tout\tIN\tB-PP\tO' -p292853 -aS'of\tof\tIN\tB-PP\tO' -p292854 -aS'6\t6\tCD\tB-NP\tO' -p292855 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p292856 -aS'ejection\tejection\tNN\tI-NP\tO' -p292857 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p292858 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p292859 -aS'with\twith\tIN\tB-PP\tO' -p292860 -aS'aortic\taortic\tJJ\tB-NP\tO' -p292861 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p292862 -aS'with\twith\tIN\tB-PP\tO' -p292863 -aS'Gallavardin\tGallavardin\tNN\tB-NP\tB-protein' -p292864 -aS'like\tlike\tIN\tB-PP\tO' -p292865 -aS'radiation\tradiation\tNN\tB-NP\tO' -p292866 -aS'to\tto\tTO\tB-PP\tO' -p292867 -aS'the\tthe\tDT\tB-NP\tO' -p292868 -aS'apex\tapex\tNN\tI-NP\tO' -p292869 -aS'.\t.\t.\tO\tO' -p292870 -asS'Major Surgical or Invasive Procedure : see dc summary' -p292871 -(lp292872 -S'Major\tMajor\tJJ\tB-NP\tO' -p292873 -aS'Surgical\tSurgical\tJJ\tI-NP\tO' -p292874 -aS'or\tor\tCC\tI-NP\tO' -p292875 -aS'Invasive\tInvasive\tJJ\tI-NP\tO' -p292876 -aS'Procedure\tProcedure\tNN\tI-NP\tO' -p292877 -aS':\t:\t:\tO\tO' -p292878 -aS'see\tsee\tVB\tB-VP\tO' -p292879 -aS'dc\tdc\tNN\tB-NP\tO' -p292880 -aS'summary\tsummary\tNN\tI-NP\tO' -p292881 -asS'No other known drug use other than Oxycontin / percocet .' -p292882 -(lp292883 -S'No\tNo\tDT\tB-NP\tO' -p292884 -aS'other\tother\tJJ\tI-NP\tO' -p292885 -aS'known\tknow\tVBN\tI-NP\tO' -p292886 -aS'drug\tdrug\tNN\tI-NP\tO' -p292887 -aS'use\tuse\tNN\tI-NP\tO' -p292888 -aS'other\tother\tJJ\tB-ADJP\tO' -p292889 -aS'than\tthan\tIN\tB-PP\tO' -p292890 -aS'Oxycontin\tOxycontin\tNN\tB-NP\tB-protein' -p292891 -aS'/\t/\tSYM\tB-NP\tO' -p292892 -aS'percocet\tpercocet\tNN\tI-NP\tO' -p292893 -aS'.\t.\t.\tO\tO' -p292894 -asS'Chest x-ray was without infiltrates , wand in good position .' -p292895 -(lp292896 -S'Chest\tCh\tJJS\tB-NP\tO' -p292897 -aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' -p292898 -aS'was\tbe\tVBD\tB-VP\tO' -p292899 -aS'without\twithout\tIN\tB-PP\tO' -p292900 -aS'infiltrates\tinfiltrate\tNNS\tB-NP\tO' -p292901 -aS',\t,\t,\tO\tO' -p292902 -aS'wand\twand\tVBP\tB-VP\tO' -p292903 -aS'in\tin\tIN\tB-PP\tO' -p292904 -aS'good\tgood\tJJ\tB-NP\tO' -p292905 -aS'position\tposition\tNN\tI-NP\tO' -p292906 -aS'.\t.\t.\tO\tO' -p292907 -asS'While the patient was awaiting therapeutic anticoagulation with Coumadin , he spontaneously converted into normal sinus rhythm .' -p292908 -(lp292909 -S'While\tWhile\tIN\tB-SBAR\tO' -p292910 -aS'the\tthe\tDT\tB-NP\tO' -p292911 -aS'patient\tpatient\tNN\tI-NP\tO' -p292912 -aS'was\tbe\tVBD\tB-VP\tO' -p292913 -aS'awaiting\tawait\tVBG\tI-VP\tO' -p292914 -aS'therapeutic\ttherapeutic\tJJ\tB-NP\tO' -p292915 -aS'anticoagulation\tanticoagulation\tNN\tI-NP\tO' -p292916 -aS'with\twith\tIN\tB-PP\tO' -p292917 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p292918 -aS',\t,\t,\tO\tO' -p292919 -aS'he\the\tPRP\tB-NP\tO' -p292920 -aS'spontaneously\tspontaneously\tRB\tB-ADVP\tO' -p292921 -aS'converted\tconvert\tVBD\tB-VP\tO' -p292922 -aS'into\tinto\tIN\tB-PP\tO' -p292923 -aS'normal\tnormal\tJJ\tB-NP\tO' -p292924 -aS'sinus\tsinus\tNN\tI-NP\tO' -p292925 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p292926 -aS'.\t.\t.\tO\tO' -p292927 -asS'MRI has been deferred given that the pt currently would not tolerate the procedure .' -p292928 -(lp292929 -S'MRI\tMRI\tNN\tB-NP\tB-protein' -p292930 -aS'has\thave\tVBZ\tB-VP\tO' -p292931 -aS'been\tbe\tVBN\tI-VP\tO' -p292932 -aS'deferred\tdefer\tVBN\tI-VP\tO' -p292933 -aS'given\tgive\tVBN\tB-PP\tO' -p292934 -aS'that\tthat\tIN\tB-SBAR\tO' -p292935 -aS'the\tthe\tDT\tB-NP\tO' -p292936 -aS'pt\tpt\tNN\tI-NP\tO' -p292937 -aS'currently\tcurrently\tRB\tB-ADVP\tO' -p292938 -aS'would\twould\tMD\tB-VP\tO' -p292939 -aS'not\tnot\tRB\tI-VP\tO' -p292940 -aS'tolerate\ttolerate\tVB\tI-VP\tO' -p292941 -aS'the\tthe\tDT\tB-NP\tO' -p292942 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p292943 -aS'.\t.\t.\tO\tO' -p292944 -asS'1. When his O2 saturation was monitored , his pulse oximetry remained in the 90s during his stay .' -p292945 -(lp292946 -S'1.\t1.\tLS\tB-LST\tO' -p292947 -aS'When\tWhen\tWRB\tB-ADVP\tO' -p292948 -aS'his\this\tPRP$\tB-NP\tO' -p292949 -aS'O2\tO2\tNN\tI-NP\tO' -p292950 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p292951 -aS'was\tbe\tVBD\tB-VP\tO' -p292952 -aS'monitored\tmonitor\tVBN\tI-VP\tO' -p292953 -aS',\t,\t,\tO\tO' -p292954 -aS'his\this\tPRP$\tB-NP\tO' -p292955 -aS'pulse\tpulse\tNN\tI-NP\tO' -p292956 -aS'oximetry\toximetry\tNN\tI-NP\tO' -p292957 -aS'remained\tremain\tVBD\tB-VP\tO' -p292958 -aS'in\tin\tIN\tB-PP\tO' -p292959 -aS'the\tthe\tDT\tB-NP\tO' -p292960 -aS'90s\t90\tNNS\tI-NP\tO' -p292961 -aS'during\tduring\tIN\tB-PP\tO' -p292962 -aS'his\this\tPRP$\tB-NP\tO' -p292963 -aS'stay\tstay\tNN\tI-NP\tO' -p292964 -aS'.\t.\t.\tO\tO' -p292965 -asS'May be a small right pleural effusion .' -p292966 -(lp292967 -S'May\tMay\tMD\tB-VP\tO' -p292968 -aS'be\tbe\tVB\tI-VP\tO' -p292969 -aS'a\ta\tDT\tB-NP\tO' -p292970 -aS'small\tsmall\tJJ\tI-NP\tO' -p292971 -aS'right\tright\tJJ\tI-NP\tO' -p292972 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p292973 -aS'effusion\teffusion\tNN\tI-NP\tO' -p292974 -aS'.\t.\t.\tO\tO' -p292975 -asS'Good op site .' -p292976 -(lp292977 -S'Good\tGood\tJJ\tB-NP\tO' -p292978 -aS'op\top\tNN\tI-NP\tO' -p292979 -aS'site\tsite\tNN\tI-NP\tO' -p292980 -aS'.\t.\t.\tO\tO' -p292981 -asS'He was having a bit of a respiratory acidosis , therefore , bicarbonate was added to the dialysate .' -p292982 -(lp292983 -S'He\tHe\tPRP\tB-NP\tO' -p292984 -aS'was\tbe\tVBD\tB-VP\tO' -p292985 -aS'having\thave\tVBG\tI-VP\tO' -p292986 -aS'a\ta\tDT\tB-NP\tO' -p292987 -aS'bit\tbit\tNN\tI-NP\tO' -p292988 -aS'of\tof\tIN\tB-PP\tO' -p292989 -aS'a\ta\tDT\tB-NP\tO' -p292990 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p292991 -aS'acidosis\tacidosis\tNN\tI-NP\tO' -p292992 -aS',\t,\t,\tO\tO' -p292993 -aS'therefore\ttherefore\tRB\tB-ADVP\tO' -p292994 -aS',\t,\t,\tO\tO' -p292995 -aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' -p292996 -aS'was\tbe\tVBD\tB-VP\tO' -p292997 -aS'added\tadd\tVBN\tI-VP\tO' -p292998 -aS'to\tto\tTO\tB-PP\tO' -p292999 -aS'the\tthe\tDT\tB-NP\tO' -p293000 -aS'dialysate\tdialysate\tNN\tI-NP\tO' -p293001 -aS'.\t.\t.\tO\tO' -p293002 -asS'Remember to call for a follow up appointment ( bellow ) .' -p293003 -(lp293004 -S'Remember\tRemember\tVB\tB-VP\tO' -p293005 -aS'to\tto\tTO\tI-VP\tO' -p293006 -aS'call\tcall\tVB\tI-VP\tO' -p293007 -aS'for\tfor\tIN\tB-PP\tO' -p293008 -aS'a\ta\tDT\tB-NP\tO' -p293009 -aS'follow\tfollow\tNN\tI-NP\tO' -p293010 -aS'up\tup\tRP\tB-PRT\tO' -p293011 -aS'appointment\tappointment\tNN\tB-NP\tO' -p293012 -aS'(\t(\t(\tO\tO' -p293013 -aS'bellow\tbellow\tNN\tB-NP\tO' -p293014 -aS')\t)\t)\tO\tO' -p293015 -aS'.\t.\t.\tO\tO' -p293016 -asS'Neurological examination revealed the patient to be alert and oriented times three .' -p293017 -(lp293018 -S'Neurological\tNeurological\tJJ\tB-NP\tO' -p293019 -aS'examination\texamination\tNN\tI-NP\tO' -p293020 -aS'revealed\treveal\tVBD\tB-VP\tO' -p293021 -aS'the\tthe\tDT\tB-NP\tO' -p293022 -aS'patient\tpatient\tNN\tI-NP\tO' -p293023 -aS'to\tto\tTO\tB-VP\tO' -p293024 -aS'be\tbe\tVB\tI-VP\tO' -p293025 -aS'alert\talert\tJJ\tB-ADJP\tO' -p293026 -aS'and\tand\tCC\tO\tO' -p293027 -aS'oriented\torient\tVBN\tB-VP\tO' -p293028 -aS'times\ttime\tNNS\tB-NP\tO' -p293029 -aS'three\tthree\tCD\tB-NP\tO' -p293030 -aS'.\t.\t.\tO\tO' -p293031 -asS'1. Amiodarone 200 mg p.o. q day .' -p293032 -(lp293033 -S'1.\t1.\tLS\tB-NP\tO' -p293034 -aS'Amiodarone\tAmiodarone\tNN\tI-NP\tO' -p293035 -aS'200\t200\tCD\tI-NP\tO' -p293036 -aS'mg\tmg\tNN\tI-NP\tO' -p293037 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p293038 -aS'q\tq\tNN\tI-NP\tO' -p293039 -aS'day\tday\tNN\tI-NP\tO' -p293040 -aS'.\t.\t.\tO\tO' -p293041 -asS'Patient experienced steady decline , with persistent fevers despite all above measures , progressive areas of skin infection , more frequent episodes of confusion , and decreasing oxygen saturation in the setting of bilateral effusion , in the setting of fluid surge spacing .' -p293042 -(lp293043 -S'Patient\tPatient\tNN\tB-NP\tO' -p293044 -aS'experienced\texperience\tVBD\tB-VP\tO' -p293045 -aS'steady\tsteady\tJJ\tB-NP\tO' -p293046 -aS'decline\tdecline\tNN\tI-NP\tO' -p293047 -aS',\t,\t,\tO\tO' -p293048 -aS'with\twith\tIN\tB-PP\tO' -p293049 -aS'persistent\tpersistent\tJJ\tB-NP\tO' -p293050 -aS'fevers\tfever\tNNS\tI-NP\tO' -p293051 -aS'despite\tdespite\tIN\tB-PP\tO' -p293052 -aS'all\tall\tDT\tB-NP\tO' -p293053 -aS'above\tabove\tJJ\tI-NP\tO' -p293054 -aS'measures\tmeasure\tNNS\tI-NP\tO' -p293055 -aS',\t,\t,\tO\tO' -p293056 -aS'progressive\tprogressive\tJJ\tB-NP\tO' -p293057 -aS'areas\tarea\tNNS\tI-NP\tO' -p293058 -aS'of\tof\tIN\tB-PP\tO' -p293059 -aS'skin\tskin\tNN\tB-NP\tO' -p293060 -aS'infection\tinfection\tNN\tI-NP\tO' -p293061 -aS',\t,\t,\tO\tO' -p293062 -aS'more\tmore\tRBR\tB-NP\tO' -p293063 -aS'frequent\tfrequent\tJJ\tI-NP\tO' -p293064 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p293065 -aS'of\tof\tIN\tB-PP\tO' -p293066 -aS'confusion\tconfusion\tNN\tB-NP\tO' -p293067 -aS',\t,\t,\tO\tO' -p293068 -aS'and\tand\tCC\tO\tO' -p293069 -aS'decreasing\tdecrease\tVBG\tB-VP\tO' -p293070 -aS'oxygen\toxygen\tNN\tB-NP\tO' -p293071 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p293072 -aS'in\tin\tIN\tB-PP\tO' -p293073 -aS'the\tthe\tDT\tB-NP\tO' -p293074 -aS'setting\tsetting\tNN\tI-NP\tO' -p293075 -aS'of\tof\tIN\tB-PP\tO' -p293076 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p293077 -aS'effusion\teffusion\tNN\tI-NP\tO' -p293078 -aS',\t,\t,\tO\tO' -p293079 -aS'in\tin\tIN\tB-PP\tO' -p293080 -aS'the\tthe\tDT\tB-NP\tO' -p293081 -aS'setting\tsetting\tNN\tI-NP\tO' -p293082 -aS'of\tof\tIN\tB-PP\tO' -p293083 -aS'fluid\tfluid\tNN\tB-NP\tO' -p293084 -aS'surge\tsurge\tNN\tI-NP\tO' -p293085 -aS'spacing\tspacing\tNN\tI-NP\tO' -p293086 -aS'.\t.\t.\tO\tO' -p293087 -asS'Osteopenia - She was continued on Evista .' -p293088 -(lp293089 -S'Osteopenia\tOsteopenia\tNNP\tB-NP\tO' -p293090 -aS'-\t-\tHYPH\tI-NP\tO' -p293091 -aS'She\tShe\tNNP\tI-NP\tO' -p293092 -aS'was\tbe\tVBD\tB-VP\tO' -p293093 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p293094 -aS'on\ton\tIN\tB-PP\tO' -p293095 -aS'Evista\tEvista\tNNP\tB-NP\tO' -p293096 -aS'.\t.\t.\tO\tO' -p293097 -asS'This study was negative .' -p293098 -(lp293099 -S'This\tThis\tDT\tB-NP\tO' -p293100 -aS'study\tstudy\tNN\tI-NP\tO' -p293101 -aS'was\tbe\tVBD\tB-VP\tO' -p293102 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p293103 -aS'.\t.\t.\tO\tO' -p293104 -asS'3-27-93 , cardiac catheterization and coronary and left ventricular angiography ; 4-2-93 , exercise tolerance test with Thallium .' -p293105 -(lp293106 -S'3-27-93\t3-27-93\tCD\tB-NP\tO' -p293107 -aS',\t,\t,\tO\tO' -p293108 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p293109 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p293110 -aS'and\tand\tCC\tO\tO' -p293111 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p293112 -aS'and\tand\tCC\tI-NP\tO' -p293113 -aS'left\tleft\tJJ\tI-NP\tO' -p293114 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p293115 -aS'angiography\tangiography\tNN\tI-NP\tO' -p293116 -aS';\t;\t:\tO\tO' -p293117 -aS'4-2-93\t4-2-93\tCD\tB-NP\tO' -p293118 -aS',\t,\t,\tO\tO' -p293119 -aS'exercise\texercise\tNN\tB-NP\tO' -p293120 -aS'tolerance\ttolerance\tNN\tI-NP\tO' -p293121 -aS'test\ttest\tNN\tI-NP\tO' -p293122 -aS'with\twith\tIN\tB-PP\tO' -p293123 -aS'Thallium\tThallium\tNN\tB-NP\tO' -p293124 -aS'.\t.\t.\tO\tO' -p293125 -asS'H. Pylori tx .' -p293126 -(lp293127 -S'H.\tH.\tNNP\tB-NP\tO' -p293128 -aS'Pylori\tPylori\tNNP\tI-NP\tO' -p293129 -aS'tx\ttx\tNN\tI-NP\tO' -p293130 -aS'.\t.\t.\tO\tO' -p293131 -asS'No lifting more than 10 pounds for 10 weeks' -p293132 -(lp293133 -S'No\tNo\tDT\tB-NP\tO' -p293134 -aS'lifting\tlift\tVBG\tB-VP\tO' -p293135 -aS'more\tmore\tJJR\tB-NP\tO' -p293136 -aS'than\tthan\tIN\tI-NP\tO' -p293137 -aS'10\t10\tCD\tI-NP\tO' -p293138 -aS'pounds\tpound\tNNS\tI-NP\tO' -p293139 -aS'for\tfor\tIN\tB-PP\tO' -p293140 -aS'10\t10\tCD\tB-NP\tO' -p293141 -aS'weeks\tweek\tNNS\tI-NP\tO' -p293142 -asS'Knee surgery .' -p293143 -(lp293144 -S'Knee\tKnee\tNN\tB-NP\tO' -p293145 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p293146 -aS'.\t.\t.\tO\tO' -p293147 -asS'His neck was supple .' -p293148 -(lp293149 -S'His\tHis\tPRP$\tB-NP\tO' -p293150 -aS'neck\tneck\tNN\tI-NP\tO' -p293151 -aS'was\tbe\tVBD\tB-VP\tO' -p293152 -aS'supple\tsupple\tNN\tB-NP\tO' -p293153 -aS'.\t.\t.\tO\tO' -p293154 -asS'Chest x-ray negative .' -p293155 -(lp293156 -S'Chest\tCh\tJJS\tB-NP\tO' -p293157 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p293158 -aS'negative\tnegative\tJJ\tI-NP\tO' -p293159 -aS'.\t.\t.\tO\tO' -p293160 -asS'Please see your doctor ( Dr Pannell ) on Friday 2018-08-10 for a blood test ( cbc ) .' -p293161 -(lp293162 -S'Please\tPlease\tVB\tB-VP\tO' -p293163 -aS'see\tsee\tVB\tI-VP\tO' -p293164 -aS'your\tyour\tPRP$\tB-NP\tO' -p293165 -aS'doctor\tdoctor\tNN\tI-NP\tO' -p293166 -aS'(\t(\t(\tO\tO' -p293167 -aS'Dr\tDr\tNNP\tB-NP\tO' -p293168 -aS'Pannell\tPannell\tNNP\tI-NP\tO' -p293169 -aS')\t)\t)\tO\tO' -p293170 -aS'on\ton\tIN\tB-PP\tO' -p293171 -aS'Friday\tFriday\tNNP\tB-NP\tO' -p293172 -aS'2018-08-10\t2018-08-10\tCD\tI-NP\tO' -p293173 -aS'for\tfor\tIN\tB-PP\tO' -p293174 -aS'a\ta\tDT\tB-NP\tO' -p293175 -aS'blood\tblood\tNN\tI-NP\tO' -p293176 -aS'test\ttest\tNN\tI-NP\tO' -p293177 -aS'(\t(\t(\tO\tO' -p293178 -aS'cbc\tcbc\tNN\tB-NP\tO' -p293179 -aS')\t)\t)\tO\tO' -p293180 -aS'.\t.\t.\tO\tO' -p293181 -asS'He continued on his zocor , cozaar and labetalol .' -p293182 -(lp293183 -S'He\tHe\tPRP\tB-NP\tO' -p293184 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p293185 -aS'on\ton\tIN\tB-PP\tO' -p293186 -aS'his\this\tPRP$\tB-NP\tO' -p293187 -aS'zocor\tzocor\tNN\tI-NP\tO' -p293188 -aS',\t,\t,\tI-NP\tO' -p293189 -aS'cozaar\tcozaar\tNN\tI-NP\tO' -p293190 -aS'and\tand\tCC\tI-NP\tO' -p293191 -aS'labetalol\tlabetalol\tNN\tI-NP\tO' -p293192 -aS'.\t.\t.\tO\tO' -p293193 -asS'The patient went to the operating room , was admitted to go to the operating room on 2013-01-04 .' -p293194 -(lp293195 -S'The\tThe\tDT\tB-NP\tO' -p293196 -aS'patient\tpatient\tNN\tI-NP\tO' -p293197 -aS'went\tgo\tVBD\tB-VP\tO' -p293198 -aS'to\tto\tTO\tB-PP\tO' -p293199 -aS'the\tthe\tDT\tB-NP\tO' -p293200 -aS'operating\toperating\tNN\tI-NP\tO' -p293201 -aS'room\troom\tNN\tI-NP\tO' -p293202 -aS',\t,\t,\tO\tO' -p293203 -aS'was\tbe\tVBD\tB-VP\tO' -p293204 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p293205 -aS'to\tto\tTO\tB-VP\tO' -p293206 -aS'go\tgo\tVB\tI-VP\tO' -p293207 -aS'to\tto\tTO\tB-PP\tO' -p293208 -aS'the\tthe\tDT\tB-NP\tO' -p293209 -aS'operating\toperating\tNN\tI-NP\tO' -p293210 -aS'room\troom\tNN\tI-NP\tO' -p293211 -aS'on\ton\tIN\tB-PP\tO' -p293212 -aS'2013-01-04\t2013-01-04\tCD\tB-NP\tO' -p293213 -aS'.\t.\t.\tO\tO' -p293214 -asS'The patient improved slowly .' -p293215 -(lp293216 -S'The\tThe\tDT\tB-NP\tO' -p293217 -aS'patient\tpatient\tNN\tI-NP\tO' -p293218 -aS'improved\timprove\tVBD\tB-VP\tO' -p293219 -aS'slowly\tslowly\tRB\tB-ADVP\tO' -p293220 -aS'.\t.\t.\tO\tO' -p293221 -asS'Infant was intubated on day of life two for increased respiratory distress and received one dose of surfactant .' -p293222 -(lp293223 -S'Infant\tInfant\tNN\tB-NP\tO' -p293224 -aS'was\tbe\tVBD\tB-VP\tO' -p293225 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p293226 -aS'on\ton\tIN\tB-PP\tO' -p293227 -aS'day\tday\tNN\tB-NP\tO' -p293228 -aS'of\tof\tIN\tB-PP\tO' -p293229 -aS'life\tlife\tNN\tB-NP\tO' -p293230 -aS'two\ttwo\tCD\tI-NP\tO' -p293231 -aS'for\tfor\tIN\tB-PP\tO' -p293232 -aS'increased\tincrease\tVBN\tB-NP\tO' -p293233 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p293234 -aS'distress\tdistress\tNN\tI-NP\tO' -p293235 -aS'and\tand\tCC\tO\tO' -p293236 -aS'received\treceive\tVBD\tB-VP\tO' -p293237 -aS'one\tone\tCD\tB-NP\tO' -p293238 -aS'dose\tdose\tNN\tI-NP\tO' -p293239 -aS'of\tof\tIN\tB-PP\tO' -p293240 -aS'surfactant\tsurfactant\tNN\tB-NP\tO' -p293241 -aS'.\t.\t.\tO\tO' -p293242 -asS'HTN elev. chol. right facial droop with metal plate secondary to GSW to face right nephrectomy' -p293243 -(lp293244 -S'HTN\tHTN\tNN\tB-NP\tO' -p293245 -aS'elev.\telev.\tNN\tI-NP\tO' -p293246 -aS'chol.\tchol.\tNN\tI-NP\tO' -p293247 -aS'right\tright\tJJ\tI-NP\tO' -p293248 -aS'facial\tfacial\tJJ\tI-NP\tO' -p293249 -aS'droop\tdroop\tNN\tI-NP\tO' -p293250 -aS'with\twith\tIN\tB-PP\tO' -p293251 -aS'metal\tmetal\tNN\tB-NP\tO' -p293252 -aS'plate\tplate\tNN\tI-NP\tO' -p293253 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p293254 -aS'to\tto\tTO\tB-PP\tO' -p293255 -aS'GSW\tGSW\tNN\tB-NP\tB-protein' -p293256 -aS'to\tto\tTO\tB-VP\tO' -p293257 -aS'face\tface\tVB\tI-VP\tO' -p293258 -aS'right\tright\tJJ\tB-NP\tO' -p293259 -aS'nephrectomy\tnephrectomy\tNN\tI-NP\tO' -p293260 -asS'Sensory , hearing screen has not yet been performed , but should be done prior to discharge .' -p293261 -(lp293262 -S'Sensory\tSensory\tJJ\tB-ADJP\tO' -p293263 -aS',\t,\t,\tO\tO' -p293264 -aS'hearing\thear\tVBG\tB-VP\tO' -p293265 -aS'screen\tscreen\tNN\tB-NP\tO' -p293266 -aS'has\thave\tVBZ\tB-VP\tO' -p293267 -aS'not\tnot\tRB\tI-VP\tO' -p293268 -aS'yet\tyet\tRB\tI-VP\tO' -p293269 -aS'been\tbe\tVBN\tI-VP\tO' -p293270 -aS'performed\tperform\tVBN\tI-VP\tO' -p293271 -aS',\t,\t,\tO\tO' -p293272 -aS'but\tbut\tCC\tO\tO' -p293273 -aS'should\tshould\tMD\tB-VP\tO' -p293274 -aS'be\tbe\tVB\tI-VP\tO' -p293275 -aS'done\tdo\tVBN\tI-VP\tO' -p293276 -aS'prior\tprior\tRB\tB-ADVP\tO' -p293277 -aS'to\tto\tTO\tB-VP\tO' -p293278 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p293279 -aS'.\t.\t.\tO\tO' -p293280 -asS'Her presentation was thought likely due to urosepsis given h/o foul smelling urine and in setting of stone w/ hydro + pyelo by CT. The patient went to IR on 2014-11-30 given evidence of right hydronephrosis on imaging for decompression and drainage. Upon admission , she was treated with Vancomycin and Gentamycin and Flagyl .' -p293281 -(lp293282 -S'Her\tHer\tPRP$\tB-NP\tO' -p293283 -aS'presentation\tpresentation\tNN\tI-NP\tO' -p293284 -aS'was\tbe\tVBD\tB-VP\tO' -p293285 -aS'thought\tthink\tVBN\tI-VP\tO' -p293286 -aS'likely\tlikely\tRB\tB-ADJP\tO' -p293287 -aS'due\tdue\tIN\tB-PP\tO' -p293288 -aS'to\tto\tTO\tB-PP\tO' -p293289 -aS'urosepsis\turosepsis\tNN\tB-NP\tO' -p293290 -aS'given\tgive\tVBN\tI-NP\tO' -p293291 -aS'h/o\th/o\tNN\tI-NP\tO' -p293292 -aS'foul\tfoul\tNN\tI-NP\tO' -p293293 -aS'smelling\tsmell\tVBG\tB-VP\tO' -p293294 -aS'urine\turine\tNN\tB-NP\tO' -p293295 -aS'and\tand\tCC\tB-PP\tO' -p293296 -aS'in\tin\tIN\tB-PP\tO' -p293297 -aS'setting\tset\tVBG\tB-NP\tO' -p293298 -aS'of\tof\tIN\tB-PP\tO' -p293299 -aS'stone\tstone\tNN\tB-NP\tO' -p293300 -aS'w/\tw/\tNN\tI-NP\tO' -p293301 -aS'hydro\thydro\tNN\tI-NP\tO' -p293302 -aS'+\t+\tSYM\tB-NP\tO' -p293303 -aS'pyelo\tpyelo\tNN\tI-NP\tO' -p293304 -aS'by\tby\tIN\tB-PP\tO' -p293305 -aS'CT.\tCT.\tNNP\tB-NP\tO' -p293306 -aS'The\tThe\tDT\tB-NP\tO' -p293307 -aS'patient\tpatient\tNN\tI-NP\tO' -p293308 -aS'went\tgo\tVBD\tB-VP\tO' -p293309 -aS'to\tto\tTO\tB-PP\tO' -p293310 -aS'IR\tIR\tNN\tB-NP\tB-protein' -p293311 -aS'on\ton\tIN\tB-PP\tO' -p293312 -aS'2014-11-30\t2014-11-30\tCD\tB-NP\tO' -p293313 -aS'given\tgive\tVBN\tI-NP\tO' -p293314 -aS'evidence\tevidence\tNN\tI-NP\tO' -p293315 -aS'of\tof\tIN\tB-PP\tO' -p293316 -aS'right\tright\tJJ\tB-NP\tO' -p293317 -aS'hydronephrosis\thydronephrosis\tNN\tI-NP\tO' -p293318 -aS'on\ton\tIN\tB-PP\tO' -p293319 -aS'imaging\timaging\tNN\tB-NP\tO' -p293320 -aS'for\tfor\tIN\tB-PP\tO' -p293321 -aS'decompression\tdecompression\tNN\tB-NP\tO' -p293322 -aS'and\tand\tCC\tO\tO' -p293323 -aS'drainage.\tdrainage.\tVB\tB-VP\tO' -p293324 -aS'Upon\tUpon\tNNP\tB-NP\tO' -p293325 -aS'admission\tadmission\tNN\tI-NP\tO' -p293326 -aS',\t,\t,\tO\tO' -p293327 -aS'she\tshe\tPRP\tB-NP\tO' -p293328 -aS'was\tbe\tVBD\tB-VP\tO' -p293329 -aS'treated\ttreat\tVBN\tI-VP\tO' -p293330 -aS'with\twith\tIN\tB-PP\tO' -p293331 -aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' -p293332 -aS'and\tand\tCC\tI-NP\tO' -p293333 -aS'Gentamycin\tGentamycin\tNN\tI-NP\tO' -p293334 -aS'and\tand\tCC\tI-NP\tO' -p293335 -aS'Flagyl\tFlagyl\tNN\tI-NP\tO' -p293336 -aS'.\t.\t.\tO\tO' -p293337 -asS'He was weaned from ventilation on postoperative day one to pressure support ventilation and then to spontaneous breathing on postoperative day two .' -p293338 -(lp293339 -S'He\tHe\tPRP\tB-NP\tO' -p293340 -aS'was\tbe\tVBD\tB-VP\tO' -p293341 -aS'weaned\twean\tVBN\tI-VP\tO' -p293342 -aS'from\tfrom\tIN\tB-PP\tO' -p293343 -aS'ventilation\tventilation\tNN\tB-NP\tO' -p293344 -aS'on\ton\tIN\tB-PP\tO' -p293345 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p293346 -aS'day\tday\tNN\tI-NP\tO' -p293347 -aS'one\tone\tCD\tB-NP\tO' -p293348 -aS'to\tto\tTO\tB-VP\tO' -p293349 -aS'pressure\tpressure\tVB\tI-VP\tO' -p293350 -aS'support\tsupport\tNN\tB-NP\tO' -p293351 -aS'ventilation\tventilation\tNN\tI-NP\tO' -p293352 -aS'and\tand\tCC\tO\tO' -p293353 -aS'then\tthen\tRB\tB-ADVP\tO' -p293354 -aS'to\tto\tTO\tB-PP\tO' -p293355 -aS'spontaneous\tspontaneous\tJJ\tB-NP\tO' -p293356 -aS'breathing\tbreathing\tNN\tI-NP\tO' -p293357 -aS'on\ton\tIN\tB-PP\tO' -p293358 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p293359 -aS'day\tday\tNN\tI-NP\tO' -p293360 -aS'two\ttwo\tCD\tI-NP\tO' -p293361 -aS'.\t.\t.\tO\tO' -p293362 -asS'The patient underwent non-invasive carotid ultrasounds which demonstrated no significant carotid disease .' -p293363 -(lp293364 -S'The\tThe\tDT\tB-NP\tO' -p293365 -aS'patient\tpatient\tNN\tI-NP\tO' -p293366 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p293367 -aS'non-invasive\tnon-invasive\tJJ\tB-NP\tO' -p293368 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p293369 -aS'ultrasounds\tultrasound\tNNS\tI-NP\tO' -p293370 -aS'which\twhich\tWDT\tB-NP\tO' -p293371 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p293372 -aS'no\tno\tDT\tB-NP\tO' -p293373 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p293374 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p293375 -aS'disease\tdisease\tNN\tI-NP\tO' -p293376 -aS'.\t.\t.\tO\tO' -p293377 -asS'Arterial blood gas was 7.24/71/227 .' -p293378 -(lp293379 -S'Arterial\tArterial\tJJ\tB-NP\tO' -p293380 -aS'blood\tblood\tNN\tI-NP\tO' -p293381 -aS'gas\tgas\tNN\tI-NP\tO' -p293382 -aS'was\tbe\tVBD\tB-VP\tO' -p293383 -aS'7.24/71/227\t7.24/71/227\tCD\tB-NP\tO' -p293384 -aS'.\t.\t.\tO\tO' -p293385 -asS'She underwent a TTE at Erich Lindemann Mental Health Center today ( 05-26 ) showing mod-lg circumferential pericardial effusion without evidence of RV diastolic collapse and no MV inflow evidence of tamponade , pacer wire located in RV apex .' -p293386 -(lp293387 -S'She\tShe\tPRP\tB-NP\tO' -p293388 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p293389 -aS'a\ta\tDT\tB-NP\tO' -p293390 -aS'TTE\tTTE\tNNP\tI-NP\tO' -p293391 -aS'at\tat\tIN\tB-PP\tO' -p293392 -aS'Erich\tErich\tNNP\tB-NP\tO' -p293393 -aS'Lindemann\tLindemann\tNNP\tI-NP\tO' -p293394 -aS'Mental\tMental\tNNP\tI-NP\tO' -p293395 -aS'Health\tHealth\tNNP\tI-NP\tO' -p293396 -aS'Center\tCenter\tNNP\tI-NP\tO' -p293397 -aS'today\ttoday\tNN\tB-NP\tO' -p293398 -aS'(\t(\t(\tO\tO' -p293399 -aS'05-26\t05-26\tCD\tB-NP\tO' -p293400 -aS')\t)\t)\tO\tO' -p293401 -aS'showing\tshow\tVBG\tB-VP\tO' -p293402 -aS'mod-lg\tmod-lg\tNN\tB-NP\tO' -p293403 -aS'circumferential\tcircumferential\tJJ\tI-NP\tO' -p293404 -aS'pericardial\tpericardial\tJJ\tI-NP\tO' -p293405 -aS'effusion\teffusion\tNN\tI-NP\tO' -p293406 -aS'without\twithout\tIN\tB-PP\tO' -p293407 -aS'evidence\tevidence\tNN\tB-NP\tO' -p293408 -aS'of\tof\tIN\tB-PP\tO' -p293409 -aS'RV\tRV\tNN\tB-NP\tO' -p293410 -aS'diastolic\tdiastolic\tJJ\tI-NP\tO' -p293411 -aS'collapse\tcollapse\tNN\tI-NP\tO' -p293412 -aS'and\tand\tCC\tO\tO' -p293413 -aS'no\tno\tDT\tB-NP\tO' -p293414 -aS'MV\tMV\tNN\tI-NP\tO' -p293415 -aS'inflow\tinflow\tNN\tI-NP\tO' -p293416 -aS'evidence\tevidence\tNN\tI-NP\tO' -p293417 -aS'of\tof\tIN\tB-PP\tO' -p293418 -aS'tamponade\ttamponade\tNN\tB-NP\tO' -p293419 -aS',\t,\t,\tO\tO' -p293420 -aS'pacer\tpacer\tNN\tB-NP\tO' -p293421 -aS'wire\twire\tNN\tI-NP\tO' -p293422 -aS'located\tlocate\tVBN\tB-VP\tO' -p293423 -aS'in\tin\tIN\tB-PP\tO' -p293424 -aS'RV\tRV\tNN\tB-NP\tO' -p293425 -aS'apex\tapex\tNN\tI-NP\tO' -p293426 -aS'.\t.\t.\tO\tO' -p293427 -asS'The patient is on oxygen by face mask and his saturations have been remaining normal .' -p293428 -(lp293429 -S'The\tThe\tDT\tB-NP\tO' -p293430 -aS'patient\tpatient\tNN\tI-NP\tO' -p293431 -aS'is\tbe\tVBZ\tB-VP\tO' -p293432 -aS'on\ton\tIN\tB-PP\tO' -p293433 -aS'oxygen\toxygen\tNN\tB-NP\tO' -p293434 -aS'by\tby\tIN\tB-PP\tO' -p293435 -aS'face\tface\tNN\tB-NP\tO' -p293436 -aS'mask\tmask\tNN\tI-NP\tO' -p293437 -aS'and\tand\tCC\tO\tO' -p293438 -aS'his\this\tPRP$\tB-NP\tO' -p293439 -aS'saturations\tsaturation\tNNS\tI-NP\tO' -p293440 -aS'have\thave\tVBP\tB-VP\tO' -p293441 -aS'been\tbe\tVBN\tI-VP\tO' -p293442 -aS'remaining\tremain\tVBG\tI-VP\tO' -p293443 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p293444 -aS'.\t.\t.\tO\tO' -p293445 -asS'She was treated with Levaquin given her temperatures and differential diagnosis of increased PE burden load , infections or pneumonia and questionable lymphangitic spread of her cancer .' -p293446 -(lp293447 -S'She\tShe\tPRP\tB-NP\tO' -p293448 -aS'was\tbe\tVBD\tB-VP\tO' -p293449 -aS'treated\ttreat\tVBN\tI-VP\tO' -p293450 -aS'with\twith\tIN\tB-PP\tO' -p293451 -aS'Levaquin\tLevaquin\tNN\tB-NP\tO' -p293452 -aS'given\tgive\tVBN\tB-VP\tO' -p293453 -aS'her\ther\tPRP$\tB-NP\tO' -p293454 -aS'temperatures\ttemperature\tNNS\tI-NP\tO' -p293455 -aS'and\tand\tCC\tO\tO' -p293456 -aS'differential\tdifferential\tJJ\tB-NP\tO' -p293457 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p293458 -aS'of\tof\tIN\tB-PP\tO' -p293459 -aS'increased\tincrease\tVBN\tB-NP\tO' -p293460 -aS'PE\tPE\tNN\tI-NP\tO' -p293461 -aS'burden\tburden\tNN\tI-NP\tO' -p293462 -aS'load\tload\tNN\tI-NP\tO' -p293463 -aS',\t,\t,\tO\tO' -p293464 -aS'infections\tinfection\tNNS\tB-NP\tO' -p293465 -aS'or\tor\tCC\tO\tO' -p293466 -aS'pneumonia\tpneumonia\tNN\tB-NP\tO' -p293467 -aS'and\tand\tCC\tO\tO' -p293468 -aS'questionable\tquestionable\tJJ\tB-NP\tO' -p293469 -aS'lymphangitic\tlymphangitic\tJJ\tI-NP\tO' -p293470 -aS'spread\tspread\tNN\tI-NP\tO' -p293471 -aS'of\tof\tIN\tB-PP\tO' -p293472 -aS'her\ther\tPRP$\tB-NP\tO' -p293473 -aS'cancer\tcancer\tNN\tI-NP\tO' -p293474 -aS'.\t.\t.\tO\tO' -p293475 -asS'A STAT HCT drawn at this time was 31.2 .' -p293476 -(lp293477 -S'A\tA\tDT\tB-NP\tO' -p293478 -aS'STAT\tSTAT\tNN\tI-NP\tB-protein' -p293479 -aS'HCT\tHCT\tNN\tI-NP\tO' -p293480 -aS'drawn\tdraw\tVBN\tB-VP\tO' -p293481 -aS'at\tat\tIN\tB-PP\tO' -p293482 -aS'this\tthis\tDT\tB-NP\tO' -p293483 -aS'time\ttime\tNN\tI-NP\tO' -p293484 -aS'was\tbe\tVBD\tB-VP\tO' -p293485 -aS'31.2\t31.2\tCD\tB-NP\tO' -p293486 -aS'.\t.\t.\tO\tO' -p293487 -asS'Her initial white blood cell count was 11.3 , with a normal differential .' -p293488 -(lp293489 -S'Her\tHer\tPRP$\tB-NP\tO' -p293490 -aS'initial\tinitial\tJJ\tI-NP\tO' -p293491 -aS'white\twhite\tJJ\tI-NP\tO' -p293492 -aS'blood\tblood\tNN\tI-NP\tO' -p293493 -aS'cell\tcell\tNN\tI-NP\tO' -p293494 -aS'count\tcount\tNN\tI-NP\tO' -p293495 -aS'was\tbe\tVBD\tB-VP\tO' -p293496 -aS'11.3\t11.3\tCD\tB-NP\tO' -p293497 -aS',\t,\t,\tO\tO' -p293498 -aS'with\twith\tIN\tB-PP\tO' -p293499 -aS'a\ta\tDT\tB-NP\tO' -p293500 -aS'normal\tnormal\tJJ\tI-NP\tO' -p293501 -aS'differential\tdifferential\tNN\tI-NP\tO' -p293502 -aS'.\t.\t.\tO\tO' -p293503 -asS'She ruled out for myocardial infarction by CPK and troponin and had non diagnostic EKG changes .' -p293504 -(lp293505 -S'She\tShe\tPRP\tB-NP\tO' -p293506 -aS'ruled\trule\tVBD\tB-VP\tO' -p293507 -aS'out\tout\tRP\tB-PRT\tO' -p293508 -aS'for\tfor\tIN\tB-PP\tO' -p293509 -aS'myocardial\tmyocardial\tJJ\tB-NP\tO' -p293510 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p293511 -aS'by\tby\tIN\tB-PP\tO' -p293512 -aS'CPK\tCPK\tNN\tB-NP\tB-protein' -p293513 -aS'and\tand\tCC\tI-NP\tO' -p293514 -aS'troponin\ttroponin\tNN\tI-NP\tO' -p293515 -aS'and\tand\tCC\tO\tO' -p293516 -aS'had\thave\tVBD\tB-VP\tO' -p293517 -aS'non\tnon\tJJ\tB-NP\tO' -p293518 -aS'diagnostic\tdiagnostic\tJJ\tI-NP\tO' -p293519 -aS'EKG\tEKG\tNN\tI-NP\tO' -p293520 -aS'changes\tchange\tNNS\tI-NP\tO' -p293521 -aS'.\t.\t.\tO\tO' -p293522 -asS'She has undergone full teaching in regards to immunosuppressant medications .' -p293523 -(lp293524 -S'She\tShe\tPRP\tB-NP\tO' -p293525 -aS'has\thave\tVBZ\tB-VP\tO' -p293526 -aS'undergone\tundergo\tVBN\tI-VP\tO' -p293527 -aS'full\tfull\tJJ\tB-NP\tO' -p293528 -aS'teaching\tteaching\tNN\tI-NP\tO' -p293529 -aS'in\tin\tIN\tB-PP\tO' -p293530 -aS'regards\tregard\tNNS\tB-NP\tO' -p293531 -aS'to\tto\tTO\tB-PP\tO' -p293532 -aS'immunosuppressant\timmunosuppressant\tJJ\tB-NP\tO' -p293533 -aS'medications\tmedication\tNNS\tI-NP\tO' -p293534 -aS'.\t.\t.\tO\tO' -p293535 -asS'Neurology was consulted and the pt also had MRI which was negative .' -p293536 -(lp293537 -S'Neurology\tNeurology\tNN\tB-NP\tO' -p293538 -aS'was\tbe\tVBD\tB-VP\tO' -p293539 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p293540 -aS'and\tand\tCC\tO\tO' -p293541 -aS'the\tthe\tDT\tB-NP\tO' -p293542 -aS'pt\tpt\tNN\tI-NP\tO' -p293543 -aS'also\talso\tRB\tB-ADVP\tO' -p293544 -aS'had\thave\tVBD\tB-VP\tO' -p293545 -aS'MRI\tMRI\tNN\tB-NP\tB-protein' -p293546 -aS'which\twhich\tWDT\tB-NP\tO' -p293547 -aS'was\tbe\tVBD\tB-VP\tO' -p293548 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p293549 -aS'.\t.\t.\tO\tO' -p293550 -asS'Cerebellar ; The patient demonstrates an intention tremor on finger to nose with the left hand .' -p293551 -(lp293552 -S'Cerebellar\tCerebellar\tNN\tB-NP\tO' -p293553 -aS';\t;\t:\tO\tO' -p293554 -aS'The\tThe\tDT\tB-NP\tO' -p293555 -aS'patient\tpatient\tNN\tI-NP\tO' -p293556 -aS'demonstrates\tdemonstrate\tVBZ\tB-VP\tO' -p293557 -aS'an\tan\tDT\tB-NP\tO' -p293558 -aS'intention\tintention\tNN\tI-NP\tO' -p293559 -aS'tremor\ttremor\tNN\tI-NP\tO' -p293560 -aS'on\ton\tIN\tB-PP\tO' -p293561 -aS'finger\tfinger\tNN\tB-NP\tO' -p293562 -aS'to\tto\tTO\tB-PP\tO' -p293563 -aS'nose\tnose\tNN\tB-NP\tO' -p293564 -aS'with\twith\tIN\tB-PP\tO' -p293565 -aS'the\tthe\tDT\tB-NP\tO' -p293566 -aS'left\tleft\tJJ\tI-NP\tO' -p293567 -aS'hand\thand\tNN\tI-NP\tO' -p293568 -aS'.\t.\t.\tO\tO' -p293569 -asS'52 y.o. male with ESLD due to HCV / EtOH Cirrhosis now with delta MS .' -p293570 -(lp293571 -S'52\t52\tCD\tB-NP\tO' -p293572 -aS'y.o.\ty.o.\tNN\tI-NP\tO' -p293573 -aS'male\tmale\tJJ\tB-ADJP\tO' -p293574 -aS'with\twith\tIN\tB-PP\tO' -p293575 -aS'ESLD\tESLD\tNN\tB-NP\tO' -p293576 -aS'due\tdue\tJJ\tB-ADJP\tO' -p293577 -aS'to\tto\tTO\tB-PP\tO' -p293578 -aS'HCV\tHCV\tNN\tB-NP\tB-protein' -p293579 -aS'/\t/\tSYM\tI-NP\tO' -p293580 -aS'EtOH\tEtOH\tNN\tI-NP\tO' -p293581 -aS'Cirrhosis\tCirrhosis\tNN\tI-NP\tO' -p293582 -aS'now\tnow\tRB\tB-ADVP\tO' -p293583 -aS'with\twith\tIN\tB-PP\tO' -p293584 -aS'delta\tdelta\tNN\tB-NP\tO' -p293585 -aS'MS\tMS\tNN\tI-NP\tO' -p293586 -aS'.\t.\t.\tO\tO' -p293587 -asS'It should be noted that the patient did have episodes of postoperative atrial fibrillation , he was seen by the' -p293588 -(lp293589 -S'It\tIt\tPRP\tB-NP\tO' -p293590 -aS'should\tshould\tMD\tB-VP\tO' -p293591 -aS'be\tbe\tVB\tI-VP\tO' -p293592 -aS'noted\tnote\tVBN\tI-VP\tO' -p293593 -aS'that\tthat\tIN\tB-SBAR\tO' -p293594 -aS'the\tthe\tDT\tB-NP\tO' -p293595 -aS'patient\tpatient\tNN\tI-NP\tO' -p293596 -aS'did\tdo\tVBD\tB-VP\tO' -p293597 -aS'have\thave\tVB\tI-VP\tO' -p293598 -aS'episodes\tepisode\tNNS\tB-NP\tO' -p293599 -aS'of\tof\tIN\tB-PP\tO' -p293600 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p293601 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p293602 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p293603 -aS',\t,\t,\tO\tO' -p293604 -aS'he\the\tPRP\tB-NP\tO' -p293605 -aS'was\tbe\tVBD\tB-VP\tO' -p293606 -aS'seen\tsee\tVBN\tI-VP\tO' -p293607 -aS'by\tby\tIN\tB-PP\tO' -p293608 -aS'the\tthe\tDT\tB-NP\tO' -p293609 -asS'These findings are unchanged from prior studies , and may relate to the " atypical " demyelinating process , suggested in the indication on the prior MRI ; however , they are non-specific .' -p293610 -(lp293611 -S'These\tThese\tDT\tB-NP\tO' -p293612 -aS'findings\tfinding\tNNS\tI-NP\tO' -p293613 -aS'are\tbe\tVBP\tB-VP\tO' -p293614 -aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' -p293615 -aS'from\tfrom\tIN\tB-PP\tO' -p293616 -aS'prior\tprior\tJJ\tB-NP\tO' -p293617 -aS'studies\tstudy\tNNS\tI-NP\tO' -p293618 -aS',\t,\t,\tO\tO' -p293619 -aS'and\tand\tCC\tO\tO' -p293620 -aS'may\tmay\tMD\tB-VP\tO' -p293621 -aS'relate\trelate\tVB\tI-VP\tO' -p293622 -aS'to\tto\tTO\tB-PP\tO' -p293623 -aS'the\tthe\tDT\tB-NP\tO' -p293624 -aS'"\t"\t``\tI-NP\tO' -p293625 -aS'atypical\tatypical\tJJ\tI-NP\tO' -p293626 -aS'"\t"\t\'\'\tI-NP\tO' -p293627 -aS'demyelinating\tdemyelinate\tVBG\tI-NP\tO' -p293628 -aS'process\tprocess\tNN\tI-NP\tO' -p293629 -aS',\t,\t,\tO\tO' -p293630 -aS'suggested\tsuggest\tVBN\tB-VP\tO' -p293631 -aS'in\tin\tIN\tB-PP\tO' -p293632 -aS'the\tthe\tDT\tB-NP\tO' -p293633 -aS'indication\tindication\tNN\tI-NP\tO' -p293634 -aS'on\ton\tIN\tB-PP\tO' -p293635 -aS'the\tthe\tDT\tB-NP\tO' -p293636 -aS'prior\tprior\tJJ\tI-NP\tO' -p293637 -aS'MRI\tMRI\tNN\tI-NP\tO' -p293638 -aS';\t;\t:\tO\tO' -p293639 -aS'however\thowever\tRB\tB-ADVP\tO' -p293640 -aS',\t,\t,\tO\tO' -p293641 -aS'they\tthey\tPRP\tB-NP\tO' -p293642 -aS'are\tbe\tVBP\tB-VP\tO' -p293643 -aS'non-specific\tnon-specific\tJJ\tB-ADJP\tO' -p293644 -aS'.\t.\t.\tO\tO' -p293645 -asS'No lotions , creams or powders to incisions .' -p293646 -(lp293647 -S'No\tNo\tDT\tB-NP\tO' -p293648 -aS'lotions\tlotion\tNNS\tI-NP\tO' -p293649 -aS',\t,\t,\tI-NP\tO' -p293650 -aS'creams\tcream\tNNS\tI-NP\tO' -p293651 -aS'or\tor\tCC\tI-NP\tO' -p293652 -aS'powders\tpowder\tNNS\tI-NP\tO' -p293653 -aS'to\tto\tTO\tB-PP\tO' -p293654 -aS'incisions\tincision\tNNS\tB-NP\tO' -p293655 -aS'.\t.\t.\tO\tO' -p293656 -asS'Mitral Valve - E Wave : 1.1 m / sec' -p293657 -(lp293658 -S'Mitral\tMitral\tJJ\tB-NP\tO' -p293659 -aS'Valve\tValve\tNNP\tI-NP\tO' -p293660 -aS'-\t-\tHYPH\tI-NP\tO' -p293661 -aS'E\tE\tNN\tI-NP\tO' -p293662 -aS'Wave\tWave\tNNP\tI-NP\tO' -p293663 -aS':\t:\t:\tO\tO' -p293664 -aS'1.1\t1.1\tCD\tB-NP\tO' -p293665 -aS'm\tm\tNN\tI-NP\tO' -p293666 -aS'/\t/\tSYM\tB-NP\tO' -p293667 -aS'sec\tsec\tNN\tB-NP\tO' -p293668 -asS'- See course of diuresis above .' -p293669 -(lp293670 -S'-\t-\tHYPH\tB-NP\tO' -p293671 -aS'See\tSee\tNN\tI-NP\tO' -p293672 -aS'course\tcourse\tNN\tI-NP\tO' -p293673 -aS'of\tof\tIN\tB-PP\tO' -p293674 -aS'diuresis\tdiuresis\tNN\tB-NP\tO' -p293675 -aS'above\tabove\tRB\tB-ADVP\tO' -p293676 -aS'.\t.\t.\tO\tO' -p293677 -asS'Rectal examination is nontender and stool is guaiac negative .' -p293678 -(lp293679 -S'Rectal\tRectal\tJJ\tB-NP\tO' -p293680 -aS'examination\texamination\tNN\tI-NP\tO' -p293681 -aS'is\tbe\tVBZ\tB-VP\tO' -p293682 -aS'nontender\tnontender\tJJ\tB-ADJP\tO' -p293683 -aS'and\tand\tCC\tO\tO' -p293684 -aS'stool\tstool\tNN\tB-NP\tO' -p293685 -aS'is\tbe\tVBZ\tB-VP\tO' -p293686 -aS'guaiac\tguaiac\tNN\tB-NP\tO' -p293687 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p293688 -aS'.\t.\t.\tO\tO' -p293689 -asS'She was empirically started on vanco/zosyn for empiric hosp acquired pna coverage' -p293690 -(lp293691 -S'She\tShe\tPRP\tB-NP\tO' -p293692 -aS'was\tbe\tVBD\tB-VP\tO' -p293693 -aS'empirically\tempirically\tRB\tI-VP\tO' -p293694 -aS'started\tstart\tVBN\tI-VP\tO' -p293695 -aS'on\ton\tIN\tB-PP\tO' -p293696 -aS'vanco/zosyn\tvanco/zosyn\tNN\tB-NP\tO' -p293697 -aS'for\tfor\tIN\tB-PP\tO' -p293698 -aS'empiric\tempiric\tJJ\tB-NP\tO' -p293699 -aS'hosp\thosp\tNN\tI-NP\tO' -p293700 -aS'acquired\tacquire\tVBD\tB-VP\tO' -p293701 -aS'pna\tpna\tNN\tB-NP\tO' -p293702 -aS'coverage\tcoverage\tNN\tI-NP\tO' -p293703 -asS'Liver transplant on 2013-05-25 .' -p293704 -(lp293705 -S'Liver\tLiver\tNN\tB-NP\tO' -p293706 -aS'transplant\ttransplant\tNN\tI-NP\tO' -p293707 -aS'on\ton\tIN\tB-PP\tO' -p293708 -aS'2013-05-25\t2013-05-25\tCD\tB-NP\tO' -p293709 -aS'.\t.\t.\tO\tO' -p293710 -asS'1. Hypotension - The patient was initially mildly hypotensive with systolic blood pressures in the 80s .' -p293711 -(lp293712 -S'1.\t1.\tLS\tB-NP\tO' -p293713 -aS'Hypotension\tHypotension\tNN\tI-NP\tO' -p293714 -aS'-\t-\tHYPH\tO\tO' -p293715 -aS'The\tThe\tDT\tB-NP\tO' -p293716 -aS'patient\tpatient\tNN\tI-NP\tO' -p293717 -aS'was\tbe\tVBD\tB-VP\tO' -p293718 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p293719 -aS'mildly\tmildly\tRB\tB-ADJP\tO' -p293720 -aS'hypotensive\thypotensive\tJJ\tI-ADJP\tO' -p293721 -aS'with\twith\tIN\tB-PP\tO' -p293722 -aS'systolic\tsystolic\tJJ\tB-NP\tO' -p293723 -aS'blood\tblood\tNN\tI-NP\tO' -p293724 -aS'pressures\tpressure\tNNS\tI-NP\tO' -p293725 -aS'in\tin\tIN\tB-PP\tO' -p293726 -aS'the\tthe\tDT\tB-NP\tO' -p293727 -aS'80s\t80\tNNS\tI-NP\tO' -p293728 -aS'.\t.\t.\tO\tO' -p293729 -asS'Responsible After Study for Causing Admission )' -p293730 -(lp293731 -S'Responsible\tResponsible\tJJ\tB-ADJP\tO' -p293732 -aS'After\tAfter\tIN\tB-PP\tO' -p293733 -aS'Study\tStudy\tNNP\tB-NP\tO' -p293734 -aS'for\tfor\tIN\tB-PP\tO' -p293735 -aS'Causing\tCausing\tNNP\tB-NP\tO' -p293736 -aS'Admission\tAdmission\tNNP\tI-NP\tO' -p293737 -aS')\t)\t)\tO\tO' -p293738 -asS'His legs have been feeling weaker , bilaterally since the last week .' -p293739 -(lp293740 -S'His\tHis\tPRP$\tB-NP\tO' -p293741 -aS'legs\tleg\tNNS\tI-NP\tO' -p293742 -aS'have\thave\tVBP\tB-VP\tO' -p293743 -aS'been\tbe\tVBN\tI-VP\tO' -p293744 -aS'feeling\tfeel\tVBG\tI-VP\tO' -p293745 -aS'weaker\tweak\tJJR\tB-ADJP\tO' -p293746 -aS',\t,\t,\tO\tO' -p293747 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p293748 -aS'since\tsince\tIN\tB-PP\tO' -p293749 -aS'the\tthe\tDT\tB-NP\tO' -p293750 -aS'last\tlast\tJJ\tI-NP\tO' -p293751 -aS'week\tweek\tNN\tI-NP\tO' -p293752 -aS'.\t.\t.\tO\tO' -p293753 -asS'Dr. Lenni Lung has been consulted .' -p293754 -(lp293755 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p293756 -aS'Lenni\tLenni\tNNP\tI-NP\tO' -p293757 -aS'Lung\tLung\tNNP\tI-NP\tO' -p293758 -aS'has\thave\tVBZ\tB-VP\tO' -p293759 -aS'been\tbe\tVBN\tI-VP\tO' -p293760 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p293761 -aS'.\t.\t.\tO\tO' -p293762 -asS'2. Moderate ascites .' -p293763 -(lp293764 -S'2.\t2.\tLS\tB-NP\tO' -p293765 -aS'Moderate\tModerate\tJJ\tI-NP\tO' -p293766 -aS'ascites\tascite\tNNS\tI-NP\tO' -p293767 -aS'.\t.\t.\tO\tO' -p293768 -asS'Pt will finish course of H. pylori treatment as well .' -p293769 -(lp293770 -S'Pt\tPt\tNN\tB-NP\tO' -p293771 -aS'will\twill\tMD\tB-VP\tO' -p293772 -aS'finish\tfinish\tVB\tI-VP\tO' -p293773 -aS'course\tcourse\tNN\tB-NP\tO' -p293774 -aS'of\tof\tIN\tB-PP\tO' -p293775 -aS'H.\tH.\tNN\tB-NP\tO' -p293776 -aS'pylori\tpylori\tNN\tI-NP\tO' -p293777 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p293778 -aS'as\tas\tRB\tB-ADVP\tO' -p293779 -aS'well\twell\tRB\tI-ADVP\tO' -p293780 -aS'.\t.\t.\tO\tO' -p293781 -asS'There was no egophony .' -p293782 -(lp293783 -S'There\tThere\tEX\tB-NP\tO' -p293784 -aS'was\tbe\tVBD\tB-VP\tO' -p293785 -aS'no\tno\tDT\tB-NP\tO' -p293786 -aS'egophony\tegophony\tNN\tI-NP\tO' -p293787 -aS'.\t.\t.\tO\tO' -p293788 -asS'He continued to have episodes of confusion .' -p293789 -(lp293790 -S'He\tHe\tPRP\tB-NP\tO' -p293791 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p293792 -aS'to\tto\tTO\tI-VP\tO' -p293793 -aS'have\thave\tVB\tI-VP\tO' -p293794 -aS'episodes\tepisode\tNNS\tB-NP\tO' -p293795 -aS'of\tof\tIN\tB-PP\tO' -p293796 -aS'confusion\tconfusion\tNN\tB-NP\tO' -p293797 -aS'.\t.\t.\tO\tO' -p293798 -asS'A perisplenic effusion was noted which appeared to communicate with the lesser sac collection .' -p293799 -(lp293800 -S'A\tA\tDT\tB-NP\tO' -p293801 -aS'perisplenic\tperisplenic\tJJ\tI-NP\tO' -p293802 -aS'effusion\teffusion\tNN\tI-NP\tO' -p293803 -aS'was\tbe\tVBD\tB-VP\tO' -p293804 -aS'noted\tnote\tVBN\tI-VP\tO' -p293805 -aS'which\twhich\tWDT\tB-NP\tO' -p293806 -aS'appeared\tappear\tVBD\tB-VP\tO' -p293807 -aS'to\tto\tTO\tI-VP\tO' -p293808 -aS'communicate\tcommunicate\tVB\tI-VP\tO' -p293809 -aS'with\twith\tIN\tB-PP\tO' -p293810 -aS'the\tthe\tDT\tB-NP\tO' -p293811 -aS'lesser\tless\tJJR\tI-NP\tO' -p293812 -aS'sac\tsac\tNN\tI-NP\tO' -p293813 -aS'collection\tcollection\tNN\tI-NP\tO' -p293814 -aS'.\t.\t.\tO\tO' -p293815 -asS'The patient is a 76-year-old female who was admitted to the medicine service on 04-29-92 with a past history significant for aortic stenosis and chest pain who presented for evaluation for aortic valve replace-ment .' -p293816 -(lp293817 -S'The\tThe\tDT\tB-NP\tO' -p293818 -aS'patient\tpatient\tNN\tI-NP\tO' -p293819 -aS'is\tbe\tVBZ\tB-VP\tO' -p293820 -aS'a\ta\tDT\tB-NP\tO' -p293821 -aS'76-year-old\t76-year-old\tJJ\tI-NP\tO' -p293822 -aS'female\tfemale\tNN\tI-NP\tO' -p293823 -aS'who\twho\tWP\tB-NP\tO' -p293824 -aS'was\tbe\tVBD\tB-VP\tO' -p293825 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p293826 -aS'to\tto\tTO\tB-PP\tO' -p293827 -aS'the\tthe\tDT\tB-NP\tO' -p293828 -aS'medicine\tmedicine\tNN\tI-NP\tO' -p293829 -aS'service\tservice\tNN\tI-NP\tO' -p293830 -aS'on\ton\tIN\tB-PP\tO' -p293831 -aS'04-29-92\t04-29-92\tCD\tB-NP\tO' -p293832 -aS'with\twith\tIN\tB-PP\tO' -p293833 -aS'a\ta\tDT\tB-NP\tO' -p293834 -aS'past\tpast\tJJ\tI-NP\tO' -p293835 -aS'history\thistory\tNN\tI-NP\tO' -p293836 -aS'significant\tsignificant\tJJ\tB-ADJP\tO' -p293837 -aS'for\tfor\tIN\tB-PP\tO' -p293838 -aS'aortic\taortic\tJJ\tB-NP\tO' -p293839 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p293840 -aS'and\tand\tCC\tI-NP\tO' -p293841 -aS'chest\tchest\tNN\tI-NP\tO' -p293842 -aS'pain\tpain\tNN\tI-NP\tO' -p293843 -aS'who\twho\tWP\tB-NP\tO' -p293844 -aS'presented\tpresent\tVBD\tB-VP\tO' -p293845 -aS'for\tfor\tIN\tB-PP\tO' -p293846 -aS'evaluation\tevaluation\tNN\tB-NP\tO' -p293847 -aS'for\tfor\tIN\tB-PP\tO' -p293848 -aS'aortic\taortic\tJJ\tB-NP\tO' -p293849 -aS'valve\tvalve\tNN\tI-NP\tO' -p293850 -aS'replace-ment\treplace-ment\tNN\tI-NP\tO' -p293851 -aS'.\t.\t.\tO\tO' -p293852 -asS'On 2015-04-17 she was taken to the OR for lap converted to open cholecystectomy .' -p293853 -(lp293854 -S'On\tOn\tIN\tB-PP\tO' -p293855 -aS'2015-04-17\t2015-04-17\tCD\tB-NP\tO' -p293856 -aS'she\tshe\tPRP\tB-NP\tO' -p293857 -aS'was\tbe\tVBD\tB-VP\tO' -p293858 -aS'taken\ttake\tVBN\tI-VP\tO' -p293859 -aS'to\tto\tTO\tB-PP\tO' -p293860 -aS'the\tthe\tDT\tB-NP\tO' -p293861 -aS'OR\tOR\tNN\tI-NP\tO' -p293862 -aS'for\tfor\tIN\tB-PP\tO' -p293863 -aS'lap\tlap\tNN\tB-NP\tB-protein' -p293864 -aS'converted\tconvert\tVBN\tB-VP\tO' -p293865 -aS'to\tto\tTO\tI-VP\tO' -p293866 -aS'open\topen\tVB\tI-VP\tO' -p293867 -aS'cholecystectomy\tcholecystectomy\tNN\tB-NP\tO' -p293868 -aS'.\t.\t.\tO\tO' -p293869 -asS'Nothing by mouth initially with morphine as needed for pain and Ativan around the clock for delirium tremens prophylaxis .' -p293870 -(lp293871 -S'Nothing\tNothing\tNN\tB-NP\tO' -p293872 -aS'by\tby\tIN\tB-PP\tO' -p293873 -aS'mouth\tmouth\tNN\tB-NP\tO' -p293874 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p293875 -aS'with\twith\tIN\tB-PP\tO' -p293876 -aS'morphine\tmorphine\tNN\tB-NP\tO' -p293877 -aS'as\tas\tIN\tB-SBAR\tO' -p293878 -aS'needed\tneed\tVBN\tB-VP\tO' -p293879 -aS'for\tfor\tIN\tB-PP\tO' -p293880 -aS'pain\tpain\tNN\tB-NP\tO' -p293881 -aS'and\tand\tCC\tO\tO' -p293882 -aS'Ativan\tAtivan\tNNP\tB-NP\tO' -p293883 -aS'around\taround\tIN\tB-PP\tO' -p293884 -aS'the\tthe\tDT\tB-NP\tO' -p293885 -aS'clock\tclock\tNN\tI-NP\tO' -p293886 -aS'for\tfor\tIN\tB-PP\tO' -p293887 -aS'delirium\tdelirium\tNN\tB-NP\tO' -p293888 -aS'tremens\ttremen\tNNS\tI-NP\tO' -p293889 -aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' -p293890 -aS'.\t.\t.\tO\tO' -p293891 -asS'No axillary dissection was done because she was status post MI .' -p293892 -(lp293893 -S'No\tNo\tDT\tB-NP\tO' -p293894 -aS'axillary\taxillary\tJJ\tI-NP\tO' -p293895 -aS'dissection\tdissection\tNN\tI-NP\tO' -p293896 -aS'was\tbe\tVBD\tB-VP\tO' -p293897 -aS'done\tdo\tVBN\tI-VP\tO' -p293898 -aS'because\tbecause\tIN\tB-SBAR\tO' -p293899 -aS'she\tshe\tPRP\tB-NP\tO' -p293900 -aS'was\tbe\tVBD\tB-VP\tO' -p293901 -aS'status\tstatus\tNN\tB-NP\tO' -p293902 -aS'post\tpost\tNN\tI-NP\tO' -p293903 -aS'MI\tMI\tNN\tI-NP\tO' -p293904 -aS'.\t.\t.\tO\tO' -p293905 -asS'Her PCO2 gradually declined to the 48 range .' -p293906 -(lp293907 -S'Her\tHer\tPRP$\tB-NP\tO' -p293908 -aS'PCO2\tPCO2\tNN\tI-NP\tB-protein' -p293909 -aS'gradually\tgradually\tRB\tB-ADVP\tO' -p293910 -aS'declined\tdecline\tVBD\tB-VP\tO' -p293911 -aS'to\tto\tTO\tB-PP\tO' -p293912 -aS'the\tthe\tDT\tB-NP\tO' -p293913 -aS'48\t48\tCD\tI-NP\tO' -p293914 -aS'range\trange\tNN\tI-NP\tO' -p293915 -aS'.\t.\t.\tO\tO' -p293916 -asS'Steroid complications , including cataract , osteoporosis , diffuse fibrocystic breast disease , trigeminal neuralgia .' -p293917 -(lp293918 -S'Steroid\tSteroid\tJJ\tB-NP\tO' -p293919 -aS'complications\tcomplication\tNNS\tI-NP\tO' -p293920 -aS',\t,\t,\tO\tO' -p293921 -aS'including\tinclude\tVBG\tB-PP\tO' -p293922 -aS'cataract\tcataract\tNN\tB-NP\tO' -p293923 -aS',\t,\t,\tO\tO' -p293924 -aS'osteoporosis\tosteoporosis\tNN\tB-NP\tO' -p293925 -aS',\t,\t,\tO\tO' -p293926 -aS'diffuse\tdiffuse\tJJ\tB-NP\tO' -p293927 -aS'fibrocystic\tfibrocystic\tJJ\tI-NP\tO' -p293928 -aS'breast\tbreast\tNN\tI-NP\tO' -p293929 -aS'disease\tdisease\tNN\tI-NP\tO' -p293930 -aS',\t,\t,\tO\tO' -p293931 -aS'trigeminal\ttrigeminal\tJJ\tB-NP\tO' -p293932 -aS'neuralgia\tneuralgia\tNN\tI-NP\tO' -p293933 -aS'.\t.\t.\tO\tO' -p293934 -asS'reveals no adenopathy , extra ocular movements intact , pupils equal , round , reactive to light and accommodation .' -p293935 -(lp293936 -S'reveals\treveal\tVBZ\tB-VP\tO' -p293937 -aS'no\tno\tDT\tB-NP\tO' -p293938 -aS'adenopathy\tadenopathy\tJJ\tI-NP\tO' -p293939 -aS',\t,\t,\tI-NP\tO' -p293940 -aS'extra\textra\tJJ\tI-NP\tO' -p293941 -aS'ocular\tocular\tJJ\tI-NP\tO' -p293942 -aS'movements\tmovement\tNNS\tI-NP\tO' -p293943 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p293944 -aS',\t,\t,\tO\tO' -p293945 -aS'pupils\tpupil\tNNS\tB-NP\tO' -p293946 -aS'equal\tequal\tJJ\tB-NP\tO' -p293947 -aS',\t,\t,\tI-NP\tO' -p293948 -aS'round\tround\tJJ\tI-NP\tO' -p293949 -aS',\t,\t,\tI-NP\tO' -p293950 -aS'reactive\treactive\tJJ\tI-NP\tO' -p293951 -aS'to\tto\tTO\tB-PP\tO' -p293952 -aS'light\tlight\tNN\tB-NP\tO' -p293953 -aS'and\tand\tCC\tI-NP\tO' -p293954 -aS'accommodation\taccommodation\tNN\tI-NP\tO' -p293955 -aS'.\t.\t.\tO\tO' -p293956 -asS'At the time of presentation the patient denied headache , arm weakness , changes in vision , dysarthria , abdominal pain , nausea or vomiting , chest pain or shortness of breath .' -p293957 -(lp293958 -S'At\tAt\tIN\tB-PP\tO' -p293959 -aS'the\tthe\tDT\tB-NP\tO' -p293960 -aS'time\ttime\tNN\tI-NP\tO' -p293961 -aS'of\tof\tIN\tB-PP\tO' -p293962 -aS'presentation\tpresentation\tNN\tB-NP\tO' -p293963 -aS'the\tthe\tDT\tB-NP\tO' -p293964 -aS'patient\tpatient\tNN\tI-NP\tO' -p293965 -aS'denied\tdeny\tVBD\tB-VP\tO' -p293966 -aS'headache\theadache\tNN\tB-NP\tO' -p293967 -aS',\t,\t,\tO\tO' -p293968 -aS'arm\tarm\tNN\tB-NP\tO' -p293969 -aS'weakness\tweakness\tNN\tI-NP\tO' -p293970 -aS',\t,\t,\tO\tO' -p293971 -aS'changes\tchange\tNNS\tB-NP\tO' -p293972 -aS'in\tin\tIN\tB-PP\tO' -p293973 -aS'vision\tvision\tNN\tB-NP\tO' -p293974 -aS',\t,\t,\tO\tO' -p293975 -aS'dysarthria\tdysarthria\tNN\tB-NP\tO' -p293976 -aS',\t,\t,\tO\tO' -p293977 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p293978 -aS'pain\tpain\tNN\tI-NP\tO' -p293979 -aS',\t,\t,\tO\tO' -p293980 -aS'nausea\tnausea\tNN\tB-NP\tO' -p293981 -aS'or\tor\tCC\tI-NP\tO' -p293982 -aS'vomiting\tvomiting\tNN\tI-NP\tO' -p293983 -aS',\t,\t,\tO\tO' -p293984 -aS'chest\tchest\tNN\tB-NP\tO' -p293985 -aS'pain\tpain\tNN\tI-NP\tO' -p293986 -aS'or\tor\tCC\tI-NP\tO' -p293987 -aS'shortness\tshortness\tNN\tI-NP\tO' -p293988 -aS'of\tof\tIN\tB-PP\tO' -p293989 -aS'breath\tbreath\tNN\tB-NP\tO' -p293990 -aS'.\t.\t.\tO\tO' -p293991 -asS'pending .' -p293992 -(lp293993 -S'pending\tpende\tVBG\tB-PP\tO' -p293994 -aS'.\t.\t.\tO\tO' -p293995 -asS'The patient had an absolute neutropenia with a ANC of 318 ; differential revealed 48 segs , 6 bands , 40 lymphs , 4 monos .' -p293996 -(lp293997 -S'The\tThe\tDT\tB-NP\tO' -p293998 -aS'patient\tpatient\tNN\tI-NP\tO' -p293999 -aS'had\thave\tVBD\tB-VP\tO' -p294000 -aS'an\tan\tDT\tB-NP\tO' -p294001 -aS'absolute\tabsolute\tJJ\tI-NP\tO' -p294002 -aS'neutropenia\tneutropenia\tNN\tI-NP\tO' -p294003 -aS'with\twith\tIN\tB-PP\tO' -p294004 -aS'a\ta\tDT\tB-NP\tO' -p294005 -aS'ANC\tANC\tNNP\tI-NP\tO' -p294006 -aS'of\tof\tIN\tB-PP\tO' -p294007 -aS'318\t318\tCD\tB-NP\tO' -p294008 -aS';\t;\t:\tO\tO' -p294009 -aS'differential\tdifferential\tJJ\tB-NP\tO' -p294010 -aS'revealed\treveal\tVBD\tB-VP\tO' -p294011 -aS'48\t48\tCD\tB-NP\tO' -p294012 -aS'segs\tseg\tNNS\tI-NP\tO' -p294013 -aS',\t,\t,\tO\tO' -p294014 -aS'6\t6\tCD\tB-NP\tO' -p294015 -aS'bands\tband\tNNS\tI-NP\tO' -p294016 -aS',\t,\t,\tO\tO' -p294017 -aS'40\t40\tCD\tB-NP\tO' -p294018 -aS'lymphs\tlymph\tNNS\tI-NP\tO' -p294019 -aS',\t,\t,\tO\tO' -p294020 -aS'4\t4\tCD\tB-NP\tO' -p294021 -aS'monos\tmono\tNNS\tI-NP\tO' -p294022 -aS'.\t.\t.\tO\tO' -p294023 -asS'Cardiac output was 7 ( that was on 6 of dopamine ) .' -p294024 -(lp294025 -S'Cardiac\tCardiac\tJJ\tB-NP\tB-protein' -p294026 -aS'output\toutput\tNN\tI-NP\tI-protein' -p294027 -aS'was\tbe\tVBD\tB-VP\tI-protein' -p294028 -aS'7\t7\tCD\tB-NP\tI-protein' -p294029 -aS'(\t(\t(\tO\tO' -p294030 -aS'that\tthat\tWDT\tB-NP\tO' -p294031 -aS'was\tbe\tVBD\tB-VP\tO' -p294032 -aS'on\ton\tIN\tB-PP\tO' -p294033 -aS'6\t6\tCD\tB-NP\tO' -p294034 -aS'of\tof\tIN\tB-PP\tO' -p294035 -aS'dopamine\tdopamine\tNN\tB-NP\tO' -p294036 -aS')\t)\t)\tO\tO' -p294037 -aS'.\t.\t.\tO\tO' -p294038 -asS'Elderly female in no acute distress' -p294039 -(lp294040 -S'Elderly\tElderly\tJJ\tB-NP\tO' -p294041 -aS'female\tfemale\tNN\tI-NP\tO' -p294042 -aS'in\tin\tIN\tB-PP\tO' -p294043 -aS'no\tno\tDT\tB-NP\tO' -p294044 -aS'acute\tacute\tJJ\tI-NP\tO' -p294045 -aS'distress\tdistress\tNN\tI-NP\tO' -p294046 -asS'The patient 's preliminary admitting physician is DREISSNEIGH , LIRU and the preliminary admitting diagnosis is CP , R / O MI .' -p294047 -(lp294048 -S'The\tThe\tDT\tB-NP\tO' -p294049 -aS'patient\tpatient\tNN\tI-NP\tO' -p294050 -aS''s\t'\tNNS\tI-NP\tO' -p294051 -aS'preliminary\tpreliminary\tJJ\tB-NP\tO' -p294052 -aS'admitting\tadmit\tVBG\tI-NP\tO' -p294053 -aS'physician\tphysician\tNN\tI-NP\tO' -p294054 -aS'is\tbe\tVBZ\tB-VP\tO' -p294055 -aS'DREISSNEIGH\tDREISSNEIGH\tNN\tB-NP\tO' -p294056 -aS',\t,\t,\tO\tO' -p294057 -aS'LIRU\tLIRU\tNN\tB-NP\tO' -p294058 -aS'and\tand\tCC\tO\tO' -p294059 -aS'the\tthe\tDT\tB-NP\tO' -p294060 -aS'preliminary\tpreliminary\tJJ\tI-NP\tO' -p294061 -aS'admitting\tadmit\tVBG\tI-NP\tO' -p294062 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p294063 -aS'is\tbe\tVBZ\tB-VP\tO' -p294064 -aS'CP\tCP\tNN\tB-NP\tB-DNA' -p294065 -aS',\t,\t,\tO\tO' -p294066 -aS'R\tR\tNN\tB-NP\tB-protein' -p294067 -aS'/\t/\tSYM\tB-VP\tO' -p294068 -aS'O\tO\tNN\tB-NP\tB-protein' -p294069 -aS'MI\tMI\tNN\tI-NP\tI-protein' -p294070 -aS'.\t.\t.\tO\tO' -p294071 -asS'At this time , it was believed that her clot was due to a rupture of this parathyroid adenoma .' -p294072 -(lp294073 -S'At\tAt\tIN\tB-PP\tO' -p294074 -aS'this\tthis\tDT\tB-NP\tO' -p294075 -aS'time\ttime\tNN\tI-NP\tO' -p294076 -aS',\t,\t,\tO\tO' -p294077 -aS'it\tit\tPRP\tB-NP\tO' -p294078 -aS'was\tbe\tVBD\tB-VP\tO' -p294079 -aS'believed\tbelieve\tVBN\tI-VP\tO' -p294080 -aS'that\tthat\tIN\tB-SBAR\tO' -p294081 -aS'her\ther\tPRP$\tB-NP\tO' -p294082 -aS'clot\tclot\tNN\tI-NP\tO' -p294083 -aS'was\tbe\tVBD\tB-VP\tO' -p294084 -aS'due\tdue\tJJ\tB-ADJP\tO' -p294085 -aS'to\tto\tTO\tB-PP\tO' -p294086 -aS'a\ta\tDT\tB-NP\tO' -p294087 -aS'rupture\trupture\tNN\tI-NP\tO' -p294088 -aS'of\tof\tIN\tB-PP\tO' -p294089 -aS'this\tthis\tDT\tB-NP\tO' -p294090 -aS'parathyroid\tparathyroid\tJJ\tI-NP\tO' -p294091 -aS'adenoma\tadenoma\tNN\tI-NP\tO' -p294092 -aS'.\t.\t.\tO\tO' -p294093 -asS'13. Warfarin 1 mg Tablet Sig : as directed Tablet PO DAILY ( Daily ) .' -p294094 -(lp294095 -S'13.\t13.\tLS\tB-LST\tO' -p294096 -aS'Warfarin\tWarfarin\tNNP\tB-NP\tO' -p294097 -aS'1\t1\tCD\tI-NP\tO' -p294098 -aS'mg\tmg\tNN\tI-NP\tO' -p294099 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p294100 -aS'Sig\tSig\tNNP\tI-NP\tB-protein' -p294101 -aS':\t:\t:\tO\tO' -p294102 -aS'as\tas\tIN\tB-SBAR\tO' -p294103 -aS'directed\tdirect\tVBN\tB-NP\tO' -p294104 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p294105 -aS'PO\tPO\tNNP\tI-NP\tO' -p294106 -aS'DAILY\tDAILY\tNNP\tI-NP\tO' -p294107 -aS'(\t(\t(\tO\tO' -p294108 -aS'Daily\tDaily\tNNP\tB-NP\tO' -p294109 -aS')\t)\t)\tO\tO' -p294110 -aS'.\t.\t.\tO\tO' -p294111 -asS'His hct has stabilized and improved to close to 30 at the time of 3/21 .' -p294112 -(lp294113 -S'His\tHis\tPRP$\tB-NP\tO' -p294114 -aS'hct\thct\tNN\tI-NP\tO' -p294115 -aS'has\thave\tVBZ\tB-VP\tO' -p294116 -aS'stabilized\tstabilize\tVBN\tI-VP\tO' -p294117 -aS'and\tand\tCC\tI-VP\tO' -p294118 -aS'improved\timprove\tVBN\tI-VP\tO' -p294119 -aS'to\tto\tTO\tB-VP\tO' -p294120 -aS'close\tclose\tVB\tI-VP\tO' -p294121 -aS'to\tto\tTO\tB-PP\tO' -p294122 -aS'30\t30\tCD\tB-NP\tO' -p294123 -aS'at\tat\tIN\tB-PP\tO' -p294124 -aS'the\tthe\tDT\tB-NP\tO' -p294125 -aS'time\ttime\tNN\tI-NP\tO' -p294126 -aS'of\tof\tIN\tB-PP\tO' -p294127 -aS'3/21\t3/21\tCD\tB-NP\tO' -p294128 -aS'.\t.\t.\tO\tO' -p294129 -asS'As a result , IR reviewed the patient 's post-procedure imaging and felt that the catheter was not adequately draining the patient 's fluid collection .' -p294130 -(lp294131 -S'As\tAs\tIN\tB-PP\tO' -p294132 -aS'a\ta\tDT\tB-NP\tO' -p294133 -aS'result\tresult\tNN\tI-NP\tO' -p294134 -aS',\t,\t,\tO\tO' -p294135 -aS'IR\tIR\tNN\tB-NP\tB-protein' -p294136 -aS'reviewed\treview\tVBD\tB-VP\tO' -p294137 -aS'the\tthe\tDT\tB-NP\tO' -p294138 -aS'patient\tpatient\tNN\tI-NP\tO' -p294139 -aS''s\t'\tNNS\tI-NP\tO' -p294140 -aS'post-procedure\tpost-procedure\tJJ\tB-NP\tO' -p294141 -aS'imaging\timaging\tNN\tI-NP\tO' -p294142 -aS'and\tand\tCC\tO\tO' -p294143 -aS'felt\tfeel\tVBD\tB-VP\tO' -p294144 -aS'that\tthat\tIN\tB-SBAR\tO' -p294145 -aS'the\tthe\tDT\tB-NP\tO' -p294146 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p294147 -aS'was\tbe\tVBD\tB-VP\tO' -p294148 -aS'not\tnot\tRB\tI-VP\tO' -p294149 -aS'adequately\tadequately\tRB\tI-VP\tO' -p294150 -aS'draining\tdrain\tVBG\tI-VP\tO' -p294151 -aS'the\tthe\tDT\tB-NP\tO' -p294152 -aS'patient\tpatient\tNN\tI-NP\tO' -p294153 -aS''s\t'\tNNS\tI-NP\tO' -p294154 -aS'fluid\tfluid\tNN\tI-NP\tO' -p294155 -aS'collection\tcollection\tNN\tI-NP\tO' -p294156 -aS'.\t.\t.\tO\tO' -p294157 -asS'The discrepancy in the patient 's pulses and blood pressure was felt to be consistent with a subclavian artery stenosis .' -p294158 -(lp294159 -S'The\tThe\tDT\tB-NP\tO' -p294160 -aS'discrepancy\tdiscrepancy\tNN\tI-NP\tO' -p294161 -aS'in\tin\tIN\tB-PP\tO' -p294162 -aS'the\tthe\tDT\tB-NP\tO' -p294163 -aS'patient\tpatient\tNN\tI-NP\tO' -p294164 -aS''s\t'\tVBZ\tB-VP\tO' -p294165 -aS'pulses\tpulse\tNNS\tB-NP\tO' -p294166 -aS'and\tand\tCC\tO\tO' -p294167 -aS'blood\tblood\tNN\tB-NP\tO' -p294168 -aS'pressure\tpressure\tNN\tI-NP\tO' -p294169 -aS'was\tbe\tVBD\tB-VP\tO' -p294170 -aS'felt\tfeel\tVBN\tI-VP\tO' -p294171 -aS'to\tto\tTO\tI-VP\tO' -p294172 -aS'be\tbe\tVB\tI-VP\tO' -p294173 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p294174 -aS'with\twith\tIN\tB-PP\tO' -p294175 -aS'a\ta\tDT\tB-NP\tO' -p294176 -aS'subclavian\tsubclavian\tJJ\tI-NP\tO' -p294177 -aS'artery\tartery\tNN\tI-NP\tO' -p294178 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p294179 -aS'.\t.\t.\tO\tO' -p294180 -asS'The patient states that the pain began at 10:30 on the day of admission with increase during the day of admission with positive nausea and vomiting , no diarrhea , decreased output from the ostomy , and the pain was radiating to the back .' -p294181 -(lp294182 -S'The\tThe\tDT\tB-NP\tO' -p294183 -aS'patient\tpatient\tNN\tI-NP\tO' -p294184 -aS'states\tstate\tVBZ\tB-VP\tO' -p294185 -aS'that\tthat\tIN\tB-SBAR\tO' -p294186 -aS'the\tthe\tDT\tB-NP\tO' -p294187 -aS'pain\tpain\tNN\tI-NP\tO' -p294188 -aS'began\tbegin\tVBD\tB-VP\tO' -p294189 -aS'at\tat\tIN\tB-PP\tO' -p294190 -aS'10:30\t10:30\tCD\tB-NP\tO' -p294191 -aS'on\ton\tIN\tB-PP\tO' -p294192 -aS'the\tthe\tDT\tB-NP\tO' -p294193 -aS'day\tday\tNN\tI-NP\tO' -p294194 -aS'of\tof\tIN\tB-PP\tO' -p294195 -aS'admission\tadmission\tNN\tB-NP\tO' -p294196 -aS'with\twith\tIN\tB-PP\tO' -p294197 -aS'increase\tincrease\tNN\tB-NP\tO' -p294198 -aS'during\tduring\tIN\tB-PP\tO' -p294199 -aS'the\tthe\tDT\tB-NP\tO' -p294200 -aS'day\tday\tNN\tI-NP\tO' -p294201 -aS'of\tof\tIN\tB-PP\tO' -p294202 -aS'admission\tadmission\tNN\tB-NP\tO' -p294203 -aS'with\twith\tIN\tB-PP\tO' -p294204 -aS'positive\tpositive\tJJ\tB-NP\tO' -p294205 -aS'nausea\tnausea\tNN\tI-NP\tO' -p294206 -aS'and\tand\tCC\tI-NP\tO' -p294207 -aS'vomiting\tvomiting\tNN\tI-NP\tO' -p294208 -aS',\t,\t,\tO\tO' -p294209 -aS'no\tno\tDT\tB-NP\tO' -p294210 -aS'diarrhea\tdiarrhea\tNN\tI-NP\tO' -p294211 -aS',\t,\t,\tO\tO' -p294212 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p294213 -aS'output\toutput\tNN\tB-NP\tO' -p294214 -aS'from\tfrom\tIN\tB-PP\tO' -p294215 -aS'the\tthe\tDT\tB-NP\tO' -p294216 -aS'ostomy\tostomy\tNN\tI-NP\tO' -p294217 -aS',\t,\t,\tO\tO' -p294218 -aS'and\tand\tCC\tO\tO' -p294219 -aS'the\tthe\tDT\tB-NP\tO' -p294220 -aS'pain\tpain\tNN\tI-NP\tO' -p294221 -aS'was\tbe\tVBD\tB-VP\tO' -p294222 -aS'radiating\tradiate\tVBG\tI-VP\tO' -p294223 -aS'to\tto\tTO\tB-PP\tO' -p294224 -aS'the\tthe\tDT\tB-NP\tO' -p294225 -aS'back\tback\tNN\tI-NP\tO' -p294226 -aS'.\t.\t.\tO\tO' -p294227 -asS'This is a chronic problem .' -p294228 -(lp294229 -S'This\tThis\tDT\tB-NP\tO' -p294230 -aS'is\tbe\tVBZ\tB-VP\tO' -p294231 -aS'a\ta\tDT\tB-NP\tO' -p294232 -aS'chronic\tchronic\tJJ\tI-NP\tO' -p294233 -aS'problem\tproblem\tNN\tI-NP\tO' -p294234 -aS'.\t.\t.\tO\tO' -p294235 -asS'Report any weight gain of greater than 2 pounds in 24 hours or 5 pounds in a week' -p294236 -(lp294237 -S'Report\tReport\tVB\tB-VP\tO' -p294238 -aS'any\tany\tDT\tB-NP\tO' -p294239 -aS'weight\tweight\tNN\tI-NP\tO' -p294240 -aS'gain\tgain\tNN\tI-NP\tO' -p294241 -aS'of\tof\tIN\tB-PP\tO' -p294242 -aS'greater\tgreat\tJJR\tB-NP\tO' -p294243 -aS'than\tthan\tIN\tI-NP\tO' -p294244 -aS'2\t2\tCD\tI-NP\tO' -p294245 -aS'pounds\tpound\tNNS\tI-NP\tO' -p294246 -aS'in\tin\tIN\tB-PP\tO' -p294247 -aS'24\t24\tCD\tB-NP\tO' -p294248 -aS'hours\thour\tNNS\tI-NP\tO' -p294249 -aS'or\tor\tCC\tO\tO' -p294250 -aS'5\t5\tCD\tB-NP\tO' -p294251 -aS'pounds\tpound\tNNS\tI-NP\tO' -p294252 -aS'in\tin\tIN\tB-PP\tO' -p294253 -aS'a\ta\tDT\tB-NP\tO' -p294254 -aS'week\tweek\tNN\tI-NP\tO' -p294255 -asS'Patient was generally ill-appearing and nauseated , but alert and oriented times three .' -p294256 -(lp294257 -S'Patient\tPatient\tNN\tB-NP\tO' -p294258 -aS'was\tbe\tVBD\tB-VP\tO' -p294259 -aS'generally\tgenerally\tRB\tB-ADJP\tO' -p294260 -aS'ill-appearing\till-appearing\tJJ\tI-ADJP\tO' -p294261 -aS'and\tand\tCC\tI-ADJP\tO' -p294262 -aS'nauseated\tnauseated\tJJ\tI-ADJP\tO' -p294263 -aS',\t,\t,\tO\tO' -p294264 -aS'but\tbut\tCC\tO\tO' -p294265 -aS'alert\talert\tJJ\tB-NP\tO' -p294266 -aS'and\tand\tCC\tI-NP\tO' -p294267 -aS'oriented\torient\tVBN\tI-NP\tO' -p294268 -aS'times\ttime\tNNS\tI-NP\tO' -p294269 -aS'three\tthree\tCD\tI-NP\tO' -p294270 -aS'.\t.\t.\tO\tO' -p294271 -asS'The diagnosis of Alzheimer 's was made in 1998 .' -p294272 -(lp294273 -S'The\tThe\tDT\tB-NP\tO' -p294274 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p294275 -aS'of\tof\tIN\tB-PP\tO' -p294276 -aS'Alzheimer\tAlzheimer\tNNP\tB-NP\tO' -p294277 -aS''s\t'\tNNS\tI-NP\tO' -p294278 -aS'was\tbe\tVBD\tB-VP\tO' -p294279 -aS'made\tmake\tVBN\tI-VP\tO' -p294280 -aS'in\tin\tIN\tB-PP\tO' -p294281 -aS'1998\t1998\tCD\tB-NP\tO' -p294282 -aS'.\t.\t.\tO\tO' -p294283 -asS'She had a workup by her neurologist and an MRI revealed a C5-6 disc herniation with cord compression and a T2 signal change at that level .' -p294284 -(lp294285 -S'She\tShe\tPRP\tB-NP\tO' -p294286 -aS'had\thave\tVBD\tB-VP\tO' -p294287 -aS'a\ta\tDT\tB-NP\tO' -p294288 -aS'workup\tworkup\tNN\tI-NP\tO' -p294289 -aS'by\tby\tIN\tB-PP\tO' -p294290 -aS'her\ther\tPRP$\tB-NP\tO' -p294291 -aS'neurologist\tneurologist\tNN\tI-NP\tO' -p294292 -aS'and\tand\tCC\tO\tO' -p294293 -aS'an\tan\tDT\tB-NP\tO' -p294294 -aS'MRI\tMRI\tNN\tI-NP\tB-DNA' -p294295 -aS'revealed\treveal\tVBD\tB-VP\tO' -p294296 -aS'a\ta\tDT\tB-NP\tO' -p294297 -aS'C5-6\tC5-6\tNN\tI-NP\tO' -p294298 -aS'disc\tdisc\tNN\tI-NP\tO' -p294299 -aS'herniation\therniation\tNN\tI-NP\tO' -p294300 -aS'with\twith\tIN\tB-PP\tO' -p294301 -aS'cord\tcord\tNN\tB-NP\tO' -p294302 -aS'compression\tcompression\tNN\tI-NP\tO' -p294303 -aS'and\tand\tCC\tO\tO' -p294304 -aS'a\ta\tDT\tB-NP\tO' -p294305 -aS'T2\tT2\tNN\tI-NP\tO' -p294306 -aS'signal\tsignal\tNN\tI-NP\tO' -p294307 -aS'change\tchange\tNN\tI-NP\tO' -p294308 -aS'at\tat\tIN\tB-PP\tO' -p294309 -aS'that\tthat\tDT\tB-NP\tO' -p294310 -aS'level\tlevel\tNN\tI-NP\tO' -p294311 -aS'.\t.\t.\tO\tO' -p294312 -asS'3. With chronic lung disease .' -p294313 -(lp294314 -S'3.\t3.\tLS\tB-LST\tO' -p294315 -aS'With\tWith\tIN\tB-PP\tO' -p294316 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p294317 -aS'lung\tlung\tNN\tI-NP\tO' -p294318 -aS'disease\tdisease\tNN\tI-NP\tO' -p294319 -aS'.\t.\t.\tO\tO' -p294320 -asS'There was also a high density adjacent to the right cerebellar infarction suggesting the presence of hemorrhage .' -p294321 -(lp294322 -S'There\tThere\tEX\tB-NP\tO' -p294323 -aS'was\tbe\tVBD\tB-VP\tO' -p294324 -aS'also\talso\tRB\tB-ADVP\tO' -p294325 -aS'a\ta\tDT\tB-NP\tO' -p294326 -aS'high\thigh\tJJ\tI-NP\tO' -p294327 -aS'density\tdensity\tNN\tI-NP\tO' -p294328 -aS'adjacent\tadjacent\tJJ\tB-ADJP\tO' -p294329 -aS'to\tto\tTO\tB-PP\tO' -p294330 -aS'the\tthe\tDT\tB-NP\tO' -p294331 -aS'right\tright\tJJ\tI-NP\tO' -p294332 -aS'cerebellar\tcerebellar\tJJ\tI-NP\tO' -p294333 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p294334 -aS'suggesting\tsuggest\tVBG\tB-VP\tO' -p294335 -aS'the\tthe\tDT\tB-NP\tO' -p294336 -aS'presence\tpresence\tNN\tI-NP\tO' -p294337 -aS'of\tof\tIN\tB-PP\tO' -p294338 -aS'hemorrhage\themorrhage\tNN\tB-NP\tO' -p294339 -aS'.\t.\t.\tO\tO' -p294340 -asS'7) Kay Ciel 20 mEq p.o. q. day .' -p294341 -(lp294342 -S'7)\t7)\tLS\tB-NP\tO' -p294343 -aS'Kay\tKay\tNNP\tI-NP\tO' -p294344 -aS'Ciel\tCiel\tNNP\tI-NP\tO' -p294345 -aS'20\t20\tCD\tI-NP\tO' -p294346 -aS'mEq\tmEq\tNN\tI-NP\tO' -p294347 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p294348 -aS'q.\tq.\tNN\tI-NP\tO' -p294349 -aS'day\tday\tNN\tI-NP\tO' -p294350 -aS'.\t.\t.\tO\tO' -p294351 -asS'Oligoclonal bands were not assessed as there was not enough CSF per the laboratory .' -p294352 -(lp294353 -S'Oligoclonal\tOligoclonal\tJJ\tB-NP\tO' -p294354 -aS'bands\tband\tNNS\tI-NP\tO' -p294355 -aS'were\tbe\tVBD\tB-VP\tO' -p294356 -aS'not\tnot\tRB\tI-VP\tO' -p294357 -aS'assessed\tassess\tVBN\tI-VP\tO' -p294358 -aS'as\tas\tIN\tB-SBAR\tO' -p294359 -aS'there\tthere\tEX\tB-NP\tO' -p294360 -aS'was\tbe\tVBD\tB-VP\tO' -p294361 -aS'not\tnot\tRB\tO\tO' -p294362 -aS'enough\tenough\tJJ\tB-NP\tO' -p294363 -aS'CSF\tCSF\tNN\tI-NP\tB-protein' -p294364 -aS'per\tper\tIN\tB-PP\tO' -p294365 -aS'the\tthe\tDT\tB-NP\tO' -p294366 -aS'laboratory\tlaboratory\tNN\tI-NP\tO' -p294367 -aS'.\t.\t.\tO\tO' -p294368 -asS'Trachea was midline .' -p294369 -(lp294370 -S'Trachea\tTrachea\tNNP\tB-NP\tO' -p294371 -aS'was\tbe\tVBD\tB-VP\tO' -p294372 -aS'midline\tmidline\tNN\tB-NP\tO' -p294373 -aS'.\t.\t.\tO\tO' -p294374 -asS'She received aspirin , Lasix 40 mg intravenously times two , 0.8 mg of nitroglycerin times four , plus morphine sulfate .' -p294375 -(lp294376 -S'She\tShe\tPRP\tB-NP\tO' -p294377 -aS'received\treceive\tVBD\tB-VP\tO' -p294378 -aS'aspirin\taspirin\tNN\tB-NP\tO' -p294379 -aS',\t,\t,\tO\tO' -p294380 -aS'Lasix\tLasix\tNNP\tB-NP\tO' -p294381 -aS'40\t40\tCD\tI-NP\tO' -p294382 -aS'mg\tmg\tNN\tI-NP\tO' -p294383 -aS'intravenously\tintravenously\tRB\tB-ADVP\tO' -p294384 -aS'times\ttime\tVBZ\tB-VP\tO' -p294385 -aS'two\ttwo\tCD\tB-NP\tO' -p294386 -aS',\t,\t,\tI-NP\tO' -p294387 -aS'0.8\t0.8\tCD\tI-NP\tO' -p294388 -aS'mg\tmg\tNN\tI-NP\tO' -p294389 -aS'of\tof\tIN\tB-PP\tO' -p294390 -aS'nitroglycerin\tnitroglycerin\tNN\tB-NP\tO' -p294391 -aS'times\ttime\tNNS\tI-NP\tO' -p294392 -aS'four\tfour\tCD\tB-NP\tO' -p294393 -aS',\t,\t,\tO\tO' -p294394 -aS'plus\tplus\tCC\tO\tO' -p294395 -aS'morphine\tmorphine\tNN\tB-NP\tO' -p294396 -aS'sulfate\tsulfate\tNN\tI-NP\tO' -p294397 -aS'.\t.\t.\tO\tO' -p294398 -asS'Throughout his stay , Chem-10 was monitored .' -p294399 -(lp294400 -S'Throughout\tThroughout\tIN\tB-PP\tO' -p294401 -aS'his\this\tPRP$\tB-NP\tO' -p294402 -aS'stay\tstay\tNN\tI-NP\tO' -p294403 -aS',\t,\t,\tO\tO' -p294404 -aS'Chem-10\tChem-10\tNN\tB-NP\tB-protein' -p294405 -aS'was\tbe\tVBD\tB-VP\tO' -p294406 -aS'monitored\tmonitor\tVBN\tI-VP\tO' -p294407 -aS'.\t.\t.\tO\tO' -p294408 -asS'Labs stable , NTG sublingual , stress MIBI was negative for ischemia .' -p294409 -(lp294410 -S'Labs\tLab\tNNS\tB-NP\tO' -p294411 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p294412 -aS',\t,\t,\tO\tO' -p294413 -aS'NTG\tNTG\tNN\tB-NP\tB-protein' -p294414 -aS'sublingual\tsublingual\tJJ\tB-ADJP\tO' -p294415 -aS',\t,\t,\tO\tO' -p294416 -aS'stress\tstress\tNN\tB-NP\tO' -p294417 -aS'MIBI\tMIBI\tNNP\tB-NP\tO' -p294418 -aS'was\tbe\tVBD\tB-VP\tO' -p294419 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p294420 -aS'for\tfor\tIN\tB-PP\tO' -p294421 -aS'ischemia\tischemia\tNN\tB-NP\tO' -p294422 -aS'.\t.\t.\tO\tO' -p294423 -asS'A chest X-ray demonstrated right hemidiaphragmatic elevation .' -p294424 -(lp294425 -S'A\tA\tDT\tB-NP\tO' -p294426 -aS'chest\tchest\tNN\tI-NP\tO' -p294427 -aS'X-ray\tX-ray\tNN\tI-NP\tO' -p294428 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p294429 -aS'right\tright\tJJ\tB-NP\tO' -p294430 -aS'hemidiaphragmatic\themidiaphragmatic\tJJ\tI-NP\tO' -p294431 -aS'elevation\televation\tNN\tI-NP\tO' -p294432 -aS'.\t.\t.\tO\tO' -p294433 -asS'He had completed six days of penicillin and Gentamicin and was discharged on Ciprofloxacin and Flagyl for the next seven days .' -p294434 -(lp294435 -S'He\tHe\tPRP\tB-NP\tO' -p294436 -aS'had\thave\tVBD\tB-VP\tO' -p294437 -aS'completed\tcomplete\tVBN\tI-VP\tO' -p294438 -aS'six\tsix\tCD\tB-NP\tO' -p294439 -aS'days\tday\tNNS\tI-NP\tO' -p294440 -aS'of\tof\tIN\tB-PP\tO' -p294441 -aS'penicillin\tpenicillin\tNN\tB-NP\tB-protein' -p294442 -aS'and\tand\tCC\tI-NP\tO' -p294443 -aS'Gentamicin\tGentamicin\tNN\tI-NP\tO' -p294444 -aS'and\tand\tCC\tO\tO' -p294445 -aS'was\tbe\tVBD\tB-VP\tO' -p294446 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p294447 -aS'on\ton\tIN\tB-PP\tO' -p294448 -aS'Ciprofloxacin\tCiprofloxacin\tNN\tB-NP\tO' -p294449 -aS'and\tand\tCC\tI-NP\tO' -p294450 -aS'Flagyl\tFlagyl\tNN\tI-NP\tO' -p294451 -aS'for\tfor\tIN\tB-PP\tO' -p294452 -aS'the\tthe\tDT\tB-NP\tO' -p294453 -aS'next\tnext\tJJ\tI-NP\tO' -p294454 -aS'seven\tseven\tCD\tI-NP\tO' -p294455 -aS'days\tday\tNNS\tI-NP\tO' -p294456 -aS'.\t.\t.\tO\tO' -p294457 -asS'Negative for headaches , vision changes , numbness , tingling , dyspnea , hematuria , abdominal pain , diarrhea , melena or hematochezia .' -p294458 -(lp294459 -S'Negative\tNegative\tJJ\tB-ADJP\tO' -p294460 -aS'for\tfor\tIN\tB-PP\tO' -p294461 -aS'headaches\theadache\tNNS\tB-NP\tO' -p294462 -aS',\t,\t,\tO\tO' -p294463 -aS'vision\tvision\tNN\tB-NP\tO' -p294464 -aS'changes\tchange\tNNS\tI-NP\tO' -p294465 -aS',\t,\t,\tO\tO' -p294466 -aS'numbness\tnumbness\tNN\tB-NP\tO' -p294467 -aS',\t,\t,\tO\tO' -p294468 -aS'tingling\ttingling\tNN\tB-NP\tO' -p294469 -aS',\t,\t,\tO\tO' -p294470 -aS'dyspnea\tdyspnea\tNN\tB-NP\tO' -p294471 -aS',\t,\t,\tO\tO' -p294472 -aS'hematuria\thematuria\tNN\tB-NP\tO' -p294473 -aS',\t,\t,\tO\tO' -p294474 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p294475 -aS'pain\tpain\tNN\tI-NP\tO' -p294476 -aS',\t,\t,\tO\tO' -p294477 -aS'diarrhea\tdiarrhea\tNN\tB-NP\tO' -p294478 -aS',\t,\t,\tO\tO' -p294479 -aS'melena\tmelena\tNN\tB-NP\tO' -p294480 -aS'or\tor\tCC\tI-NP\tO' -p294481 -aS'hematochezia\thematochezia\tNN\tI-NP\tO' -p294482 -aS'.\t.\t.\tO\tO' -p294483 -asS'2. Atorvastatin 10 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' -p294484 -(lp294485 -S'2.\t2.\tLS\tB-LST\tO' -p294486 -aS'Atorvastatin\tAtorvastatin\tNN\tB-NP\tO' -p294487 -aS'10\t10\tCD\tI-NP\tO' -p294488 -aS'mg\tmg\tNN\tI-NP\tO' -p294489 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p294490 -aS'Sig\tSig\tNNP\tI-NP\tO' -p294491 -aS':\t:\t:\tO\tO' -p294492 -aS'One\tOne\tCD\tB-NP\tO' -p294493 -aS'(\t(\t(\tO\tO' -p294494 -aS'1\t1\tCD\tB-NP\tO' -p294495 -aS')\t)\t)\tO\tO' -p294496 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p294497 -aS'PO\tPO\tNN\tI-NP\tO' -p294498 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p294499 -aS'(\t(\t(\tO\tO' -p294500 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p294501 -aS')\t)\t)\tO\tO' -p294502 -aS'.\t.\t.\tO\tO' -p294503 -asS'7. Multivitamin Capsule Sig : One ( 1 ) Capsule PO once a day .' -p294504 -(lp294505 -S'7.\t7.\tCD\tB-NP\tO' -p294506 -aS'Multivitamin\tMultivitamin\tNNP\tI-NP\tO' -p294507 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p294508 -aS'Sig\tSig\tNNP\tI-NP\tO' -p294509 -aS':\t:\t:\tO\tO' -p294510 -aS'One\tOne\tCD\tB-NP\tO' -p294511 -aS'(\t(\t(\tO\tO' -p294512 -aS'1\t1\tCD\tB-NP\tO' -p294513 -aS')\t)\t)\tO\tO' -p294514 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p294515 -aS'PO\tPO\tNNP\tI-NP\tO' -p294516 -aS'once\tonce\tRB\tB-ADVP\tO' -p294517 -aS'a\ta\tDT\tB-NP\tO' -p294518 -aS'day\tday\tNN\tI-NP\tO' -p294519 -aS'.\t.\t.\tO\tO' -p294520 -asS'He was then transferred via Med Flight to the Fairm of Ijordcompmac Hospital .' -p294521 -(lp294522 -S'He\tHe\tPRP\tB-NP\tO' -p294523 -aS'was\tbe\tVBD\tB-VP\tO' -p294524 -aS'then\tthen\tRB\tI-VP\tO' -p294525 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p294526 -aS'via\tvia\tIN\tB-PP\tO' -p294527 -aS'Med\tMed\tNNP\tB-NP\tO' -p294528 -aS'Flight\tFlight\tNNP\tI-NP\tO' -p294529 -aS'to\tto\tTO\tB-PP\tO' -p294530 -aS'the\tthe\tDT\tB-NP\tO' -p294531 -aS'Fairm\tFairm\tNNP\tI-NP\tO' -p294532 -aS'of\tof\tIN\tB-PP\tO' -p294533 -aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' -p294534 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p294535 -aS'.\t.\t.\tO\tO' -p294536 -asS'Trivial mitral regurgitation is seen ."' -p294537 -(lp294538 -S'Trivial\tTrivial\tJJ\tB-NP\tO' -p294539 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p294540 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p294541 -aS'is\tbe\tVBZ\tB-VP\tO' -p294542 -aS'seen\tsee\tVBN\tI-VP\tO' -p294543 -aS'."\t."\t.\tO\tO' -p294544 -asS'4. Aspirin 325 mg p.o. q. day .' -p294545 -(lp294546 -S'4.\t4.\tLS\tB-LST\tO' -p294547 -aS'Aspirin\tAspirin\tNN\tB-NP\tO' -p294548 -aS'325\t325\tCD\tI-NP\tO' -p294549 -aS'mg\tmg\tNN\tI-NP\tO' -p294550 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p294551 -aS'q.\tq.\tNN\tI-NP\tO' -p294552 -aS'day\tday\tNN\tI-NP\tO' -p294553 -aS'.\t.\t.\tO\tO' -p294554 -asS'3. Calcified focus and a small hypodense lesion in the right lobe of the liver , incompletely characterized .' -p294555 -(lp294556 -S'3.\t3.\tLS\tB-NP\tO' -p294557 -aS'Calcified\tCalcify\tVBN\tI-NP\tO' -p294558 -aS'focus\tfocus\tNN\tI-NP\tO' -p294559 -aS'and\tand\tCC\tO\tO' -p294560 -aS'a\ta\tDT\tB-NP\tO' -p294561 -aS'small\tsmall\tJJ\tI-NP\tO' -p294562 -aS'hypodense\thypodense\tNN\tI-NP\tO' -p294563 -aS'lesion\tlesion\tNN\tI-NP\tO' -p294564 -aS'in\tin\tIN\tB-PP\tO' -p294565 -aS'the\tthe\tDT\tB-NP\tO' -p294566 -aS'right\tright\tJJ\tI-NP\tO' -p294567 -aS'lobe\tlobe\tNN\tI-NP\tO' -p294568 -aS'of\tof\tIN\tB-PP\tO' -p294569 -aS'the\tthe\tDT\tB-NP\tO' -p294570 -aS'liver\tliver\tNN\tI-NP\tO' -p294571 -aS',\t,\t,\tO\tO' -p294572 -aS'incompletely\tincompletely\tRB\tB-VP\tO' -p294573 -aS'characterized\tcharacterize\tVBN\tI-VP\tO' -p294574 -aS'.\t.\t.\tO\tO' -p294575 -asS'Decadron has been steadily tapered since arrival on the floor .' -p294576 -(lp294577 -S'Decadron\tDecadron\tNNP\tB-NP\tO' -p294578 -aS'has\thave\tVBZ\tB-VP\tO' -p294579 -aS'been\tbe\tVBN\tI-VP\tO' -p294580 -aS'steadily\tsteadily\tRB\tI-VP\tO' -p294581 -aS'tapered\ttaper\tVBN\tI-VP\tO' -p294582 -aS'since\tsince\tIN\tB-PP\tO' -p294583 -aS'arrival\tarrival\tNN\tB-NP\tO' -p294584 -aS'on\ton\tIN\tB-PP\tO' -p294585 -aS'the\tthe\tDT\tB-NP\tO' -p294586 -aS'floor\tfloor\tNN\tI-NP\tO' -p294587 -aS'.\t.\t.\tO\tO' -p294588 -asS'8. Ranitidine HCl 15 mg/mL Syrup Sig : One 95y ( 150 ) mg PO DAILY ( Daily ) .' -p294589 -(lp294590 -S'8.\t8.\tCD\tB-NP\tO' -p294591 -aS'Ranitidine\tRanitidine\tNN\tI-NP\tO' -p294592 -aS'HCl\tHCl\tNN\tI-NP\tO' -p294593 -aS'15\t15\tCD\tI-NP\tO' -p294594 -aS'mg/mL\tmg/mL\tNN\tI-NP\tO' -p294595 -aS'Syrup\tSyrup\tNNP\tI-NP\tO' -p294596 -aS'Sig\tSig\tNNP\tI-NP\tO' -p294597 -aS':\t:\t:\tO\tO' -p294598 -aS'One\tOne\tCD\tB-NP\tO' -p294599 -aS'95y\t95y\tCD\tI-NP\tO' -p294600 -aS'(\t(\t(\tO\tO' -p294601 -aS'150\t150\tCD\tB-NP\tO' -p294602 -aS')\t)\t)\tO\tO' -p294603 -aS'mg\tmg\tNN\tB-NP\tO' -p294604 -aS'PO\tPO\tNN\tI-NP\tO' -p294605 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p294606 -aS'(\t(\t(\tO\tO' -p294607 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p294608 -aS')\t)\t)\tO\tO' -p294609 -aS'.\t.\t.\tO\tO' -p294610 -asS'Room air arterial blood gas showed a pH of 7.45 , pO2 of 63 , a pCO2 of 41 , and fairly significant AA gradient .' -p294611 -(lp294612 -S'Room\tRoom\tNN\tB-NP\tO' -p294613 -aS'air\tair\tNN\tI-NP\tO' -p294614 -aS'arterial\tarterial\tJJ\tI-NP\tO' -p294615 -aS'blood\tblood\tNN\tI-NP\tO' -p294616 -aS'gas\tgas\tNN\tI-NP\tO' -p294617 -aS'showed\tshow\tVBD\tB-VP\tO' -p294618 -aS'a\ta\tDT\tB-NP\tO' -p294619 -aS'pH\tpH\tNN\tI-NP\tO' -p294620 -aS'of\tof\tIN\tB-PP\tO' -p294621 -aS'7.45\t7.45\tCD\tB-NP\tO' -p294622 -aS',\t,\t,\tO\tO' -p294623 -aS'pO2\tpO2\tNN\tB-NP\tO' -p294624 -aS'of\tof\tIN\tB-PP\tO' -p294625 -aS'63\t63\tCD\tB-NP\tO' -p294626 -aS',\t,\t,\tO\tO' -p294627 -aS'a\ta\tDT\tB-NP\tO' -p294628 -aS'pCO2\tpCO2\tNN\tI-NP\tO' -p294629 -aS'of\tof\tIN\tB-PP\tO' -p294630 -aS'41\t41\tCD\tB-NP\tO' -p294631 -aS',\t,\t,\tO\tO' -p294632 -aS'and\tand\tCC\tO\tO' -p294633 -aS'fairly\tfairly\tRB\tB-NP\tO' -p294634 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p294635 -aS'AA\tAA\tNN\tI-NP\tO' -p294636 -aS'gradient\tgradient\tNN\tI-NP\tO' -p294637 -aS'.\t.\t.\tO\tO' -p294638 -asS'Phone is ( ( 256 ) 348-3764 .' -p294639 -(lp294640 -S'Phone\tPhone\tNN\tB-NP\tO' -p294641 -aS'is\tbe\tVBZ\tB-VP\tO' -p294642 -aS'(\t(\t(\tO\tO' -p294643 -aS'(\t(\t(\tO\tO' -p294644 -aS'256\t256\tCD\tB-NP\tO' -p294645 -aS')\t)\t)\tO\tO' -p294646 -aS'348-3764\t348-3764\tCD\tB-NP\tO' -p294647 -aS'.\t.\t.\tO\tO' -p294648 -asS'Mucous membranes were moist .' -p294649 -(lp294650 -S'Mucous\tMucous\tJJ\tB-NP\tO' -p294651 -aS'membranes\tmembrane\tNNS\tI-NP\tO' -p294652 -aS'were\tbe\tVBD\tB-VP\tO' -p294653 -aS'moist\tmoist\tNN\tB-NP\tO' -p294654 -aS'.\t.\t.\tO\tO' -p294655 -asS'At this time , repeat chest x-ray showed bilateral diffuse infiltrates consistent with ARDS .' -p294656 -(lp294657 -S'At\tAt\tIN\tB-PP\tO' -p294658 -aS'this\tthis\tDT\tB-NP\tO' -p294659 -aS'time\ttime\tNN\tI-NP\tO' -p294660 -aS',\t,\t,\tO\tO' -p294661 -aS'repeat\trepeat\tNN\tB-NP\tO' -p294662 -aS'chest\tchest\tNN\tI-NP\tO' -p294663 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p294664 -aS'showed\tshow\tVBD\tB-VP\tO' -p294665 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p294666 -aS'diffuse\tdiffuse\tJJ\tI-NP\tO' -p294667 -aS'infiltrates\tinfiltrate\tNNS\tI-NP\tO' -p294668 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p294669 -aS'with\twith\tIN\tB-PP\tO' -p294670 -aS'ARDS\tARDS\tNN\tB-NP\tO' -p294671 -aS'.\t.\t.\tO\tO' -p294672 -asS'Tongue protrudes 4 cm .' -p294673 -(lp294674 -S'Tongue\tTongue\tNNP\tB-NP\tO' -p294675 -aS'protrudes\tprotrude\tVBZ\tB-VP\tO' -p294676 -aS'4\t4\tCD\tB-NP\tO' -p294677 -aS'cm\tcm\tNN\tI-NP\tO' -p294678 -aS'.\t.\t.\tO\tO' -p294679 -asS'No calf tenderness .' -p294680 -(lp294681 -S'No\tNo\tDT\tB-NP\tO' -p294682 -aS'calf\tcalf\tNN\tI-NP\tO' -p294683 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p294684 -aS'.\t.\t.\tO\tO' -p294685 -asS'Heart sounds were regular with one out of six holosystolic murmur at the left lower sternal border .' -p294686 -(lp294687 -S'Heart\tHeart\tNN\tB-NP\tO' -p294688 -aS'sounds\tsound\tNNS\tI-NP\tO' -p294689 -aS'were\tbe\tVBD\tB-VP\tO' -p294690 -aS'regular\tregular\tJJ\tB-ADJP\tO' -p294691 -aS'with\twith\tIN\tB-PP\tO' -p294692 -aS'one\tone\tCD\tB-NP\tO' -p294693 -aS'out\tout\tIN\tI-NP\tO' -p294694 -aS'of\tof\tIN\tI-NP\tO' -p294695 -aS'six\tsix\tCD\tI-NP\tO' -p294696 -aS'holosystolic\tholosystolic\tJJ\tI-NP\tO' -p294697 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p294698 -aS'at\tat\tIN\tB-PP\tO' -p294699 -aS'the\tthe\tDT\tB-NP\tO' -p294700 -aS'left\tleft\tJJ\tI-NP\tO' -p294701 -aS'lower\tlow\tJJR\tI-NP\tO' -p294702 -aS'sternal\tsternal\tJJ\tI-NP\tO' -p294703 -aS'border\tborder\tNN\tI-NP\tO' -p294704 -aS'.\t.\t.\tO\tO' -p294705 -asS'Please call with any questions or concerns' -p294706 -(lp294707 -S'Please\tPlease\tNN\tB-NP\tO' -p294708 -aS'call\tcall\tNN\tI-NP\tO' -p294709 -aS'with\twith\tIN\tB-PP\tO' -p294710 -aS'any\tany\tDT\tB-NP\tO' -p294711 -aS'questions\tquestion\tNNS\tI-NP\tO' -p294712 -aS'or\tor\tCC\tI-NP\tO' -p294713 -aS'concerns\tconcern\tNNS\tI-NP\tO' -p294714 -asS's/p hip fx repair : started on lovenox for anti-coagulation .' -p294715 -(lp294716 -S's/p\ts/p\tNN\tB-NP\tO' -p294717 -aS'hip\thip\tNN\tI-NP\tO' -p294718 -aS'fx\tfx\tNN\tI-NP\tO' -p294719 -aS'repair\trepair\tNN\tI-NP\tO' -p294720 -aS':\t:\t:\tO\tO' -p294721 -aS'started\tstart\tVBN\tB-VP\tO' -p294722 -aS'on\ton\tIN\tB-PP\tO' -p294723 -aS'lovenox\tlovenox\tNN\tB-NP\tO' -p294724 -aS'for\tfor\tIN\tB-PP\tO' -p294725 -aS'anti-coagulation\tanti-coagulation\tNN\tB-NP\tO' -p294726 -aS'.\t.\t.\tO\tO' -p294727 -asS'acute renal insufficiency .' -p294728 -(lp294729 -S'acute\tacute\tJJ\tB-NP\tO' -p294730 -aS'renal\trenal\tJJ\tI-NP\tO' -p294731 -aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' -p294732 -aS'.\t.\t.\tO\tO' -p294733 -asS'Postoperative day 2 , the patient was stable without events , all vital signs were stable .' -p294734 -(lp294735 -S'Postoperative\tPostoperative\tJJ\tB-NP\tO' -p294736 -aS'day\tday\tNN\tI-NP\tO' -p294737 -aS'2\t2\tCD\tI-NP\tO' -p294738 -aS',\t,\t,\tO\tO' -p294739 -aS'the\tthe\tDT\tB-NP\tO' -p294740 -aS'patient\tpatient\tNN\tI-NP\tO' -p294741 -aS'was\tbe\tVBD\tB-VP\tO' -p294742 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p294743 -aS'without\twithout\tIN\tB-PP\tO' -p294744 -aS'events\tevent\tNNS\tB-NP\tO' -p294745 -aS',\t,\t,\tO\tO' -p294746 -aS'all\tall\tDT\tB-NP\tO' -p294747 -aS'vital\tvital\tJJ\tI-NP\tO' -p294748 -aS'signs\tsign\tNNS\tI-NP\tO' -p294749 -aS'were\tbe\tVBD\tB-VP\tO' -p294750 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p294751 -aS'.\t.\t.\tO\tO' -p294752 -asS'Her lung sounds are clear and equal .' -p294753 -(lp294754 -S'Her\tHer\tPRP$\tB-NP\tO' -p294755 -aS'lung\tlung\tNN\tI-NP\tO' -p294756 -aS'sounds\tsound\tNNS\tI-NP\tO' -p294757 -aS'are\tbe\tVBP\tB-VP\tO' -p294758 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p294759 -aS'and\tand\tCC\tI-ADJP\tO' -p294760 -aS'equal\tequal\tJJ\tI-ADJP\tO' -p294761 -aS'.\t.\t.\tO\tO' -p294762 -asS'Upon arrival , Neurosurgery promptly placed V. Holtzen bolt .' -p294763 -(lp294764 -S'Upon\tUpon\tIN\tB-PP\tO' -p294765 -aS'arrival\tarrival\tNN\tB-NP\tO' -p294766 -aS',\t,\t,\tO\tO' -p294767 -aS'Neurosurgery\tNeurosurgery\tNNP\tB-NP\tO' -p294768 -aS'promptly\tpromptly\tRB\tB-ADVP\tO' -p294769 -aS'placed\tplace\tVBD\tB-VP\tO' -p294770 -aS'V.\tV.\tNNP\tB-NP\tO' -p294771 -aS'Holtzen\tHoltzen\tNNP\tI-NP\tO' -p294772 -aS'bolt\tbolt\tNN\tI-NP\tO' -p294773 -aS'.\t.\t.\tO\tO' -p294774 -asS'The infant had a course of heme positive stools with grossly bloody streaks and mucus felt to be protein allergy .' -p294775 -(lp294776 -S'The\tThe\tDT\tB-NP\tO' -p294777 -aS'infant\tinfant\tNN\tI-NP\tO' -p294778 -aS'had\thave\tVBD\tB-VP\tO' -p294779 -aS'a\ta\tDT\tB-NP\tO' -p294780 -aS'course\tcourse\tNN\tI-NP\tO' -p294781 -aS'of\tof\tIN\tB-PP\tO' -p294782 -aS'heme\theme\tNN\tB-NP\tO' -p294783 -aS'positive\tpositive\tJJ\tI-NP\tO' -p294784 -aS'stools\tstool\tNNS\tI-NP\tO' -p294785 -aS'with\twith\tIN\tB-PP\tO' -p294786 -aS'grossly\tgrossly\tRB\tB-NP\tO' -p294787 -aS'bloody\tbloody\tJJ\tI-NP\tO' -p294788 -aS'streaks\tstreak\tNNS\tI-NP\tO' -p294789 -aS'and\tand\tCC\tO\tO' -p294790 -aS'mucus\tmucus\tNN\tB-NP\tO' -p294791 -aS'felt\tfeel\tVBD\tB-VP\tO' -p294792 -aS'to\tto\tTO\tI-VP\tO' -p294793 -aS'be\tbe\tVB\tI-VP\tO' -p294794 -aS'protein\tprotein\tNN\tB-NP\tO' -p294795 -aS'allergy\tallergy\tNN\tI-NP\tO' -p294796 -aS'.\t.\t.\tO\tO' -p294797 -asS'A biopsy at that time revealed grade 1B rejection with endothelialitis and eosinophils .' -p294798 -(lp294799 -S'A\tA\tDT\tB-NP\tO' -p294800 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p294801 -aS'at\tat\tIN\tB-PP\tO' -p294802 -aS'that\tthat\tDT\tB-NP\tO' -p294803 -aS'time\ttime\tNN\tI-NP\tO' -p294804 -aS'revealed\treveal\tVBD\tB-VP\tO' -p294805 -aS'grade\tgrade\tNN\tB-NP\tO' -p294806 -aS'1B\t1B\tNN\tI-NP\tO' -p294807 -aS'rejection\trejection\tNN\tI-NP\tO' -p294808 -aS'with\twith\tIN\tB-PP\tO' -p294809 -aS'endothelialitis\tendothelialitis\tNN\tB-NP\tO' -p294810 -aS'and\tand\tCC\tI-NP\tO' -p294811 -aS'eosinophils\teosinophil\tNNS\tI-NP\tB-cell_type' -p294812 -aS'.\t.\t.\tO\tO' -p294813 -asS'TSH was 124 , cortisol 2.1 , 25 hydroxy vitamin D , and 125 dihydroxy vitamin D levels were pending .' -p294814 -(lp294815 -S'TSH\tTSH\tNN\tB-NP\tO' -p294816 -aS'was\tbe\tVBD\tB-VP\tO' -p294817 -aS'124\t124\tCD\tB-NP\tO' -p294818 -aS',\t,\t,\tO\tO' -p294819 -aS'cortisol\tcortisol\tNN\tB-NP\tO' -p294820 -aS'2.1\t2.1\tCD\tI-NP\tO' -p294821 -aS',\t,\t,\tI-NP\tO' -p294822 -aS'25\t25\tCD\tI-NP\tO' -p294823 -aS'hydroxy\thydroxy\tNN\tI-NP\tO' -p294824 -aS'vitamin\tvitamin\tNN\tI-NP\tO' -p294825 -aS'D\tD\tNN\tI-NP\tO' -p294826 -aS',\t,\t,\tO\tO' -p294827 -aS'and\tand\tCC\tO\tO' -p294828 -aS'125\t125\tCD\tB-NP\tO' -p294829 -aS'dihydroxy\tdihydroxy\tNN\tI-NP\tO' -p294830 -aS'vitamin\tvitamin\tNN\tI-NP\tO' -p294831 -aS'D\tD\tNN\tI-NP\tO' -p294832 -aS'levels\tlevel\tNNS\tI-NP\tO' -p294833 -aS'were\tbe\tVBD\tB-VP\tO' -p294834 -aS'pending\tpende\tVBG\tB-ADJP\tO' -p294835 -aS'.\t.\t.\tO\tO' -p294836 -asS'There is evidence of prior cardiac surgery .' -p294837 -(lp294838 -S'There\tThere\tEX\tB-NP\tO' -p294839 -aS'is\tbe\tVBZ\tB-VP\tO' -p294840 -aS'evidence\tevidence\tNN\tB-NP\tO' -p294841 -aS'of\tof\tIN\tB-PP\tO' -p294842 -aS'prior\tprior\tJJ\tB-NP\tO' -p294843 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p294844 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p294845 -aS'.\t.\t.\tO\tO' -p294846 -asS'The patient completed the studies and to be informed of the results as an outpatient .' -p294847 -(lp294848 -S'The\tThe\tDT\tB-NP\tO' -p294849 -aS'patient\tpatient\tNN\tI-NP\tO' -p294850 -aS'completed\tcomplete\tVBD\tB-VP\tO' -p294851 -aS'the\tthe\tDT\tB-NP\tO' -p294852 -aS'studies\tstudy\tNNS\tI-NP\tO' -p294853 -aS'and\tand\tCC\tO\tO' -p294854 -aS'to\tto\tTO\tB-VP\tO' -p294855 -aS'be\tbe\tVB\tI-VP\tO' -p294856 -aS'informed\tinform\tVBN\tI-VP\tO' -p294857 -aS'of\tof\tIN\tB-PP\tO' -p294858 -aS'the\tthe\tDT\tB-NP\tO' -p294859 -aS'results\tresult\tNNS\tI-NP\tO' -p294860 -aS'as\tas\tIN\tB-PP\tO' -p294861 -aS'an\tan\tDT\tB-NP\tO' -p294862 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p294863 -aS'.\t.\t.\tO\tO' -p294864 -asS'CNIS revealed carotid stenosis and she ultimately underwent left carotid stenting by vascular surgery on 10-30 .' -p294865 -(lp294866 -S'CNIS\tCNIS\tNN\tB-NP\tB-protein' -p294867 -aS'revealed\treveal\tVBD\tB-VP\tO' -p294868 -aS'carotid\tcarotid\tNN\tB-NP\tO' -p294869 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p294870 -aS'and\tand\tCC\tO\tO' -p294871 -aS'she\tshe\tPRP\tB-NP\tO' -p294872 -aS'ultimately\tultimately\tRB\tB-ADVP\tO' -p294873 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p294874 -aS'left\tleft\tJJ\tB-NP\tO' -p294875 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p294876 -aS'stenting\tstente\tVBG\tB-VP\tO' -p294877 -aS'by\tby\tIN\tB-PP\tO' -p294878 -aS'vascular\tvascular\tJJ\tB-NP\tO' -p294879 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p294880 -aS'on\ton\tIN\tB-PP\tO' -p294881 -aS'10-30\t10-30\tCD\tB-NP\tO' -p294882 -aS'.\t.\t.\tO\tO' -p294883 -asS'There is a left gaze preference .' -p294884 -(lp294885 -S'There\tThere\tEX\tB-NP\tO' -p294886 -aS'is\tbe\tVBZ\tB-VP\tO' -p294887 -aS'a\ta\tDT\tB-NP\tO' -p294888 -aS'left\tleft\tJJ\tI-NP\tO' -p294889 -aS'gaze\tgaze\tNN\tI-NP\tO' -p294890 -aS'preference\tpreference\tNN\tI-NP\tO' -p294891 -aS'.\t.\t.\tO\tO' -p294892 -asS'Adult respiratory distress syndrome .' -p294893 -(lp294894 -S'Adult\tAdult\tJJ\tB-NP\tO' -p294895 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p294896 -aS'distress\tdistress\tNN\tI-NP\tO' -p294897 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p294898 -aS'.\t.\t.\tO\tO' -p294899 -asS'NECROTIZING PANCREATITIS .' -p294900 -(lp294901 -S'NECROTIZING\tNECROTIZING\tVBG\tB-NP\tO' -p294902 -aS'PANCREATITIS\tPANCREATITIS\tNNS\tI-NP\tO' -p294903 -aS'.\t.\t.\tO\tO' -p294904 -asS'Normocephalic , atraumatic .' -p294905 -(lp294906 -S'Normocephalic\tNormocephalic\tJJ\tB-NP\tO' -p294907 -aS',\t,\t,\tI-NP\tO' -p294908 -aS'atraumatic\tatraumatic\tJJ\tI-NP\tO' -p294909 -aS'.\t.\t.\tO\tO' -p294910 -asS'was performed .' -p294911 -(lp294912 -S'was\tbe\tVBD\tB-VP\tO' -p294913 -aS'performed\tperform\tVBN\tI-VP\tO' -p294914 -aS'.\t.\t.\tO\tO' -p294915 -asS'She had previous history of claudication .' -p294916 -(lp294917 -S'She\tShe\tPRP\tB-NP\tO' -p294918 -aS'had\thave\tVBD\tB-VP\tO' -p294919 -aS'previous\tprevious\tJJ\tB-NP\tO' -p294920 -aS'history\thistory\tNN\tI-NP\tO' -p294921 -aS'of\tof\tIN\tB-PP\tO' -p294922 -aS'claudication\tclaudication\tNN\tB-NP\tO' -p294923 -aS'.\t.\t.\tO\tO' -p294924 -asS'The patient presented with a chief complaint of FEVER .' -p294925 -(lp294926 -S'The\tThe\tDT\tB-NP\tO' -p294927 -aS'patient\tpatient\tNN\tI-NP\tO' -p294928 -aS'presented\tpresent\tVBD\tB-VP\tO' -p294929 -aS'with\twith\tIN\tB-PP\tO' -p294930 -aS'a\ta\tDT\tB-NP\tO' -p294931 -aS'chief\tchief\tJJ\tI-NP\tO' -p294932 -aS'complaint\tcomplaint\tNN\tI-NP\tO' -p294933 -aS'of\tof\tIN\tB-PP\tO' -p294934 -aS'FEVER\tFEVER\tNN\tB-NP\tB-protein' -p294935 -aS'.\t.\t.\tO\tO' -p294936 -asS'The patient also , following his first GI bleed , had an EEG done in 07/2003 which showed gastritis with oozing and evidence of a recent bleed .' -p294937 -(lp294938 -S'The\tThe\tDT\tB-NP\tO' -p294939 -aS'patient\tpatient\tNN\tI-NP\tO' -p294940 -aS'also\talso\tRB\tB-ADVP\tO' -p294941 -aS',\t,\t,\tO\tO' -p294942 -aS'following\tfollow\tVBG\tB-VP\tO' -p294943 -aS'his\this\tPRP$\tB-NP\tO' -p294944 -aS'first\tfirst\tJJ\tI-NP\tO' -p294945 -aS'GI\tGI\tNN\tI-NP\tO' -p294946 -aS'bleed\tbleed\tNN\tI-NP\tO' -p294947 -aS',\t,\t,\tO\tO' -p294948 -aS'had\thave\tVBD\tB-VP\tO' -p294949 -aS'an\tan\tDT\tB-NP\tO' -p294950 -aS'EEG\tEEG\tNN\tI-NP\tB-protein' -p294951 -aS'done\tdo\tVBN\tB-VP\tO' -p294952 -aS'in\tin\tIN\tB-PP\tO' -p294953 -aS'07/2003\t07/2003\tCD\tB-NP\tO' -p294954 -aS'which\twhich\tWDT\tB-NP\tO' -p294955 -aS'showed\tshow\tVBD\tB-VP\tO' -p294956 -aS'gastritis\tgastritis\tNN\tB-NP\tO' -p294957 -aS'with\twith\tIN\tB-PP\tO' -p294958 -aS'oozing\toozing\tNN\tB-NP\tO' -p294959 -aS'and\tand\tCC\tI-NP\tO' -p294960 -aS'evidence\tevidence\tNN\tI-NP\tO' -p294961 -aS'of\tof\tIN\tB-PP\tO' -p294962 -aS'a\ta\tDT\tB-NP\tO' -p294963 -aS'recent\trecent\tJJ\tI-NP\tO' -p294964 -aS'bleed\tbleed\tNN\tI-NP\tO' -p294965 -aS'.\t.\t.\tO\tO' -p294966 -asS'In the meantime , Lasix dosage is increased .' -p294967 -(lp294968 -S'In\tIn\tIN\tB-PP\tO' -p294969 -aS'the\tthe\tDT\tB-NP\tO' -p294970 -aS'meantime\tmeantime\tNN\tI-NP\tO' -p294971 -aS',\t,\t,\tO\tO' -p294972 -aS'Lasix\tLasix\tNN\tB-NP\tO' -p294973 -aS'dosage\tdosage\tNN\tI-NP\tO' -p294974 -aS'is\tbe\tVBZ\tB-VP\tO' -p294975 -aS'increased\tincrease\tVBN\tI-VP\tO' -p294976 -aS'.\t.\t.\tO\tO' -p294977 -asS'Pt was given racemic epinephrine and Decadron 10mg IV x1. CT neck showed tracheal mass per nursing s/o ( pt brought CT ) .' -p294978 -(lp294979 -S'Pt\tPt\tNN\tB-NP\tO' -p294980 -aS'was\tbe\tVBD\tB-VP\tO' -p294981 -aS'given\tgive\tVBN\tI-VP\tO' -p294982 -aS'racemic\tracemic\tJJ\tB-NP\tO' -p294983 -aS'epinephrine\tepinephrine\tNN\tI-NP\tO' -p294984 -aS'and\tand\tCC\tO\tO' -p294985 -aS'Decadron\tDecadron\tNNP\tB-NP\tO' -p294986 -aS'10mg\t10mg\tCD\tB-NP\tO' -p294987 -aS'IV\tIV\tCD\tI-NP\tO' -p294988 -aS'x1.\tx1.\tNN\tI-NP\tO' -p294989 -aS'CT\tCT\tNN\tI-NP\tO' -p294990 -aS'neck\tneck\tNN\tI-NP\tO' -p294991 -aS'showed\tshow\tVBD\tB-VP\tO' -p294992 -aS'tracheal\ttracheal\tJJ\tB-NP\tO' -p294993 -aS'mass\tmass\tNN\tI-NP\tO' -p294994 -aS'per\tper\tIN\tB-PP\tO' -p294995 -aS'nursing\tnurse\tVBG\tB-VP\tO' -p294996 -aS's/o\ts/o\tNN\tB-NP\tO' -p294997 -aS'(\t(\t(\tO\tO' -p294998 -aS'pt\tpt\tNN\tB-NP\tO' -p294999 -aS'brought\tbrought\tNN\tI-NP\tO' -p295000 -aS'CT\tCT\tNN\tI-NP\tO' -p295001 -aS')\t)\t)\tO\tO' -p295002 -aS'.\t.\t.\tO\tO' -p295003 -asS'The patient was admitted to the medical intensive care unit with question of sepsis .' -p295004 -(lp295005 -S'The\tThe\tDT\tB-NP\tO' -p295006 -aS'patient\tpatient\tNN\tI-NP\tO' -p295007 -aS'was\tbe\tVBD\tB-VP\tO' -p295008 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p295009 -aS'to\tto\tTO\tB-PP\tO' -p295010 -aS'the\tthe\tDT\tB-NP\tO' -p295011 -aS'medical\tmedical\tJJ\tI-NP\tO' -p295012 -aS'intensive\tintensive\tJJ\tI-NP\tO' -p295013 -aS'care\tcare\tNN\tI-NP\tO' -p295014 -aS'unit\tunit\tNN\tI-NP\tO' -p295015 -aS'with\twith\tIN\tB-PP\tO' -p295016 -aS'question\tquestion\tNN\tB-NP\tO' -p295017 -aS'of\tof\tIN\tB-PP\tO' -p295018 -aS'sepsis\tsepsis\tNN\tB-NP\tO' -p295019 -aS'.\t.\t.\tO\tO' -p295020 -asS'She had taken Maalox but had no relief with this .' -p295021 -(lp295022 -S'She\tShe\tPRP\tB-NP\tO' -p295023 -aS'had\thave\tVBD\tB-VP\tO' -p295024 -aS'taken\ttake\tVBN\tI-VP\tO' -p295025 -aS'Maalox\tMaalox\tNNP\tB-NP\tO' -p295026 -aS'but\tbut\tCC\tO\tO' -p295027 -aS'had\thave\tVBD\tB-VP\tO' -p295028 -aS'no\tno\tDT\tB-NP\tO' -p295029 -aS'relief\trelief\tNN\tI-NP\tO' -p295030 -aS'with\twith\tIN\tB-PP\tO' -p295031 -aS'this\tthis\tDT\tB-NP\tO' -p295032 -aS'.\t.\t.\tO\tO' -p295033 -asS'94 percent in room air and 96 percent on three liters .' -p295034 -(lp295035 -S'94\t94\tCD\tB-NP\tO' -p295036 -aS'percent\tpercent\tNN\tI-NP\tO' -p295037 -aS'in\tin\tIN\tB-PP\tO' -p295038 -aS'room\troom\tNN\tB-NP\tO' -p295039 -aS'air\tair\tNN\tI-NP\tO' -p295040 -aS'and\tand\tCC\tO\tO' -p295041 -aS'96\t96\tCD\tB-NP\tO' -p295042 -aS'percent\tpercent\tNN\tI-NP\tO' -p295043 -aS'on\ton\tIN\tB-PP\tO' -p295044 -aS'three\tthree\tCD\tB-NP\tO' -p295045 -aS'liters\tliter\tNNS\tI-NP\tO' -p295046 -aS'.\t.\t.\tO\tO' -p295047 -asS'Coagulation studies were 11.3/25.5/0.9 .' -p295048 -(lp295049 -S'Coagulation\tCoagulation\tNN\tB-NP\tO' -p295050 -aS'studies\tstudy\tNNS\tI-NP\tO' -p295051 -aS'were\tbe\tVBD\tB-VP\tO' -p295052 -aS'11.3/25.5/0.9\t11.3/25.5/0.9\tCD\tB-NP\tO' -p295053 -aS'.\t.\t.\tO\tO' -p295054 -asS'He received another unit pRBC on 08-07 .' -p295055 -(lp295056 -S'He\tHe\tPRP\tB-NP\tO' -p295057 -aS'received\treceive\tVBD\tB-VP\tO' -p295058 -aS'another\tanother\tDT\tB-NP\tO' -p295059 -aS'unit\tunit\tNN\tI-NP\tO' -p295060 -aS'pRBC\tpRBC\tNN\tI-NP\tO' -p295061 -aS'on\ton\tIN\tB-PP\tO' -p295062 -aS'08-07\t08-07\tCD\tB-NP\tO' -p295063 -aS'.\t.\t.\tO\tO' -p295064 -asS'Electrolytes were within normal limits .' -p295065 -(lp295066 -S'Electrolytes\tElectrolyte\tNNS\tB-NP\tO' -p295067 -aS'were\tbe\tVBD\tB-VP\tO' -p295068 -aS'within\twithin\tIN\tB-PP\tO' -p295069 -aS'normal\tnormal\tJJ\tB-NP\tO' -p295070 -aS'limits\tlimit\tNNS\tI-NP\tO' -p295071 -aS'.\t.\t.\tO\tO' -p295072 -asS'The patient appeared to have been covered by Ampicillin , Gentamycin and then Unasyn in the outside hospital .' -p295073 -(lp295074 -S'The\tThe\tDT\tB-NP\tO' -p295075 -aS'patient\tpatient\tNN\tI-NP\tO' -p295076 -aS'appeared\tappear\tVBD\tB-VP\tO' -p295077 -aS'to\tto\tTO\tI-VP\tO' -p295078 -aS'have\thave\tVB\tI-VP\tO' -p295079 -aS'been\tbe\tVBN\tI-VP\tO' -p295080 -aS'covered\tcover\tVBN\tI-VP\tO' -p295081 -aS'by\tby\tIN\tB-PP\tO' -p295082 -aS'Ampicillin\tAmpicillin\tNN\tB-NP\tB-protein' -p295083 -aS',\t,\t,\tO\tO' -p295084 -aS'Gentamycin\tGentamycin\tNN\tB-NP\tO' -p295085 -aS'and\tand\tCC\tB-NP\tO' -p295086 -aS'then\tthen\tRB\tI-NP\tO' -p295087 -aS'Unasyn\tUnasyn\tNN\tB-NP\tO' -p295088 -aS'in\tin\tIN\tB-PP\tO' -p295089 -aS'the\tthe\tDT\tB-NP\tO' -p295090 -aS'outside\toutside\tJJ\tI-NP\tO' -p295091 -aS'hospital\thospital\tNN\tI-NP\tO' -p295092 -aS'.\t.\t.\tO\tO' -p295093 -asS'MIXED MESODERMAL CANCER .' -p295094 -(lp295095 -S'MIXED\tMIXED\tVBN\tB-NP\tO' -p295096 -aS'MESODERMAL\tMESODERMAL\tNN\tI-NP\tO' -p295097 -aS'CANCER\tCANCER\tNN\tI-NP\tO' -p295098 -aS'.\t.\t.\tO\tO' -p295099 -asS'Her CA-125 on 6-27-91 , was 249 and on 8-29-91 , was 734 .' -p295100 -(lp295101 -S'Her\tHer\tPRP$\tB-NP\tO' -p295102 -aS'CA-125\tCA-125\tNN\tI-NP\tB-protein' -p295103 -aS'on\ton\tIN\tB-PP\tO' -p295104 -aS'6-27-91\t6-27-91\tNN\tB-NP\tO' -p295105 -aS',\t,\t,\tO\tO' -p295106 -aS'was\tbe\tVBD\tB-VP\tO' -p295107 -aS'249\t249\tCD\tB-NP\tO' -p295108 -aS'and\tand\tCC\tO\tO' -p295109 -aS'on\ton\tIN\tB-PP\tO' -p295110 -aS'8-29-91\t8-29-91\tCD\tB-NP\tO' -p295111 -aS',\t,\t,\tO\tO' -p295112 -aS'was\tbe\tVBD\tB-VP\tO' -p295113 -aS'734\t734\tCD\tB-NP\tO' -p295114 -aS'.\t.\t.\tO\tO' -p295115 -asS'The intra-aortic balloon pump was discontinued on day two .' -p295116 -(lp295117 -S'The\tThe\tDT\tB-NP\tO' -p295118 -aS'intra-aortic\tintra-aortic\tJJ\tI-NP\tO' -p295119 -aS'balloon\tballoon\tNN\tI-NP\tO' -p295120 -aS'pump\tpump\tNN\tI-NP\tO' -p295121 -aS'was\tbe\tVBD\tB-VP\tO' -p295122 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p295123 -aS'on\ton\tIN\tB-PP\tO' -p295124 -aS'day\tday\tNN\tB-NP\tO' -p295125 -aS'two\ttwo\tCD\tI-NP\tO' -p295126 -aS'.\t.\t.\tO\tO' -p295127 -asS'Please follow-up the biopsy results with your doctor .' -p295128 -(lp295129 -S'Please\tPlease\tVB\tB-VP\tO' -p295130 -aS'follow-up\tfollow-up\tJJ\tB-ADJP\tO' -p295131 -aS'the\tthe\tDT\tB-NP\tO' -p295132 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p295133 -aS'results\tresult\tVBZ\tB-VP\tO' -p295134 -aS'with\twith\tIN\tB-PP\tO' -p295135 -aS'your\tyour\tPRP$\tB-NP\tO' -p295136 -aS'doctor\tdoctor\tNN\tI-NP\tO' -p295137 -aS'.\t.\t.\tO\tO' -p295138 -asS'However , her creatinine continued to increase .' -p295139 -(lp295140 -S'However\tHowever\tRB\tB-ADVP\tO' -p295141 -aS',\t,\t,\tO\tO' -p295142 -aS'her\ther\tPRP$\tB-NP\tO' -p295143 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p295144 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p295145 -aS'to\tto\tTO\tI-VP\tO' -p295146 -aS'increase\tincrease\tVB\tI-VP\tO' -p295147 -aS'.\t.\t.\tO\tO' -p295148 -asS'CT Chest - shows bilateral segmental , subsegmental PEs' -p295149 -(lp295150 -S'CT\tCT\tNN\tB-NP\tO' -p295151 -aS'Chest\tChest\tNNP\tI-NP\tO' -p295152 -aS'-\t-\tHYPH\tO\tO' -p295153 -aS'shows\tshow\tVBZ\tB-VP\tO' -p295154 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p295155 -aS'segmental\tsegmental\tJJ\tI-NP\tO' -p295156 -aS',\t,\t,\tI-NP\tO' -p295157 -aS'subsegmental\tsubsegmental\tJJ\tI-NP\tO' -p295158 -aS'PEs\tPE\tNNS\tI-NP\tO' -p295159 -asS'The patient 's hematocrit was 33% on admission and fell to 28 requiring 4 units of packed red blood cells over the course of his hospitalization .' -p295160 -(lp295161 -S'The\tThe\tDT\tB-NP\tO' -p295162 -aS'patient\tpatient\tNN\tI-NP\tO' -p295163 -aS''s\t'\tNNS\tI-NP\tO' -p295164 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p295165 -aS'was\tbe\tVBD\tB-VP\tO' -p295166 -aS'33%\t33%\tNN\tB-NP\tO' -p295167 -aS'on\ton\tIN\tB-PP\tO' -p295168 -aS'admission\tadmission\tNN\tB-NP\tO' -p295169 -aS'and\tand\tCC\tO\tO' -p295170 -aS'fell\tfall\tVBD\tB-VP\tO' -p295171 -aS'to\tto\tTO\tB-PP\tO' -p295172 -aS'28\t28\tCD\tB-NP\tO' -p295173 -aS'requiring\trequire\tVBG\tB-VP\tO' -p295174 -aS'4\t4\tCD\tB-NP\tO' -p295175 -aS'units\tunit\tNNS\tI-NP\tO' -p295176 -aS'of\tof\tIN\tB-PP\tO' -p295177 -aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' -p295178 -aS'red\tred\tJJ\tI-NP\tI-cell_type' -p295179 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p295180 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p295181 -aS'over\tover\tIN\tB-PP\tO' -p295182 -aS'the\tthe\tDT\tB-NP\tO' -p295183 -aS'course\tcourse\tNN\tI-NP\tO' -p295184 -aS'of\tof\tIN\tB-PP\tO' -p295185 -aS'his\this\tPRP$\tB-NP\tO' -p295186 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p295187 -aS'.\t.\t.\tO\tO' -p295188 -asS'Initial chest x-ray in the CMED showed haziness in the left lower lobe and patchy areas on the right side consistent with concerns for pneumonia .' -p295189 -(lp295190 -S'Initial\tInitial\tJJ\tB-NP\tO' -p295191 -aS'chest\tchest\tNN\tI-NP\tO' -p295192 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p295193 -aS'in\tin\tIN\tB-PP\tO' -p295194 -aS'the\tthe\tDT\tB-NP\tO' -p295195 -aS'CMED\tCMED\tNN\tI-NP\tO' -p295196 -aS'showed\tshow\tVBD\tB-VP\tO' -p295197 -aS'haziness\thaziness\tNN\tB-NP\tO' -p295198 -aS'in\tin\tIN\tB-PP\tO' -p295199 -aS'the\tthe\tDT\tB-NP\tO' -p295200 -aS'left\tleft\tJJ\tI-NP\tO' -p295201 -aS'lower\tlow\tJJR\tI-NP\tO' -p295202 -aS'lobe\tlobe\tNN\tI-NP\tO' -p295203 -aS'and\tand\tCC\tO\tO' -p295204 -aS'patchy\tpatchy\tJJ\tB-NP\tO' -p295205 -aS'areas\tarea\tNNS\tI-NP\tO' -p295206 -aS'on\ton\tIN\tB-PP\tO' -p295207 -aS'the\tthe\tDT\tB-NP\tO' -p295208 -aS'right\tright\tJJ\tI-NP\tO' -p295209 -aS'side\tside\tNN\tI-NP\tO' -p295210 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p295211 -aS'with\twith\tIN\tB-PP\tO' -p295212 -aS'concerns\tconcern\tNNS\tB-NP\tO' -p295213 -aS'for\tfor\tIN\tB-PP\tO' -p295214 -aS'pneumonia\tpneumonia\tNN\tB-NP\tO' -p295215 -aS'.\t.\t.\tO\tO' -p295216 -asS'Patient unresponsive to verbal command , sternal rub .' -p295217 -(lp295218 -S'Patient\tPatient\tNN\tB-NP\tO' -p295219 -aS'unresponsive\tunresponsive\tJJ\tB-ADJP\tO' -p295220 -aS'to\tto\tTO\tB-PP\tO' -p295221 -aS'verbal\tverbal\tJJ\tB-NP\tO' -p295222 -aS'command\tcommand\tNN\tI-NP\tO' -p295223 -aS',\t,\t,\tO\tO' -p295224 -aS'sternal\tsternal\tJJ\tB-NP\tO' -p295225 -aS'rub\trub\tNN\tI-NP\tO' -p295226 -aS'.\t.\t.\tO\tO' -p295227 -asS'Mean blood pressure has been 46 to 54 .' -p295228 -(lp295229 -S'Mean\tMean\tJJ\tB-NP\tO' -p295230 -aS'blood\tblood\tNN\tI-NP\tO' -p295231 -aS'pressure\tpressure\tNN\tI-NP\tO' -p295232 -aS'has\thave\tVBZ\tB-VP\tO' -p295233 -aS'been\tbe\tVBN\tI-VP\tO' -p295234 -aS'46\t46\tCD\tB-NP\tO' -p295235 -aS'to\tto\tTO\tB-PP\tO' -p295236 -aS'54\t54\tCD\tB-NP\tO' -p295237 -aS'.\t.\t.\tO\tO' -p295238 -asS'On 9/5/93 , hematocrit 48 , white blood count 11.2 , neutrophiles 67 , bands 14 , lymphs 11 , monos 6% , meta 2% , platelets 220,000 .' -p295239 -(lp295240 -S'On\tOn\tIN\tB-PP\tO' -p295241 -aS'9/5/93\t9/5/93\tCD\tB-NP\tO' -p295242 -aS',\t,\t,\tO\tO' -p295243 -aS'hematocrit\thematocrit\tNN\tB-NP\tO' -p295244 -aS'48\t48\tCD\tI-NP\tO' -p295245 -aS',\t,\t,\tO\tO' -p295246 -aS'white\twhite\tJJ\tB-NP\tO' -p295247 -aS'blood\tblood\tNN\tI-NP\tO' -p295248 -aS'count\tcount\tNN\tI-NP\tO' -p295249 -aS'11.2\t11.2\tCD\tI-NP\tO' -p295250 -aS',\t,\t,\tO\tO' -p295251 -aS'neutrophiles\tneutrophile\tNNS\tB-NP\tO' -p295252 -aS'67\t67\tCD\tB-NP\tO' -p295253 -aS',\t,\t,\tO\tO' -p295254 -aS'bands\tband\tNNS\tB-NP\tB-protein' -p295255 -aS'14\t14\tCD\tB-NP\tI-protein' -p295256 -aS',\t,\t,\tO\tO' -p295257 -aS'lymphs\tlymph\tNNS\tB-NP\tO' -p295258 -aS'11\t11\tCD\tB-NP\tO' -p295259 -aS',\t,\t,\tO\tO' -p295260 -aS'monos\tmono\tNNS\tB-NP\tO' -p295261 -aS'6%\t6%\tCD\tB-NP\tO' -p295262 -aS',\t,\t,\tO\tO' -p295263 -aS'meta\tmeta\tJJ\tB-NP\tB-DNA' -p295264 -aS'2%\t2%\tNN\tI-NP\tI-DNA' -p295265 -aS',\t,\t,\tO\tO' -p295266 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p295267 -aS'220,000\t220,000\tCD\tB-NP\tO' -p295268 -aS'.\t.\t.\tO\tO' -p295269 -asS'Dr. Ca Shuff .' -p295270 -(lp295271 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p295272 -aS'Ca\tCa\tNNP\tI-NP\tO' -p295273 -aS'Shuff\tShuff\tNNP\tI-NP\tO' -p295274 -aS'.\t.\t.\tO\tO' -p295275 -asS'N. Saez clinic consult was obtained due to hyperglycemia and the need for insulin drip in the Intensive Care Unit .' -p295276 -(lp295277 -S'N.\tN.\tNNP\tB-NP\tO' -p295278 -aS'Saez\tSaez\tNNP\tI-NP\tO' -p295279 -aS'clinic\tclinic\tNN\tI-NP\tO' -p295280 -aS'consult\tconsult\tNN\tI-NP\tO' -p295281 -aS'was\tbe\tVBD\tB-VP\tO' -p295282 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p295283 -aS'due\tdue\tJJ\tB-ADJP\tO' -p295284 -aS'to\tto\tTO\tB-PP\tO' -p295285 -aS'hyperglycemia\thyperglycemia\tNN\tB-NP\tO' -p295286 -aS'and\tand\tCC\tO\tO' -p295287 -aS'the\tthe\tDT\tB-NP\tO' -p295288 -aS'need\tneed\tNN\tI-NP\tO' -p295289 -aS'for\tfor\tIN\tB-PP\tO' -p295290 -aS'insulin\tinsulin\tNN\tB-NP\tB-protein' -p295291 -aS'drip\tdrip\tNN\tI-NP\tI-protein' -p295292 -aS'in\tin\tIN\tB-PP\tO' -p295293 -aS'the\tthe\tDT\tB-NP\tO' -p295294 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p295295 -aS'Care\tCare\tNNP\tI-NP\tO' -p295296 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p295297 -aS'.\t.\t.\tO\tO' -p295298 -asS'Her abdomen was benign .' -p295299 -(lp295300 -S'Her\tHer\tPRP$\tB-NP\tO' -p295301 -aS'abdomen\tabdoman\tNNS\tI-NP\tO' -p295302 -aS'was\tbe\tVBD\tB-VP\tO' -p295303 -aS'benign\tbenign\tJJ\tB-ADJP\tO' -p295304 -aS'.\t.\t.\tO\tO' -p295305 -asS'She also denies any recent cough , chest pain , chest palpitations , heart racing .' -p295306 -(lp295307 -S'She\tShe\tPRP\tB-NP\tO' -p295308 -aS'also\talso\tRB\tB-ADVP\tO' -p295309 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p295310 -aS'any\tany\tDT\tB-NP\tO' -p295311 -aS'recent\trecent\tJJ\tI-NP\tO' -p295312 -aS'cough\tcough\tNN\tI-NP\tO' -p295313 -aS',\t,\t,\tO\tO' -p295314 -aS'chest\tchest\tNN\tB-NP\tO' -p295315 -aS'pain\tpain\tNN\tI-NP\tO' -p295316 -aS',\t,\t,\tO\tO' -p295317 -aS'chest\tchest\tNN\tB-NP\tO' -p295318 -aS'palpitations\tpalpitation\tNNS\tI-NP\tO' -p295319 -aS',\t,\t,\tO\tO' -p295320 -aS'heart\theart\tNN\tB-NP\tO' -p295321 -aS'racing\tracing\tNN\tI-NP\tO' -p295322 -aS'.\t.\t.\tO\tO' -p295323 -asS'Also managed with Valium 5 mg PO t.i.d.' -p295324 -(lp295325 -S'Also\tAlso\tRB\tB-ADVP\tO' -p295326 -aS'managed\tmanage\tVBN\tB-VP\tO' -p295327 -aS'with\twith\tIN\tB-PP\tO' -p295328 -aS'Valium\tValium\tNN\tB-NP\tO' -p295329 -aS'5\t5\tCD\tI-NP\tO' -p295330 -aS'mg\tmg\tNN\tI-NP\tO' -p295331 -aS'PO\tPO\tNN\tI-NP\tO' -p295332 -aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' -p295333 -asS'Chest is clear with decreased breath sounds at the left base .' -p295334 -(lp295335 -S'Chest\tChest\tNNP\tB-NP\tO' -p295336 -aS'is\tbe\tVBZ\tB-VP\tO' -p295337 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p295338 -aS'with\twith\tIN\tB-PP\tO' -p295339 -aS'decreased\tdecrease\tVBN\tB-NP\tO' -p295340 -aS'breath\tbreath\tNN\tI-NP\tO' -p295341 -aS'sounds\tsound\tNNS\tI-NP\tO' -p295342 -aS'at\tat\tIN\tB-PP\tO' -p295343 -aS'the\tthe\tDT\tB-NP\tO' -p295344 -aS'left\tleft\tJJ\tI-NP\tO' -p295345 -aS'base\tbase\tNN\tI-NP\tO' -p295346 -aS'.\t.\t.\tO\tO' -p295347 -asS'She was given lasix and 2 mg IV morphine at New England Sinai Hospital & Rehab Center Rehab , and sent to Nantucket Cottage Hospital for further evaluation .' -p295348 -(lp295349 -S'She\tShe\tPRP\tB-NP\tO' -p295350 -aS'was\tbe\tVBD\tB-VP\tO' -p295351 -aS'given\tgive\tVBN\tI-VP\tO' -p295352 -aS'lasix\tlasix\tCD\tB-NP\tO' -p295353 -aS'and\tand\tCC\tI-NP\tO' -p295354 -aS'2\t2\tCD\tI-NP\tO' -p295355 -aS'mg\tmg\tNN\tI-NP\tO' -p295356 -aS'IV\tIV\tCD\tB-NP\tO' -p295357 -aS'morphine\tmorphine\tNN\tI-NP\tO' -p295358 -aS'at\tat\tIN\tB-PP\tO' -p295359 -aS'New\tNew\tNNP\tB-NP\tO' -p295360 -aS'England\tEngland\tNNP\tI-NP\tO' -p295361 -aS'Sinai\tSinai\tNNP\tI-NP\tO' -p295362 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p295363 -aS'&\t&\tCC\tI-NP\tO' -p295364 -aS'Rehab\tRehab\tNNP\tI-NP\tO' -p295365 -aS'Center\tCenter\tNNP\tI-NP\tO' -p295366 -aS'Rehab\tRehab\tNNP\tI-NP\tO' -p295367 -aS',\t,\t,\tO\tO' -p295368 -aS'and\tand\tCC\tO\tO' -p295369 -aS'sent\tsend\tVBN\tB-VP\tO' -p295370 -aS'to\tto\tTO\tB-PP\tO' -p295371 -aS'Nantucket\tNantucket\tNNP\tB-NP\tO' -p295372 -aS'Cottage\tCottage\tNNP\tI-NP\tO' -p295373 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p295374 -aS'for\tfor\tIN\tB-PP\tO' -p295375 -aS'further\tfurther\tJJ\tB-NP\tO' -p295376 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p295377 -aS'.\t.\t.\tO\tO' -p295378 -asS'3. Metoprolol Tartrate 50 mg Tablet Sig :One ( 1 ) Tablet PO BID ( 2 times a day ) .' -p295379 -(lp295380 -S'3.\t3.\tLS\tB-NP\tO' -p295381 -aS'Metoprolol\tMetoprolol\tNN\tI-NP\tO' -p295382 -aS'Tartrate\tTartrate\tNN\tI-NP\tO' -p295383 -aS'50\t50\tCD\tI-NP\tO' -p295384 -aS'mg\tmg\tNN\tI-NP\tO' -p295385 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p295386 -aS'Sig\tSig\tNNP\tI-NP\tB-protein' -p295387 -aS':One\t:One\tNNP\tI-NP\tO' -p295388 -aS'(\t(\t(\tO\tO' -p295389 -aS'1\t1\tCD\tO\tO' -p295390 -aS')\t)\t)\tO\tO' -p295391 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p295392 -aS'PO\tPO\tNN\tI-NP\tO' -p295393 -aS'BID\tBID\tNN\tI-NP\tO' -p295394 -aS'(\t(\t(\tO\tO' -p295395 -aS'2\t2\tCD\tB-NP\tO' -p295396 -aS'times\ttime\tNNS\tI-NP\tO' -p295397 -aS'a\ta\tDT\tB-NP\tO' -p295398 -aS'day\tday\tNN\tI-NP\tO' -p295399 -aS')\t)\t)\tO\tO' -p295400 -aS'.\t.\t.\tO\tO' -p295401 -asS'Proventil 2 puffs q6hours prn .' -p295402 -(lp295403 -S'Proventil\tProventil\tIN\tB-PP\tO' -p295404 -aS'2\t2\tCD\tB-NP\tO' -p295405 -aS'puffs\tpuff\tNNS\tI-NP\tO' -p295406 -aS'q6hours\tq6hour\tNNS\tI-NP\tO' -p295407 -aS'prn\tprn\tNN\tI-NP\tO' -p295408 -aS'.\t.\t.\tO\tO' -p295409 -asS'1. He is instructed to follow-up with Dr. Holloway in four weeks .' -p295410 -(lp295411 -S'1.\t1.\tLS\tB-LST\tO' -p295412 -aS'He\tHe\tPRP\tB-NP\tO' -p295413 -aS'is\tbe\tVBZ\tB-VP\tO' -p295414 -aS'instructed\tinstruct\tVBN\tI-VP\tO' -p295415 -aS'to\tto\tTO\tI-VP\tO' -p295416 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p295417 -aS'with\twith\tIN\tB-PP\tO' -p295418 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p295419 -aS'Holloway\tHolloway\tNNP\tI-NP\tO' -p295420 -aS'in\tin\tIN\tB-PP\tO' -p295421 -aS'four\tfour\tCD\tB-NP\tO' -p295422 -aS'weeks\tweek\tNNS\tI-NP\tO' -p295423 -aS'.\t.\t.\tO\tO' -p295424 -asS'Left Shoulder / Neck strain / sprain .' -p295425 -(lp295426 -S'Left\tLeave\tVBN\tB-NP\tO' -p295427 -aS'Shoulder\tShoulder\tNN\tI-NP\tO' -p295428 -aS'/\t/\tSYM\tO\tO' -p295429 -aS'Neck\tNeck\tNN\tB-NP\tO' -p295430 -aS'strain\tstrain\tNN\tI-NP\tO' -p295431 -aS'/\t/\tSYM\tB-NP\tO' -p295432 -aS'sprain\tsprain\tNN\tI-NP\tO' -p295433 -aS'.\t.\t.\tO\tO' -p295434 -asS'On the day of presentation , he was then found by his daughter lying on his bed groaning , being relatively unresponsive and unable to speak .' -p295435 -(lp295436 -S'On\tOn\tIN\tB-PP\tO' -p295437 -aS'the\tthe\tDT\tB-NP\tO' -p295438 -aS'day\tday\tNN\tI-NP\tO' -p295439 -aS'of\tof\tIN\tB-PP\tO' -p295440 -aS'presentation\tpresentation\tNN\tB-NP\tO' -p295441 -aS',\t,\t,\tO\tO' -p295442 -aS'he\the\tPRP\tB-NP\tO' -p295443 -aS'was\tbe\tVBD\tB-VP\tO' -p295444 -aS'then\tthen\tRB\tI-VP\tO' -p295445 -aS'found\tfind\tVBN\tI-VP\tO' -p295446 -aS'by\tby\tIN\tB-PP\tO' -p295447 -aS'his\this\tPRP$\tB-NP\tO' -p295448 -aS'daughter\tdaughter\tNN\tI-NP\tO' -p295449 -aS'lying\tlie\tVBG\tB-VP\tO' -p295450 -aS'on\ton\tIN\tB-PP\tO' -p295451 -aS'his\this\tPRP$\tB-NP\tO' -p295452 -aS'bed\tbed\tNN\tI-NP\tO' -p295453 -aS'groaning\tgroaning\tNN\tI-NP\tO' -p295454 -aS',\t,\t,\tO\tO' -p295455 -aS'being\tbe\tVBG\tB-VP\tO' -p295456 -aS'relatively\trelatively\tRB\tB-ADJP\tO' -p295457 -aS'unresponsive\tunresponsive\tJJ\tI-ADJP\tO' -p295458 -aS'and\tand\tCC\tI-ADJP\tO' -p295459 -aS'unable\tunable\tJJ\tI-ADJP\tO' -p295460 -aS'to\tto\tTO\tB-VP\tO' -p295461 -aS'speak\tspeak\tVB\tI-VP\tO' -p295462 -aS'.\t.\t.\tO\tO' -p295463 -asS'Lives alone in apartment in Boston .' -p295464 -(lp295465 -S'Lives\tLife\tNNS\tB-NP\tO' -p295466 -aS'alone\talone\tRB\tB-ADVP\tO' -p295467 -aS'in\tin\tIN\tB-PP\tO' -p295468 -aS'apartment\tapartment\tNN\tB-NP\tO' -p295469 -aS'in\tin\tIN\tB-PP\tO' -p295470 -aS'Boston\tBoston\tNNP\tB-NP\tO' -p295471 -aS'.\t.\t.\tO\tO' -p295472 -asS'On the date of transfer , temperature 98.5 , heart rate 80 and irregular , blood pressure 140/60 , oxygen saturation 100% in room air .' -p295473 -(lp295474 -S'On\tOn\tIN\tB-PP\tO' -p295475 -aS'the\tthe\tDT\tB-NP\tO' -p295476 -aS'date\tdate\tNN\tI-NP\tO' -p295477 -aS'of\tof\tIN\tB-PP\tO' -p295478 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p295479 -aS',\t,\t,\tO\tO' -p295480 -aS'temperature\ttemperature\tNN\tB-NP\tB-protein' -p295481 -aS'98.5\t98.5\tCD\tI-NP\tI-protein' -p295482 -aS',\t,\t,\tO\tO' -p295483 -aS'heart\theart\tNN\tB-NP\tO' -p295484 -aS'rate\trate\tNN\tI-NP\tO' -p295485 -aS'80\t80\tCD\tB-NP\tO' -p295486 -aS'and\tand\tCC\tI-NP\tO' -p295487 -aS'irregular\tirregular\tJJ\tI-NP\tO' -p295488 -aS',\t,\t,\tI-NP\tO' -p295489 -aS'blood\tblood\tNN\tI-NP\tO' -p295490 -aS'pressure\tpressure\tNN\tI-NP\tO' -p295491 -aS'140/60\t140/60\tCD\tI-NP\tO' -p295492 -aS',\t,\t,\tO\tO' -p295493 -aS'oxygen\toxygen\tNN\tB-NP\tO' -p295494 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p295495 -aS'100%\t100%\tCD\tI-NP\tO' -p295496 -aS'in\tin\tIN\tB-PP\tO' -p295497 -aS'room\troom\tNN\tB-NP\tO' -p295498 -aS'air\tair\tNN\tI-NP\tO' -p295499 -aS'.\t.\t.\tO\tO' -p295500 -asS'3. Percocet , 5/325 , 1-2 tabs PO q4-6h prn pain .' -p295501 -(lp295502 -S'3.\t3.\tLS\tB-NP\tO' -p295503 -aS'Percocet\tPercocet\tNNP\tI-NP\tO' -p295504 -aS',\t,\t,\tO\tO' -p295505 -aS'5/325\t5/325\tCD\tB-NP\tO' -p295506 -aS',\t,\t,\tO\tO' -p295507 -aS'1-2\t1-2\tCD\tB-NP\tO' -p295508 -aS'tabs\ttab\tNNS\tI-NP\tO' -p295509 -aS'PO\tPO\tNN\tI-NP\tO' -p295510 -aS'q4-6h\tq4-6h\tNN\tI-NP\tO' -p295511 -aS'prn\tprn\tNN\tI-NP\tO' -p295512 -aS'pain\tpain\tNN\tI-NP\tO' -p295513 -aS'.\t.\t.\tO\tO' -p295514 -asS'He initially required a face mask to keep his saturation above 90% .' -p295515 -(lp295516 -S'He\tHe\tPRP\tB-NP\tO' -p295517 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p295518 -aS'required\trequire\tVBD\tB-VP\tO' -p295519 -aS'a\ta\tDT\tB-NP\tO' -p295520 -aS'face\tface\tNN\tI-NP\tO' -p295521 -aS'mask\tmask\tNN\tI-NP\tO' -p295522 -aS'to\tto\tTO\tB-VP\tO' -p295523 -aS'keep\tkeep\tVB\tI-VP\tO' -p295524 -aS'his\this\tPRP$\tB-NP\tO' -p295525 -aS'saturation\tsaturation\tNN\tI-NP\tB-protein' -p295526 -aS'above\tabove\tIN\tB-PP\tI-protein' -p295527 -aS'90%\t90%\tCD\tB-NP\tI-protein' -p295528 -aS'.\t.\t.\tO\tO' -p295529 -asS'The patient is a 74-year-old woman , well known to the cardiac surgery service , readmitted from Glasmif/putdi Health Network with sternal wound infection .' -p295530 -(lp295531 -S'The\tThe\tDT\tB-NP\tO' -p295532 -aS'patient\tpatient\tNN\tI-NP\tO' -p295533 -aS'is\tbe\tVBZ\tB-VP\tO' -p295534 -aS'a\ta\tDT\tB-NP\tO' -p295535 -aS'74-year-old\t74-year-old\tJJ\tI-NP\tO' -p295536 -aS'woman\twoman\tNN\tI-NP\tO' -p295537 -aS',\t,\t,\tO\tO' -p295538 -aS'well\twell\tRB\tB-VP\tO' -p295539 -aS'known\tknow\tVBN\tI-VP\tO' -p295540 -aS'to\tto\tTO\tB-PP\tO' -p295541 -aS'the\tthe\tDT\tB-NP\tO' -p295542 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p295543 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p295544 -aS'service\tservice\tNN\tI-NP\tO' -p295545 -aS',\t,\t,\tO\tO' -p295546 -aS'readmitted\treadmitte\tVBN\tB-VP\tO' -p295547 -aS'from\tfrom\tIN\tB-PP\tO' -p295548 -aS'Glasmif/putdi\tGlasmif/putdi\tNNP\tB-NP\tO' -p295549 -aS'Health\tHealth\tNNP\tI-NP\tO' -p295550 -aS'Network\tNetwork\tNNP\tI-NP\tO' -p295551 -aS'with\twith\tIN\tB-PP\tO' -p295552 -aS'sternal\tsternal\tJJ\tB-NP\tO' -p295553 -aS'wound\twound\tNN\tI-NP\tO' -p295554 -aS'infection\tinfection\tNN\tI-NP\tO' -p295555 -aS'.\t.\t.\tO\tO' -p295556 -asS'His chest tubes were removed .' -p295557 -(lp295558 -S'His\tHis\tPRP$\tB-NP\tB-protein' -p295559 -aS'chest\tch\tJJS\tI-NP\tO' -p295560 -aS'tubes\ttube\tNNS\tI-NP\tO' -p295561 -aS'were\tbe\tVBD\tB-VP\tO' -p295562 -aS'removed\tremove\tVBN\tI-VP\tO' -p295563 -aS'.\t.\t.\tO\tO' -p295564 -asS"Father died in his 80 's of pacemaker failure , also had a myocardial infarction in his 70 's." -p295565 -(lp295566 -S'Father\tFather\tNNP\tB-NP\tO' -p295567 -aS'died\tdie\tVBD\tB-VP\tO' -p295568 -aS'in\tin\tIN\tB-PP\tO' -p295569 -aS'his\this\tPRP$\tB-NP\tO' -p295570 -aS'80\t80\tCD\tI-NP\tO' -p295571 -aS"'s\t'\tNNS\tI-NP\tO" -p295572 -aS'of\tof\tIN\tB-PP\tO' -p295573 -aS'pacemaker\tpacemaker\tNN\tB-NP\tO' -p295574 -aS'failure\tfailure\tNN\tI-NP\tO' -p295575 -aS',\t,\t,\tO\tO' -p295576 -aS'also\talso\tRB\tB-ADVP\tO' -p295577 -aS'had\thave\tVBD\tB-VP\tO' -p295578 -aS'a\ta\tDT\tB-NP\tO' -p295579 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p295580 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p295581 -aS'in\tin\tIN\tB-PP\tO' -p295582 -aS'his\this\tPRP$\tB-NP\tO' -p295583 -aS'70\t70\tCD\tI-NP\tO' -p295584 -aS"'s.\t's.\tPOS\tB-NP\tO" -p295585 -asS'The patient informs his primary care provider who referred him to the emergency room .' -p295586 -(lp295587 -S'The\tThe\tDT\tB-NP\tO' -p295588 -aS'patient\tpatient\tNN\tI-NP\tO' -p295589 -aS'informs\tinform\tVBZ\tB-VP\tO' -p295590 -aS'his\this\tPRP$\tB-NP\tO' -p295591 -aS'primary\tprimary\tJJ\tI-NP\tO' -p295592 -aS'care\tcare\tNN\tI-NP\tO' -p295593 -aS'provider\tprovider\tNN\tI-NP\tO' -p295594 -aS'who\twho\tWP\tB-NP\tO' -p295595 -aS'referred\trefer\tVBD\tB-VP\tO' -p295596 -aS'him\thim\tPRP\tB-NP\tO' -p295597 -aS'to\tto\tTO\tB-PP\tO' -p295598 -aS'the\tthe\tDT\tB-NP\tO' -p295599 -aS'emergency\temergency\tNN\tI-NP\tO' -p295600 -aS'room\troom\tNN\tI-NP\tO' -p295601 -aS'.\t.\t.\tO\tO' -p295602 -asS'Abdomen soft , nontender and distended .' -p295603 -(lp295604 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p295605 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p295606 -aS',\t,\t,\tI-ADJP\tO' -p295607 -aS'nontender\tnontender\tJJ\tI-ADJP\tO' -p295608 -aS'and\tand\tCC\tI-ADJP\tO' -p295609 -aS'distended\tdistended\tJJ\tI-ADJP\tO' -p295610 -aS'.\t.\t.\tO\tO' -p295611 -asS'This would likely less represent asymmetric pulmonary edema .' -p295612 -(lp295613 -S'This\tThis\tDT\tB-NP\tO' -p295614 -aS'would\twould\tMD\tB-VP\tO' -p295615 -aS'likely\tlikely\tRB\tI-VP\tO' -p295616 -aS'less\tless\tRBR\tI-VP\tO' -p295617 -aS'represent\trepresent\tVB\tI-VP\tO' -p295618 -aS'asymmetric\tasymmetric\tJJ\tB-NP\tO' -p295619 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p295620 -aS'edema\tedema\tNN\tI-NP\tO' -p295621 -aS'.\t.\t.\tO\tO' -p295622 -asS'LP was done to evaluate for malignancy , and no malignant cells were seen .' -p295623 -(lp295624 -S'LP\tLP\tNN\tB-NP\tO' -p295625 -aS'was\tbe\tVBD\tB-VP\tO' -p295626 -aS'done\tdo\tVBN\tI-VP\tO' -p295627 -aS'to\tto\tTO\tI-VP\tO' -p295628 -aS'evaluate\tevaluate\tVB\tI-VP\tO' -p295629 -aS'for\tfor\tIN\tB-PP\tO' -p295630 -aS'malignancy\tmalignancy\tNN\tB-NP\tO' -p295631 -aS',\t,\t,\tO\tO' -p295632 -aS'and\tand\tCC\tO\tO' -p295633 -aS'no\tno\tDT\tB-NP\tO' -p295634 -aS'malignant\tmalignant\tJJ\tI-NP\tB-cell_type' -p295635 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p295636 -aS'were\tbe\tVBD\tB-VP\tO' -p295637 -aS'seen\tsee\tVBN\tI-VP\tO' -p295638 -aS'.\t.\t.\tO\tO' -p295639 -asS'Overall , no acute cardiopulmonary abnormality .' -p295640 -(lp295641 -S'Overall\tOverall\tRB\tB-ADVP\tO' -p295642 -aS',\t,\t,\tO\tO' -p295643 -aS'no\tno\tDT\tB-NP\tO' -p295644 -aS'acute\tacute\tJJ\tI-NP\tO' -p295645 -aS'cardiopulmonary\tcardiopulmonary\tJJ\tI-NP\tO' -p295646 -aS'abnormality\tabnormality\tNN\tI-NP\tO' -p295647 -aS'.\t.\t.\tO\tO' -p295648 -asS'The pt required calcium gluconate x1 the day prior to discharge .' -p295649 -(lp295650 -S'The\tThe\tDT\tB-NP\tO' -p295651 -aS'pt\tpt\tNN\tI-NP\tO' -p295652 -aS'required\trequire\tVBD\tB-VP\tO' -p295653 -aS'calcium\tcalcium\tNN\tB-NP\tO' -p295654 -aS'gluconate\tgluconate\tNN\tI-NP\tO' -p295655 -aS'x1\tx1\tCD\tI-NP\tO' -p295656 -aS'the\tthe\tDT\tB-NP\tO' -p295657 -aS'day\tday\tNN\tI-NP\tO' -p295658 -aS'prior\tprior\tRB\tB-ADVP\tO' -p295659 -aS'to\tto\tTO\tB-VP\tO' -p295660 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p295661 -aS'.\t.\t.\tO\tO' -p295662 -asS'Lovenox was held until follow-up with primary care doctor .' -p295663 -(lp295664 -S'Lovenox\tLovenox\tNN\tB-NP\tO' -p295665 -aS'was\tbe\tVBD\tB-VP\tO' -p295666 -aS'held\thold\tVBN\tI-VP\tO' -p295667 -aS'until\tuntil\tIN\tB-PP\tO' -p295668 -aS'follow-up\tfollow-up\tNN\tB-NP\tO' -p295669 -aS'with\twith\tIN\tB-PP\tO' -p295670 -aS'primary\tprimary\tJJ\tB-NP\tO' -p295671 -aS'care\tcare\tNN\tI-NP\tO' -p295672 -aS'doctor\tdoctor\tNN\tI-NP\tO' -p295673 -aS'.\t.\t.\tO\tO' -p295674 -asS'He had been noting night sweats , increasing fatigue , anorexia , and dyspnea , which were not particularly improved by increased transfusions or alterations of hydroxy urea .' -p295675 -(lp295676 -S'He\tHe\tPRP\tB-NP\tO' -p295677 -aS'had\thave\tVBD\tB-VP\tO' -p295678 -aS'been\tbe\tVBN\tI-VP\tO' -p295679 -aS'noting\tnote\tVBG\tI-VP\tO' -p295680 -aS'night\tnight\tNN\tB-NP\tO' -p295681 -aS'sweats\tsweat\tNNS\tI-NP\tO' -p295682 -aS',\t,\t,\tO\tO' -p295683 -aS'increasing\tincrease\tVBG\tB-VP\tO' -p295684 -aS'fatigue\tfatigue\tNN\tB-NP\tO' -p295685 -aS',\t,\t,\tO\tO' -p295686 -aS'anorexia\tanorexia\tNN\tB-NP\tO' -p295687 -aS',\t,\t,\tO\tO' -p295688 -aS'and\tand\tCC\tO\tO' -p295689 -aS'dyspnea\tdyspnea\tNN\tB-NP\tO' -p295690 -aS',\t,\t,\tO\tO' -p295691 -aS'which\twhich\tWDT\tB-NP\tO' -p295692 -aS'were\tbe\tVBD\tB-VP\tO' -p295693 -aS'not\tnot\tRB\tI-VP\tO' -p295694 -aS'particularly\tparticularly\tRB\tI-VP\tO' -p295695 -aS'improved\timprove\tVBN\tI-VP\tO' -p295696 -aS'by\tby\tIN\tB-PP\tO' -p295697 -aS'increased\tincrease\tVBN\tB-NP\tO' -p295698 -aS'transfusions\ttransfusion\tNNS\tI-NP\tO' -p295699 -aS'or\tor\tCC\tI-NP\tO' -p295700 -aS'alterations\talteration\tNNS\tI-NP\tO' -p295701 -aS'of\tof\tIN\tB-PP\tO' -p295702 -aS'hydroxy\thydroxy\tNN\tB-NP\tO' -p295703 -aS'urea\turea\tNN\tI-NP\tO' -p295704 -aS'.\t.\t.\tO\tO' -p295705 -asS'On presentation , her temperature was 98.8 with a heart rate of 100 , blood pressure 110/65 , respiratory rate 18 , and she was saturating at 100% in room air .' -p295706 -(lp295707 -S'On\tOn\tIN\tB-PP\tO' -p295708 -aS'presentation\tpresentation\tNN\tB-NP\tO' -p295709 -aS',\t,\t,\tO\tO' -p295710 -aS'her\ther\tPRP$\tB-NP\tO' -p295711 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p295712 -aS'was\tbe\tVBD\tB-VP\tO' -p295713 -aS'98.8\t98.8\tCD\tB-NP\tO' -p295714 -aS'with\twith\tIN\tB-PP\tO' -p295715 -aS'a\ta\tDT\tB-NP\tO' -p295716 -aS'heart\theart\tNN\tI-NP\tO' -p295717 -aS'rate\trate\tNN\tI-NP\tO' -p295718 -aS'of\tof\tIN\tB-PP\tO' -p295719 -aS'100\t100\tCD\tB-NP\tO' -p295720 -aS',\t,\t,\tO\tO' -p295721 -aS'blood\tblood\tNN\tB-NP\tO' -p295722 -aS'pressure\tpressure\tNN\tI-NP\tO' -p295723 -aS'110/65\t110/65\tCD\tI-NP\tO' -p295724 -aS',\t,\t,\tI-NP\tO' -p295725 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p295726 -aS'rate\trate\tNN\tI-NP\tO' -p295727 -aS'18\t18\tCD\tI-NP\tO' -p295728 -aS',\t,\t,\tO\tO' -p295729 -aS'and\tand\tCC\tO\tO' -p295730 -aS'she\tshe\tPRP\tB-NP\tO' -p295731 -aS'was\tbe\tVBD\tB-VP\tO' -p295732 -aS'saturating\tsaturate\tVBG\tI-VP\tO' -p295733 -aS'at\tat\tIN\tB-PP\tO' -p295734 -aS'100%\t100%\tNN\tB-NP\tO' -p295735 -aS'in\tin\tIN\tB-PP\tO' -p295736 -aS'room\troom\tNN\tB-NP\tO' -p295737 -aS'air\tair\tNN\tI-NP\tO' -p295738 -aS'.\t.\t.\tO\tO' -p295739 -asS'There was no scapular tenderness .' -p295740 -(lp295741 -S'There\tThere\tEX\tB-NP\tO' -p295742 -aS'was\tbe\tVBD\tB-VP\tO' -p295743 -aS'no\tno\tDT\tB-NP\tO' -p295744 -aS'scapular\tscapular\tJJ\tI-NP\tO' -p295745 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p295746 -aS'.\t.\t.\tO\tO' -p295747 -asS'White count of 7.75 , hematocrit of 46.2% , sodium 144 , potassium 3.9 , creatinine 25 , and BUN was 1.4 with a blood sugar of 88 .' -p295748 -(lp295749 -S'White\tWhite\tJJ\tB-NP\tO' -p295750 -aS'count\tcount\tNN\tI-NP\tO' -p295751 -aS'of\tof\tIN\tB-PP\tO' -p295752 -aS'7.75\t7.75\tCD\tB-NP\tO' -p295753 -aS',\t,\t,\tO\tO' -p295754 -aS'hematocrit\thematocrit\tNN\tB-NP\tO' -p295755 -aS'of\tof\tIN\tB-PP\tO' -p295756 -aS'46.2%\t46.2%\tNN\tB-NP\tB-protein' -p295757 -aS',\t,\t,\tO\tO' -p295758 -aS'sodium\tsodium\tNN\tB-NP\tO' -p295759 -aS'144\t144\tCD\tI-NP\tO' -p295760 -aS',\t,\t,\tO\tO' -p295761 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p295762 -aS'3.9\t3.9\tCD\tI-NP\tO' -p295763 -aS',\t,\t,\tO\tO' -p295764 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p295765 -aS'25\t25\tCD\tI-NP\tO' -p295766 -aS',\t,\t,\tO\tO' -p295767 -aS'and\tand\tCC\tO\tO' -p295768 -aS'BUN\tBUN\tNN\tB-NP\tB-protein' -p295769 -aS'was\tbe\tVBD\tB-VP\tO' -p295770 -aS'1.4\t1.4\tCD\tB-NP\tO' -p295771 -aS'with\twith\tIN\tB-PP\tO' -p295772 -aS'a\ta\tDT\tB-NP\tO' -p295773 -aS'blood\tblood\tNN\tI-NP\tO' -p295774 -aS'sugar\tsugar\tNN\tI-NP\tO' -p295775 -aS'of\tof\tIN\tB-PP\tO' -p295776 -aS'88\t88\tCD\tB-NP\tO' -p295777 -aS'.\t.\t.\tO\tO' -p295778 -asS'vital signs in the emergency room were 210/100 for blood pressure , heart rate 70 and irregular .' -p295779 -(lp295780 -S'vital\tvital\tJJ\tB-NP\tO' -p295781 -aS'signs\tsign\tNNS\tI-NP\tO' -p295782 -aS'in\tin\tIN\tB-PP\tO' -p295783 -aS'the\tthe\tDT\tB-NP\tO' -p295784 -aS'emergency\temergency\tNN\tI-NP\tO' -p295785 -aS'room\troom\tNN\tI-NP\tO' -p295786 -aS'were\tbe\tVBD\tB-VP\tO' -p295787 -aS'210/100\t210/100\tCD\tB-NP\tO' -p295788 -aS'for\tfor\tIN\tB-PP\tO' -p295789 -aS'blood\tblood\tNN\tB-NP\tO' -p295790 -aS'pressure\tpressure\tNN\tI-NP\tO' -p295791 -aS',\t,\t,\tO\tO' -p295792 -aS'heart\theart\tNN\tB-NP\tO' -p295793 -aS'rate\trate\tNN\tI-NP\tO' -p295794 -aS'70\t70\tCD\tB-NP\tO' -p295795 -aS'and\tand\tCC\tI-NP\tO' -p295796 -aS'irregular\tirregular\tJJ\tI-NP\tO' -p295797 -aS'.\t.\t.\tO\tO' -p295798 -asS'No thyromegaly .' -p295799 -(lp295800 -S'No\tNo\tDT\tB-NP\tO' -p295801 -aS'thyromegaly\tthyromegaly\tNN\tI-NP\tO' -p295802 -aS'.\t.\t.\tO\tO' -p295803 -asS'She remained hemodynamically stable .' -p295804 -(lp295805 -S'She\tShe\tPRP\tB-NP\tO' -p295806 -aS'remained\tremain\tVBD\tB-VP\tO' -p295807 -aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' -p295808 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p295809 -aS'.\t.\t.\tO\tO' -p295810 -asS'Toes equivocal bilaterally .' -p295811 -(lp295812 -S'Toes\tToe\tVBZ\tB-VP\tO' -p295813 -aS'equivocal\tequivocal\tJJ\tB-ADJP\tO' -p295814 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p295815 -aS'.\t.\t.\tO\tO' -p295816 -asS'Patient became increasingly hypotensive with a rising cr , eventually becoming pressor dependent .' -p295817 -(lp295818 -S'Patient\tPatient\tNN\tB-NP\tO' -p295819 -aS'became\tbecome\tVBD\tB-VP\tO' -p295820 -aS'increasingly\tincreasingly\tRB\tB-ADJP\tO' -p295821 -aS'hypotensive\thypotensive\tJJ\tI-ADJP\tO' -p295822 -aS'with\twith\tIN\tB-PP\tO' -p295823 -aS'a\ta\tDT\tB-NP\tO' -p295824 -aS'rising\trise\tVBG\tI-NP\tO' -p295825 -aS'cr\tcr\tNN\tI-NP\tO' -p295826 -aS',\t,\t,\tO\tO' -p295827 -aS'eventually\teventually\tRB\tB-ADVP\tO' -p295828 -aS'becoming\tbecome\tVBG\tB-VP\tO' -p295829 -aS'pressor\tpressor\tNN\tB-NP\tO' -p295830 -aS'dependent\tdependent\tJJ\tB-ADJP\tO' -p295831 -aS'.\t.\t.\tO\tO' -p295832 -asS'This was treated with sodium bicarbonate and a Swan-Ganz was placed to provide close hemodynamic monitoring .' -p295833 -(lp295834 -S'This\tThis\tDT\tB-NP\tO' -p295835 -aS'was\tbe\tVBD\tB-VP\tO' -p295836 -aS'treated\ttreat\tVBN\tI-VP\tO' -p295837 -aS'with\twith\tIN\tB-PP\tO' -p295838 -aS'sodium\tsodium\tNN\tB-NP\tO' -p295839 -aS'bicarbonate\tbicarbonate\tNN\tI-NP\tO' -p295840 -aS'and\tand\tCC\tO\tO' -p295841 -aS'a\ta\tDT\tB-NP\tO' -p295842 -aS'Swan-Ganz\tSwan-Ganz\tNN\tI-NP\tO' -p295843 -aS'was\tbe\tVBD\tB-VP\tO' -p295844 -aS'placed\tplace\tVBN\tI-VP\tO' -p295845 -aS'to\tto\tTO\tI-VP\tO' -p295846 -aS'provide\tprovide\tVB\tI-VP\tO' -p295847 -aS'close\tclose\tJJ\tB-NP\tO' -p295848 -aS'hemodynamic\themodynamic\tJJ\tI-NP\tO' -p295849 -aS'monitoring\tmonitoring\tNN\tI-NP\tO' -p295850 -aS'.\t.\t.\tO\tO' -p295851 -asS'The plan was for right radical vulvectomy .' -p295852 -(lp295853 -S'The\tThe\tDT\tB-NP\tO' -p295854 -aS'plan\tplan\tNN\tI-NP\tO' -p295855 -aS'was\tbe\tVBD\tB-VP\tO' -p295856 -aS'for\tfor\tIN\tB-PP\tO' -p295857 -aS'right\tright\tJJ\tB-NP\tO' -p295858 -aS'radical\tradical\tNN\tI-NP\tO' -p295859 -aS'vulvectomy\tvulvectomy\tNN\tI-NP\tO' -p295860 -aS'.\t.\t.\tO\tO' -p295861 -asS'A orogastric tube was passed .' -p295862 -(lp295863 -S'A\tA\tDT\tB-NP\tO' -p295864 -aS'orogastric\torogastric\tJJ\tI-NP\tO' -p295865 -aS'tube\ttube\tNN\tI-NP\tO' -p295866 -aS'was\tbe\tVBD\tB-VP\tO' -p295867 -aS'passed\tpass\tVBN\tI-VP\tO' -p295868 -aS'.\t.\t.\tO\tO' -p295869 -asS'9. Oxybutynin 5 mg po bid .' -p295870 -(lp295871 -S'9.\t9.\tCD\tB-NP\tO' -p295872 -aS'Oxybutynin\tOxybutynin\tNN\tI-NP\tO' -p295873 -aS'5\t5\tCD\tB-NP\tO' -p295874 -aS'mg\tmg\tNN\tI-NP\tO' -p295875 -aS'po\tpo\tNN\tI-NP\tO' -p295876 -aS'bid\tbid\tNN\tI-NP\tO' -p295877 -aS'.\t.\t.\tO\tO' -p295878 -asS'This is a 64-year-old man with a history of coronary artery disease , endocarditis status post coronary artery bypass grafting and mitral valve replacement on 2010-08-13 .' -p295879 -(lp295880 -S'This\tThis\tDT\tB-NP\tO' -p295881 -aS'is\tbe\tVBZ\tB-VP\tO' -p295882 -aS'a\ta\tDT\tB-NP\tO' -p295883 -aS'64-year-old\t64-year-old\tJJ\tI-NP\tO' -p295884 -aS'man\tman\tNN\tI-NP\tO' -p295885 -aS'with\twith\tIN\tB-PP\tO' -p295886 -aS'a\ta\tDT\tB-NP\tO' -p295887 -aS'history\thistory\tNN\tI-NP\tO' -p295888 -aS'of\tof\tIN\tB-PP\tO' -p295889 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p295890 -aS'artery\tartery\tNN\tI-NP\tO' -p295891 -aS'disease\tdisease\tNN\tI-NP\tO' -p295892 -aS',\t,\t,\tO\tO' -p295893 -aS'endocarditis\tendocarditis\tNN\tB-NP\tO' -p295894 -aS'status\tstatus\tNN\tI-NP\tO' -p295895 -aS'post\tpost\tNN\tI-NP\tO' -p295896 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p295897 -aS'artery\tartery\tNN\tI-NP\tO' -p295898 -aS'bypass\tbypass\tIN\tB-PP\tO' -p295899 -aS'grafting\tgraft\tVBG\tB-VP\tO' -p295900 -aS'and\tand\tCC\tO\tO' -p295901 -aS'mitral\tmitral\tJJ\tB-NP\tO' -p295902 -aS'valve\tvalve\tNN\tI-NP\tO' -p295903 -aS'replacement\treplacement\tNN\tI-NP\tO' -p295904 -aS'on\ton\tIN\tB-PP\tO' -p295905 -aS'2010-08-13\t2010-08-13\tCD\tB-NP\tO' -p295906 -aS'.\t.\t.\tO\tO' -p295907 -asS'1) No acute cervical spine fracture .' -p295908 -(lp295909 -S'1)\t1)\tLS\tB-LST\tO' -p295910 -aS'No\tNo\tDT\tB-NP\tO' -p295911 -aS'acute\tacute\tJJ\tI-NP\tO' -p295912 -aS'cervical\tcervical\tJJ\tI-NP\tO' -p295913 -aS'spine\tspine\tNN\tI-NP\tO' -p295914 -aS'fracture\tfracture\tNN\tI-NP\tO' -p295915 -aS'.\t.\t.\tO\tO' -p295916 -asS'There were no complications during the patient 's hospitalization and he was discharged in stable condition .' -p295917 -(lp295918 -S'There\tThere\tEX\tB-NP\tO' -p295919 -aS'were\tbe\tVBD\tB-VP\tO' -p295920 -aS'no\tno\tDT\tB-NP\tO' -p295921 -aS'complications\tcomplication\tNNS\tI-NP\tO' -p295922 -aS'during\tduring\tIN\tB-PP\tO' -p295923 -aS'the\tthe\tDT\tB-NP\tO' -p295924 -aS'patient\tpatient\tNN\tI-NP\tO' -p295925 -aS''s\t'\tNNS\tI-NP\tO' -p295926 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p295927 -aS'and\tand\tCC\tO\tO' -p295928 -aS'he\the\tPRP\tB-NP\tO' -p295929 -aS'was\tbe\tVBD\tB-VP\tO' -p295930 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p295931 -aS'in\tin\tIN\tB-PP\tO' -p295932 -aS'stable\tstable\tJJ\tB-NP\tO' -p295933 -aS'condition\tcondition\tNN\tI-NP\tO' -p295934 -aS'.\t.\t.\tO\tO' -p295935 -asS'47 female with h/o HCV cirrhosis compocated by encephalopathy , ascites , and h/o portal vein thrombosis ( right anterior portal vein ) and portalcaval shunt ( reversed flow in main portal vein ) presents from liver clinic with increasing abdominal girth .' -p295936 -(lp295937 -S'47\t47\tCD\tB-NP\tO' -p295938 -aS'female\tfemale\tJJ\tI-NP\tO' -p295939 -aS'with\twith\tIN\tB-PP\tO' -p295940 -aS'h/o\th/o\tNN\tB-NP\tO' -p295941 -aS'HCV\tHCV\tNN\tI-NP\tO' -p295942 -aS'cirrhosis\tcirrhosis\tNN\tI-NP\tO' -p295943 -aS'compocated\tcompocate\tVBN\tB-VP\tO' -p295944 -aS'by\tby\tIN\tB-PP\tO' -p295945 -aS'encephalopathy\tencephalopathy\tNN\tB-NP\tO' -p295946 -aS',\t,\t,\tO\tO' -p295947 -aS'ascites\tascite\tNNS\tB-NP\tO' -p295948 -aS',\t,\t,\tO\tO' -p295949 -aS'and\tand\tCC\tO\tO' -p295950 -aS'h/o\th/o\tNN\tB-NP\tO' -p295951 -aS'portal\tportal\tNN\tI-NP\tO' -p295952 -aS'vein\tvein\tNN\tI-NP\tO' -p295953 -aS'thrombosis\tthrombosis\tNN\tI-NP\tO' -p295954 -aS'(\t(\t(\tO\tO' -p295955 -aS'right\tright\tJJ\tB-NP\tO' -p295956 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p295957 -aS'portal\tportal\tNN\tI-NP\tO' -p295958 -aS'vein\tvein\tNN\tI-NP\tO' -p295959 -aS')\t)\t)\tO\tO' -p295960 -aS'and\tand\tCC\tO\tO' -p295961 -aS'portalcaval\tportalcaval\tNN\tB-NP\tO' -p295962 -aS'shunt\tshunt\tNN\tI-NP\tO' -p295963 -aS'(\t(\t(\tO\tO' -p295964 -aS'reversed\treverse\tVBN\tB-NP\tO' -p295965 -aS'flow\tflow\tNN\tI-NP\tO' -p295966 -aS'in\tin\tIN\tB-PP\tO' -p295967 -aS'main\tmain\tJJ\tB-NP\tO' -p295968 -aS'portal\tportal\tJJ\tI-NP\tO' -p295969 -aS'vein\tvein\tNN\tI-NP\tO' -p295970 -aS')\t)\t)\tO\tO' -p295971 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p295972 -aS'from\tfrom\tIN\tB-PP\tO' -p295973 -aS'liver\tliver\tNN\tB-NP\tO' -p295974 -aS'clinic\tclinic\tNN\tI-NP\tO' -p295975 -aS'with\twith\tIN\tB-PP\tO' -p295976 -aS'increasing\tincrease\tVBG\tB-VP\tO' -p295977 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p295978 -aS'girth\tgirth\tNN\tI-NP\tO' -p295979 -aS'.\t.\t.\tO\tO' -p295980 -asS'Glaucoma , under therapy , status post laser surgery O.D.' -p295981 -(lp295982 -S'Glaucoma\tGlaucoma\tNN\tB-NP\tO' -p295983 -aS',\t,\t,\tO\tO' -p295984 -aS'under\tunder\tIN\tB-PP\tO' -p295985 -aS'therapy\ttherapy\tNN\tB-NP\tO' -p295986 -aS',\t,\t,\tO\tO' -p295987 -aS'status\tstatus\tNN\tB-NP\tO' -p295988 -aS'post\tpost\tNN\tI-NP\tO' -p295989 -aS'laser\tlaser\tNN\tI-NP\tO' -p295990 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p295991 -aS'O.D.\tO.D.\t.\tO\tO' -p295992 -asS'In the ICU she also received an echo that revealed normal function and little valvular disease ( she has two loud systolic murmurs on exam ) , and a hip film revealing no inflammation nor loosening .' -p295993 -(lp295994 -S'In\tIn\tIN\tB-PP\tO' -p295995 -aS'the\tthe\tDT\tB-NP\tO' -p295996 -aS'ICU\tICU\tNN\tI-NP\tB-DNA' -p295997 -aS'she\tshe\tPRP\tB-NP\tO' -p295998 -aS'also\talso\tRB\tB-ADVP\tO' -p295999 -aS'received\treceive\tVBD\tB-VP\tO' -p296000 -aS'an\tan\tDT\tB-NP\tO' -p296001 -aS'echo\techo\tNN\tI-NP\tO' -p296002 -aS'that\tthat\tWDT\tB-NP\tO' -p296003 -aS'revealed\treveal\tVBD\tB-VP\tO' -p296004 -aS'normal\tnormal\tJJ\tB-NP\tO' -p296005 -aS'function\tfunction\tNN\tI-NP\tO' -p296006 -aS'and\tand\tCC\tO\tO' -p296007 -aS'little\tlittle\tJJ\tB-NP\tO' -p296008 -aS'valvular\tvalvular\tJJ\tI-NP\tO' -p296009 -aS'disease\tdisease\tNN\tI-NP\tO' -p296010 -aS'(\t(\t(\tO\tO' -p296011 -aS'she\tshe\tPRP\tB-NP\tO' -p296012 -aS'has\thave\tVBZ\tB-VP\tO' -p296013 -aS'two\ttwo\tCD\tB-NP\tO' -p296014 -aS'loud\tloud\tJJ\tI-NP\tO' -p296015 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p296016 -aS'murmurs\tmurmur\tNNS\tI-NP\tO' -p296017 -aS'on\ton\tIN\tB-PP\tO' -p296018 -aS'exam\texam\tNN\tB-NP\tO' -p296019 -aS')\t)\t)\tO\tO' -p296020 -aS',\t,\t,\tO\tO' -p296021 -aS'and\tand\tCC\tO\tO' -p296022 -aS'a\ta\tDT\tB-NP\tO' -p296023 -aS'hip\thip\tNN\tI-NP\tO' -p296024 -aS'film\tfilm\tNN\tI-NP\tO' -p296025 -aS'revealing\treveal\tVBG\tB-VP\tO' -p296026 -aS'no\tno\tDT\tB-NP\tO' -p296027 -aS'inflammation\tinflammation\tNN\tI-NP\tO' -p296028 -aS'nor\tnor\tCC\tI-NP\tO' -p296029 -aS'loosening\tloosening\tNN\tI-NP\tO' -p296030 -aS'.\t.\t.\tO\tO' -p296031 -asS'Post-operatively , patient was found to have frequent aberrant atrial premature beats and some rare ventricular premature beats .' -p296032 -(lp296033 -S'Post-operatively\tPost-operatively\tRB\tB-ADVP\tO' -p296034 -aS',\t,\t,\tO\tO' -p296035 -aS'patient\tpatient\tNN\tB-NP\tO' -p296036 -aS'was\tbe\tVBD\tB-VP\tO' -p296037 -aS'found\tfind\tVBN\tI-VP\tO' -p296038 -aS'to\tto\tTO\tI-VP\tO' -p296039 -aS'have\thave\tVB\tI-VP\tO' -p296040 -aS'frequent\tfrequent\tJJ\tB-NP\tO' -p296041 -aS'aberrant\taberrant\tJJ\tI-NP\tO' -p296042 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p296043 -aS'premature\tpremature\tJJ\tI-NP\tO' -p296044 -aS'beats\tbeat\tNNS\tI-NP\tO' -p296045 -aS'and\tand\tCC\tO\tO' -p296046 -aS'some\tsome\tDT\tB-NP\tO' -p296047 -aS'rare\trare\tJJ\tI-NP\tO' -p296048 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p296049 -aS'premature\tpremature\tJJ\tI-NP\tO' -p296050 -aS'beats\tbeat\tNNS\tI-NP\tO' -p296051 -aS'.\t.\t.\tO\tO' -p296052 -asS'Surgery was consulted to rule out a TE fistula as the infant had an incidental pass of a gavage tube into his right bronchus .' -p296053 -(lp296054 -S'Surgery\tSurgery\tNN\tB-NP\tO' -p296055 -aS'was\tbe\tVBD\tB-VP\tO' -p296056 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p296057 -aS'to\tto\tTO\tI-VP\tO' -p296058 -aS'rule\trule\tVB\tI-VP\tO' -p296059 -aS'out\tout\tRP\tB-PRT\tO' -p296060 -aS'a\ta\tDT\tB-NP\tO' -p296061 -aS'TE\tTE\tNN\tI-NP\tO' -p296062 -aS'fistula\tfistula\tNN\tI-NP\tO' -p296063 -aS'as\tas\tIN\tB-PP\tO' -p296064 -aS'the\tthe\tDT\tB-NP\tO' -p296065 -aS'infant\tinfant\tNN\tI-NP\tO' -p296066 -aS'had\thave\tVBD\tB-VP\tO' -p296067 -aS'an\tan\tDT\tB-NP\tO' -p296068 -aS'incidental\tincidental\tJJ\tI-NP\tO' -p296069 -aS'pass\tpass\tNN\tI-NP\tO' -p296070 -aS'of\tof\tIN\tB-PP\tO' -p296071 -aS'a\ta\tDT\tB-NP\tO' -p296072 -aS'gavage\tgavage\tNN\tI-NP\tO' -p296073 -aS'tube\ttube\tNN\tI-NP\tO' -p296074 -aS'into\tinto\tIN\tB-PP\tO' -p296075 -aS'his\this\tPRP$\tB-NP\tO' -p296076 -aS'right\tright\tJJ\tI-NP\tO' -p296077 -aS'bronchus\tbronchus\tNN\tI-NP\tO' -p296078 -aS'.\t.\t.\tO\tO' -p296079 -asS'Labs only notable for CK 54 ( nl ) , Trop 0.03 , Hct 35.6 MCV 79 .' -p296080 -(lp296081 -S'Labs\tLab\tNNS\tB-NP\tB-protein' -p296082 -aS'only\tonly\tRB\tB-ADJP\tO' -p296083 -aS'notable\tnotable\tJJ\tI-ADJP\tO' -p296084 -aS'for\tfor\tIN\tB-PP\tO' -p296085 -aS'CK\tCK\tNN\tB-NP\tB-protein' -p296086 -aS'54\t54\tCD\tI-NP\tI-protein' -p296087 -aS'(\t(\t(\tO\tO' -p296088 -aS'nl\tnl\tNN\tB-NP\tB-protein' -p296089 -aS')\t)\t)\tO\tO' -p296090 -aS',\t,\t,\tO\tO' -p296091 -aS'Trop\tTrop\tNN\tB-NP\tB-protein' -p296092 -aS'0.03\t0.03\tCD\tI-NP\tI-protein' -p296093 -aS',\t,\t,\tO\tO' -p296094 -aS'Hct\tHct\tNN\tB-NP\tO' -p296095 -aS'35.6\t35.6\tCD\tI-NP\tO' -p296096 -aS'MCV\tMCV\tNN\tI-NP\tO' -p296097 -aS'79\t79\tCD\tI-NP\tO' -p296098 -aS'.\t.\t.\tO\tO' -p296099 -asS'He could not get an MRI due to his pacemaker .' -p296100 -(lp296101 -S'He\tHe\tPRP\tB-NP\tO' -p296102 -aS'could\tcould\tMD\tB-VP\tO' -p296103 -aS'not\tnot\tRB\tI-VP\tO' -p296104 -aS'get\tget\tVB\tI-VP\tO' -p296105 -aS'an\tan\tDT\tB-NP\tO' -p296106 -aS'MRI\tMRI\tNN\tI-NP\tO' -p296107 -aS'due\tdue\tJJ\tB-ADJP\tO' -p296108 -aS'to\tto\tTO\tB-PP\tO' -p296109 -aS'his\this\tPRP$\tB-NP\tO' -p296110 -aS'pacemaker\tpacemaker\tNN\tI-NP\tO' -p296111 -aS'.\t.\t.\tO\tO' -p296112 -asS'3. Lorazepam 0.5 mg Tablet Sig : One ( 1 ) Tablet PO TID ( 3 times a day ) as needed for anxiety .' -p296113 -(lp296114 -S'3.\t3.\tLS\tB-NP\tO' -p296115 -aS'Lorazepam\tLorazepam\tNN\tI-NP\tO' -p296116 -aS'0.5\t0.5\tCD\tI-NP\tO' -p296117 -aS'mg\tmg\tNN\tI-NP\tO' -p296118 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p296119 -aS'Sig\tSig\tNNP\tI-NP\tO' -p296120 -aS':\t:\t:\tO\tO' -p296121 -aS'One\tOne\tCD\tB-NP\tO' -p296122 -aS'(\t(\t(\tO\tO' -p296123 -aS'1\t1\tCD\tB-NP\tO' -p296124 -aS')\t)\t)\tO\tO' -p296125 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p296126 -aS'PO\tPO\tNN\tI-NP\tO' -p296127 -aS'TID\tTID\tNN\tI-NP\tO' -p296128 -aS'(\t(\t(\tO\tO' -p296129 -aS'3\t3\tCD\tB-NP\tO' -p296130 -aS'times\ttime\tNNS\tI-NP\tO' -p296131 -aS'a\ta\tDT\tB-NP\tO' -p296132 -aS'day\tday\tNN\tI-NP\tO' -p296133 -aS')\t)\t)\tO\tO' -p296134 -aS'as\tas\tIN\tB-SBAR\tO' -p296135 -aS'needed\tneed\tVBN\tB-VP\tO' -p296136 -aS'for\tfor\tIN\tB-PP\tO' -p296137 -aS'anxiety\tanxiety\tNN\tB-NP\tO' -p296138 -aS'.\t.\t.\tO\tO' -p296139 -asS'He does have a lot of anxiety .' -p296140 -(lp296141 -S'He\tHe\tPRP\tB-NP\tO' -p296142 -aS'does\tdo\tVBZ\tB-VP\tO' -p296143 -aS'have\thave\tVB\tI-VP\tO' -p296144 -aS'a\ta\tDT\tB-NP\tO' -p296145 -aS'lot\tlot\tNN\tI-NP\tO' -p296146 -aS'of\tof\tIN\tB-PP\tO' -p296147 -aS'anxiety\tanxiety\tNN\tB-NP\tO' -p296148 -aS'.\t.\t.\tO\tO' -p296149 -asS'Status post radical retropubic prostatectomy .' -p296150 -(lp296151 -S'Status\tStatus\tNNP\tB-NP\tO' -p296152 -aS'post\tpost\tVBD\tB-VP\tO' -p296153 -aS'radical\tradical\tJJ\tB-NP\tO' -p296154 -aS'retropubic\tretropubic\tJJ\tI-NP\tO' -p296155 -aS'prostatectomy\tprostatectomy\tNN\tI-NP\tO' -p296156 -aS'.\t.\t.\tO\tO' -p296157 -asS'In Monica at Hallmark Health System , pt was seen by the Trauma service where a CT of the neck revealed no fracture ( however , the c-collar was maintained secondary to pain ) .' -p296158 -(lp296159 -S'In\tIn\tIN\tB-PP\tO' -p296160 -aS'Monica\tMonica\tNNP\tB-NP\tO' -p296161 -aS'at\tat\tIN\tB-PP\tO' -p296162 -aS'Hallmark\tHallmark\tNNP\tB-NP\tO' -p296163 -aS'Health\tHealth\tNNP\tI-NP\tO' -p296164 -aS'System\tSystem\tNNP\tI-NP\tO' -p296165 -aS',\t,\t,\tO\tO' -p296166 -aS'pt\tpt\tNN\tB-NP\tO' -p296167 -aS'was\tbe\tVBD\tB-VP\tO' -p296168 -aS'seen\tsee\tVBN\tI-VP\tO' -p296169 -aS'by\tby\tIN\tB-PP\tO' -p296170 -aS'the\tthe\tDT\tB-NP\tO' -p296171 -aS'Trauma\tTrauma\tNNP\tI-NP\tO' -p296172 -aS'service\tservice\tNN\tI-NP\tO' -p296173 -aS'where\twhere\tWRB\tB-ADVP\tO' -p296174 -aS'a\ta\tDT\tB-NP\tO' -p296175 -aS'CT\tCT\tNN\tI-NP\tO' -p296176 -aS'of\tof\tIN\tB-PP\tO' -p296177 -aS'the\tthe\tDT\tB-NP\tO' -p296178 -aS'neck\tneck\tNN\tI-NP\tO' -p296179 -aS'revealed\treveal\tVBD\tB-VP\tO' -p296180 -aS'no\tno\tDT\tB-NP\tO' -p296181 -aS'fracture\tfracture\tNN\tI-NP\tO' -p296182 -aS'(\t(\t(\tO\tO' -p296183 -aS'however\thowever\tRB\tB-ADVP\tO' -p296184 -aS',\t,\t,\tO\tO' -p296185 -aS'the\tthe\tDT\tB-NP\tO' -p296186 -aS'c-collar\tc-collar\tNN\tI-NP\tO' -p296187 -aS'was\tbe\tVBD\tB-VP\tO' -p296188 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p296189 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p296190 -aS'to\tto\tTO\tB-VP\tO' -p296191 -aS'pain\tpain\tVB\tI-VP\tO' -p296192 -aS')\t)\t)\tO\tO' -p296193 -aS'.\t.\t.\tO\tO' -p296194 -asS'His mother and father are alive and well .' -p296195 -(lp296196 -S'His\tHis\tPRP$\tB-NP\tO' -p296197 -aS'mother\tmother\tNN\tI-NP\tO' -p296198 -aS'and\tand\tCC\tI-NP\tO' -p296199 -aS'father\tfather\tNN\tI-NP\tO' -p296200 -aS'are\tbe\tVBP\tB-VP\tO' -p296201 -aS'alive\talive\tJJ\tB-ADJP\tO' -p296202 -aS'and\tand\tCC\tO\tO' -p296203 -aS'well\twell\tRB\tB-ADVP\tO' -p296204 -aS'.\t.\t.\tO\tO' -p296205 -asS'A psychiatric consult was also obtained due to his mental status and confusion postoperatively but his psychiatric issues are mostly related to his neurologic insults and he has no distinctive psychiatric disorder , except for perhaps postoperative delirium .' -p296206 -(lp296207 -S'A\tA\tDT\tB-NP\tO' -p296208 -aS'psychiatric\tpsychiatric\tJJ\tI-NP\tO' -p296209 -aS'consult\tconsult\tNN\tI-NP\tO' -p296210 -aS'was\tbe\tVBD\tB-VP\tO' -p296211 -aS'also\talso\tRB\tI-VP\tO' -p296212 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p296213 -aS'due\tdue\tJJ\tB-ADJP\tO' -p296214 -aS'to\tto\tTO\tB-PP\tO' -p296215 -aS'his\this\tPRP$\tB-NP\tO' -p296216 -aS'mental\tmental\tJJ\tI-NP\tO' -p296217 -aS'status\tstatus\tNN\tI-NP\tO' -p296218 -aS'and\tand\tCC\tO\tO' -p296219 -aS'confusion\tconfusion\tNN\tB-NP\tO' -p296220 -aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' -p296221 -aS'but\tbut\tCC\tO\tO' -p296222 -aS'his\this\tPRP$\tB-NP\tO' -p296223 -aS'psychiatric\tpsychiatric\tJJ\tI-NP\tO' -p296224 -aS'issues\tissue\tNNS\tI-NP\tO' -p296225 -aS'are\tbe\tVBP\tB-VP\tO' -p296226 -aS'mostly\tmostly\tRB\tB-ADJP\tO' -p296227 -aS'related\trelated\tJJ\tI-ADJP\tO' -p296228 -aS'to\tto\tTO\tB-PP\tO' -p296229 -aS'his\this\tPRP$\tB-NP\tO' -p296230 -aS'neurologic\tneurologic\tJJ\tI-NP\tO' -p296231 -aS'insults\tinsult\tNNS\tI-NP\tO' -p296232 -aS'and\tand\tCC\tO\tO' -p296233 -aS'he\the\tPRP\tB-NP\tO' -p296234 -aS'has\thave\tVBZ\tB-VP\tO' -p296235 -aS'no\tno\tDT\tB-NP\tO' -p296236 -aS'distinctive\tdistinctive\tJJ\tI-NP\tO' -p296237 -aS'psychiatric\tpsychiatric\tJJ\tI-NP\tO' -p296238 -aS'disorder\tdisorder\tNN\tI-NP\tO' -p296239 -aS',\t,\t,\tO\tO' -p296240 -aS'except\texcept\tIN\tB-PP\tO' -p296241 -aS'for\tfor\tIN\tB-PP\tO' -p296242 -aS'perhaps\tperhaps\tRB\tB-NP\tO' -p296243 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p296244 -aS'delirium\tdelirium\tNN\tI-NP\tO' -p296245 -aS'.\t.\t.\tO\tO' -p296246 -asS'17. Ceftazidime 1 gm IV q.h.d. after dialysis .' -p296247 -(lp296248 -S'17.\t17.\tCD\tB-NP\tO' -p296249 -aS'Ceftazidime\tCeftazidime\tNN\tI-NP\tO' -p296250 -aS'1\t1\tCD\tB-NP\tO' -p296251 -aS'gm\tgm\tNN\tI-NP\tO' -p296252 -aS'IV\tIV\tCD\tB-NP\tO' -p296253 -aS'q.h.d.\tq.h.d.\tNN\tI-NP\tO' -p296254 -aS'after\tafter\tIN\tB-PP\tO' -p296255 -aS'dialysis\tdialysis\tNN\tB-NP\tO' -p296256 -aS'.\t.\t.\tO\tO' -p296257 -asS'Together with the interval development of bilateral pleural effusions , this indicates cardiac insufficiency ( or alternatively volume overload ) and an echocardiogram may be indicated for further evaluation .' -p296258 -(lp296259 -S'Together\tTogether\tRB\tB-ADVP\tO' -p296260 -aS'with\twith\tIN\tB-PP\tO' -p296261 -aS'the\tthe\tDT\tB-NP\tO' -p296262 -aS'interval\tinterval\tJJ\tI-NP\tO' -p296263 -aS'development\tdevelopment\tNN\tI-NP\tO' -p296264 -aS'of\tof\tIN\tB-PP\tO' -p296265 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p296266 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p296267 -aS'effusions\teffusion\tNNS\tI-NP\tO' -p296268 -aS',\t,\t,\tO\tO' -p296269 -aS'this\tthis\tDT\tB-NP\tO' -p296270 -aS'indicates\tindicate\tVBZ\tB-VP\tO' -p296271 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p296272 -aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' -p296273 -aS'(\t(\t(\tO\tO' -p296274 -aS'or\tor\tCC\tO\tO' -p296275 -aS'alternatively\talternatively\tRB\tB-ADVP\tO' -p296276 -aS'volume\tvolume\tNN\tB-NP\tO' -p296277 -aS'overload\toverload\tNN\tI-NP\tO' -p296278 -aS')\t)\t)\tO\tO' -p296279 -aS'and\tand\tCC\tO\tO' -p296280 -aS'an\tan\tDT\tB-NP\tO' -p296281 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p296282 -aS'may\tmay\tMD\tB-VP\tO' -p296283 -aS'be\tbe\tVB\tI-VP\tO' -p296284 -aS'indicated\tindicate\tVBN\tI-VP\tO' -p296285 -aS'for\tfor\tIN\tB-PP\tO' -p296286 -aS'further\tfurther\tJJ\tB-NP\tO' -p296287 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p296288 -aS'.\t.\t.\tO\tO' -p296289 -asS'2. Mild hypertension , especially on prednisone .' -p296290 -(lp296291 -S'2.\t2.\tLS\tB-NP\tO' -p296292 -aS'Mild\tMild\tNNP\tI-NP\tO' -p296293 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p296294 -aS',\t,\t,\tO\tO' -p296295 -aS'especially\tespecially\tRB\tB-ADVP\tO' -p296296 -aS'on\ton\tIN\tB-PP\tO' -p296297 -aS'prednisone\tprednisone\tNN\tB-NP\tO' -p296298 -aS'.\t.\t.\tO\tO' -p296299 -asS'There he was admitted to the CMED .' -p296300 -(lp296301 -S'There\tThere\tEX\tB-NP\tO' -p296302 -aS'he\the\tPRP\tB-NP\tO' -p296303 -aS'was\tbe\tVBD\tB-VP\tO' -p296304 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p296305 -aS'to\tto\tTO\tB-PP\tO' -p296306 -aS'the\tthe\tDT\tB-NP\tO' -p296307 -aS'CMED\tCMED\tNN\tI-NP\tO' -p296308 -aS'.\t.\t.\tO\tO' -p296309 -asS'The patient is a pleasant , elderly female in no acute distress .' -p296310 -(lp296311 -S'The\tThe\tDT\tB-NP\tO' -p296312 -aS'patient\tpatient\tNN\tI-NP\tO' -p296313 -aS'is\tbe\tVBZ\tB-VP\tO' -p296314 -aS'a\ta\tDT\tB-NP\tO' -p296315 -aS'pleasant\tpleasant\tJJ\tI-NP\tO' -p296316 -aS',\t,\t,\tI-NP\tO' -p296317 -aS'elderly\telderly\tJJ\tI-NP\tO' -p296318 -aS'female\tfemale\tNN\tI-NP\tO' -p296319 -aS'in\tin\tIN\tB-PP\tO' -p296320 -aS'no\tno\tDT\tB-NP\tO' -p296321 -aS'acute\tacute\tJJ\tI-NP\tO' -p296322 -aS'distress\tdistress\tNN\tI-NP\tO' -p296323 -aS'.\t.\t.\tO\tO' -p296324 -asS'The arterial blood gases on room air were 7.46/70/41 .' -p296325 -(lp296326 -S'The\tThe\tDT\tB-NP\tO' -p296327 -aS'arterial\tarterial\tJJ\tI-NP\tB-protein' -p296328 -aS'blood\tblood\tNN\tI-NP\tI-protein' -p296329 -aS'gases\tgas\tNNS\tI-NP\tI-protein' -p296330 -aS'on\ton\tIN\tB-PP\tO' -p296331 -aS'room\troom\tNN\tB-NP\tO' -p296332 -aS'air\tair\tNN\tI-NP\tO' -p296333 -aS'were\tbe\tVBD\tB-VP\tO' -p296334 -aS'7.46/70/41\t7.46/70/41\tCD\tB-NP\tO' -p296335 -aS'.\t.\t.\tO\tO' -p296336 -asS'Attending : Walter G Gaines , M.D.' -p296337 -(lp296338 -S'Attending\tAttend\tVBG\tB-VP\tO' -p296339 -aS':\t:\t:\tO\tO' -p296340 -aS'Walter\tWalter\tNNP\tB-NP\tO' -p296341 -aS'G\tG\tNNP\tI-NP\tO' -p296342 -aS'Gaines\tGaines\tNNP\tI-NP\tO' -p296343 -aS',\t,\t,\tO\tO' -p296344 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p296345 -asS'Mr. Patient was a poor candidate for anticoagulation because of his history of metastatic melanoma and the question of CNS metastases .' -p296346 -(lp296347 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p296348 -aS'Patient\tPatient\tNNP\tI-NP\tO' -p296349 -aS'was\tbe\tVBD\tB-VP\tO' -p296350 -aS'a\ta\tDT\tB-NP\tO' -p296351 -aS'poor\tpoor\tJJ\tI-NP\tO' -p296352 -aS'candidate\tcandidate\tNN\tI-NP\tO' -p296353 -aS'for\tfor\tIN\tB-PP\tO' -p296354 -aS'anticoagulation\tanticoagulation\tNN\tB-NP\tO' -p296355 -aS'because\tbecause\tIN\tB-PP\tO' -p296356 -aS'of\tof\tIN\tI-PP\tO' -p296357 -aS'his\this\tPRP$\tB-NP\tO' -p296358 -aS'history\thistory\tNN\tI-NP\tO' -p296359 -aS'of\tof\tIN\tB-PP\tO' -p296360 -aS'metastatic\tmetastatic\tJJ\tB-NP\tO' -p296361 -aS'melanoma\tmelanoma\tNN\tI-NP\tO' -p296362 -aS'and\tand\tCC\tO\tO' -p296363 -aS'the\tthe\tDT\tB-NP\tO' -p296364 -aS'question\tquestion\tNN\tI-NP\tO' -p296365 -aS'of\tof\tIN\tB-PP\tO' -p296366 -aS'CNS\tCNS\tNN\tB-NP\tB-protein' -p296367 -aS'metastases\tmetastasis\tNNS\tI-NP\tI-protein' -p296368 -aS'.\t.\t.\tO\tO' -p296369 -asS'The fevers continued as high as 102.5 degrees F with chills on the morning of admission .' -p296370 -(lp296371 -S'The\tThe\tDT\tB-NP\tO' -p296372 -aS'fevers\tfever\tNNS\tI-NP\tO' -p296373 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p296374 -aS'as\tas\tRB\tB-ADVP\tO' -p296375 -aS'high\thigh\tJJ\tI-ADVP\tO' -p296376 -aS'as\tas\tIN\tB-PP\tO' -p296377 -aS'102.5\t102.5\tCD\tB-NP\tO' -p296378 -aS'degrees\tdegree\tNNS\tI-NP\tO' -p296379 -aS'F\tF\tNN\tI-NP\tO' -p296380 -aS'with\twith\tIN\tB-PP\tO' -p296381 -aS'chills\tchill\tNNS\tB-NP\tO' -p296382 -aS'on\ton\tIN\tB-PP\tO' -p296383 -aS'the\tthe\tDT\tB-NP\tO' -p296384 -aS'morning\tmorning\tNN\tI-NP\tO' -p296385 -aS'of\tof\tIN\tB-PP\tO' -p296386 -aS'admission\tadmission\tNN\tB-NP\tO' -p296387 -aS'.\t.\t.\tO\tO' -p296388 -asS'Urine culture negative .' -p296389 -(lp296390 -S'Urine\tUrine\tNN\tB-NP\tO' -p296391 -aS'culture\tculture\tNN\tI-NP\tO' -p296392 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p296393 -aS'.\t.\t.\tO\tO' -p296394 -asS'Again seen was a slightly irregular contour of the liver with dilated hepatic veins suggesting chronic hepatic vascular congestion .' -p296395 -(lp296396 -S'Again\tAgain\tRB\tB-VP\tO' -p296397 -aS'seen\tsee\tVBN\tI-VP\tO' -p296398 -aS'was\tbe\tVBD\tB-VP\tO' -p296399 -aS'a\ta\tDT\tB-NP\tO' -p296400 -aS'slightly\tslightly\tRB\tI-NP\tO' -p296401 -aS'irregular\tirregular\tJJ\tI-NP\tO' -p296402 -aS'contour\tcontour\tNN\tI-NP\tO' -p296403 -aS'of\tof\tIN\tB-PP\tO' -p296404 -aS'the\tthe\tDT\tB-NP\tO' -p296405 -aS'liver\tliver\tNN\tI-NP\tO' -p296406 -aS'with\twith\tIN\tB-PP\tO' -p296407 -aS'dilated\tdilated\tJJ\tB-NP\tO' -p296408 -aS'hepatic\thepatic\tJJ\tI-NP\tO' -p296409 -aS'veins\tvein\tNNS\tI-NP\tO' -p296410 -aS'suggesting\tsuggest\tVBG\tB-VP\tO' -p296411 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p296412 -aS'hepatic\thepatic\tJJ\tI-NP\tO' -p296413 -aS'vascular\tvascular\tJJ\tI-NP\tO' -p296414 -aS'congestion\tcongestion\tNN\tI-NP\tO' -p296415 -aS'.\t.\t.\tO\tO' -p296416 -asS'She present electively on the morning of her surgery with no recent changes in her medical problems .' -p296417 -(lp296418 -S'She\tShe\tPRP\tB-NP\tO' -p296419 -aS'present\tpresent\tVBP\tB-VP\tO' -p296420 -aS'electively\telectively\tRB\tB-ADVP\tO' -p296421 -aS'on\ton\tIN\tB-PP\tO' -p296422 -aS'the\tthe\tDT\tB-NP\tO' -p296423 -aS'morning\tmorning\tNN\tI-NP\tO' -p296424 -aS'of\tof\tIN\tB-PP\tO' -p296425 -aS'her\ther\tPRP$\tB-NP\tO' -p296426 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p296427 -aS'with\twith\tIN\tB-PP\tO' -p296428 -aS'no\tno\tDT\tB-NP\tO' -p296429 -aS'recent\trecent\tJJ\tI-NP\tO' -p296430 -aS'changes\tchange\tNNS\tI-NP\tO' -p296431 -aS'in\tin\tIN\tB-PP\tO' -p296432 -aS'her\ther\tPRP$\tB-NP\tO' -p296433 -aS'medical\tmedical\tJJ\tI-NP\tO' -p296434 -aS'problems\tproblem\tNNS\tI-NP\tO' -p296435 -aS'.\t.\t.\tO\tO' -p296436 -asS'Pt had been in her usual state of health and performed here regular exercises .' -p296437 -(lp296438 -S'Pt\tPt\tNN\tB-NP\tO' -p296439 -aS'had\thave\tVBD\tB-VP\tO' -p296440 -aS'been\tbe\tVBN\tI-VP\tO' -p296441 -aS'in\tin\tIN\tB-PP\tO' -p296442 -aS'her\ther\tPRP$\tB-NP\tO' -p296443 -aS'usual\tusual\tJJ\tI-NP\tO' -p296444 -aS'state\tstate\tNN\tI-NP\tO' -p296445 -aS'of\tof\tIN\tB-PP\tO' -p296446 -aS'health\thealth\tNN\tB-NP\tO' -p296447 -aS'and\tand\tCC\tO\tO' -p296448 -aS'performed\tperform\tVBN\tB-VP\tO' -p296449 -aS'here\there\tRB\tB-ADVP\tO' -p296450 -aS'regular\tregular\tJJ\tB-NP\tO' -p296451 -aS'exercises\texercise\tNNS\tI-NP\tO' -p296452 -aS'.\t.\t.\tO\tO' -p296453 -asS'Used to work as hat manufacturer .' -p296454 -(lp296455 -S'Used\tUse\tVBN\tB-VP\tO' -p296456 -aS'to\tto\tTO\tB-PP\tO' -p296457 -aS'work\twork\tVB\tB-NP\tO' -p296458 -aS'as\tas\tIN\tB-PP\tO' -p296459 -aS'hat\that\tNN\tB-NP\tO' -p296460 -aS'manufacturer\tmanufacturer\tNN\tI-NP\tO' -p296461 -aS'.\t.\t.\tO\tO' -p296462 -asS'VNA and pediatric primary care physician appointments to be scheduled prior to discharge .' -p296463 -(lp296464 -S'VNA\tVNA\tNN\tB-NP\tO' -p296465 -aS'and\tand\tCC\tI-NP\tO' -p296466 -aS'pediatric\tpediatric\tJJ\tI-NP\tO' -p296467 -aS'primary\tprimary\tJJ\tI-NP\tO' -p296468 -aS'care\tcare\tNN\tI-NP\tO' -p296469 -aS'physician\tphysician\tNN\tI-NP\tO' -p296470 -aS'appointments\tappointment\tNNS\tI-NP\tO' -p296471 -aS'to\tto\tTO\tB-VP\tO' -p296472 -aS'be\tbe\tVB\tI-VP\tO' -p296473 -aS'scheduled\tschedule\tVBN\tI-VP\tO' -p296474 -aS'prior\tprior\tRB\tB-ADVP\tO' -p296475 -aS'to\tto\tTO\tB-VP\tO' -p296476 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p296477 -aS'.\t.\t.\tO\tO' -p296478 -asS'remarkable for diabetes mellitus , premature ventricular contractions , rectal carcinoma , diabetic neuropathy both peripherally and involving the right diaphragm .' -p296479 -(lp296480 -S'remarkable\tremarkable\tJJ\tB-ADJP\tO' -p296481 -aS'for\tfor\tIN\tB-PP\tO' -p296482 -aS'diabetes\tdiabetes\tNN\tB-NP\tO' -p296483 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p296484 -aS',\t,\t,\tO\tO' -p296485 -aS'premature\tpremature\tJJ\tB-NP\tO' -p296486 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p296487 -aS'contractions\tcontraction\tNNS\tI-NP\tO' -p296488 -aS',\t,\t,\tO\tO' -p296489 -aS'rectal\trectal\tJJ\tB-NP\tO' -p296490 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p296491 -aS',\t,\t,\tO\tO' -p296492 -aS'diabetic\tdiabetic\tJJ\tB-NP\tO' -p296493 -aS'neuropathy\tneuropathy\tNN\tI-NP\tO' -p296494 -aS'both\tboth\tCC\tO\tO' -p296495 -aS'peripherally\tperipherally\tRB\tB-ADVP\tO' -p296496 -aS'and\tand\tCC\tO\tO' -p296497 -aS'involving\tinvolve\tVBG\tB-VP\tO' -p296498 -aS'the\tthe\tDT\tB-NP\tO' -p296499 -aS'right\tright\tJJ\tI-NP\tO' -p296500 -aS'diaphragm\tdiaphragm\tNN\tI-NP\tO' -p296501 -aS'.\t.\t.\tO\tO' -p296502 -asS'Her pleural fluid was tapped and it was negative for malignancy .' -p296503 -(lp296504 -S'Her\tHer\tPRP$\tB-NP\tO' -p296505 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p296506 -aS'fluid\tfluid\tNN\tI-NP\tO' -p296507 -aS'was\tbe\tVBD\tB-VP\tO' -p296508 -aS'tapped\ttap\tVBN\tI-VP\tO' -p296509 -aS'and\tand\tCC\tO\tO' -p296510 -aS'it\tit\tPRP\tB-NP\tO' -p296511 -aS'was\tbe\tVBD\tB-VP\tO' -p296512 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p296513 -aS'for\tfor\tIN\tB-PP\tO' -p296514 -aS'malignancy\tmalignancy\tNN\tB-NP\tO' -p296515 -aS'.\t.\t.\tO\tO' -p296516 -asS"At time of discharge she is tolerating a regular diet with TF 's at goal ." -p296517 -(lp296518 -S'At\tAt\tIN\tB-PP\tO' -p296519 -aS'time\ttime\tNN\tB-NP\tO' -p296520 -aS'of\tof\tIN\tB-PP\tO' -p296521 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p296522 -aS'she\tshe\tPRP\tB-NP\tO' -p296523 -aS'is\tbe\tVBZ\tB-VP\tO' -p296524 -aS'tolerating\ttolerate\tVBG\tI-VP\tO' -p296525 -aS'a\ta\tDT\tB-NP\tO' -p296526 -aS'regular\tregular\tJJ\tI-NP\tO' -p296527 -aS'diet\tdiet\tNN\tI-NP\tO' -p296528 -aS'with\twith\tIN\tB-PP\tO' -p296529 -aS'TF\tTF\tNN\tB-NP\tB-protein' -p296530 -aS"'s\t's\tPOS\tB-NP\tO" -p296531 -aS'at\tat\tIN\tB-PP\tO' -p296532 -aS'goal\tgoal\tNN\tB-NP\tO' -p296533 -aS'.\t.\t.\tO\tO' -p296534 -asS'within normal limits .' -p296535 -(lp296536 -S'within\twithin\tIN\tB-PP\tO' -p296537 -aS'normal\tnormal\tJJ\tB-NP\tO' -p296538 -aS'limits\tlimit\tNNS\tI-NP\tO' -p296539 -aS'.\t.\t.\tO\tO' -p296540 -asS'Take all medications as directed and go for all scheduled appointments for anticoagulation monitoring .' -p296541 -(lp296542 -S'Take\tTake\tVB\tB-VP\tO' -p296543 -aS'all\tall\tDT\tB-NP\tO' -p296544 -aS'medications\tmedication\tNNS\tI-NP\tO' -p296545 -aS'as\tas\tIN\tB-SBAR\tO' -p296546 -aS'directed\tdirect\tVBN\tB-VP\tO' -p296547 -aS'and\tand\tCC\tO\tO' -p296548 -aS'go\tgo\tVB\tB-VP\tO' -p296549 -aS'for\tfor\tIN\tB-PP\tO' -p296550 -aS'all\tall\tDT\tB-NP\tO' -p296551 -aS'scheduled\tschedule\tVBN\tI-NP\tO' -p296552 -aS'appointments\tappointment\tNNS\tI-NP\tO' -p296553 -aS'for\tfor\tIN\tB-PP\tO' -p296554 -aS'anticoagulation\tanticoagulation\tNN\tB-NP\tO' -p296555 -aS'monitoring\tmonitoring\tNN\tI-NP\tO' -p296556 -aS'.\t.\t.\tO\tO' -p296557 -asS'Last total cholesterol was 168 in 2015-08-24 .' -p296558 -(lp296559 -S'Last\tLast\tJJ\tB-NP\tO' -p296560 -aS'total\ttotal\tJJ\tI-NP\tO' -p296561 -aS'cholesterol\tcholesterol\tNN\tI-NP\tO' -p296562 -aS'was\tbe\tVBD\tB-VP\tO' -p296563 -aS'168\t168\tCD\tB-NP\tO' -p296564 -aS'in\tin\tIN\tB-PP\tO' -p296565 -aS'2015-08-24\t2015-08-24\tCD\tB-NP\tO' -p296566 -aS'.\t.\t.\tO\tO' -p296567 -asS'An echocardiogram then revealed an ejection fraction of 40% and an endomyocardial biopsy revealed no ejection .' -p296568 -(lp296569 -S'An\tAn\tDT\tB-NP\tO' -p296570 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p296571 -aS'then\tthen\tRB\tB-ADVP\tO' -p296572 -aS'revealed\treveal\tVBD\tB-VP\tO' -p296573 -aS'an\tan\tDT\tB-NP\tO' -p296574 -aS'ejection\tejection\tNN\tI-NP\tO' -p296575 -aS'fraction\tfraction\tNN\tI-NP\tO' -p296576 -aS'of\tof\tIN\tB-PP\tO' -p296577 -aS'40%\t40%\tNN\tB-NP\tO' -p296578 -aS'and\tand\tCC\tO\tO' -p296579 -aS'an\tan\tDT\tB-NP\tO' -p296580 -aS'endomyocardial\tendomyocardial\tJJ\tI-NP\tO' -p296581 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p296582 -aS'revealed\treveal\tVBD\tB-VP\tO' -p296583 -aS'no\tno\tDT\tB-NP\tO' -p296584 -aS'ejection\tejection\tNN\tI-NP\tO' -p296585 -aS'.\t.\t.\tO\tO' -p296586 -asS'Cardiac catheterization was performed without complication from the right neck and right groin on the day of admission .' -p296587 -(lp296588 -S'Cardiac\tCardiac\tJJ\tB-NP\tO' -p296589 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p296590 -aS'was\tbe\tVBD\tB-VP\tO' -p296591 -aS'performed\tperform\tVBN\tI-VP\tO' -p296592 -aS'without\twithout\tIN\tB-PP\tO' -p296593 -aS'complication\tcomplication\tNN\tB-NP\tO' -p296594 -aS'from\tfrom\tIN\tB-PP\tO' -p296595 -aS'the\tthe\tDT\tB-NP\tO' -p296596 -aS'right\tright\tJJ\tI-NP\tO' -p296597 -aS'neck\tneck\tNN\tI-NP\tO' -p296598 -aS'and\tand\tCC\tO\tO' -p296599 -aS'right\tright\tJJ\tB-NP\tO' -p296600 -aS'groin\tgroin\tNN\tI-NP\tO' -p296601 -aS'on\ton\tIN\tB-PP\tO' -p296602 -aS'the\tthe\tDT\tB-NP\tO' -p296603 -aS'day\tday\tNN\tI-NP\tO' -p296604 -aS'of\tof\tIN\tB-PP\tO' -p296605 -aS'admission\tadmission\tNN\tB-NP\tO' -p296606 -aS'.\t.\t.\tO\tO' -p296607 -asS'Mr. Gach is an 80 year old man with aprevious history of coronary artery disease who was transferred from Linghs County Medical Center to Oaksgekesser/ Memorial Hospital because of an apparent infected wound , including the PICC line in his right elbow and positive blood cultures for Staph. aureus associated with fever .' -p296608 -(lp296609 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p296610 -aS'Gach\tGach\tNNP\tI-NP\tO' -p296611 -aS'is\tbe\tVBZ\tB-VP\tO' -p296612 -aS'an\tan\tDT\tB-NP\tO' -p296613 -aS'80\t80\tCD\tI-NP\tO' -p296614 -aS'year\tyear\tNN\tI-NP\tO' -p296615 -aS'old\told\tJJ\tI-NP\tO' -p296616 -aS'man\tman\tNN\tI-NP\tO' -p296617 -aS'with\twith\tIN\tB-PP\tO' -p296618 -aS'aprevious\taprevious\tJJ\tB-NP\tO' -p296619 -aS'history\thistory\tNN\tI-NP\tO' -p296620 -aS'of\tof\tIN\tB-PP\tO' -p296621 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p296622 -aS'artery\tartery\tNN\tI-NP\tO' -p296623 -aS'disease\tdisease\tNN\tI-NP\tO' -p296624 -aS'who\twho\tWP\tB-NP\tO' -p296625 -aS'was\tbe\tVBD\tB-VP\tO' -p296626 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p296627 -aS'from\tfrom\tIN\tB-PP\tO' -p296628 -aS'Linghs\tLinghs\tNNP\tB-NP\tO' -p296629 -aS'County\tCounty\tNNP\tI-NP\tO' -p296630 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p296631 -aS'Center\tCenter\tNNP\tI-NP\tO' -p296632 -aS'to\tto\tTO\tB-PP\tO' -p296633 -aS'Oaksgekesser/\tOaksgekesser/\tNNP\tB-NP\tO' -p296634 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p296635 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p296636 -aS'because\tbecause\tIN\tB-PP\tO' -p296637 -aS'of\tof\tIN\tI-PP\tO' -p296638 -aS'an\tan\tDT\tB-NP\tO' -p296639 -aS'apparent\tapparent\tJJ\tI-NP\tO' -p296640 -aS'infected\tinfected\tJJ\tI-NP\tO' -p296641 -aS'wound\twound\tNN\tI-NP\tO' -p296642 -aS',\t,\t,\tO\tO' -p296643 -aS'including\tinclude\tVBG\tB-PP\tO' -p296644 -aS'the\tthe\tDT\tB-NP\tO' -p296645 -aS'PICC\tPICC\tNN\tI-NP\tB-cell_line' -p296646 -aS'line\tline\tNN\tI-NP\tI-cell_line' -p296647 -aS'in\tin\tIN\tB-PP\tO' -p296648 -aS'his\this\tPRP$\tB-NP\tO' -p296649 -aS'right\tright\tJJ\tI-NP\tO' -p296650 -aS'elbow\telbow\tNN\tI-NP\tO' -p296651 -aS'and\tand\tCC\tO\tO' -p296652 -aS'positive\tpositive\tJJ\tB-NP\tO' -p296653 -aS'blood\tblood\tNN\tI-NP\tO' -p296654 -aS'cultures\tculture\tNNS\tI-NP\tO' -p296655 -aS'for\tfor\tIN\tB-PP\tO' -p296656 -aS'Staph.\tStaph.\tNNP\tB-NP\tO' -p296657 -aS'aureus\taureus\tNN\tI-NP\tO' -p296658 -aS'associated\tassociate\tVBN\tB-VP\tO' -p296659 -aS'with\twith\tIN\tB-PP\tO' -p296660 -aS'fever\tfever\tNN\tB-NP\tO' -p296661 -aS'.\t.\t.\tO\tO' -p296662 -asS'By postoperative day #3 she began ambulating with some great hesitancy .' -p296663 -(lp296664 -S'By\tBy\tIN\tB-PP\tO' -p296665 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p296666 -aS'day\tday\tNN\tI-NP\tO' -p296667 -aS'#3\t#3\tCD\tI-NP\tO' -p296668 -aS'she\tshe\tPRP\tB-NP\tO' -p296669 -aS'began\tbegin\tVBD\tB-VP\tO' -p296670 -aS'ambulating\tambulate\tVBG\tI-VP\tO' -p296671 -aS'with\twith\tIN\tB-PP\tO' -p296672 -aS'some\tsome\tDT\tB-NP\tO' -p296673 -aS'great\tgreat\tJJ\tI-NP\tO' -p296674 -aS'hesitancy\thesitancy\tNN\tI-NP\tO' -p296675 -aS'.\t.\t.\tO\tO' -p296676 -asS'She is from Maryland , apparently had no blood transfusions before the birth of her children so it is presumed heterosexual transmission .' -p296677 -(lp296678 -S'She\tShe\tPRP\tB-NP\tO' -p296679 -aS'is\tbe\tVBZ\tB-VP\tO' -p296680 -aS'from\tfrom\tIN\tB-PP\tO' -p296681 -aS'Maryland\tMaryland\tNNP\tB-NP\tO' -p296682 -aS',\t,\t,\tO\tO' -p296683 -aS'apparently\tapparently\tRB\tB-ADVP\tO' -p296684 -aS'had\thave\tVBD\tB-VP\tO' -p296685 -aS'no\tno\tDT\tB-NP\tO' -p296686 -aS'blood\tblood\tNN\tI-NP\tO' -p296687 -aS'transfusions\ttransfusion\tNNS\tI-NP\tO' -p296688 -aS'before\tbefore\tIN\tB-PP\tO' -p296689 -aS'the\tthe\tDT\tB-NP\tO' -p296690 -aS'birth\tbirth\tNN\tI-NP\tO' -p296691 -aS'of\tof\tIN\tB-PP\tO' -p296692 -aS'her\ther\tPRP$\tB-NP\tO' -p296693 -aS'children\tchild\tNNS\tI-NP\tO' -p296694 -aS'so\tso\tIN\tB-SBAR\tO' -p296695 -aS'it\tit\tPRP\tB-NP\tO' -p296696 -aS'is\tbe\tVBZ\tB-VP\tO' -p296697 -aS'presumed\tpresume\tVBN\tI-VP\tO' -p296698 -aS'heterosexual\theterosexual\tJJ\tB-NP\tO' -p296699 -aS'transmission\ttransmission\tNN\tI-NP\tO' -p296700 -aS'.\t.\t.\tO\tO' -p296701 -asS'A left anterior thoracotomy was made by the Cardiac Surgery fellow who was present .' -p296702 -(lp296703 -S'A\tA\tDT\tB-NP\tO' -p296704 -aS'left\tleft\tJJ\tI-NP\tO' -p296705 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p296706 -aS'thoracotomy\tthoracotomy\tNN\tI-NP\tO' -p296707 -aS'was\tbe\tVBD\tB-VP\tO' -p296708 -aS'made\tmake\tVBN\tI-VP\tO' -p296709 -aS'by\tby\tIN\tB-PP\tO' -p296710 -aS'the\tthe\tDT\tB-NP\tO' -p296711 -aS'Cardiac\tCardiac\tNNP\tI-NP\tO' -p296712 -aS'Surgery\tSurgery\tNNP\tI-NP\tO' -p296713 -aS'fellow\tfellow\tNN\tI-NP\tO' -p296714 -aS'who\twho\tWP\tB-NP\tO' -p296715 -aS'was\tbe\tVBD\tB-VP\tO' -p296716 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p296717 -aS'.\t.\t.\tO\tO' -p296718 -asS'He had developed some hematuria which has resolved .' -p296719 -(lp296720 -S'He\tHe\tPRP\tB-NP\tO' -p296721 -aS'had\thave\tVBD\tB-VP\tO' -p296722 -aS'developed\tdevelop\tVBN\tI-VP\tO' -p296723 -aS'some\tsome\tDT\tB-NP\tO' -p296724 -aS'hematuria\thematuria\tNN\tI-NP\tO' -p296725 -aS'which\twhich\tWDT\tB-NP\tO' -p296726 -aS'has\thave\tVBZ\tB-VP\tO' -p296727 -aS'resolved\tresolve\tVBN\tI-VP\tO' -p296728 -aS'.\t.\t.\tO\tO' -p296729 -asS'This is a 35-year-old gentleman with HIV on HAART , last CD4 count 268 with undetectable viral load who was initially admitted to the CMED CSRU for supraglottitis with significant edema .' -p296730 -(lp296731 -S'This\tThis\tDT\tB-NP\tO' -p296732 -aS'is\tbe\tVBZ\tB-VP\tO' -p296733 -aS'a\ta\tDT\tB-NP\tO' -p296734 -aS'35-year-old\t35-year-old\tJJ\tI-NP\tO' -p296735 -aS'gentleman\tgentleman\tNN\tI-NP\tO' -p296736 -aS'with\twith\tIN\tB-PP\tO' -p296737 -aS'HIV\tHIV\tNN\tB-NP\tO' -p296738 -aS'on\ton\tIN\tB-PP\tO' -p296739 -aS'HAART\tHAART\tNN\tB-NP\tB-protein' -p296740 -aS',\t,\t,\tO\tO' -p296741 -aS'last\tlast\tJJ\tB-NP\tO' -p296742 -aS'CD4\tCD4\tNN\tI-NP\tO' -p296743 -aS'count\tcount\tNN\tI-NP\tO' -p296744 -aS'268\t268\tCD\tI-NP\tO' -p296745 -aS'with\twith\tIN\tB-PP\tO' -p296746 -aS'undetectable\tundetectable\tJJ\tB-NP\tO' -p296747 -aS'viral\tviral\tJJ\tI-NP\tO' -p296748 -aS'load\tload\tNN\tI-NP\tO' -p296749 -aS'who\twho\tWP\tB-NP\tO' -p296750 -aS'was\tbe\tVBD\tB-VP\tO' -p296751 -aS'initially\tinitially\tRB\tI-VP\tO' -p296752 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p296753 -aS'to\tto\tTO\tB-PP\tO' -p296754 -aS'the\tthe\tDT\tB-NP\tO' -p296755 -aS'CMED\tCMED\tVBN\tI-NP\tO' -p296756 -aS'CSRU\tCSRU\tNN\tI-NP\tO' -p296757 -aS'for\tfor\tIN\tB-PP\tO' -p296758 -aS'supraglottitis\tsupraglottitis\tNN\tB-NP\tO' -p296759 -aS'with\twith\tIN\tB-PP\tO' -p296760 -aS'significant\tsignificant\tJJ\tB-NP\tO' -p296761 -aS'edema\tedema\tNN\tI-NP\tO' -p296762 -aS'.\t.\t.\tO\tO' -p296763 -asS'A relook several days later led to a repeat percutaneous transluminal coronary angioplasty .' -p296764 -(lp296765 -S'A\tA\tDT\tB-NP\tO' -p296766 -aS'relook\trelook\tNN\tI-NP\tO' -p296767 -aS'several\tseveral\tJJ\tB-NP\tO' -p296768 -aS'days\tday\tNNS\tI-NP\tO' -p296769 -aS'later\tlater\tRB\tB-ADVP\tO' -p296770 -aS'led\tlead\tVBD\tB-VP\tO' -p296771 -aS'to\tto\tTO\tB-PP\tO' -p296772 -aS'a\ta\tDT\tB-NP\tO' -p296773 -aS'repeat\trepeat\tNN\tI-NP\tO' -p296774 -aS'percutaneous\tpercutaneous\tJJ\tI-NP\tO' -p296775 -aS'transluminal\ttransluminal\tJJ\tI-NP\tO' -p296776 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p296777 -aS'angioplasty\tangioplasty\tNN\tI-NP\tO' -p296778 -aS'.\t.\t.\tO\tO' -p296779 -asS'She was , therefore , cleared for the operating room , and on 3/3/92 , she underwent a left carotid endarterectomy , with continuous electroencephalogram monitoring and vein patch angioplasty , which was uneventful .' -p296780 -(lp296781 -S'She\tShe\tPRP\tB-NP\tO' -p296782 -aS'was\tbe\tVBD\tB-VP\tO' -p296783 -aS',\t,\t,\tO\tO' -p296784 -aS'therefore\ttherefore\tRB\tB-ADVP\tO' -p296785 -aS',\t,\t,\tO\tO' -p296786 -aS'cleared\tclear\tVBD\tB-VP\tO' -p296787 -aS'for\tfor\tIN\tB-PP\tO' -p296788 -aS'the\tthe\tDT\tB-NP\tO' -p296789 -aS'operating\toperating\tNN\tI-NP\tO' -p296790 -aS'room\troom\tNN\tI-NP\tO' -p296791 -aS',\t,\t,\tO\tO' -p296792 -aS'and\tand\tCC\tO\tO' -p296793 -aS'on\ton\tIN\tB-PP\tO' -p296794 -aS'3/3/92\t3/3/92\tCD\tB-NP\tO' -p296795 -aS',\t,\t,\tO\tO' -p296796 -aS'she\tshe\tPRP\tB-NP\tO' -p296797 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p296798 -aS'a\ta\tDT\tB-NP\tO' -p296799 -aS'left\tleft\tJJ\tI-NP\tO' -p296800 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p296801 -aS'endarterectomy\tendarterectomy\tNN\tI-NP\tO' -p296802 -aS',\t,\t,\tO\tO' -p296803 -aS'with\twith\tIN\tB-PP\tO' -p296804 -aS'continuous\tcontinuous\tJJ\tB-NP\tO' -p296805 -aS'electroencephalogram\telectroencephalogram\tNN\tI-NP\tO' -p296806 -aS'monitoring\tmonitoring\tNN\tI-NP\tO' -p296807 -aS'and\tand\tCC\tO\tO' -p296808 -aS'vein\tvein\tNN\tB-NP\tO' -p296809 -aS'patch\tpatch\tNN\tI-NP\tO' -p296810 -aS'angioplasty\tangioplasty\tNN\tI-NP\tO' -p296811 -aS',\t,\t,\tO\tO' -p296812 -aS'which\twhich\tWDT\tB-NP\tO' -p296813 -aS'was\tbe\tVBD\tB-VP\tO' -p296814 -aS'uneventful\tuneventful\tJJ\tB-ADJP\tO' -p296815 -aS'.\t.\t.\tO\tO' -p296816 -asS'On examination of the extremities , the patient moved all extremities and had strength of 5/5 in all of the muscle' -p296817 -(lp296818 -S'On\tOn\tIN\tB-PP\tO' -p296819 -aS'examination\texamination\tNN\tB-NP\tO' -p296820 -aS'of\tof\tIN\tB-PP\tO' -p296821 -aS'the\tthe\tDT\tB-NP\tO' -p296822 -aS'extremities\textremity\tNNS\tI-NP\tO' -p296823 -aS',\t,\t,\tO\tO' -p296824 -aS'the\tthe\tDT\tB-NP\tO' -p296825 -aS'patient\tpatient\tNN\tI-NP\tO' -p296826 -aS'moved\tmove\tVBD\tB-VP\tO' -p296827 -aS'all\tall\tDT\tB-NP\tO' -p296828 -aS'extremities\textremity\tNNS\tI-NP\tO' -p296829 -aS'and\tand\tCC\tO\tO' -p296830 -aS'had\thave\tVBD\tB-VP\tO' -p296831 -aS'strength\tstrength\tNN\tB-NP\tO' -p296832 -aS'of\tof\tIN\tB-PP\tO' -p296833 -aS'5/5\t5/5\tCD\tB-NP\tO' -p296834 -aS'in\tin\tIN\tB-PP\tO' -p296835 -aS'all\tall\tDT\tB-NP\tO' -p296836 -aS'of\tof\tIN\tB-PP\tO' -p296837 -aS'the\tthe\tDT\tB-NP\tO' -p296838 -aS'muscle\tmuscle\tNN\tI-NP\tO' -p296839 -asS'Basically in December 1993 , she returned to the Hem / Onc Clinic with chest wall nodules which turned out to be tumor recurrences and biopsied .' -p296840 -(lp296841 -S'Basically\tBasically\tRB\tB-ADVP\tO' -p296842 -aS'in\tin\tIN\tB-PP\tO' -p296843 -aS'December\tDecember\tNNP\tB-NP\tO' -p296844 -aS'1993\t1993\tCD\tI-NP\tO' -p296845 -aS',\t,\t,\tO\tO' -p296846 -aS'she\tshe\tPRP\tB-NP\tO' -p296847 -aS'returned\treturn\tVBD\tB-VP\tO' -p296848 -aS'to\tto\tTO\tB-PP\tO' -p296849 -aS'the\tthe\tDT\tB-NP\tO' -p296850 -aS'Hem\tHem\tNN\tI-NP\tB-protein' -p296851 -aS'/\t/\tSYM\tB-VP\tO' -p296852 -aS'Onc\tOnc\tNN\tB-NP\tO' -p296853 -aS'Clinic\tClinic\tNN\tI-NP\tO' -p296854 -aS'with\twith\tIN\tB-PP\tO' -p296855 -aS'chest\tchest\tNN\tB-NP\tO' -p296856 -aS'wall\twall\tNN\tI-NP\tO' -p296857 -aS'nodules\tnodule\tNNS\tI-NP\tO' -p296858 -aS'which\twhich\tWDT\tB-NP\tO' -p296859 -aS'turned\tturn\tVBD\tB-VP\tO' -p296860 -aS'out\tout\tRP\tB-PRT\tO' -p296861 -aS'to\tto\tTO\tB-VP\tO' -p296862 -aS'be\tbe\tVB\tI-VP\tO' -p296863 -aS'tumor\ttumor\tNN\tB-NP\tO' -p296864 -aS'recurrences\trecurrence\tNNS\tI-NP\tO' -p296865 -aS'and\tand\tCC\tO\tO' -p296866 -aS'biopsied\tbiopsie\tVBN\tB-VP\tO' -p296867 -aS'.\t.\t.\tO\tO' -p296868 -asS'The patient transfused 1 unit on 10/18/97 for a hematocrit of 29.4 .' -p296869 -(lp296870 -S'The\tThe\tDT\tB-NP\tO' -p296871 -aS'patient\tpatient\tNN\tI-NP\tO' -p296872 -aS'transfused\ttransfuse\tVBD\tB-VP\tO' -p296873 -aS'1\t1\tCD\tB-NP\tO' -p296874 -aS'unit\tunit\tNN\tI-NP\tO' -p296875 -aS'on\ton\tIN\tB-PP\tO' -p296876 -aS'10/18/97\t10/18/97\tCD\tB-NP\tO' -p296877 -aS'for\tfor\tIN\tB-PP\tO' -p296878 -aS'a\ta\tDT\tB-NP\tO' -p296879 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p296880 -aS'of\tof\tIN\tB-PP\tO' -p296881 -aS'29.4\t29.4\tCD\tB-NP\tO' -p296882 -aS'.\t.\t.\tO\tO' -p296883 -asS'6. History of alcohol abuse .' -p296884 -(lp296885 -S'6.\t6.\tLS\tB-NP\tO' -p296886 -aS'History\tHistory\tNN\tI-NP\tO' -p296887 -aS'of\tof\tIN\tB-PP\tO' -p296888 -aS'alcohol\talcohol\tNN\tB-NP\tO' -p296889 -aS'abuse\tabuse\tNN\tI-NP\tO' -p296890 -aS'.\t.\t.\tO\tO' -p296891 -asS'6. Amiodarone 200 mg Tablet Sig : Two ( 2 ) Tablet PO BID ( 2 times a day ): please take 400 mg twice a day until 11-02 then decrease to 400 mg once a day for 1 week and then decrease to 200 mg once a day .' -p296892 -(lp296893 -S'6.\t6.\tCD\tB-NP\tO' -p296894 -aS'Amiodarone\tAmiodarone\tNN\tI-NP\tO' -p296895 -aS'200\t200\tCD\tB-NP\tO' -p296896 -aS'mg\tmg\tNN\tI-NP\tO' -p296897 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p296898 -aS'Sig\tSig\tNNP\tI-NP\tO' -p296899 -aS':\t:\t:\tO\tO' -p296900 -aS'Two\tTwo\tCD\tB-NP\tO' -p296901 -aS'(\t(\t(\tO\tO' -p296902 -aS'2\t2\tCD\tO\tO' -p296903 -aS')\t)\t)\tO\tO' -p296904 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p296905 -aS'PO\tPO\tNN\tI-NP\tO' -p296906 -aS'BID\tBID\tNN\tI-NP\tO' -p296907 -aS'(\t(\t(\tO\tO' -p296908 -aS'2\t2\tCD\tB-NP\tO' -p296909 -aS'times\ttime\tNNS\tI-NP\tO' -p296910 -aS'a\ta\tDT\tB-NP\tO' -p296911 -aS'day\tday\tNN\tI-NP\tO' -p296912 -aS'):\t):\t:\tO\tO' -p296913 -aS'please\tplease\tNN\tB-NP\tO' -p296914 -aS'take\ttake\tVBP\tB-VP\tO' -p296915 -aS'400\t400\tCD\tB-NP\tO' -p296916 -aS'mg\tmg\tNN\tI-NP\tO' -p296917 -aS'twice\ttwice\tRB\tB-NP\tO' -p296918 -aS'a\ta\tDT\tI-NP\tO' -p296919 -aS'day\tday\tNN\tI-NP\tO' -p296920 -aS'until\tuntil\tIN\tB-PP\tO' -p296921 -aS'11-02\t11-02\tCD\tB-NP\tO' -p296922 -aS'then\tthen\tRB\tB-ADVP\tO' -p296923 -aS'decrease\tdecrease\tVB\tB-VP\tO' -p296924 -aS'to\tto\tTO\tB-PP\tO' -p296925 -aS'400\t400\tCD\tB-NP\tO' -p296926 -aS'mg\tmg\tNN\tI-NP\tO' -p296927 -aS'once\tonce\tRB\tB-ADVP\tO' -p296928 -aS'a\ta\tDT\tB-NP\tO' -p296929 -aS'day\tday\tNN\tI-NP\tO' -p296930 -aS'for\tfor\tIN\tB-PP\tO' -p296931 -aS'1\t1\tCD\tB-NP\tO' -p296932 -aS'week\tweek\tNN\tI-NP\tO' -p296933 -aS'and\tand\tCC\tO\tO' -p296934 -aS'then\tthen\tRB\tB-ADVP\tO' -p296935 -aS'decrease\tdecrease\tVB\tB-VP\tO' -p296936 -aS'to\tto\tTO\tB-PP\tO' -p296937 -aS'200\t200\tCD\tB-NP\tO' -p296938 -aS'mg\tmg\tNN\tI-NP\tO' -p296939 -aS'once\tonce\tRB\tB-ADVP\tO' -p296940 -aS'a\ta\tDT\tB-NP\tO' -p296941 -aS'day\tday\tNN\tI-NP\tO' -p296942 -aS'.\t.\t.\tO\tO' -p296943 -asS'She was tolerating clear liquids ad lib .' -p296944 -(lp296945 -S'She\tShe\tPRP\tB-NP\tO' -p296946 -aS'was\tbe\tVBD\tB-VP\tO' -p296947 -aS'tolerating\ttolerate\tVBG\tI-VP\tO' -p296948 -aS'clear\tclear\tJJ\tB-NP\tO' -p296949 -aS'liquids\tliquid\tNNS\tI-NP\tO' -p296950 -aS'ad\tad\tNN\tI-NP\tO' -p296951 -aS'lib\tlib\tNN\tI-NP\tO' -p296952 -aS'.\t.\t.\tO\tO' -p296953 -asS'However on 07-02 Hct dropped .' -p296954 -(lp296955 -S'However\tHowever\tRB\tB-ADVP\tO' -p296956 -aS'on\ton\tIN\tB-PP\tO' -p296957 -aS'07-02\t07-02\tCD\tB-NP\tO' -p296958 -aS'Hct\tHct\tNNP\tI-NP\tO' -p296959 -aS'dropped\tdrop\tVBD\tB-VP\tO' -p296960 -aS'.\t.\t.\tO\tO' -p296961 -asS'4. Thirty pack year tobacco history , quit one month ago .' -p296962 -(lp296963 -S'4.\t4.\tLS\tB-NP\tO' -p296964 -aS'Thirty\tThirty\tCD\tI-NP\tO' -p296965 -aS'pack\tpack\tNN\tI-NP\tO' -p296966 -aS'year\tyear\tNN\tI-NP\tO' -p296967 -aS'tobacco\ttobacco\tNN\tI-NP\tO' -p296968 -aS'history\thistory\tNN\tI-NP\tO' -p296969 -aS',\t,\t,\tO\tO' -p296970 -aS'quit\tquit\tVBD\tB-VP\tO' -p296971 -aS'one\tone\tCD\tB-NP\tO' -p296972 -aS'month\tmonth\tNN\tI-NP\tO' -p296973 -aS'ago\tago\tRB\tB-ADVP\tO' -p296974 -aS'.\t.\t.\tO\tO' -p296975 -asS'The patient had a weight of 1400 gm , length 41.5 cm and head circumference of 29.25 cm .' -p296976 -(lp296977 -S'The\tThe\tDT\tB-NP\tO' -p296978 -aS'patient\tpatient\tNN\tI-NP\tO' -p296979 -aS'had\thave\tVBD\tB-VP\tO' -p296980 -aS'a\ta\tDT\tB-NP\tO' -p296981 -aS'weight\tweight\tNN\tI-NP\tO' -p296982 -aS'of\tof\tIN\tB-PP\tO' -p296983 -aS'1400\t1400\tCD\tB-NP\tO' -p296984 -aS'gm\tgm\tNN\tI-NP\tO' -p296985 -aS',\t,\t,\tO\tO' -p296986 -aS'length\tlength\tNN\tB-NP\tO' -p296987 -aS'41.5\t41.5\tCD\tI-NP\tO' -p296988 -aS'cm\tcm\tNN\tI-NP\tO' -p296989 -aS'and\tand\tCC\tO\tO' -p296990 -aS'head\thead\tNN\tB-NP\tO' -p296991 -aS'circumference\tcircumference\tNN\tI-NP\tO' -p296992 -aS'of\tof\tIN\tB-PP\tO' -p296993 -aS'29.25\t29.25\tCD\tB-NP\tO' -p296994 -aS'cm\tcm\tNN\tI-NP\tO' -p296995 -aS'.\t.\t.\tO\tO' -p296996 -asS'Seldane causes gastrointestinal distress .' -p296997 -(lp296998 -S'Seldane\tSeldane\tNN\tB-NP\tO' -p296999 -aS'causes\tcause\tVBZ\tB-VP\tO' -p297000 -aS'gastrointestinal\tgastrointestinal\tJJ\tB-NP\tO' -p297001 -aS'distress\tdistress\tNN\tI-NP\tO' -p297002 -aS'.\t.\t.\tO\tO' -p297003 -asS'On the day of admission , he felt " congested " in his chest , and had a new fever .' -p297004 -(lp297005 -S'On\tOn\tIN\tB-PP\tO' -p297006 -aS'the\tthe\tDT\tB-NP\tO' -p297007 -aS'day\tday\tNN\tI-NP\tO' -p297008 -aS'of\tof\tIN\tB-PP\tO' -p297009 -aS'admission\tadmission\tNN\tB-NP\tO' -p297010 -aS',\t,\t,\tO\tO' -p297011 -aS'he\the\tPRP\tB-NP\tO' -p297012 -aS'felt\tfeel\tVBD\tB-VP\tO' -p297013 -aS'"\t"\t``\tO\tO' -p297014 -aS'congested\tcongest\tVBN\tB-ADJP\tO' -p297015 -aS'"\t"\t\'\'\tO\tO' -p297016 -aS'in\tin\tIN\tB-PP\tO' -p297017 -aS'his\this\tPRP$\tB-NP\tO' -p297018 -aS'chest\tchest\tNN\tI-NP\tO' -p297019 -aS',\t,\t,\tO\tO' -p297020 -aS'and\tand\tCC\tO\tO' -p297021 -aS'had\thave\tVBD\tB-VP\tO' -p297022 -aS'a\ta\tDT\tB-NP\tO' -p297023 -aS'new\tnew\tJJ\tI-NP\tO' -p297024 -aS'fever\tfever\tNN\tI-NP\tO' -p297025 -aS'.\t.\t.\tO\tO' -p297026 -asS'A stat MRI was notable for multiple abnormal foci consistent with systemic emboli .' -p297027 -(lp297028 -S'A\tA\tDT\tB-NP\tO' -p297029 -aS'stat\tstat\tNN\tI-NP\tO' -p297030 -aS'MRI\tMRI\tNN\tI-NP\tO' -p297031 -aS'was\tbe\tVBD\tB-VP\tO' -p297032 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p297033 -aS'for\tfor\tIN\tB-PP\tO' -p297034 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p297035 -aS'abnormal\tabnormal\tJJ\tI-NP\tO' -p297036 -aS'foci\tfocus\tNNS\tI-NP\tO' -p297037 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p297038 -aS'with\twith\tIN\tB-PP\tO' -p297039 -aS'systemic\tsystemic\tJJ\tB-NP\tO' -p297040 -aS'emboli\tembolus\tNNS\tI-NP\tO' -p297041 -aS'.\t.\t.\tO\tO' -p297042 -asS'Blood pressure most recently 60/37 with a mean of 44 .' -p297043 -(lp297044 -S'Blood\tBlood\tNN\tB-NP\tO' -p297045 -aS'pressure\tpressure\tNN\tI-NP\tO' -p297046 -aS'most\tmost\tRBS\tB-ADVP\tO' -p297047 -aS'recently\trecently\tRB\tI-ADVP\tO' -p297048 -aS'60/37\t60/37\tCD\tB-NP\tO' -p297049 -aS'with\twith\tIN\tB-PP\tO' -p297050 -aS'a\ta\tDT\tB-NP\tO' -p297051 -aS'mean\tmean\tNN\tI-NP\tO' -p297052 -aS'of\tof\tIN\tB-PP\tO' -p297053 -aS'44\t44\tCD\tB-NP\tO' -p297054 -aS'.\t.\t.\tO\tO' -p297055 -asS'To home with services .' -p297056 -(lp297057 -S'To\tTo\tTO\tB-VP\tO' -p297058 -aS'home\thome\tVB\tI-VP\tO' -p297059 -aS'with\twith\tIN\tB-PP\tO' -p297060 -aS'services\tservice\tNNS\tB-NP\tO' -p297061 -aS'.\t.\t.\tO\tO' -p297062 -asS'5. Miconazole Nitrate 2 % Powder Sig : One ( 1 ) Appl Topical TID ( 3 times a day ) .' -p297063 -(lp297064 -S'5.\t5.\tLS\tB-NP\tO' -p297065 -aS'Miconazole\tMiconazole\tNN\tI-NP\tO' -p297066 -aS'Nitrate\tNitrate\tNN\tI-NP\tO' -p297067 -aS'2\t2\tCD\tB-NP\tO' -p297068 -aS'%\t%\tNN\tI-NP\tO' -p297069 -aS'Powder\tPowder\tNNP\tI-NP\tO' -p297070 -aS'Sig\tSig\tNNP\tI-NP\tO' -p297071 -aS':\t:\t:\tO\tO' -p297072 -aS'One\tOne\tCD\tB-NP\tO' -p297073 -aS'(\t(\t(\tO\tO' -p297074 -aS'1\t1\tCD\tB-NP\tO' -p297075 -aS')\t)\t)\tO\tO' -p297076 -aS'Appl\tAppl\tNNP\tB-NP\tO' -p297077 -aS'Topical\tTopical\tJJ\tI-NP\tO' -p297078 -aS'TID\tTID\tNN\tI-NP\tO' -p297079 -aS'(\t(\t(\tO\tO' -p297080 -aS'3\t3\tCD\tB-NP\tO' -p297081 -aS'times\ttime\tNNS\tI-NP\tO' -p297082 -aS'a\ta\tDT\tB-NP\tO' -p297083 -aS'day\tday\tNN\tI-NP\tO' -p297084 -aS')\t)\t)\tO\tO' -p297085 -aS'.\t.\t.\tO\tO' -p297086 -asS'Prn nebs for comfort .' -p297087 -(lp297088 -S'Prn\tPrn\tNN\tB-NP\tO' -p297089 -aS'nebs\tneb\tNNS\tI-NP\tO' -p297090 -aS'for\tfor\tIN\tB-PP\tO' -p297091 -aS'comfort\tcomfort\tNN\tB-NP\tO' -p297092 -aS'.\t.\t.\tO\tO' -p297093 -asS'A chest CT was to be performed and may be yielding .' -p297094 -(lp297095 -S'A\tA\tDT\tB-NP\tO' -p297096 -aS'chest\tchest\tNN\tI-NP\tO' -p297097 -aS'CT\tCT\tNN\tI-NP\tO' -p297098 -aS'was\tbe\tVBD\tB-VP\tO' -p297099 -aS'to\tto\tTO\tI-VP\tO' -p297100 -aS'be\tbe\tVB\tI-VP\tO' -p297101 -aS'performed\tperform\tVBN\tI-VP\tO' -p297102 -aS'and\tand\tCC\tO\tO' -p297103 -aS'may\tmay\tMD\tB-VP\tO' -p297104 -aS'be\tbe\tVB\tI-VP\tO' -p297105 -aS'yielding\tyield\tVBG\tI-VP\tO' -p297106 -aS'.\t.\t.\tO\tO' -p297107 -asS'In the Intensive Care Unit , the patient had a prolonged course .' -p297108 -(lp297109 -S'In\tIn\tIN\tB-PP\tO' -p297110 -aS'the\tthe\tDT\tB-NP\tO' -p297111 -aS'Intensive\tIntensive\tJJ\tI-NP\tB-DNA' -p297112 -aS'Care\tCare\tNNP\tI-NP\tI-DNA' -p297113 -aS'Unit\tUnit\tNNP\tI-NP\tI-DNA' -p297114 -aS',\t,\t,\tO\tO' -p297115 -aS'the\tthe\tDT\tB-NP\tO' -p297116 -aS'patient\tpatient\tNN\tI-NP\tO' -p297117 -aS'had\thave\tVBD\tB-VP\tO' -p297118 -aS'a\ta\tDT\tB-NP\tO' -p297119 -aS'prolonged\tprolong\tVBN\tI-NP\tO' -p297120 -aS'course\tcourse\tNN\tI-NP\tO' -p297121 -aS'.\t.\t.\tO\tO' -p297122 -asS'He was evaluated by the Surgery Department and it is there feeling that there is no indication for surgical intervention / amputation at this time .' -p297123 -(lp297124 -S'He\tHe\tPRP\tB-NP\tO' -p297125 -aS'was\tbe\tVBD\tB-VP\tO' -p297126 -aS'evaluated\tevaluate\tVBN\tI-VP\tO' -p297127 -aS'by\tby\tIN\tB-PP\tO' -p297128 -aS'the\tthe\tDT\tB-NP\tO' -p297129 -aS'Surgery\tSurgery\tNNP\tI-NP\tO' -p297130 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p297131 -aS'and\tand\tCC\tO\tO' -p297132 -aS'it\tit\tPRP\tB-NP\tO' -p297133 -aS'is\tbe\tVBZ\tB-VP\tO' -p297134 -aS'there\tthere\tRB\tI-VP\tO' -p297135 -aS'feeling\tfeel\tVBG\tI-VP\tO' -p297136 -aS'that\tthat\tIN\tB-SBAR\tO' -p297137 -aS'there\tthere\tEX\tB-NP\tO' -p297138 -aS'is\tbe\tVBZ\tB-VP\tO' -p297139 -aS'no\tno\tDT\tB-NP\tO' -p297140 -aS'indication\tindication\tNN\tI-NP\tO' -p297141 -aS'for\tfor\tIN\tB-PP\tO' -p297142 -aS'surgical\tsurgical\tJJ\tB-NP\tO' -p297143 -aS'intervention\tintervention\tNN\tI-NP\tO' -p297144 -aS'/\t/\tSYM\tB-NP\tO' -p297145 -aS'amputation\tamputation\tNN\tI-NP\tO' -p297146 -aS'at\tat\tIN\tB-PP\tO' -p297147 -aS'this\tthis\tDT\tB-NP\tO' -p297148 -aS'time\ttime\tNN\tI-NP\tO' -p297149 -aS'.\t.\t.\tO\tO' -p297150 -asS'Follow up with Dr. Kelley in 4 weeks with head CT - call 716 3268' -p297151 -(lp297152 -S'Follow\tFollow\tVB\tB-VP\tO' -p297153 -aS'up\tup\tRP\tB-PRT\tO' -p297154 -aS'with\twith\tIN\tB-PP\tO' -p297155 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p297156 -aS'Kelley\tKelley\tNNP\tI-NP\tO' -p297157 -aS'in\tin\tIN\tB-PP\tO' -p297158 -aS'4\t4\tCD\tB-NP\tO' -p297159 -aS'weeks\tweek\tNNS\tI-NP\tO' -p297160 -aS'with\twith\tIN\tB-PP\tO' -p297161 -aS'head\thead\tNN\tB-NP\tO' -p297162 -aS'CT\tCT\tNN\tI-NP\tO' -p297163 -aS'-\t-\tHYPH\tB-NP\tO' -p297164 -aS'call\tcall\tNN\tI-NP\tO' -p297165 -aS'716\t716\tCD\tI-NP\tO' -p297166 -aS'3268\t3268\tCD\tI-NP\tO' -p297167 -asS'SEPSIS RELATED TO PICC LINE .' -p297168 -(lp297169 -S'SEPSIS\tSEPSIS\tNNP\tB-NP\tO' -p297170 -aS'RELATED\tRELATED\tNNP\tI-NP\tO' -p297171 -aS'TO\tTO\tNNP\tI-NP\tO' -p297172 -aS'PICC\tPICC\tNNP\tI-NP\tO' -p297173 -aS'LINE\tLINE\tNNP\tI-NP\tO' -p297174 -aS'.\t.\t.\tO\tO' -p297175 -asS'Also of note at that point , hepatitis C virus serologies had come back positive .' -p297176 -(lp297177 -S'Also\tAlso\tRB\tB-ADVP\tO' -p297178 -aS'of\tof\tIN\tB-PP\tO' -p297179 -aS'note\tnote\tNN\tB-NP\tO' -p297180 -aS'at\tat\tIN\tB-PP\tO' -p297181 -aS'that\tthat\tDT\tB-NP\tO' -p297182 -aS'point\tpoint\tNN\tI-NP\tO' -p297183 -aS',\t,\t,\tO\tO' -p297184 -aS'hepatitis\thepatitis\tNN\tB-NP\tO' -p297185 -aS'C\tC\tNN\tI-NP\tO' -p297186 -aS'virus\tvirus\tNN\tI-NP\tO' -p297187 -aS'serologies\tserology\tNNS\tI-NP\tO' -p297188 -aS'had\thave\tVBD\tB-VP\tO' -p297189 -aS'come\tcome\tVBN\tI-VP\tO' -p297190 -aS'back\tback\tRB\tB-ADJP\tO' -p297191 -aS'positive\tpositive\tJJ\tI-ADJP\tO' -p297192 -aS'.\t.\t.\tO\tO' -p297193 -asS'Call with fever , redness or drainage from incision or weight gain more than 2 pounds in one day or five in one week .' -p297194 -(lp297195 -S'Call\tCall\tVB\tB-NP\tO' -p297196 -aS'with\twith\tIN\tB-PP\tO' -p297197 -aS'fever\tfever\tNN\tB-NP\tO' -p297198 -aS',\t,\t,\tO\tO' -p297199 -aS'redness\tredness\tNN\tB-NP\tO' -p297200 -aS'or\tor\tCC\tO\tO' -p297201 -aS'drainage\tdrainage\tNN\tB-NP\tO' -p297202 -aS'from\tfrom\tIN\tB-PP\tO' -p297203 -aS'incision\tincision\tNN\tB-NP\tO' -p297204 -aS'or\tor\tCC\tI-NP\tO' -p297205 -aS'weight\tweight\tNN\tI-NP\tO' -p297206 -aS'gain\tgain\tNN\tI-NP\tO' -p297207 -aS'more\tmore\tJJR\tB-NP\tO' -p297208 -aS'than\tthan\tIN\tI-NP\tO' -p297209 -aS'2\t2\tCD\tI-NP\tO' -p297210 -aS'pounds\tpound\tNNS\tI-NP\tO' -p297211 -aS'in\tin\tIN\tB-PP\tO' -p297212 -aS'one\tone\tCD\tB-NP\tO' -p297213 -aS'day\tday\tNN\tI-NP\tO' -p297214 -aS'or\tor\tCC\tO\tO' -p297215 -aS'five\tfive\tCD\tB-NP\tO' -p297216 -aS'in\tin\tIN\tB-PP\tO' -p297217 -aS'one\tone\tCD\tB-NP\tO' -p297218 -aS'week\tweek\tNN\tI-NP\tO' -p297219 -aS'.\t.\t.\tO\tO' -p297220 -asS'Chest tubes were removed on post-op day two and epicardial pacing wires on post-op day three .' -p297221 -(lp297222 -S'Chest\tChest\tNNP\tB-NP\tO' -p297223 -aS'tubes\ttube\tNNS\tI-NP\tO' -p297224 -aS'were\tbe\tVBD\tB-VP\tO' -p297225 -aS'removed\tremove\tVBN\tI-VP\tO' -p297226 -aS'on\ton\tIN\tB-PP\tO' -p297227 -aS'post-op\tpost-op\tJJ\tB-NP\tO' -p297228 -aS'day\tday\tNN\tI-NP\tO' -p297229 -aS'two\ttwo\tCD\tB-NP\tO' -p297230 -aS'and\tand\tCC\tI-NP\tO' -p297231 -aS'epicardial\tepicardial\tJJ\tI-NP\tO' -p297232 -aS'pacing\tpacing\tNN\tI-NP\tO' -p297233 -aS'wires\twire\tVBZ\tB-VP\tO' -p297234 -aS'on\ton\tIN\tB-PP\tO' -p297235 -aS'post-op\tpost-op\tJJ\tB-NP\tO' -p297236 -aS'day\tday\tNN\tI-NP\tO' -p297237 -aS'three\tthree\tCD\tI-NP\tO' -p297238 -aS'.\t.\t.\tO\tO' -p297239 -asS'30. Insulin Glargine 100 unit / mL Solution Sig : AS INSTRUCTED Subcutaneous twice a day : 7 units in the morning , 18 units in the evening .' -p297240 -(lp297241 -S'30.\t30.\tLS\tB-NP\tO' -p297242 -aS'Insulin\tInsulin\tNN\tI-NP\tB-protein' -p297243 -aS'Glargine\tGlargine\tNN\tI-NP\tI-protein' -p297244 -aS'100\t100\tCD\tI-NP\tI-protein' -p297245 -aS'unit\tunit\tNN\tI-NP\tI-protein' -p297246 -aS'/\t/\tSYM\tB-NP\tO' -p297247 -aS'mL\tmL\tNN\tI-NP\tO' -p297248 -aS'Solution\tSolution\tNNP\tI-NP\tO' -p297249 -aS'Sig\tSig\tNNP\tI-NP\tB-protein' -p297250 -aS':\t:\t:\tO\tO' -p297251 -aS'AS\tAS\tNNP\tB-NP\tO' -p297252 -aS'INSTRUCTED\tINSTRUCTED\tNNP\tI-NP\tO' -p297253 -aS'Subcutaneous\tSubcutaneous\tNNP\tI-NP\tO' -p297254 -aS'twice\ttwice\tRB\tB-NP\tO' -p297255 -aS'a\ta\tDT\tI-NP\tO' -p297256 -aS'day\tday\tNN\tI-NP\tO' -p297257 -aS':\t:\t:\tO\tO' -p297258 -aS'7\t7\tCD\tB-NP\tO' -p297259 -aS'units\tunit\tNNS\tI-NP\tO' -p297260 -aS'in\tin\tIN\tB-PP\tO' -p297261 -aS'the\tthe\tDT\tB-NP\tO' -p297262 -aS'morning\tmorning\tNN\tI-NP\tO' -p297263 -aS',\t,\t,\tO\tO' -p297264 -aS'18\t18\tCD\tB-NP\tO' -p297265 -aS'units\tunit\tNNS\tI-NP\tO' -p297266 -aS'in\tin\tIN\tB-PP\tO' -p297267 -aS'the\tthe\tDT\tB-NP\tO' -p297268 -aS'evening\tevening\tNN\tI-NP\tO' -p297269 -aS'.\t.\t.\tO\tO' -p297270 -asS'Mr. Le was found in bed with a 32 caliber revolver at his side .' -p297271 -(lp297272 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p297273 -aS'Le\tLe\tNNP\tI-NP\tO' -p297274 -aS'was\tbe\tVBD\tB-VP\tO' -p297275 -aS'found\tfind\tVBN\tI-VP\tO' -p297276 -aS'in\tin\tIN\tB-PP\tO' -p297277 -aS'bed\tbed\tNN\tB-NP\tO' -p297278 -aS'with\twith\tIN\tB-PP\tO' -p297279 -aS'a\ta\tDT\tB-NP\tO' -p297280 -aS'32\t32\tCD\tI-NP\tO' -p297281 -aS'caliber\tcaliber\tNN\tI-NP\tO' -p297282 -aS'revolver\trevolver\tNN\tI-NP\tO' -p297283 -aS'at\tat\tIN\tB-PP\tO' -p297284 -aS'his\this\tPRP$\tB-NP\tO' -p297285 -aS'side\tside\tNN\tI-NP\tO' -p297286 -aS'.\t.\t.\tO\tO' -p297287 -asS'The patient received two units of packed red blood cells and the hematocrit rose to 30 the following day .' -p297288 -(lp297289 -S'The\tThe\tDT\tB-NP\tO' -p297290 -aS'patient\tpatient\tNN\tI-NP\tO' -p297291 -aS'received\treceive\tVBD\tB-VP\tO' -p297292 -aS'two\ttwo\tCD\tB-NP\tO' -p297293 -aS'units\tunit\tNNS\tI-NP\tO' -p297294 -aS'of\tof\tIN\tB-PP\tO' -p297295 -aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' -p297296 -aS'red\tred\tJJ\tI-NP\tI-cell_type' -p297297 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p297298 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p297299 -aS'and\tand\tCC\tO\tO' -p297300 -aS'the\tthe\tDT\tB-NP\tO' -p297301 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p297302 -aS'rose\trise\tVBD\tB-VP\tO' -p297303 -aS'to\tto\tTO\tB-PP\tO' -p297304 -aS'30\t30\tCD\tB-NP\tO' -p297305 -aS'the\tthe\tDT\tB-NP\tO' -p297306 -aS'following\tfollow\tVBG\tI-NP\tO' -p297307 -aS'day\tday\tNN\tI-NP\tO' -p297308 -aS'.\t.\t.\tO\tO' -p297309 -asS'A Holter monitor showed ventricular ectopy .' -p297310 -(lp297311 -S'A\tA\tDT\tB-NP\tO' -p297312 -aS'Holter\tHolter\tNNP\tI-NP\tO' -p297313 -aS'monitor\tmonitor\tNN\tI-NP\tO' -p297314 -aS'showed\tshow\tVBD\tB-VP\tO' -p297315 -aS'ventricular\tventricular\tJJ\tB-NP\tO' -p297316 -aS'ectopy\tectopy\tNN\tI-NP\tO' -p297317 -aS'.\t.\t.\tO\tO' -p297318 -asS'This is a 39 year-old female with diabetes type I , hypothyroidism , gastroparesis who was transfered for hypoxic respiratory failure .' -p297319 -(lp297320 -S'This\tThis\tDT\tB-NP\tO' -p297321 -aS'is\tbe\tVBZ\tB-VP\tO' -p297322 -aS'a\ta\tDT\tB-NP\tO' -p297323 -aS'39\t39\tCD\tI-NP\tO' -p297324 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p297325 -aS'female\tfemale\tNN\tI-NP\tO' -p297326 -aS'with\twith\tIN\tB-PP\tO' -p297327 -aS'diabetes\tdiabetes\tNN\tB-NP\tO' -p297328 -aS'type\ttype\tNN\tI-NP\tO' -p297329 -aS'I\tI\tCD\tI-NP\tO' -p297330 -aS',\t,\t,\tO\tO' -p297331 -aS'hypothyroidism\thypothyroidism\tNN\tB-NP\tO' -p297332 -aS',\t,\t,\tO\tO' -p297333 -aS'gastroparesis\tgastroparesis\tNN\tB-NP\tO' -p297334 -aS'who\twho\tWP\tB-NP\tO' -p297335 -aS'was\tbe\tVBD\tB-VP\tO' -p297336 -aS'transfered\ttransfer\tVBN\tI-VP\tO' -p297337 -aS'for\tfor\tIN\tB-PP\tO' -p297338 -aS'hypoxic\thypoxic\tJJ\tB-NP\tO' -p297339 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p297340 -aS'failure\tfailure\tNN\tI-NP\tO' -p297341 -aS'.\t.\t.\tO\tO' -p297342 -asS'3. Intravenous fluids .' -p297343 -(lp297344 -S'3.\t3.\tLS\tB-NP\tO' -p297345 -aS'Intravenous\tIntravenous\tJJ\tI-NP\tO' -p297346 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p297347 -aS'.\t.\t.\tO\tO' -p297348 -asS'The patient denied alcohol or other drug use .' -p297349 -(lp297350 -S'The\tThe\tDT\tB-NP\tO' -p297351 -aS'patient\tpatient\tNN\tI-NP\tO' -p297352 -aS'denied\tdeny\tVBD\tB-VP\tO' -p297353 -aS'alcohol\talcohol\tNN\tB-NP\tO' -p297354 -aS'or\tor\tCC\tO\tO' -p297355 -aS'other\tother\tJJ\tB-NP\tO' -p297356 -aS'drug\tdrug\tNN\tI-NP\tO' -p297357 -aS'use\tuse\tNN\tI-NP\tO' -p297358 -aS'.\t.\t.\tO\tO' -p297359 -asS'1. STATUS POST MOTORVEHICLE ACCIDENT WITH TRANSIENT PARAPLEGIA .' -p297360 -(lp297361 -S'1.\t1.\tLS\tB-LST\tO' -p297362 -aS'STATUS\tSTATUS\tNNP\tB-NP\tO' -p297363 -aS'POST\tPOST\tNNP\tI-NP\tO' -p297364 -aS'MOTORVEHICLE\tMOTORVEHICLE\tNNP\tI-NP\tO' -p297365 -aS'ACCIDENT\tACCIDENT\tNNP\tI-NP\tO' -p297366 -aS'WITH\tWITH\tNNP\tI-NP\tO' -p297367 -aS'TRANSIENT\tTRANSIENT\tNNP\tI-NP\tO' -p297368 -aS'PARAPLEGIA\tPARAPLEGIA\tNNP\tI-NP\tO' -p297369 -aS'.\t.\t.\tO\tO' -p297370 -asS'1. Asthma flare .' -p297371 -(lp297372 -S'1.\t1.\tLS\tB-NP\tO' -p297373 -aS'Asthma\tAsthma\tNN\tI-NP\tO' -p297374 -aS'flare\tflare\tNN\tI-NP\tO' -p297375 -aS'.\t.\t.\tO\tO' -p297376 -asS'Dictated By : Randy EB Brooks , M.D.' -p297377 -(lp297378 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p297379 -aS'By\tBy\tIN\tB-PP\tO' -p297380 -aS':\t:\t:\tO\tO' -p297381 -aS'Randy\tRandy\tNNP\tB-NP\tO' -p297382 -aS'EB\tEB\tNNP\tI-NP\tO' -p297383 -aS'Brooks\tBrooks\tNNP\tI-NP\tO' -p297384 -aS',\t,\t,\tO\tO' -p297385 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p297386 -asS'A small amount of free air is seen in the nondependent portion of the pelvis .' -p297387 -(lp297388 -S'A\tA\tDT\tB-NP\tO' -p297389 -aS'small\tsmall\tJJ\tI-NP\tO' -p297390 -aS'amount\tamount\tNN\tI-NP\tO' -p297391 -aS'of\tof\tIN\tB-PP\tO' -p297392 -aS'free\tfree\tJJ\tB-NP\tO' -p297393 -aS'air\tair\tNN\tI-NP\tO' -p297394 -aS'is\tbe\tVBZ\tB-VP\tO' -p297395 -aS'seen\tsee\tVBN\tI-VP\tO' -p297396 -aS'in\tin\tIN\tB-PP\tO' -p297397 -aS'the\tthe\tDT\tB-NP\tO' -p297398 -aS'nondependent\tnondependent\tJJ\tI-NP\tO' -p297399 -aS'portion\tportion\tNN\tI-NP\tO' -p297400 -aS'of\tof\tIN\tB-PP\tO' -p297401 -aS'the\tthe\tDT\tB-NP\tO' -p297402 -aS'pelvis\tpelvis\tNN\tI-NP\tO' -p297403 -aS'.\t.\t.\tO\tO' -p297404 -asS'She was initially not started on antibiotics .' -p297405 -(lp297406 -S'She\tShe\tPRP\tB-NP\tO' -p297407 -aS'was\tbe\tVBD\tB-VP\tO' -p297408 -aS'initially\tinitially\tRB\tI-VP\tO' -p297409 -aS'not\tnot\tRB\tI-VP\tO' -p297410 -aS'started\tstart\tVBN\tI-VP\tO' -p297411 -aS'on\ton\tIN\tB-PP\tO' -p297412 -aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' -p297413 -aS'.\t.\t.\tO\tO' -p297414 -asS'Oropharynx clear .' -p297415 -(lp297416 -S'Oropharynx\tOropharynx\tNN\tB-NP\tO' -p297417 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p297418 -aS'.\t.\t.\tO\tO' -p297419 -asS'1) RIGHT LOWER EXTREMITY PSEUDOMONAS CELLULITIS .' -p297420 -(lp297421 -S'1)\t1)\tLS\tB-NP\tO' -p297422 -aS'RIGHT\tRIGHT\tNN\tI-NP\tO' -p297423 -aS'LOWER\tLOWER\tNN\tI-NP\tO' -p297424 -aS'EXTREMITY\tEXTREMITY\tNN\tI-NP\tO' -p297425 -aS'PSEUDOMONAS\tPSEUDOMONAS\tNN\tI-NP\tO' -p297426 -aS'CELLULITIS\tCELLULITIS\tNN\tI-NP\tO' -p297427 -aS'.\t.\t.\tO\tO' -p297428 -asS'She went to an outside hospital Emergency Room and was reassured and sent home .' -p297429 -(lp297430 -S'She\tShe\tPRP\tB-NP\tO' -p297431 -aS'went\tgo\tVBD\tB-VP\tO' -p297432 -aS'to\tto\tTO\tB-PP\tO' -p297433 -aS'an\tan\tDT\tB-NP\tO' -p297434 -aS'outside\toutside\tJJ\tI-NP\tO' -p297435 -aS'hospital\thospital\tNN\tI-NP\tO' -p297436 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p297437 -aS'Room\tRoom\tNNP\tI-NP\tO' -p297438 -aS'and\tand\tCC\tO\tO' -p297439 -aS'was\tbe\tVBD\tB-VP\tO' -p297440 -aS'reassured\treassure\tVBN\tI-VP\tO' -p297441 -aS'and\tand\tCC\tO\tO' -p297442 -aS'sent\tsend\tVBN\tB-VP\tO' -p297443 -aS'home\thome\tNN\tB-NP\tO' -p297444 -aS'.\t.\t.\tO\tO' -p297445 -asS'The patient was taken to the operating room on 2013-10-29 for a CABG x5 .' -p297446 -(lp297447 -S'The\tThe\tDT\tB-NP\tO' -p297448 -aS'patient\tpatient\tNN\tI-NP\tO' -p297449 -aS'was\tbe\tVBD\tB-VP\tO' -p297450 -aS'taken\ttake\tVBN\tI-VP\tO' -p297451 -aS'to\tto\tTO\tB-PP\tO' -p297452 -aS'the\tthe\tDT\tB-NP\tO' -p297453 -aS'operating\toperating\tNN\tI-NP\tO' -p297454 -aS'room\troom\tNN\tI-NP\tO' -p297455 -aS'on\ton\tIN\tB-PP\tO' -p297456 -aS'2013-10-29\t2013-10-29\tCD\tB-NP\tO' -p297457 -aS'for\tfor\tIN\tB-PP\tO' -p297458 -aS'a\ta\tDT\tB-NP\tO' -p297459 -aS'CABG\tCABG\tNN\tI-NP\tB-protein' -p297460 -aS'x5\tx5\tNN\tI-NP\tI-protein' -p297461 -aS'.\t.\t.\tO\tO' -p297462 -asS'She was on GI bleed precautions at all times , was too large for IV .' -p297463 -(lp297464 -S'She\tShe\tPRP\tB-NP\tO' -p297465 -aS'was\tbe\tVBD\tB-VP\tO' -p297466 -aS'on\ton\tIN\tB-PP\tO' -p297467 -aS'GI\tGI\tNN\tB-NP\tO' -p297468 -aS'bleed\tbleed\tNN\tI-NP\tO' -p297469 -aS'precautions\tprecaution\tNNS\tI-NP\tO' -p297470 -aS'at\tat\tIN\tB-PP\tO' -p297471 -aS'all\tall\tDT\tB-NP\tO' -p297472 -aS'times\ttime\tNNS\tI-NP\tO' -p297473 -aS',\t,\t,\tO\tO' -p297474 -aS'was\tbe\tVBD\tB-VP\tO' -p297475 -aS'too\ttoo\tRB\tB-ADJP\tO' -p297476 -aS'large\tlarge\tJJ\tI-ADJP\tO' -p297477 -aS'for\tfor\tIN\tB-PP\tO' -p297478 -aS'IV\tIV\tCD\tB-NP\tO' -p297479 -aS'.\t.\t.\tO\tO' -p297480 -asS'She is now able to be discharged home on her admission medications , with the exception of the fact that Vasotec was increased to 10 mg PO bid .' -p297481 -(lp297482 -S'She\tShe\tPRP\tB-NP\tO' -p297483 -aS'is\tbe\tVBZ\tB-VP\tO' -p297484 -aS'now\tnow\tRB\tB-ADVP\tO' -p297485 -aS'able\table\tJJ\tB-ADJP\tO' -p297486 -aS'to\tto\tTO\tB-VP\tO' -p297487 -aS'be\tbe\tVB\tI-VP\tO' -p297488 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p297489 -aS'home\thome\tNN\tB-ADVP\tO' -p297490 -aS'on\ton\tIN\tB-PP\tO' -p297491 -aS'her\ther\tPRP$\tB-NP\tO' -p297492 -aS'admission\tadmission\tNN\tI-NP\tO' -p297493 -aS'medications\tmedication\tNNS\tI-NP\tO' -p297494 -aS',\t,\t,\tO\tO' -p297495 -aS'with\twith\tIN\tB-PP\tO' -p297496 -aS'the\tthe\tDT\tB-NP\tO' -p297497 -aS'exception\texception\tNN\tI-NP\tO' -p297498 -aS'of\tof\tIN\tB-PP\tO' -p297499 -aS'the\tthe\tDT\tB-NP\tO' -p297500 -aS'fact\tfact\tNN\tI-NP\tO' -p297501 -aS'that\tthat\tIN\tB-SBAR\tO' -p297502 -aS'Vasotec\tVasotec\tNNP\tB-NP\tO' -p297503 -aS'was\tbe\tVBD\tB-VP\tO' -p297504 -aS'increased\tincrease\tVBN\tI-VP\tO' -p297505 -aS'to\tto\tTO\tB-PP\tO' -p297506 -aS'10\t10\tCD\tB-NP\tO' -p297507 -aS'mg\tmg\tNN\tI-NP\tO' -p297508 -aS'PO\tPO\tNN\tI-NP\tO' -p297509 -aS'bid\tbid\tNN\tI-NP\tO' -p297510 -aS'.\t.\t.\tO\tO' -p297511 -asS'As a small complication , the patient opened a left ankle wound post saphenous vein harvest , which persists up until now and is of a size 2 x 1 cm .' -p297512 -(lp297513 -S'As\tAs\tIN\tB-PP\tO' -p297514 -aS'a\ta\tDT\tB-NP\tO' -p297515 -aS'small\tsmall\tJJ\tI-NP\tO' -p297516 -aS'complication\tcomplication\tNN\tI-NP\tO' -p297517 -aS',\t,\t,\tO\tO' -p297518 -aS'the\tthe\tDT\tB-NP\tO' -p297519 -aS'patient\tpatient\tNN\tI-NP\tO' -p297520 -aS'opened\topen\tVBD\tB-VP\tO' -p297521 -aS'a\ta\tDT\tB-NP\tO' -p297522 -aS'left\tleft\tJJ\tI-NP\tO' -p297523 -aS'ankle\tankle\tNN\tI-NP\tO' -p297524 -aS'wound\twound\tNN\tI-NP\tO' -p297525 -aS'post\tpost\tNN\tI-NP\tO' -p297526 -aS'saphenous\tsaphenous\tJJ\tI-NP\tO' -p297527 -aS'vein\tvein\tNN\tI-NP\tO' -p297528 -aS'harvest\tharvest\tNN\tI-NP\tO' -p297529 -aS',\t,\t,\tO\tO' -p297530 -aS'which\twhich\tWDT\tB-NP\tO' -p297531 -aS'persists\tpersist\tVBZ\tB-VP\tO' -p297532 -aS'up\tup\tRP\tB-PRT\tO' -p297533 -aS'until\tuntil\tIN\tB-PP\tO' -p297534 -aS'now\tnow\tRB\tB-NP\tO' -p297535 -aS'and\tand\tCC\tO\tO' -p297536 -aS'is\tbe\tVBZ\tB-VP\tO' -p297537 -aS'of\tof\tIN\tB-PP\tO' -p297538 -aS'a\ta\tDT\tB-NP\tO' -p297539 -aS'size\tsize\tNN\tI-NP\tO' -p297540 -aS'2\t2\tCD\tI-NP\tO' -p297541 -aS'x\tx\tSYM\tI-NP\tO' -p297542 -aS'1\t1\tCD\tI-NP\tO' -p297543 -aS'cm\tcm\tNN\tI-NP\tO' -p297544 -aS'.\t.\t.\tO\tO' -p297545 -asS'Blood cultures grew out 4 out of 4 bottles for gram positive cocci , which thereafter proved to be Staph. aureus Methicillin sensitive .' -p297546 -(lp297547 -S'Blood\tBlood\tNN\tB-NP\tB-cell_line' -p297548 -aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' -p297549 -aS'grew\tgrow\tVBD\tB-VP\tO' -p297550 -aS'out\tout\tRP\tB-PRT\tO' -p297551 -aS'4\t4\tCD\tB-NP\tO' -p297552 -aS'out\tout\tIN\tI-NP\tO' -p297553 -aS'of\tof\tIN\tI-NP\tO' -p297554 -aS'4\t4\tCD\tI-NP\tO' -p297555 -aS'bottles\tbottle\tNNS\tI-NP\tO' -p297556 -aS'for\tfor\tIN\tB-PP\tO' -p297557 -aS'gram\tgram\tNN\tB-NP\tB-protein' -p297558 -aS'positive\tpositive\tJJ\tI-NP\tI-protein' -p297559 -aS'cocci\tcoccus\tNNS\tI-NP\tI-protein' -p297560 -aS',\t,\t,\tO\tO' -p297561 -aS'which\twhich\tWDT\tB-NP\tO' -p297562 -aS'thereafter\tthereafter\tRB\tB-ADVP\tO' -p297563 -aS'proved\tprove\tVBD\tB-VP\tO' -p297564 -aS'to\tto\tTO\tI-VP\tO' -p297565 -aS'be\tbe\tVB\tI-VP\tO' -p297566 -aS'Staph.\tStaph.\tFW\tB-NP\tO' -p297567 -aS'aureus\taureus\tFW\tI-NP\tO' -p297568 -aS'Methicillin\tMethicillin\tNN\tI-NP\tO' -p297569 -aS'sensitive\tsensitive\tJJ\tB-ADJP\tO' -p297570 -aS'.\t.\t.\tO\tO' -p297571 -asS'The patient ruled in for myocardial infarction with CPK maximum on hospital day number one peak of 186 and iso of 23.8 and index of 12.8 on September 2 , 1994 .' -p297572 -(lp297573 -S'The\tThe\tDT\tB-NP\tO' -p297574 -aS'patient\tpatient\tNN\tI-NP\tO' -p297575 -aS'ruled\trule\tVBD\tB-VP\tO' -p297576 -aS'in\tin\tIN\tB-PP\tO' -p297577 -aS'for\tfor\tIN\tB-PP\tO' -p297578 -aS'myocardial\tmyocardial\tJJ\tB-NP\tO' -p297579 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p297580 -aS'with\twith\tIN\tB-PP\tO' -p297581 -aS'CPK\tCPK\tNN\tB-NP\tB-protein' -p297582 -aS'maximum\tmaximum\tNN\tI-NP\tO' -p297583 -aS'on\ton\tIN\tB-PP\tO' -p297584 -aS'hospital\thospital\tNN\tB-NP\tO' -p297585 -aS'day\tday\tNN\tI-NP\tO' -p297586 -aS'number\tnumber\tNN\tI-NP\tO' -p297587 -aS'one\tone\tCD\tB-NP\tO' -p297588 -aS'peak\tpeak\tNN\tI-NP\tO' -p297589 -aS'of\tof\tIN\tB-PP\tO' -p297590 -aS'186\t186\tCD\tB-NP\tO' -p297591 -aS'and\tand\tCC\tO\tO' -p297592 -aS'iso\tiso\tNN\tB-NP\tO' -p297593 -aS'of\tof\tIN\tB-PP\tO' -p297594 -aS'23.8\t23.8\tCD\tB-NP\tO' -p297595 -aS'and\tand\tCC\tO\tO' -p297596 -aS'index\tindex\tNN\tB-NP\tO' -p297597 -aS'of\tof\tIN\tB-PP\tO' -p297598 -aS'12.8\t12.8\tCD\tB-NP\tO' -p297599 -aS'on\ton\tIN\tB-PP\tO' -p297600 -aS'September\tSeptember\tNNP\tB-NP\tO' -p297601 -aS'2\t2\tCD\tI-NP\tO' -p297602 -aS',\t,\t,\tI-NP\tO' -p297603 -aS'1994\t1994\tCD\tI-NP\tO' -p297604 -aS'.\t.\t.\tO\tO' -p297605 -asS'The patient 's liver function tests appeared to improve .' -p297606 -(lp297607 -S'The\tThe\tDT\tB-NP\tO' -p297608 -aS'patient\tpatient\tNN\tI-NP\tO' -p297609 -aS''s\t'\tNNS\tI-NP\tO' -p297610 -aS'liver\tliver\tNN\tI-NP\tO' -p297611 -aS'function\tfunction\tNN\tI-NP\tO' -p297612 -aS'tests\ttest\tNNS\tI-NP\tO' -p297613 -aS'appeared\tappear\tVBD\tB-VP\tO' -p297614 -aS'to\tto\tTO\tI-VP\tO' -p297615 -aS'improve\timprove\tVB\tI-VP\tO' -p297616 -aS'.\t.\t.\tO\tO' -p297617 -asS'1. Carotid stenosis .' -p297618 -(lp297619 -S'1.\t1.\tLS\tB-NP\tO' -p297620 -aS'Carotid\tCarotid\tNN\tI-NP\tO' -p297621 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p297622 -aS'.\t.\t.\tO\tO' -p297623 -asS'He was noted to be in rapid AF on several episodes receiving 5 mg IV Lopressor each time with improvement .' -p297624 -(lp297625 -S'He\tHe\tPRP\tB-NP\tO' -p297626 -aS'was\tbe\tVBD\tB-VP\tO' -p297627 -aS'noted\tnote\tVBN\tI-VP\tO' -p297628 -aS'to\tto\tTO\tI-VP\tO' -p297629 -aS'be\tbe\tVB\tI-VP\tO' -p297630 -aS'in\tin\tIN\tB-PP\tO' -p297631 -aS'rapid\trapid\tJJ\tB-NP\tO' -p297632 -aS'AF\tAF\tNN\tI-NP\tO' -p297633 -aS'on\ton\tIN\tB-PP\tO' -p297634 -aS'several\tseveral\tJJ\tB-NP\tO' -p297635 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p297636 -aS'receiving\treceive\tVBG\tB-VP\tO' -p297637 -aS'5\t5\tCD\tB-NP\tO' -p297638 -aS'mg\tmg\tNN\tI-NP\tO' -p297639 -aS'IV\tIV\tCD\tB-NP\tO' -p297640 -aS'Lopressor\tLopressor\tNN\tI-NP\tO' -p297641 -aS'each\teach\tDT\tB-NP\tO' -p297642 -aS'time\ttime\tNN\tI-NP\tO' -p297643 -aS'with\twith\tIN\tB-PP\tO' -p297644 -aS'improvement\timprovement\tNN\tB-NP\tO' -p297645 -aS'.\t.\t.\tO\tO' -p297646 -asS'2. ESRD on hemodialysis started 2017-01-07 on Tu , Th , Sat' -p297647 -(lp297648 -S'2.\t2.\tLS\tB-NP\tO' -p297649 -aS'ESRD\tESRD\tNN\tI-NP\tO' -p297650 -aS'on\ton\tIN\tB-PP\tO' -p297651 -aS'hemodialysis\themodialysis\tNN\tB-NP\tO' -p297652 -aS'started\tstart\tVBD\tB-VP\tO' -p297653 -aS'2017-01-07\t2017-01-07\tCD\tB-NP\tO' -p297654 -aS'on\ton\tIN\tB-PP\tO' -p297655 -aS'Tu\tTu\tNNP\tB-NP\tO' -p297656 -aS',\t,\t,\tO\tO' -p297657 -aS'Th\tTh\tNNP\tB-NP\tO' -p297658 -aS',\t,\t,\tO\tO' -p297659 -aS'Sat\tSat\tNNP\tB-NP\tO' -p297660 -asS'There is moderate pulmonary artery systolic hypertension .' -p297661 -(lp297662 -S'There\tThere\tEX\tB-NP\tO' -p297663 -aS'is\tbe\tVBZ\tB-VP\tO' -p297664 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p297665 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p297666 -aS'artery\tartery\tNN\tI-NP\tO' -p297667 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p297668 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p297669 -aS'.\t.\t.\tO\tO' -p297670 -asS'She has noticed some generalized hoarseness in her voice for the past 5-6 months .' -p297671 -(lp297672 -S'She\tShe\tPRP\tB-NP\tO' -p297673 -aS'has\thave\tVBZ\tB-VP\tO' -p297674 -aS'noticed\tnotice\tVBN\tI-VP\tO' -p297675 -aS'some\tsome\tDT\tB-NP\tO' -p297676 -aS'generalized\tgeneralize\tVBN\tI-NP\tO' -p297677 -aS'hoarseness\thoarseness\tNN\tI-NP\tO' -p297678 -aS'in\tin\tIN\tB-PP\tO' -p297679 -aS'her\ther\tPRP$\tB-NP\tO' -p297680 -aS'voice\tvoice\tNN\tI-NP\tO' -p297681 -aS'for\tfor\tIN\tB-PP\tO' -p297682 -aS'the\tthe\tDT\tB-NP\tO' -p297683 -aS'past\tpast\tJJ\tI-NP\tO' -p297684 -aS'5-6\t5-6\tCD\tI-NP\tO' -p297685 -aS'months\tmonth\tNNS\tI-NP\tO' -p297686 -aS'.\t.\t.\tO\tO' -p297687 -asS'A groin line was placed and the patient was sedated and paralyzed .' -p297688 -(lp297689 -S'A\tA\tDT\tB-NP\tO' -p297690 -aS'groin\tgroin\tNN\tI-NP\tO' -p297691 -aS'line\tline\tNN\tI-NP\tO' -p297692 -aS'was\tbe\tVBD\tB-VP\tO' -p297693 -aS'placed\tplace\tVBN\tI-VP\tO' -p297694 -aS'and\tand\tCC\tO\tO' -p297695 -aS'the\tthe\tDT\tB-NP\tO' -p297696 -aS'patient\tpatient\tNN\tI-NP\tO' -p297697 -aS'was\tbe\tVBD\tB-VP\tO' -p297698 -aS'sedated\tsedate\tVBN\tI-VP\tO' -p297699 -aS'and\tand\tCC\tO\tO' -p297700 -aS'paralyzed\tparalyze\tVBN\tB-VP\tO' -p297701 -aS'.\t.\t.\tO\tO' -p297702 -asS'4. He is also instructed to follow-up with Vascular Surgery and Podiatry for revascularization at the appropriate time frame .' -p297703 -(lp297704 -S'4.\t4.\tLS\tB-LST\tO' -p297705 -aS'He\tHe\tPRP\tB-NP\tB-DNA' -p297706 -aS'is\tbe\tVBZ\tB-VP\tO' -p297707 -aS'also\talso\tRB\tI-VP\tO' -p297708 -aS'instructed\tinstruct\tVBN\tI-VP\tO' -p297709 -aS'to\tto\tTO\tI-VP\tO' -p297710 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p297711 -aS'with\twith\tIN\tB-PP\tO' -p297712 -aS'Vascular\tVascular\tNNP\tB-NP\tO' -p297713 -aS'Surgery\tSurgery\tNNP\tI-NP\tO' -p297714 -aS'and\tand\tCC\tI-NP\tO' -p297715 -aS'Podiatry\tPodiatry\tNNP\tI-NP\tO' -p297716 -aS'for\tfor\tIN\tB-PP\tO' -p297717 -aS'revascularization\trevascularization\tNN\tB-NP\tO' -p297718 -aS'at\tat\tIN\tB-PP\tO' -p297719 -aS'the\tthe\tDT\tB-NP\tO' -p297720 -aS'appropriate\tappropriate\tJJ\tI-NP\tO' -p297721 -aS'time\ttime\tNN\tI-NP\tO' -p297722 -aS'frame\tframe\tNN\tI-NP\tO' -p297723 -aS'.\t.\t.\tO\tO' -p297724 -asS'His ACE inhibitor post MI was initially held due to his creatinine .' -p297725 -(lp297726 -S'His\tHis\tPRP$\tB-NP\tO' -p297727 -aS'ACE\tACE\tNN\tI-NP\tO' -p297728 -aS'inhibitor\tinhibitor\tNN\tI-NP\tO' -p297729 -aS'post\tpost\tNN\tI-NP\tO' -p297730 -aS'MI\tMI\tNN\tI-NP\tO' -p297731 -aS'was\tbe\tVBD\tB-VP\tO' -p297732 -aS'initially\tinitially\tRB\tI-VP\tO' -p297733 -aS'held\thold\tVBN\tI-VP\tO' -p297734 -aS'due\tdue\tJJ\tB-ADJP\tO' -p297735 -aS'to\tto\tTO\tB-PP\tO' -p297736 -aS'his\this\tPRP$\tB-NP\tO' -p297737 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p297738 -aS'.\t.\t.\tO\tO' -p297739 -asS'Abx changed to vanc , zosyn , cipro , fluc , azith .' -p297740 -(lp297741 -S'Abx\tAbx\tNN\tB-NP\tB-protein' -p297742 -aS'changed\tchange\tVBD\tB-VP\tO' -p297743 -aS'to\tto\tTO\tB-PP\tO' -p297744 -aS'vanc\tvanc\tNN\tB-NP\tO' -p297745 -aS',\t,\t,\tO\tO' -p297746 -aS'zosyn\tzosyn\tNN\tB-NP\tO' -p297747 -aS',\t,\t,\tO\tO' -p297748 -aS'cipro\tcipro\tNN\tB-NP\tO' -p297749 -aS',\t,\t,\tO\tO' -p297750 -aS'fluc\tfluc\tNN\tB-NP\tO' -p297751 -aS',\t,\t,\tO\tO' -p297752 -aS'azith\tazith\tNN\tB-NP\tO' -p297753 -aS'.\t.\t.\tO\tO' -p297754 -asS"1. No evidence of colitis or other bowel pathology present to explain the patient 's bright red blood per rectum ." -p297755 -(lp297756 -S'1.\t1.\tLS\tB-LST\tO' -p297757 -aS'No\tNo\tDT\tB-NP\tO' -p297758 -aS'evidence\tevidence\tNN\tI-NP\tO' -p297759 -aS'of\tof\tIN\tB-PP\tO' -p297760 -aS'colitis\tcolitis\tNN\tB-NP\tO' -p297761 -aS'or\tor\tCC\tO\tO' -p297762 -aS'other\tother\tJJ\tB-NP\tO' -p297763 -aS'bowel\tbowel\tNN\tI-NP\tO' -p297764 -aS'pathology\tpathology\tNN\tI-NP\tO' -p297765 -aS'present\tpresent\tVBP\tB-VP\tO' -p297766 -aS'to\tto\tTO\tI-VP\tO' -p297767 -aS'explain\texplain\tVB\tI-VP\tO' -p297768 -aS'the\tthe\tDT\tB-NP\tO' -p297769 -aS'patient\tpatient\tNN\tI-NP\tO' -p297770 -aS"'s\t's\tPOS\tB-NP\tO" -p297771 -aS'bright\tbright\tJJ\tI-NP\tO' -p297772 -aS'red\tred\tJJ\tI-NP\tO' -p297773 -aS'blood\tblood\tNN\tI-NP\tO' -p297774 -aS'per\tper\tIN\tB-PP\tO' -p297775 -aS'rectum\trectum\tNN\tB-NP\tO' -p297776 -aS'.\t.\t.\tO\tO' -p297777 -asS'The patient also had proximal RCA lesion of 80% and a mid RCA lesion of 80-90% which were not intervened upon .' -p297778 -(lp297779 -S'The\tThe\tDT\tB-NP\tO' -p297780 -aS'patient\tpatient\tNN\tI-NP\tO' -p297781 -aS'also\talso\tRB\tB-ADVP\tO' -p297782 -aS'had\thave\tVBD\tB-VP\tO' -p297783 -aS'proximal\tproximal\tJJ\tB-NP\tO' -p297784 -aS'RCA\tRCA\tNN\tI-NP\tO' -p297785 -aS'lesion\tlesion\tNN\tI-NP\tO' -p297786 -aS'of\tof\tIN\tB-PP\tO' -p297787 -aS'80%\t80%\tNN\tB-NP\tO' -p297788 -aS'and\tand\tCC\tO\tO' -p297789 -aS'a\ta\tDT\tB-NP\tO' -p297790 -aS'mid\tmid\tJJ\tI-NP\tO' -p297791 -aS'RCA\tRCA\tNN\tI-NP\tO' -p297792 -aS'lesion\tlesion\tNN\tI-NP\tO' -p297793 -aS'of\tof\tIN\tB-PP\tO' -p297794 -aS'80-90%\t80-90%\tCD\tB-NP\tO' -p297795 -aS'which\twhich\tWDT\tB-NP\tO' -p297796 -aS'were\tbe\tVBD\tB-VP\tO' -p297797 -aS'not\tnot\tRB\tI-VP\tO' -p297798 -aS'intervened\tintervene\tVBN\tI-VP\tO' -p297799 -aS'upon\tupon\tIN\tB-PP\tO' -p297800 -aS'.\t.\t.\tO\tO' -p297801 -asS'Your patient was admitted under the care of TUBBOLM , LISSWHITI N with a preliminary diagnosis of PNEUMONIA .' -p297802 -(lp297803 -S'Your\tYour\tPRP$\tB-NP\tO' -p297804 -aS'patient\tpatient\tNN\tI-NP\tO' -p297805 -aS'was\tbe\tVBD\tB-VP\tO' -p297806 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p297807 -aS'under\tunder\tIN\tB-PP\tO' -p297808 -aS'the\tthe\tDT\tB-NP\tO' -p297809 -aS'care\tcare\tNN\tI-NP\tO' -p297810 -aS'of\tof\tIN\tB-PP\tO' -p297811 -aS'TUBBOLM\tTUBBOLM\tNN\tB-NP\tO' -p297812 -aS',\t,\t,\tO\tO' -p297813 -aS'LISSWHITI\tLISSWHITI\tNNP\tB-NP\tO' -p297814 -aS'N\tN\tNNP\tI-NP\tO' -p297815 -aS'with\twith\tIN\tB-PP\tO' -p297816 -aS'a\ta\tDT\tB-NP\tO' -p297817 -aS'preliminary\tpreliminary\tJJ\tI-NP\tO' -p297818 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p297819 -aS'of\tof\tIN\tB-PP\tO' -p297820 -aS'PNEUMONIA\tPNEUMONIA\tNN\tB-NP\tO' -p297821 -aS'.\t.\t.\tO\tO' -p297822 -asS'From a pulmonary standpoint , he continued to complain of shortness of breath .' -p297823 -(lp297824 -S'From\tFrom\tIN\tB-PP\tO' -p297825 -aS'a\ta\tDT\tB-NP\tO' -p297826 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p297827 -aS'standpoint\tstandpoint\tNN\tI-NP\tO' -p297828 -aS',\t,\t,\tO\tO' -p297829 -aS'he\the\tPRP\tB-NP\tO' -p297830 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p297831 -aS'to\tto\tTO\tI-VP\tO' -p297832 -aS'complain\tcomplain\tVB\tI-VP\tO' -p297833 -aS'of\tof\tIN\tB-PP\tO' -p297834 -aS'shortness\tshortness\tNN\tB-NP\tO' -p297835 -aS'of\tof\tIN\tB-PP\tO' -p297836 -aS'breath\tbreath\tNN\tB-NP\tO' -p297837 -aS'.\t.\t.\tO\tO' -p297838 -asS'It is unclear from history what these studies revealed .' -p297839 -(lp297840 -S'It\tIt\tPRP\tB-NP\tO' -p297841 -aS'is\tbe\tVBZ\tB-VP\tO' -p297842 -aS'unclear\tunclear\tJJ\tB-ADJP\tO' -p297843 -aS'from\tfrom\tIN\tB-PP\tO' -p297844 -aS'history\thistory\tNN\tB-NP\tO' -p297845 -aS'what\twhat\tWP\tB-NP\tO' -p297846 -aS'these\tthese\tDT\tB-NP\tO' -p297847 -aS'studies\tstudy\tNNS\tI-NP\tO' -p297848 -aS'revealed\treveal\tVBD\tB-VP\tO' -p297849 -aS'.\t.\t.\tO\tO' -p297850 -asS'The patient was brought to the Operating Room on February 6 , 1994 where she underwent rigid and flexible bronchoscopy and upper gastrointestinal endoscopy .' -p297851 -(lp297852 -S'The\tThe\tDT\tB-NP\tO' -p297853 -aS'patient\tpatient\tNN\tI-NP\tO' -p297854 -aS'was\tbe\tVBD\tB-VP\tO' -p297855 -aS'brought\tbring\tVBN\tI-VP\tO' -p297856 -aS'to\tto\tTO\tB-PP\tO' -p297857 -aS'the\tthe\tDT\tB-NP\tO' -p297858 -aS'Operating\tOperating\tNNP\tI-NP\tO' -p297859 -aS'Room\tRoom\tNNP\tI-NP\tO' -p297860 -aS'on\ton\tIN\tB-PP\tO' -p297861 -aS'February\tFebruary\tNNP\tB-NP\tO' -p297862 -aS'6\t6\tCD\tI-NP\tO' -p297863 -aS',\t,\t,\tI-NP\tO' -p297864 -aS'1994\t1994\tCD\tI-NP\tO' -p297865 -aS'where\twhere\tWRB\tB-ADVP\tO' -p297866 -aS'she\tshe\tPRP\tB-NP\tO' -p297867 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p297868 -aS'rigid\trigid\tJJ\tB-NP\tO' -p297869 -aS'and\tand\tCC\tI-NP\tO' -p297870 -aS'flexible\tflexible\tJJ\tI-NP\tO' -p297871 -aS'bronchoscopy\tbronchoscopy\tNN\tI-NP\tO' -p297872 -aS'and\tand\tCC\tO\tO' -p297873 -aS'upper\tupper\tJJ\tB-NP\tO' -p297874 -aS'gastrointestinal\tgastrointestinal\tJJ\tI-NP\tO' -p297875 -aS'endoscopy\tendoscopy\tNN\tI-NP\tO' -p297876 -aS'.\t.\t.\tO\tO' -p297877 -asS'Left knee injury .' -p297878 -(lp297879 -S'Left\tLeave\tVBN\tB-NP\tO' -p297880 -aS'knee\tknee\tNN\tI-NP\tO' -p297881 -aS'injury\tinjury\tNN\tI-NP\tO' -p297882 -aS'.\t.\t.\tO\tO' -p297883 -asS'He denied any melana , any hematemesis , nausea or vomiting .' -p297884 -(lp297885 -S'He\tHe\tPRP\tB-NP\tO' -p297886 -aS'denied\tdeny\tVBD\tB-VP\tO' -p297887 -aS'any\tany\tDT\tB-NP\tO' -p297888 -aS'melana\tmelana\tNN\tI-NP\tO' -p297889 -aS',\t,\t,\tO\tO' -p297890 -aS'any\tany\tDT\tB-NP\tO' -p297891 -aS'hematemesis\thematemesis\tNN\tI-NP\tO' -p297892 -aS',\t,\t,\tI-NP\tO' -p297893 -aS'nausea\tnausea\tNN\tI-NP\tO' -p297894 -aS'or\tor\tCC\tI-NP\tO' -p297895 -aS'vomiting\tvomiting\tNN\tI-NP\tO' -p297896 -aS'.\t.\t.\tO\tO' -p297897 -asS'The pupils were bilaterally 4.5 mm and had been dilated at the Purckecation Balpoingdelt Pabarnes- Campa Memorial Hospital .' -p297898 -(lp297899 -S'The\tThe\tDT\tB-NP\tO' -p297900 -aS'pupils\tpupil\tNNS\tI-NP\tO' -p297901 -aS'were\tbe\tVBD\tB-VP\tO' -p297902 -aS'bilaterally\tbilaterally\tRB\tB-NP\tO' -p297903 -aS'4.5\t4.5\tCD\tI-NP\tO' -p297904 -aS'mm\tmm\tNN\tI-NP\tO' -p297905 -aS'and\tand\tCC\tO\tO' -p297906 -aS'had\thave\tVBD\tB-VP\tO' -p297907 -aS'been\tbe\tVBN\tI-VP\tO' -p297908 -aS'dilated\tdilate\tVBN\tI-VP\tO' -p297909 -aS'at\tat\tIN\tB-PP\tO' -p297910 -aS'the\tthe\tDT\tB-NP\tO' -p297911 -aS'Purckecation\tPurckecation\tNNP\tI-NP\tO' -p297912 -aS'Balpoingdelt\tBalpoingdelt\tNNP\tI-NP\tO' -p297913 -aS'Pabarnes-\tPabarnes-\tNNP\tI-NP\tO' -p297914 -aS'Campa\tCampa\tNNP\tI-NP\tO' -p297915 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p297916 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p297917 -aS'.\t.\t.\tO\tO' -p297918 -asS'He was diuresed with lasix with good effect .' -p297919 -(lp297920 -S'He\tHe\tPRP\tB-NP\tO' -p297921 -aS'was\tbe\tVBD\tB-VP\tO' -p297922 -aS'diuresed\tdiurese\tVBN\tI-VP\tO' -p297923 -aS'with\twith\tIN\tB-PP\tO' -p297924 -aS'lasix\tlasix\tNN\tB-NP\tO' -p297925 -aS'with\twith\tIN\tB-PP\tO' -p297926 -aS'good\tgood\tJJ\tB-NP\tO' -p297927 -aS'effect\teffect\tNN\tI-NP\tO' -p297928 -aS'.\t.\t.\tO\tO' -p297929 -asS'By postoperative day # 7 , Mr. Fyfe was tolerating a regular ADA 1800 kilocalorie diet without difficulty with all of his tubes and drains removed .' -p297930 -(lp297931 -S'By\tBy\tIN\tB-PP\tO' -p297932 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p297933 -aS'day\tday\tNN\tI-NP\tO' -p297934 -aS'#\t#\t#\tB-NP\tO' -p297935 -aS'7\t7\tCD\tI-NP\tO' -p297936 -aS',\t,\t,\tO\tO' -p297937 -aS'Mr.\tMr.\tNNP\tB-NP\tO' -p297938 -aS'Fyfe\tFyfe\tNNP\tI-NP\tO' -p297939 -aS'was\tbe\tVBD\tB-VP\tO' -p297940 -aS'tolerating\ttolerate\tVBG\tI-VP\tO' -p297941 -aS'a\ta\tDT\tB-NP\tO' -p297942 -aS'regular\tregular\tJJ\tI-NP\tO' -p297943 -aS'ADA\tADA\tNN\tI-NP\tO' -p297944 -aS'1800\t1800\tCD\tI-NP\tO' -p297945 -aS'kilocalorie\tkilocalorie\tNN\tI-NP\tO' -p297946 -aS'diet\tdiet\tNN\tI-NP\tO' -p297947 -aS'without\twithout\tIN\tB-PP\tO' -p297948 -aS'difficulty\tdifficulty\tNN\tB-NP\tO' -p297949 -aS'with\twith\tIN\tB-PP\tO' -p297950 -aS'all\tall\tDT\tB-NP\tO' -p297951 -aS'of\tof\tIN\tB-PP\tO' -p297952 -aS'his\this\tPRP$\tB-NP\tO' -p297953 -aS'tubes\ttube\tNNS\tI-NP\tO' -p297954 -aS'and\tand\tCC\tI-NP\tO' -p297955 -aS'drains\tdrain\tNNS\tI-NP\tO' -p297956 -aS'removed\tremove\tVBN\tB-VP\tO' -p297957 -aS'.\t.\t.\tO\tO' -p297958 -asS'# Resp : Patient was intermitentely switched from AC to Pressure support trials .' -p297959 -(lp297960 -S'#\t#\t#\tB-NP\tO' -p297961 -aS'Resp\tResp\tNN\tI-NP\tO' -p297962 -aS':\t:\t:\tO\tO' -p297963 -aS'Patient\tPatient\tNN\tB-NP\tO' -p297964 -aS'was\tbe\tVBD\tB-VP\tO' -p297965 -aS'intermitentely\tintermitentely\tRB\tI-VP\tO' -p297966 -aS'switched\tswitch\tVBN\tI-VP\tO' -p297967 -aS'from\tfrom\tIN\tB-PP\tO' -p297968 -aS'AC\tAC\tNN\tB-NP\tO' -p297969 -aS'to\tto\tTO\tB-VP\tO' -p297970 -aS'Pressure\tPressure\tVB\tI-VP\tO' -p297971 -aS'support\tsupport\tNN\tB-NP\tO' -p297972 -aS'trials\ttrial\tNNS\tI-NP\tO' -p297973 -aS'.\t.\t.\tO\tO' -p297974 -asS'Demerol .' -p297975 -(lp297976 -S'Demerol\tDemerol\tNN\tB-NP\tO' -p297977 -aS'.\t.\t.\tO\tO' -p297978 -asS'Sed rate was 58 and repeat 75 .' -p297979 -(lp297980 -S'Sed\tSe\tVBN\tB-NP\tO' -p297981 -aS'rate\trate\tNN\tI-NP\tO' -p297982 -aS'was\tbe\tVBD\tB-VP\tO' -p297983 -aS'58\t58\tCD\tB-NP\tO' -p297984 -aS'and\tand\tCC\tO\tO' -p297985 -aS'repeat\trepeat\tNN\tB-NP\tO' -p297986 -aS'75\t75\tCD\tI-NP\tO' -p297987 -aS'.\t.\t.\tO\tO' -p297988 -asS'However , this was felt to be due to her significant infection .' -p297989 -(lp297990 -S'However\tHowever\tRB\tB-ADVP\tO' -p297991 -aS',\t,\t,\tO\tO' -p297992 -aS'this\tthis\tDT\tB-NP\tO' -p297993 -aS'was\tbe\tVBD\tB-VP\tO' -p297994 -aS'felt\tfeel\tVBN\tI-VP\tO' -p297995 -aS'to\tto\tTO\tI-VP\tO' -p297996 -aS'be\tbe\tVB\tI-VP\tO' -p297997 -aS'due\tdue\tIN\tB-PP\tO' -p297998 -aS'to\tto\tTO\tB-PP\tO' -p297999 -aS'her\ther\tPRP$\tB-NP\tO' -p298000 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p298001 -aS'infection\tinfection\tNN\tI-NP\tO' -p298002 -aS'.\t.\t.\tO\tO' -p298003 -asS'please take your medications and call your doctor if you experience chest pain , abdominal pain or shortness of breath or any thoughts of hurting yourself or anyone else .' -p298004 -(lp298005 -S'please\tplease\tVB\tB-INTJ\tO' -p298006 -aS'take\ttake\tVB\tB-VP\tO' -p298007 -aS'your\tyour\tPRP$\tB-NP\tO' -p298008 -aS'medications\tmedication\tNNS\tI-NP\tO' -p298009 -aS'and\tand\tCC\tO\tO' -p298010 -aS'call\tcall\tVB\tB-VP\tO' -p298011 -aS'your\tyour\tPRP$\tB-NP\tO' -p298012 -aS'doctor\tdoctor\tNN\tI-NP\tO' -p298013 -aS'if\tif\tIN\tB-SBAR\tO' -p298014 -aS'you\tyou\tPRP\tB-NP\tO' -p298015 -aS'experience\texperience\tVBP\tB-VP\tO' -p298016 -aS'chest\tchest\tNN\tB-NP\tO' -p298017 -aS'pain\tpain\tNN\tI-NP\tO' -p298018 -aS',\t,\t,\tO\tO' -p298019 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p298020 -aS'pain\tpain\tNN\tI-NP\tO' -p298021 -aS'or\tor\tCC\tI-NP\tO' -p298022 -aS'shortness\tshortness\tNN\tI-NP\tO' -p298023 -aS'of\tof\tIN\tB-PP\tO' -p298024 -aS'breath\tbreath\tNN\tB-NP\tO' -p298025 -aS'or\tor\tCC\tO\tO' -p298026 -aS'any\tany\tDT\tB-NP\tO' -p298027 -aS'thoughts\tthought\tNNS\tI-NP\tO' -p298028 -aS'of\tof\tIN\tB-PP\tO' -p298029 -aS'hurting\thurt\tVBG\tB-VP\tO' -p298030 -aS'yourself\tyourself\tPRP\tB-NP\tO' -p298031 -aS'or\tor\tCC\tO\tO' -p298032 -aS'anyone\tanyone\tNN\tB-NP\tO' -p298033 -aS'else\telse\tRB\tI-NP\tO' -p298034 -aS'.\t.\t.\tO\tO' -p298035 -asS'3. Senna 8.6 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ) as needed for constipation .' -p298036 -(lp298037 -S'3.\t3.\tLS\tB-LST\tO' -p298038 -aS'Senna\tSenna\tNNP\tB-NP\tO' -p298039 -aS'8.6\t8.6\tCD\tI-NP\tO' -p298040 -aS'mg\tmg\tNN\tI-NP\tO' -p298041 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p298042 -aS'Sig\tSig\tNNP\tI-NP\tO' -p298043 -aS':\t:\t:\tO\tO' -p298044 -aS'One\tOne\tCD\tB-NP\tO' -p298045 -aS'(\t(\t(\tO\tO' -p298046 -aS'1\t1\tCD\tB-NP\tO' -p298047 -aS')\t)\t)\tO\tO' -p298048 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p298049 -aS'PO\tPO\tNN\tI-NP\tO' -p298050 -aS'BID\tBID\tNN\tI-NP\tO' -p298051 -aS'(\t(\t(\tO\tO' -p298052 -aS'2\t2\tCD\tB-NP\tO' -p298053 -aS'times\ttime\tNNS\tI-NP\tO' -p298054 -aS'a\ta\tDT\tB-NP\tO' -p298055 -aS'day\tday\tNN\tI-NP\tO' -p298056 -aS')\t)\t)\tO\tO' -p298057 -aS'as\tas\tIN\tB-SBAR\tO' -p298058 -aS'needed\tneed\tVBN\tB-VP\tO' -p298059 -aS'for\tfor\tIN\tB-PP\tO' -p298060 -aS'constipation\tconstipation\tNN\tB-NP\tO' -p298061 -aS'.\t.\t.\tO\tO' -p298062 -asS'The patient reports the pain began at 4:00 p.m. on the day of admission .' -p298063 -(lp298064 -S'The\tThe\tDT\tB-NP\tO' -p298065 -aS'patient\tpatient\tNN\tI-NP\tO' -p298066 -aS'reports\treport\tVBZ\tB-VP\tO' -p298067 -aS'the\tthe\tDT\tB-NP\tO' -p298068 -aS'pain\tpain\tNN\tI-NP\tO' -p298069 -aS'began\tbegin\tVBD\tB-VP\tO' -p298070 -aS'at\tat\tIN\tB-PP\tO' -p298071 -aS'4:00\t4:00\tCD\tB-NP\tO' -p298072 -aS'p.m.\tp.m.\tNN\tI-NP\tO' -p298073 -aS'on\ton\tIN\tB-PP\tO' -p298074 -aS'the\tthe\tDT\tB-NP\tO' -p298075 -aS'day\tday\tNN\tI-NP\tO' -p298076 -aS'of\tof\tIN\tB-PP\tO' -p298077 -aS'admission\tadmission\tNN\tB-NP\tO' -p298078 -aS'.\t.\t.\tO\tO' -p298079 -asS'Abdominal CT scan on 2/21/00 - Study revealed a prominent pancreas with associated mesenteric stranding .' -p298080 -(lp298081 -S'Abdominal\tAbdominal\tJJ\tB-NP\tO' -p298082 -aS'CT\tCT\tNN\tI-NP\tO' -p298083 -aS'scan\tscan\tNN\tI-NP\tO' -p298084 -aS'on\ton\tIN\tB-PP\tO' -p298085 -aS'2/21/00\t2/21/00\tCD\tB-NP\tO' -p298086 -aS'-\t-\tHYPH\tI-NP\tO' -p298087 -aS'Study\tStudy\tNN\tI-NP\tO' -p298088 -aS'revealed\treveal\tVBD\tB-VP\tO' -p298089 -aS'a\ta\tDT\tB-NP\tO' -p298090 -aS'prominent\tprominent\tJJ\tI-NP\tO' -p298091 -aS'pancreas\tpancreas\tNN\tI-NP\tO' -p298092 -aS'with\twith\tIN\tB-PP\tO' -p298093 -aS'associated\tassociate\tVBN\tB-NP\tO' -p298094 -aS'mesenteric\tmesenteric\tJJ\tI-NP\tO' -p298095 -aS'stranding\tstranding\tNN\tI-NP\tO' -p298096 -aS'.\t.\t.\tO\tO' -p298097 -asS'3 ) Digoxin 0.125 mg p.o. q. day .' -p298098 -(lp298099 -S'3\t3\tLS\tB-LST\tO' -p298100 -aS')\t)\t)\tO\tO' -p298101 -aS'Digoxin\tDigoxin\tNN\tB-NP\tO' -p298102 -aS'0.125\t0.125\tCD\tI-NP\tO' -p298103 -aS'mg\tmg\tNN\tI-NP\tO' -p298104 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p298105 -aS'q.\tq.\tNN\tI-NP\tO' -p298106 -aS'day\tday\tNN\tI-NP\tO' -p298107 -aS'.\t.\t.\tO\tO' -p298108 -asS'The patient received three days of chemotherapy , consisting of 45 mg. of Cisplatin 160 mg. of VP 16 , and tolerated chemotherapy resonably well .' -p298109 -(lp298110 -S'The\tThe\tDT\tB-NP\tO' -p298111 -aS'patient\tpatient\tNN\tI-NP\tO' -p298112 -aS'received\treceive\tVBD\tB-VP\tO' -p298113 -aS'three\tthree\tCD\tB-NP\tO' -p298114 -aS'days\tday\tNNS\tI-NP\tO' -p298115 -aS'of\tof\tIN\tB-PP\tO' -p298116 -aS'chemotherapy\tchemotherapy\tNN\tB-NP\tO' -p298117 -aS',\t,\t,\tO\tO' -p298118 -aS'consisting\tconsist\tVBG\tB-VP\tO' -p298119 -aS'of\tof\tIN\tB-PP\tO' -p298120 -aS'45\t45\tCD\tB-NP\tO' -p298121 -aS'mg.\tmg.\tNN\tI-NP\tO' -p298122 -aS'of\tof\tIN\tB-PP\tO' -p298123 -aS'Cisplatin\tCisplatin\tNN\tB-NP\tO' -p298124 -aS'160\t160\tCD\tI-NP\tO' -p298125 -aS'mg.\tmg.\tNN\tI-NP\tO' -p298126 -aS'of\tof\tIN\tB-PP\tO' -p298127 -aS'VP\tVP\tNN\tB-NP\tB-protein' -p298128 -aS'16\t16\tCD\tI-NP\tI-protein' -p298129 -aS',\t,\t,\tO\tO' -p298130 -aS'and\tand\tCC\tO\tO' -p298131 -aS'tolerated\ttolerate\tVBN\tB-NP\tO' -p298132 -aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' -p298133 -aS'resonably\tresonably\tRB\tB-ADVP\tO' -p298134 -aS'well\twell\tRB\tI-ADVP\tO' -p298135 -aS'.\t.\t.\tO\tO' -p298136 -asS'He was volume resuscitated and managed with D5W and lasix as well as receving FW boluses with his NG tube feeds .' -p298137 -(lp298138 -S'He\tHe\tPRP\tB-NP\tO' -p298139 -aS'was\tbe\tVBD\tB-VP\tO' -p298140 -aS'volume\tvolume\tNN\tB-NP\tO' -p298141 -aS'resuscitated\tresuscitate\tVBN\tB-VP\tO' -p298142 -aS'and\tand\tCC\tO\tO' -p298143 -aS'managed\tmanage\tVBN\tB-VP\tO' -p298144 -aS'with\twith\tIN\tB-PP\tO' -p298145 -aS'D5W\tD5W\tNN\tB-NP\tB-protein' -p298146 -aS'and\tand\tCC\tI-NP\tO' -p298147 -aS'lasix\tlasix\tNN\tI-NP\tO' -p298148 -aS'as\tas\tRB\tB-CONJP\tO' -p298149 -aS'well\twell\tRB\tI-CONJP\tO' -p298150 -aS'as\tas\tIN\tI-CONJP\tO' -p298151 -aS'receving\treceve\tVBG\tB-VP\tO' -p298152 -aS'FW\tFW\tNNP\tB-NP\tO' -p298153 -aS'boluses\tbolus\tNNS\tI-NP\tO' -p298154 -aS'with\twith\tIN\tB-PP\tO' -p298155 -aS'his\this\tPRP$\tB-NP\tO' -p298156 -aS'NG\tNG\tNN\tI-NP\tO' -p298157 -aS'tube\ttube\tNN\tI-NP\tO' -p298158 -aS'feeds\tfeed\tNNS\tI-NP\tO' -p298159 -aS'.\t.\t.\tO\tO' -p298160 -asS'This treadmill test was done on medications , including beta blockers , in hopes to assess an amount of ischemia on treatment .' -p298161 -(lp298162 -S'This\tThis\tDT\tB-NP\tO' -p298163 -aS'treadmill\ttreadmill\tNN\tI-NP\tO' -p298164 -aS'test\ttest\tNN\tI-NP\tO' -p298165 -aS'was\tbe\tVBD\tB-VP\tO' -p298166 -aS'done\tdo\tVBN\tI-VP\tO' -p298167 -aS'on\ton\tIN\tB-PP\tO' -p298168 -aS'medications\tmedication\tNNS\tB-NP\tO' -p298169 -aS',\t,\t,\tO\tO' -p298170 -aS'including\tinclude\tVBG\tB-PP\tO' -p298171 -aS'beta\tbeta\tNN\tB-NP\tO' -p298172 -aS'blockers\tblocker\tNNS\tI-NP\tO' -p298173 -aS',\t,\t,\tO\tO' -p298174 -aS'in\tin\tIN\tB-PP\tO' -p298175 -aS'hopes\thope\tNNS\tB-NP\tO' -p298176 -aS'to\tto\tTO\tB-VP\tO' -p298177 -aS'assess\tassess\tVB\tI-VP\tO' -p298178 -aS'an\tan\tDT\tB-NP\tO' -p298179 -aS'amount\tamount\tNN\tI-NP\tO' -p298180 -aS'of\tof\tIN\tB-PP\tO' -p298181 -aS'ischemia\tischemia\tNN\tB-NP\tO' -p298182 -aS'on\ton\tIN\tB-PP\tO' -p298183 -aS'treatment\ttreatment\tNN\tB-NP\tO' -p298184 -aS'.\t.\t.\tO\tO' -p298185 -asS'Prevertebral soft tissue swelling cannot be excluded secondary to intubation .' -p298186 -(lp298187 -S'Prevertebral\tPrevertebral\tJJ\tB-NP\tO' -p298188 -aS'soft\tsoft\tJJ\tI-NP\tO' -p298189 -aS'tissue\ttissue\tNN\tI-NP\tO' -p298190 -aS'swelling\tswelling\tNN\tI-NP\tO' -p298191 -aS'cannot\tcannot\tMD\tB-VP\tO' -p298192 -aS'be\tbe\tVB\tI-VP\tO' -p298193 -aS'excluded\texclude\tVBN\tI-VP\tO' -p298194 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p298195 -aS'to\tto\tTO\tB-PP\tO' -p298196 -aS'intubation\tintubation\tNN\tB-NP\tO' -p298197 -aS'.\t.\t.\tO\tO' -p298198 -asS'She should also continue on lipitor and lisinopril .' -p298199 -(lp298200 -S'She\tShe\tPRP\tB-NP\tO' -p298201 -aS'should\tshould\tMD\tB-VP\tO' -p298202 -aS'also\talso\tRB\tI-VP\tO' -p298203 -aS'continue\tcontinue\tVB\tI-VP\tO' -p298204 -aS'on\ton\tIN\tB-PP\tO' -p298205 -aS'lipitor\tlipitor\tNN\tB-NP\tO' -p298206 -aS'and\tand\tCC\tI-NP\tO' -p298207 -aS'lisinopril\tlisinopril\tNN\tI-NP\tO' -p298208 -aS'.\t.\t.\tO\tO' -p298209 -asS'Postoperatively he was taken to the cardiac surgical intensive care unit for monitoring .' -p298210 -(lp298211 -S'Postoperatively\tPostoperatively\tRB\tB-ADVP\tO' -p298212 -aS'he\the\tPRP\tB-NP\tO' -p298213 -aS'was\tbe\tVBD\tB-VP\tO' -p298214 -aS'taken\ttake\tVBN\tI-VP\tO' -p298215 -aS'to\tto\tTO\tB-PP\tO' -p298216 -aS'the\tthe\tDT\tB-NP\tO' -p298217 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p298218 -aS'surgical\tsurgical\tJJ\tI-NP\tO' -p298219 -aS'intensive\tintensive\tJJ\tI-NP\tO' -p298220 -aS'care\tcare\tNN\tI-NP\tO' -p298221 -aS'unit\tunit\tNN\tI-NP\tO' -p298222 -aS'for\tfor\tIN\tB-PP\tO' -p298223 -aS'monitoring\tmonitoring\tNN\tB-NP\tO' -p298224 -aS'.\t.\t.\tO\tO' -p298225 -asS"The patient 's finger stick blood glucose levels range from 151 to 390 over the past 24 hours and his insulin scale has been adjusted upward to compensate for that ." -p298226 -(lp298227 -S'The\tThe\tDT\tB-NP\tO' -p298228 -aS'patient\tpatient\tNN\tI-NP\tO' -p298229 -aS"'s\t's\tPOS\tB-NP\tO" -p298230 -aS'finger\tfinger\tNN\tI-NP\tO' -p298231 -aS'stick\tstick\tNN\tI-NP\tO' -p298232 -aS'blood\tblood\tNN\tI-NP\tO' -p298233 -aS'glucose\tglucose\tNN\tI-NP\tO' -p298234 -aS'levels\tlevel\tNNS\tI-NP\tO' -p298235 -aS'range\trange\tVBP\tB-VP\tO' -p298236 -aS'from\tfrom\tIN\tB-PP\tO' -p298237 -aS'151\t151\tCD\tB-NP\tO' -p298238 -aS'to\tto\tTO\tB-PP\tO' -p298239 -aS'390\t390\tCD\tB-NP\tO' -p298240 -aS'over\tover\tIN\tB-PP\tO' -p298241 -aS'the\tthe\tDT\tB-NP\tO' -p298242 -aS'past\tpast\tJJ\tI-NP\tO' -p298243 -aS'24\t24\tCD\tI-NP\tO' -p298244 -aS'hours\thour\tNNS\tI-NP\tO' -p298245 -aS'and\tand\tCC\tO\tO' -p298246 -aS'his\this\tPRP$\tB-NP\tO' -p298247 -aS'insulin\tinsulin\tNN\tI-NP\tO' -p298248 -aS'scale\tscale\tNN\tI-NP\tO' -p298249 -aS'has\thave\tVBZ\tB-VP\tO' -p298250 -aS'been\tbe\tVBN\tI-VP\tO' -p298251 -aS'adjusted\tadjust\tVBN\tI-VP\tO' -p298252 -aS'upward\tupward\tRB\tB-ADVP\tO' -p298253 -aS'to\tto\tTO\tB-VP\tO' -p298254 -aS'compensate\tcompensate\tVB\tI-VP\tO' -p298255 -aS'for\tfor\tIN\tB-PP\tO' -p298256 -aS'that\tthat\tDT\tB-NP\tO' -p298257 -aS'.\t.\t.\tO\tO' -p298258 -asS'72 male s/p fall down 20 stairs' -p298259 -(lp298260 -S'72\t72\tCD\tB-NP\tO' -p298261 -aS'male\tmale\tJJ\tI-NP\tO' -p298262 -aS's/p\ts/p\tNN\tI-NP\tO' -p298263 -aS'fall\tfall\tVBP\tB-VP\tO' -p298264 -aS'down\tdown\tRB\tB-ADVP\tO' -p298265 -aS'20\t20\tCD\tB-NP\tO' -p298266 -aS'stairs\tstair\tNNS\tI-NP\tO' -p298267 -asS'Peak CPK 1117 .' -p298268 -(lp298269 -S'Peak\tPeak\tJJ\tB-NP\tO' -p298270 -aS'CPK\tCPK\tNN\tI-NP\tO' -p298271 -aS'1117\t1117\tCD\tI-NP\tO' -p298272 -aS'.\t.\t.\tO\tO' -p298273 -asS'Prednisone 10 mg po q day , Verapamil 80 mg po t.i.d. , Digoxin 0.25 mg po q day , Isordil 20 mg po t.i.d. , Theo-Dur 200 mg po b.i.d. , Lasix 80mg q am , 40 mg po q pm , Enalapril 2.5 mg po b.i.d. , Pepcid 20 mg po b.i.d.' -p298274 -(lp298275 -S'Prednisone\tPrednisone\tNN\tB-NP\tO' -p298276 -aS'10\t10\tCD\tI-NP\tO' -p298277 -aS'mg\tmg\tNN\tI-NP\tO' -p298278 -aS'po\tpo\tNN\tI-NP\tO' -p298279 -aS'q\tq\tNN\tI-NP\tO' -p298280 -aS'day\tday\tNN\tI-NP\tO' -p298281 -aS',\t,\t,\tO\tO' -p298282 -aS'Verapamil\tVerapamil\tNN\tB-NP\tO' -p298283 -aS'80\t80\tCD\tI-NP\tO' -p298284 -aS'mg\tmg\tNN\tI-NP\tO' -p298285 -aS'po\tpo\tNN\tI-NP\tO' -p298286 -aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' -p298287 -aS',\t,\t,\tO\tO' -p298288 -aS'Digoxin\tDigoxin\tNN\tB-NP\tO' -p298289 -aS'0.25\t0.25\tCD\tI-NP\tO' -p298290 -aS'mg\tmg\tNN\tI-NP\tO' -p298291 -aS'po\tpo\tNN\tI-NP\tO' -p298292 -aS'q\tq\tNN\tI-NP\tO' -p298293 -aS'day\tday\tNN\tI-NP\tO' -p298294 -aS',\t,\t,\tO\tO' -p298295 -aS'Isordil\tIsordil\tNN\tB-NP\tO' -p298296 -aS'20\t20\tCD\tI-NP\tO' -p298297 -aS'mg\tmg\tNN\tI-NP\tO' -p298298 -aS'po\tpo\tNN\tI-NP\tO' -p298299 -aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' -p298300 -aS',\t,\t,\tO\tO' -p298301 -aS'Theo-Dur\tTheo-Dur\tRB\tB-NP\tO' -p298302 -aS'200\t200\tCD\tI-NP\tO' -p298303 -aS'mg\tmg\tNN\tI-NP\tO' -p298304 -aS'po\tpo\tNN\tI-NP\tO' -p298305 -aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' -p298306 -aS',\t,\t,\tO\tO' -p298307 -aS'Lasix\tLasix\tNNP\tB-NP\tO' -p298308 -aS'80mg\t80mg\tCD\tI-NP\tO' -p298309 -aS'q\tq\tNN\tI-NP\tO' -p298310 -aS'am\tam\tNN\tI-NP\tO' -p298311 -aS',\t,\t,\tO\tO' -p298312 -aS'40\t40\tCD\tB-NP\tO' -p298313 -aS'mg\tmg\tNN\tI-NP\tO' -p298314 -aS'po\tpo\tNN\tI-NP\tO' -p298315 -aS'q\tq\tNN\tI-NP\tO' -p298316 -aS'pm\tpm\tNN\tI-NP\tO' -p298317 -aS',\t,\t,\tO\tO' -p298318 -aS'Enalapril\tEnalapril\tNNP\tB-NP\tO' -p298319 -aS'2.5\t2.5\tCD\tI-NP\tO' -p298320 -aS'mg\tmg\tNN\tI-NP\tO' -p298321 -aS'po\tpo\tNN\tI-NP\tO' -p298322 -aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' -p298323 -aS',\t,\t,\tO\tO' -p298324 -aS'Pepcid\tPepcid\tNNP\tB-NP\tO' -p298325 -aS'20\t20\tCD\tI-NP\tO' -p298326 -aS'mg\tmg\tNN\tI-NP\tO' -p298327 -aS'po\tpo\tNN\tI-NP\tO' -p298328 -aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' -p298329 -asS'She had a regular heart rate and rhythm .' -p298330 -(lp298331 -S'She\tShe\tPRP\tB-NP\tO' -p298332 -aS'had\thave\tVBD\tB-VP\tO' -p298333 -aS'a\ta\tDT\tB-NP\tO' -p298334 -aS'regular\tregular\tJJ\tI-NP\tO' -p298335 -aS'heart\theart\tNN\tI-NP\tO' -p298336 -aS'rate\trate\tNN\tI-NP\tO' -p298337 -aS'and\tand\tCC\tI-NP\tO' -p298338 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p298339 -aS'.\t.\t.\tO\tO' -p298340 -asS'The patient tolerated the procedure fairly well , and was transferred to the Intensive Care Unit .' -p298341 -(lp298342 -S'The\tThe\tDT\tB-NP\tO' -p298343 -aS'patient\tpatient\tNN\tI-NP\tO' -p298344 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p298345 -aS'the\tthe\tDT\tB-NP\tO' -p298346 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p298347 -aS'fairly\tfairly\tRB\tB-ADVP\tO' -p298348 -aS'well\twell\tRB\tI-ADVP\tO' -p298349 -aS',\t,\t,\tO\tO' -p298350 -aS'and\tand\tCC\tO\tO' -p298351 -aS'was\tbe\tVBD\tB-VP\tO' -p298352 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p298353 -aS'to\tto\tTO\tB-PP\tO' -p298354 -aS'the\tthe\tDT\tB-NP\tO' -p298355 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p298356 -aS'Care\tCare\tNNP\tI-NP\tO' -p298357 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p298358 -aS'.\t.\t.\tO\tO' -p298359 -asS"When the pt 's MS improved to near baseline before again decompensating , he became extremely tearful and expressed feelings of depression after being in the hospital for so long ." -p298360 -(lp298361 -S'When\tWhen\tWRB\tB-ADVP\tO' -p298362 -aS'the\tthe\tDT\tB-NP\tO' -p298363 -aS'pt\tpt\tNN\tI-NP\tO' -p298364 -aS"'s\t's\tPOS\tB-NP\tO" -p298365 -aS'MS\tMS\tNN\tI-NP\tO' -p298366 -aS'improved\timprove\tVBD\tB-VP\tO' -p298367 -aS'to\tto\tTO\tB-PP\tO' -p298368 -aS'near\tnear\tJJ\tB-NP\tO' -p298369 -aS'baseline\tbaseline\tNN\tI-NP\tO' -p298370 -aS'before\tbefore\tIN\tB-PP\tO' -p298371 -aS'again\tagain\tRB\tB-ADVP\tO' -p298372 -aS'decompensating\tdecompensate\tVBG\tB-VP\tO' -p298373 -aS',\t,\t,\tO\tO' -p298374 -aS'he\the\tPRP\tB-NP\tO' -p298375 -aS'became\tbecome\tVBD\tB-VP\tO' -p298376 -aS'extremely\textremely\tRB\tB-ADJP\tO' -p298377 -aS'tearful\ttearful\tJJ\tI-ADJP\tO' -p298378 -aS'and\tand\tCC\tO\tO' -p298379 -aS'expressed\texpress\tVBN\tB-VP\tO' -p298380 -aS'feelings\tfeeling\tNNS\tB-NP\tO' -p298381 -aS'of\tof\tIN\tB-PP\tO' -p298382 -aS'depression\tdepression\tNN\tB-NP\tO' -p298383 -aS'after\tafter\tIN\tB-PP\tO' -p298384 -aS'being\tbe\tVBG\tB-VP\tO' -p298385 -aS'in\tin\tIN\tB-PP\tO' -p298386 -aS'the\tthe\tDT\tB-NP\tO' -p298387 -aS'hospital\thospital\tNN\tI-NP\tO' -p298388 -aS'for\tfor\tIN\tB-PP\tO' -p298389 -aS'so\tso\tRB\tB-ADVP\tO' -p298390 -aS'long\tlong\tRB\tI-ADVP\tO' -p298391 -aS'.\t.\t.\tO\tO' -p298392 -asS'His daughter awoke him at 7 a.m. , reports he said he felt " cold and shivery ," vomited several times , then drove her to school .' -p298393 -(lp298394 -S'His\tHis\tPRP$\tB-NP\tO' -p298395 -aS'daughter\tdaughter\tNN\tI-NP\tO' -p298396 -aS'awoke\tawake\tVBD\tB-VP\tO' -p298397 -aS'him\thim\tPRP\tB-NP\tO' -p298398 -aS'at\tat\tIN\tB-PP\tO' -p298399 -aS'7\t7\tCD\tB-NP\tO' -p298400 -aS'a.m.\ta.m.\tNN\tI-NP\tO' -p298401 -aS',\t,\t,\tO\tO' -p298402 -aS'reports\treport\tNNS\tB-NP\tO' -p298403 -aS'he\the\tPRP\tB-NP\tO' -p298404 -aS'said\tsay\tVBD\tB-VP\tO' -p298405 -aS'he\the\tPRP\tB-NP\tO' -p298406 -aS'felt\tfeel\tVBD\tB-VP\tO' -p298407 -aS'"\t"\t``\tO\tO' -p298408 -aS'cold\tcold\tJJ\tB-NP\tO' -p298409 -aS'and\tand\tCC\tI-NP\tO' -p298410 -aS'shivery\tshivery\tNN\tI-NP\tO' -p298411 -aS',"\t,"\t,\tO\tO' -p298412 -aS'vomited\tvomit\tVBD\tB-VP\tO' -p298413 -aS'several\tseveral\tJJ\tB-NP\tO' -p298414 -aS'times\ttime\tNNS\tI-NP\tO' -p298415 -aS',\t,\t,\tO\tO' -p298416 -aS'then\tthen\tRB\tB-ADVP\tO' -p298417 -aS'drove\tdrive\tVBD\tB-VP\tO' -p298418 -aS'her\ther\tPRP\tB-NP\tO' -p298419 -aS'to\tto\tTO\tB-PP\tO' -p298420 -aS'school\tschool\tNN\tB-NP\tO' -p298421 -aS'.\t.\t.\tO\tO' -p298422 -asS"Has been hospitalized at Pocasset Mental Health Center and Children 's Hospital Boston numerous times ." -p298423 -(lp298424 -S'Has\tHa\tNNS\tB-NP\tB-protein' -p298425 -aS'been\tbe\tVBN\tB-VP\tO' -p298426 -aS'hospitalized\thospitalize\tVBN\tI-VP\tO' -p298427 -aS'at\tat\tIN\tB-PP\tO' -p298428 -aS'Pocasset\tPocasset\tNNP\tB-NP\tO' -p298429 -aS'Mental\tMental\tNNP\tI-NP\tO' -p298430 -aS'Health\tHealth\tNNP\tI-NP\tO' -p298431 -aS'Center\tCenter\tNNP\tI-NP\tO' -p298432 -aS'and\tand\tCC\tO\tO' -p298433 -aS'Children\tChildren\tNNP\tB-NP\tO' -p298434 -aS"'s\t's\tPOS\tB-NP\tO" -p298435 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p298436 -aS'Boston\tBoston\tNNP\tI-NP\tO' -p298437 -aS'numerous\tnumerous\tJJ\tI-NP\tO' -p298438 -aS'times\ttime\tNNS\tI-NP\tO' -p298439 -aS'.\t.\t.\tO\tO' -p298440 -asS'Oxybutynin Amitriptyline .' -p298441 -(lp298442 -S'Oxybutynin\tOxybutynin\tNN\tB-NP\tO' -p298443 -aS'Amitriptyline\tAmitriptyline\tNN\tI-NP\tO' -p298444 -aS'.\t.\t.\tO\tO' -p298445 -asS'CTAB , mildly decreased breath sounds b/l' -p298446 -(lp298447 -S'CTAB\tCTAB\tNN\tB-NP\tB-protein' -p298448 -aS',\t,\t,\tO\tO' -p298449 -aS'mildly\tmildly\tRB\tB-NP\tO' -p298450 -aS'decreased\tdecrease\tVBN\tI-NP\tO' -p298451 -aS'breath\tbreath\tNN\tI-NP\tO' -p298452 -aS'sounds\tsound\tVBZ\tB-VP\tO' -p298453 -aS'b/l\tb/l\tNN\tB-NP\tO' -p298454 -asS'1. The left atrium is mildly dilated .' -p298455 -(lp298456 -S'1.\t1.\tLS\tB-LST\tO' -p298457 -aS'The\tThe\tDT\tB-NP\tO' -p298458 -aS'left\tleft\tJJ\tI-NP\tO' -p298459 -aS'atrium\tatrium\tNN\tI-NP\tO' -p298460 -aS'is\tbe\tVBZ\tB-VP\tO' -p298461 -aS'mildly\tmildly\tRB\tI-VP\tO' -p298462 -aS'dilated\tdilate\tVBN\tI-VP\tO' -p298463 -aS'.\t.\t.\tO\tO' -p298464 -asS'2. NPH 10 units subcutaneously every morning and 8 units subcutaneously every evening .' -p298465 -(lp298466 -S'2.\t2.\tLS\tB-NP\tO' -p298467 -aS'NPH\tNPH\tNN\tI-NP\tB-protein' -p298468 -aS'10\t10\tCD\tB-NP\tI-protein' -p298469 -aS'units\tunit\tNNS\tI-NP\tI-protein' -p298470 -aS'subcutaneously\tsubcutaneously\tRB\tB-ADVP\tO' -p298471 -aS'every\tevery\tDT\tB-NP\tO' -p298472 -aS'morning\tmorning\tNN\tI-NP\tO' -p298473 -aS'and\tand\tCC\tO\tO' -p298474 -aS'8\t8\tCD\tB-NP\tO' -p298475 -aS'units\tunit\tNNS\tI-NP\tO' -p298476 -aS'subcutaneously\tsubcutaneously\tRB\tB-ADVP\tO' -p298477 -aS'every\tevery\tDT\tB-NP\tO' -p298478 -aS'evening\tevening\tNN\tI-NP\tO' -p298479 -aS'.\t.\t.\tO\tO' -p298480 -asS'He came out here for college at BU and works as a computer programmer .' -p298481 -(lp298482 -S'He\tHe\tPRP\tB-NP\tO' -p298483 -aS'came\tcome\tVBD\tB-VP\tO' -p298484 -aS'out\tout\tRP\tB-PRT\tO' -p298485 -aS'here\there\tRB\tB-ADVP\tO' -p298486 -aS'for\tfor\tIN\tB-PP\tO' -p298487 -aS'college\tcollege\tNN\tB-NP\tO' -p298488 -aS'at\tat\tIN\tB-PP\tO' -p298489 -aS'BU\tBU\tNN\tB-NP\tO' -p298490 -aS'and\tand\tCC\tO\tO' -p298491 -aS'works\twork\tVBZ\tB-VP\tO' -p298492 -aS'as\tas\tIN\tB-PP\tO' -p298493 -aS'a\ta\tDT\tB-NP\tO' -p298494 -aS'computer\tcomputer\tNN\tI-NP\tO' -p298495 -aS'programmer\tprogrammer\tNN\tI-NP\tO' -p298496 -aS'.\t.\t.\tO\tO' -p298497 -asS'- The patient underwent a flex sigmoidoscopy on Friday , 11-02 , which showed old blood in the rectal vault but no active source of bleeding .' -p298498 -(lp298499 -S'-\t-\tHYPH\tO\tO' -p298500 -aS'The\tThe\tDT\tB-NP\tO' -p298501 -aS'patient\tpatient\tNN\tI-NP\tO' -p298502 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p298503 -aS'a\ta\tDT\tB-NP\tO' -p298504 -aS'flex\tflex\tNN\tI-NP\tO' -p298505 -aS'sigmoidoscopy\tsigmoidoscopy\tNN\tI-NP\tO' -p298506 -aS'on\ton\tIN\tB-PP\tO' -p298507 -aS'Friday\tFriday\tNNP\tB-NP\tO' -p298508 -aS',\t,\t,\tO\tO' -p298509 -aS'11-02\t11-02\tCD\tB-NP\tO' -p298510 -aS',\t,\t,\tO\tO' -p298511 -aS'which\twhich\tWDT\tB-NP\tO' -p298512 -aS'showed\tshow\tVBD\tB-VP\tO' -p298513 -aS'old\told\tJJ\tB-NP\tO' -p298514 -aS'blood\tblood\tNN\tI-NP\tO' -p298515 -aS'in\tin\tIN\tB-PP\tO' -p298516 -aS'the\tthe\tDT\tB-NP\tO' -p298517 -aS'rectal\trectal\tJJ\tI-NP\tO' -p298518 -aS'vault\tvault\tNN\tI-NP\tO' -p298519 -aS'but\tbut\tCC\tO\tO' -p298520 -aS'no\tno\tDT\tB-NP\tO' -p298521 -aS'active\tactive\tJJ\tI-NP\tO' -p298522 -aS'source\tsource\tNN\tI-NP\tO' -p298523 -aS'of\tof\tIN\tB-PP\tO' -p298524 -aS'bleeding\tbleed\tVBG\tB-NP\tO' -p298525 -aS'.\t.\t.\tO\tO' -p298526 -asS'Via echocardiogram , found to have aortic stenosis .' -p298527 -(lp298528 -S'Via\tVia\tNNP\tB-NP\tO' -p298529 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p298530 -aS',\t,\t,\tO\tO' -p298531 -aS'found\tfind\tVBN\tB-VP\tO' -p298532 -aS'to\tto\tTO\tI-VP\tO' -p298533 -aS'have\thave\tVB\tI-VP\tO' -p298534 -aS'aortic\taortic\tJJ\tB-NP\tO' -p298535 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p298536 -aS'.\t.\t.\tO\tO' -p298537 -asS'2 ) Schedule GI follow-up if biopsy results abnormal or if continued bleeding .' -p298538 -(lp298539 -S'2\t2\tLS\tB-LST\tO' -p298540 -aS')\t)\t)\tO\tO' -p298541 -aS'Schedule\tSchedule\tNNP\tB-NP\tO' -p298542 -aS'GI\tGI\tNNP\tI-NP\tO' -p298543 -aS'follow-up\tfollow-up\tNN\tI-NP\tO' -p298544 -aS'if\tif\tIN\tB-SBAR\tO' -p298545 -aS'biopsy\tbiopsy\tNN\tB-NP\tO' -p298546 -aS'results\tresult\tNNS\tI-NP\tO' -p298547 -aS'abnormal\tabnormal\tJJ\tB-ADJP\tO' -p298548 -aS'or\tor\tCC\tO\tO' -p298549 -aS'if\tif\tIN\tB-SBAR\tO' -p298550 -aS'continued\tcontinue\tVBN\tB-NP\tO' -p298551 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p298552 -aS'.\t.\t.\tO\tO' -p298553 -asS'4. The ascending , transverse and descending thoracic aorta are normal in diameter and free of atherosclerotic plaque .' -p298554 -(lp298555 -S'4.\t4.\tLS\tB-LST\tO' -p298556 -aS'The\tThe\tDT\tB-NP\tO' -p298557 -aS'ascending\tascending\tNN\tI-NP\tO' -p298558 -aS',\t,\t,\tO\tO' -p298559 -aS'transverse\ttransverse\tJJ\tB-ADJP\tO' -p298560 -aS'and\tand\tCC\tO\tO' -p298561 -aS'descending\tdescend\tVBG\tB-VP\tO' -p298562 -aS'thoracic\tthoracic\tJJ\tB-NP\tO' -p298563 -aS'aorta\taorta\tNNS\tI-NP\tO' -p298564 -aS'are\tbe\tVBP\tB-VP\tO' -p298565 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p298566 -aS'in\tin\tIN\tB-PP\tO' -p298567 -aS'diameter\tdiameter\tNN\tB-NP\tO' -p298568 -aS'and\tand\tCC\tO\tO' -p298569 -aS'free\tfree\tJJ\tB-ADJP\tO' -p298570 -aS'of\tof\tIN\tB-PP\tO' -p298571 -aS'atherosclerotic\tatherosclerotic\tJJ\tB-NP\tO' -p298572 -aS'plaque\tplaque\tNN\tI-NP\tO' -p298573 -aS'.\t.\t.\tO\tO' -p298574 -asS'He is a retired architect .' -p298575 -(lp298576 -S'He\tHe\tPRP\tB-NP\tB-DNA' -p298577 -aS'is\tbe\tVBZ\tB-VP\tO' -p298578 -aS'a\ta\tDT\tB-NP\tO' -p298579 -aS'retired\tretired\tJJ\tI-NP\tO' -p298580 -aS'architect\tarchitect\tNN\tI-NP\tO' -p298581 -aS'.\t.\t.\tO\tO' -p298582 -asS'Please follow up with Urology on 10-16 @ 1:50 PM on the 3rd floor of the Maricle Building , east campus of Lahey Clinic - North Shore' -p298583 -(lp298584 -S'Please\tPlease\tVB\tB-VP\tO' -p298585 -aS'follow\tfollow\tVB\tI-VP\tO' -p298586 -aS'up\tup\tRP\tB-PRT\tO' -p298587 -aS'with\twith\tIN\tB-PP\tO' -p298588 -aS'Urology\tUrology\tNNP\tB-NP\tO' -p298589 -aS'on\ton\tIN\tB-PP\tO' -p298590 -aS'10-16\t10-16\tCD\tB-NP\tO' -p298591 -aS'@\t@\tHYPH\tI-NP\tO' -p298592 -aS'1:50\t1:50\tCD\tI-NP\tO' -p298593 -aS'PM\tPM\tNN\tI-NP\tO' -p298594 -aS'on\ton\tIN\tB-PP\tO' -p298595 -aS'the\tthe\tDT\tB-NP\tO' -p298596 -aS'3rd\t3rd\tJJ\tI-NP\tO' -p298597 -aS'floor\tfloor\tNN\tI-NP\tO' -p298598 -aS'of\tof\tIN\tB-PP\tO' -p298599 -aS'the\tthe\tDT\tB-NP\tO' -p298600 -aS'Maricle\tMaricle\tNNP\tI-NP\tO' -p298601 -aS'Building\tBuilding\tNNP\tI-NP\tO' -p298602 -aS',\t,\t,\tO\tO' -p298603 -aS'east\teast\tJJ\tB-NP\tO' -p298604 -aS'campus\tcampus\tNN\tI-NP\tO' -p298605 -aS'of\tof\tIN\tB-PP\tO' -p298606 -aS'Lahey\tLahey\tNNP\tB-NP\tO' -p298607 -aS'Clinic\tClinic\tNNP\tI-NP\tO' -p298608 -aS'-\t-\tHYPH\tO\tO' -p298609 -aS'North\tNorth\tNNP\tB-NP\tO' -p298610 -aS'Shore\tShore\tNNP\tI-NP\tO' -p298611 -asS'Lorazepam 0.5 mg 1 to 2 tablets twice daily if needed' -p298612 -(lp298613 -S'Lorazepam\tLorazepam\tNN\tB-NP\tO' -p298614 -aS'0.5\t0.5\tCD\tI-NP\tO' -p298615 -aS'mg\tmg\tNN\tI-NP\tO' -p298616 -aS'1\t1\tCD\tB-NP\tO' -p298617 -aS'to\tto\tTO\tI-NP\tO' -p298618 -aS'2\t2\tCD\tI-NP\tO' -p298619 -aS'tablets\ttablet\tNNS\tI-NP\tO' -p298620 -aS'twice\ttwice\tRB\tB-ADVP\tO' -p298621 -aS'daily\tdaily\tRB\tI-ADVP\tO' -p298622 -aS'if\tif\tIN\tB-SBAR\tO' -p298623 -aS'needed\tneed\tVBN\tB-VP\tO' -p298624 -asS'On admission , includes an electrocardiogram that shows DDD pacing .' -p298625 -(lp298626 -S'On\tOn\tIN\tB-PP\tO' -p298627 -aS'admission\tadmission\tNN\tB-NP\tO' -p298628 -aS',\t,\t,\tO\tO' -p298629 -aS'includes\tinclude\tVBZ\tB-VP\tO' -p298630 -aS'an\tan\tDT\tB-NP\tO' -p298631 -aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' -p298632 -aS'that\tthat\tWDT\tB-NP\tO' -p298633 -aS'shows\tshow\tVBZ\tB-VP\tO' -p298634 -aS'DDD\tDDD\tNN\tB-NP\tO' -p298635 -aS'pacing\tpacing\tNN\tI-NP\tO' -p298636 -aS'.\t.\t.\tO\tO' -p298637 -asS'Over the next several days the patient remained in the hospital to reassess for recurrent pleural effusion .' -p298638 -(lp298639 -S'Over\tOver\tIN\tB-PP\tO' -p298640 -aS'the\tthe\tDT\tB-NP\tO' -p298641 -aS'next\tnext\tJJ\tI-NP\tO' -p298642 -aS'several\tseveral\tJJ\tI-NP\tO' -p298643 -aS'days\tday\tNNS\tI-NP\tO' -p298644 -aS'the\tthe\tDT\tB-NP\tO' -p298645 -aS'patient\tpatient\tNN\tI-NP\tO' -p298646 -aS'remained\tremain\tVBD\tB-VP\tO' -p298647 -aS'in\tin\tIN\tB-PP\tO' -p298648 -aS'the\tthe\tDT\tB-NP\tO' -p298649 -aS'hospital\thospital\tNN\tI-NP\tO' -p298650 -aS'to\tto\tTO\tB-VP\tO' -p298651 -aS'reassess\treassess\tVB\tI-VP\tO' -p298652 -aS'for\tfor\tIN\tB-PP\tO' -p298653 -aS'recurrent\trecurrent\tJJ\tB-NP\tO' -p298654 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p298655 -aS'effusion\teffusion\tNN\tI-NP\tO' -p298656 -aS'.\t.\t.\tO\tO' -p298657 -asS'There was no heave .' -p298658 -(lp298659 -S'There\tThere\tEX\tB-NP\tO' -p298660 -aS'was\tbe\tVBD\tB-VP\tO' -p298661 -aS'no\tno\tDT\tB-NP\tO' -p298662 -aS'heave\theave\tNN\tI-NP\tO' -p298663 -aS'.\t.\t.\tO\tO' -p298664 -asS'The patient 's was most recently admitted to Centdick Naco Hospital Medical Center on Martin Luther King Day after becoming acutely short of breath after a five minute walk .' -p298665 -(lp298666 -S'The\tThe\tDT\tB-NP\tO' -p298667 -aS'patient\tpatient\tNN\tI-NP\tO' -p298668 -aS''s\t'\tNNS\tI-NP\tO' -p298669 -aS'was\tbe\tVBD\tB-VP\tO' -p298670 -aS'most\tmost\tRBS\tI-VP\tO' -p298671 -aS'recently\trecently\tRB\tI-VP\tO' -p298672 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p298673 -aS'to\tto\tTO\tB-PP\tO' -p298674 -aS'Centdick\tCentdick\tNNP\tB-NP\tO' -p298675 -aS'Naco\tNaco\tNNP\tI-NP\tO' -p298676 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p298677 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p298678 -aS'Center\tCenter\tNNP\tI-NP\tO' -p298679 -aS'on\ton\tIN\tB-PP\tO' -p298680 -aS'Martin\tMartin\tNNP\tB-NP\tO' -p298681 -aS'Luther\tLuther\tNNP\tI-NP\tO' -p298682 -aS'King\tKing\tNNP\tI-NP\tO' -p298683 -aS'Day\tDay\tNNP\tI-NP\tO' -p298684 -aS'after\tafter\tIN\tB-PP\tO' -p298685 -aS'becoming\tbecome\tVBG\tB-VP\tO' -p298686 -aS'acutely\tacutely\tRB\tB-ADVP\tO' -p298687 -aS'short\tshort\tRB\tI-ADVP\tO' -p298688 -aS'of\tof\tIN\tB-PP\tO' -p298689 -aS'breath\tbreath\tNN\tB-NP\tO' -p298690 -aS'after\tafter\tIN\tB-PP\tO' -p298691 -aS'a\ta\tDT\tB-NP\tO' -p298692 -aS'five\tfive\tCD\tI-NP\tO' -p298693 -aS'minute\tminute\tJJ\tI-NP\tO' -p298694 -aS'walk\twalk\tNN\tI-NP\tO' -p298695 -aS'.\t.\t.\tO\tO' -p298696 -asS'He has received no transfusions in the past week or so .' -p298697 -(lp298698 -S'He\tHe\tPRP\tB-NP\tO' -p298699 -aS'has\thave\tVBZ\tB-VP\tO' -p298700 -aS'received\treceive\tVBN\tI-VP\tO' -p298701 -aS'no\tno\tDT\tB-NP\tO' -p298702 -aS'transfusions\ttransfusion\tNNS\tI-NP\tO' -p298703 -aS'in\tin\tIN\tB-PP\tO' -p298704 -aS'the\tthe\tDT\tB-NP\tO' -p298705 -aS'past\tpast\tJJ\tI-NP\tO' -p298706 -aS'week\tweek\tNN\tI-NP\tO' -p298707 -aS'or\tor\tCC\tI-NP\tO' -p298708 -aS'so\tso\tRB\tI-NP\tO' -p298709 -aS'.\t.\t.\tO\tO' -p298710 -asS'After arrival in the ICU , patient was followed with neuro checks every 1 hour .' -p298711 -(lp298712 -S'After\tAfter\tIN\tB-PP\tO' -p298713 -aS'arrival\tarrival\tNN\tB-NP\tO' -p298714 -aS'in\tin\tIN\tB-PP\tO' -p298715 -aS'the\tthe\tDT\tB-NP\tO' -p298716 -aS'ICU\tICU\tNN\tI-NP\tB-DNA' -p298717 -aS',\t,\t,\tO\tO' -p298718 -aS'patient\tpatient\tNN\tB-NP\tO' -p298719 -aS'was\tbe\tVBD\tB-VP\tO' -p298720 -aS'followed\tfollow\tVBN\tI-VP\tO' -p298721 -aS'with\twith\tIN\tB-PP\tO' -p298722 -aS'neuro\tneuro\tNN\tB-NP\tB-protein' -p298723 -aS'checks\tcheck\tNNS\tI-NP\tI-protein' -p298724 -aS'every\tevery\tDT\tB-NP\tI-protein' -p298725 -aS'1\t1\tCD\tI-NP\tI-protein' -p298726 -aS'hour\thour\tNN\tI-NP\tI-protein' -p298727 -aS'.\t.\t.\tO\tO' -p298728 -asS'2. Type 1 diabetes mellitus for 50 years .' -p298729 -(lp298730 -S'2.\t2.\tLS\tB-LST\tO' -p298731 -aS'Type\tType\tNN\tB-NP\tO' -p298732 -aS'1\t1\tCD\tI-NP\tO' -p298733 -aS'diabetes\tdiabetes\tNN\tI-NP\tO' -p298734 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p298735 -aS'for\tfor\tIN\tB-PP\tO' -p298736 -aS'50\t50\tCD\tB-NP\tO' -p298737 -aS'years\tyear\tNNS\tI-NP\tO' -p298738 -aS'.\t.\t.\tO\tO' -p298739 -asS'He has had chronic bilateral lower extremity swelling since his transplant but the right lower extremity swelling was noticeably increased .' -p298740 -(lp298741 -S'He\tHe\tPRP\tB-NP\tO' -p298742 -aS'has\thave\tVBZ\tB-VP\tO' -p298743 -aS'had\thave\tVBN\tI-VP\tO' -p298744 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p298745 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p298746 -aS'lower\tlow\tJJR\tI-NP\tO' -p298747 -aS'extremity\textremity\tNN\tI-NP\tO' -p298748 -aS'swelling\tswell\tVBG\tB-VP\tO' -p298749 -aS'since\tsince\tIN\tB-PP\tO' -p298750 -aS'his\this\tPRP$\tB-NP\tO' -p298751 -aS'transplant\ttransplant\tNN\tI-NP\tO' -p298752 -aS'but\tbut\tCC\tO\tO' -p298753 -aS'the\tthe\tDT\tB-NP\tO' -p298754 -aS'right\tright\tRB\tI-NP\tO' -p298755 -aS'lower\tlow\tJJR\tI-NP\tO' -p298756 -aS'extremity\textremity\tNN\tI-NP\tO' -p298757 -aS'swelling\tswelling\tNN\tI-NP\tO' -p298758 -aS'was\tbe\tVBD\tB-VP\tO' -p298759 -aS'noticeably\tnoticeably\tRB\tI-VP\tO' -p298760 -aS'increased\tincrease\tVBN\tI-VP\tO' -p298761 -aS'.\t.\t.\tO\tO' -p298762 -asS'7. Lasix drip at 2 per hour .' -p298763 -(lp298764 -S'7.\t7.\tLS\tB-NP\tO' -p298765 -aS'Lasix\tLasix\tNNP\tI-NP\tO' -p298766 -aS'drip\tdrip\tNN\tI-NP\tO' -p298767 -aS'at\tat\tIN\tB-PP\tO' -p298768 -aS'2\t2\tCD\tB-NP\tO' -p298769 -aS'per\tper\tIN\tB-PP\tO' -p298770 -aS'hour\thour\tNN\tB-NP\tO' -p298771 -aS'.\t.\t.\tO\tO' -p298772 -asS'This was thought to be 04-09 the large volume tap verses sepsis though she had no other evidence of sepsis .' -p298773 -(lp298774 -S'This\tThis\tDT\tB-NP\tO' -p298775 -aS'was\tbe\tVBD\tB-VP\tO' -p298776 -aS'thought\tthink\tVBN\tI-VP\tO' -p298777 -aS'to\tto\tTO\tI-VP\tO' -p298778 -aS'be\tbe\tVB\tI-VP\tO' -p298779 -aS'04-09\t04-09\tCD\tB-NP\tO' -p298780 -aS'the\tthe\tDT\tB-NP\tO' -p298781 -aS'large\tlarge\tJJ\tI-NP\tO' -p298782 -aS'volume\tvolume\tNN\tI-NP\tO' -p298783 -aS'tap\ttap\tNN\tI-NP\tO' -p298784 -aS'verses\tverse\tVBZ\tB-VP\tO' -p298785 -aS'sepsis\tsepsis\tNN\tB-NP\tO' -p298786 -aS'though\tthough\tIN\tB-SBAR\tO' -p298787 -aS'she\tshe\tPRP\tB-NP\tO' -p298788 -aS'had\thave\tVBD\tB-VP\tO' -p298789 -aS'no\tno\tDT\tB-NP\tO' -p298790 -aS'other\tother\tJJ\tI-NP\tO' -p298791 -aS'evidence\tevidence\tNN\tI-NP\tO' -p298792 -aS'of\tof\tIN\tB-PP\tO' -p298793 -aS'sepsis\tsepsis\tNN\tB-NP\tO' -p298794 -aS'.\t.\t.\tO\tO' -p298795 -asS'Pneumonia one and a half years ago .' -p298796 -(lp298797 -S'Pneumonia\tPneumonia\tNNP\tB-NP\tO' -p298798 -aS'one\tone\tCD\tI-NP\tO' -p298799 -aS'and\tand\tCC\tO\tO' -p298800 -aS'a\ta\tDT\tB-NP\tO' -p298801 -aS'half\thalf\tNN\tI-NP\tO' -p298802 -aS'years\tyear\tNNS\tI-NP\tO' -p298803 -aS'ago\tago\tRB\tB-ADVP\tO' -p298804 -aS'.\t.\t.\tO\tO' -p298805 -asS'The right modified radical mastectomy contained a 5.5 cm poorly differentiated , Grade III out of III infiltrating ductal carcinoma .' -p298806 -(lp298807 -S'The\tThe\tDT\tB-NP\tO' -p298808 -aS'right\tright\tJJ\tI-NP\tO' -p298809 -aS'modified\tmodified\tJJ\tI-NP\tO' -p298810 -aS'radical\tradical\tJJ\tI-NP\tO' -p298811 -aS'mastectomy\tmastectomy\tNN\tI-NP\tO' -p298812 -aS'contained\tcontain\tVBD\tB-VP\tO' -p298813 -aS'a\ta\tDT\tB-NP\tO' -p298814 -aS'5.5\t5.5\tCD\tI-NP\tO' -p298815 -aS'cm\tcm\tNN\tI-NP\tO' -p298816 -aS'poorly\tpoorly\tRB\tB-VP\tO' -p298817 -aS'differentiated\tdifferentiate\tVBN\tI-VP\tO' -p298818 -aS',\t,\t,\tO\tO' -p298819 -aS'Grade\tGrade\tNN\tB-NP\tB-protein' -p298820 -aS'III\tIII\tCD\tI-NP\tI-protein' -p298821 -aS'out\tout\tIN\tB-PP\tO' -p298822 -aS'of\tof\tIN\tB-PP\tO' -p298823 -aS'III\tIII\tCD\tB-NP\tO' -p298824 -aS'infiltrating\tinfiltrate\tVBG\tB-VP\tO' -p298825 -aS'ductal\tductal\tJJ\tB-NP\tO' -p298826 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p298827 -aS'.\t.\t.\tO\tO' -p298828 -asS'Potassium replacement has caused , according to the patient , marked hyperkalemia in the past .' -p298829 -(lp298830 -S'Potassium\tPotassium\tNN\tB-NP\tO' -p298831 -aS'replacement\treplacement\tNN\tI-NP\tO' -p298832 -aS'has\thave\tVBZ\tB-VP\tO' -p298833 -aS'caused\tcause\tVBN\tI-VP\tO' -p298834 -aS',\t,\t,\tO\tO' -p298835 -aS'according\taccord\tVBG\tB-PP\tO' -p298836 -aS'to\tto\tTO\tB-PP\tO' -p298837 -aS'the\tthe\tDT\tB-NP\tO' -p298838 -aS'patient\tpatient\tNN\tI-NP\tO' -p298839 -aS',\t,\t,\tO\tO' -p298840 -aS'marked\tmarked\tJJ\tB-NP\tO' -p298841 -aS'hyperkalemia\thyperkalemia\tNN\tI-NP\tO' -p298842 -aS'in\tin\tIN\tB-PP\tO' -p298843 -aS'the\tthe\tDT\tB-NP\tO' -p298844 -aS'past\tpast\tNN\tI-NP\tO' -p298845 -aS'.\t.\t.\tO\tO' -p298846 -asS"Gradually over the course of the following days , the patient 's electrolytes again normalized ; however , as the patient continues to take p.o.' s poorly , the patient remained on IV hydration therapy ." -p298847 -(lp298848 -S'Gradually\tGradually\tRB\tB-ADVP\tO' -p298849 -aS'over\tover\tIN\tB-PP\tO' -p298850 -aS'the\tthe\tDT\tB-NP\tO' -p298851 -aS'course\tcourse\tNN\tI-NP\tO' -p298852 -aS'of\tof\tIN\tB-PP\tO' -p298853 -aS'the\tthe\tDT\tB-NP\tO' -p298854 -aS'following\tfollowing\tJJ\tI-NP\tO' -p298855 -aS'days\tday\tNNS\tI-NP\tO' -p298856 -aS',\t,\t,\tO\tO' -p298857 -aS'the\tthe\tDT\tB-NP\tO' -p298858 -aS'patient\tpatient\tNN\tI-NP\tO' -p298859 -aS"'s\t's\tPOS\tB-NP\tO" -p298860 -aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' -p298861 -aS'again\tagain\tRB\tB-ADVP\tO' -p298862 -aS'normalized\tnormalize\tVBD\tB-VP\tO' -p298863 -aS';\t;\t:\tO\tO' -p298864 -aS'however\thowever\tRB\tB-ADVP\tO' -p298865 -aS',\t,\t,\tO\tO' -p298866 -aS'as\tas\tIN\tB-SBAR\tO' -p298867 -aS'the\tthe\tDT\tB-NP\tO' -p298868 -aS'patient\tpatient\tNN\tI-NP\tO' -p298869 -aS'continues\tcontinue\tVBZ\tB-VP\tO' -p298870 -aS'to\tto\tTO\tI-VP\tO' -p298871 -aS'take\ttake\tVB\tI-VP\tO' -p298872 -aS"p.o.'\tp.o.'\tNN\tB-NP\tO" -p298873 -aS's\ts\tNNS\tI-NP\tO' -p298874 -aS'poorly\tpoorly\tRB\tB-ADVP\tO' -p298875 -aS',\t,\t,\tO\tO' -p298876 -aS'the\tthe\tDT\tB-NP\tO' -p298877 -aS'patient\tpatient\tNN\tI-NP\tO' -p298878 -aS'remained\tremain\tVBD\tB-VP\tO' -p298879 -aS'on\ton\tIN\tB-PP\tO' -p298880 -aS'IV\tIV\tCD\tB-NP\tO' -p298881 -aS'hydration\thydration\tNN\tI-NP\tO' -p298882 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p298883 -aS'.\t.\t.\tO\tO' -p298884 -asS'The pain is worsened with deep inspiration or movement .' -p298885 -(lp298886 -S'The\tThe\tDT\tB-NP\tO' -p298887 -aS'pain\tpain\tNN\tI-NP\tO' -p298888 -aS'is\tbe\tVBZ\tB-VP\tO' -p298889 -aS'worsened\tworsen\tVBN\tI-VP\tO' -p298890 -aS'with\twith\tIN\tB-PP\tO' -p298891 -aS'deep\tdeep\tJJ\tB-NP\tO' -p298892 -aS'inspiration\tinspiration\tNN\tI-NP\tO' -p298893 -aS'or\tor\tCC\tI-NP\tO' -p298894 -aS'movement\tmovement\tNN\tI-NP\tO' -p298895 -aS'.\t.\t.\tO\tO' -p298896 -asS'Results have been in the normal range .' -p298897 -(lp298898 -S'Results\tResult\tNNS\tB-NP\tO' -p298899 -aS'have\thave\tVBP\tB-VP\tO' -p298900 -aS'been\tbe\tVBN\tI-VP\tO' -p298901 -aS'in\tin\tIN\tB-PP\tO' -p298902 -aS'the\tthe\tDT\tB-NP\tO' -p298903 -aS'normal\tnormal\tJJ\tI-NP\tO' -p298904 -aS'range\trange\tNN\tI-NP\tO' -p298905 -aS'.\t.\t.\tO\tO' -p298906 -asS'His melanoma was originally diagnosed last fall when he presented with lesions in the liver and spleen , and a chest CT showed left upper lobe nodules .' -p298907 -(lp298908 -S'His\tHis\tPRP$\tB-NP\tO' -p298909 -aS'melanoma\tmelanoma\tNN\tI-NP\tO' -p298910 -aS'was\tbe\tVBD\tB-VP\tO' -p298911 -aS'originally\toriginally\tRB\tI-VP\tO' -p298912 -aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' -p298913 -aS'last\tlast\tJJ\tB-NP\tO' -p298914 -aS'fall\tfall\tNN\tI-NP\tO' -p298915 -aS'when\twhen\tWRB\tB-ADVP\tO' -p298916 -aS'he\the\tPRP\tB-NP\tO' -p298917 -aS'presented\tpresent\tVBD\tB-VP\tO' -p298918 -aS'with\twith\tIN\tB-PP\tO' -p298919 -aS'lesions\tlesion\tNNS\tB-NP\tO' -p298920 -aS'in\tin\tIN\tB-PP\tO' -p298921 -aS'the\tthe\tDT\tB-NP\tO' -p298922 -aS'liver\tliver\tNN\tI-NP\tO' -p298923 -aS'and\tand\tCC\tI-NP\tO' -p298924 -aS'spleen\tspleen\tNN\tI-NP\tO' -p298925 -aS',\t,\t,\tO\tO' -p298926 -aS'and\tand\tCC\tO\tO' -p298927 -aS'a\ta\tDT\tB-NP\tO' -p298928 -aS'chest\tchest\tNN\tI-NP\tO' -p298929 -aS'CT\tCT\tNN\tI-NP\tO' -p298930 -aS'showed\tshow\tVBD\tB-VP\tO' -p298931 -aS'left\tleft\tJJ\tB-NP\tO' -p298932 -aS'upper\tupper\tJJ\tI-NP\tO' -p298933 -aS'lobe\tlobe\tNN\tI-NP\tO' -p298934 -aS'nodules\tnodule\tNNS\tI-NP\tO' -p298935 -aS'.\t.\t.\tO\tO' -p298936 -asS'He was afebrile postoperatively with vital signs stable .' -p298937 -(lp298938 -S'He\tHe\tPRP\tB-NP\tO' -p298939 -aS'was\tbe\tVBD\tB-VP\tO' -p298940 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p298941 -aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' -p298942 -aS'with\twith\tIN\tB-PP\tO' -p298943 -aS'vital\tvital\tJJ\tB-NP\tO' -p298944 -aS'signs\tsign\tNNS\tI-NP\tO' -p298945 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p298946 -aS'.\t.\t.\tO\tO' -p298947 -asS'Pt expired during this admission after family discussion to make her comfort care only .' -p298948 -(lp298949 -S'Pt\tPt\tNN\tB-NP\tO' -p298950 -aS'expired\texpire\tVBD\tB-VP\tO' -p298951 -aS'during\tduring\tIN\tB-PP\tO' -p298952 -aS'this\tthis\tDT\tB-NP\tO' -p298953 -aS'admission\tadmission\tNN\tI-NP\tO' -p298954 -aS'after\tafter\tIN\tB-PP\tO' -p298955 -aS'family\tfamily\tNN\tB-NP\tO' -p298956 -aS'discussion\tdiscussion\tNN\tI-NP\tO' -p298957 -aS'to\tto\tTO\tB-VP\tO' -p298958 -aS'make\tmake\tVB\tI-VP\tO' -p298959 -aS'her\ther\tPRP$\tB-NP\tO' -p298960 -aS'comfort\tcomfort\tNN\tI-NP\tO' -p298961 -aS'care\tcare\tNN\tI-NP\tO' -p298962 -aS'only\tonly\tRB\tB-ADVP\tO' -p298963 -aS'.\t.\t.\tO\tO' -p298964 -asS"Etiology of patient 's tachypnea was unclear ." -p298965 -(lp298966 -S'Etiology\tEtiology\tNN\tB-NP\tO' -p298967 -aS'of\tof\tIN\tB-PP\tO' -p298968 -aS'patient\tpatient\tNN\tB-NP\tO' -p298969 -aS"'s\t's\tPOS\tB-NP\tO" -p298970 -aS'tachypnea\ttachypnea\tNN\tI-NP\tO' -p298971 -aS'was\tbe\tVBD\tB-VP\tO' -p298972 -aS'unclear\tunclear\tJJ\tB-ADJP\tO' -p298973 -aS'.\t.\t.\tO\tO' -p298974 -asS'Do not apply lotions , creams , ointments or powders to incision .' -p298975 -(lp298976 -S'Do\tDo\tVBP\tB-VP\tO' -p298977 -aS'not\tnot\tRB\tI-VP\tO' -p298978 -aS'apply\tapply\tVB\tI-VP\tO' -p298979 -aS'lotions\tlotion\tNNS\tB-NP\tO' -p298980 -aS',\t,\t,\tI-NP\tO' -p298981 -aS'creams\tcream\tNNS\tI-NP\tO' -p298982 -aS',\t,\t,\tI-NP\tO' -p298983 -aS'ointments\tointment\tNNS\tI-NP\tO' -p298984 -aS'or\tor\tCC\tI-NP\tO' -p298985 -aS'powders\tpowder\tNNS\tI-NP\tO' -p298986 -aS'to\tto\tTO\tB-PP\tO' -p298987 -aS'incision\tincision\tNN\tB-NP\tO' -p298988 -aS'.\t.\t.\tO\tO' -p298989 -asS'INFECTIOUS DISEASE : CBC and blood culture obtained on admission .' -p298990 -(lp298991 -S'INFECTIOUS\tINFECTIOUS\tJJ\tB-NP\tO' -p298992 -aS'DISEASE\tDISEASE\tNN\tI-NP\tO' -p298993 -aS':\t:\t:\tO\tO' -p298994 -aS'CBC\tCBC\tNN\tB-NP\tB-protein' -p298995 -aS'and\tand\tCC\tI-NP\tO' -p298996 -aS'blood\tblood\tNN\tI-NP\tO' -p298997 -aS'culture\tculture\tNN\tI-NP\tO' -p298998 -aS'obtained\tobtain\tVBN\tB-VP\tO' -p298999 -aS'on\ton\tIN\tB-PP\tO' -p299000 -aS'admission\tadmission\tNN\tB-NP\tO' -p299001 -aS'.\t.\t.\tO\tO' -p299002 -asS'The abdomen was tympanitic and nontender .' -p299003 -(lp299004 -S'The\tThe\tDT\tB-NP\tO' -p299005 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p299006 -aS'was\tbe\tVBD\tB-VP\tO' -p299007 -aS'tympanitic\ttympanitic\tJJ\tB-ADJP\tO' -p299008 -aS'and\tand\tCC\tI-ADJP\tO' -p299009 -aS'nontender\tnontender\tJJ\tI-ADJP\tO' -p299010 -aS'.\t.\t.\tO\tO' -p299011 -asS'1. Toprol .' -p299012 -(lp299013 -S'1.\t1.\tLS\tB-NP\tO' -p299014 -aS'Toprol\tToprol\tNN\tI-NP\tO' -p299015 -aS'.\t.\t.\tO\tO' -p299016 -asS'JVP flat .' -p299017 -(lp299018 -S'JVP\tJVP\tNN\tB-NP\tO' -p299019 -aS'flat\tflat\tJJ\tB-ADJP\tO' -p299020 -aS'.\t.\t.\tO\tO' -p299021 -asS'He was discharged home on Neupogen .' -p299022 -(lp299023 -S'He\tHe\tPRP\tB-NP\tO' -p299024 -aS'was\tbe\tVBD\tB-VP\tO' -p299025 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p299026 -aS'home\thome\tNN\tB-ADVP\tO' -p299027 -aS'on\ton\tIN\tB-PP\tO' -p299028 -aS'Neupogen\tNeupogen\tNN\tB-NP\tO' -p299029 -aS'.\t.\t.\tO\tO' -p299030 -asS'His tube feedings were advanced .' -p299031 -(lp299032 -S'His\tHis\tPRP$\tB-NP\tO' -p299033 -aS'tube\ttube\tNN\tI-NP\tO' -p299034 -aS'feedings\tfeeding\tNNS\tI-NP\tO' -p299035 -aS'were\tbe\tVBD\tB-VP\tO' -p299036 -aS'advanced\tadvance\tVBN\tI-VP\tO' -p299037 -aS'.\t.\t.\tO\tO' -p299038 -asS'PARTIAL SMALL BOWEL OBSTRUCTION .' -p299039 -(lp299040 -S'PARTIAL\tPARTIAL\tNNP\tB-NP\tO' -p299041 -aS'SMALL\tSMALL\tNNP\tI-NP\tO' -p299042 -aS'BOWEL\tBOWEL\tNNP\tI-NP\tO' -p299043 -aS'OBSTRUCTION\tOBSTRUCTION\tNNP\tI-NP\tO' -p299044 -aS'.\t.\t.\tO\tO' -p299045 -asS'After 30 minutes of active resuscitation including internal cardiac massage , there was no evidence of return of vital signs or electric activity to the heart as noted on electrocardiogram monitors .' -p299046 -(lp299047 -S'After\tAfter\tIN\tB-PP\tO' -p299048 -aS'30\t30\tCD\tB-NP\tO' -p299049 -aS'minutes\tminute\tNNS\tI-NP\tO' -p299050 -aS'of\tof\tIN\tB-PP\tO' -p299051 -aS'active\tactive\tJJ\tB-NP\tO' -p299052 -aS'resuscitation\tresuscitation\tNN\tI-NP\tO' -p299053 -aS'including\tinclude\tVBG\tB-PP\tO' -p299054 -aS'internal\tinternal\tJJ\tB-NP\tO' -p299055 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p299056 -aS'massage\tmassage\tNN\tI-NP\tO' -p299057 -aS',\t,\t,\tO\tO' -p299058 -aS'there\tthere\tEX\tB-NP\tO' -p299059 -aS'was\tbe\tVBD\tB-VP\tO' -p299060 -aS'no\tno\tDT\tB-NP\tO' -p299061 -aS'evidence\tevidence\tNN\tI-NP\tO' -p299062 -aS'of\tof\tIN\tB-PP\tO' -p299063 -aS'return\treturn\tNN\tB-NP\tO' -p299064 -aS'of\tof\tIN\tB-PP\tO' -p299065 -aS'vital\tvital\tJJ\tB-NP\tO' -p299066 -aS'signs\tsign\tNNS\tI-NP\tO' -p299067 -aS'or\tor\tCC\tO\tO' -p299068 -aS'electric\telectric\tJJ\tB-NP\tO' -p299069 -aS'activity\tactivity\tNN\tI-NP\tO' -p299070 -aS'to\tto\tTO\tB-PP\tO' -p299071 -aS'the\tthe\tDT\tB-NP\tO' -p299072 -aS'heart\theart\tNN\tI-NP\tO' -p299073 -aS'as\tas\tIN\tB-SBAR\tO' -p299074 -aS'noted\tnote\tVBN\tB-VP\tO' -p299075 -aS'on\ton\tIN\tB-PP\tO' -p299076 -aS'electrocardiogram\telectrocardiogram\tNN\tB-NP\tO' -p299077 -aS'monitors\tmonitor\tNNS\tI-NP\tO' -p299078 -aS'.\t.\t.\tO\tO' -p299079 -asS'Physical Examination , Laboratory Evaluation , CXR , Chest CT' -p299080 -(lp299081 -S'Physical\tPhysical\tNNP\tB-NP\tO' -p299082 -aS'Examination\tExamination\tNNP\tI-NP\tO' -p299083 -aS',\t,\t,\tO\tO' -p299084 -aS'Laboratory\tLaboratory\tNNP\tB-NP\tO' -p299085 -aS'Evaluation\tEvaluation\tNNP\tI-NP\tO' -p299086 -aS',\t,\t,\tO\tO' -p299087 -aS'CXR\tCXR\tNNP\tB-NP\tB-protein' -p299088 -aS',\t,\t,\tO\tO' -p299089 -aS'Chest\tChest\tNNP\tB-NP\tO' -p299090 -aS'CT\tCT\tNNP\tI-NP\tO' -p299091 -asS'This was done with Falope rings .' -p299092 -(lp299093 -S'This\tThis\tDT\tB-NP\tO' -p299094 -aS'was\tbe\tVBD\tB-VP\tO' -p299095 -aS'done\tdo\tVBN\tI-VP\tO' -p299096 -aS'with\twith\tIN\tB-PP\tO' -p299097 -aS'Falope\tFalope\tNN\tB-NP\tO' -p299098 -aS'rings\tring\tNNS\tI-NP\tO' -p299099 -aS'.\t.\t.\tO\tO' -p299100 -asS'Esophageal mucosa was visible through the trachea .' -p299101 -(lp299102 -S'Esophageal\tEsophageal\tJJ\tB-NP\tO' -p299103 -aS'mucosa\tmucosa\tNN\tI-NP\tO' -p299104 -aS'was\tbe\tVBD\tB-VP\tO' -p299105 -aS'visible\tvisible\tJJ\tB-ADJP\tO' -p299106 -aS'through\tthrough\tIN\tB-PP\tO' -p299107 -aS'the\tthe\tDT\tB-NP\tO' -p299108 -aS'trachea\ttrachea\tNN\tI-NP\tO' -p299109 -aS'.\t.\t.\tO\tO' -p299110 -asS'She is now getting 75 micrograms per hour of the fentanyl patch which is changed every 72 hours .' -p299111 -(lp299112 -S'She\tShe\tPRP\tB-NP\tO' -p299113 -aS'is\tbe\tVBZ\tB-VP\tO' -p299114 -aS'now\tnow\tRB\tI-VP\tO' -p299115 -aS'getting\tget\tVBG\tI-VP\tO' -p299116 -aS'75\t75\tCD\tB-NP\tO' -p299117 -aS'micrograms\tmicrogram\tNNS\tI-NP\tO' -p299118 -aS'per\tper\tIN\tB-PP\tO' -p299119 -aS'hour\thour\tNN\tB-NP\tO' -p299120 -aS'of\tof\tIN\tB-PP\tO' -p299121 -aS'the\tthe\tDT\tB-NP\tO' -p299122 -aS'fentanyl\tfentanyl\tNN\tI-NP\tO' -p299123 -aS'patch\tpatch\tNN\tI-NP\tO' -p299124 -aS'which\twhich\tWDT\tB-NP\tO' -p299125 -aS'is\tbe\tVBZ\tB-VP\tO' -p299126 -aS'changed\tchange\tVBN\tI-VP\tO' -p299127 -aS'every\tevery\tDT\tB-NP\tO' -p299128 -aS'72\t72\tCD\tI-NP\tO' -p299129 -aS'hours\thour\tNNS\tI-NP\tO' -p299130 -aS'.\t.\t.\tO\tO' -p299131 -asS'There is also a left occipital scalp contusion but no associated skull fracture .' -p299132 -(lp299133 -S'There\tThere\tEX\tB-NP\tO' -p299134 -aS'is\tbe\tVBZ\tB-VP\tO' -p299135 -aS'also\talso\tRB\tB-ADVP\tO' -p299136 -aS'a\ta\tDT\tB-NP\tO' -p299137 -aS'left\tleft\tJJ\tI-NP\tO' -p299138 -aS'occipital\toccipital\tNN\tI-NP\tO' -p299139 -aS'scalp\tscalp\tNN\tI-NP\tO' -p299140 -aS'contusion\tcontusion\tNN\tI-NP\tO' -p299141 -aS'but\tbut\tCC\tO\tO' -p299142 -aS'no\tno\tDT\tB-NP\tO' -p299143 -aS'associated\tassociate\tVBN\tI-NP\tO' -p299144 -aS'skull\tskull\tNN\tI-NP\tO' -p299145 -aS'fracture\tfracture\tNN\tI-NP\tO' -p299146 -aS'.\t.\t.\tO\tO' -p299147 -asS'Given persistent lethargy , patient was sent to Falkener Amanda .' -p299148 -(lp299149 -S'Given\tGive\tVBN\tB-NP\tO' -p299150 -aS'persistent\tpersistent\tJJ\tI-NP\tO' -p299151 -aS'lethargy\tlethargy\tNN\tI-NP\tO' -p299152 -aS',\t,\t,\tO\tO' -p299153 -aS'patient\tpatient\tNN\tB-NP\tO' -p299154 -aS'was\tbe\tVBD\tB-VP\tO' -p299155 -aS'sent\tsend\tVBN\tI-VP\tO' -p299156 -aS'to\tto\tTO\tB-PP\tO' -p299157 -aS'Falkener\tFalkener\tNNP\tB-NP\tO' -p299158 -aS'Amanda\tAmanda\tNNP\tI-NP\tO' -p299159 -aS'.\t.\t.\tO\tO' -p299160 -asS'The patient is a 65 year old female with post thoracotomy syndrome that occurred on the site of her thoracotomy incision .' -p299161 -(lp299162 -S'The\tThe\tDT\tB-NP\tO' -p299163 -aS'patient\tpatient\tNN\tI-NP\tO' -p299164 -aS'is\tbe\tVBZ\tB-VP\tO' -p299165 -aS'a\ta\tDT\tB-NP\tO' -p299166 -aS'65\t65\tCD\tI-NP\tO' -p299167 -aS'year\tyear\tNN\tI-NP\tO' -p299168 -aS'old\told\tJJ\tI-NP\tO' -p299169 -aS'female\tfemale\tNN\tI-NP\tO' -p299170 -aS'with\twith\tIN\tB-PP\tO' -p299171 -aS'post\tpost\tNN\tB-NP\tO' -p299172 -aS'thoracotomy\tthoracotomy\tNN\tI-NP\tO' -p299173 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p299174 -aS'that\tthat\tWDT\tB-NP\tO' -p299175 -aS'occurred\toccur\tVBD\tB-VP\tO' -p299176 -aS'on\ton\tIN\tB-PP\tO' -p299177 -aS'the\tthe\tDT\tB-NP\tO' -p299178 -aS'site\tsite\tNN\tI-NP\tO' -p299179 -aS'of\tof\tIN\tB-PP\tO' -p299180 -aS'her\ther\tPRP$\tB-NP\tO' -p299181 -aS'thoracotomy\tthoracotomy\tNN\tI-NP\tO' -p299182 -aS'incision\tincision\tNN\tI-NP\tO' -p299183 -aS'.\t.\t.\tO\tO' -p299184 -asS'2. Bactrim double strength one tablet p.o. q.d. for PCP prophylaxis during his steroid course .' -p299185 -(lp299186 -S'2.\t2.\tLS\tB-NP\tO' -p299187 -aS'Bactrim\tBactrim\tNNP\tI-NP\tO' -p299188 -aS'double\tdouble\tJJ\tI-NP\tO' -p299189 -aS'strength\tstrength\tNN\tI-NP\tO' -p299190 -aS'one\tone\tCD\tB-NP\tO' -p299191 -aS'tablet\ttablet\tNN\tI-NP\tO' -p299192 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p299193 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p299194 -aS'for\tfor\tIN\tB-PP\tO' -p299195 -aS'PCP\tPCP\tNN\tB-NP\tO' -p299196 -aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' -p299197 -aS'during\tduring\tIN\tB-PP\tO' -p299198 -aS'his\this\tPRP$\tB-NP\tO' -p299199 -aS'steroid\tsteroid\tNN\tI-NP\tO' -p299200 -aS'course\tcourse\tNN\tI-NP\tO' -p299201 -aS'.\t.\t.\tO\tO' -p299202 -asS'The patient was discharged with strict instructions to return to the emergency room , should there be an exacerbation of symptoms .' -p299203 -(lp299204 -S'The\tThe\tDT\tB-NP\tO' -p299205 -aS'patient\tpatient\tNN\tI-NP\tO' -p299206 -aS'was\tbe\tVBD\tB-VP\tO' -p299207 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p299208 -aS'with\twith\tIN\tB-PP\tO' -p299209 -aS'strict\tstrict\tJJ\tB-NP\tO' -p299210 -aS'instructions\tinstruction\tNNS\tI-NP\tO' -p299211 -aS'to\tto\tTO\tB-VP\tO' -p299212 -aS'return\treturn\tVB\tI-VP\tO' -p299213 -aS'to\tto\tTO\tB-PP\tO' -p299214 -aS'the\tthe\tDT\tB-NP\tO' -p299215 -aS'emergency\temergency\tNN\tI-NP\tO' -p299216 -aS'room\troom\tNN\tI-NP\tO' -p299217 -aS',\t,\t,\tO\tO' -p299218 -aS'should\tshould\tMD\tB-VP\tO' -p299219 -aS'there\tthere\tRB\tI-VP\tO' -p299220 -aS'be\tbe\tVB\tI-VP\tO' -p299221 -aS'an\tan\tDT\tB-NP\tO' -p299222 -aS'exacerbation\texacerbation\tNN\tI-NP\tO' -p299223 -aS'of\tof\tIN\tB-PP\tO' -p299224 -aS'symptoms\tsymptom\tNNS\tB-NP\tO' -p299225 -aS'.\t.\t.\tO\tO' -p299226 -asS'Please call your doctor or come to Robert if you develop fevers , chills , cp , nausea or vomiting , or any other concerning sx' -p299227 -(lp299228 -S'Please\tPlease\tVB\tB-VP\tO' -p299229 -aS'call\tcall\tVB\tI-VP\tO' -p299230 -aS'your\tyour\tPRP$\tB-NP\tO' -p299231 -aS'doctor\tdoctor\tNN\tI-NP\tO' -p299232 -aS'or\tor\tCC\tO\tO' -p299233 -aS'come\tcome\tVBN\tB-VP\tO' -p299234 -aS'to\tto\tTO\tB-PP\tO' -p299235 -aS'Robert\tRobert\tNNP\tB-NP\tO' -p299236 -aS'if\tif\tIN\tB-SBAR\tO' -p299237 -aS'you\tyou\tPRP\tB-NP\tO' -p299238 -aS'develop\tdevelop\tVBP\tB-VP\tO' -p299239 -aS'fevers\tfever\tNNS\tB-NP\tO' -p299240 -aS',\t,\t,\tI-NP\tO' -p299241 -aS'chills\tchill\tNNS\tI-NP\tO' -p299242 -aS',\t,\t,\tI-NP\tO' -p299243 -aS'cp\tcp\tNN\tI-NP\tB-DNA' -p299244 -aS',\t,\t,\tI-NP\tO' -p299245 -aS'nausea\tnausea\tNN\tI-NP\tO' -p299246 -aS'or\tor\tCC\tI-NP\tO' -p299247 -aS'vomiting\tvomiting\tNN\tI-NP\tO' -p299248 -aS',\t,\t,\tO\tO' -p299249 -aS'or\tor\tCC\tO\tO' -p299250 -aS'any\tany\tDT\tB-NP\tO' -p299251 -aS'other\tother\tJJ\tI-NP\tO' -p299252 -aS'concerning\tconcerning\tNN\tI-NP\tO' -p299253 -aS'sx\tsx\tNN\tI-NP\tO' -p299254 -asS'The patient is to be seen in the burn clinic two days after discharge .' -p299255 -(lp299256 -S'The\tThe\tDT\tB-NP\tO' -p299257 -aS'patient\tpatient\tNN\tI-NP\tO' -p299258 -aS'is\tbe\tVBZ\tB-VP\tO' -p299259 -aS'to\tto\tTO\tI-VP\tO' -p299260 -aS'be\tbe\tVB\tI-VP\tO' -p299261 -aS'seen\tsee\tVBN\tI-VP\tO' -p299262 -aS'in\tin\tIN\tB-PP\tO' -p299263 -aS'the\tthe\tDT\tB-NP\tO' -p299264 -aS'burn\tburn\tNN\tI-NP\tO' -p299265 -aS'clinic\tclinic\tNN\tI-NP\tO' -p299266 -aS'two\ttwo\tCD\tB-NP\tO' -p299267 -aS'days\tday\tNNS\tI-NP\tO' -p299268 -aS'after\tafter\tIN\tB-PP\tO' -p299269 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p299270 -aS'.\t.\t.\tO\tO' -p299271 -asS'Penicillin , Sulfa and Quinidine .' -p299272 -(lp299273 -S'Penicillin\tPenicillin\tNNP\tB-NP\tO' -p299274 -aS',\t,\t,\tI-NP\tO' -p299275 -aS'Sulfa\tSulfa\tNNP\tI-NP\tO' -p299276 -aS'and\tand\tCC\tI-NP\tO' -p299277 -aS'Quinidine\tQuinidine\tNNP\tI-NP\tO' -p299278 -aS'.\t.\t.\tO\tO' -p299279 -asS'Pt required 3 day stay in the surgical ICU and intubation as above .' -p299280 -(lp299281 -S'Pt\tPt\tNN\tB-NP\tO' -p299282 -aS'required\trequire\tVBD\tB-VP\tO' -p299283 -aS'3\t3\tCD\tB-NP\tO' -p299284 -aS'day\tday\tNN\tI-NP\tO' -p299285 -aS'stay\tstay\tNN\tI-NP\tO' -p299286 -aS'in\tin\tIN\tB-PP\tO' -p299287 -aS'the\tthe\tDT\tB-NP\tO' -p299288 -aS'surgical\tsurgical\tJJ\tI-NP\tO' -p299289 -aS'ICU\tICU\tNN\tI-NP\tO' -p299290 -aS'and\tand\tCC\tI-NP\tO' -p299291 -aS'intubation\tintubation\tNN\tI-NP\tO' -p299292 -aS'as\tas\tIN\tB-PP\tO' -p299293 -aS'above\tabove\tRB\tI-PP\tO' -p299294 -aS'.\t.\t.\tO\tO' -p299295 -asS'He has remained in room air since that time .' -p299296 -(lp299297 -S'He\tHe\tPRP\tB-NP\tO' -p299298 -aS'has\thave\tVBZ\tB-VP\tO' -p299299 -aS'remained\tremain\tVBN\tI-VP\tO' -p299300 -aS'in\tin\tIN\tB-PP\tO' -p299301 -aS'room\troom\tNN\tB-NP\tO' -p299302 -aS'air\tair\tNN\tI-NP\tO' -p299303 -aS'since\tsince\tIN\tB-PP\tO' -p299304 -aS'that\tthat\tDT\tB-NP\tO' -p299305 -aS'time\ttime\tNN\tI-NP\tO' -p299306 -aS'.\t.\t.\tO\tO' -p299307 -asS'MRI / MRA .' -p299308 -(lp299309 -S'MRI\tMRI\tNN\tB-NP\tB-protein' -p299310 -aS'/\t/\tSYM\tI-NP\tO' -p299311 -aS'MRA\tMRA\tNN\tI-NP\tB-protein' -p299312 -aS'.\t.\t.\tO\tO' -p299313 -asS'Her blood glucose were under good control .' -p299314 -(lp299315 -S'Her\tHer\tPRP$\tB-NP\tO' -p299316 -aS'blood\tblood\tNN\tI-NP\tO' -p299317 -aS'glucose\tglucose\tNN\tI-NP\tO' -p299318 -aS'were\tbe\tVBD\tB-VP\tO' -p299319 -aS'under\tunder\tIN\tB-PP\tO' -p299320 -aS'good\tgood\tJJ\tB-NP\tO' -p299321 -aS'control\tcontrol\tNN\tI-NP\tO' -p299322 -aS'.\t.\t.\tO\tO' -p299323 -asS'He did not complain about a headache .' -p299324 -(lp299325 -S'He\tHe\tPRP\tB-NP\tO' -p299326 -aS'did\tdo\tVBD\tB-VP\tO' -p299327 -aS'not\tnot\tRB\tI-VP\tO' -p299328 -aS'complain\tcomplain\tVB\tI-VP\tO' -p299329 -aS'about\tabout\tIN\tB-PP\tO' -p299330 -aS'a\ta\tDT\tB-NP\tO' -p299331 -aS'headache\theadache\tNN\tI-NP\tO' -p299332 -aS'.\t.\t.\tO\tO' -p299333 -asS'You were admitted with low blood pressure and fevers likely due to an infection .' -p299334 -(lp299335 -S'You\tYou\tPRP\tB-NP\tO' -p299336 -aS'were\tbe\tVBD\tB-VP\tO' -p299337 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p299338 -aS'with\twith\tIN\tB-PP\tO' -p299339 -aS'low\tlow\tJJ\tB-NP\tO' -p299340 -aS'blood\tblood\tNN\tI-NP\tO' -p299341 -aS'pressure\tpressure\tNN\tI-NP\tO' -p299342 -aS'and\tand\tCC\tO\tO' -p299343 -aS'fevers\tfever\tNNS\tB-NP\tO' -p299344 -aS'likely\tlikely\tRB\tB-ADJP\tO' -p299345 -aS'due\tdue\tIN\tB-PP\tO' -p299346 -aS'to\tto\tTO\tB-PP\tO' -p299347 -aS'an\tan\tDT\tB-NP\tO' -p299348 -aS'infection\tinfection\tNN\tI-NP\tO' -p299349 -aS'.\t.\t.\tO\tO' -p299350 -asS'The patient also had a gastric ulcer repaired at the same time .' -p299351 -(lp299352 -S'The\tThe\tDT\tB-NP\tO' -p299353 -aS'patient\tpatient\tNN\tI-NP\tO' -p299354 -aS'also\talso\tRB\tB-ADVP\tO' -p299355 -aS'had\thave\tVBD\tB-VP\tO' -p299356 -aS'a\ta\tDT\tB-NP\tO' -p299357 -aS'gastric\tgastric\tJJ\tI-NP\tO' -p299358 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p299359 -aS'repaired\trepair\tVBN\tB-VP\tO' -p299360 -aS'at\tat\tIN\tB-PP\tO' -p299361 -aS'the\tthe\tDT\tB-NP\tO' -p299362 -aS'same\tsame\tJJ\tI-NP\tO' -p299363 -aS'time\ttime\tNN\tI-NP\tO' -p299364 -aS'.\t.\t.\tO\tO' -p299365 -asS'He had recently filled a prescription for 560 tablets of Percocet as well as 60 tablets of OxyContin early last month .' -p299366 -(lp299367 -S'He\tHe\tPRP\tB-NP\tO' -p299368 -aS'had\thave\tVBD\tB-VP\tO' -p299369 -aS'recently\trecently\tRB\tI-VP\tO' -p299370 -aS'filled\tfill\tVBN\tI-VP\tO' -p299371 -aS'a\ta\tDT\tB-NP\tO' -p299372 -aS'prescription\tprescription\tNN\tI-NP\tO' -p299373 -aS'for\tfor\tIN\tB-PP\tO' -p299374 -aS'560\t560\tCD\tB-NP\tO' -p299375 -aS'tablets\ttablet\tNNS\tI-NP\tO' -p299376 -aS'of\tof\tIN\tB-PP\tO' -p299377 -aS'Percocet\tPercocet\tNNP\tB-NP\tO' -p299378 -aS'as\tas\tRB\tB-CONJP\tO' -p299379 -aS'well\twell\tRB\tI-CONJP\tO' -p299380 -aS'as\tas\tIN\tI-CONJP\tO' -p299381 -aS'60\t60\tCD\tB-NP\tO' -p299382 -aS'tablets\ttablet\tNNS\tI-NP\tO' -p299383 -aS'of\tof\tIN\tB-PP\tO' -p299384 -aS'OxyContin\tOxyContin\tNN\tB-NP\tO' -p299385 -aS'early\tearly\tJJ\tB-NP\tO' -p299386 -aS'last\tlast\tJJ\tI-NP\tO' -p299387 -aS'month\tmonth\tNN\tI-NP\tO' -p299388 -aS'.\t.\t.\tO\tO' -p299389 -asS'Initial hematocrit was 46.3 percent and platelets 320,000 .' -p299390 -(lp299391 -S'Initial\tInitial\tJJ\tB-NP\tO' -p299392 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p299393 -aS'was\tbe\tVBD\tB-VP\tO' -p299394 -aS'46.3\t46.3\tCD\tB-NP\tO' -p299395 -aS'percent\tpercent\tNN\tI-NP\tO' -p299396 -aS'and\tand\tCC\tI-NP\tO' -p299397 -aS'platelets\tplatelet\tNNS\tI-NP\tB-cell_type' -p299398 -aS'320,000\t320,000\tCD\tB-NP\tO' -p299399 -aS'.\t.\t.\tO\tO' -p299400 -asS'6) POOR NUTRITIONAL STATUS .' -p299401 -(lp299402 -S'6)\t6)\tLS\tB-NP\tO' -p299403 -aS'POOR\tPOOR\tNN\tI-NP\tO' -p299404 -aS'NUTRITIONAL\tNUTRITIONAL\tNN\tI-NP\tO' -p299405 -aS'STATUS\tSTATUS\tNN\tI-NP\tO' -p299406 -aS'.\t.\t.\tO\tO' -p299407 -asS'Her blood pressure was 190/90 when I first saw her on her second hospital day .' -p299408 -(lp299409 -S'Her\tHer\tPRP$\tB-NP\tO' -p299410 -aS'blood\tblood\tNN\tI-NP\tO' -p299411 -aS'pressure\tpressure\tNN\tI-NP\tO' -p299412 -aS'was\tbe\tVBD\tB-VP\tO' -p299413 -aS'190/90\t190/90\tCD\tB-NP\tO' -p299414 -aS'when\twhen\tWRB\tB-ADVP\tO' -p299415 -aS'I\tI\tPRP\tB-NP\tO' -p299416 -aS'first\tfirst\tRB\tB-ADVP\tO' -p299417 -aS'saw\tsee\tVBD\tB-VP\tO' -p299418 -aS'her\ther\tPRP\tB-NP\tO' -p299419 -aS'on\ton\tIN\tB-PP\tO' -p299420 -aS'her\ther\tPRP$\tB-NP\tO' -p299421 -aS'second\tsecond\tJJ\tI-NP\tO' -p299422 -aS'hospital\thospital\tNN\tI-NP\tO' -p299423 -aS'day\tday\tNN\tI-NP\tO' -p299424 -aS'.\t.\t.\tO\tO' -p299425 -asS'they will call you to set up appt .' -p299426 -(lp299427 -S'they\tthey\tPRP\tB-NP\tO' -p299428 -aS'will\twill\tMD\tB-VP\tO' -p299429 -aS'call\tcall\tVB\tI-VP\tO' -p299430 -aS'you\tyou\tPRP\tB-NP\tO' -p299431 -aS'to\tto\tTO\tB-VP\tO' -p299432 -aS'set\tset\tVB\tI-VP\tO' -p299433 -aS'up\tup\tRP\tB-PRT\tO' -p299434 -aS'appt\tappt\tNN\tB-NP\tO' -p299435 -aS'.\t.\t.\tO\tO' -p299436 -asS'Tachycardic , regular .' -p299437 -(lp299438 -S'Tachycardic\tTachycardic\tJJ\tB-NP\tO' -p299439 -aS',\t,\t,\tI-NP\tO' -p299440 -aS'regular\tregular\tJJ\tI-NP\tO' -p299441 -aS'.\t.\t.\tO\tO' -p299442 -asS'Her hospital course was remarkable for ruling in for a myocardial infarction with a peak CPK of 9,379 units with a 5.9% MB fraction .' -p299443 -(lp299444 -S'Her\tHer\tPRP$\tB-NP\tO' -p299445 -aS'hospital\thospital\tNN\tI-NP\tO' -p299446 -aS'course\tcourse\tNN\tI-NP\tO' -p299447 -aS'was\tbe\tVBD\tB-VP\tO' -p299448 -aS'remarkable\tremarkable\tJJ\tB-ADJP\tO' -p299449 -aS'for\tfor\tIN\tB-PP\tO' -p299450 -aS'ruling\trule\tVBG\tB-VP\tO' -p299451 -aS'in\tin\tIN\tB-PP\tO' -p299452 -aS'for\tfor\tIN\tB-PP\tO' -p299453 -aS'a\ta\tDT\tB-NP\tO' -p299454 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p299455 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p299456 -aS'with\twith\tIN\tB-PP\tO' -p299457 -aS'a\ta\tDT\tB-NP\tO' -p299458 -aS'peak\tpeak\tJJ\tI-NP\tO' -p299459 -aS'CPK\tCPK\tNN\tI-NP\tB-protein' -p299460 -aS'of\tof\tIN\tB-PP\tO' -p299461 -aS'9,379\t9,379\tCD\tB-NP\tB-DNA' -p299462 -aS'units\tunit\tNNS\tI-NP\tI-DNA' -p299463 -aS'with\twith\tIN\tB-PP\tO' -p299464 -aS'a\ta\tDT\tB-NP\tO' -p299465 -aS'5.9%\t5.9%\tJJ\tI-NP\tO' -p299466 -aS'MB\tMB\tNN\tI-NP\tO' -p299467 -aS'fraction\tfraction\tNN\tI-NP\tO' -p299468 -aS'.\t.\t.\tO\tO' -p299469 -asS'5. FEN : NGT was placed given her altered mental status , and she has been unable to pass a swallow evaluation , but has improved .' -p299470 -(lp299471 -S'5.\t5.\tLS\tB-NP\tO' -p299472 -aS'FEN\tFEN\tNN\tI-NP\tO' -p299473 -aS':\t:\t:\tO\tO' -p299474 -aS'NGT\tNGT\tNN\tB-NP\tB-protein' -p299475 -aS'was\tbe\tVBD\tB-VP\tO' -p299476 -aS'placed\tplace\tVBN\tI-VP\tO' -p299477 -aS'given\tgive\tVBN\tI-VP\tO' -p299478 -aS'her\ther\tPRP$\tB-NP\tO' -p299479 -aS'altered\taltered\tJJ\tI-NP\tO' -p299480 -aS'mental\tmental\tJJ\tI-NP\tO' -p299481 -aS'status\tstatus\tNN\tI-NP\tO' -p299482 -aS',\t,\t,\tO\tO' -p299483 -aS'and\tand\tCC\tO\tO' -p299484 -aS'she\tshe\tPRP\tB-NP\tO' -p299485 -aS'has\thave\tVBZ\tB-VP\tO' -p299486 -aS'been\tbe\tVBN\tI-VP\tO' -p299487 -aS'unable\tunable\tJJ\tB-ADJP\tO' -p299488 -aS'to\tto\tTO\tB-VP\tO' -p299489 -aS'pass\tpass\tVB\tI-VP\tO' -p299490 -aS'a\ta\tDT\tB-NP\tO' -p299491 -aS'swallow\tswallow\tJJ\tI-NP\tO' -p299492 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p299493 -aS',\t,\t,\tO\tO' -p299494 -aS'but\tbut\tCC\tO\tO' -p299495 -aS'has\thave\tVBZ\tB-VP\tO' -p299496 -aS'improved\timprove\tVBN\tI-VP\tO' -p299497 -aS'.\t.\t.\tO\tO' -p299498 -asS'Drains continued to put out significant amount of fluid .' -p299499 -(lp299500 -S'Drains\tDrain\tNNS\tB-NP\tO' -p299501 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p299502 -aS'to\tto\tTO\tI-VP\tO' -p299503 -aS'put\tput\tVB\tI-VP\tO' -p299504 -aS'out\tout\tRP\tB-PRT\tO' -p299505 -aS'significant\tsignificant\tJJ\tB-NP\tO' -p299506 -aS'amount\tamount\tNN\tI-NP\tO' -p299507 -aS'of\tof\tIN\tB-PP\tO' -p299508 -aS'fluid\tfluid\tNN\tB-NP\tO' -p299509 -aS'.\t.\t.\tO\tO' -p299510 -asS'He had a Myoview on 05-04 which showed fixed inferior wall defect but no evidence of ischemia .' -p299511 -(lp299512 -S'He\tHe\tPRP\tB-NP\tO' -p299513 -aS'had\thave\tVBD\tB-VP\tO' -p299514 -aS'a\ta\tDT\tB-NP\tO' -p299515 -aS'Myoview\tMyoview\tNN\tI-NP\tO' -p299516 -aS'on\ton\tIN\tB-PP\tO' -p299517 -aS'05-04\t05-04\tCD\tB-NP\tO' -p299518 -aS'which\twhich\tWDT\tB-NP\tO' -p299519 -aS'showed\tshow\tVBD\tB-VP\tO' -p299520 -aS'fixed\tfix\tVBN\tB-NP\tO' -p299521 -aS'inferior\tinferior\tJJ\tI-NP\tO' -p299522 -aS'wall\twall\tNN\tI-NP\tO' -p299523 -aS'defect\tdefect\tNN\tI-NP\tO' -p299524 -aS'but\tbut\tCC\tO\tO' -p299525 -aS'no\tno\tDT\tB-NP\tO' -p299526 -aS'evidence\tevidence\tNN\tI-NP\tO' -p299527 -aS'of\tof\tIN\tB-PP\tO' -p299528 -aS'ischemia\tischemia\tNN\tB-NP\tO' -p299529 -aS'.\t.\t.\tO\tO' -p299530 -asS'Pt awoke later that night and felt unsteady on her feet and sustained a mechanical fall .' -p299531 -(lp299532 -S'Pt\tPt\tNN\tB-NP\tO' -p299533 -aS'awoke\tawoke\tNN\tI-NP\tO' -p299534 -aS'later\tlater\tRB\tB-ADVP\tO' -p299535 -aS'that\tthat\tIN\tB-SBAR\tO' -p299536 -aS'night\tnight\tNN\tB-NP\tO' -p299537 -aS'and\tand\tCC\tO\tO' -p299538 -aS'felt\tfeel\tVBD\tB-VP\tO' -p299539 -aS'unsteady\tunsteady\tJJ\tB-ADJP\tO' -p299540 -aS'on\ton\tIN\tB-PP\tO' -p299541 -aS'her\ther\tPRP$\tB-NP\tO' -p299542 -aS'feet\tfoot\tNNS\tI-NP\tO' -p299543 -aS'and\tand\tCC\tO\tO' -p299544 -aS'sustained\tsustain\tVBD\tB-VP\tO' -p299545 -aS'a\ta\tDT\tB-NP\tO' -p299546 -aS'mechanical\tmechanical\tJJ\tI-NP\tO' -p299547 -aS'fall\tfall\tNN\tI-NP\tO' -p299548 -aS'.\t.\t.\tO\tO' -p299549 -asS'The patient was afebrile on admission with a normal white blood cell count but had significant wheezing and rales on physical examination with a possible left lower lobe opacity seen on chest x-ray .' -p299550 -(lp299551 -S'The\tThe\tDT\tB-NP\tO' -p299552 -aS'patient\tpatient\tNN\tI-NP\tO' -p299553 -aS'was\tbe\tVBD\tB-VP\tO' -p299554 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p299555 -aS'on\ton\tIN\tB-PP\tO' -p299556 -aS'admission\tadmission\tNN\tB-NP\tO' -p299557 -aS'with\twith\tIN\tB-PP\tO' -p299558 -aS'a\ta\tDT\tB-NP\tO' -p299559 -aS'normal\tnormal\tJJ\tI-NP\tO' -p299560 -aS'white\twhite\tJJ\tI-NP\tO' -p299561 -aS'blood\tblood\tNN\tI-NP\tO' -p299562 -aS'cell\tcell\tNN\tI-NP\tO' -p299563 -aS'count\tcount\tNN\tI-NP\tO' -p299564 -aS'but\tbut\tCC\tO\tO' -p299565 -aS'had\thave\tVBD\tB-VP\tO' -p299566 -aS'significant\tsignificant\tJJ\tB-NP\tO' -p299567 -aS'wheezing\twheezing\tNN\tI-NP\tO' -p299568 -aS'and\tand\tCC\tO\tO' -p299569 -aS'rales\trale\tNNS\tB-NP\tO' -p299570 -aS'on\ton\tIN\tB-PP\tO' -p299571 -aS'physical\tphysical\tJJ\tB-NP\tO' -p299572 -aS'examination\texamination\tNN\tI-NP\tO' -p299573 -aS'with\twith\tIN\tB-PP\tO' -p299574 -aS'a\ta\tDT\tB-NP\tO' -p299575 -aS'possible\tpossible\tJJ\tI-NP\tO' -p299576 -aS'left\tleave\tVBD\tB-VP\tO' -p299577 -aS'lower\tlow\tJJR\tB-NP\tO' -p299578 -aS'lobe\tlobe\tNN\tI-NP\tO' -p299579 -aS'opacity\topacity\tNN\tI-NP\tO' -p299580 -aS'seen\tsee\tVBN\tB-VP\tO' -p299581 -aS'on\ton\tIN\tB-PP\tO' -p299582 -aS'chest\tchest\tNN\tB-NP\tO' -p299583 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p299584 -aS'.\t.\t.\tO\tO' -p299585 -asS'3. Respiratory .' -p299586 -(lp299587 -S'3.\t3.\tLS\tB-LST\tO' -p299588 -aS'Respiratory\tRespiratory\tNNP\tB-NP\tO' -p299589 -aS'.\t.\t.\tO\tO' -p299590 -asS'1. Potassium Chloride 10 mEq Capsule , Sustained Release Sig : Two ( 2 ) Capsule , Sustained Release PO Q12H ( every 12 hours ) for 5 days .' -p299591 -(lp299592 -S'1.\t1.\tLS\tB-NP\tO' -p299593 -aS'Potassium\tPotassium\tNN\tI-NP\tO' -p299594 -aS'Chloride\tChloride\tNN\tI-NP\tO' -p299595 -aS'10\t10\tCD\tI-NP\tO' -p299596 -aS'mEq\tmEq\tNN\tI-NP\tO' -p299597 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p299598 -aS',\t,\t,\tO\tO' -p299599 -aS'Sustained\tSustained\tNNP\tB-NP\tO' -p299600 -aS'Release\tRelease\tNNP\tI-NP\tO' -p299601 -aS'Sig\tSig\tNNP\tI-NP\tB-protein' -p299602 -aS':\t:\t:\tO\tO' -p299603 -aS'Two\tTwo\tCD\tB-NP\tO' -p299604 -aS'(\t(\t(\tO\tO' -p299605 -aS'2\t2\tCD\tB-NP\tO' -p299606 -aS')\t)\t)\tO\tO' -p299607 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p299608 -aS',\t,\t,\tO\tO' -p299609 -aS'Sustained\tSustained\tNNP\tB-NP\tO' -p299610 -aS'Release\tRelease\tNNP\tI-NP\tO' -p299611 -aS'PO\tPO\tNN\tI-NP\tO' -p299612 -aS'Q12H\tQ12H\tNN\tI-NP\tO' -p299613 -aS'(\t(\t(\tO\tO' -p299614 -aS'every\tevery\tDT\tB-NP\tO' -p299615 -aS'12\t12\tCD\tI-NP\tO' -p299616 -aS'hours\thour\tNNS\tI-NP\tO' -p299617 -aS')\t)\t)\tO\tO' -p299618 -aS'for\tfor\tIN\tB-PP\tO' -p299619 -aS'5\t5\tCD\tB-NP\tO' -p299620 -aS'days\tday\tNNS\tI-NP\tO' -p299621 -aS'.\t.\t.\tO\tO' -p299622 -asS'Patient is on insulin sliding scale with fixed dose .' -p299623 -(lp299624 -S'Patient\tPatient\tNN\tB-NP\tO' -p299625 -aS'is\tbe\tVBZ\tB-VP\tO' -p299626 -aS'on\ton\tIN\tB-PP\tO' -p299627 -aS'insulin\tinsulin\tNN\tB-NP\tB-protein' -p299628 -aS'sliding\tslide\tVBG\tB-VP\tO' -p299629 -aS'scale\tscale\tNN\tB-NP\tO' -p299630 -aS'with\twith\tIN\tB-PP\tO' -p299631 -aS'fixed\tfix\tVBN\tB-NP\tO' -p299632 -aS'dose\tdose\tNN\tI-NP\tO' -p299633 -aS'.\t.\t.\tO\tO' -p299634 -asS'1. Aspirin 325 mg p.o. once daily .' -p299635 -(lp299636 -S'1.\t1.\tLS\tB-LST\tO' -p299637 -aS'Aspirin\tAspirin\tNN\tB-NP\tO' -p299638 -aS'325\t325\tCD\tI-NP\tO' -p299639 -aS'mg\tmg\tNN\tI-NP\tO' -p299640 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p299641 -aS'once\tonce\tRB\tB-ADVP\tO' -p299642 -aS'daily\tdaily\tRB\tI-ADVP\tO' -p299643 -aS'.\t.\t.\tO\tO' -p299644 -asS'Extubation was attempted on 07-14 , but she was re-intubated due to inspiratory stridor .' -p299645 -(lp299646 -S'Extubation\tExtubation\tNN\tB-NP\tO' -p299647 -aS'was\tbe\tVBD\tB-VP\tO' -p299648 -aS'attempted\tattempt\tVBN\tI-VP\tO' -p299649 -aS'on\ton\tIN\tB-PP\tO' -p299650 -aS'07-14\t07-14\tCD\tB-NP\tO' -p299651 -aS',\t,\t,\tO\tO' -p299652 -aS'but\tbut\tCC\tO\tO' -p299653 -aS'she\tshe\tPRP\tB-NP\tO' -p299654 -aS'was\tbe\tVBD\tB-VP\tO' -p299655 -aS're-intubated\tre-intubated\tJJ\tB-ADJP\tO' -p299656 -aS'due\tdue\tJJ\tB-PP\tO' -p299657 -aS'to\tto\tTO\tB-PP\tO' -p299658 -aS'inspiratory\tinspiratory\tJJ\tB-NP\tO' -p299659 -aS'stridor\tstridor\tNN\tI-NP\tO' -p299660 -aS'.\t.\t.\tO\tO' -p299661 -asS'Regular rate and rhythm , S1 , S2 , with III/VI blowing murmur .' -p299662 -(lp299663 -S'Regular\tRegular\tJJ\tB-NP\tO' -p299664 -aS'rate\trate\tNN\tI-NP\tO' -p299665 -aS'and\tand\tCC\tO\tO' -p299666 -aS'rhythm\trhythm\tNN\tB-NP\tO' -p299667 -aS',\t,\t,\tO\tO' -p299668 -aS'S1\tS1\tNN\tB-NP\tB-protein' -p299669 -aS',\t,\t,\tO\tO' -p299670 -aS'S2\tS2\tNN\tB-NP\tB-protein' -p299671 -aS',\t,\t,\tO\tO' -p299672 -aS'with\twith\tIN\tB-PP\tO' -p299673 -aS'III/VI\tIII/VI\tNN\tB-NP\tO' -p299674 -aS'blowing\tblow\tVBG\tB-VP\tO' -p299675 -aS'murmur\tmurmur\tNN\tB-NP\tO' -p299676 -aS'.\t.\t.\tO\tO' -p299677 -asS'Also of note , prior to the upper endoscopy , the patient received fresh frozen plasma to reverse his anticoagulation .' -p299678 -(lp299679 -S'Also\tAlso\tRB\tB-ADVP\tO' -p299680 -aS'of\tof\tIN\tB-PP\tO' -p299681 -aS'note\tnote\tNN\tB-NP\tO' -p299682 -aS',\t,\t,\tO\tO' -p299683 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p299684 -aS'to\tto\tTO\tB-PP\tO' -p299685 -aS'the\tthe\tDT\tB-NP\tO' -p299686 -aS'upper\tupper\tJJ\tI-NP\tO' -p299687 -aS'endoscopy\tendoscopy\tNN\tI-NP\tO' -p299688 -aS',\t,\t,\tO\tO' -p299689 -aS'the\tthe\tDT\tB-NP\tO' -p299690 -aS'patient\tpatient\tNN\tI-NP\tO' -p299691 -aS'received\treceive\tVBD\tB-VP\tO' -p299692 -aS'fresh\tfresh\tJJ\tB-NP\tO' -p299693 -aS'frozen\tfreeze\tVBN\tI-NP\tO' -p299694 -aS'plasma\tplasma\tNN\tI-NP\tO' -p299695 -aS'to\tto\tTO\tB-VP\tO' -p299696 -aS'reverse\treverse\tVB\tI-VP\tO' -p299697 -aS'his\this\tPRP$\tB-NP\tO' -p299698 -aS'anticoagulation\tanticoagulation\tNN\tI-NP\tO' -p299699 -aS'.\t.\t.\tO\tO' -p299700 -asS'The gray-white matter differentiation is preserved .' -p299701 -(lp299702 -S'The\tThe\tDT\tB-NP\tO' -p299703 -aS'gray-white\tgray-white\tJJ\tI-NP\tO' -p299704 -aS'matter\tmatter\tNN\tI-NP\tO' -p299705 -aS'differentiation\tdifferentiation\tNN\tI-NP\tO' -p299706 -aS'is\tbe\tVBZ\tB-VP\tO' -p299707 -aS'preserved\tpreserve\tVBN\tI-VP\tO' -p299708 -aS'.\t.\t.\tO\tO' -p299709 -asS'However , her ionized calcium decreased to 0.97 and she was given one amp of calcium gluconate .' -p299710 -(lp299711 -S'However\tHowever\tRB\tB-ADVP\tO' -p299712 -aS',\t,\t,\tO\tO' -p299713 -aS'her\ther\tPRP$\tB-NP\tO' -p299714 -aS'ionized\tionize\tVBN\tI-NP\tO' -p299715 -aS'calcium\tcalcium\tNN\tI-NP\tO' -p299716 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p299717 -aS'to\tto\tTO\tB-PP\tO' -p299718 -aS'0.97\t0.97\tCD\tB-NP\tO' -p299719 -aS'and\tand\tCC\tO\tO' -p299720 -aS'she\tshe\tPRP\tB-NP\tO' -p299721 -aS'was\tbe\tVBD\tB-VP\tO' -p299722 -aS'given\tgive\tVBN\tI-VP\tO' -p299723 -aS'one\tone\tCD\tB-NP\tO' -p299724 -aS'amp\tamp\tNN\tI-NP\tO' -p299725 -aS'of\tof\tIN\tB-PP\tO' -p299726 -aS'calcium\tcalcium\tNN\tB-NP\tO' -p299727 -aS'gluconate\tgluconate\tNN\tI-NP\tO' -p299728 -aS'.\t.\t.\tO\tO' -p299729 -asS'Electrolytes at this point were sodium 132 , potassium 1.8 .' -p299730 -(lp299731 -S'Electrolytes\tElectrolyte\tNNS\tB-NP\tO' -p299732 -aS'at\tat\tIN\tB-PP\tO' -p299733 -aS'this\tthis\tDT\tB-NP\tO' -p299734 -aS'point\tpoint\tNN\tI-NP\tO' -p299735 -aS'were\tbe\tVBD\tB-VP\tO' -p299736 -aS'sodium\tsodium\tNN\tB-NP\tO' -p299737 -aS'132\t132\tCD\tI-NP\tO' -p299738 -aS',\t,\t,\tO\tO' -p299739 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p299740 -aS'1.8\t1.8\tCD\tI-NP\tO' -p299741 -aS'.\t.\t.\tO\tO' -p299742 -asS'4. Anterior instrumentation L3-L4 .' -p299743 -(lp299744 -S'4.\t4.\tLS\tB-NP\tO' -p299745 -aS'Anterior\tAnterior\tJJ\tI-NP\tO' -p299746 -aS'instrumentation\tinstrumentation\tNN\tI-NP\tO' -p299747 -aS'L3-L4\tL3-L4\tNN\tI-NP\tO' -p299748 -aS'.\t.\t.\tO\tO' -p299749 -asS'She had previously been admitted here at the 24th week after a motor vehicle accident. She was treated with tocolysis and betamethasone at that time .' -p299750 -(lp299751 -S'She\tShe\tPRP\tB-NP\tO' -p299752 -aS'had\thave\tVBD\tB-VP\tO' -p299753 -aS'previously\tpreviously\tRB\tI-VP\tO' -p299754 -aS'been\tbe\tVBN\tI-VP\tO' -p299755 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p299756 -aS'here\there\tRB\tB-ADVP\tO' -p299757 -aS'at\tat\tIN\tB-PP\tO' -p299758 -aS'the\tthe\tDT\tB-NP\tO' -p299759 -aS'24th\t24th\tJJ\tI-NP\tO' -p299760 -aS'week\tweek\tNN\tI-NP\tO' -p299761 -aS'after\tafter\tIN\tB-PP\tO' -p299762 -aS'a\ta\tDT\tB-NP\tO' -p299763 -aS'motor\tmotor\tNN\tI-NP\tO' -p299764 -aS'vehicle\tvehicle\tNN\tI-NP\tO' -p299765 -aS'accident.\taccident.\tNN\tI-NP\tO' -p299766 -aS'She\tShe\tNN\tI-NP\tO' -p299767 -aS'was\tbe\tVBD\tB-VP\tO' -p299768 -aS'treated\ttreat\tVBN\tI-VP\tO' -p299769 -aS'with\twith\tIN\tB-PP\tO' -p299770 -aS'tocolysis\ttocolysis\tNN\tB-NP\tO' -p299771 -aS'and\tand\tCC\tI-NP\tO' -p299772 -aS'betamethasone\tbetamethasone\tNN\tI-NP\tO' -p299773 -aS'at\tat\tIN\tB-PP\tO' -p299774 -aS'that\tthat\tDT\tB-NP\tO' -p299775 -aS'time\ttime\tNN\tI-NP\tO' -p299776 -aS'.\t.\t.\tO\tO' -p299777 -asS'Normoactive bowel sounds , soft , mildly tender at right upper quadrant just inferior to the lower ribs , no epigastric tenderness .' -p299778 -(lp299779 -S'Normoactive\tNormoactive\tJJ\tB-NP\tO' -p299780 -aS'bowel\tbowel\tNN\tI-NP\tO' -p299781 -aS'sounds\tsound\tNNS\tI-NP\tO' -p299782 -aS',\t,\t,\tO\tO' -p299783 -aS'soft\tsoft\tJJ\tB-NP\tO' -p299784 -aS',\t,\t,\tI-NP\tO' -p299785 -aS'mildly\tmildly\tRB\tI-NP\tO' -p299786 -aS'tender\ttender\tNN\tI-NP\tO' -p299787 -aS'at\tat\tIN\tB-PP\tO' -p299788 -aS'right\tright\tJJ\tB-NP\tO' -p299789 -aS'upper\tupper\tJJ\tI-NP\tO' -p299790 -aS'quadrant\tquadrant\tNN\tI-NP\tO' -p299791 -aS'just\tjust\tRB\tB-ADJP\tO' -p299792 -aS'inferior\tinferior\tJJ\tI-ADJP\tO' -p299793 -aS'to\tto\tTO\tB-PP\tO' -p299794 -aS'the\tthe\tDT\tB-NP\tO' -p299795 -aS'lower\tlow\tJJR\tI-NP\tO' -p299796 -aS'ribs\trib\tNNS\tI-NP\tO' -p299797 -aS',\t,\t,\tO\tO' -p299798 -aS'no\tno\tDT\tB-NP\tO' -p299799 -aS'epigastric\tepigastric\tJJ\tI-NP\tO' -p299800 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p299801 -aS'.\t.\t.\tO\tO' -p299802 -asS'ABNORMALITY #2: The background voltages were occasionally lower on the left side , and there were additional bursts of delta slowing seen broadly on the left side alone .' -p299803 -(lp299804 -S'ABNORMALITY\tABNORMALITY\tNN\tB-NP\tO' -p299805 -aS'#2:\t#2:\t:\tO\tO' -p299806 -aS'The\tThe\tDT\tB-NP\tO' -p299807 -aS'background\tbackground\tNN\tI-NP\tO' -p299808 -aS'voltages\tvoltage\tNNS\tI-NP\tO' -p299809 -aS'were\tbe\tVBD\tB-VP\tO' -p299810 -aS'occasionally\toccasionally\tRB\tB-ADJP\tO' -p299811 -aS'lower\tlow\tJJR\tI-ADJP\tO' -p299812 -aS'on\ton\tIN\tB-PP\tO' -p299813 -aS'the\tthe\tDT\tB-NP\tO' -p299814 -aS'left\tleft\tJJ\tI-NP\tO' -p299815 -aS'side\tside\tNN\tI-NP\tO' -p299816 -aS',\t,\t,\tO\tO' -p299817 -aS'and\tand\tCC\tO\tO' -p299818 -aS'there\tthere\tEX\tB-NP\tO' -p299819 -aS'were\tbe\tVBD\tB-VP\tO' -p299820 -aS'additional\tadditional\tJJ\tB-NP\tO' -p299821 -aS'bursts\tburst\tNNS\tI-NP\tO' -p299822 -aS'of\tof\tIN\tB-PP\tO' -p299823 -aS'delta\tdelta\tNN\tB-NP\tO' -p299824 -aS'slowing\tslow\tVBG\tB-VP\tO' -p299825 -aS'seen\tsee\tVBN\tI-VP\tO' -p299826 -aS'broadly\tbroadly\tRB\tB-ADVP\tO' -p299827 -aS'on\ton\tIN\tB-PP\tO' -p299828 -aS'the\tthe\tDT\tB-NP\tO' -p299829 -aS'left\tleft\tJJ\tI-NP\tO' -p299830 -aS'side\tside\tNN\tI-NP\tO' -p299831 -aS'alone\talone\tRB\tB-ADVP\tO' -p299832 -aS'.\t.\t.\tO\tO' -p299833 -asS'Extubated on 03-31 .' -p299834 -(lp299835 -S'Extubated\tExtubate\tVBN\tB-VP\tO' -p299836 -aS'on\ton\tIN\tB-PP\tO' -p299837 -aS'03-31\t03-31\tCD\tB-NP\tO' -p299838 -aS'.\t.\t.\tO\tO' -p299839 -asS'Prior to discharge today , he underwent PFTs .' -p299840 -(lp299841 -S'Prior\tPrior\tRB\tB-ADVP\tO' -p299842 -aS'to\tto\tTO\tB-VP\tO' -p299843 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p299844 -aS'today\ttoday\tNN\tB-NP\tO' -p299845 -aS',\t,\t,\tO\tO' -p299846 -aS'he\the\tPRP\tB-NP\tO' -p299847 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p299848 -aS'PFTs\tPFT\tNNS\tB-NP\tO' -p299849 -aS'.\t.\t.\tO\tO' -p299850 -asS'On 10-02-94 the patient was brought to the operating room where he underwent exploratory laparotomy and left hepatectomy and cholecystectomy by Dr. Duhenile .' -p299851 -(lp299852 -S'On\tOn\tIN\tB-PP\tO' -p299853 -aS'10-02-94\t10-02-94\tCD\tB-NP\tO' -p299854 -aS'the\tthe\tDT\tB-NP\tO' -p299855 -aS'patient\tpatient\tNN\tI-NP\tO' -p299856 -aS'was\tbe\tVBD\tB-VP\tO' -p299857 -aS'brought\tbring\tVBN\tI-VP\tO' -p299858 -aS'to\tto\tTO\tB-PP\tO' -p299859 -aS'the\tthe\tDT\tB-NP\tO' -p299860 -aS'operating\toperating\tNN\tI-NP\tO' -p299861 -aS'room\troom\tNN\tI-NP\tO' -p299862 -aS'where\twhere\tWRB\tB-ADVP\tO' -p299863 -aS'he\the\tPRP\tB-NP\tO' -p299864 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p299865 -aS'exploratory\texploratory\tJJ\tB-NP\tO' -p299866 -aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' -p299867 -aS'and\tand\tCC\tO\tO' -p299868 -aS'left\tleave\tVBD\tB-VP\tO' -p299869 -aS'hepatectomy\thepatectomy\tNN\tB-NP\tO' -p299870 -aS'and\tand\tCC\tI-NP\tO' -p299871 -aS'cholecystectomy\tcholecystectomy\tNN\tI-NP\tO' -p299872 -aS'by\tby\tIN\tB-PP\tO' -p299873 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p299874 -aS'Duhenile\tDuhenile\tNNP\tI-NP\tO' -p299875 -aS'.\t.\t.\tO\tO' -p299876 -asS'IMPRESSION : Unchanged moderate bilateral pleural effusions and mild CHF .' -p299877 -(lp299878 -S'IMPRESSION\tIMPRESSION\tNN\tB-NP\tO' -p299879 -aS':\t:\t:\tO\tO' -p299880 -aS'Unchanged\tUnchanged\tJJ\tB-NP\tO' -p299881 -aS'moderate\tmoderate\tJJ\tI-NP\tO' -p299882 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p299883 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p299884 -aS'effusions\teffusion\tNNS\tI-NP\tO' -p299885 -aS'and\tand\tCC\tO\tO' -p299886 -aS'mild\tmild\tJJ\tB-NP\tO' -p299887 -aS'CHF\tCHF\tNN\tI-NP\tO' -p299888 -aS'.\t.\t.\tO\tO' -p299889 -asS'Prednisone , nebulizers .' -p299890 -(lp299891 -S'Prednisone\tPrednisone\tNN\tB-NP\tO' -p299892 -aS',\t,\t,\tO\tO' -p299893 -aS'nebulizers\tnebulizer\tNNS\tB-NP\tO' -p299894 -aS'.\t.\t.\tO\tO' -p299895 -asS'30 units Lantus insulin with breakfast' -p299896 -(lp299897 -S'30\t30\tCD\tB-NP\tO' -p299898 -aS'units\tunit\tNNS\tI-NP\tO' -p299899 -aS'Lantus\tLantus\tNNP\tB-NP\tO' -p299900 -aS'insulin\tinsulin\tNN\tI-NP\tO' -p299901 -aS'with\twith\tIN\tB-PP\tO' -p299902 -aS'breakfast\tbreakfast\tNN\tB-NP\tO' -p299903 -asS'He had no gag to tube manipulation .' -p299904 -(lp299905 -S'He\tHe\tPRP\tB-NP\tO' -p299906 -aS'had\thave\tVBD\tB-VP\tO' -p299907 -aS'no\tno\tDT\tB-NP\tO' -p299908 -aS'gag\tgag\tNN\tI-NP\tO' -p299909 -aS'to\tto\tTO\tB-VP\tO' -p299910 -aS'tube\ttube\tVB\tI-VP\tO' -p299911 -aS'manipulation\tmanipulation\tNN\tB-NP\tO' -p299912 -aS'.\t.\t.\tO\tO' -p299913 -asS'Earlier during her Intensive Care Unit course she underwent bronchoscopy , which was sent for cytology and multiple bacterial pathogens all of which were negative .' -p299914 -(lp299915 -S'Earlier\tEarlier\tRBR\tB-ADVP\tO' -p299916 -aS'during\tduring\tIN\tB-PP\tO' -p299917 -aS'her\ther\tPRP$\tB-NP\tO' -p299918 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p299919 -aS'Care\tCare\tNNP\tI-NP\tO' -p299920 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p299921 -aS'course\tcourse\tNN\tI-NP\tO' -p299922 -aS'she\tshe\tPRP\tB-NP\tO' -p299923 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p299924 -aS'bronchoscopy\tbronchoscopy\tNN\tB-NP\tO' -p299925 -aS',\t,\t,\tO\tO' -p299926 -aS'which\twhich\tWDT\tB-NP\tO' -p299927 -aS'was\tbe\tVBD\tB-VP\tO' -p299928 -aS'sent\tsend\tVBN\tI-VP\tO' -p299929 -aS'for\tfor\tIN\tB-PP\tO' -p299930 -aS'cytology\tcytology\tNN\tB-NP\tO' -p299931 -aS'and\tand\tCC\tO\tO' -p299932 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p299933 -aS'bacterial\tbacterial\tJJ\tI-NP\tO' -p299934 -aS'pathogens\tpathogen\tNNS\tI-NP\tO' -p299935 -aS'all\tall\tDT\tB-NP\tO' -p299936 -aS'of\tof\tIN\tB-PP\tO' -p299937 -aS'which\twhich\tWDT\tB-NP\tO' -p299938 -aS'were\tbe\tVBD\tB-VP\tO' -p299939 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p299940 -aS'.\t.\t.\tO\tO' -p299941 -asS'The first was on 10/15/97 , which showed clotted blood in the esophagus .' -p299942 -(lp299943 -S'The\tThe\tDT\tB-NP\tO' -p299944 -aS'first\tfirst\tJJ\tI-NP\tO' -p299945 -aS'was\tbe\tVBD\tB-VP\tO' -p299946 -aS'on\ton\tIN\tB-PP\tO' -p299947 -aS'10/15/97\t10/15/97\tCD\tB-NP\tO' -p299948 -aS',\t,\t,\tO\tO' -p299949 -aS'which\twhich\tWDT\tB-NP\tO' -p299950 -aS'showed\tshow\tVBD\tB-VP\tO' -p299951 -aS'clotted\tclotted\tJJ\tB-NP\tO' -p299952 -aS'blood\tblood\tNN\tI-NP\tO' -p299953 -aS'in\tin\tIN\tB-PP\tO' -p299954 -aS'the\tthe\tDT\tB-NP\tO' -p299955 -aS'esophagus\tesophagus\tNN\tI-NP\tO' -p299956 -aS'.\t.\t.\tO\tO' -p299957 -asS'In TSICU , developed MRSA pneumonia with question of aspiration , treated Zosyn --> vanc / levo --> then 2 week course of Linazolid with resolution of fevers and decreased pulmonary secretions .' -p299958 -(lp299959 -S'In\tIn\tIN\tB-PP\tO' -p299960 -aS'TSICU\tTSICU\tNN\tB-NP\tO' -p299961 -aS',\t,\t,\tO\tO' -p299962 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p299963 -aS'MRSA\tMRSA\tNN\tB-NP\tO' -p299964 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p299965 -aS'with\twith\tIN\tB-PP\tO' -p299966 -aS'question\tquestion\tNN\tB-NP\tO' -p299967 -aS'of\tof\tIN\tB-PP\tO' -p299968 -aS'aspiration\taspiration\tNN\tB-NP\tO' -p299969 -aS',\t,\t,\tO\tO' -p299970 -aS'treated\ttreat\tVBN\tB-NP\tO' -p299971 -aS'Zosyn\tZosyn\tNN\tI-NP\tO' -p299972 -aS'-->\t-->\tSYM\tI-NP\tO' -p299973 -aS'vanc\tvanc\tNN\tI-NP\tO' -p299974 -aS'/\t/\tSYM\tB-NP\tO' -p299975 -aS'levo\tlevo\tNN\tI-NP\tO' -p299976 -aS'-->\t-->\tSYM\tO\tO' -p299977 -aS'then\tthen\tRB\tB-ADVP\tO' -p299978 -aS'2\t2\tCD\tB-NP\tO' -p299979 -aS'week\tweek\tNN\tI-NP\tO' -p299980 -aS'course\tcourse\tNN\tI-NP\tO' -p299981 -aS'of\tof\tIN\tB-PP\tO' -p299982 -aS'Linazolid\tLinazolid\tNN\tB-NP\tO' -p299983 -aS'with\twith\tIN\tB-PP\tO' -p299984 -aS'resolution\tresolution\tNN\tB-NP\tO' -p299985 -aS'of\tof\tIN\tB-PP\tO' -p299986 -aS'fevers\tfever\tNNS\tB-NP\tO' -p299987 -aS'and\tand\tCC\tO\tO' -p299988 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p299989 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p299990 -aS'secretions\tsecretion\tNNS\tI-NP\tO' -p299991 -aS'.\t.\t.\tO\tO' -p299992 -asS'The patient with peak bilirubin of 6.5 on day of life 3 .' -p299993 -(lp299994 -S'The\tThe\tDT\tB-NP\tO' -p299995 -aS'patient\tpatient\tNN\tI-NP\tO' -p299996 -aS'with\twith\tIN\tB-PP\tO' -p299997 -aS'peak\tpeak\tJJ\tB-NP\tO' -p299998 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p299999 -aS'of\tof\tIN\tB-PP\tO' -p300000 -aS'6.5\t6.5\tCD\tB-NP\tO' -p300001 -aS'on\ton\tIN\tB-PP\tO' -p300002 -aS'day\tday\tNN\tB-NP\tO' -p300003 -aS'of\tof\tIN\tB-PP\tO' -p300004 -aS'life\tlife\tNN\tB-NP\tB-protein' -p300005 -aS'3\t3\tCD\tI-NP\tI-protein' -p300006 -aS'.\t.\t.\tO\tO' -p300007 -asS'Blood cultures , urine culture , and UA were all done .' -p300008 -(lp300009 -S'Blood\tBlood\tNN\tB-NP\tB-cell_line' -p300010 -aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' -p300011 -aS',\t,\t,\tO\tO' -p300012 -aS'urine\turine\tNN\tB-NP\tO' -p300013 -aS'culture\tculture\tNN\tI-NP\tO' -p300014 -aS',\t,\t,\tO\tO' -p300015 -aS'and\tand\tCC\tO\tO' -p300016 -aS'UA\tUA\tNNP\tB-NP\tO' -p300017 -aS'were\tbe\tVBD\tB-VP\tO' -p300018 -aS'all\tall\tDT\tO\tO' -p300019 -aS'done\tdo\tVBN\tB-VP\tO' -p300020 -aS'.\t.\t.\tO\tO' -p300021 -asS'Pt was note started on ASA as she does not tolerate this well , BB was also not started given SBPs in the 110s .' -p300022 -(lp300023 -S'Pt\tPt\tNN\tB-NP\tO' -p300024 -aS'was\tbe\tVBD\tB-VP\tO' -p300025 -aS'note\tnote\tNN\tB-NP\tO' -p300026 -aS'started\tstart\tVBN\tB-VP\tO' -p300027 -aS'on\ton\tIN\tB-PP\tO' -p300028 -aS'ASA\tASA\tNN\tB-NP\tO' -p300029 -aS'as\tas\tIN\tB-SBAR\tO' -p300030 -aS'she\tshe\tPRP\tB-NP\tO' -p300031 -aS'does\tdo\tVBZ\tB-VP\tO' -p300032 -aS'not\tnot\tRB\tI-VP\tO' -p300033 -aS'tolerate\ttolerate\tVB\tI-VP\tO' -p300034 -aS'this\tthis\tDT\tB-NP\tO' -p300035 -aS'well\twell\tNN\tI-NP\tO' -p300036 -aS',\t,\t,\tO\tO' -p300037 -aS'BB\tBB\tNN\tB-NP\tB-protein' -p300038 -aS'was\tbe\tVBD\tB-VP\tO' -p300039 -aS'also\talso\tRB\tI-VP\tO' -p300040 -aS'not\tnot\tRB\tI-VP\tO' -p300041 -aS'started\tstart\tVBD\tI-VP\tO' -p300042 -aS'given\tgive\tVBN\tI-VP\tO' -p300043 -aS'SBPs\tSBP\tNNS\tB-NP\tB-protein' -p300044 -aS'in\tin\tIN\tB-PP\tO' -p300045 -aS'the\tthe\tDT\tB-NP\tO' -p300046 -aS'110s\t110\tNNS\tI-NP\tB-DNA' -p300047 -aS'.\t.\t.\tO\tO' -p300048 -asS'4. Peripheral vascular disease status post bilateral iliac stenting .' -p300049 -(lp300050 -S'4.\t4.\tLS\tB-NP\tO' -p300051 -aS'Peripheral\tPeripheral\tJJ\tI-NP\tO' -p300052 -aS'vascular\tvascular\tJJ\tI-NP\tO' -p300053 -aS'disease\tdisease\tNN\tI-NP\tO' -p300054 -aS'status\tstatus\tNN\tI-NP\tO' -p300055 -aS'post\tpost\tIN\tB-PP\tO' -p300056 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p300057 -aS'iliac\tiliac\tJJ\tI-NP\tO' -p300058 -aS'stenting\tstenting\tNN\tI-NP\tO' -p300059 -aS'.\t.\t.\tO\tO' -p300060 -asS'6. Enteric-coated aspirin 325 mg p.o. q.d.' -p300061 -(lp300062 -S'6.\t6.\tLS\tB-NP\tO' -p300063 -aS'Enteric-coated\tEnteric-coated\tJJ\tI-NP\tO' -p300064 -aS'aspirin\taspirin\tNN\tI-NP\tO' -p300065 -aS'325\t325\tCD\tI-NP\tO' -p300066 -aS'mg\tmg\tNN\tI-NP\tO' -p300067 -aS'p.o.\tp.o.\tFW\tB-ADVP\tO' -p300068 -aS'q.d.\tq.d.\tFW\tI-ADVP\tO' -p300069 -asS'4. Prinivil 20 mg po qd .' -p300070 -(lp300071 -S'4.\t4.\tLS\tB-NP\tO' -p300072 -aS'Prinivil\tPrinivil\tNNP\tI-NP\tO' -p300073 -aS'20\t20\tCD\tI-NP\tO' -p300074 -aS'mg\tmg\tNN\tI-NP\tO' -p300075 -aS'po\tpo\tNN\tI-NP\tO' -p300076 -aS'qd\tqd\tNN\tI-NP\tO' -p300077 -aS'.\t.\t.\tO\tO' -p300078 -asS'He remained in atrial fibrillation .' -p300079 -(lp300080 -S'He\tHe\tPRP\tB-NP\tO' -p300081 -aS'remained\tremain\tVBD\tB-VP\tO' -p300082 -aS'in\tin\tIN\tB-PP\tO' -p300083 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p300084 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p300085 -aS'.\t.\t.\tO\tO' -p300086 -asS'Right capsular putamenal hemorrhage .' -p300087 -(lp300088 -S'Right\tRight\tRB\tB-NP\tO' -p300089 -aS'capsular\tcapsular\tJJ\tI-NP\tO' -p300090 -aS'putamenal\tputamenal\tJJ\tI-NP\tO' -p300091 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p300092 -aS'.\t.\t.\tO\tO' -p300093 -asS'She reports compliance with her ASA + plavix .' -p300094 -(lp300095 -S'She\tShe\tPRP\tB-NP\tO' -p300096 -aS'reports\treport\tVBZ\tB-VP\tO' -p300097 -aS'compliance\tcompliance\tNN\tB-NP\tO' -p300098 -aS'with\twith\tIN\tB-PP\tO' -p300099 -aS'her\ther\tPRP$\tB-NP\tO' -p300100 -aS'ASA\tASA\tNN\tI-NP\tO' -p300101 -aS'+\t+\tSYM\tB-NP\tO' -p300102 -aS'plavix\tplavix\tNN\tI-NP\tO' -p300103 -aS'.\t.\t.\tO\tO' -p300104 -asS'6. Uterine cavity fluid of unclear etiology .' -p300105 -(lp300106 -S'6.\t6.\tLS\tB-NP\tO' -p300107 -aS'Uterine\tUterine\tNN\tI-NP\tO' -p300108 -aS'cavity\tcavity\tNN\tI-NP\tO' -p300109 -aS'fluid\tfluid\tNN\tI-NP\tO' -p300110 -aS'of\tof\tIN\tB-PP\tO' -p300111 -aS'unclear\tunclear\tJJ\tB-NP\tO' -p300112 -aS'etiology\tetiology\tNN\tI-NP\tO' -p300113 -aS'.\t.\t.\tO\tO' -p300114 -asS'Significant for a brother who had an MI at age 61 .' -p300115 -(lp300116 -S'Significant\tSignificant\tJJ\tB-ADJP\tO' -p300117 -aS'for\tfor\tIN\tB-PP\tO' -p300118 -aS'a\ta\tDT\tB-NP\tO' -p300119 -aS'brother\tbrother\tNN\tI-NP\tO' -p300120 -aS'who\twho\tWP\tB-NP\tO' -p300121 -aS'had\thave\tVBD\tB-VP\tO' -p300122 -aS'an\tan\tDT\tB-NP\tO' -p300123 -aS'MI\tMI\tNN\tI-NP\tO' -p300124 -aS'at\tat\tIN\tB-PP\tO' -p300125 -aS'age\tage\tNN\tB-NP\tO' -p300126 -aS'61\t61\tCD\tI-NP\tO' -p300127 -aS'.\t.\t.\tO\tO' -p300128 -asS'Walking was assessed later and the patient was unstable on his feet .' -p300129 -(lp300130 -S'Walking\tWalk\tVBG\tB-NP\tO' -p300131 -aS'was\tbe\tVBD\tB-VP\tO' -p300132 -aS'assessed\tassess\tVBN\tI-VP\tO' -p300133 -aS'later\tlater\tRB\tB-ADVP\tO' -p300134 -aS'and\tand\tCC\tO\tO' -p300135 -aS'the\tthe\tDT\tB-NP\tO' -p300136 -aS'patient\tpatient\tNN\tI-NP\tO' -p300137 -aS'was\tbe\tVBD\tB-VP\tO' -p300138 -aS'unstable\tunstable\tJJ\tB-ADJP\tO' -p300139 -aS'on\ton\tIN\tB-PP\tO' -p300140 -aS'his\this\tPRP$\tB-NP\tO' -p300141 -aS'feet\tfoot\tNNS\tI-NP\tO' -p300142 -aS'.\t.\t.\tO\tO' -p300143 -asS'Disp :* 60 Tablet (s)* Refills :* 2 *' -p300144 -(lp300145 -S'Disp\tDisp\tNN\tB-NP\tO' -p300146 -aS':*\t:*\tSYM\tI-NP\tO' -p300147 -aS'60\t60\tCD\tI-NP\tO' -p300148 -aS'Tablet\tTablet\tNN\tI-NP\tO' -p300149 -aS'(s)*\t(s)*\tSYM\tB-NP\tO' -p300150 -aS'Refills\tRefill\tNNPS\tI-NP\tO' -p300151 -aS':*\t:*\tSYM\tB-NP\tO' -p300152 -aS'2\t2\tCD\tB-NP\tO' -p300153 -aS'*\t*\tSYM\tB-NP\tO' -p300154 -asS'She was having some pain issues and morphine was making her " jittery ."' -p300155 -(lp300156 -S'She\tShe\tPRP\tB-NP\tO' -p300157 -aS'was\tbe\tVBD\tB-VP\tO' -p300158 -aS'having\thave\tVBG\tI-VP\tO' -p300159 -aS'some\tsome\tDT\tB-NP\tO' -p300160 -aS'pain\tpain\tNN\tI-NP\tO' -p300161 -aS'issues\tissue\tNNS\tI-NP\tO' -p300162 -aS'and\tand\tCC\tO\tO' -p300163 -aS'morphine\tmorphine\tNN\tB-NP\tO' -p300164 -aS'was\tbe\tVBD\tB-VP\tO' -p300165 -aS'making\tmake\tVBG\tI-VP\tO' -p300166 -aS'her\ther\tPRP$\tB-NP\tO' -p300167 -aS'"\t"\t\'\'\tI-NP\tO' -p300168 -aS'jittery\tjittery\tNN\tI-NP\tO' -p300169 -aS'."\t."\t.\tO\tO' -p300170 -asS'You should have a anti-Tissue Transglutaminase Antibody , IgA to rule out celiac disease given your abdominal symptoms .' -p300171 -(lp300172 -S'You\tYou\tPRP\tB-NP\tB-protein' -p300173 -aS'should\tshould\tMD\tB-VP\tO' -p300174 -aS'have\thave\tVB\tI-VP\tO' -p300175 -aS'a\ta\tDT\tB-NP\tO' -p300176 -aS'anti-Tissue\tanti-Tissue\tJJ\tI-NP\tB-protein' -p300177 -aS'Transglutaminase\tTransglutaminase\tNN\tI-NP\tI-protein' -p300178 -aS'Antibody\tAntibody\tNN\tI-NP\tI-protein' -p300179 -aS',\t,\t,\tO\tO' -p300180 -aS'IgA\tIgA\tNN\tB-NP\tB-protein' -p300181 -aS'to\tto\tTO\tB-VP\tO' -p300182 -aS'rule\trule\tVB\tI-VP\tO' -p300183 -aS'out\tout\tRP\tB-PRT\tO' -p300184 -aS'celiac\tceliac\tJJ\tB-NP\tO' -p300185 -aS'disease\tdisease\tNN\tI-NP\tO' -p300186 -aS'given\tgive\tVBN\tB-VP\tO' -p300187 -aS'your\tyour\tPRP$\tB-NP\tO' -p300188 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p300189 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p300190 -aS'.\t.\t.\tO\tO' -p300191 -asS'There was nothing wrong with the prior generator and nothing wrong with the leads .' -p300192 -(lp300193 -S'There\tThere\tEX\tB-NP\tO' -p300194 -aS'was\tbe\tVBD\tB-VP\tO' -p300195 -aS'nothing\tnothing\tNN\tB-NP\tO' -p300196 -aS'wrong\twrong\tJJ\tB-ADJP\tO' -p300197 -aS'with\twith\tIN\tB-PP\tO' -p300198 -aS'the\tthe\tDT\tB-NP\tO' -p300199 -aS'prior\tprior\tJJ\tI-NP\tO' -p300200 -aS'generator\tgenerator\tNN\tI-NP\tO' -p300201 -aS'and\tand\tCC\tO\tO' -p300202 -aS'nothing\tnothing\tNN\tB-NP\tO' -p300203 -aS'wrong\twrong\tJJ\tB-ADJP\tO' -p300204 -aS'with\twith\tIN\tB-PP\tO' -p300205 -aS'the\tthe\tDT\tB-NP\tO' -p300206 -aS'leads\tlead\tNNS\tI-NP\tO' -p300207 -aS'.\t.\t.\tO\tO' -p300208 -asS'5. Status post DDD pacer placement with external generator .' -p300209 -(lp300210 -S'5.\t5.\tLS\tB-LST\tO' -p300211 -aS'Status\tStatus\tNNP\tB-NP\tO' -p300212 -aS'post\tpost\tIN\tB-PP\tO' -p300213 -aS'DDD\tDDD\tNNP\tB-NP\tO' -p300214 -aS'pacer\tpacer\tNN\tI-NP\tO' -p300215 -aS'placement\tplacement\tNN\tI-NP\tO' -p300216 -aS'with\twith\tIN\tB-PP\tO' -p300217 -aS'external\texternal\tJJ\tB-NP\tO' -p300218 -aS'generator\tgenerator\tNN\tI-NP\tO' -p300219 -aS'.\t.\t.\tO\tO' -p300220 -asS'The patient was a prior off-and-on smoker but has quit in 01/19 .' -p300221 -(lp300222 -S'The\tThe\tDT\tB-NP\tO' -p300223 -aS'patient\tpatient\tNN\tI-NP\tO' -p300224 -aS'was\tbe\tVBD\tB-VP\tO' -p300225 -aS'a\ta\tDT\tB-NP\tO' -p300226 -aS'prior\tprior\tJJ\tI-NP\tO' -p300227 -aS'off-and-on\toff-and-on\tJJ\tI-NP\tO' -p300228 -aS'smoker\tsmoker\tNN\tI-NP\tO' -p300229 -aS'but\tbut\tCC\tO\tO' -p300230 -aS'has\thave\tVBZ\tB-VP\tO' -p300231 -aS'quit\tquit\tVBN\tI-VP\tO' -p300232 -aS'in\tin\tIN\tB-PP\tO' -p300233 -aS'01/19\t01/19\tCD\tB-NP\tO' -p300234 -aS'.\t.\t.\tO\tO' -p300235 -asS'The prognosis for rehabilitation potential is guarded .' -p300236 -(lp300237 -S'The\tThe\tDT\tB-NP\tO' -p300238 -aS'prognosis\tprognosis\tNN\tI-NP\tO' -p300239 -aS'for\tfor\tIN\tB-PP\tO' -p300240 -aS'rehabilitation\trehabilitation\tNN\tB-NP\tO' -p300241 -aS'potential\tpotential\tNN\tI-NP\tO' -p300242 -aS'is\tbe\tVBZ\tB-VP\tO' -p300243 -aS'guarded\tguard\tVBN\tI-VP\tO' -p300244 -aS'.\t.\t.\tO\tO' -p300245 -asS'She complained of increased numbness of the right foot over time , and was seen at Sephsandpot Center , where she was found to have palpable right femoral and popliteal pulses , and no pedal pulses .' -p300246 -(lp300247 -S'She\tShe\tPRP\tB-NP\tO' -p300248 -aS'complained\tcomplain\tVBD\tB-VP\tO' -p300249 -aS'of\tof\tIN\tB-PP\tO' -p300250 -aS'increased\tincrease\tVBN\tB-NP\tO' -p300251 -aS'numbness\tnumbness\tNN\tI-NP\tO' -p300252 -aS'of\tof\tIN\tB-PP\tO' -p300253 -aS'the\tthe\tDT\tB-NP\tO' -p300254 -aS'right\tright\tJJ\tI-NP\tO' -p300255 -aS'foot\tfoot\tNN\tI-NP\tO' -p300256 -aS'over\tover\tIN\tB-PP\tO' -p300257 -aS'time\ttime\tNN\tB-NP\tO' -p300258 -aS',\t,\t,\tO\tO' -p300259 -aS'and\tand\tCC\tO\tO' -p300260 -aS'was\tbe\tVBD\tB-VP\tO' -p300261 -aS'seen\tsee\tVBN\tI-VP\tO' -p300262 -aS'at\tat\tIN\tB-PP\tO' -p300263 -aS'Sephsandpot\tSephsandpot\tNNP\tB-NP\tO' -p300264 -aS'Center\tCenter\tNNP\tI-NP\tO' -p300265 -aS',\t,\t,\tO\tO' -p300266 -aS'where\twhere\tWRB\tB-ADVP\tO' -p300267 -aS'she\tshe\tPRP\tB-NP\tO' -p300268 -aS'was\tbe\tVBD\tB-VP\tO' -p300269 -aS'found\tfind\tVBN\tI-VP\tO' -p300270 -aS'to\tto\tTO\tI-VP\tO' -p300271 -aS'have\thave\tVB\tI-VP\tO' -p300272 -aS'palpable\tpalpable\tJJ\tB-NP\tO' -p300273 -aS'right\tright\tJJ\tI-NP\tO' -p300274 -aS'femoral\tfemoral\tJJ\tI-NP\tO' -p300275 -aS'and\tand\tCC\tI-NP\tO' -p300276 -aS'popliteal\tpopliteal\tJJ\tI-NP\tO' -p300277 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p300278 -aS',\t,\t,\tO\tO' -p300279 -aS'and\tand\tCC\tO\tO' -p300280 -aS'no\tno\tDT\tB-NP\tO' -p300281 -aS'pedal\tpedal\tJJ\tI-NP\tO' -p300282 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p300283 -aS'.\t.\t.\tO\tO' -p300284 -asS'He was continued on lidocaine and eventually changed over to amiodarone .' -p300285 -(lp300286 -S'He\tHe\tPRP\tB-NP\tO' -p300287 -aS'was\tbe\tVBD\tB-VP\tO' -p300288 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p300289 -aS'on\ton\tIN\tB-PP\tO' -p300290 -aS'lidocaine\tlidocaine\tNN\tB-NP\tO' -p300291 -aS'and\tand\tCC\tO\tO' -p300292 -aS'eventually\teventually\tRB\tB-VP\tO' -p300293 -aS'changed\tchange\tVBD\tI-VP\tO' -p300294 -aS'over\tover\tRP\tB-PRT\tO' -p300295 -aS'to\tto\tTO\tB-PP\tO' -p300296 -aS'amiodarone\tamiodarone\tNN\tB-NP\tO' -p300297 -aS'.\t.\t.\tO\tO' -p300298 -asS'The patient had a spinal cord stimulator trial on 07/21/99 , the patient had an epidural trial on 07/24/99 .' -p300299 -(lp300300 -S'The\tThe\tDT\tB-NP\tO' -p300301 -aS'patient\tpatient\tNN\tI-NP\tO' -p300302 -aS'had\thave\tVBD\tB-VP\tO' -p300303 -aS'a\ta\tDT\tB-NP\tO' -p300304 -aS'spinal\tspinal\tJJ\tI-NP\tO' -p300305 -aS'cord\tcord\tNN\tI-NP\tO' -p300306 -aS'stimulator\tstimulator\tNN\tI-NP\tO' -p300307 -aS'trial\ttrial\tNN\tI-NP\tO' -p300308 -aS'on\ton\tIN\tB-PP\tO' -p300309 -aS'07/21/99\t07/21/99\tCD\tB-NP\tO' -p300310 -aS',\t,\t,\tO\tO' -p300311 -aS'the\tthe\tDT\tB-NP\tO' -p300312 -aS'patient\tpatient\tNN\tI-NP\tO' -p300313 -aS'had\thave\tVBD\tB-VP\tO' -p300314 -aS'an\tan\tDT\tB-NP\tO' -p300315 -aS'epidural\tepidural\tJJ\tI-NP\tO' -p300316 -aS'trial\ttrial\tNN\tI-NP\tO' -p300317 -aS'on\ton\tIN\tB-PP\tO' -p300318 -aS'07/24/99\t07/24/99\tCD\tB-NP\tO' -p300319 -aS'.\t.\t.\tO\tO' -p300320 -asS'At the time of discharge , he was on a stable antihypertensive regimen appropriate for someone with a decreased ejection fraction .' -p300321 -(lp300322 -S'At\tAt\tIN\tB-PP\tO' -p300323 -aS'the\tthe\tDT\tB-NP\tO' -p300324 -aS'time\ttime\tNN\tI-NP\tO' -p300325 -aS'of\tof\tIN\tB-PP\tO' -p300326 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p300327 -aS',\t,\t,\tO\tO' -p300328 -aS'he\the\tPRP\tB-NP\tO' -p300329 -aS'was\tbe\tVBD\tB-VP\tO' -p300330 -aS'on\ton\tIN\tB-PP\tO' -p300331 -aS'a\ta\tDT\tB-NP\tO' -p300332 -aS'stable\tstable\tJJ\tI-NP\tO' -p300333 -aS'antihypertensive\tantihypertensive\tJJ\tI-NP\tO' -p300334 -aS'regimen\tregimen\tNN\tI-NP\tO' -p300335 -aS'appropriate\tappropriate\tJJ\tB-ADJP\tO' -p300336 -aS'for\tfor\tIN\tB-PP\tO' -p300337 -aS'someone\tsomeone\tNN\tB-NP\tO' -p300338 -aS'with\twith\tIN\tB-PP\tO' -p300339 -aS'a\ta\tDT\tB-NP\tO' -p300340 -aS'decreased\tdecrease\tVBN\tI-NP\tO' -p300341 -aS'ejection\tejection\tNN\tI-NP\tO' -p300342 -aS'fraction\tfraction\tNN\tI-NP\tO' -p300343 -aS'.\t.\t.\tO\tO' -p300344 -asS'Her stress test was cancelled .' -p300345 -(lp300346 -S'Her\tHer\tPRP$\tB-NP\tO' -p300347 -aS'stress\tstress\tNN\tI-NP\tO' -p300348 -aS'test\ttest\tNN\tI-NP\tO' -p300349 -aS'was\tbe\tVBD\tB-VP\tO' -p300350 -aS'cancelled\tcancel\tVBN\tI-VP\tO' -p300351 -aS'.\t.\t.\tO\tO' -p300352 -asS'Pt was found to be H. Pylori positive and therefore was started on empiric treatment .' -p300353 -(lp300354 -S'Pt\tPt\tNN\tB-NP\tO' -p300355 -aS'was\tbe\tVBD\tB-VP\tO' -p300356 -aS'found\tfind\tVBN\tI-VP\tO' -p300357 -aS'to\tto\tTO\tI-VP\tO' -p300358 -aS'be\tbe\tVB\tI-VP\tO' -p300359 -aS'H.\tH.\tNNP\tB-NP\tO' -p300360 -aS'Pylori\tPylori\tNNP\tI-NP\tO' -p300361 -aS'positive\tpositive\tJJ\tI-NP\tO' -p300362 -aS'and\tand\tCC\tO\tO' -p300363 -aS'therefore\ttherefore\tRB\tB-ADVP\tO' -p300364 -aS'was\tbe\tVBD\tB-VP\tO' -p300365 -aS'started\tstart\tVBN\tI-VP\tO' -p300366 -aS'on\ton\tIN\tB-PP\tO' -p300367 -aS'empiric\tempiric\tJJ\tB-NP\tO' -p300368 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p300369 -aS'.\t.\t.\tO\tO' -p300370 -asS'The neck was supple without lymphadenopathy or thyromegaly .' -p300371 -(lp300372 -S'The\tThe\tDT\tB-NP\tO' -p300373 -aS'neck\tneck\tNN\tI-NP\tO' -p300374 -aS'was\tbe\tVBD\tB-VP\tO' -p300375 -aS'supple\tsupple\tNN\tB-NP\tO' -p300376 -aS'without\twithout\tIN\tB-PP\tO' -p300377 -aS'lymphadenopathy\tlymphadenopathy\tNN\tB-NP\tO' -p300378 -aS'or\tor\tCC\tO\tO' -p300379 -aS'thyromegaly\tthyromegaly\tRB\tB-ADVP\tO' -p300380 -aS'.\t.\t.\tO\tO' -p300381 -asS'Positive findings of physical examination include chicken pox lesions on thorax , sunken eyes , thick nasal discharge , dry lips , tongue and mucous membranes , red tonsils .' -p300382 -(lp300383 -S'Positive\tPositive\tJJ\tB-NP\tO' -p300384 -aS'findings\tfinding\tNNS\tI-NP\tO' -p300385 -aS'of\tof\tIN\tB-PP\tO' -p300386 -aS'physical\tphysical\tJJ\tB-NP\tO' -p300387 -aS'examination\texamination\tNN\tI-NP\tO' -p300388 -aS'include\tinclude\tVBP\tB-VP\tO' -p300389 -aS'chicken\tchicken\tNN\tB-NP\tO' -p300390 -aS'pox\tpox\tNN\tI-NP\tO' -p300391 -aS'lesions\tlesion\tNNS\tI-NP\tO' -p300392 -aS'on\ton\tIN\tB-PP\tO' -p300393 -aS'thorax\tthorax\tNN\tB-NP\tO' -p300394 -aS',\t,\t,\tO\tO' -p300395 -aS'sunken\tsunken\tJJ\tB-NP\tO' -p300396 -aS'eyes\teye\tNNS\tI-NP\tO' -p300397 -aS',\t,\t,\tO\tO' -p300398 -aS'thick\tthick\tJJ\tB-NP\tO' -p300399 -aS'nasal\tnasal\tJJ\tI-NP\tO' -p300400 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p300401 -aS',\t,\t,\tO\tO' -p300402 -aS'dry\tdry\tJJ\tB-NP\tO' -p300403 -aS'lips\tlip\tNNS\tI-NP\tO' -p300404 -aS',\t,\t,\tO\tO' -p300405 -aS'tongue\ttongue\tNN\tB-NP\tO' -p300406 -aS'and\tand\tCC\tO\tO' -p300407 -aS'mucous\tmucous\tJJ\tB-NP\tO' -p300408 -aS'membranes\tmembrane\tNNS\tI-NP\tO' -p300409 -aS',\t,\t,\tO\tO' -p300410 -aS'red\tred\tJJ\tB-NP\tO' -p300411 -aS'tonsils\ttonsil\tNNS\tI-NP\tO' -p300412 -aS'.\t.\t.\tO\tO' -p300413 -asS'On physical examination she is an elderly but spry white female in no acute distress .' -p300414 -(lp300415 -S'On\tOn\tIN\tB-PP\tO' -p300416 -aS'physical\tphysical\tJJ\tB-NP\tO' -p300417 -aS'examination\texamination\tNN\tI-NP\tO' -p300418 -aS'she\tshe\tPRP\tB-NP\tO' -p300419 -aS'is\tbe\tVBZ\tB-VP\tO' -p300420 -aS'an\tan\tDT\tB-NP\tO' -p300421 -aS'elderly\telderly\tJJ\tI-NP\tO' -p300422 -aS'but\tbut\tCC\tI-NP\tO' -p300423 -aS'spry\tspry\tJJ\tI-NP\tO' -p300424 -aS'white\twhite\tJJ\tI-NP\tO' -p300425 -aS'female\tfemale\tNN\tI-NP\tO' -p300426 -aS'in\tin\tIN\tB-PP\tO' -p300427 -aS'no\tno\tDT\tB-NP\tO' -p300428 -aS'acute\tacute\tJJ\tI-NP\tO' -p300429 -aS'distress\tdistress\tNN\tI-NP\tO' -p300430 -aS'.\t.\t.\tO\tO' -p300431 -asS'( ? dec in exercise tolerance ) .' -p300432 -(lp300433 -S'(\t(\t(\tO\tO' -p300434 -aS'?\t?\t.\tO\tO' -p300435 -aS'dec\tdec\tNN\tB-NP\tO' -p300436 -aS'in\tin\tIN\tB-PP\tO' -p300437 -aS'exercise\texercise\tNN\tB-NP\tO' -p300438 -aS'tolerance\ttolerance\tNN\tI-NP\tO' -p300439 -aS')\t)\t)\tO\tO' -p300440 -aS'.\t.\t.\tO\tO' -p300441 -asS'Ophthalmology .' -p300442 -(lp300443 -S'Ophthalmology\tOphthalmology\tNN\tB-NP\tO' -p300444 -aS'.\t.\t.\tO\tO' -p300445 -asS'Dr. Liley , call ASAP to schedule 1-2 weeks , Your primary care physician 1-2 weeks , Interventional Radiology , call 329-125-0028 to schedule an appointment when drain outputs are less than 10cc / day . ,' -p300446 -(lp300447 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p300448 -aS'Liley\tLiley\tNNP\tI-NP\tO' -p300449 -aS',\t,\t,\tO\tO' -p300450 -aS'call\tcall\tNN\tB-NP\tO' -p300451 -aS'ASAP\tASAP\tNN\tI-NP\tO' -p300452 -aS'to\tto\tTO\tB-VP\tO' -p300453 -aS'schedule\tschedule\tVB\tI-VP\tO' -p300454 -aS'1-2\t1-2\tCD\tB-NP\tO' -p300455 -aS'weeks\tweek\tNNS\tI-NP\tO' -p300456 -aS',\t,\t,\tO\tO' -p300457 -aS'Your\tYour\tPRP$\tB-NP\tB-protein' -p300458 -aS'primary\tprimary\tJJ\tI-NP\tI-protein' -p300459 -aS'care\tcare\tNN\tI-NP\tI-protein' -p300460 -aS'physician\tphysician\tNN\tI-NP\tI-protein' -p300461 -aS'1-2\t1-2\tCD\tB-NP\tI-protein' -p300462 -aS'weeks\tweek\tNNS\tI-NP\tI-protein' -p300463 -aS',\t,\t,\tO\tO' -p300464 -aS'Interventional\tInterventional\tNNP\tB-NP\tO' -p300465 -aS'Radiology\tRadiology\tNNP\tI-NP\tO' -p300466 -aS',\t,\t,\tO\tO' -p300467 -aS'call\tcall\tVB\tB-VP\tO' -p300468 -aS'329-125-0028\t329-125-0028\tCD\tB-NP\tO' -p300469 -aS'to\tto\tTO\tB-VP\tO' -p300470 -aS'schedule\tschedule\tVB\tI-VP\tO' -p300471 -aS'an\tan\tDT\tB-NP\tO' -p300472 -aS'appointment\tappointment\tNN\tI-NP\tO' -p300473 -aS'when\twhen\tWRB\tB-ADVP\tO' -p300474 -aS'drain\tdrain\tNN\tB-NP\tO' -p300475 -aS'outputs\toutput\tNNS\tI-NP\tO' -p300476 -aS'are\tbe\tVBP\tB-VP\tO' -p300477 -aS'less\tless\tJJR\tB-ADJP\tO' -p300478 -aS'than\tthan\tIN\tB-PP\tO' -p300479 -aS'10cc\t10cc\tNN\tB-NP\tO' -p300480 -aS'/\t/\tSYM\tB-NP\tO' -p300481 -aS'day\tday\tNN\tI-NP\tO' -p300482 -aS'.\t.\tNN\tI-NP\tO' -p300483 -aS',\t,\t,\tO\tO' -p300484 -asS'Chest tube was in place in left internal jugular an pulmonary artery catheter .' -p300485 -(lp300486 -S'Chest\tCh\tJJS\tB-NP\tO' -p300487 -aS'tube\ttube\tNN\tI-NP\tO' -p300488 -aS'was\tbe\tVBD\tB-VP\tO' -p300489 -aS'in\tin\tIN\tB-PP\tO' -p300490 -aS'place\tplace\tNN\tB-NP\tO' -p300491 -aS'in\tin\tIN\tB-PP\tO' -p300492 -aS'left\tleft\tJJ\tB-NP\tO' -p300493 -aS'internal\tinternal\tJJ\tI-NP\tO' -p300494 -aS'jugular\tjugular\tJJ\tI-NP\tO' -p300495 -aS'an\tan\tDT\tB-NP\tO' -p300496 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p300497 -aS'artery\tartery\tNN\tI-NP\tO' -p300498 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p300499 -aS'.\t.\t.\tO\tO' -p300500 -asS'Oxygen 2-4 L to keep Sa02 greater than or equal to 94-95% and wean as tolerated .' -p300501 -(lp300502 -S'Oxygen\tOxygen\tNN\tB-NP\tO' -p300503 -aS'2-4\t2-4\tCD\tI-NP\tO' -p300504 -aS'L\tL\tNN\tI-NP\tO' -p300505 -aS'to\tto\tTO\tB-VP\tO' -p300506 -aS'keep\tkeep\tVB\tI-VP\tO' -p300507 -aS'Sa02\tSa02\tNN\tB-NP\tB-protein' -p300508 -aS'greater\tgreat\tJJR\tB-ADJP\tO' -p300509 -aS'than\tthan\tIN\tB-PP\tO' -p300510 -aS'or\tor\tCC\tO\tO' -p300511 -aS'equal\tequal\tJJ\tB-ADJP\tO' -p300512 -aS'to\tto\tTO\tB-PP\tO' -p300513 -aS'94-95%\t94-95%\tJJ\tB-ADJP\tO' -p300514 -aS'and\tand\tCC\tI-ADJP\tO' -p300515 -aS'wean\twean\tJJ\tI-ADJP\tO' -p300516 -aS'as\tas\tIN\tB-SBAR\tO' -p300517 -aS'tolerated\ttolerate\tVBN\tB-VP\tO' -p300518 -aS'.\t.\t.\tO\tO' -p300519 -asS'In addition , she will return to this hospital in early February for repeat attempt at electrical cardioversion on Amiodarone .' -p300520 -(lp300521 -S'In\tIn\tIN\tB-PP\tO' -p300522 -aS'addition\taddition\tNN\tB-NP\tO' -p300523 -aS',\t,\t,\tO\tO' -p300524 -aS'she\tshe\tPRP\tB-NP\tO' -p300525 -aS'will\twill\tMD\tB-VP\tO' -p300526 -aS'return\treturn\tVB\tI-VP\tO' -p300527 -aS'to\tto\tTO\tB-PP\tO' -p300528 -aS'this\tthis\tDT\tB-NP\tO' -p300529 -aS'hospital\thospital\tNN\tI-NP\tO' -p300530 -aS'in\tin\tIN\tB-PP\tO' -p300531 -aS'early\tearly\tJJ\tB-NP\tO' -p300532 -aS'February\tFebruary\tNNP\tI-NP\tO' -p300533 -aS'for\tfor\tIN\tB-PP\tO' -p300534 -aS'repeat\trepeat\tNN\tB-NP\tO' -p300535 -aS'attempt\tattempt\tNN\tI-NP\tO' -p300536 -aS'at\tat\tIN\tB-PP\tO' -p300537 -aS'electrical\telectrical\tJJ\tB-NP\tO' -p300538 -aS'cardioversion\tcardioversion\tNN\tI-NP\tO' -p300539 -aS'on\ton\tIN\tB-PP\tO' -p300540 -aS'Amiodarone\tAmiodarone\tNN\tB-NP\tO' -p300541 -aS'.\t.\t.\tO\tO' -p300542 -asS'On presentation , temperature 99.3 degrees F , other vital signs were within normal limits .' -p300543 -(lp300544 -S'On\tOn\tIN\tB-PP\tO' -p300545 -aS'presentation\tpresentation\tNN\tB-NP\tO' -p300546 -aS',\t,\t,\tO\tO' -p300547 -aS'temperature\ttemperature\tNN\tB-NP\tO' -p300548 -aS'99.3\t99.3\tCD\tI-NP\tO' -p300549 -aS'degrees\tdegree\tNNS\tI-NP\tO' -p300550 -aS'F\tF\tNN\tI-NP\tO' -p300551 -aS',\t,\t,\tO\tO' -p300552 -aS'other\tother\tJJ\tB-NP\tO' -p300553 -aS'vital\tvital\tJJ\tI-NP\tO' -p300554 -aS'signs\tsign\tNNS\tI-NP\tO' -p300555 -aS'were\tbe\tVBD\tB-VP\tO' -p300556 -aS'within\twithin\tIN\tB-PP\tO' -p300557 -aS'normal\tnormal\tJJ\tB-NP\tO' -p300558 -aS'limits\tlimit\tNNS\tI-NP\tO' -p300559 -aS'.\t.\t.\tO\tO' -p300560 -asS'The mass is reportedly thyroid in origin .' -p300561 -(lp300562 -S'The\tThe\tDT\tB-NP\tO' -p300563 -aS'mass\tmass\tNN\tI-NP\tO' -p300564 -aS'is\tbe\tVBZ\tB-VP\tO' -p300565 -aS'reportedly\treportedly\tRB\tB-ADJP\tO' -p300566 -aS'thyroid\tthyroid\tJJ\tI-ADJP\tO' -p300567 -aS'in\tin\tIN\tB-PP\tO' -p300568 -aS'origin\torigin\tNN\tB-NP\tO' -p300569 -aS'.\t.\t.\tO\tO' -p300570 -asS'This report was created by GUAYTREFTSCOST , AMINE 02/11/2003 04:53 PM' -p300571 -(lp300572 -S'This\tThis\tDT\tB-NP\tO' -p300573 -aS'report\treport\tNN\tI-NP\tO' -p300574 -aS'was\tbe\tVBD\tB-VP\tO' -p300575 -aS'created\tcreate\tVBN\tI-VP\tO' -p300576 -aS'by\tby\tIN\tB-PP\tO' -p300577 -aS'GUAYTREFTSCOST\tGUAYTREFTSCOST\tNN\tB-NP\tO' -p300578 -aS',\t,\t,\tO\tO' -p300579 -aS'AMINE\tAMINE\tVBP\tB-VP\tO' -p300580 -aS'02/11/2003\t02/11/2003\tCD\tB-NP\tO' -p300581 -aS'04:53\t04:53\tCD\tI-NP\tO' -p300582 -aS'PM\tPM\tNN\tI-NP\tO' -p300583 -asS'On admission , the pt was started on treatment doses of enoxaparin .' -p300584 -(lp300585 -S'On\tOn\tIN\tB-PP\tO' -p300586 -aS'admission\tadmission\tNN\tB-NP\tO' -p300587 -aS',\t,\t,\tO\tO' -p300588 -aS'the\tthe\tDT\tB-NP\tO' -p300589 -aS'pt\tpt\tNN\tI-NP\tO' -p300590 -aS'was\tbe\tVBD\tB-VP\tO' -p300591 -aS'started\tstart\tVBN\tI-VP\tO' -p300592 -aS'on\ton\tIN\tB-PP\tO' -p300593 -aS'treatment\ttreatment\tNN\tB-NP\tO' -p300594 -aS'doses\tdose\tNNS\tI-NP\tO' -p300595 -aS'of\tof\tIN\tB-PP\tO' -p300596 -aS'enoxaparin\tenoxaparin\tNN\tB-NP\tO' -p300597 -aS'.\t.\t.\tO\tO' -p300598 -asS'The CCU fellow and team declined to do pericardial drainage , as the pt was hemodynamically stable , without change in appearance of effusion by echo performed at bedside by cards fellow .' -p300599 -(lp300600 -S'The\tThe\tDT\tB-NP\tO' -p300601 -aS'CCU\tCCU\tNN\tI-NP\tO' -p300602 -aS'fellow\tfellow\tNN\tI-NP\tO' -p300603 -aS'and\tand\tCC\tI-NP\tO' -p300604 -aS'team\tteam\tNN\tI-NP\tO' -p300605 -aS'declined\tdecline\tVBD\tB-VP\tO' -p300606 -aS'to\tto\tTO\tI-VP\tO' -p300607 -aS'do\tdo\tVB\tI-VP\tO' -p300608 -aS'pericardial\tpericardial\tJJ\tB-NP\tO' -p300609 -aS'drainage\tdrainage\tNN\tI-NP\tO' -p300610 -aS',\t,\t,\tO\tO' -p300611 -aS'as\tas\tIN\tB-SBAR\tO' -p300612 -aS'the\tthe\tDT\tB-NP\tO' -p300613 -aS'pt\tpt\tNN\tI-NP\tO' -p300614 -aS'was\tbe\tVBD\tB-VP\tO' -p300615 -aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' -p300616 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p300617 -aS',\t,\t,\tO\tO' -p300618 -aS'without\twithout\tIN\tB-PP\tO' -p300619 -aS'change\tchange\tNN\tB-NP\tO' -p300620 -aS'in\tin\tIN\tB-PP\tO' -p300621 -aS'appearance\tappearance\tNN\tB-NP\tO' -p300622 -aS'of\tof\tIN\tB-PP\tO' -p300623 -aS'effusion\teffusion\tNN\tB-NP\tO' -p300624 -aS'by\tby\tIN\tB-PP\tO' -p300625 -aS'echo\techo\tNN\tB-NP\tO' -p300626 -aS'performed\tperform\tVBN\tB-VP\tO' -p300627 -aS'at\tat\tIN\tB-PP\tO' -p300628 -aS'bedside\tbedside\tNN\tB-NP\tO' -p300629 -aS'by\tby\tIN\tB-PP\tO' -p300630 -aS'cards\tcard\tNNS\tB-NP\tO' -p300631 -aS'fellow\tfellow\tVBP\tB-VP\tO' -p300632 -aS'.\t.\t.\tO\tO' -p300633 -asS'There was no drift .' -p300634 -(lp300635 -S'There\tThere\tEX\tB-NP\tO' -p300636 -aS'was\tbe\tVBD\tB-VP\tO' -p300637 -aS'no\tno\tDT\tB-NP\tO' -p300638 -aS'drift\tdrift\tNN\tI-NP\tO' -p300639 -aS'.\t.\t.\tO\tO' -p300640 -asS'The video assisted thoracoscopic study at the outside hospital was consistent with bronchiolitis obliterans organizing pneumonia .' -p300641 -(lp300642 -S'The\tThe\tDT\tB-NP\tO' -p300643 -aS'video\tvideo\tNN\tI-NP\tO' -p300644 -aS'assisted\tassist\tVBD\tB-VP\tO' -p300645 -aS'thoracoscopic\tthoracoscopic\tJJ\tB-NP\tO' -p300646 -aS'study\tstudy\tNN\tI-NP\tO' -p300647 -aS'at\tat\tIN\tB-PP\tO' -p300648 -aS'the\tthe\tDT\tB-NP\tO' -p300649 -aS'outside\toutside\tJJ\tI-NP\tO' -p300650 -aS'hospital\thospital\tNN\tI-NP\tO' -p300651 -aS'was\tbe\tVBD\tB-VP\tO' -p300652 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p300653 -aS'with\twith\tIN\tB-PP\tO' -p300654 -aS'bronchiolitis\tbronchiolitis\tNN\tB-NP\tO' -p300655 -aS'obliterans\tobliteran\tNNS\tI-NP\tO' -p300656 -aS'organizing\torganize\tVBG\tB-VP\tO' -p300657 -aS'pneumonia\tpneumonia\tNN\tB-NP\tO' -p300658 -aS'.\t.\t.\tO\tO' -p300659 -asS'However , they felt this event could not account for his new , severe global deficit ; this was thought to be secondary to a more pervasive process , likely anoxic encephalopathy , for which the prognosis is extremely grim .' -p300660 -(lp300661 -S'However\tHowever\tRB\tB-ADVP\tO' -p300662 -aS',\t,\t,\tO\tO' -p300663 -aS'they\tthey\tPRP\tB-NP\tO' -p300664 -aS'felt\tfeel\tVBD\tB-VP\tO' -p300665 -aS'this\tthis\tDT\tB-NP\tO' -p300666 -aS'event\tevent\tNN\tI-NP\tO' -p300667 -aS'could\tcould\tMD\tB-VP\tO' -p300668 -aS'not\tnot\tRB\tI-VP\tO' -p300669 -aS'account\taccount\tVB\tI-VP\tO' -p300670 -aS'for\tfor\tIN\tB-PP\tO' -p300671 -aS'his\this\tPRP$\tB-NP\tO' -p300672 -aS'new\tnew\tJJ\tI-NP\tO' -p300673 -aS',\t,\t,\tI-NP\tO' -p300674 -aS'severe\tsevere\tJJ\tI-NP\tO' -p300675 -aS'global\tglobal\tJJ\tI-NP\tO' -p300676 -aS'deficit\tdeficit\tNN\tI-NP\tO' -p300677 -aS';\t;\t:\tO\tO' -p300678 -aS'this\tthis\tDT\tB-NP\tO' -p300679 -aS'was\tbe\tVBD\tB-VP\tO' -p300680 -aS'thought\tthink\tVBN\tI-VP\tO' -p300681 -aS'to\tto\tTO\tI-VP\tO' -p300682 -aS'be\tbe\tVB\tI-VP\tO' -p300683 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p300684 -aS'to\tto\tTO\tB-PP\tO' -p300685 -aS'a\ta\tDT\tB-NP\tO' -p300686 -aS'more\tmore\tRBR\tI-NP\tO' -p300687 -aS'pervasive\tpervasive\tJJ\tI-NP\tO' -p300688 -aS'process\tprocess\tNN\tI-NP\tO' -p300689 -aS',\t,\t,\tO\tO' -p300690 -aS'likely\tlikely\tJJ\tB-NP\tO' -p300691 -aS'anoxic\tanoxic\tJJ\tI-NP\tO' -p300692 -aS'encephalopathy\tencephalopathy\tNN\tI-NP\tO' -p300693 -aS',\t,\t,\tO\tO' -p300694 -aS'for\tfor\tIN\tB-PP\tO' -p300695 -aS'which\twhich\tWDT\tB-NP\tO' -p300696 -aS'the\tthe\tDT\tB-NP\tO' -p300697 -aS'prognosis\tprognosis\tNN\tI-NP\tO' -p300698 -aS'is\tbe\tVBZ\tB-VP\tO' -p300699 -aS'extremely\textremely\tRB\tB-ADJP\tO' -p300700 -aS'grim\tgrim\tJJ\tI-ADJP\tO' -p300701 -aS'.\t.\t.\tO\tO' -p300702 -asS'6. Hypertension .' -p300703 -(lp300704 -S'6.\t6.\tLS\tB-NP\tO' -p300705 -aS'Hypertension\tHypertension\tNN\tI-NP\tO' -p300706 -aS'.\t.\t.\tO\tO' -p300707 -asS'ND .' -p300708 -(lp300709 -S'ND\tND\tNN\tB-NP\tO' -p300710 -aS'.\t.\t.\tO\tO' -p300711 -asS'Stress echocardiogram demonstrated an ejection fraction of 40% , hypokinesis of distal anterior wall , akinesis of distal inferior wall and apex .' -p300712 -(lp300713 -S'Stress\tStress\tNN\tB-NP\tO' -p300714 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p300715 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p300716 -aS'an\tan\tDT\tB-NP\tO' -p300717 -aS'ejection\tejection\tNN\tI-NP\tO' -p300718 -aS'fraction\tfraction\tNN\tI-NP\tO' -p300719 -aS'of\tof\tIN\tB-PP\tO' -p300720 -aS'40%\t40%\tNN\tB-NP\tO' -p300721 -aS',\t,\t,\tO\tO' -p300722 -aS'hypokinesis\thypokinesis\tNN\tB-NP\tO' -p300723 -aS'of\tof\tIN\tB-PP\tO' -p300724 -aS'distal\tdistal\tJJ\tB-NP\tO' -p300725 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p300726 -aS'wall\twall\tNN\tI-NP\tO' -p300727 -aS',\t,\t,\tO\tO' -p300728 -aS'akinesis\takinesis\tNN\tB-NP\tO' -p300729 -aS'of\tof\tIN\tB-PP\tO' -p300730 -aS'distal\tdistal\tJJ\tB-NP\tO' -p300731 -aS'inferior\tinferior\tJJ\tI-NP\tO' -p300732 -aS'wall\twall\tNN\tI-NP\tO' -p300733 -aS'and\tand\tCC\tI-NP\tO' -p300734 -aS'apex\tapex\tNN\tI-NP\tO' -p300735 -aS'.\t.\t.\tO\tO' -p300736 -asS'Plt count 1 on 2016-04-29 .' -p300737 -(lp300738 -S'Plt\tPlt\tNN\tB-NP\tB-protein' -p300739 -aS'count\tcount\tNN\tI-NP\tI-protein' -p300740 -aS'1\t1\tCD\tI-NP\tI-protein' -p300741 -aS'on\ton\tIN\tB-PP\tO' -p300742 -aS'2016-04-29\t2016-04-29\tCD\tB-NP\tO' -p300743 -aS'.\t.\t.\tO\tO' -p300744 -asS'The patient is a 79-year-old man status postradical cystoprostatectomy with ileal loop for locally invasive prostate cancer .' -p300745 -(lp300746 -S'The\tThe\tDT\tB-NP\tO' -p300747 -aS'patient\tpatient\tNN\tI-NP\tO' -p300748 -aS'is\tbe\tVBZ\tB-VP\tO' -p300749 -aS'a\ta\tDT\tB-NP\tO' -p300750 -aS'79-year-old\t79-year-old\tJJ\tI-NP\tO' -p300751 -aS'man\tman\tNN\tI-NP\tO' -p300752 -aS'status\tstatus\tNN\tI-NP\tO' -p300753 -aS'postradical\tpostradical\tJJ\tI-NP\tO' -p300754 -aS'cystoprostatectomy\tcystoprostatectomy\tNN\tI-NP\tO' -p300755 -aS'with\twith\tIN\tB-PP\tO' -p300756 -aS'ileal\tileal\tJJ\tB-NP\tO' -p300757 -aS'loop\tloop\tNN\tI-NP\tO' -p300758 -aS'for\tfor\tIN\tB-PP\tO' -p300759 -aS'locally\tlocally\tRB\tB-NP\tO' -p300760 -aS'invasive\tinvasive\tJJ\tI-NP\tO' -p300761 -aS'prostate\tprostate\tNN\tI-NP\tO' -p300762 -aS'cancer\tcancer\tNN\tI-NP\tO' -p300763 -aS'.\t.\t.\tO\tO' -p300764 -asS'Pt had EGD performed to evaluate his poor nutritional status .' -p300765 -(lp300766 -S'Pt\tPt\tNN\tB-NP\tO' -p300767 -aS'had\thave\tVBD\tB-VP\tO' -p300768 -aS'EGD\tEGD\tNN\tB-NP\tB-protein' -p300769 -aS'performed\tperform\tVBN\tB-VP\tO' -p300770 -aS'to\tto\tTO\tB-VP\tO' -p300771 -aS'evaluate\tevaluate\tVB\tI-VP\tO' -p300772 -aS'his\this\tPRP$\tB-NP\tO' -p300773 -aS'poor\tpoor\tJJ\tI-NP\tO' -p300774 -aS'nutritional\tnutritional\tJJ\tI-NP\tO' -p300775 -aS'status\tstatus\tNN\tI-NP\tO' -p300776 -aS'.\t.\t.\tO\tO' -p300777 -asS'In addition , the second major event that had occurred yesterday was a neurologic event of some kind .' -p300778 -(lp300779 -S'In\tIn\tIN\tB-PP\tO' -p300780 -aS'addition\taddition\tNN\tB-NP\tO' -p300781 -aS',\t,\t,\tO\tO' -p300782 -aS'the\tthe\tDT\tB-NP\tO' -p300783 -aS'second\tsecond\tJJ\tI-NP\tO' -p300784 -aS'major\tmajor\tJJ\tI-NP\tO' -p300785 -aS'event\tevent\tNN\tI-NP\tO' -p300786 -aS'that\tthat\tWDT\tB-NP\tO' -p300787 -aS'had\thave\tVBD\tB-VP\tO' -p300788 -aS'occurred\toccur\tVBN\tI-VP\tO' -p300789 -aS'yesterday\tyesterday\tNN\tB-NP\tO' -p300790 -aS'was\tbe\tVBD\tB-VP\tO' -p300791 -aS'a\ta\tDT\tB-NP\tO' -p300792 -aS'neurologic\tneurologic\tJJ\tI-NP\tO' -p300793 -aS'event\tevent\tNN\tI-NP\tO' -p300794 -aS'of\tof\tIN\tB-PP\tO' -p300795 -aS'some\tsome\tDT\tB-NP\tO' -p300796 -aS'kind\tkind\tNN\tI-NP\tO' -p300797 -aS'.\t.\t.\tO\tO' -p300798 -asS'GASTROINTESTINAL : Infant is ad lib feeding .' -p300799 -(lp300800 -S'GASTROINTESTINAL\tGASTROINTESTINAL\tNN\tB-NP\tO' -p300801 -aS':\t:\t:\tO\tO' -p300802 -aS'Infant\tInfant\tNN\tB-NP\tO' -p300803 -aS'is\tbe\tVBZ\tB-VP\tO' -p300804 -aS'ad\tad\tNN\tB-NP\tO' -p300805 -aS'lib\tlib\tNN\tI-NP\tO' -p300806 -aS'feeding\tfeeding\tNN\tI-NP\tO' -p300807 -aS'.\t.\t.\tO\tO' -p300808 -asS'Pentamidine , itraconazole , Levaquin , acyclovir and GCSF were discontinued , along with other medications nonessential to patient 's comfort .' -p300809 -(lp300810 -S'Pentamidine\tPentamidine\tNN\tB-NP\tO' -p300811 -aS',\t,\t,\tI-NP\tO' -p300812 -aS'itraconazole\titraconazole\tNN\tI-NP\tO' -p300813 -aS',\t,\t,\tI-NP\tO' -p300814 -aS'Levaquin\tLevaquin\tNN\tI-NP\tO' -p300815 -aS',\t,\t,\tI-NP\tO' -p300816 -aS'acyclovir\tacyclovir\tNN\tI-NP\tO' -p300817 -aS'and\tand\tCC\tI-NP\tO' -p300818 -aS'GCSF\tGCSF\tNN\tI-NP\tB-protein' -p300819 -aS'were\tbe\tVBD\tB-VP\tO' -p300820 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p300821 -aS',\t,\t,\tO\tO' -p300822 -aS'along\talong\tIN\tB-ADVP\tO' -p300823 -aS'with\twith\tIN\tB-PP\tO' -p300824 -aS'other\tother\tJJ\tB-NP\tO' -p300825 -aS'medications\tmedication\tNNS\tI-NP\tO' -p300826 -aS'nonessential\tnonessential\tJJ\tB-ADJP\tO' -p300827 -aS'to\tto\tTO\tB-PP\tO' -p300828 -aS'patient\tpatient\tNN\tB-NP\tO' -p300829 -aS''s\t'\tNNS\tI-NP\tO' -p300830 -aS'comfort\tcomfort\tNN\tI-NP\tO' -p300831 -aS'.\t.\t.\tO\tO' -p300832 -asS'Percocet 1-2 tablets PO q.4-6 hours prn pain .' -p300833 -(lp300834 -S'Percocet\tPercocet\tIN\tB-PP\tO' -p300835 -aS'1-2\t1-2\tCD\tB-NP\tO' -p300836 -aS'tablets\ttablet\tNNS\tI-NP\tO' -p300837 -aS'PO\tPO\tNN\tI-NP\tO' -p300838 -aS'q.4-6\tq.4-6\tNN\tI-NP\tO' -p300839 -aS'hours\thour\tNNS\tI-NP\tO' -p300840 -aS'prn\tprn\tVBP\tB-VP\tO' -p300841 -aS'pain\tpain\tNN\tB-NP\tO' -p300842 -aS'.\t.\t.\tO\tO' -p300843 -asS'He had a midline abdominal scar and a reducible umbilical hernia .' -p300844 -(lp300845 -S'He\tHe\tPRP\tB-NP\tO' -p300846 -aS'had\thave\tVBD\tB-VP\tO' -p300847 -aS'a\ta\tDT\tB-NP\tO' -p300848 -aS'midline\tmidline\tNN\tI-NP\tO' -p300849 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p300850 -aS'scar\tscar\tNN\tI-NP\tO' -p300851 -aS'and\tand\tCC\tO\tO' -p300852 -aS'a\ta\tDT\tB-NP\tO' -p300853 -aS'reducible\treducible\tJJ\tI-NP\tO' -p300854 -aS'umbilical\tumbilical\tJJ\tI-NP\tO' -p300855 -aS'hernia\thernia\tNN\tI-NP\tO' -p300856 -aS'.\t.\t.\tO\tO' -p300857 -asS'His neurological examination was nonfocal .' -p300858 -(lp300859 -S'His\tHis\tPRP$\tB-NP\tO' -p300860 -aS'neurological\tneurological\tJJ\tI-NP\tO' -p300861 -aS'examination\texamination\tNN\tI-NP\tO' -p300862 -aS'was\tbe\tVBD\tB-VP\tO' -p300863 -aS'nonfocal\tnonfocal\tJJ\tB-ADJP\tO' -p300864 -aS'.\t.\t.\tO\tO' -p300865 -asS'COMPARISON : No prior studies are available .' -p300866 -(lp300867 -S'COMPARISON\tCOMPARISON\tNN\tB-NP\tO' -p300868 -aS':\t:\t:\tO\tO' -p300869 -aS'No\tNo\tDT\tB-NP\tO' -p300870 -aS'prior\tprior\tJJ\tI-NP\tO' -p300871 -aS'studies\tstudy\tNNS\tI-NP\tO' -p300872 -aS'are\tbe\tVBP\tB-VP\tO' -p300873 -aS'available\tavailable\tJJ\tB-ADJP\tO' -p300874 -aS'.\t.\t.\tO\tO' -p300875 -asS'He recieved 2L NS and was started on labetolol gtt and BP decreased to 161/79 .' -p300876 -(lp300877 -S'He\tHe\tPRP\tB-NP\tO' -p300878 -aS'recieved\trecieve\tVBD\tB-VP\tO' -p300879 -aS'2L\t2L\tNN\tB-NP\tO' -p300880 -aS'NS\tNS\tNN\tI-NP\tO' -p300881 -aS'and\tand\tCC\tO\tO' -p300882 -aS'was\tbe\tVBD\tB-VP\tO' -p300883 -aS'started\tstart\tVBN\tI-VP\tO' -p300884 -aS'on\ton\tIN\tB-PP\tO' -p300885 -aS'labetolol\tlabetolol\tNN\tB-NP\tO' -p300886 -aS'gtt\tgtt\tNN\tI-NP\tO' -p300887 -aS'and\tand\tCC\tI-NP\tO' -p300888 -aS'BP\tBP\tNN\tI-NP\tO' -p300889 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p300890 -aS'to\tto\tTO\tB-PP\tO' -p300891 -aS'161/79\t161/79\tCD\tB-NP\tO' -p300892 -aS'.\t.\t.\tO\tO' -p300893 -asS"The patient 's hematocrit was 34.8 at the time of admission ." -p300894 -(lp300895 -S'The\tThe\tDT\tB-NP\tO' -p300896 -aS'patient\tpatient\tNN\tI-NP\tO' -p300897 -aS"'s\t's\tPOS\tB-NP\tO" -p300898 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p300899 -aS'was\tbe\tVBD\tB-VP\tO' -p300900 -aS'34.8\t34.8\tCD\tB-NP\tO' -p300901 -aS'at\tat\tIN\tB-PP\tO' -p300902 -aS'the\tthe\tDT\tB-NP\tO' -p300903 -aS'time\ttime\tNN\tI-NP\tO' -p300904 -aS'of\tof\tIN\tB-PP\tO' -p300905 -aS'admission\tadmission\tNN\tB-NP\tO' -p300906 -aS'.\t.\t.\tO\tO' -p300907 -asS'79F Pmhx CHF,COPD , found down at home , pulseless - CPR initiated w/ conciousness regained on scene .' -p300908 -(lp300909 -S'79F\t79F\tNN\tB-NP\tO' -p300910 -aS'Pmhx\tPmhx\tNN\tI-NP\tO' -p300911 -aS'CHF,COPD\tCHF,COPD\tNN\tI-NP\tO' -p300912 -aS',\t,\t,\tO\tO' -p300913 -aS'found\tfind\tVBN\tB-VP\tO' -p300914 -aS'down\tdown\tRP\tB-PRT\tO' -p300915 -aS'at\tat\tIN\tB-PP\tO' -p300916 -aS'home\thome\tNN\tB-NP\tO' -p300917 -aS',\t,\t,\tO\tO' -p300918 -aS'pulseless\tpulseless\tJJ\tB-NP\tO' -p300919 -aS'-\t-\tHYPH\tI-NP\tO' -p300920 -aS'CPR\tCPR\tNN\tI-NP\tB-protein' -p300921 -aS'initiated\tinitiate\tVBN\tI-NP\tO' -p300922 -aS'w/\tw/\tNN\tI-NP\tO' -p300923 -aS'conciousness\tconciousness\tNN\tI-NP\tO' -p300924 -aS'regained\tregain\tVBN\tB-VP\tO' -p300925 -aS'on\ton\tIN\tB-PP\tO' -p300926 -aS'scene\tscene\tNN\tB-NP\tO' -p300927 -aS'.\t.\t.\tO\tO' -p300928 -asS'Electrocardiogram showed normal sinus rhythm at 63 with normal intervals .' -p300929 -(lp300930 -S'Electrocardiogram\tElectrocardiogram\tNN\tB-NP\tO' -p300931 -aS'showed\tshow\tVBD\tB-VP\tO' -p300932 -aS'normal\tnormal\tJJ\tB-NP\tO' -p300933 -aS'sinus\tsinus\tNN\tI-NP\tO' -p300934 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p300935 -aS'at\tat\tIN\tB-PP\tO' -p300936 -aS'63\t63\tCD\tB-NP\tO' -p300937 -aS'with\twith\tIN\tB-PP\tO' -p300938 -aS'normal\tnormal\tJJ\tB-NP\tO' -p300939 -aS'intervals\tinterval\tNNS\tI-NP\tO' -p300940 -aS'.\t.\t.\tO\tO' -p300941 -asS'The blood pressure was 120/70 millimeters of mercury .' -p300942 -(lp300943 -S'The\tThe\tDT\tB-NP\tO' -p300944 -aS'blood\tblood\tNN\tI-NP\tO' -p300945 -aS'pressure\tpressure\tNN\tI-NP\tO' -p300946 -aS'was\tbe\tVBD\tB-VP\tO' -p300947 -aS'120/70\t120/70\tCD\tB-NP\tO' -p300948 -aS'millimeters\tmillimeter\tNNS\tI-NP\tO' -p300949 -aS'of\tof\tIN\tB-PP\tO' -p300950 -aS'mercury\tmercury\tNN\tB-NP\tO' -p300951 -aS'.\t.\t.\tO\tO' -p300952 -asS'TPA , with residual dysarthria and aphasia' -p300953 -(lp300954 -S'TPA\tTPA\tNN\tB-NP\tO' -p300955 -aS',\t,\t,\tO\tO' -p300956 -aS'with\twith\tIN\tB-PP\tO' -p300957 -aS'residual\tresidual\tJJ\tB-NP\tO' -p300958 -aS'dysarthria\tdysarthria\tNN\tI-NP\tO' -p300959 -aS'and\tand\tCC\tI-NP\tO' -p300960 -aS'aphasia\taphasia\tNN\tI-NP\tO' -p300961 -asS'no palpable thrill or heave .' -p300962 -(lp300963 -S'no\tno\tDT\tB-NP\tO' -p300964 -aS'palpable\tpalpable\tJJ\tI-NP\tO' -p300965 -aS'thrill\tthrill\tNN\tI-NP\tO' -p300966 -aS'or\tor\tCC\tI-NP\tO' -p300967 -aS'heave\theave\tNN\tI-NP\tO' -p300968 -aS'.\t.\t.\tO\tO' -p300969 -asS'Disp :* qs Adhesive Patch , Medicated ( s )* Refills :* 2 *' -p300970 -(lp300971 -S'Disp\tDisp\tNN\tB-NP\tO' -p300972 -aS':*\t:*\tSYM\tI-NP\tO' -p300973 -aS'qs\tq\tNNS\tI-NP\tO' -p300974 -aS'Adhesive\tAdhesive\tJJ\tB-NP\tO' -p300975 -aS'Patch\tPatch\tNNP\tI-NP\tO' -p300976 -aS',\t,\t,\tO\tO' -p300977 -aS'Medicated\tMedicated\tNNP\tB-NP\tO' -p300978 -aS'(\t(\t(\tO\tO' -p300979 -aS's\ts\tNNS\tB-NP\tO' -p300980 -aS')*\t)*\tSYM\tO\tO' -p300981 -aS'Refills\tRefill\tNNPS\tB-NP\tO' -p300982 -aS':*\t:*\tSYM\tI-NP\tO' -p300983 -aS'2\t2\tCD\tI-NP\tO' -p300984 -aS'*\t*\tSYM\tB-NP\tO' -p300985 -asS'Her NPH and a regular sliding scale were started and her drip was discontinued .' -p300986 -(lp300987 -S'Her\tHer\tPRP$\tB-NP\tO' -p300988 -aS'NPH\tNPH\tNN\tI-NP\tB-protein' -p300989 -aS'and\tand\tCC\tO\tO' -p300990 -aS'a\ta\tDT\tB-NP\tO' -p300991 -aS'regular\tregular\tJJ\tI-NP\tO' -p300992 -aS'sliding\tslide\tVBG\tI-NP\tO' -p300993 -aS'scale\tscale\tNN\tI-NP\tO' -p300994 -aS'were\tbe\tVBD\tB-VP\tO' -p300995 -aS'started\tstart\tVBN\tI-VP\tO' -p300996 -aS'and\tand\tCC\tO\tO' -p300997 -aS'her\ther\tPRP$\tB-NP\tO' -p300998 -aS'drip\tdrip\tNN\tI-NP\tO' -p300999 -aS'was\tbe\tVBD\tB-VP\tO' -p301000 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p301001 -aS'.\t.\t.\tO\tO' -p301002 -asS'The patient had bone marrow biopsy , August , 2003 , for persistent pancytopenia , revealing mild hypercelluarity with 80% leukemic cells .' -p301003 -(lp301004 -S'The\tThe\tDT\tB-NP\tO' -p301005 -aS'patient\tpatient\tNN\tI-NP\tO' -p301006 -aS'had\thave\tVBD\tB-VP\tO' -p301007 -aS'bone\tbone\tNN\tB-NP\tO' -p301008 -aS'marrow\tmarrow\tNN\tI-NP\tO' -p301009 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p301010 -aS',\t,\t,\tO\tO' -p301011 -aS'August\tAugust\tNNP\tB-NP\tO' -p301012 -aS',\t,\t,\tO\tO' -p301013 -aS'2003\t2003\tCD\tB-NP\tO' -p301014 -aS',\t,\t,\tO\tO' -p301015 -aS'for\tfor\tIN\tB-PP\tO' -p301016 -aS'persistent\tpersistent\tJJ\tB-NP\tO' -p301017 -aS'pancytopenia\tpancytopenia\tNN\tI-NP\tO' -p301018 -aS',\t,\t,\tO\tO' -p301019 -aS'revealing\treveal\tVBG\tB-VP\tO' -p301020 -aS'mild\tmild\tJJ\tB-NP\tO' -p301021 -aS'hypercelluarity\thypercelluarity\tNN\tI-NP\tO' -p301022 -aS'with\twith\tIN\tB-PP\tO' -p301023 -aS'80%\t80%\tCD\tB-NP\tO' -p301024 -aS'leukemic\tleukemic\tJJ\tI-NP\tB-cell_type' -p301025 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p301026 -aS'.\t.\t.\tO\tO' -p301027 -asS'She will be discharged on Lasix 20 mg for continued control of her edema .' -p301028 -(lp301029 -S'She\tShe\tPRP\tB-NP\tO' -p301030 -aS'will\twill\tMD\tB-VP\tO' -p301031 -aS'be\tbe\tVB\tI-VP\tO' -p301032 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p301033 -aS'on\ton\tIN\tB-PP\tO' -p301034 -aS'Lasix\tLasix\tNN\tB-NP\tO' -p301035 -aS'20\t20\tCD\tI-NP\tO' -p301036 -aS'mg\tmg\tNN\tI-NP\tO' -p301037 -aS'for\tfor\tIN\tB-PP\tO' -p301038 -aS'continued\tcontinue\tVBN\tB-NP\tO' -p301039 -aS'control\tcontrol\tNN\tI-NP\tO' -p301040 -aS'of\tof\tIN\tB-PP\tO' -p301041 -aS'her\ther\tPRP$\tB-NP\tO' -p301042 -aS'edema\tedema\tNN\tI-NP\tO' -p301043 -aS'.\t.\t.\tO\tO' -p301044 -asS'Intermittent grunting , moderate intercostal retractions , diminished air entry , regular rate and rhythm without murmur , 2+ femoral pulses .' -p301045 -(lp301046 -S'Intermittent\tIntermittent\tNNP\tB-NP\tO' -p301047 -aS'grunting\tgrunt\tVBG\tB-VP\tO' -p301048 -aS',\t,\t,\tO\tO' -p301049 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p301050 -aS'intercostal\tintercostal\tJJ\tI-NP\tO' -p301051 -aS'retractions\tretraction\tNNS\tI-NP\tO' -p301052 -aS',\t,\t,\tO\tO' -p301053 -aS'diminished\tdiminish\tVBD\tB-VP\tO' -p301054 -aS'air\tair\tNN\tB-NP\tO' -p301055 -aS'entry\tentry\tNN\tI-NP\tO' -p301056 -aS',\t,\t,\tO\tO' -p301057 -aS'regular\tregular\tJJ\tB-NP\tO' -p301058 -aS'rate\trate\tNN\tI-NP\tO' -p301059 -aS'and\tand\tCC\tI-NP\tO' -p301060 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p301061 -aS'without\twithout\tIN\tB-PP\tO' -p301062 -aS'murmur\tmurmur\tNN\tB-NP\tO' -p301063 -aS',\t,\t,\tO\tO' -p301064 -aS'2+\t2+\tJJ\tB-NP\tO' -p301065 -aS'femoral\tfemoral\tJJ\tI-NP\tO' -p301066 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p301067 -aS'.\t.\t.\tO\tO' -p301068 -asS'# Acid / base status - Respiratory acidosis with metabolic compensation .' -p301069 -(lp301070 -S'#\t#\t#\tB-NP\tO' -p301071 -aS'Acid\tAcid\tNN\tI-NP\tO' -p301072 -aS'/\t/\tSYM\tO\tO' -p301073 -aS'base\tbase\tNN\tB-NP\tO' -p301074 -aS'status\tstatus\tNN\tI-NP\tO' -p301075 -aS'-\t-\tHYPH\tB-NP\tO' -p301076 -aS'Respiratory\tRespiratory\tJJ\tI-NP\tO' -p301077 -aS'acidosis\tacidosis\tNN\tI-NP\tO' -p301078 -aS'with\twith\tIN\tB-PP\tO' -p301079 -aS'metabolic\tmetabolic\tJJ\tB-NP\tO' -p301080 -aS'compensation\tcompensation\tNN\tI-NP\tO' -p301081 -aS'.\t.\t.\tO\tO' -p301082 -asS'Per husband she has no cardiac history , and had a stress test ( unclr how recent ) that was normal' -p301083 -(lp301084 -S'Per\tPer\tNN\tB-NP\tO' -p301085 -aS'husband\thusband\tNN\tI-NP\tO' -p301086 -aS'she\tshe\tPRP\tB-NP\tO' -p301087 -aS'has\thave\tVBZ\tB-VP\tO' -p301088 -aS'no\tno\tDT\tB-NP\tO' -p301089 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p301090 -aS'history\thistory\tNN\tI-NP\tO' -p301091 -aS',\t,\t,\tO\tO' -p301092 -aS'and\tand\tCC\tO\tO' -p301093 -aS'had\thave\tVBD\tB-VP\tO' -p301094 -aS'a\ta\tDT\tB-NP\tO' -p301095 -aS'stress\tstress\tNN\tI-NP\tO' -p301096 -aS'test\ttest\tNN\tI-NP\tO' -p301097 -aS'(\t(\t(\tO\tO' -p301098 -aS'unclr\tunclr\tNN\tB-NP\tO' -p301099 -aS'how\thow\tWRB\tB-ADJP\tO' -p301100 -aS'recent\trecent\tJJ\tI-ADJP\tO' -p301101 -aS')\t)\t)\tO\tO' -p301102 -aS'that\tthat\tWDT\tB-NP\tO' -p301103 -aS'was\tbe\tVBD\tB-VP\tO' -p301104 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p301105 -asS'Chronic myelomonocytic leukemia , without remission , atrial fibrillation , chronic airway obstruction , hypopotassemia , cellulitis , orbital hemorrhage , protein calorie malnutrition , gastrointestinal hemorrhage , pulmonary hemorrhage / pneumonia , hyperglycemia , renal insufficiency , hyperuricemia , hypophosphatemia .' -p301106 -(lp301107 -S'Chronic\tChronic\tJJ\tB-NP\tO' -p301108 -aS'myelomonocytic\tmyelomonocytic\tJJ\tI-NP\tO' -p301109 -aS'leukemia\tleukemia\tNN\tI-NP\tO' -p301110 -aS',\t,\t,\tO\tO' -p301111 -aS'without\twithout\tIN\tB-PP\tO' -p301112 -aS'remission\tremission\tNN\tB-NP\tO' -p301113 -aS',\t,\t,\tO\tO' -p301114 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p301115 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p301116 -aS',\t,\t,\tO\tO' -p301117 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p301118 -aS'airway\tairway\tNN\tI-NP\tO' -p301119 -aS'obstruction\tobstruction\tNN\tI-NP\tO' -p301120 -aS',\t,\t,\tO\tO' -p301121 -aS'hypopotassemia\thypopotassemia\tNN\tB-NP\tO' -p301122 -aS',\t,\t,\tO\tO' -p301123 -aS'cellulitis\tcellulitis\tNN\tB-NP\tO' -p301124 -aS',\t,\t,\tO\tO' -p301125 -aS'orbital\torbital\tJJ\tB-NP\tO' -p301126 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p301127 -aS',\t,\t,\tO\tO' -p301128 -aS'protein\tprotein\tNN\tB-NP\tO' -p301129 -aS'calorie\tcalorie\tNN\tI-NP\tO' -p301130 -aS'malnutrition\tmalnutrition\tNN\tI-NP\tO' -p301131 -aS',\t,\t,\tO\tO' -p301132 -aS'gastrointestinal\tgastrointestinal\tJJ\tB-NP\tO' -p301133 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p301134 -aS',\t,\t,\tO\tO' -p301135 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p301136 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p301137 -aS'/\t/\tSYM\tB-VP\tO' -p301138 -aS'pneumonia\tpneumonia\tNN\tB-NP\tO' -p301139 -aS',\t,\t,\tO\tO' -p301140 -aS'hyperglycemia\thyperglycemia\tNN\tB-NP\tO' -p301141 -aS',\t,\t,\tO\tO' -p301142 -aS'renal\trenal\tJJ\tB-NP\tO' -p301143 -aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' -p301144 -aS',\t,\t,\tO\tO' -p301145 -aS'hyperuricemia\thyperuricemia\tNN\tB-NP\tO' -p301146 -aS',\t,\t,\tO\tO' -p301147 -aS'hypophosphatemia\thypophosphatemia\tNN\tB-NP\tO' -p301148 -aS'.\t.\t.\tO\tO' -p301149 -asS'Between the two of those , her caloric intake was sufficient for her to sustain herself .' -p301150 -(lp301151 -S'Between\tBetween\tIN\tB-PP\tO' -p301152 -aS'the\tthe\tDT\tB-NP\tO' -p301153 -aS'two\ttwo\tCD\tI-NP\tO' -p301154 -aS'of\tof\tIN\tB-PP\tO' -p301155 -aS'those\tthose\tDT\tB-NP\tO' -p301156 -aS',\t,\t,\tO\tO' -p301157 -aS'her\ther\tPRP$\tB-NP\tO' -p301158 -aS'caloric\tcaloric\tJJ\tI-NP\tO' -p301159 -aS'intake\tintake\tNN\tI-NP\tO' -p301160 -aS'was\tbe\tVBD\tB-VP\tO' -p301161 -aS'sufficient\tsufficient\tJJ\tB-ADJP\tO' -p301162 -aS'for\tfor\tIN\tB-SBAR\tO' -p301163 -aS'her\ther\tPRP\tB-NP\tO' -p301164 -aS'to\tto\tTO\tB-VP\tO' -p301165 -aS'sustain\tsustain\tVB\tI-VP\tO' -p301166 -aS'herself\therself\tPRP\tB-NP\tO' -p301167 -aS'.\t.\t.\tO\tO' -p301168 -asS'Lives with her 6-year-old daughter .' -p301169 -(lp301170 -S'Lives\tLife\tNNS\tB-NP\tO' -p301171 -aS'with\twith\tIN\tB-PP\tO' -p301172 -aS'her\ther\tPRP$\tB-NP\tO' -p301173 -aS'6-year-old\t6-year-old\tJJ\tI-NP\tO' -p301174 -aS'daughter\tdaughter\tNN\tI-NP\tO' -p301175 -aS'.\t.\t.\tO\tO' -p301176 -asS'7. Diovan .' -p301177 -(lp301178 -S'7.\t7.\tCD\tB-NP\tO' -p301179 -aS'Diovan\tDiovan\tNNP\tI-NP\tO' -p301180 -aS'.\t.\t.\tO\tO' -p301181 -asS'Chronic blood loss anemia and chronic RBC transfusion .' -p301182 -(lp301183 -S'Chronic\tChronic\tJJ\tB-NP\tO' -p301184 -aS'blood\tblood\tNN\tI-NP\tO' -p301185 -aS'loss\tloss\tNN\tI-NP\tO' -p301186 -aS'anemia\tanemia\tNN\tI-NP\tO' -p301187 -aS'and\tand\tCC\tO\tO' -p301188 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p301189 -aS'RBC\tRBC\tNN\tI-NP\tO' -p301190 -aS'transfusion\ttransfusion\tNN\tI-NP\tO' -p301191 -aS'.\t.\t.\tO\tO' -p301192 -asS'There was only minimal movement on the left side .' -p301193 -(lp301194 -S'There\tThere\tEX\tB-NP\tO' -p301195 -aS'was\tbe\tVBD\tB-VP\tO' -p301196 -aS'only\tonly\tRB\tB-NP\tO' -p301197 -aS'minimal\tminimal\tJJ\tI-NP\tO' -p301198 -aS'movement\tmovement\tNN\tI-NP\tO' -p301199 -aS'on\ton\tIN\tB-PP\tO' -p301200 -aS'the\tthe\tDT\tB-NP\tO' -p301201 -aS'left\tleft\tJJ\tI-NP\tO' -p301202 -aS'side\tside\tNN\tI-NP\tO' -p301203 -aS'.\t.\t.\tO\tO' -p301204 -asS'At 2:30 he was also found with sats in the 90% .' -p301205 -(lp301206 -S'At\tAt\tIN\tB-PP\tO' -p301207 -aS'2:30\t2:30\tCD\tB-NP\tO' -p301208 -aS'he\the\tPRP\tB-NP\tO' -p301209 -aS'was\tbe\tVBD\tB-VP\tO' -p301210 -aS'also\talso\tRB\tI-VP\tO' -p301211 -aS'found\tfind\tVBN\tI-VP\tO' -p301212 -aS'with\twith\tIN\tB-PP\tO' -p301213 -aS'sats\tsat\tNNS\tB-NP\tO' -p301214 -aS'in\tin\tIN\tB-PP\tO' -p301215 -aS'the\tthe\tDT\tB-NP\tO' -p301216 -aS'90%\t90%\tNN\tI-NP\tO' -p301217 -aS'.\t.\t.\tO\tO' -p301218 -asS'The CT of the abdomen was without lymphadenopathy , revealed a right renal cyst , otherwise unremarkable .' -p301219 -(lp301220 -S'The\tThe\tDT\tB-NP\tO' -p301221 -aS'CT\tCT\tNN\tI-NP\tB-protein' -p301222 -aS'of\tof\tIN\tB-PP\tO' -p301223 -aS'the\tthe\tDT\tB-NP\tO' -p301224 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p301225 -aS'was\tbe\tVBD\tB-VP\tO' -p301226 -aS'without\twithout\tIN\tB-PP\tO' -p301227 -aS'lymphadenopathy\tlymphadenopathy\tNN\tB-NP\tO' -p301228 -aS',\t,\t,\tO\tO' -p301229 -aS'revealed\treveal\tVBD\tB-VP\tO' -p301230 -aS'a\ta\tDT\tB-NP\tO' -p301231 -aS'right\tright\tJJ\tI-NP\tO' -p301232 -aS'renal\trenal\tJJ\tI-NP\tO' -p301233 -aS'cyst\tcyst\tNN\tI-NP\tO' -p301234 -aS',\t,\t,\tO\tO' -p301235 -aS'otherwise\totherwise\tRB\tB-ADJP\tO' -p301236 -aS'unremarkable\tunremarkable\tJJ\tI-ADJP\tO' -p301237 -aS'.\t.\t.\tO\tO' -p301238 -asS's/p AVR 05-14 .' -p301239 -(lp301240 -S's/p\ts/p\tNN\tB-NP\tO' -p301241 -aS'AVR\tAVR\tNN\tI-NP\tO' -p301242 -aS'05-14\t05-14\tCD\tI-NP\tO' -p301243 -aS'.\t.\t.\tO\tO' -p301244 -asS'The patient is a 58 year old right hand dominant white male with a long history of hypertension , changed his medications from Aldomet to Clonidine six weeks ago .' -p301245 -(lp301246 -S'The\tThe\tDT\tB-NP\tO' -p301247 -aS'patient\tpatient\tNN\tI-NP\tO' -p301248 -aS'is\tbe\tVBZ\tB-VP\tO' -p301249 -aS'a\ta\tDT\tB-NP\tO' -p301250 -aS'58\t58\tCD\tI-NP\tO' -p301251 -aS'year\tyear\tNN\tI-NP\tO' -p301252 -aS'old\told\tJJ\tI-NP\tO' -p301253 -aS'right\tright\tJJ\tI-NP\tO' -p301254 -aS'hand\thand\tNN\tI-NP\tO' -p301255 -aS'dominant\tdominant\tJJ\tI-NP\tO' -p301256 -aS'white\twhite\tJJ\tI-NP\tO' -p301257 -aS'male\tmale\tNN\tI-NP\tO' -p301258 -aS'with\twith\tIN\tB-PP\tO' -p301259 -aS'a\ta\tDT\tB-NP\tO' -p301260 -aS'long\tlong\tJJ\tI-NP\tO' -p301261 -aS'history\thistory\tNN\tI-NP\tO' -p301262 -aS'of\tof\tIN\tB-PP\tO' -p301263 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p301264 -aS',\t,\t,\tO\tO' -p301265 -aS'changed\tchange\tVBD\tB-VP\tO' -p301266 -aS'his\this\tPRP$\tB-NP\tO' -p301267 -aS'medications\tmedication\tNNS\tI-NP\tO' -p301268 -aS'from\tfrom\tIN\tB-PP\tO' -p301269 -aS'Aldomet\tAldomet\tNNP\tB-NP\tO' -p301270 -aS'to\tto\tTO\tB-PP\tO' -p301271 -aS'Clonidine\tClonidine\tNN\tB-NP\tO' -p301272 -aS'six\tsix\tCD\tB-NP\tO' -p301273 -aS'weeks\tweek\tNNS\tI-NP\tO' -p301274 -aS'ago\tago\tRB\tB-ADVP\tO' -p301275 -aS'.\t.\t.\tO\tO' -p301276 -asS'Father had coronary artery disease .' -p301277 -(lp301278 -S'Father\tFather\tNNP\tB-NP\tO' -p301279 -aS'had\thave\tVBD\tB-VP\tO' -p301280 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p301281 -aS'artery\tartery\tNN\tI-NP\tO' -p301282 -aS'disease\tdisease\tNN\tI-NP\tO' -p301283 -aS'.\t.\t.\tO\tO' -p301284 -asS'History of atypical mycobacterial colonization .' -p301285 -(lp301286 -S'History\tHistory\tNN\tB-NP\tO' -p301287 -aS'of\tof\tIN\tB-PP\tO' -p301288 -aS'atypical\tatypical\tJJ\tB-NP\tO' -p301289 -aS'mycobacterial\tmycobacterial\tJJ\tI-NP\tO' -p301290 -aS'colonization\tcolonization\tNN\tI-NP\tO' -p301291 -aS'.\t.\t.\tO\tO' -p301292 -asS'He will need to be followed up as an out patient for guaiac positive stools and possibly worked up for this in the future .' -p301293 -(lp301294 -S'He\tHe\tPRP\tB-NP\tO' -p301295 -aS'will\twill\tMD\tB-VP\tO' -p301296 -aS'need\tneed\tVB\tI-VP\tO' -p301297 -aS'to\tto\tTO\tI-VP\tO' -p301298 -aS'be\tbe\tVB\tI-VP\tO' -p301299 -aS'followed\tfollow\tVBN\tI-VP\tO' -p301300 -aS'up\tup\tRP\tB-PRT\tO' -p301301 -aS'as\tas\tIN\tB-PP\tO' -p301302 -aS'an\tan\tDT\tB-NP\tO' -p301303 -aS'out\tout\tJJ\tI-NP\tO' -p301304 -aS'patient\tpatient\tNN\tI-NP\tO' -p301305 -aS'for\tfor\tIN\tB-PP\tO' -p301306 -aS'guaiac\tguaiac\tJJ\tB-NP\tO' -p301307 -aS'positive\tpositive\tJJ\tI-NP\tO' -p301308 -aS'stools\tstool\tNNS\tI-NP\tO' -p301309 -aS'and\tand\tCC\tO\tO' -p301310 -aS'possibly\tpossibly\tRB\tB-ADVP\tO' -p301311 -aS'worked\twork\tVBD\tB-VP\tO' -p301312 -aS'up\tup\tRP\tB-PRT\tO' -p301313 -aS'for\tfor\tIN\tB-PP\tO' -p301314 -aS'this\tthis\tDT\tB-NP\tO' -p301315 -aS'in\tin\tIN\tB-PP\tO' -p301316 -aS'the\tthe\tDT\tB-NP\tO' -p301317 -aS'future\tfuture\tNN\tI-NP\tO' -p301318 -aS'.\t.\t.\tO\tO' -p301319 -asS'He was ambulated progressively on the floor .' -p301320 -(lp301321 -S'He\tHe\tPRP\tB-NP\tO' -p301322 -aS'was\tbe\tVBD\tB-VP\tO' -p301323 -aS'ambulated\tambulate\tVBN\tI-VP\tO' -p301324 -aS'progressively\tprogressively\tRB\tB-ADVP\tO' -p301325 -aS'on\ton\tIN\tB-PP\tO' -p301326 -aS'the\tthe\tDT\tB-NP\tO' -p301327 -aS'floor\tfloor\tNN\tI-NP\tO' -p301328 -aS'.\t.\t.\tO\tO' -p301329 -asS'I have advised him that he must not drive until he is seena gain in clinic and his device interrogated .' -p301330 -(lp301331 -S'I\tI\tPRP\tB-NP\tO' -p301332 -aS'have\thave\tVBP\tB-VP\tO' -p301333 -aS'advised\tadvise\tVBN\tI-VP\tO' -p301334 -aS'him\thim\tPRP\tB-NP\tO' -p301335 -aS'that\tthat\tIN\tB-SBAR\tO' -p301336 -aS'he\the\tPRP\tB-NP\tO' -p301337 -aS'must\tmust\tMD\tB-VP\tO' -p301338 -aS'not\tnot\tRB\tI-VP\tO' -p301339 -aS'drive\tdrive\tVB\tI-VP\tO' -p301340 -aS'until\tuntil\tIN\tB-SBAR\tO' -p301341 -aS'he\the\tPRP\tB-NP\tO' -p301342 -aS'is\tbe\tVBZ\tB-VP\tO' -p301343 -aS'seena\tseena\tJJ\tB-NP\tO' -p301344 -aS'gain\tgain\tNN\tI-NP\tO' -p301345 -aS'in\tin\tIN\tB-PP\tO' -p301346 -aS'clinic\tclinic\tNN\tB-NP\tO' -p301347 -aS'and\tand\tCC\tO\tO' -p301348 -aS'his\this\tPRP$\tB-NP\tO' -p301349 -aS'device\tdevice\tNN\tI-NP\tO' -p301350 -aS'interrogated\tinterrogate\tVBD\tB-VP\tO' -p301351 -aS'.\t.\t.\tO\tO' -p301352 -asS'The patient initially came for workup of pancreatic cancer with a questions of palliative chemotherapy .' -p301353 -(lp301354 -S'The\tThe\tDT\tB-NP\tO' -p301355 -aS'patient\tpatient\tNN\tI-NP\tO' -p301356 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p301357 -aS'came\tcome\tVBD\tB-VP\tO' -p301358 -aS'for\tfor\tIN\tB-PP\tO' -p301359 -aS'workup\tworkup\tNN\tB-NP\tO' -p301360 -aS'of\tof\tIN\tB-PP\tO' -p301361 -aS'pancreatic\tpancreatic\tJJ\tB-NP\tO' -p301362 -aS'cancer\tcancer\tNN\tI-NP\tO' -p301363 -aS'with\twith\tIN\tB-PP\tO' -p301364 -aS'a\ta\tDT\tB-NP\tO' -p301365 -aS'questions\tquestion\tNNS\tI-NP\tO' -p301366 -aS'of\tof\tIN\tB-PP\tO' -p301367 -aS'palliative\tpalliative\tJJ\tB-NP\tO' -p301368 -aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' -p301369 -aS'.\t.\t.\tO\tO' -p301370 -asS'5) Lasix 40 mg p.o. q day .' -p301371 -(lp301372 -S'5)\t5)\tLS\tB-NP\tO' -p301373 -aS'Lasix\tLasix\tNNP\tI-NP\tO' -p301374 -aS'40\t40\tCD\tI-NP\tO' -p301375 -aS'mg\tmg\tNN\tI-NP\tO' -p301376 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p301377 -aS'q\tq\tNN\tI-NP\tO' -p301378 -aS'day\tday\tNN\tI-NP\tO' -p301379 -aS'.\t.\t.\tO\tO' -p301380 -asS'The right heart catheterization revealed a cardiac output index of 4.11 and 2.15 respectively .' -p301381 -(lp301382 -S'The\tThe\tDT\tB-NP\tO' -p301383 -aS'right\tright\tJJ\tI-NP\tO' -p301384 -aS'heart\theart\tNN\tI-NP\tO' -p301385 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p301386 -aS'revealed\treveal\tVBD\tB-VP\tO' -p301387 -aS'a\ta\tDT\tB-NP\tO' -p301388 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p301389 -aS'output\toutput\tNN\tI-NP\tO' -p301390 -aS'index\tindex\tNN\tI-NP\tO' -p301391 -aS'of\tof\tIN\tB-PP\tO' -p301392 -aS'4.11\t4.11\tCD\tB-NP\tO' -p301393 -aS'and\tand\tCC\tI-NP\tO' -p301394 -aS'2.15\t2.15\tCD\tI-NP\tO' -p301395 -aS'respectively\trespectively\tRB\tB-ADVP\tO' -p301396 -aS'.\t.\t.\tO\tO' -p301397 -asS'7. Past Discharge Summary mention a history of chronic obstructive pulmonary disease , but the patient has never smoked .' -p301398 -(lp301399 -S'7.\t7.\tCD\tB-NP\tO' -p301400 -aS'Past\tPast\tNNP\tI-NP\tO' -p301401 -aS'Discharge\tDischarge\tNNP\tI-NP\tO' -p301402 -aS'Summary\tSummary\tNNP\tI-NP\tO' -p301403 -aS'mention\tmention\tVB\tB-VP\tO' -p301404 -aS'a\ta\tDT\tB-NP\tO' -p301405 -aS'history\thistory\tNN\tI-NP\tO' -p301406 -aS'of\tof\tIN\tB-PP\tO' -p301407 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p301408 -aS'obstructive\tobstructive\tJJ\tI-NP\tO' -p301409 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p301410 -aS'disease\tdisease\tNN\tI-NP\tO' -p301411 -aS',\t,\t,\tO\tO' -p301412 -aS'but\tbut\tCC\tO\tO' -p301413 -aS'the\tthe\tDT\tB-NP\tO' -p301414 -aS'patient\tpatient\tNN\tI-NP\tO' -p301415 -aS'has\thave\tVBZ\tB-VP\tO' -p301416 -aS'never\tnever\tRB\tI-VP\tO' -p301417 -aS'smoked\tsmoke\tVBN\tI-VP\tO' -p301418 -aS'.\t.\t.\tO\tO' -p301419 -asS'Normal S1 , S2 .' -p301420 -(lp301421 -S'Normal\tNormal\tJJ\tB-NP\tO' -p301422 -aS'S1\tS1\tNN\tI-NP\tO' -p301423 -aS',\t,\t,\tO\tO' -p301424 -aS'S2\tS2\tNN\tB-NP\tB-protein' -p301425 -aS'.\t.\t.\tO\tO' -p301426 -asS'Home with the parents .' -p301427 -(lp301428 -S'Home\tHome\tNN\tB-NP\tO' -p301429 -aS'with\twith\tIN\tB-PP\tO' -p301430 -aS'the\tthe\tDT\tB-NP\tO' -p301431 -aS'parents\tparent\tNNS\tI-NP\tO' -p301432 -aS'.\t.\t.\tO\tO' -p301433 -asS'She continues on her Prednisone taper for her asthma and this is day # 14 of antibiotics .' -p301434 -(lp301435 -S'She\tShe\tPRP\tB-NP\tO' -p301436 -aS'continues\tcontinue\tVBZ\tB-VP\tO' -p301437 -aS'on\ton\tIN\tB-PP\tO' -p301438 -aS'her\ther\tPRP$\tB-NP\tO' -p301439 -aS'Prednisone\tPrednisone\tNN\tI-NP\tO' -p301440 -aS'taper\ttaper\tNN\tI-NP\tO' -p301441 -aS'for\tfor\tIN\tB-PP\tO' -p301442 -aS'her\ther\tPRP$\tB-NP\tO' -p301443 -aS'asthma\tasthma\tNN\tI-NP\tO' -p301444 -aS'and\tand\tCC\tO\tO' -p301445 -aS'this\tthis\tDT\tB-NP\tO' -p301446 -aS'is\tbe\tVBZ\tB-VP\tO' -p301447 -aS'day\tday\tNN\tB-NP\tO' -p301448 -aS'#\t#\t#\tB-NP\tO' -p301449 -aS'14\t14\tCD\tI-NP\tO' -p301450 -aS'of\tof\tIN\tB-PP\tO' -p301451 -aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' -p301452 -aS'.\t.\t.\tO\tO' -p301453 -asS'Normal male with testes palpable bilaterally .' -p301454 -(lp301455 -S'Normal\tNormal\tJJ\tB-NP\tO' -p301456 -aS'male\tmale\tNN\tI-NP\tO' -p301457 -aS'with\twith\tIN\tB-PP\tO' -p301458 -aS'testes\ttestis\tNNS\tB-NP\tO' -p301459 -aS'palpable\tpalpable\tJJ\tB-ADJP\tO' -p301460 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p301461 -aS'.\t.\t.\tO\tO' -p301462 -asS'2. Docusate Sodium 100 mg Capsule Sig : One ( 1 ) Capsule PO BID ( 2 times a day ) as needed for constipation .' -p301463 -(lp301464 -S'2.\t2.\tLS\tB-NP\tO' -p301465 -aS'Docusate\tDocusate\tNN\tI-NP\tO' -p301466 -aS'Sodium\tSodium\tNN\tI-NP\tO' -p301467 -aS'100\t100\tCD\tI-NP\tO' -p301468 -aS'mg\tmg\tNN\tI-NP\tO' -p301469 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p301470 -aS'Sig\tSig\tNNP\tI-NP\tO' -p301471 -aS':\t:\t:\tO\tO' -p301472 -aS'One\tOne\tCD\tB-NP\tO' -p301473 -aS'(\t(\t(\tO\tO' -p301474 -aS'1\t1\tCD\tB-NP\tO' -p301475 -aS')\t)\t)\tO\tO' -p301476 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p301477 -aS'PO\tPO\tNNP\tI-NP\tO' -p301478 -aS'BID\tBID\tNNP\tI-NP\tO' -p301479 -aS'(\t(\t(\tO\tO' -p301480 -aS'2\t2\tCD\tB-NP\tO' -p301481 -aS'times\ttime\tNNS\tI-NP\tO' -p301482 -aS'a\ta\tDT\tB-NP\tO' -p301483 -aS'day\tday\tNN\tI-NP\tO' -p301484 -aS')\t)\t)\tO\tO' -p301485 -aS'as\tas\tIN\tB-SBAR\tO' -p301486 -aS'needed\tneed\tVBN\tB-VP\tO' -p301487 -aS'for\tfor\tIN\tB-PP\tO' -p301488 -aS'constipation\tconstipation\tNN\tB-NP\tO' -p301489 -aS'.\t.\t.\tO\tO' -p301490 -asS'6. Atorvastatin Calcium 80 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' -p301491 -(lp301492 -S'6.\t6.\tLS\tB-NP\tO' -p301493 -aS'Atorvastatin\tAtorvastatin\tNN\tI-NP\tO' -p301494 -aS'Calcium\tCalcium\tNN\tI-NP\tO' -p301495 -aS'80\t80\tCD\tI-NP\tO' -p301496 -aS'mg\tmg\tNN\tI-NP\tO' -p301497 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p301498 -aS'Sig\tSig\tNNP\tI-NP\tO' -p301499 -aS':\t:\t:\tO\tO' -p301500 -aS'One\tOne\tCD\tB-NP\tO' -p301501 -aS'(\t(\t(\tO\tO' -p301502 -aS'1\t1\tCD\tB-NP\tO' -p301503 -aS')\t)\t)\tO\tO' -p301504 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p301505 -aS'PO\tPO\tNN\tI-NP\tO' -p301506 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p301507 -aS'(\t(\t(\tO\tO' -p301508 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p301509 -aS')\t)\t)\tO\tO' -p301510 -aS'.\t.\t.\tO\tO' -p301511 -asS'On examination on transfer to the Intensive Care Unit she is febrile with a low grade temperature of 100.1 , tachycardic to 110 , hypotensive 85/49 , tachypneic into the 50 s and 60 s, 95% on nonrebreather .' -p301512 -(lp301513 -S'On\tOn\tIN\tB-PP\tO' -p301514 -aS'examination\texamination\tNN\tB-NP\tO' -p301515 -aS'on\ton\tIN\tB-PP\tO' -p301516 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p301517 -aS'to\tto\tTO\tB-PP\tO' -p301518 -aS'the\tthe\tDT\tB-NP\tO' -p301519 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p301520 -aS'Care\tCare\tNNP\tI-NP\tO' -p301521 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p301522 -aS'she\tshe\tPRP\tB-NP\tO' -p301523 -aS'is\tbe\tVBZ\tB-VP\tO' -p301524 -aS'febrile\tfebrile\tJJ\tB-ADJP\tO' -p301525 -aS'with\twith\tIN\tB-PP\tO' -p301526 -aS'a\ta\tDT\tB-NP\tO' -p301527 -aS'low\tlow\tJJ\tI-NP\tO' -p301528 -aS'grade\tgrade\tNN\tI-NP\tO' -p301529 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p301530 -aS'of\tof\tIN\tB-PP\tO' -p301531 -aS'100.1\t100.1\tCD\tB-NP\tO' -p301532 -aS',\t,\t,\tO\tO' -p301533 -aS'tachycardic\ttachycardic\tJJ\tB-ADJP\tO' -p301534 -aS'to\tto\tTO\tB-PP\tO' -p301535 -aS'110\t110\tCD\tB-NP\tO' -p301536 -aS',\t,\t,\tO\tO' -p301537 -aS'hypotensive\thypotensive\tJJ\tB-NP\tO' -p301538 -aS'85/49\t85/49\tCD\tI-NP\tO' -p301539 -aS',\t,\t,\tO\tO' -p301540 -aS'tachypneic\ttachypneic\tJJ\tB-ADJP\tO' -p301541 -aS'into\tinto\tIN\tB-PP\tO' -p301542 -aS'the\tthe\tDT\tB-NP\tO' -p301543 -aS'50\t50\tCD\tI-NP\tO' -p301544 -aS's\ts\tNN\tI-NP\tO' -p301545 -aS'and\tand\tCC\tO\tO' -p301546 -aS'60\t60\tCD\tB-NP\tO' -p301547 -aS's,\ts,\tNN\tI-NP\tO' -p301548 -aS'95%\t95%\tCD\tB-NP\tO' -p301549 -aS'on\ton\tIN\tB-PP\tO' -p301550 -aS'nonrebreather\tnonrebreather\tNN\tB-NP\tO' -p301551 -aS'.\t.\t.\tO\tO' -p301552 -asS'To Newborn Nursery .' -p301553 -(lp301554 -S'To\tTo\tTO\tB-PP\tO' -p301555 -aS'Newborn\tNewborn\tNNP\tB-NP\tO' -p301556 -aS'Nursery\tNursery\tNNP\tI-NP\tO' -p301557 -aS'.\t.\t.\tO\tO' -p301558 -asS'Please continue to take all medications as prescirbed and follow up with all your appointments .' -p301559 -(lp301560 -S'Please\tPlease\tNN\tB-NP\tB-protein' -p301561 -aS'continue\tcontinue\tVBP\tB-VP\tO' -p301562 -aS'to\tto\tTO\tI-VP\tO' -p301563 -aS'take\ttake\tVB\tI-VP\tO' -p301564 -aS'all\tall\tDT\tB-NP\tO' -p301565 -aS'medications\tmedication\tNNS\tI-NP\tO' -p301566 -aS'as\tas\tIN\tB-SBAR\tO' -p301567 -aS'prescirbed\tprescirbe\tVBN\tB-VP\tO' -p301568 -aS'and\tand\tCC\tO\tO' -p301569 -aS'follow\tfollow\tVB\tB-VP\tO' -p301570 -aS'up\tup\tRP\tB-PRT\tO' -p301571 -aS'with\twith\tIN\tB-PP\tO' -p301572 -aS'all\tall\tDT\tB-NP\tO' -p301573 -aS'your\tyour\tPRP$\tI-NP\tO' -p301574 -aS'appointments\tappointment\tNNS\tI-NP\tO' -p301575 -aS'.\t.\t.\tO\tO' -p301576 -asS'Subsequent factor 8 levels varied with an initial factor 8 level of 18 after the bolus with which he received another bolus of factor 8 of 50 units / kg and increased factor 8 infusion rate to 65 units / kg / day .' -p301577 -(lp301578 -S'Subsequent\tSubsequent\tJJ\tB-NP\tO' -p301579 -aS'factor\tfactor\tNN\tI-NP\tO' -p301580 -aS'8\t8\tCD\tB-NP\tO' -p301581 -aS'levels\tlevel\tNNS\tI-NP\tO' -p301582 -aS'varied\tvary\tVBD\tB-VP\tO' -p301583 -aS'with\twith\tIN\tB-PP\tO' -p301584 -aS'an\tan\tDT\tB-NP\tO' -p301585 -aS'initial\tinitial\tJJ\tI-NP\tO' -p301586 -aS'factor\tfactor\tNN\tI-NP\tO' -p301587 -aS'8\t8\tCD\tI-NP\tO' -p301588 -aS'level\tlevel\tNN\tI-NP\tO' -p301589 -aS'of\tof\tIN\tB-PP\tO' -p301590 -aS'18\t18\tCD\tB-NP\tO' -p301591 -aS'after\tafter\tIN\tB-PP\tO' -p301592 -aS'the\tthe\tDT\tB-NP\tO' -p301593 -aS'bolus\tbolus\tNN\tI-NP\tO' -p301594 -aS'with\twith\tIN\tB-PP\tO' -p301595 -aS'which\twhich\tWDT\tB-NP\tO' -p301596 -aS'he\the\tPRP\tB-NP\tO' -p301597 -aS'received\treceive\tVBD\tB-VP\tO' -p301598 -aS'another\tanother\tDT\tB-NP\tO' -p301599 -aS'bolus\tbolus\tNN\tI-NP\tO' -p301600 -aS'of\tof\tIN\tB-PP\tO' -p301601 -aS'factor\tfactor\tNN\tB-NP\tO' -p301602 -aS'8\t8\tCD\tI-NP\tO' -p301603 -aS'of\tof\tIN\tB-PP\tO' -p301604 -aS'50\t50\tCD\tB-NP\tO' -p301605 -aS'units\tunit\tNNS\tI-NP\tO' -p301606 -aS'/\t/\tSYM\tB-NP\tO' -p301607 -aS'kg\tkg\tNN\tI-NP\tO' -p301608 -aS'and\tand\tCC\tO\tO' -p301609 -aS'increased\tincrease\tVBD\tB-VP\tO' -p301610 -aS'factor\tfactor\tNN\tB-NP\tO' -p301611 -aS'8\t8\tCD\tI-NP\tO' -p301612 -aS'infusion\tinfusion\tNN\tI-NP\tO' -p301613 -aS'rate\trate\tNN\tI-NP\tO' -p301614 -aS'to\tto\tTO\tB-PP\tO' -p301615 -aS'65\t65\tCD\tB-NP\tO' -p301616 -aS'units\tunit\tNNS\tI-NP\tO' -p301617 -aS'/\t/\tSYM\tB-NP\tO' -p301618 -aS'kg\tkg\tNN\tI-NP\tO' -p301619 -aS'/\t/\tSYM\tB-NP\tO' -p301620 -aS'day\tday\tNN\tI-NP\tO' -p301621 -aS'.\t.\t.\tO\tO' -p301622 -asS'CT scan demonstrated retroperitoneal collection containing both free air and extravasated contrast material .' -p301623 -(lp301624 -S'CT\tCT\tNN\tB-NP\tO' -p301625 -aS'scan\tscan\tNN\tI-NP\tO' -p301626 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p301627 -aS'retroperitoneal\tretroperitoneal\tJJ\tB-NP\tO' -p301628 -aS'collection\tcollection\tNN\tI-NP\tO' -p301629 -aS'containing\tcontain\tVBG\tB-VP\tO' -p301630 -aS'both\tboth\tCC\tO\tO' -p301631 -aS'free\tfree\tJJ\tB-NP\tO' -p301632 -aS'air\tair\tNN\tI-NP\tO' -p301633 -aS'and\tand\tCC\tO\tO' -p301634 -aS'extravasated\textravasate\tVBN\tB-NP\tO' -p301635 -aS'contrast\tcontrast\tNN\tI-NP\tO' -p301636 -aS'material\tmaterial\tNN\tI-NP\tO' -p301637 -aS'.\t.\t.\tO\tO' -p301638 -asS'The remainder of her abdomen was unremarkable without evidence of metastatic spread elsewhere , including the liver .' -p301639 -(lp301640 -S'The\tThe\tDT\tB-NP\tO' -p301641 -aS'remainder\tremainder\tNN\tI-NP\tO' -p301642 -aS'of\tof\tIN\tB-PP\tO' -p301643 -aS'her\ther\tPRP$\tB-NP\tO' -p301644 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p301645 -aS'was\tbe\tVBD\tB-VP\tO' -p301646 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p301647 -aS'without\twithout\tIN\tB-PP\tO' -p301648 -aS'evidence\tevidence\tNN\tB-NP\tO' -p301649 -aS'of\tof\tIN\tB-PP\tO' -p301650 -aS'metastatic\tmetastatic\tJJ\tB-NP\tO' -p301651 -aS'spread\tspread\tNN\tI-NP\tO' -p301652 -aS'elsewhere\telsewhere\tRB\tB-ADVP\tO' -p301653 -aS',\t,\t,\tO\tO' -p301654 -aS'including\tinclude\tVBG\tB-PP\tO' -p301655 -aS'the\tthe\tDT\tB-NP\tO' -p301656 -aS'liver\tliver\tNN\tI-NP\tO' -p301657 -aS'.\t.\t.\tO\tO' -p301658 -asS'The patient was initially transferred to the Intensive Care Unit thought to be exhibiting septic physiology , respiratory distress and hypotensive .' -p301659 -(lp301660 -S'The\tThe\tDT\tB-NP\tO' -p301661 -aS'patient\tpatient\tNN\tI-NP\tO' -p301662 -aS'was\tbe\tVBD\tB-VP\tO' -p301663 -aS'initially\tinitially\tRB\tI-VP\tO' -p301664 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p301665 -aS'to\tto\tTO\tB-PP\tO' -p301666 -aS'the\tthe\tDT\tB-NP\tO' -p301667 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p301668 -aS'Care\tCare\tNNP\tI-NP\tO' -p301669 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p301670 -aS'thought\tthink\tVBD\tB-VP\tO' -p301671 -aS'to\tto\tTO\tI-VP\tO' -p301672 -aS'be\tbe\tVB\tI-VP\tO' -p301673 -aS'exhibiting\texhibit\tVBG\tI-VP\tO' -p301674 -aS'septic\tseptic\tJJ\tB-NP\tO' -p301675 -aS'physiology\tphysiology\tNN\tI-NP\tO' -p301676 -aS',\t,\t,\tO\tO' -p301677 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p301678 -aS'distress\tdistress\tNN\tI-NP\tO' -p301679 -aS'and\tand\tCC\tI-NP\tO' -p301680 -aS'hypotensive\thypotensive\tNN\tI-NP\tO' -p301681 -aS'.\t.\t.\tO\tO' -p301682 -asS'She was type and crossed and transfused two units of packed red blood cells .' -p301683 -(lp301684 -S'She\tShe\tPRP\tB-NP\tO' -p301685 -aS'was\tbe\tVBD\tB-VP\tO' -p301686 -aS'type\ttype\tNN\tB-NP\tO' -p301687 -aS'and\tand\tCC\tO\tO' -p301688 -aS'crossed\tcross\tVBN\tB-VP\tO' -p301689 -aS'and\tand\tCC\tI-VP\tO' -p301690 -aS'transfused\ttransfuse\tVBN\tI-VP\tO' -p301691 -aS'two\ttwo\tCD\tB-NP\tO' -p301692 -aS'units\tunit\tNNS\tI-NP\tO' -p301693 -aS'of\tof\tIN\tB-PP\tO' -p301694 -aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' -p301695 -aS'red\tred\tJJ\tI-NP\tI-cell_type' -p301696 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p301697 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p301698 -aS'.\t.\t.\tO\tO' -p301699 -asS'Feeds at discharge are PE-20 currently at 120 cc per kg per day due to advance 15 cc per kg per day to a total of 150 cc per kg per day .' -p301700 -(lp301701 -S'Feeds\tFeed\tNNS\tB-NP\tO' -p301702 -aS'at\tat\tIN\tB-PP\tO' -p301703 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p301704 -aS'are\tbe\tVBP\tB-VP\tO' -p301705 -aS'PE-20\tPE-20\tNN\tB-NP\tB-protein' -p301706 -aS'currently\tcurrently\tRB\tB-ADVP\tO' -p301707 -aS'at\tat\tIN\tB-PP\tO' -p301708 -aS'120\t120\tCD\tB-NP\tO' -p301709 -aS'cc\tcc\tNN\tI-NP\tO' -p301710 -aS'per\tper\tIN\tB-PP\tO' -p301711 -aS'kg\tkg\tNN\tB-NP\tO' -p301712 -aS'per\tper\tIN\tB-PP\tO' -p301713 -aS'day\tday\tNN\tB-NP\tO' -p301714 -aS'due\tdue\tJJ\tB-ADJP\tO' -p301715 -aS'to\tto\tTO\tB-VP\tO' -p301716 -aS'advance\tadvance\tVB\tI-VP\tO' -p301717 -aS'15\t15\tCD\tB-NP\tO' -p301718 -aS'cc\tcc\tNN\tI-NP\tO' -p301719 -aS'per\tper\tIN\tB-PP\tO' -p301720 -aS'kg\tkg\tNN\tB-NP\tO' -p301721 -aS'per\tper\tIN\tB-PP\tO' -p301722 -aS'day\tday\tNN\tB-NP\tO' -p301723 -aS'to\tto\tTO\tB-PP\tO' -p301724 -aS'a\ta\tDT\tB-NP\tO' -p301725 -aS'total\ttotal\tNN\tI-NP\tO' -p301726 -aS'of\tof\tIN\tB-PP\tO' -p301727 -aS'150\t150\tCD\tB-NP\tO' -p301728 -aS'cc\tcc\tNN\tI-NP\tO' -p301729 -aS'per\tper\tIN\tB-PP\tO' -p301730 -aS'kg\tkg\tNN\tB-NP\tO' -p301731 -aS'per\tper\tIN\tB-PP\tO' -p301732 -aS'day\tday\tNN\tB-NP\tO' -p301733 -aS'.\t.\t.\tO\tO' -p301734 -asS'As a result , the patient was started on Os-Cal 250 mg PO q.i.d. On postoperative day number three , her ionized calcium was 1.06 and her Os-Cal was increased to 500 q.i.d.' -p301735 -(lp301736 -S'As\tAs\tIN\tB-PP\tO' -p301737 -aS'a\ta\tDT\tB-NP\tO' -p301738 -aS'result\tresult\tNN\tI-NP\tO' -p301739 -aS',\t,\t,\tO\tO' -p301740 -aS'the\tthe\tDT\tB-NP\tO' -p301741 -aS'patient\tpatient\tNN\tI-NP\tO' -p301742 -aS'was\tbe\tVBD\tB-VP\tO' -p301743 -aS'started\tstart\tVBN\tI-VP\tO' -p301744 -aS'on\ton\tIN\tB-PP\tO' -p301745 -aS'Os-Cal\tOs-Cal\tJJ\tB-NP\tO' -p301746 -aS'250\t250\tCD\tI-NP\tO' -p301747 -aS'mg\tmg\tNN\tI-NP\tO' -p301748 -aS'PO\tPO\tNN\tI-NP\tO' -p301749 -aS'q.i.d.\tq.i.d.\tNN\tI-NP\tO' -p301750 -aS'On\tOn\tIN\tB-PP\tO' -p301751 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p301752 -aS'day\tday\tNN\tI-NP\tO' -p301753 -aS'number\tnumber\tNN\tI-NP\tO' -p301754 -aS'three\tthree\tCD\tI-NP\tO' -p301755 -aS',\t,\t,\tO\tO' -p301756 -aS'her\ther\tPRP$\tB-NP\tO' -p301757 -aS'ionized\tionize\tVBN\tI-NP\tO' -p301758 -aS'calcium\tcalcium\tNN\tI-NP\tO' -p301759 -aS'was\tbe\tVBD\tB-VP\tO' -p301760 -aS'1.06\t1.06\tCD\tB-NP\tO' -p301761 -aS'and\tand\tCC\tO\tO' -p301762 -aS'her\ther\tPRP$\tB-NP\tO' -p301763 -aS'Os-Cal\tOs-Cal\tJJ\tI-NP\tO' -p301764 -aS'was\tbe\tVBD\tB-VP\tO' -p301765 -aS'increased\tincrease\tVBN\tI-VP\tO' -p301766 -aS'to\tto\tTO\tB-PP\tO' -p301767 -aS'500\t500\tCD\tB-NP\tO' -p301768 -aS'q.i.d.\tq.i.d.\tNN\tI-NP\tO' -p301769 -asS'The patient was discharged home on 9/15/93 .' -p301770 -(lp301771 -S'The\tThe\tDT\tB-NP\tO' -p301772 -aS'patient\tpatient\tNN\tI-NP\tO' -p301773 -aS'was\tbe\tVBD\tB-VP\tO' -p301774 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p301775 -aS'home\thome\tNN\tB-ADVP\tO' -p301776 -aS'on\ton\tIN\tB-PP\tO' -p301777 -aS'9/15/93\t9/15/93\tCD\tB-NP\tO' -p301778 -aS'.\t.\t.\tO\tO' -p301779 -asS'His abdomen was scaphoid , nondistended , nontender with positive bowel sounds .' -p301780 -(lp301781 -S'His\tHis\tPRP$\tB-NP\tO' -p301782 -aS'abdomen\tabdoman\tNNS\tI-NP\tO' -p301783 -aS'was\tbe\tVBD\tB-VP\tO' -p301784 -aS'scaphoid\tscaphoid\tJJ\tB-NP\tO' -p301785 -aS',\t,\t,\tI-NP\tO' -p301786 -aS'nondistended\tnondistended\tJJ\tI-NP\tO' -p301787 -aS',\t,\t,\tI-NP\tO' -p301788 -aS'nontender\tnontender\tJJ\tI-NP\tO' -p301789 -aS'with\twith\tIN\tB-PP\tO' -p301790 -aS'positive\tpositive\tJJ\tB-NP\tO' -p301791 -aS'bowel\tbowel\tNN\tI-NP\tO' -p301792 -aS'sounds\tsound\tNNS\tI-NP\tO' -p301793 -aS'.\t.\t.\tO\tO' -p301794 -asS'The patient remained intubated until postoperative day number five .' -p301795 -(lp301796 -S'The\tThe\tDT\tB-NP\tO' -p301797 -aS'patient\tpatient\tNN\tI-NP\tO' -p301798 -aS'remained\tremain\tVBD\tB-VP\tO' -p301799 -aS'intubated\tintubated\tJJ\tB-ADJP\tO' -p301800 -aS'until\tuntil\tIN\tB-SBAR\tO' -p301801 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p301802 -aS'day\tday\tNN\tI-NP\tO' -p301803 -aS'number\tnumber\tNN\tI-NP\tO' -p301804 -aS'five\tfive\tCD\tI-NP\tO' -p301805 -aS'.\t.\t.\tO\tO' -p301806 -asS'Oxycodone 10 mg. po. q3 hours prn .' -p301807 -(lp301808 -S'Oxycodone\tOxycodone\tNN\tB-NP\tO' -p301809 -aS'10\t10\tCD\tI-NP\tO' -p301810 -aS'mg.\tmg.\tNN\tI-NP\tO' -p301811 -aS'po.\tpo.\tNN\tI-NP\tO' -p301812 -aS'q3\tq3\tNN\tI-NP\tO' -p301813 -aS'hours\thour\tNNS\tI-NP\tO' -p301814 -aS'prn\tprn\tVBP\tB-VP\tO' -p301815 -aS'.\t.\t.\tO\tO' -p301816 -asS'The wall motion abnormalities were noted to be new .' -p301817 -(lp301818 -S'The\tThe\tDT\tB-NP\tO' -p301819 -aS'wall\twall\tNN\tI-NP\tO' -p301820 -aS'motion\tmotion\tNN\tI-NP\tO' -p301821 -aS'abnormalities\tabnormality\tNNS\tI-NP\tO' -p301822 -aS'were\tbe\tVBD\tB-VP\tO' -p301823 -aS'noted\tnote\tVBN\tI-VP\tO' -p301824 -aS'to\tto\tTO\tI-VP\tO' -p301825 -aS'be\tbe\tVB\tI-VP\tO' -p301826 -aS'new\tnew\tJJ\tB-ADJP\tO' -p301827 -aS'.\t.\t.\tO\tO' -p301828 -asS'Villeflardsbroo Ands Tho Cardhako General Hospital' -p301829 -(lp301830 -S'Villeflardsbroo\tVilleflardsbroo\tNNP\tB-NP\tO' -p301831 -aS'Ands\tAnds\tNNP\tI-NP\tO' -p301832 -aS'Tho\tTho\tNNP\tI-NP\tO' -p301833 -aS'Cardhako\tCardhako\tNNP\tI-NP\tO' -p301834 -aS'General\tGeneral\tNNP\tI-NP\tO' -p301835 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p301836 -asS'Surgery was consulted and followed him while he was in house .' -p301837 -(lp301838 -S'Surgery\tSurgery\tNN\tB-NP\tO' -p301839 -aS'was\tbe\tVBD\tB-VP\tO' -p301840 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p301841 -aS'and\tand\tCC\tO\tO' -p301842 -aS'followed\tfollow\tVBD\tB-VP\tO' -p301843 -aS'him\thim\tPRP\tB-NP\tO' -p301844 -aS'while\twhile\tIN\tB-SBAR\tO' -p301845 -aS'he\the\tPRP\tB-NP\tO' -p301846 -aS'was\tbe\tVBD\tB-VP\tO' -p301847 -aS'in\tin\tIN\tB-PP\tO' -p301848 -aS'house\thouse\tNN\tB-NP\tO' -p301849 -aS'.\t.\t.\tO\tO' -p301850 -asS'Normal RV size and function .' -p301851 -(lp301852 -S'Normal\tNormal\tJJ\tB-NP\tO' -p301853 -aS'RV\tRV\tNN\tI-NP\tO' -p301854 -aS'size\tsize\tNN\tI-NP\tO' -p301855 -aS'and\tand\tCC\tI-NP\tO' -p301856 -aS'function\tfunction\tNN\tI-NP\tO' -p301857 -aS'.\t.\t.\tO\tO' -p301858 -asS'Lipitor 40 mg p.o. every day .' -p301859 -(lp301860 -S'Lipitor\tLipitor\tNN\tB-NP\tO' -p301861 -aS'40\t40\tCD\tI-NP\tO' -p301862 -aS'mg\tmg\tNN\tI-NP\tO' -p301863 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p301864 -aS'every\tevery\tDT\tB-NP\tO' -p301865 -aS'day\tday\tNN\tI-NP\tO' -p301866 -aS'.\t.\t.\tO\tO' -p301867 -asS'2 ) The patient is being discharged to A Hospital where she will receive onsite hemodialysis three times per week on Monday , Wednesday and Friday .' -p301868 -(lp301869 -S'2\t2\tLS\tB-LST\tO' -p301870 -aS')\t)\t)\tO\tO' -p301871 -aS'The\tThe\tDT\tB-NP\tO' -p301872 -aS'patient\tpatient\tNN\tI-NP\tO' -p301873 -aS'is\tbe\tVBZ\tB-VP\tO' -p301874 -aS'being\tbe\tVBG\tI-VP\tO' -p301875 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p301876 -aS'to\tto\tTO\tB-PP\tO' -p301877 -aS'A\tA\tNN\tB-NP\tO' -p301878 -aS'Hospital\tHospital\tNN\tI-NP\tO' -p301879 -aS'where\twhere\tWRB\tB-ADVP\tO' -p301880 -aS'she\tshe\tPRP\tB-NP\tO' -p301881 -aS'will\twill\tMD\tB-VP\tO' -p301882 -aS'receive\treceive\tVB\tI-VP\tO' -p301883 -aS'onsite\tonsite\tNN\tB-NP\tO' -p301884 -aS'hemodialysis\themodialysis\tNN\tI-NP\tO' -p301885 -aS'three\tthree\tCD\tB-NP\tO' -p301886 -aS'times\ttime\tNNS\tI-NP\tO' -p301887 -aS'per\tper\tIN\tB-PP\tO' -p301888 -aS'week\tweek\tNN\tB-NP\tO' -p301889 -aS'on\ton\tIN\tB-PP\tO' -p301890 -aS'Monday\tMonday\tNNP\tB-NP\tO' -p301891 -aS',\t,\t,\tO\tO' -p301892 -aS'Wednesday\tWednesday\tNNP\tB-NP\tO' -p301893 -aS'and\tand\tCC\tO\tO' -p301894 -aS'Friday\tFriday\tNNP\tB-NP\tO' -p301895 -aS'.\t.\t.\tO\tO' -p301896 -asS'Hematocrit 23 .' -p301897 -(lp301898 -S'Hematocrit\tHematocrit\tNN\tB-NP\tB-protein' -p301899 -aS'23\t23\tCD\tI-NP\tI-protein' -p301900 -aS'.\t.\t.\tO\tO' -p301901 -asS'His right tib / fib fracture was repaired by Orthopedics on 10-27 ; postoperatively there were no complications .' -p301902 -(lp301903 -S'His\tHis\tPRP$\tB-NP\tO' -p301904 -aS'right\tright\tJJ\tI-NP\tO' -p301905 -aS'tib\ttib\tNN\tI-NP\tO' -p301906 -aS'/\t/\tSYM\tB-NP\tO' -p301907 -aS'fib\tfib\tNN\tI-NP\tO' -p301908 -aS'fracture\tfracture\tNN\tI-NP\tO' -p301909 -aS'was\tbe\tVBD\tB-VP\tO' -p301910 -aS'repaired\trepair\tVBN\tI-VP\tO' -p301911 -aS'by\tby\tIN\tB-PP\tO' -p301912 -aS'Orthopedics\tOrthopedic\tNNS\tB-NP\tO' -p301913 -aS'on\ton\tIN\tB-PP\tO' -p301914 -aS'10-27\t10-27\tCD\tB-NP\tO' -p301915 -aS';\t;\t:\tO\tO' -p301916 -aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' -p301917 -aS'there\tthere\tEX\tB-NP\tO' -p301918 -aS'were\tbe\tVBD\tB-VP\tO' -p301919 -aS'no\tno\tDT\tB-NP\tO' -p301920 -aS'complications\tcomplication\tNNS\tI-NP\tO' -p301921 -aS'.\t.\t.\tO\tO' -p301922 -asS'NO murmurs , rubs or gallops .' -p301923 -(lp301924 -S'NO\tNO\tNN\tB-NP\tO' -p301925 -aS'murmurs\tmurmur\tNNS\tI-NP\tO' -p301926 -aS',\t,\t,\tO\tO' -p301927 -aS'rubs\trub\tNNS\tB-NP\tO' -p301928 -aS'or\tor\tCC\tI-NP\tO' -p301929 -aS'gallops\tgallop\tNNS\tI-NP\tO' -p301930 -aS'.\t.\t.\tO\tO' -p301931 -asS'Head CT demonstrated a large right intracerebral hemorrhage , centered around basal ganglia and putamen .' -p301932 -(lp301933 -S'Head\tHead\tNN\tB-NP\tO' -p301934 -aS'CT\tCT\tNN\tI-NP\tO' -p301935 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p301936 -aS'a\ta\tDT\tB-NP\tO' -p301937 -aS'large\tlarge\tJJ\tI-NP\tO' -p301938 -aS'right\tright\tJJ\tI-NP\tO' -p301939 -aS'intracerebral\tintracerebral\tJJ\tI-NP\tO' -p301940 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p301941 -aS',\t,\t,\tO\tO' -p301942 -aS'centered\tcenter\tVBN\tB-ADJP\tO' -p301943 -aS'around\taround\tIN\tB-PP\tO' -p301944 -aS'basal\tbasal\tJJ\tB-NP\tB-cell_type' -p301945 -aS'ganglia\tganglia\tNNS\tI-NP\tI-cell_type' -p301946 -aS'and\tand\tCC\tI-NP\tO' -p301947 -aS'putamen\tputaman\tNNS\tI-NP\tO' -p301948 -aS'.\t.\t.\tO\tO' -p301949 -asS'She presented to her primary care physician , Dr. Tlandtaze , in Aersing Rocuch Sun , who obtained a CT scan , which demonstrated a mass in the tail of the pancreas .' -p301950 -(lp301951 -S'She\tShe\tPRP\tB-NP\tO' -p301952 -aS'presented\tpresent\tVBD\tB-VP\tO' -p301953 -aS'to\tto\tTO\tB-PP\tO' -p301954 -aS'her\ther\tPRP$\tB-NP\tO' -p301955 -aS'primary\tprimary\tJJ\tI-NP\tO' -p301956 -aS'care\tcare\tNN\tI-NP\tO' -p301957 -aS'physician\tphysician\tNN\tI-NP\tO' -p301958 -aS',\t,\t,\tO\tO' -p301959 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p301960 -aS'Tlandtaze\tTlandtaze\tNNP\tI-NP\tO' -p301961 -aS',\t,\t,\tO\tO' -p301962 -aS'in\tin\tIN\tB-PP\tO' -p301963 -aS'Aersing\tAersing\tNNP\tB-NP\tO' -p301964 -aS'Rocuch\tRocuch\tNNP\tI-NP\tO' -p301965 -aS'Sun\tSun\tNNP\tI-NP\tO' -p301966 -aS',\t,\t,\tO\tO' -p301967 -aS'who\twho\tWP\tB-NP\tO' -p301968 -aS'obtained\tobtain\tVBD\tB-VP\tO' -p301969 -aS'a\ta\tDT\tB-NP\tO' -p301970 -aS'CT\tCT\tNN\tI-NP\tO' -p301971 -aS'scan\tscan\tNN\tI-NP\tO' -p301972 -aS',\t,\t,\tO\tO' -p301973 -aS'which\twhich\tWDT\tB-NP\tO' -p301974 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p301975 -aS'a\ta\tDT\tB-NP\tO' -p301976 -aS'mass\tmass\tNN\tI-NP\tO' -p301977 -aS'in\tin\tIN\tB-PP\tO' -p301978 -aS'the\tthe\tDT\tB-NP\tO' -p301979 -aS'tail\ttail\tNN\tI-NP\tO' -p301980 -aS'of\tof\tIN\tB-PP\tO' -p301981 -aS'the\tthe\tDT\tB-NP\tO' -p301982 -aS'pancreas\tpancreas\tNN\tI-NP\tO' -p301983 -aS'.\t.\t.\tO\tO' -p301984 -asS'He was initially treated with IV Decadron 10 mg up front and then 6 mg q6h.' -p301985 -(lp301986 -S'He\tHe\tPRP\tB-NP\tO' -p301987 -aS'was\tbe\tVBD\tB-VP\tO' -p301988 -aS'initially\tinitially\tRB\tI-VP\tO' -p301989 -aS'treated\ttreat\tVBN\tI-VP\tO' -p301990 -aS'with\twith\tIN\tB-PP\tO' -p301991 -aS'IV\tIV\tCD\tB-NP\tO' -p301992 -aS'Decadron\tDecadron\tNNP\tI-NP\tO' -p301993 -aS'10\t10\tCD\tI-NP\tO' -p301994 -aS'mg\tmg\tNN\tI-NP\tO' -p301995 -aS'up\tup\tIN\tB-PP\tO' -p301996 -aS'front\tfront\tNN\tB-NP\tO' -p301997 -aS'and\tand\tCC\tO\tO' -p301998 -aS'then\tthen\tRB\tO\tO' -p301999 -aS'6\t6\tCD\tB-NP\tO' -p302000 -aS'mg\tmg\tNN\tI-NP\tO' -p302001 -aS'q6h.\tq6h.\tNN\tI-NP\tO' -p302002 -asS'On admission revealed a pleasant , comfortable , tired appearing female .' -p302003 -(lp302004 -S'On\tOn\tIN\tB-PP\tO' -p302005 -aS'admission\tadmission\tNN\tB-NP\tO' -p302006 -aS'revealed\treveal\tVBD\tB-VP\tO' -p302007 -aS'a\ta\tDT\tB-NP\tO' -p302008 -aS'pleasant\tpleasant\tJJ\tI-NP\tO' -p302009 -aS',\t,\t,\tI-NP\tO' -p302010 -aS'comfortable\tcomfortable\tJJ\tI-NP\tO' -p302011 -aS',\t,\t,\tO\tO' -p302012 -aS'tired\ttire\tVBD\tB-VP\tO' -p302013 -aS'appearing\tappear\tVBG\tI-VP\tO' -p302014 -aS'female\tfemale\tJJ\tB-ADJP\tO' -p302015 -aS'.\t.\t.\tO\tO' -p302016 -asS'please follow-up with dr. Lillian becker in gastroenterology within 1-2 weeks , an appointment has been made for on you 2019-02-11 at 3PM .' -p302017 -(lp302018 -S'please\tplease\tVB\tB-VP\tO' -p302019 -aS'follow-up\tfollow-up\tNN\tB-NP\tO' -p302020 -aS'with\twith\tIN\tB-PP\tO' -p302021 -aS'dr.\tdr.\tNN\tB-NP\tO' -p302022 -aS'Lillian\tLillian\tJJ\tI-NP\tO' -p302023 -aS'becker\tbecker\tNN\tI-NP\tO' -p302024 -aS'in\tin\tIN\tB-PP\tO' -p302025 -aS'gastroenterology\tgastroenterology\tNN\tB-NP\tO' -p302026 -aS'within\twithin\tIN\tB-PP\tO' -p302027 -aS'1-2\t1-2\tCD\tB-NP\tO' -p302028 -aS'weeks\tweek\tNNS\tI-NP\tO' -p302029 -aS',\t,\t,\tO\tO' -p302030 -aS'an\tan\tDT\tB-NP\tO' -p302031 -aS'appointment\tappointment\tNN\tI-NP\tO' -p302032 -aS'has\thave\tVBZ\tB-VP\tO' -p302033 -aS'been\tbe\tVBN\tI-VP\tO' -p302034 -aS'made\tmake\tVBN\tI-VP\tO' -p302035 -aS'for\tfor\tIN\tB-PP\tO' -p302036 -aS'on\ton\tIN\tB-PP\tO' -p302037 -aS'you\tyou\tPRP\tB-NP\tO' -p302038 -aS'2019-02-11\t2019-02-11\tCD\tI-NP\tO' -p302039 -aS'at\tat\tIN\tB-PP\tO' -p302040 -aS'3PM\t3PM\tNN\tB-NP\tO' -p302041 -aS'.\t.\t.\tO\tO' -p302042 -asS'OF NOTE , Nortriptyline level came back as 43 ( SUBTHERAPEUTIC -- NORMAL 50-150 ) .' -p302043 -(lp302044 -S'OF\tOF\tIN\tB-PP\tO' -p302045 -aS'NOTE\tNOTE\tNN\tB-NP\tO' -p302046 -aS',\t,\t,\tO\tO' -p302047 -aS'Nortriptyline\tNortriptyline\tNN\tB-NP\tO' -p302048 -aS'level\tlevel\tNN\tI-NP\tO' -p302049 -aS'came\tcome\tVBD\tB-VP\tO' -p302050 -aS'back\tback\tRB\tB-ADVP\tO' -p302051 -aS'as\tas\tIN\tB-PP\tO' -p302052 -aS'43\t43\tCD\tB-NP\tO' -p302053 -aS'(\t(\t(\tO\tO' -p302054 -aS'SUBTHERAPEUTIC\tSUBTHERAPEUTIC\tNN\tB-NP\tO' -p302055 -aS'--\t--\t:\tO\tO' -p302056 -aS'NORMAL\tNORMAL\tNN\tB-NP\tO' -p302057 -aS'50-150\t50-150\tCD\tI-NP\tO' -p302058 -aS')\t)\t)\tO\tO' -p302059 -aS'.\t.\t.\tO\tO' -p302060 -asS'CXR negative .' -p302061 -(lp302062 -S'CXR\tCXR\tNN\tB-NP\tB-protein' -p302063 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p302064 -aS'.\t.\t.\tO\tO' -p302065 -asS'On POD#1 , Mr. Morton received 2 units of pRBCs for post-op anemia ( Hct 25 ).' -p302066 -(lp302067 -S'On\tOn\tIN\tB-PP\tO' -p302068 -aS'POD#1\tPOD#1\tNN\tB-NP\tB-protein' -p302069 -aS',\t,\t,\tO\tO' -p302070 -aS'Mr.\tMr.\tNNP\tB-NP\tO' -p302071 -aS'Morton\tMorton\tNNP\tI-NP\tO' -p302072 -aS'received\treceive\tVBD\tB-VP\tO' -p302073 -aS'2\t2\tCD\tB-NP\tO' -p302074 -aS'units\tunit\tNNS\tI-NP\tO' -p302075 -aS'of\tof\tIN\tB-PP\tO' -p302076 -aS'pRBCs\tpRBC\tNNS\tB-NP\tB-cell_type' -p302077 -aS'for\tfor\tIN\tB-PP\tO' -p302078 -aS'post-op\tpost-op\tJJ\tB-NP\tO' -p302079 -aS'anemia\tanemia\tNN\tI-NP\tO' -p302080 -aS'(\t(\t(\tO\tO' -p302081 -aS'Hct\tHct\tNN\tB-NP\tO' -p302082 -aS'25\t25\tCD\tI-NP\tO' -p302083 -aS').\t).\t.\tO\tO' -p302084 -asS'PERTINENT EXAMINATION demonstrated mild elevation of her jugular venous pulse , with prominent V-waves , and systolic and diastolic murmurs .' -p302085 -(lp302086 -S'PERTINENT\tPERTINENT\tNN\tB-NP\tO' -p302087 -aS'EXAMINATION\tEXAMINATION\tNN\tI-NP\tO' -p302088 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p302089 -aS'mild\tmild\tJJ\tB-NP\tO' -p302090 -aS'elevation\televation\tNN\tI-NP\tO' -p302091 -aS'of\tof\tIN\tB-PP\tO' -p302092 -aS'her\ther\tPRP$\tB-NP\tO' -p302093 -aS'jugular\tjugular\tJJ\tI-NP\tO' -p302094 -aS'venous\tvenous\tJJ\tI-NP\tO' -p302095 -aS'pulse\tpulse\tNN\tI-NP\tO' -p302096 -aS',\t,\t,\tO\tO' -p302097 -aS'with\twith\tIN\tB-PP\tO' -p302098 -aS'prominent\tprominent\tJJ\tB-NP\tO' -p302099 -aS'V-waves\tV-wave\tNNS\tI-NP\tO' -p302100 -aS',\t,\t,\tO\tO' -p302101 -aS'and\tand\tCC\tO\tO' -p302102 -aS'systolic\tsystolic\tJJ\tB-NP\tO' -p302103 -aS'and\tand\tCC\tI-NP\tO' -p302104 -aS'diastolic\tdiastolic\tJJ\tI-NP\tO' -p302105 -aS'murmurs\tmurmur\tNNS\tI-NP\tO' -p302106 -aS'.\t.\t.\tO\tO' -p302107 -asS'She was discharged back to a rehabilitation facility in good condition .' -p302108 -(lp302109 -S'She\tShe\tPRP\tB-NP\tO' -p302110 -aS'was\tbe\tVBD\tB-VP\tO' -p302111 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p302112 -aS'back\tback\tRB\tB-ADVP\tO' -p302113 -aS'to\tto\tTO\tB-PP\tO' -p302114 -aS'a\ta\tDT\tB-NP\tO' -p302115 -aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' -p302116 -aS'facility\tfacility\tNN\tI-NP\tO' -p302117 -aS'in\tin\tIN\tB-PP\tO' -p302118 -aS'good\tgood\tJJ\tB-NP\tO' -p302119 -aS'condition\tcondition\tNN\tI-NP\tO' -p302120 -aS'.\t.\t.\tO\tO' -p302121 -asS'This patient was admitted on 08-04 after a recent discharge from the hospital for sudden onset of left sided abdominal pain .' -p302122 -(lp302123 -S'This\tThis\tDT\tB-NP\tO' -p302124 -aS'patient\tpatient\tNN\tI-NP\tO' -p302125 -aS'was\tbe\tVBD\tB-VP\tO' -p302126 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p302127 -aS'on\ton\tIN\tB-PP\tO' -p302128 -aS'08-04\t08-04\tCD\tB-NP\tO' -p302129 -aS'after\tafter\tIN\tB-PP\tO' -p302130 -aS'a\ta\tDT\tB-NP\tO' -p302131 -aS'recent\trecent\tJJ\tI-NP\tO' -p302132 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p302133 -aS'from\tfrom\tIN\tB-PP\tO' -p302134 -aS'the\tthe\tDT\tB-NP\tO' -p302135 -aS'hospital\thospital\tNN\tI-NP\tO' -p302136 -aS'for\tfor\tIN\tB-PP\tO' -p302137 -aS'sudden\tsudden\tJJ\tB-NP\tO' -p302138 -aS'onset\tonset\tNN\tI-NP\tO' -p302139 -aS'of\tof\tIN\tB-PP\tO' -p302140 -aS'left\tleft\tJJ\tB-NP\tB-protein' -p302141 -aS'sided\tsided\tJJ\tI-NP\tI-protein' -p302142 -aS'abdominal\tabdominal\tJJ\tI-NP\tI-protein' -p302143 -aS'pain\tpain\tNN\tI-NP\tI-protein' -p302144 -aS'.\t.\t.\tO\tO' -p302145 -asS'The patient 's blood pressure has been ranging from approximately 140 to 160 systolic .' -p302146 -(lp302147 -S'The\tThe\tDT\tB-NP\tO' -p302148 -aS'patient\tpatient\tNN\tI-NP\tO' -p302149 -aS''s\t'\tNNS\tI-NP\tO' -p302150 -aS'blood\tblood\tNN\tI-NP\tO' -p302151 -aS'pressure\tpressure\tNN\tI-NP\tO' -p302152 -aS'has\thave\tVBZ\tB-VP\tO' -p302153 -aS'been\tbe\tVBN\tI-VP\tO' -p302154 -aS'ranging\trange\tVBG\tI-VP\tO' -p302155 -aS'from\tfrom\tIN\tB-PP\tO' -p302156 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p302157 -aS'140\t140\tCD\tI-NP\tO' -p302158 -aS'to\tto\tTO\tI-NP\tO' -p302159 -aS'160\t160\tCD\tI-NP\tO' -p302160 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p302161 -aS'.\t.\t.\tO\tO' -p302162 -asS'Other meds : Paxil .' -p302163 -(lp302164 -S'Other\tOther\tJJ\tB-NP\tO' -p302165 -aS'meds\tmed\tNNS\tI-NP\tO' -p302166 -aS':\t:\t:\tO\tO' -p302167 -aS'Paxil\tPaxil\tNN\tB-NP\tO' -p302168 -aS'.\t.\t.\tO\tO' -p302169 -asS'Dermatology was consulted and they felt that this was most likely steroid acne .' -p302170 -(lp302171 -S'Dermatology\tDermatology\tNN\tB-NP\tO' -p302172 -aS'was\tbe\tVBD\tB-VP\tO' -p302173 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p302174 -aS'and\tand\tCC\tO\tO' -p302175 -aS'they\tthey\tPRP\tB-NP\tO' -p302176 -aS'felt\tfeel\tVBD\tB-VP\tO' -p302177 -aS'that\tthat\tIN\tB-SBAR\tO' -p302178 -aS'this\tthis\tDT\tB-NP\tO' -p302179 -aS'was\tbe\tVBD\tB-VP\tO' -p302180 -aS'most\tmost\tRBS\tB-NP\tO' -p302181 -aS'likely\tlikely\tJJ\tI-NP\tO' -p302182 -aS'steroid\tsteroid\tNN\tI-NP\tO' -p302183 -aS'acne\tacne\tNN\tI-NP\tO' -p302184 -aS'.\t.\t.\tO\tO' -p302185 -asS'1. Born at less than 32 weeks ,' -p302186 -(lp302187 -S'1.\t1.\tLS\tB-LST\tO' -p302188 -aS'Born\tBorn\tNNP\tB-NP\tO' -p302189 -aS'at\tat\tIN\tB-PP\tO' -p302190 -aS'less\tless\tJJR\tB-NP\tO' -p302191 -aS'than\tthan\tIN\tI-NP\tO' -p302192 -aS'32\t32\tCD\tI-NP\tO' -p302193 -aS'weeks\tweek\tNNS\tI-NP\tO' -p302194 -aS',\t,\t,\tO\tO' -p302195 -asS'1. Born at less than 32 weeks .' -p302196 -(lp302197 -S'1.\t1.\tLS\tB-LST\tO' -p302198 -aS'Born\tBorn\tNNP\tB-NP\tO' -p302199 -aS'at\tat\tIN\tB-PP\tO' -p302200 -aS'less\tless\tJJR\tB-NP\tO' -p302201 -aS'than\tthan\tIN\tI-NP\tO' -p302202 -aS'32\t32\tCD\tI-NP\tO' -p302203 -aS'weeks\tweek\tNNS\tI-NP\tO' -p302204 -aS'.\t.\t.\tO\tO' -p302205 -asS'The patient was consented for both procedures and brought to the Operating Room .' -p302206 -(lp302207 -S'The\tThe\tDT\tB-NP\tO' -p302208 -aS'patient\tpatient\tNN\tI-NP\tO' -p302209 -aS'was\tbe\tVBD\tB-VP\tO' -p302210 -aS'consented\tconsent\tVBN\tI-VP\tO' -p302211 -aS'for\tfor\tIN\tB-PP\tO' -p302212 -aS'both\tboth\tDT\tB-NP\tO' -p302213 -aS'procedures\tprocedure\tNNS\tI-NP\tO' -p302214 -aS'and\tand\tCC\tO\tO' -p302215 -aS'brought\tbring\tVBN\tB-VP\tO' -p302216 -aS'to\tto\tTO\tB-PP\tO' -p302217 -aS'the\tthe\tDT\tB-NP\tO' -p302218 -aS'Operating\tOperating\tNNP\tI-NP\tO' -p302219 -aS'Room\tRoom\tNNP\tI-NP\tO' -p302220 -aS'.\t.\t.\tO\tO' -p302221 -asS'She was transferred to the Coronary Care Unit in stable condition and still intubated .' -p302222 -(lp302223 -S'She\tShe\tPRP\tB-NP\tO' -p302224 -aS'was\tbe\tVBD\tB-VP\tO' -p302225 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p302226 -aS'to\tto\tTO\tB-PP\tO' -p302227 -aS'the\tthe\tDT\tB-NP\tO' -p302228 -aS'Coronary\tCoronary\tNNP\tI-NP\tO' -p302229 -aS'Care\tCare\tNNP\tI-NP\tO' -p302230 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p302231 -aS'in\tin\tIN\tB-PP\tO' -p302232 -aS'stable\tstable\tJJ\tB-NP\tO' -p302233 -aS'condition\tcondition\tNN\tI-NP\tO' -p302234 -aS'and\tand\tCC\tO\tO' -p302235 -aS'still\tstill\tRB\tB-VP\tO' -p302236 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p302237 -aS'.\t.\t.\tO\tO' -p302238 -asS'She has had continuing vaginal discharge , and was diagnosed with bacterial vaginosis one day prior to admission , and was given a prescription for Flagyl .' -p302239 -(lp302240 -S'She\tShe\tPRP\tB-NP\tO' -p302241 -aS'has\thave\tVBZ\tB-VP\tO' -p302242 -aS'had\thave\tVBN\tI-VP\tO' -p302243 -aS'continuing\tcontinue\tVBG\tI-VP\tO' -p302244 -aS'vaginal\tvaginal\tJJ\tB-NP\tO' -p302245 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p302246 -aS',\t,\t,\tO\tO' -p302247 -aS'and\tand\tCC\tO\tO' -p302248 -aS'was\tbe\tVBD\tB-VP\tO' -p302249 -aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' -p302250 -aS'with\twith\tIN\tB-PP\tO' -p302251 -aS'bacterial\tbacterial\tJJ\tB-NP\tO' -p302252 -aS'vaginosis\tvaginosis\tNN\tI-NP\tO' -p302253 -aS'one\tone\tCD\tB-NP\tO' -p302254 -aS'day\tday\tNN\tI-NP\tO' -p302255 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p302256 -aS'to\tto\tTO\tB-PP\tO' -p302257 -aS'admission\tadmission\tNN\tB-NP\tO' -p302258 -aS',\t,\t,\tO\tO' -p302259 -aS'and\tand\tCC\tO\tO' -p302260 -aS'was\tbe\tVBD\tB-VP\tO' -p302261 -aS'given\tgive\tVBN\tI-VP\tO' -p302262 -aS'a\ta\tDT\tB-NP\tO' -p302263 -aS'prescription\tprescription\tNN\tI-NP\tO' -p302264 -aS'for\tfor\tIN\tB-PP\tO' -p302265 -aS'Flagyl\tFlagyl\tNN\tB-NP\tO' -p302266 -aS'.\t.\t.\tO\tO' -p302267 -asS'1. Born at less than 32 weeks ;' -p302268 -(lp302269 -S'1.\t1.\tLS\tB-LST\tO' -p302270 -aS'Born\tBorn\tNNP\tB-NP\tO' -p302271 -aS'at\tat\tIN\tB-PP\tO' -p302272 -aS'less\tless\tJJR\tB-NP\tO' -p302273 -aS'than\tthan\tIN\tI-NP\tO' -p302274 -aS'32\t32\tCD\tI-NP\tO' -p302275 -aS'weeks\tweek\tNNS\tI-NP\tO' -p302276 -aS';\t;\t:\tO\tO' -p302277 -asS'Pupils are equal , round , and reactive to light .' -p302278 -(lp302279 -S'Pupils\tPupil\tNNS\tB-NP\tO' -p302280 -aS'are\tbe\tVBP\tB-VP\tO' -p302281 -aS'equal\tequal\tJJ\tB-ADJP\tO' -p302282 -aS',\t,\t,\tO\tO' -p302283 -aS'round\tround\tJJ\tB-ADJP\tO' -p302284 -aS',\t,\t,\tO\tO' -p302285 -aS'and\tand\tCC\tO\tO' -p302286 -aS'reactive\treactive\tJJ\tB-ADJP\tO' -p302287 -aS'to\tto\tTO\tB-PP\tO' -p302288 -aS'light\tlight\tNN\tB-NP\tO' -p302289 -aS'.\t.\t.\tO\tO' -p302290 -asS'regular rate and rhythm , normal first and second heart sounds , no murmur , rub or gallop .' -p302291 -(lp302292 -S'regular\tregular\tJJ\tB-NP\tO' -p302293 -aS'rate\trate\tNN\tI-NP\tO' -p302294 -aS'and\tand\tCC\tI-NP\tO' -p302295 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p302296 -aS',\t,\t,\tO\tO' -p302297 -aS'normal\tnormal\tJJ\tB-NP\tO' -p302298 -aS'first\tfirst\tJJ\tI-NP\tO' -p302299 -aS'and\tand\tCC\tI-NP\tO' -p302300 -aS'second\tsecond\tJJ\tI-NP\tO' -p302301 -aS'heart\theart\tNN\tI-NP\tO' -p302302 -aS'sounds\tsound\tNNS\tI-NP\tO' -p302303 -aS',\t,\t,\tO\tO' -p302304 -aS'no\tno\tDT\tB-NP\tO' -p302305 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p302306 -aS',\t,\t,\tI-NP\tO' -p302307 -aS'rub\trub\tNN\tI-NP\tO' -p302308 -aS'or\tor\tCC\tI-NP\tO' -p302309 -aS'gallop\tgallop\tNN\tI-NP\tO' -p302310 -aS'.\t.\t.\tO\tO' -p302311 -asS'The plan is for alternating feeds .' -p302312 -(lp302313 -S'The\tThe\tDT\tB-NP\tO' -p302314 -aS'plan\tplan\tNN\tI-NP\tO' -p302315 -aS'is\tbe\tVBZ\tB-VP\tO' -p302316 -aS'for\tfor\tIN\tB-PP\tO' -p302317 -aS'alternating\talternate\tVBG\tB-VP\tO' -p302318 -aS'feeds\tfeed\tNNS\tB-NP\tO' -p302319 -aS'.\t.\t.\tO\tO' -p302320 -asS'He may need further glucose monitoring in the future .' -p302321 -(lp302322 -S'He\tHe\tPRP\tB-NP\tO' -p302323 -aS'may\tmay\tMD\tB-VP\tO' -p302324 -aS'need\tneed\tVB\tI-VP\tO' -p302325 -aS'further\tfurther\tJJ\tB-NP\tO' -p302326 -aS'glucose\tglucose\tNN\tI-NP\tO' -p302327 -aS'monitoring\tmonitoring\tNN\tI-NP\tO' -p302328 -aS'in\tin\tIN\tB-PP\tO' -p302329 -aS'the\tthe\tDT\tB-NP\tO' -p302330 -aS'future\tfuture\tNN\tI-NP\tO' -p302331 -aS'.\t.\t.\tO\tO' -p302332 -asS'Amphotericin B 40 mg. qday .' -p302333 -(lp302334 -S'Amphotericin\tAmphotericin\tNN\tB-NP\tO' -p302335 -aS'B\tB\tNN\tI-NP\tO' -p302336 -aS'40\t40\tCD\tI-NP\tO' -p302337 -aS'mg.\tmg.\tNN\tI-NP\tO' -p302338 -aS'qday\tqday\tNN\tI-NP\tO' -p302339 -aS'.\t.\t.\tO\tO' -p302340 -asS'The pain became worse over the next few minutes to 07-12 and increased to 10-12 while he was in the ambulance .' -p302341 -(lp302342 -S'The\tThe\tDT\tB-NP\tO' -p302343 -aS'pain\tpain\tNN\tI-NP\tO' -p302344 -aS'became\tbecome\tVBD\tB-VP\tO' -p302345 -aS'worse\tworse\tJJR\tB-ADJP\tO' -p302346 -aS'over\tover\tIN\tB-PP\tO' -p302347 -aS'the\tthe\tDT\tB-NP\tO' -p302348 -aS'next\tnext\tJJ\tI-NP\tO' -p302349 -aS'few\tfew\tJJ\tI-NP\tO' -p302350 -aS'minutes\tminute\tNNS\tI-NP\tO' -p302351 -aS'to\tto\tTO\tB-PP\tO' -p302352 -aS'07-12\t07-12\tCD\tB-NP\tO' -p302353 -aS'and\tand\tCC\tO\tO' -p302354 -aS'increased\tincrease\tVBD\tB-VP\tO' -p302355 -aS'to\tto\tTO\tB-PP\tO' -p302356 -aS'10-12\t10-12\tCD\tB-NP\tO' -p302357 -aS'while\twhile\tIN\tB-SBAR\tO' -p302358 -aS'he\the\tPRP\tB-NP\tO' -p302359 -aS'was\tbe\tVBD\tB-VP\tO' -p302360 -aS'in\tin\tIN\tB-PP\tO' -p302361 -aS'the\tthe\tDT\tB-NP\tO' -p302362 -aS'ambulance\tambulance\tNN\tI-NP\tO' -p302363 -aS'.\t.\t.\tO\tO' -p302364 -asS'The septal leaflets may be partially absent , but there are no coronal images provided for confirmation and the pituitary stalk is present .' -p302365 -(lp302366 -S'The\tThe\tDT\tB-NP\tO' -p302367 -aS'septal\tseptal\tJJ\tI-NP\tO' -p302368 -aS'leaflets\tleaflet\tNNS\tI-NP\tO' -p302369 -aS'may\tmay\tMD\tB-VP\tO' -p302370 -aS'be\tbe\tVB\tI-VP\tO' -p302371 -aS'partially\tpartially\tRB\tB-ADJP\tO' -p302372 -aS'absent\tabsent\tJJ\tI-ADJP\tO' -p302373 -aS',\t,\t,\tO\tO' -p302374 -aS'but\tbut\tCC\tO\tO' -p302375 -aS'there\tthere\tEX\tB-NP\tO' -p302376 -aS'are\tbe\tVBP\tB-VP\tO' -p302377 -aS'no\tno\tDT\tB-NP\tO' -p302378 -aS'coronal\tcoronal\tJJ\tI-NP\tO' -p302379 -aS'images\timage\tNNS\tI-NP\tO' -p302380 -aS'provided\tprovide\tVBN\tB-VP\tO' -p302381 -aS'for\tfor\tIN\tB-PP\tO' -p302382 -aS'confirmation\tconfirmation\tNN\tB-NP\tO' -p302383 -aS'and\tand\tCC\tO\tO' -p302384 -aS'the\tthe\tDT\tB-NP\tO' -p302385 -aS'pituitary\tpituitary\tJJ\tI-NP\tB-protein' -p302386 -aS'stalk\tstalk\tNN\tI-NP\tI-protein' -p302387 -aS'is\tbe\tVBZ\tB-VP\tO' -p302388 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p302389 -aS'.\t.\t.\tO\tO' -p302390 -asS'He will follow-up with Dr. de la Cisneros , Dr. Belt , his cardiologist and his primary care physician as an outpatient .' -p302391 -(lp302392 -S'He\tHe\tPRP\tB-NP\tO' -p302393 -aS'will\twill\tMD\tB-VP\tO' -p302394 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p302395 -aS'with\twith\tIN\tB-PP\tO' -p302396 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p302397 -aS'de\tde\tNNP\tI-NP\tO' -p302398 -aS'la\tla\tNNP\tI-NP\tO' -p302399 -aS'Cisneros\tCisneros\tNNP\tI-NP\tO' -p302400 -aS',\t,\t,\tO\tO' -p302401 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p302402 -aS'Belt\tBelt\tNNP\tI-NP\tO' -p302403 -aS',\t,\t,\tO\tO' -p302404 -aS'his\this\tPRP$\tB-NP\tO' -p302405 -aS'cardiologist\tcardiologist\tNN\tI-NP\tO' -p302406 -aS'and\tand\tCC\tO\tO' -p302407 -aS'his\this\tPRP$\tB-NP\tO' -p302408 -aS'primary\tprimary\tJJ\tI-NP\tO' -p302409 -aS'care\tcare\tNN\tI-NP\tO' -p302410 -aS'physician\tphysician\tNN\tI-NP\tO' -p302411 -aS'as\tas\tIN\tB-PP\tO' -p302412 -aS'an\tan\tDT\tB-NP\tO' -p302413 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p302414 -aS'.\t.\t.\tO\tO' -p302415 -asS'She did receive her VP-16 without complication .' -p302416 -(lp302417 -S'She\tShe\tPRP\tB-NP\tO' -p302418 -aS'did\tdo\tVBD\tB-VP\tO' -p302419 -aS'receive\treceive\tVB\tI-VP\tO' -p302420 -aS'her\ther\tPRP$\tB-NP\tO' -p302421 -aS'VP-16\tVP-16\tNN\tI-NP\tB-protein' -p302422 -aS'without\twithout\tIN\tB-PP\tO' -p302423 -aS'complication\tcomplication\tNN\tB-NP\tO' -p302424 -aS'.\t.\t.\tO\tO' -p302425 -asS'9. Magnesium Hydroxide 400 mg / 5 mL Suspension Sig : Thirty ( 30 ) ML PO Q6H ( every 6 hours ) as needed .' -p302426 -(lp302427 -S'9.\t9.\tLS\tB-NP\tO' -p302428 -aS'Magnesium\tMagnesium\tNNP\tI-NP\tO' -p302429 -aS'Hydroxide\tHydroxide\tNNP\tI-NP\tO' -p302430 -aS'400\t400\tCD\tI-NP\tO' -p302431 -aS'mg\tmg\tNN\tI-NP\tO' -p302432 -aS'/\t/\tSYM\tB-NP\tO' -p302433 -aS'5\t5\tCD\tB-NP\tO' -p302434 -aS'mL\tmL\tNN\tI-NP\tO' -p302435 -aS'Suspension\tSuspension\tNNP\tI-NP\tO' -p302436 -aS'Sig\tSig\tNNP\tI-NP\tO' -p302437 -aS':\t:\t:\tO\tO' -p302438 -aS'Thirty\tThirty\tCD\tB-NP\tO' -p302439 -aS'(\t(\t(\tO\tO' -p302440 -aS'30\t30\tCD\tO\tO' -p302441 -aS')\t)\t)\tO\tO' -p302442 -aS'ML\tML\tNN\tB-NP\tO' -p302443 -aS'PO\tPO\tNN\tI-NP\tO' -p302444 -aS'Q6H\tQ6H\tNN\tI-NP\tO' -p302445 -aS'(\t(\t(\tO\tO' -p302446 -aS'every\tevery\tDT\tB-NP\tO' -p302447 -aS'6\t6\tCD\tI-NP\tO' -p302448 -aS'hours\thour\tNNS\tI-NP\tO' -p302449 -aS')\t)\t)\tO\tO' -p302450 -aS'as\tas\tIN\tB-SBAR\tO' -p302451 -aS'needed\tneed\tVBN\tB-VP\tO' -p302452 -aS'.\t.\t.\tO\tO' -p302453 -asS'6. Senna 8.6 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ) .' -p302454 -(lp302455 -S'6.\t6.\tCD\tB-NP\tO' -p302456 -aS'Senna\tSenna\tNNP\tI-NP\tO' -p302457 -aS'8.6\t8.6\tCD\tI-NP\tO' -p302458 -aS'mg\tmg\tNN\tI-NP\tO' -p302459 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p302460 -aS'Sig\tSig\tNNP\tI-NP\tO' -p302461 -aS':\t:\t:\tO\tO' -p302462 -aS'One\tOne\tCD\tB-NP\tO' -p302463 -aS'(\t(\t(\tO\tO' -p302464 -aS'1\t1\tCD\tB-NP\tO' -p302465 -aS')\t)\t)\tO\tO' -p302466 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p302467 -aS'PO\tPO\tNN\tI-NP\tO' -p302468 -aS'BID\tBID\tNN\tI-NP\tO' -p302469 -aS'(\t(\t(\tO\tO' -p302470 -aS'2\t2\tCD\tB-NP\tO' -p302471 -aS'times\ttime\tNNS\tI-NP\tO' -p302472 -aS'a\ta\tDT\tB-NP\tO' -p302473 -aS'day\tday\tNN\tI-NP\tO' -p302474 -aS')\t)\t)\tO\tO' -p302475 -aS'.\t.\t.\tO\tO' -p302476 -asS'Include Glucovance 5/500 one tablet twice a day , Univasc 7.5 mg once daily , lasix 20 mg every other day , and aspirin 325 mg once daily .' -p302477 -(lp302478 -S'Include\tInclude\tNNP\tB-NP\tO' -p302479 -aS'Glucovance\tGlucovance\tNNP\tI-NP\tO' -p302480 -aS'5/500\t5/500\tCD\tI-NP\tO' -p302481 -aS'one\tone\tCD\tI-NP\tO' -p302482 -aS'tablet\ttablet\tNN\tI-NP\tO' -p302483 -aS'twice\ttwice\tRB\tB-NP\tO' -p302484 -aS'a\ta\tDT\tI-NP\tO' -p302485 -aS'day\tday\tNN\tI-NP\tO' -p302486 -aS',\t,\t,\tO\tO' -p302487 -aS'Univasc\tUnivasc\tNNP\tB-NP\tO' -p302488 -aS'7.5\t7.5\tCD\tI-NP\tO' -p302489 -aS'mg\tmg\tNN\tI-NP\tO' -p302490 -aS'once\tonce\tRB\tB-ADVP\tO' -p302491 -aS'daily\tdaily\tRB\tI-ADVP\tO' -p302492 -aS',\t,\t,\tO\tO' -p302493 -aS'lasix\tlasix\tCD\tB-NP\tO' -p302494 -aS'20\t20\tCD\tI-NP\tO' -p302495 -aS'mg\tmg\tNN\tI-NP\tO' -p302496 -aS'every\tevery\tDT\tB-NP\tO' -p302497 -aS'other\tother\tJJ\tI-NP\tO' -p302498 -aS'day\tday\tNN\tI-NP\tO' -p302499 -aS',\t,\t,\tO\tO' -p302500 -aS'and\tand\tCC\tO\tO' -p302501 -aS'aspirin\taspirin\tNN\tB-NP\tO' -p302502 -aS'325\t325\tCD\tI-NP\tO' -p302503 -aS'mg\tmg\tNN\tI-NP\tO' -p302504 -aS'once\tonce\tRB\tB-ADVP\tO' -p302505 -aS'daily\tdaily\tRB\tI-ADVP\tO' -p302506 -aS'.\t.\t.\tO\tO' -p302507 -asS'Heparin while having a demand ischemic episode' -p302508 -(lp302509 -S'Heparin\tHeparin\tNN\tB-NP\tO' -p302510 -aS'while\twhile\tIN\tB-SBAR\tO' -p302511 -aS'having\thave\tVBG\tB-VP\tO' -p302512 -aS'a\ta\tDT\tB-NP\tO' -p302513 -aS'demand\tdemand\tNN\tI-NP\tO' -p302514 -aS'ischemic\tischemic\tJJ\tI-NP\tO' -p302515 -aS'episode\tepisode\tNN\tI-NP\tO' -p302516 -asS'No exudate .' -p302517 -(lp302518 -S'No\tNo\tDT\tB-NP\tO' -p302519 -aS'exudate\texudate\tNN\tI-NP\tO' -p302520 -aS'.\t.\t.\tO\tO' -p302521 -asS'4. Infectious causes were evaluated .' -p302522 -(lp302523 -S'4.\t4.\tLS\tB-NP\tO' -p302524 -aS'Infectious\tInfectious\tJJ\tI-NP\tO' -p302525 -aS'causes\tcause\tNNS\tI-NP\tO' -p302526 -aS'were\tbe\tVBD\tB-VP\tO' -p302527 -aS'evaluated\tevaluate\tVBN\tI-VP\tO' -p302528 -aS'.\t.\t.\tO\tO' -p302529 -asS'3) No mass is appreciated on this limited non-contrast study ; if clinically concerned , an MRI with gadolinium is recommended .' -p302530 -(lp302531 -S'3)\t3)\tLS\tB-LST\tO' -p302532 -aS'No\tNo\tDT\tB-NP\tO' -p302533 -aS'mass\tmass\tNN\tI-NP\tO' -p302534 -aS'is\tbe\tVBZ\tB-VP\tO' -p302535 -aS'appreciated\tappreciate\tVBN\tI-VP\tO' -p302536 -aS'on\ton\tIN\tB-PP\tO' -p302537 -aS'this\tthis\tDT\tB-NP\tO' -p302538 -aS'limited\tlimited\tJJ\tI-NP\tO' -p302539 -aS'non-contrast\tnon-contrast\tJJ\tI-NP\tO' -p302540 -aS'study\tstudy\tNN\tI-NP\tO' -p302541 -aS';\t;\t:\tO\tO' -p302542 -aS'if\tif\tIN\tB-SBAR\tO' -p302543 -aS'clinically\tclinically\tRB\tB-ADVP\tO' -p302544 -aS'concerned\tconcern\tVBN\tB-VP\tO' -p302545 -aS',\t,\t,\tO\tO' -p302546 -aS'an\tan\tDT\tB-NP\tO' -p302547 -aS'MRI\tMRI\tNN\tI-NP\tB-protein' -p302548 -aS'with\twith\tIN\tB-PP\tO' -p302549 -aS'gadolinium\tgadolinium\tNN\tB-NP\tO' -p302550 -aS'is\tbe\tVBZ\tB-VP\tO' -p302551 -aS'recommended\trecommend\tVBN\tI-VP\tO' -p302552 -aS'.\t.\t.\tO\tO' -p302553 -asS'Following evaluation and treatment , the patient 's disposition at the end of the visit was ADMITTED AS AN INPATIENT TO DAUGHTERSVILLSHAMEN'S HOSPITAL .' -p302554 -(lp302555 -S'Following\tFollow\tVBG\tB-PP\tO' -p302556 -aS'evaluation\tevaluation\tNN\tB-NP\tO' -p302557 -aS'and\tand\tCC\tI-NP\tO' -p302558 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p302559 -aS',\t,\t,\tO\tO' -p302560 -aS'the\tthe\tDT\tB-NP\tO' -p302561 -aS'patient\tpatient\tNN\tI-NP\tO' -p302562 -aS''s\t'\tNNS\tI-NP\tO' -p302563 -aS'disposition\tdisposition\tNN\tI-NP\tO' -p302564 -aS'at\tat\tIN\tB-PP\tO' -p302565 -aS'the\tthe\tDT\tB-NP\tO' -p302566 -aS'end\tend\tNN\tI-NP\tO' -p302567 -aS'of\tof\tIN\tB-PP\tO' -p302568 -aS'the\tthe\tDT\tB-NP\tO' -p302569 -aS'visit\tvisit\tNN\tI-NP\tO' -p302570 -aS'was\tbe\tVBD\tB-VP\tO' -p302571 -aS'ADMITTED\tADMITTED\tVBN\tI-VP\tO' -p302572 -aS'AS\tAS\tJJ\tB-NP\tO' -p302573 -aS'AN\tAN\tNN\tI-NP\tO' -p302574 -aS'INPATIENT\tINPATIENT\tNN\tI-NP\tO' -p302575 -aS'TO\tTO\tTO\tB-PP\tO' -p302576 -aS'DAUGHTERSVILLSHAMEN'S\tDAUGHTERSVILLSHAMEN'S\tNNP\tB-NP\tO' -p302577 -aS'HOSPITAL\tHOSPITAL\tNNP\tI-NP\tO' -p302578 -aS'.\t.\t.\tO\tO' -p302579 -asS'LEFT PARIETAL GLIOBLASTOMA MULTIFORME .' -p302580 -(lp302581 -S'LEFT\tLEFT\tNN\tB-NP\tO' -p302582 -aS'PARIETAL\tPARIETAL\tNN\tI-NP\tO' -p302583 -aS'GLIOBLASTOMA\tGLIOBLASTOMA\tNN\tI-NP\tO' -p302584 -aS'MULTIFORME\tMULTIFORME\tNN\tI-NP\tO' -p302585 -aS'.\t.\t.\tO\tO' -p302586 -asS'CXR 11-06 : Allowing for technical changes , no major adverse interval change has occurred .' -p302587 -(lp302588 -S'CXR\tCXR\tNN\tB-NP\tO' -p302589 -aS'11-06\t11-06\tCD\tI-NP\tO' -p302590 -aS':\t:\t:\tO\tO' -p302591 -aS'Allowing\tAllow\tVBG\tB-VP\tO' -p302592 -aS'for\tfor\tIN\tB-PP\tO' -p302593 -aS'technical\ttechnical\tJJ\tB-NP\tO' -p302594 -aS'changes\tchange\tNNS\tI-NP\tO' -p302595 -aS',\t,\t,\tO\tO' -p302596 -aS'no\tno\tDT\tB-NP\tO' -p302597 -aS'major\tmajor\tJJ\tI-NP\tO' -p302598 -aS'adverse\tadverse\tJJ\tI-NP\tO' -p302599 -aS'interval\tinterval\tNN\tI-NP\tO' -p302600 -aS'change\tchange\tNN\tI-NP\tO' -p302601 -aS'has\thave\tVBZ\tB-VP\tO' -p302602 -aS'occurred\toccur\tVBN\tI-VP\tO' -p302603 -aS'.\t.\t.\tO\tO' -p302604 -asS'Ronald was pronounced dead at 06:59 am .' -p302605 -(lp302606 -S'Ronald\tRonald\tNNP\tB-NP\tO' -p302607 -aS'was\tbe\tVBD\tB-VP\tO' -p302608 -aS'pronounced\tpronounce\tVBN\tI-VP\tO' -p302609 -aS'dead\tdead\tJJ\tB-ADJP\tO' -p302610 -aS'at\tat\tIN\tB-PP\tO' -p302611 -aS'06:59\t06:59\tCD\tB-NP\tO' -p302612 -aS'am\tam\tNN\tI-NP\tO' -p302613 -aS'.\t.\t.\tO\tO' -p302614 -asS'She does not have a home health aide .' -p302615 -(lp302616 -S'She\tShe\tPRP\tB-NP\tO' -p302617 -aS'does\tdo\tVBZ\tB-VP\tO' -p302618 -aS'not\tnot\tRB\tI-VP\tO' -p302619 -aS'have\thave\tVB\tI-VP\tO' -p302620 -aS'a\ta\tDT\tB-NP\tO' -p302621 -aS'home\thome\tNN\tI-NP\tO' -p302622 -aS'health\thealth\tNN\tI-NP\tO' -p302623 -aS'aide\taide\tNN\tI-NP\tO' -p302624 -aS'.\t.\t.\tO\tO' -p302625 -asS'IMPRESSION : No new cortical territorial infarction or hemorrhage is identified .' -p302626 -(lp302627 -S'IMPRESSION\tIMPRESSION\tNN\tB-NP\tO' -p302628 -aS':\t:\t:\tO\tO' -p302629 -aS'No\tNo\tDT\tB-NP\tO' -p302630 -aS'new\tnew\tJJ\tI-NP\tO' -p302631 -aS'cortical\tcortical\tJJ\tI-NP\tO' -p302632 -aS'territorial\tterritorial\tJJ\tI-NP\tO' -p302633 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p302634 -aS'or\tor\tCC\tI-NP\tO' -p302635 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p302636 -aS'is\tbe\tVBZ\tB-VP\tO' -p302637 -aS'identified\tidentify\tVBN\tI-VP\tO' -p302638 -aS'.\t.\t.\tO\tO' -p302639 -asS'Her deep tendon reflexes are symmetric .' -p302640 -(lp302641 -S'Her\tHer\tPRP$\tB-NP\tO' -p302642 -aS'deep\tdeep\tJJ\tI-NP\tO' -p302643 -aS'tendon\ttendon\tNN\tI-NP\tO' -p302644 -aS'reflexes\treflex\tNNS\tI-NP\tO' -p302645 -aS'are\tbe\tVBP\tB-VP\tO' -p302646 -aS'symmetric\tsymmetric\tJJ\tB-ADJP\tO' -p302647 -aS'.\t.\t.\tO\tO' -p302648 -asS'The patient 's potassiums have been repeatedly low and require daily checks and repletion .' -p302649 -(lp302650 -S'The\tThe\tDT\tB-NP\tO' -p302651 -aS'patient\tpatient\tNN\tI-NP\tO' -p302652 -aS''s\t'\tNNS\tI-NP\tO' -p302653 -aS'potassiums\tpotassium\tNNS\tI-NP\tO' -p302654 -aS'have\thave\tVBP\tB-VP\tO' -p302655 -aS'been\tbe\tVBN\tI-VP\tO' -p302656 -aS'repeatedly\trepeatedly\tRB\tB-ADJP\tO' -p302657 -aS'low\tlow\tJJ\tI-ADJP\tO' -p302658 -aS'and\tand\tCC\tO\tO' -p302659 -aS'require\trequire\tVB\tB-VP\tO' -p302660 -aS'daily\tdaily\tJJ\tB-NP\tO' -p302661 -aS'checks\tcheck\tNNS\tI-NP\tO' -p302662 -aS'and\tand\tCC\tI-NP\tO' -p302663 -aS'repletion\trepletion\tNN\tI-NP\tO' -p302664 -aS'.\t.\t.\tO\tO' -p302665 -asS'CONTRAINDICATIONS for IV CONTRAST : renal failure' -p302666 -(lp302667 -S'CONTRAINDICATIONS\tCONTRAINDICATIONS\tNNS\tB-NP\tO' -p302668 -aS'for\tfor\tIN\tB-PP\tO' -p302669 -aS'IV\tIV\tCD\tB-NP\tO' -p302670 -aS'CONTRAST\tCONTRAST\tNN\tI-NP\tO' -p302671 -aS':\t:\t:\tO\tO' -p302672 -aS'renal\trenal\tJJ\tB-NP\tO' -p302673 -aS'failure\tfailure\tNN\tI-NP\tO' -p302674 -asS'2. The patient is to follow-up with Dr. Rota in three to four weeks .' -p302675 -(lp302676 -S'2.\t2.\tLS\tB-LST\tO' -p302677 -aS'The\tThe\tDT\tB-NP\tO' -p302678 -aS'patient\tpatient\tNN\tI-NP\tO' -p302679 -aS'is\tbe\tVBZ\tB-VP\tO' -p302680 -aS'to\tto\tTO\tB-VP\tO' -p302681 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p302682 -aS'with\twith\tIN\tB-PP\tO' -p302683 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p302684 -aS'Rota\tRota\tNNP\tI-NP\tO' -p302685 -aS'in\tin\tIN\tB-PP\tO' -p302686 -aS'three\tthree\tCD\tB-NP\tO' -p302687 -aS'to\tto\tTO\tI-NP\tO' -p302688 -aS'four\tfour\tCD\tI-NP\tO' -p302689 -aS'weeks\tweek\tNNS\tI-NP\tO' -p302690 -aS'.\t.\t.\tO\tO' -p302691 -asS'GI / Abdomen : soft .' -p302692 -(lp302693 -S'GI\tGI\tNN\tB-NP\tO' -p302694 -aS'/\t/\tSYM\tI-NP\tO' -p302695 -aS'Abdomen\tAbdomen\tNN\tI-NP\tO' -p302696 -aS':\t:\t:\tO\tO' -p302697 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p302698 -aS'.\t.\t.\tO\tO' -p302699 -asS'It was evaluated by the IR radiology .' -p302700 -(lp302701 -S'It\tIt\tPRP\tB-NP\tO' -p302702 -aS'was\tbe\tVBD\tB-VP\tO' -p302703 -aS'evaluated\tevaluate\tVBN\tI-VP\tO' -p302704 -aS'by\tby\tIN\tB-PP\tO' -p302705 -aS'the\tthe\tDT\tB-NP\tO' -p302706 -aS'IR\tIR\tNN\tI-NP\tO' -p302707 -aS'radiology\tradiology\tNN\tI-NP\tO' -p302708 -aS'.\t.\t.\tO\tO' -p302709 -asS'Her vital signs are stable , she is afebrile .' -p302710 -(lp302711 -S'Her\tHer\tPRP$\tB-NP\tO' -p302712 -aS'vital\tvital\tJJ\tI-NP\tO' -p302713 -aS'signs\tsign\tNNS\tI-NP\tO' -p302714 -aS'are\tbe\tVBP\tB-VP\tO' -p302715 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p302716 -aS',\t,\t,\tO\tO' -p302717 -aS'she\tshe\tPRP\tB-NP\tO' -p302718 -aS'is\tbe\tVBZ\tB-VP\tO' -p302719 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p302720 -aS'.\t.\t.\tO\tO' -p302721 -asS'The left forearm dressing was noted to be in place , clean , dry , and intact with no saturation .' -p302722 -(lp302723 -S'The\tThe\tDT\tB-NP\tO' -p302724 -aS'left\tleft\tJJ\tI-NP\tO' -p302725 -aS'forearm\tforearm\tNN\tI-NP\tO' -p302726 -aS'dressing\tdressing\tNN\tI-NP\tO' -p302727 -aS'was\tbe\tVBD\tB-VP\tO' -p302728 -aS'noted\tnote\tVBN\tI-VP\tO' -p302729 -aS'to\tto\tTO\tI-VP\tO' -p302730 -aS'be\tbe\tVB\tI-VP\tO' -p302731 -aS'in\tin\tIN\tB-PP\tO' -p302732 -aS'place\tplace\tNN\tB-NP\tO' -p302733 -aS',\t,\t,\tO\tO' -p302734 -aS'clean\tclean\tJJ\tB-NP\tO' -p302735 -aS',\t,\t,\tI-NP\tO' -p302736 -aS'dry\tdry\tJJ\tI-NP\tO' -p302737 -aS',\t,\t,\tO\tO' -p302738 -aS'and\tand\tCC\tO\tO' -p302739 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p302740 -aS'with\twith\tIN\tB-PP\tO' -p302741 -aS'no\tno\tDT\tB-NP\tO' -p302742 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p302743 -aS'.\t.\t.\tO\tO' -p302744 -asS'He was noted not have an increasing left-sided pleural effusion .' -p302745 -(lp302746 -S'He\tHe\tPRP\tB-NP\tO' -p302747 -aS'was\tbe\tVBD\tB-VP\tO' -p302748 -aS'noted\tnote\tVBN\tI-VP\tO' -p302749 -aS'not\tnot\tRB\tO\tO' -p302750 -aS'have\thave\tVB\tB-VP\tO' -p302751 -aS'an\tan\tDT\tB-NP\tO' -p302752 -aS'increasing\tincrease\tVBG\tI-NP\tO' -p302753 -aS'left-sided\tleft-sided\tJJ\tI-NP\tO' -p302754 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p302755 -aS'effusion\teffusion\tNN\tI-NP\tO' -p302756 -aS'.\t.\t.\tO\tO' -p302757 -asS'01-23 PICC placement .' -p302758 -(lp302759 -S'01-23\t01-23\tCD\tB-NP\tO' -p302760 -aS'PICC\tPICC\tNN\tI-NP\tO' -p302761 -aS'placement\tplacement\tNN\tI-NP\tO' -p302762 -aS'.\t.\t.\tO\tO' -p302763 -asS"As for the patient 's ALL and AML , the patient was started on a new chemotherapy protocol called hyper-CVAD on 2012-03-06 ." -p302764 -(lp302765 -S'As\tAs\tIN\tB-PP\tO' -p302766 -aS'for\tfor\tIN\tB-PP\tO' -p302767 -aS'the\tthe\tDT\tB-NP\tO' -p302768 -aS'patient\tpatient\tNN\tI-NP\tO' -p302769 -aS"'s\t's\tPOS\tB-NP\tO" -p302770 -aS'ALL\tALL\tNN\tI-NP\tO' -p302771 -aS'and\tand\tCC\tI-NP\tO' -p302772 -aS'AML\tAML\tNN\tI-NP\tO' -p302773 -aS',\t,\t,\tO\tO' -p302774 -aS'the\tthe\tDT\tB-NP\tO' -p302775 -aS'patient\tpatient\tNN\tI-NP\tO' -p302776 -aS'was\tbe\tVBD\tB-VP\tO' -p302777 -aS'started\tstart\tVBN\tI-VP\tO' -p302778 -aS'on\ton\tIN\tB-PP\tO' -p302779 -aS'a\ta\tDT\tB-NP\tO' -p302780 -aS'new\tnew\tJJ\tI-NP\tO' -p302781 -aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' -p302782 -aS'protocol\tprotocol\tNN\tI-NP\tO' -p302783 -aS'called\tcall\tVBN\tB-VP\tO' -p302784 -aS'hyper-CVAD\thyper-CVAD\tNN\tB-NP\tO' -p302785 -aS'on\ton\tIN\tB-PP\tO' -p302786 -aS'2012-03-06\t2012-03-06\tCD\tB-NP\tO' -p302787 -aS'.\t.\t.\tO\tO' -p302788 -asS'Infection / sepsis was not likely given she was afebrile and had no localizing sx with an improving lung exam and 02 requirement .' -p302789 -(lp302790 -S'Infection\tInfection\tNN\tB-NP\tO' -p302791 -aS'/\t/\tSYM\tI-NP\tO' -p302792 -aS'sepsis\tsepsis\tNN\tI-NP\tO' -p302793 -aS'was\tbe\tVBD\tB-VP\tO' -p302794 -aS'not\tnot\tRB\tI-VP\tO' -p302795 -aS'likely\tlikely\tRB\tI-VP\tO' -p302796 -aS'given\tgive\tVBN\tI-VP\tO' -p302797 -aS'she\tshe\tPRP\tB-NP\tO' -p302798 -aS'was\tbe\tVBD\tB-VP\tO' -p302799 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p302800 -aS'and\tand\tCC\tO\tO' -p302801 -aS'had\thave\tVBD\tB-VP\tO' -p302802 -aS'no\tno\tDT\tB-NP\tO' -p302803 -aS'localizing\tlocalize\tVBG\tI-NP\tO' -p302804 -aS'sx\tsx\tNN\tI-NP\tO' -p302805 -aS'with\twith\tIN\tB-PP\tO' -p302806 -aS'an\tan\tDT\tB-NP\tO' -p302807 -aS'improving\timprove\tVBG\tI-NP\tO' -p302808 -aS'lung\tlung\tNN\tI-NP\tO' -p302809 -aS'exam\texam\tNN\tI-NP\tO' -p302810 -aS'and\tand\tCC\tO\tO' -p302811 -aS'02\t02\tCD\tB-NP\tO' -p302812 -aS'requirement\trequirement\tNN\tI-NP\tO' -p302813 -aS'.\t.\t.\tO\tO' -p302814 -asS'Left ventriculogram demonstrates a mild mitral regurgitation and left ventricular ejection fraction of 58% with normal regional wall motion .' -p302815 -(lp302816 -S'Left\tLeave\tVBN\tB-NP\tO' -p302817 -aS'ventriculogram\tventriculogram\tNN\tI-NP\tO' -p302818 -aS'demonstrates\tdemonstrate\tVBZ\tB-VP\tO' -p302819 -aS'a\ta\tDT\tB-NP\tO' -p302820 -aS'mild\tmild\tJJ\tI-NP\tO' -p302821 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p302822 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p302823 -aS'and\tand\tCC\tO\tO' -p302824 -aS'left\tleave\tVBD\tB-VP\tO' -p302825 -aS'ventricular\tventricular\tJJ\tB-NP\tO' -p302826 -aS'ejection\tejection\tNN\tI-NP\tO' -p302827 -aS'fraction\tfraction\tNN\tI-NP\tO' -p302828 -aS'of\tof\tIN\tB-PP\tO' -p302829 -aS'58%\t58%\tNN\tB-NP\tO' -p302830 -aS'with\twith\tIN\tB-PP\tO' -p302831 -aS'normal\tnormal\tJJ\tB-NP\tO' -p302832 -aS'regional\tregional\tJJ\tI-NP\tO' -p302833 -aS'wall\twall\tNN\tI-NP\tO' -p302834 -aS'motion\tmotion\tNN\tI-NP\tO' -p302835 -aS'.\t.\t.\tO\tO' -p302836 -asS'Signed electronically by : DR. Mary van den Mosley on : WED 2015-10-14 7:16 PM' -p302837 -(lp302838 -S'Signed\tSign\tVBN\tB-VP\tO' -p302839 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p302840 -aS'by\tby\tIN\tB-PP\tO' -p302841 -aS':\t:\t:\tO\tO' -p302842 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p302843 -aS'Mary\tMary\tNNP\tI-NP\tO' -p302844 -aS'van\tvan\tNNP\tI-NP\tO' -p302845 -aS'den\tden\tNNP\tI-NP\tO' -p302846 -aS'Mosley\tMosley\tNNP\tI-NP\tO' -p302847 -aS'on\ton\tIN\tB-PP\tO' -p302848 -aS':\t:\t:\tO\tO' -p302849 -aS'WED\tWED\tVBD\tB-VP\tO' -p302850 -aS'2015-10-14\t2015-10-14\tCD\tB-NP\tO' -p302851 -aS'7:16\t7:16\tCD\tI-NP\tO' -p302852 -aS'PM\tPM\tNN\tI-NP\tO' -p302853 -asS'14. Regular insulin sliding scale .' -p302854 -(lp302855 -S'14.\t14.\tLS\tB-NP\tO' -p302856 -aS'Regular\tRegular\tJJ\tI-NP\tB-protein' -p302857 -aS'insulin\tinsulin\tNN\tI-NP\tI-protein' -p302858 -aS'sliding\tslide\tVBG\tB-VP\tO' -p302859 -aS'scale\tscale\tNN\tB-NP\tO' -p302860 -aS'.\t.\t.\tO\tO' -p302861 -asS'His intra-aortic balloon pump was weaned without problems .' -p302862 -(lp302863 -S'His\tHis\tPRP$\tB-NP\tO' -p302864 -aS'intra-aortic\tintra-aortic\tJJ\tI-NP\tO' -p302865 -aS'balloon\tballoon\tNN\tI-NP\tO' -p302866 -aS'pump\tpump\tNN\tI-NP\tO' -p302867 -aS'was\tbe\tVBD\tB-VP\tO' -p302868 -aS'weaned\twean\tVBN\tI-VP\tO' -p302869 -aS'without\twithout\tIN\tB-PP\tO' -p302870 -aS'problems\tproblem\tNNS\tB-NP\tO' -p302871 -aS'.\t.\t.\tO\tO' -p302872 -asS'There was a left ventricular heave and an S3 galop .' -p302873 -(lp302874 -S'There\tThere\tEX\tB-NP\tO' -p302875 -aS'was\tbe\tVBD\tB-VP\tO' -p302876 -aS'a\ta\tDT\tB-NP\tO' -p302877 -aS'left\tleft\tJJ\tI-NP\tO' -p302878 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p302879 -aS'heave\theave\tNN\tI-NP\tO' -p302880 -aS'and\tand\tCC\tO\tO' -p302881 -aS'an\tan\tDT\tB-NP\tO' -p302882 -aS'S3\tS3\tNN\tI-NP\tB-protein' -p302883 -aS'galop\tgalop\tNN\tI-NP\tI-protein' -p302884 -aS'.\t.\t.\tO\tO' -p302885 -asS"The baby 's bilirubin on 2018-12-31 , was 15.5 / 0.5 at which time double phototherapy was started ." -p302886 -(lp302887 -S'The\tThe\tDT\tB-NP\tO' -p302888 -aS'baby\tbaby\tNN\tI-NP\tO' -p302889 -aS"'s\t's\tPOS\tB-NP\tO" -p302890 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p302891 -aS'on\ton\tIN\tB-PP\tO' -p302892 -aS'2018-12-31\t2018-12-31\tCD\tB-NP\tO' -p302893 -aS',\t,\t,\tO\tO' -p302894 -aS'was\tbe\tVBD\tB-VP\tO' -p302895 -aS'15.5\t15.5\tCD\tB-NP\tO' -p302896 -aS'/\t/\tSYM\tB-NP\tO' -p302897 -aS'0.5\t0.5\tCD\tI-NP\tO' -p302898 -aS'at\tat\tIN\tB-PP\tO' -p302899 -aS'which\twhich\tWDT\tB-NP\tO' -p302900 -aS'time\ttime\tNN\tB-NP\tO' -p302901 -aS'double\tdouble\tJJ\tI-NP\tO' -p302902 -aS'phototherapy\tphototherapy\tNN\tI-NP\tO' -p302903 -aS'was\tbe\tVBD\tB-VP\tO' -p302904 -aS'started\tstart\tVBN\tI-VP\tO' -p302905 -aS'.\t.\t.\tO\tO' -p302906 -asS'Wash incision with mild soap and water , then pat dry .' -p302907 -(lp302908 -S'Wash\tWash\tJJ\tB-NP\tO' -p302909 -aS'incision\tincision\tNN\tI-NP\tO' -p302910 -aS'with\twith\tIN\tB-PP\tO' -p302911 -aS'mild\tmild\tJJ\tB-NP\tO' -p302912 -aS'soap\tsoap\tNN\tI-NP\tO' -p302913 -aS'and\tand\tCC\tI-NP\tO' -p302914 -aS'water\twater\tNN\tI-NP\tO' -p302915 -aS',\t,\t,\tO\tO' -p302916 -aS'then\tthen\tRB\tB-ADJP\tO' -p302917 -aS'pat\tpat\tNN\tI-ADJP\tO' -p302918 -aS'dry\tdry\tJJ\tI-ADJP\tO' -p302919 -aS'.\t.\t.\tO\tO' -p302920 -asS'The LAD had serial 90% lesions proximally , involving the origin of the first diagonal , which was occluded and filled via left to left collaterals .' -p302921 -(lp302922 -S'The\tThe\tDT\tB-NP\tO' -p302923 -aS'LAD\tLAD\tNN\tI-NP\tB-protein' -p302924 -aS'had\thave\tVBD\tB-VP\tO' -p302925 -aS'serial\tserial\tJJ\tB-NP\tO' -p302926 -aS'90%\t90%\tCD\tI-NP\tO' -p302927 -aS'lesions\tlesion\tNNS\tI-NP\tO' -p302928 -aS'proximally\tproximally\tRB\tB-ADVP\tO' -p302929 -aS',\t,\t,\tO\tO' -p302930 -aS'involving\tinvolve\tVBG\tB-VP\tO' -p302931 -aS'the\tthe\tDT\tB-NP\tO' -p302932 -aS'origin\torigin\tNN\tI-NP\tO' -p302933 -aS'of\tof\tIN\tB-PP\tO' -p302934 -aS'the\tthe\tDT\tB-NP\tO' -p302935 -aS'first\tfirst\tJJ\tI-NP\tO' -p302936 -aS'diagonal\tdiagonal\tNN\tI-NP\tO' -p302937 -aS',\t,\t,\tO\tO' -p302938 -aS'which\twhich\tWDT\tB-NP\tO' -p302939 -aS'was\tbe\tVBD\tB-VP\tO' -p302940 -aS'occluded\tocclude\tVBN\tI-VP\tO' -p302941 -aS'and\tand\tCC\tI-VP\tO' -p302942 -aS'filled\tfill\tVBN\tI-VP\tO' -p302943 -aS'via\tvia\tIN\tB-PP\tO' -p302944 -aS'left\tleave\tVBN\tB-VP\tO' -p302945 -aS'to\tto\tTO\tB-PP\tO' -p302946 -aS'left\tleft\tJJ\tB-NP\tO' -p302947 -aS'collaterals\tcollateral\tNNS\tI-NP\tO' -p302948 -aS'.\t.\t.\tO\tO' -p302949 -asS'Papillary adenocarcinoma of the lung .' -p302950 -(lp302951 -S'Papillary\tPapillary\tJJ\tB-NP\tO' -p302952 -aS'adenocarcinoma\tadenocarcinoma\tNN\tI-NP\tO' -p302953 -aS'of\tof\tIN\tB-PP\tO' -p302954 -aS'the\tthe\tDT\tB-NP\tO' -p302955 -aS'lung\tlung\tNN\tI-NP\tO' -p302956 -aS'.\t.\t.\tO\tO' -p302957 -asS'The patient then had one more episode where he was converted to normal sinus rhythm but this lasted only a few hours before reverting back to atrial fibrillation .' -p302958 -(lp302959 -S'The\tThe\tDT\tB-NP\tO' -p302960 -aS'patient\tpatient\tNN\tI-NP\tO' -p302961 -aS'then\tthen\tRB\tB-ADVP\tO' -p302962 -aS'had\thave\tVBD\tB-VP\tO' -p302963 -aS'one\tone\tCD\tB-NP\tO' -p302964 -aS'more\tmore\tJJR\tI-NP\tO' -p302965 -aS'episode\tepisode\tNN\tI-NP\tO' -p302966 -aS'where\twhere\tWRB\tB-ADVP\tO' -p302967 -aS'he\the\tPRP\tB-NP\tO' -p302968 -aS'was\tbe\tVBD\tB-VP\tO' -p302969 -aS'converted\tconvert\tVBN\tI-VP\tO' -p302970 -aS'to\tto\tTO\tB-PP\tO' -p302971 -aS'normal\tnormal\tJJ\tB-NP\tO' -p302972 -aS'sinus\tsinus\tNN\tI-NP\tO' -p302973 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p302974 -aS'but\tbut\tCC\tO\tO' -p302975 -aS'this\tthis\tDT\tB-NP\tO' -p302976 -aS'lasted\tlast\tVBD\tB-VP\tO' -p302977 -aS'only\tonly\tRB\tB-NP\tO' -p302978 -aS'a\ta\tDT\tI-NP\tO' -p302979 -aS'few\tfew\tJJ\tI-NP\tO' -p302980 -aS'hours\thour\tNNS\tI-NP\tO' -p302981 -aS'before\tbefore\tIN\tB-PP\tO' -p302982 -aS'reverting\trevert\tVBG\tB-VP\tO' -p302983 -aS'back\tback\tRB\tB-ADVP\tO' -p302984 -aS'to\tto\tTO\tB-PP\tO' -p302985 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p302986 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p302987 -aS'.\t.\t.\tO\tO' -p302988 -asS'Gerardo is the 1400 gm product of a 32 05-03 week twin gestation born to a 37 year old gravida 1 , para 0 mother .' -p302989 -(lp302990 -S'Gerardo\tGerardo\tNNP\tB-NP\tO' -p302991 -aS'is\tbe\tVBZ\tB-VP\tO' -p302992 -aS'the\tthe\tDT\tB-NP\tO' -p302993 -aS'1400\t1400\tCD\tI-NP\tO' -p302994 -aS'gm\tgm\tNN\tI-NP\tO' -p302995 -aS'product\tproduct\tNN\tI-NP\tO' -p302996 -aS'of\tof\tIN\tB-PP\tO' -p302997 -aS'a\ta\tDT\tB-NP\tO' -p302998 -aS'32\t32\tCD\tI-NP\tO' -p302999 -aS'05-03\t05-03\tCD\tI-NP\tO' -p303000 -aS'week\tweek\tNN\tI-NP\tO' -p303001 -aS'twin\ttwin\tNN\tI-NP\tO' -p303002 -aS'gestation\tgestation\tNN\tI-NP\tO' -p303003 -aS'born\tbear\tVBN\tB-VP\tO' -p303004 -aS'to\tto\tTO\tB-PP\tO' -p303005 -aS'a\ta\tDT\tB-NP\tO' -p303006 -aS'37\t37\tCD\tI-NP\tO' -p303007 -aS'year\tyear\tNN\tI-NP\tO' -p303008 -aS'old\told\tJJ\tI-NP\tO' -p303009 -aS'gravida\tgravida\tNN\tI-NP\tO' -p303010 -aS'1\t1\tCD\tI-NP\tO' -p303011 -aS',\t,\t,\tO\tO' -p303012 -aS'para\tpara\tNN\tB-NP\tO' -p303013 -aS'0\t0\tCD\tI-NP\tO' -p303014 -aS'mother\tmother\tNN\tI-NP\tO' -p303015 -aS'.\t.\t.\tO\tO' -p303016 -asS'Unfortunately her mental status failed to improve despite having been off all sedative medications for several days .' -p303017 -(lp303018 -S'Unfortunately\tUnfortunately\tRB\tB-ADVP\tO' -p303019 -aS'her\ther\tPRP$\tB-NP\tO' -p303020 -aS'mental\tmental\tJJ\tI-NP\tO' -p303021 -aS'status\tstatus\tNN\tI-NP\tO' -p303022 -aS'failed\tfail\tVBD\tB-VP\tO' -p303023 -aS'to\tto\tTO\tI-VP\tO' -p303024 -aS'improve\timprove\tVB\tI-VP\tO' -p303025 -aS'despite\tdespite\tIN\tB-PP\tO' -p303026 -aS'having\thave\tVBG\tB-VP\tO' -p303027 -aS'been\tbe\tVBN\tI-VP\tO' -p303028 -aS'off\toff\tRP\tB-PRT\tO' -p303029 -aS'all\tall\tDT\tB-NP\tO' -p303030 -aS'sedative\tsedative\tJJ\tI-NP\tO' -p303031 -aS'medications\tmedication\tNNS\tI-NP\tO' -p303032 -aS'for\tfor\tIN\tB-PP\tO' -p303033 -aS'several\tseveral\tJJ\tB-NP\tO' -p303034 -aS'days\tday\tNNS\tI-NP\tO' -p303035 -aS'.\t.\t.\tO\tO' -p303036 -asS'HEART - Regular , with a III / VI murmur at the upper left sternal border .' -p303037 -(lp303038 -S'HEART\tHEART\tNN\tB-NP\tB-protein' -p303039 -aS'-\t-\tHYPH\tB-PP\tO' -p303040 -aS'Regular\tRegular\tJJ\tB-ADJP\tO' -p303041 -aS',\t,\t,\tO\tO' -p303042 -aS'with\twith\tIN\tB-PP\tO' -p303043 -aS'a\ta\tDT\tB-NP\tO' -p303044 -aS'III\tIII\tCD\tI-NP\tO' -p303045 -aS'/\t/\tSYM\tI-NP\tO' -p303046 -aS'VI\tVI\tNN\tI-NP\tO' -p303047 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p303048 -aS'at\tat\tIN\tB-PP\tO' -p303049 -aS'the\tthe\tDT\tB-NP\tO' -p303050 -aS'upper\tupper\tJJ\tI-NP\tO' -p303051 -aS'left\tleft\tJJ\tI-NP\tO' -p303052 -aS'sternal\tsternal\tJJ\tI-NP\tO' -p303053 -aS'border\tborder\tNN\tI-NP\tO' -p303054 -aS'.\t.\t.\tO\tO' -p303055 -asS'1. Gastroesophageal reflux disease .' -p303056 -(lp303057 -S'1.\t1.\tLS\tB-NP\tO' -p303058 -aS'Gastroesophageal\tGastroesophageal\tJJ\tI-NP\tO' -p303059 -aS'reflux\treflux\tNN\tI-NP\tO' -p303060 -aS'disease\tdisease\tNN\tI-NP\tO' -p303061 -aS'.\t.\t.\tO\tO' -p303062 -asS'The patient denies any chest pain , shortness of breath , dysuria , diarrhea , bright red blood per rectum .' -p303063 -(lp303064 -S'The\tThe\tDT\tB-NP\tO' -p303065 -aS'patient\tpatient\tNN\tI-NP\tO' -p303066 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p303067 -aS'any\tany\tDT\tB-NP\tO' -p303068 -aS'chest\tch\tJJS\tI-NP\tO' -p303069 -aS'pain\tpain\tNN\tI-NP\tO' -p303070 -aS',\t,\t,\tO\tO' -p303071 -aS'shortness\tshortness\tNN\tB-NP\tO' -p303072 -aS'of\tof\tIN\tB-PP\tO' -p303073 -aS'breath\tbreath\tNN\tB-NP\tO' -p303074 -aS',\t,\t,\tO\tO' -p303075 -aS'dysuria\tdysuria\tNN\tB-NP\tO' -p303076 -aS',\t,\t,\tO\tO' -p303077 -aS'diarrhea\tdiarrhea\tNN\tB-NP\tO' -p303078 -aS',\t,\t,\tO\tO' -p303079 -aS'bright\tbright\tJJ\tB-NP\tO' -p303080 -aS'red\tred\tJJ\tI-NP\tO' -p303081 -aS'blood\tblood\tNN\tI-NP\tO' -p303082 -aS'per\tper\tIN\tB-PP\tO' -p303083 -aS'rectum\trectum\tNN\tB-NP\tO' -p303084 -aS'.\t.\t.\tO\tO' -p303085 -asS'To home with parents .' -p303086 -(lp303087 -S'To\tTo\tTO\tB-VP\tO' -p303088 -aS'home\thome\tVB\tI-VP\tO' -p303089 -aS'with\twith\tIN\tB-PP\tO' -p303090 -aS'parents\tparent\tNNS\tB-NP\tO' -p303091 -aS'.\t.\t.\tO\tO' -p303092 -asS'The patient was admitted to the Medical Service .' -p303093 -(lp303094 -S'The\tThe\tDT\tB-NP\tO' -p303095 -aS'patient\tpatient\tNN\tI-NP\tO' -p303096 -aS'was\tbe\tVBD\tB-VP\tO' -p303097 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p303098 -aS'to\tto\tTO\tB-PP\tO' -p303099 -aS'the\tthe\tDT\tB-NP\tO' -p303100 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p303101 -aS'Service\tService\tNNP\tI-NP\tO' -p303102 -aS'.\t.\t.\tO\tO' -p303103 -asS'Immunizations received , infant has not received any immunizations to date .' -p303104 -(lp303105 -S'Immunizations\tImmunization\tNNS\tB-NP\tO' -p303106 -aS'received\treceive\tVBD\tB-VP\tO' -p303107 -aS',\t,\t,\tO\tO' -p303108 -aS'infant\tinfant\tNN\tB-NP\tO' -p303109 -aS'has\thave\tVBZ\tB-VP\tO' -p303110 -aS'not\tnot\tRB\tI-VP\tO' -p303111 -aS'received\treceive\tVBN\tI-VP\tO' -p303112 -aS'any\tany\tDT\tB-NP\tO' -p303113 -aS'immunizations\timmunization\tNNS\tI-NP\tO' -p303114 -aS'to\tto\tTO\tB-PP\tO' -p303115 -aS'date\tdate\tNN\tB-NP\tO' -p303116 -aS'.\t.\t.\tO\tO' -p303117 -asS'The pt denies abd pain , n/v or increased ostomy output .' -p303118 -(lp303119 -S'The\tThe\tDT\tB-NP\tO' -p303120 -aS'pt\tpt\tNN\tI-NP\tO' -p303121 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p303122 -aS'abd\tabd\tNN\tB-NP\tO' -p303123 -aS'pain\tpain\tNN\tI-NP\tO' -p303124 -aS',\t,\t,\tO\tO' -p303125 -aS'n/v\tn/v\tNN\tB-NP\tO' -p303126 -aS'or\tor\tCC\tO\tO' -p303127 -aS'increased\tincrease\tVBN\tB-NP\tO' -p303128 -aS'ostomy\tostomy\tNN\tI-NP\tO' -p303129 -aS'output\toutput\tNN\tI-NP\tO' -p303130 -aS'.\t.\t.\tO\tO' -p303131 -asS'3. Isosorbide mononitrate 30 q. day .' -p303132 -(lp303133 -S'3.\t3.\tLS\tB-NP\tO' -p303134 -aS'Isosorbide\tIsosorbide\tNN\tI-NP\tO' -p303135 -aS'mononitrate\tmononitrate\tNN\tI-NP\tO' -p303136 -aS'30\t30\tCD\tI-NP\tO' -p303137 -aS'q.\tq.\tNN\tI-NP\tO' -p303138 -aS'day\tday\tNN\tI-NP\tO' -p303139 -aS'.\t.\t.\tO\tO' -p303140 -asS'Left elbow , gross deformity swelling over dorsal forearm , gross deformity left wrist , no skin lacerations .' -p303141 -(lp303142 -S'Left\tLeft\tNNP\tB-NP\tO' -p303143 -aS'elbow\telbow\tNNP\tI-NP\tO' -p303144 -aS',\t,\t,\tO\tO' -p303145 -aS'gross\tgross\tJJ\tB-NP\tO' -p303146 -aS'deformity\tdeformity\tNN\tI-NP\tO' -p303147 -aS'swelling\tswell\tVBG\tB-VP\tO' -p303148 -aS'over\tover\tIN\tB-PP\tO' -p303149 -aS'dorsal\tdorsal\tJJ\tB-NP\tO' -p303150 -aS'forearm\tforearm\tNN\tI-NP\tO' -p303151 -aS',\t,\t,\tO\tO' -p303152 -aS'gross\tgross\tJJ\tB-NP\tO' -p303153 -aS'deformity\tdeformity\tNN\tI-NP\tO' -p303154 -aS'left\tleave\tVBD\tB-VP\tO' -p303155 -aS'wrist\twrist\tNN\tB-NP\tO' -p303156 -aS',\t,\t,\tO\tO' -p303157 -aS'no\tno\tDT\tB-NP\tO' -p303158 -aS'skin\tskin\tNN\tI-NP\tO' -p303159 -aS'lacerations\tlaceration\tNNS\tI-NP\tO' -p303160 -aS'.\t.\t.\tO\tO' -p303161 -asS'3. Occipital scalp laceration .' -p303162 -(lp303163 -S'3.\t3.\tLS\tB-NP\tO' -p303164 -aS'Occipital\tOccipital\tNN\tI-NP\tO' -p303165 -aS'scalp\tscalp\tNN\tI-NP\tO' -p303166 -aS'laceration\tlaceration\tNN\tI-NP\tO' -p303167 -aS'.\t.\t.\tO\tO' -p303168 -asS'3. Chondrocalcinosis .' -p303169 -(lp303170 -S'3.\t3.\tLS\tB-NP\tO' -p303171 -aS'Chondrocalcinosis\tChondrocalcinosis\tNN\tI-NP\tO' -p303172 -aS'.\t.\t.\tO\tO' -p303173 -asS'Reviewed By : Janna L. Desorbo , M.D.' -p303174 -(lp303175 -S'Reviewed\tReview\tVBN\tB-VP\tO' -p303176 -aS'By\tBy\tIN\tB-PP\tO' -p303177 -aS':\t:\t:\tO\tO' -p303178 -aS'Janna\tJanna\tNNP\tB-NP\tO' -p303179 -aS'L.\tL.\tNNP\tI-NP\tO' -p303180 -aS'Desorbo\tDesorbo\tNNP\tI-NP\tO' -p303181 -aS',\t,\t,\tO\tO' -p303182 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p303183 -asS'In general , the patient was groggy status post anesthesia , shivering , but awake .' -p303184 -(lp303185 -S'In\tIn\tIN\tB-PP\tO' -p303186 -aS'general\tgeneral\tJJ\tB-ADJP\tO' -p303187 -aS',\t,\t,\tO\tO' -p303188 -aS'the\tthe\tDT\tB-NP\tO' -p303189 -aS'patient\tpatient\tNN\tI-NP\tO' -p303190 -aS'was\tbe\tVBD\tB-VP\tO' -p303191 -aS'groggy\tgroggy\tJJ\tB-NP\tO' -p303192 -aS'status\tstatus\tNN\tI-NP\tO' -p303193 -aS'post\tpost\tNN\tI-NP\tO' -p303194 -aS'anesthesia\tanesthesia\tNN\tI-NP\tO' -p303195 -aS',\t,\t,\tO\tO' -p303196 -aS'shivering\tshivering\tNN\tB-NP\tO' -p303197 -aS',\t,\t,\tO\tO' -p303198 -aS'but\tbut\tCC\tO\tO' -p303199 -aS'awake\tawake\tNN\tB-NP\tO' -p303200 -aS'.\t.\t.\tO\tO' -p303201 -asS'2. Total hip replacement in 2002 .' -p303202 -(lp303203 -S'2.\t2.\tLS\tB-NP\tO' -p303204 -aS'Total\tTotal\tJJ\tI-NP\tO' -p303205 -aS'hip\thip\tNN\tI-NP\tO' -p303206 -aS'replacement\treplacement\tNN\tI-NP\tO' -p303207 -aS'in\tin\tIN\tB-PP\tO' -p303208 -aS'2002\t2002\tCD\tB-NP\tO' -p303209 -aS'.\t.\t.\tO\tO' -p303210 -asS'Thin , warm , dry , pink , no rashes .' -p303211 -(lp303212 -S'Thin\tThin\tJJ\tB-NP\tO' -p303213 -aS',\t,\t,\tI-NP\tO' -p303214 -aS'warm\twarm\tJJ\tI-NP\tO' -p303215 -aS',\t,\t,\tI-NP\tO' -p303216 -aS'dry\tdry\tJJ\tI-NP\tO' -p303217 -aS',\t,\t,\tI-NP\tO' -p303218 -aS'pink\tpink\tJJ\tI-NP\tO' -p303219 -aS',\t,\t,\tO\tO' -p303220 -aS'no\tno\tDT\tB-NP\tO' -p303221 -aS'rashes\trash\tNNS\tI-NP\tO' -p303222 -aS'.\t.\t.\tO\tO' -p303223 -asS'( at time of admission ) the blood pressure 100/65 ;' -p303224 -(lp303225 -S'(\t(\t(\tO\tO' -p303226 -aS'at\tat\tIN\tB-PP\tO' -p303227 -aS'time\ttime\tNN\tB-NP\tO' -p303228 -aS'of\tof\tIN\tB-PP\tO' -p303229 -aS'admission\tadmission\tNN\tB-NP\tO' -p303230 -aS')\t)\t)\tO\tO' -p303231 -aS'the\tthe\tDT\tB-NP\tO' -p303232 -aS'blood\tblood\tNN\tI-NP\tO' -p303233 -aS'pressure\tpressure\tNN\tI-NP\tO' -p303234 -aS'100/65\t100/65\tCD\tI-NP\tO' -p303235 -aS';\t;\t:\tO\tO' -p303236 -asS'15. Multivitamin , one tablet p.o. q day .' -p303237 -(lp303238 -S'15.\t15.\tLS\tB-NP\tO' -p303239 -aS'Multivitamin\tMultivitamin\tNN\tI-NP\tO' -p303240 -aS',\t,\t,\tO\tO' -p303241 -aS'one\tone\tCD\tB-NP\tO' -p303242 -aS'tablet\ttablet\tNN\tI-NP\tO' -p303243 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p303244 -aS'q\tq\tNN\tI-NP\tO' -p303245 -aS'day\tday\tNN\tI-NP\tO' -p303246 -aS'.\t.\t.\tO\tO' -p303247 -asS'Head , eyes , ears , nose and throat examination - The pupils are equal , round , and reactive to light and accommodation .' -p303248 -(lp303249 -S'Head\tHead\tRB\tB-ADVP\tO' -p303250 -aS',\t,\t,\tO\tO' -p303251 -aS'eyes\teye\tNNS\tB-NP\tO' -p303252 -aS',\t,\t,\tO\tO' -p303253 -aS'ears\tear\tNNS\tB-NP\tO' -p303254 -aS',\t,\t,\tO\tO' -p303255 -aS'nose\tnose\tNN\tB-NP\tO' -p303256 -aS'and\tand\tCC\tO\tO' -p303257 -aS'throat\tthroat\tNN\tB-NP\tO' -p303258 -aS'examination\texamination\tNN\tI-NP\tO' -p303259 -aS'-\t-\tHYPH\tO\tO' -p303260 -aS'The\tThe\tDT\tB-NP\tO' -p303261 -aS'pupils\tpupil\tNNS\tI-NP\tO' -p303262 -aS'are\tbe\tVBP\tB-VP\tO' -p303263 -aS'equal\tequal\tJJ\tB-ADJP\tO' -p303264 -aS',\t,\t,\tO\tO' -p303265 -aS'round\tround\tJJ\tB-ADJP\tO' -p303266 -aS',\t,\t,\tO\tO' -p303267 -aS'and\tand\tCC\tO\tO' -p303268 -aS'reactive\treactive\tJJ\tB-ADJP\tO' -p303269 -aS'to\tto\tTO\tB-PP\tO' -p303270 -aS'light\tlight\tNN\tB-NP\tO' -p303271 -aS'and\tand\tCC\tI-NP\tO' -p303272 -aS'accommodation\taccommodation\tNN\tI-NP\tO' -p303273 -aS'.\t.\t.\tO\tO' -p303274 -asS'7-Pneumonia .' -p303275 -(lp303276 -S'7-Pneumonia\t7-Pneumonia\tNN\tB-NP\tO' -p303277 -aS'.\t.\t.\tO\tO' -p303278 -asS'Exam was notable for RRR with no murmur , bibasilar crackles , guaiac negative .' -p303279 -(lp303280 -S'Exam\tExam\tNNP\tB-NP\tO' -p303281 -aS'was\tbe\tVBD\tB-VP\tO' -p303282 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p303283 -aS'for\tfor\tIN\tB-PP\tO' -p303284 -aS'RRR\tRRR\tNN\tB-NP\tB-protein' -p303285 -aS'with\twith\tIN\tB-PP\tO' -p303286 -aS'no\tno\tDT\tB-NP\tO' -p303287 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p303288 -aS',\t,\t,\tO\tO' -p303289 -aS'bibasilar\tbibasilar\tJJ\tB-NP\tO' -p303290 -aS'crackles\tcrackle\tNNS\tI-NP\tO' -p303291 -aS',\t,\t,\tO\tO' -p303292 -aS'guaiac\tguaiac\tNN\tB-NP\tO' -p303293 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p303294 -aS'.\t.\t.\tO\tO' -p303295 -asS'ISOLATED FROM ONE SET ONLY .' -p303296 -(lp303297 -S'ISOLATED\tISOLATED\tVBN\tB-VP\tO' -p303298 -aS'FROM\tFROM\tNNP\tB-NP\tO' -p303299 -aS'ONE\tONE\tNNP\tI-NP\tO' -p303300 -aS'SET\tSET\tNNP\tI-NP\tO' -p303301 -aS'ONLY\tONLY\tNNP\tI-NP\tO' -p303302 -aS'.\t.\t.\tO\tO' -p303303 -asS'She is interested in quitting smoking .' -p303304 -(lp303305 -S'She\tShe\tPRP\tB-NP\tO' -p303306 -aS'is\tbe\tVBZ\tB-VP\tO' -p303307 -aS'interested\tinterested\tJJ\tB-ADJP\tO' -p303308 -aS'in\tin\tIN\tB-PP\tO' -p303309 -aS'quitting\tquit\tVBG\tB-VP\tO' -p303310 -aS'smoking\tsmoking\tNN\tB-NP\tO' -p303311 -aS'.\t.\t.\tO\tO' -p303312 -asS'Non-focal .' -p303313 -(lp303314 -S'Non-focal\tNon-focal\tJJ\tB-ADJP\tO' -p303315 -aS'.\t.\t.\tO\tO' -p303316 -asS'Ken Nansteel-Miller is the triplet #3 of a spontaneous triamniotic-trichorionic triplet pregnancy born to a 39-year-old G4 P1 spontaneous abortion 2 woman .' -p303317 -(lp303318 -S'Ken\tKen\tNNP\tB-NP\tO' -p303319 -aS'Nansteel-Miller\tNansteel-Miller\tNNP\tI-NP\tO' -p303320 -aS'is\tbe\tVBZ\tB-VP\tO' -p303321 -aS'the\tthe\tDT\tB-NP\tO' -p303322 -aS'triplet\ttriplet\tJJ\tI-NP\tO' -p303323 -aS'#3\t#3\tNN\tI-NP\tO' -p303324 -aS'of\tof\tIN\tB-PP\tO' -p303325 -aS'a\ta\tDT\tB-NP\tO' -p303326 -aS'spontaneous\tspontaneous\tJJ\tI-NP\tO' -p303327 -aS'triamniotic-trichorionic\ttriamniotic-trichorionic\tJJ\tI-NP\tO' -p303328 -aS'triplet\ttriplet\tNN\tI-NP\tO' -p303329 -aS'pregnancy\tpregnancy\tNN\tI-NP\tO' -p303330 -aS'born\tbear\tVBN\tB-VP\tO' -p303331 -aS'to\tto\tTO\tB-PP\tO' -p303332 -aS'a\ta\tDT\tB-NP\tO' -p303333 -aS'39-year-old\t39-year-old\tJJ\tI-NP\tO' -p303334 -aS'G4\tG4\tNN\tI-NP\tO' -p303335 -aS'P1\tP1\tNN\tI-NP\tO' -p303336 -aS'spontaneous\tspontaneous\tJJ\tI-NP\tO' -p303337 -aS'abortion\tabortion\tNN\tI-NP\tO' -p303338 -aS'2\t2\tCD\tI-NP\tO' -p303339 -aS'woman\twoman\tNN\tI-NP\tO' -p303340 -aS'.\t.\t.\tO\tO' -p303341 -asS'Following gadolinium , no evidence of abnormal parenchymal , vascular , or meningeal enhancement seen .' -p303342 -(lp303343 -S'Following\tFollow\tVBG\tB-PP\tO' -p303344 -aS'gadolinium\tgadolinium\tNN\tB-NP\tO' -p303345 -aS',\t,\t,\tO\tO' -p303346 -aS'no\tno\tDT\tB-NP\tO' -p303347 -aS'evidence\tevidence\tNN\tI-NP\tO' -p303348 -aS'of\tof\tIN\tB-PP\tO' -p303349 -aS'abnormal\tabnormal\tJJ\tB-NP\tO' -p303350 -aS'parenchymal\tparenchymal\tJJ\tI-NP\tO' -p303351 -aS',\t,\t,\tI-NP\tO' -p303352 -aS'vascular\tvascular\tJJ\tI-NP\tO' -p303353 -aS',\t,\t,\tI-NP\tO' -p303354 -aS'or\tor\tCC\tI-NP\tO' -p303355 -aS'meningeal\tmeningeal\tJJ\tI-NP\tO' -p303356 -aS'enhancement\tenhancement\tNN\tI-NP\tO' -p303357 -aS'seen\tsee\tVBN\tB-VP\tO' -p303358 -aS'.\t.\t.\tO\tO' -p303359 -asS'From 2/17/00 to 2/21/00 , the patient complained of persistent and occasionally severe epigastric pain .' -p303360 -(lp303361 -S'From\tFrom\tIN\tB-PP\tO' -p303362 -aS'2/17/00\t2/17/00\tCD\tB-NP\tO' -p303363 -aS'to\tto\tTO\tB-PP\tO' -p303364 -aS'2/21/00\t2/21/00\tCD\tB-NP\tO' -p303365 -aS',\t,\t,\tO\tO' -p303366 -aS'the\tthe\tDT\tB-NP\tO' -p303367 -aS'patient\tpatient\tNN\tI-NP\tO' -p303368 -aS'complained\tcomplain\tVBD\tB-VP\tO' -p303369 -aS'of\tof\tIN\tB-PP\tO' -p303370 -aS'persistent\tpersistent\tJJ\tB-NP\tO' -p303371 -aS'and\tand\tCC\tI-NP\tO' -p303372 -aS'occasionally\toccasionally\tRB\tI-NP\tO' -p303373 -aS'severe\tsevere\tJJ\tI-NP\tO' -p303374 -aS'epigastric\tepigastric\tJJ\tI-NP\tO' -p303375 -aS'pain\tpain\tNN\tI-NP\tO' -p303376 -aS'.\t.\t.\tO\tO' -p303377 -asS'His atrioventricular valve gradient was 27 with an AV surface area of .91 .' -p303378 -(lp303379 -S'His\tHis\tPRP$\tB-NP\tO' -p303380 -aS'atrioventricular\tatrioventricular\tJJ\tI-NP\tO' -p303381 -aS'valve\tvalve\tNN\tI-NP\tO' -p303382 -aS'gradient\tgradient\tNN\tI-NP\tO' -p303383 -aS'was\tbe\tVBD\tB-VP\tO' -p303384 -aS'27\t27\tCD\tB-NP\tO' -p303385 -aS'with\twith\tIN\tB-PP\tO' -p303386 -aS'an\tan\tDT\tB-NP\tO' -p303387 -aS'AV\tAV\tNN\tI-NP\tO' -p303388 -aS'surface\tsurface\tNN\tI-NP\tO' -p303389 -aS'area\tarea\tNN\tI-NP\tO' -p303390 -aS'of\tof\tIN\tB-PP\tO' -p303391 -aS'.91\t.91\tNN\tB-NP\tO' -p303392 -aS'.\t.\t.\tO\tO' -p303393 -asS'Pt admitted with E coli SPB and bacteremia .' -p303394 -(lp303395 -S'Pt\tPt\tNN\tB-NP\tO' -p303396 -aS'admitted\tadmit\tVBN\tB-VP\tO' -p303397 -aS'with\twith\tIN\tB-PP\tO' -p303398 -aS'E\tE\tNN\tB-NP\tB-protein' -p303399 -aS'coli\tcoli\tNN\tI-NP\tI-protein' -p303400 -aS'SPB\tSPB\tNN\tI-NP\tI-protein' -p303401 -aS'and\tand\tCC\tI-NP\tO' -p303402 -aS'bacteremia\tbacteremia\tNN\tI-NP\tO' -p303403 -aS'.\t.\t.\tO\tO' -p303404 -asS'Based upon these findings it was felt that Mr. State most likely has multi-factorial dyspnea owing to both his ventilatory limitation and to a chronic low output state .' -p303405 -(lp303406 -S'Based\tBase\tVBN\tB-VP\tO' -p303407 -aS'upon\tupon\tIN\tB-PP\tO' -p303408 -aS'these\tthese\tDT\tB-NP\tO' -p303409 -aS'findings\tfinding\tNNS\tI-NP\tO' -p303410 -aS'it\tit\tPRP\tB-NP\tO' -p303411 -aS'was\tbe\tVBD\tB-VP\tO' -p303412 -aS'felt\tfeel\tVBN\tI-VP\tO' -p303413 -aS'that\tthat\tIN\tB-SBAR\tO' -p303414 -aS'Mr.\tMr.\tNNP\tB-NP\tO' -p303415 -aS'State\tState\tNNP\tI-NP\tO' -p303416 -aS'most\tmost\tRBS\tB-ADVP\tO' -p303417 -aS'likely\tlikely\tRB\tI-ADVP\tO' -p303418 -aS'has\thave\tVBZ\tB-VP\tO' -p303419 -aS'multi-factorial\tmulti-factorial\tJJ\tB-NP\tO' -p303420 -aS'dyspnea\tdyspnea\tNN\tI-NP\tO' -p303421 -aS'owing\towe\tVBG\tB-VP\tO' -p303422 -aS'to\tto\tTO\tB-PP\tO' -p303423 -aS'both\tboth\tCC\tO\tO' -p303424 -aS'his\this\tPRP$\tB-NP\tO' -p303425 -aS'ventilatory\tventilatory\tJJ\tI-NP\tO' -p303426 -aS'limitation\tlimitation\tNN\tI-NP\tO' -p303427 -aS'and\tand\tCC\tB-PP\tO' -p303428 -aS'to\tto\tTO\tB-PP\tO' -p303429 -aS'a\ta\tDT\tB-NP\tO' -p303430 -aS'chronic\tchronic\tJJ\tI-NP\tO' -p303431 -aS'low\tlow\tJJ\tI-NP\tO' -p303432 -aS'output\toutput\tNN\tI-NP\tO' -p303433 -aS'state\tstate\tNN\tI-NP\tO' -p303434 -aS'.\t.\t.\tO\tO' -p303435 -asS'Skin pink and capillary refill less than 2 seconds .' -p303436 -(lp303437 -S'Skin\tSkin\tNNP\tB-NP\tO' -p303438 -aS'pink\tpink\tJJ\tI-NP\tO' -p303439 -aS'and\tand\tCC\tI-NP\tO' -p303440 -aS'capillary\tcapillary\tJJ\tI-NP\tO' -p303441 -aS'refill\trefill\tNN\tI-NP\tO' -p303442 -aS'less\tless\tJJR\tB-NP\tO' -p303443 -aS'than\tthan\tIN\tI-NP\tO' -p303444 -aS'2\t2\tCD\tI-NP\tO' -p303445 -aS'seconds\tsecond\tNNS\tI-NP\tO' -p303446 -aS'.\t.\t.\tO\tO' -p303447 -asS'In addition to the gastrostomy and feeding jejunostomy tube , two Belmont-Gardner drains were placed .' -p303448 -(lp303449 -S'In\tIn\tIN\tB-PP\tO' -p303450 -aS'addition\taddition\tNN\tB-NP\tO' -p303451 -aS'to\tto\tTO\tB-PP\tO' -p303452 -aS'the\tthe\tDT\tB-NP\tO' -p303453 -aS'gastrostomy\tgastrostomy\tNN\tI-NP\tO' -p303454 -aS'and\tand\tCC\tI-NP\tO' -p303455 -aS'feeding\tfeeding\tNN\tI-NP\tO' -p303456 -aS'jejunostomy\tjejunostomy\tNN\tI-NP\tO' -p303457 -aS'tube\ttube\tNN\tI-NP\tO' -p303458 -aS',\t,\t,\tO\tO' -p303459 -aS'two\ttwo\tCD\tB-NP\tO' -p303460 -aS'Belmont-Gardner\tBelmont-Gardner\tNNP\tI-NP\tO' -p303461 -aS'drains\tdrain\tNNS\tI-NP\tO' -p303462 -aS'were\tbe\tVBD\tB-VP\tO' -p303463 -aS'placed\tplace\tVBN\tI-VP\tO' -p303464 -aS'.\t.\t.\tO\tO' -p303465 -asS'Epicardial pacing wires were removed on post-op day four .' -p303466 -(lp303467 -S'Epicardial\tEpicardial\tJJ\tB-NP\tO' -p303468 -aS'pacing\tpacing\tNN\tI-NP\tO' -p303469 -aS'wires\twire\tNNS\tI-NP\tO' -p303470 -aS'were\tbe\tVBD\tB-VP\tO' -p303471 -aS'removed\tremove\tVBN\tI-VP\tO' -p303472 -aS'on\ton\tIN\tB-PP\tO' -p303473 -aS'post-op\tpost-op\tJJ\tB-NP\tO' -p303474 -aS'day\tday\tNN\tI-NP\tO' -p303475 -aS'four\tfour\tCD\tI-NP\tO' -p303476 -aS'.\t.\t.\tO\tO' -p303477 -asS'He was seen by a doctor in Arizona and treated with dressing changes and debridement until approximately six weeks ago , when antibiotics were started with Ciprofloxacin .' -p303478 -(lp303479 -S'He\tHe\tPRP\tB-NP\tO' -p303480 -aS'was\tbe\tVBD\tB-VP\tO' -p303481 -aS'seen\tsee\tVBN\tI-VP\tO' -p303482 -aS'by\tby\tIN\tB-PP\tO' -p303483 -aS'a\ta\tDT\tB-NP\tO' -p303484 -aS'doctor\tdoctor\tNN\tI-NP\tO' -p303485 -aS'in\tin\tIN\tB-PP\tO' -p303486 -aS'Arizona\tArizona\tNNP\tB-NP\tO' -p303487 -aS'and\tand\tCC\tO\tO' -p303488 -aS'treated\ttreat\tVBN\tB-VP\tO' -p303489 -aS'with\twith\tIN\tB-PP\tO' -p303490 -aS'dressing\tdress\tVBG\tB-NP\tO' -p303491 -aS'changes\tchange\tNNS\tI-NP\tO' -p303492 -aS'and\tand\tCC\tI-NP\tO' -p303493 -aS'debridement\tdebridement\tNN\tI-NP\tO' -p303494 -aS'until\tuntil\tIN\tB-PP\tO' -p303495 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p303496 -aS'six\tsix\tCD\tI-NP\tO' -p303497 -aS'weeks\tweek\tNNS\tI-NP\tO' -p303498 -aS'ago\tago\tRB\tB-ADVP\tO' -p303499 -aS',\t,\t,\tO\tO' -p303500 -aS'when\twhen\tWRB\tB-ADVP\tO' -p303501 -aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' -p303502 -aS'were\tbe\tVBD\tB-VP\tO' -p303503 -aS'started\tstart\tVBN\tI-VP\tO' -p303504 -aS'with\twith\tIN\tB-PP\tO' -p303505 -aS'Ciprofloxacin\tCiprofloxacin\tNN\tB-NP\tO' -p303506 -aS'.\t.\t.\tO\tO' -p303507 -asS'These should be followed up as an outaptient .' -p303508 -(lp303509 -S'These\tThese\tDT\tB-NP\tO' -p303510 -aS'should\tshould\tMD\tB-VP\tO' -p303511 -aS'be\tbe\tVB\tI-VP\tO' -p303512 -aS'followed\tfollow\tVBN\tI-VP\tO' -p303513 -aS'up\tup\tRP\tB-PRT\tO' -p303514 -aS'as\tas\tIN\tB-PP\tO' -p303515 -aS'an\tan\tDT\tB-NP\tO' -p303516 -aS'outaptient\toutaptient\tNN\tI-NP\tO' -p303517 -aS'.\t.\t.\tO\tO' -p303518 -asS'The pathology , unfortunately , revealed an aggressive adenocarcinoma ( micropapillary type ; mucin producing ) .' -p303519 -(lp303520 -S'The\tThe\tDT\tB-NP\tO' -p303521 -aS'pathology\tpathology\tNN\tI-NP\tO' -p303522 -aS',\t,\t,\tO\tO' -p303523 -aS'unfortunately\tunfortunately\tRB\tB-ADVP\tO' -p303524 -aS',\t,\t,\tO\tO' -p303525 -aS'revealed\treveal\tVBD\tB-VP\tO' -p303526 -aS'an\tan\tDT\tB-NP\tO' -p303527 -aS'aggressive\taggressive\tJJ\tI-NP\tO' -p303528 -aS'adenocarcinoma\tadenocarcinoma\tNN\tI-NP\tO' -p303529 -aS'(\t(\t(\tO\tO' -p303530 -aS'micropapillary\tmicropapillary\tJJ\tB-NP\tO' -p303531 -aS'type\ttype\tNN\tI-NP\tO' -p303532 -aS';\t;\t:\tO\tO' -p303533 -aS'mucin\tmucin\tNN\tB-NP\tO' -p303534 -aS'producing\tproducing\tNN\tI-NP\tO' -p303535 -aS')\t)\t)\tO\tO' -p303536 -aS'.\t.\t.\tO\tO' -p303537 -asS'Patient was transferred to the floor on 06-20 .' -p303538 -(lp303539 -S'Patient\tPatient\tNN\tB-NP\tO' -p303540 -aS'was\tbe\tVBD\tB-VP\tO' -p303541 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p303542 -aS'to\tto\tTO\tB-PP\tO' -p303543 -aS'the\tthe\tDT\tB-NP\tO' -p303544 -aS'floor\tfloor\tNN\tI-NP\tO' -p303545 -aS'on\ton\tIN\tB-PP\tO' -p303546 -aS'06-20\t06-20\tCD\tB-NP\tO' -p303547 -aS'.\t.\t.\tO\tO' -p303548 -asS'The carotids were normal .' -p303549 -(lp303550 -S'The\tThe\tDT\tB-NP\tO' -p303551 -aS'carotids\tcarotid\tNNS\tI-NP\tO' -p303552 -aS'were\tbe\tVBD\tB-VP\tO' -p303553 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p303554 -aS'.\t.\t.\tO\tO' -p303555 -asS'Right ventricular systolic function is borderline normal .' -p303556 -(lp303557 -S'Right\tRight\tRB\tB-NP\tO' -p303558 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p303559 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p303560 -aS'function\tfunction\tNN\tI-NP\tO' -p303561 -aS'is\tbe\tVBZ\tB-VP\tO' -p303562 -aS'borderline\tborderline\tNN\tB-NP\tO' -p303563 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p303564 -aS'.\t.\t.\tO\tO' -p303565 -asS'By hospital day number six , however , the patient became febrile to 100.7 and repeat urinalysis showed 20-30 white blood cells and 1+ bacteria .' -p303566 -(lp303567 -S'By\tBy\tIN\tB-PP\tO' -p303568 -aS'hospital\thospital\tNN\tB-NP\tO' -p303569 -aS'day\tday\tNN\tI-NP\tO' -p303570 -aS'number\tnumber\tNN\tI-NP\tO' -p303571 -aS'six\tsix\tCD\tI-NP\tO' -p303572 -aS',\t,\t,\tO\tO' -p303573 -aS'however\thowever\tRB\tB-ADVP\tO' -p303574 -aS',\t,\t,\tO\tO' -p303575 -aS'the\tthe\tDT\tB-NP\tO' -p303576 -aS'patient\tpatient\tNN\tI-NP\tO' -p303577 -aS'became\tbecome\tVBD\tB-VP\tO' -p303578 -aS'febrile\tfebrile\tNN\tB-NP\tO' -p303579 -aS'to\tto\tTO\tB-PP\tO' -p303580 -aS'100.7\t100.7\tCD\tB-NP\tO' -p303581 -aS'and\tand\tCC\tO\tO' -p303582 -aS'repeat\trepeat\tNN\tB-NP\tO' -p303583 -aS'urinalysis\turinalysis\tNN\tI-NP\tO' -p303584 -aS'showed\tshow\tVBD\tB-VP\tO' -p303585 -aS'20-30\t20-30\tCD\tB-NP\tO' -p303586 -aS'white\twhite\tJJ\tI-NP\tB-cell_type' -p303587 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p303588 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p303589 -aS'and\tand\tCC\tO\tO' -p303590 -aS'1+\t1+\tJJ\tB-NP\tO' -p303591 -aS'bacteria\tbacteria\tNNS\tI-NP\tO' -p303592 -aS'.\t.\t.\tO\tO' -p303593 -asS'9. TPN .' -p303594 -(lp303595 -S'9.\t9.\tLS\tB-NP\tO' -p303596 -aS'TPN\tTPN\tNN\tI-NP\tB-protein' -p303597 -aS'.\t.\t.\tO\tO' -p303598 -asS'motrin 400-600 mg every 8 hours as needed for pain' -p303599 -(lp303600 -S'motrin\tmotrin\tNN\tB-NP\tO' -p303601 -aS'400-600\t400-600\tCD\tI-NP\tO' -p303602 -aS'mg\tmg\tNN\tI-NP\tO' -p303603 -aS'every\tevery\tDT\tB-NP\tO' -p303604 -aS'8\t8\tCD\tI-NP\tO' -p303605 -aS'hours\thour\tNNS\tI-NP\tO' -p303606 -aS'as\tas\tIN\tB-SBAR\tO' -p303607 -aS'needed\tneed\tVBN\tB-VP\tO' -p303608 -aS'for\tfor\tIN\tB-PP\tO' -p303609 -aS'pain\tpain\tNN\tB-NP\tO' -p303610 -asS'The permanent pathology sections are still pending .' -p303611 -(lp303612 -S'The\tThe\tDT\tB-NP\tO' -p303613 -aS'permanent\tpermanent\tJJ\tI-NP\tO' -p303614 -aS'pathology\tpathology\tNN\tI-NP\tO' -p303615 -aS'sections\tsection\tNNS\tI-NP\tO' -p303616 -aS'are\tbe\tVBP\tB-VP\tO' -p303617 -aS'still\tstill\tRB\tI-VP\tO' -p303618 -aS'pending\tpende\tVBG\tI-VP\tO' -p303619 -aS'.\t.\t.\tO\tO' -p303620 -asS'Her stool cultures were negative .' -p303621 -(lp303622 -S'Her\tHer\tPRP$\tB-NP\tB-cell_line' -p303623 -aS'stool\tstool\tNN\tI-NP\tI-cell_line' -p303624 -aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' -p303625 -aS'were\tbe\tVBD\tB-VP\tO' -p303626 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p303627 -aS'.\t.\t.\tO\tO' -p303628 -asS'The coordination was intact for finger-nose-finger test , rapid alternating hand movements .' -p303629 -(lp303630 -S'The\tThe\tDT\tB-NP\tO' -p303631 -aS'coordination\tcoordination\tNN\tI-NP\tO' -p303632 -aS'was\tbe\tVBD\tB-VP\tO' -p303633 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p303634 -aS'for\tfor\tIN\tB-PP\tO' -p303635 -aS'finger-nose-finger\tfinger-nose-finger\tNN\tB-NP\tO' -p303636 -aS'test\ttest\tNN\tI-NP\tO' -p303637 -aS',\t,\t,\tO\tO' -p303638 -aS'rapid\trapid\tJJ\tB-NP\tO' -p303639 -aS'alternating\talternate\tVBG\tI-NP\tO' -p303640 -aS'hand\thand\tNN\tI-NP\tO' -p303641 -aS'movements\tmovement\tNNS\tI-NP\tO' -p303642 -aS'.\t.\t.\tO\tO' -p303643 -asS'She was restarted on Coumadin 2.5 mg per day .' -p303644 -(lp303645 -S'She\tShe\tPRP\tB-NP\tO' -p303646 -aS'was\tbe\tVBD\tB-VP\tO' -p303647 -aS'restarted\trestart\tVBN\tI-VP\tO' -p303648 -aS'on\ton\tIN\tB-PP\tO' -p303649 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p303650 -aS'2.5\t2.5\tCD\tI-NP\tO' -p303651 -aS'mg\tmg\tNN\tI-NP\tO' -p303652 -aS'per\tper\tIN\tB-PP\tO' -p303653 -aS'day\tday\tNN\tB-NP\tO' -p303654 -aS'.\t.\t.\tO\tO' -p303655 -asS'There was a pulsatile mass felt in the right upper quadrant near the midline .' -p303656 -(lp303657 -S'There\tThere\tEX\tB-NP\tO' -p303658 -aS'was\tbe\tVBD\tB-VP\tO' -p303659 -aS'a\ta\tDT\tB-NP\tO' -p303660 -aS'pulsatile\tpulsatile\tJJ\tI-NP\tO' -p303661 -aS'mass\tmass\tNN\tI-NP\tO' -p303662 -aS'felt\tfeel\tVBD\tB-VP\tO' -p303663 -aS'in\tin\tIN\tB-PP\tO' -p303664 -aS'the\tthe\tDT\tB-NP\tO' -p303665 -aS'right\tright\tJJ\tI-NP\tO' -p303666 -aS'upper\tupper\tJJ\tI-NP\tO' -p303667 -aS'quadrant\tquadrant\tNN\tI-NP\tO' -p303668 -aS'near\tnear\tIN\tB-PP\tO' -p303669 -aS'the\tthe\tDT\tB-NP\tO' -p303670 -aS'midline\tmidline\tNN\tI-NP\tO' -p303671 -aS'.\t.\t.\tO\tO' -p303672 -asS'Coronary artery disease , status post coronary artery bypass graft .' -p303673 -(lp303674 -S'Coronary\tCoronary\tJJ\tB-NP\tO' -p303675 -aS'artery\tartery\tNN\tI-NP\tO' -p303676 -aS'disease\tdisease\tNN\tI-NP\tO' -p303677 -aS',\t,\t,\tO\tO' -p303678 -aS'status\tstatus\tNN\tB-NP\tO' -p303679 -aS'post\tpost\tNN\tI-NP\tO' -p303680 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p303681 -aS'artery\tartery\tNN\tI-NP\tO' -p303682 -aS'bypass\tbypass\tIN\tB-PP\tO' -p303683 -aS'graft\tgraft\tNN\tB-NP\tO' -p303684 -aS'.\t.\t.\tO\tO' -p303685 -asS'Blood cultures drawn at the outside hospital grew out Pseudomonas that was sensitive to Imipenem and Tobramycin .' -p303686 -(lp303687 -S'Blood\tBlood\tNN\tB-NP\tO' -p303688 -aS'cultures\tculture\tNNS\tI-NP\tO' -p303689 -aS'drawn\tdraw\tVBN\tB-VP\tO' -p303690 -aS'at\tat\tIN\tB-PP\tO' -p303691 -aS'the\tthe\tDT\tB-NP\tO' -p303692 -aS'outside\toutside\tJJ\tI-NP\tO' -p303693 -aS'hospital\thospital\tNN\tI-NP\tO' -p303694 -aS'grew\tgrow\tVBD\tB-VP\tO' -p303695 -aS'out\tout\tRP\tB-PRT\tO' -p303696 -aS'Pseudomonas\tPseudomonas\tNNP\tB-NP\tO' -p303697 -aS'that\tthat\tWDT\tB-NP\tO' -p303698 -aS'was\tbe\tVBD\tB-VP\tO' -p303699 -aS'sensitive\tsensitive\tJJ\tB-ADJP\tO' -p303700 -aS'to\tto\tTO\tB-PP\tO' -p303701 -aS'Imipenem\tImipenem\tNN\tB-NP\tO' -p303702 -aS'and\tand\tCC\tI-NP\tO' -p303703 -aS'Tobramycin\tTobramycin\tNN\tI-NP\tO' -p303704 -aS'.\t.\t.\tO\tO' -p303705 -asS'The patient also had a shoulder film done on 10/10/97 that showed a severely comminuted fracture of the proximal left humerus with proximal distraction .' -p303706 -(lp303707 -S'The\tThe\tDT\tB-NP\tO' -p303708 -aS'patient\tpatient\tNN\tI-NP\tO' -p303709 -aS'also\talso\tRB\tB-ADVP\tO' -p303710 -aS'had\thave\tVBD\tB-VP\tO' -p303711 -aS'a\ta\tDT\tB-NP\tO' -p303712 -aS'shoulder\tshoulder\tNN\tI-NP\tO' -p303713 -aS'film\tfilm\tNN\tI-NP\tO' -p303714 -aS'done\tdo\tVBN\tB-VP\tO' -p303715 -aS'on\ton\tIN\tB-PP\tO' -p303716 -aS'10/10/97\t10/10/97\tCD\tB-NP\tO' -p303717 -aS'that\tthat\tWDT\tB-NP\tO' -p303718 -aS'showed\tshow\tVBD\tB-VP\tO' -p303719 -aS'a\ta\tDT\tB-NP\tO' -p303720 -aS'severely\tseverely\tRB\tI-NP\tO' -p303721 -aS'comminuted\tcomminute\tVBN\tI-NP\tO' -p303722 -aS'fracture\tfracture\tNN\tI-NP\tO' -p303723 -aS'of\tof\tIN\tB-PP\tO' -p303724 -aS'the\tthe\tDT\tB-NP\tO' -p303725 -aS'proximal\tproximal\tJJ\tI-NP\tO' -p303726 -aS'left\tleft\tJJ\tI-NP\tO' -p303727 -aS'humerus\thumerus\tNN\tI-NP\tO' -p303728 -aS'with\twith\tIN\tB-PP\tO' -p303729 -aS'proximal\tproximal\tJJ\tB-NP\tO' -p303730 -aS'distraction\tdistraction\tNN\tI-NP\tO' -p303731 -aS'.\t.\t.\tO\tO' -p303732 -asS'Tylenol level was 15 .' -p303733 -(lp303734 -S'Tylenol\tTylenol\tNN\tB-NP\tO' -p303735 -aS'level\tlevel\tNN\tI-NP\tO' -p303736 -aS'was\tbe\tVBD\tB-VP\tO' -p303737 -aS'15\t15\tCD\tB-NP\tO' -p303738 -aS'.\t.\t.\tO\tO' -p303739 -asS'Possible anemia 03-02 operative blood loss .' -p303740 -(lp303741 -S'Possible\tPossible\tJJ\tB-NP\tO' -p303742 -aS'anemia\tanemia\tNN\tI-NP\tO' -p303743 -aS'03-02\t03-02\tCD\tI-NP\tO' -p303744 -aS'operative\toperative\tJJ\tI-NP\tO' -p303745 -aS'blood\tblood\tNN\tI-NP\tO' -p303746 -aS'loss\tloss\tNN\tI-NP\tO' -p303747 -aS'.\t.\t.\tO\tO' -p303748 -asS'XII: Tongue midline without fasciculations .' -p303749 -(lp303750 -S'XII:\tXII:\tNNP\tB-NP\tO' -p303751 -aS'Tongue\tTongue\tNNP\tI-NP\tO' -p303752 -aS'midline\tmidline\tNN\tI-NP\tO' -p303753 -aS'without\twithout\tIN\tB-PP\tO' -p303754 -aS'fasciculations\tfasciculation\tNNS\tB-NP\tO' -p303755 -aS'.\t.\t.\tO\tO' -p303756 -asS'He was taken to the Cardiac Catheterization Lab where cath showed top-normal LVEDP at 12 ; no AF ; widely patent RCA stent ; mild CAD in the left coronary artery symptom ; widely patent diagonal 1 at the site of prior PTCA .' -p303757 -(lp303758 -S'He\tHe\tPRP\tB-NP\tO' -p303759 -aS'was\tbe\tVBD\tB-VP\tO' -p303760 -aS'taken\ttake\tVBN\tI-VP\tO' -p303761 -aS'to\tto\tTO\tB-PP\tO' -p303762 -aS'the\tthe\tDT\tB-NP\tO' -p303763 -aS'Cardiac\tCardiac\tNNP\tI-NP\tO' -p303764 -aS'Catheterization\tCatheterization\tNNP\tI-NP\tO' -p303765 -aS'Lab\tLab\tNNP\tI-NP\tB-protein' -p303766 -aS'where\twhere\tWRB\tB-ADVP\tO' -p303767 -aS'cath\tcath\tNN\tB-NP\tO' -p303768 -aS'showed\tshow\tVBD\tB-VP\tO' -p303769 -aS'top-normal\ttop-normal\tJJ\tB-NP\tO' -p303770 -aS'LVEDP\tLVEDP\tNN\tI-NP\tO' -p303771 -aS'at\tat\tIN\tB-PP\tO' -p303772 -aS'12\t12\tCD\tB-NP\tO' -p303773 -aS';\t;\t:\tO\tO' -p303774 -aS'no\tno\tDT\tB-NP\tO' -p303775 -aS'AF\tAF\tNN\tI-NP\tO' -p303776 -aS';\t;\t:\tO\tO' -p303777 -aS'widely\twidely\tRB\tB-NP\tO' -p303778 -aS'patent\tpatent\tNN\tI-NP\tO' -p303779 -aS'RCA\tRCA\tNN\tI-NP\tO' -p303780 -aS'stent\tstent\tNN\tI-NP\tO' -p303781 -aS';\t;\t:\tO\tO' -p303782 -aS'mild\tmild\tJJ\tB-NP\tO' -p303783 -aS'CAD\tCAD\tNN\tI-NP\tO' -p303784 -aS'in\tin\tIN\tB-PP\tO' -p303785 -aS'the\tthe\tDT\tB-NP\tO' -p303786 -aS'left\tleft\tJJ\tI-NP\tO' -p303787 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p303788 -aS'artery\tartery\tNN\tI-NP\tO' -p303789 -aS'symptom\tsymptom\tNN\tI-NP\tO' -p303790 -aS';\t;\t:\tO\tO' -p303791 -aS'widely\twidely\tRB\tB-NP\tO' -p303792 -aS'patent\tpatent\tNN\tI-NP\tO' -p303793 -aS'diagonal\tdiagonal\tJJ\tI-NP\tO' -p303794 -aS'1\t1\tCD\tI-NP\tO' -p303795 -aS'at\tat\tIN\tB-PP\tO' -p303796 -aS'the\tthe\tDT\tB-NP\tO' -p303797 -aS'site\tsite\tNN\tI-NP\tO' -p303798 -aS'of\tof\tIN\tB-PP\tO' -p303799 -aS'prior\tprior\tJJ\tB-NP\tO' -p303800 -aS'PTCA\tPTCA\tNN\tI-NP\tO' -p303801 -aS'.\t.\t.\tO\tO' -p303802 -asS'Because of the story of hemoptysis , he also underwent an exotic bleeding work up for such things as Wegner 's and Goodpasture 's .' -p303803 -(lp303804 -S'Because\tBecause\tIN\tB-PP\tO' -p303805 -aS'of\tof\tIN\tI-PP\tO' -p303806 -aS'the\tthe\tDT\tB-NP\tO' -p303807 -aS'story\tstory\tNN\tI-NP\tO' -p303808 -aS'of\tof\tIN\tB-PP\tO' -p303809 -aS'hemoptysis\themoptysis\tNN\tB-NP\tO' -p303810 -aS',\t,\t,\tO\tO' -p303811 -aS'he\the\tPRP\tB-NP\tO' -p303812 -aS'also\talso\tRB\tB-ADVP\tO' -p303813 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p303814 -aS'an\tan\tDT\tB-NP\tO' -p303815 -aS'exotic\texotic\tJJ\tI-NP\tO' -p303816 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p303817 -aS'work\twork\tNN\tI-NP\tO' -p303818 -aS'up\tup\tRB\tB-ADVP\tO' -p303819 -aS'for\tfor\tIN\tB-PP\tO' -p303820 -aS'such\tsuch\tJJ\tB-NP\tO' -p303821 -aS'things\tthing\tNNS\tI-NP\tO' -p303822 -aS'as\tas\tIN\tB-PP\tO' -p303823 -aS'Wegner\tWegner\tNN\tB-NP\tO' -p303824 -aS''s\t'\tNNS\tI-NP\tO' -p303825 -aS'and\tand\tCC\tO\tO' -p303826 -aS'Goodpasture\tGoodpasture\tNNP\tB-NP\tO' -p303827 -aS''s\t'\tNNS\tI-NP\tO' -p303828 -aS'.\t.\t.\tO\tO' -p303829 -asS'On 12/23 , she was seen by Dr. Stonge at Bri Health where a 3 x 7 cm left mid clavicular mass was noted .' -p303830 -(lp303831 -S'On\tOn\tIN\tB-PP\tO' -p303832 -aS'12/23\t12/23\tCD\tB-NP\tO' -p303833 -aS',\t,\t,\tO\tO' -p303834 -aS'she\tshe\tPRP\tB-NP\tO' -p303835 -aS'was\tbe\tVBD\tB-VP\tO' -p303836 -aS'seen\tsee\tVBN\tI-VP\tO' -p303837 -aS'by\tby\tIN\tB-PP\tO' -p303838 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p303839 -aS'Stonge\tStonge\tNNP\tI-NP\tO' -p303840 -aS'at\tat\tIN\tB-PP\tO' -p303841 -aS'Bri\tBri\tNNP\tB-NP\tO' -p303842 -aS'Health\tHealth\tNNP\tI-NP\tO' -p303843 -aS'where\twhere\tWRB\tB-ADVP\tO' -p303844 -aS'a\ta\tDT\tB-NP\tO' -p303845 -aS'3\t3\tCD\tI-NP\tO' -p303846 -aS'x\tx\tSYM\tI-NP\tO' -p303847 -aS'7\t7\tCD\tI-NP\tO' -p303848 -aS'cm\tcm\tNN\tI-NP\tO' -p303849 -aS'left\tleave\tVBD\tB-VP\tO' -p303850 -aS'mid\tmid\tJJ\tB-NP\tO' -p303851 -aS'clavicular\tclavicular\tJJ\tI-NP\tO' -p303852 -aS'mass\tmass\tNN\tI-NP\tO' -p303853 -aS'was\tbe\tVBD\tB-VP\tO' -p303854 -aS'noted\tnote\tVBN\tI-VP\tO' -p303855 -aS'.\t.\t.\tO\tO' -p303856 -asS'Also had labile blood sugars with repeated episodes of hypoglycemia , and Strickland recommended sugars in the range of 150-200 .' -p303857 -(lp303858 -S'Also\tAlso\tRB\tB-ADVP\tO' -p303859 -aS'had\thave\tVBD\tB-VP\tO' -p303860 -aS'labile\tlabile\tJJ\tB-NP\tO' -p303861 -aS'blood\tblood\tNN\tI-NP\tO' -p303862 -aS'sugars\tsugar\tNNS\tI-NP\tO' -p303863 -aS'with\twith\tIN\tB-PP\tO' -p303864 -aS'repeated\trepeat\tVBN\tB-NP\tO' -p303865 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p303866 -aS'of\tof\tIN\tB-PP\tO' -p303867 -aS'hypoglycemia\thypoglycemia\tNN\tB-NP\tO' -p303868 -aS',\t,\t,\tO\tO' -p303869 -aS'and\tand\tCC\tO\tO' -p303870 -aS'Strickland\tStrickland\tNNP\tB-NP\tO' -p303871 -aS'recommended\trecommend\tVBD\tB-VP\tO' -p303872 -aS'sugars\tsugar\tNNS\tB-NP\tO' -p303873 -aS'in\tin\tIN\tB-PP\tO' -p303874 -aS'the\tthe\tDT\tB-NP\tO' -p303875 -aS'range\trange\tNN\tI-NP\tO' -p303876 -aS'of\tof\tIN\tB-PP\tO' -p303877 -aS'150-200\t150-200\tCD\tB-NP\tO' -p303878 -aS'.\t.\t.\tO\tO' -p303879 -asS'The patient presented with a chief complaint of INCREASED LETHARGY .' -p303880 -(lp303881 -S'The\tThe\tDT\tB-NP\tO' -p303882 -aS'patient\tpatient\tNN\tI-NP\tO' -p303883 -aS'presented\tpresent\tVBD\tB-VP\tO' -p303884 -aS'with\twith\tIN\tB-PP\tO' -p303885 -aS'a\ta\tDT\tB-NP\tO' -p303886 -aS'chief\tchief\tJJ\tI-NP\tO' -p303887 -aS'complaint\tcomplaint\tNN\tI-NP\tO' -p303888 -aS'of\tof\tIN\tB-PP\tO' -p303889 -aS'INCREASED\tINCREASED\tNNP\tB-NP\tO' -p303890 -aS'LETHARGY\tLETHARGY\tNNP\tI-NP\tO' -p303891 -aS'.\t.\t.\tO\tO' -p303892 -asS'Insulin NPH , 36 subcu q AM , 30 subcu q PM .' -p303893 -(lp303894 -S'Insulin\tInsulin\tNN\tB-NP\tO' -p303895 -aS'NPH\tNPH\tNN\tI-NP\tO' -p303896 -aS',\t,\t,\tO\tO' -p303897 -aS'36\t36\tCD\tB-NP\tO' -p303898 -aS'subcu\tsubcu\tNN\tI-NP\tO' -p303899 -aS'q\tq\tNN\tI-NP\tO' -p303900 -aS'AM\tAM\tNN\tI-NP\tO' -p303901 -aS',\t,\t,\tO\tO' -p303902 -aS'30\t30\tCD\tB-NP\tO' -p303903 -aS'subcu\tsubcu\tNN\tI-NP\tO' -p303904 -aS'q\tq\tNN\tI-NP\tO' -p303905 -aS'PM\tPM\tNN\tI-NP\tO' -p303906 -aS'.\t.\t.\tO\tO' -p303907 -asS'They will monitor your blood pressure and heart rate and lopressor .' -p303908 -(lp303909 -S'They\tThey\tPRP\tB-NP\tO' -p303910 -aS'will\twill\tMD\tB-VP\tO' -p303911 -aS'monitor\tmonitor\tVB\tI-VP\tO' -p303912 -aS'your\tyour\tPRP$\tB-NP\tO' -p303913 -aS'blood\tblood\tNN\tI-NP\tO' -p303914 -aS'pressure\tpressure\tNN\tI-NP\tO' -p303915 -aS'and\tand\tCC\tI-NP\tO' -p303916 -aS'heart\theart\tNN\tI-NP\tO' -p303917 -aS'rate\trate\tNN\tI-NP\tO' -p303918 -aS'and\tand\tCC\tI-NP\tO' -p303919 -aS'lopressor\tlopressor\tNN\tI-NP\tO' -p303920 -aS'.\t.\t.\tO\tO' -p303921 -asS'4. Endocrine .' -p303922 -(lp303923 -S'4.\t4.\tLS\tB-NP\tO' -p303924 -aS'Endocrine\tEndocrine\tNN\tI-NP\tO' -p303925 -aS'.\t.\t.\tO\tO' -p303926 -asS'1. Extensive bilateral diffuse ground glass and more confluent areas of consolidation in both lungs consistent with the recent chest x-ray .' -p303927 -(lp303928 -S'1.\t1.\tLS\tB-NP\tO' -p303929 -aS'Extensive\tExtensive\tJJ\tI-NP\tO' -p303930 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p303931 -aS'diffuse\tdiffuse\tJJ\tI-NP\tO' -p303932 -aS'ground\tground\tNN\tI-NP\tO' -p303933 -aS'glass\tglass\tNN\tI-NP\tO' -p303934 -aS'and\tand\tCC\tO\tO' -p303935 -aS'more\tmore\tRBR\tB-NP\tO' -p303936 -aS'confluent\tconfluent\tJJ\tI-NP\tO' -p303937 -aS'areas\tarea\tNNS\tI-NP\tO' -p303938 -aS'of\tof\tIN\tB-PP\tO' -p303939 -aS'consolidation\tconsolidation\tNN\tB-NP\tO' -p303940 -aS'in\tin\tIN\tB-PP\tO' -p303941 -aS'both\tboth\tDT\tB-NP\tO' -p303942 -aS'lungs\tlung\tNNS\tI-NP\tO' -p303943 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p303944 -aS'with\twith\tIN\tB-PP\tO' -p303945 -aS'the\tthe\tDT\tB-NP\tO' -p303946 -aS'recent\trecent\tJJ\tI-NP\tO' -p303947 -aS'chest\tchest\tNN\tI-NP\tO' -p303948 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p303949 -aS'.\t.\t.\tO\tO' -p303950 -asS'Extraocular movements intact .' -p303951 -(lp303952 -S'Extraocular\tExtraocular\tJJ\tB-NP\tO' -p303953 -aS'movements\tmovement\tNNS\tI-NP\tO' -p303954 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p303955 -aS'.\t.\t.\tO\tO' -p303956 -asS'Urine tox positive for barbiturates , opiates , and methadone .' -p303957 -(lp303958 -S'Urine\tUrine\tNN\tB-NP\tO' -p303959 -aS'tox\ttox\tNN\tI-NP\tO' -p303960 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p303961 -aS'for\tfor\tIN\tB-PP\tO' -p303962 -aS'barbiturates\tbarbiturate\tNNS\tB-NP\tO' -p303963 -aS',\t,\t,\tO\tO' -p303964 -aS'opiates\topiate\tNNS\tB-NP\tO' -p303965 -aS',\t,\t,\tO\tO' -p303966 -aS'and\tand\tCC\tO\tO' -p303967 -aS'methadone\tmethadone\tNN\tB-NP\tO' -p303968 -aS'.\t.\t.\tO\tO' -p303969 -asS'SELF INFLICTED GUNSHOT WOUND TO THE HEAD .' -p303970 -(lp303971 -S'SELF\tSELF\tNN\tB-NP\tO' -p303972 -aS'INFLICTED\tINFLICTED\tVBD\tB-VP\tO' -p303973 -aS'GUNSHOT\tGUNSHOT\tNN\tB-NP\tO' -p303974 -aS'WOUND\tWOUND\tNN\tI-NP\tO' -p303975 -aS'TO\tTO\tTO\tB-PP\tO' -p303976 -aS'THE\tTHE\tDT\tB-NP\tO' -p303977 -aS'HEAD\tHEAD\tNN\tI-NP\tB-protein' -p303978 -aS'.\t.\t.\tO\tO' -p303979 -asS'7. Aricept 5 mg po qd .' -p303980 -(lp303981 -S'7.\t7.\tCD\tB-NP\tO' -p303982 -aS'Aricept\tAricept\tIN\tI-NP\tO' -p303983 -aS'5\t5\tCD\tI-NP\tO' -p303984 -aS'mg\tmg\tNN\tI-NP\tO' -p303985 -aS'po\tpo\tNN\tI-NP\tO' -p303986 -aS'qd\tqd\tNN\tI-NP\tO' -p303987 -aS'.\t.\t.\tO\tO' -p303988 -asS'Interoperatively , he was positive two liters with a stable blood pressure and heart rate , although requiring some neo-synephrine interoperatively .' -p303989 -(lp303990 -S'Interoperatively\tInteroperatively\tRB\tB-ADVP\tO' -p303991 -aS',\t,\t,\tO\tO' -p303992 -aS'he\the\tPRP\tB-NP\tO' -p303993 -aS'was\tbe\tVBD\tB-VP\tO' -p303994 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p303995 -aS'two\ttwo\tCD\tB-NP\tO' -p303996 -aS'liters\tliter\tNNS\tI-NP\tO' -p303997 -aS'with\twith\tIN\tB-PP\tO' -p303998 -aS'a\ta\tDT\tB-NP\tO' -p303999 -aS'stable\tstable\tJJ\tI-NP\tO' -p304000 -aS'blood\tblood\tNN\tI-NP\tO' -p304001 -aS'pressure\tpressure\tNN\tI-NP\tO' -p304002 -aS'and\tand\tCC\tI-NP\tO' -p304003 -aS'heart\theart\tNN\tI-NP\tO' -p304004 -aS'rate\trate\tNN\tI-NP\tO' -p304005 -aS',\t,\t,\tO\tO' -p304006 -aS'although\talthough\tIN\tB-SBAR\tO' -p304007 -aS'requiring\trequire\tVBG\tB-VP\tO' -p304008 -aS'some\tsome\tDT\tB-NP\tO' -p304009 -aS'neo-synephrine\tneo-synephrine\tNN\tI-NP\tO' -p304010 -aS'interoperatively\tinteroperatively\tRB\tB-ADVP\tO' -p304011 -aS'.\t.\t.\tO\tO' -p304012 -asS'The lungs were clear to auscultation bilaterally .' -p304013 -(lp304014 -S'The\tThe\tDT\tB-NP\tO' -p304015 -aS'lungs\tlung\tNNS\tI-NP\tO' -p304016 -aS'were\tbe\tVBD\tB-VP\tO' -p304017 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p304018 -aS'to\tto\tTO\tB-PP\tO' -p304019 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p304020 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p304021 -aS'.\t.\t.\tO\tO' -p304022 -asS'Moltipine 5 mg q. Day .' -p304023 -(lp304024 -S'Moltipine\tMoltipine\tNN\tB-NP\tO' -p304025 -aS'5\t5\tCD\tI-NP\tO' -p304026 -aS'mg\tmg\tNN\tI-NP\tO' -p304027 -aS'q.\tq.\tNNP\tI-NP\tO' -p304028 -aS'Day\tDay\tNNP\tI-NP\tO' -p304029 -aS'.\t.\t.\tO\tO' -p304030 -asS'He was discharged to a rehab facility in fair condition .' -p304031 -(lp304032 -S'He\tHe\tPRP\tB-NP\tO' -p304033 -aS'was\tbe\tVBD\tB-VP\tO' -p304034 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p304035 -aS'to\tto\tTO\tB-PP\tO' -p304036 -aS'a\ta\tDT\tB-NP\tO' -p304037 -aS'rehab\trehab\tNN\tI-NP\tO' -p304038 -aS'facility\tfacility\tNN\tI-NP\tO' -p304039 -aS'in\tin\tIN\tB-PP\tO' -p304040 -aS'fair\tfair\tJJ\tB-NP\tO' -p304041 -aS'condition\tcondition\tNN\tI-NP\tO' -p304042 -aS'.\t.\t.\tO\tO' -p304043 -asS'8. Quetiapine 100 mg Tablet Sig : Three ( 3 ) Tablet PO BID ( 2 times a day ) .' -p304044 -(lp304045 -S'8.\t8.\tCD\tB-NP\tO' -p304046 -aS'Quetiapine\tQuetiapine\tNNP\tI-NP\tO' -p304047 -aS'100\t100\tCD\tI-NP\tO' -p304048 -aS'mg\tmg\tNN\tI-NP\tO' -p304049 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p304050 -aS'Sig\tSig\tNNP\tI-NP\tO' -p304051 -aS':\t:\t:\tO\tO' -p304052 -aS'Three\tThree\tCD\tB-NP\tO' -p304053 -aS'(\t(\t(\tO\tO' -p304054 -aS'3\t3\tCD\tB-NP\tO' -p304055 -aS')\t)\t)\tO\tO' -p304056 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p304057 -aS'PO\tPO\tNN\tI-NP\tO' -p304058 -aS'BID\tBID\tNN\tI-NP\tO' -p304059 -aS'(\t(\t(\tO\tO' -p304060 -aS'2\t2\tCD\tB-NP\tO' -p304061 -aS'times\ttime\tNNS\tI-NP\tO' -p304062 -aS'a\ta\tDT\tB-NP\tO' -p304063 -aS'day\tday\tNN\tI-NP\tO' -p304064 -aS')\t)\t)\tO\tO' -p304065 -aS'.\t.\t.\tO\tO' -p304066 -asS'At 4:30 AM the following morning the patient was found in cardiac arrest .' -p304067 -(lp304068 -S'At\tAt\tIN\tB-PP\tO' -p304069 -aS'4:30\t4:30\tCD\tB-NP\tO' -p304070 -aS'AM\tAM\tVBP\tB-VP\tO' -p304071 -aS'the\tthe\tDT\tB-NP\tO' -p304072 -aS'following\tfollow\tVBG\tI-NP\tO' -p304073 -aS'morning\tmorning\tNN\tI-NP\tO' -p304074 -aS'the\tthe\tDT\tB-NP\tO' -p304075 -aS'patient\tpatient\tNN\tI-NP\tO' -p304076 -aS'was\tbe\tVBD\tB-VP\tO' -p304077 -aS'found\tfind\tVBN\tI-VP\tO' -p304078 -aS'in\tin\tIN\tB-PP\tO' -p304079 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p304080 -aS'arrest\tarrest\tNN\tI-NP\tO' -p304081 -aS'.\t.\t.\tO\tO' -p304082 -asS'Mr. Olander had acute blood loss anemia from the combination of the gunshot wound to the right distal femur as well as requirements for urgent open reduction , internal fixation .' -p304083 -(lp304084 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p304085 -aS'Olander\tOlander\tNNP\tI-NP\tO' -p304086 -aS'had\thave\tVBD\tB-VP\tO' -p304087 -aS'acute\tacute\tJJ\tB-NP\tO' -p304088 -aS'blood\tblood\tNN\tI-NP\tO' -p304089 -aS'loss\tloss\tNN\tI-NP\tO' -p304090 -aS'anemia\tanemia\tNN\tI-NP\tO' -p304091 -aS'from\tfrom\tIN\tB-PP\tO' -p304092 -aS'the\tthe\tDT\tB-NP\tO' -p304093 -aS'combination\tcombination\tNN\tI-NP\tO' -p304094 -aS'of\tof\tIN\tB-PP\tO' -p304095 -aS'the\tthe\tDT\tB-NP\tO' -p304096 -aS'gunshot\tgunshot\tNN\tI-NP\tO' -p304097 -aS'wound\twound\tNN\tI-NP\tO' -p304098 -aS'to\tto\tTO\tB-PP\tO' -p304099 -aS'the\tthe\tDT\tB-NP\tO' -p304100 -aS'right\tright\tJJ\tI-NP\tO' -p304101 -aS'distal\tdistal\tJJ\tI-NP\tO' -p304102 -aS'femur\tfemur\tNN\tI-NP\tO' -p304103 -aS'as\tas\tRB\tB-CONJP\tO' -p304104 -aS'well\twell\tRB\tI-CONJP\tO' -p304105 -aS'as\tas\tIN\tI-CONJP\tO' -p304106 -aS'requirements\trequirement\tNNS\tB-NP\tO' -p304107 -aS'for\tfor\tIN\tB-PP\tO' -p304108 -aS'urgent\turgent\tJJ\tB-NP\tO' -p304109 -aS'open\topen\tJJ\tI-NP\tO' -p304110 -aS'reduction\treduction\tNN\tI-NP\tO' -p304111 -aS',\t,\t,\tO\tO' -p304112 -aS'internal\tinternal\tJJ\tB-NP\tO' -p304113 -aS'fixation\tfixation\tNN\tI-NP\tO' -p304114 -aS'.\t.\t.\tO\tO' -p304115 -asS'The patient has right facial droop , right ptosis , stable and present for greater than one year .' -p304116 -(lp304117 -S'The\tThe\tDT\tB-NP\tO' -p304118 -aS'patient\tpatient\tNN\tI-NP\tO' -p304119 -aS'has\thave\tVBZ\tB-VP\tO' -p304120 -aS'right\tright\tJJ\tB-NP\tO' -p304121 -aS'facial\tfacial\tJJ\tI-NP\tO' -p304122 -aS'droop\tdroop\tNN\tI-NP\tO' -p304123 -aS',\t,\t,\tO\tO' -p304124 -aS'right\tright\tJJ\tB-NP\tO' -p304125 -aS'ptosis\tptosis\tNN\tI-NP\tO' -p304126 -aS',\t,\t,\tO\tO' -p304127 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p304128 -aS'and\tand\tCC\tI-ADJP\tO' -p304129 -aS'present\tpresent\tJJ\tI-ADJP\tO' -p304130 -aS'for\tfor\tIN\tB-PP\tO' -p304131 -aS'greater\tgreat\tJJR\tB-NP\tO' -p304132 -aS'than\tthan\tIN\tI-NP\tO' -p304133 -aS'one\tone\tCD\tI-NP\tO' -p304134 -aS'year\tyear\tNN\tI-NP\tO' -p304135 -aS'.\t.\t.\tO\tO' -p304136 -asS'Oncologist , Dr. Ala Aixknoleskaysneighslemteelenortkote , will call you will your appt .' -p304137 -(lp304138 -S'Oncologist\tOncologist\tNNP\tB-NP\tO' -p304139 -aS',\t,\t,\tO\tO' -p304140 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p304141 -aS'Ala\tAla\tNNP\tI-NP\tO' -p304142 -aS'Aixknoleskaysneighslemteelenortkote\tAixknoleskaysneighslemteelenortkote\tNNP\tI-NP\tO' -p304143 -aS',\t,\t,\tO\tO' -p304144 -aS'will\twill\tMD\tB-VP\tO' -p304145 -aS'call\tcall\tVB\tI-VP\tO' -p304146 -aS'you\tyou\tPRP\tB-NP\tO' -p304147 -aS'will\twill\tMD\tB-VP\tO' -p304148 -aS'your\tyour\tPRP$\tB-NP\tO' -p304149 -aS'appt\tappt\tNN\tI-NP\tO' -p304150 -aS'.\t.\t.\tO\tO' -p304151 -asS'The patient was to have a repeat CT scan in one week .' -p304152 -(lp304153 -S'The\tThe\tDT\tB-NP\tO' -p304154 -aS'patient\tpatient\tNN\tI-NP\tO' -p304155 -aS'was\tbe\tVBD\tB-VP\tO' -p304156 -aS'to\tto\tTO\tB-VP\tO' -p304157 -aS'have\thave\tVB\tI-VP\tO' -p304158 -aS'a\ta\tDT\tB-NP\tO' -p304159 -aS'repeat\trepeat\tNN\tI-NP\tO' -p304160 -aS'CT\tCT\tNN\tI-NP\tO' -p304161 -aS'scan\tscan\tNN\tI-NP\tO' -p304162 -aS'in\tin\tIN\tB-PP\tO' -p304163 -aS'one\tone\tCD\tB-NP\tO' -p304164 -aS'week\tweek\tNN\tI-NP\tO' -p304165 -aS'.\t.\t.\tO\tO' -p304166 -asS'This is on a current regimen of Lopressor 25 mg per NG tube t.i.d. as well as Diltiazem 60 mg per NG tube t.i.d. , and lisinopril 10 mg per NG tube q.d. She occasionally gets hypertensive when she is agitated .' -p304167 -(lp304168 -S'This\tThis\tDT\tB-NP\tO' -p304169 -aS'is\tbe\tVBZ\tB-VP\tO' -p304170 -aS'on\ton\tIN\tB-PP\tO' -p304171 -aS'a\ta\tDT\tB-NP\tO' -p304172 -aS'current\tcurrent\tJJ\tI-NP\tO' -p304173 -aS'regimen\tregimen\tNN\tI-NP\tO' -p304174 -aS'of\tof\tIN\tB-PP\tO' -p304175 -aS'Lopressor\tLopressor\tNN\tB-NP\tO' -p304176 -aS'25\t25\tCD\tI-NP\tO' -p304177 -aS'mg\tmg\tNN\tI-NP\tO' -p304178 -aS'per\tper\tIN\tB-PP\tO' -p304179 -aS'NG\tNG\tNN\tB-NP\tB-protein' -p304180 -aS'tube\ttube\tNN\tI-NP\tI-protein' -p304181 -aS't.i.d.\tt.i.d.\tNN\tI-NP\tI-protein' -p304182 -aS'as\tas\tRB\tB-CONJP\tO' -p304183 -aS'well\twell\tRB\tI-CONJP\tO' -p304184 -aS'as\tas\tIN\tI-CONJP\tO' -p304185 -aS'Diltiazem\tDiltiazem\tNNP\tB-NP\tO' -p304186 -aS'60\t60\tCD\tI-NP\tO' -p304187 -aS'mg\tmg\tNN\tI-NP\tO' -p304188 -aS'per\tper\tIN\tB-PP\tO' -p304189 -aS'NG\tNG\tNN\tB-NP\tO' -p304190 -aS'tube\ttube\tNN\tI-NP\tO' -p304191 -aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' -p304192 -aS',\t,\t,\tO\tO' -p304193 -aS'and\tand\tCC\tO\tO' -p304194 -aS'lisinopril\tlisinopril\tNN\tB-NP\tO' -p304195 -aS'10\t10\tCD\tI-NP\tO' -p304196 -aS'mg\tmg\tNN\tI-NP\tO' -p304197 -aS'per\tper\tIN\tB-PP\tO' -p304198 -aS'NG\tNG\tNN\tB-NP\tO' -p304199 -aS'tube\ttube\tNN\tI-NP\tO' -p304200 -aS'q.d.\tq.d.\tNNP\tI-NP\tO' -p304201 -aS'She\tShe\tNNP\tI-NP\tO' -p304202 -aS'occasionally\toccasionally\tRB\tB-ADVP\tO' -p304203 -aS'gets\tget\tVBZ\tB-VP\tO' -p304204 -aS'hypertensive\thypertensive\tJJ\tB-ADJP\tO' -p304205 -aS'when\twhen\tWRB\tB-ADVP\tO' -p304206 -aS'she\tshe\tPRP\tB-NP\tO' -p304207 -aS'is\tbe\tVBZ\tB-VP\tO' -p304208 -aS'agitated\tagitate\tVBN\tI-VP\tO' -p304209 -aS'.\t.\t.\tO\tO' -p304210 -asS'Dispo - to rehab when resp status improved , PT consulted' -p304211 -(lp304212 -S'Dispo\tDispo\tAFX\tO\tO' -p304213 -aS'-\t-\tHYPH\tO\tO' -p304214 -aS'to\tto\tTO\tB-VP\tO' -p304215 -aS'rehab\trehab\tVB\tI-VP\tO' -p304216 -aS'when\twhen\tWRB\tB-ADVP\tO' -p304217 -aS'resp\tresp\tNN\tB-NP\tO' -p304218 -aS'status\tstatus\tNN\tI-NP\tO' -p304219 -aS'improved\timprove\tVBD\tB-VP\tO' -p304220 -aS',\t,\t,\tO\tO' -p304221 -aS'PT\tPT\tNN\tB-NP\tO' -p304222 -aS'consulted\tconsult\tVBD\tB-VP\tO' -p304223 -asS'3. Lansoprazole 30 mg Susp , Delayed Release for Recon Sig : One ( 1 ) PO DAILY ( Daily ).' -p304224 -(lp304225 -S'3.\t3.\tLS\tB-NP\tO' -p304226 -aS'Lansoprazole\tLansoprazole\tNN\tI-NP\tO' -p304227 -aS'30\t30\tCD\tB-NP\tO' -p304228 -aS'mg\tmg\tNN\tI-NP\tO' -p304229 -aS'Susp\tSusp\tNNP\tB-NP\tO' -p304230 -aS',\t,\t,\tO\tO' -p304231 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p304232 -aS'Release\tRelease\tNNP\tI-NP\tO' -p304233 -aS'for\tfor\tIN\tB-PP\tO' -p304234 -aS'Recon\tRecon\tNNP\tB-NP\tO' -p304235 -aS'Sig\tSig\tNNP\tI-NP\tO' -p304236 -aS':\t:\t:\tO\tO' -p304237 -aS'One\tOne\tCD\tB-NP\tO' -p304238 -aS'(\t(\t(\tO\tO' -p304239 -aS'1\t1\tCD\tB-NP\tO' -p304240 -aS')\t)\t)\tO\tO' -p304241 -aS'PO\tPO\tNN\tB-NP\tO' -p304242 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p304243 -aS'(\t(\t(\tO\tO' -p304244 -aS'Daily\tDaily\tNNP\tB-NP\tO' -p304245 -aS').\t).\t)\tO\tO' -p304246 -asS'There an ABG was done which showed an ABG of 7.42 , 62 , and 55 .' -p304247 -(lp304248 -S'There\tThere\tEX\tB-NP\tO' -p304249 -aS'an\tan\tDT\tB-NP\tO' -p304250 -aS'ABG\tABG\tNN\tI-NP\tO' -p304251 -aS'was\tbe\tVBD\tB-VP\tO' -p304252 -aS'done\tdo\tVBN\tI-VP\tO' -p304253 -aS'which\twhich\tWDT\tB-NP\tO' -p304254 -aS'showed\tshow\tVBD\tB-VP\tO' -p304255 -aS'an\tan\tDT\tB-NP\tO' -p304256 -aS'ABG\tABG\tNN\tI-NP\tO' -p304257 -aS'of\tof\tIN\tB-PP\tO' -p304258 -aS'7.42\t7.42\tCD\tB-NP\tO' -p304259 -aS',\t,\t,\tI-NP\tO' -p304260 -aS'62\t62\tCD\tI-NP\tO' -p304261 -aS',\t,\t,\tO\tO' -p304262 -aS'and\tand\tCC\tO\tO' -p304263 -aS'55\t55\tCD\tB-NP\tO' -p304264 -aS'.\t.\t.\tO\tO' -p304265 -asS'The patient is a 63-year-old female with a three-year history of bilateral hand numbness and occasional weakness .' -p304266 -(lp304267 -S'The\tThe\tDT\tB-NP\tO' -p304268 -aS'patient\tpatient\tNN\tI-NP\tO' -p304269 -aS'is\tbe\tVBZ\tB-VP\tO' -p304270 -aS'a\ta\tDT\tB-NP\tO' -p304271 -aS'63-year-old\t63-year-old\tJJ\tI-NP\tO' -p304272 -aS'female\tfemale\tNN\tI-NP\tO' -p304273 -aS'with\twith\tIN\tB-PP\tO' -p304274 -aS'a\ta\tDT\tB-NP\tO' -p304275 -aS'three-year\tthree-year\tJJ\tI-NP\tO' -p304276 -aS'history\thistory\tNN\tI-NP\tO' -p304277 -aS'of\tof\tIN\tB-PP\tO' -p304278 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p304279 -aS'hand\thand\tNN\tI-NP\tO' -p304280 -aS'numbness\tnumbness\tNN\tI-NP\tO' -p304281 -aS'and\tand\tCC\tO\tO' -p304282 -aS'occasional\toccasional\tJJ\tB-NP\tO' -p304283 -aS'weakness\tweakness\tNN\tI-NP\tO' -p304284 -aS'.\t.\t.\tO\tO' -p304285 -asS'All cultures , including BCx , UCx , pleural fluid culture , and wound culture have been negative .' -p304286 -(lp304287 -S'All\tAll\tDT\tB-NP\tO' -p304288 -aS'cultures\tculture\tNNS\tI-NP\tO' -p304289 -aS',\t,\t,\tO\tO' -p304290 -aS'including\tinclude\tVBG\tB-PP\tO' -p304291 -aS'BCx\tBCx\tNN\tB-NP\tB-protein' -p304292 -aS',\t,\t,\tO\tO' -p304293 -aS'UCx\tUCx\tNN\tB-NP\tB-protein' -p304294 -aS',\t,\t,\tO\tO' -p304295 -aS'pleural\tpleural\tJJ\tB-NP\tO' -p304296 -aS'fluid\tfluid\tNN\tI-NP\tO' -p304297 -aS'culture\tculture\tNN\tI-NP\tO' -p304298 -aS',\t,\t,\tO\tO' -p304299 -aS'and\tand\tCC\tO\tO' -p304300 -aS'wound\twound\tNN\tB-NP\tO' -p304301 -aS'culture\tculture\tNN\tI-NP\tO' -p304302 -aS'have\thave\tVBP\tB-VP\tO' -p304303 -aS'been\tbe\tVBN\tI-VP\tO' -p304304 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p304305 -aS'.\t.\t.\tO\tO' -p304306 -asS'Toes : mute bilaterally ; TFL contracted on the L .' -p304307 -(lp304308 -S'Toes\tToe\tNNS\tB-NP\tO' -p304309 -aS':\t:\t:\tO\tO' -p304310 -aS'mute\tmute\tVB\tB-VP\tO' -p304311 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p304312 -aS';\t;\t:\tO\tO' -p304313 -aS'TFL\tTFL\tNN\tB-NP\tB-protein' -p304314 -aS'contracted\tcontract\tVBD\tB-VP\tO' -p304315 -aS'on\ton\tIN\tB-PP\tO' -p304316 -aS'the\tthe\tDT\tB-NP\tO' -p304317 -aS'L\tL\tNN\tI-NP\tO' -p304318 -aS'.\t.\t.\tO\tO' -p304319 -asS'He continued to be very tenuous from a pulmonary point of view and required frequent chest PT .' -p304320 -(lp304321 -S'He\tHe\tPRP\tB-NP\tO' -p304322 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p304323 -aS'to\tto\tTO\tI-VP\tO' -p304324 -aS'be\tbe\tVB\tI-VP\tO' -p304325 -aS'very\tvery\tRB\tB-ADJP\tO' -p304326 -aS'tenuous\ttenuous\tJJ\tI-ADJP\tO' -p304327 -aS'from\tfrom\tIN\tB-PP\tO' -p304328 -aS'a\ta\tDT\tB-NP\tO' -p304329 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p304330 -aS'point\tpoint\tNN\tI-NP\tO' -p304331 -aS'of\tof\tIN\tB-PP\tO' -p304332 -aS'view\tview\tNN\tB-NP\tO' -p304333 -aS'and\tand\tCC\tO\tO' -p304334 -aS'required\trequire\tVBD\tB-VP\tO' -p304335 -aS'frequent\tfrequent\tJJ\tB-NP\tO' -p304336 -aS'chest\tchest\tNN\tI-NP\tO' -p304337 -aS'PT\tPT\tNN\tI-NP\tO' -p304338 -aS'.\t.\t.\tO\tO' -p304339 -asS'A repeat bilirubin on 2012-05-19 was 8.0/0.3 direct .' -p304340 -(lp304341 -S'A\tA\tDT\tB-NP\tO' -p304342 -aS'repeat\trepeat\tNN\tI-NP\tO' -p304343 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p304344 -aS'on\ton\tIN\tB-PP\tO' -p304345 -aS'2012-05-19\t2012-05-19\tCD\tB-NP\tO' -p304346 -aS'was\tbe\tVBD\tB-VP\tO' -p304347 -aS'8.0/0.3\t8.0/0.3\tCD\tB-ADJP\tO' -p304348 -aS'direct\tdirect\tJJ\tI-ADJP\tO' -p304349 -aS'.\t.\t.\tO\tO' -p304350 -asS'The patient presented in 10-90 , with heavy bleeding per vagina .' -p304351 -(lp304352 -S'The\tThe\tDT\tB-NP\tO' -p304353 -aS'patient\tpatient\tNN\tI-NP\tO' -p304354 -aS'presented\tpresent\tVBD\tB-VP\tO' -p304355 -aS'in\tin\tIN\tB-PP\tO' -p304356 -aS'10-90\t10-90\tCD\tB-NP\tO' -p304357 -aS',\t,\t,\tO\tO' -p304358 -aS'with\twith\tIN\tB-PP\tO' -p304359 -aS'heavy\theavy\tJJ\tB-NP\tO' -p304360 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p304361 -aS'per\tper\tIN\tB-PP\tO' -p304362 -aS'vagina\tvagina\tNN\tB-NP\tO' -p304363 -aS'.\t.\t.\tO\tO' -p304364 -asS'Mother did not receive any antibiotics prior to delivery .' -p304365 -(lp304366 -S'Mother\tMother\tNNP\tB-NP\tO' -p304367 -aS'did\tdo\tVBD\tB-VP\tO' -p304368 -aS'not\tnot\tRB\tI-VP\tO' -p304369 -aS'receive\treceive\tVB\tI-VP\tO' -p304370 -aS'any\tany\tDT\tB-NP\tO' -p304371 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p304372 -aS'prior\tprior\tRB\tB-ADVP\tO' -p304373 -aS'to\tto\tTO\tB-PP\tO' -p304374 -aS'delivery\tdelivery\tNN\tB-NP\tO' -p304375 -aS'.\t.\t.\tO\tO' -p304376 -asS"Doll 's eyes ." -p304377 -(lp304378 -S'Doll\tDoll\tNNP\tB-NP\tO' -p304379 -aS"'s\t's\tPOS\tB-NP\tO" -p304380 -aS'eyes\teye\tNNS\tI-NP\tO' -p304381 -aS'.\t.\t.\tO\tO' -p304382 -asS'no evidence of pulmonary emboli .' -p304383 -(lp304384 -S'no\tno\tDT\tB-NP\tO' -p304385 -aS'evidence\tevidence\tNN\tI-NP\tO' -p304386 -aS'of\tof\tIN\tB-PP\tO' -p304387 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p304388 -aS'emboli\tembolus\tNNS\tI-NP\tO' -p304389 -aS'.\t.\t.\tO\tO' -p304390 -asS'There was a firm nodule in the left lobe of the prostate in the lateral aspect .' -p304391 -(lp304392 -S'There\tThere\tEX\tB-NP\tO' -p304393 -aS'was\tbe\tVBD\tB-VP\tO' -p304394 -aS'a\ta\tDT\tB-NP\tO' -p304395 -aS'firm\tfirm\tJJ\tI-NP\tO' -p304396 -aS'nodule\tnodule\tNN\tI-NP\tO' -p304397 -aS'in\tin\tIN\tB-PP\tO' -p304398 -aS'the\tthe\tDT\tB-NP\tO' -p304399 -aS'left\tleft\tJJ\tI-NP\tO' -p304400 -aS'lobe\tlobe\tNN\tI-NP\tO' -p304401 -aS'of\tof\tIN\tB-PP\tO' -p304402 -aS'the\tthe\tDT\tB-NP\tO' -p304403 -aS'prostate\tprostate\tNN\tI-NP\tO' -p304404 -aS'in\tin\tIN\tB-PP\tO' -p304405 -aS'the\tthe\tDT\tB-NP\tO' -p304406 -aS'lateral\tlateral\tJJ\tI-NP\tO' -p304407 -aS'aspect\taspect\tNN\tI-NP\tO' -p304408 -aS'.\t.\t.\tO\tO' -p304409 -asS'Throughout this time , Mr. Richard temperature continued to increase and was such that on hospital day four , his temperature maximum was 42.2 degrees centigrade .' -p304410 -(lp304411 -S'Throughout\tThroughout\tIN\tB-PP\tO' -p304412 -aS'this\tthis\tDT\tB-NP\tO' -p304413 -aS'time\ttime\tNN\tI-NP\tO' -p304414 -aS',\t,\t,\tO\tO' -p304415 -aS'Mr.\tMr.\tNNP\tB-NP\tO' -p304416 -aS'Richard\tRichard\tNNP\tI-NP\tO' -p304417 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p304418 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p304419 -aS'to\tto\tTO\tI-VP\tO' -p304420 -aS'increase\tincrease\tVB\tI-VP\tO' -p304421 -aS'and\tand\tCC\tO\tO' -p304422 -aS'was\tbe\tVBD\tB-VP\tO' -p304423 -aS'such\tsuch\tJJ\tB-ADJP\tO' -p304424 -aS'that\tthat\tIN\tB-SBAR\tO' -p304425 -aS'on\ton\tIN\tB-PP\tO' -p304426 -aS'hospital\thospital\tNN\tB-NP\tO' -p304427 -aS'day\tday\tNN\tI-NP\tO' -p304428 -aS'four\tfour\tCD\tB-NP\tO' -p304429 -aS',\t,\t,\tO\tO' -p304430 -aS'his\this\tPRP$\tB-NP\tO' -p304431 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p304432 -aS'maximum\tmaximum\tNN\tI-NP\tO' -p304433 -aS'was\tbe\tVBD\tB-VP\tO' -p304434 -aS'42.2\t42.2\tCD\tB-NP\tO' -p304435 -aS'degrees\tdegree\tNNS\tI-NP\tO' -p304436 -aS'centigrade\tcentigrade\tNN\tI-NP\tO' -p304437 -aS'.\t.\t.\tO\tO' -p304438 -asS'2. Left lobe thyroid enlargement with heterogeneous appearance .' -p304439 -(lp304440 -S'2.\t2.\tLS\tB-NP\tO' -p304441 -aS'Left\tLeft\tNN\tI-NP\tO' -p304442 -aS'lobe\tlobe\tNN\tI-NP\tO' -p304443 -aS'thyroid\tthyroid\tNN\tI-NP\tO' -p304444 -aS'enlargement\tenlargement\tNN\tI-NP\tO' -p304445 -aS'with\twith\tIN\tB-PP\tO' -p304446 -aS'heterogeneous\theterogeneous\tJJ\tB-NP\tO' -p304447 -aS'appearance\tappearance\tNN\tI-NP\tO' -p304448 -aS'.\t.\t.\tO\tO' -p304449 -asS'He is to follow up with Dr. Rach Breutznedeaisscarvwierst in Clinic .' -p304450 -(lp304451 -S'He\tHe\tPRP\tB-NP\tO' -p304452 -aS'is\tbe\tVBZ\tB-VP\tO' -p304453 -aS'to\tto\tTO\tB-VP\tO' -p304454 -aS'follow\tfollow\tVB\tI-VP\tO' -p304455 -aS'up\tup\tRP\tB-PRT\tO' -p304456 -aS'with\twith\tIN\tB-PP\tO' -p304457 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p304458 -aS'Rach\tRach\tNNP\tI-NP\tO' -p304459 -aS'Breutznedeaisscarvwierst\tBreutznedeaisscarvwierst\tNNP\tI-NP\tO' -p304460 -aS'in\tin\tIN\tB-PP\tO' -p304461 -aS'Clinic\tClinic\tNNP\tB-NP\tO' -p304462 -aS'.\t.\t.\tO\tO' -p304463 -asS'Soc Hx : lives in Va with her husband , has been up here since April s/p month long hospitalization , no tob/etoh' -p304464 -(lp304465 -S'Soc\tSoc\tNNP\tB-NP\tO' -p304466 -aS'Hx\tHx\tNNP\tI-NP\tO' -p304467 -aS':\t:\t:\tO\tO' -p304468 -aS'lives\tlife\tNNS\tB-NP\tO' -p304469 -aS'in\tin\tIN\tB-PP\tO' -p304470 -aS'Va\tVa\tNNP\tB-NP\tO' -p304471 -aS'with\twith\tIN\tB-PP\tO' -p304472 -aS'her\ther\tPRP$\tB-NP\tO' -p304473 -aS'husband\thusband\tNN\tI-NP\tO' -p304474 -aS',\t,\t,\tO\tO' -p304475 -aS'has\thave\tVBZ\tB-VP\tO' -p304476 -aS'been\tbe\tVBN\tI-VP\tO' -p304477 -aS'up\tup\tRB\tB-ADVP\tO' -p304478 -aS'here\there\tRB\tB-ADVP\tO' -p304479 -aS'since\tsince\tIN\tB-PP\tO' -p304480 -aS'April\tApril\tNNP\tB-NP\tO' -p304481 -aS's/p\ts/p\tNN\tI-NP\tO' -p304482 -aS'month\tmonth\tNN\tI-NP\tO' -p304483 -aS'long\tlong\tJJ\tI-NP\tO' -p304484 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p304485 -aS',\t,\t,\tO\tO' -p304486 -aS'no\tno\tDT\tB-NP\tO' -p304487 -aS'tob/etoh\ttob/etoh\tNN\tI-NP\tO' -p304488 -asS'All cultures were negative .' -p304489 -(lp304490 -S'All\tAll\tDT\tB-NP\tO' -p304491 -aS'cultures\tculture\tNNS\tI-NP\tO' -p304492 -aS'were\tbe\tVBD\tB-VP\tO' -p304493 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p304494 -aS'.\t.\t.\tO\tO' -p304495 -asS'Age appropriate tone and reflexes .' -p304496 -(lp304497 -S'Age\tAge\tNN\tB-NP\tO' -p304498 -aS'appropriate\tappropriate\tJJ\tI-NP\tO' -p304499 -aS'tone\ttone\tNN\tI-NP\tO' -p304500 -aS'and\tand\tCC\tI-NP\tO' -p304501 -aS'reflexes\treflex\tNNS\tI-NP\tO' -p304502 -aS'.\t.\t.\tO\tO' -p304503 -asS"The patient 's also began to climb and the percent blasts in his differential decreased significantly ." -p304504 -(lp304505 -S'The\tThe\tDT\tB-NP\tO' -p304506 -aS'patient\tpatient\tNN\tI-NP\tO' -p304507 -aS"'s\t's\tPOS\tB-NP\tO" -p304508 -aS'also\talso\tRB\tB-ADVP\tO' -p304509 -aS'began\tbegin\tVBD\tB-VP\tO' -p304510 -aS'to\tto\tTO\tB-PP\tO' -p304511 -aS'climb\tclimb\tNN\tB-NP\tO' -p304512 -aS'and\tand\tCC\tO\tO' -p304513 -aS'the\tthe\tDT\tB-NP\tO' -p304514 -aS'percent\tpercent\tNN\tI-NP\tO' -p304515 -aS'blasts\tblast\tNNS\tI-NP\tO' -p304516 -aS'in\tin\tIN\tB-PP\tO' -p304517 -aS'his\this\tPRP$\tB-NP\tO' -p304518 -aS'differential\tdifferential\tJJ\tI-NP\tO' -p304519 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p304520 -aS'significantly\tsignificantly\tRB\tB-ADVP\tO' -p304521 -aS'.\t.\t.\tO\tO' -p304522 -asS'11. Alprazolam 1 mg Tablet Sig : One ( 1 ) Tablet PO QID ( 4 times a day ) .' -p304523 -(lp304524 -S'11.\t11.\tCD\tB-NP\tO' -p304525 -aS'Alprazolam\tAlprazolam\tNNP\tI-NP\tO' -p304526 -aS'1\t1\tCD\tI-NP\tO' -p304527 -aS'mg\tmg\tNN\tI-NP\tO' -p304528 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p304529 -aS'Sig\tSig\tNNP\tI-NP\tO' -p304530 -aS':\t:\t:\tO\tO' -p304531 -aS'One\tOne\tCD\tB-NP\tO' -p304532 -aS'(\t(\t(\tO\tO' -p304533 -aS'1\t1\tCD\tB-NP\tO' -p304534 -aS')\t)\t)\tO\tO' -p304535 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p304536 -aS'PO\tPO\tNN\tI-NP\tO' -p304537 -aS'QID\tQID\tNN\tI-NP\tO' -p304538 -aS'(\t(\t(\tO\tO' -p304539 -aS'4\t4\tCD\tB-NP\tO' -p304540 -aS'times\ttime\tNNS\tI-NP\tO' -p304541 -aS'a\ta\tDT\tB-NP\tO' -p304542 -aS'day\tday\tNN\tI-NP\tO' -p304543 -aS')\t)\t)\tO\tO' -p304544 -aS'.\t.\t.\tO\tO' -p304545 -asS'10. Flolan 5 nanograms per kilograms per minute , continuous infusion .' -p304546 -(lp304547 -S'10.\t10.\tCD\tB-NP\tO' -p304548 -aS'Flolan\tFlolan\tNNP\tI-NP\tO' -p304549 -aS'5\t5\tCD\tI-NP\tO' -p304550 -aS'nanograms\tnanogram\tNNS\tI-NP\tO' -p304551 -aS'per\tper\tIN\tB-PP\tO' -p304552 -aS'kilograms\tkilogram\tNNS\tB-NP\tO' -p304553 -aS'per\tper\tIN\tB-PP\tO' -p304554 -aS'minute\tminute\tNN\tB-NP\tO' -p304555 -aS',\t,\t,\tO\tO' -p304556 -aS'continuous\tcontinuous\tJJ\tB-NP\tO' -p304557 -aS'infusion\tinfusion\tNN\tI-NP\tO' -p304558 -aS'.\t.\t.\tO\tO' -p304559 -asS'2-Renal failure .' -p304560 -(lp304561 -S'2-Renal\t2-Renal\tJJ\tB-NP\tO' -p304562 -aS'failure\tfailure\tNN\tI-NP\tO' -p304563 -aS'.\t.\t.\tO\tO' -p304564 -asS'Pathology was reviewed revealing invasive squamous cell carcinoma .' -p304565 -(lp304566 -S'Pathology\tPathology\tNNS\tB-NP\tO' -p304567 -aS'was\tbe\tVBD\tB-VP\tO' -p304568 -aS'reviewed\treview\tVBN\tI-VP\tO' -p304569 -aS'revealing\treveal\tVBG\tI-VP\tO' -p304570 -aS'invasive\tinvasive\tJJ\tB-NP\tO' -p304571 -aS'squamous\tsquamous\tJJ\tI-NP\tO' -p304572 -aS'cell\tcell\tNN\tI-NP\tO' -p304573 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p304574 -aS'.\t.\t.\tO\tO' -p304575 -asS"Once the patient 's creatinine had improved to baseline , her Lasix and ace inhibitor were restarted and the patient 's creatinine was noted to be stable ." -p304576 -(lp304577 -S'Once\tOnce\tRB\tO\tO' -p304578 -aS'the\tthe\tDT\tB-NP\tO' -p304579 -aS'patient\tpatient\tNN\tI-NP\tO' -p304580 -aS"'s\t's\tPOS\tB-NP\tO" -p304581 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p304582 -aS'had\thave\tVBD\tB-VP\tO' -p304583 -aS'improved\timprove\tVBN\tI-VP\tO' -p304584 -aS'to\tto\tTO\tB-PP\tO' -p304585 -aS'baseline\tbaseline\tNN\tB-NP\tO' -p304586 -aS',\t,\t,\tO\tO' -p304587 -aS'her\ther\tPRP$\tB-NP\tO' -p304588 -aS'Lasix\tLasix\tNN\tI-NP\tO' -p304589 -aS'and\tand\tCC\tI-NP\tO' -p304590 -aS'ace\tace\tNN\tI-NP\tO' -p304591 -aS'inhibitor\tinhibitor\tNN\tI-NP\tO' -p304592 -aS'were\tbe\tVBD\tB-VP\tO' -p304593 -aS'restarted\trestart\tVBN\tI-VP\tO' -p304594 -aS'and\tand\tCC\tO\tO' -p304595 -aS'the\tthe\tDT\tB-NP\tO' -p304596 -aS'patient\tpatient\tNN\tI-NP\tO' -p304597 -aS"'s\t's\tPOS\tB-NP\tO" -p304598 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p304599 -aS'was\tbe\tVBD\tB-VP\tO' -p304600 -aS'noted\tnote\tVBN\tI-VP\tO' -p304601 -aS'to\tto\tTO\tI-VP\tO' -p304602 -aS'be\tbe\tVB\tI-VP\tO' -p304603 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p304604 -aS'.\t.\t.\tO\tO' -p304605 -asS"The patient 's nasogastric tube was removed on the 3rd postoperative day , and with the passage of flatus and good bowel sounds noted , she was started on a liquid diet which was advanced slowly ." -p304606 -(lp304607 -S'The\tThe\tDT\tB-NP\tO' -p304608 -aS'patient\tpatient\tNN\tI-NP\tO' -p304609 -aS"'s\t's\tPOS\tB-NP\tO" -p304610 -aS'nasogastric\tnasogastric\tJJ\tI-NP\tO' -p304611 -aS'tube\ttube\tNN\tI-NP\tO' -p304612 -aS'was\tbe\tVBD\tB-VP\tO' -p304613 -aS'removed\tremove\tVBN\tI-VP\tO' -p304614 -aS'on\ton\tIN\tB-PP\tO' -p304615 -aS'the\tthe\tDT\tB-NP\tO' -p304616 -aS'3rd\t3rd\tJJ\tI-NP\tO' -p304617 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p304618 -aS'day\tday\tNN\tI-NP\tO' -p304619 -aS',\t,\t,\tO\tO' -p304620 -aS'and\tand\tCC\tO\tO' -p304621 -aS'with\twith\tIN\tB-PP\tO' -p304622 -aS'the\tthe\tDT\tB-NP\tO' -p304623 -aS'passage\tpassage\tNN\tI-NP\tO' -p304624 -aS'of\tof\tIN\tB-PP\tO' -p304625 -aS'flatus\tflatus\tNN\tB-NP\tO' -p304626 -aS'and\tand\tCC\tO\tO' -p304627 -aS'good\tgood\tJJ\tB-NP\tO' -p304628 -aS'bowel\tbowel\tNN\tI-NP\tO' -p304629 -aS'sounds\tsound\tVBZ\tB-VP\tO' -p304630 -aS'noted\tnote\tVBN\tI-VP\tO' -p304631 -aS',\t,\t,\tO\tO' -p304632 -aS'she\tshe\tPRP\tB-NP\tO' -p304633 -aS'was\tbe\tVBD\tB-VP\tO' -p304634 -aS'started\tstart\tVBN\tI-VP\tO' -p304635 -aS'on\ton\tIN\tB-PP\tO' -p304636 -aS'a\ta\tDT\tB-NP\tO' -p304637 -aS'liquid\tliquid\tNN\tI-NP\tO' -p304638 -aS'diet\tdiet\tNN\tI-NP\tO' -p304639 -aS'which\twhich\tWDT\tB-NP\tO' -p304640 -aS'was\tbe\tVBD\tB-VP\tO' -p304641 -aS'advanced\tadvance\tVBN\tI-VP\tO' -p304642 -aS'slowly\tslowly\tRB\tB-ADVP\tO' -p304643 -aS'.\t.\t.\tO\tO' -p304644 -asS'This strategy and its incumbent risks , particularly in a patient on Heparin , were discussed at length with both the patient and his family , who were very clear in wanting to proceed with all possible efforts to save the use of his left leg .' -p304645 -(lp304646 -S'This\tThis\tDT\tB-NP\tO' -p304647 -aS'strategy\tstrategy\tNN\tI-NP\tO' -p304648 -aS'and\tand\tCC\tO\tO' -p304649 -aS'its\tits\tPRP$\tB-NP\tO' -p304650 -aS'incumbent\tincumbent\tJJ\tI-NP\tO' -p304651 -aS'risks\trisk\tNNS\tI-NP\tO' -p304652 -aS',\t,\t,\tO\tO' -p304653 -aS'particularly\tparticularly\tRB\tB-ADVP\tO' -p304654 -aS'in\tin\tIN\tB-PP\tO' -p304655 -aS'a\ta\tDT\tB-NP\tO' -p304656 -aS'patient\tpatient\tNN\tI-NP\tO' -p304657 -aS'on\ton\tIN\tB-PP\tO' -p304658 -aS'Heparin\tHeparin\tNN\tB-NP\tO' -p304659 -aS',\t,\t,\tO\tO' -p304660 -aS'were\tbe\tVBD\tB-VP\tO' -p304661 -aS'discussed\tdiscuss\tVBN\tI-VP\tO' -p304662 -aS'at\tat\tIN\tB-PP\tO' -p304663 -aS'length\tlength\tNN\tB-NP\tO' -p304664 -aS'with\twith\tIN\tB-PP\tO' -p304665 -aS'both\tboth\tCC\tO\tO' -p304666 -aS'the\tthe\tDT\tB-NP\tO' -p304667 -aS'patient\tpatient\tNN\tI-NP\tO' -p304668 -aS'and\tand\tCC\tO\tO' -p304669 -aS'his\this\tPRP$\tB-NP\tO' -p304670 -aS'family\tfamily\tNN\tI-NP\tO' -p304671 -aS',\t,\t,\tO\tO' -p304672 -aS'who\twho\tWP\tB-NP\tO' -p304673 -aS'were\tbe\tVBD\tB-VP\tO' -p304674 -aS'very\tvery\tRB\tB-ADJP\tO' -p304675 -aS'clear\tclear\tJJ\tI-ADJP\tO' -p304676 -aS'in\tin\tIN\tB-PP\tO' -p304677 -aS'wanting\twant\tVBG\tB-VP\tO' -p304678 -aS'to\tto\tTO\tI-VP\tO' -p304679 -aS'proceed\tproceed\tVB\tI-VP\tO' -p304680 -aS'with\twith\tIN\tB-PP\tO' -p304681 -aS'all\tall\tDT\tB-NP\tO' -p304682 -aS'possible\tpossible\tJJ\tI-NP\tO' -p304683 -aS'efforts\teffort\tNNS\tI-NP\tO' -p304684 -aS'to\tto\tTO\tB-VP\tO' -p304685 -aS'save\tsave\tVB\tI-VP\tO' -p304686 -aS'the\tthe\tDT\tB-NP\tO' -p304687 -aS'use\tuse\tNN\tI-NP\tO' -p304688 -aS'of\tof\tIN\tB-PP\tO' -p304689 -aS'his\this\tPRP$\tB-NP\tO' -p304690 -aS'left\tleft\tJJ\tI-NP\tO' -p304691 -aS'leg\tleg\tNN\tI-NP\tO' -p304692 -aS'.\t.\t.\tO\tO' -p304693 -asS'The patient did well on the floor , was seen by physical therapy who quickly cleared him to go home on 2015-06-15 and the patient was in good condition .' -p304694 -(lp304695 -S'The\tThe\tDT\tB-NP\tO' -p304696 -aS'patient\tpatient\tNN\tI-NP\tO' -p304697 -aS'did\tdo\tVBD\tB-VP\tO' -p304698 -aS'well\twell\tRB\tB-ADVP\tO' -p304699 -aS'on\ton\tIN\tB-PP\tO' -p304700 -aS'the\tthe\tDT\tB-NP\tO' -p304701 -aS'floor\tfloor\tNN\tI-NP\tO' -p304702 -aS',\t,\t,\tO\tO' -p304703 -aS'was\tbe\tVBD\tB-VP\tO' -p304704 -aS'seen\tsee\tVBN\tI-VP\tO' -p304705 -aS'by\tby\tIN\tB-PP\tO' -p304706 -aS'physical\tphysical\tJJ\tB-NP\tO' -p304707 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p304708 -aS'who\twho\tWP\tB-NP\tO' -p304709 -aS'quickly\tquickly\tRB\tB-ADVP\tO' -p304710 -aS'cleared\tclear\tVBD\tB-VP\tO' -p304711 -aS'him\thim\tPRP\tB-NP\tO' -p304712 -aS'to\tto\tTO\tB-VP\tO' -p304713 -aS'go\tgo\tVB\tI-VP\tO' -p304714 -aS'home\thome\tNN\tB-ADVP\tO' -p304715 -aS'on\ton\tIN\tB-PP\tO' -p304716 -aS'2015-06-15\t2015-06-15\tCD\tB-NP\tO' -p304717 -aS'and\tand\tCC\tO\tO' -p304718 -aS'the\tthe\tDT\tB-NP\tO' -p304719 -aS'patient\tpatient\tNN\tI-NP\tO' -p304720 -aS'was\tbe\tVBD\tB-VP\tO' -p304721 -aS'in\tin\tIN\tB-PP\tO' -p304722 -aS'good\tgood\tJJ\tB-NP\tO' -p304723 -aS'condition\tcondition\tNN\tI-NP\tO' -p304724 -aS'.\t.\t.\tO\tO' -p304725 -asS'improving , but still poor air movement , diffusely wheezy on exam , at baseline 2L o2 requirement' -p304726 -(lp304727 -S'improving\timprove\tVBG\tB-VP\tO' -p304728 -aS',\t,\t,\tO\tO' -p304729 -aS'but\tbut\tCC\tO\tO' -p304730 -aS'still\tstill\tRB\tB-NP\tO' -p304731 -aS'poor\tpoor\tJJ\tI-NP\tO' -p304732 -aS'air\tair\tNN\tI-NP\tO' -p304733 -aS'movement\tmovement\tNN\tI-NP\tO' -p304734 -aS',\t,\t,\tO\tO' -p304735 -aS'diffusely\tdiffusely\tRB\tB-ADJP\tO' -p304736 -aS'wheezy\twheezy\tJJ\tI-ADJP\tO' -p304737 -aS'on\ton\tIN\tB-PP\tO' -p304738 -aS'exam\texam\tNN\tB-NP\tO' -p304739 -aS',\t,\t,\tO\tO' -p304740 -aS'at\tat\tIN\tB-PP\tO' -p304741 -aS'baseline\tbaseline\tNN\tB-NP\tO' -p304742 -aS'2L\t2L\tNN\tI-NP\tO' -p304743 -aS'o2\to2\tNN\tI-NP\tO' -p304744 -aS'requirement\trequirement\tNN\tI-NP\tO' -p304745 -asS'5. Hematology .' -p304746 -(lp304747 -S'5.\t5.\tLS\tB-LST\tO' -p304748 -aS'Hematology\tHematology\tNNP\tB-NP\tO' -p304749 -aS'.\t.\t.\tO\tO' -p304750 -asS'Completed by : Marcel L Beatty , M.D.' -p304751 -(lp304752 -S'Completed\tComplete\tVBN\tB-VP\tO' -p304753 -aS'by\tby\tIN\tB-PP\tO' -p304754 -aS':\t:\t:\tO\tO' -p304755 -aS'Marcel\tMarcel\tNNP\tB-NP\tO' -p304756 -aS'L\tL\tNNP\tI-NP\tO' -p304757 -aS'Beatty\tBeatty\tNNP\tI-NP\tO' -p304758 -aS',\t,\t,\tO\tO' -p304759 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p304760 -asS'Extremities without edema .' -p304761 -(lp304762 -S'Extremities\tExtremity\tNNS\tB-NP\tO' -p304763 -aS'without\twithout\tIN\tB-PP\tO' -p304764 -aS'edema\tedema\tNN\tB-NP\tO' -p304765 -aS'.\t.\t.\tO\tO' -p304766 -asS'The patient was also told that he would have to be admitted for several days during his next cycle of CVAD .' -p304767 -(lp304768 -S'The\tThe\tDT\tB-NP\tO' -p304769 -aS'patient\tpatient\tNN\tI-NP\tO' -p304770 -aS'was\tbe\tVBD\tB-VP\tO' -p304771 -aS'also\talso\tRB\tI-VP\tO' -p304772 -aS'told\ttell\tVBN\tI-VP\tO' -p304773 -aS'that\tthat\tIN\tB-SBAR\tO' -p304774 -aS'he\the\tPRP\tB-NP\tO' -p304775 -aS'would\twould\tMD\tB-VP\tO' -p304776 -aS'have\thave\tVB\tI-VP\tO' -p304777 -aS'to\tto\tTO\tI-VP\tO' -p304778 -aS'be\tbe\tVB\tI-VP\tO' -p304779 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p304780 -aS'for\tfor\tIN\tB-PP\tO' -p304781 -aS'several\tseveral\tJJ\tB-NP\tO' -p304782 -aS'days\tday\tNNS\tI-NP\tO' -p304783 -aS'during\tduring\tIN\tB-PP\tO' -p304784 -aS'his\this\tPRP$\tB-NP\tO' -p304785 -aS'next\tnext\tJJ\tI-NP\tO' -p304786 -aS'cycle\tcycle\tNN\tI-NP\tO' -p304787 -aS'of\tof\tIN\tB-PP\tO' -p304788 -aS'CVAD\tCVAD\tNN\tB-NP\tB-protein' -p304789 -aS'.\t.\t.\tO\tO' -p304790 -asS'EKG showed sinus tachycardia , borderline left axis , normal intervals , LVH , left atrial enlargement , no Q waves , no P-R depressions , no ST segment elevations or depression .' -p304791 -(lp304792 -S'EKG\tEKG\tNN\tB-NP\tB-protein' -p304793 -aS'showed\tshow\tVBD\tB-VP\tO' -p304794 -aS'sinus\tsinus\tNN\tB-NP\tO' -p304795 -aS'tachycardia\ttachycardia\tNN\tI-NP\tO' -p304796 -aS',\t,\t,\tO\tO' -p304797 -aS'borderline\tborderline\tJJ\tB-NP\tO' -p304798 -aS'left\tleft\tJJ\tI-NP\tO' -p304799 -aS'axis\taxis\tNN\tI-NP\tO' -p304800 -aS',\t,\t,\tO\tO' -p304801 -aS'normal\tnormal\tJJ\tB-NP\tO' -p304802 -aS'intervals\tinterval\tNNS\tI-NP\tO' -p304803 -aS',\t,\t,\tO\tO' -p304804 -aS'LVH\tLVH\tNN\tB-NP\tB-protein' -p304805 -aS',\t,\t,\tO\tO' -p304806 -aS'left\tleave\tVBD\tB-VP\tO' -p304807 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p304808 -aS'enlargement\tenlargement\tNN\tI-NP\tO' -p304809 -aS',\t,\t,\tO\tO' -p304810 -aS'no\tno\tDT\tB-NP\tO' -p304811 -aS'Q\tQ\tNN\tI-NP\tO' -p304812 -aS'waves\twave\tNNS\tI-NP\tO' -p304813 -aS',\t,\t,\tO\tO' -p304814 -aS'no\tno\tDT\tB-NP\tO' -p304815 -aS'P-R\tP-R\tNN\tI-NP\tB-protein' -p304816 -aS'depressions\tdepression\tNNS\tI-NP\tO' -p304817 -aS',\t,\t,\tO\tO' -p304818 -aS'no\tno\tDT\tB-NP\tO' -p304819 -aS'ST\tST\tNN\tI-NP\tO' -p304820 -aS'segment\tsegment\tNN\tI-NP\tO' -p304821 -aS'elevations\televation\tNNS\tI-NP\tO' -p304822 -aS'or\tor\tCC\tO\tO' -p304823 -aS'depression\tdepression\tNN\tB-NP\tO' -p304824 -aS'.\t.\t.\tO\tO' -p304825 -asS'( 2 ) abdominal wall hernia .' -p304826 -(lp304827 -S'(\t(\t(\tB-LST\tO' -p304828 -aS'2\t2\tLS\tI-LST\tO' -p304829 -aS')\t)\t)\tO\tO' -p304830 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p304831 -aS'wall\twall\tNN\tI-NP\tO' -p304832 -aS'hernia\thernia\tNN\tI-NP\tO' -p304833 -aS'.\t.\t.\tO\tO' -p304834 -asS'METASTATIC CANCER TO THE LIVER .' -p304835 -(lp304836 -S'METASTATIC\tMETASTATIC\tNN\tB-NP\tO' -p304837 -aS'CANCER\tCANCER\tNN\tI-NP\tO' -p304838 -aS'TO\tTO\tTO\tB-PP\tO' -p304839 -aS'THE\tTHE\tDT\tB-NP\tO' -p304840 -aS'LIVER\tLIVER\tNN\tI-NP\tB-protein' -p304841 -aS'.\t.\t.\tO\tO' -p304842 -asS'Do not lift more than 10 lbs for 2 months .' -p304843 -(lp304844 -S'Do\tDo\tVBP\tB-VP\tO' -p304845 -aS'not\tnot\tRB\tI-VP\tO' -p304846 -aS'lift\tlift\tVB\tI-VP\tO' -p304847 -aS'more\tmore\tJJR\tB-NP\tO' -p304848 -aS'than\tthan\tIN\tI-NP\tO' -p304849 -aS'10\t10\tCD\tI-NP\tO' -p304850 -aS'lbs\tlb\tNNS\tI-NP\tO' -p304851 -aS'for\tfor\tIN\tB-PP\tO' -p304852 -aS'2\t2\tCD\tB-NP\tO' -p304853 -aS'months\tmonth\tNNS\tI-NP\tO' -p304854 -aS'.\t.\t.\tO\tO' -p304855 -asS'Patient did not receive sedation or muscle relaxant since admission to the Pediatric Intensive Care Unit .' -p304856 -(lp304857 -S'Patient\tPatient\tNN\tB-NP\tO' -p304858 -aS'did\tdo\tVBD\tB-VP\tO' -p304859 -aS'not\tnot\tRB\tI-VP\tO' -p304860 -aS'receive\treceive\tVB\tI-VP\tO' -p304861 -aS'sedation\tsedation\tNN\tB-NP\tO' -p304862 -aS'or\tor\tCC\tI-NP\tO' -p304863 -aS'muscle\tmuscle\tNN\tI-NP\tO' -p304864 -aS'relaxant\trelaxant\tNN\tI-NP\tO' -p304865 -aS'since\tsince\tIN\tB-PP\tO' -p304866 -aS'admission\tadmission\tNN\tB-NP\tO' -p304867 -aS'to\tto\tTO\tB-PP\tO' -p304868 -aS'the\tthe\tDT\tB-NP\tO' -p304869 -aS'Pediatric\tPediatric\tNNP\tI-NP\tO' -p304870 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p304871 -aS'Care\tCare\tNNP\tI-NP\tO' -p304872 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p304873 -aS'.\t.\t.\tO\tO' -p304874 -asS'Heart and mediastinum are unremarkable allowing for technique , no sizeable pneumothorax .' -p304875 -(lp304876 -S'Heart\tHeart\tNN\tB-NP\tO' -p304877 -aS'and\tand\tCC\tI-NP\tO' -p304878 -aS'mediastinum\tmediastinum\tNN\tI-NP\tO' -p304879 -aS'are\tbe\tVBP\tB-VP\tO' -p304880 -aS'unremarkable\tunremarkable\tJJ\tB-PP\tO' -p304881 -aS'allowing\tallow\tVBG\tB-VP\tO' -p304882 -aS'for\tfor\tIN\tB-PP\tO' -p304883 -aS'technique\ttechnique\tNN\tB-NP\tO' -p304884 -aS',\t,\t,\tO\tO' -p304885 -aS'no\tno\tDT\tB-NP\tO' -p304886 -aS'sizeable\tsizeable\tJJ\tI-NP\tO' -p304887 -aS'pneumothorax\tpneumothorax\tNN\tI-NP\tO' -p304888 -aS'.\t.\t.\tO\tO' -p304889 -asS'He felt well at home without fevers , chills or rigors .' -p304890 -(lp304891 -S'He\tHe\tPRP\tB-NP\tO' -p304892 -aS'felt\tfeel\tVBD\tB-VP\tO' -p304893 -aS'well\twell\tRB\tB-ADVP\tO' -p304894 -aS'at\tat\tIN\tB-PP\tO' -p304895 -aS'home\thome\tNN\tB-NP\tO' -p304896 -aS'without\twithout\tIN\tB-PP\tO' -p304897 -aS'fevers\tfever\tNNS\tB-NP\tO' -p304898 -aS',\t,\t,\tI-NP\tO' -p304899 -aS'chills\tchill\tNNS\tI-NP\tO' -p304900 -aS'or\tor\tCC\tI-NP\tO' -p304901 -aS'rigors\trigor\tNNS\tI-NP\tO' -p304902 -aS'.\t.\t.\tO\tO' -p304903 -asS'However , evaluation of CXR revealed NGT coiled in esophagus .' -p304904 -(lp304905 -S'However\tHowever\tRB\tB-ADVP\tO' -p304906 -aS',\t,\t,\tO\tO' -p304907 -aS'evaluation\tevaluation\tNN\tB-NP\tO' -p304908 -aS'of\tof\tIN\tB-PP\tO' -p304909 -aS'CXR\tCXR\tNN\tB-NP\tB-protein' -p304910 -aS'revealed\treveal\tVBD\tB-VP\tO' -p304911 -aS'NGT\tNGT\tNN\tB-NP\tB-protein' -p304912 -aS'coiled\tcoil\tVBN\tB-VP\tO' -p304913 -aS'in\tin\tIN\tB-PP\tO' -p304914 -aS'esophagus\tesophagus\tNN\tB-NP\tO' -p304915 -aS'.\t.\t.\tO\tO' -p304916 -asS'He also complained of occasional spells and jitteriness and some orthostatic dizziness and thus Neurology was consulted and EMG 's were performed which were normal .' -p304917 -(lp304918 -S'He\tHe\tPRP\tB-NP\tO' -p304919 -aS'also\talso\tRB\tB-ADVP\tO' -p304920 -aS'complained\tcomplain\tVBD\tB-VP\tO' -p304921 -aS'of\tof\tIN\tB-PP\tO' -p304922 -aS'occasional\toccasional\tJJ\tB-NP\tB-cell_type' -p304923 -aS'spells\tspell\tNNS\tI-NP\tI-cell_type' -p304924 -aS'and\tand\tCC\tO\tO' -p304925 -aS'jitteriness\tjitteriness\tNN\tB-NP\tO' -p304926 -aS'and\tand\tCC\tO\tO' -p304927 -aS'some\tsome\tDT\tB-NP\tO' -p304928 -aS'orthostatic\torthostatic\tJJ\tI-NP\tO' -p304929 -aS'dizziness\tdizziness\tNN\tI-NP\tO' -p304930 -aS'and\tand\tCC\tO\tO' -p304931 -aS'thus\tthus\tRB\tB-ADVP\tO' -p304932 -aS'Neurology\tNeurology\tNNP\tB-NP\tO' -p304933 -aS'was\tbe\tVBD\tB-VP\tO' -p304934 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p304935 -aS'and\tand\tCC\tO\tO' -p304936 -aS'EMG\tEMG\tNN\tB-NP\tB-protein' -p304937 -aS''s\t'\tNNS\tI-NP\tI-protein' -p304938 -aS'were\tbe\tVBD\tB-VP\tO' -p304939 -aS'performed\tperform\tVBN\tI-VP\tO' -p304940 -aS'which\twhich\tWDT\tB-NP\tO' -p304941 -aS'were\tbe\tVBD\tB-VP\tO' -p304942 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p304943 -aS'.\t.\t.\tO\tO' -p304944 -asS'No masses or LAD .' -p304945 -(lp304946 -S'No\tNo\tDT\tB-NP\tO' -p304947 -aS'masses\tmass\tNNS\tI-NP\tO' -p304948 -aS'or\tor\tCC\tI-NP\tO' -p304949 -aS'LAD\tLAD\tNN\tI-NP\tB-protein' -p304950 -aS'.\t.\t.\tO\tO' -p304951 -asS'After a prolonged period of being fed via nasogastric tube , Mr. Knueppel finally had a formal percutaneous endoscopic gastrostomy tube placed in the Intensive Care Unit .' -p304952 -(lp304953 -S'After\tAfter\tIN\tB-PP\tO' -p304954 -aS'a\ta\tDT\tB-NP\tO' -p304955 -aS'prolonged\tprolonged\tJJ\tI-NP\tO' -p304956 -aS'period\tperiod\tNN\tI-NP\tO' -p304957 -aS'of\tof\tIN\tB-PP\tO' -p304958 -aS'being\tbe\tVBG\tB-VP\tO' -p304959 -aS'fed\tfeed\tVBN\tI-VP\tO' -p304960 -aS'via\tvia\tIN\tB-PP\tO' -p304961 -aS'nasogastric\tnasogastric\tJJ\tB-NP\tO' -p304962 -aS'tube\ttube\tNN\tI-NP\tO' -p304963 -aS',\t,\t,\tO\tO' -p304964 -aS'Mr.\tMr.\tNNP\tB-NP\tO' -p304965 -aS'Knueppel\tKnueppel\tNNP\tI-NP\tO' -p304966 -aS'finally\tfinally\tRB\tB-ADVP\tO' -p304967 -aS'had\thave\tVBD\tB-VP\tO' -p304968 -aS'a\ta\tDT\tB-NP\tO' -p304969 -aS'formal\tformal\tJJ\tI-NP\tO' -p304970 -aS'percutaneous\tpercutaneous\tJJ\tI-NP\tO' -p304971 -aS'endoscopic\tendoscopic\tJJ\tI-NP\tO' -p304972 -aS'gastrostomy\tgastrostomy\tNN\tI-NP\tO' -p304973 -aS'tube\ttube\tNN\tI-NP\tO' -p304974 -aS'placed\tplace\tVBN\tB-VP\tO' -p304975 -aS'in\tin\tIN\tB-PP\tO' -p304976 -aS'the\tthe\tDT\tB-NP\tO' -p304977 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p304978 -aS'Care\tCare\tNNP\tI-NP\tO' -p304979 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p304980 -aS'.\t.\t.\tO\tO' -p304981 -asS'Thoracic Surgery was consulted and recommended repeating the CT scan in six weeks as an outpatient .' -p304982 -(lp304983 -S'Thoracic\tThoracic\tNNP\tB-NP\tO' -p304984 -aS'Surgery\tSurgery\tNNP\tI-NP\tO' -p304985 -aS'was\tbe\tVBD\tB-VP\tO' -p304986 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p304987 -aS'and\tand\tCC\tO\tO' -p304988 -aS'recommended\trecommend\tVBN\tB-VP\tO' -p304989 -aS'repeating\trepeat\tVBG\tB-VP\tO' -p304990 -aS'the\tthe\tDT\tB-NP\tO' -p304991 -aS'CT\tCT\tNN\tI-NP\tO' -p304992 -aS'scan\tscan\tNN\tI-NP\tO' -p304993 -aS'in\tin\tIN\tB-PP\tO' -p304994 -aS'six\tsix\tCD\tB-NP\tO' -p304995 -aS'weeks\tweek\tNNS\tI-NP\tO' -p304996 -aS'as\tas\tIN\tB-PP\tO' -p304997 -aS'an\tan\tDT\tB-NP\tO' -p304998 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p304999 -aS'.\t.\t.\tO\tO' -p305000 -asS'She was treated with chemotherapy and bone marrow transplant and then later with Tamoxifen from 2004 to 2001 .' -p305001 -(lp305002 -S'She\tShe\tPRP\tB-NP\tO' -p305003 -aS'was\tbe\tVBD\tB-VP\tO' -p305004 -aS'treated\ttreat\tVBN\tI-VP\tO' -p305005 -aS'with\twith\tIN\tB-PP\tO' -p305006 -aS'chemotherapy\tchemotherapy\tNN\tB-NP\tO' -p305007 -aS'and\tand\tCC\tI-NP\tO' -p305008 -aS'bone\tbone\tNN\tI-NP\tO' -p305009 -aS'marrow\tmarrow\tNN\tI-NP\tO' -p305010 -aS'transplant\ttransplant\tNN\tI-NP\tO' -p305011 -aS'and\tand\tCC\tO\tO' -p305012 -aS'then\tthen\tRB\tB-ADVP\tO' -p305013 -aS'later\tlater\tRBR\tB-ADVP\tO' -p305014 -aS'with\twith\tIN\tB-PP\tO' -p305015 -aS'Tamoxifen\tTamoxifen\tNN\tB-NP\tO' -p305016 -aS'from\tfrom\tIN\tB-PP\tO' -p305017 -aS'2004\t2004\tCD\tB-NP\tO' -p305018 -aS'to\tto\tTO\tB-PP\tO' -p305019 -aS'2001\t2001\tCD\tB-NP\tO' -p305020 -aS'.\t.\t.\tO\tO' -p305021 -asS'Blood cultures and urine cultures are still pending at this hospital visit and the CSF fluid from Whitter Rehabilitation Hospital needs to be further evaluated .' -p305022 -(lp305023 -S'Blood\tBlood\tNN\tB-NP\tO' -p305024 -aS'cultures\tculture\tNNS\tI-NP\tO' -p305025 -aS'and\tand\tCC\tO\tO' -p305026 -aS'urine\turine\tNN\tB-NP\tB-cell_line' -p305027 -aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' -p305028 -aS'are\tbe\tVBP\tB-VP\tO' -p305029 -aS'still\tstill\tRB\tI-VP\tO' -p305030 -aS'pending\tpende\tVBG\tI-VP\tO' -p305031 -aS'at\tat\tIN\tB-PP\tO' -p305032 -aS'this\tthis\tDT\tB-NP\tO' -p305033 -aS'hospital\thospital\tNN\tI-NP\tO' -p305034 -aS'visit\tvisit\tNN\tI-NP\tO' -p305035 -aS'and\tand\tCC\tO\tO' -p305036 -aS'the\tthe\tDT\tB-NP\tO' -p305037 -aS'CSF\tCSF\tNN\tI-NP\tB-protein' -p305038 -aS'fluid\tfluid\tNN\tI-NP\tO' -p305039 -aS'from\tfrom\tIN\tB-PP\tO' -p305040 -aS'Whitter\tWhitter\tNNP\tB-NP\tO' -p305041 -aS'Rehabilitation\tRehabilitation\tNNP\tI-NP\tO' -p305042 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p305043 -aS'needs\tneed\tVBZ\tB-VP\tO' -p305044 -aS'to\tto\tTO\tI-VP\tO' -p305045 -aS'be\tbe\tVB\tI-VP\tO' -p305046 -aS'further\tfurther\tRBR\tB-ADJP\tO' -p305047 -aS'evaluated\tevaluate\tVBN\tI-ADJP\tO' -p305048 -aS'.\t.\t.\tO\tO' -p305049 -asS'He also at baseline has had urinary and fecal urgencies / incontinence .' -p305050 -(lp305051 -S'He\tHe\tPRP\tB-NP\tO' -p305052 -aS'also\talso\tRB\tB-ADVP\tO' -p305053 -aS'at\tat\tIN\tB-PP\tO' -p305054 -aS'baseline\tbaseline\tNN\tB-NP\tO' -p305055 -aS'has\thave\tVBZ\tB-VP\tO' -p305056 -aS'had\thave\tVBN\tI-VP\tO' -p305057 -aS'urinary\turinary\tJJ\tB-NP\tO' -p305058 -aS'and\tand\tCC\tI-NP\tO' -p305059 -aS'fecal\tfecal\tJJ\tI-NP\tO' -p305060 -aS'urgencies\turgency\tNNS\tI-NP\tO' -p305061 -aS'/\t/\tSYM\tB-NP\tO' -p305062 -aS'incontinence\tincontinence\tNN\tI-NP\tO' -p305063 -aS'.\t.\t.\tO\tO' -p305064 -asS'She had her first child at age 21 .' -p305065 -(lp305066 -S'She\tShe\tPRP\tB-NP\tO' -p305067 -aS'had\thave\tVBD\tB-VP\tO' -p305068 -aS'her\ther\tPRP$\tB-NP\tO' -p305069 -aS'first\tfirst\tJJ\tI-NP\tO' -p305070 -aS'child\tchild\tNN\tI-NP\tO' -p305071 -aS'at\tat\tIN\tB-PP\tO' -p305072 -aS'age\tage\tNN\tB-NP\tO' -p305073 -aS'21\t21\tCD\tI-NP\tO' -p305074 -aS'.\t.\t.\tO\tO' -p305075 -asS'3. Hydrochlorothiazide unknown dosage .' -p305076 -(lp305077 -S'3.\t3.\tLS\tB-NP\tO' -p305078 -aS'Hydrochlorothiazide\tHydrochlorothiazide\tNN\tI-NP\tO' -p305079 -aS'unknown\tunknown\tJJ\tI-NP\tO' -p305080 -aS'dosage\tdosage\tNN\tI-NP\tO' -p305081 -aS'.\t.\t.\tO\tO' -p305082 -asS'The pattern recognition was intact .' -p305083 -(lp305084 -S'The\tThe\tDT\tB-NP\tO' -p305085 -aS'pattern\tpattern\tNN\tI-NP\tO' -p305086 -aS'recognition\trecognition\tNN\tI-NP\tO' -p305087 -aS'was\tbe\tVBD\tB-VP\tO' -p305088 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p305089 -aS'.\t.\t.\tO\tO' -p305090 -asS'Note : you have had a cardiac stent placed during this admission .' -p305091 -(lp305092 -S'Note\tNote\tNN\tB-NP\tO' -p305093 -aS':\t:\t:\tO\tO' -p305094 -aS'you\tyou\tPRP\tB-NP\tO' -p305095 -aS'have\thave\tVBP\tB-VP\tO' -p305096 -aS'had\thave\tVBD\tI-VP\tO' -p305097 -aS'a\ta\tDT\tB-NP\tO' -p305098 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p305099 -aS'stent\tstent\tNN\tI-NP\tO' -p305100 -aS'placed\tplace\tVBN\tB-VP\tO' -p305101 -aS'during\tduring\tIN\tB-PP\tO' -p305102 -aS'this\tthis\tDT\tB-NP\tO' -p305103 -aS'admission\tadmission\tNN\tI-NP\tO' -p305104 -aS'.\t.\t.\tO\tO' -p305105 -asS'On pre-operative exam , he was awake , alert , and oriented x3 .' -p305106 -(lp305107 -S'On\tOn\tIN\tB-PP\tO' -p305108 -aS'pre-operative\tpre-operative\tJJ\tB-NP\tO' -p305109 -aS'exam\texam\tNN\tI-NP\tO' -p305110 -aS',\t,\t,\tO\tO' -p305111 -aS'he\the\tPRP\tB-NP\tO' -p305112 -aS'was\tbe\tVBD\tB-VP\tO' -p305113 -aS'awake\tawake\tJJ\tB-ADJP\tO' -p305114 -aS',\t,\t,\tO\tO' -p305115 -aS'alert\talert\tJJ\tB-ADJP\tO' -p305116 -aS',\t,\t,\tO\tO' -p305117 -aS'and\tand\tCC\tO\tO' -p305118 -aS'oriented\torient\tVBN\tB-NP\tO' -p305119 -aS'x3\tx3\tNN\tI-NP\tO' -p305120 -aS'.\t.\t.\tO\tO' -p305121 -asS'Thoracics consulted and chest tube placed .' -p305122 -(lp305123 -S'Thoracics\tThoracic\tNNS\tB-NP\tO' -p305124 -aS'consulted\tconsult\tVBD\tB-VP\tO' -p305125 -aS'and\tand\tCC\tO\tO' -p305126 -aS'chest\tchest\tNN\tB-NP\tO' -p305127 -aS'tube\ttube\tNN\tI-NP\tO' -p305128 -aS'placed\tplace\tVBN\tB-VP\tO' -p305129 -aS'.\t.\t.\tO\tO' -p305130 -asS'Cardiac exam was tachycardic and regular , normal S1 and S2 .' -p305131 -(lp305132 -S'Cardiac\tCardiac\tJJ\tB-NP\tO' -p305133 -aS'exam\texam\tNN\tI-NP\tO' -p305134 -aS'was\tbe\tVBD\tB-VP\tO' -p305135 -aS'tachycardic\ttachycardic\tJJ\tB-ADJP\tO' -p305136 -aS'and\tand\tCC\tI-ADJP\tO' -p305137 -aS'regular\tregular\tJJ\tB-NP\tO' -p305138 -aS',\t,\t,\tI-NP\tO' -p305139 -aS'normal\tnormal\tJJ\tI-NP\tO' -p305140 -aS'S1\tS1\tNN\tI-NP\tB-protein' -p305141 -aS'and\tand\tCC\tI-NP\tO' -p305142 -aS'S2\tS2\tNN\tI-NP\tB-protein' -p305143 -aS'.\t.\t.\tO\tO' -p305144 -asS'ON admission she was taking Quetiapine 300 mg QHS and Clonazepam 1 mg QAM , 1 mg Q3PM , 2 mg PO QHS .' -p305145 -(lp305146 -S'ON\tON\tNN\tB-NP\tO' -p305147 -aS'admission\tadmission\tNN\tI-NP\tO' -p305148 -aS'she\tshe\tPRP\tB-NP\tO' -p305149 -aS'was\tbe\tVBD\tB-VP\tO' -p305150 -aS'taking\ttake\tVBG\tI-VP\tO' -p305151 -aS'Quetiapine\tQuetiapine\tNNP\tB-NP\tO' -p305152 -aS'300\t300\tCD\tI-NP\tO' -p305153 -aS'mg\tmg\tNN\tI-NP\tO' -p305154 -aS'QHS\tQHS\tNN\tI-NP\tO' -p305155 -aS'and\tand\tCC\tO\tO' -p305156 -aS'Clonazepam\tClonazepam\tNN\tB-NP\tO' -p305157 -aS'1\t1\tCD\tI-NP\tO' -p305158 -aS'mg\tmg\tNN\tI-NP\tO' -p305159 -aS'QAM\tQAM\tNN\tI-NP\tO' -p305160 -aS',\t,\t,\tO\tO' -p305161 -aS'1\t1\tCD\tB-NP\tO' -p305162 -aS'mg\tmg\tNN\tI-NP\tO' -p305163 -aS'Q3PM\tQ3PM\tNN\tI-NP\tO' -p305164 -aS',\t,\t,\tO\tO' -p305165 -aS'2\t2\tCD\tB-NP\tO' -p305166 -aS'mg\tmg\tNN\tI-NP\tO' -p305167 -aS'PO\tPO\tNN\tI-NP\tO' -p305168 -aS'QHS\tQHS\tNN\tI-NP\tO' -p305169 -aS'.\t.\t.\tO\tO' -p305170 -asS'Abdomen was soft , nontender , and nondistended , positive bowel sounds .' -p305171 -(lp305172 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p305173 -aS'was\tbe\tVBD\tB-VP\tO' -p305174 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p305175 -aS',\t,\t,\tO\tO' -p305176 -aS'nontender\tnontender\tJJ\tB-ADJP\tO' -p305177 -aS',\t,\t,\tO\tO' -p305178 -aS'and\tand\tCC\tO\tO' -p305179 -aS'nondistended\tnondistended\tJJ\tB-NP\tO' -p305180 -aS',\t,\t,\tI-NP\tO' -p305181 -aS'positive\tpositive\tJJ\tI-NP\tO' -p305182 -aS'bowel\tbowel\tNN\tI-NP\tO' -p305183 -aS'sounds\tsound\tNNS\tI-NP\tO' -p305184 -aS'.\t.\t.\tO\tO' -p305185 -asS'The patient was weaned from mechanical ventilation and subsequently extubated on the night of surgery .' -p305186 -(lp305187 -S'The\tThe\tDT\tB-NP\tO' -p305188 -aS'patient\tpatient\tNN\tI-NP\tO' -p305189 -aS'was\tbe\tVBD\tB-VP\tO' -p305190 -aS'weaned\twean\tVBN\tI-VP\tO' -p305191 -aS'from\tfrom\tIN\tB-PP\tO' -p305192 -aS'mechanical\tmechanical\tJJ\tB-NP\tO' -p305193 -aS'ventilation\tventilation\tNN\tI-NP\tO' -p305194 -aS'and\tand\tCC\tO\tO' -p305195 -aS'subsequently\tsubsequently\tRB\tB-VP\tO' -p305196 -aS'extubated\textubate\tVBN\tI-VP\tO' -p305197 -aS'on\ton\tIN\tB-PP\tO' -p305198 -aS'the\tthe\tDT\tB-NP\tO' -p305199 -aS'night\tnight\tNN\tI-NP\tO' -p305200 -aS'of\tof\tIN\tB-PP\tO' -p305201 -aS'surgery\tsurgery\tNN\tB-NP\tO' -p305202 -aS'.\t.\t.\tO\tO' -p305203 -asS'The patient was discharged to home on the following medications .' -p305204 -(lp305205 -S'The\tThe\tDT\tB-NP\tO' -p305206 -aS'patient\tpatient\tNN\tI-NP\tO' -p305207 -aS'was\tbe\tVBD\tB-VP\tO' -p305208 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p305209 -aS'to\tto\tTO\tB-PP\tO' -p305210 -aS'home\thome\tNN\tB-NP\tO' -p305211 -aS'on\ton\tIN\tB-PP\tO' -p305212 -aS'the\tthe\tDT\tB-NP\tO' -p305213 -aS'following\tfollow\tVBG\tI-NP\tO' -p305214 -aS'medications\tmedication\tNNS\tI-NP\tO' -p305215 -aS'.\t.\t.\tO\tO' -p305216 -asS'Urine cotenine level none detected .' -p305217 -(lp305218 -S'Urine\tUrine\tNN\tB-NP\tO' -p305219 -aS'cotenine\tcotenine\tNN\tI-NP\tO' -p305220 -aS'level\tlevel\tNN\tI-NP\tO' -p305221 -aS'none\tnone\tNN\tI-NP\tO' -p305222 -aS'detected\tdetect\tVBN\tB-VP\tO' -p305223 -aS'.\t.\t.\tO\tO' -p305224 -asS'Please return if your symptoms return , you develop a fever .' -p305225 -(lp305226 -S'Please\tPlease\tNN\tB-NP\tO' -p305227 -aS'return\treturn\tNN\tI-NP\tO' -p305228 -aS'if\tif\tIN\tB-SBAR\tO' -p305229 -aS'your\tyour\tPRP$\tB-NP\tO' -p305230 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p305231 -aS'return\treturn\tVBP\tB-VP\tO' -p305232 -aS',\t,\t,\tO\tO' -p305233 -aS'you\tyou\tPRP\tB-NP\tO' -p305234 -aS'develop\tdevelop\tVBP\tB-VP\tO' -p305235 -aS'a\ta\tDT\tB-NP\tO' -p305236 -aS'fever\tfever\tNN\tI-NP\tO' -p305237 -aS'.\t.\t.\tO\tO' -p305238 -asS'2. Cranial hemorrages ( sub arachnoid and parenchemal )' -p305239 -(lp305240 -S'2.\t2.\tLS\tB-NP\tO' -p305241 -aS'Cranial\tCranial\tJJ\tI-NP\tO' -p305242 -aS'hemorrages\themorrage\tNNS\tI-NP\tO' -p305243 -aS'(\t(\t(\tO\tO' -p305244 -aS'sub\tsub\tNN\tB-NP\tO' -p305245 -aS'arachnoid\tarachnoid\tNN\tI-NP\tO' -p305246 -aS'and\tand\tCC\tO\tO' -p305247 -aS'parenchemal\tparenchemal\tJJ\tB-ADJP\tO' -p305248 -aS')\t)\t)\tO\tO' -p305249 -asS"The family was notified of the patient 's passing ." -p305250 -(lp305251 -S'The\tThe\tDT\tB-NP\tO' -p305252 -aS'family\tfamily\tNN\tI-NP\tO' -p305253 -aS'was\tbe\tVBD\tB-VP\tO' -p305254 -aS'notified\tnotify\tVBN\tI-VP\tO' -p305255 -aS'of\tof\tIN\tB-PP\tO' -p305256 -aS'the\tthe\tDT\tB-NP\tO' -p305257 -aS'patient\tpatient\tNN\tI-NP\tO' -p305258 -aS"'s\t's\tPOS\tB-NP\tO" -p305259 -aS'passing\tpassing\tNN\tI-NP\tO' -p305260 -aS'.\t.\t.\tO\tO' -p305261 -asS'Lives w wife , has home health assistance .' -p305262 -(lp305263 -S'Lives\tLive\tVBZ\tB-VP\tO' -p305264 -aS'w\tw\tNN\tB-NP\tO' -p305265 -aS'wife\twife\tNN\tI-NP\tO' -p305266 -aS',\t,\t,\tO\tO' -p305267 -aS'has\thave\tVBZ\tB-VP\tO' -p305268 -aS'home\thome\tNN\tB-NP\tO' -p305269 -aS'health\thealth\tNN\tI-NP\tO' -p305270 -aS'assistance\tassistance\tNN\tI-NP\tO' -p305271 -aS'.\t.\t.\tO\tO' -p305272 -asS'At the time , Nutrition was following , initially with a low fat , low cholesterol , low sugar diet .' -p305273 -(lp305274 -S'At\tAt\tIN\tB-PP\tO' -p305275 -aS'the\tthe\tDT\tB-NP\tO' -p305276 -aS'time\ttime\tNN\tI-NP\tO' -p305277 -aS',\t,\t,\tO\tO' -p305278 -aS'Nutrition\tNutrition\tNN\tB-NP\tO' -p305279 -aS'was\tbe\tVBD\tB-VP\tO' -p305280 -aS'following\tfollow\tVBG\tI-VP\tO' -p305281 -aS',\t,\t,\tO\tO' -p305282 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p305283 -aS'with\twith\tIN\tB-PP\tO' -p305284 -aS'a\ta\tDT\tB-NP\tO' -p305285 -aS'low\tlow\tJJ\tI-NP\tO' -p305286 -aS'fat\tfat\tNN\tI-NP\tO' -p305287 -aS',\t,\t,\tO\tO' -p305288 -aS'low\tlow\tJJ\tB-NP\tO' -p305289 -aS'cholesterol\tcholesterol\tNN\tI-NP\tO' -p305290 -aS',\t,\t,\tO\tO' -p305291 -aS'low\tlow\tJJ\tB-NP\tO' -p305292 -aS'sugar\tsugar\tNN\tI-NP\tO' -p305293 -aS'diet\tdiet\tNN\tI-NP\tO' -p305294 -aS'.\t.\t.\tO\tO' -p305295 -asS'Continue Lasix .' -p305296 -(lp305297 -S'Continue\tContinue\tNNP\tB-NP\tO' -p305298 -aS'Lasix\tLasix\tNNP\tI-NP\tO' -p305299 -aS'.\t.\t.\tO\tO' -p305300 -asS'His date of birth is 11/7/32 .' -p305301 -(lp305302 -S'His\tHis\tPRP$\tB-NP\tO' -p305303 -aS'date\tdate\tNN\tI-NP\tO' -p305304 -aS'of\tof\tIN\tB-PP\tO' -p305305 -aS'birth\tbirth\tNN\tB-NP\tO' -p305306 -aS'is\tbe\tVBZ\tB-VP\tO' -p305307 -aS'11/7/32\t11/7/32\tCD\tB-NP\tO' -p305308 -aS'.\t.\t.\tO\tO' -p305309 -asS'Cardiac examination was regular rate and rhythm .' -p305310 -(lp305311 -S'Cardiac\tCardiac\tJJ\tB-NP\tO' -p305312 -aS'examination\texamination\tNN\tI-NP\tO' -p305313 -aS'was\tbe\tVBD\tB-VP\tO' -p305314 -aS'regular\tregular\tJJ\tB-NP\tO' -p305315 -aS'rate\trate\tNN\tI-NP\tO' -p305316 -aS'and\tand\tCC\tI-NP\tO' -p305317 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p305318 -aS'.\t.\t.\tO\tO' -p305319 -asS'Dementia .' -p305320 -(lp305321 -S'Dementia\tDementia\tNNP\tB-NP\tO' -p305322 -aS'.\t.\t.\tO\tO' -p305323 -asS'Please follow up with your PCP S. Saracino on 2015-12-30 at 8:00 AM .' -p305324 -(lp305325 -S'Please\tPlease\tVB\tB-VP\tO' -p305326 -aS'follow\tfollow\tVB\tI-VP\tO' -p305327 -aS'up\tup\tRP\tB-PRT\tO' -p305328 -aS'with\twith\tIN\tB-PP\tO' -p305329 -aS'your\tyour\tPRP$\tB-NP\tO' -p305330 -aS'PCP\tPCP\tNN\tI-NP\tO' -p305331 -aS'S.\tS.\tNNP\tI-NP\tO' -p305332 -aS'Saracino\tSaracino\tNNP\tI-NP\tO' -p305333 -aS'on\ton\tIN\tB-PP\tO' -p305334 -aS'2015-12-30\t2015-12-30\tCD\tB-NP\tO' -p305335 -aS'at\tat\tIN\tB-PP\tO' -p305336 -aS'8:00\t8:00\tCD\tB-NP\tO' -p305337 -aS'AM\tAM\tNN\tI-NP\tO' -p305338 -aS'.\t.\t.\tO\tO' -p305339 -asS'He is N. Quinn educated retired data processor who lives with his wife .' -p305340 -(lp305341 -S'He\tHe\tPRP\tB-NP\tO' -p305342 -aS'is\tbe\tVBZ\tB-VP\tO' -p305343 -aS'N.\tN.\tNNP\tB-NP\tO' -p305344 -aS'Quinn\tQuinn\tNNP\tI-NP\tO' -p305345 -aS'educated\teducate\tVBD\tB-VP\tO' -p305346 -aS'retired\tretired\tJJ\tB-NP\tO' -p305347 -aS'data\tdatum\tNNS\tI-NP\tO' -p305348 -aS'processor\tprocessor\tNN\tI-NP\tO' -p305349 -aS'who\twho\tWP\tB-NP\tO' -p305350 -aS'lives\tlive\tVBZ\tB-VP\tO' -p305351 -aS'with\twith\tIN\tB-PP\tO' -p305352 -aS'his\this\tPRP$\tB-NP\tO' -p305353 -aS'wife\twife\tNN\tI-NP\tO' -p305354 -aS'.\t.\t.\tO\tO' -p305355 -asS'He was started on a 50 units / kg bolus of factor 8 followed by continuous factor 8 infusions at 50 units / kg / day divided until hourly infusion rates at 05-10 .' -p305356 -(lp305357 -S'He\tHe\tPRP\tB-NP\tO' -p305358 -aS'was\tbe\tVBD\tB-VP\tO' -p305359 -aS'started\tstart\tVBN\tI-VP\tO' -p305360 -aS'on\ton\tIN\tB-PP\tO' -p305361 -aS'a\ta\tDT\tB-NP\tO' -p305362 -aS'50\t50\tCD\tI-NP\tO' -p305363 -aS'units\tunit\tNNS\tI-NP\tO' -p305364 -aS'/\t/\tSYM\tB-NP\tO' -p305365 -aS'kg\tkg\tNN\tI-NP\tO' -p305366 -aS'bolus\tbolus\tNN\tI-NP\tO' -p305367 -aS'of\tof\tIN\tB-PP\tO' -p305368 -aS'factor\tfactor\tNN\tB-NP\tO' -p305369 -aS'8\t8\tCD\tI-NP\tO' -p305370 -aS'followed\tfollow\tVBN\tB-VP\tO' -p305371 -aS'by\tby\tIN\tB-PP\tO' -p305372 -aS'continuous\tcontinuous\tJJ\tB-NP\tO' -p305373 -aS'factor\tfactor\tNN\tI-NP\tO' -p305374 -aS'8\t8\tCD\tB-NP\tO' -p305375 -aS'infusions\tinfusion\tNNS\tI-NP\tO' -p305376 -aS'at\tat\tIN\tB-PP\tO' -p305377 -aS'50\t50\tCD\tB-NP\tB-DNA' -p305378 -aS'units\tunit\tNNS\tI-NP\tI-DNA' -p305379 -aS'/\t/\tSYM\tB-NP\tO' -p305380 -aS'kg\tkg\tNN\tI-NP\tO' -p305381 -aS'/\t/\tSYM\tB-NP\tO' -p305382 -aS'day\tday\tNN\tI-NP\tO' -p305383 -aS'divided\tdivide\tVBN\tB-VP\tO' -p305384 -aS'until\tuntil\tIN\tB-PP\tO' -p305385 -aS'hourly\thourly\tJJ\tB-NP\tO' -p305386 -aS'infusion\tinfusion\tNN\tI-NP\tO' -p305387 -aS'rates\trate\tNNS\tI-NP\tO' -p305388 -aS'at\tat\tIN\tB-PP\tO' -p305389 -aS'05-10\t05-10\tCD\tB-NP\tO' -p305390 -aS'.\t.\t.\tO\tO' -p305391 -asS'The patient is status post radiation therapy and resection and reconstruction for his laryngeal cancer .' -p305392 -(lp305393 -S'The\tThe\tDT\tB-NP\tO' -p305394 -aS'patient\tpatient\tNN\tI-NP\tO' -p305395 -aS'is\tbe\tVBZ\tB-VP\tO' -p305396 -aS'status\tstatus\tNN\tB-NP\tO' -p305397 -aS'post\tpost\tNN\tI-NP\tO' -p305398 -aS'radiation\tradiation\tNN\tI-NP\tO' -p305399 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p305400 -aS'and\tand\tCC\tO\tO' -p305401 -aS'resection\tresection\tNN\tB-NP\tO' -p305402 -aS'and\tand\tCC\tI-NP\tO' -p305403 -aS'reconstruction\treconstruction\tNN\tI-NP\tO' -p305404 -aS'for\tfor\tIN\tB-PP\tO' -p305405 -aS'his\this\tPRP$\tB-NP\tO' -p305406 -aS'laryngeal\tlaryngeal\tJJ\tI-NP\tO' -p305407 -aS'cancer\tcancer\tNN\tI-NP\tO' -p305408 -aS'.\t.\t.\tO\tO' -p305409 -asS'Dictated By : Salvador BX Hernandez , M.D.' -p305410 -(lp305411 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p305412 -aS'By\tBy\tIN\tB-PP\tO' -p305413 -aS':\t:\t:\tO\tO' -p305414 -aS'Salvador\tSalvador\tNNP\tB-NP\tO' -p305415 -aS'BX\tBX\tNNP\tI-NP\tO' -p305416 -aS'Hernandez\tHernandez\tNNP\tI-NP\tO' -p305417 -aS',\t,\t,\tO\tO' -p305418 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p305419 -asS'70 y/o F w/ tracheobronchomalacia , COPD , PMR , recurrent pneumonias who was recently discharged from Hallmark Health System to Pocasset Mental Health Center' -p305420 -(lp305421 -S'70\t70\tCD\tB-NP\tO' -p305422 -aS'y/o\ty/o\tNN\tI-NP\tO' -p305423 -aS'F\tF\tNN\tI-NP\tO' -p305424 -aS'w/\tw/\tNN\tI-NP\tO' -p305425 -aS'tracheobronchomalacia\ttracheobronchomalacia\tNN\tI-NP\tO' -p305426 -aS',\t,\t,\tO\tO' -p305427 -aS'COPD\tCOPD\tNN\tB-NP\tO' -p305428 -aS',\t,\t,\tO\tO' -p305429 -aS'PMR\tPMR\tNN\tB-NP\tB-protein' -p305430 -aS',\t,\t,\tO\tO' -p305431 -aS'recurrent\trecurrent\tJJ\tB-NP\tO' -p305432 -aS'pneumonias\tpneumonia\tNNS\tI-NP\tO' -p305433 -aS'who\twho\tWP\tB-NP\tO' -p305434 -aS'was\tbe\tVBD\tB-VP\tO' -p305435 -aS'recently\trecently\tRB\tI-VP\tO' -p305436 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p305437 -aS'from\tfrom\tIN\tB-PP\tO' -p305438 -aS'Hallmark\tHallmark\tNNP\tB-NP\tO' -p305439 -aS'Health\tHealth\tNNP\tI-NP\tO' -p305440 -aS'System\tSystem\tNNP\tI-NP\tO' -p305441 -aS'to\tto\tTO\tB-PP\tO' -p305442 -aS'Pocasset\tPocasset\tNNP\tB-NP\tO' -p305443 -aS'Mental\tMental\tNNP\tI-NP\tO' -p305444 -aS'Health\tHealth\tNNP\tI-NP\tO' -p305445 -aS'Center\tCenter\tNNP\tI-NP\tO' -p305446 -asS'In February of 1993 , patient again presented with chest pain , shortness of breath , ruled in for a non-Q wave myocardial infarction with CPK peak of 219 and MB of 20.9 .' -p305447 -(lp305448 -S'In\tIn\tIN\tB-PP\tO' -p305449 -aS'February\tFebruary\tNNP\tB-NP\tO' -p305450 -aS'of\tof\tIN\tB-PP\tO' -p305451 -aS'1993\t1993\tCD\tB-NP\tO' -p305452 -aS',\t,\t,\tO\tO' -p305453 -aS'patient\tpatient\tNN\tB-NP\tO' -p305454 -aS'again\tagain\tRB\tB-ADVP\tO' -p305455 -aS'presented\tpresent\tVBD\tB-VP\tO' -p305456 -aS'with\twith\tIN\tB-PP\tO' -p305457 -aS'chest\tchest\tNN\tB-NP\tO' -p305458 -aS'pain\tpain\tNN\tI-NP\tO' -p305459 -aS',\t,\t,\tO\tO' -p305460 -aS'shortness\tshortness\tNN\tB-NP\tO' -p305461 -aS'of\tof\tIN\tB-PP\tO' -p305462 -aS'breath\tbreath\tNN\tB-NP\tO' -p305463 -aS',\t,\t,\tO\tO' -p305464 -aS'ruled\trule\tVBN\tB-VP\tO' -p305465 -aS'in\tin\tIN\tB-PP\tO' -p305466 -aS'for\tfor\tIN\tB-PP\tO' -p305467 -aS'a\ta\tDT\tB-NP\tO' -p305468 -aS'non-Q\tnon-Q\tJJ\tI-NP\tO' -p305469 -aS'wave\twave\tNN\tI-NP\tO' -p305470 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p305471 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p305472 -aS'with\twith\tIN\tB-PP\tO' -p305473 -aS'CPK\tCPK\tNN\tB-NP\tB-protein' -p305474 -aS'peak\tpeak\tNN\tI-NP\tO' -p305475 -aS'of\tof\tIN\tB-PP\tO' -p305476 -aS'219\t219\tCD\tB-NP\tO' -p305477 -aS'and\tand\tCC\tO\tO' -p305478 -aS'MB\tMB\tNN\tB-NP\tO' -p305479 -aS'of\tof\tIN\tB-PP\tO' -p305480 -aS'20.9\t20.9\tCD\tB-NP\tO' -p305481 -aS'.\t.\t.\tO\tO' -p305482 -asS'7. Tiotropium Bromide 18 mcg Capsule , w/ Inhalation Device Sig : One ( 1 ) Cap Inhalation DAILY ( Daily ).' -p305483 -(lp305484 -S'7.\t7.\tCD\tB-NP\tO' -p305485 -aS'Tiotropium\tTiotropium\tNNP\tI-NP\tO' -p305486 -aS'Bromide\tBromide\tNNP\tI-NP\tO' -p305487 -aS'18\t18\tCD\tI-NP\tO' -p305488 -aS'mcg\tmcg\tNN\tI-NP\tO' -p305489 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p305490 -aS',\t,\t,\tO\tO' -p305491 -aS'w/\tw/\tDT\tB-NP\tO' -p305492 -aS'Inhalation\tInhalation\tNNP\tI-NP\tO' -p305493 -aS'Device\tDevice\tNNP\tI-NP\tO' -p305494 -aS'Sig\tSig\tNNP\tI-NP\tO' -p305495 -aS':\t:\t:\tO\tO' -p305496 -aS'One\tOne\tCD\tB-NP\tO' -p305497 -aS'(\t(\t(\tO\tO' -p305498 -aS'1\t1\tCD\tB-NP\tO' -p305499 -aS')\t)\t)\tO\tO' -p305500 -aS'Cap\tCap\tNN\tB-NP\tO' -p305501 -aS'Inhalation\tInhalation\tNN\tI-NP\tO' -p305502 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p305503 -aS'(\t(\t(\tO\tO' -p305504 -aS'Daily\tDaily\tNNP\tB-NP\tO' -p305505 -aS').\t).\t)\tO\tO' -p305506 -asS'Completed a 7 day course of vancomycin and levofloxacin .' -p305507 -(lp305508 -S'Completed\tComplete\tVBN\tB-VP\tO' -p305509 -aS'a\ta\tDT\tB-NP\tO' -p305510 -aS'7\t7\tCD\tI-NP\tO' -p305511 -aS'day\tday\tNN\tI-NP\tO' -p305512 -aS'course\tcourse\tNN\tI-NP\tO' -p305513 -aS'of\tof\tIN\tB-PP\tO' -p305514 -aS'vancomycin\tvancomycin\tNN\tB-NP\tO' -p305515 -aS'and\tand\tCC\tI-NP\tO' -p305516 -aS'levofloxacin\tlevofloxacin\tNN\tI-NP\tO' -p305517 -aS'.\t.\t.\tO\tO' -p305518 -asS'He did have clubbing and palmar erythema with bilateral ankle edema .' -p305519 -(lp305520 -S'He\tHe\tPRP\tB-NP\tO' -p305521 -aS'did\tdo\tVBD\tB-VP\tO' -p305522 -aS'have\thave\tVB\tI-VP\tO' -p305523 -aS'clubbing\tclubbing\tNN\tB-NP\tO' -p305524 -aS'and\tand\tCC\tO\tO' -p305525 -aS'palmar\tpalmar\tJJ\tB-NP\tO' -p305526 -aS'erythema\terythema\tNN\tI-NP\tO' -p305527 -aS'with\twith\tIN\tB-PP\tO' -p305528 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p305529 -aS'ankle\tankle\tNN\tI-NP\tO' -p305530 -aS'edema\tedema\tNN\tI-NP\tO' -p305531 -aS'.\t.\t.\tO\tO' -p305532 -asS'16. COPD with asbestosis on chest CT scan .' -p305533 -(lp305534 -S'16.\t16.\tLS\tB-NP\tO' -p305535 -aS'COPD\tCOPD\tNN\tI-NP\tO' -p305536 -aS'with\twith\tIN\tB-PP\tO' -p305537 -aS'asbestosis\tasbestosis\tNN\tB-NP\tO' -p305538 -aS'on\ton\tIN\tB-PP\tO' -p305539 -aS'chest\tchest\tNN\tB-NP\tO' -p305540 -aS'CT\tCT\tNN\tI-NP\tO' -p305541 -aS'scan\tscan\tNN\tI-NP\tO' -p305542 -aS'.\t.\t.\tO\tO' -p305543 -asS'No further bleeding noted .' -p305544 -(lp305545 -S'No\tNo\tDT\tB-NP\tO' -p305546 -aS'further\tfurther\tJJ\tI-NP\tO' -p305547 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p305548 -aS'noted\tnote\tVBD\tB-VP\tO' -p305549 -aS'.\t.\t.\tO\tO' -p305550 -asS'The chest was clear to auscultation and percussion .' -p305551 -(lp305552 -S'The\tThe\tDT\tB-NP\tO' -p305553 -aS'chest\tchest\tNN\tI-NP\tO' -p305554 -aS'was\tbe\tVBD\tB-VP\tO' -p305555 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p305556 -aS'to\tto\tTO\tB-PP\tO' -p305557 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p305558 -aS'and\tand\tCC\tI-NP\tO' -p305559 -aS'percussion\tpercussion\tNN\tI-NP\tO' -p305560 -aS'.\t.\t.\tO\tO' -p305561 -asS'Back was nontender .' -p305562 -(lp305563 -S'Back\tBack\tNN\tB-NP\tO' -p305564 -aS'was\tbe\tVBD\tB-VP\tO' -p305565 -aS'nontender\tnontender\tJJ\tB-ADJP\tO' -p305566 -aS'.\t.\t.\tO\tO' -p305567 -asS'She was admitted to the hospital for a pre lung transplant evaluation .' -p305568 -(lp305569 -S'She\tShe\tPRP\tB-NP\tO' -p305570 -aS'was\tbe\tVBD\tB-VP\tO' -p305571 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p305572 -aS'to\tto\tTO\tB-PP\tO' -p305573 -aS'the\tthe\tDT\tB-NP\tO' -p305574 -aS'hospital\thospital\tNN\tI-NP\tO' -p305575 -aS'for\tfor\tIN\tB-PP\tO' -p305576 -aS'a\ta\tDT\tB-NP\tO' -p305577 -aS'pre\tpre\tJJ\tI-NP\tO' -p305578 -aS'lung\tlung\tNN\tI-NP\tO' -p305579 -aS'transplant\ttransplant\tNN\tI-NP\tO' -p305580 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p305581 -aS'.\t.\t.\tO\tO' -p305582 -asS'Her incision has remained clean , dry , intact , with staples removed on POD# 27/18 .' -p305583 -(lp305584 -S'Her\tHer\tPRP$\tB-NP\tO' -p305585 -aS'incision\tincision\tNN\tI-NP\tO' -p305586 -aS'has\thave\tVBZ\tB-VP\tO' -p305587 -aS'remained\tremain\tVBN\tI-VP\tO' -p305588 -aS'clean\tclean\tJJ\tB-NP\tO' -p305589 -aS',\t,\t,\tI-NP\tO' -p305590 -aS'dry\tdry\tJJ\tI-NP\tO' -p305591 -aS',\t,\t,\tI-NP\tO' -p305592 -aS'intact\tintact\tJJ\tI-NP\tO' -p305593 -aS',\t,\t,\tO\tO' -p305594 -aS'with\twith\tIN\tB-PP\tO' -p305595 -aS'staples\tstaple\tNNS\tB-NP\tO' -p305596 -aS'removed\tremove\tVBN\tB-VP\tO' -p305597 -aS'on\ton\tIN\tB-PP\tO' -p305598 -aS'POD#\tPOD#\tNN\tB-NP\tB-DNA' -p305599 -aS'27/18\t27/18\tCD\tI-NP\tI-DNA' -p305600 -aS'.\t.\t.\tO\tO' -p305601 -asS'She was started on aspirin 325 mg q.d. and Plavix 75 mg q.d.' -p305602 -(lp305603 -S'She\tShe\tPRP\tB-NP\tO' -p305604 -aS'was\tbe\tVBD\tB-VP\tO' -p305605 -aS'started\tstart\tVBN\tI-VP\tO' -p305606 -aS'on\ton\tIN\tB-PP\tO' -p305607 -aS'aspirin\taspirin\tNN\tB-NP\tO' -p305608 -aS'325\t325\tCD\tI-NP\tO' -p305609 -aS'mg\tmg\tNN\tI-NP\tO' -p305610 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p305611 -aS'and\tand\tCC\tO\tO' -p305612 -aS'Plavix\tPlavix\tNN\tB-NP\tO' -p305613 -aS'75\t75\tCD\tI-NP\tO' -p305614 -aS'mg\tmg\tNN\tI-NP\tO' -p305615 -aS'q.d.\tq.d.\t.\tO\tO' -p305616 -asS'Clavicles stable .' -p305617 -(lp305618 -S'Clavicles\tClavicle\tNNS\tB-NP\tO' -p305619 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p305620 -aS'.\t.\t.\tO\tO' -p305621 -asS'You can take regular tylenol or motrin for pain and use the percocet for breakthrough pain .' -p305622 -(lp305623 -S'You\tYou\tPRP\tB-NP\tB-protein' -p305624 -aS'can\tcan\tMD\tB-VP\tO' -p305625 -aS'take\ttake\tVB\tI-VP\tO' -p305626 -aS'regular\tregular\tJJ\tB-NP\tO' -p305627 -aS'tylenol\ttylenol\tNN\tI-NP\tO' -p305628 -aS'or\tor\tCC\tI-NP\tO' -p305629 -aS'motrin\tmotrin\tNN\tI-NP\tO' -p305630 -aS'for\tfor\tIN\tB-PP\tO' -p305631 -aS'pain\tpain\tNN\tB-NP\tO' -p305632 -aS'and\tand\tCC\tO\tO' -p305633 -aS'use\tuse\tVB\tB-VP\tO' -p305634 -aS'the\tthe\tDT\tB-NP\tO' -p305635 -aS'percocet\tpercocet\tNN\tI-NP\tO' -p305636 -aS'for\tfor\tIN\tB-PP\tO' -p305637 -aS'breakthrough\tbreakthrough\tNN\tB-NP\tO' -p305638 -aS'pain\tpain\tNN\tI-NP\tO' -p305639 -aS'.\t.\t.\tO\tO' -p305640 -asS'ECHOCARDIOGRAM , CARDIAC CATHETERIZATION , EMG , CT SCAN OF THE CHEST .' -p305641 -(lp305642 -S'ECHOCARDIOGRAM\tECHOCARDIOGRAM\tNN\tB-NP\tO' -p305643 -aS',\t,\t,\tO\tO' -p305644 -aS'CARDIAC\tCARDIAC\tNNP\tB-NP\tO' -p305645 -aS'CATHETERIZATION\tCATHETERIZATION\tNNP\tI-NP\tO' -p305646 -aS',\t,\t,\tO\tO' -p305647 -aS'EMG\tEMG\tNNP\tB-NP\tO' -p305648 -aS',\t,\t,\tO\tO' -p305649 -aS'CT\tCT\tNN\tB-NP\tO' -p305650 -aS'SCAN\tSCAN\tNN\tI-NP\tO' -p305651 -aS'OF\tOF\tIN\tB-PP\tO' -p305652 -aS'THE\tTHE\tDT\tB-NP\tO' -p305653 -aS'CHEST\tCHEST\tNN\tI-NP\tB-DNA' -p305654 -aS'.\t.\t.\tO\tO' -p305655 -asS'Urinalysis was within normal limits .' -p305656 -(lp305657 -S'Urinalysis\tUrinalysis\tNN\tB-NP\tO' -p305658 -aS'was\tbe\tVBD\tB-VP\tO' -p305659 -aS'within\twithin\tIN\tB-PP\tO' -p305660 -aS'normal\tnormal\tJJ\tB-NP\tO' -p305661 -aS'limits\tlimit\tNNS\tI-NP\tO' -p305662 -aS'.\t.\t.\tO\tO' -p305663 -asS'Of note , he likely suffered a second ischemic event during his Coronary Care Unit stay .' -p305664 -(lp305665 -S'Of\tOf\tIN\tB-PP\tO' -p305666 -aS'note\tnote\tNN\tB-NP\tO' -p305667 -aS',\t,\t,\tO\tO' -p305668 -aS'he\the\tPRP\tB-NP\tO' -p305669 -aS'likely\tlikely\tRB\tB-ADVP\tO' -p305670 -aS'suffered\tsuffer\tVBD\tB-VP\tO' -p305671 -aS'a\ta\tDT\tB-NP\tO' -p305672 -aS'second\tsecond\tJJ\tI-NP\tO' -p305673 -aS'ischemic\tischemic\tJJ\tI-NP\tO' -p305674 -aS'event\tevent\tNN\tI-NP\tO' -p305675 -aS'during\tduring\tIN\tB-PP\tO' -p305676 -aS'his\this\tPRP$\tB-NP\tO' -p305677 -aS'Coronary\tCoronary\tNNP\tI-NP\tO' -p305678 -aS'Care\tCare\tNNP\tI-NP\tO' -p305679 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p305680 -aS'stay\tstay\tNN\tI-NP\tO' -p305681 -aS'.\t.\t.\tO\tO' -p305682 -asS'Mild tricuspid regurgitation .' -p305683 -(lp305684 -S'Mild\tMild\tJJ\tB-NP\tO' -p305685 -aS'tricuspid\ttricuspid\tJJ\tI-NP\tO' -p305686 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p305687 -aS'.\t.\t.\tO\tO' -p305688 -asS'The patient was discharged to the medical floor on hospital day three and discharged from the hospital once his INR was within the 2 to 2.5 range .' -p305689 -(lp305690 -S'The\tThe\tDT\tB-NP\tO' -p305691 -aS'patient\tpatient\tNN\tI-NP\tO' -p305692 -aS'was\tbe\tVBD\tB-VP\tO' -p305693 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p305694 -aS'to\tto\tTO\tB-PP\tO' -p305695 -aS'the\tthe\tDT\tB-NP\tO' -p305696 -aS'medical\tmedical\tJJ\tI-NP\tO' -p305697 -aS'floor\tfloor\tNN\tI-NP\tO' -p305698 -aS'on\ton\tIN\tB-PP\tO' -p305699 -aS'hospital\thospital\tNN\tB-NP\tO' -p305700 -aS'day\tday\tNN\tI-NP\tO' -p305701 -aS'three\tthree\tCD\tI-NP\tO' -p305702 -aS'and\tand\tCC\tO\tO' -p305703 -aS'discharged\tdischarge\tVBD\tB-VP\tO' -p305704 -aS'from\tfrom\tIN\tB-PP\tO' -p305705 -aS'the\tthe\tDT\tB-NP\tO' -p305706 -aS'hospital\thospital\tNN\tI-NP\tO' -p305707 -aS'once\tonce\tIN\tB-SBAR\tO' -p305708 -aS'his\this\tPRP$\tB-NP\tO' -p305709 -aS'INR\tINR\tNN\tI-NP\tB-protein' -p305710 -aS'was\tbe\tVBD\tB-VP\tO' -p305711 -aS'within\twithin\tIN\tB-PP\tO' -p305712 -aS'the\tthe\tDT\tB-NP\tO' -p305713 -aS'2\t2\tCD\tI-NP\tO' -p305714 -aS'to\tto\tTO\tI-NP\tO' -p305715 -aS'2.5\t2.5\tCD\tI-NP\tO' -p305716 -aS'range\trange\tNN\tI-NP\tO' -p305717 -aS'.\t.\t.\tO\tO' -p305718 -asS'Patient was gradually put back on her outpatient xanax dose of 1 mg qid and clozaril was restarted .' -p305719 -(lp305720 -S'Patient\tPatient\tNN\tB-NP\tO' -p305721 -aS'was\tbe\tVBD\tB-VP\tO' -p305722 -aS'gradually\tgradually\tRB\tI-VP\tO' -p305723 -aS'put\tput\tVBN\tI-VP\tO' -p305724 -aS'back\tback\tRB\tB-ADVP\tO' -p305725 -aS'on\ton\tIN\tB-PP\tO' -p305726 -aS'her\ther\tPRP$\tB-NP\tO' -p305727 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p305728 -aS'xanax\txanax\tNN\tI-NP\tO' -p305729 -aS'dose\tdose\tNN\tI-NP\tO' -p305730 -aS'of\tof\tIN\tB-PP\tO' -p305731 -aS'1\t1\tCD\tB-NP\tO' -p305732 -aS'mg\tmg\tNN\tI-NP\tO' -p305733 -aS'qid\tqid\tNN\tI-NP\tO' -p305734 -aS'and\tand\tCC\tI-NP\tO' -p305735 -aS'clozaril\tclozaril\tNN\tI-NP\tO' -p305736 -aS'was\tbe\tVBD\tB-VP\tO' -p305737 -aS'restarted\trestart\tVBN\tI-VP\tO' -p305738 -aS'.\t.\t.\tO\tO' -p305739 -asS'Anxiety .' -p305740 -(lp305741 -S'Anxiety\tAnxiety\tNN\tB-NP\tO' -p305742 -aS'.\t.\t.\tO\tO' -p305743 -asS'On call out from the CCU , the pt was satting 93% on 4-5L NC , and through the following night , her oxygen requirement increased to NRB , wherein she was satting upper 80 s- low 90 s.' -p305744 -(lp305745 -S'On\tOn\tIN\tB-PP\tO' -p305746 -aS'call\tcall\tVB\tB-VP\tO' -p305747 -aS'out\tout\tRP\tB-PRT\tO' -p305748 -aS'from\tfrom\tIN\tB-PP\tO' -p305749 -aS'the\tthe\tDT\tB-NP\tO' -p305750 -aS'CCU\tCCU\tNN\tI-NP\tB-DNA' -p305751 -aS',\t,\t,\tO\tO' -p305752 -aS'the\tthe\tDT\tB-NP\tO' -p305753 -aS'pt\tpt\tNN\tI-NP\tO' -p305754 -aS'was\tbe\tVBD\tB-VP\tO' -p305755 -aS'satting\tsatte\tVBG\tI-VP\tO' -p305756 -aS'93%\t93%\tNN\tB-NP\tO' -p305757 -aS'on\ton\tIN\tB-PP\tO' -p305758 -aS'4-5L\t4-5L\tNN\tB-NP\tO' -p305759 -aS'NC\tNC\tNN\tI-NP\tO' -p305760 -aS',\t,\t,\tO\tO' -p305761 -aS'and\tand\tCC\tO\tO' -p305762 -aS'through\tthrough\tIN\tB-PP\tO' -p305763 -aS'the\tthe\tDT\tB-NP\tO' -p305764 -aS'following\tfollow\tVBG\tI-NP\tO' -p305765 -aS'night\tnight\tNN\tI-NP\tO' -p305766 -aS',\t,\t,\tO\tO' -p305767 -aS'her\ther\tPRP$\tB-NP\tO' -p305768 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p305769 -aS'requirement\trequirement\tNN\tI-NP\tO' -p305770 -aS'increased\tincrease\tVBD\tB-VP\tO' -p305771 -aS'to\tto\tTO\tB-PP\tO' -p305772 -aS'NRB\tNRB\tNN\tB-NP\tB-protein' -p305773 -aS',\t,\t,\tO\tO' -p305774 -aS'wherein\twherein\tIN\tB-SBAR\tO' -p305775 -aS'she\tshe\tPRP\tB-NP\tO' -p305776 -aS'was\tbe\tVBD\tB-VP\tO' -p305777 -aS'satting\tsatte\tVBG\tI-VP\tO' -p305778 -aS'upper\tupper\tJJ\tB-NP\tO' -p305779 -aS'80\t80\tCD\tI-NP\tO' -p305780 -aS's-\ts-\tNN\tI-NP\tO' -p305781 -aS'low\tlow\tJJ\tI-NP\tO' -p305782 -aS'90\t90\tCD\tI-NP\tO' -p305783 -aS's.\ts.\tNNS\tI-NP\tO' -p305784 -asS'John was in the Army during World War II .' -p305785 -(lp305786 -S'John\tJohn\tNNP\tB-NP\tO' -p305787 -aS'was\tbe\tVBD\tB-VP\tO' -p305788 -aS'in\tin\tIN\tB-PP\tO' -p305789 -aS'the\tthe\tDT\tB-NP\tO' -p305790 -aS'Army\tArmy\tNNP\tI-NP\tO' -p305791 -aS'during\tduring\tIN\tB-PP\tO' -p305792 -aS'World\tWorld\tNNP\tB-NP\tO' -p305793 -aS'War\tWar\tNNP\tI-NP\tO' -p305794 -aS'II\tII\tNNP\tI-NP\tO' -p305795 -aS'.\t.\t.\tO\tO' -p305796 -asS'2) PAROXYSMAL ATRIAL FIBRILLATION .' -p305797 -(lp305798 -S'2)\t2)\tLS\tB-NP\tO' -p305799 -aS'PAROXYSMAL\tPAROXYSMAL\tNN\tI-NP\tO' -p305800 -aS'ATRIAL\tATRIAL\tNN\tI-NP\tO' -p305801 -aS'FIBRILLATION\tFIBRILLATION\tNN\tI-NP\tO' -p305802 -aS'.\t.\t.\tO\tO' -p305803 -asS'She required several episodes of diuresis due to increasing shortness of breath on postoperative day #1 and postoperative day #2 due to worsening symptoms of shortness of breath from fluid shifts that normally occur during the postpartum period .' -p305804 -(lp305805 -S'She\tShe\tPRP\tB-NP\tO' -p305806 -aS'required\trequire\tVBD\tB-VP\tO' -p305807 -aS'several\tseveral\tJJ\tB-NP\tO' -p305808 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p305809 -aS'of\tof\tIN\tB-PP\tO' -p305810 -aS'diuresis\tdiuresis\tNN\tB-NP\tO' -p305811 -aS'due\tdue\tJJ\tB-ADJP\tO' -p305812 -aS'to\tto\tTO\tB-PP\tO' -p305813 -aS'increasing\tincrease\tVBG\tB-NP\tO' -p305814 -aS'shortness\tshortness\tNN\tI-NP\tO' -p305815 -aS'of\tof\tIN\tB-PP\tO' -p305816 -aS'breath\tbreath\tNN\tB-NP\tO' -p305817 -aS'on\ton\tIN\tB-PP\tO' -p305818 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p305819 -aS'day\tday\tNN\tI-NP\tO' -p305820 -aS'#1\t#1\tNN\tI-NP\tO' -p305821 -aS'and\tand\tCC\tO\tO' -p305822 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p305823 -aS'day\tday\tNN\tI-NP\tO' -p305824 -aS'#2\t#2\tNN\tI-NP\tO' -p305825 -aS'due\tdue\tJJ\tB-ADJP\tO' -p305826 -aS'to\tto\tTO\tB-PP\tO' -p305827 -aS'worsening\tworsen\tVBG\tB-VP\tO' -p305828 -aS'symptoms\tsymptom\tNNS\tB-NP\tO' -p305829 -aS'of\tof\tIN\tB-PP\tO' -p305830 -aS'shortness\tshortness\tNN\tB-NP\tO' -p305831 -aS'of\tof\tIN\tB-PP\tO' -p305832 -aS'breath\tbreath\tNN\tB-NP\tO' -p305833 -aS'from\tfrom\tIN\tB-PP\tO' -p305834 -aS'fluid\tfluid\tNN\tB-NP\tO' -p305835 -aS'shifts\tshift\tNNS\tI-NP\tO' -p305836 -aS'that\tthat\tWDT\tB-NP\tO' -p305837 -aS'normally\tnormally\tRB\tB-ADVP\tO' -p305838 -aS'occur\toccur\tVBP\tB-VP\tO' -p305839 -aS'during\tduring\tIN\tB-PP\tO' -p305840 -aS'the\tthe\tDT\tB-NP\tO' -p305841 -aS'postpartum\tpostpartum\tNN\tI-NP\tO' -p305842 -aS'period\tperiod\tNN\tI-NP\tO' -p305843 -aS'.\t.\t.\tO\tO' -p305844 -asS'No rubs or gallops .' -p305845 -(lp305846 -S'No\tNo\tDT\tB-NP\tO' -p305847 -aS'rubs\trub\tNNS\tI-NP\tO' -p305848 -aS'or\tor\tCC\tI-NP\tO' -p305849 -aS'gallops\tgallop\tNNS\tI-NP\tO' -p305850 -aS'.\t.\t.\tO\tO' -p305851 -asS'Given hypotension and bradycardia , he was slow to wean from Neosynephrine .' -p305852 -(lp305853 -S'Given\tGive\tVBN\tB-NP\tO' -p305854 -aS'hypotension\thypotension\tNN\tI-NP\tO' -p305855 -aS'and\tand\tCC\tI-NP\tO' -p305856 -aS'bradycardia\tbradycardia\tNN\tI-NP\tO' -p305857 -aS',\t,\t,\tO\tO' -p305858 -aS'he\the\tPRP\tB-NP\tO' -p305859 -aS'was\tbe\tVBD\tB-VP\tO' -p305860 -aS'slow\tslow\tJJ\tB-ADJP\tO' -p305861 -aS'to\tto\tTO\tB-VP\tO' -p305862 -aS'wean\twean\tVB\tI-VP\tO' -p305863 -aS'from\tfrom\tIN\tB-PP\tO' -p305864 -aS'Neosynephrine\tNeosynephrine\tNN\tB-NP\tO' -p305865 -aS'.\t.\t.\tO\tO' -p305866 -asS'Mother was transferred to the Debbie-Monaco from Western Mass. Hospital Hospital in the middle of January with increasing polyhydramnios and preterm labor .' -p305867 -(lp305868 -S'Mother\tMother\tDT\tB-NP\tO' -p305869 -aS'was\tbe\tVBD\tB-VP\tO' -p305870 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p305871 -aS'to\tto\tTO\tB-PP\tO' -p305872 -aS'the\tthe\tDT\tB-NP\tO' -p305873 -aS'Debbie-Monaco\tDebbie-Monaco\tNNP\tI-NP\tO' -p305874 -aS'from\tfrom\tIN\tB-PP\tO' -p305875 -aS'Western\tWestern\tNNP\tB-NP\tO' -p305876 -aS'Mass.\tMass.\tNNP\tI-NP\tO' -p305877 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p305878 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p305879 -aS'in\tin\tIN\tB-PP\tO' -p305880 -aS'the\tthe\tDT\tB-NP\tO' -p305881 -aS'middle\tmiddle\tNN\tI-NP\tO' -p305882 -aS'of\tof\tIN\tB-PP\tO' -p305883 -aS'January\tJanuary\tNNP\tB-NP\tO' -p305884 -aS'with\twith\tIN\tB-PP\tO' -p305885 -aS'increasing\tincrease\tVBG\tB-NP\tO' -p305886 -aS'polyhydramnios\tpolyhydramnio\tNNS\tI-NP\tO' -p305887 -aS'and\tand\tCC\tI-NP\tO' -p305888 -aS'preterm\tpreterm\tJJ\tI-NP\tO' -p305889 -aS'labor\tlabor\tNN\tI-NP\tO' -p305890 -aS'.\t.\t.\tO\tO' -p305891 -asS'cystic duct obstruction .' -p305892 -(lp305893 -S'cystic\tcystic\tJJ\tB-NP\tO' -p305894 -aS'duct\tduct\tNN\tI-NP\tO' -p305895 -aS'obstruction\tobstruction\tNN\tI-NP\tO' -p305896 -aS'.\t.\t.\tO\tO' -p305897 -asS'# Code - DNR/DNI .' -p305898 -(lp305899 -S'#\t#\t#\tB-NP\tO' -p305900 -aS'Code\tCode\tNN\tI-NP\tO' -p305901 -aS'-\t-\tHYPH\tB-NP\tO' -p305902 -aS'DNR/DNI\tDNR/DNI\tNN\tI-NP\tO' -p305903 -aS'.\t.\t.\tO\tO' -p305904 -asS'Good pulses throughout .' -p305905 -(lp305906 -S'Good\tGood\tJJ\tB-NP\tO' -p305907 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p305908 -aS'throughout\tthroughout\tIN\tB-ADVP\tO' -p305909 -aS'.\t.\t.\tO\tO' -p305910 -asS'Attending : Patricia Q Pendergrass , M.D.' -p305911 -(lp305912 -S'Attending\tAttend\tVBG\tB-VP\tO' -p305913 -aS':\t:\t:\tO\tO' -p305914 -aS'Patricia\tPatricia\tNNP\tB-NP\tO' -p305915 -aS'Q\tQ\tNNP\tI-NP\tO' -p305916 -aS'Pendergrass\tPendergrass\tNNP\tI-NP\tO' -p305917 -aS',\t,\t,\tO\tO' -p305918 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p305919 -asS'His electrolytes were monitored and repleted carefully .' -p305920 -(lp305921 -S'His\tHis\tPRP$\tB-NP\tO' -p305922 -aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' -p305923 -aS'were\tbe\tVBD\tB-VP\tO' -p305924 -aS'monitored\tmonitor\tVBN\tI-VP\tO' -p305925 -aS'and\tand\tCC\tO\tO' -p305926 -aS'repleted\treplete\tVBN\tB-VP\tO' -p305927 -aS'carefully\tcarefully\tRB\tB-ADVP\tO' -p305928 -aS'.\t.\t.\tO\tO' -p305929 -asS'The exact cause of her liver enzyme elevation is unclear , but we are being careful about administering drugs , which might irritate the liver .' -p305930 -(lp305931 -S'The\tThe\tDT\tB-NP\tO' -p305932 -aS'exact\texact\tJJ\tI-NP\tO' -p305933 -aS'cause\tcause\tNN\tI-NP\tO' -p305934 -aS'of\tof\tIN\tB-PP\tO' -p305935 -aS'her\ther\tPRP$\tB-NP\tO' -p305936 -aS'liver\tliver\tNN\tI-NP\tO' -p305937 -aS'enzyme\tenzyme\tNN\tI-NP\tO' -p305938 -aS'elevation\televation\tNN\tI-NP\tO' -p305939 -aS'is\tbe\tVBZ\tB-VP\tO' -p305940 -aS'unclear\tunclear\tJJ\tB-ADJP\tO' -p305941 -aS',\t,\t,\tO\tO' -p305942 -aS'but\tbut\tCC\tO\tO' -p305943 -aS'we\twe\tPRP\tB-NP\tO' -p305944 -aS'are\tbe\tVBP\tB-VP\tO' -p305945 -aS'being\tbe\tVBG\tI-VP\tO' -p305946 -aS'careful\tcareful\tJJ\tB-ADJP\tO' -p305947 -aS'about\tabout\tIN\tB-PP\tO' -p305948 -aS'administering\tadminister\tVBG\tB-VP\tO' -p305949 -aS'drugs\tdrug\tNNS\tB-NP\tO' -p305950 -aS',\t,\t,\tO\tO' -p305951 -aS'which\twhich\tWDT\tB-NP\tO' -p305952 -aS'might\tmight\tMD\tB-VP\tO' -p305953 -aS'irritate\tirritate\tVB\tI-VP\tO' -p305954 -aS'the\tthe\tDT\tB-NP\tO' -p305955 -aS'liver\tliver\tNN\tI-NP\tO' -p305956 -aS'.\t.\t.\tO\tO' -p305957 -asS'However , this resolved on its own over the hospital course .' -p305958 -(lp305959 -S'However\tHowever\tRB\tB-ADVP\tO' -p305960 -aS',\t,\t,\tO\tO' -p305961 -aS'this\tthis\tDT\tB-NP\tO' -p305962 -aS'resolved\tresolve\tVBD\tB-VP\tO' -p305963 -aS'on\ton\tIN\tB-PP\tO' -p305964 -aS'its\tits\tPRP$\tB-NP\tO' -p305965 -aS'own\town\tJJ\tI-NP\tO' -p305966 -aS'over\tover\tIN\tB-PP\tO' -p305967 -aS'the\tthe\tDT\tB-NP\tO' -p305968 -aS'hospital\thospital\tNN\tI-NP\tO' -p305969 -aS'course\tcourse\tNN\tI-NP\tO' -p305970 -aS'.\t.\t.\tO\tO' -p305971 -asS'3. Radial and ulnar fractures .' -p305972 -(lp305973 -S'3.\t3.\tLS\tB-LST\tO' -p305974 -aS'Radial\tRadial\tNNP\tB-NP\tO' -p305975 -aS'and\tand\tCC\tO\tO' -p305976 -aS'ulnar\tulnar\tJJ\tB-NP\tO' -p305977 -aS'fractures\tfracture\tNNS\tI-NP\tO' -p305978 -aS'.\t.\t.\tO\tO' -p305979 -asS'Heart was regular rate and rhythm , no murmur .' -p305980 -(lp305981 -S'Heart\tHeart\tNNP\tB-NP\tO' -p305982 -aS'was\tbe\tVBD\tB-VP\tO' -p305983 -aS'regular\tregular\tJJ\tB-NP\tO' -p305984 -aS'rate\trate\tNN\tI-NP\tO' -p305985 -aS'and\tand\tCC\tI-NP\tO' -p305986 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p305987 -aS',\t,\t,\tO\tO' -p305988 -aS'no\tno\tDT\tB-NP\tO' -p305989 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p305990 -aS'.\t.\t.\tO\tO' -p305991 -asS'Has been cardiovascular stable throughout hospital course .' -p305992 -(lp305993 -S'Has\tHa\tNNS\tB-NP\tB-protein' -p305994 -aS'been\tbe\tVBN\tB-VP\tO' -p305995 -aS'cardiovascular\tcardiovascular\tJJ\tB-ADJP\tO' -p305996 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p305997 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p305998 -aS'hospital\thospital\tNN\tB-NP\tO' -p305999 -aS'course\tcourse\tNN\tI-NP\tO' -p306000 -aS'.\t.\t.\tO\tO' -p306001 -asS'3. Seasonal allergies .' -p306002 -(lp306003 -S'3.\t3.\tLS\tB-NP\tO' -p306004 -aS'Seasonal\tSeasonal\tJJ\tI-NP\tO' -p306005 -aS'allergies\tallergy\tNNS\tI-NP\tO' -p306006 -aS'.\t.\t.\tO\tO' -p306007 -asS'As noted above , his mental status change was likely toxic-metabolic from acute infection .' -p306008 -(lp306009 -S'As\tAs\tIN\tB-SBAR\tO' -p306010 -aS'noted\tnote\tVBN\tB-VP\tO' -p306011 -aS'above\tabove\tIN\tB-PP\tO' -p306012 -aS',\t,\t,\tO\tO' -p306013 -aS'his\this\tPRP$\tB-NP\tO' -p306014 -aS'mental\tmental\tJJ\tI-NP\tO' -p306015 -aS'status\tstatus\tNN\tI-NP\tO' -p306016 -aS'change\tchange\tNN\tI-NP\tO' -p306017 -aS'was\tbe\tVBD\tB-VP\tO' -p306018 -aS'likely\tlikely\tRB\tB-ADJP\tO' -p306019 -aS'toxic-metabolic\ttoxic-metabolic\tJJ\tI-ADJP\tO' -p306020 -aS'from\tfrom\tIN\tB-PP\tO' -p306021 -aS'acute\tacute\tJJ\tB-NP\tO' -p306022 -aS'infection\tinfection\tNN\tI-NP\tO' -p306023 -aS'.\t.\t.\tO\tO' -p306024 -asS'1. Aspirin 81 mg Tablet , Delayed Release ( E.C. ) Sig : One ( 1 ) Tablet , Delayed Release ( E.C. ) PO DAILY ( Daily ) .' -p306025 -(lp306026 -S'1.\t1.\tLS\tB-NP\tO' -p306027 -aS'Aspirin\tAspirin\tNN\tI-NP\tO' -p306028 -aS'81\t81\tCD\tB-NP\tO' -p306029 -aS'mg\tmg\tNN\tI-NP\tO' -p306030 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p306031 -aS',\t,\t,\tO\tO' -p306032 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p306033 -aS'Release\tRelease\tNNP\tI-NP\tO' -p306034 -aS'(\t(\t(\tO\tO' -p306035 -aS'E.C.\tE.C.\tNNP\tB-NP\tO' -p306036 -aS')\t)\t)\tO\tO' -p306037 -aS'Sig\tSig\tNNP\tB-NP\tO' -p306038 -aS':\t:\t:\tO\tO' -p306039 -aS'One\tOne\tCD\tB-NP\tO' -p306040 -aS'(\t(\t(\tO\tO' -p306041 -aS'1\t1\tCD\tB-NP\tO' -p306042 -aS')\t)\t)\tO\tO' -p306043 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p306044 -aS',\t,\t,\tO\tO' -p306045 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p306046 -aS'Release\tRelease\tNNP\tI-NP\tO' -p306047 -aS'(\t(\t(\tO\tO' -p306048 -aS'E.C.\tE.C.\tNNP\tO\tO' -p306049 -aS')\t)\t)\tO\tO' -p306050 -aS'PO\tPO\tNN\tB-NP\tO' -p306051 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p306052 -aS'(\t(\t(\tO\tO' -p306053 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p306054 -aS')\t)\t)\tO\tO' -p306055 -aS'.\t.\t.\tO\tO' -p306056 -asS'You may need to have further studies at a later date .' -p306057 -(lp306058 -S'You\tYou\tPRP\tB-NP\tB-protein' -p306059 -aS'may\tmay\tMD\tB-VP\tO' -p306060 -aS'need\tneed\tVB\tI-VP\tO' -p306061 -aS'to\tto\tTO\tI-VP\tO' -p306062 -aS'have\thave\tVB\tI-VP\tO' -p306063 -aS'further\tfurther\tJJ\tB-NP\tO' -p306064 -aS'studies\tstudy\tNNS\tI-NP\tO' -p306065 -aS'at\tat\tIN\tB-PP\tO' -p306066 -aS'a\ta\tDT\tB-NP\tO' -p306067 -aS'later\tlater\tJJ\tI-NP\tO' -p306068 -aS'date\tdate\tNN\tI-NP\tO' -p306069 -aS'.\t.\t.\tO\tO' -p306070 -asS'The antibiotic chosen was Levaquin 500 mg 1 tab per day .' -p306071 -(lp306072 -S'The\tThe\tDT\tB-NP\tO' -p306073 -aS'antibiotic\tantibiotic\tJJ\tI-NP\tB-protein' -p306074 -aS'chosen\tchosen\tNN\tI-NP\tI-protein' -p306075 -aS'was\tbe\tVBD\tB-VP\tI-protein' -p306076 -aS'Levaquin\tLevaquin\tNNP\tB-NP\tI-protein' -p306077 -aS'500\t500\tCD\tI-NP\tI-protein' -p306078 -aS'mg\tmg\tNN\tI-NP\tI-protein' -p306079 -aS'1\t1\tCD\tI-NP\tI-protein' -p306080 -aS'tab\ttab\tNN\tI-NP\tI-protein' -p306081 -aS'per\tper\tIN\tB-PP\tO' -p306082 -aS'day\tday\tNN\tB-NP\tO' -p306083 -aS'.\t.\t.\tO\tO' -p306084 -asS'The patient continued to have intermittent episodes of ventricular tachycardia .' -p306085 -(lp306086 -S'The\tThe\tDT\tB-NP\tO' -p306087 -aS'patient\tpatient\tNN\tI-NP\tO' -p306088 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p306089 -aS'to\tto\tTO\tI-VP\tO' -p306090 -aS'have\thave\tVB\tI-VP\tO' -p306091 -aS'intermittent\tintermittent\tJJ\tB-NP\tO' -p306092 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p306093 -aS'of\tof\tIN\tB-PP\tO' -p306094 -aS'ventricular\tventricular\tJJ\tB-NP\tO' -p306095 -aS'tachycardia\ttachycardia\tNN\tI-NP\tO' -p306096 -aS'.\t.\t.\tO\tO' -p306097 -asS'The patient has only male sexual partners and in the last six months has two regular partners who reportedly are human immunodeficiency virus negative and no IV drug use .' -p306098 -(lp306099 -S'The\tThe\tDT\tB-NP\tO' -p306100 -aS'patient\tpatient\tNN\tI-NP\tO' -p306101 -aS'has\thave\tVBZ\tB-VP\tO' -p306102 -aS'only\tonly\tRB\tB-NP\tO' -p306103 -aS'male\tmale\tJJ\tI-NP\tO' -p306104 -aS'sexual\tsexual\tJJ\tI-NP\tO' -p306105 -aS'partners\tpartner\tNNS\tI-NP\tO' -p306106 -aS'and\tand\tCC\tB-PP\tO' -p306107 -aS'in\tin\tIN\tB-PP\tO' -p306108 -aS'the\tthe\tDT\tB-NP\tO' -p306109 -aS'last\tlast\tJJ\tI-NP\tO' -p306110 -aS'six\tsix\tCD\tI-NP\tO' -p306111 -aS'months\tmonth\tNNS\tI-NP\tO' -p306112 -aS'has\thave\tVBZ\tB-VP\tO' -p306113 -aS'two\ttwo\tCD\tB-NP\tO' -p306114 -aS'regular\tregular\tJJ\tI-NP\tO' -p306115 -aS'partners\tpartner\tNNS\tI-NP\tO' -p306116 -aS'who\twho\tWP\tB-NP\tO' -p306117 -aS'reportedly\treportedly\tRB\tB-ADVP\tO' -p306118 -aS'are\tbe\tVBP\tB-VP\tO' -p306119 -aS'human\thuman\tJJ\tB-NP\tO' -p306120 -aS'immunodeficiency\timmunodeficiency\tNN\tI-NP\tO' -p306121 -aS'virus\tvirus\tNN\tI-NP\tO' -p306122 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p306123 -aS'and\tand\tCC\tO\tO' -p306124 -aS'no\tno\tDT\tB-NP\tO' -p306125 -aS'IV\tIV\tCD\tI-NP\tO' -p306126 -aS'drug\tdrug\tNN\tI-NP\tO' -p306127 -aS'use\tuse\tNN\tI-NP\tO' -p306128 -aS'.\t.\t.\tO\tO' -p306129 -asS'Her cardiovascular was regular rate and rhythm .' -p306130 -(lp306131 -S'Her\tHer\tPRP$\tB-NP\tO' -p306132 -aS'cardiovascular\tcardiovascular\tJJ\tI-NP\tO' -p306133 -aS'was\tbe\tVBD\tB-VP\tO' -p306134 -aS'regular\tregular\tJJ\tB-NP\tO' -p306135 -aS'rate\trate\tNN\tI-NP\tO' -p306136 -aS'and\tand\tCC\tI-NP\tO' -p306137 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p306138 -aS'.\t.\t.\tO\tO' -p306139 -asS'He was tolerating food very well and was afebrile throughout admission .' -p306140 -(lp306141 -S'He\tHe\tPRP\tB-NP\tO' -p306142 -aS'was\tbe\tVBD\tB-VP\tO' -p306143 -aS'tolerating\ttolerate\tVBG\tI-VP\tO' -p306144 -aS'food\tfood\tNN\tB-NP\tO' -p306145 -aS'very\tvery\tRB\tB-ADVP\tO' -p306146 -aS'well\twell\tRB\tI-ADVP\tO' -p306147 -aS'and\tand\tCC\tO\tO' -p306148 -aS'was\tbe\tVBD\tB-VP\tO' -p306149 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p306150 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p306151 -aS'admission\tadmission\tNN\tB-NP\tO' -p306152 -aS'.\t.\t.\tO\tO' -p306153 -asS'The cardiac exam showed a regular rate and rhythm with a I / VI systolic ejection murmur .' -p306154 -(lp306155 -S'The\tThe\tDT\tB-NP\tO' -p306156 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p306157 -aS'exam\texam\tNN\tI-NP\tO' -p306158 -aS'showed\tshow\tVBD\tB-VP\tO' -p306159 -aS'a\ta\tDT\tB-NP\tO' -p306160 -aS'regular\tregular\tJJ\tI-NP\tO' -p306161 -aS'rate\trate\tNN\tI-NP\tO' -p306162 -aS'and\tand\tCC\tI-NP\tO' -p306163 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p306164 -aS'with\twith\tIN\tB-PP\tO' -p306165 -aS'a\ta\tDT\tB-NP\tO' -p306166 -aS'I\tI\tNN\tI-NP\tO' -p306167 -aS'/\t/\tSYM\tB-NP\tO' -p306168 -aS'VI\tVI\tNN\tI-NP\tO' -p306169 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p306170 -aS'ejection\tejection\tNN\tI-NP\tO' -p306171 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p306172 -aS'.\t.\t.\tO\tO' -p306173 -asS'Cardiac catheterization 11/03 .' -p306174 -(lp306175 -S'Cardiac\tCardiac\tJJ\tB-NP\tO' -p306176 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p306177 -aS'11/03\t11/03\tCD\tI-NP\tO' -p306178 -aS'.\t.\t.\tO\tO' -p306179 -asS'Feedings at the time of transfer include breast milk 30 with ProMod at 150 cc per kg per day , all gavage given over one hour .' -p306180 -(lp306181 -S'Feedings\tFeeding\tNNS\tB-NP\tO' -p306182 -aS'at\tat\tIN\tB-PP\tO' -p306183 -aS'the\tthe\tDT\tB-NP\tO' -p306184 -aS'time\ttime\tNN\tI-NP\tO' -p306185 -aS'of\tof\tIN\tB-PP\tO' -p306186 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p306187 -aS'include\tinclude\tVBP\tB-VP\tO' -p306188 -aS'breast\tbreast\tNN\tB-NP\tO' -p306189 -aS'milk\tmilk\tNN\tI-NP\tO' -p306190 -aS'30\t30\tCD\tI-NP\tO' -p306191 -aS'with\twith\tIN\tB-PP\tO' -p306192 -aS'ProMod\tProMod\tNN\tB-NP\tO' -p306193 -aS'at\tat\tIN\tB-PP\tO' -p306194 -aS'150\t150\tCD\tB-NP\tO' -p306195 -aS'cc\tcc\tNN\tI-NP\tO' -p306196 -aS'per\tper\tIN\tB-PP\tO' -p306197 -aS'kg\tkg\tNN\tB-NP\tO' -p306198 -aS'per\tper\tIN\tB-PP\tO' -p306199 -aS'day\tday\tNN\tB-NP\tO' -p306200 -aS',\t,\t,\tO\tO' -p306201 -aS'all\tall\tDT\tB-NP\tO' -p306202 -aS'gavage\tgavage\tNN\tI-NP\tO' -p306203 -aS'given\tgive\tVBN\tB-VP\tO' -p306204 -aS'over\tover\tIN\tB-PP\tO' -p306205 -aS'one\tone\tCD\tB-NP\tO' -p306206 -aS'hour\thour\tNN\tI-NP\tO' -p306207 -aS'.\t.\t.\tO\tO' -p306208 -asS'The Plastic Team then took over for reconstruction consisting of radial forearm free flap to floor of mouth .' -p306209 -(lp306210 -S'The\tThe\tDT\tB-NP\tO' -p306211 -aS'Plastic\tPlastic\tJJ\tI-NP\tO' -p306212 -aS'Team\tTeam\tNN\tI-NP\tO' -p306213 -aS'then\tthen\tRB\tB-ADVP\tO' -p306214 -aS'took\ttake\tVBD\tB-VP\tO' -p306215 -aS'over\tover\tRP\tB-PRT\tO' -p306216 -aS'for\tfor\tIN\tB-PP\tO' -p306217 -aS'reconstruction\treconstruction\tNN\tB-NP\tO' -p306218 -aS'consisting\tconsist\tVBG\tB-VP\tO' -p306219 -aS'of\tof\tIN\tB-PP\tO' -p306220 -aS'radial\tradial\tJJ\tB-NP\tB-protein' -p306221 -aS'forearm\tforearm\tNN\tI-NP\tI-protein' -p306222 -aS'free\tfree\tJJ\tI-NP\tI-protein' -p306223 -aS'flap\tflap\tNN\tI-NP\tI-protein' -p306224 -aS'to\tto\tTO\tB-PP\tO' -p306225 -aS'floor\tfloor\tNN\tB-NP\tO' -p306226 -aS'of\tof\tIN\tB-PP\tO' -p306227 -aS'mouth\tmouth\tNN\tB-NP\tO' -p306228 -aS'.\t.\t.\tO\tO' -p306229 -asS'chronic LBP , HTN , anxiety , depression , L arm surgeries ( hardware in place )' -p306230 -(lp306231 -S'chronic\tchronic\tJJ\tB-NP\tO' -p306232 -aS'LBP\tLBP\tNN\tI-NP\tO' -p306233 -aS',\t,\t,\tO\tO' -p306234 -aS'HTN\tHTN\tNN\tB-NP\tB-protein' -p306235 -aS',\t,\t,\tO\tO' -p306236 -aS'anxiety\tanxiety\tNN\tB-NP\tO' -p306237 -aS',\t,\t,\tO\tO' -p306238 -aS'depression\tdepression\tNN\tB-NP\tO' -p306239 -aS',\t,\t,\tO\tO' -p306240 -aS'L\tL\tNN\tB-NP\tO' -p306241 -aS'arm\tarm\tNN\tI-NP\tO' -p306242 -aS'surgeries\tsurgery\tNNS\tI-NP\tO' -p306243 -aS'(\t(\t(\tO\tO' -p306244 -aS'hardware\thardware\tNN\tB-NP\tO' -p306245 -aS'in\tin\tIN\tB-PP\tO' -p306246 -aS'place\tplace\tNN\tB-NP\tO' -p306247 -aS')\t)\t)\tO\tO' -p306248 -asS'Major Surgical or Invasive Procedure : pheresis renal biopsy' -p306249 -(lp306250 -S'Major\tMajor\tJJ\tB-NP\tO' -p306251 -aS'Surgical\tSurgical\tJJ\tI-NP\tO' -p306252 -aS'or\tor\tCC\tI-NP\tO' -p306253 -aS'Invasive\tInvasive\tJJ\tI-NP\tO' -p306254 -aS'Procedure\tProcedure\tNN\tI-NP\tO' -p306255 -aS':\t:\t:\tO\tO' -p306256 -aS'pheresis\tpheresis\tNN\tB-NP\tO' -p306257 -aS'renal\trenal\tJJ\tI-NP\tO' -p306258 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p306259 -asS'No bruits were heard .' -p306260 -(lp306261 -S'No\tNo\tDT\tB-NP\tO' -p306262 -aS'bruits\tbruit\tNNS\tI-NP\tO' -p306263 -aS'were\tbe\tVBD\tB-VP\tO' -p306264 -aS'heard\thear\tVBN\tI-VP\tO' -p306265 -aS'.\t.\t.\tO\tO' -p306266 -asS'Pocasset was admitted to the newborn intensive care unit with mild respiratory distress .' -p306267 -(lp306268 -S'Pocasset\tPocasset\tNN\tB-NP\tO' -p306269 -aS'was\tbe\tVBD\tB-VP\tO' -p306270 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p306271 -aS'to\tto\tTO\tB-PP\tO' -p306272 -aS'the\tthe\tDT\tB-NP\tO' -p306273 -aS'newborn\tnewborn\tJJ\tI-NP\tO' -p306274 -aS'intensive\tintensive\tJJ\tI-NP\tO' -p306275 -aS'care\tcare\tNN\tI-NP\tO' -p306276 -aS'unit\tunit\tNN\tI-NP\tO' -p306277 -aS'with\twith\tIN\tB-PP\tO' -p306278 -aS'mild\tmild\tJJ\tB-NP\tO' -p306279 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p306280 -aS'distress\tdistress\tNN\tI-NP\tO' -p306281 -aS'.\t.\t.\tO\tO' -p306282 -asS'In addition her Vancomycin and Levaquin were also discontinued .' -p306283 -(lp306284 -S'In\tIn\tIN\tB-PP\tO' -p306285 -aS'addition\taddition\tNN\tB-NP\tO' -p306286 -aS'her\ther\tPRP$\tB-NP\tO' -p306287 -aS'Vancomycin\tVancomycin\tNN\tI-NP\tO' -p306288 -aS'and\tand\tCC\tI-NP\tO' -p306289 -aS'Levaquin\tLevaquin\tNN\tI-NP\tB-protein' -p306290 -aS'were\tbe\tVBD\tB-VP\tO' -p306291 -aS'also\talso\tRB\tI-VP\tO' -p306292 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p306293 -aS'.\t.\t.\tO\tO' -p306294 -asS'In addition , patient is to have her own appointment with Podiatry .' -p306295 -(lp306296 -S'In\tIn\tIN\tB-PP\tO' -p306297 -aS'addition\taddition\tNN\tB-NP\tO' -p306298 -aS',\t,\t,\tO\tO' -p306299 -aS'patient\tpatient\tNN\tB-NP\tO' -p306300 -aS'is\tbe\tVBZ\tB-VP\tO' -p306301 -aS'to\tto\tTO\tB-VP\tO' -p306302 -aS'have\thave\tVB\tI-VP\tO' -p306303 -aS'her\ther\tPRP$\tB-NP\tO' -p306304 -aS'own\town\tJJ\tI-NP\tO' -p306305 -aS'appointment\tappointment\tNN\tI-NP\tO' -p306306 -aS'with\twith\tIN\tB-PP\tO' -p306307 -aS'Podiatry\tPodiatry\tNN\tB-NP\tO' -p306308 -aS'.\t.\t.\tO\tO' -p306309 -asS'Persistent pleural effusions .' -p306310 -(lp306311 -S'Persistent\tPersistent\tJJ\tB-NP\tO' -p306312 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p306313 -aS'effusions\teffusion\tNNS\tI-NP\tO' -p306314 -aS'.\t.\t.\tO\tO' -p306315 -asS'2. Obesity .' -p306316 -(lp306317 -S'2.\t2.\tLS\tB-NP\tO' -p306318 -aS'Obesity\tObesity\tNN\tI-NP\tO' -p306319 -aS'.\t.\t.\tO\tO' -p306320 -asS'If you need additional information please call 366-686-5449 .' -p306321 -(lp306322 -S'If\tIf\tIN\tB-SBAR\tO' -p306323 -aS'you\tyou\tPRP\tB-NP\tO' -p306324 -aS'need\tneed\tVBP\tB-VP\tO' -p306325 -aS'additional\tadditional\tJJ\tB-NP\tO' -p306326 -aS'information\tinformation\tNN\tI-NP\tO' -p306327 -aS'please\tplease\tNN\tI-NP\tO' -p306328 -aS'call\tcall\tNN\tI-NP\tO' -p306329 -aS'366-686-5449\t366-686-5449\tCD\tI-NP\tO' -p306330 -aS'.\t.\t.\tO\tO' -p306331 -asS'Testes down bilaterally .' -p306332 -(lp306333 -S'Testes\tTestis\tNNS\tB-NP\tO' -p306334 -aS'down\tdown\tRB\tB-ADVP\tO' -p306335 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p306336 -aS'.\t.\t.\tO\tO' -p306337 -asS'There was focal mitral valve prolapse noted without pathologic mitral regurgitation .' -p306338 -(lp306339 -S'There\tThere\tEX\tB-NP\tO' -p306340 -aS'was\tbe\tVBD\tB-VP\tO' -p306341 -aS'focal\tfocal\tJJ\tB-NP\tO' -p306342 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p306343 -aS'valve\tvalve\tNN\tI-NP\tO' -p306344 -aS'prolapse\tprolapse\tNN\tI-NP\tO' -p306345 -aS'noted\tnote\tVBN\tB-VP\tO' -p306346 -aS'without\twithout\tIN\tB-PP\tO' -p306347 -aS'pathologic\tpathologic\tJJ\tB-NP\tO' -p306348 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p306349 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p306350 -aS'.\t.\t.\tO\tO' -p306351 -asS'Eye closure and smile are symmetric .' -p306352 -(lp306353 -S'Eye\tEye\tNN\tB-NP\tO' -p306354 -aS'closure\tclosure\tNN\tI-NP\tO' -p306355 -aS'and\tand\tCC\tI-NP\tO' -p306356 -aS'smile\tsmile\tNN\tI-NP\tO' -p306357 -aS'are\tbe\tVBP\tB-VP\tO' -p306358 -aS'symmetric\tsymmetric\tJJ\tB-ADJP\tO' -p306359 -aS'.\t.\t.\tO\tO' -p306360 -asS'Significant for what was stated in the HPI .' -p306361 -(lp306362 -S'Significant\tSignificant\tJJ\tB-ADJP\tO' -p306363 -aS'for\tfor\tIN\tB-PP\tO' -p306364 -aS'what\twhat\tWP\tB-NP\tO' -p306365 -aS'was\tbe\tVBD\tB-VP\tO' -p306366 -aS'stated\tstate\tVBN\tI-VP\tO' -p306367 -aS'in\tin\tIN\tB-PP\tO' -p306368 -aS'the\tthe\tDT\tB-NP\tO' -p306369 -aS'HPI\tHPI\tNN\tI-NP\tB-DNA' -p306370 -aS'.\t.\t.\tO\tO' -p306371 -asS'1. Persistent atrial fibrillation .' -p306372 -(lp306373 -S'1.\t1.\tLS\tB-NP\tO' -p306374 -aS'Persistent\tPersistent\tJJ\tI-NP\tO' -p306375 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p306376 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p306377 -aS'.\t.\t.\tO\tO' -p306378 -asS'Radiates to the left arm .' -p306379 -(lp306380 -S'Radiates\tRadiate\tNNS\tB-NP\tO' -p306381 -aS'to\tto\tTO\tB-PP\tO' -p306382 -aS'the\tthe\tDT\tB-NP\tO' -p306383 -aS'left\tleft\tJJ\tI-NP\tO' -p306384 -aS'arm\tarm\tNN\tI-NP\tO' -p306385 -aS'.\t.\t.\tO\tO' -p306386 -asS'Decision to continue Dobhoff at rehab given continued clinical improvement and his poor candidacy for G/J tube .' -p306387 -(lp306388 -S'Decision\tDecision\tNN\tB-NP\tO' -p306389 -aS'to\tto\tTO\tB-VP\tO' -p306390 -aS'continue\tcontinue\tVB\tI-VP\tO' -p306391 -aS'Dobhoff\tDobhoff\tNNP\tB-NP\tO' -p306392 -aS'at\tat\tIN\tB-PP\tO' -p306393 -aS'rehab\trehab\tNN\tB-NP\tO' -p306394 -aS'given\tgive\tVBN\tB-VP\tO' -p306395 -aS'continued\tcontinue\tVBN\tB-NP\tO' -p306396 -aS'clinical\tclinical\tJJ\tI-NP\tO' -p306397 -aS'improvement\timprovement\tNN\tI-NP\tO' -p306398 -aS'and\tand\tCC\tO\tO' -p306399 -aS'his\this\tPRP$\tB-NP\tO' -p306400 -aS'poor\tpoor\tJJ\tI-NP\tO' -p306401 -aS'candidacy\tcandidacy\tNN\tI-NP\tO' -p306402 -aS'for\tfor\tIN\tB-PP\tO' -p306403 -aS'G/J\tG/J\tNN\tB-NP\tO' -p306404 -aS'tube\ttube\tNN\tI-NP\tO' -p306405 -aS'.\t.\t.\tO\tO' -p306406 -asS'4 ) history of colon carcinoma ;' -p306407 -(lp306408 -S'4\t4\tLS\tB-LST\tO' -p306409 -aS')\t)\t)\tO\tO' -p306410 -aS'history\thistory\tNN\tB-NP\tO' -p306411 -aS'of\tof\tIN\tB-PP\tO' -p306412 -aS'colon\tcolon\tNN\tB-NP\tO' -p306413 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p306414 -aS';\t;\t:\tO\tO' -p306415 -asS'They were all negative for malignancy and therefore a hepaticojejunostomy' -p306416 -(lp306417 -S'They\tThey\tPRP\tB-NP\tO' -p306418 -aS'were\tbe\tVBD\tB-VP\tO' -p306419 -aS'all\tall\tDT\tO\tO' -p306420 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p306421 -aS'for\tfor\tIN\tB-PP\tO' -p306422 -aS'malignancy\tmalignancy\tNN\tB-NP\tO' -p306423 -aS'and\tand\tCC\tO\tO' -p306424 -aS'therefore\ttherefore\tRB\tB-ADVP\tO' -p306425 -aS'a\ta\tDT\tB-NP\tO' -p306426 -aS'hepaticojejunostomy\thepaticojejunostomy\tNN\tI-NP\tO' -p306427 -asS"The patient 's INR became supratherapeutic and Coumadin was held ." -p306428 -(lp306429 -S'The\tThe\tDT\tB-NP\tO' -p306430 -aS'patient\tpatient\tNN\tI-NP\tO' -p306431 -aS"'s\t's\tPOS\tB-NP\tO" -p306432 -aS'INR\tINR\tNN\tI-NP\tB-protein' -p306433 -aS'became\tbecome\tVBD\tB-VP\tO' -p306434 -aS'supratherapeutic\tsupratherapeutic\tJJ\tB-ADJP\tO' -p306435 -aS'and\tand\tCC\tO\tO' -p306436 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p306437 -aS'was\tbe\tVBD\tB-VP\tO' -p306438 -aS'held\thold\tVBN\tI-VP\tO' -p306439 -aS'.\t.\t.\tO\tO' -p306440 -asS'The patient underwent his procedure on 12-4-93 , without complications .' -p306441 -(lp306442 -S'The\tThe\tDT\tB-NP\tO' -p306443 -aS'patient\tpatient\tNN\tI-NP\tO' -p306444 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p306445 -aS'his\this\tPRP$\tB-NP\tO' -p306446 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p306447 -aS'on\ton\tIN\tB-PP\tO' -p306448 -aS'12-4-93\t12-4-93\tCD\tB-NP\tO' -p306449 -aS',\t,\t,\tO\tO' -p306450 -aS'without\twithout\tIN\tB-PP\tO' -p306451 -aS'complications\tcomplication\tNNS\tB-NP\tO' -p306452 -aS'.\t.\t.\tO\tO' -p306453 -asS'Continue w/ Risperdal per new psychiatrist' -p306454 -(lp306455 -S'Continue\tContinue\tNNP\tB-NP\tO' -p306456 -aS'w/\tw/\tVBD\tB-VP\tO' -p306457 -aS'Risperdal\tRisperdal\tNNP\tB-NP\tO' -p306458 -aS'per\tper\tIN\tB-PP\tO' -p306459 -aS'new\tnew\tJJ\tB-NP\tO' -p306460 -aS'psychiatrist\tpsychiatrist\tNN\tI-NP\tO' -p306461 -asS'Apparently once his pain was free , his EKG was noted to have hyperacute T-wave anteriorly without progression .' -p306462 -(lp306463 -S'Apparently\tApparently\tRB\tB-ADVP\tO' -p306464 -aS'once\tonce\tRB\tO\tO' -p306465 -aS'his\this\tPRP$\tB-NP\tO' -p306466 -aS'pain\tpain\tNN\tI-NP\tO' -p306467 -aS'was\tbe\tVBD\tB-VP\tO' -p306468 -aS'free\tfree\tJJ\tB-ADJP\tO' -p306469 -aS',\t,\t,\tO\tO' -p306470 -aS'his\this\tPRP$\tB-NP\tO' -p306471 -aS'EKG\tEKG\tNN\tI-NP\tB-protein' -p306472 -aS'was\tbe\tVBD\tB-VP\tO' -p306473 -aS'noted\tnote\tVBN\tI-VP\tO' -p306474 -aS'to\tto\tTO\tI-VP\tO' -p306475 -aS'have\thave\tVB\tI-VP\tO' -p306476 -aS'hyperacute\thyperacute\tJJ\tB-NP\tO' -p306477 -aS'T-wave\tT-wave\tNN\tI-NP\tO' -p306478 -aS'anteriorly\tanteriorly\tRB\tB-ADVP\tO' -p306479 -aS'without\twithout\tIN\tB-PP\tO' -p306480 -aS'progression\tprogression\tNN\tB-NP\tO' -p306481 -aS'.\t.\t.\tO\tO' -p306482 -asS'A full copy of the cardiac catheterization report is enclosed with his transfer materials .' -p306483 -(lp306484 -S'A\tA\tDT\tB-NP\tO' -p306485 -aS'full\tfull\tJJ\tI-NP\tO' -p306486 -aS'copy\tcopy\tNN\tI-NP\tO' -p306487 -aS'of\tof\tIN\tB-PP\tO' -p306488 -aS'the\tthe\tDT\tB-NP\tO' -p306489 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p306490 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p306491 -aS'report\treport\tNN\tI-NP\tO' -p306492 -aS'is\tbe\tVBZ\tB-VP\tO' -p306493 -aS'enclosed\tenclose\tVBN\tI-VP\tO' -p306494 -aS'with\twith\tIN\tB-PP\tO' -p306495 -aS'his\this\tPRP$\tB-NP\tO' -p306496 -aS'transfer\ttransfer\tNN\tI-NP\tO' -p306497 -aS'materials\tmaterial\tNNS\tI-NP\tO' -p306498 -aS'.\t.\t.\tO\tO' -p306499 -asS'There her oxygen she was sating 65% on room air , increased to 98% with a nonrebreather mask .' -p306500 -(lp306501 -S'There\tThere\tEX\tB-NP\tO' -p306502 -aS'her\ther\tPRP$\tB-NP\tO' -p306503 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p306504 -aS'she\tshe\tPRP\tB-NP\tO' -p306505 -aS'was\tbe\tVBD\tB-VP\tO' -p306506 -aS'sating\tsate\tVBG\tI-VP\tO' -p306507 -aS'65%\t65%\tNN\tB-NP\tO' -p306508 -aS'on\ton\tIN\tB-PP\tO' -p306509 -aS'room\troom\tNN\tB-NP\tO' -p306510 -aS'air\tair\tNN\tI-NP\tO' -p306511 -aS',\t,\t,\tO\tO' -p306512 -aS'increased\tincrease\tVBD\tB-VP\tO' -p306513 -aS'to\tto\tTO\tI-VP\tO' -p306514 -aS'98%\t98%\tVB\tI-VP\tO' -p306515 -aS'with\twith\tIN\tB-PP\tO' -p306516 -aS'a\ta\tDT\tB-NP\tO' -p306517 -aS'nonrebreather\tnonrebreather\tJJ\tI-NP\tO' -p306518 -aS'mask\tmask\tNN\tI-NP\tO' -p306519 -aS'.\t.\t.\tO\tO' -p306520 -asS'Continue the dialysis three times a week .' -p306521 -(lp306522 -S'Continue\tContinue\tVB\tB-VP\tO' -p306523 -aS'the\tthe\tDT\tB-NP\tO' -p306524 -aS'dialysis\tdialysis\tNN\tI-NP\tO' -p306525 -aS'three\tthree\tCD\tB-NP\tO' -p306526 -aS'times\ttime\tNNS\tI-NP\tO' -p306527 -aS'a\ta\tDT\tB-NP\tO' -p306528 -aS'week\tweek\tNN\tI-NP\tO' -p306529 -aS'.\t.\t.\tO\tO' -p306530 -asS'Dictated By : Jerry E Ross , M.D.' -p306531 -(lp306532 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p306533 -aS'By\tBy\tIN\tB-PP\tO' -p306534 -aS':\t:\t:\tO\tO' -p306535 -aS'Jerry\tJerry\tNNP\tB-NP\tO' -p306536 -aS'E\tE\tNNP\tI-NP\tO' -p306537 -aS'Ross\tRoss\tNNP\tI-NP\tO' -p306538 -aS',\t,\t,\tO\tO' -p306539 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p306540 -asS'Breath sounds were equal bilaterally with course rhonchi .' -p306541 -(lp306542 -S'Breath\tBreath\tNN\tB-NP\tO' -p306543 -aS'sounds\tsound\tNNS\tI-NP\tO' -p306544 -aS'were\tbe\tVBD\tB-VP\tO' -p306545 -aS'equal\tequal\tJJ\tB-ADJP\tO' -p306546 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p306547 -aS'with\twith\tIN\tB-PP\tO' -p306548 -aS'course\tcourse\tNN\tB-NP\tO' -p306549 -aS'rhonchi\trhonchi\tNN\tI-NP\tO' -p306550 -aS'.\t.\t.\tO\tO' -p306551 -asS'She was found to have right sided weakness and was noted by her husband to have vomited .' -p306552 -(lp306553 -S'She\tShe\tPRP\tB-NP\tO' -p306554 -aS'was\tbe\tVBD\tB-VP\tO' -p306555 -aS'found\tfind\tVBN\tI-VP\tO' -p306556 -aS'to\tto\tTO\tI-VP\tO' -p306557 -aS'have\thave\tVB\tI-VP\tO' -p306558 -aS'right\tright\tJJ\tB-NP\tO' -p306559 -aS'sided\tsided\tJJ\tI-NP\tO' -p306560 -aS'weakness\tweakness\tNN\tI-NP\tO' -p306561 -aS'and\tand\tCC\tO\tO' -p306562 -aS'was\tbe\tVBD\tB-VP\tO' -p306563 -aS'noted\tnote\tVBN\tI-VP\tO' -p306564 -aS'by\tby\tIN\tB-PP\tO' -p306565 -aS'her\ther\tPRP$\tB-NP\tO' -p306566 -aS'husband\thusband\tNN\tI-NP\tO' -p306567 -aS'to\tto\tTO\tB-VP\tO' -p306568 -aS'have\thave\tVB\tI-VP\tO' -p306569 -aS'vomited\tvomit\tVBN\tI-VP\tO' -p306570 -aS'.\t.\t.\tO\tO' -p306571 -asS'Echo in 9/02 showed LVF of 75% with moderate dilatation of the descending aorta .' -p306572 -(lp306573 -S'Echo\tEcho\tNNP\tB-NP\tO' -p306574 -aS'in\tin\tIN\tB-PP\tO' -p306575 -aS'9/02\t9/02\tCD\tB-NP\tO' -p306576 -aS'showed\tshow\tVBD\tB-VP\tO' -p306577 -aS'LVF\tLVF\tNN\tB-NP\tB-protein' -p306578 -aS'of\tof\tIN\tB-PP\tO' -p306579 -aS'75%\t75%\tNN\tB-NP\tO' -p306580 -aS'with\twith\tIN\tB-PP\tO' -p306581 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p306582 -aS'dilatation\tdilatation\tNN\tI-NP\tO' -p306583 -aS'of\tof\tIN\tB-PP\tO' -p306584 -aS'the\tthe\tDT\tB-NP\tO' -p306585 -aS'descending\tdescend\tVBG\tI-NP\tO' -p306586 -aS'aorta\taorta\tNN\tI-NP\tO' -p306587 -aS'.\t.\t.\tO\tO' -p306588 -asS'MRI of the brain revealed multiple foci susceptibility artifact within the brain .' -p306589 -(lp306590 -S'MRI\tMRI\tNN\tB-NP\tO' -p306591 -aS'of\tof\tIN\tB-PP\tO' -p306592 -aS'the\tthe\tDT\tB-NP\tO' -p306593 -aS'brain\tbrain\tNN\tI-NP\tO' -p306594 -aS'revealed\treveal\tVBD\tB-VP\tO' -p306595 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p306596 -aS'foci\tfocus\tNNS\tI-NP\tO' -p306597 -aS'susceptibility\tsusceptibility\tNN\tI-NP\tO' -p306598 -aS'artifact\tartifact\tNN\tI-NP\tO' -p306599 -aS'within\twithin\tIN\tB-PP\tO' -p306600 -aS'the\tthe\tDT\tB-NP\tO' -p306601 -aS'brain\tbrain\tNN\tI-NP\tO' -p306602 -aS'.\t.\t.\tO\tO' -p306603 -asS'His temperature was 97.5 , pulse 90 , respiratory rate 20 , blood pressure 104/60 , o2 sat. 97%.' -p306604 -(lp306605 -S'His\tHis\tPRP$\tB-NP\tO' -p306606 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p306607 -aS'was\tbe\tVBD\tB-VP\tO' -p306608 -aS'97.5\t97.5\tCD\tB-NP\tO' -p306609 -aS',\t,\t,\tO\tO' -p306610 -aS'pulse\tpulse\tNN\tB-NP\tO' -p306611 -aS'90\t90\tCD\tI-NP\tO' -p306612 -aS',\t,\t,\tO\tO' -p306613 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p306614 -aS'rate\trate\tNN\tI-NP\tO' -p306615 -aS'20\t20\tCD\tI-NP\tO' -p306616 -aS',\t,\t,\tO\tO' -p306617 -aS'blood\tblood\tNN\tB-NP\tO' -p306618 -aS'pressure\tpressure\tNN\tI-NP\tO' -p306619 -aS'104/60\t104/60\tCD\tI-NP\tO' -p306620 -aS',\t,\t,\tO\tO' -p306621 -aS'o2\to2\tCD\tB-NP\tO' -p306622 -aS'sat.\tsat.\tJJ\tI-NP\tO' -p306623 -aS'97%.\t97%.\tCD\tI-NP\tO' -p306624 -asS'The chest X-ray was clear .' -p306625 -(lp306626 -S'The\tThe\tDT\tB-NP\tO' -p306627 -aS'chest\tchest\tNN\tI-NP\tO' -p306628 -aS'X-ray\tX-ray\tNN\tI-NP\tO' -p306629 -aS'was\tbe\tVBD\tB-VP\tO' -p306630 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p306631 -aS'.\t.\t.\tO\tO' -p306632 -asS'4. Butalbital .' -p306633 -(lp306634 -S'4.\t4.\tLS\tB-LST\tO' -p306635 -aS'Butalbital\tButalbital\tNNP\tB-NP\tO' -p306636 -aS'.\t.\t.\tO\tO' -p306637 -asS'He was ruled out for a myocardial infarction .' -p306638 -(lp306639 -S'He\tHe\tPRP\tB-NP\tO' -p306640 -aS'was\tbe\tVBD\tB-VP\tO' -p306641 -aS'ruled\trule\tVBN\tI-VP\tO' -p306642 -aS'out\tout\tRP\tB-PRT\tO' -p306643 -aS'for\tfor\tIN\tB-PP\tO' -p306644 -aS'a\ta\tDT\tB-NP\tO' -p306645 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p306646 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p306647 -aS'.\t.\t.\tO\tO' -p306648 -asS'Tracheostomy was also performed on July 17 .' -p306649 -(lp306650 -S'Tracheostomy\tTracheostomy\tNN\tB-NP\tO' -p306651 -aS'was\tbe\tVBD\tB-VP\tO' -p306652 -aS'also\talso\tRB\tI-VP\tO' -p306653 -aS'performed\tperform\tVBN\tI-VP\tO' -p306654 -aS'on\ton\tIN\tB-PP\tO' -p306655 -aS'July\tJuly\tNNP\tB-NP\tO' -p306656 -aS'17\t17\tCD\tI-NP\tO' -p306657 -aS'.\t.\t.\tO\tO' -p306658 -asS'regular rate and rhythm , without ectopy .' -p306659 -(lp306660 -S'regular\tregular\tJJ\tB-NP\tO' -p306661 -aS'rate\trate\tNN\tI-NP\tO' -p306662 -aS'and\tand\tCC\tI-NP\tO' -p306663 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p306664 -aS',\t,\t,\tO\tO' -p306665 -aS'without\twithout\tIN\tB-PP\tO' -p306666 -aS'ectopy\tectopy\tNN\tB-NP\tO' -p306667 -aS'.\t.\t.\tO\tO' -p306668 -asS'The patient may shower but should pat dry incisions afterwards ; no bathing or swimming until further notice .' -p306669 -(lp306670 -S'The\tThe\tDT\tB-NP\tO' -p306671 -aS'patient\tpatient\tNN\tI-NP\tO' -p306672 -aS'may\tmay\tMD\tB-VP\tO' -p306673 -aS'shower\tshower\tVB\tI-VP\tO' -p306674 -aS'but\tbut\tCC\tO\tO' -p306675 -aS'should\tshould\tMD\tB-VP\tO' -p306676 -aS'pat\tpat\tVB\tI-VP\tO' -p306677 -aS'dry\tdry\tJJ\tB-NP\tO' -p306678 -aS'incisions\tincision\tNNS\tI-NP\tO' -p306679 -aS'afterwards\tafterwards\tRB\tB-ADVP\tO' -p306680 -aS';\t;\t:\tO\tO' -p306681 -aS'no\tno\tDT\tB-NP\tO' -p306682 -aS'bathing\tbathing\tNN\tI-NP\tO' -p306683 -aS'or\tor\tCC\tI-NP\tO' -p306684 -aS'swimming\tswimming\tNN\tI-NP\tO' -p306685 -aS'until\tuntil\tIN\tB-SBAR\tO' -p306686 -aS'further\tfurther\tJJ\tB-NP\tO' -p306687 -aS'notice\tnotice\tNN\tI-NP\tO' -p306688 -aS'.\t.\t.\tO\tO' -p306689 -asS"Discussion with the patient 's family by the Intensive Care Unit service has resulted in focusing on her comfort care ." -p306690 -(lp306691 -S'Discussion\tDiscussion\tNN\tB-NP\tO' -p306692 -aS'with\twith\tIN\tB-PP\tO' -p306693 -aS'the\tthe\tDT\tB-NP\tO' -p306694 -aS'patient\tpatient\tNN\tI-NP\tO' -p306695 -aS"'s\t's\tPOS\tB-NP\tO" -p306696 -aS'family\tfamily\tNN\tI-NP\tO' -p306697 -aS'by\tby\tIN\tB-PP\tO' -p306698 -aS'the\tthe\tDT\tB-NP\tO' -p306699 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p306700 -aS'Care\tCare\tNNP\tI-NP\tO' -p306701 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p306702 -aS'service\tservice\tNN\tI-NP\tO' -p306703 -aS'has\thave\tVBZ\tB-VP\tO' -p306704 -aS'resulted\tresult\tVBN\tI-VP\tO' -p306705 -aS'in\tin\tIN\tB-PP\tO' -p306706 -aS'focusing\tfocus\tVBG\tB-VP\tO' -p306707 -aS'on\ton\tIN\tB-PP\tO' -p306708 -aS'her\ther\tPRP$\tB-NP\tO' -p306709 -aS'comfort\tcomfort\tNN\tI-NP\tO' -p306710 -aS'care\tcare\tNN\tI-NP\tO' -p306711 -aS'.\t.\t.\tO\tO' -p306712 -asS"( Part of the patient 's chart from the period 2013-05-09 to 2013-05-23 is currently unavailable , and this dictation will mainly cover the period from 2013-05-23 to 2013-06-02 )" -p306713 -(lp306714 -S'(\t(\t(\tO\tO' -p306715 -aS'Part\tPart\tNN\tB-NP\tO' -p306716 -aS'of\tof\tIN\tB-PP\tO' -p306717 -aS'the\tthe\tDT\tB-NP\tO' -p306718 -aS'patient\tpatient\tNN\tI-NP\tO' -p306719 -aS"'s\t's\tPOS\tB-NP\tO" -p306720 -aS'chart\tchart\tNN\tI-NP\tO' -p306721 -aS'from\tfrom\tIN\tB-PP\tO' -p306722 -aS'the\tthe\tDT\tB-NP\tO' -p306723 -aS'period\tperiod\tNN\tI-NP\tO' -p306724 -aS'2013-05-09\t2013-05-09\tCD\tI-NP\tO' -p306725 -aS'to\tto\tTO\tB-PP\tO' -p306726 -aS'2013-05-23\t2013-05-23\tCD\tB-NP\tO' -p306727 -aS'is\tbe\tVBZ\tB-VP\tO' -p306728 -aS'currently\tcurrently\tRB\tB-ADJP\tO' -p306729 -aS'unavailable\tunavailable\tJJ\tI-ADJP\tO' -p306730 -aS',\t,\t,\tO\tO' -p306731 -aS'and\tand\tCC\tO\tO' -p306732 -aS'this\tthis\tDT\tB-NP\tO' -p306733 -aS'dictation\tdictation\tNN\tI-NP\tO' -p306734 -aS'will\twill\tMD\tB-VP\tO' -p306735 -aS'mainly\tmainly\tRB\tI-VP\tO' -p306736 -aS'cover\tcover\tVB\tI-VP\tO' -p306737 -aS'the\tthe\tDT\tB-NP\tO' -p306738 -aS'period\tperiod\tNN\tI-NP\tO' -p306739 -aS'from\tfrom\tIN\tB-PP\tO' -p306740 -aS'2013-05-23\t2013-05-23\tCD\tB-NP\tO' -p306741 -aS'to\tto\tTO\tB-PP\tO' -p306742 -aS'2013-06-02\t2013-06-02\tCD\tB-NP\tO' -p306743 -aS')\t)\t)\tO\tO' -p306744 -asS'ABDOMEN : Soft , nontender , nondistended .' -p306745 -(lp306746 -S'ABDOMEN\tABDOMEN\tNN\tB-NP\tO' -p306747 -aS':\t:\t:\tO\tO' -p306748 -aS'Soft\tSoft\tJJ\tB-NP\tO' -p306749 -aS',\t,\t,\tI-NP\tO' -p306750 -aS'nontender\tnontender\tJJ\tI-NP\tO' -p306751 -aS',\t,\t,\tI-NP\tO' -p306752 -aS'nondistended\tnondistended\tJJ\tI-NP\tO' -p306753 -aS'.\t.\t.\tO\tO' -p306754 -asS'She initially awoke after surgery , with good hemodynamics .' -p306755 -(lp306756 -S'She\tShe\tPRP\tB-NP\tO' -p306757 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p306758 -aS'awoke\tawake\tVBP\tB-VP\tO' -p306759 -aS'after\tafter\tIN\tB-PP\tO' -p306760 -aS'surgery\tsurgery\tNN\tB-NP\tO' -p306761 -aS',\t,\t,\tO\tO' -p306762 -aS'with\twith\tIN\tB-PP\tO' -p306763 -aS'good\tgood\tJJ\tB-NP\tO' -p306764 -aS'hemodynamics\themodynamic\tNNS\tI-NP\tO' -p306765 -aS'.\t.\t.\tO\tO' -p306766 -asS'chest x-ray from 02-07 had linear atelectasis in right lower lobe with no evidence of a band-like opacity in the left lower lobe which was evident on the chest x-ray on 02-06 .' -p306767 -(lp306768 -S'chest\tch\tJJS\tB-NP\tO' -p306769 -aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' -p306770 -aS'from\tfrom\tIN\tB-PP\tO' -p306771 -aS'02-07\t02-07\tCD\tB-NP\tO' -p306772 -aS'had\thave\tVBD\tB-VP\tO' -p306773 -aS'linear\tlinear\tJJ\tB-NP\tO' -p306774 -aS'atelectasis\tatelectasis\tNN\tI-NP\tO' -p306775 -aS'in\tin\tIN\tB-PP\tO' -p306776 -aS'right\tright\tJJ\tB-NP\tO' -p306777 -aS'lower\tlow\tJJR\tI-NP\tO' -p306778 -aS'lobe\tlobe\tNN\tI-NP\tO' -p306779 -aS'with\twith\tIN\tB-PP\tO' -p306780 -aS'no\tno\tDT\tB-NP\tO' -p306781 -aS'evidence\tevidence\tNN\tI-NP\tO' -p306782 -aS'of\tof\tIN\tB-PP\tO' -p306783 -aS'a\ta\tDT\tB-NP\tO' -p306784 -aS'band-like\tband-like\tJJ\tI-NP\tO' -p306785 -aS'opacity\topacity\tNN\tI-NP\tO' -p306786 -aS'in\tin\tIN\tB-PP\tO' -p306787 -aS'the\tthe\tDT\tB-NP\tO' -p306788 -aS'left\tleft\tJJ\tI-NP\tO' -p306789 -aS'lower\tlow\tJJR\tI-NP\tO' -p306790 -aS'lobe\tlobe\tNN\tI-NP\tO' -p306791 -aS'which\twhich\tWDT\tB-NP\tO' -p306792 -aS'was\tbe\tVBD\tB-VP\tO' -p306793 -aS'evident\tevident\tJJ\tB-ADJP\tO' -p306794 -aS'on\ton\tIN\tB-PP\tO' -p306795 -aS'the\tthe\tDT\tB-NP\tO' -p306796 -aS'chest\tchest\tNN\tI-NP\tO' -p306797 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p306798 -aS'on\ton\tIN\tB-PP\tO' -p306799 -aS'02-06\t02-06\tCD\tB-NP\tO' -p306800 -aS'.\t.\t.\tO\tO' -p306801 -asS'The patient had multiple episodes of rapid atrial fibrillation which again required intravenous Lopressor .' -p306802 -(lp306803 -S'The\tThe\tDT\tB-NP\tO' -p306804 -aS'patient\tpatient\tNN\tI-NP\tO' -p306805 -aS'had\thave\tVBD\tB-VP\tO' -p306806 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p306807 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p306808 -aS'of\tof\tIN\tB-PP\tO' -p306809 -aS'rapid\trapid\tJJ\tB-NP\tO' -p306810 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p306811 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p306812 -aS'which\twhich\tWDT\tB-NP\tO' -p306813 -aS'again\tagain\tRB\tB-ADVP\tO' -p306814 -aS'required\trequire\tVBD\tB-VP\tO' -p306815 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p306816 -aS'Lopressor\tLopressor\tNN\tI-NP\tO' -p306817 -aS'.\t.\t.\tO\tO' -p306818 -asS'Within one minute , the patient lost his blood pressure and CPR was initiated and code was called .' -p306819 -(lp306820 -S'Within\tWithin\tIN\tB-PP\tO' -p306821 -aS'one\tone\tCD\tB-NP\tO' -p306822 -aS'minute\tminute\tNN\tI-NP\tO' -p306823 -aS',\t,\t,\tO\tO' -p306824 -aS'the\tthe\tDT\tB-NP\tO' -p306825 -aS'patient\tpatient\tNN\tI-NP\tO' -p306826 -aS'lost\tlose\tVBD\tB-VP\tO' -p306827 -aS'his\this\tPRP$\tB-NP\tO' -p306828 -aS'blood\tblood\tNN\tI-NP\tO' -p306829 -aS'pressure\tpressure\tNN\tI-NP\tO' -p306830 -aS'and\tand\tCC\tI-NP\tO' -p306831 -aS'CPR\tCPR\tNN\tI-NP\tB-protein' -p306832 -aS'was\tbe\tVBD\tB-VP\tO' -p306833 -aS'initiated\tinitiate\tVBN\tI-VP\tO' -p306834 -aS'and\tand\tCC\tO\tO' -p306835 -aS'code\tcode\tNN\tB-NP\tO' -p306836 -aS'was\tbe\tVBD\tB-VP\tO' -p306837 -aS'called\tcall\tVBN\tI-VP\tO' -p306838 -aS'.\t.\t.\tO\tO' -p306839 -asS'normal study .' -p306840 -(lp306841 -S'normal\tnormal\tJJ\tB-NP\tO' -p306842 -aS'study\tstudy\tNN\tI-NP\tO' -p306843 -aS'.\t.\t.\tO\tO' -p306844 -asS'He continued with pulmonary toilet and q.2h. flap checks .' -p306845 -(lp306846 -S'He\tHe\tPRP\tB-NP\tO' -p306847 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p306848 -aS'with\twith\tIN\tB-PP\tO' -p306849 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p306850 -aS'toilet\ttoilet\tNN\tI-NP\tO' -p306851 -aS'and\tand\tCC\tI-NP\tO' -p306852 -aS'q.2h.\tq.2h.\tNN\tI-NP\tO' -p306853 -aS'flap\tflap\tNN\tI-NP\tO' -p306854 -aS'checks\tcheck\tNNS\tI-NP\tO' -p306855 -aS'.\t.\t.\tO\tO' -p306856 -asS'Pt with WBC of 15.4 with 70% seg .' -p306857 -(lp306858 -S'Pt\tPt\tNN\tB-NP\tO' -p306859 -aS'with\twith\tIN\tB-PP\tO' -p306860 -aS'WBC\tWBC\tNN\tB-NP\tB-protein' -p306861 -aS'of\tof\tIN\tB-PP\tO' -p306862 -aS'15.4\t15.4\tCD\tB-NP\tO' -p306863 -aS'with\twith\tIN\tB-PP\tO' -p306864 -aS'70%\t70%\tJJ\tB-NP\tO' -p306865 -aS'seg\tseg\tNN\tI-NP\tO' -p306866 -aS'.\t.\t.\tO\tO' -p306867 -asS'CXR , LP , UA and abdominal CT showed no sign of infection .' -p306868 -(lp306869 -S'CXR\tCXR\tNN\tB-NP\tB-protein' -p306870 -aS',\t,\t,\tI-NP\tO' -p306871 -aS'LP\tLP\tNN\tI-NP\tO' -p306872 -aS',\t,\t,\tI-NP\tO' -p306873 -aS'UA\tUA\tNN\tI-NP\tO' -p306874 -aS'and\tand\tCC\tI-NP\tO' -p306875 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p306876 -aS'CT\tCT\tNN\tI-NP\tO' -p306877 -aS'showed\tshow\tVBD\tB-VP\tO' -p306878 -aS'no\tno\tDT\tB-NP\tO' -p306879 -aS'sign\tsign\tNN\tI-NP\tO' -p306880 -aS'of\tof\tIN\tB-PP\tO' -p306881 -aS'infection\tinfection\tNN\tB-NP\tO' -p306882 -aS'.\t.\t.\tO\tO' -p306883 -asS'Neurologically the patient is grossly intact .' -p306884 -(lp306885 -S'Neurologically\tNeurologically\tRB\tB-ADVP\tO' -p306886 -aS'the\tthe\tDT\tB-NP\tO' -p306887 -aS'patient\tpatient\tNN\tI-NP\tO' -p306888 -aS'is\tbe\tVBZ\tB-VP\tO' -p306889 -aS'grossly\tgrossly\tRB\tB-ADJP\tO' -p306890 -aS'intact\tintact\tJJ\tI-ADJP\tO' -p306891 -aS'.\t.\t.\tO\tO' -p306892 -asS'RRR , nl s1 s2 , no m/g/r' -p306893 -(lp306894 -S'RRR\tRRR\tNN\tB-NP\tB-protein' -p306895 -aS',\t,\t,\tO\tO' -p306896 -aS'nl\tnl\tNN\tB-NP\tB-protein' -p306897 -aS's1\ts1\tNN\tI-NP\tI-protein' -p306898 -aS's2\ts2\tNN\tI-NP\tI-protein' -p306899 -aS',\t,\t,\tO\tO' -p306900 -aS'no\tno\tDT\tB-NP\tO' -p306901 -aS'm/g/r\tm/g/r\tNN\tI-NP\tO' -p306902 -asS'Lungs ; clear to auscultation bilaterally .' -p306903 -(lp306904 -S'Lungs\tLung\tNNS\tB-NP\tO' -p306905 -aS';\t;\t:\tO\tO' -p306906 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p306907 -aS'to\tto\tTO\tB-PP\tO' -p306908 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p306909 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p306910 -aS'.\t.\t.\tO\tO' -p306911 -asS'His beta blockers were also titrated for maximal BP and HR control .' -p306912 -(lp306913 -S'His\tHis\tPRP$\tB-NP\tO' -p306914 -aS'beta\tbeta\tNN\tI-NP\tO' -p306915 -aS'blockers\tblocker\tNNS\tI-NP\tO' -p306916 -aS'were\tbe\tVBD\tB-VP\tO' -p306917 -aS'also\talso\tRB\tI-VP\tO' -p306918 -aS'titrated\ttitrate\tVBN\tI-VP\tO' -p306919 -aS'for\tfor\tIN\tB-PP\tO' -p306920 -aS'maximal\tmaximal\tJJ\tB-NP\tO' -p306921 -aS'BP\tBP\tNN\tI-NP\tO' -p306922 -aS'and\tand\tCC\tI-NP\tO' -p306923 -aS'HR\tHR\tNN\tI-NP\tO' -p306924 -aS'control\tcontrol\tNN\tI-NP\tO' -p306925 -aS'.\t.\t.\tO\tO' -p306926 -asS'A patent foramen ovale/secundum ASD is present .' -p306927 -(lp306928 -S'A\tA\tDT\tB-NP\tO' -p306929 -aS'patent\tpatent\tNN\tI-NP\tO' -p306930 -aS'foramen\tforamen\tNN\tI-NP\tO' -p306931 -aS'ovale/secundum\tovale/secundum\tNN\tI-NP\tO' -p306932 -aS'ASD\tASD\tNN\tI-NP\tO' -p306933 -aS'is\tbe\tVBZ\tB-VP\tO' -p306934 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p306935 -aS'.\t.\t.\tO\tO' -p306936 -asS'It remained stable at the time of discharge and it was 29.5 on the day of discharge .' -p306937 -(lp306938 -S'It\tIt\tPRP\tB-NP\tO' -p306939 -aS'remained\tremain\tVBD\tB-VP\tO' -p306940 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p306941 -aS'at\tat\tIN\tB-PP\tO' -p306942 -aS'the\tthe\tDT\tB-NP\tO' -p306943 -aS'time\ttime\tNN\tI-NP\tO' -p306944 -aS'of\tof\tIN\tB-PP\tO' -p306945 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p306946 -aS'and\tand\tCC\tO\tO' -p306947 -aS'it\tit\tPRP\tB-NP\tO' -p306948 -aS'was\tbe\tVBD\tB-VP\tO' -p306949 -aS'29.5\t29.5\tCD\tB-NP\tO' -p306950 -aS'on\ton\tIN\tB-PP\tO' -p306951 -aS'the\tthe\tDT\tB-NP\tO' -p306952 -aS'day\tday\tNN\tI-NP\tO' -p306953 -aS'of\tof\tIN\tB-PP\tO' -p306954 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p306955 -aS'.\t.\t.\tO\tO' -p306956 -asS'56 year old man with open RLE fx now s/p fixation' -p306957 -(lp306958 -S'56\t56\tCD\tB-NP\tO' -p306959 -aS'year\tyear\tNN\tI-NP\tO' -p306960 -aS'old\told\tJJ\tI-NP\tO' -p306961 -aS'man\tman\tNN\tI-NP\tO' -p306962 -aS'with\twith\tIN\tB-PP\tO' -p306963 -aS'open\topen\tJJ\tB-NP\tO' -p306964 -aS'RLE\tRLE\tNN\tI-NP\tO' -p306965 -aS'fx\tfx\tNN\tI-NP\tO' -p306966 -aS'now\tnow\tRB\tB-ADVP\tO' -p306967 -aS's/p\ts/p\tVBP\tB-VP\tO' -p306968 -aS'fixation\tfixation\tNN\tB-NP\tO' -p306969 -asS'141-160 mg / dL 5 Units' -p306970 -(lp306971 -S'141-160\t141-160\tCD\tB-NP\tO' -p306972 -aS'mg\tmg\tNN\tI-NP\tO' -p306973 -aS'/\t/\tSYM\tB-NP\tO' -p306974 -aS'dL\tdL\tNN\tI-NP\tO' -p306975 -aS'5\t5\tCD\tB-NP\tO' -p306976 -aS'Units\tUnit\tNNS\tI-NP\tO' -p306977 -asS'His ejection fraction was 55% .' -p306978 -(lp306979 -S'His\tHis\tPRP$\tB-NP\tO' -p306980 -aS'ejection\tejection\tNN\tI-NP\tO' -p306981 -aS'fraction\tfraction\tNN\tI-NP\tO' -p306982 -aS'was\tbe\tVBD\tB-VP\tO' -p306983 -aS'55%\t55%\tCD\tB-NP\tO' -p306984 -aS'.\t.\t.\tO\tO' -p306985 -asS'left bundle branch block .' -p306986 -(lp306987 -S'left\tleft\tJJ\tB-NP\tO' -p306988 -aS'bundle\tbundle\tNN\tI-NP\tO' -p306989 -aS'branch\tbranch\tNN\tI-NP\tO' -p306990 -aS'block\tblock\tNN\tI-NP\tO' -p306991 -aS'.\t.\t.\tO\tO' -p306992 -asS'9. shingles .' -p306993 -(lp306994 -S'9.\t9.\tCD\tB-NP\tO' -p306995 -aS'shingles\tshingle\tNNS\tI-NP\tO' -p306996 -aS'.\t.\t.\tO\tO' -p306997 -asS'Regular rate and rhythm with normal S1 and S2 .' -p306998 -(lp306999 -S'Regular\tRegular\tJJ\tB-NP\tO' -p307000 -aS'rate\trate\tNN\tI-NP\tO' -p307001 -aS'and\tand\tCC\tI-NP\tO' -p307002 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p307003 -aS'with\twith\tIN\tB-PP\tO' -p307004 -aS'normal\tnormal\tJJ\tB-NP\tO' -p307005 -aS'S1\tS1\tNN\tI-NP\tB-protein' -p307006 -aS'and\tand\tCC\tI-NP\tO' -p307007 -aS'S2\tS2\tNN\tI-NP\tB-protein' -p307008 -aS'.\t.\t.\tO\tO' -p307009 -asS'She was continued with aggressive diuresis .' -p307010 -(lp307011 -S'She\tShe\tPRP\tB-NP\tO' -p307012 -aS'was\tbe\tVBD\tB-VP\tO' -p307013 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p307014 -aS'with\twith\tIN\tB-PP\tO' -p307015 -aS'aggressive\taggressive\tJJ\tB-NP\tO' -p307016 -aS'diuresis\tdiuresis\tNN\tI-NP\tO' -p307017 -aS'.\t.\t.\tO\tO' -p307018 -asS'She achieved full feeds on day of life 13 .' -p307019 -(lp307020 -S'She\tShe\tPRP\tB-NP\tO' -p307021 -aS'achieved\tachieve\tVBD\tB-VP\tO' -p307022 -aS'full\tfull\tJJ\tB-NP\tO' -p307023 -aS'feeds\tfeed\tNNS\tI-NP\tO' -p307024 -aS'on\ton\tIN\tB-PP\tO' -p307025 -aS'day\tday\tNN\tB-NP\tO' -p307026 -aS'of\tof\tIN\tB-PP\tO' -p307027 -aS'life\tlife\tNN\tB-NP\tB-protein' -p307028 -aS'13\t13\tCD\tI-NP\tI-protein' -p307029 -aS'.\t.\t.\tO\tO' -p307030 -asS'The family is confident in any decision Dr. Ford would make re : therapy for her MS .' -p307031 -(lp307032 -S'The\tThe\tDT\tB-NP\tO' -p307033 -aS'family\tfamily\tNN\tI-NP\tO' -p307034 -aS'is\tbe\tVBZ\tB-VP\tO' -p307035 -aS'confident\tconfident\tJJ\tB-ADJP\tO' -p307036 -aS'in\tin\tIN\tB-PP\tO' -p307037 -aS'any\tany\tDT\tB-NP\tO' -p307038 -aS'decision\tdecision\tNN\tI-NP\tO' -p307039 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p307040 -aS'Ford\tFord\tNNP\tI-NP\tO' -p307041 -aS'would\twould\tMD\tB-VP\tO' -p307042 -aS'make\tmake\tVB\tI-VP\tO' -p307043 -aS're\tre\tNN\tB-NP\tO' -p307044 -aS':\t:\t:\tO\tO' -p307045 -aS'therapy\ttherapy\tNN\tB-NP\tO' -p307046 -aS'for\tfor\tIN\tB-PP\tO' -p307047 -aS'her\ther\tPRP$\tB-NP\tO' -p307048 -aS'MS\tMS\tNN\tI-NP\tO' -p307049 -aS'.\t.\t.\tO\tO' -p307050 -asS'Meanwhile , the patient 's eosinophilia was treated with a trial of prednisone .' -p307051 -(lp307052 -S'Meanwhile\tMeanwhile\tRB\tB-ADVP\tO' -p307053 -aS',\t,\t,\tO\tO' -p307054 -aS'the\tthe\tDT\tB-NP\tO' -p307055 -aS'patient\tpatient\tNN\tI-NP\tO' -p307056 -aS''s\t'\tNNS\tI-NP\tO' -p307057 -aS'eosinophilia\teosinophilia\tNN\tI-NP\tO' -p307058 -aS'was\tbe\tVBD\tB-VP\tO' -p307059 -aS'treated\ttreat\tVBN\tI-VP\tO' -p307060 -aS'with\twith\tIN\tB-PP\tO' -p307061 -aS'a\ta\tDT\tB-NP\tO' -p307062 -aS'trial\ttrial\tNN\tI-NP\tO' -p307063 -aS'of\tof\tIN\tB-PP\tO' -p307064 -aS'prednisone\tprednisone\tNN\tB-NP\tO' -p307065 -aS'.\t.\t.\tO\tO' -p307066 -asS'The patient was continued on ampicillin and Gentamicin .' -p307067 -(lp307068 -S'The\tThe\tDT\tB-NP\tO' -p307069 -aS'patient\tpatient\tNN\tI-NP\tO' -p307070 -aS'was\tbe\tVBD\tB-VP\tO' -p307071 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p307072 -aS'on\ton\tIN\tB-PP\tO' -p307073 -aS'ampicillin\tampicillin\tNN\tB-NP\tO' -p307074 -aS'and\tand\tCC\tI-NP\tO' -p307075 -aS'Gentamicin\tGentamicin\tNN\tI-NP\tO' -p307076 -aS'.\t.\t.\tO\tO' -p307077 -asS'She was also started on iron supplementation .' -p307078 -(lp307079 -S'She\tShe\tPRP\tB-NP\tO' -p307080 -aS'was\tbe\tVBD\tB-VP\tO' -p307081 -aS'also\talso\tRB\tI-VP\tO' -p307082 -aS'started\tstart\tVBN\tI-VP\tO' -p307083 -aS'on\ton\tIN\tB-PP\tO' -p307084 -aS'iron\tiron\tNN\tB-NP\tO' -p307085 -aS'supplementation\tsupplementation\tNN\tI-NP\tO' -p307086 -aS'.\t.\t.\tO\tO' -p307087 -asS'2. Levofloxacin 500 mg po per day .' -p307088 -(lp307089 -S'2.\t2.\tLS\tB-LST\tO' -p307090 -aS'Levofloxacin\tLevofloxacin\tNNP\tB-NP\tO' -p307091 -aS'500\t500\tCD\tI-NP\tO' -p307092 -aS'mg\tmg\tNN\tI-NP\tO' -p307093 -aS'po\tpo\tNN\tI-NP\tO' -p307094 -aS'per\tper\tIN\tB-PP\tO' -p307095 -aS'day\tday\tNN\tB-NP\tO' -p307096 -aS'.\t.\t.\tO\tO' -p307097 -asS'Symmetric facial features .' -p307098 -(lp307099 -S'Symmetric\tSymmetric\tJJ\tB-NP\tO' -p307100 -aS'facial\tfacial\tJJ\tI-NP\tO' -p307101 -aS'features\tfeature\tNNS\tI-NP\tO' -p307102 -aS'.\t.\t.\tO\tO' -p307103 -asS'Please continue taking your medications as prescribed .' -p307104 -(lp307105 -S'Please\tPlease\tVB\tB-VP\tO' -p307106 -aS'continue\tcontinue\tVB\tI-VP\tO' -p307107 -aS'taking\ttake\tVBG\tI-VP\tO' -p307108 -aS'your\tyour\tPRP$\tB-NP\tO' -p307109 -aS'medications\tmedication\tNNS\tI-NP\tO' -p307110 -aS'as\tas\tIN\tB-SBAR\tO' -p307111 -aS'prescribed\tprescribe\tVBN\tB-VP\tO' -p307112 -aS'.\t.\t.\tO\tO' -p307113 -asS'He was a nondysmorphic male .' -p307114 -(lp307115 -S'He\tHe\tPRP\tB-NP\tO' -p307116 -aS'was\tbe\tVBD\tB-VP\tO' -p307117 -aS'a\ta\tDT\tB-NP\tO' -p307118 -aS'nondysmorphic\tnondysmorphic\tJJ\tI-NP\tO' -p307119 -aS'male\tmale\tNN\tI-NP\tO' -p307120 -aS'.\t.\t.\tO\tO' -p307121 -asS'He was at baseline with respect to his gait ( at baseline unsteady , though he refuses to walk with a walker ) and his mentation ( at baseline difficulties with memory since months ; keeps forgetting appointments ).' -p307122 -(lp307123 -S'He\tHe\tPRP\tB-NP\tO' -p307124 -aS'was\tbe\tVBD\tB-VP\tO' -p307125 -aS'at\tat\tIN\tB-PP\tO' -p307126 -aS'baseline\tbaseline\tNN\tB-NP\tO' -p307127 -aS'with\twith\tIN\tB-PP\tO' -p307128 -aS'respect\trespect\tNN\tB-NP\tO' -p307129 -aS'to\tto\tTO\tB-PP\tO' -p307130 -aS'his\this\tPRP$\tB-NP\tO' -p307131 -aS'gait\tgait\tNN\tI-NP\tO' -p307132 -aS'(\t(\t(\tO\tO' -p307133 -aS'at\tat\tIN\tB-PP\tO' -p307134 -aS'baseline\tbaseline\tNN\tB-NP\tO' -p307135 -aS'unsteady\tunsteady\tJJ\tB-ADJP\tO' -p307136 -aS',\t,\t,\tO\tO' -p307137 -aS'though\tthough\tIN\tB-SBAR\tO' -p307138 -aS'he\the\tPRP\tB-NP\tO' -p307139 -aS'refuses\trefuse\tVBZ\tB-VP\tO' -p307140 -aS'to\tto\tTO\tI-VP\tO' -p307141 -aS'walk\twalk\tVB\tI-VP\tO' -p307142 -aS'with\twith\tIN\tB-PP\tO' -p307143 -aS'a\ta\tDT\tB-NP\tO' -p307144 -aS'walker\twalker\tNN\tI-NP\tO' -p307145 -aS')\t)\t)\tO\tO' -p307146 -aS'and\tand\tCC\tO\tO' -p307147 -aS'his\this\tPRP$\tB-NP\tO' -p307148 -aS'mentation\tmentation\tNN\tI-NP\tO' -p307149 -aS'(\t(\t(\tO\tO' -p307150 -aS'at\tat\tIN\tB-PP\tO' -p307151 -aS'baseline\tbaseline\tNN\tB-NP\tO' -p307152 -aS'difficulties\tdifficulty\tNNS\tI-NP\tO' -p307153 -aS'with\twith\tIN\tB-PP\tO' -p307154 -aS'memory\tmemory\tNN\tB-NP\tO' -p307155 -aS'since\tsince\tIN\tB-PP\tO' -p307156 -aS'months\tmonth\tNNS\tB-NP\tO' -p307157 -aS';\t;\t:\tO\tO' -p307158 -aS'keeps\tkeep\tNNS\tB-NP\tO' -p307159 -aS'forgetting\tforget\tVBG\tB-VP\tO' -p307160 -aS'appointments\tappointment\tNNS\tB-NP\tO' -p307161 -aS').\t).\t)\tO\tO' -p307162 -asS'The was trace mitral regurgitation and trace tricuspid regurgitation .' -p307163 -(lp307164 -S'The\tThe\tDT\tB-NP\tO' -p307165 -aS'was\tbe\tVBD\tB-VP\tO' -p307166 -aS'trace\ttrace\tNN\tB-NP\tO' -p307167 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p307168 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p307169 -aS'and\tand\tCC\tI-NP\tO' -p307170 -aS'trace\ttrace\tNN\tI-NP\tO' -p307171 -aS'tricuspid\ttricuspid\tJJ\tI-NP\tO' -p307172 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p307173 -aS'.\t.\t.\tO\tO' -p307174 -asS'Her primary postoperative development was the passage of some blood clots and blood per rectum on postoperative day # 2 .' -p307175 -(lp307176 -S'Her\tHer\tPRP$\tB-NP\tO' -p307177 -aS'primary\tprimary\tJJ\tI-NP\tO' -p307178 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p307179 -aS'development\tdevelopment\tNN\tI-NP\tO' -p307180 -aS'was\tbe\tVBD\tB-VP\tO' -p307181 -aS'the\tthe\tDT\tB-NP\tO' -p307182 -aS'passage\tpassage\tNN\tI-NP\tO' -p307183 -aS'of\tof\tIN\tB-PP\tO' -p307184 -aS'some\tsome\tDT\tB-NP\tO' -p307185 -aS'blood\tblood\tNN\tI-NP\tO' -p307186 -aS'clots\tclot\tNNS\tI-NP\tO' -p307187 -aS'and\tand\tCC\tO\tO' -p307188 -aS'blood\tblood\tNN\tB-NP\tO' -p307189 -aS'per\tper\tIN\tB-PP\tO' -p307190 -aS'rectum\trectum\tNN\tB-NP\tO' -p307191 -aS'on\ton\tIN\tB-PP\tO' -p307192 -aS'postoperative\tpostoperative\tJJ\tB-NP\tB-protein' -p307193 -aS'day\tday\tNN\tI-NP\tI-protein' -p307194 -aS'#\t#\t#\tB-NP\tI-protein' -p307195 -aS'2\t2\tCD\tI-NP\tI-protein' -p307196 -aS'.\t.\t.\tO\tO' -p307197 -asS'Coronary angiography revealed occlusion of the right coronary artery proximally with insignificant plaquing in the left anterior descending artery and circumflex arteries .' -p307198 -(lp307199 -S'Coronary\tCoronary\tJJ\tB-NP\tO' -p307200 -aS'angiography\tangiography\tNN\tI-NP\tO' -p307201 -aS'revealed\treveal\tVBD\tB-VP\tO' -p307202 -aS'occlusion\tocclusion\tNN\tB-NP\tO' -p307203 -aS'of\tof\tIN\tB-PP\tO' -p307204 -aS'the\tthe\tDT\tB-NP\tO' -p307205 -aS'right\tright\tJJ\tI-NP\tO' -p307206 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p307207 -aS'artery\tartery\tNN\tI-NP\tO' -p307208 -aS'proximally\tproximally\tRB\tB-ADVP\tO' -p307209 -aS'with\twith\tIN\tB-PP\tO' -p307210 -aS'insignificant\tinsignificant\tJJ\tB-NP\tO' -p307211 -aS'plaquing\tplaquing\tNN\tI-NP\tO' -p307212 -aS'in\tin\tIN\tB-PP\tO' -p307213 -aS'the\tthe\tDT\tB-NP\tO' -p307214 -aS'left\tleft\tJJ\tI-NP\tO' -p307215 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p307216 -aS'descending\tdescend\tVBG\tI-NP\tO' -p307217 -aS'artery\tartery\tNN\tI-NP\tO' -p307218 -aS'and\tand\tCC\tI-NP\tO' -p307219 -aS'circumflex\tcircumflex\tNN\tI-NP\tO' -p307220 -aS'arteries\tartery\tNNS\tI-NP\tO' -p307221 -aS'.\t.\t.\tO\tO' -p307222 -asS'She has an associated dry cough but no fevers , chills , or leg pain .' -p307223 -(lp307224 -S'She\tShe\tPRP\tB-NP\tO' -p307225 -aS'has\thave\tVBZ\tB-VP\tO' -p307226 -aS'an\tan\tDT\tB-NP\tO' -p307227 -aS'associated\tassociate\tVBN\tI-NP\tO' -p307228 -aS'dry\tdry\tJJ\tI-NP\tO' -p307229 -aS'cough\tcough\tNN\tI-NP\tO' -p307230 -aS'but\tbut\tCC\tO\tO' -p307231 -aS'no\tno\tDT\tB-NP\tO' -p307232 -aS'fevers\tfever\tNNS\tI-NP\tO' -p307233 -aS',\t,\t,\tO\tO' -p307234 -aS'chills\tchill\tNNS\tB-NP\tO' -p307235 -aS',\t,\t,\tO\tO' -p307236 -aS'or\tor\tCC\tO\tO' -p307237 -aS'leg\tleg\tNN\tB-NP\tO' -p307238 -aS'pain\tpain\tNN\tI-NP\tO' -p307239 -aS'.\t.\t.\tO\tO' -p307240 -asS'There was minimal mitral valve calcification , normal left ventricular contraction , and 2+ mitral regurgitation into a large left atrium .' -p307241 -(lp307242 -S'There\tThere\tEX\tB-NP\tO' -p307243 -aS'was\tbe\tVBD\tB-VP\tO' -p307244 -aS'minimal\tminimal\tJJ\tB-NP\tO' -p307245 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p307246 -aS'valve\tvalve\tNN\tI-NP\tO' -p307247 -aS'calcification\tcalcification\tNN\tI-NP\tO' -p307248 -aS',\t,\t,\tO\tO' -p307249 -aS'normal\tnormal\tJJ\tB-NP\tO' -p307250 -aS'left\tleft\tJJ\tI-NP\tO' -p307251 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p307252 -aS'contraction\tcontraction\tNN\tI-NP\tO' -p307253 -aS',\t,\t,\tO\tO' -p307254 -aS'and\tand\tCC\tO\tO' -p307255 -aS'2+\t2+\tJJ\tB-NP\tO' -p307256 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p307257 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p307258 -aS'into\tinto\tIN\tB-PP\tO' -p307259 -aS'a\ta\tDT\tB-NP\tO' -p307260 -aS'large\tlarge\tJJ\tI-NP\tO' -p307261 -aS'left\tleft\tJJ\tI-NP\tO' -p307262 -aS'atrium\tatrium\tNN\tI-NP\tO' -p307263 -aS'.\t.\t.\tO\tO' -p307264 -asS'Her oxygen saturations improved to only 92% on 100% face mask and she was admitted to Pre Health Intensive Care Unit .' -p307265 -(lp307266 -S'Her\tHer\tPRP$\tB-NP\tO' -p307267 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p307268 -aS'saturations\tsaturation\tNNS\tI-NP\tO' -p307269 -aS'improved\timprove\tVBD\tB-VP\tO' -p307270 -aS'to\tto\tTO\tB-PP\tO' -p307271 -aS'only\tonly\tRB\tB-NP\tO' -p307272 -aS'92%\t92%\tCD\tI-NP\tO' -p307273 -aS'on\ton\tIN\tB-PP\tO' -p307274 -aS'100%\t100%\tCD\tB-NP\tO' -p307275 -aS'face\tface\tNN\tI-NP\tO' -p307276 -aS'mask\tmask\tNN\tI-NP\tO' -p307277 -aS'and\tand\tCC\tO\tO' -p307278 -aS'she\tshe\tPRP\tB-NP\tO' -p307279 -aS'was\tbe\tVBD\tB-VP\tO' -p307280 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p307281 -aS'to\tto\tTO\tB-PP\tO' -p307282 -aS'Pre\tPre\tNNP\tB-NP\tO' -p307283 -aS'Health\tHealth\tNNP\tI-NP\tO' -p307284 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p307285 -aS'Care\tCare\tNNP\tI-NP\tO' -p307286 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p307287 -aS'.\t.\t.\tO\tO' -p307288 -asS'For surgical details , please see seperate dictated operative note .' -p307289 -(lp307290 -S'For\tFor\tIN\tB-PP\tO' -p307291 -aS'surgical\tsurgical\tJJ\tB-NP\tO' -p307292 -aS'details\tdetail\tNNS\tI-NP\tO' -p307293 -aS',\t,\t,\tO\tO' -p307294 -aS'please\tplease\tVB\tB-VP\tO' -p307295 -aS'see\tsee\tVBP\tB-VP\tO' -p307296 -aS'seperate\tseperate\tJJ\tB-NP\tO' -p307297 -aS'dictated\tdictate\tVBN\tI-NP\tO' -p307298 -aS'operative\toperative\tJJ\tI-NP\tO' -p307299 -aS'note\tnote\tNN\tI-NP\tO' -p307300 -aS'.\t.\t.\tO\tO' -p307301 -asS'GI bleed .' -p307302 -(lp307303 -S'GI\tGI\tNN\tB-NP\tO' -p307304 -aS'bleed\tbleed\tNN\tI-NP\tO' -p307305 -aS'.\t.\t.\tO\tO' -p307306 -asS'Temperature 97.4 , heart rate 100 , blood pressure 142/89 , and O2 saturation 94% on room air .' -p307307 -(lp307308 -S'Temperature\tTemperature\tNN\tB-NP\tB-protein' -p307309 -aS'97.4\t97.4\tCD\tI-NP\tI-protein' -p307310 -aS',\t,\t,\tO\tO' -p307311 -aS'heart\theart\tNN\tB-NP\tO' -p307312 -aS'rate\trate\tNN\tI-NP\tO' -p307313 -aS'100\t100\tCD\tI-NP\tO' -p307314 -aS',\t,\t,\tO\tO' -p307315 -aS'blood\tblood\tNN\tB-NP\tO' -p307316 -aS'pressure\tpressure\tNN\tI-NP\tO' -p307317 -aS'142/89\t142/89\tCD\tI-NP\tO' -p307318 -aS',\t,\t,\tO\tO' -p307319 -aS'and\tand\tCC\tO\tO' -p307320 -aS'O2\tO2\tNN\tB-NP\tB-protein' -p307321 -aS'saturation\tsaturation\tNN\tI-NP\tI-protein' -p307322 -aS'94%\t94%\tNN\tI-NP\tI-protein' -p307323 -aS'on\ton\tIN\tB-PP\tO' -p307324 -aS'room\troom\tNN\tB-NP\tO' -p307325 -aS'air\tair\tNN\tI-NP\tO' -p307326 -aS'.\t.\t.\tO\tO' -p307327 -asS'Please see detailed operative note for more information about the procedure .' -p307328 -(lp307329 -S'Please\tPlease\tVB\tB-VP\tO' -p307330 -aS'see\tsee\tVB\tI-VP\tO' -p307331 -aS'detailed\tdetailed\tJJ\tB-NP\tO' -p307332 -aS'operative\toperative\tJJ\tI-NP\tO' -p307333 -aS'note\tnote\tNN\tI-NP\tO' -p307334 -aS'for\tfor\tIN\tB-PP\tO' -p307335 -aS'more\tmore\tJJR\tB-NP\tO' -p307336 -aS'information\tinformation\tNN\tI-NP\tO' -p307337 -aS'about\tabout\tIN\tB-PP\tO' -p307338 -aS'the\tthe\tDT\tB-NP\tO' -p307339 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p307340 -aS'.\t.\t.\tO\tO' -p307341 -asS'13. Dexamethasone 0.5 mg Tablet Sig : Two ( 2 ) Tablet PO Q12H ( every 12 hours ) : Take 2 tablet po bid for four days , then 2 tablet po qday for 7 days , then take one tablet qday for 7 days .' -p307342 -(lp307343 -S'13.\t13.\tLS\tB-NP\tO' -p307344 -aS'Dexamethasone\tDexamethasone\tNN\tI-NP\tO' -p307345 -aS'0.5\t0.5\tCD\tI-NP\tO' -p307346 -aS'mg\tmg\tNN\tI-NP\tO' -p307347 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p307348 -aS'Sig\tSig\tNNP\tI-NP\tO' -p307349 -aS':\t:\t:\tO\tO' -p307350 -aS'Two\tTwo\tCD\tB-NP\tO' -p307351 -aS'(\t(\t(\tO\tO' -p307352 -aS'2\t2\tCD\tO\tO' -p307353 -aS')\t)\t)\tO\tO' -p307354 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p307355 -aS'PO\tPO\tNN\tI-NP\tO' -p307356 -aS'Q12H\tQ12H\tNN\tI-NP\tO' -p307357 -aS'(\t(\t(\tO\tO' -p307358 -aS'every\tevery\tDT\tB-NP\tO' -p307359 -aS'12\t12\tCD\tI-NP\tO' -p307360 -aS'hours\thour\tNNS\tI-NP\tO' -p307361 -aS')\t)\t)\tO\tO' -p307362 -aS':\t:\t:\tO\tO' -p307363 -aS'Take\tTake\tVB\tB-VP\tO' -p307364 -aS'2\t2\tCD\tB-NP\tO' -p307365 -aS'tablet\ttablet\tNN\tI-NP\tO' -p307366 -aS'po\tpo\tNN\tI-NP\tO' -p307367 -aS'bid\tbid\tNN\tI-NP\tO' -p307368 -aS'for\tfor\tIN\tB-PP\tO' -p307369 -aS'four\tfour\tCD\tB-NP\tO' -p307370 -aS'days\tday\tNNS\tI-NP\tO' -p307371 -aS',\t,\t,\tO\tO' -p307372 -aS'then\tthen\tRB\tB-ADVP\tO' -p307373 -aS'2\t2\tCD\tB-NP\tO' -p307374 -aS'tablet\ttablet\tNN\tI-NP\tO' -p307375 -aS'po\tpo\tNN\tI-NP\tO' -p307376 -aS'qday\tqday\tNN\tI-NP\tO' -p307377 -aS'for\tfor\tIN\tB-PP\tO' -p307378 -aS'7\t7\tCD\tB-NP\tO' -p307379 -aS'days\tday\tNNS\tI-NP\tO' -p307380 -aS',\t,\t,\tO\tO' -p307381 -aS'then\tthen\tRB\tO\tO' -p307382 -aS'take\ttake\tVB\tB-VP\tO' -p307383 -aS'one\tone\tCD\tB-NP\tO' -p307384 -aS'tablet\ttablet\tNN\tI-NP\tO' -p307385 -aS'qday\tqday\tNN\tI-NP\tO' -p307386 -aS'for\tfor\tIN\tB-PP\tO' -p307387 -aS'7\t7\tCD\tB-NP\tO' -p307388 -aS'days\tday\tNNS\tI-NP\tO' -p307389 -aS'.\t.\t.\tO\tO' -p307390 -asS'TTE at Erich Lindemann Mental Health Center 05-26 : mod-lg circumferential pericardial eff , no evidence of RV diastolic collapse , no MV inflow evidence of tamponade , pacer lead located in RV apex' -p307391 -(lp307392 -S'TTE\tTTE\tNN\tB-NP\tO' -p307393 -aS'at\tat\tIN\tB-PP\tO' -p307394 -aS'Erich\tErich\tNNP\tB-NP\tO' -p307395 -aS'Lindemann\tLindemann\tNNP\tI-NP\tO' -p307396 -aS'Mental\tMental\tNNP\tI-NP\tO' -p307397 -aS'Health\tHealth\tNNP\tI-NP\tO' -p307398 -aS'Center\tCenter\tNNP\tI-NP\tO' -p307399 -aS'05-26\t05-26\tCD\tI-NP\tO' -p307400 -aS':\t:\t:\tO\tO' -p307401 -aS'mod-lg\tmod-lg\tJJ\tB-NP\tO' -p307402 -aS'circumferential\tcircumferential\tJJ\tI-NP\tO' -p307403 -aS'pericardial\tpericardial\tJJ\tI-NP\tO' -p307404 -aS'eff\teff\tNN\tI-NP\tO' -p307405 -aS',\t,\t,\tO\tO' -p307406 -aS'no\tno\tDT\tB-NP\tO' -p307407 -aS'evidence\tevidence\tNN\tI-NP\tO' -p307408 -aS'of\tof\tIN\tB-PP\tO' -p307409 -aS'RV\tRV\tNN\tB-NP\tO' -p307410 -aS'diastolic\tdiastolic\tJJ\tI-NP\tO' -p307411 -aS'collapse\tcollapse\tNN\tI-NP\tO' -p307412 -aS',\t,\t,\tO\tO' -p307413 -aS'no\tno\tDT\tB-NP\tO' -p307414 -aS'MV\tMV\tNN\tI-NP\tO' -p307415 -aS'inflow\tinflow\tNN\tI-NP\tO' -p307416 -aS'evidence\tevidence\tNN\tI-NP\tO' -p307417 -aS'of\tof\tIN\tB-PP\tO' -p307418 -aS'tamponade\ttamponade\tNN\tB-NP\tO' -p307419 -aS',\t,\t,\tO\tO' -p307420 -aS'pacer\tpacer\tNN\tB-NP\tO' -p307421 -aS'lead\tlead\tNN\tI-NP\tO' -p307422 -aS'located\tlocate\tVBN\tB-VP\tO' -p307423 -aS'in\tin\tIN\tB-PP\tO' -p307424 -aS'RV\tRV\tNN\tB-NP\tO' -p307425 -aS'apex\tapex\tNN\tI-NP\tO' -p307426 -asS'DNR / DNI status initially established early during hospital stay remained in effect .' -p307427 -(lp307428 -S'DNR\tDNR\tNN\tB-NP\tB-protein' -p307429 -aS'/\t/\tSYM\tI-NP\tO' -p307430 -aS'DNI\tDNI\tNN\tI-NP\tO' -p307431 -aS'status\tstatus\tNN\tI-NP\tO' -p307432 -aS'initially\tinitially\tRB\tB-VP\tO' -p307433 -aS'established\testablish\tVBN\tI-VP\tO' -p307434 -aS'early\tearly\tRB\tB-ADVP\tO' -p307435 -aS'during\tduring\tIN\tB-PP\tO' -p307436 -aS'hospital\thospital\tNN\tB-NP\tO' -p307437 -aS'stay\tstay\tNN\tI-NP\tO' -p307438 -aS'remained\tremain\tVBD\tB-VP\tO' -p307439 -aS'in\tin\tIN\tB-PP\tO' -p307440 -aS'effect\teffect\tNN\tB-NP\tO' -p307441 -aS'.\t.\t.\tO\tO' -p307442 -asS'Aspirin one per day which the patient quit taking two weeks prior to admission .' -p307443 -(lp307444 -S'Aspirin\tAspirin\tNN\tB-NP\tO' -p307445 -aS'one\tone\tCD\tI-NP\tO' -p307446 -aS'per\tper\tIN\tB-PP\tO' -p307447 -aS'day\tday\tNN\tB-NP\tO' -p307448 -aS'which\twhich\tWDT\tB-NP\tO' -p307449 -aS'the\tthe\tDT\tB-NP\tO' -p307450 -aS'patient\tpatient\tNN\tI-NP\tO' -p307451 -aS'quit\tquit\tVBD\tB-VP\tO' -p307452 -aS'taking\ttake\tVBG\tI-VP\tO' -p307453 -aS'two\ttwo\tCD\tB-NP\tO' -p307454 -aS'weeks\tweek\tNNS\tI-NP\tO' -p307455 -aS'prior\tprior\tRB\tB-ADVP\tO' -p307456 -aS'to\tto\tTO\tB-PP\tO' -p307457 -aS'admission\tadmission\tNN\tB-NP\tO' -p307458 -aS'.\t.\t.\tO\tO' -p307459 -asS'2) CV - Patient has CAD and CHF with a low hct and major trauma .' -p307460 -(lp307461 -S'2)\t2)\tLS\tB-NP\tO' -p307462 -aS'CV\tCV\tNN\tI-NP\tO' -p307463 -aS'-\t-\tHYPH\tO\tO' -p307464 -aS'Patient\tPatient\tNN\tB-NP\tO' -p307465 -aS'has\thave\tVBZ\tB-VP\tO' -p307466 -aS'CAD\tCAD\tNN\tB-NP\tO' -p307467 -aS'and\tand\tCC\tI-NP\tO' -p307468 -aS'CHF\tCHF\tNN\tI-NP\tB-protein' -p307469 -aS'with\twith\tIN\tB-PP\tO' -p307470 -aS'a\ta\tDT\tB-NP\tO' -p307471 -aS'low\tlow\tJJ\tI-NP\tO' -p307472 -aS'hct\thct\tNN\tI-NP\tO' -p307473 -aS'and\tand\tCC\tO\tO' -p307474 -aS'major\tmajor\tJJ\tB-NP\tO' -p307475 -aS'trauma\ttrauma\tNN\tI-NP\tO' -p307476 -aS'.\t.\t.\tO\tO' -p307477 -asS'He was started on Pentamidine , especially in light of the fact that it was felt that his liver function tests were due possibly to Bactrim .' -p307478 -(lp307479 -S'He\tHe\tPRP\tB-NP\tO' -p307480 -aS'was\tbe\tVBD\tB-VP\tO' -p307481 -aS'started\tstart\tVBN\tI-VP\tO' -p307482 -aS'on\ton\tIN\tB-PP\tO' -p307483 -aS'Pentamidine\tPentamidine\tNN\tB-NP\tO' -p307484 -aS',\t,\t,\tO\tO' -p307485 -aS'especially\tespecially\tRB\tB-ADVP\tO' -p307486 -aS'in\tin\tIN\tB-PP\tO' -p307487 -aS'light\tlight\tNN\tB-NP\tO' -p307488 -aS'of\tof\tIN\tB-PP\tO' -p307489 -aS'the\tthe\tDT\tB-NP\tO' -p307490 -aS'fact\tfact\tNN\tI-NP\tO' -p307491 -aS'that\tthat\tIN\tB-SBAR\tO' -p307492 -aS'it\tit\tPRP\tB-NP\tO' -p307493 -aS'was\tbe\tVBD\tB-VP\tO' -p307494 -aS'felt\tfeel\tVBN\tI-VP\tO' -p307495 -aS'that\tthat\tIN\tB-SBAR\tO' -p307496 -aS'his\this\tPRP$\tB-NP\tO' -p307497 -aS'liver\tliver\tNN\tI-NP\tO' -p307498 -aS'function\tfunction\tNN\tI-NP\tO' -p307499 -aS'tests\ttest\tNNS\tI-NP\tO' -p307500 -aS'were\tbe\tVBD\tB-VP\tO' -p307501 -aS'due\tdue\tJJ\tB-ADJP\tO' -p307502 -aS'possibly\tpossibly\tRB\tB-ADVP\tO' -p307503 -aS'to\tto\tTO\tB-PP\tO' -p307504 -aS'Bactrim\tBactrim\tNNP\tB-NP\tO' -p307505 -aS'.\t.\t.\tO\tO' -p307506 -asS'She had good post percutaneous coronary intervention angiographic results .' -p307507 -(lp307508 -S'She\tShe\tPRP\tB-NP\tO' -p307509 -aS'had\thave\tVBD\tB-VP\tO' -p307510 -aS'good\tgood\tJJ\tB-NP\tO' -p307511 -aS'post\tpost\tNN\tI-NP\tO' -p307512 -aS'percutaneous\tpercutaneous\tJJ\tI-NP\tO' -p307513 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p307514 -aS'intervention\tintervention\tNN\tI-NP\tO' -p307515 -aS'angiographic\tangiographic\tJJ\tI-NP\tO' -p307516 -aS'results\tresult\tNNS\tI-NP\tO' -p307517 -aS'.\t.\t.\tO\tO' -p307518 -asS'Pt was then sent to the The Hospital for Orthopedics Juan for further evaluation .' -p307519 -(lp307520 -S'Pt\tPt\tNN\tB-NP\tO' -p307521 -aS'was\tbe\tVBD\tB-VP\tO' -p307522 -aS'then\tthen\tRB\tI-VP\tO' -p307523 -aS'sent\tsend\tVBN\tI-VP\tO' -p307524 -aS'to\tto\tTO\tB-PP\tO' -p307525 -aS'the\tthe\tDT\tB-NP\tO' -p307526 -aS'The\tThe\tNNP\tI-NP\tO' -p307527 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p307528 -aS'for\tfor\tIN\tB-PP\tO' -p307529 -aS'Orthopedics\tOrthopedics\tNNP\tB-NP\tO' -p307530 -aS'Juan\tJuan\tNNP\tI-NP\tO' -p307531 -aS'for\tfor\tIN\tB-PP\tO' -p307532 -aS'further\tfurther\tJJ\tB-NP\tO' -p307533 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p307534 -aS'.\t.\t.\tO\tO' -p307535 -asS'Thepatient developed a possible drug rash and Nafcillin was changed to Ancef .' -p307536 -(lp307537 -S'Thepatient\tThepatient\tNN\tB-NP\tO' -p307538 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p307539 -aS'a\ta\tDT\tB-NP\tO' -p307540 -aS'possible\tpossible\tJJ\tI-NP\tO' -p307541 -aS'drug\tdrug\tNN\tI-NP\tO' -p307542 -aS'rash\trash\tNN\tI-NP\tO' -p307543 -aS'and\tand\tCC\tI-NP\tO' -p307544 -aS'Nafcillin\tNafcillin\tNN\tI-NP\tB-protein' -p307545 -aS'was\tbe\tVBD\tB-VP\tO' -p307546 -aS'changed\tchange\tVBN\tI-VP\tO' -p307547 -aS'to\tto\tTO\tB-PP\tO' -p307548 -aS'Ancef\tAncef\tNN\tB-NP\tB-protein' -p307549 -aS'.\t.\t.\tO\tO' -p307550 -asS'She was worked up aggressively with the physical therapy and occupational services , made good progress and began ambulating with assistance with a walker but with minimal assistance from an aid .' -p307551 -(lp307552 -S'She\tShe\tPRP\tB-NP\tO' -p307553 -aS'was\tbe\tVBD\tB-VP\tO' -p307554 -aS'worked\twork\tVBN\tI-VP\tO' -p307555 -aS'up\tup\tRP\tB-PRT\tO' -p307556 -aS'aggressively\taggressively\tRB\tB-ADVP\tO' -p307557 -aS'with\twith\tIN\tB-PP\tO' -p307558 -aS'the\tthe\tDT\tB-NP\tO' -p307559 -aS'physical\tphysical\tJJ\tI-NP\tO' -p307560 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p307561 -aS'and\tand\tCC\tO\tO' -p307562 -aS'occupational\toccupational\tJJ\tB-NP\tO' -p307563 -aS'services\tservice\tNNS\tI-NP\tO' -p307564 -aS',\t,\t,\tO\tO' -p307565 -aS'made\tmake\tVBD\tB-VP\tO' -p307566 -aS'good\tgood\tJJ\tB-NP\tO' -p307567 -aS'progress\tprogress\tNN\tI-NP\tO' -p307568 -aS'and\tand\tCC\tO\tO' -p307569 -aS'began\tbegin\tVBD\tB-VP\tO' -p307570 -aS'ambulating\tambulate\tVBG\tI-VP\tO' -p307571 -aS'with\twith\tIN\tB-PP\tO' -p307572 -aS'assistance\tassistance\tNN\tB-NP\tO' -p307573 -aS'with\twith\tIN\tB-PP\tO' -p307574 -aS'a\ta\tDT\tB-NP\tO' -p307575 -aS'walker\twalker\tNN\tI-NP\tO' -p307576 -aS'but\tbut\tCC\tB-PP\tO' -p307577 -aS'with\twith\tIN\tB-PP\tO' -p307578 -aS'minimal\tminimal\tJJ\tB-NP\tO' -p307579 -aS'assistance\tassistance\tNN\tI-NP\tO' -p307580 -aS'from\tfrom\tIN\tB-PP\tO' -p307581 -aS'an\tan\tDT\tB-NP\tO' -p307582 -aS'aid\taid\tNN\tI-NP\tO' -p307583 -aS'.\t.\t.\tO\tO' -p307584 -asS'CXR with bibasilar consolidations .' -p307585 -(lp307586 -S'CXR\tCXR\tNN\tB-NP\tB-protein' -p307587 -aS'with\twith\tIN\tB-PP\tO' -p307588 -aS'bibasilar\tbibasilar\tJJ\tB-NP\tO' -p307589 -aS'consolidations\tconsolidation\tNNS\tI-NP\tO' -p307590 -aS'.\t.\t.\tO\tO' -p307591 -asS'The patient , at the time of transfer , to the Gyn / Onc Service was not antibiotics and the white blood cell count was trending down .' -p307592 -(lp307593 -S'The\tThe\tDT\tB-NP\tO' -p307594 -aS'patient\tpatient\tNN\tI-NP\tO' -p307595 -aS',\t,\t,\tO\tO' -p307596 -aS'at\tat\tIN\tB-PP\tO' -p307597 -aS'the\tthe\tDT\tB-NP\tO' -p307598 -aS'time\ttime\tNN\tI-NP\tO' -p307599 -aS'of\tof\tIN\tB-PP\tO' -p307600 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p307601 -aS',\t,\t,\tO\tO' -p307602 -aS'to\tto\tTO\tB-PP\tO' -p307603 -aS'the\tthe\tDT\tB-NP\tO' -p307604 -aS'Gyn\tGyn\tNN\tI-NP\tB-protein' -p307605 -aS'/\t/\tSYM\tB-NP\tO' -p307606 -aS'Onc\tOnc\tNN\tI-NP\tO' -p307607 -aS'Service\tService\tNN\tI-NP\tO' -p307608 -aS'was\tbe\tVBD\tB-VP\tO' -p307609 -aS'not\tnot\tRB\tO\tO' -p307610 -aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' -p307611 -aS'and\tand\tCC\tO\tO' -p307612 -aS'the\tthe\tDT\tB-NP\tO' -p307613 -aS'white\twhite\tJJ\tI-NP\tO' -p307614 -aS'blood\tblood\tNN\tI-NP\tO' -p307615 -aS'cell\tcell\tNN\tI-NP\tO' -p307616 -aS'count\tcount\tNN\tI-NP\tO' -p307617 -aS'was\tbe\tVBD\tB-VP\tO' -p307618 -aS'trending\ttrend\tVBG\tI-VP\tO' -p307619 -aS'down\tdown\tRP\tB-PRT\tO' -p307620 -aS'.\t.\t.\tO\tO' -p307621 -asS'On arrival to the Emergency Department , she was noted to have a temperature of 98.2 , blood pressure 164/110 , respiratory rate 28 , and heart rate of 74 .' -p307622 -(lp307623 -S'On\tOn\tIN\tB-PP\tO' -p307624 -aS'arrival\tarrival\tNN\tB-NP\tO' -p307625 -aS'to\tto\tTO\tB-PP\tO' -p307626 -aS'the\tthe\tDT\tB-NP\tO' -p307627 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p307628 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p307629 -aS',\t,\t,\tO\tO' -p307630 -aS'she\tshe\tPRP\tB-NP\tO' -p307631 -aS'was\tbe\tVBD\tB-VP\tO' -p307632 -aS'noted\tnote\tVBN\tI-VP\tO' -p307633 -aS'to\tto\tTO\tI-VP\tO' -p307634 -aS'have\thave\tVB\tI-VP\tO' -p307635 -aS'a\ta\tDT\tB-NP\tO' -p307636 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p307637 -aS'of\tof\tIN\tB-PP\tO' -p307638 -aS'98.2\t98.2\tCD\tB-NP\tO' -p307639 -aS',\t,\t,\tO\tO' -p307640 -aS'blood\tblood\tNN\tB-NP\tO' -p307641 -aS'pressure\tpressure\tNN\tI-NP\tO' -p307642 -aS'164/110\t164/110\tCD\tI-NP\tO' -p307643 -aS',\t,\t,\tI-NP\tO' -p307644 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p307645 -aS'rate\trate\tNN\tI-NP\tO' -p307646 -aS'28\t28\tCD\tI-NP\tO' -p307647 -aS',\t,\t,\tO\tO' -p307648 -aS'and\tand\tCC\tO\tO' -p307649 -aS'heart\theart\tNN\tB-NP\tO' -p307650 -aS'rate\trate\tNN\tI-NP\tO' -p307651 -aS'of\tof\tIN\tB-PP\tO' -p307652 -aS'74\t74\tCD\tB-NP\tO' -p307653 -aS'.\t.\t.\tO\tO' -p307654 -asS'First degree AV block with PR interval 220 , left axis deviation , right bundle branch block with a left anterior fascicular block , 0.1103 N. Fifth Cir. depressions in' -p307655 -(lp307656 -S'First\tFirst\tRB\tB-ADVP\tO' -p307657 -aS'degree\tdegree\tVB\tB-VP\tO' -p307658 -aS'AV\tAV\tNN\tB-NP\tO' -p307659 -aS'block\tblock\tNN\tI-NP\tO' -p307660 -aS'with\twith\tIN\tB-PP\tO' -p307661 -aS'PR\tPR\tNN\tB-NP\tB-protein' -p307662 -aS'interval\tinterval\tNN\tI-NP\tO' -p307663 -aS'220\t220\tCD\tI-NP\tO' -p307664 -aS',\t,\t,\tO\tO' -p307665 -aS'left\tleft\tJJ\tB-NP\tO' -p307666 -aS'axis\taxis\tNN\tI-NP\tO' -p307667 -aS'deviation\tdeviation\tNN\tI-NP\tO' -p307668 -aS',\t,\t,\tO\tO' -p307669 -aS'right\tright\tJJ\tB-NP\tO' -p307670 -aS'bundle\tbundle\tNN\tI-NP\tO' -p307671 -aS'branch\tbranch\tNN\tI-NP\tO' -p307672 -aS'block\tblock\tNN\tI-NP\tO' -p307673 -aS'with\twith\tIN\tB-PP\tO' -p307674 -aS'a\ta\tDT\tB-NP\tO' -p307675 -aS'left\tleft\tJJ\tI-NP\tO' -p307676 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p307677 -aS'fascicular\tfascicular\tJJ\tI-NP\tO' -p307678 -aS'block\tblock\tNN\tI-NP\tO' -p307679 -aS',\t,\t,\tO\tO' -p307680 -aS'0.1103\t0.1103\tCD\tB-NP\tO' -p307681 -aS'N.\tN.\tNNP\tI-NP\tO' -p307682 -aS'Fifth\tFifth\tNNP\tI-NP\tO' -p307683 -aS'Cir.\tCir.\tNNP\tI-NP\tO' -p307684 -aS'depressions\tdepression\tNNS\tI-NP\tO' -p307685 -aS'in\tin\tIN\tB-PP\tO' -p307686 -asS'January 3 , 1994 , median sternotomy with mediastinal exploration , radical resection of tumor and aortopulmonary window ; partial resection of adjacent lung , en bloc resection of vagus and phrenic nerves ; partial pericardectomy ; fiberoptic bronchoscopy .' -p307687 -(lp307688 -S'January\tJanuary\tNNP\tB-NP\tO' -p307689 -aS'3\t3\tCD\tI-NP\tO' -p307690 -aS',\t,\t,\tI-NP\tO' -p307691 -aS'1994\t1994\tCD\tI-NP\tO' -p307692 -aS',\t,\t,\tO\tO' -p307693 -aS'median\tmedian\tJJ\tB-NP\tO' -p307694 -aS'sternotomy\tsternotomy\tNN\tI-NP\tO' -p307695 -aS'with\twith\tIN\tB-PP\tO' -p307696 -aS'mediastinal\tmediastinal\tJJ\tB-NP\tO' -p307697 -aS'exploration\texploration\tNN\tI-NP\tO' -p307698 -aS',\t,\t,\tO\tO' -p307699 -aS'radical\tradical\tJJ\tB-NP\tO' -p307700 -aS'resection\tresection\tNN\tI-NP\tO' -p307701 -aS'of\tof\tIN\tB-PP\tO' -p307702 -aS'tumor\ttumor\tNN\tB-NP\tO' -p307703 -aS'and\tand\tCC\tO\tO' -p307704 -aS'aortopulmonary\taortopulmonary\tJJ\tB-NP\tO' -p307705 -aS'window\twindow\tNN\tI-NP\tO' -p307706 -aS';\t;\t:\tO\tO' -p307707 -aS'partial\tpartial\tJJ\tB-NP\tO' -p307708 -aS'resection\tresection\tNN\tI-NP\tO' -p307709 -aS'of\tof\tIN\tB-PP\tO' -p307710 -aS'adjacent\tadjacent\tJJ\tB-NP\tO' -p307711 -aS'lung\tlung\tNN\tI-NP\tO' -p307712 -aS',\t,\t,\tO\tO' -p307713 -aS'en\ten\tIN\tB-PP\tO' -p307714 -aS'bloc\tbloc\tNN\tB-NP\tO' -p307715 -aS'resection\tresection\tNN\tI-NP\tO' -p307716 -aS'of\tof\tIN\tB-PP\tO' -p307717 -aS'vagus\tvagus\tNN\tB-NP\tO' -p307718 -aS'and\tand\tCC\tO\tO' -p307719 -aS'phrenic\tphrenic\tJJ\tB-NP\tO' -p307720 -aS'nerves\tnerve\tNNS\tI-NP\tO' -p307721 -aS';\t;\t:\tO\tO' -p307722 -aS'partial\tpartial\tJJ\tB-NP\tO' -p307723 -aS'pericardectomy\tpericardectomy\tNN\tI-NP\tO' -p307724 -aS';\t;\t:\tO\tO' -p307725 -aS'fiberoptic\tfiberoptic\tJJ\tB-NP\tO' -p307726 -aS'bronchoscopy\tbronchoscopy\tNN\tI-NP\tO' -p307727 -aS'.\t.\t.\tO\tO' -p307728 -asS'The patient was made comfortable with morphine for pain and for air hunger , and sinus suctioning was continued to relieve congestion , in conjunction with continuation of nasal sprays .' -p307729 -(lp307730 -S'The\tThe\tDT\tB-NP\tO' -p307731 -aS'patient\tpatient\tNN\tI-NP\tO' -p307732 -aS'was\tbe\tVBD\tB-VP\tO' -p307733 -aS'made\tmake\tVBN\tI-VP\tO' -p307734 -aS'comfortable\tcomfortable\tJJ\tB-ADJP\tO' -p307735 -aS'with\twith\tIN\tB-PP\tO' -p307736 -aS'morphine\tmorphine\tNN\tB-NP\tO' -p307737 -aS'for\tfor\tIN\tB-PP\tO' -p307738 -aS'pain\tpain\tNN\tB-NP\tO' -p307739 -aS'and\tand\tCC\tB-PP\tO' -p307740 -aS'for\tfor\tIN\tB-PP\tO' -p307741 -aS'air\tair\tNN\tB-NP\tO' -p307742 -aS'hunger\thunger\tNN\tI-NP\tO' -p307743 -aS',\t,\t,\tO\tO' -p307744 -aS'and\tand\tCC\tO\tO' -p307745 -aS'sinus\tsinus\tNN\tB-NP\tO' -p307746 -aS'suctioning\tsuctioning\tNN\tI-NP\tO' -p307747 -aS'was\tbe\tVBD\tB-VP\tO' -p307748 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p307749 -aS'to\tto\tTO\tI-VP\tO' -p307750 -aS'relieve\trelieve\tVB\tI-VP\tO' -p307751 -aS'congestion\tcongestion\tNN\tB-NP\tO' -p307752 -aS',\t,\t,\tO\tO' -p307753 -aS'in\tin\tIN\tB-PP\tO' -p307754 -aS'conjunction\tconjunction\tNN\tB-NP\tO' -p307755 -aS'with\twith\tIN\tB-PP\tO' -p307756 -aS'continuation\tcontinuation\tNN\tB-NP\tO' -p307757 -aS'of\tof\tIN\tB-PP\tO' -p307758 -aS'nasal\tnasal\tJJ\tB-NP\tO' -p307759 -aS'sprays\tspray\tNNS\tI-NP\tO' -p307760 -aS'.\t.\t.\tO\tO' -p307761 -asS'METASTATIC ADENOCARCINOMA OF UNKNOWN PRIMARY .' -p307762 -(lp307763 -S'METASTATIC\tMETASTATIC\tNN\tB-NP\tO' -p307764 -aS'ADENOCARCINOMA\tADENOCARCINOMA\tNN\tI-NP\tO' -p307765 -aS'OF\tOF\tIN\tB-PP\tO' -p307766 -aS'UNKNOWN\tUNKNOWN\tNNP\tB-NP\tO' -p307767 -aS'PRIMARY\tPRIMARY\tNNP\tI-NP\tO' -p307768 -aS'.\t.\t.\tO\tO' -p307769 -asS'Stable hips .' -p307770 -(lp307771 -S'Stable\tStable\tJJ\tB-NP\tO' -p307772 -aS'hips\thip\tNNS\tI-NP\tO' -p307773 -aS'.\t.\t.\tO\tO' -p307774 -asS'He was not overbreathing his ventilator .' -p307775 -(lp307776 -S'He\tHe\tPRP\tB-NP\tO' -p307777 -aS'was\tbe\tVBD\tB-VP\tO' -p307778 -aS'not\tnot\tRB\tI-VP\tO' -p307779 -aS'overbreathing\toverbreathe\tVBG\tI-VP\tO' -p307780 -aS'his\this\tPRP$\tB-NP\tO' -p307781 -aS'ventilator\tventilator\tNN\tI-NP\tO' -p307782 -aS'.\t.\t.\tO\tO' -p307783 -asS'These remained stable and within normal limits .' -p307784 -(lp307785 -S'These\tThese\tDT\tB-NP\tO' -p307786 -aS'remained\tremain\tVBD\tB-VP\tO' -p307787 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p307788 -aS'and\tand\tCC\tO\tO' -p307789 -aS'within\twithin\tIN\tB-PP\tO' -p307790 -aS'normal\tnormal\tJJ\tB-NP\tO' -p307791 -aS'limits\tlimit\tNNS\tI-NP\tO' -p307792 -aS'.\t.\t.\tO\tO' -p307793 -asS'Received metronidazole at Ricky in Mediplex Rehab Hospital .' -p307794 -(lp307795 -S'Received\tReceive\tVBN\tB-NP\tO' -p307796 -aS'metronidazole\tmetronidazole\tNN\tI-NP\tO' -p307797 -aS'at\tat\tIN\tB-PP\tO' -p307798 -aS'Ricky\tRicky\tNNP\tB-NP\tO' -p307799 -aS'in\tin\tIN\tB-PP\tO' -p307800 -aS'Mediplex\tMediplex\tNNP\tB-NP\tO' -p307801 -aS'Rehab\tRehab\tNNP\tI-NP\tO' -p307802 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p307803 -aS'.\t.\t.\tO\tO' -p307804 -asS'Start on day of surgery and continue throughout hospitalization .' -p307805 -(lp307806 -S'Start\tStart\tNN\tB-NP\tO' -p307807 -aS'on\ton\tIN\tB-PP\tO' -p307808 -aS'day\tday\tNN\tB-NP\tO' -p307809 -aS'of\tof\tIN\tB-PP\tO' -p307810 -aS'surgery\tsurgery\tNN\tB-NP\tO' -p307811 -aS'and\tand\tCC\tO\tO' -p307812 -aS'continue\tcontinue\tVB\tB-VP\tO' -p307813 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p307814 -aS'hospitalization\thospitalization\tNN\tB-NP\tO' -p307815 -aS'.\t.\t.\tO\tO' -p307816 -asS'You may shower .' -p307817 -(lp307818 -S'You\tYou\tPRP\tB-NP\tB-protein' -p307819 -aS'may\tmay\tMD\tB-VP\tO' -p307820 -aS'shower\tshower\tVB\tI-VP\tO' -p307821 -aS'.\t.\t.\tO\tO' -p307822 -asS'She does not smoke , does not use birth control pills , does not use drugs .' -p307823 -(lp307824 -S'She\tShe\tPRP\tB-NP\tO' -p307825 -aS'does\tdo\tVBZ\tB-VP\tO' -p307826 -aS'not\tnot\tRB\tI-VP\tO' -p307827 -aS'smoke\tsmoke\tVB\tI-VP\tO' -p307828 -aS',\t,\t,\tO\tO' -p307829 -aS'does\tdo\tVBZ\tB-VP\tO' -p307830 -aS'not\tnot\tRB\tI-VP\tO' -p307831 -aS'use\tuse\tVB\tI-VP\tO' -p307832 -aS'birth\tbirth\tNN\tB-NP\tO' -p307833 -aS'control\tcontrol\tNN\tI-NP\tO' -p307834 -aS'pills\tpill\tNNS\tI-NP\tO' -p307835 -aS',\t,\t,\tO\tO' -p307836 -aS'does\tdo\tVBZ\tB-VP\tO' -p307837 -aS'not\tnot\tRB\tI-VP\tO' -p307838 -aS'use\tuse\tVB\tI-VP\tO' -p307839 -aS'drugs\tdrug\tNNS\tB-NP\tO' -p307840 -aS'.\t.\t.\tO\tO' -p307841 -asS'After her endoscopic retrograde cholangiopancreatography the patient developed " jaw clenching , biting tongue , rigidity and cold / chills ."' -p307842 -(lp307843 -S'After\tAfter\tIN\tB-PP\tO' -p307844 -aS'her\ther\tPRP$\tB-NP\tO' -p307845 -aS'endoscopic\tendoscopic\tJJ\tI-NP\tO' -p307846 -aS'retrograde\tretrograde\tJJ\tI-NP\tO' -p307847 -aS'cholangiopancreatography\tcholangiopancreatography\tNN\tI-NP\tO' -p307848 -aS'the\tthe\tDT\tB-NP\tO' -p307849 -aS'patient\tpatient\tNN\tI-NP\tO' -p307850 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p307851 -aS'"\t"\t``\tO\tO' -p307852 -aS'jaw\tjaw\tJJ\tB-NP\tO' -p307853 -aS'clenching\tclenching\tNN\tI-NP\tO' -p307854 -aS',\t,\t,\tO\tO' -p307855 -aS'biting\tbite\tVBG\tB-VP\tO' -p307856 -aS'tongue\ttongue\tNN\tB-NP\tO' -p307857 -aS',\t,\t,\tI-NP\tO' -p307858 -aS'rigidity\trigidity\tNN\tI-NP\tO' -p307859 -aS'and\tand\tCC\tI-NP\tO' -p307860 -aS'cold\tcold\tNN\tI-NP\tO' -p307861 -aS'/\t/\tSYM\tB-NP\tO' -p307862 -aS'chills\tchill\tNNS\tI-NP\tO' -p307863 -aS'."\t."\t.\tO\tO' -p307864 -asS'She was transfused 1U PRBC , GI consult called , also got zofran and iv protonix and admitted to the FICU .' -p307865 -(lp307866 -S'She\tShe\tPRP\tB-NP\tO' -p307867 -aS'was\tbe\tVBD\tB-VP\tO' -p307868 -aS'transfused\ttransfuse\tVBN\tI-VP\tO' -p307869 -aS'1U\t1U\tNN\tB-NP\tO' -p307870 -aS'PRBC\tPRBC\tNN\tI-NP\tO' -p307871 -aS',\t,\t,\tO\tO' -p307872 -aS'GI\tGI\tNN\tB-NP\tO' -p307873 -aS'consult\tconsult\tNN\tI-NP\tO' -p307874 -aS'called\tcall\tVBN\tB-VP\tO' -p307875 -aS',\t,\t,\tO\tO' -p307876 -aS'also\talso\tRB\tB-ADVP\tO' -p307877 -aS'got\tget\tVBD\tB-VP\tO' -p307878 -aS'zofran\tzofran\tNN\tB-NP\tO' -p307879 -aS'and\tand\tCC\tI-NP\tO' -p307880 -aS'iv\tiv\tNN\tI-NP\tO' -p307881 -aS'protonix\tprotonix\tNN\tI-NP\tO' -p307882 -aS'and\tand\tCC\tO\tO' -p307883 -aS'admitted\tadmit\tVBN\tB-VP\tO' -p307884 -aS'to\tto\tTO\tB-PP\tO' -p307885 -aS'the\tthe\tDT\tB-NP\tO' -p307886 -aS'FICU\tFICU\tNN\tI-NP\tB-DNA' -p307887 -aS'.\t.\t.\tO\tO' -p307888 -asS'Peripheral pulses plus 2 and symmetric .' -p307889 -(lp307890 -S'Peripheral\tPeripheral\tJJ\tB-NP\tO' -p307891 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p307892 -aS'plus\tplus\tCC\tO\tO' -p307893 -aS'2\t2\tCD\tB-NP\tO' -p307894 -aS'and\tand\tCC\tO\tO' -p307895 -aS'symmetric\tsymmetric\tJJ\tB-ADJP\tO' -p307896 -aS'.\t.\t.\tO\tO' -p307897 -asS'3) Small bilateral pleural effusions .' -p307898 -(lp307899 -S'3)\t3)\tLS\tB-NP\tO' -p307900 -aS'Small\tSmall\tJJ\tI-NP\tO' -p307901 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p307902 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p307903 -aS'effusions\teffusion\tNNS\tI-NP\tO' -p307904 -aS'.\t.\t.\tO\tO' -p307905 -asS'11. Miconazole Nitrate 2 % Powder Sig : One ( 1 ) Appl Topical BID ( 2 times a day ) .' -p307906 -(lp307907 -S'11.\t11.\tLS\tB-NP\tO' -p307908 -aS'Miconazole\tMiconazole\tNN\tI-NP\tO' -p307909 -aS'Nitrate\tNitrate\tNN\tI-NP\tO' -p307910 -aS'2\t2\tCD\tB-NP\tO' -p307911 -aS'%\t%\tNN\tI-NP\tO' -p307912 -aS'Powder\tPowder\tNNP\tI-NP\tO' -p307913 -aS'Sig\tSig\tNNP\tI-NP\tO' -p307914 -aS':\t:\t:\tO\tO' -p307915 -aS'One\tOne\tCD\tB-NP\tO' -p307916 -aS'(\t(\t(\tO\tO' -p307917 -aS'1\t1\tCD\tB-NP\tO' -p307918 -aS')\t)\t)\tO\tO' -p307919 -aS'Appl\tAppl\tNNP\tB-NP\tO' -p307920 -aS'Topical\tTopical\tJJ\tI-NP\tO' -p307921 -aS'BID\tBID\tNN\tI-NP\tO' -p307922 -aS'(\t(\t(\tO\tO' -p307923 -aS'2\t2\tCD\tB-NP\tO' -p307924 -aS'times\ttime\tNNS\tI-NP\tO' -p307925 -aS'a\ta\tDT\tB-NP\tO' -p307926 -aS'day\tday\tNN\tI-NP\tO' -p307927 -aS')\t)\t)\tO\tO' -p307928 -aS'.\t.\t.\tO\tO' -p307929 -asS'Adenosine stress test .' -p307930 -(lp307931 -S'Adenosine\tAdenosine\tNN\tB-NP\tO' -p307932 -aS'stress\tstress\tNN\tI-NP\tO' -p307933 -aS'test\ttest\tNN\tI-NP\tO' -p307934 -aS'.\t.\t.\tO\tO' -p307935 -asS'The cardiac catheterization results at that time revealed a right atrial pressure of 7 , pulmonary artery pressure of 29/16 , RV 33/8 , pulmonary capillary wedge pressure of 16 .' -p307936 -(lp307937 -S'The\tThe\tDT\tB-NP\tO' -p307938 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p307939 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p307940 -aS'results\tresult\tNNS\tI-NP\tO' -p307941 -aS'at\tat\tIN\tB-PP\tO' -p307942 -aS'that\tthat\tDT\tB-NP\tO' -p307943 -aS'time\ttime\tNN\tI-NP\tO' -p307944 -aS'revealed\treveal\tVBD\tB-VP\tO' -p307945 -aS'a\ta\tDT\tB-NP\tO' -p307946 -aS'right\tright\tJJ\tI-NP\tO' -p307947 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p307948 -aS'pressure\tpressure\tNN\tI-NP\tO' -p307949 -aS'of\tof\tIN\tB-PP\tO' -p307950 -aS'7\t7\tCD\tB-NP\tO' -p307951 -aS',\t,\t,\tO\tO' -p307952 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p307953 -aS'artery\tartery\tNN\tI-NP\tO' -p307954 -aS'pressure\tpressure\tNN\tI-NP\tO' -p307955 -aS'of\tof\tIN\tB-PP\tO' -p307956 -aS'29/16\t29/16\tCD\tB-NP\tO' -p307957 -aS',\t,\t,\tO\tO' -p307958 -aS'RV\tRV\tNN\tB-NP\tB-protein' -p307959 -aS'33/8\t33/8\tCD\tI-NP\tI-protein' -p307960 -aS',\t,\t,\tO\tO' -p307961 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p307962 -aS'capillary\tcapillary\tJJ\tI-NP\tO' -p307963 -aS'wedge\twedge\tNN\tI-NP\tO' -p307964 -aS'pressure\tpressure\tNN\tI-NP\tO' -p307965 -aS'of\tof\tIN\tB-PP\tO' -p307966 -aS'16\t16\tCD\tB-NP\tO' -p307967 -aS'.\t.\t.\tO\tO' -p307968 -asS'She was also significantly tachypneic .' -p307969 -(lp307970 -S'She\tShe\tPRP\tB-NP\tO' -p307971 -aS'was\tbe\tVBD\tB-VP\tO' -p307972 -aS'also\talso\tRB\tB-ADVP\tO' -p307973 -aS'significantly\tsignificantly\tRB\tB-ADJP\tO' -p307974 -aS'tachypneic\ttachypneic\tJJ\tI-ADJP\tO' -p307975 -aS'.\t.\t.\tO\tO' -p307976 -asS'10. Senna 8.6 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ) as needed .' -p307977 -(lp307978 -S'10.\t10.\tCD\tB-NP\tO' -p307979 -aS'Senna\tSenna\tNNP\tI-NP\tO' -p307980 -aS'8.6\t8.6\tCD\tI-NP\tO' -p307981 -aS'mg\tmg\tNN\tI-NP\tO' -p307982 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p307983 -aS'Sig\tSig\tNNP\tI-NP\tO' -p307984 -aS':\t:\t:\tO\tO' -p307985 -aS'One\tOne\tCD\tB-NP\tO' -p307986 -aS'(\t(\t(\tO\tO' -p307987 -aS'1\t1\tCD\tB-NP\tO' -p307988 -aS')\t)\t)\tO\tO' -p307989 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p307990 -aS'PO\tPO\tNN\tI-NP\tO' -p307991 -aS'BID\tBID\tNN\tI-NP\tO' -p307992 -aS'(\t(\t(\tO\tO' -p307993 -aS'2\t2\tCD\tB-NP\tO' -p307994 -aS'times\ttime\tNNS\tI-NP\tO' -p307995 -aS'a\ta\tDT\tB-NP\tO' -p307996 -aS'day\tday\tNN\tI-NP\tO' -p307997 -aS')\t)\t)\tO\tO' -p307998 -aS'as\tas\tIN\tB-SBAR\tO' -p307999 -aS'needed\tneed\tVBN\tB-VP\tO' -p308000 -aS'.\t.\t.\tO\tO' -p308001 -asS'The Whidden Memorial Hospital hospital course has been smooth with the patient progressively improving .' -p308002 -(lp308003 -S'The\tThe\tDT\tB-NP\tO' -p308004 -aS'Whidden\tWhidden\tNNP\tI-NP\tO' -p308005 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p308006 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p308007 -aS'hospital\thospital\tNN\tI-NP\tO' -p308008 -aS'course\tcourse\tNN\tI-NP\tO' -p308009 -aS'has\thave\tVBZ\tB-VP\tO' -p308010 -aS'been\tbe\tVBN\tI-VP\tO' -p308011 -aS'smooth\tsmooth\tJJ\tB-ADJP\tO' -p308012 -aS'with\twith\tIN\tB-PP\tO' -p308013 -aS'the\tthe\tDT\tB-NP\tO' -p308014 -aS'patient\tpatient\tNN\tI-NP\tO' -p308015 -aS'progressively\tprogressively\tRB\tB-VP\tO' -p308016 -aS'improving\timprove\tVBG\tI-VP\tO' -p308017 -aS'.\t.\t.\tO\tO' -p308018 -asS'All within normal limits .' -p308019 -(lp308020 -S'All\tAll\tDT\tB-NP\tO' -p308021 -aS'within\twithin\tIN\tB-PP\tO' -p308022 -aS'normal\tnormal\tJJ\tB-NP\tO' -p308023 -aS'limits\tlimit\tNNS\tI-NP\tO' -p308024 -aS'.\t.\t.\tO\tO' -p308025 -asS'Includes recent infarct to pons , mid brain , left thalamus , bilateral temporal lobes and left visual cortex , on Coumadin .' -p308026 -(lp308027 -S'Includes\tInclude\tVBZ\tB-VP\tO' -p308028 -aS'recent\trecent\tJJ\tB-NP\tO' -p308029 -aS'infarct\tinfarct\tNN\tI-NP\tO' -p308030 -aS'to\tto\tTO\tB-PP\tO' -p308031 -aS'pons\tpon\tNNS\tB-NP\tO' -p308032 -aS',\t,\t,\tO\tO' -p308033 -aS'mid\tmid\tJJ\tB-NP\tO' -p308034 -aS'brain\tbrain\tNN\tI-NP\tO' -p308035 -aS',\t,\t,\tO\tO' -p308036 -aS'left\tleft\tJJ\tB-NP\tO' -p308037 -aS'thalamus\tthalamus\tNN\tI-NP\tO' -p308038 -aS',\t,\t,\tO\tO' -p308039 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p308040 -aS'temporal\ttemporal\tJJ\tI-NP\tO' -p308041 -aS'lobes\tlobe\tNNS\tI-NP\tO' -p308042 -aS'and\tand\tCC\tO\tO' -p308043 -aS'left\tleft\tJJ\tB-NP\tO' -p308044 -aS'visual\tvisual\tJJ\tI-NP\tO' -p308045 -aS'cortex\tcortex\tNN\tI-NP\tO' -p308046 -aS',\t,\t,\tO\tO' -p308047 -aS'on\ton\tIN\tB-PP\tO' -p308048 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p308049 -aS'.\t.\t.\tO\tO' -p308050 -asS'His diagnosis of progressive supranuclear palsy was placed under question on further examination of his eye movement since he was able to have excellent superior gaze especially with the bells phenomenon which would not be seen with progressive supranuclear palsy .' -p308051 -(lp308052 -S'His\tHis\tPRP$\tB-NP\tO' -p308053 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p308054 -aS'of\tof\tIN\tB-PP\tO' -p308055 -aS'progressive\tprogressive\tJJ\tB-NP\tO' -p308056 -aS'supranuclear\tsupranuclear\tJJ\tI-NP\tO' -p308057 -aS'palsy\tpalsy\tNN\tI-NP\tO' -p308058 -aS'was\tbe\tVBD\tB-VP\tO' -p308059 -aS'placed\tplace\tVBN\tI-VP\tO' -p308060 -aS'under\tunder\tIN\tB-PP\tO' -p308061 -aS'question\tquestion\tNN\tB-NP\tO' -p308062 -aS'on\ton\tIN\tB-PP\tO' -p308063 -aS'further\tfurther\tJJ\tB-NP\tO' -p308064 -aS'examination\texamination\tNN\tI-NP\tO' -p308065 -aS'of\tof\tIN\tB-PP\tO' -p308066 -aS'his\this\tPRP$\tB-NP\tO' -p308067 -aS'eye\teye\tNN\tI-NP\tO' -p308068 -aS'movement\tmovement\tNN\tI-NP\tO' -p308069 -aS'since\tsince\tIN\tB-SBAR\tO' -p308070 -aS'he\the\tPRP\tB-NP\tO' -p308071 -aS'was\tbe\tVBD\tB-VP\tO' -p308072 -aS'able\table\tJJ\tB-ADJP\tO' -p308073 -aS'to\tto\tTO\tB-VP\tO' -p308074 -aS'have\thave\tVB\tI-VP\tO' -p308075 -aS'excellent\texcellent\tJJ\tB-NP\tO' -p308076 -aS'superior\tsuperior\tJJ\tI-NP\tO' -p308077 -aS'gaze\tgaze\tNN\tI-NP\tO' -p308078 -aS'especially\tespecially\tRB\tB-ADVP\tO' -p308079 -aS'with\twith\tIN\tB-PP\tO' -p308080 -aS'the\tthe\tDT\tB-NP\tO' -p308081 -aS'bells\tbell\tNNS\tI-NP\tO' -p308082 -aS'phenomenon\tphenomenon\tNN\tI-NP\tO' -p308083 -aS'which\twhich\tWDT\tB-NP\tO' -p308084 -aS'would\twould\tMD\tB-VP\tO' -p308085 -aS'not\tnot\tRB\tI-VP\tO' -p308086 -aS'be\tbe\tVB\tI-VP\tO' -p308087 -aS'seen\tsee\tVBN\tI-VP\tO' -p308088 -aS'with\twith\tIN\tB-PP\tO' -p308089 -aS'progressive\tprogressive\tJJ\tB-NP\tO' -p308090 -aS'supranuclear\tsupranuclear\tJJ\tI-NP\tO' -p308091 -aS'palsy\tpalsy\tNN\tI-NP\tO' -p308092 -aS'.\t.\t.\tO\tO' -p308093 -asS'6. History of zoster .' -p308094 -(lp308095 -S'6.\t6.\tLS\tB-NP\tO' -p308096 -aS'History\tHistory\tNN\tI-NP\tO' -p308097 -aS'of\tof\tIN\tB-PP\tO' -p308098 -aS'zoster\tzoster\tNN\tB-NP\tO' -p308099 -aS'.\t.\t.\tO\tO' -p308100 -asS'On 05-04 , the patient was transferred back to the O-CMED CSRU' -p308101 -(lp308102 -S'On\tOn\tIN\tB-PP\tO' -p308103 -aS'05-04\t05-04\tCD\tB-NP\tO' -p308104 -aS',\t,\t,\tO\tO' -p308105 -aS'the\tthe\tDT\tB-NP\tO' -p308106 -aS'patient\tpatient\tNN\tI-NP\tO' -p308107 -aS'was\tbe\tVBD\tB-VP\tO' -p308108 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p308109 -aS'back\tback\tRB\tB-ADVP\tO' -p308110 -aS'to\tto\tTO\tB-PP\tO' -p308111 -aS'the\tthe\tDT\tB-NP\tO' -p308112 -aS'O-CMED\tO-CMED\tNNP\tI-NP\tO' -p308113 -aS'CSRU\tCSRU\tNNP\tI-NP\tO' -p308114 -asS'6. Atorvastatin Calcium 20 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' -p308115 -(lp308116 -S'6.\t6.\tLS\tB-NP\tO' -p308117 -aS'Atorvastatin\tAtorvastatin\tNN\tI-NP\tO' -p308118 -aS'Calcium\tCalcium\tNN\tI-NP\tO' -p308119 -aS'20\t20\tCD\tI-NP\tO' -p308120 -aS'mg\tmg\tNN\tI-NP\tO' -p308121 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p308122 -aS'Sig\tSig\tNNP\tI-NP\tO' -p308123 -aS':\t:\t:\tO\tO' -p308124 -aS'One\tOne\tCD\tB-NP\tO' -p308125 -aS'(\t(\t(\tO\tO' -p308126 -aS'1\t1\tCD\tB-NP\tO' -p308127 -aS')\t)\t)\tO\tO' -p308128 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p308129 -aS'PO\tPO\tNN\tI-NP\tO' -p308130 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p308131 -aS'(\t(\t(\tO\tO' -p308132 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p308133 -aS')\t)\t)\tO\tO' -p308134 -aS'.\t.\t.\tO\tO' -p308135 -asS'With regard to the left ventricular thrombus , her goal INR remained 2.5 to 3 ; and the goal was to start heparin once the patient was stable from a thoracotomy and chest tube' -p308136 -(lp308137 -S'With\tWith\tIN\tB-PP\tO' -p308138 -aS'regard\tregard\tNN\tB-NP\tO' -p308139 -aS'to\tto\tTO\tB-PP\tO' -p308140 -aS'the\tthe\tDT\tB-NP\tO' -p308141 -aS'left\tleft\tJJ\tI-NP\tO' -p308142 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p308143 -aS'thrombus\tthrombus\tNN\tI-NP\tO' -p308144 -aS',\t,\t,\tO\tO' -p308145 -aS'her\ther\tPRP$\tB-NP\tO' -p308146 -aS'goal\tgoal\tNN\tI-NP\tB-protein' -p308147 -aS'INR\tINR\tNN\tI-NP\tI-protein' -p308148 -aS'remained\tremain\tVBD\tB-VP\tO' -p308149 -aS'2.5\t2.5\tCD\tB-NP\tO' -p308150 -aS'to\tto\tTO\tB-PP\tO' -p308151 -aS'3\t3\tCD\tB-NP\tO' -p308152 -aS';\t;\t:\tO\tO' -p308153 -aS'and\tand\tCC\tO\tO' -p308154 -aS'the\tthe\tDT\tB-NP\tO' -p308155 -aS'goal\tgoal\tNN\tI-NP\tO' -p308156 -aS'was\tbe\tVBD\tB-VP\tO' -p308157 -aS'to\tto\tTO\tB-VP\tO' -p308158 -aS'start\tstart\tVB\tI-VP\tO' -p308159 -aS'heparin\theparin\tNN\tB-NP\tO' -p308160 -aS'once\tonce\tIN\tB-SBAR\tO' -p308161 -aS'the\tthe\tDT\tB-NP\tO' -p308162 -aS'patient\tpatient\tNN\tI-NP\tO' -p308163 -aS'was\tbe\tVBD\tB-VP\tO' -p308164 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p308165 -aS'from\tfrom\tIN\tB-PP\tO' -p308166 -aS'a\ta\tDT\tB-NP\tO' -p308167 -aS'thoracotomy\tthoracotomy\tNN\tI-NP\tO' -p308168 -aS'and\tand\tCC\tI-NP\tO' -p308169 -aS'chest\tchest\tNN\tI-NP\tO' -p308170 -aS'tube\ttube\tNN\tI-NP\tO' -p308171 -asS'The patient was advised that he needs to speak with his PCP about medication for antianxiety and / or further testing or counseling to help control his anxiety level .' -p308172 -(lp308173 -S'The\tThe\tDT\tB-NP\tO' -p308174 -aS'patient\tpatient\tNN\tI-NP\tO' -p308175 -aS'was\tbe\tVBD\tB-VP\tO' -p308176 -aS'advised\tadvise\tVBN\tI-VP\tO' -p308177 -aS'that\tthat\tIN\tB-SBAR\tO' -p308178 -aS'he\the\tPRP\tB-NP\tO' -p308179 -aS'needs\tneed\tVBZ\tB-VP\tO' -p308180 -aS'to\tto\tTO\tI-VP\tO' -p308181 -aS'speak\tspeak\tVB\tI-VP\tO' -p308182 -aS'with\twith\tIN\tB-PP\tO' -p308183 -aS'his\this\tPRP$\tB-NP\tO' -p308184 -aS'PCP\tPCP\tNN\tI-NP\tB-protein' -p308185 -aS'about\tabout\tIN\tB-PP\tO' -p308186 -aS'medication\tmedication\tNN\tB-NP\tO' -p308187 -aS'for\tfor\tIN\tB-PP\tO' -p308188 -aS'antianxiety\tantianxiety\tNN\tB-NP\tO' -p308189 -aS'and\tand\tCC\tO\tO' -p308190 -aS'/\t/\tSYM\tB-NP\tO' -p308191 -aS'or\tor\tCC\tO\tO' -p308192 -aS'further\tfurther\tJJ\tB-NP\tO' -p308193 -aS'testing\ttesting\tNN\tI-NP\tO' -p308194 -aS'or\tor\tCC\tI-NP\tO' -p308195 -aS'counseling\tcounseling\tNN\tI-NP\tO' -p308196 -aS'to\tto\tTO\tB-VP\tO' -p308197 -aS'help\thelp\tVB\tI-VP\tO' -p308198 -aS'control\tcontrol\tVB\tI-VP\tO' -p308199 -aS'his\this\tPRP$\tB-NP\tO' -p308200 -aS'anxiety\tanxiety\tNN\tI-NP\tO' -p308201 -aS'level\tlevel\tNN\tI-NP\tO' -p308202 -aS'.\t.\t.\tO\tO' -p308203 -asS'Past medical history is as stated above , aortic stenosis , found to be critical on echocardiogram on 4-13-92 , done in Otte A , New Jersey and was found to have left ventricular hypertrophy and ejection fraction of 58% , no right heart wall motion abnormali-ties and an aortic valve gradient of greater than 100 .' -p308204 -(lp308205 -S'Past\tPast\tJJ\tB-NP\tO' -p308206 -aS'medical\tmedical\tJJ\tI-NP\tO' -p308207 -aS'history\thistory\tNN\tI-NP\tO' -p308208 -aS'is\tbe\tVBZ\tB-VP\tO' -p308209 -aS'as\tas\tRB\tI-VP\tO' -p308210 -aS'stated\tstate\tVBN\tI-VP\tO' -p308211 -aS'above\tabove\tRB\tB-ADVP\tO' -p308212 -aS',\t,\t,\tO\tO' -p308213 -aS'aortic\taortic\tJJ\tB-NP\tO' -p308214 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p308215 -aS',\t,\t,\tO\tO' -p308216 -aS'found\tfind\tVBN\tB-VP\tO' -p308217 -aS'to\tto\tTO\tI-VP\tO' -p308218 -aS'be\tbe\tVB\tI-VP\tO' -p308219 -aS'critical\tcritical\tJJ\tB-ADJP\tO' -p308220 -aS'on\ton\tIN\tB-PP\tO' -p308221 -aS'echocardiogram\techocardiogram\tNN\tB-NP\tO' -p308222 -aS'on\ton\tIN\tB-PP\tO' -p308223 -aS'4-13-92\t4-13-92\tNN\tB-NP\tO' -p308224 -aS',\t,\t,\tO\tO' -p308225 -aS'done\tdo\tVBN\tB-VP\tO' -p308226 -aS'in\tin\tIN\tB-PP\tO' -p308227 -aS'Otte\tOtte\tNNP\tB-NP\tO' -p308228 -aS'A\tA\tNNP\tI-NP\tO' -p308229 -aS',\t,\t,\tO\tO' -p308230 -aS'New\tNew\tNNP\tB-NP\tO' -p308231 -aS'Jersey\tJersey\tNNP\tI-NP\tO' -p308232 -aS'and\tand\tCC\tO\tO' -p308233 -aS'was\tbe\tVBD\tB-VP\tO' -p308234 -aS'found\tfind\tVBN\tI-VP\tO' -p308235 -aS'to\tto\tTO\tI-VP\tO' -p308236 -aS'have\thave\tVB\tI-VP\tO' -p308237 -aS'left\tleave\tVBN\tI-VP\tO' -p308238 -aS'ventricular\tventricular\tJJ\tB-NP\tO' -p308239 -aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' -p308240 -aS'and\tand\tCC\tI-NP\tO' -p308241 -aS'ejection\tejection\tNN\tI-NP\tO' -p308242 -aS'fraction\tfraction\tNN\tI-NP\tO' -p308243 -aS'of\tof\tIN\tB-PP\tO' -p308244 -aS'58%\t58%\tNN\tB-NP\tO' -p308245 -aS',\t,\t,\tO\tO' -p308246 -aS'no\tno\tDT\tB-NP\tO' -p308247 -aS'right\tright\tJJ\tI-NP\tO' -p308248 -aS'heart\theart\tNN\tI-NP\tO' -p308249 -aS'wall\twall\tNN\tI-NP\tO' -p308250 -aS'motion\tmotion\tNN\tI-NP\tO' -p308251 -aS'abnormali-ties\tabnormali-ty\tNNS\tI-NP\tO' -p308252 -aS'and\tand\tCC\tO\tO' -p308253 -aS'an\tan\tDT\tB-NP\tO' -p308254 -aS'aortic\taortic\tJJ\tI-NP\tO' -p308255 -aS'valve\tvalve\tNN\tI-NP\tO' -p308256 -aS'gradient\tgradient\tNN\tI-NP\tO' -p308257 -aS'of\tof\tIN\tB-PP\tO' -p308258 -aS'greater\tgreat\tJJR\tB-NP\tO' -p308259 -aS'than\tthan\tIN\tI-NP\tO' -p308260 -aS'100\t100\tCD\tI-NP\tO' -p308261 -aS'.\t.\t.\tO\tO' -p308262 -asS'Her wounds healed well without incident and the needle jejunostomy tube was utilized on the first postoperative day right up until the time of discharge , infusing Vivonex T.E.N.' -p308263 -(lp308264 -S'Her\tHer\tPRP$\tB-NP\tO' -p308265 -aS'wounds\twound\tNNS\tI-NP\tO' -p308266 -aS'healed\theal\tVBD\tB-VP\tO' -p308267 -aS'well\twell\tRB\tB-ADVP\tO' -p308268 -aS'without\twithout\tIN\tB-PP\tO' -p308269 -aS'incident\tincident\tNN\tB-NP\tO' -p308270 -aS'and\tand\tCC\tO\tO' -p308271 -aS'the\tthe\tDT\tB-NP\tO' -p308272 -aS'needle\tneedle\tNN\tI-NP\tO' -p308273 -aS'jejunostomy\tjejunostomy\tNN\tI-NP\tO' -p308274 -aS'tube\ttube\tNN\tI-NP\tO' -p308275 -aS'was\tbe\tVBD\tB-VP\tO' -p308276 -aS'utilized\tutilize\tVBN\tI-VP\tO' -p308277 -aS'on\ton\tIN\tB-PP\tO' -p308278 -aS'the\tthe\tDT\tB-NP\tO' -p308279 -aS'first\tfirst\tJJ\tI-NP\tO' -p308280 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p308281 -aS'day\tday\tNN\tI-NP\tO' -p308282 -aS'right\tright\tRB\tB-ADVP\tO' -p308283 -aS'up\tup\tIN\tB-PP\tO' -p308284 -aS'until\tuntil\tIN\tB-PP\tO' -p308285 -aS'the\tthe\tDT\tB-NP\tO' -p308286 -aS'time\ttime\tNN\tI-NP\tO' -p308287 -aS'of\tof\tIN\tB-PP\tO' -p308288 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p308289 -aS',\t,\t,\tO\tO' -p308290 -aS'infusing\tinfuse\tVBG\tB-VP\tO' -p308291 -aS'Vivonex\tVivonex\tNNP\tB-NP\tO' -p308292 -aS'T.E.N.\tT.E.N.\tNNP\tI-NP\tO' -p308293 -asS'He should follow up with his cardiologist in two to three weeks and he should follow up with his primary care physician in one to two weeks .' -p308294 -(lp308295 -S'He\tHe\tPRP\tB-NP\tO' -p308296 -aS'should\tshould\tMD\tB-VP\tO' -p308297 -aS'follow\tfollow\tVB\tI-VP\tO' -p308298 -aS'up\tup\tRP\tB-PRT\tO' -p308299 -aS'with\twith\tIN\tB-PP\tO' -p308300 -aS'his\this\tPRP$\tB-NP\tO' -p308301 -aS'cardiologist\tcardiologist\tNN\tI-NP\tO' -p308302 -aS'in\tin\tIN\tB-PP\tO' -p308303 -aS'two\ttwo\tCD\tB-NP\tO' -p308304 -aS'to\tto\tTO\tI-NP\tO' -p308305 -aS'three\tthree\tCD\tI-NP\tO' -p308306 -aS'weeks\tweek\tNNS\tI-NP\tO' -p308307 -aS'and\tand\tCC\tO\tO' -p308308 -aS'he\the\tPRP\tB-NP\tO' -p308309 -aS'should\tshould\tMD\tB-VP\tO' -p308310 -aS'follow\tfollow\tVB\tI-VP\tO' -p308311 -aS'up\tup\tRP\tB-PRT\tO' -p308312 -aS'with\twith\tIN\tB-PP\tO' -p308313 -aS'his\this\tPRP$\tB-NP\tO' -p308314 -aS'primary\tprimary\tJJ\tI-NP\tO' -p308315 -aS'care\tcare\tNN\tI-NP\tO' -p308316 -aS'physician\tphysician\tNN\tI-NP\tO' -p308317 -aS'in\tin\tIN\tB-PP\tO' -p308318 -aS'one\tone\tCD\tB-NP\tO' -p308319 -aS'to\tto\tTO\tI-NP\tO' -p308320 -aS'two\ttwo\tCD\tI-NP\tO' -p308321 -aS'weeks\tweek\tNNS\tI-NP\tO' -p308322 -aS'.\t.\t.\tO\tO' -p308323 -asS'She is just begun on Macrodantin at the day of discharge and should continue 100 mg per NG tube q.i.d. for a ten day course .' -p308324 -(lp308325 -S'She\tShe\tPRP\tB-NP\tO' -p308326 -aS'is\tbe\tVBZ\tB-VP\tO' -p308327 -aS'just\tjust\tRB\tI-VP\tO' -p308328 -aS'begun\tbegin\tVBN\tI-VP\tO' -p308329 -aS'on\ton\tIN\tB-PP\tO' -p308330 -aS'Macrodantin\tMacrodantin\tNN\tB-NP\tB-protein' -p308331 -aS'at\tat\tIN\tB-PP\tO' -p308332 -aS'the\tthe\tDT\tB-NP\tO' -p308333 -aS'day\tday\tNN\tI-NP\tO' -p308334 -aS'of\tof\tIN\tB-PP\tO' -p308335 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p308336 -aS'and\tand\tCC\tO\tO' -p308337 -aS'should\tshould\tMD\tB-VP\tO' -p308338 -aS'continue\tcontinue\tVB\tI-VP\tO' -p308339 -aS'100\t100\tCD\tB-NP\tO' -p308340 -aS'mg\tmg\tNN\tI-NP\tO' -p308341 -aS'per\tper\tIN\tB-PP\tO' -p308342 -aS'NG\tNG\tNN\tB-NP\tO' -p308343 -aS'tube\ttube\tNN\tI-NP\tO' -p308344 -aS'q.i.d.\tq.i.d.\tNN\tI-NP\tO' -p308345 -aS'for\tfor\tIN\tB-PP\tO' -p308346 -aS'a\ta\tDT\tB-NP\tO' -p308347 -aS'ten\tten\tCD\tI-NP\tO' -p308348 -aS'day\tday\tNN\tI-NP\tO' -p308349 -aS'course\tcourse\tNN\tI-NP\tO' -p308350 -aS'.\t.\t.\tO\tO' -p308351 -asS'heent - anicteric sclera , op clear with mmm' -p308352 -(lp308353 -S'heent\theent\tJJ\tB-NP\tO' -p308354 -aS'-\t-\tHYPH\tI-NP\tO' -p308355 -aS'anicteric\tanicteric\tJJ\tI-NP\tO' -p308356 -aS'sclera\tsclera\tNN\tI-NP\tO' -p308357 -aS',\t,\t,\tO\tO' -p308358 -aS'op\top\tVBP\tB-VP\tO' -p308359 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p308360 -aS'with\twith\tIN\tB-PP\tO' -p308361 -aS'mmm\tmmm\tNN\tB-NP\tO' -p308362 -asS'# Respiratory Failure - Pt arrived on pressure support ventilation , which was changed to Assist control to make patient more comfortable .' -p308363 -(lp308364 -S'#\t#\t#\tB-NP\tO' -p308365 -aS'Respiratory\tRespiratory\tJJ\tI-NP\tO' -p308366 -aS'Failure\tFailure\tNN\tI-NP\tO' -p308367 -aS'-\t-\tHYPH\tO\tO' -p308368 -aS'Pt\tPt\tNN\tB-NP\tO' -p308369 -aS'arrived\tarrive\tVBN\tB-VP\tO' -p308370 -aS'on\ton\tIN\tB-PP\tO' -p308371 -aS'pressure\tpressure\tNN\tB-NP\tO' -p308372 -aS'support\tsupport\tNN\tI-NP\tO' -p308373 -aS'ventilation\tventilation\tNN\tI-NP\tO' -p308374 -aS',\t,\t,\tO\tO' -p308375 -aS'which\twhich\tWDT\tB-NP\tO' -p308376 -aS'was\tbe\tVBD\tB-VP\tO' -p308377 -aS'changed\tchange\tVBN\tI-VP\tO' -p308378 -aS'to\tto\tTO\tI-VP\tO' -p308379 -aS'Assist\tAssist\tVB\tI-VP\tO' -p308380 -aS'control\tcontrol\tNN\tB-NP\tO' -p308381 -aS'to\tto\tTO\tB-VP\tO' -p308382 -aS'make\tmake\tVB\tI-VP\tO' -p308383 -aS'patient\tpatient\tNN\tB-NP\tO' -p308384 -aS'more\tmore\tRBR\tB-ADJP\tO' -p308385 -aS'comfortable\tcomfortable\tJJ\tI-ADJP\tO' -p308386 -aS'.\t.\t.\tO\tO' -p308387 -asS'His chest x-ray showed diffuse patchy infiltrates on left lung with left upper lung patchy infiltrates and right hemidiaphragm elevated , consistent with adult respiratory distress syndrome from possible pneumonia .' -p308388 -(lp308389 -S'His\tHis\tPRP$\tB-NP\tO' -p308390 -aS'chest\tchest\tNN\tI-NP\tO' -p308391 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p308392 -aS'showed\tshow\tVBD\tB-VP\tO' -p308393 -aS'diffuse\tdiffuse\tJJ\tB-NP\tO' -p308394 -aS'patchy\tpatchy\tJJ\tI-NP\tO' -p308395 -aS'infiltrates\tinfiltrate\tNNS\tI-NP\tO' -p308396 -aS'on\ton\tIN\tB-PP\tO' -p308397 -aS'left\tleft\tJJ\tB-NP\tO' -p308398 -aS'lung\tlung\tNN\tI-NP\tO' -p308399 -aS'with\twith\tIN\tB-PP\tO' -p308400 -aS'left\tleft\tJJ\tB-NP\tB-cell_type' -p308401 -aS'upper\tupper\tJJ\tI-NP\tI-cell_type' -p308402 -aS'lung\tlung\tNN\tI-NP\tI-cell_type' -p308403 -aS'patchy\tpatchy\tNN\tI-NP\tI-cell_type' -p308404 -aS'infiltrates\tinfiltrate\tNNS\tI-NP\tI-cell_type' -p308405 -aS'and\tand\tCC\tO\tO' -p308406 -aS'right\tright\tJJ\tB-NP\tO' -p308407 -aS'hemidiaphragm\themidiaphragm\tNN\tI-NP\tO' -p308408 -aS'elevated\televate\tVBN\tB-VP\tO' -p308409 -aS',\t,\t,\tO\tO' -p308410 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p308411 -aS'with\twith\tIN\tB-PP\tO' -p308412 -aS'adult\tadult\tJJ\tB-NP\tO' -p308413 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p308414 -aS'distress\tdistress\tNN\tI-NP\tO' -p308415 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p308416 -aS'from\tfrom\tIN\tB-PP\tO' -p308417 -aS'possible\tpossible\tJJ\tB-NP\tO' -p308418 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p308419 -aS'.\t.\t.\tO\tO' -p308420 -asS'No gross deformities .' -p308421 -(lp308422 -S'No\tNo\tDT\tB-NP\tO' -p308423 -aS'gross\tgross\tJJ\tI-NP\tO' -p308424 -aS'deformities\tdeformity\tNNS\tI-NP\tO' -p308425 -aS'.\t.\t.\tO\tO' -p308426 -asS'The left vertebral artery had a decreased flow consistent with either native vessel disease or some degree of retrograde flow with subclavian steal phenomenon .' -p308427 -(lp308428 -S'The\tThe\tDT\tB-NP\tO' -p308429 -aS'left\tleft\tJJ\tI-NP\tO' -p308430 -aS'vertebral\tvertebral\tJJ\tI-NP\tO' -p308431 -aS'artery\tartery\tNN\tI-NP\tO' -p308432 -aS'had\thave\tVBD\tB-VP\tO' -p308433 -aS'a\ta\tDT\tB-NP\tO' -p308434 -aS'decreased\tdecrease\tVBN\tI-NP\tO' -p308435 -aS'flow\tflow\tNN\tI-NP\tO' -p308436 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p308437 -aS'with\twith\tIN\tB-PP\tO' -p308438 -aS'either\teither\tCC\tB-NP\tO' -p308439 -aS'native\tnative\tJJ\tI-NP\tO' -p308440 -aS'vessel\tvessel\tNN\tI-NP\tO' -p308441 -aS'disease\tdisease\tNN\tI-NP\tO' -p308442 -aS'or\tor\tCC\tO\tO' -p308443 -aS'some\tsome\tDT\tB-NP\tO' -p308444 -aS'degree\tdegree\tNN\tI-NP\tO' -p308445 -aS'of\tof\tIN\tB-PP\tO' -p308446 -aS'retrograde\tretrograde\tJJ\tB-NP\tO' -p308447 -aS'flow\tflow\tNN\tI-NP\tO' -p308448 -aS'with\twith\tIN\tB-PP\tO' -p308449 -aS'subclavian\tsubclavian\tJJ\tB-NP\tO' -p308450 -aS'steal\tsteal\tJJ\tI-NP\tO' -p308451 -aS'phenomenon\tphenomenon\tNN\tI-NP\tO' -p308452 -aS'.\t.\t.\tO\tO' -p308453 -asS'The patient was transferred to the Gemenadentoolpai Medical Center and was admitted .' -p308454 -(lp308455 -S'The\tThe\tDT\tB-NP\tO' -p308456 -aS'patient\tpatient\tNN\tI-NP\tO' -p308457 -aS'was\tbe\tVBD\tB-VP\tO' -p308458 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p308459 -aS'to\tto\tTO\tB-PP\tO' -p308460 -aS'the\tthe\tDT\tB-NP\tO' -p308461 -aS'Gemenadentoolpai\tGemenadentoolpai\tNNP\tI-NP\tO' -p308462 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p308463 -aS'Center\tCenter\tNNP\tI-NP\tO' -p308464 -aS'and\tand\tCC\tO\tO' -p308465 -aS'was\tbe\tVBD\tB-VP\tO' -p308466 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p308467 -aS'.\t.\t.\tO\tO' -p308468 -asS'While she was not taking adequate pos , she was on IV levothyroxine .' -p308469 -(lp308470 -S'While\tWhile\tIN\tB-SBAR\tO' -p308471 -aS'she\tshe\tPRP\tB-NP\tO' -p308472 -aS'was\tbe\tVBD\tB-VP\tO' -p308473 -aS'not\tnot\tRB\tI-VP\tO' -p308474 -aS'taking\ttake\tVBG\tI-VP\tO' -p308475 -aS'adequate\tadequate\tJJ\tB-NP\tO' -p308476 -aS'pos\tpo\tNNS\tI-NP\tO' -p308477 -aS',\t,\t,\tO\tO' -p308478 -aS'she\tshe\tPRP\tB-NP\tO' -p308479 -aS'was\tbe\tVBD\tB-VP\tO' -p308480 -aS'on\ton\tIN\tB-PP\tO' -p308481 -aS'IV\tIV\tCD\tB-NP\tO' -p308482 -aS'levothyroxine\tlevothyroxine\tNN\tI-NP\tO' -p308483 -aS'.\t.\t.\tO\tO' -p308484 -asS'No parasternal heave .' -p308485 -(lp308486 -S'No\tNo\tDT\tB-NP\tO' -p308487 -aS'parasternal\tparasternal\tJJ\tI-NP\tO' -p308488 -aS'heave\theave\tNN\tI-NP\tO' -p308489 -aS'.\t.\t.\tO\tO' -p308490 -asS'2. Type 1 diabetes mellitus .' -p308491 -(lp308492 -S'2.\t2.\tLS\tB-LST\tO' -p308493 -aS'Type\tType\tNN\tB-NP\tO' -p308494 -aS'1\t1\tCD\tI-NP\tO' -p308495 -aS'diabetes\tdiabetes\tNN\tI-NP\tO' -p308496 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p308497 -aS'.\t.\t.\tO\tO' -p308498 -asS'On day six , an echocardiogram showed an ejection fraction of 44% with anterior akinesis and septal hypokinesis .' -p308499 -(lp308500 -S'On\tOn\tIN\tB-PP\tO' -p308501 -aS'day\tday\tNN\tB-NP\tO' -p308502 -aS'six\tsix\tCD\tI-NP\tO' -p308503 -aS',\t,\t,\tO\tO' -p308504 -aS'an\tan\tDT\tB-NP\tO' -p308505 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p308506 -aS'showed\tshow\tVBD\tB-VP\tO' -p308507 -aS'an\tan\tDT\tB-NP\tO' -p308508 -aS'ejection\tejection\tNN\tI-NP\tO' -p308509 -aS'fraction\tfraction\tNN\tI-NP\tO' -p308510 -aS'of\tof\tIN\tB-PP\tO' -p308511 -aS'44%\t44%\tNN\tB-NP\tO' -p308512 -aS'with\twith\tIN\tB-PP\tO' -p308513 -aS'anterior\tanterior\tJJ\tB-NP\tO' -p308514 -aS'akinesis\takinesis\tNN\tI-NP\tO' -p308515 -aS'and\tand\tCC\tO\tO' -p308516 -aS'septal\tseptal\tJJ\tB-NP\tO' -p308517 -aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' -p308518 -aS'.\t.\t.\tO\tO' -p308519 -asS'The neck was supple , without jugular venous distention or increased thyroid .' -p308520 -(lp308521 -S'The\tThe\tDT\tB-NP\tO' -p308522 -aS'neck\tneck\tNN\tI-NP\tO' -p308523 -aS'was\tbe\tVBD\tB-VP\tO' -p308524 -aS'supple\tsupple\tNN\tB-NP\tO' -p308525 -aS',\t,\t,\tO\tO' -p308526 -aS'without\twithout\tIN\tB-PP\tO' -p308527 -aS'jugular\tjugular\tJJ\tB-NP\tO' -p308528 -aS'venous\tvenous\tJJ\tI-NP\tO' -p308529 -aS'distention\tdistention\tNN\tI-NP\tO' -p308530 -aS'or\tor\tCC\tO\tO' -p308531 -aS'increased\tincrease\tVBN\tB-NP\tO' -p308532 -aS'thyroid\tthyroid\tNN\tI-NP\tO' -p308533 -aS'.\t.\t.\tO\tO' -p308534 -asS'The birth weight was 1,770 grams .' -p308535 -(lp308536 -S'The\tThe\tDT\tB-NP\tO' -p308537 -aS'birth\tbirth\tNN\tI-NP\tO' -p308538 -aS'weight\tweight\tNN\tI-NP\tO' -p308539 -aS'was\tbe\tVBD\tB-VP\tO' -p308540 -aS'1,770\t1,770\tCD\tB-NP\tO' -p308541 -aS'grams\tgram\tNNS\tI-NP\tO' -p308542 -aS'.\t.\t.\tO\tO' -p308543 -asS'This examination was unchanged from the previous examination .' -p308544 -(lp308545 -S'This\tThis\tDT\tB-NP\tO' -p308546 -aS'examination\texamination\tNN\tI-NP\tO' -p308547 -aS'was\tbe\tVBD\tB-VP\tO' -p308548 -aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' -p308549 -aS'from\tfrom\tIN\tB-PP\tO' -p308550 -aS'the\tthe\tDT\tB-NP\tO' -p308551 -aS'previous\tprevious\tJJ\tI-NP\tO' -p308552 -aS'examination\texamination\tNN\tI-NP\tO' -p308553 -aS'.\t.\t.\tO\tO' -p308554 -asS'Suctioned X 1 , mucus not cleared .' -p308555 -(lp308556 -S'Suctioned\tSuctione\tVBN\tB-VP\tO' -p308557 -aS'X\tX\tNN\tB-NP\tB-DNA' -p308558 -aS'1\t1\tCD\tI-NP\tI-DNA' -p308559 -aS',\t,\t,\tO\tO' -p308560 -aS'mucus\tmucus\tNN\tB-NP\tO' -p308561 -aS'not\tnot\tRB\tB-VP\tO' -p308562 -aS'cleared\tclear\tVBN\tI-VP\tO' -p308563 -aS'.\t.\t.\tO\tO' -p308564 -asS'She required disimpaction and had hard stool in the rectum .' -p308565 -(lp308566 -S'She\tShe\tPRP\tB-NP\tO' -p308567 -aS'required\trequire\tVBD\tB-VP\tO' -p308568 -aS'disimpaction\tdisimpaction\tNN\tB-NP\tO' -p308569 -aS'and\tand\tCC\tO\tO' -p308570 -aS'had\thave\tVBD\tB-VP\tO' -p308571 -aS'hard\thard\tJJ\tB-NP\tO' -p308572 -aS'stool\tstool\tNN\tI-NP\tO' -p308573 -aS'in\tin\tIN\tB-PP\tO' -p308574 -aS'the\tthe\tDT\tB-NP\tO' -p308575 -aS'rectum\trectum\tNN\tI-NP\tO' -p308576 -aS'.\t.\t.\tO\tO' -p308577 -asS'If you experience further bleeding or increasing discomfort with swallowing , you must tell your nurse and call your doctor right away .' -p308578 -(lp308579 -S'If\tIf\tIN\tB-SBAR\tO' -p308580 -aS'you\tyou\tPRP\tB-NP\tO' -p308581 -aS'experience\texperience\tVBP\tB-VP\tO' -p308582 -aS'further\tfurther\tRBR\tB-ADVP\tO' -p308583 -aS'bleeding\tbleed\tVBG\tB-VP\tO' -p308584 -aS'or\tor\tCC\tI-VP\tO' -p308585 -aS'increasing\tincrease\tVBG\tI-VP\tO' -p308586 -aS'discomfort\tdiscomfort\tNN\tB-NP\tO' -p308587 -aS'with\twith\tIN\tB-PP\tO' -p308588 -aS'swallowing\tswallow\tVBG\tB-VP\tO' -p308589 -aS',\t,\t,\tO\tO' -p308590 -aS'you\tyou\tPRP\tB-NP\tO' -p308591 -aS'must\tmust\tMD\tB-VP\tO' -p308592 -aS'tell\ttell\tVB\tI-VP\tO' -p308593 -aS'your\tyour\tPRP$\tB-NP\tO' -p308594 -aS'nurse\tnurse\tNN\tI-NP\tO' -p308595 -aS'and\tand\tCC\tO\tO' -p308596 -aS'call\tcall\tVB\tB-VP\tO' -p308597 -aS'your\tyour\tPRP$\tB-NP\tO' -p308598 -aS'doctor\tdoctor\tNN\tI-NP\tO' -p308599 -aS'right\tright\tRB\tB-ADVP\tO' -p308600 -aS'away\taway\tRB\tI-ADVP\tO' -p308601 -aS'.\t.\t.\tO\tO' -p308602 -asS'You should avoid aspirin , motrin or any other nonsteroidal antiinflammatory agents .' -p308603 -(lp308604 -S'You\tYou\tPRP\tB-NP\tB-protein' -p308605 -aS'should\tshould\tMD\tB-VP\tO' -p308606 -aS'avoid\tavoid\tVB\tI-VP\tO' -p308607 -aS'aspirin\taspirin\tNN\tB-NP\tO' -p308608 -aS',\t,\t,\tO\tO' -p308609 -aS'motrin\tmotrin\tNN\tB-NP\tO' -p308610 -aS'or\tor\tCC\tO\tO' -p308611 -aS'any\tany\tDT\tB-NP\tO' -p308612 -aS'other\tother\tJJ\tI-NP\tO' -p308613 -aS'nonsteroidal\tnonsteroidal\tJJ\tI-NP\tO' -p308614 -aS'antiinflammatory\tantiinflammatory\tJJ\tI-NP\tO' -p308615 -aS'agents\tagent\tNNS\tI-NP\tO' -p308616 -aS'.\t.\t.\tO\tO' -p308617 -asS'a diet as he wishes .' -p308618 -(lp308619 -S'a\ta\tDT\tB-NP\tO' -p308620 -aS'diet\tdiet\tNN\tI-NP\tO' -p308621 -aS'as\tas\tIN\tB-SBAR\tO' -p308622 -aS'he\the\tPRP\tB-NP\tO' -p308623 -aS'wishes\twish\tVBZ\tB-VP\tO' -p308624 -aS'.\t.\t.\tO\tO' -p308625 -asS'He did have a magnetic resonance angiography of his kidneys which showed mild right-sided renal artery stenosis .' -p308626 -(lp308627 -S'He\tHe\tPRP\tB-NP\tO' -p308628 -aS'did\tdo\tVBD\tB-VP\tO' -p308629 -aS'have\thave\tVB\tI-VP\tO' -p308630 -aS'a\ta\tDT\tB-NP\tO' -p308631 -aS'magnetic\tmagnetic\tJJ\tI-NP\tO' -p308632 -aS'resonance\tresonance\tNN\tI-NP\tO' -p308633 -aS'angiography\tangiography\tNN\tI-NP\tO' -p308634 -aS'of\tof\tIN\tB-PP\tO' -p308635 -aS'his\this\tPRP$\tB-NP\tO' -p308636 -aS'kidneys\tkidney\tNNS\tI-NP\tO' -p308637 -aS'which\twhich\tWDT\tB-NP\tO' -p308638 -aS'showed\tshow\tVBD\tB-VP\tO' -p308639 -aS'mild\tmild\tJJ\tB-NP\tO' -p308640 -aS'right-sided\tright-sided\tJJ\tI-NP\tO' -p308641 -aS'renal\trenal\tJJ\tI-NP\tO' -p308642 -aS'artery\tartery\tNN\tI-NP\tO' -p308643 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p308644 -aS'.\t.\t.\tO\tO' -p308645 -asS'Motor , sensory , and vascular examinations were intact in all distributions .' -p308646 -(lp308647 -S'Motor\tMotor\tNNP\tB-NP\tO' -p308648 -aS',\t,\t,\tO\tO' -p308649 -aS'sensory\tsensory\tJJ\tB-ADJP\tO' -p308650 -aS',\t,\t,\tO\tO' -p308651 -aS'and\tand\tCC\tO\tO' -p308652 -aS'vascular\tvascular\tJJ\tB-NP\tO' -p308653 -aS'examinations\texamination\tNNS\tI-NP\tO' -p308654 -aS'were\tbe\tVBD\tB-VP\tO' -p308655 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p308656 -aS'in\tin\tIN\tB-PP\tO' -p308657 -aS'all\tall\tDT\tB-NP\tO' -p308658 -aS'distributions\tdistribution\tNNS\tI-NP\tO' -p308659 -aS'.\t.\t.\tO\tO' -p308660 -asS"Pt 's blood cultures came back positive for Staph Aureus and Enterococcus , both were pansensitive ." -p308661 -(lp308662 -S'Pt\tPt\tNN\tB-NP\tO' -p308663 -aS"'s\t's\tPOS\tB-NP\tO" -p308664 -aS'blood\tblood\tNN\tI-NP\tO' -p308665 -aS'cultures\tculture\tNNS\tI-NP\tO' -p308666 -aS'came\tcome\tVBD\tB-VP\tO' -p308667 -aS'back\tback\tRB\tB-ADVP\tO' -p308668 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p308669 -aS'for\tfor\tIN\tB-PP\tO' -p308670 -aS'Staph\tStaph\tNNP\tB-NP\tO' -p308671 -aS'Aureus\tAureus\tNNP\tI-NP\tO' -p308672 -aS'and\tand\tCC\tO\tO' -p308673 -aS'Enterococcus\tEnterococcus\tNNP\tB-NP\tO' -p308674 -aS',\t,\t,\tO\tO' -p308675 -aS'both\tboth\tDT\tB-NP\tO' -p308676 -aS'were\tbe\tVBD\tB-VP\tO' -p308677 -aS'pansensitive\tpansensitive\tJJ\tB-ADJP\tO' -p308678 -aS'.\t.\t.\tO\tO' -p308679 -asS'Please follow-up with your PCP N 6-12 months reguading the right thyroid nodule and the bilateral small lung nodules seen on your chest CT .' -p308680 -(lp308681 -S'Please\tPlease\tNN\tB-NP\tO' -p308682 -aS'follow-up\tfollow-up\tNN\tI-NP\tO' -p308683 -aS'with\twith\tIN\tB-PP\tO' -p308684 -aS'your\tyour\tPRP$\tB-NP\tO' -p308685 -aS'PCP\tPCP\tNN\tI-NP\tO' -p308686 -aS'N\tN\tNN\tI-NP\tO' -p308687 -aS'6-12\t6-12\tNN\tI-NP\tO' -p308688 -aS'months\tmonth\tNNS\tI-NP\tO' -p308689 -aS'reguading\treguade\tVBG\tB-VP\tO' -p308690 -aS'the\tthe\tDT\tB-NP\tO' -p308691 -aS'right\tright\tJJ\tI-NP\tO' -p308692 -aS'thyroid\tthyroid\tNN\tI-NP\tO' -p308693 -aS'nodule\tnodule\tNN\tI-NP\tO' -p308694 -aS'and\tand\tCC\tO\tO' -p308695 -aS'the\tthe\tDT\tB-NP\tO' -p308696 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p308697 -aS'small\tsmall\tJJ\tI-NP\tO' -p308698 -aS'lung\tlung\tNN\tI-NP\tO' -p308699 -aS'nodules\tnodule\tNNS\tI-NP\tO' -p308700 -aS'seen\tsee\tVBN\tB-VP\tO' -p308701 -aS'on\ton\tIN\tB-PP\tO' -p308702 -aS'your\tyour\tPRP$\tB-NP\tO' -p308703 -aS'chest\tchest\tNN\tI-NP\tO' -p308704 -aS'CT\tCT\tNN\tI-NP\tO' -p308705 -aS'.\t.\t.\tO\tO' -p308706 -asS'No tobacco and no alcohol use .' -p308707 -(lp308708 -S'No\tNo\tDT\tB-NP\tO' -p308709 -aS'tobacco\ttobacco\tNN\tI-NP\tO' -p308710 -aS'and\tand\tCC\tO\tO' -p308711 -aS'no\tno\tDT\tB-NP\tO' -p308712 -aS'alcohol\talcohol\tNN\tI-NP\tO' -p308713 -aS'use\tuse\tNN\tI-NP\tO' -p308714 -aS'.\t.\t.\tO\tO' -p308715 -asS'His Isordil was increased in Hospital and blood pressure control was relative episodic with systolic pressures ranging between 100 and 160 .' -p308716 -(lp308717 -S'His\tHis\tPRP$\tB-NP\tO' -p308718 -aS'Isordil\tIsordil\tNN\tI-NP\tO' -p308719 -aS'was\tbe\tVBD\tB-VP\tO' -p308720 -aS'increased\tincrease\tVBN\tI-VP\tO' -p308721 -aS'in\tin\tIN\tB-PP\tO' -p308722 -aS'Hospital\tHospital\tNN\tB-NP\tO' -p308723 -aS'and\tand\tCC\tI-NP\tO' -p308724 -aS'blood\tblood\tNN\tI-NP\tO' -p308725 -aS'pressure\tpressure\tNN\tI-NP\tO' -p308726 -aS'control\tcontrol\tNN\tI-NP\tO' -p308727 -aS'was\tbe\tVBD\tB-VP\tO' -p308728 -aS'relative\trelative\tJJ\tB-ADJP\tO' -p308729 -aS'episodic\tepisodic\tJJ\tI-ADJP\tO' -p308730 -aS'with\twith\tIN\tB-PP\tO' -p308731 -aS'systolic\tsystolic\tJJ\tB-NP\tO' -p308732 -aS'pressures\tpressure\tNNS\tI-NP\tO' -p308733 -aS'ranging\trange\tVBG\tB-VP\tO' -p308734 -aS'between\tbetween\tIN\tB-PP\tO' -p308735 -aS'100\t100\tCD\tB-NP\tB-DNA' -p308736 -aS'and\tand\tCC\tI-NP\tI-DNA' -p308737 -aS'160\t160\tCD\tI-NP\tI-DNA' -p308738 -aS'.\t.\t.\tO\tO' -p308739 -asS'Blood cultures remained negative .' -p308740 -(lp308741 -S'Blood\tBlood\tNN\tB-NP\tB-cell_line' -p308742 -aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' -p308743 -aS'remained\tremain\tVBD\tB-VP\tO' -p308744 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p308745 -aS'.\t.\t.\tO\tO' -p308746 -asS'Right occipital , cerebral infarction .' -p308747 -(lp308748 -S'Right\tRight\tRB\tB-NP\tO' -p308749 -aS'occipital\toccipital\tNN\tI-NP\tO' -p308750 -aS',\t,\t,\tO\tO' -p308751 -aS'cerebral\tcerebral\tJJ\tB-NP\tO' -p308752 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p308753 -aS'.\t.\t.\tO\tO' -p308754 -asS'Serum osmolality was 38397 , calculated osmolality gap was 21 .' -p308755 -(lp308756 -S'Serum\tSerum\tNN\tB-NP\tO' -p308757 -aS'osmolality\tosmolality\tNN\tI-NP\tO' -p308758 -aS'was\tbe\tVBD\tB-VP\tO' -p308759 -aS'38397\t38397\tCD\tB-NP\tO' -p308760 -aS',\t,\t,\tO\tO' -p308761 -aS'calculated\tcalculate\tVBN\tB-NP\tO' -p308762 -aS'osmolality\tosmolality\tNN\tI-NP\tO' -p308763 -aS'gap\tgap\tNN\tI-NP\tO' -p308764 -aS'was\tbe\tVBD\tB-VP\tO' -p308765 -aS'21\t21\tCD\tB-NP\tO' -p308766 -aS'.\t.\t.\tO\tO' -p308767 -asS'Other medications including Prozac .' -p308768 -(lp308769 -S'Other\tOther\tJJ\tB-NP\tO' -p308770 -aS'medications\tmedication\tNNS\tI-NP\tO' -p308771 -aS'including\tinclude\tVBG\tB-PP\tO' -p308772 -aS'Prozac\tProzac\tNN\tB-NP\tO' -p308773 -aS'.\t.\t.\tO\tO' -p308774 -asS'HEENT examination is notable for bilateral esotropia .' -p308775 -(lp308776 -S'HEENT\tHEENT\tNN\tB-NP\tO' -p308777 -aS'examination\texamination\tNN\tI-NP\tO' -p308778 -aS'is\tbe\tVBZ\tB-VP\tO' -p308779 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p308780 -aS'for\tfor\tIN\tB-PP\tO' -p308781 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p308782 -aS'esotropia\tesotropia\tNN\tI-NP\tO' -p308783 -aS'.\t.\t.\tO\tO' -p308784 -asS'Magnesium 1.7 .' -p308785 -(lp308786 -S'Magnesium\tMagnesium\tNNP\tB-NP\tO' -p308787 -aS'1.7\t1.7\tCD\tI-NP\tO' -p308788 -aS'.\t.\t.\tO\tO' -p308789 -asS'Signed electronically by : DR. Donna Nance on : WED 2014-06-04 2:21 PM' -p308790 -(lp308791 -S'Signed\tSign\tVBN\tB-VP\tO' -p308792 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p308793 -aS'by\tby\tIN\tB-PP\tO' -p308794 -aS':\t:\t:\tO\tO' -p308795 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p308796 -aS'Donna\tDonna\tNNP\tI-NP\tO' -p308797 -aS'Nance\tNance\tNNP\tI-NP\tO' -p308798 -aS'on\ton\tIN\tB-PP\tO' -p308799 -aS':\t:\t:\tO\tO' -p308800 -aS'WED\tWED\tVBD\tB-VP\tO' -p308801 -aS'2014-06-04\t2014-06-04\tCD\tB-NP\tO' -p308802 -aS'2:21\t2:21\tCD\tI-NP\tO' -p308803 -aS'PM\tPM\tNN\tI-NP\tO' -p308804 -asS'He is now transferred to the medicine service for further care .' -p308805 -(lp308806 -S'He\tHe\tPRP\tB-NP\tO' -p308807 -aS'is\tbe\tVBZ\tB-VP\tO' -p308808 -aS'now\tnow\tRB\tI-VP\tO' -p308809 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p308810 -aS'to\tto\tTO\tB-PP\tO' -p308811 -aS'the\tthe\tDT\tB-NP\tO' -p308812 -aS'medicine\tmedicine\tNN\tI-NP\tO' -p308813 -aS'service\tservice\tNN\tI-NP\tO' -p308814 -aS'for\tfor\tIN\tB-PP\tO' -p308815 -aS'further\tfurther\tJJ\tB-NP\tO' -p308816 -aS'care\tcare\tNN\tI-NP\tO' -p308817 -aS'.\t.\t.\tO\tO' -p308818 -asS'The patient is discharged to home on 7/10/98 .' -p308819 -(lp308820 -S'The\tThe\tDT\tB-NP\tO' -p308821 -aS'patient\tpatient\tNN\tI-NP\tO' -p308822 -aS'is\tbe\tVBZ\tB-VP\tO' -p308823 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p308824 -aS'to\tto\tTO\tB-PP\tO' -p308825 -aS'home\thome\tNN\tB-NP\tO' -p308826 -aS'on\ton\tIN\tB-PP\tO' -p308827 -aS'7/10/98\t7/10/98\tCD\tB-NP\tO' -p308828 -aS'.\t.\t.\tO\tO' -p308829 -asS'The infant received 48 hours of ampicillin and gentamicin which were discontinued with a negative blood culture .' -p308830 -(lp308831 -S'The\tThe\tDT\tB-NP\tO' -p308832 -aS'infant\tinfant\tNN\tI-NP\tO' -p308833 -aS'received\treceive\tVBD\tB-VP\tO' -p308834 -aS'48\t48\tCD\tB-NP\tO' -p308835 -aS'hours\thour\tNNS\tI-NP\tO' -p308836 -aS'of\tof\tIN\tB-PP\tO' -p308837 -aS'ampicillin\tampicillin\tNN\tB-NP\tO' -p308838 -aS'and\tand\tCC\tI-NP\tO' -p308839 -aS'gentamicin\tgentamicin\tNN\tI-NP\tO' -p308840 -aS'which\twhich\tWDT\tB-NP\tO' -p308841 -aS'were\tbe\tVBD\tB-VP\tO' -p308842 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p308843 -aS'with\twith\tIN\tB-PP\tO' -p308844 -aS'a\ta\tDT\tB-NP\tO' -p308845 -aS'negative\tnegative\tJJ\tI-NP\tO' -p308846 -aS'blood\tblood\tNN\tI-NP\tO' -p308847 -aS'culture\tculture\tNN\tI-NP\tO' -p308848 -aS'.\t.\t.\tO\tO' -p308849 -asS'The patient was brought to CT immediately for stat scan and was found to have a massive occipital spontaneous hemorrhage into the L ventricle requiring ventricular drainage .' -p308850 -(lp308851 -S'The\tThe\tDT\tB-NP\tO' -p308852 -aS'patient\tpatient\tNN\tI-NP\tO' -p308853 -aS'was\tbe\tVBD\tB-VP\tO' -p308854 -aS'brought\tbring\tVBN\tI-VP\tO' -p308855 -aS'to\tto\tTO\tB-PP\tO' -p308856 -aS'CT\tCT\tNN\tB-NP\tB-protein' -p308857 -aS'immediately\timmediately\tRB\tB-ADVP\tO' -p308858 -aS'for\tfor\tIN\tB-PP\tO' -p308859 -aS'stat\tstat\tNN\tB-NP\tO' -p308860 -aS'scan\tscan\tNN\tI-NP\tO' -p308861 -aS'and\tand\tCC\tO\tO' -p308862 -aS'was\tbe\tVBD\tB-VP\tO' -p308863 -aS'found\tfind\tVBN\tI-VP\tO' -p308864 -aS'to\tto\tTO\tI-VP\tO' -p308865 -aS'have\thave\tVB\tI-VP\tO' -p308866 -aS'a\ta\tDT\tB-NP\tO' -p308867 -aS'massive\tmassive\tJJ\tI-NP\tO' -p308868 -aS'occipital\toccipital\tNN\tI-NP\tO' -p308869 -aS'spontaneous\tspontaneous\tJJ\tI-NP\tO' -p308870 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p308871 -aS'into\tinto\tIN\tB-PP\tO' -p308872 -aS'the\tthe\tDT\tB-NP\tO' -p308873 -aS'L\tL\tNN\tI-NP\tO' -p308874 -aS'ventricle\tventricle\tNN\tI-NP\tO' -p308875 -aS'requiring\trequire\tVBG\tB-VP\tO' -p308876 -aS'ventricular\tventricular\tJJ\tB-NP\tO' -p308877 -aS'drainage\tdrainage\tNN\tI-NP\tO' -p308878 -aS'.\t.\t.\tO\tO' -p308879 -asS'Pacer seen in RV apex , but cannot exclude perforation .' -p308880 -(lp308881 -S'Pacer\tPacer\tNN\tB-NP\tO' -p308882 -aS'seen\tsee\tVBN\tB-VP\tO' -p308883 -aS'in\tin\tIN\tB-PP\tO' -p308884 -aS'RV\tRV\tNN\tB-NP\tO' -p308885 -aS'apex\tapex\tNN\tI-NP\tO' -p308886 -aS',\t,\t,\tO\tO' -p308887 -aS'but\tbut\tCC\tO\tO' -p308888 -aS'cannot\tcannot\tMD\tB-VP\tO' -p308889 -aS'exclude\texclude\tVB\tI-VP\tO' -p308890 -aS'perforation\tperforation\tNN\tB-NP\tO' -p308891 -aS'.\t.\t.\tO\tO' -p308892 -asS'The patient was also given instructions to be prudent and stay away from public places as well as small children .' -p308893 -(lp308894 -S'The\tThe\tDT\tB-NP\tO' -p308895 -aS'patient\tpatient\tNN\tI-NP\tO' -p308896 -aS'was\tbe\tVBD\tB-VP\tO' -p308897 -aS'also\talso\tRB\tI-VP\tO' -p308898 -aS'given\tgive\tVBN\tI-VP\tO' -p308899 -aS'instructions\tinstruction\tNNS\tB-NP\tO' -p308900 -aS'to\tto\tTO\tB-VP\tO' -p308901 -aS'be\tbe\tVB\tI-VP\tO' -p308902 -aS'prudent\tprudent\tJJ\tB-ADJP\tO' -p308903 -aS'and\tand\tCC\tO\tO' -p308904 -aS'stay\tstay\tVB\tB-VP\tO' -p308905 -aS'away\taway\tRB\tB-ADVP\tO' -p308906 -aS'from\tfrom\tIN\tB-PP\tO' -p308907 -aS'public\tpublic\tJJ\tB-NP\tO' -p308908 -aS'places\tplace\tNNS\tI-NP\tO' -p308909 -aS'as\tas\tRB\tB-CONJP\tO' -p308910 -aS'well\twell\tRB\tI-CONJP\tO' -p308911 -aS'as\tas\tIN\tI-CONJP\tO' -p308912 -aS'small\tsmall\tJJ\tB-NP\tO' -p308913 -aS'children\tchild\tNNS\tI-NP\tO' -p308914 -aS'.\t.\t.\tO\tO' -p308915 -asS'New lower left lateral CW opacity , likely loculated pleural fluid .' -p308916 -(lp308917 -S'New\tNew\tRB\tB-NP\tO' -p308918 -aS'lower\tlow\tJJR\tI-NP\tO' -p308919 -aS'left\tleft\tJJ\tI-NP\tO' -p308920 -aS'lateral\tlateral\tJJ\tI-NP\tO' -p308921 -aS'CW\tCW\tNN\tI-NP\tO' -p308922 -aS'opacity\topacity\tNN\tI-NP\tO' -p308923 -aS',\t,\t,\tO\tO' -p308924 -aS'likely\tlikely\tRB\tB-VP\tO' -p308925 -aS'loculated\tloculate\tVBN\tI-VP\tO' -p308926 -aS'pleural\tpleural\tJJ\tB-NP\tO' -p308927 -aS'fluid\tfluid\tNN\tI-NP\tO' -p308928 -aS'.\t.\t.\tO\tO' -p308929 -asS'She has no current romantic relationship .' -p308930 -(lp308931 -S'She\tShe\tPRP\tB-NP\tO' -p308932 -aS'has\thave\tVBZ\tB-VP\tO' -p308933 -aS'no\tno\tDT\tB-NP\tO' -p308934 -aS'current\tcurrent\tJJ\tI-NP\tO' -p308935 -aS'romantic\tromantic\tJJ\tI-NP\tO' -p308936 -aS'relationship\trelationship\tNN\tI-NP\tO' -p308937 -aS'.\t.\t.\tO\tO' -p308938 -asS'Electrolytes at this point were a sodium of 143 and potassium 1.7 .' -p308939 -(lp308940 -S'Electrolytes\tElectrolyte\tNNS\tB-NP\tO' -p308941 -aS'at\tat\tIN\tB-PP\tO' -p308942 -aS'this\tthis\tDT\tB-NP\tO' -p308943 -aS'point\tpoint\tNN\tI-NP\tO' -p308944 -aS'were\tbe\tVBD\tB-VP\tO' -p308945 -aS'a\ta\tDT\tB-NP\tO' -p308946 -aS'sodium\tsodium\tNN\tI-NP\tO' -p308947 -aS'of\tof\tIN\tB-PP\tO' -p308948 -aS'143\t143\tCD\tB-NP\tO' -p308949 -aS'and\tand\tCC\tO\tO' -p308950 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p308951 -aS'1.7\t1.7\tCD\tI-NP\tO' -p308952 -aS'.\t.\t.\tO\tO' -p308953 -asS'3. Feeding jejunostomy .' -p308954 -(lp308955 -S'3.\t3.\tLS\tB-NP\tO' -p308956 -aS'Feeding\tFeeding\tNN\tI-NP\tO' -p308957 -aS'jejunostomy\tjejunostomy\tNN\tI-NP\tO' -p308958 -aS'.\t.\t.\tO\tO' -p308959 -asS'Denies IVDU .' -p308960 -(lp308961 -S'Denies\tDeny\tNNS\tB-NP\tO' -p308962 -aS'IVDU\tIVDU\tNN\tI-NP\tO' -p308963 -aS'.\t.\t.\tO\tO' -p308964 -asS'The patient was admitted to NVH and started on vancomycin , levofloxacin and Flagyl .' -p308965 -(lp308966 -S'The\tThe\tDT\tB-NP\tO' -p308967 -aS'patient\tpatient\tNN\tI-NP\tO' -p308968 -aS'was\tbe\tVBD\tB-VP\tO' -p308969 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p308970 -aS'to\tto\tTO\tB-PP\tO' -p308971 -aS'NVH\tNVH\tNN\tB-NP\tB-protein' -p308972 -aS'and\tand\tCC\tO\tO' -p308973 -aS'started\tstart\tVBN\tB-VP\tO' -p308974 -aS'on\ton\tIN\tB-PP\tO' -p308975 -aS'vancomycin\tvancomycin\tNN\tB-NP\tO' -p308976 -aS',\t,\t,\tI-NP\tO' -p308977 -aS'levofloxacin\tlevofloxacin\tNN\tI-NP\tO' -p308978 -aS'and\tand\tCC\tI-NP\tO' -p308979 -aS'Flagyl\tFlagyl\tNN\tI-NP\tO' -p308980 -aS'.\t.\t.\tO\tO' -p308981 -asS'Pulmonary function tests most recently in 2009-01-10 were not obstructive .' -p308982 -(lp308983 -S'Pulmonary\tPulmonary\tJJ\tB-NP\tO' -p308984 -aS'function\tfunction\tNN\tI-NP\tO' -p308985 -aS'tests\ttest\tNNS\tI-NP\tO' -p308986 -aS'most\tmost\tRBS\tB-ADVP\tO' -p308987 -aS'recently\trecently\tRB\tI-ADVP\tO' -p308988 -aS'in\tin\tIN\tB-PP\tO' -p308989 -aS'2009-01-10\t2009-01-10\tCD\tB-NP\tO' -p308990 -aS'were\tbe\tVBD\tB-VP\tO' -p308991 -aS'not\tnot\tRB\tO\tO' -p308992 -aS'obstructive\tobstructive\tJJ\tB-ADJP\tO' -p308993 -aS'.\t.\t.\tO\tO' -p308994 -asS'She was instructed to call Dr. Blinjesc for the results of these tests and to follow up with him for further management if necessary .' -p308995 -(lp308996 -S'She\tShe\tPRP\tB-NP\tO' -p308997 -aS'was\tbe\tVBD\tB-VP\tO' -p308998 -aS'instructed\tinstruct\tVBN\tI-VP\tO' -p308999 -aS'to\tto\tTO\tI-VP\tO' -p309000 -aS'call\tcall\tVB\tI-VP\tO' -p309001 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p309002 -aS'Blinjesc\tBlinjesc\tNNP\tI-NP\tO' -p309003 -aS'for\tfor\tIN\tB-PP\tO' -p309004 -aS'the\tthe\tDT\tB-NP\tO' -p309005 -aS'results\tresult\tNNS\tI-NP\tO' -p309006 -aS'of\tof\tIN\tB-PP\tO' -p309007 -aS'these\tthese\tDT\tB-NP\tO' -p309008 -aS'tests\ttest\tNNS\tI-NP\tO' -p309009 -aS'and\tand\tCC\tO\tO' -p309010 -aS'to\tto\tTO\tB-VP\tO' -p309011 -aS'follow\tfollow\tVB\tI-VP\tO' -p309012 -aS'up\tup\tRP\tB-PRT\tO' -p309013 -aS'with\twith\tIN\tB-PP\tO' -p309014 -aS'him\thim\tPRP\tB-NP\tO' -p309015 -aS'for\tfor\tIN\tB-PP\tO' -p309016 -aS'further\tfurther\tJJ\tB-NP\tO' -p309017 -aS'management\tmanagement\tNN\tI-NP\tO' -p309018 -aS'if\tif\tIN\tB-SBAR\tO' -p309019 -aS'necessary\tnecessary\tJJ\tB-ADJP\tO' -p309020 -aS'.\t.\t.\tO\tO' -p309021 -asS'The infant was initially maintained on IVF , with introduction of enteral feeds on day of life 2 .' -p309022 -(lp309023 -S'The\tThe\tDT\tB-NP\tO' -p309024 -aS'infant\tinfant\tNN\tI-NP\tO' -p309025 -aS'was\tbe\tVBD\tB-VP\tO' -p309026 -aS'initially\tinitially\tRB\tI-VP\tO' -p309027 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p309028 -aS'on\ton\tIN\tB-PP\tO' -p309029 -aS'IVF\tIVF\tNN\tB-NP\tB-protein' -p309030 -aS',\t,\t,\tO\tO' -p309031 -aS'with\twith\tIN\tB-PP\tO' -p309032 -aS'introduction\tintroduction\tNN\tB-NP\tO' -p309033 -aS'of\tof\tIN\tB-PP\tO' -p309034 -aS'enteral\tenteral\tJJ\tB-NP\tO' -p309035 -aS'feeds\tfeed\tNNS\tI-NP\tO' -p309036 -aS'on\ton\tIN\tB-PP\tO' -p309037 -aS'day\tday\tNN\tB-NP\tO' -p309038 -aS'of\tof\tIN\tB-PP\tO' -p309039 -aS'life\tlife\tNN\tB-NP\tB-protein' -p309040 -aS'2\t2\tCD\tI-NP\tI-protein' -p309041 -aS'.\t.\t.\tO\tO' -p309042 -asS'Patients anticoag held during hemothorax .' -p309043 -(lp309044 -S'Patients\tPatient\tNNS\tB-NP\tO' -p309045 -aS'anticoag\tanticoag\tNN\tI-NP\tO' -p309046 -aS'held\thold\tVBN\tB-VP\tO' -p309047 -aS'during\tduring\tIN\tB-PP\tO' -p309048 -aS'hemothorax\themothorax\tNN\tB-NP\tO' -p309049 -aS'.\t.\t.\tO\tO' -p309050 -asS'Hold for loose stools .' -p309051 -(lp309052 -S'Hold\tHold\tNN\tB-NP\tO' -p309053 -aS'for\tfor\tIN\tB-PP\tO' -p309054 -aS'loose\tloose\tJJ\tB-NP\tO' -p309055 -aS'stools\tstool\tNNS\tI-NP\tO' -p309056 -aS'.\t.\t.\tO\tO' -p309057 -asS'We slowly advanced her diet as her mental status improved and repleted her electrolytes , and started on her p.o. medications on hospital day two .' -p309058 -(lp309059 -S'We\tWe\tPRP\tB-NP\tO' -p309060 -aS'slowly\tslowly\tRB\tB-ADVP\tO' -p309061 -aS'advanced\tadvance\tVBD\tB-VP\tO' -p309062 -aS'her\ther\tPRP$\tB-NP\tO' -p309063 -aS'diet\tdiet\tNN\tI-NP\tO' -p309064 -aS'as\tas\tIN\tB-PP\tO' -p309065 -aS'her\ther\tPRP$\tB-NP\tO' -p309066 -aS'mental\tmental\tJJ\tI-NP\tO' -p309067 -aS'status\tstatus\tNN\tI-NP\tO' -p309068 -aS'improved\timprove\tVBD\tB-VP\tO' -p309069 -aS'and\tand\tCC\tI-VP\tO' -p309070 -aS'repleted\treplete\tVBD\tI-VP\tO' -p309071 -aS'her\ther\tPRP$\tB-NP\tO' -p309072 -aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' -p309073 -aS',\t,\t,\tO\tO' -p309074 -aS'and\tand\tCC\tO\tO' -p309075 -aS'started\tstart\tVBD\tB-VP\tO' -p309076 -aS'on\ton\tIN\tB-PP\tO' -p309077 -aS'her\ther\tPRP$\tB-NP\tO' -p309078 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p309079 -aS'medications\tmedication\tNNS\tI-NP\tO' -p309080 -aS'on\ton\tIN\tB-PP\tO' -p309081 -aS'hospital\thospital\tNN\tB-NP\tO' -p309082 -aS'day\tday\tNN\tI-NP\tO' -p309083 -aS'two\ttwo\tCD\tI-NP\tO' -p309084 -aS'.\t.\t.\tO\tO' -p309085 -asS'2. Ipratropium Bromide 0.02 % Solution Sig : One ( 1 ) Inhalation Q6H ( every 6 hours ) as needed .' -p309086 -(lp309087 -S'2.\t2.\tLS\tB-NP\tO' -p309088 -aS'Ipratropium\tIpratropium\tNN\tI-NP\tO' -p309089 -aS'Bromide\tBromide\tNN\tI-NP\tO' -p309090 -aS'0.02\t0.02\tCD\tB-NP\tO' -p309091 -aS'%\t%\tNN\tI-NP\tO' -p309092 -aS'Solution\tSolution\tNNP\tI-NP\tO' -p309093 -aS'Sig\tSig\tNNP\tI-NP\tO' -p309094 -aS':\t:\t:\tO\tO' -p309095 -aS'One\tOne\tCD\tB-NP\tO' -p309096 -aS'(\t(\t(\tO\tO' -p309097 -aS'1\t1\tCD\tB-NP\tO' -p309098 -aS')\t)\t)\tO\tO' -p309099 -aS'Inhalation\tInhalation\tNN\tB-NP\tO' -p309100 -aS'Q6H\tQ6H\tNN\tI-NP\tO' -p309101 -aS'(\t(\t(\tO\tO' -p309102 -aS'every\tevery\tDT\tB-NP\tO' -p309103 -aS'6\t6\tCD\tI-NP\tO' -p309104 -aS'hours\thour\tNNS\tI-NP\tO' -p309105 -aS')\t)\t)\tO\tO' -p309106 -aS'as\tas\tIN\tB-SBAR\tO' -p309107 -aS'needed\tneed\tVBN\tB-VP\tO' -p309108 -aS'.\t.\t.\tO\tO' -p309109 -asS'She was receiving sub .q. heparin for DVT prophylaxis postoperatively .' -p309110 -(lp309111 -S'She\tShe\tPRP\tB-NP\tO' -p309112 -aS'was\tbe\tVBD\tB-VP\tO' -p309113 -aS'receiving\treceive\tVBG\tI-VP\tO' -p309114 -aS'sub\tsub\tNN\tB-NP\tO' -p309115 -aS'.q.\t.q.\tNN\tI-NP\tO' -p309116 -aS'heparin\theparin\tNN\tI-NP\tO' -p309117 -aS'for\tfor\tIN\tB-PP\tO' -p309118 -aS'DVT\tDVT\tNN\tB-NP\tO' -p309119 -aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' -p309120 -aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' -p309121 -aS'.\t.\t.\tO\tO' -p309122 -asS'Heart rate 105 .' -p309123 -(lp309124 -S'Heart\tHeart\tNN\tB-NP\tO' -p309125 -aS'rate\trate\tNN\tI-NP\tO' -p309126 -aS'105\t105\tCD\tI-NP\tO' -p309127 -aS'.\t.\t.\tO\tO' -p309128 -asS'No abscess or pseudocyst .' -p309129 -(lp309130 -S'No\tNo\tDT\tB-NP\tO' -p309131 -aS'abscess\tabscess\tNN\tI-NP\tO' -p309132 -aS'or\tor\tCC\tI-NP\tO' -p309133 -aS'pseudocyst\tpseudocyst\tNN\tI-NP\tO' -p309134 -aS'.\t.\t.\tO\tO' -p309135 -asS'He had a regular heart rate and rhythm , no murmur , and pulses were 2+ and symmetric .' -p309136 -(lp309137 -S'He\tHe\tPRP\tB-NP\tO' -p309138 -aS'had\thave\tVBD\tB-VP\tO' -p309139 -aS'a\ta\tDT\tB-NP\tO' -p309140 -aS'regular\tregular\tJJ\tI-NP\tO' -p309141 -aS'heart\theart\tNN\tI-NP\tO' -p309142 -aS'rate\trate\tNN\tI-NP\tO' -p309143 -aS'and\tand\tCC\tO\tO' -p309144 -aS'rhythm\trhythm\tNN\tB-NP\tO' -p309145 -aS',\t,\t,\tO\tO' -p309146 -aS'no\tno\tDT\tB-NP\tO' -p309147 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p309148 -aS',\t,\t,\tO\tO' -p309149 -aS'and\tand\tCC\tO\tO' -p309150 -aS'pulses\tpulse\tNNS\tB-NP\tO' -p309151 -aS'were\tbe\tVBD\tB-VP\tO' -p309152 -aS'2+\t2+\tJJ\tB-ADJP\tO' -p309153 -aS'and\tand\tCC\tI-ADJP\tO' -p309154 -aS'symmetric\tsymmetric\tJJ\tI-ADJP\tO' -p309155 -aS'.\t.\t.\tO\tO' -p309156 -asS'His catheterization revealed 70% stenosis of the distal left main coronary artery , 90% stenosis of the LAD , 80% stenosis of the circumflex , 90% stenosis of OM2 and a proximally occluded right coronary artery .' -p309157 -(lp309158 -S'His\tHis\tPRP$\tB-NP\tO' -p309159 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p309160 -aS'revealed\treveal\tVBD\tB-VP\tO' -p309161 -aS'70%\t70%\tJJ\tB-NP\tO' -p309162 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p309163 -aS'of\tof\tIN\tB-PP\tO' -p309164 -aS'the\tthe\tDT\tB-NP\tO' -p309165 -aS'distal\tdistal\tJJ\tI-NP\tO' -p309166 -aS'left\tleft\tJJ\tI-NP\tO' -p309167 -aS'main\tmain\tJJ\tI-NP\tO' -p309168 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p309169 -aS'artery\tartery\tNN\tI-NP\tO' -p309170 -aS',\t,\t,\tO\tO' -p309171 -aS'90%\t90%\tCD\tB-NP\tO' -p309172 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p309173 -aS'of\tof\tIN\tB-PP\tO' -p309174 -aS'the\tthe\tDT\tB-NP\tO' -p309175 -aS'LAD\tLAD\tNN\tI-NP\tO' -p309176 -aS',\t,\t,\tO\tO' -p309177 -aS'80%\t80%\tCD\tB-NP\tO' -p309178 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p309179 -aS'of\tof\tIN\tB-PP\tO' -p309180 -aS'the\tthe\tDT\tB-NP\tO' -p309181 -aS'circumflex\tcircumflex\tNN\tI-NP\tO' -p309182 -aS',\t,\t,\tO\tO' -p309183 -aS'90%\t90%\tCD\tB-NP\tO' -p309184 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p309185 -aS'of\tof\tIN\tB-PP\tO' -p309186 -aS'OM2\tOM2\tNN\tB-NP\tB-protein' -p309187 -aS'and\tand\tCC\tO\tO' -p309188 -aS'a\ta\tDT\tB-NP\tO' -p309189 -aS'proximally\tproximally\tRB\tI-NP\tO' -p309190 -aS'occluded\tocclude\tVBN\tI-NP\tO' -p309191 -aS'right\tright\tJJ\tI-NP\tO' -p309192 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p309193 -aS'artery\tartery\tNN\tI-NP\tO' -p309194 -aS'.\t.\t.\tO\tO' -p309195 -asS'6. Single mental status change times two hours during episode of blood transfusion reaction .' -p309196 -(lp309197 -S'6.\t6.\tLS\tB-NP\tO' -p309198 -aS'Single\tSingle\tJJ\tI-NP\tO' -p309199 -aS'mental\tmental\tJJ\tI-NP\tO' -p309200 -aS'status\tstatus\tNN\tI-NP\tO' -p309201 -aS'change\tchange\tNN\tI-NP\tO' -p309202 -aS'times\ttime\tNNS\tI-NP\tO' -p309203 -aS'two\ttwo\tCD\tB-NP\tO' -p309204 -aS'hours\thour\tNNS\tI-NP\tO' -p309205 -aS'during\tduring\tIN\tB-PP\tO' -p309206 -aS'episode\tepisode\tNN\tB-NP\tO' -p309207 -aS'of\tof\tIN\tB-PP\tO' -p309208 -aS'blood\tblood\tNN\tB-NP\tO' -p309209 -aS'transfusion\ttransfusion\tNN\tI-NP\tO' -p309210 -aS'reaction\treaction\tNN\tI-NP\tO' -p309211 -aS'.\t.\t.\tO\tO' -p309212 -asS'Unasyn for antibiotic coverage .' -p309213 -(lp309214 -S'Unasyn\tUnasyn\tIN\tB-PP\tO' -p309215 -aS'for\tfor\tIN\tB-PP\tO' -p309216 -aS'antibiotic\tantibiotic\tJJ\tB-NP\tO' -p309217 -aS'coverage\tcoverage\tNN\tI-NP\tO' -p309218 -aS'.\t.\t.\tO\tO' -p309219 -asS'He is status post multiple angioplasty stents .' -p309220 -(lp309221 -S'He\tHe\tPRP\tB-NP\tO' -p309222 -aS'is\tbe\tVBZ\tB-VP\tO' -p309223 -aS'status\tstatus\tJJ\tB-ADJP\tO' -p309224 -aS'post\tpost\tIN\tB-PP\tO' -p309225 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p309226 -aS'angioplasty\tangioplasty\tJJ\tI-NP\tO' -p309227 -aS'stents\tstent\tNNS\tI-NP\tO' -p309228 -aS'.\t.\t.\tO\tO' -p309229 -asS'Endorses occassional marijuana use .' -p309230 -(lp309231 -S'Endorses\tEndors\tNNS\tB-NP\tO' -p309232 -aS'occassional\toccassional\tJJ\tI-NP\tO' -p309233 -aS'marijuana\tmarijuana\tNN\tI-NP\tO' -p309234 -aS'use\tuse\tNN\tI-NP\tO' -p309235 -aS'.\t.\t.\tO\tO' -p309236 -asS'There was global hypokinesis apical throughout the right ventricle and abnormal septal motion consistent with right ventricular volume overload .' -p309237 -(lp309238 -S'There\tThere\tEX\tB-NP\tO' -p309239 -aS'was\tbe\tVBD\tB-VP\tO' -p309240 -aS'global\tglobal\tJJ\tB-NP\tO' -p309241 -aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' -p309242 -aS'apical\tapical\tJJ\tB-ADJP\tO' -p309243 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p309244 -aS'the\tthe\tDT\tB-NP\tO' -p309245 -aS'right\tright\tJJ\tI-NP\tO' -p309246 -aS'ventricle\tventricle\tNN\tI-NP\tO' -p309247 -aS'and\tand\tCC\tO\tO' -p309248 -aS'abnormal\tabnormal\tJJ\tB-NP\tO' -p309249 -aS'septal\tseptal\tJJ\tI-NP\tO' -p309250 -aS'motion\tmotion\tNN\tI-NP\tO' -p309251 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p309252 -aS'with\twith\tIN\tB-PP\tO' -p309253 -aS'right\tright\tJJ\tB-NP\tO' -p309254 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p309255 -aS'volume\tvolume\tNN\tI-NP\tO' -p309256 -aS'overload\toverload\tNN\tI-NP\tO' -p309257 -aS'.\t.\t.\tO\tO' -p309258 -asS'Attending : Bradley A. Goldware , M.D.' -p309259 -(lp309260 -S'Attending\tAttend\tVBG\tB-VP\tO' -p309261 -aS':\t:\t:\tO\tO' -p309262 -aS'Bradley\tBradley\tNNP\tB-NP\tO' -p309263 -aS'A.\tA.\tNNP\tI-NP\tO' -p309264 -aS'Goldware\tGoldware\tNNP\tI-NP\tO' -p309265 -aS',\t,\t,\tO\tO' -p309266 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p309267 -asS'Mr. Williams is an 85 yo gentleman who has a known cardiac history and has had a h/o worsening chest pain and shortness of breath .' -p309268 -(lp309269 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p309270 -aS'Williams\tWilliams\tNNP\tI-NP\tO' -p309271 -aS'is\tbe\tVBZ\tB-VP\tO' -p309272 -aS'an\tan\tDT\tB-NP\tO' -p309273 -aS'85\t85\tCD\tI-NP\tO' -p309274 -aS'yo\tyo\tNN\tI-NP\tO' -p309275 -aS'gentleman\tgentleman\tNN\tI-NP\tO' -p309276 -aS'who\twho\tWP\tB-NP\tO' -p309277 -aS'has\thave\tVBZ\tB-VP\tO' -p309278 -aS'a\ta\tDT\tB-NP\tO' -p309279 -aS'known\tknown\tJJ\tI-NP\tO' -p309280 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p309281 -aS'history\thistory\tNN\tI-NP\tO' -p309282 -aS'and\tand\tCC\tO\tO' -p309283 -aS'has\thave\tVBZ\tB-VP\tO' -p309284 -aS'had\thave\tVBN\tI-VP\tO' -p309285 -aS'a\ta\tDT\tB-NP\tO' -p309286 -aS'h/o\th/o\tNN\tI-NP\tB-protein' -p309287 -aS'worsening\tworsen\tVBG\tB-VP\tI-protein' -p309288 -aS'chest\tchest\tNN\tB-NP\tI-protein' -p309289 -aS'pain\tpain\tNN\tI-NP\tI-protein' -p309290 -aS'and\tand\tCC\tO\tO' -p309291 -aS'shortness\tshortness\tNN\tB-NP\tO' -p309292 -aS'of\tof\tIN\tB-PP\tO' -p309293 -aS'breath\tbreath\tNN\tB-NP\tO' -p309294 -aS'.\t.\t.\tO\tO' -p309295 -asS'Radiographs demonstrate right hip osteoarthritis .' -p309296 -(lp309297 -S'Radiographs\tRadiograph\tNNS\tB-NP\tO' -p309298 -aS'demonstrate\tdemonstrate\tVBP\tB-VP\tO' -p309299 -aS'right\tright\tJJ\tB-NP\tO' -p309300 -aS'hip\thip\tNN\tI-NP\tO' -p309301 -aS'osteoarthritis\tosteoarthritis\tNN\tI-NP\tO' -p309302 -aS'.\t.\t.\tO\tO' -p309303 -asS'In the Deanna , Tmax 102.8 , BP 100 - 140/60 s, HR 80 s, RR 20 s, Sat 75% on RA in triage , up to 100% on NRB .' -p309304 -(lp309305 -S'In\tIn\tIN\tB-PP\tO' -p309306 -aS'the\tthe\tDT\tB-NP\tO' -p309307 -aS'Deanna\tDeanna\tNNP\tI-NP\tO' -p309308 -aS',\t,\t,\tO\tO' -p309309 -aS'Tmax\tTmax\tNNP\tB-NP\tO' -p309310 -aS'102.8\t102.8\tCD\tI-NP\tO' -p309311 -aS',\t,\t,\tO\tO' -p309312 -aS'BP\tBP\tNN\tB-NP\tB-protein' -p309313 -aS'100\t100\tCD\tI-NP\tI-protein' -p309314 -aS'-\t-\tHYPH\tI-NP\tO' -p309315 -aS'140/60\t140/60\tCD\tI-NP\tB-DNA' -p309316 -aS's,\ts,\tNN\tI-NP\tI-DNA' -p309317 -aS'HR\tHR\tNN\tI-NP\tI-DNA' -p309318 -aS'80\t80\tCD\tI-NP\tI-DNA' -p309319 -aS's,\ts,\tNN\tI-NP\tI-DNA' -p309320 -aS'RR\tRR\tNN\tI-NP\tI-DNA' -p309321 -aS'20\t20\tCD\tB-NP\tI-DNA' -p309322 -aS's,\ts,\tNN\tI-NP\tI-DNA' -p309323 -aS'Sat\tSat\tNNP\tB-NP\tI-DNA' -p309324 -aS'75%\t75%\tCD\tI-NP\tI-DNA' -p309325 -aS'on\ton\tIN\tB-PP\tO' -p309326 -aS'RA\tRA\tNN\tB-NP\tO' -p309327 -aS'in\tin\tIN\tB-PP\tO' -p309328 -aS'triage\ttriage\tNN\tB-NP\tO' -p309329 -aS',\t,\t,\tO\tO' -p309330 -aS'up\tup\tRB\tB-ADVP\tO' -p309331 -aS'to\tto\tTO\tB-PP\tO' -p309332 -aS'100%\t100%\tCD\tB-NP\tO' -p309333 -aS'on\ton\tIN\tB-PP\tO' -p309334 -aS'NRB\tNRB\tNN\tB-NP\tB-protein' -p309335 -aS'.\t.\t.\tO\tO' -p309336 -asS'His nonsustained ventricular tachycardia was treated with a lidocaine drip .' -p309337 -(lp309338 -S'His\tHis\tPRP$\tB-NP\tO' -p309339 -aS'nonsustained\tnonsustained\tJJ\tI-NP\tO' -p309340 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p309341 -aS'tachycardia\ttachycardia\tNN\tI-NP\tO' -p309342 -aS'was\tbe\tVBD\tB-VP\tO' -p309343 -aS'treated\ttreat\tVBN\tI-VP\tO' -p309344 -aS'with\twith\tIN\tB-PP\tO' -p309345 -aS'a\ta\tDT\tB-NP\tO' -p309346 -aS'lidocaine\tlidocaine\tNN\tI-NP\tO' -p309347 -aS'drip\tdrip\tNN\tI-NP\tO' -p309348 -aS'.\t.\t.\tO\tO' -p309349 -asS'1. Increasing large right-sided pleural effusion and pulmonary edema .' -p309350 -(lp309351 -S'1.\t1.\tLS\tB-LST\tO' -p309352 -aS'Increasing\tIncrease\tVBG\tB-VP\tO' -p309353 -aS'large\tlarge\tJJ\tB-NP\tO' -p309354 -aS'right-sided\tright-sided\tJJ\tI-NP\tO' -p309355 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p309356 -aS'effusion\teffusion\tNN\tI-NP\tO' -p309357 -aS'and\tand\tCC\tO\tO' -p309358 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p309359 -aS'edema\tedema\tNN\tI-NP\tO' -p309360 -aS'.\t.\t.\tO\tO' -p309361 -asS'17 year old man with pneumocephalus s/p CMED CCU v. mvc' -p309362 -(lp309363 -S'17\t17\tCD\tB-NP\tO' -p309364 -aS'year\tyear\tNN\tI-NP\tO' -p309365 -aS'old\told\tJJ\tI-NP\tO' -p309366 -aS'man\tman\tNN\tI-NP\tO' -p309367 -aS'with\twith\tIN\tB-PP\tO' -p309368 -aS'pneumocephalus\tpneumocephalus\tNN\tB-NP\tO' -p309369 -aS's/p\ts/p\tNN\tI-NP\tO' -p309370 -aS'CMED\tCMED\tVBD\tB-VP\tO' -p309371 -aS'CCU\tCCU\tNN\tB-NP\tO' -p309372 -aS'v.\tv.\tNN\tI-NP\tO' -p309373 -aS'mvc\tmvc\tNN\tI-NP\tO' -p309374 -asS'Head , eyes , ears , nose and throat examination is normocephalic and atraumatic .' -p309375 -(lp309376 -S'Head\tHead\tRB\tB-ADVP\tO' -p309377 -aS',\t,\t,\tO\tO' -p309378 -aS'eyes\teye\tNNS\tB-NP\tO' -p309379 -aS',\t,\t,\tO\tO' -p309380 -aS'ears\tear\tNNS\tB-NP\tO' -p309381 -aS',\t,\t,\tO\tO' -p309382 -aS'nose\tnose\tNN\tB-NP\tO' -p309383 -aS'and\tand\tCC\tI-NP\tO' -p309384 -aS'throat\tthroat\tNN\tI-NP\tO' -p309385 -aS'examination\texamination\tNN\tI-NP\tO' -p309386 -aS'is\tbe\tVBZ\tB-VP\tO' -p309387 -aS'normocephalic\tnormocephalic\tJJ\tB-ADJP\tO' -p309388 -aS'and\tand\tCC\tI-ADJP\tO' -p309389 -aS'atraumatic\tatraumatic\tJJ\tI-ADJP\tO' -p309390 -aS'.\t.\t.\tO\tO' -p309391 -asS'He had Propofol at 30 mc per kg per minute and Neo-Synephrine to maintain his blood pressure .' -p309392 -(lp309393 -S'He\tHe\tPRP\tB-NP\tO' -p309394 -aS'had\thave\tVBD\tB-VP\tO' -p309395 -aS'Propofol\tPropofol\tNN\tB-NP\tO' -p309396 -aS'at\tat\tIN\tB-PP\tO' -p309397 -aS'30\t30\tCD\tB-NP\tO' -p309398 -aS'mc\tmc\tNN\tI-NP\tO' -p309399 -aS'per\tper\tIN\tB-PP\tO' -p309400 -aS'kg\tkg\tNN\tB-NP\tO' -p309401 -aS'per\tper\tIN\tB-PP\tO' -p309402 -aS'minute\tminute\tNN\tB-NP\tO' -p309403 -aS'and\tand\tCC\tO\tO' -p309404 -aS'Neo-Synephrine\tNeo-Synephrine\tNN\tB-NP\tO' -p309405 -aS'to\tto\tTO\tB-VP\tO' -p309406 -aS'maintain\tmaintain\tVB\tI-VP\tO' -p309407 -aS'his\this\tPRP$\tB-NP\tO' -p309408 -aS'blood\tblood\tNN\tI-NP\tO' -p309409 -aS'pressure\tpressure\tNN\tI-NP\tO' -p309410 -aS'.\t.\t.\tO\tO' -p309411 -asS'Blood cultures were obtained , urine cultures were obtained .' -p309412 -(lp309413 -S'Blood\tBlood\tNN\tB-NP\tB-cell_line' -p309414 -aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' -p309415 -aS'were\tbe\tVBD\tB-VP\tO' -p309416 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p309417 -aS',\t,\t,\tO\tO' -p309418 -aS'urine\turine\tNN\tB-NP\tB-cell_line' -p309419 -aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' -p309420 -aS'were\tbe\tVBD\tB-VP\tO' -p309421 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p309422 -aS'.\t.\t.\tO\tO' -p309423 -asS'Skin without rashes or lesions .' -p309424 -(lp309425 -S'Skin\tSkin\tNN\tB-NP\tO' -p309426 -aS'without\twithout\tIN\tB-PP\tO' -p309427 -aS'rashes\trash\tNNS\tB-NP\tO' -p309428 -aS'or\tor\tCC\tI-NP\tO' -p309429 -aS'lesions\tlesion\tNNS\tI-NP\tO' -p309430 -aS'.\t.\t.\tO\tO' -p309431 -asS'2. Atorvastatin Calcium 20 mg Tablet Sig : One ( 1 ) Tablet PO QD ( once a day ).' -p309432 -(lp309433 -S'2.\t2.\tLS\tB-NP\tO' -p309434 -aS'Atorvastatin\tAtorvastatin\tNN\tI-NP\tO' -p309435 -aS'Calcium\tCalcium\tNN\tI-NP\tO' -p309436 -aS'20\t20\tCD\tI-NP\tO' -p309437 -aS'mg\tmg\tNN\tI-NP\tO' -p309438 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p309439 -aS'Sig\tSig\tNNP\tI-NP\tO' -p309440 -aS':\t:\t:\tO\tO' -p309441 -aS'One\tOne\tCD\tB-NP\tO' -p309442 -aS'(\t(\t(\tO\tO' -p309443 -aS'1\t1\tCD\tB-NP\tO' -p309444 -aS')\t)\t)\tO\tO' -p309445 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p309446 -aS'PO\tPO\tNN\tI-NP\tO' -p309447 -aS'QD\tQD\tNN\tI-NP\tO' -p309448 -aS'(\t(\t(\tO\tO' -p309449 -aS'once\tonce\tRB\tB-ADVP\tO' -p309450 -aS'a\ta\tDT\tB-NP\tO' -p309451 -aS'day\tday\tNN\tI-NP\tO' -p309452 -aS').\t).\t.\tO\tO' -p309453 -asS'5. Immunizations : received hepatitis B on 09-16 .' -p309454 -(lp309455 -S'5.\t5.\tCD\tB-NP\tO' -p309456 -aS'Immunizations\tImmunization\tNNS\tI-NP\tO' -p309457 -aS':\t:\t:\tO\tO' -p309458 -aS'received\treceive\tVBD\tB-VP\tO' -p309459 -aS'hepatitis\thepatitis\tNN\tB-NP\tO' -p309460 -aS'B\tB\tNN\tI-NP\tO' -p309461 -aS'on\ton\tIN\tB-PP\tO' -p309462 -aS'09-16\t09-16\tCD\tB-NP\tO' -p309463 -aS'.\t.\t.\tO\tO' -p309464 -asS'On the night of 05-13 , the patient continued to decline .' -p309465 -(lp309466 -S'On\tOn\tIN\tB-PP\tO' -p309467 -aS'the\tthe\tDT\tB-NP\tO' -p309468 -aS'night\tnight\tNN\tI-NP\tO' -p309469 -aS'of\tof\tIN\tB-PP\tO' -p309470 -aS'05-13\t05-13\tCD\tB-NP\tO' -p309471 -aS',\t,\t,\tO\tO' -p309472 -aS'the\tthe\tDT\tB-NP\tO' -p309473 -aS'patient\tpatient\tNN\tI-NP\tO' -p309474 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p309475 -aS'to\tto\tTO\tI-VP\tO' -p309476 -aS'decline\tdecline\tVB\tI-VP\tO' -p309477 -aS'.\t.\t.\tO\tO' -p309478 -asS'Patient had q.i.d. fingersticks with a Humalog sliding scale and NPH doses were cut in half while she was NPO , and they were brought back to her normal doses on the day of discharge with a full diet .' -p309479 -(lp309480 -S'Patient\tPatient\tNN\tB-NP\tO' -p309481 -aS'had\thave\tVBD\tB-VP\tO' -p309482 -aS'q.i.d.\tq.i.d.\tVBN\tI-VP\tO' -p309483 -aS'fingersticks\tfingerstick\tNNS\tB-NP\tO' -p309484 -aS'with\twith\tIN\tB-PP\tO' -p309485 -aS'a\ta\tDT\tB-NP\tO' -p309486 -aS'Humalog\tHumalog\tNNP\tI-NP\tO' -p309487 -aS'sliding\tslide\tVBG\tI-NP\tO' -p309488 -aS'scale\tscale\tNN\tI-NP\tO' -p309489 -aS'and\tand\tCC\tI-NP\tO' -p309490 -aS'NPH\tNPH\tNN\tI-NP\tB-protein' -p309491 -aS'doses\tdose\tNNS\tI-NP\tI-protein' -p309492 -aS'were\tbe\tVBD\tB-VP\tO' -p309493 -aS'cut\tcut\tVBN\tI-VP\tO' -p309494 -aS'in\tin\tIN\tB-PP\tO' -p309495 -aS'half\thalf\tNN\tB-NP\tO' -p309496 -aS'while\twhile\tIN\tB-SBAR\tO' -p309497 -aS'she\tshe\tPRP\tB-NP\tO' -p309498 -aS'was\tbe\tVBD\tB-VP\tO' -p309499 -aS'NPO\tNPO\tNN\tB-NP\tB-protein' -p309500 -aS',\t,\t,\tO\tO' -p309501 -aS'and\tand\tCC\tO\tO' -p309502 -aS'they\tthey\tPRP\tB-NP\tO' -p309503 -aS'were\tbe\tVBD\tB-VP\tO' -p309504 -aS'brought\tbring\tVBN\tI-VP\tO' -p309505 -aS'back\tback\tRB\tB-ADVP\tO' -p309506 -aS'to\tto\tTO\tB-PP\tO' -p309507 -aS'her\ther\tPRP$\tB-NP\tO' -p309508 -aS'normal\tnormal\tJJ\tI-NP\tO' -p309509 -aS'doses\tdose\tNNS\tI-NP\tO' -p309510 -aS'on\ton\tIN\tB-PP\tO' -p309511 -aS'the\tthe\tDT\tB-NP\tO' -p309512 -aS'day\tday\tNN\tI-NP\tO' -p309513 -aS'of\tof\tIN\tB-PP\tO' -p309514 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p309515 -aS'with\twith\tIN\tB-PP\tO' -p309516 -aS'a\ta\tDT\tB-NP\tO' -p309517 -aS'full\tfull\tJJ\tI-NP\tO' -p309518 -aS'diet\tdiet\tNN\tI-NP\tO' -p309519 -aS'.\t.\t.\tO\tO' -p309520 -asS'Her risk factors for coronary artery disease included a positive family history and an elevated cholesterol level .' -p309521 -(lp309522 -S'Her\tHer\tPRP$\tB-NP\tO' -p309523 -aS'risk\trisk\tNN\tI-NP\tO' -p309524 -aS'factors\tfactor\tNNS\tI-NP\tO' -p309525 -aS'for\tfor\tIN\tB-PP\tO' -p309526 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p309527 -aS'artery\tartery\tNN\tI-NP\tO' -p309528 -aS'disease\tdisease\tNN\tI-NP\tO' -p309529 -aS'included\tinclude\tVBD\tB-VP\tO' -p309530 -aS'a\ta\tDT\tB-NP\tO' -p309531 -aS'positive\tpositive\tJJ\tI-NP\tO' -p309532 -aS'family\tfamily\tNN\tI-NP\tO' -p309533 -aS'history\thistory\tNN\tI-NP\tO' -p309534 -aS'and\tand\tCC\tO\tO' -p309535 -aS'an\tan\tDT\tB-NP\tO' -p309536 -aS'elevated\televated\tJJ\tI-NP\tO' -p309537 -aS'cholesterol\tcholesterol\tNN\tI-NP\tO' -p309538 -aS'level\tlevel\tNN\tI-NP\tO' -p309539 -aS'.\t.\t.\tO\tO' -p309540 -asS'She is transferred to Rockdempbanri Hospital on 05-28-92 to continue her rehabilitation .' -p309541 -(lp309542 -S'She\tShe\tPRP\tB-NP\tO' -p309543 -aS'is\tbe\tVBZ\tB-VP\tO' -p309544 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p309545 -aS'to\tto\tTO\tB-PP\tO' -p309546 -aS'Rockdempbanri\tRockdempbanri\tNNP\tB-NP\tO' -p309547 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p309548 -aS'on\ton\tIN\tB-PP\tO' -p309549 -aS'05-28-92\t05-28-92\tCD\tB-NP\tO' -p309550 -aS'to\tto\tTO\tB-VP\tO' -p309551 -aS'continue\tcontinue\tVB\tI-VP\tO' -p309552 -aS'her\ther\tPRP$\tB-NP\tO' -p309553 -aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' -p309554 -aS'.\t.\t.\tO\tO' -p309555 -asS'After this , the patient had no further problems with her rate control .' -p309556 -(lp309557 -S'After\tAfter\tIN\tB-PP\tO' -p309558 -aS'this\tthis\tDT\tB-NP\tO' -p309559 -aS',\t,\t,\tO\tO' -p309560 -aS'the\tthe\tDT\tB-NP\tO' -p309561 -aS'patient\tpatient\tNN\tI-NP\tO' -p309562 -aS'had\thave\tVBD\tB-VP\tO' -p309563 -aS'no\tno\tDT\tB-NP\tO' -p309564 -aS'further\tfurther\tJJ\tI-NP\tO' -p309565 -aS'problems\tproblem\tNNS\tI-NP\tO' -p309566 -aS'with\twith\tIN\tB-PP\tO' -p309567 -aS'her\ther\tPRP$\tB-NP\tO' -p309568 -aS'rate\trate\tNN\tI-NP\tO' -p309569 -aS'control\tcontrol\tNN\tI-NP\tO' -p309570 -aS'.\t.\t.\tO\tO' -p309571 -asS'He was transferred to the Intensive Care Unit on 12/12/90 on Gentamicin , Vancomycin , Pentamidine , and Prednisone .' -p309572 -(lp309573 -S'He\tHe\tPRP\tB-NP\tO' -p309574 -aS'was\tbe\tVBD\tB-VP\tO' -p309575 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p309576 -aS'to\tto\tTO\tB-PP\tO' -p309577 -aS'the\tthe\tDT\tB-NP\tO' -p309578 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p309579 -aS'Care\tCare\tNNP\tI-NP\tO' -p309580 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p309581 -aS'on\ton\tIN\tB-PP\tO' -p309582 -aS'12/12/90\t12/12/90\tCD\tB-NP\tO' -p309583 -aS'on\ton\tIN\tB-PP\tO' -p309584 -aS'Gentamicin\tGentamicin\tNN\tB-NP\tO' -p309585 -aS',\t,\t,\tO\tO' -p309586 -aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' -p309587 -aS',\t,\t,\tO\tO' -p309588 -aS'Pentamidine\tPentamidine\tNN\tB-NP\tO' -p309589 -aS',\t,\t,\tO\tO' -p309590 -aS'and\tand\tCC\tO\tO' -p309591 -aS'Prednisone\tPrednisone\tNN\tB-NP\tO' -p309592 -aS'.\t.\t.\tO\tO' -p309593 -asS'Coumadin was restarted , and her anticoagulation came into range .' -p309594 -(lp309595 -S'Coumadin\tCoumadin\tNN\tB-NP\tO' -p309596 -aS'was\tbe\tVBD\tB-VP\tO' -p309597 -aS'restarted\trestart\tVBN\tI-VP\tO' -p309598 -aS',\t,\t,\tO\tO' -p309599 -aS'and\tand\tCC\tO\tO' -p309600 -aS'her\ther\tPRP$\tB-NP\tO' -p309601 -aS'anticoagulation\tanticoagulation\tNN\tI-NP\tO' -p309602 -aS'came\tcome\tVBD\tB-VP\tO' -p309603 -aS'into\tinto\tIN\tB-PP\tO' -p309604 -aS'range\trange\tNN\tB-NP\tO' -p309605 -aS'.\t.\t.\tO\tO' -p309606 -asS'The infusion was completed without incidence .' -p309607 -(lp309608 -S'The\tThe\tDT\tB-NP\tO' -p309609 -aS'infusion\tinfusion\tNN\tI-NP\tO' -p309610 -aS'was\tbe\tVBD\tB-VP\tO' -p309611 -aS'completed\tcomplete\tVBN\tI-VP\tO' -p309612 -aS'without\twithout\tIN\tB-PP\tO' -p309613 -aS'incidence\tincidence\tNN\tB-NP\tO' -p309614 -aS'.\t.\t.\tO\tO' -p309615 -asS'He had a repeat echocardiogram which revealed a trivial / physiologic pericardial effusion .' -p309616 -(lp309617 -S'He\tHe\tPRP\tB-NP\tO' -p309618 -aS'had\thave\tVBD\tB-VP\tO' -p309619 -aS'a\ta\tDT\tB-NP\tO' -p309620 -aS'repeat\trepeat\tNN\tI-NP\tO' -p309621 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p309622 -aS'which\twhich\tWDT\tB-NP\tO' -p309623 -aS'revealed\treveal\tVBD\tB-VP\tO' -p309624 -aS'a\ta\tDT\tB-NP\tO' -p309625 -aS'trivial\ttrivial\tJJ\tI-NP\tO' -p309626 -aS'/\t/\tSYM\tI-NP\tO' -p309627 -aS'physiologic\tphysiologic\tJJ\tI-NP\tO' -p309628 -aS'pericardial\tpericardial\tJJ\tI-NP\tO' -p309629 -aS'effusion\teffusion\tNN\tI-NP\tO' -p309630 -aS'.\t.\t.\tO\tO' -p309631 -asS'On hospital day three , Mr. Roach had developed an episode of tachycardia and tachypnea .' -p309632 -(lp309633 -S'On\tOn\tIN\tB-PP\tO' -p309634 -aS'hospital\thospital\tNN\tB-NP\tO' -p309635 -aS'day\tday\tNN\tI-NP\tO' -p309636 -aS'three\tthree\tCD\tI-NP\tO' -p309637 -aS',\t,\t,\tO\tO' -p309638 -aS'Mr.\tMr.\tNNP\tB-NP\tO' -p309639 -aS'Roach\tRoach\tNNP\tI-NP\tO' -p309640 -aS'had\thave\tVBD\tB-VP\tO' -p309641 -aS'developed\tdevelop\tVBN\tI-VP\tO' -p309642 -aS'an\tan\tDT\tB-NP\tO' -p309643 -aS'episode\tepisode\tNN\tI-NP\tO' -p309644 -aS'of\tof\tIN\tB-PP\tO' -p309645 -aS'tachycardia\ttachycardia\tNN\tB-NP\tO' -p309646 -aS'and\tand\tCC\tI-NP\tO' -p309647 -aS'tachypnea\ttachypnea\tNN\tI-NP\tO' -p309648 -aS'.\t.\t.\tO\tO' -p309649 -asS'- Retroperitoneal Squamous Cell Carcinoma of unknown primary , dx' -p309650 -(lp309651 -S'-\t-\tHYPH\tB-NP\tO' -p309652 -aS'Retroperitoneal\tRetroperitoneal\tJJ\tI-NP\tO' -p309653 -aS'Squamous\tSquamous\tJJ\tI-NP\tO' -p309654 -aS'Cell\tCell\tNN\tI-NP\tO' -p309655 -aS'Carcinoma\tCarcinoma\tNN\tI-NP\tO' -p309656 -aS'of\tof\tIN\tB-PP\tO' -p309657 -aS'unknown\tunknown\tJJ\tB-NP\tO' -p309658 -aS'primary\tprimary\tJJ\tI-NP\tO' -p309659 -aS',\t,\t,\tI-NP\tO' -p309660 -aS'dx\tdx\tNN\tI-NP\tO' -p309661 -asS'Respiratory rate 14 .' -p309662 -(lp309663 -S'Respiratory\tRespiratory\tJJ\tB-NP\tO' -p309664 -aS'rate\trate\tNN\tI-NP\tO' -p309665 -aS'14\t14\tCD\tI-NP\tO' -p309666 -aS'.\t.\t.\tO\tO' -p309667 -asS'PT 9.4/10.3 , PTT 27 .' -p309668 -(lp309669 -S'PT\tPT\tNN\tB-NP\tB-protein' -p309670 -aS'9.4/10.3\t9.4/10.3\tCD\tI-NP\tI-protein' -p309671 -aS',\t,\t,\tO\tO' -p309672 -aS'PTT\tPTT\tNN\tB-NP\tO' -p309673 -aS'27\t27\tCD\tI-NP\tO' -p309674 -aS'.\t.\t.\tO\tO' -p309675 -asS'Her creatinine continued to increase , likely due to her worsening liver failure .' -p309676 -(lp309677 -S'Her\tHer\tPRP$\tB-NP\tO' -p309678 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p309679 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p309680 -aS'to\tto\tTO\tI-VP\tO' -p309681 -aS'increase\tincrease\tVB\tI-VP\tO' -p309682 -aS',\t,\t,\tO\tO' -p309683 -aS'likely\tlikely\tRB\tB-ADJP\tO' -p309684 -aS'due\tdue\tIN\tB-PP\tO' -p309685 -aS'to\tto\tTO\tB-PP\tO' -p309686 -aS'her\ther\tPRP$\tB-NP\tO' -p309687 -aS'worsening\tworsen\tVBG\tI-NP\tO' -p309688 -aS'liver\tliver\tNN\tI-NP\tO' -p309689 -aS'failure\tfailure\tNN\tI-NP\tO' -p309690 -aS'.\t.\t.\tO\tO' -p309691 -asS'A Neurosurgery Service consultation was obtained and they felt that no surgical intervention was required .' -p309692 -(lp309693 -S'A\tA\tDT\tB-NP\tO' -p309694 -aS'Neurosurgery\tNeurosurgery\tNNP\tI-NP\tO' -p309695 -aS'Service\tService\tNNP\tI-NP\tO' -p309696 -aS'consultation\tconsultation\tNN\tI-NP\tO' -p309697 -aS'was\tbe\tVBD\tB-VP\tO' -p309698 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p309699 -aS'and\tand\tCC\tO\tO' -p309700 -aS'they\tthey\tPRP\tB-NP\tO' -p309701 -aS'felt\tfeel\tVBD\tB-VP\tO' -p309702 -aS'that\tthat\tIN\tB-SBAR\tO' -p309703 -aS'no\tno\tDT\tB-NP\tO' -p309704 -aS'surgical\tsurgical\tJJ\tI-NP\tO' -p309705 -aS'intervention\tintervention\tNN\tI-NP\tO' -p309706 -aS'was\tbe\tVBD\tB-VP\tO' -p309707 -aS'required\trequire\tVBN\tI-VP\tO' -p309708 -aS'.\t.\t.\tO\tO' -p309709 -asS'5. blunt fracture of the neck of the pancreas .' -p309710 -(lp309711 -S'5.\t5.\tLS\tB-NP\tO' -p309712 -aS'blunt\tblunt\tNN\tI-NP\tO' -p309713 -aS'fracture\tfracture\tNN\tI-NP\tO' -p309714 -aS'of\tof\tIN\tB-PP\tO' -p309715 -aS'the\tthe\tDT\tB-NP\tO' -p309716 -aS'neck\tneck\tNN\tI-NP\tO' -p309717 -aS'of\tof\tIN\tB-PP\tO' -p309718 -aS'the\tthe\tDT\tB-NP\tO' -p309719 -aS'pancreas\tpancreas\tNN\tI-NP\tO' -p309720 -aS'.\t.\t.\tO\tO' -p309721 -asS'4. HISTORY OF COLON CANCER , STATUS POST RESECTION .' -p309722 -(lp309723 -S'4.\t4.\tLS\tB-NP\tO' -p309724 -aS'HISTORY\tHISTORY\tNN\tI-NP\tO' -p309725 -aS'OF\tOF\tIN\tB-PP\tO' -p309726 -aS'COLON\tCOLON\tNN\tB-NP\tO' -p309727 -aS'CANCER\tCANCER\tNN\tI-NP\tO' -p309728 -aS',\t,\t,\tO\tO' -p309729 -aS'STATUS\tSTATUS\tNNP\tB-NP\tO' -p309730 -aS'POST\tPOST\tNNP\tI-NP\tO' -p309731 -aS'RESECTION\tRESECTION\tNNP\tI-NP\tO' -p309732 -aS'.\t.\t.\tO\tO' -p309733 -asS'There is evidence of bilateral occipital and cerebellar infarctions as well .' -p309734 -(lp309735 -S'There\tThere\tEX\tB-NP\tO' -p309736 -aS'is\tbe\tVBZ\tB-VP\tO' -p309737 -aS'evidence\tevidence\tNN\tB-NP\tO' -p309738 -aS'of\tof\tIN\tB-PP\tO' -p309739 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p309740 -aS'occipital\toccipital\tNN\tI-NP\tO' -p309741 -aS'and\tand\tCC\tO\tO' -p309742 -aS'cerebellar\tcerebellar\tJJ\tB-NP\tO' -p309743 -aS'infarctions\tinfarction\tNNS\tI-NP\tO' -p309744 -aS'as\tas\tRB\tB-ADVP\tO' -p309745 -aS'well\twell\tRB\tI-ADVP\tO' -p309746 -aS'.\t.\t.\tO\tO' -p309747 -asS'Bibasilar crackles , right greater than left , no wheezes .' -p309748 -(lp309749 -S'Bibasilar\tBibasilar\tJJ\tB-NP\tO' -p309750 -aS'crackles\tcrackle\tNNS\tI-NP\tO' -p309751 -aS',\t,\t,\tO\tO' -p309752 -aS'right\tright\tRB\tB-ADVP\tO' -p309753 -aS'greater\tgreat\tJJR\tI-ADVP\tO' -p309754 -aS'than\tthan\tIN\tB-PP\tO' -p309755 -aS'left\tleft\tJJ\tB-ADJP\tO' -p309756 -aS',\t,\t,\tO\tO' -p309757 -aS'no\tno\tDT\tB-NP\tO' -p309758 -aS'wheezes\twheeze\tNNS\tI-NP\tO' -p309759 -aS'.\t.\t.\tO\tO' -p309760 -asS'# n/v/ abdominal pain : pt with multiple admissions with similar complaints , etiology 02-08 gastroparesis , improves considerably with ativan , dilaudid , reglan , pt was tolerating PO meds / diet at time of admission to medical service and was restarted on oral reglan .' -p309761 -(lp309762 -S'#\t#\t#\tB-NP\tO' -p309763 -aS'n/v/\tn/v/\tJJ\tI-NP\tO' -p309764 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p309765 -aS'pain\tpain\tNN\tI-NP\tO' -p309766 -aS':\t:\t:\tO\tO' -p309767 -aS'pt\tpt\tNN\tB-NP\tO' -p309768 -aS'with\twith\tIN\tB-PP\tO' -p309769 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p309770 -aS'admissions\tadmission\tNNS\tI-NP\tO' -p309771 -aS'with\twith\tIN\tB-PP\tO' -p309772 -aS'similar\tsimilar\tJJ\tB-NP\tO' -p309773 -aS'complaints\tcomplaint\tNNS\tI-NP\tO' -p309774 -aS',\t,\t,\tO\tO' -p309775 -aS'etiology\tetiology\tNN\tB-NP\tO' -p309776 -aS'02-08\t02-08\tCD\tI-NP\tO' -p309777 -aS'gastroparesis\tgastroparesis\tNN\tI-NP\tO' -p309778 -aS',\t,\t,\tO\tO' -p309779 -aS'improves\timprove\tVBZ\tB-VP\tO' -p309780 -aS'considerably\tconsiderably\tRB\tB-ADVP\tO' -p309781 -aS'with\twith\tIN\tB-PP\tO' -p309782 -aS'ativan\tativan\tNN\tB-NP\tO' -p309783 -aS',\t,\t,\tO\tO' -p309784 -aS'dilaudid\tdilaudid\tNN\tB-NP\tO' -p309785 -aS',\t,\t,\tO\tO' -p309786 -aS'reglan\treglan\tNN\tB-NP\tO' -p309787 -aS',\t,\t,\tO\tO' -p309788 -aS'pt\tpt\tNN\tB-NP\tO' -p309789 -aS'was\tbe\tVBD\tB-VP\tO' -p309790 -aS'tolerating\ttolerate\tVBG\tI-VP\tO' -p309791 -aS'PO\tPO\tNN\tB-NP\tO' -p309792 -aS'meds\tmed\tNNS\tI-NP\tO' -p309793 -aS'/\t/\tSYM\tB-NP\tO' -p309794 -aS'diet\tdiet\tNN\tI-NP\tO' -p309795 -aS'at\tat\tIN\tB-PP\tO' -p309796 -aS'time\ttime\tNN\tB-NP\tO' -p309797 -aS'of\tof\tIN\tB-PP\tO' -p309798 -aS'admission\tadmission\tNN\tB-NP\tO' -p309799 -aS'to\tto\tTO\tB-PP\tO' -p309800 -aS'medical\tmedical\tJJ\tB-NP\tO' -p309801 -aS'service\tservice\tNN\tI-NP\tO' -p309802 -aS'and\tand\tCC\tO\tO' -p309803 -aS'was\tbe\tVBD\tB-VP\tO' -p309804 -aS'restarted\trestart\tVBN\tI-VP\tO' -p309805 -aS'on\ton\tIN\tB-PP\tO' -p309806 -aS'oral\toral\tJJ\tB-NP\tO' -p309807 -aS'reglan\treglan\tNN\tI-NP\tO' -p309808 -aS'.\t.\t.\tO\tO' -p309809 -asS'Negative for tobacco , negative for alcohol .' -p309810 -(lp309811 -S'Negative\tNegative\tJJ\tB-ADJP\tO' -p309812 -aS'for\tfor\tIN\tB-PP\tO' -p309813 -aS'tobacco\ttobacco\tNN\tB-NP\tO' -p309814 -aS',\t,\t,\tO\tO' -p309815 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p309816 -aS'for\tfor\tIN\tB-PP\tO' -p309817 -aS'alcohol\talcohol\tNN\tB-NP\tO' -p309818 -aS'.\t.\t.\tO\tO' -p309819 -asS'There was a dominant right vertebral artery .' -p309820 -(lp309821 -S'There\tThere\tEX\tB-NP\tO' -p309822 -aS'was\tbe\tVBD\tB-VP\tO' -p309823 -aS'a\ta\tDT\tB-NP\tO' -p309824 -aS'dominant\tdominant\tJJ\tI-NP\tO' -p309825 -aS'right\tright\tJJ\tI-NP\tO' -p309826 -aS'vertebral\tvertebral\tJJ\tI-NP\tO' -p309827 -aS'artery\tartery\tNN\tI-NP\tO' -p309828 -aS'.\t.\t.\tO\tO' -p309829 -asS'This was a drop from an immediate postoperative hematocrit of 35.4 .' -p309830 -(lp309831 -S'This\tThis\tDT\tB-NP\tO' -p309832 -aS'was\tbe\tVBD\tB-VP\tO' -p309833 -aS'a\ta\tDT\tB-NP\tO' -p309834 -aS'drop\tdrop\tNN\tI-NP\tO' -p309835 -aS'from\tfrom\tIN\tB-PP\tO' -p309836 -aS'an\tan\tDT\tB-NP\tO' -p309837 -aS'immediate\timmediate\tJJ\tI-NP\tO' -p309838 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p309839 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p309840 -aS'of\tof\tIN\tB-PP\tO' -p309841 -aS'35.4\t35.4\tCD\tB-NP\tO' -p309842 -aS'.\t.\t.\tO\tO' -p309843 -asS'The patient has a history of deep venous thrombosis in 1990 , for which she received 6 months of Coumadin .' -p309844 -(lp309845 -S'The\tThe\tDT\tB-NP\tO' -p309846 -aS'patient\tpatient\tNN\tI-NP\tO' -p309847 -aS'has\thave\tVBZ\tB-VP\tO' -p309848 -aS'a\ta\tDT\tB-NP\tO' -p309849 -aS'history\thistory\tNN\tI-NP\tO' -p309850 -aS'of\tof\tIN\tB-PP\tO' -p309851 -aS'deep\tdeep\tJJ\tB-NP\tO' -p309852 -aS'venous\tvenous\tJJ\tI-NP\tO' -p309853 -aS'thrombosis\tthrombosis\tNN\tI-NP\tO' -p309854 -aS'in\tin\tIN\tB-PP\tO' -p309855 -aS'1990\t1990\tCD\tB-NP\tO' -p309856 -aS',\t,\t,\tO\tO' -p309857 -aS'for\tfor\tIN\tB-PP\tO' -p309858 -aS'which\twhich\tWDT\tB-NP\tO' -p309859 -aS'she\tshe\tPRP\tB-NP\tO' -p309860 -aS'received\treceive\tVBD\tB-VP\tO' -p309861 -aS'6\t6\tCD\tB-NP\tO' -p309862 -aS'months\tmonth\tNNS\tI-NP\tO' -p309863 -aS'of\tof\tIN\tB-PP\tO' -p309864 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p309865 -aS'.\t.\t.\tO\tO' -p309866 -asS'13. Left prosthetic CMED CCU .' -p309867 -(lp309868 -S'13.\t13.\tLS\tB-LST\tO' -p309869 -aS'Left\tLeave\tVBD\tB-VP\tO' -p309870 -aS'prosthetic\tprosthetic\tJJ\tB-NP\tO' -p309871 -aS'CMED\tCMED\tJJ\tI-NP\tO' -p309872 -aS'CCU\tCCU\tNN\tI-NP\tO' -p309873 -aS'.\t.\t.\tO\tO' -p309874 -asS'Plain films taken by his orthopedist in Mongcana Ster Staarv revealed some soft tissue calcification within the medial and lateral compartments of the joint .' -p309875 -(lp309876 -S'Plain\tPlain\tNN\tB-NP\tO' -p309877 -aS'films\tfilm\tNNS\tI-NP\tO' -p309878 -aS'taken\ttake\tVBN\tB-VP\tO' -p309879 -aS'by\tby\tIN\tB-PP\tO' -p309880 -aS'his\this\tPRP$\tB-NP\tO' -p309881 -aS'orthopedist\torthopedist\tNN\tI-NP\tO' -p309882 -aS'in\tin\tIN\tB-PP\tO' -p309883 -aS'Mongcana\tMongcana\tNNP\tB-NP\tO' -p309884 -aS'Ster\tSter\tNNP\tI-NP\tO' -p309885 -aS'Staarv\tStaarv\tNNP\tI-NP\tO' -p309886 -aS'revealed\treveal\tVBD\tB-VP\tO' -p309887 -aS'some\tsome\tDT\tB-NP\tO' -p309888 -aS'soft\tsoft\tJJ\tI-NP\tO' -p309889 -aS'tissue\ttissue\tNN\tI-NP\tO' -p309890 -aS'calcification\tcalcification\tNN\tI-NP\tO' -p309891 -aS'within\twithin\tIN\tB-PP\tO' -p309892 -aS'the\tthe\tDT\tB-NP\tO' -p309893 -aS'medial\tmedial\tJJ\tI-NP\tO' -p309894 -aS'and\tand\tCC\tI-NP\tO' -p309895 -aS'lateral\tlateral\tJJ\tI-NP\tO' -p309896 -aS'compartments\tcompartment\tNNS\tI-NP\tO' -p309897 -aS'of\tof\tIN\tB-PP\tO' -p309898 -aS'the\tthe\tDT\tB-NP\tO' -p309899 -aS'joint\tjoint\tNN\tI-NP\tO' -p309900 -aS'.\t.\t.\tO\tO' -p309901 -asS'She had been managed as an outpatient during her pregnancy and was on multiple medications including Lasix 40 mg daily , Hydralazine 25 mg daily , Toprol XL 100 mg daily , digoxin 0.5 mg daily and Lovenox 40 mg twice daily subcutaneously .' -p309902 -(lp309903 -S'She\tShe\tPRP\tB-NP\tO' -p309904 -aS'had\thave\tVBD\tB-VP\tO' -p309905 -aS'been\tbe\tVBN\tI-VP\tO' -p309906 -aS'managed\tmanage\tVBN\tI-VP\tO' -p309907 -aS'as\tas\tIN\tB-PP\tO' -p309908 -aS'an\tan\tDT\tB-NP\tO' -p309909 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p309910 -aS'during\tduring\tIN\tB-PP\tO' -p309911 -aS'her\ther\tPRP$\tB-NP\tO' -p309912 -aS'pregnancy\tpregnancy\tNN\tI-NP\tO' -p309913 -aS'and\tand\tCC\tO\tO' -p309914 -aS'was\tbe\tVBD\tB-VP\tO' -p309915 -aS'on\ton\tIN\tB-PP\tO' -p309916 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p309917 -aS'medications\tmedication\tNNS\tI-NP\tO' -p309918 -aS'including\tinclude\tVBG\tB-PP\tO' -p309919 -aS'Lasix\tLasix\tNNP\tB-NP\tO' -p309920 -aS'40\t40\tCD\tI-NP\tO' -p309921 -aS'mg\tmg\tNN\tI-NP\tO' -p309922 -aS'daily\tdaily\tJJ\tI-NP\tO' -p309923 -aS',\t,\t,\tO\tO' -p309924 -aS'Hydralazine\tHydralazine\tNN\tB-NP\tO' -p309925 -aS'25\t25\tCD\tI-NP\tO' -p309926 -aS'mg\tmg\tNN\tI-NP\tO' -p309927 -aS'daily\tdaily\tRB\tB-ADVP\tO' -p309928 -aS',\t,\t,\tO\tO' -p309929 -aS'Toprol\tToprol\tNNP\tB-NP\tO' -p309930 -aS'XL\tXL\tNNP\tI-NP\tO' -p309931 -aS'100\t100\tCD\tI-NP\tO' -p309932 -aS'mg\tmg\tNN\tI-NP\tO' -p309933 -aS'daily\tdaily\tJJ\tI-NP\tO' -p309934 -aS',\t,\t,\tO\tO' -p309935 -aS'digoxin\tdigoxin\tNN\tB-NP\tO' -p309936 -aS'0.5\t0.5\tCD\tI-NP\tO' -p309937 -aS'mg\tmg\tNN\tI-NP\tO' -p309938 -aS'daily\tdaily\tJJ\tI-NP\tO' -p309939 -aS'and\tand\tCC\tI-NP\tO' -p309940 -aS'Lovenox\tLovenox\tNNP\tI-NP\tO' -p309941 -aS'40\t40\tCD\tI-NP\tO' -p309942 -aS'mg\tmg\tNN\tI-NP\tO' -p309943 -aS'twice\ttwice\tRB\tB-ADVP\tO' -p309944 -aS'daily\tdaily\tRB\tI-ADVP\tO' -p309945 -aS'subcutaneously\tsubcutaneously\tRB\tI-ADVP\tO' -p309946 -aS'.\t.\t.\tO\tO' -p309947 -asS'On day of delivery mother presented in spontaneous labor .' -p309948 -(lp309949 -S'On\tOn\tIN\tB-PP\tO' -p309950 -aS'day\tday\tNN\tB-NP\tO' -p309951 -aS'of\tof\tIN\tB-PP\tO' -p309952 -aS'delivery\tdelivery\tNN\tB-NP\tO' -p309953 -aS'mother\tmother\tNN\tI-NP\tO' -p309954 -aS'presented\tpresent\tVBN\tB-VP\tO' -p309955 -aS'in\tin\tIN\tB-PP\tO' -p309956 -aS'spontaneous\tspontaneous\tJJ\tB-NP\tO' -p309957 -aS'labor\tlabor\tNN\tI-NP\tO' -p309958 -aS'.\t.\t.\tO\tO' -p309959 -asS'2) Calcium gluconate 1000 mg p.o. q day .' -p309960 -(lp309961 -S'2)\t2)\tLS\tB-NP\tO' -p309962 -aS'Calcium\tCalcium\tNN\tI-NP\tO' -p309963 -aS'gluconate\tgluconate\tNN\tI-NP\tO' -p309964 -aS'1000\t1000\tCD\tI-NP\tO' -p309965 -aS'mg\tmg\tNN\tI-NP\tO' -p309966 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p309967 -aS'q\tq\tNN\tI-NP\tO' -p309968 -aS'day\tday\tNN\tI-NP\tO' -p309969 -aS'.\t.\t.\tO\tO' -p309970 -asS'He has a son who is an orthopedic surgeon .' -p309971 -(lp309972 -S'He\tHe\tPRP\tB-NP\tO' -p309973 -aS'has\thave\tVBZ\tB-VP\tO' -p309974 -aS'a\ta\tDT\tB-NP\tO' -p309975 -aS'son\tson\tNN\tI-NP\tO' -p309976 -aS'who\twho\tWP\tB-NP\tO' -p309977 -aS'is\tbe\tVBZ\tB-VP\tO' -p309978 -aS'an\tan\tDT\tB-NP\tO' -p309979 -aS'orthopedic\torthopedic\tJJ\tI-NP\tO' -p309980 -aS'surgeon\tsurgeon\tNN\tI-NP\tO' -p309981 -aS'.\t.\t.\tO\tO' -p309982 -asS'Her hematocrit remained stable for 4 days prior to discharge .' -p309983 -(lp309984 -S'Her\tHer\tPRP$\tB-NP\tO' -p309985 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p309986 -aS'remained\tremain\tVBD\tB-VP\tO' -p309987 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p309988 -aS'for\tfor\tIN\tB-PP\tO' -p309989 -aS'4\t4\tCD\tB-NP\tO' -p309990 -aS'days\tday\tNNS\tI-NP\tO' -p309991 -aS'prior\tprior\tRB\tB-ADVP\tO' -p309992 -aS'to\tto\tTO\tB-VP\tO' -p309993 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p309994 -aS'.\t.\t.\tO\tO' -p309995 -asS'Cesarean section x 2 , spontaneous abortion x 1 .' -p309996 -(lp309997 -S'Cesarean\tCesarean\tJJ\tB-NP\tO' -p309998 -aS'section\tsection\tNN\tI-NP\tO' -p309999 -aS'x\tx\tSYM\tB-NP\tO' -p310000 -aS'2\t2\tCD\tI-NP\tO' -p310001 -aS',\t,\t,\tO\tO' -p310002 -aS'spontaneous\tspontaneous\tJJ\tB-NP\tO' -p310003 -aS'abortion\tabortion\tNN\tI-NP\tO' -p310004 -aS'x\tx\tSYM\tB-NP\tO' -p310005 -aS'1\t1\tCD\tI-NP\tO' -p310006 -aS'.\t.\t.\tO\tO' -p310007 -asS's/p stroke : continue aspirin , statin , plavix' -p310008 -(lp310009 -S's/p\ts/p\tNN\tB-NP\tO' -p310010 -aS'stroke\tstroke\tVBD\tB-VP\tO' -p310011 -aS':\t:\t:\tO\tO' -p310012 -aS'continue\tcontinue\tVB\tB-VP\tO' -p310013 -aS'aspirin\taspirin\tNN\tB-NP\tO' -p310014 -aS',\t,\t,\tO\tO' -p310015 -aS'statin\tstatin\tNN\tB-NP\tO' -p310016 -aS',\t,\t,\tO\tO' -p310017 -aS'plavix\tplavix\tNN\tB-NP\tO' -p310018 -asS'A hearing screen was performed with automated auditory brain stem responses and the infant passed on both ears .' -p310019 -(lp310020 -S'A\tA\tDT\tB-NP\tO' -p310021 -aS'hearing\thearing\tNN\tI-NP\tO' -p310022 -aS'screen\tscreen\tNN\tI-NP\tO' -p310023 -aS'was\tbe\tVBD\tB-VP\tO' -p310024 -aS'performed\tperform\tVBN\tI-VP\tO' -p310025 -aS'with\twith\tIN\tB-PP\tO' -p310026 -aS'automated\tautomate\tVBN\tB-NP\tO' -p310027 -aS'auditory\tauditory\tJJ\tI-NP\tO' -p310028 -aS'brain\tbrain\tNN\tI-NP\tO' -p310029 -aS'stem\tstem\tNN\tI-NP\tO' -p310030 -aS'responses\tresponse\tNNS\tI-NP\tO' -p310031 -aS'and\tand\tCC\tO\tO' -p310032 -aS'the\tthe\tDT\tB-NP\tO' -p310033 -aS'infant\tinfant\tNN\tI-NP\tO' -p310034 -aS'passed\tpass\tVBN\tB-VP\tO' -p310035 -aS'on\ton\tIN\tB-PP\tO' -p310036 -aS'both\tboth\tDT\tB-NP\tO' -p310037 -aS'ears\tear\tNNS\tI-NP\tO' -p310038 -aS'.\t.\t.\tO\tO' -p310039 -asS'She had a partial gastrectomy in 1972 .' -p310040 -(lp310041 -S'She\tShe\tPRP\tB-NP\tO' -p310042 -aS'had\thave\tVBD\tB-VP\tO' -p310043 -aS'a\ta\tDT\tB-NP\tO' -p310044 -aS'partial\tpartial\tJJ\tI-NP\tO' -p310045 -aS'gastrectomy\tgastrectomy\tNN\tI-NP\tO' -p310046 -aS'in\tin\tIN\tB-PP\tO' -p310047 -aS'1972\t1972\tCD\tB-NP\tO' -p310048 -aS'.\t.\t.\tO\tO' -p310049 -asS'2. Limited evaluation for known sigmoid-vesicle fistula .' -p310050 -(lp310051 -S'2.\t2.\tLS\tB-NP\tO' -p310052 -aS'Limited\tLimited\tJJ\tI-NP\tO' -p310053 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p310054 -aS'for\tfor\tIN\tB-PP\tO' -p310055 -aS'known\tknown\tJJ\tB-NP\tO' -p310056 -aS'sigmoid-vesicle\tsigmoid-vesicle\tNN\tI-NP\tO' -p310057 -aS'fistula\tfistula\tNN\tI-NP\tO' -p310058 -aS'.\t.\t.\tO\tO' -p310059 -asS'Baby was noted to have frequent spitting episodes .' -p310060 -(lp310061 -S'Baby\tBaby\tNNP\tB-NP\tO' -p310062 -aS'was\tbe\tVBD\tB-VP\tO' -p310063 -aS'noted\tnote\tVBN\tI-VP\tO' -p310064 -aS'to\tto\tTO\tI-VP\tO' -p310065 -aS'have\thave\tVB\tI-VP\tO' -p310066 -aS'frequent\tfrequent\tJJ\tB-NP\tO' -p310067 -aS'spitting\tspitting\tNN\tI-NP\tO' -p310068 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p310069 -aS'.\t.\t.\tO\tO' -p310070 -asS'A Holter monitor was obtained and showed that the patient was in normal sinus rhythm .' -p310071 -(lp310072 -S'A\tA\tDT\tB-NP\tO' -p310073 -aS'Holter\tHolter\tNNP\tI-NP\tO' -p310074 -aS'monitor\tmonitor\tNN\tI-NP\tO' -p310075 -aS'was\tbe\tVBD\tB-VP\tO' -p310076 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p310077 -aS'and\tand\tCC\tO\tO' -p310078 -aS'showed\tshow\tVBD\tB-VP\tO' -p310079 -aS'that\tthat\tIN\tB-SBAR\tO' -p310080 -aS'the\tthe\tDT\tB-NP\tO' -p310081 -aS'patient\tpatient\tNN\tI-NP\tO' -p310082 -aS'was\tbe\tVBD\tB-VP\tO' -p310083 -aS'in\tin\tIN\tB-PP\tO' -p310084 -aS'normal\tnormal\tJJ\tB-NP\tO' -p310085 -aS'sinus\tsinus\tNN\tI-NP\tO' -p310086 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p310087 -aS'.\t.\t.\tO\tO' -p310088 -asS'She defervesed by 12-02 and remained clinically stable with normal blood pressures until the day of discharge .' -p310089 -(lp310090 -S'She\tShe\tPRP\tB-NP\tO' -p310091 -aS'defervesed\tdefervese\tVBD\tB-VP\tO' -p310092 -aS'by\tby\tIN\tB-PP\tO' -p310093 -aS'12-02\t12-02\tCD\tB-NP\tO' -p310094 -aS'and\tand\tCC\tO\tO' -p310095 -aS'remained\tremain\tVBD\tB-VP\tO' -p310096 -aS'clinically\tclinically\tRB\tB-ADJP\tO' -p310097 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p310098 -aS'with\twith\tIN\tB-PP\tO' -p310099 -aS'normal\tnormal\tJJ\tB-NP\tO' -p310100 -aS'blood\tblood\tNN\tI-NP\tO' -p310101 -aS'pressures\tpressure\tNNS\tI-NP\tO' -p310102 -aS'until\tuntil\tIN\tB-SBAR\tO' -p310103 -aS'the\tthe\tDT\tB-NP\tO' -p310104 -aS'day\tday\tNN\tI-NP\tO' -p310105 -aS'of\tof\tIN\tB-PP\tO' -p310106 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p310107 -aS'.\t.\t.\tO\tO' -p310108 -asS'The patient should follow-up with Dr. Side in two weeks .' -p310109 -(lp310110 -S'The\tThe\tDT\tB-NP\tO' -p310111 -aS'patient\tpatient\tNN\tI-NP\tO' -p310112 -aS'should\tshould\tMD\tB-VP\tO' -p310113 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p310114 -aS'with\twith\tIN\tB-PP\tO' -p310115 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p310116 -aS'Side\tSide\tNNP\tI-NP\tO' -p310117 -aS'in\tin\tIN\tB-PP\tO' -p310118 -aS'two\ttwo\tCD\tB-NP\tO' -p310119 -aS'weeks\tweek\tNNS\tI-NP\tO' -p310120 -aS'.\t.\t.\tO\tO' -p310121 -asS'The patient did well and was discharged to a rehabilitation facility at that time .' -p310122 -(lp310123 -S'The\tThe\tDT\tB-NP\tO' -p310124 -aS'patient\tpatient\tNN\tI-NP\tO' -p310125 -aS'did\tdo\tVBD\tB-VP\tO' -p310126 -aS'well\twell\tRB\tB-ADVP\tO' -p310127 -aS'and\tand\tCC\tO\tO' -p310128 -aS'was\tbe\tVBD\tB-VP\tO' -p310129 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p310130 -aS'to\tto\tTO\tB-PP\tO' -p310131 -aS'a\ta\tDT\tB-NP\tO' -p310132 -aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' -p310133 -aS'facility\tfacility\tNN\tI-NP\tO' -p310134 -aS'at\tat\tIN\tB-PP\tO' -p310135 -aS'that\tthat\tDT\tB-NP\tO' -p310136 -aS'time\ttime\tNN\tI-NP\tO' -p310137 -aS'.\t.\t.\tO\tO' -p310138 -asS'Well-profused .' -p310139 -(lp310140 -S'Well-profused\tWell-profused\tJJ\tB-ADJP\tO' -p310141 -aS'.\t.\t.\tO\tO' -p310142 -asS'The patient has hypothyroidism , hypertension , and rheumatic fever age 6 with aortic stenosis .' -p310143 -(lp310144 -S'The\tThe\tDT\tB-NP\tO' -p310145 -aS'patient\tpatient\tNN\tI-NP\tO' -p310146 -aS'has\thave\tVBZ\tB-VP\tO' -p310147 -aS'hypothyroidism\thypothyroidism\tNN\tB-NP\tO' -p310148 -aS',\t,\t,\tO\tO' -p310149 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p310150 -aS',\t,\t,\tO\tO' -p310151 -aS'and\tand\tCC\tO\tO' -p310152 -aS'rheumatic\trheumatic\tJJ\tB-NP\tB-protein' -p310153 -aS'fever\tfever\tNN\tI-NP\tI-protein' -p310154 -aS'age\tage\tNN\tI-NP\tI-protein' -p310155 -aS'6\t6\tCD\tI-NP\tI-protein' -p310156 -aS'with\twith\tIN\tB-PP\tO' -p310157 -aS'aortic\taortic\tJJ\tB-NP\tO' -p310158 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p310159 -aS'.\t.\t.\tO\tO' -p310160 -asS'Normal perfusion .' -p310161 -(lp310162 -S'Normal\tNormal\tJJ\tB-NP\tO' -p310163 -aS'perfusion\tperfusion\tNN\tI-NP\tO' -p310164 -aS'.\t.\t.\tO\tO' -p310165 -asS'Right comminuted tibia / fibula fracture' -p310166 -(lp310167 -S'Right\tRight\tRB\tB-NP\tO' -p310168 -aS'comminuted\tcomminute\tVBN\tI-NP\tO' -p310169 -aS'tibia\ttibia\tNN\tI-NP\tO' -p310170 -aS'/\t/\tSYM\tO\tO' -p310171 -aS'fibula\tfibula\tNN\tB-NP\tO' -p310172 -aS'fracture\tfracture\tNN\tI-NP\tO' -p310173 -asS'AST 65 .' -p310174 -(lp310175 -S'AST\tAST\tNN\tB-NP\tO' -p310176 -aS'65\t65\tCD\tI-NP\tO' -p310177 -aS'.\t.\t.\tO\tO' -p310178 -asS'Pt was tolerating regular diet by HD4 , and GI felt that further workup could be continued as an outpatient .' -p310179 -(lp310180 -S'Pt\tPt\tNN\tB-NP\tO' -p310181 -aS'was\tbe\tVBD\tB-VP\tO' -p310182 -aS'tolerating\ttolerate\tVBG\tI-VP\tO' -p310183 -aS'regular\tregular\tJJ\tB-NP\tO' -p310184 -aS'diet\tdiet\tNN\tI-NP\tO' -p310185 -aS'by\tby\tIN\tB-PP\tO' -p310186 -aS'HD4\tHD4\tNN\tB-NP\tB-protein' -p310187 -aS',\t,\t,\tO\tO' -p310188 -aS'and\tand\tCC\tO\tO' -p310189 -aS'GI\tGI\tNN\tB-NP\tO' -p310190 -aS'felt\tfeel\tVBD\tB-VP\tO' -p310191 -aS'that\tthat\tDT\tO\tO' -p310192 -aS'further\tfurther\tJJ\tB-NP\tO' -p310193 -aS'workup\tworkup\tNN\tI-NP\tO' -p310194 -aS'could\tcould\tMD\tB-VP\tO' -p310195 -aS'be\tbe\tVB\tI-VP\tO' -p310196 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p310197 -aS'as\tas\tIN\tB-PP\tO' -p310198 -aS'an\tan\tDT\tB-NP\tO' -p310199 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p310200 -aS'.\t.\t.\tO\tO' -p310201 -asS'The abdomen was soft and non-tender .' -p310202 -(lp310203 -S'The\tThe\tDT\tB-NP\tO' -p310204 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p310205 -aS'was\tbe\tVBD\tB-VP\tO' -p310206 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p310207 -aS'and\tand\tCC\tI-ADJP\tO' -p310208 -aS'non-tender\tnon-tender\tJJ\tI-ADJP\tO' -p310209 -aS'.\t.\t.\tO\tO' -p310210 -asS'Because of her deteriorating status , she underwent prior cardiac catheterization , which confirmed severe mitral stenosis with secondary tricuspid valve regurgitation due to pulmonary hypertension .' -p310211 -(lp310212 -S'Because\tBecause\tIN\tB-PP\tO' -p310213 -aS'of\tof\tIN\tI-PP\tO' -p310214 -aS'her\ther\tPRP$\tB-NP\tO' -p310215 -aS'deteriorating\tdeteriorate\tVBG\tI-NP\tO' -p310216 -aS'status\tstatus\tNN\tI-NP\tO' -p310217 -aS',\t,\t,\tO\tO' -p310218 -aS'she\tshe\tPRP\tB-NP\tO' -p310219 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p310220 -aS'prior\tprior\tJJ\tB-NP\tO' -p310221 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p310222 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p310223 -aS',\t,\t,\tO\tO' -p310224 -aS'which\twhich\tWDT\tB-NP\tO' -p310225 -aS'confirmed\tconfirm\tVBD\tB-VP\tO' -p310226 -aS'severe\tsevere\tJJ\tB-NP\tO' -p310227 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p310228 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p310229 -aS'with\twith\tIN\tB-PP\tO' -p310230 -aS'secondary\tsecondary\tJJ\tB-NP\tO' -p310231 -aS'tricuspid\ttricuspid\tJJ\tI-NP\tO' -p310232 -aS'valve\tvalve\tNN\tI-NP\tO' -p310233 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p310234 -aS'due\tdue\tJJ\tB-ADJP\tO' -p310235 -aS'to\tto\tTO\tB-PP\tO' -p310236 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p310237 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p310238 -aS'.\t.\t.\tO\tO' -p310239 -asS"Consideration was given to treating the patient with a course of calcium channel blocker ; however , given the patient 's poor response to Lopressor , it was determined that this would not be optimal treatment for the patient 's pulmonary hypertension ." -p310240 -(lp310241 -S'Consideration\tConsideration\tNN\tB-NP\tO' -p310242 -aS'was\tbe\tVBD\tB-VP\tO' -p310243 -aS'given\tgive\tVBN\tI-VP\tO' -p310244 -aS'to\tto\tTO\tB-PP\tO' -p310245 -aS'treating\ttreat\tVBG\tB-VP\tO' -p310246 -aS'the\tthe\tDT\tB-NP\tO' -p310247 -aS'patient\tpatient\tNN\tI-NP\tO' -p310248 -aS'with\twith\tIN\tB-PP\tO' -p310249 -aS'a\ta\tDT\tB-NP\tO' -p310250 -aS'course\tcourse\tNN\tI-NP\tO' -p310251 -aS'of\tof\tIN\tB-PP\tO' -p310252 -aS'calcium\tcalcium\tNN\tB-NP\tO' -p310253 -aS'channel\tchannel\tNN\tI-NP\tO' -p310254 -aS'blocker\tblocker\tNN\tI-NP\tO' -p310255 -aS';\t;\t:\tO\tO' -p310256 -aS'however\thowever\tRB\tB-ADVP\tO' -p310257 -aS',\t,\t,\tO\tO' -p310258 -aS'given\tgive\tVBN\tB-PP\tO' -p310259 -aS'the\tthe\tDT\tB-NP\tO' -p310260 -aS'patient\tpatient\tNN\tI-NP\tO' -p310261 -aS"'s\t's\tPOS\tB-NP\tO" -p310262 -aS'poor\tpoor\tJJ\tI-NP\tO' -p310263 -aS'response\tresponse\tNN\tI-NP\tO' -p310264 -aS'to\tto\tTO\tB-PP\tO' -p310265 -aS'Lopressor\tLopressor\tNN\tB-NP\tO' -p310266 -aS',\t,\t,\tO\tO' -p310267 -aS'it\tit\tPRP\tB-NP\tO' -p310268 -aS'was\tbe\tVBD\tB-VP\tO' -p310269 -aS'determined\tdetermine\tVBN\tI-VP\tO' -p310270 -aS'that\tthat\tIN\tB-SBAR\tO' -p310271 -aS'this\tthis\tDT\tB-NP\tO' -p310272 -aS'would\twould\tMD\tB-VP\tO' -p310273 -aS'not\tnot\tRB\tI-VP\tO' -p310274 -aS'be\tbe\tVB\tI-VP\tO' -p310275 -aS'optimal\toptimal\tJJ\tB-NP\tO' -p310276 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p310277 -aS'for\tfor\tIN\tB-PP\tO' -p310278 -aS'the\tthe\tDT\tB-NP\tO' -p310279 -aS'patient\tpatient\tNN\tI-NP\tO' -p310280 -aS"'s\t's\tPOS\tB-NP\tO" -p310281 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p310282 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p310283 -aS'.\t.\t.\tO\tO' -p310284 -asS'Aggressive diuresis was undertaken and the patient responded , albeit sluggishly .' -p310285 -(lp310286 -S'Aggressive\tAggressive\tJJ\tB-NP\tO' -p310287 -aS'diuresis\tdiuresis\tNN\tI-NP\tO' -p310288 -aS'was\tbe\tVBD\tB-VP\tO' -p310289 -aS'undertaken\tundertake\tVBN\tI-VP\tO' -p310290 -aS'and\tand\tCC\tO\tO' -p310291 -aS'the\tthe\tDT\tB-NP\tO' -p310292 -aS'patient\tpatient\tNN\tI-NP\tO' -p310293 -aS'responded\trespond\tVBD\tB-VP\tO' -p310294 -aS',\t,\t,\tO\tO' -p310295 -aS'albeit\talbeit\tIN\tB-PP\tO' -p310296 -aS'sluggishly\tsluggishly\tRB\tB-ADVP\tO' -p310297 -aS'.\t.\t.\tO\tO' -p310298 -asS'3. Nystatin swish and swallow , 5 cc q. 8 hours .' -p310299 -(lp310300 -S'3.\t3.\tLS\tB-LST\tO' -p310301 -aS'Nystatin\tNystatin\tNN\tB-NP\tB-protein' -p310302 -aS'swish\tswish\tVB\tB-VP\tO' -p310303 -aS'and\tand\tCC\tI-VP\tO' -p310304 -aS'swallow\tswallow\tVB\tI-VP\tO' -p310305 -aS',\t,\t,\tO\tO' -p310306 -aS'5\t5\tCD\tB-NP\tO' -p310307 -aS'cc\tcc\tNN\tI-NP\tO' -p310308 -aS'q.\tq.\tNN\tI-NP\tO' -p310309 -aS'8\t8\tCD\tB-NP\tO' -p310310 -aS'hours\thour\tNNS\tI-NP\tO' -p310311 -aS'.\t.\t.\tO\tO' -p310312 -asS'Chemotherapy of IFEX , MESNA and VP-16 .' -p310313 -(lp310314 -S'Chemotherapy\tChemotherapy\tNN\tB-NP\tO' -p310315 -aS'of\tof\tIN\tB-PP\tO' -p310316 -aS'IFEX\tIFEX\tNN\tB-NP\tB-protein' -p310317 -aS',\t,\t,\tI-NP\tO' -p310318 -aS'MESNA\tMESNA\tNN\tI-NP\tB-protein' -p310319 -aS'and\tand\tCC\tI-NP\tO' -p310320 -aS'VP-16\tVP-16\tNN\tI-NP\tB-protein' -p310321 -aS'.\t.\t.\tO\tO' -p310322 -asS'The patient was taken to the Coronary Care Unit late on hospital day number two and received a temporary wire .' -p310323 -(lp310324 -S'The\tThe\tDT\tB-NP\tO' -p310325 -aS'patient\tpatient\tNN\tI-NP\tO' -p310326 -aS'was\tbe\tVBD\tB-VP\tO' -p310327 -aS'taken\ttake\tVBN\tI-VP\tO' -p310328 -aS'to\tto\tTO\tB-PP\tO' -p310329 -aS'the\tthe\tDT\tB-NP\tO' -p310330 -aS'Coronary\tCoronary\tNNP\tI-NP\tO' -p310331 -aS'Care\tCare\tNNP\tI-NP\tO' -p310332 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p310333 -aS'late\tlate\tRB\tB-ADVP\tO' -p310334 -aS'on\ton\tIN\tB-PP\tO' -p310335 -aS'hospital\thospital\tNN\tB-NP\tO' -p310336 -aS'day\tday\tNN\tI-NP\tO' -p310337 -aS'number\tnumber\tNN\tI-NP\tO' -p310338 -aS'two\ttwo\tCD\tB-NP\tO' -p310339 -aS'and\tand\tCC\tO\tO' -p310340 -aS'received\treceive\tVBD\tB-VP\tO' -p310341 -aS'a\ta\tDT\tB-NP\tO' -p310342 -aS'temporary\ttemporary\tJJ\tI-NP\tO' -p310343 -aS'wire\twire\tNN\tI-NP\tO' -p310344 -aS'.\t.\t.\tO\tO' -p310345 -asS'The patient was doing well with minimal to no belly pain and no nausea or vomiting .' -p310346 -(lp310347 -S'The\tThe\tDT\tB-NP\tO' -p310348 -aS'patient\tpatient\tNN\tI-NP\tO' -p310349 -aS'was\tbe\tVBD\tB-VP\tO' -p310350 -aS'doing\tdo\tVBG\tI-VP\tO' -p310351 -aS'well\twell\tRB\tB-ADVP\tO' -p310352 -aS'with\twith\tIN\tB-PP\tO' -p310353 -aS'minimal\tminimal\tJJ\tB-ADJP\tO' -p310354 -aS'to\tto\tTO\tB-PP\tO' -p310355 -aS'no\tno\tDT\tB-NP\tO' -p310356 -aS'belly\tbelly\tRB\tI-NP\tO' -p310357 -aS'pain\tpain\tNN\tI-NP\tO' -p310358 -aS'and\tand\tCC\tO\tO' -p310359 -aS'no\tno\tDT\tB-NP\tO' -p310360 -aS'nausea\tnausea\tNN\tI-NP\tO' -p310361 -aS'or\tor\tCC\tI-NP\tO' -p310362 -aS'vomiting\tvomiting\tNN\tI-NP\tO' -p310363 -aS'.\t.\t.\tO\tO' -p310364 -asS'10. Glucotrol 10 mg qam .' -p310365 -(lp310366 -S'10.\t10.\tCD\tB-NP\tO' -p310367 -aS'Glucotrol\tGlucotrol\tNN\tI-NP\tO' -p310368 -aS'10\t10\tCD\tB-NP\tO' -p310369 -aS'mg\tmg\tNN\tI-NP\tO' -p310370 -aS'qam\tqam\tNN\tI-NP\tO' -p310371 -aS'.\t.\t.\tO\tO' -p310372 -asS'His temperature was 98F .' -p310373 -(lp310374 -S'His\tHis\tPRP$\tB-NP\tO' -p310375 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p310376 -aS'was\tbe\tVBD\tB-VP\tO' -p310377 -aS'98F\t98F\tNN\tB-NP\tO' -p310378 -aS'.\t.\t.\tO\tO' -p310379 -asS'Of note , intraoperative transesophageal echocardiogram evaluation showed only mild mitral regurgitation , so no repair/replacement was indicated .' -p310380 -(lp310381 -S'Of\tOf\tIN\tB-PP\tO' -p310382 -aS'note\tnote\tNN\tB-NP\tO' -p310383 -aS',\t,\t,\tO\tO' -p310384 -aS'intraoperative\tintraoperative\tJJ\tB-NP\tO' -p310385 -aS'transesophageal\ttransesophageal\tJJ\tI-NP\tO' -p310386 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p310387 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p310388 -aS'showed\tshow\tVBD\tB-VP\tO' -p310389 -aS'only\tonly\tRB\tB-NP\tO' -p310390 -aS'mild\tmild\tJJ\tI-NP\tO' -p310391 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p310392 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p310393 -aS',\t,\t,\tO\tO' -p310394 -aS'so\tso\tIN\tO\tO' -p310395 -aS'no\tno\tDT\tB-NP\tO' -p310396 -aS'repair/replacement\trepair/replacement\tNN\tI-NP\tO' -p310397 -aS'was\tbe\tVBD\tB-VP\tO' -p310398 -aS'indicated\tindicate\tVBN\tI-VP\tO' -p310399 -aS'.\t.\t.\tO\tO' -p310400 -asS'The abdomen was benign .' -p310401 -(lp310402 -S'The\tThe\tDT\tB-NP\tO' -p310403 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p310404 -aS'was\tbe\tVBD\tB-VP\tO' -p310405 -aS'benign\tbenign\tJJ\tB-ADJP\tO' -p310406 -aS'.\t.\t.\tO\tO' -p310407 -asS'A repeat CAT scan of the sinuses with finding of progressive thickening of the left maxillary sinus and both sets of ethmoid air cells since prior study of November 9 , indicating progressive infection of Acanthamoeba and any possible superinfection with bacterial sinusitis .' -p310408 -(lp310409 -S'A\tA\tDT\tB-NP\tO' -p310410 -aS'repeat\trepeat\tNN\tI-NP\tO' -p310411 -aS'CAT\tCAT\tNN\tI-NP\tO' -p310412 -aS'scan\tscan\tNN\tI-NP\tO' -p310413 -aS'of\tof\tIN\tB-PP\tO' -p310414 -aS'the\tthe\tDT\tB-NP\tO' -p310415 -aS'sinuses\tsinus\tNNS\tI-NP\tO' -p310416 -aS'with\twith\tIN\tB-PP\tO' -p310417 -aS'finding\tfinding\tNN\tB-NP\tO' -p310418 -aS'of\tof\tIN\tB-PP\tO' -p310419 -aS'progressive\tprogressive\tJJ\tB-NP\tO' -p310420 -aS'thickening\tthickening\tNN\tI-NP\tO' -p310421 -aS'of\tof\tIN\tB-PP\tO' -p310422 -aS'the\tthe\tDT\tB-NP\tO' -p310423 -aS'left\tleft\tJJ\tI-NP\tO' -p310424 -aS'maxillary\tmaxillary\tJJ\tI-NP\tO' -p310425 -aS'sinus\tsinus\tNN\tI-NP\tO' -p310426 -aS'and\tand\tCC\tO\tO' -p310427 -aS'both\tboth\tDT\tB-NP\tO' -p310428 -aS'sets\tset\tNNS\tI-NP\tO' -p310429 -aS'of\tof\tIN\tB-PP\tO' -p310430 -aS'ethmoid\tethmoid\tJJ\tB-NP\tB-cell_type' -p310431 -aS'air\tair\tNN\tI-NP\tI-cell_type' -p310432 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p310433 -aS'since\tsince\tIN\tB-PP\tO' -p310434 -aS'prior\tprior\tJJ\tB-NP\tO' -p310435 -aS'study\tstudy\tNN\tI-NP\tO' -p310436 -aS'of\tof\tIN\tB-PP\tO' -p310437 -aS'November\tNovember\tNNP\tB-NP\tO' -p310438 -aS'9\t9\tCD\tI-NP\tO' -p310439 -aS',\t,\t,\tO\tO' -p310440 -aS'indicating\tindicate\tVBG\tB-VP\tO' -p310441 -aS'progressive\tprogressive\tJJ\tB-NP\tO' -p310442 -aS'infection\tinfection\tNN\tI-NP\tO' -p310443 -aS'of\tof\tIN\tB-PP\tO' -p310444 -aS'Acanthamoeba\tAcanthamoeba\tNNP\tB-NP\tO' -p310445 -aS'and\tand\tCC\tO\tO' -p310446 -aS'any\tany\tDT\tB-NP\tO' -p310447 -aS'possible\tpossible\tJJ\tI-NP\tO' -p310448 -aS'superinfection\tsuperinfection\tNN\tI-NP\tO' -p310449 -aS'with\twith\tIN\tB-PP\tO' -p310450 -aS'bacterial\tbacterial\tJJ\tB-NP\tO' -p310451 -aS'sinusitis\tsinusitis\tNN\tI-NP\tO' -p310452 -aS'.\t.\t.\tO\tO' -p310453 -asS'He had Dorsalis pedis in radial pulses , hands and feet notably tremulous without asterixis .' -p310454 -(lp310455 -S'He\tHe\tPRP\tB-NP\tO' -p310456 -aS'had\thave\tVBD\tB-VP\tO' -p310457 -aS'Dorsalis\tDorsalis\tNNP\tB-NP\tO' -p310458 -aS'pedis\tpedis\tNN\tI-NP\tO' -p310459 -aS'in\tin\tIN\tB-PP\tO' -p310460 -aS'radial\tradial\tJJ\tB-NP\tO' -p310461 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p310462 -aS',\t,\t,\tO\tO' -p310463 -aS'hands\thand\tNNS\tB-NP\tO' -p310464 -aS'and\tand\tCC\tI-NP\tO' -p310465 -aS'feet\tfoot\tNNS\tI-NP\tO' -p310466 -aS'notably\tnotably\tRB\tB-ADJP\tO' -p310467 -aS'tremulous\ttremulous\tJJ\tI-ADJP\tO' -p310468 -aS'without\twithout\tIN\tB-PP\tO' -p310469 -aS'asterixis\tasterixis\tNN\tB-NP\tO' -p310470 -aS'.\t.\t.\tO\tO' -p310471 -asS'Overall left ventricular systolic function is moderately depressed .' -p310472 -(lp310473 -S'Overall\tOverall\tRB\tB-ADVP\tO' -p310474 -aS'left\tleave\tVBD\tB-VP\tO' -p310475 -aS'ventricular\tventricular\tJJ\tB-NP\tO' -p310476 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p310477 -aS'function\tfunction\tNN\tI-NP\tO' -p310478 -aS'is\tbe\tVBZ\tB-VP\tO' -p310479 -aS'moderately\tmoderately\tRB\tI-VP\tO' -p310480 -aS'depressed\tdepress\tVBN\tI-VP\tO' -p310481 -aS'.\t.\t.\tO\tO' -p310482 -asS'He has asked you call the clinic Friday morning for a same day appointment .' -p310483 -(lp310484 -S'He\tHe\tPRP\tB-NP\tO' -p310485 -aS'has\thave\tVBZ\tB-VP\tO' -p310486 -aS'asked\task\tVBN\tI-VP\tO' -p310487 -aS'you\tyou\tPRP\tB-NP\tO' -p310488 -aS'call\tcall\tVBP\tB-VP\tO' -p310489 -aS'the\tthe\tDT\tB-NP\tO' -p310490 -aS'clinic\tclinic\tNN\tI-NP\tO' -p310491 -aS'Friday\tFriday\tNNP\tB-NP\tO' -p310492 -aS'morning\tmorning\tNN\tI-NP\tO' -p310493 -aS'for\tfor\tIN\tB-PP\tO' -p310494 -aS'a\ta\tDT\tB-NP\tO' -p310495 -aS'same\tsame\tJJ\tI-NP\tO' -p310496 -aS'day\tday\tNN\tI-NP\tO' -p310497 -aS'appointment\tappointment\tNN\tI-NP\tO' -p310498 -aS'.\t.\t.\tO\tO' -p310499 -asS'Signed electronically by : DR. Jose Kines on : TUE 2016-04-12 7:03 AM' -p310500 -(lp310501 -S'Signed\tSign\tVBN\tB-VP\tO' -p310502 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p310503 -aS'by\tby\tIN\tB-PP\tO' -p310504 -aS':\t:\t:\tO\tO' -p310505 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p310506 -aS'Jose\tJose\tNNP\tI-NP\tO' -p310507 -aS'Kines\tKines\tNNP\tI-NP\tO' -p310508 -aS'on\ton\tIN\tB-PP\tO' -p310509 -aS':\t:\t:\tO\tO' -p310510 -aS'TUE\tTUE\tNN\tB-NP\tO' -p310511 -aS'2016-04-12\t2016-04-12\tCD\tI-NP\tO' -p310512 -aS'7:03\t7:03\tCD\tI-NP\tO' -p310513 -aS'AM\tAM\tNN\tI-NP\tO' -p310514 -asS'Regular rate and rhythm , S1 , S2 , I / VI systolic ejection murmur .' -p310515 -(lp310516 -S'Regular\tRegular\tJJ\tB-NP\tO' -p310517 -aS'rate\trate\tNN\tI-NP\tO' -p310518 -aS'and\tand\tCC\tO\tO' -p310519 -aS'rhythm\trhythm\tNN\tB-NP\tO' -p310520 -aS',\t,\t,\tO\tO' -p310521 -aS'S1\tS1\tNN\tB-NP\tB-protein' -p310522 -aS',\t,\t,\tO\tO' -p310523 -aS'S2\tS2\tNN\tB-NP\tB-protein' -p310524 -aS',\t,\t,\tO\tO' -p310525 -aS'I\tI\tNN\tB-NP\tO' -p310526 -aS'/\t/\tSYM\tB-NP\tO' -p310527 -aS'VI\tVI\tNN\tI-NP\tO' -p310528 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p310529 -aS'ejection\tejection\tNN\tI-NP\tO' -p310530 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p310531 -aS'.\t.\t.\tO\tO' -p310532 -asS'Remarkable for a white cell count of 0.4 , with 0 neutrophils , 0 bands , 19 lymphs , 0 monos , hematocrit 28.8% , platelets 300,000 .' -p310533 -(lp310534 -S'Remarkable\tRemarkable\tJJ\tB-ADJP\tO' -p310535 -aS'for\tfor\tIN\tB-PP\tO' -p310536 -aS'a\ta\tDT\tB-NP\tO' -p310537 -aS'white\twhite\tJJ\tI-NP\tO' -p310538 -aS'cell\tcell\tNN\tI-NP\tO' -p310539 -aS'count\tcount\tNN\tI-NP\tO' -p310540 -aS'of\tof\tIN\tB-PP\tO' -p310541 -aS'0.4\t0.4\tCD\tB-NP\tO' -p310542 -aS',\t,\t,\tO\tO' -p310543 -aS'with\twith\tIN\tB-PP\tO' -p310544 -aS'0\t0\tCD\tB-NP\tO' -p310545 -aS'neutrophils\tneutrophil\tNNS\tI-NP\tB-cell_type' -p310546 -aS',\t,\t,\tO\tO' -p310547 -aS'0\t0\tCD\tB-NP\tO' -p310548 -aS'bands\tband\tNNS\tI-NP\tO' -p310549 -aS',\t,\t,\tO\tO' -p310550 -aS'19\t19\tCD\tB-NP\tO' -p310551 -aS'lymphs\tlymph\tNNS\tI-NP\tO' -p310552 -aS',\t,\t,\tO\tO' -p310553 -aS'0\t0\tCD\tB-NP\tO' -p310554 -aS'monos\tmono\tNNS\tI-NP\tO' -p310555 -aS',\t,\t,\tO\tO' -p310556 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p310557 -aS'28.8%\t28.8%\tCD\tI-NP\tI-protein' -p310558 -aS',\t,\t,\tO\tO' -p310559 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p310560 -aS'300,000\t300,000\tCD\tB-NP\tO' -p310561 -aS'.\t.\t.\tO\tO' -p310562 -asS'Without edema .' -p310563 -(lp310564 -S'Without\tWithout\tIN\tB-PP\tO' -p310565 -aS'edema\tedema\tNN\tB-NP\tO' -p310566 -aS'.\t.\t.\tO\tO' -p310567 -asS'He was returned to the operating room on July 12 , 13 , 16 , 19 , 21 , and 23 for packing change , irrigation and debridement .' -p310568 -(lp310569 -S'He\tHe\tPRP\tB-NP\tO' -p310570 -aS'was\tbe\tVBD\tB-VP\tO' -p310571 -aS'returned\treturn\tVBN\tI-VP\tO' -p310572 -aS'to\tto\tTO\tB-PP\tO' -p310573 -aS'the\tthe\tDT\tB-NP\tO' -p310574 -aS'operating\toperating\tNN\tI-NP\tO' -p310575 -aS'room\troom\tNN\tI-NP\tO' -p310576 -aS'on\ton\tIN\tB-PP\tO' -p310577 -aS'July\tJuly\tNNP\tB-NP\tO' -p310578 -aS'12\t12\tCD\tI-NP\tO' -p310579 -aS',\t,\t,\tI-NP\tO' -p310580 -aS'13\t13\tCD\tI-NP\tO' -p310581 -aS',\t,\t,\tI-NP\tO' -p310582 -aS'16\t16\tCD\tI-NP\tO' -p310583 -aS',\t,\t,\tI-NP\tO' -p310584 -aS'19\t19\tCD\tI-NP\tO' -p310585 -aS',\t,\t,\tI-NP\tO' -p310586 -aS'21\t21\tCD\tI-NP\tO' -p310587 -aS',\t,\t,\tO\tO' -p310588 -aS'and\tand\tCC\tO\tO' -p310589 -aS'23\t23\tCD\tB-NP\tO' -p310590 -aS'for\tfor\tIN\tB-PP\tO' -p310591 -aS'packing\tpacking\tNN\tB-NP\tO' -p310592 -aS'change\tchange\tNN\tI-NP\tO' -p310593 -aS',\t,\t,\tO\tO' -p310594 -aS'irrigation\tirrigation\tNN\tB-NP\tO' -p310595 -aS'and\tand\tCC\tI-NP\tO' -p310596 -aS'debridement\tdebridement\tNN\tI-NP\tO' -p310597 -aS'.\t.\t.\tO\tO' -p310598 -asS'There is no family history of parathyroid or thyroid diseases .' -p310599 -(lp310600 -S'There\tThere\tEX\tB-NP\tO' -p310601 -aS'is\tbe\tVBZ\tB-VP\tO' -p310602 -aS'no\tno\tDT\tB-NP\tO' -p310603 -aS'family\tfamily\tNN\tI-NP\tO' -p310604 -aS'history\thistory\tNN\tI-NP\tO' -p310605 -aS'of\tof\tIN\tB-PP\tO' -p310606 -aS'parathyroid\tparathyroid\tJJ\tB-NP\tO' -p310607 -aS'or\tor\tCC\tI-NP\tO' -p310608 -aS'thyroid\tthyroid\tJJ\tI-NP\tO' -p310609 -aS'diseases\tdisease\tNNS\tI-NP\tO' -p310610 -aS'.\t.\t.\tO\tO' -p310611 -asS'Each progressive day, Mr. Donald delirium abated with return to baseline mental status early on 09-01 .' -p310612 -(lp310613 -S'Each\tEach\tDT\tB-NP\tO' -p310614 -aS'progressive\tprogressive\tJJ\tI-NP\tO' -p310615 -aS'day,\tday,\tNN\tI-NP\tO' -p310616 -aS'Mr.\tMr.\tNNP\tB-NP\tO' -p310617 -aS'Donald\tDonald\tNNP\tI-NP\tO' -p310618 -aS'delirium\tdelirium\tNN\tI-NP\tO' -p310619 -aS'abated\tabate\tVBD\tB-VP\tO' -p310620 -aS'with\twith\tIN\tB-PP\tO' -p310621 -aS'return\treturn\tNN\tB-NP\tO' -p310622 -aS'to\tto\tTO\tB-PP\tO' -p310623 -aS'baseline\tbaseline\tNN\tB-NP\tO' -p310624 -aS'mental\tmental\tJJ\tI-NP\tO' -p310625 -aS'status\tstatus\tNN\tI-NP\tO' -p310626 -aS'early\tearly\tRB\tB-ADVP\tO' -p310627 -aS'on\ton\tIN\tB-PP\tO' -p310628 -aS'09-01\t09-01\tCD\tB-NP\tO' -p310629 -aS'.\t.\t.\tO\tO' -p310630 -asS'She had a normal pancreas at that time , however , hyperdense kidneys .' -p310631 -(lp310632 -S'She\tShe\tPRP\tB-NP\tO' -p310633 -aS'had\thave\tVBD\tB-VP\tO' -p310634 -aS'a\ta\tDT\tB-NP\tO' -p310635 -aS'normal\tnormal\tJJ\tI-NP\tO' -p310636 -aS'pancreas\tpancreas\tNN\tI-NP\tO' -p310637 -aS'at\tat\tIN\tB-PP\tO' -p310638 -aS'that\tthat\tDT\tB-NP\tO' -p310639 -aS'time\ttime\tNN\tI-NP\tO' -p310640 -aS',\t,\t,\tO\tO' -p310641 -aS'however\thowever\tRB\tB-ADVP\tO' -p310642 -aS',\t,\t,\tO\tO' -p310643 -aS'hyperdense\thyperdense\tNN\tB-NP\tO' -p310644 -aS'kidneys\tkidney\tNNS\tI-NP\tO' -p310645 -aS'.\t.\t.\tO\tO' -p310646 -asS'He was given strict instructions to limit his external rotation no more than 30 degrees .' -p310647 -(lp310648 -S'He\tHe\tPRP\tB-NP\tO' -p310649 -aS'was\tbe\tVBD\tB-VP\tO' -p310650 -aS'given\tgive\tVBN\tI-VP\tO' -p310651 -aS'strict\tstrict\tJJ\tB-NP\tO' -p310652 -aS'instructions\tinstruction\tNNS\tI-NP\tO' -p310653 -aS'to\tto\tTO\tB-VP\tO' -p310654 -aS'limit\tlimit\tVB\tI-VP\tO' -p310655 -aS'his\this\tPRP$\tB-NP\tO' -p310656 -aS'external\texternal\tJJ\tI-NP\tO' -p310657 -aS'rotation\trotation\tNN\tI-NP\tO' -p310658 -aS'no\tno\tRB\tB-NP\tO' -p310659 -aS'more\tmore\tJJR\tI-NP\tO' -p310660 -aS'than\tthan\tIN\tI-NP\tO' -p310661 -aS'30\t30\tCD\tI-NP\tO' -p310662 -aS'degrees\tdegree\tNNS\tI-NP\tO' -p310663 -aS'.\t.\t.\tO\tO' -p310664 -asS'In the cath lab , he was found to have hazy plaque in LAD ( prior stent ) , 80% hazy plaque in circumflex , and a totally occluded PLB ( with collaterals ) .' -p310665 -(lp310666 -S'In\tIn\tIN\tB-PP\tO' -p310667 -aS'the\tthe\tDT\tB-NP\tO' -p310668 -aS'cath\tcath\tNN\tI-NP\tO' -p310669 -aS'lab\tlab\tNN\tI-NP\tO' -p310670 -aS',\t,\t,\tO\tO' -p310671 -aS'he\the\tPRP\tB-NP\tO' -p310672 -aS'was\tbe\tVBD\tB-VP\tO' -p310673 -aS'found\tfind\tVBN\tI-VP\tO' -p310674 -aS'to\tto\tTO\tI-VP\tO' -p310675 -aS'have\thave\tVB\tI-VP\tO' -p310676 -aS'hazy\thazy\tJJ\tB-NP\tO' -p310677 -aS'plaque\tplaque\tNN\tI-NP\tO' -p310678 -aS'in\tin\tIN\tB-PP\tO' -p310679 -aS'LAD\tLAD\tNN\tB-NP\tO' -p310680 -aS'(\t(\t(\tO\tO' -p310681 -aS'prior\tprior\tJJ\tB-NP\tO' -p310682 -aS'stent\tstent\tNN\tI-NP\tO' -p310683 -aS')\t)\t)\tO\tO' -p310684 -aS',\t,\t,\tO\tO' -p310685 -aS'80%\t80%\tCD\tB-NP\tO' -p310686 -aS'hazy\thazy\tJJ\tI-NP\tO' -p310687 -aS'plaque\tplaque\tNN\tI-NP\tO' -p310688 -aS'in\tin\tIN\tB-PP\tO' -p310689 -aS'circumflex\tcircumflex\tNN\tB-NP\tO' -p310690 -aS',\t,\t,\tO\tO' -p310691 -aS'and\tand\tCC\tO\tO' -p310692 -aS'a\ta\tDT\tB-NP\tO' -p310693 -aS'totally\ttotally\tRB\tI-NP\tO' -p310694 -aS'occluded\tocclude\tVBN\tI-NP\tO' -p310695 -aS'PLB\tPLB\tNN\tI-NP\tB-protein' -p310696 -aS'(\t(\t(\tO\tO' -p310697 -aS'with\twith\tIN\tB-PP\tO' -p310698 -aS'collaterals\tcollateral\tNNS\tB-NP\tO' -p310699 -aS')\t)\t)\tO\tO' -p310700 -aS'.\t.\t.\tO\tO' -p310701 -asS'Patient has been on room air maintaining sats above 95% .' -p310702 -(lp310703 -S'Patient\tPatient\tNN\tB-NP\tO' -p310704 -aS'has\thave\tVBZ\tB-VP\tO' -p310705 -aS'been\tbe\tVBN\tI-VP\tO' -p310706 -aS'on\ton\tIN\tB-PP\tO' -p310707 -aS'room\troom\tNN\tB-NP\tB-DNA' -p310708 -aS'air\tair\tNN\tI-NP\tI-DNA' -p310709 -aS'maintaining\tmaintain\tVBG\tB-VP\tI-DNA' -p310710 -aS'sats\tsat\tNNS\tB-NP\tI-DNA' -p310711 -aS'above\tabove\tIN\tB-PP\tI-DNA' -p310712 -aS'95%\t95%\tCD\tB-NP\tI-DNA' -p310713 -aS'.\t.\t.\tO\tO' -p310714 -asS'2. Mavik unknown dosage .' -p310715 -(lp310716 -S'2.\t2.\tLS\tB-NP\tO' -p310717 -aS'Mavik\tMavik\tNNP\tI-NP\tO' -p310718 -aS'unknown\tunknown\tJJ\tI-NP\tO' -p310719 -aS'dosage\tdosage\tNN\tI-NP\tO' -p310720 -aS'.\t.\t.\tO\tO' -p310721 -asS'20. Albuterol 90 mcg/Actuation Aerosol Sig : 4-6 Puffs Inhalation Q6H ( every 6 hours ) .' -p310722 -(lp310723 -S'20.\t20.\tLS\tB-LST\tO' -p310724 -aS'Albuterol\tAlbuterol\tNNP\tB-NP\tO' -p310725 -aS'90\t90\tCD\tI-NP\tO' -p310726 -aS'mcg/Actuation\tmcg/Actuation\tNN\tI-NP\tO' -p310727 -aS'Aerosol\tAerosol\tNNP\tI-NP\tO' -p310728 -aS'Sig\tSig\tNNP\tI-NP\tO' -p310729 -aS':\t:\t:\tO\tO' -p310730 -aS'4-6\t4-6\tCD\tB-NP\tO' -p310731 -aS'Puffs\tPuff\tNNS\tI-NP\tO' -p310732 -aS'Inhalation\tInhalation\tNN\tI-NP\tO' -p310733 -aS'Q6H\tQ6H\tNN\tI-NP\tO' -p310734 -aS'(\t(\t(\tO\tO' -p310735 -aS'every\tevery\tDT\tB-NP\tO' -p310736 -aS'6\t6\tCD\tI-NP\tO' -p310737 -aS'hours\thour\tNNS\tI-NP\tO' -p310738 -aS')\t)\t)\tO\tO' -p310739 -aS'.\t.\t.\tO\tO' -p310740 -asS'She was never hypoxic but initially her arterial blood gas showed a respiratory acidosis with a PCO2 of 71 .' -p310741 -(lp310742 -S'She\tShe\tPRP\tB-NP\tO' -p310743 -aS'was\tbe\tVBD\tB-VP\tO' -p310744 -aS'never\tnever\tRB\tB-ADVP\tO' -p310745 -aS'hypoxic\thypoxic\tJJ\tB-ADJP\tO' -p310746 -aS'but\tbut\tCC\tO\tO' -p310747 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p310748 -aS'her\ther\tPRP$\tB-NP\tO' -p310749 -aS'arterial\tarterial\tJJ\tI-NP\tO' -p310750 -aS'blood\tblood\tNN\tI-NP\tO' -p310751 -aS'gas\tgas\tNN\tI-NP\tO' -p310752 -aS'showed\tshow\tVBD\tB-VP\tO' -p310753 -aS'a\ta\tDT\tB-NP\tO' -p310754 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p310755 -aS'acidosis\tacidosis\tNN\tI-NP\tO' -p310756 -aS'with\twith\tIN\tB-PP\tO' -p310757 -aS'a\ta\tDT\tB-NP\tO' -p310758 -aS'PCO2\tPCO2\tNN\tI-NP\tB-protein' -p310759 -aS'of\tof\tIN\tB-PP\tO' -p310760 -aS'71\t71\tCD\tB-NP\tO' -p310761 -aS'.\t.\t.\tO\tO' -p310762 -asS'Ferrlecit Sodium ferric gluconate Mo-We Fr IV' -p310763 -(lp310764 -S'Ferrlecit\tFerrlecit\tNNP\tB-NP\tO' -p310765 -aS'Sodium\tSodium\tNNP\tI-NP\tO' -p310766 -aS'ferric\tferric\tJJ\tI-NP\tO' -p310767 -aS'gluconate\tgluconate\tNN\tI-NP\tO' -p310768 -aS'Mo-We\tMo-We\tNN\tI-NP\tO' -p310769 -aS'Fr\tFr\tNN\tI-NP\tO' -p310770 -aS'IV\tIV\tCD\tI-NP\tO' -p310771 -asS'2. Vitamin D .' -p310772 -(lp310773 -S'2.\t2.\tLS\tB-NP\tO' -p310774 -aS'Vitamin\tVitamin\tNN\tI-NP\tO' -p310775 -aS'D\tD\tNN\tI-NP\tO' -p310776 -aS'.\t.\t.\tO\tO' -p310777 -asS'This is a patient who , over the past year , has had no menses and thought she had become menopausal .' -p310778 -(lp310779 -S'This\tThis\tDT\tB-NP\tO' -p310780 -aS'is\tbe\tVBZ\tB-VP\tO' -p310781 -aS'a\ta\tDT\tB-NP\tO' -p310782 -aS'patient\tpatient\tNN\tI-NP\tO' -p310783 -aS'who\twho\tWP\tB-NP\tO' -p310784 -aS',\t,\t,\tO\tO' -p310785 -aS'over\tover\tIN\tB-PP\tO' -p310786 -aS'the\tthe\tDT\tB-NP\tO' -p310787 -aS'past\tpast\tJJ\tI-NP\tO' -p310788 -aS'year\tyear\tNN\tI-NP\tO' -p310789 -aS',\t,\t,\tO\tO' -p310790 -aS'has\thave\tVBZ\tB-VP\tO' -p310791 -aS'had\thave\tVBN\tI-VP\tO' -p310792 -aS'no\tno\tDT\tB-NP\tO' -p310793 -aS'menses\tmens\tNNS\tI-NP\tO' -p310794 -aS'and\tand\tCC\tO\tO' -p310795 -aS'thought\tthink\tVBD\tB-VP\tO' -p310796 -aS'she\tshe\tPRP\tB-NP\tO' -p310797 -aS'had\thave\tVBD\tB-VP\tO' -p310798 -aS'become\tbecome\tVBN\tI-VP\tO' -p310799 -aS'menopausal\tmenopausal\tJJ\tB-ADJP\tO' -p310800 -aS'.\t.\t.\tO\tO' -p310801 -asS'This is a 62-year-old hospice chaplain who was referred by Dr. Tomedankell Flowayles and Dr. Es Oarekote for evaluation of his right hip pain .' -p310802 -(lp310803 -S'This\tThis\tDT\tB-NP\tO' -p310804 -aS'is\tbe\tVBZ\tB-VP\tO' -p310805 -aS'a\ta\tDT\tB-NP\tO' -p310806 -aS'62-year-old\t62-year-old\tJJ\tI-NP\tO' -p310807 -aS'hospice\thospice\tNN\tI-NP\tO' -p310808 -aS'chaplain\tchaplain\tNN\tI-NP\tO' -p310809 -aS'who\twho\tWP\tB-NP\tO' -p310810 -aS'was\tbe\tVBD\tB-VP\tO' -p310811 -aS'referred\trefer\tVBN\tI-VP\tO' -p310812 -aS'by\tby\tIN\tB-PP\tO' -p310813 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p310814 -aS'Tomedankell\tTomedankell\tNNP\tI-NP\tO' -p310815 -aS'Flowayles\tFlowayles\tNNP\tI-NP\tO' -p310816 -aS'and\tand\tCC\tO\tO' -p310817 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p310818 -aS'Es\tEs\tNNP\tI-NP\tO' -p310819 -aS'Oarekote\tOarekote\tNNP\tI-NP\tO' -p310820 -aS'for\tfor\tIN\tB-PP\tO' -p310821 -aS'evaluation\tevaluation\tNN\tB-NP\tO' -p310822 -aS'of\tof\tIN\tB-PP\tO' -p310823 -aS'his\this\tPRP$\tB-NP\tO' -p310824 -aS'right\tright\tJJ\tI-NP\tO' -p310825 -aS'hip\thip\tNN\tI-NP\tO' -p310826 -aS'pain\tpain\tNN\tI-NP\tO' -p310827 -aS'.\t.\t.\tO\tO' -p310828 -asS'No current relationship .' -p310829 -(lp310830 -S'No\tNo\tDT\tB-NP\tO' -p310831 -aS'current\tcurrent\tJJ\tI-NP\tO' -p310832 -aS'relationship\trelationship\tNN\tI-NP\tO' -p310833 -aS'.\t.\t.\tO\tO' -p310834 -asS'Due to breech presentation , a hip ultrasound can be considered in 2-4 weeks .' -p310835 -(lp310836 -S'Due\tDue\tJJ\tB-ADJP\tO' -p310837 -aS'to\tto\tTO\tB-VP\tO' -p310838 -aS'breech\tbreech\tVB\tI-VP\tO' -p310839 -aS'presentation\tpresentation\tNN\tB-NP\tO' -p310840 -aS',\t,\t,\tO\tO' -p310841 -aS'a\ta\tDT\tB-NP\tO' -p310842 -aS'hip\thip\tNN\tI-NP\tO' -p310843 -aS'ultrasound\tultrasound\tNN\tI-NP\tO' -p310844 -aS'can\tcan\tMD\tB-VP\tO' -p310845 -aS'be\tbe\tVB\tI-VP\tO' -p310846 -aS'considered\tconsider\tVBN\tI-VP\tO' -p310847 -aS'in\tin\tIN\tB-PP\tO' -p310848 -aS'2-4\t2-4\tCD\tB-NP\tO' -p310849 -aS'weeks\tweek\tNNS\tI-NP\tO' -p310850 -aS'.\t.\t.\tO\tO' -p310851 -asS'94 , bicarbonate 24 , blood urea nitrogen 39 , creatinine 2.0 , glucose 111 .' -p310852 -(lp310853 -S'94\t94\tCD\tB-NP\tO' -p310854 -aS',\t,\t,\tO\tO' -p310855 -aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' -p310856 -aS'24\t24\tCD\tI-NP\tO' -p310857 -aS',\t,\t,\tO\tO' -p310858 -aS'blood\tblood\tNN\tB-NP\tO' -p310859 -aS'urea\turea\tNN\tI-NP\tO' -p310860 -aS'nitrogen\tnitrogen\tNN\tI-NP\tO' -p310861 -aS'39\t39\tCD\tI-NP\tO' -p310862 -aS',\t,\t,\tO\tO' -p310863 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p310864 -aS'2.0\t2.0\tCD\tI-NP\tO' -p310865 -aS',\t,\t,\tO\tO' -p310866 -aS'glucose\tglucose\tNN\tB-NP\tO' -p310867 -aS'111\t111\tCD\tI-NP\tO' -p310868 -aS'.\t.\t.\tO\tO' -p310869 -asS'1. Prematurity at 28-2/7 weeks .' -p310870 -(lp310871 -S'1.\t1.\tLS\tB-NP\tO' -p310872 -aS'Prematurity\tPrematurity\tNN\tI-NP\tO' -p310873 -aS'at\tat\tIN\tB-PP\tO' -p310874 -aS'28-2/7\t28-2/7\tCD\tB-NP\tO' -p310875 -aS'weeks\tweek\tNNS\tI-NP\tO' -p310876 -aS'.\t.\t.\tO\tO' -p310877 -asS'- chest pain or shortness of breath' -p310878 -(lp310879 -S'-\t-\tHYPH\tB-NP\tO' -p310880 -aS'chest\tchest\tNN\tI-NP\tO' -p310881 -aS'pain\tpain\tNN\tI-NP\tO' -p310882 -aS'or\tor\tCC\tI-NP\tO' -p310883 -aS'shortness\tshortness\tNN\tI-NP\tO' -p310884 -aS'of\tof\tIN\tB-PP\tO' -p310885 -aS'breath\tbreath\tNN\tB-NP\tO' -p310886 -asS'While she was on the IV dextrose , she required up to 26 units of glargine for glycemic control .' -p310887 -(lp310888 -S'While\tWhile\tIN\tB-SBAR\tO' -p310889 -aS'she\tshe\tPRP\tB-NP\tO' -p310890 -aS'was\tbe\tVBD\tB-VP\tO' -p310891 -aS'on\ton\tIN\tB-PP\tO' -p310892 -aS'the\tthe\tDT\tB-NP\tO' -p310893 -aS'IV\tIV\tCD\tI-NP\tO' -p310894 -aS'dextrose\tdextrose\tNN\tI-NP\tO' -p310895 -aS',\t,\t,\tO\tO' -p310896 -aS'she\tshe\tPRP\tB-NP\tO' -p310897 -aS'required\trequire\tVBD\tB-VP\tO' -p310898 -aS'up\tup\tRB\tB-NP\tO' -p310899 -aS'to\tto\tTO\tI-NP\tO' -p310900 -aS'26\t26\tCD\tI-NP\tO' -p310901 -aS'units\tunit\tNNS\tI-NP\tO' -p310902 -aS'of\tof\tIN\tB-PP\tO' -p310903 -aS'glargine\tglargine\tNN\tB-NP\tO' -p310904 -aS'for\tfor\tIN\tB-PP\tO' -p310905 -aS'glycemic\tglycemic\tJJ\tB-NP\tO' -p310906 -aS'control\tcontrol\tNN\tI-NP\tO' -p310907 -aS'.\t.\t.\tO\tO' -p310908 -asS'were elevated .' -p310909 -(lp310910 -S'were\tbe\tVBD\tB-VP\tO' -p310911 -aS'elevated\televate\tVBN\tI-VP\tO' -p310912 -aS'.\t.\t.\tO\tO' -p310913 -asS'The patient was transferred to the Intensive Care Unit for respiratory distress and febrile hypotension with a question of a new infiltrate on her chest x-ray .' -p310914 -(lp310915 -S'The\tThe\tDT\tB-NP\tO' -p310916 -aS'patient\tpatient\tNN\tI-NP\tO' -p310917 -aS'was\tbe\tVBD\tB-VP\tO' -p310918 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p310919 -aS'to\tto\tTO\tB-PP\tO' -p310920 -aS'the\tthe\tDT\tB-NP\tO' -p310921 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p310922 -aS'Care\tCare\tNNP\tI-NP\tO' -p310923 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p310924 -aS'for\tfor\tIN\tB-PP\tO' -p310925 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p310926 -aS'distress\tdistress\tNN\tI-NP\tO' -p310927 -aS'and\tand\tCC\tO\tO' -p310928 -aS'febrile\tfebrile\tJJ\tB-NP\tO' -p310929 -aS'hypotension\thypotension\tNN\tI-NP\tO' -p310930 -aS'with\twith\tIN\tB-PP\tO' -p310931 -aS'a\ta\tDT\tB-NP\tO' -p310932 -aS'question\tquestion\tNN\tI-NP\tO' -p310933 -aS'of\tof\tIN\tB-PP\tO' -p310934 -aS'a\ta\tDT\tB-NP\tO' -p310935 -aS'new\tnew\tJJ\tI-NP\tO' -p310936 -aS'infiltrate\tinfiltrate\tNN\tI-NP\tO' -p310937 -aS'on\ton\tIN\tB-PP\tO' -p310938 -aS'her\ther\tPRP$\tB-NP\tO' -p310939 -aS'chest\tchest\tNN\tI-NP\tO' -p310940 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p310941 -aS'.\t.\t.\tO\tO' -p310942 -asS'The patient was in this fashion discharged from the service to continue on her current medications and to call in oneweek to follow up with Dr. Sterpbreutzsterp and Cardiology .' -p310943 -(lp310944 -S'The\tThe\tDT\tB-NP\tO' -p310945 -aS'patient\tpatient\tNN\tI-NP\tO' -p310946 -aS'was\tbe\tVBD\tB-VP\tO' -p310947 -aS'in\tin\tIN\tB-PP\tO' -p310948 -aS'this\tthis\tDT\tB-NP\tO' -p310949 -aS'fashion\tfashion\tNN\tI-NP\tO' -p310950 -aS'discharged\tdischarge\tVBN\tB-VP\tO' -p310951 -aS'from\tfrom\tIN\tB-PP\tO' -p310952 -aS'the\tthe\tDT\tB-NP\tO' -p310953 -aS'service\tservice\tNN\tI-NP\tO' -p310954 -aS'to\tto\tTO\tB-VP\tO' -p310955 -aS'continue\tcontinue\tVB\tI-VP\tO' -p310956 -aS'on\ton\tIN\tB-PP\tO' -p310957 -aS'her\ther\tPRP$\tB-NP\tO' -p310958 -aS'current\tcurrent\tJJ\tI-NP\tO' -p310959 -aS'medications\tmedication\tNNS\tI-NP\tO' -p310960 -aS'and\tand\tCC\tO\tO' -p310961 -aS'to\tto\tTO\tB-VP\tO' -p310962 -aS'call\tcall\tVB\tI-VP\tO' -p310963 -aS'in\tin\tIN\tB-PP\tO' -p310964 -aS'oneweek\toneweek\tNN\tB-NP\tO' -p310965 -aS'to\tto\tTO\tB-VP\tO' -p310966 -aS'follow\tfollow\tVB\tI-VP\tO' -p310967 -aS'up\tup\tRP\tB-PRT\tO' -p310968 -aS'with\twith\tIN\tB-PP\tO' -p310969 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p310970 -aS'Sterpbreutzsterp\tSterpbreutzsterp\tNNP\tI-NP\tO' -p310971 -aS'and\tand\tCC\tO\tO' -p310972 -aS'Cardiology\tCardiology\tNNP\tB-NP\tO' -p310973 -aS'.\t.\t.\tO\tO' -p310974 -asS'Temporal wasting .' -p310975 -(lp310976 -S'Temporal\tTemporal\tJJ\tB-NP\tO' -p310977 -aS'wasting\twasting\tNN\tI-NP\tO' -p310978 -aS'.\t.\t.\tO\tO' -p310979 -asS'Call Dr. Pederson office for appointment in 2-3 weeks -( 869 ) 263-1570.' -p310980 -(lp310981 -S'Call\tCall\tNNP\tB-NP\tO' -p310982 -aS'Dr.\tDr.\tNNP\tI-NP\tO' -p310983 -aS'Pederson\tPederson\tNNP\tI-NP\tO' -p310984 -aS'office\toffice\tNN\tI-NP\tO' -p310985 -aS'for\tfor\tIN\tB-PP\tO' -p310986 -aS'appointment\tappointment\tNN\tB-NP\tO' -p310987 -aS'in\tin\tIN\tB-PP\tO' -p310988 -aS'2-3\t2-3\tCD\tB-NP\tO' -p310989 -aS'weeks\tweek\tNNS\tI-NP\tO' -p310990 -aS'-(\t-(\t(\tO\tO' -p310991 -aS'869\t869\tCD\tB-NP\tO' -p310992 -aS')\t)\t)\tO\tO' -p310993 -aS'263-1570.\t263-1570.\tCD\tB-NP\tO' -p310994 -asS'01-22+ AR .' -p310995 -(lp310996 -S'01-22+\t01-22+\tJJ\tB-NP\tB-protein' -p310997 -aS'AR\tAR\tNNS\tI-NP\tI-protein' -p310998 -aS'.\t.\t.\tO\tO' -p310999 -asS'9. Magnesium Oxide 800 mg p.o. b.i.d.' -p311000 -(lp311001 -S'9.\t9.\tLS\tB-NP\tO' -p311002 -aS'Magnesium\tMagnesium\tNNP\tI-NP\tO' -p311003 -aS'Oxide\tOxide\tNNP\tI-NP\tO' -p311004 -aS'800\t800\tCD\tI-NP\tO' -p311005 -aS'mg\tmg\tNN\tI-NP\tO' -p311006 -aS'p.o.\tp.o.\tFW\tB-ADVP\tO' -p311007 -aS'b.i.d.\tb.i.d.\tFW\tI-ADVP\tO' -p311008 -asS'small pleural effusion , flat diaphrams no acute changes' -p311009 -(lp311010 -S'small\tsmall\tJJ\tB-NP\tO' -p311011 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p311012 -aS'effusion\teffusion\tNN\tI-NP\tO' -p311013 -aS',\t,\t,\tO\tO' -p311014 -aS'flat\tflat\tJJ\tB-NP\tO' -p311015 -aS'diaphrams\tdiaphram\tNNS\tI-NP\tO' -p311016 -aS'no\tno\tDT\tB-NP\tO' -p311017 -aS'acute\tacute\tJJ\tI-NP\tO' -p311018 -aS'changes\tchange\tNNS\tI-NP\tO' -p311019 -asS'He presented to Deaconess-Nashoba Hospital Hospital and the first EKG was found to have ST elevations in V1-V3 of 1-2 mm with T wave inversions in V4-6 , I and L , which progressed to 3-0167 W. Seventh Ave. elevations within 20 minutes .' -p311020 -(lp311021 -S'He\tHe\tPRP\tB-NP\tO' -p311022 -aS'presented\tpresent\tVBD\tB-VP\tO' -p311023 -aS'to\tto\tTO\tB-PP\tO' -p311024 -aS'Deaconess-Nashoba\tDeaconess-Nashoba\tNNP\tB-NP\tO' -p311025 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p311026 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p311027 -aS'and\tand\tCC\tO\tO' -p311028 -aS'the\tthe\tDT\tB-NP\tO' -p311029 -aS'first\tfirst\tJJ\tI-NP\tO' -p311030 -aS'EKG\tEKG\tNN\tI-NP\tO' -p311031 -aS'was\tbe\tVBD\tB-VP\tO' -p311032 -aS'found\tfind\tVBN\tI-VP\tO' -p311033 -aS'to\tto\tTO\tI-VP\tO' -p311034 -aS'have\thave\tVB\tI-VP\tO' -p311035 -aS'ST\tST\tJJ\tB-NP\tO' -p311036 -aS'elevations\televation\tNNS\tI-NP\tO' -p311037 -aS'in\tin\tIN\tB-PP\tO' -p311038 -aS'V1-V3\tV1-V3\tNN\tB-NP\tO' -p311039 -aS'of\tof\tIN\tB-PP\tO' -p311040 -aS'1-2\t1-2\tCD\tB-NP\tO' -p311041 -aS'mm\tmm\tNN\tI-NP\tO' -p311042 -aS'with\twith\tIN\tB-PP\tO' -p311043 -aS'T\tT\tNN\tB-NP\tO' -p311044 -aS'wave\twave\tNN\tI-NP\tO' -p311045 -aS'inversions\tinversion\tNNS\tI-NP\tO' -p311046 -aS'in\tin\tIN\tB-PP\tO' -p311047 -aS'V4-6\tV4-6\tNN\tB-NP\tB-protein' -p311048 -aS',\t,\t,\tI-NP\tO' -p311049 -aS'I\tI\tNN\tI-NP\tO' -p311050 -aS'and\tand\tCC\tI-NP\tO' -p311051 -aS'L\tL\tNN\tI-NP\tO' -p311052 -aS',\t,\t,\tO\tO' -p311053 -aS'which\twhich\tWDT\tB-NP\tO' -p311054 -aS'progressed\tprogress\tVBD\tB-VP\tO' -p311055 -aS'to\tto\tTO\tB-PP\tO' -p311056 -aS'3-0167\t3-0167\tCD\tB-NP\tO' -p311057 -aS'W.\tW.\tNNP\tI-NP\tO' -p311058 -aS'Seventh\tSeventh\tNNP\tI-NP\tO' -p311059 -aS'Ave.\tAve.\tNNP\tI-NP\tO' -p311060 -aS'elevations\televation\tNNS\tI-NP\tO' -p311061 -aS'within\twithin\tIN\tB-PP\tO' -p311062 -aS'20\t20\tCD\tB-NP\tO' -p311063 -aS'minutes\tminute\tNNS\tI-NP\tO' -p311064 -aS'.\t.\t.\tO\tO' -p311065 -asS'5. Zestril 2.5 mg po bid' -p311066 -(lp311067 -S'5.\t5.\tLS\tB-LST\tO' -p311068 -aS'Zestril\tZestril\tNNP\tB-NP\tO' -p311069 -aS'2.5\t2.5\tCD\tI-NP\tO' -p311070 -aS'mg\tmg\tNN\tI-NP\tO' -p311071 -aS'po\tpo\tNN\tI-NP\tO' -p311072 -aS'bid\tbid\tNN\tI-NP\tO' -p311073 -asS'Her course was complicated by post-hypotensive coma as well as subarachnoid hemorrhages and intraparenchymal bleeds .' -p311074 -(lp311075 -S'Her\tHer\tPRP$\tB-NP\tO' -p311076 -aS'course\tcourse\tNN\tI-NP\tO' -p311077 -aS'was\tbe\tVBD\tB-VP\tO' -p311078 -aS'complicated\tcomplicate\tVBN\tI-VP\tO' -p311079 -aS'by\tby\tIN\tB-PP\tO' -p311080 -aS'post-hypotensive\tpost-hypotensive\tJJ\tB-NP\tO' -p311081 -aS'coma\tcoma\tNN\tI-NP\tO' -p311082 -aS'as\tas\tRB\tB-CONJP\tO' -p311083 -aS'well\twell\tRB\tI-CONJP\tO' -p311084 -aS'as\tas\tIN\tI-CONJP\tO' -p311085 -aS'subarachnoid\tsubarachnoid\tJJ\tB-NP\tO' -p311086 -aS'hemorrhages\themorrhage\tNNS\tI-NP\tO' -p311087 -aS'and\tand\tCC\tO\tO' -p311088 -aS'intraparenchymal\tintraparenchymal\tJJ\tB-NP\tO' -p311089 -aS'bleeds\tbleed\tNNS\tI-NP\tO' -p311090 -aS'.\t.\t.\tO\tO' -p311091 -asS'The patient tolerated the procedure fairly well and was transferred intubated to the Cardiac Surgical Intensive Care Unit with his chest open .' -p311092 -(lp311093 -S'The\tThe\tDT\tB-NP\tO' -p311094 -aS'patient\tpatient\tNN\tI-NP\tO' -p311095 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p311096 -aS'the\tthe\tDT\tB-NP\tO' -p311097 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p311098 -aS'fairly\tfairly\tRB\tB-ADVP\tO' -p311099 -aS'well\twell\tRB\tI-ADVP\tO' -p311100 -aS'and\tand\tCC\tO\tO' -p311101 -aS'was\tbe\tVBD\tB-VP\tO' -p311102 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p311103 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p311104 -aS'to\tto\tTO\tB-PP\tO' -p311105 -aS'the\tthe\tDT\tB-NP\tO' -p311106 -aS'Cardiac\tCardiac\tNNP\tI-NP\tO' -p311107 -aS'Surgical\tSurgical\tNNP\tI-NP\tO' -p311108 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p311109 -aS'Care\tCare\tNNP\tI-NP\tO' -p311110 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p311111 -aS'with\twith\tIN\tB-PP\tO' -p311112 -aS'his\this\tPRP$\tB-NP\tO' -p311113 -aS'chest\tchest\tNN\tI-NP\tO' -p311114 -aS'open\topen\tJJ\tB-ADJP\tO' -p311115 -aS'.\t.\t.\tO\tO' -p311116 -asS'Her electrocardiogram revealed normal sinus rhythm , left atrial enlargement , left axis deviation , poor R-wave progression in V1 through V4 , consistent with marked clockwise rotation , cannot rule out an old anteroseptal wall myocardial infarction .' -p311117 -(lp311118 -S'Her\tHer\tPRP$\tB-NP\tO' -p311119 -aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' -p311120 -aS'revealed\treveal\tVBD\tB-VP\tO' -p311121 -aS'normal\tnormal\tJJ\tB-NP\tO' -p311122 -aS'sinus\tsinus\tNN\tI-NP\tO' -p311123 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p311124 -aS',\t,\t,\tO\tO' -p311125 -aS'left\tleave\tVBD\tB-VP\tO' -p311126 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p311127 -aS'enlargement\tenlargement\tNN\tI-NP\tO' -p311128 -aS',\t,\t,\tO\tO' -p311129 -aS'left\tleave\tVBD\tB-VP\tO' -p311130 -aS'axis\taxis\tNN\tB-NP\tO' -p311131 -aS'deviation\tdeviation\tNN\tI-NP\tO' -p311132 -aS',\t,\t,\tO\tO' -p311133 -aS'poor\tpoor\tJJ\tB-NP\tO' -p311134 -aS'R-wave\tR-wave\tNN\tI-NP\tO' -p311135 -aS'progression\tprogression\tNN\tI-NP\tO' -p311136 -aS'in\tin\tIN\tB-PP\tO' -p311137 -aS'V1\tV1\tNN\tB-NP\tO' -p311138 -aS'through\tthrough\tIN\tB-PP\tO' -p311139 -aS'V4\tV4\tNN\tB-NP\tB-protein' -p311140 -aS',\t,\t,\tO\tO' -p311141 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p311142 -aS'with\twith\tIN\tB-PP\tO' -p311143 -aS'marked\tmarked\tJJ\tB-NP\tO' -p311144 -aS'clockwise\tclockwise\tJJ\tI-NP\tO' -p311145 -aS'rotation\trotation\tNN\tI-NP\tO' -p311146 -aS',\t,\t,\tO\tO' -p311147 -aS'cannot\tcannot\tMD\tB-VP\tO' -p311148 -aS'rule\trule\tVB\tI-VP\tO' -p311149 -aS'out\tout\tRP\tB-PRT\tO' -p311150 -aS'an\tan\tDT\tB-NP\tO' -p311151 -aS'old\told\tJJ\tI-NP\tO' -p311152 -aS'anteroseptal\tanteroseptal\tJJ\tI-NP\tO' -p311153 -aS'wall\twall\tNN\tI-NP\tO' -p311154 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p311155 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p311156 -aS'.\t.\t.\tO\tO' -p311157 -asS'Shower , no baths , no lotions , creams or powders to incisions .' -p311158 -(lp311159 -S'Shower\tShower\tNNP\tB-NP\tO' -p311160 -aS',\t,\t,\tO\tO' -p311161 -aS'no\tno\tDT\tB-NP\tO' -p311162 -aS'baths\tbath\tNNS\tI-NP\tO' -p311163 -aS',\t,\t,\tO\tO' -p311164 -aS'no\tno\tDT\tB-NP\tO' -p311165 -aS'lotions\tlotion\tNNS\tI-NP\tO' -p311166 -aS',\t,\t,\tI-NP\tO' -p311167 -aS'creams\tcream\tNNS\tI-NP\tO' -p311168 -aS'or\tor\tCC\tI-NP\tO' -p311169 -aS'powders\tpowder\tNNS\tI-NP\tO' -p311170 -aS'to\tto\tTO\tB-PP\tO' -p311171 -aS'incisions\tincision\tNNS\tB-NP\tO' -p311172 -aS'.\t.\t.\tO\tO' -p311173 -asS'No murmurs .' -p311174 -(lp311175 -S'No\tNo\tDT\tB-NP\tO' -p311176 -aS'murmurs\tmurmur\tNNS\tI-NP\tO' -p311177 -aS'.\t.\t.\tO\tO' -p311178 -asS'An underlying mass lesion or cancer cannot be excluded in this area , and further clinical investigation is recommended .' -p311179 -(lp311180 -S'An\tAn\tDT\tB-NP\tO' -p311181 -aS'underlying\tunderlie\tVBG\tI-NP\tO' -p311182 -aS'mass\tmass\tNN\tI-NP\tO' -p311183 -aS'lesion\tlesion\tNN\tI-NP\tO' -p311184 -aS'or\tor\tCC\tI-NP\tO' -p311185 -aS'cancer\tcancer\tNN\tI-NP\tO' -p311186 -aS'cannot\tcannot\tMD\tB-VP\tO' -p311187 -aS'be\tbe\tVB\tI-VP\tO' -p311188 -aS'excluded\texclude\tVBN\tI-VP\tO' -p311189 -aS'in\tin\tIN\tB-PP\tO' -p311190 -aS'this\tthis\tDT\tB-NP\tO' -p311191 -aS'area\tarea\tNN\tI-NP\tO' -p311192 -aS',\t,\t,\tO\tO' -p311193 -aS'and\tand\tCC\tO\tO' -p311194 -aS'further\tfurther\tJJ\tB-NP\tO' -p311195 -aS'clinical\tclinical\tJJ\tI-NP\tO' -p311196 -aS'investigation\tinvestigation\tNN\tI-NP\tO' -p311197 -aS'is\tbe\tVBZ\tB-VP\tO' -p311198 -aS'recommended\trecommend\tVBN\tI-VP\tO' -p311199 -aS'.\t.\t.\tO\tO' -p311200 -asS'He was found to have a large gastric ulcer and high dose PPI was started .' -p311201 -(lp311202 -S'He\tHe\tPRP\tB-NP\tO' -p311203 -aS'was\tbe\tVBD\tB-VP\tO' -p311204 -aS'found\tfind\tVBN\tI-VP\tO' -p311205 -aS'to\tto\tTO\tI-VP\tO' -p311206 -aS'have\thave\tVB\tI-VP\tO' -p311207 -aS'a\ta\tDT\tB-NP\tO' -p311208 -aS'large\tlarge\tJJ\tI-NP\tO' -p311209 -aS'gastric\tgastric\tJJ\tI-NP\tO' -p311210 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p311211 -aS'and\tand\tCC\tO\tO' -p311212 -aS'high\thigh\tJJ\tB-NP\tO' -p311213 -aS'dose\tdose\tNN\tI-NP\tO' -p311214 -aS'PPI\tPPI\tNN\tI-NP\tO' -p311215 -aS'was\tbe\tVBD\tB-VP\tO' -p311216 -aS'started\tstart\tVBN\tI-VP\tO' -p311217 -aS'.\t.\t.\tO\tO' -p311218 -asS'13. Cyclobenzaprine 10 mg tablet one tablet orally t.i.d.' -p311219 -(lp311220 -S'13.\t13.\tLS\tB-LST\tO' -p311221 -aS'Cyclobenzaprine\tCyclobenzaprine\tNN\tB-NP\tO' -p311222 -aS'10\t10\tCD\tI-NP\tO' -p311223 -aS'mg\tmg\tNN\tI-NP\tO' -p311224 -aS'tablet\ttablet\tNN\tI-NP\tO' -p311225 -aS'one\tone\tCD\tB-NP\tO' -p311226 -aS'tablet\ttablet\tNN\tI-NP\tO' -p311227 -aS'orally\torally\tRB\tB-ADVP\tO' -p311228 -aS't.i.d.\tt.i.d.\tRB\tB-ADVP\tO' -p311229 -asS'He received phototherapy for approximately 72 hours .' -p311230 -(lp311231 -S'He\tHe\tPRP\tB-NP\tO' -p311232 -aS'received\treceive\tVBD\tB-VP\tO' -p311233 -aS'phototherapy\tphototherapy\tNN\tB-NP\tO' -p311234 -aS'for\tfor\tIN\tB-PP\tO' -p311235 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p311236 -aS'72\t72\tCD\tI-NP\tO' -p311237 -aS'hours\thour\tNNS\tI-NP\tO' -p311238 -aS'.\t.\t.\tO\tO' -p311239 -asS'No gross intraparenchymal hemorrhage .' -p311240 -(lp311241 -S'No\tNo\tDT\tB-NP\tO' -p311242 -aS'gross\tgross\tJJ\tI-NP\tO' -p311243 -aS'intraparenchymal\tintraparenchymal\tJJ\tI-NP\tO' -p311244 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p311245 -aS'.\t.\t.\tO\tO' -p311246 -asS'Beginning today , she was noted to be in hypoxic respiratory distress , 87-91% on 2L/NC .' -p311247 -(lp311248 -S'Beginning\tBegin\tVBG\tB-VP\tO' -p311249 -aS'today\ttoday\tNN\tB-NP\tO' -p311250 -aS',\t,\t,\tO\tO' -p311251 -aS'she\tshe\tPRP\tB-NP\tO' -p311252 -aS'was\tbe\tVBD\tB-VP\tO' -p311253 -aS'noted\tnote\tVBN\tI-VP\tO' -p311254 -aS'to\tto\tTO\tI-VP\tO' -p311255 -aS'be\tbe\tVB\tI-VP\tO' -p311256 -aS'in\tin\tIN\tB-PP\tO' -p311257 -aS'hypoxic\thypoxic\tJJ\tB-NP\tO' -p311258 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p311259 -aS'distress\tdistress\tNN\tI-NP\tO' -p311260 -aS',\t,\t,\tO\tO' -p311261 -aS'87-91%\t87-91%\tJJ\tB-ADJP\tO' -p311262 -aS'on\ton\tIN\tB-PP\tO' -p311263 -aS'2L/NC\t2L/NC\tNN\tB-NP\tO' -p311264 -aS'.\t.\t.\tO\tO' -p311265 -asS'The wound erythema was improving and the wound was packed twice a day .' -p311266 -(lp311267 -S'The\tThe\tDT\tB-NP\tO' -p311268 -aS'wound\twound\tNN\tI-NP\tO' -p311269 -aS'erythema\terythema\tNN\tI-NP\tO' -p311270 -aS'was\tbe\tVBD\tB-VP\tO' -p311271 -aS'improving\timprove\tVBG\tI-VP\tO' -p311272 -aS'and\tand\tCC\tO\tO' -p311273 -aS'the\tthe\tDT\tB-NP\tO' -p311274 -aS'wound\twound\tNN\tI-NP\tO' -p311275 -aS'was\tbe\tVBD\tB-VP\tO' -p311276 -aS'packed\tpack\tVBN\tI-VP\tO' -p311277 -aS'twice\ttwice\tRB\tB-NP\tO' -p311278 -aS'a\ta\tDT\tI-NP\tO' -p311279 -aS'day\tday\tNN\tI-NP\tO' -p311280 -aS'.\t.\t.\tO\tO' -p311281 -asS'No masses could be palpated secondary to the patient 's extreme obesity .' -p311282 -(lp311283 -S'No\tNo\tDT\tB-NP\tO' -p311284 -aS'masses\tmass\tNNS\tI-NP\tO' -p311285 -aS'could\tcould\tMD\tB-VP\tO' -p311286 -aS'be\tbe\tVB\tI-VP\tO' -p311287 -aS'palpated\tpalpate\tVBN\tI-VP\tO' -p311288 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p311289 -aS'to\tto\tTO\tB-PP\tO' -p311290 -aS'the\tthe\tDT\tB-NP\tO' -p311291 -aS'patient\tpatient\tNN\tI-NP\tO' -p311292 -aS''s\t'\tNNS\tI-NP\tO' -p311293 -aS'extreme\textreme\tJJ\tB-NP\tO' -p311294 -aS'obesity\tobesity\tNN\tI-NP\tO' -p311295 -aS'.\t.\t.\tO\tO' -p311296 -asS'His other antibiotics were discontinued .' -p311297 -(lp311298 -S'His\tHis\tPRP$\tB-NP\tO' -p311299 -aS'other\tother\tJJ\tI-NP\tO' -p311300 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p311301 -aS'were\tbe\tVBD\tB-VP\tO' -p311302 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p311303 -aS'.\t.\t.\tO\tO' -p311304 -asS'His oropharynx was wide open with no evidence of burn .' -p311305 -(lp311306 -S'His\tHis\tPRP$\tB-NP\tO' -p311307 -aS'oropharynx\toropharynx\tNN\tI-NP\tO' -p311308 -aS'was\tbe\tVBD\tB-VP\tO' -p311309 -aS'wide\twide\tJJ\tB-ADJP\tO' -p311310 -aS'open\topen\tJJ\tB-ADJP\tO' -p311311 -aS'with\twith\tIN\tB-PP\tO' -p311312 -aS'no\tno\tDT\tB-NP\tO' -p311313 -aS'evidence\tevidence\tNN\tI-NP\tO' -p311314 -aS'of\tof\tIN\tB-PP\tO' -p311315 -aS'burn\tburn\tNN\tB-NP\tO' -p311316 -aS'.\t.\t.\tO\tO' -p311317 -asS'Hydrochlorothiazide 50 mg p.o. q day , atenolol 50 mg p.o. q day , dicloxacillin started on December 29 , 2002 , Naproxen 500 mg p.o. t.i.d. , aspirin 81 mg p.o. q day , Tylenol p.r.n.' -p311318 -(lp311319 -S'Hydrochlorothiazide\tHydrochlorothiazide\tNN\tB-NP\tO' -p311320 -aS'50\t50\tCD\tI-NP\tO' -p311321 -aS'mg\tmg\tNN\tI-NP\tO' -p311322 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p311323 -aS'q\tq\tNN\tI-NP\tO' -p311324 -aS'day\tday\tNN\tI-NP\tO' -p311325 -aS',\t,\t,\tO\tO' -p311326 -aS'atenolol\tatenolol\tNN\tB-NP\tO' -p311327 -aS'50\t50\tCD\tI-NP\tO' -p311328 -aS'mg\tmg\tNN\tI-NP\tO' -p311329 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p311330 -aS'q\tq\tNN\tI-NP\tO' -p311331 -aS'day\tday\tNN\tI-NP\tO' -p311332 -aS',\t,\t,\tO\tO' -p311333 -aS'dicloxacillin\tdicloxacillin\tNN\tB-NP\tO' -p311334 -aS'started\tstart\tVBD\tB-VP\tO' -p311335 -aS'on\ton\tIN\tB-PP\tO' -p311336 -aS'December\tDecember\tNNP\tB-NP\tO' -p311337 -aS'29\t29\tCD\tI-NP\tO' -p311338 -aS',\t,\t,\tI-NP\tO' -p311339 -aS'2002\t2002\tCD\tI-NP\tO' -p311340 -aS',\t,\t,\tO\tO' -p311341 -aS'Naproxen\tNaproxen\tNNP\tB-NP\tO' -p311342 -aS'500\t500\tCD\tI-NP\tO' -p311343 -aS'mg\tmg\tNN\tI-NP\tO' -p311344 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p311345 -aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' -p311346 -aS',\t,\t,\tO\tO' -p311347 -aS'aspirin\taspirin\tNN\tB-NP\tO' -p311348 -aS'81\t81\tCD\tI-NP\tO' -p311349 -aS'mg\tmg\tNN\tI-NP\tO' -p311350 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p311351 -aS'q\tq\tNN\tI-NP\tO' -p311352 -aS'day\tday\tNN\tI-NP\tO' -p311353 -aS',\t,\t,\tO\tO' -p311354 -aS'Tylenol\tTylenol\tNN\tB-NP\tO' -p311355 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p311356 -asS'Her saccades were normal .' -p311357 -(lp311358 -S'Her\tHer\tPRP$\tB-NP\tO' -p311359 -aS'saccades\tsaccade\tNNS\tI-NP\tO' -p311360 -aS'were\tbe\tVBD\tB-VP\tO' -p311361 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p311362 -aS'.\t.\t.\tO\tO' -p311363 -asS'On floor on day of transfer 7.25/50/70 on 100% NRB .' -p311364 -(lp311365 -S'On\tOn\tIN\tB-PP\tO' -p311366 -aS'floor\tfloor\tNN\tB-NP\tO' -p311367 -aS'on\ton\tIN\tB-PP\tO' -p311368 -aS'day\tday\tNN\tB-NP\tO' -p311369 -aS'of\tof\tIN\tB-PP\tO' -p311370 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p311371 -aS'7.25/50/70\t7.25/50/70\tCD\tI-NP\tO' -p311372 -aS'on\ton\tIN\tB-PP\tO' -p311373 -aS'100%\t100%\tCD\tB-NP\tO' -p311374 -aS'NRB\tNRB\tNN\tI-NP\tB-protein' -p311375 -aS'.\t.\t.\tO\tO' -p311376 -asS'Pressors weaned off by 04-27 .' -p311377 -(lp311378 -S'Pressors\tPressor\tNNS\tB-NP\tO' -p311379 -aS'weaned\twean\tVBD\tB-VP\tO' -p311380 -aS'off\toff\tRP\tB-PRT\tO' -p311381 -aS'by\tby\tIN\tB-PP\tO' -p311382 -aS'04-27\t04-27\tCD\tB-NP\tO' -p311383 -aS'.\t.\t.\tO\tO' -p311384 -asS'Abnormal EEG due to the moderately slow posterior background and occasional bursts of generalized slowing .' -p311385 -(lp311386 -S'Abnormal\tAbnormal\tJJ\tB-NP\tO' -p311387 -aS'EEG\tEEG\tNN\tI-NP\tO' -p311388 -aS'due\tdue\tJJ\tB-PP\tO' -p311389 -aS'to\tto\tTO\tB-PP\tO' -p311390 -aS'the\tthe\tDT\tB-NP\tO' -p311391 -aS'moderately\tmoderately\tRB\tI-NP\tO' -p311392 -aS'slow\tslow\tJJ\tI-NP\tO' -p311393 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p311394 -aS'background\tbackground\tNN\tI-NP\tO' -p311395 -aS'and\tand\tCC\tO\tO' -p311396 -aS'occasional\toccasional\tJJ\tB-NP\tO' -p311397 -aS'bursts\tburst\tNNS\tI-NP\tO' -p311398 -aS'of\tof\tIN\tB-PP\tO' -p311399 -aS'generalized\tgeneralize\tVBN\tB-NP\tO' -p311400 -aS'slowing\tslow\tVBG\tI-NP\tO' -p311401 -aS'.\t.\t.\tO\tO' -p311402 -asS'On admission , the patient had what appeared to be acute respiratory distress syndrome secondary to community - acquired pneumonia .' -p311403 -(lp311404 -S'On\tOn\tIN\tB-PP\tO' -p311405 -aS'admission\tadmission\tNN\tB-NP\tO' -p311406 -aS',\t,\t,\tO\tO' -p311407 -aS'the\tthe\tDT\tB-NP\tO' -p311408 -aS'patient\tpatient\tNN\tI-NP\tO' -p311409 -aS'had\thave\tVBD\tB-VP\tO' -p311410 -aS'what\twhat\tWP\tB-NP\tO' -p311411 -aS'appeared\tappear\tVBD\tB-VP\tO' -p311412 -aS'to\tto\tTO\tI-VP\tO' -p311413 -aS'be\tbe\tVB\tI-VP\tO' -p311414 -aS'acute\tacute\tJJ\tB-NP\tO' -p311415 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p311416 -aS'distress\tdistress\tNN\tI-NP\tO' -p311417 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p311418 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p311419 -aS'to\tto\tTO\tB-PP\tO' -p311420 -aS'community\tcommunity\tNN\tB-NP\tO' -p311421 -aS'-\t-\tHYPH\tO\tO' -p311422 -aS'acquired\tacquire\tVBN\tB-NP\tO' -p311423 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p311424 -aS'.\t.\t.\tO\tO' -p311425 -asS'( at time of admission ) hematocrit 32.7 ; white blood count 9,000 ; platelet count 336,000 ; sodium 126 , potassium 4.3 , chloride 93 , CO2 19 , BUN 36 , creatinine 1.5 , blood sugar 84 , calcium 11.7 ; the chest X-ray normal .' -p311426 -(lp311427 -S'(\t(\t(\tO\tO' -p311428 -aS'at\tat\tIN\tB-PP\tO' -p311429 -aS'time\ttime\tNN\tB-NP\tO' -p311430 -aS'of\tof\tIN\tB-PP\tO' -p311431 -aS'admission\tadmission\tNN\tB-NP\tO' -p311432 -aS')\t)\t)\tO\tO' -p311433 -aS'hematocrit\thematocrit\tNN\tB-NP\tO' -p311434 -aS'32.7\t32.7\tCD\tI-NP\tO' -p311435 -aS';\t;\t:\tO\tO' -p311436 -aS'white\twhite\tJJ\tB-NP\tO' -p311437 -aS'blood\tblood\tNN\tI-NP\tO' -p311438 -aS'count\tcount\tNN\tI-NP\tO' -p311439 -aS'9,000\t9,000\tCD\tI-NP\tO' -p311440 -aS';\t;\t:\tO\tO' -p311441 -aS'platelet\tplatelet\tNN\tB-NP\tO' -p311442 -aS'count\tcount\tNN\tI-NP\tO' -p311443 -aS'336,000\t336,000\tCD\tI-NP\tO' -p311444 -aS';\t;\t:\tO\tO' -p311445 -aS'sodium\tsodium\tNN\tB-NP\tO' -p311446 -aS'126\t126\tCD\tI-NP\tO' -p311447 -aS',\t,\t,\tO\tO' -p311448 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p311449 -aS'4.3\t4.3\tCD\tI-NP\tO' -p311450 -aS',\t,\t,\tO\tO' -p311451 -aS'chloride\tchloride\tNN\tB-NP\tO' -p311452 -aS'93\t93\tCD\tI-NP\tO' -p311453 -aS',\t,\t,\tO\tO' -p311454 -aS'CO2\tCO2\tNN\tB-NP\tO' -p311455 -aS'19\t19\tCD\tI-NP\tO' -p311456 -aS',\t,\t,\tO\tO' -p311457 -aS'BUN\tBUN\tNN\tB-NP\tB-DNA' -p311458 -aS'36\t36\tCD\tI-NP\tI-DNA' -p311459 -aS',\t,\t,\tO\tO' -p311460 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p311461 -aS'1.5\t1.5\tCD\tI-NP\tO' -p311462 -aS',\t,\t,\tO\tO' -p311463 -aS'blood\tblood\tNN\tB-NP\tO' -p311464 -aS'sugar\tsugar\tNN\tI-NP\tO' -p311465 -aS'84\t84\tCD\tI-NP\tO' -p311466 -aS',\t,\t,\tO\tO' -p311467 -aS'calcium\tcalcium\tNN\tB-NP\tO' -p311468 -aS'11.7\t11.7\tCD\tI-NP\tO' -p311469 -aS';\t;\t:\tO\tO' -p311470 -aS'the\tthe\tDT\tB-NP\tO' -p311471 -aS'chest\tch\tJJS\tI-NP\tO' -p311472 -aS'X-ray\tX-ray\tNN\tI-NP\tO' -p311473 -aS'normal\tnormal\tJJ\tI-NP\tO' -p311474 -aS'.\t.\t.\tO\tO' -p311475 -asS'Her carotids were 2+ bilaterally .' -p311476 -(lp311477 -S'Her\tHer\tPRP$\tB-NP\tO' -p311478 -aS'carotids\tcarotid\tNNS\tI-NP\tO' -p311479 -aS'were\tbe\tVBD\tB-VP\tO' -p311480 -aS'2+\t2+\tJJ\tB-ADJP\tO' -p311481 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p311482 -aS'.\t.\t.\tO\tO' -p311483 -asS'In general , patient in no acute distress .' -p311484 -(lp311485 -S'In\tIn\tIN\tB-PP\tO' -p311486 -aS'general\tgeneral\tJJ\tB-ADJP\tO' -p311487 -aS',\t,\t,\tO\tO' -p311488 -aS'patient\tpatient\tNN\tB-NP\tO' -p311489 -aS'in\tin\tIN\tB-PP\tO' -p311490 -aS'no\tno\tDT\tB-NP\tO' -p311491 -aS'acute\tacute\tJJ\tI-NP\tO' -p311492 -aS'distress\tdistress\tNN\tI-NP\tO' -p311493 -aS'.\t.\t.\tO\tO' -p311494 -asS'Endoscopies were negative except for an extrinsic mass present on the stomach .' -p311495 -(lp311496 -S'Endoscopies\tEndoscopy\tNNS\tB-NP\tO' -p311497 -aS'were\tbe\tVBD\tB-VP\tO' -p311498 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p311499 -aS'except\texcept\tIN\tB-PP\tO' -p311500 -aS'for\tfor\tIN\tB-PP\tO' -p311501 -aS'an\tan\tDT\tB-NP\tO' -p311502 -aS'extrinsic\textrinsic\tJJ\tI-NP\tO' -p311503 -aS'mass\tmass\tNN\tI-NP\tO' -p311504 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p311505 -aS'on\ton\tIN\tB-PP\tO' -p311506 -aS'the\tthe\tDT\tB-NP\tO' -p311507 -aS'stomach\tstomach\tNN\tI-NP\tO' -p311508 -aS'.\t.\t.\tO\tO' -p311509 -asS'IVC filter in place .' -p311510 -(lp311511 -S'IVC\tIVC\tNN\tB-NP\tO' -p311512 -aS'filter\tfilter\tNN\tI-NP\tO' -p311513 -aS'in\tin\tIN\tB-PP\tO' -p311514 -aS'place\tplace\tNN\tB-NP\tO' -p311515 -aS'.\t.\t.\tO\tO' -p311516 -asS'Signed electronically by : DR. Melissa Higuera on : SUN 2014-11-23 6:13 PM' -p311517 -(lp311518 -S'Signed\tSign\tVBN\tB-VP\tO' -p311519 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p311520 -aS'by\tby\tIN\tB-PP\tO' -p311521 -aS':\t:\t:\tO\tO' -p311522 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p311523 -aS'Melissa\tMelissa\tNNP\tI-NP\tO' -p311524 -aS'Higuera\tHiguera\tNNP\tI-NP\tO' -p311525 -aS'on\ton\tIN\tB-PP\tO' -p311526 -aS':\t:\t:\tO\tO' -p311527 -aS'SUN\tSUN\tNN\tB-NP\tO' -p311528 -aS'2014-11-23\t2014-11-23\tCD\tI-NP\tO' -p311529 -aS'6:13\t6:13\tCD\tI-NP\tO' -p311530 -aS'PM\tPM\tNN\tI-NP\tO' -p311531 -asS'She was thereafter transferred to Beverly Hospital for further evaluation and management .' -p311532 -(lp311533 -S'She\tShe\tPRP\tB-NP\tO' -p311534 -aS'was\tbe\tVBD\tB-VP\tO' -p311535 -aS'thereafter\tthereafter\tRB\tI-VP\tO' -p311536 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p311537 -aS'to\tto\tTO\tB-PP\tO' -p311538 -aS'Beverly\tBeverly\tNNP\tB-NP\tO' -p311539 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p311540 -aS'for\tfor\tIN\tB-PP\tO' -p311541 -aS'further\tfurther\tJJ\tB-NP\tO' -p311542 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p311543 -aS'and\tand\tCC\tI-NP\tO' -p311544 -aS'management\tmanagement\tNN\tI-NP\tO' -p311545 -aS'.\t.\t.\tO\tO' -p311546 -asS'5. Carafate , one gram , po or per nasogastric tube , q.i.d. , Cardizem , 30 mg. , po , q6h , digoxin , 0.25 mg. , po or intravenously , qD , fluconazole , 200 mg. , qD , for five more days , after transfer , for a total of a 14 day course , total parenteral nutrition to meet the patient 's nutritional needs .' -p311547 -(lp311548 -S'5.\t5.\tLS\tB-NP\tO' -p311549 -aS'Carafate\tCarafate\tNNP\tI-NP\tO' -p311550 -aS',\t,\t,\tO\tO' -p311551 -aS'one\tone\tCD\tB-NP\tO' -p311552 -aS'gram\tgram\tNN\tI-NP\tO' -p311553 -aS',\t,\t,\tO\tO' -p311554 -aS'po\tpo\tNN\tB-NP\tO' -p311555 -aS'or\tor\tCC\tB-PP\tO' -p311556 -aS'per\tper\tIN\tB-PP\tO' -p311557 -aS'nasogastric\tnasogastric\tJJ\tB-NP\tO' -p311558 -aS'tube\ttube\tNN\tI-NP\tO' -p311559 -aS',\t,\t,\tO\tO' -p311560 -aS'q.i.d.\tq.i.d.\tNN\tB-NP\tO' -p311561 -aS',\t,\t,\tO\tO' -p311562 -aS'Cardizem\tCardizem\tNNP\tB-NP\tO' -p311563 -aS',\t,\t,\tO\tO' -p311564 -aS'30\t30\tCD\tB-NP\tO' -p311565 -aS'mg.\tmg.\tNN\tI-NP\tO' -p311566 -aS',\t,\t,\tO\tO' -p311567 -aS'po\tpo\tNN\tB-NP\tO' -p311568 -aS',\t,\t,\tO\tO' -p311569 -aS'q6h\tq6h\tNN\tB-NP\tO' -p311570 -aS',\t,\t,\tO\tO' -p311571 -aS'digoxin\tdigoxin\tNN\tB-NP\tO' -p311572 -aS',\t,\t,\tO\tO' -p311573 -aS'0.25\t0.25\tCD\tB-NP\tO' -p311574 -aS'mg.\tmg.\tNN\tI-NP\tO' -p311575 -aS',\t,\t,\tO\tO' -p311576 -aS'po\tpo\tNN\tB-NP\tO' -p311577 -aS'or\tor\tCC\tO\tO' -p311578 -aS'intravenously\tintravenously\tRB\tB-ADVP\tO' -p311579 -aS',\t,\t,\tO\tO' -p311580 -aS'qD\tqD\tNN\tB-NP\tO' -p311581 -aS',\t,\t,\tO\tO' -p311582 -aS'fluconazole\tfluconazole\tNN\tB-NP\tO' -p311583 -aS',\t,\t,\tO\tO' -p311584 -aS'200\t200\tCD\tB-NP\tO' -p311585 -aS'mg.\tmg.\tNN\tI-NP\tO' -p311586 -aS',\t,\t,\tO\tO' -p311587 -aS'qD\tqD\tNN\tB-NP\tO' -p311588 -aS',\t,\t,\tO\tO' -p311589 -aS'for\tfor\tIN\tB-PP\tO' -p311590 -aS'five\tfive\tCD\tB-NP\tO' -p311591 -aS'more\tmore\tJJR\tI-NP\tO' -p311592 -aS'days\tday\tNNS\tI-NP\tO' -p311593 -aS',\t,\t,\tO\tO' -p311594 -aS'after\tafter\tIN\tB-PP\tO' -p311595 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p311596 -aS',\t,\t,\tO\tO' -p311597 -aS'for\tfor\tIN\tB-PP\tO' -p311598 -aS'a\ta\tDT\tB-NP\tO' -p311599 -aS'total\ttotal\tNN\tI-NP\tO' -p311600 -aS'of\tof\tIN\tB-PP\tO' -p311601 -aS'a\ta\tDT\tB-NP\tO' -p311602 -aS'14\t14\tCD\tI-NP\tO' -p311603 -aS'day\tday\tNN\tI-NP\tO' -p311604 -aS'course\tcourse\tNN\tI-NP\tO' -p311605 -aS',\t,\t,\tO\tO' -p311606 -aS'total\ttotal\tJJ\tB-NP\tO' -p311607 -aS'parenteral\tparenteral\tJJ\tI-NP\tO' -p311608 -aS'nutrition\tnutrition\tNN\tI-NP\tO' -p311609 -aS'to\tto\tTO\tB-VP\tO' -p311610 -aS'meet\tmeet\tVB\tI-VP\tO' -p311611 -aS'the\tthe\tDT\tB-NP\tO' -p311612 -aS'patient\tpatient\tNN\tI-NP\tO' -p311613 -aS''s\t'\tVBZ\tB-VP\tO' -p311614 -aS'nutritional\tnutritional\tJJ\tB-NP\tO' -p311615 -aS'needs\tneed\tNNS\tI-NP\tO' -p311616 -aS'.\t.\t.\tO\tO' -p311617 -asS'A mammogram done in November 1990 was negative .' -p311618 -(lp311619 -S'A\tA\tDT\tB-NP\tO' -p311620 -aS'mammogram\tmammogram\tNN\tI-NP\tO' -p311621 -aS'done\tdo\tVBN\tB-VP\tO' -p311622 -aS'in\tin\tIN\tB-PP\tO' -p311623 -aS'November\tNovember\tNNP\tB-NP\tO' -p311624 -aS'1990\t1990\tCD\tI-NP\tO' -p311625 -aS'was\tbe\tVBD\tB-VP\tO' -p311626 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p311627 -aS'.\t.\t.\tO\tO' -p311628 -asS'The extraocular muscles were intact .' -p311629 -(lp311630 -S'The\tThe\tDT\tB-NP\tO' -p311631 -aS'extraocular\textraocular\tJJ\tI-NP\tO' -p311632 -aS'muscles\tmuscle\tNNS\tI-NP\tO' -p311633 -aS'were\tbe\tVBD\tB-VP\tO' -p311634 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p311635 -aS'.\t.\t.\tO\tO' -p311636 -asS'Clear to auscultation anteriorly .' -p311637 -(lp311638 -S'Clear\tClear\tJJ\tB-ADJP\tO' -p311639 -aS'to\tto\tTO\tB-PP\tO' -p311640 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p311641 -aS'anteriorly\tanteriorly\tRB\tB-ADVP\tO' -p311642 -aS'.\t.\t.\tO\tO' -p311643 -asS'Cholecystectomy in 1994 , colonoscopy 2004 , status post tonsillectomy , status post appendectomy , status post ORIF of left wrist , status post left ear surgery , NSVD x5 , and hypertension .' -p311644 -(lp311645 -S'Cholecystectomy\tCholecystectomy\tNN\tB-NP\tO' -p311646 -aS'in\tin\tIN\tB-PP\tO' -p311647 -aS'1994\t1994\tCD\tB-NP\tO' -p311648 -aS',\t,\t,\tO\tO' -p311649 -aS'colonoscopy\tcolonoscopy\tNN\tB-NP\tO' -p311650 -aS'2004\t2004\tCD\tI-NP\tO' -p311651 -aS',\t,\t,\tO\tO' -p311652 -aS'status\tstatus\tNN\tB-NP\tO' -p311653 -aS'post\tpost\tNN\tI-NP\tO' -p311654 -aS'tonsillectomy\ttonsillectomy\tNN\tI-NP\tO' -p311655 -aS',\t,\t,\tO\tO' -p311656 -aS'status\tstatus\tNN\tB-NP\tO' -p311657 -aS'post\tpost\tNN\tI-NP\tO' -p311658 -aS'appendectomy\tappendectomy\tNN\tI-NP\tO' -p311659 -aS',\t,\t,\tO\tO' -p311660 -aS'status\tstatus\tNN\tB-NP\tB-protein' -p311661 -aS'post\tpost\tNN\tI-NP\tI-protein' -p311662 -aS'ORIF\tORIF\tNN\tI-NP\tI-protein' -p311663 -aS'of\tof\tIN\tB-PP\tO' -p311664 -aS'left\tleft\tJJ\tB-NP\tO' -p311665 -aS'wrist\twrist\tNN\tI-NP\tO' -p311666 -aS',\t,\t,\tO\tO' -p311667 -aS'status\tstatus\tNN\tB-NP\tO' -p311668 -aS'post\tpost\tNN\tI-NP\tO' -p311669 -aS'left\tleave\tVBD\tB-VP\tO' -p311670 -aS'ear\tear\tNN\tB-NP\tO' -p311671 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p311672 -aS',\t,\t,\tO\tO' -p311673 -aS'NSVD\tNSVD\tNN\tB-NP\tB-protein' -p311674 -aS'x5\tx5\tNN\tI-NP\tI-protein' -p311675 -aS',\t,\t,\tO\tO' -p311676 -aS'and\tand\tCC\tO\tO' -p311677 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p311678 -aS'.\t.\t.\tO\tO' -p311679 -asS'His Decadron dose will be slowly titrated down over time following his neurological exam closely .' -p311680 -(lp311681 -S'His\tHis\tPRP$\tB-NP\tB-protein' -p311682 -aS'Decadron\tDecadron\tNNP\tI-NP\tO' -p311683 -aS'dose\tdose\tNN\tI-NP\tO' -p311684 -aS'will\twill\tMD\tB-VP\tO' -p311685 -aS'be\tbe\tVB\tI-VP\tO' -p311686 -aS'slowly\tslowly\tRB\tI-VP\tO' -p311687 -aS'titrated\ttitrate\tVBN\tI-VP\tO' -p311688 -aS'down\tdown\tIN\tB-ADVP\tO' -p311689 -aS'over\tover\tIN\tB-PP\tO' -p311690 -aS'time\ttime\tNN\tB-NP\tO' -p311691 -aS'following\tfollow\tVBG\tB-PP\tO' -p311692 -aS'his\this\tPRP$\tB-NP\tO' -p311693 -aS'neurological\tneurological\tJJ\tI-NP\tO' -p311694 -aS'exam\texam\tNN\tI-NP\tO' -p311695 -aS'closely\tclosely\tRB\tB-ADVP\tO' -p311696 -aS'.\t.\t.\tO\tO' -p311697 -asS'This is a 44 year-old right handed woman with Down 's syndrome who presents with increased falling and gait unsteadiness and an increased inability to perform her activities of daily living over the past three years .' -p311698 -(lp311699 -S'This\tThis\tDT\tB-NP\tO' -p311700 -aS'is\tbe\tVBZ\tB-VP\tO' -p311701 -aS'a\ta\tDT\tB-NP\tO' -p311702 -aS'44\t44\tCD\tI-NP\tO' -p311703 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p311704 -aS'right\tright\tJJ\tI-NP\tO' -p311705 -aS'handed\thanded\tJJ\tI-NP\tO' -p311706 -aS'woman\twoman\tNN\tI-NP\tO' -p311707 -aS'with\twith\tIN\tB-PP\tO' -p311708 -aS'Down\tDown\tNN\tB-NP\tO' -p311709 -aS''s\t'\tNNS\tI-NP\tO' -p311710 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p311711 -aS'who\twho\tWP\tB-NP\tO' -p311712 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p311713 -aS'with\twith\tIN\tB-PP\tO' -p311714 -aS'increased\tincrease\tVBN\tB-NP\tO' -p311715 -aS'falling\tfall\tVBG\tI-NP\tO' -p311716 -aS'and\tand\tCC\tO\tO' -p311717 -aS'gait\tgait\tVB\tB-VP\tO' -p311718 -aS'unsteadiness\tunsteadiness\tNN\tB-NP\tO' -p311719 -aS'and\tand\tCC\tO\tO' -p311720 -aS'an\tan\tDT\tB-NP\tO' -p311721 -aS'increased\tincrease\tVBN\tI-NP\tO' -p311722 -aS'inability\tinability\tNN\tI-NP\tO' -p311723 -aS'to\tto\tTO\tB-VP\tO' -p311724 -aS'perform\tperform\tVB\tI-VP\tO' -p311725 -aS'her\ther\tPRP$\tB-NP\tO' -p311726 -aS'activities\tactivity\tNNS\tI-NP\tO' -p311727 -aS'of\tof\tIN\tB-PP\tO' -p311728 -aS'daily\tdaily\tJJ\tB-NP\tO' -p311729 -aS'living\tliving\tNN\tI-NP\tO' -p311730 -aS'over\tover\tIN\tB-PP\tO' -p311731 -aS'the\tthe\tDT\tB-NP\tO' -p311732 -aS'past\tpast\tJJ\tI-NP\tO' -p311733 -aS'three\tthree\tCD\tI-NP\tO' -p311734 -aS'years\tyear\tNNS\tI-NP\tO' -p311735 -aS'.\t.\t.\tO\tO' -p311736 -asS'At that time , he ruled in for an NST EMI with a peak CK of 412 and a troponin of 6.23 .' -p311737 -(lp311738 -S'At\tAt\tIN\tB-PP\tO' -p311739 -aS'that\tthat\tDT\tB-NP\tO' -p311740 -aS'time\ttime\tNN\tI-NP\tO' -p311741 -aS',\t,\t,\tO\tO' -p311742 -aS'he\the\tPRP\tB-NP\tO' -p311743 -aS'ruled\trule\tVBD\tB-VP\tO' -p311744 -aS'in\tin\tRP\tB-PRT\tO' -p311745 -aS'for\tfor\tIN\tB-PP\tO' -p311746 -aS'an\tan\tDT\tB-NP\tO' -p311747 -aS'NST\tNST\tNN\tI-NP\tO' -p311748 -aS'EMI\tEMI\tNN\tI-NP\tO' -p311749 -aS'with\twith\tIN\tB-PP\tO' -p311750 -aS'a\ta\tDT\tB-NP\tO' -p311751 -aS'peak\tpeak\tJJ\tI-NP\tO' -p311752 -aS'CK\tCK\tNN\tI-NP\tO' -p311753 -aS'of\tof\tIN\tB-PP\tO' -p311754 -aS'412\t412\tCD\tB-NP\tO' -p311755 -aS'and\tand\tCC\tO\tO' -p311756 -aS'a\ta\tDT\tB-NP\tO' -p311757 -aS'troponin\ttroponin\tNN\tI-NP\tO' -p311758 -aS'of\tof\tIN\tB-PP\tO' -p311759 -aS'6.23\t6.23\tCD\tB-NP\tO' -p311760 -aS'.\t.\t.\tO\tO' -p311761 -asS'The baby had been breast feeding ad lib in the Newborn Nursery .' -p311762 -(lp311763 -S'The\tThe\tDT\tB-NP\tO' -p311764 -aS'baby\tbaby\tNN\tI-NP\tO' -p311765 -aS'had\thave\tVBD\tB-VP\tO' -p311766 -aS'been\tbe\tVBN\tI-VP\tO' -p311767 -aS'breast\tbreast\tNN\tB-NP\tO' -p311768 -aS'feeding\tfeeding\tNN\tI-NP\tO' -p311769 -aS'ad\tad\tNN\tI-NP\tO' -p311770 -aS'lib\tlib\tNN\tI-NP\tO' -p311771 -aS'in\tin\tIN\tB-PP\tO' -p311772 -aS'the\tthe\tDT\tB-NP\tO' -p311773 -aS'Newborn\tNewborn\tNNP\tI-NP\tO' -p311774 -aS'Nursery\tNursery\tNNP\tI-NP\tO' -p311775 -aS'.\t.\t.\tO\tO' -p311776 -asS"95 yo male with PMH large right thyroid cystic mass eroding into trachea , who presented to St. Anne 's Hospital 2018-04-22 with hemoptysis and respiratory distress , now diagnosed with anaplastic thyroid carcinoma ." -p311777 -(lp311778 -S'95\t95\tCD\tB-NP\tO' -p311779 -aS'yo\tyo\tNN\tI-NP\tO' -p311780 -aS'male\tmale\tJJ\tB-ADJP\tO' -p311781 -aS'with\twith\tIN\tB-PP\tO' -p311782 -aS'PMH\tPMH\tNN\tB-NP\tO' -p311783 -aS'large\tlarge\tJJ\tI-NP\tO' -p311784 -aS'right\tright\tJJ\tI-NP\tO' -p311785 -aS'thyroid\tthyroid\tJJ\tI-NP\tO' -p311786 -aS'cystic\tcystic\tJJ\tI-NP\tO' -p311787 -aS'mass\tmass\tNN\tI-NP\tO' -p311788 -aS'eroding\terode\tVBG\tB-VP\tO' -p311789 -aS'into\tinto\tIN\tB-PP\tO' -p311790 -aS'trachea\ttrachea\tNN\tB-NP\tO' -p311791 -aS',\t,\t,\tO\tO' -p311792 -aS'who\twho\tWP\tB-NP\tO' -p311793 -aS'presented\tpresent\tVBD\tB-VP\tO' -p311794 -aS'to\tto\tTO\tB-PP\tO' -p311795 -aS'St.\tSt.\tNNP\tB-NP\tO' -p311796 -aS'Anne\tAnne\tNNP\tI-NP\tO' -p311797 -aS"'s\t's\tPOS\tB-NP\tO" -p311798 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p311799 -aS'2018-04-22\t2018-04-22\tCD\tI-NP\tO' -p311800 -aS'with\twith\tIN\tB-PP\tO' -p311801 -aS'hemoptysis\themoptysis\tNN\tB-NP\tO' -p311802 -aS'and\tand\tCC\tO\tO' -p311803 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p311804 -aS'distress\tdistress\tNN\tI-NP\tO' -p311805 -aS',\t,\t,\tO\tO' -p311806 -aS'now\tnow\tRB\tB-VP\tO' -p311807 -aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' -p311808 -aS'with\twith\tIN\tB-PP\tO' -p311809 -aS'anaplastic\tanaplastic\tJJ\tB-NP\tO' -p311810 -aS'thyroid\tthyroid\tNN\tI-NP\tO' -p311811 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p311812 -aS'.\t.\t.\tO\tO' -p311813 -asS'Neutropenic precautions were taken .' -p311814 -(lp311815 -S'Neutropenic\tNeutropenic\tJJ\tB-NP\tO' -p311816 -aS'precautions\tprecaution\tNNS\tI-NP\tO' -p311817 -aS'were\tbe\tVBD\tB-VP\tO' -p311818 -aS'taken\ttake\tVBN\tI-VP\tO' -p311819 -aS'.\t.\t.\tO\tO' -p311820 -asS'Your obstetrician 6 weeks , No Known Allergies' -p311821 -(lp311822 -S'Your\tYour\tPRP$\tB-NP\tO' -p311823 -aS'obstetrician\tobstetrician\tJJ\tI-NP\tO' -p311824 -aS'6\t6\tCD\tI-NP\tO' -p311825 -aS'weeks\tweek\tNNS\tI-NP\tO' -p311826 -aS',\t,\t,\tO\tO' -p311827 -aS'No\tNo\tNNP\tB-NP\tO' -p311828 -aS'Known\tKnown\tNNP\tI-NP\tO' -p311829 -aS'Allergies\tAllergies\tNNP\tI-NP\tO' -p311830 -asS'High cholesterol .' -p311831 -(lp311832 -S'High\tHigh\tJJ\tB-NP\tO' -p311833 -aS'cholesterol\tcholesterol\tNN\tI-NP\tO' -p311834 -aS'.\t.\t.\tO\tO' -p311835 -asS'Trace aortic regurgitation is seen .' -p311836 -(lp311837 -S'Trace\tTrace\tNN\tB-NP\tO' -p311838 -aS'aortic\taortic\tJJ\tI-NP\tO' -p311839 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p311840 -aS'is\tbe\tVBZ\tB-VP\tO' -p311841 -aS'seen\tsee\tVBN\tI-VP\tO' -p311842 -aS'.\t.\t.\tO\tO' -p311843 -asS'He has had no significant episode of tachycardia or blood pressure alteration during the final days of hospitalization .' -p311844 -(lp311845 -S'He\tHe\tPRP\tB-NP\tO' -p311846 -aS'has\thave\tVBZ\tB-VP\tO' -p311847 -aS'had\thave\tVBN\tI-VP\tO' -p311848 -aS'no\tno\tDT\tB-NP\tO' -p311849 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p311850 -aS'episode\tepisode\tNN\tI-NP\tO' -p311851 -aS'of\tof\tIN\tB-PP\tO' -p311852 -aS'tachycardia\ttachycardia\tNN\tB-NP\tO' -p311853 -aS'or\tor\tCC\tI-NP\tO' -p311854 -aS'blood\tblood\tNN\tI-NP\tO' -p311855 -aS'pressure\tpressure\tNN\tI-NP\tO' -p311856 -aS'alteration\talteration\tNN\tI-NP\tO' -p311857 -aS'during\tduring\tIN\tB-PP\tO' -p311858 -aS'the\tthe\tDT\tB-NP\tO' -p311859 -aS'final\tfinal\tJJ\tI-NP\tO' -p311860 -aS'days\tday\tNNS\tI-NP\tO' -p311861 -aS'of\tof\tIN\tB-PP\tO' -p311862 -aS'hospitalization\thospitalization\tNN\tB-NP\tO' -p311863 -aS'.\t.\t.\tO\tO' -p311864 -asS'The passport in his left arm was pulled and will be replaced if needed after the Amphotericine is completed .' -p311865 -(lp311866 -S'The\tThe\tDT\tB-NP\tO' -p311867 -aS'passport\tpassport\tNN\tI-NP\tO' -p311868 -aS'in\tin\tIN\tB-PP\tO' -p311869 -aS'his\this\tPRP$\tB-NP\tO' -p311870 -aS'left\tleft\tJJ\tI-NP\tO' -p311871 -aS'arm\tarm\tNN\tI-NP\tO' -p311872 -aS'was\tbe\tVBD\tB-VP\tO' -p311873 -aS'pulled\tpull\tVBN\tI-VP\tO' -p311874 -aS'and\tand\tCC\tO\tO' -p311875 -aS'will\twill\tMD\tB-VP\tO' -p311876 -aS'be\tbe\tVB\tI-VP\tO' -p311877 -aS'replaced\treplace\tVBN\tI-VP\tO' -p311878 -aS'if\tif\tIN\tB-SBAR\tO' -p311879 -aS'needed\tneed\tVBN\tB-VP\tO' -p311880 -aS'after\tafter\tIN\tB-PP\tO' -p311881 -aS'the\tthe\tDT\tB-NP\tO' -p311882 -aS'Amphotericine\tAmphotericine\tNN\tI-NP\tO' -p311883 -aS'is\tbe\tVBZ\tB-VP\tO' -p311884 -aS'completed\tcomplete\tVBN\tI-VP\tO' -p311885 -aS'.\t.\t.\tO\tO' -p311886 -asS'He had occasional atrial and ventricular premature beats .' -p311887 -(lp311888 -S'He\tHe\tPRP\tB-NP\tO' -p311889 -aS'had\thave\tVBD\tB-VP\tO' -p311890 -aS'occasional\toccasional\tJJ\tB-NP\tO' -p311891 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p311892 -aS'and\tand\tCC\tI-NP\tO' -p311893 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p311894 -aS'premature\tpremature\tJJ\tI-NP\tO' -p311895 -aS'beats\tbeat\tNNS\tI-NP\tO' -p311896 -aS'.\t.\t.\tO\tO' -p311897 -asS'Social History : non-smoker , occasional etoh , no drugs' -p311898 -(lp311899 -S'Social\tSocial\tJJ\tB-NP\tO' -p311900 -aS'History\tHistory\tNN\tI-NP\tO' -p311901 -aS':\t:\t:\tO\tO' -p311902 -aS'non-smoker\tnon-smoker\tJJ\tB-NP\tO' -p311903 -aS',\t,\t,\tI-NP\tO' -p311904 -aS'occasional\toccasional\tJJ\tI-NP\tO' -p311905 -aS'etoh\tetoh\tNN\tI-NP\tO' -p311906 -aS',\t,\t,\tO\tO' -p311907 -aS'no\tno\tDT\tB-NP\tO' -p311908 -aS'drugs\tdrug\tNNS\tI-NP\tO' -p311909 -asS'She will need follow up with her PCP within B week after discharge from the extended care facility for further BP titration and monitoring of her electrolytes .' -p311910 -(lp311911 -S'She\tShe\tPRP\tB-NP\tO' -p311912 -aS'will\twill\tMD\tB-VP\tO' -p311913 -aS'need\tneed\tVB\tI-VP\tO' -p311914 -aS'follow\tfollow\tVB\tI-VP\tO' -p311915 -aS'up\tup\tRP\tB-PRT\tO' -p311916 -aS'with\twith\tIN\tB-PP\tO' -p311917 -aS'her\ther\tPRP$\tB-NP\tO' -p311918 -aS'PCP\tPCP\tNN\tI-NP\tB-protein' -p311919 -aS'within\twithin\tIN\tB-PP\tO' -p311920 -aS'B\tB\tNN\tB-NP\tO' -p311921 -aS'week\tweek\tNN\tI-NP\tO' -p311922 -aS'after\tafter\tIN\tB-PP\tO' -p311923 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p311924 -aS'from\tfrom\tIN\tB-PP\tO' -p311925 -aS'the\tthe\tDT\tB-NP\tO' -p311926 -aS'extended\textend\tVBN\tI-NP\tO' -p311927 -aS'care\tcare\tNN\tI-NP\tO' -p311928 -aS'facility\tfacility\tNN\tI-NP\tO' -p311929 -aS'for\tfor\tIN\tB-PP\tO' -p311930 -aS'further\tfurther\tJJ\tB-NP\tO' -p311931 -aS'BP\tBP\tNN\tI-NP\tO' -p311932 -aS'titration\ttitration\tNN\tI-NP\tO' -p311933 -aS'and\tand\tCC\tI-NP\tO' -p311934 -aS'monitoring\tmonitoring\tNN\tI-NP\tO' -p311935 -aS'of\tof\tIN\tB-PP\tO' -p311936 -aS'her\ther\tPRP$\tB-NP\tO' -p311937 -aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' -p311938 -aS'.\t.\t.\tO\tO' -p311939 -asS'His medications for his respiratory system are Albuterol nebulizer 0.5 mg. 2.5 cc. q4hours .' -p311940 -(lp311941 -S'His\tHis\tPRP$\tB-NP\tO' -p311942 -aS'medications\tmedication\tNNS\tI-NP\tO' -p311943 -aS'for\tfor\tIN\tB-PP\tO' -p311944 -aS'his\this\tPRP$\tB-NP\tO' -p311945 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p311946 -aS'system\tsystem\tNN\tI-NP\tO' -p311947 -aS'are\tbe\tVBP\tB-VP\tO' -p311948 -aS'Albuterol\tAlbuterol\tNNP\tB-NP\tO' -p311949 -aS'nebulizer\tnebulizer\tNN\tI-NP\tO' -p311950 -aS'0.5\t0.5\tCD\tB-NP\tO' -p311951 -aS'mg.\tmg.\tNN\tI-NP\tO' -p311952 -aS'2.5\t2.5\tCD\tB-NP\tO' -p311953 -aS'cc.\tcc.\tNN\tI-NP\tO' -p311954 -aS'q4hours\tq4hour\tNNS\tI-NP\tO' -p311955 -aS'.\t.\t.\tO\tO' -p311956 -asS'1. An 8 x 7 x 7 mm stone in the proximal right ureter with associated right hydronephrosis and inflammatory perinephric stranding .' -p311957 -(lp311958 -S'1.\t1.\tLS\tB-LST\tO' -p311959 -aS'An\tAn\tDT\tB-NP\tO' -p311960 -aS'8\t8\tCD\tI-NP\tO' -p311961 -aS'x\tx\tSYM\tI-NP\tO' -p311962 -aS'7\t7\tCD\tI-NP\tO' -p311963 -aS'x\tx\tSYM\tI-NP\tO' -p311964 -aS'7\t7\tCD\tI-NP\tO' -p311965 -aS'mm\tmm\tNN\tI-NP\tO' -p311966 -aS'stone\tstone\tNN\tI-NP\tO' -p311967 -aS'in\tin\tIN\tB-PP\tO' -p311968 -aS'the\tthe\tDT\tB-NP\tO' -p311969 -aS'proximal\tproximal\tJJ\tI-NP\tO' -p311970 -aS'right\tright\tJJ\tI-NP\tO' -p311971 -aS'ureter\tureter\tNN\tI-NP\tO' -p311972 -aS'with\twith\tIN\tB-PP\tO' -p311973 -aS'associated\tassociate\tVBN\tB-NP\tO' -p311974 -aS'right\tright\tJJ\tI-NP\tO' -p311975 -aS'hydronephrosis\thydronephrosis\tNN\tI-NP\tO' -p311976 -aS'and\tand\tCC\tO\tO' -p311977 -aS'inflammatory\tinflammatory\tJJ\tB-NP\tO' -p311978 -aS'perinephric\tperinephric\tJJ\tI-NP\tO' -p311979 -aS'stranding\tstranding\tNN\tI-NP\tO' -p311980 -aS'.\t.\t.\tO\tO' -p311981 -asS'There is also left sided subfalcine herniation .' -p311982 -(lp311983 -S'There\tThere\tEX\tB-NP\tO' -p311984 -aS'is\tbe\tVBZ\tB-VP\tO' -p311985 -aS'also\talso\tRB\tI-VP\tO' -p311986 -aS'left\tleave\tVBN\tI-VP\tO' -p311987 -aS'sided\tsided\tJJ\tB-NP\tO' -p311988 -aS'subfalcine\tsubfalcine\tNN\tI-NP\tO' -p311989 -aS'herniation\therniation\tNN\tI-NP\tO' -p311990 -aS'.\t.\t.\tO\tO' -p311991 -asS'Please bring your outpatient lab results to your PCP ( Dr. Hemler )' -p311992 -(lp311993 -S'Please\tPlease\tVB\tB-VP\tO' -p311994 -aS'bring\tbring\tVB\tI-VP\tO' -p311995 -aS'your\tyour\tPRP$\tB-NP\tO' -p311996 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p311997 -aS'lab\tlab\tNN\tI-NP\tO' -p311998 -aS'results\tresult\tNNS\tI-NP\tO' -p311999 -aS'to\tto\tTO\tB-PP\tO' -p312000 -aS'your\tyour\tPRP$\tB-NP\tO' -p312001 -aS'PCP\tPCP\tNN\tI-NP\tO' -p312002 -aS'(\t(\t(\tO\tO' -p312003 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p312004 -aS'Hemler\tHemler\tNNP\tI-NP\tO' -p312005 -aS')\t)\t)\tO\tO' -p312006 -asS'normal posterior and anterior circulation .' -p312007 -(lp312008 -S'normal\tnormal\tJJ\tB-NP\tO' -p312009 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p312010 -aS'and\tand\tCC\tI-NP\tO' -p312011 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p312012 -aS'circulation\tcirculation\tNN\tI-NP\tO' -p312013 -aS'.\t.\t.\tO\tO' -p312014 -asS'Pathology of this resection revealed a Grade III / III infiltrating ductal carcinoma .' -p312015 -(lp312016 -S'Pathology\tPathology\tNNS\tB-NP\tO' -p312017 -aS'of\tof\tIN\tB-PP\tO' -p312018 -aS'this\tthis\tDT\tB-NP\tO' -p312019 -aS'resection\tresection\tNN\tI-NP\tO' -p312020 -aS'revealed\treveal\tVBD\tB-VP\tO' -p312021 -aS'a\ta\tDT\tB-NP\tO' -p312022 -aS'Grade\tGrade\tNN\tI-NP\tB-protein' -p312023 -aS'III\tIII\tCD\tI-NP\tI-protein' -p312024 -aS'/\t/\tSYM\tI-NP\tB-protein' -p312025 -aS'III\tIII\tCD\tI-NP\tI-protein' -p312026 -aS'infiltrating\tinfiltrate\tVBG\tB-VP\tO' -p312027 -aS'ductal\tductal\tJJ\tB-NP\tO' -p312028 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p312029 -aS'.\t.\t.\tO\tO' -p312030 -asS'Exploration of the pancreas revealed a posterior fracture a the superior mesenteric vessels .' -p312031 -(lp312032 -S'Exploration\tExploration\tNN\tB-NP\tO' -p312033 -aS'of\tof\tIN\tB-PP\tO' -p312034 -aS'the\tthe\tDT\tB-NP\tO' -p312035 -aS'pancreas\tpancreas\tNN\tI-NP\tO' -p312036 -aS'revealed\treveal\tVBD\tB-VP\tO' -p312037 -aS'a\ta\tDT\tB-NP\tO' -p312038 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p312039 -aS'fracture\tfracture\tNN\tI-NP\tO' -p312040 -aS'a\ta\tDT\tB-NP\tO' -p312041 -aS'the\tthe\tDT\tI-NP\tO' -p312042 -aS'superior\tsuperior\tJJ\tI-NP\tO' -p312043 -aS'mesenteric\tmesenteric\tJJ\tI-NP\tO' -p312044 -aS'vessels\tvessel\tNNS\tI-NP\tO' -p312045 -aS'.\t.\t.\tO\tO' -p312046 -asS"Hypercholesterolemia ( total cholesterol on admission 300 's several years ago )." -p312047 -(lp312048 -S'Hypercholesterolemia\tHypercholesterolemia\tNN\tB-NP\tO' -p312049 -aS'(\t(\t(\tO\tO' -p312050 -aS'total\ttotal\tJJ\tB-NP\tO' -p312051 -aS'cholesterol\tcholesterol\tNN\tI-NP\tO' -p312052 -aS'on\ton\tIN\tB-PP\tO' -p312053 -aS'admission\tadmission\tNN\tB-NP\tO' -p312054 -aS'300\t300\tCD\tI-NP\tO' -p312055 -aS"'s\t's\tPOS\tB-NP\tO" -p312056 -aS'several\tseveral\tJJ\tI-NP\tO' -p312057 -aS'years\tyear\tNNS\tI-NP\tO' -p312058 -aS'ago\tago\tRB\tB-ADVP\tO' -p312059 -aS').\t).\tVBP\tB-VP\tO' -p312060 -asS'Carotid noninvasives revealed minimal carotid disease .' -p312061 -(lp312062 -S'Carotid\tCarotid\tJJ\tB-NP\tO' -p312063 -aS'noninvasives\tnoninvasive\tNNS\tI-NP\tO' -p312064 -aS'revealed\treveal\tVBD\tB-VP\tO' -p312065 -aS'minimal\tminimal\tJJ\tB-NP\tO' -p312066 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p312067 -aS'disease\tdisease\tNN\tI-NP\tO' -p312068 -aS'.\t.\t.\tO\tO' -p312069 -asS'Osseous structures are remarkable for degenerative changes of the spine , and a fracture of the proximal right humerus , with orthopedic hardware causing beam hardening artifact .' -p312070 -(lp312071 -S'Osseous\tOsseous\tJJ\tB-NP\tO' -p312072 -aS'structures\tstructure\tNNS\tI-NP\tO' -p312073 -aS'are\tbe\tVBP\tB-VP\tO' -p312074 -aS'remarkable\tremarkable\tJJ\tB-ADJP\tO' -p312075 -aS'for\tfor\tIN\tB-PP\tO' -p312076 -aS'degenerative\tdegenerative\tJJ\tB-NP\tO' -p312077 -aS'changes\tchange\tNNS\tI-NP\tO' -p312078 -aS'of\tof\tIN\tB-PP\tO' -p312079 -aS'the\tthe\tDT\tB-NP\tO' -p312080 -aS'spine\tspine\tNN\tI-NP\tO' -p312081 -aS',\t,\t,\tO\tO' -p312082 -aS'and\tand\tCC\tO\tO' -p312083 -aS'a\ta\tDT\tB-NP\tO' -p312084 -aS'fracture\tfracture\tNN\tI-NP\tO' -p312085 -aS'of\tof\tIN\tB-PP\tO' -p312086 -aS'the\tthe\tDT\tB-NP\tO' -p312087 -aS'proximal\tproximal\tJJ\tI-NP\tO' -p312088 -aS'right\tright\tJJ\tI-NP\tO' -p312089 -aS'humerus\thumerus\tNN\tI-NP\tO' -p312090 -aS',\t,\t,\tO\tO' -p312091 -aS'with\twith\tIN\tB-PP\tO' -p312092 -aS'orthopedic\torthopedic\tJJ\tB-NP\tO' -p312093 -aS'hardware\thardware\tNN\tI-NP\tO' -p312094 -aS'causing\tcause\tVBG\tB-VP\tO' -p312095 -aS'beam\tbeam\tNN\tB-NP\tO' -p312096 -aS'hardening\tharden\tVBG\tB-VP\tO' -p312097 -aS'artifact\tartifact\tNN\tB-NP\tO' -p312098 -aS'.\t.\t.\tO\tO' -p312099 -asS'PROSTATE CANCER .' -p312100 -(lp312101 -S'PROSTATE\tPROSTATE\tJJ\tB-NP\tO' -p312102 -aS'CANCER\tCANCER\tNN\tI-NP\tO' -p312103 -aS'.\t.\t.\tO\tO' -p312104 -asS'Alkaline phosphatase 190 .' -p312105 -(lp312106 -S'Alkaline\tAlkaline\tNN\tB-NP\tO' -p312107 -aS'phosphatase\tphosphatase\tNN\tI-NP\tO' -p312108 -aS'190\t190\tCD\tI-NP\tO' -p312109 -aS'.\t.\t.\tO\tO' -p312110 -asS'Active drips included milrinone , Levophed , propofol , and insulin .' -p312111 -(lp312112 -S'Active\tActive\tJJ\tB-NP\tO' -p312113 -aS'drips\tdrip\tNNS\tI-NP\tO' -p312114 -aS'included\tinclude\tVBD\tB-VP\tO' -p312115 -aS'milrinone\tmilrinone\tNN\tB-NP\tO' -p312116 -aS',\t,\t,\tO\tO' -p312117 -aS'Levophed\tLevophe\tVBN\tB-VP\tO' -p312118 -aS',\t,\t,\tO\tO' -p312119 -aS'propofol\tpropofol\tNN\tB-NP\tO' -p312120 -aS',\t,\t,\tO\tO' -p312121 -aS'and\tand\tCC\tO\tO' -p312122 -aS'insulin\tinsulin\tNN\tB-NP\tB-protein' -p312123 -aS'.\t.\t.\tO\tO' -p312124 -asS'He does use the Passy-Muir valve intermittently for his trach .' -p312125 -(lp312126 -S'He\tHe\tPRP\tB-NP\tO' -p312127 -aS'does\tdo\tVBZ\tB-VP\tO' -p312128 -aS'use\tuse\tVB\tI-VP\tO' -p312129 -aS'the\tthe\tDT\tB-NP\tO' -p312130 -aS'Passy-Muir\tPassy-Muir\tNNP\tI-NP\tO' -p312131 -aS'valve\tvalve\tVBP\tB-VP\tO' -p312132 -aS'intermittently\tintermittently\tRB\tB-ADVP\tO' -p312133 -aS'for\tfor\tIN\tB-PP\tO' -p312134 -aS'his\this\tPRP$\tB-NP\tO' -p312135 -aS'trach\ttrach\tNN\tI-NP\tO' -p312136 -aS'.\t.\t.\tO\tO' -p312137 -asS'She was intubated on 07-03 for progressive respiratory failure .' -p312138 -(lp312139 -S'She\tShe\tPRP\tB-NP\tO' -p312140 -aS'was\tbe\tVBD\tB-VP\tO' -p312141 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p312142 -aS'on\ton\tIN\tB-PP\tO' -p312143 -aS'07-03\t07-03\tCD\tB-NP\tO' -p312144 -aS'for\tfor\tIN\tB-PP\tO' -p312145 -aS'progressive\tprogressive\tJJ\tB-NP\tO' -p312146 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p312147 -aS'failure\tfailure\tNN\tI-NP\tO' -p312148 -aS'.\t.\t.\tO\tO' -p312149 -asS'Lymphovascular invasion was present .' -p312150 -(lp312151 -S'Lymphovascular\tLymphovascular\tJJ\tB-NP\tO' -p312152 -aS'invasion\tinvasion\tNN\tI-NP\tO' -p312153 -aS'was\tbe\tVBD\tB-VP\tO' -p312154 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p312155 -aS'.\t.\t.\tO\tO' -p312156 -asS'Referred to Memorial Hospital ( Worcester ) for cardiac catheterization to further evaluate her aortic stenosis .' -p312157 -(lp312158 -S'Referred\tRefer\tVBN\tB-VP\tO' -p312159 -aS'to\tto\tTO\tB-PP\tO' -p312160 -aS'Memorial\tMemorial\tNNP\tB-NP\tO' -p312161 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p312162 -aS'(\t(\t(\tO\tO' -p312163 -aS'Worcester\tWorcester\tNNP\tB-NP\tO' -p312164 -aS')\t)\t)\tO\tO' -p312165 -aS'for\tfor\tIN\tB-PP\tO' -p312166 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p312167 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p312168 -aS'to\tto\tTO\tB-VP\tO' -p312169 -aS'further\tfurther\tRB\tI-VP\tO' -p312170 -aS'evaluate\tevaluate\tVB\tI-VP\tO' -p312171 -aS'her\ther\tPRP$\tB-NP\tO' -p312172 -aS'aortic\taortic\tJJ\tI-NP\tO' -p312173 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p312174 -aS'.\t.\t.\tO\tO' -p312175 -asS'The patient was a 79 - year-old gentleman found down at home unresponsive by his wife after lunch .' -p312176 -(lp312177 -S'The\tThe\tDT\tB-NP\tO' -p312178 -aS'patient\tpatient\tNN\tI-NP\tO' -p312179 -aS'was\tbe\tVBD\tB-VP\tO' -p312180 -aS'a\ta\tDT\tB-NP\tO' -p312181 -aS'79\t79\tCD\tI-NP\tO' -p312182 -aS'-\t-\tHYPH\tI-NP\tO' -p312183 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p312184 -aS'gentleman\tgentleman\tNN\tI-NP\tO' -p312185 -aS'found\tfind\tVBD\tB-VP\tO' -p312186 -aS'down\tdown\tIN\tB-ADVP\tO' -p312187 -aS'at\tat\tIN\tB-PP\tO' -p312188 -aS'home\thome\tNN\tB-NP\tO' -p312189 -aS'unresponsive\tunresponsive\tJJ\tB-ADJP\tO' -p312190 -aS'by\tby\tIN\tB-PP\tO' -p312191 -aS'his\this\tPRP$\tB-NP\tO' -p312192 -aS'wife\twife\tNN\tI-NP\tO' -p312193 -aS'after\tafter\tIN\tB-PP\tO' -p312194 -aS'lunch\tlunch\tNN\tB-NP\tO' -p312195 -aS'.\t.\t.\tO\tO' -p312196 -asS'CT of the C spine was negative and her cervical spine was cleared .' -p312197 -(lp312198 -S'CT\tCT\tNN\tB-NP\tO' -p312199 -aS'of\tof\tIN\tB-PP\tO' -p312200 -aS'the\tthe\tDT\tB-NP\tO' -p312201 -aS'C\tC\tNN\tI-NP\tO' -p312202 -aS'spine\tspine\tNN\tI-NP\tO' -p312203 -aS'was\tbe\tVBD\tB-VP\tO' -p312204 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p312205 -aS'and\tand\tCC\tO\tO' -p312206 -aS'her\ther\tPRP$\tB-NP\tO' -p312207 -aS'cervical\tcervical\tJJ\tI-NP\tO' -p312208 -aS'spine\tspine\tNN\tI-NP\tO' -p312209 -aS'was\tbe\tVBD\tB-VP\tO' -p312210 -aS'cleared\tclear\tVBN\tI-VP\tO' -p312211 -aS'.\t.\t.\tO\tO' -p312212 -asS'Total abdominal hysterectomy , bilateral salpingooophorectomy , bilateral lymph node dissection , omentectomy , lysis of adhesions , removal of mass from surface of transverse colon .' -p312213 -(lp312214 -S'Total\tTotal\tJJ\tB-NP\tO' -p312215 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p312216 -aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' -p312217 -aS',\t,\t,\tO\tO' -p312218 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p312219 -aS'salpingooophorectomy\tsalpingooophorectomy\tNN\tI-NP\tO' -p312220 -aS',\t,\t,\tO\tO' -p312221 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p312222 -aS'lymph\tlymph\tNN\tI-NP\tO' -p312223 -aS'node\tnode\tNN\tI-NP\tO' -p312224 -aS'dissection\tdissection\tNN\tI-NP\tO' -p312225 -aS',\t,\t,\tO\tO' -p312226 -aS'omentectomy\tomentectomy\tNN\tB-NP\tO' -p312227 -aS',\t,\t,\tO\tO' -p312228 -aS'lysis\tlysis\tNN\tB-NP\tO' -p312229 -aS'of\tof\tIN\tB-PP\tO' -p312230 -aS'adhesions\tadhesion\tNNS\tB-NP\tO' -p312231 -aS',\t,\t,\tO\tO' -p312232 -aS'removal\tremoval\tNN\tB-NP\tO' -p312233 -aS'of\tof\tIN\tB-PP\tO' -p312234 -aS'mass\tmass\tNN\tB-NP\tO' -p312235 -aS'from\tfrom\tIN\tB-PP\tO' -p312236 -aS'surface\tsurface\tNN\tB-NP\tO' -p312237 -aS'of\tof\tIN\tB-PP\tO' -p312238 -aS'transverse\ttransverse\tJJ\tB-NP\tO' -p312239 -aS'colon\tcolon\tNN\tI-NP\tO' -p312240 -aS'.\t.\t.\tO\tO' -p312241 -asS'Also a Left non displaced sacral wing fracture and left inferior pubic ramus fx extending the to inferior acetabulum .' -p312242 -(lp312243 -S'Also\tAlso\tRB\tB-ADVP\tO' -p312244 -aS'a\ta\tDT\tB-NP\tO' -p312245 -aS'Left\tLeft\tNNP\tI-NP\tO' -p312246 -aS'non\tnon\tNN\tI-NP\tO' -p312247 -aS'displaced\tdisplace\tVBD\tB-VP\tO' -p312248 -aS'sacral\tsacral\tJJ\tB-NP\tO' -p312249 -aS'wing\twing\tNN\tI-NP\tO' -p312250 -aS'fracture\tfracture\tNN\tI-NP\tO' -p312251 -aS'and\tand\tCC\tO\tO' -p312252 -aS'left\tleave\tVBD\tB-VP\tO' -p312253 -aS'inferior\tinferior\tJJ\tB-NP\tO' -p312254 -aS'pubic\tpubic\tJJ\tI-NP\tO' -p312255 -aS'ramus\tramus\tNN\tI-NP\tO' -p312256 -aS'fx\tfx\tNN\tI-NP\tO' -p312257 -aS'extending\textend\tVBG\tB-VP\tO' -p312258 -aS'the\tthe\tDT\tB-ADVP\tO' -p312259 -aS'to\tto\tTO\tB-PP\tO' -p312260 -aS'inferior\tinferior\tJJ\tB-NP\tO' -p312261 -aS'acetabulum\tacetabulum\tNN\tI-NP\tO' -p312262 -aS'.\t.\t.\tO\tO' -p312263 -asS'The neck was supple .' -p312264 -(lp312265 -S'The\tThe\tDT\tB-NP\tO' -p312266 -aS'neck\tneck\tNN\tI-NP\tO' -p312267 -aS'was\tbe\tVBD\tB-VP\tO' -p312268 -aS'supple\tsupple\tNN\tB-NP\tO' -p312269 -aS'.\t.\t.\tO\tO' -p312270 -asS'No mitral regurgitation is seen .' -p312271 -(lp312272 -S'No\tNo\tDT\tB-NP\tO' -p312273 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p312274 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p312275 -aS'is\tbe\tVBZ\tB-VP\tO' -p312276 -aS'seen\tsee\tVBN\tI-VP\tO' -p312277 -aS'.\t.\t.\tO\tO' -p312278 -asS'Coumadin 5 mg PO q.day , Digoxin 0.25 mg PO q.day , Metoprolol 25 mg PO b.i.d. , Baby aspirin 80 mg PO q.day .' -p312279 -(lp312280 -S'Coumadin\tCoumadin\tNN\tB-NP\tO' -p312281 -aS'5\t5\tCD\tI-NP\tO' -p312282 -aS'mg\tmg\tNN\tI-NP\tO' -p312283 -aS'PO\tPO\tNN\tI-NP\tO' -p312284 -aS'q.day\tq.day\tNN\tI-NP\tO' -p312285 -aS',\t,\t,\tO\tO' -p312286 -aS'Digoxin\tDigoxin\tNN\tB-NP\tO' -p312287 -aS'0.25\t0.25\tCD\tI-NP\tO' -p312288 -aS'mg\tmg\tNN\tI-NP\tO' -p312289 -aS'PO\tPO\tNN\tI-NP\tO' -p312290 -aS'q.day\tq.day\tNN\tI-NP\tO' -p312291 -aS',\t,\t,\tO\tO' -p312292 -aS'Metoprolol\tMetoprolol\tNN\tB-NP\tO' -p312293 -aS'25\t25\tCD\tI-NP\tO' -p312294 -aS'mg\tmg\tNN\tI-NP\tO' -p312295 -aS'PO\tPO\tNN\tI-NP\tO' -p312296 -aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' -p312297 -aS',\t,\t,\tO\tO' -p312298 -aS'Baby\tBaby\tNNP\tB-NP\tO' -p312299 -aS'aspirin\taspirin\tNN\tI-NP\tO' -p312300 -aS'80\t80\tCD\tI-NP\tO' -p312301 -aS'mg\tmg\tNN\tI-NP\tO' -p312302 -aS'PO\tPO\tNN\tI-NP\tO' -p312303 -aS'q.day\tq.day\tNN\tI-NP\tO' -p312304 -aS'.\t.\t.\tO\tO' -p312305 -asS'- s/p fall with right hip fx and ORIF' -p312306 -(lp312307 -S'-\t-\tHYPH\tB-NP\tO' -p312308 -aS's/p\ts/p\tNN\tI-NP\tO' -p312309 -aS'fall\tfall\tNN\tI-NP\tO' -p312310 -aS'with\twith\tIN\tB-PP\tO' -p312311 -aS'right\tright\tJJ\tB-NP\tO' -p312312 -aS'hip\thip\tNN\tI-NP\tO' -p312313 -aS'fx\tfx\tNN\tI-NP\tO' -p312314 -aS'and\tand\tCC\tO\tO' -p312315 -aS'ORIF\tORIF\tNN\tB-NP\tB-protein' -p312316 -asS'The patient did go to operating room on 2014-04-04 and the patient had cadaveric liver transplant performed by Dr. Michael Sanders .' -p312317 -(lp312318 -S'The\tThe\tDT\tB-NP\tO' -p312319 -aS'patient\tpatient\tNN\tI-NP\tO' -p312320 -aS'did\tdo\tVBD\tB-VP\tO' -p312321 -aS'go\tgo\tVB\tI-VP\tO' -p312322 -aS'to\tto\tTO\tB-PP\tO' -p312323 -aS'operating\toperating\tNN\tB-NP\tO' -p312324 -aS'room\troom\tNN\tI-NP\tO' -p312325 -aS'on\ton\tIN\tB-PP\tO' -p312326 -aS'2014-04-04\t2014-04-04\tCD\tB-NP\tO' -p312327 -aS'and\tand\tCC\tO\tO' -p312328 -aS'the\tthe\tDT\tB-NP\tO' -p312329 -aS'patient\tpatient\tNN\tI-NP\tO' -p312330 -aS'had\thave\tVBD\tB-VP\tO' -p312331 -aS'cadaveric\tcadaveric\tJJ\tB-NP\tO' -p312332 -aS'liver\tliver\tNN\tI-NP\tO' -p312333 -aS'transplant\ttransplant\tNN\tI-NP\tO' -p312334 -aS'performed\tperform\tVBN\tB-VP\tO' -p312335 -aS'by\tby\tIN\tB-PP\tO' -p312336 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p312337 -aS'Michael\tMichael\tNNP\tI-NP\tO' -p312338 -aS'Sanders\tSanders\tNNP\tI-NP\tO' -p312339 -aS'.\t.\t.\tO\tO' -p312340 -asS'Extremities revealed 2+ femoral pulses bilaterally , 1+ dorsalis pedis pulses bilaterally .' -p312341 -(lp312342 -S'Extremities\tExtremity\tNNS\tB-NP\tO' -p312343 -aS'revealed\treveal\tVBD\tB-VP\tO' -p312344 -aS'2+\t2+\tJJ\tB-NP\tO' -p312345 -aS'femoral\tfemoral\tJJ\tI-NP\tO' -p312346 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p312347 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p312348 -aS',\t,\t,\tO\tO' -p312349 -aS'1+\t1+\tJJ\tB-NP\tO' -p312350 -aS'dorsalis\tdorsalis\tNN\tI-NP\tO' -p312351 -aS'pedis\tpedis\tNN\tI-NP\tO' -p312352 -aS'pulses\tpulse\tVBZ\tB-VP\tO' -p312353 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p312354 -aS'.\t.\t.\tO\tO' -p312355 -asS'A repeat urinalysis on 10/22/97 was negative .' -p312356 -(lp312357 -S'A\tA\tDT\tB-NP\tO' -p312358 -aS'repeat\trepeat\tNN\tI-NP\tO' -p312359 -aS'urinalysis\turinalysis\tNN\tI-NP\tO' -p312360 -aS'on\ton\tIN\tB-PP\tO' -p312361 -aS'10/22/97\t10/22/97\tCD\tB-NP\tO' -p312362 -aS'was\tbe\tVBD\tB-VP\tO' -p312363 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p312364 -aS'.\t.\t.\tO\tO' -p312365 -asS'He was treated with pulsed IV steroids and Imuran , was augmented with mycophenolate Mofetil .' -p312366 -(lp312367 -S'He\tHe\tPRP\tB-NP\tO' -p312368 -aS'was\tbe\tVBD\tB-VP\tO' -p312369 -aS'treated\ttreat\tVBN\tI-VP\tO' -p312370 -aS'with\twith\tIN\tB-PP\tO' -p312371 -aS'pulsed\tpulsed\tJJ\tB-NP\tO' -p312372 -aS'IV\tIV\tCD\tI-NP\tO' -p312373 -aS'steroids\tsteroid\tNNS\tI-NP\tO' -p312374 -aS'and\tand\tCC\tI-NP\tO' -p312375 -aS'Imuran\tImuran\tNN\tI-NP\tO' -p312376 -aS',\t,\t,\tO\tO' -p312377 -aS'was\tbe\tVBD\tB-VP\tO' -p312378 -aS'augmented\taugment\tVBN\tI-VP\tO' -p312379 -aS'with\twith\tIN\tB-PP\tO' -p312380 -aS'mycophenolate\tmycophenolate\tJJ\tB-NP\tO' -p312381 -aS'Mofetil\tMofetil\tNNP\tI-NP\tO' -p312382 -aS'.\t.\t.\tO\tO' -p312383 -asS'Neurologically , grossly nonfocal .' -p312384 -(lp312385 -S'Neurologically\tNeurologically\tRB\tB-ADVP\tO' -p312386 -aS',\t,\t,\tO\tO' -p312387 -aS'grossly\tgrossly\tRB\tB-ADJP\tO' -p312388 -aS'nonfocal\tnonfocal\tJJ\tI-ADJP\tO' -p312389 -aS'.\t.\t.\tO\tO' -p312390 -asS'Her rectal exam is guaiac negative .' -p312391 -(lp312392 -S'Her\tHer\tPRP$\tB-NP\tO' -p312393 -aS'rectal\trectal\tJJ\tI-NP\tO' -p312394 -aS'exam\texam\tNN\tI-NP\tO' -p312395 -aS'is\tbe\tVBZ\tB-VP\tO' -p312396 -aS'guaiac\tguaiac\tNN\tB-NP\tO' -p312397 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p312398 -aS'.\t.\t.\tO\tO' -p312399 -asS'He received tylenol , levofloxacin 500 mg IV , Flagyl 500 mg and Vancomycin and I L NS .' -p312400 -(lp312401 -S'He\tHe\tPRP\tB-NP\tO' -p312402 -aS'received\treceive\tVBD\tB-VP\tO' -p312403 -aS'tylenol\ttylenol\tNN\tB-NP\tO' -p312404 -aS',\t,\t,\tO\tO' -p312405 -aS'levofloxacin\tlevofloxacin\tNN\tB-NP\tB-protein' -p312406 -aS'500\t500\tCD\tI-NP\tI-protein' -p312407 -aS'mg\tmg\tNN\tI-NP\tI-protein' -p312408 -aS'IV\tIV\tCD\tB-NP\tI-protein' -p312409 -aS',\t,\t,\tO\tO' -p312410 -aS'Flagyl\tFlagyl\tNN\tB-NP\tO' -p312411 -aS'500\t500\tCD\tI-NP\tO' -p312412 -aS'mg\tmg\tNN\tI-NP\tO' -p312413 -aS'and\tand\tCC\tI-NP\tO' -p312414 -aS'Vancomycin\tVancomycin\tNN\tI-NP\tO' -p312415 -aS'and\tand\tCC\tO\tO' -p312416 -aS'I\tI\tPRP\tB-NP\tB-protein' -p312417 -aS'L\tL\tNN\tB-NP\tI-protein' -p312418 -aS'NS\tNS\tNN\tI-NP\tI-protein' -p312419 -aS'.\t.\t.\tO\tO' -p312420 -asS'She continued to make good urine over the first few days and had her urine losses replaced with intravenous fluids .' -p312421 -(lp312422 -S'She\tShe\tPRP\tB-NP\tO' -p312423 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p312424 -aS'to\tto\tTO\tI-VP\tO' -p312425 -aS'make\tmake\tVB\tI-VP\tO' -p312426 -aS'good\tgood\tJJ\tB-NP\tO' -p312427 -aS'urine\turine\tNN\tI-NP\tO' -p312428 -aS'over\tover\tIN\tB-PP\tO' -p312429 -aS'the\tthe\tDT\tB-NP\tO' -p312430 -aS'first\tfirst\tJJ\tI-NP\tO' -p312431 -aS'few\tfew\tJJ\tI-NP\tO' -p312432 -aS'days\tday\tNNS\tI-NP\tO' -p312433 -aS'and\tand\tCC\tO\tO' -p312434 -aS'had\thave\tVBD\tB-VP\tO' -p312435 -aS'her\ther\tPRP$\tB-NP\tO' -p312436 -aS'urine\turine\tNN\tI-NP\tO' -p312437 -aS'losses\tloss\tNNS\tI-NP\tO' -p312438 -aS'replaced\treplace\tVBN\tB-VP\tO' -p312439 -aS'with\twith\tIN\tB-PP\tO' -p312440 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p312441 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p312442 -aS'.\t.\t.\tO\tO' -p312443 -asS'Hematocrit was 22.4 ; white count .59 ; platelets 84.' -p312444 -(lp312445 -S'Hematocrit\tHematocrit\tNN\tB-NP\tB-protein' -p312446 -aS'was\tbe\tVBD\tB-VP\tI-protein' -p312447 -aS'22.4\t22.4\tCD\tB-NP\tI-protein' -p312448 -aS';\t;\t:\tO\tO' -p312449 -aS'white\twhite\tJJ\tB-NP\tO' -p312450 -aS'count\tcount\tNN\tI-NP\tO' -p312451 -aS'.59\t.59\tNN\tI-NP\tO' -p312452 -aS';\t;\t:\tO\tO' -p312453 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p312454 -aS'84.\t84.\tLS\tB-LST\tO' -p312455 -asS'This 68-year-old patient of Dr. Naka Jesc had two episodes of rheumatic fever as a teenager .' -p312456 -(lp312457 -S'This\tThis\tDT\tB-NP\tO' -p312458 -aS'68-year-old\t68-year-old\tJJ\tI-NP\tO' -p312459 -aS'patient\tpatient\tNN\tI-NP\tO' -p312460 -aS'of\tof\tIN\tB-PP\tO' -p312461 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p312462 -aS'Naka\tNaka\tNNP\tI-NP\tO' -p312463 -aS'Jesc\tJesc\tNNP\tI-NP\tO' -p312464 -aS'had\thave\tVBD\tB-VP\tO' -p312465 -aS'two\ttwo\tCD\tB-NP\tO' -p312466 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p312467 -aS'of\tof\tIN\tB-PP\tO' -p312468 -aS'rheumatic\trheumatic\tJJ\tB-NP\tO' -p312469 -aS'fever\tfever\tNN\tI-NP\tO' -p312470 -aS'as\tas\tIN\tB-PP\tO' -p312471 -aS'a\ta\tDT\tB-NP\tO' -p312472 -aS'teenager\tteenager\tNN\tI-NP\tO' -p312473 -aS'.\t.\t.\tO\tO' -p312474 -asS'Cardiovascular exam revealed a regular rate and rhythm with no murmurs , rubs or gallops .' -p312475 -(lp312476 -S'Cardiovascular\tCardiovascular\tJJ\tB-NP\tO' -p312477 -aS'exam\texam\tNN\tI-NP\tO' -p312478 -aS'revealed\treveal\tVBD\tB-VP\tO' -p312479 -aS'a\ta\tDT\tB-NP\tO' -p312480 -aS'regular\tregular\tJJ\tI-NP\tO' -p312481 -aS'rate\trate\tNN\tI-NP\tO' -p312482 -aS'and\tand\tCC\tO\tO' -p312483 -aS'rhythm\trhythm\tNN\tB-NP\tO' -p312484 -aS'with\twith\tIN\tB-PP\tO' -p312485 -aS'no\tno\tDT\tB-NP\tO' -p312486 -aS'murmurs\tmurmur\tNNS\tI-NP\tO' -p312487 -aS',\t,\t,\tI-NP\tO' -p312488 -aS'rubs\trub\tNNS\tI-NP\tO' -p312489 -aS'or\tor\tCC\tI-NP\tO' -p312490 -aS'gallops\tgallop\tNNS\tI-NP\tO' -p312491 -aS'.\t.\t.\tO\tO' -p312492 -asS'4. Pressure , dermal ulcer care b.i.d. dressing change with antibiotic solution .' -p312493 -(lp312494 -S'4.\t4.\tLS\tB-NP\tO' -p312495 -aS'Pressure\tPressure\tNN\tI-NP\tO' -p312496 -aS',\t,\t,\tO\tO' -p312497 -aS'dermal\tdermal\tJJ\tB-NP\tO' -p312498 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p312499 -aS'care\tcare\tNN\tI-NP\tO' -p312500 -aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' -p312501 -aS'dressing\tdress\tVBG\tB-VP\tO' -p312502 -aS'change\tchange\tNN\tB-NP\tO' -p312503 -aS'with\twith\tIN\tB-PP\tO' -p312504 -aS'antibiotic\tantibiotic\tJJ\tB-NP\tO' -p312505 -aS'solution\tsolution\tNN\tI-NP\tO' -p312506 -aS'.\t.\t.\tO\tO' -p312507 -asS'There is surrounding soft tissue swelling .' -p312508 -(lp312509 -S'There\tThere\tEX\tB-NP\tO' -p312510 -aS'is\tbe\tVBZ\tB-VP\tO' -p312511 -aS'surrounding\tsurround\tVBG\tI-VP\tO' -p312512 -aS'soft\tsoft\tJJ\tB-NP\tO' -p312513 -aS'tissue\ttissue\tNN\tI-NP\tO' -p312514 -aS'swelling\tswelling\tNN\tI-NP\tO' -p312515 -aS'.\t.\t.\tO\tO' -p312516 -asS'1. Albuterol 2.5 mg in 2.5 normal saline q4h .' -p312517 -(lp312518 -S'1.\t1.\tLS\tB-LST\tO' -p312519 -aS'Albuterol\tAlbuterol\tNNP\tB-NP\tO' -p312520 -aS'2.5\t2.5\tCD\tI-NP\tO' -p312521 -aS'mg\tmg\tNN\tI-NP\tO' -p312522 -aS'in\tin\tIN\tB-PP\tO' -p312523 -aS'2.5\t2.5\tCD\tB-NP\tO' -p312524 -aS'normal\tnormal\tJJ\tI-NP\tO' -p312525 -aS'saline\tsaline\tNN\tI-NP\tO' -p312526 -aS'q4h\tq4h\tNN\tI-NP\tO' -p312527 -aS'.\t.\t.\tO\tO' -p312528 -asS'He was seen by the pain service who recommended to discontinue Oxycontin , and start Neurontin , MSIR , and lidocaine patch in addition to the standing Tylenol .' -p312529 -(lp312530 -S'He\tHe\tPRP\tB-NP\tO' -p312531 -aS'was\tbe\tVBD\tB-VP\tO' -p312532 -aS'seen\tsee\tVBN\tI-VP\tO' -p312533 -aS'by\tby\tIN\tB-PP\tO' -p312534 -aS'the\tthe\tDT\tB-NP\tO' -p312535 -aS'pain\tpain\tNN\tI-NP\tO' -p312536 -aS'service\tservice\tNN\tI-NP\tO' -p312537 -aS'who\twho\tWP\tB-NP\tO' -p312538 -aS'recommended\trecommend\tVBD\tB-VP\tO' -p312539 -aS'to\tto\tTO\tI-VP\tO' -p312540 -aS'discontinue\tdiscontinue\tVB\tI-VP\tO' -p312541 -aS'Oxycontin\tOxycontin\tNN\tB-NP\tB-protein' -p312542 -aS',\t,\t,\tO\tO' -p312543 -aS'and\tand\tCC\tO\tO' -p312544 -aS'start\tstart\tVB\tB-VP\tO' -p312545 -aS'Neurontin\tNeurontin\tNN\tB-NP\tB-protein' -p312546 -aS',\t,\t,\tO\tO' -p312547 -aS'MSIR\tMSIR\tNN\tB-NP\tB-protein' -p312548 -aS',\t,\t,\tO\tO' -p312549 -aS'and\tand\tCC\tO\tO' -p312550 -aS'lidocaine\tlidocaine\tNN\tB-NP\tO' -p312551 -aS'patch\tpatch\tNN\tI-NP\tO' -p312552 -aS'in\tin\tIN\tB-PP\tO' -p312553 -aS'addition\taddition\tNN\tB-NP\tO' -p312554 -aS'to\tto\tTO\tB-PP\tO' -p312555 -aS'the\tthe\tDT\tB-NP\tO' -p312556 -aS'standing\tstanding\tNN\tI-NP\tO' -p312557 -aS'Tylenol\tTylenol\tNN\tI-NP\tO' -p312558 -aS'.\t.\t.\tO\tO' -p312559 -asS'Normal tone and neonatal reflexes .' -p312560 -(lp312561 -S'Normal\tNormal\tJJ\tB-NP\tO' -p312562 -aS'tone\ttone\tNN\tI-NP\tO' -p312563 -aS'and\tand\tCC\tO\tO' -p312564 -aS'neonatal\tneonatal\tJJ\tB-NP\tO' -p312565 -aS'reflexes\treflex\tNNS\tI-NP\tO' -p312566 -aS'.\t.\t.\tO\tO' -p312567 -asS'He is stable in room air at this time .' -p312568 -(lp312569 -S'He\tHe\tPRP\tB-NP\tO' -p312570 -aS'is\tbe\tVBZ\tB-VP\tO' -p312571 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p312572 -aS'in\tin\tIN\tB-PP\tO' -p312573 -aS'room\troom\tNN\tB-NP\tO' -p312574 -aS'air\tair\tNN\tI-NP\tO' -p312575 -aS'at\tat\tIN\tB-PP\tO' -p312576 -aS'this\tthis\tDT\tB-NP\tO' -p312577 -aS'time\ttime\tNN\tI-NP\tO' -p312578 -aS'.\t.\t.\tO\tO' -p312579 -asS'No hepato or splenomegaly .' -p312580 -(lp312581 -S'No\tNo\tDT\tB-NP\tO' -p312582 -aS'hepato\thepato\tNN\tI-NP\tO' -p312583 -aS'or\tor\tCC\tI-NP\tO' -p312584 -aS'splenomegaly\tsplenomegaly\tNN\tI-NP\tO' -p312585 -aS'.\t.\t.\tO\tO' -p312586 -asS'Prenatal screens were notable for blood type 0 positive , antibody negative , hepatitis B surface antigen negative , RPR nonreactive .' -p312587 -(lp312588 -S'Prenatal\tPrenatal\tJJ\tB-NP\tO' -p312589 -aS'screens\tscreen\tNNS\tI-NP\tO' -p312590 -aS'were\tbe\tVBD\tB-VP\tO' -p312591 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p312592 -aS'for\tfor\tIN\tB-PP\tO' -p312593 -aS'blood\tblood\tNN\tB-NP\tO' -p312594 -aS'type\ttype\tNN\tI-NP\tO' -p312595 -aS'0\t0\tCD\tI-NP\tO' -p312596 -aS'positive\tpositive\tJJ\tI-NP\tO' -p312597 -aS',\t,\t,\tI-NP\tO' -p312598 -aS'antibody\tantibody\tNN\tI-NP\tO' -p312599 -aS'negative\tnegative\tJJ\tI-NP\tO' -p312600 -aS',\t,\t,\tO\tO' -p312601 -aS'hepatitis\thepatitis\tNN\tB-NP\tB-protein' -p312602 -aS'B\tB\tNN\tI-NP\tI-protein' -p312603 -aS'surface\tsurface\tNN\tI-NP\tI-protein' -p312604 -aS'antigen\tantigen\tNN\tI-NP\tI-protein' -p312605 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p312606 -aS',\t,\t,\tO\tO' -p312607 -aS'RPR\tRPR\tNN\tB-NP\tB-protein' -p312608 -aS'nonreactive\tnonreactive\tJJ\tB-ADJP\tO' -p312609 -aS'.\t.\t.\tO\tO' -p312610 -asS'However , her urine output has improved .' -p312611 -(lp312612 -S'However\tHowever\tRB\tB-ADVP\tO' -p312613 -aS',\t,\t,\tO\tO' -p312614 -aS'her\ther\tPRP$\tB-NP\tO' -p312615 -aS'urine\turine\tNN\tI-NP\tO' -p312616 -aS'output\toutput\tNN\tI-NP\tO' -p312617 -aS'has\thave\tVBZ\tB-VP\tO' -p312618 -aS'improved\timprove\tVBN\tI-VP\tO' -p312619 -aS'.\t.\t.\tO\tO' -p312620 -asS'Patient has allergies to penicillin .' -p312621 -(lp312622 -S'Patient\tPatient\tNN\tB-NP\tO' -p312623 -aS'has\thave\tVBZ\tB-VP\tO' -p312624 -aS'allergies\tallergy\tNNS\tB-NP\tO' -p312625 -aS'to\tto\tTO\tB-PP\tO' -p312626 -aS'penicillin\tpenicillin\tNN\tB-NP\tB-protein' -p312627 -aS'.\t.\t.\tO\tO' -p312628 -asS'Abdomen is soft , nontender , no masses , and no hepatosplenomegaly .' -p312629 -(lp312630 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p312631 -aS'is\tbe\tVBZ\tB-VP\tO' -p312632 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p312633 -aS',\t,\t,\tO\tO' -p312634 -aS'nontender\tnontender\tJJ\tB-ADJP\tO' -p312635 -aS',\t,\t,\tO\tO' -p312636 -aS'no\tno\tDT\tB-NP\tO' -p312637 -aS'masses\tmass\tNNS\tI-NP\tO' -p312638 -aS',\t,\t,\tO\tO' -p312639 -aS'and\tand\tCC\tO\tO' -p312640 -aS'no\tno\tDT\tB-NP\tO' -p312641 -aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tI-NP\tO' -p312642 -aS'.\t.\t.\tO\tO' -p312643 -asS'At the time we were to embark on this evaluation , the patient 's family strongly requested that she be transferred to the Sas General Hospital .' -p312644 -(lp312645 -S'At\tAt\tIN\tB-PP\tO' -p312646 -aS'the\tthe\tDT\tB-NP\tO' -p312647 -aS'time\ttime\tNN\tI-NP\tO' -p312648 -aS'we\twe\tPRP\tB-NP\tO' -p312649 -aS'were\tbe\tVBD\tB-VP\tO' -p312650 -aS'to\tto\tTO\tI-VP\tO' -p312651 -aS'embark\tembark\tVB\tI-VP\tO' -p312652 -aS'on\ton\tIN\tB-PP\tO' -p312653 -aS'this\tthis\tDT\tB-NP\tO' -p312654 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p312655 -aS',\t,\t,\tO\tO' -p312656 -aS'the\tthe\tDT\tB-NP\tO' -p312657 -aS'patient\tpatient\tNN\tI-NP\tO' -p312658 -aS''s\t'\tNNS\tI-NP\tO' -p312659 -aS'family\tfamily\tNN\tI-NP\tO' -p312660 -aS'strongly\tstrongly\tRB\tB-VP\tO' -p312661 -aS'requested\trequest\tVBD\tI-VP\tO' -p312662 -aS'that\tthat\tIN\tB-SBAR\tO' -p312663 -aS'she\tshe\tPRP\tB-NP\tO' -p312664 -aS'be\tbe\tVB\tB-VP\tO' -p312665 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p312666 -aS'to\tto\tTO\tB-PP\tO' -p312667 -aS'the\tthe\tDT\tB-NP\tO' -p312668 -aS'Sas\tSas\tNNP\tI-NP\tO' -p312669 -aS'General\tGeneral\tNNP\tI-NP\tO' -p312670 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p312671 -aS'.\t.\t.\tO\tO' -p312672 -asS'One day prior to lumbar puncture , an aerobic culture was similarly pending .' -p312673 -(lp312674 -S'One\tOne\tCD\tB-NP\tO' -p312675 -aS'day\tday\tNN\tI-NP\tO' -p312676 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p312677 -aS'to\tto\tTO\tB-VP\tO' -p312678 -aS'lumbar\tlumbar\tVB\tI-VP\tO' -p312679 -aS'puncture\tpuncture\tNN\tB-NP\tO' -p312680 -aS',\t,\t,\tO\tO' -p312681 -aS'an\tan\tDT\tB-NP\tO' -p312682 -aS'aerobic\taerobic\tJJ\tI-NP\tO' -p312683 -aS'culture\tculture\tNN\tI-NP\tO' -p312684 -aS'was\tbe\tVBD\tB-VP\tO' -p312685 -aS'similarly\tsimilarly\tRB\tI-VP\tO' -p312686 -aS'pending\tpende\tVBG\tI-VP\tO' -p312687 -aS'.\t.\t.\tO\tO' -p312688 -asS'He tried adding lamictal , but this caused a rash .' -p312689 -(lp312690 -S'He\tHe\tPRP\tB-NP\tO' -p312691 -aS'tried\ttry\tVBD\tB-VP\tO' -p312692 -aS'adding\tadd\tVBG\tI-VP\tO' -p312693 -aS'lamictal\tlamictal\tJJ\tB-ADJP\tO' -p312694 -aS',\t,\t,\tO\tO' -p312695 -aS'but\tbut\tCC\tO\tO' -p312696 -aS'this\tthis\tDT\tB-NP\tO' -p312697 -aS'caused\tcause\tVBD\tB-VP\tO' -p312698 -aS'a\ta\tDT\tB-NP\tO' -p312699 -aS'rash\trash\tNN\tI-NP\tO' -p312700 -aS'.\t.\t.\tO\tO' -p312701 -asS'Quit tobacco in 2003 after smoking 1 ppd for " a very long time ".' -p312702 -(lp312703 -S'Quit\tQuit\tNN\tB-NP\tO' -p312704 -aS'tobacco\ttobacco\tNN\tI-NP\tO' -p312705 -aS'in\tin\tIN\tB-PP\tO' -p312706 -aS'2003\t2003\tCD\tB-NP\tO' -p312707 -aS'after\tafter\tIN\tB-PP\tO' -p312708 -aS'smoking\tsmoke\tVBG\tB-VP\tO' -p312709 -aS'1\t1\tCD\tB-NP\tO' -p312710 -aS'ppd\tppd\tNN\tI-NP\tO' -p312711 -aS'for\tfor\tIN\tB-PP\tO' -p312712 -aS'"\t"\t\'\'\tO\tO' -p312713 -aS'a\ta\tDT\tB-NP\tO' -p312714 -aS'very\tvery\tRB\tI-NP\tO' -p312715 -aS'long\tlong\tJJ\tI-NP\tO' -p312716 -aS'time\ttime\tNN\tI-NP\tO' -p312717 -aS'".\t".\t.\tO\tO' -p312718 -asS'S/p right pneumonectomy .' -p312719 -(lp312720 -S'S/p\tS/p\tNN\tB-NP\tO' -p312721 -aS'right\tright\tJJ\tI-NP\tO' -p312722 -aS'pneumonectomy\tpneumonectomy\tNN\tI-NP\tO' -p312723 -aS'.\t.\t.\tO\tO' -p312724 -asS'Left Atrium - Four Chamber Length : 5.1 cm ( nl <= 5.2 cm )' -p312725 -(lp312726 -S'Left\tLeft\tNNP\tB-NP\tO' -p312727 -aS'Atrium\tAtrium\tNNP\tI-NP\tO' -p312728 -aS'-\t-\tHYPH\tB-NP\tO' -p312729 -aS'Four\tFour\tNNP\tI-NP\tO' -p312730 -aS'Chamber\tChamber\tNNP\tI-NP\tO' -p312731 -aS'Length\tLength\tNNP\tI-NP\tO' -p312732 -aS':\t:\t:\tO\tO' -p312733 -aS'5.1\t5.1\tCD\tB-NP\tO' -p312734 -aS'cm\tcm\tNN\tI-NP\tO' -p312735 -aS'(\t(\t(\tO\tO' -p312736 -aS'nl\tnl\tNN\tB-NP\tO' -p312737 -aS'<=\t<=\tSYM\tO\tO' -p312738 -aS'5.2\t5.2\tCD\tB-NP\tO' -p312739 -aS'cm\tcm\tNN\tI-NP\tO' -p312740 -aS')\t)\t)\tO\tO' -p312741 -asS'3. Car seat position screening was performed .' -p312742 -(lp312743 -S'3.\t3.\tLS\tB-NP\tO' -p312744 -aS'Car\tCar\tNN\tI-NP\tB-protein' -p312745 -aS'seat\tseat\tNN\tI-NP\tO' -p312746 -aS'position\tposition\tNN\tI-NP\tO' -p312747 -aS'screening\tscreening\tNN\tI-NP\tO' -p312748 -aS'was\tbe\tVBD\tB-VP\tO' -p312749 -aS'performed\tperform\tVBN\tI-VP\tO' -p312750 -aS'.\t.\t.\tO\tO' -p312751 -asS'Dictated By : Eugene F Balboa , M.D.' -p312752 -(lp312753 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p312754 -aS'By\tBy\tIN\tB-PP\tO' -p312755 -aS':\t:\t:\tO\tO' -p312756 -aS'Eugene\tEugene\tNNP\tB-NP\tO' -p312757 -aS'F\tF\tNNP\tI-NP\tO' -p312758 -aS'Balboa\tBalboa\tNNP\tI-NP\tO' -p312759 -aS',\t,\t,\tO\tO' -p312760 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p312761 -asS'CBC - White blood cell count 8.82 , hemoglobin 15.2 , hematocrit 43 , and platelets 322 .' -p312762 -(lp312763 -S'CBC\tCBC\tNN\tB-NP\tB-protein' -p312764 -aS'-\t-\tHYPH\tI-NP\tO' -p312765 -aS'White\tWhite\tJJ\tI-NP\tO' -p312766 -aS'blood\tblood\tNN\tI-NP\tO' -p312767 -aS'cell\tcell\tNN\tI-NP\tO' -p312768 -aS'count\tcount\tNN\tI-NP\tO' -p312769 -aS'8.82\t8.82\tCD\tB-NP\tO' -p312770 -aS',\t,\t,\tO\tO' -p312771 -aS'hemoglobin\themoglobin\tNN\tB-NP\tB-protein' -p312772 -aS'15.2\t15.2\tCD\tI-NP\tI-protein' -p312773 -aS',\t,\t,\tO\tO' -p312774 -aS'hematocrit\thematocrit\tNN\tB-NP\tO' -p312775 -aS'43\t43\tCD\tI-NP\tO' -p312776 -aS',\t,\t,\tO\tO' -p312777 -aS'and\tand\tCC\tO\tO' -p312778 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p312779 -aS'322\t322\tCD\tB-NP\tO' -p312780 -aS'.\t.\t.\tO\tO' -p312781 -asS'CBC 11.3 / 15.7 / 44.6 / 183 .' -p312782 -(lp312783 -S'CBC\tCBC\tNN\tB-NP\tB-protein' -p312784 -aS'11.3\t11.3\tCD\tI-NP\tI-protein' -p312785 -aS'/\t/\tSYM\tI-NP\tO' -p312786 -aS'15.7\t15.7\tCD\tI-NP\tO' -p312787 -aS'/\t/\tSYM\tI-NP\tO' -p312788 -aS'44.6\t44.6\tCD\tI-NP\tO' -p312789 -aS'/\t/\tSYM\tI-NP\tO' -p312790 -aS'183\t183\tCD\tI-NP\tO' -p312791 -aS'.\t.\t.\tO\tO' -p312792 -asS'They recommended erythromycin and zelnorm .' -p312793 -(lp312794 -S'They\tThey\tPRP\tB-NP\tO' -p312795 -aS'recommended\trecommend\tVBD\tB-VP\tO' -p312796 -aS'erythromycin\terythromycin\tNN\tB-NP\tO' -p312797 -aS'and\tand\tCC\tI-NP\tO' -p312798 -aS'zelnorm\tzelnorm\tNN\tI-NP\tO' -p312799 -aS'.\t.\t.\tO\tO' -p312800 -asS'Her central line , which was left subclavian quad lumen , was removed on the day of discharge .' -p312801 -(lp312802 -S'Her\tHer\tPRP$\tB-NP\tB-cell_line' -p312803 -aS'central\tcentral\tJJ\tI-NP\tI-cell_line' -p312804 -aS'line\tline\tNN\tI-NP\tI-cell_line' -p312805 -aS',\t,\t,\tO\tO' -p312806 -aS'which\twhich\tWDT\tB-NP\tO' -p312807 -aS'was\tbe\tVBD\tB-VP\tO' -p312808 -aS'left\tleave\tVBN\tI-VP\tO' -p312809 -aS'subclavian\tsubclavian\tJJ\tB-NP\tO' -p312810 -aS'quad\tquad\tNN\tI-NP\tO' -p312811 -aS'lumen\tlumen\tNN\tI-NP\tO' -p312812 -aS',\t,\t,\tO\tO' -p312813 -aS'was\tbe\tVBD\tB-VP\tO' -p312814 -aS'removed\tremove\tVBN\tI-VP\tO' -p312815 -aS'on\ton\tIN\tB-PP\tO' -p312816 -aS'the\tthe\tDT\tB-NP\tO' -p312817 -aS'day\tday\tNN\tI-NP\tO' -p312818 -aS'of\tof\tIN\tB-PP\tO' -p312819 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p312820 -aS'.\t.\t.\tO\tO' -p312821 -asS'The patient did well and her suprapubic tube was clamped starting on postoperative day four .' -p312822 -(lp312823 -S'The\tThe\tDT\tB-NP\tO' -p312824 -aS'patient\tpatient\tNN\tI-NP\tO' -p312825 -aS'did\tdo\tVBD\tB-VP\tO' -p312826 -aS'well\twell\tRB\tB-ADVP\tO' -p312827 -aS'and\tand\tCC\tO\tO' -p312828 -aS'her\ther\tPRP$\tB-NP\tO' -p312829 -aS'suprapubic\tsuprapubic\tJJ\tI-NP\tO' -p312830 -aS'tube\ttube\tNN\tI-NP\tO' -p312831 -aS'was\tbe\tVBD\tB-VP\tO' -p312832 -aS'clamped\tclamp\tVBN\tI-VP\tO' -p312833 -aS'starting\tstart\tVBG\tB-PP\tO' -p312834 -aS'on\ton\tIN\tB-PP\tO' -p312835 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p312836 -aS'day\tday\tNN\tI-NP\tO' -p312837 -aS'four\tfour\tCD\tI-NP\tO' -p312838 -aS'.\t.\t.\tO\tO' -p312839 -asS'Ativan 1 mg or Trilafon 4 mg q 4 hours prn nausea , Carafate one gram q.i.d.' -p312840 -(lp312841 -S'Ativan\tAtivan\tIN\tB-PP\tO' -p312842 -aS'1\t1\tCD\tB-NP\tO' -p312843 -aS'mg\tmg\tNN\tI-NP\tO' -p312844 -aS'or\tor\tCC\tO\tO' -p312845 -aS'Trilafon\tTrilafon\tNN\tB-NP\tB-protein' -p312846 -aS'4\t4\tCD\tI-NP\tI-protein' -p312847 -aS'mg\tmg\tNN\tI-NP\tI-protein' -p312848 -aS'q\tq\tNN\tI-NP\tI-protein' -p312849 -aS'4\t4\tCD\tB-NP\tI-protein' -p312850 -aS'hours\thour\tNNS\tI-NP\tI-protein' -p312851 -aS'prn\tprn\tVBP\tB-VP\tO' -p312852 -aS'nausea\tnausea\tNN\tB-NP\tO' -p312853 -aS',\t,\t,\tO\tO' -p312854 -aS'Carafate\tCarafate\tNNP\tB-NP\tO' -p312855 -aS'one\tone\tCD\tI-NP\tO' -p312856 -aS'gram\tgram\tNN\tI-NP\tO' -p312857 -aS'q.i.d.\tq.i.d.\tNN\tI-NP\tO' -p312858 -asS'Patient states that he had chronically had loose stools but over 2 preeceeding days noticed the stool to be dark and tarry .' -p312859 -(lp312860 -S'Patient\tPatient\tNN\tB-NP\tO' -p312861 -aS'states\tstate\tVBZ\tB-VP\tO' -p312862 -aS'that\tthat\tIN\tB-SBAR\tO' -p312863 -aS'he\the\tPRP\tB-NP\tO' -p312864 -aS'had\thave\tVBD\tB-VP\tO' -p312865 -aS'chronically\tchronically\tRB\tI-VP\tO' -p312866 -aS'had\thave\tVBN\tI-VP\tO' -p312867 -aS'loose\tloose\tJJ\tB-NP\tO' -p312868 -aS'stools\tstool\tNNS\tI-NP\tO' -p312869 -aS'but\tbut\tCC\tO\tO' -p312870 -aS'over\tover\tIN\tB-NP\tO' -p312871 -aS'2\t2\tCD\tI-NP\tO' -p312872 -aS'preeceeding\tpreeceeding\tJJ\tI-NP\tO' -p312873 -aS'days\tday\tNNS\tI-NP\tO' -p312874 -aS'noticed\tnotice\tVBD\tB-VP\tO' -p312875 -aS'the\tthe\tDT\tB-NP\tO' -p312876 -aS'stool\tstool\tNN\tI-NP\tO' -p312877 -aS'to\tto\tTO\tB-VP\tO' -p312878 -aS'be\tbe\tVB\tI-VP\tO' -p312879 -aS'dark\tdark\tJJ\tB-ADJP\tO' -p312880 -aS'and\tand\tCC\tI-ADJP\tO' -p312881 -aS'tarry\ttarry\tJJ\tI-ADJP\tO' -p312882 -aS'.\t.\t.\tO\tO' -p312883 -asS'Signed electronically by : DR. Jane B. Hardy on : Sandra 2014-08-07 11:10 AM' -p312884 -(lp312885 -S'Signed\tSign\tVBN\tB-VP\tO' -p312886 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p312887 -aS'by\tby\tIN\tB-PP\tO' -p312888 -aS':\t:\t:\tO\tO' -p312889 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p312890 -aS'Jane\tJane\tNNP\tI-NP\tO' -p312891 -aS'B.\tB.\tNNP\tI-NP\tO' -p312892 -aS'Hardy\tHardy\tNNP\tI-NP\tO' -p312893 -aS'on\ton\tIN\tB-PP\tO' -p312894 -aS':\t:\t:\tO\tO' -p312895 -aS'Sandra\tSandra\tNNP\tB-NP\tO' -p312896 -aS'2014-08-07\t2014-08-07\tCD\tB-NP\tO' -p312897 -aS'11:10\t11:10\tCD\tI-NP\tO' -p312898 -aS'AM\tAM\tNN\tI-NP\tO' -p312899 -asS'Mr. Factor is a 76 year old white male with acute inferior myocardial infarction , who was urgently transferred by Dr. Lenni Factor for cardiac catheterization and possible angioplasty .' -p312900 -(lp312901 -S'Mr.\tMr.\tNNP\tB-NP\tB-protein' -p312902 -aS'Factor\tFactor\tNNP\tI-NP\tI-protein' -p312903 -aS'is\tbe\tVBZ\tB-VP\tO' -p312904 -aS'a\ta\tDT\tB-NP\tO' -p312905 -aS'76\t76\tCD\tI-NP\tO' -p312906 -aS'year\tyear\tNN\tI-NP\tO' -p312907 -aS'old\told\tJJ\tI-NP\tO' -p312908 -aS'white\twhite\tJJ\tI-NP\tO' -p312909 -aS'male\tmale\tNN\tI-NP\tO' -p312910 -aS'with\twith\tIN\tB-PP\tO' -p312911 -aS'acute\tacute\tJJ\tB-NP\tO' -p312912 -aS'inferior\tinferior\tJJ\tI-NP\tO' -p312913 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p312914 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p312915 -aS',\t,\t,\tO\tO' -p312916 -aS'who\twho\tWP\tB-NP\tO' -p312917 -aS'was\tbe\tVBD\tB-VP\tO' -p312918 -aS'urgently\turgently\tRB\tI-VP\tO' -p312919 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p312920 -aS'by\tby\tIN\tB-PP\tO' -p312921 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p312922 -aS'Lenni\tLenni\tNNP\tI-NP\tO' -p312923 -aS'Factor\tFactor\tNNP\tI-NP\tO' -p312924 -aS'for\tfor\tIN\tB-PP\tO' -p312925 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p312926 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p312927 -aS'and\tand\tCC\tO\tO' -p312928 -aS'possible\tpossible\tJJ\tB-NP\tO' -p312929 -aS'angioplasty\tangioplasty\tNN\tI-NP\tO' -p312930 -aS'.\t.\t.\tO\tO' -p312931 -asS'Her urine legionella antigen was negative .' -p312932 -(lp312933 -S'Her\tHer\tPRP$\tB-NP\tO' -p312934 -aS'urine\turine\tNN\tI-NP\tB-protein' -p312935 -aS'legionella\tlegionella\tNN\tI-NP\tI-protein' -p312936 -aS'antigen\tantigen\tNN\tI-NP\tI-protein' -p312937 -aS'was\tbe\tVBD\tB-VP\tO' -p312938 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p312939 -aS'.\t.\t.\tO\tO' -p312940 -asS'He received Ancef preoperatively .' -p312941 -(lp312942 -S'He\tHe\tPRP\tB-NP\tO' -p312943 -aS'received\treceive\tVBD\tB-VP\tO' -p312944 -aS'Ancef\tAncef\tNN\tB-NP\tO' -p312945 -aS'preoperatively\tpreoperatively\tRB\tB-ADVP\tO' -p312946 -aS'.\t.\t.\tO\tO' -p312947 -asS'A pulmonary arteriogram on 01/03/98 demonstrated multiple pulmonary emboli , likely less than one week old , possibly introduced at the time of the renal vein thrombosis of 12/19/97 .' -p312948 -(lp312949 -S'A\tA\tDT\tB-NP\tO' -p312950 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p312951 -aS'arteriogram\tarteriogram\tNN\tI-NP\tO' -p312952 -aS'on\ton\tIN\tB-PP\tO' -p312953 -aS'01/03/98\t01/03/98\tNN\tB-NP\tO' -p312954 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p312955 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p312956 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p312957 -aS'emboli\tembolus\tNNS\tI-NP\tO' -p312958 -aS',\t,\t,\tO\tO' -p312959 -aS'likely\tlikely\tRB\tB-NP\tO' -p312960 -aS'less\tless\tJJR\tI-NP\tO' -p312961 -aS'than\tthan\tIN\tI-NP\tO' -p312962 -aS'one\tone\tCD\tI-NP\tO' -p312963 -aS'week\tweek\tNN\tI-NP\tO' -p312964 -aS'old\told\tJJ\tB-ADJP\tO' -p312965 -aS',\t,\t,\tO\tO' -p312966 -aS'possibly\tpossibly\tRB\tB-VP\tO' -p312967 -aS'introduced\tintroduce\tVBN\tI-VP\tO' -p312968 -aS'at\tat\tIN\tB-PP\tO' -p312969 -aS'the\tthe\tDT\tB-NP\tO' -p312970 -aS'time\ttime\tNN\tI-NP\tO' -p312971 -aS'of\tof\tIN\tB-PP\tO' -p312972 -aS'the\tthe\tDT\tB-NP\tO' -p312973 -aS'renal\trenal\tJJ\tI-NP\tO' -p312974 -aS'vein\tvein\tNN\tI-NP\tO' -p312975 -aS'thrombosis\tthrombosis\tNN\tI-NP\tO' -p312976 -aS'of\tof\tIN\tB-PP\tO' -p312977 -aS'12/19/97\t12/19/97\tCD\tB-NP\tO' -p312978 -aS'.\t.\t.\tO\tO' -p312979 -asS'No medications upon admission .' -p312980 -(lp312981 -S'No\tNo\tDT\tB-NP\tO' -p312982 -aS'medications\tmedication\tNNS\tI-NP\tO' -p312983 -aS'upon\tupon\tIN\tB-PP\tO' -p312984 -aS'admission\tadmission\tNN\tB-NP\tO' -p312985 -aS'.\t.\t.\tO\tO' -p312986 -asS'Signed electronically by : DR. Jackie Mcafee on : TUE 2017-07-11 8:43 AM' -p312987 -(lp312988 -S'Signed\tSign\tVBN\tB-VP\tO' -p312989 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p312990 -aS'by\tby\tIN\tB-PP\tO' -p312991 -aS':\t:\t:\tO\tO' -p312992 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p312993 -aS'Jackie\tJackie\tNNP\tI-NP\tO' -p312994 -aS'Mcafee\tMcafee\tNNP\tI-NP\tO' -p312995 -aS'on\ton\tIN\tB-PP\tO' -p312996 -aS':\t:\t:\tO\tO' -p312997 -aS'TUE\tTUE\tNN\tB-NP\tO' -p312998 -aS'2017-07-11\t2017-07-11\tCD\tI-NP\tO' -p312999 -aS'8:43\t8:43\tCD\tI-NP\tO' -p313000 -aS'AM\tAM\tNN\tI-NP\tO' -p313001 -asS'Telephone number is 444 7700 .' -p313002 -(lp313003 -S'Telephone\tTelephone\tNN\tB-NP\tO' -p313004 -aS'number\tnumber\tNN\tI-NP\tO' -p313005 -aS'is\tbe\tVBZ\tB-VP\tO' -p313006 -aS'444\t444\tCD\tB-NP\tO' -p313007 -aS'7700\t7700\tCD\tI-NP\tO' -p313008 -aS'.\t.\t.\tO\tO' -p313009 -asS"The Foley should be in place until a follow-up appointment with Dr. Aarhalt can be scheduled in approximately one to two weeks at which time a decision regarding the status of the patient 's urinary obstruction will be addressed ." -p313010 -(lp313011 -S'The\tThe\tDT\tB-NP\tO' -p313012 -aS'Foley\tFoley\tNNP\tI-NP\tO' -p313013 -aS'should\tshould\tMD\tB-VP\tO' -p313014 -aS'be\tbe\tVB\tI-VP\tO' -p313015 -aS'in\tin\tIN\tB-PP\tO' -p313016 -aS'place\tplace\tNN\tB-NP\tO' -p313017 -aS'until\tuntil\tIN\tB-SBAR\tO' -p313018 -aS'a\ta\tDT\tB-NP\tO' -p313019 -aS'follow-up\tfollow-up\tJJ\tI-NP\tO' -p313020 -aS'appointment\tappointment\tNN\tI-NP\tO' -p313021 -aS'with\twith\tIN\tB-PP\tO' -p313022 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p313023 -aS'Aarhalt\tAarhalt\tNNP\tI-NP\tO' -p313024 -aS'can\tcan\tMD\tB-VP\tO' -p313025 -aS'be\tbe\tVB\tI-VP\tO' -p313026 -aS'scheduled\tschedule\tVBN\tI-VP\tO' -p313027 -aS'in\tin\tIN\tB-PP\tO' -p313028 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p313029 -aS'one\tone\tCD\tI-NP\tO' -p313030 -aS'to\tto\tTO\tI-NP\tO' -p313031 -aS'two\ttwo\tCD\tI-NP\tO' -p313032 -aS'weeks\tweek\tNNS\tI-NP\tO' -p313033 -aS'at\tat\tIN\tB-PP\tO' -p313034 -aS'which\twhich\tWDT\tB-NP\tO' -p313035 -aS'time\ttime\tNN\tI-NP\tO' -p313036 -aS'a\ta\tDT\tB-NP\tO' -p313037 -aS'decision\tdecision\tNN\tI-NP\tO' -p313038 -aS'regarding\tregard\tVBG\tB-VP\tO' -p313039 -aS'the\tthe\tDT\tB-NP\tO' -p313040 -aS'status\tstatus\tNN\tI-NP\tO' -p313041 -aS'of\tof\tIN\tB-PP\tO' -p313042 -aS'the\tthe\tDT\tB-NP\tO' -p313043 -aS'patient\tpatient\tNN\tI-NP\tO' -p313044 -aS"'s\t's\tPOS\tB-NP\tO" -p313045 -aS'urinary\turinary\tJJ\tI-NP\tO' -p313046 -aS'obstruction\tobstruction\tNN\tI-NP\tO' -p313047 -aS'will\twill\tMD\tB-VP\tO' -p313048 -aS'be\tbe\tVB\tI-VP\tO' -p313049 -aS'addressed\taddress\tVBN\tI-VP\tO' -p313050 -aS'.\t.\t.\tO\tO' -p313051 -asS'She will take her last dose of Coumadin on September 1 in anticipation of cardiac surgery .' -p313052 -(lp313053 -S'She\tShe\tPRP\tB-NP\tO' -p313054 -aS'will\twill\tMD\tB-VP\tO' -p313055 -aS'take\ttake\tVB\tI-VP\tO' -p313056 -aS'her\ther\tPRP$\tB-NP\tO' -p313057 -aS'last\tlast\tJJ\tI-NP\tO' -p313058 -aS'dose\tdose\tNN\tI-NP\tO' -p313059 -aS'of\tof\tIN\tB-PP\tO' -p313060 -aS'Coumadin\tCoumadin\tNNP\tB-NP\tO' -p313061 -aS'on\ton\tIN\tB-PP\tO' -p313062 -aS'September\tSeptember\tNNP\tB-NP\tO' -p313063 -aS'1\t1\tCD\tI-NP\tO' -p313064 -aS'in\tin\tIN\tB-PP\tO' -p313065 -aS'anticipation\tanticipation\tNN\tB-NP\tO' -p313066 -aS'of\tof\tIN\tB-PP\tO' -p313067 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p313068 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p313069 -aS'.\t.\t.\tO\tO' -p313070 -asS'10. Losartan 50 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' -p313071 -(lp313072 -S'10.\t10.\tCD\tB-NP\tO' -p313073 -aS'Losartan\tLosartan\tNNP\tI-NP\tO' -p313074 -aS'50\t50\tCD\tI-NP\tO' -p313075 -aS'mg\tmg\tNN\tI-NP\tO' -p313076 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p313077 -aS'Sig\tSig\tNNP\tI-NP\tO' -p313078 -aS':\t:\t:\tO\tO' -p313079 -aS'One\tOne\tCD\tB-NP\tO' -p313080 -aS'(\t(\t(\tO\tO' -p313081 -aS'1\t1\tCD\tB-NP\tO' -p313082 -aS')\t)\t)\tO\tO' -p313083 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p313084 -aS'PO\tPO\tNN\tI-NP\tO' -p313085 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p313086 -aS'(\t(\t(\tO\tO' -p313087 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p313088 -aS')\t)\t)\tO\tO' -p313089 -aS'.\t.\t.\tO\tO' -p313090 -asS'She was to be discharged today and encouraged to ambulate on her own .' -p313091 -(lp313092 -S'She\tShe\tPRP\tB-NP\tO' -p313093 -aS'was\tbe\tVBD\tB-VP\tO' -p313094 -aS'to\tto\tTO\tI-VP\tO' -p313095 -aS'be\tbe\tVB\tI-VP\tO' -p313096 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p313097 -aS'today\ttoday\tNN\tB-NP\tO' -p313098 -aS'and\tand\tCC\tO\tO' -p313099 -aS'encouraged\tencourage\tVBD\tB-VP\tO' -p313100 -aS'to\tto\tTO\tI-VP\tO' -p313101 -aS'ambulate\tambulate\tVB\tI-VP\tO' -p313102 -aS'on\ton\tIN\tB-PP\tO' -p313103 -aS'her\ther\tPRP$\tB-NP\tO' -p313104 -aS'own\town\tJJ\tI-NP\tO' -p313105 -aS'.\t.\t.\tO\tO' -p313106 -asS'The patient was given an IV load of Decadron and restarted on IV Decadron which was eventually transferred to po Decadron .' -p313107 -(lp313108 -S'The\tThe\tDT\tB-NP\tO' -p313109 -aS'patient\tpatient\tNN\tI-NP\tO' -p313110 -aS'was\tbe\tVBD\tB-VP\tO' -p313111 -aS'given\tgive\tVBN\tI-VP\tO' -p313112 -aS'an\tan\tDT\tB-NP\tO' -p313113 -aS'IV\tIV\tCD\tI-NP\tO' -p313114 -aS'load\tload\tNN\tI-NP\tO' -p313115 -aS'of\tof\tIN\tB-PP\tO' -p313116 -aS'Decadron\tDecadron\tNNP\tB-NP\tO' -p313117 -aS'and\tand\tCC\tO\tO' -p313118 -aS'restarted\trestart\tVBD\tB-VP\tO' -p313119 -aS'on\ton\tIN\tB-PP\tO' -p313120 -aS'IV\tIV\tNNP\tB-NP\tO' -p313121 -aS'Decadron\tDecadron\tNNP\tI-NP\tO' -p313122 -aS'which\twhich\tWDT\tB-NP\tO' -p313123 -aS'was\tbe\tVBD\tB-VP\tO' -p313124 -aS'eventually\teventually\tRB\tI-VP\tO' -p313125 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p313126 -aS'to\tto\tTO\tI-VP\tO' -p313127 -aS'po\tpo\tVB\tI-VP\tO' -p313128 -aS'Decadron\tDecadron\tNNP\tB-NP\tO' -p313129 -aS'.\t.\t.\tO\tO' -p313130 -asS'The orthopaedic service recommended emergent repair of the intratrochanteric fracture secondary to instability .' -p313131 -(lp313132 -S'The\tThe\tDT\tB-NP\tO' -p313133 -aS'orthopaedic\torthopaedic\tJJ\tI-NP\tO' -p313134 -aS'service\tservice\tNN\tI-NP\tO' -p313135 -aS'recommended\trecommend\tVBD\tB-VP\tO' -p313136 -aS'emergent\temergent\tJJ\tB-NP\tO' -p313137 -aS'repair\trepair\tNN\tI-NP\tO' -p313138 -aS'of\tof\tIN\tB-PP\tO' -p313139 -aS'the\tthe\tDT\tB-NP\tO' -p313140 -aS'intratrochanteric\tintratrochanteric\tJJ\tI-NP\tO' -p313141 -aS'fracture\tfracture\tNN\tI-NP\tO' -p313142 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p313143 -aS'to\tto\tTO\tB-PP\tO' -p313144 -aS'instability\tinstability\tNN\tB-NP\tO' -p313145 -aS'.\t.\t.\tO\tO' -p313146 -asS'The patient 's allergies include Septra .' -p313147 -(lp313148 -S'The\tThe\tDT\tB-NP\tO' -p313149 -aS'patient\tpatient\tNN\tI-NP\tO' -p313150 -aS''s\t'\tNNS\tI-NP\tO' -p313151 -aS'allergies\tallergy\tNNS\tI-NP\tO' -p313152 -aS'include\tinclude\tVBP\tB-VP\tO' -p313153 -aS'Septra\tSeptra\tNNP\tB-NP\tO' -p313154 -aS'.\t.\t.\tO\tO' -p313155 -asS'He states that he takes ASA daily and takes motrin 800 mg tid sometimes for pain , last use 2 wks PTA .' -p313156 -(lp313157 -S'He\tHe\tPRP\tB-NP\tO' -p313158 -aS'states\tstate\tVBZ\tB-VP\tO' -p313159 -aS'that\tthat\tIN\tB-SBAR\tO' -p313160 -aS'he\the\tPRP\tB-NP\tO' -p313161 -aS'takes\ttake\tVBZ\tB-VP\tO' -p313162 -aS'ASA\tASA\tNN\tB-NP\tO' -p313163 -aS'daily\tdaily\tRB\tB-ADVP\tO' -p313164 -aS'and\tand\tCC\tO\tO' -p313165 -aS'takes\ttake\tVBZ\tB-VP\tO' -p313166 -aS'motrin\tmotrin\tNN\tB-NP\tO' -p313167 -aS'800\t800\tCD\tI-NP\tO' -p313168 -aS'mg\tmg\tNN\tI-NP\tO' -p313169 -aS'tid\ttid\tNN\tI-NP\tO' -p313170 -aS'sometimes\tsometimes\tRB\tB-ADVP\tO' -p313171 -aS'for\tfor\tIN\tB-PP\tO' -p313172 -aS'pain\tpain\tNN\tB-NP\tO' -p313173 -aS',\t,\t,\tO\tO' -p313174 -aS'last\tlast\tJJ\tB-NP\tO' -p313175 -aS'use\tuse\tNN\tI-NP\tO' -p313176 -aS'2\t2\tCD\tI-NP\tO' -p313177 -aS'wks\twk\tVBZ\tB-VP\tO' -p313178 -aS'PTA\tPTA\tNN\tB-NP\tB-protein' -p313179 -aS'.\t.\t.\tO\tO' -p313180 -asS'The right internal maxillary artery supply to the nasal mucosa was embolized .' -p313181 -(lp313182 -S'The\tThe\tDT\tB-NP\tO' -p313183 -aS'right\tright\tJJ\tI-NP\tO' -p313184 -aS'internal\tinternal\tJJ\tI-NP\tO' -p313185 -aS'maxillary\tmaxillary\tJJ\tI-NP\tO' -p313186 -aS'artery\tartery\tNN\tI-NP\tO' -p313187 -aS'supply\tsupply\tNN\tI-NP\tO' -p313188 -aS'to\tto\tTO\tB-PP\tO' -p313189 -aS'the\tthe\tDT\tB-NP\tO' -p313190 -aS'nasal\tnasal\tJJ\tI-NP\tO' -p313191 -aS'mucosa\tmucosa\tNN\tI-NP\tO' -p313192 -aS'was\tbe\tVBD\tB-VP\tO' -p313193 -aS'embolized\tembolize\tVBN\tI-VP\tO' -p313194 -aS'.\t.\t.\tO\tO' -p313195 -asS'Continue taking all of your regular home medications .' -p313196 -(lp313197 -S'Continue\tContinue\tVB\tB-VP\tO' -p313198 -aS'taking\ttake\tVBG\tI-VP\tO' -p313199 -aS'all\tall\tDT\tB-NP\tO' -p313200 -aS'of\tof\tIN\tB-PP\tO' -p313201 -aS'your\tyour\tPRP$\tB-NP\tO' -p313202 -aS'regular\tregular\tJJ\tI-NP\tO' -p313203 -aS'home\thome\tNN\tI-NP\tO' -p313204 -aS'medications\tmedication\tNNS\tI-NP\tO' -p313205 -aS'.\t.\t.\tO\tO' -p313206 -asS'2. Acetaminophen - Caff - Butalbital 504-61-78 mg Capsule Sig : 01-28 Tablets PO Q4-6H ( every 4 to 6 hours ) as needed for 1 months .' -p313207 -(lp313208 -S'2.\t2.\tLS\tB-NP\tO' -p313209 -aS'Acetaminophen\tAcetaminophen\tNN\tI-NP\tO' -p313210 -aS'-\t-\tHYPH\tB-NP\tO' -p313211 -aS'Caff\tCaff\tNN\tI-NP\tB-protein' -p313212 -aS'-\t-\tHYPH\tI-NP\tO' -p313213 -aS'Butalbital\tButalbital\tJJ\tI-NP\tO' -p313214 -aS'504-61-78\t504-61-78\tCD\tI-NP\tO' -p313215 -aS'mg\tmg\tNN\tI-NP\tO' -p313216 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p313217 -aS'Sig\tSig\tNNP\tI-NP\tO' -p313218 -aS':\t:\t:\tO\tO' -p313219 -aS'01-28\t01-28\tCD\tB-NP\tO' -p313220 -aS'Tablets\tTablet\tNNS\tI-NP\tO' -p313221 -aS'PO\tPO\tNN\tI-NP\tO' -p313222 -aS'Q4-6H\tQ4-6H\tNN\tI-NP\tO' -p313223 -aS'(\t(\t(\tO\tO' -p313224 -aS'every\tevery\tDT\tB-NP\tO' -p313225 -aS'4\t4\tCD\tI-NP\tO' -p313226 -aS'to\tto\tTO\tI-NP\tO' -p313227 -aS'6\t6\tCD\tI-NP\tO' -p313228 -aS'hours\thour\tNNS\tI-NP\tO' -p313229 -aS')\t)\t)\tO\tO' -p313230 -aS'as\tas\tIN\tB-SBAR\tO' -p313231 -aS'needed\tneed\tVBN\tB-VP\tO' -p313232 -aS'for\tfor\tIN\tB-PP\tO' -p313233 -aS'1\t1\tCD\tB-NP\tO' -p313234 -aS'months\tmonth\tNNS\tI-NP\tO' -p313235 -aS'.\t.\t.\tO\tO' -p313236 -asS'He was sitting on the floor legs crossed and stood up when he heard his knee CMED CCU .' -p313237 -(lp313238 -S'He\tHe\tPRP\tB-NP\tO' -p313239 -aS'was\tbe\tVBD\tB-VP\tO' -p313240 -aS'sitting\tsit\tVBG\tI-VP\tO' -p313241 -aS'on\ton\tIN\tB-PP\tO' -p313242 -aS'the\tthe\tDT\tB-NP\tO' -p313243 -aS'floor\tfloor\tNN\tI-NP\tO' -p313244 -aS'legs\tleg\tNNS\tI-NP\tO' -p313245 -aS'crossed\tcross\tVBD\tB-VP\tO' -p313246 -aS'and\tand\tCC\tO\tO' -p313247 -aS'stood\tstand\tVBD\tB-VP\tO' -p313248 -aS'up\tup\tRP\tB-PRT\tO' -p313249 -aS'when\twhen\tWRB\tB-ADVP\tO' -p313250 -aS'he\the\tPRP\tB-NP\tO' -p313251 -aS'heard\thear\tVBD\tB-VP\tO' -p313252 -aS'his\this\tPRP$\tB-NP\tO' -p313253 -aS'knee\tknee\tNN\tI-NP\tO' -p313254 -aS'CMED\tCMED\tNN\tI-NP\tO' -p313255 -aS'CCU\tCCU\tNN\tI-NP\tO' -p313256 -aS'.\t.\t.\tO\tO' -p313257 -asS'Workup revealed ischemic bowel secondary to Celiac and SMA stenoses .' -p313258 -(lp313259 -S'Workup\tWorkup\tNNP\tB-NP\tO' -p313260 -aS'revealed\treveal\tVBD\tB-VP\tO' -p313261 -aS'ischemic\tischemic\tJJ\tB-NP\tO' -p313262 -aS'bowel\tbowel\tNN\tI-NP\tO' -p313263 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p313264 -aS'to\tto\tTO\tB-PP\tO' -p313265 -aS'Celiac\tCeliac\tNN\tB-NP\tO' -p313266 -aS'and\tand\tCC\tI-NP\tO' -p313267 -aS'SMA\tSMA\tNN\tI-NP\tO' -p313268 -aS'stenoses\tstenosis\tNNS\tI-NP\tO' -p313269 -aS'.\t.\t.\tO\tO' -p313270 -asS'hence , no intervention was performed .' -p313271 -(lp313272 -S'hence\thence\tRB\tB-ADVP\tO' -p313273 -aS',\t,\t,\tO\tO' -p313274 -aS'no\tno\tDT\tB-NP\tO' -p313275 -aS'intervention\tintervention\tNN\tI-NP\tO' -p313276 -aS'was\tbe\tVBD\tB-VP\tO' -p313277 -aS'performed\tperform\tVBN\tI-VP\tO' -p313278 -aS'.\t.\t.\tO\tO' -p313279 -asS'That was negative .' -p313280 -(lp313281 -S'That\tThat\tDT\tB-NP\tO' -p313282 -aS'was\tbe\tVBD\tB-VP\tO' -p313283 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p313284 -aS'.\t.\t.\tO\tO' -p313285 -asS'An autopsy was performed as per the family 's wishes .' -p313286 -(lp313287 -S'An\tAn\tDT\tB-NP\tO' -p313288 -aS'autopsy\tautopsy\tNN\tI-NP\tO' -p313289 -aS'was\tbe\tVBD\tB-VP\tO' -p313290 -aS'performed\tperform\tVBN\tI-VP\tO' -p313291 -aS'as\tas\tIN\tB-PP\tO' -p313292 -aS'per\tper\tIN\tB-PP\tO' -p313293 -aS'the\tthe\tDT\tB-NP\tO' -p313294 -aS'family\tfamily\tNN\tI-NP\tO' -p313295 -aS''s\t'\tNNS\tI-NP\tO' -p313296 -aS'wishes\twish\tVBZ\tB-VP\tO' -p313297 -aS'.\t.\t.\tO\tO' -p313298 -asS'An appointment has been made for you with Nurse Daniel Crump at the Loretta Schubert Community Health Center on Friday Novemeber 24 at 2pm .' -p313299 -(lp313300 -S'An\tAn\tDT\tB-NP\tO' -p313301 -aS'appointment\tappointment\tNN\tI-NP\tO' -p313302 -aS'has\thave\tVBZ\tB-VP\tO' -p313303 -aS'been\tbe\tVBN\tI-VP\tO' -p313304 -aS'made\tmake\tVBN\tI-VP\tO' -p313305 -aS'for\tfor\tIN\tB-PP\tO' -p313306 -aS'you\tyou\tPRP\tB-NP\tO' -p313307 -aS'with\twith\tIN\tB-PP\tO' -p313308 -aS'Nurse\tNurse\tNNP\tB-NP\tO' -p313309 -aS'Daniel\tDaniel\tNNP\tI-NP\tO' -p313310 -aS'Crump\tCrump\tNNP\tI-NP\tO' -p313311 -aS'at\tat\tIN\tB-PP\tO' -p313312 -aS'the\tthe\tDT\tB-NP\tO' -p313313 -aS'Loretta\tLoretta\tNNP\tI-NP\tO' -p313314 -aS'Schubert\tSchubert\tNNP\tI-NP\tO' -p313315 -aS'Community\tCommunity\tNNP\tI-NP\tO' -p313316 -aS'Health\tHealth\tNNP\tI-NP\tO' -p313317 -aS'Center\tCenter\tNNP\tI-NP\tO' -p313318 -aS'on\ton\tIN\tB-PP\tO' -p313319 -aS'Friday\tFriday\tNNP\tB-NP\tO' -p313320 -aS'Novemeber\tNovemeber\tNNP\tI-NP\tO' -p313321 -aS'24\t24\tCD\tI-NP\tO' -p313322 -aS'at\tat\tIN\tB-PP\tO' -p313323 -aS'2pm\t2pm\tNN\tB-NP\tO' -p313324 -aS'.\t.\t.\tO\tO' -p313325 -asS'This was to be deferred until after the patient had her Hickman in place .' -p313326 -(lp313327 -S'This\tThis\tDT\tB-NP\tO' -p313328 -aS'was\tbe\tVBD\tB-VP\tO' -p313329 -aS'to\tto\tTO\tI-VP\tO' -p313330 -aS'be\tbe\tVB\tI-VP\tO' -p313331 -aS'deferred\tdefer\tVBN\tI-VP\tO' -p313332 -aS'until\tuntil\tIN\tB-PP\tO' -p313333 -aS'after\tafter\tIN\tB-PP\tO' -p313334 -aS'the\tthe\tDT\tB-NP\tO' -p313335 -aS'patient\tpatient\tNN\tI-NP\tO' -p313336 -aS'had\thave\tVBD\tB-VP\tO' -p313337 -aS'her\ther\tPRP\tB-NP\tO' -p313338 -aS'Hickman\tHickman\tNNP\tI-NP\tO' -p313339 -aS'in\tin\tIN\tB-PP\tO' -p313340 -aS'place\tplace\tNN\tB-NP\tO' -p313341 -aS'.\t.\t.\tO\tO' -p313342 -asS'3. Flovent two puffs four times a day .' -p313343 -(lp313344 -S'3.\t3.\tLS\tB-LST\tO' -p313345 -aS'Flovent\tFlovent\tNNP\tB-NP\tO' -p313346 -aS'two\ttwo\tCD\tB-NP\tO' -p313347 -aS'puffs\tpuff\tNNS\tI-NP\tO' -p313348 -aS'four\tfour\tCD\tB-NP\tO' -p313349 -aS'times\ttime\tNNS\tI-NP\tO' -p313350 -aS'a\ta\tDT\tB-NP\tO' -p313351 -aS'day\tday\tNN\tI-NP\tO' -p313352 -aS'.\t.\t.\tO\tO' -p313353 -asS'He also noted a new two to three-pillow orthopnea and paroxysmal nocturnal dyspnea .' -p313354 -(lp313355 -S'He\tHe\tPRP\tB-NP\tO' -p313356 -aS'also\talso\tRB\tB-ADVP\tO' -p313357 -aS'noted\tnote\tVBD\tB-VP\tO' -p313358 -aS'a\ta\tDT\tB-NP\tO' -p313359 -aS'new\tnew\tJJ\tI-NP\tO' -p313360 -aS'two\ttwo\tCD\tI-NP\tO' -p313361 -aS'to\tto\tTO\tB-PP\tO' -p313362 -aS'three-pillow\tthree-pillow\tJJ\tB-NP\tO' -p313363 -aS'orthopnea\torthopnea\tNN\tI-NP\tO' -p313364 -aS'and\tand\tCC\tO\tO' -p313365 -aS'paroxysmal\tparoxysmal\tJJ\tB-NP\tO' -p313366 -aS'nocturnal\tnocturnal\tJJ\tI-NP\tO' -p313367 -aS'dyspnea\tdyspnea\tNN\tI-NP\tO' -p313368 -aS'.\t.\t.\tO\tO' -p313369 -asS'Lasix , 80 ; Avandia , 4 b.i.d. ; Glipizide , 10 b.i.d.; Imdur , 30 ; Allopurinol ; Zocor , 20 ; Prilosec , 20 , potassium , 40 ; Oxycontin , 30 b.i.d.; subcutaneous heparin ; Unasyn , 1.5 grams q 6 ; Combivent and morphine prn .' -p313370 -(lp313371 -S'Lasix\tLasix\tNNP\tB-NP\tO' -p313372 -aS',\t,\t,\tO\tO' -p313373 -aS'80\t80\tCD\tB-NP\tO' -p313374 -aS';\t;\t:\tO\tO' -p313375 -aS'Avandia\tAvandia\tNNP\tB-NP\tO' -p313376 -aS',\t,\t,\tO\tO' -p313377 -aS'4\t4\tCD\tB-NP\tO' -p313378 -aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' -p313379 -aS';\t;\t:\tO\tO' -p313380 -aS'Glipizide\tGlipizide\tNN\tB-NP\tO' -p313381 -aS',\t,\t,\tO\tO' -p313382 -aS'10\t10\tCD\tB-NP\tO' -p313383 -aS'b.i.d.;\tb.i.d.;\tNN\tI-NP\tO' -p313384 -aS'Imdur\tImdur\tNNP\tI-NP\tO' -p313385 -aS',\t,\t,\tO\tO' -p313386 -aS'30\t30\tCD\tB-NP\tO' -p313387 -aS';\t;\t:\tO\tO' -p313388 -aS'Allopurinol\tAllopurinol\tNN\tB-NP\tO' -p313389 -aS';\t;\t:\tO\tO' -p313390 -aS'Zocor\tZocor\tNNP\tB-NP\tO' -p313391 -aS',\t,\t,\tO\tO' -p313392 -aS'20\t20\tCD\tB-NP\tO' -p313393 -aS';\t;\t:\tO\tO' -p313394 -aS'Prilosec\tPrilosec\tNN\tB-NP\tO' -p313395 -aS',\t,\t,\tO\tO' -p313396 -aS'20\t20\tCD\tB-NP\tO' -p313397 -aS',\t,\t,\tO\tO' -p313398 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p313399 -aS',\t,\t,\tO\tO' -p313400 -aS'40\t40\tCD\tB-NP\tO' -p313401 -aS';\t;\t:\tO\tO' -p313402 -aS'Oxycontin\tOxycontin\tNN\tB-NP\tO' -p313403 -aS',\t,\t,\tO\tO' -p313404 -aS'30\t30\tCD\tB-NP\tO' -p313405 -aS'b.i.d.;\tb.i.d.;\tNN\tI-NP\tO' -p313406 -aS'subcutaneous\tsubcutaneous\tJJ\tI-NP\tO' -p313407 -aS'heparin\theparin\tNN\tI-NP\tO' -p313408 -aS';\t;\t:\tO\tO' -p313409 -aS'Unasyn\tUnasyn\tNN\tB-NP\tO' -p313410 -aS',\t,\t,\tO\tO' -p313411 -aS'1.5\t1.5\tCD\tB-NP\tO' -p313412 -aS'grams\tgram\tNNS\tI-NP\tO' -p313413 -aS'q\tq\tNN\tB-NP\tO' -p313414 -aS'6\t6\tCD\tI-NP\tO' -p313415 -aS';\t;\t:\tO\tO' -p313416 -aS'Combivent\tCombivent\tNN\tB-NP\tO' -p313417 -aS'and\tand\tCC\tI-NP\tO' -p313418 -aS'morphine\tmorphine\tNN\tI-NP\tO' -p313419 -aS'prn\tprn\tNN\tI-NP\tO' -p313420 -aS'.\t.\t.\tO\tO' -p313421 -asS'The abdomen was tender in the left upper quadrant .' -p313422 -(lp313423 -S'The\tThe\tDT\tB-NP\tO' -p313424 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p313425 -aS'was\tbe\tVBD\tB-VP\tO' -p313426 -aS'tender\ttender\tNN\tB-NP\tO' -p313427 -aS'in\tin\tIN\tB-PP\tO' -p313428 -aS'the\tthe\tDT\tB-NP\tO' -p313429 -aS'left\tleft\tJJ\tI-NP\tO' -p313430 -aS'upper\tupper\tJJ\tI-NP\tO' -p313431 -aS'quadrant\tquadrant\tNN\tI-NP\tO' -p313432 -aS'.\t.\t.\tO\tO' -p313433 -asS'Nondysmorphic .' -p313434 -(lp313435 -S'Nondysmorphic\tNondysmorphic\tJJ\tB-ADJP\tO' -p313436 -aS'.\t.\t.\tO\tO' -p313437 -asS'# Anemia : Hct dropped following the tap and there was concern for bleed into her abdomen .' -p313438 -(lp313439 -S'#\t#\t#\tB-NP\tO' -p313440 -aS'Anemia\tAnemia\tNNP\tI-NP\tO' -p313441 -aS':\t:\t:\tO\tO' -p313442 -aS'Hct\tHct\tNNP\tB-NP\tO' -p313443 -aS'dropped\tdrop\tVBD\tB-VP\tO' -p313444 -aS'following\tfollow\tVBG\tB-PP\tO' -p313445 -aS'the\tthe\tDT\tB-NP\tO' -p313446 -aS'tap\ttap\tNN\tI-NP\tB-protein' -p313447 -aS'and\tand\tCC\tO\tO' -p313448 -aS'there\tthere\tEX\tB-NP\tO' -p313449 -aS'was\tbe\tVBD\tB-VP\tO' -p313450 -aS'concern\tconcern\tNN\tB-NP\tO' -p313451 -aS'for\tfor\tIN\tB-PP\tO' -p313452 -aS'bleed\tbleed\tNN\tB-NP\tO' -p313453 -aS'into\tinto\tIN\tB-PP\tO' -p313454 -aS'her\ther\tPRP$\tB-NP\tO' -p313455 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p313456 -aS'.\t.\t.\tO\tO' -p313457 -asS'Pulses were 2+ throughout .' -p313458 -(lp313459 -S'Pulses\tPulse\tNNS\tB-NP\tO' -p313460 -aS'were\tbe\tVBD\tB-VP\tO' -p313461 -aS'2+\t2+\tJJ\tB-ADJP\tO' -p313462 -aS'throughout\tthroughout\tIN\tB-ADVP\tO' -p313463 -aS'.\t.\t.\tO\tO' -p313464 -asS'1. Coronary artery disease , status post coronary artery bypass graft , four vessels .' -p313465 -(lp313466 -S'1.\t1.\tLS\tB-NP\tO' -p313467 -aS'Coronary\tCoronary\tJJ\tI-NP\tO' -p313468 -aS'artery\tartery\tNN\tI-NP\tO' -p313469 -aS'disease\tdisease\tNN\tI-NP\tO' -p313470 -aS',\t,\t,\tO\tO' -p313471 -aS'status\tstatus\tNN\tB-NP\tO' -p313472 -aS'post\tpost\tNN\tI-NP\tO' -p313473 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p313474 -aS'artery\tartery\tNN\tI-NP\tO' -p313475 -aS'bypass\tbypass\tIN\tB-PP\tO' -p313476 -aS'graft\tgraft\tNN\tB-NP\tO' -p313477 -aS',\t,\t,\tO\tO' -p313478 -aS'four\tfour\tCD\tB-NP\tO' -p313479 -aS'vessels\tvessel\tNNS\tI-NP\tO' -p313480 -aS'.\t.\t.\tO\tO' -p313481 -asS'Neck : Supple .' -p313482 -(lp313483 -S'Neck\tNeck\tNNP\tB-NP\tO' -p313484 -aS':\t:\t:\tO\tO' -p313485 -aS'Supple\tSupple\tNNP\tB-NP\tO' -p313486 -aS'.\t.\t.\tO\tO' -p313487 -asS'1. Ca Hx-Klatskin tumor originally diagnosed 2010-08-28 after presenting with painless jaundice .' -p313488 -(lp313489 -S'1.\t1.\tLS\tB-NP\tO' -p313490 -aS'Ca\tCa\tNN\tI-NP\tO' -p313491 -aS'Hx-Klatskin\tHx-Klatskin\tNN\tI-NP\tO' -p313492 -aS'tumor\ttumor\tNN\tI-NP\tO' -p313493 -aS'originally\toriginally\tRB\tB-ADVP\tO' -p313494 -aS'diagnosed\tdiagnose\tVBD\tB-VP\tO' -p313495 -aS'2010-08-28\t2010-08-28\tCD\tB-NP\tO' -p313496 -aS'after\tafter\tIN\tB-PP\tO' -p313497 -aS'presenting\tpresent\tVBG\tB-VP\tO' -p313498 -aS'with\twith\tIN\tB-PP\tO' -p313499 -aS'painless\tpainless\tJJ\tB-NP\tO' -p313500 -aS'jaundice\tjaundice\tNN\tI-NP\tO' -p313501 -aS'.\t.\t.\tO\tO' -p313502 -asS'On March 14 , 1994 , her right lung was pleurodesed .' -p313503 -(lp313504 -S'On\tOn\tIN\tB-PP\tO' -p313505 -aS'March\tMarch\tNNP\tB-NP\tO' -p313506 -aS'14\t14\tCD\tI-NP\tO' -p313507 -aS',\t,\t,\tI-NP\tO' -p313508 -aS'1994\t1994\tCD\tI-NP\tO' -p313509 -aS',\t,\t,\tO\tO' -p313510 -aS'her\ther\tPRP$\tB-NP\tO' -p313511 -aS'right\tright\tJJ\tI-NP\tO' -p313512 -aS'lung\tlung\tNN\tI-NP\tO' -p313513 -aS'was\tbe\tVBD\tB-VP\tO' -p313514 -aS'pleurodesed\tpleurodese\tVBN\tI-VP\tO' -p313515 -aS'.\t.\t.\tO\tO' -p313516 -asS'3. Hypertension .' -p313517 -(lp313518 -S'3.\t3.\tLS\tB-NP\tO' -p313519 -aS'Hypertension\tHypertension\tNN\tI-NP\tO' -p313520 -aS'.\t.\t.\tO\tO' -p313521 -asS'Recent blood pressure 71/31 with a mean of 48 .' -p313522 -(lp313523 -S'Recent\tRecent\tJJ\tB-NP\tO' -p313524 -aS'blood\tblood\tNN\tI-NP\tO' -p313525 -aS'pressure\tpressure\tNN\tI-NP\tO' -p313526 -aS'71/31\t71/31\tCD\tI-NP\tO' -p313527 -aS'with\twith\tIN\tB-PP\tO' -p313528 -aS'a\ta\tDT\tB-NP\tO' -p313529 -aS'mean\tmean\tNN\tI-NP\tO' -p313530 -aS'of\tof\tIN\tB-PP\tO' -p313531 -aS'48\t48\tCD\tB-NP\tO' -p313532 -aS'.\t.\t.\tO\tO' -p313533 -asS'Donepezil 5 mg Tablet Sig : Two ( 2 ) Tablet PO HS ( at bedtime ) .' -p313534 -(lp313535 -S'Donepezil\tDonepezil\tNNP\tB-NP\tO' -p313536 -aS'5\t5\tCD\tI-NP\tO' -p313537 -aS'mg\tmg\tNN\tI-NP\tO' -p313538 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p313539 -aS'Sig\tSig\tNNP\tI-NP\tO' -p313540 -aS':\t:\t:\tO\tO' -p313541 -aS'Two\tTwo\tCD\tB-NP\tO' -p313542 -aS'(\t(\t(\tO\tO' -p313543 -aS'2\t2\tCD\tO\tO' -p313544 -aS')\t)\t)\tO\tO' -p313545 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p313546 -aS'PO\tPO\tNN\tI-NP\tO' -p313547 -aS'HS\tHS\tNN\tI-NP\tO' -p313548 -aS'(\t(\t(\tO\tO' -p313549 -aS'at\tat\tIN\tB-PP\tO' -p313550 -aS'bedtime\tbedtime\tNN\tB-NP\tO' -p313551 -aS')\t)\t)\tO\tO' -p313552 -aS'.\t.\t.\tO\tO' -p313553 -asS'Shortly after Aggrastat was started , the patient became pain free .' -p313554 -(lp313555 -S'Shortly\tShortly\tRB\tB-ADVP\tO' -p313556 -aS'after\tafter\tIN\tB-PP\tO' -p313557 -aS'Aggrastat\tAggrastat\tNN\tB-NP\tO' -p313558 -aS'was\tbe\tVBD\tB-VP\tO' -p313559 -aS'started\tstart\tVBN\tI-VP\tO' -p313560 -aS',\t,\t,\tO\tO' -p313561 -aS'the\tthe\tDT\tB-NP\tO' -p313562 -aS'patient\tpatient\tNN\tI-NP\tO' -p313563 -aS'became\tbecome\tVBD\tB-VP\tO' -p313564 -aS'pain\tpain\tNN\tB-ADJP\tO' -p313565 -aS'free\tfree\tJJ\tI-ADJP\tO' -p313566 -aS'.\t.\t.\tO\tO' -p313567 -asS'Continue all of your medications except for digoxin .' -p313568 -(lp313569 -S'Continue\tContinue\tVB\tB-VP\tO' -p313570 -aS'all\tall\tDT\tB-NP\tO' -p313571 -aS'of\tof\tIN\tB-PP\tO' -p313572 -aS'your\tyour\tPRP$\tB-NP\tO' -p313573 -aS'medications\tmedication\tNNS\tI-NP\tO' -p313574 -aS'except\texcept\tIN\tB-PP\tO' -p313575 -aS'for\tfor\tIN\tB-PP\tO' -p313576 -aS'digoxin\tdigoxin\tNN\tB-NP\tO' -p313577 -aS'.\t.\t.\tO\tO' -p313578 -asS'Evaluation in the emergency room revealed the patient to be stable and he was evaluated by ophthalmology who also felt that the patient had no injury to his eyes .' -p313579 -(lp313580 -S'Evaluation\tEvaluation\tNN\tB-NP\tO' -p313581 -aS'in\tin\tIN\tB-PP\tO' -p313582 -aS'the\tthe\tDT\tB-NP\tO' -p313583 -aS'emergency\temergency\tNN\tI-NP\tO' -p313584 -aS'room\troom\tNN\tI-NP\tO' -p313585 -aS'revealed\treveal\tVBD\tB-VP\tO' -p313586 -aS'the\tthe\tDT\tB-NP\tO' -p313587 -aS'patient\tpatient\tNN\tI-NP\tO' -p313588 -aS'to\tto\tTO\tB-VP\tO' -p313589 -aS'be\tbe\tVB\tI-VP\tO' -p313590 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p313591 -aS'and\tand\tCC\tO\tO' -p313592 -aS'he\the\tPRP\tB-NP\tO' -p313593 -aS'was\tbe\tVBD\tB-VP\tO' -p313594 -aS'evaluated\tevaluate\tVBN\tI-VP\tO' -p313595 -aS'by\tby\tIN\tB-PP\tO' -p313596 -aS'ophthalmology\tophthalmology\tNN\tB-NP\tO' -p313597 -aS'who\twho\tWP\tB-NP\tO' -p313598 -aS'also\talso\tRB\tB-ADVP\tO' -p313599 -aS'felt\tfeel\tVBD\tB-VP\tO' -p313600 -aS'that\tthat\tIN\tB-SBAR\tO' -p313601 -aS'the\tthe\tDT\tB-NP\tO' -p313602 -aS'patient\tpatient\tNN\tI-NP\tO' -p313603 -aS'had\thave\tVBD\tB-VP\tO' -p313604 -aS'no\tno\tDT\tB-NP\tO' -p313605 -aS'injury\tinjury\tNN\tI-NP\tO' -p313606 -aS'to\tto\tTO\tB-PP\tO' -p313607 -aS'his\this\tPRP$\tB-NP\tO' -p313608 -aS'eyes\teye\tNNS\tI-NP\tO' -p313609 -aS'.\t.\t.\tO\tO' -p313610 -asS'Signed electronically by : DR. Antonio Hall on : FRI 2012-05-04 7:48 AM' -p313611 -(lp313612 -S'Signed\tSign\tVBN\tB-VP\tO' -p313613 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p313614 -aS'by\tby\tIN\tB-PP\tO' -p313615 -aS':\t:\t:\tO\tO' -p313616 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p313617 -aS'Antonio\tAntonio\tNNP\tI-NP\tO' -p313618 -aS'Hall\tHall\tNNP\tI-NP\tO' -p313619 -aS'on\ton\tIN\tB-PP\tO' -p313620 -aS':\t:\t:\tO\tO' -p313621 -aS'FRI\tFRI\tCD\tB-NP\tO' -p313622 -aS'2012-05-04\t2012-05-04\tCD\tI-NP\tO' -p313623 -aS'7:48\t7:48\tCD\tI-NP\tO' -p313624 -aS'AM\tAM\tNN\tI-NP\tO' -p313625 -asS'Her heart is regular without murmurs , rubs or gallops , slightly tachycardic .' -p313626 -(lp313627 -S'Her\tHer\tPRP$\tB-NP\tO' -p313628 -aS'heart\theart\tNN\tI-NP\tO' -p313629 -aS'is\tbe\tVBZ\tB-VP\tO' -p313630 -aS'regular\tregular\tJJ\tB-ADJP\tO' -p313631 -aS'without\twithout\tIN\tB-PP\tO' -p313632 -aS'murmurs\tmurmur\tNNS\tB-NP\tO' -p313633 -aS',\t,\t,\tI-NP\tO' -p313634 -aS'rubs\trub\tNNS\tI-NP\tO' -p313635 -aS'or\tor\tCC\tI-NP\tO' -p313636 -aS'gallops\tgallop\tNNS\tI-NP\tO' -p313637 -aS',\t,\t,\tO\tO' -p313638 -aS'slightly\tslightly\tRB\tB-ADJP\tO' -p313639 -aS'tachycardic\ttachycardic\tJJ\tI-ADJP\tO' -p313640 -aS'.\t.\t.\tO\tO' -p313641 -asS'Although he remained hemodynamically stable , we elected to move ahead and transfuse him with nonautologous PRBC .' -p313642 -(lp313643 -S'Although\tAlthough\tIN\tB-SBAR\tO' -p313644 -aS'he\the\tPRP\tB-NP\tO' -p313645 -aS'remained\tremain\tVBD\tB-VP\tO' -p313646 -aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' -p313647 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p313648 -aS',\t,\t,\tO\tO' -p313649 -aS'we\twe\tPRP\tB-NP\tO' -p313650 -aS'elected\telect\tVBD\tB-VP\tO' -p313651 -aS'to\tto\tTO\tI-VP\tO' -p313652 -aS'move\tmove\tVB\tI-VP\tO' -p313653 -aS'ahead\tahead\tRB\tB-ADVP\tO' -p313654 -aS'and\tand\tCC\tO\tO' -p313655 -aS'transfuse\ttransfuse\tVB\tB-VP\tO' -p313656 -aS'him\thim\tPRP\tB-NP\tO' -p313657 -aS'with\twith\tIN\tB-PP\tO' -p313658 -aS'nonautologous\tnonautologous\tJJ\tB-NP\tO' -p313659 -aS'PRBC\tPRBC\tNN\tI-NP\tO' -p313660 -aS'.\t.\t.\tO\tO' -p313661 -asS'We will include a very thorough HPI with this dictation that was done by Dr. Wedleung .' -p313662 -(lp313663 -S'We\tWe\tPRP\tB-NP\tO' -p313664 -aS'will\twill\tMD\tB-VP\tO' -p313665 -aS'include\tinclude\tVB\tI-VP\tO' -p313666 -aS'a\ta\tDT\tB-NP\tO' -p313667 -aS'very\tvery\tRB\tI-NP\tO' -p313668 -aS'thorough\tthorough\tJJ\tI-NP\tO' -p313669 -aS'HPI\tHPI\tNN\tI-NP\tO' -p313670 -aS'with\twith\tIN\tB-PP\tO' -p313671 -aS'this\tthis\tDT\tB-NP\tO' -p313672 -aS'dictation\tdictation\tNN\tI-NP\tO' -p313673 -aS'that\tthat\tWDT\tB-NP\tO' -p313674 -aS'was\tbe\tVBD\tB-VP\tO' -p313675 -aS'done\tdo\tVBN\tI-VP\tO' -p313676 -aS'by\tby\tIN\tB-PP\tO' -p313677 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p313678 -aS'Wedleung\tWedleung\tNNP\tI-NP\tO' -p313679 -aS'.\t.\t.\tO\tO' -p313680 -asS'Extraocular muscles intact .' -p313681 -(lp313682 -S'Extraocular\tExtraocular\tJJ\tB-NP\tO' -p313683 -aS'muscles\tmuscle\tNNS\tI-NP\tO' -p313684 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p313685 -aS'.\t.\t.\tO\tO' -p313686 -asS'Family History : non-contributory .' -p313687 -(lp313688 -S'Family\tFamily\tRB\tB-NP\tO' -p313689 -aS'History\tHistory\tNN\tI-NP\tO' -p313690 -aS':\t:\t:\tO\tO' -p313691 -aS'non-contributory\tnon-contributory\tJJ\tB-ADJP\tO' -p313692 -aS'.\t.\t.\tO\tO' -p313693 -asS'No tendon tear .' -p313694 -(lp313695 -S'No\tNo\tDT\tB-NP\tO' -p313696 -aS'tendon\ttendon\tNN\tI-NP\tO' -p313697 -aS'tear\ttear\tNN\tI-NP\tO' -p313698 -aS'.\t.\t.\tO\tO' -p313699 -asS'Hips increased lax knee but no obvious dislocation .' -p313700 -(lp313701 -S'Hips\tHip\tNNS\tB-NP\tO' -p313702 -aS'increased\tincrease\tVBD\tB-VP\tO' -p313703 -aS'lax\tlax\tNN\tB-NP\tO' -p313704 -aS'knee\tknee\tNN\tI-NP\tO' -p313705 -aS'but\tbut\tCC\tO\tO' -p313706 -aS'no\tno\tDT\tB-NP\tO' -p313707 -aS'obvious\tobvious\tJJ\tI-NP\tO' -p313708 -aS'dislocation\tdislocation\tNN\tI-NP\tO' -p313709 -aS'.\t.\t.\tO\tO' -p313710 -asS'There is mass effect present with shift of the normally midline structures towards the left .' -p313711 -(lp313712 -S'There\tThere\tEX\tB-NP\tO' -p313713 -aS'is\tbe\tVBZ\tB-VP\tO' -p313714 -aS'mass\tmass\tNN\tB-NP\tO' -p313715 -aS'effect\teffect\tNN\tI-NP\tO' -p313716 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p313717 -aS'with\twith\tIN\tB-PP\tO' -p313718 -aS'shift\tshift\tNN\tB-NP\tO' -p313719 -aS'of\tof\tIN\tB-PP\tO' -p313720 -aS'the\tthe\tDT\tB-NP\tO' -p313721 -aS'normally\tnormally\tRB\tI-NP\tO' -p313722 -aS'midline\tmidline\tNN\tI-NP\tO' -p313723 -aS'structures\tstructure\tNNS\tI-NP\tO' -p313724 -aS'towards\ttowards\tIN\tB-PP\tO' -p313725 -aS'the\tthe\tDT\tB-NP\tO' -p313726 -aS'left\tleft\tNN\tI-NP\tO' -p313727 -aS'.\t.\t.\tO\tO' -p313728 -asS'1. As above .' -p313729 -(lp313730 -S'1.\t1.\tLS\tB-LST\tO' -p313731 -aS'As\tAs\tIN\tB-PP\tO' -p313732 -aS'above\tabove\tRB\tB-ADVP\tO' -p313733 -aS'.\t.\t.\tO\tO' -p313734 -asS'These recommendations were followed throughout the admission .' -p313735 -(lp313736 -S'These\tThese\tDT\tB-NP\tO' -p313737 -aS'recommendations\trecommendation\tNNS\tI-NP\tO' -p313738 -aS'were\tbe\tVBD\tB-VP\tO' -p313739 -aS'followed\tfollow\tVBN\tI-VP\tO' -p313740 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p313741 -aS'the\tthe\tDT\tB-NP\tO' -p313742 -aS'admission\tadmission\tNN\tI-NP\tO' -p313743 -aS'.\t.\t.\tO\tO' -p313744 -asS'Extremities two plus pulses bilaterally and nonpitting edema up to the knees in both legs .' -p313745 -(lp313746 -S'Extremities\tExtremity\tNNS\tB-NP\tO' -p313747 -aS'two\ttwo\tCD\tB-NP\tO' -p313748 -aS'plus\tplus\tCC\tO\tO' -p313749 -aS'pulses\tpulse\tNNS\tB-NP\tO' -p313750 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p313751 -aS'and\tand\tCC\tO\tO' -p313752 -aS'nonpitting\tnonpitting\tJJ\tB-NP\tO' -p313753 -aS'edema\tedema\tNN\tI-NP\tO' -p313754 -aS'up\tup\tIN\tB-PP\tO' -p313755 -aS'to\tto\tTO\tB-PP\tO' -p313756 -aS'the\tthe\tDT\tB-NP\tO' -p313757 -aS'knees\tknee\tNNS\tI-NP\tO' -p313758 -aS'in\tin\tIN\tB-PP\tO' -p313759 -aS'both\tboth\tDT\tB-NP\tO' -p313760 -aS'legs\tleg\tNNS\tI-NP\tO' -p313761 -aS'.\t.\t.\tO\tO' -p313762 -asS'significant for current tobacco use .' -p313763 -(lp313764 -S'significant\tsignificant\tJJ\tB-ADJP\tO' -p313765 -aS'for\tfor\tIN\tB-PP\tO' -p313766 -aS'current\tcurrent\tJJ\tB-NP\tO' -p313767 -aS'tobacco\ttobacco\tNN\tI-NP\tO' -p313768 -aS'use\tuse\tNN\tI-NP\tO' -p313769 -aS'.\t.\t.\tO\tO' -p313770 -asS'2. Respiratory - Intubated for airway protection due to change in mental status .' -p313771 -(lp313772 -S'2.\t2.\tLS\tB-NP\tO' -p313773 -aS'Respiratory\tRespiratory\tNN\tI-NP\tO' -p313774 -aS'-\t-\tHYPH\tB-NP\tO' -p313775 -aS'Intubated\tIntubate\tVBN\tB-VP\tO' -p313776 -aS'for\tfor\tIN\tB-PP\tO' -p313777 -aS'airway\tairway\tNN\tB-NP\tO' -p313778 -aS'protection\tprotection\tNN\tI-NP\tO' -p313779 -aS'due\tdue\tJJ\tB-ADJP\tO' -p313780 -aS'to\tto\tTO\tB-VP\tO' -p313781 -aS'change\tchange\tVB\tI-VP\tO' -p313782 -aS'in\tin\tIN\tB-PP\tO' -p313783 -aS'mental\tmental\tJJ\tB-NP\tO' -p313784 -aS'status\tstatus\tNN\tI-NP\tO' -p313785 -aS'.\t.\t.\tO\tO' -p313786 -asS'In the ICU .' -p313787 -(lp313788 -S'In\tIn\tIN\tB-PP\tO' -p313789 -aS'the\tthe\tDT\tB-NP\tO' -p313790 -aS'ICU\tICU\tNN\tI-NP\tB-DNA' -p313791 -aS'.\t.\t.\tO\tO' -p313792 -asS'RUQ US was ordered and returned without signs of infection later .' -p313793 -(lp313794 -S'RUQ\tRUQ\tNN\tB-NP\tO' -p313795 -aS'US\tUS\tNNP\tI-NP\tO' -p313796 -aS'was\tbe\tVBD\tB-VP\tO' -p313797 -aS'ordered\torder\tVBN\tI-VP\tO' -p313798 -aS'and\tand\tCC\tO\tO' -p313799 -aS'returned\treturn\tVBN\tB-VP\tO' -p313800 -aS'without\twithout\tIN\tB-PP\tO' -p313801 -aS'signs\tsign\tNNS\tB-NP\tO' -p313802 -aS'of\tof\tIN\tB-PP\tO' -p313803 -aS'infection\tinfection\tNN\tB-NP\tO' -p313804 -aS'later\tlater\tRB\tB-ADVP\tO' -p313805 -aS'.\t.\t.\tO\tO' -p313806 -asS'4. Protonix 20 mg p.o. q. day .' -p313807 -(lp313808 -S'4.\t4.\tLS\tB-NP\tO' -p313809 -aS'Protonix\tProtonix\tNNP\tI-NP\tO' -p313810 -aS'20\t20\tCD\tI-NP\tO' -p313811 -aS'mg\tmg\tNN\tI-NP\tO' -p313812 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p313813 -aS'q.\tq.\tNN\tI-NP\tO' -p313814 -aS'day\tday\tNN\tI-NP\tO' -p313815 -aS'.\t.\t.\tO\tO' -p313816 -asS'For details of these procedures , please see op notes dictated by Dr. Day on 2016-12-16 .' -p313817 -(lp313818 -S'For\tFor\tIN\tB-PP\tO' -p313819 -aS'details\tdetail\tNNS\tB-NP\tO' -p313820 -aS'of\tof\tIN\tB-PP\tO' -p313821 -aS'these\tthese\tDT\tB-NP\tO' -p313822 -aS'procedures\tprocedure\tNNS\tI-NP\tO' -p313823 -aS',\t,\t,\tO\tO' -p313824 -aS'please\tplease\tVB\tB-INTJ\tO' -p313825 -aS'see\tsee\tVB\tB-VP\tO' -p313826 -aS'op\top\tNN\tB-NP\tO' -p313827 -aS'notes\tnote\tNNS\tI-NP\tO' -p313828 -aS'dictated\tdictate\tVBN\tB-VP\tO' -p313829 -aS'by\tby\tIN\tB-PP\tO' -p313830 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p313831 -aS'Day\tDay\tNNP\tI-NP\tO' -p313832 -aS'on\ton\tIN\tB-PP\tO' -p313833 -aS'2016-12-16\t2016-12-16\tCD\tB-NP\tO' -p313834 -aS'.\t.\t.\tO\tO' -p313835 -asS'2. Coronary artery disease / ischemiccardiomyopathy with ejection fraction of 30% .' -p313836 -(lp313837 -S'2.\t2.\tLS\tB-NP\tO' -p313838 -aS'Coronary\tCoronary\tJJ\tI-NP\tO' -p313839 -aS'artery\tartery\tNN\tI-NP\tO' -p313840 -aS'disease\tdisease\tNN\tI-NP\tO' -p313841 -aS'/\t/\tSYM\tO\tO' -p313842 -aS'ischemiccardiomyopathy\tischemiccardiomyopathy\tNN\tB-NP\tO' -p313843 -aS'with\twith\tIN\tB-PP\tO' -p313844 -aS'ejection\tejection\tNN\tB-NP\tO' -p313845 -aS'fraction\tfraction\tNN\tI-NP\tO' -p313846 -aS'of\tof\tIN\tB-PP\tO' -p313847 -aS'30%\t30%\tCD\tB-NP\tO' -p313848 -aS'.\t.\t.\tO\tO' -p313849 -asS'There is no displacement of the normally midline structures , hydrocephalus , or effacement of the basal cisterns at present .' -p313850 -(lp313851 -S'There\tThere\tEX\tB-NP\tO' -p313852 -aS'is\tbe\tVBZ\tB-VP\tO' -p313853 -aS'no\tno\tDT\tB-NP\tO' -p313854 -aS'displacement\tdisplacement\tNN\tI-NP\tO' -p313855 -aS'of\tof\tIN\tB-PP\tO' -p313856 -aS'the\tthe\tDT\tB-NP\tO' -p313857 -aS'normally\tnormally\tRB\tI-NP\tO' -p313858 -aS'midline\tmidline\tNN\tI-NP\tO' -p313859 -aS'structures\tstructure\tNNS\tI-NP\tO' -p313860 -aS',\t,\t,\tO\tO' -p313861 -aS'hydrocephalus\thydrocephalus\tNN\tB-NP\tO' -p313862 -aS',\t,\t,\tO\tO' -p313863 -aS'or\tor\tCC\tO\tO' -p313864 -aS'effacement\teffacement\tNN\tB-NP\tO' -p313865 -aS'of\tof\tIN\tB-PP\tO' -p313866 -aS'the\tthe\tDT\tB-NP\tO' -p313867 -aS'basal\tbasal\tJJ\tI-NP\tO' -p313868 -aS'cisterns\tcistern\tNNS\tI-NP\tO' -p313869 -aS'at\tat\tIN\tB-PP\tO' -p313870 -aS'present\tpresent\tNN\tB-NP\tO' -p313871 -aS'.\t.\t.\tO\tO' -p313872 -asS'15. Miconazole Nitrate 2 % Powder Sig : One ( 1 ) Appl Topical BID ( 2 times a day ) as needed .' -p313873 -(lp313874 -S'15.\t15.\tLS\tB-NP\tO' -p313875 -aS'Miconazole\tMiconazole\tNN\tI-NP\tO' -p313876 -aS'Nitrate\tNitrate\tNN\tI-NP\tO' -p313877 -aS'2\t2\tCD\tB-NP\tO' -p313878 -aS'%\t%\tNN\tI-NP\tO' -p313879 -aS'Powder\tPowder\tNNP\tI-NP\tO' -p313880 -aS'Sig\tSig\tNNP\tI-NP\tO' -p313881 -aS':\t:\t:\tO\tO' -p313882 -aS'One\tOne\tCD\tB-NP\tO' -p313883 -aS'(\t(\t(\tO\tO' -p313884 -aS'1\t1\tCD\tB-NP\tO' -p313885 -aS')\t)\t)\tO\tO' -p313886 -aS'Appl\tAppl\tNNP\tB-NP\tO' -p313887 -aS'Topical\tTopical\tJJ\tI-NP\tO' -p313888 -aS'BID\tBID\tNN\tI-NP\tO' -p313889 -aS'(\t(\t(\tO\tO' -p313890 -aS'2\t2\tCD\tB-NP\tO' -p313891 -aS'times\ttime\tNNS\tI-NP\tO' -p313892 -aS'a\ta\tDT\tB-NP\tO' -p313893 -aS'day\tday\tNN\tI-NP\tO' -p313894 -aS')\t)\t)\tO\tO' -p313895 -aS'as\tas\tIN\tB-SBAR\tO' -p313896 -aS'needed\tneed\tVBN\tB-VP\tO' -p313897 -aS'.\t.\t.\tO\tO' -p313898 -asS'2. Humalog sliding scale .' -p313899 -(lp313900 -S'2.\t2.\tLS\tB-NP\tO' -p313901 -aS'Humalog\tHumalog\tNN\tI-NP\tO' -p313902 -aS'sliding\tslide\tVBG\tB-VP\tO' -p313903 -aS'scale\tscale\tNN\tB-NP\tO' -p313904 -aS'.\t.\t.\tO\tO' -p313905 -asS'The patient required 2 units of fresh frozen plasma on the night following surgery , and 1 unit of platelets on postop day 1 , but otherwise required no blood products following the liver transplant .' -p313906 -(lp313907 -S'The\tThe\tDT\tB-NP\tO' -p313908 -aS'patient\tpatient\tNN\tI-NP\tO' -p313909 -aS'required\trequire\tVBD\tB-VP\tO' -p313910 -aS'2\t2\tCD\tB-NP\tO' -p313911 -aS'units\tunit\tNNS\tI-NP\tO' -p313912 -aS'of\tof\tIN\tB-PP\tO' -p313913 -aS'fresh\tfresh\tJJ\tB-NP\tO' -p313914 -aS'frozen\tfrozen\tJJ\tI-NP\tO' -p313915 -aS'plasma\tplasma\tNN\tI-NP\tO' -p313916 -aS'on\ton\tIN\tB-PP\tO' -p313917 -aS'the\tthe\tDT\tB-NP\tO' -p313918 -aS'night\tnight\tNN\tI-NP\tO' -p313919 -aS'following\tfollow\tVBG\tB-PP\tO' -p313920 -aS'surgery\tsurgery\tNN\tB-NP\tO' -p313921 -aS',\t,\t,\tO\tO' -p313922 -aS'and\tand\tCC\tO\tO' -p313923 -aS'1\t1\tCD\tB-NP\tO' -p313924 -aS'unit\tunit\tNN\tI-NP\tO' -p313925 -aS'of\tof\tIN\tB-PP\tO' -p313926 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p313927 -aS'on\ton\tIN\tB-PP\tO' -p313928 -aS'postop\tpostop\tNN\tB-NP\tO' -p313929 -aS'day\tday\tNN\tI-NP\tO' -p313930 -aS'1\t1\tCD\tI-NP\tO' -p313931 -aS',\t,\t,\tO\tO' -p313932 -aS'but\tbut\tCC\tO\tO' -p313933 -aS'otherwise\totherwise\tRB\tB-VP\tO' -p313934 -aS'required\trequire\tVBD\tI-VP\tO' -p313935 -aS'no\tno\tDT\tB-NP\tO' -p313936 -aS'blood\tblood\tNN\tI-NP\tO' -p313937 -aS'products\tproduct\tNNS\tI-NP\tO' -p313938 -aS'following\tfollow\tVBG\tB-PP\tO' -p313939 -aS'the\tthe\tDT\tB-NP\tO' -p313940 -aS'liver\tliver\tNN\tI-NP\tO' -p313941 -aS'transplant\ttransplant\tNN\tI-NP\tO' -p313942 -aS'.\t.\t.\tO\tO' -p313943 -asS'The patient was monitored for symptoms of Flolan therapy including nausea , vomiting , first bite jaw claudication , or hypotension .' -p313944 -(lp313945 -S'The\tThe\tDT\tB-NP\tO' -p313946 -aS'patient\tpatient\tNN\tI-NP\tO' -p313947 -aS'was\tbe\tVBD\tB-VP\tO' -p313948 -aS'monitored\tmonitor\tVBN\tI-VP\tO' -p313949 -aS'for\tfor\tIN\tB-PP\tO' -p313950 -aS'symptoms\tsymptom\tNNS\tB-NP\tO' -p313951 -aS'of\tof\tIN\tB-PP\tO' -p313952 -aS'Flolan\tFlolan\tNN\tB-NP\tO' -p313953 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p313954 -aS'including\tinclude\tVBG\tB-PP\tO' -p313955 -aS'nausea\tnausea\tNN\tB-NP\tO' -p313956 -aS',\t,\t,\tO\tO' -p313957 -aS'vomiting\tvomiting\tNN\tB-NP\tO' -p313958 -aS',\t,\t,\tO\tO' -p313959 -aS'first\tfirst\tJJ\tB-NP\tO' -p313960 -aS'bite\tbite\tNN\tI-NP\tO' -p313961 -aS'jaw\tjaw\tNN\tI-NP\tO' -p313962 -aS'claudication\tclaudication\tNN\tI-NP\tO' -p313963 -aS',\t,\t,\tO\tO' -p313964 -aS'or\tor\tCC\tO\tO' -p313965 -aS'hypotension\thypotension\tNN\tB-NP\tO' -p313966 -aS'.\t.\t.\tO\tO' -p313967 -asS'FOLLOW-UP APPOINTMENTS : Dr. Parramore on 10-10 .' -p313968 -(lp313969 -S'FOLLOW-UP\tFOLLOW-UP\tJJ\tB-NP\tO' -p313970 -aS'APPOINTMENTS\tAPPOINTMENTS\tNNS\tI-NP\tO' -p313971 -aS':\t:\t:\tO\tO' -p313972 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p313973 -aS'Parramore\tParramore\tNNP\tI-NP\tO' -p313974 -aS'on\ton\tIN\tB-PP\tO' -p313975 -aS'10-10\t10-10\tCD\tB-NP\tO' -p313976 -aS'.\t.\t.\tO\tO' -p313977 -asS'14. Bisacodyl 5 mg Tablet , Delayed Release ( E.C. ) Sig : Two ( 2 ) Tablet , Delayed Release ( E.C. ) PO BID ( 2 times a day ) as needed .' -p313978 -(lp313979 -S'14.\t14.\tLS\tB-NP\tO' -p313980 -aS'Bisacodyl\tBisacodyl\tNN\tI-NP\tO' -p313981 -aS'5\t5\tCD\tI-NP\tO' -p313982 -aS'mg\tmg\tNN\tI-NP\tO' -p313983 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p313984 -aS',\t,\t,\tO\tO' -p313985 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p313986 -aS'Release\tRelease\tNNP\tI-NP\tO' -p313987 -aS'(\t(\t(\tO\tO' -p313988 -aS'E.C.\tE.C.\tNNP\tB-NP\tO' -p313989 -aS')\t)\t)\tO\tO' -p313990 -aS'Sig\tSig\tNNP\tB-NP\tO' -p313991 -aS':\t:\t:\tO\tO' -p313992 -aS'Two\tTwo\tCD\tB-NP\tO' -p313993 -aS'(\t(\t(\tO\tO' -p313994 -aS'2\t2\tCD\tB-NP\tO' -p313995 -aS')\t)\t)\tO\tO' -p313996 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p313997 -aS',\t,\t,\tO\tO' -p313998 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p313999 -aS'Release\tRelease\tNNP\tI-NP\tO' -p314000 -aS'(\t(\t(\tO\tO' -p314001 -aS'E.C.\tE.C.\tNNP\tO\tO' -p314002 -aS')\t)\t)\tO\tO' -p314003 -aS'PO\tPO\tNN\tB-NP\tO' -p314004 -aS'BID\tBID\tNN\tI-NP\tO' -p314005 -aS'(\t(\t(\tO\tO' -p314006 -aS'2\t2\tCD\tB-NP\tO' -p314007 -aS'times\ttime\tNNS\tI-NP\tO' -p314008 -aS'a\ta\tDT\tB-NP\tO' -p314009 -aS'day\tday\tNN\tI-NP\tO' -p314010 -aS')\t)\t)\tO\tO' -p314011 -aS'as\tas\tIN\tB-SBAR\tO' -p314012 -aS'needed\tneed\tVBN\tB-VP\tO' -p314013 -aS'.\t.\t.\tO\tO' -p314014 -asS'IMPRESSION : No evidence of hydronephrosis .' -p314015 -(lp314016 -S'IMPRESSION\tIMPRESSION\tNN\tB-NP\tO' -p314017 -aS':\t:\t:\tO\tO' -p314018 -aS'No\tNo\tDT\tB-NP\tO' -p314019 -aS'evidence\tevidence\tNN\tI-NP\tO' -p314020 -aS'of\tof\tIN\tB-PP\tO' -p314021 -aS'hydronephrosis\thydronephrosis\tNN\tB-NP\tO' -p314022 -aS'.\t.\t.\tO\tO' -p314023 -asS'The Ticarcillin was stopped after two days when it was felt that he did not have a serious pneumonia .' -p314024 -(lp314025 -S'The\tThe\tDT\tB-NP\tO' -p314026 -aS'Ticarcillin\tTicarcillin\tNN\tI-NP\tB-protein' -p314027 -aS'was\tbe\tVBD\tB-VP\tO' -p314028 -aS'stopped\tstop\tVBN\tI-VP\tO' -p314029 -aS'after\tafter\tIN\tB-PP\tO' -p314030 -aS'two\ttwo\tCD\tB-NP\tO' -p314031 -aS'days\tday\tNNS\tI-NP\tO' -p314032 -aS'when\twhen\tWRB\tB-ADVP\tO' -p314033 -aS'it\tit\tPRP\tB-NP\tO' -p314034 -aS'was\tbe\tVBD\tB-VP\tO' -p314035 -aS'felt\tfeel\tVBN\tI-VP\tO' -p314036 -aS'that\tthat\tIN\tB-SBAR\tO' -p314037 -aS'he\the\tPRP\tB-NP\tO' -p314038 -aS'did\tdo\tVBD\tB-VP\tO' -p314039 -aS'not\tnot\tRB\tI-VP\tO' -p314040 -aS'have\thave\tVB\tI-VP\tO' -p314041 -aS'a\ta\tDT\tB-NP\tO' -p314042 -aS'serious\tserious\tJJ\tI-NP\tO' -p314043 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p314044 -aS'.\t.\t.\tO\tO' -p314045 -asS'The patient was subsequently cleared for discharge to home with instructions for follow-up on postoperative day number five , 2010-06-12 .' -p314046 -(lp314047 -S'The\tThe\tDT\tB-NP\tO' -p314048 -aS'patient\tpatient\tNN\tI-NP\tO' -p314049 -aS'was\tbe\tVBD\tB-VP\tO' -p314050 -aS'subsequently\tsubsequently\tRB\tI-VP\tO' -p314051 -aS'cleared\tclear\tVBN\tI-VP\tO' -p314052 -aS'for\tfor\tIN\tB-PP\tO' -p314053 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p314054 -aS'to\tto\tTO\tB-PP\tO' -p314055 -aS'home\thome\tNN\tB-NP\tO' -p314056 -aS'with\twith\tIN\tB-PP\tO' -p314057 -aS'instructions\tinstruction\tNNS\tB-NP\tO' -p314058 -aS'for\tfor\tIN\tB-PP\tO' -p314059 -aS'follow-up\tfollow-up\tNN\tB-NP\tO' -p314060 -aS'on\ton\tIN\tB-PP\tO' -p314061 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p314062 -aS'day\tday\tNN\tI-NP\tO' -p314063 -aS'number\tnumber\tNN\tI-NP\tO' -p314064 -aS'five\tfive\tCD\tI-NP\tO' -p314065 -aS',\t,\t,\tI-NP\tO' -p314066 -aS'2010-06-12\t2010-06-12\tCD\tI-NP\tO' -p314067 -aS'.\t.\t.\tO\tO' -p314068 -asS'8. Synthroid 125 mcg daily .' -p314069 -(lp314070 -S'8.\t8.\tCD\tB-NP\tO' -p314071 -aS'Synthroid\tSynthroid\tJJ\tI-NP\tO' -p314072 -aS'125\t125\tCD\tI-NP\tO' -p314073 -aS'mcg\tmcg\tNN\tI-NP\tO' -p314074 -aS'daily\tdaily\tRB\tB-ADVP\tO' -p314075 -aS'.\t.\t.\tO\tO' -p314076 -asS'7. Advair 250/50 mcg one puff q.a.m.' -p314077 -(lp314078 -S'7.\t7.\tCD\tB-NP\tO' -p314079 -aS'Advair\tAdvair\tNNP\tI-NP\tO' -p314080 -aS'250/50\t250/50\tCD\tI-NP\tO' -p314081 -aS'mcg\tmcg\tNN\tI-NP\tO' -p314082 -aS'one\tone\tCD\tB-NP\tO' -p314083 -aS'puff\tpuff\tNN\tI-NP\tO' -p314084 -aS'q.a.m.\tq.a.m.\tNN\tI-NP\tO' -p314085 -asS'He works in real estate development and invests in stockmarket .' -p314086 -(lp314087 -S'He\tHe\tPRP\tB-NP\tO' -p314088 -aS'works\twork\tVBZ\tB-VP\tO' -p314089 -aS'in\tin\tIN\tB-PP\tO' -p314090 -aS'real\treal\tJJ\tB-NP\tO' -p314091 -aS'estate\testate\tNN\tI-NP\tO' -p314092 -aS'development\tdevelopment\tNN\tI-NP\tO' -p314093 -aS'and\tand\tCC\tO\tO' -p314094 -aS'invests\tinvest\tNNS\tB-NP\tO' -p314095 -aS'in\tin\tIN\tB-PP\tO' -p314096 -aS'stockmarket\tstockmarket\tNN\tB-NP\tO' -p314097 -aS'.\t.\t.\tO\tO' -p314098 -asS'EKG showed normal sinus rhythm at 90 with normal intervals and ST wave inversions and early R wave progression .' -p314099 -(lp314100 -S'EKG\tEKG\tNN\tB-NP\tB-protein' -p314101 -aS'showed\tshow\tVBD\tB-VP\tO' -p314102 -aS'normal\tnormal\tJJ\tB-NP\tO' -p314103 -aS'sinus\tsinus\tNN\tI-NP\tO' -p314104 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p314105 -aS'at\tat\tIN\tB-PP\tO' -p314106 -aS'90\t90\tCD\tB-NP\tO' -p314107 -aS'with\twith\tIN\tB-PP\tO' -p314108 -aS'normal\tnormal\tJJ\tB-NP\tO' -p314109 -aS'intervals\tinterval\tNNS\tI-NP\tO' -p314110 -aS'and\tand\tCC\tO\tO' -p314111 -aS'ST\tST\tJJ\tB-NP\tO' -p314112 -aS'wave\twave\tNN\tI-NP\tO' -p314113 -aS'inversions\tinversion\tNNS\tI-NP\tO' -p314114 -aS'and\tand\tCC\tO\tO' -p314115 -aS'early\tearly\tJJ\tB-NP\tO' -p314116 -aS'R\tR\tNN\tI-NP\tO' -p314117 -aS'wave\twave\tNN\tI-NP\tO' -p314118 -aS'progression\tprogression\tNN\tI-NP\tO' -p314119 -aS'.\t.\t.\tO\tO' -p314120 -asS'5. Nifedipine 60 mg Tablet Sustained Release Sig : One ( 1 ) Tablet Sustained Release PO BID ( 2 times a day ) .' -p314121 -(lp314122 -S'5.\t5.\tLS\tB-NP\tO' -p314123 -aS'Nifedipine\tNifedipine\tNN\tI-NP\tB-protein' -p314124 -aS'60\t60\tCD\tI-NP\tI-protein' -p314125 -aS'mg\tmg\tNN\tI-NP\tI-protein' -p314126 -aS'Tablet\tTablet\tNNP\tI-NP\tI-protein' -p314127 -aS'Sustained\tSustained\tNNP\tI-NP\tI-protein' -p314128 -aS'Release\tRelease\tNNP\tI-NP\tI-protein' -p314129 -aS'Sig\tSig\tNNP\tI-NP\tB-protein' -p314130 -aS':\t:\t:\tO\tO' -p314131 -aS'One\tOne\tCD\tB-NP\tO' -p314132 -aS'(\t(\t(\tO\tO' -p314133 -aS'1\t1\tCD\tB-NP\tO' -p314134 -aS')\t)\t)\tO\tO' -p314135 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p314136 -aS'Sustained\tSustained\tNNP\tI-NP\tO' -p314137 -aS'Release\tRelease\tNNP\tI-NP\tO' -p314138 -aS'PO\tPO\tNNP\tI-NP\tO' -p314139 -aS'BID\tBID\tNNP\tI-NP\tO' -p314140 -aS'(\t(\t(\tO\tO' -p314141 -aS'2\t2\tCD\tB-NP\tO' -p314142 -aS'times\ttime\tNNS\tI-NP\tO' -p314143 -aS'a\ta\tDT\tB-NP\tO' -p314144 -aS'day\tday\tNN\tI-NP\tO' -p314145 -aS')\t)\t)\tO\tO' -p314146 -aS'.\t.\t.\tO\tO' -p314147 -asS'The patient reported increasingly frequent episodes of dizziness and shortness of breath accompanied with coughing spells after walking approximately a half a mile or climbing three flights of stairs .' -p314148 -(lp314149 -S'The\tThe\tDT\tB-NP\tO' -p314150 -aS'patient\tpatient\tNN\tI-NP\tO' -p314151 -aS'reported\treport\tVBD\tB-VP\tO' -p314152 -aS'increasingly\tincreasingly\tRB\tB-NP\tO' -p314153 -aS'frequent\tfrequent\tJJ\tI-NP\tO' -p314154 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p314155 -aS'of\tof\tIN\tB-PP\tO' -p314156 -aS'dizziness\tdizziness\tNN\tB-NP\tO' -p314157 -aS'and\tand\tCC\tI-NP\tO' -p314158 -aS'shortness\tshortness\tNN\tI-NP\tO' -p314159 -aS'of\tof\tIN\tB-PP\tO' -p314160 -aS'breath\tbreath\tNN\tB-NP\tO' -p314161 -aS'accompanied\taccompany\tVBN\tB-VP\tO' -p314162 -aS'with\twith\tIN\tB-PP\tO' -p314163 -aS'coughing\tcough\tVBG\tB-VP\tO' -p314164 -aS'spells\tspell\tNNS\tB-NP\tO' -p314165 -aS'after\tafter\tIN\tB-PP\tO' -p314166 -aS'walking\twalk\tVBG\tB-VP\tO' -p314167 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p314168 -aS'a\ta\tDT\tI-NP\tO' -p314169 -aS'half\thalf\tPDT\tI-NP\tO' -p314170 -aS'a\ta\tDT\tI-NP\tO' -p314171 -aS'mile\tmile\tNN\tI-NP\tO' -p314172 -aS'or\tor\tCC\tO\tO' -p314173 -aS'climbing\tclimb\tVBG\tB-VP\tO' -p314174 -aS'three\tthree\tCD\tB-NP\tO' -p314175 -aS'flights\tflight\tNNS\tI-NP\tO' -p314176 -aS'of\tof\tIN\tB-PP\tO' -p314177 -aS'stairs\tstair\tNNS\tB-NP\tO' -p314178 -aS'.\t.\t.\tO\tO' -p314179 -asS'He was transferred to the Oncology Service after discussions about the utility of chemotherapy .' -p314180 -(lp314181 -S'He\tHe\tPRP\tB-NP\tO' -p314182 -aS'was\tbe\tVBD\tB-VP\tO' -p314183 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p314184 -aS'to\tto\tTO\tB-PP\tO' -p314185 -aS'the\tthe\tDT\tB-NP\tO' -p314186 -aS'Oncology\tOncology\tNNP\tI-NP\tO' -p314187 -aS'Service\tService\tNNP\tI-NP\tO' -p314188 -aS'after\tafter\tIN\tB-PP\tO' -p314189 -aS'discussions\tdiscussion\tNNS\tB-NP\tO' -p314190 -aS'about\tabout\tIN\tB-PP\tO' -p314191 -aS'the\tthe\tDT\tB-NP\tO' -p314192 -aS'utility\tutility\tNN\tI-NP\tO' -p314193 -aS'of\tof\tIN\tB-PP\tO' -p314194 -aS'chemotherapy\tchemotherapy\tNN\tB-NP\tO' -p314195 -aS'.\t.\t.\tO\tO' -p314196 -asS'Breath sounds slightly crackly , symmetric equal air entry .' -p314197 -(lp314198 -S'Breath\tBreath\tNNP\tB-NP\tO' -p314199 -aS'sounds\tsound\tVBZ\tB-VP\tO' -p314200 -aS'slightly\tslightly\tRB\tB-ADVP\tO' -p314201 -aS'crackly\tcrackly\tRB\tB-ADVP\tO' -p314202 -aS',\t,\t,\tO\tO' -p314203 -aS'symmetric\tsymmetric\tJJ\tB-NP\tO' -p314204 -aS'equal\tequal\tJJ\tI-NP\tO' -p314205 -aS'air\tair\tNN\tI-NP\tO' -p314206 -aS'entry\tentry\tNN\tI-NP\tO' -p314207 -aS'.\t.\t.\tO\tO' -p314208 -asS'Her delirium was felt possibly secondary to withdrawal versus toxic metabolic , but gradually improved slowly , and therefore patient did not receive treatment for barbiturate withdrawal .' -p314209 -(lp314210 -S'Her\tHer\tPRP$\tB-NP\tO' -p314211 -aS'delirium\tdelirium\tNN\tI-NP\tO' -p314212 -aS'was\tbe\tVBD\tB-VP\tO' -p314213 -aS'felt\tfeel\tVBN\tI-VP\tO' -p314214 -aS'possibly\tpossibly\tRB\tB-ADJP\tO' -p314215 -aS'secondary\tsecondary\tJJ\tI-ADJP\tO' -p314216 -aS'to\tto\tTO\tB-PP\tO' -p314217 -aS'withdrawal\twithdrawal\tNN\tB-NP\tO' -p314218 -aS'versus\tversus\tIN\tB-PP\tO' -p314219 -aS'toxic\ttoxic\tJJ\tB-NP\tO' -p314220 -aS'metabolic\tmetabolic\tJJ\tI-NP\tO' -p314221 -aS',\t,\t,\tO\tO' -p314222 -aS'but\tbut\tCC\tO\tO' -p314223 -aS'gradually\tgradually\tRB\tB-VP\tO' -p314224 -aS'improved\timprove\tVBN\tI-VP\tO' -p314225 -aS'slowly\tslowly\tRB\tB-ADVP\tO' -p314226 -aS',\t,\t,\tO\tO' -p314227 -aS'and\tand\tCC\tO\tO' -p314228 -aS'therefore\ttherefore\tRB\tB-ADVP\tO' -p314229 -aS'patient\tpatient\tNN\tB-NP\tO' -p314230 -aS'did\tdo\tVBD\tB-VP\tO' -p314231 -aS'not\tnot\tRB\tI-VP\tO' -p314232 -aS'receive\treceive\tVB\tI-VP\tO' -p314233 -aS'treatment\ttreatment\tNN\tB-NP\tO' -p314234 -aS'for\tfor\tIN\tB-PP\tO' -p314235 -aS'barbiturate\tbarbiturate\tNN\tB-NP\tO' -p314236 -aS'withdrawal\twithdrawal\tNN\tI-NP\tO' -p314237 -aS'.\t.\t.\tO\tO' -p314238 -asS'She sleeps with two pillows at night .' -p314239 -(lp314240 -S'She\tShe\tPRP\tB-NP\tO' -p314241 -aS'sleeps\tsleep\tVBZ\tB-VP\tO' -p314242 -aS'with\twith\tIN\tB-PP\tO' -p314243 -aS'two\ttwo\tCD\tB-NP\tO' -p314244 -aS'pillows\tpillow\tNNS\tI-NP\tO' -p314245 -aS'at\tat\tIN\tB-PP\tO' -p314246 -aS'night\tnight\tNN\tB-NP\tO' -p314247 -aS'.\t.\t.\tO\tO' -p314248 -asS'She states this light-headedness is often associated with shortness of breath and diaphoresis occasionally with nausea .' -p314249 -(lp314250 -S'She\tShe\tPRP\tB-NP\tO' -p314251 -aS'states\tstate\tVBZ\tB-VP\tO' -p314252 -aS'this\tthis\tDT\tB-NP\tO' -p314253 -aS'light-headedness\tlight-headedness\tNN\tI-NP\tO' -p314254 -aS'is\tbe\tVBZ\tB-VP\tO' -p314255 -aS'often\toften\tRB\tI-VP\tO' -p314256 -aS'associated\tassociate\tVBN\tI-VP\tO' -p314257 -aS'with\twith\tIN\tB-PP\tO' -p314258 -aS'shortness\tshortness\tNN\tB-NP\tO' -p314259 -aS'of\tof\tIN\tB-PP\tO' -p314260 -aS'breath\tbreath\tNN\tB-NP\tO' -p314261 -aS'and\tand\tCC\tI-NP\tO' -p314262 -aS'diaphoresis\tdiaphoresis\tNN\tI-NP\tO' -p314263 -aS'occasionally\toccasionally\tRB\tB-ADVP\tO' -p314264 -aS'with\twith\tIN\tB-PP\tO' -p314265 -aS'nausea\tnausea\tNN\tB-NP\tO' -p314266 -aS'.\t.\t.\tO\tO' -p314267 -asS'Once the organism was identified , he was transitioned to a regimen of intravenous penicillin and oral levofloxacin , which had successfully treated the infection during his most recent admission 1 year prior .' -p314268 -(lp314269 -S'Once\tOnce\tRB\tO\tO' -p314270 -aS'the\tthe\tDT\tB-NP\tO' -p314271 -aS'organism\torganism\tNN\tI-NP\tO' -p314272 -aS'was\tbe\tVBD\tB-VP\tO' -p314273 -aS'identified\tidentify\tVBN\tI-VP\tO' -p314274 -aS',\t,\t,\tO\tO' -p314275 -aS'he\the\tPRP\tB-NP\tO' -p314276 -aS'was\tbe\tVBD\tB-VP\tO' -p314277 -aS'transitioned\ttransitione\tVBN\tI-VP\tO' -p314278 -aS'to\tto\tTO\tB-PP\tO' -p314279 -aS'a\ta\tDT\tB-NP\tO' -p314280 -aS'regimen\tregimen\tNN\tI-NP\tO' -p314281 -aS'of\tof\tIN\tB-PP\tO' -p314282 -aS'intravenous\tintravenous\tJJ\tB-NP\tB-protein' -p314283 -aS'penicillin\tpenicillin\tNN\tI-NP\tI-protein' -p314284 -aS'and\tand\tCC\tO\tO' -p314285 -aS'oral\toral\tJJ\tB-NP\tO' -p314286 -aS'levofloxacin\tlevofloxacin\tNN\tI-NP\tO' -p314287 -aS',\t,\t,\tO\tO' -p314288 -aS'which\twhich\tWDT\tB-NP\tO' -p314289 -aS'had\thave\tVBD\tB-VP\tO' -p314290 -aS'successfully\tsuccessfully\tRB\tI-VP\tO' -p314291 -aS'treated\ttreat\tVBN\tI-VP\tO' -p314292 -aS'the\tthe\tDT\tB-NP\tO' -p314293 -aS'infection\tinfection\tNN\tI-NP\tO' -p314294 -aS'during\tduring\tIN\tB-PP\tO' -p314295 -aS'his\this\tPRP$\tB-NP\tB-DNA' -p314296 -aS'most\tmost\tRBS\tI-NP\tO' -p314297 -aS'recent\trecent\tJJ\tI-NP\tO' -p314298 -aS'admission\tadmission\tNN\tI-NP\tO' -p314299 -aS'1\t1\tCD\tI-NP\tO' -p314300 -aS'year\tyear\tNN\tI-NP\tO' -p314301 -aS'prior\tprior\tRB\tB-ADVP\tO' -p314302 -aS'.\t.\t.\tO\tO' -p314303 -asS'She otherwise had normal spontaneous movements and facial expression and did not appear to be abulic .' -p314304 -(lp314305 -S'She\tShe\tPRP\tB-NP\tO' -p314306 -aS'otherwise\totherwise\tRB\tB-ADVP\tO' -p314307 -aS'had\thave\tVBD\tB-VP\tO' -p314308 -aS'normal\tnormal\tJJ\tB-NP\tO' -p314309 -aS'spontaneous\tspontaneous\tJJ\tI-NP\tO' -p314310 -aS'movements\tmovement\tNNS\tI-NP\tO' -p314311 -aS'and\tand\tCC\tO\tO' -p314312 -aS'facial\tfacial\tJJ\tB-NP\tO' -p314313 -aS'expression\texpression\tNN\tB-NP\tO' -p314314 -aS'and\tand\tCC\tO\tO' -p314315 -aS'did\tdo\tVBD\tB-VP\tO' -p314316 -aS'not\tnot\tRB\tI-VP\tO' -p314317 -aS'appear\tappear\tVB\tI-VP\tO' -p314318 -aS'to\tto\tTO\tI-VP\tO' -p314319 -aS'be\tbe\tVB\tI-VP\tO' -p314320 -aS'abulic\tabulic\tJJ\tB-ADJP\tO' -p314321 -aS'.\t.\t.\tO\tO' -p314322 -asS'The blood pressure was 150/86 ; pulse 82 ; respirations 16 .' -p314323 -(lp314324 -S'The\tThe\tDT\tB-NP\tO' -p314325 -aS'blood\tblood\tNN\tI-NP\tO' -p314326 -aS'pressure\tpressure\tNN\tI-NP\tO' -p314327 -aS'was\tbe\tVBD\tB-VP\tO' -p314328 -aS'150/86\t150/86\tCD\tB-NP\tO' -p314329 -aS';\t;\t:\tO\tO' -p314330 -aS'pulse\tpulse\tNN\tB-NP\tO' -p314331 -aS'82\t82\tCD\tI-NP\tO' -p314332 -aS';\t;\t:\tO\tO' -p314333 -aS'respirations\trespiration\tNNS\tB-NP\tO' -p314334 -aS'16\t16\tCD\tB-NP\tO' -p314335 -aS'.\t.\t.\tO\tO' -p314336 -asS'Ticlid 0.25 g po bid .' -p314337 -(lp314338 -S'Ticlid\tTiclid\tNN\tB-NP\tO' -p314339 -aS'0.25\t0.25\tCD\tI-NP\tO' -p314340 -aS'g\tg\tNN\tI-NP\tO' -p314341 -aS'po\tpo\tNN\tI-NP\tO' -p314342 -aS'bid\tbid\tNN\tI-NP\tO' -p314343 -aS'.\t.\t.\tO\tO' -p314344 -asS'Call for further referral .' -p314345 -(lp314346 -S'Call\tCall\tVB\tB-NP\tO' -p314347 -aS'for\tfor\tIN\tB-PP\tO' -p314348 -aS'further\tfurther\tJJ\tB-NP\tO' -p314349 -aS'referral\treferral\tNN\tI-NP\tO' -p314350 -aS'.\t.\t.\tO\tO' -p314351 -asS'2. Subgaleal hemorrhage , resolved .' -p314352 -(lp314353 -S'2.\t2.\tLS\tB-NP\tO' -p314354 -aS'Subgaleal\tSubgaleal\tJJ\tI-NP\tO' -p314355 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p314356 -aS',\t,\t,\tO\tO' -p314357 -aS'resolved\tresolve\tVBN\tB-VP\tO' -p314358 -aS'.\t.\t.\tO\tO' -p314359 -asS'Waltham-Ludlow drains put out on the 13th 620 and 380 .' -p314360 -(lp314361 -S'Waltham-Ludlow\tWaltham-Ludlow\tJJ\tB-NP\tO' -p314362 -aS'drains\tdrain\tNNS\tI-NP\tO' -p314363 -aS'put\tput\tVBP\tB-VP\tO' -p314364 -aS'out\tout\tRP\tB-PRT\tO' -p314365 -aS'on\ton\tIN\tB-PP\tO' -p314366 -aS'the\tthe\tDT\tB-NP\tO' -p314367 -aS'13th\t13th\tJJ\tI-NP\tO' -p314368 -aS'620\t620\tCD\tI-NP\tO' -p314369 -aS'and\tand\tCC\tI-NP\tO' -p314370 -aS'380\t380\tCD\tI-NP\tO' -p314371 -aS'.\t.\t.\tO\tO' -p314372 -asS'Upon further review of Dr. Laymie Fields , Department of Neuroradiology , review of the cervical spine on CT reveals no extrinsic compressive lesions impacting the spinal cord and no enhancing lesions of the spinal cord with contrast .' -p314373 -(lp314374 -S'Upon\tUpon\tIN\tB-PP\tO' -p314375 -aS'further\tfar\tJJR\tB-NP\tO' -p314376 -aS'review\treview\tNN\tI-NP\tO' -p314377 -aS'of\tof\tIN\tB-PP\tO' -p314378 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p314379 -aS'Laymie\tLaymie\tNNP\tI-NP\tO' -p314380 -aS'Fields\tFields\tNNP\tI-NP\tO' -p314381 -aS',\t,\t,\tO\tO' -p314382 -aS'Department\tDepartment\tNNP\tB-NP\tO' -p314383 -aS'of\tof\tIN\tB-PP\tO' -p314384 -aS'Neuroradiology\tNeuroradiology\tNNP\tB-NP\tO' -p314385 -aS',\t,\t,\tO\tO' -p314386 -aS'review\treview\tNN\tB-NP\tO' -p314387 -aS'of\tof\tIN\tB-PP\tO' -p314388 -aS'the\tthe\tDT\tB-NP\tO' -p314389 -aS'cervical\tcervical\tJJ\tI-NP\tO' -p314390 -aS'spine\tspine\tNN\tI-NP\tO' -p314391 -aS'on\ton\tIN\tB-PP\tO' -p314392 -aS'CT\tCT\tNN\tB-NP\tB-protein' -p314393 -aS'reveals\treveal\tVBZ\tB-VP\tO' -p314394 -aS'no\tno\tDT\tB-NP\tO' -p314395 -aS'extrinsic\textrinsic\tJJ\tI-NP\tO' -p314396 -aS'compressive\tcompressive\tJJ\tI-NP\tO' -p314397 -aS'lesions\tlesion\tNNS\tI-NP\tO' -p314398 -aS'impacting\timpact\tVBG\tB-VP\tO' -p314399 -aS'the\tthe\tDT\tB-NP\tO' -p314400 -aS'spinal\tspinal\tJJ\tI-NP\tO' -p314401 -aS'cord\tcord\tNN\tI-NP\tO' -p314402 -aS'and\tand\tCC\tO\tO' -p314403 -aS'no\tno\tDT\tB-NP\tO' -p314404 -aS'enhancing\tenhance\tVBG\tI-NP\tO' -p314405 -aS'lesions\tlesion\tNNS\tI-NP\tO' -p314406 -aS'of\tof\tIN\tB-PP\tO' -p314407 -aS'the\tthe\tDT\tB-NP\tO' -p314408 -aS'spinal\tspinal\tJJ\tI-NP\tO' -p314409 -aS'cord\tcord\tNN\tI-NP\tO' -p314410 -aS'with\twith\tIN\tB-PP\tO' -p314411 -aS'contrast\tcontrast\tNN\tB-NP\tO' -p314412 -aS'.\t.\t.\tO\tO' -p314413 -asS'He was given sc lovenox x 1 and will continue this the day after discharge bid for one day .' -p314414 -(lp314415 -S'He\tHe\tPRP\tB-NP\tO' -p314416 -aS'was\tbe\tVBD\tB-VP\tO' -p314417 -aS'given\tgive\tVBN\tI-VP\tO' -p314418 -aS'sc\tsc\tNN\tB-NP\tO' -p314419 -aS'lovenox\tlovenox\tNN\tI-NP\tO' -p314420 -aS'x\tx\tNN\tI-NP\tO' -p314421 -aS'1\t1\tCD\tI-NP\tO' -p314422 -aS'and\tand\tCC\tO\tO' -p314423 -aS'will\twill\tMD\tB-VP\tO' -p314424 -aS'continue\tcontinue\tVB\tI-VP\tO' -p314425 -aS'this\tthis\tDT\tB-NP\tO' -p314426 -aS'the\tthe\tDT\tB-NP\tO' -p314427 -aS'day\tday\tNN\tI-NP\tO' -p314428 -aS'after\tafter\tIN\tB-PP\tO' -p314429 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p314430 -aS'bid\tbid\tNN\tI-NP\tO' -p314431 -aS'for\tfor\tIN\tB-PP\tO' -p314432 -aS'one\tone\tCD\tB-NP\tO' -p314433 -aS'day\tday\tNN\tI-NP\tO' -p314434 -aS'.\t.\t.\tO\tO' -p314435 -asS'5. Feeding immaturity .' -p314436 -(lp314437 -S'5.\t5.\tLS\tB-NP\tO' -p314438 -aS'Feeding\tFeeding\tNN\tI-NP\tO' -p314439 -aS'immaturity\timmaturity\tNN\tI-NP\tO' -p314440 -aS'.\t.\t.\tO\tO' -p314441 -asS'His neck was supple without lymphadenopathy .' -p314442 -(lp314443 -S'His\tHis\tPRP$\tB-NP\tO' -p314444 -aS'neck\tneck\tNN\tI-NP\tO' -p314445 -aS'was\tbe\tVBD\tB-VP\tO' -p314446 -aS'supple\tsupple\tNN\tB-NP\tO' -p314447 -aS'without\twithout\tIN\tB-PP\tO' -p314448 -aS'lymphadenopathy\tlymphadenopathy\tNN\tB-NP\tO' -p314449 -aS'.\t.\t.\tO\tO' -p314450 -asS'On admission included a hematocrit of 34.2 .' -p314451 -(lp314452 -S'On\tOn\tIN\tB-PP\tO' -p314453 -aS'admission\tadmission\tNN\tB-NP\tO' -p314454 -aS'included\tinclude\tVBD\tB-VP\tO' -p314455 -aS'a\ta\tDT\tB-NP\tO' -p314456 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p314457 -aS'of\tof\tIN\tB-PP\tO' -p314458 -aS'34.2\t34.2\tCD\tB-NP\tO' -p314459 -aS'.\t.\t.\tO\tO' -p314460 -asS'Head , eyes , ears , nose and throat , polypoid lesion just inferior to the left zygoma , elevated superiorly , with visible bone .' -p314461 -(lp314462 -S'Head\tHead\tRB\tB-ADVP\tO' -p314463 -aS',\t,\t,\tO\tO' -p314464 -aS'eyes\teye\tNNS\tB-NP\tO' -p314465 -aS',\t,\t,\tI-NP\tO' -p314466 -aS'ears\tear\tNNS\tI-NP\tO' -p314467 -aS',\t,\t,\tI-NP\tO' -p314468 -aS'nose\tnose\tNN\tI-NP\tO' -p314469 -aS'and\tand\tCC\tI-NP\tO' -p314470 -aS'throat\tthroat\tNN\tI-NP\tO' -p314471 -aS',\t,\t,\tO\tO' -p314472 -aS'polypoid\tpolypoid\tJJ\tB-NP\tO' -p314473 -aS'lesion\tlesion\tNN\tI-NP\tO' -p314474 -aS'just\tjust\tRB\tB-ADJP\tO' -p314475 -aS'inferior\tinferior\tJJ\tI-ADJP\tO' -p314476 -aS'to\tto\tTO\tB-PP\tO' -p314477 -aS'the\tthe\tDT\tB-NP\tO' -p314478 -aS'left\tleft\tJJ\tI-NP\tO' -p314479 -aS'zygoma\tzygoma\tNN\tI-NP\tO' -p314480 -aS',\t,\t,\tO\tO' -p314481 -aS'elevated\televate\tVBN\tB-VP\tO' -p314482 -aS'superiorly\tsuperiorly\tRB\tB-ADVP\tO' -p314483 -aS',\t,\t,\tO\tO' -p314484 -aS'with\twith\tIN\tB-PP\tO' -p314485 -aS'visible\tvisible\tJJ\tB-NP\tO' -p314486 -aS'bone\tbone\tNN\tI-NP\tO' -p314487 -aS'.\t.\t.\tO\tO' -p314488 -asS'12. Acetazolamide Sodium 500 mg Recon Soln Sig : Two Hundred Fifty ( 250 ) Recon Soln Injection Q12H ( every 12 hours ).' -p314489 -(lp314490 -S'12.\t12.\tLS\tB-NP\tO' -p314491 -aS'Acetazolamide\tAcetazolamide\tNN\tI-NP\tO' -p314492 -aS'Sodium\tSodium\tNN\tI-NP\tO' -p314493 -aS'500\t500\tCD\tI-NP\tO' -p314494 -aS'mg\tmg\tNN\tI-NP\tO' -p314495 -aS'Recon\tRecon\tNNP\tI-NP\tO' -p314496 -aS'Soln\tSoln\tNNP\tI-NP\tO' -p314497 -aS'Sig\tSig\tNNP\tI-NP\tO' -p314498 -aS':\t:\t:\tO\tO' -p314499 -aS'Two\tTwo\tCD\tB-NP\tO' -p314500 -aS'Hundred\tHundred\tJJ\tI-NP\tO' -p314501 -aS'Fifty\tFifty\tCD\tI-NP\tO' -p314502 -aS'(\t(\t(\tO\tO' -p314503 -aS'250\t250\tCD\tB-NP\tO' -p314504 -aS')\t)\t)\tO\tO' -p314505 -aS'Recon\tRecon\tNNP\tB-NP\tO' -p314506 -aS'Soln\tSoln\tNNP\tI-NP\tO' -p314507 -aS'Injection\tInjection\tNNP\tI-NP\tO' -p314508 -aS'Q12H\tQ12H\tNN\tI-NP\tO' -p314509 -aS'(\t(\t(\tO\tO' -p314510 -aS'every\tevery\tDT\tB-NP\tO' -p314511 -aS'12\t12\tCD\tI-NP\tO' -p314512 -aS'hours\thour\tNNS\tI-NP\tO' -p314513 -aS').\t).\t)\tO\tO' -p314514 -asS'Continue taking your home medications unless otherwise contraindicated and follow up with PCP .' -p314515 -(lp314516 -S'Continue\tContinue\tIN\tB-PP\tO' -p314517 -aS'taking\ttake\tVBG\tB-VP\tO' -p314518 -aS'your\tyour\tPRP$\tB-NP\tO' -p314519 -aS'home\thome\tNN\tI-NP\tO' -p314520 -aS'medications\tmedication\tNNS\tI-NP\tO' -p314521 -aS'unless\tunless\tIN\tB-SBAR\tO' -p314522 -aS'otherwise\totherwise\tRB\tB-NP\tO' -p314523 -aS'contraindicated\tcontraindicate\tVBN\tI-NP\tO' -p314524 -aS'and\tand\tCC\tO\tO' -p314525 -aS'follow\tfollow\tVB\tB-VP\tO' -p314526 -aS'up\tup\tRP\tB-PRT\tO' -p314527 -aS'with\twith\tIN\tB-PP\tO' -p314528 -aS'PCP\tPCP\tNN\tB-NP\tB-protein' -p314529 -aS'.\t.\t.\tO\tO' -p314530 -asS'8. non insulin dependent diabetes mellitus which was diagnosed in March , 1995 ,' -p314531 -(lp314532 -S'8.\t8.\tLS\tB-NP\tO' -p314533 -aS'non\tnon\tJJ\tI-NP\tO' -p314534 -aS'insulin\tinsulin\tNN\tI-NP\tB-protein' -p314535 -aS'dependent\tdependent\tJJ\tI-NP\tO' -p314536 -aS'diabetes\tdiabetes\tNN\tI-NP\tO' -p314537 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p314538 -aS'which\twhich\tWDT\tB-NP\tO' -p314539 -aS'was\tbe\tVBD\tB-VP\tO' -p314540 -aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' -p314541 -aS'in\tin\tIN\tB-PP\tO' -p314542 -aS'March\tMarch\tNNP\tB-NP\tO' -p314543 -aS',\t,\t,\tO\tO' -p314544 -aS'1995\t1995\tCD\tB-NP\tO' -p314545 -aS',\t,\t,\tO\tO' -p314546 -asS'Codeine .' -p314547 -(lp314548 -S'Codeine\tCodeine\tNN\tB-NP\tO' -p314549 -aS'.\t.\t.\tO\tO' -p314550 -asS'Patient seen by PT and OT who recommended hand exercises and splints for patient .' -p314551 -(lp314552 -S'Patient\tPatient\tNN\tB-NP\tO' -p314553 -aS'seen\tsee\tVBN\tB-VP\tO' -p314554 -aS'by\tby\tIN\tB-PP\tO' -p314555 -aS'PT\tPT\tNN\tB-NP\tO' -p314556 -aS'and\tand\tCC\tI-NP\tO' -p314557 -aS'OT\tOT\tNN\tI-NP\tO' -p314558 -aS'who\twho\tWP\tB-NP\tO' -p314559 -aS'recommended\trecommend\tVBD\tB-VP\tO' -p314560 -aS'hand\thand\tNN\tB-NP\tO' -p314561 -aS'exercises\texercise\tNNS\tI-NP\tO' -p314562 -aS'and\tand\tCC\tI-NP\tO' -p314563 -aS'splints\tsplint\tNNS\tI-NP\tO' -p314564 -aS'for\tfor\tIN\tB-PP\tO' -p314565 -aS'patient\tpatient\tNN\tB-NP\tO' -p314566 -aS'.\t.\t.\tO\tO' -p314567 -asS'CXR ( Youville Hospital 2020-03-09 ): Persistent unchanged L mid and lower lung field airspace disease with moderate L pleural effusion .' -p314568 -(lp314569 -S'CXR\tCXR\tNN\tB-NP\tB-protein' -p314570 -aS'(\t(\t(\tO\tO' -p314571 -aS'Youville\tYouville\tNNP\tB-NP\tO' -p314572 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p314573 -aS'2020-03-09\t2020-03-09\tCD\tI-NP\tO' -p314574 -aS'):\t):\t:\tO\tO' -p314575 -aS'Persistent\tPersistent\tJJ\tB-NP\tO' -p314576 -aS'unchanged\tunchanged\tJJ\tI-NP\tO' -p314577 -aS'L\tL\tNN\tI-NP\tO' -p314578 -aS'mid\tmid\tNN\tI-NP\tO' -p314579 -aS'and\tand\tCC\tO\tO' -p314580 -aS'lower\tlow\tJJR\tB-NP\tO' -p314581 -aS'lung\tlung\tNN\tI-NP\tO' -p314582 -aS'field\tfield\tNN\tI-NP\tO' -p314583 -aS'airspace\tairspace\tNN\tI-NP\tO' -p314584 -aS'disease\tdisease\tNN\tI-NP\tO' -p314585 -aS'with\twith\tIN\tB-PP\tO' -p314586 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p314587 -aS'L\tL\tNN\tI-NP\tO' -p314588 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p314589 -aS'effusion\teffusion\tNN\tI-NP\tO' -p314590 -aS'.\t.\t.\tO\tO' -p314591 -asS'Neurologic : alert , awake , partially interacting and responding to comands .' -p314592 -(lp314593 -S'Neurologic\tNeurologic\tJJ\tB-ADJP\tO' -p314594 -aS':\t:\t:\tO\tO' -p314595 -aS'alert\talert\tJJ\tB-NP\tO' -p314596 -aS',\t,\t,\tI-NP\tO' -p314597 -aS'awake\tawake\tJJ\tI-NP\tO' -p314598 -aS',\t,\t,\tO\tO' -p314599 -aS'partially\tpartially\tRB\tB-VP\tO' -p314600 -aS'interacting\tinteract\tVBG\tI-VP\tO' -p314601 -aS'and\tand\tCC\tI-VP\tO' -p314602 -aS'responding\trespond\tVBG\tI-VP\tO' -p314603 -aS'to\tto\tTO\tB-PP\tO' -p314604 -aS'comands\tcomand\tNNS\tB-NP\tO' -p314605 -aS'.\t.\t.\tO\tO' -p314606 -asS'refrain from motrin at this time .' -p314607 -(lp314608 -S'refrain\trefrain\tNN\tB-NP\tO' -p314609 -aS'from\tfrom\tIN\tB-PP\tO' -p314610 -aS'motrin\tmotrin\tNN\tB-NP\tO' -p314611 -aS'at\tat\tIN\tB-PP\tO' -p314612 -aS'this\tthis\tDT\tB-NP\tO' -p314613 -aS'time\ttime\tNN\tI-NP\tO' -p314614 -aS'.\t.\t.\tO\tO' -p314615 -asS'In discussions with the family , given his age and number of medical problems , it was decided that the patient should be do not resuscitate should he have a terminal cardiac event during his admission or during future admissions .' -p314616 -(lp314617 -S'In\tIn\tIN\tB-PP\tO' -p314618 -aS'discussions\tdiscussion\tNNS\tB-NP\tO' -p314619 -aS'with\twith\tIN\tB-PP\tO' -p314620 -aS'the\tthe\tDT\tB-NP\tO' -p314621 -aS'family\tfamily\tNN\tI-NP\tO' -p314622 -aS',\t,\t,\tO\tO' -p314623 -aS'given\tgive\tVBN\tB-PP\tO' -p314624 -aS'his\this\tPRP$\tB-NP\tO' -p314625 -aS'age\tage\tNN\tI-NP\tO' -p314626 -aS'and\tand\tCC\tI-NP\tO' -p314627 -aS'number\tnumber\tNN\tI-NP\tO' -p314628 -aS'of\tof\tIN\tB-PP\tO' -p314629 -aS'medical\tmedical\tJJ\tB-NP\tO' -p314630 -aS'problems\tproblem\tNNS\tI-NP\tO' -p314631 -aS',\t,\t,\tO\tO' -p314632 -aS'it\tit\tPRP\tB-NP\tO' -p314633 -aS'was\tbe\tVBD\tB-VP\tO' -p314634 -aS'decided\tdecide\tVBN\tI-VP\tO' -p314635 -aS'that\tthat\tIN\tB-SBAR\tO' -p314636 -aS'the\tthe\tDT\tB-NP\tO' -p314637 -aS'patient\tpatient\tNN\tI-NP\tO' -p314638 -aS'should\tshould\tMD\tB-VP\tO' -p314639 -aS'be\tbe\tVB\tI-VP\tO' -p314640 -aS'do\tdo\tVB\tI-VP\tO' -p314641 -aS'not\tnot\tRB\tB-VP\tO' -p314642 -aS'resuscitate\tresuscitate\tVB\tI-VP\tO' -p314643 -aS'should\tshould\tMD\tO\tO' -p314644 -aS'he\the\tPRP\tB-NP\tO' -p314645 -aS'have\thave\tVB\tB-VP\tO' -p314646 -aS'a\ta\tDT\tB-NP\tO' -p314647 -aS'terminal\tterminal\tJJ\tI-NP\tO' -p314648 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p314649 -aS'event\tevent\tNN\tI-NP\tO' -p314650 -aS'during\tduring\tIN\tB-PP\tO' -p314651 -aS'his\this\tPRP$\tB-NP\tO' -p314652 -aS'admission\tadmission\tNN\tI-NP\tO' -p314653 -aS'or\tor\tCC\tB-PP\tO' -p314654 -aS'during\tduring\tIN\tB-PP\tO' -p314655 -aS'future\tfuture\tJJ\tB-NP\tO' -p314656 -aS'admissions\tadmission\tNNS\tI-NP\tO' -p314657 -aS'.\t.\t.\tO\tO' -p314658 -asS'Pt is also paced .' -p314659 -(lp314660 -S'Pt\tPt\tNN\tB-NP\tO' -p314661 -aS'is\tbe\tVBZ\tB-VP\tO' -p314662 -aS'also\talso\tRB\tI-VP\tO' -p314663 -aS'paced\tpace\tVBN\tI-VP\tO' -p314664 -aS'.\t.\t.\tO\tO' -p314665 -asS'Ritalin 5 mg Tablet Sig : see below Tablet PO see below : 1.5 tablets at 10am ( 7.5mg ) , 1 tablet 2pm ( 5mg ) .' -p314666 -(lp314667 -S'Ritalin\tRitalin\tNN\tB-NP\tO' -p314668 -aS'5\t5\tCD\tI-NP\tO' -p314669 -aS'mg\tmg\tNN\tI-NP\tO' -p314670 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p314671 -aS'Sig\tSig\tNNP\tI-NP\tO' -p314672 -aS':\t:\t:\tO\tO' -p314673 -aS'see\tsee\tVB\tB-VP\tO' -p314674 -aS'below\tbelow\tIN\tB-PP\tO' -p314675 -aS'Tablet\tTablet\tNNP\tB-NP\tB-protein' -p314676 -aS'PO\tPO\tNNP\tI-NP\tI-protein' -p314677 -aS'see\tsee\tVBP\tB-VP\tO' -p314678 -aS'below\tbelow\tIN\tB-PP\tO' -p314679 -aS':\t:\t:\tO\tO' -p314680 -aS'1.5\t1.5\tCD\tB-NP\tO' -p314681 -aS'tablets\ttablet\tNNS\tI-NP\tO' -p314682 -aS'at\tat\tIN\tB-PP\tO' -p314683 -aS'10am\t10am\tNN\tB-NP\tO' -p314684 -aS'(\t(\t(\tO\tO' -p314685 -aS'7.5mg\t7.5mg\tNN\tB-NP\tO' -p314686 -aS')\t)\t)\tO\tO' -p314687 -aS',\t,\t,\tO\tO' -p314688 -aS'1\t1\tCD\tB-NP\tO' -p314689 -aS'tablet\ttablet\tNN\tI-NP\tO' -p314690 -aS'2pm\t2pm\tNN\tI-NP\tO' -p314691 -aS'(\t(\t(\tO\tO' -p314692 -aS'5mg\t5mg\tNN\tB-NP\tO' -p314693 -aS')\t)\t)\tO\tO' -p314694 -aS'.\t.\t.\tO\tO' -p314695 -asS'You must have your INR ( blood levels ) checked on a regular basis until your INR levels remain 01-19 .' -p314696 -(lp314697 -S'You\tYou\tPRP\tB-NP\tB-protein' -p314698 -aS'must\tmust\tMD\tB-VP\tO' -p314699 -aS'have\thave\tVB\tI-VP\tO' -p314700 -aS'your\tyour\tPRP$\tB-NP\tO' -p314701 -aS'INR\tINR\tNN\tI-NP\tB-protein' -p314702 -aS'(\t(\t(\tO\tO' -p314703 -aS'blood\tblood\tNN\tB-NP\tO' -p314704 -aS'levels\tlevel\tNNS\tI-NP\tO' -p314705 -aS')\t)\t)\tO\tO' -p314706 -aS'checked\tcheck\tVBN\tB-VP\tO' -p314707 -aS'on\ton\tIN\tB-PP\tO' -p314708 -aS'a\ta\tDT\tB-NP\tO' -p314709 -aS'regular\tregular\tJJ\tI-NP\tO' -p314710 -aS'basis\tbasis\tNN\tI-NP\tO' -p314711 -aS'until\tuntil\tIN\tB-PP\tO' -p314712 -aS'your\tyour\tPRP$\tB-NP\tO' -p314713 -aS'INR\tINR\tNN\tI-NP\tB-protein' -p314714 -aS'levels\tlevel\tNNS\tI-NP\tO' -p314715 -aS'remain\tremain\tVBP\tB-VP\tO' -p314716 -aS'01-19\t01-19\tCD\tB-NP\tO' -p314717 -aS'.\t.\t.\tO\tO' -p314718 -asS'3. Coronary artery disease .' -p314719 -(lp314720 -S'3.\t3.\tLS\tB-NP\tO' -p314721 -aS'Coronary\tCoronary\tJJ\tI-NP\tO' -p314722 -aS'artery\tartery\tNN\tI-NP\tO' -p314723 -aS'disease\tdisease\tNN\tI-NP\tO' -p314724 -aS'.\t.\t.\tO\tO' -p314725 -asS'Her postoperative hematocrit was 31 , compared to a preoperative level of 43 .' -p314726 -(lp314727 -S'Her\tHer\tPRP$\tB-NP\tO' -p314728 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p314729 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p314730 -aS'was\tbe\tVBD\tB-VP\tO' -p314731 -aS'31\t31\tCD\tB-NP\tO' -p314732 -aS',\t,\t,\tO\tO' -p314733 -aS'compared\tcompare\tVBN\tB-PP\tO' -p314734 -aS'to\tto\tTO\tB-PP\tO' -p314735 -aS'a\ta\tDT\tB-NP\tO' -p314736 -aS'preoperative\tpreoperative\tJJ\tI-NP\tO' -p314737 -aS'level\tlevel\tNN\tI-NP\tO' -p314738 -aS'of\tof\tIN\tB-PP\tO' -p314739 -aS'43\t43\tCD\tB-NP\tO' -p314740 -aS'.\t.\t.\tO\tO' -p314741 -asS'Please call the Surgical Intensive Care Unit at Verg Medical Center for any further details that may be needed .' -p314742 -(lp314743 -S'Please\tPlease\tVB\tB-VP\tO' -p314744 -aS'call\tcall\tVB\tI-VP\tO' -p314745 -aS'the\tthe\tDT\tB-NP\tO' -p314746 -aS'Surgical\tSurgical\tNNP\tI-NP\tO' -p314747 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p314748 -aS'Care\tCare\tNNP\tI-NP\tO' -p314749 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p314750 -aS'at\tat\tIN\tB-PP\tO' -p314751 -aS'Verg\tVerg\tNNP\tB-NP\tO' -p314752 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p314753 -aS'Center\tCenter\tNNP\tI-NP\tO' -p314754 -aS'for\tfor\tIN\tB-PP\tO' -p314755 -aS'any\tany\tDT\tB-NP\tO' -p314756 -aS'further\tfurther\tJJ\tI-NP\tO' -p314757 -aS'details\tdetail\tNNS\tI-NP\tO' -p314758 -aS'that\tthat\tWDT\tB-NP\tO' -p314759 -aS'may\tmay\tMD\tB-VP\tO' -p314760 -aS'be\tbe\tVB\tI-VP\tO' -p314761 -aS'needed\tneed\tVBN\tI-VP\tO' -p314762 -aS'.\t.\t.\tO\tO' -p314763 -asS'You can also page Sta Lung , M.D. as I am the dictating physician who has been taking care of Ms. Shuffa for quite some time now .' -p314764 -(lp314765 -S'You\tYou\tPRP\tB-NP\tB-protein' -p314766 -aS'can\tcan\tMD\tB-VP\tO' -p314767 -aS'also\talso\tRB\tI-VP\tO' -p314768 -aS'page\tpage\tVB\tI-VP\tO' -p314769 -aS'Sta\tSta\tNNP\tB-NP\tO' -p314770 -aS'Lung\tLung\tNNP\tI-NP\tO' -p314771 -aS',\t,\t,\tO\tO' -p314772 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p314773 -aS'as\tas\tIN\tB-SBAR\tO' -p314774 -aS'I\tI\tPRP\tB-NP\tO' -p314775 -aS'am\tbe\tVBP\tB-VP\tO' -p314776 -aS'the\tthe\tDT\tB-NP\tO' -p314777 -aS'dictating\tdictate\tVBG\tI-NP\tO' -p314778 -aS'physician\tphysician\tNN\tI-NP\tO' -p314779 -aS'who\twho\tWP\tB-NP\tO' -p314780 -aS'has\thave\tVBZ\tB-VP\tO' -p314781 -aS'been\tbe\tVBN\tI-VP\tO' -p314782 -aS'taking\ttake\tVBG\tI-VP\tO' -p314783 -aS'care\tcare\tNN\tB-NP\tO' -p314784 -aS'of\tof\tIN\tB-PP\tO' -p314785 -aS'Ms.\tMs.\tNNP\tB-NP\tO' -p314786 -aS'Shuffa\tShuffa\tNNP\tI-NP\tO' -p314787 -aS'for\tfor\tIN\tB-PP\tO' -p314788 -aS'quite\tquite\tRB\tB-NP\tO' -p314789 -aS'some\tsome\tDT\tI-NP\tO' -p314790 -aS'time\ttime\tNN\tI-NP\tO' -p314791 -aS'now\tnow\tRB\tB-ADVP\tO' -p314792 -aS'.\t.\t.\tO\tO' -p314793 -asS'ABDOMINAL PAIN .' -p314794 -(lp314795 -S'ABDOMINAL\tABDOMINAL\tJJ\tB-NP\tO' -p314796 -aS'PAIN\tPAIN\tNN\tI-NP\tO' -p314797 -aS'.\t.\t.\tO\tO' -p314798 -asS'Tagged cell and angiographic studies performed immediately after re-exploration on 12-05 did not indetify active bleeding and no emobolization was indicated .' -p314799 -(lp314800 -S'Tagged\tTag\tVBN\tB-NP\tO' -p314801 -aS'cell\tcell\tNN\tI-NP\tO' -p314802 -aS'and\tand\tCC\tO\tO' -p314803 -aS'angiographic\tangiographic\tJJ\tB-NP\tO' -p314804 -aS'studies\tstudy\tNNS\tI-NP\tO' -p314805 -aS'performed\tperform\tVBN\tB-VP\tO' -p314806 -aS'immediately\timmediately\tRB\tB-ADVP\tO' -p314807 -aS'after\tafter\tIN\tB-PP\tO' -p314808 -aS're-exploration\tre-exploration\tNN\tB-NP\tO' -p314809 -aS'on\ton\tIN\tB-PP\tO' -p314810 -aS'12-05\t12-05\tNN\tB-NP\tO' -p314811 -aS'did\tdo\tVBD\tB-VP\tO' -p314812 -aS'not\tnot\tRB\tI-VP\tO' -p314813 -aS'indetify\tindetify\tVB\tI-VP\tO' -p314814 -aS'active\tactive\tJJ\tB-NP\tO' -p314815 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p314816 -aS'and\tand\tCC\tO\tO' -p314817 -aS'no\tno\tDT\tB-NP\tO' -p314818 -aS'emobolization\temobolization\tNN\tI-NP\tO' -p314819 -aS'was\tbe\tVBD\tB-VP\tO' -p314820 -aS'indicated\tindicate\tVBN\tI-VP\tO' -p314821 -aS'.\t.\t.\tO\tO' -p314822 -asS'Over the next three days he increased his activity gradually , was able to do stairs with Physical Therapy and had pain which could be controlled with oral analgesics .' -p314823 -(lp314824 -S'Over\tOver\tIN\tB-PP\tO' -p314825 -aS'the\tthe\tDT\tB-NP\tO' -p314826 -aS'next\tnext\tJJ\tI-NP\tO' -p314827 -aS'three\tthree\tCD\tI-NP\tO' -p314828 -aS'days\tday\tNNS\tI-NP\tO' -p314829 -aS'he\the\tPRP\tB-NP\tO' -p314830 -aS'increased\tincrease\tVBD\tB-VP\tO' -p314831 -aS'his\this\tPRP$\tB-NP\tO' -p314832 -aS'activity\tactivity\tNN\tI-NP\tO' -p314833 -aS'gradually\tgradually\tRB\tB-ADVP\tO' -p314834 -aS',\t,\t,\tO\tO' -p314835 -aS'was\tbe\tVBD\tB-VP\tO' -p314836 -aS'able\table\tJJ\tB-ADJP\tO' -p314837 -aS'to\tto\tTO\tB-VP\tO' -p314838 -aS'do\tdo\tVB\tI-VP\tO' -p314839 -aS'stairs\tstair\tNNS\tB-NP\tO' -p314840 -aS'with\twith\tIN\tB-PP\tO' -p314841 -aS'Physical\tPhysical\tJJ\tB-NP\tO' -p314842 -aS'Therapy\tTherapy\tNN\tI-NP\tO' -p314843 -aS'and\tand\tCC\tO\tO' -p314844 -aS'had\thave\tVBD\tB-VP\tO' -p314845 -aS'pain\tpain\tNN\tB-NP\tO' -p314846 -aS'which\twhich\tWDT\tB-NP\tO' -p314847 -aS'could\tcould\tMD\tB-VP\tO' -p314848 -aS'be\tbe\tVB\tI-VP\tO' -p314849 -aS'controlled\tcontrol\tVBN\tI-VP\tO' -p314850 -aS'with\twith\tIN\tB-PP\tO' -p314851 -aS'oral\toral\tJJ\tB-NP\tO' -p314852 -aS'analgesics\tanalgesic\tNNS\tI-NP\tO' -p314853 -aS'.\t.\t.\tO\tO' -p314854 -asS'Post catheterization echocardiogram showed an ejection fraction of 30% , moderate systolic dysfunction , basal anterior hypokinesis , mid anterior akinesis , basal anteroseptal hypokinesis , mid anteroseptal akinesis .' -p314855 -(lp314856 -S'Post\tPost\tJJ\tB-NP\tO' -p314857 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p314858 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p314859 -aS'showed\tshow\tVBD\tB-VP\tO' -p314860 -aS'an\tan\tDT\tB-NP\tO' -p314861 -aS'ejection\tejection\tNN\tI-NP\tO' -p314862 -aS'fraction\tfraction\tNN\tI-NP\tO' -p314863 -aS'of\tof\tIN\tB-PP\tO' -p314864 -aS'30%\t30%\tCD\tB-NP\tO' -p314865 -aS',\t,\t,\tO\tO' -p314866 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p314867 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p314868 -aS'dysfunction\tdysfunction\tNN\tI-NP\tO' -p314869 -aS',\t,\t,\tO\tO' -p314870 -aS'basal\tbasal\tJJ\tB-NP\tO' -p314871 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p314872 -aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' -p314873 -aS',\t,\t,\tO\tO' -p314874 -aS'mid\tmid\tJJ\tB-NP\tO' -p314875 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p314876 -aS'akinesis\takinesis\tNN\tI-NP\tO' -p314877 -aS',\t,\t,\tO\tO' -p314878 -aS'basal\tbasal\tJJ\tB-NP\tO' -p314879 -aS'anteroseptal\tanteroseptal\tJJ\tI-NP\tO' -p314880 -aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' -p314881 -aS',\t,\t,\tO\tO' -p314882 -aS'mid\tmid\tJJ\tB-NP\tO' -p314883 -aS'anteroseptal\tanteroseptal\tJJ\tI-NP\tO' -p314884 -aS'akinesis\takinesis\tNN\tI-NP\tO' -p314885 -aS'.\t.\t.\tO\tO' -p314886 -asS'PMH : Prostate Ca , Glaucoma' -p314887 -(lp314888 -S'PMH\tPMH\tNN\tB-NP\tO' -p314889 -aS':\t:\t:\tO\tO' -p314890 -aS'Prostate\tProstate\tNNP\tB-NP\tO' -p314891 -aS'Ca\tCa\tNNP\tI-NP\tO' -p314892 -aS',\t,\t,\tO\tO' -p314893 -aS'Glaucoma\tGlaucoma\tNNP\tB-NP\tO' -p314894 -asS'Baby received parenteral nutrition and lipids for four days .' -p314895 -(lp314896 -S'Baby\tBaby\tNNP\tB-NP\tO' -p314897 -aS'received\treceive\tVBD\tB-VP\tO' -p314898 -aS'parenteral\tparenteral\tJJ\tB-NP\tO' -p314899 -aS'nutrition\tnutrition\tNN\tI-NP\tO' -p314900 -aS'and\tand\tCC\tI-NP\tO' -p314901 -aS'lipids\tlipid\tNNS\tI-NP\tO' -p314902 -aS'for\tfor\tIN\tB-PP\tO' -p314903 -aS'four\tfour\tCD\tB-NP\tO' -p314904 -aS'days\tday\tNNS\tI-NP\tO' -p314905 -aS'.\t.\t.\tO\tO' -p314906 -asS'He has been having difficult access problems and now has a left upper arm PTFE .' -p314907 -(lp314908 -S'He\tHe\tPRP\tB-NP\tO' -p314909 -aS'has\thave\tVBZ\tB-VP\tO' -p314910 -aS'been\tbe\tVBN\tI-VP\tO' -p314911 -aS'having\thave\tVBG\tI-VP\tO' -p314912 -aS'difficult\tdifficult\tJJ\tB-NP\tO' -p314913 -aS'access\taccess\tNN\tI-NP\tO' -p314914 -aS'problems\tproblem\tNNS\tI-NP\tO' -p314915 -aS'and\tand\tCC\tO\tO' -p314916 -aS'now\tnow\tRB\tB-VP\tO' -p314917 -aS'has\thave\tVBZ\tI-VP\tO' -p314918 -aS'a\ta\tDT\tB-NP\tO' -p314919 -aS'left\tleft\tJJ\tI-NP\tO' -p314920 -aS'upper\tupper\tJJ\tI-NP\tO' -p314921 -aS'arm\tarm\tNN\tI-NP\tO' -p314922 -aS'PTFE\tPTFE\tNN\tI-NP\tO' -p314923 -aS'.\t.\t.\tO\tO' -p314924 -asS'demonstrated an obese man in no acute distress .' -p314925 -(lp314926 -S'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p314927 -aS'an\tan\tDT\tB-NP\tO' -p314928 -aS'obese\tobese\tJJ\tI-NP\tO' -p314929 -aS'man\tman\tNN\tI-NP\tO' -p314930 -aS'in\tin\tIN\tB-PP\tO' -p314931 -aS'no\tno\tDT\tB-NP\tO' -p314932 -aS'acute\tacute\tJJ\tI-NP\tO' -p314933 -aS'distress\tdistress\tNN\tI-NP\tO' -p314934 -aS'.\t.\t.\tO\tO' -p314935 -asS'4. Gastrointestinal - The infant was started on single phototherapy on day of life two for a maximum bilirubin level of 9.1 with a direct of 0.3 .' -p314936 -(lp314937 -S'4.\t4.\tLS\tB-LST\tO' -p314938 -aS'Gastrointestinal\tGastrointestinal\tJJ\tB-ADJP\tO' -p314939 -aS'-\t-\tHYPH\tO\tO' -p314940 -aS'The\tThe\tDT\tB-NP\tO' -p314941 -aS'infant\tinfant\tNN\tI-NP\tO' -p314942 -aS'was\tbe\tVBD\tB-VP\tO' -p314943 -aS'started\tstart\tVBN\tI-VP\tO' -p314944 -aS'on\ton\tIN\tB-PP\tO' -p314945 -aS'single\tsingle\tJJ\tB-NP\tO' -p314946 -aS'phototherapy\tphototherapy\tNN\tI-NP\tO' -p314947 -aS'on\ton\tIN\tB-PP\tO' -p314948 -aS'day\tday\tNN\tB-NP\tO' -p314949 -aS'of\tof\tIN\tB-PP\tO' -p314950 -aS'life\tlife\tNN\tB-NP\tO' -p314951 -aS'two\ttwo\tCD\tI-NP\tO' -p314952 -aS'for\tfor\tIN\tB-PP\tO' -p314953 -aS'a\ta\tDT\tB-NP\tO' -p314954 -aS'maximum\tmaximum\tNN\tI-NP\tO' -p314955 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p314956 -aS'level\tlevel\tNN\tI-NP\tO' -p314957 -aS'of\tof\tIN\tB-PP\tO' -p314958 -aS'9.1\t9.1\tCD\tB-NP\tO' -p314959 -aS'with\twith\tIN\tB-PP\tO' -p314960 -aS'a\ta\tDT\tB-NP\tO' -p314961 -aS'direct\tdirect\tNN\tI-NP\tO' -p314962 -aS'of\tof\tIN\tB-PP\tO' -p314963 -aS'0.3\t0.3\tCD\tB-NP\tO' -p314964 -aS'.\t.\t.\tO\tO' -p314965 -asS'Once , the patient was tolerating p.o. , the patient was restarted on his HAART regimen and remained stable from that perspective .' -p314966 -(lp314967 -S'Once\tOnce\tRB\tB-ADVP\tO' -p314968 -aS',\t,\t,\tO\tO' -p314969 -aS'the\tthe\tDT\tB-NP\tO' -p314970 -aS'patient\tpatient\tNN\tI-NP\tO' -p314971 -aS'was\tbe\tVBD\tB-VP\tO' -p314972 -aS'tolerating\ttolerate\tVBG\tI-VP\tO' -p314973 -aS'p.o.\tp.o.\tNN\tB-NP\tO' -p314974 -aS',\t,\t,\tO\tO' -p314975 -aS'the\tthe\tDT\tB-NP\tO' -p314976 -aS'patient\tpatient\tNN\tI-NP\tO' -p314977 -aS'was\tbe\tVBD\tB-VP\tO' -p314978 -aS'restarted\trestart\tVBN\tI-VP\tO' -p314979 -aS'on\ton\tIN\tB-PP\tO' -p314980 -aS'his\this\tPRP$\tB-NP\tO' -p314981 -aS'HAART\tHAART\tNN\tI-NP\tO' -p314982 -aS'regimen\tregimen\tNN\tI-NP\tO' -p314983 -aS'and\tand\tCC\tO\tO' -p314984 -aS'remained\tremain\tVBD\tB-VP\tO' -p314985 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p314986 -aS'from\tfrom\tIN\tB-PP\tO' -p314987 -aS'that\tthat\tDT\tB-NP\tO' -p314988 -aS'perspective\tperspective\tNN\tI-NP\tO' -p314989 -aS'.\t.\t.\tO\tO' -p314990 -asS'In addition , he will need to remain on Imdur given use of his right internal mammary artery as a " free " arterial graft in preventing' -p314991 -(lp314992 -S'In\tIn\tIN\tB-PP\tO' -p314993 -aS'addition\taddition\tNN\tB-NP\tO' -p314994 -aS',\t,\t,\tO\tO' -p314995 -aS'he\the\tPRP\tB-NP\tO' -p314996 -aS'will\twill\tMD\tB-VP\tO' -p314997 -aS'need\tneed\tVB\tI-VP\tO' -p314998 -aS'to\tto\tTO\tI-VP\tO' -p314999 -aS'remain\tremain\tVB\tI-VP\tO' -p315000 -aS'on\ton\tIN\tB-PP\tO' -p315001 -aS'Imdur\tImdur\tNNP\tB-NP\tO' -p315002 -aS'given\tgive\tVBN\tB-NP\tO' -p315003 -aS'use\tuse\tNN\tI-NP\tO' -p315004 -aS'of\tof\tIN\tB-PP\tO' -p315005 -aS'his\this\tPRP$\tB-NP\tO' -p315006 -aS'right\tright\tJJ\tI-NP\tO' -p315007 -aS'internal\tinternal\tJJ\tI-NP\tO' -p315008 -aS'mammary\tmammary\tJJ\tI-NP\tO' -p315009 -aS'artery\tartery\tNN\tI-NP\tO' -p315010 -aS'as\tas\tIN\tB-PP\tO' -p315011 -aS'a\ta\tDT\tB-NP\tO' -p315012 -aS'"\t"\t``\tI-NP\tO' -p315013 -aS'free\tfree\tJJ\tI-NP\tO' -p315014 -aS'"\t"\t\'\'\tI-NP\tO' -p315015 -aS'arterial\tarterial\tJJ\tI-NP\tO' -p315016 -aS'graft\tgraft\tNN\tI-NP\tO' -p315017 -aS'in\tin\tIN\tB-PP\tO' -p315018 -aS'preventing\tprevent\tVBG\tB-VP\tO' -p315019 -asS'Estimated disability was none .' -p315020 -(lp315021 -S'Estimated\tEstimate\tVBN\tB-NP\tO' -p315022 -aS'disability\tdisability\tNN\tI-NP\tO' -p315023 -aS'was\tbe\tVBD\tB-VP\tO' -p315024 -aS'none\tnone\tNN\tB-NP\tO' -p315025 -aS'.\t.\t.\tO\tO' -p315026 -asS'At the time an 8 Caucasian catheter was placed in the common hepatic/bioduct for external drainage .' -p315027 -(lp315028 -S'At\tAt\tIN\tB-PP\tO' -p315029 -aS'the\tthe\tDT\tB-NP\tO' -p315030 -aS'time\ttime\tNN\tI-NP\tO' -p315031 -aS'an\tan\tDT\tB-NP\tO' -p315032 -aS'8\t8\tCD\tI-NP\tO' -p315033 -aS'Caucasian\tCaucasian\tJJ\tI-NP\tO' -p315034 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p315035 -aS'was\tbe\tVBD\tB-VP\tO' -p315036 -aS'placed\tplace\tVBN\tI-VP\tO' -p315037 -aS'in\tin\tIN\tB-PP\tO' -p315038 -aS'the\tthe\tDT\tB-NP\tO' -p315039 -aS'common\tcommon\tJJ\tI-NP\tO' -p315040 -aS'hepatic/bioduct\thepatic/bioduct\tNN\tI-NP\tO' -p315041 -aS'for\tfor\tIN\tB-PP\tO' -p315042 -aS'external\texternal\tJJ\tB-NP\tO' -p315043 -aS'drainage\tdrainage\tNN\tI-NP\tO' -p315044 -aS'.\t.\t.\tO\tO' -p315045 -asS'Non-Q wave myocardial infarction .' -p315046 -(lp315047 -S'Non-Q\tNon-Q\tJJ\tB-NP\tO' -p315048 -aS'wave\twave\tNN\tI-NP\tO' -p315049 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p315050 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p315051 -aS'.\t.\t.\tO\tO' -p315052 -asS'There was no clear enhancing mass , but follow up was suggested .' -p315053 -(lp315054 -S'There\tThere\tEX\tB-NP\tO' -p315055 -aS'was\tbe\tVBD\tB-VP\tO' -p315056 -aS'no\tno\tDT\tB-NP\tO' -p315057 -aS'clear\tclear\tJJ\tI-NP\tO' -p315058 -aS'enhancing\tenhance\tVBG\tI-NP\tO' -p315059 -aS'mass\tmass\tNN\tI-NP\tO' -p315060 -aS',\t,\t,\tO\tO' -p315061 -aS'but\tbut\tCC\tO\tO' -p315062 -aS'follow\tfollow\tVB\tB-VP\tO' -p315063 -aS'up\tup\tRP\tB-PRT\tO' -p315064 -aS'was\tbe\tVBD\tB-VP\tO' -p315065 -aS'suggested\tsuggest\tVBN\tI-VP\tO' -p315066 -aS'.\t.\t.\tO\tO' -p315067 -asS'reach six months of age , before this age the family and other caregivers should be considered for immunization against' -p315068 -(lp315069 -S'reach\treach\tVB\tB-VP\tO' -p315070 -aS'six\tsix\tCD\tB-NP\tO' -p315071 -aS'months\tmonth\tNNS\tI-NP\tO' -p315072 -aS'of\tof\tIN\tB-PP\tO' -p315073 -aS'age\tage\tNN\tB-NP\tO' -p315074 -aS',\t,\t,\tO\tO' -p315075 -aS'before\tbefore\tIN\tB-SBAR\tO' -p315076 -aS'this\tthis\tDT\tB-NP\tO' -p315077 -aS'age\tage\tNN\tI-NP\tO' -p315078 -aS'the\tthe\tDT\tB-NP\tO' -p315079 -aS'family\tfamily\tNN\tI-NP\tO' -p315080 -aS'and\tand\tCC\tO\tO' -p315081 -aS'other\tother\tJJ\tB-NP\tO' -p315082 -aS'caregivers\tcaregiver\tNNS\tI-NP\tO' -p315083 -aS'should\tshould\tMD\tB-VP\tO' -p315084 -aS'be\tbe\tVB\tI-VP\tO' -p315085 -aS'considered\tconsider\tVBN\tI-VP\tO' -p315086 -aS'for\tfor\tIN\tB-PP\tO' -p315087 -aS'immunization\timmunization\tNN\tB-NP\tO' -p315088 -aS'against\tagainst\tIN\tB-PP\tO' -p315089 -asS'He was advanced to a regular house diet later on postop day 3 .' -p315090 -(lp315091 -S'He\tHe\tPRP\tB-NP\tO' -p315092 -aS'was\tbe\tVBD\tB-VP\tO' -p315093 -aS'advanced\tadvance\tVBN\tI-VP\tO' -p315094 -aS'to\tto\tTO\tB-PP\tO' -p315095 -aS'a\ta\tDT\tB-NP\tO' -p315096 -aS'regular\tregular\tJJ\tI-NP\tO' -p315097 -aS'house\thouse\tNN\tI-NP\tO' -p315098 -aS'diet\tdiet\tNN\tI-NP\tO' -p315099 -aS'later\tlater\tRB\tB-ADVP\tO' -p315100 -aS'on\ton\tIN\tB-PP\tO' -p315101 -aS'postop\tpostop\tNN\tB-NP\tO' -p315102 -aS'day\tday\tNN\tI-NP\tO' -p315103 -aS'3\t3\tCD\tI-NP\tO' -p315104 -aS'.\t.\t.\tO\tO' -p315105 -asS'White blood cell count were 11.8 , hematocrit 31.5 , platelets 151 .' -p315106 -(lp315107 -S'White\tWhite\tJJ\tB-NP\tO' -p315108 -aS'blood\tblood\tNN\tI-NP\tO' -p315109 -aS'cell\tcell\tNN\tI-NP\tO' -p315110 -aS'count\tcount\tNN\tI-NP\tO' -p315111 -aS'were\tbe\tVBD\tB-VP\tO' -p315112 -aS'11.8\t11.8\tCD\tB-NP\tO' -p315113 -aS',\t,\t,\tO\tO' -p315114 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p315115 -aS'31.5\t31.5\tCD\tI-NP\tI-protein' -p315116 -aS',\t,\t,\tO\tO' -p315117 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p315118 -aS'151\t151\tCD\tB-NP\tO' -p315119 -aS'.\t.\t.\tO\tO' -p315120 -asS'According to her scanty records , an MRI of the spine showed diffuse spinal column involvement with lesions in T4 and T8 with no cord compression at that time .' -p315121 -(lp315122 -S'According\tAccord\tVBG\tB-PP\tO' -p315123 -aS'to\tto\tTO\tB-PP\tO' -p315124 -aS'her\ther\tPRP$\tB-NP\tO' -p315125 -aS'scanty\tscanty\tJJ\tI-NP\tO' -p315126 -aS'records\trecord\tNNS\tI-NP\tO' -p315127 -aS',\t,\t,\tO\tO' -p315128 -aS'an\tan\tDT\tB-NP\tO' -p315129 -aS'MRI\tMRI\tNN\tI-NP\tB-protein' -p315130 -aS'of\tof\tIN\tB-PP\tO' -p315131 -aS'the\tthe\tDT\tB-NP\tO' -p315132 -aS'spine\tspine\tNN\tI-NP\tO' -p315133 -aS'showed\tshow\tVBD\tB-VP\tO' -p315134 -aS'diffuse\tdiffuse\tJJ\tB-NP\tO' -p315135 -aS'spinal\tspinal\tJJ\tI-NP\tO' -p315136 -aS'column\tcolumn\tNN\tI-NP\tO' -p315137 -aS'involvement\tinvolvement\tNN\tI-NP\tO' -p315138 -aS'with\twith\tIN\tB-PP\tO' -p315139 -aS'lesions\tlesion\tNNS\tB-NP\tO' -p315140 -aS'in\tin\tIN\tB-PP\tO' -p315141 -aS'T4\tT4\tNN\tB-NP\tO' -p315142 -aS'and\tand\tCC\tI-NP\tO' -p315143 -aS'T8\tT8\tNN\tI-NP\tO' -p315144 -aS'with\twith\tIN\tB-PP\tO' -p315145 -aS'no\tno\tDT\tB-NP\tO' -p315146 -aS'cord\tcord\tNN\tI-NP\tO' -p315147 -aS'compression\tcompression\tNN\tI-NP\tO' -p315148 -aS'at\tat\tIN\tB-PP\tO' -p315149 -aS'that\tthat\tDT\tB-NP\tO' -p315150 -aS'time\ttime\tNN\tI-NP\tO' -p315151 -aS'.\t.\t.\tO\tO' -p315152 -asS'He lives in senior apartment housing in Cambridge on the second floor .' -p315153 -(lp315154 -S'He\tHe\tPRP\tB-NP\tO' -p315155 -aS'lives\tlive\tVBZ\tB-VP\tO' -p315156 -aS'in\tin\tIN\tB-PP\tO' -p315157 -aS'senior\tsenior\tJJ\tB-NP\tO' -p315158 -aS'apartment\tapartment\tNN\tI-NP\tO' -p315159 -aS'housing\thousing\tNN\tI-NP\tO' -p315160 -aS'in\tin\tIN\tB-PP\tO' -p315161 -aS'Cambridge\tCambridge\tNNP\tB-NP\tO' -p315162 -aS'on\ton\tIN\tB-PP\tO' -p315163 -aS'the\tthe\tDT\tB-NP\tO' -p315164 -aS'second\tsecond\tJJ\tI-NP\tO' -p315165 -aS'floor\tfloor\tNN\tI-NP\tO' -p315166 -aS'.\t.\t.\tO\tO' -p315167 -asS'Initially the patient was treated with broad spectrum antibiotics including Vancomycin , Ceptaz , Levaquin , Clindamycin and _________.' -p315168 -(lp315169 -S'Initially\tInitially\tRB\tB-ADVP\tO' -p315170 -aS'the\tthe\tDT\tB-NP\tO' -p315171 -aS'patient\tpatient\tNN\tI-NP\tO' -p315172 -aS'was\tbe\tVBD\tB-VP\tO' -p315173 -aS'treated\ttreat\tVBN\tI-VP\tO' -p315174 -aS'with\twith\tIN\tB-PP\tO' -p315175 -aS'broad\tbroad\tJJ\tB-NP\tO' -p315176 -aS'spectrum\tspectrum\tNN\tI-NP\tO' -p315177 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p315178 -aS'including\tinclude\tVBG\tB-PP\tO' -p315179 -aS'Vancomycin\tVancomycin\tNNP\tB-NP\tO' -p315180 -aS',\t,\t,\tO\tO' -p315181 -aS'Ceptaz\tCeptaz\tNNP\tB-NP\tO' -p315182 -aS',\t,\t,\tO\tO' -p315183 -aS'Levaquin\tLevaquin\tNNP\tB-NP\tO' -p315184 -aS',\t,\t,\tO\tO' -p315185 -aS'Clindamycin\tClindamycin\tNNP\tB-NP\tO' -p315186 -aS'and\tand\tCC\tO\tO' -p315187 -aS'_________.\t_________.\tNNP\tB-NP\tO' -p315188 -asS'Gastroenterology was consulted to assist in creating the most appropriate diagnostic rhythm given his intubated and sedated status .' -p315189 -(lp315190 -S'Gastroenterology\tGastroenterology\tNN\tB-NP\tO' -p315191 -aS'was\tbe\tVBD\tB-VP\tO' -p315192 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p315193 -aS'to\tto\tTO\tI-VP\tO' -p315194 -aS'assist\tassist\tVB\tI-VP\tO' -p315195 -aS'in\tin\tIN\tB-PP\tO' -p315196 -aS'creating\tcreate\tVBG\tB-VP\tO' -p315197 -aS'the\tthe\tDT\tB-NP\tO' -p315198 -aS'most\tmost\tRBS\tI-NP\tO' -p315199 -aS'appropriate\tappropriate\tJJ\tI-NP\tO' -p315200 -aS'diagnostic\tdiagnostic\tJJ\tI-NP\tO' -p315201 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p315202 -aS'given\tgive\tVBN\tB-VP\tO' -p315203 -aS'his\this\tPRP$\tB-NP\tO' -p315204 -aS'intubated\tintubated\tJJ\tI-NP\tO' -p315205 -aS'and\tand\tCC\tI-NP\tO' -p315206 -aS'sedated\tsedate\tVBN\tI-NP\tO' -p315207 -aS'status\tstatus\tNN\tI-NP\tO' -p315208 -aS'.\t.\t.\tO\tO' -p315209 -asS'Toprol 75 mg po bid , Furosemide 20 mg po bid times one week , potassium chloride 20 mEq po bid while on Lasix , Colace 100 mg po bid while on Percocet , enteric coated Aspirin 325 mg po q day , Indocin 25 mg po bid , Sarna cream applied to affected area prn , Percocet 1-2 tabs po q 4-6 hours prn , Ibuprofen 400 mg po q 6 hours prn , Tylenol 650 mg po q 4-6 hours prn , Ativan 0.5 mg po q 8 hours prn .' -p315210 -(lp315211 -S'Toprol\tToprol\tNN\tB-NP\tO' -p315212 -aS'75\t75\tCD\tI-NP\tO' -p315213 -aS'mg\tmg\tNN\tI-NP\tO' -p315214 -aS'po\tpo\tNN\tI-NP\tO' -p315215 -aS'bid\tbid\tNN\tI-NP\tO' -p315216 -aS',\t,\t,\tO\tO' -p315217 -aS'Furosemide\tFurosemide\tNN\tB-NP\tO' -p315218 -aS'20\t20\tCD\tI-NP\tO' -p315219 -aS'mg\tmg\tNN\tI-NP\tO' -p315220 -aS'po\tpo\tNN\tI-NP\tO' -p315221 -aS'bid\tbid\tNN\tI-NP\tO' -p315222 -aS'times\ttime\tNNS\tI-NP\tO' -p315223 -aS'one\tone\tCD\tB-NP\tO' -p315224 -aS'week\tweek\tNN\tI-NP\tO' -p315225 -aS',\t,\t,\tO\tO' -p315226 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p315227 -aS'chloride\tchloride\tNN\tI-NP\tO' -p315228 -aS'20\t20\tCD\tI-NP\tO' -p315229 -aS'mEq\tmEq\tNN\tI-NP\tO' -p315230 -aS'po\tpo\tNN\tI-NP\tO' -p315231 -aS'bid\tbid\tNN\tI-NP\tO' -p315232 -aS'while\twhile\tIN\tB-SBAR\tO' -p315233 -aS'on\ton\tIN\tB-PP\tO' -p315234 -aS'Lasix\tLasix\tNNP\tB-NP\tO' -p315235 -aS',\t,\t,\tO\tO' -p315236 -aS'Colace\tColace\tNNP\tB-NP\tO' -p315237 -aS'100\t100\tCD\tI-NP\tO' -p315238 -aS'mg\tmg\tNN\tI-NP\tO' -p315239 -aS'po\tpo\tNN\tI-NP\tO' -p315240 -aS'bid\tbid\tNN\tI-NP\tO' -p315241 -aS'while\twhile\tIN\tB-SBAR\tO' -p315242 -aS'on\ton\tIN\tB-PP\tO' -p315243 -aS'Percocet\tPercocet\tNNP\tB-NP\tO' -p315244 -aS',\t,\t,\tO\tO' -p315245 -aS'enteric\tenteric\tJJ\tB-NP\tO' -p315246 -aS'coated\tcoated\tJJ\tI-NP\tO' -p315247 -aS'Aspirin\tAspirin\tNN\tI-NP\tO' -p315248 -aS'325\t325\tCD\tI-NP\tO' -p315249 -aS'mg\tmg\tNN\tI-NP\tO' -p315250 -aS'po\tpo\tNN\tI-NP\tO' -p315251 -aS'q\tq\tNN\tI-NP\tO' -p315252 -aS'day\tday\tNN\tI-NP\tO' -p315253 -aS',\t,\t,\tO\tO' -p315254 -aS'Indocin\tIndocin\tNN\tB-NP\tO' -p315255 -aS'25\t25\tCD\tI-NP\tO' -p315256 -aS'mg\tmg\tNN\tI-NP\tO' -p315257 -aS'po\tpo\tNN\tI-NP\tO' -p315258 -aS'bid\tbid\tNN\tI-NP\tO' -p315259 -aS',\t,\t,\tO\tO' -p315260 -aS'Sarna\tSarna\tNNP\tB-NP\tO' -p315261 -aS'cream\tcream\tNN\tI-NP\tO' -p315262 -aS'applied\tapply\tVBD\tB-VP\tO' -p315263 -aS'to\tto\tTO\tB-PP\tO' -p315264 -aS'affected\taffect\tVBN\tB-NP\tO' -p315265 -aS'area\tarea\tNN\tI-NP\tO' -p315266 -aS'prn\tprn\tNN\tI-NP\tO' -p315267 -aS',\t,\t,\tO\tO' -p315268 -aS'Percocet\tPercocet\tNNP\tB-NP\tB-protein' -p315269 -aS'1-2\t1-2\tCD\tI-NP\tI-protein' -p315270 -aS'tabs\ttab\tNNS\tI-NP\tI-protein' -p315271 -aS'po\tpo\tVBP\tB-VP\tO' -p315272 -aS'q\tq\tNN\tB-NP\tO' -p315273 -aS'4-6\t4-6\tCD\tB-NP\tO' -p315274 -aS'hours\thour\tNNS\tI-NP\tO' -p315275 -aS'prn\tprn\tNN\tI-NP\tO' -p315276 -aS',\t,\t,\tO\tO' -p315277 -aS'Ibuprofen\tIbuprofen\tNN\tB-NP\tB-protein' -p315278 -aS'400\t400\tCD\tI-NP\tI-protein' -p315279 -aS'mg\tmg\tNN\tI-NP\tI-protein' -p315280 -aS'po\tpo\tNN\tI-NP\tI-protein' -p315281 -aS'q\tq\tNN\tI-NP\tI-protein' -p315282 -aS'6\t6\tCD\tB-NP\tI-protein' -p315283 -aS'hours\thour\tNNS\tI-NP\tI-protein' -p315284 -aS'prn\tprn\tNN\tI-NP\tI-protein' -p315285 -aS',\t,\t,\tO\tO' -p315286 -aS'Tylenol\tTylenol\tNN\tB-NP\tO' -p315287 -aS'650\t650\tCD\tI-NP\tO' -p315288 -aS'mg\tmg\tNN\tI-NP\tO' -p315289 -aS'po\tpo\tNN\tI-NP\tO' -p315290 -aS'q\tq\tNN\tI-NP\tO' -p315291 -aS'4-6\t4-6\tCD\tB-NP\tO' -p315292 -aS'hours\thour\tNNS\tI-NP\tO' -p315293 -aS'prn\tprn\tNN\tI-NP\tO' -p315294 -aS',\t,\t,\tO\tO' -p315295 -aS'Ativan\tAtivan\tNNP\tB-NP\tO' -p315296 -aS'0.5\t0.5\tCD\tI-NP\tO' -p315297 -aS'mg\tmg\tNN\tI-NP\tO' -p315298 -aS'po\tpo\tNN\tI-NP\tO' -p315299 -aS'q\tq\tNN\tI-NP\tO' -p315300 -aS'8\t8\tCD\tB-NP\tO' -p315301 -aS'hours\thour\tNNS\tI-NP\tO' -p315302 -aS'prn\tprn\tVBP\tB-VP\tO' -p315303 -aS'.\t.\t.\tO\tO' -p315304 -asS'PT and OT are recommending rehab .' -p315305 -(lp315306 -S'PT\tPT\tNN\tB-NP\tO' -p315307 -aS'and\tand\tCC\tI-NP\tO' -p315308 -aS'OT\tOT\tNN\tI-NP\tO' -p315309 -aS'are\tbe\tVBP\tB-VP\tO' -p315310 -aS'recommending\trecommend\tVBG\tI-VP\tO' -p315311 -aS'rehab\trehab\tNN\tB-NP\tO' -p315312 -aS'.\t.\t.\tO\tO' -p315313 -asS'There were some oval tear drop cells and target cells with a few schistocytes .' -p315314 -(lp315315 -S'There\tThere\tEX\tB-NP\tO' -p315316 -aS'were\tbe\tVBD\tB-VP\tO' -p315317 -aS'some\tsome\tDT\tB-NP\tO' -p315318 -aS'oval\toval\tNN\tI-NP\tB-cell_type' -p315319 -aS'tear\ttear\tNN\tI-NP\tI-cell_type' -p315320 -aS'drop\tdrop\tNN\tI-NP\tI-cell_type' -p315321 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p315322 -aS'and\tand\tCC\tO\tO' -p315323 -aS'target\ttarget\tNN\tB-NP\tB-cell_type' -p315324 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p315325 -aS'with\twith\tIN\tB-PP\tO' -p315326 -aS'a\ta\tDT\tB-NP\tO' -p315327 -aS'few\tfew\tJJ\tI-NP\tO' -p315328 -aS'schistocytes\tschistocyte\tNNS\tI-NP\tO' -p315329 -aS'.\t.\t.\tO\tO' -p315330 -asS'Normal aortic contours .' -p315331 -(lp315332 -S'Normal\tNormal\tJJ\tB-NP\tO' -p315333 -aS'aortic\taortic\tJJ\tI-NP\tO' -p315334 -aS'contours\tcontour\tNNS\tI-NP\tO' -p315335 -aS'.\t.\t.\tO\tO' -p315336 -asS'The patient did have a postoperative serum sodium in the 120s from the 130s three days postoperatively .' -p315337 -(lp315338 -S'The\tThe\tDT\tB-NP\tO' -p315339 -aS'patient\tpatient\tNN\tI-NP\tO' -p315340 -aS'did\tdo\tVBD\tB-VP\tO' -p315341 -aS'have\thave\tVB\tI-VP\tO' -p315342 -aS'a\ta\tDT\tB-NP\tO' -p315343 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p315344 -aS'serum\tserum\tNN\tI-NP\tO' -p315345 -aS'sodium\tsodium\tNN\tI-NP\tO' -p315346 -aS'in\tin\tIN\tB-PP\tO' -p315347 -aS'the\tthe\tDT\tB-NP\tO' -p315348 -aS'120s\t120s\tCD\tI-NP\tO' -p315349 -aS'from\tfrom\tIN\tB-PP\tO' -p315350 -aS'the\tthe\tDT\tB-NP\tO' -p315351 -aS'130s\t130s\tCD\tI-NP\tO' -p315352 -aS'three\tthree\tCD\tI-NP\tO' -p315353 -aS'days\tday\tNNS\tI-NP\tO' -p315354 -aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' -p315355 -aS'.\t.\t.\tO\tO' -p315356 -asS'- Sinus Tach , normal axis HR 119 ST Depression V3-V5 ; S1Q3T3 , p-pulmonale .' -p315357 -(lp315358 -S'-\t-\tHYPH\tB-NP\tO' -p315359 -aS'Sinus\tSinus\tNNP\tI-NP\tO' -p315360 -aS'Tach\tTach\tNNP\tI-NP\tO' -p315361 -aS',\t,\t,\tO\tO' -p315362 -aS'normal\tnormal\tJJ\tB-NP\tO' -p315363 -aS'axis\taxis\tNN\tI-NP\tO' -p315364 -aS'HR\tHR\tNN\tI-NP\tO' -p315365 -aS'119\t119\tCD\tI-NP\tO' -p315366 -aS'ST\tST\tNN\tI-NP\tO' -p315367 -aS'Depression\tDepression\tNN\tI-NP\tO' -p315368 -aS'V3-V5\tV3-V5\tNN\tI-NP\tO' -p315369 -aS';\t;\t:\tO\tO' -p315370 -aS'S1Q3T3\tS1Q3T3\tNN\tB-NP\tO' -p315371 -aS',\t,\t,\tO\tO' -p315372 -aS'p-pulmonale\tp-pulmonale\tNN\tB-NP\tO' -p315373 -aS'.\t.\t.\tO\tO' -p315374 -asS'Mild intermittent grunting noted with mild subcostal retractions .' -p315375 -(lp315376 -S'Mild\tMild\tJJ\tB-NP\tO' -p315377 -aS'intermittent\tintermittent\tJJ\tI-NP\tO' -p315378 -aS'grunting\tgrunting\tNN\tI-NP\tO' -p315379 -aS'noted\tnote\tVBN\tB-VP\tO' -p315380 -aS'with\twith\tIN\tB-PP\tO' -p315381 -aS'mild\tmild\tJJ\tB-NP\tO' -p315382 -aS'subcostal\tsubcostal\tJJ\tI-NP\tO' -p315383 -aS'retractions\tretraction\tNNS\tI-NP\tO' -p315384 -aS'.\t.\t.\tO\tO' -p315385 -asS'Signed electronically by : DR. Stoll Delacy on : Sandra 2018-08-09 4:36 PM' -p315386 -(lp315387 -S'Signed\tSign\tVBN\tB-VP\tO' -p315388 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p315389 -aS'by\tby\tIN\tB-PP\tO' -p315390 -aS':\t:\t:\tO\tO' -p315391 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p315392 -aS'Stoll\tStoll\tNNP\tI-NP\tO' -p315393 -aS'Delacy\tDelacy\tNNP\tI-NP\tO' -p315394 -aS'on\ton\tIN\tB-PP\tO' -p315395 -aS':\t:\t:\tO\tO' -p315396 -aS'Sandra\tSandra\tNNP\tB-NP\tO' -p315397 -aS'2018-08-09\t2018-08-09\tCD\tB-NP\tO' -p315398 -aS'4:36\t4:36\tCD\tI-NP\tO' -p315399 -aS'PM\tPM\tNN\tI-NP\tO' -p315400 -asS'2. Prozac .' -p315401 -(lp315402 -S'2.\t2.\tLS\tB-NP\tO' -p315403 -aS'Prozac\tProzac\tNN\tI-NP\tO' -p315404 -aS'.\t.\t.\tO\tO' -p315405 -asS'The electrocardiogram revealed normal sinus rhythm with premature atrial complexes and right bundle branch block with left anterior hemiblock and old anterior myocardial infarction .' -p315406 -(lp315407 -S'The\tThe\tDT\tB-NP\tO' -p315408 -aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' -p315409 -aS'revealed\treveal\tVBD\tB-VP\tO' -p315410 -aS'normal\tnormal\tJJ\tB-NP\tO' -p315411 -aS'sinus\tsinus\tNN\tI-NP\tO' -p315412 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p315413 -aS'with\twith\tIN\tB-PP\tO' -p315414 -aS'premature\tpremature\tJJ\tB-NP\tB-protein' -p315415 -aS'atrial\tatrial\tJJ\tI-NP\tI-protein' -p315416 -aS'complexes\tcomplex\tNNS\tI-NP\tI-protein' -p315417 -aS'and\tand\tCC\tO\tO' -p315418 -aS'right\tright\tJJ\tB-NP\tO' -p315419 -aS'bundle\tbundle\tNN\tI-NP\tO' -p315420 -aS'branch\tbranch\tNN\tI-NP\tO' -p315421 -aS'block\tblock\tNN\tI-NP\tO' -p315422 -aS'with\twith\tIN\tB-PP\tO' -p315423 -aS'left\tleft\tJJ\tB-NP\tO' -p315424 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p315425 -aS'hemiblock\themiblock\tNN\tI-NP\tO' -p315426 -aS'and\tand\tCC\tO\tO' -p315427 -aS'old\told\tJJ\tB-NP\tO' -p315428 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p315429 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p315430 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p315431 -aS'.\t.\t.\tO\tO' -p315432 -asS'I should mention that his blood pressure therapy was at times limited by a severe headache , although he also had this off the pressor .' -p315433 -(lp315434 -S'I\tI\tPRP\tB-NP\tO' -p315435 -aS'should\tshould\tMD\tB-VP\tO' -p315436 -aS'mention\tmention\tVB\tI-VP\tO' -p315437 -aS'that\tthat\tIN\tB-SBAR\tO' -p315438 -aS'his\this\tPRP$\tB-NP\tO' -p315439 -aS'blood\tblood\tNN\tI-NP\tO' -p315440 -aS'pressure\tpressure\tNN\tI-NP\tO' -p315441 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p315442 -aS'was\tbe\tVBD\tB-VP\tO' -p315443 -aS'at\tat\tIN\tB-PP\tO' -p315444 -aS'times\ttime\tNNS\tB-NP\tO' -p315445 -aS'limited\tlimit\tVBN\tB-VP\tO' -p315446 -aS'by\tby\tIN\tB-PP\tO' -p315447 -aS'a\ta\tDT\tB-NP\tO' -p315448 -aS'severe\tsevere\tJJ\tI-NP\tO' -p315449 -aS'headache\theadache\tNN\tI-NP\tO' -p315450 -aS',\t,\t,\tO\tO' -p315451 -aS'although\talthough\tIN\tB-SBAR\tO' -p315452 -aS'he\the\tPRP\tB-NP\tO' -p315453 -aS'also\talso\tRB\tB-ADVP\tO' -p315454 -aS'had\thave\tVBD\tB-VP\tO' -p315455 -aS'this\tthis\tDT\tB-NP\tO' -p315456 -aS'off\toff\tIN\tB-PP\tO' -p315457 -aS'the\tthe\tDT\tB-NP\tO' -p315458 -aS'pressor\tpressor\tNN\tI-NP\tO' -p315459 -aS'.\t.\t.\tO\tO' -p315460 -asS'Mental status - her speech was fluent without errors .' -p315461 -(lp315462 -S'Mental\tMental\tJJ\tB-NP\tO' -p315463 -aS'status\tstatus\tNN\tI-NP\tO' -p315464 -aS'-\t-\tHYPH\tO\tO' -p315465 -aS'her\ther\tPRP$\tB-NP\tO' -p315466 -aS'speech\tspeech\tNN\tI-NP\tO' -p315467 -aS'was\tbe\tVBD\tB-VP\tO' -p315468 -aS'fluent\tfluent\tJJ\tB-ADJP\tO' -p315469 -aS'without\twithout\tIN\tB-PP\tO' -p315470 -aS'errors\terror\tNNS\tB-NP\tO' -p315471 -aS'.\t.\t.\tO\tO' -p315472 -asS'He weaned to room air and remained on room air the rest of his Neonatal Intensive Care Unit admission .' -p315473 -(lp315474 -S'He\tHe\tPRP\tB-NP\tO' -p315475 -aS'weaned\twean\tVBD\tB-VP\tO' -p315476 -aS'to\tto\tTO\tB-PP\tO' -p315477 -aS'room\troom\tNN\tB-NP\tO' -p315478 -aS'air\tair\tNN\tI-NP\tO' -p315479 -aS'and\tand\tCC\tO\tO' -p315480 -aS'remained\tremain\tVBD\tB-VP\tO' -p315481 -aS'on\ton\tIN\tB-PP\tO' -p315482 -aS'room\troom\tNN\tB-NP\tO' -p315483 -aS'air\tair\tNN\tI-NP\tO' -p315484 -aS'the\tthe\tDT\tB-NP\tO' -p315485 -aS'rest\trest\tNN\tI-NP\tO' -p315486 -aS'of\tof\tIN\tB-PP\tO' -p315487 -aS'his\this\tPRP$\tB-NP\tO' -p315488 -aS'Neonatal\tNeonatal\tNNP\tI-NP\tO' -p315489 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p315490 -aS'Care\tCare\tNNP\tI-NP\tO' -p315491 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p315492 -aS'admission\tadmission\tNN\tI-NP\tO' -p315493 -aS'.\t.\t.\tO\tO' -p315494 -asS'He was becoming more mobile and was taking a high protein high calories diet which he tolerated well .' -p315495 -(lp315496 -S'He\tHe\tPRP\tB-NP\tO' -p315497 -aS'was\tbe\tVBD\tB-VP\tO' -p315498 -aS'becoming\tbecome\tVBG\tI-VP\tO' -p315499 -aS'more\tmore\tRBR\tB-ADJP\tO' -p315500 -aS'mobile\tmobile\tJJ\tI-ADJP\tO' -p315501 -aS'and\tand\tCC\tO\tO' -p315502 -aS'was\tbe\tVBD\tB-VP\tO' -p315503 -aS'taking\ttake\tVBG\tI-VP\tO' -p315504 -aS'a\ta\tDT\tB-NP\tO' -p315505 -aS'high\thigh\tJJ\tI-NP\tO' -p315506 -aS'protein\tprotein\tNN\tI-NP\tO' -p315507 -aS'high\thigh\tJJ\tI-NP\tO' -p315508 -aS'calories\tcalorie\tNNS\tI-NP\tO' -p315509 -aS'diet\tdiet\tNN\tI-NP\tO' -p315510 -aS'which\twhich\tWDT\tB-NP\tO' -p315511 -aS'he\the\tPRP\tB-NP\tO' -p315512 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p315513 -aS'well\twell\tRB\tB-ADVP\tO' -p315514 -aS'.\t.\t.\tO\tO' -p315515 -asS'His urinalysis showed marked occult blood and positive white blood cell screen but was otherwise negative .' -p315516 -(lp315517 -S'His\tHis\tPRP$\tB-NP\tO' -p315518 -aS'urinalysis\turinalysis\tNN\tI-NP\tO' -p315519 -aS'showed\tshow\tVBD\tB-VP\tO' -p315520 -aS'marked\tmarked\tJJ\tB-NP\tO' -p315521 -aS'occult\toccult\tJJ\tI-NP\tO' -p315522 -aS'blood\tblood\tNN\tI-NP\tO' -p315523 -aS'and\tand\tCC\tO\tO' -p315524 -aS'positive\tpositive\tJJ\tB-NP\tO' -p315525 -aS'white\twhite\tJJ\tI-NP\tO' -p315526 -aS'blood\tblood\tNN\tI-NP\tO' -p315527 -aS'cell\tcell\tNN\tI-NP\tO' -p315528 -aS'screen\tscreen\tNN\tI-NP\tO' -p315529 -aS'but\tbut\tCC\tO\tO' -p315530 -aS'was\tbe\tVBD\tB-VP\tO' -p315531 -aS'otherwise\totherwise\tRB\tB-ADJP\tO' -p315532 -aS'negative\tnegative\tJJ\tI-ADJP\tO' -p315533 -aS'.\t.\t.\tO\tO' -p315534 -asS'The patient is a 78 y/o WF w/a PMH significant for HTN and afib who presented to an OSH w/ complaints of abd pain and nausea .' -p315535 -(lp315536 -S'The\tThe\tDT\tB-NP\tO' -p315537 -aS'patient\tpatient\tNN\tI-NP\tO' -p315538 -aS'is\tbe\tVBZ\tB-VP\tO' -p315539 -aS'a\ta\tDT\tB-NP\tO' -p315540 -aS'78\t78\tCD\tI-NP\tO' -p315541 -aS'y/o\ty/o\tNN\tI-NP\tO' -p315542 -aS'WF\tWF\tNN\tI-NP\tO' -p315543 -aS'w/a\tw/a\tNN\tI-NP\tO' -p315544 -aS'PMH\tPMH\tNN\tI-NP\tO' -p315545 -aS'significant\tsignificant\tJJ\tB-ADJP\tO' -p315546 -aS'for\tfor\tIN\tB-PP\tO' -p315547 -aS'HTN\tHTN\tNN\tB-NP\tB-protein' -p315548 -aS'and\tand\tCC\tI-NP\tO' -p315549 -aS'afib\tafib\tNN\tI-NP\tO' -p315550 -aS'who\twho\tWP\tB-NP\tO' -p315551 -aS'presented\tpresent\tVBD\tB-VP\tO' -p315552 -aS'to\tto\tTO\tB-PP\tO' -p315553 -aS'an\tan\tDT\tB-NP\tO' -p315554 -aS'OSH\tOSH\tNN\tI-NP\tO' -p315555 -aS'w/\tw/\tNN\tI-NP\tO' -p315556 -aS'complaints\tcomplaint\tNNS\tI-NP\tO' -p315557 -aS'of\tof\tIN\tB-PP\tO' -p315558 -aS'abd\tabd\tNN\tB-NP\tO' -p315559 -aS'pain\tpain\tNN\tI-NP\tO' -p315560 -aS'and\tand\tCC\tI-NP\tO' -p315561 -aS'nausea\tnausea\tNN\tI-NP\tO' -p315562 -aS'.\t.\t.\tO\tO' -p315563 -asS'Sensation intact in all dermatomes .' -p315564 -(lp315565 -S'Sensation\tSensation\tNN\tB-NP\tO' -p315566 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p315567 -aS'in\tin\tIN\tB-PP\tO' -p315568 -aS'all\tall\tDT\tB-NP\tO' -p315569 -aS'dermatomes\tdermatome\tNNS\tI-NP\tO' -p315570 -aS'.\t.\t.\tO\tO' -p315571 -asS'Pyridium 200 mg po three times a day for UTI symptoms x 2 days .' -p315572 -(lp315573 -S'Pyridium\tPyridium\tNN\tB-NP\tO' -p315574 -aS'200\t200\tCD\tI-NP\tO' -p315575 -aS'mg\tmg\tNN\tI-NP\tO' -p315576 -aS'po\tpo\tIN\tB-PP\tO' -p315577 -aS'three\tthree\tCD\tB-NP\tO' -p315578 -aS'times\ttime\tNNS\tI-NP\tO' -p315579 -aS'a\ta\tDT\tB-NP\tO' -p315580 -aS'day\tday\tNN\tI-NP\tO' -p315581 -aS'for\tfor\tIN\tB-PP\tO' -p315582 -aS'UTI\tUTI\tNN\tB-NP\tO' -p315583 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p315584 -aS'x\tx\tCC\tO\tO' -p315585 -aS'2\t2\tCD\tB-NP\tO' -p315586 -aS'days\tday\tNNS\tI-NP\tO' -p315587 -aS'.\t.\t.\tO\tO' -p315588 -asS'Clips in the left axilla denote prior lymph node dissection .' -p315589 -(lp315590 -S'Clips\tClip\tNNS\tB-NP\tO' -p315591 -aS'in\tin\tIN\tB-PP\tO' -p315592 -aS'the\tthe\tDT\tB-NP\tO' -p315593 -aS'left\tleft\tJJ\tI-NP\tO' -p315594 -aS'axilla\taxilla\tNN\tI-NP\tO' -p315595 -aS'denote\tdenote\tVBP\tB-VP\tO' -p315596 -aS'prior\tprior\tJJ\tB-NP\tO' -p315597 -aS'lymph\tlymph\tNN\tI-NP\tO' -p315598 -aS'node\tnode\tNN\tI-NP\tO' -p315599 -aS'dissection\tdissection\tNN\tI-NP\tO' -p315600 -aS'.\t.\t.\tO\tO' -p315601 -asS"After it was explained that the pt 's prognosis was very poor given that she was not a transplant candidate , the" -p315602 -(lp315603 -S'After\tAfter\tIN\tB-SBAR\tO' -p315604 -aS'it\tit\tPRP\tB-NP\tO' -p315605 -aS'was\tbe\tVBD\tB-VP\tO' -p315606 -aS'explained\texplain\tVBN\tI-VP\tO' -p315607 -aS'that\tthat\tIN\tB-SBAR\tO' -p315608 -aS'the\tthe\tDT\tB-NP\tO' -p315609 -aS'pt\tpt\tNN\tI-NP\tO' -p315610 -aS"'s\t's\tPOS\tB-NP\tO" -p315611 -aS'prognosis\tprognosis\tNN\tI-NP\tO' -p315612 -aS'was\tbe\tVBD\tB-VP\tO' -p315613 -aS'very\tvery\tRB\tB-ADJP\tO' -p315614 -aS'poor\tpoor\tJJ\tI-ADJP\tO' -p315615 -aS'given\tgive\tVBN\tB-PP\tO' -p315616 -aS'that\tthat\tIN\tB-SBAR\tO' -p315617 -aS'she\tshe\tPRP\tB-NP\tO' -p315618 -aS'was\tbe\tVBD\tB-VP\tO' -p315619 -aS'not\tnot\tRB\tO\tO' -p315620 -aS'a\ta\tDT\tB-NP\tO' -p315621 -aS'transplant\ttransplant\tNN\tI-NP\tO' -p315622 -aS'candidate\tcandidate\tNN\tI-NP\tO' -p315623 -aS',\t,\t,\tO\tO' -p315624 -aS'the\tthe\tDT\tO\tO' -p315625 -asS'In the few days prior to his demise , he was intermittently somewhat lethargic buton the morning of June 25 , 1999 , his white count was noted to have increased from 8 to 13,000 .' -p315626 -(lp315627 -S'In\tIn\tIN\tB-PP\tO' -p315628 -aS'the\tthe\tDT\tB-NP\tO' -p315629 -aS'few\tfew\tJJ\tI-NP\tO' -p315630 -aS'days\tday\tNNS\tI-NP\tO' -p315631 -aS'prior\tprior\tRB\tB-ADVP\tO' -p315632 -aS'to\tto\tTO\tB-PP\tO' -p315633 -aS'his\this\tPRP$\tB-NP\tO' -p315634 -aS'demise\tdemise\tNN\tI-NP\tO' -p315635 -aS',\t,\t,\tO\tO' -p315636 -aS'he\the\tPRP\tB-NP\tO' -p315637 -aS'was\tbe\tVBD\tB-VP\tO' -p315638 -aS'intermittently\tintermittently\tRB\tB-NP\tO' -p315639 -aS'somewhat\tsomewhat\tRB\tI-NP\tO' -p315640 -aS'lethargic\tlethargic\tJJ\tI-NP\tO' -p315641 -aS'buton\tbuton\tNN\tI-NP\tO' -p315642 -aS'the\tthe\tDT\tB-NP\tO' -p315643 -aS'morning\tmorning\tNN\tI-NP\tO' -p315644 -aS'of\tof\tIN\tB-PP\tO' -p315645 -aS'June\tJune\tNNP\tB-NP\tO' -p315646 -aS'25\t25\tCD\tI-NP\tO' -p315647 -aS',\t,\t,\tI-NP\tO' -p315648 -aS'1999\t1999\tCD\tI-NP\tO' -p315649 -aS',\t,\t,\tO\tO' -p315650 -aS'his\this\tPRP$\tB-NP\tO' -p315651 -aS'white\twhite\tJJ\tI-NP\tO' -p315652 -aS'count\tcount\tNN\tI-NP\tO' -p315653 -aS'was\tbe\tVBD\tB-VP\tO' -p315654 -aS'noted\tnote\tVBN\tI-VP\tO' -p315655 -aS'to\tto\tTO\tI-VP\tO' -p315656 -aS'have\thave\tVB\tI-VP\tO' -p315657 -aS'increased\tincrease\tVBN\tI-VP\tO' -p315658 -aS'from\tfrom\tIN\tB-PP\tO' -p315659 -aS'8\t8\tCD\tB-NP\tO' -p315660 -aS'to\tto\tTO\tB-PP\tO' -p315661 -aS'13,000\t13,000\tCD\tB-NP\tO' -p315662 -aS'.\t.\t.\tO\tO' -p315663 -asS'The lungs were clear .' -p315664 -(lp315665 -S'The\tThe\tDT\tB-NP\tO' -p315666 -aS'lungs\tlung\tNNS\tI-NP\tO' -p315667 -aS'were\tbe\tVBD\tB-VP\tO' -p315668 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p315669 -aS'.\t.\t.\tO\tO' -p315670 -asS'He was married for many years .' -p315671 -(lp315672 -S'He\tHe\tPRP\tB-NP\tO' -p315673 -aS'was\tbe\tVBD\tB-VP\tO' -p315674 -aS'married\tmarry\tVBN\tI-VP\tO' -p315675 -aS'for\tfor\tIN\tB-PP\tO' -p315676 -aS'many\tmany\tJJ\tB-NP\tO' -p315677 -aS'years\tyear\tNNS\tI-NP\tO' -p315678 -aS'.\t.\t.\tO\tO' -p315679 -asS'2. No medications .' -p315680 -(lp315681 -S'2.\t2.\tLS\tB-LST\tO' -p315682 -aS'No\tNo\tDT\tB-NP\tO' -p315683 -aS'medications\tmedication\tNNS\tI-NP\tO' -p315684 -aS'.\t.\t.\tO\tO' -p315685 -asS'1. A bioprosthesis is well seated in the aortic position , leaflets open well , trace central AI is seen .' -p315686 -(lp315687 -S'1.\t1.\tLS\tB-NP\tO' -p315688 -aS'A\tA\tNN\tI-NP\tO' -p315689 -aS'bioprosthesis\tbioprosthesis\tNN\tI-NP\tO' -p315690 -aS'is\tbe\tVBZ\tB-VP\tO' -p315691 -aS'well\twell\tRB\tI-VP\tO' -p315692 -aS'seated\tseat\tVBN\tI-VP\tO' -p315693 -aS'in\tin\tIN\tB-PP\tO' -p315694 -aS'the\tthe\tDT\tB-NP\tO' -p315695 -aS'aortic\taortic\tJJ\tI-NP\tO' -p315696 -aS'position\tposition\tNN\tI-NP\tO' -p315697 -aS',\t,\t,\tO\tO' -p315698 -aS'leaflets\tleaflet\tVBZ\tB-VP\tO' -p315699 -aS'open\topen\tRP\tB-PRT\tO' -p315700 -aS'well\twell\tRB\tB-ADVP\tO' -p315701 -aS',\t,\t,\tO\tO' -p315702 -aS'trace\ttrace\tNN\tB-NP\tO' -p315703 -aS'central\tcentral\tJJ\tI-NP\tO' -p315704 -aS'AI\tAI\tNN\tI-NP\tO' -p315705 -aS'is\tbe\tVBZ\tB-VP\tO' -p315706 -aS'seen\tsee\tVBN\tI-VP\tO' -p315707 -aS'.\t.\t.\tO\tO' -p315708 -asS'Her hypertension was difficult to manage initially and required three days of Intensive Care Unit with A-line and Nipride intravenously .' -p315709 -(lp315710 -S'Her\tHer\tPRP$\tB-NP\tO' -p315711 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p315712 -aS'was\tbe\tVBD\tB-VP\tO' -p315713 -aS'difficult\tdifficult\tJJ\tB-ADJP\tO' -p315714 -aS'to\tto\tTO\tB-VP\tO' -p315715 -aS'manage\tmanage\tVB\tI-VP\tO' -p315716 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p315717 -aS'and\tand\tCC\tO\tO' -p315718 -aS'required\trequire\tVBD\tB-VP\tO' -p315719 -aS'three\tthree\tCD\tB-NP\tO' -p315720 -aS'days\tday\tNNS\tI-NP\tO' -p315721 -aS'of\tof\tIN\tB-PP\tO' -p315722 -aS'Intensive\tIntensive\tJJ\tB-NP\tO' -p315723 -aS'Care\tCare\tNNP\tI-NP\tO' -p315724 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p315725 -aS'with\twith\tIN\tB-PP\tO' -p315726 -aS'A-line\tA-line\tNNP\tB-NP\tO' -p315727 -aS'and\tand\tCC\tI-NP\tO' -p315728 -aS'Nipride\tNipride\tNNP\tI-NP\tO' -p315729 -aS'intravenously\tintravenously\tRB\tB-ADVP\tO' -p315730 -aS'.\t.\t.\tO\tO' -p315731 -asS'Her affect was slightly inappropriate at times ; for example , singing or humming along while performing some of the motor tasks and giving the impression of indifference to the deficits that were demonstrated on the examination .' -p315732 -(lp315733 -S'Her\tHer\tPRP$\tB-NP\tO' -p315734 -aS'affect\taffect\tNN\tI-NP\tO' -p315735 -aS'was\tbe\tVBD\tB-VP\tO' -p315736 -aS'slightly\tslightly\tRB\tB-ADJP\tO' -p315737 -aS'inappropriate\tinappropriate\tJJ\tI-ADJP\tO' -p315738 -aS'at\tat\tIN\tB-PP\tO' -p315739 -aS'times\ttime\tNNS\tB-NP\tO' -p315740 -aS';\t;\t:\tO\tO' -p315741 -aS'for\tfor\tIN\tB-PP\tO' -p315742 -aS'example\texample\tNN\tB-NP\tO' -p315743 -aS',\t,\t,\tO\tO' -p315744 -aS'singing\tsinging\tNN\tB-NP\tO' -p315745 -aS'or\tor\tCC\tO\tO' -p315746 -aS'humming\thum\tVBG\tB-VP\tO' -p315747 -aS'along\talong\tRB\tB-ADVP\tO' -p315748 -aS'while\twhile\tIN\tB-SBAR\tO' -p315749 -aS'performing\tperform\tVBG\tB-VP\tO' -p315750 -aS'some\tsome\tDT\tB-NP\tO' -p315751 -aS'of\tof\tIN\tB-PP\tO' -p315752 -aS'the\tthe\tDT\tB-NP\tO' -p315753 -aS'motor\tmotor\tNN\tI-NP\tO' -p315754 -aS'tasks\ttask\tNNS\tI-NP\tO' -p315755 -aS'and\tand\tCC\tO\tO' -p315756 -aS'giving\tgive\tVBG\tB-VP\tO' -p315757 -aS'the\tthe\tDT\tB-NP\tO' -p315758 -aS'impression\timpression\tNN\tI-NP\tO' -p315759 -aS'of\tof\tIN\tB-PP\tO' -p315760 -aS'indifference\tindifference\tNN\tB-NP\tO' -p315761 -aS'to\tto\tTO\tB-PP\tO' -p315762 -aS'the\tthe\tDT\tB-NP\tO' -p315763 -aS'deficits\tdeficit\tNNS\tI-NP\tO' -p315764 -aS'that\tthat\tWDT\tB-NP\tO' -p315765 -aS'were\tbe\tVBD\tB-VP\tO' -p315766 -aS'demonstrated\tdemonstrate\tVBN\tI-VP\tO' -p315767 -aS'on\ton\tIN\tB-PP\tO' -p315768 -aS'the\tthe\tDT\tB-NP\tO' -p315769 -aS'examination\texamination\tNN\tI-NP\tO' -p315770 -aS'.\t.\t.\tO\tO' -p315771 -asS'Dr. Ertca Cancer , Dr. Kotefold' -p315772 -(lp315773 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p315774 -aS'Ertca\tErtca\tNNP\tI-NP\tO' -p315775 -aS'Cancer\tCancer\tNNP\tI-NP\tO' -p315776 -aS',\t,\t,\tO\tO' -p315777 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p315778 -aS'Kotefold\tKotefold\tNNP\tI-NP\tO' -p315779 -asS'Right leg wound had Steri-Strips , open to air , clean and dry .' -p315780 -(lp315781 -S'Right\tRight\tNN\tB-NP\tO' -p315782 -aS'leg\tleg\tNN\tI-NP\tO' -p315783 -aS'wound\twound\tNN\tI-NP\tO' -p315784 -aS'had\thave\tVBD\tB-VP\tO' -p315785 -aS'Steri-Strips\tSteri-Strips\tJJ\tB-ADJP\tO' -p315786 -aS',\t,\t,\tO\tO' -p315787 -aS'open\topen\tJJ\tB-ADJP\tO' -p315788 -aS'to\tto\tTO\tB-PP\tO' -p315789 -aS'air\tair\tNN\tB-NP\tO' -p315790 -aS',\t,\t,\tO\tO' -p315791 -aS'clean\tclean\tJJ\tB-ADJP\tO' -p315792 -aS'and\tand\tCC\tI-ADJP\tO' -p315793 -aS'dry\tdry\tJJ\tI-ADJP\tO' -p315794 -aS'.\t.\t.\tO\tO' -p315795 -asS'This small bowel obstruction is likely secondary to closed loop obstruction .' -p315796 -(lp315797 -S'This\tThis\tDT\tB-NP\tO' -p315798 -aS'small\tsmall\tJJ\tI-NP\tO' -p315799 -aS'bowel\tbowel\tNN\tI-NP\tO' -p315800 -aS'obstruction\tobstruction\tNN\tI-NP\tO' -p315801 -aS'is\tbe\tVBZ\tB-VP\tO' -p315802 -aS'likely\tlikely\tRB\tB-ADJP\tO' -p315803 -aS'secondary\tsecondary\tJJ\tI-ADJP\tO' -p315804 -aS'to\tto\tTO\tB-PP\tO' -p315805 -aS'closed\tclose\tVBN\tB-NP\tO' -p315806 -aS'loop\tloop\tNN\tI-NP\tO' -p315807 -aS'obstruction\tobstruction\tNN\tI-NP\tO' -p315808 -aS'.\t.\t.\tO\tO' -p315809 -asS'Depressed affect .' -p315810 -(lp315811 -S'Depressed\tDepress\tVBN\tB-NP\tO' -p315812 -aS'affect\taffect\tNN\tI-NP\tO' -p315813 -aS'.\t.\t.\tO\tO' -p315814 -asS'On POD1 , patient was transferred out of FICU to 12R .' -p315815 -(lp315816 -S'On\tOn\tIN\tB-PP\tO' -p315817 -aS'POD1\tPOD1\tNN\tB-NP\tB-protein' -p315818 -aS',\t,\t,\tO\tO' -p315819 -aS'patient\tpatient\tNN\tB-NP\tO' -p315820 -aS'was\tbe\tVBD\tB-VP\tO' -p315821 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p315822 -aS'out\tout\tIN\tB-PP\tO' -p315823 -aS'of\tof\tIN\tB-PP\tO' -p315824 -aS'FICU\tFICU\tNN\tB-NP\tO' -p315825 -aS'to\tto\tTO\tB-PP\tO' -p315826 -aS'12R\t12R\tNN\tB-NP\tB-protein' -p315827 -aS'.\t.\t.\tO\tO' -p315828 -asS'There is no pleural effusion .' -p315829 -(lp315830 -S'There\tThere\tEX\tB-NP\tO' -p315831 -aS'is\tbe\tVBZ\tB-VP\tO' -p315832 -aS'no\tno\tDT\tB-NP\tO' -p315833 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p315834 -aS'effusion\teffusion\tNN\tI-NP\tO' -p315835 -aS'.\t.\t.\tO\tO' -p315836 -asS'No culture data was sent .' -p315837 -(lp315838 -S'No\tNo\tDT\tB-NP\tO' -p315839 -aS'culture\tculture\tNN\tI-NP\tO' -p315840 -aS'data\tdatum\tNNS\tI-NP\tO' -p315841 -aS'was\tbe\tVBD\tB-VP\tO' -p315842 -aS'sent\tsend\tVBN\tI-VP\tO' -p315843 -aS'.\t.\t.\tO\tO' -p315844 -asS'The patient 's family history was significant for a brother with colon cancer .' -p315845 -(lp315846 -S'The\tThe\tDT\tB-NP\tO' -p315847 -aS'patient\tpatient\tNN\tI-NP\tO' -p315848 -aS''s\t'\tNNS\tI-NP\tO' -p315849 -aS'family\tfamily\tNN\tI-NP\tO' -p315850 -aS'history\thistory\tNN\tI-NP\tO' -p315851 -aS'was\tbe\tVBD\tB-VP\tO' -p315852 -aS'significant\tsignificant\tJJ\tB-ADJP\tO' -p315853 -aS'for\tfor\tIN\tB-PP\tO' -p315854 -aS'a\ta\tDT\tB-NP\tO' -p315855 -aS'brother\tbrother\tNN\tI-NP\tO' -p315856 -aS'with\twith\tIN\tB-PP\tO' -p315857 -aS'colon\tcolon\tNN\tB-NP\tO' -p315858 -aS'cancer\tcancer\tNN\tI-NP\tO' -p315859 -aS'.\t.\t.\tO\tO' -p315860 -asS'The patient did have postoperatively hypokalemia to a level of 2.7 and subsequently was corrected with oral and intravenous potassium on 4/22/93 , the patient underwent a duplex ultrasound examination , which showed no evidence of of deep venous thrombosis .' -p315861 -(lp315862 -S'The\tThe\tDT\tB-NP\tO' -p315863 -aS'patient\tpatient\tNN\tI-NP\tO' -p315864 -aS'did\tdo\tVBD\tB-VP\tO' -p315865 -aS'have\thave\tVB\tI-VP\tO' -p315866 -aS'postoperatively\tpostoperatively\tRB\tB-NP\tO' -p315867 -aS'hypokalemia\thypokalemia\tNN\tI-NP\tO' -p315868 -aS'to\tto\tTO\tB-PP\tO' -p315869 -aS'a\ta\tDT\tB-NP\tO' -p315870 -aS'level\tlevel\tNN\tI-NP\tO' -p315871 -aS'of\tof\tIN\tB-PP\tO' -p315872 -aS'2.7\t2.7\tCD\tB-NP\tO' -p315873 -aS'and\tand\tCC\tO\tO' -p315874 -aS'subsequently\tsubsequently\tRB\tB-VP\tO' -p315875 -aS'was\tbe\tVBD\tI-VP\tO' -p315876 -aS'corrected\tcorrect\tVBN\tI-VP\tO' -p315877 -aS'with\twith\tIN\tB-PP\tO' -p315878 -aS'oral\toral\tJJ\tB-NP\tO' -p315879 -aS'and\tand\tCC\tI-NP\tO' -p315880 -aS'intravenous\tintravenous\tJJ\tI-NP\tO' -p315881 -aS'potassium\tpotassium\tNN\tI-NP\tO' -p315882 -aS'on\ton\tIN\tB-PP\tO' -p315883 -aS'4/22/93\t4/22/93\tCD\tB-NP\tO' -p315884 -aS',\t,\t,\tO\tO' -p315885 -aS'the\tthe\tDT\tB-NP\tO' -p315886 -aS'patient\tpatient\tNN\tI-NP\tO' -p315887 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p315888 -aS'a\ta\tDT\tB-NP\tO' -p315889 -aS'duplex\tduplex\tNN\tI-NP\tO' -p315890 -aS'ultrasound\tultrasound\tNN\tI-NP\tO' -p315891 -aS'examination\texamination\tNN\tI-NP\tO' -p315892 -aS',\t,\t,\tO\tO' -p315893 -aS'which\twhich\tWDT\tB-NP\tO' -p315894 -aS'showed\tshow\tVBD\tB-VP\tO' -p315895 -aS'no\tno\tDT\tB-NP\tO' -p315896 -aS'evidence\tevidence\tNN\tI-NP\tO' -p315897 -aS'of\tof\tIN\tB-PP\tO' -p315898 -aS'of\tof\tIN\tB-PP\tO' -p315899 -aS'deep\tdeep\tJJ\tB-NP\tO' -p315900 -aS'venous\tvenous\tJJ\tI-NP\tO' -p315901 -aS'thrombosis\tthrombosis\tNN\tI-NP\tO' -p315902 -aS'.\t.\t.\tO\tO' -p315903 -asS'Upper endoscopy x 2 were done .' -p315904 -(lp315905 -S'Upper\tUpper\tIN\tB-PP\tO' -p315906 -aS'endoscopy\tendoscopy\tNN\tB-NP\tB-protein' -p315907 -aS'x\tx\tSYM\tB-NP\tI-protein' -p315908 -aS'2\t2\tCD\tI-NP\tI-protein' -p315909 -aS'were\tbe\tVBD\tB-VP\tO' -p315910 -aS'done\tdo\tVBN\tI-VP\tO' -p315911 -aS'.\t.\t.\tO\tO' -p315912 -asS'On postoperative day two the patient was noted to have some swelling in her left lower extremity and this was felt to be a hematoma secondary to her PVR cuff .' -p315913 -(lp315914 -S'On\tOn\tIN\tB-PP\tO' -p315915 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p315916 -aS'day\tday\tNN\tI-NP\tO' -p315917 -aS'two\ttwo\tCD\tB-NP\tO' -p315918 -aS'the\tthe\tDT\tB-NP\tO' -p315919 -aS'patient\tpatient\tNN\tI-NP\tO' -p315920 -aS'was\tbe\tVBD\tB-VP\tO' -p315921 -aS'noted\tnote\tVBN\tI-VP\tO' -p315922 -aS'to\tto\tTO\tI-VP\tO' -p315923 -aS'have\thave\tVB\tI-VP\tO' -p315924 -aS'some\tsome\tDT\tB-NP\tO' -p315925 -aS'swelling\tswelling\tNN\tI-NP\tO' -p315926 -aS'in\tin\tIN\tB-PP\tO' -p315927 -aS'her\ther\tPRP$\tB-NP\tO' -p315928 -aS'left\tleft\tJJ\tI-NP\tO' -p315929 -aS'lower\tlow\tJJR\tI-NP\tO' -p315930 -aS'extremity\textremity\tNN\tI-NP\tO' -p315931 -aS'and\tand\tCC\tO\tO' -p315932 -aS'this\tthis\tDT\tB-NP\tO' -p315933 -aS'was\tbe\tVBD\tB-VP\tO' -p315934 -aS'felt\tfeel\tVBN\tI-VP\tO' -p315935 -aS'to\tto\tTO\tI-VP\tO' -p315936 -aS'be\tbe\tVB\tI-VP\tO' -p315937 -aS'a\ta\tDT\tB-NP\tO' -p315938 -aS'hematoma\thematoma\tNN\tI-NP\tO' -p315939 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p315940 -aS'to\tto\tTO\tB-PP\tO' -p315941 -aS'her\ther\tPRP$\tB-NP\tO' -p315942 -aS'PVR\tPVR\tNN\tI-NP\tB-protein' -p315943 -aS'cuff\tcuff\tNN\tI-NP\tI-protein' -p315944 -aS'.\t.\t.\tO\tO' -p315945 -asS'PT was 11.7 , PTT 26.7 and INR of 0.9 .' -p315946 -(lp315947 -S'PT\tPT\tNN\tB-NP\tO' -p315948 -aS'was\tbe\tVBD\tB-VP\tO' -p315949 -aS'11.7\t11.7\tCD\tB-NP\tO' -p315950 -aS',\t,\t,\tO\tO' -p315951 -aS'PTT\tPTT\tNN\tB-NP\tB-protein' -p315952 -aS'26.7\t26.7\tCD\tI-NP\tI-protein' -p315953 -aS'and\tand\tCC\tO\tO' -p315954 -aS'INR\tINR\tNN\tB-NP\tO' -p315955 -aS'of\tof\tIN\tB-PP\tO' -p315956 -aS'0.9\t0.9\tCD\tB-NP\tO' -p315957 -aS'.\t.\t.\tO\tO' -p315958 -asS'On arrival to unit pt had EGD which revealed grade III esophageal varices with signs of old bleeding .' -p315959 -(lp315960 -S'On\tOn\tIN\tB-PP\tO' -p315961 -aS'arrival\tarrival\tNN\tB-NP\tO' -p315962 -aS'to\tto\tTO\tB-PP\tO' -p315963 -aS'unit\tunit\tNN\tB-NP\tO' -p315964 -aS'pt\tpt\tNN\tI-NP\tO' -p315965 -aS'had\thave\tVBD\tB-VP\tO' -p315966 -aS'EGD\tEGD\tNN\tB-NP\tB-protein' -p315967 -aS'which\twhich\tWDT\tB-NP\tO' -p315968 -aS'revealed\treveal\tVBD\tB-VP\tO' -p315969 -aS'grade\tgrade\tNN\tB-NP\tO' -p315970 -aS'III\tIII\tCD\tI-NP\tO' -p315971 -aS'esophageal\tesophageal\tJJ\tI-NP\tO' -p315972 -aS'varices\tvarix\tNNS\tI-NP\tO' -p315973 -aS'with\twith\tIN\tB-PP\tO' -p315974 -aS'signs\tsign\tNNS\tB-NP\tO' -p315975 -aS'of\tof\tIN\tB-PP\tO' -p315976 -aS'old\told\tJJ\tB-NP\tO' -p315977 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p315978 -aS'.\t.\t.\tO\tO' -p315979 -asS'Limited hemodynamics showed elevated LV and diastolic pressure ( 21 mmHg ).' -p315980 -(lp315981 -S'Limited\tLimit\tVBN\tB-NP\tO' -p315982 -aS'hemodynamics\themodynamic\tNNS\tI-NP\tO' -p315983 -aS'showed\tshow\tVBD\tB-VP\tO' -p315984 -aS'elevated\televated\tJJ\tB-NP\tO' -p315985 -aS'LV\tLV\tNN\tI-NP\tO' -p315986 -aS'and\tand\tCC\tO\tO' -p315987 -aS'diastolic\tdiastolic\tJJ\tB-NP\tO' -p315988 -aS'pressure\tpressure\tNN\tI-NP\tO' -p315989 -aS'(\t(\t(\tO\tO' -p315990 -aS'21\t21\tCD\tB-NP\tO' -p315991 -aS'mmHg\tmmHg\tNN\tI-NP\tO' -p315992 -aS').\t).\t)\tO\tO' -p315993 -asS'He received Lovenox 91 mg SC prior to transport and was transferred to Arbour Hospital for further care .' -p315994 -(lp315995 -S'He\tHe\tPRP\tB-NP\tO' -p315996 -aS'received\treceive\tVBD\tB-VP\tO' -p315997 -aS'Lovenox\tLovenox\tNNP\tB-NP\tO' -p315998 -aS'91\t91\tCD\tI-NP\tO' -p315999 -aS'mg\tmg\tNN\tI-NP\tO' -p316000 -aS'SC\tSC\tNN\tI-NP\tO' -p316001 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p316002 -aS'to\tto\tTO\tB-PP\tO' -p316003 -aS'transport\ttransport\tNN\tB-NP\tO' -p316004 -aS'and\tand\tCC\tO\tO' -p316005 -aS'was\tbe\tVBD\tB-VP\tO' -p316006 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p316007 -aS'to\tto\tTO\tB-PP\tO' -p316008 -aS'Arbour\tArbour\tNNP\tB-NP\tO' -p316009 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p316010 -aS'for\tfor\tIN\tB-PP\tO' -p316011 -aS'further\tfurther\tJJ\tB-NP\tO' -p316012 -aS'care\tcare\tNN\tI-NP\tO' -p316013 -aS'.\t.\t.\tO\tO' -p316014 -asS'She lives with her husband .' -p316015 -(lp316016 -S'She\tShe\tPRP\tB-NP\tO' -p316017 -aS'lives\tlive\tVBZ\tB-VP\tO' -p316018 -aS'with\twith\tIN\tB-PP\tO' -p316019 -aS'her\ther\tPRP$\tB-NP\tO' -p316020 -aS'husband\thusband\tNN\tI-NP\tO' -p316021 -aS'.\t.\t.\tO\tO' -p316022 -asS'The attending was notified as well .' -p316023 -(lp316024 -S'The\tThe\tDT\tB-NP\tO' -p316025 -aS'attending\tattending\tNN\tI-NP\tO' -p316026 -aS'was\tbe\tVBD\tB-VP\tO' -p316027 -aS'notified\tnotify\tVBN\tI-VP\tO' -p316028 -aS'as\tas\tRB\tB-ADVP\tO' -p316029 -aS'well\twell\tRB\tI-ADVP\tO' -p316030 -aS'.\t.\t.\tO\tO' -p316031 -asS'Post EGD his diet was advanced slowly and he did exceptionally well .' -p316032 -(lp316033 -S'Post\tPost\tNNP\tB-NP\tO' -p316034 -aS'EGD\tEGD\tNNP\tI-NP\tO' -p316035 -aS'his\this\tPRP$\tB-NP\tO' -p316036 -aS'diet\tdiet\tNN\tI-NP\tO' -p316037 -aS'was\tbe\tVBD\tB-VP\tO' -p316038 -aS'advanced\tadvance\tVBN\tI-VP\tO' -p316039 -aS'slowly\tslowly\tRB\tB-ADVP\tO' -p316040 -aS'and\tand\tCC\tO\tO' -p316041 -aS'he\the\tPRP\tB-NP\tO' -p316042 -aS'did\tdo\tVBD\tB-VP\tO' -p316043 -aS'exceptionally\texceptionally\tRB\tB-ADVP\tO' -p316044 -aS'well\twell\tRB\tI-ADVP\tO' -p316045 -aS'.\t.\t.\tO\tO' -p316046 -asS'Neuro : reactive to pain , otherwise' -p316047 -(lp316048 -S'Neuro\tNeuro\tNN\tB-NP\tO' -p316049 -aS':\t:\t:\tO\tO' -p316050 -aS'reactive\treactive\tJJ\tB-ADJP\tO' -p316051 -aS'to\tto\tTO\tB-VP\tO' -p316052 -aS'pain\tpain\tVB\tI-VP\tO' -p316053 -aS',\t,\t,\tO\tO' -p316054 -aS'otherwise\totherwise\tRB\tB-ADVP\tO' -p316055 -asS'The patient is able to tolerate po. medicines .' -p316056 -(lp316057 -S'The\tThe\tDT\tB-NP\tO' -p316058 -aS'patient\tpatient\tNN\tI-NP\tO' -p316059 -aS'is\tbe\tVBZ\tB-VP\tO' -p316060 -aS'able\table\tJJ\tB-ADJP\tO' -p316061 -aS'to\tto\tTO\tB-VP\tO' -p316062 -aS'tolerate\ttolerate\tVB\tI-VP\tO' -p316063 -aS'po.\tpo.\tNN\tB-NP\tO' -p316064 -aS'medicines\tmedicine\tNNS\tI-NP\tO' -p316065 -aS'.\t.\t.\tO\tO' -p316066 -asS'G5 , P5 normal Pap smears , sexual active without dyspareunia .' -p316067 -(lp316068 -S'G5\tG5\tNN\tB-NP\tO' -p316069 -aS',\t,\t,\tO\tO' -p316070 -aS'P5\tP5\tNN\tB-NP\tO' -p316071 -aS'normal\tnormal\tJJ\tI-NP\tO' -p316072 -aS'Pap\tPap\tNN\tI-NP\tO' -p316073 -aS'smears\tsmear\tNNS\tI-NP\tO' -p316074 -aS',\t,\t,\tO\tO' -p316075 -aS'sexual\tsexual\tJJ\tB-NP\tO' -p316076 -aS'active\tactive\tJJ\tI-NP\tO' -p316077 -aS'without\twithout\tIN\tB-PP\tO' -p316078 -aS'dyspareunia\tdyspareunia\tNN\tB-NP\tO' -p316079 -aS'.\t.\t.\tO\tO' -p316080 -asS'1 ) GASTROINTESTINAL BLEED .' -p316081 -(lp316082 -S'1\t1\tLS\tB-LST\tO' -p316083 -aS')\t)\t)\tO\tO' -p316084 -aS'GASTROINTESTINAL\tGASTROINTESTINAL\tNN\tB-NP\tO' -p316085 -aS'BLEED\tBLEED\tNN\tI-NP\tO' -p316086 -aS'.\t.\t.\tO\tO' -p316087 -asS'The left sided slowing and voltage reduction surpassed an additional dysfunction on the left side , possibly wide-spread cortical dysfunction .' -p316088 -(lp316089 -S'The\tThe\tDT\tB-NP\tO' -p316090 -aS'left\tleft\tJJ\tI-NP\tO' -p316091 -aS'sided\tsided\tJJ\tI-NP\tO' -p316092 -aS'slowing\tslowing\tNN\tI-NP\tO' -p316093 -aS'and\tand\tCC\tI-NP\tO' -p316094 -aS'voltage\tvoltage\tNN\tI-NP\tO' -p316095 -aS'reduction\treduction\tNN\tI-NP\tO' -p316096 -aS'surpassed\tsurpass\tVBD\tB-VP\tO' -p316097 -aS'an\tan\tDT\tB-NP\tO' -p316098 -aS'additional\tadditional\tJJ\tI-NP\tO' -p316099 -aS'dysfunction\tdysfunction\tNN\tI-NP\tO' -p316100 -aS'on\ton\tIN\tB-PP\tO' -p316101 -aS'the\tthe\tDT\tB-NP\tO' -p316102 -aS'left\tleft\tJJ\tI-NP\tO' -p316103 -aS'side\tside\tNN\tI-NP\tO' -p316104 -aS',\t,\t,\tO\tO' -p316105 -aS'possibly\tpossibly\tRB\tB-NP\tO' -p316106 -aS'wide-spread\twide-spread\tJJ\tI-NP\tO' -p316107 -aS'cortical\tcortical\tJJ\tI-NP\tO' -p316108 -aS'dysfunction\tdysfunction\tNN\tI-NP\tO' -p316109 -aS'.\t.\t.\tO\tO' -p316110 -asS"Dr. Dau 's recommendation is that the patient is to stay on Vancomycin and Levofloxacin for approximately six weeks following discharge and then subsequently on antibiotic regimen for chronic suppression ." -p316111 -(lp316112 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p316113 -aS'Dau\tDau\tNNP\tI-NP\tO' -p316114 -aS"'s\t's\tPOS\tB-NP\tO" -p316115 -aS'recommendation\trecommendation\tNN\tI-NP\tO' -p316116 -aS'is\tbe\tVBZ\tB-VP\tO' -p316117 -aS'that\tthat\tIN\tB-SBAR\tO' -p316118 -aS'the\tthe\tDT\tB-NP\tO' -p316119 -aS'patient\tpatient\tNN\tI-NP\tO' -p316120 -aS'is\tbe\tVBZ\tB-VP\tO' -p316121 -aS'to\tto\tTO\tB-VP\tO' -p316122 -aS'stay\tstay\tVB\tI-VP\tO' -p316123 -aS'on\ton\tIN\tB-PP\tO' -p316124 -aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' -p316125 -aS'and\tand\tCC\tI-NP\tO' -p316126 -aS'Levofloxacin\tLevofloxacin\tNN\tI-NP\tO' -p316127 -aS'for\tfor\tIN\tB-PP\tO' -p316128 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p316129 -aS'six\tsix\tCD\tI-NP\tO' -p316130 -aS'weeks\tweek\tNNS\tI-NP\tO' -p316131 -aS'following\tfollow\tVBG\tB-PP\tO' -p316132 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p316133 -aS'and\tand\tCC\tO\tO' -p316134 -aS'then\tthen\tRB\tB-ADVP\tO' -p316135 -aS'subsequently\tsubsequently\tRB\tI-ADVP\tO' -p316136 -aS'on\ton\tIN\tB-PP\tO' -p316137 -aS'antibiotic\tantibiotic\tJJ\tB-NP\tO' -p316138 -aS'regimen\tregimen\tNN\tI-NP\tO' -p316139 -aS'for\tfor\tIN\tB-PP\tO' -p316140 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p316141 -aS'suppression\tsuppression\tNN\tI-NP\tO' -p316142 -aS'.\t.\t.\tO\tO' -p316143 -asS'This is day 23 of treatment for an approximate six week course .' -p316144 -(lp316145 -S'This\tThis\tDT\tB-NP\tO' -p316146 -aS'is\tbe\tVBZ\tB-VP\tO' -p316147 -aS'day\tday\tNN\tB-NP\tO' -p316148 -aS'23\t23\tCD\tI-NP\tO' -p316149 -aS'of\tof\tIN\tB-PP\tO' -p316150 -aS'treatment\ttreatment\tNN\tB-NP\tO' -p316151 -aS'for\tfor\tIN\tB-PP\tO' -p316152 -aS'an\tan\tDT\tB-NP\tO' -p316153 -aS'approximate\tapproximate\tJJ\tI-NP\tO' -p316154 -aS'six\tsix\tCD\tI-NP\tO' -p316155 -aS'week\tweek\tNN\tI-NP\tO' -p316156 -aS'course\tcourse\tNN\tI-NP\tO' -p316157 -aS'.\t.\t.\tO\tO' -p316158 -asS'She has not required any blood transfusions .' -p316159 -(lp316160 -S'She\tShe\tPRP\tB-NP\tO' -p316161 -aS'has\thave\tVBZ\tB-VP\tO' -p316162 -aS'not\tnot\tRB\tI-VP\tO' -p316163 -aS'required\trequire\tVBN\tI-VP\tO' -p316164 -aS'any\tany\tDT\tB-NP\tO' -p316165 -aS'blood\tblood\tNN\tI-NP\tO' -p316166 -aS'transfusions\ttransfusion\tNNS\tI-NP\tO' -p316167 -aS'.\t.\t.\tO\tO' -p316168 -asS'A panel of serum electrolytes is normal .' -p316169 -(lp316170 -S'A\tA\tDT\tB-NP\tO' -p316171 -aS'panel\tpanel\tNN\tI-NP\tO' -p316172 -aS'of\tof\tIN\tB-PP\tO' -p316173 -aS'serum\tserum\tNN\tB-NP\tO' -p316174 -aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' -p316175 -aS'is\tbe\tVBZ\tB-VP\tO' -p316176 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p316177 -aS'.\t.\t.\tO\tO' -p316178 -asS'He will get 60 of those .' -p316179 -(lp316180 -S'He\tHe\tPRP\tB-NP\tO' -p316181 -aS'will\twill\tMD\tB-VP\tO' -p316182 -aS'get\tget\tVB\tI-VP\tO' -p316183 -aS'60\t60\tCD\tB-NP\tO' -p316184 -aS'of\tof\tIN\tB-PP\tO' -p316185 -aS'those\tthose\tDT\tB-NP\tO' -p316186 -aS'.\t.\t.\tO\tO' -p316187 -asS'Scheduled for 05-21 .' -p316188 -(lp316189 -S'Scheduled\tSchedule\tVBN\tB-VP\tO' -p316190 -aS'for\tfor\tIN\tB-PP\tO' -p316191 -aS'05-21\t05-21\tCD\tB-NP\tO' -p316192 -aS'.\t.\t.\tO\tO' -p316193 -asS'The white blood count is 9.4 , hematocrit 47.1 , and the platelets 253,000 .' -p316194 -(lp316195 -S'The\tThe\tDT\tB-NP\tO' -p316196 -aS'white\twhite\tJJ\tI-NP\tO' -p316197 -aS'blood\tblood\tNN\tI-NP\tO' -p316198 -aS'count\tcount\tNN\tI-NP\tO' -p316199 -aS'is\tbe\tVBZ\tB-VP\tO' -p316200 -aS'9.4\t9.4\tCD\tB-NP\tO' -p316201 -aS',\t,\t,\tO\tO' -p316202 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p316203 -aS'47.1\t47.1\tCD\tI-NP\tI-protein' -p316204 -aS',\t,\t,\tO\tO' -p316205 -aS'and\tand\tCC\tO\tO' -p316206 -aS'the\tthe\tDT\tB-NP\tO' -p316207 -aS'platelets\tplatelet\tNNS\tI-NP\tB-cell_type' -p316208 -aS'253,000\t253,000\tCD\tB-NP\tO' -p316209 -aS'.\t.\t.\tO\tO' -p316210 -asS'Heart was irregular with no murmurs palpated .' -p316211 -(lp316212 -S'Heart\tHeart\tNNP\tB-NP\tO' -p316213 -aS'was\tbe\tVBD\tB-VP\tO' -p316214 -aS'irregular\tirregular\tJJ\tB-ADJP\tO' -p316215 -aS'with\twith\tIN\tB-PP\tO' -p316216 -aS'no\tno\tDT\tB-NP\tO' -p316217 -aS'murmurs\tmurmur\tNNS\tI-NP\tO' -p316218 -aS'palpated\tpalpate\tVBN\tB-VP\tO' -p316219 -aS'.\t.\t.\tO\tO' -p316220 -asS'However , he did have relative pancytopenia following this therapy .' -p316221 -(lp316222 -S'However\tHowever\tRB\tB-ADVP\tO' -p316223 -aS',\t,\t,\tO\tO' -p316224 -aS'he\the\tPRP\tB-NP\tO' -p316225 -aS'did\tdo\tVBD\tB-VP\tO' -p316226 -aS'have\thave\tVB\tI-VP\tO' -p316227 -aS'relative\trelative\tJJ\tB-NP\tO' -p316228 -aS'pancytopenia\tpancytopenia\tNN\tI-NP\tO' -p316229 -aS'following\tfollow\tVBG\tB-PP\tO' -p316230 -aS'this\tthis\tDT\tB-NP\tO' -p316231 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p316232 -aS'.\t.\t.\tO\tO' -p316233 -asS'In October , 1989 , Dr. No re-did her bypass operation .' -p316234 -(lp316235 -S'In\tIn\tIN\tB-PP\tO' -p316236 -aS'October\tOctober\tNNP\tB-NP\tO' -p316237 -aS',\t,\t,\tO\tO' -p316238 -aS'1989\t1989\tCD\tB-NP\tO' -p316239 -aS',\t,\t,\tO\tO' -p316240 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p316241 -aS'No\tNo\tNNP\tI-NP\tO' -p316242 -aS're-did\tre-did\tVBD\tB-VP\tO' -p316243 -aS'her\ther\tPRP$\tB-NP\tO' -p316244 -aS'bypass\tbypass\tNN\tI-NP\tO' -p316245 -aS'operation\toperation\tNN\tI-NP\tO' -p316246 -aS'.\t.\t.\tO\tO' -p316247 -asS'There was trace edema in both lower extremities .' -p316248 -(lp316249 -S'There\tThere\tEX\tB-NP\tO' -p316250 -aS'was\tbe\tVBD\tB-VP\tO' -p316251 -aS'trace\ttrace\tNN\tB-NP\tO' -p316252 -aS'edema\tedema\tNN\tI-NP\tO' -p316253 -aS'in\tin\tIN\tB-PP\tO' -p316254 -aS'both\tboth\tCC\tB-NP\tO' -p316255 -aS'lower\tlow\tJJR\tI-NP\tO' -p316256 -aS'extremities\textremity\tNNS\tI-NP\tO' -p316257 -aS'.\t.\t.\tO\tO' -p316258 -asS'It was difficult to assess free wall motion .' -p316259 -(lp316260 -S'It\tIt\tPRP\tB-NP\tO' -p316261 -aS'was\tbe\tVBD\tB-VP\tO' -p316262 -aS'difficult\tdifficult\tJJ\tB-ADJP\tO' -p316263 -aS'to\tto\tTO\tB-VP\tO' -p316264 -aS'assess\tassess\tVB\tI-VP\tO' -p316265 -aS'free\tfree\tJJ\tB-NP\tO' -p316266 -aS'wall\twall\tNN\tI-NP\tO' -p316267 -aS'motion\tmotion\tNN\tI-NP\tO' -p316268 -aS'.\t.\t.\tO\tO' -p316269 -asS'She has allergies to Morphine , Percocet , Codeine , Penicillin , Xanax and Toradol .' -p316270 -(lp316271 -S'She\tShe\tPRP\tB-NP\tO' -p316272 -aS'has\thave\tVBZ\tB-VP\tO' -p316273 -aS'allergies\tallergy\tNNS\tB-NP\tO' -p316274 -aS'to\tto\tTO\tB-PP\tO' -p316275 -aS'Morphine\tMorphine\tNNP\tB-NP\tO' -p316276 -aS',\t,\t,\tO\tO' -p316277 -aS'Percocet\tPercocet\tNNP\tB-NP\tO' -p316278 -aS',\t,\t,\tO\tO' -p316279 -aS'Codeine\tCodeine\tNNP\tB-NP\tO' -p316280 -aS',\t,\t,\tO\tO' -p316281 -aS'Penicillin\tPenicillin\tNNP\tB-NP\tO' -p316282 -aS',\t,\t,\tO\tO' -p316283 -aS'Xanax\tXanax\tNNP\tB-NP\tO' -p316284 -aS'and\tand\tCC\tO\tO' -p316285 -aS'Toradol\tToradol\tNNP\tB-NP\tO' -p316286 -aS'.\t.\t.\tO\tO' -p316287 -asS'4. Acetaminophen 325 mg Tablet Sig : One ( 1 ) Tablet PO Q4-6H ( every 4 to 6 hours ) as needed .' -p316288 -(lp316289 -S'4.\t4.\tLS\tB-NP\tO' -p316290 -aS'Acetaminophen\tAcetaminophen\tNN\tI-NP\tO' -p316291 -aS'325\t325\tCD\tI-NP\tO' -p316292 -aS'mg\tmg\tNN\tI-NP\tO' -p316293 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p316294 -aS'Sig\tSig\tNNP\tI-NP\tO' -p316295 -aS':\t:\t:\tO\tO' -p316296 -aS'One\tOne\tCD\tB-NP\tO' -p316297 -aS'(\t(\t(\tO\tO' -p316298 -aS'1\t1\tCD\tB-NP\tO' -p316299 -aS')\t)\t)\tO\tO' -p316300 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p316301 -aS'PO\tPO\tNN\tI-NP\tO' -p316302 -aS'Q4-6H\tQ4-6H\tNN\tI-NP\tO' -p316303 -aS'(\t(\t(\tO\tO' -p316304 -aS'every\tevery\tDT\tB-NP\tO' -p316305 -aS'4\t4\tCD\tI-NP\tO' -p316306 -aS'to\tto\tTO\tI-NP\tO' -p316307 -aS'6\t6\tCD\tI-NP\tO' -p316308 -aS'hours\thour\tNNS\tI-NP\tO' -p316309 -aS')\t)\t)\tO\tO' -p316310 -aS'as\tas\tIN\tB-SBAR\tO' -p316311 -aS'needed\tneed\tVBN\tB-VP\tO' -p316312 -aS'.\t.\t.\tO\tO' -p316313 -asS'The electrocardiogram showed atrial fibrillation with slow ventricular response and digitalis effect as well as left ventricular hypertrophy .' -p316314 -(lp316315 -S'The\tThe\tDT\tB-NP\tO' -p316316 -aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' -p316317 -aS'showed\tshow\tVBD\tB-VP\tO' -p316318 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p316319 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p316320 -aS'with\twith\tIN\tB-PP\tO' -p316321 -aS'slow\tslow\tJJ\tB-NP\tO' -p316322 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p316323 -aS'response\tresponse\tNN\tI-NP\tO' -p316324 -aS'and\tand\tCC\tI-NP\tO' -p316325 -aS'digitalis\tdigitalis\tNN\tI-NP\tO' -p316326 -aS'effect\teffect\tNN\tI-NP\tO' -p316327 -aS'as\tas\tRB\tB-CONJP\tO' -p316328 -aS'well\twell\tRB\tI-CONJP\tO' -p316329 -aS'as\tas\tIN\tI-CONJP\tO' -p316330 -aS'left\tleft\tJJ\tB-NP\tO' -p316331 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p316332 -aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' -p316333 -aS'.\t.\t.\tO\tO' -p316334 -asS'Psychiatry was consulted after the patient was extubated , and felt that patient had a high suicide risk , and plan was for her to be admitted to the Psychiatry service once medically stable .' -p316335 -(lp316336 -S'Psychiatry\tPsychiatry\tNN\tB-NP\tO' -p316337 -aS'was\tbe\tVBD\tB-VP\tO' -p316338 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p316339 -aS'after\tafter\tIN\tB-PP\tO' -p316340 -aS'the\tthe\tDT\tB-NP\tO' -p316341 -aS'patient\tpatient\tNN\tI-NP\tO' -p316342 -aS'was\tbe\tVBD\tB-VP\tO' -p316343 -aS'extubated\textubate\tVBN\tI-VP\tO' -p316344 -aS',\t,\t,\tO\tO' -p316345 -aS'and\tand\tCC\tO\tO' -p316346 -aS'felt\tfeel\tVBD\tB-VP\tO' -p316347 -aS'that\tthat\tIN\tB-SBAR\tO' -p316348 -aS'patient\tpatient\tNN\tB-NP\tO' -p316349 -aS'had\thave\tVBD\tB-VP\tO' -p316350 -aS'a\ta\tDT\tB-NP\tO' -p316351 -aS'high\thigh\tJJ\tI-NP\tO' -p316352 -aS'suicide\tsuicide\tNN\tI-NP\tO' -p316353 -aS'risk\trisk\tNN\tI-NP\tO' -p316354 -aS',\t,\t,\tO\tO' -p316355 -aS'and\tand\tCC\tO\tO' -p316356 -aS'plan\tplan\tNN\tB-NP\tO' -p316357 -aS'was\tbe\tVBD\tB-VP\tO' -p316358 -aS'for\tfor\tIN\tB-SBAR\tO' -p316359 -aS'her\ther\tPRP\tB-NP\tO' -p316360 -aS'to\tto\tTO\tB-VP\tO' -p316361 -aS'be\tbe\tVB\tI-VP\tO' -p316362 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p316363 -aS'to\tto\tTO\tB-PP\tO' -p316364 -aS'the\tthe\tDT\tB-NP\tO' -p316365 -aS'Psychiatry\tPsychiatry\tNN\tI-NP\tO' -p316366 -aS'service\tservice\tNN\tI-NP\tO' -p316367 -aS'once\tonce\tRB\tB-ADJP\tO' -p316368 -aS'medically\tmedically\tRB\tI-ADJP\tO' -p316369 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p316370 -aS'.\t.\t.\tO\tO' -p316371 -asS'Anicteric .' -p316372 -(lp316373 -S'Anicteric\tAnicteric\tJJ\tB-ADJP\tO' -p316374 -aS'.\t.\t.\tO\tO' -p316375 -asS'The patient was also seen by physical and occupational therapy during his postoperative course and they recommended that he go to a rehabilitation facility for his recovery .' -p316376 -(lp316377 -S'The\tThe\tDT\tB-NP\tO' -p316378 -aS'patient\tpatient\tNN\tI-NP\tO' -p316379 -aS'was\tbe\tVBD\tB-VP\tO' -p316380 -aS'also\talso\tRB\tI-VP\tO' -p316381 -aS'seen\tsee\tVBN\tI-VP\tO' -p316382 -aS'by\tby\tIN\tB-PP\tO' -p316383 -aS'physical\tphysical\tJJ\tB-NP\tO' -p316384 -aS'and\tand\tCC\tI-NP\tO' -p316385 -aS'occupational\toccupational\tJJ\tI-NP\tO' -p316386 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p316387 -aS'during\tduring\tIN\tB-PP\tO' -p316388 -aS'his\this\tPRP$\tB-NP\tO' -p316389 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p316390 -aS'course\tcourse\tNN\tI-NP\tO' -p316391 -aS'and\tand\tCC\tO\tO' -p316392 -aS'they\tthey\tPRP\tB-NP\tO' -p316393 -aS'recommended\trecommend\tVBD\tB-VP\tO' -p316394 -aS'that\tthat\tIN\tB-SBAR\tO' -p316395 -aS'he\the\tPRP\tB-NP\tO' -p316396 -aS'go\tgo\tVB\tB-VP\tO' -p316397 -aS'to\tto\tTO\tB-PP\tO' -p316398 -aS'a\ta\tDT\tB-NP\tO' -p316399 -aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' -p316400 -aS'facility\tfacility\tNN\tI-NP\tO' -p316401 -aS'for\tfor\tIN\tB-PP\tO' -p316402 -aS'his\this\tPRP$\tB-NP\tO' -p316403 -aS'recovery\trecovery\tNN\tI-NP\tO' -p316404 -aS'.\t.\t.\tO\tO' -p316405 -asS'Abdomen reveals positive bowel sounds , soft , nontender , nondistended .' -p316406 -(lp316407 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p316408 -aS'reveals\treveal\tVBZ\tB-VP\tO' -p316409 -aS'positive\tpositive\tJJ\tB-NP\tO' -p316410 -aS'bowel\tbowel\tNN\tI-NP\tO' -p316411 -aS'sounds\tsound\tNNS\tI-NP\tO' -p316412 -aS',\t,\t,\tO\tO' -p316413 -aS'soft\tsoft\tJJ\tB-NP\tO' -p316414 -aS',\t,\t,\tI-NP\tO' -p316415 -aS'nontender\tnontender\tJJ\tI-NP\tO' -p316416 -aS',\t,\t,\tI-NP\tO' -p316417 -aS'nondistended\tnondistended\tJJ\tI-NP\tO' -p316418 -aS'.\t.\t.\tO\tO' -p316419 -asS'Left ankle was notable for swelling secondary to status post left ankle surgery .' -p316420 -(lp316421 -S'Left\tLeave\tVBN\tB-NP\tO' -p316422 -aS'ankle\tankle\tNN\tI-NP\tO' -p316423 -aS'was\tbe\tVBD\tB-VP\tO' -p316424 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p316425 -aS'for\tfor\tIN\tB-PP\tO' -p316426 -aS'swelling\tswell\tVBG\tB-VP\tO' -p316427 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p316428 -aS'to\tto\tTO\tB-PP\tO' -p316429 -aS'status\tstatus\tNN\tB-NP\tO' -p316430 -aS'post\tpost\tNN\tI-NP\tO' -p316431 -aS'left\tleave\tVBD\tB-VP\tO' -p316432 -aS'ankle\tankle\tDT\tB-NP\tO' -p316433 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p316434 -aS'.\t.\t.\tO\tO' -p316435 -asS'The chest X-ray showed borderline cardiomegaly but no acute cardiac or pulmonary disease .' -p316436 -(lp316437 -S'The\tThe\tDT\tB-NP\tO' -p316438 -aS'chest\tchest\tNN\tI-NP\tO' -p316439 -aS'X-ray\tX-ray\tNN\tI-NP\tO' -p316440 -aS'showed\tshow\tVBD\tB-VP\tO' -p316441 -aS'borderline\tborderline\tJJ\tB-NP\tO' -p316442 -aS'cardiomegaly\tcardiomegaly\tNN\tI-NP\tO' -p316443 -aS'but\tbut\tCC\tO\tO' -p316444 -aS'no\tno\tDT\tB-NP\tO' -p316445 -aS'acute\tacute\tJJ\tI-NP\tO' -p316446 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p316447 -aS'or\tor\tCC\tI-NP\tO' -p316448 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p316449 -aS'disease\tdisease\tNN\tI-NP\tO' -p316450 -aS'.\t.\t.\tO\tO' -p316451 -asS'Her respirations are comfortable .' -p316452 -(lp316453 -S'Her\tHer\tPRP$\tB-NP\tO' -p316454 -aS'respirations\trespiration\tNNS\tI-NP\tO' -p316455 -aS'are\tbe\tVBP\tB-VP\tO' -p316456 -aS'comfortable\tcomfortable\tJJ\tB-ADJP\tO' -p316457 -aS'.\t.\t.\tO\tO' -p316458 -asS'The patient is a 78-year-old female who has had osteoarthritis and noted the sudden onset of left knee pain in 09/89 .' -p316459 -(lp316460 -S'The\tThe\tDT\tB-NP\tO' -p316461 -aS'patient\tpatient\tNN\tI-NP\tO' -p316462 -aS'is\tbe\tVBZ\tB-VP\tO' -p316463 -aS'a\ta\tDT\tB-NP\tO' -p316464 -aS'78-year-old\t78-year-old\tJJ\tI-NP\tO' -p316465 -aS'female\tfemale\tNN\tI-NP\tO' -p316466 -aS'who\twho\tWP\tB-NP\tO' -p316467 -aS'has\thave\tVBZ\tB-VP\tO' -p316468 -aS'had\thave\tVBN\tI-VP\tO' -p316469 -aS'osteoarthritis\tosteoarthritis\tNN\tB-NP\tO' -p316470 -aS'and\tand\tCC\tO\tO' -p316471 -aS'noted\tnote\tVBD\tB-VP\tO' -p316472 -aS'the\tthe\tDT\tB-NP\tO' -p316473 -aS'sudden\tsudden\tJJ\tI-NP\tO' -p316474 -aS'onset\tonset\tNN\tI-NP\tO' -p316475 -aS'of\tof\tIN\tB-PP\tO' -p316476 -aS'left\tleft\tJJ\tB-NP\tB-protein' -p316477 -aS'knee\tknee\tNN\tI-NP\tI-protein' -p316478 -aS'pain\tpain\tNN\tI-NP\tI-protein' -p316479 -aS'in\tin\tIN\tB-PP\tO' -p316480 -aS'09/89\t09/89\tCD\tB-NP\tO' -p316481 -aS'.\t.\t.\tO\tO' -p316482 -asS'1. Levofloxacin 250 mg q. day for ten days .' -p316483 -(lp316484 -S'1.\t1.\tLS\tB-LST\tO' -p316485 -aS'Levofloxacin\tLevofloxacin\tNN\tB-NP\tO' -p316486 -aS'250\t250\tCD\tI-NP\tO' -p316487 -aS'mg\tmg\tNN\tI-NP\tO' -p316488 -aS'q.\tq.\tNN\tI-NP\tO' -p316489 -aS'day\tday\tNN\tI-NP\tO' -p316490 -aS'for\tfor\tIN\tB-PP\tO' -p316491 -aS'ten\tten\tCD\tB-NP\tO' -p316492 -aS'days\tday\tNNS\tI-NP\tO' -p316493 -aS'.\t.\t.\tO\tO' -p316494 -asS'The patient has never been married and has no children .' -p316495 -(lp316496 -S'The\tThe\tDT\tB-NP\tO' -p316497 -aS'patient\tpatient\tNN\tI-NP\tO' -p316498 -aS'has\thave\tVBZ\tB-VP\tO' -p316499 -aS'never\tnever\tRB\tI-VP\tO' -p316500 -aS'been\tbe\tVBN\tI-VP\tO' -p316501 -aS'married\tmarry\tVBN\tI-VP\tO' -p316502 -aS'and\tand\tCC\tO\tO' -p316503 -aS'has\thave\tVBZ\tB-VP\tO' -p316504 -aS'no\tno\tDT\tB-NP\tO' -p316505 -aS'children\tchild\tNNS\tI-NP\tO' -p316506 -aS'.\t.\t.\tO\tO' -p316507 -asS'The urine contained yeast and she was treated with amphotericin .' -p316508 -(lp316509 -S'The\tThe\tDT\tB-NP\tO' -p316510 -aS'urine\turine\tNN\tI-NP\tO' -p316511 -aS'contained\tcontain\tVBD\tB-VP\tO' -p316512 -aS'yeast\tyeast\tNN\tB-NP\tO' -p316513 -aS'and\tand\tCC\tO\tO' -p316514 -aS'she\tshe\tPRP\tB-NP\tO' -p316515 -aS'was\tbe\tVBD\tB-VP\tO' -p316516 -aS'treated\ttreat\tVBN\tI-VP\tO' -p316517 -aS'with\twith\tIN\tB-PP\tO' -p316518 -aS'amphotericin\tamphotericin\tNN\tB-NP\tO' -p316519 -aS'.\t.\t.\tO\tO' -p316520 -asS'12. Ritalin 5 mg Tablet Sig : see below Tablet PO see below : 1.5 tablets at 10 am ( 7.5 mg ) , 1 tablet 2 pm ( 5 mg ) .' -p316521 -(lp316522 -S'12.\t12.\tCD\tB-NP\tO' -p316523 -aS'Ritalin\tRitalin\tNN\tI-NP\tO' -p316524 -aS'5\t5\tCD\tB-NP\tO' -p316525 -aS'mg\tmg\tNN\tI-NP\tO' -p316526 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p316527 -aS'Sig\tSig\tNNP\tI-NP\tO' -p316528 -aS':\t:\t:\tO\tO' -p316529 -aS'see\tsee\tVB\tB-VP\tO' -p316530 -aS'below\tbelow\tIN\tB-PP\tO' -p316531 -aS'Tablet\tTablet\tNNP\tB-NP\tB-protein' -p316532 -aS'PO\tPO\tNNP\tI-NP\tI-protein' -p316533 -aS'see\tsee\tVBP\tB-VP\tO' -p316534 -aS'below\tbelow\tIN\tB-PP\tO' -p316535 -aS':\t:\t:\tO\tO' -p316536 -aS'1.5\t1.5\tCD\tB-NP\tO' -p316537 -aS'tablets\ttablet\tNNS\tI-NP\tO' -p316538 -aS'at\tat\tIN\tB-PP\tO' -p316539 -aS'10\t10\tCD\tB-NP\tO' -p316540 -aS'am\tam\tNN\tI-NP\tO' -p316541 -aS'(\t(\t(\tO\tO' -p316542 -aS'7.5\t7.5\tCD\tB-NP\tO' -p316543 -aS'mg\tmg\tNN\tI-NP\tO' -p316544 -aS')\t)\t)\tO\tO' -p316545 -aS',\t,\t,\tO\tO' -p316546 -aS'1\t1\tCD\tB-NP\tO' -p316547 -aS'tablet\ttablet\tNN\tI-NP\tO' -p316548 -aS'2\t2\tCD\tB-NP\tO' -p316549 -aS'pm\tpm\tNN\tI-NP\tO' -p316550 -aS'(\t(\t(\tO\tO' -p316551 -aS'5\t5\tCD\tB-NP\tO' -p316552 -aS'mg\tmg\tNN\tI-NP\tO' -p316553 -aS')\t)\t)\tO\tO' -p316554 -aS'.\t.\t.\tO\tO' -p316555 -asS'It was discussed with the patient to send him out on Augmentin 500 mg three times a day for ten more days .' -p316556 -(lp316557 -S'It\tIt\tPRP\tB-NP\tO' -p316558 -aS'was\tbe\tVBD\tB-VP\tO' -p316559 -aS'discussed\tdiscuss\tVBN\tI-VP\tO' -p316560 -aS'with\twith\tIN\tB-PP\tO' -p316561 -aS'the\tthe\tDT\tB-NP\tO' -p316562 -aS'patient\tpatient\tNN\tI-NP\tO' -p316563 -aS'to\tto\tTO\tB-VP\tO' -p316564 -aS'send\tsend\tVB\tI-VP\tO' -p316565 -aS'him\thim\tPRP\tB-NP\tO' -p316566 -aS'out\tout\tRP\tB-PRT\tO' -p316567 -aS'on\ton\tIN\tB-PP\tO' -p316568 -aS'Augmentin\tAugmentin\tNNP\tB-NP\tO' -p316569 -aS'500\t500\tCD\tI-NP\tO' -p316570 -aS'mg\tmg\tNN\tI-NP\tO' -p316571 -aS'three\tthree\tCD\tB-NP\tO' -p316572 -aS'times\ttime\tNNS\tI-NP\tO' -p316573 -aS'a\ta\tDT\tB-NP\tO' -p316574 -aS'day\tday\tNN\tI-NP\tO' -p316575 -aS'for\tfor\tIN\tB-PP\tO' -p316576 -aS'ten\tten\tCD\tB-NP\tO' -p316577 -aS'more\tmore\tJJR\tI-NP\tO' -p316578 -aS'days\tday\tNNS\tI-NP\tO' -p316579 -aS'.\t.\t.\tO\tO' -p316580 -asS'12 ) Bactrim Double Strength one tablet p.o. q.o.d.' -p316581 -(lp316582 -S'12\t12\tCD\tB-NP\tO' -p316583 -aS')\t)\t)\tO\tO' -p316584 -aS'Bactrim\tBactrim\tNNP\tB-NP\tO' -p316585 -aS'Double\tDouble\tNNP\tI-NP\tO' -p316586 -aS'Strength\tStrength\tNNP\tI-NP\tO' -p316587 -aS'one\tone\tCD\tI-NP\tO' -p316588 -aS'tablet\ttablet\tNN\tI-NP\tO' -p316589 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p316590 -aS'q.o.d.\tq.o.d.\tNN\tI-NP\tO' -p316591 -asS'She was guaiac negative and the Hemophilus panel was negative .' -p316592 -(lp316593 -S'She\tShe\tPRP\tB-NP\tO' -p316594 -aS'was\tbe\tVBD\tB-VP\tO' -p316595 -aS'guaiac\tguaiac\tJJ\tB-NP\tO' -p316596 -aS'negative\tnegative\tJJ\tI-NP\tO' -p316597 -aS'and\tand\tCC\tO\tO' -p316598 -aS'the\tthe\tDT\tB-NP\tO' -p316599 -aS'Hemophilus\tHemophilus\tNN\tI-NP\tO' -p316600 -aS'panel\tpanel\tNN\tI-NP\tO' -p316601 -aS'was\tbe\tVBD\tB-VP\tO' -p316602 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p316603 -aS'.\t.\t.\tO\tO' -p316604 -asS'On postoperative day number five , the patient felt fine and had an INR of 1.9 with a prothrombin time of 16.6 .' -p316605 -(lp316606 -S'On\tOn\tIN\tB-PP\tO' -p316607 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p316608 -aS'day\tday\tNN\tI-NP\tO' -p316609 -aS'number\tnumber\tNN\tI-NP\tO' -p316610 -aS'five\tfive\tCD\tB-NP\tO' -p316611 -aS',\t,\t,\tO\tO' -p316612 -aS'the\tthe\tDT\tB-NP\tO' -p316613 -aS'patient\tpatient\tNN\tI-NP\tO' -p316614 -aS'felt\tfeel\tVBD\tB-VP\tO' -p316615 -aS'fine\tfine\tJJ\tB-ADJP\tO' -p316616 -aS'and\tand\tCC\tO\tO' -p316617 -aS'had\thave\tVBD\tB-VP\tO' -p316618 -aS'an\tan\tDT\tB-NP\tO' -p316619 -aS'INR\tINR\tNN\tI-NP\tB-protein' -p316620 -aS'of\tof\tIN\tB-PP\tO' -p316621 -aS'1.9\t1.9\tCD\tB-NP\tO' -p316622 -aS'with\twith\tIN\tB-PP\tO' -p316623 -aS'a\ta\tDT\tB-NP\tO' -p316624 -aS'prothrombin\tprothrombin\tNN\tI-NP\tO' -p316625 -aS'time\ttime\tNN\tI-NP\tO' -p316626 -aS'of\tof\tIN\tB-PP\tO' -p316627 -aS'16.6\t16.6\tCD\tB-NP\tO' -p316628 -aS'.\t.\t.\tO\tO' -p316629 -asS'Vasotec 40 mg q.day , Soma 1 tablet q.day , Demerolprn , Clonidine .' -p316630 -(lp316631 -S'Vasotec\tVasotec\tNNP\tB-NP\tO' -p316632 -aS'40\t40\tCD\tI-NP\tO' -p316633 -aS'mg\tmg\tNN\tI-NP\tO' -p316634 -aS'q.day\tq.day\tNN\tI-NP\tO' -p316635 -aS',\t,\t,\tO\tO' -p316636 -aS'Soma\tSoma\tNN\tB-NP\tB-protein' -p316637 -aS'1\t1\tCD\tI-NP\tI-protein' -p316638 -aS'tablet\ttablet\tNN\tI-NP\tO' -p316639 -aS'q.day\tq.day\tNN\tI-NP\tO' -p316640 -aS',\t,\t,\tO\tO' -p316641 -aS'Demerolprn\tDemerolprn\tNN\tB-NP\tO' -p316642 -aS',\t,\t,\tO\tO' -p316643 -aS'Clonidine\tClonidine\tNN\tB-NP\tO' -p316644 -aS'.\t.\t.\tO\tO' -p316645 -asS'His weight is 3.160 kilograms ( 7 pounds 3 ounces ) at birth .' -p316646 -(lp316647 -S'His\tHis\tPRP$\tB-NP\tO' -p316648 -aS'weight\tweight\tNN\tI-NP\tO' -p316649 -aS'is\tbe\tVBZ\tB-VP\tO' -p316650 -aS'3.160\t3.160\tCD\tB-NP\tO' -p316651 -aS'kilograms\tkilogram\tNNS\tI-NP\tO' -p316652 -aS'(\t(\t(\tO\tO' -p316653 -aS'7\t7\tCD\tB-NP\tO' -p316654 -aS'pounds\tpound\tNNS\tI-NP\tO' -p316655 -aS'3\t3\tCD\tB-NP\tO' -p316656 -aS'ounces\tounce\tNNS\tI-NP\tO' -p316657 -aS')\t)\t)\tO\tO' -p316658 -aS'at\tat\tIN\tB-PP\tO' -p316659 -aS'birth\tbirth\tNN\tB-NP\tO' -p316660 -aS'.\t.\t.\tO\tO' -p316661 -asS'The patient was started on Lopressor 75 mg p.o. twice a day with good control with a heart rate of 50s to 60s .' -p316662 -(lp316663 -S'The\tThe\tDT\tB-NP\tO' -p316664 -aS'patient\tpatient\tNN\tI-NP\tO' -p316665 -aS'was\tbe\tVBD\tB-VP\tO' -p316666 -aS'started\tstart\tVBN\tI-VP\tO' -p316667 -aS'on\ton\tIN\tB-PP\tO' -p316668 -aS'Lopressor\tLopressor\tNN\tB-NP\tO' -p316669 -aS'75\t75\tCD\tI-NP\tO' -p316670 -aS'mg\tmg\tNN\tI-NP\tO' -p316671 -aS'p.o.\tp.o.\tRB\tB-NP\tO' -p316672 -aS'twice\ttwice\tRB\tI-NP\tO' -p316673 -aS'a\ta\tDT\tI-NP\tO' -p316674 -aS'day\tday\tNN\tI-NP\tO' -p316675 -aS'with\twith\tIN\tB-PP\tO' -p316676 -aS'good\tgood\tJJ\tB-NP\tO' -p316677 -aS'control\tcontrol\tNN\tI-NP\tO' -p316678 -aS'with\twith\tIN\tB-PP\tO' -p316679 -aS'a\ta\tDT\tB-NP\tO' -p316680 -aS'heart\theart\tNN\tI-NP\tO' -p316681 -aS'rate\trate\tNN\tI-NP\tO' -p316682 -aS'of\tof\tIN\tB-PP\tO' -p316683 -aS'50s\t50s\tCD\tB-NP\tO' -p316684 -aS'to\tto\tTO\tB-PP\tO' -p316685 -aS'60s\t60\tNNS\tB-NP\tO' -p316686 -aS'.\t.\t.\tO\tO' -p316687 -asS'Abdomen - Obese .' -p316688 -(lp316689 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p316690 -aS'-\t-\t:\tO\tO' -p316691 -aS'Obese\tObese\tJJ\tB-ADJP\tO' -p316692 -aS'.\t.\t.\tO\tO' -p316693 -asS'This was discussed with Dr. Jason Long at approximately 6:30 p.m. , 2013-05-23 .' -p316694 -(lp316695 -S'This\tThis\tDT\tB-NP\tO' -p316696 -aS'was\tbe\tVBD\tB-VP\tO' -p316697 -aS'discussed\tdiscuss\tVBN\tI-VP\tO' -p316698 -aS'with\twith\tIN\tB-PP\tO' -p316699 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p316700 -aS'Jason\tJason\tNNP\tI-NP\tO' -p316701 -aS'Long\tLong\tNNP\tI-NP\tO' -p316702 -aS'at\tat\tIN\tB-PP\tO' -p316703 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p316704 -aS'6:30\t6:30\tCD\tI-NP\tO' -p316705 -aS'p.m.\tp.m.\tRB\tB-ADVP\tO' -p316706 -aS',\t,\t,\tO\tO' -p316707 -aS'2013-05-23\t2013-05-23\tCD\tB-NP\tO' -p316708 -aS'.\t.\t.\tO\tO' -p316709 -asS'Reviewed By : Mavis W. Mobley, M.D.' -p316710 -(lp316711 -S'Reviewed\tReview\tVBN\tB-VP\tO' -p316712 -aS'By\tBy\tIN\tB-PP\tO' -p316713 -aS':\t:\t:\tO\tO' -p316714 -aS'Mavis\tMavis\tNNP\tB-NP\tO' -p316715 -aS'W.\tW.\tNNP\tI-NP\tO' -p316716 -aS'Mobley,\tMobley,\tNNP\tI-NP\tO' -p316717 -aS'M.D.\tM.D.\tNNP\tI-NP\tO' -p316718 -asS'On postoperative day 3 , an additional attempt was made to wean the patient from his Neo-Synephrine unsuccessfully .' -p316719 -(lp316720 -S'On\tOn\tIN\tB-PP\tO' -p316721 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p316722 -aS'day\tday\tNN\tI-NP\tO' -p316723 -aS'3\t3\tCD\tI-NP\tO' -p316724 -aS',\t,\t,\tO\tO' -p316725 -aS'an\tan\tDT\tB-NP\tO' -p316726 -aS'additional\tadditional\tJJ\tI-NP\tO' -p316727 -aS'attempt\tattempt\tNN\tI-NP\tO' -p316728 -aS'was\tbe\tVBD\tB-VP\tO' -p316729 -aS'made\tmake\tVBN\tI-VP\tO' -p316730 -aS'to\tto\tTO\tB-VP\tO' -p316731 -aS'wean\twean\tVB\tI-VP\tO' -p316732 -aS'the\tthe\tDT\tB-NP\tO' -p316733 -aS'patient\tpatient\tNN\tI-NP\tO' -p316734 -aS'from\tfrom\tIN\tB-PP\tO' -p316735 -aS'his\this\tPRP$\tB-NP\tO' -p316736 -aS'Neo-Synephrine\tNeo-Synephrine\tNN\tI-NP\tO' -p316737 -aS'unsuccessfully\tunsuccessfully\tRB\tB-ADVP\tO' -p316738 -aS'.\t.\t.\tO\tO' -p316739 -asS'Suck , root , gag , grasp , and morrow were normal .' -p316740 -(lp316741 -S'Suck\tSuck\tNN\tB-NP\tO' -p316742 -aS',\t,\t,\tO\tO' -p316743 -aS'root\troot\tNN\tB-NP\tO' -p316744 -aS',\t,\t,\tO\tO' -p316745 -aS'gag\tgag\tNN\tB-NP\tO' -p316746 -aS',\t,\t,\tO\tO' -p316747 -aS'grasp\tgrasp\tNN\tB-NP\tO' -p316748 -aS',\t,\t,\tO\tO' -p316749 -aS'and\tand\tCC\tO\tO' -p316750 -aS'morrow\tmorrow\tNN\tB-NP\tO' -p316751 -aS'were\tbe\tVBD\tB-VP\tO' -p316752 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p316753 -aS'.\t.\t.\tO\tO' -p316754 -asS'The patient was taken to the operating room on 1/5/97 .' -p316755 -(lp316756 -S'The\tThe\tDT\tB-NP\tO' -p316757 -aS'patient\tpatient\tNN\tI-NP\tO' -p316758 -aS'was\tbe\tVBD\tB-VP\tO' -p316759 -aS'taken\ttake\tVBN\tI-VP\tO' -p316760 -aS'to\tto\tTO\tB-PP\tO' -p316761 -aS'the\tthe\tDT\tB-NP\tO' -p316762 -aS'operating\toperating\tNN\tI-NP\tO' -p316763 -aS'room\troom\tNN\tI-NP\tO' -p316764 -aS'on\ton\tIN\tB-PP\tO' -p316765 -aS'1/5/97\t1/5/97\tCD\tB-NP\tO' -p316766 -aS'.\t.\t.\tO\tO' -p316767 -asS'Both of these etiologies were treated , and he continued to oxygenate and ventilate well on his usual ventilator settings .' -p316768 -(lp316769 -S'Both\tBoth\tDT\tB-NP\tO' -p316770 -aS'of\tof\tIN\tB-PP\tO' -p316771 -aS'these\tthese\tDT\tB-NP\tO' -p316772 -aS'etiologies\tetiology\tNNS\tI-NP\tO' -p316773 -aS'were\tbe\tVBD\tB-VP\tO' -p316774 -aS'treated\ttreat\tVBN\tI-VP\tO' -p316775 -aS',\t,\t,\tO\tO' -p316776 -aS'and\tand\tCC\tO\tO' -p316777 -aS'he\the\tPRP\tB-NP\tO' -p316778 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p316779 -aS'to\tto\tTO\tI-VP\tO' -p316780 -aS'oxygenate\toxygenate\tVB\tI-VP\tO' -p316781 -aS'and\tand\tCC\tI-VP\tO' -p316782 -aS'ventilate\tventilate\tVB\tI-VP\tO' -p316783 -aS'well\twell\tRB\tB-ADVP\tO' -p316784 -aS'on\ton\tIN\tB-PP\tO' -p316785 -aS'his\this\tPRP$\tB-NP\tO' -p316786 -aS'usual\tusual\tJJ\tI-NP\tO' -p316787 -aS'ventilator\tventilator\tNN\tI-NP\tO' -p316788 -aS'settings\tsetting\tNNS\tI-NP\tO' -p316789 -aS'.\t.\t.\tO\tO' -p316790 -asS'Transferred to Mediplex Rehab Hospital ICU where Hct has remained stable .' -p316791 -(lp316792 -S'Transferred\tTransfer\tVBN\tB-VP\tO' -p316793 -aS'to\tto\tTO\tB-PP\tO' -p316794 -aS'Mediplex\tMediplex\tNNP\tB-NP\tO' -p316795 -aS'Rehab\tRehab\tNNP\tI-NP\tO' -p316796 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p316797 -aS'ICU\tICU\tNNP\tI-NP\tO' -p316798 -aS'where\twhere\tWRB\tB-ADVP\tO' -p316799 -aS'Hct\tHct\tNNP\tB-NP\tO' -p316800 -aS'has\thave\tVBZ\tB-VP\tO' -p316801 -aS'remained\tremain\tVBN\tI-VP\tO' -p316802 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p316803 -aS'.\t.\t.\tO\tO' -p316804 -asS'The saphenous vein to the high diagonal or high obtuse marginal was occluded .' -p316805 -(lp316806 -S'The\tThe\tDT\tB-NP\tO' -p316807 -aS'saphenous\tsaphenous\tJJ\tI-NP\tO' -p316808 -aS'vein\tvein\tNN\tI-NP\tO' -p316809 -aS'to\tto\tTO\tB-PP\tO' -p316810 -aS'the\tthe\tDT\tB-NP\tO' -p316811 -aS'high\thigh\tJJ\tI-NP\tO' -p316812 -aS'diagonal\tdiagonal\tJJ\tI-NP\tO' -p316813 -aS'or\tor\tCC\tI-NP\tO' -p316814 -aS'high\thigh\tJJ\tI-NP\tO' -p316815 -aS'obtuse\tobtuse\tNN\tI-NP\tO' -p316816 -aS'marginal\tmarginal\tNN\tI-NP\tO' -p316817 -aS'was\tbe\tVBD\tB-VP\tO' -p316818 -aS'occluded\tocclude\tVBN\tI-VP\tO' -p316819 -aS'.\t.\t.\tO\tO' -p316820 -asS'CBC : White blood cell count is 8.8 , hematocrit 35.5 platelets 266 , PT 13 , PT-T 23.3 , INR was 1.1 .' -p316821 -(lp316822 -S'CBC\tCBC\tNN\tB-NP\tB-protein' -p316823 -aS':\t:\t:\tO\tO' -p316824 -aS'White\tWhite\tJJ\tB-NP\tO' -p316825 -aS'blood\tblood\tNN\tI-NP\tO' -p316826 -aS'cell\tcell\tNN\tI-NP\tO' -p316827 -aS'count\tcount\tNN\tI-NP\tO' -p316828 -aS'is\tbe\tVBZ\tB-VP\tO' -p316829 -aS'8.8\t8.8\tCD\tB-NP\tO' -p316830 -aS',\t,\t,\tO\tO' -p316831 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p316832 -aS'35.5\t35.5\tCD\tB-NP\tI-protein' -p316833 -aS'platelets\tplatelet\tNNS\tI-NP\tI-protein' -p316834 -aS'266\t266\tCD\tB-NP\tI-protein' -p316835 -aS',\t,\t,\tO\tO' -p316836 -aS'PT\tPT\tNN\tB-NP\tB-protein' -p316837 -aS'13\t13\tCD\tI-NP\tI-protein' -p316838 -aS',\t,\t,\tO\tO' -p316839 -aS'PT-T\tPT-T\tNN\tB-NP\tB-protein' -p316840 -aS'23.3\t23.3\tCD\tI-NP\tI-protein' -p316841 -aS',\t,\t,\tO\tO' -p316842 -aS'INR\tINR\tNN\tB-NP\tB-protein' -p316843 -aS'was\tbe\tVBD\tB-VP\tO' -p316844 -aS'1.1\t1.1\tCD\tB-NP\tO' -p316845 -aS'.\t.\t.\tO\tO' -p316846 -asS'He has has stable , mild angina , subsequently , mostly in the setting of stress .' -p316847 -(lp316848 -S'He\tHe\tPRP\tB-NP\tO' -p316849 -aS'has\thave\tVBZ\tB-VP\tO' -p316850 -aS'has\thave\tVBZ\tB-VP\tO' -p316851 -aS'stable\tstable\tJJ\tB-NP\tO' -p316852 -aS',\t,\t,\tI-NP\tO' -p316853 -aS'mild\tmild\tJJ\tI-NP\tO' -p316854 -aS'angina\tangina\tNN\tI-NP\tO' -p316855 -aS',\t,\t,\tO\tO' -p316856 -aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' -p316857 -aS',\t,\t,\tO\tO' -p316858 -aS'mostly\tmostly\tRB\tB-ADVP\tO' -p316859 -aS'in\tin\tIN\tB-PP\tO' -p316860 -aS'the\tthe\tDT\tB-NP\tO' -p316861 -aS'setting\tsetting\tNN\tI-NP\tO' -p316862 -aS'of\tof\tIN\tB-PP\tO' -p316863 -aS'stress\tstress\tNN\tB-NP\tO' -p316864 -aS'.\t.\t.\tO\tO' -p316865 -asS'He denied recent trauma to the area or travel .' -p316866 -(lp316867 -S'He\tHe\tPRP\tB-NP\tO' -p316868 -aS'denied\tdeny\tVBD\tB-VP\tO' -p316869 -aS'recent\trecent\tJJ\tB-NP\tO' -p316870 -aS'trauma\ttrauma\tNN\tI-NP\tO' -p316871 -aS'to\tto\tTO\tB-PP\tO' -p316872 -aS'the\tthe\tDT\tB-NP\tO' -p316873 -aS'area\tarea\tNN\tI-NP\tO' -p316874 -aS'or\tor\tCC\tI-NP\tO' -p316875 -aS'travel\ttravel\tNN\tI-NP\tO' -p316876 -aS'.\t.\t.\tO\tO' -p316877 -asS'The patient had previous episodes of the same infection , with lower extremity cellulitis the likely source .' -p316878 -(lp316879 -S'The\tThe\tDT\tB-NP\tO' -p316880 -aS'patient\tpatient\tNN\tI-NP\tO' -p316881 -aS'had\thave\tVBD\tB-VP\tO' -p316882 -aS'previous\tprevious\tJJ\tB-NP\tO' -p316883 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p316884 -aS'of\tof\tIN\tB-PP\tO' -p316885 -aS'the\tthe\tDT\tB-NP\tO' -p316886 -aS'same\tsame\tJJ\tI-NP\tO' -p316887 -aS'infection\tinfection\tNN\tI-NP\tO' -p316888 -aS',\t,\t,\tO\tO' -p316889 -aS'with\twith\tIN\tB-PP\tO' -p316890 -aS'lower\tlow\tJJR\tB-NP\tO' -p316891 -aS'extremity\textremity\tNN\tI-NP\tO' -p316892 -aS'cellulitis\tcellulitis\tNN\tI-NP\tO' -p316893 -aS'the\tthe\tDT\tB-NP\tO' -p316894 -aS'likely\tlikely\tJJ\tI-NP\tO' -p316895 -aS'source\tsource\tNN\tI-NP\tO' -p316896 -aS'.\t.\t.\tO\tO' -p316897 -asS'Levofloxacin , 250 mg p.o. q.d. ; Albuterol and Atrovent nebs q 4 to6 hours as needed prn wheeze .' -p316898 -(lp316899 -S'Levofloxacin\tLevofloxacin\tNN\tB-NP\tO' -p316900 -aS',\t,\t,\tO\tO' -p316901 -aS'250\t250\tCD\tB-NP\tO' -p316902 -aS'mg\tmg\tNN\tI-NP\tO' -p316903 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p316904 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p316905 -aS';\t;\t:\tO\tO' -p316906 -aS'Albuterol\tAlbuterol\tNN\tB-NP\tO' -p316907 -aS'and\tand\tCC\tI-NP\tO' -p316908 -aS'Atrovent\tAtrovent\tNN\tI-NP\tO' -p316909 -aS'nebs\tneb\tNNS\tI-NP\tO' -p316910 -aS'q\tq\tNN\tI-NP\tO' -p316911 -aS'4\t4\tCD\tI-NP\tO' -p316912 -aS'to6\tto6\tNN\tI-NP\tO' -p316913 -aS'hours\thour\tNNS\tI-NP\tO' -p316914 -aS'as\tas\tIN\tB-PP\tO' -p316915 -aS'needed\tneed\tVBN\tB-NP\tO' -p316916 -aS'prn\tprn\tNN\tI-NP\tO' -p316917 -aS'wheeze\twheeze\tNN\tI-NP\tO' -p316918 -aS'.\t.\t.\tO\tO' -p316919 -asS'Testes distended bilaterally .' -p316920 -(lp316921 -S'Testes\tTestis\tNNS\tB-NP\tO' -p316922 -aS'distended\tdistend\tVBD\tB-VP\tO' -p316923 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p316924 -aS'.\t.\t.\tO\tO' -p316925 -asS'Her pro time and PTT have normalized at the time of discharge .' -p316926 -(lp316927 -S'Her\tHer\tPRP$\tB-NP\tO' -p316928 -aS'pro\tpro\tJJ\tI-NP\tO' -p316929 -aS'time\ttime\tNN\tI-NP\tO' -p316930 -aS'and\tand\tCC\tI-NP\tO' -p316931 -aS'PTT\tPTT\tNN\tI-NP\tO' -p316932 -aS'have\thave\tVBP\tB-VP\tO' -p316933 -aS'normalized\tnormalize\tVBN\tI-VP\tO' -p316934 -aS'at\tat\tIN\tB-PP\tO' -p316935 -aS'the\tthe\tDT\tB-NP\tO' -p316936 -aS'time\ttime\tNN\tI-NP\tO' -p316937 -aS'of\tof\tIN\tB-PP\tO' -p316938 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p316939 -aS'.\t.\t.\tO\tO' -p316940 -asS'The frozen section analysis revealed this to be adenocarcinoma , metastatic disease from the colon most likely .' -p316941 -(lp316942 -S'The\tThe\tDT\tB-NP\tO' -p316943 -aS'frozen\tfrozen\tJJ\tI-NP\tO' -p316944 -aS'section\tsection\tNN\tI-NP\tO' -p316945 -aS'analysis\tanalysis\tNN\tI-NP\tO' -p316946 -aS'revealed\treveal\tVBD\tB-VP\tO' -p316947 -aS'this\tthis\tDT\tB-NP\tO' -p316948 -aS'to\tto\tTO\tB-VP\tO' -p316949 -aS'be\tbe\tVB\tI-VP\tO' -p316950 -aS'adenocarcinoma\tadenocarcinoma\tNN\tB-NP\tO' -p316951 -aS',\t,\t,\tO\tO' -p316952 -aS'metastatic\tmetastatic\tJJ\tB-NP\tO' -p316953 -aS'disease\tdisease\tNN\tI-NP\tO' -p316954 -aS'from\tfrom\tIN\tB-PP\tO' -p316955 -aS'the\tthe\tDT\tB-NP\tO' -p316956 -aS'colon\tcolon\tNN\tI-NP\tO' -p316957 -aS'most\tmost\tRBS\tB-ADVP\tO' -p316958 -aS'likely\tlikely\tRB\tI-ADVP\tO' -p316959 -aS'.\t.\t.\tO\tO' -p316960 -asS"Mr. Pohl is a 53 - year-old male with a history of ETOH , hypertension who presented int he emergency room with increased agitation , like secondary to ETOH intoxication and developed subsequent hypotension , systolic blood pressures in the 80 's, status post Ativan and Haldol , but was responsive" -p316961 -(lp316962 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p316963 -aS'Pohl\tPohl\tNNP\tI-NP\tO' -p316964 -aS'is\tbe\tVBZ\tB-VP\tO' -p316965 -aS'a\ta\tDT\tB-NP\tO' -p316966 -aS'53\t53\tCD\tI-NP\tO' -p316967 -aS'-\t-\tHYPH\tI-NP\tO' -p316968 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p316969 -aS'male\tmale\tNN\tI-NP\tO' -p316970 -aS'with\twith\tIN\tB-PP\tO' -p316971 -aS'a\ta\tDT\tB-NP\tO' -p316972 -aS'history\thistory\tNN\tI-NP\tO' -p316973 -aS'of\tof\tIN\tB-PP\tO' -p316974 -aS'ETOH\tETOH\tNN\tB-NP\tB-protein' -p316975 -aS',\t,\t,\tO\tO' -p316976 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p316977 -aS'who\twho\tWP\tB-NP\tO' -p316978 -aS'presented\tpresent\tVBD\tB-VP\tO' -p316979 -aS'int\tint\tNN\tB-NP\tO' -p316980 -aS'he\the\tPRP\tB-NP\tO' -p316981 -aS'emergency\temergency\tNN\tB-NP\tO' -p316982 -aS'room\troom\tNN\tI-NP\tO' -p316983 -aS'with\twith\tIN\tB-PP\tO' -p316984 -aS'increased\tincrease\tVBN\tB-NP\tO' -p316985 -aS'agitation\tagitation\tNN\tI-NP\tO' -p316986 -aS',\t,\t,\tO\tO' -p316987 -aS'like\tlike\tIN\tB-PP\tO' -p316988 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p316989 -aS'to\tto\tTO\tB-PP\tO' -p316990 -aS'ETOH\tETOH\tNN\tB-NP\tO' -p316991 -aS'intoxication\tintoxication\tNN\tI-NP\tO' -p316992 -aS'and\tand\tCC\tO\tO' -p316993 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p316994 -aS'subsequent\tsubsequent\tJJ\tB-NP\tO' -p316995 -aS'hypotension\thypotension\tNN\tI-NP\tO' -p316996 -aS',\t,\t,\tO\tO' -p316997 -aS'systolic\tsystolic\tJJ\tB-NP\tO' -p316998 -aS'blood\tblood\tNN\tI-NP\tO' -p316999 -aS'pressures\tpressure\tNNS\tI-NP\tO' -p317000 -aS'in\tin\tIN\tB-PP\tO' -p317001 -aS'the\tthe\tDT\tB-NP\tO' -p317002 -aS'80\t80\tCD\tI-NP\tO' -p317003 -aS"'s,\t's,\tPOS\tB-NP\tO" -p317004 -aS'status\tstatus\tNN\tI-NP\tO' -p317005 -aS'post\tpost\tIN\tB-PP\tO' -p317006 -aS'Ativan\tAtivan\tNNP\tB-NP\tO' -p317007 -aS'and\tand\tCC\tI-NP\tO' -p317008 -aS'Haldol\tHaldol\tNNP\tI-NP\tO' -p317009 -aS',\t,\t,\tO\tO' -p317010 -aS'but\tbut\tCC\tO\tO' -p317011 -aS'was\tbe\tVBD\tB-VP\tO' -p317012 -aS'responsive\tresponsive\tJJ\tB-ADJP\tO' -p317013 -asS'Low sodium , responsive to fluid restriction .' -p317014 -(lp317015 -S'Low\tLow\tJJ\tB-NP\tO' -p317016 -aS'sodium\tsodium\tNN\tI-NP\tO' -p317017 -aS',\t,\t,\tO\tO' -p317018 -aS'responsive\tresponsive\tJJ\tB-ADJP\tO' -p317019 -aS'to\tto\tTO\tB-PP\tO' -p317020 -aS'fluid\tfluid\tNN\tB-NP\tO' -p317021 -aS'restriction\trestriction\tNN\tI-NP\tO' -p317022 -aS'.\t.\t.\tO\tO' -p317023 -asS'However , it was titrated too quickly from 10 mg bid to 30 mg bid .' -p317024 -(lp317025 -S'However\tHowever\tRB\tB-ADVP\tO' -p317026 -aS',\t,\t,\tO\tO' -p317027 -aS'it\tit\tPRP\tB-NP\tO' -p317028 -aS'was\tbe\tVBD\tB-VP\tO' -p317029 -aS'titrated\ttitrate\tVBN\tI-VP\tO' -p317030 -aS'too\ttoo\tRB\tB-ADVP\tO' -p317031 -aS'quickly\tquickly\tRB\tI-ADVP\tO' -p317032 -aS'from\tfrom\tIN\tB-PP\tO' -p317033 -aS'10\t10\tCD\tB-NP\tO' -p317034 -aS'mg\tmg\tNN\tI-NP\tO' -p317035 -aS'bid\tbid\tRB\tB-ADVP\tO' -p317036 -aS'to\tto\tTO\tB-PP\tO' -p317037 -aS'30\t30\tCD\tB-NP\tO' -p317038 -aS'mg\tmg\tNN\tI-NP\tO' -p317039 -aS'bid\tbid\tRB\tB-ADVP\tO' -p317040 -aS'.\t.\t.\tO\tO' -p317041 -asS'Metoprolol 100 mg tid , Amiodarone 400 mg tid times 7 days , then bid times 14 days , then q d times 14 days , then 200 mg q d .' -p317042 -(lp317043 -S'Metoprolol\tMetoprolol\tNN\tB-NP\tO' -p317044 -aS'100\t100\tCD\tI-NP\tO' -p317045 -aS'mg\tmg\tNN\tI-NP\tO' -p317046 -aS'tid\ttid\tNN\tI-NP\tO' -p317047 -aS',\t,\t,\tO\tO' -p317048 -aS'Amiodarone\tAmiodarone\tNN\tB-NP\tO' -p317049 -aS'400\t400\tCD\tI-NP\tO' -p317050 -aS'mg\tmg\tNN\tI-NP\tO' -p317051 -aS'tid\ttid\tNN\tI-NP\tO' -p317052 -aS'times\ttime\tNNS\tI-NP\tO' -p317053 -aS'7\t7\tCD\tB-NP\tO' -p317054 -aS'days\tday\tNNS\tI-NP\tO' -p317055 -aS',\t,\t,\tO\tO' -p317056 -aS'then\tthen\tRB\tB-ADVP\tO' -p317057 -aS'bid\tbid\tNN\tB-NP\tO' -p317058 -aS'times\ttime\tNNS\tI-NP\tO' -p317059 -aS'14\t14\tCD\tB-NP\tO' -p317060 -aS'days\tday\tNNS\tI-NP\tO' -p317061 -aS',\t,\t,\tO\tO' -p317062 -aS'then\tthen\tRB\tB-ADVP\tO' -p317063 -aS'q\tq\tNN\tB-NP\tO' -p317064 -aS'd\td\tNN\tI-NP\tO' -p317065 -aS'times\ttime\tNNS\tI-NP\tO' -p317066 -aS'14\t14\tCD\tB-NP\tO' -p317067 -aS'days\tday\tNNS\tI-NP\tO' -p317068 -aS',\t,\t,\tO\tO' -p317069 -aS'then\tthen\tRB\tB-ADVP\tO' -p317070 -aS'200\t200\tCD\tB-NP\tO' -p317071 -aS'mg\tmg\tNN\tI-NP\tO' -p317072 -aS'q\tq\tNN\tI-NP\tO' -p317073 -aS'd\td\tNN\tI-NP\tO' -p317074 -aS'.\t.\t.\tO\tO' -p317075 -asS'Cervical spondylosis as described above .' -p317076 -(lp317077 -S'Cervical\tCervical\tJJ\tB-NP\tO' -p317078 -aS'spondylosis\tspondylosis\tNN\tI-NP\tO' -p317079 -aS'as\tas\tIN\tB-SBAR\tO' -p317080 -aS'described\tdescribe\tVBN\tB-VP\tO' -p317081 -aS'above\tabove\tRB\tB-ADVP\tO' -p317082 -aS'.\t.\t.\tO\tO' -p317083 -asS'He had an echocardiogram which showed an EF 40-45% and severe aortic stenosis .' -p317084 -(lp317085 -S'He\tHe\tPRP\tB-NP\tO' -p317086 -aS'had\thave\tVBD\tB-VP\tO' -p317087 -aS'an\tan\tDT\tB-NP\tO' -p317088 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p317089 -aS'which\twhich\tWDT\tB-NP\tO' -p317090 -aS'showed\tshow\tVBD\tB-VP\tO' -p317091 -aS'an\tan\tDT\tB-NP\tO' -p317092 -aS'EF\tEF\tNN\tI-NP\tO' -p317093 -aS'40-45%\t40-45%\tJJ\tI-NP\tO' -p317094 -aS'and\tand\tCC\tI-NP\tO' -p317095 -aS'severe\tsevere\tJJ\tI-NP\tO' -p317096 -aS'aortic\taortic\tJJ\tI-NP\tO' -p317097 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p317098 -aS'.\t.\t.\tO\tO' -p317099 -asS'1. Coronary artery disease ( s/p stents to LAD and 3rd OM )' -p317100 -(lp317101 -S'1.\t1.\tLS\tB-NP\tO' -p317102 -aS'Coronary\tCoronary\tJJ\tI-NP\tO' -p317103 -aS'artery\tartery\tNN\tI-NP\tO' -p317104 -aS'disease\tdisease\tNN\tI-NP\tO' -p317105 -aS'(\t(\t(\tO\tO' -p317106 -aS's/p\ts/p\tNN\tB-NP\tO' -p317107 -aS'stents\tstent\tNNS\tI-NP\tO' -p317108 -aS'to\tto\tTO\tB-PP\tO' -p317109 -aS'LAD\tLAD\tNN\tB-NP\tO' -p317110 -aS'and\tand\tCC\tO\tO' -p317111 -aS'3rd\t3rd\tCD\tB-NP\tO' -p317112 -aS'OM\tOM\tNNP\tI-NP\tO' -p317113 -aS')\t)\t)\tO\tO' -p317114 -asS'CXR 09-28 : No evidence for pneumonia .' -p317115 -(lp317116 -S'CXR\tCXR\tNN\tB-NP\tO' -p317117 -aS'09-28\t09-28\tCD\tI-NP\tO' -p317118 -aS':\t:\t:\tO\tO' -p317119 -aS'No\tNo\tDT\tB-NP\tO' -p317120 -aS'evidence\tevidence\tNN\tI-NP\tO' -p317121 -aS'for\tfor\tIN\tB-PP\tO' -p317122 -aS'pneumonia\tpneumonia\tNN\tB-NP\tO' -p317123 -aS'.\t.\t.\tO\tO' -p317124 -asS'She had some mid epigastric tenderness and no rebound .' -p317125 -(lp317126 -S'She\tShe\tPRP\tB-NP\tO' -p317127 -aS'had\thave\tVBD\tB-VP\tO' -p317128 -aS'some\tsome\tDT\tB-NP\tO' -p317129 -aS'mid\tmid\tJJ\tI-NP\tO' -p317130 -aS'epigastric\tepigastric\tJJ\tI-NP\tO' -p317131 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p317132 -aS'and\tand\tCC\tO\tO' -p317133 -aS'no\tno\tDT\tB-NP\tO' -p317134 -aS'rebound\trebound\tNN\tI-NP\tO' -p317135 -aS'.\t.\t.\tO\tO' -p317136 -asS'He was seen by speech and swallowing who recommended NPO , he then underwent a video swallow after which he was changed to a diet of thin liquids and soft solids , and felt that his eeating may be limited by his loose teeth .' -p317137 -(lp317138 -S'He\tHe\tPRP\tB-NP\tO' -p317139 -aS'was\tbe\tVBD\tB-VP\tO' -p317140 -aS'seen\tsee\tVBN\tI-VP\tO' -p317141 -aS'by\tby\tIN\tB-PP\tO' -p317142 -aS'speech\tspeech\tNN\tB-NP\tO' -p317143 -aS'and\tand\tCC\tO\tO' -p317144 -aS'swallowing\tswallow\tVBG\tB-VP\tO' -p317145 -aS'who\twho\tWP\tB-NP\tO' -p317146 -aS'recommended\trecommend\tVBD\tB-VP\tO' -p317147 -aS'NPO\tNPO\tNN\tB-NP\tB-protein' -p317148 -aS',\t,\t,\tO\tO' -p317149 -aS'he\the\tPRP\tB-NP\tO' -p317150 -aS'then\tthen\tRB\tB-ADVP\tO' -p317151 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p317152 -aS'a\ta\tDT\tB-NP\tO' -p317153 -aS'video\tvideo\tNN\tI-NP\tO' -p317154 -aS'swallow\tswallow\tNN\tI-NP\tO' -p317155 -aS'after\tafter\tIN\tB-PP\tO' -p317156 -aS'which\twhich\tWDT\tB-NP\tO' -p317157 -aS'he\the\tPRP\tB-NP\tO' -p317158 -aS'was\tbe\tVBD\tB-VP\tO' -p317159 -aS'changed\tchange\tVBN\tI-VP\tO' -p317160 -aS'to\tto\tTO\tB-PP\tO' -p317161 -aS'a\ta\tDT\tB-NP\tO' -p317162 -aS'diet\tdiet\tNN\tI-NP\tO' -p317163 -aS'of\tof\tIN\tB-PP\tO' -p317164 -aS'thin\tthin\tJJ\tB-NP\tO' -p317165 -aS'liquids\tliquid\tNNS\tI-NP\tO' -p317166 -aS'and\tand\tCC\tO\tO' -p317167 -aS'soft\tsoft\tJJ\tB-NP\tO' -p317168 -aS'solids\tsolid\tNNS\tI-NP\tO' -p317169 -aS',\t,\t,\tO\tO' -p317170 -aS'and\tand\tCC\tO\tO' -p317171 -aS'felt\tfeel\tVBD\tB-VP\tO' -p317172 -aS'that\tthat\tIN\tB-SBAR\tO' -p317173 -aS'his\this\tPRP$\tB-NP\tO' -p317174 -aS'eeating\teeating\tNN\tI-NP\tO' -p317175 -aS'may\tmay\tMD\tB-VP\tO' -p317176 -aS'be\tbe\tVB\tI-VP\tO' -p317177 -aS'limited\tlimit\tVBN\tI-VP\tO' -p317178 -aS'by\tby\tIN\tB-PP\tO' -p317179 -aS'his\this\tPRP$\tB-NP\tO' -p317180 -aS'loose\tloose\tJJ\tI-NP\tO' -p317181 -aS'teeth\ttooth\tNNS\tI-NP\tO' -p317182 -aS'.\t.\t.\tO\tO' -p317183 -asS'If there are any questions regarding his care they should be directed to Dr. Cranka 's office at Ph University Of Medical Center and we will be happy to contact any or all of the consultations concerned with Hauth 's care .' -p317184 -(lp317185 -S'If\tIf\tIN\tB-SBAR\tO' -p317186 -aS'there\tthere\tEX\tB-NP\tO' -p317187 -aS'are\tbe\tVBP\tB-VP\tO' -p317188 -aS'any\tany\tDT\tB-NP\tO' -p317189 -aS'questions\tquestion\tNNS\tI-NP\tO' -p317190 -aS'regarding\tregard\tVBG\tB-VP\tO' -p317191 -aS'his\this\tPRP$\tB-NP\tO' -p317192 -aS'care\tcare\tNN\tI-NP\tO' -p317193 -aS'they\tthey\tPRP\tB-NP\tO' -p317194 -aS'should\tshould\tMD\tB-VP\tO' -p317195 -aS'be\tbe\tVB\tI-VP\tO' -p317196 -aS'directed\tdirect\tVBN\tI-VP\tO' -p317197 -aS'to\tto\tTO\tB-PP\tO' -p317198 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p317199 -aS'Cranka\tCranka\tNNP\tI-NP\tO' -p317200 -aS''s\t'\tNNS\tI-NP\tO' -p317201 -aS'office\toffice\tNN\tI-NP\tO' -p317202 -aS'at\tat\tIN\tB-PP\tO' -p317203 -aS'Ph\tPh\tNNP\tB-NP\tO' -p317204 -aS'University\tUniversity\tNNP\tI-NP\tO' -p317205 -aS'Of\tOf\tNNP\tI-NP\tO' -p317206 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p317207 -aS'Center\tCenter\tNNP\tI-NP\tO' -p317208 -aS'and\tand\tCC\tO\tO' -p317209 -aS'we\twe\tPRP\tB-NP\tO' -p317210 -aS'will\twill\tMD\tB-VP\tO' -p317211 -aS'be\tbe\tVB\tI-VP\tO' -p317212 -aS'happy\thappy\tJJ\tB-ADJP\tO' -p317213 -aS'to\tto\tTO\tB-VP\tO' -p317214 -aS'contact\tcontact\tVB\tI-VP\tO' -p317215 -aS'any\tany\tDT\tB-NP\tO' -p317216 -aS'or\tor\tCC\tI-NP\tO' -p317217 -aS'all\tall\tDT\tI-NP\tO' -p317218 -aS'of\tof\tIN\tB-PP\tO' -p317219 -aS'the\tthe\tDT\tB-NP\tO' -p317220 -aS'consultations\tconsultation\tNNS\tI-NP\tO' -p317221 -aS'concerned\tconcern\tVBN\tB-VP\tO' -p317222 -aS'with\twith\tIN\tB-PP\tO' -p317223 -aS'Hauth\tHauth\tNNP\tB-NP\tO' -p317224 -aS''s\t'\tNNS\tI-NP\tO' -p317225 -aS'care\tcare\tNN\tI-NP\tO' -p317226 -aS'.\t.\t.\tO\tO' -p317227 -asS'On admission , weight 1515 grams , 10th to 25th percentile , head circumference 30 cm , 25th to 50th percentile , length 41 cm , 10th to 25th percentile .' -p317228 -(lp317229 -S'On\tOn\tIN\tB-PP\tO' -p317230 -aS'admission\tadmission\tNN\tB-NP\tO' -p317231 -aS',\t,\t,\tO\tO' -p317232 -aS'weight\tweight\tNN\tB-NP\tO' -p317233 -aS'1515\t1515\tCD\tB-NP\tO' -p317234 -aS'grams\tgram\tNNS\tI-NP\tO' -p317235 -aS',\t,\t,\tO\tO' -p317236 -aS'10th\t10th\tJJ\tB-ADJP\tO' -p317237 -aS'to\tto\tTO\tB-PP\tO' -p317238 -aS'25th\t25th\tJJ\tB-NP\tO' -p317239 -aS'percentile\tpercentile\tNN\tI-NP\tO' -p317240 -aS',\t,\t,\tO\tO' -p317241 -aS'head\thead\tNN\tB-NP\tO' -p317242 -aS'circumference\tcircumference\tNN\tI-NP\tO' -p317243 -aS'30\t30\tCD\tI-NP\tO' -p317244 -aS'cm\tcm\tNN\tI-NP\tO' -p317245 -aS',\t,\t,\tO\tO' -p317246 -aS'25th\t25th\tJJ\tB-ADJP\tO' -p317247 -aS'to\tto\tTO\tB-PP\tO' -p317248 -aS'50th\t50th\tJJ\tB-NP\tO' -p317249 -aS'percentile\tpercentile\tNN\tI-NP\tO' -p317250 -aS',\t,\t,\tO\tO' -p317251 -aS'length\tlength\tNN\tB-NP\tO' -p317252 -aS'41\t41\tCD\tI-NP\tO' -p317253 -aS'cm\tcm\tNN\tI-NP\tO' -p317254 -aS',\t,\t,\tO\tO' -p317255 -aS'10th\t10th\tJJ\tB-ADJP\tO' -p317256 -aS'to\tto\tTO\tB-PP\tO' -p317257 -aS'25th\t25th\tJJ\tB-NP\tO' -p317258 -aS'percentile\tpercentile\tNN\tI-NP\tO' -p317259 -aS'.\t.\t.\tO\tO' -p317260 -asS'His heart was regular rate and rhythm with no murmurs , rubs or gallops .' -p317261 -(lp317262 -S'His\tHis\tPRP$\tB-NP\tO' -p317263 -aS'heart\theart\tNN\tI-NP\tO' -p317264 -aS'was\tbe\tVBD\tB-VP\tO' -p317265 -aS'regular\tregular\tJJ\tB-NP\tO' -p317266 -aS'rate\trate\tNN\tI-NP\tO' -p317267 -aS'and\tand\tCC\tO\tO' -p317268 -aS'rhythm\trhythm\tNN\tB-NP\tO' -p317269 -aS'with\twith\tIN\tB-PP\tO' -p317270 -aS'no\tno\tDT\tB-NP\tO' -p317271 -aS'murmurs\tmurmur\tNNS\tI-NP\tO' -p317272 -aS',\t,\t,\tI-NP\tO' -p317273 -aS'rubs\trub\tNNS\tI-NP\tO' -p317274 -aS'or\tor\tCC\tI-NP\tO' -p317275 -aS'gallops\tgallop\tNNS\tI-NP\tO' -p317276 -aS'.\t.\t.\tO\tO' -p317277 -asS'She has a history of gastroparesis secondary to long-standing type I diabetes .' -p317278 -(lp317279 -S'She\tShe\tPRP\tB-NP\tO' -p317280 -aS'has\thave\tVBZ\tB-VP\tO' -p317281 -aS'a\ta\tDT\tB-NP\tO' -p317282 -aS'history\thistory\tNN\tI-NP\tO' -p317283 -aS'of\tof\tIN\tB-PP\tO' -p317284 -aS'gastroparesis\tgastroparesis\tNN\tB-NP\tO' -p317285 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p317286 -aS'to\tto\tTO\tB-PP\tO' -p317287 -aS'long-standing\tlong-standing\tJJ\tB-NP\tO' -p317288 -aS'type\ttype\tNN\tI-NP\tO' -p317289 -aS'I\tI\tCD\tI-NP\tO' -p317290 -aS'diabetes\tdiabete\tNNS\tI-NP\tO' -p317291 -aS'.\t.\t.\tO\tO' -p317292 -asS'1. Nonischemic dilated cardiomyopathy with an ejection fraction of 15-20% .' -p317293 -(lp317294 -S'1.\t1.\tLS\tB-NP\tO' -p317295 -aS'Nonischemic\tNonischemic\tJJ\tI-NP\tO' -p317296 -aS'dilated\tdilated\tJJ\tI-NP\tO' -p317297 -aS'cardiomyopathy\tcardiomyopathy\tNN\tI-NP\tO' -p317298 -aS'with\twith\tIN\tB-PP\tO' -p317299 -aS'an\tan\tDT\tB-NP\tO' -p317300 -aS'ejection\tejection\tNN\tI-NP\tO' -p317301 -aS'fraction\tfraction\tNN\tI-NP\tO' -p317302 -aS'of\tof\tIN\tB-PP\tO' -p317303 -aS'15-20%\t15-20%\tNN\tB-NP\tB-protein' -p317304 -aS'.\t.\t.\tO\tO' -p317305 -asS'None currently .' -p317306 -(lp317307 -S'None\tNone\tNN\tB-NP\tO' -p317308 -aS'currently\tcurrently\tRB\tB-ADVP\tO' -p317309 -aS'.\t.\t.\tO\tO' -p317310 -asS'1. Presumed pneumonia , treated .' -p317311 -(lp317312 -S'1.\t1.\tLS\tB-NP\tO' -p317313 -aS'Presumed\tPresumed\tNNP\tI-NP\tO' -p317314 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p317315 -aS',\t,\t,\tO\tO' -p317316 -aS'treated\ttreat\tVBN\tB-VP\tO' -p317317 -aS'.\t.\t.\tO\tO' -p317318 -asS'He returned to the Wing Memorial & Medical Center intubated from an outside hospital on 2017-02-04 , for respiratory failure and was sent to CMED CSRU .' -p317319 -(lp317320 -S'He\tHe\tPRP\tB-NP\tO' -p317321 -aS'returned\treturn\tVBD\tB-VP\tO' -p317322 -aS'to\tto\tTO\tB-PP\tO' -p317323 -aS'the\tthe\tDT\tB-NP\tO' -p317324 -aS'Wing\tWing\tNNP\tI-NP\tO' -p317325 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p317326 -aS'&\t&\tCC\tI-NP\tO' -p317327 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p317328 -aS'Center\tCenter\tNNP\tI-NP\tO' -p317329 -aS'intubated\tintubate\tVBD\tB-VP\tO' -p317330 -aS'from\tfrom\tIN\tB-PP\tO' -p317331 -aS'an\tan\tDT\tB-NP\tO' -p317332 -aS'outside\toutside\tJJ\tI-NP\tO' -p317333 -aS'hospital\thospital\tNN\tI-NP\tO' -p317334 -aS'on\ton\tIN\tB-PP\tO' -p317335 -aS'2017-02-04\t2017-02-04\tCD\tB-NP\tO' -p317336 -aS',\t,\t,\tO\tO' -p317337 -aS'for\tfor\tIN\tB-PP\tO' -p317338 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p317339 -aS'failure\tfailure\tNN\tI-NP\tO' -p317340 -aS'and\tand\tCC\tO\tO' -p317341 -aS'was\tbe\tVBD\tB-VP\tO' -p317342 -aS'sent\tsend\tVBN\tI-VP\tO' -p317343 -aS'to\tto\tTO\tB-PP\tO' -p317344 -aS'CMED\tCMED\tNNP\tB-NP\tO' -p317345 -aS'CSRU\tCSRU\tNNP\tI-NP\tO' -p317346 -aS'.\t.\t.\tO\tO' -p317347 -asS'The patient appeared to have tolerated the procedure and was transferred to the cardiac intensive care unit for postoperative management .' -p317348 -(lp317349 -S'The\tThe\tDT\tB-NP\tO' -p317350 -aS'patient\tpatient\tNN\tI-NP\tO' -p317351 -aS'appeared\tappear\tVBD\tB-VP\tO' -p317352 -aS'to\tto\tTO\tI-VP\tO' -p317353 -aS'have\thave\tVB\tI-VP\tO' -p317354 -aS'tolerated\ttolerate\tVBN\tI-VP\tO' -p317355 -aS'the\tthe\tDT\tB-NP\tO' -p317356 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p317357 -aS'and\tand\tCC\tO\tO' -p317358 -aS'was\tbe\tVBD\tB-VP\tO' -p317359 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p317360 -aS'to\tto\tTO\tB-PP\tO' -p317361 -aS'the\tthe\tDT\tB-NP\tO' -p317362 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p317363 -aS'intensive\tintensive\tJJ\tI-NP\tO' -p317364 -aS'care\tcare\tNN\tI-NP\tO' -p317365 -aS'unit\tunit\tNN\tI-NP\tO' -p317366 -aS'for\tfor\tIN\tB-PP\tO' -p317367 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p317368 -aS'management\tmanagement\tNN\tI-NP\tO' -p317369 -aS'.\t.\t.\tO\tO' -p317370 -asS'The infant required phototherapy for hyperbilirubinemia through day of life 7 , with peak bilirubin of 7 / 0.3 on day of life 3 , and last bilirubin of 4.9 / 0.3 on day of life 9 .' -p317371 -(lp317372 -S'The\tThe\tDT\tB-NP\tO' -p317373 -aS'infant\tinfant\tNN\tI-NP\tO' -p317374 -aS'required\trequire\tVBD\tB-VP\tO' -p317375 -aS'phototherapy\tphototherapy\tNN\tB-NP\tO' -p317376 -aS'for\tfor\tIN\tB-PP\tO' -p317377 -aS'hyperbilirubinemia\thyperbilirubinemia\tNN\tB-NP\tO' -p317378 -aS'through\tthrough\tIN\tB-PP\tO' -p317379 -aS'day\tday\tNN\tB-NP\tO' -p317380 -aS'of\tof\tIN\tB-PP\tO' -p317381 -aS'life\tlife\tNN\tB-NP\tO' -p317382 -aS'7\t7\tCD\tI-NP\tO' -p317383 -aS',\t,\t,\tO\tO' -p317384 -aS'with\twith\tIN\tB-PP\tO' -p317385 -aS'peak\tpeak\tJJ\tB-NP\tO' -p317386 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p317387 -aS'of\tof\tIN\tB-PP\tO' -p317388 -aS'7\t7\tCD\tB-NP\tO' -p317389 -aS'/\t/\tSYM\tI-NP\tO' -p317390 -aS'0.3\t0.3\tCD\tI-NP\tO' -p317391 -aS'on\ton\tIN\tB-PP\tO' -p317392 -aS'day\tday\tNN\tB-NP\tO' -p317393 -aS'of\tof\tIN\tB-PP\tO' -p317394 -aS'life\tlife\tNN\tB-NP\tO' -p317395 -aS'3\t3\tCD\tI-NP\tO' -p317396 -aS',\t,\t,\tO\tO' -p317397 -aS'and\tand\tCC\tO\tO' -p317398 -aS'last\tlast\tJJ\tB-NP\tO' -p317399 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p317400 -aS'of\tof\tIN\tB-PP\tO' -p317401 -aS'4.9\t4.9\tCD\tB-NP\tO' -p317402 -aS'/\t/\tSYM\tI-NP\tO' -p317403 -aS'0.3\t0.3\tCD\tI-NP\tO' -p317404 -aS'on\ton\tIN\tB-PP\tO' -p317405 -aS'day\tday\tNN\tB-NP\tO' -p317406 -aS'of\tof\tIN\tB-PP\tO' -p317407 -aS'life\tlife\tNN\tB-NP\tB-protein' -p317408 -aS'9\t9\tCD\tI-NP\tI-protein' -p317409 -aS'.\t.\t.\tO\tO' -p317410 -asS'As the patient became more awake , he still remained somewhat confused and a little bit out of it .' -p317411 -(lp317412 -S'As\tAs\tIN\tB-SBAR\tO' -p317413 -aS'the\tthe\tDT\tB-NP\tO' -p317414 -aS'patient\tpatient\tNN\tI-NP\tO' -p317415 -aS'became\tbecome\tVBD\tB-VP\tO' -p317416 -aS'more\tmore\tRBR\tB-ADJP\tO' -p317417 -aS'awake\tawake\tJJ\tI-ADJP\tO' -p317418 -aS',\t,\t,\tO\tO' -p317419 -aS'he\the\tPRP\tB-NP\tO' -p317420 -aS'still\tstill\tRB\tB-ADVP\tO' -p317421 -aS'remained\tremain\tVBD\tB-VP\tO' -p317422 -aS'somewhat\tsomewhat\tRB\tB-ADJP\tO' -p317423 -aS'confused\tconfuse\tVBN\tI-ADJP\tO' -p317424 -aS'and\tand\tCC\tO\tO' -p317425 -aS'a\ta\tDT\tB-NP\tO' -p317426 -aS'little\tlittle\tJJ\tI-NP\tO' -p317427 -aS'bit\tbit\tNN\tI-NP\tO' -p317428 -aS'out\tout\tIN\tB-PP\tO' -p317429 -aS'of\tof\tIN\tB-PP\tO' -p317430 -aS'it\tit\tPRP\tB-NP\tO' -p317431 -aS'.\t.\t.\tO\tO' -p317432 -asS'Lipitor 20 mg p.o. q day .' -p317433 -(lp317434 -S'Lipitor\tLipitor\tNN\tB-NP\tO' -p317435 -aS'20\t20\tCD\tI-NP\tO' -p317436 -aS'mg\tmg\tNN\tI-NP\tO' -p317437 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p317438 -aS'q\tq\tNN\tI-NP\tO' -p317439 -aS'day\tday\tNN\tI-NP\tO' -p317440 -aS'.\t.\t.\tO\tO' -p317441 -asS'In addition to this , the patient will follow-up with Cardiology , Dr. Foster , and Dr. Upshaw , on 2015-07-06 for further monitoring .' -p317442 -(lp317443 -S'In\tIn\tIN\tB-PP\tO' -p317444 -aS'addition\taddition\tNN\tB-NP\tO' -p317445 -aS'to\tto\tTO\tB-PP\tO' -p317446 -aS'this\tthis\tDT\tB-NP\tO' -p317447 -aS',\t,\t,\tO\tO' -p317448 -aS'the\tthe\tDT\tB-NP\tO' -p317449 -aS'patient\tpatient\tNN\tI-NP\tO' -p317450 -aS'will\twill\tMD\tB-VP\tO' -p317451 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p317452 -aS'with\twith\tIN\tB-PP\tO' -p317453 -aS'Cardiology\tCardiology\tNNP\tB-NP\tO' -p317454 -aS',\t,\t,\tO\tO' -p317455 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p317456 -aS'Foster\tFoster\tNNP\tI-NP\tO' -p317457 -aS',\t,\t,\tO\tO' -p317458 -aS'and\tand\tCC\tO\tO' -p317459 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p317460 -aS'Upshaw\tUpshaw\tNNP\tI-NP\tO' -p317461 -aS',\t,\t,\tO\tO' -p317462 -aS'on\ton\tIN\tB-PP\tO' -p317463 -aS'2015-07-06\t2015-07-06\tCD\tB-NP\tO' -p317464 -aS'for\tfor\tIN\tB-PP\tO' -p317465 -aS'further\tfurther\tJJ\tB-NP\tO' -p317466 -aS'monitoring\tmonitoring\tNN\tI-NP\tO' -p317467 -aS'.\t.\t.\tO\tO' -p317468 -asS'INR of 2.0 .' -p317469 -(lp317470 -S'INR\tINR\tNN\tB-NP\tB-protein' -p317471 -aS'of\tof\tIN\tB-PP\tO' -p317472 -aS'2.0\t2.0\tCD\tB-NP\tO' -p317473 -aS'.\t.\t.\tO\tO' -p317474 -asS'Patient was exubated after 1 day in ICU after waking up .' -p317475 -(lp317476 -S'Patient\tPatient\tNN\tB-NP\tO' -p317477 -aS'was\tbe\tVBD\tB-VP\tO' -p317478 -aS'exubated\texubate\tVBN\tI-VP\tO' -p317479 -aS'after\tafter\tIN\tB-PP\tO' -p317480 -aS'1\t1\tCD\tB-NP\tO' -p317481 -aS'day\tday\tNN\tI-NP\tO' -p317482 -aS'in\tin\tIN\tB-PP\tO' -p317483 -aS'ICU\tICU\tNN\tB-NP\tB-protein' -p317484 -aS'after\tafter\tIN\tB-PP\tO' -p317485 -aS'waking\twake\tVBG\tB-VP\tO' -p317486 -aS'up\tup\tRP\tB-PRT\tO' -p317487 -aS'.\t.\t.\tO\tO' -p317488 -asS'Please see report for details .' -p317489 -(lp317490 -S'Please\tPlease\tVB\tB-VP\tO' -p317491 -aS'see\tsee\tVB\tI-VP\tO' -p317492 -aS'report\treport\tNN\tB-NP\tO' -p317493 -aS'for\tfor\tIN\tB-PP\tO' -p317494 -aS'details\tdetail\tNNS\tB-NP\tO' -p317495 -aS'.\t.\t.\tO\tO' -p317496 -asS"Review of OSH echo revealed peak gradient of 64mm ( not 30 's ) ." -p317497 -(lp317498 -S'Review\tReview\tNN\tB-NP\tO' -p317499 -aS'of\tof\tIN\tB-PP\tO' -p317500 -aS'OSH\tOSH\tNN\tB-NP\tO' -p317501 -aS'echo\techo\tNN\tI-NP\tO' -p317502 -aS'revealed\treveal\tVBD\tB-VP\tO' -p317503 -aS'peak\tpeak\tJJ\tB-NP\tO' -p317504 -aS'gradient\tgradient\tNN\tI-NP\tO' -p317505 -aS'of\tof\tIN\tB-PP\tO' -p317506 -aS'64mm\t64mm\tNN\tB-NP\tO' -p317507 -aS'(\t(\t(\tO\tO' -p317508 -aS'not\tnot\tRB\tO\tO' -p317509 -aS'30\t30\tCD\tB-NP\tO' -p317510 -aS"'s\t's\tPOS\tB-NP\tO" -p317511 -aS')\t)\t)\tO\tO' -p317512 -aS'.\t.\t.\tO\tO' -p317513 -asS'Question of vertebral basilar cerebrovascular accident in 2016-08-17 , with associated limb ataxia .' -p317514 -(lp317515 -S'Question\tQuestion\tNN\tB-NP\tO' -p317516 -aS'of\tof\tIN\tB-PP\tO' -p317517 -aS'vertebral\tvertebral\tJJ\tB-NP\tO' -p317518 -aS'basilar\tbasilar\tJJ\tI-NP\tO' -p317519 -aS'cerebrovascular\tcerebrovascular\tJJ\tI-NP\tO' -p317520 -aS'accident\taccident\tNN\tI-NP\tO' -p317521 -aS'in\tin\tIN\tB-PP\tO' -p317522 -aS'2016-08-17\t2016-08-17\tCD\tB-NP\tO' -p317523 -aS',\t,\t,\tO\tO' -p317524 -aS'with\twith\tIN\tB-PP\tO' -p317525 -aS'associated\tassociate\tVBN\tB-NP\tO' -p317526 -aS'limb\tlimb\tNN\tI-NP\tO' -p317527 -aS'ataxia\tataxia\tNN\tI-NP\tO' -p317528 -aS'.\t.\t.\tO\tO' -p317529 -asS'Rhythm became more stable .' -p317530 -(lp317531 -S'Rhythm\tRhythm\tNN\tB-NP\tO' -p317532 -aS'became\tbecome\tVBD\tB-VP\tO' -p317533 -aS'more\tmore\tRBR\tB-ADJP\tO' -p317534 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p317535 -aS'.\t.\t.\tO\tO' -p317536 -asS'Signed electronically by : DR. Vicki Baker on : TUE 2012-07-03 8:23 AM' -p317537 -(lp317538 -S'Signed\tSign\tVBN\tB-VP\tO' -p317539 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p317540 -aS'by\tby\tIN\tB-PP\tO' -p317541 -aS':\t:\t:\tO\tO' -p317542 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p317543 -aS'Vicki\tVicki\tNNP\tI-NP\tO' -p317544 -aS'Baker\tBaker\tNNP\tI-NP\tO' -p317545 -aS'on\ton\tIN\tB-PP\tO' -p317546 -aS':\t:\t:\tO\tO' -p317547 -aS'TUE\tTUE\tNN\tB-NP\tO' -p317548 -aS'2012-07-03\t2012-07-03\tCD\tI-NP\tO' -p317549 -aS'8:23\t8:23\tCD\tI-NP\tO' -p317550 -aS'AM\tAM\tNN\tI-NP\tO' -p317551 -asS'Vital signs were stable .' -p317552 -(lp317553 -S'Vital\tVital\tJJ\tB-NP\tO' -p317554 -aS'signs\tsign\tNNS\tI-NP\tO' -p317555 -aS'were\tbe\tVBD\tB-VP\tO' -p317556 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p317557 -aS'.\t.\t.\tO\tO' -p317558 -asS'We agreed that he should resume his atenolol .' -p317559 -(lp317560 -S'We\tWe\tPRP\tB-NP\tO' -p317561 -aS'agreed\tagree\tVBD\tB-VP\tO' -p317562 -aS'that\tthat\tIN\tB-SBAR\tO' -p317563 -aS'he\the\tPRP\tB-NP\tO' -p317564 -aS'should\tshould\tMD\tB-VP\tO' -p317565 -aS'resume\tresume\tVB\tI-VP\tO' -p317566 -aS'his\this\tPRP$\tB-NP\tO' -p317567 -aS'atenolol\tatenolol\tNN\tI-NP\tO' -p317568 -aS'.\t.\t.\tO\tO' -p317569 -asS'He denied CP , SOB , HA , vision changes , neck stiffness , dysuria , or other symptoms .' -p317570 -(lp317571 -S'He\tHe\tPRP\tB-NP\tO' -p317572 -aS'denied\tdeny\tVBD\tB-VP\tO' -p317573 -aS'CP\tCP\tNN\tB-NP\tB-DNA' -p317574 -aS',\t,\t,\tO\tO' -p317575 -aS'SOB\tSOB\tNN\tB-NP\tB-protein' -p317576 -aS',\t,\t,\tO\tO' -p317577 -aS'HA\tHA\tNN\tB-NP\tO' -p317578 -aS',\t,\t,\tO\tO' -p317579 -aS'vision\tvision\tNN\tB-NP\tO' -p317580 -aS'changes\tchange\tNNS\tI-NP\tO' -p317581 -aS',\t,\t,\tO\tO' -p317582 -aS'neck\tneck\tNN\tB-NP\tO' -p317583 -aS'stiffness\tstiffness\tNN\tI-NP\tO' -p317584 -aS',\t,\t,\tO\tO' -p317585 -aS'dysuria\tdysuria\tNN\tB-NP\tO' -p317586 -aS',\t,\t,\tO\tO' -p317587 -aS'or\tor\tCC\tO\tO' -p317588 -aS'other\tother\tJJ\tB-NP\tO' -p317589 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p317590 -aS'.\t.\t.\tO\tO' -p317591 -asS'2. Aspirin 81 .' -p317592 -(lp317593 -S'2.\t2.\tLS\tB-LST\tO' -p317594 -aS'Aspirin\tAspirin\tNN\tB-NP\tO' -p317595 -aS'81\t81\tCD\tI-NP\tO' -p317596 -aS'.\t.\t.\tO\tO' -p317597 -asS'Otherwise normal small bowel enteroscopy to mid jejunum' -p317598 -(lp317599 -S'Otherwise\tOtherwise\tRB\tB-NP\tO' -p317600 -aS'normal\tnormal\tJJ\tI-NP\tO' -p317601 -aS'small\tsmall\tJJ\tI-NP\tO' -p317602 -aS'bowel\tbowel\tNN\tI-NP\tO' -p317603 -aS'enteroscopy\tenteroscopy\tNN\tI-NP\tO' -p317604 -aS'to\tto\tTO\tB-VP\tO' -p317605 -aS'mid\tmid\tVB\tI-VP\tO' -p317606 -aS'jejunum\tjejunum\tNN\tB-NP\tO' -p317607 -asS'She was followed by Cape Cod Hospital Clinic for treatment of persistent hyperglycemia .' -p317608 -(lp317609 -S'She\tShe\tPRP\tB-NP\tO' -p317610 -aS'was\tbe\tVBD\tB-VP\tO' -p317611 -aS'followed\tfollow\tVBN\tI-VP\tO' -p317612 -aS'by\tby\tIN\tB-PP\tO' -p317613 -aS'Cape\tCape\tNNP\tB-NP\tO' -p317614 -aS'Cod\tCod\tNNP\tI-NP\tO' -p317615 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p317616 -aS'Clinic\tClinic\tNNP\tI-NP\tO' -p317617 -aS'for\tfor\tIN\tB-PP\tO' -p317618 -aS'treatment\ttreatment\tNN\tB-NP\tO' -p317619 -aS'of\tof\tIN\tB-PP\tO' -p317620 -aS'persistent\tpersistent\tJJ\tB-NP\tO' -p317621 -aS'hyperglycemia\thyperglycemia\tNN\tI-NP\tO' -p317622 -aS'.\t.\t.\tO\tO' -p317623 -asS'95 revealed a low-grade oligodendroglioma .' -p317624 -(lp317625 -S'95\t95\tCD\tB-NP\tO' -p317626 -aS'revealed\treveal\tVBD\tB-VP\tO' -p317627 -aS'a\ta\tDT\tB-NP\tO' -p317628 -aS'low-grade\tlow-grade\tJJ\tI-NP\tO' -p317629 -aS'oligodendroglioma\toligodendroglioma\tNN\tI-NP\tO' -p317630 -aS'.\t.\t.\tO\tO' -p317631 -asS'Infant is under phototherapy , which was discontinued on 11-13 .' -p317632 -(lp317633 -S'Infant\tInfant\tNNP\tB-NP\tO' -p317634 -aS'is\tbe\tVBZ\tB-VP\tO' -p317635 -aS'under\tunder\tIN\tB-PP\tO' -p317636 -aS'phototherapy\tphototherapy\tNN\tB-NP\tO' -p317637 -aS',\t,\t,\tO\tO' -p317638 -aS'which\twhich\tWDT\tB-NP\tO' -p317639 -aS'was\tbe\tVBD\tB-VP\tO' -p317640 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p317641 -aS'on\ton\tIN\tB-PP\tO' -p317642 -aS'11-13\t11-13\tCD\tB-NP\tO' -p317643 -aS'.\t.\t.\tO\tO' -p317644 -asS'He has had persistent pain over the years which has worsened in the past several months including inability to sleep .' -p317645 -(lp317646 -S'He\tHe\tPRP\tB-NP\tO' -p317647 -aS'has\thave\tVBZ\tB-VP\tO' -p317648 -aS'had\thave\tVBN\tI-VP\tO' -p317649 -aS'persistent\tpersistent\tJJ\tB-NP\tO' -p317650 -aS'pain\tpain\tNN\tI-NP\tO' -p317651 -aS'over\tover\tIN\tB-PP\tO' -p317652 -aS'the\tthe\tDT\tB-NP\tO' -p317653 -aS'years\tyear\tNNS\tI-NP\tO' -p317654 -aS'which\twhich\tWDT\tB-NP\tO' -p317655 -aS'has\thave\tVBZ\tB-VP\tO' -p317656 -aS'worsened\tworsen\tVBN\tI-VP\tO' -p317657 -aS'in\tin\tIN\tB-PP\tO' -p317658 -aS'the\tthe\tDT\tB-NP\tO' -p317659 -aS'past\tpast\tJJ\tI-NP\tO' -p317660 -aS'several\tseveral\tJJ\tI-NP\tO' -p317661 -aS'months\tmonth\tNNS\tI-NP\tO' -p317662 -aS'including\tinclude\tVBG\tB-PP\tO' -p317663 -aS'inability\tinability\tNN\tB-NP\tO' -p317664 -aS'to\tto\tTO\tB-VP\tO' -p317665 -aS'sleep\tsleep\tVB\tI-VP\tO' -p317666 -aS'.\t.\t.\tO\tO' -p317667 -asS'Dr. von Sampson in 4 weeks' -p317668 -(lp317669 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p317670 -aS'von\tvon\tNNP\tI-NP\tO' -p317671 -aS'Sampson\tSampson\tNNP\tI-NP\tO' -p317672 -aS'in\tin\tIN\tB-PP\tO' -p317673 -aS'4\t4\tCD\tB-NP\tO' -p317674 -aS'weeks\tweek\tNNS\tI-NP\tO' -p317675 -asS'Serum tox was positive for ETOH at 383 , otherwise negative .' -p317676 -(lp317677 -S'Serum\tSerum\tNN\tB-NP\tO' -p317678 -aS'tox\ttox\tNN\tI-NP\tO' -p317679 -aS'was\tbe\tVBD\tB-VP\tO' -p317680 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p317681 -aS'for\tfor\tIN\tB-PP\tO' -p317682 -aS'ETOH\tETOH\tNN\tB-NP\tB-protein' -p317683 -aS'at\tat\tIN\tB-PP\tO' -p317684 -aS'383\t383\tCD\tB-NP\tO' -p317685 -aS',\t,\t,\tO\tO' -p317686 -aS'otherwise\totherwise\tRB\tB-ADJP\tO' -p317687 -aS'negative\tnegative\tJJ\tI-ADJP\tO' -p317688 -aS'.\t.\t.\tO\tO' -p317689 -asS'There is no shift of normally midline structures or hydrocephalus .' -p317690 -(lp317691 -S'There\tThere\tEX\tB-NP\tO' -p317692 -aS'is\tbe\tVBZ\tB-VP\tO' -p317693 -aS'no\tno\tDT\tB-NP\tO' -p317694 -aS'shift\tshift\tNN\tI-NP\tO' -p317695 -aS'of\tof\tIN\tB-PP\tO' -p317696 -aS'normally\tnormally\tRB\tB-NP\tO' -p317697 -aS'midline\tmidline\tNN\tI-NP\tO' -p317698 -aS'structures\tstructure\tNNS\tI-NP\tO' -p317699 -aS'or\tor\tCC\tI-NP\tO' -p317700 -aS'hydrocephalus\thydrocephalus\tNN\tI-NP\tO' -p317701 -aS'.\t.\t.\tO\tO' -p317702 -asS'If you develop trouble breathing , worsening pain , vomiting or any other concerns please return to the ED for further evaluation .' -p317703 -(lp317704 -S'If\tIf\tIN\tB-SBAR\tO' -p317705 -aS'you\tyou\tPRP\tB-NP\tO' -p317706 -aS'develop\tdevelop\tVBP\tB-VP\tO' -p317707 -aS'trouble\ttrouble\tNN\tB-NP\tO' -p317708 -aS'breathing\tbreathing\tNN\tI-NP\tO' -p317709 -aS',\t,\t,\tO\tO' -p317710 -aS'worsening\tworsen\tVBG\tB-VP\tO' -p317711 -aS'pain\tpain\tNN\tB-NP\tO' -p317712 -aS',\t,\t,\tO\tO' -p317713 -aS'vomiting\tvomiting\tNN\tB-NP\tO' -p317714 -aS'or\tor\tCC\tO\tO' -p317715 -aS'any\tany\tDT\tB-NP\tO' -p317716 -aS'other\tother\tJJ\tI-NP\tO' -p317717 -aS'concerns\tconcern\tNNS\tI-NP\tO' -p317718 -aS'please\tplease\tVB\tB-VP\tO' -p317719 -aS'return\treturn\tNN\tB-NP\tO' -p317720 -aS'to\tto\tTO\tB-PP\tO' -p317721 -aS'the\tthe\tDT\tB-NP\tO' -p317722 -aS'ED\tED\tNN\tI-NP\tO' -p317723 -aS'for\tfor\tIN\tB-PP\tO' -p317724 -aS'further\tfurther\tJJ\tB-NP\tO' -p317725 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p317726 -aS'.\t.\t.\tO\tO' -p317727 -asS'Her initial blood culture remained negative and she received 48 hours of ampicillin and gentamicin .' -p317728 -(lp317729 -S'Her\tHer\tPRP$\tB-NP\tO' -p317730 -aS'initial\tinitial\tJJ\tI-NP\tO' -p317731 -aS'blood\tblood\tNN\tI-NP\tO' -p317732 -aS'culture\tculture\tNN\tI-NP\tO' -p317733 -aS'remained\tremain\tVBD\tB-VP\tO' -p317734 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p317735 -aS'and\tand\tCC\tO\tO' -p317736 -aS'she\tshe\tPRP\tB-NP\tO' -p317737 -aS'received\treceive\tVBD\tB-VP\tO' -p317738 -aS'48\t48\tCD\tB-NP\tO' -p317739 -aS'hours\thour\tNNS\tI-NP\tO' -p317740 -aS'of\tof\tIN\tB-PP\tO' -p317741 -aS'ampicillin\tampicillin\tNN\tB-NP\tO' -p317742 -aS'and\tand\tCC\tI-NP\tO' -p317743 -aS'gentamicin\tgentamicin\tNN\tI-NP\tO' -p317744 -aS'.\t.\t.\tO\tO' -p317745 -asS'Her seizure management is difficult , given the higher doses were causing her to fall and slur her speech .' -p317746 -(lp317747 -S'Her\tHer\tPRP$\tB-NP\tO' -p317748 -aS'seizure\tseizure\tNN\tI-NP\tO' -p317749 -aS'management\tmanagement\tNN\tI-NP\tO' -p317750 -aS'is\tbe\tVBZ\tB-VP\tO' -p317751 -aS'difficult\tdifficult\tJJ\tB-ADJP\tO' -p317752 -aS',\t,\t,\tO\tO' -p317753 -aS'given\tgive\tVBN\tB-PP\tO' -p317754 -aS'the\tthe\tDT\tB-NP\tO' -p317755 -aS'higher\thigh\tJJR\tI-NP\tO' -p317756 -aS'doses\tdose\tNNS\tI-NP\tO' -p317757 -aS'were\tbe\tVBD\tB-VP\tO' -p317758 -aS'causing\tcause\tVBG\tI-VP\tO' -p317759 -aS'her\ther\tPRP\tB-NP\tO' -p317760 -aS'to\tto\tTO\tB-VP\tO' -p317761 -aS'fall\tfall\tVB\tI-VP\tO' -p317762 -aS'and\tand\tCC\tI-VP\tO' -p317763 -aS'slur\tslur\tVB\tI-VP\tO' -p317764 -aS'her\ther\tPRP$\tB-NP\tO' -p317765 -aS'speech\tspeech\tNN\tI-NP\tO' -p317766 -aS'.\t.\t.\tO\tO' -p317767 -asS'No herniation is identified .' -p317768 -(lp317769 -S'No\tNo\tDT\tB-NP\tO' -p317770 -aS'herniation\therniation\tNN\tI-NP\tO' -p317771 -aS'is\tbe\tVBZ\tB-VP\tO' -p317772 -aS'identified\tidentify\tVBN\tI-VP\tO' -p317773 -aS'.\t.\t.\tO\tO' -p317774 -asS'During his admission , his am fasting glucose levels were intermittently elevated and his HbA1C was greater than 7 .' -p317775 -(lp317776 -S'During\tDuring\tIN\tB-PP\tO' -p317777 -aS'his\this\tPRP$\tB-NP\tO' -p317778 -aS'admission\tadmission\tNN\tI-NP\tO' -p317779 -aS',\t,\t,\tO\tO' -p317780 -aS'his\this\tPRP$\tB-NP\tO' -p317781 -aS'am\tam\tNN\tI-NP\tO' -p317782 -aS'fasting\tfast\tVBG\tB-VP\tO' -p317783 -aS'glucose\tglucose\tNN\tB-NP\tO' -p317784 -aS'levels\tlevel\tNNS\tI-NP\tO' -p317785 -aS'were\tbe\tVBD\tB-VP\tO' -p317786 -aS'intermittently\tintermittently\tRB\tI-VP\tO' -p317787 -aS'elevated\televate\tVBN\tI-VP\tO' -p317788 -aS'and\tand\tCC\tO\tO' -p317789 -aS'his\this\tPRP$\tB-NP\tO' -p317790 -aS'HbA1C\tHbA1C\tNN\tI-NP\tB-protein' -p317791 -aS'was\tbe\tVBD\tB-VP\tO' -p317792 -aS'greater\tgreat\tJJR\tB-ADJP\tO' -p317793 -aS'than\tthan\tIN\tB-PP\tO' -p317794 -aS'7\t7\tCD\tB-NP\tO' -p317795 -aS'.\t.\t.\tO\tO' -p317796 -asS'Heart is regular rate and rhythm , without murmur .' -p317797 -(lp317798 -S'Heart\tHeart\tNNP\tB-NP\tO' -p317799 -aS'is\tbe\tVBZ\tB-VP\tO' -p317800 -aS'regular\tregular\tJJ\tB-NP\tO' -p317801 -aS'rate\trate\tNN\tI-NP\tO' -p317802 -aS'and\tand\tCC\tI-NP\tO' -p317803 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p317804 -aS',\t,\t,\tO\tO' -p317805 -aS'without\twithout\tIN\tB-PP\tO' -p317806 -aS'murmur\tmurmur\tNN\tB-NP\tO' -p317807 -aS'.\t.\t.\tO\tO' -p317808 -asS'D. One intrauterine device , gross description .' -p317809 -(lp317810 -S'D.\tD.\tNNP\tB-NP\tO' -p317811 -aS'One\tOne\tCD\tI-NP\tO' -p317812 -aS'intrauterine\tintrauterine\tJJ\tI-NP\tO' -p317813 -aS'device\tdevice\tNN\tI-NP\tO' -p317814 -aS',\t,\t,\tO\tO' -p317815 -aS'gross\tgross\tJJ\tB-NP\tO' -p317816 -aS'description\tdescription\tNN\tI-NP\tO' -p317817 -aS'.\t.\t.\tO\tO' -p317818 -asS"However , subsequent it was determined that the patient 's hypotension may have been related to his rapid ventricular response and right heart failure ." -p317819 -(lp317820 -S'However\tHowever\tRB\tB-ADVP\tO' -p317821 -aS',\t,\t,\tO\tO' -p317822 -aS'subsequent\tsubsequent\tJJ\tB-ADJP\tO' -p317823 -aS'it\tit\tPRP\tB-NP\tO' -p317824 -aS'was\tbe\tVBD\tB-VP\tO' -p317825 -aS'determined\tdetermine\tVBN\tI-VP\tO' -p317826 -aS'that\tthat\tIN\tB-SBAR\tO' -p317827 -aS'the\tthe\tDT\tB-NP\tO' -p317828 -aS'patient\tpatient\tNN\tI-NP\tO' -p317829 -aS"'s\t's\tPOS\tB-NP\tO" -p317830 -aS'hypotension\thypotension\tNN\tI-NP\tO' -p317831 -aS'may\tmay\tMD\tB-VP\tO' -p317832 -aS'have\thave\tVB\tI-VP\tO' -p317833 -aS'been\tbe\tVBN\tI-VP\tO' -p317834 -aS'related\trelate\tVBN\tI-VP\tO' -p317835 -aS'to\tto\tTO\tB-PP\tO' -p317836 -aS'his\this\tPRP$\tB-NP\tO' -p317837 -aS'rapid\trapid\tJJ\tI-NP\tO' -p317838 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p317839 -aS'response\tresponse\tNN\tI-NP\tO' -p317840 -aS'and\tand\tCC\tI-NP\tO' -p317841 -aS'right\tright\tJJ\tI-NP\tO' -p317842 -aS'heart\theart\tNN\tI-NP\tO' -p317843 -aS'failure\tfailure\tNN\tI-NP\tO' -p317844 -aS'.\t.\t.\tO\tO' -p317845 -asS'Dr. Jescdrig was called and a consultation was done and he placed bilateral ureteral stents in her kidneys .' -p317846 -(lp317847 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p317848 -aS'Jescdrig\tJescdrig\tNNP\tI-NP\tO' -p317849 -aS'was\tbe\tVBD\tB-VP\tO' -p317850 -aS'called\tcall\tVBN\tI-VP\tO' -p317851 -aS'and\tand\tCC\tO\tO' -p317852 -aS'a\ta\tDT\tB-NP\tO' -p317853 -aS'consultation\tconsultation\tNN\tI-NP\tO' -p317854 -aS'was\tbe\tVBD\tB-VP\tO' -p317855 -aS'done\tdo\tVBN\tI-VP\tO' -p317856 -aS'and\tand\tCC\tO\tO' -p317857 -aS'he\the\tPRP\tB-NP\tO' -p317858 -aS'placed\tplace\tVBD\tB-VP\tO' -p317859 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p317860 -aS'ureteral\tureteral\tJJ\tI-NP\tO' -p317861 -aS'stents\tstent\tNNS\tI-NP\tO' -p317862 -aS'in\tin\tIN\tB-PP\tO' -p317863 -aS'her\ther\tPRP$\tB-NP\tO' -p317864 -aS'kidneys\tkidney\tNNS\tI-NP\tO' -p317865 -aS'.\t.\t.\tO\tO' -p317866 -asS'She is an emergency room physician at the Pauline .' -p317867 -(lp317868 -S'She\tShe\tPRP\tB-NP\tO' -p317869 -aS'is\tbe\tVBZ\tB-VP\tO' -p317870 -aS'an\tan\tDT\tB-NP\tO' -p317871 -aS'emergency\temergency\tNN\tI-NP\tO' -p317872 -aS'room\troom\tNN\tI-NP\tO' -p317873 -aS'physician\tphysician\tNN\tI-NP\tO' -p317874 -aS'at\tat\tIN\tB-PP\tO' -p317875 -aS'the\tthe\tDT\tB-NP\tO' -p317876 -aS'Pauline\tPauline\tNN\tI-NP\tO' -p317877 -aS'.\t.\t.\tO\tO' -p317878 -asS'please follow-up with your dialysis physician regarding replacing your PORT .' -p317879 -(lp317880 -S'please\tplease\tVB\tB-VP\tO' -p317881 -aS'follow-up\tfollow-up\tNN\tB-NP\tO' -p317882 -aS'with\twith\tIN\tB-PP\tO' -p317883 -aS'your\tyour\tPRP$\tB-NP\tO' -p317884 -aS'dialysis\tdialysis\tNN\tI-NP\tO' -p317885 -aS'physician\tphysician\tNN\tI-NP\tO' -p317886 -aS'regarding\tregard\tVBG\tB-VP\tO' -p317887 -aS'replacing\treplace\tVBG\tI-VP\tO' -p317888 -aS'your\tyour\tPRP$\tB-NP\tO' -p317889 -aS'PORT\tPORT\tNN\tI-NP\tO' -p317890 -aS'.\t.\t.\tO\tO' -p317891 -asS'At ELMVH ED , BP 160/87 .' -p317892 -(lp317893 -S'At\tAt\tIN\tB-PP\tO' -p317894 -aS'ELMVH\tELMVH\tNNP\tB-NP\tO' -p317895 -aS'ED\tED\tNNP\tI-NP\tO' -p317896 -aS',\t,\t,\tO\tO' -p317897 -aS'BP\tBP\tNNP\tB-NP\tO' -p317898 -aS'160/87\t160/87\tCD\tI-NP\tO' -p317899 -aS'.\t.\t.\tO\tO' -p317900 -asS'VIII: Hearing intact to finger rub bilaterally .' -p317901 -(lp317902 -S'VIII:\tVIII:\tNNP\tB-NP\tO' -p317903 -aS'Hearing\tHearing\tNNP\tI-NP\tO' -p317904 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p317905 -aS'to\tto\tTO\tB-VP\tO' -p317906 -aS'finger\tfinger\tVB\tI-VP\tO' -p317907 -aS'rub\trub\tNN\tB-NP\tB-protein' -p317908 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p317909 -aS'.\t.\t.\tO\tO' -p317910 -asS'Responsible After Study for Causing Admission ) s / p ventral hernia repair' -p317911 -(lp317912 -S'Responsible\tResponsible\tJJ\tB-ADJP\tO' -p317913 -aS'After\tAfter\tIN\tB-PP\tO' -p317914 -aS'Study\tStudy\tNN\tB-NP\tO' -p317915 -aS'for\tfor\tIN\tB-PP\tO' -p317916 -aS'Causing\tCause\tVBG\tB-NP\tO' -p317917 -aS'Admission\tAdmission\tNN\tI-NP\tO' -p317918 -aS')\t)\t)\tI-NP\tO' -p317919 -aS's\ts\tNN\tI-NP\tO' -p317920 -aS'/\t/\tSYM\tB-NP\tO' -p317921 -aS'p\tp\tNN\tI-NP\tO' -p317922 -aS'ventral\tventral\tJJ\tI-NP\tO' -p317923 -aS'hernia\thernia\tNN\tI-NP\tO' -p317924 -aS'repair\trepair\tNN\tI-NP\tO' -p317925 -asS'PRINCIPAL DISCHARGE DIAGNOSIS ; Responsible After Study for Causing Admission ) s / p cesarean' -p317926 -(lp317927 -S'PRINCIPAL\tPRINCIPAL\tJJ\tB-NP\tO' -p317928 -aS'DISCHARGE\tDISCHARGE\tNN\tI-NP\tO' -p317929 -aS'DIAGNOSIS\tDIAGNOSIS\tNN\tI-NP\tO' -p317930 -aS';\t;\t:\tO\tO' -p317931 -aS'Responsible\tResponsible\tJJ\tB-ADJP\tO' -p317932 -aS'After\tAfter\tIN\tB-PP\tO' -p317933 -aS'Study\tStudy\tNN\tB-NP\tO' -p317934 -aS'for\tfor\tIN\tB-PP\tO' -p317935 -aS'Causing\tCause\tVBG\tB-NP\tO' -p317936 -aS'Admission\tAdmission\tNN\tI-NP\tO' -p317937 -aS')\t)\t)\tI-NP\tO' -p317938 -aS's\ts\tNN\tI-NP\tO' -p317939 -aS'/\t/\tSYM\tB-NP\tO' -p317940 -aS'p\tp\tNN\tI-NP\tO' -p317941 -aS'cesarean\tcesarean\tJJ\tB-ADJP\tO' -p317942 -asS'She is in no apparent distress .' -p317943 -(lp317944 -S'She\tShe\tPRP\tB-NP\tO' -p317945 -aS'is\tbe\tVBZ\tB-VP\tO' -p317946 -aS'in\tin\tIN\tB-PP\tO' -p317947 -aS'no\tno\tDT\tB-NP\tO' -p317948 -aS'apparent\tapparent\tJJ\tI-NP\tO' -p317949 -aS'distress\tdistress\tNN\tI-NP\tO' -p317950 -aS'.\t.\t.\tO\tO' -p317951 -asS'On physical examination she was afebrile with a blood pressure of 170/100 , heart rate of 70 .' -p317952 -(lp317953 -S'On\tOn\tIN\tB-PP\tO' -p317954 -aS'physical\tphysical\tJJ\tB-NP\tO' -p317955 -aS'examination\texamination\tNN\tI-NP\tO' -p317956 -aS'she\tshe\tPRP\tB-NP\tO' -p317957 -aS'was\tbe\tVBD\tB-VP\tO' -p317958 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p317959 -aS'with\twith\tIN\tB-PP\tO' -p317960 -aS'a\ta\tDT\tB-NP\tO' -p317961 -aS'blood\tblood\tNN\tI-NP\tO' -p317962 -aS'pressure\tpressure\tNN\tI-NP\tO' -p317963 -aS'of\tof\tIN\tB-PP\tO' -p317964 -aS'170/100\t170/100\tCD\tB-NP\tO' -p317965 -aS',\t,\t,\tO\tO' -p317966 -aS'heart\theart\tNN\tB-NP\tO' -p317967 -aS'rate\trate\tNN\tI-NP\tO' -p317968 -aS'of\tof\tIN\tB-PP\tO' -p317969 -aS'70\t70\tCD\tB-NP\tO' -p317970 -aS'.\t.\t.\tO\tO' -p317971 -asS'Chest with moderate intercostal retractions , fair breath sounds bilaterally , no crackles .' -p317972 -(lp317973 -S'Chest\tCh\tJJS\tB-ADVP\tO' -p317974 -aS'with\twith\tIN\tB-PP\tO' -p317975 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p317976 -aS'intercostal\tintercostal\tJJ\tI-NP\tO' -p317977 -aS'retractions\tretraction\tNNS\tI-NP\tO' -p317978 -aS',\t,\t,\tO\tO' -p317979 -aS'fair\tfair\tJJ\tB-NP\tO' -p317980 -aS'breath\tbreath\tNN\tI-NP\tO' -p317981 -aS'sounds\tsound\tVBZ\tB-VP\tO' -p317982 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p317983 -aS',\t,\t,\tO\tO' -p317984 -aS'no\tno\tDT\tB-NP\tO' -p317985 -aS'crackles\tcrackle\tNNS\tI-NP\tO' -p317986 -aS'.\t.\t.\tO\tO' -p317987 -asS'Cranial nerves II through XII grossly intact with a slight deviation of the uvula and tongue to the right .' -p317988 -(lp317989 -S'Cranial\tCranial\tNNP\tB-NP\tO' -p317990 -aS'nerves\tnerve\tVBZ\tB-VP\tO' -p317991 -aS'II\tII\tCD\tB-NP\tO' -p317992 -aS'through\tthrough\tIN\tB-PP\tO' -p317993 -aS'XII\tXII\tCD\tB-NP\tB-DNA' -p317994 -aS'grossly\tgrossly\tRB\tB-ADJP\tO' -p317995 -aS'intact\tintact\tJJ\tI-ADJP\tO' -p317996 -aS'with\twith\tIN\tB-PP\tO' -p317997 -aS'a\ta\tDT\tB-NP\tO' -p317998 -aS'slight\tslight\tJJ\tI-NP\tO' -p317999 -aS'deviation\tdeviation\tNN\tI-NP\tO' -p318000 -aS'of\tof\tIN\tB-PP\tO' -p318001 -aS'the\tthe\tDT\tB-NP\tO' -p318002 -aS'uvula\tuvula\tNN\tI-NP\tO' -p318003 -aS'and\tand\tCC\tI-NP\tO' -p318004 -aS'tongue\ttongue\tNN\tI-NP\tO' -p318005 -aS'to\tto\tTO\tB-PP\tO' -p318006 -aS'the\tthe\tDT\tB-NP\tO' -p318007 -aS'right\tright\tNN\tI-NP\tO' -p318008 -aS'.\t.\t.\tO\tO' -p318009 -asS'Prior to this result , the patient had already been on Ampicillin , Sulbactam and Gentamycin .' -p318010 -(lp318011 -S'Prior\tPrior\tRB\tB-ADVP\tO' -p318012 -aS'to\tto\tTO\tB-PP\tO' -p318013 -aS'this\tthis\tDT\tB-NP\tO' -p318014 -aS'result\tresult\tNN\tI-NP\tO' -p318015 -aS',\t,\t,\tO\tO' -p318016 -aS'the\tthe\tDT\tB-NP\tO' -p318017 -aS'patient\tpatient\tNN\tI-NP\tO' -p318018 -aS'had\thave\tVBD\tB-VP\tO' -p318019 -aS'already\talready\tRB\tI-VP\tO' -p318020 -aS'been\tbe\tVBN\tI-VP\tO' -p318021 -aS'on\ton\tIN\tB-PP\tO' -p318022 -aS'Ampicillin\tAmpicillin\tNN\tB-NP\tB-protein' -p318023 -aS',\t,\t,\tI-NP\tO' -p318024 -aS'Sulbactam\tSulbactam\tNN\tI-NP\tO' -p318025 -aS'and\tand\tCC\tI-NP\tO' -p318026 -aS'Gentamycin\tGentamycin\tNN\tI-NP\tO' -p318027 -aS'.\t.\t.\tO\tO' -p318028 -asS'She has had multiple prednisone tapers ( see History of Present Illness ) .' -p318029 -(lp318030 -S'She\tShe\tPRP\tB-NP\tO' -p318031 -aS'has\thave\tVBZ\tB-VP\tO' -p318032 -aS'had\thave\tVBN\tI-VP\tO' -p318033 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p318034 -aS'prednisone\tprednisone\tNN\tI-NP\tO' -p318035 -aS'tapers\ttaper\tNNS\tI-NP\tO' -p318036 -aS'(\t(\t(\tO\tO' -p318037 -aS'see\tsee\tVB\tB-VP\tO' -p318038 -aS'History\tHistory\tNN\tB-NP\tO' -p318039 -aS'of\tof\tIN\tB-PP\tO' -p318040 -aS'Present\tPresent\tNNP\tB-NP\tO' -p318041 -aS'Illness\tIllness\tNNP\tI-NP\tO' -p318042 -aS')\t)\t)\tO\tO' -p318043 -aS'.\t.\t.\tO\tO' -p318044 -asS'She is afebrile , her vital signs are stable .' -p318045 -(lp318046 -S'She\tShe\tPRP\tB-NP\tO' -p318047 -aS'is\tbe\tVBZ\tB-VP\tO' -p318048 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p318049 -aS',\t,\t,\tO\tO' -p318050 -aS'her\ther\tPRP$\tB-NP\tO' -p318051 -aS'vital\tvital\tJJ\tI-NP\tO' -p318052 -aS'signs\tsign\tNNS\tI-NP\tO' -p318053 -aS'are\tbe\tVBP\tB-VP\tO' -p318054 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p318055 -aS'.\t.\t.\tO\tO' -p318056 -asS'She has a normal S1 , S2 heart sound and no murmur .' -p318057 -(lp318058 -S'She\tShe\tPRP\tB-NP\tO' -p318059 -aS'has\thave\tVBZ\tB-VP\tO' -p318060 -aS'a\ta\tDT\tB-NP\tO' -p318061 -aS'normal\tnormal\tJJ\tI-NP\tO' -p318062 -aS'S1\tS1\tNN\tI-NP\tO' -p318063 -aS',\t,\t,\tO\tO' -p318064 -aS'S2\tS2\tNN\tB-NP\tO' -p318065 -aS'heart\theart\tNN\tI-NP\tO' -p318066 -aS'sound\tsound\tNN\tI-NP\tO' -p318067 -aS'and\tand\tCC\tO\tO' -p318068 -aS'no\tno\tDT\tB-NP\tO' -p318069 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p318070 -aS'.\t.\t.\tO\tO' -p318071 -asS'HOWEVER , SHE WAS SLOW TO AWAKE FROM ANESTHESIA , AND WAS ADMITTED TO THE CMED CCU OBSERVATION .' -p318072 -(lp318073 -S'HOWEVER\tHOWEVER\tNN\tB-NP\tO' -p318074 -aS',\t,\t,\tO\tO' -p318075 -aS'SHE\tSHE\tNNP\tB-NP\tO' -p318076 -aS'WAS\tWAS\tNNP\tI-NP\tO' -p318077 -aS'SLOW\tSLOW\tNNP\tI-NP\tO' -p318078 -aS'TO\tTO\tNNP\tI-NP\tO' -p318079 -aS'AWAKE\tAWAKE\tNNP\tI-NP\tO' -p318080 -aS'FROM\tFROM\tNNP\tI-NP\tO' -p318081 -aS'ANESTHESIA\tANESTHESIA\tNNP\tI-NP\tO' -p318082 -aS',\t,\t,\tO\tO' -p318083 -aS'AND\tAND\tCC\tO\tO' -p318084 -aS'WAS\tWAS\tNNP\tB-NP\tO' -p318085 -aS'ADMITTED\tADMITTED\tVBD\tB-VP\tO' -p318086 -aS'TO\tTO\tTO\tB-PP\tO' -p318087 -aS'THE\tTHE\tDT\tB-NP\tO' -p318088 -aS'CMED\tCMED\tJJ\tI-NP\tO' -p318089 -aS'CCU\tCCU\tNN\tI-NP\tO' -p318090 -aS'OBSERVATION\tOBSERVATION\tNN\tI-NP\tO' -p318091 -aS'.\t.\t.\tO\tO' -p318092 -asS'Ext : no peripheral edema , R leg shortened and rotated , + cellulitis' -p318093 -(lp318094 -S'Ext\tExt\tNN\tB-NP\tO' -p318095 -aS':\t:\t:\tO\tO' -p318096 -aS'no\tno\tDT\tB-NP\tO' -p318097 -aS'peripheral\tperipheral\tJJ\tI-NP\tO' -p318098 -aS'edema\tedema\tNN\tI-NP\tO' -p318099 -aS',\t,\t,\tO\tO' -p318100 -aS'R\tR\tNN\tB-NP\tO' -p318101 -aS'leg\tleg\tNN\tI-NP\tO' -p318102 -aS'shortened\tshorten\tVBD\tB-VP\tO' -p318103 -aS'and\tand\tCC\tI-VP\tO' -p318104 -aS'rotated\trotate\tVBD\tI-VP\tO' -p318105 -aS',\t,\t,\tO\tO' -p318106 -aS'+\t+\tSYM\tO\tO' -p318107 -aS'cellulitis\tcellulitis\tNN\tB-NP\tO' -p318108 -asS'Abdomen : soft , NT/ND , normoactive bowel sounds , no masses or organomegaly noted .' -p318109 -(lp318110 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p318111 -aS':\t:\t:\tO\tO' -p318112 -aS'soft\tsoft\tJJ\tB-NP\tO' -p318113 -aS',\t,\t,\tI-NP\tO' -p318114 -aS'NT/ND\tNT/ND\tNN\tI-NP\tB-protein' -p318115 -aS',\t,\t,\tO\tO' -p318116 -aS'normoactive\tnormoactive\tJJ\tB-NP\tO' -p318117 -aS'bowel\tbowel\tNN\tI-NP\tO' -p318118 -aS'sounds\tsound\tNNS\tI-NP\tO' -p318119 -aS',\t,\t,\tO\tO' -p318120 -aS'no\tno\tDT\tB-NP\tO' -p318121 -aS'masses\tmass\tNNS\tI-NP\tO' -p318122 -aS'or\tor\tCC\tO\tO' -p318123 -aS'organomegaly\torganomegaly\tRB\tB-VP\tO' -p318124 -aS'noted\tnote\tVBN\tI-VP\tO' -p318125 -aS'.\t.\t.\tO\tO' -p318126 -asS'She is single , no children .' -p318127 -(lp318128 -S'She\tShe\tPRP\tB-NP\tO' -p318129 -aS'is\tbe\tVBZ\tB-VP\tO' -p318130 -aS'single\tsingle\tJJ\tB-ADJP\tO' -p318131 -aS',\t,\t,\tO\tO' -p318132 -aS'no\tno\tDT\tB-NP\tO' -p318133 -aS'children\tchild\tNNS\tI-NP\tO' -p318134 -aS'.\t.\t.\tO\tO' -p318135 -asS'There are simple atheroma in the ascending aorta .' -p318136 -(lp318137 -S'There\tThere\tEX\tB-NP\tO' -p318138 -aS'are\tbe\tVBP\tB-VP\tO' -p318139 -aS'simple\tsimple\tJJ\tB-NP\tO' -p318140 -aS'atheroma\tatheroma\tNN\tI-NP\tO' -p318141 -aS'in\tin\tIN\tB-PP\tO' -p318142 -aS'the\tthe\tDT\tB-NP\tO' -p318143 -aS'ascending\tascend\tVBG\tI-NP\tO' -p318144 -aS'aorta\taorta\tNN\tI-NP\tO' -p318145 -aS'.\t.\t.\tO\tO' -p318146 -asS'soft , nontender with hepatosplenomegaly , or hepatojugular reflex , bruits or pulsations .' -p318147 -(lp318148 -S'soft\tsoft\tJJ\tB-ADVP\tO' -p318149 -aS',\t,\t,\tO\tO' -p318150 -aS'nontender\tnontender\tJJ\tB-ADJP\tO' -p318151 -aS'with\twith\tIN\tB-PP\tO' -p318152 -aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tB-NP\tO' -p318153 -aS',\t,\t,\tO\tO' -p318154 -aS'or\tor\tCC\tO\tO' -p318155 -aS'hepatojugular\thepatojugular\tJJ\tB-NP\tO' -p318156 -aS'reflex\treflex\tNN\tI-NP\tO' -p318157 -aS',\t,\t,\tO\tO' -p318158 -aS'bruits\tbruit\tNNS\tB-NP\tO' -p318159 -aS'or\tor\tCC\tI-NP\tO' -p318160 -aS'pulsations\tpulsation\tNNS\tI-NP\tO' -p318161 -aS'.\t.\t.\tO\tO' -p318162 -asS'3. Docusate Sodium 100 mg Capsule Sig : One ( 1 ) Capsule PO BID ( 2 times a day ): Take as necessary for constipation .' -p318163 -(lp318164 -S'3.\t3.\tLS\tB-NP\tO' -p318165 -aS'Docusate\tDocusate\tNN\tI-NP\tO' -p318166 -aS'Sodium\tSodium\tNN\tI-NP\tO' -p318167 -aS'100\t100\tCD\tI-NP\tO' -p318168 -aS'mg\tmg\tNN\tI-NP\tO' -p318169 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p318170 -aS'Sig\tSig\tNNP\tI-NP\tO' -p318171 -aS':\t:\t:\tO\tO' -p318172 -aS'One\tOne\tCD\tB-NP\tO' -p318173 -aS'(\t(\t(\tO\tO' -p318174 -aS'1\t1\tCD\tB-NP\tO' -p318175 -aS')\t)\t)\tO\tO' -p318176 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p318177 -aS'PO\tPO\tNNP\tI-NP\tO' -p318178 -aS'BID\tBID\tNNP\tI-NP\tO' -p318179 -aS'(\t(\t(\tO\tO' -p318180 -aS'2\t2\tCD\tB-NP\tO' -p318181 -aS'times\ttime\tNNS\tI-NP\tO' -p318182 -aS'a\ta\tDT\tB-NP\tO' -p318183 -aS'day\tday\tNN\tI-NP\tO' -p318184 -aS'):\t):\t:\tO\tO' -p318185 -aS'Take\tTake\tVB\tB-VP\tO' -p318186 -aS'as\tas\tRB\tB-ADJP\tO' -p318187 -aS'necessary\tnecessary\tJJ\tI-ADJP\tO' -p318188 -aS'for\tfor\tIN\tB-PP\tO' -p318189 -aS'constipation\tconstipation\tNN\tB-NP\tO' -p318190 -aS'.\t.\t.\tO\tO' -p318191 -asS'Mr. Vazquez is a 48 year old man with a history of hepatitis C , bipolar disorder with suicide attempts in the past , recent CMED admit earlier in 4/05 who was found alert approximately one hour after taking an unspecified number of pills .' -p318192 -(lp318193 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p318194 -aS'Vazquez\tVazquez\tNNP\tI-NP\tO' -p318195 -aS'is\tbe\tVBZ\tB-VP\tO' -p318196 -aS'a\ta\tDT\tB-NP\tO' -p318197 -aS'48\t48\tCD\tI-NP\tO' -p318198 -aS'year\tyear\tNN\tI-NP\tO' -p318199 -aS'old\told\tJJ\tI-NP\tO' -p318200 -aS'man\tman\tNN\tI-NP\tO' -p318201 -aS'with\twith\tIN\tB-PP\tO' -p318202 -aS'a\ta\tDT\tB-NP\tO' -p318203 -aS'history\thistory\tNN\tI-NP\tO' -p318204 -aS'of\tof\tIN\tB-PP\tO' -p318205 -aS'hepatitis\thepatitis\tNN\tB-NP\tO' -p318206 -aS'C\tC\tNN\tI-NP\tO' -p318207 -aS',\t,\t,\tO\tO' -p318208 -aS'bipolar\tbipolar\tJJ\tB-NP\tO' -p318209 -aS'disorder\tdisorder\tNN\tI-NP\tO' -p318210 -aS'with\twith\tIN\tB-PP\tO' -p318211 -aS'suicide\tsuicide\tNN\tB-NP\tO' -p318212 -aS'attempts\tattempt\tNNS\tI-NP\tO' -p318213 -aS'in\tin\tIN\tB-PP\tO' -p318214 -aS'the\tthe\tDT\tB-NP\tO' -p318215 -aS'past\tpast\tNN\tI-NP\tO' -p318216 -aS',\t,\t,\tO\tO' -p318217 -aS'recent\trecent\tJJ\tB-NP\tO' -p318218 -aS'CMED\tCMED\tNN\tI-NP\tO' -p318219 -aS'admit\tadmit\tVBP\tB-VP\tO' -p318220 -aS'earlier\tearlier\tRBR\tB-ADVP\tO' -p318221 -aS'in\tin\tIN\tB-PP\tO' -p318222 -aS'4/05\t4/05\tCD\tB-NP\tO' -p318223 -aS'who\twho\tWP\tB-NP\tO' -p318224 -aS'was\tbe\tVBD\tB-VP\tO' -p318225 -aS'found\tfind\tVBN\tI-VP\tO' -p318226 -aS'alert\talert\tRB\tB-PP\tO' -p318227 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p318228 -aS'one\tone\tCD\tI-NP\tO' -p318229 -aS'hour\thour\tNN\tI-NP\tO' -p318230 -aS'after\tafter\tIN\tB-PP\tO' -p318231 -aS'taking\ttake\tVBG\tB-VP\tO' -p318232 -aS'an\tan\tDT\tB-NP\tO' -p318233 -aS'unspecified\tunspecified\tJJ\tI-NP\tO' -p318234 -aS'number\tnumber\tNN\tI-NP\tO' -p318235 -aS'of\tof\tIN\tB-PP\tO' -p318236 -aS'pills\tpill\tNNS\tB-NP\tO' -p318237 -aS'.\t.\t.\tO\tO' -p318238 -asS'White blood cell 12.9 , hemoglobin 11.5 , hematocrit 32.8 , platelet count 197,000 , sodium 141 , potassium 3.6 , chloride 110 , bicarbonate 21 , BUN 20 , creatinine 0.7 , glucose 189 , PT 13.3 , INR 1.2 , PTT 30.0 , amylase 57 , arterial blood gas 7.32 , 35 , 159 , 19 , -7 .' -p318239 -(lp318240 -S'White\tWhite\tJJ\tB-NP\tO' -p318241 -aS'blood\tblood\tNN\tI-NP\tO' -p318242 -aS'cell\tcell\tNN\tI-NP\tO' -p318243 -aS'12.9\t12.9\tCD\tI-NP\tO' -p318244 -aS',\t,\t,\tO\tO' -p318245 -aS'hemoglobin\themoglobin\tNN\tB-NP\tB-protein' -p318246 -aS'11.5\t11.5\tCD\tI-NP\tI-protein' -p318247 -aS',\t,\t,\tO\tO' -p318248 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p318249 -aS'32.8\t32.8\tCD\tI-NP\tI-protein' -p318250 -aS',\t,\t,\tO\tO' -p318251 -aS'platelet\tplatelet\tNN\tB-NP\tB-protein' -p318252 -aS'count\tcount\tNN\tI-NP\tI-protein' -p318253 -aS'197,000\t197,000\tCD\tI-NP\tI-protein' -p318254 -aS',\t,\t,\tO\tO' -p318255 -aS'sodium\tsodium\tNN\tB-NP\tO' -p318256 -aS'141\t141\tCD\tI-NP\tO' -p318257 -aS',\t,\t,\tO\tO' -p318258 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p318259 -aS'3.6\t3.6\tCD\tI-NP\tO' -p318260 -aS',\t,\t,\tO\tO' -p318261 -aS'chloride\tchloride\tNN\tB-NP\tO' -p318262 -aS'110\t110\tCD\tI-NP\tO' -p318263 -aS',\t,\t,\tO\tO' -p318264 -aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' -p318265 -aS'21\t21\tCD\tI-NP\tO' -p318266 -aS',\t,\t,\tO\tO' -p318267 -aS'BUN\tBUN\tNN\tB-NP\tB-DNA' -p318268 -aS'20\t20\tCD\tI-NP\tI-DNA' -p318269 -aS',\t,\t,\tO\tO' -p318270 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p318271 -aS'0.7\t0.7\tCD\tI-NP\tO' -p318272 -aS',\t,\t,\tO\tO' -p318273 -aS'glucose\tglucose\tNN\tB-NP\tO' -p318274 -aS'189\t189\tCD\tI-NP\tO' -p318275 -aS',\t,\t,\tO\tO' -p318276 -aS'PT\tPT\tNN\tB-NP\tB-cell_line' -p318277 -aS'13.3\t13.3\tCD\tI-NP\tI-cell_line' -p318278 -aS',\t,\t,\tO\tO' -p318279 -aS'INR\tINR\tNN\tB-NP\tB-protein' -p318280 -aS'1.2\t1.2\tCD\tI-NP\tI-protein' -p318281 -aS',\t,\t,\tO\tO' -p318282 -aS'PTT\tPTT\tNN\tB-NP\tB-protein' -p318283 -aS'30.0\t30.0\tCD\tI-NP\tI-protein' -p318284 -aS',\t,\t,\tO\tO' -p318285 -aS'amylase\tamylase\tNN\tB-NP\tB-protein' -p318286 -aS'57\t57\tCD\tI-NP\tI-protein' -p318287 -aS',\t,\t,\tO\tO' -p318288 -aS'arterial\tarterial\tJJ\tB-NP\tO' -p318289 -aS'blood\tblood\tNN\tI-NP\tO' -p318290 -aS'gas\tgas\tNN\tI-NP\tO' -p318291 -aS'7.32\t7.32\tCD\tI-NP\tO' -p318292 -aS',\t,\t,\tI-NP\tO' -p318293 -aS'35\t35\tCD\tI-NP\tO' -p318294 -aS',\t,\t,\tI-NP\tO' -p318295 -aS'159\t159\tCD\tI-NP\tO' -p318296 -aS',\t,\t,\tI-NP\tO' -p318297 -aS'19\t19\tCD\tI-NP\tO' -p318298 -aS',\t,\t,\tI-NP\tO' -p318299 -aS'-7\t-7\tCD\tI-NP\tO' -p318300 -aS'.\t.\t.\tO\tO' -p318301 -asS'5. Metoprolol 50 mg p.o. twice a day .' -p318302 -(lp318303 -S'5.\t5.\tLS\tB-NP\tO' -p318304 -aS'Metoprolol\tMetoprolol\tNN\tI-NP\tO' -p318305 -aS'50\t50\tCD\tI-NP\tO' -p318306 -aS'mg\tmg\tNN\tI-NP\tO' -p318307 -aS'p.o.\tp.o.\tRB\tB-NP\tO' -p318308 -aS'twice\ttwice\tRB\tI-NP\tO' -p318309 -aS'a\ta\tDT\tI-NP\tO' -p318310 -aS'day\tday\tNN\tI-NP\tO' -p318311 -aS'.\t.\t.\tO\tO' -p318312 -asS'The physiology at the time of transfer to the Medical Intensive Care Unit was consistent with a septic process .' -p318313 -(lp318314 -S'The\tThe\tDT\tB-NP\tO' -p318315 -aS'physiology\tphysiology\tNN\tI-NP\tO' -p318316 -aS'at\tat\tIN\tB-PP\tO' -p318317 -aS'the\tthe\tDT\tB-NP\tO' -p318318 -aS'time\ttime\tNN\tI-NP\tO' -p318319 -aS'of\tof\tIN\tB-PP\tO' -p318320 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p318321 -aS'to\tto\tTO\tB-PP\tO' -p318322 -aS'the\tthe\tDT\tB-NP\tO' -p318323 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p318324 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p318325 -aS'Care\tCare\tNNP\tI-NP\tO' -p318326 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p318327 -aS'was\tbe\tVBD\tB-VP\tO' -p318328 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p318329 -aS'with\twith\tIN\tB-PP\tO' -p318330 -aS'a\ta\tDT\tB-NP\tO' -p318331 -aS'septic\tseptic\tJJ\tI-NP\tO' -p318332 -aS'process\tprocess\tNN\tI-NP\tO' -p318333 -aS'.\t.\t.\tO\tO' -p318334 -asS'He will need close monitoring of his creatinine post discharge in the setting of reinstitution of his ACE inhibitor .' -p318335 -(lp318336 -S'He\tHe\tPRP\tB-NP\tO' -p318337 -aS'will\twill\tMD\tB-VP\tO' -p318338 -aS'need\tneed\tVB\tI-VP\tO' -p318339 -aS'close\tclose\tJJ\tB-NP\tO' -p318340 -aS'monitoring\tmonitoring\tNN\tI-NP\tO' -p318341 -aS'of\tof\tIN\tB-PP\tO' -p318342 -aS'his\this\tPRP$\tB-NP\tO' -p318343 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p318344 -aS'post\tpost\tNN\tI-NP\tO' -p318345 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p318346 -aS'in\tin\tIN\tB-PP\tO' -p318347 -aS'the\tthe\tDT\tB-NP\tO' -p318348 -aS'setting\tsetting\tNN\tI-NP\tO' -p318349 -aS'of\tof\tIN\tB-PP\tO' -p318350 -aS'reinstitution\treinstitution\tNN\tB-NP\tO' -p318351 -aS'of\tof\tIN\tB-PP\tO' -p318352 -aS'his\this\tPRP$\tB-NP\tO' -p318353 -aS'ACE\tACE\tNN\tI-NP\tO' -p318354 -aS'inhibitor\tinhibitor\tNN\tI-NP\tO' -p318355 -aS'.\t.\t.\tO\tO' -p318356 -asS'Over the course of the night the patient drained an additional 400 cc of serosanguineous fluid from his pericardial drain pouch .' -p318357 -(lp318358 -S'Over\tOver\tIN\tB-PP\tO' -p318359 -aS'the\tthe\tDT\tB-NP\tO' -p318360 -aS'course\tcourse\tNN\tI-NP\tO' -p318361 -aS'of\tof\tIN\tB-PP\tO' -p318362 -aS'the\tthe\tDT\tB-NP\tO' -p318363 -aS'night\tnight\tNN\tI-NP\tO' -p318364 -aS'the\tthe\tDT\tB-NP\tO' -p318365 -aS'patient\tpatient\tNN\tI-NP\tO' -p318366 -aS'drained\tdrain\tVBD\tB-VP\tO' -p318367 -aS'an\tan\tDT\tB-NP\tO' -p318368 -aS'additional\tadditional\tJJ\tI-NP\tO' -p318369 -aS'400\t400\tCD\tI-NP\tO' -p318370 -aS'cc\tcc\tNN\tI-NP\tO' -p318371 -aS'of\tof\tIN\tB-PP\tO' -p318372 -aS'serosanguineous\tserosanguineous\tJJ\tB-NP\tO' -p318373 -aS'fluid\tfluid\tNN\tI-NP\tO' -p318374 -aS'from\tfrom\tIN\tB-PP\tO' -p318375 -aS'his\this\tPRP$\tB-NP\tO' -p318376 -aS'pericardial\tpericardial\tJJ\tI-NP\tO' -p318377 -aS'drain\tdrain\tNN\tI-NP\tO' -p318378 -aS'pouch\tpouch\tNN\tI-NP\tO' -p318379 -aS'.\t.\t.\tO\tO' -p318380 -asS'He was afebrile with stable vital signs' -p318381 -(lp318382 -S'He\tHe\tPRP\tB-NP\tO' -p318383 -aS'was\tbe\tVBD\tB-VP\tO' -p318384 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p318385 -aS'with\twith\tIN\tB-PP\tO' -p318386 -aS'stable\tstable\tJJ\tB-NP\tO' -p318387 -aS'vital\tvital\tJJ\tI-NP\tO' -p318388 -aS'signs\tsign\tNNS\tI-NP\tO' -p318389 -asS'Severe systolic HTN also noted .' -p318390 -(lp318391 -S'Severe\tSevere\tJJ\tB-NP\tO' -p318392 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p318393 -aS'HTN\tHTN\tNN\tI-NP\tO' -p318394 -aS'also\talso\tRB\tB-ADVP\tO' -p318395 -aS'noted\tnote\tVBD\tB-VP\tO' -p318396 -aS'.\t.\t.\tO\tO' -p318397 -asS'She therefore _________ criteria for a spontaneous bacterial peritonitis .' -p318398 -(lp318399 -S'She\tShe\tPRP\tB-NP\tO' -p318400 -aS'therefore\ttherefore\tRB\tB-ADVP\tO' -p318401 -aS'_________\t_________\tVBP\tB-VP\tO' -p318402 -aS'criteria\tcriterion\tNNS\tB-NP\tO' -p318403 -aS'for\tfor\tIN\tB-PP\tO' -p318404 -aS'a\ta\tDT\tB-NP\tO' -p318405 -aS'spontaneous\tspontaneous\tJJ\tI-NP\tO' -p318406 -aS'bacterial\tbacterial\tJJ\tI-NP\tO' -p318407 -aS'peritonitis\tperitonitis\tNN\tI-NP\tO' -p318408 -aS'.\t.\t.\tO\tO' -p318409 -asS'4. Clopidogrel 75 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' -p318410 -(lp318411 -S'4.\t4.\tLS\tB-NP\tO' -p318412 -aS'Clopidogrel\tClopidogrel\tNN\tI-NP\tO' -p318413 -aS'75\t75\tCD\tI-NP\tO' -p318414 -aS'mg\tmg\tNN\tI-NP\tO' -p318415 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p318416 -aS'Sig\tSig\tNNP\tI-NP\tO' -p318417 -aS':\t:\t:\tO\tO' -p318418 -aS'One\tOne\tCD\tB-NP\tO' -p318419 -aS'(\t(\t(\tO\tO' -p318420 -aS'1\t1\tCD\tB-NP\tO' -p318421 -aS')\t)\t)\tO\tO' -p318422 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p318423 -aS'PO\tPO\tNN\tI-NP\tO' -p318424 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p318425 -aS'(\t(\t(\tO\tO' -p318426 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p318427 -aS')\t)\t)\tO\tO' -p318428 -aS'.\t.\t.\tO\tO' -p318429 -asS'On admission , FI02 was 50-60% , PID 30-32/PEEP of 5.7 , total volume was between 140 to 210 during Intensive Care Unit stay .' -p318430 -(lp318431 -S'On\tOn\tIN\tB-PP\tO' -p318432 -aS'admission\tadmission\tNN\tB-NP\tO' -p318433 -aS',\t,\t,\tO\tO' -p318434 -aS'FI02\tFI02\tNN\tB-NP\tB-protein' -p318435 -aS'was\tbe\tVBD\tB-VP\tO' -p318436 -aS'50-60%\t50-60%\tJJ\tB-ADJP\tO' -p318437 -aS',\t,\t,\tO\tO' -p318438 -aS'PID\tPID\tNN\tB-NP\tO' -p318439 -aS'30-32/PEEP\t30-32/PEEP\tNN\tI-NP\tO' -p318440 -aS'of\tof\tIN\tB-PP\tO' -p318441 -aS'5.7\t5.7\tCD\tB-NP\tO' -p318442 -aS',\t,\t,\tO\tO' -p318443 -aS'total\ttotal\tJJ\tB-NP\tO' -p318444 -aS'volume\tvolume\tNN\tI-NP\tO' -p318445 -aS'was\tbe\tVBD\tB-VP\tO' -p318446 -aS'between\tbetween\tIN\tB-PP\tO' -p318447 -aS'140\t140\tCD\tB-NP\tB-DNA' -p318448 -aS'to\tto\tTO\tB-PP\tI-DNA' -p318449 -aS'210\t210\tCD\tB-NP\tI-DNA' -p318450 -aS'during\tduring\tIN\tB-PP\tO' -p318451 -aS'Intensive\tIntensive\tNNP\tB-NP\tO' -p318452 -aS'Care\tCare\tNNP\tI-NP\tO' -p318453 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p318454 -aS'stay\tstay\tNN\tI-NP\tO' -p318455 -aS'.\t.\t.\tO\tO' -p318456 -asS'Angiography revealed a right dominant system with a 40% lesion in the distal left main, several tight lesions in the proximal and mid left anterior descending artery , and a 90% stenosis in the proximal circumflex .' -p318457 -(lp318458 -S'Angiography\tAngiography\tNN\tB-NP\tO' -p318459 -aS'revealed\treveal\tVBD\tB-VP\tO' -p318460 -aS'a\ta\tDT\tB-NP\tO' -p318461 -aS'right\tright\tJJ\tI-NP\tO' -p318462 -aS'dominant\tdominant\tJJ\tI-NP\tO' -p318463 -aS'system\tsystem\tNN\tI-NP\tO' -p318464 -aS'with\twith\tIN\tB-PP\tO' -p318465 -aS'a\ta\tDT\tB-NP\tO' -p318466 -aS'40%\t40%\tJJ\tI-NP\tO' -p318467 -aS'lesion\tlesion\tNN\tI-NP\tO' -p318468 -aS'in\tin\tIN\tB-PP\tO' -p318469 -aS'the\tthe\tDT\tB-NP\tO' -p318470 -aS'distal\tdistal\tJJ\tI-NP\tO' -p318471 -aS'left\tleft\tJJ\tI-NP\tO' -p318472 -aS'main,\tmain,\tNN\tI-NP\tO' -p318473 -aS'several\tseveral\tJJ\tB-NP\tO' -p318474 -aS'tight\ttight\tJJ\tI-NP\tO' -p318475 -aS'lesions\tlesion\tNNS\tI-NP\tO' -p318476 -aS'in\tin\tIN\tB-PP\tO' -p318477 -aS'the\tthe\tDT\tB-NP\tO' -p318478 -aS'proximal\tproximal\tJJ\tI-NP\tO' -p318479 -aS'and\tand\tCC\tI-NP\tO' -p318480 -aS'mid\tmid\tJJ\tI-NP\tO' -p318481 -aS'left\tleft\tJJ\tI-NP\tO' -p318482 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p318483 -aS'descending\tdescend\tVBG\tI-NP\tO' -p318484 -aS'artery\tartery\tNN\tI-NP\tO' -p318485 -aS',\t,\t,\tO\tO' -p318486 -aS'and\tand\tCC\tO\tO' -p318487 -aS'a\ta\tDT\tB-NP\tO' -p318488 -aS'90%\t90%\tNN\tI-NP\tO' -p318489 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p318490 -aS'in\tin\tIN\tB-PP\tO' -p318491 -aS'the\tthe\tDT\tB-NP\tO' -p318492 -aS'proximal\tproximal\tJJ\tI-NP\tO' -p318493 -aS'circumflex\tcircumflex\tNN\tI-NP\tO' -p318494 -aS'.\t.\t.\tO\tO' -p318495 -asS'The patient had a very firm nodule at the vertex of her calvarium .' -p318496 -(lp318497 -S'The\tThe\tDT\tB-NP\tO' -p318498 -aS'patient\tpatient\tNN\tI-NP\tO' -p318499 -aS'had\thave\tVBD\tB-VP\tO' -p318500 -aS'a\ta\tDT\tB-NP\tO' -p318501 -aS'very\tvery\tRB\tI-NP\tO' -p318502 -aS'firm\tfirm\tJJ\tI-NP\tO' -p318503 -aS'nodule\tnodule\tNN\tI-NP\tO' -p318504 -aS'at\tat\tIN\tB-PP\tO' -p318505 -aS'the\tthe\tDT\tB-NP\tO' -p318506 -aS'vertex\tvertex\tNN\tI-NP\tO' -p318507 -aS'of\tof\tIN\tB-PP\tO' -p318508 -aS'her\ther\tPRP$\tB-NP\tO' -p318509 -aS'calvarium\tcalvarium\tNN\tI-NP\tO' -p318510 -aS'.\t.\t.\tO\tO' -p318511 -asS'# FEN - tube feeds are held in route in anticipation of extubation .' -p318512 -(lp318513 -S'#\t#\t#\tB-NP\tO' -p318514 -aS'FEN\tFEN\tNN\tI-NP\tO' -p318515 -aS'-\t-\tHYPH\tB-NP\tO' -p318516 -aS'tube\ttube\tNN\tI-NP\tO' -p318517 -aS'feeds\tfeed\tNNS\tI-NP\tO' -p318518 -aS'are\tbe\tVBP\tB-VP\tO' -p318519 -aS'held\thold\tVBN\tI-VP\tO' -p318520 -aS'in\tin\tIN\tB-PP\tO' -p318521 -aS'route\troute\tNN\tB-NP\tO' -p318522 -aS'in\tin\tIN\tB-PP\tO' -p318523 -aS'anticipation\tanticipation\tNN\tB-NP\tO' -p318524 -aS'of\tof\tIN\tB-PP\tO' -p318525 -aS'extubation\textubation\tNN\tB-NP\tO' -p318526 -aS'.\t.\t.\tO\tO' -p318527 -asS'The patient was brought to the operating room for resuscitation .' -p318528 -(lp318529 -S'The\tThe\tDT\tB-NP\tO' -p318530 -aS'patient\tpatient\tNN\tI-NP\tO' -p318531 -aS'was\tbe\tVBD\tB-VP\tO' -p318532 -aS'brought\tbring\tVBN\tI-VP\tO' -p318533 -aS'to\tto\tTO\tB-PP\tO' -p318534 -aS'the\tthe\tDT\tB-NP\tO' -p318535 -aS'operating\toperating\tNN\tI-NP\tO' -p318536 -aS'room\troom\tNN\tI-NP\tO' -p318537 -aS'for\tfor\tIN\tB-PP\tO' -p318538 -aS'resuscitation\tresuscitation\tNN\tB-NP\tO' -p318539 -aS'.\t.\t.\tO\tO' -p318540 -asS'Therefore he was able to be discharged home .' -p318541 -(lp318542 -S'Therefore\tTherefore\tRB\tB-ADVP\tO' -p318543 -aS'he\the\tPRP\tB-NP\tO' -p318544 -aS'was\tbe\tVBD\tB-VP\tO' -p318545 -aS'able\table\tJJ\tB-ADJP\tO' -p318546 -aS'to\tto\tTO\tB-VP\tO' -p318547 -aS'be\tbe\tVB\tI-VP\tO' -p318548 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p318549 -aS'home\thome\tNN\tB-ADVP\tO' -p318550 -aS'.\t.\t.\tO\tO' -p318551 -asS'2) PELVIC PAIN .' -p318552 -(lp318553 -S'2)\t2)\tLS\tB-NP\tO' -p318554 -aS'PELVIC\tPELVIC\tNN\tI-NP\tB-protein' -p318555 -aS'PAIN\tPAIN\tNN\tI-NP\tI-protein' -p318556 -aS'.\t.\t.\tO\tO' -p318557 -asS'The following day the patient defervesced .' -p318558 -(lp318559 -S'The\tThe\tDT\tB-NP\tO' -p318560 -aS'following\tfollow\tVBG\tI-NP\tO' -p318561 -aS'day\tday\tNN\tI-NP\tO' -p318562 -aS'the\tthe\tDT\tB-NP\tO' -p318563 -aS'patient\tpatient\tNN\tI-NP\tO' -p318564 -aS'defervesced\tdefervesce\tVBD\tB-VP\tO' -p318565 -aS'.\t.\t.\tO\tO' -p318566 -asS'8. Chronic obstructive pulmonary disease .' -p318567 -(lp318568 -S'8.\t8.\tLS\tB-NP\tO' -p318569 -aS'Chronic\tChronic\tJJ\tI-NP\tO' -p318570 -aS'obstructive\tobstructive\tJJ\tI-NP\tO' -p318571 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p318572 -aS'disease\tdisease\tNN\tI-NP\tO' -p318573 -aS'.\t.\t.\tO\tO' -p318574 -asS'The patient was a thin well-appearing man who was visibly restless in bed .' -p318575 -(lp318576 -S'The\tThe\tDT\tB-NP\tO' -p318577 -aS'patient\tpatient\tNN\tI-NP\tO' -p318578 -aS'was\tbe\tVBD\tB-VP\tO' -p318579 -aS'a\ta\tDT\tB-NP\tO' -p318580 -aS'thin\tthin\tJJ\tI-NP\tO' -p318581 -aS'well-appearing\twell-appearing\tJJ\tI-NP\tO' -p318582 -aS'man\tman\tNN\tI-NP\tO' -p318583 -aS'who\twho\tWP\tB-NP\tO' -p318584 -aS'was\tbe\tVBD\tB-VP\tO' -p318585 -aS'visibly\tvisibly\tRB\tB-ADJP\tO' -p318586 -aS'restless\trestless\tJJ\tI-ADJP\tO' -p318587 -aS'in\tin\tIN\tB-PP\tO' -p318588 -aS'bed\tbed\tNN\tB-NP\tO' -p318589 -aS'.\t.\t.\tO\tO' -p318590 -asS'There is colonic diverticulosis most prominent at the hepatic flexure .' -p318591 -(lp318592 -S'There\tThere\tEX\tB-NP\tO' -p318593 -aS'is\tbe\tVBZ\tB-VP\tO' -p318594 -aS'colonic\tcolonic\tJJ\tB-NP\tO' -p318595 -aS'diverticulosis\tdiverticulosis\tNN\tI-NP\tO' -p318596 -aS'most\tmost\tRBS\tB-ADJP\tO' -p318597 -aS'prominent\tprominent\tJJ\tI-ADJP\tO' -p318598 -aS'at\tat\tIN\tB-PP\tO' -p318599 -aS'the\tthe\tDT\tB-NP\tO' -p318600 -aS'hepatic\thepatic\tJJ\tI-NP\tB-DNA' -p318601 -aS'flexure\tflexure\tNN\tI-NP\tI-DNA' -p318602 -aS'.\t.\t.\tO\tO' -p318603 -asS'This was performed by Dr. Medicine and Dr. Room .' -p318604 -(lp318605 -S'This\tThis\tDT\tB-NP\tO' -p318606 -aS'was\tbe\tVBD\tB-VP\tO' -p318607 -aS'performed\tperform\tVBN\tI-VP\tO' -p318608 -aS'by\tby\tIN\tB-PP\tO' -p318609 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p318610 -aS'Medicine\tMedicine\tNNP\tI-NP\tO' -p318611 -aS'and\tand\tCC\tO\tO' -p318612 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p318613 -aS'Room\tRoom\tNNP\tI-NP\tO' -p318614 -aS'.\t.\t.\tO\tO' -p318615 -asS'He tolerated the surgery well and was transferred from the OR to the CSRU on Epinephrinne and Propofol infusions .' -p318616 -(lp318617 -S'He\tHe\tPRP\tB-NP\tO' -p318618 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p318619 -aS'the\tthe\tDT\tB-NP\tO' -p318620 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p318621 -aS'well\twell\tRB\tB-ADVP\tO' -p318622 -aS'and\tand\tCC\tO\tO' -p318623 -aS'was\tbe\tVBD\tB-VP\tO' -p318624 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p318625 -aS'from\tfrom\tIN\tB-PP\tO' -p318626 -aS'the\tthe\tDT\tB-NP\tO' -p318627 -aS'OR\tOR\tNN\tI-NP\tO' -p318628 -aS'to\tto\tTO\tB-PP\tO' -p318629 -aS'the\tthe\tDT\tB-NP\tO' -p318630 -aS'CSRU\tCSRU\tNNP\tI-NP\tO' -p318631 -aS'on\ton\tIN\tB-PP\tO' -p318632 -aS'Epinephrinne\tEpinephrinne\tNNP\tB-NP\tO' -p318633 -aS'and\tand\tCC\tI-NP\tO' -p318634 -aS'Propofol\tPropofol\tNNP\tI-NP\tO' -p318635 -aS'infusions\tinfusion\tNNS\tI-NP\tO' -p318636 -aS'.\t.\t.\tO\tO' -p318637 -asS'The patient was maintained on PPI for reflux disease and known gastritis .' -p318638 -(lp318639 -S'The\tThe\tDT\tB-NP\tO' -p318640 -aS'patient\tpatient\tNN\tI-NP\tO' -p318641 -aS'was\tbe\tVBD\tB-VP\tO' -p318642 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p318643 -aS'on\ton\tIN\tB-PP\tO' -p318644 -aS'PPI\tPPI\tNN\tB-NP\tB-protein' -p318645 -aS'for\tfor\tIN\tB-PP\tO' -p318646 -aS'reflux\treflux\tNN\tB-NP\tO' -p318647 -aS'disease\tdisease\tNN\tI-NP\tO' -p318648 -aS'and\tand\tCC\tO\tO' -p318649 -aS'known\tknow\tVBN\tB-NP\tO' -p318650 -aS'gastritis\tgastritis\tNN\tI-NP\tO' -p318651 -aS'.\t.\t.\tO\tO' -p318652 -asS'His MCV was 92 , MCH 32.1 , and MCHE 34.8 .' -p318653 -(lp318654 -S'His\tHis\tPRP$\tB-NP\tO' -p318655 -aS'MCV\tMCV\tNN\tI-NP\tO' -p318656 -aS'was\tbe\tVBD\tB-VP\tO' -p318657 -aS'92\t92\tCD\tB-NP\tO' -p318658 -aS',\t,\t,\tO\tO' -p318659 -aS'MCH\tMCH\tNN\tB-NP\tB-protein' -p318660 -aS'32.1\t32.1\tCD\tI-NP\tI-protein' -p318661 -aS',\t,\t,\tO\tO' -p318662 -aS'and\tand\tCC\tO\tO' -p318663 -aS'MCHE\tMCHE\tNN\tB-NP\tB-protein' -p318664 -aS'34.8\t34.8\tCD\tI-NP\tI-protein' -p318665 -aS'.\t.\t.\tO\tO' -p318666 -asS'He was awake , occasionally sleepy but easily aroused , oriented to self , Oaksgekesser/ Memorial Hospital and the date .' -p318667 -(lp318668 -S'He\tHe\tPRP\tB-NP\tO' -p318669 -aS'was\tbe\tVBD\tB-VP\tO' -p318670 -aS'awake\tawake\tJJ\tB-ADJP\tO' -p318671 -aS',\t,\t,\tO\tO' -p318672 -aS'occasionally\toccasionally\tRB\tB-ADJP\tO' -p318673 -aS'sleepy\tsleepy\tJJ\tI-ADJP\tO' -p318674 -aS'but\tbut\tCC\tO\tO' -p318675 -aS'easily\teasily\tRB\tB-VP\tO' -p318676 -aS'aroused\tarouse\tVBN\tI-VP\tO' -p318677 -aS',\t,\t,\tO\tO' -p318678 -aS'oriented\torient\tVBN\tB-VP\tO' -p318679 -aS'to\tto\tTO\tB-PP\tO' -p318680 -aS'self\tself\tPRP\tB-NP\tO' -p318681 -aS',\t,\t,\tO\tO' -p318682 -aS'Oaksgekesser/\tOaksgekesser/\tNNP\tB-NP\tO' -p318683 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p318684 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p318685 -aS'and\tand\tCC\tO\tO' -p318686 -aS'the\tthe\tDT\tB-NP\tO' -p318687 -aS'date\tdate\tNN\tI-NP\tO' -p318688 -aS'.\t.\t.\tO\tO' -p318689 -asS'5. History of Streptococcemia in the year 2008 ; source was unclear but presumed to be urinary .' -p318690 -(lp318691 -S'5.\t5.\tLS\tB-NP\tO' -p318692 -aS'History\tHistory\tNN\tI-NP\tO' -p318693 -aS'of\tof\tIN\tB-PP\tO' -p318694 -aS'Streptococcemia\tStreptococcemia\tNNP\tB-NP\tO' -p318695 -aS'in\tin\tIN\tB-PP\tO' -p318696 -aS'the\tthe\tDT\tB-NP\tO' -p318697 -aS'year\tyear\tNN\tI-NP\tO' -p318698 -aS'2008\t2008\tCD\tI-NP\tO' -p318699 -aS';\t;\t:\tO\tO' -p318700 -aS'source\tsource\tNN\tB-NP\tO' -p318701 -aS'was\tbe\tVBD\tB-VP\tO' -p318702 -aS'unclear\tunclear\tJJ\tB-ADJP\tO' -p318703 -aS'but\tbut\tCC\tO\tO' -p318704 -aS'presumed\tpresume\tVBN\tB-VP\tO' -p318705 -aS'to\tto\tTO\tI-VP\tO' -p318706 -aS'be\tbe\tVB\tI-VP\tO' -p318707 -aS'urinary\turinary\tJJ\tB-ADJP\tO' -p318708 -aS'.\t.\t.\tO\tO' -p318709 -asS'## blindness in right CMED CSRU .' -p318710 -(lp318711 -S'##\t##\t#\tB-NP\tO' -p318712 -aS'blindness\tblindness\tNN\tI-NP\tO' -p318713 -aS'in\tin\tIN\tB-PP\tO' -p318714 -aS'right\tright\tJJ\tB-NP\tO' -p318715 -aS'CMED\tCMED\tNNP\tI-NP\tO' -p318716 -aS'CSRU\tCSRU\tNNP\tI-NP\tO' -p318717 -aS'.\t.\t.\tO\tO' -p318718 -asS'This report was created by HERDES , NEWSHALIE 04/21/2005 06:47 AM' -p318719 -(lp318720 -S'This\tThis\tDT\tB-NP\tO' -p318721 -aS'report\treport\tNN\tI-NP\tO' -p318722 -aS'was\tbe\tVBD\tB-VP\tO' -p318723 -aS'created\tcreate\tVBN\tI-VP\tO' -p318724 -aS'by\tby\tIN\tB-PP\tO' -p318725 -aS'HERDES\tHERDES\tNNP\tB-NP\tO' -p318726 -aS',\t,\t,\tO\tO' -p318727 -aS'NEWSHALIE\tNEWSHALIE\tNNP\tB-NP\tO' -p318728 -aS'04/21/2005\t04/21/2005\tCD\tB-NP\tO' -p318729 -aS'06:47\t06:47\tCD\tI-NP\tO' -p318730 -aS'AM\tAM\tNN\tI-NP\tO' -p318731 -asS'On the third hospital day , she did have some pain and was treated with Percocet .' -p318732 -(lp318733 -S'On\tOn\tIN\tB-PP\tO' -p318734 -aS'the\tthe\tDT\tB-NP\tO' -p318735 -aS'third\tthird\tJJ\tI-NP\tO' -p318736 -aS'hospital\thospital\tNN\tI-NP\tO' -p318737 -aS'day\tday\tNN\tI-NP\tO' -p318738 -aS',\t,\t,\tO\tO' -p318739 -aS'she\tshe\tPRP\tB-NP\tO' -p318740 -aS'did\tdo\tVBD\tB-VP\tO' -p318741 -aS'have\thave\tVB\tI-VP\tO' -p318742 -aS'some\tsome\tDT\tB-NP\tO' -p318743 -aS'pain\tpain\tNN\tI-NP\tO' -p318744 -aS'and\tand\tCC\tO\tO' -p318745 -aS'was\tbe\tVBD\tB-VP\tO' -p318746 -aS'treated\ttreat\tVBN\tI-VP\tO' -p318747 -aS'with\twith\tIN\tB-PP\tO' -p318748 -aS'Percocet\tPercocet\tNNP\tB-NP\tO' -p318749 -aS'.\t.\t.\tO\tO' -p318750 -asS'She had some metabolic abnormalities which were corrected ( hypernatremia , hyperphosphatemia ) , but neurologic exam was unchanged .' -p318751 -(lp318752 -S'She\tShe\tPRP\tB-NP\tO' -p318753 -aS'had\thave\tVBD\tB-VP\tO' -p318754 -aS'some\tsome\tDT\tB-NP\tO' -p318755 -aS'metabolic\tmetabolic\tJJ\tI-NP\tO' -p318756 -aS'abnormalities\tabnormality\tNNS\tI-NP\tO' -p318757 -aS'which\twhich\tWDT\tB-NP\tO' -p318758 -aS'were\tbe\tVBD\tB-VP\tO' -p318759 -aS'corrected\tcorrect\tVBN\tI-VP\tO' -p318760 -aS'(\t(\t(\tO\tO' -p318761 -aS'hypernatremia\thypernatremia\tNN\tB-NP\tO' -p318762 -aS',\t,\t,\tO\tO' -p318763 -aS'hyperphosphatemia\thyperphosphatemia\tNN\tB-NP\tO' -p318764 -aS')\t)\t)\tO\tO' -p318765 -aS',\t,\t,\tO\tO' -p318766 -aS'but\tbut\tCC\tO\tO' -p318767 -aS'neurologic\tneurologic\tJJ\tB-NP\tO' -p318768 -aS'exam\texam\tNN\tI-NP\tO' -p318769 -aS'was\tbe\tVBD\tB-VP\tO' -p318770 -aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' -p318771 -aS'.\t.\t.\tO\tO' -p318772 -asS'It was a poor study .' -p318773 -(lp318774 -S'It\tIt\tPRP\tB-NP\tO' -p318775 -aS'was\tbe\tVBD\tB-VP\tO' -p318776 -aS'a\ta\tDT\tB-NP\tO' -p318777 -aS'poor\tpoor\tJJ\tI-NP\tO' -p318778 -aS'study\tstudy\tNN\tI-NP\tO' -p318779 -aS'.\t.\t.\tO\tO' -p318780 -asS'Continue 150 cc per kilo per day of Special Care 20 calories advancing caloric intake as required to maintain weight gain of 3 grams per kilogram per day .' -p318781 -(lp318782 -S'Continue\tContinue\tIN\tB-PP\tO' -p318783 -aS'150\t150\tCD\tB-NP\tO' -p318784 -aS'cc\tcc\tNN\tI-NP\tO' -p318785 -aS'per\tper\tIN\tB-PP\tO' -p318786 -aS'kilo\tkilo\tNN\tB-NP\tO' -p318787 -aS'per\tper\tIN\tB-PP\tO' -p318788 -aS'day\tday\tNN\tB-NP\tO' -p318789 -aS'of\tof\tIN\tB-PP\tO' -p318790 -aS'Special\tSpecial\tNNP\tB-NP\tO' -p318791 -aS'Care\tCare\tNNP\tI-NP\tO' -p318792 -aS'20\t20\tCD\tI-NP\tO' -p318793 -aS'calories\tcalorie\tNNS\tI-NP\tO' -p318794 -aS'advancing\tadvance\tVBG\tB-VP\tO' -p318795 -aS'caloric\tcaloric\tJJ\tB-NP\tO' -p318796 -aS'intake\tintake\tNN\tI-NP\tO' -p318797 -aS'as\tas\tIN\tB-SBAR\tO' -p318798 -aS'required\trequire\tVBN\tB-VP\tO' -p318799 -aS'to\tto\tTO\tI-VP\tO' -p318800 -aS'maintain\tmaintain\tVB\tI-VP\tO' -p318801 -aS'weight\tweight\tNN\tB-NP\tO' -p318802 -aS'gain\tgain\tNN\tI-NP\tO' -p318803 -aS'of\tof\tIN\tB-PP\tO' -p318804 -aS'3\t3\tCD\tB-NP\tO' -p318805 -aS'grams\tgram\tNNS\tI-NP\tO' -p318806 -aS'per\tper\tIN\tB-PP\tO' -p318807 -aS'kilogram\tkilogram\tNN\tB-NP\tO' -p318808 -aS'per\tper\tIN\tB-PP\tO' -p318809 -aS'day\tday\tNN\tB-NP\tO' -p318810 -aS'.\t.\t.\tO\tO' -p318811 -asS"However on 09/08/98 the Infectious Disease Service was made aware that the patient 's intraoperative cultures had also grown out Mycoplasma humilius ." -p318812 -(lp318813 -S'However\tHowever\tRB\tB-ADVP\tO' -p318814 -aS'on\ton\tIN\tB-PP\tO' -p318815 -aS'09/08/98\t09/08/98\tCD\tB-NP\tO' -p318816 -aS'the\tthe\tDT\tB-NP\tO' -p318817 -aS'Infectious\tInfectious\tNNP\tI-NP\tO' -p318818 -aS'Disease\tDisease\tNNP\tI-NP\tO' -p318819 -aS'Service\tService\tNNP\tI-NP\tO' -p318820 -aS'was\tbe\tVBD\tB-VP\tO' -p318821 -aS'made\tmake\tVBN\tI-VP\tO' -p318822 -aS'aware\taware\tJJ\tB-ADJP\tO' -p318823 -aS'that\tthat\tIN\tB-SBAR\tO' -p318824 -aS'the\tthe\tDT\tB-NP\tO' -p318825 -aS'patient\tpatient\tNN\tI-NP\tO' -p318826 -aS"'s\t's\tPOS\tB-NP\tO" -p318827 -aS'intraoperative\tintraoperative\tJJ\tI-NP\tO' -p318828 -aS'cultures\tculture\tNNS\tI-NP\tO' -p318829 -aS'had\thave\tVBD\tB-VP\tO' -p318830 -aS'also\talso\tRB\tI-VP\tO' -p318831 -aS'grown\tgrow\tVBN\tI-VP\tO' -p318832 -aS'out\tout\tRP\tB-PRT\tO' -p318833 -aS'Mycoplasma\tMycoplasma\tNN\tB-NP\tO' -p318834 -aS'humilius\thumilius\tNN\tI-NP\tO' -p318835 -aS'.\t.\t.\tO\tO' -p318836 -asS'5. The mitral valve leaflets are mildly thickened .' -p318837 -(lp318838 -S'5.\t5.\tLS\tB-LST\tO' -p318839 -aS'The\tThe\tDT\tB-NP\tO' -p318840 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p318841 -aS'valve\tvalve\tNN\tI-NP\tO' -p318842 -aS'leaflets\tleaflet\tNNS\tI-NP\tO' -p318843 -aS'are\tbe\tVBP\tB-VP\tO' -p318844 -aS'mildly\tmildly\tRB\tI-VP\tO' -p318845 -aS'thickened\tthicken\tVBN\tI-VP\tO' -p318846 -aS'.\t.\t.\tO\tO' -p318847 -asS'The patient also now complains of increased right upper quadrant / right rib cage pain and new headache .' -p318848 -(lp318849 -S'The\tThe\tDT\tB-NP\tO' -p318850 -aS'patient\tpatient\tNN\tI-NP\tO' -p318851 -aS'also\talso\tRB\tB-ADVP\tO' -p318852 -aS'now\tnow\tRB\tB-ADVP\tO' -p318853 -aS'complains\tcomplain\tVBZ\tB-VP\tO' -p318854 -aS'of\tof\tIN\tB-PP\tO' -p318855 -aS'increased\tincrease\tVBN\tB-NP\tO' -p318856 -aS'right\tright\tJJ\tI-NP\tO' -p318857 -aS'upper\tupper\tJJ\tI-NP\tO' -p318858 -aS'quadrant\tquadrant\tNN\tI-NP\tO' -p318859 -aS'/\t/\tSYM\tB-NP\tO' -p318860 -aS'right\tright\tJJ\tI-NP\tO' -p318861 -aS'rib\trib\tNN\tI-NP\tO' -p318862 -aS'cage\tcage\tNN\tI-NP\tO' -p318863 -aS'pain\tpain\tNN\tI-NP\tO' -p318864 -aS'and\tand\tCC\tO\tO' -p318865 -aS'new\tnew\tJJ\tB-NP\tO' -p318866 -aS'headache\theadache\tNN\tI-NP\tO' -p318867 -aS'.\t.\t.\tO\tO' -p318868 -asS'Now adm for r / o MI , eval of ? demand ischemia , plus w / u of HTN urgency ( which may be very new in onset ) .' -p318869 -(lp318870 -S'Now\tNow\tRB\tB-ADVP\tO' -p318871 -aS'adm\tadm\tNN\tB-NP\tO' -p318872 -aS'for\tfor\tIN\tB-PP\tO' -p318873 -aS'r\tr\tNN\tB-NP\tO' -p318874 -aS'/\t/\tSYM\tI-NP\tO' -p318875 -aS'o\to\tNN\tI-NP\tO' -p318876 -aS'MI\tMI\tNN\tI-NP\tO' -p318877 -aS',\t,\t,\tO\tO' -p318878 -aS'eval\teval\tNN\tB-NP\tO' -p318879 -aS'of\tof\tIN\tB-PP\tO' -p318880 -aS'?\t?\t.\tO\tO' -p318881 -aS'demand\tdemand\tNN\tB-NP\tO' -p318882 -aS'ischemia\tischemia\tNN\tI-NP\tO' -p318883 -aS',\t,\t,\tO\tO' -p318884 -aS'plus\tplus\tCC\tB-PP\tO' -p318885 -aS'w\tw\tNN\tB-NP\tO' -p318886 -aS'/\t/\tSYM\tI-NP\tO' -p318887 -aS'u\tu\tNN\tI-NP\tO' -p318888 -aS'of\tof\tIN\tB-PP\tO' -p318889 -aS'HTN\tHTN\tNN\tB-NP\tO' -p318890 -aS'urgency\turgency\tNN\tI-NP\tO' -p318891 -aS'(\t(\t(\tO\tO' -p318892 -aS'which\twhich\tWDT\tB-NP\tO' -p318893 -aS'may\tmay\tMD\tB-VP\tO' -p318894 -aS'be\tbe\tVB\tI-VP\tO' -p318895 -aS'very\tvery\tRB\tB-ADJP\tO' -p318896 -aS'new\tnew\tJJ\tI-ADJP\tO' -p318897 -aS'in\tin\tIN\tB-PP\tO' -p318898 -aS'onset\tonset\tNN\tB-NP\tO' -p318899 -aS')\t)\t)\tO\tO' -p318900 -aS'.\t.\t.\tO\tO' -p318901 -asS'Head , eyes , ears , nose and throat examination - The pupils are equal , round and reactive to light and accommodation .' -p318902 -(lp318903 -S'Head\tHead\tRB\tB-ADVP\tO' -p318904 -aS',\t,\t,\tO\tO' -p318905 -aS'eyes\teye\tNNS\tB-NP\tO' -p318906 -aS',\t,\t,\tO\tO' -p318907 -aS'ears\tear\tNNS\tB-NP\tO' -p318908 -aS',\t,\t,\tO\tO' -p318909 -aS'nose\tnose\tNN\tB-NP\tO' -p318910 -aS'and\tand\tCC\tO\tO' -p318911 -aS'throat\tthroat\tNN\tB-NP\tO' -p318912 -aS'examination\texamination\tNN\tI-NP\tO' -p318913 -aS'-\t-\tHYPH\tO\tO' -p318914 -aS'The\tThe\tDT\tB-NP\tO' -p318915 -aS'pupils\tpupil\tNNS\tI-NP\tO' -p318916 -aS'are\tbe\tVBP\tB-VP\tO' -p318917 -aS'equal\tequal\tJJ\tB-NP\tO' -p318918 -aS',\t,\t,\tI-NP\tO' -p318919 -aS'round\tround\tJJ\tI-NP\tO' -p318920 -aS'and\tand\tCC\tI-NP\tO' -p318921 -aS'reactive\treactive\tJJ\tI-NP\tO' -p318922 -aS'to\tto\tTO\tB-PP\tO' -p318923 -aS'light\tlight\tNN\tB-NP\tO' -p318924 -aS'and\tand\tCC\tI-NP\tO' -p318925 -aS'accommodation\taccommodation\tNN\tI-NP\tO' -p318926 -aS'.\t.\t.\tO\tO' -p318927 -asS'Weaning and potential extubation complicated by mechanical disadvantage from large ascites as well as continued somnolence ( off sedation ).' -p318928 -(lp318929 -S'Weaning\tWeaning\tNN\tB-NP\tO' -p318930 -aS'and\tand\tCC\tI-NP\tO' -p318931 -aS'potential\tpotential\tJJ\tI-NP\tO' -p318932 -aS'extubation\textubation\tNN\tI-NP\tO' -p318933 -aS'complicated\tcomplicate\tVBN\tB-VP\tO' -p318934 -aS'by\tby\tIN\tB-PP\tO' -p318935 -aS'mechanical\tmechanical\tJJ\tB-NP\tO' -p318936 -aS'disadvantage\tdisadvantage\tNN\tI-NP\tO' -p318937 -aS'from\tfrom\tIN\tB-PP\tO' -p318938 -aS'large\tlarge\tJJ\tB-NP\tO' -p318939 -aS'ascites\tascite\tNNS\tI-NP\tO' -p318940 -aS'as\tas\tRB\tB-CONJP\tO' -p318941 -aS'well\twell\tRB\tI-CONJP\tO' -p318942 -aS'as\tas\tIN\tI-CONJP\tO' -p318943 -aS'continued\tcontinued\tJJ\tB-NP\tO' -p318944 -aS'somnolence\tsomnolence\tNN\tI-NP\tO' -p318945 -aS'(\t(\t(\tO\tO' -p318946 -aS'off\toff\tIN\tB-PP\tO' -p318947 -aS'sedation\tsedation\tNN\tB-NP\tO' -p318948 -aS').\t).\t.\tO\tO' -p318949 -asS'She denied any associated nausea , vomiting , diaphoresis , lightheadedness , or dizziness .' -p318950 -(lp318951 -S'She\tShe\tPRP\tB-NP\tO' -p318952 -aS'denied\tdeny\tVBD\tB-VP\tO' -p318953 -aS'any\tany\tDT\tB-NP\tO' -p318954 -aS'associated\tassociate\tVBN\tI-NP\tO' -p318955 -aS'nausea\tnausea\tNN\tI-NP\tO' -p318956 -aS',\t,\t,\tO\tO' -p318957 -aS'vomiting\tvomiting\tNN\tB-NP\tO' -p318958 -aS',\t,\t,\tO\tO' -p318959 -aS'diaphoresis\tdiaphoresis\tNN\tB-NP\tO' -p318960 -aS',\t,\t,\tO\tO' -p318961 -aS'lightheadedness\tlightheadedness\tNN\tB-NP\tO' -p318962 -aS',\t,\t,\tO\tO' -p318963 -aS'or\tor\tCC\tO\tO' -p318964 -aS'dizziness\tdizziness\tNN\tB-NP\tO' -p318965 -aS'.\t.\t.\tO\tO' -p318966 -asS'The laboratory data revealed normal electrolytes , BUN and creatinine , normal liver function tests , a first CPK of 140 , and a hematocrit of 43.1 .' -p318967 -(lp318968 -S'The\tThe\tDT\tB-NP\tO' -p318969 -aS'laboratory\tlaboratory\tNN\tI-NP\tO' -p318970 -aS'data\tdatum\tNNS\tI-NP\tO' -p318971 -aS'revealed\treveal\tVBD\tB-VP\tO' -p318972 -aS'normal\tnormal\tJJ\tB-NP\tO' -p318973 -aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' -p318974 -aS',\t,\t,\tO\tO' -p318975 -aS'BUN\tBUN\tNN\tB-NP\tB-protein' -p318976 -aS'and\tand\tCC\tI-NP\tO' -p318977 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p318978 -aS',\t,\t,\tO\tO' -p318979 -aS'normal\tnormal\tJJ\tB-NP\tO' -p318980 -aS'liver\tliver\tNN\tI-NP\tO' -p318981 -aS'function\tfunction\tNN\tI-NP\tO' -p318982 -aS'tests\ttest\tNNS\tI-NP\tO' -p318983 -aS',\t,\t,\tO\tO' -p318984 -aS'a\ta\tDT\tB-NP\tO' -p318985 -aS'first\tfirst\tJJ\tI-NP\tO' -p318986 -aS'CPK\tCPK\tNN\tI-NP\tB-protein' -p318987 -aS'of\tof\tIN\tB-PP\tO' -p318988 -aS'140\t140\tCD\tB-NP\tO' -p318989 -aS',\t,\t,\tO\tO' -p318990 -aS'and\tand\tCC\tO\tO' -p318991 -aS'a\ta\tDT\tB-NP\tO' -p318992 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p318993 -aS'of\tof\tIN\tB-PP\tO' -p318994 -aS'43.1\t43.1\tCD\tB-NP\tO' -p318995 -aS'.\t.\t.\tO\tO' -p318996 -asS'Given standing NSAID , tylenol for pain control .' -p318997 -(lp318998 -S'Given\tGive\tVBN\tB-NP\tO' -p318999 -aS'standing\tstanding\tNN\tI-NP\tO' -p319000 -aS'NSAID\tNSAID\tNN\tI-NP\tO' -p319001 -aS',\t,\t,\tO\tO' -p319002 -aS'tylenol\ttylenol\tNN\tB-NP\tO' -p319003 -aS'for\tfor\tIN\tB-PP\tO' -p319004 -aS'pain\tpain\tNN\tB-NP\tO' -p319005 -aS'control\tcontrol\tNN\tI-NP\tO' -p319006 -aS'.\t.\t.\tO\tO' -p319007 -asS'ABNORMALITY #3: The background rhythms were dominated by much faster beta rhythm .' -p319008 -(lp319009 -S'ABNORMALITY\tABNORMALITY\tNN\tB-NP\tO' -p319010 -aS'#3:\t#3:\t:\tO\tO' -p319011 -aS'The\tThe\tDT\tB-NP\tO' -p319012 -aS'background\tbackground\tNN\tI-NP\tO' -p319013 -aS'rhythms\trhythm\tNNS\tI-NP\tO' -p319014 -aS'were\tbe\tVBD\tB-VP\tO' -p319015 -aS'dominated\tdominate\tVBN\tI-VP\tO' -p319016 -aS'by\tby\tIN\tB-PP\tO' -p319017 -aS'much\tmuch\tRB\tB-NP\tO' -p319018 -aS'faster\tfast\tJJR\tI-NP\tO' -p319019 -aS'beta\tbeta\tNN\tI-NP\tO' -p319020 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p319021 -aS'.\t.\t.\tO\tO' -p319022 -asS'Tube feedings were started 48 hours after the procedure .' -p319023 -(lp319024 -S'Tube\tTube\tNN\tB-NP\tO' -p319025 -aS'feedings\tfeeding\tNNS\tI-NP\tO' -p319026 -aS'were\tbe\tVBD\tB-VP\tO' -p319027 -aS'started\tstart\tVBN\tI-VP\tO' -p319028 -aS'48\t48\tCD\tB-NP\tO' -p319029 -aS'hours\thour\tNNS\tI-NP\tO' -p319030 -aS'after\tafter\tIN\tB-PP\tO' -p319031 -aS'the\tthe\tDT\tB-NP\tO' -p319032 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p319033 -aS'.\t.\t.\tO\tO' -p319034 -asS'The urine culture was pending at the time of this dictation .' -p319035 -(lp319036 -S'The\tThe\tDT\tB-NP\tO' -p319037 -aS'urine\turine\tNN\tI-NP\tO' -p319038 -aS'culture\tculture\tNN\tI-NP\tO' -p319039 -aS'was\tbe\tVBD\tB-VP\tO' -p319040 -aS'pending\tpende\tVBG\tI-VP\tO' -p319041 -aS'at\tat\tIN\tB-PP\tO' -p319042 -aS'the\tthe\tDT\tB-NP\tO' -p319043 -aS'time\ttime\tNN\tI-NP\tO' -p319044 -aS'of\tof\tIN\tB-PP\tO' -p319045 -aS'this\tthis\tDT\tB-NP\tO' -p319046 -aS'dictation\tdictation\tNN\tI-NP\tO' -p319047 -aS'.\t.\t.\tO\tO' -p319048 -asS'POD#6 , her diet was advanced to regular .' -p319049 -(lp319050 -S'POD#6\tPOD#6\tNN\tB-NP\tB-protein' -p319051 -aS',\t,\t,\tO\tO' -p319052 -aS'her\ther\tPRP$\tB-NP\tO' -p319053 -aS'diet\tdiet\tNN\tI-NP\tO' -p319054 -aS'was\tbe\tVBD\tB-VP\tO' -p319055 -aS'advanced\tadvance\tVBN\tI-VP\tO' -p319056 -aS'to\tto\tTO\tB-PP\tO' -p319057 -aS'regular\tregular\tJJ\tB-NP\tO' -p319058 -aS'.\t.\t.\tO\tO' -p319059 -asS'Ms. Shuffa underwent an EGD and flexible bronchoscopy on 9/16/00 shortly after she arrived .' -p319060 -(lp319061 -S'Ms.\tMs.\tNNP\tB-NP\tO' -p319062 -aS'Shuffa\tShuffa\tNNP\tI-NP\tO' -p319063 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p319064 -aS'an\tan\tDT\tB-NP\tO' -p319065 -aS'EGD\tEGD\tNN\tI-NP\tB-protein' -p319066 -aS'and\tand\tCC\tI-NP\tO' -p319067 -aS'flexible\tflexible\tJJ\tI-NP\tO' -p319068 -aS'bronchoscopy\tbronchoscopy\tNN\tI-NP\tO' -p319069 -aS'on\ton\tIN\tB-PP\tO' -p319070 -aS'9/16/00\t9/16/00\tCD\tB-NP\tO' -p319071 -aS'shortly\tshortly\tRB\tB-ADVP\tO' -p319072 -aS'after\tafter\tIN\tB-SBAR\tO' -p319073 -aS'she\tshe\tPRP\tB-NP\tO' -p319074 -aS'arrived\tarrive\tVBD\tB-VP\tO' -p319075 -aS'.\t.\t.\tO\tO' -p319076 -asS'8) Status post total hip replacement .' -p319077 -(lp319078 -S'8)\t8)\tLS\tB-LST\tO' -p319079 -aS'Status\tStatus\tNNP\tB-NP\tO' -p319080 -aS'post\tpost\tIN\tB-PP\tO' -p319081 -aS'total\ttotal\tJJ\tB-NP\tO' -p319082 -aS'hip\thip\tNN\tI-NP\tO' -p319083 -aS'replacement\treplacement\tNN\tI-NP\tO' -p319084 -aS'.\t.\t.\tO\tO' -p319085 -asS'Seen by renal who felt was c/w ATN .' -p319086 -(lp319087 -S'Seen\tSeen\tNN\tB-NP\tO' -p319088 -aS'by\tby\tIN\tB-PP\tO' -p319089 -aS'renal\trenal\tJJ\tB-NP\tO' -p319090 -aS'who\twho\tWP\tB-NP\tO' -p319091 -aS'felt\tfeel\tVBD\tB-VP\tO' -p319092 -aS'was\tbe\tVBD\tB-VP\tO' -p319093 -aS'c/w\tc/w\tJJ\tB-NP\tO' -p319094 -aS'ATN\tATN\tNN\tI-NP\tO' -p319095 -aS'.\t.\t.\tO\tO' -p319096 -asS'Both plantars were upgoing .' -p319097 -(lp319098 -S'Both\tBoth\tDT\tB-NP\tO' -p319099 -aS'plantars\tplantar\tNNS\tI-NP\tO' -p319100 -aS'were\tbe\tVBD\tB-VP\tO' -p319101 -aS'upgoing\tupgoe\tVBG\tI-VP\tO' -p319102 -aS'.\t.\t.\tO\tO' -p319103 -asS'Her PT drifted down to a level of 12.9 by 7/3 and therefore she will be discharged with 4 mg of Coumadin per day to be followed by the Coumadin Clinic at Cowerin Tonli Medical Center .' -p319104 -(lp319105 -S'Her\tHer\tPRP$\tB-NP\tO' -p319106 -aS'PT\tPT\tNN\tI-NP\tO' -p319107 -aS'drifted\tdrift\tVBD\tB-VP\tO' -p319108 -aS'down\tdown\tRB\tB-ADVP\tO' -p319109 -aS'to\tto\tTO\tB-PP\tO' -p319110 -aS'a\ta\tDT\tB-NP\tO' -p319111 -aS'level\tlevel\tNN\tI-NP\tO' -p319112 -aS'of\tof\tIN\tB-PP\tO' -p319113 -aS'12.9\t12.9\tCD\tB-NP\tO' -p319114 -aS'by\tby\tIN\tB-PP\tO' -p319115 -aS'7/3\t7/3\tCD\tB-NP\tO' -p319116 -aS'and\tand\tCC\tO\tO' -p319117 -aS'therefore\ttherefore\tRB\tB-ADVP\tO' -p319118 -aS'she\tshe\tPRP\tB-NP\tO' -p319119 -aS'will\twill\tMD\tB-VP\tO' -p319120 -aS'be\tbe\tVB\tI-VP\tO' -p319121 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p319122 -aS'with\twith\tIN\tB-PP\tO' -p319123 -aS'4\t4\tCD\tB-NP\tO' -p319124 -aS'mg\tmg\tNN\tI-NP\tO' -p319125 -aS'of\tof\tIN\tB-PP\tO' -p319126 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p319127 -aS'per\tper\tIN\tB-PP\tO' -p319128 -aS'day\tday\tNN\tB-NP\tO' -p319129 -aS'to\tto\tTO\tB-VP\tO' -p319130 -aS'be\tbe\tVB\tI-VP\tO' -p319131 -aS'followed\tfollow\tVBN\tI-VP\tO' -p319132 -aS'by\tby\tIN\tB-PP\tO' -p319133 -aS'the\tthe\tDT\tB-NP\tO' -p319134 -aS'Coumadin\tCoumadin\tNNP\tI-NP\tO' -p319135 -aS'Clinic\tClinic\tNNP\tI-NP\tO' -p319136 -aS'at\tat\tIN\tB-PP\tO' -p319137 -aS'Cowerin\tCowerin\tNNP\tB-NP\tO' -p319138 -aS'Tonli\tTonli\tNNP\tI-NP\tO' -p319139 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p319140 -aS'Center\tCenter\tNNP\tI-NP\tO' -p319141 -aS'.\t.\t.\tO\tO' -p319142 -asS'On postop day 9 , the patient had a similar increased abdominal pain episode and was taken back to the operating room for another emergent exploratory laparotomy revealing another peroration at the site of previous repair .' -p319143 -(lp319144 -S'On\tOn\tIN\tB-PP\tO' -p319145 -aS'postop\tpostop\tJJ\tB-NP\tO' -p319146 -aS'day\tday\tNN\tI-NP\tO' -p319147 -aS'9\t9\tCD\tI-NP\tO' -p319148 -aS',\t,\t,\tO\tO' -p319149 -aS'the\tthe\tDT\tB-NP\tO' -p319150 -aS'patient\tpatient\tNN\tI-NP\tO' -p319151 -aS'had\thave\tVBD\tB-VP\tO' -p319152 -aS'a\ta\tDT\tB-NP\tO' -p319153 -aS'similar\tsimilar\tJJ\tI-NP\tO' -p319154 -aS'increased\tincrease\tVBN\tI-NP\tO' -p319155 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p319156 -aS'pain\tpain\tNN\tI-NP\tO' -p319157 -aS'episode\tepisode\tNN\tI-NP\tO' -p319158 -aS'and\tand\tCC\tO\tO' -p319159 -aS'was\tbe\tVBD\tB-VP\tO' -p319160 -aS'taken\ttake\tVBN\tI-VP\tO' -p319161 -aS'back\tback\tRB\tB-ADVP\tO' -p319162 -aS'to\tto\tTO\tB-PP\tO' -p319163 -aS'the\tthe\tDT\tB-NP\tO' -p319164 -aS'operating\toperating\tNN\tI-NP\tO' -p319165 -aS'room\troom\tNN\tI-NP\tO' -p319166 -aS'for\tfor\tIN\tB-PP\tO' -p319167 -aS'another\tanother\tDT\tB-NP\tO' -p319168 -aS'emergent\temergent\tJJ\tI-NP\tO' -p319169 -aS'exploratory\texploratory\tJJ\tI-NP\tO' -p319170 -aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' -p319171 -aS'revealing\treveal\tVBG\tB-VP\tO' -p319172 -aS'another\tanother\tDT\tB-NP\tO' -p319173 -aS'peroration\tperoration\tNN\tI-NP\tO' -p319174 -aS'at\tat\tIN\tB-PP\tO' -p319175 -aS'the\tthe\tDT\tB-NP\tO' -p319176 -aS'site\tsite\tNN\tI-NP\tO' -p319177 -aS'of\tof\tIN\tB-PP\tO' -p319178 -aS'previous\tprevious\tJJ\tB-NP\tO' -p319179 -aS'repair\trepair\tNN\tI-NP\tO' -p319180 -aS'.\t.\t.\tO\tO' -p319181 -asS'No nausea or vomiting , no change in her bowel movements .' -p319182 -(lp319183 -S'No\tNo\tDT\tB-NP\tO' -p319184 -aS'nausea\tnausea\tNN\tI-NP\tO' -p319185 -aS'or\tor\tCC\tI-NP\tO' -p319186 -aS'vomiting\tvomiting\tNN\tI-NP\tO' -p319187 -aS',\t,\t,\tO\tO' -p319188 -aS'no\tno\tDT\tB-NP\tO' -p319189 -aS'change\tchange\tNN\tI-NP\tO' -p319190 -aS'in\tin\tIN\tB-PP\tO' -p319191 -aS'her\ther\tPRP$\tB-NP\tO' -p319192 -aS'bowel\tbowel\tNN\tI-NP\tO' -p319193 -aS'movements\tmovement\tNNS\tI-NP\tO' -p319194 -aS'.\t.\t.\tO\tO' -p319195 -asS'Initial head ultrasound on day of life seven was normal .' -p319196 -(lp319197 -S'Initial\tInitial\tJJ\tB-NP\tO' -p319198 -aS'head\thead\tNN\tI-NP\tO' -p319199 -aS'ultrasound\tultrasound\tNN\tI-NP\tO' -p319200 -aS'on\ton\tIN\tB-PP\tO' -p319201 -aS'day\tday\tNN\tB-NP\tO' -p319202 -aS'of\tof\tIN\tB-PP\tO' -p319203 -aS'life\tlife\tNN\tB-NP\tO' -p319204 -aS'seven\tseven\tCD\tI-NP\tO' -p319205 -aS'was\tbe\tVBD\tB-VP\tO' -p319206 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p319207 -aS'.\t.\t.\tO\tO' -p319208 -asS'Dementia ; congestive heart failure .' -p319209 -(lp319210 -S'Dementia\tDementia\tNN\tB-NP\tO' -p319211 -aS';\t;\t:\tO\tO' -p319212 -aS'congestive\tcongestive\tJJ\tB-NP\tO' -p319213 -aS'heart\theart\tNN\tI-NP\tO' -p319214 -aS'failure\tfailure\tNN\tI-NP\tO' -p319215 -aS'.\t.\t.\tO\tO' -p319216 -asS'The vital signs showed a temperature of 96.8 , heart rate 80 , blood pressure 180/78 , respiratory rate 18 , and she was satting 95 percent on two liters nasal cannula .' -p319217 -(lp319218 -S'The\tThe\tDT\tB-NP\tO' -p319219 -aS'vital\tvital\tJJ\tI-NP\tO' -p319220 -aS'signs\tsign\tNNS\tI-NP\tO' -p319221 -aS'showed\tshow\tVBD\tB-VP\tO' -p319222 -aS'a\ta\tDT\tB-NP\tO' -p319223 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p319224 -aS'of\tof\tIN\tB-PP\tO' -p319225 -aS'96.8\t96.8\tCD\tB-NP\tO' -p319226 -aS',\t,\t,\tO\tO' -p319227 -aS'heart\theart\tNN\tB-NP\tO' -p319228 -aS'rate\trate\tNN\tI-NP\tO' -p319229 -aS'80\t80\tCD\tI-NP\tO' -p319230 -aS',\t,\t,\tO\tO' -p319231 -aS'blood\tblood\tNN\tB-NP\tO' -p319232 -aS'pressure\tpressure\tNN\tI-NP\tO' -p319233 -aS'180/78\t180/78\tCD\tI-NP\tO' -p319234 -aS',\t,\t,\tI-NP\tO' -p319235 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p319236 -aS'rate\trate\tNN\tI-NP\tO' -p319237 -aS'18\t18\tCD\tI-NP\tO' -p319238 -aS',\t,\t,\tO\tO' -p319239 -aS'and\tand\tCC\tO\tO' -p319240 -aS'she\tshe\tPRP\tB-NP\tO' -p319241 -aS'was\tbe\tVBD\tB-VP\tO' -p319242 -aS'satting\tsatte\tVBG\tI-VP\tO' -p319243 -aS'95\t95\tCD\tB-NP\tO' -p319244 -aS'percent\tpercent\tNN\tI-NP\tO' -p319245 -aS'on\ton\tIN\tB-PP\tO' -p319246 -aS'two\ttwo\tCD\tB-NP\tO' -p319247 -aS'liters\tliter\tNNS\tI-NP\tO' -p319248 -aS'nasal\tnasal\tJJ\tI-NP\tO' -p319249 -aS'cannula\tcannula\tNN\tI-NP\tO' -p319250 -aS'.\t.\t.\tO\tO' -p319251 -asS'8. Senna one once daily .' -p319252 -(lp319253 -S'8.\t8.\tCD\tB-NP\tO' -p319254 -aS'Senna\tSenna\tNNP\tI-NP\tO' -p319255 -aS'one\tone\tCD\tI-NP\tO' -p319256 -aS'once\tonce\tRB\tB-ADVP\tO' -p319257 -aS'daily\tdaily\tRB\tI-ADVP\tO' -p319258 -aS'.\t.\t.\tO\tO' -p319259 -asS'Another polyp was found in the antrum and cold biopsies were obtained there .' -p319260 -(lp319261 -S'Another\tAnother\tDT\tB-NP\tO' -p319262 -aS'polyp\tpolyp\tNN\tI-NP\tO' -p319263 -aS'was\tbe\tVBD\tB-VP\tO' -p319264 -aS'found\tfind\tVBN\tI-VP\tO' -p319265 -aS'in\tin\tIN\tB-PP\tO' -p319266 -aS'the\tthe\tDT\tB-NP\tO' -p319267 -aS'antrum\tantrum\tNN\tI-NP\tO' -p319268 -aS'and\tand\tCC\tI-NP\tO' -p319269 -aS'cold\tcold\tJJ\tI-NP\tO' -p319270 -aS'biopsies\tbiopsy\tNNS\tI-NP\tO' -p319271 -aS'were\tbe\tVBD\tB-VP\tO' -p319272 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p319273 -aS'there\tthere\tRB\tB-ADVP\tO' -p319274 -aS'.\t.\t.\tO\tO' -p319275 -asS'Therefore we decided to work up her cirrhosis .' -p319276 -(lp319277 -S'Therefore\tTherefore\tRB\tB-ADVP\tO' -p319278 -aS'we\twe\tPRP\tB-NP\tO' -p319279 -aS'decided\tdecide\tVBD\tB-VP\tO' -p319280 -aS'to\tto\tTO\tI-VP\tO' -p319281 -aS'work\twork\tVB\tI-VP\tO' -p319282 -aS'up\tup\tRP\tB-PRT\tO' -p319283 -aS'her\ther\tPRP$\tB-NP\tO' -p319284 -aS'cirrhosis\tcirrhosis\tNN\tI-NP\tO' -p319285 -aS'.\t.\t.\tO\tO' -p319286 -asS'She was moving all joints and extremities well .' -p319287 -(lp319288 -S'She\tShe\tPRP\tB-NP\tO' -p319289 -aS'was\tbe\tVBD\tB-VP\tO' -p319290 -aS'moving\tmove\tVBG\tI-VP\tO' -p319291 -aS'all\tall\tDT\tB-NP\tO' -p319292 -aS'joints\tjoint\tNNS\tI-NP\tO' -p319293 -aS'and\tand\tCC\tI-NP\tO' -p319294 -aS'extremities\textremity\tNNS\tI-NP\tO' -p319295 -aS'well\twell\tRB\tB-ADVP\tO' -p319296 -aS'.\t.\t.\tO\tO' -p319297 -asS'Lower extremity blood pressures demonstrated systolics of 205-210 .' -p319298 -(lp319299 -S'Lower\tLow\tJJR\tB-NP\tO' -p319300 -aS'extremity\textremity\tNN\tI-NP\tO' -p319301 -aS'blood\tblood\tNN\tI-NP\tO' -p319302 -aS'pressures\tpressure\tNNS\tI-NP\tO' -p319303 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p319304 -aS'systolics\tsystolic\tNNS\tB-NP\tO' -p319305 -aS'of\tof\tIN\tB-PP\tO' -p319306 -aS'205-210\t205-210\tCD\tB-NP\tO' -p319307 -aS'.\t.\t.\tO\tO' -p319308 -asS'Left ventricular aneurysm was also noted ; however , no ischemia was seen .' -p319309 -(lp319310 -S'Left\tLeave\tVBN\tB-NP\tO' -p319311 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p319312 -aS'aneurysm\taneurysm\tNN\tI-NP\tO' -p319313 -aS'was\tbe\tVBD\tB-VP\tO' -p319314 -aS'also\talso\tRB\tI-VP\tO' -p319315 -aS'noted\tnote\tVBN\tI-VP\tO' -p319316 -aS';\t;\t:\tO\tO' -p319317 -aS'however\thowever\tRB\tB-ADVP\tO' -p319318 -aS',\t,\t,\tO\tO' -p319319 -aS'no\tno\tDT\tB-NP\tO' -p319320 -aS'ischemia\tischemia\tNN\tI-NP\tO' -p319321 -aS'was\tbe\tVBD\tB-VP\tO' -p319322 -aS'seen\tsee\tVBN\tI-VP\tO' -p319323 -aS'.\t.\t.\tO\tO' -p319324 -asS'Fingerstick glucose revealed a sugar of 12 .' -p319325 -(lp319326 -S'Fingerstick\tFingerstick\tJJ\tB-NP\tO' -p319327 -aS'glucose\tglucose\tNN\tI-NP\tO' -p319328 -aS'revealed\treveal\tVBD\tB-VP\tO' -p319329 -aS'a\ta\tDT\tB-NP\tO' -p319330 -aS'sugar\tsugar\tNN\tI-NP\tO' -p319331 -aS'of\tof\tIN\tB-PP\tO' -p319332 -aS'12\t12\tCD\tB-NP\tO' -p319333 -aS'.\t.\t.\tO\tO' -p319334 -asS'SocHx : Mr Peres generally lives with his wife but has spent a great deal of time recently at rehab .' -p319335 -(lp319336 -S'SocHx\tSocHx\tNNP\tB-NP\tO' -p319337 -aS':\t:\t:\tO\tO' -p319338 -aS'Mr\tMr\tNNP\tB-NP\tO' -p319339 -aS'Peres\tPeres\tNNP\tI-NP\tO' -p319340 -aS'generally\tgenerally\tRB\tB-ADVP\tO' -p319341 -aS'lives\tlive\tVBZ\tB-VP\tO' -p319342 -aS'with\twith\tIN\tB-PP\tO' -p319343 -aS'his\this\tPRP$\tB-NP\tO' -p319344 -aS'wife\twife\tNN\tI-NP\tO' -p319345 -aS'but\tbut\tCC\tO\tO' -p319346 -aS'has\thave\tVBZ\tB-VP\tO' -p319347 -aS'spent\tspend\tVBN\tI-VP\tO' -p319348 -aS'a\ta\tDT\tB-NP\tO' -p319349 -aS'great\tgreat\tJJ\tI-NP\tO' -p319350 -aS'deal\tdeal\tNN\tI-NP\tO' -p319351 -aS'of\tof\tIN\tB-PP\tO' -p319352 -aS'time\ttime\tNN\tB-NP\tO' -p319353 -aS'recently\trecently\tRB\tB-ADVP\tO' -p319354 -aS'at\tat\tIN\tB-PP\tO' -p319355 -aS'rehab\trehab\tNN\tB-NP\tO' -p319356 -aS'.\t.\t.\tO\tO' -p319357 -asS'He was in no acute distress , non-toxic .' -p319358 -(lp319359 -S'He\tHe\tPRP\tB-NP\tO' -p319360 -aS'was\tbe\tVBD\tB-VP\tO' -p319361 -aS'in\tin\tIN\tB-PP\tO' -p319362 -aS'no\tno\tDT\tB-NP\tO' -p319363 -aS'acute\tacute\tJJ\tI-NP\tO' -p319364 -aS'distress\tdistress\tNN\tI-NP\tO' -p319365 -aS',\t,\t,\tO\tO' -p319366 -aS'non-toxic\tnon-toxic\tJJ\tB-ADJP\tO' -p319367 -aS'.\t.\t.\tO\tO' -p319368 -asS'2. Twin #2 of twin gestation .' -p319369 -(lp319370 -S'2.\t2.\tLS\tB-NP\tO' -p319371 -aS'Twin\tTwin\tNNP\tI-NP\tO' -p319372 -aS'#2\t#2\tNN\tI-NP\tO' -p319373 -aS'of\tof\tIN\tB-PP\tO' -p319374 -aS'twin\ttwin\tNN\tB-NP\tO' -p319375 -aS'gestation\tgestation\tNN\tI-NP\tO' -p319376 -aS'.\t.\t.\tO\tO' -p319377 -asS'A pap smear that was obtained by her primary care physician showed an endometrial cell and thus she was referred to a gynecologist for an endometrial biopsy .' -p319378 -(lp319379 -S'A\tA\tDT\tB-NP\tO' -p319380 -aS'pap\tpap\tNN\tI-NP\tO' -p319381 -aS'smear\tsmear\tNN\tI-NP\tO' -p319382 -aS'that\tthat\tWDT\tB-NP\tO' -p319383 -aS'was\tbe\tVBD\tB-VP\tO' -p319384 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p319385 -aS'by\tby\tIN\tB-PP\tO' -p319386 -aS'her\ther\tPRP$\tB-NP\tO' -p319387 -aS'primary\tprimary\tJJ\tI-NP\tO' -p319388 -aS'care\tcare\tNN\tI-NP\tO' -p319389 -aS'physician\tphysician\tNN\tI-NP\tO' -p319390 -aS'showed\tshow\tVBD\tB-VP\tO' -p319391 -aS'an\tan\tDT\tB-NP\tO' -p319392 -aS'endometrial\tendometrial\tJJ\tI-NP\tO' -p319393 -aS'cell\tcell\tNN\tI-NP\tO' -p319394 -aS'and\tand\tCC\tO\tO' -p319395 -aS'thus\tthus\tRB\tB-ADVP\tO' -p319396 -aS'she\tshe\tPRP\tB-NP\tO' -p319397 -aS'was\tbe\tVBD\tB-VP\tO' -p319398 -aS'referred\trefer\tVBN\tI-VP\tO' -p319399 -aS'to\tto\tTO\tB-PP\tO' -p319400 -aS'a\ta\tDT\tB-NP\tO' -p319401 -aS'gynecologist\tgynecologist\tNN\tI-NP\tO' -p319402 -aS'for\tfor\tIN\tB-PP\tO' -p319403 -aS'an\tan\tDT\tB-NP\tO' -p319404 -aS'endometrial\tendometrial\tJJ\tI-NP\tO' -p319405 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p319406 -aS'.\t.\t.\tO\tO' -p319407 -asS'Cholesterol 188 , triglyceride was 127 .' -p319408 -(lp319409 -S'Cholesterol\tCholesterol\tNN\tB-NP\tB-protein' -p319410 -aS'188\t188\tCD\tI-NP\tI-protein' -p319411 -aS',\t,\t,\tO\tO' -p319412 -aS'triglyceride\ttriglyceride\tNN\tB-NP\tO' -p319413 -aS'was\tbe\tVBD\tB-VP\tO' -p319414 -aS'127\t127\tCD\tB-NP\tO' -p319415 -aS'.\t.\t.\tO\tO' -p319416 -asS'6. Congestive heart failure .' -p319417 -(lp319418 -S'6.\t6.\tLS\tB-NP\tO' -p319419 -aS'Congestive\tCongestive\tJJ\tI-NP\tO' -p319420 -aS'heart\theart\tNN\tI-NP\tO' -p319421 -aS'failure\tfailure\tNN\tI-NP\tO' -p319422 -aS'.\t.\t.\tO\tO' -p319423 -asS'2. CMED CCU drops .' -p319424 -(lp319425 -S'2.\t2.\tLS\tB-LST\tO' -p319426 -aS'CMED\tCMED\tVBD\tB-VP\tO' -p319427 -aS'CCU\tCCU\tNN\tB-NP\tB-protein' -p319428 -aS'drops\tdrop\tNNS\tI-NP\tI-protein' -p319429 -aS'.\t.\t.\tO\tO' -p319430 -asS'Her chest is clear to auscultation .' -p319431 -(lp319432 -S'Her\tHer\tPRP$\tB-NP\tO' -p319433 -aS'chest\tchest\tNN\tI-NP\tO' -p319434 -aS'is\tbe\tVBZ\tB-VP\tO' -p319435 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p319436 -aS'to\tto\tTO\tB-PP\tO' -p319437 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p319438 -aS'.\t.\t.\tO\tO' -p319439 -asS'Unclear whether there are chronic pulmonary embolus but did have positive test for deep venous thrombosis and will be treated with Coumadin .' -p319440 -(lp319441 -S'Unclear\tUnclear\tJJ\tB-ADJP\tO' -p319442 -aS'whether\twhether\tIN\tB-SBAR\tO' -p319443 -aS'there\tthere\tEX\tB-NP\tO' -p319444 -aS'are\tbe\tVBP\tB-VP\tO' -p319445 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p319446 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p319447 -aS'embolus\tembolus\tNN\tI-NP\tO' -p319448 -aS'but\tbut\tCC\tO\tO' -p319449 -aS'did\tdo\tVBD\tB-VP\tO' -p319450 -aS'have\thave\tVB\tI-VP\tO' -p319451 -aS'positive\tpositive\tJJ\tB-NP\tO' -p319452 -aS'test\ttest\tNN\tI-NP\tO' -p319453 -aS'for\tfor\tIN\tB-PP\tO' -p319454 -aS'deep\tdeep\tJJ\tB-NP\tO' -p319455 -aS'venous\tvenous\tJJ\tI-NP\tO' -p319456 -aS'thrombosis\tthrombosis\tNN\tI-NP\tO' -p319457 -aS'and\tand\tCC\tO\tO' -p319458 -aS'will\twill\tMD\tB-VP\tO' -p319459 -aS'be\tbe\tVB\tI-VP\tO' -p319460 -aS'treated\ttreat\tVBN\tI-VP\tO' -p319461 -aS'with\twith\tIN\tB-PP\tO' -p319462 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p319463 -aS'.\t.\t.\tO\tO' -p319464 -asS'His name is Andrea and his phone number is 794 1029 x. 1385 .' -p319465 -(lp319466 -S'His\tHis\tPRP$\tB-NP\tO' -p319467 -aS'name\tname\tNN\tI-NP\tO' -p319468 -aS'is\tbe\tVBZ\tB-VP\tO' -p319469 -aS'Andrea\tAndrea\tNNP\tB-NP\tO' -p319470 -aS'and\tand\tCC\tO\tO' -p319471 -aS'his\this\tPRP$\tB-NP\tO' -p319472 -aS'phone\tphone\tNN\tI-NP\tO' -p319473 -aS'number\tnumber\tNN\tI-NP\tO' -p319474 -aS'is\tbe\tVBZ\tB-VP\tO' -p319475 -aS'794\t794\tCD\tB-NP\tO' -p319476 -aS'1029\t1029\tCD\tI-NP\tO' -p319477 -aS'x.\tx.\tNN\tI-NP\tO' -p319478 -aS'1385\t1385\tCD\tI-NP\tO' -p319479 -aS'.\t.\t.\tO\tO' -p319480 -asS'She was referred for valve surgery .' -p319481 -(lp319482 -S'She\tShe\tPRP\tB-NP\tO' -p319483 -aS'was\tbe\tVBD\tB-VP\tO' -p319484 -aS'referred\trefer\tVBN\tI-VP\tO' -p319485 -aS'for\tfor\tIN\tB-PP\tO' -p319486 -aS'valve\tvalve\tNN\tB-NP\tO' -p319487 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p319488 -aS'.\t.\t.\tO\tO' -p319489 -asS'Sternocleidomastoid and trapezius normal bilaterally .' -p319490 -(lp319491 -S'Sternocleidomastoid\tSternocleidomastoid\tJJ\tB-NP\tO' -p319492 -aS'and\tand\tCC\tI-NP\tO' -p319493 -aS'trapezius\ttrapezius\tNN\tI-NP\tO' -p319494 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p319495 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p319496 -aS'.\t.\t.\tO\tO' -p319497 -asS'The electrocardiogram showed pseudonormalization of T waves in V1 through V6 and Q waves in V1 through V3 .' -p319498 -(lp319499 -S'The\tThe\tDT\tB-NP\tO' -p319500 -aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' -p319501 -aS'showed\tshow\tVBD\tB-VP\tO' -p319502 -aS'pseudonormalization\tpseudonormalization\tNN\tB-NP\tO' -p319503 -aS'of\tof\tIN\tB-PP\tO' -p319504 -aS'T\tT\tNN\tB-NP\tO' -p319505 -aS'waves\twave\tNNS\tI-NP\tO' -p319506 -aS'in\tin\tIN\tB-PP\tO' -p319507 -aS'V1\tV1\tNN\tB-NP\tO' -p319508 -aS'through\tthrough\tIN\tB-PP\tO' -p319509 -aS'V6\tV6\tNN\tB-NP\tB-protein' -p319510 -aS'and\tand\tCC\tI-NP\tO' -p319511 -aS'Q\tQ\tNN\tI-NP\tO' -p319512 -aS'waves\twave\tNNS\tI-NP\tO' -p319513 -aS'in\tin\tIN\tB-PP\tO' -p319514 -aS'V1\tV1\tNN\tB-NP\tO' -p319515 -aS'through\tthrough\tIN\tB-PP\tO' -p319516 -aS'V3\tV3\tNN\tB-NP\tB-protein' -p319517 -aS'.\t.\t.\tO\tO' -p319518 -asS'His pain medication was then changed to Dilaudid IV in an attempt to better alleviate his symptoms .' -p319519 -(lp319520 -S'His\tHis\tPRP$\tB-NP\tO' -p319521 -aS'pain\tpain\tNN\tI-NP\tO' -p319522 -aS'medication\tmedication\tNN\tI-NP\tO' -p319523 -aS'was\tbe\tVBD\tB-VP\tO' -p319524 -aS'then\tthen\tRB\tI-VP\tO' -p319525 -aS'changed\tchange\tVBN\tI-VP\tO' -p319526 -aS'to\tto\tTO\tB-PP\tO' -p319527 -aS'Dilaudid\tDilaudid\tNN\tB-NP\tB-protein' -p319528 -aS'IV\tIV\tCD\tI-NP\tI-protein' -p319529 -aS'in\tin\tIN\tB-PP\tO' -p319530 -aS'an\tan\tDT\tB-NP\tO' -p319531 -aS'attempt\tattempt\tNN\tI-NP\tO' -p319532 -aS'to\tto\tTO\tB-VP\tO' -p319533 -aS'better\twell\tRBR\tI-VP\tO' -p319534 -aS'alleviate\talleviate\tVB\tI-VP\tO' -p319535 -aS'his\this\tPRP$\tB-NP\tO' -p319536 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p319537 -aS'.\t.\t.\tO\tO' -p319538 -asS'He was diuresed and ruled out for myocardial infarction .' -p319539 -(lp319540 -S'He\tHe\tPRP\tB-NP\tO' -p319541 -aS'was\tbe\tVBD\tB-VP\tO' -p319542 -aS'diuresed\tdiurese\tVBN\tI-VP\tO' -p319543 -aS'and\tand\tCC\tI-VP\tO' -p319544 -aS'ruled\trule\tVBN\tI-VP\tO' -p319545 -aS'out\tout\tRP\tB-PRT\tO' -p319546 -aS'for\tfor\tIN\tB-PP\tO' -p319547 -aS'myocardial\tmyocardial\tJJ\tB-NP\tO' -p319548 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p319549 -aS'.\t.\t.\tO\tO' -p319550 -asS'She has been off of her hypercholesterol medicines .' -p319551 -(lp319552 -S'She\tShe\tPRP\tB-NP\tO' -p319553 -aS'has\thave\tVBZ\tB-VP\tO' -p319554 -aS'been\tbe\tVBN\tI-VP\tO' -p319555 -aS'off\toff\tRP\tB-PRT\tO' -p319556 -aS'of\tof\tIN\tB-PP\tO' -p319557 -aS'her\ther\tPRP$\tB-NP\tO' -p319558 -aS'hypercholesterol\thypercholesterol\tNN\tI-NP\tO' -p319559 -aS'medicines\tmedicine\tNNS\tI-NP\tO' -p319560 -aS'.\t.\t.\tO\tO' -p319561 -asS'She has a maternal uncle and maternal aunt both with colon cancer who have passed away from this disease .' -p319562 -(lp319563 -S'She\tShe\tPRP\tB-NP\tO' -p319564 -aS'has\thave\tVBZ\tB-VP\tO' -p319565 -aS'a\ta\tDT\tB-NP\tO' -p319566 -aS'maternal\tmaternal\tJJ\tI-NP\tO' -p319567 -aS'uncle\tuncle\tNN\tI-NP\tO' -p319568 -aS'and\tand\tCC\tO\tO' -p319569 -aS'maternal\tmaternal\tJJ\tB-NP\tO' -p319570 -aS'aunt\taunt\tNN\tI-NP\tO' -p319571 -aS'both\tboth\tCC\tB-PP\tO' -p319572 -aS'with\twith\tIN\tB-PP\tO' -p319573 -aS'colon\tcolon\tNN\tB-NP\tO' -p319574 -aS'cancer\tcancer\tNN\tI-NP\tO' -p319575 -aS'who\twho\tWP\tB-NP\tO' -p319576 -aS'have\thave\tVBP\tB-VP\tO' -p319577 -aS'passed\tpass\tVBN\tI-VP\tO' -p319578 -aS'away\taway\tRB\tB-ADVP\tO' -p319579 -aS'from\tfrom\tIN\tB-PP\tO' -p319580 -aS'this\tthis\tDT\tB-NP\tO' -p319581 -aS'disease\tdisease\tNN\tI-NP\tO' -p319582 -aS'.\t.\t.\tO\tO' -p319583 -asS'On hospital day two the patient was transferred from the cardiac surgery recovery unit to 07-02 for continuing care .' -p319584 -(lp319585 -S'On\tOn\tIN\tB-PP\tO' -p319586 -aS'hospital\thospital\tNN\tB-NP\tO' -p319587 -aS'day\tday\tNN\tI-NP\tO' -p319588 -aS'two\ttwo\tCD\tB-NP\tO' -p319589 -aS'the\tthe\tDT\tB-NP\tO' -p319590 -aS'patient\tpatient\tNN\tI-NP\tO' -p319591 -aS'was\tbe\tVBD\tB-VP\tO' -p319592 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p319593 -aS'from\tfrom\tIN\tB-PP\tO' -p319594 -aS'the\tthe\tDT\tB-NP\tO' -p319595 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p319596 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p319597 -aS'recovery\trecovery\tNN\tI-NP\tO' -p319598 -aS'unit\tunit\tNN\tI-NP\tO' -p319599 -aS'to\tto\tTO\tB-PP\tO' -p319600 -aS'07-02\t07-02\tCD\tB-NP\tO' -p319601 -aS'for\tfor\tIN\tB-PP\tO' -p319602 -aS'continuing\tcontinue\tVBG\tB-NP\tO' -p319603 -aS'care\tcare\tNN\tI-NP\tO' -p319604 -aS'.\t.\t.\tO\tO' -p319605 -asS'5. Senna 8.6 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ) as needed .' -p319606 -(lp319607 -S'5.\t5.\tLS\tB-LST\tO' -p319608 -aS'Senna\tSenna\tNNP\tB-NP\tO' -p319609 -aS'8.6\t8.6\tCD\tI-NP\tO' -p319610 -aS'mg\tmg\tNN\tI-NP\tO' -p319611 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p319612 -aS'Sig\tSig\tNNP\tI-NP\tO' -p319613 -aS':\t:\t:\tO\tO' -p319614 -aS'One\tOne\tCD\tB-NP\tO' -p319615 -aS'(\t(\t(\tO\tO' -p319616 -aS'1\t1\tCD\tB-NP\tO' -p319617 -aS')\t)\t)\tO\tO' -p319618 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p319619 -aS'PO\tPO\tNN\tI-NP\tO' -p319620 -aS'BID\tBID\tNN\tI-NP\tO' -p319621 -aS'(\t(\t(\tO\tO' -p319622 -aS'2\t2\tCD\tB-NP\tO' -p319623 -aS'times\ttime\tNNS\tI-NP\tO' -p319624 -aS'a\ta\tDT\tB-NP\tO' -p319625 -aS'day\tday\tNN\tI-NP\tO' -p319626 -aS')\t)\t)\tO\tO' -p319627 -aS'as\tas\tIN\tB-SBAR\tO' -p319628 -aS'needed\tneed\tVBN\tB-VP\tO' -p319629 -aS'.\t.\t.\tO\tO' -p319630 -asS'On 04-01 she was seen by physical therapy was thought to benefit from acute rehabilitation .' -p319631 -(lp319632 -S'On\tOn\tIN\tB-PP\tO' -p319633 -aS'04-01\t04-01\tCD\tB-NP\tO' -p319634 -aS'she\tshe\tPRP\tB-NP\tO' -p319635 -aS'was\tbe\tVBD\tB-VP\tO' -p319636 -aS'seen\tsee\tVBN\tI-VP\tO' -p319637 -aS'by\tby\tIN\tB-PP\tO' -p319638 -aS'physical\tphysical\tJJ\tB-NP\tO' -p319639 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p319640 -aS'was\tbe\tVBD\tB-VP\tO' -p319641 -aS'thought\tthink\tVBN\tI-VP\tO' -p319642 -aS'to\tto\tTO\tI-VP\tO' -p319643 -aS'benefit\tbenefit\tVB\tI-VP\tO' -p319644 -aS'from\tfrom\tIN\tB-PP\tO' -p319645 -aS'acute\tacute\tJJ\tB-NP\tO' -p319646 -aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' -p319647 -aS'.\t.\t.\tO\tO' -p319648 -asS'He has been in and out of atrial fibrillation and normal sinus rhythm .' -p319649 -(lp319650 -S'He\tHe\tPRP\tB-NP\tO' -p319651 -aS'has\thave\tVBZ\tB-VP\tO' -p319652 -aS'been\tbe\tVBN\tI-VP\tO' -p319653 -aS'in\tin\tIN\tB-PP\tO' -p319654 -aS'and\tand\tCC\tI-PP\tO' -p319655 -aS'out\tout\tIN\tI-PP\tO' -p319656 -aS'of\tof\tIN\tB-PP\tO' -p319657 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p319658 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p319659 -aS'and\tand\tCC\tO\tO' -p319660 -aS'normal\tnormal\tJJ\tB-NP\tO' -p319661 -aS'sinus\tsinus\tNN\tI-NP\tO' -p319662 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p319663 -aS'.\t.\t.\tO\tO' -p319664 -asS'4. History of right inguinal hernia in 2002 .' -p319665 -(lp319666 -S'4.\t4.\tLS\tB-NP\tO' -p319667 -aS'History\tHistory\tNN\tI-NP\tO' -p319668 -aS'of\tof\tIN\tB-PP\tO' -p319669 -aS'right\tright\tJJ\tB-NP\tO' -p319670 -aS'inguinal\tinguinal\tJJ\tI-NP\tO' -p319671 -aS'hernia\thernia\tNN\tI-NP\tO' -p319672 -aS'in\tin\tIN\tB-PP\tO' -p319673 -aS'2002\t2002\tCD\tB-NP\tO' -p319674 -aS'.\t.\t.\tO\tO' -p319675 -asS'The patient has left chest wound and left gluteal pressure ulcer .' -p319676 -(lp319677 -S'The\tThe\tDT\tB-NP\tO' -p319678 -aS'patient\tpatient\tNN\tI-NP\tO' -p319679 -aS'has\thave\tVBZ\tB-VP\tO' -p319680 -aS'left\tleave\tVBN\tI-VP\tO' -p319681 -aS'chest\tchest\tNN\tB-NP\tO' -p319682 -aS'wound\twound\tNN\tI-NP\tO' -p319683 -aS'and\tand\tCC\tO\tO' -p319684 -aS'left\tleave\tVBD\tB-VP\tO' -p319685 -aS'gluteal\tgluteal\tJJ\tB-NP\tO' -p319686 -aS'pressure\tpressure\tNN\tI-NP\tO' -p319687 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p319688 -aS'.\t.\t.\tO\tO' -p319689 -asS'Although not fully this may have contributed to his hypocalcemia and volume requirements .' -p319690 -(lp319691 -S'Although\tAlthough\tIN\tB-SBAR\tO' -p319692 -aS'not\tnot\tRB\tO\tO' -p319693 -aS'fully\tfully\tRB\tB-ADVP\tO' -p319694 -aS'this\tthis\tDT\tB-NP\tO' -p319695 -aS'may\tmay\tMD\tB-VP\tO' -p319696 -aS'have\thave\tVB\tI-VP\tO' -p319697 -aS'contributed\tcontribute\tVBN\tI-VP\tO' -p319698 -aS'to\tto\tTO\tB-PP\tO' -p319699 -aS'his\this\tPRP$\tB-NP\tO' -p319700 -aS'hypocalcemia\thypocalcemia\tNN\tI-NP\tO' -p319701 -aS'and\tand\tCC\tI-NP\tO' -p319702 -aS'volume\tvolume\tNN\tI-NP\tO' -p319703 -aS'requirements\trequirement\tNNS\tI-NP\tO' -p319704 -aS'.\t.\t.\tO\tO' -p319705 -asS'Hematocrit was 33.0 , platelet count 627 , white blood cell count 10,000 , MCV 79.8 .' -p319706 -(lp319707 -S'Hematocrit\tHematocrit\tNN\tB-NP\tB-protein' -p319708 -aS'was\tbe\tVBD\tB-VP\tI-protein' -p319709 -aS'33.0\t33.0\tCD\tB-NP\tI-protein' -p319710 -aS',\t,\t,\tO\tO' -p319711 -aS'platelet\tplatelet\tNN\tB-NP\tB-protein' -p319712 -aS'count\tcount\tNN\tI-NP\tI-protein' -p319713 -aS'627\t627\tCD\tI-NP\tI-protein' -p319714 -aS',\t,\t,\tO\tO' -p319715 -aS'white\twhite\tJJ\tB-NP\tO' -p319716 -aS'blood\tblood\tNN\tI-NP\tO' -p319717 -aS'cell\tcell\tNN\tI-NP\tO' -p319718 -aS'count\tcount\tNN\tI-NP\tO' -p319719 -aS'10,000\t10,000\tCD\tB-NP\tO' -p319720 -aS',\t,\t,\tO\tO' -p319721 -aS'MCV\tMCV\tNN\tB-NP\tB-protein' -p319722 -aS'79.8\t79.8\tCD\tI-NP\tI-protein' -p319723 -aS'.\t.\t.\tO\tO' -p319724 -asS'The patient was found to have weakness in the proximal muscles as well as the capability of the muscles .' -p319725 -(lp319726 -S'The\tThe\tDT\tB-NP\tO' -p319727 -aS'patient\tpatient\tNN\tI-NP\tO' -p319728 -aS'was\tbe\tVBD\tB-VP\tO' -p319729 -aS'found\tfind\tVBN\tI-VP\tO' -p319730 -aS'to\tto\tTO\tI-VP\tO' -p319731 -aS'have\thave\tVB\tI-VP\tO' -p319732 -aS'weakness\tweakness\tNN\tB-NP\tO' -p319733 -aS'in\tin\tIN\tB-PP\tO' -p319734 -aS'the\tthe\tDT\tB-NP\tO' -p319735 -aS'proximal\tproximal\tJJ\tI-NP\tO' -p319736 -aS'muscles\tmuscle\tNNS\tI-NP\tO' -p319737 -aS'as\tas\tRB\tB-CONJP\tO' -p319738 -aS'well\twell\tRB\tI-CONJP\tO' -p319739 -aS'as\tas\tIN\tI-CONJP\tO' -p319740 -aS'the\tthe\tDT\tB-NP\tO' -p319741 -aS'capability\tcapability\tNN\tI-NP\tO' -p319742 -aS'of\tof\tIN\tB-PP\tO' -p319743 -aS'the\tthe\tDT\tB-NP\tO' -p319744 -aS'muscles\tmuscle\tNNS\tI-NP\tO' -p319745 -aS'.\t.\t.\tO\tO' -p319746 -asS'BACTRIM .' -p319747 -(lp319748 -S'BACTRIM\tBACTRIM\tNN\tB-NP\tO' -p319749 -aS'.\t.\t.\tO\tO' -p319750 -asS'5/5 strength upper extremities bilaterally .' -p319751 -(lp319752 -S'5/5\t5/5\tCD\tB-NP\tO' -p319753 -aS'strength\tstrength\tNN\tI-NP\tO' -p319754 -aS'upper\tupper\tJJ\tI-NP\tO' -p319755 -aS'extremities\textremity\tNNS\tI-NP\tO' -p319756 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p319757 -aS'.\t.\t.\tO\tO' -p319758 -asS'The patient 's respiratory status continued to improve but towards the last 2-3 days of his hospitalization the amount of improvement was minimal .' -p319759 -(lp319760 -S'The\tThe\tDT\tB-NP\tO' -p319761 -aS'patient\tpatient\tNN\tI-NP\tO' -p319762 -aS''s\t'\tNNS\tI-NP\tO' -p319763 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p319764 -aS'status\tstatus\tNN\tI-NP\tO' -p319765 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p319766 -aS'to\tto\tTO\tI-VP\tO' -p319767 -aS'improve\timprove\tVB\tI-VP\tO' -p319768 -aS'but\tbut\tCC\tO\tO' -p319769 -aS'towards\ttowards\tIN\tB-PP\tO' -p319770 -aS'the\tthe\tDT\tB-NP\tO' -p319771 -aS'last\tlast\tJJ\tI-NP\tO' -p319772 -aS'2-3\t2-3\tCD\tI-NP\tO' -p319773 -aS'days\tday\tNNS\tI-NP\tO' -p319774 -aS'of\tof\tIN\tB-PP\tO' -p319775 -aS'his\this\tPRP$\tB-NP\tO' -p319776 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p319777 -aS'the\tthe\tDT\tB-NP\tO' -p319778 -aS'amount\tamount\tNN\tI-NP\tO' -p319779 -aS'of\tof\tIN\tB-PP\tO' -p319780 -aS'improvement\timprovement\tNN\tB-NP\tO' -p319781 -aS'was\tbe\tVBD\tB-VP\tO' -p319782 -aS'minimal\tminimal\tJJ\tB-ADJP\tO' -p319783 -aS'.\t.\t.\tO\tO' -p319784 -asS'She delivered a 2809 gram male infant on 03/16/2002 at 02:50 am with apgar scores of 7 and 9 at one and five minutes respectively at 38.0 weeks gestation via spontaneous vertex vaginal delivery .' -p319785 -(lp319786 -S'She\tShe\tPRP\tB-NP\tO' -p319787 -aS'delivered\tdeliver\tVBD\tB-VP\tO' -p319788 -aS'a\ta\tDT\tB-NP\tO' -p319789 -aS'2809\t2809\tCD\tI-NP\tO' -p319790 -aS'gram\tgram\tNN\tI-NP\tO' -p319791 -aS'male\tmale\tJJ\tI-NP\tO' -p319792 -aS'infant\tinfant\tNN\tI-NP\tO' -p319793 -aS'on\ton\tIN\tB-PP\tO' -p319794 -aS'03/16/2002\t03/16/2002\tCD\tB-NP\tO' -p319795 -aS'at\tat\tIN\tB-PP\tO' -p319796 -aS'02:50\t02:50\tCD\tB-NP\tO' -p319797 -aS'am\tam\tNN\tI-NP\tO' -p319798 -aS'with\twith\tIN\tB-PP\tO' -p319799 -aS'apgar\tapgar\tNN\tB-NP\tO' -p319800 -aS'scores\tscore\tNNS\tI-NP\tO' -p319801 -aS'of\tof\tIN\tB-PP\tO' -p319802 -aS'7\t7\tCD\tB-NP\tO' -p319803 -aS'and\tand\tCC\tI-NP\tO' -p319804 -aS'9\t9\tCD\tI-NP\tO' -p319805 -aS'at\tat\tIN\tB-PP\tO' -p319806 -aS'one\tone\tCD\tB-NP\tO' -p319807 -aS'and\tand\tCC\tI-NP\tO' -p319808 -aS'five\tfive\tCD\tI-NP\tO' -p319809 -aS'minutes\tminute\tNNS\tI-NP\tO' -p319810 -aS'respectively\trespectively\tRB\tB-ADVP\tO' -p319811 -aS'at\tat\tIN\tB-PP\tO' -p319812 -aS'38.0\t38.0\tCD\tB-NP\tO' -p319813 -aS'weeks\tweek\tNNS\tI-NP\tO' -p319814 -aS'gestation\tgestation\tNN\tI-NP\tO' -p319815 -aS'via\tvia\tIN\tB-PP\tO' -p319816 -aS'spontaneous\tspontaneous\tJJ\tB-NP\tO' -p319817 -aS'vertex\tvertex\tNN\tI-NP\tO' -p319818 -aS'vaginal\tvaginal\tJJ\tI-NP\tO' -p319819 -aS'delivery\tdelivery\tNN\tI-NP\tO' -p319820 -aS'.\t.\t.\tO\tO' -p319821 -asS'The patient walks with a walker at baseline and goes out for dinner and shopping with her sister .' -p319822 -(lp319823 -S'The\tThe\tDT\tB-NP\tO' -p319824 -aS'patient\tpatient\tNN\tI-NP\tO' -p319825 -aS'walks\twalk\tVBZ\tB-VP\tO' -p319826 -aS'with\twith\tIN\tB-PP\tO' -p319827 -aS'a\ta\tDT\tB-NP\tO' -p319828 -aS'walker\twalker\tNN\tI-NP\tO' -p319829 -aS'at\tat\tIN\tB-PP\tO' -p319830 -aS'baseline\tbaseline\tNN\tB-NP\tO' -p319831 -aS'and\tand\tCC\tO\tO' -p319832 -aS'goes\tgo\tVBZ\tB-VP\tO' -p319833 -aS'out\tout\tRP\tB-PRT\tO' -p319834 -aS'for\tfor\tIN\tB-PP\tO' -p319835 -aS'dinner\tdinner\tNN\tB-NP\tO' -p319836 -aS'and\tand\tCC\tI-NP\tO' -p319837 -aS'shopping\tshopping\tNN\tI-NP\tO' -p319838 -aS'with\twith\tIN\tB-PP\tO' -p319839 -aS'her\ther\tPRP$\tB-NP\tO' -p319840 -aS'sister\tsister\tNN\tI-NP\tO' -p319841 -aS'.\t.\t.\tO\tO' -p319842 -asS'Mr. Mass was placed on multiple courses of antibiotics .' -p319843 -(lp319844 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p319845 -aS'Mass\tMass\tNNP\tI-NP\tO' -p319846 -aS'was\tbe\tVBD\tB-VP\tO' -p319847 -aS'placed\tplace\tVBN\tI-VP\tO' -p319848 -aS'on\ton\tIN\tB-PP\tO' -p319849 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p319850 -aS'courses\tcourse\tNNS\tI-NP\tO' -p319851 -aS'of\tof\tIN\tB-PP\tO' -p319852 -aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' -p319853 -aS'.\t.\t.\tO\tO' -p319854 -asS'Chest : HD line in place without erythema' -p319855 -(lp319856 -S'Chest\tChest\tNNP\tB-NP\tO' -p319857 -aS':\t:\t:\tO\tO' -p319858 -aS'HD\tHD\tNN\tB-NP\tO' -p319859 -aS'line\tline\tNN\tI-NP\tO' -p319860 -aS'in\tin\tIN\tB-PP\tO' -p319861 -aS'place\tplace\tNN\tB-NP\tO' -p319862 -aS'without\twithout\tIN\tB-PP\tO' -p319863 -aS'erythema\terythema\tNN\tB-NP\tO' -p319864 -asS'Admitted after acute onset left chest pain .' -p319865 -(lp319866 -S'Admitted\tAdmit\tVBN\tB-VP\tO' -p319867 -aS'after\tafter\tIN\tB-PP\tO' -p319868 -aS'acute\tacute\tJJ\tB-NP\tO' -p319869 -aS'onset\tonset\tNN\tI-NP\tO' -p319870 -aS'left\tleave\tVBD\tB-VP\tO' -p319871 -aS'chest\tchest\tNN\tB-NP\tO' -p319872 -aS'pain\tpain\tNN\tI-NP\tO' -p319873 -aS'.\t.\t.\tO\tO' -p319874 -asS'Healthy-appearing woman , in no acute distress .' -p319875 -(lp319876 -S'Healthy-appearing\tHealthy-appearing\tJJ\tB-NP\tO' -p319877 -aS'woman\twoman\tNN\tI-NP\tO' -p319878 -aS',\t,\t,\tO\tO' -p319879 -aS'in\tin\tIN\tB-PP\tO' -p319880 -aS'no\tno\tDT\tB-NP\tO' -p319881 -aS'acute\tacute\tJJ\tI-NP\tO' -p319882 -aS'distress\tdistress\tNN\tI-NP\tO' -p319883 -aS'.\t.\t.\tO\tO' -p319884 -asS'Repeat chest x-rays and chest CT scans appeared consistent with pulmonary edema from volume overload given her renal failure and eventually , the patient 's pulmonary status did improve after significant volume removal with dialysis for several weeks .' -p319885 -(lp319886 -S'Repeat\tRepeat\tNN\tB-NP\tO' -p319887 -aS'chest\tchest\tNN\tI-NP\tO' -p319888 -aS'x-rays\tx-ray\tNNS\tI-NP\tO' -p319889 -aS'and\tand\tCC\tO\tO' -p319890 -aS'chest\tchest\tNN\tB-NP\tO' -p319891 -aS'CT\tCT\tNN\tI-NP\tO' -p319892 -aS'scans\tscan\tNNS\tI-NP\tO' -p319893 -aS'appeared\tappear\tVBD\tB-VP\tO' -p319894 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p319895 -aS'with\twith\tIN\tB-PP\tO' -p319896 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p319897 -aS'edema\tedema\tNN\tI-NP\tO' -p319898 -aS'from\tfrom\tIN\tB-PP\tO' -p319899 -aS'volume\tvolume\tNN\tB-NP\tO' -p319900 -aS'overload\toverload\tNN\tI-NP\tO' -p319901 -aS'given\tgive\tVBN\tB-VP\tO' -p319902 -aS'her\ther\tPRP$\tB-NP\tO' -p319903 -aS'renal\trenal\tJJ\tI-NP\tO' -p319904 -aS'failure\tfailure\tNN\tI-NP\tO' -p319905 -aS'and\tand\tCC\tO\tO' -p319906 -aS'eventually\teventually\tRB\tB-ADVP\tO' -p319907 -aS',\t,\t,\tO\tO' -p319908 -aS'the\tthe\tDT\tB-NP\tO' -p319909 -aS'patient\tpatient\tNN\tI-NP\tO' -p319910 -aS''s\t'\tNNS\tI-NP\tO' -p319911 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p319912 -aS'status\tstatus\tNN\tI-NP\tO' -p319913 -aS'did\tdo\tVBD\tB-VP\tO' -p319914 -aS'improve\timprove\tVB\tI-VP\tO' -p319915 -aS'after\tafter\tIN\tB-PP\tO' -p319916 -aS'significant\tsignificant\tJJ\tB-NP\tO' -p319917 -aS'volume\tvolume\tNN\tI-NP\tO' -p319918 -aS'removal\tremoval\tNN\tI-NP\tO' -p319919 -aS'with\twith\tIN\tB-PP\tO' -p319920 -aS'dialysis\tdialysis\tNN\tB-NP\tO' -p319921 -aS'for\tfor\tIN\tB-PP\tO' -p319922 -aS'several\tseveral\tJJ\tB-NP\tO' -p319923 -aS'weeks\tweek\tNNS\tI-NP\tO' -p319924 -aS'.\t.\t.\tO\tO' -p319925 -asS'Head circumference 24.5 cm , length 45.5 cm .' -p319926 -(lp319927 -S'Head\tHead\tNN\tB-NP\tO' -p319928 -aS'circumference\tcircumference\tNN\tI-NP\tO' -p319929 -aS'24.5\t24.5\tCD\tI-NP\tO' -p319930 -aS'cm\tcm\tNN\tI-NP\tO' -p319931 -aS',\t,\t,\tO\tO' -p319932 -aS'length\tlength\tNN\tB-NP\tO' -p319933 -aS'45.5\t45.5\tCD\tI-NP\tO' -p319934 -aS'cm\tcm\tNN\tI-NP\tO' -p319935 -aS'.\t.\t.\tO\tO' -p319936 -asS'She was never on an anticonvulsant due to her former beliefs as N. Derk Scientist .' -p319937 -(lp319938 -S'She\tShe\tPRP\tB-NP\tO' -p319939 -aS'was\tbe\tVBD\tB-VP\tO' -p319940 -aS'never\tnever\tRB\tB-ADVP\tO' -p319941 -aS'on\ton\tIN\tB-PP\tO' -p319942 -aS'an\tan\tDT\tB-NP\tO' -p319943 -aS'anticonvulsant\tanticonvulsant\tNN\tI-NP\tO' -p319944 -aS'due\tdue\tJJ\tB-ADJP\tO' -p319945 -aS'to\tto\tTO\tB-PP\tO' -p319946 -aS'her\ther\tPRP$\tB-NP\tO' -p319947 -aS'former\tformer\tJJ\tI-NP\tO' -p319948 -aS'beliefs\tbelief\tNNS\tI-NP\tO' -p319949 -aS'as\tas\tIN\tB-PP\tO' -p319950 -aS'N.\tN.\tNNP\tB-NP\tO' -p319951 -aS'Derk\tDerk\tNNP\tI-NP\tO' -p319952 -aS'Scientist\tScientist\tNNP\tI-NP\tO' -p319953 -aS'.\t.\t.\tO\tO' -p319954 -asS'Left-sided subclavian line is unchanged in position .' -p319955 -(lp319956 -S'Left-sided\tLeft-sided\tJJ\tB-NP\tB-cell_line' -p319957 -aS'subclavian\tsubclavian\tJJ\tI-NP\tI-cell_line' -p319958 -aS'line\tline\tNN\tI-NP\tI-cell_line' -p319959 -aS'is\tbe\tVBZ\tB-VP\tO' -p319960 -aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' -p319961 -aS'in\tin\tIN\tB-PP\tO' -p319962 -aS'position\tposition\tNN\tB-NP\tO' -p319963 -aS'.\t.\t.\tO\tO' -p319964 -asS'Elevated CK on 02-07 is likely secondary to mild rhabdomyolysis .' -p319965 -(lp319966 -S'Elevated\tElevated\tJJ\tB-NP\tO' -p319967 -aS'CK\tCK\tNN\tI-NP\tO' -p319968 -aS'on\ton\tIN\tB-PP\tO' -p319969 -aS'02-07\t02-07\tCD\tB-NP\tO' -p319970 -aS'is\tbe\tVBZ\tB-VP\tO' -p319971 -aS'likely\tlikely\tRB\tB-ADJP\tO' -p319972 -aS'secondary\tsecondary\tJJ\tI-ADJP\tO' -p319973 -aS'to\tto\tTO\tB-PP\tO' -p319974 -aS'mild\tmild\tJJ\tB-NP\tO' -p319975 -aS'rhabdomyolysis\trhabdomyolysis\tNN\tI-NP\tO' -p319976 -aS'.\t.\t.\tO\tO' -p319977 -asS'No urinary calculi are seen .' -p319978 -(lp319979 -S'No\tNo\tDT\tB-NP\tO' -p319980 -aS'urinary\turinary\tJJ\tI-NP\tO' -p319981 -aS'calculi\tcalculus\tNNS\tI-NP\tO' -p319982 -aS'are\tbe\tVBP\tB-VP\tO' -p319983 -aS'seen\tsee\tVBN\tI-VP\tO' -p319984 -aS'.\t.\t.\tO\tO' -p319985 -asS'Full .' -p319986 -(lp319987 -S'Full\tFull\tJJ\tB-ADJP\tO' -p319988 -aS'.\t.\t.\tO\tO' -p319989 -asS'Tylenol , 650 mg p.o. q 4 prn ; Allopurinol , 100 mg p.o. q.d. ; Peridex mouthwash , 10 ml b.i.d.; cholysteramineresin , 4 grams p.o. q.d. ; clotrimazole , one troche p.o. q.i.d. ; Fentanyl patch , 100 mcg per hour topical q 72 hours ; glipizide , 10 mg p.o. q.d.; Atarax , 25 operating table 50 mg p.o. q 6 to 8 hours prn itching ; regular sliding scale insulin ; KBL mouthwash , 15 ccp .o. q.d. prn mouth discomfort ; Lactulose , 30 ml p.o. q.i.d. that was started on January 30 , for no bowel movements with instructions to continue until bowel movement and then decrease to b.i.d. or q.d. ; Lidocaine , 2% , 10 ml UR q 3 to 4 hours prn for pain around Foley site ; Ativan , 0.25 to 0.5 mg IV q 4 to 6 hours prn anxiety with instructions to use caution .' -p319990 -(lp319991 -S'Tylenol\tTylenol\tNN\tB-NP\tO' -p319992 -aS',\t,\t,\tO\tO' -p319993 -aS'650\t650\tCD\tB-NP\tO' -p319994 -aS'mg\tmg\tNN\tI-NP\tO' -p319995 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p319996 -aS'q\tq\tNN\tI-NP\tO' -p319997 -aS'4\t4\tCD\tI-NP\tO' -p319998 -aS'prn\tprn\tNN\tI-NP\tO' -p319999 -aS';\t;\t:\tO\tO' -p320000 -aS'Allopurinol\tAllopurinol\tNN\tB-NP\tO' -p320001 -aS',\t,\t,\tO\tO' -p320002 -aS'100\t100\tCD\tB-NP\tO' -p320003 -aS'mg\tmg\tNN\tI-NP\tO' -p320004 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p320005 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p320006 -aS';\t;\t:\tO\tO' -p320007 -aS'Peridex\tPeridex\tNN\tB-NP\tO' -p320008 -aS'mouthwash\tmouthwash\tNN\tI-NP\tO' -p320009 -aS',\t,\t,\tO\tO' -p320010 -aS'10\t10\tCD\tB-NP\tO' -p320011 -aS'ml\tml\tNN\tI-NP\tO' -p320012 -aS'b.i.d.;\tb.i.d.;\tNN\tI-NP\tO' -p320013 -aS'cholysteramineresin\tcholysteramineresin\tNN\tI-NP\tO' -p320014 -aS',\t,\t,\tO\tO' -p320015 -aS'4\t4\tCD\tB-NP\tO' -p320016 -aS'grams\tgram\tNNS\tI-NP\tO' -p320017 -aS'p.o.\tp.o.\tFW\tB-ADVP\tO' -p320018 -aS'q.d.\tq.d.\tFW\tI-ADVP\tO' -p320019 -aS';\t;\t:\tO\tO' -p320020 -aS'clotrimazole\tclotrimazole\tNN\tB-NP\tO' -p320021 -aS',\t,\t,\tO\tO' -p320022 -aS'one\tone\tCD\tB-NP\tO' -p320023 -aS'troche\ttroche\tNN\tI-NP\tO' -p320024 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p320025 -aS'q.i.d.\tq.i.d.\tNN\tI-NP\tO' -p320026 -aS';\t;\t:\tO\tO' -p320027 -aS'Fentanyl\tFentanyl\tNN\tB-NP\tO' -p320028 -aS'patch\tpatch\tNN\tI-NP\tO' -p320029 -aS',\t,\t,\tO\tO' -p320030 -aS'100\t100\tCD\tB-NP\tO' -p320031 -aS'mcg\tmcg\tNN\tI-NP\tO' -p320032 -aS'per\tper\tIN\tB-PP\tO' -p320033 -aS'hour\thour\tNN\tB-NP\tO' -p320034 -aS'topical\ttopical\tJJ\tB-NP\tO' -p320035 -aS'q\tq\tNN\tI-NP\tO' -p320036 -aS'72\t72\tCD\tB-NP\tO' -p320037 -aS'hours\thour\tNNS\tI-NP\tO' -p320038 -aS';\t;\t:\tO\tO' -p320039 -aS'glipizide\tglipizide\tNN\tB-NP\tO' -p320040 -aS',\t,\t,\tO\tO' -p320041 -aS'10\t10\tCD\tB-NP\tO' -p320042 -aS'mg\tmg\tNN\tI-NP\tO' -p320043 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p320044 -aS'q.d.;\tq.d.;\tNN\tI-NP\tO' -p320045 -aS'Atarax\tAtarax\tNN\tI-NP\tO' -p320046 -aS',\t,\t,\tO\tO' -p320047 -aS'25\t25\tCD\tB-NP\tO' -p320048 -aS'operating\toperate\tVBG\tI-NP\tO' -p320049 -aS'table\ttable\tNN\tI-NP\tB-protein' -p320050 -aS'50\t50\tCD\tI-NP\tI-protein' -p320051 -aS'mg\tmg\tNN\tI-NP\tI-protein' -p320052 -aS'p.o.\tp.o.\tNN\tI-NP\tI-protein' -p320053 -aS'q\tq\tNN\tI-NP\tI-protein' -p320054 -aS'6\t6\tCD\tB-NP\tI-protein' -p320055 -aS'to\tto\tTO\tI-NP\tO' -p320056 -aS'8\t8\tCD\tI-NP\tO' -p320057 -aS'hours\thour\tNNS\tI-NP\tO' -p320058 -aS'prn\tprn\tVBP\tB-VP\tO' -p320059 -aS'itching\titch\tVBG\tI-VP\tO' -p320060 -aS';\t;\t:\tO\tO' -p320061 -aS'regular\tregular\tJJ\tB-NP\tO' -p320062 -aS'sliding\tslide\tVBG\tI-NP\tO' -p320063 -aS'scale\tscale\tNN\tI-NP\tB-protein' -p320064 -aS'insulin\tinsulin\tNN\tI-NP\tI-protein' -p320065 -aS';\t;\t:\tO\tO' -p320066 -aS'KBL\tKBL\tNN\tB-NP\tO' -p320067 -aS'mouthwash\tmouthwash\tNN\tI-NP\tO' -p320068 -aS',\t,\t,\tO\tO' -p320069 -aS'15\t15\tCD\tB-NP\tO' -p320070 -aS'ccp\tccp\tNN\tI-NP\tO' -p320071 -aS'.o.\t.o.\tNN\tI-NP\tO' -p320072 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p320073 -aS'prn\tprn\tNN\tI-NP\tO' -p320074 -aS'mouth\tmouth\tNN\tI-NP\tO' -p320075 -aS'discomfort\tdiscomfort\tNN\tI-NP\tO' -p320076 -aS';\t;\t:\tO\tO' -p320077 -aS'Lactulose\tLactulose\tNN\tB-NP\tO' -p320078 -aS',\t,\t,\tO\tO' -p320079 -aS'30\t30\tCD\tB-NP\tO' -p320080 -aS'ml\tml\tNN\tI-NP\tO' -p320081 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p320082 -aS'q.i.d.\tq.i.d.\tNN\tI-NP\tO' -p320083 -aS'that\tthat\tWDT\tB-NP\tO' -p320084 -aS'was\tbe\tVBD\tB-VP\tO' -p320085 -aS'started\tstart\tVBN\tI-VP\tO' -p320086 -aS'on\ton\tIN\tB-PP\tO' -p320087 -aS'January\tJanuary\tNNP\tB-NP\tO' -p320088 -aS'30\t30\tCD\tI-NP\tO' -p320089 -aS',\t,\t,\tO\tO' -p320090 -aS'for\tfor\tIN\tB-PP\tO' -p320091 -aS'no\tno\tDT\tB-NP\tO' -p320092 -aS'bowel\tbowel\tNN\tI-NP\tO' -p320093 -aS'movements\tmovement\tNNS\tI-NP\tO' -p320094 -aS'with\twith\tIN\tB-PP\tO' -p320095 -aS'instructions\tinstruction\tNNS\tB-NP\tO' -p320096 -aS'to\tto\tTO\tB-VP\tO' -p320097 -aS'continue\tcontinue\tVB\tI-VP\tO' -p320098 -aS'until\tuntil\tIN\tB-PP\tO' -p320099 -aS'bowel\tbowel\tNN\tB-NP\tO' -p320100 -aS'movement\tmovement\tNN\tI-NP\tO' -p320101 -aS'and\tand\tCC\tO\tO' -p320102 -aS'then\tthen\tRB\tB-VP\tO' -p320103 -aS'decrease\tdecrease\tVB\tI-VP\tO' -p320104 -aS'to\tto\tTO\tI-VP\tO' -p320105 -aS'b.i.d.\tb.i.d.\tVB\tI-VP\tO' -p320106 -aS'or\tor\tCC\tI-VP\tO' -p320107 -aS'q.d.\tq.d.\tVB\tI-VP\tO' -p320108 -aS';\t;\t:\tO\tO' -p320109 -aS'Lidocaine\tLidocaine\tNN\tB-NP\tO' -p320110 -aS',\t,\t,\tO\tO' -p320111 -aS'2%\t2%\tCD\tB-NP\tO' -p320112 -aS',\t,\t,\tO\tO' -p320113 -aS'10\t10\tCD\tB-NP\tO' -p320114 -aS'ml\tml\tNN\tI-NP\tO' -p320115 -aS'UR\tUR\tNN\tI-NP\tO' -p320116 -aS'q\tq\tNN\tI-NP\tO' -p320117 -aS'3\t3\tCD\tB-NP\tO' -p320118 -aS'to\tto\tTO\tI-NP\tO' -p320119 -aS'4\t4\tCD\tI-NP\tO' -p320120 -aS'hours\thour\tNNS\tI-NP\tO' -p320121 -aS'prn\tprn\tVBP\tB-VP\tO' -p320122 -aS'for\tfor\tIN\tB-PP\tO' -p320123 -aS'pain\tpain\tNN\tB-NP\tB-DNA' -p320124 -aS'around\taround\tIN\tB-PP\tI-DNA' -p320125 -aS'Foley\tFoley\tNNP\tB-NP\tI-DNA' -p320126 -aS'site\tsite\tNN\tI-NP\tI-DNA' -p320127 -aS';\t;\t:\tO\tO' -p320128 -aS'Ativan\tAtivan\tNNP\tB-NP\tO' -p320129 -aS',\t,\t,\tO\tO' -p320130 -aS'0.25\t0.25\tCD\tB-NP\tO' -p320131 -aS'to\tto\tTO\tI-NP\tO' -p320132 -aS'0.5\t0.5\tCD\tI-NP\tO' -p320133 -aS'mg\tmg\tNN\tI-NP\tO' -p320134 -aS'IV\tIV\tCD\tB-NP\tO' -p320135 -aS'q\tq\tNN\tI-NP\tO' -p320136 -aS'4\t4\tCD\tB-NP\tO' -p320137 -aS'to\tto\tTO\tI-NP\tO' -p320138 -aS'6\t6\tCD\tI-NP\tO' -p320139 -aS'hours\thour\tNNS\tI-NP\tO' -p320140 -aS'prn\tprn\tVBP\tB-VP\tO' -p320141 -aS'anxiety\tanxiety\tNN\tB-NP\tO' -p320142 -aS'with\twith\tIN\tB-PP\tO' -p320143 -aS'instructions\tinstruction\tNNS\tB-NP\tO' -p320144 -aS'to\tto\tTO\tB-VP\tO' -p320145 -aS'use\tuse\tVB\tI-VP\tO' -p320146 -aS'caution\tcaution\tNN\tB-NP\tO' -p320147 -aS'.\t.\t.\tO\tO' -p320148 -asS'The patient states that his swelling of his face began two days prior to admission and has doubled since then .' -p320149 -(lp320150 -S'The\tThe\tDT\tB-NP\tO' -p320151 -aS'patient\tpatient\tNN\tI-NP\tO' -p320152 -aS'states\tstate\tVBZ\tB-VP\tO' -p320153 -aS'that\tthat\tIN\tB-SBAR\tO' -p320154 -aS'his\this\tPRP$\tB-NP\tO' -p320155 -aS'swelling\tswelling\tNN\tI-NP\tO' -p320156 -aS'of\tof\tIN\tB-PP\tO' -p320157 -aS'his\this\tPRP$\tB-NP\tO' -p320158 -aS'face\tface\tNN\tI-NP\tO' -p320159 -aS'began\tbegin\tVBD\tB-VP\tO' -p320160 -aS'two\ttwo\tCD\tB-NP\tO' -p320161 -aS'days\tday\tNNS\tI-NP\tO' -p320162 -aS'prior\tprior\tRB\tB-ADVP\tO' -p320163 -aS'to\tto\tTO\tB-PP\tO' -p320164 -aS'admission\tadmission\tNN\tB-NP\tO' -p320165 -aS'and\tand\tCC\tO\tO' -p320166 -aS'has\thave\tVBZ\tB-VP\tO' -p320167 -aS'doubled\tdouble\tVBN\tI-VP\tO' -p320168 -aS'since\tsince\tIN\tB-PP\tO' -p320169 -aS'then\tthen\tRB\tB-NP\tO' -p320170 -aS'.\t.\t.\tO\tO' -p320171 -asS'This is a 76 year old white male with severe chronic obstructive pulmonary disease who has had several recent admissions to Oaksgekesser/ Memorial Hospital for respiratory insuffiencey most often secondary to pneumonia .' -p320172 -(lp320173 -S'This\tThis\tDT\tB-NP\tO' -p320174 -aS'is\tbe\tVBZ\tB-VP\tO' -p320175 -aS'a\ta\tDT\tB-NP\tO' -p320176 -aS'76\t76\tCD\tI-NP\tO' -p320177 -aS'year\tyear\tNN\tI-NP\tO' -p320178 -aS'old\told\tJJ\tI-NP\tO' -p320179 -aS'white\twhite\tJJ\tI-NP\tO' -p320180 -aS'male\tmale\tNN\tI-NP\tO' -p320181 -aS'with\twith\tIN\tB-PP\tO' -p320182 -aS'severe\tsevere\tJJ\tB-NP\tO' -p320183 -aS'chronic\tchronic\tJJ\tI-NP\tO' -p320184 -aS'obstructive\tobstructive\tJJ\tI-NP\tO' -p320185 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p320186 -aS'disease\tdisease\tNN\tI-NP\tO' -p320187 -aS'who\twho\tWP\tB-NP\tO' -p320188 -aS'has\thave\tVBZ\tB-VP\tO' -p320189 -aS'had\thave\tVBD\tI-VP\tO' -p320190 -aS'several\tseveral\tJJ\tB-NP\tO' -p320191 -aS'recent\trecent\tJJ\tI-NP\tO' -p320192 -aS'admissions\tadmission\tNNS\tI-NP\tO' -p320193 -aS'to\tto\tTO\tB-PP\tO' -p320194 -aS'Oaksgekesser/\tOaksgekesser/\tNNP\tB-NP\tO' -p320195 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p320196 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p320197 -aS'for\tfor\tIN\tB-PP\tO' -p320198 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p320199 -aS'insuffiencey\tinsuffiencey\tNN\tI-NP\tO' -p320200 -aS'most\tmost\tRBS\tB-ADVP\tO' -p320201 -aS'often\toften\tRB\tI-ADVP\tO' -p320202 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p320203 -aS'to\tto\tTO\tB-PP\tO' -p320204 -aS'pneumonia\tpneumonia\tNN\tB-NP\tO' -p320205 -aS'.\t.\t.\tO\tO' -p320206 -asS'He was to return to the hospital with any signs of shaking chills or fever .' -p320207 -(lp320208 -S'He\tHe\tPRP\tB-NP\tO' -p320209 -aS'was\tbe\tVBD\tB-VP\tO' -p320210 -aS'to\tto\tTO\tB-VP\tO' -p320211 -aS'return\treturn\tVB\tI-VP\tO' -p320212 -aS'to\tto\tTO\tB-PP\tO' -p320213 -aS'the\tthe\tDT\tB-NP\tO' -p320214 -aS'hospital\thospital\tNN\tI-NP\tO' -p320215 -aS'with\twith\tIN\tB-PP\tO' -p320216 -aS'any\tany\tDT\tB-NP\tO' -p320217 -aS'signs\tsign\tNNS\tI-NP\tO' -p320218 -aS'of\tof\tIN\tB-PP\tO' -p320219 -aS'shaking\tshake\tVBG\tB-VP\tO' -p320220 -aS'chills\tchill\tNNS\tB-NP\tO' -p320221 -aS'or\tor\tCC\tI-NP\tO' -p320222 -aS'fever\tfever\tNN\tI-NP\tO' -p320223 -aS'.\t.\t.\tO\tO' -p320224 -asS'No creams , lotions , powders , or ointments to incisions' -p320225 -(lp320226 -S'No\tNo\tDT\tB-NP\tO' -p320227 -aS'creams\tcream\tNNS\tI-NP\tO' -p320228 -aS',\t,\t,\tO\tO' -p320229 -aS'lotions\tlotion\tNNS\tB-NP\tO' -p320230 -aS',\t,\t,\tO\tO' -p320231 -aS'powders\tpowder\tNNS\tB-NP\tO' -p320232 -aS',\t,\t,\tO\tO' -p320233 -aS'or\tor\tCC\tO\tO' -p320234 -aS'ointments\tointment\tNNS\tB-NP\tO' -p320235 -aS'to\tto\tTO\tB-PP\tO' -p320236 -aS'incisions\tincision\tNNS\tB-NP\tO' -p320237 -asS'The patient has been lethargic and bed ridden for the past two weeks , although there was no evidence of fever or chills over this time .' -p320238 -(lp320239 -S'The\tThe\tDT\tB-NP\tO' -p320240 -aS'patient\tpatient\tNN\tI-NP\tO' -p320241 -aS'has\thave\tVBZ\tB-VP\tO' -p320242 -aS'been\tbe\tVBN\tI-VP\tO' -p320243 -aS'lethargic\tlethargic\tJJ\tB-ADJP\tO' -p320244 -aS'and\tand\tCC\tO\tO' -p320245 -aS'bed\tbed\tNN\tB-NP\tO' -p320246 -aS'ridden\tridden\tJJ\tB-ADJP\tO' -p320247 -aS'for\tfor\tIN\tB-PP\tO' -p320248 -aS'the\tthe\tDT\tB-NP\tO' -p320249 -aS'past\tpast\tJJ\tI-NP\tO' -p320250 -aS'two\ttwo\tCD\tI-NP\tO' -p320251 -aS'weeks\tweek\tNNS\tI-NP\tO' -p320252 -aS',\t,\t,\tO\tO' -p320253 -aS'although\talthough\tIN\tB-SBAR\tO' -p320254 -aS'there\tthere\tEX\tB-NP\tO' -p320255 -aS'was\tbe\tVBD\tB-VP\tO' -p320256 -aS'no\tno\tDT\tB-NP\tO' -p320257 -aS'evidence\tevidence\tNN\tI-NP\tO' -p320258 -aS'of\tof\tIN\tB-PP\tO' -p320259 -aS'fever\tfever\tNN\tB-NP\tO' -p320260 -aS'or\tor\tCC\tI-NP\tO' -p320261 -aS'chills\tchill\tNNS\tI-NP\tO' -p320262 -aS'over\tover\tIN\tB-PP\tO' -p320263 -aS'this\tthis\tDT\tB-NP\tO' -p320264 -aS'time\ttime\tNN\tI-NP\tO' -p320265 -aS'.\t.\t.\tO\tO' -p320266 -asS'Umbilical stump dry .' -p320267 -(lp320268 -S'Umbilical\tUmbilical\tJJ\tB-NP\tO' -p320269 -aS'stump\tstump\tNN\tI-NP\tO' -p320270 -aS'dry\tdry\tNN\tI-NP\tO' -p320271 -aS'.\t.\t.\tO\tO' -p320272 -asS'This is a 20-year-old female with no significant past medical history , who was the unrestrained passenger in a high speed rollover motor vehicle accident on 2010-06-27 .' -p320273 -(lp320274 -S'This\tThis\tDT\tB-NP\tO' -p320275 -aS'is\tbe\tVBZ\tB-VP\tO' -p320276 -aS'a\ta\tDT\tB-NP\tO' -p320277 -aS'20-year-old\t20-year-old\tJJ\tI-NP\tO' -p320278 -aS'female\tfemale\tNN\tI-NP\tO' -p320279 -aS'with\twith\tIN\tB-PP\tO' -p320280 -aS'no\tno\tDT\tB-NP\tO' -p320281 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p320282 -aS'past\tpast\tJJ\tI-NP\tO' -p320283 -aS'medical\tmedical\tJJ\tI-NP\tO' -p320284 -aS'history\thistory\tNN\tI-NP\tO' -p320285 -aS',\t,\t,\tO\tO' -p320286 -aS'who\twho\tWP\tB-NP\tO' -p320287 -aS'was\tbe\tVBD\tB-VP\tO' -p320288 -aS'the\tthe\tDT\tB-NP\tO' -p320289 -aS'unrestrained\tunrestrained\tJJ\tI-NP\tO' -p320290 -aS'passenger\tpassenger\tNN\tI-NP\tO' -p320291 -aS'in\tin\tIN\tB-PP\tO' -p320292 -aS'a\ta\tDT\tB-NP\tO' -p320293 -aS'high\thigh\tJJ\tI-NP\tO' -p320294 -aS'speed\tspeed\tNN\tI-NP\tO' -p320295 -aS'rollover\trollover\tNN\tI-NP\tO' -p320296 -aS'motor\tmotor\tNN\tI-NP\tO' -p320297 -aS'vehicle\tvehicle\tNN\tI-NP\tO' -p320298 -aS'accident\taccident\tNN\tI-NP\tO' -p320299 -aS'on\ton\tIN\tB-PP\tO' -p320300 -aS'2010-06-27\t2010-06-27\tCD\tB-NP\tO' -p320301 -aS'.\t.\t.\tO\tO' -p320302 -asS'Temperature 97.9 .' -p320303 -(lp320304 -S'Temperature\tTemperature\tNN\tB-NP\tO' -p320305 -aS'97.9\t97.9\tCD\tI-NP\tO' -p320306 -aS'.\t.\t.\tO\tO' -p320307 -asS'No hypoglycemia issues noted .' -p320308 -(lp320309 -S'No\tNo\tDT\tB-NP\tO' -p320310 -aS'hypoglycemia\thypoglycemia\tNN\tI-NP\tO' -p320311 -aS'issues\tissue\tNNS\tI-NP\tO' -p320312 -aS'noted\tnote\tVBD\tB-VP\tO' -p320313 -aS'.\t.\t.\tO\tO' -p320314 -asS'4. Hypertension .' -p320315 -(lp320316 -S'4.\t4.\tLS\tB-NP\tO' -p320317 -aS'Hypertension\tHypertension\tNN\tI-NP\tO' -p320318 -aS'.\t.\t.\tO\tO' -p320319 -asS'8. Prevacid 30 mg PO twice a day .' -p320320 -(lp320321 -S'8.\t8.\tCD\tB-NP\tO' -p320322 -aS'Prevacid\tPrevacid\tNN\tI-NP\tO' -p320323 -aS'30\t30\tCD\tB-NP\tO' -p320324 -aS'mg\tmg\tNN\tI-NP\tO' -p320325 -aS'PO\tPO\tNN\tI-NP\tO' -p320326 -aS'twice\ttwice\tRB\tB-NP\tO' -p320327 -aS'a\ta\tDT\tI-NP\tO' -p320328 -aS'day\tday\tNN\tI-NP\tO' -p320329 -aS'.\t.\t.\tO\tO' -p320330 -asS'11. Ferrous sulfate 325 mg t.i.d.' -p320331 -(lp320332 -S'11.\t11.\tLS\tB-NP\tO' -p320333 -aS'Ferrous\tFerrous\tNNP\tI-NP\tO' -p320334 -aS'sulfate\tsulfate\tNN\tI-NP\tO' -p320335 -aS'325\t325\tCD\tI-NP\tO' -p320336 -aS'mg\tmg\tNN\tI-NP\tO' -p320337 -aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' -p320338 -asS'She had some difficulties with confusion in the early postoperative period which were attributable to her advanced age and a sundowning effect .' -p320339 -(lp320340 -S'She\tShe\tPRP\tB-NP\tO' -p320341 -aS'had\thave\tVBD\tB-VP\tO' -p320342 -aS'some\tsome\tDT\tB-NP\tO' -p320343 -aS'difficulties\tdifficulty\tNNS\tI-NP\tO' -p320344 -aS'with\twith\tIN\tB-PP\tO' -p320345 -aS'confusion\tconfusion\tNN\tB-NP\tO' -p320346 -aS'in\tin\tIN\tB-PP\tO' -p320347 -aS'the\tthe\tDT\tB-NP\tO' -p320348 -aS'early\tearly\tJJ\tI-NP\tO' -p320349 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p320350 -aS'period\tperiod\tNN\tI-NP\tO' -p320351 -aS'which\twhich\tWDT\tB-NP\tO' -p320352 -aS'were\tbe\tVBD\tB-VP\tO' -p320353 -aS'attributable\tattributable\tJJ\tB-ADJP\tO' -p320354 -aS'to\tto\tTO\tB-PP\tO' -p320355 -aS'her\ther\tPRP$\tB-NP\tO' -p320356 -aS'advanced\tadvanced\tJJ\tI-NP\tO' -p320357 -aS'age\tage\tNN\tI-NP\tO' -p320358 -aS'and\tand\tCC\tO\tO' -p320359 -aS'a\ta\tDT\tB-NP\tO' -p320360 -aS'sundowning\tsundowning\tNN\tI-NP\tO' -p320361 -aS'effect\teffect\tNN\tI-NP\tO' -p320362 -aS'.\t.\t.\tO\tO' -p320363 -asS'Follow up with Dr. Fede Duhenile .' -p320364 -(lp320365 -S'Follow\tFollow\tVB\tB-VP\tO' -p320366 -aS'up\tup\tRP\tB-PRT\tO' -p320367 -aS'with\twith\tIN\tB-PP\tO' -p320368 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p320369 -aS'Fede\tFede\tNNP\tI-NP\tO' -p320370 -aS'Duhenile\tDuhenile\tNNP\tI-NP\tO' -p320371 -aS'.\t.\t.\tO\tO' -p320372 -asS'Chief Complaint : worsening chest pain and shortness of breath' -p320373 -(lp320374 -S'Chief\tChief\tNNP\tB-NP\tO' -p320375 -aS'Complaint\tComplaint\tNNP\tI-NP\tO' -p320376 -aS':\t:\t:\tO\tO' -p320377 -aS'worsening\tworsen\tVBG\tB-VP\tO' -p320378 -aS'chest\tchest\tNN\tB-NP\tO' -p320379 -aS'pain\tpain\tNN\tI-NP\tO' -p320380 -aS'and\tand\tCC\tO\tO' -p320381 -aS'shortness\tshortness\tNN\tB-NP\tO' -p320382 -aS'of\tof\tIN\tB-PP\tO' -p320383 -aS'breath\tbreath\tNN\tB-NP\tO' -p320384 -asS'Good tone .' -p320385 -(lp320386 -S'Good\tGood\tJJ\tB-INTJ\tO' -p320387 -aS'tone\ttone\tNN\tI-INTJ\tO' -p320388 -aS'.\t.\t.\tO\tO' -p320389 -asS'There was no family history of aneurysms .' -p320390 -(lp320391 -S'There\tThere\tEX\tB-NP\tO' -p320392 -aS'was\tbe\tVBD\tB-VP\tO' -p320393 -aS'no\tno\tDT\tB-NP\tO' -p320394 -aS'family\tfamily\tNN\tI-NP\tO' -p320395 -aS'history\thistory\tNN\tI-NP\tO' -p320396 -aS'of\tof\tIN\tB-PP\tO' -p320397 -aS'aneurysms\taneurysm\tNNS\tB-NP\tO' -p320398 -aS'.\t.\t.\tO\tO' -p320399 -asS'The Keflex was stopped when she developed the diarrhea .' -p320400 -(lp320401 -S'The\tThe\tDT\tB-NP\tO' -p320402 -aS'Keflex\tKeflex\tNNP\tI-NP\tO' -p320403 -aS'was\tbe\tVBD\tB-VP\tO' -p320404 -aS'stopped\tstop\tVBN\tI-VP\tO' -p320405 -aS'when\twhen\tWRB\tB-ADVP\tO' -p320406 -aS'she\tshe\tPRP\tB-NP\tO' -p320407 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p320408 -aS'the\tthe\tDT\tB-NP\tO' -p320409 -aS'diarrhea\tdiarrhea\tNN\tI-NP\tO' -p320410 -aS'.\t.\t.\tO\tO' -p320411 -asS"Earlier in her Intensive Care Unit course the team was concerned about possible pulmonary embolisms as a possible source of the patient 's respiratory decompensation ." -p320412 -(lp320413 -S'Earlier\tEarlier\tRBR\tB-ADVP\tO' -p320414 -aS'in\tin\tIN\tB-PP\tO' -p320415 -aS'her\ther\tPRP$\tB-NP\tO' -p320416 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p320417 -aS'Care\tCare\tNNP\tI-NP\tO' -p320418 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p320419 -aS'course\tcourse\tNN\tI-NP\tO' -p320420 -aS'the\tthe\tDT\tB-NP\tO' -p320421 -aS'team\tteam\tNN\tI-NP\tO' -p320422 -aS'was\tbe\tVBD\tB-VP\tO' -p320423 -aS'concerned\tconcerned\tJJ\tB-ADJP\tO' -p320424 -aS'about\tabout\tIN\tB-PP\tO' -p320425 -aS'possible\tpossible\tJJ\tB-NP\tO' -p320426 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p320427 -aS'embolisms\tembolism\tNNS\tI-NP\tO' -p320428 -aS'as\tas\tIN\tB-PP\tO' -p320429 -aS'a\ta\tDT\tB-NP\tO' -p320430 -aS'possible\tpossible\tJJ\tI-NP\tO' -p320431 -aS'source\tsource\tNN\tI-NP\tO' -p320432 -aS'of\tof\tIN\tB-PP\tO' -p320433 -aS'the\tthe\tDT\tB-NP\tO' -p320434 -aS'patient\tpatient\tNN\tI-NP\tO' -p320435 -aS"'s\t's\tPOS\tB-NP\tO" -p320436 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p320437 -aS'decompensation\tdecompensation\tNN\tI-NP\tO' -p320438 -aS'.\t.\t.\tO\tO' -p320439 -asS'57 yo F with h/o polyglandular autoimmune syndrome initially admitted in May to FICU for suicide overdose then transferred to Whittier Rehab Hospital 4 for depression , who was transferred to the medical floor for a syncopal episode and hypotension to 60 systolic that returned to baseline with 2.5L IVF who was subsequently transferred to the CMED CSRU for a recurrent episode of hypotension , fevers and concern for sepsis .' -p320440 -(lp320441 -S'57\t57\tCD\tB-NP\tO' -p320442 -aS'yo\tyo\tNN\tI-NP\tO' -p320443 -aS'F\tF\tNN\tI-NP\tO' -p320444 -aS'with\twith\tIN\tB-PP\tO' -p320445 -aS'h/o\th/o\tNN\tB-NP\tO' -p320446 -aS'polyglandular\tpolyglandular\tJJ\tI-NP\tO' -p320447 -aS'autoimmune\tautoimmune\tJJ\tI-NP\tO' -p320448 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p320449 -aS'initially\tinitially\tRB\tB-VP\tO' -p320450 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p320451 -aS'in\tin\tIN\tB-PP\tO' -p320452 -aS'May\tMay\tNNP\tB-NP\tO' -p320453 -aS'to\tto\tTO\tB-PP\tO' -p320454 -aS'FICU\tFICU\tNN\tB-NP\tO' -p320455 -aS'for\tfor\tIN\tB-PP\tO' -p320456 -aS'suicide\tsuicide\tNN\tB-NP\tO' -p320457 -aS'overdose\toverdose\tNN\tI-NP\tO' -p320458 -aS'then\tthen\tRB\tB-VP\tO' -p320459 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p320460 -aS'to\tto\tTO\tB-PP\tO' -p320461 -aS'Whittier\tWhittier\tNNP\tB-NP\tO' -p320462 -aS'Rehab\tRehab\tNNP\tI-NP\tO' -p320463 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p320464 -aS'4\t4\tCD\tI-NP\tO' -p320465 -aS'for\tfor\tIN\tB-PP\tO' -p320466 -aS'depression\tdepression\tNN\tB-NP\tO' -p320467 -aS',\t,\t,\tO\tO' -p320468 -aS'who\twho\tWP\tB-NP\tO' -p320469 -aS'was\tbe\tVBD\tB-VP\tO' -p320470 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p320471 -aS'to\tto\tTO\tB-PP\tO' -p320472 -aS'the\tthe\tDT\tB-NP\tO' -p320473 -aS'medical\tmedical\tJJ\tI-NP\tO' -p320474 -aS'floor\tfloor\tNN\tI-NP\tO' -p320475 -aS'for\tfor\tIN\tB-PP\tO' -p320476 -aS'a\ta\tDT\tB-NP\tO' -p320477 -aS'syncopal\tsyncopal\tJJ\tI-NP\tO' -p320478 -aS'episode\tepisode\tNN\tI-NP\tO' -p320479 -aS'and\tand\tCC\tI-NP\tO' -p320480 -aS'hypotension\thypotension\tNN\tI-NP\tO' -p320481 -aS'to\tto\tTO\tB-PP\tO' -p320482 -aS'60\t60\tCD\tB-NP\tO' -p320483 -aS'systolic\tsystolic\tNN\tI-NP\tO' -p320484 -aS'that\tthat\tWDT\tB-NP\tO' -p320485 -aS'returned\treturn\tVBD\tB-VP\tO' -p320486 -aS'to\tto\tTO\tB-PP\tO' -p320487 -aS'baseline\tbaseline\tNN\tB-NP\tO' -p320488 -aS'with\twith\tIN\tB-PP\tO' -p320489 -aS'2.5L\t2.5L\tNN\tB-NP\tO' -p320490 -aS'IVF\tIVF\tNN\tI-NP\tO' -p320491 -aS'who\twho\tWP\tB-NP\tO' -p320492 -aS'was\tbe\tVBD\tB-VP\tO' -p320493 -aS'subsequently\tsubsequently\tRB\tI-VP\tO' -p320494 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p320495 -aS'to\tto\tTO\tB-PP\tO' -p320496 -aS'the\tthe\tDT\tB-NP\tO' -p320497 -aS'CMED\tCMED\tNNP\tI-NP\tO' -p320498 -aS'CSRU\tCSRU\tNNP\tI-NP\tO' -p320499 -aS'for\tfor\tIN\tB-PP\tO' -p320500 -aS'a\ta\tDT\tB-NP\tO' -p320501 -aS'recurrent\trecurrent\tJJ\tI-NP\tO' -p320502 -aS'episode\tepisode\tNN\tI-NP\tO' -p320503 -aS'of\tof\tIN\tB-PP\tO' -p320504 -aS'hypotension\thypotension\tNN\tB-NP\tO' -p320505 -aS',\t,\t,\tI-NP\tO' -p320506 -aS'fevers\tfever\tNNS\tI-NP\tO' -p320507 -aS'and\tand\tCC\tI-NP\tO' -p320508 -aS'concern\tconcern\tNN\tI-NP\tO' -p320509 -aS'for\tfor\tIN\tB-PP\tO' -p320510 -aS'sepsis\tsepsis\tNN\tB-NP\tO' -p320511 -aS'.\t.\t.\tO\tO' -p320512 -asS'1) Endotracheal tube is slightly proximal in location , and could be advanced approximately 1.5 cm for more optimal placement .' -p320513 -(lp320514 -S'1)\t1)\tLS\tB-NP\tO' -p320515 -aS'Endotracheal\tEndotracheal\tJJ\tI-NP\tO' -p320516 -aS'tube\ttube\tNN\tI-NP\tO' -p320517 -aS'is\tbe\tVBZ\tB-VP\tO' -p320518 -aS'slightly\tslightly\tRB\tB-ADJP\tO' -p320519 -aS'proximal\tproximal\tJJ\tI-ADJP\tO' -p320520 -aS'in\tin\tIN\tB-PP\tO' -p320521 -aS'location\tlocation\tNN\tB-NP\tO' -p320522 -aS',\t,\t,\tO\tO' -p320523 -aS'and\tand\tCC\tO\tO' -p320524 -aS'could\tcould\tMD\tB-VP\tO' -p320525 -aS'be\tbe\tVB\tI-VP\tO' -p320526 -aS'advanced\tadvance\tVBN\tI-VP\tO' -p320527 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p320528 -aS'1.5\t1.5\tCD\tI-NP\tO' -p320529 -aS'cm\tcm\tNN\tI-NP\tO' -p320530 -aS'for\tfor\tIN\tB-PP\tO' -p320531 -aS'more\tmore\tRBR\tB-NP\tO' -p320532 -aS'optimal\toptimal\tJJ\tI-NP\tO' -p320533 -aS'placement\tplacement\tNN\tI-NP\tO' -p320534 -aS'.\t.\t.\tO\tO' -p320535 -asS'Head ultrasound was performed on 2015-11-16 and was normal .' -p320536 -(lp320537 -S'Head\tHead\tNN\tB-NP\tO' -p320538 -aS'ultrasound\tultrasound\tNN\tI-NP\tO' -p320539 -aS'was\tbe\tVBD\tB-VP\tO' -p320540 -aS'performed\tperform\tVBN\tI-VP\tO' -p320541 -aS'on\ton\tIN\tB-PP\tO' -p320542 -aS'2015-11-16\t2015-11-16\tCD\tB-NP\tO' -p320543 -aS'and\tand\tCC\tO\tO' -p320544 -aS'was\tbe\tVBD\tB-VP\tO' -p320545 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p320546 -aS'.\t.\t.\tO\tO' -p320547 -asS'They recommended that the patient may benefit from a trial of continuous positive pressure at the bedside .' -p320548 -(lp320549 -S'They\tThey\tPRP\tB-NP\tO' -p320550 -aS'recommended\trecommend\tVBD\tB-VP\tO' -p320551 -aS'that\tthat\tIN\tB-SBAR\tO' -p320552 -aS'the\tthe\tDT\tB-NP\tO' -p320553 -aS'patient\tpatient\tNN\tI-NP\tO' -p320554 -aS'may\tmay\tMD\tB-VP\tO' -p320555 -aS'benefit\tbenefit\tVB\tI-VP\tO' -p320556 -aS'from\tfrom\tIN\tB-PP\tO' -p320557 -aS'a\ta\tDT\tB-NP\tO' -p320558 -aS'trial\ttrial\tNN\tI-NP\tO' -p320559 -aS'of\tof\tIN\tB-PP\tO' -p320560 -aS'continuous\tcontinuous\tJJ\tB-NP\tO' -p320561 -aS'positive\tpositive\tJJ\tI-NP\tO' -p320562 -aS'pressure\tpressure\tNN\tI-NP\tO' -p320563 -aS'at\tat\tIN\tB-PP\tO' -p320564 -aS'the\tthe\tDT\tB-NP\tO' -p320565 -aS'bedside\tbedside\tNN\tI-NP\tO' -p320566 -aS'.\t.\t.\tO\tO' -p320567 -asS'3. Mirtazapine 15 mg Tablet Sig : One ( 1 ) Tablet PO HS ( at bedtime ) .' -p320568 -(lp320569 -S'3.\t3.\tLS\tB-LST\tO' -p320570 -aS'Mirtazapine\tMirtazapine\tNNP\tB-NP\tO' -p320571 -aS'15\t15\tCD\tI-NP\tO' -p320572 -aS'mg\tmg\tNN\tI-NP\tO' -p320573 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p320574 -aS'Sig\tSig\tNNP\tI-NP\tO' -p320575 -aS':\t:\t:\tO\tO' -p320576 -aS'One\tOne\tCD\tB-NP\tO' -p320577 -aS'(\t(\t(\tO\tO' -p320578 -aS'1\t1\tCD\tB-NP\tO' -p320579 -aS')\t)\t)\tO\tO' -p320580 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p320581 -aS'PO\tPO\tNN\tI-NP\tO' -p320582 -aS'HS\tHS\tNN\tI-NP\tO' -p320583 -aS'(\t(\t(\tO\tO' -p320584 -aS'at\tat\tIN\tB-PP\tO' -p320585 -aS'bedtime\tbedtime\tNN\tB-NP\tO' -p320586 -aS')\t)\t)\tO\tO' -p320587 -aS'.\t.\t.\tO\tO' -p320588 -asS'Please return to the hospital if you have falls , headache , visual changes , muscle weakness , chest pain , shortness of breath .' -p320589 -(lp320590 -S'Please\tPlease\tVB\tB-VP\tO' -p320591 -aS'return\treturn\tVB\tI-VP\tO' -p320592 -aS'to\tto\tTO\tB-PP\tO' -p320593 -aS'the\tthe\tDT\tB-NP\tO' -p320594 -aS'hospital\thospital\tNN\tI-NP\tO' -p320595 -aS'if\tif\tIN\tB-SBAR\tO' -p320596 -aS'you\tyou\tPRP\tB-NP\tO' -p320597 -aS'have\thave\tVBP\tB-VP\tO' -p320598 -aS'falls\tfall\tNNS\tB-NP\tO' -p320599 -aS',\t,\t,\tO\tO' -p320600 -aS'headache\theadache\tNN\tB-NP\tO' -p320601 -aS',\t,\t,\tO\tO' -p320602 -aS'visual\tvisual\tJJ\tB-NP\tO' -p320603 -aS'changes\tchange\tNNS\tI-NP\tO' -p320604 -aS',\t,\t,\tO\tO' -p320605 -aS'muscle\tmuscle\tNN\tB-NP\tO' -p320606 -aS'weakness\tweakness\tNN\tI-NP\tO' -p320607 -aS',\t,\t,\tO\tO' -p320608 -aS'chest\tchest\tNN\tB-NP\tO' -p320609 -aS'pain\tpain\tNN\tI-NP\tO' -p320610 -aS',\t,\t,\tO\tO' -p320611 -aS'shortness\tshortness\tNN\tB-NP\tO' -p320612 -aS'of\tof\tIN\tB-PP\tO' -p320613 -aS'breath\tbreath\tNN\tB-NP\tO' -p320614 -aS'.\t.\t.\tO\tO' -p320615 -asS'12. Folate 1 mg p.o. q day .' -p320616 -(lp320617 -S'12.\t12.\tCD\tB-NP\tO' -p320618 -aS'Folate\tFolate\tNNP\tI-NP\tO' -p320619 -aS'1\t1\tCD\tI-NP\tO' -p320620 -aS'mg\tmg\tNN\tI-NP\tO' -p320621 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p320622 -aS'q\tq\tNN\tI-NP\tO' -p320623 -aS'day\tday\tNN\tI-NP\tO' -p320624 -aS'.\t.\t.\tO\tO' -p320625 -asS'3. Vertebral Spacer at L3-L4 .' -p320626 -(lp320627 -S'3.\t3.\tLS\tB-NP\tO' -p320628 -aS'Vertebral\tVertebral\tJJ\tI-NP\tO' -p320629 -aS'Spacer\tSpacer\tNN\tI-NP\tO' -p320630 -aS'at\tat\tIN\tB-PP\tO' -p320631 -aS'L3-L4\tL3-L4\tNN\tB-NP\tB-DNA' -p320632 -aS'.\t.\t.\tO\tO' -p320633 -asS'Remote tobacco use .' -p320634 -(lp320635 -S'Remote\tRemote\tJJ\tB-NP\tO' -p320636 -aS'tobacco\ttobacco\tNN\tI-NP\tO' -p320637 -aS'use\tuse\tNN\tI-NP\tO' -p320638 -aS'.\t.\t.\tO\tO' -p320639 -asS'A subfascial J-P was left .' -p320640 -(lp320641 -S'A\tA\tDT\tB-NP\tO' -p320642 -aS'subfascial\tsubfascial\tJJ\tI-NP\tO' -p320643 -aS'J-P\tJ-P\tNN\tI-NP\tO' -p320644 -aS'was\tbe\tVBD\tB-VP\tO' -p320645 -aS'left\tleave\tVBN\tI-VP\tO' -p320646 -aS'.\t.\t.\tO\tO' -p320647 -asS'Our opinion was not to intervene or have any further studies for acute period and to continued to observe .' -p320648 -(lp320649 -S'Our\tOur\tPRP$\tB-NP\tO' -p320650 -aS'opinion\topinion\tNN\tI-NP\tO' -p320651 -aS'was\tbe\tVBD\tB-VP\tO' -p320652 -aS'not\tnot\tRB\tO\tO' -p320653 -aS'to\tto\tTO\tB-VP\tO' -p320654 -aS'intervene\tintervene\tVB\tI-VP\tO' -p320655 -aS'or\tor\tCC\tI-VP\tO' -p320656 -aS'have\thave\tVB\tI-VP\tO' -p320657 -aS'any\tany\tDT\tB-NP\tO' -p320658 -aS'further\tfurther\tJJ\tI-NP\tO' -p320659 -aS'studies\tstudy\tNNS\tI-NP\tO' -p320660 -aS'for\tfor\tIN\tB-PP\tO' -p320661 -aS'acute\tacute\tJJ\tB-NP\tO' -p320662 -aS'period\tperiod\tNN\tI-NP\tO' -p320663 -aS'and\tand\tCC\tO\tO' -p320664 -aS'to\tto\tTO\tB-VP\tO' -p320665 -aS'continued\tcontinue\tVBD\tI-VP\tO' -p320666 -aS'to\tto\tTO\tI-VP\tO' -p320667 -aS'observe\tobserve\tVB\tI-VP\tO' -p320668 -aS'.\t.\t.\tO\tO' -p320669 -asS'Cardiovascularly , the patient did extremely well following the surgery .' -p320670 -(lp320671 -S'Cardiovascularly\tCardiovascularly\tRB\tB-ADVP\tO' -p320672 -aS',\t,\t,\tO\tO' -p320673 -aS'the\tthe\tDT\tB-NP\tO' -p320674 -aS'patient\tpatient\tNN\tI-NP\tO' -p320675 -aS'did\tdo\tVBD\tB-VP\tO' -p320676 -aS'extremely\textremely\tRB\tB-VP\tO' -p320677 -aS'well\twell\tRB\tI-VP\tO' -p320678 -aS'following\tfollow\tVBG\tI-VP\tO' -p320679 -aS'the\tthe\tDT\tB-NP\tO' -p320680 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p320681 -aS'.\t.\t.\tO\tO' -p320682 -asS'The patient had patent carotids bilaterally on her neck MRA .' -p320683 -(lp320684 -S'The\tThe\tDT\tB-NP\tO' -p320685 -aS'patient\tpatient\tNN\tI-NP\tO' -p320686 -aS'had\thave\tVBD\tB-VP\tO' -p320687 -aS'patent\tpatent\tNN\tB-NP\tO' -p320688 -aS'carotids\tcarotid\tNNS\tI-NP\tO' -p320689 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p320690 -aS'on\ton\tIN\tB-PP\tO' -p320691 -aS'her\ther\tPRP$\tB-NP\tO' -p320692 -aS'neck\tneck\tNN\tI-NP\tO' -p320693 -aS'MRA\tMRA\tNN\tI-NP\tO' -p320694 -aS'.\t.\t.\tO\tO' -p320695 -asS'Father deceased from complications from MS .' -p320696 -(lp320697 -S'Father\tFather\tNNP\tB-NP\tO' -p320698 -aS'deceased\tdecease\tVBD\tB-VP\tO' -p320699 -aS'from\tfrom\tIN\tB-PP\tO' -p320700 -aS'complications\tcomplication\tNNS\tB-NP\tO' -p320701 -aS'from\tfrom\tIN\tB-PP\tO' -p320702 -aS'MS\tMS\tNN\tB-NP\tO' -p320703 -aS'.\t.\t.\tO\tO' -p320704 -asS'A. Born at less than 32 weeks gestation .' -p320705 -(lp320706 -S'A.\tA.\tNNP\tB-NP\tO' -p320707 -aS'Born\tBorn\tNNP\tI-NP\tO' -p320708 -aS'at\tat\tIN\tB-PP\tO' -p320709 -aS'less\tless\tJJR\tB-NP\tO' -p320710 -aS'than\tthan\tIN\tI-NP\tO' -p320711 -aS'32\t32\tCD\tI-NP\tO' -p320712 -aS'weeks\tweek\tNNS\tI-NP\tO' -p320713 -aS'gestation\tgestation\tNN\tI-NP\tO' -p320714 -aS'.\t.\t.\tO\tO' -p320715 -asS'1. History of high cholesterol .' -p320716 -(lp320717 -S'1.\t1.\tLS\tB-NP\tO' -p320718 -aS'History\tHistory\tNN\tI-NP\tO' -p320719 -aS'of\tof\tIN\tB-PP\tO' -p320720 -aS'high\thigh\tJJ\tB-NP\tO' -p320721 -aS'cholesterol\tcholesterol\tNN\tI-NP\tO' -p320722 -aS'.\t.\t.\tO\tO' -p320723 -asS'F / U with Dr. Wierstkotea within 1 week .' -p320724 -(lp320725 -S'F\tF\tNN\tB-NP\tO' -p320726 -aS'/\t/\tSYM\tI-NP\tO' -p320727 -aS'U\tU\tNN\tI-NP\tO' -p320728 -aS'with\twith\tIN\tB-PP\tO' -p320729 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p320730 -aS'Wierstkotea\tWierstkotea\tNNP\tI-NP\tO' -p320731 -aS'within\twithin\tIN\tB-PP\tO' -p320732 -aS'1\t1\tCD\tB-NP\tO' -p320733 -aS'week\tweek\tNN\tI-NP\tO' -p320734 -aS'.\t.\t.\tO\tO' -p320735 -asS'Ears normal .' -p320736 -(lp320737 -S'Ears\tEar\tNNS\tB-NP\tO' -p320738 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p320739 -aS'.\t.\t.\tO\tO' -p320740 -asS'No rashes or petechiae , linear and burn scars as above' -p320741 -(lp320742 -S'No\tNo\tDT\tB-NP\tO' -p320743 -aS'rashes\trash\tNNS\tI-NP\tO' -p320744 -aS'or\tor\tCC\tI-NP\tO' -p320745 -aS'petechiae\tpetechiae\tNNS\tI-NP\tO' -p320746 -aS',\t,\t,\tO\tO' -p320747 -aS'linear\tlinear\tJJ\tB-NP\tO' -p320748 -aS'and\tand\tCC\tI-NP\tO' -p320749 -aS'burn\tburn\tJJ\tI-NP\tO' -p320750 -aS'scars\tscar\tNNS\tI-NP\tO' -p320751 -aS'as\tas\tIN\tB-PP\tO' -p320752 -aS'above\tabove\tIN\tB-ADVP\tO' -p320753 -asS'This 68 year old female had rheumatic fever in the past , and has had chronic atrial fibrillation .' -p320754 -(lp320755 -S'This\tThis\tDT\tB-NP\tO' -p320756 -aS'68\t68\tCD\tI-NP\tO' -p320757 -aS'year\tyear\tNN\tI-NP\tO' -p320758 -aS'old\told\tJJ\tI-NP\tO' -p320759 -aS'female\tfemale\tNN\tI-NP\tO' -p320760 -aS'had\thave\tVBD\tB-VP\tO' -p320761 -aS'rheumatic\trheumatic\tJJ\tB-NP\tO' -p320762 -aS'fever\tfever\tNN\tI-NP\tO' -p320763 -aS'in\tin\tIN\tB-PP\tO' -p320764 -aS'the\tthe\tDT\tB-NP\tO' -p320765 -aS'past\tpast\tNN\tI-NP\tO' -p320766 -aS',\t,\t,\tO\tO' -p320767 -aS'and\tand\tCC\tO\tO' -p320768 -aS'has\thave\tVBZ\tB-VP\tO' -p320769 -aS'had\thave\tVBN\tI-VP\tO' -p320770 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p320771 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p320772 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p320773 -aS'.\t.\t.\tO\tO' -p320774 -asS'Intubated , sedated , not responsive to command , retracts to pain' -p320775 -(lp320776 -S'Intubated\tIntubate\tVBN\tB-VP\tO' -p320777 -aS',\t,\t,\tO\tO' -p320778 -aS'sedated\tsedate\tVBN\tB-NP\tO' -p320779 -aS',\t,\t,\tI-NP\tO' -p320780 -aS'not\tnot\tRB\tI-NP\tO' -p320781 -aS'responsive\tresponsive\tJJ\tB-ADJP\tO' -p320782 -aS'to\tto\tTO\tB-PP\tO' -p320783 -aS'command\tcommand\tNN\tB-NP\tO' -p320784 -aS',\t,\t,\tO\tO' -p320785 -aS'retracts\tretract\tVBZ\tB-VP\tO' -p320786 -aS'to\tto\tTO\tI-VP\tO' -p320787 -aS'pain\tpain\tVB\tI-VP\tO' -p320788 -asS'As she was felt by the CCU to be a poor candidate for right heart cath , was hemodynamically stable with blood pressure 110 s- 120 s systolic and pulse 70 s- 80 s , she was called out of the CCU and back to the cardiac floor without intervention .' -p320789 -(lp320790 -S'As\tAs\tIN\tB-SBAR\tO' -p320791 -aS'she\tshe\tPRP\tB-NP\tO' -p320792 -aS'was\tbe\tVBD\tB-VP\tO' -p320793 -aS'felt\tfeel\tVBN\tI-VP\tO' -p320794 -aS'by\tby\tIN\tB-PP\tO' -p320795 -aS'the\tthe\tDT\tB-NP\tO' -p320796 -aS'CCU\tCCU\tNN\tI-NP\tB-protein' -p320797 -aS'to\tto\tTO\tB-VP\tO' -p320798 -aS'be\tbe\tVB\tI-VP\tO' -p320799 -aS'a\ta\tDT\tB-NP\tO' -p320800 -aS'poor\tpoor\tJJ\tI-NP\tO' -p320801 -aS'candidate\tcandidate\tNN\tI-NP\tO' -p320802 -aS'for\tfor\tIN\tB-PP\tO' -p320803 -aS'right\tright\tJJ\tB-NP\tO' -p320804 -aS'heart\theart\tNN\tI-NP\tO' -p320805 -aS'cath\tcath\tNN\tI-NP\tO' -p320806 -aS',\t,\t,\tO\tO' -p320807 -aS'was\tbe\tVBD\tB-VP\tO' -p320808 -aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' -p320809 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p320810 -aS'with\twith\tIN\tB-PP\tO' -p320811 -aS'blood\tblood\tNN\tB-NP\tO' -p320812 -aS'pressure\tpressure\tNN\tI-NP\tO' -p320813 -aS'110\t110\tCD\tI-NP\tO' -p320814 -aS's-\ts-\tHYPH\tI-NP\tO' -p320815 -aS'120\t120\tCD\tI-NP\tO' -p320816 -aS's\ts\tNN\tI-NP\tO' -p320817 -aS'systolic\tsystolic\tJJ\tB-ADJP\tO' -p320818 -aS'and\tand\tCC\tO\tO' -p320819 -aS'pulse\tpulse\tNN\tB-NP\tO' -p320820 -aS'70\t70\tCD\tI-NP\tO' -p320821 -aS's-\ts-\tHYPH\tI-NP\tO' -p320822 -aS'80\t80\tCD\tI-NP\tO' -p320823 -aS's\ts\tNN\tI-NP\tO' -p320824 -aS',\t,\t,\tO\tO' -p320825 -aS'she\tshe\tPRP\tB-NP\tO' -p320826 -aS'was\tbe\tVBD\tB-VP\tO' -p320827 -aS'called\tcall\tVBN\tI-VP\tO' -p320828 -aS'out\tout\tIN\tB-PP\tO' -p320829 -aS'of\tof\tIN\tB-PP\tO' -p320830 -aS'the\tthe\tDT\tB-NP\tO' -p320831 -aS'CCU\tCCU\tNN\tI-NP\tO' -p320832 -aS'and\tand\tCC\tO\tO' -p320833 -aS'back\tback\tRB\tB-ADVP\tO' -p320834 -aS'to\tto\tTO\tB-PP\tO' -p320835 -aS'the\tthe\tDT\tB-NP\tO' -p320836 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p320837 -aS'floor\tfloor\tNN\tI-NP\tO' -p320838 -aS'without\twithout\tIN\tB-PP\tO' -p320839 -aS'intervention\tintervention\tNN\tB-NP\tO' -p320840 -aS'.\t.\t.\tO\tO' -p320841 -asS'The patient was admitted to the Medical ICU where his hypotension was managed with IVF hydration and he was maintained on a diltiazam drip for atrial fibrillation .' -p320842 -(lp320843 -S'The\tThe\tDT\tB-NP\tO' -p320844 -aS'patient\tpatient\tNN\tI-NP\tO' -p320845 -aS'was\tbe\tVBD\tB-VP\tO' -p320846 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p320847 -aS'to\tto\tTO\tB-PP\tO' -p320848 -aS'the\tthe\tDT\tB-NP\tO' -p320849 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p320850 -aS'ICU\tICU\tNNP\tI-NP\tO' -p320851 -aS'where\twhere\tWRB\tB-ADVP\tO' -p320852 -aS'his\this\tPRP$\tB-NP\tO' -p320853 -aS'hypotension\thypotension\tNN\tI-NP\tO' -p320854 -aS'was\tbe\tVBD\tB-VP\tO' -p320855 -aS'managed\tmanage\tVBN\tI-VP\tO' -p320856 -aS'with\twith\tIN\tB-PP\tO' -p320857 -aS'IVF\tIVF\tNN\tB-NP\tO' -p320858 -aS'hydration\thydration\tNN\tI-NP\tO' -p320859 -aS'and\tand\tCC\tO\tO' -p320860 -aS'he\the\tPRP\tB-NP\tO' -p320861 -aS'was\tbe\tVBD\tB-VP\tO' -p320862 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p320863 -aS'on\ton\tIN\tB-PP\tO' -p320864 -aS'a\ta\tDT\tB-NP\tO' -p320865 -aS'diltiazam\tdiltiazam\tNN\tI-NP\tO' -p320866 -aS'drip\tdrip\tNN\tI-NP\tO' -p320867 -aS'for\tfor\tIN\tB-PP\tO' -p320868 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p320869 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p320870 -aS'.\t.\t.\tO\tO' -p320871 -asS'This was changed to Solu-Medrol part way through the course due to her hematologic problems , see below .' -p320872 -(lp320873 -S'This\tThis\tDT\tB-NP\tO' -p320874 -aS'was\tbe\tVBD\tB-VP\tO' -p320875 -aS'changed\tchange\tVBN\tI-VP\tO' -p320876 -aS'to\tto\tTO\tB-PP\tO' -p320877 -aS'Solu-Medrol\tSolu-Medrol\tJJ\tB-NP\tO' -p320878 -aS'part\tpart\tNN\tI-NP\tO' -p320879 -aS'way\tway\tNN\tI-NP\tO' -p320880 -aS'through\tthrough\tIN\tB-PP\tO' -p320881 -aS'the\tthe\tDT\tB-NP\tO' -p320882 -aS'course\tcourse\tNN\tI-NP\tO' -p320883 -aS'due\tdue\tJJ\tB-ADJP\tO' -p320884 -aS'to\tto\tTO\tB-PP\tO' -p320885 -aS'her\ther\tPRP$\tB-NP\tO' -p320886 -aS'hematologic\thematologic\tJJ\tI-NP\tO' -p320887 -aS'problems\tproblem\tNNS\tI-NP\tO' -p320888 -aS',\t,\t,\tO\tO' -p320889 -aS'see\tsee\tVB\tB-VP\tO' -p320890 -aS'below\tbelow\tIN\tB-ADVP\tO' -p320891 -aS'.\t.\t.\tO\tO' -p320892 -asS'A renal ultrasound was obtained .' -p320893 -(lp320894 -S'A\tA\tDT\tB-NP\tO' -p320895 -aS'renal\trenal\tJJ\tI-NP\tO' -p320896 -aS'ultrasound\tultrasound\tNN\tI-NP\tO' -p320897 -aS'was\tbe\tVBD\tB-VP\tO' -p320898 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p320899 -aS'.\t.\t.\tO\tO' -p320900 -asS'She was discharged with a prescription for Tylenol #3 with Physical Therapy .' -p320901 -(lp320902 -S'She\tShe\tPRP\tB-NP\tO' -p320903 -aS'was\tbe\tVBD\tB-VP\tO' -p320904 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p320905 -aS'with\twith\tIN\tB-PP\tO' -p320906 -aS'a\ta\tDT\tB-NP\tO' -p320907 -aS'prescription\tprescription\tNN\tI-NP\tO' -p320908 -aS'for\tfor\tIN\tB-PP\tO' -p320909 -aS'Tylenol\tTylenol\tNN\tB-NP\tO' -p320910 -aS'#3\t#3\tNN\tI-NP\tO' -p320911 -aS'with\twith\tIN\tB-PP\tO' -p320912 -aS'Physical\tPhysical\tJJ\tB-NP\tO' -p320913 -aS'Therapy\tTherapy\tNN\tI-NP\tO' -p320914 -aS'.\t.\t.\tO\tO' -p320915 -asS'There is a remote right frontal infarct .' -p320916 -(lp320917 -S'There\tThere\tEX\tB-NP\tO' -p320918 -aS'is\tbe\tVBZ\tB-VP\tO' -p320919 -aS'a\ta\tDT\tB-NP\tO' -p320920 -aS'remote\tremote\tJJ\tI-NP\tO' -p320921 -aS'right\tright\tJJ\tI-NP\tO' -p320922 -aS'frontal\tfrontal\tJJ\tI-NP\tO' -p320923 -aS'infarct\tinfarct\tNN\tI-NP\tO' -p320924 -aS'.\t.\t.\tO\tO' -p320925 -asS'Patient remained on suicide precautions , but was deemed not to need ICU level monitoring , and was transferred to the floor on 01-11 .' -p320926 -(lp320927 -S'Patient\tPatient\tNN\tB-NP\tO' -p320928 -aS'remained\tremain\tVBD\tB-VP\tO' -p320929 -aS'on\ton\tIN\tB-PP\tO' -p320930 -aS'suicide\tsuicide\tNN\tB-NP\tO' -p320931 -aS'precautions\tprecaution\tNNS\tI-NP\tO' -p320932 -aS',\t,\t,\tO\tO' -p320933 -aS'but\tbut\tCC\tO\tO' -p320934 -aS'was\tbe\tVBD\tB-VP\tO' -p320935 -aS'deemed\tdeem\tVBN\tI-VP\tO' -p320936 -aS'not\tnot\tRB\tO\tO' -p320937 -aS'to\tto\tTO\tB-VP\tO' -p320938 -aS'need\tneed\tVB\tI-VP\tO' -p320939 -aS'ICU\tICU\tNN\tB-NP\tB-protein' -p320940 -aS'level\tlevel\tNN\tI-NP\tO' -p320941 -aS'monitoring\tmonitoring\tNN\tI-NP\tO' -p320942 -aS',\t,\t,\tO\tO' -p320943 -aS'and\tand\tCC\tO\tO' -p320944 -aS'was\tbe\tVBD\tB-VP\tO' -p320945 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p320946 -aS'to\tto\tTO\tB-PP\tO' -p320947 -aS'the\tthe\tDT\tB-NP\tO' -p320948 -aS'floor\tfloor\tNN\tI-NP\tO' -p320949 -aS'on\ton\tIN\tB-PP\tO' -p320950 -aS'01-11\t01-11\tNN\tB-NP\tO' -p320951 -aS'.\t.\t.\tO\tO' -p320952 -asS'5. Isosorbide Mononitrate 30 mg Tablet Sustained Release 24 hr Sig : One ( 1 ) Tablet Sustained Release 24 hr PO DAILY ( Daily ).' -p320953 -(lp320954 -S'5.\t5.\tLS\tB-NP\tO' -p320955 -aS'Isosorbide\tIsosorbide\tNN\tI-NP\tO' -p320956 -aS'Mononitrate\tMononitrate\tNN\tI-NP\tO' -p320957 -aS'30\t30\tCD\tI-NP\tO' -p320958 -aS'mg\tmg\tNN\tI-NP\tO' -p320959 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p320960 -aS'Sustained\tSustain\tVBD\tB-VP\tO' -p320961 -aS'Release\tRelease\tNNP\tB-NP\tO' -p320962 -aS'24\t24\tCD\tI-NP\tO' -p320963 -aS'hr\thr\tNN\tI-NP\tO' -p320964 -aS'Sig\tSig\tNNP\tI-NP\tO' -p320965 -aS':\t:\t:\tO\tO' -p320966 -aS'One\tOne\tCD\tB-NP\tO' -p320967 -aS'(\t(\t(\tO\tO' -p320968 -aS'1\t1\tCD\tB-NP\tO' -p320969 -aS')\t)\t)\tO\tO' -p320970 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p320971 -aS'Sustained\tSustain\tVBD\tB-VP\tO' -p320972 -aS'Release\tRelease\tNNP\tB-NP\tO' -p320973 -aS'24\t24\tCD\tI-NP\tO' -p320974 -aS'hr\thr\tNN\tI-NP\tO' -p320975 -aS'PO\tPO\tNN\tI-NP\tO' -p320976 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p320977 -aS'(\t(\t(\tO\tO' -p320978 -aS'Daily\tDaily\tNNP\tB-NP\tO' -p320979 -aS').\t).\t)\tO\tO' -p320980 -asS"Was at this doctor 's office and complained of severe headache ." -p320981 -(lp320982 -S'Was\tWa\tNNS\tB-NP\tB-protein' -p320983 -aS'at\tat\tIN\tB-PP\tO' -p320984 -aS'this\tthis\tDT\tB-NP\tO' -p320985 -aS'doctor\tdoctor\tNN\tI-NP\tO' -p320986 -aS"'s\t's\tPOS\tB-NP\tO" -p320987 -aS'office\toffice\tNN\tI-NP\tO' -p320988 -aS'and\tand\tCC\tO\tO' -p320989 -aS'complained\tcomplain\tVBD\tB-VP\tO' -p320990 -aS'of\tof\tIN\tB-PP\tO' -p320991 -aS'severe\tsevere\tJJ\tB-NP\tO' -p320992 -aS'headache\theadache\tNN\tI-NP\tO' -p320993 -aS'.\t.\t.\tO\tO' -p320994 -asS'1. Acetaminophen 325 mg Tablet Sig : Two ( 2 ) Tablet PO Q4-6H ( every 4 to 6 hours ) as needed for fever or pain .' -p320995 -(lp320996 -S'1.\t1.\tLS\tB-NP\tO' -p320997 -aS'Acetaminophen\tAcetaminophen\tNN\tI-NP\tO' -p320998 -aS'325\t325\tCD\tI-NP\tO' -p320999 -aS'mg\tmg\tNN\tI-NP\tO' -p321000 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p321001 -aS'Sig\tSig\tNNP\tI-NP\tO' -p321002 -aS':\t:\t:\tO\tO' -p321003 -aS'Two\tTwo\tCD\tB-NP\tO' -p321004 -aS'(\t(\t(\tO\tO' -p321005 -aS'2\t2\tCD\tO\tO' -p321006 -aS')\t)\t)\tO\tO' -p321007 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p321008 -aS'PO\tPO\tNN\tI-NP\tO' -p321009 -aS'Q4-6H\tQ4-6H\tNN\tI-NP\tO' -p321010 -aS'(\t(\t(\tO\tO' -p321011 -aS'every\tevery\tDT\tB-NP\tO' -p321012 -aS'4\t4\tCD\tI-NP\tO' -p321013 -aS'to\tto\tTO\tI-NP\tO' -p321014 -aS'6\t6\tCD\tI-NP\tO' -p321015 -aS'hours\thour\tNNS\tI-NP\tO' -p321016 -aS')\t)\t)\tO\tO' -p321017 -aS'as\tas\tIN\tB-SBAR\tO' -p321018 -aS'needed\tneed\tVBN\tB-VP\tO' -p321019 -aS'for\tfor\tIN\tB-PP\tO' -p321020 -aS'fever\tfever\tNN\tB-NP\tO' -p321021 -aS'or\tor\tCC\tI-NP\tO' -p321022 -aS'pain\tpain\tNN\tI-NP\tO' -p321023 -aS'.\t.\t.\tO\tO' -p321024 -asS'Extremities had no edema .' -p321025 -(lp321026 -S'Extremities\tExtremity\tNNS\tB-NP\tO' -p321027 -aS'had\thave\tVBD\tB-VP\tO' -p321028 -aS'no\tno\tDT\tB-NP\tO' -p321029 -aS'edema\tedema\tNN\tI-NP\tO' -p321030 -aS'.\t.\t.\tO\tO' -p321031 -asS'This pain often follows bowel movement but does occur spontaneously .' -p321032 -(lp321033 -S'This\tThis\tDT\tB-NP\tO' -p321034 -aS'pain\tpain\tNN\tI-NP\tO' -p321035 -aS'often\toften\tRB\tB-ADVP\tO' -p321036 -aS'follows\tfollow\tVBZ\tB-VP\tO' -p321037 -aS'bowel\tbowel\tNN\tB-NP\tO' -p321038 -aS'movement\tmovement\tNN\tI-NP\tO' -p321039 -aS'but\tbut\tCC\tO\tO' -p321040 -aS'does\tdo\tVBZ\tB-VP\tO' -p321041 -aS'occur\toccur\tVB\tI-VP\tO' -p321042 -aS'spontaneously\tspontaneously\tRB\tB-ADVP\tO' -p321043 -aS'.\t.\t.\tO\tO' -p321044 -asS'Given this we were unable to offer her additional therapy. Hematology/Oncology service at Mediplex Rehab Hospital confirmed her grim prognosis and expective survival in terms of weeks to months with no further available treatment .' -p321045 -(lp321046 -S'Given\tGive\tVBN\tB-PP\tO' -p321047 -aS'this\tthis\tDT\tB-NP\tO' -p321048 -aS'we\twe\tPRP\tB-NP\tO' -p321049 -aS'were\tbe\tVBD\tB-VP\tO' -p321050 -aS'unable\tunable\tJJ\tB-ADJP\tO' -p321051 -aS'to\tto\tTO\tB-VP\tO' -p321052 -aS'offer\toffer\tVB\tI-VP\tO' -p321053 -aS'her\ther\tPRP$\tB-NP\tO' -p321054 -aS'additional\tadditional\tJJ\tI-NP\tO' -p321055 -aS'therapy.\ttherapy.\tNNP\tI-NP\tO' -p321056 -aS'Hematology/Oncology\tHematology/Oncology\tNNP\tI-NP\tO' -p321057 -aS'service\tservice\tNN\tI-NP\tO' -p321058 -aS'at\tat\tIN\tB-PP\tO' -p321059 -aS'Mediplex\tMediplex\tNNP\tB-NP\tO' -p321060 -aS'Rehab\tRehab\tNNP\tI-NP\tO' -p321061 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p321062 -aS'confirmed\tconfirm\tVBD\tB-VP\tO' -p321063 -aS'her\ther\tPRP$\tB-NP\tO' -p321064 -aS'grim\tgrim\tJJ\tI-NP\tO' -p321065 -aS'prognosis\tprognosis\tNN\tI-NP\tO' -p321066 -aS'and\tand\tCC\tO\tO' -p321067 -aS'expective\texpective\tJJ\tB-NP\tO' -p321068 -aS'survival\tsurvival\tNN\tI-NP\tO' -p321069 -aS'in\tin\tIN\tB-PP\tO' -p321070 -aS'terms\tterm\tNNS\tB-NP\tO' -p321071 -aS'of\tof\tIN\tB-PP\tO' -p321072 -aS'weeks\tweek\tNNS\tB-NP\tO' -p321073 -aS'to\tto\tTO\tB-PP\tO' -p321074 -aS'months\tmonth\tNNS\tB-NP\tO' -p321075 -aS'with\twith\tIN\tB-PP\tO' -p321076 -aS'no\tno\tDT\tB-NP\tO' -p321077 -aS'further\tfurther\tJJ\tI-NP\tO' -p321078 -aS'available\tavailable\tJJ\tI-NP\tO' -p321079 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p321080 -aS'.\t.\t.\tO\tO' -p321081 -asS'However , his urine culture from the same day remained negative , and this was discontinued two days later .' -p321082 -(lp321083 -S'However\tHowever\tRB\tB-ADVP\tO' -p321084 -aS',\t,\t,\tO\tO' -p321085 -aS'his\this\tPRP$\tB-NP\tO' -p321086 -aS'urine\turine\tJJ\tI-NP\tO' -p321087 -aS'culture\tculture\tNN\tI-NP\tO' -p321088 -aS'from\tfrom\tIN\tB-PP\tO' -p321089 -aS'the\tthe\tDT\tB-NP\tO' -p321090 -aS'same\tsame\tJJ\tI-NP\tO' -p321091 -aS'day\tday\tNN\tI-NP\tO' -p321092 -aS'remained\tremain\tVBD\tB-VP\tO' -p321093 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p321094 -aS',\t,\t,\tO\tO' -p321095 -aS'and\tand\tCC\tO\tO' -p321096 -aS'this\tthis\tDT\tB-NP\tO' -p321097 -aS'was\tbe\tVBD\tB-VP\tO' -p321098 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p321099 -aS'two\ttwo\tCD\tB-NP\tO' -p321100 -aS'days\tday\tNNS\tI-NP\tO' -p321101 -aS'later\tlater\tRB\tB-ADVP\tO' -p321102 -aS'.\t.\t.\tO\tO' -p321103 -asS'It is for this reason that she is discharged with an nasogastric tube and that no plans for G tube placement are made at this time .' -p321104 -(lp321105 -S'It\tIt\tPRP\tB-NP\tO' -p321106 -aS'is\tbe\tVBZ\tB-VP\tO' -p321107 -aS'for\tfor\tIN\tB-PP\tO' -p321108 -aS'this\tthis\tDT\tB-NP\tO' -p321109 -aS'reason\treason\tNN\tI-NP\tO' -p321110 -aS'that\tthat\tIN\tB-SBAR\tO' -p321111 -aS'she\tshe\tPRP\tB-NP\tO' -p321112 -aS'is\tbe\tVBZ\tB-VP\tO' -p321113 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p321114 -aS'with\twith\tIN\tB-PP\tO' -p321115 -aS'an\tan\tDT\tB-NP\tO' -p321116 -aS'nasogastric\tnasogastric\tJJ\tI-NP\tO' -p321117 -aS'tube\ttube\tNN\tI-NP\tO' -p321118 -aS'and\tand\tCC\tO\tO' -p321119 -aS'that\tthat\tIN\tB-SBAR\tO' -p321120 -aS'no\tno\tDT\tB-NP\tO' -p321121 -aS'plans\tplan\tNNS\tI-NP\tO' -p321122 -aS'for\tfor\tIN\tB-PP\tO' -p321123 -aS'G\tG\tNN\tB-NP\tO' -p321124 -aS'tube\ttube\tNN\tI-NP\tO' -p321125 -aS'placement\tplacement\tNN\tI-NP\tO' -p321126 -aS'are\tbe\tVBP\tB-VP\tO' -p321127 -aS'made\tmake\tVBN\tI-VP\tO' -p321128 -aS'at\tat\tIN\tB-PP\tO' -p321129 -aS'this\tthis\tDT\tB-NP\tO' -p321130 -aS'time\ttime\tNN\tI-NP\tO' -p321131 -aS'.\t.\t.\tO\tO' -p321132 -asS'White blood cell count of 22.8 , hematocrit of 42.1 .' -p321133 -(lp321134 -S'White\tWhite\tJJ\tB-NP\tO' -p321135 -aS'blood\tblood\tNN\tI-NP\tO' -p321136 -aS'cell\tcell\tNN\tI-NP\tO' -p321137 -aS'count\tcount\tNN\tI-NP\tO' -p321138 -aS'of\tof\tIN\tB-PP\tO' -p321139 -aS'22.8\t22.8\tCD\tB-NP\tO' -p321140 -aS',\t,\t,\tO\tO' -p321141 -aS'hematocrit\thematocrit\tNN\tB-NP\tO' -p321142 -aS'of\tof\tIN\tB-PP\tO' -p321143 -aS'42.1\t42.1\tCD\tB-NP\tO' -p321144 -aS'.\t.\t.\tO\tO' -p321145 -asS'Apgars were seven at one minute and eight at five minutes .' -p321146 -(lp321147 -S'Apgars\tApgar\tNNS\tB-NP\tO' -p321148 -aS'were\tbe\tVBD\tB-VP\tO' -p321149 -aS'seven\tseven\tCD\tB-NP\tO' -p321150 -aS'at\tat\tIN\tB-PP\tO' -p321151 -aS'one\tone\tCD\tB-NP\tO' -p321152 -aS'minute\tminute\tNN\tI-NP\tO' -p321153 -aS'and\tand\tCC\tO\tO' -p321154 -aS'eight\teight\tCD\tB-NP\tO' -p321155 -aS'at\tat\tIN\tB-PP\tO' -p321156 -aS'five\tfive\tCD\tB-NP\tO' -p321157 -aS'minutes\tminute\tNNS\tI-NP\tO' -p321158 -aS'.\t.\t.\tO\tO' -p321159 -asS'We continued his ampicillin , Gentamicin , and Flagyl .' -p321160 -(lp321161 -S'We\tWe\tPRP\tB-NP\tO' -p321162 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p321163 -aS'his\this\tPRP$\tB-NP\tO' -p321164 -aS'ampicillin\tampicillin\tNN\tI-NP\tO' -p321165 -aS',\t,\t,\tO\tO' -p321166 -aS'Gentamicin\tGentamicin\tNN\tB-NP\tO' -p321167 -aS',\t,\t,\tO\tO' -p321168 -aS'and\tand\tCC\tO\tO' -p321169 -aS'Flagyl\tFlagyl\tNN\tB-NP\tO' -p321170 -aS'.\t.\t.\tO\tO' -p321171 -asS'Wife verbally agrees to understanding .' -p321172 -(lp321173 -S'Wife\tWife\tNNP\tB-NP\tO' -p321174 -aS'verbally\tverbally\tRB\tB-ADVP\tO' -p321175 -aS'agrees\tagree\tVBZ\tB-VP\tO' -p321176 -aS'to\tto\tTO\tB-PP\tO' -p321177 -aS'understanding\tunderstand\tVBG\tB-NP\tO' -p321178 -aS'.\t.\t.\tO\tO' -p321179 -asS'She will need to follow up with Dr. Uph on 02/21/03 at 9:30 a.m.' -p321180 -(lp321181 -S'She\tShe\tPRP\tB-NP\tO' -p321182 -aS'will\twill\tMD\tB-VP\tO' -p321183 -aS'need\tneed\tVB\tI-VP\tO' -p321184 -aS'to\tto\tTO\tI-VP\tO' -p321185 -aS'follow\tfollow\tVB\tI-VP\tO' -p321186 -aS'up\tup\tRP\tB-PRT\tO' -p321187 -aS'with\twith\tIN\tB-PP\tO' -p321188 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p321189 -aS'Uph\tUph\tNNP\tI-NP\tO' -p321190 -aS'on\ton\tIN\tB-PP\tO' -p321191 -aS'02/21/03\t02/21/03\tCD\tB-NP\tO' -p321192 -aS'at\tat\tIN\tB-PP\tO' -p321193 -aS'9:30\t9:30\tCD\tB-NP\tO' -p321194 -aS'a.m.\ta.m.\tNN\tI-NP\tO' -p321195 -asS"b) Addison 's disease , dxed 1960" -p321196 -(lp321197 -S'b)\tb)\tLS\tB-NP\tO' -p321198 -aS'Addison\tAddison\tNN\tI-NP\tO' -p321199 -aS"'s\t's\tPOS\tB-NP\tO" -p321200 -aS'disease\tdisease\tNN\tI-NP\tO' -p321201 -aS',\t,\t,\tO\tO' -p321202 -aS'dxed\tdxe\tVBD\tB-VP\tO' -p321203 -aS'1960\t1960\tCD\tB-NP\tO' -p321204 -asS'The lungs showed mild inspiratory wheeze and moderate expiratory wheezes .' -p321205 -(lp321206 -S'The\tThe\tDT\tB-NP\tO' -p321207 -aS'lungs\tlung\tNNS\tI-NP\tO' -p321208 -aS'showed\tshow\tVBD\tB-VP\tO' -p321209 -aS'mild\tmild\tJJ\tB-NP\tO' -p321210 -aS'inspiratory\tinspiratory\tJJ\tI-NP\tO' -p321211 -aS'wheeze\twheeze\tNN\tI-NP\tO' -p321212 -aS'and\tand\tCC\tO\tO' -p321213 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p321214 -aS'expiratory\texpiratory\tJJ\tI-NP\tO' -p321215 -aS'wheezes\twheeze\tNNS\tI-NP\tO' -p321216 -aS'.\t.\t.\tO\tO' -p321217 -asS'PT 14.1 with an INR of 1.4 , PTT 36.7 .' -p321218 -(lp321219 -S'PT\tPT\tNN\tB-NP\tO' -p321220 -aS'14.1\t14.1\tCD\tI-NP\tO' -p321221 -aS'with\twith\tIN\tB-PP\tO' -p321222 -aS'an\tan\tDT\tB-NP\tO' -p321223 -aS'INR\tINR\tNN\tI-NP\tB-protein' -p321224 -aS'of\tof\tIN\tB-PP\tO' -p321225 -aS'1.4\t1.4\tCD\tB-NP\tO' -p321226 -aS',\t,\t,\tO\tO' -p321227 -aS'PTT\tPTT\tNN\tB-NP\tB-protein' -p321228 -aS'36.7\t36.7\tCD\tI-NP\tI-protein' -p321229 -aS'.\t.\t.\tO\tO' -p321230 -asS'The wound had a beefy red cellulitic area surrounding an open area , blanching to touch .' -p321231 -(lp321232 -S'The\tThe\tDT\tB-NP\tO' -p321233 -aS'wound\twound\tNN\tI-NP\tO' -p321234 -aS'had\thave\tVBD\tB-VP\tO' -p321235 -aS'a\ta\tDT\tB-NP\tO' -p321236 -aS'beefy\tbeefy\tJJ\tI-NP\tO' -p321237 -aS'red\tred\tJJ\tI-NP\tO' -p321238 -aS'cellulitic\tcellulitic\tJJ\tI-NP\tO' -p321239 -aS'area\tarea\tNN\tI-NP\tO' -p321240 -aS'surrounding\tsurround\tVBG\tB-VP\tO' -p321241 -aS'an\tan\tDT\tB-NP\tO' -p321242 -aS'open\topen\tJJ\tI-NP\tO' -p321243 -aS'area\tarea\tNN\tI-NP\tO' -p321244 -aS',\t,\t,\tO\tO' -p321245 -aS'blanching\tblanch\tVBG\tB-VP\tO' -p321246 -aS'to\tto\tTO\tI-VP\tO' -p321247 -aS'touch\ttouch\tVB\tI-VP\tO' -p321248 -aS'.\t.\t.\tO\tO' -p321249 -asS'He was well-appearing and in no apparent distress .' -p321250 -(lp321251 -S'He\tHe\tPRP\tB-NP\tO' -p321252 -aS'was\tbe\tVBD\tB-VP\tO' -p321253 -aS'well-appearing\twell-appearing\tJJ\tB-ADJP\tO' -p321254 -aS'and\tand\tCC\tO\tO' -p321255 -aS'in\tin\tIN\tB-PP\tO' -p321256 -aS'no\tno\tDT\tB-NP\tO' -p321257 -aS'apparent\tapparent\tJJ\tI-NP\tO' -p321258 -aS'distress\tdistress\tNN\tI-NP\tO' -p321259 -aS'.\t.\t.\tO\tO' -p321260 -asS'Coronary artery disease with congestive heart failure .' -p321261 -(lp321262 -S'Coronary\tCoronary\tJJ\tB-NP\tO' -p321263 -aS'artery\tartery\tNN\tI-NP\tO' -p321264 -aS'disease\tdisease\tNN\tI-NP\tO' -p321265 -aS'with\twith\tIN\tB-PP\tO' -p321266 -aS'congestive\tcongestive\tJJ\tB-NP\tO' -p321267 -aS'heart\theart\tNN\tI-NP\tO' -p321268 -aS'failure\tfailure\tNN\tI-NP\tO' -p321269 -aS'.\t.\t.\tO\tO' -p321270 -asS'All of her stools were guaiaced .' -p321271 -(lp321272 -S'All\tAll\tDT\tB-NP\tO' -p321273 -aS'of\tof\tIN\tB-PP\tO' -p321274 -aS'her\ther\tPRP$\tB-NP\tO' -p321275 -aS'stools\tstool\tNNS\tI-NP\tO' -p321276 -aS'were\tbe\tVBD\tB-VP\tO' -p321277 -aS'guaiaced\tguaiace\tVBN\tI-VP\tO' -p321278 -aS'.\t.\t.\tO\tO' -p321279 -asS'His blood pressure was 114 to 123/62 .' -p321280 -(lp321281 -S'His\tHis\tPRP$\tB-NP\tO' -p321282 -aS'blood\tblood\tNN\tI-NP\tO' -p321283 -aS'pressure\tpressure\tNN\tI-NP\tO' -p321284 -aS'was\tbe\tVBD\tB-VP\tO' -p321285 -aS'114\t114\tCD\tB-NP\tO' -p321286 -aS'to\tto\tTO\tB-PP\tO' -p321287 -aS'123/62\t123/62\tCD\tB-NP\tO' -p321288 -aS'.\t.\t.\tO\tO' -p321289 -asS'In general , a well appearing elderly female in no acute distress .' -p321290 -(lp321291 -S'In\tIn\tIN\tB-PP\tO' -p321292 -aS'general\tgeneral\tJJ\tB-ADJP\tO' -p321293 -aS',\t,\t,\tO\tO' -p321294 -aS'a\ta\tDT\tB-NP\tO' -p321295 -aS'well\twell\tRB\tI-NP\tO' -p321296 -aS'appearing\tappear\tVBG\tI-NP\tO' -p321297 -aS'elderly\telderly\tJJ\tI-NP\tO' -p321298 -aS'female\tfemale\tNN\tI-NP\tO' -p321299 -aS'in\tin\tIN\tB-PP\tO' -p321300 -aS'no\tno\tDT\tB-NP\tO' -p321301 -aS'acute\tacute\tJJ\tI-NP\tO' -p321302 -aS'distress\tdistress\tNN\tI-NP\tO' -p321303 -aS'.\t.\t.\tO\tO' -p321304 -asS'The patient was taken emergently to the operating room on 2009-05-02 for his CABG , right coronary endarterectomy , removal of RCA stents and retrieval of the aortic guidewire .' -p321305 -(lp321306 -S'The\tThe\tDT\tB-NP\tO' -p321307 -aS'patient\tpatient\tNN\tI-NP\tO' -p321308 -aS'was\tbe\tVBD\tB-VP\tO' -p321309 -aS'taken\ttake\tVBN\tI-VP\tO' -p321310 -aS'emergently\temergently\tRB\tB-ADVP\tO' -p321311 -aS'to\tto\tTO\tB-PP\tO' -p321312 -aS'the\tthe\tDT\tB-NP\tO' -p321313 -aS'operating\toperating\tNN\tI-NP\tO' -p321314 -aS'room\troom\tNN\tI-NP\tO' -p321315 -aS'on\ton\tIN\tB-PP\tO' -p321316 -aS'2009-05-02\t2009-05-02\tCD\tB-NP\tO' -p321317 -aS'for\tfor\tIN\tB-PP\tO' -p321318 -aS'his\this\tPRP$\tB-NP\tO' -p321319 -aS'CABG\tCABG\tNN\tI-NP\tB-protein' -p321320 -aS',\t,\t,\tO\tO' -p321321 -aS'right\tright\tJJ\tB-NP\tO' -p321322 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p321323 -aS'endarterectomy\tendarterectomy\tNN\tI-NP\tO' -p321324 -aS',\t,\t,\tO\tO' -p321325 -aS'removal\tremoval\tNN\tB-NP\tO' -p321326 -aS'of\tof\tIN\tB-PP\tO' -p321327 -aS'RCA\tRCA\tNN\tB-NP\tO' -p321328 -aS'stents\tstent\tNNS\tI-NP\tO' -p321329 -aS'and\tand\tCC\tO\tO' -p321330 -aS'retrieval\tretrieval\tNN\tB-NP\tO' -p321331 -aS'of\tof\tIN\tB-PP\tO' -p321332 -aS'the\tthe\tDT\tB-NP\tO' -p321333 -aS'aortic\taortic\tJJ\tI-NP\tO' -p321334 -aS'guidewire\tguidewire\tNN\tI-NP\tO' -p321335 -aS'.\t.\t.\tO\tO' -p321336 -asS'Penicillins / Codeine / Heparin Agents / Levofloxacin' -p321337 -(lp321338 -S'Penicillins\tPenicillin\tNNS\tB-NP\tB-protein' -p321339 -aS'/\t/\tSYM\tB-NP\tO' -p321340 -aS'Codeine\tCodeine\tNN\tI-NP\tO' -p321341 -aS'/\t/\tSYM\tO\tO' -p321342 -aS'Heparin\tHeparin\tNN\tB-NP\tO' -p321343 -aS'Agents\tAgent\tNNPS\tI-NP\tO' -p321344 -aS'/\t/\tSYM\tB-VP\tO' -p321345 -aS'Levofloxacin\tLevofloxacin\tNN\tB-NP\tO' -p321346 -asS'On 7/9/99 , the patient was tolerating a house diet .' -p321347 -(lp321348 -S'On\tOn\tIN\tB-PP\tO' -p321349 -aS'7/9/99\t7/9/99\tCD\tB-NP\tO' -p321350 -aS',\t,\t,\tO\tO' -p321351 -aS'the\tthe\tDT\tB-NP\tO' -p321352 -aS'patient\tpatient\tNN\tI-NP\tO' -p321353 -aS'was\tbe\tVBD\tB-VP\tO' -p321354 -aS'tolerating\ttolerate\tVBG\tI-VP\tO' -p321355 -aS'a\ta\tDT\tB-NP\tO' -p321356 -aS'house\thouse\tNN\tI-NP\tO' -p321357 -aS'diet\tdiet\tNN\tI-NP\tO' -p321358 -aS'.\t.\t.\tO\tO' -p321359 -asS'USOH until 3 day PTa , dev new SS chest pressure sometimes rad to back and L neck / jaw .' -p321360 -(lp321361 -S'USOH\tUSOH\tNN\tB-NP\tO' -p321362 -aS'until\tuntil\tIN\tB-PP\tO' -p321363 -aS'3\t3\tCD\tB-NP\tO' -p321364 -aS'day\tday\tNN\tI-NP\tO' -p321365 -aS'PTa\tPTa\tNN\tI-NP\tO' -p321366 -aS',\t,\t,\tO\tO' -p321367 -aS'dev\tdev\tVBP\tB-VP\tO' -p321368 -aS'new\tnew\tJJ\tB-NP\tO' -p321369 -aS'SS\tSS\tNN\tI-NP\tO' -p321370 -aS'chest\tchest\tNN\tI-NP\tO' -p321371 -aS'pressure\tpressure\tNN\tI-NP\tO' -p321372 -aS'sometimes\tsometimes\tRB\tB-ADVP\tO' -p321373 -aS'rad\trad\tVBD\tB-VP\tO' -p321374 -aS'to\tto\tTO\tI-VP\tO' -p321375 -aS'back\tback\tVB\tI-VP\tO' -p321376 -aS'and\tand\tCC\tO\tO' -p321377 -aS'L\tL\tNN\tB-NP\tO' -p321378 -aS'neck\tneck\tNN\tI-NP\tO' -p321379 -aS'/\t/\tSYM\tB-NP\tO' -p321380 -aS'jaw\tjaw\tNN\tI-NP\tO' -p321381 -aS'.\t.\t.\tO\tO' -p321382 -asS'Lungs are clear to auscultation bilaterally .' -p321383 -(lp321384 -S'Lungs\tLung\tNNS\tB-NP\tO' -p321385 -aS'are\tbe\tVBP\tB-VP\tO' -p321386 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p321387 -aS'to\tto\tTO\tB-PP\tO' -p321388 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p321389 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p321390 -aS'.\t.\t.\tO\tO' -p321391 -asS'An autopsy will be performed .' -p321392 -(lp321393 -S'An\tAn\tDT\tB-NP\tO' -p321394 -aS'autopsy\tautopsy\tNN\tI-NP\tO' -p321395 -aS'will\twill\tMD\tB-VP\tO' -p321396 -aS'be\tbe\tVB\tI-VP\tO' -p321397 -aS'performed\tperform\tVBN\tI-VP\tO' -p321398 -aS'.\t.\t.\tO\tO' -p321399 -asS'He initially did well after extubation and completed approximately two weeks of Bactrim and a steroid taper .' -p321400 -(lp321401 -S'He\tHe\tPRP\tB-NP\tO' -p321402 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p321403 -aS'did\tdo\tVBD\tB-VP\tO' -p321404 -aS'well\twell\tRB\tB-ADVP\tO' -p321405 -aS'after\tafter\tIN\tB-PP\tO' -p321406 -aS'extubation\textubation\tNN\tB-NP\tO' -p321407 -aS'and\tand\tCC\tO\tO' -p321408 -aS'completed\tcomplete\tVBD\tB-VP\tO' -p321409 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p321410 -aS'two\ttwo\tCD\tI-NP\tO' -p321411 -aS'weeks\tweek\tNNS\tI-NP\tO' -p321412 -aS'of\tof\tIN\tB-PP\tO' -p321413 -aS'Bactrim\tBactrim\tNNP\tB-NP\tO' -p321414 -aS'and\tand\tCC\tO\tO' -p321415 -aS'a\ta\tDT\tB-NP\tO' -p321416 -aS'steroid\tsteroid\tNN\tI-NP\tO' -p321417 -aS'taper\ttaper\tNN\tI-NP\tO' -p321418 -aS'.\t.\t.\tO\tO' -p321419 -asS'2. unstable angina ( postmyocardial infarction angina ) ,' -p321420 -(lp321421 -S'2.\t2.\tLS\tB-NP\tO' -p321422 -aS'unstable\tunstable\tJJ\tI-NP\tO' -p321423 -aS'angina\tangina\tNN\tI-NP\tO' -p321424 -aS'(\t(\t(\tO\tO' -p321425 -aS'postmyocardial\tpostmyocardial\tJJ\tB-NP\tO' -p321426 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p321427 -aS'angina\tangina\tNN\tI-NP\tO' -p321428 -aS')\t)\t)\tO\tO' -p321429 -aS',\t,\t,\tO\tO' -p321430 -asS'No creams , lotions or ointments to incisions .' -p321431 -(lp321432 -S'No\tNo\tDT\tB-NP\tO' -p321433 -aS'creams\tcream\tNNS\tI-NP\tO' -p321434 -aS',\t,\t,\tI-NP\tO' -p321435 -aS'lotions\tlotion\tNNS\tI-NP\tO' -p321436 -aS'or\tor\tCC\tI-NP\tO' -p321437 -aS'ointments\tointment\tNNS\tI-NP\tO' -p321438 -aS'to\tto\tTO\tB-PP\tO' -p321439 -aS'incisions\tincision\tNNS\tB-NP\tO' -p321440 -aS'.\t.\t.\tO\tO' -p321441 -asS'Has children but they are not nearby .' -p321442 -(lp321443 -S'Has\tHas\tNNP\tB-NP\tO' -p321444 -aS'children\tchild\tNNS\tI-NP\tO' -p321445 -aS'but\tbut\tCC\tO\tO' -p321446 -aS'they\tthey\tPRP\tB-NP\tO' -p321447 -aS'are\tbe\tVBP\tB-VP\tO' -p321448 -aS'not\tnot\tRB\tO\tO' -p321449 -aS'nearby\tnearby\tRB\tB-ADVP\tO' -p321450 -aS'.\t.\t.\tO\tO' -p321451 -asS'Her chest pain was controlled with morphine .' -p321452 -(lp321453 -S'Her\tHer\tPRP$\tB-NP\tO' -p321454 -aS'chest\tchest\tNN\tI-NP\tO' -p321455 -aS'pain\tpain\tNN\tI-NP\tO' -p321456 -aS'was\tbe\tVBD\tB-VP\tO' -p321457 -aS'controlled\tcontrol\tVBN\tI-VP\tO' -p321458 -aS'with\twith\tIN\tB-PP\tO' -p321459 -aS'morphine\tmorphine\tNN\tB-NP\tO' -p321460 -aS'.\t.\t.\tO\tO' -p321461 -asS'The patient is discharged to rehabilitation .' -p321462 -(lp321463 -S'The\tThe\tDT\tB-NP\tO' -p321464 -aS'patient\tpatient\tNN\tI-NP\tO' -p321465 -aS'is\tbe\tVBZ\tB-VP\tO' -p321466 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p321467 -aS'to\tto\tTO\tB-PP\tO' -p321468 -aS'rehabilitation\trehabilitation\tNN\tB-NP\tO' -p321469 -aS'.\t.\t.\tO\tO' -p321470 -asS'Her electrolytes were all within normal limits .' -p321471 -(lp321472 -S'Her\tHer\tPRP$\tB-NP\tO' -p321473 -aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' -p321474 -aS'were\tbe\tVBD\tB-VP\tO' -p321475 -aS'all\tall\tDT\tO\tO' -p321476 -aS'within\twithin\tIN\tB-PP\tO' -p321477 -aS'normal\tnormal\tJJ\tB-NP\tO' -p321478 -aS'limits\tlimit\tNNS\tI-NP\tO' -p321479 -aS'.\t.\t.\tO\tO' -p321480 -asS'Ultimately it was decided by 06-28 that the patient had shown minimal improvement and minimal evidence of improvement status , it was decided at this point for the patient to be extubated and to move toward CMO care .' -p321481 -(lp321482 -S'Ultimately\tUltimately\tRB\tB-ADVP\tO' -p321483 -aS'it\tit\tPRP\tB-NP\tO' -p321484 -aS'was\tbe\tVBD\tB-VP\tO' -p321485 -aS'decided\tdecide\tVBN\tI-VP\tO' -p321486 -aS'by\tby\tIN\tB-PP\tO' -p321487 -aS'06-28\t06-28\tCD\tB-NP\tO' -p321488 -aS'that\tthat\tIN\tB-SBAR\tO' -p321489 -aS'the\tthe\tDT\tB-NP\tO' -p321490 -aS'patient\tpatient\tNN\tI-NP\tO' -p321491 -aS'had\thave\tVBD\tB-VP\tO' -p321492 -aS'shown\tshow\tVBN\tI-VP\tO' -p321493 -aS'minimal\tminimal\tJJ\tB-NP\tO' -p321494 -aS'improvement\timprovement\tNN\tI-NP\tO' -p321495 -aS'and\tand\tCC\tO\tO' -p321496 -aS'minimal\tminimal\tJJ\tB-NP\tO' -p321497 -aS'evidence\tevidence\tNN\tI-NP\tO' -p321498 -aS'of\tof\tIN\tB-PP\tO' -p321499 -aS'improvement\timprovement\tNN\tB-NP\tO' -p321500 -aS'status\tstatus\tNN\tI-NP\tO' -p321501 -aS',\t,\t,\tO\tO' -p321502 -aS'it\tit\tPRP\tB-NP\tO' -p321503 -aS'was\tbe\tVBD\tB-VP\tO' -p321504 -aS'decided\tdecide\tVBN\tI-VP\tO' -p321505 -aS'at\tat\tIN\tB-PP\tO' -p321506 -aS'this\tthis\tDT\tB-NP\tO' -p321507 -aS'point\tpoint\tNN\tI-NP\tO' -p321508 -aS'for\tfor\tIN\tB-PP\tO' -p321509 -aS'the\tthe\tDT\tB-NP\tO' -p321510 -aS'patient\tpatient\tNN\tI-NP\tO' -p321511 -aS'to\tto\tTO\tB-VP\tO' -p321512 -aS'be\tbe\tVB\tI-VP\tO' -p321513 -aS'extubated\textubate\tVBN\tI-VP\tO' -p321514 -aS'and\tand\tCC\tO\tO' -p321515 -aS'to\tto\tTO\tB-VP\tO' -p321516 -aS'move\tmove\tVB\tI-VP\tO' -p321517 -aS'toward\ttoward\tIN\tB-PP\tO' -p321518 -aS'CMO\tCMO\tNN\tB-NP\tB-DNA' -p321519 -aS'care\tcare\tNN\tI-NP\tI-DNA' -p321520 -aS'.\t.\t.\tO\tO' -p321521 -asS'At OSH , she was treated with 7 days of vancomycin , as well as 13 days ( of 14-day planned course ) of Ciprofloxacin and Zosyn .' -p321522 -(lp321523 -S'At\tAt\tIN\tB-PP\tO' -p321524 -aS'OSH\tOSH\tNN\tB-NP\tO' -p321525 -aS',\t,\t,\tO\tO' -p321526 -aS'she\tshe\tPRP\tB-NP\tO' -p321527 -aS'was\tbe\tVBD\tB-VP\tO' -p321528 -aS'treated\ttreat\tVBN\tI-VP\tO' -p321529 -aS'with\twith\tIN\tB-PP\tO' -p321530 -aS'7\t7\tCD\tB-NP\tO' -p321531 -aS'days\tday\tNNS\tI-NP\tO' -p321532 -aS'of\tof\tIN\tB-PP\tO' -p321533 -aS'vancomycin\tvancomycin\tNN\tB-NP\tO' -p321534 -aS',\t,\t,\tO\tO' -p321535 -aS'as\tas\tRB\tB-CONJP\tO' -p321536 -aS'well\twell\tRB\tI-CONJP\tO' -p321537 -aS'as\tas\tIN\tI-CONJP\tO' -p321538 -aS'13\t13\tCD\tB-NP\tO' -p321539 -aS'days\tday\tNNS\tI-NP\tO' -p321540 -aS'(\t(\t(\tO\tO' -p321541 -aS'of\tof\tIN\tB-PP\tO' -p321542 -aS'14-day\t14-day\tJJ\tB-NP\tO' -p321543 -aS'planned\tplan\tVBN\tI-NP\tO' -p321544 -aS'course\tcourse\tNN\tI-NP\tO' -p321545 -aS')\t)\t)\tO\tO' -p321546 -aS'of\tof\tIN\tB-PP\tO' -p321547 -aS'Ciprofloxacin\tCiprofloxacin\tNN\tB-NP\tO' -p321548 -aS'and\tand\tCC\tI-NP\tO' -p321549 -aS'Zosyn\tZosyn\tNN\tI-NP\tO' -p321550 -aS'.\t.\t.\tO\tO' -p321551 -asS'FULL CODE .' -p321552 -(lp321553 -S'FULL\tFULL\tNN\tB-NP\tO' -p321554 -aS'CODE\tCODE\tNN\tI-NP\tO' -p321555 -aS'.\t.\t.\tO\tO' -p321556 -asS'lisinopril , protonix , glipizide , metformin , asa' -p321557 -(lp321558 -S'lisinopril\tlisinopril\tNN\tB-NP\tO' -p321559 -aS',\t,\t,\tO\tO' -p321560 -aS'protonix\tprotonix\tNN\tB-NP\tO' -p321561 -aS',\t,\t,\tO\tO' -p321562 -aS'glipizide\tglipizide\tNN\tB-NP\tO' -p321563 -aS',\t,\t,\tO\tO' -p321564 -aS'metformin\tmetformin\tNN\tB-NP\tO' -p321565 -aS',\t,\t,\tO\tO' -p321566 -aS'asa\tasa\tNN\tB-NP\tO' -p321567 -asS'She described the pain as being exacerbated by eating and described an associated weight loss .' -p321568 -(lp321569 -S'She\tShe\tPRP\tB-NP\tO' -p321570 -aS'described\tdescribe\tVBD\tB-VP\tO' -p321571 -aS'the\tthe\tDT\tB-NP\tO' -p321572 -aS'pain\tpain\tNN\tI-NP\tO' -p321573 -aS'as\tas\tIN\tB-PP\tO' -p321574 -aS'being\tbe\tVBG\tB-VP\tO' -p321575 -aS'exacerbated\texacerbate\tVBN\tI-VP\tO' -p321576 -aS'by\tby\tIN\tB-PP\tO' -p321577 -aS'eating\teat\tVBG\tB-VP\tO' -p321578 -aS'and\tand\tCC\tO\tO' -p321579 -aS'described\tdescribe\tVBD\tB-VP\tO' -p321580 -aS'an\tan\tDT\tB-NP\tO' -p321581 -aS'associated\tassociate\tVBN\tI-NP\tO' -p321582 -aS'weight\tweight\tNN\tI-NP\tO' -p321583 -aS'loss\tloss\tNN\tI-NP\tO' -p321584 -aS'.\t.\t.\tO\tO' -p321585 -asS'The pupils were equally round and reactive to light .' -p321586 -(lp321587 -S'The\tThe\tDT\tB-NP\tO' -p321588 -aS'pupils\tpupil\tNNS\tI-NP\tO' -p321589 -aS'were\tbe\tVBD\tB-VP\tO' -p321590 -aS'equally\tequally\tRB\tB-ADJP\tO' -p321591 -aS'round\tround\tJJ\tI-ADJP\tO' -p321592 -aS'and\tand\tCC\tI-ADJP\tO' -p321593 -aS'reactive\treactive\tJJ\tI-ADJP\tO' -p321594 -aS'to\tto\tTO\tB-PP\tO' -p321595 -aS'light\tlight\tNN\tB-NP\tO' -p321596 -aS'.\t.\t.\tO\tO' -p321597 -asS'Upon waking on the morning of admission , she had 10/10 chest pain associated with nausea .' -p321598 -(lp321599 -S'Upon\tUpon\tIN\tB-PP\tO' -p321600 -aS'waking\twake\tVBG\tB-VP\tO' -p321601 -aS'on\ton\tIN\tB-PP\tO' -p321602 -aS'the\tthe\tDT\tB-NP\tO' -p321603 -aS'morning\tmorning\tNN\tI-NP\tO' -p321604 -aS'of\tof\tIN\tB-PP\tO' -p321605 -aS'admission\tadmission\tNN\tB-NP\tO' -p321606 -aS',\t,\t,\tO\tO' -p321607 -aS'she\tshe\tPRP\tB-NP\tO' -p321608 -aS'had\thave\tVBD\tB-VP\tO' -p321609 -aS'10/10\t10/10\tCD\tB-NP\tO' -p321610 -aS'chest\tchest\tNN\tI-NP\tO' -p321611 -aS'pain\tpain\tNN\tI-NP\tO' -p321612 -aS'associated\tassociate\tVBN\tB-VP\tO' -p321613 -aS'with\twith\tIN\tB-PP\tO' -p321614 -aS'nausea\tnausea\tNN\tB-NP\tO' -p321615 -aS'.\t.\t.\tO\tO' -p321616 -asS'The patient was taken to the recovery room and then to the postoperative floor in stable condition .' -p321617 -(lp321618 -S'The\tThe\tDT\tB-NP\tO' -p321619 -aS'patient\tpatient\tNN\tI-NP\tO' -p321620 -aS'was\tbe\tVBD\tB-VP\tO' -p321621 -aS'taken\ttake\tVBN\tI-VP\tO' -p321622 -aS'to\tto\tTO\tB-PP\tO' -p321623 -aS'the\tthe\tDT\tB-NP\tO' -p321624 -aS'recovery\trecovery\tNN\tI-NP\tO' -p321625 -aS'room\troom\tNN\tI-NP\tO' -p321626 -aS'and\tand\tCC\tO\tO' -p321627 -aS'then\tthen\tRB\tB-ADVP\tO' -p321628 -aS'to\tto\tTO\tB-PP\tO' -p321629 -aS'the\tthe\tDT\tB-NP\tO' -p321630 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p321631 -aS'floor\tfloor\tNN\tI-NP\tO' -p321632 -aS'in\tin\tIN\tB-PP\tO' -p321633 -aS'stable\tstable\tJJ\tB-NP\tO' -p321634 -aS'condition\tcondition\tNN\tI-NP\tO' -p321635 -aS'.\t.\t.\tO\tO' -p321636 -asS'Discharge Condition: stable .' -p321637 -(lp321638 -S'Discharge\tDischarge\tNNP\tB-NP\tO' -p321639 -aS'Condition:\tCondition:\tNNP\tI-NP\tO' -p321640 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p321641 -aS'.\t.\t.\tO\tO' -p321642 -asS'The patient was diagnosed as having an acute myocardial infarction .' -p321643 -(lp321644 -S'The\tThe\tDT\tB-NP\tO' -p321645 -aS'patient\tpatient\tNN\tI-NP\tO' -p321646 -aS'was\tbe\tVBD\tB-VP\tO' -p321647 -aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' -p321648 -aS'as\tas\tIN\tB-PP\tO' -p321649 -aS'having\thave\tVBG\tB-VP\tO' -p321650 -aS'an\tan\tDT\tB-NP\tO' -p321651 -aS'acute\tacute\tJJ\tI-NP\tO' -p321652 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p321653 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p321654 -aS'.\t.\t.\tO\tO' -p321655 -asS'This revealed no extravasation of contrast and no aortic aneurysm .' -p321656 -(lp321657 -S'This\tThis\tDT\tB-NP\tO' -p321658 -aS'revealed\treveal\tVBD\tB-VP\tO' -p321659 -aS'no\tno\tDT\tB-NP\tO' -p321660 -aS'extravasation\textravasation\tNN\tI-NP\tO' -p321661 -aS'of\tof\tIN\tB-PP\tO' -p321662 -aS'contrast\tcontrast\tNN\tB-NP\tO' -p321663 -aS'and\tand\tCC\tO\tO' -p321664 -aS'no\tno\tDT\tB-NP\tO' -p321665 -aS'aortic\taortic\tJJ\tI-NP\tO' -p321666 -aS'aneurysm\taneurysm\tNN\tI-NP\tO' -p321667 -aS'.\t.\t.\tO\tO' -p321668 -asS'Tracheoesophageal fistula .' -p321669 -(lp321670 -S'Tracheoesophageal\tTracheoesophageal\tJJ\tB-NP\tO' -p321671 -aS'fistula\tfistula\tNN\tI-NP\tO' -p321672 -aS'.\t.\t.\tO\tO' -p321673 -asS'He then developed positive blood cultures with Staphylococcus aureus sensitive to levofloxacin , and that was continued .' -p321674 -(lp321675 -S'He\tHe\tPRP\tB-NP\tO' -p321676 -aS'then\tthen\tRB\tB-ADVP\tO' -p321677 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p321678 -aS'positive\tpositive\tJJ\tB-NP\tO' -p321679 -aS'blood\tblood\tNN\tI-NP\tO' -p321680 -aS'cultures\tculture\tNNS\tI-NP\tO' -p321681 -aS'with\twith\tIN\tB-PP\tO' -p321682 -aS'Staphylococcus\tStaphylococcus\tFW\tB-NP\tO' -p321683 -aS'aureus\taureus\tFW\tI-NP\tO' -p321684 -aS'sensitive\tsensitive\tJJ\tB-ADJP\tO' -p321685 -aS'to\tto\tTO\tB-PP\tO' -p321686 -aS'levofloxacin\tlevofloxacin\tNN\tB-NP\tO' -p321687 -aS',\t,\t,\tO\tO' -p321688 -aS'and\tand\tCC\tO\tO' -p321689 -aS'that\tthat\tDT\tB-NP\tO' -p321690 -aS'was\tbe\tVBD\tB-VP\tO' -p321691 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p321692 -aS'.\t.\t.\tO\tO' -p321693 -asS'The patient 's INR had dropped to 1.7 at the time of operation , and remained in this range initially , but began to rise to 2.0 with her Coumadin dosing .' -p321694 -(lp321695 -S'The\tThe\tDT\tB-NP\tO' -p321696 -aS'patient\tpatient\tNN\tI-NP\tO' -p321697 -aS''s\t'\tNNS\tI-NP\tO' -p321698 -aS'INR\tINR\tNN\tI-NP\tB-protein' -p321699 -aS'had\thave\tVBD\tB-VP\tO' -p321700 -aS'dropped\tdrop\tVBN\tI-VP\tO' -p321701 -aS'to\tto\tTO\tB-PP\tO' -p321702 -aS'1.7\t1.7\tCD\tB-NP\tO' -p321703 -aS'at\tat\tIN\tB-PP\tO' -p321704 -aS'the\tthe\tDT\tB-NP\tO' -p321705 -aS'time\ttime\tNN\tI-NP\tO' -p321706 -aS'of\tof\tIN\tB-PP\tO' -p321707 -aS'operation\toperation\tNN\tB-NP\tO' -p321708 -aS',\t,\t,\tO\tO' -p321709 -aS'and\tand\tCC\tO\tO' -p321710 -aS'remained\tremain\tVBD\tB-VP\tO' -p321711 -aS'in\tin\tIN\tB-PP\tO' -p321712 -aS'this\tthis\tDT\tB-NP\tO' -p321713 -aS'range\trange\tNN\tI-NP\tO' -p321714 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p321715 -aS',\t,\t,\tO\tO' -p321716 -aS'but\tbut\tCC\tO\tO' -p321717 -aS'began\tbegin\tVBD\tB-VP\tO' -p321718 -aS'to\tto\tTO\tI-VP\tO' -p321719 -aS'rise\trise\tVB\tI-VP\tO' -p321720 -aS'to\tto\tTO\tB-PP\tO' -p321721 -aS'2.0\t2.0\tCD\tB-NP\tO' -p321722 -aS'with\twith\tIN\tB-PP\tO' -p321723 -aS'her\ther\tPRP$\tB-NP\tO' -p321724 -aS'Coumadin\tCoumadin\tNN\tI-NP\tO' -p321725 -aS'dosing\tdosing\tNN\tI-NP\tO' -p321726 -aS'.\t.\t.\tO\tO' -p321727 -asS'A : 39 year old male w/ HTN , chronic LBP on narcotics presents after being found unresponsive at home .' -p321728 -(lp321729 -S'A\tA\tDT\tB-NP\tO' -p321730 -aS':\t:\t:\tO\tO' -p321731 -aS'39\t39\tCD\tB-NP\tO' -p321732 -aS'year\tyear\tNN\tI-NP\tO' -p321733 -aS'old\told\tJJ\tI-NP\tO' -p321734 -aS'male\tmale\tJJ\tI-NP\tO' -p321735 -aS'w/\tw/\tNN\tI-NP\tO' -p321736 -aS'HTN\tHTN\tNN\tI-NP\tO' -p321737 -aS',\t,\t,\tO\tO' -p321738 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p321739 -aS'LBP\tLBP\tNN\tI-NP\tO' -p321740 -aS'on\ton\tIN\tB-PP\tO' -p321741 -aS'narcotics\tnarcotic\tNNS\tB-NP\tO' -p321742 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p321743 -aS'after\tafter\tIN\tB-PP\tO' -p321744 -aS'being\tbe\tVBG\tB-VP\tO' -p321745 -aS'found\tfind\tVBN\tI-VP\tO' -p321746 -aS'unresponsive\tunresponsive\tJJ\tB-ADJP\tO' -p321747 -aS'at\tat\tIN\tB-PP\tO' -p321748 -aS'home\thome\tNN\tB-NP\tO' -p321749 -aS'.\t.\t.\tO\tO' -p321750 -asS'The left anterior descending had a severe 80% proximal stenosis with a filling defect consistent with intraluminal thrombus .' -p321751 -(lp321752 -S'The\tThe\tDT\tB-NP\tO' -p321753 -aS'left\tleft\tJJ\tI-NP\tO' -p321754 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p321755 -aS'descending\tdescending\tNN\tI-NP\tO' -p321756 -aS'had\thave\tVBD\tB-VP\tO' -p321757 -aS'a\ta\tDT\tB-NP\tO' -p321758 -aS'severe\tsevere\tJJ\tI-NP\tO' -p321759 -aS'80%\t80%\tCD\tI-NP\tO' -p321760 -aS'proximal\tproximal\tJJ\tI-NP\tO' -p321761 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p321762 -aS'with\twith\tIN\tB-PP\tO' -p321763 -aS'a\ta\tDT\tB-NP\tO' -p321764 -aS'filling\tfill\tVBG\tI-NP\tO' -p321765 -aS'defect\tdefect\tNN\tI-NP\tO' -p321766 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p321767 -aS'with\twith\tIN\tB-PP\tO' -p321768 -aS'intraluminal\tintraluminal\tJJ\tB-NP\tO' -p321769 -aS'thrombus\tthrombus\tNN\tI-NP\tO' -p321770 -aS'.\t.\t.\tO\tO' -p321771 -asS'She was unable to name glasses .' -p321772 -(lp321773 -S'She\tShe\tPRP\tB-NP\tO' -p321774 -aS'was\tbe\tVBD\tB-VP\tO' -p321775 -aS'unable\tunable\tJJ\tB-ADJP\tO' -p321776 -aS'to\tto\tTO\tB-VP\tO' -p321777 -aS'name\tname\tVB\tI-VP\tO' -p321778 -aS'glasses\tglass\tNNS\tB-NP\tO' -p321779 -aS'.\t.\t.\tO\tO' -p321780 -asS'His bilirubin on 05-13 was 18.4 ; and on 05-14 it was 14.7 .' -p321781 -(lp321782 -S'His\tHis\tPRP$\tB-NP\tO' -p321783 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p321784 -aS'on\ton\tIN\tB-PP\tO' -p321785 -aS'05-13\t05-13\tCD\tB-NP\tO' -p321786 -aS'was\tbe\tVBD\tB-VP\tO' -p321787 -aS'18.4\t18.4\tCD\tB-NP\tO' -p321788 -aS';\t;\t:\tO\tO' -p321789 -aS'and\tand\tCC\tO\tO' -p321790 -aS'on\ton\tIN\tB-PP\tO' -p321791 -aS'05-14\t05-14\tCD\tB-NP\tO' -p321792 -aS'it\tit\tPRP\tB-NP\tO' -p321793 -aS'was\tbe\tVBD\tB-VP\tO' -p321794 -aS'14.7\t14.7\tCD\tB-NP\tO' -p321795 -aS'.\t.\t.\tO\tO' -p321796 -asS'Additionally , the patient underwent a exercise stress test on 8/6/98 with a heart rate proceeding from 76 to 93 beats per minute .' -p321797 -(lp321798 -S'Additionally\tAdditionally\tRB\tB-ADVP\tO' -p321799 -aS',\t,\t,\tO\tO' -p321800 -aS'the\tthe\tDT\tB-NP\tO' -p321801 -aS'patient\tpatient\tNN\tI-NP\tO' -p321802 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p321803 -aS'a\ta\tDT\tB-NP\tO' -p321804 -aS'exercise\texercise\tNN\tI-NP\tO' -p321805 -aS'stress\tstress\tNN\tI-NP\tO' -p321806 -aS'test\ttest\tNN\tI-NP\tO' -p321807 -aS'on\ton\tIN\tB-PP\tO' -p321808 -aS'8/6/98\t8/6/98\tCD\tB-NP\tO' -p321809 -aS'with\twith\tIN\tB-PP\tO' -p321810 -aS'a\ta\tDT\tB-NP\tO' -p321811 -aS'heart\theart\tNN\tI-NP\tO' -p321812 -aS'rate\trate\tNN\tI-NP\tO' -p321813 -aS'proceeding\tproceed\tVBG\tB-VP\tO' -p321814 -aS'from\tfrom\tIN\tB-PP\tO' -p321815 -aS'76\t76\tCD\tB-NP\tO' -p321816 -aS'to\tto\tTO\tI-NP\tO' -p321817 -aS'93\t93\tCD\tI-NP\tO' -p321818 -aS'beats\tbeat\tNNS\tI-NP\tO' -p321819 -aS'per\tper\tIN\tB-PP\tO' -p321820 -aS'minute\tminute\tNN\tB-NP\tO' -p321821 -aS'.\t.\t.\tO\tO' -p321822 -asS'2. Enteric-coated aspirin 325 mg p.o. q. day .' -p321823 -(lp321824 -S'2.\t2.\tLS\tB-NP\tO' -p321825 -aS'Enteric-coated\tEnteric-coated\tJJ\tI-NP\tO' -p321826 -aS'aspirin\taspirin\tNN\tI-NP\tO' -p321827 -aS'325\t325\tCD\tI-NP\tO' -p321828 -aS'mg\tmg\tNN\tI-NP\tO' -p321829 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p321830 -aS'q.\tq.\tNN\tI-NP\tO' -p321831 -aS'day\tday\tNN\tI-NP\tO' -p321832 -aS'.\t.\t.\tO\tO' -p321833 -asS'1. The patient is to follow-up with Dr. Neri in one to two weeks .' -p321834 -(lp321835 -S'1.\t1.\tLS\tB-LST\tO' -p321836 -aS'The\tThe\tDT\tB-NP\tO' -p321837 -aS'patient\tpatient\tNN\tI-NP\tO' -p321838 -aS'is\tbe\tVBZ\tB-VP\tO' -p321839 -aS'to\tto\tTO\tB-VP\tO' -p321840 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p321841 -aS'with\twith\tIN\tB-PP\tO' -p321842 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p321843 -aS'Neri\tNeri\tNNP\tI-NP\tO' -p321844 -aS'in\tin\tIN\tB-PP\tO' -p321845 -aS'one\tone\tCD\tB-NP\tO' -p321846 -aS'to\tto\tTO\tI-NP\tO' -p321847 -aS'two\ttwo\tCD\tI-NP\tO' -p321848 -aS'weeks\tweek\tNNS\tI-NP\tO' -p321849 -aS'.\t.\t.\tO\tO' -p321850 -asS'Reflexes are down on the right side .' -p321851 -(lp321852 -S'Reflexes\tReflex\tNNS\tB-NP\tO' -p321853 -aS'are\tbe\tVBP\tB-VP\tO' -p321854 -aS'down\tdown\tRB\tB-ADVP\tO' -p321855 -aS'on\ton\tIN\tB-PP\tO' -p321856 -aS'the\tthe\tDT\tB-NP\tO' -p321857 -aS'right\tright\tJJ\tI-NP\tO' -p321858 -aS'side\tside\tNN\tI-NP\tO' -p321859 -aS'.\t.\t.\tO\tO' -p321860 -asS'The extremities are well perfused and there is no clubbing , cyanosis or edema .' -p321861 -(lp321862 -S'The\tThe\tDT\tB-NP\tO' -p321863 -aS'extremities\textremity\tNNS\tI-NP\tO' -p321864 -aS'are\tbe\tVBP\tB-VP\tO' -p321865 -aS'well\twell\tRB\tI-VP\tO' -p321866 -aS'perfused\tperfuse\tVBN\tI-VP\tO' -p321867 -aS'and\tand\tCC\tO\tO' -p321868 -aS'there\tthere\tEX\tB-NP\tO' -p321869 -aS'is\tbe\tVBZ\tB-VP\tO' -p321870 -aS'no\tno\tDT\tB-NP\tO' -p321871 -aS'clubbing\tclubbing\tNN\tI-NP\tO' -p321872 -aS',\t,\t,\tI-NP\tO' -p321873 -aS'cyanosis\tcyanosis\tNN\tI-NP\tO' -p321874 -aS'or\tor\tCC\tI-NP\tO' -p321875 -aS'edema\tedema\tNN\tI-NP\tO' -p321876 -aS'.\t.\t.\tO\tO' -p321877 -asS'General : Nondysmorphic preterm male in mild respiratory distress .' -p321878 -(lp321879 -S'General\tGeneral\tJJ\tB-ADJP\tO' -p321880 -aS':\t:\t:\tO\tO' -p321881 -aS'Nondysmorphic\tNondysmorphic\tJJ\tB-NP\tO' -p321882 -aS'preterm\tpreterm\tJJ\tI-NP\tO' -p321883 -aS'male\tmale\tNN\tI-NP\tO' -p321884 -aS'in\tin\tIN\tB-PP\tO' -p321885 -aS'mild\tmild\tJJ\tB-NP\tO' -p321886 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p321887 -aS'distress\tdistress\tNN\tI-NP\tO' -p321888 -aS'.\t.\t.\tO\tO' -p321889 -asS'Temperature was 98.1 , heart rate 116 , blood pressure 120/68 , and room air O2 saturation was 93% .' -p321890 -(lp321891 -S'Temperature\tTemperature\tNN\tB-NP\tO' -p321892 -aS'was\tbe\tVBD\tB-VP\tO' -p321893 -aS'98.1\t98.1\tCD\tB-NP\tO' -p321894 -aS',\t,\t,\tO\tO' -p321895 -aS'heart\theart\tNN\tB-NP\tO' -p321896 -aS'rate\trate\tNN\tI-NP\tO' -p321897 -aS'116\t116\tCD\tI-NP\tO' -p321898 -aS',\t,\t,\tO\tO' -p321899 -aS'blood\tblood\tNN\tB-NP\tO' -p321900 -aS'pressure\tpressure\tNN\tI-NP\tO' -p321901 -aS'120/68\t120/68\tCD\tI-NP\tO' -p321902 -aS',\t,\t,\tO\tO' -p321903 -aS'and\tand\tCC\tO\tO' -p321904 -aS'room\troom\tNN\tB-NP\tO' -p321905 -aS'air\tair\tNN\tI-NP\tO' -p321906 -aS'O2\tO2\tNN\tI-NP\tO' -p321907 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p321908 -aS'was\tbe\tVBD\tB-VP\tO' -p321909 -aS'93%\t93%\tCD\tB-NP\tO' -p321910 -aS'.\t.\t.\tO\tO' -p321911 -asS'There is increased signal seen along the sulci on FLAIR images at the convexity which could be secondary to subarachnoid hemorrhage .' -p321912 -(lp321913 -S'There\tThere\tEX\tB-NP\tO' -p321914 -aS'is\tbe\tVBZ\tB-VP\tO' -p321915 -aS'increased\tincrease\tVBN\tB-NP\tO' -p321916 -aS'signal\tsignal\tNN\tI-NP\tO' -p321917 -aS'seen\tsee\tVBN\tB-VP\tO' -p321918 -aS'along\talong\tIN\tB-PP\tO' -p321919 -aS'the\tthe\tDT\tB-NP\tO' -p321920 -aS'sulci\tsulci\tNN\tI-NP\tO' -p321921 -aS'on\ton\tIN\tB-PP\tO' -p321922 -aS'FLAIR\tFLAIR\tNN\tB-NP\tO' -p321923 -aS'images\timage\tNNS\tI-NP\tO' -p321924 -aS'at\tat\tIN\tB-PP\tO' -p321925 -aS'the\tthe\tDT\tB-NP\tO' -p321926 -aS'convexity\tconvexity\tNN\tI-NP\tO' -p321927 -aS'which\twhich\tWDT\tB-NP\tO' -p321928 -aS'could\tcould\tMD\tB-VP\tO' -p321929 -aS'be\tbe\tVB\tI-VP\tO' -p321930 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p321931 -aS'to\tto\tTO\tB-PP\tO' -p321932 -aS'subarachnoid\tsubarachnoid\tJJ\tB-NP\tO' -p321933 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p321934 -aS'.\t.\t.\tO\tO' -p321935 -asS'The patient was given ASA , Plavix , heparin drip x 24 hours , nitro drip , atorvastatin , metoprolol , and lisinopril .' -p321936 -(lp321937 -S'The\tThe\tDT\tB-NP\tO' -p321938 -aS'patient\tpatient\tNN\tI-NP\tO' -p321939 -aS'was\tbe\tVBD\tB-VP\tO' -p321940 -aS'given\tgive\tVBN\tI-VP\tO' -p321941 -aS'ASA\tASA\tNNP\tB-NP\tO' -p321942 -aS',\t,\t,\tO\tO' -p321943 -aS'Plavix\tPlavix\tNNP\tB-NP\tO' -p321944 -aS',\t,\t,\tO\tO' -p321945 -aS'heparin\theparin\tNN\tB-NP\tO' -p321946 -aS'drip\tdrip\tNN\tI-NP\tO' -p321947 -aS'x\tx\tSYM\tB-VP\tO' -p321948 -aS'24\t24\tCD\tB-NP\tO' -p321949 -aS'hours\thour\tNNS\tI-NP\tO' -p321950 -aS',\t,\t,\tO\tO' -p321951 -aS'nitro\tnitro\tNN\tB-NP\tO' -p321952 -aS'drip\tdrip\tNN\tI-NP\tO' -p321953 -aS',\t,\t,\tO\tO' -p321954 -aS'atorvastatin\tatorvastatin\tNN\tB-NP\tO' -p321955 -aS',\t,\t,\tO\tO' -p321956 -aS'metoprolol\tmetoprolol\tNN\tB-NP\tO' -p321957 -aS',\t,\t,\tO\tO' -p321958 -aS'and\tand\tCC\tO\tO' -p321959 -aS'lisinopril\tlisinopril\tNN\tB-NP\tO' -p321960 -aS'.\t.\t.\tO\tO' -p321961 -asS'On HD 4 pt continued to show a severe respiratory acidosis , was continued on a morphine drip , and was difficult to arouse .' -p321962 -(lp321963 -S'On\tOn\tIN\tB-PP\tO' -p321964 -aS'HD\tHD\tNN\tB-NP\tB-protein' -p321965 -aS'4\t4\tCD\tI-NP\tI-protein' -p321966 -aS'pt\tpt\tNN\tI-NP\tO' -p321967 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p321968 -aS'to\tto\tTO\tI-VP\tO' -p321969 -aS'show\tshow\tVB\tI-VP\tO' -p321970 -aS'a\ta\tDT\tB-NP\tO' -p321971 -aS'severe\tsevere\tJJ\tI-NP\tO' -p321972 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p321973 -aS'acidosis\tacidosis\tNN\tI-NP\tO' -p321974 -aS',\t,\t,\tO\tO' -p321975 -aS'was\tbe\tVBD\tB-VP\tO' -p321976 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p321977 -aS'on\ton\tIN\tB-PP\tO' -p321978 -aS'a\ta\tDT\tB-NP\tO' -p321979 -aS'morphine\tmorphine\tNN\tI-NP\tO' -p321980 -aS'drip\tdrip\tNN\tI-NP\tO' -p321981 -aS',\t,\t,\tO\tO' -p321982 -aS'and\tand\tCC\tO\tO' -p321983 -aS'was\tbe\tVBD\tB-VP\tO' -p321984 -aS'difficult\tdifficult\tJJ\tB-ADJP\tO' -p321985 -aS'to\tto\tTO\tB-VP\tO' -p321986 -aS'arouse\tarouse\tVB\tI-VP\tO' -p321987 -aS'.\t.\t.\tO\tO' -p321988 -asS'Revealed a sodium 136 , potassium 4.5 , BUN 47 , creatinine 2.4 , glucose 136. hematocrit 40% .' -p321989 -(lp321990 -S'Revealed\tReveal\tVBD\tB-VP\tO' -p321991 -aS'a\ta\tDT\tB-NP\tO' -p321992 -aS'sodium\tsodium\tNN\tI-NP\tO' -p321993 -aS'136\t136\tCD\tI-NP\tO' -p321994 -aS',\t,\t,\tO\tO' -p321995 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p321996 -aS'4.5\t4.5\tCD\tI-NP\tO' -p321997 -aS',\t,\t,\tO\tO' -p321998 -aS'BUN\tBUN\tNN\tB-NP\tB-DNA' -p321999 -aS'47\t47\tCD\tI-NP\tI-DNA' -p322000 -aS',\t,\t,\tO\tO' -p322001 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p322002 -aS'2.4\t2.4\tCD\tI-NP\tO' -p322003 -aS',\t,\t,\tO\tO' -p322004 -aS'glucose\tglucose\tNN\tB-NP\tB-protein' -p322005 -aS'136.\t136.\tCD\tI-NP\tI-protein' -p322006 -aS'hematocrit\thematocrit\tNN\tI-NP\tI-protein' -p322007 -aS'40%\t40%\tNN\tI-NP\tI-protein' -p322008 -aS'.\t.\t.\tO\tO' -p322009 -asS'Heart rate was 77 .' -p322010 -(lp322011 -S'Heart\tHeart\tNN\tB-NP\tO' -p322012 -aS'rate\trate\tNN\tI-NP\tO' -p322013 -aS'was\tbe\tVBD\tB-VP\tO' -p322014 -aS'77\t77\tCD\tB-NP\tO' -p322015 -aS'.\t.\t.\tO\tO' -p322016 -asS'He was also found to havesome pieces of toast in his mouth .' -p322017 -(lp322018 -S'He\tHe\tPRP\tB-NP\tO' -p322019 -aS'was\tbe\tVBD\tB-VP\tO' -p322020 -aS'also\talso\tRB\tI-VP\tO' -p322021 -aS'found\tfind\tVBN\tI-VP\tO' -p322022 -aS'to\tto\tTO\tB-PP\tO' -p322023 -aS'havesome\thavesome\tJJ\tB-NP\tO' -p322024 -aS'pieces\tpiece\tNNS\tI-NP\tO' -p322025 -aS'of\tof\tIN\tB-PP\tO' -p322026 -aS'toast\ttoast\tNN\tB-NP\tO' -p322027 -aS'in\tin\tIN\tB-PP\tO' -p322028 -aS'his\this\tPRP$\tB-NP\tO' -p322029 -aS'mouth\tmouth\tNN\tI-NP\tO' -p322030 -aS'.\t.\t.\tO\tO' -p322031 -asS'She is not undergoing any treatment .' -p322032 -(lp322033 -S'She\tShe\tPRP\tB-NP\tO' -p322034 -aS'is\tbe\tVBZ\tB-VP\tO' -p322035 -aS'not\tnot\tRB\tI-VP\tO' -p322036 -aS'undergoing\tundergo\tVBG\tI-VP\tO' -p322037 -aS'any\tany\tDT\tB-NP\tO' -p322038 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p322039 -aS'.\t.\t.\tO\tO' -p322040 -asS'At that time it appeared well adhered to the underlying skin .' -p322041 -(lp322042 -S'At\tAt\tIN\tB-PP\tO' -p322043 -aS'that\tthat\tDT\tB-NP\tO' -p322044 -aS'time\ttime\tNN\tI-NP\tO' -p322045 -aS'it\tit\tPRP\tB-NP\tO' -p322046 -aS'appeared\tappear\tVBD\tB-VP\tO' -p322047 -aS'well\twell\tRB\tI-VP\tO' -p322048 -aS'adhered\tadhere\tVBN\tI-VP\tO' -p322049 -aS'to\tto\tTO\tB-PP\tO' -p322050 -aS'the\tthe\tDT\tB-NP\tO' -p322051 -aS'underlying\tunderlying\tJJ\tI-NP\tO' -p322052 -aS'skin\tskin\tNN\tI-NP\tO' -p322053 -aS'.\t.\t.\tO\tO' -p322054 -asS'A chest x-ray was also negative for any pneumonia .' -p322055 -(lp322056 -S'A\tA\tDT\tB-NP\tO' -p322057 -aS'chest\tchest\tNN\tI-NP\tO' -p322058 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p322059 -aS'was\tbe\tVBD\tB-VP\tO' -p322060 -aS'also\talso\tRB\tB-ADVP\tO' -p322061 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p322062 -aS'for\tfor\tIN\tB-PP\tO' -p322063 -aS'any\tany\tDT\tB-NP\tO' -p322064 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p322065 -aS'.\t.\t.\tO\tO' -p322066 -asS'Dakin 's solution 1/4 strength to ulcer of penis .' -p322067 -(lp322068 -S'Dakin\tDakin\tNNP\tB-NP\tO' -p322069 -aS''s\t'\tNNS\tI-NP\tO' -p322070 -aS'solution\tsolution\tNN\tI-NP\tO' -p322071 -aS'1/4\t1/4\tCD\tB-NP\tO' -p322072 -aS'strength\tstrength\tNN\tI-NP\tO' -p322073 -aS'to\tto\tTO\tB-PP\tO' -p322074 -aS'ulcer\tulcer\tNN\tB-NP\tO' -p322075 -aS'of\tof\tIN\tB-PP\tO' -p322076 -aS'penis\tpenis\tNN\tB-NP\tO' -p322077 -aS'.\t.\t.\tO\tO' -p322078 -asS'White blood count 9.6 , hematocrit 38.8 , platelet 348,000 , mean corpuscular volume 85 and 86 , MCH 29 , MCHC 34 .' -p322079 -(lp322080 -S'White\tWhite\tJJ\tB-NP\tO' -p322081 -aS'blood\tblood\tNN\tI-NP\tO' -p322082 -aS'count\tcount\tNN\tI-NP\tO' -p322083 -aS'9.6\t9.6\tCD\tI-NP\tO' -p322084 -aS',\t,\t,\tO\tO' -p322085 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p322086 -aS'38.8\t38.8\tCD\tI-NP\tI-protein' -p322087 -aS',\t,\t,\tO\tO' -p322088 -aS'platelet\tplatelet\tNN\tB-NP\tB-protein' -p322089 -aS'348,000\t348,000\tCD\tI-NP\tI-protein' -p322090 -aS',\t,\t,\tO\tO' -p322091 -aS'mean\tmean\tJJ\tB-NP\tO' -p322092 -aS'corpuscular\tcorpuscular\tJJ\tI-NP\tO' -p322093 -aS'volume\tvolume\tNN\tI-NP\tO' -p322094 -aS'85\t85\tCD\tI-NP\tO' -p322095 -aS'and\tand\tCC\tI-NP\tO' -p322096 -aS'86\t86\tCD\tI-NP\tO' -p322097 -aS',\t,\t,\tO\tO' -p322098 -aS'MCH\tMCH\tNN\tB-NP\tB-DNA' -p322099 -aS'29\t29\tCD\tI-NP\tI-DNA' -p322100 -aS',\t,\t,\tO\tO' -p322101 -aS'MCHC\tMCHC\tNN\tB-NP\tO' -p322102 -aS'34\t34\tCD\tI-NP\tO' -p322103 -aS'.\t.\t.\tO\tO' -p322104 -asS'She speaks some English and seems to understand more than she speaks .' -p322105 -(lp322106 -S'She\tShe\tPRP\tB-NP\tO' -p322107 -aS'speaks\tspeak\tVBZ\tB-VP\tO' -p322108 -aS'some\tsome\tDT\tB-NP\tO' -p322109 -aS'English\tEnglish\tJJ\tI-NP\tO' -p322110 -aS'and\tand\tCC\tO\tO' -p322111 -aS'seems\tseem\tVBZ\tB-VP\tO' -p322112 -aS'to\tto\tTO\tI-VP\tO' -p322113 -aS'understand\tunderstand\tVB\tI-VP\tO' -p322114 -aS'more\tmore\tJJR\tB-NP\tO' -p322115 -aS'than\tthan\tIN\tB-SBAR\tO' -p322116 -aS'she\tshe\tPRP\tB-NP\tO' -p322117 -aS'speaks\tspeak\tVBZ\tB-VP\tO' -p322118 -aS'.\t.\t.\tO\tO' -p322119 -asS'2. Zoloft 50 mg by mouth once per day .' -p322120 -(lp322121 -S'2.\t2.\tLS\tB-LST\tO' -p322122 -aS'Zoloft\tZoloft\tNNP\tB-NP\tO' -p322123 -aS'50\t50\tCD\tI-NP\tO' -p322124 -aS'mg\tmg\tNN\tI-NP\tO' -p322125 -aS'by\tby\tIN\tB-PP\tO' -p322126 -aS'mouth\tmouth\tNN\tB-NP\tO' -p322127 -aS'once\tonce\tRB\tB-ADVP\tO' -p322128 -aS'per\tper\tIN\tB-PP\tO' -p322129 -aS'day\tday\tNN\tB-NP\tO' -p322130 -aS'.\t.\t.\tO\tO' -p322131 -asS'Despite extraordinary measures , stable sinus rhythm could not be restored .' -p322132 -(lp322133 -S'Despite\tDespite\tIN\tB-PP\tO' -p322134 -aS'extraordinary\textraordinary\tJJ\tB-NP\tO' -p322135 -aS'measures\tmeasure\tNNS\tI-NP\tO' -p322136 -aS',\t,\t,\tO\tO' -p322137 -aS'stable\tstable\tJJ\tB-NP\tO' -p322138 -aS'sinus\tsinus\tNN\tI-NP\tO' -p322139 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p322140 -aS'could\tcould\tMD\tB-VP\tO' -p322141 -aS'not\tnot\tRB\tI-VP\tO' -p322142 -aS'be\tbe\tVB\tI-VP\tO' -p322143 -aS'restored\trestore\tVBN\tI-VP\tO' -p322144 -aS'.\t.\t.\tO\tO' -p322145 -asS'3. Gastrointestinal adenocarcinoma ( as noted in History of Present Illness ) .' -p322146 -(lp322147 -S'3.\t3.\tLS\tB-NP\tO' -p322148 -aS'Gastrointestinal\tGastrointestinal\tJJ\tI-NP\tO' -p322149 -aS'adenocarcinoma\tadenocarcinoma\tNN\tI-NP\tO' -p322150 -aS'(\t(\t(\tO\tO' -p322151 -aS'as\tas\tIN\tB-SBAR\tO' -p322152 -aS'noted\tnote\tVBN\tB-VP\tO' -p322153 -aS'in\tin\tIN\tB-PP\tO' -p322154 -aS'History\tHistory\tNN\tB-NP\tO' -p322155 -aS'of\tof\tIN\tB-PP\tO' -p322156 -aS'Present\tPresent\tNNP\tB-NP\tO' -p322157 -aS'Illness\tIllness\tNNP\tI-NP\tO' -p322158 -aS')\t)\t)\tO\tO' -p322159 -aS'.\t.\t.\tO\tO' -p322160 -asS'The patient is a native of Nahuter with a 70+ pack year smoking history ( 2 1/2-3 pack per day x 35 years ) whose symptoms began last 12/92 when he had a persistent cough and fever .' -p322161 -(lp322162 -S'The\tThe\tDT\tB-NP\tO' -p322163 -aS'patient\tpatient\tNN\tI-NP\tO' -p322164 -aS'is\tbe\tVBZ\tB-VP\tO' -p322165 -aS'a\ta\tDT\tB-NP\tO' -p322166 -aS'native\tnative\tNN\tI-NP\tO' -p322167 -aS'of\tof\tIN\tB-PP\tO' -p322168 -aS'Nahuter\tNahuter\tNNP\tB-NP\tO' -p322169 -aS'with\twith\tIN\tB-PP\tO' -p322170 -aS'a\ta\tDT\tB-NP\tO' -p322171 -aS'70+\t70+\tJJ\tI-NP\tO' -p322172 -aS'pack\tpack\tNN\tI-NP\tO' -p322173 -aS'year\tyear\tNN\tI-NP\tO' -p322174 -aS'smoking\tsmoking\tNN\tI-NP\tO' -p322175 -aS'history\thistory\tNN\tI-NP\tO' -p322176 -aS'(\t(\t(\tO\tO' -p322177 -aS'2\t2\tCD\tB-NP\tO' -p322178 -aS'1/2-3\t1/2-3\tCD\tI-NP\tO' -p322179 -aS'pack\tpack\tNN\tI-NP\tO' -p322180 -aS'per\tper\tIN\tB-PP\tO' -p322181 -aS'day\tday\tNN\tB-NP\tO' -p322182 -aS'x\tx\tSYM\tO\tO' -p322183 -aS'35\t35\tCD\tB-NP\tO' -p322184 -aS'years\tyear\tNNS\tI-NP\tO' -p322185 -aS')\t)\t)\tO\tO' -p322186 -aS'whose\twhose\tWP$\tB-NP\tO' -p322187 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p322188 -aS'began\tbegin\tVBD\tB-VP\tO' -p322189 -aS'last\tlast\tRB\tB-NP\tO' -p322190 -aS'12/92\t12/92\tCD\tI-NP\tO' -p322191 -aS'when\twhen\tWRB\tB-ADVP\tO' -p322192 -aS'he\the\tPRP\tB-NP\tO' -p322193 -aS'had\thave\tVBD\tB-VP\tO' -p322194 -aS'a\ta\tDT\tB-NP\tO' -p322195 -aS'persistent\tpersistent\tJJ\tI-NP\tO' -p322196 -aS'cough\tcough\tNN\tI-NP\tO' -p322197 -aS'and\tand\tCC\tI-NP\tO' -p322198 -aS'fever\tfever\tNN\tI-NP\tO' -p322199 -aS'.\t.\t.\tO\tO' -p322200 -asS'The patient is to be discharged today to Lahey Clinic - North Shore Hospital for long-term pulmonary ........ therapy and further evaluation of her obstructive-sleep apnea .' -p322201 -(lp322202 -S'The\tThe\tDT\tB-NP\tO' -p322203 -aS'patient\tpatient\tNN\tI-NP\tO' -p322204 -aS'is\tbe\tVBZ\tB-VP\tO' -p322205 -aS'to\tto\tTO\tI-VP\tO' -p322206 -aS'be\tbe\tVB\tI-VP\tO' -p322207 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p322208 -aS'today\ttoday\tNN\tB-NP\tO' -p322209 -aS'to\tto\tTO\tB-PP\tO' -p322210 -aS'Lahey\tLahey\tNNP\tB-NP\tO' -p322211 -aS'Clinic\tClinic\tNNP\tI-NP\tO' -p322212 -aS'-\t-\tHYPH\tO\tO' -p322213 -aS'North\tNorth\tNNP\tB-NP\tO' -p322214 -aS'Shore\tShore\tNNP\tI-NP\tO' -p322215 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p322216 -aS'for\tfor\tIN\tB-PP\tO' -p322217 -aS'long-term\tlong-term\tJJ\tB-NP\tO' -p322218 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p322219 -aS'........\t........\t:\tO\tO' -p322220 -aS'therapy\ttherapy\tNN\tB-NP\tO' -p322221 -aS'and\tand\tCC\tO\tO' -p322222 -aS'further\tfurther\tJJ\tB-NP\tO' -p322223 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p322224 -aS'of\tof\tIN\tB-PP\tO' -p322225 -aS'her\ther\tPRP$\tB-NP\tO' -p322226 -aS'obstructive-sleep\tobstructive-sleep\tJJ\tI-NP\tO' -p322227 -aS'apnea\tapnea\tNN\tI-NP\tO' -p322228 -aS'.\t.\t.\tO\tO' -p322229 -asS'She should eventually have a tissue transglutaminase to rule out celiac disease .' -p322230 -(lp322231 -S'She\tShe\tPRP\tB-NP\tO' -p322232 -aS'should\tshould\tMD\tB-VP\tO' -p322233 -aS'eventually\teventually\tRB\tI-VP\tO' -p322234 -aS'have\thave\tVB\tI-VP\tO' -p322235 -aS'a\ta\tDT\tB-NP\tO' -p322236 -aS'tissue\ttissue\tNN\tI-NP\tB-protein' -p322237 -aS'transglutaminase\ttransglutaminase\tNN\tI-NP\tI-protein' -p322238 -aS'to\tto\tTO\tB-VP\tO' -p322239 -aS'rule\trule\tVB\tI-VP\tO' -p322240 -aS'out\tout\tRP\tB-PRT\tO' -p322241 -aS'celiac\tceliac\tJJ\tB-NP\tO' -p322242 -aS'disease\tdisease\tNN\tI-NP\tO' -p322243 -aS'.\t.\t.\tO\tO' -p322244 -asS'2015-11-02 Coronary Artery Bypass Graft x 2 ( Lima to LAD , SVG to OM )' -p322245 -(lp322246 -S'2015-11-02\t2015-11-02\tCD\tB-NP\tO' -p322247 -aS'Coronary\tCoronary\tNNP\tI-NP\tO' -p322248 -aS'Artery\tArtery\tNNP\tI-NP\tO' -p322249 -aS'Bypass\tBypass\tNNP\tI-NP\tO' -p322250 -aS'Graft\tGraft\tNNP\tI-NP\tO' -p322251 -aS'x\tx\tNN\tI-NP\tO' -p322252 -aS'2\t2\tCD\tI-NP\tO' -p322253 -aS'(\t(\t(\tO\tO' -p322254 -aS'Lima\tLima\tNN\tB-NP\tO' -p322255 -aS'to\tto\tTO\tB-PP\tO' -p322256 -aS'LAD\tLAD\tNN\tB-NP\tB-protein' -p322257 -aS',\t,\t,\tO\tO' -p322258 -aS'SVG\tSVG\tNN\tB-NP\tO' -p322259 -aS'to\tto\tTO\tB-PP\tO' -p322260 -aS'OM\tOM\tNN\tB-NP\tO' -p322261 -aS')\t)\t)\tO\tO' -p322262 -asS'For the concern of a perforated viscus , the patient was taken to exploratory laparotomy on 01/06/98 , during which the bowel was run without evidence of perforation .' -p322263 -(lp322264 -S'For\tFor\tIN\tB-PP\tO' -p322265 -aS'the\tthe\tDT\tB-NP\tO' -p322266 -aS'concern\tconcern\tNN\tI-NP\tO' -p322267 -aS'of\tof\tIN\tB-PP\tO' -p322268 -aS'a\ta\tDT\tB-NP\tO' -p322269 -aS'perforated\tperforated\tJJ\tI-NP\tO' -p322270 -aS'viscus\tviscus\tNN\tI-NP\tO' -p322271 -aS',\t,\t,\tO\tO' -p322272 -aS'the\tthe\tDT\tB-NP\tO' -p322273 -aS'patient\tpatient\tNN\tI-NP\tO' -p322274 -aS'was\tbe\tVBD\tB-VP\tO' -p322275 -aS'taken\ttake\tVBN\tI-VP\tO' -p322276 -aS'to\tto\tTO\tB-PP\tO' -p322277 -aS'exploratory\texploratory\tJJ\tB-NP\tO' -p322278 -aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' -p322279 -aS'on\ton\tIN\tB-PP\tO' -p322280 -aS'01/06/98\t01/06/98\tCD\tB-NP\tO' -p322281 -aS',\t,\t,\tO\tO' -p322282 -aS'during\tduring\tIN\tB-PP\tO' -p322283 -aS'which\twhich\tWDT\tB-NP\tO' -p322284 -aS'the\tthe\tDT\tB-NP\tO' -p322285 -aS'bowel\tbowel\tNN\tI-NP\tO' -p322286 -aS'was\tbe\tVBD\tB-VP\tO' -p322287 -aS'run\trun\tVBN\tI-VP\tO' -p322288 -aS'without\twithout\tIN\tB-PP\tO' -p322289 -aS'evidence\tevidence\tNN\tB-NP\tO' -p322290 -aS'of\tof\tIN\tB-PP\tO' -p322291 -aS'perforation\tperforation\tNN\tB-NP\tO' -p322292 -aS'.\t.\t.\tO\tO' -p322293 -asS'6. Colace 100 mg twice a day .' -p322294 -(lp322295 -S'6.\t6.\tCD\tB-NP\tO' -p322296 -aS'Colace\tColace\tNNP\tI-NP\tO' -p322297 -aS'100\t100\tCD\tI-NP\tO' -p322298 -aS'mg\tmg\tNN\tI-NP\tO' -p322299 -aS'twice\ttwice\tRB\tB-NP\tO' -p322300 -aS'a\ta\tDT\tI-NP\tO' -p322301 -aS'day\tday\tNN\tI-NP\tO' -p322302 -aS'.\t.\t.\tO\tO' -p322303 -asS'The mother had spontaneous onset of labor and progressed to a spontaneous vaginal delivery .' -p322304 -(lp322305 -S'The\tThe\tDT\tB-NP\tO' -p322306 -aS'mother\tmother\tNN\tI-NP\tO' -p322307 -aS'had\thave\tVBD\tB-VP\tO' -p322308 -aS'spontaneous\tspontaneous\tJJ\tB-NP\tO' -p322309 -aS'onset\tonset\tNN\tI-NP\tO' -p322310 -aS'of\tof\tIN\tB-PP\tO' -p322311 -aS'labor\tlabor\tNN\tB-NP\tO' -p322312 -aS'and\tand\tCC\tO\tO' -p322313 -aS'progressed\tprogress\tVBD\tB-VP\tO' -p322314 -aS'to\tto\tTO\tB-PP\tO' -p322315 -aS'a\ta\tDT\tB-NP\tO' -p322316 -aS'spontaneous\tspontaneous\tJJ\tI-NP\tO' -p322317 -aS'vaginal\tvaginal\tJJ\tI-NP\tO' -p322318 -aS'delivery\tdelivery\tNN\tI-NP\tO' -p322319 -aS'.\t.\t.\tO\tO' -p322320 -asS'The patient on ranitidine 150 mg p.o. b.i.d. for gastrointestinal prophylaxis .' -p322321 -(lp322322 -S'The\tThe\tDT\tB-NP\tO' -p322323 -aS'patient\tpatient\tNN\tI-NP\tO' -p322324 -aS'on\ton\tIN\tB-PP\tO' -p322325 -aS'ranitidine\tranitidine\tNN\tB-NP\tB-protein' -p322326 -aS'150\t150\tCD\tI-NP\tI-protein' -p322327 -aS'mg\tmg\tNN\tI-NP\tI-protein' -p322328 -aS'p.o.\tp.o.\tNN\tI-NP\tI-protein' -p322329 -aS'b.i.d.\tb.i.d.\tNN\tI-NP\tI-protein' -p322330 -aS'for\tfor\tIN\tB-PP\tO' -p322331 -aS'gastrointestinal\tgastrointestinal\tJJ\tB-NP\tO' -p322332 -aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' -p322333 -aS'.\t.\t.\tO\tO' -p322334 -asS'He was transfused with 1/2 units of packed red blood cells and given Lasix periodically to prevent him from going into congestive heart failure has he had on his prior transfusion .' -p322335 -(lp322336 -S'He\tHe\tPRP\tB-NP\tO' -p322337 -aS'was\tbe\tVBD\tB-VP\tO' -p322338 -aS'transfused\ttransfuse\tVBN\tI-VP\tO' -p322339 -aS'with\twith\tIN\tB-PP\tO' -p322340 -aS'1/2\t1/2\tCD\tB-NP\tO' -p322341 -aS'units\tunit\tNNS\tI-NP\tO' -p322342 -aS'of\tof\tIN\tB-PP\tO' -p322343 -aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' -p322344 -aS'red\tred\tJJ\tI-NP\tI-cell_type' -p322345 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p322346 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p322347 -aS'and\tand\tCC\tO\tO' -p322348 -aS'given\tgive\tVBN\tB-VP\tO' -p322349 -aS'Lasix\tLasix\tNNP\tB-NP\tO' -p322350 -aS'periodically\tperiodically\tRB\tB-ADVP\tO' -p322351 -aS'to\tto\tTO\tB-VP\tO' -p322352 -aS'prevent\tprevent\tVB\tI-VP\tO' -p322353 -aS'him\thim\tPRP\tB-NP\tO' -p322354 -aS'from\tfrom\tIN\tB-PP\tO' -p322355 -aS'going\tgo\tVBG\tB-VP\tO' -p322356 -aS'into\tinto\tIN\tB-PP\tO' -p322357 -aS'congestive\tcongestive\tJJ\tB-NP\tO' -p322358 -aS'heart\theart\tNN\tI-NP\tO' -p322359 -aS'failure\tfailure\tNN\tI-NP\tO' -p322360 -aS'has\thave\tVBZ\tB-VP\tO' -p322361 -aS'he\the\tPRP\tB-NP\tO' -p322362 -aS'had\thave\tVBD\tB-VP\tO' -p322363 -aS'on\ton\tIN\tB-PP\tO' -p322364 -aS'his\this\tPRP$\tB-NP\tO' -p322365 -aS'prior\tprior\tJJ\tI-NP\tO' -p322366 -aS'transfusion\ttransfusion\tNN\tI-NP\tO' -p322367 -aS'.\t.\t.\tO\tO' -p322368 -asS'Right dialysis catheter ( 2018-11-05 ) was changed over a wire 2019-01-08 .' -p322369 -(lp322370 -S'Right\tRight\tNN\tB-NP\tO' -p322371 -aS'dialysis\tdialysis\tNN\tI-NP\tO' -p322372 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p322373 -aS'(\t(\t(\tO\tO' -p322374 -aS'2018-11-05\t2018-11-05\tCD\tB-NP\tO' -p322375 -aS')\t)\t)\tO\tO' -p322376 -aS'was\tbe\tVBD\tB-VP\tO' -p322377 -aS'changed\tchange\tVBN\tI-VP\tO' -p322378 -aS'over\tover\tIN\tB-PP\tO' -p322379 -aS'a\ta\tDT\tB-NP\tO' -p322380 -aS'wire\twire\tNN\tI-NP\tO' -p322381 -aS'2019-01-08\t2019-01-08\tCD\tI-NP\tO' -p322382 -aS'.\t.\t.\tO\tO' -p322383 -asS'Make an appointment with Dr. Murray for 4 weeks .' -p322384 -(lp322385 -S'Make\tMake\tVB\tB-VP\tO' -p322386 -aS'an\tan\tDT\tB-NP\tO' -p322387 -aS'appointment\tappointment\tNN\tI-NP\tO' -p322388 -aS'with\twith\tIN\tB-PP\tO' -p322389 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p322390 -aS'Murray\tMurray\tNNP\tI-NP\tO' -p322391 -aS'for\tfor\tIN\tB-PP\tO' -p322392 -aS'4\t4\tCD\tB-NP\tO' -p322393 -aS'weeks\tweek\tNNS\tI-NP\tO' -p322394 -aS'.\t.\t.\tO\tO' -p322395 -asS'2. Rule out sepsis , off antibiotics .' -p322396 -(lp322397 -S'2.\t2.\tLS\tB-LST\tO' -p322398 -aS'Rule\tRule\tNNP\tB-NP\tO' -p322399 -aS'out\tout\tIN\tB-PP\tO' -p322400 -aS'sepsis\tsepsis\tNN\tB-NP\tO' -p322401 -aS',\t,\t,\tO\tO' -p322402 -aS'off\toff\tIN\tB-PP\tO' -p322403 -aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' -p322404 -aS'.\t.\t.\tO\tO' -p322405 -asS'The patient 's white count at the time of discharge is within normal limits .' -p322406 -(lp322407 -S'The\tThe\tDT\tB-NP\tO' -p322408 -aS'patient\tpatient\tNN\tI-NP\tO' -p322409 -aS''s\t'\tNNS\tI-NP\tO' -p322410 -aS'white\twhite\tJJ\tB-NP\tO' -p322411 -aS'count\tcount\tNN\tI-NP\tO' -p322412 -aS'at\tat\tIN\tB-PP\tO' -p322413 -aS'the\tthe\tDT\tB-NP\tO' -p322414 -aS'time\ttime\tNN\tI-NP\tO' -p322415 -aS'of\tof\tIN\tB-PP\tO' -p322416 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p322417 -aS'is\tbe\tVBZ\tB-VP\tO' -p322418 -aS'within\twithin\tIN\tB-PP\tO' -p322419 -aS'normal\tnormal\tJJ\tB-NP\tO' -p322420 -aS'limits\tlimit\tNNS\tI-NP\tO' -p322421 -aS'.\t.\t.\tO\tO' -p322422 -asS'The patient 's sister died eight years prior to the patient 's admission of leukemia , and he otherwise has no next of kin with the exception of one brother in Washington , with whom his relationship is tenuous .' -p322423 -(lp322424 -S'The\tThe\tDT\tB-NP\tO' -p322425 -aS'patient\tpatient\tNN\tI-NP\tO' -p322426 -aS''s\t'\tNNS\tI-NP\tO' -p322427 -aS'sister\tsister\tNN\tI-NP\tO' -p322428 -aS'died\tdie\tVBD\tB-VP\tO' -p322429 -aS'eight\teight\tCD\tB-NP\tO' -p322430 -aS'years\tyear\tNNS\tI-NP\tO' -p322431 -aS'prior\tprior\tRB\tB-ADVP\tO' -p322432 -aS'to\tto\tTO\tB-PP\tO' -p322433 -aS'the\tthe\tDT\tB-NP\tO' -p322434 -aS'patient\tpatient\tNN\tI-NP\tO' -p322435 -aS''s\t'\tNNS\tI-NP\tO' -p322436 -aS'admission\tadmission\tNN\tI-NP\tO' -p322437 -aS'of\tof\tIN\tB-PP\tO' -p322438 -aS'leukemia\tleukemia\tNN\tB-NP\tO' -p322439 -aS',\t,\t,\tO\tO' -p322440 -aS'and\tand\tCC\tO\tO' -p322441 -aS'he\the\tPRP\tB-NP\tO' -p322442 -aS'otherwise\totherwise\tRB\tB-ADVP\tO' -p322443 -aS'has\thave\tVBZ\tB-VP\tO' -p322444 -aS'no\tno\tDT\tB-NP\tO' -p322445 -aS'next\tnext\tNN\tI-NP\tO' -p322446 -aS'of\tof\tIN\tB-PP\tO' -p322447 -aS'kin\tkin\tNN\tB-NP\tO' -p322448 -aS'with\twith\tIN\tB-PP\tO' -p322449 -aS'the\tthe\tDT\tB-NP\tO' -p322450 -aS'exception\texception\tNN\tI-NP\tO' -p322451 -aS'of\tof\tIN\tB-PP\tO' -p322452 -aS'one\tone\tCD\tB-NP\tO' -p322453 -aS'brother\tbrother\tNN\tI-NP\tO' -p322454 -aS'in\tin\tIN\tB-PP\tO' -p322455 -aS'Washington\tWashington\tNNP\tB-NP\tO' -p322456 -aS',\t,\t,\tO\tO' -p322457 -aS'with\twith\tIN\tB-PP\tO' -p322458 -aS'whom\twhom\tWP\tB-NP\tO' -p322459 -aS'his\this\tPRP$\tB-NP\tO' -p322460 -aS'relationship\trelationship\tNN\tI-NP\tO' -p322461 -aS'is\tbe\tVBZ\tB-VP\tO' -p322462 -aS'tenuous\ttenuous\tJJ\tB-ADJP\tO' -p322463 -aS'.\t.\t.\tO\tO' -p322464 -asS'The patient had been doing aerobics three times a week until a couple of weeks before admission .' -p322465 -(lp322466 -S'The\tThe\tDT\tB-NP\tO' -p322467 -aS'patient\tpatient\tNN\tI-NP\tO' -p322468 -aS'had\thave\tVBD\tB-VP\tO' -p322469 -aS'been\tbe\tVBN\tI-VP\tO' -p322470 -aS'doing\tdo\tVBG\tI-VP\tO' -p322471 -aS'aerobics\taerobic\tNNS\tB-NP\tO' -p322472 -aS'three\tthree\tCD\tB-NP\tO' -p322473 -aS'times\ttime\tNNS\tI-NP\tO' -p322474 -aS'a\ta\tDT\tB-NP\tO' -p322475 -aS'week\tweek\tNN\tI-NP\tO' -p322476 -aS'until\tuntil\tIN\tB-SBAR\tO' -p322477 -aS'a\ta\tDT\tB-NP\tO' -p322478 -aS'couple\tcouple\tNN\tI-NP\tO' -p322479 -aS'of\tof\tIN\tB-PP\tO' -p322480 -aS'weeks\tweek\tNNS\tB-NP\tO' -p322481 -aS'before\tbefore\tIN\tB-PP\tO' -p322482 -aS'admission\tadmission\tNN\tB-NP\tO' -p322483 -aS'.\t.\t.\tO\tO' -p322484 -asS'WHOLE BLOOD , MISCELLANEOUS CHEMISTRY Glucose Lactate Na K Cl calHCO3' -p322485 -(lp322486 -S'WHOLE\tWHOLE\tJJ\tB-NP\tO' -p322487 -aS'BLOOD\tBLOOD\tNN\tI-NP\tO' -p322488 -aS',\t,\t,\tO\tO' -p322489 -aS'MISCELLANEOUS\tMISCELLANEOUS\tNNP\tB-NP\tO' -p322490 -aS'CHEMISTRY\tCHEMISTRY\tNNP\tI-NP\tO' -p322491 -aS'Glucose\tGlucose\tNN\tI-NP\tO' -p322492 -aS'Lactate\tLactate\tNN\tI-NP\tO' -p322493 -aS'Na\tNa\tNN\tI-NP\tO' -p322494 -aS'K\tK\tNN\tI-NP\tO' -p322495 -aS'Cl\tCl\tNN\tI-NP\tO' -p322496 -aS'calHCO3\tcalHCO3\tNN\tI-NP\tO' -p322497 -asS'COMPARISONS : None .' -p322498 -(lp322499 -S'COMPARISONS\tCOMPARISONS\tNNS\tB-NP\tO' -p322500 -aS':\t:\t:\tO\tO' -p322501 -aS'None\tNone\tNN\tB-NP\tO' -p322502 -aS'.\t.\t.\tO\tO' -p322503 -asS'Heart was regular with a I / VI systolic ejection murmur without jugular venous distention .' -p322504 -(lp322505 -S'Heart\tHeart\tNNP\tB-NP\tO' -p322506 -aS'was\tbe\tVBD\tB-VP\tO' -p322507 -aS'regular\tregular\tJJ\tB-ADJP\tO' -p322508 -aS'with\twith\tIN\tB-PP\tO' -p322509 -aS'a\ta\tDT\tB-NP\tO' -p322510 -aS'I\tI\tNN\tI-NP\tO' -p322511 -aS'/\t/\tSYM\tB-NP\tO' -p322512 -aS'VI\tVI\tNN\tI-NP\tO' -p322513 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p322514 -aS'ejection\tejection\tNN\tI-NP\tO' -p322515 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p322516 -aS'without\twithout\tIN\tB-PP\tO' -p322517 -aS'jugular\tjugular\tJJ\tB-NP\tO' -p322518 -aS'venous\tvenous\tJJ\tI-NP\tO' -p322519 -aS'distention\tdistention\tNN\tI-NP\tO' -p322520 -aS'.\t.\t.\tO\tO' -p322521 -asS'The patient was brought to the Operating Room on January 3 , 1994 where she underwent a median sternotomy with removal of her mediastinal mass .' -p322522 -(lp322523 -S'The\tThe\tDT\tB-NP\tO' -p322524 -aS'patient\tpatient\tNN\tI-NP\tO' -p322525 -aS'was\tbe\tVBD\tB-VP\tO' -p322526 -aS'brought\tbring\tVBN\tI-VP\tO' -p322527 -aS'to\tto\tTO\tB-PP\tO' -p322528 -aS'the\tthe\tDT\tB-NP\tO' -p322529 -aS'Operating\tOperating\tNNP\tI-NP\tO' -p322530 -aS'Room\tRoom\tNNP\tI-NP\tO' -p322531 -aS'on\ton\tIN\tB-PP\tO' -p322532 -aS'January\tJanuary\tNNP\tB-NP\tO' -p322533 -aS'3\t3\tCD\tI-NP\tO' -p322534 -aS',\t,\t,\tI-NP\tO' -p322535 -aS'1994\t1994\tCD\tI-NP\tO' -p322536 -aS'where\twhere\tWRB\tB-ADVP\tO' -p322537 -aS'she\tshe\tPRP\tB-NP\tO' -p322538 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p322539 -aS'a\ta\tDT\tB-NP\tO' -p322540 -aS'median\tmedian\tJJ\tI-NP\tO' -p322541 -aS'sternotomy\tsternotomy\tNN\tI-NP\tO' -p322542 -aS'with\twith\tIN\tB-PP\tO' -p322543 -aS'removal\tremoval\tNN\tB-NP\tO' -p322544 -aS'of\tof\tIN\tB-PP\tO' -p322545 -aS'her\ther\tPRP$\tB-NP\tO' -p322546 -aS'mediastinal\tmediastinal\tJJ\tI-NP\tO' -p322547 -aS'mass\tmass\tNN\tI-NP\tO' -p322548 -aS'.\t.\t.\tO\tO' -p322549 -asS'Supple , no masses , no lymphadenopathy .' -p322550 -(lp322551 -S'Supple\tSupple\tNNP\tB-NP\tO' -p322552 -aS',\t,\t,\tO\tO' -p322553 -aS'no\tno\tDT\tB-NP\tO' -p322554 -aS'masses\tmass\tNNS\tI-NP\tO' -p322555 -aS',\t,\t,\tO\tO' -p322556 -aS'no\tno\tDT\tB-NP\tO' -p322557 -aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' -p322558 -aS'.\t.\t.\tO\tO' -p322559 -asS'Her two month immunizations have not yet been given .' -p322560 -(lp322561 -S'Her\tHer\tPRP$\tB-NP\tO' -p322562 -aS'two\ttwo\tCD\tI-NP\tO' -p322563 -aS'month\tmonth\tNN\tI-NP\tO' -p322564 -aS'immunizations\timmunization\tNNS\tI-NP\tO' -p322565 -aS'have\thave\tVBP\tB-VP\tO' -p322566 -aS'not\tnot\tRB\tI-VP\tO' -p322567 -aS'yet\tyet\tRB\tI-VP\tO' -p322568 -aS'been\tbe\tVBN\tI-VP\tO' -p322569 -aS'given\tgive\tVBN\tI-VP\tO' -p322570 -aS'.\t.\t.\tO\tO' -p322571 -asS'There is no evidence of right pleural effusion or right pneumothorax .' -p322572 -(lp322573 -S'There\tThere\tEX\tB-NP\tO' -p322574 -aS'is\tbe\tVBZ\tB-VP\tO' -p322575 -aS'no\tno\tDT\tB-NP\tO' -p322576 -aS'evidence\tevidence\tNN\tI-NP\tO' -p322577 -aS'of\tof\tIN\tB-PP\tO' -p322578 -aS'right\tright\tJJ\tB-NP\tO' -p322579 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p322580 -aS'effusion\teffusion\tNN\tI-NP\tO' -p322581 -aS'or\tor\tCC\tO\tO' -p322582 -aS'right\tright\tJJ\tB-NP\tO' -p322583 -aS'pneumothorax\tpneumothorax\tNN\tI-NP\tO' -p322584 -aS'.\t.\t.\tO\tO' -p322585 -asS'The patient was transferred to the floor without any complications .' -p322586 -(lp322587 -S'The\tThe\tDT\tB-NP\tO' -p322588 -aS'patient\tpatient\tNN\tI-NP\tO' -p322589 -aS'was\tbe\tVBD\tB-VP\tO' -p322590 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p322591 -aS'to\tto\tTO\tB-PP\tO' -p322592 -aS'the\tthe\tDT\tB-NP\tO' -p322593 -aS'floor\tfloor\tNN\tI-NP\tO' -p322594 -aS'without\twithout\tIN\tB-PP\tO' -p322595 -aS'any\tany\tDT\tB-NP\tO' -p322596 -aS'complications\tcomplication\tNNS\tI-NP\tO' -p322597 -aS'.\t.\t.\tO\tO' -p322598 -asS'Morphine / Histamine H2 Inhibitors / Heparin Agents' -p322599 -(lp322600 -S'Morphine\tMorphine\tNN\tB-NP\tO' -p322601 -aS'/\t/\tSYM\tI-NP\tO' -p322602 -aS'Histamine\tHistamine\tNN\tI-NP\tO' -p322603 -aS'H2\tH2\tNN\tI-NP\tO' -p322604 -aS'Inhibitors\tInhibitor\tNNS\tI-NP\tO' -p322605 -aS'/\t/\tSYM\tB-NP\tO' -p322606 -aS'Heparin\tHeparin\tNN\tI-NP\tO' -p322607 -aS'Agents\tAgent\tNNS\tI-NP\tO' -p322608 -asS'EMS was activated , however , the patient refused to go to the hospital .' -p322609 -(lp322610 -S'EMS\tEMS\tNNS\tB-NP\tO' -p322611 -aS'was\tbe\tVBD\tB-VP\tO' -p322612 -aS'activated\tactivate\tVBN\tI-VP\tO' -p322613 -aS',\t,\t,\tO\tO' -p322614 -aS'however\thowever\tRB\tB-ADVP\tO' -p322615 -aS',\t,\t,\tO\tO' -p322616 -aS'the\tthe\tDT\tB-NP\tO' -p322617 -aS'patient\tpatient\tNN\tI-NP\tO' -p322618 -aS'refused\trefuse\tVBD\tB-VP\tO' -p322619 -aS'to\tto\tTO\tI-VP\tO' -p322620 -aS'go\tgo\tVB\tI-VP\tO' -p322621 -aS'to\tto\tTO\tB-PP\tO' -p322622 -aS'the\tthe\tDT\tB-NP\tO' -p322623 -aS'hospital\thospital\tNN\tI-NP\tO' -p322624 -aS'.\t.\t.\tO\tO' -p322625 -asS'Phenobarbital levels were 31.4 , 30.2 , and 50 .' -p322626 -(lp322627 -S'Phenobarbital\tPhenobarbital\tNN\tB-NP\tO' -p322628 -aS'levels\tlevel\tNNS\tI-NP\tO' -p322629 -aS'were\tbe\tVBD\tB-VP\tO' -p322630 -aS'31.4\t31.4\tCD\tB-NP\tO' -p322631 -aS',\t,\t,\tI-NP\tO' -p322632 -aS'30.2\t30.2\tCD\tI-NP\tO' -p322633 -aS',\t,\t,\tO\tO' -p322634 -aS'and\tand\tCC\tO\tO' -p322635 -aS'50\t50\tCD\tB-NP\tO' -p322636 -aS'.\t.\t.\tO\tO' -p322637 -asS'His balloon pump had already been removed and on postoperative day #3 , he was transferred to the floor on Lopressor and amiodarone in normal sinus rhythm .' -p322638 -(lp322639 -S'His\tHis\tPRP$\tB-NP\tO' -p322640 -aS'balloon\tballoon\tNN\tI-NP\tO' -p322641 -aS'pump\tpump\tNN\tI-NP\tO' -p322642 -aS'had\thave\tVBD\tB-VP\tO' -p322643 -aS'already\talready\tRB\tI-VP\tO' -p322644 -aS'been\tbe\tVBN\tI-VP\tO' -p322645 -aS'removed\tremove\tVBN\tI-VP\tO' -p322646 -aS'and\tand\tCC\tO\tO' -p322647 -aS'on\ton\tIN\tB-PP\tO' -p322648 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p322649 -aS'day\tday\tNN\tI-NP\tO' -p322650 -aS'#3\t#3\tNN\tI-NP\tO' -p322651 -aS',\t,\t,\tO\tO' -p322652 -aS'he\the\tPRP\tB-NP\tO' -p322653 -aS'was\tbe\tVBD\tB-VP\tO' -p322654 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p322655 -aS'to\tto\tTO\tB-PP\tO' -p322656 -aS'the\tthe\tDT\tB-NP\tO' -p322657 -aS'floor\tfloor\tNN\tI-NP\tO' -p322658 -aS'on\ton\tIN\tB-PP\tO' -p322659 -aS'Lopressor\tLopressor\tNN\tB-NP\tO' -p322660 -aS'and\tand\tCC\tI-NP\tO' -p322661 -aS'amiodarone\tamiodarone\tNN\tI-NP\tO' -p322662 -aS'in\tin\tIN\tB-PP\tO' -p322663 -aS'normal\tnormal\tJJ\tB-NP\tO' -p322664 -aS'sinus\tsinus\tNN\tI-NP\tO' -p322665 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p322666 -aS'.\t.\t.\tO\tO' -p322667 -asS'He is a 39 year-old gentleman with hyperlipidemia and smoking who presented with acute onset of chest pain since five in the morning with radiation to the left arm and nausea .' -p322668 -(lp322669 -S'He\tHe\tPRP\tB-NP\tB-DNA' -p322670 -aS'is\tbe\tVBZ\tB-VP\tO' -p322671 -aS'a\ta\tDT\tB-NP\tO' -p322672 -aS'39\t39\tCD\tI-NP\tO' -p322673 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p322674 -aS'gentleman\tgentleman\tNN\tI-NP\tO' -p322675 -aS'with\twith\tIN\tB-PP\tO' -p322676 -aS'hyperlipidemia\thyperlipidemia\tNN\tB-NP\tO' -p322677 -aS'and\tand\tCC\tI-NP\tO' -p322678 -aS'smoking\tsmoking\tNN\tI-NP\tO' -p322679 -aS'who\twho\tWP\tB-NP\tO' -p322680 -aS'presented\tpresent\tVBD\tB-VP\tO' -p322681 -aS'with\twith\tIN\tB-PP\tO' -p322682 -aS'acute\tacute\tJJ\tB-NP\tO' -p322683 -aS'onset\tonset\tNN\tI-NP\tO' -p322684 -aS'of\tof\tIN\tB-PP\tO' -p322685 -aS'chest\tchest\tNN\tB-NP\tO' -p322686 -aS'pain\tpain\tNN\tI-NP\tO' -p322687 -aS'since\tsince\tIN\tB-PP\tO' -p322688 -aS'five\tfive\tCD\tB-NP\tO' -p322689 -aS'in\tin\tIN\tB-PP\tO' -p322690 -aS'the\tthe\tDT\tB-NP\tO' -p322691 -aS'morning\tmorning\tNN\tI-NP\tO' -p322692 -aS'with\twith\tIN\tB-PP\tO' -p322693 -aS'radiation\tradiation\tNN\tB-NP\tO' -p322694 -aS'to\tto\tTO\tB-PP\tO' -p322695 -aS'the\tthe\tDT\tB-NP\tO' -p322696 -aS'left\tleft\tJJ\tI-NP\tO' -p322697 -aS'arm\tarm\tNN\tI-NP\tO' -p322698 -aS'and\tand\tCC\tI-NP\tO' -p322699 -aS'nausea\tnausea\tNN\tI-NP\tO' -p322700 -aS'.\t.\t.\tO\tO' -p322701 -asS'Started on Labetalol and then Nipride drip for BP control ; discontinued as goal BP in 130-160 s.' -p322702 -(lp322703 -S'Started\tStart\tVBN\tB-VP\tO' -p322704 -aS'on\ton\tIN\tB-PP\tO' -p322705 -aS'Labetalol\tLabetalol\tNN\tB-NP\tO' -p322706 -aS'and\tand\tCC\tB-NP\tO' -p322707 -aS'then\tthen\tRB\tI-NP\tO' -p322708 -aS'Nipride\tNipride\tNN\tB-NP\tO' -p322709 -aS'drip\tdrip\tNN\tI-NP\tO' -p322710 -aS'for\tfor\tIN\tB-PP\tO' -p322711 -aS'BP\tBP\tNN\tB-NP\tO' -p322712 -aS'control\tcontrol\tNN\tI-NP\tO' -p322713 -aS';\t;\t:\tO\tO' -p322714 -aS'discontinued\tdiscontinue\tVBN\tB-VP\tO' -p322715 -aS'as\tas\tIN\tB-PP\tO' -p322716 -aS'goal\tgoal\tNN\tB-NP\tO' -p322717 -aS'BP\tBP\tNN\tI-NP\tO' -p322718 -aS'in\tin\tIN\tB-PP\tO' -p322719 -aS'130-160\t130-160\tCD\tB-NP\tO' -p322720 -aS's.\ts.\tNNS\tI-NP\tO' -p322721 -asS'The patient lives alone and works full time doing secretarial work .' -p322722 -(lp322723 -S'The\tThe\tDT\tB-NP\tO' -p322724 -aS'patient\tpatient\tNN\tI-NP\tO' -p322725 -aS'lives\tlive\tVBZ\tB-VP\tO' -p322726 -aS'alone\talone\tRB\tB-ADVP\tO' -p322727 -aS'and\tand\tCC\tO\tO' -p322728 -aS'works\twork\tVBZ\tB-VP\tO' -p322729 -aS'full\tfull\tJJ\tB-NP\tO' -p322730 -aS'time\ttime\tNN\tI-NP\tO' -p322731 -aS'doing\tdo\tVBG\tB-VP\tO' -p322732 -aS'secretarial\tsecretarial\tJJ\tB-NP\tO' -p322733 -aS'work\twork\tNN\tI-NP\tO' -p322734 -aS'.\t.\t.\tO\tO' -p322735 -asS'Resting regional wall motion abnormalities include apical dyskinesis and distal anterior , septal , mid and distal inferior and inferolateral wall akinesis .' -p322736 -(lp322737 -S'Resting\tRest\tVBG\tB-VP\tO' -p322738 -aS'regional\tregional\tJJ\tB-NP\tO' -p322739 -aS'wall\twall\tNN\tI-NP\tO' -p322740 -aS'motion\tmotion\tNN\tI-NP\tO' -p322741 -aS'abnormalities\tabnormality\tNNS\tI-NP\tO' -p322742 -aS'include\tinclude\tVBP\tB-VP\tO' -p322743 -aS'apical\tapical\tJJ\tB-NP\tO' -p322744 -aS'dyskinesis\tdyskinesis\tNN\tI-NP\tO' -p322745 -aS'and\tand\tCC\tO\tO' -p322746 -aS'distal\tdistal\tJJ\tB-NP\tO' -p322747 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p322748 -aS',\t,\t,\tI-NP\tO' -p322749 -aS'septal\tseptal\tJJ\tI-NP\tO' -p322750 -aS',\t,\t,\tI-NP\tO' -p322751 -aS'mid\tmid\tJJ\tI-NP\tO' -p322752 -aS'and\tand\tCC\tI-NP\tO' -p322753 -aS'distal\tdistal\tJJ\tI-NP\tO' -p322754 -aS'inferior\tinferior\tJJ\tI-NP\tO' -p322755 -aS'and\tand\tCC\tI-NP\tO' -p322756 -aS'inferolateral\tinferolateral\tJJ\tI-NP\tO' -p322757 -aS'wall\twall\tNN\tI-NP\tO' -p322758 -aS'akinesis\takinesis\tNN\tI-NP\tO' -p322759 -aS'.\t.\t.\tO\tO' -p322760 -asS'4. CAD s/p velocity stenting proximal LAD 2002' -p322761 -(lp322762 -S'4.\t4.\tLS\tB-NP\tO' -p322763 -aS'CAD\tCAD\tNN\tI-NP\tO' -p322764 -aS's/p\ts/p\tNN\tI-NP\tO' -p322765 -aS'velocity\tvelocity\tNN\tI-NP\tO' -p322766 -aS'stenting\tstente\tVBG\tB-VP\tO' -p322767 -aS'proximal\tproximal\tJJ\tB-NP\tO' -p322768 -aS'LAD\tLAD\tNN\tI-NP\tO' -p322769 -aS'2002\t2002\tCD\tI-NP\tO' -p322770 -asS'PLEASE SEE ADDENDUM FOR ANY CHANGE IN MEDICATIONS AND DISCHARGE DATE .' -p322771 -(lp322772 -S'PLEASE\tPLEASE\tNNP\tB-NP\tO' -p322773 -aS'SEE\tSEE\tNNP\tI-NP\tO' -p322774 -aS'ADDENDUM\tADDENDUM\tNNP\tI-NP\tO' -p322775 -aS'FOR\tFOR\tNNP\tI-NP\tO' -p322776 -aS'ANY\tANY\tNNP\tI-NP\tO' -p322777 -aS'CHANGE\tCHANGE\tNNP\tI-NP\tO' -p322778 -aS'IN\tIN\tNNP\tI-NP\tO' -p322779 -aS'MEDICATIONS\tMEDICATIONS\tNNP\tI-NP\tO' -p322780 -aS'AND\tAND\tCC\tO\tO' -p322781 -aS'DISCHARGE\tDISCHARGE\tNNP\tB-NP\tO' -p322782 -aS'DATE\tDATE\tNNP\tI-NP\tO' -p322783 -aS'.\t.\t.\tO\tO' -p322784 -asS'He was seen in FLFDMC where he was noted to have jaundice and newly palpable liver edge .' -p322785 -(lp322786 -S'He\tHe\tPRP\tB-NP\tO' -p322787 -aS'was\tbe\tVBD\tB-VP\tO' -p322788 -aS'seen\tsee\tVBN\tI-VP\tO' -p322789 -aS'in\tin\tIN\tB-PP\tO' -p322790 -aS'FLFDMC\tFLFDMC\tNN\tB-NP\tB-cell_type' -p322791 -aS'where\twhere\tWRB\tB-ADVP\tO' -p322792 -aS'he\the\tPRP\tB-NP\tO' -p322793 -aS'was\tbe\tVBD\tB-VP\tO' -p322794 -aS'noted\tnote\tVBN\tI-VP\tO' -p322795 -aS'to\tto\tTO\tI-VP\tO' -p322796 -aS'have\thave\tVB\tI-VP\tO' -p322797 -aS'jaundice\tjaundice\tNN\tB-NP\tO' -p322798 -aS'and\tand\tCC\tO\tO' -p322799 -aS'newly\tnewly\tRB\tB-NP\tO' -p322800 -aS'palpable\tpalpable\tJJ\tI-NP\tO' -p322801 -aS'liver\tliver\tNN\tI-NP\tO' -p322802 -aS'edge\tedge\tNN\tI-NP\tO' -p322803 -aS'.\t.\t.\tO\tO' -p322804 -asS'scheduled c / s for breech' -p322805 -(lp322806 -S'scheduled\tschedule\tVBN\tB-NP\tO' -p322807 -aS'c\tc\tNN\tI-NP\tO' -p322808 -aS'/\t/\tSYM\tI-NP\tO' -p322809 -aS's\ts\tNN\tI-NP\tO' -p322810 -aS'for\tfor\tIN\tB-PP\tO' -p322811 -aS'breech\tbreech\tNN\tB-NP\tO' -p322812 -asS'9. Avandia 4 mg p.o. q. day .' -p322813 -(lp322814 -S'9.\t9.\tCD\tB-NP\tO' -p322815 -aS'Avandia\tAvandia\tNNP\tI-NP\tO' -p322816 -aS'4\t4\tCD\tI-NP\tO' -p322817 -aS'mg\tmg\tNN\tI-NP\tO' -p322818 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p322819 -aS'q.\tq.\tNN\tI-NP\tO' -p322820 -aS'day\tday\tNN\tI-NP\tO' -p322821 -aS'.\t.\t.\tO\tO' -p322822 -asS'Atropine was given and heart rate returned to the 70s and his blood pressure returned to the 120s over 80s .' -p322823 -(lp322824 -S'Atropine\tAtropine\tNN\tB-NP\tO' -p322825 -aS'was\tbe\tVBD\tB-VP\tO' -p322826 -aS'given\tgive\tVBN\tI-VP\tO' -p322827 -aS'and\tand\tCC\tO\tO' -p322828 -aS'heart\theart\tNN\tB-NP\tO' -p322829 -aS'rate\trate\tNN\tI-NP\tO' -p322830 -aS'returned\treturn\tVBD\tB-VP\tO' -p322831 -aS'to\tto\tTO\tB-PP\tO' -p322832 -aS'the\tthe\tDT\tB-NP\tO' -p322833 -aS'70s\t70\tNNS\tI-NP\tO' -p322834 -aS'and\tand\tCC\tO\tO' -p322835 -aS'his\this\tPRP$\tB-NP\tO' -p322836 -aS'blood\tblood\tNN\tI-NP\tO' -p322837 -aS'pressure\tpressure\tNN\tI-NP\tO' -p322838 -aS'returned\treturn\tVBD\tB-VP\tO' -p322839 -aS'to\tto\tTO\tB-PP\tO' -p322840 -aS'the\tthe\tDT\tB-NP\tO' -p322841 -aS'120s\t120s\tCD\tI-NP\tO' -p322842 -aS'over\tover\tIN\tB-PP\tO' -p322843 -aS'80s\t80s\tCD\tB-NP\tO' -p322844 -aS'.\t.\t.\tO\tO' -p322845 -asS'She is do not resuscitate in agreement with the wishes of her multiple family members .' -p322846 -(lp322847 -S'She\tShe\tPRP\tB-NP\tO' -p322848 -aS'is\tbe\tVBZ\tB-VP\tO' -p322849 -aS'do\tdo\tVBP\tI-VP\tO' -p322850 -aS'not\tnot\tRB\tI-VP\tO' -p322851 -aS'resuscitate\tresuscitate\tVB\tI-VP\tO' -p322852 -aS'in\tin\tIN\tB-PP\tO' -p322853 -aS'agreement\tagreement\tNN\tB-NP\tO' -p322854 -aS'with\twith\tIN\tB-PP\tO' -p322855 -aS'the\tthe\tDT\tB-NP\tO' -p322856 -aS'wishes\twish\tNNS\tI-NP\tO' -p322857 -aS'of\tof\tIN\tB-PP\tO' -p322858 -aS'her\ther\tPRP$\tB-NP\tB-protein' -p322859 -aS'multiple\tmultiple\tJJ\tI-NP\tI-protein' -p322860 -aS'family\tfamily\tNN\tI-NP\tI-protein' -p322861 -aS'members\tmember\tNNS\tI-NP\tI-protein' -p322862 -aS'.\t.\t.\tO\tO' -p322863 -asS'He was involved in a long extrication with a blood pressure of 88 at the scene .' -p322864 -(lp322865 -S'He\tHe\tPRP\tB-NP\tO' -p322866 -aS'was\tbe\tVBD\tB-VP\tO' -p322867 -aS'involved\tinvolve\tVBN\tI-VP\tO' -p322868 -aS'in\tin\tIN\tB-PP\tO' -p322869 -aS'a\ta\tDT\tB-NP\tO' -p322870 -aS'long\tlong\tJJ\tI-NP\tO' -p322871 -aS'extrication\textrication\tNN\tI-NP\tO' -p322872 -aS'with\twith\tIN\tB-PP\tO' -p322873 -aS'a\ta\tDT\tB-NP\tO' -p322874 -aS'blood\tblood\tNN\tI-NP\tO' -p322875 -aS'pressure\tpressure\tNN\tI-NP\tO' -p322876 -aS'of\tof\tIN\tB-PP\tO' -p322877 -aS'88\t88\tCD\tB-NP\tO' -p322878 -aS'at\tat\tIN\tB-PP\tO' -p322879 -aS'the\tthe\tDT\tB-NP\tO' -p322880 -aS'scene\tscene\tNN\tI-NP\tO' -p322881 -aS'.\t.\t.\tO\tO' -p322882 -asS'After discussing this with his PCP , Leon was clear that the patient had had recurrent DVTs and ultimately a PE and his PCP felt strongly that he required long-term anticoagulation .' -p322883 -(lp322884 -S'After\tAfter\tIN\tB-PP\tO' -p322885 -aS'discussing\tdiscuss\tVBG\tB-VP\tO' -p322886 -aS'this\tthis\tDT\tB-NP\tO' -p322887 -aS'with\twith\tIN\tB-PP\tO' -p322888 -aS'his\this\tPRP$\tB-NP\tO' -p322889 -aS'PCP\tPCP\tNN\tI-NP\tB-DNA' -p322890 -aS',\t,\t,\tO\tO' -p322891 -aS'Leon\tLeon\tNNP\tB-NP\tO' -p322892 -aS'was\tbe\tVBD\tB-VP\tO' -p322893 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p322894 -aS'that\tthat\tIN\tB-SBAR\tO' -p322895 -aS'the\tthe\tDT\tB-NP\tO' -p322896 -aS'patient\tpatient\tNN\tI-NP\tO' -p322897 -aS'had\thave\tVBD\tB-VP\tO' -p322898 -aS'had\thave\tVBN\tI-VP\tO' -p322899 -aS'recurrent\trecurrent\tJJ\tB-NP\tO' -p322900 -aS'DVTs\tDVT\tNNS\tI-NP\tO' -p322901 -aS'and\tand\tCC\tO\tO' -p322902 -aS'ultimately\tultimately\tRB\tB-ADVP\tO' -p322903 -aS'a\ta\tDT\tB-NP\tO' -p322904 -aS'PE\tPE\tNN\tI-NP\tO' -p322905 -aS'and\tand\tCC\tO\tO' -p322906 -aS'his\this\tPRP$\tB-NP\tO' -p322907 -aS'PCP\tPCP\tNN\tI-NP\tB-DNA' -p322908 -aS'felt\tfeel\tVBD\tB-VP\tO' -p322909 -aS'strongly\tstrongly\tRB\tB-ADVP\tO' -p322910 -aS'that\tthat\tIN\tB-SBAR\tO' -p322911 -aS'he\the\tPRP\tB-NP\tO' -p322912 -aS'required\trequire\tVBD\tB-VP\tO' -p322913 -aS'long-term\tlong-term\tJJ\tB-NP\tO' -p322914 -aS'anticoagulation\tanticoagulation\tNN\tI-NP\tO' -p322915 -aS'.\t.\t.\tO\tO' -p322916 -asS'On the day of admission , the patient went to the Operating Room and underwent a minimally invasive' -p322917 -(lp322918 -S'On\tOn\tIN\tB-PP\tO' -p322919 -aS'the\tthe\tDT\tB-NP\tO' -p322920 -aS'day\tday\tNN\tI-NP\tO' -p322921 -aS'of\tof\tIN\tB-PP\tO' -p322922 -aS'admission\tadmission\tNN\tB-NP\tO' -p322923 -aS',\t,\t,\tO\tO' -p322924 -aS'the\tthe\tDT\tB-NP\tO' -p322925 -aS'patient\tpatient\tNN\tI-NP\tO' -p322926 -aS'went\tgo\tVBD\tB-VP\tO' -p322927 -aS'to\tto\tTO\tB-PP\tO' -p322928 -aS'the\tthe\tDT\tB-NP\tO' -p322929 -aS'Operating\tOperating\tNNP\tI-NP\tO' -p322930 -aS'Room\tRoom\tNNP\tI-NP\tO' -p322931 -aS'and\tand\tCC\tO\tO' -p322932 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p322933 -aS'a\ta\tDT\tB-NP\tO' -p322934 -aS'minimally\tminimally\tRB\tI-NP\tO' -p322935 -aS'invasive\tinvasive\tJJ\tI-NP\tO' -p322936 -asS'Extremities no clubbing , cyanosis or edema .' -p322937 -(lp322938 -S'Extremities\tExtremity\tNNS\tB-NP\tO' -p322939 -aS'no\tno\tDT\tB-NP\tO' -p322940 -aS'clubbing\tclubbing\tNN\tI-NP\tO' -p322941 -aS',\t,\t,\tO\tO' -p322942 -aS'cyanosis\tcyanosis\tNN\tB-NP\tO' -p322943 -aS'or\tor\tCC\tI-NP\tO' -p322944 -aS'edema\tedema\tNN\tI-NP\tO' -p322945 -aS'.\t.\t.\tO\tO' -p322946 -asS'Dr. Streeter from Cardiothoracic Surgery will follow up with the patient for further management in approximately one month as an outpatient .' -p322947 -(lp322948 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p322949 -aS'Streeter\tStreeter\tNNP\tI-NP\tO' -p322950 -aS'from\tfrom\tIN\tB-PP\tO' -p322951 -aS'Cardiothoracic\tCardiothoracic\tNNP\tB-NP\tO' -p322952 -aS'Surgery\tSurgery\tNNP\tI-NP\tO' -p322953 -aS'will\twill\tMD\tB-VP\tO' -p322954 -aS'follow\tfollow\tVB\tI-VP\tO' -p322955 -aS'up\tup\tRP\tB-PRT\tO' -p322956 -aS'with\twith\tIN\tB-PP\tO' -p322957 -aS'the\tthe\tDT\tB-NP\tO' -p322958 -aS'patient\tpatient\tNN\tI-NP\tO' -p322959 -aS'for\tfor\tIN\tB-PP\tO' -p322960 -aS'further\tfurther\tJJ\tB-NP\tO' -p322961 -aS'management\tmanagement\tNN\tI-NP\tO' -p322962 -aS'in\tin\tIN\tB-PP\tO' -p322963 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p322964 -aS'one\tone\tCD\tI-NP\tO' -p322965 -aS'month\tmonth\tNN\tI-NP\tO' -p322966 -aS'as\tas\tIN\tB-PP\tO' -p322967 -aS'an\tan\tDT\tB-NP\tO' -p322968 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p322969 -aS'.\t.\t.\tO\tO' -p322970 -asS'S/P Subtotal Colectomy , Ileostomy , Gastrostomy tube' -p322971 -(lp322972 -S'S/P\tS/P\tNNP\tB-NP\tO' -p322973 -aS'Subtotal\tSubtotal\tNNP\tI-NP\tO' -p322974 -aS'Colectomy\tColectomy\tNNP\tI-NP\tO' -p322975 -aS',\t,\t,\tO\tO' -p322976 -aS'Ileostomy\tIleostomy\tNNP\tB-NP\tO' -p322977 -aS',\t,\t,\tO\tO' -p322978 -aS'Gastrostomy\tGastrostomy\tNNP\tB-NP\tO' -p322979 -aS'tube\ttube\tNNP\tI-NP\tO' -p322980 -asS'( 589 ) 690-3703 .' -p322981 -(lp322982 -S'(\t(\t(\tO\tO' -p322983 -aS'589\t589\tCD\tB-NP\tO' -p322984 -aS')\t)\t)\tO\tO' -p322985 -aS'690-3703\t690-3703\tCD\tB-NP\tO' -p322986 -aS'.\t.\t.\tO\tO' -p322987 -asS'However , tube placement was complicated by renal artery puncture , afib , and increased dyspnea .' -p322988 -(lp322989 -S'However\tHowever\tRB\tB-ADVP\tO' -p322990 -aS',\t,\t,\tO\tO' -p322991 -aS'tube\ttube\tNN\tB-NP\tO' -p322992 -aS'placement\tplacement\tNN\tI-NP\tO' -p322993 -aS'was\tbe\tVBD\tB-VP\tO' -p322994 -aS'complicated\tcomplicate\tVBN\tI-VP\tO' -p322995 -aS'by\tby\tIN\tB-PP\tO' -p322996 -aS'renal\trenal\tJJ\tB-NP\tO' -p322997 -aS'artery\tartery\tNN\tI-NP\tO' -p322998 -aS'puncture\tpuncture\tNN\tI-NP\tO' -p322999 -aS',\t,\t,\tO\tO' -p323000 -aS'afib\tafib\tNN\tB-NP\tO' -p323001 -aS',\t,\t,\tO\tO' -p323002 -aS'and\tand\tCC\tO\tO' -p323003 -aS'increased\tincrease\tVBN\tB-NP\tO' -p323004 -aS'dyspnea\tdyspnea\tNN\tI-NP\tO' -p323005 -aS'.\t.\t.\tO\tO' -p323006 -asS'He did have a small troponin leak , felt to be related to right heart strain in the setting of P-pulmonale related to clot burden .' -p323007 -(lp323008 -S'He\tHe\tPRP\tB-NP\tO' -p323009 -aS'did\tdo\tVBD\tB-VP\tO' -p323010 -aS'have\thave\tVB\tI-VP\tO' -p323011 -aS'a\ta\tDT\tB-NP\tO' -p323012 -aS'small\tsmall\tJJ\tI-NP\tO' -p323013 -aS'troponin\ttroponin\tNN\tI-NP\tO' -p323014 -aS'leak\tleak\tNN\tI-NP\tO' -p323015 -aS',\t,\t,\tO\tO' -p323016 -aS'felt\tfeel\tVBD\tB-VP\tO' -p323017 -aS'to\tto\tTO\tI-VP\tO' -p323018 -aS'be\tbe\tVB\tI-VP\tO' -p323019 -aS'related\trelated\tJJ\tB-ADJP\tO' -p323020 -aS'to\tto\tTO\tB-PP\tO' -p323021 -aS'right\tright\tJJ\tB-NP\tO' -p323022 -aS'heart\theart\tNN\tI-NP\tO' -p323023 -aS'strain\tstrain\tNN\tI-NP\tO' -p323024 -aS'in\tin\tIN\tB-PP\tO' -p323025 -aS'the\tthe\tDT\tB-NP\tO' -p323026 -aS'setting\tsetting\tNN\tI-NP\tO' -p323027 -aS'of\tof\tIN\tB-PP\tO' -p323028 -aS'P-pulmonale\tP-pulmonale\tNN\tB-NP\tO' -p323029 -aS'related\trelate\tVBN\tB-VP\tO' -p323030 -aS'to\tto\tTO\tB-PP\tO' -p323031 -aS'clot\tclot\tNN\tB-NP\tO' -p323032 -aS'burden\tburden\tNN\tI-NP\tO' -p323033 -aS'.\t.\t.\tO\tO' -p323034 -asS'HEIGHT NORMAL 66 HEENT NORMAL MOUTH NORMAL NECK NORMAL BREASTS NORMAL NIPPLES NORMAL CHEST NORMAL COR NORMAL ABDOMEN NORMAL EXTREM NORMAL SKIN mottled on both lower extremities .' -p323035 -(lp323036 -S'HEIGHT\tHEIGHT\tNN\tB-NP\tB-protein' -p323037 -aS'NORMAL\tNORMAL\tNN\tI-NP\tI-protein' -p323038 -aS'66\t66\tCD\tI-NP\tI-protein' -p323039 -aS'HEENT\tHEENT\tNNP\tI-NP\tI-protein' -p323040 -aS'NORMAL\tNORMAL\tNNP\tI-NP\tI-protein' -p323041 -aS'MOUTH\tMOUTH\tNNP\tI-NP\tI-protein' -p323042 -aS'NORMAL\tNORMAL\tNNP\tI-NP\tI-protein' -p323043 -aS'NECK\tNECK\tNNP\tI-NP\tI-protein' -p323044 -aS'NORMAL\tNORMAL\tNNP\tI-NP\tI-protein' -p323045 -aS'BREASTS\tBREASTS\tNNP\tI-NP\tI-protein' -p323046 -aS'NORMAL\tNORMAL\tNNP\tI-NP\tI-protein' -p323047 -aS'NIPPLES\tNIPPLES\tNNP\tI-NP\tI-protein' -p323048 -aS'NORMAL\tNORMAL\tNNP\tI-NP\tI-protein' -p323049 -aS'CHEST\tCHEST\tNNP\tI-NP\tI-protein' -p323050 -aS'NORMAL\tNORMAL\tNNP\tI-NP\tI-protein' -p323051 -aS'COR\tCOR\tNNP\tI-NP\tI-protein' -p323052 -aS'NORMAL\tNORMAL\tNNP\tI-NP\tI-protein' -p323053 -aS'ABDOMEN\tABDOMEN\tNNP\tI-NP\tI-protein' -p323054 -aS'NORMAL\tNORMAL\tNNP\tI-NP\tI-protein' -p323055 -aS'EXTREM\tEXTREM\tNNP\tI-NP\tI-protein' -p323056 -aS'NORMAL\tNORMAL\tNNP\tI-NP\tI-protein' -p323057 -aS'SKIN\tSKIN\tNNP\tI-NP\tI-protein' -p323058 -aS'mottled\tmottle\tVBD\tB-VP\tO' -p323059 -aS'on\ton\tIN\tB-PP\tO' -p323060 -aS'both\tboth\tDT\tB-NP\tO' -p323061 -aS'lower\tlow\tJJR\tI-NP\tO' -p323062 -aS'extremities\textremity\tNNS\tI-NP\tO' -p323063 -aS'.\t.\t.\tO\tO' -p323064 -asS'2. Anxiety .' -p323065 -(lp323066 -S'2.\t2.\tLS\tB-NP\tO' -p323067 -aS'Anxiety\tAnxiety\tNN\tI-NP\tO' -p323068 -aS'.\t.\t.\tO\tO' -p323069 -asS'This is a 49 year-old male with a history of a low anterior resection in May of 1998 and a recurrence of metastasis with asleeve of section of left colon diverting ileostomy for recurrent metastasis later in May of 1999 who presents with anterior midepigastric abdominal pain .' -p323070 -(lp323071 -S'This\tThis\tDT\tB-NP\tO' -p323072 -aS'is\tbe\tVBZ\tB-VP\tO' -p323073 -aS'a\ta\tDT\tB-NP\tO' -p323074 -aS'49\t49\tCD\tI-NP\tO' -p323075 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p323076 -aS'male\tmale\tNN\tI-NP\tO' -p323077 -aS'with\twith\tIN\tB-PP\tO' -p323078 -aS'a\ta\tDT\tB-NP\tO' -p323079 -aS'history\thistory\tNN\tI-NP\tO' -p323080 -aS'of\tof\tIN\tB-PP\tO' -p323081 -aS'a\ta\tDT\tB-NP\tO' -p323082 -aS'low\tlow\tJJ\tI-NP\tO' -p323083 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p323084 -aS'resection\tresection\tNN\tI-NP\tO' -p323085 -aS'in\tin\tIN\tB-PP\tO' -p323086 -aS'May\tMay\tNNP\tB-NP\tO' -p323087 -aS'of\tof\tIN\tB-PP\tO' -p323088 -aS'1998\t1998\tCD\tB-NP\tO' -p323089 -aS'and\tand\tCC\tO\tO' -p323090 -aS'a\ta\tDT\tB-NP\tO' -p323091 -aS'recurrence\trecurrence\tNN\tI-NP\tO' -p323092 -aS'of\tof\tIN\tB-PP\tO' -p323093 -aS'metastasis\tmetastasis\tNN\tB-NP\tO' -p323094 -aS'with\twith\tIN\tB-PP\tO' -p323095 -aS'asleeve\tasleeve\tNN\tB-NP\tO' -p323096 -aS'of\tof\tIN\tB-PP\tO' -p323097 -aS'section\tsection\tNN\tB-NP\tO' -p323098 -aS'of\tof\tIN\tB-PP\tO' -p323099 -aS'left\tleft\tJJ\tB-NP\tO' -p323100 -aS'colon\tcolon\tNN\tI-NP\tO' -p323101 -aS'diverting\tdivert\tVBG\tB-VP\tO' -p323102 -aS'ileostomy\tileostomy\tNN\tB-NP\tO' -p323103 -aS'for\tfor\tIN\tB-PP\tO' -p323104 -aS'recurrent\trecurrent\tJJ\tB-NP\tO' -p323105 -aS'metastasis\tmetastasis\tNN\tI-NP\tO' -p323106 -aS'later\tlater\tRB\tB-ADVP\tO' -p323107 -aS'in\tin\tIN\tB-PP\tO' -p323108 -aS'May\tMay\tNNP\tB-NP\tO' -p323109 -aS'of\tof\tIN\tB-PP\tO' -p323110 -aS'1999\t1999\tCD\tB-NP\tO' -p323111 -aS'who\twho\tWP\tB-NP\tO' -p323112 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p323113 -aS'with\twith\tIN\tB-PP\tO' -p323114 -aS'anterior\tanterior\tJJ\tB-NP\tB-protein' -p323115 -aS'midepigastric\tmidepigastric\tJJ\tI-NP\tI-protein' -p323116 -aS'abdominal\tabdominal\tJJ\tI-NP\tI-protein' -p323117 -aS'pain\tpain\tNN\tI-NP\tI-protein' -p323118 -aS'.\t.\t.\tO\tO' -p323119 -asS'Florinef is to be considered , however stopping the Isordil is one goal .' -p323120 -(lp323121 -S'Florinef\tFlorinef\tNN\tB-NP\tB-protein' -p323122 -aS'is\tbe\tVBZ\tB-VP\tO' -p323123 -aS'to\tto\tTO\tI-VP\tO' -p323124 -aS'be\tbe\tVB\tI-VP\tO' -p323125 -aS'considered\tconsider\tVBN\tI-VP\tO' -p323126 -aS',\t,\t,\tO\tO' -p323127 -aS'however\thowever\tRB\tB-VP\tO' -p323128 -aS'stopping\tstop\tVBG\tI-VP\tO' -p323129 -aS'the\tthe\tDT\tB-NP\tO' -p323130 -aS'Isordil\tIsordil\tNN\tI-NP\tO' -p323131 -aS'is\tbe\tVBZ\tB-VP\tO' -p323132 -aS'one\tone\tCD\tB-NP\tO' -p323133 -aS'goal\tgoal\tNN\tI-NP\tO' -p323134 -aS'.\t.\t.\tO\tO' -p323135 -asS'2. Hemorrhoidectomy .' -p323136 -(lp323137 -S'2.\t2.\tLS\tB-NP\tO' -p323138 -aS'Hemorrhoidectomy\tHemorrhoidectomy\tNN\tI-NP\tO' -p323139 -aS'.\t.\t.\tO\tO' -p323140 -asS'7. Left common femoral dorsalis pedis bypass graft .' -p323141 -(lp323142 -S'7.\t7.\tLS\tB-NP\tO' -p323143 -aS'Left\tLeft\tNNP\tI-NP\tO' -p323144 -aS'common\tcommon\tJJ\tI-NP\tO' -p323145 -aS'femoral\tfemoral\tJJ\tI-NP\tO' -p323146 -aS'dorsalis\tdorsalis\tNN\tI-NP\tO' -p323147 -aS'pedis\tpedis\tNN\tI-NP\tO' -p323148 -aS'bypass\tbypass\tIN\tB-PP\tO' -p323149 -aS'graft\tgraft\tNN\tB-NP\tO' -p323150 -aS'.\t.\t.\tO\tO' -p323151 -asS'She was started on _________ with excellent diuresis , however , her renal functioning worsening .' -p323152 -(lp323153 -S'She\tShe\tPRP\tB-NP\tO' -p323154 -aS'was\tbe\tVBD\tB-VP\tO' -p323155 -aS'started\tstart\tVBN\tI-VP\tO' -p323156 -aS'on\ton\tIN\tB-PP\tO' -p323157 -aS'_________\t_________\tNN\tB-NP\tO' -p323158 -aS'with\twith\tIN\tB-PP\tO' -p323159 -aS'excellent\texcellent\tJJ\tB-NP\tO' -p323160 -aS'diuresis\tdiuresis\tNN\tI-NP\tO' -p323161 -aS',\t,\t,\tO\tO' -p323162 -aS'however\thowever\tRB\tB-ADVP\tO' -p323163 -aS',\t,\t,\tO\tO' -p323164 -aS'her\ther\tPRP$\tB-NP\tO' -p323165 -aS'renal\trenal\tJJ\tI-NP\tO' -p323166 -aS'functioning\tfunctioning\tNN\tI-NP\tO' -p323167 -aS'worsening\tworsen\tVBG\tB-VP\tO' -p323168 -aS'.\t.\t.\tO\tO' -p323169 -asS'The patient was subsequently taken to the operating room where he underwent a reoperative coronary artery bypass graft times three with a subaortic proximal graft from the aorta to the OM1 and then OM2 and aorta to the LAD with a wide graft per Dr. Lumar Jongguild .' -p323170 -(lp323171 -S'The\tThe\tDT\tB-NP\tO' -p323172 -aS'patient\tpatient\tNN\tI-NP\tO' -p323173 -aS'was\tbe\tVBD\tB-VP\tO' -p323174 -aS'subsequently\tsubsequently\tRB\tI-VP\tO' -p323175 -aS'taken\ttake\tVBN\tI-VP\tO' -p323176 -aS'to\tto\tTO\tB-PP\tO' -p323177 -aS'the\tthe\tDT\tB-NP\tO' -p323178 -aS'operating\toperating\tNN\tI-NP\tO' -p323179 -aS'room\troom\tNN\tI-NP\tO' -p323180 -aS'where\twhere\tWRB\tB-ADVP\tO' -p323181 -aS'he\the\tPRP\tB-NP\tO' -p323182 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p323183 -aS'a\ta\tDT\tB-NP\tO' -p323184 -aS'reoperative\treoperative\tJJ\tI-NP\tO' -p323185 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p323186 -aS'artery\tartery\tNN\tI-NP\tO' -p323187 -aS'bypass\tbypass\tIN\tB-PP\tO' -p323188 -aS'graft\tgraft\tNN\tB-NP\tO' -p323189 -aS'times\ttime\tNNS\tI-NP\tO' -p323190 -aS'three\tthree\tCD\tB-NP\tO' -p323191 -aS'with\twith\tIN\tB-PP\tO' -p323192 -aS'a\ta\tDT\tB-NP\tO' -p323193 -aS'subaortic\tsubaortic\tJJ\tI-NP\tO' -p323194 -aS'proximal\tproximal\tJJ\tI-NP\tO' -p323195 -aS'graft\tgraft\tNN\tI-NP\tO' -p323196 -aS'from\tfrom\tIN\tB-PP\tO' -p323197 -aS'the\tthe\tDT\tB-NP\tO' -p323198 -aS'aorta\taorta\tNN\tI-NP\tO' -p323199 -aS'to\tto\tTO\tB-PP\tO' -p323200 -aS'the\tthe\tDT\tB-NP\tO' -p323201 -aS'OM1\tOM1\tNN\tI-NP\tB-DNA' -p323202 -aS'and\tand\tCC\tB-NP\tO' -p323203 -aS'then\tthen\tRB\tI-NP\tO' -p323204 -aS'OM2\tOM2\tNN\tB-NP\tB-protein' -p323205 -aS'and\tand\tCC\tI-NP\tO' -p323206 -aS'aorta\taorta\tNN\tI-NP\tO' -p323207 -aS'to\tto\tTO\tB-PP\tO' -p323208 -aS'the\tthe\tDT\tB-NP\tO' -p323209 -aS'LAD\tLAD\tNN\tI-NP\tB-protein' -p323210 -aS'with\twith\tIN\tB-PP\tO' -p323211 -aS'a\ta\tDT\tB-NP\tO' -p323212 -aS'wide\twide\tJJ\tI-NP\tO' -p323213 -aS'graft\tgraft\tNN\tI-NP\tO' -p323214 -aS'per\tper\tIN\tB-PP\tO' -p323215 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p323216 -aS'Lumar\tLumar\tNNP\tI-NP\tO' -p323217 -aS'Jongguild\tJongguild\tNNP\tI-NP\tO' -p323218 -aS'.\t.\t.\tO\tO' -p323219 -asS'He was also discharged on Augmentin XR 1000 mg / 62.5 mg sustained release 1 tablet q. 12h . for 2 weeks .' -p323220 -(lp323221 -S'He\tHe\tPRP\tB-NP\tO' -p323222 -aS'was\tbe\tVBD\tB-VP\tO' -p323223 -aS'also\talso\tRB\tI-VP\tO' -p323224 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p323225 -aS'on\ton\tIN\tB-PP\tO' -p323226 -aS'Augmentin\tAugmentin\tNN\tB-NP\tO' -p323227 -aS'XR\tXR\tNN\tI-NP\tO' -p323228 -aS'1000\t1000\tCD\tI-NP\tO' -p323229 -aS'mg\tmg\tNN\tI-NP\tO' -p323230 -aS'/\t/\tSYM\tB-NP\tO' -p323231 -aS'62.5\t62.5\tCD\tB-NP\tO' -p323232 -aS'mg\tmg\tNN\tI-NP\tO' -p323233 -aS'sustained\tsustain\tVBD\tB-VP\tO' -p323234 -aS'release\trelease\tNN\tB-NP\tO' -p323235 -aS'1\t1\tCD\tI-NP\tO' -p323236 -aS'tablet\ttablet\tNN\tI-NP\tO' -p323237 -aS'q.\tq.\tNN\tI-NP\tO' -p323238 -aS'12h\t12h\tNN\tI-NP\tO' -p323239 -aS'.\t.\t.\tO\tO' -p323240 -aS'for\tfor\tIN\tB-PP\tO' -p323241 -aS'2\t2\tCD\tB-NP\tO' -p323242 -aS'weeks\tweek\tNNS\tI-NP\tO' -p323243 -aS'.\t.\t.\tO\tO' -p323244 -asS'This is to notify you that your patient , KOTE , YGA arrived in the Emergency Department at Ponta,itri- University Medical Center on 06/15/2000 01:09 PM .' -p323245 -(lp323246 -S'This\tThis\tDT\tB-NP\tO' -p323247 -aS'is\tbe\tVBZ\tB-VP\tO' -p323248 -aS'to\tto\tTO\tB-VP\tO' -p323249 -aS'notify\tnotify\tVB\tI-VP\tO' -p323250 -aS'you\tyou\tPRP\tB-NP\tO' -p323251 -aS'that\tthat\tIN\tB-SBAR\tO' -p323252 -aS'your\tyour\tPRP$\tB-NP\tO' -p323253 -aS'patient\tpatient\tNN\tI-NP\tO' -p323254 -aS',\t,\t,\tO\tO' -p323255 -aS'KOTE\tKOTE\tNN\tB-NP\tO' -p323256 -aS',\t,\t,\tO\tO' -p323257 -aS'YGA\tYGA\tNNP\tB-NP\tO' -p323258 -aS'arrived\tarrive\tVBD\tB-VP\tO' -p323259 -aS'in\tin\tIN\tB-PP\tO' -p323260 -aS'the\tthe\tDT\tB-NP\tO' -p323261 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p323262 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p323263 -aS'at\tat\tIN\tB-PP\tO' -p323264 -aS'Ponta,itri-\tPonta,itri-\tNNP\tB-NP\tO' -p323265 -aS'University\tUniversity\tNNP\tI-NP\tO' -p323266 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p323267 -aS'Center\tCenter\tNNP\tI-NP\tO' -p323268 -aS'on\ton\tIN\tB-PP\tO' -p323269 -aS'06/15/2000\t06/15/2000\tCD\tB-NP\tO' -p323270 -aS'01:09\t01:09\tCD\tI-NP\tO' -p323271 -aS'PM\tPM\tNN\tI-NP\tO' -p323272 -aS'.\t.\t.\tO\tO' -p323273 -asS'Received vancomycin / levafloxacin at OSH .' -p323274 -(lp323275 -S'Received\tReceive\tVBN\tB-NP\tO' -p323276 -aS'vancomycin\tvancomycin\tNN\tI-NP\tO' -p323277 -aS'/\t/\tSYM\tB-NP\tO' -p323278 -aS'levafloxacin\tlevafloxacin\tNN\tI-NP\tO' -p323279 -aS'at\tat\tIN\tB-PP\tO' -p323280 -aS'OSH\tOSH\tNN\tB-NP\tB-protein' -p323281 -aS'.\t.\t.\tO\tO' -p323282 -asS"- CAD s/p CABG x4 in ' 03 ." -p323283 -(lp323284 -S'-\t-\tHYPH\tB-NP\tO' -p323285 -aS'CAD\tCAD\tNN\tI-NP\tO' -p323286 -aS's/p\ts/p\tNN\tI-NP\tO' -p323287 -aS'CABG\tCABG\tNN\tI-NP\tO' -p323288 -aS'x4\tx4\tNN\tI-NP\tO' -p323289 -aS'in\tin\tIN\tB-PP\tO' -p323290 -aS"'\t'\t''\tO\tO" -p323291 -aS'03\t03\tCD\tB-NP\tO' -p323292 -aS'.\t.\t.\tO\tO' -p323293 -asS'Normal bowel sounds present .' -p323294 -(lp323295 -S'Normal\tNormal\tJJ\tB-NP\tO' -p323296 -aS'bowel\tbowel\tNN\tI-NP\tO' -p323297 -aS'sounds\tsound\tVBZ\tB-VP\tO' -p323298 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p323299 -aS'.\t.\t.\tO\tO' -p323300 -asS'Indeed , at the time of discharge she was conscious and she was cooperative and she was able to communicate very nicely with everyone including her family , except for the mental instability that she had because of her cerebral atrophy due to senility .' -p323301 -(lp323302 -S'Indeed\tIndeed\tRB\tB-ADVP\tO' -p323303 -aS',\t,\t,\tO\tO' -p323304 -aS'at\tat\tIN\tB-PP\tO' -p323305 -aS'the\tthe\tDT\tB-NP\tO' -p323306 -aS'time\ttime\tNN\tI-NP\tO' -p323307 -aS'of\tof\tIN\tB-PP\tO' -p323308 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p323309 -aS'she\tshe\tPRP\tB-NP\tO' -p323310 -aS'was\tbe\tVBD\tB-VP\tO' -p323311 -aS'conscious\tconscious\tJJ\tB-ADJP\tO' -p323312 -aS'and\tand\tCC\tO\tO' -p323313 -aS'she\tshe\tPRP\tB-NP\tO' -p323314 -aS'was\tbe\tVBD\tB-VP\tO' -p323315 -aS'cooperative\tcooperative\tJJ\tB-ADJP\tO' -p323316 -aS'and\tand\tCC\tO\tO' -p323317 -aS'she\tshe\tPRP\tB-NP\tO' -p323318 -aS'was\tbe\tVBD\tB-VP\tO' -p323319 -aS'able\table\tJJ\tB-ADJP\tO' -p323320 -aS'to\tto\tTO\tB-VP\tO' -p323321 -aS'communicate\tcommunicate\tVB\tI-VP\tO' -p323322 -aS'very\tvery\tRB\tB-ADVP\tO' -p323323 -aS'nicely\tnicely\tRB\tI-ADVP\tO' -p323324 -aS'with\twith\tIN\tB-PP\tO' -p323325 -aS'everyone\teveryone\tNN\tB-NP\tO' -p323326 -aS'including\tinclude\tVBG\tB-PP\tO' -p323327 -aS'her\ther\tPRP$\tB-NP\tO' -p323328 -aS'family\tfamily\tNN\tI-NP\tO' -p323329 -aS',\t,\t,\tO\tO' -p323330 -aS'except\texcept\tIN\tB-PP\tO' -p323331 -aS'for\tfor\tIN\tB-PP\tO' -p323332 -aS'the\tthe\tDT\tB-NP\tO' -p323333 -aS'mental\tmental\tJJ\tI-NP\tO' -p323334 -aS'instability\tinstability\tNN\tI-NP\tO' -p323335 -aS'that\tthat\tIN\tB-SBAR\tO' -p323336 -aS'she\tshe\tPRP\tB-NP\tO' -p323337 -aS'had\thave\tVBD\tB-VP\tO' -p323338 -aS'because\tbecause\tIN\tB-PP\tO' -p323339 -aS'of\tof\tIN\tI-PP\tO' -p323340 -aS'her\ther\tPRP$\tB-NP\tO' -p323341 -aS'cerebral\tcerebral\tJJ\tI-NP\tO' -p323342 -aS'atrophy\tatrophy\tNN\tI-NP\tO' -p323343 -aS'due\tdue\tJJ\tB-ADJP\tO' -p323344 -aS'to\tto\tTO\tB-PP\tO' -p323345 -aS'senility\tsenility\tNN\tB-NP\tO' -p323346 -aS'.\t.\t.\tO\tO' -p323347 -asS'At the time of transfer , he was initially admitted to the CMI Service after undergoing cardiac catheterization which revealed a long LAD lesion that was angioplastied without stent placement , and a total occlusion of the RCA with collaterals .' -p323348 -(lp323349 -S'At\tAt\tIN\tB-PP\tO' -p323350 -aS'the\tthe\tDT\tB-NP\tO' -p323351 -aS'time\ttime\tNN\tI-NP\tO' -p323352 -aS'of\tof\tIN\tB-PP\tO' -p323353 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p323354 -aS',\t,\t,\tO\tO' -p323355 -aS'he\the\tPRP\tB-NP\tO' -p323356 -aS'was\tbe\tVBD\tB-VP\tO' -p323357 -aS'initially\tinitially\tRB\tI-VP\tO' -p323358 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p323359 -aS'to\tto\tTO\tB-PP\tO' -p323360 -aS'the\tthe\tDT\tB-NP\tO' -p323361 -aS'CMI\tCMI\tNNP\tI-NP\tO' -p323362 -aS'Service\tService\tNNP\tI-NP\tO' -p323363 -aS'after\tafter\tIN\tB-PP\tO' -p323364 -aS'undergoing\tundergo\tVBG\tB-VP\tO' -p323365 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p323366 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p323367 -aS'which\twhich\tWDT\tB-NP\tO' -p323368 -aS'revealed\treveal\tVBD\tB-VP\tO' -p323369 -aS'a\ta\tDT\tB-NP\tO' -p323370 -aS'long\tlong\tJJ\tI-NP\tO' -p323371 -aS'LAD\tLAD\tNN\tI-NP\tO' -p323372 -aS'lesion\tlesion\tNN\tI-NP\tO' -p323373 -aS'that\tthat\tWDT\tB-NP\tO' -p323374 -aS'was\tbe\tVBD\tB-VP\tO' -p323375 -aS'angioplastied\tangioplastie\tVBN\tI-VP\tO' -p323376 -aS'without\twithout\tIN\tB-PP\tO' -p323377 -aS'stent\tstent\tJJ\tB-NP\tO' -p323378 -aS'placement\tplacement\tNN\tI-NP\tO' -p323379 -aS',\t,\t,\tO\tO' -p323380 -aS'and\tand\tCC\tO\tO' -p323381 -aS'a\ta\tDT\tB-NP\tO' -p323382 -aS'total\ttotal\tJJ\tI-NP\tO' -p323383 -aS'occlusion\tocclusion\tNN\tI-NP\tO' -p323384 -aS'of\tof\tIN\tB-PP\tO' -p323385 -aS'the\tthe\tDT\tB-NP\tO' -p323386 -aS'RCA\tRCA\tNN\tI-NP\tB-protein' -p323387 -aS'with\twith\tIN\tB-PP\tO' -p323388 -aS'collaterals\tcollateral\tNNS\tB-NP\tO' -p323389 -aS'.\t.\t.\tO\tO' -p323390 -asS'This necessitated emergent intubation .' -p323391 -(lp323392 -S'This\tThis\tDT\tB-NP\tO' -p323393 -aS'necessitated\tnecessitated\tJJ\tI-NP\tO' -p323394 -aS'emergent\temergent\tJJ\tI-NP\tO' -p323395 -aS'intubation\tintubation\tNN\tI-NP\tO' -p323396 -aS'.\t.\t.\tO\tO' -p323397 -asS'2. Follow-up bilirubin in 1 day ; f/u with PMD in 1-3 days .' -p323398 -(lp323399 -S'2.\t2.\tLS\tB-NP\tO' -p323400 -aS'Follow-up\tFollow-up\tNN\tI-NP\tO' -p323401 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p323402 -aS'in\tin\tIN\tB-PP\tO' -p323403 -aS'1\t1\tCD\tB-NP\tO' -p323404 -aS'day\tday\tNN\tI-NP\tO' -p323405 -aS';\t;\t:\tO\tO' -p323406 -aS'f/u\tf/u\tNN\tB-NP\tO' -p323407 -aS'with\twith\tIN\tB-PP\tO' -p323408 -aS'PMD\tPMD\tNN\tB-NP\tO' -p323409 -aS'in\tin\tIN\tB-PP\tO' -p323410 -aS'1-3\t1-3\tCD\tB-NP\tO' -p323411 -aS'days\tday\tNNS\tI-NP\tO' -p323412 -aS'.\t.\t.\tO\tO' -p323413 -asS'Supple , midline , without masses or lymphadenopathy .' -p323414 -(lp323415 -S'Supple\tSupple\tNN\tB-NP\tO' -p323416 -aS',\t,\t,\tO\tO' -p323417 -aS'midline\tmidline\tNN\tB-NP\tO' -p323418 -aS',\t,\t,\tO\tO' -p323419 -aS'without\twithout\tIN\tB-PP\tO' -p323420 -aS'masses\tmass\tNNS\tB-NP\tO' -p323421 -aS'or\tor\tCC\tI-NP\tO' -p323422 -aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' -p323423 -aS'.\t.\t.\tO\tO' -p323424 -asS'Patient deceased .' -p323425 -(lp323426 -S'Patient\tPatient\tNN\tB-NP\tO' -p323427 -aS'deceased\tdecease\tVBD\tB-VP\tO' -p323428 -aS'.\t.\t.\tO\tO' -p323429 -asS'Infant has an audible murmur .' -p323430 -(lp323431 -S'Infant\tInfant\tNNP\tB-NP\tO' -p323432 -aS'has\thave\tVBZ\tB-VP\tO' -p323433 -aS'an\tan\tDT\tB-NP\tO' -p323434 -aS'audible\taudible\tJJ\tI-NP\tO' -p323435 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p323436 -aS'.\t.\t.\tO\tO' -p323437 -asS'The neck is supple with no lymphadenopathy .' -p323438 -(lp323439 -S'The\tThe\tDT\tB-NP\tO' -p323440 -aS'neck\tneck\tNN\tI-NP\tO' -p323441 -aS'is\tbe\tVBZ\tB-VP\tO' -p323442 -aS'supple\tsupple\tNN\tB-NP\tO' -p323443 -aS'with\twith\tIN\tB-PP\tO' -p323444 -aS'no\tno\tDT\tB-NP\tO' -p323445 -aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' -p323446 -aS'.\t.\t.\tO\tO' -p323447 -asS'The patient had an electrocardiogram which showed no acute ischemic change .' -p323448 -(lp323449 -S'The\tThe\tDT\tB-NP\tO' -p323450 -aS'patient\tpatient\tNN\tI-NP\tO' -p323451 -aS'had\thave\tVBD\tB-VP\tO' -p323452 -aS'an\tan\tDT\tB-NP\tO' -p323453 -aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' -p323454 -aS'which\twhich\tWDT\tB-NP\tO' -p323455 -aS'showed\tshow\tVBD\tB-VP\tO' -p323456 -aS'no\tno\tDT\tB-NP\tO' -p323457 -aS'acute\tacute\tJJ\tI-NP\tO' -p323458 -aS'ischemic\tischemic\tJJ\tI-NP\tO' -p323459 -aS'change\tchange\tNN\tI-NP\tO' -p323460 -aS'.\t.\t.\tO\tO' -p323461 -asS'She has not had a stroke , or transient ischemic attack .' -p323462 -(lp323463 -S'She\tShe\tPRP\tB-NP\tO' -p323464 -aS'has\thave\tVBZ\tB-VP\tO' -p323465 -aS'not\tnot\tRB\tI-VP\tO' -p323466 -aS'had\thave\tVBN\tI-VP\tO' -p323467 -aS'a\ta\tDT\tB-NP\tO' -p323468 -aS'stroke\tstroke\tNN\tI-NP\tO' -p323469 -aS',\t,\t,\tO\tO' -p323470 -aS'or\tor\tCC\tO\tO' -p323471 -aS'transient\ttransient\tJJ\tB-NP\tO' -p323472 -aS'ischemic\tischemic\tJJ\tI-NP\tO' -p323473 -aS'attack\tattack\tNN\tI-NP\tO' -p323474 -aS'.\t.\t.\tO\tO' -p323475 -asS'Pneumonia .' -p323476 -(lp323477 -S'Pneumonia\tPneumonia\tNNP\tB-NP\tO' -p323478 -aS'.\t.\t.\tO\tO' -p323479 -asS'He will follow-up with his primary care doctor , Dr. Gillis , after discharge , Johannes for Diabetes management , and Psychiatry for further management of his impulsive behaviors .' -p323480 -(lp323481 -S'He\tHe\tPRP\tB-NP\tO' -p323482 -aS'will\twill\tMD\tB-VP\tO' -p323483 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p323484 -aS'with\twith\tIN\tB-PP\tO' -p323485 -aS'his\this\tPRP$\tB-NP\tO' -p323486 -aS'primary\tprimary\tJJ\tI-NP\tO' -p323487 -aS'care\tcare\tNN\tI-NP\tO' -p323488 -aS'doctor\tdoctor\tNN\tI-NP\tO' -p323489 -aS',\t,\t,\tO\tO' -p323490 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p323491 -aS'Gillis\tGillis\tNNP\tI-NP\tO' -p323492 -aS',\t,\t,\tO\tO' -p323493 -aS'after\tafter\tIN\tB-PP\tO' -p323494 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p323495 -aS',\t,\t,\tO\tO' -p323496 -aS'Johannes\tJohannes\tNNP\tB-NP\tO' -p323497 -aS'for\tfor\tIN\tB-PP\tO' -p323498 -aS'Diabetes\tDiabetes\tNNP\tB-NP\tO' -p323499 -aS'management\tmanagement\tNN\tI-NP\tO' -p323500 -aS',\t,\t,\tO\tO' -p323501 -aS'and\tand\tCC\tO\tO' -p323502 -aS'Psychiatry\tPsychiatry\tNN\tB-NP\tO' -p323503 -aS'for\tfor\tIN\tB-PP\tO' -p323504 -aS'further\tfurther\tJJ\tB-NP\tO' -p323505 -aS'management\tmanagement\tNN\tI-NP\tO' -p323506 -aS'of\tof\tIN\tB-PP\tO' -p323507 -aS'his\this\tPRP$\tB-NP\tO' -p323508 -aS'impulsive\timpulsive\tJJ\tI-NP\tO' -p323509 -aS'behaviors\tbehavior\tNNS\tI-NP\tO' -p323510 -aS'.\t.\t.\tO\tO' -p323511 -asS'In six months , he was hospitalized for pneumonia x four .' -p323512 -(lp323513 -S'In\tIn\tIN\tB-PP\tO' -p323514 -aS'six\tsix\tCD\tB-NP\tO' -p323515 -aS'months\tmonth\tNNS\tI-NP\tO' -p323516 -aS',\t,\t,\tO\tO' -p323517 -aS'he\the\tPRP\tB-NP\tO' -p323518 -aS'was\tbe\tVBD\tB-VP\tO' -p323519 -aS'hospitalized\thospitalize\tVBN\tI-VP\tO' -p323520 -aS'for\tfor\tIN\tB-PP\tO' -p323521 -aS'pneumonia\tpneumonia\tNN\tB-NP\tO' -p323522 -aS'x\tx\tSYM\tB-NP\tO' -p323523 -aS'four\tfour\tCD\tI-NP\tO' -p323524 -aS'.\t.\t.\tO\tO' -p323525 -asS'11. Percocet one to two tablets p.o. q. four hours p.r.n. pain .' -p323526 -(lp323527 -S'11.\t11.\tLS\tB-LST\tO' -p323528 -aS'Percocet\tPercocet\tNNP\tB-NP\tO' -p323529 -aS'one\tone\tCD\tI-NP\tO' -p323530 -aS'to\tto\tTO\tI-NP\tO' -p323531 -aS'two\ttwo\tCD\tI-NP\tO' -p323532 -aS'tablets\ttablet\tNNS\tI-NP\tO' -p323533 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p323534 -aS'q.\tq.\tFW\tI-NP\tO' -p323535 -aS'four\tfour\tCD\tI-NP\tO' -p323536 -aS'hours\thour\tNNS\tI-NP\tO' -p323537 -aS'p.r.n.\tp.r.n.\tJJ\tI-NP\tO' -p323538 -aS'pain\tpain\tNN\tI-NP\tO' -p323539 -aS'.\t.\t.\tO\tO' -p323540 -asS'The patient ruled out for an MI with negative CK X4 and negative troponin X4 .' -p323541 -(lp323542 -S'The\tThe\tDT\tB-NP\tO' -p323543 -aS'patient\tpatient\tNN\tI-NP\tO' -p323544 -aS'ruled\trule\tVBD\tB-VP\tO' -p323545 -aS'out\tout\tRP\tB-PRT\tO' -p323546 -aS'for\tfor\tIN\tB-PP\tO' -p323547 -aS'an\tan\tDT\tB-NP\tO' -p323548 -aS'MI\tMI\tNN\tI-NP\tO' -p323549 -aS'with\twith\tIN\tB-PP\tO' -p323550 -aS'negative\tnegative\tJJ\tB-NP\tO' -p323551 -aS'CK\tCK\tNN\tI-NP\tB-protein' -p323552 -aS'X4\tX4\tNN\tI-NP\tI-protein' -p323553 -aS'and\tand\tCC\tO\tO' -p323554 -aS'negative\tnegative\tJJ\tB-NP\tO' -p323555 -aS'troponin\ttroponin\tNN\tI-NP\tO' -p323556 -aS'X4\tX4\tNN\tI-NP\tO' -p323557 -aS'.\t.\t.\tO\tO' -p323558 -asS"2. Grave's , status post radiation resulting in hypothyroidism ." -p323559 -(lp323560 -S'2.\t2.\tLS\tB-LST\tO' -p323561 -aS"Grave's\tGrave's\tNN\tB-NP\tO" -p323562 -aS',\t,\t,\tO\tO' -p323563 -aS'status\tstatus\tNN\tB-NP\tO' -p323564 -aS'post\tpost\tNN\tI-NP\tO' -p323565 -aS'radiation\tradiation\tNN\tI-NP\tO' -p323566 -aS'resulting\tresult\tVBG\tB-VP\tO' -p323567 -aS'in\tin\tIN\tB-PP\tO' -p323568 -aS'hypothyroidism\thypothyroidism\tNN\tB-NP\tO' -p323569 -aS'.\t.\t.\tO\tO' -p323570 -asS'History obtained from husband as above .' -p323571 -(lp323572 -S'History\tHistory\tNN\tB-NP\tO' -p323573 -aS'obtained\tobtain\tVBN\tB-VP\tO' -p323574 -aS'from\tfrom\tIN\tB-PP\tO' -p323575 -aS'husband\thusband\tNN\tB-NP\tO' -p323576 -aS'as\tas\tIN\tB-PP\tO' -p323577 -aS'above\tabove\tRB\tB-ADVP\tO' -p323578 -aS'.\t.\t.\tO\tO' -p323579 -asS'The patient has received physical therapy and occupational therapy and her recovery is near complete .' -p323580 -(lp323581 -S'The\tThe\tDT\tB-NP\tO' -p323582 -aS'patient\tpatient\tNN\tI-NP\tO' -p323583 -aS'has\thave\tVBZ\tB-VP\tO' -p323584 -aS'received\treceive\tVBN\tI-VP\tO' -p323585 -aS'physical\tphysical\tJJ\tB-NP\tO' -p323586 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p323587 -aS'and\tand\tCC\tO\tO' -p323588 -aS'occupational\toccupational\tJJ\tB-NP\tO' -p323589 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p323590 -aS'and\tand\tCC\tO\tO' -p323591 -aS'her\ther\tPRP$\tB-NP\tO' -p323592 -aS'recovery\trecovery\tNN\tI-NP\tO' -p323593 -aS'is\tbe\tVBZ\tB-VP\tO' -p323594 -aS'near\tnear\tRB\tB-ADJP\tO' -p323595 -aS'complete\tcomplete\tJJ\tI-ADJP\tO' -p323596 -aS'.\t.\t.\tO\tO' -p323597 -asS'Intubated for MS changes and lethargy and concern for airway protection .' -p323598 -(lp323599 -S'Intubated\tIntubate\tVBN\tB-VP\tO' -p323600 -aS'for\tfor\tIN\tB-PP\tO' -p323601 -aS'MS\tMS\tNN\tB-NP\tO' -p323602 -aS'changes\tchange\tNNS\tI-NP\tO' -p323603 -aS'and\tand\tCC\tO\tO' -p323604 -aS'lethargy\tlethargy\tNN\tB-NP\tO' -p323605 -aS'and\tand\tCC\tI-NP\tO' -p323606 -aS'concern\tconcern\tNN\tI-NP\tO' -p323607 -aS'for\tfor\tIN\tB-PP\tO' -p323608 -aS'airway\tairway\tNN\tB-NP\tO' -p323609 -aS'protection\tprotection\tNN\tI-NP\tO' -p323610 -aS'.\t.\t.\tO\tO' -p323611 -asS'1. Prograf 4 mg p.o. b.i.d. ( this may change depending on her most recent Prograf level which will be drawn on the morning of 11-28 ) .' -p323612 -(lp323613 -S'1.\t1.\tLS\tB-NP\tO' -p323614 -aS'Prograf\tPrograf\tNN\tI-NP\tO' -p323615 -aS'4\t4\tCD\tI-NP\tO' -p323616 -aS'mg\tmg\tNN\tI-NP\tO' -p323617 -aS'p.o.\tp.o.\tFW\tB-ADVP\tO' -p323618 -aS'b.i.d.\tb.i.d.\tFW\tI-ADVP\tO' -p323619 -aS'(\t(\t(\tO\tO' -p323620 -aS'this\tthis\tDT\tB-NP\tO' -p323621 -aS'may\tmay\tMD\tB-VP\tO' -p323622 -aS'change\tchange\tVB\tI-VP\tO' -p323623 -aS'depending\tdepend\tVBG\tI-VP\tO' -p323624 -aS'on\ton\tIN\tB-PP\tO' -p323625 -aS'her\ther\tPRP\tB-NP\tO' -p323626 -aS'most\tmost\tRBS\tI-NP\tO' -p323627 -aS'recent\trecent\tJJ\tI-NP\tO' -p323628 -aS'Prograf\tPrograf\tNN\tI-NP\tO' -p323629 -aS'level\tlevel\tNN\tI-NP\tO' -p323630 -aS'which\twhich\tWDT\tB-NP\tO' -p323631 -aS'will\twill\tMD\tB-VP\tO' -p323632 -aS'be\tbe\tVB\tI-VP\tO' -p323633 -aS'drawn\tdraw\tVBN\tI-VP\tO' -p323634 -aS'on\ton\tIN\tB-PP\tO' -p323635 -aS'the\tthe\tDT\tB-NP\tO' -p323636 -aS'morning\tmorning\tNN\tI-NP\tO' -p323637 -aS'of\tof\tIN\tB-PP\tO' -p323638 -aS'11-28\t11-28\tCD\tB-NP\tO' -p323639 -aS')\t)\t)\tO\tO' -p323640 -aS'.\t.\t.\tO\tO' -p323641 -asS'Levothyroxine Sodium 75 mcg PO DAILY' -p323642 -(lp323643 -S'Levothyroxine\tLevothyroxine\tNN\tB-NP\tO' -p323644 -aS'Sodium\tSodium\tNN\tI-NP\tO' -p323645 -aS'75\t75\tCD\tI-NP\tO' -p323646 -aS'mcg\tmcg\tNN\tI-NP\tO' -p323647 -aS'PO\tPO\tNN\tI-NP\tO' -p323648 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p323649 -asS'Thereafter , the patient had a long and complicated postoperative course .' -p323650 -(lp323651 -S'Thereafter\tThereafter\tRB\tB-ADVP\tO' -p323652 -aS',\t,\t,\tO\tO' -p323653 -aS'the\tthe\tDT\tB-NP\tO' -p323654 -aS'patient\tpatient\tNN\tI-NP\tO' -p323655 -aS'had\thave\tVBD\tB-VP\tO' -p323656 -aS'a\ta\tDT\tB-NP\tO' -p323657 -aS'long\tlong\tJJ\tI-NP\tO' -p323658 -aS'and\tand\tCC\tI-NP\tO' -p323659 -aS'complicated\tcomplicated\tJJ\tI-NP\tO' -p323660 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p323661 -aS'course\tcourse\tNN\tI-NP\tO' -p323662 -aS'.\t.\t.\tO\tO' -p323663 -asS'An initial head CT scan had revealed extracranial soft tissue swelling most prominently at the right frontal-parietal-occipital area extending to the left and to the upper cervical region .' -p323664 -(lp323665 -S'An\tAn\tDT\tB-NP\tO' -p323666 -aS'initial\tinitial\tJJ\tI-NP\tO' -p323667 -aS'head\thead\tNN\tI-NP\tO' -p323668 -aS'CT\tCT\tNN\tI-NP\tO' -p323669 -aS'scan\tscan\tNN\tI-NP\tO' -p323670 -aS'had\thave\tVBD\tB-VP\tO' -p323671 -aS'revealed\treveal\tVBN\tI-VP\tO' -p323672 -aS'extracranial\textracranial\tJJ\tB-NP\tO' -p323673 -aS'soft\tsoft\tJJ\tI-NP\tO' -p323674 -aS'tissue\ttissue\tNN\tI-NP\tO' -p323675 -aS'swelling\tswell\tVBG\tB-VP\tO' -p323676 -aS'most\tmost\tRBS\tB-ADVP\tO' -p323677 -aS'prominently\tprominently\tRB\tI-ADVP\tO' -p323678 -aS'at\tat\tIN\tB-PP\tO' -p323679 -aS'the\tthe\tDT\tB-NP\tO' -p323680 -aS'right\tright\tJJ\tI-NP\tO' -p323681 -aS'frontal-parietal-occipital\tfrontal-parietal-occipital\tJJ\tI-NP\tO' -p323682 -aS'area\tarea\tNN\tI-NP\tO' -p323683 -aS'extending\textend\tVBG\tB-VP\tO' -p323684 -aS'to\tto\tTO\tB-PP\tO' -p323685 -aS'the\tthe\tDT\tB-NP\tO' -p323686 -aS'left\tleft\tJJ\tI-NP\tO' -p323687 -aS'and\tand\tCC\tB-PP\tO' -p323688 -aS'to\tto\tTO\tB-PP\tO' -p323689 -aS'the\tthe\tDT\tB-NP\tO' -p323690 -aS'upper\tupper\tJJ\tI-NP\tB-DNA' -p323691 -aS'cervical\tcervical\tJJ\tI-NP\tI-DNA' -p323692 -aS'region\tregion\tNN\tI-NP\tI-DNA' -p323693 -aS'.\t.\t.\tO\tO' -p323694 -asS'14. Nicotine 14 mg / 24 hr Patch 24 HR Sig : One ( 1 ) Patch 24 HR Transdermal DAILY ( Daily ) .' -p323695 -(lp323696 -S'14.\t14.\tLS\tB-NP\tO' -p323697 -aS'Nicotine\tNicotine\tNN\tI-NP\tB-protein' -p323698 -aS'14\t14\tCD\tI-NP\tI-protein' -p323699 -aS'mg\tmg\tNN\tI-NP\tI-protein' -p323700 -aS'/\t/\tSYM\tB-NP\tI-protein' -p323701 -aS'24\t24\tCD\tB-NP\tI-protein' -p323702 -aS'hr\thr\tNN\tI-NP\tI-protein' -p323703 -aS'Patch\tPatch\tNN\tI-NP\tI-protein' -p323704 -aS'24\t24\tCD\tI-NP\tI-protein' -p323705 -aS'HR\tHR\tNN\tI-NP\tI-protein' -p323706 -aS'Sig\tSig\tNNP\tI-NP\tO' -p323707 -aS':\t:\t:\tO\tO' -p323708 -aS'One\tOne\tCD\tB-NP\tO' -p323709 -aS'(\t(\t(\tO\tO' -p323710 -aS'1\t1\tCD\tB-NP\tO' -p323711 -aS')\t)\t)\tO\tO' -p323712 -aS'Patch\tPatch\tVBP\tB-VP\tO' -p323713 -aS'24\t24\tCD\tB-NP\tO' -p323714 -aS'HR\tHR\tNN\tI-NP\tO' -p323715 -aS'Transdermal\tTransdermal\tJJ\tI-NP\tO' -p323716 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p323717 -aS'(\t(\t(\tO\tO' -p323718 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p323719 -aS')\t)\t)\tO\tO' -p323720 -aS'.\t.\t.\tO\tO' -p323721 -asS'The pain lasted for 30 seconds following pushing a wheelbarrow and resolved with rest .' -p323722 -(lp323723 -S'The\tThe\tDT\tB-NP\tO' -p323724 -aS'pain\tpain\tNN\tI-NP\tO' -p323725 -aS'lasted\tlast\tVBN\tB-VP\tO' -p323726 -aS'for\tfor\tIN\tB-PP\tO' -p323727 -aS'30\t30\tCD\tB-NP\tO' -p323728 -aS'seconds\tsecond\tNNS\tI-NP\tO' -p323729 -aS'following\tfollow\tVBG\tB-PP\tO' -p323730 -aS'pushing\tpush\tVBG\tB-VP\tO' -p323731 -aS'a\ta\tDT\tB-NP\tO' -p323732 -aS'wheelbarrow\twheelbarrow\tWRB\tI-NP\tO' -p323733 -aS'and\tand\tCC\tO\tO' -p323734 -aS'resolved\tresolve\tVBN\tB-VP\tO' -p323735 -aS'with\twith\tIN\tB-PP\tO' -p323736 -aS'rest\trest\tNN\tB-NP\tO' -p323737 -aS'.\t.\t.\tO\tO' -p323738 -asS'Sodium 141 .' -p323739 -(lp323740 -S'Sodium\tSodium\tNN\tB-NP\tB-protein' -p323741 -aS'141\t141\tCD\tI-NP\tI-protein' -p323742 -aS'.\t.\t.\tO\tO' -p323743 -asS'Patient converted to normal sinus rhythm once on Quinidine .' -p323744 -(lp323745 -S'Patient\tPatient\tNN\tB-NP\tO' -p323746 -aS'converted\tconvert\tVBD\tB-VP\tO' -p323747 -aS'to\tto\tTO\tB-PP\tO' -p323748 -aS'normal\tnormal\tJJ\tB-NP\tO' -p323749 -aS'sinus\tsinus\tNN\tI-NP\tO' -p323750 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p323751 -aS'once\tonce\tRB\tB-ADVP\tO' -p323752 -aS'on\ton\tIN\tB-PP\tO' -p323753 -aS'Quinidine\tQuinidine\tNN\tB-NP\tO' -p323754 -aS'.\t.\t.\tO\tO' -p323755 -asS'Heart is regular rate and rhythm with a III/VI systolic ejection murmur .' -p323756 -(lp323757 -S'Heart\tHeart\tNNP\tB-NP\tO' -p323758 -aS'is\tbe\tVBZ\tB-VP\tO' -p323759 -aS'regular\tregular\tJJ\tB-NP\tO' -p323760 -aS'rate\trate\tNN\tI-NP\tO' -p323761 -aS'and\tand\tCC\tI-NP\tO' -p323762 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p323763 -aS'with\twith\tIN\tB-PP\tO' -p323764 -aS'a\ta\tDT\tB-NP\tO' -p323765 -aS'III/VI\tIII/VI\tNN\tI-NP\tO' -p323766 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p323767 -aS'ejection\tejection\tNN\tI-NP\tO' -p323768 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p323769 -aS'.\t.\t.\tO\tO' -p323770 -asS'This was started on 4/2/99 and should be continued for ten days .' -p323771 -(lp323772 -S'This\tThis\tDT\tB-NP\tO' -p323773 -aS'was\tbe\tVBD\tB-VP\tO' -p323774 -aS'started\tstart\tVBN\tI-VP\tO' -p323775 -aS'on\ton\tIN\tB-PP\tO' -p323776 -aS'4/2/99\t4/2/99\tCD\tB-NP\tO' -p323777 -aS'and\tand\tCC\tO\tO' -p323778 -aS'should\tshould\tMD\tB-VP\tO' -p323779 -aS'be\tbe\tVB\tI-VP\tO' -p323780 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p323781 -aS'for\tfor\tIN\tB-PP\tO' -p323782 -aS'ten\tten\tCD\tB-NP\tO' -p323783 -aS'days\tday\tNNS\tI-NP\tO' -p323784 -aS'.\t.\t.\tO\tO' -p323785 -asS'No evidence of bile duct dilatation .' -p323786 -(lp323787 -S'No\tNo\tDT\tB-NP\tO' -p323788 -aS'evidence\tevidence\tNN\tI-NP\tO' -p323789 -aS'of\tof\tIN\tB-PP\tO' -p323790 -aS'bile\tbile\tNN\tB-NP\tO' -p323791 -aS'duct\tduct\tNN\tI-NP\tO' -p323792 -aS'dilatation\tdilatation\tNN\tI-NP\tO' -p323793 -aS'.\t.\t.\tO\tO' -p323794 -asS'Aspirin was resumed. On postoperative day one , he was transferred to the cardiac surgical step down unit .' -p323795 -(lp323796 -S'Aspirin\tAspirin\tNN\tB-NP\tO' -p323797 -aS'was\tbe\tVBD\tB-VP\tO' -p323798 -aS'resumed.\tresumed.\tVBN\tI-VP\tO' -p323799 -aS'On\tOn\tIN\tB-PP\tO' -p323800 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p323801 -aS'day\tday\tNN\tI-NP\tO' -p323802 -aS'one\tone\tCD\tB-NP\tO' -p323803 -aS',\t,\t,\tO\tO' -p323804 -aS'he\the\tPRP\tB-NP\tO' -p323805 -aS'was\tbe\tVBD\tB-VP\tO' -p323806 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p323807 -aS'to\tto\tTO\tB-PP\tO' -p323808 -aS'the\tthe\tDT\tB-NP\tO' -p323809 -aS'cardiac\tcardiac\tJJ\tI-NP\tB-DNA' -p323810 -aS'surgical\tsurgical\tJJ\tI-NP\tI-DNA' -p323811 -aS'step\tstep\tNN\tI-NP\tI-DNA' -p323812 -aS'down\tdown\tIN\tB-PP\tI-DNA' -p323813 -aS'unit\tunit\tNN\tB-NP\tI-DNA' -p323814 -aS'.\t.\t.\tO\tO' -p323815 -asS'He sustained left humerus fracture and left tib-fib fracture .' -p323816 -(lp323817 -S'He\tHe\tPRP\tB-NP\tO' -p323818 -aS'sustained\tsustain\tVBD\tB-VP\tO' -p323819 -aS'left\tleft\tJJ\tB-NP\tO' -p323820 -aS'humerus\thumerus\tJJ\tI-NP\tO' -p323821 -aS'fracture\tfracture\tNN\tI-NP\tO' -p323822 -aS'and\tand\tCC\tO\tO' -p323823 -aS'left\tleave\tVBD\tB-VP\tO' -p323824 -aS'tib-fib\ttib-fib\tJJ\tB-NP\tO' -p323825 -aS'fracture\tfracture\tNN\tI-NP\tO' -p323826 -aS'.\t.\t.\tO\tO' -p323827 -asS'She occasionally drinks alcohol .' -p323828 -(lp323829 -S'She\tShe\tPRP\tB-NP\tO' -p323830 -aS'occasionally\toccasionally\tRB\tB-ADVP\tO' -p323831 -aS'drinks\tdrink\tVBZ\tB-VP\tO' -p323832 -aS'alcohol\talcohol\tNN\tB-NP\tO' -p323833 -aS'.\t.\t.\tO\tO' -p323834 -asS'He was unable to stand without extensive assistance .' -p323835 -(lp323836 -S'He\tHe\tPRP\tB-NP\tO' -p323837 -aS'was\tbe\tVBD\tB-VP\tO' -p323838 -aS'unable\tunable\tJJ\tB-ADJP\tO' -p323839 -aS'to\tto\tTO\tB-VP\tO' -p323840 -aS'stand\tstand\tVB\tI-VP\tO' -p323841 -aS'without\twithout\tIN\tB-PP\tO' -p323842 -aS'extensive\textensive\tJJ\tB-NP\tO' -p323843 -aS'assistance\tassistance\tNN\tI-NP\tO' -p323844 -aS'.\t.\t.\tO\tO' -p323845 -asS'The patient was observed in the CMED CSRU for 48 hours and noted to have decrease in swelling on serial exams .' -p323846 -(lp323847 -S'The\tThe\tDT\tB-NP\tO' -p323848 -aS'patient\tpatient\tNN\tI-NP\tO' -p323849 -aS'was\tbe\tVBD\tB-VP\tO' -p323850 -aS'observed\tobserve\tVBN\tI-VP\tO' -p323851 -aS'in\tin\tIN\tB-PP\tO' -p323852 -aS'the\tthe\tDT\tB-NP\tO' -p323853 -aS'CMED\tCMED\tNNP\tI-NP\tO' -p323854 -aS'CSRU\tCSRU\tNNP\tI-NP\tO' -p323855 -aS'for\tfor\tIN\tB-PP\tO' -p323856 -aS'48\t48\tCD\tB-NP\tO' -p323857 -aS'hours\thour\tNNS\tI-NP\tO' -p323858 -aS'and\tand\tCC\tO\tO' -p323859 -aS'noted\tnote\tVBN\tB-VP\tO' -p323860 -aS'to\tto\tTO\tI-VP\tO' -p323861 -aS'have\thave\tVB\tI-VP\tO' -p323862 -aS'decrease\tdecrease\tNN\tB-NP\tO' -p323863 -aS'in\tin\tIN\tB-PP\tO' -p323864 -aS'swelling\tswell\tVBG\tB-VP\tO' -p323865 -aS'on\ton\tIN\tB-PP\tO' -p323866 -aS'serial\tserial\tJJ\tB-NP\tO' -p323867 -aS'exams\texam\tNNS\tI-NP\tO' -p323868 -aS'.\t.\t.\tO\tO' -p323869 -asS'Her legs are tender to touch bilaterally .' -p323870 -(lp323871 -S'Her\tHer\tPRP$\tB-NP\tO' -p323872 -aS'legs\tleg\tNNS\tI-NP\tO' -p323873 -aS'are\tbe\tVBP\tB-VP\tO' -p323874 -aS'tender\ttender\tNN\tB-NP\tO' -p323875 -aS'to\tto\tTO\tB-VP\tO' -p323876 -aS'touch\ttouch\tVB\tI-VP\tO' -p323877 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p323878 -aS'.\t.\t.\tO\tO' -p323879 -asS'There was no significant change in size of the subacute pontine hemorrhage .' -p323880 -(lp323881 -S'There\tThere\tEX\tB-NP\tO' -p323882 -aS'was\tbe\tVBD\tB-VP\tO' -p323883 -aS'no\tno\tDT\tB-NP\tO' -p323884 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p323885 -aS'change\tchange\tNN\tI-NP\tO' -p323886 -aS'in\tin\tIN\tB-PP\tO' -p323887 -aS'size\tsize\tNN\tB-NP\tO' -p323888 -aS'of\tof\tIN\tB-PP\tO' -p323889 -aS'the\tthe\tDT\tB-NP\tO' -p323890 -aS'subacute\tsubacute\tJJ\tI-NP\tO' -p323891 -aS'pontine\tpontine\tNN\tI-NP\tO' -p323892 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p323893 -aS'.\t.\t.\tO\tO' -p323894 -asS'Hepatitis B vaccine was administered at the time of birth on 2012-05-13 .' -p323895 -(lp323896 -S'Hepatitis\tHepatitis\tNN\tB-NP\tO' -p323897 -aS'B\tB\tNN\tI-NP\tO' -p323898 -aS'vaccine\tvaccine\tNN\tI-NP\tO' -p323899 -aS'was\tbe\tVBD\tB-VP\tO' -p323900 -aS'administered\tadminister\tVBN\tI-VP\tO' -p323901 -aS'at\tat\tIN\tB-PP\tO' -p323902 -aS'the\tthe\tDT\tB-NP\tO' -p323903 -aS'time\ttime\tNN\tI-NP\tO' -p323904 -aS'of\tof\tIN\tB-PP\tO' -p323905 -aS'birth\tbirth\tNN\tB-NP\tO' -p323906 -aS'on\ton\tIN\tB-PP\tO' -p323907 -aS'2012-05-13\t2012-05-13\tCD\tB-NP\tO' -p323908 -aS'.\t.\t.\tO\tO' -p323909 -asS'She has a very strong family history of coronary artery disease with a mother , sister and brother dying of myocardial infarction .' -p323910 -(lp323911 -S'She\tShe\tPRP\tB-NP\tO' -p323912 -aS'has\thave\tVBZ\tB-VP\tO' -p323913 -aS'a\ta\tDT\tB-NP\tO' -p323914 -aS'very\tvery\tRB\tI-NP\tO' -p323915 -aS'strong\tstrong\tJJ\tI-NP\tO' -p323916 -aS'family\tfamily\tNN\tI-NP\tO' -p323917 -aS'history\thistory\tNN\tI-NP\tO' -p323918 -aS'of\tof\tIN\tB-PP\tO' -p323919 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p323920 -aS'artery\tartery\tNN\tI-NP\tO' -p323921 -aS'disease\tdisease\tNN\tI-NP\tO' -p323922 -aS'with\twith\tIN\tB-PP\tO' -p323923 -aS'a\ta\tDT\tB-NP\tO' -p323924 -aS'mother\tmother\tNN\tI-NP\tO' -p323925 -aS',\t,\t,\tI-NP\tO' -p323926 -aS'sister\tsister\tNN\tI-NP\tO' -p323927 -aS'and\tand\tCC\tI-NP\tO' -p323928 -aS'brother\tbrother\tNN\tI-NP\tO' -p323929 -aS'dying\tdying\tNN\tI-NP\tO' -p323930 -aS'of\tof\tIN\tB-PP\tO' -p323931 -aS'myocardial\tmyocardial\tJJ\tB-NP\tO' -p323932 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p323933 -aS'.\t.\t.\tO\tO' -p323934 -asS'The patient was admitted to the Surgical Intensive Care Unit postoperatively with stable hemodynamics on Lidocaine at one , Dobutamine at 200 and Nipride .' -p323935 -(lp323936 -S'The\tThe\tDT\tB-NP\tO' -p323937 -aS'patient\tpatient\tNN\tI-NP\tO' -p323938 -aS'was\tbe\tVBD\tB-VP\tO' -p323939 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p323940 -aS'to\tto\tTO\tB-PP\tO' -p323941 -aS'the\tthe\tDT\tB-NP\tO' -p323942 -aS'Surgical\tSurgical\tNNP\tI-NP\tO' -p323943 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p323944 -aS'Care\tCare\tNNP\tI-NP\tO' -p323945 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p323946 -aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' -p323947 -aS'with\twith\tIN\tB-PP\tO' -p323948 -aS'stable\tstable\tJJ\tB-NP\tO' -p323949 -aS'hemodynamics\themodynamic\tNNS\tI-NP\tO' -p323950 -aS'on\ton\tIN\tB-PP\tO' -p323951 -aS'Lidocaine\tLidocaine\tNN\tB-NP\tO' -p323952 -aS'at\tat\tIN\tB-PP\tO' -p323953 -aS'one\tone\tCD\tB-NP\tO' -p323954 -aS',\t,\t,\tO\tO' -p323955 -aS'Dobutamine\tDobutamine\tNN\tB-NP\tO' -p323956 -aS'at\tat\tIN\tB-PP\tO' -p323957 -aS'200\t200\tCD\tB-NP\tO' -p323958 -aS'and\tand\tCC\tO\tO' -p323959 -aS'Nipride\tNipride\tNNP\tB-NP\tO' -p323960 -aS'.\t.\t.\tO\tO' -p323961 -asS'Laboratory data showed an hematocrit of 31.6 , PT 13 , INR 1.2 , potassium 4.5 , BUN 18 , creatinine 0.9 .' -p323962 -(lp323963 -S'Laboratory\tLaboratory\tNN\tB-NP\tO' -p323964 -aS'data\tdatum\tNNS\tI-NP\tO' -p323965 -aS'showed\tshow\tVBD\tB-VP\tO' -p323966 -aS'an\tan\tDT\tB-NP\tO' -p323967 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p323968 -aS'of\tof\tIN\tB-PP\tO' -p323969 -aS'31.6\t31.6\tCD\tB-NP\tO' -p323970 -aS',\t,\t,\tO\tO' -p323971 -aS'PT\tPT\tNN\tB-NP\tB-protein' -p323972 -aS'13\t13\tCD\tI-NP\tI-protein' -p323973 -aS',\t,\t,\tO\tO' -p323974 -aS'INR\tINR\tNN\tB-NP\tB-protein' -p323975 -aS'1.2\t1.2\tCD\tI-NP\tI-protein' -p323976 -aS',\t,\t,\tO\tO' -p323977 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p323978 -aS'4.5\t4.5\tCD\tI-NP\tO' -p323979 -aS',\t,\t,\tO\tO' -p323980 -aS'BUN\tBUN\tNN\tB-NP\tB-DNA' -p323981 -aS'18\t18\tCD\tI-NP\tI-DNA' -p323982 -aS',\t,\t,\tO\tO' -p323983 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p323984 -aS'0.9\t0.9\tCD\tI-NP\tO' -p323985 -aS'.\t.\t.\tO\tO' -p323986 -asS'No nasal flaring .' -p323987 -(lp323988 -S'No\tNo\tDT\tB-NP\tO' -p323989 -aS'nasal\tnasal\tJJ\tI-NP\tO' -p323990 -aS'flaring\tflaring\tNN\tI-NP\tO' -p323991 -aS'.\t.\t.\tO\tO' -p323992 -asS'The patient was hydrated well and given Adriamycin 27 mg and DTIC 450 mg daily for four days .' -p323993 -(lp323994 -S'The\tThe\tDT\tB-NP\tO' -p323995 -aS'patient\tpatient\tNN\tI-NP\tO' -p323996 -aS'was\tbe\tVBD\tB-VP\tO' -p323997 -aS'hydrated\thydrate\tVBN\tI-VP\tO' -p323998 -aS'well\twell\tRB\tB-ADVP\tO' -p323999 -aS'and\tand\tCC\tO\tO' -p324000 -aS'given\tgive\tVBN\tB-VP\tO' -p324001 -aS'Adriamycin\tAdriamycin\tNN\tB-NP\tO' -p324002 -aS'27\t27\tCD\tI-NP\tO' -p324003 -aS'mg\tmg\tNN\tI-NP\tO' -p324004 -aS'and\tand\tCC\tO\tO' -p324005 -aS'DTIC\tDTIC\tNN\tB-NP\tO' -p324006 -aS'450\t450\tCD\tI-NP\tO' -p324007 -aS'mg\tmg\tNN\tI-NP\tO' -p324008 -aS'daily\tdaily\tRB\tB-ADVP\tO' -p324009 -aS'for\tfor\tIN\tB-PP\tO' -p324010 -aS'four\tfour\tCD\tB-NP\tO' -p324011 -aS'days\tday\tNNS\tI-NP\tO' -p324012 -aS'.\t.\t.\tO\tO' -p324013 -asS'There was no formal strength test done .' -p324014 -(lp324015 -S'There\tThere\tEX\tB-NP\tO' -p324016 -aS'was\tbe\tVBD\tB-VP\tO' -p324017 -aS'no\tno\tDT\tB-NP\tO' -p324018 -aS'formal\tformal\tJJ\tI-NP\tO' -p324019 -aS'strength\tstrength\tNN\tI-NP\tO' -p324020 -aS'test\ttest\tNN\tI-NP\tO' -p324021 -aS'done\tdo\tVBN\tB-VP\tO' -p324022 -aS'.\t.\t.\tO\tO' -p324023 -asS'Her left knee had 5 degrees of valgus , 120 degrees of flexion , full extension and slight valgus instability .' -p324024 -(lp324025 -S'Her\tHer\tPRP$\tB-NP\tO' -p324026 -aS'left\tleft\tJJ\tI-NP\tO' -p324027 -aS'knee\tknee\tNN\tI-NP\tO' -p324028 -aS'had\thave\tVBD\tB-VP\tO' -p324029 -aS'5\t5\tCD\tB-NP\tO' -p324030 -aS'degrees\tdegree\tNNS\tI-NP\tO' -p324031 -aS'of\tof\tIN\tB-PP\tO' -p324032 -aS'valgus\tvalgus\tNN\tB-NP\tO' -p324033 -aS',\t,\t,\tO\tO' -p324034 -aS'120\t120\tCD\tB-NP\tO' -p324035 -aS'degrees\tdegree\tNNS\tI-NP\tO' -p324036 -aS'of\tof\tIN\tB-PP\tO' -p324037 -aS'flexion\tflexion\tNN\tB-NP\tO' -p324038 -aS',\t,\t,\tO\tO' -p324039 -aS'full\tfull\tJJ\tB-NP\tO' -p324040 -aS'extension\textension\tNN\tI-NP\tO' -p324041 -aS'and\tand\tCC\tO\tO' -p324042 -aS'slight\tslight\tJJ\tB-NP\tO' -p324043 -aS'valgus\tvalgus\tNN\tI-NP\tO' -p324044 -aS'instability\tinstability\tNN\tI-NP\tO' -p324045 -aS'.\t.\t.\tO\tO' -p324046 -asS'She denied any suicidality but did endorse depression .' -p324047 -(lp324048 -S'She\tShe\tPRP\tB-NP\tO' -p324049 -aS'denied\tdeny\tVBD\tB-VP\tO' -p324050 -aS'any\tany\tDT\tB-NP\tO' -p324051 -aS'suicidality\tsuicidality\tNN\tI-NP\tO' -p324052 -aS'but\tbut\tCC\tO\tO' -p324053 -aS'did\tdo\tVBD\tB-VP\tO' -p324054 -aS'endorse\tendorse\tNN\tB-NP\tO' -p324055 -aS'depression\tdepression\tNN\tI-NP\tO' -p324056 -aS'.\t.\t.\tO\tO' -p324057 -asS'There appears to be a decreased and sluggish flow within the right and left hepatic veins with loss of normal respiratory variations , wave forms and the intrahepatic portion .' -p324058 -(lp324059 -S'There\tThere\tEX\tB-NP\tO' -p324060 -aS'appears\tappear\tVBZ\tB-VP\tO' -p324061 -aS'to\tto\tTO\tI-VP\tO' -p324062 -aS'be\tbe\tVB\tI-VP\tO' -p324063 -aS'a\ta\tDT\tB-NP\tO' -p324064 -aS'decreased\tdecrease\tVBN\tI-NP\tO' -p324065 -aS'and\tand\tCC\tI-NP\tO' -p324066 -aS'sluggish\tsluggish\tJJ\tI-NP\tO' -p324067 -aS'flow\tflow\tNN\tI-NP\tO' -p324068 -aS'within\twithin\tIN\tB-PP\tO' -p324069 -aS'the\tthe\tDT\tB-NP\tO' -p324070 -aS'right\tright\tNN\tI-NP\tO' -p324071 -aS'and\tand\tCC\tO\tO' -p324072 -aS'left\tleave\tVBD\tB-VP\tO' -p324073 -aS'hepatic\thepatic\tJJ\tB-NP\tO' -p324074 -aS'veins\tvein\tNNS\tI-NP\tO' -p324075 -aS'with\twith\tIN\tB-PP\tO' -p324076 -aS'loss\tloss\tNN\tB-NP\tO' -p324077 -aS'of\tof\tIN\tB-PP\tO' -p324078 -aS'normal\tnormal\tJJ\tB-NP\tO' -p324079 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p324080 -aS'variations\tvariation\tNNS\tI-NP\tO' -p324081 -aS',\t,\t,\tO\tO' -p324082 -aS'wave\twave\tNN\tB-NP\tO' -p324083 -aS'forms\tform\tNNS\tI-NP\tO' -p324084 -aS'and\tand\tCC\tO\tO' -p324085 -aS'the\tthe\tDT\tB-NP\tO' -p324086 -aS'intrahepatic\tintrahepatic\tJJ\tI-NP\tO' -p324087 -aS'portion\tportion\tNN\tI-NP\tO' -p324088 -aS'.\t.\t.\tO\tO' -p324089 -asS'42 yom with PMH of HTN , hyperchol admitted to OSH 1 day ago with black tarry stools X 2 days .' -p324090 -(lp324091 -S'42\t42\tCD\tB-NP\tO' -p324092 -aS'yom\tyom\tNN\tI-NP\tO' -p324093 -aS'with\twith\tIN\tB-PP\tO' -p324094 -aS'PMH\tPMH\tNN\tB-NP\tO' -p324095 -aS'of\tof\tIN\tB-PP\tO' -p324096 -aS'HTN\tHTN\tNN\tB-NP\tB-protein' -p324097 -aS',\t,\t,\tO\tO' -p324098 -aS'hyperchol\thyperchol\tNN\tB-NP\tO' -p324099 -aS'admitted\tadmit\tVBN\tB-VP\tO' -p324100 -aS'to\tto\tTO\tB-PP\tO' -p324101 -aS'OSH\tOSH\tNN\tB-NP\tB-protein' -p324102 -aS'1\t1\tCD\tI-NP\tI-protein' -p324103 -aS'day\tday\tNN\tI-NP\tO' -p324104 -aS'ago\tago\tRB\tB-ADVP\tO' -p324105 -aS'with\twith\tIN\tB-PP\tO' -p324106 -aS'black\tblack\tJJ\tB-NP\tO' -p324107 -aS'tarry\ttarry\tNN\tI-NP\tO' -p324108 -aS'stools\tstool\tNNS\tI-NP\tO' -p324109 -aS'X\tX\tSYM\tO\tO' -p324110 -aS'2\t2\tCD\tB-NP\tO' -p324111 -aS'days\tday\tNNS\tI-NP\tO' -p324112 -aS'.\t.\t.\tO\tO' -p324113 -asS'Urinalysis had 5-10 white blood cells and 2+ bacteria .' -p324114 -(lp324115 -S'Urinalysis\tUrinalysis\tNN\tB-NP\tO' -p324116 -aS'had\thave\tVBD\tB-VP\tO' -p324117 -aS'5-10\t5-10\tCD\tB-NP\tO' -p324118 -aS'white\twhite\tJJ\tI-NP\tB-cell_type' -p324119 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p324120 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p324121 -aS'and\tand\tCC\tO\tO' -p324122 -aS'2+\t2+\tJJ\tB-NP\tO' -p324123 -aS'bacteria\tbacteria\tNNS\tI-NP\tO' -p324124 -aS'.\t.\t.\tO\tO' -p324125 -asS'PT 14 , INR 1.3 , PTT 115 .' -p324126 -(lp324127 -S'PT\tPT\tNN\tB-NP\tB-protein' -p324128 -aS'14\t14\tCD\tI-NP\tI-protein' -p324129 -aS',\t,\t,\tO\tO' -p324130 -aS'INR\tINR\tNN\tB-NP\tB-protein' -p324131 -aS'1.3\t1.3\tCD\tI-NP\tI-protein' -p324132 -aS',\t,\t,\tO\tO' -p324133 -aS'PTT\tPTT\tNN\tB-NP\tB-protein' -p324134 -aS'115\t115\tCD\tI-NP\tI-protein' -p324135 -aS'.\t.\t.\tO\tO' -p324136 -asS'Negative blood cultures at this point .' -p324137 -(lp324138 -S'Negative\tNegative\tJJ\tB-NP\tO' -p324139 -aS'blood\tblood\tNN\tI-NP\tO' -p324140 -aS'cultures\tculture\tNNS\tI-NP\tO' -p324141 -aS'at\tat\tIN\tB-PP\tO' -p324142 -aS'this\tthis\tDT\tB-NP\tO' -p324143 -aS'point\tpoint\tNN\tI-NP\tO' -p324144 -aS'.\t.\t.\tO\tO' -p324145 -asS'The face was symmetric .' -p324146 -(lp324147 -S'The\tThe\tDT\tB-NP\tO' -p324148 -aS'face\tface\tNN\tI-NP\tO' -p324149 -aS'was\tbe\tVBD\tB-VP\tO' -p324150 -aS'symmetric\tsymmetric\tJJ\tB-ADJP\tO' -p324151 -aS'.\t.\t.\tO\tO' -p324152 -asS'He has had uncoordination of his feet and began having a cane four to five months ago with the increasing weakness .' -p324153 -(lp324154 -S'He\tHe\tPRP\tB-NP\tO' -p324155 -aS'has\thave\tVBZ\tB-VP\tO' -p324156 -aS'had\thave\tVBN\tI-VP\tO' -p324157 -aS'uncoordination\tuncoordination\tNN\tB-NP\tO' -p324158 -aS'of\tof\tIN\tB-PP\tO' -p324159 -aS'his\this\tPRP$\tB-NP\tO' -p324160 -aS'feet\tfoot\tNNS\tI-NP\tO' -p324161 -aS'and\tand\tCC\tO\tO' -p324162 -aS'began\tbegin\tVBD\tB-VP\tO' -p324163 -aS'having\thave\tVBG\tI-VP\tO' -p324164 -aS'a\ta\tDT\tB-NP\tO' -p324165 -aS'cane\tcane\tNN\tI-NP\tO' -p324166 -aS'four\tfour\tCD\tB-NP\tO' -p324167 -aS'to\tto\tTO\tI-NP\tO' -p324168 -aS'five\tfive\tCD\tI-NP\tO' -p324169 -aS'months\tmonth\tNNS\tI-NP\tO' -p324170 -aS'ago\tago\tRB\tB-ADVP\tO' -p324171 -aS'with\twith\tIN\tB-PP\tO' -p324172 -aS'the\tthe\tDT\tB-NP\tO' -p324173 -aS'increasing\tincrease\tVBG\tI-NP\tO' -p324174 -aS'weakness\tweakness\tNN\tI-NP\tO' -p324175 -aS'.\t.\t.\tO\tO' -p324176 -asS'Lives with wife ; +ETOH use' -p324177 -(lp324178 -S'Lives\tLife\tNNS\tB-NP\tO' -p324179 -aS'with\twith\tIN\tB-PP\tO' -p324180 -aS'wife\twife\tNN\tB-NP\tO' -p324181 -aS';\t;\t:\tO\tO' -p324182 -aS'+ETOH\t+ETOH\tNN\tB-NP\tO' -p324183 -aS'use\tuse\tNN\tI-NP\tO' -p324184 -asS'They were concerned that the fall might have caused another bleed , as had happened in the past , and this prompted them to come to the Deanna .' -p324185 -(lp324186 -S'They\tThey\tPRP\tB-NP\tO' -p324187 -aS'were\tbe\tVBD\tB-VP\tO' -p324188 -aS'concerned\tconcern\tVBN\tB-ADJP\tO' -p324189 -aS'that\tthat\tIN\tB-SBAR\tO' -p324190 -aS'the\tthe\tDT\tB-NP\tO' -p324191 -aS'fall\tfall\tNN\tI-NP\tO' -p324192 -aS'might\tmight\tMD\tB-VP\tO' -p324193 -aS'have\thave\tVB\tI-VP\tO' -p324194 -aS'caused\tcause\tVBN\tI-VP\tO' -p324195 -aS'another\tanother\tDT\tB-NP\tO' -p324196 -aS'bleed\tbleed\tNN\tI-NP\tO' -p324197 -aS',\t,\t,\tO\tO' -p324198 -aS'as\tas\tIN\tB-SBAR\tO' -p324199 -aS'had\thave\tVBD\tB-VP\tO' -p324200 -aS'happened\thappen\tVBN\tI-VP\tO' -p324201 -aS'in\tin\tIN\tB-PP\tO' -p324202 -aS'the\tthe\tDT\tB-NP\tO' -p324203 -aS'past\tpast\tNN\tI-NP\tO' -p324204 -aS',\t,\t,\tO\tO' -p324205 -aS'and\tand\tCC\tO\tO' -p324206 -aS'this\tthis\tDT\tB-NP\tO' -p324207 -aS'prompted\tprompt\tVBD\tB-VP\tO' -p324208 -aS'them\tthem\tPRP\tB-NP\tO' -p324209 -aS'to\tto\tTO\tB-VP\tO' -p324210 -aS'come\tcome\tVB\tI-VP\tO' -p324211 -aS'to\tto\tTO\tB-PP\tO' -p324212 -aS'the\tthe\tDT\tB-NP\tO' -p324213 -aS'Deanna\tDeanna\tNNP\tI-NP\tO' -p324214 -aS'.\t.\t.\tO\tO' -p324215 -asS'Will follow-up with his PMD ; biopsy results to be followed closely .' -p324216 -(lp324217 -S'Will\tWill\tMD\tB-VP\tO' -p324218 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p324219 -aS'with\twith\tIN\tB-PP\tO' -p324220 -aS'his\this\tPRP$\tB-NP\tO' -p324221 -aS'PMD\tPMD\tNN\tI-NP\tO' -p324222 -aS';\t;\t:\tO\tO' -p324223 -aS'biopsy\tbiopsy\tNN\tB-NP\tO' -p324224 -aS'results\tresult\tNNS\tI-NP\tO' -p324225 -aS'to\tto\tTO\tB-VP\tO' -p324226 -aS'be\tbe\tVB\tI-VP\tO' -p324227 -aS'followed\tfollow\tVBN\tI-VP\tO' -p324228 -aS'closely\tclosely\tRB\tB-ADVP\tO' -p324229 -aS'.\t.\t.\tO\tO' -p324230 -asS'7. Spironolactone 25 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' -p324231 -(lp324232 -S'7.\t7.\tCD\tB-NP\tO' -p324233 -aS'Spironolactone\tSpironolactone\tNN\tI-NP\tO' -p324234 -aS'25\t25\tCD\tB-NP\tO' -p324235 -aS'mg\tmg\tNN\tI-NP\tO' -p324236 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p324237 -aS'Sig\tSig\tNNP\tI-NP\tO' -p324238 -aS':\t:\t:\tO\tO' -p324239 -aS'One\tOne\tCD\tB-NP\tO' -p324240 -aS'(\t(\t(\tO\tO' -p324241 -aS'1\t1\tCD\tB-NP\tO' -p324242 -aS')\t)\t)\tO\tO' -p324243 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p324244 -aS'PO\tPO\tNN\tI-NP\tO' -p324245 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p324246 -aS'(\t(\t(\tO\tO' -p324247 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p324248 -aS')\t)\t)\tO\tO' -p324249 -aS'.\t.\t.\tO\tO' -p324250 -asS'No evidence of immediate hardware complication .' -p324251 -(lp324252 -S'No\tNo\tDT\tB-NP\tO' -p324253 -aS'evidence\tevidence\tNN\tI-NP\tO' -p324254 -aS'of\tof\tIN\tB-PP\tO' -p324255 -aS'immediate\timmediate\tJJ\tB-NP\tO' -p324256 -aS'hardware\thardware\tNN\tI-NP\tO' -p324257 -aS'complication\tcomplication\tNN\tI-NP\tO' -p324258 -aS'.\t.\t.\tO\tO' -p324259 -asS'The patient was loaded once again with Digoxin and his beta blocker was increased to 100 mg of Lopressor , three times a day .' -p324260 -(lp324261 -S'The\tThe\tDT\tB-NP\tO' -p324262 -aS'patient\tpatient\tNN\tI-NP\tO' -p324263 -aS'was\tbe\tVBD\tB-VP\tO' -p324264 -aS'loaded\tload\tVBN\tI-VP\tO' -p324265 -aS'once\tonce\tRB\tB-ADVP\tO' -p324266 -aS'again\tagain\tRB\tI-ADVP\tO' -p324267 -aS'with\twith\tIN\tB-PP\tO' -p324268 -aS'Digoxin\tDigoxin\tNN\tB-NP\tO' -p324269 -aS'and\tand\tCC\tO\tO' -p324270 -aS'his\this\tPRP$\tB-NP\tO' -p324271 -aS'beta\tbeta\tNN\tI-NP\tO' -p324272 -aS'blocker\tblocker\tNN\tI-NP\tO' -p324273 -aS'was\tbe\tVBD\tB-VP\tO' -p324274 -aS'increased\tincrease\tVBN\tI-VP\tO' -p324275 -aS'to\tto\tTO\tB-PP\tO' -p324276 -aS'100\t100\tCD\tB-NP\tO' -p324277 -aS'mg\tmg\tNN\tI-NP\tO' -p324278 -aS'of\tof\tIN\tB-PP\tO' -p324279 -aS'Lopressor\tLopressor\tNN\tB-NP\tB-protein' -p324280 -aS',\t,\t,\tO\tO' -p324281 -aS'three\tthree\tCD\tB-NP\tO' -p324282 -aS'times\ttime\tNNS\tI-NP\tO' -p324283 -aS'a\ta\tDT\tB-NP\tO' -p324284 -aS'day\tday\tNN\tI-NP\tO' -p324285 -aS'.\t.\t.\tO\tO' -p324286 -asS'The patient had been off his regular medications since during the admission and will be discharged off his medications .' -p324287 -(lp324288 -S'The\tThe\tDT\tB-NP\tO' -p324289 -aS'patient\tpatient\tNN\tI-NP\tO' -p324290 -aS'had\thave\tVBD\tB-VP\tO' -p324291 -aS'been\tbe\tVBN\tI-VP\tO' -p324292 -aS'off\toff\tRP\tB-PRT\tO' -p324293 -aS'his\this\tPRP$\tB-NP\tO' -p324294 -aS'regular\tregular\tJJ\tI-NP\tO' -p324295 -aS'medications\tmedication\tNNS\tI-NP\tO' -p324296 -aS'since\tsince\tIN\tB-PP\tO' -p324297 -aS'during\tduring\tIN\tB-PP\tO' -p324298 -aS'the\tthe\tDT\tB-NP\tO' -p324299 -aS'admission\tadmission\tNN\tI-NP\tO' -p324300 -aS'and\tand\tCC\tO\tO' -p324301 -aS'will\twill\tMD\tB-VP\tO' -p324302 -aS'be\tbe\tVB\tI-VP\tO' -p324303 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p324304 -aS'off\toff\tRP\tB-PRT\tO' -p324305 -aS'his\this\tPRP$\tB-NP\tO' -p324306 -aS'medications\tmedication\tNNS\tI-NP\tO' -p324307 -aS'.\t.\t.\tO\tO' -p324308 -asS'5. Coronary artery disease .' -p324309 -(lp324310 -S'5.\t5.\tLS\tB-NP\tO' -p324311 -aS'Coronary\tCoronary\tJJ\tI-NP\tO' -p324312 -aS'artery\tartery\tNN\tI-NP\tO' -p324313 -aS'disease\tdisease\tNN\tI-NP\tO' -p324314 -aS'.\t.\t.\tO\tO' -p324315 -asS'A parameter monitor for his neurologic status PaCO2 which was maintained between 35 and 40 during his hospitalization .' -p324316 -(lp324317 -S'A\tA\tDT\tB-NP\tO' -p324318 -aS'parameter\tparameter\tNN\tI-NP\tO' -p324319 -aS'monitor\tmonitor\tNN\tI-NP\tO' -p324320 -aS'for\tfor\tIN\tB-PP\tO' -p324321 -aS'his\this\tPRP$\tB-NP\tO' -p324322 -aS'neurologic\tneurologic\tJJ\tI-NP\tB-protein' -p324323 -aS'status\tstatus\tNN\tI-NP\tI-protein' -p324324 -aS'PaCO2\tPaCO2\tNN\tI-NP\tI-protein' -p324325 -aS'which\twhich\tWDT\tB-NP\tO' -p324326 -aS'was\tbe\tVBD\tB-VP\tO' -p324327 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p324328 -aS'between\tbetween\tIN\tB-PP\tO' -p324329 -aS'35\t35\tCD\tB-NP\tO' -p324330 -aS'and\tand\tCC\tI-NP\tO' -p324331 -aS'40\t40\tCD\tI-NP\tO' -p324332 -aS'during\tduring\tIN\tB-PP\tO' -p324333 -aS'his\this\tPRP$\tB-NP\tO' -p324334 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p324335 -aS'.\t.\t.\tO\tO' -p324336 -asS'The patient was discharged home on admission medications .' -p324337 -(lp324338 -S'The\tThe\tDT\tB-NP\tO' -p324339 -aS'patient\tpatient\tNN\tI-NP\tO' -p324340 -aS'was\tbe\tVBD\tB-VP\tO' -p324341 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p324342 -aS'home\thome\tNN\tB-ADVP\tO' -p324343 -aS'on\ton\tIN\tB-PP\tO' -p324344 -aS'admission\tadmission\tNN\tB-NP\tO' -p324345 -aS'medications\tmedication\tNNS\tI-NP\tO' -p324346 -aS'.\t.\t.\tO\tO' -p324347 -asS'1. Ativan 1 mg po twice a day .' -p324348 -(lp324349 -S'1.\t1.\tLS\tB-LST\tO' -p324350 -aS'Ativan\tAtivan\tNNP\tB-NP\tO' -p324351 -aS'1\t1\tCD\tI-NP\tO' -p324352 -aS'mg\tmg\tNN\tI-NP\tO' -p324353 -aS'po\tpo\tRB\tB-NP\tO' -p324354 -aS'twice\ttwice\tRB\tI-NP\tO' -p324355 -aS'a\ta\tDT\tI-NP\tO' -p324356 -aS'day\tday\tNN\tI-NP\tO' -p324357 -aS'.\t.\t.\tO\tO' -p324358 -asS'2. Basilar stenosis .' -p324359 -(lp324360 -S'2.\t2.\tLS\tB-NP\tO' -p324361 -aS'Basilar\tBasilar\tJJ\tI-NP\tO' -p324362 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p324363 -aS'.\t.\t.\tO\tO' -p324364 -asS'14. Coumadin 2 mg Tablet Sig : One ( 1 ) Tablet PO once a day .' -p324365 -(lp324366 -S'14.\t14.\tLS\tO\tO' -p324367 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p324368 -aS'2\t2\tCD\tI-NP\tO' -p324369 -aS'mg\tmg\tNN\tI-NP\tO' -p324370 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p324371 -aS'Sig\tSig\tNNP\tI-NP\tO' -p324372 -aS':\t:\t:\tO\tO' -p324373 -aS'One\tOne\tCD\tB-NP\tO' -p324374 -aS'(\t(\t(\tO\tO' -p324375 -aS'1\t1\tCD\tB-NP\tO' -p324376 -aS')\t)\t)\tO\tO' -p324377 -aS'Tablet\tTablet\tNN\tB-NP\tB-protein' -p324378 -aS'PO\tPO\tNN\tI-NP\tI-protein' -p324379 -aS'once\tonce\tRB\tO\tO' -p324380 -aS'a\ta\tDT\tB-NP\tO' -p324381 -aS'day\tday\tNN\tI-NP\tO' -p324382 -aS'.\t.\t.\tO\tO' -p324383 -asS'SLEEP : No normal waking or sleeping morphologies were seen .' -p324384 -(lp324385 -S'SLEEP\tSLEEP\tNN\tB-NP\tB-protein' -p324386 -aS':\t:\t:\tO\tO' -p324387 -aS'No\tNo\tDT\tB-NP\tO' -p324388 -aS'normal\tnormal\tJJ\tI-NP\tO' -p324389 -aS'waking\twaking\tNN\tI-NP\tO' -p324390 -aS'or\tor\tCC\tI-NP\tO' -p324391 -aS'sleeping\tsleeping\tNN\tI-NP\tO' -p324392 -aS'morphologies\tmorphology\tNNS\tI-NP\tO' -p324393 -aS'were\tbe\tVBD\tB-VP\tO' -p324394 -aS'seen\tsee\tVBN\tI-VP\tO' -p324395 -aS'.\t.\t.\tO\tO' -p324396 -asS'The patient was continued on Vancomycin and Gentamycin while speciation and sensitivities were pending .' -p324397 -(lp324398 -S'The\tThe\tDT\tB-NP\tO' -p324399 -aS'patient\tpatient\tNN\tI-NP\tO' -p324400 -aS'was\tbe\tVBD\tB-VP\tO' -p324401 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p324402 -aS'on\ton\tIN\tB-PP\tO' -p324403 -aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' -p324404 -aS'and\tand\tCC\tI-NP\tO' -p324405 -aS'Gentamycin\tGentamycin\tNN\tI-NP\tO' -p324406 -aS'while\twhile\tIN\tB-SBAR\tO' -p324407 -aS'speciation\tspeciation\tNN\tB-NP\tO' -p324408 -aS'and\tand\tCC\tI-NP\tO' -p324409 -aS'sensitivities\tsensitivity\tNNS\tI-NP\tO' -p324410 -aS'were\tbe\tVBD\tB-VP\tO' -p324411 -aS'pending\tpende\tVBG\tB-ADJP\tO' -p324412 -aS'.\t.\t.\tO\tO' -p324413 -asS'Abd soft , NT/ND , + bs , no masses , ostomy in RLQ pink , with stool' -p324414 -(lp324415 -S'Abd\tAbd\tNN\tB-NP\tO' -p324416 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p324417 -aS',\t,\t,\tO\tO' -p324418 -aS'NT/ND\tNT/ND\tNN\tB-NP\tB-protein' -p324419 -aS',\t,\t,\tO\tO' -p324420 -aS'+\t+\tJJ\tB-NP\tO' -p324421 -aS'bs\tb\tNNS\tI-NP\tO' -p324422 -aS',\t,\t,\tO\tO' -p324423 -aS'no\tno\tDT\tB-NP\tO' -p324424 -aS'masses\tmass\tNNS\tI-NP\tO' -p324425 -aS',\t,\t,\tO\tO' -p324426 -aS'ostomy\tostomy\tNN\tB-NP\tO' -p324427 -aS'in\tin\tIN\tB-PP\tO' -p324428 -aS'RLQ\tRLQ\tNN\tB-NP\tO' -p324429 -aS'pink\tpink\tNN\tI-NP\tO' -p324430 -aS',\t,\t,\tO\tO' -p324431 -aS'with\twith\tIN\tB-PP\tO' -p324432 -aS'stool\tstool\tNN\tB-NP\tO' -p324433 -asS'At 16 hours of life he was noted to have increased work of breathing with tachypnea , flaring and grunting .' -p324434 -(lp324435 -S'At\tAt\tIN\tB-PP\tO' -p324436 -aS'16\t16\tCD\tB-NP\tO' -p324437 -aS'hours\thour\tNNS\tI-NP\tO' -p324438 -aS'of\tof\tIN\tB-PP\tO' -p324439 -aS'life\tlife\tNN\tB-NP\tO' -p324440 -aS'he\the\tPRP\tB-NP\tO' -p324441 -aS'was\tbe\tVBD\tB-VP\tO' -p324442 -aS'noted\tnote\tVBN\tI-VP\tO' -p324443 -aS'to\tto\tTO\tI-VP\tO' -p324444 -aS'have\thave\tVB\tI-VP\tO' -p324445 -aS'increased\tincrease\tVBN\tB-NP\tO' -p324446 -aS'work\twork\tNN\tI-NP\tO' -p324447 -aS'of\tof\tIN\tB-PP\tO' -p324448 -aS'breathing\tbreathing\tNN\tB-NP\tO' -p324449 -aS'with\twith\tIN\tB-PP\tO' -p324450 -aS'tachypnea\ttachypnea\tNN\tB-NP\tO' -p324451 -aS',\t,\t,\tI-NP\tO' -p324452 -aS'flaring\tflaring\tNN\tI-NP\tO' -p324453 -aS'and\tand\tCC\tI-NP\tO' -p324454 -aS'grunting\tgrunting\tNN\tI-NP\tO' -p324455 -aS'.\t.\t.\tO\tO' -p324456 -asS'Gait was wide based , very unsteady , veering to the left and to the right .' -p324457 -(lp324458 -S'Gait\tGait\tNNP\tB-NP\tO' -p324459 -aS'was\tbe\tVBD\tB-VP\tO' -p324460 -aS'wide\twide\tJJ\tB-ADJP\tO' -p324461 -aS'based\tbase\tVBN\tB-VP\tO' -p324462 -aS',\t,\t,\tO\tO' -p324463 -aS'very\tvery\tRB\tB-ADJP\tO' -p324464 -aS'unsteady\tunsteady\tJJ\tI-ADJP\tO' -p324465 -aS',\t,\t,\tO\tO' -p324466 -aS'veering\tveer\tVBG\tB-VP\tO' -p324467 -aS'to\tto\tTO\tB-PP\tO' -p324468 -aS'the\tthe\tDT\tB-NP\tO' -p324469 -aS'left\tleft\tJJ\tI-NP\tO' -p324470 -aS'and\tand\tCC\tB-PP\tO' -p324471 -aS'to\tto\tTO\tB-PP\tO' -p324472 -aS'the\tthe\tDT\tB-NP\tO' -p324473 -aS'right\tright\tNN\tI-NP\tO' -p324474 -aS'.\t.\t.\tO\tO' -p324475 -asS'A small amount of nondependent free air is seen in the anterior aspect of the abdomen .' -p324476 -(lp324477 -S'A\tA\tDT\tB-NP\tO' -p324478 -aS'small\tsmall\tJJ\tI-NP\tO' -p324479 -aS'amount\tamount\tNN\tI-NP\tO' -p324480 -aS'of\tof\tIN\tB-PP\tO' -p324481 -aS'nondependent\tnondependent\tJJ\tB-NP\tO' -p324482 -aS'free\tfree\tJJ\tI-NP\tO' -p324483 -aS'air\tair\tNN\tI-NP\tO' -p324484 -aS'is\tbe\tVBZ\tB-VP\tO' -p324485 -aS'seen\tsee\tVBN\tI-VP\tO' -p324486 -aS'in\tin\tIN\tB-PP\tO' -p324487 -aS'the\tthe\tDT\tB-NP\tO' -p324488 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p324489 -aS'aspect\taspect\tNN\tI-NP\tO' -p324490 -aS'of\tof\tIN\tB-PP\tO' -p324491 -aS'the\tthe\tDT\tB-NP\tO' -p324492 -aS'abdomen\tabdoman\tNNS\tI-NP\tO' -p324493 -aS'.\t.\t.\tO\tO' -p324494 -asS'With Dr. Vivian Hansen , UMass Memorial Medical Center , 3rd floor Morris on Monday 12-08 at @ 1:30pm ( you also have an appointment scheduled with Dr. Hipp for 01-14 ) .' -p324495 -(lp324496 -S'With\tWith\tIN\tB-PP\tO' -p324497 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p324498 -aS'Vivian\tVivian\tNNP\tI-NP\tO' -p324499 -aS'Hansen\tHansen\tNNP\tI-NP\tO' -p324500 -aS',\t,\t,\tO\tO' -p324501 -aS'UMass\tUMass\tNNP\tB-NP\tO' -p324502 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p324503 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p324504 -aS'Center\tCenter\tNNP\tI-NP\tO' -p324505 -aS',\t,\t,\tO\tO' -p324506 -aS'3rd\t3rd\tCD\tB-NP\tO' -p324507 -aS'floor\tfloor\tNN\tI-NP\tO' -p324508 -aS'Morris\tMorris\tNNP\tB-NP\tO' -p324509 -aS'on\ton\tIN\tB-PP\tO' -p324510 -aS'Monday\tMonday\tNNP\tB-NP\tO' -p324511 -aS'12-08\t12-08\tCD\tI-NP\tO' -p324512 -aS'at\tat\tIN\tB-PP\tO' -p324513 -aS'@\t@\tNN\tB-NP\tO' -p324514 -aS'1:30pm\t1:30pm\tNN\tI-NP\tO' -p324515 -aS'(\t(\t(\tO\tO' -p324516 -aS'you\tyou\tPRP\tB-NP\tO' -p324517 -aS'also\talso\tRB\tB-ADVP\tO' -p324518 -aS'have\thave\tVBP\tB-VP\tO' -p324519 -aS'an\tan\tDT\tB-NP\tO' -p324520 -aS'appointment\tappointment\tNN\tI-NP\tO' -p324521 -aS'scheduled\tschedule\tVBN\tB-VP\tO' -p324522 -aS'with\twith\tIN\tB-PP\tO' -p324523 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p324524 -aS'Hipp\tHipp\tNNP\tI-NP\tO' -p324525 -aS'for\tfor\tIN\tB-PP\tO' -p324526 -aS'01-14\t01-14\tCD\tB-NP\tO' -p324527 -aS')\t)\t)\tO\tO' -p324528 -aS'.\t.\t.\tO\tO' -p324529 -asS'Intraoperatively , the patient suffered hypotension with induction and respiratory insufficiency .' -p324530 -(lp324531 -S'Intraoperatively\tIntraoperatively\tRB\tB-ADVP\tO' -p324532 -aS',\t,\t,\tO\tO' -p324533 -aS'the\tthe\tDT\tB-NP\tO' -p324534 -aS'patient\tpatient\tNN\tI-NP\tO' -p324535 -aS'suffered\tsuffer\tVBD\tB-VP\tO' -p324536 -aS'hypotension\thypotension\tNN\tB-NP\tO' -p324537 -aS'with\twith\tIN\tB-PP\tO' -p324538 -aS'induction\tinduction\tNN\tB-NP\tO' -p324539 -aS'and\tand\tCC\tO\tO' -p324540 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p324541 -aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' -p324542 -aS'.\t.\t.\tO\tO' -p324543 -asS'The patient was seen in consultation by the Electrophysiology service , Dr. Slusslashgodle , who said that he had no indication for patch placement at the time of surgery .' -p324544 -(lp324545 -S'The\tThe\tDT\tB-NP\tO' -p324546 -aS'patient\tpatient\tNN\tI-NP\tO' -p324547 -aS'was\tbe\tVBD\tB-VP\tO' -p324548 -aS'seen\tsee\tVBN\tI-VP\tO' -p324549 -aS'in\tin\tIN\tB-PP\tO' -p324550 -aS'consultation\tconsultation\tNN\tB-NP\tO' -p324551 -aS'by\tby\tIN\tB-PP\tO' -p324552 -aS'the\tthe\tDT\tB-NP\tO' -p324553 -aS'Electrophysiology\tElectrophysiology\tNN\tI-NP\tO' -p324554 -aS'service\tservice\tNN\tI-NP\tO' -p324555 -aS',\t,\t,\tO\tO' -p324556 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p324557 -aS'Slusslashgodle\tSlusslashgodle\tNNP\tI-NP\tO' -p324558 -aS',\t,\t,\tO\tO' -p324559 -aS'who\twho\tWP\tB-NP\tO' -p324560 -aS'said\tsay\tVBD\tB-VP\tO' -p324561 -aS'that\tthat\tIN\tB-SBAR\tO' -p324562 -aS'he\the\tPRP\tB-NP\tO' -p324563 -aS'had\thave\tVBD\tB-VP\tO' -p324564 -aS'no\tno\tDT\tB-NP\tO' -p324565 -aS'indication\tindication\tNN\tI-NP\tO' -p324566 -aS'for\tfor\tIN\tB-PP\tO' -p324567 -aS'patch\tpatch\tNN\tB-NP\tO' -p324568 -aS'placement\tplacement\tNN\tI-NP\tO' -p324569 -aS'at\tat\tIN\tB-PP\tO' -p324570 -aS'the\tthe\tDT\tB-NP\tO' -p324571 -aS'time\ttime\tNN\tI-NP\tO' -p324572 -aS'of\tof\tIN\tB-PP\tO' -p324573 -aS'surgery\tsurgery\tNN\tB-NP\tO' -p324574 -aS'.\t.\t.\tO\tO' -p324575 -asS'Of note , at the outside hospital , an endoscopy and colonoscopy were performed .' -p324576 -(lp324577 -S'Of\tOf\tIN\tB-PP\tO' -p324578 -aS'note\tnote\tNN\tB-NP\tO' -p324579 -aS',\t,\t,\tO\tO' -p324580 -aS'at\tat\tIN\tB-PP\tO' -p324581 -aS'the\tthe\tDT\tB-NP\tO' -p324582 -aS'outside\toutside\tJJ\tI-NP\tO' -p324583 -aS'hospital\thospital\tNN\tI-NP\tO' -p324584 -aS',\t,\t,\tO\tO' -p324585 -aS'an\tan\tDT\tB-NP\tO' -p324586 -aS'endoscopy\tendoscopy\tNN\tI-NP\tO' -p324587 -aS'and\tand\tCC\tI-NP\tO' -p324588 -aS'colonoscopy\tcolonoscopy\tNN\tI-NP\tO' -p324589 -aS'were\tbe\tVBD\tB-VP\tO' -p324590 -aS'performed\tperform\tVBN\tI-VP\tO' -p324591 -aS'.\t.\t.\tO\tO' -p324592 -asS'Lungs were clear to percussion and auscultation with a few scattered rales , left greater than right .' -p324593 -(lp324594 -S'Lungs\tLung\tNNS\tB-NP\tO' -p324595 -aS'were\tbe\tVBD\tB-VP\tO' -p324596 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p324597 -aS'to\tto\tTO\tB-PP\tO' -p324598 -aS'percussion\tpercussion\tNN\tB-NP\tO' -p324599 -aS'and\tand\tCC\tI-NP\tO' -p324600 -aS'auscultation\tauscultation\tNN\tI-NP\tO' -p324601 -aS'with\twith\tIN\tB-PP\tO' -p324602 -aS'a\ta\tDT\tB-NP\tO' -p324603 -aS'few\tfew\tJJ\tI-NP\tO' -p324604 -aS'scattered\tscattered\tJJ\tI-NP\tO' -p324605 -aS'rales\trale\tNNS\tI-NP\tO' -p324606 -aS',\t,\t,\tO\tO' -p324607 -aS'left\tleave\tVBD\tB-VP\tO' -p324608 -aS'greater\tgreat\tJJR\tB-ADJP\tO' -p324609 -aS'than\tthan\tIN\tB-PP\tO' -p324610 -aS'right\tright\tJJ\tB-ADJP\tO' -p324611 -aS'.\t.\t.\tO\tO' -p324612 -asS'Aspirin 81 mg q.day .' -p324613 -(lp324614 -S'Aspirin\tAspirin\tNN\tB-NP\tO' -p324615 -aS'81\t81\tCD\tI-NP\tO' -p324616 -aS'mg\tmg\tNN\tI-NP\tO' -p324617 -aS'q.day\tq.day\tNN\tI-NP\tO' -p324618 -aS'.\t.\t.\tO\tO' -p324619 -asS'She continued to have occasional episodes of dizziness , shortness of breath , and hypotension whenever the alarm sounded suggesting that the Flolan bag needed to be changed .' -p324620 -(lp324621 -S'She\tShe\tPRP\tB-NP\tO' -p324622 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p324623 -aS'to\tto\tTO\tI-VP\tO' -p324624 -aS'have\thave\tVB\tI-VP\tO' -p324625 -aS'occasional\toccasional\tJJ\tB-NP\tO' -p324626 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p324627 -aS'of\tof\tIN\tB-PP\tO' -p324628 -aS'dizziness\tdizziness\tNN\tB-NP\tO' -p324629 -aS',\t,\t,\tO\tO' -p324630 -aS'shortness\tshortness\tNN\tB-NP\tO' -p324631 -aS'of\tof\tIN\tB-PP\tO' -p324632 -aS'breath\tbreath\tNN\tB-NP\tO' -p324633 -aS',\t,\t,\tO\tO' -p324634 -aS'and\tand\tCC\tO\tO' -p324635 -aS'hypotension\thypotension\tNN\tB-NP\tO' -p324636 -aS'whenever\twhenever\tWRB\tB-ADVP\tO' -p324637 -aS'the\tthe\tDT\tB-NP\tO' -p324638 -aS'alarm\talarm\tNN\tI-NP\tO' -p324639 -aS'sounded\tsound\tVBD\tB-VP\tO' -p324640 -aS'suggesting\tsuggest\tVBG\tI-VP\tO' -p324641 -aS'that\tthat\tIN\tB-SBAR\tO' -p324642 -aS'the\tthe\tDT\tB-NP\tO' -p324643 -aS'Flolan\tFlolan\tNNP\tI-NP\tO' -p324644 -aS'bag\tbag\tNN\tI-NP\tO' -p324645 -aS'needed\tneed\tVBN\tB-VP\tO' -p324646 -aS'to\tto\tTO\tI-VP\tO' -p324647 -aS'be\tbe\tVB\tI-VP\tO' -p324648 -aS'changed\tchange\tVBN\tI-VP\tO' -p324649 -aS'.\t.\t.\tO\tO' -p324650 -asS'KCL 40 mEq. po. bid .' -p324651 -(lp324652 -S'KCL\tKCL\tNN\tB-NP\tO' -p324653 -aS'40\t40\tCD\tI-NP\tO' -p324654 -aS'mEq.\tmEq.\tNN\tI-NP\tO' -p324655 -aS'po.\tpo.\tNN\tI-NP\tO' -p324656 -aS'bid\tbid\tNN\tI-NP\tO' -p324657 -aS'.\t.\t.\tO\tO' -p324658 -asS'Physical therapy was consulted and the patient was ambulating extremely well with minimal assistance .' -p324659 -(lp324660 -S'Physical\tPhysical\tJJ\tB-NP\tO' -p324661 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p324662 -aS'was\tbe\tVBD\tB-VP\tO' -p324663 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p324664 -aS'and\tand\tCC\tO\tO' -p324665 -aS'the\tthe\tDT\tB-NP\tO' -p324666 -aS'patient\tpatient\tNN\tI-NP\tO' -p324667 -aS'was\tbe\tVBD\tB-VP\tO' -p324668 -aS'ambulating\tambulate\tVBG\tI-VP\tO' -p324669 -aS'extremely\textremely\tRB\tB-ADVP\tO' -p324670 -aS'well\twell\tRB\tI-ADVP\tO' -p324671 -aS'with\twith\tIN\tB-PP\tO' -p324672 -aS'minimal\tminimal\tJJ\tB-NP\tO' -p324673 -aS'assistance\tassistance\tNN\tI-NP\tO' -p324674 -aS'.\t.\t.\tO\tO' -p324675 -asS'Head magnetic resonance imaging study and magnetic resonance imaging angiogram with and without gadolinium .' -p324676 -(lp324677 -S'Head\tHead\tJJ\tB-NP\tO' -p324678 -aS'magnetic\tmagnetic\tJJ\tI-NP\tO' -p324679 -aS'resonance\tresonance\tNN\tI-NP\tO' -p324680 -aS'imaging\timaging\tNN\tI-NP\tO' -p324681 -aS'study\tstudy\tNN\tI-NP\tO' -p324682 -aS'and\tand\tCC\tO\tO' -p324683 -aS'magnetic\tmagnetic\tJJ\tB-NP\tO' -p324684 -aS'resonance\tresonance\tNN\tI-NP\tO' -p324685 -aS'imaging\timaging\tNN\tI-NP\tO' -p324686 -aS'angiogram\tangiogram\tNN\tI-NP\tO' -p324687 -aS'with\twith\tIN\tB-PP\tO' -p324688 -aS'and\tand\tCC\tI-PP\tO' -p324689 -aS'without\twithout\tIN\tI-PP\tO' -p324690 -aS'gadolinium\tgadolinium\tNN\tB-NP\tO' -p324691 -aS'.\t.\t.\tO\tO' -p324692 -asS'14) Zoloft 25 mg p.o. q day .' -p324693 -(lp324694 -S'14)\t14)\tLS\tB-NP\tO' -p324695 -aS'Zoloft\tZoloft\tNNP\tI-NP\tO' -p324696 -aS'25\t25\tCD\tI-NP\tO' -p324697 -aS'mg\tmg\tNN\tI-NP\tO' -p324698 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p324699 -aS'q\tq\tNN\tI-NP\tO' -p324700 -aS'day\tday\tNN\tI-NP\tO' -p324701 -aS'.\t.\t.\tO\tO' -p324702 -asS'4. Prednisone taper completed .' -p324703 -(lp324704 -S'4.\t4.\tLS\tB-NP\tO' -p324705 -aS'Prednisone\tPrednisone\tNN\tI-NP\tO' -p324706 -aS'taper\ttaper\tNN\tI-NP\tO' -p324707 -aS'completed\tcomplete\tVBN\tB-VP\tO' -p324708 -aS'.\t.\t.\tO\tO' -p324709 -asS'A left breast lumpectomy was reportedly benign .' -p324710 -(lp324711 -S'A\tA\tDT\tB-NP\tO' -p324712 -aS'left\tleft\tJJ\tI-NP\tO' -p324713 -aS'breast\tbreast\tNN\tI-NP\tO' -p324714 -aS'lumpectomy\tlumpectomy\tNN\tI-NP\tO' -p324715 -aS'was\tbe\tVBD\tB-VP\tO' -p324716 -aS'reportedly\treportedly\tRB\tB-ADJP\tO' -p324717 -aS'benign\tbenign\tJJ\tI-ADJP\tO' -p324718 -aS'.\t.\t.\tO\tO' -p324719 -asS'Do no take bath or swim .' -p324720 -(lp324721 -S'Do\tDo\tVBP\tB-VP\tO' -p324722 -aS'no\tno\tDT\tB-NP\tO' -p324723 -aS'take\ttake\tNN\tI-NP\tO' -p324724 -aS'bath\tbath\tNN\tI-NP\tO' -p324725 -aS'or\tor\tCC\tI-NP\tO' -p324726 -aS'swim\tswim\tNN\tI-NP\tO' -p324727 -aS'.\t.\t.\tO\tO' -p324728 -asS'The patient is a 48-year-old white man who is 20 days status post orthotopic cardiac transplant who was readmitted for sternal wound infection .' -p324729 -(lp324730 -S'The\tThe\tDT\tB-NP\tO' -p324731 -aS'patient\tpatient\tNN\tI-NP\tO' -p324732 -aS'is\tbe\tVBZ\tB-VP\tO' -p324733 -aS'a\ta\tDT\tB-NP\tO' -p324734 -aS'48-year-old\t48-year-old\tJJ\tI-NP\tO' -p324735 -aS'white\twhite\tJJ\tI-NP\tO' -p324736 -aS'man\tman\tNN\tI-NP\tO' -p324737 -aS'who\twho\tWP\tB-NP\tO' -p324738 -aS'is\tbe\tVBZ\tB-VP\tO' -p324739 -aS'20\t20\tCD\tB-NP\tO' -p324740 -aS'days\tday\tNNS\tI-NP\tO' -p324741 -aS'status\tstatus\tNN\tI-NP\tO' -p324742 -aS'post\tpost\tIN\tB-PP\tO' -p324743 -aS'orthotopic\torthotopic\tJJ\tB-NP\tO' -p324744 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p324745 -aS'transplant\ttransplant\tNN\tI-NP\tO' -p324746 -aS'who\twho\tWP\tB-NP\tO' -p324747 -aS'was\tbe\tVBD\tB-VP\tO' -p324748 -aS'readmitted\treadmitte\tVBN\tI-VP\tO' -p324749 -aS'for\tfor\tIN\tB-PP\tO' -p324750 -aS'sternal\tsternal\tJJ\tB-NP\tO' -p324751 -aS'wound\twound\tNN\tI-NP\tO' -p324752 -aS'infection\tinfection\tNN\tI-NP\tO' -p324753 -aS'.\t.\t.\tO\tO' -p324754 -asS'11. Fentanyl patch 25 mcg an hour , change patch every 72 hours .' -p324755 -(lp324756 -S'11.\t11.\tLS\tB-NP\tO' -p324757 -aS'Fentanyl\tFentanyl\tNN\tI-NP\tO' -p324758 -aS'patch\tpatch\tNN\tI-NP\tO' -p324759 -aS'25\t25\tCD\tB-NP\tO' -p324760 -aS'mcg\tmcg\tNN\tI-NP\tO' -p324761 -aS'an\tan\tDT\tB-NP\tO' -p324762 -aS'hour\thour\tNN\tI-NP\tO' -p324763 -aS',\t,\t,\tO\tO' -p324764 -aS'change\tchange\tNN\tB-NP\tO' -p324765 -aS'patch\tpatch\tNN\tI-NP\tO' -p324766 -aS'every\tevery\tDT\tB-NP\tO' -p324767 -aS'72\t72\tCD\tI-NP\tO' -p324768 -aS'hours\thour\tNNS\tI-NP\tO' -p324769 -aS'.\t.\t.\tO\tO' -p324770 -asS'On transfer pt denies any complaints .' -p324771 -(lp324772 -S'On\tOn\tIN\tB-PP\tO' -p324773 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p324774 -aS'pt\tpt\tNN\tI-NP\tO' -p324775 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p324776 -aS'any\tany\tDT\tB-NP\tO' -p324777 -aS'complaints\tcomplaint\tNNS\tI-NP\tO' -p324778 -aS'.\t.\t.\tO\tO' -p324779 -asS'The patient was started on nebulizer treatment .' -p324780 -(lp324781 -S'The\tThe\tDT\tB-NP\tO' -p324782 -aS'patient\tpatient\tNN\tI-NP\tO' -p324783 -aS'was\tbe\tVBD\tB-VP\tO' -p324784 -aS'started\tstart\tVBN\tI-VP\tO' -p324785 -aS'on\ton\tIN\tB-PP\tO' -p324786 -aS'nebulizer\tnebulizer\tNN\tB-NP\tO' -p324787 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p324788 -aS'.\t.\t.\tO\tO' -p324789 -asS'The patient was alert but in mild discomfort .' -p324790 -(lp324791 -S'The\tThe\tDT\tB-NP\tO' -p324792 -aS'patient\tpatient\tNN\tI-NP\tO' -p324793 -aS'was\tbe\tVBD\tB-VP\tO' -p324794 -aS'alert\talert\tJJ\tB-ADJP\tO' -p324795 -aS'but\tbut\tCC\tB-PP\tO' -p324796 -aS'in\tin\tIN\tB-PP\tO' -p324797 -aS'mild\tmild\tJJ\tB-NP\tO' -p324798 -aS'discomfort\tdiscomfort\tNN\tI-NP\tO' -p324799 -aS'.\t.\t.\tO\tO' -p324800 -asS'ABDOMEN - There is a soft abdomen with a question of eventful hernia .' -p324801 -(lp324802 -S'ABDOMEN\tABDOMEN\tNN\tB-NP\tO' -p324803 -aS'-\t-\tHYPH\tO\tO' -p324804 -aS'There\tThere\tEX\tB-NP\tO' -p324805 -aS'is\tbe\tVBZ\tB-VP\tO' -p324806 -aS'a\ta\tDT\tB-NP\tO' -p324807 -aS'soft\tsoft\tJJ\tI-NP\tO' -p324808 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p324809 -aS'with\twith\tIN\tB-PP\tO' -p324810 -aS'a\ta\tDT\tB-NP\tO' -p324811 -aS'question\tquestion\tNN\tI-NP\tO' -p324812 -aS'of\tof\tIN\tB-PP\tO' -p324813 -aS'eventful\teventful\tJJ\tB-NP\tO' -p324814 -aS'hernia\thernia\tNN\tI-NP\tO' -p324815 -aS'.\t.\t.\tO\tO' -p324816 -asS'He had a bronchoscopy immediately done which showed no fresh blood , just old clot and a pulmonary arterial line placed in the right internal jugular vein .' -p324817 -(lp324818 -S'He\tHe\tPRP\tB-NP\tO' -p324819 -aS'had\thave\tVBD\tB-VP\tO' -p324820 -aS'a\ta\tDT\tB-NP\tO' -p324821 -aS'bronchoscopy\tbronchoscopy\tNN\tI-NP\tO' -p324822 -aS'immediately\timmediately\tRB\tB-VP\tO' -p324823 -aS'done\tdo\tVBN\tI-VP\tO' -p324824 -aS'which\twhich\tWDT\tB-NP\tO' -p324825 -aS'showed\tshow\tVBD\tB-VP\tO' -p324826 -aS'no\tno\tDT\tB-NP\tO' -p324827 -aS'fresh\tfresh\tJJ\tI-NP\tO' -p324828 -aS'blood\tblood\tNN\tI-NP\tO' -p324829 -aS',\t,\t,\tO\tO' -p324830 -aS'just\tjust\tRB\tB-NP\tO' -p324831 -aS'old\told\tJJ\tI-NP\tO' -p324832 -aS'clot\tclot\tNN\tI-NP\tO' -p324833 -aS'and\tand\tCC\tO\tO' -p324834 -aS'a\ta\tDT\tB-NP\tO' -p324835 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tB-cell_line' -p324836 -aS'arterial\tarterial\tJJ\tI-NP\tI-cell_line' -p324837 -aS'line\tline\tNN\tI-NP\tI-cell_line' -p324838 -aS'placed\tplace\tVBN\tB-VP\tO' -p324839 -aS'in\tin\tIN\tB-PP\tO' -p324840 -aS'the\tthe\tDT\tB-NP\tO' -p324841 -aS'right\tright\tJJ\tI-NP\tO' -p324842 -aS'internal\tinternal\tJJ\tI-NP\tO' -p324843 -aS'jugular\tjugular\tJJ\tI-NP\tO' -p324844 -aS'vein\tvein\tNN\tI-NP\tO' -p324845 -aS'.\t.\t.\tO\tO' -p324846 -asS'Please follow up with your PCP Richard , Kevin Robinson ( 771 ) 937-5400 upon discharge .' -p324847 -(lp324848 -S'Please\tPlease\tVB\tB-VP\tO' -p324849 -aS'follow\tfollow\tVB\tI-VP\tO' -p324850 -aS'up\tup\tRP\tB-PRT\tO' -p324851 -aS'with\twith\tIN\tB-PP\tO' -p324852 -aS'your\tyour\tPRP$\tB-NP\tO' -p324853 -aS'PCP\tPCP\tNN\tI-NP\tO' -p324854 -aS'Richard\tRichard\tNNP\tI-NP\tO' -p324855 -aS',\t,\t,\tO\tO' -p324856 -aS'Kevin\tKevin\tNNP\tB-NP\tO' -p324857 -aS'Robinson\tRobinson\tNNP\tI-NP\tO' -p324858 -aS'(\t(\t(\tO\tO' -p324859 -aS'771\t771\tCD\tB-NP\tO' -p324860 -aS')\t)\t)\tO\tO' -p324861 -aS'937-5400\t937-5400\tCD\tB-NP\tO' -p324862 -aS'upon\tupon\tIN\tB-PP\tO' -p324863 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p324864 -aS'.\t.\t.\tO\tO' -p324865 -asS'The most recent electrolytes on day of life five were sodium 145 , chloride 115 , potassium 4 , TCO2 of 21 .' -p324866 -(lp324867 -S'The\tThe\tDT\tB-NP\tO' -p324868 -aS'most\tmost\tRBS\tI-NP\tO' -p324869 -aS'recent\trecent\tJJ\tI-NP\tO' -p324870 -aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' -p324871 -aS'on\ton\tIN\tB-PP\tO' -p324872 -aS'day\tday\tNN\tB-NP\tO' -p324873 -aS'of\tof\tIN\tB-PP\tO' -p324874 -aS'life\tlife\tNN\tB-NP\tO' -p324875 -aS'five\tfive\tCD\tI-NP\tO' -p324876 -aS'were\tbe\tVBD\tB-VP\tO' -p324877 -aS'sodium\tsodium\tNN\tB-NP\tO' -p324878 -aS'145\t145\tCD\tI-NP\tO' -p324879 -aS',\t,\t,\tO\tO' -p324880 -aS'chloride\tchloride\tNN\tB-NP\tO' -p324881 -aS'115\t115\tCD\tI-NP\tO' -p324882 -aS',\t,\t,\tO\tO' -p324883 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p324884 -aS'4\t4\tCD\tI-NP\tO' -p324885 -aS',\t,\t,\tO\tO' -p324886 -aS'TCO2\tTCO2\tNN\tB-NP\tB-protein' -p324887 -aS'of\tof\tIN\tB-PP\tO' -p324888 -aS'21\t21\tCD\tB-NP\tO' -p324889 -aS'.\t.\t.\tO\tO' -p324890 -asS'Her postoperative course was marked only by prolonged ileus , perhaps secondary to constipation , with persistent vomiting , requiring intravenous fluids , however , on 03/07/92 , she had a large bowel movement , after aggressive bowel regime , felt significantly better , was able to tolerate PO 's .' -p324891 -(lp324892 -S'Her\tHer\tPRP$\tB-NP\tO' -p324893 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p324894 -aS'course\tcourse\tNN\tI-NP\tO' -p324895 -aS'was\tbe\tVBD\tB-VP\tO' -p324896 -aS'marked\tmark\tVBN\tI-VP\tO' -p324897 -aS'only\tonly\tRB\tB-ADVP\tO' -p324898 -aS'by\tby\tIN\tB-PP\tO' -p324899 -aS'prolonged\tprolonged\tJJ\tB-NP\tO' -p324900 -aS'ileus\tileus\tNN\tI-NP\tO' -p324901 -aS',\t,\t,\tO\tO' -p324902 -aS'perhaps\tperhaps\tRB\tB-ADJP\tO' -p324903 -aS'secondary\tsecondary\tJJ\tI-ADJP\tO' -p324904 -aS'to\tto\tTO\tB-PP\tO' -p324905 -aS'constipation\tconstipation\tNN\tB-NP\tO' -p324906 -aS',\t,\t,\tO\tO' -p324907 -aS'with\twith\tIN\tB-PP\tO' -p324908 -aS'persistent\tpersistent\tJJ\tB-NP\tO' -p324909 -aS'vomiting\tvomiting\tNN\tI-NP\tO' -p324910 -aS',\t,\t,\tO\tO' -p324911 -aS'requiring\trequire\tVBG\tB-VP\tO' -p324912 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p324913 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p324914 -aS',\t,\t,\tO\tO' -p324915 -aS'however\thowever\tRB\tB-ADVP\tO' -p324916 -aS',\t,\t,\tO\tO' -p324917 -aS'on\ton\tIN\tB-PP\tO' -p324918 -aS'03/07/92\t03/07/92\tCD\tB-NP\tO' -p324919 -aS',\t,\t,\tO\tO' -p324920 -aS'she\tshe\tPRP\tB-NP\tO' -p324921 -aS'had\thave\tVBD\tB-VP\tO' -p324922 -aS'a\ta\tDT\tB-NP\tO' -p324923 -aS'large\tlarge\tJJ\tI-NP\tO' -p324924 -aS'bowel\tbowel\tNN\tI-NP\tO' -p324925 -aS'movement\tmovement\tNN\tI-NP\tO' -p324926 -aS',\t,\t,\tO\tO' -p324927 -aS'after\tafter\tIN\tB-PP\tO' -p324928 -aS'aggressive\taggressive\tJJ\tB-NP\tO' -p324929 -aS'bowel\tbowel\tNN\tI-NP\tO' -p324930 -aS'regime\tregime\tNN\tI-NP\tO' -p324931 -aS',\t,\t,\tO\tO' -p324932 -aS'felt\tfeel\tVBD\tB-VP\tO' -p324933 -aS'significantly\tsignificantly\tRB\tB-ADJP\tO' -p324934 -aS'better\tgood\tJJR\tI-ADJP\tO' -p324935 -aS',\t,\t,\tO\tO' -p324936 -aS'was\tbe\tVBD\tB-VP\tO' -p324937 -aS'able\table\tJJ\tB-ADJP\tO' -p324938 -aS'to\tto\tTO\tB-VP\tO' -p324939 -aS'tolerate\ttolerate\tVB\tI-VP\tO' -p324940 -aS'PO\tPO\tNN\tB-NP\tB-protein' -p324941 -aS''s\t'\tNNS\tI-NP\tI-protein' -p324942 -aS'.\t.\t.\tO\tO' -p324943 -asS'On admission , the Baby Lucas is well appearing , no jaundice .' -p324944 -(lp324945 -S'On\tOn\tIN\tB-PP\tO' -p324946 -aS'admission\tadmission\tNN\tB-NP\tO' -p324947 -aS',\t,\t,\tO\tO' -p324948 -aS'the\tthe\tDT\tB-NP\tO' -p324949 -aS'Baby\tBaby\tNNP\tI-NP\tO' -p324950 -aS'Lucas\tLucas\tNNP\tI-NP\tO' -p324951 -aS'is\tbe\tVBZ\tB-VP\tO' -p324952 -aS'well\twell\tRB\tI-VP\tO' -p324953 -aS'appearing\tappear\tVBG\tI-VP\tO' -p324954 -aS',\t,\t,\tO\tO' -p324955 -aS'no\tno\tDT\tB-NP\tO' -p324956 -aS'jaundice\tjaundice\tNN\tI-NP\tO' -p324957 -aS'.\t.\t.\tO\tO' -p324958 -asS'Sep/24/05 cardiac catheterization and coronary angiography , 02/23/92 - transfemoral aortogram , bilateral carotid arteriogram , abdominal aortogram .' -p324959 -(lp324960 -S'Sep/24/05\tSep/24/05\tCD\tB-NP\tO' -p324961 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p324962 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p324963 -aS'and\tand\tCC\tO\tO' -p324964 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p324965 -aS'angiography\tangiography\tNN\tI-NP\tO' -p324966 -aS',\t,\t,\tO\tO' -p324967 -aS'02/23/92\t02/23/92\tCD\tB-NP\tO' -p324968 -aS'-\t-\tHYPH\tI-NP\tO' -p324969 -aS'transfemoral\ttransfemoral\tJJ\tI-NP\tO' -p324970 -aS'aortogram\taortogram\tNN\tI-NP\tO' -p324971 -aS',\t,\t,\tO\tO' -p324972 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p324973 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p324974 -aS'arteriogram\tarteriogram\tNN\tI-NP\tO' -p324975 -aS',\t,\t,\tO\tO' -p324976 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p324977 -aS'aortogram\taortogram\tNN\tI-NP\tO' -p324978 -aS'.\t.\t.\tO\tO' -p324979 -asS'An I-head CT revealed left sphenoid and left maxillary sinusitis with mild cerebral edema and no focal hemorrhages .' -p324980 -(lp324981 -S'An\tAn\tDT\tB-NP\tO' -p324982 -aS'I-head\tI-head\tJJ\tI-NP\tO' -p324983 -aS'CT\tCT\tNN\tI-NP\tO' -p324984 -aS'revealed\treveal\tVBD\tB-VP\tO' -p324985 -aS'left\tleft\tJJ\tB-NP\tO' -p324986 -aS'sphenoid\tsphenoid\tNN\tI-NP\tO' -p324987 -aS'and\tand\tCC\tO\tO' -p324988 -aS'left\tleave\tVBD\tB-VP\tO' -p324989 -aS'maxillary\tmaxillary\tJJ\tB-NP\tO' -p324990 -aS'sinusitis\tsinusitis\tNN\tI-NP\tO' -p324991 -aS'with\twith\tIN\tB-PP\tO' -p324992 -aS'mild\tmild\tJJ\tB-NP\tO' -p324993 -aS'cerebral\tcerebral\tJJ\tI-NP\tO' -p324994 -aS'edema\tedema\tNN\tI-NP\tO' -p324995 -aS'and\tand\tCC\tO\tO' -p324996 -aS'no\tno\tDT\tB-NP\tO' -p324997 -aS'focal\tfocal\tJJ\tI-NP\tO' -p324998 -aS'hemorrhages\themorrhage\tNNS\tI-NP\tO' -p324999 -aS'.\t.\t.\tO\tO' -p325000 -asS'Last hemoglobin A1c was 11.4 .' -p325001 -(lp325002 -S'Last\tLast\tJJ\tB-NP\tO' -p325003 -aS'hemoglobin\themoglobin\tNN\tI-NP\tO' -p325004 -aS'A1c\tA1c\tNN\tI-NP\tO' -p325005 -aS'was\tbe\tVBD\tB-VP\tO' -p325006 -aS'11.4\t11.4\tCD\tB-NP\tO' -p325007 -aS'.\t.\t.\tO\tO' -p325008 -asS'3. Flomax 0.4 mg p.o. q. day .' -p325009 -(lp325010 -S'3.\t3.\tLS\tB-LST\tO' -p325011 -aS'Flomax\tFlomax\tNN\tB-NP\tO' -p325012 -aS'0.4\t0.4\tCD\tI-NP\tO' -p325013 -aS'mg\tmg\tNN\tI-NP\tO' -p325014 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p325015 -aS'q.\tq.\tNN\tI-NP\tO' -p325016 -aS'day\tday\tNN\tI-NP\tO' -p325017 -aS'.\t.\t.\tO\tO' -p325018 -asS'Liver function tests were obtained and they were slightly elevated liver function tests and ALT was 44 , AST was 34 ; alkaline phosphatase was 199 , within normal limits .' -p325019 -(lp325020 -S'Liver\tLiver\tNN\tB-NP\tO' -p325021 -aS'function\tfunction\tNN\tI-NP\tO' -p325022 -aS'tests\ttest\tNNS\tI-NP\tO' -p325023 -aS'were\tbe\tVBD\tB-VP\tO' -p325024 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p325025 -aS'and\tand\tCC\tO\tO' -p325026 -aS'they\tthey\tPRP\tB-NP\tO' -p325027 -aS'were\tbe\tVBD\tB-VP\tO' -p325028 -aS'slightly\tslightly\tRB\tB-ADJP\tO' -p325029 -aS'elevated\televated\tJJ\tB-NP\tO' -p325030 -aS'liver\tliver\tNN\tI-NP\tO' -p325031 -aS'function\tfunction\tNN\tI-NP\tO' -p325032 -aS'tests\ttest\tNNS\tI-NP\tO' -p325033 -aS'and\tand\tCC\tO\tO' -p325034 -aS'ALT\tALT\tNN\tB-NP\tO' -p325035 -aS'was\tbe\tVBD\tB-VP\tO' -p325036 -aS'44\t44\tCD\tB-NP\tO' -p325037 -aS',\t,\t,\tO\tO' -p325038 -aS'AST\tAST\tNN\tB-NP\tO' -p325039 -aS'was\tbe\tVBD\tB-VP\tO' -p325040 -aS'34\t34\tCD\tB-NP\tO' -p325041 -aS';\t;\t:\tO\tO' -p325042 -aS'alkaline\talkaline\tNN\tB-NP\tB-protein' -p325043 -aS'phosphatase\tphosphatase\tNN\tI-NP\tI-protein' -p325044 -aS'was\tbe\tVBD\tB-VP\tO' -p325045 -aS'199\t199\tCD\tB-NP\tO' -p325046 -aS',\t,\t,\tO\tO' -p325047 -aS'within\twithin\tIN\tB-PP\tO' -p325048 -aS'normal\tnormal\tJJ\tB-NP\tO' -p325049 -aS'limits\tlimit\tNNS\tI-NP\tO' -p325050 -aS'.\t.\t.\tO\tO' -p325051 -asS'While having angiography , he had a transient increase in his blood pressure and became diaphoretic and thus precipitated the evaluation for cardiac disease .' -p325052 -(lp325053 -S'While\tWhile\tIN\tB-SBAR\tO' -p325054 -aS'having\thave\tVBG\tB-VP\tO' -p325055 -aS'angiography\tangiography\tNN\tB-NP\tO' -p325056 -aS',\t,\t,\tO\tO' -p325057 -aS'he\the\tPRP\tB-NP\tO' -p325058 -aS'had\thave\tVBD\tB-VP\tO' -p325059 -aS'a\ta\tDT\tB-NP\tO' -p325060 -aS'transient\ttransient\tJJ\tI-NP\tO' -p325061 -aS'increase\tincrease\tNN\tI-NP\tO' -p325062 -aS'in\tin\tIN\tB-PP\tO' -p325063 -aS'his\this\tPRP$\tB-NP\tO' -p325064 -aS'blood\tblood\tNN\tI-NP\tO' -p325065 -aS'pressure\tpressure\tNN\tI-NP\tO' -p325066 -aS'and\tand\tCC\tO\tO' -p325067 -aS'became\tbecome\tVBD\tB-VP\tO' -p325068 -aS'diaphoretic\tdiaphoretic\tJJ\tB-ADJP\tO' -p325069 -aS'and\tand\tCC\tO\tO' -p325070 -aS'thus\tthus\tRB\tB-VP\tO' -p325071 -aS'precipitated\tprecipitate\tVBD\tI-VP\tO' -p325072 -aS'the\tthe\tDT\tB-NP\tO' -p325073 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p325074 -aS'for\tfor\tIN\tB-PP\tO' -p325075 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p325076 -aS'disease\tdisease\tNN\tI-NP\tO' -p325077 -aS'.\t.\t.\tO\tO' -p325078 -asS'She was discharged home with follow-up in two weeks .' -p325079 -(lp325080 -S'She\tShe\tPRP\tB-NP\tO' -p325081 -aS'was\tbe\tVBD\tB-VP\tO' -p325082 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p325083 -aS'home\thome\tNN\tB-ADVP\tO' -p325084 -aS'with\twith\tIN\tB-PP\tO' -p325085 -aS'follow-up\tfollow-up\tNN\tB-NP\tO' -p325086 -aS'in\tin\tIN\tB-PP\tO' -p325087 -aS'two\ttwo\tCD\tB-NP\tO' -p325088 -aS'weeks\tweek\tNNS\tI-NP\tO' -p325089 -aS'.\t.\t.\tO\tO' -p325090 -asS'He had no pallor or obvious jaundice .' -p325091 -(lp325092 -S'He\tHe\tPRP\tB-NP\tO' -p325093 -aS'had\thave\tVBD\tB-VP\tO' -p325094 -aS'no\tno\tDT\tB-NP\tO' -p325095 -aS'pallor\tpallor\tNN\tI-NP\tO' -p325096 -aS'or\tor\tCC\tO\tO' -p325097 -aS'obvious\tobvious\tJJ\tB-NP\tO' -p325098 -aS'jaundice\tjaundice\tNN\tI-NP\tO' -p325099 -aS'.\t.\t.\tO\tO' -p325100 -asS'upon arriving home please contact the King and arrange to be seen within 1-2 weeks .' -p325101 -(lp325102 -S'upon\tupon\tIN\tB-PP\tO' -p325103 -aS'arriving\tarrive\tVBG\tB-VP\tO' -p325104 -aS'home\thome\tNN\tB-NP\tO' -p325105 -aS'please\tplease\tNN\tI-NP\tO' -p325106 -aS'contact\tcontact\tVBP\tB-VP\tO' -p325107 -aS'the\tthe\tDT\tB-NP\tO' -p325108 -aS'King\tKing\tNNP\tI-NP\tO' -p325109 -aS'and\tand\tCC\tO\tO' -p325110 -aS'arrange\tarrange\tNN\tB-NP\tO' -p325111 -aS'to\tto\tTO\tB-VP\tO' -p325112 -aS'be\tbe\tVB\tI-VP\tO' -p325113 -aS'seen\tsee\tVBN\tI-VP\tO' -p325114 -aS'within\twithin\tIN\tB-PP\tO' -p325115 -aS'1-2\t1-2\tCD\tB-NP\tO' -p325116 -aS'weeks\tweek\tNNS\tI-NP\tO' -p325117 -aS'.\t.\t.\tO\tO' -p325118 -asS'The patient was started on Diflucan .' -p325119 -(lp325120 -S'The\tThe\tDT\tB-NP\tO' -p325121 -aS'patient\tpatient\tNN\tI-NP\tO' -p325122 -aS'was\tbe\tVBD\tB-VP\tO' -p325123 -aS'started\tstart\tVBN\tI-VP\tO' -p325124 -aS'on\ton\tIN\tB-PP\tO' -p325125 -aS'Diflucan\tDiflucan\tNNP\tB-NP\tO' -p325126 -aS'.\t.\t.\tO\tO' -p325127 -asS'This catheter was placed when the patient started to demonstrate septic physiology and for increasing pressor support .' -p325128 -(lp325129 -S'This\tThis\tDT\tB-NP\tO' -p325130 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p325131 -aS'was\tbe\tVBD\tB-VP\tO' -p325132 -aS'placed\tplace\tVBN\tI-VP\tO' -p325133 -aS'when\twhen\tWRB\tB-ADVP\tO' -p325134 -aS'the\tthe\tDT\tB-NP\tO' -p325135 -aS'patient\tpatient\tNN\tI-NP\tO' -p325136 -aS'started\tstart\tVBD\tB-VP\tO' -p325137 -aS'to\tto\tTO\tI-VP\tO' -p325138 -aS'demonstrate\tdemonstrate\tVB\tI-VP\tO' -p325139 -aS'septic\tseptic\tJJ\tB-NP\tO' -p325140 -aS'physiology\tphysiology\tNN\tI-NP\tO' -p325141 -aS'and\tand\tCC\tB-PP\tO' -p325142 -aS'for\tfor\tIN\tB-PP\tO' -p325143 -aS'increasing\tincrease\tVBG\tB-VP\tO' -p325144 -aS'pressor\tpressor\tNN\tB-NP\tO' -p325145 -aS'support\tsupport\tNN\tI-NP\tO' -p325146 -aS'.\t.\t.\tO\tO' -p325147 -asS'final pathology revealed right Fallopian tube and ovary with benign paratubal cysts and adhesions .' -p325148 -(lp325149 -S'final\tfinal\tJJ\tB-NP\tO' -p325150 -aS'pathology\tpathology\tNN\tI-NP\tO' -p325151 -aS'revealed\treveal\tVBD\tB-VP\tO' -p325152 -aS'right\tright\tJJ\tB-NP\tO' -p325153 -aS'Fallopian\tFallopian\tJJ\tI-NP\tO' -p325154 -aS'tube\ttube\tNN\tI-NP\tO' -p325155 -aS'and\tand\tCC\tI-NP\tO' -p325156 -aS'ovary\tovary\tNN\tI-NP\tO' -p325157 -aS'with\twith\tIN\tB-PP\tO' -p325158 -aS'benign\tbenign\tJJ\tB-NP\tO' -p325159 -aS'paratubal\tparatubal\tJJ\tI-NP\tO' -p325160 -aS'cysts\tcyst\tNNS\tI-NP\tO' -p325161 -aS'and\tand\tCC\tI-NP\tO' -p325162 -aS'adhesions\tadhesion\tNNS\tI-NP\tO' -p325163 -aS'.\t.\t.\tO\tO' -p325164 -asS'Data collected there included a chest x-ray which was unremarkable .' -p325165 -(lp325166 -S'Data\tDatum\tNNS\tB-NP\tO' -p325167 -aS'collected\tcollect\tVBN\tB-VP\tO' -p325168 -aS'there\tthere\tEX\tB-NP\tO' -p325169 -aS'included\tinclude\tVBD\tB-VP\tO' -p325170 -aS'a\ta\tDT\tB-NP\tO' -p325171 -aS'chest\tchest\tNN\tI-NP\tO' -p325172 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p325173 -aS'which\twhich\tWDT\tB-NP\tO' -p325174 -aS'was\tbe\tVBD\tB-VP\tO' -p325175 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p325176 -aS'.\t.\t.\tO\tO' -p325177 -asS'Call the IR clinic on Monday to confirm your appointment : ( 236 ) 672 0628 .' -p325178 -(lp325179 -S'Call\tCall\tVB\tB-VP\tO' -p325180 -aS'the\tthe\tDT\tB-NP\tO' -p325181 -aS'IR\tIR\tNN\tI-NP\tO' -p325182 -aS'clinic\tclinic\tNN\tI-NP\tO' -p325183 -aS'on\ton\tIN\tB-PP\tO' -p325184 -aS'Monday\tMonday\tNNP\tB-NP\tO' -p325185 -aS'to\tto\tTO\tB-VP\tO' -p325186 -aS'confirm\tconfirm\tVB\tI-VP\tO' -p325187 -aS'your\tyour\tPRP$\tB-NP\tO' -p325188 -aS'appointment\tappointment\tNN\tI-NP\tO' -p325189 -aS':\t:\t:\tO\tO' -p325190 -aS'(\t(\t(\tO\tO' -p325191 -aS'236\t236\tCD\tB-NP\tO' -p325192 -aS')\t)\t)\tO\tO' -p325193 -aS'672\t672\tCD\tB-NP\tO' -p325194 -aS'0628\t0628\tCD\tI-NP\tO' -p325195 -aS'.\t.\t.\tO\tO' -p325196 -asS'She presented to Charlton Memorial Hospital Hospital Emergency Department with inferior ST elevations ; at which time she became acutely hypotensive to a systolic blood pressure of 70 to 80 after receiving one ublingual nitroglycerin .' -p325197 -(lp325198 -S'She\tShe\tPRP\tB-NP\tO' -p325199 -aS'presented\tpresent\tVBD\tB-VP\tO' -p325200 -aS'to\tto\tTO\tB-PP\tO' -p325201 -aS'Charlton\tCharlton\tNNP\tB-NP\tO' -p325202 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p325203 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p325204 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p325205 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p325206 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p325207 -aS'with\twith\tIN\tB-PP\tO' -p325208 -aS'inferior\tinferior\tJJ\tB-NP\tO' -p325209 -aS'ST\tST\tJJ\tI-NP\tO' -p325210 -aS'elevations\televation\tNNS\tI-NP\tO' -p325211 -aS';\t;\t:\tO\tO' -p325212 -aS'at\tat\tIN\tB-PP\tO' -p325213 -aS'which\twhich\tWDT\tB-NP\tO' -p325214 -aS'time\ttime\tNN\tI-NP\tO' -p325215 -aS'she\tshe\tPRP\tB-NP\tO' -p325216 -aS'became\tbecome\tVBD\tB-VP\tO' -p325217 -aS'acutely\tacutely\tRB\tB-ADJP\tO' -p325218 -aS'hypotensive\thypotensive\tJJ\tI-ADJP\tO' -p325219 -aS'to\tto\tTO\tB-PP\tO' -p325220 -aS'a\ta\tDT\tB-NP\tO' -p325221 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p325222 -aS'blood\tblood\tNN\tI-NP\tO' -p325223 -aS'pressure\tpressure\tNN\tI-NP\tO' -p325224 -aS'of\tof\tIN\tB-PP\tO' -p325225 -aS'70\t70\tCD\tB-NP\tO' -p325226 -aS'to\tto\tTO\tB-PP\tO' -p325227 -aS'80\t80\tCD\tB-NP\tO' -p325228 -aS'after\tafter\tIN\tB-PP\tO' -p325229 -aS'receiving\treceive\tVBG\tB-VP\tO' -p325230 -aS'one\tone\tCD\tB-NP\tO' -p325231 -aS'ublingual\tublingual\tJJ\tI-NP\tO' -p325232 -aS'nitroglycerin\tnitroglycerin\tNN\tI-NP\tO' -p325233 -aS'.\t.\t.\tO\tO' -p325234 -asS'Family is invested and involved .' -p325235 -(lp325236 -S'Family\tFamily\tRB\tB-ADVP\tO' -p325237 -aS'is\tbe\tVBZ\tB-VP\tO' -p325238 -aS'invested\tinvest\tVBN\tI-VP\tO' -p325239 -aS'and\tand\tCC\tI-VP\tO' -p325240 -aS'involved\tinvolve\tVBN\tI-VP\tO' -p325241 -aS'.\t.\t.\tO\tO' -p325242 -asS'Ms. Sterpkoteneish is a 69-year-old woman , who over the past six months has noted increasing pain in her left upper quadrant radiating to the back .' -p325243 -(lp325244 -S'Ms.\tMs.\tNNP\tB-NP\tO' -p325245 -aS'Sterpkoteneish\tSterpkoteneish\tNNP\tI-NP\tO' -p325246 -aS'is\tbe\tVBZ\tB-VP\tO' -p325247 -aS'a\ta\tDT\tB-NP\tO' -p325248 -aS'69-year-old\t69-year-old\tJJ\tI-NP\tO' -p325249 -aS'woman\twoman\tNN\tI-NP\tO' -p325250 -aS',\t,\t,\tO\tO' -p325251 -aS'who\twho\tWP\tB-NP\tO' -p325252 -aS'over\tover\tIN\tB-PP\tO' -p325253 -aS'the\tthe\tDT\tB-NP\tO' -p325254 -aS'past\tpast\tJJ\tI-NP\tO' -p325255 -aS'six\tsix\tCD\tI-NP\tO' -p325256 -aS'months\tmonth\tNNS\tI-NP\tO' -p325257 -aS'has\thave\tVBZ\tB-VP\tO' -p325258 -aS'noted\tnote\tVBN\tI-VP\tO' -p325259 -aS'increasing\tincrease\tVBG\tB-NP\tO' -p325260 -aS'pain\tpain\tNN\tI-NP\tO' -p325261 -aS'in\tin\tIN\tB-PP\tO' -p325262 -aS'her\ther\tPRP$\tB-NP\tO' -p325263 -aS'left\tleft\tJJ\tI-NP\tO' -p325264 -aS'upper\tupper\tJJ\tI-NP\tO' -p325265 -aS'quadrant\tquadrant\tNN\tI-NP\tO' -p325266 -aS'radiating\tradiate\tVBG\tB-VP\tO' -p325267 -aS'to\tto\tTO\tB-PP\tO' -p325268 -aS'the\tthe\tDT\tB-NP\tO' -p325269 -aS'back\tback\tNN\tI-NP\tO' -p325270 -aS'.\t.\t.\tO\tO' -p325271 -asS'The patient was given printed instructions for neck strains ( English ) .' -p325272 -(lp325273 -S'The\tThe\tDT\tB-NP\tO' -p325274 -aS'patient\tpatient\tNN\tI-NP\tO' -p325275 -aS'was\tbe\tVBD\tB-VP\tO' -p325276 -aS'given\tgive\tVBN\tI-VP\tO' -p325277 -aS'printed\tprint\tVBN\tB-NP\tO' -p325278 -aS'instructions\tinstruction\tNNS\tI-NP\tO' -p325279 -aS'for\tfor\tIN\tB-PP\tO' -p325280 -aS'neck\tneck\tNN\tB-NP\tO' -p325281 -aS'strains\tstrain\tNNS\tI-NP\tO' -p325282 -aS'(\t(\t(\tO\tO' -p325283 -aS'English\tEnglish\tNNS\tB-NP\tO' -p325284 -aS')\t)\t)\tO\tO' -p325285 -aS'.\t.\t.\tO\tO' -p325286 -asS'The patient remained symptom free during his stay in the hospital , saturating well in room air .' -p325287 -(lp325288 -S'The\tThe\tDT\tB-NP\tO' -p325289 -aS'patient\tpatient\tNN\tI-NP\tO' -p325290 -aS'remained\tremain\tVBD\tB-VP\tO' -p325291 -aS'symptom\tsymptom\tNN\tB-ADJP\tO' -p325292 -aS'free\tfree\tJJ\tI-ADJP\tO' -p325293 -aS'during\tduring\tIN\tB-PP\tO' -p325294 -aS'his\this\tPRP$\tB-NP\tO' -p325295 -aS'stay\tstay\tNN\tI-NP\tO' -p325296 -aS'in\tin\tIN\tB-PP\tO' -p325297 -aS'the\tthe\tDT\tB-NP\tO' -p325298 -aS'hospital\thospital\tNN\tI-NP\tO' -p325299 -aS',\t,\t,\tO\tO' -p325300 -aS'saturating\tsaturate\tVBG\tB-VP\tO' -p325301 -aS'well\twell\tRB\tB-ADVP\tO' -p325302 -aS'in\tin\tIN\tB-PP\tO' -p325303 -aS'room\troom\tNN\tB-NP\tO' -p325304 -aS'air\tair\tNN\tI-NP\tO' -p325305 -aS'.\t.\t.\tO\tO' -p325306 -asS'There was no leg length discrepancy .' -p325307 -(lp325308 -S'There\tThere\tEX\tB-NP\tO' -p325309 -aS'was\tbe\tVBD\tB-VP\tO' -p325310 -aS'no\tno\tDT\tB-NP\tO' -p325311 -aS'leg\tleg\tNN\tI-NP\tO' -p325312 -aS'length\tlength\tNN\tI-NP\tO' -p325313 -aS'discrepancy\tdiscrepancy\tNN\tI-NP\tO' -p325314 -aS'.\t.\t.\tO\tO' -p325315 -asS'She refused ambulance to the Emergency Room and was driven to Well General Hospital Emergency Room by her sister .' -p325316 -(lp325317 -S'She\tShe\tPRP\tB-NP\tO' -p325318 -aS'refused\trefuse\tVBD\tB-VP\tO' -p325319 -aS'ambulance\tambulance\tNN\tB-NP\tO' -p325320 -aS'to\tto\tTO\tB-PP\tO' -p325321 -aS'the\tthe\tDT\tB-NP\tO' -p325322 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p325323 -aS'Room\tRoom\tNNP\tI-NP\tO' -p325324 -aS'and\tand\tCC\tO\tO' -p325325 -aS'was\tbe\tVBD\tB-VP\tO' -p325326 -aS'driven\tdrive\tVBN\tI-VP\tO' -p325327 -aS'to\tto\tTO\tB-PP\tO' -p325328 -aS'Well\tWell\tNNP\tB-NP\tO' -p325329 -aS'General\tGeneral\tNNP\tI-NP\tO' -p325330 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p325331 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p325332 -aS'Room\tRoom\tNNP\tI-NP\tO' -p325333 -aS'by\tby\tIN\tB-PP\tO' -p325334 -aS'her\ther\tPRP$\tB-NP\tO' -p325335 -aS'sister\tsister\tNN\tI-NP\tO' -p325336 -aS'.\t.\t.\tO\tO' -p325337 -asS'Her spleen could not be palpated .' -p325338 -(lp325339 -S'Her\tHer\tPRP$\tB-NP\tO' -p325340 -aS'spleen\tspleen\tNN\tI-NP\tO' -p325341 -aS'could\tcould\tMD\tB-VP\tO' -p325342 -aS'not\tnot\tRB\tI-VP\tO' -p325343 -aS'be\tbe\tVB\tI-VP\tO' -p325344 -aS'palpated\tpalpate\tVBN\tI-VP\tO' -p325345 -aS'.\t.\t.\tO\tO' -p325346 -asS'Left costophrenic angle has been excluded from the study and cannot be assessed .' -p325347 -(lp325348 -S'Left\tLeave\tVBN\tB-NP\tO' -p325349 -aS'costophrenic\tcostophrenic\tJJ\tI-NP\tO' -p325350 -aS'angle\tangle\tNN\tI-NP\tO' -p325351 -aS'has\thave\tVBZ\tB-VP\tO' -p325352 -aS'been\tbe\tVBN\tI-VP\tO' -p325353 -aS'excluded\texclude\tVBN\tI-VP\tO' -p325354 -aS'from\tfrom\tIN\tB-PP\tO' -p325355 -aS'the\tthe\tDT\tB-NP\tO' -p325356 -aS'study\tstudy\tNN\tI-NP\tO' -p325357 -aS'and\tand\tCC\tO\tO' -p325358 -aS'cannot\tcannot\tMD\tB-VP\tO' -p325359 -aS'be\tbe\tVB\tI-VP\tO' -p325360 -aS'assessed\tassess\tVBN\tI-VP\tO' -p325361 -aS'.\t.\t.\tO\tO' -p325362 -asS'Loaded with Dilantin and 50 grams Mannitol .' -p325363 -(lp325364 -S'Loaded\tLoad\tVBN\tB-VP\tO' -p325365 -aS'with\twith\tIN\tB-PP\tO' -p325366 -aS'Dilantin\tDilantin\tNN\tB-NP\tO' -p325367 -aS'and\tand\tCC\tO\tO' -p325368 -aS'50\t50\tCD\tB-NP\tO' -p325369 -aS'grams\tgram\tNNS\tI-NP\tO' -p325370 -aS'Mannitol\tMannitol\tNNP\tB-NP\tO' -p325371 -aS'.\t.\t.\tO\tO' -p325372 -asS'Unremarkable with normal electrolytes except for glucose of 328 .' -p325373 -(lp325374 -S'Unremarkable\tUnremarkable\tJJ\tB-ADJP\tO' -p325375 -aS'with\twith\tIN\tB-PP\tO' -p325376 -aS'normal\tnormal\tJJ\tB-NP\tO' -p325377 -aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' -p325378 -aS'except\texcept\tIN\tB-PP\tO' -p325379 -aS'for\tfor\tIN\tB-PP\tO' -p325380 -aS'glucose\tglucose\tNN\tB-NP\tO' -p325381 -aS'of\tof\tIN\tB-PP\tO' -p325382 -aS'328\t328\tCD\tB-NP\tO' -p325383 -aS'.\t.\t.\tO\tO' -p325384 -asS'Regular rate and rhythm ; S1-S2 ; positive S4 ; no murmur .' -p325385 -(lp325386 -S'Regular\tRegular\tJJ\tB-NP\tO' -p325387 -aS'rate\trate\tNN\tI-NP\tO' -p325388 -aS'and\tand\tCC\tI-NP\tO' -p325389 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p325390 -aS';\t;\t:\tO\tO' -p325391 -aS'S1-S2\tS1-S2\tNN\tB-NP\tO' -p325392 -aS';\t;\t:\tO\tO' -p325393 -aS'positive\tpositive\tJJ\tB-NP\tO' -p325394 -aS'S4\tS4\tNN\tI-NP\tO' -p325395 -aS';\t;\t:\tO\tO' -p325396 -aS'no\tno\tDT\tB-NP\tO' -p325397 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p325398 -aS'.\t.\t.\tO\tO' -p325399 -asS'At the time of this dictation , the patient was able to bear weight with the assistance of Physical Therapy and a walker .' -p325400 -(lp325401 -S'At\tAt\tIN\tB-PP\tO' -p325402 -aS'the\tthe\tDT\tB-NP\tO' -p325403 -aS'time\ttime\tNN\tI-NP\tO' -p325404 -aS'of\tof\tIN\tB-PP\tO' -p325405 -aS'this\tthis\tDT\tB-NP\tO' -p325406 -aS'dictation\tdictation\tNN\tI-NP\tO' -p325407 -aS',\t,\t,\tO\tO' -p325408 -aS'the\tthe\tDT\tB-NP\tO' -p325409 -aS'patient\tpatient\tNN\tI-NP\tO' -p325410 -aS'was\tbe\tVBD\tB-VP\tO' -p325411 -aS'able\table\tJJ\tB-ADJP\tO' -p325412 -aS'to\tto\tTO\tB-VP\tO' -p325413 -aS'bear\tbear\tVB\tI-VP\tO' -p325414 -aS'weight\tweight\tNN\tB-NP\tO' -p325415 -aS'with\twith\tIN\tB-PP\tO' -p325416 -aS'the\tthe\tDT\tB-NP\tO' -p325417 -aS'assistance\tassistance\tNN\tI-NP\tO' -p325418 -aS'of\tof\tIN\tB-PP\tO' -p325419 -aS'Physical\tPhysical\tJJ\tB-NP\tO' -p325420 -aS'Therapy\tTherapy\tNN\tI-NP\tO' -p325421 -aS'and\tand\tCC\tO\tO' -p325422 -aS'a\ta\tDT\tB-NP\tO' -p325423 -aS'walker\twalker\tNN\tI-NP\tO' -p325424 -aS'.\t.\t.\tO\tO' -p325425 -asS'He gets short of breath with one flight of stairs .' -p325426 -(lp325427 -S'He\tHe\tPRP\tB-NP\tO' -p325428 -aS'gets\tget\tVBZ\tB-VP\tO' -p325429 -aS'short\tshort\tJJ\tB-ADJP\tO' -p325430 -aS'of\tof\tIN\tB-PP\tO' -p325431 -aS'breath\tbreath\tNN\tB-NP\tO' -p325432 -aS'with\twith\tIN\tB-PP\tO' -p325433 -aS'one\tone\tCD\tB-NP\tO' -p325434 -aS'flight\tflight\tNN\tI-NP\tO' -p325435 -aS'of\tof\tIN\tB-PP\tO' -p325436 -aS'stairs\tstair\tNNS\tB-NP\tO' -p325437 -aS'.\t.\t.\tO\tO' -p325438 -asS'4/28/95 .' -p325439 -(lp325440 -S'4/28/95\t4/28/95\tCD\tB-NP\tO' -p325441 -aS'.\t.\t.\tO\tO' -p325442 -asS'Gen : middle aged obese female lying in bed on her left side asleep , speaking slowly .' -p325443 -(lp325444 -S'Gen\tGen\tNN\tB-NP\tO' -p325445 -aS':\t:\t:\tO\tO' -p325446 -aS'middle\tmiddle\tJJ\tB-NP\tO' -p325447 -aS'aged\taged\tJJ\tI-NP\tO' -p325448 -aS'obese\tobese\tJJ\tI-NP\tO' -p325449 -aS'female\tfemale\tNN\tI-NP\tO' -p325450 -aS'lying\tlie\tVBG\tB-VP\tO' -p325451 -aS'in\tin\tIN\tB-PP\tO' -p325452 -aS'bed\tbed\tNN\tB-NP\tO' -p325453 -aS'on\ton\tIN\tB-PP\tO' -p325454 -aS'her\ther\tPRP$\tB-NP\tO' -p325455 -aS'left\tleft\tJJ\tI-NP\tO' -p325456 -aS'side\tside\tNN\tI-NP\tO' -p325457 -aS'asleep\tasleep\tNN\tI-NP\tO' -p325458 -aS',\t,\t,\tO\tO' -p325459 -aS'speaking\tspeak\tVBG\tB-VP\tO' -p325460 -aS'slowly\tslowly\tRB\tB-ADVP\tO' -p325461 -aS'.\t.\t.\tO\tO' -p325462 -asS'4. Fentanyl Citrate ( PF ) 0.05 mg/mL Solution Sig : 25-100 mcg Injection Q2H ( every 2 hours ) as needed for comfort .' -p325463 -(lp325464 -S'4.\t4.\tLS\tB-NP\tO' -p325465 -aS'Fentanyl\tFentanyl\tNN\tI-NP\tO' -p325466 -aS'Citrate\tCitrate\tNN\tI-NP\tO' -p325467 -aS'(\t(\t(\tO\tO' -p325468 -aS'PF\tPF\tNN\tB-NP\tO' -p325469 -aS')\t)\t)\tO\tO' -p325470 -aS'0.05\t0.05\tCD\tB-NP\tO' -p325471 -aS'mg/mL\tmg/mL\tNN\tI-NP\tO' -p325472 -aS'Solution\tSolution\tNNP\tI-NP\tO' -p325473 -aS'Sig\tSig\tNNP\tI-NP\tO' -p325474 -aS':\t:\t:\tO\tO' -p325475 -aS'25-100\t25-100\tCD\tB-NP\tO' -p325476 -aS'mcg\tmcg\tNN\tI-NP\tO' -p325477 -aS'Injection\tInjection\tNN\tI-NP\tO' -p325478 -aS'Q2H\tQ2H\tNN\tI-NP\tO' -p325479 -aS'(\t(\t(\tO\tO' -p325480 -aS'every\tevery\tDT\tB-NP\tO' -p325481 -aS'2\t2\tCD\tI-NP\tO' -p325482 -aS'hours\thour\tNNS\tI-NP\tO' -p325483 -aS')\t)\t)\tO\tO' -p325484 -aS'as\tas\tIN\tB-SBAR\tO' -p325485 -aS'needed\tneed\tVBN\tB-VP\tO' -p325486 -aS'for\tfor\tIN\tB-PP\tO' -p325487 -aS'comfort\tcomfort\tNN\tB-NP\tO' -p325488 -aS'.\t.\t.\tO\tO' -p325489 -asS'No S3 , S4 .' -p325490 -(lp325491 -S'No\tNo\tDT\tB-NP\tO' -p325492 -aS'S3\tS3\tNN\tI-NP\tB-protein' -p325493 -aS',\t,\t,\tO\tO' -p325494 -aS'S4\tS4\tNN\tB-NP\tB-protein' -p325495 -aS'.\t.\t.\tO\tO' -p325496 -asS'Patient had , as noted above , his anticoagulation was initially reversed despite his having artificial valves .' -p325497 -(lp325498 -S'Patient\tPatient\tNN\tB-NP\tO' -p325499 -aS'had\thave\tVBD\tB-VP\tO' -p325500 -aS',\t,\t,\tO\tO' -p325501 -aS'as\tas\tIN\tB-SBAR\tO' -p325502 -aS'noted\tnote\tVBN\tB-VP\tO' -p325503 -aS'above\tabove\tIN\tB-PP\tO' -p325504 -aS',\t,\t,\tO\tO' -p325505 -aS'his\this\tPRP$\tB-NP\tO' -p325506 -aS'anticoagulation\tanticoagulation\tNN\tI-NP\tO' -p325507 -aS'was\tbe\tVBD\tB-VP\tO' -p325508 -aS'initially\tinitially\tRB\tI-VP\tO' -p325509 -aS'reversed\treverse\tVBN\tI-VP\tO' -p325510 -aS'despite\tdespite\tIN\tB-PP\tO' -p325511 -aS'his\this\tPRP$\tB-NP\tB-DNA' -p325512 -aS'having\thave\tVBG\tI-NP\tO' -p325513 -aS'artificial\tartificial\tJJ\tI-NP\tO' -p325514 -aS'valves\tvalve\tNNS\tI-NP\tO' -p325515 -aS'.\t.\t.\tO\tO' -p325516 -asS'Pt finished the 3 week course of meropenem while in house and was discharged to rehab on day 34/42 of the vancomycin .' -p325517 -(lp325518 -S'Pt\tPt\tNN\tB-NP\tO' -p325519 -aS'finished\tfinish\tVBD\tB-VP\tO' -p325520 -aS'the\tthe\tDT\tB-NP\tO' -p325521 -aS'3\t3\tCD\tI-NP\tO' -p325522 -aS'week\tweek\tNN\tI-NP\tO' -p325523 -aS'course\tcourse\tNN\tI-NP\tO' -p325524 -aS'of\tof\tIN\tB-PP\tO' -p325525 -aS'meropenem\tmeropenem\tNN\tB-NP\tO' -p325526 -aS'while\twhile\tIN\tB-SBAR\tO' -p325527 -aS'in\tin\tIN\tB-PP\tO' -p325528 -aS'house\thouse\tNN\tB-NP\tO' -p325529 -aS'and\tand\tCC\tO\tO' -p325530 -aS'was\tbe\tVBD\tB-VP\tO' -p325531 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p325532 -aS'to\tto\tTO\tI-VP\tO' -p325533 -aS'rehab\trehab\tVB\tI-VP\tO' -p325534 -aS'on\ton\tIN\tB-PP\tO' -p325535 -aS'day\tday\tNN\tB-NP\tO' -p325536 -aS'34/42\t34/42\tCD\tI-NP\tO' -p325537 -aS'of\tof\tIN\tB-PP\tO' -p325538 -aS'the\tthe\tDT\tB-NP\tO' -p325539 -aS'vancomycin\tvancomycin\tNN\tI-NP\tO' -p325540 -aS'.\t.\t.\tO\tO' -p325541 -asS'In the Lori pt was given 3L NS as well as 1 unit of FFP , and oxygen requirements contimued to climb .' -p325542 -(lp325543 -S'In\tIn\tIN\tB-PP\tO' -p325544 -aS'the\tthe\tDT\tB-NP\tO' -p325545 -aS'Lori\tLori\tNNP\tI-NP\tO' -p325546 -aS'pt\tpt\tNN\tI-NP\tO' -p325547 -aS'was\tbe\tVBD\tB-VP\tO' -p325548 -aS'given\tgive\tVBN\tI-VP\tO' -p325549 -aS'3L\t3L\tNN\tB-NP\tO' -p325550 -aS'NS\tNS\tNN\tI-NP\tO' -p325551 -aS'as\tas\tRB\tB-CONJP\tO' -p325552 -aS'well\twell\tRB\tI-CONJP\tO' -p325553 -aS'as\tas\tIN\tI-CONJP\tO' -p325554 -aS'1\t1\tCD\tB-NP\tO' -p325555 -aS'unit\tunit\tNN\tI-NP\tO' -p325556 -aS'of\tof\tIN\tB-PP\tO' -p325557 -aS'FFP\tFFP\tNN\tB-NP\tB-protein' -p325558 -aS',\t,\t,\tO\tO' -p325559 -aS'and\tand\tCC\tO\tO' -p325560 -aS'oxygen\toxygen\tNN\tB-NP\tO' -p325561 -aS'requirements\trequirement\tNNS\tI-NP\tO' -p325562 -aS'contimued\tcontimue\tVBN\tB-VP\tO' -p325563 -aS'to\tto\tTO\tB-VP\tO' -p325564 -aS'climb\tclimb\tVB\tI-VP\tO' -p325565 -aS'.\t.\t.\tO\tO' -p325566 -asS"You are being transferred to another hospital , intubated , with the plan to extubate upon arrival to Women 's and Infants hosptial and initiation of palliative care ." -p325567 -(lp325568 -S'You\tYou\tPRP\tB-NP\tB-protein' -p325569 -aS'are\tbe\tVBP\tB-VP\tO' -p325570 -aS'being\tbe\tVBG\tI-VP\tO' -p325571 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p325572 -aS'to\tto\tTO\tB-PP\tO' -p325573 -aS'another\tanother\tDT\tB-NP\tO' -p325574 -aS'hospital\thospital\tNN\tI-NP\tO' -p325575 -aS',\t,\t,\tO\tO' -p325576 -aS'intubated\tintubate\tVBN\tB-VP\tO' -p325577 -aS',\t,\t,\tO\tO' -p325578 -aS'with\twith\tIN\tB-PP\tO' -p325579 -aS'the\tthe\tDT\tB-NP\tO' -p325580 -aS'plan\tplan\tNN\tI-NP\tO' -p325581 -aS'to\tto\tTO\tB-VP\tO' -p325582 -aS'extubate\textubate\tVB\tI-VP\tO' -p325583 -aS'upon\tupon\tIN\tB-PP\tO' -p325584 -aS'arrival\tarrival\tNN\tB-NP\tO' -p325585 -aS'to\tto\tTO\tB-PP\tO' -p325586 -aS'Women\tWomen\tNNP\tB-NP\tO' -p325587 -aS"'s\t's\tPOS\tB-NP\tO" -p325588 -aS'and\tand\tCC\tO\tO' -p325589 -aS'Infants\tInfant\tNNPS\tB-NP\tO' -p325590 -aS'hosptial\thosptial\tJJ\tB-ADJP\tO' -p325591 -aS'and\tand\tCC\tO\tO' -p325592 -aS'initiation\tinitiation\tNN\tB-NP\tO' -p325593 -aS'of\tof\tIN\tB-PP\tO' -p325594 -aS'palliative\tpalliative\tJJ\tB-NP\tO' -p325595 -aS'care\tcare\tNN\tI-NP\tO' -p325596 -aS'.\t.\t.\tO\tO' -p325597 -asS'On the left , his pupils went from 2.5 mm to 2 mm , also brisk .' -p325598 -(lp325599 -S'On\tOn\tIN\tB-PP\tO' -p325600 -aS'the\tthe\tDT\tB-NP\tO' -p325601 -aS'left\tleft\tNN\tI-NP\tO' -p325602 -aS',\t,\t,\tO\tO' -p325603 -aS'his\this\tPRP$\tB-NP\tO' -p325604 -aS'pupils\tpupil\tNNS\tI-NP\tO' -p325605 -aS'went\tgo\tVBD\tB-VP\tO' -p325606 -aS'from\tfrom\tIN\tB-PP\tO' -p325607 -aS'2.5\t2.5\tCD\tB-NP\tO' -p325608 -aS'mm\tmm\tNN\tI-NP\tO' -p325609 -aS'to\tto\tTO\tB-PP\tO' -p325610 -aS'2\t2\tCD\tB-NP\tO' -p325611 -aS'mm\tmm\tNN\tI-NP\tO' -p325612 -aS',\t,\t,\tO\tO' -p325613 -aS'also\talso\tRB\tB-ADVP\tO' -p325614 -aS'brisk\tbrisk\tJJ\tB-ADJP\tO' -p325615 -aS'.\t.\t.\tO\tO' -p325616 -asS'20. Insulin Lispro ( Human ) 100 unit / mL Cartridge Sig : One ( 1 ) Subcutaneous four times a day : As directed by sliding scale-please see attached scale .' -p325617 -(lp325618 -S'20.\t20.\tLS\tB-NP\tO' -p325619 -aS'Insulin\tInsulin\tNN\tI-NP\tB-protein' -p325620 -aS'Lispro\tLispro\tNN\tI-NP\tI-protein' -p325621 -aS'(\t(\t(\tO\tI-protein' -p325622 -aS'Human\tHuman\tJJ\tB-ADJP\tI-protein' -p325623 -aS')\t)\t)\tO\tI-protein' -p325624 -aS'100\t100\tCD\tB-NP\tI-protein' -p325625 -aS'unit\tunit\tNN\tI-NP\tI-protein' -p325626 -aS'/\t/\tSYM\tB-NP\tO' -p325627 -aS'mL\tmL\tNN\tI-NP\tO' -p325628 -aS'Cartridge\tCartridge\tNNP\tI-NP\tO' -p325629 -aS'Sig\tSig\tNNP\tI-NP\tO' -p325630 -aS':\t:\t:\tO\tO' -p325631 -aS'One\tOne\tCD\tB-NP\tO' -p325632 -aS'(\t(\t(\tO\tO' -p325633 -aS'1\t1\tCD\tB-NP\tO' -p325634 -aS')\t)\t)\tO\tO' -p325635 -aS'Subcutaneous\tSubcutaneous\tJJ\tB-VP\tO' -p325636 -aS'four\tfour\tCD\tB-NP\tO' -p325637 -aS'times\ttime\tNNS\tI-NP\tO' -p325638 -aS'a\ta\tDT\tB-NP\tO' -p325639 -aS'day\tday\tNN\tI-NP\tO' -p325640 -aS':\t:\t:\tO\tO' -p325641 -aS'As\tAs\tIN\tB-NP\tO' -p325642 -aS'directed\tdirect\tVBN\tB-VP\tO' -p325643 -aS'by\tby\tIN\tB-PP\tO' -p325644 -aS'sliding\tslide\tVBG\tB-VP\tO' -p325645 -aS'scale-please\tscale-please\tNN\tB-NP\tB-protein' -p325646 -aS'see\tsee\tVB\tB-VP\tO' -p325647 -aS'attached\tattach\tVBN\tB-NP\tO' -p325648 -aS'scale\tscale\tNN\tI-NP\tO' -p325649 -aS'.\t.\t.\tO\tO' -p325650 -asS'1. The patient will follow-up with Dr. de las Grau in four weeks .' -p325651 -(lp325652 -S'1.\t1.\tLS\tB-LST\tO' -p325653 -aS'The\tThe\tDT\tB-NP\tO' -p325654 -aS'patient\tpatient\tNN\tI-NP\tO' -p325655 -aS'will\twill\tMD\tB-VP\tO' -p325656 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p325657 -aS'with\twith\tIN\tB-PP\tO' -p325658 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p325659 -aS'de\tde\tIN\tI-NP\tO' -p325660 -aS'las\tlas\tNNP\tI-NP\tO' -p325661 -aS'Grau\tGrau\tNNP\tI-NP\tO' -p325662 -aS'in\tin\tIN\tB-PP\tO' -p325663 -aS'four\tfour\tCD\tB-NP\tO' -p325664 -aS'weeks\tweek\tNNS\tI-NP\tO' -p325665 -aS'.\t.\t.\tO\tO' -p325666 -asS'A renal consult was obtained and their assessment was that this was probably a mixture of hypovolemia as well as SIADH .' -p325667 -(lp325668 -S'A\tA\tDT\tB-NP\tO' -p325669 -aS'renal\trenal\tJJ\tI-NP\tO' -p325670 -aS'consult\tconsult\tNN\tI-NP\tO' -p325671 -aS'was\tbe\tVBD\tB-VP\tO' -p325672 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p325673 -aS'and\tand\tCC\tO\tO' -p325674 -aS'their\ttheir\tPRP$\tB-NP\tO' -p325675 -aS'assessment\tassessment\tNN\tI-NP\tO' -p325676 -aS'was\tbe\tVBD\tB-VP\tO' -p325677 -aS'that\tthat\tIN\tB-SBAR\tO' -p325678 -aS'this\tthis\tDT\tB-NP\tO' -p325679 -aS'was\tbe\tVBD\tB-VP\tO' -p325680 -aS'probably\tprobably\tRB\tB-ADVP\tO' -p325681 -aS'a\ta\tDT\tB-NP\tO' -p325682 -aS'mixture\tmixture\tNN\tI-NP\tO' -p325683 -aS'of\tof\tIN\tB-PP\tO' -p325684 -aS'hypovolemia\thypovolemia\tNN\tB-NP\tO' -p325685 -aS'as\tas\tRB\tB-CONJP\tO' -p325686 -aS'well\twell\tRB\tI-CONJP\tO' -p325687 -aS'as\tas\tIN\tI-CONJP\tO' -p325688 -aS'SIADH\tSIADH\tNN\tB-NP\tB-protein' -p325689 -aS'.\t.\t.\tO\tO' -p325690 -asS'Baby girl Fritsche is the 1670 gram product of a 31 and 06-17 week gestation born to a 34 - year-old G2 P1 now 2 woman .' -p325691 -(lp325692 -S'Baby\tBaby\tNNP\tB-NP\tO' -p325693 -aS'girl\tgirl\tNN\tI-NP\tO' -p325694 -aS'Fritsche\tFritsche\tNNP\tI-NP\tO' -p325695 -aS'is\tbe\tVBZ\tB-VP\tO' -p325696 -aS'the\tthe\tDT\tB-NP\tO' -p325697 -aS'1670\t1670\tCD\tI-NP\tO' -p325698 -aS'gram\tgram\tNN\tI-NP\tO' -p325699 -aS'product\tproduct\tNN\tI-NP\tO' -p325700 -aS'of\tof\tIN\tB-PP\tO' -p325701 -aS'a\ta\tDT\tB-NP\tO' -p325702 -aS'31\t31\tCD\tI-NP\tO' -p325703 -aS'and\tand\tCC\tI-NP\tO' -p325704 -aS'06-17\t06-17\tCD\tI-NP\tO' -p325705 -aS'week\tweek\tNN\tI-NP\tO' -p325706 -aS'gestation\tgestation\tNN\tI-NP\tO' -p325707 -aS'born\tbear\tVBN\tB-VP\tO' -p325708 -aS'to\tto\tTO\tB-PP\tO' -p325709 -aS'a\ta\tDT\tB-NP\tO' -p325710 -aS'34\t34\tCD\tI-NP\tO' -p325711 -aS'-\t-\tHYPH\tI-NP\tO' -p325712 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p325713 -aS'G2\tG2\tNN\tI-NP\tO' -p325714 -aS'P1\tP1\tNN\tI-NP\tO' -p325715 -aS'now\tnow\tRB\tB-ADVP\tO' -p325716 -aS'2\t2\tCD\tB-NP\tO' -p325717 -aS'woman\twoman\tNN\tI-NP\tO' -p325718 -aS'.\t.\t.\tO\tO' -p325719 -asS'Tongue is midline .' -p325720 -(lp325721 -S'Tongue\tTongue\tNN\tB-NP\tO' -p325722 -aS'is\tbe\tVBZ\tB-VP\tO' -p325723 -aS'midline\tmidline\tNN\tB-NP\tO' -p325724 -aS'.\t.\t.\tO\tO' -p325725 -asS'The patient tolerated the procedure extremely well .' -p325726 -(lp325727 -S'The\tThe\tDT\tB-NP\tO' -p325728 -aS'patient\tpatient\tNN\tI-NP\tO' -p325729 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p325730 -aS'the\tthe\tDT\tB-NP\tO' -p325731 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p325732 -aS'extremely\textremely\tRB\tB-ADVP\tO' -p325733 -aS'well\twell\tRB\tI-ADVP\tO' -p325734 -aS'.\t.\t.\tO\tO' -p325735 -asS"Pt 's INR was eleveted as he was on home coumadin ." -p325736 -(lp325737 -S'Pt\tPt\tNN\tB-NP\tO' -p325738 -aS"'s\t's\tPOS\tB-NP\tO" -p325739 -aS'INR\tINR\tNN\tI-NP\tB-protein' -p325740 -aS'was\tbe\tVBD\tB-VP\tO' -p325741 -aS'eleveted\televete\tVBN\tI-VP\tO' -p325742 -aS'as\tas\tIN\tB-SBAR\tO' -p325743 -aS'he\the\tPRP\tB-NP\tO' -p325744 -aS'was\tbe\tVBD\tB-VP\tO' -p325745 -aS'on\ton\tIN\tB-PP\tO' -p325746 -aS'home\thome\tNN\tB-NP\tO' -p325747 -aS'coumadin\tcoumadin\tNN\tI-NP\tO' -p325748 -aS'.\t.\t.\tO\tO' -p325749 -asS'As a result , you were started on thyroid supplements .' -p325750 -(lp325751 -S'As\tAs\tIN\tB-PP\tO' -p325752 -aS'a\ta\tDT\tB-NP\tO' -p325753 -aS'result\tresult\tNN\tI-NP\tO' -p325754 -aS',\t,\t,\tO\tO' -p325755 -aS'you\tyou\tPRP\tB-NP\tO' -p325756 -aS'were\tbe\tVBD\tB-VP\tO' -p325757 -aS'started\tstart\tVBN\tI-VP\tO' -p325758 -aS'on\ton\tIN\tB-PP\tO' -p325759 -aS'thyroid\tthyroid\tJJ\tB-NP\tB-DNA' -p325760 -aS'supplements\tsupplement\tNNS\tI-NP\tI-DNA' -p325761 -aS'.\t.\t.\tO\tO' -p325762 -asS'Performance status was 0 .' -p325763 -(lp325764 -S'Performance\tPerformance\tNN\tB-NP\tO' -p325765 -aS'status\tstatus\tNN\tI-NP\tO' -p325766 -aS'was\tbe\tVBD\tB-VP\tO' -p325767 -aS'0\t0\tCD\tB-NP\tO' -p325768 -aS'.\t.\t.\tO\tO' -p325769 -asS'He will also require close follow up with his primary care provider for coumadin management .' -p325770 -(lp325771 -S'He\tHe\tPRP\tB-NP\tO' -p325772 -aS'will\twill\tMD\tB-VP\tO' -p325773 -aS'also\talso\tRB\tI-VP\tO' -p325774 -aS'require\trequire\tVB\tI-VP\tO' -p325775 -aS'close\tclose\tRB\tB-ADVP\tO' -p325776 -aS'follow\tfollow\tVB\tB-VP\tO' -p325777 -aS'up\tup\tRP\tB-PRT\tO' -p325778 -aS'with\twith\tIN\tB-PP\tO' -p325779 -aS'his\this\tPRP$\tB-NP\tO' -p325780 -aS'primary\tprimary\tJJ\tI-NP\tO' -p325781 -aS'care\tcare\tNN\tI-NP\tO' -p325782 -aS'provider\tprovider\tNN\tI-NP\tO' -p325783 -aS'for\tfor\tIN\tB-PP\tO' -p325784 -aS'coumadin\tcoumadin\tNN\tB-NP\tO' -p325785 -aS'management\tmanagement\tNN\tI-NP\tO' -p325786 -aS'.\t.\t.\tO\tO' -p325787 -asS'Throught the stay his labs remained normal and his pain controlled .' -p325788 -(lp325789 -S'Throught\tThrought\tVBN\tB-VP\tO' -p325790 -aS'the\tthe\tDT\tB-NP\tO' -p325791 -aS'stay\tstay\tNN\tI-NP\tO' -p325792 -aS'his\this\tPRP$\tB-NP\tO' -p325793 -aS'labs\tlab\tNNS\tI-NP\tO' -p325794 -aS'remained\tremain\tVBD\tB-VP\tO' -p325795 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p325796 -aS'and\tand\tCC\tO\tO' -p325797 -aS'his\this\tPRP$\tB-NP\tO' -p325798 -aS'pain\tpain\tNN\tI-NP\tO' -p325799 -aS'controlled\tcontrol\tVBN\tB-VP\tO' -p325800 -aS'.\t.\t.\tO\tO' -p325801 -asS'On motor examination , patient was noted to be of normal motor function throughout except for a slight weakness of the right dorsi flexion and plantar flexion , both noted to be about 4/5 and sensory examination was intact throughout .' -p325802 -(lp325803 -S'On\tOn\tIN\tB-PP\tO' -p325804 -aS'motor\tmotor\tNN\tB-NP\tO' -p325805 -aS'examination\texamination\tNN\tI-NP\tO' -p325806 -aS',\t,\t,\tO\tO' -p325807 -aS'patient\tpatient\tNN\tB-NP\tO' -p325808 -aS'was\tbe\tVBD\tB-VP\tO' -p325809 -aS'noted\tnote\tVBN\tI-VP\tO' -p325810 -aS'to\tto\tTO\tI-VP\tO' -p325811 -aS'be\tbe\tVB\tI-VP\tO' -p325812 -aS'of\tof\tIN\tB-PP\tO' -p325813 -aS'normal\tnormal\tJJ\tB-NP\tO' -p325814 -aS'motor\tmotor\tNN\tI-NP\tO' -p325815 -aS'function\tfunction\tNN\tI-NP\tO' -p325816 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p325817 -aS'except\texcept\tIN\tB-PP\tO' -p325818 -aS'for\tfor\tIN\tB-PP\tO' -p325819 -aS'a\ta\tDT\tB-NP\tO' -p325820 -aS'slight\tslight\tJJ\tI-NP\tO' -p325821 -aS'weakness\tweakness\tNN\tI-NP\tO' -p325822 -aS'of\tof\tIN\tB-PP\tO' -p325823 -aS'the\tthe\tDT\tB-NP\tO' -p325824 -aS'right\tright\tJJ\tI-NP\tO' -p325825 -aS'dorsi\tdorsi\tNN\tI-NP\tO' -p325826 -aS'flexion\tflexion\tNN\tI-NP\tO' -p325827 -aS'and\tand\tCC\tO\tO' -p325828 -aS'plantar\tplantar\tNN\tB-NP\tO' -p325829 -aS'flexion\tflexion\tNN\tI-NP\tO' -p325830 -aS',\t,\t,\tO\tO' -p325831 -aS'both\tboth\tDT\tB-NP\tO' -p325832 -aS'noted\tnote\tVBD\tB-VP\tO' -p325833 -aS'to\tto\tTO\tI-VP\tO' -p325834 -aS'be\tbe\tVB\tI-VP\tO' -p325835 -aS'about\tabout\tRB\tB-NP\tO' -p325836 -aS'4/5\t4/5\tCD\tI-NP\tO' -p325837 -aS'and\tand\tCC\tI-NP\tO' -p325838 -aS'sensory\tsensory\tJJ\tI-NP\tO' -p325839 -aS'examination\texamination\tNN\tI-NP\tO' -p325840 -aS'was\tbe\tVBD\tB-VP\tO' -p325841 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p325842 -aS'throughout\tthroughout\tIN\tB-ADVP\tO' -p325843 -aS'.\t.\t.\tO\tO' -p325844 -asS'At the time of admission , laboratories were remarkable for a partial thromboplastin time of 31.7 , INR 1.4 , potassium 3.2 , glucose 182 , lactate was initially 6.6 .' -p325845 -(lp325846 -S'At\tAt\tIN\tB-PP\tO' -p325847 -aS'the\tthe\tDT\tB-NP\tO' -p325848 -aS'time\ttime\tNN\tI-NP\tO' -p325849 -aS'of\tof\tIN\tB-PP\tO' -p325850 -aS'admission\tadmission\tNN\tB-NP\tO' -p325851 -aS',\t,\t,\tO\tO' -p325852 -aS'laboratories\tlaboratory\tNNS\tB-NP\tO' -p325853 -aS'were\tbe\tVBD\tB-VP\tO' -p325854 -aS'remarkable\tremarkable\tJJ\tB-ADJP\tO' -p325855 -aS'for\tfor\tIN\tB-PP\tO' -p325856 -aS'a\ta\tDT\tB-NP\tO' -p325857 -aS'partial\tpartial\tJJ\tI-NP\tO' -p325858 -aS'thromboplastin\tthromboplastin\tNN\tI-NP\tO' -p325859 -aS'time\ttime\tNN\tI-NP\tO' -p325860 -aS'of\tof\tIN\tB-PP\tO' -p325861 -aS'31.7\t31.7\tCD\tB-NP\tO' -p325862 -aS',\t,\t,\tO\tO' -p325863 -aS'INR\tINR\tNN\tB-NP\tB-protein' -p325864 -aS'1.4\t1.4\tCD\tI-NP\tI-protein' -p325865 -aS',\t,\t,\tO\tO' -p325866 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p325867 -aS'3.2\t3.2\tCD\tI-NP\tO' -p325868 -aS',\t,\t,\tO\tO' -p325869 -aS'glucose\tglucose\tNN\tB-NP\tO' -p325870 -aS'182\t182\tCD\tI-NP\tO' -p325871 -aS',\t,\t,\tO\tO' -p325872 -aS'lactate\tlactate\tNN\tB-NP\tO' -p325873 -aS'was\tbe\tVBD\tB-VP\tO' -p325874 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p325875 -aS'6.6\t6.6\tCD\tB-NP\tO' -p325876 -aS'.\t.\t.\tO\tO' -p325877 -asS'Rare drinks per week .' -p325878 -(lp325879 -S'Rare\tRare\tNN\tB-NP\tO' -p325880 -aS'drinks\tdrink\tNNS\tI-NP\tO' -p325881 -aS'per\tper\tIN\tB-PP\tO' -p325882 -aS'week\tweek\tNN\tB-NP\tO' -p325883 -aS'.\t.\t.\tO\tO' -p325884 -asS'The patient was given 250 cc of normal saline and her blood pressure responded coming back up to the high 90 s.' -p325885 -(lp325886 -S'The\tThe\tDT\tB-NP\tO' -p325887 -aS'patient\tpatient\tNN\tI-NP\tO' -p325888 -aS'was\tbe\tVBD\tB-VP\tO' -p325889 -aS'given\tgive\tVBN\tI-VP\tO' -p325890 -aS'250\t250\tCD\tB-NP\tO' -p325891 -aS'cc\tcc\tNN\tI-NP\tO' -p325892 -aS'of\tof\tIN\tB-PP\tO' -p325893 -aS'normal\tnormal\tJJ\tB-NP\tO' -p325894 -aS'saline\tsaline\tNN\tI-NP\tO' -p325895 -aS'and\tand\tCC\tO\tO' -p325896 -aS'her\ther\tPRP$\tB-NP\tO' -p325897 -aS'blood\tblood\tNN\tI-NP\tO' -p325898 -aS'pressure\tpressure\tNN\tI-NP\tO' -p325899 -aS'responded\trespond\tVBD\tB-VP\tO' -p325900 -aS'coming\tcome\tVBG\tI-VP\tO' -p325901 -aS'back\tback\tRB\tB-ADVP\tO' -p325902 -aS'up\tup\tIN\tB-PP\tO' -p325903 -aS'to\tto\tTO\tB-PP\tO' -p325904 -aS'the\tthe\tDT\tB-NP\tO' -p325905 -aS'high\thigh\tJJ\tI-NP\tO' -p325906 -aS'90\t90\tCD\tI-NP\tO' -p325907 -aS's.\ts.\tNNS\tI-NP\tO' -p325908 -asS'HEENT - Normocephalic , atraumatic .' -p325909 -(lp325910 -S'HEENT\tHEENT\tNN\tB-NP\tB-protein' -p325911 -aS'-\t-\tHYPH\tB-NP\tO' -p325912 -aS'Normocephalic\tNormocephalic\tJJ\tI-NP\tO' -p325913 -aS',\t,\t,\tI-NP\tO' -p325914 -aS'atraumatic\tatraumatic\tJJ\tI-NP\tO' -p325915 -aS'.\t.\t.\tO\tO' -p325916 -asS'Her chest X-ray showed bilateral air space disease , consistent with pneumonia or adult respiratory distress syndrome .' -p325917 -(lp325918 -S'Her\tHer\tPRP$\tB-NP\tO' -p325919 -aS'chest\tchest\tNN\tI-NP\tO' -p325920 -aS'X-ray\tX-ray\tNN\tI-NP\tO' -p325921 -aS'showed\tshow\tVBD\tB-VP\tO' -p325922 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p325923 -aS'air\tair\tNN\tI-NP\tO' -p325924 -aS'space\tspace\tNN\tI-NP\tO' -p325925 -aS'disease\tdisease\tNN\tI-NP\tO' -p325926 -aS',\t,\t,\tO\tO' -p325927 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p325928 -aS'with\twith\tIN\tB-PP\tO' -p325929 -aS'pneumonia\tpneumonia\tNN\tB-NP\tO' -p325930 -aS'or\tor\tCC\tO\tO' -p325931 -aS'adult\tadult\tJJ\tB-NP\tO' -p325932 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p325933 -aS'distress\tdistress\tNN\tI-NP\tO' -p325934 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p325935 -aS'.\t.\t.\tO\tO' -p325936 -asS'She did state that she experienced some shortness of breath ( her usual anginal equivalent ) and believes she did experience some lightheadedness as well , but denies blacking out or falling .' -p325937 -(lp325938 -S'She\tShe\tPRP\tB-NP\tO' -p325939 -aS'did\tdo\tVBD\tB-VP\tO' -p325940 -aS'state\tstate\tNN\tB-NP\tO' -p325941 -aS'that\tthat\tIN\tB-SBAR\tO' -p325942 -aS'she\tshe\tPRP\tB-NP\tO' -p325943 -aS'experienced\texperience\tVBD\tB-VP\tO' -p325944 -aS'some\tsome\tDT\tB-NP\tO' -p325945 -aS'shortness\tshortness\tNN\tI-NP\tO' -p325946 -aS'of\tof\tIN\tB-PP\tO' -p325947 -aS'breath\tbreath\tNN\tB-NP\tO' -p325948 -aS'(\t(\t(\tO\tO' -p325949 -aS'her\ther\tPRP$\tB-NP\tO' -p325950 -aS'usual\tusual\tJJ\tI-NP\tO' -p325951 -aS'anginal\tanginal\tJJ\tI-NP\tO' -p325952 -aS'equivalent\tequivalent\tNN\tI-NP\tO' -p325953 -aS')\t)\t)\tO\tO' -p325954 -aS'and\tand\tCC\tO\tO' -p325955 -aS'believes\tbelieve\tVBZ\tB-VP\tO' -p325956 -aS'she\tshe\tPRP\tB-NP\tO' -p325957 -aS'did\tdo\tVBD\tB-VP\tO' -p325958 -aS'experience\texperience\tVB\tI-VP\tO' -p325959 -aS'some\tsome\tDT\tB-NP\tO' -p325960 -aS'lightheadedness\tlightheadedness\tNN\tI-NP\tO' -p325961 -aS'as\tas\tRB\tB-ADVP\tO' -p325962 -aS'well\twell\tRB\tI-ADVP\tO' -p325963 -aS',\t,\t,\tO\tO' -p325964 -aS'but\tbut\tCC\tO\tO' -p325965 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p325966 -aS'blacking\tblack\tVBG\tI-VP\tO' -p325967 -aS'out\tout\tRP\tB-PRT\tO' -p325968 -aS'or\tor\tCC\tO\tO' -p325969 -aS'falling\tfall\tVBG\tB-VP\tO' -p325970 -aS'.\t.\t.\tO\tO' -p325971 -asS'Chest x-ray was negative for infiltrate .' -p325972 -(lp325973 -S'Chest\tCh\tJJS\tB-NP\tO' -p325974 -aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' -p325975 -aS'was\tbe\tVBD\tB-VP\tO' -p325976 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p325977 -aS'for\tfor\tIN\tB-PP\tO' -p325978 -aS'infiltrate\tinfiltrate\tNN\tB-NP\tO' -p325979 -aS'.\t.\t.\tO\tO' -p325980 -asS'6. Norvasc , 5 mg PO daily .' -p325981 -(lp325982 -S'6.\t6.\tLS\tB-NP\tO' -p325983 -aS'Norvasc\tNorvasc\tNNP\tI-NP\tO' -p325984 -aS',\t,\t,\tO\tO' -p325985 -aS'5\t5\tCD\tB-NP\tO' -p325986 -aS'mg\tmg\tNN\tI-NP\tO' -p325987 -aS'PO\tPO\tNN\tI-NP\tO' -p325988 -aS'daily\tdaily\tRB\tB-ADVP\tO' -p325989 -aS'.\t.\t.\tO\tO' -p325990 -asS'Heparin induced thrombocytopenia antibody panel was sent .' -p325991 -(lp325992 -S'Heparin\tHeparin\tNN\tB-NP\tO' -p325993 -aS'induced\tinduce\tVBD\tB-VP\tO' -p325994 -aS'thrombocytopenia\tthrombocytopenia\tNN\tB-NP\tB-protein' -p325995 -aS'antibody\tantibody\tNN\tI-NP\tI-protein' -p325996 -aS'panel\tpanel\tNN\tI-NP\tO' -p325997 -aS'was\tbe\tVBD\tB-VP\tO' -p325998 -aS'sent\tsend\tVBN\tI-VP\tO' -p325999 -aS'.\t.\t.\tO\tO' -p326000 -asS'Estratab one PO q.day .' -p326001 -(lp326002 -S'Estratab\tEstratab\tNN\tB-NP\tO' -p326003 -aS'one\tone\tCD\tI-NP\tO' -p326004 -aS'PO\tPO\tNN\tI-NP\tO' -p326005 -aS'q.day\tq.day\tNN\tI-NP\tO' -p326006 -aS'.\t.\t.\tO\tO' -p326007 -asS'His past surgical history had included gastric ulcer surgery and appendectomy .' -p326008 -(lp326009 -S'His\tHis\tPRP$\tB-NP\tO' -p326010 -aS'past\tpast\tJJ\tI-NP\tO' -p326011 -aS'surgical\tsurgical\tJJ\tI-NP\tO' -p326012 -aS'history\thistory\tNN\tI-NP\tO' -p326013 -aS'had\thave\tVBD\tB-VP\tO' -p326014 -aS'included\tinclude\tVBN\tI-VP\tO' -p326015 -aS'gastric\tgastric\tJJ\tB-NP\tO' -p326016 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p326017 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p326018 -aS'and\tand\tCC\tI-NP\tO' -p326019 -aS'appendectomy\tappendectomy\tNN\tI-NP\tO' -p326020 -aS'.\t.\t.\tO\tO' -p326021 -asS'Pupil o.s. reacted to light .' -p326022 -(lp326023 -S'Pupil\tPupil\tNNP\tB-NP\tO' -p326024 -aS'o.s.\to.s.\tNNS\tI-NP\tO' -p326025 -aS'reacted\treact\tVBD\tB-VP\tO' -p326026 -aS'to\tto\tTO\tB-PP\tO' -p326027 -aS'light\tlight\tNN\tB-NP\tO' -p326028 -aS'.\t.\t.\tO\tO' -p326029 -asS'1. Prolonged Respiratory Transition .' -p326030 -(lp326031 -S'1.\t1.\tLS\tB-LST\tO' -p326032 -aS'Prolonged\tProlonged\tNNP\tB-NP\tO' -p326033 -aS'Respiratory\tRespiratory\tNNP\tI-NP\tO' -p326034 -aS'Transition\tTransition\tNNP\tI-NP\tO' -p326035 -aS'.\t.\t.\tO\tO' -p326036 -asS'She persisted with right sided seizure activity there and was given valium 10 mg and ativan 1 mg , as well as loaded with dilantin 1000 mg .' -p326037 -(lp326038 -S'She\tShe\tPRP\tB-NP\tO' -p326039 -aS'persisted\tpersist\tVBD\tB-VP\tO' -p326040 -aS'with\twith\tIN\tB-PP\tO' -p326041 -aS'right\tright\tJJ\tB-NP\tO' -p326042 -aS'sided\tsided\tJJ\tI-NP\tO' -p326043 -aS'seizure\tseizure\tNN\tI-NP\tO' -p326044 -aS'activity\tactivity\tNN\tI-NP\tO' -p326045 -aS'there\tthere\tRB\tB-ADVP\tO' -p326046 -aS'and\tand\tCC\tO\tO' -p326047 -aS'was\tbe\tVBD\tB-VP\tO' -p326048 -aS'given\tgive\tVBN\tI-VP\tO' -p326049 -aS'valium\tvalium\tNN\tB-NP\tO' -p326050 -aS'10\t10\tCD\tI-NP\tO' -p326051 -aS'mg\tmg\tNN\tI-NP\tO' -p326052 -aS'and\tand\tCC\tI-NP\tO' -p326053 -aS'ativan\tativan\tNN\tI-NP\tO' -p326054 -aS'1\t1\tCD\tI-NP\tO' -p326055 -aS'mg\tmg\tNN\tI-NP\tO' -p326056 -aS',\t,\t,\tO\tO' -p326057 -aS'as\tas\tRB\tB-CONJP\tO' -p326058 -aS'well\twell\tRB\tI-CONJP\tO' -p326059 -aS'as\tas\tIN\tI-CONJP\tO' -p326060 -aS'loaded\tload\tVBN\tB-VP\tO' -p326061 -aS'with\twith\tIN\tB-PP\tO' -p326062 -aS'dilantin\tdilantin\tNN\tB-NP\tO' -p326063 -aS'1000\t1000\tCD\tI-NP\tO' -p326064 -aS'mg\tmg\tNN\tI-NP\tO' -p326065 -aS'.\t.\t.\tO\tO' -p326066 -asS'On admission , infant did not require supplemental oxygen or respiratory support .' -p326067 -(lp326068 -S'On\tOn\tIN\tB-PP\tO' -p326069 -aS'admission\tadmission\tNN\tB-NP\tO' -p326070 -aS',\t,\t,\tO\tO' -p326071 -aS'infant\tinfant\tNN\tB-NP\tO' -p326072 -aS'did\tdo\tVBD\tB-VP\tO' -p326073 -aS'not\tnot\tRB\tI-VP\tO' -p326074 -aS'require\trequire\tVB\tI-VP\tO' -p326075 -aS'supplemental\tsupplemental\tJJ\tB-NP\tO' -p326076 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p326077 -aS'or\tor\tCC\tO\tO' -p326078 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p326079 -aS'support\tsupport\tNN\tI-NP\tO' -p326080 -aS'.\t.\t.\tO\tO' -p326081 -asS'Left forearm and wrist series demonstrated transverse mid shaft radial fracture with ulnar displacement .' -p326082 -(lp326083 -S'Left\tLeft\tJJ\tB-NP\tO' -p326084 -aS'forearm\tforearm\tNN\tI-NP\tO' -p326085 -aS'and\tand\tCC\tI-NP\tO' -p326086 -aS'wrist\twrist\tNN\tI-NP\tO' -p326087 -aS'series\tseries\tNN\tI-NP\tO' -p326088 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p326089 -aS'transverse\ttransverse\tJJ\tB-NP\tO' -p326090 -aS'mid\tmid\tJJ\tI-NP\tO' -p326091 -aS'shaft\tshaft\tNN\tI-NP\tO' -p326092 -aS'radial\tradial\tNN\tI-NP\tO' -p326093 -aS'fracture\tfracture\tNN\tI-NP\tO' -p326094 -aS'with\twith\tIN\tB-PP\tO' -p326095 -aS'ulnar\tulnar\tJJ\tB-NP\tO' -p326096 -aS'displacement\tdisplacement\tNN\tI-NP\tO' -p326097 -aS'.\t.\t.\tO\tO' -p326098 -asS'3l .' -p326099 -(lp326100 -S'3l\t3l\tLS\tB-LST\tO' -p326101 -aS'.\t.\t.\tO\tO' -p326102 -asS'10. Perforated viscus .' -p326103 -(lp326104 -S'10.\t10.\tLS\tB-NP\tO' -p326105 -aS'Perforated\tPerforated\tNNP\tI-NP\tO' -p326106 -aS'viscus\tviscus\tNN\tI-NP\tO' -p326107 -aS'.\t.\t.\tO\tO' -p326108 -asS'Foley was also discontinued .' -p326109 -(lp326110 -S'Foley\tFoley\tNNP\tB-NP\tO' -p326111 -aS'was\tbe\tVBD\tB-VP\tO' -p326112 -aS'also\talso\tRB\tI-VP\tO' -p326113 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p326114 -aS'.\t.\t.\tO\tO' -p326115 -asS'Sensory - Dense loss to touch on the right arm and leg' -p326116 -(lp326117 -S'Sensory\tSensory\tJJ\tB-NP\tO' -p326118 -aS'-\t-\tHYPH\tI-NP\tO' -p326119 -aS'Dense\tDense\tNN\tI-NP\tO' -p326120 -aS'loss\tloss\tNN\tI-NP\tO' -p326121 -aS'to\tto\tTO\tB-VP\tO' -p326122 -aS'touch\ttouch\tVB\tI-VP\tO' -p326123 -aS'on\ton\tIN\tB-PP\tO' -p326124 -aS'the\tthe\tDT\tB-NP\tO' -p326125 -aS'right\tright\tJJ\tI-NP\tO' -p326126 -aS'arm\tarm\tNN\tI-NP\tO' -p326127 -aS'and\tand\tCC\tI-NP\tO' -p326128 -aS'leg\tleg\tNN\tI-NP\tO' -p326129 -asS'2. Aggrenox .' -p326130 -(lp326131 -S'2.\t2.\tLS\tB-NP\tO' -p326132 -aS'Aggrenox\tAggrenox\tNN\tI-NP\tO' -p326133 -aS'.\t.\t.\tO\tO' -p326134 -asS'He denies chills , no chest pain , no LE swelling .' -p326135 -(lp326136 -S'He\tHe\tPRP\tB-NP\tO' -p326137 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p326138 -aS'chills\tchill\tNNS\tB-NP\tO' -p326139 -aS',\t,\t,\tO\tO' -p326140 -aS'no\tno\tDT\tB-NP\tO' -p326141 -aS'chest\tchest\tNN\tI-NP\tO' -p326142 -aS'pain\tpain\tNN\tI-NP\tO' -p326143 -aS',\t,\t,\tO\tO' -p326144 -aS'no\tno\tDT\tB-NP\tO' -p326145 -aS'LE\tLE\tNN\tI-NP\tO' -p326146 -aS'swelling\tswelling\tNN\tI-NP\tO' -p326147 -aS'.\t.\t.\tO\tO' -p326148 -asS'Pt was maintained on SSI with small amount of standing insulin while he was NPO and then his dose was gradually increased as he received tube feeds .' -p326149 -(lp326150 -S'Pt\tPt\tNN\tB-NP\tO' -p326151 -aS'was\tbe\tVBD\tB-VP\tO' -p326152 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p326153 -aS'on\ton\tIN\tB-PP\tO' -p326154 -aS'SSI\tSSI\tNN\tB-NP\tO' -p326155 -aS'with\twith\tIN\tB-PP\tO' -p326156 -aS'small\tsmall\tJJ\tB-NP\tO' -p326157 -aS'amount\tamount\tNN\tI-NP\tO' -p326158 -aS'of\tof\tIN\tB-PP\tO' -p326159 -aS'standing\tstand\tVBG\tB-VP\tO' -p326160 -aS'insulin\tinsulin\tNN\tB-NP\tB-protein' -p326161 -aS'while\twhile\tIN\tB-SBAR\tO' -p326162 -aS'he\the\tPRP\tB-NP\tO' -p326163 -aS'was\tbe\tVBD\tB-VP\tO' -p326164 -aS'NPO\tNPO\tNN\tB-NP\tB-protein' -p326165 -aS'and\tand\tCC\tO\tO' -p326166 -aS'then\tthen\tRB\tO\tO' -p326167 -aS'his\this\tPRP$\tB-NP\tO' -p326168 -aS'dose\tdose\tNN\tI-NP\tO' -p326169 -aS'was\tbe\tVBD\tB-VP\tO' -p326170 -aS'gradually\tgradually\tRB\tI-VP\tO' -p326171 -aS'increased\tincrease\tVBN\tI-VP\tO' -p326172 -aS'as\tas\tIN\tB-SBAR\tO' -p326173 -aS'he\the\tPRP\tB-NP\tO' -p326174 -aS'received\treceive\tVBD\tB-VP\tO' -p326175 -aS'tube\ttube\tNN\tB-NP\tO' -p326176 -aS'feeds\tfeed\tNNS\tI-NP\tO' -p326177 -aS'.\t.\t.\tO\tO' -p326178 -asS'Serum acetone was normal .' -p326179 -(lp326180 -S'Serum\tSerum\tNN\tB-NP\tO' -p326181 -aS'acetone\tacetone\tNN\tI-NP\tO' -p326182 -aS'was\tbe\tVBD\tB-VP\tO' -p326183 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p326184 -aS'.\t.\t.\tO\tO' -p326185 -asS'Her renal function significantly improved , and her discharge creatinine was 3.1 .' -p326186 -(lp326187 -S'Her\tHer\tPRP$\tB-NP\tO' -p326188 -aS'renal\trenal\tJJ\tI-NP\tO' -p326189 -aS'function\tfunction\tNN\tI-NP\tO' -p326190 -aS'significantly\tsignificantly\tRB\tB-VP\tO' -p326191 -aS'improved\timprove\tVBD\tI-VP\tO' -p326192 -aS',\t,\t,\tO\tO' -p326193 -aS'and\tand\tCC\tO\tO' -p326194 -aS'her\ther\tPRP$\tB-NP\tO' -p326195 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p326196 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p326197 -aS'was\tbe\tVBD\tB-VP\tO' -p326198 -aS'3.1\t3.1\tCD\tB-NP\tO' -p326199 -aS'.\t.\t.\tO\tO' -p326200 -asS'She had no evidence of SBP .' -p326201 -(lp326202 -S'She\tShe\tPRP\tB-NP\tO' -p326203 -aS'had\thave\tVBD\tB-VP\tO' -p326204 -aS'no\tno\tDT\tB-NP\tO' -p326205 -aS'evidence\tevidence\tNN\tI-NP\tO' -p326206 -aS'of\tof\tIN\tB-PP\tO' -p326207 -aS'SBP\tSBP\tNN\tB-NP\tB-protein' -p326208 -aS'.\t.\t.\tO\tO' -p326209 -asS'Fine motor movements are slow but accurate in the left and right hands .' -p326210 -(lp326211 -S'Fine\tFine\tJJ\tB-NP\tO' -p326212 -aS'motor\tmotor\tNN\tI-NP\tO' -p326213 -aS'movements\tmovement\tNNS\tI-NP\tO' -p326214 -aS'are\tbe\tVBP\tB-VP\tO' -p326215 -aS'slow\tslow\tJJ\tB-ADJP\tO' -p326216 -aS'but\tbut\tCC\tI-ADJP\tO' -p326217 -aS'accurate\taccurate\tJJ\tI-ADJP\tO' -p326218 -aS'in\tin\tIN\tB-PP\tO' -p326219 -aS'the\tthe\tDT\tB-NP\tO' -p326220 -aS'left\tleft\tJJ\tI-NP\tO' -p326221 -aS'and\tand\tCC\tI-NP\tO' -p326222 -aS'right\tright\tJJ\tI-NP\tO' -p326223 -aS'hands\thand\tNNS\tI-NP\tO' -p326224 -aS'.\t.\t.\tO\tO' -p326225 -asS'Several of these were coil embolized during this admission .' -p326226 -(lp326227 -S'Several\tSeveral\tJJ\tB-ADJP\tO' -p326228 -aS'of\tof\tIN\tB-PP\tO' -p326229 -aS'these\tthese\tDT\tB-NP\tO' -p326230 -aS'were\tbe\tVBD\tB-VP\tO' -p326231 -aS'coil\tcoil\tNN\tB-NP\tO' -p326232 -aS'embolized\tembolize\tVBN\tB-VP\tO' -p326233 -aS'during\tduring\tIN\tB-PP\tO' -p326234 -aS'this\tthis\tDT\tB-NP\tO' -p326235 -aS'admission\tadmission\tNN\tI-NP\tO' -p326236 -aS'.\t.\t.\tO\tO' -p326237 -asS'She developed congestive heart failure and required pressor support .' -p326238 -(lp326239 -S'She\tShe\tPRP\tB-NP\tO' -p326240 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p326241 -aS'congestive\tcongestive\tJJ\tB-NP\tO' -p326242 -aS'heart\theart\tNN\tI-NP\tO' -p326243 -aS'failure\tfailure\tNN\tI-NP\tO' -p326244 -aS'and\tand\tCC\tO\tO' -p326245 -aS'required\trequire\tVBD\tB-VP\tO' -p326246 -aS'pressor\tpressor\tNN\tB-NP\tO' -p326247 -aS'support\tsupport\tNN\tI-NP\tO' -p326248 -aS'.\t.\t.\tO\tO' -p326249 -asS'She received Nitropaste , aspirin , laboratory studies and was taken to the floor for further management .' -p326250 -(lp326251 -S'She\tShe\tPRP\tB-NP\tO' -p326252 -aS'received\treceive\tVBD\tB-VP\tO' -p326253 -aS'Nitropaste\tNitropaste\tNN\tB-NP\tO' -p326254 -aS',\t,\t,\tO\tO' -p326255 -aS'aspirin\taspirin\tNN\tB-NP\tO' -p326256 -aS',\t,\t,\tO\tO' -p326257 -aS'laboratory\tlaboratory\tNN\tB-NP\tO' -p326258 -aS'studies\tstudy\tNNS\tI-NP\tO' -p326259 -aS'and\tand\tCC\tO\tO' -p326260 -aS'was\tbe\tVBD\tB-VP\tO' -p326261 -aS'taken\ttake\tVBN\tI-VP\tO' -p326262 -aS'to\tto\tTO\tB-PP\tO' -p326263 -aS'the\tthe\tDT\tB-NP\tO' -p326264 -aS'floor\tfloor\tNN\tI-NP\tO' -p326265 -aS'for\tfor\tIN\tB-PP\tO' -p326266 -aS'further\tfurther\tJJ\tB-NP\tO' -p326267 -aS'management\tmanagement\tNN\tI-NP\tO' -p326268 -aS'.\t.\t.\tO\tO' -p326269 -asS'I have changed some of your blood pressure meds .' -p326270 -(lp326271 -S'I\tI\tPRP\tB-NP\tO' -p326272 -aS'have\thave\tVBP\tB-VP\tO' -p326273 -aS'changed\tchange\tVBN\tI-VP\tO' -p326274 -aS'some\tsome\tDT\tB-NP\tO' -p326275 -aS'of\tof\tIN\tB-PP\tO' -p326276 -aS'your\tyour\tPRP$\tB-NP\tO' -p326277 -aS'blood\tblood\tNN\tI-NP\tO' -p326278 -aS'pressure\tpressure\tNN\tI-NP\tO' -p326279 -aS'meds\tmed\tNNS\tI-NP\tO' -p326280 -aS'.\t.\t.\tO\tO' -p326281 -asS'He was continued on azithromycin and cefuroxime until bronchoscopy results were known , negative .' -p326282 -(lp326283 -S'He\tHe\tPRP\tB-NP\tO' -p326284 -aS'was\tbe\tVBD\tB-VP\tO' -p326285 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p326286 -aS'on\ton\tIN\tB-PP\tO' -p326287 -aS'azithromycin\tazithromycin\tNN\tB-NP\tO' -p326288 -aS'and\tand\tCC\tI-NP\tO' -p326289 -aS'cefuroxime\tcefuroxime\tNN\tI-NP\tO' -p326290 -aS'until\tuntil\tIN\tB-PP\tO' -p326291 -aS'bronchoscopy\tbronchoscopy\tNN\tB-NP\tO' -p326292 -aS'results\tresult\tNNS\tI-NP\tO' -p326293 -aS'were\tbe\tVBD\tB-VP\tO' -p326294 -aS'known\tknow\tVBN\tI-VP\tO' -p326295 -aS',\t,\t,\tO\tO' -p326296 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p326297 -aS'.\t.\t.\tO\tO' -p326298 -asS'Therefore , he had a repeat colonoscopy on 11-06 which showed expected mucosal signs of moderate ulcerative colitis , no polyps , w/ 8 mm ulcer at junction of distal descending colon and sigmoid colon .' -p326299 -(lp326300 -S'Therefore\tTherefore\tRB\tB-ADVP\tO' -p326301 -aS',\t,\t,\tO\tO' -p326302 -aS'he\the\tPRP\tB-NP\tO' -p326303 -aS'had\thave\tVBD\tB-VP\tO' -p326304 -aS'a\ta\tDT\tB-NP\tO' -p326305 -aS'repeat\trepeat\tNN\tI-NP\tO' -p326306 -aS'colonoscopy\tcolonoscopy\tNN\tI-NP\tO' -p326307 -aS'on\ton\tIN\tB-PP\tO' -p326308 -aS'11-06\t11-06\tCD\tB-NP\tO' -p326309 -aS'which\twhich\tWDT\tB-NP\tO' -p326310 -aS'showed\tshow\tVBD\tB-VP\tO' -p326311 -aS'expected\texpect\tVBN\tI-VP\tO' -p326312 -aS'mucosal\tmucosal\tJJ\tB-NP\tO' -p326313 -aS'signs\tsign\tNNS\tI-NP\tO' -p326314 -aS'of\tof\tIN\tB-PP\tO' -p326315 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p326316 -aS'ulcerative\tulcerative\tJJ\tI-NP\tO' -p326317 -aS'colitis\tcolitis\tNN\tI-NP\tO' -p326318 -aS',\t,\t,\tO\tO' -p326319 -aS'no\tno\tDT\tB-NP\tO' -p326320 -aS'polyps\tpolyp\tNNS\tI-NP\tO' -p326321 -aS',\t,\t,\tO\tO' -p326322 -aS'w/\tw/\tSYM\tB-NP\tO' -p326323 -aS'8\t8\tCD\tI-NP\tO' -p326324 -aS'mm\tmm\tNN\tI-NP\tO' -p326325 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p326326 -aS'at\tat\tIN\tB-PP\tO' -p326327 -aS'junction\tjunction\tNN\tB-NP\tO' -p326328 -aS'of\tof\tIN\tB-PP\tO' -p326329 -aS'distal\tdistal\tJJ\tB-NP\tO' -p326330 -aS'descending\tdescend\tVBG\tI-NP\tO' -p326331 -aS'colon\tcolon\tNN\tI-NP\tO' -p326332 -aS'and\tand\tCC\tO\tO' -p326333 -aS'sigmoid\tsigmoid\tJJ\tB-NP\tO' -p326334 -aS'colon\tcolon\tNN\tI-NP\tO' -p326335 -aS'.\t.\t.\tO\tO' -p326336 -asS'The patient was then admitted for further evaluation .' -p326337 -(lp326338 -S'The\tThe\tDT\tB-NP\tO' -p326339 -aS'patient\tpatient\tNN\tI-NP\tO' -p326340 -aS'was\tbe\tVBD\tB-VP\tO' -p326341 -aS'then\tthen\tRB\tI-VP\tO' -p326342 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p326343 -aS'for\tfor\tIN\tB-PP\tO' -p326344 -aS'further\tfurther\tJJ\tB-NP\tO' -p326345 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p326346 -aS'.\t.\t.\tO\tO' -p326347 -asS'He was thoroughly evaluated by neurology and underwent head CT , MRI , LP , and EEG .' -p326348 -(lp326349 -S'He\tHe\tPRP\tB-NP\tO' -p326350 -aS'was\tbe\tVBD\tB-VP\tO' -p326351 -aS'thoroughly\tthoroughly\tRB\tI-VP\tO' -p326352 -aS'evaluated\tevaluate\tVBN\tI-VP\tO' -p326353 -aS'by\tby\tIN\tB-PP\tO' -p326354 -aS'neurology\tneurology\tNN\tB-NP\tO' -p326355 -aS'and\tand\tCC\tO\tO' -p326356 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p326357 -aS'head\thead\tNN\tB-NP\tO' -p326358 -aS'CT\tCT\tNN\tI-NP\tO' -p326359 -aS',\t,\t,\tO\tO' -p326360 -aS'MRI\tMRI\tNN\tB-NP\tB-protein' -p326361 -aS',\t,\t,\tO\tO' -p326362 -aS'LP\tLP\tNN\tB-NP\tO' -p326363 -aS',\t,\t,\tO\tO' -p326364 -aS'and\tand\tCC\tO\tO' -p326365 -aS'EEG\tEEG\tNN\tB-NP\tB-protein' -p326366 -aS'.\t.\t.\tO\tO' -p326367 -asS'negative per the emergency room .' -p326368 -(lp326369 -S'negative\tnegative\tJJ\tB-ADJP\tO' -p326370 -aS'per\tper\tIN\tB-PP\tO' -p326371 -aS'the\tthe\tDT\tB-NP\tO' -p326372 -aS'emergency\temergency\tNN\tI-NP\tO' -p326373 -aS'room\troom\tNN\tI-NP\tO' -p326374 -aS'.\t.\t.\tO\tO' -p326375 -asS'A chest CT also revealed a small pulmonary nodule with a necrotic mass involving the right lung posteriorly .' -p326376 -(lp326377 -S'A\tA\tDT\tB-NP\tO' -p326378 -aS'chest\tch\tJJS\tI-NP\tO' -p326379 -aS'CT\tCT\tNN\tI-NP\tB-protein' -p326380 -aS'also\talso\tRB\tB-ADVP\tO' -p326381 -aS'revealed\treveal\tVBD\tB-VP\tO' -p326382 -aS'a\ta\tDT\tB-NP\tO' -p326383 -aS'small\tsmall\tJJ\tI-NP\tO' -p326384 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p326385 -aS'nodule\tnodule\tNN\tI-NP\tO' -p326386 -aS'with\twith\tIN\tB-PP\tO' -p326387 -aS'a\ta\tDT\tB-NP\tO' -p326388 -aS'necrotic\tnecrotic\tJJ\tI-NP\tO' -p326389 -aS'mass\tmass\tNN\tI-NP\tO' -p326390 -aS'involving\tinvolve\tVBG\tB-VP\tO' -p326391 -aS'the\tthe\tDT\tB-NP\tO' -p326392 -aS'right\tright\tJJ\tI-NP\tO' -p326393 -aS'lung\tlung\tNN\tI-NP\tO' -p326394 -aS'posteriorly\tposteriorly\tRB\tB-ADVP\tO' -p326395 -aS'.\t.\t.\tO\tO' -p326396 -asS'He was attempted on multiple different drugs including Procainamide , Diltiazem , Esmolol , Sotalol , Amiodarone .' -p326397 -(lp326398 -S'He\tHe\tPRP\tB-NP\tO' -p326399 -aS'was\tbe\tVBD\tB-VP\tO' -p326400 -aS'attempted\tattempt\tVBN\tI-VP\tO' -p326401 -aS'on\ton\tIN\tB-PP\tO' -p326402 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p326403 -aS'different\tdifferent\tJJ\tI-NP\tO' -p326404 -aS'drugs\tdrug\tNNS\tI-NP\tO' -p326405 -aS'including\tinclude\tVBG\tB-PP\tO' -p326406 -aS'Procainamide\tProcainamide\tNNP\tB-NP\tO' -p326407 -aS',\t,\t,\tO\tO' -p326408 -aS'Diltiazem\tDiltiazem\tNNP\tB-NP\tO' -p326409 -aS',\t,\t,\tO\tO' -p326410 -aS'Esmolol\tEsmolol\tNNP\tB-NP\tO' -p326411 -aS',\t,\t,\tO\tO' -p326412 -aS'Sotalol\tSotalol\tNNP\tB-NP\tO' -p326413 -aS',\t,\t,\tO\tO' -p326414 -aS'Amiodarone\tAmiodarone\tNNP\tB-NP\tO' -p326415 -aS'.\t.\t.\tO\tO' -p326416 -asS'8. Metoclopramide 5 mg p.o. b.i.d. , take 30 minutes before meals .' -p326417 -(lp326418 -S'8.\t8.\tCD\tB-NP\tO' -p326419 -aS'Metoclopramide\tMetoclopramide\tNN\tI-NP\tO' -p326420 -aS'5\t5\tCD\tB-NP\tO' -p326421 -aS'mg\tmg\tNN\tI-NP\tO' -p326422 -aS'p.o.\tp.o.\tFW\tB-ADVP\tO' -p326423 -aS'b.i.d.\tb.i.d.\tFW\tI-ADVP\tO' -p326424 -aS',\t,\t,\tO\tO' -p326425 -aS'take\ttake\tVB\tB-VP\tO' -p326426 -aS'30\t30\tCD\tB-NP\tO' -p326427 -aS'minutes\tminute\tNNS\tI-NP\tO' -p326428 -aS'before\tbefore\tIN\tB-PP\tO' -p326429 -aS'meals\tmeal\tNNS\tB-NP\tO' -p326430 -aS'.\t.\t.\tO\tO' -p326431 -asS'( 1 ) status post hysterectomy and bilateral oophorectomy .' -p326432 -(lp326433 -S'(\t(\t(\tB-LST\tO' -p326434 -aS'1\t1\tLS\tI-LST\tO' -p326435 -aS')\t)\t)\tO\tO' -p326436 -aS'status\tstatus\tNN\tB-NP\tO' -p326437 -aS'post\tpost\tNN\tI-NP\tO' -p326438 -aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' -p326439 -aS'and\tand\tCC\tO\tO' -p326440 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p326441 -aS'oophorectomy\toophorectomy\tNN\tI-NP\tO' -p326442 -aS'.\t.\t.\tO\tO' -p326443 -asS'Dictated By : Larry W. Nagy , M.D.' -p326444 -(lp326445 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p326446 -aS'By\tBy\tIN\tB-PP\tO' -p326447 -aS':\t:\t:\tO\tO' -p326448 -aS'Larry\tLarry\tNNP\tB-NP\tO' -p326449 -aS'W.\tW.\tNNP\tI-NP\tO' -p326450 -aS'Nagy\tNagy\tNNP\tI-NP\tO' -p326451 -aS',\t,\t,\tO\tO' -p326452 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p326453 -asS'An abdominal and pelvic CT scan with IV contrast revealed bilateral pulmonary nodules and bilateral pleural effusions , extensive liver metastases , narrowing of the intra hepatic IVC and distention of the azygous system suggestive of IVC obstruction by liver metastases ; ascites ; multiple bony metastases ; and an isolated splenic metastases .' -p326454 -(lp326455 -S'An\tAn\tDT\tB-NP\tO' -p326456 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p326457 -aS'and\tand\tCC\tI-NP\tO' -p326458 -aS'pelvic\tpelvic\tJJ\tI-NP\tO' -p326459 -aS'CT\tCT\tNN\tI-NP\tO' -p326460 -aS'scan\tscan\tNN\tI-NP\tO' -p326461 -aS'with\twith\tIN\tB-PP\tO' -p326462 -aS'IV\tIV\tCD\tB-NP\tO' -p326463 -aS'contrast\tcontrast\tNN\tI-NP\tO' -p326464 -aS'revealed\treveal\tVBD\tB-VP\tO' -p326465 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p326466 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p326467 -aS'nodules\tnodule\tNNS\tI-NP\tO' -p326468 -aS'and\tand\tCC\tO\tO' -p326469 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p326470 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p326471 -aS'effusions\teffusion\tNNS\tI-NP\tO' -p326472 -aS',\t,\t,\tO\tO' -p326473 -aS'extensive\textensive\tJJ\tB-NP\tO' -p326474 -aS'liver\tliver\tNN\tI-NP\tO' -p326475 -aS'metastases\tmetastasis\tNNS\tI-NP\tO' -p326476 -aS',\t,\t,\tO\tO' -p326477 -aS'narrowing\tnarrow\tVBG\tB-VP\tO' -p326478 -aS'of\tof\tIN\tB-PP\tO' -p326479 -aS'the\tthe\tDT\tB-NP\tO' -p326480 -aS'intra\tintra\tJJ\tI-NP\tO' -p326481 -aS'hepatic\thepatic\tJJ\tI-NP\tO' -p326482 -aS'IVC\tIVC\tNN\tI-NP\tO' -p326483 -aS'and\tand\tCC\tI-NP\tO' -p326484 -aS'distention\tdistention\tNN\tI-NP\tO' -p326485 -aS'of\tof\tIN\tB-PP\tO' -p326486 -aS'the\tthe\tDT\tB-NP\tO' -p326487 -aS'azygous\tazygous\tJJ\tI-NP\tO' -p326488 -aS'system\tsystem\tNN\tI-NP\tO' -p326489 -aS'suggestive\tsuggestive\tJJ\tB-ADJP\tO' -p326490 -aS'of\tof\tIN\tB-PP\tO' -p326491 -aS'IVC\tIVC\tNN\tB-NP\tO' -p326492 -aS'obstruction\tobstruction\tNN\tI-NP\tO' -p326493 -aS'by\tby\tIN\tB-PP\tO' -p326494 -aS'liver\tliver\tNN\tB-NP\tB-protein' -p326495 -aS'metastases\tmetastasis\tNNS\tI-NP\tI-protein' -p326496 -aS';\t;\t:\tO\tO' -p326497 -aS'ascites\tascite\tNNS\tB-NP\tO' -p326498 -aS';\t;\t:\tO\tO' -p326499 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p326500 -aS'bony\tbony\tJJ\tI-NP\tO' -p326501 -aS'metastases\tmetastasis\tNNS\tI-NP\tO' -p326502 -aS';\t;\t:\tO\tO' -p326503 -aS'and\tand\tCC\tO\tO' -p326504 -aS'an\tan\tDT\tB-NP\tO' -p326505 -aS'isolated\tisolate\tVBN\tI-NP\tO' -p326506 -aS'splenic\tsplenic\tJJ\tI-NP\tB-protein' -p326507 -aS'metastases\tmetastasis\tNNS\tI-NP\tI-protein' -p326508 -aS'.\t.\t.\tO\tO' -p326509 -asS"Throughout hospital course patient 's troponin trended down to less than 0.3 ." -p326510 -(lp326511 -S'Throughout\tThroughout\tIN\tB-PP\tO' -p326512 -aS'hospital\thospital\tNN\tB-NP\tO' -p326513 -aS'course\tcourse\tNN\tI-NP\tO' -p326514 -aS'patient\tpatient\tNN\tI-NP\tO' -p326515 -aS"'s\t's\tPOS\tB-NP\tO" -p326516 -aS'troponin\ttroponin\tNN\tI-NP\tO' -p326517 -aS'trended\ttrend\tVBD\tB-VP\tO' -p326518 -aS'down\tdown\tRB\tB-ADVP\tO' -p326519 -aS'to\tto\tTO\tB-PP\tO' -p326520 -aS'less\tless\tJJR\tB-NP\tO' -p326521 -aS'than\tthan\tIN\tI-NP\tO' -p326522 -aS'0.3\t0.3\tCD\tI-NP\tO' -p326523 -aS'.\t.\t.\tO\tO' -p326524 -asS'1. Aortic stenosis status post aortic valve replacement with a #21 mosaic porcine valve' -p326525 -(lp326526 -S'1.\t1.\tLS\tB-NP\tO' -p326527 -aS'Aortic\tAortic\tJJ\tI-NP\tO' -p326528 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p326529 -aS'status\tstatus\tNN\tI-NP\tO' -p326530 -aS'post\tpost\tNN\tI-NP\tO' -p326531 -aS'aortic\taortic\tJJ\tI-NP\tO' -p326532 -aS'valve\tvalve\tNN\tI-NP\tO' -p326533 -aS'replacement\treplacement\tNN\tI-NP\tO' -p326534 -aS'with\twith\tIN\tB-PP\tO' -p326535 -aS'a\ta\tDT\tB-NP\tO' -p326536 -aS'#21\t#21\tNN\tI-NP\tO' -p326537 -aS'mosaic\tmosaic\tJJ\tI-NP\tO' -p326538 -aS'porcine\tporcine\tJJ\tI-NP\tO' -p326539 -aS'valve\tvalve\tNN\tI-NP\tO' -p326540 -asS'Her diet was advanced without difficulty and the patient was stable for discharge .' -p326541 -(lp326542 -S'Her\tHer\tPRP$\tB-NP\tO' -p326543 -aS'diet\tdiet\tNN\tI-NP\tO' -p326544 -aS'was\tbe\tVBD\tB-VP\tO' -p326545 -aS'advanced\tadvance\tVBN\tI-VP\tO' -p326546 -aS'without\twithout\tIN\tB-PP\tO' -p326547 -aS'difficulty\tdifficulty\tNN\tB-NP\tO' -p326548 -aS'and\tand\tCC\tO\tO' -p326549 -aS'the\tthe\tDT\tB-NP\tO' -p326550 -aS'patient\tpatient\tNN\tI-NP\tO' -p326551 -aS'was\tbe\tVBD\tB-VP\tO' -p326552 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p326553 -aS'for\tfor\tIN\tB-PP\tO' -p326554 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p326555 -aS'.\t.\t.\tO\tO' -p326556 -asS'Cardiac and mediastinal contours are stable in the postoperative period .' -p326557 -(lp326558 -S'Cardiac\tCardiac\tJJ\tB-NP\tO' -p326559 -aS'and\tand\tCC\tI-NP\tO' -p326560 -aS'mediastinal\tmediastinal\tJJ\tI-NP\tO' -p326561 -aS'contours\tcontour\tNNS\tI-NP\tO' -p326562 -aS'are\tbe\tVBP\tB-VP\tO' -p326563 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p326564 -aS'in\tin\tIN\tB-PP\tO' -p326565 -aS'the\tthe\tDT\tB-NP\tO' -p326566 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p326567 -aS'period\tperiod\tNN\tI-NP\tO' -p326568 -aS'.\t.\t.\tO\tO' -p326569 -asS'At Vaila Medical Center , she had a hematocrit of 25 and was transfused 2 units of packed red blood cells .' -p326570 -(lp326571 -S'At\tAt\tIN\tB-PP\tO' -p326572 -aS'Vaila\tVaila\tNNP\tB-NP\tO' -p326573 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p326574 -aS'Center\tCenter\tNNP\tI-NP\tO' -p326575 -aS',\t,\t,\tO\tO' -p326576 -aS'she\tshe\tPRP\tB-NP\tO' -p326577 -aS'had\thave\tVBD\tB-VP\tO' -p326578 -aS'a\ta\tDT\tB-NP\tO' -p326579 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p326580 -aS'of\tof\tIN\tB-PP\tO' -p326581 -aS'25\t25\tCD\tB-NP\tO' -p326582 -aS'and\tand\tCC\tO\tO' -p326583 -aS'was\tbe\tVBD\tB-VP\tO' -p326584 -aS'transfused\ttransfuse\tVBN\tI-VP\tO' -p326585 -aS'2\t2\tCD\tB-NP\tO' -p326586 -aS'units\tunit\tNNS\tI-NP\tO' -p326587 -aS'of\tof\tIN\tB-PP\tO' -p326588 -aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' -p326589 -aS'red\tred\tJJ\tI-NP\tI-cell_type' -p326590 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p326591 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p326592 -aS'.\t.\t.\tO\tO' -p326593 -asS'House / ADA 2100 cals / dy' -p326594 -(lp326595 -S'House\tHouse\tNN\tB-NP\tO' -p326596 -aS'/\t/\tSYM\tI-NP\tO' -p326597 -aS'ADA\tADA\tNN\tI-NP\tO' -p326598 -aS'2100\t2100\tCD\tB-NP\tO' -p326599 -aS'cals\tcal\tNNS\tI-NP\tO' -p326600 -aS'/\t/\tSYM\tB-NP\tO' -p326601 -aS'dy\tdy\tNN\tB-NP\tO' -p326602 -asS'His pulse was in the 70s , blood pressure 119/58 .' -p326603 -(lp326604 -S'His\tHis\tPRP$\tB-NP\tO' -p326605 -aS'pulse\tpulse\tNN\tI-NP\tO' -p326606 -aS'was\tbe\tVBD\tB-VP\tO' -p326607 -aS'in\tin\tIN\tB-PP\tO' -p326608 -aS'the\tthe\tDT\tB-NP\tO' -p326609 -aS'70s\t70\tNNS\tI-NP\tO' -p326610 -aS',\t,\t,\tO\tO' -p326611 -aS'blood\tblood\tNN\tB-NP\tO' -p326612 -aS'pressure\tpressure\tNN\tI-NP\tO' -p326613 -aS'119/58\t119/58\tCD\tI-NP\tO' -p326614 -aS'.\t.\t.\tO\tO' -p326615 -asS'Blood cultures drawn on admission subsequently grew Pseudomonas aeruginosa .' -p326616 -(lp326617 -S'Blood\tBlood\tNN\tB-NP\tO' -p326618 -aS'cultures\tculture\tNNS\tI-NP\tO' -p326619 -aS'drawn\tdraw\tVBN\tB-VP\tO' -p326620 -aS'on\ton\tIN\tB-PP\tO' -p326621 -aS'admission\tadmission\tNN\tB-NP\tO' -p326622 -aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' -p326623 -aS'grew\tgrow\tVBD\tB-VP\tO' -p326624 -aS'Pseudomonas\tPseudomonas\tNN\tB-NP\tO' -p326625 -aS'aeruginosa\taeruginosa\tNN\tI-NP\tO' -p326626 -aS'.\t.\t.\tO\tO' -p326627 -asS'Hematocrit on admission was 54.0% .' -p326628 -(lp326629 -S'Hematocrit\tHematocrit\tNN\tB-NP\tO' -p326630 -aS'on\ton\tIN\tB-PP\tO' -p326631 -aS'admission\tadmission\tNN\tB-NP\tO' -p326632 -aS'was\tbe\tVBD\tB-VP\tO' -p326633 -aS'54.0%\t54.0%\tCD\tB-NP\tO' -p326634 -aS'.\t.\t.\tO\tO' -p326635 -asS'Iron studies showed a mixed picture with decreased iron and decreased iron to TIBC ratio suggestive of iron-deficiency anemia , but also normal to high MCV .' -p326636 -(lp326637 -S'Iron\tIron\tNN\tB-NP\tO' -p326638 -aS'studies\tstudy\tNNS\tI-NP\tO' -p326639 -aS'showed\tshow\tVBD\tB-VP\tO' -p326640 -aS'a\ta\tDT\tB-NP\tO' -p326641 -aS'mixed\tmix\tVBN\tI-NP\tO' -p326642 -aS'picture\tpicture\tNN\tI-NP\tO' -p326643 -aS'with\twith\tIN\tB-PP\tO' -p326644 -aS'decreased\tdecrease\tVBN\tB-NP\tO' -p326645 -aS'iron\tiron\tNN\tI-NP\tO' -p326646 -aS'and\tand\tCC\tO\tO' -p326647 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p326648 -aS'iron\tiron\tNN\tB-NP\tO' -p326649 -aS'to\tto\tTO\tB-PP\tO' -p326650 -aS'TIBC\tTIBC\tNN\tB-NP\tO' -p326651 -aS'ratio\tratio\tNN\tI-NP\tO' -p326652 -aS'suggestive\tsuggestive\tJJ\tB-ADJP\tO' -p326653 -aS'of\tof\tIN\tB-PP\tO' -p326654 -aS'iron-deficiency\tiron-deficiency\tNN\tB-NP\tO' -p326655 -aS'anemia\tanemia\tNN\tI-NP\tO' -p326656 -aS',\t,\t,\tO\tO' -p326657 -aS'but\tbut\tCC\tB-CONJP\tO' -p326658 -aS'also\talso\tRB\tI-CONJP\tO' -p326659 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p326660 -aS'to\tto\tTO\tB-PP\tO' -p326661 -aS'high\thigh\tJJ\tB-NP\tO' -p326662 -aS'MCV\tMCV\tNN\tI-NP\tO' -p326663 -aS'.\t.\t.\tO\tO' -p326664 -asS'Chest and pelvis X-rays were negative for fractures .' -p326665 -(lp326666 -S'Chest\tChest\tNNP\tB-NP\tO' -p326667 -aS'and\tand\tCC\tO\tO' -p326668 -aS'pelvis\tpelvis\tNN\tB-NP\tO' -p326669 -aS'X-rays\tX-ray\tNNS\tI-NP\tO' -p326670 -aS'were\tbe\tVBD\tB-VP\tO' -p326671 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p326672 -aS'for\tfor\tIN\tB-PP\tO' -p326673 -aS'fractures\tfracture\tNNS\tB-NP\tO' -p326674 -aS'.\t.\t.\tO\tO' -p326675 -asS'Her admission coagulation studies were notable for a prothrombin time INR of 11.8 and 0.9 , respectively with a partial thromboplastin time of 25.2 .' -p326676 -(lp326677 -S'Her\tHer\tPRP$\tB-NP\tO' -p326678 -aS'admission\tadmission\tNN\tI-NP\tO' -p326679 -aS'coagulation\tcoagulation\tNN\tI-NP\tO' -p326680 -aS'studies\tstudy\tNNS\tI-NP\tO' -p326681 -aS'were\tbe\tVBD\tB-VP\tO' -p326682 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p326683 -aS'for\tfor\tIN\tB-PP\tO' -p326684 -aS'a\ta\tDT\tB-NP\tO' -p326685 -aS'prothrombin\tprothrombin\tNN\tI-NP\tO' -p326686 -aS'time\ttime\tNN\tI-NP\tO' -p326687 -aS'INR\tINR\tNN\tI-NP\tO' -p326688 -aS'of\tof\tIN\tB-PP\tO' -p326689 -aS'11.8\t11.8\tCD\tB-NP\tO' -p326690 -aS'and\tand\tCC\tI-NP\tO' -p326691 -aS'0.9\t0.9\tCD\tI-NP\tO' -p326692 -aS',\t,\t,\tO\tO' -p326693 -aS'respectively\trespectively\tRB\tB-ADVP\tO' -p326694 -aS'with\twith\tIN\tB-PP\tO' -p326695 -aS'a\ta\tDT\tB-NP\tO' -p326696 -aS'partial\tpartial\tJJ\tI-NP\tO' -p326697 -aS'thromboplastin\tthromboplastin\tNN\tI-NP\tO' -p326698 -aS'time\ttime\tNN\tI-NP\tO' -p326699 -aS'of\tof\tIN\tB-PP\tO' -p326700 -aS'25.2\t25.2\tCD\tB-NP\tO' -p326701 -aS'.\t.\t.\tO\tO' -p326702 -asS'No obvious evidence of trauma .' -p326703 -(lp326704 -S'No\tNo\tDT\tB-NP\tO' -p326705 -aS'obvious\tobvious\tJJ\tI-NP\tO' -p326706 -aS'evidence\tevidence\tNN\tI-NP\tO' -p326707 -aS'of\tof\tIN\tB-PP\tO' -p326708 -aS'trauma\ttrauma\tNN\tB-NP\tO' -p326709 -aS'.\t.\t.\tO\tO' -p326710 -asS'Infarction of left middle cerebral artery inferior division , s/p' -p326711 -(lp326712 -S'Infarction\tInfarction\tNN\tB-NP\tO' -p326713 -aS'of\tof\tIN\tB-PP\tO' -p326714 -aS'left\tleft\tJJ\tB-NP\tO' -p326715 -aS'middle\tmiddle\tJJ\tI-NP\tO' -p326716 -aS'cerebral\tcerebral\tJJ\tI-NP\tO' -p326717 -aS'artery\tartery\tNN\tI-NP\tO' -p326718 -aS'inferior\tinferior\tJJ\tI-NP\tO' -p326719 -aS'division\tdivision\tNN\tI-NP\tO' -p326720 -aS',\t,\t,\tO\tO' -p326721 -aS's/p\ts/p\tNN\tB-NP\tO' -p326722 -asS'Likely hepatic encepholopathy initially , and later likely related to sedation and delayed clearance from liver disease .' -p326723 -(lp326724 -S'Likely\tLikely\tRB\tB-NP\tO' -p326725 -aS'hepatic\thepatic\tJJ\tI-NP\tO' -p326726 -aS'encepholopathy\tencepholopathy\tNN\tI-NP\tO' -p326727 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p326728 -aS',\t,\t,\tO\tO' -p326729 -aS'and\tand\tCC\tO\tO' -p326730 -aS'later\tlater\tRB\tB-VP\tO' -p326731 -aS'likely\tlikely\tRB\tI-VP\tO' -p326732 -aS'related\trelate\tVBN\tI-VP\tO' -p326733 -aS'to\tto\tTO\tB-PP\tO' -p326734 -aS'sedation\tsedation\tNN\tB-NP\tO' -p326735 -aS'and\tand\tCC\tO\tO' -p326736 -aS'delayed\tdelay\tVBN\tB-NP\tO' -p326737 -aS'clearance\tclearance\tNN\tI-NP\tO' -p326738 -aS'from\tfrom\tIN\tB-PP\tO' -p326739 -aS'liver\tliver\tNN\tB-NP\tO' -p326740 -aS'disease\tdisease\tNN\tI-NP\tO' -p326741 -aS'.\t.\t.\tO\tO' -p326742 -asS'On postoperative day eight which is Memorial Day the patient was started on Carboplatin-Taxolchemo therapy , which she tolerated without complication .' -p326743 -(lp326744 -S'On\tOn\tIN\tB-PP\tO' -p326745 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p326746 -aS'day\tday\tNN\tI-NP\tO' -p326747 -aS'eight\teight\tCD\tI-NP\tO' -p326748 -aS'which\twhich\tWDT\tB-NP\tO' -p326749 -aS'is\tbe\tVBZ\tB-VP\tO' -p326750 -aS'Memorial\tMemorial\tNNP\tB-NP\tO' -p326751 -aS'Day\tDay\tNNP\tI-NP\tO' -p326752 -aS'the\tthe\tDT\tB-NP\tO' -p326753 -aS'patient\tpatient\tNN\tI-NP\tO' -p326754 -aS'was\tbe\tVBD\tB-VP\tO' -p326755 -aS'started\tstart\tVBN\tI-VP\tO' -p326756 -aS'on\ton\tIN\tB-PP\tO' -p326757 -aS'Carboplatin-Taxolchemo\tCarboplatin-Taxolchemo\tNNP\tB-NP\tO' -p326758 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p326759 -aS',\t,\t,\tO\tO' -p326760 -aS'which\twhich\tWDT\tB-NP\tO' -p326761 -aS'she\tshe\tPRP\tB-NP\tO' -p326762 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p326763 -aS'without\twithout\tIN\tB-PP\tO' -p326764 -aS'complication\tcomplication\tNN\tB-NP\tO' -p326765 -aS'.\t.\t.\tO\tO' -p326766 -asS'10. Flomax 0.4 mg po every day .' -p326767 -(lp326768 -S'10.\t10.\tCD\tB-NP\tO' -p326769 -aS'Flomax\tFlomax\tNN\tI-NP\tO' -p326770 -aS'0.4\t0.4\tCD\tB-NP\tO' -p326771 -aS'mg\tmg\tNN\tI-NP\tO' -p326772 -aS'po\tpo\tRB\tB-ADVP\tO' -p326773 -aS'every\tevery\tDT\tB-NP\tO' -p326774 -aS'day\tday\tNN\tI-NP\tO' -p326775 -aS'.\t.\t.\tO\tO' -p326776 -asS'Aspirin , 325 mg daily .' -p326777 -(lp326778 -S'Aspirin\tAspirin\tNN\tB-NP\tO' -p326779 -aS',\t,\t,\tO\tO' -p326780 -aS'325\t325\tCD\tB-NP\tO' -p326781 -aS'mg\tmg\tNN\tI-NP\tO' -p326782 -aS'daily\tdaily\tRB\tB-ADVP\tO' -p326783 -aS'.\t.\t.\tO\tO' -p326784 -asS'Dictated By : Elizabeth A Eaton , M.D.' -p326785 -(lp326786 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p326787 -aS'By\tBy\tIN\tB-PP\tO' -p326788 -aS':\t:\t:\tO\tO' -p326789 -aS'Elizabeth\tElizabeth\tNNP\tB-NP\tO' -p326790 -aS'A\tA\tNNP\tI-NP\tO' -p326791 -aS'Eaton\tEaton\tNNP\tI-NP\tO' -p326792 -aS',\t,\t,\tO\tO' -p326793 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p326794 -asS'She has known allergy to penicillin , vancomycin and erythromycin .' -p326795 -(lp326796 -S'She\tShe\tPRP\tB-NP\tO' -p326797 -aS'has\thave\tVBZ\tB-VP\tO' -p326798 -aS'known\tknow\tVBN\tI-VP\tO' -p326799 -aS'allergy\tallergy\tNN\tB-NP\tO' -p326800 -aS'to\tto\tTO\tB-PP\tO' -p326801 -aS'penicillin\tpenicillin\tNN\tB-NP\tB-protein' -p326802 -aS',\t,\t,\tI-NP\tO' -p326803 -aS'vancomycin\tvancomycin\tNN\tI-NP\tO' -p326804 -aS'and\tand\tCC\tI-NP\tO' -p326805 -aS'erythromycin\terythromycin\tNN\tI-NP\tO' -p326806 -aS'.\t.\t.\tO\tO' -p326807 -asS'Lungs : ? decreased BS over left middle lung , otherwise CTA' -p326808 -(lp326809 -S'Lungs\tLung\tNNS\tB-NP\tO' -p326810 -aS':\t:\t:\tO\tO' -p326811 -aS'?\t?\t.\tO\tO' -p326812 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p326813 -aS'BS\tBS\tNNP\tB-NP\tO' -p326814 -aS'over\tover\tIN\tB-PP\tO' -p326815 -aS'left\tleft\tJJ\tB-NP\tO' -p326816 -aS'middle\tmiddle\tJJ\tI-NP\tO' -p326817 -aS'lung\tlung\tNN\tI-NP\tO' -p326818 -aS',\t,\t,\tO\tO' -p326819 -aS'otherwise\totherwise\tRB\tB-NP\tO' -p326820 -aS'CTA\tCTA\tNN\tI-NP\tB-protein' -p326821 -asS'Urine culture later grew out contaminated specimen .' -p326822 -(lp326823 -S'Urine\tUrine\tNN\tB-NP\tO' -p326824 -aS'culture\tculture\tNN\tI-NP\tO' -p326825 -aS'later\tlater\tRB\tB-ADVP\tO' -p326826 -aS'grew\tgrow\tVBD\tB-VP\tO' -p326827 -aS'out\tout\tRP\tB-PRT\tO' -p326828 -aS'contaminated\tcontaminate\tVBN\tB-NP\tO' -p326829 -aS'specimen\tspecimen\tNN\tI-NP\tO' -p326830 -aS'.\t.\t.\tO\tO' -p326831 -asS'The dominant left circumflex was occluded with left-to-left filling .' -p326832 -(lp326833 -S'The\tThe\tDT\tB-NP\tO' -p326834 -aS'dominant\tdominant\tJJ\tI-NP\tO' -p326835 -aS'left\tleft\tJJ\tI-NP\tO' -p326836 -aS'circumflex\tcircumflex\tNN\tI-NP\tO' -p326837 -aS'was\tbe\tVBD\tB-VP\tO' -p326838 -aS'occluded\tocclude\tVBN\tI-VP\tO' -p326839 -aS'with\twith\tIN\tB-PP\tO' -p326840 -aS'left-to-left\tleft-to-left\tJJ\tB-NP\tO' -p326841 -aS'filling\tfilling\tNN\tI-NP\tO' -p326842 -aS'.\t.\t.\tO\tO' -p326843 -asS'Mother had a history of anxiety and asthma as well as moderate cigarette smoking .' -p326844 -(lp326845 -S'Mother\tMother\tNNP\tB-NP\tO' -p326846 -aS'had\thave\tVBD\tB-VP\tO' -p326847 -aS'a\ta\tDT\tB-NP\tO' -p326848 -aS'history\thistory\tNN\tI-NP\tO' -p326849 -aS'of\tof\tIN\tB-PP\tO' -p326850 -aS'anxiety\tanxiety\tNN\tB-NP\tO' -p326851 -aS'and\tand\tCC\tI-NP\tO' -p326852 -aS'asthma\tasthma\tNN\tI-NP\tO' -p326853 -aS'as\tas\tRB\tB-CONJP\tO' -p326854 -aS'well\twell\tRB\tI-CONJP\tO' -p326855 -aS'as\tas\tIN\tI-CONJP\tO' -p326856 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p326857 -aS'cigarette\tcigarette\tNN\tI-NP\tO' -p326858 -aS'smoking\tsmoking\tNN\tI-NP\tO' -p326859 -aS'.\t.\t.\tO\tO' -p326860 -asS'The baby was intubated in the Delivery Room , received two doses of surfactant .' -p326861 -(lp326862 -S'The\tThe\tDT\tB-NP\tO' -p326863 -aS'baby\tbaby\tNN\tI-NP\tO' -p326864 -aS'was\tbe\tVBD\tB-VP\tO' -p326865 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p326866 -aS'in\tin\tIN\tB-PP\tO' -p326867 -aS'the\tthe\tDT\tB-NP\tO' -p326868 -aS'Delivery\tDelivery\tNNP\tI-NP\tO' -p326869 -aS'Room\tRoom\tNNP\tI-NP\tO' -p326870 -aS',\t,\t,\tO\tO' -p326871 -aS'received\treceive\tVBD\tB-VP\tO' -p326872 -aS'two\ttwo\tCD\tB-NP\tO' -p326873 -aS'doses\tdose\tNNS\tI-NP\tO' -p326874 -aS'of\tof\tIN\tB-PP\tO' -p326875 -aS'surfactant\tsurfactant\tNN\tB-NP\tO' -p326876 -aS'.\t.\t.\tO\tO' -p326877 -asS'No pronator drift .' -p326878 -(lp326879 -S'No\tNo\tDT\tB-NP\tO' -p326880 -aS'pronator\tpronator\tNN\tI-NP\tO' -p326881 -aS'drift\tdrift\tNN\tI-NP\tO' -p326882 -aS'.\t.\t.\tO\tO' -p326883 -asS'After returning home after conferring with his wife , and the pain lasted another half hour , he came to the emergency room .' -p326884 -(lp326885 -S'After\tAfter\tIN\tB-PP\tO' -p326886 -aS'returning\treturn\tVBG\tB-VP\tO' -p326887 -aS'home\thome\tNN\tB-NP\tO' -p326888 -aS'after\tafter\tIN\tB-PP\tO' -p326889 -aS'conferring\tconfer\tVBG\tB-VP\tO' -p326890 -aS'with\twith\tIN\tB-PP\tO' -p326891 -aS'his\this\tPRP$\tB-NP\tO' -p326892 -aS'wife\twife\tNN\tI-NP\tO' -p326893 -aS',\t,\t,\tO\tO' -p326894 -aS'and\tand\tCC\tO\tO' -p326895 -aS'the\tthe\tDT\tB-NP\tO' -p326896 -aS'pain\tpain\tNN\tI-NP\tO' -p326897 -aS'lasted\tlast\tVBD\tB-VP\tO' -p326898 -aS'another\tanother\tDT\tB-NP\tO' -p326899 -aS'half\thalf\tJJ\tI-NP\tO' -p326900 -aS'hour\thour\tNN\tI-NP\tO' -p326901 -aS',\t,\t,\tO\tO' -p326902 -aS'he\the\tPRP\tB-NP\tO' -p326903 -aS'came\tcome\tVBD\tB-VP\tO' -p326904 -aS'to\tto\tTO\tB-PP\tO' -p326905 -aS'the\tthe\tDT\tB-NP\tO' -p326906 -aS'emergency\temergency\tNN\tI-NP\tO' -p326907 -aS'room\troom\tNN\tI-NP\tO' -p326908 -aS'.\t.\t.\tO\tO' -p326909 -asS'On further questioning , the patient described that his father passed away approximately forty to fifty years prior to his admission , and the gun was found in a box in their home .' -p326910 -(lp326911 -S'On\tOn\tIN\tB-PP\tO' -p326912 -aS'further\tfurther\tJJ\tB-NP\tO' -p326913 -aS'questioning\tquestioning\tNN\tI-NP\tO' -p326914 -aS',\t,\t,\tO\tO' -p326915 -aS'the\tthe\tDT\tB-NP\tO' -p326916 -aS'patient\tpatient\tNN\tI-NP\tO' -p326917 -aS'described\tdescribe\tVBD\tB-VP\tO' -p326918 -aS'that\tthat\tDT\tO\tO' -p326919 -aS'his\this\tPRP$\tB-NP\tO' -p326920 -aS'father\tfather\tNN\tI-NP\tO' -p326921 -aS'passed\tpass\tVBD\tB-VP\tO' -p326922 -aS'away\taway\tRB\tB-ADVP\tO' -p326923 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p326924 -aS'forty\tforty\tCD\tI-NP\tO' -p326925 -aS'to\tto\tTO\tI-NP\tO' -p326926 -aS'fifty\tfifty\tCD\tI-NP\tO' -p326927 -aS'years\tyear\tNNS\tI-NP\tO' -p326928 -aS'prior\tprior\tRB\tB-ADVP\tO' -p326929 -aS'to\tto\tTO\tB-PP\tO' -p326930 -aS'his\this\tPRP$\tB-NP\tO' -p326931 -aS'admission\tadmission\tNN\tI-NP\tO' -p326932 -aS',\t,\t,\tO\tO' -p326933 -aS'and\tand\tCC\tO\tO' -p326934 -aS'the\tthe\tDT\tB-NP\tO' -p326935 -aS'gun\tgun\tNN\tI-NP\tO' -p326936 -aS'was\tbe\tVBD\tB-VP\tO' -p326937 -aS'found\tfind\tVBN\tI-VP\tO' -p326938 -aS'in\tin\tIN\tB-PP\tO' -p326939 -aS'a\ta\tDT\tB-NP\tO' -p326940 -aS'box\tbox\tNN\tI-NP\tB-DNA' -p326941 -aS'in\tin\tIN\tB-PP\tO' -p326942 -aS'their\ttheir\tPRP$\tB-NP\tO' -p326943 -aS'home\thome\tNN\tI-NP\tO' -p326944 -aS'.\t.\t.\tO\tO' -p326945 -asS'She came to the Emergency Department on the 2011-03-10 , with temperature of 99.0 F .; blood pressure of 97/50 ; heart rate 100 ; respirations 27 ; O2 saturation 84% on room air and 94% on two liters .' -p326946 -(lp326947 -S'She\tShe\tPRP\tB-NP\tO' -p326948 -aS'came\tcome\tVBD\tB-VP\tO' -p326949 -aS'to\tto\tTO\tB-PP\tO' -p326950 -aS'the\tthe\tDT\tB-NP\tO' -p326951 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p326952 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p326953 -aS'on\ton\tIN\tB-PP\tO' -p326954 -aS'the\tthe\tDT\tB-NP\tO' -p326955 -aS'2011-03-10\t2011-03-10\tCD\tI-NP\tO' -p326956 -aS',\t,\t,\tO\tO' -p326957 -aS'with\twith\tIN\tB-PP\tO' -p326958 -aS'temperature\ttemperature\tNN\tB-NP\tO' -p326959 -aS'of\tof\tIN\tB-PP\tO' -p326960 -aS'99.0\t99.0\tCD\tB-NP\tO' -p326961 -aS'F\tF\tNN\tI-NP\tO' -p326962 -aS'.;\t.;\tNN\tI-NP\tO' -p326963 -aS'blood\tblood\tNN\tI-NP\tO' -p326964 -aS'pressure\tpressure\tNN\tI-NP\tO' -p326965 -aS'of\tof\tIN\tB-PP\tO' -p326966 -aS'97/50\t97/50\tCD\tB-NP\tO' -p326967 -aS';\t;\t:\tO\tO' -p326968 -aS'heart\theart\tNN\tB-NP\tO' -p326969 -aS'rate\trate\tNN\tI-NP\tO' -p326970 -aS'100\t100\tCD\tI-NP\tO' -p326971 -aS';\t;\t:\tO\tO' -p326972 -aS'respirations\trespiration\tNNS\tB-NP\tO' -p326973 -aS'27\t27\tCD\tB-NP\tO' -p326974 -aS';\t;\t:\tO\tO' -p326975 -aS'O2\tO2\tNN\tB-NP\tO' -p326976 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p326977 -aS'84%\t84%\tNN\tI-NP\tO' -p326978 -aS'on\ton\tIN\tB-PP\tO' -p326979 -aS'room\troom\tNN\tB-NP\tO' -p326980 -aS'air\tair\tNN\tI-NP\tO' -p326981 -aS'and\tand\tCC\tI-NP\tO' -p326982 -aS'94%\t94%\tNN\tI-NP\tO' -p326983 -aS'on\ton\tIN\tB-PP\tO' -p326984 -aS'two\ttwo\tCD\tB-NP\tO' -p326985 -aS'liters\tliter\tNNS\tI-NP\tO' -p326986 -aS'.\t.\t.\tO\tO' -p326987 -asS'Soft , NT , ND , + NABS .' -p326988 -(lp326989 -S'Soft\tSoft\tRB\tB-ADVP\tO' -p326990 -aS',\t,\t,\tO\tO' -p326991 -aS'NT\tNT\tNN\tB-NP\tO' -p326992 -aS',\t,\t,\tO\tO' -p326993 -aS'ND\tND\tNN\tB-NP\tO' -p326994 -aS',\t,\t,\tO\tO' -p326995 -aS'+\t+\tSYM\tB-NP\tO' -p326996 -aS'NABS\tNABS\tNNP\tB-NP\tO' -p326997 -aS'.\t.\t.\tO\tO' -p326998 -asS'Acyclovir was eventually increased from her maintenance dose for a herpes zoster breakout on her right upper back .' -p326999 -(lp327000 -S'Acyclovir\tAcyclovir\tNN\tB-NP\tO' -p327001 -aS'was\tbe\tVBD\tB-VP\tO' -p327002 -aS'eventually\teventually\tRB\tI-VP\tO' -p327003 -aS'increased\tincrease\tVBN\tI-VP\tO' -p327004 -aS'from\tfrom\tIN\tB-PP\tO' -p327005 -aS'her\ther\tPRP$\tB-NP\tO' -p327006 -aS'maintenance\tmaintenance\tNN\tI-NP\tO' -p327007 -aS'dose\tdose\tNN\tI-NP\tO' -p327008 -aS'for\tfor\tIN\tB-PP\tO' -p327009 -aS'a\ta\tDT\tB-NP\tO' -p327010 -aS'herpes\therpes\tNN\tI-NP\tO' -p327011 -aS'zoster\tzoster\tNN\tI-NP\tO' -p327012 -aS'breakout\tbreakout\tNN\tI-NP\tO' -p327013 -aS'on\ton\tIN\tB-PP\tO' -p327014 -aS'her\ther\tPRP$\tB-NP\tO' -p327015 -aS'right\tright\tJJ\tI-NP\tO' -p327016 -aS'upper\tupper\tJJ\tI-NP\tO' -p327017 -aS'back\tback\tNN\tI-NP\tO' -p327018 -aS'.\t.\t.\tO\tO' -p327019 -asS'HEENT showed tongue with laceration on the right edge .' -p327020 -(lp327021 -S'HEENT\tHEENT\tNN\tB-NP\tO' -p327022 -aS'showed\tshow\tVBD\tB-VP\tO' -p327023 -aS'tongue\ttongue\tNN\tB-NP\tO' -p327024 -aS'with\twith\tIN\tB-PP\tO' -p327025 -aS'laceration\tlaceration\tNN\tB-NP\tO' -p327026 -aS'on\ton\tIN\tB-PP\tO' -p327027 -aS'the\tthe\tDT\tB-NP\tO' -p327028 -aS'right\tright\tJJ\tI-NP\tO' -p327029 -aS'edge\tedge\tNN\tI-NP\tO' -p327030 -aS'.\t.\t.\tO\tO' -p327031 -asS'CT HEAD FINDINGS : There is moderately severe , confluent periventricular white matter hypodensity surrounding the frontal horns , posterior horns , and more superiorly , involving the centra semiovale .' -p327032 -(lp327033 -S'CT\tCT\tNN\tB-NP\tO' -p327034 -aS'HEAD\tHEAD\tNN\tI-NP\tO' -p327035 -aS'FINDINGS\tFINDINGS\tNNS\tI-NP\tO' -p327036 -aS':\t:\t:\tO\tO' -p327037 -aS'There\tThere\tEX\tB-NP\tO' -p327038 -aS'is\tbe\tVBZ\tB-VP\tO' -p327039 -aS'moderately\tmoderately\tRB\tB-NP\tO' -p327040 -aS'severe\tsevere\tJJ\tI-NP\tO' -p327041 -aS',\t,\t,\tI-NP\tO' -p327042 -aS'confluent\tconfluent\tJJ\tI-NP\tO' -p327043 -aS'periventricular\tperiventricular\tJJ\tI-NP\tO' -p327044 -aS'white\twhite\tJJ\tI-NP\tO' -p327045 -aS'matter\tmatter\tNN\tI-NP\tO' -p327046 -aS'hypodensity\thypodensity\tNN\tI-NP\tO' -p327047 -aS'surrounding\tsurround\tVBG\tB-VP\tO' -p327048 -aS'the\tthe\tDT\tB-NP\tO' -p327049 -aS'frontal\tfrontal\tJJ\tI-NP\tO' -p327050 -aS'horns\thorn\tNNS\tI-NP\tO' -p327051 -aS',\t,\t,\tO\tO' -p327052 -aS'posterior\tposterior\tJJ\tB-NP\tO' -p327053 -aS'horns\thorn\tNNS\tI-NP\tO' -p327054 -aS',\t,\t,\tO\tO' -p327055 -aS'and\tand\tCC\tO\tO' -p327056 -aS'more\tmore\tRBR\tB-ADVP\tO' -p327057 -aS'superiorly\tsuperiorly\tRB\tI-ADVP\tO' -p327058 -aS',\t,\t,\tO\tO' -p327059 -aS'involving\tinvolve\tVBG\tB-VP\tO' -p327060 -aS'the\tthe\tDT\tB-NP\tO' -p327061 -aS'centra\tcentra\tNN\tI-NP\tO' -p327062 -aS'semiovale\tsemiovale\tNN\tI-NP\tO' -p327063 -aS'.\t.\t.\tO\tO' -p327064 -asS'That day , cranial computerized tomography scan and cervical spine films were normal .' -p327065 -(lp327066 -S'That\tThat\tDT\tB-NP\tO' -p327067 -aS'day\tday\tNN\tI-NP\tO' -p327068 -aS',\t,\t,\tO\tO' -p327069 -aS'cranial\tcranial\tJJ\tB-NP\tO' -p327070 -aS'computerized\tcomputerized\tJJ\tI-NP\tO' -p327071 -aS'tomography\ttomography\tNN\tI-NP\tO' -p327072 -aS'scan\tscan\tNN\tI-NP\tO' -p327073 -aS'and\tand\tCC\tO\tO' -p327074 -aS'cervical\tcervical\tJJ\tB-NP\tO' -p327075 -aS'spine\tspine\tNN\tI-NP\tO' -p327076 -aS'films\tfilm\tNNS\tI-NP\tO' -p327077 -aS'were\tbe\tVBD\tB-VP\tO' -p327078 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p327079 -aS'.\t.\t.\tO\tO' -p327080 -asS'Failed coronary artery bypass graft , prior myocardial infarction , hypertension , elevated cholesterol , renal insufficiency , congestive heart failure .' -p327081 -(lp327082 -S'Failed\tFail\tVBN\tB-NP\tO' -p327083 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p327084 -aS'artery\tartery\tNN\tI-NP\tO' -p327085 -aS'bypass\tbypass\tIN\tB-PP\tO' -p327086 -aS'graft\tgraft\tNN\tB-NP\tO' -p327087 -aS',\t,\t,\tO\tO' -p327088 -aS'prior\tprior\tJJ\tB-NP\tO' -p327089 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p327090 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p327091 -aS',\t,\t,\tO\tO' -p327092 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p327093 -aS',\t,\t,\tO\tO' -p327094 -aS'elevated\televated\tJJ\tB-NP\tO' -p327095 -aS'cholesterol\tcholesterol\tNN\tI-NP\tO' -p327096 -aS',\t,\t,\tO\tO' -p327097 -aS'renal\trenal\tJJ\tB-NP\tO' -p327098 -aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' -p327099 -aS',\t,\t,\tO\tO' -p327100 -aS'congestive\tcongestive\tJJ\tB-NP\tO' -p327101 -aS'heart\theart\tNN\tI-NP\tO' -p327102 -aS'failure\tfailure\tNN\tI-NP\tO' -p327103 -aS'.\t.\t.\tO\tO' -p327104 -asS'The abdomen was soft , nontender , and nondistended with active bowel sounds .' -p327105 -(lp327106 -S'The\tThe\tDT\tB-NP\tO' -p327107 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p327108 -aS'was\tbe\tVBD\tB-VP\tO' -p327109 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p327110 -aS',\t,\t,\tO\tO' -p327111 -aS'nontender\tnontender\tJJ\tB-ADJP\tO' -p327112 -aS',\t,\t,\tO\tO' -p327113 -aS'and\tand\tCC\tO\tO' -p327114 -aS'nondistended\tnondistended\tJJ\tB-ADJP\tO' -p327115 -aS'with\twith\tIN\tB-PP\tO' -p327116 -aS'active\tactive\tJJ\tB-NP\tO' -p327117 -aS'bowel\tbowel\tNN\tI-NP\tO' -p327118 -aS'sounds\tsound\tNNS\tI-NP\tO' -p327119 -aS'.\t.\t.\tO\tO' -p327120 -asS'The optic fundi was normal .' -p327121 -(lp327122 -S'The\tThe\tDT\tB-NP\tO' -p327123 -aS'optic\toptic\tJJ\tI-NP\tO' -p327124 -aS'fundi\tfundi\tNN\tI-NP\tO' -p327125 -aS'was\tbe\tVBD\tB-VP\tO' -p327126 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p327127 -aS'.\t.\t.\tO\tO' -p327128 -asS'Was living alone in ALF .' -p327129 -(lp327130 -S'Was\tBe\tVBD\tB-VP\tO' -p327131 -aS'living\tlive\tVBG\tI-VP\tO' -p327132 -aS'alone\talone\tRB\tB-ADVP\tO' -p327133 -aS'in\tin\tIN\tB-PP\tO' -p327134 -aS'ALF\tALF\tNN\tB-NP\tB-protein' -p327135 -aS'.\t.\t.\tO\tO' -p327136 -asS'There was a grade II-II apical and systolic murmur .' -p327137 -(lp327138 -S'There\tThere\tEX\tB-NP\tO' -p327139 -aS'was\tbe\tVBD\tB-VP\tO' -p327140 -aS'a\ta\tDT\tB-NP\tO' -p327141 -aS'grade\tgrade\tNN\tI-NP\tO' -p327142 -aS'II-II\tII-II\tNN\tI-NP\tO' -p327143 -aS'apical\tapical\tJJ\tI-NP\tO' -p327144 -aS'and\tand\tCC\tI-NP\tO' -p327145 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p327146 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p327147 -aS'.\t.\t.\tO\tO' -p327148 -asS'Brian quit smoking and drinking in 1980s .' -p327149 -(lp327150 -S'Brian\tBrian\tJJ\tB-NP\tO' -p327151 -aS'quit\tquit\tNN\tI-NP\tO' -p327152 -aS'smoking\tsmoking\tNN\tI-NP\tO' -p327153 -aS'and\tand\tCC\tI-NP\tO' -p327154 -aS'drinking\tdrinking\tNN\tI-NP\tO' -p327155 -aS'in\tin\tIN\tB-PP\tO' -p327156 -aS'1980s\t1980s\tCD\tB-NP\tO' -p327157 -aS'.\t.\t.\tO\tO' -p327158 -asS'The phone no. at the Ona Hospital is 337-4296 , 936 area code .' -p327159 -(lp327160 -S'The\tThe\tDT\tB-NP\tO' -p327161 -aS'phone\tphone\tNN\tI-NP\tO' -p327162 -aS'no.\tno.\tNN\tI-NP\tO' -p327163 -aS'at\tat\tIN\tB-PP\tO' -p327164 -aS'the\tthe\tDT\tB-NP\tO' -p327165 -aS'Ona\tOna\tNNP\tI-NP\tO' -p327166 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p327167 -aS'is\tbe\tVBZ\tB-VP\tO' -p327168 -aS'337-4296\t337-4296\tCD\tB-NP\tO' -p327169 -aS',\t,\t,\tI-NP\tO' -p327170 -aS'936\t936\tCD\tI-NP\tO' -p327171 -aS'area\tarea\tNN\tI-NP\tO' -p327172 -aS'code\tcode\tNN\tI-NP\tO' -p327173 -aS'.\t.\t.\tO\tO' -p327174 -asS'Cardiac enzymes trending down on 12.7.05 , anticoagulated while having leak .' -p327175 -(lp327176 -S'Cardiac\tCardiac\tJJ\tB-NP\tB-protein' -p327177 -aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' -p327178 -aS'trending\ttrend\tVBG\tB-VP\tO' -p327179 -aS'down\tdown\tRP\tB-PRT\tO' -p327180 -aS'on\ton\tIN\tB-PP\tO' -p327181 -aS'12.7.05\t12.7.05\tCD\tB-NP\tO' -p327182 -aS',\t,\t,\tO\tO' -p327183 -aS'anticoagulated\tanticoagulate\tVBN\tB-VP\tO' -p327184 -aS'while\twhile\tIN\tB-SBAR\tO' -p327185 -aS'having\thave\tVBG\tB-VP\tO' -p327186 -aS'leak\tleak\tNN\tB-NP\tO' -p327187 -aS'.\t.\t.\tO\tO' -p327188 -asS'Neurologically , she was awoken from sleep by voice , cooperative , but mildly drowsy .' -p327189 -(lp327190 -S'Neurologically\tNeurologically\tRB\tB-ADVP\tO' -p327191 -aS',\t,\t,\tO\tO' -p327192 -aS'she\tshe\tPRP\tB-NP\tO' -p327193 -aS'was\tbe\tVBD\tB-VP\tO' -p327194 -aS'awoken\tawake\tVBN\tI-VP\tO' -p327195 -aS'from\tfrom\tIN\tB-PP\tO' -p327196 -aS'sleep\tsleep\tNN\tB-NP\tO' -p327197 -aS'by\tby\tIN\tB-PP\tO' -p327198 -aS'voice\tvoice\tNN\tB-NP\tO' -p327199 -aS',\t,\t,\tO\tO' -p327200 -aS'cooperative\tcooperative\tNN\tB-NP\tO' -p327201 -aS',\t,\t,\tO\tO' -p327202 -aS'but\tbut\tCC\tO\tO' -p327203 -aS'mildly\tmildly\tRB\tB-ADJP\tO' -p327204 -aS'drowsy\tdrowsy\tJJ\tI-ADJP\tO' -p327205 -aS'.\t.\t.\tO\tO' -p327206 -asS'There are no echocardiographic signs of tamponade' -p327207 -(lp327208 -S'There\tThere\tEX\tB-NP\tO' -p327209 -aS'are\tbe\tVBP\tB-VP\tO' -p327210 -aS'no\tno\tDT\tB-NP\tO' -p327211 -aS'echocardiographic\techocardiographic\tJJ\tI-NP\tO' -p327212 -aS'signs\tsign\tNNS\tI-NP\tO' -p327213 -aS'of\tof\tIN\tB-PP\tO' -p327214 -aS'tamponade\ttamponade\tNN\tB-NP\tO' -p327215 -asS'A blood gas at this point showed a pH of 7.49 , pO2 61 , pCO2 of 33 on 100% non-rebreather mask .' -p327216 -(lp327217 -S'A\tA\tDT\tB-NP\tO' -p327218 -aS'blood\tblood\tNN\tI-NP\tO' -p327219 -aS'gas\tgas\tNN\tI-NP\tO' -p327220 -aS'at\tat\tIN\tB-PP\tO' -p327221 -aS'this\tthis\tDT\tB-NP\tO' -p327222 -aS'point\tpoint\tNN\tI-NP\tO' -p327223 -aS'showed\tshow\tVBD\tB-VP\tO' -p327224 -aS'a\ta\tDT\tB-NP\tO' -p327225 -aS'pH\tpH\tNN\tI-NP\tO' -p327226 -aS'of\tof\tIN\tB-PP\tO' -p327227 -aS'7.49\t7.49\tCD\tB-NP\tO' -p327228 -aS',\t,\t,\tO\tO' -p327229 -aS'pO2\tpO2\tNN\tB-NP\tO' -p327230 -aS'61\t61\tCD\tI-NP\tO' -p327231 -aS',\t,\t,\tO\tO' -p327232 -aS'pCO2\tpCO2\tNN\tB-NP\tO' -p327233 -aS'of\tof\tIN\tB-PP\tO' -p327234 -aS'33\t33\tCD\tB-NP\tO' -p327235 -aS'on\ton\tIN\tB-PP\tO' -p327236 -aS'100%\t100%\tCD\tB-NP\tO' -p327237 -aS'non-rebreather\tnon-rebreather\tJJ\tI-NP\tO' -p327238 -aS'mask\tmask\tNN\tI-NP\tO' -p327239 -aS'.\t.\t.\tO\tO' -p327240 -asS'2. Folic acid 1 mg daily' -p327241 -(lp327242 -S'2.\t2.\tLS\tB-NP\tO' -p327243 -aS'Folic\tFolic\tJJ\tI-NP\tO' -p327244 -aS'acid\tacid\tNN\tI-NP\tO' -p327245 -aS'1\t1\tCD\tI-NP\tO' -p327246 -aS'mg\tmg\tNN\tI-NP\tO' -p327247 -aS'daily\tdaily\tJJ\tI-NP\tO' -p327248 -asS'They live in Ohio .' -p327249 -(lp327250 -S'They\tThey\tPRP\tB-NP\tO' -p327251 -aS'live\tlive\tVBP\tB-VP\tO' -p327252 -aS'in\tin\tIN\tB-PP\tO' -p327253 -aS'Ohio\tOhio\tNNP\tB-NP\tO' -p327254 -aS'.\t.\t.\tO\tO' -p327255 -asS'Cachectic , lays with eyes closed .' -p327256 -(lp327257 -S'Cachectic\tCachectic\tNNP\tB-NP\tO' -p327258 -aS',\t,\t,\tO\tO' -p327259 -aS'lays\tlay\tVBZ\tB-VP\tO' -p327260 -aS'with\twith\tIN\tB-PP\tO' -p327261 -aS'eyes\teye\tNNS\tB-NP\tO' -p327262 -aS'closed\tclose\tVBD\tB-VP\tO' -p327263 -aS'.\t.\t.\tO\tO' -p327264 -asS'5. Hypertension .' -p327265 -(lp327266 -S'5.\t5.\tLS\tB-NP\tO' -p327267 -aS'Hypertension\tHypertension\tNN\tI-NP\tO' -p327268 -aS'.\t.\t.\tO\tO' -p327269 -asS'She was slow to advance on enteral feeds and gradually attained full enteral volume on day of life 13 .' -p327270 -(lp327271 -S'She\tShe\tPRP\tB-NP\tO' -p327272 -aS'was\tbe\tVBD\tB-VP\tO' -p327273 -aS'slow\tslow\tJJ\tB-ADJP\tO' -p327274 -aS'to\tto\tTO\tB-VP\tO' -p327275 -aS'advance\tadvance\tVB\tI-VP\tO' -p327276 -aS'on\ton\tIN\tB-PP\tO' -p327277 -aS'enteral\tenteral\tJJ\tB-NP\tO' -p327278 -aS'feeds\tfeed\tNNS\tI-NP\tO' -p327279 -aS'and\tand\tCC\tO\tO' -p327280 -aS'gradually\tgradually\tRB\tB-VP\tO' -p327281 -aS'attained\tattain\tVBN\tI-VP\tO' -p327282 -aS'full\tfull\tJJ\tB-NP\tO' -p327283 -aS'enteral\tenteral\tJJ\tI-NP\tO' -p327284 -aS'volume\tvolume\tNN\tI-NP\tO' -p327285 -aS'on\ton\tIN\tB-PP\tO' -p327286 -aS'day\tday\tNN\tB-NP\tO' -p327287 -aS'of\tof\tIN\tB-PP\tO' -p327288 -aS'life\tlife\tNN\tB-NP\tB-protein' -p327289 -aS'13\t13\tCD\tI-NP\tI-protein' -p327290 -aS'.\t.\t.\tO\tO' -p327291 -asS'The patient was instructed to call her PCP , Dr. Ruby Godfrey , to follow up the week of discharge .' -p327292 -(lp327293 -S'The\tThe\tDT\tB-NP\tO' -p327294 -aS'patient\tpatient\tNN\tI-NP\tO' -p327295 -aS'was\tbe\tVBD\tB-VP\tO' -p327296 -aS'instructed\tinstruct\tVBN\tI-VP\tO' -p327297 -aS'to\tto\tTO\tI-VP\tO' -p327298 -aS'call\tcall\tVB\tI-VP\tO' -p327299 -aS'her\ther\tPRP$\tB-NP\tO' -p327300 -aS'PCP\tPCP\tNN\tI-NP\tB-DNA' -p327301 -aS',\t,\t,\tO\tO' -p327302 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p327303 -aS'Ruby\tRuby\tNNP\tI-NP\tO' -p327304 -aS'Godfrey\tGodfrey\tNNP\tI-NP\tO' -p327305 -aS',\t,\t,\tO\tO' -p327306 -aS'to\tto\tTO\tB-VP\tO' -p327307 -aS'follow\tfollow\tVB\tI-VP\tO' -p327308 -aS'up\tup\tRP\tB-PRT\tO' -p327309 -aS'the\tthe\tDT\tB-NP\tO' -p327310 -aS'week\tweek\tNN\tI-NP\tO' -p327311 -aS'of\tof\tIN\tB-PP\tO' -p327312 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p327313 -aS'.\t.\t.\tO\tO' -p327314 -asS'A 40-year-old female with history of non-ST-elevation myocardial infarction in 2016-09-30 with stent to the LAD and 50% to the mid LAD , had instent restenosis in 2017-04-02 and then underwent brachytherapy to the RCA , who presented to Baldpate Hospital with several weeks of chest pain similar to her anginal equivalent and MI in the past .' -p327315 -(lp327316 -S'A\tA\tDT\tB-NP\tO' -p327317 -aS'40-year-old\t40-year-old\tJJ\tI-NP\tO' -p327318 -aS'female\tfemale\tNN\tI-NP\tO' -p327319 -aS'with\twith\tIN\tB-PP\tO' -p327320 -aS'history\thistory\tNN\tB-NP\tO' -p327321 -aS'of\tof\tIN\tB-PP\tO' -p327322 -aS'non-ST-elevation\tnon-ST-elevation\tJJ\tB-NP\tO' -p327323 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p327324 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p327325 -aS'in\tin\tIN\tB-PP\tO' -p327326 -aS'2016-09-30\t2016-09-30\tCD\tB-NP\tO' -p327327 -aS'with\twith\tIN\tB-PP\tO' -p327328 -aS'stent\tstent\tNN\tB-NP\tO' -p327329 -aS'to\tto\tTO\tB-PP\tO' -p327330 -aS'the\tthe\tDT\tB-NP\tO' -p327331 -aS'LAD\tLAD\tNN\tI-NP\tO' -p327332 -aS'and\tand\tCC\tO\tO' -p327333 -aS'50%\t50%\tCD\tB-NP\tO' -p327334 -aS'to\tto\tTO\tB-PP\tO' -p327335 -aS'the\tthe\tDT\tB-NP\tO' -p327336 -aS'mid\tmid\tJJ\tI-NP\tO' -p327337 -aS'LAD\tLAD\tNN\tI-NP\tO' -p327338 -aS',\t,\t,\tO\tO' -p327339 -aS'had\thave\tVBD\tB-VP\tO' -p327340 -aS'instent\tinstent\tJJ\tB-NP\tO' -p327341 -aS'restenosis\trestenosis\tNN\tI-NP\tO' -p327342 -aS'in\tin\tIN\tB-PP\tO' -p327343 -aS'2017-04-02\t2017-04-02\tCD\tB-NP\tO' -p327344 -aS'and\tand\tCC\tO\tO' -p327345 -aS'then\tthen\tRB\tO\tO' -p327346 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p327347 -aS'brachytherapy\tbrachytherapy\tNN\tB-NP\tO' -p327348 -aS'to\tto\tTO\tB-PP\tO' -p327349 -aS'the\tthe\tDT\tB-NP\tO' -p327350 -aS'RCA\tRCA\tNN\tI-NP\tB-protein' -p327351 -aS',\t,\t,\tO\tO' -p327352 -aS'who\twho\tWP\tB-NP\tO' -p327353 -aS'presented\tpresent\tVBD\tB-VP\tO' -p327354 -aS'to\tto\tTO\tI-VP\tO' -p327355 -aS'Baldpate\tBaldpate\tVB\tI-VP\tO' -p327356 -aS'Hospital\tHospital\tNN\tB-NP\tO' -p327357 -aS'with\twith\tIN\tB-PP\tO' -p327358 -aS'several\tseveral\tJJ\tB-NP\tO' -p327359 -aS'weeks\tweek\tNNS\tI-NP\tO' -p327360 -aS'of\tof\tIN\tB-PP\tO' -p327361 -aS'chest\tchest\tNN\tB-NP\tO' -p327362 -aS'pain\tpain\tNN\tI-NP\tO' -p327363 -aS'similar\tsimilar\tJJ\tB-ADJP\tO' -p327364 -aS'to\tto\tTO\tB-PP\tO' -p327365 -aS'her\ther\tPRP$\tB-NP\tO' -p327366 -aS'anginal\tanginal\tJJ\tI-NP\tO' -p327367 -aS'equivalent\tequivalent\tNN\tI-NP\tO' -p327368 -aS'and\tand\tCC\tI-NP\tO' -p327369 -aS'MI\tMI\tNN\tI-NP\tO' -p327370 -aS'in\tin\tIN\tB-PP\tO' -p327371 -aS'the\tthe\tDT\tB-NP\tO' -p327372 -aS'past\tpast\tNN\tI-NP\tO' -p327373 -aS'.\t.\t.\tO\tO' -p327374 -asS'Major Surgical or Invasive Procedure : bronchoscopy' -p327375 -(lp327376 -S'Major\tMajor\tJJ\tB-NP\tO' -p327377 -aS'Surgical\tSurgical\tJJ\tI-NP\tO' -p327378 -aS'or\tor\tCC\tI-NP\tO' -p327379 -aS'Invasive\tInvasive\tJJ\tI-NP\tO' -p327380 -aS'Procedure\tProcedure\tNN\tI-NP\tO' -p327381 -aS':\t:\t:\tO\tO' -p327382 -aS'bronchoscopy\tbronchoscopy\tNN\tB-NP\tO' -p327383 -asS'On postoperative day #1 , 2010-06-30 , the patient was noted to be clinically stable , tolerating oral intake , and expressive of adequate amounts of urine independent of a Foley catheter .' -p327384 -(lp327385 -S'On\tOn\tIN\tB-PP\tO' -p327386 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p327387 -aS'day\tday\tNN\tI-NP\tO' -p327388 -aS'#1\t#1\tCD\tI-NP\tO' -p327389 -aS',\t,\t,\tI-NP\tO' -p327390 -aS'2010-06-30\t2010-06-30\tCD\tI-NP\tO' -p327391 -aS',\t,\t,\tO\tO' -p327392 -aS'the\tthe\tDT\tB-NP\tO' -p327393 -aS'patient\tpatient\tNN\tI-NP\tO' -p327394 -aS'was\tbe\tVBD\tB-VP\tO' -p327395 -aS'noted\tnote\tVBN\tI-VP\tO' -p327396 -aS'to\tto\tTO\tI-VP\tO' -p327397 -aS'be\tbe\tVB\tI-VP\tO' -p327398 -aS'clinically\tclinically\tRB\tB-ADJP\tO' -p327399 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p327400 -aS',\t,\t,\tO\tO' -p327401 -aS'tolerating\ttolerate\tVBG\tB-VP\tO' -p327402 -aS'oral\toral\tJJ\tB-NP\tO' -p327403 -aS'intake\tintake\tNN\tI-NP\tO' -p327404 -aS',\t,\t,\tO\tO' -p327405 -aS'and\tand\tCC\tO\tO' -p327406 -aS'expressive\texpressive\tJJ\tB-ADJP\tO' -p327407 -aS'of\tof\tIN\tB-PP\tO' -p327408 -aS'adequate\tadequate\tJJ\tB-NP\tO' -p327409 -aS'amounts\tamount\tNNS\tI-NP\tO' -p327410 -aS'of\tof\tIN\tB-PP\tO' -p327411 -aS'urine\turine\tNN\tB-NP\tO' -p327412 -aS'independent\tindependent\tJJ\tB-ADJP\tO' -p327413 -aS'of\tof\tIN\tB-PP\tO' -p327414 -aS'a\ta\tDT\tB-NP\tO' -p327415 -aS'Foley\tFoley\tNNP\tI-NP\tO' -p327416 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p327417 -aS'.\t.\t.\tO\tO' -p327418 -asS'Laboratory studies on admission were notable for a sodium of 131 , potassium 6.2 , BUN 111 , creatinine 3.9 , white blood cell count 23 , hematocrit 27 with 2+ schistocytes and 2+ spherocytes on the smear , platelet count 92 and LDH 496 .' -p327419 -(lp327420 -S'Laboratory\tLaboratory\tNN\tB-NP\tO' -p327421 -aS'studies\tstudy\tNNS\tI-NP\tO' -p327422 -aS'on\ton\tIN\tB-PP\tO' -p327423 -aS'admission\tadmission\tNN\tB-NP\tO' -p327424 -aS'were\tbe\tVBD\tB-VP\tO' -p327425 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p327426 -aS'for\tfor\tIN\tB-PP\tO' -p327427 -aS'a\ta\tDT\tB-NP\tO' -p327428 -aS'sodium\tsodium\tNN\tI-NP\tO' -p327429 -aS'of\tof\tIN\tB-PP\tO' -p327430 -aS'131\t131\tNN\tB-NP\tO' -p327431 -aS',\t,\t,\tO\tO' -p327432 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p327433 -aS'6.2\t6.2\tCD\tI-NP\tO' -p327434 -aS',\t,\t,\tO\tO' -p327435 -aS'BUN\tBUN\tNN\tB-NP\tB-cell_line' -p327436 -aS'111\t111\tCD\tI-NP\tI-cell_line' -p327437 -aS',\t,\t,\tO\tO' -p327438 -aS'creatinine\tcreatinine\tNN\tB-NP\tB-protein' -p327439 -aS'3.9\t3.9\tCD\tI-NP\tI-protein' -p327440 -aS',\t,\t,\tO\tO' -p327441 -aS'white\twhite\tJJ\tB-NP\tO' -p327442 -aS'blood\tblood\tNN\tI-NP\tO' -p327443 -aS'cell\tcell\tNN\tI-NP\tO' -p327444 -aS'count\tcount\tNN\tI-NP\tO' -p327445 -aS'23\t23\tCD\tB-NP\tO' -p327446 -aS',\t,\t,\tO\tO' -p327447 -aS'hematocrit\thematocrit\tNN\tB-NP\tO' -p327448 -aS'27\t27\tCD\tI-NP\tO' -p327449 -aS'with\twith\tIN\tB-PP\tO' -p327450 -aS'2+\t2+\tJJ\tB-NP\tB-cell_type' -p327451 -aS'schistocytes\tschistocyte\tNNS\tI-NP\tI-cell_type' -p327452 -aS'and\tand\tCC\tO\tO' -p327453 -aS'2+\t2+\tJJ\tB-NP\tB-cell_type' -p327454 -aS'spherocytes\tspherocyte\tNNS\tI-NP\tI-cell_type' -p327455 -aS'on\ton\tIN\tB-PP\tO' -p327456 -aS'the\tthe\tDT\tB-NP\tO' -p327457 -aS'smear\tsmear\tNN\tI-NP\tO' -p327458 -aS',\t,\t,\tO\tO' -p327459 -aS'platelet\tplatelet\tNN\tB-NP\tB-protein' -p327460 -aS'count\tcount\tNN\tI-NP\tI-protein' -p327461 -aS'92\t92\tCD\tI-NP\tI-protein' -p327462 -aS'and\tand\tCC\tO\tO' -p327463 -aS'LDH\tLDH\tNN\tB-NP\tB-protein' -p327464 -aS'496\t496\tCD\tI-NP\tI-protein' -p327465 -aS'.\t.\t.\tO\tO' -p327466 -asS'Dolls eye was negative .' -p327467 -(lp327468 -S'Dolls\tDoll\tNNS\tB-NP\tO' -p327469 -aS'eye\teye\tNN\tI-NP\tO' -p327470 -aS'was\tbe\tVBD\tB-VP\tO' -p327471 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p327472 -aS'.\t.\t.\tO\tO' -p327473 -asS'There was no peripheral edema .' -p327474 -(lp327475 -S'There\tThere\tEX\tB-NP\tO' -p327476 -aS'was\tbe\tVBD\tB-VP\tO' -p327477 -aS'no\tno\tDT\tB-NP\tO' -p327478 -aS'peripheral\tperipheral\tJJ\tI-NP\tO' -p327479 -aS'edema\tedema\tNN\tI-NP\tO' -p327480 -aS'.\t.\t.\tO\tO' -p327481 -asS'On discharge included etidronate , 475 mg IV q day ; heparin , 5000 units subcutaneously b.i.d. ; Decadron , 4 mg po q six hours ; MS Contin , 45 mg po b.i.d. ; Pepcid , 20 mg po b.i.d. ; Senekot , one tablet po t.i.d. ; Bronkosol , 0.25 cc q four hours .' -p327482 -(lp327483 -S'On\tOn\tIN\tB-PP\tO' -p327484 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p327485 -aS'included\tinclude\tVBD\tB-VP\tO' -p327486 -aS'etidronate\tetidronate\tNN\tB-NP\tO' -p327487 -aS',\t,\t,\tO\tO' -p327488 -aS'475\t475\tCD\tB-NP\tO' -p327489 -aS'mg\tmg\tNN\tI-NP\tO' -p327490 -aS'IV\tIV\tCD\tB-NP\tO' -p327491 -aS'q\tq\tNN\tI-NP\tO' -p327492 -aS'day\tday\tNN\tI-NP\tO' -p327493 -aS';\t;\t:\tO\tO' -p327494 -aS'heparin\theparin\tNN\tB-NP\tO' -p327495 -aS',\t,\t,\tO\tO' -p327496 -aS'5000\t5000\tCD\tB-NP\tO' -p327497 -aS'units\tunit\tNNS\tI-NP\tO' -p327498 -aS'subcutaneously\tsubcutaneously\tRB\tB-ADVP\tO' -p327499 -aS'b.i.d.\tb.i.d.\tRB\tB-ADVP\tO' -p327500 -aS';\t;\t:\tO\tO' -p327501 -aS'Decadron\tDecadron\tNNP\tB-NP\tO' -p327502 -aS',\t,\t,\tO\tO' -p327503 -aS'4\t4\tCD\tB-NP\tO' -p327504 -aS'mg\tmg\tNN\tI-NP\tO' -p327505 -aS'po\tpo\tNN\tI-NP\tO' -p327506 -aS'q\tq\tNN\tI-NP\tO' -p327507 -aS'six\tsix\tCD\tB-NP\tO' -p327508 -aS'hours\thour\tNNS\tI-NP\tO' -p327509 -aS';\t;\t:\tO\tO' -p327510 -aS'MS\tMS\tNNP\tB-NP\tO' -p327511 -aS'Contin\tContin\tNNP\tI-NP\tO' -p327512 -aS',\t,\t,\tO\tO' -p327513 -aS'45\t45\tCD\tB-NP\tO' -p327514 -aS'mg\tmg\tNN\tI-NP\tO' -p327515 -aS'po\tpo\tNN\tI-NP\tO' -p327516 -aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' -p327517 -aS';\t;\t:\tO\tO' -p327518 -aS'Pepcid\tPepcid\tNN\tB-NP\tO' -p327519 -aS',\t,\t,\tO\tO' -p327520 -aS'20\t20\tCD\tB-NP\tO' -p327521 -aS'mg\tmg\tNN\tI-NP\tO' -p327522 -aS'po\tpo\tNN\tI-NP\tO' -p327523 -aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' -p327524 -aS';\t;\t:\tO\tO' -p327525 -aS'Senekot\tSenekot\tNNP\tB-NP\tO' -p327526 -aS',\t,\t,\tO\tO' -p327527 -aS'one\tone\tCD\tB-NP\tO' -p327528 -aS'tablet\ttablet\tNN\tI-NP\tO' -p327529 -aS'po\tpo\tNN\tI-NP\tO' -p327530 -aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' -p327531 -aS';\t;\t:\tO\tO' -p327532 -aS'Bronkosol\tBronkosol\tNN\tB-NP\tO' -p327533 -aS',\t,\t,\tO\tO' -p327534 -aS'0.25\t0.25\tCD\tB-NP\tO' -p327535 -aS'cc\tcc\tNN\tI-NP\tO' -p327536 -aS'q\tq\tNN\tI-NP\tO' -p327537 -aS'four\tfour\tCD\tB-NP\tO' -p327538 -aS'hours\thour\tNNS\tI-NP\tO' -p327539 -aS'.\t.\t.\tO\tO' -p327540 -asS'However , due to the absence of clear benefit at this level , and further deterioration in his left sided strength , this goal was increased and Neo-Synephrine was added to his regimen to achieve mean arterial pressures in the 110-120 range .' -p327541 -(lp327542 -S'However\tHowever\tRB\tB-ADVP\tO' -p327543 -aS',\t,\t,\tO\tO' -p327544 -aS'due\tdue\tJJ\tB-PP\tO' -p327545 -aS'to\tto\tTO\tI-PP\tO' -p327546 -aS'the\tthe\tDT\tB-NP\tO' -p327547 -aS'absence\tabsence\tNN\tI-NP\tO' -p327548 -aS'of\tof\tIN\tB-PP\tO' -p327549 -aS'clear\tclear\tJJ\tB-NP\tO' -p327550 -aS'benefit\tbenefit\tNN\tI-NP\tO' -p327551 -aS'at\tat\tIN\tB-PP\tO' -p327552 -aS'this\tthis\tDT\tB-NP\tO' -p327553 -aS'level\tlevel\tNN\tI-NP\tO' -p327554 -aS',\t,\t,\tO\tO' -p327555 -aS'and\tand\tCC\tO\tO' -p327556 -aS'further\tfurther\tJJ\tB-NP\tO' -p327557 -aS'deterioration\tdeterioration\tNN\tI-NP\tO' -p327558 -aS'in\tin\tIN\tB-PP\tO' -p327559 -aS'his\this\tPRP$\tB-NP\tO' -p327560 -aS'left\tleft\tJJ\tI-NP\tO' -p327561 -aS'sided\tsided\tJJ\tI-NP\tO' -p327562 -aS'strength\tstrength\tNN\tI-NP\tO' -p327563 -aS',\t,\t,\tO\tO' -p327564 -aS'this\tthis\tDT\tB-NP\tO' -p327565 -aS'goal\tgoal\tNN\tI-NP\tO' -p327566 -aS'was\tbe\tVBD\tB-VP\tO' -p327567 -aS'increased\tincrease\tVBN\tI-VP\tO' -p327568 -aS'and\tand\tCC\tO\tO' -p327569 -aS'Neo-Synephrine\tNeo-Synephrine\tNN\tB-NP\tO' -p327570 -aS'was\tbe\tVBD\tB-VP\tO' -p327571 -aS'added\tadd\tVBN\tI-VP\tO' -p327572 -aS'to\tto\tTO\tB-PP\tO' -p327573 -aS'his\this\tPRP$\tB-NP\tO' -p327574 -aS'regimen\tregimen\tNN\tI-NP\tO' -p327575 -aS'to\tto\tTO\tB-VP\tO' -p327576 -aS'achieve\tachieve\tVB\tI-VP\tO' -p327577 -aS'mean\tmean\tJJ\tB-NP\tO' -p327578 -aS'arterial\tarterial\tJJ\tI-NP\tO' -p327579 -aS'pressures\tpressure\tNNS\tI-NP\tO' -p327580 -aS'in\tin\tIN\tB-PP\tO' -p327581 -aS'the\tthe\tDT\tB-NP\tO' -p327582 -aS'110-120\t110-120\tCD\tI-NP\tO' -p327583 -aS'range\trange\tNN\tI-NP\tO' -p327584 -aS'.\t.\t.\tO\tO' -p327585 -asS'IN ED vitals p86 bp 127/88 sat 100% .' -p327586 -(lp327587 -S'IN\tIN\tIN\tB-PP\tO' -p327588 -aS'ED\tED\tNNP\tB-NP\tO' -p327589 -aS'vitals\tvital\tNNS\tI-NP\tO' -p327590 -aS'p86\tp86\tNN\tI-NP\tB-protein' -p327591 -aS'bp\tbp\tNN\tI-NP\tI-protein' -p327592 -aS'127/88\t127/88\tCD\tI-NP\tI-protein' -p327593 -aS'sat\tsit\tVBD\tB-VP\tI-protein' -p327594 -aS'100%\t100%\tCD\tB-NP\tI-protein' -p327595 -aS'.\t.\t.\tO\tO' -p327596 -asS'The patient presented to Bournewood Hospital on the morning of admission with a chief complaint of substernal burning without radiation which developed while doing exercise .' -p327597 -(lp327598 -S'The\tThe\tDT\tB-NP\tO' -p327599 -aS'patient\tpatient\tNN\tI-NP\tO' -p327600 -aS'presented\tpresent\tVBN\tB-VP\tO' -p327601 -aS'to\tto\tTO\tB-PP\tO' -p327602 -aS'Bournewood\tBournewood\tNNP\tB-NP\tO' -p327603 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p327604 -aS'on\ton\tIN\tB-PP\tO' -p327605 -aS'the\tthe\tDT\tB-NP\tO' -p327606 -aS'morning\tmorning\tNN\tI-NP\tO' -p327607 -aS'of\tof\tIN\tB-PP\tO' -p327608 -aS'admission\tadmission\tNN\tB-NP\tO' -p327609 -aS'with\twith\tIN\tB-PP\tO' -p327610 -aS'a\ta\tDT\tB-NP\tO' -p327611 -aS'chief\tchief\tJJ\tI-NP\tO' -p327612 -aS'complaint\tcomplaint\tNN\tI-NP\tO' -p327613 -aS'of\tof\tIN\tB-PP\tO' -p327614 -aS'substernal\tsubsternal\tJJ\tB-NP\tO' -p327615 -aS'burning\tburning\tNN\tI-NP\tO' -p327616 -aS'without\twithout\tIN\tB-PP\tO' -p327617 -aS'radiation\tradiation\tNN\tB-NP\tO' -p327618 -aS'which\twhich\tWDT\tB-NP\tO' -p327619 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p327620 -aS'while\twhile\tIN\tB-SBAR\tO' -p327621 -aS'doing\tdo\tVBG\tB-VP\tO' -p327622 -aS'exercise\texercise\tNN\tB-NP\tO' -p327623 -aS'.\t.\t.\tO\tO' -p327624 -asS'Magnesium 2.0 mEq per liter , phosphate 8 mg / dl .' -p327625 -(lp327626 -S'Magnesium\tMagnesium\tNN\tB-NP\tO' -p327627 -aS'2.0\t2.0\tCD\tI-NP\tO' -p327628 -aS'mEq\tmEq\tNN\tI-NP\tO' -p327629 -aS'per\tper\tIN\tB-PP\tO' -p327630 -aS'liter\tliter\tNN\tB-NP\tO' -p327631 -aS',\t,\t,\tO\tO' -p327632 -aS'phosphate\tphosphate\tNN\tB-NP\tO' -p327633 -aS'8\t8\tCD\tI-NP\tO' -p327634 -aS'mg\tmg\tNN\tI-NP\tO' -p327635 -aS'/\t/\tSYM\tB-NP\tO' -p327636 -aS'dl\tdl\tNN\tI-NP\tO' -p327637 -aS'.\t.\t.\tO\tO' -p327638 -asS'There is no pneumothorax identified .' -p327639 -(lp327640 -S'There\tThere\tEX\tB-NP\tO' -p327641 -aS'is\tbe\tVBZ\tB-VP\tO' -p327642 -aS'no\tno\tDT\tB-NP\tO' -p327643 -aS'pneumothorax\tpneumothorax\tNN\tI-NP\tO' -p327644 -aS'identified\tidentify\tVBD\tB-VP\tO' -p327645 -aS'.\t.\t.\tO\tO' -p327646 -asS'Please see Dr. Uph 's office note for further details .' -p327647 -(lp327648 -S'Please\tPlease\tVB\tB-VP\tO' -p327649 -aS'see\tsee\tVB\tI-VP\tO' -p327650 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p327651 -aS'Uph\tUph\tNNP\tI-NP\tO' -p327652 -aS''s\t'\tNNS\tI-NP\tO' -p327653 -aS'office\toffice\tNN\tI-NP\tO' -p327654 -aS'note\tnote\tNN\tI-NP\tO' -p327655 -aS'for\tfor\tIN\tB-PP\tO' -p327656 -aS'further\tfurther\tJJ\tB-NP\tO' -p327657 -aS'details\tdetail\tNNS\tI-NP\tO' -p327658 -aS'.\t.\t.\tO\tO' -p327659 -asS'Over the last 2 weeks , husband reports patient becoming increasingly weak , unable to leave bed , confused , unable to feed herself .' -p327660 -(lp327661 -S'Over\tOver\tIN\tB-PP\tO' -p327662 -aS'the\tthe\tDT\tB-NP\tO' -p327663 -aS'last\tlast\tJJ\tI-NP\tB-protein' -p327664 -aS'2\t2\tCD\tI-NP\tI-protein' -p327665 -aS'weeks\tweek\tNNS\tI-NP\tI-protein' -p327666 -aS',\t,\t,\tO\tO' -p327667 -aS'husband\thusband\tNN\tB-NP\tO' -p327668 -aS'reports\treport\tVBZ\tB-VP\tO' -p327669 -aS'patient\tpatient\tNN\tB-NP\tO' -p327670 -aS'becoming\tbecome\tVBG\tB-VP\tO' -p327671 -aS'increasingly\tincreasingly\tRB\tB-ADJP\tO' -p327672 -aS'weak\tweak\tJJ\tI-ADJP\tO' -p327673 -aS',\t,\t,\tO\tO' -p327674 -aS'unable\tunable\tJJ\tB-ADJP\tO' -p327675 -aS'to\tto\tTO\tB-VP\tO' -p327676 -aS'leave\tleave\tVB\tI-VP\tO' -p327677 -aS'bed\tbed\tNN\tB-NP\tO' -p327678 -aS',\t,\t,\tO\tO' -p327679 -aS'confused\tconfused\tJJ\tB-ADJP\tO' -p327680 -aS',\t,\t,\tO\tO' -p327681 -aS'unable\tunable\tJJ\tB-ADJP\tO' -p327682 -aS'to\tto\tTO\tB-VP\tO' -p327683 -aS'feed\tfeed\tVB\tI-VP\tO' -p327684 -aS'herself\therself\tPRP\tB-NP\tO' -p327685 -aS'.\t.\t.\tO\tO' -p327686 -asS'EEG was performed and revealed encephalopathy .' -p327687 -(lp327688 -S'EEG\tEEG\tNN\tB-NP\tB-protein' -p327689 -aS'was\tbe\tVBD\tB-VP\tO' -p327690 -aS'performed\tperform\tVBN\tI-VP\tO' -p327691 -aS'and\tand\tCC\tO\tO' -p327692 -aS'revealed\treveal\tVBN\tB-VP\tO' -p327693 -aS'encephalopathy\tencephalopathy\tNN\tB-NP\tO' -p327694 -aS'.\t.\t.\tO\tO' -p327695 -asS'This resolved with Tylenol and as needed doses of oxycodone .' -p327696 -(lp327697 -S'This\tThis\tDT\tB-NP\tO' -p327698 -aS'resolved\tresolve\tVBN\tB-VP\tO' -p327699 -aS'with\twith\tIN\tB-PP\tO' -p327700 -aS'Tylenol\tTylenol\tNN\tB-NP\tO' -p327701 -aS'and\tand\tCC\tB-PP\tO' -p327702 -aS'as\tas\tIN\tB-PP\tO' -p327703 -aS'needed\tneed\tVBN\tB-NP\tO' -p327704 -aS'doses\tdose\tNNS\tI-NP\tO' -p327705 -aS'of\tof\tIN\tB-PP\tO' -p327706 -aS'oxycodone\toxycodone\tNN\tB-NP\tO' -p327707 -aS'.\t.\t.\tO\tO' -p327708 -asS'She had a prior cesarean section done , two vaginal births after cesarean section .' -p327709 -(lp327710 -S'She\tShe\tPRP\tB-NP\tO' -p327711 -aS'had\thave\tVBD\tB-VP\tO' -p327712 -aS'a\ta\tDT\tB-NP\tO' -p327713 -aS'prior\tprior\tJJ\tI-NP\tO' -p327714 -aS'cesarean\tcesarean\tJJ\tI-NP\tO' -p327715 -aS'section\tsection\tNN\tI-NP\tO' -p327716 -aS'done\tdo\tVBN\tB-VP\tO' -p327717 -aS',\t,\t,\tO\tO' -p327718 -aS'two\ttwo\tCD\tB-NP\tO' -p327719 -aS'vaginal\tvaginal\tJJ\tI-NP\tO' -p327720 -aS'births\tbirth\tNNS\tI-NP\tO' -p327721 -aS'after\tafter\tIN\tB-PP\tO' -p327722 -aS'cesarean\tcesarean\tJJ\tB-NP\tO' -p327723 -aS'section\tsection\tNN\tI-NP\tO' -p327724 -aS'.\t.\t.\tO\tO' -p327725 -asS'Odell does not believe the pt would want to be intubated , with central line , right heart cath , in the CCU .' -p327726 -(lp327727 -S'Odell\tOdell\tNNP\tB-NP\tO' -p327728 -aS'does\tdo\tVBZ\tB-VP\tO' -p327729 -aS'not\tnot\tRB\tI-VP\tO' -p327730 -aS'believe\tbelieve\tVB\tI-VP\tO' -p327731 -aS'the\tthe\tDT\tB-NP\tO' -p327732 -aS'pt\tpt\tNN\tI-NP\tO' -p327733 -aS'would\twould\tMD\tB-VP\tO' -p327734 -aS'want\twant\tVB\tI-VP\tO' -p327735 -aS'to\tto\tTO\tI-VP\tO' -p327736 -aS'be\tbe\tVB\tI-VP\tO' -p327737 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p327738 -aS',\t,\t,\tO\tO' -p327739 -aS'with\twith\tIN\tB-PP\tO' -p327740 -aS'central\tcentral\tJJ\tB-NP\tO' -p327741 -aS'line\tline\tNN\tI-NP\tO' -p327742 -aS',\t,\t,\tO\tO' -p327743 -aS'right\tright\tJJ\tB-NP\tO' -p327744 -aS'heart\theart\tNN\tI-NP\tO' -p327745 -aS'cath\tcath\tNN\tI-NP\tO' -p327746 -aS',\t,\t,\tO\tO' -p327747 -aS'in\tin\tIN\tB-PP\tO' -p327748 -aS'the\tthe\tDT\tB-NP\tO' -p327749 -aS'CCU\tCCU\tNN\tI-NP\tB-DNA' -p327750 -aS'.\t.\t.\tO\tO' -p327751 -asS'The heart was regular .' -p327752 -(lp327753 -S'The\tThe\tDT\tB-NP\tO' -p327754 -aS'heart\theart\tNN\tI-NP\tO' -p327755 -aS'was\tbe\tVBD\tB-VP\tO' -p327756 -aS'regular\tregular\tJJ\tB-ADJP\tO' -p327757 -aS'.\t.\t.\tO\tO' -p327758 -asS'His most recent cultures are negative .' -p327759 -(lp327760 -S'His\tHis\tPRP$\tB-NP\tB-cell_line' -p327761 -aS'most\tmost\tRBS\tI-NP\tI-cell_line' -p327762 -aS'recent\trecent\tJJ\tI-NP\tI-cell_line' -p327763 -aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' -p327764 -aS'are\tbe\tVBP\tB-VP\tO' -p327765 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p327766 -aS'.\t.\t.\tO\tO' -p327767 -asS'tobacco : 16 pack year hx ; quit 24 years ago' -p327768 -(lp327769 -S'tobacco\ttobacco\tNN\tB-NP\tO' -p327770 -aS':\t:\t:\tO\tO' -p327771 -aS'16\t16\tCD\tB-NP\tO' -p327772 -aS'pack\tpack\tNN\tI-NP\tO' -p327773 -aS'year\tyear\tNN\tI-NP\tO' -p327774 -aS'hx\thx\tNN\tI-NP\tO' -p327775 -aS';\t;\t:\tO\tO' -p327776 -aS'quit\tquit\tNN\tB-NP\tO' -p327777 -aS'24\t24\tCD\tB-NP\tO' -p327778 -aS'years\tyear\tNNS\tI-NP\tO' -p327779 -aS'ago\tago\tIN\tB-ADVP\tO' -p327780 -asS'Albumin was 4.9 .' -p327781 -(lp327782 -S'Albumin\tAlbumin\tNNP\tB-NP\tO' -p327783 -aS'was\tbe\tVBD\tB-VP\tO' -p327784 -aS'4.9\t4.9\tCD\tB-NP\tO' -p327785 -aS'.\t.\t.\tO\tO' -p327786 -asS'We had her down to a low pressure support of 7 in the last week .' -p327787 -(lp327788 -S'We\tWe\tPRP\tB-NP\tO' -p327789 -aS'had\thave\tVBD\tB-VP\tO' -p327790 -aS'her\ther\tPRP$\tB-NP\tO' -p327791 -aS'down\tdown\tNN\tI-NP\tO' -p327792 -aS'to\tto\tTO\tB-PP\tO' -p327793 -aS'a\ta\tDT\tB-NP\tO' -p327794 -aS'low\tlow\tJJ\tI-NP\tO' -p327795 -aS'pressure\tpressure\tNN\tI-NP\tO' -p327796 -aS'support\tsupport\tNN\tI-NP\tO' -p327797 -aS'of\tof\tIN\tB-PP\tO' -p327798 -aS'7\t7\tCD\tB-NP\tO' -p327799 -aS'in\tin\tIN\tB-PP\tO' -p327800 -aS'the\tthe\tDT\tB-NP\tO' -p327801 -aS'last\tlast\tJJ\tI-NP\tO' -p327802 -aS'week\tweek\tNN\tI-NP\tO' -p327803 -aS'.\t.\t.\tO\tO' -p327804 -asS'Irregularly / irregular without murmurs , rubs , or gallops .' -p327805 -(lp327806 -S'Irregularly\tIrregularly\tRB\tB-ADVP\tO' -p327807 -aS'/\t/\tSYM\tB-NP\tO' -p327808 -aS'irregular\tirregular\tJJ\tB-ADJP\tO' -p327809 -aS'without\twithout\tIN\tB-PP\tO' -p327810 -aS'murmurs\tmurmur\tNNS\tB-NP\tO' -p327811 -aS',\t,\t,\tO\tO' -p327812 -aS'rubs\trub\tNNS\tB-NP\tO' -p327813 -aS',\t,\t,\tO\tO' -p327814 -aS'or\tor\tCC\tO\tO' -p327815 -aS'gallops\tgallop\tNNS\tB-NP\tO' -p327816 -aS'.\t.\t.\tO\tO' -p327817 -asS'blood pressure 118/75 , pulse 88 , respirations 20 , in no acute distress .' -p327818 -(lp327819 -S'blood\tblood\tNN\tB-NP\tO' -p327820 -aS'pressure\tpressure\tNN\tI-NP\tO' -p327821 -aS'118/75\t118/75\tCD\tI-NP\tO' -p327822 -aS',\t,\t,\tO\tO' -p327823 -aS'pulse\tpulse\tNN\tB-NP\tO' -p327824 -aS'88\t88\tCD\tI-NP\tO' -p327825 -aS',\t,\t,\tO\tO' -p327826 -aS'respirations\trespiration\tNNS\tB-NP\tO' -p327827 -aS'20\t20\tCD\tB-NP\tO' -p327828 -aS',\t,\t,\tO\tO' -p327829 -aS'in\tin\tIN\tB-PP\tO' -p327830 -aS'no\tno\tDT\tB-NP\tO' -p327831 -aS'acute\tacute\tJJ\tI-NP\tO' -p327832 -aS'distress\tdistress\tNN\tI-NP\tO' -p327833 -aS'.\t.\t.\tO\tO' -p327834 -asS'no evidence of clubbing , cyanosis or edema .' -p327835 -(lp327836 -S'no\tno\tDT\tB-NP\tO' -p327837 -aS'evidence\tevidence\tNN\tI-NP\tO' -p327838 -aS'of\tof\tIN\tB-PP\tO' -p327839 -aS'clubbing\tclubbing\tNN\tB-NP\tO' -p327840 -aS',\t,\t,\tI-NP\tO' -p327841 -aS'cyanosis\tcyanosis\tNN\tI-NP\tO' -p327842 -aS'or\tor\tCC\tI-NP\tO' -p327843 -aS'edema\tedema\tNN\tI-NP\tO' -p327844 -aS'.\t.\t.\tO\tO' -p327845 -asS'2. Car seat positioning screening passed .' -p327846 -(lp327847 -S'2.\t2.\tLS\tB-NP\tO' -p327848 -aS'Car\tCar\tNN\tI-NP\tB-protein' -p327849 -aS'seat\tseat\tNN\tI-NP\tO' -p327850 -aS'positioning\tposition\tVBG\tB-VP\tO' -p327851 -aS'screening\tscreening\tNN\tB-NP\tO' -p327852 -aS'passed\tpass\tVBD\tB-VP\tO' -p327853 -aS'.\t.\t.\tO\tO' -p327854 -asS'17. Ibuprofen 600 mg Tablet Sig : One ( 1 ) Tablet PO Q8H ( every 8 hours ) as needed for pain .' -p327855 -(lp327856 -S'17.\t17.\tCD\tB-NP\tO' -p327857 -aS'Ibuprofen\tIbuprofen\tNN\tI-NP\tO' -p327858 -aS'600\t600\tCD\tB-NP\tO' -p327859 -aS'mg\tmg\tNN\tI-NP\tO' -p327860 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p327861 -aS'Sig\tSig\tNNP\tI-NP\tO' -p327862 -aS':\t:\t:\tO\tO' -p327863 -aS'One\tOne\tCD\tB-NP\tO' -p327864 -aS'(\t(\t(\tO\tO' -p327865 -aS'1\t1\tCD\tB-NP\tO' -p327866 -aS')\t)\t)\tO\tO' -p327867 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p327868 -aS'PO\tPO\tNN\tI-NP\tO' -p327869 -aS'Q8H\tQ8H\tNN\tI-NP\tO' -p327870 -aS'(\t(\t(\tO\tO' -p327871 -aS'every\tevery\tDT\tB-NP\tO' -p327872 -aS'8\t8\tCD\tI-NP\tO' -p327873 -aS'hours\thour\tNNS\tI-NP\tO' -p327874 -aS')\t)\t)\tO\tO' -p327875 -aS'as\tas\tIN\tB-SBAR\tO' -p327876 -aS'needed\tneed\tVBN\tB-VP\tO' -p327877 -aS'for\tfor\tIN\tB-PP\tO' -p327878 -aS'pain\tpain\tNN\tB-NP\tO' -p327879 -aS'.\t.\t.\tO\tO' -p327880 -asS'A mammogram of the right breast with shadow biopsy was negative .' -p327881 -(lp327882 -S'A\tA\tDT\tB-NP\tO' -p327883 -aS'mammogram\tmammogram\tNN\tI-NP\tO' -p327884 -aS'of\tof\tIN\tB-PP\tO' -p327885 -aS'the\tthe\tDT\tB-NP\tO' -p327886 -aS'right\tright\tJJ\tI-NP\tO' -p327887 -aS'breast\tbreast\tNN\tI-NP\tO' -p327888 -aS'with\twith\tIN\tB-PP\tO' -p327889 -aS'shadow\tshadow\tNN\tB-NP\tO' -p327890 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p327891 -aS'was\tbe\tVBD\tB-VP\tO' -p327892 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p327893 -aS'.\t.\t.\tO\tO' -p327894 -asS'In the am of 6/13 , he was given 1 unit pRBC for a Hct of 21.8 .' -p327895 -(lp327896 -S'In\tIn\tIN\tB-PP\tO' -p327897 -aS'the\tthe\tDT\tB-NP\tO' -p327898 -aS'am\tam\tNN\tI-NP\tO' -p327899 -aS'of\tof\tIN\tB-PP\tO' -p327900 -aS'6/13\t6/13\tCD\tB-NP\tO' -p327901 -aS',\t,\t,\tO\tO' -p327902 -aS'he\the\tPRP\tB-NP\tO' -p327903 -aS'was\tbe\tVBD\tB-VP\tO' -p327904 -aS'given\tgive\tVBN\tI-VP\tO' -p327905 -aS'1\t1\tCD\tB-NP\tO' -p327906 -aS'unit\tunit\tNN\tI-NP\tO' -p327907 -aS'pRBC\tpRBC\tNN\tI-NP\tO' -p327908 -aS'for\tfor\tIN\tB-PP\tO' -p327909 -aS'a\ta\tDT\tB-NP\tO' -p327910 -aS'Hct\tHct\tNN\tI-NP\tB-protein' -p327911 -aS'of\tof\tIN\tB-PP\tO' -p327912 -aS'21.8\t21.8\tCD\tB-NP\tO' -p327913 -aS'.\t.\t.\tO\tO' -p327914 -asS'1. Post endoscopic retrograde cholangiopancreatography pancreatitis .' -p327915 -(lp327916 -S'1.\t1.\tLS\tB-NP\tO' -p327917 -aS'Post\tPost\tRBS\tI-NP\tO' -p327918 -aS'endoscopic\tendoscopic\tJJ\tI-NP\tO' -p327919 -aS'retrograde\tretrograde\tJJ\tI-NP\tO' -p327920 -aS'cholangiopancreatography\tcholangiopancreatography\tNN\tI-NP\tO' -p327921 -aS'pancreatitis\tpancreatitis\tNN\tI-NP\tO' -p327922 -aS'.\t.\t.\tO\tO' -p327923 -asS'There was no ataxia noted .' -p327924 -(lp327925 -S'There\tThere\tEX\tB-NP\tO' -p327926 -aS'was\tbe\tVBD\tB-VP\tO' -p327927 -aS'no\tno\tDT\tB-NP\tO' -p327928 -aS'ataxia\tataxia\tNN\tI-NP\tO' -p327929 -aS'noted\tnote\tVBD\tB-VP\tO' -p327930 -aS'.\t.\t.\tO\tO' -p327931 -asS'She was in her usual state of good health until December when she was seen emergently for treatment of a perforated colon cancer .' -p327932 -(lp327933 -S'She\tShe\tPRP\tB-NP\tO' -p327934 -aS'was\tbe\tVBD\tB-VP\tO' -p327935 -aS'in\tin\tIN\tB-PP\tO' -p327936 -aS'her\ther\tPRP$\tB-NP\tO' -p327937 -aS'usual\tusual\tJJ\tI-NP\tO' -p327938 -aS'state\tstate\tNN\tI-NP\tO' -p327939 -aS'of\tof\tIN\tB-PP\tO' -p327940 -aS'good\tgood\tJJ\tB-NP\tO' -p327941 -aS'health\thealth\tNN\tI-NP\tO' -p327942 -aS'until\tuntil\tIN\tB-PP\tO' -p327943 -aS'December\tDecember\tNNP\tB-NP\tO' -p327944 -aS'when\twhen\tWRB\tB-ADVP\tO' -p327945 -aS'she\tshe\tPRP\tB-NP\tO' -p327946 -aS'was\tbe\tVBD\tB-VP\tO' -p327947 -aS'seen\tsee\tVBN\tI-VP\tO' -p327948 -aS'emergently\temergently\tRB\tB-ADVP\tO' -p327949 -aS'for\tfor\tIN\tB-PP\tO' -p327950 -aS'treatment\ttreatment\tNN\tB-NP\tO' -p327951 -aS'of\tof\tIN\tB-PP\tO' -p327952 -aS'a\ta\tDT\tB-NP\tO' -p327953 -aS'perforated\tperforate\tVBN\tI-NP\tO' -p327954 -aS'colon\tcolon\tNN\tI-NP\tO' -p327955 -aS'cancer\tcancer\tNN\tI-NP\tO' -p327956 -aS'.\t.\t.\tO\tO' -p327957 -asS'In order to facilitate therapy and to promote mobility , an MRI of the knee was done .' -p327958 -(lp327959 -S'In\tIn\tIN\tB-SBAR\tO' -p327960 -aS'order\torder\tNN\tO\tO' -p327961 -aS'to\tto\tTO\tB-VP\tO' -p327962 -aS'facilitate\tfacilitate\tVB\tI-VP\tO' -p327963 -aS'therapy\ttherapy\tNN\tB-NP\tO' -p327964 -aS'and\tand\tCC\tO\tO' -p327965 -aS'to\tto\tTO\tB-VP\tO' -p327966 -aS'promote\tpromote\tVB\tI-VP\tO' -p327967 -aS'mobility\tmobility\tNN\tB-NP\tO' -p327968 -aS',\t,\t,\tO\tO' -p327969 -aS'an\tan\tDT\tB-NP\tO' -p327970 -aS'MRI\tMRI\tNN\tI-NP\tB-protein' -p327971 -aS'of\tof\tIN\tB-PP\tO' -p327972 -aS'the\tthe\tDT\tB-NP\tO' -p327973 -aS'knee\tknee\tNN\tI-NP\tO' -p327974 -aS'was\tbe\tVBD\tB-VP\tO' -p327975 -aS'done\tdo\tVBN\tI-VP\tO' -p327976 -aS'.\t.\t.\tO\tO' -p327977 -asS'She was given 20 mg of intravenous Lasix with impressive urine output and improvement in her overall fluid status .' -p327978 -(lp327979 -S'She\tShe\tPRP\tB-NP\tO' -p327980 -aS'was\tbe\tVBD\tB-VP\tO' -p327981 -aS'given\tgive\tVBN\tI-VP\tO' -p327982 -aS'20\t20\tCD\tB-NP\tO' -p327983 -aS'mg\tmg\tNN\tI-NP\tO' -p327984 -aS'of\tof\tIN\tB-PP\tO' -p327985 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p327986 -aS'Lasix\tLasix\tNN\tI-NP\tO' -p327987 -aS'with\twith\tIN\tB-PP\tO' -p327988 -aS'impressive\timpressive\tJJ\tB-NP\tO' -p327989 -aS'urine\turine\tNN\tI-NP\tO' -p327990 -aS'output\toutput\tNN\tI-NP\tO' -p327991 -aS'and\tand\tCC\tI-NP\tO' -p327992 -aS'improvement\timprovement\tNN\tI-NP\tO' -p327993 -aS'in\tin\tIN\tB-PP\tO' -p327994 -aS'her\ther\tPRP$\tB-NP\tO' -p327995 -aS'overall\toverall\tJJ\tI-NP\tO' -p327996 -aS'fluid\tfluid\tNN\tI-NP\tO' -p327997 -aS'status\tstatus\tNN\tI-NP\tO' -p327998 -aS'.\t.\t.\tO\tO' -p327999 -asS'Do not lift more than 10 pounds for 2 months .' -p328000 -(lp328001 -S'Do\tDo\tVBP\tB-VP\tO' -p328002 -aS'not\tnot\tRB\tI-VP\tO' -p328003 -aS'lift\tlift\tVB\tI-VP\tO' -p328004 -aS'more\tmore\tJJR\tB-NP\tO' -p328005 -aS'than\tthan\tIN\tI-NP\tO' -p328006 -aS'10\t10\tCD\tI-NP\tO' -p328007 -aS'pounds\tpound\tNNS\tI-NP\tO' -p328008 -aS'for\tfor\tIN\tB-PP\tO' -p328009 -aS'2\t2\tCD\tB-NP\tO' -p328010 -aS'months\tmonth\tNNS\tI-NP\tO' -p328011 -aS'.\t.\t.\tO\tO' -p328012 -asS'Cool extremities .' -p328013 -(lp328014 -S'Cool\tCool\tNN\tB-NP\tO' -p328015 -aS'extremities\textremity\tNNS\tI-NP\tO' -p328016 -aS'.\t.\t.\tO\tO' -p328017 -asS'2. To follow-up with his Cardiologist , Dr. Delores Padilla within one to two weeks of discharge .' -p328018 -(lp328019 -S'2.\t2.\tLS\tB-LST\tO' -p328020 -aS'To\tTo\tTO\tB-VP\tO' -p328021 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p328022 -aS'with\twith\tIN\tB-PP\tO' -p328023 -aS'his\this\tPRP$\tB-NP\tO' -p328024 -aS'Cardiologist\tCardiologist\tNNP\tI-NP\tO' -p328025 -aS',\t,\t,\tO\tO' -p328026 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p328027 -aS'Delores\tDelores\tNNP\tI-NP\tO' -p328028 -aS'Padilla\tPadilla\tNNP\tI-NP\tO' -p328029 -aS'within\twithin\tIN\tB-PP\tO' -p328030 -aS'one\tone\tCD\tB-NP\tO' -p328031 -aS'to\tto\tTO\tI-NP\tO' -p328032 -aS'two\ttwo\tCD\tI-NP\tO' -p328033 -aS'weeks\tweek\tNNS\tI-NP\tO' -p328034 -aS'of\tof\tIN\tB-PP\tO' -p328035 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p328036 -aS'.\t.\t.\tO\tO' -p328037 -asS'Initially decided not to escilate care and make DNR 05-05 .' -p328038 -(lp328039 -S'Initially\tInitially\tRB\tB-ADVP\tO' -p328040 -aS'decided\tdecide\tVBN\tB-VP\tO' -p328041 -aS'not\tnot\tRB\tO\tO' -p328042 -aS'to\tto\tTO\tB-VP\tO' -p328043 -aS'escilate\tescilate\tVB\tI-VP\tO' -p328044 -aS'care\tcare\tNN\tB-NP\tO' -p328045 -aS'and\tand\tCC\tO\tO' -p328046 -aS'make\tmake\tVB\tB-VP\tO' -p328047 -aS'DNR\tDNR\tNN\tB-NP\tO' -p328048 -aS'05-05\t05-05\tCD\tI-NP\tO' -p328049 -aS'.\t.\t.\tO\tO' -p328050 -asS'She was also seen by Cardiology , and she underwent cardiac catheterization , as part of her preop evaluation , which revealed normal resting hemodynamics , and a moderate posterior descending artery , and obtuse marginal stenoses .' -p328051 -(lp328052 -S'She\tShe\tPRP\tB-NP\tO' -p328053 -aS'was\tbe\tVBD\tB-VP\tO' -p328054 -aS'also\talso\tRB\tI-VP\tO' -p328055 -aS'seen\tsee\tVBN\tI-VP\tO' -p328056 -aS'by\tby\tIN\tB-PP\tO' -p328057 -aS'Cardiology\tCardiology\tNNP\tB-NP\tO' -p328058 -aS',\t,\t,\tO\tO' -p328059 -aS'and\tand\tCC\tO\tO' -p328060 -aS'she\tshe\tPRP\tB-NP\tO' -p328061 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p328062 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p328063 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p328064 -aS',\t,\t,\tO\tO' -p328065 -aS'as\tas\tIN\tB-PP\tO' -p328066 -aS'part\tpart\tNN\tB-NP\tO' -p328067 -aS'of\tof\tIN\tB-PP\tO' -p328068 -aS'her\ther\tPRP$\tB-NP\tO' -p328069 -aS'preop\tpreop\tNN\tI-NP\tO' -p328070 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p328071 -aS',\t,\t,\tO\tO' -p328072 -aS'which\twhich\tWDT\tB-NP\tO' -p328073 -aS'revealed\treveal\tVBD\tB-VP\tO' -p328074 -aS'normal\tnormal\tJJ\tB-NP\tO' -p328075 -aS'resting\trest\tVBG\tI-NP\tO' -p328076 -aS'hemodynamics\themodynamic\tNNS\tI-NP\tO' -p328077 -aS',\t,\t,\tO\tO' -p328078 -aS'and\tand\tCC\tO\tO' -p328079 -aS'a\ta\tDT\tB-NP\tO' -p328080 -aS'moderate\tmoderate\tJJ\tI-NP\tO' -p328081 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p328082 -aS'descending\tdescend\tVBG\tI-NP\tO' -p328083 -aS'artery\tartery\tNN\tI-NP\tO' -p328084 -aS',\t,\t,\tO\tO' -p328085 -aS'and\tand\tCC\tO\tO' -p328086 -aS'obtuse\tobtuse\tVB\tB-VP\tO' -p328087 -aS'marginal\tmarginal\tJJ\tB-NP\tO' -p328088 -aS'stenoses\tstenosis\tNNS\tI-NP\tO' -p328089 -aS'.\t.\t.\tO\tO' -p328090 -asS'1. Docusate Sodium 100 mg Capsule Sig : One ( 1 ) Capsule PO BID ( 2 times a day ) .' -p328091 -(lp328092 -S'1.\t1.\tLS\tB-NP\tO' -p328093 -aS'Docusate\tDocusate\tNN\tI-NP\tO' -p328094 -aS'Sodium\tSodium\tNN\tI-NP\tO' -p328095 -aS'100\t100\tCD\tI-NP\tO' -p328096 -aS'mg\tmg\tNN\tI-NP\tO' -p328097 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p328098 -aS'Sig\tSig\tNNP\tI-NP\tO' -p328099 -aS':\t:\t:\tO\tO' -p328100 -aS'One\tOne\tCD\tB-NP\tO' -p328101 -aS'(\t(\t(\tO\tO' -p328102 -aS'1\t1\tCD\tB-NP\tO' -p328103 -aS')\t)\t)\tO\tO' -p328104 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p328105 -aS'PO\tPO\tNNP\tI-NP\tO' -p328106 -aS'BID\tBID\tNNP\tI-NP\tO' -p328107 -aS'(\t(\t(\tO\tO' -p328108 -aS'2\t2\tCD\tB-NP\tO' -p328109 -aS'times\ttime\tNNS\tI-NP\tO' -p328110 -aS'a\ta\tDT\tB-NP\tO' -p328111 -aS'day\tday\tNN\tI-NP\tO' -p328112 -aS')\t)\t)\tO\tO' -p328113 -aS'.\t.\t.\tO\tO' -p328114 -asS'On admission , in general , the patient was in no acute distress , comfortable .' -p328115 -(lp328116 -S'On\tOn\tIN\tB-PP\tO' -p328117 -aS'admission\tadmission\tNN\tB-NP\tO' -p328118 -aS',\t,\t,\tO\tO' -p328119 -aS'in\tin\tIN\tB-PP\tO' -p328120 -aS'general\tgeneral\tJJ\tB-ADJP\tO' -p328121 -aS',\t,\t,\tO\tO' -p328122 -aS'the\tthe\tDT\tB-NP\tO' -p328123 -aS'patient\tpatient\tNN\tI-NP\tO' -p328124 -aS'was\tbe\tVBD\tB-VP\tO' -p328125 -aS'in\tin\tIN\tB-PP\tO' -p328126 -aS'no\tno\tDT\tB-NP\tO' -p328127 -aS'acute\tacute\tJJ\tI-NP\tO' -p328128 -aS'distress\tdistress\tNN\tI-NP\tO' -p328129 -aS',\t,\t,\tO\tO' -p328130 -aS'comfortable\tcomfortable\tJJ\tB-ADJP\tO' -p328131 -aS'.\t.\t.\tO\tO' -p328132 -asS'He had midline catheter that was still in place and was draining bile .' -p328133 -(lp328134 -S'He\tHe\tPRP\tB-NP\tO' -p328135 -aS'had\thave\tVBD\tB-VP\tO' -p328136 -aS'midline\tmidline\tNN\tB-NP\tO' -p328137 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p328138 -aS'that\tthat\tWDT\tB-NP\tO' -p328139 -aS'was\tbe\tVBD\tB-VP\tO' -p328140 -aS'still\tstill\tRB\tB-ADVP\tO' -p328141 -aS'in\tin\tIN\tB-PP\tO' -p328142 -aS'place\tplace\tNN\tB-NP\tO' -p328143 -aS'and\tand\tCC\tO\tO' -p328144 -aS'was\tbe\tVBD\tB-VP\tO' -p328145 -aS'draining\tdrain\tVBG\tI-VP\tO' -p328146 -aS'bile\tbile\tNN\tB-NP\tO' -p328147 -aS'.\t.\t.\tO\tO' -p328148 -asS'Conant palsy with Left sided weakness' -p328149 -(lp328150 -S'Conant\tConant\tJJ\tB-NP\tO' -p328151 -aS'palsy\tpalsy\tNN\tI-NP\tO' -p328152 -aS'with\twith\tIN\tB-PP\tO' -p328153 -aS'Left\tLeft\tJJ\tB-NP\tO' -p328154 -aS'sided\tsided\tJJ\tI-NP\tO' -p328155 -aS'weakness\tweakness\tNN\tI-NP\tO' -p328156 -asS'Tongue deviated to the left .' -p328157 -(lp328158 -S'Tongue\tTongue\tNNP\tB-NP\tO' -p328159 -aS'deviated\tdeviate\tVBD\tB-VP\tO' -p328160 -aS'to\tto\tTO\tB-PP\tO' -p328161 -aS'the\tthe\tDT\tB-NP\tO' -p328162 -aS'left\tleft\tNN\tI-NP\tO' -p328163 -aS'.\t.\t.\tO\tO' -p328164 -asS'Last ABG there was 6.98 , 31 , 171 , bicarbonate of 7 .' -p328165 -(lp328166 -S'Last\tLast\tJJ\tB-NP\tO' -p328167 -aS'ABG\tABG\tNN\tI-NP\tO' -p328168 -aS'there\tthere\tEX\tB-NP\tO' -p328169 -aS'was\tbe\tVBD\tB-VP\tO' -p328170 -aS'6.98\t6.98\tCD\tB-NP\tO' -p328171 -aS',\t,\t,\tI-NP\tO' -p328172 -aS'31\t31\tCD\tI-NP\tO' -p328173 -aS',\t,\t,\tI-NP\tO' -p328174 -aS'171\t171\tCD\tI-NP\tO' -p328175 -aS',\t,\t,\tO\tO' -p328176 -aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' -p328177 -aS'of\tof\tIN\tB-PP\tO' -p328178 -aS'7\t7\tCD\tB-NP\tO' -p328179 -aS'.\t.\t.\tO\tO' -p328180 -asS'She had menarche at age 15 .' -p328181 -(lp328182 -S'She\tShe\tPRP\tB-NP\tO' -p328183 -aS'had\thave\tVBD\tB-VP\tO' -p328184 -aS'menarche\tmenarche\tPRP\tB-NP\tO' -p328185 -aS'at\tat\tIN\tB-PP\tO' -p328186 -aS'age\tage\tNN\tB-NP\tO' -p328187 -aS'15\t15\tCD\tI-NP\tO' -p328188 -aS'.\t.\t.\tO\tO' -p328189 -asS'He had no pedal edema or lower extremity lesions .' -p328190 -(lp328191 -S'He\tHe\tPRP\tB-NP\tO' -p328192 -aS'had\thave\tVBD\tB-VP\tO' -p328193 -aS'no\tno\tDT\tB-NP\tO' -p328194 -aS'pedal\tpedal\tJJ\tI-NP\tO' -p328195 -aS'edema\tedema\tNN\tI-NP\tO' -p328196 -aS'or\tor\tCC\tO\tO' -p328197 -aS'lower\tlow\tJJR\tB-NP\tO' -p328198 -aS'extremity\textremity\tNN\tI-NP\tO' -p328199 -aS'lesions\tlesion\tNNS\tI-NP\tO' -p328200 -aS'.\t.\t.\tO\tO' -p328201 -asS'over 100 red blood cells per high powered field , 20-50 white blood cells per high powered field .' -p328202 -(lp328203 -S'over\tover\tIN\tB-PP\tO' -p328204 -aS'100\t100\tCD\tB-NP\tO' -p328205 -aS'red\tred\tJJ\tI-NP\tO' -p328206 -aS'blood\tblood\tNN\tI-NP\tO' -p328207 -aS'cells\tcell\tNNS\tI-NP\tO' -p328208 -aS'per\tper\tIN\tB-PP\tO' -p328209 -aS'high\thigh\tJJ\tB-NP\tO' -p328210 -aS'powered\tpowered\tJJ\tI-NP\tO' -p328211 -aS'field\tfield\tNN\tI-NP\tO' -p328212 -aS',\t,\t,\tO\tO' -p328213 -aS'20-50\t20-50\tCD\tB-NP\tO' -p328214 -aS'white\twhite\tJJ\tI-NP\tB-cell_type' -p328215 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p328216 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p328217 -aS'per\tper\tIN\tB-PP\tO' -p328218 -aS'high\thigh\tJJ\tB-NP\tO' -p328219 -aS'powered\tpowered\tJJ\tI-NP\tO' -p328220 -aS'field\tfield\tNN\tI-NP\tO' -p328221 -aS'.\t.\t.\tO\tO' -p328222 -asS'Studies revealed a hematocrit of 32.6 , white count of 6.0 .' -p328223 -(lp328224 -S'Studies\tStudy\tNNS\tB-NP\tO' -p328225 -aS'revealed\treveal\tVBD\tB-VP\tO' -p328226 -aS'a\ta\tDT\tB-NP\tO' -p328227 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p328228 -aS'of\tof\tIN\tB-PP\tO' -p328229 -aS'32.6\t32.6\tCD\tB-NP\tO' -p328230 -aS',\t,\t,\tO\tO' -p328231 -aS'white\twhite\tJJ\tB-NP\tO' -p328232 -aS'count\tcount\tNN\tI-NP\tO' -p328233 -aS'of\tof\tIN\tB-PP\tO' -p328234 -aS'6.0\t6.0\tCD\tB-NP\tO' -p328235 -aS'.\t.\t.\tO\tO' -p328236 -asS'A repeat head CT scan on 05-15 had shown the resolution of the subdural hematoma and significant improvement of the subgaleal bleed .' -p328237 -(lp328238 -S'A\tA\tDT\tB-NP\tO' -p328239 -aS'repeat\trepeat\tNN\tI-NP\tO' -p328240 -aS'head\thead\tNN\tI-NP\tO' -p328241 -aS'CT\tCT\tNN\tI-NP\tO' -p328242 -aS'scan\tscan\tNN\tI-NP\tO' -p328243 -aS'on\ton\tIN\tB-PP\tO' -p328244 -aS'05-15\t05-15\tCD\tB-NP\tO' -p328245 -aS'had\thave\tVBD\tB-VP\tO' -p328246 -aS'shown\tshow\tVBN\tI-VP\tO' -p328247 -aS'the\tthe\tDT\tB-NP\tO' -p328248 -aS'resolution\tresolution\tNN\tI-NP\tO' -p328249 -aS'of\tof\tIN\tB-PP\tO' -p328250 -aS'the\tthe\tDT\tB-NP\tO' -p328251 -aS'subdural\tsubdural\tJJ\tI-NP\tO' -p328252 -aS'hematoma\thematoma\tNN\tI-NP\tO' -p328253 -aS'and\tand\tCC\tO\tO' -p328254 -aS'significant\tsignificant\tJJ\tB-NP\tO' -p328255 -aS'improvement\timprovement\tNN\tI-NP\tO' -p328256 -aS'of\tof\tIN\tB-PP\tO' -p328257 -aS'the\tthe\tDT\tB-NP\tO' -p328258 -aS'subgaleal\tsubgaleal\tJJ\tI-NP\tO' -p328259 -aS'bleed\tbleed\tNN\tI-NP\tO' -p328260 -aS'.\t.\t.\tO\tO' -p328261 -asS'- Biopsies were obtained during his colonoscopy and he should follow up with gastroenterology for the results .' -p328262 -(lp328263 -S'-\t-\tHYPH\tB-NP\tO' -p328264 -aS'Biopsies\tBiopsy\tNNS\tI-NP\tO' -p328265 -aS'were\tbe\tVBD\tB-VP\tO' -p328266 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p328267 -aS'during\tduring\tIN\tB-PP\tO' -p328268 -aS'his\this\tPRP$\tB-NP\tO' -p328269 -aS'colonoscopy\tcolonoscopy\tNN\tI-NP\tO' -p328270 -aS'and\tand\tCC\tO\tO' -p328271 -aS'he\the\tPRP\tB-NP\tO' -p328272 -aS'should\tshould\tMD\tB-VP\tO' -p328273 -aS'follow\tfollow\tVB\tI-VP\tO' -p328274 -aS'up\tup\tRP\tB-PRT\tO' -p328275 -aS'with\twith\tIN\tB-PP\tO' -p328276 -aS'gastroenterology\tgastroenterology\tNN\tB-NP\tO' -p328277 -aS'for\tfor\tIN\tB-PP\tO' -p328278 -aS'the\tthe\tDT\tB-NP\tO' -p328279 -aS'results\tresult\tNNS\tI-NP\tO' -p328280 -aS'.\t.\t.\tO\tO' -p328281 -asS'cholecystectomy , total abdominal hysterectomy , cataract excision .' -p328282 -(lp328283 -S'cholecystectomy\tcholecystectomy\tNN\tB-NP\tO' -p328284 -aS',\t,\t,\tO\tO' -p328285 -aS'total\ttotal\tJJ\tB-NP\tO' -p328286 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p328287 -aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' -p328288 -aS',\t,\t,\tO\tO' -p328289 -aS'cataract\tcataract\tNN\tB-NP\tO' -p328290 -aS'excision\texcision\tNN\tI-NP\tO' -p328291 -aS'.\t.\t.\tO\tO' -p328292 -asS'Respiratory rate 18 .' -p328293 -(lp328294 -S'Respiratory\tRespiratory\tJJ\tB-NP\tO' -p328295 -aS'rate\trate\tNN\tI-NP\tO' -p328296 -aS'18\t18\tCD\tI-NP\tO' -p328297 -aS'.\t.\t.\tO\tO' -p328298 -asS"Peak CPK was 2494 with 18% MB 's ." -p328299 -(lp328300 -S'Peak\tPeak\tJJ\tB-NP\tO' -p328301 -aS'CPK\tCPK\tNN\tI-NP\tB-protein' -p328302 -aS'was\tbe\tVBD\tB-VP\tO' -p328303 -aS'2494\t2494\tCD\tB-NP\tO' -p328304 -aS'with\twith\tIN\tB-PP\tO' -p328305 -aS'18%\t18%\tCD\tB-NP\tO' -p328306 -aS'MB\tMB\tNN\tI-NP\tO' -p328307 -aS"'s\t's\tPOS\tB-NP\tO" -p328308 -aS'.\t.\t.\tO\tO' -p328309 -asS'Car seat positioning screening has not been obtained .' -p328310 -(lp328311 -S'Car\tCar\tNN\tB-NP\tB-protein' -p328312 -aS'seat\tseat\tNN\tI-NP\tO' -p328313 -aS'positioning\tpositioning\tNN\tI-NP\tO' -p328314 -aS'screening\tscreening\tNN\tI-NP\tO' -p328315 -aS'has\thave\tVBZ\tB-VP\tO' -p328316 -aS'not\tnot\tRB\tI-VP\tO' -p328317 -aS'been\tbe\tVBN\tI-VP\tO' -p328318 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p328319 -aS'.\t.\t.\tO\tO' -p328320 -asS'It is associated with SOB as well as fevers , chills .' -p328321 -(lp328322 -S'It\tIt\tPRP\tB-NP\tO' -p328323 -aS'is\tbe\tVBZ\tB-VP\tO' -p328324 -aS'associated\tassociate\tVBN\tI-VP\tO' -p328325 -aS'with\twith\tIN\tB-PP\tO' -p328326 -aS'SOB\tSOB\tNN\tB-NP\tB-protein' -p328327 -aS'as\tas\tRB\tB-CONJP\tO' -p328328 -aS'well\twell\tRB\tI-CONJP\tO' -p328329 -aS'as\tas\tIN\tI-CONJP\tO' -p328330 -aS'fevers\tfever\tNNS\tB-NP\tO' -p328331 -aS',\t,\t,\tO\tO' -p328332 -aS'chills\tchill\tNNS\tB-NP\tO' -p328333 -aS'.\t.\t.\tO\tO' -p328334 -asS'6. Ipratropium Bromide 0.02 % Solution Sig : One ( 1 ) Inhalation Q4H ( every 4 hours ) .' -p328335 -(lp328336 -S'6.\t6.\tLS\tB-NP\tO' -p328337 -aS'Ipratropium\tIpratropium\tNNP\tI-NP\tO' -p328338 -aS'Bromide\tBromide\tNNP\tI-NP\tO' -p328339 -aS'0.02\t0.02\tCD\tI-NP\tO' -p328340 -aS'%\t%\tNN\tI-NP\tO' -p328341 -aS'Solution\tSolution\tNNP\tI-NP\tO' -p328342 -aS'Sig\tSig\tNNP\tI-NP\tO' -p328343 -aS':\t:\t:\tO\tO' -p328344 -aS'One\tOne\tCD\tB-NP\tO' -p328345 -aS'(\t(\t(\tO\tO' -p328346 -aS'1\t1\tCD\tB-NP\tO' -p328347 -aS')\t)\t)\tO\tO' -p328348 -aS'Inhalation\tInhalation\tNN\tB-NP\tO' -p328349 -aS'Q4H\tQ4H\tNN\tI-NP\tO' -p328350 -aS'(\t(\t(\tO\tO' -p328351 -aS'every\tevery\tDT\tB-NP\tO' -p328352 -aS'4\t4\tCD\tI-NP\tO' -p328353 -aS'hours\thour\tNNS\tI-NP\tO' -p328354 -aS')\t)\t)\tO\tO' -p328355 -aS'.\t.\t.\tO\tO' -p328356 -asS'Pain 2/10 persisted , relieved by MSO4 .' -p328357 -(lp328358 -S'Pain\tPain\tNN\tB-NP\tO' -p328359 -aS'2/10\t2/10\tCD\tI-NP\tO' -p328360 -aS'persisted\tpersist\tVBD\tB-VP\tO' -p328361 -aS',\t,\t,\tO\tO' -p328362 -aS'relieved\trelieve\tVBN\tB-VP\tO' -p328363 -aS'by\tby\tIN\tB-PP\tO' -p328364 -aS'MSO4\tMSO4\tNN\tB-NP\tB-protein' -p328365 -aS'.\t.\t.\tO\tO' -p328366 -asS'Aortic stenosis .' -p328367 -(lp328368 -S'Aortic\tAortic\tJJ\tB-NP\tO' -p328369 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p328370 -aS'.\t.\t.\tO\tO' -p328371 -asS'After remaining stable in the CSRU for several days without change in neuro status she was transferred back to the SDU on post-op day four .' -p328372 -(lp328373 -S'After\tAfter\tIN\tB-PP\tO' -p328374 -aS'remaining\tremain\tVBG\tB-VP\tO' -p328375 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p328376 -aS'in\tin\tIN\tB-PP\tO' -p328377 -aS'the\tthe\tDT\tB-NP\tO' -p328378 -aS'CSRU\tCSRU\tNN\tI-NP\tO' -p328379 -aS'for\tfor\tIN\tB-PP\tO' -p328380 -aS'several\tseveral\tJJ\tB-NP\tO' -p328381 -aS'days\tday\tNNS\tI-NP\tO' -p328382 -aS'without\twithout\tIN\tB-PP\tO' -p328383 -aS'change\tchange\tNN\tB-NP\tO' -p328384 -aS'in\tin\tIN\tB-PP\tO' -p328385 -aS'neuro\tneuro\tNN\tB-NP\tO' -p328386 -aS'status\tstatus\tNN\tI-NP\tO' -p328387 -aS'she\tshe\tPRP\tB-NP\tO' -p328388 -aS'was\tbe\tVBD\tB-VP\tO' -p328389 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p328390 -aS'back\tback\tRB\tB-ADVP\tO' -p328391 -aS'to\tto\tTO\tB-PP\tO' -p328392 -aS'the\tthe\tDT\tB-NP\tO' -p328393 -aS'SDU\tSDU\tNN\tI-NP\tO' -p328394 -aS'on\ton\tIN\tB-PP\tO' -p328395 -aS'post-op\tpost-op\tJJ\tB-NP\tO' -p328396 -aS'day\tday\tNN\tI-NP\tO' -p328397 -aS'four\tfour\tCD\tI-NP\tO' -p328398 -aS'.\t.\t.\tO\tO' -p328399 -asS'The patient was then transferred to the CSRU , intubated , in stable condition .' -p328400 -(lp328401 -S'The\tThe\tDT\tB-NP\tO' -p328402 -aS'patient\tpatient\tNN\tI-NP\tO' -p328403 -aS'was\tbe\tVBD\tB-VP\tO' -p328404 -aS'then\tthen\tRB\tI-VP\tO' -p328405 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p328406 -aS'to\tto\tTO\tB-PP\tO' -p328407 -aS'the\tthe\tDT\tB-NP\tO' -p328408 -aS'CSRU\tCSRU\tNN\tI-NP\tB-DNA' -p328409 -aS',\t,\t,\tO\tO' -p328410 -aS'intubated\tintubate\tVBN\tB-VP\tO' -p328411 -aS',\t,\t,\tO\tO' -p328412 -aS'in\tin\tIN\tB-PP\tO' -p328413 -aS'stable\tstable\tJJ\tB-NP\tO' -p328414 -aS'condition\tcondition\tNN\tI-NP\tO' -p328415 -aS'.\t.\t.\tO\tO' -p328416 -asS'No coronary disease , no diabetes and no hypertension .' -p328417 -(lp328418 -S'No\tNo\tDT\tB-NP\tO' -p328419 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p328420 -aS'disease\tdisease\tNN\tI-NP\tO' -p328421 -aS',\t,\t,\tO\tO' -p328422 -aS'no\tno\tDT\tB-NP\tO' -p328423 -aS'diabetes\tdiabete\tNNS\tI-NP\tO' -p328424 -aS'and\tand\tCC\tO\tO' -p328425 -aS'no\tno\tDT\tB-NP\tO' -p328426 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p328427 -aS'.\t.\t.\tO\tO' -p328428 -asS'19. Levofloxacin 500 mg Tablet Sig : One ( 1 ) Tablet PO Q24H ( every 24 hours ) for 2 days .' -p328429 -(lp328430 -S'19.\t19.\tCD\tB-NP\tO' -p328431 -aS'Levofloxacin\tLevofloxacin\tNN\tI-NP\tO' -p328432 -aS'500\t500\tCD\tB-NP\tO' -p328433 -aS'mg\tmg\tNN\tI-NP\tO' -p328434 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p328435 -aS'Sig\tSig\tNNP\tI-NP\tO' -p328436 -aS':\t:\t:\tO\tO' -p328437 -aS'One\tOne\tCD\tB-NP\tO' -p328438 -aS'(\t(\t(\tO\tO' -p328439 -aS'1\t1\tCD\tB-NP\tO' -p328440 -aS')\t)\t)\tO\tO' -p328441 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p328442 -aS'PO\tPO\tNN\tI-NP\tO' -p328443 -aS'Q24H\tQ24H\tNN\tI-NP\tO' -p328444 -aS'(\t(\t(\tO\tO' -p328445 -aS'every\tevery\tDT\tB-NP\tO' -p328446 -aS'24\t24\tCD\tI-NP\tO' -p328447 -aS'hours\thour\tNNS\tI-NP\tO' -p328448 -aS')\t)\t)\tO\tO' -p328449 -aS'for\tfor\tIN\tB-PP\tO' -p328450 -aS'2\t2\tCD\tB-NP\tO' -p328451 -aS'days\tday\tNNS\tI-NP\tO' -p328452 -aS'.\t.\t.\tO\tO' -p328453 -asS'She will be discharged on this dose in addition to 1 day of Lovenox .' -p328454 -(lp328455 -S'She\tShe\tPRP\tB-NP\tO' -p328456 -aS'will\twill\tMD\tB-VP\tO' -p328457 -aS'be\tbe\tVB\tI-VP\tO' -p328458 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p328459 -aS'on\ton\tIN\tB-PP\tO' -p328460 -aS'this\tthis\tDT\tB-NP\tO' -p328461 -aS'dose\tdose\tNN\tI-NP\tO' -p328462 -aS'in\tin\tIN\tB-PP\tO' -p328463 -aS'addition\taddition\tNN\tB-NP\tO' -p328464 -aS'to\tto\tTO\tB-PP\tO' -p328465 -aS'1\t1\tCD\tB-NP\tO' -p328466 -aS'day\tday\tNN\tI-NP\tO' -p328467 -aS'of\tof\tIN\tB-PP\tO' -p328468 -aS'Lovenox\tLovenox\tNNP\tB-NP\tO' -p328469 -aS'.\t.\t.\tO\tO' -p328470 -asS'5. GU .' -p328471 -(lp328472 -S'5.\t5.\tLS\tB-NP\tO' -p328473 -aS'GU\tGU\tNN\tI-NP\tO' -p328474 -aS'.\t.\t.\tO\tO' -p328475 -asS'Vascular Surgery Service was also consulted .' -p328476 -(lp328477 -S'Vascular\tVascular\tNNP\tB-NP\tO' -p328478 -aS'Surgery\tSurgery\tNNP\tI-NP\tO' -p328479 -aS'Service\tService\tNNP\tI-NP\tO' -p328480 -aS'was\tbe\tVBD\tB-VP\tO' -p328481 -aS'also\talso\tRB\tI-VP\tO' -p328482 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p328483 -aS'.\t.\t.\tO\tO' -p328484 -asS'There was some concern that the patient may have a partial biliary obstruction and the patient was sent for an magnetic resonance cholangiopancreatography to further evaluate the biliary system .' -p328485 -(lp328486 -S'There\tThere\tEX\tB-NP\tO' -p328487 -aS'was\tbe\tVBD\tB-VP\tO' -p328488 -aS'some\tsome\tDT\tB-NP\tO' -p328489 -aS'concern\tconcern\tNN\tI-NP\tO' -p328490 -aS'that\tthat\tIN\tB-SBAR\tO' -p328491 -aS'the\tthe\tDT\tB-NP\tO' -p328492 -aS'patient\tpatient\tNN\tI-NP\tO' -p328493 -aS'may\tmay\tMD\tB-VP\tO' -p328494 -aS'have\thave\tVB\tI-VP\tO' -p328495 -aS'a\ta\tDT\tB-NP\tO' -p328496 -aS'partial\tpartial\tJJ\tI-NP\tO' -p328497 -aS'biliary\tbiliary\tJJ\tI-NP\tO' -p328498 -aS'obstruction\tobstruction\tNN\tI-NP\tO' -p328499 -aS'and\tand\tCC\tO\tO' -p328500 -aS'the\tthe\tDT\tB-NP\tO' -p328501 -aS'patient\tpatient\tNN\tI-NP\tO' -p328502 -aS'was\tbe\tVBD\tB-VP\tO' -p328503 -aS'sent\tsend\tVBN\tI-VP\tO' -p328504 -aS'for\tfor\tIN\tB-PP\tO' -p328505 -aS'an\tan\tDT\tB-NP\tO' -p328506 -aS'magnetic\tmagnetic\tJJ\tI-NP\tO' -p328507 -aS'resonance\tresonance\tNN\tI-NP\tO' -p328508 -aS'cholangiopancreatography\tcholangiopancreatography\tNN\tI-NP\tO' -p328509 -aS'to\tto\tTO\tB-VP\tO' -p328510 -aS'further\tfurther\tRB\tI-VP\tO' -p328511 -aS'evaluate\tevaluate\tVB\tI-VP\tO' -p328512 -aS'the\tthe\tDT\tB-NP\tO' -p328513 -aS'biliary\tbiliary\tJJ\tI-NP\tO' -p328514 -aS'system\tsystem\tNN\tI-NP\tO' -p328515 -aS'.\t.\t.\tO\tO' -p328516 -asS'He was intermittently restless and somewhat confused , and as his respiratory status deteriorated , the family agreed to a low dose Morphine drip which made him much more comfortable .' -p328517 -(lp328518 -S'He\tHe\tPRP\tB-NP\tO' -p328519 -aS'was\tbe\tVBD\tB-VP\tO' -p328520 -aS'intermittently\tintermittently\tRB\tB-ADJP\tO' -p328521 -aS'restless\trestless\tJJ\tI-ADJP\tO' -p328522 -aS'and\tand\tCC\tO\tO' -p328523 -aS'somewhat\tsomewhat\tRB\tB-ADJP\tO' -p328524 -aS'confused\tconfused\tJJ\tI-ADJP\tO' -p328525 -aS',\t,\t,\tO\tO' -p328526 -aS'and\tand\tCC\tO\tO' -p328527 -aS'as\tas\tIN\tB-PP\tO' -p328528 -aS'his\this\tPRP$\tB-NP\tO' -p328529 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p328530 -aS'status\tstatus\tNN\tI-NP\tO' -p328531 -aS'deteriorated\tdeteriorate\tVBN\tB-VP\tO' -p328532 -aS',\t,\t,\tO\tO' -p328533 -aS'the\tthe\tDT\tB-NP\tO' -p328534 -aS'family\tfamily\tNN\tI-NP\tO' -p328535 -aS'agreed\tagree\tVBD\tB-VP\tO' -p328536 -aS'to\tto\tTO\tB-PP\tO' -p328537 -aS'a\ta\tDT\tB-NP\tO' -p328538 -aS'low\tlow\tJJ\tI-NP\tO' -p328539 -aS'dose\tdose\tNN\tI-NP\tO' -p328540 -aS'Morphine\tMorphine\tNN\tI-NP\tO' -p328541 -aS'drip\tdrip\tNN\tI-NP\tO' -p328542 -aS'which\twhich\tWDT\tB-NP\tO' -p328543 -aS'made\tmake\tVBD\tB-VP\tO' -p328544 -aS'him\thim\tPRP\tB-NP\tO' -p328545 -aS'much\tmuch\tRB\tB-ADJP\tO' -p328546 -aS'more\tmore\tRBR\tI-ADJP\tO' -p328547 -aS'comfortable\tcomfortable\tJJ\tI-ADJP\tO' -p328548 -aS'.\t.\t.\tO\tO' -p328549 -asS'He has been managing at home on restricted activity but able to get around with a walker but on the day before admission he became increasing dyspneic and on the day of admission he collapsed and was unable to walk to his bed .' -p328550 -(lp328551 -S'He\tHe\tPRP\tB-NP\tO' -p328552 -aS'has\thave\tVBZ\tB-VP\tO' -p328553 -aS'been\tbe\tVBN\tI-VP\tO' -p328554 -aS'managing\tmanage\tVBG\tI-VP\tO' -p328555 -aS'at\tat\tIN\tB-PP\tO' -p328556 -aS'home\thome\tNN\tB-NP\tO' -p328557 -aS'on\ton\tIN\tB-PP\tO' -p328558 -aS'restricted\trestricted\tJJ\tB-NP\tO' -p328559 -aS'activity\tactivity\tNN\tI-NP\tO' -p328560 -aS'but\tbut\tCC\tO\tO' -p328561 -aS'able\table\tJJ\tB-ADJP\tO' -p328562 -aS'to\tto\tTO\tB-VP\tO' -p328563 -aS'get\tget\tVB\tI-VP\tO' -p328564 -aS'around\taround\tRP\tB-PRT\tO' -p328565 -aS'with\twith\tIN\tB-PP\tO' -p328566 -aS'a\ta\tDT\tB-NP\tO' -p328567 -aS'walker\twalker\tNN\tI-NP\tO' -p328568 -aS'but\tbut\tCC\tB-PP\tO' -p328569 -aS'on\ton\tIN\tB-PP\tO' -p328570 -aS'the\tthe\tDT\tB-NP\tO' -p328571 -aS'day\tday\tNN\tI-NP\tO' -p328572 -aS'before\tbefore\tIN\tB-PP\tO' -p328573 -aS'admission\tadmission\tNN\tB-NP\tO' -p328574 -aS'he\the\tPRP\tB-NP\tO' -p328575 -aS'became\tbecome\tVBD\tB-VP\tO' -p328576 -aS'increasing\tincrease\tVBG\tB-ADJP\tO' -p328577 -aS'dyspneic\tdyspneic\tJJ\tI-ADJP\tO' -p328578 -aS'and\tand\tCC\tO\tO' -p328579 -aS'on\ton\tIN\tB-PP\tO' -p328580 -aS'the\tthe\tDT\tB-NP\tO' -p328581 -aS'day\tday\tNN\tI-NP\tO' -p328582 -aS'of\tof\tIN\tB-PP\tO' -p328583 -aS'admission\tadmission\tNN\tB-NP\tO' -p328584 -aS'he\the\tPRP\tB-NP\tO' -p328585 -aS'collapsed\tcollapse\tVBD\tB-VP\tO' -p328586 -aS'and\tand\tCC\tO\tO' -p328587 -aS'was\tbe\tVBD\tB-VP\tO' -p328588 -aS'unable\tunable\tJJ\tB-ADJP\tO' -p328589 -aS'to\tto\tTO\tB-VP\tO' -p328590 -aS'walk\twalk\tVB\tI-VP\tO' -p328591 -aS'to\tto\tTO\tB-PP\tO' -p328592 -aS'his\this\tPRP$\tB-NP\tO' -p328593 -aS'bed\tbed\tNN\tI-NP\tO' -p328594 -aS'.\t.\t.\tO\tO' -p328595 -asS'GI .' -p328596 -(lp328597 -S'GI\tGI\tLS\tB-LST\tO' -p328598 -aS'.\t.\t.\tO\tO' -p328599 -asS'Her mental status , tachypnea , and hypoxia all improved , and patient was subsequently transferred back to the floor medical team on 2017-01-15 .' -p328600 -(lp328601 -S'Her\tHer\tPRP$\tB-NP\tO' -p328602 -aS'mental\tmental\tJJ\tI-NP\tO' -p328603 -aS'status\tstatus\tNN\tI-NP\tO' -p328604 -aS',\t,\t,\tO\tO' -p328605 -aS'tachypnea\ttachypnea\tNN\tB-NP\tO' -p328606 -aS',\t,\t,\tO\tO' -p328607 -aS'and\tand\tCC\tO\tO' -p328608 -aS'hypoxia\thypoxia\tNN\tB-NP\tO' -p328609 -aS'all\tall\tDT\tB-NP\tO' -p328610 -aS'improved\timprove\tVBN\tI-NP\tO' -p328611 -aS',\t,\t,\tI-NP\tO' -p328612 -aS'and\tand\tCC\tI-NP\tO' -p328613 -aS'patient\tpatient\tNN\tI-NP\tO' -p328614 -aS'was\tbe\tVBD\tB-VP\tO' -p328615 -aS'subsequently\tsubsequently\tRB\tI-VP\tO' -p328616 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p328617 -aS'back\tback\tRB\tB-ADVP\tO' -p328618 -aS'to\tto\tTO\tB-PP\tO' -p328619 -aS'the\tthe\tDT\tB-NP\tO' -p328620 -aS'floor\tfloor\tNN\tI-NP\tO' -p328621 -aS'medical\tmedical\tJJ\tI-NP\tO' -p328622 -aS'team\tteam\tNN\tI-NP\tO' -p328623 -aS'on\ton\tIN\tB-PP\tO' -p328624 -aS'2017-01-15\t2017-01-15\tCD\tB-NP\tO' -p328625 -aS'.\t.\t.\tO\tO' -p328626 -asS'She will be maintained on a PT between 15 and 17 with Coumadin .' -p328627 -(lp328628 -S'She\tShe\tPRP\tB-NP\tO' -p328629 -aS'will\twill\tMD\tB-VP\tO' -p328630 -aS'be\tbe\tVB\tI-VP\tO' -p328631 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p328632 -aS'on\ton\tIN\tB-PP\tO' -p328633 -aS'a\ta\tDT\tB-NP\tO' -p328634 -aS'PT\tPT\tNN\tI-NP\tO' -p328635 -aS'between\tbetween\tIN\tB-PP\tO' -p328636 -aS'15\t15\tCD\tB-NP\tO' -p328637 -aS'and\tand\tCC\tI-NP\tO' -p328638 -aS'17\t17\tCD\tI-NP\tO' -p328639 -aS'with\twith\tIN\tB-PP\tO' -p328640 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p328641 -aS'.\t.\t.\tO\tO' -p328642 -asS'Initially he was treated with intravenous fluids with a dramatic response in his systolic blood pressure .' -p328643 -(lp328644 -S'Initially\tInitially\tRB\tB-ADVP\tO' -p328645 -aS'he\the\tPRP\tB-NP\tO' -p328646 -aS'was\tbe\tVBD\tB-VP\tO' -p328647 -aS'treated\ttreat\tVBN\tI-VP\tO' -p328648 -aS'with\twith\tIN\tB-PP\tO' -p328649 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p328650 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p328651 -aS'with\twith\tIN\tB-PP\tO' -p328652 -aS'a\ta\tDT\tB-NP\tO' -p328653 -aS'dramatic\tdramatic\tJJ\tI-NP\tO' -p328654 -aS'response\tresponse\tNN\tI-NP\tO' -p328655 -aS'in\tin\tIN\tB-PP\tO' -p328656 -aS'his\this\tPRP$\tB-NP\tO' -p328657 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p328658 -aS'blood\tblood\tNN\tI-NP\tO' -p328659 -aS'pressure\tpressure\tNN\tI-NP\tO' -p328660 -aS'.\t.\t.\tO\tO' -p328661 -asS'Over the course of the hospitalization , the patient 's white blood cell count rose from 0.4 to 6.3 after he was given G-CSF , a course lasting from 9/28/01 until 9/30/01 .' -p328662 -(lp328663 -S'Over\tOver\tIN\tB-PP\tO' -p328664 -aS'the\tthe\tDT\tB-NP\tO' -p328665 -aS'course\tcourse\tNN\tI-NP\tO' -p328666 -aS'of\tof\tIN\tB-PP\tO' -p328667 -aS'the\tthe\tDT\tB-NP\tO' -p328668 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p328669 -aS',\t,\t,\tO\tO' -p328670 -aS'the\tthe\tDT\tB-NP\tO' -p328671 -aS'patient\tpatient\tNN\tI-NP\tO' -p328672 -aS''s\t'\tNNS\tI-NP\tO' -p328673 -aS'white\twhite\tJJ\tB-NP\tO' -p328674 -aS'blood\tblood\tNN\tI-NP\tO' -p328675 -aS'cell\tcell\tNN\tI-NP\tO' -p328676 -aS'count\tcount\tNN\tI-NP\tO' -p328677 -aS'rose\trise\tVBD\tB-VP\tO' -p328678 -aS'from\tfrom\tIN\tB-PP\tO' -p328679 -aS'0.4\t0.4\tCD\tB-NP\tO' -p328680 -aS'to\tto\tTO\tB-PP\tO' -p328681 -aS'6.3\t6.3\tCD\tB-NP\tO' -p328682 -aS'after\tafter\tIN\tB-SBAR\tO' -p328683 -aS'he\the\tPRP\tB-NP\tO' -p328684 -aS'was\tbe\tVBD\tB-VP\tO' -p328685 -aS'given\tgive\tVBN\tI-VP\tO' -p328686 -aS'G-CSF\tG-CSF\tNN\tB-NP\tB-protein' -p328687 -aS',\t,\t,\tO\tO' -p328688 -aS'a\ta\tDT\tB-NP\tO' -p328689 -aS'course\tcourse\tNN\tI-NP\tO' -p328690 -aS'lasting\tlast\tVBG\tB-VP\tO' -p328691 -aS'from\tfrom\tIN\tB-PP\tO' -p328692 -aS'9/28/01\t9/28/01\tCD\tB-NP\tO' -p328693 -aS'until\tuntil\tIN\tB-PP\tO' -p328694 -aS'9/30/01\t9/30/01\tCD\tB-NP\tO' -p328695 -aS'.\t.\t.\tO\tO' -p328696 -asS'4. Linezolid 600 mg Tablet Sig : One ( 1 ) Tablet PO Q12H ( every 12 hours ): Last dose 2014-11-20 .' -p328697 -(lp328698 -S'4.\t4.\tLS\tB-NP\tO' -p328699 -aS'Linezolid\tLinezolid\tNN\tI-NP\tO' -p328700 -aS'600\t600\tCD\tI-NP\tO' -p328701 -aS'mg\tmg\tNN\tI-NP\tO' -p328702 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p328703 -aS'Sig\tSig\tNNP\tI-NP\tO' -p328704 -aS':\t:\t:\tO\tO' -p328705 -aS'One\tOne\tCD\tB-NP\tO' -p328706 -aS'(\t(\t(\tO\tO' -p328707 -aS'1\t1\tCD\tB-NP\tO' -p328708 -aS')\t)\t)\tO\tO' -p328709 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p328710 -aS'PO\tPO\tNN\tI-NP\tO' -p328711 -aS'Q12H\tQ12H\tNN\tI-NP\tO' -p328712 -aS'(\t(\t(\tO\tO' -p328713 -aS'every\tevery\tDT\tB-NP\tO' -p328714 -aS'12\t12\tCD\tI-NP\tO' -p328715 -aS'hours\thour\tNNS\tI-NP\tO' -p328716 -aS'):\t):\t:\tO\tO' -p328717 -aS'Last\tLast\tJJ\tB-NP\tO' -p328718 -aS'dose\tdose\tNN\tI-NP\tO' -p328719 -aS'2014-11-20\t2014-11-20\tCD\tI-NP\tO' -p328720 -aS'.\t.\t.\tO\tO' -p328721 -asS'The patient was also instructed to followup with Dr. Both of the Cardiology Service Fairm of Ijordcompmac Hospital following his discharge so that his antihypertension medications could be appropriately adjusted .' -p328722 -(lp328723 -S'The\tThe\tDT\tB-NP\tO' -p328724 -aS'patient\tpatient\tNN\tI-NP\tO' -p328725 -aS'was\tbe\tVBD\tB-VP\tO' -p328726 -aS'also\talso\tRB\tI-VP\tO' -p328727 -aS'instructed\tinstruct\tVBN\tI-VP\tO' -p328728 -aS'to\tto\tTO\tI-VP\tO' -p328729 -aS'followup\tfollowup\tVB\tI-VP\tO' -p328730 -aS'with\twith\tIN\tB-PP\tO' -p328731 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p328732 -aS'Both\tBoth\tNNP\tI-NP\tO' -p328733 -aS'of\tof\tIN\tB-PP\tO' -p328734 -aS'the\tthe\tDT\tB-NP\tO' -p328735 -aS'Cardiology\tCardiology\tNNP\tI-NP\tO' -p328736 -aS'Service\tService\tNNP\tI-NP\tO' -p328737 -aS'Fairm\tFairm\tNNP\tI-NP\tO' -p328738 -aS'of\tof\tIN\tB-PP\tO' -p328739 -aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' -p328740 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p328741 -aS'following\tfollow\tVBG\tB-PP\tO' -p328742 -aS'his\this\tPRP$\tB-NP\tO' -p328743 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p328744 -aS'so\tso\tIN\tB-SBAR\tO' -p328745 -aS'that\tthat\tIN\tI-SBAR\tO' -p328746 -aS'his\this\tPRP$\tB-NP\tO' -p328747 -aS'antihypertension\tantihypertension\tNN\tI-NP\tO' -p328748 -aS'medications\tmedication\tNNS\tI-NP\tO' -p328749 -aS'could\tcould\tMD\tB-VP\tO' -p328750 -aS'be\tbe\tVB\tI-VP\tO' -p328751 -aS'appropriately\tappropriately\tRB\tI-VP\tO' -p328752 -aS'adjusted\tadjust\tVBN\tI-VP\tO' -p328753 -aS'.\t.\t.\tO\tO' -p328754 -asS'Soft .' -p328755 -(lp328756 -S'Soft\tSoft\tNNP\tB-NP\tO' -p328757 -aS'.\t.\t.\tO\tO' -p328758 -asS'The parents are involved .' -p328759 -(lp328760 -S'The\tThe\tDT\tB-NP\tO' -p328761 -aS'parents\tparent\tNNS\tI-NP\tO' -p328762 -aS'are\tbe\tVBP\tB-VP\tO' -p328763 -aS'involved\tinvolve\tVBN\tI-VP\tO' -p328764 -aS'.\t.\t.\tO\tO' -p328765 -asS'She was admitted to the trauma ICU .' -p328766 -(lp328767 -S'She\tShe\tPRP\tB-NP\tO' -p328768 -aS'was\tbe\tVBD\tB-VP\tO' -p328769 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p328770 -aS'to\tto\tTO\tB-PP\tO' -p328771 -aS'the\tthe\tDT\tB-NP\tO' -p328772 -aS'trauma\ttrauma\tNN\tI-NP\tO' -p328773 -aS'ICU\tICU\tNN\tI-NP\tO' -p328774 -aS'.\t.\t.\tO\tO' -p328775 -asS'An ABG was attempted in the Deanna however it was limited by pt discomfort .' -p328776 -(lp328777 -S'An\tAn\tDT\tB-NP\tO' -p328778 -aS'ABG\tABG\tNN\tI-NP\tO' -p328779 -aS'was\tbe\tVBD\tB-VP\tO' -p328780 -aS'attempted\tattempt\tVBN\tI-VP\tO' -p328781 -aS'in\tin\tIN\tB-PP\tO' -p328782 -aS'the\tthe\tDT\tB-NP\tO' -p328783 -aS'Deanna\tDeanna\tNNP\tI-NP\tO' -p328784 -aS'however\thowever\tRB\tB-ADVP\tO' -p328785 -aS'it\tit\tPRP\tB-NP\tO' -p328786 -aS'was\tbe\tVBD\tB-VP\tO' -p328787 -aS'limited\tlimit\tVBN\tI-VP\tO' -p328788 -aS'by\tby\tIN\tB-PP\tO' -p328789 -aS'pt\tpt\tNN\tB-NP\tO' -p328790 -aS'discomfort\tdiscomfort\tNN\tI-NP\tO' -p328791 -aS'.\t.\t.\tO\tO' -p328792 -asS'Thus , embolization on the left side was not possible .' -p328793 -(lp328794 -S'Thus\tThus\tRB\tB-ADVP\tO' -p328795 -aS',\t,\t,\tO\tO' -p328796 -aS'embolization\tembolization\tNN\tB-NP\tO' -p328797 -aS'on\ton\tIN\tB-PP\tO' -p328798 -aS'the\tthe\tDT\tB-NP\tO' -p328799 -aS'left\tleft\tJJ\tI-NP\tO' -p328800 -aS'side\tside\tNN\tI-NP\tO' -p328801 -aS'was\tbe\tVBD\tB-VP\tO' -p328802 -aS'not\tnot\tRB\tO\tO' -p328803 -aS'possible\tpossible\tJJ\tB-ADJP\tO' -p328804 -aS'.\t.\t.\tO\tO' -p328805 -asS'The oropharynx is negative .' -p328806 -(lp328807 -S'The\tThe\tDT\tB-NP\tO' -p328808 -aS'oropharynx\toropharynx\tNN\tI-NP\tO' -p328809 -aS'is\tbe\tVBZ\tB-VP\tO' -p328810 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p328811 -aS'.\t.\t.\tO\tO' -p328812 -asS'6. HYDROCELE .' -p328813 -(lp328814 -S'6.\t6.\tLS\tB-NP\tO' -p328815 -aS'HYDROCELE\tHYDROCELE\tNN\tI-NP\tO' -p328816 -aS'.\t.\t.\tO\tO' -p328817 -asS'She subsequently developed hypotension with SBP in the 70s .' -p328818 -(lp328819 -S'She\tShe\tPRP\tB-NP\tO' -p328820 -aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' -p328821 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p328822 -aS'hypotension\thypotension\tNN\tB-NP\tO' -p328823 -aS'with\twith\tIN\tB-PP\tO' -p328824 -aS'SBP\tSBP\tNN\tB-NP\tB-protein' -p328825 -aS'in\tin\tIN\tB-PP\tO' -p328826 -aS'the\tthe\tDT\tB-NP\tO' -p328827 -aS'70s\t70\tNNS\tI-NP\tO' -p328828 -aS'.\t.\t.\tO\tO' -p328829 -asS'She was taken to the Operating Room on 11/30/93 where Dr. Tiveloydherdes performed a cadaveric renal allograft to the left iliac fossa which she tolerated well .' -p328830 -(lp328831 -S'She\tShe\tPRP\tB-NP\tO' -p328832 -aS'was\tbe\tVBD\tB-VP\tO' -p328833 -aS'taken\ttake\tVBN\tI-VP\tO' -p328834 -aS'to\tto\tTO\tB-PP\tO' -p328835 -aS'the\tthe\tDT\tB-NP\tO' -p328836 -aS'Operating\tOperating\tNNP\tI-NP\tO' -p328837 -aS'Room\tRoom\tNNP\tI-NP\tO' -p328838 -aS'on\ton\tIN\tB-PP\tO' -p328839 -aS'11/30/93\t11/30/93\tCD\tB-NP\tO' -p328840 -aS'where\twhere\tWRB\tB-ADVP\tO' -p328841 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p328842 -aS'Tiveloydherdes\tTiveloydherdes\tNNP\tI-NP\tO' -p328843 -aS'performed\tperform\tVBD\tB-VP\tO' -p328844 -aS'a\ta\tDT\tB-NP\tO' -p328845 -aS'cadaveric\tcadaveric\tJJ\tI-NP\tO' -p328846 -aS'renal\trenal\tJJ\tI-NP\tO' -p328847 -aS'allograft\tallograft\tNN\tI-NP\tO' -p328848 -aS'to\tto\tTO\tB-PP\tO' -p328849 -aS'the\tthe\tDT\tB-NP\tO' -p328850 -aS'left\tleft\tJJ\tI-NP\tO' -p328851 -aS'iliac\tiliac\tJJ\tI-NP\tO' -p328852 -aS'fossa\tfossa\tNN\tI-NP\tO' -p328853 -aS'which\twhich\tWDT\tB-NP\tO' -p328854 -aS'she\tshe\tPRP\tB-NP\tO' -p328855 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p328856 -aS'well\twell\tRB\tB-ADVP\tO' -p328857 -aS'.\t.\t.\tO\tO' -p328858 -asS'4) During your hospital stay you were also found to have low thyroid hormone levels .' -p328859 -(lp328860 -S'4)\t4)\tLS\tB-LST\tO' -p328861 -aS'During\tDuring\tIN\tB-PP\tO' -p328862 -aS'your\tyour\tPRP$\tB-NP\tO' -p328863 -aS'hospital\thospital\tNN\tI-NP\tO' -p328864 -aS'stay\tstay\tNN\tI-NP\tO' -p328865 -aS'you\tyou\tPRP\tB-NP\tO' -p328866 -aS'were\tbe\tVBD\tB-VP\tO' -p328867 -aS'also\talso\tRB\tI-VP\tO' -p328868 -aS'found\tfind\tVBN\tI-VP\tO' -p328869 -aS'to\tto\tTO\tI-VP\tO' -p328870 -aS'have\thave\tVB\tI-VP\tO' -p328871 -aS'low\tlow\tJJ\tB-NP\tO' -p328872 -aS'thyroid\tthyroid\tNN\tI-NP\tO' -p328873 -aS'hormone\thormone\tNN\tI-NP\tO' -p328874 -aS'levels\tlevel\tNNS\tI-NP\tO' -p328875 -aS'.\t.\t.\tO\tO' -p328876 -asS'Betamethasone complete at approximately 26 weeks and 31 weeks .' -p328877 -(lp328878 -S'Betamethasone\tBetamethasone\tNN\tB-NP\tO' -p328879 -aS'complete\tcomplete\tJJ\tB-ADJP\tO' -p328880 -aS'at\tat\tIN\tB-PP\tO' -p328881 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p328882 -aS'26\t26\tCD\tI-NP\tO' -p328883 -aS'weeks\tweek\tNNS\tI-NP\tO' -p328884 -aS'and\tand\tCC\tO\tO' -p328885 -aS'31\t31\tCD\tB-NP\tO' -p328886 -aS'weeks\tweek\tNNS\tI-NP\tO' -p328887 -aS'.\t.\t.\tO\tO' -p328888 -asS'The fracture fragments retained their proper site of articulation with the glenoid fossa .' -p328889 -(lp328890 -S'The\tThe\tDT\tB-NP\tO' -p328891 -aS'fracture\tfracture\tNN\tI-NP\tB-DNA' -p328892 -aS'fragments\tfragment\tNNS\tI-NP\tI-DNA' -p328893 -aS'retained\tretain\tVBD\tB-VP\tI-DNA' -p328894 -aS'their\ttheir\tPRP$\tB-NP\tI-DNA' -p328895 -aS'proper\tproper\tJJ\tI-NP\tI-DNA' -p328896 -aS'site\tsite\tNN\tI-NP\tI-DNA' -p328897 -aS'of\tof\tIN\tB-PP\tO' -p328898 -aS'articulation\tarticulation\tNN\tB-NP\tO' -p328899 -aS'with\twith\tIN\tB-PP\tO' -p328900 -aS'the\tthe\tDT\tB-NP\tO' -p328901 -aS'glenoid\tglenoid\tJJ\tI-NP\tO' -p328902 -aS'fossa\tfossa\tNN\tI-NP\tO' -p328903 -aS'.\t.\t.\tO\tO' -p328904 -asS'Her HR decreased to 70s-80s .' -p328905 -(lp328906 -S'Her\tHer\tPRP$\tB-NP\tO' -p328907 -aS'HR\tHR\tNN\tI-NP\tB-protein' -p328908 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p328909 -aS'to\tto\tTO\tB-PP\tO' -p328910 -aS'70s-80s\t70s-80\tNNS\tB-NP\tB-DNA' -p328911 -aS'.\t.\t.\tO\tO' -p328912 -asS'Patient is married , an immigrant from Mondca , South Carolina who lived close to Scond at time of nuclear disaster .' -p328913 -(lp328914 -S'Patient\tPatient\tNN\tB-NP\tO' -p328915 -aS'is\tbe\tVBZ\tB-VP\tO' -p328916 -aS'married\tmarry\tVBN\tI-VP\tO' -p328917 -aS',\t,\t,\tO\tO' -p328918 -aS'an\tan\tDT\tB-NP\tO' -p328919 -aS'immigrant\timmigrant\tNN\tI-NP\tO' -p328920 -aS'from\tfrom\tIN\tB-PP\tO' -p328921 -aS'Mondca\tMondca\tNNP\tB-NP\tO' -p328922 -aS',\t,\t,\tO\tO' -p328923 -aS'South\tSouth\tNNP\tB-NP\tO' -p328924 -aS'Carolina\tCarolina\tNNP\tI-NP\tO' -p328925 -aS'who\twho\tWP\tB-NP\tO' -p328926 -aS'lived\tlive\tVBD\tB-VP\tO' -p328927 -aS'close\tclose\tRB\tB-ADVP\tO' -p328928 -aS'to\tto\tTO\tB-VP\tO' -p328929 -aS'Scond\tScond\tVB\tI-VP\tO' -p328930 -aS'at\tat\tIN\tB-PP\tO' -p328931 -aS'time\ttime\tNN\tB-NP\tO' -p328932 -aS'of\tof\tIN\tB-PP\tO' -p328933 -aS'nuclear\tnuclear\tJJ\tB-NP\tO' -p328934 -aS'disaster\tdisaster\tNN\tI-NP\tO' -p328935 -aS'.\t.\t.\tO\tO' -p328936 -asS'He received multiple treatments for this over the succeeding weeks .' -p328937 -(lp328938 -S'He\tHe\tPRP\tB-NP\tO' -p328939 -aS'received\treceive\tVBD\tB-VP\tO' -p328940 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p328941 -aS'treatments\ttreatment\tNNS\tI-NP\tO' -p328942 -aS'for\tfor\tIN\tB-PP\tO' -p328943 -aS'this\tthis\tDT\tB-NP\tO' -p328944 -aS'over\tover\tIN\tB-PP\tO' -p328945 -aS'the\tthe\tDT\tB-NP\tO' -p328946 -aS'succeeding\tsucceed\tVBG\tI-NP\tO' -p328947 -aS'weeks\tweek\tNNS\tI-NP\tO' -p328948 -aS'.\t.\t.\tO\tO' -p328949 -asS'He has a history of abuse of Percocet according to his brother .' -p328950 -(lp328951 -S'He\tHe\tPRP\tB-NP\tO' -p328952 -aS'has\thave\tVBZ\tB-VP\tO' -p328953 -aS'a\ta\tDT\tB-NP\tO' -p328954 -aS'history\thistory\tNN\tI-NP\tO' -p328955 -aS'of\tof\tIN\tB-PP\tO' -p328956 -aS'abuse\tabuse\tNN\tB-NP\tO' -p328957 -aS'of\tof\tIN\tB-PP\tO' -p328958 -aS'Percocet\tPercocet\tNNP\tB-NP\tO' -p328959 -aS'according\taccord\tVBG\tB-PP\tO' -p328960 -aS'to\tto\tTO\tB-PP\tO' -p328961 -aS'his\this\tPRP$\tB-NP\tO' -p328962 -aS'brother\tbrother\tNN\tI-NP\tO' -p328963 -aS'.\t.\t.\tO\tO' -p328964 -asS'--- pain control with diluadid , tylenol' -p328965 -(lp328966 -S'---\t---\tSYM\tO\tO' -p328967 -aS'pain\tpain\tNN\tB-NP\tO' -p328968 -aS'control\tcontrol\tNN\tI-NP\tO' -p328969 -aS'with\twith\tIN\tB-PP\tO' -p328970 -aS'diluadid\tdiluadid\tNN\tB-NP\tO' -p328971 -aS',\t,\t,\tO\tO' -p328972 -aS'tylenol\ttylenol\tNN\tB-NP\tO' -p328973 -asS'Not answering other questions .' -p328974 -(lp328975 -S'Not\tNot\tRB\tO\tO' -p328976 -aS'answering\tanswer\tVBG\tB-VP\tO' -p328977 -aS'other\tother\tJJ\tB-NP\tO' -p328978 -aS'questions\tquestion\tNNS\tI-NP\tO' -p328979 -aS'.\t.\t.\tO\tO' -p328980 -asS'2+ edema to the knees .' -p328981 -(lp328982 -S'2+\t2+\tJJ\tB-NP\tO' -p328983 -aS'edema\tedema\tNN\tI-NP\tO' -p328984 -aS'to\tto\tTO\tB-PP\tO' -p328985 -aS'the\tthe\tDT\tB-NP\tO' -p328986 -aS'knees\tknee\tNNS\tI-NP\tO' -p328987 -aS'.\t.\t.\tO\tO' -p328988 -asS'ABG revealed widened A-a gradient so a d-dimer was sent which was elevated .' -p328989 -(lp328990 -S'ABG\tABG\tNN\tB-NP\tO' -p328991 -aS'revealed\treveal\tVBD\tB-VP\tO' -p328992 -aS'widened\twiden\tVBN\tI-VP\tO' -p328993 -aS'A-a\tA-a\tNN\tB-NP\tO' -p328994 -aS'gradient\tgradient\tNN\tI-NP\tO' -p328995 -aS'so\tso\tIN\tB-PP\tO' -p328996 -aS'a\ta\tDT\tB-NP\tO' -p328997 -aS'd-dimer\td-dimer\tNN\tI-NP\tB-protein' -p328998 -aS'was\tbe\tVBD\tB-VP\tO' -p328999 -aS'sent\tsend\tVBN\tI-VP\tO' -p329000 -aS'which\twhich\tWDT\tB-NP\tO' -p329001 -aS'was\tbe\tVBD\tB-VP\tO' -p329002 -aS'elevated\televate\tVBN\tI-VP\tO' -p329003 -aS'.\t.\t.\tO\tO' -p329004 -asS'Family meeting was held to discuss grave prognosis , and patient was made cmo .' -p329005 -(lp329006 -S'Family\tFamily\tRB\tB-NP\tO' -p329007 -aS'meeting\tmeeting\tNN\tI-NP\tO' -p329008 -aS'was\tbe\tVBD\tB-VP\tO' -p329009 -aS'held\thold\tVBN\tI-VP\tO' -p329010 -aS'to\tto\tTO\tB-VP\tO' -p329011 -aS'discuss\tdiscuss\tVB\tI-VP\tO' -p329012 -aS'grave\tgrave\tJJ\tB-NP\tO' -p329013 -aS'prognosis\tprognosis\tNN\tI-NP\tO' -p329014 -aS',\t,\t,\tO\tO' -p329015 -aS'and\tand\tCC\tO\tO' -p329016 -aS'patient\tpatient\tNN\tB-NP\tO' -p329017 -aS'was\tbe\tVBD\tB-VP\tO' -p329018 -aS'made\tmake\tVBN\tI-VP\tO' -p329019 -aS'cmo\tcmo\tNN\tB-NP\tO' -p329020 -aS'.\t.\t.\tO\tO' -p329021 -asS'- saddle PE , no CD or report sent' -p329022 -(lp329023 -S'-\t-\tHYPH\tB-NP\tO' -p329024 -aS'saddle\tsaddle\tNN\tI-NP\tO' -p329025 -aS'PE\tPE\tNN\tI-NP\tO' -p329026 -aS',\t,\t,\tO\tO' -p329027 -aS'no\tno\tDT\tB-NP\tO' -p329028 -aS'CD\tCD\tNN\tI-NP\tO' -p329029 -aS'or\tor\tCC\tI-NP\tO' -p329030 -aS'report\treport\tNN\tI-NP\tO' -p329031 -aS'sent\tsend\tVBD\tB-VP\tO' -p329032 -asS'At the time he complained of no chest pain , weakness or cough , although he is intermittently short of breath .' -p329033 -(lp329034 -S'At\tAt\tIN\tB-PP\tO' -p329035 -aS'the\tthe\tDT\tB-NP\tO' -p329036 -aS'time\ttime\tNN\tI-NP\tO' -p329037 -aS'he\the\tPRP\tB-NP\tO' -p329038 -aS'complained\tcomplain\tVBD\tB-VP\tO' -p329039 -aS'of\tof\tIN\tB-PP\tO' -p329040 -aS'no\tno\tDT\tB-NP\tO' -p329041 -aS'chest\tchest\tNN\tI-NP\tO' -p329042 -aS'pain\tpain\tNN\tI-NP\tO' -p329043 -aS',\t,\t,\tI-NP\tO' -p329044 -aS'weakness\tweakness\tNN\tI-NP\tO' -p329045 -aS'or\tor\tCC\tI-NP\tO' -p329046 -aS'cough\tcough\tNN\tI-NP\tO' -p329047 -aS',\t,\t,\tO\tO' -p329048 -aS'although\talthough\tIN\tB-SBAR\tO' -p329049 -aS'he\the\tPRP\tB-NP\tO' -p329050 -aS'is\tbe\tVBZ\tB-VP\tO' -p329051 -aS'intermittently\tintermittently\tRB\tB-ADJP\tO' -p329052 -aS'short\tshort\tJJ\tI-ADJP\tO' -p329053 -aS'of\tof\tIN\tB-PP\tO' -p329054 -aS'breath\tbreath\tNN\tB-NP\tO' -p329055 -aS'.\t.\t.\tO\tO' -p329056 -asS'Head CT was done which patient reported demonstrated three lesions in the left parietal region of the brain .' -p329057 -(lp329058 -S'Head\tHead\tNN\tB-NP\tO' -p329059 -aS'CT\tCT\tNN\tI-NP\tO' -p329060 -aS'was\tbe\tVBD\tB-VP\tO' -p329061 -aS'done\tdo\tVBN\tI-VP\tO' -p329062 -aS'which\twhich\tWDT\tB-NP\tO' -p329063 -aS'patient\tpatient\tNN\tI-NP\tO' -p329064 -aS'reported\treport\tVBD\tB-VP\tO' -p329065 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p329066 -aS'three\tthree\tCD\tB-NP\tO' -p329067 -aS'lesions\tlesion\tNNS\tI-NP\tO' -p329068 -aS'in\tin\tIN\tB-PP\tO' -p329069 -aS'the\tthe\tDT\tB-NP\tO' -p329070 -aS'left\tleft\tJJ\tI-NP\tB-DNA' -p329071 -aS'parietal\tparietal\tJJ\tI-NP\tI-DNA' -p329072 -aS'region\tregion\tNN\tI-NP\tI-DNA' -p329073 -aS'of\tof\tIN\tB-PP\tO' -p329074 -aS'the\tthe\tDT\tB-NP\tO' -p329075 -aS'brain\tbrain\tNN\tI-NP\tO' -p329076 -aS'.\t.\t.\tO\tO' -p329077 -asS'This is a patient with recurrence of a mixed mesodermal cancer at the vaginal apex who presents for local excision .' -p329078 -(lp329079 -S'This\tThis\tDT\tB-NP\tO' -p329080 -aS'is\tbe\tVBZ\tB-VP\tO' -p329081 -aS'a\ta\tDT\tB-NP\tO' -p329082 -aS'patient\tpatient\tNN\tI-NP\tO' -p329083 -aS'with\twith\tIN\tB-PP\tO' -p329084 -aS'recurrence\trecurrence\tNN\tB-NP\tO' -p329085 -aS'of\tof\tIN\tB-PP\tO' -p329086 -aS'a\ta\tDT\tB-NP\tO' -p329087 -aS'mixed\tmix\tVBN\tI-NP\tO' -p329088 -aS'mesodermal\tmesodermal\tJJ\tI-NP\tO' -p329089 -aS'cancer\tcancer\tNN\tI-NP\tO' -p329090 -aS'at\tat\tIN\tB-PP\tO' -p329091 -aS'the\tthe\tDT\tB-NP\tO' -p329092 -aS'vaginal\tvaginal\tJJ\tI-NP\tO' -p329093 -aS'apex\tapex\tNN\tI-NP\tO' -p329094 -aS'who\twho\tWP\tB-NP\tO' -p329095 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p329096 -aS'for\tfor\tIN\tB-PP\tO' -p329097 -aS'local\tlocal\tJJ\tB-NP\tO' -p329098 -aS'excision\texcision\tNN\tI-NP\tO' -p329099 -aS'.\t.\t.\tO\tO' -p329100 -asS'Chromosomal studies were negative .' -p329101 -(lp329102 -S'Chromosomal\tChromosomal\tJJ\tB-NP\tO' -p329103 -aS'studies\tstudy\tNNS\tI-NP\tO' -p329104 -aS'were\tbe\tVBD\tB-VP\tO' -p329105 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p329106 -aS'.\t.\t.\tO\tO' -p329107 -asS'7. Coronary artery disease ( as noted previously ).' -p329108 -(lp329109 -S'7.\t7.\tLS\tB-NP\tO' -p329110 -aS'Coronary\tCoronary\tJJ\tI-NP\tO' -p329111 -aS'artery\tartery\tNN\tI-NP\tO' -p329112 -aS'disease\tdisease\tNN\tI-NP\tO' -p329113 -aS'(\t(\t(\tO\tO' -p329114 -aS'as\tas\tIN\tB-SBAR\tO' -p329115 -aS'noted\tnote\tVBN\tB-VP\tO' -p329116 -aS'previously\tpreviously\tRB\tB-ADVP\tO' -p329117 -aS').\t).\tRB\tB-ADVP\tO' -p329118 -asS'No history of hypotension .' -p329119 -(lp329120 -S'No\tNo\tDT\tB-NP\tO' -p329121 -aS'history\thistory\tNN\tI-NP\tO' -p329122 -aS'of\tof\tIN\tB-PP\tO' -p329123 -aS'hypotension\thypotension\tNN\tB-NP\tO' -p329124 -aS'.\t.\t.\tO\tO' -p329125 -asS'Patient did well and was extubated uneventfully on 12-17 .' -p329126 -(lp329127 -S'Patient\tPatient\tNN\tB-NP\tO' -p329128 -aS'did\tdo\tVBD\tB-VP\tO' -p329129 -aS'well\twell\tRB\tB-ADVP\tO' -p329130 -aS'and\tand\tCC\tO\tO' -p329131 -aS'was\tbe\tVBD\tB-VP\tO' -p329132 -aS'extubated\textubate\tVBN\tI-VP\tO' -p329133 -aS'uneventfully\tuneventfully\tRB\tB-ADVP\tO' -p329134 -aS'on\ton\tIN\tB-PP\tO' -p329135 -aS'12-17\t12-17\tCD\tB-NP\tO' -p329136 -aS'.\t.\t.\tO\tO' -p329137 -asS'His sternum is stable. His incision is clean and dry Steri Strips intact .' -p329138 -(lp329139 -S'His\tHis\tPRP$\tB-NP\tO' -p329140 -aS'sternum\tsternum\tNN\tI-NP\tO' -p329141 -aS'is\tbe\tVBZ\tB-VP\tO' -p329142 -aS'stable.\tstable.\tVBG\tI-VP\tO' -p329143 -aS'His\tHis\tPRP$\tB-NP\tO' -p329144 -aS'incision\tincision\tNN\tI-NP\tO' -p329145 -aS'is\tbe\tVBZ\tB-VP\tO' -p329146 -aS'clean\tclean\tJJ\tB-NP\tO' -p329147 -aS'and\tand\tCC\tI-NP\tO' -p329148 -aS'dry\tdry\tJJ\tI-NP\tO' -p329149 -aS'Steri\tSteri\tNNP\tI-NP\tO' -p329150 -aS'Strips\tStrips\tNNP\tI-NP\tO' -p329151 -aS'intact\tintact\tJJ\tI-NP\tO' -p329152 -aS'.\t.\t.\tO\tO' -p329153 -asS'She has never been married .' -p329154 -(lp329155 -S'She\tShe\tPRP\tB-NP\tO' -p329156 -aS'has\thave\tVBZ\tB-VP\tO' -p329157 -aS'never\tnever\tRB\tI-VP\tO' -p329158 -aS'been\tbe\tVBN\tI-VP\tO' -p329159 -aS'married\tmarry\tVBN\tI-VP\tO' -p329160 -aS'.\t.\t.\tO\tO' -p329161 -asS'She presented in labor on the day of delivery .' -p329162 -(lp329163 -S'She\tShe\tPRP\tB-NP\tO' -p329164 -aS'presented\tpresent\tVBD\tB-VP\tO' -p329165 -aS'in\tin\tIN\tB-PP\tO' -p329166 -aS'labor\tlabor\tNN\tB-NP\tO' -p329167 -aS'on\ton\tIN\tB-PP\tO' -p329168 -aS'the\tthe\tDT\tB-NP\tO' -p329169 -aS'day\tday\tNN\tI-NP\tO' -p329170 -aS'of\tof\tIN\tB-PP\tO' -p329171 -aS'delivery\tdelivery\tNN\tB-NP\tO' -p329172 -aS'.\t.\t.\tO\tO' -p329173 -asS'The range of motion was 15 to 120 degree on the right side ; and on the left side , it was zero to 135 .' -p329174 -(lp329175 -S'The\tThe\tDT\tB-NP\tO' -p329176 -aS'range\trange\tNN\tI-NP\tO' -p329177 -aS'of\tof\tIN\tB-PP\tO' -p329178 -aS'motion\tmotion\tNN\tB-NP\tO' -p329179 -aS'was\tbe\tVBD\tB-VP\tO' -p329180 -aS'15\t15\tCD\tB-NP\tO' -p329181 -aS'to\tto\tTO\tI-NP\tO' -p329182 -aS'120\t120\tCD\tI-NP\tO' -p329183 -aS'degree\tdegree\tNN\tI-NP\tO' -p329184 -aS'on\ton\tIN\tB-PP\tO' -p329185 -aS'the\tthe\tDT\tB-NP\tO' -p329186 -aS'right\tright\tJJ\tI-NP\tO' -p329187 -aS'side\tside\tNN\tI-NP\tO' -p329188 -aS';\t;\t:\tB-PP\tO' -p329189 -aS'and\tand\tCC\tI-PP\tO' -p329190 -aS'on\ton\tIN\tB-PP\tO' -p329191 -aS'the\tthe\tDT\tB-NP\tO' -p329192 -aS'left\tleft\tJJ\tI-NP\tO' -p329193 -aS'side\tside\tNN\tI-NP\tO' -p329194 -aS',\t,\t,\tO\tO' -p329195 -aS'it\tit\tPRP\tB-NP\tO' -p329196 -aS'was\tbe\tVBD\tB-VP\tO' -p329197 -aS'zero\tzero\tCD\tB-NP\tO' -p329198 -aS'to\tto\tTO\tB-PP\tO' -p329199 -aS'135\t135\tCD\tB-NP\tO' -p329200 -aS'.\t.\t.\tO\tO' -p329201 -asS'6. Lamotrigine 100 mg Tablet Sig : 1.5 Tablets PO BID ( 2 times a day ) .' -p329202 -(lp329203 -S'6.\t6.\tCD\tB-NP\tO' -p329204 -aS'Lamotrigine\tLamotrigine\tNN\tI-NP\tO' -p329205 -aS'100\t100\tCD\tB-NP\tO' -p329206 -aS'mg\tmg\tNN\tI-NP\tO' -p329207 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p329208 -aS'Sig\tSig\tNNP\tI-NP\tO' -p329209 -aS':\t:\t:\tO\tO' -p329210 -aS'1.5\t1.5\tCD\tB-NP\tO' -p329211 -aS'Tablets\tTablet\tNNS\tI-NP\tO' -p329212 -aS'PO\tPO\tNN\tI-NP\tO' -p329213 -aS'BID\tBID\tNN\tI-NP\tO' -p329214 -aS'(\t(\t(\tO\tO' -p329215 -aS'2\t2\tCD\tB-NP\tO' -p329216 -aS'times\ttime\tNNS\tI-NP\tO' -p329217 -aS'a\ta\tDT\tB-NP\tO' -p329218 -aS'day\tday\tNN\tI-NP\tO' -p329219 -aS')\t)\t)\tO\tO' -p329220 -aS'.\t.\t.\tO\tO' -p329221 -asS'HPI : This is a 79 y/o M with h/o of HTN , DM , recent CVA Theresa , chronic respiratory failure on vent , trached , ESRD on HD who was sent from rehab facility for worsening mental status .' -p329222 -(lp329223 -S'HPI\tHPI\tLS\tB-LST\tB-cell_type' -p329224 -aS':\t:\t:\tO\tO' -p329225 -aS'This\tThis\tDT\tB-NP\tO' -p329226 -aS'is\tbe\tVBZ\tB-VP\tO' -p329227 -aS'a\ta\tDT\tB-NP\tO' -p329228 -aS'79\t79\tCD\tI-NP\tO' -p329229 -aS'y/o\ty/o\tNN\tI-NP\tO' -p329230 -aS'M\tM\tNN\tI-NP\tO' -p329231 -aS'with\twith\tIN\tB-PP\tO' -p329232 -aS'h/o\th/o\tNN\tB-NP\tO' -p329233 -aS'of\tof\tIN\tB-PP\tO' -p329234 -aS'HTN\tHTN\tNN\tB-NP\tB-protein' -p329235 -aS',\t,\t,\tO\tO' -p329236 -aS'DM\tDM\tNN\tB-NP\tO' -p329237 -aS',\t,\t,\tO\tO' -p329238 -aS'recent\trecent\tJJ\tB-NP\tO' -p329239 -aS'CVA\tCVA\tNNP\tI-NP\tO' -p329240 -aS'Theresa\tTheresa\tNNP\tI-NP\tO' -p329241 -aS',\t,\t,\tO\tO' -p329242 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p329243 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p329244 -aS'failure\tfailure\tNN\tI-NP\tO' -p329245 -aS'on\ton\tIN\tB-PP\tO' -p329246 -aS'vent\tvent\tNN\tB-NP\tO' -p329247 -aS',\t,\t,\tO\tO' -p329248 -aS'trached\ttrache\tVBN\tB-VP\tO' -p329249 -aS',\t,\t,\tO\tO' -p329250 -aS'ESRD\tESRD\tNN\tB-NP\tO' -p329251 -aS'on\ton\tIN\tB-PP\tO' -p329252 -aS'HD\tHD\tNN\tB-NP\tO' -p329253 -aS'who\twho\tWP\tB-NP\tO' -p329254 -aS'was\tbe\tVBD\tB-VP\tO' -p329255 -aS'sent\tsend\tVBN\tI-VP\tO' -p329256 -aS'from\tfrom\tIN\tB-PP\tO' -p329257 -aS'rehab\trehab\tNN\tB-NP\tO' -p329258 -aS'facility\tfacility\tNN\tI-NP\tO' -p329259 -aS'for\tfor\tIN\tB-PP\tO' -p329260 -aS'worsening\tworsen\tVBG\tB-VP\tO' -p329261 -aS'mental\tmental\tJJ\tB-NP\tO' -p329262 -aS'status\tstatus\tNN\tI-NP\tO' -p329263 -aS'.\t.\t.\tO\tO' -p329264 -asS'She had a normal cortisol stimulation test .' -p329265 -(lp329266 -S'She\tShe\tPRP\tB-NP\tO' -p329267 -aS'had\thave\tVBD\tB-VP\tO' -p329268 -aS'a\ta\tDT\tB-NP\tO' -p329269 -aS'normal\tnormal\tJJ\tI-NP\tO' -p329270 -aS'cortisol\tcortisol\tNN\tI-NP\tO' -p329271 -aS'stimulation\tstimulation\tNN\tI-NP\tO' -p329272 -aS'test\ttest\tNN\tI-NP\tO' -p329273 -aS'.\t.\t.\tO\tO' -p329274 -asS'The patient was normal volume and displayed no evidence CHF signs or symptoms .' -p329275 -(lp329276 -S'The\tThe\tDT\tB-NP\tO' -p329277 -aS'patient\tpatient\tNN\tI-NP\tO' -p329278 -aS'was\tbe\tVBD\tB-VP\tO' -p329279 -aS'normal\tnormal\tJJ\tB-NP\tO' -p329280 -aS'volume\tvolume\tNN\tI-NP\tO' -p329281 -aS'and\tand\tCC\tO\tO' -p329282 -aS'displayed\tdisplay\tVBD\tB-VP\tO' -p329283 -aS'no\tno\tDT\tB-NP\tO' -p329284 -aS'evidence\tevidence\tNN\tI-NP\tO' -p329285 -aS'CHF\tCHF\tNN\tI-NP\tO' -p329286 -aS'signs\tsign\tNNS\tI-NP\tO' -p329287 -aS'or\tor\tCC\tI-NP\tO' -p329288 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p329289 -aS'.\t.\t.\tO\tO' -p329290 -asS'- atrovent standing .' -p329291 -(lp329292 -S'-\t-\tHYPH\tB-NP\tO' -p329293 -aS'atrovent\tatrovent\tJJ\tI-NP\tO' -p329294 -aS'standing\tstanding\tNN\tI-NP\tO' -p329295 -aS'.\t.\t.\tO\tO' -p329296 -asS'Variceal banding .' -p329297 -(lp329298 -S'Variceal\tVariceal\tJJ\tB-NP\tO' -p329299 -aS'banding\tbanding\tNN\tI-NP\tO' -p329300 -aS'.\t.\t.\tO\tO' -p329301 -asS'EKG showed sinus brady , with old LAD and new ST depressions in V1-V4 .' -p329302 -(lp329303 -S'EKG\tEKG\tNN\tB-NP\tB-protein' -p329304 -aS'showed\tshow\tVBD\tB-VP\tO' -p329305 -aS'sinus\tsinus\tNN\tB-NP\tO' -p329306 -aS'brady\tbrady\tNN\tI-NP\tO' -p329307 -aS',\t,\t,\tO\tO' -p329308 -aS'with\twith\tIN\tB-PP\tO' -p329309 -aS'old\told\tJJ\tB-NP\tO' -p329310 -aS'LAD\tLAD\tNN\tI-NP\tO' -p329311 -aS'and\tand\tCC\tO\tO' -p329312 -aS'new\tnew\tJJ\tB-NP\tO' -p329313 -aS'ST\tST\tNN\tI-NP\tO' -p329314 -aS'depressions\tdepression\tNNS\tI-NP\tO' -p329315 -aS'in\tin\tIN\tB-PP\tO' -p329316 -aS'V1-V4\tV1-V4\tNN\tB-NP\tO' -p329317 -aS'.\t.\t.\tO\tO' -p329318 -asS'Tissue Doppler imaging suggests an increased left ventricular filling pressure ( PCWP > 18 mmHg ).' -p329319 -(lp329320 -S'Tissue\tTissue\tNNP\tB-NP\tO' -p329321 -aS'Doppler\tDoppler\tNNP\tI-NP\tO' -p329322 -aS'imaging\timaging\tNN\tI-NP\tO' -p329323 -aS'suggests\tsuggest\tVBZ\tB-VP\tO' -p329324 -aS'an\tan\tDT\tB-NP\tO' -p329325 -aS'increased\tincrease\tVBN\tI-NP\tO' -p329326 -aS'left\tleft\tJJ\tI-NP\tO' -p329327 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p329328 -aS'filling\tfilling\tNN\tI-NP\tO' -p329329 -aS'pressure\tpressure\tNN\tI-NP\tO' -p329330 -aS'(\t(\t(\tO\tO' -p329331 -aS'PCWP\tPCWP\tNN\tB-NP\tO' -p329332 -aS'>\t>\tSYM\tO\tO' -p329333 -aS'18\t18\tCD\tB-NP\tO' -p329334 -aS'mmHg\tmmHg\tNN\tI-NP\tO' -p329335 -aS').\t).\t)\tO\tO' -p329336 -asS'Urine output of 900 cc .' -p329337 -(lp329338 -S'Urine\tUrine\tNN\tB-NP\tO' -p329339 -aS'output\toutput\tNN\tI-NP\tO' -p329340 -aS'of\tof\tIN\tB-PP\tO' -p329341 -aS'900\t900\tCD\tB-NP\tO' -p329342 -aS'cc\tcc\tNN\tI-NP\tO' -p329343 -aS'.\t.\t.\tO\tO' -p329344 -asS'Pt failed BIPAP and pCO2 remained in the 90s but maintaining mentation .' -p329345 -(lp329346 -S'Pt\tPt\tNN\tB-NP\tO' -p329347 -aS'failed\tfail\tVBD\tB-VP\tO' -p329348 -aS'BIPAP\tBIPAP\tNN\tB-NP\tB-protein' -p329349 -aS'and\tand\tCC\tI-NP\tO' -p329350 -aS'pCO2\tpCO2\tNN\tI-NP\tO' -p329351 -aS'remained\tremain\tVBD\tB-VP\tO' -p329352 -aS'in\tin\tIN\tB-PP\tO' -p329353 -aS'the\tthe\tDT\tB-NP\tO' -p329354 -aS'90s\t90\tNNS\tI-NP\tO' -p329355 -aS'but\tbut\tCC\tO\tO' -p329356 -aS'maintaining\tmaintain\tVBG\tB-VP\tO' -p329357 -aS'mentation\tmentation\tNN\tB-NP\tO' -p329358 -aS'.\t.\t.\tO\tO' -p329359 -asS'Her neurologic exam was stable postoperatively with 5/5 bilaterally , tibial , EHL , FHL , gastroc soleus , and intact quadriceps .' -p329360 -(lp329361 -S'Her\tHer\tPRP$\tB-NP\tO' -p329362 -aS'neurologic\tneurologic\tJJ\tI-NP\tO' -p329363 -aS'exam\texam\tNN\tI-NP\tO' -p329364 -aS'was\tbe\tVBD\tB-VP\tO' -p329365 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p329366 -aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' -p329367 -aS'with\twith\tIN\tB-PP\tO' -p329368 -aS'5/5\t5/5\tCD\tB-NP\tO' -p329369 -aS'bilaterally\tbilaterally\tRB\tI-NP\tO' -p329370 -aS',\t,\t,\tO\tO' -p329371 -aS'tibial\ttibial\tJJ\tB-NP\tO' -p329372 -aS',\t,\t,\tI-NP\tO' -p329373 -aS'EHL\tEHL\tNN\tI-NP\tB-protein' -p329374 -aS',\t,\t,\tO\tO' -p329375 -aS'FHL\tFHL\tNN\tB-NP\tB-protein' -p329376 -aS',\t,\t,\tO\tO' -p329377 -aS'gastroc\tgastroc\tNN\tB-NP\tO' -p329378 -aS'soleus\tsoleus\tNN\tI-NP\tO' -p329379 -aS',\t,\t,\tO\tO' -p329380 -aS'and\tand\tCC\tO\tO' -p329381 -aS'intact\tintact\tJJ\tB-NP\tO' -p329382 -aS'quadriceps\tquadricep\tNNS\tI-NP\tO' -p329383 -aS'.\t.\t.\tO\tO' -p329384 -asS'CIWA scale over night was 1 for tremor and the patient did not require any Valium for alcohol withdrawal .' -p329385 -(lp329386 -S'CIWA\tCIWA\tNN\tB-NP\tO' -p329387 -aS'scale\tscale\tNN\tI-NP\tO' -p329388 -aS'over\tover\tIN\tB-PP\tO' -p329389 -aS'night\tnight\tNN\tB-NP\tB-protein' -p329390 -aS'was\tbe\tVBD\tB-VP\tI-protein' -p329391 -aS'1\t1\tCD\tB-NP\tI-protein' -p329392 -aS'for\tfor\tIN\tB-PP\tO' -p329393 -aS'tremor\ttremor\tNN\tB-NP\tO' -p329394 -aS'and\tand\tCC\tO\tO' -p329395 -aS'the\tthe\tDT\tB-NP\tO' -p329396 -aS'patient\tpatient\tNN\tI-NP\tO' -p329397 -aS'did\tdo\tVBD\tB-VP\tO' -p329398 -aS'not\tnot\tRB\tI-VP\tO' -p329399 -aS'require\trequire\tVB\tI-VP\tO' -p329400 -aS'any\tany\tDT\tB-NP\tO' -p329401 -aS'Valium\tValium\tNN\tI-NP\tO' -p329402 -aS'for\tfor\tIN\tB-PP\tO' -p329403 -aS'alcohol\talcohol\tNN\tB-NP\tO' -p329404 -aS'withdrawal\twithdrawal\tNN\tI-NP\tO' -p329405 -aS'.\t.\t.\tO\tO' -p329406 -asS'No edema , positive dorsalis pedis pulses .' -p329407 -(lp329408 -S'No\tNo\tDT\tB-NP\tO' -p329409 -aS'edema\tedema\tNN\tI-NP\tO' -p329410 -aS',\t,\t,\tO\tO' -p329411 -aS'positive\tpositive\tJJ\tB-NP\tO' -p329412 -aS'dorsalis\tdorsalis\tNN\tI-NP\tO' -p329413 -aS'pedis\tpedis\tNN\tI-NP\tO' -p329414 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p329415 -aS'.\t.\t.\tO\tO' -p329416 -asS'5. High cholesterol .' -p329417 -(lp329418 -S'5.\t5.\tLS\tB-NP\tO' -p329419 -aS'High\tHigh\tJJ\tI-NP\tO' -p329420 -aS'cholesterol\tcholesterol\tNN\tI-NP\tO' -p329421 -aS'.\t.\t.\tO\tO' -p329422 -asS"Patient is a 75 year old right handed male with past medical history of coronary artery disease s/p NQWMI 02-25 , s/p LAD angioplasty and stent 05-26 , dementia , hyperlipidemia , aortic stenosis , atrial fibrillation on coumadin who presented from his CMED CSRU doctor 's office wtih acute onset left sided weakness and dysarthria ." -p329423 -(lp329424 -S'Patient\tPatient\tNN\tB-NP\tO' -p329425 -aS'is\tbe\tVBZ\tB-VP\tO' -p329426 -aS'a\ta\tDT\tB-NP\tO' -p329427 -aS'75\t75\tCD\tI-NP\tO' -p329428 -aS'year\tyear\tNN\tI-NP\tO' -p329429 -aS'old\told\tJJ\tI-NP\tO' -p329430 -aS'right\tright\tJJ\tI-NP\tO' -p329431 -aS'handed\thand\tVBN\tB-VP\tO' -p329432 -aS'male\tmale\tJJ\tB-ADJP\tO' -p329433 -aS'with\twith\tIN\tB-PP\tO' -p329434 -aS'past\tpast\tJJ\tB-NP\tO' -p329435 -aS'medical\tmedical\tJJ\tI-NP\tO' -p329436 -aS'history\thistory\tNN\tI-NP\tO' -p329437 -aS'of\tof\tIN\tB-PP\tO' -p329438 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p329439 -aS'artery\tartery\tNN\tI-NP\tO' -p329440 -aS'disease\tdisease\tNN\tI-NP\tO' -p329441 -aS's/p\ts/p\tNN\tI-NP\tO' -p329442 -aS'NQWMI\tNQWMI\tNN\tI-NP\tO' -p329443 -aS'02-25\t02-25\tCD\tI-NP\tO' -p329444 -aS',\t,\t,\tO\tO' -p329445 -aS's/p\ts/p\tNN\tB-NP\tO' -p329446 -aS'LAD\tLAD\tNN\tI-NP\tO' -p329447 -aS'angioplasty\tangioplasty\tNN\tI-NP\tO' -p329448 -aS'and\tand\tCC\tO\tO' -p329449 -aS'stent\tstent\tNN\tB-NP\tO' -p329450 -aS'05-26\t05-26\tCD\tI-NP\tO' -p329451 -aS',\t,\t,\tO\tO' -p329452 -aS'dementia\tdementia\tNN\tB-NP\tO' -p329453 -aS',\t,\t,\tO\tO' -p329454 -aS'hyperlipidemia\thyperlipidemia\tNN\tB-NP\tO' -p329455 -aS',\t,\t,\tO\tO' -p329456 -aS'aortic\taortic\tJJ\tB-NP\tO' -p329457 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p329458 -aS',\t,\t,\tO\tO' -p329459 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p329460 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p329461 -aS'on\ton\tIN\tB-PP\tO' -p329462 -aS'coumadin\tcoumadin\tNN\tB-NP\tO' -p329463 -aS'who\twho\tWP\tB-NP\tO' -p329464 -aS'presented\tpresent\tVBD\tB-VP\tO' -p329465 -aS'from\tfrom\tIN\tB-PP\tO' -p329466 -aS'his\this\tPRP$\tB-NP\tB-DNA' -p329467 -aS'CMED\tCMED\tNNP\tI-NP\tO' -p329468 -aS'CSRU\tCSRU\tNNP\tI-NP\tO' -p329469 -aS'doctor\tdoctor\tNN\tI-NP\tO' -p329470 -aS"'s\t's\tPOS\tB-NP\tO" -p329471 -aS'office\toffice\tNN\tI-NP\tO' -p329472 -aS'wtih\twtih\tNN\tI-NP\tO' -p329473 -aS'acute\tacute\tJJ\tI-NP\tO' -p329474 -aS'onset\tonset\tNN\tI-NP\tO' -p329475 -aS'left\tleave\tVBD\tB-VP\tO' -p329476 -aS'sided\tsided\tJJ\tB-NP\tO' -p329477 -aS'weakness\tweakness\tNN\tI-NP\tO' -p329478 -aS'and\tand\tCC\tI-NP\tO' -p329479 -aS'dysarthria\tdysarthria\tNN\tI-NP\tO' -p329480 -aS'.\t.\t.\tO\tO' -p329481 -asS'The neck was supple with full range of motion .' -p329482 -(lp329483 -S'The\tThe\tDT\tB-NP\tO' -p329484 -aS'neck\tneck\tNN\tI-NP\tO' -p329485 -aS'was\tbe\tVBD\tB-VP\tO' -p329486 -aS'supple\tsupple\tNN\tB-NP\tO' -p329487 -aS'with\twith\tIN\tB-PP\tO' -p329488 -aS'full\tfull\tJJ\tB-NP\tO' -p329489 -aS'range\trange\tNN\tI-NP\tO' -p329490 -aS'of\tof\tIN\tB-PP\tO' -p329491 -aS'motion\tmotion\tNN\tB-NP\tO' -p329492 -aS'.\t.\t.\tO\tO' -p329493 -asS'The patient is discharged in fair condition with medical approval to the Pasi .' -p329494 -(lp329495 -S'The\tThe\tDT\tB-NP\tO' -p329496 -aS'patient\tpatient\tNN\tI-NP\tO' -p329497 -aS'is\tbe\tVBZ\tB-VP\tO' -p329498 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p329499 -aS'in\tin\tIN\tB-PP\tO' -p329500 -aS'fair\tfair\tJJ\tB-NP\tO' -p329501 -aS'condition\tcondition\tNN\tI-NP\tO' -p329502 -aS'with\twith\tIN\tB-PP\tO' -p329503 -aS'medical\tmedical\tJJ\tB-NP\tO' -p329504 -aS'approval\tapproval\tNN\tI-NP\tO' -p329505 -aS'to\tto\tTO\tB-PP\tO' -p329506 -aS'the\tthe\tDT\tB-NP\tO' -p329507 -aS'Pasi\tPasi\tNNP\tI-NP\tO' -p329508 -aS'.\t.\t.\tO\tO' -p329509 -asS'The major vascular structures at the skull base are normal .' -p329510 -(lp329511 -S'The\tThe\tDT\tB-NP\tO' -p329512 -aS'major\tmajor\tJJ\tI-NP\tO' -p329513 -aS'vascular\tvascular\tJJ\tI-NP\tO' -p329514 -aS'structures\tstructure\tNNS\tI-NP\tO' -p329515 -aS'at\tat\tIN\tB-PP\tO' -p329516 -aS'the\tthe\tDT\tB-NP\tO' -p329517 -aS'skull\tskull\tNN\tI-NP\tO' -p329518 -aS'base\tbase\tNN\tI-NP\tO' -p329519 -aS'are\tbe\tVBP\tB-VP\tO' -p329520 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p329521 -aS'.\t.\t.\tO\tO' -p329522 -asS'The patient was instructed to followup with her internist regarding further evaluation of her hypertension , and should be assessed regarding further management , as an inpatient , or while receiving chemotherapy .' -p329523 -(lp329524 -S'The\tThe\tDT\tB-NP\tO' -p329525 -aS'patient\tpatient\tNN\tI-NP\tO' -p329526 -aS'was\tbe\tVBD\tB-VP\tO' -p329527 -aS'instructed\tinstruct\tVBN\tI-VP\tO' -p329528 -aS'to\tto\tTO\tI-VP\tO' -p329529 -aS'followup\tfollowup\tVB\tI-VP\tO' -p329530 -aS'with\twith\tIN\tB-PP\tO' -p329531 -aS'her\ther\tPRP$\tB-NP\tO' -p329532 -aS'internist\tinternist\tNN\tI-NP\tO' -p329533 -aS'regarding\tregard\tVBG\tB-VP\tO' -p329534 -aS'further\tfurther\tJJ\tB-NP\tO' -p329535 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p329536 -aS'of\tof\tIN\tB-PP\tO' -p329537 -aS'her\ther\tPRP$\tB-NP\tO' -p329538 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p329539 -aS',\t,\t,\tO\tO' -p329540 -aS'and\tand\tCC\tO\tO' -p329541 -aS'should\tshould\tMD\tB-VP\tO' -p329542 -aS'be\tbe\tVB\tI-VP\tO' -p329543 -aS'assessed\tassess\tVBN\tI-VP\tO' -p329544 -aS'regarding\tregard\tVBG\tB-PP\tO' -p329545 -aS'further\tfurther\tJJ\tB-NP\tO' -p329546 -aS'management\tmanagement\tNN\tI-NP\tO' -p329547 -aS',\t,\t,\tO\tO' -p329548 -aS'as\tas\tIN\tB-PP\tO' -p329549 -aS'an\tan\tDT\tB-NP\tO' -p329550 -aS'inpatient\tinpatient\tNN\tI-NP\tO' -p329551 -aS',\t,\t,\tO\tO' -p329552 -aS'or\tor\tCC\tO\tO' -p329553 -aS'while\twhile\tIN\tB-SBAR\tO' -p329554 -aS'receiving\treceive\tVBG\tB-VP\tO' -p329555 -aS'chemotherapy\tchemotherapy\tNN\tB-NP\tO' -p329556 -aS'.\t.\t.\tO\tO' -p329557 -asS'B. Cervix with squamous metaplasia .' -p329558 -(lp329559 -S'B.\tB.\tNNP\tB-NP\tO' -p329560 -aS'Cervix\tCervix\tNNP\tI-NP\tO' -p329561 -aS'with\twith\tIN\tB-PP\tO' -p329562 -aS'squamous\tsquamous\tJJ\tB-NP\tO' -p329563 -aS'metaplasia\tmetaplasia\tNN\tI-NP\tO' -p329564 -aS'.\t.\t.\tO\tO' -p329565 -asS'Patient was instructed by PT on the correct way to ambulate , weight bearing as tolerated in the RLE . .' -p329566 -(lp329567 -S'Patient\tPatient\tNN\tB-NP\tO' -p329568 -aS'was\tbe\tVBD\tB-VP\tO' -p329569 -aS'instructed\tinstruct\tVBN\tI-VP\tO' -p329570 -aS'by\tby\tIN\tB-PP\tO' -p329571 -aS'PT\tPT\tNN\tB-NP\tO' -p329572 -aS'on\ton\tIN\tB-PP\tO' -p329573 -aS'the\tthe\tDT\tB-NP\tO' -p329574 -aS'correct\tcorrect\tJJ\tI-NP\tO' -p329575 -aS'way\tway\tNN\tI-NP\tO' -p329576 -aS'to\tto\tTO\tB-VP\tO' -p329577 -aS'ambulate\tambulate\tVB\tI-VP\tO' -p329578 -aS',\t,\t,\tO\tO' -p329579 -aS'weight\tweight\tNN\tB-NP\tO' -p329580 -aS'bearing\tbear\tVBG\tB-VP\tO' -p329581 -aS'as\tas\tIN\tB-SBAR\tO' -p329582 -aS'tolerated\ttolerate\tVBN\tB-VP\tO' -p329583 -aS'in\tin\tIN\tB-PP\tO' -p329584 -aS'the\tthe\tDT\tB-NP\tO' -p329585 -aS'RLE\tRLE\tNN\tI-NP\tB-DNA' -p329586 -aS'.\t.\t.\tO\tO' -p329587 -aS'.\t.\t.\tO\tO' -p329588 -asS'A PICC was breifly placed , however removed as it is unclear if pt can reliably flush this .' -p329589 -(lp329590 -S'A\tA\tDT\tB-NP\tO' -p329591 -aS'PICC\tPICC\tNN\tI-NP\tB-DNA' -p329592 -aS'was\tbe\tVBD\tB-VP\tO' -p329593 -aS'breifly\tbreifly\tRB\tI-VP\tO' -p329594 -aS'placed\tplace\tVBN\tI-VP\tO' -p329595 -aS',\t,\t,\tO\tO' -p329596 -aS'however\thowever\tRB\tB-VP\tO' -p329597 -aS'removed\tremove\tVBN\tI-VP\tO' -p329598 -aS'as\tas\tIN\tB-SBAR\tO' -p329599 -aS'it\tit\tPRP\tB-NP\tO' -p329600 -aS'is\tbe\tVBZ\tB-VP\tO' -p329601 -aS'unclear\tunclear\tJJ\tB-ADJP\tO' -p329602 -aS'if\tif\tIN\tB-SBAR\tO' -p329603 -aS'pt\tpt\tNN\tB-NP\tO' -p329604 -aS'can\tcan\tMD\tB-VP\tO' -p329605 -aS'reliably\treliably\tRB\tI-VP\tO' -p329606 -aS'flush\tflush\tVB\tI-VP\tO' -p329607 -aS'this\tthis\tDT\tB-NP\tO' -p329608 -aS'.\t.\t.\tO\tO' -p329609 -asS'2+ femoral pulses .' -p329610 -(lp329611 -S'2+\t2+\tJJ\tB-NP\tO' -p329612 -aS'femoral\tfemoral\tJJ\tI-NP\tO' -p329613 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p329614 -aS'.\t.\t.\tO\tO' -p329615 -asS'9. Levofloxacin 250 mg p.o. daily to complete a fourteen day course .' -p329616 -(lp329617 -S'9.\t9.\tCD\tB-NP\tO' -p329618 -aS'Levofloxacin\tLevofloxacin\tNN\tI-NP\tO' -p329619 -aS'250\t250\tCD\tB-NP\tO' -p329620 -aS'mg\tmg\tNN\tI-NP\tO' -p329621 -aS'p.o.\tp.o.\tRB\tB-ADVP\tO' -p329622 -aS'daily\tdaily\tRB\tI-ADVP\tO' -p329623 -aS'to\tto\tTO\tB-VP\tO' -p329624 -aS'complete\tcomplete\tVB\tI-VP\tO' -p329625 -aS'a\ta\tDT\tB-NP\tO' -p329626 -aS'fourteen\tfourteen\tJJ\tI-NP\tO' -p329627 -aS'day\tday\tNN\tI-NP\tO' -p329628 -aS'course\tcourse\tNN\tI-NP\tO' -p329629 -aS'.\t.\t.\tO\tO' -p329630 -asS'She lived with her husband caring for him .' -p329631 -(lp329632 -S'She\tShe\tPRP\tB-NP\tO' -p329633 -aS'lived\tlive\tVBD\tB-VP\tO' -p329634 -aS'with\twith\tIN\tB-PP\tO' -p329635 -aS'her\ther\tPRP$\tB-NP\tO' -p329636 -aS'husband\thusband\tNN\tI-NP\tO' -p329637 -aS'caring\tcare\tVBG\tB-VP\tO' -p329638 -aS'for\tfor\tIN\tB-PP\tO' -p329639 -aS'him\thim\tPRP\tB-NP\tO' -p329640 -aS'.\t.\t.\tO\tO' -p329641 -asS'HEENT : + scleral icterus .' -p329642 -(lp329643 -S'HEENT\tHEENT\tNN\tB-NP\tO' -p329644 -aS':\t:\t:\tO\tO' -p329645 -aS'+\t+\tSYM\tB-NP\tO' -p329646 -aS'scleral\tscleral\tJJ\tI-NP\tO' -p329647 -aS'icterus\ticterus\tNN\tI-NP\tO' -p329648 -aS'.\t.\t.\tO\tO' -p329649 -asS'Her hematocrit stayed stable at approximately 32 .' -p329650 -(lp329651 -S'Her\tHer\tPRP$\tB-NP\tO' -p329652 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p329653 -aS'stayed\tstay\tVBD\tB-VP\tO' -p329654 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p329655 -aS'at\tat\tIN\tB-PP\tO' -p329656 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p329657 -aS'32\t32\tCD\tI-NP\tO' -p329658 -aS'.\t.\t.\tO\tO' -p329659 -asS'Call 887 415 4220 to schedule an appointment with Orthopedics for late November .' -p329660 -(lp329661 -S'Call\tCall\tVB\tB-NP\tO' -p329662 -aS'887\t887\tCD\tB-NP\tO' -p329663 -aS'415\t415\tCD\tI-NP\tO' -p329664 -aS'4220\t4220\tCD\tI-NP\tO' -p329665 -aS'to\tto\tTO\tB-VP\tO' -p329666 -aS'schedule\tschedule\tVB\tI-VP\tO' -p329667 -aS'an\tan\tDT\tB-NP\tO' -p329668 -aS'appointment\tappointment\tNN\tI-NP\tO' -p329669 -aS'with\twith\tIN\tB-PP\tO' -p329670 -aS'Orthopedics\tOrthopedic\tNNS\tB-NP\tO' -p329671 -aS'for\tfor\tIN\tB-PP\tO' -p329672 -aS'late\tlate\tJJ\tB-NP\tO' -p329673 -aS'November\tNovember\tNNP\tI-NP\tO' -p329674 -aS'.\t.\t.\tO\tO' -p329675 -asS'She will be continued to be followed closely by cardiology as an outpatient , with likely plans for cardiac catheterization and surgical repair when she grows to 3.5 to 4 kg .' -p329676 -(lp329677 -S'She\tShe\tPRP\tB-NP\tO' -p329678 -aS'will\twill\tMD\tB-VP\tO' -p329679 -aS'be\tbe\tVB\tI-VP\tO' -p329680 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p329681 -aS'to\tto\tTO\tI-VP\tO' -p329682 -aS'be\tbe\tVB\tI-VP\tO' -p329683 -aS'followed\tfollow\tVBN\tI-VP\tO' -p329684 -aS'closely\tclosely\tRB\tB-ADVP\tO' -p329685 -aS'by\tby\tIN\tB-PP\tO' -p329686 -aS'cardiology\tcardiology\tNN\tB-NP\tO' -p329687 -aS'as\tas\tIN\tB-PP\tO' -p329688 -aS'an\tan\tDT\tB-NP\tO' -p329689 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p329690 -aS',\t,\t,\tO\tO' -p329691 -aS'with\twith\tIN\tB-PP\tO' -p329692 -aS'likely\tlikely\tJJ\tB-NP\tO' -p329693 -aS'plans\tplan\tNNS\tI-NP\tO' -p329694 -aS'for\tfor\tIN\tB-PP\tO' -p329695 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p329696 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p329697 -aS'and\tand\tCC\tO\tO' -p329698 -aS'surgical\tsurgical\tJJ\tB-NP\tO' -p329699 -aS'repair\trepair\tNN\tI-NP\tO' -p329700 -aS'when\twhen\tWRB\tB-ADVP\tO' -p329701 -aS'she\tshe\tPRP\tB-NP\tO' -p329702 -aS'grows\tgrow\tVBZ\tB-VP\tO' -p329703 -aS'to\tto\tTO\tB-PP\tO' -p329704 -aS'3.5\t3.5\tCD\tB-NP\tO' -p329705 -aS'to\tto\tTO\tI-NP\tO' -p329706 -aS'4\t4\tCD\tI-NP\tO' -p329707 -aS'kg\tkg\tNN\tI-NP\tO' -p329708 -aS'.\t.\t.\tO\tO' -p329709 -asS'Tube and requisition of the CSF labeled tube # 1 was notable for color pink , turbidity slight , xanthochromia yes , red blood cells 3,800 , white blood cells 3 , neutrophils 58 , bands 4 , lymphs 29 , monos 6 , eos 2 and basos 1 .' -p329710 -(lp329711 -S'Tube\tTube\tNN\tB-NP\tO' -p329712 -aS'and\tand\tCC\tI-NP\tO' -p329713 -aS'requisition\trequisition\tNN\tI-NP\tO' -p329714 -aS'of\tof\tIN\tB-PP\tO' -p329715 -aS'the\tthe\tDT\tB-NP\tO' -p329716 -aS'CSF\tCSF\tNN\tI-NP\tB-protein' -p329717 -aS'labeled\tlabel\tVBN\tI-NP\tO' -p329718 -aS'tube\ttube\tNN\tI-NP\tO' -p329719 -aS'#\t#\t#\tB-NP\tO' -p329720 -aS'1\t1\tCD\tI-NP\tO' -p329721 -aS'was\tbe\tVBD\tB-VP\tO' -p329722 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p329723 -aS'for\tfor\tIN\tB-PP\tO' -p329724 -aS'color\tcolor\tNN\tB-NP\tO' -p329725 -aS'pink\tpink\tNN\tI-NP\tO' -p329726 -aS',\t,\t,\tO\tO' -p329727 -aS'turbidity\tturbidity\tNN\tB-NP\tO' -p329728 -aS'slight\tslight\tJJ\tB-ADJP\tO' -p329729 -aS',\t,\t,\tO\tO' -p329730 -aS'xanthochromia\txanthochromia\tNN\tB-NP\tO' -p329731 -aS'yes\tye\tNNS\tI-NP\tO' -p329732 -aS',\t,\t,\tO\tO' -p329733 -aS'red\tred\tJJ\tB-NP\tB-cell_type' -p329734 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p329735 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p329736 -aS'3,800\t3,800\tCD\tB-NP\tO' -p329737 -aS',\t,\t,\tO\tO' -p329738 -aS'white\twhite\tJJ\tB-NP\tB-cell_type' -p329739 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p329740 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p329741 -aS'3\t3\tCD\tB-NP\tO' -p329742 -aS',\t,\t,\tO\tO' -p329743 -aS'neutrophils\tneutrophil\tNNS\tB-NP\tB-cell_type' -p329744 -aS'58\t58\tCD\tB-NP\tO' -p329745 -aS',\t,\t,\tO\tO' -p329746 -aS'bands\tband\tNNS\tB-NP\tB-protein' -p329747 -aS'4\t4\tCD\tB-NP\tI-protein' -p329748 -aS',\t,\t,\tO\tO' -p329749 -aS'lymphs\tlymph\tNNS\tB-NP\tO' -p329750 -aS'29\t29\tCD\tB-NP\tO' -p329751 -aS',\t,\t,\tO\tO' -p329752 -aS'monos\tmono\tNNS\tB-NP\tO' -p329753 -aS'6\t6\tCD\tB-NP\tO' -p329754 -aS',\t,\t,\tO\tO' -p329755 -aS'eos\teo\tNNS\tB-NP\tO' -p329756 -aS'2\t2\tCD\tB-NP\tO' -p329757 -aS'and\tand\tCC\tO\tO' -p329758 -aS'basos\tbasos\tNN\tB-NP\tO' -p329759 -aS'1\t1\tCD\tI-NP\tO' -p329760 -aS'.\t.\t.\tO\tO' -p329761 -asS'Major Surgical or Invasive Procedure : colonoscopy egd' -p329762 -(lp329763 -S'Major\tMajor\tJJ\tB-NP\tO' -p329764 -aS'Surgical\tSurgical\tJJ\tI-NP\tO' -p329765 -aS'or\tor\tCC\tI-NP\tO' -p329766 -aS'Invasive\tInvasive\tJJ\tI-NP\tO' -p329767 -aS'Procedure\tProcedure\tNN\tI-NP\tO' -p329768 -aS':\t:\t:\tO\tO' -p329769 -aS'colonoscopy\tcolonoscopy\tNN\tB-NP\tO' -p329770 -aS'egd\tegd\tNN\tI-NP\tO' -p329771 -asS'There was no scleral icterus .' -p329772 -(lp329773 -S'There\tThere\tEX\tB-NP\tO' -p329774 -aS'was\tbe\tVBD\tB-VP\tO' -p329775 -aS'no\tno\tDT\tB-NP\tO' -p329776 -aS'scleral\tscleral\tJJ\tI-NP\tO' -p329777 -aS'icterus\ticterus\tNN\tI-NP\tO' -p329778 -aS'.\t.\t.\tO\tO' -p329779 -asS'He states that he primarily relies on friends .' -p329780 -(lp329781 -S'He\tHe\tPRP\tB-NP\tO' -p329782 -aS'states\tstate\tVBZ\tB-VP\tO' -p329783 -aS'that\tthat\tIN\tB-SBAR\tO' -p329784 -aS'he\the\tPRP\tB-NP\tO' -p329785 -aS'primarily\tprimarily\tRB\tB-ADVP\tO' -p329786 -aS'relies\trely\tVBZ\tB-VP\tO' -p329787 -aS'on\ton\tIN\tB-PP\tO' -p329788 -aS'friends\tfriend\tNNS\tB-NP\tO' -p329789 -aS'.\t.\t.\tO\tO' -p329790 -asS'9. Furosemide 20 mg Tablet Sig : One ( 1 ) Tablet PO every twelve ( 12 ) hours .' -p329791 -(lp329792 -S'9.\t9.\tCD\tB-NP\tO' -p329793 -aS'Furosemide\tFurosemide\tNN\tI-NP\tO' -p329794 -aS'20\t20\tCD\tB-NP\tO' -p329795 -aS'mg\tmg\tNN\tI-NP\tO' -p329796 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p329797 -aS'Sig\tSig\tNNP\tI-NP\tO' -p329798 -aS':\t:\t:\tO\tO' -p329799 -aS'One\tOne\tCD\tB-NP\tO' -p329800 -aS'(\t(\t(\tO\tO' -p329801 -aS'1\t1\tCD\tB-NP\tO' -p329802 -aS')\t)\t)\tO\tO' -p329803 -aS'Tablet\tTablet\tNN\tB-NP\tB-protein' -p329804 -aS'PO\tPO\tNN\tI-NP\tI-protein' -p329805 -aS'every\tevery\tDT\tB-NP\tO' -p329806 -aS'twelve\ttwelve\tCD\tI-NP\tO' -p329807 -aS'(\t(\t(\tO\tO' -p329808 -aS'12\t12\tCD\tB-NP\tO' -p329809 -aS')\t)\t)\tO\tO' -p329810 -aS'hours\thour\tNNS\tB-NP\tO' -p329811 -aS'.\t.\t.\tO\tO' -p329812 -asS'3. Oxycodone - Acetaminophen 5-325 mg Tablet Sig : 1-2 Tablets PO Q4-6H ( every 4 to 6 hours ) as needed .' -p329813 -(lp329814 -S'3.\t3.\tLS\tB-NP\tO' -p329815 -aS'Oxycodone\tOxycodone\tNN\tI-NP\tO' -p329816 -aS'-\t-\tHYPH\tO\tO' -p329817 -aS'Acetaminophen\tAcetaminophen\tNN\tB-NP\tO' -p329818 -aS'5-325\t5-325\tCD\tI-NP\tO' -p329819 -aS'mg\tmg\tNN\tI-NP\tO' -p329820 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p329821 -aS'Sig\tSig\tNNP\tI-NP\tO' -p329822 -aS':\t:\t:\tO\tO' -p329823 -aS'1-2\t1-2\tCD\tB-NP\tO' -p329824 -aS'Tablets\tTablet\tNNS\tI-NP\tO' -p329825 -aS'PO\tPO\tNN\tI-NP\tO' -p329826 -aS'Q4-6H\tQ4-6H\tNN\tI-NP\tO' -p329827 -aS'(\t(\t(\tO\tO' -p329828 -aS'every\tevery\tDT\tB-NP\tO' -p329829 -aS'4\t4\tCD\tI-NP\tO' -p329830 -aS'to\tto\tTO\tI-NP\tO' -p329831 -aS'6\t6\tCD\tI-NP\tO' -p329832 -aS'hours\thour\tNNS\tI-NP\tO' -p329833 -aS')\t)\t)\tO\tO' -p329834 -aS'as\tas\tIN\tB-SBAR\tO' -p329835 -aS'needed\tneed\tVBN\tB-VP\tO' -p329836 -aS'.\t.\t.\tO\tO' -p329837 -asS'The patient reported feeling at his baseline with chronic mild dyspnea on exertion until two weeks prior to admission .' -p329838 -(lp329839 -S'The\tThe\tDT\tB-NP\tO' -p329840 -aS'patient\tpatient\tNN\tI-NP\tO' -p329841 -aS'reported\treport\tVBD\tB-VP\tO' -p329842 -aS'feeling\tfeel\tVBG\tI-VP\tO' -p329843 -aS'at\tat\tIN\tB-PP\tO' -p329844 -aS'his\this\tPRP$\tB-NP\tO' -p329845 -aS'baseline\tbaseline\tNN\tI-NP\tO' -p329846 -aS'with\twith\tIN\tB-PP\tO' -p329847 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p329848 -aS'mild\tmild\tJJ\tI-NP\tO' -p329849 -aS'dyspnea\tdyspnea\tNN\tI-NP\tO' -p329850 -aS'on\ton\tIN\tB-PP\tO' -p329851 -aS'exertion\texertion\tNN\tB-NP\tO' -p329852 -aS'until\tuntil\tIN\tB-PP\tO' -p329853 -aS'two\ttwo\tCD\tB-NP\tO' -p329854 -aS'weeks\tweek\tNNS\tI-NP\tO' -p329855 -aS'prior\tprior\tRB\tB-ADVP\tO' -p329856 -aS'to\tto\tTO\tB-PP\tO' -p329857 -aS'admission\tadmission\tNN\tB-NP\tO' -p329858 -aS'.\t.\t.\tO\tO' -p329859 -asS'Per their recommendations , silvadine was applied to the tendons to prevent dessication .' -p329860 -(lp329861 -S'Per\tPer\tIN\tB-PP\tO' -p329862 -aS'their\ttheir\tPRP$\tB-NP\tO' -p329863 -aS'recommendations\trecommendation\tNNS\tI-NP\tO' -p329864 -aS',\t,\t,\tO\tO' -p329865 -aS'silvadine\tsilvadine\tNN\tB-NP\tO' -p329866 -aS'was\tbe\tVBD\tB-VP\tO' -p329867 -aS'applied\tapply\tVBN\tI-VP\tO' -p329868 -aS'to\tto\tTO\tB-PP\tO' -p329869 -aS'the\tthe\tDT\tB-NP\tO' -p329870 -aS'tendons\ttendon\tNNS\tI-NP\tO' -p329871 -aS'to\tto\tTO\tB-VP\tO' -p329872 -aS'prevent\tprevent\tVB\tI-VP\tO' -p329873 -aS'dessication\tdessication\tNN\tB-NP\tO' -p329874 -aS'.\t.\t.\tO\tO' -p329875 -asS'This is the end of part 1 of this dictation summary for Patricia Jackson .' -p329876 -(lp329877 -S'This\tThis\tDT\tB-NP\tO' -p329878 -aS'is\tbe\tVBZ\tB-VP\tO' -p329879 -aS'the\tthe\tDT\tB-NP\tO' -p329880 -aS'end\tend\tNN\tI-NP\tO' -p329881 -aS'of\tof\tIN\tB-PP\tO' -p329882 -aS'part\tpart\tNN\tB-NP\tO' -p329883 -aS'1\t1\tCD\tI-NP\tO' -p329884 -aS'of\tof\tIN\tB-PP\tO' -p329885 -aS'this\tthis\tDT\tB-NP\tO' -p329886 -aS'dictation\tdictation\tNN\tI-NP\tO' -p329887 -aS'summary\tsummary\tNN\tI-NP\tO' -p329888 -aS'for\tfor\tIN\tB-PP\tO' -p329889 -aS'Patricia\tPatricia\tNNP\tB-NP\tO' -p329890 -aS'Jackson\tJackson\tNNP\tI-NP\tO' -p329891 -aS'.\t.\t.\tO\tO' -p329892 -asS'The family was present .' -p329893 -(lp329894 -S'The\tThe\tDT\tB-NP\tO' -p329895 -aS'family\tfamily\tNN\tI-NP\tO' -p329896 -aS'was\tbe\tVBD\tB-VP\tO' -p329897 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p329898 -aS'.\t.\t.\tO\tO' -p329899 -asS'The plan was q. 1-hour neuro checks .' -p329900 -(lp329901 -S'The\tThe\tDT\tB-NP\tO' -p329902 -aS'plan\tplan\tNN\tI-NP\tO' -p329903 -aS'was\tbe\tVBD\tB-VP\tO' -p329904 -aS'q.\tq.\tNN\tB-NP\tO' -p329905 -aS'1-hour\t1-hour\tJJ\tI-NP\tO' -p329906 -aS'neuro\tneuro\tNN\tI-NP\tO' -p329907 -aS'checks\tcheck\tNNS\tI-NP\tO' -p329908 -aS'.\t.\t.\tO\tO' -p329909 -asS'In general , in no acute distress .' -p329910 -(lp329911 -S'In\tIn\tIN\tB-PP\tO' -p329912 -aS'general\tgeneral\tJJ\tB-ADJP\tO' -p329913 -aS',\t,\t,\tO\tO' -p329914 -aS'in\tin\tIN\tB-PP\tO' -p329915 -aS'no\tno\tDT\tB-NP\tO' -p329916 -aS'acute\tacute\tJJ\tI-NP\tO' -p329917 -aS'distress\tdistress\tNN\tI-NP\tO' -p329918 -aS'.\t.\t.\tO\tO' -p329919 -asS'On the day of admission , the patient was with some friends , rose from a chair to leave and felt dizzy while ambulating , fell and hit elbow with minor head trauma .' -p329920 -(lp329921 -S'On\tOn\tIN\tB-PP\tO' -p329922 -aS'the\tthe\tDT\tB-NP\tO' -p329923 -aS'day\tday\tNN\tI-NP\tO' -p329924 -aS'of\tof\tIN\tB-PP\tO' -p329925 -aS'admission\tadmission\tNN\tB-NP\tO' -p329926 -aS',\t,\t,\tO\tO' -p329927 -aS'the\tthe\tDT\tB-NP\tO' -p329928 -aS'patient\tpatient\tNN\tI-NP\tO' -p329929 -aS'was\tbe\tVBD\tB-VP\tO' -p329930 -aS'with\twith\tIN\tB-PP\tO' -p329931 -aS'some\tsome\tDT\tB-NP\tO' -p329932 -aS'friends\tfriend\tNNS\tI-NP\tO' -p329933 -aS',\t,\t,\tO\tO' -p329934 -aS'rose\trise\tVBD\tB-VP\tO' -p329935 -aS'from\tfrom\tIN\tB-PP\tO' -p329936 -aS'a\ta\tDT\tB-NP\tO' -p329937 -aS'chair\tchair\tNN\tI-NP\tO' -p329938 -aS'to\tto\tTO\tB-VP\tO' -p329939 -aS'leave\tleave\tVB\tI-VP\tO' -p329940 -aS'and\tand\tCC\tO\tO' -p329941 -aS'felt\tfeel\tVBD\tB-VP\tO' -p329942 -aS'dizzy\tdizzy\tJJ\tB-ADJP\tO' -p329943 -aS'while\twhile\tIN\tB-SBAR\tO' -p329944 -aS'ambulating\tambulate\tVBG\tB-VP\tO' -p329945 -aS',\t,\t,\tO\tO' -p329946 -aS'fell\tfall\tVBD\tB-VP\tO' -p329947 -aS'and\tand\tCC\tI-VP\tO' -p329948 -aS'hit\thit\tVBD\tI-VP\tO' -p329949 -aS'elbow\telbow\tNN\tB-NP\tO' -p329950 -aS'with\twith\tIN\tB-PP\tO' -p329951 -aS'minor\tminor\tJJ\tB-NP\tO' -p329952 -aS'head\thead\tNN\tI-NP\tO' -p329953 -aS'trauma\ttrauma\tNN\tI-NP\tO' -p329954 -aS'.\t.\t.\tO\tO' -p329955 -asS'6. Meclizine 25 mg q8hours p.r.n.' -p329956 -(lp329957 -S'6.\t6.\tCD\tB-NP\tO' -p329958 -aS'Meclizine\tMeclizine\tNN\tI-NP\tO' -p329959 -aS'25\t25\tCD\tB-NP\tO' -p329960 -aS'mg\tmg\tNN\tI-NP\tO' -p329961 -aS'q8hours\tq8hour\tNNS\tI-NP\tO' -p329962 -aS'p.r.n.\tp.r.n.\tVBP\tB-VP\tO' -p329963 -asS'The patient was ultimately discharged on postoperative day number 16 , tolerating a regular diet , and adequate pain control on p.o. pain medications , having no anginal symptoms and with an INR of 2.0 .' -p329964 -(lp329965 -S'The\tThe\tDT\tB-NP\tO' -p329966 -aS'patient\tpatient\tNN\tI-NP\tO' -p329967 -aS'was\tbe\tVBD\tB-VP\tO' -p329968 -aS'ultimately\tultimately\tRB\tI-VP\tO' -p329969 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p329970 -aS'on\ton\tIN\tB-PP\tO' -p329971 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p329972 -aS'day\tday\tNN\tI-NP\tO' -p329973 -aS'number\tnumber\tNN\tI-NP\tO' -p329974 -aS'16\t16\tCD\tI-NP\tO' -p329975 -aS',\t,\t,\tO\tO' -p329976 -aS'tolerating\ttolerate\tVBG\tB-VP\tO' -p329977 -aS'a\ta\tDT\tB-NP\tO' -p329978 -aS'regular\tregular\tJJ\tI-NP\tO' -p329979 -aS'diet\tdiet\tNN\tI-NP\tO' -p329980 -aS',\t,\t,\tO\tO' -p329981 -aS'and\tand\tCC\tO\tO' -p329982 -aS'adequate\tadequate\tJJ\tB-NP\tO' -p329983 -aS'pain\tpain\tNN\tI-NP\tO' -p329984 -aS'control\tcontrol\tNN\tI-NP\tO' -p329985 -aS'on\ton\tIN\tB-PP\tO' -p329986 -aS'p.o.\tp.o.\tFW\tB-NP\tO' -p329987 -aS'pain\tpain\tNN\tI-NP\tO' -p329988 -aS'medications\tmedication\tNNS\tI-NP\tO' -p329989 -aS',\t,\t,\tO\tO' -p329990 -aS'having\thave\tVBG\tB-VP\tO' -p329991 -aS'no\tno\tDT\tB-NP\tO' -p329992 -aS'anginal\tanginal\tJJ\tI-NP\tO' -p329993 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p329994 -aS'and\tand\tCC\tB-PP\tO' -p329995 -aS'with\twith\tIN\tB-PP\tO' -p329996 -aS'an\tan\tDT\tB-NP\tO' -p329997 -aS'INR\tINR\tNN\tI-NP\tB-protein' -p329998 -aS'of\tof\tIN\tB-PP\tO' -p329999 -aS'2.0\t2.0\tCD\tB-NP\tO' -p330000 -aS'.\t.\t.\tO\tO' -p330001 -asS'9. Lipitor 40 mg Tablet Sig : One ( 1 ) Tablet PO once a day .' -p330002 -(lp330003 -S'9.\t9.\tCD\tB-NP\tO' -p330004 -aS'Lipitor\tLipitor\tNNP\tI-NP\tO' -p330005 -aS'40\t40\tCD\tI-NP\tO' -p330006 -aS'mg\tmg\tNN\tI-NP\tO' -p330007 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p330008 -aS'Sig\tSig\tNNP\tI-NP\tO' -p330009 -aS':\t:\t:\tO\tO' -p330010 -aS'One\tOne\tCD\tB-NP\tO' -p330011 -aS'(\t(\t(\tO\tO' -p330012 -aS'1\t1\tCD\tB-NP\tO' -p330013 -aS')\t)\t)\tO\tO' -p330014 -aS'Tablet\tTablet\tNN\tB-NP\tB-protein' -p330015 -aS'PO\tPO\tNN\tI-NP\tI-protein' -p330016 -aS'once\tonce\tRB\tO\tO' -p330017 -aS'a\ta\tDT\tB-NP\tO' -p330018 -aS'day\tday\tNN\tI-NP\tO' -p330019 -aS'.\t.\t.\tO\tO' -p330020 -asS'Limited examination .' -p330021 -(lp330022 -S'Limited\tLimit\tVBN\tB-NP\tO' -p330023 -aS'examination\texamination\tNN\tI-NP\tO' -p330024 -aS'.\t.\t.\tO\tO' -p330025 -asS'Dictated By : Brett E.X. Im , M.D.' -p330026 -(lp330027 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p330028 -aS'By\tBy\tIN\tB-PP\tO' -p330029 -aS':\t:\t:\tO\tO' -p330030 -aS'Brett\tBrett\tNNP\tB-NP\tO' -p330031 -aS'E.X.\tE.X.\tNNP\tI-NP\tO' -p330032 -aS'Im\tIm\tNNP\tI-NP\tO' -p330033 -aS',\t,\t,\tO\tO' -p330034 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p330035 -asS'He was transferred to Hallmark Health System for further care .' -p330036 -(lp330037 -S'He\tHe\tPRP\tB-NP\tO' -p330038 -aS'was\tbe\tVBD\tB-VP\tO' -p330039 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p330040 -aS'to\tto\tTO\tB-PP\tO' -p330041 -aS'Hallmark\tHallmark\tNNP\tB-NP\tO' -p330042 -aS'Health\tHealth\tNNP\tI-NP\tO' -p330043 -aS'System\tSystem\tNNP\tI-NP\tO' -p330044 -aS'for\tfor\tIN\tB-PP\tO' -p330045 -aS'further\tfurther\tJJ\tB-NP\tO' -p330046 -aS'care\tcare\tNN\tI-NP\tO' -p330047 -aS'.\t.\t.\tO\tO' -p330048 -asS'11-03 PMNs and <10 epithelial cells/100X field .' -p330049 -(lp330050 -S'11-03\t11-03\tCD\tB-NP\tO' -p330051 -aS'PMNs\tPMN\tNNS\tI-NP\tB-cell_type' -p330052 -aS'and\tand\tCC\tO\tO' -p330053 -aS'<10\t<10\tCD\tB-NP\tO' -p330054 -aS'epithelial\tepithelial\tJJ\tI-NP\tO' -p330055 -aS'cells/100X\tcells/100X\tNN\tI-NP\tO' -p330056 -aS'field\tfield\tNN\tI-NP\tO' -p330057 -aS'.\t.\t.\tO\tO' -p330058 -asS'There are persistent bifrontal and right parietal hemorrhagic contusions with surrounding edema and possible small left frontal subarachnoid hemorrhage ( adjacent to falx ) which are largely unchanged .' -p330059 -(lp330060 -S'There\tThere\tEX\tB-NP\tO' -p330061 -aS'are\tbe\tVBP\tB-VP\tO' -p330062 -aS'persistent\tpersistent\tJJ\tB-NP\tO' -p330063 -aS'bifrontal\tbifrontal\tJJ\tI-NP\tO' -p330064 -aS'and\tand\tCC\tI-NP\tO' -p330065 -aS'right\tright\tJJ\tI-NP\tO' -p330066 -aS'parietal\tparietal\tJJ\tI-NP\tO' -p330067 -aS'hemorrhagic\themorrhagic\tJJ\tI-NP\tO' -p330068 -aS'contusions\tcontusion\tNNS\tI-NP\tO' -p330069 -aS'with\twith\tIN\tB-PP\tO' -p330070 -aS'surrounding\tsurround\tVBG\tB-VP\tO' -p330071 -aS'edema\tedema\tNN\tB-NP\tO' -p330072 -aS'and\tand\tCC\tO\tO' -p330073 -aS'possible\tpossible\tJJ\tB-NP\tO' -p330074 -aS'small\tsmall\tJJ\tI-NP\tO' -p330075 -aS'left\tleft\tJJ\tI-NP\tO' -p330076 -aS'frontal\tfrontal\tJJ\tI-NP\tO' -p330077 -aS'subarachnoid\tsubarachnoid\tJJ\tI-NP\tO' -p330078 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p330079 -aS'(\t(\t(\tO\tO' -p330080 -aS'adjacent\tadjacent\tJJ\tB-ADJP\tO' -p330081 -aS'to\tto\tTO\tB-PP\tO' -p330082 -aS'falx\tfalx\tNN\tB-NP\tO' -p330083 -aS')\t)\t)\tO\tO' -p330084 -aS'which\twhich\tWDT\tB-NP\tO' -p330085 -aS'are\tbe\tVBP\tB-VP\tO' -p330086 -aS'largely\tlargely\tRB\tB-ADJP\tO' -p330087 -aS'unchanged\tunchanged\tJJ\tI-ADJP\tO' -p330088 -aS'.\t.\t.\tO\tO' -p330089 -asS'He was tranferred to the CMED .' -p330090 -(lp330091 -S'He\tHe\tPRP\tB-NP\tO' -p330092 -aS'was\tbe\tVBD\tB-VP\tO' -p330093 -aS'tranferred\ttranferre\tVBN\tI-VP\tO' -p330094 -aS'to\tto\tTO\tB-PP\tO' -p330095 -aS'the\tthe\tDT\tB-NP\tO' -p330096 -aS'CMED\tCMED\tNN\tI-NP\tO' -p330097 -aS'.\t.\t.\tO\tO' -p330098 -asS'His only positive result was a sputum culture for Pseudomonas and this came after he had already been on antibiotics .' -p330099 -(lp330100 -S'His\tHis\tPRP$\tB-NP\tO' -p330101 -aS'only\tonly\tJJ\tI-NP\tO' -p330102 -aS'positive\tpositive\tJJ\tI-NP\tO' -p330103 -aS'result\tresult\tNN\tI-NP\tO' -p330104 -aS'was\tbe\tVBD\tB-VP\tO' -p330105 -aS'a\ta\tDT\tB-NP\tO' -p330106 -aS'sputum\tsputum\tNN\tI-NP\tO' -p330107 -aS'culture\tculture\tNN\tI-NP\tO' -p330108 -aS'for\tfor\tIN\tB-PP\tO' -p330109 -aS'Pseudomonas\tPseudomonas\tNNP\tB-NP\tO' -p330110 -aS'and\tand\tCC\tO\tO' -p330111 -aS'this\tthis\tDT\tB-NP\tO' -p330112 -aS'came\tcome\tVBD\tB-VP\tO' -p330113 -aS'after\tafter\tIN\tB-SBAR\tO' -p330114 -aS'he\the\tPRP\tB-NP\tO' -p330115 -aS'had\thave\tVBD\tB-VP\tO' -p330116 -aS'already\talready\tRB\tI-VP\tO' -p330117 -aS'been\tbe\tVBN\tI-VP\tO' -p330118 -aS'on\ton\tIN\tB-PP\tO' -p330119 -aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' -p330120 -aS'.\t.\t.\tO\tO' -p330121 -asS'Pt continued to have elev pancreatic enzymes and pentamidine was switched to clinda/primaquine .' -p330122 -(lp330123 -S'Pt\tPt\tNN\tB-NP\tO' -p330124 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p330125 -aS'to\tto\tTO\tI-VP\tO' -p330126 -aS'have\thave\tVB\tI-VP\tO' -p330127 -aS'elev\telev\tNN\tB-NP\tB-protein' -p330128 -aS'pancreatic\tpancreatic\tJJ\tI-NP\tI-protein' -p330129 -aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' -p330130 -aS'and\tand\tCC\tO\tO' -p330131 -aS'pentamidine\tpentamidine\tNN\tB-NP\tO' -p330132 -aS'was\tbe\tVBD\tB-VP\tO' -p330133 -aS'switched\tswitch\tVBN\tI-VP\tO' -p330134 -aS'to\tto\tTO\tB-PP\tO' -p330135 -aS'clinda/primaquine\tclinda/primaquine\tNN\tB-NP\tO' -p330136 -aS'.\t.\t.\tO\tO' -p330137 -asS'HER WOUND HAS REMAIND DRY AND CLOSED , WITHOUT EVIDENCE OF INFECTION OR BREAKDOWN .' -p330138 -(lp330139 -S'HER\tHER\tNN\tB-NP\tO' -p330140 -aS'WOUND\tWOUND\tNN\tI-NP\tO' -p330141 -aS'HAS\tHAS\tVBZ\tB-VP\tO' -p330142 -aS'REMAIND\tREMAIND\tNNP\tB-NP\tO' -p330143 -aS'DRY\tDRY\tNNP\tI-NP\tO' -p330144 -aS'AND\tAND\tCC\tO\tO' -p330145 -aS'CLOSED\tCLOSED\tVBN\tB-VP\tO' -p330146 -aS',\t,\t,\tO\tO' -p330147 -aS'WITHOUT\tWITHOUT\tNN\tB-NP\tO' -p330148 -aS'EVIDENCE\tEVIDENCE\tNN\tI-NP\tO' -p330149 -aS'OF\tOF\tIN\tB-PP\tO' -p330150 -aS'INFECTION\tINFECTION\tNN\tB-NP\tO' -p330151 -aS'OR\tOR\tNN\tI-NP\tO' -p330152 -aS'BREAKDOWN\tBREAKDOWN\tNN\tI-NP\tO' -p330153 -aS'.\t.\t.\tO\tO' -p330154 -asS'He was again treated with IV Ceftazidime for presumed pseudomonal pneumonia and discharged home on IV antibiotics which he is presently on .' -p330155 -(lp330156 -S'He\tHe\tPRP\tB-NP\tO' -p330157 -aS'was\tbe\tVBD\tB-VP\tO' -p330158 -aS'again\tagain\tRB\tI-VP\tO' -p330159 -aS'treated\ttreat\tVBN\tI-VP\tO' -p330160 -aS'with\twith\tIN\tB-PP\tO' -p330161 -aS'IV\tIV\tCD\tB-NP\tO' -p330162 -aS'Ceftazidime\tCeftazidime\tNN\tI-NP\tO' -p330163 -aS'for\tfor\tIN\tB-PP\tO' -p330164 -aS'presumed\tpresume\tVBN\tB-NP\tO' -p330165 -aS'pseudomonal\tpseudomonal\tJJ\tI-NP\tO' -p330166 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p330167 -aS'and\tand\tCC\tO\tO' -p330168 -aS'discharged\tdischarge\tVBD\tB-VP\tO' -p330169 -aS'home\thome\tNN\tB-NP\tO' -p330170 -aS'on\ton\tIN\tB-PP\tO' -p330171 -aS'IV\tIV\tCD\tB-NP\tO' -p330172 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p330173 -aS'which\twhich\tWDT\tB-NP\tO' -p330174 -aS'he\the\tPRP\tB-NP\tO' -p330175 -aS'is\tbe\tVBZ\tB-VP\tO' -p330176 -aS'presently\tpresently\tRB\tB-ADVP\tO' -p330177 -aS'on\ton\tRB\tI-ADVP\tO' -p330178 -aS'.\t.\t.\tO\tO' -p330179 -asS'The patient had been initially very hypoglycemic on admission secondary to overdosing on insulin ; however , with glucose repletion both in the Emergency Department and in the ICU , this resolved and the patient also began to eat .' -p330180 -(lp330181 -S'The\tThe\tDT\tB-NP\tO' -p330182 -aS'patient\tpatient\tNN\tI-NP\tO' -p330183 -aS'had\thave\tVBD\tB-VP\tO' -p330184 -aS'been\tbe\tVBN\tI-VP\tO' -p330185 -aS'initially\tinitially\tRB\tB-ADJP\tO' -p330186 -aS'very\tvery\tRB\tI-ADJP\tO' -p330187 -aS'hypoglycemic\thypoglycemic\tJJ\tI-ADJP\tO' -p330188 -aS'on\ton\tIN\tB-PP\tO' -p330189 -aS'admission\tadmission\tNN\tB-NP\tO' -p330190 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p330191 -aS'to\tto\tTO\tB-PP\tO' -p330192 -aS'overdosing\toverdose\tVBG\tB-VP\tO' -p330193 -aS'on\ton\tIN\tB-PP\tO' -p330194 -aS'insulin\tinsulin\tNN\tB-NP\tB-protein' -p330195 -aS';\t;\t:\tO\tO' -p330196 -aS'however\thowever\tRB\tB-ADVP\tO' -p330197 -aS',\t,\t,\tO\tO' -p330198 -aS'with\twith\tIN\tB-PP\tO' -p330199 -aS'glucose\tglucose\tNN\tB-NP\tO' -p330200 -aS'repletion\trepletion\tNN\tI-NP\tO' -p330201 -aS'both\tboth\tCC\tB-PP\tO' -p330202 -aS'in\tin\tIN\tB-PP\tO' -p330203 -aS'the\tthe\tDT\tB-NP\tO' -p330204 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p330205 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p330206 -aS'and\tand\tCC\tB-PP\tO' -p330207 -aS'in\tin\tIN\tB-PP\tO' -p330208 -aS'the\tthe\tDT\tB-NP\tO' -p330209 -aS'ICU\tICU\tNN\tI-NP\tB-DNA' -p330210 -aS',\t,\t,\tO\tO' -p330211 -aS'this\tthis\tDT\tB-NP\tO' -p330212 -aS'resolved\tresolve\tVBN\tB-VP\tO' -p330213 -aS'and\tand\tCC\tO\tO' -p330214 -aS'the\tthe\tDT\tB-NP\tO' -p330215 -aS'patient\tpatient\tNN\tI-NP\tO' -p330216 -aS'also\talso\tRB\tB-ADVP\tO' -p330217 -aS'began\tbegin\tVBD\tB-VP\tO' -p330218 -aS'to\tto\tTO\tI-VP\tO' -p330219 -aS'eat\teat\tVB\tI-VP\tO' -p330220 -aS'.\t.\t.\tO\tO' -p330221 -asS'The neck showed a 1 x 1 centimeter submaxillary right lymph node .' -p330222 -(lp330223 -S'The\tThe\tDT\tB-NP\tO' -p330224 -aS'neck\tneck\tNN\tI-NP\tO' -p330225 -aS'showed\tshow\tVBD\tB-VP\tO' -p330226 -aS'a\ta\tDT\tB-NP\tO' -p330227 -aS'1\t1\tCD\tI-NP\tO' -p330228 -aS'x\tx\tSYM\tI-NP\tO' -p330229 -aS'1\t1\tCD\tI-NP\tO' -p330230 -aS'centimeter\tcentimeter\tNN\tI-NP\tO' -p330231 -aS'submaxillary\tsubmaxillary\tJJ\tI-NP\tO' -p330232 -aS'right\tright\tJJ\tI-NP\tO' -p330233 -aS'lymph\tlymph\tNN\tI-NP\tO' -p330234 -aS'node\tnode\tNN\tI-NP\tO' -p330235 -aS'.\t.\t.\tO\tO' -p330236 -asS'No significant subarachnoid or intraventricular hemorrhage is appreciated .' -p330237 -(lp330238 -S'No\tNo\tDT\tB-NP\tO' -p330239 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p330240 -aS'subarachnoid\tsubarachnoid\tNN\tI-NP\tO' -p330241 -aS'or\tor\tCC\tO\tO' -p330242 -aS'intraventricular\tintraventricular\tJJ\tB-NP\tO' -p330243 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p330244 -aS'is\tbe\tVBZ\tB-VP\tO' -p330245 -aS'appreciated\tappreciate\tVBN\tI-VP\tO' -p330246 -aS'.\t.\t.\tO\tO' -p330247 -asS'CV : tachycardic , regular rhythm , III/VI systolic , crescendo-decrescendo at USB bilaterally .' -p330248 -(lp330249 -S'CV\tCV\tNN\tB-NP\tO' -p330250 -aS':\t:\t:\tO\tO' -p330251 -aS'tachycardic\ttachycardic\tJJ\tB-NP\tO' -p330252 -aS',\t,\t,\tI-NP\tO' -p330253 -aS'regular\tregular\tJJ\tI-NP\tO' -p330254 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p330255 -aS',\t,\t,\tO\tO' -p330256 -aS'III/VI\tIII/VI\tCD\tB-NP\tO' -p330257 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p330258 -aS',\t,\t,\tI-NP\tO' -p330259 -aS'crescendo-decrescendo\tcrescendo-decrescendo\tJJ\tI-NP\tO' -p330260 -aS'at\tat\tIN\tB-PP\tO' -p330261 -aS'USB\tUSB\tNNP\tB-NP\tO' -p330262 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p330263 -aS'.\t.\t.\tO\tO' -p330264 -asS'Metastatic cancer to the liver .' -p330265 -(lp330266 -S'Metastatic\tMetastatic\tJJ\tB-NP\tO' -p330267 -aS'cancer\tcancer\tNN\tI-NP\tO' -p330268 -aS'to\tto\tTO\tB-PP\tO' -p330269 -aS'the\tthe\tDT\tB-NP\tO' -p330270 -aS'liver\tliver\tNN\tI-NP\tO' -p330271 -aS'.\t.\t.\tO\tO' -p330272 -asS'You are finishing a course of antibiotics and have been stable for days .' -p330273 -(lp330274 -S'You\tYou\tPRP\tB-NP\tB-protein' -p330275 -aS'are\tbe\tVBP\tB-VP\tO' -p330276 -aS'finishing\tfinish\tVBG\tI-VP\tO' -p330277 -aS'a\ta\tDT\tB-NP\tO' -p330278 -aS'course\tcourse\tNN\tI-NP\tO' -p330279 -aS'of\tof\tIN\tB-PP\tO' -p330280 -aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' -p330281 -aS'and\tand\tCC\tO\tO' -p330282 -aS'have\thave\tVBP\tB-VP\tO' -p330283 -aS'been\tbe\tVBN\tI-VP\tO' -p330284 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p330285 -aS'for\tfor\tIN\tB-PP\tO' -p330286 -aS'days\tday\tNNS\tB-NP\tO' -p330287 -aS'.\t.\t.\tO\tO' -p330288 -asS'Lungs were clear .' -p330289 -(lp330290 -S'Lungs\tLung\tNNS\tB-NP\tO' -p330291 -aS'were\tbe\tVBD\tB-VP\tO' -p330292 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p330293 -aS'.\t.\t.\tO\tO' -p330294 -asS'Penicillins / Keflex / Sulfa ( Sulfonamides ) / Nickel / Erythromycin Ethylsuccinate' -p330295 -(lp330296 -S'Penicillins\tPenicillin\tNNS\tB-NP\tB-protein' -p330297 -aS'/\t/\tSYM\tB-NP\tO' -p330298 -aS'Keflex\tKeflex\tNN\tI-NP\tO' -p330299 -aS'/\t/\tSYM\tB-NP\tO' -p330300 -aS'Sulfa\tSulfa\tNN\tI-NP\tO' -p330301 -aS'(\t(\t(\tO\tO' -p330302 -aS'Sulfonamides\tSulfonamide\tNNS\tB-NP\tO' -p330303 -aS')\t)\t)\tO\tO' -p330304 -aS'/\t/\tSYM\tB-NP\tO' -p330305 -aS'Nickel\tNickel\tNN\tI-NP\tO' -p330306 -aS'/\t/\tSYM\tO\tO' -p330307 -aS'Erythromycin\tErythromycin\tNN\tB-NP\tO' -p330308 -aS'Ethylsuccinate\tEthylsuccinate\tNN\tI-NP\tO' -p330309 -asS'The antrum was palpable 3 cm below the costal margin .' -p330310 -(lp330311 -S'The\tThe\tDT\tB-NP\tO' -p330312 -aS'antrum\tantrum\tNN\tI-NP\tO' -p330313 -aS'was\tbe\tVBD\tB-VP\tO' -p330314 -aS'palpable\tpalpable\tJJ\tB-NP\tO' -p330315 -aS'3\t3\tCD\tI-NP\tO' -p330316 -aS'cm\tcm\tNN\tI-NP\tO' -p330317 -aS'below\tbelow\tIN\tB-PP\tO' -p330318 -aS'the\tthe\tDT\tB-NP\tO' -p330319 -aS'costal\tcostal\tJJ\tI-NP\tO' -p330320 -aS'margin\tmargin\tNN\tI-NP\tO' -p330321 -aS'.\t.\t.\tO\tO' -p330322 -asS'1. Primary pediatrician .' -p330323 -(lp330324 -S'1.\t1.\tLS\tB-NP\tO' -p330325 -aS'Primary\tPrimary\tJJ\tI-NP\tO' -p330326 -aS'pediatrician\tpediatrician\tNN\tI-NP\tO' -p330327 -aS'.\t.\t.\tO\tO' -p330328 -asS'Blood pressure of 138/49 .' -p330329 -(lp330330 -S'Blood\tBlood\tNN\tB-NP\tO' -p330331 -aS'pressure\tpressure\tNN\tI-NP\tO' -p330332 -aS'of\tof\tIN\tB-PP\tO' -p330333 -aS'138/49\t138/49\tCD\tB-NP\tO' -p330334 -aS'.\t.\t.\tO\tO' -p330335 -asS'Dr. Telshey Swatlleebtik Dr. Eri Lfsquarc' -p330336 -(lp330337 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p330338 -aS'Telshey\tTelshey\tNNP\tI-NP\tO' -p330339 -aS'Swatlleebtik\tSwatlleebtik\tNNP\tI-NP\tO' -p330340 -aS'Dr.\tDr.\tNNP\tI-NP\tO' -p330341 -aS'Eri\tEri\tNNP\tI-NP\tO' -p330342 -aS'Lfsquarc\tLfsquarc\tNNP\tI-NP\tO' -p330343 -asS'Her alkaline phosphatase was slightly elevated but otherwise relatively normal .' -p330344 -(lp330345 -S'Her\tHer\tPRP$\tB-NP\tO' -p330346 -aS'alkaline\talkaline\tNN\tI-NP\tB-protein' -p330347 -aS'phosphatase\tphosphatase\tNN\tI-NP\tI-protein' -p330348 -aS'was\tbe\tVBD\tB-VP\tO' -p330349 -aS'slightly\tslightly\tRB\tB-ADJP\tO' -p330350 -aS'elevated\televated\tJJ\tI-ADJP\tO' -p330351 -aS'but\tbut\tCC\tO\tO' -p330352 -aS'otherwise\totherwise\tRB\tB-ADJP\tO' -p330353 -aS'relatively\trelatively\tRB\tI-ADJP\tO' -p330354 -aS'normal\tnormal\tJJ\tI-ADJP\tO' -p330355 -aS'.\t.\t.\tO\tO' -p330356 -asS'Gen : lying flat in bed , pleasant and conversational , NAD' -p330357 -(lp330358 -S'Gen\tGen\tNN\tB-NP\tO' -p330359 -aS':\t:\t:\tO\tO' -p330360 -aS'lying\tlie\tVBG\tB-VP\tO' -p330361 -aS'flat\tflat\tJJ\tB-ADJP\tO' -p330362 -aS'in\tin\tIN\tB-PP\tO' -p330363 -aS'bed\tbed\tNN\tB-NP\tO' -p330364 -aS',\t,\t,\tO\tO' -p330365 -aS'pleasant\tpleasant\tNN\tB-NP\tO' -p330366 -aS'and\tand\tCC\tO\tO' -p330367 -aS'conversational\tconversational\tJJ\tB-ADJP\tO' -p330368 -aS',\t,\t,\tO\tO' -p330369 -aS'NAD\tNAD\tNN\tB-NP\tO' -p330370 -asS'CMED CSRU staff was called about 30 minutes of age for grunting , flaring and retractions and the baby was admitted to the CMED CSRU .' -p330371 -(lp330372 -S'CMED\tCMED\tNNP\tB-NP\tO' -p330373 -aS'CSRU\tCSRU\tNNP\tI-NP\tO' -p330374 -aS'staff\tstaff\tNN\tI-NP\tO' -p330375 -aS'was\tbe\tVBD\tB-VP\tO' -p330376 -aS'called\tcall\tVBN\tI-VP\tO' -p330377 -aS'about\tabout\tRB\tB-NP\tO' -p330378 -aS'30\t30\tCD\tI-NP\tO' -p330379 -aS'minutes\tminute\tNNS\tI-NP\tO' -p330380 -aS'of\tof\tIN\tB-PP\tO' -p330381 -aS'age\tage\tNN\tB-NP\tO' -p330382 -aS'for\tfor\tIN\tB-PP\tO' -p330383 -aS'grunting\tgrunt\tVBG\tB-NP\tO' -p330384 -aS',\t,\t,\tI-NP\tO' -p330385 -aS'flaring\tflaring\tNN\tI-NP\tO' -p330386 -aS'and\tand\tCC\tI-NP\tO' -p330387 -aS'retractions\tretraction\tNNS\tI-NP\tO' -p330388 -aS'and\tand\tCC\tO\tO' -p330389 -aS'the\tthe\tDT\tB-NP\tO' -p330390 -aS'baby\tbaby\tNN\tI-NP\tO' -p330391 -aS'was\tbe\tVBD\tB-VP\tO' -p330392 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p330393 -aS'to\tto\tTO\tB-PP\tO' -p330394 -aS'the\tthe\tDT\tB-NP\tO' -p330395 -aS'CMED\tCMED\tNNP\tI-NP\tO' -p330396 -aS'CSRU\tCSRU\tNNP\tI-NP\tO' -p330397 -aS'.\t.\t.\tO\tO' -p330398 -asS'The patient was treated with Adriamycin 25 mg , Cis-platinum 40 mg , preceded by Mannitol 12.5 grams intravenous bolus , and Zofran 11 mg on two occasions given as an antiemetic .' -p330399 -(lp330400 -S'The\tThe\tDT\tB-NP\tO' -p330401 -aS'patient\tpatient\tNN\tI-NP\tO' -p330402 -aS'was\tbe\tVBD\tB-VP\tO' -p330403 -aS'treated\ttreat\tVBN\tI-VP\tO' -p330404 -aS'with\twith\tIN\tB-PP\tO' -p330405 -aS'Adriamycin\tAdriamycin\tNN\tB-NP\tO' -p330406 -aS'25\t25\tCD\tI-NP\tO' -p330407 -aS'mg\tmg\tNN\tI-NP\tO' -p330408 -aS',\t,\t,\tO\tO' -p330409 -aS'Cis-platinum\tCis-platinum\tNN\tB-NP\tO' -p330410 -aS'40\t40\tCD\tI-NP\tO' -p330411 -aS'mg\tmg\tNN\tI-NP\tO' -p330412 -aS',\t,\t,\tO\tO' -p330413 -aS'preceded\tprecede\tVBN\tB-VP\tO' -p330414 -aS'by\tby\tIN\tB-PP\tO' -p330415 -aS'Mannitol\tMannitol\tNN\tB-NP\tB-protein' -p330416 -aS'12.5\t12.5\tCD\tI-NP\tI-protein' -p330417 -aS'grams\tgram\tVBZ\tB-VP\tO' -p330418 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p330419 -aS'bolus\tbolus\tNN\tI-NP\tO' -p330420 -aS',\t,\t,\tO\tO' -p330421 -aS'and\tand\tCC\tO\tO' -p330422 -aS'Zofran\tZofran\tNN\tB-NP\tO' -p330423 -aS'11\t11\tCD\tI-NP\tO' -p330424 -aS'mg\tmg\tNN\tI-NP\tO' -p330425 -aS'on\ton\tIN\tB-PP\tO' -p330426 -aS'two\ttwo\tCD\tB-NP\tO' -p330427 -aS'occasions\toccasion\tNNS\tI-NP\tO' -p330428 -aS'given\tgive\tVBN\tB-VP\tO' -p330429 -aS'as\tas\tIN\tB-PP\tO' -p330430 -aS'an\tan\tDT\tB-NP\tO' -p330431 -aS'antiemetic\tantiemetic\tJJ\tI-NP\tO' -p330432 -aS'.\t.\t.\tO\tO' -p330433 -asS'She had a CK of 212 and MB of 21 , and a troponin of 0.56 .' -p330434 -(lp330435 -S'She\tShe\tPRP\tB-NP\tO' -p330436 -aS'had\thave\tVBD\tB-VP\tO' -p330437 -aS'a\ta\tDT\tB-NP\tO' -p330438 -aS'CK\tCK\tNN\tI-NP\tB-protein' -p330439 -aS'of\tof\tIN\tB-PP\tO' -p330440 -aS'212\t212\tCD\tB-NP\tO' -p330441 -aS'and\tand\tCC\tO\tO' -p330442 -aS'MB\tMB\tNN\tB-NP\tO' -p330443 -aS'of\tof\tIN\tB-PP\tO' -p330444 -aS'21\t21\tCD\tB-NP\tO' -p330445 -aS',\t,\t,\tO\tO' -p330446 -aS'and\tand\tCC\tO\tO' -p330447 -aS'a\ta\tDT\tB-NP\tO' -p330448 -aS'troponin\ttroponin\tNN\tI-NP\tO' -p330449 -aS'of\tof\tIN\tB-PP\tO' -p330450 -aS'0.56\t0.56\tCD\tB-NP\tO' -p330451 -aS'.\t.\t.\tO\tO' -p330452 -asS'He has a PICC line in place for continued treatment with Rocephin and he will have a visiting nurse to help him to administer these medications .' -p330453 -(lp330454 -S'He\tHe\tPRP\tB-NP\tO' -p330455 -aS'has\thave\tVBZ\tB-VP\tO' -p330456 -aS'a\ta\tDT\tB-NP\tO' -p330457 -aS'PICC\tPICC\tNN\tI-NP\tB-cell_line' -p330458 -aS'line\tline\tNN\tI-NP\tI-cell_line' -p330459 -aS'in\tin\tIN\tB-PP\tO' -p330460 -aS'place\tplace\tNN\tB-NP\tO' -p330461 -aS'for\tfor\tIN\tB-PP\tO' -p330462 -aS'continued\tcontinued\tJJ\tB-NP\tO' -p330463 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p330464 -aS'with\twith\tIN\tB-PP\tO' -p330465 -aS'Rocephin\tRocephin\tNN\tB-NP\tO' -p330466 -aS'and\tand\tCC\tO\tO' -p330467 -aS'he\the\tPRP\tB-NP\tO' -p330468 -aS'will\twill\tMD\tB-VP\tO' -p330469 -aS'have\thave\tVB\tI-VP\tO' -p330470 -aS'a\ta\tDT\tB-NP\tO' -p330471 -aS'visiting\tvisit\tVBG\tI-NP\tO' -p330472 -aS'nurse\tnurse\tNN\tI-NP\tO' -p330473 -aS'to\tto\tTO\tB-VP\tO' -p330474 -aS'help\thelp\tVB\tI-VP\tO' -p330475 -aS'him\thim\tPRP\tB-NP\tO' -p330476 -aS'to\tto\tTO\tB-VP\tO' -p330477 -aS'administer\tadminister\tVB\tI-VP\tO' -p330478 -aS'these\tthese\tDT\tB-NP\tO' -p330479 -aS'medications\tmedication\tNNS\tI-NP\tO' -p330480 -aS'.\t.\t.\tO\tO' -p330481 -asS'Based upon the above results , he was transferred to the Mediplex Rehab Hospital for surgical revascularization .' -p330482 -(lp330483 -S'Based\tBase\tVBN\tB-VP\tO' -p330484 -aS'upon\tupon\tIN\tB-PP\tO' -p330485 -aS'the\tthe\tDT\tB-NP\tO' -p330486 -aS'above\tabove\tJJ\tI-NP\tO' -p330487 -aS'results\tresult\tNNS\tI-NP\tO' -p330488 -aS',\t,\t,\tO\tO' -p330489 -aS'he\the\tPRP\tB-NP\tO' -p330490 -aS'was\tbe\tVBD\tB-VP\tO' -p330491 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p330492 -aS'to\tto\tTO\tB-PP\tO' -p330493 -aS'the\tthe\tDT\tB-NP\tO' -p330494 -aS'Mediplex\tMediplex\tNNP\tI-NP\tO' -p330495 -aS'Rehab\tRehab\tNNP\tI-NP\tO' -p330496 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p330497 -aS'for\tfor\tIN\tB-PP\tO' -p330498 -aS'surgical\tsurgical\tJJ\tB-NP\tO' -p330499 -aS'revascularization\trevascularization\tNN\tI-NP\tO' -p330500 -aS'.\t.\t.\tO\tO' -p330501 -asS'Signed electronically by : DR. Edward Larue on : TUE 2013-05-14 5:11 AM' -p330502 -(lp330503 -S'Signed\tSign\tVBN\tB-VP\tO' -p330504 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p330505 -aS'by\tby\tIN\tB-PP\tO' -p330506 -aS':\t:\t:\tO\tO' -p330507 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p330508 -aS'Edward\tEdward\tNNP\tI-NP\tO' -p330509 -aS'Larue\tLarue\tNNP\tI-NP\tO' -p330510 -aS'on\ton\tIN\tB-PP\tO' -p330511 -aS':\t:\t:\tO\tO' -p330512 -aS'TUE\tTUE\tNN\tB-NP\tO' -p330513 -aS'2013-05-14\t2013-05-14\tCD\tI-NP\tO' -p330514 -aS'5:11\t5:11\tCD\tI-NP\tO' -p330515 -aS'AM\tAM\tNN\tI-NP\tO' -p330516 -asS'Peritoneal dialysis catheter placement , peritoneal dialysis , arterial catheterization , venous catheterization , continuous mechanical ventilation , and parenteral nutrition .' -p330517 -(lp330518 -S'Peritoneal\tPeritoneal\tJJ\tB-NP\tO' -p330519 -aS'dialysis\tdialysis\tNN\tI-NP\tO' -p330520 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p330521 -aS'placement\tplacement\tNN\tI-NP\tO' -p330522 -aS',\t,\t,\tO\tO' -p330523 -aS'peritoneal\tperitoneal\tJJ\tB-NP\tO' -p330524 -aS'dialysis\tdialysis\tNN\tI-NP\tO' -p330525 -aS',\t,\t,\tO\tO' -p330526 -aS'arterial\tarterial\tJJ\tB-NP\tO' -p330527 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p330528 -aS',\t,\t,\tO\tO' -p330529 -aS'venous\tvenous\tJJ\tB-NP\tO' -p330530 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p330531 -aS',\t,\t,\tO\tO' -p330532 -aS'continuous\tcontinuous\tJJ\tB-NP\tO' -p330533 -aS'mechanical\tmechanical\tJJ\tI-NP\tO' -p330534 -aS'ventilation\tventilation\tNN\tI-NP\tO' -p330535 -aS',\t,\t,\tO\tO' -p330536 -aS'and\tand\tCC\tO\tO' -p330537 -aS'parenteral\tparenteral\tJJ\tB-NP\tO' -p330538 -aS'nutrition\tnutrition\tNN\tI-NP\tO' -p330539 -aS'.\t.\t.\tO\tO' -p330540 -asS'Pt was intubated prior to tunneled catheter removal , see below .' -p330541 -(lp330542 -S'Pt\tPt\tNN\tB-NP\tO' -p330543 -aS'was\tbe\tVBD\tB-VP\tO' -p330544 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p330545 -aS'prior\tprior\tRB\tB-ADVP\tO' -p330546 -aS'to\tto\tTO\tB-PP\tO' -p330547 -aS'tunneled\ttunnel\tVBN\tB-NP\tO' -p330548 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p330549 -aS'removal\tremoval\tNN\tI-NP\tO' -p330550 -aS',\t,\t,\tO\tO' -p330551 -aS'see\tsee\tVB\tB-VP\tO' -p330552 -aS'below\tbelow\tIN\tB-ADVP\tO' -p330553 -aS'.\t.\t.\tO\tO' -p330554 -asS'He went on to develop profound thrombocytopenia complicated by hemorrhage .' -p330555 -(lp330556 -S'He\tHe\tPRP\tB-NP\tO' -p330557 -aS'went\tgo\tVBD\tB-VP\tO' -p330558 -aS'on\ton\tRP\tB-PRT\tO' -p330559 -aS'to\tto\tTO\tB-VP\tO' -p330560 -aS'develop\tdevelop\tVB\tI-VP\tO' -p330561 -aS'profound\tprofound\tJJ\tB-NP\tO' -p330562 -aS'thrombocytopenia\tthrombocytopenia\tNN\tI-NP\tO' -p330563 -aS'complicated\tcomplicate\tVBN\tB-VP\tO' -p330564 -aS'by\tby\tIN\tB-PP\tO' -p330565 -aS'hemorrhage\themorrhage\tNN\tB-NP\tO' -p330566 -aS'.\t.\t.\tO\tO' -p330567 -asS'Lungs : Coarse breath sounds anterolaterally .' -p330568 -(lp330569 -S'Lungs\tLung\tNNS\tB-NP\tO' -p330570 -aS':\t:\t:\tO\tO' -p330571 -aS'Coarse\tCoarse\tNN\tB-NP\tO' -p330572 -aS'breath\tbreath\tNN\tI-NP\tO' -p330573 -aS'sounds\tsound\tVBZ\tB-VP\tO' -p330574 -aS'anterolaterally\tanterolaterally\tRB\tB-ADVP\tO' -p330575 -aS'.\t.\t.\tO\tO' -p330576 -asS'The ET tube and right PICC line in standard placements .' -p330577 -(lp330578 -S'The\tThe\tDT\tB-NP\tO' -p330579 -aS'ET\tET\tNN\tI-NP\tO' -p330580 -aS'tube\ttube\tNN\tI-NP\tO' -p330581 -aS'and\tand\tCC\tI-NP\tO' -p330582 -aS'right\tright\tJJ\tI-NP\tO' -p330583 -aS'PICC\tPICC\tNN\tI-NP\tO' -p330584 -aS'line\tline\tNN\tI-NP\tO' -p330585 -aS'in\tin\tIN\tB-PP\tO' -p330586 -aS'standard\tstandard\tJJ\tB-NP\tO' -p330587 -aS'placements\tplacement\tNNS\tI-NP\tO' -p330588 -aS'.\t.\t.\tO\tO' -p330589 -asS'Neck revealed no lymphadenopathy .' -p330590 -(lp330591 -S'Neck\tNeck\tNN\tB-NP\tO' -p330592 -aS'revealed\treveal\tVBD\tB-VP\tO' -p330593 -aS'no\tno\tDT\tB-NP\tO' -p330594 -aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' -p330595 -aS'.\t.\t.\tO\tO' -p330596 -asS'The morning of admission the mother developed vaginal bleeding and fetal bradycardia was noted .' -p330597 -(lp330598 -S'The\tThe\tDT\tB-NP\tO' -p330599 -aS'morning\tmorning\tNN\tI-NP\tO' -p330600 -aS'of\tof\tIN\tB-PP\tO' -p330601 -aS'admission\tadmission\tNN\tB-NP\tO' -p330602 -aS'the\tthe\tDT\tB-NP\tO' -p330603 -aS'mother\tmother\tNN\tI-NP\tO' -p330604 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p330605 -aS'vaginal\tvaginal\tJJ\tB-NP\tO' -p330606 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p330607 -aS'and\tand\tCC\tO\tO' -p330608 -aS'fetal\tfetal\tJJ\tB-NP\tO' -p330609 -aS'bradycardia\tbradycardia\tNN\tI-NP\tO' -p330610 -aS'was\tbe\tVBD\tB-VP\tO' -p330611 -aS'noted\tnote\tVBN\tI-VP\tO' -p330612 -aS'.\t.\t.\tO\tO' -p330613 -asS'Attending : Faye B. Jones , M.D.' -p330614 -(lp330615 -S'Attending\tAttend\tVBG\tB-VP\tO' -p330616 -aS':\t:\t:\tO\tO' -p330617 -aS'Faye\tFaye\tNNP\tB-NP\tO' -p330618 -aS'B.\tB.\tNNP\tI-NP\tO' -p330619 -aS'Jones\tJones\tNNP\tI-NP\tO' -p330620 -aS',\t,\t,\tO\tO' -p330621 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p330622 -asS'She was treated with a sliding-scale of regular insulin while she was in house .' -p330623 -(lp330624 -S'She\tShe\tPRP\tB-NP\tO' -p330625 -aS'was\tbe\tVBD\tB-VP\tO' -p330626 -aS'treated\ttreat\tVBN\tI-VP\tO' -p330627 -aS'with\twith\tIN\tB-PP\tO' -p330628 -aS'a\ta\tDT\tB-NP\tO' -p330629 -aS'sliding-scale\tsliding-scale\tNN\tI-NP\tO' -p330630 -aS'of\tof\tIN\tB-PP\tO' -p330631 -aS'regular\tregular\tJJ\tB-NP\tB-protein' -p330632 -aS'insulin\tinsulin\tNN\tI-NP\tI-protein' -p330633 -aS'while\twhile\tIN\tB-SBAR\tO' -p330634 -aS'she\tshe\tPRP\tB-NP\tO' -p330635 -aS'was\tbe\tVBD\tB-VP\tO' -p330636 -aS'in\tin\tIN\tB-PP\tO' -p330637 -aS'house\thouse\tNN\tB-NP\tO' -p330638 -aS'.\t.\t.\tO\tO' -p330639 -asS'The patient tolerated the procedure well with a bypass time of 155 minutes and a crossclamp time of' -p330640 -(lp330641 -S'The\tThe\tDT\tB-NP\tO' -p330642 -aS'patient\tpatient\tNN\tI-NP\tO' -p330643 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p330644 -aS'the\tthe\tDT\tB-NP\tO' -p330645 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p330646 -aS'well\twell\tRB\tB-ADVP\tO' -p330647 -aS'with\twith\tIN\tB-PP\tO' -p330648 -aS'a\ta\tDT\tB-NP\tO' -p330649 -aS'bypass\tbypass\tNN\tI-NP\tO' -p330650 -aS'time\ttime\tNN\tI-NP\tO' -p330651 -aS'of\tof\tIN\tB-PP\tO' -p330652 -aS'155\t155\tCD\tB-NP\tO' -p330653 -aS'minutes\tminute\tNNS\tI-NP\tO' -p330654 -aS'and\tand\tCC\tO\tO' -p330655 -aS'a\ta\tDT\tB-NP\tO' -p330656 -aS'crossclamp\tcrossclamp\tNN\tI-NP\tO' -p330657 -aS'time\ttime\tNN\tI-NP\tO' -p330658 -aS'of\tof\tIN\tB-PP\tO' -p330659 -asS'She had no definite S3 .' -p330660 -(lp330661 -S'She\tShe\tPRP\tB-NP\tO' -p330662 -aS'had\thave\tVBD\tB-VP\tO' -p330663 -aS'no\tno\tDT\tB-NP\tO' -p330664 -aS'definite\tdefinite\tJJ\tI-NP\tO' -p330665 -aS'S3\tS3\tNN\tI-NP\tO' -p330666 -aS'.\t.\t.\tO\tO' -p330667 -asS'He has had one bowel movement today which is on 2014-03-31 .' -p330668 -(lp330669 -S'He\tHe\tPRP\tB-NP\tO' -p330670 -aS'has\thave\tVBZ\tB-VP\tO' -p330671 -aS'had\thave\tVBD\tI-VP\tO' -p330672 -aS'one\tone\tCD\tB-NP\tO' -p330673 -aS'bowel\tbowel\tNN\tI-NP\tO' -p330674 -aS'movement\tmovement\tNN\tI-NP\tO' -p330675 -aS'today\ttoday\tNN\tB-NP\tO' -p330676 -aS'which\twhich\tWDT\tB-NP\tO' -p330677 -aS'is\tbe\tVBZ\tB-VP\tO' -p330678 -aS'on\ton\tIN\tB-PP\tO' -p330679 -aS'2014-03-31\t2014-03-31\tCD\tB-NP\tO' -p330680 -aS'.\t.\t.\tO\tO' -p330681 -asS'The hematocrit on 05-12 was 48.7 with a reticulocyte count of 1.9 , and his blood type is O+ / Coombs negative .' -p330682 -(lp330683 -S'The\tThe\tDT\tB-NP\tO' -p330684 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p330685 -aS'on\ton\tIN\tB-PP\tO' -p330686 -aS'05-12\t05-12\tNN\tB-NP\tO' -p330687 -aS'was\tbe\tVBD\tB-VP\tO' -p330688 -aS'48.7\t48.7\tCD\tB-NP\tO' -p330689 -aS'with\twith\tIN\tB-PP\tO' -p330690 -aS'a\ta\tDT\tB-NP\tO' -p330691 -aS'reticulocyte\treticulocyte\tNN\tI-NP\tO' -p330692 -aS'count\tcount\tNN\tI-NP\tO' -p330693 -aS'of\tof\tIN\tB-PP\tO' -p330694 -aS'1.9\t1.9\tCD\tB-NP\tO' -p330695 -aS',\t,\t,\tO\tO' -p330696 -aS'and\tand\tCC\tO\tO' -p330697 -aS'his\this\tPRP$\tB-NP\tO' -p330698 -aS'blood\tblood\tNN\tI-NP\tO' -p330699 -aS'type\ttype\tNN\tI-NP\tO' -p330700 -aS'is\tbe\tVBZ\tB-VP\tO' -p330701 -aS'O+\tO+\tJJ\tB-ADJP\tO' -p330702 -aS'/\t/\tSYM\tB-NP\tO' -p330703 -aS'Coombs\tCoomb\tNNS\tI-NP\tO' -p330704 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p330705 -aS'.\t.\t.\tO\tO' -p330706 -asS'Status post coronary bypass surgery .' -p330707 -(lp330708 -S'Status\tStatus\tNNP\tB-NP\tO' -p330709 -aS'post\tpost\tVBD\tB-VP\tO' -p330710 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p330711 -aS'bypass\tbypass\tNN\tI-NP\tO' -p330712 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p330713 -aS'.\t.\t.\tO\tO' -p330714 -asS'He remained hemodynamically stable .' -p330715 -(lp330716 -S'He\tHe\tPRP\tB-NP\tO' -p330717 -aS'remained\tremain\tVBD\tB-VP\tO' -p330718 -aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' -p330719 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p330720 -aS'.\t.\t.\tO\tO' -p330721 -asS'The patient presented in acute renal failure with a BUN of 101 and a creatinine of 3.7 .' -p330722 -(lp330723 -S'The\tThe\tDT\tB-NP\tO' -p330724 -aS'patient\tpatient\tNN\tI-NP\tO' -p330725 -aS'presented\tpresent\tVBD\tB-VP\tO' -p330726 -aS'in\tin\tIN\tB-PP\tO' -p330727 -aS'acute\tacute\tJJ\tB-NP\tO' -p330728 -aS'renal\trenal\tJJ\tI-NP\tO' -p330729 -aS'failure\tfailure\tNN\tI-NP\tO' -p330730 -aS'with\twith\tIN\tB-PP\tO' -p330731 -aS'a\ta\tDT\tB-NP\tO' -p330732 -aS'BUN\tBUN\tNN\tI-NP\tO' -p330733 -aS'of\tof\tIN\tB-PP\tO' -p330734 -aS'101\t101\tCD\tB-NP\tO' -p330735 -aS'and\tand\tCC\tO\tO' -p330736 -aS'a\ta\tDT\tB-NP\tO' -p330737 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p330738 -aS'of\tof\tIN\tB-PP\tO' -p330739 -aS'3.7\t3.7\tCD\tB-NP\tO' -p330740 -aS'.\t.\t.\tO\tO' -p330741 -asS'The patient 's neurovascular examination was intact .' -p330742 -(lp330743 -S'The\tThe\tDT\tB-NP\tO' -p330744 -aS'patient\tpatient\tNN\tI-NP\tO' -p330745 -aS''s\t'\tNNS\tI-NP\tO' -p330746 -aS'neurovascular\tneurovascular\tJJ\tB-NP\tO' -p330747 -aS'examination\texamination\tNN\tI-NP\tO' -p330748 -aS'was\tbe\tVBD\tB-VP\tO' -p330749 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p330750 -aS'.\t.\t.\tO\tO' -p330751 -asS'Follow up examinations have found a suspicious left lower lobe finding .' -p330752 -(lp330753 -S'Follow\tFollow\tVB\tB-VP\tO' -p330754 -aS'up\tup\tRP\tB-PRT\tO' -p330755 -aS'examinations\texamination\tNNS\tB-NP\tO' -p330756 -aS'have\thave\tVBP\tB-VP\tO' -p330757 -aS'found\tfind\tVBN\tI-VP\tO' -p330758 -aS'a\ta\tDT\tB-NP\tO' -p330759 -aS'suspicious\tsuspicious\tJJ\tI-NP\tO' -p330760 -aS'left\tleave\tVBD\tB-VP\tO' -p330761 -aS'lower\tlow\tJJR\tB-NP\tO' -p330762 -aS'lobe\tlobe\tNN\tI-NP\tO' -p330763 -aS'finding\tfinding\tNN\tI-NP\tO' -p330764 -aS'.\t.\t.\tO\tO' -p330765 -asS'Disp :* 30 Capsule (s)* Refills :* 0 *' -p330766 -(lp330767 -S'Disp\tDisp\tNN\tB-NP\tO' -p330768 -aS':*\t:*\tSYM\tI-NP\tO' -p330769 -aS'30\t30\tCD\tI-NP\tO' -p330770 -aS'Capsule\tCapsule\tNN\tI-NP\tO' -p330771 -aS'(s)*\t(s)*\tSYM\tB-NP\tO' -p330772 -aS'Refills\tRefill\tNNPS\tI-NP\tO' -p330773 -aS':*\t:*\tSYM\tI-NP\tO' -p330774 -aS'0\t0\tCD\tI-NP\tO' -p330775 -aS'*\t*\tSYM\tB-NP\tO' -p330776 -asS'A Urology consultation was obtained , and it was recommended that an IVP be obtained .' -p330777 -(lp330778 -S'A\tA\tDT\tB-NP\tO' -p330779 -aS'Urology\tUrology\tNNP\tI-NP\tO' -p330780 -aS'consultation\tconsultation\tNN\tI-NP\tO' -p330781 -aS'was\tbe\tVBD\tB-VP\tO' -p330782 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p330783 -aS',\t,\t,\tO\tO' -p330784 -aS'and\tand\tCC\tO\tO' -p330785 -aS'it\tit\tPRP\tB-NP\tO' -p330786 -aS'was\tbe\tVBD\tB-VP\tO' -p330787 -aS'recommended\trecommend\tVBN\tI-VP\tO' -p330788 -aS'that\tthat\tIN\tB-SBAR\tO' -p330789 -aS'an\tan\tDT\tB-NP\tO' -p330790 -aS'IVP\tIVP\tNN\tI-NP\tB-protein' -p330791 -aS'be\tbe\tVB\tB-VP\tO' -p330792 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p330793 -aS'.\t.\t.\tO\tO' -p330794 -asS'Developed requirement for multiple pressors , then arrhythmias .' -p330795 -(lp330796 -S'Developed\tDevelop\tVBN\tB-NP\tO' -p330797 -aS'requirement\trequirement\tNN\tI-NP\tO' -p330798 -aS'for\tfor\tIN\tB-PP\tO' -p330799 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p330800 -aS'pressors\tpressor\tNNS\tI-NP\tO' -p330801 -aS',\t,\t,\tO\tO' -p330802 -aS'then\tthen\tRB\tB-ADVP\tO' -p330803 -aS'arrhythmias\tarrhythmia\tNNS\tB-NP\tO' -p330804 -aS'.\t.\t.\tO\tO' -p330805 -asS'It should be noted that while in the hospital , the patient received an abdominal ultrasound which is significant for a grossly enlarged liver with multiple foci of cancer .' -p330806 -(lp330807 -S'It\tIt\tPRP\tB-NP\tO' -p330808 -aS'should\tshould\tMD\tB-VP\tO' -p330809 -aS'be\tbe\tVB\tI-VP\tO' -p330810 -aS'noted\tnote\tVBN\tI-VP\tO' -p330811 -aS'that\tthat\tIN\tB-SBAR\tO' -p330812 -aS'while\twhile\tNN\tB-NP\tO' -p330813 -aS'in\tin\tIN\tB-PP\tO' -p330814 -aS'the\tthe\tDT\tB-NP\tO' -p330815 -aS'hospital\thospital\tNN\tI-NP\tO' -p330816 -aS',\t,\t,\tO\tO' -p330817 -aS'the\tthe\tDT\tB-NP\tO' -p330818 -aS'patient\tpatient\tNN\tI-NP\tO' -p330819 -aS'received\treceive\tVBD\tB-VP\tO' -p330820 -aS'an\tan\tDT\tB-NP\tO' -p330821 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p330822 -aS'ultrasound\tultrasound\tNN\tI-NP\tO' -p330823 -aS'which\twhich\tWDT\tB-NP\tO' -p330824 -aS'is\tbe\tVBZ\tB-VP\tO' -p330825 -aS'significant\tsignificant\tJJ\tB-ADJP\tO' -p330826 -aS'for\tfor\tIN\tB-PP\tO' -p330827 -aS'a\ta\tDT\tB-NP\tO' -p330828 -aS'grossly\tgrossly\tRB\tI-NP\tO' -p330829 -aS'enlarged\tenlarge\tVBN\tI-NP\tO' -p330830 -aS'liver\tliver\tNN\tI-NP\tO' -p330831 -aS'with\twith\tIN\tB-PP\tO' -p330832 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p330833 -aS'foci\tfocus\tNNS\tI-NP\tO' -p330834 -aS'of\tof\tIN\tB-PP\tO' -p330835 -aS'cancer\tcancer\tNN\tB-NP\tO' -p330836 -aS'.\t.\t.\tO\tO' -p330837 -asS'Images of his head , abdomen , and thorax were obtained .' -p330838 -(lp330839 -S'Images\tImage\tNNS\tB-NP\tO' -p330840 -aS'of\tof\tIN\tB-PP\tO' -p330841 -aS'his\this\tPRP$\tB-NP\tO' -p330842 -aS'head\thead\tNN\tI-NP\tO' -p330843 -aS',\t,\t,\tO\tO' -p330844 -aS'abdomen\tabdomen\tNN\tB-NP\tO' -p330845 -aS',\t,\t,\tO\tO' -p330846 -aS'and\tand\tCC\tO\tO' -p330847 -aS'thorax\tthorax\tNN\tB-NP\tO' -p330848 -aS'were\tbe\tVBD\tB-VP\tO' -p330849 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p330850 -aS'.\t.\t.\tO\tO' -p330851 -asS'Please refer to full discharge summary for details .' -p330852 -(lp330853 -S'Please\tPlease\tNN\tB-NP\tB-protein' -p330854 -aS'refer\trefer\tVBP\tB-VP\tO' -p330855 -aS'to\tto\tTO\tB-PP\tO' -p330856 -aS'full\tfull\tJJ\tB-NP\tO' -p330857 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p330858 -aS'summary\tsummary\tNN\tI-NP\tO' -p330859 -aS'for\tfor\tIN\tB-PP\tO' -p330860 -aS'details\tdetail\tNNS\tB-NP\tO' -p330861 -aS'.\t.\t.\tO\tO' -p330862 -asS'She has had progressive heart failure and an evaluation demonstrated worsening mitral stenosis with severe pulmonary hypertension .' -p330863 -(lp330864 -S'She\tShe\tPRP\tB-NP\tO' -p330865 -aS'has\thave\tVBZ\tB-VP\tO' -p330866 -aS'had\thave\tVBN\tI-VP\tO' -p330867 -aS'progressive\tprogressive\tJJ\tB-NP\tO' -p330868 -aS'heart\theart\tNN\tI-NP\tO' -p330869 -aS'failure\tfailure\tNN\tI-NP\tO' -p330870 -aS'and\tand\tCC\tO\tO' -p330871 -aS'an\tan\tDT\tB-NP\tO' -p330872 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p330873 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p330874 -aS'worsening\tworsen\tVBG\tI-VP\tO' -p330875 -aS'mitral\tmitral\tJJ\tB-NP\tO' -p330876 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p330877 -aS'with\twith\tIN\tB-PP\tO' -p330878 -aS'severe\tsevere\tJJ\tB-NP\tO' -p330879 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p330880 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p330881 -aS'.\t.\t.\tO\tO' -p330882 -asS'Dictated By : Gerald R. Quiroz , M.D.' -p330883 -(lp330884 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p330885 -aS'By\tBy\tIN\tB-PP\tO' -p330886 -aS':\t:\t:\tO\tO' -p330887 -aS'Gerald\tGerald\tNNP\tB-NP\tO' -p330888 -aS'R.\tR.\tNNP\tI-NP\tO' -p330889 -aS'Quiroz\tQuiroz\tNNP\tI-NP\tO' -p330890 -aS',\t,\t,\tO\tO' -p330891 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p330892 -asS"According to her guardian she was discharged to her NH for a few days after her pacer was placed 05-08 , which was complicated by a PTX requiring CT placement which had been d/c 'd in the hospital after resolution of her PTX ." -p330893 -(lp330894 -S'According\tAccord\tVBG\tB-PP\tO' -p330895 -aS'to\tto\tTO\tB-PP\tO' -p330896 -aS'her\ther\tPRP$\tB-NP\tO' -p330897 -aS'guardian\tguardian\tJJ\tI-NP\tO' -p330898 -aS'she\tshe\tPRP\tB-NP\tO' -p330899 -aS'was\tbe\tVBD\tB-VP\tO' -p330900 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p330901 -aS'to\tto\tTO\tB-PP\tO' -p330902 -aS'her\ther\tPRP$\tB-NP\tO' -p330903 -aS'NH\tNH\tNN\tI-NP\tO' -p330904 -aS'for\tfor\tIN\tB-PP\tO' -p330905 -aS'a\ta\tDT\tB-NP\tO' -p330906 -aS'few\tfew\tJJ\tI-NP\tO' -p330907 -aS'days\tday\tNNS\tI-NP\tO' -p330908 -aS'after\tafter\tIN\tB-PP\tO' -p330909 -aS'her\ther\tPRP$\tB-NP\tO' -p330910 -aS'pacer\tpacer\tNN\tI-NP\tO' -p330911 -aS'was\tbe\tVBD\tB-VP\tO' -p330912 -aS'placed\tplace\tVBN\tI-VP\tO' -p330913 -aS'05-08\t05-08\tCD\tB-NP\tO' -p330914 -aS',\t,\t,\tO\tO' -p330915 -aS'which\twhich\tWDT\tB-NP\tO' -p330916 -aS'was\tbe\tVBD\tB-VP\tO' -p330917 -aS'complicated\tcomplicate\tVBN\tI-VP\tO' -p330918 -aS'by\tby\tIN\tB-PP\tO' -p330919 -aS'a\ta\tDT\tB-NP\tO' -p330920 -aS'PTX\tPTX\tNN\tI-NP\tB-protein' -p330921 -aS'requiring\trequire\tVBG\tB-VP\tO' -p330922 -aS'CT\tCT\tNN\tB-NP\tO' -p330923 -aS'placement\tplacement\tNN\tI-NP\tO' -p330924 -aS'which\twhich\tWDT\tB-NP\tO' -p330925 -aS'had\thave\tVBD\tB-VP\tO' -p330926 -aS'been\tbe\tVBN\tI-VP\tO' -p330927 -aS'd/c\td/c\tNN\tB-NP\tO' -p330928 -aS"'d\t'd\tMD\tB-VP\tO" -p330929 -aS'in\tin\tIN\tB-PP\tO' -p330930 -aS'the\tthe\tDT\tB-NP\tO' -p330931 -aS'hospital\thospital\tNN\tI-NP\tO' -p330932 -aS'after\tafter\tIN\tB-PP\tO' -p330933 -aS'resolution\tresolution\tNN\tB-NP\tO' -p330934 -aS'of\tof\tIN\tB-PP\tO' -p330935 -aS'her\ther\tPRP$\tB-NP\tO' -p330936 -aS'PTX\tPTX\tNN\tI-NP\tB-protein' -p330937 -aS'.\t.\t.\tO\tO' -p330938 -asS'ID was consulted who suggested broad spectrum antibiotics if she were to spike .' -p330939 -(lp330940 -S'ID\tID\tNN\tB-NP\tO' -p330941 -aS'was\tbe\tVBD\tB-VP\tO' -p330942 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p330943 -aS'who\twho\tWP\tB-NP\tO' -p330944 -aS'suggested\tsuggest\tVBD\tB-VP\tO' -p330945 -aS'broad\tbroad\tJJ\tB-NP\tO' -p330946 -aS'spectrum\tspectrum\tNN\tI-NP\tO' -p330947 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p330948 -aS'if\tif\tIN\tB-SBAR\tO' -p330949 -aS'she\tshe\tPRP\tB-NP\tO' -p330950 -aS'were\tbe\tVBD\tB-VP\tO' -p330951 -aS'to\tto\tTO\tI-VP\tO' -p330952 -aS'spike\tspike\tVB\tI-VP\tO' -p330953 -aS'.\t.\t.\tO\tO' -p330954 -asS'So an magnetic resonance imaging angiogram was obtained and showed the right parietal occipital hemorrhage .' -p330955 -(lp330956 -S'So\tSo\tRB\tB-ADVP\tO' -p330957 -aS'an\tan\tDT\tB-NP\tO' -p330958 -aS'magnetic\tmagnetic\tJJ\tI-NP\tO' -p330959 -aS'resonance\tresonance\tNN\tI-NP\tO' -p330960 -aS'imaging\timaging\tNN\tI-NP\tO' -p330961 -aS'angiogram\tangiogram\tNN\tI-NP\tO' -p330962 -aS'was\tbe\tVBD\tB-VP\tO' -p330963 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p330964 -aS'and\tand\tCC\tO\tO' -p330965 -aS'showed\tshow\tVBD\tB-VP\tO' -p330966 -aS'the\tthe\tDT\tB-NP\tO' -p330967 -aS'right\tright\tJJ\tI-NP\tO' -p330968 -aS'parietal\tparietal\tJJ\tI-NP\tO' -p330969 -aS'occipital\toccipital\tNN\tI-NP\tO' -p330970 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p330971 -aS'.\t.\t.\tO\tO' -p330972 -asS'clear to auscultation and percussion .' -p330973 -(lp330974 -S'clear\tclear\tJJ\tB-ADJP\tO' -p330975 -aS'to\tto\tTO\tB-PP\tO' -p330976 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p330977 -aS'and\tand\tCC\tI-NP\tO' -p330978 -aS'percussion\tpercussion\tNN\tI-NP\tO' -p330979 -aS'.\t.\t.\tO\tO' -p330980 -asS'Since that time she has continued to have exertional left chest burning , radiating to the left neck and arm , relieved by nitroglycerin .' -p330981 -(lp330982 -S'Since\tSince\tIN\tB-PP\tO' -p330983 -aS'that\tthat\tDT\tB-NP\tO' -p330984 -aS'time\ttime\tNN\tI-NP\tO' -p330985 -aS'she\tshe\tPRP\tB-NP\tO' -p330986 -aS'has\thave\tVBZ\tB-VP\tO' -p330987 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p330988 -aS'to\tto\tTO\tI-VP\tO' -p330989 -aS'have\thave\tVB\tI-VP\tO' -p330990 -aS'exertional\texertional\tJJ\tB-NP\tO' -p330991 -aS'left\tleft\tJJ\tI-NP\tO' -p330992 -aS'chest\tchest\tNN\tI-NP\tO' -p330993 -aS'burning\tburning\tNN\tI-NP\tO' -p330994 -aS',\t,\t,\tO\tO' -p330995 -aS'radiating\tradiate\tVBG\tB-VP\tO' -p330996 -aS'to\tto\tTO\tB-PP\tO' -p330997 -aS'the\tthe\tDT\tB-NP\tO' -p330998 -aS'left\tleft\tJJ\tI-NP\tO' -p330999 -aS'neck\tneck\tNN\tI-NP\tO' -p331000 -aS'and\tand\tCC\tI-NP\tO' -p331001 -aS'arm\tarm\tNN\tI-NP\tO' -p331002 -aS',\t,\t,\tO\tO' -p331003 -aS'relieved\trelieve\tVBN\tB-VP\tO' -p331004 -aS'by\tby\tIN\tB-PP\tO' -p331005 -aS'nitroglycerin\tnitroglycerin\tNN\tB-NP\tB-protein' -p331006 -aS'.\t.\t.\tO\tO' -p331007 -asS"In order to aid in optimization of the patient 's fluid status , the patient was on continuous Baker Baker dialysis during the procedure ." -p331008 -(lp331009 -S'In\tIn\tIN\tB-SBAR\tO' -p331010 -aS'order\torder\tNN\tO\tO' -p331011 -aS'to\tto\tTO\tB-VP\tO' -p331012 -aS'aid\taid\tVB\tI-VP\tO' -p331013 -aS'in\tin\tIN\tB-PP\tO' -p331014 -aS'optimization\toptimization\tNN\tB-NP\tO' -p331015 -aS'of\tof\tIN\tB-PP\tO' -p331016 -aS'the\tthe\tDT\tB-NP\tO' -p331017 -aS'patient\tpatient\tNN\tI-NP\tO' -p331018 -aS"'s\t's\tPOS\tB-NP\tO" -p331019 -aS'fluid\tfluid\tNN\tI-NP\tO' -p331020 -aS'status\tstatus\tNN\tI-NP\tO' -p331021 -aS',\t,\t,\tO\tO' -p331022 -aS'the\tthe\tDT\tB-NP\tO' -p331023 -aS'patient\tpatient\tNN\tI-NP\tO' -p331024 -aS'was\tbe\tVBD\tB-VP\tO' -p331025 -aS'on\ton\tIN\tB-PP\tO' -p331026 -aS'continuous\tcontinuous\tJJ\tB-NP\tO' -p331027 -aS'Baker\tBaker\tNNP\tI-NP\tO' -p331028 -aS'Baker\tBaker\tNNP\tI-NP\tO' -p331029 -aS'dialysis\tdialysis\tNN\tI-NP\tO' -p331030 -aS'during\tduring\tIN\tB-PP\tO' -p331031 -aS'the\tthe\tDT\tB-NP\tO' -p331032 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p331033 -aS'.\t.\t.\tO\tO' -p331034 -asS'The patient was extremely reluctant to undergo surgery , although he understands that this may become necessary in the future .' -p331035 -(lp331036 -S'The\tThe\tDT\tB-NP\tO' -p331037 -aS'patient\tpatient\tNN\tI-NP\tO' -p331038 -aS'was\tbe\tVBD\tB-VP\tO' -p331039 -aS'extremely\textremely\tRB\tB-ADJP\tO' -p331040 -aS'reluctant\treluctant\tJJ\tI-ADJP\tO' -p331041 -aS'to\tto\tTO\tB-VP\tO' -p331042 -aS'undergo\tundergo\tVB\tI-VP\tO' -p331043 -aS'surgery\tsurgery\tNN\tB-NP\tO' -p331044 -aS',\t,\t,\tO\tO' -p331045 -aS'although\talthough\tIN\tB-SBAR\tO' -p331046 -aS'he\the\tPRP\tB-NP\tO' -p331047 -aS'understands\tunderstand\tVBZ\tB-VP\tO' -p331048 -aS'that\tthat\tIN\tB-SBAR\tO' -p331049 -aS'this\tthis\tDT\tB-NP\tO' -p331050 -aS'may\tmay\tMD\tB-VP\tO' -p331051 -aS'become\tbecome\tVB\tI-VP\tO' -p331052 -aS'necessary\tnecessary\tJJ\tB-ADJP\tO' -p331053 -aS'in\tin\tIN\tB-PP\tO' -p331054 -aS'the\tthe\tDT\tB-NP\tO' -p331055 -aS'future\tfuture\tNN\tI-NP\tO' -p331056 -aS'.\t.\t.\tO\tO' -p331057 -asS'Chest demonstrated bilateral holosystolic bruits over the subclavians , left greater than right with few bibasilar crackles .' -p331058 -(lp331059 -S'Chest\tChest\tNNP\tB-NP\tO' -p331060 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p331061 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p331062 -aS'holosystolic\tholosystolic\tJJ\tI-NP\tO' -p331063 -aS'bruits\tbruit\tNNS\tI-NP\tO' -p331064 -aS'over\tover\tIN\tB-PP\tO' -p331065 -aS'the\tthe\tDT\tB-NP\tO' -p331066 -aS'subclavians\tsubclavian\tNNS\tI-NP\tO' -p331067 -aS',\t,\t,\tO\tO' -p331068 -aS'left\tleave\tVBD\tB-VP\tO' -p331069 -aS'greater\tgreat\tJJR\tB-ADJP\tO' -p331070 -aS'than\tthan\tIN\tB-SBAR\tO' -p331071 -aS'right\tright\tRB\tB-ADVP\tO' -p331072 -aS'with\twith\tIN\tB-PP\tO' -p331073 -aS'few\tfew\tJJ\tB-NP\tO' -p331074 -aS'bibasilar\tbibasilar\tJJ\tI-NP\tO' -p331075 -aS'crackles\tcrackle\tNNS\tI-NP\tO' -p331076 -aS'.\t.\t.\tO\tO' -p331077 -asS'Slightly dry MM .' -p331078 -(lp331079 -S'Slightly\tSlightly\tRB\tB-NP\tO' -p331080 -aS'dry\tdry\tJJ\tI-NP\tO' -p331081 -aS'MM\tMM\tNN\tI-NP\tO' -p331082 -aS'.\t.\t.\tO\tO' -p331083 -asS'The patient is to follow-up with her endocrinologist at the Mahoney , as well as her primary care physician .' -p331084 -(lp331085 -S'The\tThe\tDT\tB-NP\tO' -p331086 -aS'patient\tpatient\tNN\tI-NP\tO' -p331087 -aS'is\tbe\tVBZ\tB-VP\tO' -p331088 -aS'to\tto\tTO\tB-VP\tO' -p331089 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p331090 -aS'with\twith\tIN\tB-PP\tO' -p331091 -aS'her\ther\tPRP$\tB-NP\tO' -p331092 -aS'endocrinologist\tendocrinologist\tNN\tI-NP\tO' -p331093 -aS'at\tat\tIN\tB-PP\tO' -p331094 -aS'the\tthe\tDT\tB-NP\tO' -p331095 -aS'Mahoney\tMahoney\tNNP\tI-NP\tO' -p331096 -aS',\t,\t,\tO\tO' -p331097 -aS'as\tas\tRB\tB-CONJP\tO' -p331098 -aS'well\twell\tRB\tI-CONJP\tO' -p331099 -aS'as\tas\tIN\tI-CONJP\tO' -p331100 -aS'her\ther\tPRP$\tB-NP\tO' -p331101 -aS'primary\tprimary\tJJ\tI-NP\tO' -p331102 -aS'care\tcare\tNN\tI-NP\tO' -p331103 -aS'physician\tphysician\tNN\tI-NP\tO' -p331104 -aS'.\t.\t.\tO\tO' -p331105 -asS'On hospital day #2 , the patient was noted to have increased dyspnea on exertion .' -p331106 -(lp331107 -S'On\tOn\tIN\tB-PP\tO' -p331108 -aS'hospital\thospital\tNN\tB-NP\tO' -p331109 -aS'day\tday\tNN\tI-NP\tO' -p331110 -aS'#2\t#2\tNN\tI-NP\tO' -p331111 -aS',\t,\t,\tO\tO' -p331112 -aS'the\tthe\tDT\tB-NP\tO' -p331113 -aS'patient\tpatient\tNN\tI-NP\tO' -p331114 -aS'was\tbe\tVBD\tB-VP\tO' -p331115 -aS'noted\tnote\tVBN\tI-VP\tO' -p331116 -aS'to\tto\tTO\tI-VP\tO' -p331117 -aS'have\thave\tVB\tI-VP\tO' -p331118 -aS'increased\tincrease\tVBN\tB-NP\tO' -p331119 -aS'dyspnea\tdyspnea\tNN\tI-NP\tO' -p331120 -aS'on\ton\tIN\tB-PP\tO' -p331121 -aS'exertion\texertion\tNN\tB-NP\tO' -p331122 -aS'.\t.\t.\tO\tO' -p331123 -asS'Cardiac and infectious sources of hypotension were considered , but cardiac enzymes were not changed from prior studies and he had no localizing signs of infection ; blood cultures were sent and a ultrasound of the L arm AVF ordered to rule out abscess at the site .' -p331124 -(lp331125 -S'Cardiac\tCardiac\tJJ\tB-NP\tO' -p331126 -aS'and\tand\tCC\tI-NP\tO' -p331127 -aS'infectious\tinfectious\tJJ\tI-NP\tO' -p331128 -aS'sources\tsource\tNNS\tI-NP\tO' -p331129 -aS'of\tof\tIN\tB-PP\tO' -p331130 -aS'hypotension\thypotension\tNN\tB-NP\tO' -p331131 -aS'were\tbe\tVBD\tB-VP\tO' -p331132 -aS'considered\tconsider\tVBN\tI-VP\tO' -p331133 -aS',\t,\t,\tO\tO' -p331134 -aS'but\tbut\tCC\tO\tO' -p331135 -aS'cardiac\tcardiac\tJJ\tB-NP\tB-protein' -p331136 -aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' -p331137 -aS'were\tbe\tVBD\tB-VP\tO' -p331138 -aS'not\tnot\tRB\tI-VP\tO' -p331139 -aS'changed\tchange\tVBN\tI-VP\tO' -p331140 -aS'from\tfrom\tIN\tB-PP\tO' -p331141 -aS'prior\tprior\tJJ\tB-NP\tO' -p331142 -aS'studies\tstudy\tNNS\tI-NP\tO' -p331143 -aS'and\tand\tCC\tO\tO' -p331144 -aS'he\the\tPRP\tB-NP\tO' -p331145 -aS'had\thave\tVBD\tB-VP\tO' -p331146 -aS'no\tno\tDT\tB-NP\tO' -p331147 -aS'localizing\tlocalize\tVBG\tI-NP\tO' -p331148 -aS'signs\tsign\tNNS\tI-NP\tO' -p331149 -aS'of\tof\tIN\tB-PP\tO' -p331150 -aS'infection\tinfection\tNN\tB-NP\tO' -p331151 -aS';\t;\t:\tO\tO' -p331152 -aS'blood\tblood\tNN\tB-NP\tO' -p331153 -aS'cultures\tculture\tNNS\tI-NP\tO' -p331154 -aS'were\tbe\tVBD\tB-VP\tO' -p331155 -aS'sent\tsend\tVBN\tI-VP\tO' -p331156 -aS'and\tand\tCC\tO\tO' -p331157 -aS'a\ta\tDT\tB-NP\tO' -p331158 -aS'ultrasound\tultrasound\tNN\tI-NP\tO' -p331159 -aS'of\tof\tIN\tB-PP\tO' -p331160 -aS'the\tthe\tDT\tB-NP\tO' -p331161 -aS'L\tL\tNN\tI-NP\tB-protein' -p331162 -aS'arm\tarm\tNN\tI-NP\tI-protein' -p331163 -aS'AVF\tAVF\tNN\tI-NP\tI-protein' -p331164 -aS'ordered\torder\tVBN\tB-VP\tO' -p331165 -aS'to\tto\tTO\tB-VP\tO' -p331166 -aS'rule\trule\tVB\tI-VP\tO' -p331167 -aS'out\tout\tRP\tB-PRT\tO' -p331168 -aS'abscess\tabscess\tNN\tB-NP\tO' -p331169 -aS'at\tat\tIN\tB-PP\tO' -p331170 -aS'the\tthe\tDT\tB-NP\tO' -p331171 -aS'site\tsite\tNN\tI-NP\tO' -p331172 -aS'.\t.\t.\tO\tO' -p331173 -asS'She was transferred to the Ph University Of Medical Center Intensive Care Unit where on January 25 in the morning her hematocrit was found to be 27.4 .' -p331174 -(lp331175 -S'She\tShe\tPRP\tB-NP\tO' -p331176 -aS'was\tbe\tVBD\tB-VP\tO' -p331177 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p331178 -aS'to\tto\tTO\tB-PP\tO' -p331179 -aS'the\tthe\tDT\tB-NP\tO' -p331180 -aS'Ph\tPh\tNNP\tI-NP\tO' -p331181 -aS'University\tUniversity\tNNP\tI-NP\tO' -p331182 -aS'Of\tOf\tNNP\tI-NP\tO' -p331183 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p331184 -aS'Center\tCenter\tNNP\tI-NP\tO' -p331185 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p331186 -aS'Care\tCare\tNNP\tI-NP\tO' -p331187 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p331188 -aS'where\twhere\tWRB\tB-ADVP\tO' -p331189 -aS'on\ton\tIN\tB-PP\tO' -p331190 -aS'January\tJanuary\tNNP\tB-NP\tO' -p331191 -aS'25\t25\tCD\tI-NP\tO' -p331192 -aS'in\tin\tIN\tB-PP\tO' -p331193 -aS'the\tthe\tDT\tB-NP\tO' -p331194 -aS'morning\tmorning\tNN\tI-NP\tO' -p331195 -aS'her\ther\tPRP$\tB-NP\tO' -p331196 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p331197 -aS'was\tbe\tVBD\tB-VP\tO' -p331198 -aS'found\tfind\tVBN\tI-VP\tO' -p331199 -aS'to\tto\tTO\tI-VP\tO' -p331200 -aS'be\tbe\tVB\tI-VP\tO' -p331201 -aS'27.4\t27.4\tCD\tB-NP\tO' -p331202 -aS'.\t.\t.\tO\tO' -p331203 -asS'The right ankle was somewhat tender from this edema .' -p331204 -(lp331205 -S'The\tThe\tDT\tB-NP\tO' -p331206 -aS'right\tright\tJJ\tI-NP\tO' -p331207 -aS'ankle\tankle\tNN\tI-NP\tO' -p331208 -aS'was\tbe\tVBD\tB-VP\tO' -p331209 -aS'somewhat\tsomewhat\tRB\tI-VP\tO' -p331210 -aS'tender\ttender\tVB\tI-VP\tO' -p331211 -aS'from\tfrom\tIN\tB-PP\tO' -p331212 -aS'this\tthis\tDT\tB-NP\tO' -p331213 -aS'edema\tedema\tNN\tI-NP\tO' -p331214 -aS'.\t.\t.\tO\tO' -p331215 -asS'Fluids , electrolytes and nutrition - She was tolerating a house diet upon discharge .' -p331216 -(lp331217 -S'Fluids\tFluid\tNNS\tB-NP\tO' -p331218 -aS',\t,\t,\tO\tO' -p331219 -aS'electrolytes\telectrolyte\tNNS\tB-NP\tO' -p331220 -aS'and\tand\tCC\tO\tO' -p331221 -aS'nutrition\tnutrition\tNN\tB-NP\tO' -p331222 -aS'-\t-\tHYPH\tI-NP\tO' -p331223 -aS'She\tShe\tNN\tB-NP\tB-protein' -p331224 -aS'was\tbe\tVBD\tB-VP\tO' -p331225 -aS'tolerating\ttolerate\tVBG\tI-VP\tO' -p331226 -aS'a\ta\tDT\tB-NP\tO' -p331227 -aS'house\thouse\tNN\tI-NP\tO' -p331228 -aS'diet\tdiet\tNN\tI-NP\tO' -p331229 -aS'upon\tupon\tIN\tB-PP\tO' -p331230 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p331231 -aS'.\t.\t.\tO\tO' -p331232 -asS'The above treatments were continued .' -p331233 -(lp331234 -S'The\tThe\tDT\tB-NP\tO' -p331235 -aS'above\tabove\tJJ\tI-NP\tO' -p331236 -aS'treatments\ttreatment\tNNS\tI-NP\tO' -p331237 -aS'were\tbe\tVBD\tB-VP\tO' -p331238 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p331239 -aS'.\t.\t.\tO\tO' -p331240 -asS'The patient slowly weaned off Neo-Synephrine as tolerated .' -p331241 -(lp331242 -S'The\tThe\tDT\tB-NP\tO' -p331243 -aS'patient\tpatient\tNN\tI-NP\tO' -p331244 -aS'slowly\tslowly\tRB\tB-ADVP\tO' -p331245 -aS'weaned\twean\tVBD\tB-VP\tO' -p331246 -aS'off\toff\tRP\tB-PRT\tO' -p331247 -aS'Neo-Synephrine\tNeo-Synephrine\tNN\tB-NP\tO' -p331248 -aS'as\tas\tIN\tB-SBAR\tO' -p331249 -aS'tolerated\ttolerate\tVBN\tB-VP\tO' -p331250 -aS'.\t.\t.\tO\tO' -p331251 -asS'The patient had an electrocardiogram with normal sinus rhythm at 70 , normal axis , normal intervals , low voltage in the limb leads .' -p331252 -(lp331253 -S'The\tThe\tDT\tB-NP\tO' -p331254 -aS'patient\tpatient\tNN\tI-NP\tO' -p331255 -aS'had\thave\tVBD\tB-VP\tO' -p331256 -aS'an\tan\tDT\tB-NP\tO' -p331257 -aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' -p331258 -aS'with\twith\tIN\tB-PP\tO' -p331259 -aS'normal\tnormal\tJJ\tB-NP\tO' -p331260 -aS'sinus\tsinus\tNN\tI-NP\tO' -p331261 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p331262 -aS'at\tat\tIN\tB-PP\tO' -p331263 -aS'70\t70\tCD\tB-NP\tO' -p331264 -aS',\t,\t,\tO\tO' -p331265 -aS'normal\tnormal\tJJ\tB-NP\tO' -p331266 -aS'axis\taxis\tNN\tI-NP\tO' -p331267 -aS',\t,\t,\tO\tO' -p331268 -aS'normal\tnormal\tJJ\tB-NP\tO' -p331269 -aS'intervals\tinterval\tNNS\tI-NP\tO' -p331270 -aS',\t,\t,\tO\tO' -p331271 -aS'low\tlow\tJJ\tB-NP\tO' -p331272 -aS'voltage\tvoltage\tNN\tI-NP\tO' -p331273 -aS'in\tin\tIN\tB-PP\tO' -p331274 -aS'the\tthe\tDT\tB-NP\tO' -p331275 -aS'limb\tlimb\tNN\tI-NP\tO' -p331276 -aS'leads\tlead\tVBZ\tB-VP\tO' -p331277 -aS'.\t.\t.\tO\tO' -p331278 -asS'The patient was also told to continue on a neutropenic diet .' -p331279 -(lp331280 -S'The\tThe\tDT\tB-NP\tO' -p331281 -aS'patient\tpatient\tNN\tI-NP\tO' -p331282 -aS'was\tbe\tVBD\tB-VP\tO' -p331283 -aS'also\talso\tRB\tI-VP\tO' -p331284 -aS'told\ttell\tVBN\tI-VP\tO' -p331285 -aS'to\tto\tTO\tI-VP\tO' -p331286 -aS'continue\tcontinue\tVB\tI-VP\tO' -p331287 -aS'on\ton\tIN\tB-PP\tO' -p331288 -aS'a\ta\tDT\tB-NP\tO' -p331289 -aS'neutropenic\tneutropenic\tJJ\tI-NP\tO' -p331290 -aS'diet\tdiet\tNN\tI-NP\tO' -p331291 -aS'.\t.\t.\tO\tO' -p331292 -asS'He did well in immediate postoperative period .' -p331293 -(lp331294 -S'He\tHe\tPRP\tB-NP\tO' -p331295 -aS'did\tdo\tVBD\tB-VP\tO' -p331296 -aS'well\twell\tRB\tB-ADVP\tO' -p331297 -aS'in\tin\tIN\tB-PP\tO' -p331298 -aS'immediate\timmediate\tJJ\tB-NP\tO' -p331299 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p331300 -aS'period\tperiod\tNN\tI-NP\tO' -p331301 -aS'.\t.\t.\tO\tO' -p331302 -asS'A follow up chest computerized tomography scan led to a tissue biopsy via flexible bronchoscopy in 07/93 .' -p331303 -(lp331304 -S'A\tA\tDT\tB-NP\tO' -p331305 -aS'follow\tfollow\tVB\tB-VP\tO' -p331306 -aS'up\tup\tRP\tB-PRT\tO' -p331307 -aS'chest\tch\tJJS\tB-NP\tO' -p331308 -aS'computerized\tcomputerized\tJJ\tI-NP\tO' -p331309 -aS'tomography\ttomography\tNN\tI-NP\tO' -p331310 -aS'scan\tscan\tNN\tI-NP\tO' -p331311 -aS'led\tlead\tVBD\tB-VP\tO' -p331312 -aS'to\tto\tTO\tB-PP\tO' -p331313 -aS'a\ta\tDT\tB-NP\tO' -p331314 -aS'tissue\ttissue\tNN\tI-NP\tO' -p331315 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p331316 -aS'via\tvia\tIN\tB-PP\tO' -p331317 -aS'flexible\tflexible\tJJ\tB-NP\tO' -p331318 -aS'bronchoscopy\tbronchoscopy\tNN\tI-NP\tO' -p331319 -aS'in\tin\tIN\tB-PP\tO' -p331320 -aS'07/93\t07/93\tCD\tB-NP\tO' -p331321 -aS'.\t.\t.\tO\tO' -p331322 -asS'In the newborn nursery he was started on PO feedings on demand .' -p331323 -(lp331324 -S'In\tIn\tIN\tB-PP\tO' -p331325 -aS'the\tthe\tDT\tB-NP\tO' -p331326 -aS'newborn\tnewborn\tJJ\tI-NP\tO' -p331327 -aS'nursery\tnursery\tNN\tI-NP\tO' -p331328 -aS'he\the\tPRP\tB-NP\tO' -p331329 -aS'was\tbe\tVBD\tB-VP\tO' -p331330 -aS'started\tstart\tVBN\tI-VP\tO' -p331331 -aS'on\ton\tIN\tB-PP\tO' -p331332 -aS'PO\tPO\tNN\tB-NP\tO' -p331333 -aS'feedings\tfeeding\tNNS\tI-NP\tO' -p331334 -aS'on\ton\tIN\tB-PP\tO' -p331335 -aS'demand\tdemand\tNN\tB-NP\tO' -p331336 -aS'.\t.\t.\tO\tO' -p331337 -asS'CT abdomen consistent with large necrotic pelvic mass - not sampled 02-12 coagulopathy .' -p331338 -(lp331339 -S'CT\tCT\tNN\tB-NP\tO' -p331340 -aS'abdomen\tabdoman\tNNS\tI-NP\tO' -p331341 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p331342 -aS'with\twith\tIN\tB-PP\tO' -p331343 -aS'large\tlarge\tJJ\tB-NP\tO' -p331344 -aS'necrotic\tnecrotic\tJJ\tI-NP\tO' -p331345 -aS'pelvic\tpelvic\tJJ\tI-NP\tO' -p331346 -aS'mass\tmass\tNN\tI-NP\tO' -p331347 -aS'-\t-\tHYPH\tB-VP\tO' -p331348 -aS'not\tnot\tRB\tI-VP\tO' -p331349 -aS'sampled\tsample\tVBN\tI-VP\tO' -p331350 -aS'02-12\t02-12\tJJ\tB-NP\tO' -p331351 -aS'coagulopathy\tcoagulopathy\tNN\tI-NP\tO' -p331352 -aS'.\t.\t.\tO\tO' -p331353 -asS'5+ throughout , except left hand intrinsic muscles were 4+ , 3+ in the middle digits .' -p331354 -(lp331355 -S'5+\t5+\tJJ\tB-ADJP\tO' -p331356 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p331357 -aS',\t,\t,\tO\tO' -p331358 -aS'except\texcept\tIN\tB-PP\tO' -p331359 -aS'left\tleft\tJJ\tB-NP\tO' -p331360 -aS'hand\thand\tNN\tI-NP\tO' -p331361 -aS'intrinsic\tintrinsic\tJJ\tI-NP\tO' -p331362 -aS'muscles\tmuscle\tNNS\tI-NP\tO' -p331363 -aS'were\tbe\tVBD\tB-VP\tO' -p331364 -aS'4+\t4+\tJJ\tB-ADJP\tO' -p331365 -aS',\t,\t,\tO\tO' -p331366 -aS'3+\t3+\tJJ\tB-ADJP\tO' -p331367 -aS'in\tin\tIN\tB-PP\tO' -p331368 -aS'the\tthe\tDT\tB-NP\tO' -p331369 -aS'middle\tmiddle\tJJ\tI-NP\tO' -p331370 -aS'digits\tdigit\tNNS\tI-NP\tO' -p331371 -aS'.\t.\t.\tO\tO' -p331372 -asS'Transferred to unit and urgently intubated ( labs below. )' -p331373 -(lp331374 -S'Transferred\tTransfer\tVBN\tB-VP\tO' -p331375 -aS'to\tto\tTO\tB-PP\tO' -p331376 -aS'unit\tunit\tNN\tB-NP\tO' -p331377 -aS'and\tand\tCC\tO\tO' -p331378 -aS'urgently\turgently\tRB\tB-ADJP\tO' -p331379 -aS'intubated\tintubated\tJJ\tI-ADJP\tO' -p331380 -aS'(\t(\t(\tO\tO' -p331381 -aS'labs\tlab\tNNS\tB-NP\tO' -p331382 -aS'below.\tbelow.\tIN\tB-PP\tO' -p331383 -aS')\t)\t)\tO\tO' -p331384 -asS'In the Juan , his VS were 97.8 150/80 88 12 89-94% 3L NC .' -p331385 -(lp331386 -S'In\tIn\tIN\tB-PP\tO' -p331387 -aS'the\tthe\tDT\tB-NP\tO' -p331388 -aS'Juan\tJuan\tNNP\tI-NP\tO' -p331389 -aS',\t,\t,\tO\tO' -p331390 -aS'his\this\tPRP$\tB-NP\tO' -p331391 -aS'VS\tVS\tNNS\tI-NP\tO' -p331392 -aS'were\tbe\tVBD\tB-VP\tO' -p331393 -aS'97.8\t97.8\tCD\tB-NP\tO' -p331394 -aS'150/80\t150/80\tCD\tI-NP\tO' -p331395 -aS'88\t88\tCD\tI-NP\tO' -p331396 -aS'12\t12\tCD\tI-NP\tO' -p331397 -aS'89-94%\t89-94%\tJJ\tI-NP\tO' -p331398 -aS'3L\t3L\tNN\tI-NP\tO' -p331399 -aS'NC\tNC\tNN\tI-NP\tO' -p331400 -aS'.\t.\t.\tO\tO' -p331401 -asS'On admission , white count was 7.2 with 57% neutrophils , 40% lymphocytes , l mononuclear cell , and 1.6 eosinophils .' -p331402 -(lp331403 -S'On\tOn\tIN\tB-PP\tO' -p331404 -aS'admission\tadmission\tNN\tB-NP\tO' -p331405 -aS',\t,\t,\tO\tO' -p331406 -aS'white\twhite\tJJ\tB-NP\tO' -p331407 -aS'count\tcount\tNN\tI-NP\tO' -p331408 -aS'was\tbe\tVBD\tB-VP\tO' -p331409 -aS'7.2\t7.2\tCD\tB-NP\tO' -p331410 -aS'with\twith\tIN\tB-PP\tO' -p331411 -aS'57%\t57%\tCD\tB-NP\tO' -p331412 -aS'neutrophils\tneutrophil\tNNS\tI-NP\tB-cell_type' -p331413 -aS',\t,\t,\tO\tO' -p331414 -aS'40%\t40%\tJJ\tB-NP\tB-cell_line' -p331415 -aS'lymphocytes\tlymphocyte\tNNS\tI-NP\tI-cell_line' -p331416 -aS',\t,\t,\tO\tO' -p331417 -aS'l\tl\tNN\tB-NP\tB-cell_type' -p331418 -aS'mononuclear\tmononuclear\tJJ\tI-NP\tI-cell_type' -p331419 -aS'cell\tcell\tNN\tI-NP\tI-cell_type' -p331420 -aS',\t,\t,\tO\tO' -p331421 -aS'and\tand\tCC\tO\tO' -p331422 -aS'1.6\t1.6\tCD\tB-NP\tO' -p331423 -aS'eosinophils\teosinophil\tNNS\tI-NP\tB-cell_type' -p331424 -aS'.\t.\t.\tO\tO' -p331425 -asS'There was no dorsal , pedal pulse on the right .' -p331426 -(lp331427 -S'There\tThere\tEX\tB-NP\tO' -p331428 -aS'was\tbe\tVBD\tB-VP\tO' -p331429 -aS'no\tno\tDT\tB-NP\tO' -p331430 -aS'dorsal\tdorsal\tJJ\tI-NP\tO' -p331431 -aS',\t,\t,\tI-NP\tO' -p331432 -aS'pedal\tpedal\tJJ\tI-NP\tO' -p331433 -aS'pulse\tpulse\tNN\tI-NP\tO' -p331434 -aS'on\ton\tIN\tB-PP\tO' -p331435 -aS'the\tthe\tDT\tB-NP\tO' -p331436 -aS'right\tright\tNN\tI-NP\tO' -p331437 -aS'.\t.\t.\tO\tO' -p331438 -asS'Abdomen is obese , nontender , decreased bowel sounds .' -p331439 -(lp331440 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p331441 -aS'is\tbe\tVBZ\tB-VP\tO' -p331442 -aS'obese\tobese\tJJ\tB-NP\tO' -p331443 -aS',\t,\t,\tI-NP\tO' -p331444 -aS'nontender\tnontender\tJJ\tI-NP\tO' -p331445 -aS',\t,\t,\tI-NP\tO' -p331446 -aS'decreased\tdecrease\tVBN\tI-NP\tO' -p331447 -aS'bowel\tbowel\tNN\tI-NP\tO' -p331448 -aS'sounds\tsound\tNNS\tI-NP\tO' -p331449 -aS'.\t.\t.\tO\tO' -p331450 -asS'10. Zofran 4 mg PO once a day as needed for nausea .' -p331451 -(lp331452 -S'10.\t10.\tCD\tB-NP\tO' -p331453 -aS'Zofran\tZofran\tNN\tI-NP\tB-protein' -p331454 -aS'4\t4\tCD\tB-NP\tI-protein' -p331455 -aS'mg\tmg\tNN\tI-NP\tI-protein' -p331456 -aS'PO\tPO\tNN\tI-NP\tI-protein' -p331457 -aS'once\tonce\tRB\tO\tO' -p331458 -aS'a\ta\tDT\tB-NP\tO' -p331459 -aS'day\tday\tNN\tI-NP\tO' -p331460 -aS'as\tas\tIN\tB-SBAR\tO' -p331461 -aS'needed\tneed\tVBN\tB-VP\tO' -p331462 -aS'for\tfor\tIN\tB-PP\tO' -p331463 -aS'nausea\tnausea\tNN\tB-NP\tO' -p331464 -aS'.\t.\t.\tO\tO' -p331465 -asS'2. Infant of a diabetic mother .' -p331466 -(lp331467 -S'2.\t2.\tLS\tB-NP\tO' -p331468 -aS'Infant\tInfant\tNN\tI-NP\tO' -p331469 -aS'of\tof\tIN\tB-PP\tO' -p331470 -aS'a\ta\tDT\tB-NP\tO' -p331471 -aS'diabetic\tdiabetic\tJJ\tI-NP\tO' -p331472 -aS'mother\tmother\tNN\tI-NP\tO' -p331473 -aS'.\t.\t.\tO\tO' -p331474 -asS'She was initially covered broadly with vancomycin , ciprofloxacin , and falgyl .' -p331475 -(lp331476 -S'She\tShe\tPRP\tB-NP\tO' -p331477 -aS'was\tbe\tVBD\tB-VP\tO' -p331478 -aS'initially\tinitially\tRB\tI-VP\tO' -p331479 -aS'covered\tcover\tVBN\tI-VP\tO' -p331480 -aS'broadly\tbroadly\tRB\tB-ADVP\tO' -p331481 -aS'with\twith\tIN\tB-PP\tO' -p331482 -aS'vancomycin\tvancomycin\tNN\tB-NP\tO' -p331483 -aS',\t,\t,\tO\tO' -p331484 -aS'ciprofloxacin\tciprofloxacin\tNN\tB-NP\tO' -p331485 -aS',\t,\t,\tO\tO' -p331486 -aS'and\tand\tCC\tO\tO' -p331487 -aS'falgyl\tfalgyl\tNN\tB-NP\tO' -p331488 -aS'.\t.\t.\tO\tO' -p331489 -asS'We will now hold his coumadin given his recent falls and bleeding risk .' -p331490 -(lp331491 -S'We\tWe\tPRP\tB-NP\tO' -p331492 -aS'will\twill\tMD\tB-VP\tO' -p331493 -aS'now\tnow\tRB\tI-VP\tO' -p331494 -aS'hold\thold\tVB\tI-VP\tO' -p331495 -aS'his\this\tPRP$\tB-NP\tO' -p331496 -aS'coumadin\tcoumadin\tNN\tI-NP\tO' -p331497 -aS'given\tgive\tVBN\tB-VP\tO' -p331498 -aS'his\this\tPRP$\tB-NP\tO' -p331499 -aS'recent\trecent\tJJ\tI-NP\tO' -p331500 -aS'falls\tfall\tNNS\tI-NP\tO' -p331501 -aS'and\tand\tCC\tO\tO' -p331502 -aS'bleeding\tbleed\tVBG\tB-VP\tO' -p331503 -aS'risk\trisk\tNN\tB-NP\tO' -p331504 -aS'.\t.\t.\tO\tO' -p331505 -asS'GRAM NEGATIVE ROD( S ) .' -p331506 -(lp331507 -S'GRAM\tGRAM\tNNP\tB-NP\tO' -p331508 -aS'NEGATIVE\tNEGATIVE\tNNP\tI-NP\tO' -p331509 -aS'ROD(\tROD(\tNNP\tI-NP\tO' -p331510 -aS'S\tS\tNNP\tI-NP\tO' -p331511 -aS')\t)\t)\tO\tO' -p331512 -aS'.\t.\t.\tO\tO' -p331513 -asS'No murmur noted .' -p331514 -(lp331515 -S'No\tNo\tDT\tB-NP\tO' -p331516 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p331517 -aS'noted\tnote\tVBD\tB-VP\tO' -p331518 -aS'.\t.\t.\tO\tO' -p331519 -asS'This 68 year old female has rheumatic heart disease .' -p331520 -(lp331521 -S'This\tThis\tDT\tB-NP\tO' -p331522 -aS'68\t68\tCD\tI-NP\tO' -p331523 -aS'year\tyear\tNN\tI-NP\tO' -p331524 -aS'old\told\tJJ\tI-NP\tO' -p331525 -aS'female\tfemale\tNN\tI-NP\tO' -p331526 -aS'has\thave\tVBZ\tB-VP\tO' -p331527 -aS'rheumatic\trheumatic\tJJ\tB-NP\tO' -p331528 -aS'heart\theart\tNN\tI-NP\tO' -p331529 -aS'disease\tdisease\tNN\tI-NP\tO' -p331530 -aS'.\t.\t.\tO\tO' -p331531 -asS'nuchal cord .' -p331532 -(lp331533 -S'nuchal\tnuchal\tJJ\tB-NP\tO' -p331534 -aS'cord\tcord\tNN\tI-NP\tO' -p331535 -aS'.\t.\t.\tO\tO' -p331536 -asS'The patient is approximately three weeks following his procedure and several of these stitches will be removed prior to discharge .' -p331537 -(lp331538 -S'The\tThe\tDT\tB-NP\tO' -p331539 -aS'patient\tpatient\tNN\tI-NP\tO' -p331540 -aS'is\tbe\tVBZ\tB-VP\tO' -p331541 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p331542 -aS'three\tthree\tCD\tI-NP\tO' -p331543 -aS'weeks\tweek\tNNS\tI-NP\tO' -p331544 -aS'following\tfollow\tVBG\tB-PP\tO' -p331545 -aS'his\this\tPRP$\tB-NP\tO' -p331546 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p331547 -aS'and\tand\tCC\tO\tO' -p331548 -aS'several\tseveral\tJJ\tB-NP\tO' -p331549 -aS'of\tof\tIN\tB-PP\tO' -p331550 -aS'these\tthese\tDT\tB-NP\tO' -p331551 -aS'stitches\tstitch\tNNS\tI-NP\tO' -p331552 -aS'will\twill\tMD\tB-VP\tO' -p331553 -aS'be\tbe\tVB\tI-VP\tO' -p331554 -aS'removed\tremove\tVBN\tI-VP\tO' -p331555 -aS'prior\tprior\tRB\tB-ADVP\tO' -p331556 -aS'to\tto\tTO\tB-VP\tO' -p331557 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p331558 -aS'.\t.\t.\tO\tO' -p331559 -asS'The pt uses a wheelchair often at baseline due to pain from arthritis .' -p331560 -(lp331561 -S'The\tThe\tDT\tB-NP\tO' -p331562 -aS'pt\tpt\tNN\tI-NP\tO' -p331563 -aS'uses\tuse\tVBZ\tB-VP\tO' -p331564 -aS'a\ta\tDT\tB-NP\tO' -p331565 -aS'wheelchair\twheelchair\tNN\tI-NP\tO' -p331566 -aS'often\toften\tRB\tB-ADVP\tO' -p331567 -aS'at\tat\tIN\tB-PP\tO' -p331568 -aS'baseline\tbaseline\tNN\tB-NP\tO' -p331569 -aS'due\tdue\tJJ\tB-ADJP\tO' -p331570 -aS'to\tto\tTO\tB-VP\tO' -p331571 -aS'pain\tpain\tVB\tI-VP\tO' -p331572 -aS'from\tfrom\tIN\tB-PP\tO' -p331573 -aS'arthritis\tarthritis\tNN\tB-NP\tO' -p331574 -aS'.\t.\t.\tO\tO' -p331575 -asS'Status post placement of percutaneous transhepatic biliary drainage with placement of 8 Caucasian nephrostomy catheter in the common bile duct .' -p331576 -(lp331577 -S'Status\tStatus\tNNP\tB-NP\tO' -p331578 -aS'post\tpost\tNN\tI-NP\tO' -p331579 -aS'placement\tplacement\tNN\tI-NP\tO' -p331580 -aS'of\tof\tIN\tB-PP\tO' -p331581 -aS'percutaneous\tpercutaneous\tJJ\tB-NP\tO' -p331582 -aS'transhepatic\ttranshepatic\tJJ\tI-NP\tO' -p331583 -aS'biliary\tbiliary\tJJ\tI-NP\tO' -p331584 -aS'drainage\tdrainage\tNN\tI-NP\tO' -p331585 -aS'with\twith\tIN\tB-PP\tO' -p331586 -aS'placement\tplacement\tNN\tB-NP\tO' -p331587 -aS'of\tof\tIN\tB-PP\tO' -p331588 -aS'8\t8\tCD\tB-NP\tO' -p331589 -aS'Caucasian\tCaucasian\tJJ\tI-NP\tO' -p331590 -aS'nephrostomy\tnephrostomy\tNN\tI-NP\tO' -p331591 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p331592 -aS'in\tin\tIN\tB-PP\tO' -p331593 -aS'the\tthe\tDT\tB-NP\tO' -p331594 -aS'common\tcommon\tJJ\tI-NP\tO' -p331595 -aS'bile\tbile\tNN\tI-NP\tO' -p331596 -aS'duct\tduct\tNN\tI-NP\tO' -p331597 -aS'.\t.\t.\tO\tO' -p331598 -asS'He underwent a right craniotomy with resection and gliadel wafers on 2012-05-02 at Hallmark Health System by Dr. Ackley .' -p331599 -(lp331600 -S'He\tHe\tPRP\tB-NP\tO' -p331601 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p331602 -aS'a\ta\tDT\tB-NP\tO' -p331603 -aS'right\tright\tJJ\tI-NP\tO' -p331604 -aS'craniotomy\tcraniotomy\tNN\tI-NP\tO' -p331605 -aS'with\twith\tIN\tB-PP\tO' -p331606 -aS'resection\tresection\tNN\tB-NP\tO' -p331607 -aS'and\tand\tCC\tI-NP\tO' -p331608 -aS'gliadel\tgliadel\tNN\tI-NP\tO' -p331609 -aS'wafers\twafer\tNNS\tI-NP\tO' -p331610 -aS'on\ton\tIN\tB-PP\tO' -p331611 -aS'2012-05-02\t2012-05-02\tCD\tB-NP\tO' -p331612 -aS'at\tat\tIN\tB-PP\tO' -p331613 -aS'Hallmark\tHallmark\tNNP\tB-NP\tO' -p331614 -aS'Health\tHealth\tNNP\tI-NP\tO' -p331615 -aS'System\tSystem\tNNP\tI-NP\tO' -p331616 -aS'by\tby\tIN\tB-PP\tO' -p331617 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p331618 -aS'Ackley\tAckley\tNNP\tI-NP\tO' -p331619 -aS'.\t.\t.\tO\tO' -p331620 -asS'The patient was apparently alone at home , his neighbors heard a single shot , and the paramedics were called .' -p331621 -(lp331622 -S'The\tThe\tDT\tB-NP\tO' -p331623 -aS'patient\tpatient\tNN\tI-NP\tO' -p331624 -aS'was\tbe\tVBD\tB-VP\tO' -p331625 -aS'apparently\tapparently\tRB\tB-ADVP\tO' -p331626 -aS'alone\talone\tRB\tB-ADVP\tO' -p331627 -aS'at\tat\tIN\tB-PP\tO' -p331628 -aS'home\thome\tNN\tB-NP\tO' -p331629 -aS',\t,\t,\tO\tO' -p331630 -aS'his\this\tPRP$\tB-NP\tO' -p331631 -aS'neighbors\tneighbor\tNNS\tI-NP\tO' -p331632 -aS'heard\thear\tVBD\tB-VP\tO' -p331633 -aS'a\ta\tDT\tB-NP\tO' -p331634 -aS'single\tsingle\tJJ\tI-NP\tO' -p331635 -aS'shot\tshot\tNN\tI-NP\tO' -p331636 -aS',\t,\t,\tO\tO' -p331637 -aS'and\tand\tCC\tO\tO' -p331638 -aS'the\tthe\tDT\tB-NP\tO' -p331639 -aS'paramedics\tparamedic\tNNS\tI-NP\tO' -p331640 -aS'were\tbe\tVBD\tB-VP\tO' -p331641 -aS'called\tcall\tVBN\tI-VP\tO' -p331642 -aS'.\t.\t.\tO\tO' -p331643 -asS'The patient was tolerant of a full regular diet and had his pain well controlled via oral pain medications .' -p331644 -(lp331645 -S'The\tThe\tDT\tB-NP\tO' -p331646 -aS'patient\tpatient\tNN\tI-NP\tO' -p331647 -aS'was\tbe\tVBD\tB-VP\tO' -p331648 -aS'tolerant\ttolerant\tJJ\tB-ADJP\tO' -p331649 -aS'of\tof\tIN\tB-PP\tO' -p331650 -aS'a\ta\tDT\tB-NP\tO' -p331651 -aS'full\tfull\tJJ\tI-NP\tO' -p331652 -aS'regular\tregular\tJJ\tI-NP\tO' -p331653 -aS'diet\tdiet\tNN\tI-NP\tO' -p331654 -aS'and\tand\tCC\tO\tO' -p331655 -aS'had\thave\tVBD\tB-VP\tO' -p331656 -aS'his\this\tPRP$\tB-NP\tO' -p331657 -aS'pain\tpain\tNN\tI-NP\tO' -p331658 -aS'well\twell\tRB\tB-VP\tO' -p331659 -aS'controlled\tcontrol\tVBN\tI-VP\tO' -p331660 -aS'via\tvia\tIN\tB-PP\tO' -p331661 -aS'oral\toral\tJJ\tB-NP\tO' -p331662 -aS'pain\tpain\tNN\tI-NP\tO' -p331663 -aS'medications\tmedication\tNNS\tI-NP\tO' -p331664 -aS'.\t.\t.\tO\tO' -p331665 -asS'White blood cell count 9.8 , hematocrit 44.1 , platelets 262 , prothrombin time 10.4/ 10.3 , partial thromboplastin time 25.9 .' -p331666 -(lp331667 -S'White\tWhite\tJJ\tB-NP\tO' -p331668 -aS'blood\tblood\tNN\tI-NP\tO' -p331669 -aS'cell\tcell\tNN\tI-NP\tO' -p331670 -aS'count\tcount\tNN\tI-NP\tO' -p331671 -aS'9.8\t9.8\tCD\tB-NP\tO' -p331672 -aS',\t,\t,\tO\tO' -p331673 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p331674 -aS'44.1\t44.1\tCD\tI-NP\tI-protein' -p331675 -aS',\t,\t,\tO\tO' -p331676 -aS'platelets\tplatelet\tNNS\tB-NP\tB-protein' -p331677 -aS'262\t262\tCD\tB-NP\tI-protein' -p331678 -aS',\t,\t,\tO\tO' -p331679 -aS'prothrombin\tprothrombin\tNN\tB-NP\tB-protein' -p331680 -aS'time\ttime\tNN\tI-NP\tI-protein' -p331681 -aS'10.4/\t10.4/\tCD\tB-NP\tI-protein' -p331682 -aS'10.3\t10.3\tCD\tI-NP\tI-protein' -p331683 -aS',\t,\t,\tO\tO' -p331684 -aS'partial\tpartial\tJJ\tB-NP\tO' -p331685 -aS'thromboplastin\tthromboplastin\tNN\tI-NP\tO' -p331686 -aS'time\ttime\tNN\tI-NP\tO' -p331687 -aS'25.9\t25.9\tCD\tB-NP\tO' -p331688 -aS'.\t.\t.\tO\tO' -p331689 -asS'He was treated with broad spectrum antibiotics for a 14 day course for clinical SBP .' -p331690 -(lp331691 -S'He\tHe\tPRP\tB-NP\tO' -p331692 -aS'was\tbe\tVBD\tB-VP\tO' -p331693 -aS'treated\ttreat\tVBN\tI-VP\tO' -p331694 -aS'with\twith\tIN\tB-PP\tO' -p331695 -aS'broad\tbroad\tJJ\tB-NP\tO' -p331696 -aS'spectrum\tspectrum\tNN\tI-NP\tO' -p331697 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p331698 -aS'for\tfor\tIN\tB-PP\tO' -p331699 -aS'a\ta\tDT\tB-NP\tO' -p331700 -aS'14\t14\tCD\tI-NP\tO' -p331701 -aS'day\tday\tNN\tI-NP\tO' -p331702 -aS'course\tcourse\tNN\tI-NP\tO' -p331703 -aS'for\tfor\tIN\tB-PP\tO' -p331704 -aS'clinical\tclinical\tJJ\tB-NP\tO' -p331705 -aS'SBP\tSBP\tNN\tI-NP\tO' -p331706 -aS'.\t.\t.\tO\tO' -p331707 -asS'He had no history of headaches or recent illness .' -p331708 -(lp331709 -S'He\tHe\tPRP\tB-NP\tO' -p331710 -aS'had\thave\tVBD\tB-VP\tO' -p331711 -aS'no\tno\tDT\tB-NP\tO' -p331712 -aS'history\thistory\tNN\tI-NP\tO' -p331713 -aS'of\tof\tIN\tB-PP\tO' -p331714 -aS'headaches\theadache\tNNS\tB-NP\tO' -p331715 -aS'or\tor\tCC\tO\tO' -p331716 -aS'recent\trecent\tJJ\tB-NP\tO' -p331717 -aS'illness\tillness\tNN\tI-NP\tO' -p331718 -aS'.\t.\t.\tO\tO' -p331719 -asS'She did very well over the course of her admission with no evidence of further bleeding .' -p331720 -(lp331721 -S'She\tShe\tPRP\tB-NP\tO' -p331722 -aS'did\tdo\tVBD\tB-VP\tO' -p331723 -aS'very\tvery\tRB\tB-ADVP\tO' -p331724 -aS'well\twell\tRB\tI-ADVP\tO' -p331725 -aS'over\tover\tIN\tB-PP\tO' -p331726 -aS'the\tthe\tDT\tB-NP\tO' -p331727 -aS'course\tcourse\tNN\tI-NP\tO' -p331728 -aS'of\tof\tIN\tB-PP\tO' -p331729 -aS'her\ther\tPRP$\tB-NP\tO' -p331730 -aS'admission\tadmission\tNN\tI-NP\tO' -p331731 -aS'with\twith\tIN\tB-PP\tO' -p331732 -aS'no\tno\tDT\tB-NP\tO' -p331733 -aS'evidence\tevidence\tNN\tI-NP\tO' -p331734 -aS'of\tof\tIN\tB-PP\tO' -p331735 -aS'further\tfurther\tJJ\tB-NP\tO' -p331736 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p331737 -aS'.\t.\t.\tO\tO' -p331738 -asS'4. Magnesium Hydroxide 400 mg / 5 mL Suspension Sig : Thirty ( 30 ) ML PO Q6H ( every 6 hours ) as needed for constipation .' -p331739 -(lp331740 -S'4.\t4.\tLS\tB-NP\tO' -p331741 -aS'Magnesium\tMagnesium\tNNP\tI-NP\tO' -p331742 -aS'Hydroxide\tHydroxide\tNNP\tI-NP\tO' -p331743 -aS'400\t400\tCD\tI-NP\tO' -p331744 -aS'mg\tmg\tNN\tI-NP\tO' -p331745 -aS'/\t/\tSYM\tB-NP\tO' -p331746 -aS'5\t5\tCD\tB-NP\tO' -p331747 -aS'mL\tmL\tNN\tI-NP\tO' -p331748 -aS'Suspension\tSuspension\tNNP\tI-NP\tO' -p331749 -aS'Sig\tSig\tNNP\tI-NP\tO' -p331750 -aS':\t:\t:\tO\tO' -p331751 -aS'Thirty\tThirty\tCD\tB-NP\tO' -p331752 -aS'(\t(\t(\tO\tO' -p331753 -aS'30\t30\tCD\tO\tO' -p331754 -aS')\t)\t)\tO\tO' -p331755 -aS'ML\tML\tNN\tB-NP\tO' -p331756 -aS'PO\tPO\tNN\tI-NP\tO' -p331757 -aS'Q6H\tQ6H\tNN\tI-NP\tO' -p331758 -aS'(\t(\t(\tO\tO' -p331759 -aS'every\tevery\tDT\tB-NP\tO' -p331760 -aS'6\t6\tCD\tI-NP\tO' -p331761 -aS'hours\thour\tNNS\tI-NP\tO' -p331762 -aS')\t)\t)\tO\tO' -p331763 -aS'as\tas\tIN\tB-SBAR\tO' -p331764 -aS'needed\tneed\tVBN\tB-VP\tO' -p331765 -aS'for\tfor\tIN\tB-PP\tO' -p331766 -aS'constipation\tconstipation\tNN\tB-NP\tO' -p331767 -aS'.\t.\t.\tO\tO' -p331768 -asS'Colace , 100 mg tid .' -p331769 -(lp331770 -S'Colace\tColace\tNNP\tB-NP\tO' -p331771 -aS',\t,\t,\tO\tO' -p331772 -aS'100\t100\tCD\tB-NP\tO' -p331773 -aS'mg\tmg\tNN\tI-NP\tO' -p331774 -aS'tid\ttid\tNN\tI-NP\tO' -p331775 -aS'.\t.\t.\tO\tO' -p331776 -asS'Jule remained in room air without any evidence of respiratory distress and was without any further dusky spells or pale episodes in the 48 hours prior to discharge .' -p331777 -(lp331778 -S'Jule\tJule\tNNP\tB-NP\tO' -p331779 -aS'remained\tremain\tVBD\tB-VP\tO' -p331780 -aS'in\tin\tIN\tB-PP\tO' -p331781 -aS'room\troom\tNN\tB-NP\tO' -p331782 -aS'air\tair\tNN\tI-NP\tO' -p331783 -aS'without\twithout\tIN\tB-PP\tO' -p331784 -aS'any\tany\tDT\tB-NP\tO' -p331785 -aS'evidence\tevidence\tNN\tI-NP\tO' -p331786 -aS'of\tof\tIN\tB-PP\tO' -p331787 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p331788 -aS'distress\tdistress\tNN\tI-NP\tO' -p331789 -aS'and\tand\tCC\tO\tO' -p331790 -aS'was\tbe\tVBD\tB-VP\tO' -p331791 -aS'without\twithout\tIN\tB-PP\tO' -p331792 -aS'any\tany\tDT\tB-NP\tO' -p331793 -aS'further\tfurther\tJJ\tI-NP\tO' -p331794 -aS'dusky\tdusky\tJJ\tI-NP\tO' -p331795 -aS'spells\tspell\tNNS\tI-NP\tO' -p331796 -aS'or\tor\tCC\tO\tO' -p331797 -aS'pale\tpale\tJJ\tB-NP\tO' -p331798 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p331799 -aS'in\tin\tIN\tB-PP\tO' -p331800 -aS'the\tthe\tDT\tB-NP\tO' -p331801 -aS'48\t48\tCD\tI-NP\tO' -p331802 -aS'hours\thour\tNNS\tI-NP\tO' -p331803 -aS'prior\tprior\tRB\tB-ADVP\tO' -p331804 -aS'to\tto\tTO\tB-VP\tO' -p331805 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p331806 -aS'.\t.\t.\tO\tO' -p331807 -asS'Nizatidine by mouth 150 mg twice a day , insulin 70/30 human injection under skin 12 units every night , insulin 70/30 human injection subcutaneous 26 units every morning , Lovenox injection under skin 40 mg once a day , and levofloxacin by mouth 250 mg once a day .' -p331808 -(lp331809 -S'Nizatidine\tNizatidine\tNN\tB-NP\tO' -p331810 -aS'by\tby\tIN\tB-PP\tO' -p331811 -aS'mouth\tmouth\tNN\tB-NP\tO' -p331812 -aS'150\t150\tCD\tI-NP\tO' -p331813 -aS'mg\tmg\tNN\tI-NP\tO' -p331814 -aS'twice\ttwice\tRB\tB-NP\tO' -p331815 -aS'a\ta\tDT\tI-NP\tO' -p331816 -aS'day\tday\tNN\tI-NP\tO' -p331817 -aS',\t,\t,\tO\tO' -p331818 -aS'insulin\tinsulin\tNN\tB-NP\tB-protein' -p331819 -aS'70/30\t70/30\tCD\tI-NP\tI-protein' -p331820 -aS'human\thuman\tJJ\tI-NP\tI-protein' -p331821 -aS'injection\tinjection\tNN\tI-NP\tI-protein' -p331822 -aS'under\tunder\tIN\tB-PP\tI-protein' -p331823 -aS'skin\tskin\tNN\tB-NP\tI-protein' -p331824 -aS'12\t12\tCD\tB-NP\tI-protein' -p331825 -aS'units\tunit\tNNS\tI-NP\tI-protein' -p331826 -aS'every\tevery\tDT\tB-NP\tO' -p331827 -aS'night\tnight\tNN\tI-NP\tO' -p331828 -aS',\t,\t,\tO\tO' -p331829 -aS'insulin\tinsulin\tNN\tB-NP\tB-protein' -p331830 -aS'70/30\t70/30\tCD\tI-NP\tI-protein' -p331831 -aS'human\thuman\tJJ\tI-NP\tI-protein' -p331832 -aS'injection\tinjection\tNN\tI-NP\tI-protein' -p331833 -aS'subcutaneous\tsubcutaneous\tJJ\tI-NP\tI-protein' -p331834 -aS'26\t26\tCD\tI-NP\tI-protein' -p331835 -aS'units\tunit\tNNS\tI-NP\tI-protein' -p331836 -aS'every\tevery\tDT\tB-NP\tO' -p331837 -aS'morning\tmorning\tNN\tI-NP\tO' -p331838 -aS',\t,\t,\tO\tO' -p331839 -aS'Lovenox\tLovenox\tNN\tB-NP\tO' -p331840 -aS'injection\tinjection\tNN\tI-NP\tO' -p331841 -aS'under\tunder\tIN\tB-PP\tO' -p331842 -aS'skin\tskin\tNN\tB-NP\tO' -p331843 -aS'40\t40\tCD\tI-NP\tO' -p331844 -aS'mg\tmg\tNN\tI-NP\tO' -p331845 -aS'once\tonce\tRB\tB-ADVP\tO' -p331846 -aS'a\ta\tDT\tB-NP\tO' -p331847 -aS'day\tday\tNN\tI-NP\tO' -p331848 -aS',\t,\t,\tO\tO' -p331849 -aS'and\tand\tCC\tO\tO' -p331850 -aS'levofloxacin\tlevofloxacin\tNN\tB-NP\tO' -p331851 -aS'by\tby\tIN\tB-PP\tO' -p331852 -aS'mouth\tmouth\tNN\tB-NP\tO' -p331853 -aS'250\t250\tCD\tI-NP\tO' -p331854 -aS'mg\tmg\tNN\tI-NP\tO' -p331855 -aS'once\tonce\tRB\tB-ADVP\tO' -p331856 -aS'a\ta\tDT\tB-NP\tO' -p331857 -aS'day\tday\tNN\tI-NP\tO' -p331858 -aS'.\t.\t.\tO\tO' -p331859 -asS'The patient reached full volume feeds by day of life 6 and had calories increased to maximum of 26 kilocalories per ounce of Similac special care until 2014-12-03 , at which point this was weaned to 24 kilocalories per ounce of straight Similac .' -p331860 -(lp331861 -S'The\tThe\tDT\tB-NP\tO' -p331862 -aS'patient\tpatient\tNN\tI-NP\tO' -p331863 -aS'reached\treach\tVBD\tB-VP\tO' -p331864 -aS'full\tfull\tJJ\tB-NP\tO' -p331865 -aS'volume\tvolume\tNN\tI-NP\tO' -p331866 -aS'feeds\tfeed\tNNS\tI-NP\tO' -p331867 -aS'by\tby\tIN\tB-PP\tO' -p331868 -aS'day\tday\tNN\tB-NP\tO' -p331869 -aS'of\tof\tIN\tB-PP\tO' -p331870 -aS'life\tlife\tNN\tB-NP\tO' -p331871 -aS'6\t6\tCD\tI-NP\tO' -p331872 -aS'and\tand\tCC\tO\tO' -p331873 -aS'had\thave\tVBD\tB-VP\tO' -p331874 -aS'calories\tcalorie\tNNS\tB-NP\tO' -p331875 -aS'increased\tincrease\tVBN\tB-VP\tO' -p331876 -aS'to\tto\tTO\tB-PP\tO' -p331877 -aS'maximum\tmaximum\tNN\tB-NP\tO' -p331878 -aS'of\tof\tIN\tB-PP\tO' -p331879 -aS'26\t26\tCD\tB-NP\tO' -p331880 -aS'kilocalories\tkilocalorie\tNNS\tI-NP\tO' -p331881 -aS'per\tper\tIN\tB-PP\tO' -p331882 -aS'ounce\tounce\tNN\tB-NP\tO' -p331883 -aS'of\tof\tIN\tB-PP\tO' -p331884 -aS'Similac\tSimilac\tNN\tB-NP\tO' -p331885 -aS'special\tspecial\tJJ\tI-NP\tO' -p331886 -aS'care\tcare\tNN\tI-NP\tO' -p331887 -aS'until\tuntil\tIN\tB-PP\tO' -p331888 -aS'2014-12-03\t2014-12-03\tCD\tB-NP\tO' -p331889 -aS',\t,\t,\tO\tO' -p331890 -aS'at\tat\tIN\tB-PP\tO' -p331891 -aS'which\twhich\tWDT\tB-NP\tO' -p331892 -aS'point\tpoint\tNN\tI-NP\tO' -p331893 -aS'this\tthis\tDT\tB-NP\tO' -p331894 -aS'was\tbe\tVBD\tB-VP\tO' -p331895 -aS'weaned\twean\tVBN\tI-VP\tO' -p331896 -aS'to\tto\tTO\tB-PP\tO' -p331897 -aS'24\t24\tCD\tB-NP\tO' -p331898 -aS'kilocalories\tkilocalorie\tNNS\tI-NP\tO' -p331899 -aS'per\tper\tIN\tB-PP\tO' -p331900 -aS'ounce\tounce\tNN\tB-NP\tO' -p331901 -aS'of\tof\tIN\tB-PP\tO' -p331902 -aS'straight\tstraight\tJJ\tB-NP\tO' -p331903 -aS'Similac\tSimilac\tNN\tI-NP\tO' -p331904 -aS'.\t.\t.\tO\tO' -p331905 -asS'He was maintained variously on Levophed , Dobutamine , Dopamine , and ultimately Epinephrine for blood pressure support .' -p331906 -(lp331907 -S'He\tHe\tPRP\tB-NP\tO' -p331908 -aS'was\tbe\tVBD\tB-VP\tO' -p331909 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p331910 -aS'variously\tvariously\tRB\tB-ADVP\tO' -p331911 -aS'on\ton\tIN\tB-PP\tO' -p331912 -aS'Levophed\tLevophed\tNNP\tB-NP\tO' -p331913 -aS',\t,\t,\tO\tO' -p331914 -aS'Dobutamine\tDobutamine\tNN\tB-NP\tO' -p331915 -aS',\t,\t,\tO\tO' -p331916 -aS'Dopamine\tDopamine\tNN\tB-NP\tO' -p331917 -aS',\t,\t,\tO\tO' -p331918 -aS'and\tand\tCC\tO\tO' -p331919 -aS'ultimately\tultimately\tRB\tB-ADVP\tO' -p331920 -aS'Epinephrine\tEpinephrine\tNN\tB-NP\tO' -p331921 -aS'for\tfor\tIN\tB-PP\tO' -p331922 -aS'blood\tblood\tNN\tB-NP\tO' -p331923 -aS'pressure\tpressure\tNN\tI-NP\tO' -p331924 -aS'support\tsupport\tNN\tI-NP\tO' -p331925 -aS'.\t.\t.\tO\tO' -p331926 -asS'On arrival to the FICU the patient was intubated and non-sedated .' -p331927 -(lp331928 -S'On\tOn\tIN\tB-PP\tO' -p331929 -aS'arrival\tarrival\tNN\tB-NP\tO' -p331930 -aS'to\tto\tTO\tB-PP\tO' -p331931 -aS'the\tthe\tDT\tB-NP\tO' -p331932 -aS'FICU\tFICU\tNN\tI-NP\tO' -p331933 -aS'the\tthe\tDT\tB-NP\tO' -p331934 -aS'patient\tpatient\tNN\tI-NP\tO' -p331935 -aS'was\tbe\tVBD\tB-VP\tO' -p331936 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p331937 -aS'and\tand\tCC\tO\tO' -p331938 -aS'non-sedated\tnon-sedated\tJJ\tB-ADJP\tO' -p331939 -aS'.\t.\t.\tO\tO' -p331940 -asS'Without cyanosis or edema .' -p331941 -(lp331942 -S'Without\tWithout\tIN\tB-PP\tO' -p331943 -aS'cyanosis\tcyanosis\tNN\tB-NP\tO' -p331944 -aS'or\tor\tCC\tI-NP\tO' -p331945 -aS'edema\tedema\tNN\tI-NP\tO' -p331946 -aS'.\t.\t.\tO\tO' -p331947 -asS'The patient with severe peripheral vascular disease .' -p331948 -(lp331949 -S'The\tThe\tDT\tB-NP\tO' -p331950 -aS'patient\tpatient\tNN\tI-NP\tO' -p331951 -aS'with\twith\tIN\tB-PP\tO' -p331952 -aS'severe\tsevere\tJJ\tB-NP\tO' -p331953 -aS'peripheral\tperipheral\tJJ\tI-NP\tO' -p331954 -aS'vascular\tvascular\tJJ\tI-NP\tO' -p331955 -aS'disease\tdisease\tNN\tI-NP\tO' -p331956 -aS'.\t.\t.\tO\tO' -p331957 -asS'Should not drive while on pain medication .' -p331958 -(lp331959 -S'Should\tShould\tMD\tB-VP\tO' -p331960 -aS'not\tnot\tRB\tI-VP\tO' -p331961 -aS'drive\tdrive\tVB\tI-VP\tO' -p331962 -aS'while\twhile\tIN\tB-SBAR\tO' -p331963 -aS'on\ton\tIN\tB-PP\tO' -p331964 -aS'pain\tpain\tNN\tB-NP\tO' -p331965 -aS'medication\tmedication\tNN\tI-NP\tO' -p331966 -aS'.\t.\t.\tO\tO' -p331967 -asS'Heart , chest , and abdominal examinations were normal .' -p331968 -(lp331969 -S'Heart\tHeart\tNN\tB-NP\tO' -p331970 -aS',\t,\t,\tO\tO' -p331971 -aS'chest\tchest\tNN\tB-NP\tO' -p331972 -aS',\t,\t,\tO\tO' -p331973 -aS'and\tand\tCC\tO\tO' -p331974 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p331975 -aS'examinations\texamination\tNNS\tI-NP\tO' -p331976 -aS'were\tbe\tVBD\tB-VP\tO' -p331977 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p331978 -aS'.\t.\t.\tO\tO' -p331979 -asS"Over the next two days after admission , the patient 's vent settings were gradually weaned , and she was extubated two days after being transferred to this hospital ." -p331980 -(lp331981 -S'Over\tOver\tIN\tB-PP\tO' -p331982 -aS'the\tthe\tDT\tB-NP\tO' -p331983 -aS'next\tnext\tJJ\tI-NP\tO' -p331984 -aS'two\ttwo\tCD\tI-NP\tO' -p331985 -aS'days\tday\tNNS\tI-NP\tO' -p331986 -aS'after\tafter\tIN\tB-PP\tO' -p331987 -aS'admission\tadmission\tNN\tB-NP\tO' -p331988 -aS',\t,\t,\tO\tO' -p331989 -aS'the\tthe\tDT\tB-NP\tO' -p331990 -aS'patient\tpatient\tNN\tI-NP\tO' -p331991 -aS"'s\t's\tPOS\tB-NP\tO" -p331992 -aS'vent\tvent\tNN\tI-NP\tO' -p331993 -aS'settings\tsetting\tNNS\tI-NP\tO' -p331994 -aS'were\tbe\tVBD\tB-VP\tO' -p331995 -aS'gradually\tgradually\tRB\tI-VP\tO' -p331996 -aS'weaned\twean\tVBN\tI-VP\tO' -p331997 -aS',\t,\t,\tO\tO' -p331998 -aS'and\tand\tCC\tO\tO' -p331999 -aS'she\tshe\tPRP\tB-NP\tO' -p332000 -aS'was\tbe\tVBD\tB-VP\tO' -p332001 -aS'extubated\textubate\tVBN\tI-VP\tO' -p332002 -aS'two\ttwo\tCD\tB-NP\tO' -p332003 -aS'days\tday\tNNS\tI-NP\tO' -p332004 -aS'after\tafter\tIN\tB-PP\tO' -p332005 -aS'being\tbe\tVBG\tB-VP\tO' -p332006 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p332007 -aS'to\tto\tTO\tB-PP\tO' -p332008 -aS'this\tthis\tDT\tB-NP\tO' -p332009 -aS'hospital\thospital\tNN\tI-NP\tO' -p332010 -aS'.\t.\t.\tO\tO' -p332011 -asS'The pt reports sharp 10/10 chest pain under the right breast which is getting progressively worse .' -p332012 -(lp332013 -S'The\tThe\tDT\tB-NP\tO' -p332014 -aS'pt\tpt\tNN\tI-NP\tO' -p332015 -aS'reports\treport\tVBZ\tB-VP\tO' -p332016 -aS'sharp\tsharp\tJJ\tB-NP\tO' -p332017 -aS'10/10\t10/10\tCD\tI-NP\tO' -p332018 -aS'chest\tchest\tNN\tI-NP\tO' -p332019 -aS'pain\tpain\tNN\tI-NP\tO' -p332020 -aS'under\tunder\tIN\tB-PP\tO' -p332021 -aS'the\tthe\tDT\tB-NP\tO' -p332022 -aS'right\tright\tJJ\tI-NP\tO' -p332023 -aS'breast\tbreast\tNN\tI-NP\tO' -p332024 -aS'which\twhich\tWDT\tB-NP\tO' -p332025 -aS'is\tbe\tVBZ\tB-VP\tO' -p332026 -aS'getting\tget\tVBG\tI-VP\tO' -p332027 -aS'progressively\tprogressively\tRB\tB-ADJP\tO' -p332028 -aS'worse\tworse\tJJR\tI-ADJP\tO' -p332029 -aS'.\t.\t.\tO\tO' -p332030 -asS'Infant was initially nothing by mouth receiving 80 cc per kilogram per day of D10W intravenously .' -p332031 -(lp332032 -S'Infant\tInfant\tNN\tB-NP\tO' -p332033 -aS'was\tbe\tVBD\tB-VP\tO' -p332034 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p332035 -aS'nothing\tnothing\tNN\tB-NP\tO' -p332036 -aS'by\tby\tIN\tB-PP\tO' -p332037 -aS'mouth\tmouth\tNN\tB-NP\tO' -p332038 -aS'receiving\treceive\tVBG\tB-VP\tO' -p332039 -aS'80\t80\tCD\tB-NP\tO' -p332040 -aS'cc\tcc\tNN\tI-NP\tO' -p332041 -aS'per\tper\tIN\tB-PP\tO' -p332042 -aS'kilogram\tkilogram\tNN\tB-NP\tO' -p332043 -aS'per\tper\tIN\tB-PP\tO' -p332044 -aS'day\tday\tNN\tB-NP\tO' -p332045 -aS'of\tof\tIN\tB-PP\tO' -p332046 -aS'D10W\tD10W\tNN\tB-NP\tB-protein' -p332047 -aS'intravenously\tintravenously\tRB\tB-ADVP\tO' -p332048 -aS'.\t.\t.\tO\tO' -p332049 -asS'9. Timoptic 0.5% b.i.d. to both eyes ,' -p332050 -(lp332051 -S'9.\t9.\tCD\tB-NP\tO' -p332052 -aS'Timoptic\tTimoptic\tNNP\tI-NP\tO' -p332053 -aS'0.5%\t0.5%\tCD\tI-NP\tO' -p332054 -aS'b.i.d.\tb.i.d.\tVBD\tB-VP\tO' -p332055 -aS'to\tto\tTO\tB-PP\tO' -p332056 -aS'both\tboth\tDT\tB-NP\tO' -p332057 -aS'eyes\teye\tNNS\tI-NP\tO' -p332058 -aS',\t,\t,\tO\tO' -p332059 -asS'On admission include a white blood cell count of 5.6 , hematocrit of 32.5 , platelets of 202 .' -p332060 -(lp332061 -S'On\tOn\tIN\tB-PP\tO' -p332062 -aS'admission\tadmission\tNN\tB-NP\tO' -p332063 -aS'include\tinclude\tVBP\tB-VP\tO' -p332064 -aS'a\ta\tDT\tB-NP\tO' -p332065 -aS'white\twhite\tJJ\tI-NP\tO' -p332066 -aS'blood\tblood\tNN\tI-NP\tO' -p332067 -aS'cell\tcell\tNN\tI-NP\tO' -p332068 -aS'count\tcount\tNN\tI-NP\tO' -p332069 -aS'of\tof\tIN\tB-PP\tO' -p332070 -aS'5.6\t5.6\tCD\tB-NP\tO' -p332071 -aS',\t,\t,\tO\tO' -p332072 -aS'hematocrit\thematocrit\tNN\tB-NP\tO' -p332073 -aS'of\tof\tIN\tB-PP\tO' -p332074 -aS'32.5\t32.5\tCD\tB-NP\tO' -p332075 -aS',\t,\t,\tO\tO' -p332076 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p332077 -aS'of\tof\tIN\tB-PP\tO' -p332078 -aS'202\t202\tCD\tB-NP\tO' -p332079 -aS'.\t.\t.\tO\tO' -p332080 -asS'There is a small pericardial effusion .' -p332081 -(lp332082 -S'There\tThere\tEX\tB-NP\tO' -p332083 -aS'is\tbe\tVBZ\tB-VP\tO' -p332084 -aS'a\ta\tDT\tB-NP\tO' -p332085 -aS'small\tsmall\tJJ\tI-NP\tO' -p332086 -aS'pericardial\tpericardial\tJJ\tI-NP\tO' -p332087 -aS'effusion\teffusion\tNN\tI-NP\tO' -p332088 -aS'.\t.\t.\tO\tO' -p332089 -asS'There was mild asterixis .' -p332090 -(lp332091 -S'There\tThere\tEX\tB-NP\tO' -p332092 -aS'was\tbe\tVBD\tB-VP\tO' -p332093 -aS'mild\tmild\tJJ\tB-NP\tO' -p332094 -aS'asterixis\tasterixis\tNN\tI-NP\tO' -p332095 -aS'.\t.\t.\tO\tO' -p332096 -asS'Her mood appeared stable throughout her hospitalization .' -p332097 -(lp332098 -S'Her\tHer\tPRP$\tB-NP\tO' -p332099 -aS'mood\tmood\tNN\tI-NP\tO' -p332100 -aS'appeared\tappear\tVBD\tB-VP\tO' -p332101 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p332102 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p332103 -aS'her\ther\tPRP$\tB-NP\tO' -p332104 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p332105 -aS'.\t.\t.\tO\tO' -p332106 -asS'2. Status post cholecystectomy .' -p332107 -(lp332108 -S'2.\t2.\tLS\tB-NP\tO' -p332109 -aS'Status\tStatus\tNNP\tI-NP\tO' -p332110 -aS'post\tpost\tNN\tI-NP\tO' -p332111 -aS'cholecystectomy\tcholecystectomy\tNN\tI-NP\tO' -p332112 -aS'.\t.\t.\tO\tO' -p332113 -asS'Metoprolol 75 mg p.o. twice a day .' -p332114 -(lp332115 -S'Metoprolol\tMetoprolol\tNN\tB-NP\tO' -p332116 -aS'75\t75\tCD\tI-NP\tO' -p332117 -aS'mg\tmg\tNN\tI-NP\tO' -p332118 -aS'p.o.\tp.o.\tRB\tB-NP\tO' -p332119 -aS'twice\ttwice\tRB\tI-NP\tO' -p332120 -aS'a\ta\tDT\tI-NP\tO' -p332121 -aS'day\tday\tNN\tI-NP\tO' -p332122 -aS'.\t.\t.\tO\tO' -p332123 -asS'Hydralazine was stopped .' -p332124 -(lp332125 -S'Hydralazine\tHydralazine\tNN\tB-NP\tO' -p332126 -aS'was\tbe\tVBD\tB-VP\tO' -p332127 -aS'stopped\tstop\tVBN\tI-VP\tO' -p332128 -aS'.\t.\t.\tO\tO' -p332129 -asS'Intravenous chemotherapy .' -p332130 -(lp332131 -S'Intravenous\tIntravenous\tJJ\tB-NP\tO' -p332132 -aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' -p332133 -aS'.\t.\t.\tO\tO' -p332134 -asS"Mother has Dr Fishman's contact information ." -p332135 -(lp332136 -S'Mother\tMother\tNNP\tB-NP\tO' -p332137 -aS'has\thave\tVBZ\tB-VP\tO' -p332138 -aS'Dr\tDr\tNNP\tB-NP\tO' -p332139 -aS"Fishman's\tFishman's\tNNP\tI-NP\tO" -p332140 -aS'contact\tcontact\tNN\tI-NP\tO' -p332141 -aS'information\tinformation\tNN\tI-NP\tO' -p332142 -aS'.\t.\t.\tO\tO' -p332143 -asS'She will continue her coumadin at rehab to achieve an INR between 03-22 .' -p332144 -(lp332145 -S'She\tShe\tPRP\tB-NP\tO' -p332146 -aS'will\twill\tMD\tB-VP\tO' -p332147 -aS'continue\tcontinue\tVB\tI-VP\tO' -p332148 -aS'her\ther\tPRP$\tB-NP\tO' -p332149 -aS'coumadin\tcoumadin\tNN\tI-NP\tO' -p332150 -aS'at\tat\tIN\tB-PP\tO' -p332151 -aS'rehab\trehab\tNN\tB-NP\tO' -p332152 -aS'to\tto\tTO\tB-VP\tO' -p332153 -aS'achieve\tachieve\tVB\tI-VP\tO' -p332154 -aS'an\tan\tDT\tB-NP\tO' -p332155 -aS'INR\tINR\tNN\tI-NP\tB-protein' -p332156 -aS'between\tbetween\tIN\tB-PP\tO' -p332157 -aS'03-22\t03-22\tCD\tB-NP\tO' -p332158 -aS'.\t.\t.\tO\tO' -p332159 -asS'well developed male in no acute distress' -p332160 -(lp332161 -S'well\twell\tRB\tB-NP\tO' -p332162 -aS'developed\tdevelop\tVBN\tI-NP\tO' -p332163 -aS'male\tmale\tNN\tI-NP\tO' -p332164 -aS'in\tin\tIN\tB-PP\tO' -p332165 -aS'no\tno\tDT\tB-NP\tO' -p332166 -aS'acute\tacute\tJJ\tI-NP\tO' -p332167 -aS'distress\tdistress\tNN\tI-NP\tO' -p332168 -asS'5. Ferrous Sulfate 325 ( 65 ) mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) : Take for one month then stop .' -p332169 -(lp332170 -S'5.\t5.\tLS\tB-NP\tO' -p332171 -aS'Ferrous\tFerrous\tNNP\tI-NP\tO' -p332172 -aS'Sulfate\tSulfate\tNNP\tI-NP\tO' -p332173 -aS'325\t325\tCD\tI-NP\tO' -p332174 -aS'(\t(\t(\tO\tO' -p332175 -aS'65\t65\tCD\tB-NP\tO' -p332176 -aS')\t)\t)\tO\tO' -p332177 -aS'mg\tmg\tNN\tB-NP\tO' -p332178 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p332179 -aS'Sig\tSig\tNNP\tI-NP\tO' -p332180 -aS':\t:\t:\tO\tO' -p332181 -aS'One\tOne\tCD\tB-NP\tO' -p332182 -aS'(\t(\t(\tO\tO' -p332183 -aS'1\t1\tCD\tB-NP\tO' -p332184 -aS')\t)\t)\tO\tO' -p332185 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p332186 -aS'PO\tPO\tNNP\tI-NP\tO' -p332187 -aS'DAILY\tDAILY\tNNP\tI-NP\tO' -p332188 -aS'(\t(\t(\tO\tO' -p332189 -aS'Daily\tDaily\tNNP\tB-NP\tO' -p332190 -aS')\t)\t)\tO\tO' -p332191 -aS':\t:\t:\tO\tO' -p332192 -aS'Take\tTake\tVB\tB-VP\tO' -p332193 -aS'for\tfor\tIN\tB-PP\tO' -p332194 -aS'one\tone\tCD\tB-NP\tO' -p332195 -aS'month\tmonth\tNN\tI-NP\tO' -p332196 -aS'then\tthen\tRB\tB-ADVP\tO' -p332197 -aS'stop\tstop\tVB\tB-VP\tO' -p332198 -aS'.\t.\t.\tO\tO' -p332199 -asS'Periods regular .' -p332200 -(lp332201 -S'Periods\tPeriod\tNNS\tB-NP\tO' -p332202 -aS'regular\tregular\tJJ\tB-ADJP\tO' -p332203 -aS'.\t.\t.\tO\tO' -p332204 -asS'The patient reported fatigue and nausea , as well as noted coca cola colored urine .' -p332205 -(lp332206 -S'The\tThe\tDT\tB-NP\tO' -p332207 -aS'patient\tpatient\tNN\tI-NP\tO' -p332208 -aS'reported\treport\tVBD\tB-VP\tO' -p332209 -aS'fatigue\tfatigue\tNN\tB-NP\tO' -p332210 -aS'and\tand\tCC\tI-NP\tO' -p332211 -aS'nausea\tnausea\tNN\tI-NP\tO' -p332212 -aS',\t,\t,\tO\tO' -p332213 -aS'as\tas\tRB\tB-CONJP\tO' -p332214 -aS'well\twell\tRB\tI-CONJP\tO' -p332215 -aS'as\tas\tIN\tI-CONJP\tO' -p332216 -aS'noted\tnote\tVBN\tB-NP\tO' -p332217 -aS'coca\tcoca\tNN\tI-NP\tO' -p332218 -aS'cola\tcola\tNN\tI-NP\tO' -p332219 -aS'colored\tcolor\tVBD\tB-VP\tO' -p332220 -aS'urine\turine\tNN\tB-NP\tO' -p332221 -aS'.\t.\t.\tO\tO' -p332222 -asS'repair of first degree perineal laceration' -p332223 -(lp332224 -S'repair\trepair\tNN\tB-NP\tO' -p332225 -aS'of\tof\tIN\tB-PP\tO' -p332226 -aS'first\tfirst\tJJ\tB-NP\tO' -p332227 -aS'degree\tdegree\tNN\tI-NP\tO' -p332228 -aS'perineal\tperineal\tJJ\tI-NP\tO' -p332229 -aS'laceration\tlaceration\tNN\tI-NP\tO' -p332230 -asS'The GI service was consulted and an upper endoscopy study showed grade III varices with no active bleeding and a clean base gastric ulcer possibly secondary to the Blakemore tube .' -p332231 -(lp332232 -S'The\tThe\tDT\tB-NP\tO' -p332233 -aS'GI\tGI\tNN\tI-NP\tO' -p332234 -aS'service\tservice\tNN\tI-NP\tO' -p332235 -aS'was\tbe\tVBD\tB-VP\tO' -p332236 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p332237 -aS'and\tand\tCC\tO\tO' -p332238 -aS'an\tan\tDT\tB-NP\tO' -p332239 -aS'upper\tupper\tJJ\tI-NP\tO' -p332240 -aS'endoscopy\tendoscopy\tNN\tI-NP\tO' -p332241 -aS'study\tstudy\tNN\tI-NP\tO' -p332242 -aS'showed\tshow\tVBD\tB-VP\tO' -p332243 -aS'grade\tgrade\tNN\tB-NP\tO' -p332244 -aS'III\tIII\tCD\tB-NP\tO' -p332245 -aS'varices\tvarix\tNNS\tI-NP\tO' -p332246 -aS'with\twith\tIN\tB-PP\tO' -p332247 -aS'no\tno\tDT\tB-NP\tO' -p332248 -aS'active\tactive\tJJ\tI-NP\tO' -p332249 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p332250 -aS'and\tand\tCC\tO\tO' -p332251 -aS'a\ta\tDT\tB-NP\tO' -p332252 -aS'clean\tclean\tJJ\tI-NP\tO' -p332253 -aS'base\tbase\tNN\tI-NP\tO' -p332254 -aS'gastric\tgastric\tJJ\tI-NP\tO' -p332255 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p332256 -aS'possibly\tpossibly\tRB\tB-ADJP\tO' -p332257 -aS'secondary\tsecondary\tJJ\tI-ADJP\tO' -p332258 -aS'to\tto\tTO\tB-PP\tO' -p332259 -aS'the\tthe\tDT\tB-NP\tO' -p332260 -aS'Blakemore\tBlakemore\tNNP\tI-NP\tO' -p332261 -aS'tube\ttube\tNN\tI-NP\tO' -p332262 -aS'.\t.\t.\tO\tO' -p332263 -asS'He was married , with children , and was a church minister .' -p332264 -(lp332265 -S'He\tHe\tPRP\tB-NP\tO' -p332266 -aS'was\tbe\tVBD\tB-VP\tO' -p332267 -aS'married\tmarry\tVBN\tI-VP\tO' -p332268 -aS',\t,\t,\tO\tO' -p332269 -aS'with\twith\tIN\tB-PP\tO' -p332270 -aS'children\tchild\tNNS\tB-NP\tO' -p332271 -aS',\t,\t,\tO\tO' -p332272 -aS'and\tand\tCC\tO\tO' -p332273 -aS'was\tbe\tVBD\tB-VP\tO' -p332274 -aS'a\ta\tDT\tB-NP\tO' -p332275 -aS'church\tchurch\tNN\tI-NP\tO' -p332276 -aS'minister\tminister\tNN\tI-NP\tO' -p332277 -aS'.\t.\t.\tO\tO' -p332278 -asS'She denies fever .' -p332279 -(lp332280 -S'She\tShe\tPRP\tB-NP\tO' -p332281 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p332282 -aS'fever\tfever\tNN\tB-NP\tO' -p332283 -aS'.\t.\t.\tO\tO' -p332284 -asS'1. Enoxaparin Sodium 80 mg / 0.8 mL Syringe Sig : One ( 1 ) syringe Subcutaneous Q12H ( every 12 hours ) : May discontinue once INR therapeutic as directed by your physician .' -p332285 -(lp332286 -S'1.\t1.\tLS\tB-NP\tO' -p332287 -aS'Enoxaparin\tEnoxaparin\tNN\tI-NP\tO' -p332288 -aS'Sodium\tSodium\tNN\tI-NP\tO' -p332289 -aS'80\t80\tCD\tI-NP\tO' -p332290 -aS'mg\tmg\tNN\tI-NP\tO' -p332291 -aS'/\t/\tSYM\tB-NP\tO' -p332292 -aS'0.8\t0.8\tCD\tB-NP\tO' -p332293 -aS'mL\tmL\tNN\tI-NP\tO' -p332294 -aS'Syringe\tSyringe\tNNP\tI-NP\tO' -p332295 -aS'Sig\tSig\tNNP\tI-NP\tO' -p332296 -aS':\t:\t:\tO\tO' -p332297 -aS'One\tOne\tCD\tB-NP\tO' -p332298 -aS'(\t(\t(\tO\tO' -p332299 -aS'1\t1\tCD\tB-NP\tO' -p332300 -aS')\t)\t)\tO\tO' -p332301 -aS'syringe\tsyringe\tNN\tB-NP\tO' -p332302 -aS'Subcutaneous\tSubcutaneous\tJJ\tI-NP\tO' -p332303 -aS'Q12H\tQ12H\tNN\tI-NP\tO' -p332304 -aS'(\t(\t(\tO\tO' -p332305 -aS'every\tevery\tDT\tB-NP\tO' -p332306 -aS'12\t12\tCD\tI-NP\tO' -p332307 -aS'hours\thour\tNNS\tI-NP\tO' -p332308 -aS')\t)\t)\tO\tO' -p332309 -aS':\t:\t:\tO\tO' -p332310 -aS'May\tMay\tMD\tO\tO' -p332311 -aS'discontinue\tdiscontinue\tVBP\tB-VP\tO' -p332312 -aS'once\tonce\tRB\tB-ADVP\tO' -p332313 -aS'INR\tINR\tNN\tB-ADJP\tO' -p332314 -aS'therapeutic\ttherapeutic\tJJ\tI-ADJP\tO' -p332315 -aS'as\tas\tIN\tB-SBAR\tO' -p332316 -aS'directed\tdirect\tVBN\tB-VP\tO' -p332317 -aS'by\tby\tIN\tB-PP\tO' -p332318 -aS'your\tyour\tPRP$\tB-NP\tO' -p332319 -aS'physician\tphysician\tNN\tI-NP\tO' -p332320 -aS'.\t.\t.\tO\tO' -p332321 -asS'The past surgical history is notable for a 1971 mastectomy on the right , 1937 appendectomy , 1991 cholecystectomy , 1992 transverse colectomy , 1992 exploratory laparotomy , 1991 bilateral cataract surgery .' -p332322 -(lp332323 -S'The\tThe\tDT\tB-NP\tO' -p332324 -aS'past\tpast\tJJ\tI-NP\tO' -p332325 -aS'surgical\tsurgical\tJJ\tI-NP\tO' -p332326 -aS'history\thistory\tNN\tI-NP\tO' -p332327 -aS'is\tbe\tVBZ\tB-VP\tO' -p332328 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p332329 -aS'for\tfor\tIN\tB-PP\tO' -p332330 -aS'a\ta\tDT\tB-NP\tO' -p332331 -aS'1971\t1971\tCD\tI-NP\tO' -p332332 -aS'mastectomy\tmastectomy\tNN\tI-NP\tO' -p332333 -aS'on\ton\tIN\tB-PP\tO' -p332334 -aS'the\tthe\tDT\tB-NP\tO' -p332335 -aS'right\tright\tNN\tI-NP\tO' -p332336 -aS',\t,\t,\tO\tO' -p332337 -aS'1937\t1937\tCD\tB-NP\tO' -p332338 -aS'appendectomy\tappendectomy\tNN\tI-NP\tO' -p332339 -aS',\t,\t,\tO\tO' -p332340 -aS'1991\t1991\tCD\tB-NP\tO' -p332341 -aS'cholecystectomy\tcholecystectomy\tNN\tI-NP\tO' -p332342 -aS',\t,\t,\tO\tO' -p332343 -aS'1992\t1992\tCD\tB-NP\tO' -p332344 -aS'transverse\ttransverse\tJJ\tI-NP\tO' -p332345 -aS'colectomy\tcolectomy\tNN\tI-NP\tO' -p332346 -aS',\t,\t,\tO\tO' -p332347 -aS'1992\t1992\tCD\tB-NP\tO' -p332348 -aS'exploratory\texploratory\tJJ\tI-NP\tO' -p332349 -aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' -p332350 -aS',\t,\t,\tO\tO' -p332351 -aS'1991\t1991\tCD\tB-NP\tO' -p332352 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p332353 -aS'cataract\tcataract\tNN\tI-NP\tO' -p332354 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p332355 -aS'.\t.\t.\tO\tO' -p332356 -asS'The patient presents today with complaints of fever and a temperature of 100 .' -p332357 -(lp332358 -S'The\tThe\tDT\tB-NP\tO' -p332359 -aS'patient\tpatient\tNN\tI-NP\tO' -p332360 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p332361 -aS'today\ttoday\tNN\tB-NP\tO' -p332362 -aS'with\twith\tIN\tB-PP\tO' -p332363 -aS'complaints\tcomplaint\tNNS\tB-NP\tO' -p332364 -aS'of\tof\tIN\tB-PP\tO' -p332365 -aS'fever\tfever\tNN\tB-NP\tO' -p332366 -aS'and\tand\tCC\tO\tO' -p332367 -aS'a\ta\tDT\tB-NP\tO' -p332368 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p332369 -aS'of\tof\tIN\tB-PP\tO' -p332370 -aS'100\t100\tCD\tB-NP\tO' -p332371 -aS'.\t.\t.\tO\tO' -p332372 -asS'A electrocardiogram showed nonspecific T-wave abnormalities , otherwise , it was normal .' -p332373 -(lp332374 -S'A\tA\tDT\tB-NP\tO' -p332375 -aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' -p332376 -aS'showed\tshow\tVBD\tB-VP\tO' -p332377 -aS'nonspecific\tnonspecific\tJJ\tB-NP\tO' -p332378 -aS'T-wave\tT-wave\tNN\tI-NP\tO' -p332379 -aS'abnormalities\tabnormality\tNNS\tI-NP\tO' -p332380 -aS',\t,\t,\tO\tO' -p332381 -aS'otherwise\totherwise\tRB\tB-ADVP\tO' -p332382 -aS',\t,\t,\tO\tO' -p332383 -aS'it\tit\tPRP\tB-NP\tO' -p332384 -aS'was\tbe\tVBD\tB-VP\tO' -p332385 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p332386 -aS'.\t.\t.\tO\tO' -p332387 -asS'However , on 02/10/91 , his respiratory rate increased and his oxygen saturation decreased .' -p332388 -(lp332389 -S'However\tHowever\tRB\tB-ADVP\tO' -p332390 -aS',\t,\t,\tO\tO' -p332391 -aS'on\ton\tIN\tB-PP\tO' -p332392 -aS'02/10/91\t02/10/91\tCD\tB-NP\tO' -p332393 -aS',\t,\t,\tO\tO' -p332394 -aS'his\this\tPRP$\tB-NP\tO' -p332395 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p332396 -aS'rate\trate\tNN\tI-NP\tO' -p332397 -aS'increased\tincrease\tVBD\tB-VP\tO' -p332398 -aS'and\tand\tCC\tO\tO' -p332399 -aS'his\this\tPRP$\tB-NP\tO' -p332400 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p332401 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p332402 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p332403 -aS'.\t.\t.\tO\tO' -p332404 -asS'The patient was unresponsive , poor perfusion .' -p332405 -(lp332406 -S'The\tThe\tDT\tB-NP\tO' -p332407 -aS'patient\tpatient\tNN\tI-NP\tO' -p332408 -aS'was\tbe\tVBD\tB-VP\tO' -p332409 -aS'unresponsive\tunresponsive\tJJ\tB-NP\tO' -p332410 -aS',\t,\t,\tI-NP\tO' -p332411 -aS'poor\tpoor\tJJ\tI-NP\tO' -p332412 -aS'perfusion\tperfusion\tNN\tI-NP\tO' -p332413 -aS'.\t.\t.\tO\tO' -p332414 -asS'Old inferior wall myocardial infarction in 1984 .' -p332415 -(lp332416 -S'Old\tOld\tJJ\tB-NP\tO' -p332417 -aS'inferior\tinferior\tJJ\tI-NP\tO' -p332418 -aS'wall\twall\tNN\tI-NP\tO' -p332419 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p332420 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p332421 -aS'in\tin\tIN\tB-PP\tO' -p332422 -aS'1984\t1984\tCD\tB-NP\tO' -p332423 -aS'.\t.\t.\tO\tO' -p332424 -asS'ROS otherwise negative .' -p332425 -(lp332426 -S'ROS\tROS\tNN\tB-NP\tO' -p332427 -aS'otherwise\totherwise\tRB\tB-ADJP\tO' -p332428 -aS'negative\tnegative\tJJ\tI-ADJP\tO' -p332429 -aS'.\t.\t.\tO\tO' -p332430 -asS'They agreed with a do not resuscitate status early on in the hospitalization and in the course of being maintain on low dose Morphine , he ultimately expired on 2/28/94 with the family present .' -p332431 -(lp332432 -S'They\tThey\tPRP\tB-NP\tO' -p332433 -aS'agreed\tagree\tVBD\tB-VP\tO' -p332434 -aS'with\twith\tIN\tB-PP\tO' -p332435 -aS'a\ta\tDT\tB-NP\tO' -p332436 -aS'do\tdo\tVBP\tB-VP\tO' -p332437 -aS'not\tnot\tRB\tI-VP\tO' -p332438 -aS'resuscitate\tresuscitate\tVB\tI-VP\tO' -p332439 -aS'status\tstatus\tNN\tB-NP\tO' -p332440 -aS'early\tearly\tRB\tB-ADVP\tO' -p332441 -aS'on\ton\tIN\tB-PP\tO' -p332442 -aS'in\tin\tIN\tB-PP\tO' -p332443 -aS'the\tthe\tDT\tB-NP\tO' -p332444 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p332445 -aS'and\tand\tCC\tB-PP\tO' -p332446 -aS'in\tin\tIN\tB-PP\tO' -p332447 -aS'the\tthe\tDT\tB-NP\tO' -p332448 -aS'course\tcourse\tNN\tI-NP\tO' -p332449 -aS'of\tof\tIN\tB-PP\tO' -p332450 -aS'being\tbe\tVBG\tB-VP\tO' -p332451 -aS'maintain\tmaintain\tNN\tB-NP\tO' -p332452 -aS'on\ton\tIN\tB-PP\tO' -p332453 -aS'low\tlow\tJJ\tB-NP\tO' -p332454 -aS'dose\tdose\tNN\tI-NP\tO' -p332455 -aS'Morphine\tMorphine\tNN\tI-NP\tO' -p332456 -aS',\t,\t,\tO\tO' -p332457 -aS'he\the\tPRP\tB-NP\tO' -p332458 -aS'ultimately\tultimately\tRB\tB-ADVP\tO' -p332459 -aS'expired\texpire\tVBD\tB-VP\tO' -p332460 -aS'on\ton\tIN\tB-PP\tO' -p332461 -aS'2/28/94\t2/28/94\tCD\tB-NP\tO' -p332462 -aS'with\twith\tIN\tB-PP\tO' -p332463 -aS'the\tthe\tDT\tB-NP\tO' -p332464 -aS'family\tfamily\tNN\tI-NP\tO' -p332465 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p332466 -aS'.\t.\t.\tO\tO' -p332467 -asS'Iron 325 ( 65 ) mg twice a day' -p332468 -(lp332469 -S'Iron\tIron\tNNP\tB-NP\tO' -p332470 -aS'325\t325\tCD\tI-NP\tO' -p332471 -aS'(\t(\t(\tO\tO' -p332472 -aS'65\t65\tCD\tB-NP\tO' -p332473 -aS')\t)\t)\tO\tO' -p332474 -aS'mg\tmg\tNN\tB-NP\tO' -p332475 -aS'twice\ttwice\tRB\tB-NP\tO' -p332476 -aS'a\ta\tDT\tI-NP\tO' -p332477 -aS'day\tday\tNN\tI-NP\tO' -p332478 -asS'No aortic regurgitation present .' -p332479 -(lp332480 -S'No\tNo\tDT\tB-NP\tO' -p332481 -aS'aortic\taortic\tJJ\tI-NP\tO' -p332482 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p332483 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p332484 -aS'.\t.\t.\tO\tO' -p332485 -asS'This culture remained negative with normal cell counts and chemistries .' -p332486 -(lp332487 -S'This\tThis\tDT\tB-NP\tO' -p332488 -aS'culture\tculture\tNN\tI-NP\tO' -p332489 -aS'remained\tremain\tVBD\tB-VP\tO' -p332490 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p332491 -aS'with\twith\tIN\tB-PP\tO' -p332492 -aS'normal\tnormal\tJJ\tB-NP\tO' -p332493 -aS'cell\tcell\tNN\tI-NP\tO' -p332494 -aS'counts\tcount\tNNS\tI-NP\tO' -p332495 -aS'and\tand\tCC\tI-NP\tO' -p332496 -aS'chemistries\tchemistry\tNNS\tI-NP\tO' -p332497 -aS'.\t.\t.\tO\tO' -p332498 -asS'She tolerates them very well and has approximately 200 cc to 300 cc of stool per day .' -p332499 -(lp332500 -S'She\tShe\tPRP\tB-NP\tO' -p332501 -aS'tolerates\ttolerate\tVBZ\tB-VP\tO' -p332502 -aS'them\tthem\tPRP\tB-NP\tO' -p332503 -aS'very\tvery\tRB\tB-ADVP\tO' -p332504 -aS'well\twell\tRB\tI-ADVP\tO' -p332505 -aS'and\tand\tCC\tO\tO' -p332506 -aS'has\thave\tVBZ\tB-VP\tO' -p332507 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p332508 -aS'200\t200\tCD\tI-NP\tO' -p332509 -aS'cc\tcc\tNN\tI-NP\tO' -p332510 -aS'to\tto\tTO\tB-PP\tO' -p332511 -aS'300\t300\tCD\tB-NP\tO' -p332512 -aS'cc\tcc\tNN\tI-NP\tO' -p332513 -aS'of\tof\tIN\tB-PP\tO' -p332514 -aS'stool\tstool\tNN\tB-NP\tO' -p332515 -aS'per\tper\tIN\tB-PP\tO' -p332516 -aS'day\tday\tNN\tB-NP\tO' -p332517 -aS'.\t.\t.\tO\tO' -p332518 -asS'Paratracheal mediastinal hematoma is resolving .' -p332519 -(lp332520 -S'Paratracheal\tParatracheal\tJJ\tB-NP\tO' -p332521 -aS'mediastinal\tmediastinal\tJJ\tI-NP\tO' -p332522 -aS'hematoma\thematoma\tNN\tI-NP\tO' -p332523 -aS'is\tbe\tVBZ\tB-VP\tO' -p332524 -aS'resolving\tresolve\tVBG\tI-VP\tO' -p332525 -aS'.\t.\t.\tO\tO' -p332526 -asS'His d-sticks were greater than 80 .' -p332527 -(lp332528 -S'His\tHis\tPRP$\tB-NP\tO' -p332529 -aS'd-sticks\td-stick\tNNS\tI-NP\tO' -p332530 -aS'were\tbe\tVBD\tB-VP\tO' -p332531 -aS'greater\tgreat\tJJR\tB-ADJP\tO' -p332532 -aS'than\tthan\tIN\tB-PP\tO' -p332533 -aS'80\t80\tCD\tB-NP\tO' -p332534 -aS'.\t.\t.\tO\tO' -p332535 -asS'ABDOMEN : soft and distended , but no actual tenderness .' -p332536 -(lp332537 -S'ABDOMEN\tABDOMEN\tNN\tB-NP\tO' -p332538 -aS':\t:\t:\tO\tO' -p332539 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p332540 -aS'and\tand\tCC\tI-ADJP\tO' -p332541 -aS'distended\tdistended\tJJ\tI-ADJP\tO' -p332542 -aS',\t,\t,\tO\tO' -p332543 -aS'but\tbut\tCC\tO\tO' -p332544 -aS'no\tno\tDT\tB-NP\tO' -p332545 -aS'actual\tactual\tJJ\tI-NP\tO' -p332546 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p332547 -aS'.\t.\t.\tO\tO' -p332548 -asS'His renal function fluctuated throughout his hospital stay , and when he was in the Medical Intensive Care Unit he did have decreased urine output in the setting of cardiogenic shock .' -p332549 -(lp332550 -S'His\tHis\tPRP$\tB-NP\tO' -p332551 -aS'renal\trenal\tJJ\tI-NP\tO' -p332552 -aS'function\tfunction\tNN\tI-NP\tO' -p332553 -aS'fluctuated\tfluctuate\tVBN\tB-VP\tO' -p332554 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p332555 -aS'his\this\tPRP$\tB-NP\tO' -p332556 -aS'hospital\thospital\tNN\tI-NP\tO' -p332557 -aS'stay\tstay\tNN\tI-NP\tO' -p332558 -aS',\t,\t,\tO\tO' -p332559 -aS'and\tand\tCC\tO\tO' -p332560 -aS'when\twhen\tWRB\tB-ADVP\tO' -p332561 -aS'he\the\tPRP\tB-NP\tO' -p332562 -aS'was\tbe\tVBD\tB-VP\tO' -p332563 -aS'in\tin\tIN\tB-PP\tO' -p332564 -aS'the\tthe\tDT\tB-NP\tO' -p332565 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p332566 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p332567 -aS'Care\tCare\tNNP\tI-NP\tO' -p332568 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p332569 -aS'he\the\tPRP\tB-NP\tO' -p332570 -aS'did\tdo\tVBD\tB-VP\tO' -p332571 -aS'have\thave\tVB\tI-VP\tO' -p332572 -aS'decreased\tdecrease\tVBN\tI-VP\tO' -p332573 -aS'urine\turine\tNN\tB-NP\tO' -p332574 -aS'output\toutput\tNN\tI-NP\tO' -p332575 -aS'in\tin\tIN\tB-PP\tO' -p332576 -aS'the\tthe\tDT\tB-NP\tO' -p332577 -aS'setting\tsetting\tNN\tI-NP\tO' -p332578 -aS'of\tof\tIN\tB-PP\tO' -p332579 -aS'cardiogenic\tcardiogenic\tJJ\tB-NP\tO' -p332580 -aS'shock\tshock\tNN\tI-NP\tO' -p332581 -aS'.\t.\t.\tO\tO' -p332582 -asS'Her hematocrit remained stable throughout this course .' -p332583 -(lp332584 -S'Her\tHer\tPRP$\tB-NP\tO' -p332585 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p332586 -aS'remained\tremain\tVBD\tB-VP\tO' -p332587 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p332588 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p332589 -aS'this\tthis\tDT\tB-NP\tO' -p332590 -aS'course\tcourse\tNN\tI-NP\tO' -p332591 -aS'.\t.\t.\tO\tO' -p332592 -asS'She has severe memory deficits , but nevertheless , is able to engage in conversation , answers questions , names things well , does calculations and recognizes family members and states preferences .' -p332593 -(lp332594 -S'She\tShe\tPRP\tB-NP\tO' -p332595 -aS'has\thave\tVBZ\tB-VP\tO' -p332596 -aS'severe\tsevere\tJJ\tB-NP\tO' -p332597 -aS'memory\tmemory\tNN\tI-NP\tO' -p332598 -aS'deficits\tdeficit\tNNS\tI-NP\tO' -p332599 -aS',\t,\t,\tO\tO' -p332600 -aS'but\tbut\tCC\tO\tO' -p332601 -aS'nevertheless\tnevertheless\tRB\tB-ADVP\tO' -p332602 -aS',\t,\t,\tO\tO' -p332603 -aS'is\tbe\tVBZ\tB-VP\tO' -p332604 -aS'able\table\tJJ\tB-ADJP\tO' -p332605 -aS'to\tto\tTO\tB-VP\tO' -p332606 -aS'engage\tengage\tVB\tI-VP\tO' -p332607 -aS'in\tin\tIN\tB-PP\tO' -p332608 -aS'conversation\tconversation\tNN\tB-NP\tO' -p332609 -aS',\t,\t,\tO\tO' -p332610 -aS'answers\tanswer\tNNS\tB-NP\tO' -p332611 -aS'questions\tquestion\tNNS\tI-NP\tO' -p332612 -aS',\t,\t,\tO\tO' -p332613 -aS'names\tname\tVBZ\tB-VP\tO' -p332614 -aS'things\tthing\tNNS\tB-NP\tO' -p332615 -aS'well\twell\tRB\tB-INTJ\tO' -p332616 -aS',\t,\t,\tO\tO' -p332617 -aS'does\tdo\tVBZ\tB-VP\tO' -p332618 -aS'calculations\tcalculation\tNNS\tB-NP\tO' -p332619 -aS'and\tand\tCC\tO\tO' -p332620 -aS'recognizes\trecognize\tVBZ\tB-VP\tO' -p332621 -aS'family\tfamily\tNN\tB-NP\tO' -p332622 -aS'members\tmember\tNNS\tI-NP\tO' -p332623 -aS'and\tand\tCC\tO\tO' -p332624 -aS'states\tstate\tNNS\tB-NP\tO' -p332625 -aS'preferences\tpreference\tNNS\tI-NP\tO' -p332626 -aS'.\t.\t.\tO\tO' -p332627 -asS'The wife and the patient have two children together .' -p332628 -(lp332629 -S'The\tThe\tDT\tB-NP\tO' -p332630 -aS'wife\twife\tNN\tI-NP\tO' -p332631 -aS'and\tand\tCC\tO\tO' -p332632 -aS'the\tthe\tDT\tB-NP\tO' -p332633 -aS'patient\tpatient\tNN\tI-NP\tO' -p332634 -aS'have\thave\tVBP\tB-VP\tO' -p332635 -aS'two\ttwo\tCD\tB-NP\tO' -p332636 -aS'children\tchild\tNNS\tI-NP\tO' -p332637 -aS'together\ttogether\tRB\tB-ADVP\tO' -p332638 -aS'.\t.\t.\tO\tO' -p332639 -asS'Palate elevates in midline .' -p332640 -(lp332641 -S'Palate\tPalate\tNN\tB-NP\tO' -p332642 -aS'elevates\televate\tNNS\tI-NP\tO' -p332643 -aS'in\tin\tIN\tB-PP\tO' -p332644 -aS'midline\tmidline\tNN\tB-NP\tO' -p332645 -aS'.\t.\t.\tO\tO' -p332646 -asS'The baby is now healthy , about four months old .' -p332647 -(lp332648 -S'The\tThe\tDT\tB-NP\tO' -p332649 -aS'baby\tbaby\tNN\tI-NP\tO' -p332650 -aS'is\tbe\tVBZ\tB-VP\tO' -p332651 -aS'now\tnow\tRB\tB-ADVP\tO' -p332652 -aS'healthy\thealthy\tJJ\tB-ADJP\tO' -p332653 -aS',\t,\t,\tO\tO' -p332654 -aS'about\tabout\tIN\tB-NP\tO' -p332655 -aS'four\tfour\tCD\tI-NP\tO' -p332656 -aS'months\tmonth\tNNS\tI-NP\tO' -p332657 -aS'old\told\tJJ\tB-ADJP\tO' -p332658 -aS'.\t.\t.\tO\tO' -p332659 -asS'Discharge medications include Percocet and Colace .' -p332660 -(lp332661 -S'Discharge\tDischarge\tNN\tB-NP\tO' -p332662 -aS'medications\tmedication\tNNS\tI-NP\tO' -p332663 -aS'include\tinclude\tVBP\tB-VP\tO' -p332664 -aS'Percocet\tPercocet\tNNP\tB-NP\tO' -p332665 -aS'and\tand\tCC\tI-NP\tO' -p332666 -aS'Colace\tColace\tNNP\tI-NP\tO' -p332667 -aS'.\t.\t.\tO\tO' -p332668 -asS'The patient presented with a chief complaint of LEFT LEG FX HIP .' -p332669 -(lp332670 -S'The\tThe\tDT\tB-NP\tO' -p332671 -aS'patient\tpatient\tNN\tI-NP\tO' -p332672 -aS'presented\tpresent\tVBD\tB-VP\tO' -p332673 -aS'with\twith\tIN\tB-PP\tO' -p332674 -aS'a\ta\tDT\tB-NP\tO' -p332675 -aS'chief\tchief\tJJ\tI-NP\tO' -p332676 -aS'complaint\tcomplaint\tNN\tI-NP\tO' -p332677 -aS'of\tof\tIN\tB-PP\tO' -p332678 -aS'LEFT\tLEFT\tNNP\tB-NP\tO' -p332679 -aS'LEG\tLEG\tNNP\tI-NP\tO' -p332680 -aS'FX\tFX\tNNP\tI-NP\tO' -p332681 -aS'HIP\tHIP\tNNP\tI-NP\tO' -p332682 -aS'.\t.\t.\tO\tO' -p332683 -asS'4) coronary artery disease .' -p332684 -(lp332685 -S'4)\t4)\tLS\tB-NP\tO' -p332686 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p332687 -aS'artery\tartery\tNN\tI-NP\tO' -p332688 -aS'disease\tdisease\tNN\tI-NP\tO' -p332689 -aS'.\t.\t.\tO\tO' -p332690 -asS'He was taken to the operating room on 2019-10-01 where he underwent a CABG x 3 .' -p332691 -(lp332692 -S'He\tHe\tPRP\tB-NP\tO' -p332693 -aS'was\tbe\tVBD\tB-VP\tO' -p332694 -aS'taken\ttake\tVBN\tI-VP\tO' -p332695 -aS'to\tto\tTO\tB-PP\tO' -p332696 -aS'the\tthe\tDT\tB-NP\tO' -p332697 -aS'operating\toperating\tNN\tI-NP\tO' -p332698 -aS'room\troom\tNN\tI-NP\tO' -p332699 -aS'on\ton\tIN\tB-PP\tO' -p332700 -aS'2019-10-01\t2019-10-01\tCD\tB-NP\tO' -p332701 -aS'where\twhere\tWRB\tB-ADVP\tO' -p332702 -aS'he\the\tPRP\tB-NP\tO' -p332703 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p332704 -aS'a\ta\tDT\tB-NP\tO' -p332705 -aS'CABG\tCABG\tNN\tI-NP\tB-protein' -p332706 -aS'x\tx\tNN\tI-NP\tI-protein' -p332707 -aS'3\t3\tCD\tI-NP\tI-protein' -p332708 -aS'.\t.\t.\tO\tO' -p332709 -asS'She had reduced but adequate air movement .' -p332710 -(lp332711 -S'She\tShe\tPRP\tB-NP\tO' -p332712 -aS'had\thave\tVBD\tB-VP\tO' -p332713 -aS'reduced\treduce\tVBN\tI-VP\tO' -p332714 -aS'but\tbut\tCC\tO\tO' -p332715 -aS'adequate\tadequate\tJJ\tB-NP\tO' -p332716 -aS'air\tair\tNN\tI-NP\tO' -p332717 -aS'movement\tmovement\tNN\tI-NP\tO' -p332718 -aS'.\t.\t.\tO\tO' -p332719 -asS'Nasal trumpet suction was done and he was found to have food like material that was easily suctioned out .' -p332720 -(lp332721 -S'Nasal\tNasal\tJJ\tB-NP\tO' -p332722 -aS'trumpet\ttrumpet\tNN\tI-NP\tO' -p332723 -aS'suction\tsuction\tNN\tI-NP\tO' -p332724 -aS'was\tbe\tVBD\tB-VP\tO' -p332725 -aS'done\tdo\tVBN\tI-VP\tO' -p332726 -aS'and\tand\tCC\tO\tO' -p332727 -aS'he\the\tPRP\tB-NP\tO' -p332728 -aS'was\tbe\tVBD\tB-VP\tO' -p332729 -aS'found\tfind\tVBN\tI-VP\tO' -p332730 -aS'to\tto\tTO\tI-VP\tO' -p332731 -aS'have\thave\tVB\tI-VP\tO' -p332732 -aS'food\tfood\tNN\tB-NP\tO' -p332733 -aS'like\tlike\tIN\tB-PP\tO' -p332734 -aS'material\tmaterial\tNN\tB-NP\tO' -p332735 -aS'that\tthat\tWDT\tB-NP\tO' -p332736 -aS'was\tbe\tVBD\tB-VP\tO' -p332737 -aS'easily\teasily\tRB\tI-VP\tO' -p332738 -aS'suctioned\tsuctione\tVBN\tI-VP\tO' -p332739 -aS'out\tout\tRP\tB-PRT\tO' -p332740 -aS'.\t.\t.\tO\tO' -p332741 -asS'sodium 140 , potassium 4 , chloride 107 , CO2 25.4 , BUN 9 , creatinine .8 , blood sugar 130 .' -p332742 -(lp332743 -S'sodium\tsodium\tNN\tB-NP\tO' -p332744 -aS'140\t140\tCD\tI-NP\tO' -p332745 -aS',\t,\t,\tO\tO' -p332746 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p332747 -aS'4\t4\tCD\tI-NP\tO' -p332748 -aS',\t,\t,\tO\tO' -p332749 -aS'chloride\tchloride\tNN\tB-NP\tO' -p332750 -aS'107\t107\tCD\tI-NP\tO' -p332751 -aS',\t,\t,\tO\tO' -p332752 -aS'CO2\tCO2\tNN\tB-NP\tB-cell_line' -p332753 -aS'25.4\t25.4\tCD\tI-NP\tI-cell_line' -p332754 -aS',\t,\t,\tO\tO' -p332755 -aS'BUN\tBUN\tNN\tB-NP\tB-protein' -p332756 -aS'9\t9\tCD\tI-NP\tI-protein' -p332757 -aS',\t,\t,\tO\tO' -p332758 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p332759 -aS'.8\t.8\tCD\tI-NP\tO' -p332760 -aS',\t,\t,\tO\tO' -p332761 -aS'blood\tblood\tNN\tB-NP\tO' -p332762 -aS'sugar\tsugar\tNN\tI-NP\tO' -p332763 -aS'130\t130\tCD\tI-NP\tO' -p332764 -aS'.\t.\t.\tO\tO' -p332765 -asS'No manifestations of SLE during this admission .' -p332766 -(lp332767 -S'No\tNo\tDT\tB-NP\tO' -p332768 -aS'manifestations\tmanifestation\tNNS\tI-NP\tO' -p332769 -aS'of\tof\tIN\tB-PP\tO' -p332770 -aS'SLE\tSLE\tNN\tB-NP\tO' -p332771 -aS'during\tduring\tIN\tB-PP\tO' -p332772 -aS'this\tthis\tDT\tB-NP\tO' -p332773 -aS'admission\tadmission\tNN\tI-NP\tO' -p332774 -aS'.\t.\t.\tO\tO' -p332775 -asS'Her pain medications were changed around until an acceptable regime was accomplished .' -p332776 -(lp332777 -S'Her\tHer\tPRP$\tB-NP\tO' -p332778 -aS'pain\tpain\tNN\tI-NP\tO' -p332779 -aS'medications\tmedication\tNNS\tI-NP\tO' -p332780 -aS'were\tbe\tVBD\tB-VP\tO' -p332781 -aS'changed\tchange\tVBN\tI-VP\tO' -p332782 -aS'around\taround\tIN\tB-PP\tO' -p332783 -aS'until\tuntil\tIN\tB-PP\tO' -p332784 -aS'an\tan\tDT\tB-NP\tO' -p332785 -aS'acceptable\tacceptable\tJJ\tI-NP\tO' -p332786 -aS'regime\tregime\tNN\tI-NP\tO' -p332787 -aS'was\tbe\tVBD\tB-VP\tO' -p332788 -aS'accomplished\taccomplish\tVBN\tI-VP\tO' -p332789 -aS'.\t.\t.\tO\tO' -p332790 -asS'Her pain is located in the groin and thigh .' -p332791 -(lp332792 -S'Her\tHer\tPRP$\tB-NP\tO' -p332793 -aS'pain\tpain\tNN\tI-NP\tO' -p332794 -aS'is\tbe\tVBZ\tB-VP\tO' -p332795 -aS'located\tlocate\tVBN\tI-VP\tO' -p332796 -aS'in\tin\tIN\tB-PP\tO' -p332797 -aS'the\tthe\tDT\tB-NP\tO' -p332798 -aS'groin\tgroin\tNN\tI-NP\tO' -p332799 -aS'and\tand\tCC\tI-NP\tO' -p332800 -aS'thigh\tthigh\tNN\tI-NP\tO' -p332801 -aS'.\t.\t.\tO\tO' -p332802 -asS'2. Resting hemodynamics revealed elevated right and left sided filling pressures with a mean RA pressure of 12 mm Hg and a mean wedge pressure 24 mm Hg .' -p332803 -(lp332804 -S'2.\t2.\tLS\tB-NP\tO' -p332805 -aS'Resting\tResting\tNN\tI-NP\tO' -p332806 -aS'hemodynamics\themodynamic\tNNS\tI-NP\tO' -p332807 -aS'revealed\treveal\tVBD\tB-VP\tO' -p332808 -aS'elevated\televate\tVBN\tI-VP\tO' -p332809 -aS'right\tright\tJJ\tB-NP\tO' -p332810 -aS'and\tand\tCC\tI-NP\tO' -p332811 -aS'left\tleft\tJJ\tI-NP\tO' -p332812 -aS'sided\tside\tVBD\tB-VP\tO' -p332813 -aS'filling\tfill\tVBG\tI-VP\tO' -p332814 -aS'pressures\tpressure\tNNS\tB-NP\tO' -p332815 -aS'with\twith\tIN\tB-PP\tO' -p332816 -aS'a\ta\tDT\tB-NP\tO' -p332817 -aS'mean\tmean\tJJ\tI-NP\tO' -p332818 -aS'RA\tRA\tNN\tI-NP\tO' -p332819 -aS'pressure\tpressure\tNN\tI-NP\tO' -p332820 -aS'of\tof\tIN\tB-PP\tO' -p332821 -aS'12\t12\tCD\tB-NP\tO' -p332822 -aS'mm\tmm\tNN\tI-NP\tO' -p332823 -aS'Hg\tHg\tNN\tI-NP\tO' -p332824 -aS'and\tand\tCC\tO\tO' -p332825 -aS'a\ta\tDT\tB-NP\tO' -p332826 -aS'mean\tmean\tJJ\tI-NP\tO' -p332827 -aS'wedge\twedge\tNN\tI-NP\tO' -p332828 -aS'pressure\tpressure\tNN\tI-NP\tO' -p332829 -aS'24\t24\tCD\tI-NP\tO' -p332830 -aS'mm\tmm\tNN\tI-NP\tO' -p332831 -aS'Hg\tHg\tNN\tI-NP\tO' -p332832 -aS'.\t.\t.\tO\tO' -p332833 -asS'IMPENDING SPINAL CORD COMPRESSION .' -p332834 -(lp332835 -S'IMPENDING\tIMPENDING\tVBG\tB-VP\tO' -p332836 -aS'SPINAL\tSPINAL\tJJ\tB-NP\tO' -p332837 -aS'CORD\tCORD\tNN\tI-NP\tO' -p332838 -aS'COMPRESSION\tCOMPRESSION\tNN\tI-NP\tO' -p332839 -aS'.\t.\t.\tO\tO' -p332840 -asS'Her pupils equal round reactive to light and accomodation , normocephalic , atraumatic , extraocular muscles intact .' -p332841 -(lp332842 -S'Her\tHer\tPRP$\tB-NP\tO' -p332843 -aS'pupils\tpupil\tNNS\tI-NP\tO' -p332844 -aS'equal\tequal\tJJ\tI-NP\tO' -p332845 -aS'round\tround\tNN\tI-NP\tO' -p332846 -aS'reactive\treactive\tJJ\tB-ADJP\tO' -p332847 -aS'to\tto\tTO\tB-PP\tO' -p332848 -aS'light\tlight\tNN\tB-NP\tO' -p332849 -aS'and\tand\tCC\tI-NP\tO' -p332850 -aS'accomodation\taccomodation\tNN\tI-NP\tO' -p332851 -aS',\t,\t,\tO\tO' -p332852 -aS'normocephalic\tnormocephalic\tJJ\tB-NP\tO' -p332853 -aS',\t,\t,\tI-NP\tO' -p332854 -aS'atraumatic\tatraumatic\tJJ\tI-NP\tO' -p332855 -aS',\t,\t,\tI-NP\tO' -p332856 -aS'extraocular\textraocular\tJJ\tI-NP\tO' -p332857 -aS'muscles\tmuscle\tNNS\tI-NP\tO' -p332858 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p332859 -aS'.\t.\t.\tO\tO' -p332860 -asS'This was added on the evening prior to discharge and on the day of discharge her anion gap acidosis had resolved .' -p332861 -(lp332862 -S'This\tThis\tDT\tB-NP\tO' -p332863 -aS'was\tbe\tVBD\tB-VP\tO' -p332864 -aS'added\tadd\tVBN\tI-VP\tO' -p332865 -aS'on\ton\tIN\tB-PP\tO' -p332866 -aS'the\tthe\tDT\tB-NP\tO' -p332867 -aS'evening\tevening\tNN\tI-NP\tO' -p332868 -aS'prior\tprior\tRB\tB-ADVP\tO' -p332869 -aS'to\tto\tTO\tB-VP\tO' -p332870 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p332871 -aS'and\tand\tCC\tO\tO' -p332872 -aS'on\ton\tIN\tB-PP\tO' -p332873 -aS'the\tthe\tDT\tB-NP\tO' -p332874 -aS'day\tday\tNN\tI-NP\tO' -p332875 -aS'of\tof\tIN\tB-PP\tO' -p332876 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p332877 -aS'her\ther\tPRP$\tB-NP\tO' -p332878 -aS'anion\tanion\tNN\tI-NP\tO' -p332879 -aS'gap\tgap\tNN\tI-NP\tO' -p332880 -aS'acidosis\tacidosis\tNN\tI-NP\tO' -p332881 -aS'had\thave\tVBD\tB-VP\tO' -p332882 -aS'resolved\tresolve\tVBN\tI-VP\tO' -p332883 -aS'.\t.\t.\tO\tO' -p332884 -asS'Fluids , electrolytes and nutrition .' -p332885 -(lp332886 -S'Fluids\tFluid\tNNS\tB-NP\tO' -p332887 -aS',\t,\t,\tI-NP\tO' -p332888 -aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' -p332889 -aS'and\tand\tCC\tI-NP\tO' -p332890 -aS'nutrition\tnutrition\tNN\tI-NP\tO' -p332891 -aS'.\t.\t.\tO\tO' -p332892 -asS'The air- fluid level in the right sphenoid sinus and bilateral opacification of the mastoid air cells are unchanged .' -p332893 -(lp332894 -S'The\tThe\tDT\tB-NP\tO' -p332895 -aS'air-\tair-\tNN\tI-NP\tO' -p332896 -aS'fluid\tfluid\tNN\tI-NP\tO' -p332897 -aS'level\tlevel\tNN\tI-NP\tO' -p332898 -aS'in\tin\tIN\tB-PP\tO' -p332899 -aS'the\tthe\tDT\tB-NP\tO' -p332900 -aS'right\tright\tJJ\tI-NP\tO' -p332901 -aS'sphenoid\tsphenoid\tNN\tI-NP\tO' -p332902 -aS'sinus\tsinus\tNN\tI-NP\tO' -p332903 -aS'and\tand\tCC\tO\tO' -p332904 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p332905 -aS'opacification\topacification\tNN\tI-NP\tO' -p332906 -aS'of\tof\tIN\tB-PP\tO' -p332907 -aS'the\tthe\tDT\tB-NP\tO' -p332908 -aS'mastoid\tmastoid\tJJ\tI-NP\tB-cell_type' -p332909 -aS'air\tair\tNN\tI-NP\tI-cell_type' -p332910 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p332911 -aS'are\tbe\tVBP\tB-VP\tO' -p332912 -aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' -p332913 -aS'.\t.\t.\tO\tO' -p332914 -asS'Because of this continued agitation , a head CT was performed on 07/01/00 and it revealed an intraparenchymal hemorrhage .' -p332915 -(lp332916 -S'Because\tBecause\tIN\tB-PP\tO' -p332917 -aS'of\tof\tIN\tI-PP\tO' -p332918 -aS'this\tthis\tDT\tB-NP\tO' -p332919 -aS'continued\tcontinued\tJJ\tI-NP\tO' -p332920 -aS'agitation\tagitation\tNN\tI-NP\tO' -p332921 -aS',\t,\t,\tO\tO' -p332922 -aS'a\ta\tDT\tB-NP\tO' -p332923 -aS'head\thead\tNN\tI-NP\tO' -p332924 -aS'CT\tCT\tNN\tI-NP\tO' -p332925 -aS'was\tbe\tVBD\tB-VP\tO' -p332926 -aS'performed\tperform\tVBN\tI-VP\tO' -p332927 -aS'on\ton\tIN\tB-PP\tO' -p332928 -aS'07/01/00\t07/01/00\tCD\tB-NP\tO' -p332929 -aS'and\tand\tCC\tO\tO' -p332930 -aS'it\tit\tPRP\tB-NP\tO' -p332931 -aS'revealed\treveal\tVBD\tB-VP\tO' -p332932 -aS'an\tan\tDT\tB-NP\tO' -p332933 -aS'intraparenchymal\tintraparenchymal\tJJ\tI-NP\tO' -p332934 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p332935 -aS'.\t.\t.\tO\tO' -p332936 -asS'2) You were admitted to the hospital and started on an antibiotic called Levaquin for a pneumonia .' -p332937 -(lp332938 -S'2)\t2)\tLS\tB-LST\tO' -p332939 -aS'You\tYou\tPRP\tB-NP\tB-protein' -p332940 -aS'were\tbe\tVBD\tB-VP\tO' -p332941 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p332942 -aS'to\tto\tTO\tB-PP\tO' -p332943 -aS'the\tthe\tDT\tB-NP\tO' -p332944 -aS'hospital\thospital\tNN\tI-NP\tO' -p332945 -aS'and\tand\tCC\tO\tO' -p332946 -aS'started\tstart\tVBD\tB-VP\tO' -p332947 -aS'on\ton\tIN\tB-PP\tO' -p332948 -aS'an\tan\tDT\tB-NP\tO' -p332949 -aS'antibiotic\tantibiotic\tNN\tI-NP\tO' -p332950 -aS'called\tcall\tVBN\tB-VP\tO' -p332951 -aS'Levaquin\tLevaquin\tNNP\tB-NP\tO' -p332952 -aS'for\tfor\tIN\tB-PP\tO' -p332953 -aS'a\ta\tDT\tB-NP\tO' -p332954 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p332955 -aS'.\t.\t.\tO\tO' -p332956 -asS'Nitroglycerin 1 tablet sublingual q. 5 minutes X3 p.r.n. chest pain .' -p332957 -(lp332958 -S'Nitroglycerin\tNitroglycerin\tNN\tB-NP\tB-protein' -p332959 -aS'1\t1\tCD\tI-NP\tI-protein' -p332960 -aS'tablet\ttablet\tNN\tI-NP\tI-protein' -p332961 -aS'sublingual\tsublingual\tJJ\tI-NP\tI-protein' -p332962 -aS'q.\tq.\tNN\tI-NP\tI-protein' -p332963 -aS'5\t5\tCD\tB-NP\tI-protein' -p332964 -aS'minutes\tminute\tNNS\tI-NP\tI-protein' -p332965 -aS'X3\tX3\tNN\tI-NP\tI-protein' -p332966 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tI-protein' -p332967 -aS'chest\tchest\tNN\tI-NP\tI-protein' -p332968 -aS'pain\tpain\tNN\tI-NP\tI-protein' -p332969 -aS'.\t.\t.\tO\tO' -p332970 -asS'No evidence of pneumonia .' -p332971 -(lp332972 -S'No\tNo\tDT\tB-NP\tO' -p332973 -aS'evidence\tevidence\tNN\tI-NP\tO' -p332974 -aS'of\tof\tIN\tB-PP\tO' -p332975 -aS'pneumonia\tpneumonia\tNN\tB-NP\tO' -p332976 -aS'.\t.\t.\tO\tO' -p332977 -asS'Pt was in severe " back pain " as per daughter which was treated with dilaudid .' -p332978 -(lp332979 -S'Pt\tPt\tNN\tB-NP\tO' -p332980 -aS'was\tbe\tVBD\tB-VP\tO' -p332981 -aS'in\tin\tIN\tB-PP\tO' -p332982 -aS'severe\tsevere\tJJ\tB-NP\tO' -p332983 -aS'"\t"\t``\tI-NP\tO' -p332984 -aS'back\tback\tJJ\tI-NP\tO' -p332985 -aS'pain\tpain\tNN\tI-NP\tO' -p332986 -aS'"\t"\t\'\'\tO\tO' -p332987 -aS'as\tas\tIN\tB-PP\tO' -p332988 -aS'per\tper\tIN\tB-PP\tO' -p332989 -aS'daughter\tdaughter\tNN\tB-NP\tO' -p332990 -aS'which\twhich\tWDT\tB-NP\tO' -p332991 -aS'was\tbe\tVBD\tB-VP\tO' -p332992 -aS'treated\ttreat\tVBN\tI-VP\tO' -p332993 -aS'with\twith\tIN\tB-PP\tO' -p332994 -aS'dilaudid\tdilaudid\tNN\tB-NP\tO' -p332995 -aS'.\t.\t.\tO\tO' -p332996 -asS'This raised the question of potential esophageal rupture .' -p332997 -(lp332998 -S'This\tThis\tDT\tB-NP\tO' -p332999 -aS'raised\traise\tVBD\tB-VP\tO' -p333000 -aS'the\tthe\tDT\tB-NP\tO' -p333001 -aS'question\tquestion\tNN\tI-NP\tO' -p333002 -aS'of\tof\tIN\tB-PP\tO' -p333003 -aS'potential\tpotential\tJJ\tB-NP\tO' -p333004 -aS'esophageal\tesophageal\tJJ\tI-NP\tO' -p333005 -aS'rupture\trupture\tNN\tI-NP\tO' -p333006 -aS'.\t.\t.\tO\tO' -p333007 -asS'The family was informed and all questions were answered .' -p333008 -(lp333009 -S'The\tThe\tDT\tB-NP\tO' -p333010 -aS'family\tfamily\tNN\tI-NP\tO' -p333011 -aS'was\tbe\tVBD\tB-VP\tO' -p333012 -aS'informed\tinform\tVBN\tI-VP\tO' -p333013 -aS'and\tand\tCC\tO\tO' -p333014 -aS'all\tall\tDT\tB-NP\tO' -p333015 -aS'questions\tquestion\tNNS\tI-NP\tO' -p333016 -aS'were\tbe\tVBD\tB-VP\tO' -p333017 -aS'answered\tanswer\tVBN\tI-VP\tO' -p333018 -aS'.\t.\t.\tO\tO' -p333019 -asS"The patient was admitted to the Cardiac Surgical Intensive Care Unit given the patient 's precarious condition ." -p333020 -(lp333021 -S'The\tThe\tDT\tB-NP\tO' -p333022 -aS'patient\tpatient\tNN\tI-NP\tO' -p333023 -aS'was\tbe\tVBD\tB-VP\tO' -p333024 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p333025 -aS'to\tto\tTO\tB-PP\tO' -p333026 -aS'the\tthe\tDT\tB-NP\tO' -p333027 -aS'Cardiac\tCardiac\tNNP\tI-NP\tO' -p333028 -aS'Surgical\tSurgical\tNNP\tI-NP\tO' -p333029 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p333030 -aS'Care\tCare\tNNP\tI-NP\tO' -p333031 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p333032 -aS'given\tgive\tVBN\tB-VP\tO' -p333033 -aS'the\tthe\tDT\tB-NP\tO' -p333034 -aS'patient\tpatient\tNN\tI-NP\tO' -p333035 -aS"'s\t's\tPOS\tB-NP\tO" -p333036 -aS'precarious\tprecarious\tJJ\tI-NP\tO' -p333037 -aS'condition\tcondition\tNN\tI-NP\tO' -p333038 -aS'.\t.\t.\tO\tO' -p333039 -asS'Abdomen grossly distended , tympanitic , plus right upper quadrant tenderness and no rebound .' -p333040 -(lp333041 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p333042 -aS'grossly\tgrossly\tRB\tB-ADJP\tO' -p333043 -aS'distended\tdistended\tJJ\tI-ADJP\tO' -p333044 -aS',\t,\t,\tO\tO' -p333045 -aS'tympanitic\ttympanitic\tJJ\tB-ADJP\tO' -p333046 -aS',\t,\t,\tO\tO' -p333047 -aS'plus\tplus\tCC\tO\tO' -p333048 -aS'right\tright\tJJ\tB-NP\tO' -p333049 -aS'upper\tupper\tJJ\tI-NP\tO' -p333050 -aS'quadrant\tquadrant\tJJ\tI-NP\tO' -p333051 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p333052 -aS'and\tand\tCC\tO\tO' -p333053 -aS'no\tno\tDT\tB-NP\tO' -p333054 -aS'rebound\trebound\tNN\tI-NP\tO' -p333055 -aS'.\t.\t.\tO\tO' -p333056 -asS'He also , as Neo-Synephrinewas tapered , developed mild sensory findings , in particular diminished large fiber sensibility in his left hand , although he at times , including near the end of his Intensive Care Unit stay had a right gaze preference .' -p333057 -(lp333058 -S'He\tHe\tPRP\tB-NP\tO' -p333059 -aS'also\talso\tRB\tB-ADVP\tO' -p333060 -aS',\t,\t,\tO\tO' -p333061 -aS'as\tas\tIN\tB-SBAR\tO' -p333062 -aS'Neo-Synephrinewas\tNeo-Synephrinewas\tNNP\tB-NP\tO' -p333063 -aS'tapered\ttaper\tVBD\tB-VP\tO' -p333064 -aS',\t,\t,\tO\tO' -p333065 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p333066 -aS'mild\tmild\tJJ\tB-NP\tO' -p333067 -aS'sensory\tsensory\tJJ\tI-NP\tO' -p333068 -aS'findings\tfinding\tNNS\tI-NP\tO' -p333069 -aS',\t,\t,\tO\tO' -p333070 -aS'in\tin\tIN\tB-PP\tO' -p333071 -aS'particular\tparticular\tJJ\tB-NP\tO' -p333072 -aS'diminished\tdiminish\tVBN\tI-NP\tO' -p333073 -aS'large\tlarge\tJJ\tI-NP\tO' -p333074 -aS'fiber\tfiber\tNN\tI-NP\tO' -p333075 -aS'sensibility\tsensibility\tNN\tI-NP\tO' -p333076 -aS'in\tin\tIN\tB-PP\tO' -p333077 -aS'his\this\tPRP$\tB-NP\tO' -p333078 -aS'left\tleft\tJJ\tI-NP\tO' -p333079 -aS'hand\thand\tNN\tI-NP\tO' -p333080 -aS',\t,\t,\tO\tO' -p333081 -aS'although\talthough\tIN\tB-SBAR\tO' -p333082 -aS'he\the\tPRP\tB-NP\tO' -p333083 -aS'at\tat\tIN\tB-PP\tO' -p333084 -aS'times\ttime\tNNS\tB-NP\tO' -p333085 -aS',\t,\t,\tO\tO' -p333086 -aS'including\tinclude\tVBG\tB-PP\tO' -p333087 -aS'near\tnear\tIN\tB-PP\tO' -p333088 -aS'the\tthe\tDT\tB-NP\tO' -p333089 -aS'end\tend\tNN\tI-NP\tO' -p333090 -aS'of\tof\tIN\tB-PP\tO' -p333091 -aS'his\this\tPRP$\tB-NP\tO' -p333092 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p333093 -aS'Care\tCare\tNNP\tI-NP\tO' -p333094 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p333095 -aS'stay\tstay\tNN\tI-NP\tO' -p333096 -aS'had\thave\tVBD\tB-VP\tO' -p333097 -aS'a\ta\tDT\tB-NP\tO' -p333098 -aS'right\tright\tJJ\tI-NP\tO' -p333099 -aS'gaze\tgaze\tNN\tI-NP\tO' -p333100 -aS'preference\tpreference\tNN\tI-NP\tO' -p333101 -aS'.\t.\t.\tO\tO' -p333102 -asS'Normal peripheral pulses .' -p333103 -(lp333104 -S'Normal\tNormal\tJJ\tB-NP\tO' -p333105 -aS'peripheral\tperipheral\tJJ\tI-NP\tO' -p333106 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p333107 -aS'.\t.\t.\tO\tO' -p333108 -asS'The patient will be followed at rehabilitation by her primary care physician , Dr. Both .' -p333109 -(lp333110 -S'The\tThe\tDT\tB-NP\tO' -p333111 -aS'patient\tpatient\tNN\tI-NP\tO' -p333112 -aS'will\twill\tMD\tB-VP\tO' -p333113 -aS'be\tbe\tVB\tI-VP\tO' -p333114 -aS'followed\tfollow\tVBN\tI-VP\tO' -p333115 -aS'at\tat\tIN\tB-PP\tO' -p333116 -aS'rehabilitation\trehabilitation\tNN\tB-NP\tO' -p333117 -aS'by\tby\tIN\tB-PP\tO' -p333118 -aS'her\ther\tPRP$\tB-NP\tO' -p333119 -aS'primary\tprimary\tJJ\tI-NP\tO' -p333120 -aS'care\tcare\tNN\tI-NP\tO' -p333121 -aS'physician\tphysician\tNN\tI-NP\tO' -p333122 -aS',\t,\t,\tO\tO' -p333123 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p333124 -aS'Both\tBoth\tNNP\tI-NP\tO' -p333125 -aS'.\t.\t.\tO\tO' -p333126 -asS'His course was then complicated by fevers and neutropenia which were treated with antibiotics and a diffuse erythroderm felt to be a drug reaction .' -p333127 -(lp333128 -S'His\tHis\tPRP$\tB-NP\tO' -p333129 -aS'course\tcourse\tNN\tI-NP\tO' -p333130 -aS'was\tbe\tVBD\tB-VP\tO' -p333131 -aS'then\tthen\tRB\tI-VP\tO' -p333132 -aS'complicated\tcomplicate\tVBN\tI-VP\tO' -p333133 -aS'by\tby\tIN\tB-PP\tO' -p333134 -aS'fevers\tfever\tNNS\tB-NP\tO' -p333135 -aS'and\tand\tCC\tO\tO' -p333136 -aS'neutropenia\tneutropenia\tNN\tB-NP\tO' -p333137 -aS'which\twhich\tWDT\tB-NP\tO' -p333138 -aS'were\tbe\tVBD\tB-VP\tO' -p333139 -aS'treated\ttreat\tVBN\tI-VP\tO' -p333140 -aS'with\twith\tIN\tB-PP\tO' -p333141 -aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' -p333142 -aS'and\tand\tCC\tO\tO' -p333143 -aS'a\ta\tDT\tB-NP\tO' -p333144 -aS'diffuse\tdiffuse\tJJ\tI-NP\tO' -p333145 -aS'erythroderm\terythroderm\tNN\tI-NP\tO' -p333146 -aS'felt\tfeel\tVBD\tB-VP\tO' -p333147 -aS'to\tto\tTO\tI-VP\tO' -p333148 -aS'be\tbe\tVB\tI-VP\tO' -p333149 -aS'a\ta\tDT\tB-NP\tO' -p333150 -aS'drug\tdrug\tNN\tI-NP\tO' -p333151 -aS'reaction\treaction\tNN\tI-NP\tO' -p333152 -aS'.\t.\t.\tO\tO' -p333153 -asS'Signed electronically by : DR. Greg Jones on : FRI 2014-04-25 2:37 PM' -p333154 -(lp333155 -S'Signed\tSign\tVBN\tB-VP\tO' -p333156 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p333157 -aS'by\tby\tIN\tB-PP\tO' -p333158 -aS':\t:\t:\tO\tO' -p333159 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p333160 -aS'Greg\tGreg\tNNP\tI-NP\tO' -p333161 -aS'Jones\tJones\tNNP\tI-NP\tO' -p333162 -aS'on\ton\tIN\tB-PP\tO' -p333163 -aS':\t:\t:\tO\tO' -p333164 -aS'FRI\tFRI\tCD\tB-NP\tO' -p333165 -aS'2014-04-25\t2014-04-25\tCD\tI-NP\tO' -p333166 -aS'2:37\t2:37\tCD\tI-NP\tO' -p333167 -aS'PM\tPM\tNN\tI-NP\tO' -p333168 -asS'The patient 's pro time bumped to 19.5 on hospital day # 3 , and the patient was instructed to continue with 2 1/2 mg. qhs and is to followup with Anticoagulation Clinic in one week for further pro time checks and adjustments .' -p333169 -(lp333170 -S'The\tThe\tDT\tB-NP\tO' -p333171 -aS'patient\tpatient\tNN\tI-NP\tO' -p333172 -aS''s\t'\tNNS\tI-NP\tO' -p333173 -aS'pro\tpro\tJJ\tB-NP\tO' -p333174 -aS'time\ttime\tNN\tI-NP\tO' -p333175 -aS'bumped\tbump\tVBD\tB-VP\tO' -p333176 -aS'to\tto\tTO\tB-PP\tO' -p333177 -aS'19.5\t19.5\tCD\tB-NP\tO' -p333178 -aS'on\ton\tIN\tB-PP\tO' -p333179 -aS'hospital\thospital\tNN\tB-NP\tO' -p333180 -aS'day\tday\tNN\tI-NP\tO' -p333181 -aS'#\t#\t#\tB-NP\tO' -p333182 -aS'3\t3\tCD\tI-NP\tO' -p333183 -aS',\t,\t,\tO\tO' -p333184 -aS'and\tand\tCC\tO\tO' -p333185 -aS'the\tthe\tDT\tB-NP\tO' -p333186 -aS'patient\tpatient\tNN\tI-NP\tO' -p333187 -aS'was\tbe\tVBD\tB-VP\tO' -p333188 -aS'instructed\tinstruct\tVBN\tI-VP\tO' -p333189 -aS'to\tto\tTO\tI-VP\tO' -p333190 -aS'continue\tcontinue\tVB\tI-VP\tO' -p333191 -aS'with\twith\tIN\tB-PP\tO' -p333192 -aS'2\t2\tCD\tB-NP\tO' -p333193 -aS'1/2\t1/2\tCD\tI-NP\tO' -p333194 -aS'mg.\tmg.\tNN\tI-NP\tO' -p333195 -aS'qhs\tqh\tNNS\tI-NP\tO' -p333196 -aS'and\tand\tCC\tO\tO' -p333197 -aS'is\tbe\tVBZ\tB-VP\tO' -p333198 -aS'to\tto\tTO\tB-VP\tO' -p333199 -aS'followup\tfollowup\tVB\tI-VP\tO' -p333200 -aS'with\twith\tIN\tB-PP\tO' -p333201 -aS'Anticoagulation\tAnticoagulation\tNNP\tB-NP\tO' -p333202 -aS'Clinic\tClinic\tNNP\tI-NP\tO' -p333203 -aS'in\tin\tIN\tB-PP\tO' -p333204 -aS'one\tone\tCD\tB-NP\tO' -p333205 -aS'week\tweek\tNN\tI-NP\tO' -p333206 -aS'for\tfor\tIN\tB-PP\tO' -p333207 -aS'further\tfurther\tJJ\tB-NP\tO' -p333208 -aS'pro\tpro\tJJ\tI-NP\tO' -p333209 -aS'time\ttime\tNN\tI-NP\tO' -p333210 -aS'checks\tcheck\tNNS\tI-NP\tO' -p333211 -aS'and\tand\tCC\tI-NP\tO' -p333212 -aS'adjustments\tadjustment\tNNS\tI-NP\tO' -p333213 -aS'.\t.\t.\tO\tO' -p333214 -asS'Her pulse is 72 , irregularly irregular , blood pressure 96/60 , temperature 97.9 , respirations 18 .' -p333215 -(lp333216 -S'Her\tHer\tPRP$\tB-NP\tO' -p333217 -aS'pulse\tpulse\tNN\tI-NP\tO' -p333218 -aS'is\tbe\tVBZ\tB-VP\tO' -p333219 -aS'72\t72\tCD\tB-NP\tO' -p333220 -aS',\t,\t,\tO\tO' -p333221 -aS'irregularly\tirregularly\tRB\tB-ADJP\tO' -p333222 -aS'irregular\tirregular\tJJ\tI-ADJP\tO' -p333223 -aS',\t,\t,\tO\tO' -p333224 -aS'blood\tblood\tNN\tB-NP\tO' -p333225 -aS'pressure\tpressure\tNN\tI-NP\tO' -p333226 -aS'96/60\t96/60\tCD\tI-NP\tO' -p333227 -aS',\t,\t,\tO\tO' -p333228 -aS'temperature\ttemperature\tNN\tB-NP\tB-protein' -p333229 -aS'97.9\t97.9\tCD\tI-NP\tI-protein' -p333230 -aS',\t,\t,\tO\tO' -p333231 -aS'respirations\trespiration\tNNS\tB-NP\tO' -p333232 -aS'18\t18\tCD\tB-NP\tO' -p333233 -aS'.\t.\t.\tO\tO' -p333234 -asS'A Neurosurgery consultation was obtained , and it was their impression that the patient 's paraplegia might possibly represent a cord concussion , and recommended treatment with intravenous steroids for 24 hours .' -p333235 -(lp333236 -S'A\tA\tDT\tB-NP\tO' -p333237 -aS'Neurosurgery\tNeurosurgery\tNNP\tI-NP\tO' -p333238 -aS'consultation\tconsultation\tNN\tI-NP\tO' -p333239 -aS'was\tbe\tVBD\tB-VP\tO' -p333240 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p333241 -aS',\t,\t,\tO\tO' -p333242 -aS'and\tand\tCC\tO\tO' -p333243 -aS'it\tit\tPRP\tB-NP\tO' -p333244 -aS'was\tbe\tVBD\tB-VP\tO' -p333245 -aS'their\ttheir\tPRP$\tB-NP\tO' -p333246 -aS'impression\timpression\tNN\tI-NP\tO' -p333247 -aS'that\tthat\tIN\tB-SBAR\tO' -p333248 -aS'the\tthe\tDT\tB-NP\tO' -p333249 -aS'patient\tpatient\tNN\tI-NP\tO' -p333250 -aS''s\t'\tNNS\tI-NP\tO' -p333251 -aS'paraplegia\tparaplegia\tNN\tI-NP\tO' -p333252 -aS'might\tmight\tMD\tB-VP\tO' -p333253 -aS'possibly\tpossibly\tRB\tI-VP\tO' -p333254 -aS'represent\trepresent\tVB\tI-VP\tO' -p333255 -aS'a\ta\tDT\tB-NP\tO' -p333256 -aS'cord\tcord\tNN\tI-NP\tO' -p333257 -aS'concussion\tconcussion\tNN\tI-NP\tO' -p333258 -aS',\t,\t,\tO\tO' -p333259 -aS'and\tand\tCC\tO\tO' -p333260 -aS'recommended\trecommend\tVBD\tB-VP\tO' -p333261 -aS'treatment\ttreatment\tNN\tB-NP\tO' -p333262 -aS'with\twith\tIN\tB-PP\tO' -p333263 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p333264 -aS'steroids\tsteroid\tNNS\tI-NP\tO' -p333265 -aS'for\tfor\tIN\tB-PP\tO' -p333266 -aS'24\t24\tCD\tB-NP\tO' -p333267 -aS'hours\thour\tNNS\tI-NP\tO' -p333268 -aS'.\t.\t.\tO\tO' -p333269 -asS'The patient was given printed instructions for abdominal pain ( English ) .' -p333270 -(lp333271 -S'The\tThe\tDT\tB-NP\tO' -p333272 -aS'patient\tpatient\tNN\tI-NP\tO' -p333273 -aS'was\tbe\tVBD\tB-VP\tO' -p333274 -aS'given\tgive\tVBN\tI-VP\tO' -p333275 -aS'printed\tprint\tVBN\tB-NP\tO' -p333276 -aS'instructions\tinstruction\tNNS\tI-NP\tO' -p333277 -aS'for\tfor\tIN\tB-PP\tO' -p333278 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p333279 -aS'pain\tpain\tNN\tI-NP\tO' -p333280 -aS'(\t(\t(\tO\tO' -p333281 -aS'English\tEnglish\tNN\tB-NP\tO' -p333282 -aS')\t)\t)\tO\tO' -p333283 -aS'.\t.\t.\tO\tO' -p333284 -asS'The patient early this morning to the Ruthie with his usual nausea , vomiting , abdominal pain and was found to be hypertensive to 256/110 , HR 102 , T 99.2 , RR 22 , 92% RA .' -p333285 -(lp333286 -S'The\tThe\tDT\tB-NP\tO' -p333287 -aS'patient\tpatient\tNN\tI-NP\tO' -p333288 -aS'early\tearly\tRB\tB-NP\tO' -p333289 -aS'this\tthis\tDT\tI-NP\tO' -p333290 -aS'morning\tmorning\tNN\tI-NP\tO' -p333291 -aS'to\tto\tTO\tB-PP\tO' -p333292 -aS'the\tthe\tDT\tB-NP\tO' -p333293 -aS'Ruthie\tRuthie\tNNP\tI-NP\tO' -p333294 -aS'with\twith\tIN\tB-PP\tO' -p333295 -aS'his\this\tPRP$\tB-NP\tO' -p333296 -aS'usual\tusual\tJJ\tI-NP\tO' -p333297 -aS'nausea\tnausea\tNN\tI-NP\tO' -p333298 -aS',\t,\t,\tO\tO' -p333299 -aS'vomiting\tvomit\tVBG\tB-VP\tO' -p333300 -aS',\t,\t,\tO\tO' -p333301 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p333302 -aS'pain\tpain\tNN\tI-NP\tO' -p333303 -aS'and\tand\tCC\tO\tO' -p333304 -aS'was\tbe\tVBD\tB-VP\tO' -p333305 -aS'found\tfind\tVBN\tI-VP\tO' -p333306 -aS'to\tto\tTO\tI-VP\tO' -p333307 -aS'be\tbe\tVB\tI-VP\tO' -p333308 -aS'hypertensive\thypertensive\tJJ\tB-ADJP\tO' -p333309 -aS'to\tto\tTO\tB-PP\tO' -p333310 -aS'256/110\t256/110\tCD\tB-NP\tO' -p333311 -aS',\t,\t,\tO\tO' -p333312 -aS'HR\tHR\tNN\tB-NP\tB-cell_line' -p333313 -aS'102\t102\tCD\tI-NP\tI-cell_line' -p333314 -aS',\t,\t,\tO\tO' -p333315 -aS'T\tT\tNN\tB-NP\tB-cell_line' -p333316 -aS'99.2\t99.2\tCD\tI-NP\tI-cell_line' -p333317 -aS',\t,\t,\tO\tO' -p333318 -aS'RR\tRR\tNN\tB-NP\tB-protein' -p333319 -aS'22\t22\tCD\tI-NP\tI-protein' -p333320 -aS',\t,\t,\tO\tO' -p333321 -aS'92%\t92%\tCD\tB-NP\tO' -p333322 -aS'RA\tRA\tNN\tI-NP\tO' -p333323 -aS'.\t.\t.\tO\tO' -p333324 -asS'In that setting he was hypotensive down to the 92/45 , and was given 1 L NS .' -p333325 -(lp333326 -S'In\tIn\tIN\tB-PP\tO' -p333327 -aS'that\tthat\tDT\tB-NP\tO' -p333328 -aS'setting\tset\tVBG\tB-VP\tO' -p333329 -aS'he\the\tPRP\tB-NP\tO' -p333330 -aS'was\tbe\tVBD\tB-VP\tO' -p333331 -aS'hypotensive\thypotensive\tJJ\tB-ADJP\tO' -p333332 -aS'down\tdown\tIN\tB-PP\tO' -p333333 -aS'to\tto\tTO\tB-PP\tO' -p333334 -aS'the\tthe\tDT\tB-NP\tO' -p333335 -aS'92/45\t92/45\tCD\tI-NP\tO' -p333336 -aS',\t,\t,\tO\tO' -p333337 -aS'and\tand\tCC\tO\tO' -p333338 -aS'was\tbe\tVBD\tB-VP\tO' -p333339 -aS'given\tgive\tVBN\tI-VP\tO' -p333340 -aS'1\t1\tCD\tB-NP\tO' -p333341 -aS'L\tL\tNN\tI-NP\tO' -p333342 -aS'NS\tNS\tNN\tI-NP\tO' -p333343 -aS'.\t.\t.\tO\tO' -p333344 -asS'Ileostomy bag present with gas and stool .' -p333345 -(lp333346 -S'Ileostomy\tIleostomy\tNN\tB-NP\tO' -p333347 -aS'bag\tbag\tNN\tI-NP\tO' -p333348 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p333349 -aS'with\twith\tIN\tB-PP\tO' -p333350 -aS'gas\tgas\tNN\tB-NP\tB-DNA' -p333351 -aS'and\tand\tCC\tI-NP\tO' -p333352 -aS'stool\tstool\tNN\tI-NP\tO' -p333353 -aS'.\t.\t.\tO\tO' -p333354 -asS'She was started on nystatin swish and swallow QID .' -p333355 -(lp333356 -S'She\tShe\tPRP\tB-NP\tO' -p333357 -aS'was\tbe\tVBD\tB-VP\tO' -p333358 -aS'started\tstart\tVBN\tI-VP\tO' -p333359 -aS'on\ton\tIN\tB-PP\tO' -p333360 -aS'nystatin\tnystatin\tNN\tB-NP\tO' -p333361 -aS'swish\tswish\tVB\tB-VP\tO' -p333362 -aS'and\tand\tCC\tI-VP\tO' -p333363 -aS'swallow\tswallow\tVB\tI-VP\tO' -p333364 -aS'QID\tQID\tNNP\tB-NP\tO' -p333365 -aS'.\t.\t.\tO\tO' -p333366 -asS'He was transferred to the newborn nursery for further care .' -p333367 -(lp333368 -S'He\tHe\tPRP\tB-NP\tO' -p333369 -aS'was\tbe\tVBD\tB-VP\tO' -p333370 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p333371 -aS'to\tto\tTO\tB-PP\tO' -p333372 -aS'the\tthe\tDT\tB-NP\tO' -p333373 -aS'newborn\tnewborn\tJJ\tI-NP\tO' -p333374 -aS'nursery\tnursery\tNN\tI-NP\tO' -p333375 -aS'for\tfor\tIN\tB-PP\tO' -p333376 -aS'further\tfurther\tJJ\tB-NP\tO' -p333377 -aS'care\tcare\tNN\tI-NP\tO' -p333378 -aS'.\t.\t.\tO\tO' -p333379 -asS'This is 1st pain since MI ( though patient reports chronic baseline chest tightness x8-10 years of unclear etiology ) .' -p333380 -(lp333381 -S'This\tThis\tDT\tB-NP\tO' -p333382 -aS'is\tbe\tVBZ\tB-VP\tO' -p333383 -aS'1st\t1st\tJJ\tB-NP\tO' -p333384 -aS'pain\tpain\tNN\tI-NP\tO' -p333385 -aS'since\tsince\tIN\tB-PP\tO' -p333386 -aS'MI\tMI\tNN\tB-NP\tO' -p333387 -aS'(\t(\t(\tO\tO' -p333388 -aS'though\tthough\tIN\tB-SBAR\tO' -p333389 -aS'patient\tpatient\tNN\tB-NP\tO' -p333390 -aS'reports\treport\tVBZ\tB-VP\tO' -p333391 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p333392 -aS'baseline\tbaseline\tNN\tI-NP\tO' -p333393 -aS'chest\tchest\tNN\tI-NP\tO' -p333394 -aS'tightness\ttightness\tNN\tI-NP\tO' -p333395 -aS'x8-10\tx8-10\tCD\tB-NP\tO' -p333396 -aS'years\tyear\tNNS\tI-NP\tO' -p333397 -aS'of\tof\tIN\tB-PP\tO' -p333398 -aS'unclear\tunclear\tJJ\tB-NP\tO' -p333399 -aS'etiology\tetiology\tNN\tI-NP\tO' -p333400 -aS')\t)\t)\tO\tO' -p333401 -aS'.\t.\t.\tO\tO' -p333402 -asS'He went to the Operating Room on 2016-03-10 with Urology for hematuria where he had a cystoscopy transurethral resection of prostate placement .' -p333403 -(lp333404 -S'He\tHe\tPRP\tB-NP\tO' -p333405 -aS'went\tgo\tVBD\tB-VP\tO' -p333406 -aS'to\tto\tTO\tB-PP\tO' -p333407 -aS'the\tthe\tDT\tB-NP\tO' -p333408 -aS'Operating\tOperating\tNNP\tI-NP\tO' -p333409 -aS'Room\tRoom\tNNP\tI-NP\tO' -p333410 -aS'on\ton\tIN\tB-PP\tO' -p333411 -aS'2016-03-10\t2016-03-10\tCD\tB-NP\tO' -p333412 -aS'with\twith\tIN\tB-PP\tO' -p333413 -aS'Urology\tUrology\tNNP\tB-NP\tO' -p333414 -aS'for\tfor\tIN\tB-PP\tO' -p333415 -aS'hematuria\thematuria\tNN\tB-NP\tO' -p333416 -aS'where\twhere\tWRB\tB-ADVP\tO' -p333417 -aS'he\the\tPRP\tB-NP\tO' -p333418 -aS'had\thave\tVBD\tB-VP\tO' -p333419 -aS'a\ta\tDT\tB-NP\tO' -p333420 -aS'cystoscopy\tcystoscopy\tNN\tI-NP\tO' -p333421 -aS'transurethral\ttransurethral\tJJ\tI-NP\tO' -p333422 -aS'resection\tresection\tNN\tI-NP\tO' -p333423 -aS'of\tof\tIN\tB-PP\tO' -p333424 -aS'prostate\tprostate\tNN\tB-NP\tO' -p333425 -aS'placement\tplacement\tNN\tI-NP\tO' -p333426 -aS'.\t.\t.\tO\tO' -p333427 -asS'First , he had right lower extremity swelling and lower extremity noninvasives confirmed the diagnosis of a femoral deep venous thrombosis .' -p333428 -(lp333429 -S'First\tFirst\tRB\tB-ADVP\tO' -p333430 -aS',\t,\t,\tO\tO' -p333431 -aS'he\the\tPRP\tB-NP\tO' -p333432 -aS'had\thave\tVBD\tB-VP\tO' -p333433 -aS'right\tright\tJJ\tB-NP\tO' -p333434 -aS'lower\tlow\tJJR\tI-NP\tO' -p333435 -aS'extremity\textremity\tNN\tI-NP\tO' -p333436 -aS'swelling\tswelling\tNN\tI-NP\tO' -p333437 -aS'and\tand\tCC\tO\tO' -p333438 -aS'lower\tlow\tJJR\tB-NP\tO' -p333439 -aS'extremity\textremity\tNN\tI-NP\tO' -p333440 -aS'noninvasives\tnoninvasive\tNNS\tI-NP\tO' -p333441 -aS'confirmed\tconfirm\tVBD\tB-VP\tO' -p333442 -aS'the\tthe\tDT\tB-NP\tO' -p333443 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p333444 -aS'of\tof\tIN\tB-PP\tO' -p333445 -aS'a\ta\tDT\tB-NP\tO' -p333446 -aS'femoral\tfemoral\tJJ\tI-NP\tO' -p333447 -aS'deep\tdeep\tJJ\tI-NP\tO' -p333448 -aS'venous\tvenous\tJJ\tI-NP\tO' -p333449 -aS'thrombosis\tthrombosis\tNN\tI-NP\tO' -p333450 -aS'.\t.\t.\tO\tO' -p333451 -asS'2. INTRAPARENCHYMAL BLEED .' -p333452 -(lp333453 -S'2.\t2.\tLS\tB-NP\tO' -p333454 -aS'INTRAPARENCHYMAL\tINTRAPARENCHYMAL\tNN\tI-NP\tO' -p333455 -aS'BLEED\tBLEED\tNN\tI-NP\tO' -p333456 -aS'.\t.\t.\tO\tO' -p333457 -asS'The patient then underwent liposuction of her abdomen , inner thighs , hips , flanks , chest and arms with Dr. Chain .' -p333458 -(lp333459 -S'The\tThe\tDT\tB-NP\tO' -p333460 -aS'patient\tpatient\tNN\tI-NP\tO' -p333461 -aS'then\tthen\tRB\tB-ADVP\tO' -p333462 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p333463 -aS'liposuction\tliposuction\tNN\tB-NP\tO' -p333464 -aS'of\tof\tIN\tB-PP\tO' -p333465 -aS'her\ther\tPRP$\tB-NP\tO' -p333466 -aS'abdomen\tabdoman\tNNS\tI-NP\tO' -p333467 -aS',\t,\t,\tO\tO' -p333468 -aS'inner\tinner\tJJ\tB-NP\tO' -p333469 -aS'thighs\tthigh\tNNS\tI-NP\tO' -p333470 -aS',\t,\t,\tO\tO' -p333471 -aS'hips\thip\tNNS\tB-NP\tO' -p333472 -aS',\t,\t,\tO\tO' -p333473 -aS'flanks\tflank\tNNS\tB-NP\tO' -p333474 -aS',\t,\t,\tO\tO' -p333475 -aS'chest\tchest\tNN\tB-NP\tO' -p333476 -aS'and\tand\tCC\tI-NP\tO' -p333477 -aS'arms\tarm\tNNS\tI-NP\tO' -p333478 -aS'with\twith\tIN\tB-PP\tO' -p333479 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p333480 -aS'Chain\tChain\tNNP\tI-NP\tO' -p333481 -aS'.\t.\t.\tO\tO' -p333482 -asS'The patient also complained of fatigue and " feeling down " .' -p333483 -(lp333484 -S'The\tThe\tDT\tB-NP\tO' -p333485 -aS'patient\tpatient\tNN\tI-NP\tO' -p333486 -aS'also\talso\tRB\tB-ADVP\tO' -p333487 -aS'complained\tcomplain\tVBD\tB-VP\tO' -p333488 -aS'of\tof\tIN\tB-PP\tO' -p333489 -aS'fatigue\tfatigue\tNN\tB-NP\tO' -p333490 -aS'and\tand\tCC\tI-NP\tO' -p333491 -aS'"\t"\tNN\tI-NP\tO' -p333492 -aS'feeling\tfeel\tVBG\tB-VP\tO' -p333493 -aS'down\tdown\tRP\tB-PRT\tO' -p333494 -aS'"\t"\tNN\tB-NP\tO' -p333495 -aS'.\t.\t.\tO\tO' -p333496 -asS'Severe cardiomegaly and left lower lobe atelectasis unchanged .' -p333497 -(lp333498 -S'Severe\tSevere\tJJ\tB-NP\tO' -p333499 -aS'cardiomegaly\tcardiomegaly\tNN\tI-NP\tO' -p333500 -aS'and\tand\tCC\tO\tO' -p333501 -aS'left\tleave\tVBD\tB-VP\tO' -p333502 -aS'lower\tlow\tJJR\tB-NP\tO' -p333503 -aS'lobe\tlobe\tNN\tI-NP\tO' -p333504 -aS'atelectasis\tatelectasis\tNN\tI-NP\tO' -p333505 -aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' -p333506 -aS'.\t.\t.\tO\tO' -p333507 -asS'Variceal bleeding .' -p333508 -(lp333509 -S'Variceal\tVariceal\tJJ\tB-NP\tO' -p333510 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p333511 -aS'.\t.\t.\tO\tO' -p333512 -asS'Again , patient 's cardiac risk factors include hypertension , diabetes mellitus , increasing cholesterol and a positive family history and tobacco use .' -p333513 -(lp333514 -S'Again\tAgain\tRB\tB-ADVP\tO' -p333515 -aS',\t,\t,\tO\tO' -p333516 -aS'patient\tpatient\tNN\tB-NP\tO' -p333517 -aS''s\t'\tNNS\tI-NP\tO' -p333518 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p333519 -aS'risk\trisk\tNN\tI-NP\tO' -p333520 -aS'factors\tfactor\tNNS\tI-NP\tO' -p333521 -aS'include\tinclude\tVBP\tB-VP\tO' -p333522 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p333523 -aS',\t,\t,\tO\tO' -p333524 -aS'diabetes\tdiabetes\tNN\tB-NP\tO' -p333525 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p333526 -aS',\t,\t,\tO\tO' -p333527 -aS'increasing\tincrease\tVBG\tB-VP\tO' -p333528 -aS'cholesterol\tcholesterol\tNN\tB-NP\tO' -p333529 -aS'and\tand\tCC\tO\tO' -p333530 -aS'a\ta\tDT\tB-NP\tO' -p333531 -aS'positive\tpositive\tJJ\tI-NP\tO' -p333532 -aS'family\tfamily\tNN\tI-NP\tO' -p333533 -aS'history\thistory\tNN\tI-NP\tO' -p333534 -aS'and\tand\tCC\tI-NP\tO' -p333535 -aS'tobacco\ttobacco\tNN\tI-NP\tO' -p333536 -aS'use\tuse\tNN\tI-NP\tO' -p333537 -aS'.\t.\t.\tO\tO' -p333538 -asS'He was started on a lasix gtt the night of admission with a good response .' -p333539 -(lp333540 -S'He\tHe\tPRP\tB-NP\tO' -p333541 -aS'was\tbe\tVBD\tB-VP\tO' -p333542 -aS'started\tstart\tVBN\tI-VP\tO' -p333543 -aS'on\ton\tIN\tB-PP\tO' -p333544 -aS'a\ta\tDT\tB-NP\tO' -p333545 -aS'lasix\tlasix\tNN\tI-NP\tO' -p333546 -aS'gtt\tgtt\tNN\tI-NP\tO' -p333547 -aS'the\tthe\tDT\tB-NP\tO' -p333548 -aS'night\tnight\tNN\tI-NP\tO' -p333549 -aS'of\tof\tIN\tB-PP\tO' -p333550 -aS'admission\tadmission\tNN\tB-NP\tO' -p333551 -aS'with\twith\tIN\tB-PP\tO' -p333552 -aS'a\ta\tDT\tB-NP\tO' -p333553 -aS'good\tgood\tJJ\tI-NP\tO' -p333554 -aS'response\tresponse\tNN\tI-NP\tO' -p333555 -aS'.\t.\t.\tO\tO' -p333556 -asS'In addition , consideration was given to sarcoidosis , human immunodeficiency virus , and drug-induced given her history of herbal medication use .' -p333557 -(lp333558 -S'In\tIn\tIN\tB-PP\tO' -p333559 -aS'addition\taddition\tNN\tB-NP\tO' -p333560 -aS',\t,\t,\tO\tO' -p333561 -aS'consideration\tconsideration\tNN\tB-NP\tO' -p333562 -aS'was\tbe\tVBD\tB-VP\tO' -p333563 -aS'given\tgive\tVBN\tI-VP\tO' -p333564 -aS'to\tto\tTO\tB-PP\tO' -p333565 -aS'sarcoidosis\tsarcoidosis\tNN\tB-NP\tO' -p333566 -aS',\t,\t,\tO\tO' -p333567 -aS'human\thuman\tJJ\tB-NP\tO' -p333568 -aS'immunodeficiency\timmunodeficiency\tNN\tI-NP\tO' -p333569 -aS'virus\tvirus\tNN\tI-NP\tO' -p333570 -aS',\t,\t,\tO\tO' -p333571 -aS'and\tand\tCC\tO\tO' -p333572 -aS'drug-induced\tdrug-induced\tJJ\tB-ADJP\tO' -p333573 -aS'given\tgive\tVBN\tB-PP\tO' -p333574 -aS'her\ther\tPRP$\tB-NP\tO' -p333575 -aS'history\thistory\tNN\tI-NP\tO' -p333576 -aS'of\tof\tIN\tB-PP\tO' -p333577 -aS'herbal\therbal\tJJ\tB-NP\tO' -p333578 -aS'medication\tmedication\tNN\tI-NP\tO' -p333579 -aS'use\tuse\tNN\tI-NP\tO' -p333580 -aS'.\t.\t.\tO\tO' -p333581 -asS'The poor prognosis for the patient and child were discussed and after the patient decided to have an elective abortion , an abdominal CT scan was obtained which revealed diffuse metastatic lesions of the liverspine , ribs and most of the lymph nodes .' -p333582 -(lp333583 -S'The\tThe\tDT\tB-NP\tO' -p333584 -aS'poor\tpoor\tJJ\tI-NP\tO' -p333585 -aS'prognosis\tprognosis\tNN\tI-NP\tO' -p333586 -aS'for\tfor\tIN\tB-PP\tO' -p333587 -aS'the\tthe\tDT\tB-NP\tO' -p333588 -aS'patient\tpatient\tNN\tI-NP\tO' -p333589 -aS'and\tand\tCC\tI-NP\tO' -p333590 -aS'child\tchild\tNN\tI-NP\tO' -p333591 -aS'were\tbe\tVBD\tB-VP\tO' -p333592 -aS'discussed\tdiscuss\tVBN\tI-VP\tO' -p333593 -aS'and\tand\tCC\tO\tO' -p333594 -aS'after\tafter\tIN\tB-PP\tO' -p333595 -aS'the\tthe\tDT\tB-NP\tO' -p333596 -aS'patient\tpatient\tNN\tI-NP\tO' -p333597 -aS'decided\tdecide\tVBD\tB-VP\tO' -p333598 -aS'to\tto\tTO\tI-VP\tO' -p333599 -aS'have\thave\tVB\tI-VP\tO' -p333600 -aS'an\tan\tDT\tB-NP\tO' -p333601 -aS'elective\telective\tJJ\tI-NP\tO' -p333602 -aS'abortion\tabortion\tNN\tI-NP\tO' -p333603 -aS',\t,\t,\tO\tO' -p333604 -aS'an\tan\tDT\tB-NP\tO' -p333605 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p333606 -aS'CT\tCT\tNN\tI-NP\tO' -p333607 -aS'scan\tscan\tNN\tI-NP\tO' -p333608 -aS'was\tbe\tVBD\tB-VP\tO' -p333609 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p333610 -aS'which\twhich\tWDT\tB-NP\tO' -p333611 -aS'revealed\treveal\tVBD\tB-VP\tO' -p333612 -aS'diffuse\tdiffuse\tJJ\tB-NP\tO' -p333613 -aS'metastatic\tmetastatic\tJJ\tI-NP\tO' -p333614 -aS'lesions\tlesion\tNNS\tI-NP\tO' -p333615 -aS'of\tof\tIN\tB-PP\tO' -p333616 -aS'the\tthe\tDT\tB-NP\tO' -p333617 -aS'liverspine\tliverspine\tNN\tI-NP\tO' -p333618 -aS',\t,\t,\tO\tO' -p333619 -aS'ribs\trib\tNNS\tB-NP\tO' -p333620 -aS'and\tand\tCC\tO\tO' -p333621 -aS'most\tmost\tJJS\tB-NP\tO' -p333622 -aS'of\tof\tIN\tB-PP\tO' -p333623 -aS'the\tthe\tDT\tB-NP\tO' -p333624 -aS'lymph\tlymph\tNN\tI-NP\tO' -p333625 -aS'nodes\tnode\tNNS\tI-NP\tO' -p333626 -aS'.\t.\t.\tO\tO' -p333627 -asS'DISCHARGE MEDICATIONS are the same with the addition of viscous lidocaine jelly to be applied to buttock prn and viscous lidocaine swish and swallow tid prn before meals .' -p333628 -(lp333629 -S'DISCHARGE\tDISCHARGE\tNN\tB-NP\tO' -p333630 -aS'MEDICATIONS\tMEDICATIONS\tNNS\tI-NP\tO' -p333631 -aS'are\tbe\tVBP\tB-VP\tO' -p333632 -aS'the\tthe\tDT\tB-NP\tO' -p333633 -aS'same\tsame\tJJ\tI-NP\tO' -p333634 -aS'with\twith\tIN\tB-PP\tO' -p333635 -aS'the\tthe\tDT\tB-NP\tO' -p333636 -aS'addition\taddition\tNN\tI-NP\tO' -p333637 -aS'of\tof\tIN\tB-PP\tO' -p333638 -aS'viscous\tviscous\tJJ\tB-NP\tO' -p333639 -aS'lidocaine\tlidocaine\tNN\tI-NP\tO' -p333640 -aS'jelly\tjelly\tRB\tB-ADVP\tO' -p333641 -aS'to\tto\tTO\tB-VP\tO' -p333642 -aS'be\tbe\tVB\tI-VP\tO' -p333643 -aS'applied\tapply\tVBN\tI-VP\tO' -p333644 -aS'to\tto\tTO\tI-VP\tO' -p333645 -aS'buttock\tbuttock\tVB\tI-VP\tO' -p333646 -aS'prn\tprn\tNN\tB-NP\tO' -p333647 -aS'and\tand\tCC\tO\tO' -p333648 -aS'viscous\tviscous\tJJ\tB-NP\tO' -p333649 -aS'lidocaine\tlidocaine\tNN\tI-NP\tO' -p333650 -aS'swish\tswish\tVB\tB-VP\tO' -p333651 -aS'and\tand\tCC\tI-VP\tO' -p333652 -aS'swallow\tswallow\tVB\tI-VP\tO' -p333653 -aS'tid\ttid\tJJ\tB-NP\tO' -p333654 -aS'prn\tprn\tNN\tI-NP\tO' -p333655 -aS'before\tbefore\tIN\tB-PP\tO' -p333656 -aS'meals\tmeal\tNNS\tB-NP\tO' -p333657 -aS'.\t.\t.\tO\tO' -p333658 -asS'She is a pleasant , obese , black female in no apparent distress .' -p333659 -(lp333660 -S'She\tShe\tPRP\tB-NP\tO' -p333661 -aS'is\tbe\tVBZ\tB-VP\tO' -p333662 -aS'a\ta\tDT\tB-NP\tO' -p333663 -aS'pleasant\tpleasant\tJJ\tI-NP\tO' -p333664 -aS',\t,\t,\tI-NP\tO' -p333665 -aS'obese\tobese\tJJ\tI-NP\tO' -p333666 -aS',\t,\t,\tI-NP\tO' -p333667 -aS'black\tblack\tJJ\tI-NP\tO' -p333668 -aS'female\tfemale\tNN\tI-NP\tO' -p333669 -aS'in\tin\tIN\tB-PP\tO' -p333670 -aS'no\tno\tDT\tB-NP\tO' -p333671 -aS'apparent\tapparent\tJJ\tI-NP\tO' -p333672 -aS'distress\tdistress\tNN\tI-NP\tO' -p333673 -aS'.\t.\t.\tO\tO' -p333674 -asS'He was loaded with Mannitol and Dilantin in the emergency room .' -p333675 -(lp333676 -S'He\tHe\tPRP\tB-NP\tO' -p333677 -aS'was\tbe\tVBD\tB-VP\tO' -p333678 -aS'loaded\tload\tVBN\tI-VP\tO' -p333679 -aS'with\twith\tIN\tB-PP\tO' -p333680 -aS'Mannitol\tMannitol\tNN\tB-NP\tO' -p333681 -aS'and\tand\tCC\tI-NP\tO' -p333682 -aS'Dilantin\tDilantin\tNN\tI-NP\tB-protein' -p333683 -aS'in\tin\tIN\tB-PP\tO' -p333684 -aS'the\tthe\tDT\tB-NP\tO' -p333685 -aS'emergency\temergency\tNN\tI-NP\tO' -p333686 -aS'room\troom\tNN\tI-NP\tO' -p333687 -aS'.\t.\t.\tO\tO' -p333688 -asS'The patient is a 64 year old gentleman with a history of elevated PSA , prostate cancer .' -p333689 -(lp333690 -S'The\tThe\tDT\tB-NP\tO' -p333691 -aS'patient\tpatient\tNN\tI-NP\tO' -p333692 -aS'is\tbe\tVBZ\tB-VP\tO' -p333693 -aS'a\ta\tDT\tB-NP\tO' -p333694 -aS'64\t64\tCD\tI-NP\tO' -p333695 -aS'year\tyear\tNN\tI-NP\tO' -p333696 -aS'old\told\tJJ\tI-NP\tO' -p333697 -aS'gentleman\tgentleman\tNN\tI-NP\tO' -p333698 -aS'with\twith\tIN\tB-PP\tO' -p333699 -aS'a\ta\tDT\tB-NP\tO' -p333700 -aS'history\thistory\tNN\tI-NP\tO' -p333701 -aS'of\tof\tIN\tB-PP\tO' -p333702 -aS'elevated\televated\tJJ\tB-NP\tO' -p333703 -aS'PSA\tPSA\tNN\tI-NP\tB-protein' -p333704 -aS',\t,\t,\tO\tO' -p333705 -aS'prostate\tprostate\tNN\tB-NP\tO' -p333706 -aS'cancer\tcancer\tNN\tI-NP\tO' -p333707 -aS'.\t.\t.\tO\tO' -p333708 -asS'Over the course of the hospitalization , the swelling and tenderness and erythema have steadily decreased .' -p333709 -(lp333710 -S'Over\tOver\tIN\tB-PP\tO' -p333711 -aS'the\tthe\tDT\tB-NP\tO' -p333712 -aS'course\tcourse\tNN\tI-NP\tO' -p333713 -aS'of\tof\tIN\tB-PP\tO' -p333714 -aS'the\tthe\tDT\tB-NP\tO' -p333715 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p333716 -aS',\t,\t,\tO\tO' -p333717 -aS'the\tthe\tDT\tB-NP\tO' -p333718 -aS'swelling\tswelling\tNN\tI-NP\tO' -p333719 -aS'and\tand\tCC\tI-NP\tO' -p333720 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p333721 -aS'and\tand\tCC\tI-NP\tO' -p333722 -aS'erythema\terythema\tNN\tI-NP\tO' -p333723 -aS'have\thave\tVBP\tB-VP\tO' -p333724 -aS'steadily\tsteadily\tRB\tI-VP\tO' -p333725 -aS'decreased\tdecrease\tVBN\tI-VP\tO' -p333726 -aS'.\t.\t.\tO\tO' -p333727 -asS'He has steroid injections in the right and in the left four times .' -p333728 -(lp333729 -S'He\tHe\tPRP\tB-NP\tO' -p333730 -aS'has\thave\tVBZ\tB-VP\tO' -p333731 -aS'steroid\tsteroid\tJJ\tB-NP\tO' -p333732 -aS'injections\tinjection\tNNS\tI-NP\tO' -p333733 -aS'in\tin\tIN\tB-PP\tO' -p333734 -aS'the\tthe\tDT\tB-NP\tO' -p333735 -aS'right\tright\tNN\tI-NP\tO' -p333736 -aS'and\tand\tCC\tB-PP\tO' -p333737 -aS'in\tin\tIN\tB-PP\tO' -p333738 -aS'the\tthe\tDT\tB-NP\tO' -p333739 -aS'left\tleft\tJJ\tI-NP\tO' -p333740 -aS'four\tfour\tCD\tI-NP\tO' -p333741 -aS'times\ttime\tNNS\tI-NP\tO' -p333742 -aS'.\t.\t.\tO\tO' -p333743 -asS'Hypothyroid - She was continued on her Synthroid .' -p333744 -(lp333745 -S'Hypothyroid\tHypothyroid\tNN\tB-NP\tO' -p333746 -aS'-\t-\tHYPH\tI-NP\tO' -p333747 -aS'She\tShe\tNN\tI-NP\tB-protein' -p333748 -aS'was\tbe\tVBD\tB-VP\tO' -p333749 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p333750 -aS'on\ton\tIN\tB-PP\tO' -p333751 -aS'her\ther\tPRP$\tB-NP\tO' -p333752 -aS'Synthroid\tSynthroid\tNN\tI-NP\tO' -p333753 -aS'.\t.\t.\tO\tO' -p333754 -asS'4. Nitropaste , 1 inch to chest wall , q8h.' -p333755 -(lp333756 -S'4.\t4.\tLS\tB-NP\tO' -p333757 -aS'Nitropaste\tNitropaste\tNN\tI-NP\tO' -p333758 -aS',\t,\t,\tO\tO' -p333759 -aS'1\t1\tCD\tB-NP\tO' -p333760 -aS'inch\tinch\tNN\tI-NP\tO' -p333761 -aS'to\tto\tTO\tB-VP\tO' -p333762 -aS'chest\tchest\tVB\tI-VP\tO' -p333763 -aS'wall\twall\tNN\tB-NP\tO' -p333764 -aS',\t,\t,\tO\tO' -p333765 -aS'q8h.\tq8h.\tNN\tB-NP\tO' -p333766 -asS'He will be discharged to home and was cleared by Physical Therapy .' -p333767 -(lp333768 -S'He\tHe\tPRP\tB-NP\tO' -p333769 -aS'will\twill\tMD\tB-VP\tO' -p333770 -aS'be\tbe\tVB\tI-VP\tO' -p333771 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p333772 -aS'to\tto\tTO\tB-PP\tO' -p333773 -aS'home\thome\tNN\tB-NP\tO' -p333774 -aS'and\tand\tCC\tO\tO' -p333775 -aS'was\tbe\tVBD\tB-VP\tO' -p333776 -aS'cleared\tclear\tVBN\tI-VP\tO' -p333777 -aS'by\tby\tIN\tB-PP\tO' -p333778 -aS'Physical\tPhysical\tJJ\tB-NP\tO' -p333779 -aS'Therapy\tTherapy\tNN\tI-NP\tO' -p333780 -aS'.\t.\t.\tO\tO' -p333781 -asS'IMPRESSION : No evidence of significant abnormality .' -p333782 -(lp333783 -S'IMPRESSION\tIMPRESSION\tNN\tB-NP\tO' -p333784 -aS':\t:\t:\tO\tO' -p333785 -aS'No\tNo\tDT\tB-NP\tO' -p333786 -aS'evidence\tevidence\tNN\tI-NP\tO' -p333787 -aS'of\tof\tIN\tB-PP\tO' -p333788 -aS'significant\tsignificant\tJJ\tB-NP\tO' -p333789 -aS'abnormality\tabnormality\tNN\tI-NP\tO' -p333790 -aS'.\t.\t.\tO\tO' -p333791 -asS'Left lower lobe basal opacity .' -p333792 -(lp333793 -S'Left\tLeave\tVBN\tB-VP\tO' -p333794 -aS'lower\tlow\tJJR\tB-NP\tO' -p333795 -aS'lobe\tlobe\tNN\tI-NP\tO' -p333796 -aS'basal\tbasal\tJJ\tI-NP\tO' -p333797 -aS'opacity\topacity\tNN\tI-NP\tO' -p333798 -aS'.\t.\t.\tO\tO' -p333799 -asS'Subsequently all antibiotics , blood draws and supportive blood pressure medications were withdrawn .' -p333800 -(lp333801 -S'Subsequently\tSubsequently\tRB\tB-ADVP\tO' -p333802 -aS'all\tall\tDT\tB-NP\tO' -p333803 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p333804 -aS',\t,\t,\tO\tO' -p333805 -aS'blood\tblood\tNN\tB-NP\tO' -p333806 -aS'draws\tdraw\tNNS\tI-NP\tO' -p333807 -aS'and\tand\tCC\tO\tO' -p333808 -aS'supportive\tsupportive\tJJ\tB-NP\tO' -p333809 -aS'blood\tblood\tNN\tI-NP\tO' -p333810 -aS'pressure\tpressure\tNN\tI-NP\tO' -p333811 -aS'medications\tmedication\tNNS\tI-NP\tO' -p333812 -aS'were\tbe\tVBD\tB-VP\tO' -p333813 -aS'withdrawn\twithdraw\tVBN\tI-VP\tO' -p333814 -aS'.\t.\t.\tO\tO' -p333815 -asS'On postoperative day number two , interestingly , the patient was complaining of sensitivity to light from an unknown etiology .' -p333816 -(lp333817 -S'On\tOn\tIN\tB-PP\tO' -p333818 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p333819 -aS'day\tday\tNN\tI-NP\tO' -p333820 -aS'number\tnumber\tNN\tI-NP\tO' -p333821 -aS'two\ttwo\tCD\tB-NP\tO' -p333822 -aS',\t,\t,\tO\tO' -p333823 -aS'interestingly\tinterestingly\tRB\tB-ADVP\tO' -p333824 -aS',\t,\t,\tO\tO' -p333825 -aS'the\tthe\tDT\tB-NP\tO' -p333826 -aS'patient\tpatient\tNN\tI-NP\tO' -p333827 -aS'was\tbe\tVBD\tB-VP\tO' -p333828 -aS'complaining\tcomplain\tVBG\tI-VP\tO' -p333829 -aS'of\tof\tIN\tB-PP\tO' -p333830 -aS'sensitivity\tsensitivity\tNN\tB-NP\tO' -p333831 -aS'to\tto\tTO\tB-PP\tO' -p333832 -aS'light\tlight\tNN\tB-NP\tO' -p333833 -aS'from\tfrom\tIN\tB-PP\tO' -p333834 -aS'an\tan\tDT\tB-NP\tO' -p333835 -aS'unknown\tunknown\tJJ\tI-NP\tO' -p333836 -aS'etiology\tetiology\tNN\tI-NP\tO' -p333837 -aS'.\t.\t.\tO\tO' -p333838 -asS'On 06/26/00 due to agitation , change in mental status and increased respiratory distress , the patient was intubated .' -p333839 -(lp333840 -S'On\tOn\tIN\tB-PP\tO' -p333841 -aS'06/26/00\t06/26/00\tCD\tB-NP\tO' -p333842 -aS'due\tdue\tIN\tB-PP\tO' -p333843 -aS'to\tto\tTO\tB-PP\tO' -p333844 -aS'agitation\tagitation\tNN\tB-NP\tO' -p333845 -aS',\t,\t,\tO\tO' -p333846 -aS'change\tchange\tNN\tB-NP\tO' -p333847 -aS'in\tin\tIN\tB-PP\tO' -p333848 -aS'mental\tmental\tJJ\tB-NP\tO' -p333849 -aS'status\tstatus\tNN\tI-NP\tO' -p333850 -aS'and\tand\tCC\tO\tO' -p333851 -aS'increased\tincrease\tVBD\tB-VP\tO' -p333852 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p333853 -aS'distress\tdistress\tNN\tI-NP\tO' -p333854 -aS',\t,\t,\tO\tO' -p333855 -aS'the\tthe\tDT\tB-NP\tO' -p333856 -aS'patient\tpatient\tNN\tI-NP\tO' -p333857 -aS'was\tbe\tVBD\tB-VP\tO' -p333858 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p333859 -aS'.\t.\t.\tO\tO' -p333860 -asS'Her ferritin and iron studies did not reveal any evidence of hemochromatosis and her hep serologies were all negative .' -p333861 -(lp333862 -S'Her\tHer\tPRP$\tB-NP\tO' -p333863 -aS'ferritin\tferritin\tNN\tI-NP\tB-protein' -p333864 -aS'and\tand\tCC\tI-NP\tO' -p333865 -aS'iron\tiron\tNN\tI-NP\tO' -p333866 -aS'studies\tstudy\tNNS\tI-NP\tO' -p333867 -aS'did\tdo\tVBD\tB-VP\tO' -p333868 -aS'not\tnot\tRB\tI-VP\tO' -p333869 -aS'reveal\treveal\tVB\tI-VP\tO' -p333870 -aS'any\tany\tDT\tB-NP\tO' -p333871 -aS'evidence\tevidence\tNN\tI-NP\tO' -p333872 -aS'of\tof\tIN\tB-PP\tO' -p333873 -aS'hemochromatosis\themochromatosis\tNN\tB-NP\tO' -p333874 -aS'and\tand\tCC\tO\tO' -p333875 -aS'her\ther\tPRP$\tB-NP\tO' -p333876 -aS'hep\thep\tNN\tI-NP\tO' -p333877 -aS'serologies\tserology\tNNS\tI-NP\tO' -p333878 -aS'were\tbe\tVBD\tB-VP\tO' -p333879 -aS'all\tall\tDT\tO\tO' -p333880 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p333881 -aS'.\t.\t.\tO\tO' -p333882 -asS'The patient has a history of congestive heart failure .' -p333883 -(lp333884 -S'The\tThe\tDT\tB-NP\tO' -p333885 -aS'patient\tpatient\tNN\tI-NP\tO' -p333886 -aS'has\thave\tVBZ\tB-VP\tO' -p333887 -aS'a\ta\tDT\tB-NP\tO' -p333888 -aS'history\thistory\tNN\tI-NP\tO' -p333889 -aS'of\tof\tIN\tB-PP\tO' -p333890 -aS'congestive\tcongestive\tJJ\tB-NP\tO' -p333891 -aS'heart\theart\tNN\tI-NP\tO' -p333892 -aS'failure\tfailure\tNN\tI-NP\tO' -p333893 -aS'.\t.\t.\tO\tO' -p333894 -asS'Please complete a total 14 day course of linezolid .' -p333895 -(lp333896 -S'Please\tPlease\tVB\tB-VP\tO' -p333897 -aS'complete\tcomplete\tVB\tI-VP\tO' -p333898 -aS'a\ta\tDT\tB-NP\tO' -p333899 -aS'total\ttotal\tJJ\tI-NP\tO' -p333900 -aS'14\t14\tCD\tI-NP\tO' -p333901 -aS'day\tday\tNN\tI-NP\tO' -p333902 -aS'course\tcourse\tNN\tI-NP\tO' -p333903 -aS'of\tof\tIN\tB-PP\tO' -p333904 -aS'linezolid\tlinezolid\tNN\tB-NP\tO' -p333905 -aS'.\t.\t.\tO\tO' -p333906 -asS'On HD 2 she was switched to Fioricet , which helped with her headaches .' -p333907 -(lp333908 -S'On\tOn\tIN\tB-PP\tO' -p333909 -aS'HD\tHD\tNN\tB-NP\tB-protein' -p333910 -aS'2\t2\tCD\tI-NP\tI-protein' -p333911 -aS'she\tshe\tPRP\tB-NP\tO' -p333912 -aS'was\tbe\tVBD\tB-VP\tO' -p333913 -aS'switched\tswitch\tVBN\tI-VP\tO' -p333914 -aS'to\tto\tTO\tB-PP\tO' -p333915 -aS'Fioricet\tFioricet\tNNP\tB-NP\tO' -p333916 -aS',\t,\t,\tO\tO' -p333917 -aS'which\twhich\tWDT\tB-NP\tO' -p333918 -aS'helped\thelp\tVBD\tB-VP\tO' -p333919 -aS'with\twith\tIN\tB-PP\tO' -p333920 -aS'her\ther\tPRP$\tB-NP\tO' -p333921 -aS'headaches\theadache\tNNS\tI-NP\tO' -p333922 -aS'.\t.\t.\tO\tO' -p333923 -asS'An endotracheal tube terminates just above the thoracic inlet approximately 6.5 cm above the carina .' -p333924 -(lp333925 -S'An\tAn\tDT\tB-NP\tO' -p333926 -aS'endotracheal\tendotracheal\tJJ\tI-NP\tO' -p333927 -aS'tube\ttube\tNN\tI-NP\tO' -p333928 -aS'terminates\tterminate\tVBZ\tB-VP\tO' -p333929 -aS'just\tjust\tRB\tB-PP\tO' -p333930 -aS'above\tabove\tIN\tI-PP\tO' -p333931 -aS'the\tthe\tDT\tB-NP\tO' -p333932 -aS'thoracic\tthoracic\tJJ\tI-NP\tO' -p333933 -aS'inlet\tinlet\tNN\tI-NP\tO' -p333934 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p333935 -aS'6.5\t6.5\tCD\tI-NP\tO' -p333936 -aS'cm\tcm\tNN\tI-NP\tO' -p333937 -aS'above\tabove\tIN\tB-PP\tO' -p333938 -aS'the\tthe\tDT\tB-NP\tO' -p333939 -aS'carina\tcarina\tNN\tI-NP\tO' -p333940 -aS'.\t.\t.\tO\tO' -p333941 -asS'Gen : young male , intubated , sedated , in hard collar .' -p333942 -(lp333943 -S'Gen\tGen\tNN\tB-NP\tO' -p333944 -aS':\t:\t:\tO\tO' -p333945 -aS'young\tyoung\tJJ\tB-NP\tO' -p333946 -aS'male\tmale\tJJ\tI-NP\tO' -p333947 -aS',\t,\t,\tO\tO' -p333948 -aS'intubated\tintubate\tVBN\tB-VP\tO' -p333949 -aS',\t,\t,\tO\tO' -p333950 -aS'sedated\tsedate\tVBN\tB-VP\tO' -p333951 -aS',\t,\t,\tO\tO' -p333952 -aS'in\tin\tIN\tB-PP\tO' -p333953 -aS'hard\thard\tJJ\tB-NP\tO' -p333954 -aS'collar\tcollar\tNN\tI-NP\tO' -p333955 -aS'.\t.\t.\tO\tO' -p333956 -asS'Echocardiogram revealing segmental left ventricular dysfunction involving inferoseptal , inferior and posterior segments at the base and mid ventricular level .' -p333957 -(lp333958 -S'Echocardiogram\tEchocardiogram\tNN\tB-NP\tO' -p333959 -aS'revealing\treveal\tVBG\tB-VP\tO' -p333960 -aS'segmental\tsegmental\tJJ\tB-NP\tO' -p333961 -aS'left\tleft\tJJ\tI-NP\tO' -p333962 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p333963 -aS'dysfunction\tdysfunction\tNN\tI-NP\tO' -p333964 -aS'involving\tinvolve\tVBG\tB-VP\tO' -p333965 -aS'inferoseptal\tinferoseptal\tJJ\tB-NP\tO' -p333966 -aS',\t,\t,\tI-NP\tO' -p333967 -aS'inferior\tinferior\tJJ\tI-NP\tO' -p333968 -aS'and\tand\tCC\tI-NP\tO' -p333969 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p333970 -aS'segments\tsegment\tNNS\tI-NP\tO' -p333971 -aS'at\tat\tIN\tB-PP\tO' -p333972 -aS'the\tthe\tDT\tB-NP\tO' -p333973 -aS'base\tbase\tNN\tI-NP\tO' -p333974 -aS'and\tand\tCC\tI-NP\tO' -p333975 -aS'mid\tmid\tJJ\tI-NP\tO' -p333976 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p333977 -aS'level\tlevel\tNN\tI-NP\tO' -p333978 -aS'.\t.\t.\tO\tO' -p333979 -asS'Electronically signed by Lisa John , MD on 2017-06-13 18:41 .' -p333980 -(lp333981 -S'Electronically\tElectronically\tRB\tB-ADVP\tO' -p333982 -aS'signed\tsign\tVBN\tB-VP\tO' -p333983 -aS'by\tby\tIN\tB-PP\tO' -p333984 -aS'Lisa\tLisa\tNNP\tB-NP\tO' -p333985 -aS'John\tJohn\tNNP\tI-NP\tO' -p333986 -aS',\t,\t,\tO\tO' -p333987 -aS'MD\tMD\tNN\tB-NP\tO' -p333988 -aS'on\ton\tIN\tB-PP\tO' -p333989 -aS'2017-06-13\t2017-06-13\tCD\tB-NP\tO' -p333990 -aS'18:41\t18:41\tCD\tI-NP\tO' -p333991 -aS'.\t.\t.\tO\tO' -p333992 -asS'The patient is a divorced mother of two on Medicaid .' -p333993 -(lp333994 -S'The\tThe\tDT\tB-NP\tO' -p333995 -aS'patient\tpatient\tNN\tI-NP\tO' -p333996 -aS'is\tbe\tVBZ\tB-VP\tO' -p333997 -aS'a\ta\tDT\tB-NP\tO' -p333998 -aS'divorced\tdivorced\tJJ\tI-NP\tO' -p333999 -aS'mother\tmother\tNN\tI-NP\tO' -p334000 -aS'of\tof\tIN\tB-PP\tO' -p334001 -aS'two\ttwo\tCD\tB-NP\tO' -p334002 -aS'on\ton\tIN\tB-PP\tO' -p334003 -aS'Medicaid\tMedicaid\tNNP\tB-NP\tO' -p334004 -aS'.\t.\t.\tO\tO' -p334005 -asS'2. Endocarditis .' -p334006 -(lp334007 -S'2.\t2.\tLS\tB-NP\tO' -p334008 -aS'Endocarditis\tEndocarditis\tNN\tI-NP\tO' -p334009 -aS'.\t.\t.\tO\tO' -p334010 -asS'Correlation with mammography is suggested .' -p334011 -(lp334012 -S'Correlation\tCorrelation\tNN\tB-NP\tO' -p334013 -aS'with\twith\tIN\tB-PP\tO' -p334014 -aS'mammography\tmammography\tNN\tB-NP\tO' -p334015 -aS'is\tbe\tVBZ\tB-VP\tO' -p334016 -aS'suggested\tsuggest\tVBN\tI-VP\tO' -p334017 -aS'.\t.\t.\tO\tO' -p334018 -asS'Continue to take the insulin as you were taking prior to the hospital visit' -p334019 -(lp334020 -S'Continue\tContinue\tNNP\tB-NP\tO' -p334021 -aS'to\tto\tTO\tB-VP\tO' -p334022 -aS'take\ttake\tVB\tI-VP\tO' -p334023 -aS'the\tthe\tDT\tB-NP\tO' -p334024 -aS'insulin\tinsulin\tNN\tI-NP\tB-protein' -p334025 -aS'as\tas\tIN\tB-SBAR\tO' -p334026 -aS'you\tyou\tPRP\tB-NP\tO' -p334027 -aS'were\tbe\tVBD\tB-VP\tO' -p334028 -aS'taking\ttake\tVBG\tI-VP\tO' -p334029 -aS'prior\tprior\tJJ\tB-ADVP\tO' -p334030 -aS'to\tto\tTO\tB-PP\tO' -p334031 -aS'the\tthe\tDT\tB-NP\tO' -p334032 -aS'hospital\thospital\tNN\tI-NP\tO' -p334033 -aS'visit\tvisit\tNN\tI-NP\tO' -p334034 -asS'Patient has a history of suicidal ideations and self mutilation .' -p334035 -(lp334036 -S'Patient\tPatient\tNN\tB-NP\tO' -p334037 -aS'has\thave\tVBZ\tB-VP\tO' -p334038 -aS'a\ta\tDT\tB-NP\tO' -p334039 -aS'history\thistory\tNN\tI-NP\tO' -p334040 -aS'of\tof\tIN\tB-PP\tO' -p334041 -aS'suicidal\tsuicidal\tJJ\tB-NP\tO' -p334042 -aS'ideations\tideation\tNNS\tI-NP\tO' -p334043 -aS'and\tand\tCC\tO\tO' -p334044 -aS'self\tself\tNN\tB-NP\tO' -p334045 -aS'mutilation\tmutilation\tNN\tI-NP\tO' -p334046 -aS'.\t.\t.\tO\tO' -p334047 -asS'We want her INR to remain between 2 and 3 .' -p334048 -(lp334049 -S'We\tWe\tPRP\tB-NP\tO' -p334050 -aS'want\twant\tVBP\tB-VP\tO' -p334051 -aS'her\ther\tPRP$\tB-NP\tO' -p334052 -aS'INR\tINR\tNN\tI-NP\tB-protein' -p334053 -aS'to\tto\tTO\tB-VP\tO' -p334054 -aS'remain\tremain\tVB\tI-VP\tO' -p334055 -aS'between\tbetween\tIN\tB-NP\tO' -p334056 -aS'2\t2\tCD\tI-NP\tO' -p334057 -aS'and\tand\tCC\tI-NP\tO' -p334058 -aS'3\t3\tCD\tI-NP\tO' -p334059 -aS'.\t.\t.\tO\tO' -p334060 -asS'Signed electronically by : DR. Felix Garcia on : FRI 2012-06-15 4:29 PM' -p334061 -(lp334062 -S'Signed\tSign\tVBN\tB-VP\tO' -p334063 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p334064 -aS'by\tby\tIN\tB-PP\tO' -p334065 -aS':\t:\t:\tO\tO' -p334066 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p334067 -aS'Felix\tFelix\tNNP\tI-NP\tO' -p334068 -aS'Garcia\tGarcia\tNNP\tI-NP\tO' -p334069 -aS'on\ton\tIN\tB-PP\tO' -p334070 -aS':\t:\t:\tO\tO' -p334071 -aS'FRI\tFRI\tCD\tB-NP\tO' -p334072 -aS'2012-06-15\t2012-06-15\tCD\tI-NP\tO' -p334073 -aS'4:29\t4:29\tCD\tI-NP\tO' -p334074 -aS'PM\tPM\tNN\tI-NP\tO' -p334075 -asS'prn albuterol only given A fib with RVR' -p334076 -(lp334077 -S'prn\tprn\tNN\tB-NP\tO' -p334078 -aS'albuterol\talbuterol\tNN\tI-NP\tO' -p334079 -aS'only\tonly\tRB\tB-NP\tO' -p334080 -aS'given\tgive\tVBN\tI-NP\tO' -p334081 -aS'A\tA\tNN\tI-NP\tO' -p334082 -aS'fib\tfib\tNN\tI-NP\tO' -p334083 -aS'with\twith\tIN\tB-PP\tO' -p334084 -aS'RVR\tRVR\tNN\tB-NP\tB-protein' -p334085 -asS'Neurologic examination - somnolent , awake , arousable to commands , though he falls asleep rapidly .' -p334086 -(lp334087 -S'Neurologic\tNeurologic\tJJ\tB-NP\tO' -p334088 -aS'examination\texamination\tNN\tI-NP\tO' -p334089 -aS'-\t-\tHYPH\tB-NP\tO' -p334090 -aS'somnolent\tsomnolent\tJJ\tI-NP\tO' -p334091 -aS',\t,\t,\tI-NP\tO' -p334092 -aS'awake\tawake\tJJ\tI-NP\tO' -p334093 -aS',\t,\t,\tI-NP\tO' -p334094 -aS'arousable\tarousable\tJJ\tI-NP\tO' -p334095 -aS'to\tto\tTO\tB-PP\tO' -p334096 -aS'commands\tcommand\tNNS\tB-NP\tO' -p334097 -aS',\t,\t,\tO\tO' -p334098 -aS'though\tthough\tIN\tB-SBAR\tO' -p334099 -aS'he\the\tPRP\tB-NP\tO' -p334100 -aS'falls\tfall\tVBZ\tB-VP\tO' -p334101 -aS'asleep\tasleep\tRB\tB-ADVP\tO' -p334102 -aS'rapidly\trapidly\tRB\tB-ADVP\tO' -p334103 -aS'.\t.\t.\tO\tO' -p334104 -asS'She was discharged on 06/16/2001 at 12:00 pm in stable condition .' -p334105 -(lp334106 -S'She\tShe\tPRP\tB-NP\tO' -p334107 -aS'was\tbe\tVBD\tB-VP\tO' -p334108 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p334109 -aS'on\ton\tIN\tB-PP\tO' -p334110 -aS'06/16/2001\t06/16/2001\tCD\tB-NP\tO' -p334111 -aS'at\tat\tIN\tB-PP\tO' -p334112 -aS'12:00\t12:00\tCD\tB-NP\tO' -p334113 -aS'pm\tpm\tNN\tI-NP\tO' -p334114 -aS'in\tin\tIN\tB-PP\tO' -p334115 -aS'stable\tstable\tJJ\tB-NP\tO' -p334116 -aS'condition\tcondition\tNN\tI-NP\tO' -p334117 -aS'.\t.\t.\tO\tO' -p334118 -asS'after the procedure and 2 more units of packed red blood cells , the patient was hemodynamically stable and hematocrit was stable at 31.2 .' -p334119 -(lp334120 -S'after\tafter\tIN\tB-PP\tO' -p334121 -aS'the\tthe\tDT\tB-NP\tO' -p334122 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p334123 -aS'and\tand\tCC\tI-NP\tO' -p334124 -aS'2\t2\tCD\tI-NP\tO' -p334125 -aS'more\tmore\tJJR\tI-NP\tO' -p334126 -aS'units\tunit\tNNS\tI-NP\tO' -p334127 -aS'of\tof\tIN\tB-PP\tO' -p334128 -aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' -p334129 -aS'red\tred\tJJ\tI-NP\tI-cell_type' -p334130 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p334131 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p334132 -aS',\t,\t,\tO\tO' -p334133 -aS'the\tthe\tDT\tB-NP\tO' -p334134 -aS'patient\tpatient\tNN\tI-NP\tO' -p334135 -aS'was\tbe\tVBD\tB-VP\tO' -p334136 -aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' -p334137 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p334138 -aS'and\tand\tCC\tO\tO' -p334139 -aS'hematocrit\thematocrit\tNN\tB-NP\tO' -p334140 -aS'was\tbe\tVBD\tB-VP\tO' -p334141 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p334142 -aS'at\tat\tIN\tB-PP\tO' -p334143 -aS'31.2\t31.2\tCD\tB-NP\tO' -p334144 -aS'.\t.\t.\tO\tO' -p334145 -asS'Anterior fontanel was soft , open and flat .' -p334146 -(lp334147 -S'Anterior\tAnterior\tJJ\tB-NP\tO' -p334148 -aS'fontanel\tfontanel\tNN\tI-NP\tO' -p334149 -aS'was\tbe\tVBD\tB-VP\tO' -p334150 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p334151 -aS',\t,\t,\tI-ADJP\tO' -p334152 -aS'open\topen\tJJ\tI-ADJP\tO' -p334153 -aS'and\tand\tCC\tI-ADJP\tO' -p334154 -aS'flat\tflat\tJJ\tI-ADJP\tO' -p334155 -aS'.\t.\t.\tO\tO' -p334156 -asS'Lungs were clear to auscultation and percussion bilaterally .' -p334157 -(lp334158 -S'Lungs\tLung\tNNS\tB-NP\tO' -p334159 -aS'were\tbe\tVBD\tB-VP\tO' -p334160 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p334161 -aS'to\tto\tTO\tB-PP\tO' -p334162 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p334163 -aS'and\tand\tCC\tI-NP\tO' -p334164 -aS'percussion\tpercussion\tNN\tI-NP\tO' -p334165 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p334166 -aS'.\t.\t.\tO\tO' -p334167 -asS'To be continued in a separate dictation .' -p334168 -(lp334169 -S'To\tTo\tTO\tB-VP\tO' -p334170 -aS'be\tbe\tVB\tI-VP\tO' -p334171 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p334172 -aS'in\tin\tIN\tB-PP\tO' -p334173 -aS'a\ta\tDT\tB-NP\tO' -p334174 -aS'separate\tseparate\tJJ\tI-NP\tO' -p334175 -aS'dictation\tdictation\tNN\tI-NP\tO' -p334176 -aS'.\t.\t.\tO\tO' -p334177 -asS'Fibrinogen was 192 .' -p334178 -(lp334179 -S'Fibrinogen\tFibrinogen\tNN\tB-NP\tB-protein' -p334180 -aS'was\tbe\tVBD\tB-VP\tO' -p334181 -aS'192\t192\tCD\tB-NP\tO' -p334182 -aS'.\t.\t.\tO\tO' -p334183 -asS'Dictated By : Catherine K Thomas , M.D.' -p334184 -(lp334185 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p334186 -aS'By\tBy\tIN\tB-PP\tO' -p334187 -aS':\t:\t:\tO\tO' -p334188 -aS'Catherine\tCatherine\tNNP\tB-NP\tO' -p334189 -aS'K\tK\tNNP\tI-NP\tO' -p334190 -aS'Thomas\tThomas\tNNP\tI-NP\tO' -p334191 -aS',\t,\t,\tO\tO' -p334192 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p334193 -asS'30-year-old woman with metastatic squamous cell carcinoma of unknown primary .' -p334194 -(lp334195 -S'30-year-old\t30-year-old\tJJ\tB-NP\tO' -p334196 -aS'woman\twoman\tNN\tI-NP\tO' -p334197 -aS'with\twith\tIN\tB-PP\tO' -p334198 -aS'metastatic\tmetastatic\tJJ\tB-NP\tO' -p334199 -aS'squamous\tsquamous\tJJ\tI-NP\tO' -p334200 -aS'cell\tcell\tNN\tI-NP\tO' -p334201 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p334202 -aS'of\tof\tIN\tB-PP\tO' -p334203 -aS'unknown\tunknown\tJJ\tB-NP\tO' -p334204 -aS'primary\tprimary\tNN\tI-NP\tO' -p334205 -aS'.\t.\t.\tO\tO' -p334206 -asS'Transthoracic echo demonstrated gradients of 100 peak and 65 mean across the aortic valve and there was mild aortic insufficiency and ejection fraction was noted to be 18% with global hypokinesis .' -p334207 -(lp334208 -S'Transthoracic\tTransthoracic\tJJ\tB-NP\tO' -p334209 -aS'echo\techo\tNN\tI-NP\tO' -p334210 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p334211 -aS'gradients\tgradient\tNNS\tB-NP\tO' -p334212 -aS'of\tof\tIN\tB-PP\tO' -p334213 -aS'100\t100\tCD\tB-NP\tO' -p334214 -aS'peak\tpeak\tNN\tI-NP\tO' -p334215 -aS'and\tand\tCC\tO\tO' -p334216 -aS'65\t65\tCD\tB-NP\tO' -p334217 -aS'mean\tmean\tNN\tI-NP\tO' -p334218 -aS'across\tacross\tIN\tB-PP\tO' -p334219 -aS'the\tthe\tDT\tB-NP\tO' -p334220 -aS'aortic\taortic\tJJ\tI-NP\tO' -p334221 -aS'valve\tvalve\tNN\tI-NP\tO' -p334222 -aS'and\tand\tCC\tO\tO' -p334223 -aS'there\tthere\tEX\tB-NP\tO' -p334224 -aS'was\tbe\tVBD\tB-VP\tO' -p334225 -aS'mild\tmild\tJJ\tB-NP\tO' -p334226 -aS'aortic\taortic\tJJ\tI-NP\tO' -p334227 -aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' -p334228 -aS'and\tand\tCC\tI-NP\tO' -p334229 -aS'ejection\tejection\tNN\tI-NP\tO' -p334230 -aS'fraction\tfraction\tNN\tI-NP\tO' -p334231 -aS'was\tbe\tVBD\tB-VP\tO' -p334232 -aS'noted\tnote\tVBN\tI-VP\tO' -p334233 -aS'to\tto\tTO\tI-VP\tO' -p334234 -aS'be\tbe\tVB\tI-VP\tO' -p334235 -aS'18%\t18%\tCD\tB-NP\tO' -p334236 -aS'with\twith\tIN\tB-PP\tO' -p334237 -aS'global\tglobal\tJJ\tB-NP\tO' -p334238 -aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' -p334239 -aS'.\t.\t.\tO\tO' -p334240 -asS'Abnormal portable EEG due to the slow and disorganized background and bursts of generalized slowing .' -p334241 -(lp334242 -S'Abnormal\tAbnormal\tJJ\tB-NP\tO' -p334243 -aS'portable\tportable\tJJ\tI-NP\tO' -p334244 -aS'EEG\tEEG\tNN\tI-NP\tO' -p334245 -aS'due\tdue\tJJ\tB-PP\tO' -p334246 -aS'to\tto\tTO\tB-PP\tO' -p334247 -aS'the\tthe\tDT\tB-NP\tO' -p334248 -aS'slow\tslow\tJJ\tI-NP\tO' -p334249 -aS'and\tand\tCC\tI-NP\tO' -p334250 -aS'disorganized\tdisorganized\tJJ\tI-NP\tO' -p334251 -aS'background\tbackground\tNN\tI-NP\tO' -p334252 -aS'and\tand\tCC\tI-NP\tO' -p334253 -aS'bursts\tburst\tNNS\tI-NP\tO' -p334254 -aS'of\tof\tIN\tB-PP\tO' -p334255 -aS'generalized\tgeneralize\tVBN\tB-NP\tO' -p334256 -aS'slowing\tslow\tVBG\tI-NP\tO' -p334257 -aS'.\t.\t.\tO\tO' -p334258 -asS'This is a 104 year old female patient with a history of chronic obstructive pulmonary disease , coronary artery disease , hypertension and cerebrovascular accident who presents with shortness of breath and cough .' -p334259 -(lp334260 -S'This\tThis\tDT\tB-NP\tO' -p334261 -aS'is\tbe\tVBZ\tB-VP\tO' -p334262 -aS'a\ta\tDT\tB-NP\tO' -p334263 -aS'104\t104\tCD\tI-NP\tO' -p334264 -aS'year\tyear\tNN\tI-NP\tO' -p334265 -aS'old\told\tJJ\tI-NP\tO' -p334266 -aS'female\tfemale\tJJ\tI-NP\tO' -p334267 -aS'patient\tpatient\tNN\tI-NP\tO' -p334268 -aS'with\twith\tIN\tB-PP\tO' -p334269 -aS'a\ta\tDT\tB-NP\tO' -p334270 -aS'history\thistory\tNN\tI-NP\tO' -p334271 -aS'of\tof\tIN\tB-PP\tO' -p334272 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p334273 -aS'obstructive\tobstructive\tJJ\tI-NP\tO' -p334274 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p334275 -aS'disease\tdisease\tNN\tI-NP\tO' -p334276 -aS',\t,\t,\tO\tO' -p334277 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p334278 -aS'artery\tartery\tNN\tI-NP\tO' -p334279 -aS'disease\tdisease\tNN\tI-NP\tO' -p334280 -aS',\t,\t,\tO\tO' -p334281 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p334282 -aS'and\tand\tCC\tO\tO' -p334283 -aS'cerebrovascular\tcerebrovascular\tJJ\tB-NP\tO' -p334284 -aS'accident\taccident\tNN\tI-NP\tO' -p334285 -aS'who\twho\tWP\tB-NP\tO' -p334286 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p334287 -aS'with\twith\tIN\tB-PP\tO' -p334288 -aS'shortness\tshortness\tNN\tB-NP\tO' -p334289 -aS'of\tof\tIN\tB-PP\tO' -p334290 -aS'breath\tbreath\tNN\tB-NP\tO' -p334291 -aS'and\tand\tCC\tI-NP\tO' -p334292 -aS'cough\tcough\tNN\tI-NP\tO' -p334293 -aS'.\t.\t.\tO\tO' -p334294 -asS'Normal reflexes on the left side .' -p334295 -(lp334296 -S'Normal\tNormal\tJJ\tB-NP\tO' -p334297 -aS'reflexes\treflex\tNNS\tI-NP\tO' -p334298 -aS'on\ton\tIN\tB-PP\tO' -p334299 -aS'the\tthe\tDT\tB-NP\tO' -p334300 -aS'left\tleft\tJJ\tI-NP\tO' -p334301 -aS'side\tside\tNN\tI-NP\tO' -p334302 -aS'.\t.\t.\tO\tO' -p334303 -asS'Her HEENT examination is benign .' -p334304 -(lp334305 -S'Her\tHer\tPRP$\tB-NP\tO' -p334306 -aS'HEENT\tHEENT\tNN\tI-NP\tO' -p334307 -aS'examination\texamination\tNN\tI-NP\tO' -p334308 -aS'is\tbe\tVBZ\tB-VP\tO' -p334309 -aS'benign\tbenign\tJJ\tB-ADJP\tO' -p334310 -aS'.\t.\t.\tO\tO' -p334311 -asS'The patient was extubated overnight without incident .' -p334312 -(lp334313 -S'The\tThe\tDT\tB-NP\tO' -p334314 -aS'patient\tpatient\tNN\tI-NP\tO' -p334315 -aS'was\tbe\tVBD\tB-VP\tO' -p334316 -aS'extubated\textubate\tVBN\tI-VP\tO' -p334317 -aS'overnight\tovernight\tRB\tB-ADVP\tO' -p334318 -aS'without\twithout\tIN\tB-PP\tO' -p334319 -aS'incident\tincident\tNN\tB-NP\tO' -p334320 -aS'.\t.\t.\tO\tO' -p334321 -asS'9. Depression .' -p334322 -(lp334323 -S'9.\t9.\tLS\tB-LST\tO' -p334324 -aS'Depression\tDepression\tNNP\tB-NP\tO' -p334325 -aS'.\t.\t.\tO\tO' -p334326 -asS'Multiple bilateral healed rib fractures are present .' -p334327 -(lp334328 -S'Multiple\tMultiple\tJJ\tB-NP\tO' -p334329 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p334330 -aS'healed\theal\tVBN\tI-NP\tO' -p334331 -aS'rib\trib\tNN\tI-NP\tO' -p334332 -aS'fractures\tfracture\tNNS\tI-NP\tO' -p334333 -aS'are\tbe\tVBP\tB-VP\tO' -p334334 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p334335 -aS'.\t.\t.\tO\tO' -p334336 -asS'He denied the use of tobacco and drugs .' -p334337 -(lp334338 -S'He\tHe\tPRP\tB-NP\tO' -p334339 -aS'denied\tdeny\tVBD\tB-VP\tO' -p334340 -aS'the\tthe\tDT\tB-NP\tO' -p334341 -aS'use\tuse\tNN\tI-NP\tO' -p334342 -aS'of\tof\tIN\tB-PP\tO' -p334343 -aS'tobacco\ttobacco\tNN\tB-NP\tO' -p334344 -aS'and\tand\tCC\tI-NP\tO' -p334345 -aS'drugs\tdrug\tNNS\tI-NP\tO' -p334346 -aS'.\t.\t.\tO\tO' -p334347 -asS'Autologous bone marrow infusion occurred on 10/29/00 and was uneventful .' -p334348 -(lp334349 -S'Autologous\tAutologous\tJJ\tB-NP\tO' -p334350 -aS'bone\tbone\tNN\tI-NP\tO' -p334351 -aS'marrow\tmarrow\tNN\tI-NP\tO' -p334352 -aS'infusion\tinfusion\tNN\tI-NP\tO' -p334353 -aS'occurred\toccur\tVBD\tB-VP\tO' -p334354 -aS'on\ton\tIN\tB-PP\tO' -p334355 -aS'10/29/00\t10/29/00\tCD\tB-NP\tO' -p334356 -aS'and\tand\tCC\tO\tO' -p334357 -aS'was\tbe\tVBD\tB-VP\tO' -p334358 -aS'uneventful\tuneventful\tJJ\tB-ADJP\tO' -p334359 -aS'.\t.\t.\tO\tO' -p334360 -asS'The family maintained an extraordinary vigil over the days of his hospitalization , providing him with some food and constant attention , while we awaited the results of his chemotherapy and treatment of his infection .' -p334361 -(lp334362 -S'The\tThe\tDT\tB-NP\tO' -p334363 -aS'family\tfamily\tNN\tI-NP\tO' -p334364 -aS'maintained\tmaintain\tVBD\tB-VP\tO' -p334365 -aS'an\tan\tDT\tB-NP\tO' -p334366 -aS'extraordinary\textraordinary\tJJ\tI-NP\tO' -p334367 -aS'vigil\tvigil\tNN\tI-NP\tO' -p334368 -aS'over\tover\tIN\tB-PP\tO' -p334369 -aS'the\tthe\tDT\tB-NP\tO' -p334370 -aS'days\tday\tNNS\tI-NP\tO' -p334371 -aS'of\tof\tIN\tB-PP\tO' -p334372 -aS'his\this\tPRP$\tB-NP\tO' -p334373 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p334374 -aS',\t,\t,\tO\tO' -p334375 -aS'providing\tprovide\tVBG\tB-VP\tO' -p334376 -aS'him\thim\tPRP\tB-NP\tO' -p334377 -aS'with\twith\tIN\tB-PP\tO' -p334378 -aS'some\tsome\tDT\tB-NP\tO' -p334379 -aS'food\tfood\tNN\tI-NP\tO' -p334380 -aS'and\tand\tCC\tI-NP\tO' -p334381 -aS'constant\tconstant\tJJ\tI-NP\tO' -p334382 -aS'attention\tattention\tNN\tI-NP\tO' -p334383 -aS',\t,\t,\tO\tO' -p334384 -aS'while\twhile\tIN\tB-SBAR\tO' -p334385 -aS'we\twe\tPRP\tB-NP\tO' -p334386 -aS'awaited\tawait\tVBD\tB-VP\tO' -p334387 -aS'the\tthe\tDT\tB-NP\tO' -p334388 -aS'results\tresult\tNNS\tI-NP\tO' -p334389 -aS'of\tof\tIN\tB-PP\tO' -p334390 -aS'his\this\tPRP$\tB-NP\tO' -p334391 -aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' -p334392 -aS'and\tand\tCC\tI-NP\tO' -p334393 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p334394 -aS'of\tof\tIN\tB-PP\tO' -p334395 -aS'his\this\tPRP$\tB-NP\tO' -p334396 -aS'infection\tinfection\tNN\tI-NP\tO' -p334397 -aS'.\t.\t.\tO\tO' -p334398 -asS'Prozac .' -p334399 -(lp334400 -S'Prozac\tProzac\tNN\tB-NP\tO' -p334401 -aS'.\t.\t.\tO\tO' -p334402 -asS'Jugular venous pressure was 8 with a brisk inspiratory descent .' -p334403 -(lp334404 -S'Jugular\tJugular\tJJ\tB-NP\tB-protein' -p334405 -aS'venous\tvenous\tJJ\tI-NP\tI-protein' -p334406 -aS'pressure\tpressure\tNN\tI-NP\tI-protein' -p334407 -aS'was\tbe\tVBD\tB-VP\tI-protein' -p334408 -aS'8\t8\tCD\tB-NP\tI-protein' -p334409 -aS'with\twith\tIN\tB-PP\tO' -p334410 -aS'a\ta\tDT\tB-NP\tO' -p334411 -aS'brisk\tbrisk\tJJ\tI-NP\tO' -p334412 -aS'inspiratory\tinspiratory\tJJ\tI-NP\tO' -p334413 -aS'descent\tdescent\tNN\tI-NP\tO' -p334414 -aS'.\t.\t.\tO\tO' -p334415 -asS'Moving all extremities well .' -p334416 -(lp334417 -S'Moving\tMove\tVBG\tB-VP\tO' -p334418 -aS'all\tall\tDT\tB-NP\tO' -p334419 -aS'extremities\textremity\tNNS\tI-NP\tO' -p334420 -aS'well\twell\tRB\tB-ADVP\tO' -p334421 -aS'.\t.\t.\tO\tO' -p334422 -asS'Exploratory laparotomy , left colectomy , end-transverse colostomy , drainage of pancreatic necrosis .' -p334423 -(lp334424 -S'Exploratory\tExploratory\tJJ\tB-NP\tO' -p334425 -aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' -p334426 -aS',\t,\t,\tO\tO' -p334427 -aS'left\tleft\tJJ\tB-NP\tO' -p334428 -aS'colectomy\tcolectomy\tNN\tI-NP\tO' -p334429 -aS',\t,\t,\tO\tO' -p334430 -aS'end-transverse\tend-transverse\tJJ\tB-NP\tO' -p334431 -aS'colostomy\tcolostomy\tNN\tI-NP\tO' -p334432 -aS',\t,\t,\tO\tO' -p334433 -aS'drainage\tdrainage\tNN\tB-NP\tO' -p334434 -aS'of\tof\tIN\tB-PP\tO' -p334435 -aS'pancreatic\tpancreatic\tJJ\tB-NP\tO' -p334436 -aS'necrosis\tnecrosis\tNN\tI-NP\tO' -p334437 -aS'.\t.\t.\tO\tO' -p334438 -asS'7. Alterajel .' -p334439 -(lp334440 -S'7.\t7.\tCD\tB-NP\tO' -p334441 -aS'Alterajel\tAlterajel\tNNP\tI-NP\tO' -p334442 -aS'.\t.\t.\tO\tO' -p334443 -asS'Positive drooling .' -p334444 -(lp334445 -S'Positive\tPositive\tJJ\tB-NP\tO' -p334446 -aS'drooling\tdrooling\tNN\tI-NP\tO' -p334447 -aS'.\t.\t.\tO\tO' -p334448 -asS'Temperature was 99.1 , blood pressure 132/74 , heart rate 80 , respirations 18 , 02 sat 99% on room air .' -p334449 -(lp334450 -S'Temperature\tTemperature\tNN\tB-NP\tO' -p334451 -aS'was\tbe\tVBD\tB-VP\tO' -p334452 -aS'99.1\t99.1\tCD\tB-NP\tO' -p334453 -aS',\t,\t,\tO\tO' -p334454 -aS'blood\tblood\tNN\tB-NP\tO' -p334455 -aS'pressure\tpressure\tNN\tI-NP\tO' -p334456 -aS'132/74\t132/74\tCD\tI-NP\tO' -p334457 -aS',\t,\t,\tO\tO' -p334458 -aS'heart\theart\tNN\tB-NP\tO' -p334459 -aS'rate\trate\tNN\tI-NP\tO' -p334460 -aS'80\t80\tCD\tI-NP\tO' -p334461 -aS',\t,\t,\tO\tO' -p334462 -aS'respirations\trespiration\tNNS\tB-NP\tO' -p334463 -aS'18\t18\tCD\tI-NP\tO' -p334464 -aS',\t,\t,\tI-NP\tO' -p334465 -aS'02\t02\tCD\tI-NP\tO' -p334466 -aS'sat\tsit\tVBD\tB-VP\tO' -p334467 -aS'99%\t99%\tCD\tB-NP\tO' -p334468 -aS'on\ton\tIN\tB-PP\tO' -p334469 -aS'room\troom\tNN\tB-NP\tO' -p334470 -aS'air\tair\tNN\tI-NP\tO' -p334471 -aS'.\t.\t.\tO\tO' -p334472 -asS'Normal spine , hip , clavicles , small mass at the site of previous right quadriceps intramuscular injection .' -p334473 -(lp334474 -S'Normal\tNormal\tJJ\tB-NP\tO' -p334475 -aS'spine\tspine\tNN\tI-NP\tO' -p334476 -aS',\t,\t,\tO\tO' -p334477 -aS'hip\thip\tNN\tB-NP\tO' -p334478 -aS',\t,\t,\tO\tO' -p334479 -aS'clavicles\tclavicle\tNNS\tB-NP\tO' -p334480 -aS',\t,\t,\tO\tO' -p334481 -aS'small\tsmall\tJJ\tB-NP\tO' -p334482 -aS'mass\tmass\tNN\tI-NP\tO' -p334483 -aS'at\tat\tIN\tB-PP\tO' -p334484 -aS'the\tthe\tDT\tB-NP\tO' -p334485 -aS'site\tsite\tNN\tI-NP\tO' -p334486 -aS'of\tof\tIN\tB-PP\tO' -p334487 -aS'previous\tprevious\tJJ\tB-NP\tO' -p334488 -aS'right\tright\tJJ\tI-NP\tO' -p334489 -aS'quadriceps\tquadricep\tNNS\tI-NP\tO' -p334490 -aS'intramuscular\tintramuscular\tJJ\tB-NP\tO' -p334491 -aS'injection\tinjection\tNN\tI-NP\tO' -p334492 -aS'.\t.\t.\tO\tO' -p334493 -asS'3. Paraplegia status post thoracic aortic aneurysm repair .' -p334494 -(lp334495 -S'3.\t3.\tLS\tB-NP\tO' -p334496 -aS'Paraplegia\tParaplegia\tNNP\tI-NP\tO' -p334497 -aS'status\tstatus\tNN\tI-NP\tO' -p334498 -aS'post\tpost\tNN\tI-NP\tO' -p334499 -aS'thoracic\tthoracic\tJJ\tI-NP\tO' -p334500 -aS'aortic\taortic\tJJ\tI-NP\tO' -p334501 -aS'aneurysm\taneurysm\tNN\tI-NP\tO' -p334502 -aS'repair\trepair\tNN\tI-NP\tO' -p334503 -aS'.\t.\t.\tO\tO' -p334504 -asS'Total abdominal hysterectomy .' -p334505 -(lp334506 -S'Total\tTotal\tJJ\tB-NP\tO' -p334507 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p334508 -aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' -p334509 -aS'.\t.\t.\tO\tO' -p334510 -asS'The patient was breathing comfortably .' -p334511 -(lp334512 -S'The\tThe\tDT\tB-NP\tO' -p334513 -aS'patient\tpatient\tNN\tI-NP\tO' -p334514 -aS'was\tbe\tVBD\tB-VP\tO' -p334515 -aS'breathing\tbreathe\tVBG\tI-VP\tO' -p334516 -aS'comfortably\tcomfortably\tRB\tB-ADVP\tO' -p334517 -aS'.\t.\t.\tO\tO' -p334518 -asS'2. Diabetic nephropathy resulting in ESRD for which she is on HD .' -p334519 -(lp334520 -S'2.\t2.\tLS\tB-NP\tO' -p334521 -aS'Diabetic\tDiabetic\tJJ\tI-NP\tO' -p334522 -aS'nephropathy\tnephropathy\tNN\tI-NP\tO' -p334523 -aS'resulting\tresult\tVBG\tB-VP\tO' -p334524 -aS'in\tin\tIN\tB-PP\tO' -p334525 -aS'ESRD\tESRD\tNNP\tB-NP\tO' -p334526 -aS'for\tfor\tIN\tB-PP\tO' -p334527 -aS'which\twhich\tWDT\tB-NP\tO' -p334528 -aS'she\tshe\tPRP\tB-NP\tO' -p334529 -aS'is\tbe\tVBZ\tB-VP\tO' -p334530 -aS'on\ton\tIN\tB-PP\tO' -p334531 -aS'HD\tHD\tNN\tB-NP\tO' -p334532 -aS'.\t.\t.\tO\tO' -p334533 -asS'The patient presented with a chief complaint of PNEUMONIA .' -p334534 -(lp334535 -S'The\tThe\tDT\tB-NP\tO' -p334536 -aS'patient\tpatient\tNN\tI-NP\tO' -p334537 -aS'presented\tpresent\tVBD\tB-VP\tO' -p334538 -aS'with\twith\tIN\tB-PP\tO' -p334539 -aS'a\ta\tDT\tB-NP\tO' -p334540 -aS'chief\tchief\tJJ\tI-NP\tO' -p334541 -aS'complaint\tcomplaint\tNN\tI-NP\tO' -p334542 -aS'of\tof\tIN\tB-PP\tO' -p334543 -aS'PNEUMONIA\tPNEUMONIA\tNN\tB-NP\tO' -p334544 -aS'.\t.\t.\tO\tO' -p334545 -asS'There is a patchy area of increased opacity in the left retrocardiac region , which was not seen on the earlier study .' -p334546 -(lp334547 -S'There\tThere\tEX\tB-NP\tO' -p334548 -aS'is\tbe\tVBZ\tB-VP\tO' -p334549 -aS'a\ta\tDT\tB-NP\tO' -p334550 -aS'patchy\tpatchy\tJJ\tI-NP\tO' -p334551 -aS'area\tarea\tNN\tI-NP\tO' -p334552 -aS'of\tof\tIN\tB-PP\tO' -p334553 -aS'increased\tincrease\tVBN\tB-NP\tO' -p334554 -aS'opacity\topacity\tNN\tI-NP\tO' -p334555 -aS'in\tin\tIN\tB-PP\tO' -p334556 -aS'the\tthe\tDT\tB-NP\tO' -p334557 -aS'left\tleft\tJJ\tI-NP\tB-DNA' -p334558 -aS'retrocardiac\tretrocardiac\tJJ\tI-NP\tI-DNA' -p334559 -aS'region\tregion\tNN\tI-NP\tI-DNA' -p334560 -aS',\t,\t,\tO\tO' -p334561 -aS'which\twhich\tWDT\tB-NP\tO' -p334562 -aS'was\tbe\tVBD\tB-VP\tO' -p334563 -aS'not\tnot\tRB\tI-VP\tO' -p334564 -aS'seen\tsee\tVBN\tI-VP\tO' -p334565 -aS'on\ton\tIN\tB-PP\tO' -p334566 -aS'the\tthe\tDT\tB-NP\tO' -p334567 -aS'earlier\tearly\tJJR\tI-NP\tO' -p334568 -aS'study\tstudy\tNN\tI-NP\tO' -p334569 -aS'.\t.\t.\tO\tO' -p334570 -asS'The patient had a cardiac catheterization which revealed three vessel disease and the patient now presents for elective coronary artery bypass grafting .' -p334571 -(lp334572 -S'The\tThe\tDT\tB-NP\tO' -p334573 -aS'patient\tpatient\tNN\tI-NP\tO' -p334574 -aS'had\thave\tVBD\tB-VP\tO' -p334575 -aS'a\ta\tDT\tB-NP\tO' -p334576 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p334577 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p334578 -aS'which\twhich\tWDT\tB-NP\tO' -p334579 -aS'revealed\treveal\tVBD\tB-VP\tO' -p334580 -aS'three\tthree\tCD\tB-NP\tO' -p334581 -aS'vessel\tvessel\tNN\tI-NP\tO' -p334582 -aS'disease\tdisease\tNN\tI-NP\tO' -p334583 -aS'and\tand\tCC\tO\tO' -p334584 -aS'the\tthe\tDT\tB-NP\tO' -p334585 -aS'patient\tpatient\tNN\tI-NP\tO' -p334586 -aS'now\tnow\tRB\tB-ADVP\tO' -p334587 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p334588 -aS'for\tfor\tIN\tB-PP\tO' -p334589 -aS'elective\telective\tJJ\tB-NP\tO' -p334590 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p334591 -aS'artery\tartery\tNN\tI-NP\tO' -p334592 -aS'bypass\tbypass\tIN\tB-PP\tO' -p334593 -aS'grafting\tgrafting\tNN\tB-NP\tO' -p334594 -aS'.\t.\t.\tO\tO' -p334595 -asS'7. Senna 8.6 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ) .' -p334596 -(lp334597 -S'7.\t7.\tCD\tB-NP\tO' -p334598 -aS'Senna\tSenna\tNNP\tI-NP\tO' -p334599 -aS'8.6\t8.6\tCD\tI-NP\tO' -p334600 -aS'mg\tmg\tNN\tI-NP\tO' -p334601 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p334602 -aS'Sig\tSig\tNNP\tI-NP\tO' -p334603 -aS':\t:\t:\tO\tO' -p334604 -aS'One\tOne\tCD\tB-NP\tO' -p334605 -aS'(\t(\t(\tO\tO' -p334606 -aS'1\t1\tCD\tB-NP\tO' -p334607 -aS')\t)\t)\tO\tO' -p334608 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p334609 -aS'PO\tPO\tNN\tI-NP\tO' -p334610 -aS'BID\tBID\tNN\tI-NP\tO' -p334611 -aS'(\t(\t(\tO\tO' -p334612 -aS'2\t2\tCD\tB-NP\tO' -p334613 -aS'times\ttime\tNNS\tI-NP\tO' -p334614 -aS'a\ta\tDT\tB-NP\tO' -p334615 -aS'day\tday\tNN\tI-NP\tO' -p334616 -aS')\t)\t)\tO\tO' -p334617 -aS'.\t.\t.\tO\tO' -p334618 -asS'When pt spiked a temperature and became hypotensive she was started on Linezolid was started for presumed VRE infection in the urine .' -p334619 -(lp334620 -S'When\tWhen\tWRB\tB-ADVP\tO' -p334621 -aS'pt\tpt\tNN\tB-NP\tO' -p334622 -aS'spiked\tspike\tVBD\tB-VP\tO' -p334623 -aS'a\ta\tDT\tB-NP\tO' -p334624 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p334625 -aS'and\tand\tCC\tO\tO' -p334626 -aS'became\tbecome\tVBD\tB-VP\tO' -p334627 -aS'hypotensive\thypotensive\tJJ\tB-ADJP\tO' -p334628 -aS'she\tshe\tPRP\tB-NP\tO' -p334629 -aS'was\tbe\tVBD\tB-VP\tO' -p334630 -aS'started\tstart\tVBN\tI-VP\tO' -p334631 -aS'on\ton\tIN\tB-PP\tO' -p334632 -aS'Linezolid\tLinezolid\tNN\tB-NP\tO' -p334633 -aS'was\tbe\tVBD\tB-VP\tO' -p334634 -aS'started\tstart\tVBN\tI-VP\tO' -p334635 -aS'for\tfor\tIN\tB-PP\tO' -p334636 -aS'presumed\tpresume\tVBN\tB-NP\tO' -p334637 -aS'VRE\tVRE\tNN\tI-NP\tO' -p334638 -aS'infection\tinfection\tNN\tI-NP\tO' -p334639 -aS'in\tin\tIN\tB-PP\tO' -p334640 -aS'the\tthe\tDT\tB-NP\tO' -p334641 -aS'urine\turine\tNN\tI-NP\tO' -p334642 -aS'.\t.\t.\tO\tO' -p334643 -asS'Conditions , Infections , Complications , affecting Treatment / Stay s / p Roux en Y gastric bypass .' -p334644 -(lp334645 -S'Conditions\tCondition\tNNS\tB-NP\tO' -p334646 -aS',\t,\t,\tO\tO' -p334647 -aS'Infections\tInfection\tNNS\tB-NP\tO' -p334648 -aS',\t,\t,\tO\tO' -p334649 -aS'Complications\tComplication\tNNS\tB-NP\tO' -p334650 -aS',\t,\t,\tO\tO' -p334651 -aS'affecting\taffect\tVBG\tB-VP\tO' -p334652 -aS'Treatment\tTreatment\tNN\tB-NP\tO' -p334653 -aS'/\t/\tSYM\tI-NP\tO' -p334654 -aS'Stay\tStay\tNN\tI-NP\tO' -p334655 -aS's\ts\tNN\tI-NP\tO' -p334656 -aS'/\t/\tSYM\tB-NP\tO' -p334657 -aS'p\tp\tNN\tI-NP\tO' -p334658 -aS'Roux\tRoux\tNNP\tI-NP\tO' -p334659 -aS'en\ten\tIN\tB-PP\tO' -p334660 -aS'Y\tY\tNNP\tB-NP\tO' -p334661 -aS'gastric\tgastric\tJJ\tI-NP\tO' -p334662 -aS'bypass\tbypass\tNN\tI-NP\tO' -p334663 -aS'.\t.\t.\tO\tO' -p334664 -asS'The patient was given printed instructions for urinary tract infection ( Portugese ) .' -p334665 -(lp334666 -S'The\tThe\tDT\tB-NP\tO' -p334667 -aS'patient\tpatient\tNN\tI-NP\tO' -p334668 -aS'was\tbe\tVBD\tB-VP\tO' -p334669 -aS'given\tgive\tVBN\tI-VP\tO' -p334670 -aS'printed\tprint\tVBN\tB-NP\tO' -p334671 -aS'instructions\tinstruction\tNNS\tI-NP\tO' -p334672 -aS'for\tfor\tIN\tB-PP\tO' -p334673 -aS'urinary\turinary\tJJ\tB-NP\tO' -p334674 -aS'tract\ttract\tNN\tI-NP\tO' -p334675 -aS'infection\tinfection\tNN\tI-NP\tO' -p334676 -aS'(\t(\t(\tO\tO' -p334677 -aS'Portugese\tPortugese\tNN\tB-NP\tO' -p334678 -aS')\t)\t)\tO\tO' -p334679 -aS'.\t.\t.\tO\tO' -p334680 -asS'The patient was re-admitted to the surgical service and taken to the CMED .' -p334681 -(lp334682 -S'The\tThe\tDT\tB-NP\tO' -p334683 -aS'patient\tpatient\tNN\tI-NP\tO' -p334684 -aS'was\tbe\tVBD\tB-VP\tO' -p334685 -aS're-admitted\tre-admitted\tJJ\tB-ADJP\tO' -p334686 -aS'to\tto\tTO\tB-PP\tO' -p334687 -aS'the\tthe\tDT\tB-NP\tO' -p334688 -aS'surgical\tsurgical\tJJ\tI-NP\tO' -p334689 -aS'service\tservice\tNN\tI-NP\tO' -p334690 -aS'and\tand\tCC\tO\tO' -p334691 -aS'taken\ttake\tVBN\tB-VP\tO' -p334692 -aS'to\tto\tTO\tB-PP\tO' -p334693 -aS'the\tthe\tDT\tB-NP\tO' -p334694 -aS'CMED\tCMED\tNN\tI-NP\tO' -p334695 -aS'.\t.\t.\tO\tO' -p334696 -asS'On physical examination , patient is in no acute distress , afebrile , blood pressure 134/80 , heart rate 80 and regular , no bruits .' -p334697 -(lp334698 -S'On\tOn\tIN\tB-PP\tO' -p334699 -aS'physical\tphysical\tJJ\tB-NP\tO' -p334700 -aS'examination\texamination\tNN\tI-NP\tO' -p334701 -aS',\t,\t,\tO\tO' -p334702 -aS'patient\tpatient\tNN\tB-NP\tO' -p334703 -aS'is\tbe\tVBZ\tB-VP\tO' -p334704 -aS'in\tin\tIN\tB-PP\tO' -p334705 -aS'no\tno\tDT\tB-NP\tO' -p334706 -aS'acute\tacute\tJJ\tI-NP\tO' -p334707 -aS'distress\tdistress\tNN\tI-NP\tO' -p334708 -aS',\t,\t,\tO\tO' -p334709 -aS'afebrile\tafebrile\tNN\tB-NP\tO' -p334710 -aS',\t,\t,\tO\tO' -p334711 -aS'blood\tblood\tNN\tB-NP\tO' -p334712 -aS'pressure\tpressure\tNN\tI-NP\tO' -p334713 -aS'134/80\t134/80\tCD\tI-NP\tO' -p334714 -aS',\t,\t,\tO\tO' -p334715 -aS'heart\theart\tNN\tB-NP\tO' -p334716 -aS'rate\trate\tNN\tI-NP\tO' -p334717 -aS'80\t80\tCD\tI-NP\tO' -p334718 -aS'and\tand\tCC\tO\tO' -p334719 -aS'regular\tregular\tJJ\tB-NP\tO' -p334720 -aS',\t,\t,\tO\tO' -p334721 -aS'no\tno\tDT\tB-NP\tO' -p334722 -aS'bruits\tbruit\tNNS\tI-NP\tO' -p334723 -aS'.\t.\t.\tO\tO' -p334724 -asS'The hypernatremia fully resolved when he resumed eating on his own and had access to free water .' -p334725 -(lp334726 -S'The\tThe\tDT\tB-NP\tO' -p334727 -aS'hypernatremia\thypernatremia\tNN\tI-NP\tO' -p334728 -aS'fully\tfully\tRB\tB-VP\tO' -p334729 -aS'resolved\tresolve\tVBN\tI-VP\tO' -p334730 -aS'when\twhen\tWRB\tB-ADVP\tO' -p334731 -aS'he\the\tPRP\tB-NP\tO' -p334732 -aS'resumed\tresume\tVBD\tB-VP\tO' -p334733 -aS'eating\teat\tVBG\tI-VP\tO' -p334734 -aS'on\ton\tIN\tB-PP\tO' -p334735 -aS'his\this\tPRP$\tB-NP\tO' -p334736 -aS'own\town\tJJ\tI-NP\tO' -p334737 -aS'and\tand\tCC\tO\tO' -p334738 -aS'had\thave\tVBD\tB-VP\tO' -p334739 -aS'access\taccess\tNN\tB-NP\tO' -p334740 -aS'to\tto\tTO\tB-PP\tO' -p334741 -aS'free\tfree\tJJ\tB-NP\tO' -p334742 -aS'water\twater\tNN\tI-NP\tO' -p334743 -aS'.\t.\t.\tO\tO' -p334744 -asS'The myocardial infarction was attributed to demand ischemia secondary to acute hematocrit drop exacerbated by tachycardia secondary to blood transfusion reaction .' -p334745 -(lp334746 -S'The\tThe\tDT\tB-NP\tO' -p334747 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p334748 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p334749 -aS'was\tbe\tVBD\tB-VP\tO' -p334750 -aS'attributed\tattribute\tVBN\tI-VP\tO' -p334751 -aS'to\tto\tTO\tI-VP\tO' -p334752 -aS'demand\tdemand\tVB\tI-VP\tO' -p334753 -aS'ischemia\tischemia\tNN\tB-NP\tO' -p334754 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p334755 -aS'to\tto\tTO\tB-PP\tO' -p334756 -aS'acute\tacute\tJJ\tB-NP\tO' -p334757 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p334758 -aS'drop\tdrop\tNN\tI-NP\tO' -p334759 -aS'exacerbated\texacerbate\tVBN\tB-VP\tO' -p334760 -aS'by\tby\tIN\tB-PP\tO' -p334761 -aS'tachycardia\ttachycardia\tNN\tB-NP\tO' -p334762 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p334763 -aS'to\tto\tTO\tB-PP\tO' -p334764 -aS'blood\tblood\tNN\tB-NP\tO' -p334765 -aS'transfusion\ttransfusion\tNN\tI-NP\tO' -p334766 -aS'reaction\treaction\tNN\tI-NP\tO' -p334767 -aS'.\t.\t.\tO\tO' -p334768 -asS'The patient was admitted for liver transplant workup and to await liver transplant .' -p334769 -(lp334770 -S'The\tThe\tDT\tB-NP\tO' -p334771 -aS'patient\tpatient\tNN\tI-NP\tO' -p334772 -aS'was\tbe\tVBD\tB-VP\tO' -p334773 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p334774 -aS'for\tfor\tIN\tB-PP\tO' -p334775 -aS'liver\tliver\tNN\tB-NP\tO' -p334776 -aS'transplant\ttransplant\tNN\tI-NP\tO' -p334777 -aS'workup\tworkup\tNN\tI-NP\tO' -p334778 -aS'and\tand\tCC\tO\tO' -p334779 -aS'to\tto\tTO\tB-VP\tO' -p334780 -aS'await\tawait\tVB\tI-VP\tO' -p334781 -aS'liver\tliver\tNN\tB-NP\tO' -p334782 -aS'transplant\ttransplant\tNN\tI-NP\tO' -p334783 -aS'.\t.\t.\tO\tO' -p334784 -asS'Flaccid .' -p334785 -(lp334786 -S'Flaccid\tFlaccid\tNN\tB-NP\tO' -p334787 -aS'.\t.\t.\tO\tO' -p334788 -asS"Father with MI in 50 's and underwent CABG ." -p334789 -(lp334790 -S'Father\tFather\tRB\tB-ADVP\tO' -p334791 -aS'with\twith\tIN\tB-PP\tO' -p334792 -aS'MI\tMI\tNN\tB-NP\tO' -p334793 -aS'in\tin\tIN\tB-PP\tO' -p334794 -aS'50\t50\tCD\tB-NP\tO' -p334795 -aS"'s\t's\tPOS\tB-NP\tO" -p334796 -aS'and\tand\tCC\tO\tO' -p334797 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p334798 -aS'CABG\tCABG\tNN\tB-NP\tB-protein' -p334799 -aS'.\t.\t.\tO\tO' -p334800 -asS'She had an intact gag reflex .' -p334801 -(lp334802 -S'She\tShe\tPRP\tB-NP\tO' -p334803 -aS'had\thave\tVBD\tB-VP\tO' -p334804 -aS'an\tan\tDT\tB-NP\tO' -p334805 -aS'intact\tintact\tJJ\tI-NP\tO' -p334806 -aS'gag\tgag\tNN\tI-NP\tO' -p334807 -aS'reflex\treflex\tNN\tI-NP\tO' -p334808 -aS'.\t.\t.\tO\tO' -p334809 -asS'This regimen , that being AmBisome , was recommended by the Infectious Disease physicians , who felt that AmBisome was a better drug of choice as compared to fluconazole .' -p334810 -(lp334811 -S'This\tThis\tDT\tB-NP\tO' -p334812 -aS'regimen\tregimen\tNN\tI-NP\tO' -p334813 -aS',\t,\t,\tO\tO' -p334814 -aS'that\tthat\tIN\tB-SBAR\tO' -p334815 -aS'being\tbe\tVBG\tB-VP\tO' -p334816 -aS'AmBisome\tAmBisome\tNNP\tB-NP\tO' -p334817 -aS',\t,\t,\tO\tO' -p334818 -aS'was\tbe\tVBD\tB-VP\tO' -p334819 -aS'recommended\trecommend\tVBN\tI-VP\tO' -p334820 -aS'by\tby\tIN\tB-PP\tO' -p334821 -aS'the\tthe\tDT\tB-NP\tO' -p334822 -aS'Infectious\tInfectious\tJJ\tI-NP\tO' -p334823 -aS'Disease\tDisease\tNN\tI-NP\tO' -p334824 -aS'physicians\tphysician\tNNS\tI-NP\tO' -p334825 -aS',\t,\t,\tO\tO' -p334826 -aS'who\twho\tWP\tB-NP\tO' -p334827 -aS'felt\tfeel\tVBD\tB-VP\tO' -p334828 -aS'that\tthat\tIN\tB-SBAR\tO' -p334829 -aS'AmBisome\tAmBisome\tNNP\tB-NP\tO' -p334830 -aS'was\tbe\tVBD\tB-VP\tO' -p334831 -aS'a\ta\tDT\tB-NP\tO' -p334832 -aS'better\tgood\tJJR\tI-NP\tO' -p334833 -aS'drug\tdrug\tNN\tI-NP\tO' -p334834 -aS'of\tof\tIN\tB-PP\tO' -p334835 -aS'choice\tchoice\tNN\tB-NP\tO' -p334836 -aS'as\tas\tIN\tB-SBAR\tO' -p334837 -aS'compared\tcompare\tVBN\tB-PP\tO' -p334838 -aS'to\tto\tTO\tB-PP\tO' -p334839 -aS'fluconazole\tfluconazole\tNN\tB-NP\tO' -p334840 -aS'.\t.\t.\tO\tO' -p334841 -asS"In the Juan , the pt 's VS were singificant for a fever of 103.8 , tachycardia in the 130s-150s , and initial hypertensive in the 140s ." -p334842 -(lp334843 -S'In\tIn\tIN\tB-PP\tO' -p334844 -aS'the\tthe\tDT\tB-NP\tO' -p334845 -aS'Juan\tJuan\tNNP\tI-NP\tO' -p334846 -aS',\t,\t,\tO\tO' -p334847 -aS'the\tthe\tDT\tB-NP\tO' -p334848 -aS'pt\tpt\tNN\tI-NP\tO' -p334849 -aS"'s\t's\tPOS\tB-NP\tO" -p334850 -aS'VS\tVS\tNN\tI-NP\tO' -p334851 -aS'were\tbe\tVBD\tB-VP\tO' -p334852 -aS'singificant\tsingificant\tJJ\tB-ADJP\tO' -p334853 -aS'for\tfor\tIN\tB-PP\tO' -p334854 -aS'a\ta\tDT\tB-NP\tO' -p334855 -aS'fever\tfever\tNN\tI-NP\tO' -p334856 -aS'of\tof\tIN\tB-PP\tO' -p334857 -aS'103.8\t103.8\tCD\tB-NP\tO' -p334858 -aS',\t,\t,\tO\tO' -p334859 -aS'tachycardia\ttachycardia\tNN\tB-NP\tO' -p334860 -aS'in\tin\tIN\tB-PP\tO' -p334861 -aS'the\tthe\tDT\tB-NP\tO' -p334862 -aS'130s-150s\t130s-150\tNNS\tI-NP\tO' -p334863 -aS',\t,\t,\tO\tO' -p334864 -aS'and\tand\tCC\tO\tO' -p334865 -aS'initial\tinitial\tJJ\tB-NP\tO' -p334866 -aS'hypertensive\thypertensive\tNN\tI-NP\tO' -p334867 -aS'in\tin\tIN\tB-PP\tO' -p334868 -aS'the\tthe\tDT\tB-NP\tO' -p334869 -aS'140s\t140\tNNS\tI-NP\tB-DNA' -p334870 -aS'.\t.\t.\tO\tO' -p334871 -asS'Coumadin as adjusted by Prothrombin times , Isordil 20 mg. tid , Micronase 1.25 mg. daily , aspirin 81 mg. daily , nitroglycerin 0.3 mg. SL prn .' -p334872 -(lp334873 -S'Coumadin\tCoumadin\tNN\tB-NP\tO' -p334874 -aS'as\tas\tIN\tB-SBAR\tO' -p334875 -aS'adjusted\tadjust\tVBN\tB-VP\tO' -p334876 -aS'by\tby\tIN\tB-PP\tO' -p334877 -aS'Prothrombin\tProthrombin\tNN\tB-NP\tO' -p334878 -aS'times\ttime\tNNS\tI-NP\tO' -p334879 -aS',\t,\t,\tO\tO' -p334880 -aS'Isordil\tIsordil\tNN\tB-NP\tO' -p334881 -aS'20\t20\tCD\tI-NP\tO' -p334882 -aS'mg.\tmg.\tNN\tI-NP\tO' -p334883 -aS'tid\ttid\tNN\tI-NP\tO' -p334884 -aS',\t,\t,\tO\tO' -p334885 -aS'Micronase\tMicronase\tNN\tB-NP\tO' -p334886 -aS'1.25\t1.25\tCD\tI-NP\tO' -p334887 -aS'mg.\tmg.\tNN\tI-NP\tO' -p334888 -aS'daily\tdaily\tRB\tB-ADVP\tO' -p334889 -aS',\t,\t,\tO\tO' -p334890 -aS'aspirin\taspirin\tNN\tB-NP\tO' -p334891 -aS'81\t81\tCD\tI-NP\tO' -p334892 -aS'mg.\tmg.\tNN\tI-NP\tO' -p334893 -aS'daily\tdaily\tRB\tB-ADVP\tO' -p334894 -aS',\t,\t,\tO\tO' -p334895 -aS'nitroglycerin\tnitroglycerin\tNN\tB-NP\tO' -p334896 -aS'0.3\t0.3\tCD\tI-NP\tO' -p334897 -aS'mg.\tmg.\tNN\tI-NP\tO' -p334898 -aS'SL\tSL\tNN\tI-NP\tO' -p334899 -aS'prn\tprn\tNN\tI-NP\tO' -p334900 -aS'.\t.\t.\tO\tO' -p334901 -asS'He was made to ambulate on postoperative day one .' -p334902 -(lp334903 -S'He\tHe\tPRP\tB-NP\tO' -p334904 -aS'was\tbe\tVBD\tB-VP\tO' -p334905 -aS'made\tmake\tVBN\tI-VP\tO' -p334906 -aS'to\tto\tTO\tI-VP\tO' -p334907 -aS'ambulate\tambulate\tVB\tI-VP\tO' -p334908 -aS'on\ton\tIN\tB-PP\tO' -p334909 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p334910 -aS'day\tday\tNN\tI-NP\tO' -p334911 -aS'one\tone\tCD\tI-NP\tO' -p334912 -aS'.\t.\t.\tO\tO' -p334913 -asS'Four bands were placed without difficulty .' -p334914 -(lp334915 -S'Four\tFour\tCD\tB-NP\tO' -p334916 -aS'bands\tband\tNNS\tI-NP\tO' -p334917 -aS'were\tbe\tVBD\tB-VP\tO' -p334918 -aS'placed\tplace\tVBN\tI-VP\tO' -p334919 -aS'without\twithout\tIN\tB-PP\tO' -p334920 -aS'difficulty\tdifficulty\tNN\tB-NP\tO' -p334921 -aS'.\t.\t.\tO\tO' -p334922 -asS'The patient 's social history is notable for a heavy smoking history .' -p334923 -(lp334924 -S'The\tThe\tDT\tB-NP\tO' -p334925 -aS'patient\tpatient\tNN\tI-NP\tO' -p334926 -aS''s\t'\tNNS\tI-NP\tO' -p334927 -aS'social\tsocial\tJJ\tB-NP\tO' -p334928 -aS'history\thistory\tNN\tI-NP\tO' -p334929 -aS'is\tbe\tVBZ\tB-VP\tO' -p334930 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p334931 -aS'for\tfor\tIN\tB-PP\tO' -p334932 -aS'a\ta\tDT\tB-NP\tO' -p334933 -aS'heavy\theavy\tJJ\tI-NP\tO' -p334934 -aS'smoking\tsmoking\tNN\tI-NP\tO' -p334935 -aS'history\thistory\tNN\tI-NP\tO' -p334936 -aS'.\t.\t.\tO\tO' -p334937 -asS'POD#4 , bilious drainage was noted in her JP .' -p334938 -(lp334939 -S'POD#4\tPOD#4\tNN\tB-NP\tB-protein' -p334940 -aS',\t,\t,\tO\tO' -p334941 -aS'bilious\tbilious\tJJ\tB-NP\tO' -p334942 -aS'drainage\tdrainage\tNN\tI-NP\tO' -p334943 -aS'was\tbe\tVBD\tB-VP\tO' -p334944 -aS'noted\tnote\tVBN\tI-VP\tO' -p334945 -aS'in\tin\tIN\tB-PP\tO' -p334946 -aS'her\ther\tPRP$\tB-NP\tO' -p334947 -aS'JP\tJP\tNN\tI-NP\tB-protein' -p334948 -aS'.\t.\t.\tO\tO' -p334949 -asS'She has no children .' -p334950 -(lp334951 -S'She\tShe\tPRP\tB-NP\tO' -p334952 -aS'has\thave\tVBZ\tB-VP\tO' -p334953 -aS'no\tno\tDT\tB-NP\tO' -p334954 -aS'children\tchild\tNNS\tI-NP\tO' -p334955 -aS'.\t.\t.\tO\tO' -p334956 -asS'She needs home oxygen and is currently at 2 liters nasal cannula oxygen .' -p334957 -(lp334958 -S'She\tShe\tPRP\tB-NP\tO' -p334959 -aS'needs\tneed\tVBZ\tB-VP\tO' -p334960 -aS'home\thome\tNN\tB-NP\tO' -p334961 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p334962 -aS'and\tand\tCC\tO\tO' -p334963 -aS'is\tbe\tVBZ\tB-VP\tO' -p334964 -aS'currently\tcurrently\tRB\tB-ADVP\tO' -p334965 -aS'at\tat\tIN\tB-PP\tO' -p334966 -aS'2\t2\tCD\tB-NP\tO' -p334967 -aS'liters\tliter\tNNS\tI-NP\tO' -p334968 -aS'nasal\tnasal\tJJ\tB-NP\tO' -p334969 -aS'cannula\tcannula\tNN\tI-NP\tO' -p334970 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p334971 -aS'.\t.\t.\tO\tO' -p334972 -asS'The patient has been experiencing chronic , stable angina pectoris over the past one to one and a half years approximately once every three months .' -p334973 -(lp334974 -S'The\tThe\tDT\tB-NP\tO' -p334975 -aS'patient\tpatient\tNN\tI-NP\tO' -p334976 -aS'has\thave\tVBZ\tB-VP\tO' -p334977 -aS'been\tbe\tVBN\tI-VP\tO' -p334978 -aS'experiencing\texperience\tVBG\tI-VP\tO' -p334979 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p334980 -aS',\t,\t,\tI-NP\tO' -p334981 -aS'stable\tstable\tJJ\tI-NP\tO' -p334982 -aS'angina\tangina\tNN\tI-NP\tO' -p334983 -aS'pectoris\tpectoris\tNN\tI-NP\tO' -p334984 -aS'over\tover\tIN\tB-PP\tO' -p334985 -aS'the\tthe\tDT\tB-NP\tO' -p334986 -aS'past\tpast\tJJ\tI-NP\tO' -p334987 -aS'one\tone\tCD\tI-NP\tO' -p334988 -aS'to\tto\tTO\tI-NP\tO' -p334989 -aS'one\tone\tCD\tI-NP\tO' -p334990 -aS'and\tand\tCC\tO\tO' -p334991 -aS'a\ta\tDT\tB-NP\tO' -p334992 -aS'half\thalf\tNN\tI-NP\tO' -p334993 -aS'years\tyear\tNNS\tI-NP\tO' -p334994 -aS'approximately\tapproximately\tRB\tB-ADVP\tO' -p334995 -aS'once\tonce\tRB\tI-ADVP\tO' -p334996 -aS'every\tevery\tDT\tB-NP\tO' -p334997 -aS'three\tthree\tCD\tI-NP\tO' -p334998 -aS'months\tmonth\tNNS\tI-NP\tO' -p334999 -aS'.\t.\t.\tO\tO' -p335000 -asS'Continue all other home medications EXCEPT do not take digoxin .' -p335001 -(lp335002 -S'Continue\tContinue\tVB\tB-VP\tO' -p335003 -aS'all\tall\tDT\tB-NP\tO' -p335004 -aS'other\tother\tJJ\tI-NP\tO' -p335005 -aS'home\thome\tNN\tI-NP\tO' -p335006 -aS'medications\tmedication\tNNS\tI-NP\tO' -p335007 -aS'EXCEPT\tEXCEPT\tNN\tI-NP\tO' -p335008 -aS'do\tdo\tVBP\tB-VP\tO' -p335009 -aS'not\tnot\tRB\tI-VP\tO' -p335010 -aS'take\ttake\tVB\tI-VP\tO' -p335011 -aS'digoxin\tdigoxin\tNN\tB-NP\tO' -p335012 -aS'.\t.\t.\tO\tO' -p335013 -asS'X-ray of the hands and wrist were obtained which were negative .' -p335014 -(lp335015 -S'X-ray\tX-ray\tNN\tB-NP\tO' -p335016 -aS'of\tof\tIN\tB-PP\tO' -p335017 -aS'the\tthe\tDT\tB-NP\tO' -p335018 -aS'hands\thand\tNNS\tI-NP\tO' -p335019 -aS'and\tand\tCC\tI-NP\tO' -p335020 -aS'wrist\twrist\tNN\tI-NP\tO' -p335021 -aS'were\tbe\tVBD\tB-VP\tO' -p335022 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p335023 -aS'which\twhich\tWDT\tB-NP\tO' -p335024 -aS'were\tbe\tVBD\tB-VP\tO' -p335025 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p335026 -aS'.\t.\t.\tO\tO' -p335027 -asS'7. Amiodarone 200 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' -p335028 -(lp335029 -S'7.\t7.\tCD\tB-NP\tO' -p335030 -aS'Amiodarone\tAmiodarone\tNN\tI-NP\tO' -p335031 -aS'200\t200\tCD\tB-NP\tO' -p335032 -aS'mg\tmg\tNN\tI-NP\tO' -p335033 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p335034 -aS'Sig\tSig\tNNP\tI-NP\tO' -p335035 -aS':\t:\t:\tO\tO' -p335036 -aS'One\tOne\tCD\tB-NP\tO' -p335037 -aS'(\t(\t(\tO\tO' -p335038 -aS'1\t1\tCD\tB-NP\tO' -p335039 -aS')\t)\t)\tO\tO' -p335040 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p335041 -aS'PO\tPO\tNN\tI-NP\tO' -p335042 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p335043 -aS'(\t(\t(\tO\tO' -p335044 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p335045 -aS')\t)\t)\tO\tO' -p335046 -aS'.\t.\t.\tO\tO' -p335047 -asS'She has a St. Jude 's mechanical valve and has been on Coumadin since then ,' -p335048 -(lp335049 -S'She\tShe\tPRP\tB-NP\tO' -p335050 -aS'has\thave\tVBZ\tB-VP\tO' -p335051 -aS'a\ta\tDT\tB-NP\tO' -p335052 -aS'St.\tSt.\tNNP\tI-NP\tO' -p335053 -aS'Jude\tJude\tNNP\tI-NP\tO' -p335054 -aS''s\t'\tVBZ\tB-VP\tO' -p335055 -aS'mechanical\tmechanical\tJJ\tB-NP\tO' -p335056 -aS'valve\tvalve\tNN\tI-NP\tO' -p335057 -aS'and\tand\tCC\tO\tO' -p335058 -aS'has\thave\tVBZ\tB-VP\tO' -p335059 -aS'been\tbe\tVBN\tI-VP\tO' -p335060 -aS'on\ton\tIN\tB-PP\tO' -p335061 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p335062 -aS'since\tsince\tIN\tB-PP\tO' -p335063 -aS'then\tthen\tRB\tB-NP\tO' -p335064 -aS',\t,\t,\tO\tO' -p335065 -asS'AC , RR 15 , PEEP 5 , Vt 500 cc , FiO2 1.0 .' -p335066 -(lp335067 -S'AC\tAC\tNN\tB-NP\tO' -p335068 -aS',\t,\t,\tO\tO' -p335069 -aS'RR\tRR\tNN\tB-NP\tB-protein' -p335070 -aS'15\t15\tCD\tI-NP\tI-protein' -p335071 -aS',\t,\t,\tO\tO' -p335072 -aS'PEEP\tPEEP\tNN\tB-NP\tB-protein' -p335073 -aS'5\t5\tCD\tI-NP\tI-protein' -p335074 -aS',\t,\t,\tO\tO' -p335075 -aS'Vt\tVt\tNNP\tB-NP\tO' -p335076 -aS'500\t500\tCD\tI-NP\tO' -p335077 -aS'cc\tcc\tNN\tI-NP\tO' -p335078 -aS',\t,\t,\tO\tO' -p335079 -aS'FiO2\tFiO2\tCD\tB-NP\tO' -p335080 -aS'1.0\t1.0\tCD\tI-NP\tO' -p335081 -aS'.\t.\t.\tO\tO' -p335082 -asS'The patient will followup with Dr. ______________at Omend Hospital and with Dr. Deep at the Barb Memorial Hospital .' -p335083 -(lp335084 -S'The\tThe\tDT\tB-NP\tO' -p335085 -aS'patient\tpatient\tNN\tI-NP\tO' -p335086 -aS'will\twill\tMD\tB-VP\tO' -p335087 -aS'followup\tfollowup\tVB\tI-VP\tO' -p335088 -aS'with\twith\tIN\tB-PP\tO' -p335089 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p335090 -aS'______________at\t______________at\tNNP\tI-NP\tO' -p335091 -aS'Omend\tOmend\tNNP\tI-NP\tO' -p335092 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p335093 -aS'and\tand\tCC\tB-PP\tO' -p335094 -aS'with\twith\tIN\tB-PP\tO' -p335095 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p335096 -aS'Deep\tDeep\tNNP\tI-NP\tO' -p335097 -aS'at\tat\tIN\tB-PP\tO' -p335098 -aS'the\tthe\tDT\tB-NP\tO' -p335099 -aS'Barb\tBarb\tNNP\tI-NP\tO' -p335100 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p335101 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p335102 -aS'.\t.\t.\tO\tO' -p335103 -asS'A CT and MRI scan corroborated multiple cerebral infarcts .' -p335104 -(lp335105 -S'A\tA\tDT\tB-NP\tO' -p335106 -aS'CT\tCT\tNN\tI-NP\tO' -p335107 -aS'and\tand\tCC\tI-NP\tO' -p335108 -aS'MRI\tMRI\tNN\tI-NP\tO' -p335109 -aS'scan\tscan\tNN\tI-NP\tO' -p335110 -aS'corroborated\tcorroborate\tVBD\tB-VP\tO' -p335111 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p335112 -aS'cerebral\tcerebral\tJJ\tI-NP\tO' -p335113 -aS'infarcts\tinfarct\tNNS\tI-NP\tO' -p335114 -aS'.\t.\t.\tO\tO' -p335115 -asS'She does have chest tightness since two days ago , coinciding with her wheezing .' -p335116 -(lp335117 -S'She\tShe\tPRP\tB-NP\tO' -p335118 -aS'does\tdo\tVBZ\tB-VP\tO' -p335119 -aS'have\thave\tVB\tI-VP\tO' -p335120 -aS'chest\tchest\tNN\tB-NP\tO' -p335121 -aS'tightness\ttightness\tNN\tI-NP\tO' -p335122 -aS'since\tsince\tIN\tB-PP\tO' -p335123 -aS'two\ttwo\tCD\tB-NP\tO' -p335124 -aS'days\tday\tNNS\tI-NP\tO' -p335125 -aS'ago\tago\tRB\tB-ADVP\tO' -p335126 -aS',\t,\t,\tO\tO' -p335127 -aS'coinciding\tcoincide\tVBG\tB-VP\tO' -p335128 -aS'with\twith\tIN\tB-PP\tO' -p335129 -aS'her\ther\tPRP$\tB-NP\tO' -p335130 -aS'wheezing\twheezing\tNN\tI-NP\tO' -p335131 -aS'.\t.\t.\tO\tO' -p335132 -asS'7. Status post percutaneous tracheostomy .' -p335133 -(lp335134 -S'7.\t7.\tCD\tB-NP\tO' -p335135 -aS'Status\tStatus\tNNP\tI-NP\tO' -p335136 -aS'post\tpost\tIN\tB-PP\tO' -p335137 -aS'percutaneous\tpercutaneous\tJJ\tB-NP\tO' -p335138 -aS'tracheostomy\ttracheostomy\tNN\tI-NP\tO' -p335139 -aS'.\t.\t.\tO\tO' -p335140 -asS'Supple , no JVD , no carotid bruits' -p335141 -(lp335142 -S'Supple\tSupple\tNNP\tB-NP\tO' -p335143 -aS',\t,\t,\tO\tO' -p335144 -aS'no\tno\tDT\tB-NP\tO' -p335145 -aS'JVD\tJVD\tNNP\tI-NP\tO' -p335146 -aS',\t,\t,\tO\tO' -p335147 -aS'no\tno\tDT\tB-NP\tO' -p335148 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p335149 -aS'bruits\tbruit\tNNS\tI-NP\tO' -p335150 -asS'4. Type 1 diabetes mellitus for 50 years .' -p335151 -(lp335152 -S'4.\t4.\tLS\tB-LST\tO' -p335153 -aS'Type\tType\tNN\tB-NP\tO' -p335154 -aS'1\t1\tCD\tI-NP\tO' -p335155 -aS'diabetes\tdiabetes\tNN\tI-NP\tO' -p335156 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p335157 -aS'for\tfor\tIN\tB-PP\tO' -p335158 -aS'50\t50\tCD\tB-NP\tO' -p335159 -aS'years\tyear\tNNS\tI-NP\tO' -p335160 -aS'.\t.\t.\tO\tO' -p335161 -asS'LVEF now 50% .' -p335162 -(lp335163 -S'LVEF\tLVEF\tNN\tB-NP\tB-protein' -p335164 -aS'now\tnow\tRB\tB-ADVP\tO' -p335165 -aS'50%\t50%\tCD\tB-NP\tO' -p335166 -aS'.\t.\t.\tO\tO' -p335167 -asS'There were no intraoperative complications .' -p335168 -(lp335169 -S'There\tThere\tEX\tB-NP\tO' -p335170 -aS'were\tbe\tVBD\tB-VP\tO' -p335171 -aS'no\tno\tDT\tB-NP\tO' -p335172 -aS'intraoperative\tintraoperative\tJJ\tI-NP\tO' -p335173 -aS'complications\tcomplication\tNNS\tI-NP\tO' -p335174 -aS'.\t.\t.\tO\tO' -p335175 -asS'No external female genitalia .' -p335176 -(lp335177 -S'No\tNo\tDT\tB-NP\tO' -p335178 -aS'external\texternal\tJJ\tI-NP\tO' -p335179 -aS'female\tfemale\tJJ\tI-NP\tO' -p335180 -aS'genitalia\tgenitalia\tNNS\tI-NP\tO' -p335181 -aS'.\t.\t.\tO\tO' -p335182 -asS'Pulses were all easily palpable .' -p335183 -(lp335184 -S'Pulses\tPulse\tNNS\tB-NP\tO' -p335185 -aS'were\tbe\tVBD\tB-VP\tO' -p335186 -aS'all\tall\tDT\tB-NP\tO' -p335187 -aS'easily\teasily\tRB\tI-NP\tO' -p335188 -aS'palpable\tpalpable\tJJ\tI-NP\tO' -p335189 -aS'.\t.\t.\tO\tO' -p335190 -asS'Light followed the patient .' -p335191 -(lp335192 -S'Light\tLight\tNN\tB-NP\tO' -p335193 -aS'followed\tfollow\tVBD\tB-VP\tO' -p335194 -aS'the\tthe\tDT\tB-NP\tO' -p335195 -aS'patient\tpatient\tNN\tI-NP\tO' -p335196 -aS'.\t.\t.\tO\tO' -p335197 -asS'She was off TLS precautions .' -p335198 -(lp335199 -S'She\tShe\tPRP\tB-NP\tO' -p335200 -aS'was\tbe\tVBD\tB-VP\tO' -p335201 -aS'off\toff\tRP\tB-ADVP\tO' -p335202 -aS'TLS\tTLS\tNN\tB-NP\tO' -p335203 -aS'precautions\tprecaution\tNNS\tI-NP\tO' -p335204 -aS'.\t.\t.\tO\tO' -p335205 -asS'Pupils are equal , round , and reactive to light and accommodation .' -p335206 -(lp335207 -S'Pupils\tPupil\tNNS\tB-NP\tO' -p335208 -aS'are\tbe\tVBP\tB-VP\tO' -p335209 -aS'equal\tequal\tJJ\tB-ADJP\tO' -p335210 -aS',\t,\t,\tO\tO' -p335211 -aS'round\tround\tJJ\tB-ADJP\tO' -p335212 -aS',\t,\t,\tO\tO' -p335213 -aS'and\tand\tCC\tO\tO' -p335214 -aS'reactive\treactive\tJJ\tB-ADJP\tO' -p335215 -aS'to\tto\tTO\tB-PP\tO' -p335216 -aS'light\tlight\tNN\tB-NP\tO' -p335217 -aS'and\tand\tCC\tI-NP\tO' -p335218 -aS'accommodation\taccommodation\tNN\tI-NP\tO' -p335219 -aS'.\t.\t.\tO\tO' -p335220 -asS'2. Coronary artery disease , status post anterior myocardial infarction in 1993 .' -p335221 -(lp335222 -S'2.\t2.\tLS\tB-NP\tO' -p335223 -aS'Coronary\tCoronary\tJJ\tI-NP\tO' -p335224 -aS'artery\tartery\tNN\tI-NP\tO' -p335225 -aS'disease\tdisease\tNN\tI-NP\tO' -p335226 -aS',\t,\t,\tO\tO' -p335227 -aS'status\tstatus\tNN\tB-NP\tO' -p335228 -aS'post\tpost\tVBD\tB-VP\tO' -p335229 -aS'anterior\tanterior\tJJ\tB-NP\tO' -p335230 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p335231 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p335232 -aS'in\tin\tIN\tB-PP\tO' -p335233 -aS'1993\t1993\tCD\tB-NP\tO' -p335234 -aS'.\t.\t.\tO\tO' -p335235 -asS'He was sedated and ventilated by his tracheostomy 6 cuff Shiley tube .' -p335236 -(lp335237 -S'He\tHe\tPRP\tB-NP\tO' -p335238 -aS'was\tbe\tVBD\tB-VP\tO' -p335239 -aS'sedated\tsedate\tVBN\tI-VP\tO' -p335240 -aS'and\tand\tCC\tO\tO' -p335241 -aS'ventilated\tventilate\tVBN\tB-VP\tO' -p335242 -aS'by\tby\tIN\tB-PP\tO' -p335243 -aS'his\this\tPRP$\tB-NP\tO' -p335244 -aS'tracheostomy\ttracheostomy\tNN\tI-NP\tB-protein' -p335245 -aS'6\t6\tCD\tI-NP\tI-protein' -p335246 -aS'cuff\tcuff\tNN\tI-NP\tI-protein' -p335247 -aS'Shiley\tShiley\tNNP\tI-NP\tO' -p335248 -aS'tube\ttube\tNNP\tI-NP\tO' -p335249 -aS'.\t.\t.\tO\tO' -p335250 -asS'Urecholine 25 mg t.i.d. Colace .' -p335251 -(lp335252 -S'Urecholine\tUrecholine\tNN\tB-NP\tO' -p335253 -aS'25\t25\tCD\tI-NP\tO' -p335254 -aS'mg\tmg\tNN\tI-NP\tO' -p335255 -aS't.i.d.\tt.i.d.\tIN\tB-PP\tO' -p335256 -aS'Colace\tColace\tNNP\tB-NP\tO' -p335257 -aS'.\t.\t.\tO\tO' -p335258 -asS'CV irreg irreg , sternum stable incision CDI' -p335259 -(lp335260 -S'CV\tCV\tNN\tB-NP\tO' -p335261 -aS'irreg\tirreg\tNN\tI-NP\tO' -p335262 -aS'irreg\tirreg\tNN\tI-NP\tO' -p335263 -aS',\t,\t,\tO\tO' -p335264 -aS'sternum\tsternum\tNN\tB-NP\tO' -p335265 -aS'stable\tstable\tJJ\tI-NP\tO' -p335266 -aS'incision\tincision\tNN\tI-NP\tO' -p335267 -aS'CDI\tCDI\tNN\tI-NP\tO' -p335268 -asS'Lower extremities show patellar reflexes 3+ left , 4+ right , no cross deductor reflexes and absent ankle jerks .' -p335269 -(lp335270 -S'Lower\tLow\tJJR\tB-NP\tO' -p335271 -aS'extremities\textremity\tNNS\tI-NP\tO' -p335272 -aS'show\tshow\tVBP\tB-VP\tO' -p335273 -aS'patellar\tpatellar\tJJ\tB-NP\tO' -p335274 -aS'reflexes\treflex\tNNS\tI-NP\tO' -p335275 -aS'3+\t3+\tJJ\tB-NP\tO' -p335276 -aS'left\tleft\tJJ\tI-NP\tO' -p335277 -aS',\t,\t,\tI-NP\tO' -p335278 -aS'4+\t4+\tJJ\tI-NP\tO' -p335279 -aS'right\tright\tNN\tI-NP\tO' -p335280 -aS',\t,\t,\tO\tO' -p335281 -aS'no\tno\tDT\tB-NP\tO' -p335282 -aS'cross\tcross\tNN\tI-NP\tO' -p335283 -aS'deductor\tdeductor\tNN\tI-NP\tO' -p335284 -aS'reflexes\treflex\tNNS\tI-NP\tO' -p335285 -aS'and\tand\tCC\tO\tO' -p335286 -aS'absent\tabsent\tJJ\tB-NP\tO' -p335287 -aS'ankle\tankle\tNN\tI-NP\tO' -p335288 -aS'jerks\tjerk\tNNS\tI-NP\tO' -p335289 -aS'.\t.\t.\tO\tO' -p335290 -asS'POD#3 she was advanced to sips and clears , foley catheter was discontinued .' -p335291 -(lp335292 -S'POD#3\tPOD#3\tNN\tB-NP\tB-protein' -p335293 -aS'she\tshe\tPRP\tB-NP\tO' -p335294 -aS'was\tbe\tVBD\tB-VP\tO' -p335295 -aS'advanced\tadvance\tVBN\tI-VP\tO' -p335296 -aS'to\tto\tTO\tB-PP\tO' -p335297 -aS'sips\tsip\tNNS\tB-NP\tO' -p335298 -aS'and\tand\tCC\tI-NP\tO' -p335299 -aS'clears\tclear\tNNS\tI-NP\tO' -p335300 -aS',\t,\t,\tO\tO' -p335301 -aS'foley\tfoley\tJJ\tB-NP\tO' -p335302 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p335303 -aS'was\tbe\tVBD\tB-VP\tO' -p335304 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p335305 -aS'.\t.\t.\tO\tO' -p335306 -asS'1. Small amount of intraventricular hemorrhage .' -p335307 -(lp335308 -S'1.\t1.\tLS\tB-NP\tO' -p335309 -aS'Small\tSmall\tJJ\tI-NP\tO' -p335310 -aS'amount\tamount\tNN\tI-NP\tO' -p335311 -aS'of\tof\tIN\tB-PP\tO' -p335312 -aS'intraventricular\tintraventricular\tJJ\tB-NP\tO' -p335313 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p335314 -aS'.\t.\t.\tO\tO' -p335315 -asS'Per pt and son , no James pna .' -p335316 -(lp335317 -S'Per\tPer\tNN\tB-NP\tO' -p335318 -aS'pt\tpt\tNN\tI-NP\tO' -p335319 -aS'and\tand\tCC\tI-NP\tO' -p335320 -aS'son\tson\tNN\tI-NP\tO' -p335321 -aS',\t,\t,\tO\tO' -p335322 -aS'no\tno\tDT\tB-NP\tO' -p335323 -aS'James\tJames\tNNP\tI-NP\tO' -p335324 -aS'pna\tpna\tNN\tI-NP\tO' -p335325 -aS'.\t.\t.\tO\tO' -p335326 -asS'12. Aspirin 81 mg Tablet , Chewable Sig : One ( 1 ) Tablet , Chewable PO DAILY ( Daily ) .' -p335327 -(lp335328 -S'12.\t12.\tCD\tB-NP\tO' -p335329 -aS'Aspirin\tAspirin\tNN\tI-NP\tO' -p335330 -aS'81\t81\tCD\tB-NP\tO' -p335331 -aS'mg\tmg\tNN\tI-NP\tO' -p335332 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p335333 -aS',\t,\t,\tO\tO' -p335334 -aS'Chewable\tChewable\tNNP\tB-NP\tO' -p335335 -aS'Sig\tSig\tNNP\tI-NP\tO' -p335336 -aS':\t:\t:\tO\tO' -p335337 -aS'One\tOne\tCD\tB-NP\tO' -p335338 -aS'(\t(\t(\tO\tO' -p335339 -aS'1\t1\tCD\tB-NP\tO' -p335340 -aS')\t)\t)\tO\tO' -p335341 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p335342 -aS',\t,\t,\tO\tO' -p335343 -aS'Chewable\tChewable\tNNP\tB-NP\tO' -p335344 -aS'PO\tPO\tNNP\tI-NP\tO' -p335345 -aS'DAILY\tDAILY\tNNP\tI-NP\tO' -p335346 -aS'(\t(\t(\tO\tO' -p335347 -aS'Daily\tDaily\tNNP\tB-NP\tO' -p335348 -aS')\t)\t)\tO\tO' -p335349 -aS'.\t.\t.\tO\tO' -p335350 -asS'He will be discharged to rehab on a regimen of Coumadin 5 mg po today then daily for an INR goal of 2-3 , Ofloxacin 400 mg po bid to be discontinued on 11/05/96 , Dexedrine 5 mg po qd , Omeprazole 20mg po qd , Erythromycin eye ointment OU bid , Heparin at its present rate adjusting per partial thromboplastin time bid , and discontinuing when the Coumadin is therapeutic , Tylenol 650 mg po q4 prn , Colace 100 mg po bid .' -p335351 -(lp335352 -S'He\tHe\tPRP\tB-NP\tO' -p335353 -aS'will\twill\tMD\tB-VP\tO' -p335354 -aS'be\tbe\tVB\tI-VP\tO' -p335355 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p335356 -aS'to\tto\tTO\tI-VP\tO' -p335357 -aS'rehab\trehab\tVB\tI-VP\tO' -p335358 -aS'on\ton\tIN\tB-PP\tO' -p335359 -aS'a\ta\tDT\tB-NP\tO' -p335360 -aS'regimen\tregimen\tNN\tI-NP\tO' -p335361 -aS'of\tof\tIN\tB-PP\tO' -p335362 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p335363 -aS'5\t5\tCD\tI-NP\tO' -p335364 -aS'mg\tmg\tNN\tI-NP\tO' -p335365 -aS'po\tpo\tNN\tI-NP\tO' -p335366 -aS'today\ttoday\tNN\tB-NP\tO' -p335367 -aS'then\tthen\tRB\tB-ADVP\tO' -p335368 -aS'daily\tdaily\tRB\tB-ADVP\tO' -p335369 -aS'for\tfor\tIN\tB-PP\tO' -p335370 -aS'an\tan\tDT\tB-NP\tO' -p335371 -aS'INR\tINR\tNN\tI-NP\tO' -p335372 -aS'goal\tgoal\tNN\tI-NP\tO' -p335373 -aS'of\tof\tIN\tB-PP\tO' -p335374 -aS'2-3\t2-3\tNN\tB-NP\tO' -p335375 -aS',\t,\t,\tO\tO' -p335376 -aS'Ofloxacin\tOfloxacin\tNN\tB-NP\tO' -p335377 -aS'400\t400\tCD\tI-NP\tO' -p335378 -aS'mg\tmg\tNN\tI-NP\tO' -p335379 -aS'po\tpo\tNN\tI-NP\tO' -p335380 -aS'bid\tbid\tNN\tI-NP\tO' -p335381 -aS'to\tto\tTO\tB-VP\tO' -p335382 -aS'be\tbe\tVB\tI-VP\tO' -p335383 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p335384 -aS'on\ton\tIN\tB-PP\tO' -p335385 -aS'11/05/96\t11/05/96\tCD\tB-NP\tO' -p335386 -aS',\t,\t,\tO\tO' -p335387 -aS'Dexedrine\tDexedrine\tNN\tB-NP\tO' -p335388 -aS'5\t5\tCD\tI-NP\tO' -p335389 -aS'mg\tmg\tNN\tI-NP\tO' -p335390 -aS'po\tpo\tNN\tI-NP\tO' -p335391 -aS'qd\tqd\tNN\tI-NP\tO' -p335392 -aS',\t,\t,\tO\tO' -p335393 -aS'Omeprazole\tOmeprazole\tNN\tB-NP\tO' -p335394 -aS'20mg\t20mg\tNN\tI-NP\tO' -p335395 -aS'po\tpo\tNN\tI-NP\tO' -p335396 -aS'qd\tqd\tNN\tI-NP\tO' -p335397 -aS',\t,\t,\tO\tO' -p335398 -aS'Erythromycin\tErythromycin\tNN\tB-NP\tO' -p335399 -aS'eye\teye\tNN\tI-NP\tO' -p335400 -aS'ointment\tointment\tNN\tI-NP\tO' -p335401 -aS'OU\tOU\tNN\tI-NP\tO' -p335402 -aS'bid\tbid\tNN\tI-NP\tO' -p335403 -aS',\t,\t,\tO\tO' -p335404 -aS'Heparin\tHeparin\tNN\tB-NP\tO' -p335405 -aS'at\tat\tIN\tB-PP\tO' -p335406 -aS'its\tits\tPRP$\tB-NP\tO' -p335407 -aS'present\tpresent\tJJ\tI-NP\tO' -p335408 -aS'rate\trate\tNN\tI-NP\tO' -p335409 -aS'adjusting\tadjust\tVBG\tB-VP\tO' -p335410 -aS'per\tper\tIN\tB-PP\tO' -p335411 -aS'partial\tpartial\tJJ\tB-NP\tO' -p335412 -aS'thromboplastin\tthromboplastin\tNN\tI-NP\tO' -p335413 -aS'time\ttime\tNN\tI-NP\tO' -p335414 -aS'bid\tbid\tNN\tB-VP\tO' -p335415 -aS',\t,\t,\tO\tO' -p335416 -aS'and\tand\tCC\tO\tO' -p335417 -aS'discontinuing\tdiscontinue\tVBG\tB-VP\tO' -p335418 -aS'when\twhen\tWRB\tB-ADVP\tO' -p335419 -aS'the\tthe\tDT\tB-NP\tO' -p335420 -aS'Coumadin\tCoumadin\tNN\tI-NP\tO' -p335421 -aS'is\tbe\tVBZ\tB-VP\tO' -p335422 -aS'therapeutic\ttherapeutic\tJJ\tB-ADJP\tO' -p335423 -aS',\t,\t,\tO\tO' -p335424 -aS'Tylenol\tTylenol\tNN\tB-NP\tO' -p335425 -aS'650\t650\tCD\tI-NP\tO' -p335426 -aS'mg\tmg\tNN\tI-NP\tO' -p335427 -aS'po\tpo\tNN\tI-NP\tO' -p335428 -aS'q4\tq4\tNN\tI-NP\tO' -p335429 -aS'prn\tprn\tNN\tI-NP\tO' -p335430 -aS',\t,\t,\tO\tO' -p335431 -aS'Colace\tColace\tNNP\tB-NP\tO' -p335432 -aS'100\t100\tCD\tI-NP\tO' -p335433 -aS'mg\tmg\tNN\tI-NP\tO' -p335434 -aS'po\tpo\tNN\tI-NP\tO' -p335435 -aS'bid\tbid\tNN\tI-NP\tO' -p335436 -aS'.\t.\t.\tO\tO' -p335437 -asS'HEENT : NC/AT .' -p335438 -(lp335439 -S'HEENT\tHEENT\tNN\tB-NP\tO' -p335440 -aS':\t:\t:\tO\tO' -p335441 -aS'NC/AT\tNC/AT\tNN\tB-NP\tB-protein' -p335442 -aS'.\t.\t.\tO\tO' -p335443 -asS'On 9/7 , 5:30 a.m. , D5 quarter normal saline , and 40 of K phosphate at 100 cc's per hour was given .' -p335444 -(lp335445 -S'On\tOn\tIN\tB-PP\tO' -p335446 -aS'9/7\t9/7\tCD\tB-NP\tO' -p335447 -aS',\t,\t,\tO\tO' -p335448 -aS'5:30\t5:30\tCD\tB-NP\tO' -p335449 -aS'a.m.\ta.m.\tNN\tI-NP\tO' -p335450 -aS',\t,\t,\tO\tO' -p335451 -aS'D5\tD5\tNN\tB-NP\tO' -p335452 -aS'quarter\tquarter\tNN\tI-NP\tO' -p335453 -aS'normal\tnormal\tJJ\tI-NP\tO' -p335454 -aS'saline\tsaline\tNN\tI-NP\tO' -p335455 -aS',\t,\t,\tO\tO' -p335456 -aS'and\tand\tCC\tO\tO' -p335457 -aS'40\t40\tCD\tB-NP\tO' -p335458 -aS'of\tof\tIN\tB-PP\tO' -p335459 -aS'K\tK\tNN\tB-NP\tO' -p335460 -aS'phosphate\tphosphate\tNN\tI-NP\tO' -p335461 -aS'at\tat\tIN\tB-PP\tO' -p335462 -aS'100\t100\tCD\tB-NP\tO' -p335463 -aS'cc's\tcc'\tNNS\tI-NP\tO' -p335464 -aS'per\tper\tIN\tB-PP\tO' -p335465 -aS'hour\thour\tNN\tB-NP\tO' -p335466 -aS'was\tbe\tVBD\tB-VP\tO' -p335467 -aS'given\tgive\tVBN\tI-VP\tO' -p335468 -aS'.\t.\t.\tO\tO' -p335469 -asS'General : sleepy , arouses to voice but limited participation with physical exam' -p335470 -(lp335471 -S'General\tGeneral\tNNP\tB-NP\tO' -p335472 -aS':\t:\t:\tO\tO' -p335473 -aS'sleepy\tsleepy\tNN\tB-NP\tO' -p335474 -aS',\t,\t,\tO\tO' -p335475 -aS'arouses\tarouse\tVBZ\tB-VP\tO' -p335476 -aS'to\tto\tTO\tB-PP\tO' -p335477 -aS'voice\tvoice\tNN\tB-NP\tO' -p335478 -aS'but\tbut\tCC\tO\tO' -p335479 -aS'limited\tlimited\tJJ\tB-NP\tO' -p335480 -aS'participation\tparticipation\tNN\tI-NP\tO' -p335481 -aS'with\twith\tIN\tB-PP\tO' -p335482 -aS'physical\tphysical\tJJ\tB-NP\tO' -p335483 -aS'exam\texam\tNN\tI-NP\tO' -p335484 -asS'1. Recurrent cholangiocarcinoma , with intrahepatic bile duct dilatation and gastric outlet obstruction ; exact extent of disease is unclear , but likely extensive .' -p335485 -(lp335486 -S'1.\t1.\tLS\tB-NP\tO' -p335487 -aS'Recurrent\tRecurrent\tJJ\tI-NP\tO' -p335488 -aS'cholangiocarcinoma\tcholangiocarcinoma\tNN\tI-NP\tO' -p335489 -aS',\t,\t,\tO\tO' -p335490 -aS'with\twith\tIN\tB-PP\tO' -p335491 -aS'intrahepatic\tintrahepatic\tJJ\tB-NP\tO' -p335492 -aS'bile\tbile\tNN\tI-NP\tO' -p335493 -aS'duct\tduct\tNN\tI-NP\tO' -p335494 -aS'dilatation\tdilatation\tNN\tI-NP\tO' -p335495 -aS'and\tand\tCC\tO\tO' -p335496 -aS'gastric\tgastric\tJJ\tB-NP\tO' -p335497 -aS'outlet\toutlet\tNN\tI-NP\tO' -p335498 -aS'obstruction\tobstruction\tNN\tI-NP\tO' -p335499 -aS';\t;\t:\tO\tO' -p335500 -aS'exact\texact\tJJ\tB-NP\tO' -p335501 -aS'extent\textent\tNN\tI-NP\tO' -p335502 -aS'of\tof\tIN\tB-PP\tO' -p335503 -aS'disease\tdisease\tNN\tB-NP\tO' -p335504 -aS'is\tbe\tVBZ\tB-VP\tO' -p335505 -aS'unclear\tunclear\tJJ\tB-ADJP\tO' -p335506 -aS',\t,\t,\tO\tO' -p335507 -aS'but\tbut\tCC\tO\tO' -p335508 -aS'likely\tlikely\tRB\tB-ADJP\tO' -p335509 -aS'extensive\textensive\tJJ\tI-ADJP\tO' -p335510 -aS'.\t.\t.\tO\tO' -p335511 -asS'The lungs exhibited right basilar dullness one quarter of the way up .' -p335512 -(lp335513 -S'The\tThe\tDT\tB-NP\tO' -p335514 -aS'lungs\tlung\tNNS\tI-NP\tO' -p335515 -aS'exhibited\texhibit\tVBD\tB-VP\tO' -p335516 -aS'right\tright\tJJ\tB-NP\tO' -p335517 -aS'basilar\tbasilar\tJJ\tI-NP\tO' -p335518 -aS'dullness\tdullness\tNN\tI-NP\tO' -p335519 -aS'one\tone\tCD\tI-NP\tO' -p335520 -aS'quarter\tquarter\tNN\tI-NP\tO' -p335521 -aS'of\tof\tIN\tB-PP\tO' -p335522 -aS'the\tthe\tDT\tB-NP\tO' -p335523 -aS'way\tway\tNN\tI-NP\tO' -p335524 -aS'up\tup\tRP\tB-PRT\tO' -p335525 -aS'.\t.\t.\tO\tO' -p335526 -asS'After admission to L&D , the patient was administered Pitocin for elective induction of labor and progressed uneventfully and went on to deliver a viable female infant , weight 3595 g , Apgars 11-11 .' -p335527 -(lp335528 -S'After\tAfter\tIN\tB-PP\tO' -p335529 -aS'admission\tadmission\tNN\tB-NP\tO' -p335530 -aS'to\tto\tTO\tB-PP\tO' -p335531 -aS'L&D\tL&D\tNN\tB-NP\tO' -p335532 -aS',\t,\t,\tO\tO' -p335533 -aS'the\tthe\tDT\tB-NP\tO' -p335534 -aS'patient\tpatient\tNN\tI-NP\tO' -p335535 -aS'was\tbe\tVBD\tB-VP\tO' -p335536 -aS'administered\tadminister\tVBN\tI-VP\tO' -p335537 -aS'Pitocin\tPitocin\tNNP\tB-NP\tO' -p335538 -aS'for\tfor\tIN\tB-PP\tO' -p335539 -aS'elective\telective\tJJ\tB-NP\tO' -p335540 -aS'induction\tinduction\tNN\tI-NP\tO' -p335541 -aS'of\tof\tIN\tB-PP\tO' -p335542 -aS'labor\tlabor\tNN\tB-NP\tO' -p335543 -aS'and\tand\tCC\tO\tO' -p335544 -aS'progressed\tprogress\tVBD\tB-VP\tO' -p335545 -aS'uneventfully\tuneventfully\tRB\tB-ADVP\tO' -p335546 -aS'and\tand\tCC\tO\tO' -p335547 -aS'went\tgo\tVBD\tB-VP\tO' -p335548 -aS'on\ton\tRP\tB-PRT\tO' -p335549 -aS'to\tto\tTO\tB-VP\tO' -p335550 -aS'deliver\tdeliver\tVB\tI-VP\tO' -p335551 -aS'a\ta\tDT\tB-NP\tO' -p335552 -aS'viable\tviable\tJJ\tI-NP\tO' -p335553 -aS'female\tfemale\tJJ\tI-NP\tO' -p335554 -aS'infant\tinfant\tNN\tI-NP\tO' -p335555 -aS',\t,\t,\tO\tO' -p335556 -aS'weight\tweight\tNN\tB-NP\tO' -p335557 -aS'3595\t3595\tCD\tI-NP\tO' -p335558 -aS'g\tg\tNN\tI-NP\tO' -p335559 -aS',\t,\t,\tO\tO' -p335560 -aS'Apgars\tApgars\tNNP\tB-NP\tO' -p335561 -aS'11-11\t11-11\tCD\tI-NP\tO' -p335562 -aS'.\t.\t.\tO\tO' -p335563 -asS'Clear otherwise .' -p335564 -(lp335565 -S'Clear\tClear\tVB\tB-VP\tO' -p335566 -aS'otherwise\totherwise\tRB\tB-ADVP\tO' -p335567 -aS'.\t.\t.\tO\tO' -p335568 -asS'1 cypher stent placed in LAD , 2 cypher stents placed in Left' -p335569 -(lp335570 -S'1\t1\tCD\tB-NP\tO' -p335571 -aS'cypher\tcypher\tNN\tI-NP\tO' -p335572 -aS'stent\tstent\tNN\tI-NP\tO' -p335573 -aS'placed\tplace\tVBN\tB-VP\tO' -p335574 -aS'in\tin\tIN\tB-PP\tO' -p335575 -aS'LAD\tLAD\tNN\tB-NP\tO' -p335576 -aS',\t,\t,\tO\tO' -p335577 -aS'2\t2\tCD\tB-NP\tO' -p335578 -aS'cypher\tcypher\tNN\tI-NP\tO' -p335579 -aS'stents\tstent\tNNS\tI-NP\tO' -p335580 -aS'placed\tplace\tVBN\tB-VP\tO' -p335581 -aS'in\tin\tIN\tB-PP\tO' -p335582 -aS'Left\tLeft\tNN\tB-NP\tO' -p335583 -asS'Your antibiotics were stopped 2016-05-15 ( Vancomycin 1000mg q24 and Aztreonam 1000mg q8 ) as your micorbiology data has been negative and your course for pseudomonal sepsis has been completed .' -p335584 -(lp335585 -S'Your\tYour\tPRP$\tB-NP\tO' -p335586 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p335587 -aS'were\tbe\tVBD\tB-VP\tO' -p335588 -aS'stopped\tstop\tVBN\tI-VP\tO' -p335589 -aS'2016-05-15\t2016-05-15\tCD\tB-NP\tO' -p335590 -aS'(\t(\t(\tO\tO' -p335591 -aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' -p335592 -aS'1000mg\t1000mg\tNN\tI-NP\tO' -p335593 -aS'q24\tq24\tNN\tI-NP\tO' -p335594 -aS'and\tand\tCC\tO\tO' -p335595 -aS'Aztreonam\tAztreonam\tNN\tB-NP\tO' -p335596 -aS'1000mg\t1000mg\tNN\tI-NP\tO' -p335597 -aS'q8\tq8\tNN\tI-NP\tO' -p335598 -aS')\t)\t)\tO\tO' -p335599 -aS'as\tas\tIN\tB-PP\tO' -p335600 -aS'your\tyour\tPRP$\tB-NP\tO' -p335601 -aS'micorbiology\tmicorbiology\tNN\tI-NP\tO' -p335602 -aS'data\tdatum\tNNS\tI-NP\tO' -p335603 -aS'has\thave\tVBZ\tB-VP\tO' -p335604 -aS'been\tbe\tVBN\tI-VP\tO' -p335605 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p335606 -aS'and\tand\tCC\tO\tO' -p335607 -aS'your\tyour\tPRP$\tB-NP\tO' -p335608 -aS'course\tcourse\tNN\tI-NP\tO' -p335609 -aS'for\tfor\tIN\tB-PP\tO' -p335610 -aS'pseudomonal\tpseudomonal\tJJ\tB-NP\tO' -p335611 -aS'sepsis\tsepsis\tNN\tI-NP\tO' -p335612 -aS'has\thave\tVBZ\tB-VP\tO' -p335613 -aS'been\tbe\tVBN\tI-VP\tO' -p335614 -aS'completed\tcomplete\tVBN\tI-VP\tO' -p335615 -aS'.\t.\t.\tO\tO' -p335616 -asS'He was placed on Unasyn 3 grams IV q.6h.' -p335617 -(lp335618 -S'He\tHe\tPRP\tB-NP\tO' -p335619 -aS'was\tbe\tVBD\tB-VP\tO' -p335620 -aS'placed\tplace\tVBN\tI-VP\tO' -p335621 -aS'on\ton\tIN\tB-PP\tO' -p335622 -aS'Unasyn\tUnasyn\tNN\tB-NP\tO' -p335623 -aS'3\t3\tCD\tB-NP\tO' -p335624 -aS'grams\tgram\tNNS\tI-NP\tO' -p335625 -aS'IV\tIV\tCD\tB-NP\tO' -p335626 -aS'q.6h.\tq.6h.\tNN\tI-NP\tO' -p335627 -asS'Pupils were fixed and dilated .' -p335628 -(lp335629 -S'Pupils\tPupil\tNNS\tB-NP\tO' -p335630 -aS'were\tbe\tVBD\tB-VP\tO' -p335631 -aS'fixed\tfix\tVBN\tI-VP\tO' -p335632 -aS'and\tand\tCC\tO\tO' -p335633 -aS'dilated\tdilate\tVBN\tB-VP\tO' -p335634 -aS'.\t.\t.\tO\tO' -p335635 -asS'CT examinations of the head , chest , abdomen and pelvis were all unremarkable .' -p335636 -(lp335637 -S'CT\tCT\tNN\tB-NP\tO' -p335638 -aS'examinations\texamination\tNNS\tI-NP\tO' -p335639 -aS'of\tof\tIN\tB-PP\tO' -p335640 -aS'the\tthe\tDT\tB-NP\tO' -p335641 -aS'head\thead\tNN\tI-NP\tO' -p335642 -aS',\t,\t,\tI-NP\tO' -p335643 -aS'chest\tchest\tNN\tI-NP\tO' -p335644 -aS',\t,\t,\tI-NP\tO' -p335645 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p335646 -aS'and\tand\tCC\tI-NP\tO' -p335647 -aS'pelvis\tpelvis\tNN\tI-NP\tO' -p335648 -aS'were\tbe\tVBD\tB-VP\tO' -p335649 -aS'all\tall\tDT\tO\tO' -p335650 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p335651 -aS'.\t.\t.\tO\tO' -p335652 -asS'Chest x-ray shows a large left pleural effusion .' -p335653 -(lp335654 -S'Chest\tCh\tJJS\tB-NP\tO' -p335655 -aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' -p335656 -aS'shows\tshow\tVBZ\tB-VP\tO' -p335657 -aS'a\ta\tDT\tB-NP\tO' -p335658 -aS'large\tlarge\tJJ\tI-NP\tO' -p335659 -aS'left\tleft\tJJ\tI-NP\tO' -p335660 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p335661 -aS'effusion\teffusion\tNN\tI-NP\tO' -p335662 -aS'.\t.\t.\tO\tO' -p335663 -asS'1. Asthma as a child which recurred in 2001 .' -p335664 -(lp335665 -S'1.\t1.\tLS\tB-NP\tO' -p335666 -aS'Asthma\tAsthma\tNN\tI-NP\tO' -p335667 -aS'as\tas\tIN\tB-PP\tO' -p335668 -aS'a\ta\tDT\tB-NP\tO' -p335669 -aS'child\tchild\tNN\tI-NP\tO' -p335670 -aS'which\twhich\tWDT\tB-NP\tO' -p335671 -aS'recurred\trecur\tVBD\tB-VP\tO' -p335672 -aS'in\tin\tIN\tB-PP\tO' -p335673 -aS'2001\t2001\tCD\tB-NP\tO' -p335674 -aS'.\t.\t.\tO\tO' -p335675 -asS'DISPO : transfer to inpatient CMED likely tomorrow' -p335676 -(lp335677 -S'DISPO\tDISPO\tNN\tB-NP\tB-protein' -p335678 -aS':\t:\t:\tO\tO' -p335679 -aS'transfer\ttransfer\tVB\tB-VP\tO' -p335680 -aS'to\tto\tTO\tB-PP\tO' -p335681 -aS'inpatient\tinpatient\tNN\tB-NP\tO' -p335682 -aS'CMED\tCMED\tVBD\tB-VP\tO' -p335683 -aS'likely\tlikely\tRB\tB-ADVP\tO' -p335684 -aS'tomorrow\ttomorrow\tNN\tB-NP\tO' -p335685 -asS'He had multiple tattoos .' -p335686 -(lp335687 -S'He\tHe\tPRP\tB-NP\tO' -p335688 -aS'had\thave\tVBD\tB-VP\tO' -p335689 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p335690 -aS'tattoos\ttattoo\tNNS\tI-NP\tO' -p335691 -aS'.\t.\t.\tO\tO' -p335692 -asS'He was started on aspirin .' -p335693 -(lp335694 -S'He\tHe\tPRP\tB-NP\tO' -p335695 -aS'was\tbe\tVBD\tB-VP\tO' -p335696 -aS'started\tstart\tVBN\tI-VP\tO' -p335697 -aS'on\ton\tIN\tB-PP\tO' -p335698 -aS'aspirin\taspirin\tNN\tB-NP\tO' -p335699 -aS'.\t.\t.\tO\tO' -p335700 -asS'Temperature 98.8 , heart rate 68 , blood pressure 107/82 , and oxygen saturation 99% on room air .' -p335701 -(lp335702 -S'Temperature\tTemperature\tNN\tB-NP\tB-protein' -p335703 -aS'98.8\t98.8\tCD\tI-NP\tI-protein' -p335704 -aS',\t,\t,\tO\tO' -p335705 -aS'heart\theart\tNN\tB-NP\tO' -p335706 -aS'rate\trate\tNN\tI-NP\tO' -p335707 -aS'68\t68\tCD\tI-NP\tO' -p335708 -aS',\t,\t,\tO\tO' -p335709 -aS'blood\tblood\tNN\tB-NP\tO' -p335710 -aS'pressure\tpressure\tNN\tI-NP\tO' -p335711 -aS'107/82\t107/82\tCD\tI-NP\tO' -p335712 -aS',\t,\t,\tO\tO' -p335713 -aS'and\tand\tCC\tO\tO' -p335714 -aS'oxygen\toxygen\tNN\tB-NP\tB-protein' -p335715 -aS'saturation\tsaturation\tNN\tI-NP\tI-protein' -p335716 -aS'99%\t99%\tCD\tI-NP\tI-protein' -p335717 -aS'on\ton\tIN\tB-PP\tO' -p335718 -aS'room\troom\tNN\tB-NP\tO' -p335719 -aS'air\tair\tNN\tI-NP\tO' -p335720 -aS'.\t.\t.\tO\tO' -p335721 -asS'Right arm was 180/80 , left 188/72 , and A-line was 151/61 .' -p335722 -(lp335723 -S'Right\tRight\tNN\tB-NP\tB-protein' -p335724 -aS'arm\tarm\tNN\tI-NP\tI-protein' -p335725 -aS'was\tbe\tVBD\tB-VP\tI-protein' -p335726 -aS'180/80\t180/80\tCD\tB-NP\tI-protein' -p335727 -aS',\t,\t,\tO\tO' -p335728 -aS'left\tleave\tVBD\tB-VP\tO' -p335729 -aS'188/72\t188/72\tCD\tB-NP\tO' -p335730 -aS',\t,\t,\tO\tO' -p335731 -aS'and\tand\tCC\tO\tO' -p335732 -aS'A-line\tA-line\tNN\tB-NP\tB-cell_line' -p335733 -aS'was\tbe\tVBD\tB-VP\tO' -p335734 -aS'151/61\t151/61\tCD\tB-NP\tO' -p335735 -aS'.\t.\t.\tO\tO' -p335736 -asS'His father had Hemochromatosis and DMII .' -p335737 -(lp335738 -S'His\tHis\tPRP$\tB-NP\tO' -p335739 -aS'father\tfather\tNN\tI-NP\tO' -p335740 -aS'had\thave\tVBD\tB-VP\tO' -p335741 -aS'Hemochromatosis\tHemochromatosis\tNN\tB-NP\tO' -p335742 -aS'and\tand\tCC\tI-NP\tO' -p335743 -aS'DMII\tDMII\tNN\tI-NP\tB-protein' -p335744 -aS'.\t.\t.\tO\tO' -p335745 -asS'He had no chest pain or shortness of breath .' -p335746 -(lp335747 -S'He\tHe\tPRP\tB-NP\tO' -p335748 -aS'had\thave\tVBD\tB-VP\tO' -p335749 -aS'no\tno\tDT\tB-NP\tO' -p335750 -aS'chest\tchest\tNN\tI-NP\tO' -p335751 -aS'pain\tpain\tNN\tI-NP\tO' -p335752 -aS'or\tor\tCC\tI-NP\tO' -p335753 -aS'shortness\tshortness\tNN\tI-NP\tO' -p335754 -aS'of\tof\tIN\tB-PP\tO' -p335755 -aS'breath\tbreath\tNN\tB-NP\tO' -p335756 -aS'.\t.\t.\tO\tO' -p335757 -asS'He is a retired painter .' -p335758 -(lp335759 -S'He\tHe\tPRP\tB-NP\tB-DNA' -p335760 -aS'is\tbe\tVBZ\tB-VP\tO' -p335761 -aS'a\ta\tDT\tB-NP\tO' -p335762 -aS'retired\tretired\tJJ\tI-NP\tO' -p335763 -aS'painter\tpainter\tNN\tI-NP\tO' -p335764 -aS'.\t.\t.\tO\tO' -p335765 -asS'On standing , she tended to fall to the front , back or sides without trying to stop her fall initially , and extensive gait testing was deferred due to concerns for safety .' -p335766 -(lp335767 -S'On\tOn\tIN\tB-PP\tO' -p335768 -aS'standing\tstanding\tNN\tB-NP\tO' -p335769 -aS',\t,\t,\tO\tO' -p335770 -aS'she\tshe\tPRP\tB-NP\tO' -p335771 -aS'tended\ttend\tVBD\tB-VP\tO' -p335772 -aS'to\tto\tTO\tI-VP\tO' -p335773 -aS'fall\tfall\tVB\tI-VP\tO' -p335774 -aS'to\tto\tTO\tB-PP\tO' -p335775 -aS'the\tthe\tDT\tB-NP\tO' -p335776 -aS'front\tfront\tNN\tI-NP\tO' -p335777 -aS',\t,\t,\tO\tO' -p335778 -aS'back\tback\tRB\tB-ADVP\tO' -p335779 -aS'or\tor\tCC\tO\tO' -p335780 -aS'sides\tside\tVBZ\tB-VP\tO' -p335781 -aS'without\twithout\tIN\tB-PP\tO' -p335782 -aS'trying\ttry\tVBG\tB-VP\tO' -p335783 -aS'to\tto\tTO\tI-VP\tO' -p335784 -aS'stop\tstop\tVB\tI-VP\tO' -p335785 -aS'her\ther\tPRP\tB-NP\tO' -p335786 -aS'fall\tfall\tVB\tB-VP\tO' -p335787 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p335788 -aS',\t,\t,\tO\tO' -p335789 -aS'and\tand\tCC\tO\tO' -p335790 -aS'extensive\textensive\tJJ\tB-NP\tO' -p335791 -aS'gait\tgait\tNN\tI-NP\tO' -p335792 -aS'testing\ttesting\tNN\tI-NP\tO' -p335793 -aS'was\tbe\tVBD\tB-VP\tO' -p335794 -aS'deferred\tdefer\tVBN\tI-VP\tO' -p335795 -aS'due\tdue\tJJ\tB-ADJP\tO' -p335796 -aS'to\tto\tTO\tB-PP\tO' -p335797 -aS'concerns\tconcern\tNNS\tB-NP\tO' -p335798 -aS'for\tfor\tIN\tB-PP\tO' -p335799 -aS'safety\tsafety\tNN\tB-NP\tO' -p335800 -aS'.\t.\t.\tO\tO' -p335801 -asS'The patient was kept on a house diet .' -p335802 -(lp335803 -S'The\tThe\tDT\tB-NP\tO' -p335804 -aS'patient\tpatient\tNN\tI-NP\tO' -p335805 -aS'was\tbe\tVBD\tB-VP\tO' -p335806 -aS'kept\tkeep\tVBN\tI-VP\tO' -p335807 -aS'on\ton\tIN\tB-PP\tO' -p335808 -aS'a\ta\tDT\tB-NP\tO' -p335809 -aS'house\thouse\tNN\tI-NP\tO' -p335810 -aS'diet\tdiet\tNN\tI-NP\tO' -p335811 -aS'.\t.\t.\tO\tO' -p335812 -asS'He has had no episodes of spontaneous apnea during admission .' -p335813 -(lp335814 -S'He\tHe\tPRP\tB-NP\tO' -p335815 -aS'has\thave\tVBZ\tB-VP\tO' -p335816 -aS'had\thave\tVBN\tI-VP\tO' -p335817 -aS'no\tno\tDT\tB-NP\tO' -p335818 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p335819 -aS'of\tof\tIN\tB-PP\tO' -p335820 -aS'spontaneous\tspontaneous\tJJ\tB-NP\tO' -p335821 -aS'apnea\tapnea\tNN\tI-NP\tO' -p335822 -aS'during\tduring\tIN\tB-PP\tO' -p335823 -aS'admission\tadmission\tNN\tB-NP\tO' -p335824 -aS'.\t.\t.\tO\tO' -p335825 -asS'She will follow-up with Dr. Welch with an echocardiogram on 2015-07-24 in a meeting to discuss risk stratification for sudden cardiac death and possible ICD placement .' -p335826 -(lp335827 -S'She\tShe\tPRP\tB-NP\tO' -p335828 -aS'will\twill\tMD\tB-VP\tO' -p335829 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p335830 -aS'with\twith\tIN\tB-PP\tO' -p335831 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p335832 -aS'Welch\tWelch\tNNP\tI-NP\tO' -p335833 -aS'with\twith\tIN\tB-PP\tO' -p335834 -aS'an\tan\tDT\tB-NP\tO' -p335835 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p335836 -aS'on\ton\tIN\tB-PP\tO' -p335837 -aS'2015-07-24\t2015-07-24\tCD\tB-NP\tO' -p335838 -aS'in\tin\tIN\tB-PP\tO' -p335839 -aS'a\ta\tDT\tB-NP\tO' -p335840 -aS'meeting\tmeeting\tNN\tI-NP\tO' -p335841 -aS'to\tto\tTO\tB-VP\tO' -p335842 -aS'discuss\tdiscuss\tVB\tI-VP\tO' -p335843 -aS'risk\trisk\tNN\tB-NP\tO' -p335844 -aS'stratification\tstratification\tNN\tI-NP\tO' -p335845 -aS'for\tfor\tIN\tB-PP\tO' -p335846 -aS'sudden\tsudden\tJJ\tB-NP\tO' -p335847 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p335848 -aS'death\tdeath\tNN\tI-NP\tO' -p335849 -aS'and\tand\tCC\tO\tO' -p335850 -aS'possible\tpossible\tJJ\tB-NP\tO' -p335851 -aS'ICD\tICD\tNN\tI-NP\tO' -p335852 -aS'placement\tplacement\tNN\tI-NP\tO' -p335853 -aS'.\t.\t.\tO\tO' -p335854 -asS'The inferior vena cava is dilated ( >2.5 cm ) .' -p335855 -(lp335856 -S'The\tThe\tDT\tB-NP\tO' -p335857 -aS'inferior\tinferior\tJJ\tI-NP\tO' -p335858 -aS'vena\tvena\tNN\tI-NP\tO' -p335859 -aS'cava\tcava\tNN\tI-NP\tO' -p335860 -aS'is\tbe\tVBZ\tB-VP\tO' -p335861 -aS'dilated\tdilate\tVBN\tI-VP\tO' -p335862 -aS'(\t(\t(\tO\tO' -p335863 -aS'>2.5\t>2.5\tCD\tB-NP\tO' -p335864 -aS'cm\tcm\tNN\tI-NP\tO' -p335865 -aS')\t)\t)\tO\tO' -p335866 -aS'.\t.\t.\tO\tO' -p335867 -asS'On examination , she is in no apparent distress and is alert and oriented .' -p335868 -(lp335869 -S'On\tOn\tIN\tB-PP\tO' -p335870 -aS'examination\texamination\tNN\tB-NP\tO' -p335871 -aS',\t,\t,\tO\tO' -p335872 -aS'she\tshe\tPRP\tB-NP\tO' -p335873 -aS'is\tbe\tVBZ\tB-VP\tO' -p335874 -aS'in\tin\tIN\tB-PP\tO' -p335875 -aS'no\tno\tDT\tB-NP\tO' -p335876 -aS'apparent\tapparent\tJJ\tI-NP\tO' -p335877 -aS'distress\tdistress\tNN\tI-NP\tO' -p335878 -aS'and\tand\tCC\tO\tO' -p335879 -aS'is\tbe\tVBZ\tB-VP\tO' -p335880 -aS'alert\talert\tJJ\tB-ADJP\tO' -p335881 -aS'and\tand\tCC\tI-ADJP\tO' -p335882 -aS'oriented\toriented\tJJ\tI-ADJP\tO' -p335883 -aS'.\t.\t.\tO\tO' -p335884 -asS'The differential diagnosis of this is wide including viral , fungal and atypical mycobacterial infections .' -p335885 -(lp335886 -S'The\tThe\tDT\tB-NP\tO' -p335887 -aS'differential\tdifferential\tJJ\tI-NP\tO' -p335888 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p335889 -aS'of\tof\tIN\tB-PP\tO' -p335890 -aS'this\tthis\tDT\tB-NP\tO' -p335891 -aS'is\tbe\tVBZ\tB-VP\tO' -p335892 -aS'wide\twide\tJJ\tB-ADJP\tO' -p335893 -aS'including\tinclude\tVBG\tB-PP\tO' -p335894 -aS'viral\tviral\tJJ\tB-NP\tO' -p335895 -aS',\t,\t,\tI-NP\tO' -p335896 -aS'fungal\tfungal\tJJ\tI-NP\tO' -p335897 -aS'and\tand\tCC\tI-NP\tO' -p335898 -aS'atypical\tatypical\tJJ\tI-NP\tO' -p335899 -aS'mycobacterial\tmycobacterial\tJJ\tI-NP\tO' -p335900 -aS'infections\tinfection\tNNS\tI-NP\tO' -p335901 -aS'.\t.\t.\tO\tO' -p335902 -asS'Her hematocrit preoperatively was 36 and postoperatively was 33 and then 32 .' -p335903 -(lp335904 -S'Her\tHer\tPRP$\tB-NP\tO' -p335905 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p335906 -aS'preoperatively\tpreoperatively\tRB\tB-ADVP\tO' -p335907 -aS'was\tbe\tVBD\tB-VP\tO' -p335908 -aS'36\t36\tCD\tB-NP\tO' -p335909 -aS'and\tand\tCC\tO\tO' -p335910 -aS'postoperatively\tpostoperatively\tRB\tB-VP\tO' -p335911 -aS'was\tbe\tVBD\tI-VP\tO' -p335912 -aS'33\t33\tCD\tB-NP\tO' -p335913 -aS'and\tand\tCC\tO\tO' -p335914 -aS'then\tthen\tRB\tO\tO' -p335915 -aS'32\t32\tCD\tB-NP\tO' -p335916 -aS'.\t.\t.\tO\tO' -p335917 -asS'Arterial blood gas showed a mild metabolic acidosis .' -p335918 -(lp335919 -S'Arterial\tArterial\tJJ\tB-NP\tO' -p335920 -aS'blood\tblood\tNN\tI-NP\tO' -p335921 -aS'gas\tgas\tNN\tI-NP\tO' -p335922 -aS'showed\tshow\tVBD\tB-VP\tO' -p335923 -aS'a\ta\tDT\tB-NP\tO' -p335924 -aS'mild\tmild\tJJ\tI-NP\tO' -p335925 -aS'metabolic\tmetabolic\tJJ\tI-NP\tO' -p335926 -aS'acidosis\tacidosis\tNN\tI-NP\tO' -p335927 -aS'.\t.\t.\tO\tO' -p335928 -asS'Improving clots on LENI .' -p335929 -(lp335930 -S'Improving\tImprove\tVBG\tB-VP\tO' -p335931 -aS'clots\tclot\tNNS\tB-NP\tO' -p335932 -aS'on\ton\tIN\tB-PP\tO' -p335933 -aS'LENI\tLENI\tNN\tB-NP\tB-protein' -p335934 -aS'.\t.\t.\tO\tO' -p335935 -asS'Head CT done 05-04 with bilateral SAH and L temporal parenchymal hematoma .' -p335936 -(lp335937 -S'Head\tHead\tJJ\tB-NP\tO' -p335938 -aS'CT\tCT\tNN\tI-NP\tO' -p335939 -aS'done\tdo\tVBN\tB-VP\tO' -p335940 -aS'05-04\t05-04\tCD\tB-NP\tO' -p335941 -aS'with\twith\tIN\tB-PP\tO' -p335942 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p335943 -aS'SAH\tSAH\tNN\tI-NP\tO' -p335944 -aS'and\tand\tCC\tI-NP\tO' -p335945 -aS'L\tL\tNN\tI-NP\tO' -p335946 -aS'temporal\ttemporal\tJJ\tI-NP\tO' -p335947 -aS'parenchymal\tparenchymal\tJJ\tI-NP\tO' -p335948 -aS'hematoma\thematoma\tNN\tI-NP\tO' -p335949 -aS'.\t.\t.\tO\tO' -p335950 -asS'Mr. Knueppel was admitted to the CCU at the Mass. Eye & Ear Infirmary .' -p335951 -(lp335952 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p335953 -aS'Knueppel\tKnueppel\tNNP\tI-NP\tO' -p335954 -aS'was\tbe\tVBD\tB-VP\tO' -p335955 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p335956 -aS'to\tto\tTO\tB-PP\tO' -p335957 -aS'the\tthe\tDT\tB-NP\tO' -p335958 -aS'CCU\tCCU\tNN\tI-NP\tB-DNA' -p335959 -aS'at\tat\tIN\tB-PP\tO' -p335960 -aS'the\tthe\tDT\tB-NP\tO' -p335961 -aS'Mass.\tMass.\tNNP\tI-NP\tO' -p335962 -aS'Eye\tEye\tNNP\tI-NP\tO' -p335963 -aS'&\t&\tCC\tI-NP\tO' -p335964 -aS'Ear\tEar\tNNP\tI-NP\tO' -p335965 -aS'Infirmary\tInfirmary\tNNP\tI-NP\tO' -p335966 -aS'.\t.\t.\tO\tO' -p335967 -asS'Please follow up with Dr Erb - 3/30/07 at 10:00am .' -p335968 -(lp335969 -S'Please\tPlease\tVB\tB-VP\tO' -p335970 -aS'follow\tfollow\tVB\tI-VP\tO' -p335971 -aS'up\tup\tRP\tB-PRT\tO' -p335972 -aS'with\twith\tIN\tB-PP\tO' -p335973 -aS'Dr\tDr\tNN\tB-NP\tO' -p335974 -aS'Erb\tErb\tNN\tI-NP\tB-protein' -p335975 -aS'-\t-\tHYPH\tO\tO' -p335976 -aS'3/30/07\t3/30/07\tCD\tB-NP\tO' -p335977 -aS'at\tat\tIN\tB-PP\tO' -p335978 -aS'10:00am\t10:00am\tNN\tB-NP\tO' -p335979 -aS'.\t.\t.\tO\tO' -p335980 -asS'1. Coronary artery disease , status post 5-vessel coronary artery bypass graft on 2009-09-11 .' -p335981 -(lp335982 -S'1.\t1.\tLS\tB-NP\tO' -p335983 -aS'Coronary\tCoronary\tJJ\tI-NP\tO' -p335984 -aS'artery\tartery\tNN\tI-NP\tO' -p335985 -aS'disease\tdisease\tNN\tI-NP\tO' -p335986 -aS',\t,\t,\tO\tO' -p335987 -aS'status\tstatus\tNN\tB-NP\tO' -p335988 -aS'post\tpost\tVBD\tB-VP\tO' -p335989 -aS'5-vessel\t5-vessel\tJJ\tB-NP\tO' -p335990 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p335991 -aS'artery\tartery\tNN\tI-NP\tO' -p335992 -aS'bypass\tbypass\tIN\tB-PP\tO' -p335993 -aS'graft\tgraft\tNN\tB-NP\tO' -p335994 -aS'on\ton\tIN\tB-PP\tO' -p335995 -aS'2009-09-11\t2009-09-11\tCD\tB-NP\tO' -p335996 -aS'.\t.\t.\tO\tO' -p335997 -asS'Significant for colon carcinoma .' -p335998 -(lp335999 -S'Significant\tSignificant\tJJ\tB-ADJP\tO' -p336000 -aS'for\tfor\tIN\tB-PP\tO' -p336001 -aS'colon\tcolon\tNN\tB-NP\tO' -p336002 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p336003 -aS'.\t.\t.\tO\tO' -p336004 -asS'Seen by heme and GCSF started .' -p336005 -(lp336006 -S'Seen\tSeen\tNN\tB-NP\tO' -p336007 -aS'by\tby\tIN\tB-PP\tO' -p336008 -aS'heme\theme\tNN\tB-NP\tB-protein' -p336009 -aS'and\tand\tCC\tI-NP\tO' -p336010 -aS'GCSF\tGCSF\tNN\tI-NP\tB-protein' -p336011 -aS'started\tstart\tVBD\tB-VP\tO' -p336012 -aS'.\t.\t.\tO\tO' -p336013 -asS'He ultimately was brought to the operating room on 03-19 .' -p336014 -(lp336015 -S'He\tHe\tPRP\tB-NP\tO' -p336016 -aS'ultimately\tultimately\tRB\tB-ADVP\tO' -p336017 -aS'was\tbe\tVBD\tB-VP\tO' -p336018 -aS'brought\tbring\tVBN\tI-VP\tO' -p336019 -aS'to\tto\tTO\tB-PP\tO' -p336020 -aS'the\tthe\tDT\tB-NP\tO' -p336021 -aS'operating\toperating\tNN\tI-NP\tO' -p336022 -aS'room\troom\tNN\tI-NP\tO' -p336023 -aS'on\ton\tIN\tB-PP\tO' -p336024 -aS'03-19\t03-19\tCD\tB-NP\tO' -p336025 -aS'.\t.\t.\tO\tO' -p336026 -asS'His wounds were dressed with antiointment and Xeroform with the plan to take him to the operating room for debridement under general anesthesia and application of artificial skin .' -p336027 -(lp336028 -S'His\tHis\tPRP$\tB-NP\tO' -p336029 -aS'wounds\twound\tNNS\tI-NP\tO' -p336030 -aS'were\tbe\tVBD\tB-VP\tO' -p336031 -aS'dressed\tdress\tVBN\tI-VP\tO' -p336032 -aS'with\twith\tIN\tB-PP\tO' -p336033 -aS'antiointment\tantiointment\tNN\tB-NP\tO' -p336034 -aS'and\tand\tCC\tI-NP\tO' -p336035 -aS'Xeroform\tXeroform\tNN\tI-NP\tO' -p336036 -aS'with\twith\tIN\tB-PP\tO' -p336037 -aS'the\tthe\tDT\tB-NP\tO' -p336038 -aS'plan\tplan\tNN\tI-NP\tO' -p336039 -aS'to\tto\tTO\tB-VP\tO' -p336040 -aS'take\ttake\tVB\tI-VP\tO' -p336041 -aS'him\thim\tPRP\tB-NP\tO' -p336042 -aS'to\tto\tTO\tB-PP\tO' -p336043 -aS'the\tthe\tDT\tB-NP\tO' -p336044 -aS'operating\toperating\tNN\tI-NP\tO' -p336045 -aS'room\troom\tNN\tI-NP\tO' -p336046 -aS'for\tfor\tIN\tB-PP\tO' -p336047 -aS'debridement\tdebridement\tNN\tB-NP\tO' -p336048 -aS'under\tunder\tIN\tB-PP\tO' -p336049 -aS'general\tgeneral\tJJ\tB-NP\tO' -p336050 -aS'anesthesia\tanesthesia\tNN\tI-NP\tO' -p336051 -aS'and\tand\tCC\tI-NP\tO' -p336052 -aS'application\tapplication\tNN\tI-NP\tO' -p336053 -aS'of\tof\tIN\tB-PP\tO' -p336054 -aS'artificial\tartificial\tJJ\tB-NP\tO' -p336055 -aS'skin\tskin\tNN\tI-NP\tO' -p336056 -aS'.\t.\t.\tO\tO' -p336057 -asS'He was sent to Bournewood Hospital via ambulance .' -p336058 -(lp336059 -S'He\tHe\tPRP\tB-NP\tO' -p336060 -aS'was\tbe\tVBD\tB-VP\tO' -p336061 -aS'sent\tsend\tVBN\tI-VP\tO' -p336062 -aS'to\tto\tTO\tB-PP\tO' -p336063 -aS'Bournewood\tBournewood\tNNP\tB-NP\tO' -p336064 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p336065 -aS'via\tvia\tIN\tB-PP\tO' -p336066 -aS'ambulance\tambulance\tNN\tB-NP\tO' -p336067 -aS'.\t.\t.\tO\tO' -p336068 -asS'Unchanged appearance of right pneumonectomy .' -p336069 -(lp336070 -S'Unchanged\tUnchanged\tJJ\tB-NP\tO' -p336071 -aS'appearance\tappearance\tNN\tI-NP\tO' -p336072 -aS'of\tof\tIN\tB-PP\tO' -p336073 -aS'right\tright\tJJ\tB-NP\tO' -p336074 -aS'pneumonectomy\tpneumonectomy\tNN\tI-NP\tO' -p336075 -aS'.\t.\t.\tO\tO' -p336076 -asS'3. Car seat position screening was performed for screening and the infant passed .' -p336077 -(lp336078 -S'3.\t3.\tLS\tB-NP\tO' -p336079 -aS'Car\tCar\tNN\tI-NP\tB-protein' -p336080 -aS'seat\tseat\tNN\tI-NP\tO' -p336081 -aS'position\tposition\tNN\tI-NP\tO' -p336082 -aS'screening\tscreening\tNN\tI-NP\tO' -p336083 -aS'was\tbe\tVBD\tB-VP\tO' -p336084 -aS'performed\tperform\tVBN\tI-VP\tO' -p336085 -aS'for\tfor\tIN\tB-PP\tO' -p336086 -aS'screening\tscreening\tNN\tB-NP\tO' -p336087 -aS'and\tand\tCC\tO\tO' -p336088 -aS'the\tthe\tDT\tB-NP\tO' -p336089 -aS'infant\tinfant\tNN\tI-NP\tO' -p336090 -aS'passed\tpass\tVBN\tB-VP\tO' -p336091 -aS'.\t.\t.\tO\tO' -p336092 -asS'Denies any recent use of EtOH or illicit drugs .' -p336093 -(lp336094 -S'Denies\tDeny\tNNS\tB-NP\tO' -p336095 -aS'any\tany\tDT\tB-NP\tO' -p336096 -aS'recent\trecent\tJJ\tI-NP\tO' -p336097 -aS'use\tuse\tNN\tI-NP\tO' -p336098 -aS'of\tof\tIN\tB-PP\tO' -p336099 -aS'EtOH\tEtOH\tNN\tB-NP\tO' -p336100 -aS'or\tor\tCC\tO\tO' -p336101 -aS'illicit\tillicit\tJJ\tB-NP\tO' -p336102 -aS'drugs\tdrug\tNNS\tI-NP\tO' -p336103 -aS'.\t.\t.\tO\tO' -p336104 -asS'A large filling defect is seen in the distal duct representing a stone .' -p336105 -(lp336106 -S'A\tA\tDT\tB-NP\tO' -p336107 -aS'large\tlarge\tJJ\tI-NP\tO' -p336108 -aS'filling\tfilling\tNN\tI-NP\tO' -p336109 -aS'defect\tdefect\tNN\tI-NP\tO' -p336110 -aS'is\tbe\tVBZ\tB-VP\tO' -p336111 -aS'seen\tsee\tVBN\tI-VP\tO' -p336112 -aS'in\tin\tIN\tB-PP\tO' -p336113 -aS'the\tthe\tDT\tB-NP\tO' -p336114 -aS'distal\tdistal\tJJ\tI-NP\tO' -p336115 -aS'duct\tduct\tNN\tI-NP\tO' -p336116 -aS'representing\trepresent\tVBG\tB-VP\tO' -p336117 -aS'a\ta\tDT\tB-NP\tO' -p336118 -aS'stone\tstone\tNN\tI-NP\tO' -p336119 -aS'.\t.\t.\tO\tO' -p336120 -asS'She underwent an open laparoscopy , total abdominal hysterectomy , bilateral salpingo-oophorectomy , lysis of adhesions , Birch procedure , and suprapubic Foley catheter placement and Jackson-Pratt drain placement .' -p336121 -(lp336122 -S'She\tShe\tPRP\tB-NP\tO' -p336123 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p336124 -aS'an\tan\tDT\tB-NP\tO' -p336125 -aS'open\topen\tJJ\tI-NP\tO' -p336126 -aS'laparoscopy\tlaparoscopy\tNN\tI-NP\tO' -p336127 -aS',\t,\t,\tO\tO' -p336128 -aS'total\ttotal\tJJ\tB-NP\tO' -p336129 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p336130 -aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' -p336131 -aS',\t,\t,\tO\tO' -p336132 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p336133 -aS'salpingo-oophorectomy\tsalpingo-oophorectomy\tNN\tI-NP\tO' -p336134 -aS',\t,\t,\tO\tO' -p336135 -aS'lysis\tlysis\tNN\tB-NP\tO' -p336136 -aS'of\tof\tIN\tB-PP\tO' -p336137 -aS'adhesions\tadhesion\tNNS\tB-NP\tO' -p336138 -aS',\t,\t,\tO\tO' -p336139 -aS'Birch\tBirch\tNNP\tB-NP\tO' -p336140 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p336141 -aS',\t,\t,\tO\tO' -p336142 -aS'and\tand\tCC\tO\tO' -p336143 -aS'suprapubic\tsuprapubic\tJJ\tB-NP\tO' -p336144 -aS'Foley\tFoley\tNNP\tI-NP\tO' -p336145 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p336146 -aS'placement\tplacement\tNN\tI-NP\tO' -p336147 -aS'and\tand\tCC\tO\tO' -p336148 -aS'Jackson-Pratt\tJackson-Pratt\tJJ\tB-NP\tO' -p336149 -aS'drain\tdrain\tNN\tI-NP\tO' -p336150 -aS'placement\tplacement\tNN\tI-NP\tO' -p336151 -aS'.\t.\t.\tO\tO' -p336152 -asS'He did have a slight elevation of his TPK with an additional value of 198 with a MB fraction of 5.7 , which makes for a percentage of 2.9 .' -p336153 -(lp336154 -S'He\tHe\tPRP\tB-NP\tO' -p336155 -aS'did\tdo\tVBD\tB-VP\tO' -p336156 -aS'have\thave\tVB\tI-VP\tO' -p336157 -aS'a\ta\tDT\tB-NP\tO' -p336158 -aS'slight\tslight\tJJ\tI-NP\tO' -p336159 -aS'elevation\televation\tNN\tI-NP\tO' -p336160 -aS'of\tof\tIN\tB-PP\tO' -p336161 -aS'his\this\tPRP$\tB-NP\tO' -p336162 -aS'TPK\tTPK\tNN\tI-NP\tB-protein' -p336163 -aS'with\twith\tIN\tB-PP\tO' -p336164 -aS'an\tan\tDT\tB-NP\tO' -p336165 -aS'additional\tadditional\tJJ\tI-NP\tO' -p336166 -aS'value\tvalue\tNN\tI-NP\tO' -p336167 -aS'of\tof\tIN\tB-PP\tO' -p336168 -aS'198\t198\tCD\tB-NP\tO' -p336169 -aS'with\twith\tIN\tB-PP\tO' -p336170 -aS'a\ta\tDT\tB-NP\tO' -p336171 -aS'MB\tMB\tNN\tI-NP\tO' -p336172 -aS'fraction\tfraction\tNN\tI-NP\tO' -p336173 -aS'of\tof\tIN\tB-PP\tO' -p336174 -aS'5.7\t5.7\tCD\tB-NP\tO' -p336175 -aS',\t,\t,\tO\tO' -p336176 -aS'which\twhich\tWDT\tB-NP\tO' -p336177 -aS'makes\tmake\tVBZ\tB-VP\tO' -p336178 -aS'for\tfor\tIN\tB-PP\tO' -p336179 -aS'a\ta\tDT\tB-NP\tO' -p336180 -aS'percentage\tpercentage\tNN\tI-NP\tO' -p336181 -aS'of\tof\tIN\tB-PP\tO' -p336182 -aS'2.9\t2.9\tCD\tB-NP\tO' -p336183 -aS'.\t.\t.\tO\tO' -p336184 -asS'On postoperative day two , the patient remained hemodynamically stable .' -p336185 -(lp336186 -S'On\tOn\tIN\tB-PP\tO' -p336187 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p336188 -aS'day\tday\tNN\tI-NP\tO' -p336189 -aS'two\ttwo\tCD\tB-NP\tO' -p336190 -aS',\t,\t,\tO\tO' -p336191 -aS'the\tthe\tDT\tB-NP\tO' -p336192 -aS'patient\tpatient\tNN\tI-NP\tO' -p336193 -aS'remained\tremain\tVBD\tB-VP\tO' -p336194 -aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' -p336195 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p336196 -aS'.\t.\t.\tO\tO' -p336197 -asS"Please return to the hospital or call Dr. Alvarado 's office if you experience chills or fever greater than 101 degrees F." -p336198 -(lp336199 -S'Please\tPlease\tVB\tB-VP\tO' -p336200 -aS'return\treturn\tVB\tI-VP\tO' -p336201 -aS'to\tto\tTO\tB-PP\tO' -p336202 -aS'the\tthe\tDT\tB-NP\tO' -p336203 -aS'hospital\thospital\tNN\tI-NP\tO' -p336204 -aS'or\tor\tCC\tO\tO' -p336205 -aS'call\tcall\tVB\tB-VP\tO' -p336206 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p336207 -aS'Alvarado\tAlvarado\tNNP\tI-NP\tO' -p336208 -aS"'s\t's\tPOS\tB-NP\tO" -p336209 -aS'office\toffice\tNN\tI-NP\tO' -p336210 -aS'if\tif\tIN\tB-SBAR\tO' -p336211 -aS'you\tyou\tPRP\tB-NP\tO' -p336212 -aS'experience\texperience\tVBP\tB-VP\tO' -p336213 -aS'chills\tchill\tNNS\tB-NP\tO' -p336214 -aS'or\tor\tCC\tO\tO' -p336215 -aS'fever\tfever\tRB\tB-ADJP\tO' -p336216 -aS'greater\tgreat\tJJR\tI-ADJP\tO' -p336217 -aS'than\tthan\tIN\tB-PP\tO' -p336218 -aS'101\t101\tCD\tB-NP\tO' -p336219 -aS'degrees\tdegree\tNNS\tI-NP\tO' -p336220 -aS'F.\tF.\tNNP\tB-NP\tO' -p336221 -asS'Patient is now admitted for elective left parietal stereotactic biopsy of the tumor .' -p336222 -(lp336223 -S'Patient\tPatient\tNN\tB-NP\tO' -p336224 -aS'is\tbe\tVBZ\tB-VP\tO' -p336225 -aS'now\tnow\tRB\tI-VP\tO' -p336226 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p336227 -aS'for\tfor\tIN\tB-PP\tO' -p336228 -aS'elective\telective\tJJ\tB-NP\tO' -p336229 -aS'left\tleft\tJJ\tI-NP\tO' -p336230 -aS'parietal\tparietal\tJJ\tI-NP\tO' -p336231 -aS'stereotactic\tstereotactic\tJJ\tI-NP\tO' -p336232 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p336233 -aS'of\tof\tIN\tB-PP\tO' -p336234 -aS'the\tthe\tDT\tB-NP\tO' -p336235 -aS'tumor\ttumor\tNN\tI-NP\tO' -p336236 -aS'.\t.\t.\tO\tO' -p336237 -asS'4.) Right parietal intracranial bleeding following 1996 cardiac cath' -p336238 -(lp336239 -S'4.)\t4.)\tLS\tB-NP\tO' -p336240 -aS'Right\tRight\tNN\tI-NP\tO' -p336241 -aS'parietal\tparietal\tJJ\tI-NP\tO' -p336242 -aS'intracranial\tintracranial\tJJ\tI-NP\tO' -p336243 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p336244 -aS'following\tfollow\tVBG\tB-PP\tO' -p336245 -aS'1996\t1996\tCD\tB-NP\tO' -p336246 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p336247 -aS'cath\tcath\tNN\tI-NP\tO' -p336248 -asS'There was an occlusion in the proximal calf , of the peroneal and anterior tibial arteries .' -p336249 -(lp336250 -S'There\tThere\tEX\tB-NP\tO' -p336251 -aS'was\tbe\tVBD\tB-VP\tO' -p336252 -aS'an\tan\tDT\tB-NP\tO' -p336253 -aS'occlusion\tocclusion\tNN\tI-NP\tO' -p336254 -aS'in\tin\tIN\tB-PP\tO' -p336255 -aS'the\tthe\tDT\tB-NP\tO' -p336256 -aS'proximal\tproximal\tJJ\tI-NP\tO' -p336257 -aS'calf\tcalf\tNN\tI-NP\tO' -p336258 -aS',\t,\t,\tO\tO' -p336259 -aS'of\tof\tIN\tB-PP\tO' -p336260 -aS'the\tthe\tDT\tB-NP\tO' -p336261 -aS'peroneal\tperoneal\tJJ\tI-NP\tO' -p336262 -aS'and\tand\tCC\tI-NP\tO' -p336263 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p336264 -aS'tibial\ttibial\tJJ\tI-NP\tO' -p336265 -aS'arteries\tartery\tNNS\tI-NP\tO' -p336266 -aS'.\t.\t.\tO\tO' -p336267 -asS'There are multiple possible contributions and this is where her need for careful internal medical evaluation has arisen .' -p336268 -(lp336269 -S'There\tThere\tEX\tB-NP\tO' -p336270 -aS'are\tbe\tVBP\tB-VP\tO' -p336271 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p336272 -aS'possible\tpossible\tJJ\tI-NP\tO' -p336273 -aS'contributions\tcontribution\tNNS\tI-NP\tO' -p336274 -aS'and\tand\tCC\tO\tO' -p336275 -aS'this\tthis\tDT\tB-NP\tO' -p336276 -aS'is\tbe\tVBZ\tB-VP\tO' -p336277 -aS'where\twhere\tWRB\tB-ADVP\tO' -p336278 -aS'her\ther\tPRP$\tB-NP\tO' -p336279 -aS'need\tneed\tNN\tI-NP\tO' -p336280 -aS'for\tfor\tIN\tB-PP\tO' -p336281 -aS'careful\tcareful\tJJ\tB-NP\tO' -p336282 -aS'internal\tinternal\tJJ\tI-NP\tO' -p336283 -aS'medical\tmedical\tJJ\tI-NP\tO' -p336284 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p336285 -aS'has\thave\tVBZ\tB-VP\tO' -p336286 -aS'arisen\tarise\tVBN\tI-VP\tO' -p336287 -aS'.\t.\t.\tO\tO' -p336288 -asS'Dictated By : Kenneth O. Hogan , M.D.' -p336289 -(lp336290 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p336291 -aS'By\tBy\tIN\tB-PP\tO' -p336292 -aS':\t:\t:\tO\tO' -p336293 -aS'Kenneth\tKenneth\tNNP\tB-NP\tO' -p336294 -aS'O.\tO.\tNNP\tI-NP\tO' -p336295 -aS'Hogan\tHogan\tNNP\tI-NP\tO' -p336296 -aS',\t,\t,\tO\tO' -p336297 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p336298 -asS'The resuscitation efforts were discontinued at 4:15 AM and were begun at 3:38 AM .' -p336299 -(lp336300 -S'The\tThe\tDT\tB-NP\tO' -p336301 -aS'resuscitation\tresuscitation\tNN\tI-NP\tO' -p336302 -aS'efforts\teffort\tNNS\tI-NP\tO' -p336303 -aS'were\tbe\tVBD\tB-VP\tO' -p336304 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p336305 -aS'at\tat\tIN\tB-PP\tO' -p336306 -aS'4:15\t4:15\tCD\tB-NP\tO' -p336307 -aS'AM\tAM\tNN\tI-NP\tO' -p336308 -aS'and\tand\tCC\tO\tO' -p336309 -aS'were\tbe\tVBD\tB-VP\tO' -p336310 -aS'begun\tbegin\tVBN\tI-VP\tO' -p336311 -aS'at\tat\tIN\tB-PP\tO' -p336312 -aS'3:38\t3:38\tCD\tB-NP\tO' -p336313 -aS'AM\tAM\tNN\tI-NP\tO' -p336314 -aS'.\t.\t.\tO\tO' -p336315 -asS'Cardiac exam showed a normal PMI , regular rate and rhythm , normal S1 , physiologically split S2 .' -p336316 -(lp336317 -S'Cardiac\tCardiac\tJJ\tB-NP\tO' -p336318 -aS'exam\texam\tNN\tI-NP\tO' -p336319 -aS'showed\tshow\tVBD\tB-VP\tO' -p336320 -aS'a\ta\tDT\tB-NP\tO' -p336321 -aS'normal\tnormal\tJJ\tI-NP\tO' -p336322 -aS'PMI\tPMI\tNN\tI-NP\tO' -p336323 -aS',\t,\t,\tO\tO' -p336324 -aS'regular\tregular\tJJ\tB-NP\tO' -p336325 -aS'rate\trate\tNN\tI-NP\tO' -p336326 -aS'and\tand\tCC\tI-NP\tO' -p336327 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p336328 -aS',\t,\t,\tO\tO' -p336329 -aS'normal\tnormal\tJJ\tB-NP\tO' -p336330 -aS'S1\tS1\tNN\tI-NP\tO' -p336331 -aS',\t,\t,\tO\tO' -p336332 -aS'physiologically\tphysiologically\tRB\tB-NP\tO' -p336333 -aS'split\tsplit\tJJ\tI-NP\tO' -p336334 -aS'S2\tS2\tNN\tI-NP\tO' -p336335 -aS'.\t.\t.\tO\tO' -p336336 -asS'Dr. Tikkerth felt that the patient had mild adjustment related anxiety under good control with a history of tobacco abuse in the past .' -p336337 -(lp336338 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p336339 -aS'Tikkerth\tTikkerth\tNNP\tI-NP\tO' -p336340 -aS'felt\tfeel\tVBD\tB-VP\tO' -p336341 -aS'that\tthat\tIN\tB-SBAR\tO' -p336342 -aS'the\tthe\tDT\tB-NP\tO' -p336343 -aS'patient\tpatient\tNN\tI-NP\tO' -p336344 -aS'had\thave\tVBD\tB-VP\tO' -p336345 -aS'mild\tmild\tJJ\tB-NP\tO' -p336346 -aS'adjustment\tadjustment\tNN\tI-NP\tO' -p336347 -aS'related\trelate\tVBN\tB-NP\tO' -p336348 -aS'anxiety\tanxiety\tNN\tI-NP\tO' -p336349 -aS'under\tunder\tIN\tB-PP\tO' -p336350 -aS'good\tgood\tJJ\tB-NP\tO' -p336351 -aS'control\tcontrol\tNN\tI-NP\tO' -p336352 -aS'with\twith\tIN\tB-PP\tO' -p336353 -aS'a\ta\tDT\tB-NP\tO' -p336354 -aS'history\thistory\tNN\tI-NP\tO' -p336355 -aS'of\tof\tIN\tB-PP\tO' -p336356 -aS'tobacco\ttobacco\tNN\tB-NP\tO' -p336357 -aS'abuse\tabuse\tNN\tI-NP\tO' -p336358 -aS'in\tin\tIN\tB-PP\tO' -p336359 -aS'the\tthe\tDT\tB-NP\tO' -p336360 -aS'past\tpast\tNN\tI-NP\tO' -p336361 -aS'.\t.\t.\tO\tO' -p336362 -asS'She had remained normotensive throughout her CMED CSRU stay .' -p336363 -(lp336364 -S'She\tShe\tPRP\tB-NP\tO' -p336365 -aS'had\thave\tVBD\tB-VP\tO' -p336366 -aS'remained\tremain\tVBN\tI-VP\tO' -p336367 -aS'normotensive\tnormotensive\tJJ\tB-ADJP\tO' -p336368 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p336369 -aS'her\ther\tPRP$\tB-NP\tO' -p336370 -aS'CMED\tCMED\tNNP\tI-NP\tO' -p336371 -aS'CSRU\tCSRU\tNNP\tI-NP\tO' -p336372 -aS'stay\tstay\tNN\tI-NP\tO' -p336373 -aS'.\t.\t.\tO\tO' -p336374 -asS'She is admitted to rule out myocardial infarction .' -p336375 -(lp336376 -S'She\tShe\tPRP\tB-NP\tO' -p336377 -aS'is\tbe\tVBZ\tB-VP\tO' -p336378 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p336379 -aS'to\tto\tTO\tI-VP\tO' -p336380 -aS'rule\trule\tVB\tI-VP\tO' -p336381 -aS'out\tout\tRP\tB-PRT\tO' -p336382 -aS'myocardial\tmyocardial\tJJ\tB-NP\tO' -p336383 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p336384 -aS'.\t.\t.\tO\tO' -p336385 -asS'She had a normal abdominal exploration of a small uterus with superficial invasion on gross examination , normal ovaries .' -p336386 -(lp336387 -S'She\tShe\tPRP\tB-NP\tO' -p336388 -aS'had\thave\tVBD\tB-VP\tO' -p336389 -aS'a\ta\tDT\tB-NP\tO' -p336390 -aS'normal\tnormal\tJJ\tI-NP\tO' -p336391 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p336392 -aS'exploration\texploration\tNN\tI-NP\tO' -p336393 -aS'of\tof\tIN\tB-PP\tO' -p336394 -aS'a\ta\tDT\tB-NP\tO' -p336395 -aS'small\tsmall\tJJ\tI-NP\tO' -p336396 -aS'uterus\tuterus\tNN\tI-NP\tO' -p336397 -aS'with\twith\tIN\tB-PP\tO' -p336398 -aS'superficial\tsuperficial\tJJ\tB-NP\tO' -p336399 -aS'invasion\tinvasion\tNN\tI-NP\tO' -p336400 -aS'on\ton\tIN\tB-PP\tO' -p336401 -aS'gross\tgross\tJJ\tB-NP\tO' -p336402 -aS'examination\texamination\tNN\tI-NP\tO' -p336403 -aS',\t,\t,\tO\tO' -p336404 -aS'normal\tnormal\tJJ\tB-NP\tO' -p336405 -aS'ovaries\tovary\tNNS\tI-NP\tO' -p336406 -aS'.\t.\t.\tO\tO' -p336407 -asS'3. Ativan .5 mg twice a day .' -p336408 -(lp336409 -S'3.\t3.\tLS\tB-LST\tO' -p336410 -aS'Ativan\tAtivan\tNNP\tB-NP\tO' -p336411 -aS'.5\t.5\tCD\tI-NP\tO' -p336412 -aS'mg\tmg\tNN\tI-NP\tO' -p336413 -aS'twice\ttwice\tRB\tB-NP\tO' -p336414 -aS'a\ta\tDT\tI-NP\tO' -p336415 -aS'day\tday\tNN\tI-NP\tO' -p336416 -aS'.\t.\t.\tO\tO' -p336417 -asS'The patient is a 71 year old white female with metastatic ovarian carcinoma , who recently underwent an exploratory laparotomy on 5/2 by Dr. Korcblinknud .' -p336418 -(lp336419 -S'The\tThe\tDT\tB-NP\tO' -p336420 -aS'patient\tpatient\tNN\tI-NP\tO' -p336421 -aS'is\tbe\tVBZ\tB-VP\tO' -p336422 -aS'a\ta\tDT\tB-NP\tO' -p336423 -aS'71\t71\tCD\tI-NP\tO' -p336424 -aS'year\tyear\tNN\tI-NP\tO' -p336425 -aS'old\told\tJJ\tI-NP\tO' -p336426 -aS'white\twhite\tJJ\tI-NP\tO' -p336427 -aS'female\tfemale\tNN\tI-NP\tO' -p336428 -aS'with\twith\tIN\tB-PP\tO' -p336429 -aS'metastatic\tmetastatic\tJJ\tB-NP\tO' -p336430 -aS'ovarian\tovarian\tJJ\tI-NP\tO' -p336431 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p336432 -aS',\t,\t,\tO\tO' -p336433 -aS'who\twho\tWP\tB-NP\tO' -p336434 -aS'recently\trecently\tRB\tB-ADVP\tO' -p336435 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p336436 -aS'an\tan\tDT\tB-NP\tO' -p336437 -aS'exploratory\texploratory\tJJ\tI-NP\tO' -p336438 -aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' -p336439 -aS'on\ton\tIN\tB-PP\tO' -p336440 -aS'5/2\t5/2\tCD\tB-NP\tO' -p336441 -aS'by\tby\tIN\tB-PP\tO' -p336442 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p336443 -aS'Korcblinknud\tKorcblinknud\tNNP\tI-NP\tO' -p336444 -aS'.\t.\t.\tO\tO' -p336445 -asS'Examination revealed a tired , fatigued man with cool extremities .' -p336446 -(lp336447 -S'Examination\tExamination\tNN\tB-NP\tO' -p336448 -aS'revealed\treveal\tVBD\tB-VP\tO' -p336449 -aS'a\ta\tDT\tB-NP\tO' -p336450 -aS'tired\ttired\tJJ\tI-NP\tO' -p336451 -aS',\t,\t,\tI-NP\tO' -p336452 -aS'fatigued\tfatigued\tJJ\tI-NP\tO' -p336453 -aS'man\tman\tNN\tI-NP\tO' -p336454 -aS'with\twith\tIN\tB-PP\tO' -p336455 -aS'cool\tcool\tJJ\tB-NP\tO' -p336456 -aS'extremities\textremity\tNNS\tI-NP\tO' -p336457 -aS'.\t.\t.\tO\tO' -p336458 -asS'She had an anastomosis between the left internal mammary artery and the left anterior descending artery , saphenous vein graft to RCA , saphenous vein graft to OM .' -p336459 -(lp336460 -S'She\tShe\tPRP\tB-NP\tO' -p336461 -aS'had\thave\tVBD\tB-VP\tO' -p336462 -aS'an\tan\tDT\tB-NP\tO' -p336463 -aS'anastomosis\tanastomosis\tNN\tI-NP\tO' -p336464 -aS'between\tbetween\tIN\tB-PP\tO' -p336465 -aS'the\tthe\tDT\tB-NP\tO' -p336466 -aS'left\tleft\tJJ\tI-NP\tO' -p336467 -aS'internal\tinternal\tJJ\tI-NP\tO' -p336468 -aS'mammary\tmammary\tJJ\tI-NP\tO' -p336469 -aS'artery\tartery\tNN\tI-NP\tO' -p336470 -aS'and\tand\tCC\tO\tO' -p336471 -aS'the\tthe\tDT\tB-NP\tO' -p336472 -aS'left\tleft\tJJ\tI-NP\tO' -p336473 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p336474 -aS'descending\tdescend\tVBG\tI-NP\tO' -p336475 -aS'artery\tartery\tNN\tI-NP\tO' -p336476 -aS',\t,\t,\tO\tO' -p336477 -aS'saphenous\tsaphenous\tJJ\tB-NP\tO' -p336478 -aS'vein\tvein\tNN\tI-NP\tO' -p336479 -aS'graft\tgraft\tNN\tI-NP\tO' -p336480 -aS'to\tto\tTO\tB-PP\tO' -p336481 -aS'RCA\tRCA\tNN\tB-NP\tB-protein' -p336482 -aS',\t,\t,\tO\tO' -p336483 -aS'saphenous\tsaphenous\tJJ\tB-NP\tO' -p336484 -aS'vein\tvein\tNN\tI-NP\tO' -p336485 -aS'graft\tgraft\tNN\tI-NP\tO' -p336486 -aS'to\tto\tTO\tB-PP\tO' -p336487 -aS'OM\tOM\tNN\tB-NP\tO' -p336488 -aS'.\t.\t.\tO\tO' -p336489 -asS'His pressure is 150/90 .' -p336490 -(lp336491 -S'His\tHis\tPRP$\tB-NP\tO' -p336492 -aS'pressure\tpressure\tNN\tI-NP\tO' -p336493 -aS'is\tbe\tVBZ\tB-VP\tO' -p336494 -aS'150/90\t150/90\tCD\tB-NP\tO' -p336495 -aS'.\t.\t.\tO\tO' -p336496 -asS'The patient presented with a chief complaint of WEAK .' -p336497 -(lp336498 -S'The\tThe\tDT\tB-NP\tO' -p336499 -aS'patient\tpatient\tNN\tI-NP\tO' -p336500 -aS'presented\tpresent\tVBD\tB-VP\tO' -p336501 -aS'with\twith\tIN\tB-PP\tO' -p336502 -aS'a\ta\tDT\tB-NP\tO' -p336503 -aS'chief\tchief\tJJ\tI-NP\tO' -p336504 -aS'complaint\tcomplaint\tNN\tI-NP\tO' -p336505 -aS'of\tof\tIN\tB-PP\tO' -p336506 -aS'WEAK\tWEAK\tNN\tB-NP\tB-protein' -p336507 -aS'.\t.\t.\tO\tO' -p336508 -asS'NEURO : A&Ox3 .' -p336509 -(lp336510 -S'NEURO\tNEURO\tNN\tB-NP\tB-protein' -p336511 -aS':\t:\t:\tO\tO' -p336512 -aS'A&Ox3\tA&Ox3\tNN\tB-NP\tO' -p336513 -aS'.\t.\t.\tO\tO' -p336514 -asS'He was asked to continue on his Nexium , iron and vitamin C and was continued on his other home medications .' -p336515 -(lp336516 -S'He\tHe\tPRP\tB-NP\tO' -p336517 -aS'was\tbe\tVBD\tB-VP\tO' -p336518 -aS'asked\task\tVBN\tI-VP\tO' -p336519 -aS'to\tto\tTO\tI-VP\tO' -p336520 -aS'continue\tcontinue\tVB\tI-VP\tO' -p336521 -aS'on\ton\tIN\tB-PP\tO' -p336522 -aS'his\this\tPRP$\tB-NP\tO' -p336523 -aS'Nexium\tNexium\tNN\tI-NP\tO' -p336524 -aS',\t,\t,\tI-NP\tO' -p336525 -aS'iron\tiron\tNN\tI-NP\tO' -p336526 -aS'and\tand\tCC\tI-NP\tO' -p336527 -aS'vitamin\tvitamin\tNN\tI-NP\tO' -p336528 -aS'C\tC\tNN\tI-NP\tO' -p336529 -aS'and\tand\tCC\tO\tO' -p336530 -aS'was\tbe\tVBD\tB-VP\tO' -p336531 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p336532 -aS'on\ton\tIN\tB-PP\tO' -p336533 -aS'his\this\tPRP$\tB-NP\tO' -p336534 -aS'other\tother\tJJ\tI-NP\tO' -p336535 -aS'home\thome\tNN\tI-NP\tO' -p336536 -aS'medications\tmedication\tNNS\tI-NP\tO' -p336537 -aS'.\t.\t.\tO\tO' -p336538 -asS'BNP was elevated at 7500 .' -p336539 -(lp336540 -S'BNP\tBNP\tNN\tB-NP\tB-protein' -p336541 -aS'was\tbe\tVBD\tB-VP\tO' -p336542 -aS'elevated\televate\tVBN\tI-VP\tO' -p336543 -aS'at\tat\tIN\tB-PP\tO' -p336544 -aS'7500\t7500\tCD\tB-NP\tO' -p336545 -aS'.\t.\t.\tO\tO' -p336546 -asS'9. Pericarditis .' -p336547 -(lp336548 -S'9.\t9.\tLS\tB-LST\tO' -p336549 -aS'Pericarditis\tPericarditis\tNNP\tB-NP\tO' -p336550 -aS'.\t.\t.\tO\tO' -p336551 -asS'On admission included Percocet for pain and multivitamins .' -p336552 -(lp336553 -S'On\tOn\tIN\tB-PP\tO' -p336554 -aS'admission\tadmission\tNN\tB-NP\tO' -p336555 -aS'included\tinclude\tVBD\tB-VP\tO' -p336556 -aS'Percocet\tPercocet\tNNP\tB-NP\tO' -p336557 -aS'for\tfor\tIN\tB-PP\tO' -p336558 -aS'pain\tpain\tNN\tB-NP\tO' -p336559 -aS'and\tand\tCC\tI-NP\tO' -p336560 -aS'multivitamins\tmultivitamin\tNNS\tI-NP\tO' -p336561 -aS'.\t.\t.\tO\tO' -p336562 -asS'In the emergency room , his ultrasound showed mild hydronephrosis with new perinephric fluid surrounding the transplant kidney and hence , underwent a CT scan of his abdomen / pelvis which showed a large left-sided of retroperitoneal hemorrhage extending down to the level of the renal transplant possibly related to recent transplant biopsy .' -p336563 -(lp336564 -S'In\tIn\tIN\tB-PP\tO' -p336565 -aS'the\tthe\tDT\tB-NP\tO' -p336566 -aS'emergency\temergency\tNN\tI-NP\tO' -p336567 -aS'room\troom\tNN\tI-NP\tO' -p336568 -aS',\t,\t,\tO\tO' -p336569 -aS'his\this\tPRP$\tB-NP\tO' -p336570 -aS'ultrasound\tultrasound\tNN\tI-NP\tO' -p336571 -aS'showed\tshow\tVBD\tB-VP\tO' -p336572 -aS'mild\tmild\tJJ\tB-NP\tO' -p336573 -aS'hydronephrosis\thydronephrosis\tNN\tI-NP\tO' -p336574 -aS'with\twith\tIN\tB-PP\tO' -p336575 -aS'new\tnew\tJJ\tB-NP\tO' -p336576 -aS'perinephric\tperinephric\tJJ\tI-NP\tO' -p336577 -aS'fluid\tfluid\tNN\tI-NP\tO' -p336578 -aS'surrounding\tsurround\tVBG\tB-VP\tO' -p336579 -aS'the\tthe\tDT\tB-NP\tO' -p336580 -aS'transplant\ttransplant\tNN\tI-NP\tO' -p336581 -aS'kidney\tkidney\tNN\tI-NP\tO' -p336582 -aS'and\tand\tCC\tO\tO' -p336583 -aS'hence\thence\tRB\tB-ADVP\tO' -p336584 -aS',\t,\t,\tO\tO' -p336585 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p336586 -aS'a\ta\tDT\tB-NP\tO' -p336587 -aS'CT\tCT\tNN\tI-NP\tO' -p336588 -aS'scan\tscan\tNN\tI-NP\tO' -p336589 -aS'of\tof\tIN\tB-PP\tO' -p336590 -aS'his\this\tPRP$\tB-NP\tO' -p336591 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p336592 -aS'/\t/\tSYM\tI-NP\tO' -p336593 -aS'pelvis\tpelvis\tNN\tI-NP\tO' -p336594 -aS'which\twhich\tWDT\tB-NP\tO' -p336595 -aS'showed\tshow\tVBD\tB-VP\tO' -p336596 -aS'a\ta\tDT\tB-NP\tO' -p336597 -aS'large\tlarge\tJJ\tI-NP\tO' -p336598 -aS'left-sided\tleft-sided\tJJ\tI-NP\tO' -p336599 -aS'of\tof\tIN\tB-PP\tO' -p336600 -aS'retroperitoneal\tretroperitoneal\tJJ\tB-NP\tO' -p336601 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p336602 -aS'extending\textend\tVBG\tB-VP\tO' -p336603 -aS'down\tdown\tRP\tB-PRT\tO' -p336604 -aS'to\tto\tTO\tB-PP\tO' -p336605 -aS'the\tthe\tDT\tB-NP\tO' -p336606 -aS'level\tlevel\tNN\tI-NP\tO' -p336607 -aS'of\tof\tIN\tB-PP\tO' -p336608 -aS'the\tthe\tDT\tB-NP\tO' -p336609 -aS'renal\trenal\tJJ\tI-NP\tO' -p336610 -aS'transplant\ttransplant\tNN\tI-NP\tO' -p336611 -aS'possibly\tpossibly\tRB\tB-ADJP\tO' -p336612 -aS'related\trelated\tJJ\tI-ADJP\tO' -p336613 -aS'to\tto\tTO\tB-PP\tO' -p336614 -aS'recent\trecent\tJJ\tB-NP\tO' -p336615 -aS'transplant\ttransplant\tNN\tI-NP\tO' -p336616 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p336617 -aS'.\t.\t.\tO\tO' -p336618 -asS'The patient 's pain has not been relieved by Darvocet and Advil .' -p336619 -(lp336620 -S'The\tThe\tDT\tB-NP\tO' -p336621 -aS'patient\tpatient\tNN\tI-NP\tO' -p336622 -aS''s\t'\tNNS\tI-NP\tO' -p336623 -aS'pain\tpain\tNN\tI-NP\tO' -p336624 -aS'has\thave\tVBZ\tB-VP\tO' -p336625 -aS'not\tnot\tRB\tI-VP\tO' -p336626 -aS'been\tbe\tVBN\tI-VP\tO' -p336627 -aS'relieved\trelieve\tVBN\tI-VP\tO' -p336628 -aS'by\tby\tIN\tB-PP\tO' -p336629 -aS'Darvocet\tDarvocet\tNNP\tB-NP\tO' -p336630 -aS'and\tand\tCC\tI-NP\tO' -p336631 -aS'Advil\tAdvil\tNNP\tI-NP\tO' -p336632 -aS'.\t.\t.\tO\tO' -p336633 -asS'8. Furosemide 40 mg Tablet Sig : 1.5 Tablets PO BID ( 2 times a day ).' -p336634 -(lp336635 -S'8.\t8.\tCD\tB-NP\tO' -p336636 -aS'Furosemide\tFurosemide\tNNP\tI-NP\tO' -p336637 -aS'40\t40\tCD\tI-NP\tO' -p336638 -aS'mg\tmg\tNN\tI-NP\tO' -p336639 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p336640 -aS'Sig\tSig\tNNP\tI-NP\tO' -p336641 -aS':\t:\t:\tO\tO' -p336642 -aS'1.5\t1.5\tCD\tB-NP\tO' -p336643 -aS'Tablets\tTablet\tNNS\tI-NP\tO' -p336644 -aS'PO\tPO\tNN\tI-NP\tO' -p336645 -aS'BID\tBID\tNN\tI-NP\tO' -p336646 -aS'(\t(\t(\tO\tO' -p336647 -aS'2\t2\tCD\tB-NP\tO' -p336648 -aS'times\ttime\tNNS\tI-NP\tO' -p336649 -aS'a\ta\tDT\tB-NP\tO' -p336650 -aS'day\tday\tNN\tI-NP\tO' -p336651 -aS').\t).\t.\tO\tO' -p336652 -asS'The neurological examination was nonfocal .' -p336653 -(lp336654 -S'The\tThe\tDT\tB-NP\tO' -p336655 -aS'neurological\tneurological\tJJ\tI-NP\tO' -p336656 -aS'examination\texamination\tNN\tI-NP\tO' -p336657 -aS'was\tbe\tVBD\tB-VP\tO' -p336658 -aS'nonfocal\tnonfocal\tJJ\tB-ADJP\tO' -p336659 -aS'.\t.\t.\tO\tO' -p336660 -asS'The patient 's hemodynamics had improved markedly with the evacuation of the peritoneal pancreatic fluid , so that he was no longer on pressors .' -p336661 -(lp336662 -S'The\tThe\tDT\tB-NP\tO' -p336663 -aS'patient\tpatient\tNN\tI-NP\tO' -p336664 -aS''s\t'\tNNS\tI-NP\tO' -p336665 -aS'hemodynamics\themodynamic\tNNS\tI-NP\tO' -p336666 -aS'had\thave\tVBD\tB-VP\tO' -p336667 -aS'improved\timprove\tVBN\tI-VP\tO' -p336668 -aS'markedly\tmarkedly\tRB\tB-ADVP\tO' -p336669 -aS'with\twith\tIN\tB-PP\tO' -p336670 -aS'the\tthe\tDT\tB-NP\tO' -p336671 -aS'evacuation\tevacuation\tNN\tI-NP\tO' -p336672 -aS'of\tof\tIN\tB-PP\tO' -p336673 -aS'the\tthe\tDT\tB-NP\tO' -p336674 -aS'peritoneal\tperitoneal\tJJ\tI-NP\tO' -p336675 -aS'pancreatic\tpancreatic\tJJ\tI-NP\tO' -p336676 -aS'fluid\tfluid\tNN\tI-NP\tO' -p336677 -aS',\t,\t,\tO\tO' -p336678 -aS'so\tso\tIN\tB-SBAR\tO' -p336679 -aS'that\tthat\tIN\tI-SBAR\tO' -p336680 -aS'he\the\tPRP\tB-NP\tO' -p336681 -aS'was\tbe\tVBD\tB-VP\tO' -p336682 -aS'no\tno\tRB\tB-ADVP\tO' -p336683 -aS'longer\tlonger\tRBR\tI-ADVP\tO' -p336684 -aS'on\ton\tIN\tB-PP\tO' -p336685 -aS'pressors\tpressor\tNNS\tB-NP\tO' -p336686 -aS'.\t.\t.\tO\tO' -p336687 -asS'He was fitted with a hinged Mcdonald brace for his LLE .' -p336688 -(lp336689 -S'He\tHe\tPRP\tB-NP\tO' -p336690 -aS'was\tbe\tVBD\tB-VP\tO' -p336691 -aS'fitted\tfit\tVBN\tI-VP\tO' -p336692 -aS'with\twith\tIN\tB-PP\tO' -p336693 -aS'a\ta\tDT\tB-NP\tO' -p336694 -aS'hinged\thinge\tVBN\tI-NP\tO' -p336695 -aS'Mcdonald\tMcdonald\tNNP\tI-NP\tO' -p336696 -aS'brace\tbrace\tNN\tI-NP\tO' -p336697 -aS'for\tfor\tIN\tB-PP\tO' -p336698 -aS'his\this\tPRP$\tB-NP\tO' -p336699 -aS'LLE\tLLE\tNN\tI-NP\tO' -p336700 -aS'.\t.\t.\tO\tO' -p336701 -asS'There is normal alignment of the cervical vertebral bodies without acute fracture or traumatic malalignment .' -p336702 -(lp336703 -S'There\tThere\tEX\tB-NP\tO' -p336704 -aS'is\tbe\tVBZ\tB-VP\tO' -p336705 -aS'normal\tnormal\tJJ\tB-NP\tO' -p336706 -aS'alignment\talignment\tNN\tI-NP\tO' -p336707 -aS'of\tof\tIN\tB-PP\tO' -p336708 -aS'the\tthe\tDT\tB-NP\tO' -p336709 -aS'cervical\tcervical\tJJ\tI-NP\tO' -p336710 -aS'vertebral\tvertebral\tJJ\tI-NP\tO' -p336711 -aS'bodies\tbody\tNNS\tI-NP\tO' -p336712 -aS'without\twithout\tIN\tB-PP\tO' -p336713 -aS'acute\tacute\tJJ\tB-NP\tO' -p336714 -aS'fracture\tfracture\tNN\tI-NP\tO' -p336715 -aS'or\tor\tCC\tO\tO' -p336716 -aS'traumatic\ttraumatic\tJJ\tB-NP\tO' -p336717 -aS'malalignment\tmalalignment\tNN\tI-NP\tO' -p336718 -aS'.\t.\t.\tO\tO' -p336719 -asS'Infant has not received any antibiotics .' -p336720 -(lp336721 -S'Infant\tInfant\tNNP\tB-NP\tO' -p336722 -aS'has\thave\tVBZ\tB-VP\tO' -p336723 -aS'not\tnot\tRB\tI-VP\tO' -p336724 -aS'received\treceive\tVBN\tI-VP\tO' -p336725 -aS'any\tany\tDT\tB-NP\tO' -p336726 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p336727 -aS'.\t.\t.\tO\tO' -p336728 -asS'Pt feeling well , denies abd pain , N/V , LH , SOB , CP .' -p336729 -(lp336730 -S'Pt\tPt\tNN\tB-NP\tO' -p336731 -aS'feeling\tfeeling\tNN\tI-NP\tO' -p336732 -aS'well\twell\tRB\tB-ADVP\tO' -p336733 -aS',\t,\t,\tO\tO' -p336734 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p336735 -aS'abd\tabd\tNN\tB-NP\tO' -p336736 -aS'pain\tpain\tNN\tI-NP\tO' -p336737 -aS',\t,\t,\tO\tO' -p336738 -aS'N/V\tN/V\tNN\tB-NP\tO' -p336739 -aS',\t,\t,\tO\tO' -p336740 -aS'LH\tLH\tNN\tB-NP\tO' -p336741 -aS',\t,\t,\tO\tO' -p336742 -aS'SOB\tSOB\tNN\tB-NP\tB-protein' -p336743 -aS',\t,\t,\tO\tO' -p336744 -aS'CP\tCP\tNN\tB-NP\tB-DNA' -p336745 -aS'.\t.\t.\tO\tO' -p336746 -asS'On postoperative day two , he was afebrile , vital signs were stable .' -p336747 -(lp336748 -S'On\tOn\tIN\tB-PP\tO' -p336749 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p336750 -aS'day\tday\tNN\tI-NP\tO' -p336751 -aS'two\ttwo\tCD\tI-NP\tO' -p336752 -aS',\t,\t,\tO\tO' -p336753 -aS'he\the\tPRP\tB-NP\tO' -p336754 -aS'was\tbe\tVBD\tB-VP\tO' -p336755 -aS'afebrile\tafebrile\tJJ\tB-NP\tO' -p336756 -aS',\t,\t,\tI-NP\tO' -p336757 -aS'vital\tvital\tJJ\tI-NP\tO' -p336758 -aS'signs\tsign\tNNS\tI-NP\tO' -p336759 -aS'were\tbe\tVBD\tB-VP\tO' -p336760 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p336761 -aS'.\t.\t.\tO\tO' -p336762 -asS'A magnetic resonance imaging and magnetic resonance angiogram study was obtained , which showed no clear evidence of arterial dissections or infarction or other pathologic processes .' -p336763 -(lp336764 -S'A\tA\tDT\tB-NP\tO' -p336765 -aS'magnetic\tmagnetic\tJJ\tI-NP\tO' -p336766 -aS'resonance\tresonance\tNN\tI-NP\tO' -p336767 -aS'imaging\timaging\tNN\tI-NP\tO' -p336768 -aS'and\tand\tCC\tO\tO' -p336769 -aS'magnetic\tmagnetic\tJJ\tB-NP\tO' -p336770 -aS'resonance\tresonance\tNN\tI-NP\tO' -p336771 -aS'angiogram\tangiogram\tNN\tI-NP\tO' -p336772 -aS'study\tstudy\tNN\tI-NP\tO' -p336773 -aS'was\tbe\tVBD\tB-VP\tO' -p336774 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p336775 -aS',\t,\t,\tO\tO' -p336776 -aS'which\twhich\tWDT\tB-NP\tO' -p336777 -aS'showed\tshow\tVBD\tB-VP\tO' -p336778 -aS'no\tno\tDT\tB-NP\tO' -p336779 -aS'clear\tclear\tJJ\tI-NP\tO' -p336780 -aS'evidence\tevidence\tNN\tI-NP\tO' -p336781 -aS'of\tof\tIN\tB-PP\tO' -p336782 -aS'arterial\tarterial\tJJ\tB-NP\tO' -p336783 -aS'dissections\tdissection\tNNS\tI-NP\tO' -p336784 -aS'or\tor\tCC\tO\tO' -p336785 -aS'infarction\tinfarction\tNN\tB-NP\tO' -p336786 -aS'or\tor\tCC\tO\tO' -p336787 -aS'other\tother\tJJ\tB-NP\tO' -p336788 -aS'pathologic\tpathologic\tJJ\tI-NP\tO' -p336789 -aS'processes\tprocess\tNNS\tI-NP\tO' -p336790 -aS'.\t.\t.\tO\tO' -p336791 -asS'Normal aortic valve leaflets .' -p336792 -(lp336793 -S'Normal\tNormal\tJJ\tB-NP\tO' -p336794 -aS'aortic\taortic\tJJ\tI-NP\tO' -p336795 -aS'valve\tvalve\tNN\tI-NP\tO' -p336796 -aS'leaflets\tleaflet\tNNS\tI-NP\tO' -p336797 -aS'.\t.\t.\tO\tO' -p336798 -asS'At this time , she is given 3 mg and was gradually increased to her regular regimen of 4 mg alternating with 3 mg.' -p336799 -(lp336800 -S'At\tAt\tIN\tB-PP\tO' -p336801 -aS'this\tthis\tDT\tB-NP\tO' -p336802 -aS'time\ttime\tNN\tI-NP\tO' -p336803 -aS',\t,\t,\tO\tO' -p336804 -aS'she\tshe\tPRP\tB-NP\tO' -p336805 -aS'is\tbe\tVBZ\tB-VP\tO' -p336806 -aS'given\tgive\tVBN\tI-VP\tO' -p336807 -aS'3\t3\tCD\tB-NP\tO' -p336808 -aS'mg\tmg\tNN\tI-NP\tO' -p336809 -aS'and\tand\tCC\tO\tO' -p336810 -aS'was\tbe\tVBD\tB-VP\tO' -p336811 -aS'gradually\tgradually\tRB\tI-VP\tO' -p336812 -aS'increased\tincrease\tVBN\tI-VP\tO' -p336813 -aS'to\tto\tTO\tB-PP\tO' -p336814 -aS'her\ther\tPRP$\tB-NP\tO' -p336815 -aS'regular\tregular\tJJ\tI-NP\tO' -p336816 -aS'regimen\tregimen\tNN\tI-NP\tO' -p336817 -aS'of\tof\tIN\tB-PP\tO' -p336818 -aS'4\t4\tCD\tB-NP\tO' -p336819 -aS'mg\tmg\tNN\tI-NP\tO' -p336820 -aS'alternating\talternate\tVBG\tB-VP\tO' -p336821 -aS'with\twith\tIN\tB-PP\tO' -p336822 -aS'3\t3\tCD\tB-NP\tO' -p336823 -aS'mg.\tmg.\tNN\tI-NP\tO' -p336824 -asS'On admission Digoxin 7.3 , sodium 142 , potassium 2.8 ( was supplemented ) , blood urea nitrogen 15 , creatinine .9 , calcium 9.3 , phosphorus 1.9 , magnesium 1.8 .' -p336825 -(lp336826 -S'On\tOn\tIN\tB-PP\tO' -p336827 -aS'admission\tadmission\tNN\tB-NP\tO' -p336828 -aS'Digoxin\tDigoxin\tNN\tI-NP\tO' -p336829 -aS'7.3\t7.3\tCD\tI-NP\tO' -p336830 -aS',\t,\t,\tO\tO' -p336831 -aS'sodium\tsodium\tNN\tB-NP\tO' -p336832 -aS'142\t142\tCD\tI-NP\tO' -p336833 -aS',\t,\t,\tO\tO' -p336834 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p336835 -aS'2.8\t2.8\tCD\tI-NP\tO' -p336836 -aS'(\t(\t(\tO\tO' -p336837 -aS'was\tbe\tVBD\tB-VP\tO' -p336838 -aS'supplemented\tsupplement\tVBN\tI-VP\tO' -p336839 -aS')\t)\t)\tO\tO' -p336840 -aS',\t,\t,\tO\tO' -p336841 -aS'blood\tblood\tNN\tB-NP\tO' -p336842 -aS'urea\turea\tNN\tI-NP\tO' -p336843 -aS'nitrogen\tnitrogen\tNN\tI-NP\tO' -p336844 -aS'15\t15\tCD\tI-NP\tO' -p336845 -aS',\t,\t,\tO\tO' -p336846 -aS'creatinine\tcreatinine\tNN\tB-NP\tB-protein' -p336847 -aS'.9\t.9\tCD\tI-NP\tI-protein' -p336848 -aS',\t,\t,\tO\tO' -p336849 -aS'calcium\tcalcium\tNN\tB-NP\tO' -p336850 -aS'9.3\t9.3\tCD\tI-NP\tO' -p336851 -aS',\t,\t,\tO\tO' -p336852 -aS'phosphorus\tphosphorus\tNN\tB-NP\tO' -p336853 -aS'1.9\t1.9\tCD\tI-NP\tO' -p336854 -aS',\t,\t,\tO\tO' -p336855 -aS'magnesium\tmagnesium\tNN\tB-NP\tO' -p336856 -aS'1.8\t1.8\tCD\tI-NP\tO' -p336857 -aS'.\t.\t.\tO\tO' -p336858 -asS'you will need a repeat echo within 3-6 months' -p336859 -(lp336860 -S'you\tyou\tPRP\tB-NP\tO' -p336861 -aS'will\twill\tMD\tB-VP\tO' -p336862 -aS'need\tneed\tVB\tI-VP\tO' -p336863 -aS'a\ta\tDT\tB-NP\tO' -p336864 -aS'repeat\trepeat\tNN\tI-NP\tO' -p336865 -aS'echo\techo\tNN\tI-NP\tO' -p336866 -aS'within\twithin\tIN\tB-PP\tO' -p336867 -aS'3-6\t3-6\tCD\tB-NP\tO' -p336868 -aS'months\tmonth\tNNS\tI-NP\tO' -p336869 -asS'These wounds should be treated with three times daily wet to dry dressings .' -p336870 -(lp336871 -S'These\tThese\tDT\tB-NP\tO' -p336872 -aS'wounds\twound\tNNS\tI-NP\tO' -p336873 -aS'should\tshould\tMD\tB-VP\tO' -p336874 -aS'be\tbe\tVB\tI-VP\tO' -p336875 -aS'treated\ttreat\tVBN\tI-VP\tO' -p336876 -aS'with\twith\tIN\tB-PP\tO' -p336877 -aS'three\tthree\tCD\tB-NP\tO' -p336878 -aS'times\ttime\tNNS\tI-NP\tO' -p336879 -aS'daily\tdaily\tRB\tI-NP\tO' -p336880 -aS'wet\twet\tJJ\tI-ADJP\tO' -p336881 -aS'to\tto\tTO\tB-PP\tO' -p336882 -aS'dry\tdry\tJJ\tB-NP\tO' -p336883 -aS'dressings\tdressing\tNNS\tI-NP\tO' -p336884 -aS'.\t.\t.\tO\tO' -p336885 -asS'The patient was diagnosed for B12 deficiency due to her long history of poor p.o. intake .' -p336886 -(lp336887 -S'The\tThe\tDT\tB-NP\tO' -p336888 -aS'patient\tpatient\tNN\tI-NP\tO' -p336889 -aS'was\tbe\tVBD\tB-VP\tO' -p336890 -aS'diagnosed\tdiagnose\tVBN\tI-VP\tO' -p336891 -aS'for\tfor\tIN\tB-PP\tO' -p336892 -aS'B12\tB12\tNN\tB-NP\tB-protein' -p336893 -aS'deficiency\tdeficiency\tNN\tI-NP\tO' -p336894 -aS'due\tdue\tIN\tB-PP\tO' -p336895 -aS'to\tto\tTO\tB-PP\tO' -p336896 -aS'her\ther\tPRP$\tB-NP\tO' -p336897 -aS'long\tlong\tJJ\tI-NP\tO' -p336898 -aS'history\thistory\tNN\tI-NP\tO' -p336899 -aS'of\tof\tIN\tB-PP\tO' -p336900 -aS'poor\tpoor\tJJ\tB-NP\tO' -p336901 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p336902 -aS'intake\tintake\tNN\tI-NP\tO' -p336903 -aS'.\t.\t.\tO\tO' -p336904 -asS'He was treated with aspirin , heparin , and intravenous nitroglycerin .' -p336905 -(lp336906 -S'He\tHe\tPRP\tB-NP\tO' -p336907 -aS'was\tbe\tVBD\tB-VP\tO' -p336908 -aS'treated\ttreat\tVBN\tI-VP\tO' -p336909 -aS'with\twith\tIN\tB-PP\tO' -p336910 -aS'aspirin\taspirin\tNN\tB-NP\tO' -p336911 -aS',\t,\t,\tO\tO' -p336912 -aS'heparin\theparin\tNN\tB-NP\tO' -p336913 -aS',\t,\t,\tO\tO' -p336914 -aS'and\tand\tCC\tO\tO' -p336915 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p336916 -aS'nitroglycerin\tnitroglycerin\tNN\tI-NP\tO' -p336917 -aS'.\t.\t.\tO\tO' -p336918 -asS'5. Ipratropium Bromide 18 mcg / Actuation Aerosol Sig : Two ( 2 ) Puff Inhalation QID ( 4 times a day ) .' -p336919 -(lp336920 -S'5.\t5.\tLS\tB-NP\tO' -p336921 -aS'Ipratropium\tIpratropium\tNN\tI-NP\tO' -p336922 -aS'Bromide\tBromide\tNN\tI-NP\tO' -p336923 -aS'18\t18\tCD\tI-NP\tO' -p336924 -aS'mcg\tmcg\tNN\tI-NP\tO' -p336925 -aS'/\t/\tSYM\tB-NP\tO' -p336926 -aS'Actuation\tActuation\tNN\tI-NP\tO' -p336927 -aS'Aerosol\tAerosol\tNNP\tI-NP\tO' -p336928 -aS'Sig\tSig\tNNP\tI-NP\tO' -p336929 -aS':\t:\t:\tO\tO' -p336930 -aS'Two\tTwo\tCD\tB-NP\tO' -p336931 -aS'(\t(\t(\tO\tO' -p336932 -aS'2\t2\tCD\tO\tO' -p336933 -aS')\t)\t)\tO\tO' -p336934 -aS'Puff\tPuff\tNN\tB-NP\tO' -p336935 -aS'Inhalation\tInhalation\tNN\tI-NP\tO' -p336936 -aS'QID\tQID\tNN\tI-NP\tO' -p336937 -aS'(\t(\t(\tO\tO' -p336938 -aS'4\t4\tCD\tB-NP\tO' -p336939 -aS'times\ttime\tNNS\tI-NP\tO' -p336940 -aS'a\ta\tDT\tB-NP\tO' -p336941 -aS'day\tday\tNN\tI-NP\tO' -p336942 -aS')\t)\t)\tO\tO' -p336943 -aS'.\t.\t.\tO\tO' -p336944 -asS'[ Due to acoustic shadowing , the severity of mitral regurgitation may be significantly UNDERestimated .]' -p336945 -(lp336946 -S'[\t[\t(\tO\tO' -p336947 -aS'Due\tDue\tJJ\tB-PP\tO' -p336948 -aS'to\tto\tTO\tI-PP\tO' -p336949 -aS'acoustic\tacoustic\tJJ\tB-NP\tO' -p336950 -aS'shadowing\tshadowing\tNN\tI-NP\tO' -p336951 -aS',\t,\t,\tO\tO' -p336952 -aS'the\tthe\tDT\tB-NP\tO' -p336953 -aS'severity\tseverity\tNN\tI-NP\tO' -p336954 -aS'of\tof\tIN\tB-PP\tO' -p336955 -aS'mitral\tmitral\tJJ\tB-NP\tO' -p336956 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p336957 -aS'may\tmay\tMD\tB-VP\tO' -p336958 -aS'be\tbe\tVB\tI-VP\tO' -p336959 -aS'significantly\tsignificantly\tRB\tI-VP\tO' -p336960 -aS'UNDERestimated\tUNDERestimate\tVBN\tI-VP\tO' -p336961 -aS'.]\t.]\t.\tO\tO' -p336962 -asS'The extremities were warm and well perfuse .' -p336963 -(lp336964 -S'The\tThe\tDT\tB-NP\tO' -p336965 -aS'extremities\textremity\tNNS\tI-NP\tO' -p336966 -aS'were\tbe\tVBD\tB-VP\tO' -p336967 -aS'warm\twarm\tJJ\tB-ADJP\tO' -p336968 -aS'and\tand\tCC\tO\tO' -p336969 -aS'well\twell\tRB\tB-VP\tO' -p336970 -aS'perfuse\tperfuse\tVBP\tI-VP\tO' -p336971 -aS'.\t.\t.\tO\tO' -p336972 -asS'This was restarted post extubation .' -p336973 -(lp336974 -S'This\tThis\tDT\tB-NP\tO' -p336975 -aS'was\tbe\tVBD\tB-VP\tO' -p336976 -aS'restarted\trestart\tVBN\tI-VP\tO' -p336977 -aS'post\tpost\tJJ\tB-NP\tO' -p336978 -aS'extubation\textubation\tNN\tI-NP\tO' -p336979 -aS'.\t.\t.\tO\tO' -p336980 -asS'He was transferred to the Ro Woodma Healthcare for further cardiac care .' -p336981 -(lp336982 -S'He\tHe\tPRP\tB-NP\tO' -p336983 -aS'was\tbe\tVBD\tB-VP\tO' -p336984 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p336985 -aS'to\tto\tTO\tB-PP\tO' -p336986 -aS'the\tthe\tDT\tB-NP\tO' -p336987 -aS'Ro\tRo\tNNP\tI-NP\tO' -p336988 -aS'Woodma\tWoodma\tNNP\tI-NP\tO' -p336989 -aS'Healthcare\tHealthcare\tNNP\tI-NP\tO' -p336990 -aS'for\tfor\tIN\tB-PP\tO' -p336991 -aS'further\tfurther\tJJ\tB-NP\tO' -p336992 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p336993 -aS'care\tcare\tNN\tI-NP\tO' -p336994 -aS'.\t.\t.\tO\tO' -p336995 -asS'She has very mild left lower extremity pain which is largely unchanged .' -p336996 -(lp336997 -S'She\tShe\tPRP\tB-NP\tO' -p336998 -aS'has\thave\tVBZ\tB-VP\tO' -p336999 -aS'very\tvery\tRB\tB-ADJP\tO' -p337000 -aS'mild\tmild\tJJ\tI-ADJP\tO' -p337001 -aS'left\tleave\tVBD\tB-VP\tO' -p337002 -aS'lower\tlow\tJJR\tB-NP\tO' -p337003 -aS'extremity\textremity\tNN\tI-NP\tO' -p337004 -aS'pain\tpain\tNN\tI-NP\tO' -p337005 -aS'which\twhich\tWDT\tB-NP\tO' -p337006 -aS'is\tbe\tVBZ\tB-VP\tO' -p337007 -aS'largely\tlargely\tRB\tB-ADJP\tO' -p337008 -aS'unchanged\tunchanged\tJJ\tI-ADJP\tO' -p337009 -aS'.\t.\t.\tO\tO' -p337010 -asS'The left subclavian Tesio which she has in place will last for several months in the mean time .' -p337011 -(lp337012 -S'The\tThe\tDT\tB-NP\tO' -p337013 -aS'left\tleft\tJJ\tI-NP\tO' -p337014 -aS'subclavian\tsubclavian\tJJ\tI-NP\tO' -p337015 -aS'Tesio\tTesio\tNN\tI-NP\tO' -p337016 -aS'which\twhich\tWDT\tB-NP\tO' -p337017 -aS'she\tshe\tPRP\tB-NP\tO' -p337018 -aS'has\thave\tVBZ\tB-VP\tO' -p337019 -aS'in\tin\tIN\tB-PP\tO' -p337020 -aS'place\tplace\tNN\tB-NP\tO' -p337021 -aS'will\twill\tMD\tB-VP\tO' -p337022 -aS'last\tlast\tVB\tI-VP\tO' -p337023 -aS'for\tfor\tIN\tB-PP\tO' -p337024 -aS'several\tseveral\tJJ\tB-NP\tO' -p337025 -aS'months\tmonth\tNNS\tI-NP\tO' -p337026 -aS'in\tin\tIN\tB-PP\tO' -p337027 -aS'the\tthe\tDT\tB-NP\tO' -p337028 -aS'mean\tmean\tJJ\tI-NP\tO' -p337029 -aS'time\ttime\tNN\tI-NP\tO' -p337030 -aS'.\t.\t.\tO\tO' -p337031 -asS'Patient improved that her mental status with improvement of her oxygenation and ventilation as well as for correction of her respiratory acidosis .' -p337032 -(lp337033 -S'Patient\tPatient\tNN\tB-NP\tO' -p337034 -aS'improved\timprove\tVBD\tB-VP\tO' -p337035 -aS'that\tthat\tIN\tB-SBAR\tO' -p337036 -aS'her\ther\tPRP$\tB-NP\tO' -p337037 -aS'mental\tmental\tJJ\tI-NP\tO' -p337038 -aS'status\tstatus\tNN\tI-NP\tO' -p337039 -aS'with\twith\tIN\tB-PP\tO' -p337040 -aS'improvement\timprovement\tNN\tB-NP\tO' -p337041 -aS'of\tof\tIN\tB-PP\tO' -p337042 -aS'her\ther\tPRP$\tB-NP\tO' -p337043 -aS'oxygenation\toxygenation\tNN\tI-NP\tO' -p337044 -aS'and\tand\tCC\tI-NP\tO' -p337045 -aS'ventilation\tventilation\tNN\tI-NP\tO' -p337046 -aS'as\tas\tRB\tB-CONJP\tO' -p337047 -aS'well\twell\tRB\tI-CONJP\tO' -p337048 -aS'as\tas\tIN\tI-CONJP\tO' -p337049 -aS'for\tfor\tIN\tB-PP\tO' -p337050 -aS'correction\tcorrection\tNN\tB-NP\tO' -p337051 -aS'of\tof\tIN\tB-PP\tO' -p337052 -aS'her\ther\tPRP$\tB-NP\tO' -p337053 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p337054 -aS'acidosis\tacidosis\tNN\tI-NP\tO' -p337055 -aS'.\t.\t.\tO\tO' -p337056 -asS'There was no aortic stenosis .' -p337057 -(lp337058 -S'There\tThere\tEX\tB-NP\tO' -p337059 -aS'was\tbe\tVBD\tB-VP\tO' -p337060 -aS'no\tno\tDT\tB-NP\tO' -p337061 -aS'aortic\taortic\tJJ\tI-NP\tO' -p337062 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p337063 -aS'.\t.\t.\tO\tO' -p337064 -asS'MAINTENANCE CHEMOTHERAPY .' -p337065 -(lp337066 -S'MAINTENANCE\tMAINTENANCE\tNNP\tB-NP\tO' -p337067 -aS'CHEMOTHERAPY\tCHEMOTHERAPY\tNNP\tI-NP\tO' -p337068 -aS'.\t.\t.\tO\tO' -p337069 -asS'1. laparoscopic cholecystectomy 03/93 by Dr. Sapmal ,' -p337070 -(lp337071 -S'1.\t1.\tLS\tB-NP\tO' -p337072 -aS'laparoscopic\tlaparoscopic\tJJ\tI-NP\tO' -p337073 -aS'cholecystectomy\tcholecystectomy\tNN\tI-NP\tO' -p337074 -aS'03/93\t03/93\tCD\tI-NP\tO' -p337075 -aS'by\tby\tIN\tB-PP\tO' -p337076 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p337077 -aS'Sapmal\tSapmal\tNNP\tI-NP\tO' -p337078 -aS',\t,\t,\tO\tO' -p337079 -asS'Has a cousin with a brain tumor .' -p337080 -(lp337081 -S'Has\tHas\tIN\tB-PP\tO' -p337082 -aS'a\ta\tDT\tB-NP\tO' -p337083 -aS'cousin\tcousin\tNN\tI-NP\tO' -p337084 -aS'with\twith\tIN\tB-PP\tO' -p337085 -aS'a\ta\tDT\tB-NP\tO' -p337086 -aS'brain\tbrain\tNN\tI-NP\tO' -p337087 -aS'tumor\ttumor\tNN\tI-NP\tO' -p337088 -aS'.\t.\t.\tO\tO' -p337089 -asS'In addition , it was noted that she had saphenous vein harvested from both thighs .' -p337090 -(lp337091 -S'In\tIn\tIN\tB-PP\tO' -p337092 -aS'addition\taddition\tNN\tB-NP\tO' -p337093 -aS',\t,\t,\tO\tO' -p337094 -aS'it\tit\tPRP\tB-NP\tO' -p337095 -aS'was\tbe\tVBD\tB-VP\tO' -p337096 -aS'noted\tnote\tVBN\tI-VP\tO' -p337097 -aS'that\tthat\tIN\tB-SBAR\tO' -p337098 -aS'she\tshe\tPRP\tB-NP\tO' -p337099 -aS'had\thave\tVBD\tB-VP\tO' -p337100 -aS'saphenous\tsaphenous\tJJ\tB-NP\tO' -p337101 -aS'vein\tvein\tNN\tI-NP\tO' -p337102 -aS'harvested\tharvest\tVBN\tB-VP\tO' -p337103 -aS'from\tfrom\tIN\tB-PP\tO' -p337104 -aS'both\tboth\tDT\tB-NP\tO' -p337105 -aS'thighs\tthigh\tNNS\tI-NP\tO' -p337106 -aS'.\t.\t.\tO\tO' -p337107 -asS'Strength was decreased in both lower extremities .' -p337108 -(lp337109 -S'Strength\tStrength\tNN\tB-NP\tO' -p337110 -aS'was\tbe\tVBD\tB-VP\tO' -p337111 -aS'decreased\tdecrease\tVBN\tI-VP\tO' -p337112 -aS'in\tin\tIN\tB-PP\tO' -p337113 -aS'both\tboth\tCC\tB-NP\tO' -p337114 -aS'lower\tlow\tJJR\tI-NP\tO' -p337115 -aS'extremities\textremity\tNNS\tI-NP\tO' -p337116 -aS'.\t.\t.\tO\tO' -p337117 -asS'abd - soft , minimally distended , nt , no rebound/guarding , nabs' -p337118 -(lp337119 -S'abd\tabd\tNN\tB-NP\tO' -p337120 -aS'-\t-\tHYPH\tB-PP\tO' -p337121 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p337122 -aS',\t,\t,\tO\tO' -p337123 -aS'minimally\tminimally\tRB\tB-ADJP\tO' -p337124 -aS'distended\tdistended\tJJ\tI-ADJP\tO' -p337125 -aS',\t,\t,\tO\tO' -p337126 -aS'nt\tnt\tNN\tB-NP\tO' -p337127 -aS',\t,\t,\tO\tO' -p337128 -aS'no\tno\tDT\tB-NP\tO' -p337129 -aS'rebound/guarding\trebound/guarding\tNN\tI-NP\tO' -p337130 -aS',\t,\t,\tO\tO' -p337131 -aS'nabs\tnab\tNNS\tB-NP\tO' -p337132 -asS'Please evaluate resolution of COPD exacerbation and need for any further antibiocis' -p337133 -(lp337134 -S'Please\tPlease\tVB\tB-VP\tO' -p337135 -aS'evaluate\tevaluate\tVB\tI-VP\tO' -p337136 -aS'resolution\tresolution\tNN\tB-NP\tO' -p337137 -aS'of\tof\tIN\tB-PP\tO' -p337138 -aS'COPD\tCOPD\tNN\tB-NP\tO' -p337139 -aS'exacerbation\texacerbation\tNN\tI-NP\tO' -p337140 -aS'and\tand\tCC\tO\tO' -p337141 -aS'need\tneed\tVB\tB-VP\tO' -p337142 -aS'for\tfor\tIN\tB-PP\tO' -p337143 -aS'any\tany\tDT\tB-NP\tO' -p337144 -aS'further\tfurther\tJJ\tI-NP\tO' -p337145 -aS'antibiocis\tantibiocis\tNN\tI-NP\tO' -p337146 -asS'He has been receiving chemotherapy since then .' -p337147 -(lp337148 -S'He\tHe\tPRP\tB-NP\tO' -p337149 -aS'has\thave\tVBZ\tB-VP\tO' -p337150 -aS'been\tbe\tVBN\tI-VP\tO' -p337151 -aS'receiving\treceive\tVBG\tI-VP\tO' -p337152 -aS'chemotherapy\tchemotherapy\tNN\tB-NP\tO' -p337153 -aS'since\tsince\tIN\tB-PP\tO' -p337154 -aS'then\tthen\tRB\tB-NP\tO' -p337155 -aS'.\t.\t.\tO\tO' -p337156 -asS'Immunotyping was negative as well ( per verbal report ).' -p337157 -(lp337158 -S'Immunotyping\tImmunotyping\tNN\tB-NP\tO' -p337159 -aS'was\tbe\tVBD\tB-VP\tO' -p337160 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p337161 -aS'as\tas\tRB\tB-ADVP\tO' -p337162 -aS'well\twell\tRB\tI-ADVP\tO' -p337163 -aS'(\t(\t(\tO\tO' -p337164 -aS'per\tper\tIN\tB-PP\tO' -p337165 -aS'verbal\tverbal\tJJ\tB-NP\tO' -p337166 -aS'report\treport\tNN\tI-NP\tO' -p337167 -aS').\t).\t.\tO\tO' -p337168 -asS'Concurrent blood cultures grew out candida species at HCHP .' -p337169 -(lp337170 -S'Concurrent\tConcurrent\tJJ\tB-NP\tO' -p337171 -aS'blood\tblood\tNN\tI-NP\tO' -p337172 -aS'cultures\tculture\tNNS\tI-NP\tO' -p337173 -aS'grew\tgrow\tVBD\tB-VP\tO' -p337174 -aS'out\tout\tRP\tB-PRT\tO' -p337175 -aS'candida\tcandida\tNN\tB-NP\tO' -p337176 -aS'species\tspecie\tNNS\tI-NP\tO' -p337177 -aS'at\tat\tIN\tB-PP\tO' -p337178 -aS'HCHP\tHCHP\tNN\tB-NP\tB-DNA' -p337179 -aS'.\t.\t.\tO\tO' -p337180 -asS'Renal transplant medicine and transplant surgery were made aware and the pt was admitted to transplant' -p337181 -(lp337182 -S'Renal\tRenal\tJJ\tB-NP\tO' -p337183 -aS'transplant\ttransplant\tNN\tI-NP\tO' -p337184 -aS'medicine\tmedicine\tNN\tI-NP\tO' -p337185 -aS'and\tand\tCC\tO\tO' -p337186 -aS'transplant\ttransplant\tNN\tB-NP\tO' -p337187 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p337188 -aS'were\tbe\tVBD\tB-VP\tO' -p337189 -aS'made\tmake\tVBN\tI-VP\tO' -p337190 -aS'aware\taware\tJJ\tB-ADJP\tO' -p337191 -aS'and\tand\tCC\tO\tO' -p337192 -aS'the\tthe\tDT\tB-NP\tO' -p337193 -aS'pt\tpt\tNN\tI-NP\tO' -p337194 -aS'was\tbe\tVBD\tB-VP\tO' -p337195 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p337196 -aS'to\tto\tTO\tB-PP\tO' -p337197 -aS'transplant\ttransplant\tNN\tB-NP\tO' -p337198 -asS'Cardiac catheterization demonstrates no significant disease in the coronary arteries .' -p337199 -(lp337200 -S'Cardiac\tCardiac\tJJ\tB-NP\tO' -p337201 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p337202 -aS'demonstrates\tdemonstrate\tVBZ\tB-VP\tO' -p337203 -aS'no\tno\tDT\tB-NP\tO' -p337204 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p337205 -aS'disease\tdisease\tNN\tI-NP\tO' -p337206 -aS'in\tin\tIN\tB-PP\tO' -p337207 -aS'the\tthe\tDT\tB-NP\tO' -p337208 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p337209 -aS'arteries\tartery\tNNS\tI-NP\tO' -p337210 -aS'.\t.\t.\tO\tO' -p337211 -asS'2. No evidence of intraabdominal abscess or of diverticulitis .' -p337212 -(lp337213 -S'2.\t2.\tLS\tB-LST\tO' -p337214 -aS'No\tNo\tDT\tB-NP\tO' -p337215 -aS'evidence\tevidence\tNN\tI-NP\tO' -p337216 -aS'of\tof\tIN\tB-PP\tO' -p337217 -aS'intraabdominal\tintraabdominal\tJJ\tB-NP\tO' -p337218 -aS'abscess\tabscess\tNN\tI-NP\tO' -p337219 -aS'or\tor\tCC\tB-PP\tO' -p337220 -aS'of\tof\tIN\tB-PP\tO' -p337221 -aS'diverticulitis\tdiverticulitis\tNN\tB-NP\tO' -p337222 -aS'.\t.\t.\tO\tO' -p337223 -asS'5. 3-mm noncalcified pulmonary nodule within the right lower lobe .' -p337224 -(lp337225 -S'5.\t5.\tLS\tB-LST\tO' -p337226 -aS'3-mm\t3-mm\t:\tO\tO' -p337227 -aS'noncalcified\tnoncalcified\tJJ\tB-NP\tO' -p337228 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p337229 -aS'nodule\tnodule\tNN\tI-NP\tO' -p337230 -aS'within\twithin\tIN\tB-PP\tO' -p337231 -aS'the\tthe\tDT\tB-NP\tO' -p337232 -aS'right\tright\tJJ\tI-NP\tO' -p337233 -aS'lower\tlow\tJJR\tI-NP\tO' -p337234 -aS'lobe\tlobe\tNN\tI-NP\tO' -p337235 -aS'.\t.\t.\tO\tO' -p337236 -asS'8. Prandin 0.5 mg once daily' -p337237 -(lp337238 -S'8.\t8.\tCD\tB-NP\tO' -p337239 -aS'Prandin\tPrandin\tNN\tI-NP\tO' -p337240 -aS'0.5\t0.5\tCD\tB-NP\tO' -p337241 -aS'mg\tmg\tNN\tI-NP\tO' -p337242 -aS'once\tonce\tRB\tB-ADVP\tO' -p337243 -aS'daily\tdaily\tRB\tI-ADVP\tO' -p337244 -asS'The electrocardiogram reveals normal sinus rhythm at 66 beats per minute , with no ST changes , there is R wave progression .' -p337245 -(lp337246 -S'The\tThe\tDT\tB-NP\tO' -p337247 -aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' -p337248 -aS'reveals\treveal\tVBZ\tB-VP\tO' -p337249 -aS'normal\tnormal\tJJ\tB-NP\tO' -p337250 -aS'sinus\tsinus\tNN\tI-NP\tO' -p337251 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p337252 -aS'at\tat\tIN\tB-PP\tO' -p337253 -aS'66\t66\tCD\tB-NP\tO' -p337254 -aS'beats\tbeat\tNNS\tI-NP\tO' -p337255 -aS'per\tper\tIN\tB-PP\tO' -p337256 -aS'minute\tminute\tNN\tB-NP\tO' -p337257 -aS',\t,\t,\tO\tO' -p337258 -aS'with\twith\tIN\tB-PP\tO' -p337259 -aS'no\tno\tDT\tB-NP\tO' -p337260 -aS'ST\tST\tNN\tI-NP\tO' -p337261 -aS'changes\tchange\tNNS\tI-NP\tO' -p337262 -aS',\t,\t,\tO\tO' -p337263 -aS'there\tthere\tEX\tB-NP\tO' -p337264 -aS'is\tbe\tVBZ\tB-VP\tO' -p337265 -aS'R\tR\tNN\tB-NP\tO' -p337266 -aS'wave\twave\tNN\tI-NP\tO' -p337267 -aS'progression\tprogression\tNN\tI-NP\tO' -p337268 -aS'.\t.\t.\tO\tO' -p337269 -asS'A few weeks prior to admission , he fell down on his back and started taking ibuprofen 1000 mg once a day for pain and Vioxx in addition to his aspirin and Coumadin regimen .' -p337270 -(lp337271 -S'A\tA\tDT\tB-NP\tO' -p337272 -aS'few\tfew\tJJ\tI-NP\tO' -p337273 -aS'weeks\tweek\tNNS\tI-NP\tO' -p337274 -aS'prior\tprior\tRB\tB-ADVP\tO' -p337275 -aS'to\tto\tTO\tB-PP\tO' -p337276 -aS'admission\tadmission\tNN\tB-NP\tO' -p337277 -aS',\t,\t,\tO\tO' -p337278 -aS'he\the\tPRP\tB-NP\tO' -p337279 -aS'fell\tfall\tVBD\tB-VP\tO' -p337280 -aS'down\tdown\tRP\tB-PRT\tO' -p337281 -aS'on\ton\tIN\tB-PP\tO' -p337282 -aS'his\this\tPRP$\tB-NP\tO' -p337283 -aS'back\tback\tNN\tI-NP\tO' -p337284 -aS'and\tand\tCC\tO\tO' -p337285 -aS'started\tstart\tVBD\tB-VP\tO' -p337286 -aS'taking\ttake\tVBG\tI-VP\tO' -p337287 -aS'ibuprofen\tibuprofen\tNN\tB-NP\tO' -p337288 -aS'1000\t1000\tCD\tI-NP\tO' -p337289 -aS'mg\tmg\tNN\tI-NP\tO' -p337290 -aS'once\tonce\tRB\tB-ADVP\tO' -p337291 -aS'a\ta\tDT\tB-NP\tO' -p337292 -aS'day\tday\tNN\tI-NP\tO' -p337293 -aS'for\tfor\tIN\tB-PP\tO' -p337294 -aS'pain\tpain\tNN\tB-NP\tO' -p337295 -aS'and\tand\tCC\tI-NP\tO' -p337296 -aS'Vioxx\tVioxx\tNN\tI-NP\tO' -p337297 -aS'in\tin\tIN\tB-PP\tO' -p337298 -aS'addition\taddition\tNN\tB-NP\tO' -p337299 -aS'to\tto\tTO\tB-PP\tO' -p337300 -aS'his\this\tPRP$\tB-NP\tO' -p337301 -aS'aspirin\taspirin\tNN\tI-NP\tO' -p337302 -aS'and\tand\tCC\tI-NP\tO' -p337303 -aS'Coumadin\tCoumadin\tNN\tI-NP\tO' -p337304 -aS'regimen\tregimen\tNN\tI-NP\tO' -p337305 -aS'.\t.\t.\tO\tO' -p337306 -asS'Heart , S1 and S2 appreciated , no murmurs , rubs or gallops .' -p337307 -(lp337308 -S'Heart\tHeart\tNN\tB-NP\tO' -p337309 -aS',\t,\t,\tI-NP\tO' -p337310 -aS'S1\tS1\tNN\tI-NP\tB-protein' -p337311 -aS'and\tand\tCC\tI-NP\tO' -p337312 -aS'S2\tS2\tNN\tI-NP\tB-protein' -p337313 -aS'appreciated\tappreciate\tVBN\tB-VP\tO' -p337314 -aS',\t,\t,\tO\tO' -p337315 -aS'no\tno\tDT\tB-NP\tO' -p337316 -aS'murmurs\tmurmur\tNNS\tI-NP\tO' -p337317 -aS',\t,\t,\tI-NP\tO' -p337318 -aS'rubs\trub\tNNS\tI-NP\tO' -p337319 -aS'or\tor\tCC\tI-NP\tO' -p337320 -aS'gallops\tgallop\tNNS\tI-NP\tO' -p337321 -aS'.\t.\t.\tO\tO' -p337322 -asS'levofloxacin 250 mg IV daily ( started 05-24 )' -p337323 -(lp337324 -S'levofloxacin\tlevofloxacin\tNN\tB-NP\tO' -p337325 -aS'250\t250\tCD\tI-NP\tO' -p337326 -aS'mg\tmg\tNN\tI-NP\tO' -p337327 -aS'IV\tIV\tCD\tB-NP\tO' -p337328 -aS'daily\tdaily\tJJ\tI-NP\tO' -p337329 -aS'(\t(\t(\tO\tO' -p337330 -aS'started\tstart\tVBN\tB-VP\tO' -p337331 -aS'05-24\t05-24\tCD\tB-NP\tO' -p337332 -aS')\t)\t)\tO\tO' -p337333 -asS'The patient tolerated the procedure well and was taken to the recovery room in good condition .' -p337334 -(lp337335 -S'The\tThe\tDT\tB-NP\tO' -p337336 -aS'patient\tpatient\tNN\tI-NP\tO' -p337337 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p337338 -aS'the\tthe\tDT\tB-NP\tO' -p337339 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p337340 -aS'well\twell\tRB\tB-ADVP\tO' -p337341 -aS'and\tand\tCC\tO\tO' -p337342 -aS'was\tbe\tVBD\tB-VP\tO' -p337343 -aS'taken\ttake\tVBN\tI-VP\tO' -p337344 -aS'to\tto\tTO\tB-PP\tO' -p337345 -aS'the\tthe\tDT\tB-NP\tO' -p337346 -aS'recovery\trecovery\tNN\tI-NP\tO' -p337347 -aS'room\troom\tNN\tI-NP\tO' -p337348 -aS'in\tin\tIN\tB-PP\tO' -p337349 -aS'good\tgood\tJJ\tB-NP\tO' -p337350 -aS'condition\tcondition\tNN\tI-NP\tO' -p337351 -aS'.\t.\t.\tO\tO' -p337352 -asS'Pt was then discharged to Arbour-Fuller Hospital Senior Life where she was in her normal state of health until three days ago .' -p337353 -(lp337354 -S'Pt\tPt\tNN\tB-NP\tO' -p337355 -aS'was\tbe\tVBD\tB-VP\tO' -p337356 -aS'then\tthen\tRB\tI-VP\tO' -p337357 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p337358 -aS'to\tto\tTO\tB-PP\tO' -p337359 -aS'Arbour-Fuller\tArbour-Fuller\tNNP\tB-NP\tO' -p337360 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p337361 -aS'Senior\tSenior\tNNP\tI-NP\tO' -p337362 -aS'Life\tLife\tNNP\tI-NP\tO' -p337363 -aS'where\twhere\tWRB\tB-ADVP\tO' -p337364 -aS'she\tshe\tPRP\tB-NP\tO' -p337365 -aS'was\tbe\tVBD\tB-VP\tO' -p337366 -aS'in\tin\tIN\tB-PP\tO' -p337367 -aS'her\ther\tPRP$\tB-NP\tO' -p337368 -aS'normal\tnormal\tJJ\tI-NP\tO' -p337369 -aS'state\tstate\tNN\tI-NP\tO' -p337370 -aS'of\tof\tIN\tB-PP\tO' -p337371 -aS'health\thealth\tNN\tB-NP\tO' -p337372 -aS'until\tuntil\tIN\tB-PP\tO' -p337373 -aS'three\tthree\tCD\tB-NP\tO' -p337374 -aS'days\tday\tNNS\tI-NP\tO' -p337375 -aS'ago\tago\tRB\tB-ADVP\tO' -p337376 -aS'.\t.\t.\tO\tO' -p337377 -asS'Her urine output subsequently increased .' -p337378 -(lp337379 -S'Her\tHer\tPRP$\tB-NP\tO' -p337380 -aS'urine\turine\tNN\tI-NP\tO' -p337381 -aS'output\toutput\tNN\tI-NP\tO' -p337382 -aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' -p337383 -aS'increased\tincrease\tVBD\tB-VP\tO' -p337384 -aS'.\t.\t.\tO\tO' -p337385 -asS'Blood type O+ , antibody negative , rubella immune , RPR nonreactive , hepatitis B surface antigen negative , group beta Strep positive .' -p337386 -(lp337387 -S'Blood\tBlood\tNN\tB-NP\tO' -p337388 -aS'type\ttype\tNN\tI-NP\tO' -p337389 -aS'O+\tO+\tNN\tI-NP\tO' -p337390 -aS',\t,\t,\tO\tO' -p337391 -aS'antibody\tantibody\tNN\tB-NP\tO' -p337392 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p337393 -aS',\t,\t,\tO\tO' -p337394 -aS'rubella\trubella\tNN\tB-NP\tO' -p337395 -aS'immune\timmune\tJJ\tB-ADJP\tO' -p337396 -aS',\t,\t,\tO\tO' -p337397 -aS'RPR\tRPR\tNN\tB-NP\tB-protein' -p337398 -aS'nonreactive\tnonreactive\tJJ\tB-ADJP\tO' -p337399 -aS',\t,\t,\tO\tO' -p337400 -aS'hepatitis\thepatitis\tNN\tB-NP\tB-protein' -p337401 -aS'B\tB\tNN\tI-NP\tI-protein' -p337402 -aS'surface\tsurface\tNN\tI-NP\tI-protein' -p337403 -aS'antigen\tantigen\tNN\tI-NP\tI-protein' -p337404 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p337405 -aS',\t,\t,\tO\tO' -p337406 -aS'group\tgroup\tNN\tB-NP\tO' -p337407 -aS'beta\tbeta\tNN\tI-NP\tO' -p337408 -aS'Strep\tStrep\tNN\tI-NP\tO' -p337409 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p337410 -aS'.\t.\t.\tO\tO' -p337411 -asS'Comments : Notified Glenn Shives 2013-09-05 6:50 p' -p337412 -(lp337413 -S'Comments\tComment\tNNS\tB-NP\tO' -p337414 -aS':\t:\t:\tO\tO' -p337415 -aS'Notified\tNotified\tNNP\tB-NP\tO' -p337416 -aS'Glenn\tGlenn\tNNP\tI-NP\tO' -p337417 -aS'Shives\tShives\tNNP\tI-NP\tO' -p337418 -aS'2013-09-05\t2013-09-05\tCD\tI-NP\tO' -p337419 -aS'6:50\t6:50\tCD\tI-NP\tO' -p337420 -aS'p\tp\tNN\tI-NP\tO' -p337421 -asS'The patient had subsequent dobutamine MIBI which was positive for inducible ischemia in the distribution of posterior descending coronary artery and posterolateral coronary artery with a small to medium perfusion defect in the inferolateral wall and basal inferior wall which was partially reversible .' -p337422 -(lp337423 -S'The\tThe\tDT\tB-NP\tO' -p337424 -aS'patient\tpatient\tNN\tI-NP\tO' -p337425 -aS'had\thave\tVBD\tB-VP\tO' -p337426 -aS'subsequent\tsubsequent\tJJ\tB-NP\tO' -p337427 -aS'dobutamine\tdobutamine\tNN\tI-NP\tO' -p337428 -aS'MIBI\tMIBI\tNN\tI-NP\tO' -p337429 -aS'which\twhich\tWDT\tB-NP\tO' -p337430 -aS'was\tbe\tVBD\tB-VP\tO' -p337431 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p337432 -aS'for\tfor\tIN\tB-PP\tO' -p337433 -aS'inducible\tinducible\tJJ\tB-NP\tO' -p337434 -aS'ischemia\tischemia\tNN\tI-NP\tO' -p337435 -aS'in\tin\tIN\tB-PP\tO' -p337436 -aS'the\tthe\tDT\tB-NP\tO' -p337437 -aS'distribution\tdistribution\tNN\tI-NP\tO' -p337438 -aS'of\tof\tIN\tB-PP\tO' -p337439 -aS'posterior\tposterior\tJJ\tB-NP\tO' -p337440 -aS'descending\tdescend\tVBG\tI-NP\tO' -p337441 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p337442 -aS'artery\tartery\tNN\tI-NP\tO' -p337443 -aS'and\tand\tCC\tI-NP\tO' -p337444 -aS'posterolateral\tposterolateral\tJJ\tI-NP\tO' -p337445 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p337446 -aS'artery\tartery\tNN\tI-NP\tO' -p337447 -aS'with\twith\tIN\tB-PP\tO' -p337448 -aS'a\ta\tDT\tB-NP\tO' -p337449 -aS'small\tsmall\tJJ\tI-NP\tO' -p337450 -aS'to\tto\tTO\tB-PP\tO' -p337451 -aS'medium\tmedium\tNN\tB-NP\tO' -p337452 -aS'perfusion\tperfusion\tNN\tI-NP\tO' -p337453 -aS'defect\tdefect\tNN\tI-NP\tO' -p337454 -aS'in\tin\tIN\tB-PP\tO' -p337455 -aS'the\tthe\tDT\tB-NP\tO' -p337456 -aS'inferolateral\tinferolateral\tJJ\tI-NP\tO' -p337457 -aS'wall\twall\tNN\tI-NP\tO' -p337458 -aS'and\tand\tCC\tO\tO' -p337459 -aS'basal\tbasal\tJJ\tB-NP\tO' -p337460 -aS'inferior\tinferior\tJJ\tI-NP\tO' -p337461 -aS'wall\twall\tNN\tI-NP\tO' -p337462 -aS'which\twhich\tWDT\tB-NP\tO' -p337463 -aS'was\tbe\tVBD\tB-VP\tO' -p337464 -aS'partially\tpartially\tRB\tB-ADJP\tO' -p337465 -aS'reversible\treversible\tJJ\tI-ADJP\tO' -p337466 -aS'.\t.\t.\tO\tO' -p337467 -asS'Initial radiologic evaluation showed negative C-spine , thoracic spine , and lumbosacral spine films .' -p337468 -(lp337469 -S'Initial\tInitial\tJJ\tB-NP\tO' -p337470 -aS'radiologic\tradiologic\tJJ\tI-NP\tO' -p337471 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p337472 -aS'showed\tshow\tVBD\tB-VP\tO' -p337473 -aS'negative\tnegative\tJJ\tB-NP\tO' -p337474 -aS'C-spine\tC-spine\tNN\tI-NP\tO' -p337475 -aS',\t,\t,\tO\tO' -p337476 -aS'thoracic\tthoracic\tJJ\tB-NP\tO' -p337477 -aS'spine\tspine\tNN\tI-NP\tO' -p337478 -aS',\t,\t,\tO\tO' -p337479 -aS'and\tand\tCC\tO\tO' -p337480 -aS'lumbosacral\tlumbosacral\tJJ\tB-NP\tB-cell_type' -p337481 -aS'spine\tspine\tNN\tI-NP\tI-cell_type' -p337482 -aS'films\tfilm\tNNS\tI-NP\tI-cell_type' -p337483 -aS'.\t.\t.\tO\tO' -p337484 -asS'The patient is a 61 - year-old Caucasian-speaking woman with a history of hypercholesterolemia and tobacco use who developed waxing and waning left substernal chest pain with radiation to the left shoulder on 2011-11-17 which lasted that entire day .' -p337485 -(lp337486 -S'The\tThe\tDT\tB-NP\tO' -p337487 -aS'patient\tpatient\tNN\tI-NP\tO' -p337488 -aS'is\tbe\tVBZ\tB-VP\tO' -p337489 -aS'a\ta\tDT\tB-NP\tO' -p337490 -aS'61\t61\tCD\tI-NP\tO' -p337491 -aS'-\t-\tHYPH\tI-NP\tO' -p337492 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p337493 -aS'Caucasian-speaking\tCaucasian-speaking\tJJ\tI-NP\tO' -p337494 -aS'woman\twoman\tNN\tI-NP\tO' -p337495 -aS'with\twith\tIN\tB-PP\tO' -p337496 -aS'a\ta\tDT\tB-NP\tO' -p337497 -aS'history\thistory\tNN\tI-NP\tO' -p337498 -aS'of\tof\tIN\tB-PP\tO' -p337499 -aS'hypercholesterolemia\thypercholesterolemia\tNN\tB-NP\tO' -p337500 -aS'and\tand\tCC\tI-NP\tO' -p337501 -aS'tobacco\ttobacco\tNN\tI-NP\tO' -p337502 -aS'use\tuse\tNN\tI-NP\tO' -p337503 -aS'who\twho\tWP\tB-NP\tO' -p337504 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p337505 -aS'waxing\twax\tVBG\tI-VP\tO' -p337506 -aS'and\tand\tCC\tI-VP\tO' -p337507 -aS'waning\twan\tVBG\tI-VP\tO' -p337508 -aS'left\tleft\tJJ\tB-NP\tO' -p337509 -aS'substernal\tsubsternal\tJJ\tI-NP\tO' -p337510 -aS'chest\tchest\tNN\tI-NP\tO' -p337511 -aS'pain\tpain\tNN\tI-NP\tO' -p337512 -aS'with\twith\tIN\tB-PP\tO' -p337513 -aS'radiation\tradiation\tNN\tB-NP\tO' -p337514 -aS'to\tto\tTO\tB-PP\tO' -p337515 -aS'the\tthe\tDT\tB-NP\tO' -p337516 -aS'left\tleft\tJJ\tI-NP\tO' -p337517 -aS'shoulder\tshoulder\tNN\tI-NP\tO' -p337518 -aS'on\ton\tIN\tB-PP\tO' -p337519 -aS'2011-11-17\t2011-11-17\tCD\tB-NP\tO' -p337520 -aS'which\twhich\tWDT\tB-NP\tO' -p337521 -aS'lasted\tlast\tVBD\tB-VP\tO' -p337522 -aS'that\tthat\tDT\tB-NP\tO' -p337523 -aS'entire\tentire\tJJ\tI-NP\tO' -p337524 -aS'day\tday\tNN\tI-NP\tO' -p337525 -aS'.\t.\t.\tO\tO' -p337526 -asS'3. Aspirin 325 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' -p337527 -(lp337528 -S'3.\t3.\tLS\tB-NP\tO' -p337529 -aS'Aspirin\tAspirin\tNN\tI-NP\tO' -p337530 -aS'325\t325\tCD\tI-NP\tO' -p337531 -aS'mg\tmg\tNN\tI-NP\tO' -p337532 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p337533 -aS'Sig\tSig\tNNP\tI-NP\tO' -p337534 -aS':\t:\t:\tO\tO' -p337535 -aS'One\tOne\tCD\tB-NP\tO' -p337536 -aS'(\t(\t(\tO\tO' -p337537 -aS'1\t1\tCD\tB-NP\tO' -p337538 -aS')\t)\t)\tO\tO' -p337539 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p337540 -aS'PO\tPO\tNN\tI-NP\tO' -p337541 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p337542 -aS'(\t(\t(\tO\tO' -p337543 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p337544 -aS')\t)\t)\tO\tO' -p337545 -aS'.\t.\t.\tO\tO' -p337546 -asS'For all these infections , the patient was treated with Vancomycin and he was also on Levofloxacin and Flagyl for presumed aspiration pneumonia at the time of his admission .' -p337547 -(lp337548 -S'For\tFor\tIN\tB-PP\tO' -p337549 -aS'all\tall\tPDT\tB-NP\tO' -p337550 -aS'these\tthese\tDT\tI-NP\tO' -p337551 -aS'infections\tinfection\tNNS\tI-NP\tO' -p337552 -aS',\t,\t,\tO\tO' -p337553 -aS'the\tthe\tDT\tB-NP\tO' -p337554 -aS'patient\tpatient\tNN\tI-NP\tO' -p337555 -aS'was\tbe\tVBD\tB-VP\tO' -p337556 -aS'treated\ttreat\tVBN\tI-VP\tO' -p337557 -aS'with\twith\tIN\tB-PP\tO' -p337558 -aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' -p337559 -aS'and\tand\tCC\tO\tO' -p337560 -aS'he\the\tPRP\tB-NP\tO' -p337561 -aS'was\tbe\tVBD\tB-VP\tO' -p337562 -aS'also\talso\tRB\tB-ADVP\tO' -p337563 -aS'on\ton\tIN\tB-PP\tO' -p337564 -aS'Levofloxacin\tLevofloxacin\tNN\tB-NP\tO' -p337565 -aS'and\tand\tCC\tI-NP\tO' -p337566 -aS'Flagyl\tFlagyl\tNN\tI-NP\tO' -p337567 -aS'for\tfor\tIN\tB-PP\tO' -p337568 -aS'presumed\tpresume\tVBN\tB-NP\tO' -p337569 -aS'aspiration\taspiration\tNN\tI-NP\tO' -p337570 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p337571 -aS'at\tat\tIN\tB-PP\tO' -p337572 -aS'the\tthe\tDT\tB-NP\tO' -p337573 -aS'time\ttime\tNN\tI-NP\tO' -p337574 -aS'of\tof\tIN\tB-PP\tO' -p337575 -aS'his\this\tPRP$\tB-NP\tO' -p337576 -aS'admission\tadmission\tNN\tI-NP\tO' -p337577 -aS'.\t.\t.\tO\tO' -p337578 -asS'benign .' -p337579 -(lp337580 -S'benign\tbenign\tJJ\tB-ADJP\tO' -p337581 -aS'.\t.\t.\tO\tO' -p337582 -asS'She had normal sensation and pulses in both legs .' -p337583 -(lp337584 -S'She\tShe\tPRP\tB-NP\tO' -p337585 -aS'had\thave\tVBD\tB-VP\tO' -p337586 -aS'normal\tnormal\tJJ\tB-NP\tO' -p337587 -aS'sensation\tsensation\tNN\tI-NP\tO' -p337588 -aS'and\tand\tCC\tI-NP\tO' -p337589 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p337590 -aS'in\tin\tIN\tB-PP\tO' -p337591 -aS'both\tboth\tDT\tB-NP\tO' -p337592 -aS'legs\tleg\tNNS\tI-NP\tO' -p337593 -aS'.\t.\t.\tO\tO' -p337594 -asS'The plan is to complete a full course of XRT to the spinal region for the plasmacytoma .' -p337595 -(lp337596 -S'The\tThe\tDT\tB-NP\tO' -p337597 -aS'plan\tplan\tNN\tI-NP\tO' -p337598 -aS'is\tbe\tVBZ\tB-VP\tO' -p337599 -aS'to\tto\tTO\tB-VP\tO' -p337600 -aS'complete\tcomplete\tVB\tI-VP\tO' -p337601 -aS'a\ta\tDT\tB-NP\tO' -p337602 -aS'full\tfull\tJJ\tI-NP\tO' -p337603 -aS'course\tcourse\tNN\tI-NP\tO' -p337604 -aS'of\tof\tIN\tB-PP\tO' -p337605 -aS'XRT\tXRT\tNN\tB-NP\tB-protein' -p337606 -aS'to\tto\tTO\tB-PP\tO' -p337607 -aS'the\tthe\tDT\tB-NP\tO' -p337608 -aS'spinal\tspinal\tJJ\tI-NP\tB-DNA' -p337609 -aS'region\tregion\tNN\tI-NP\tI-DNA' -p337610 -aS'for\tfor\tIN\tB-PP\tO' -p337611 -aS'the\tthe\tDT\tB-NP\tO' -p337612 -aS'plasmacytoma\tplasmacytoma\tNN\tI-NP\tO' -p337613 -aS'.\t.\t.\tO\tO' -p337614 -asS'He had flat T waves in I and aVL , which were unchanged from previous ECG .' -p337615 -(lp337616 -S'He\tHe\tPRP\tB-NP\tO' -p337617 -aS'had\thave\tVBD\tB-VP\tO' -p337618 -aS'flat\tflat\tJJ\tB-NP\tO' -p337619 -aS'T\tT\tNN\tI-NP\tO' -p337620 -aS'waves\twave\tNNS\tI-NP\tO' -p337621 -aS'in\tin\tIN\tB-PP\tO' -p337622 -aS'I\tI\tNN\tB-NP\tO' -p337623 -aS'and\tand\tCC\tI-NP\tO' -p337624 -aS'aVL\taVL\tNN\tI-NP\tO' -p337625 -aS',\t,\t,\tO\tO' -p337626 -aS'which\twhich\tWDT\tB-NP\tO' -p337627 -aS'were\tbe\tVBD\tB-VP\tO' -p337628 -aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' -p337629 -aS'from\tfrom\tIN\tB-PP\tO' -p337630 -aS'previous\tprevious\tJJ\tB-NP\tO' -p337631 -aS'ECG\tECG\tNN\tI-NP\tO' -p337632 -aS'.\t.\t.\tO\tO' -p337633 -asS'Located within the atrium of the right lateral ventricle is an 18 x 10 mm nodular area of increased density which is separate from the choroid plexus .' -p337634 -(lp337635 -S'Located\tLocate\tVBN\tB-VP\tO' -p337636 -aS'within\twithin\tIN\tB-PP\tO' -p337637 -aS'the\tthe\tDT\tB-NP\tO' -p337638 -aS'atrium\tatrium\tNN\tI-NP\tO' -p337639 -aS'of\tof\tIN\tB-PP\tO' -p337640 -aS'the\tthe\tDT\tB-NP\tO' -p337641 -aS'right\tright\tJJ\tI-NP\tO' -p337642 -aS'lateral\tlateral\tJJ\tI-NP\tO' -p337643 -aS'ventricle\tventricle\tNN\tI-NP\tO' -p337644 -aS'is\tbe\tVBZ\tB-VP\tO' -p337645 -aS'an\tan\tDT\tB-NP\tO' -p337646 -aS'18\t18\tCD\tI-NP\tO' -p337647 -aS'x\tx\tSYM\tI-NP\tO' -p337648 -aS'10\t10\tCD\tI-NP\tO' -p337649 -aS'mm\tmm\tNN\tI-NP\tO' -p337650 -aS'nodular\tnodular\tJJ\tI-NP\tO' -p337651 -aS'area\tarea\tNN\tI-NP\tO' -p337652 -aS'of\tof\tIN\tB-PP\tO' -p337653 -aS'increased\tincrease\tVBN\tB-NP\tO' -p337654 -aS'density\tdensity\tNN\tI-NP\tO' -p337655 -aS'which\twhich\tWDT\tB-NP\tO' -p337656 -aS'is\tbe\tVBZ\tB-VP\tO' -p337657 -aS'separate\tseparate\tJJ\tB-ADJP\tO' -p337658 -aS'from\tfrom\tIN\tB-PP\tO' -p337659 -aS'the\tthe\tDT\tB-NP\tO' -p337660 -aS'choroid\tchoroid\tJJ\tI-NP\tO' -p337661 -aS'plexus\tplexus\tNN\tI-NP\tO' -p337662 -aS'.\t.\t.\tO\tO' -p337663 -asS'During the last admission the question of a mass underlying a hemorrhage in the R-frontal region was raised .' -p337664 -(lp337665 -S'During\tDuring\tIN\tB-PP\tO' -p337666 -aS'the\tthe\tDT\tB-NP\tO' -p337667 -aS'last\tlast\tJJ\tI-NP\tO' -p337668 -aS'admission\tadmission\tNN\tI-NP\tO' -p337669 -aS'the\tthe\tDT\tB-NP\tO' -p337670 -aS'question\tquestion\tNN\tI-NP\tO' -p337671 -aS'of\tof\tIN\tB-PP\tO' -p337672 -aS'a\ta\tDT\tB-NP\tO' -p337673 -aS'mass\tmass\tNN\tI-NP\tO' -p337674 -aS'underlying\tunderlie\tVBG\tB-VP\tO' -p337675 -aS'a\ta\tDT\tB-NP\tO' -p337676 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p337677 -aS'in\tin\tIN\tB-PP\tO' -p337678 -aS'the\tthe\tDT\tB-NP\tO' -p337679 -aS'R-frontal\tR-frontal\tJJ\tI-NP\tB-DNA' -p337680 -aS'region\tregion\tNN\tI-NP\tI-DNA' -p337681 -aS'was\tbe\tVBD\tB-VP\tO' -p337682 -aS'raised\traise\tVBN\tI-VP\tO' -p337683 -aS'.\t.\t.\tO\tO' -p337684 -asS'large pericardial effusion , transfer from OSH' -p337685 -(lp337686 -S'large\tlarge\tJJ\tB-NP\tO' -p337687 -aS'pericardial\tpericardial\tJJ\tI-NP\tO' -p337688 -aS'effusion\teffusion\tNN\tI-NP\tO' -p337689 -aS',\t,\t,\tO\tO' -p337690 -aS'transfer\ttransfer\tVBP\tB-VP\tO' -p337691 -aS'from\tfrom\tIN\tB-PP\tO' -p337692 -aS'OSH\tOSH\tNN\tB-NP\tO' -p337693 -asS'The infant has been appropriate for gestational age .' -p337694 -(lp337695 -S'The\tThe\tDT\tB-NP\tO' -p337696 -aS'infant\tinfant\tNN\tI-NP\tO' -p337697 -aS'has\thave\tVBZ\tB-VP\tO' -p337698 -aS'been\tbe\tVBN\tI-VP\tO' -p337699 -aS'appropriate\tappropriate\tJJ\tB-ADJP\tO' -p337700 -aS'for\tfor\tIN\tB-PP\tO' -p337701 -aS'gestational\tgestational\tJJ\tB-NP\tO' -p337702 -aS'age\tage\tNN\tI-NP\tO' -p337703 -aS'.\t.\t.\tO\tO' -p337704 -asS"WBC 's , few bacteria ." -p337705 -(lp337706 -S'WBC\tWBC\tNNP\tB-NP\tO' -p337707 -aS"'s\t's\tPOS\tB-NP\tO" -p337708 -aS',\t,\t,\tO\tO' -p337709 -aS'few\tfew\tJJ\tB-NP\tO' -p337710 -aS'bacteria\tbacteria\tNNS\tI-NP\tO' -p337711 -aS'.\t.\t.\tO\tO' -p337712 -asS"A family meeting on 2016-05-13 was held and these findings communicated with the patient 's family ." -p337713 -(lp337714 -S'A\tA\tDT\tB-NP\tO' -p337715 -aS'family\tfamily\tNN\tI-NP\tO' -p337716 -aS'meeting\tmeeting\tNN\tI-NP\tO' -p337717 -aS'on\ton\tIN\tB-PP\tO' -p337718 -aS'2016-05-13\t2016-05-13\tNN\tB-NP\tO' -p337719 -aS'was\tbe\tVBD\tB-VP\tO' -p337720 -aS'held\thold\tVBN\tI-VP\tO' -p337721 -aS'and\tand\tCC\tO\tO' -p337722 -aS'these\tthese\tDT\tB-NP\tO' -p337723 -aS'findings\tfinding\tNNS\tI-NP\tO' -p337724 -aS'communicated\tcommunicate\tVBN\tB-VP\tO' -p337725 -aS'with\twith\tIN\tB-PP\tO' -p337726 -aS'the\tthe\tDT\tB-NP\tO' -p337727 -aS'patient\tpatient\tNN\tI-NP\tO' -p337728 -aS"'s\t's\tPOS\tB-NP\tO" -p337729 -aS'family\tfamily\tNN\tI-NP\tO' -p337730 -aS'.\t.\t.\tO\tO' -p337731 -asS'The circumflex showed mild atherosclerotic .' -p337732 -(lp337733 -S'The\tThe\tDT\tB-NP\tO' -p337734 -aS'circumflex\tcircumflex\tNN\tI-NP\tO' -p337735 -aS'showed\tshow\tVBD\tB-VP\tO' -p337736 -aS'mild\tmild\tJJ\tB-NP\tO' -p337737 -aS'atherosclerotic\tatherosclerotic\tNN\tI-NP\tO' -p337738 -aS'.\t.\t.\tO\tO' -p337739 -asS'1. Episode of pneumonia in 1996 .' -p337740 -(lp337741 -S'1.\t1.\tLS\tB-NP\tO' -p337742 -aS'Episode\tEpisode\tNN\tI-NP\tO' -p337743 -aS'of\tof\tIN\tB-PP\tO' -p337744 -aS'pneumonia\tpneumonia\tNN\tB-NP\tO' -p337745 -aS'in\tin\tIN\tB-PP\tO' -p337746 -aS'1996\t1996\tCD\tB-NP\tO' -p337747 -aS'.\t.\t.\tO\tO' -p337748 -asS'His troponin was 29.7 .' -p337749 -(lp337750 -S'His\tHis\tPRP$\tB-NP\tO' -p337751 -aS'troponin\ttroponin\tNN\tI-NP\tO' -p337752 -aS'was\tbe\tVBD\tB-VP\tO' -p337753 -aS'29.7\t29.7\tCD\tB-NP\tO' -p337754 -aS'.\t.\t.\tO\tO' -p337755 -asS'Soft , NT/ND with normoactive BS .' -p337756 -(lp337757 -S'Soft\tSoft\tRB\tB-ADVP\tO' -p337758 -aS',\t,\t,\tO\tO' -p337759 -aS'NT/ND\tNT/ND\tNN\tB-NP\tB-protein' -p337760 -aS'with\twith\tIN\tB-PP\tO' -p337761 -aS'normoactive\tnormoactive\tJJ\tB-NP\tO' -p337762 -aS'BS\tBS\tNNP\tI-NP\tO' -p337763 -aS'.\t.\t.\tO\tO' -p337764 -asS'After extubation , the patient was oxygenating well on face mask .' -p337765 -(lp337766 -S'After\tAfter\tIN\tB-PP\tO' -p337767 -aS'extubation\textubation\tNN\tB-NP\tO' -p337768 -aS',\t,\t,\tO\tO' -p337769 -aS'the\tthe\tDT\tB-NP\tO' -p337770 -aS'patient\tpatient\tNN\tI-NP\tO' -p337771 -aS'was\tbe\tVBD\tB-VP\tO' -p337772 -aS'oxygenating\toxygenate\tVBG\tI-VP\tO' -p337773 -aS'well\twell\tRB\tB-ADVP\tO' -p337774 -aS'on\ton\tIN\tB-PP\tO' -p337775 -aS'face\tface\tNN\tB-NP\tO' -p337776 -aS'mask\tmask\tNN\tI-NP\tO' -p337777 -aS'.\t.\t.\tO\tO' -p337778 -asS'He was put on 100% nonrebreather and his oxygen saturations improved to the low nineties .' -p337779 -(lp337780 -S'He\tHe\tPRP\tB-NP\tO' -p337781 -aS'was\tbe\tVBD\tB-VP\tO' -p337782 -aS'put\tput\tVBN\tI-VP\tO' -p337783 -aS'on\ton\tIN\tB-PP\tO' -p337784 -aS'100%\t100%\tNN\tB-NP\tO' -p337785 -aS'nonrebreather\tnonrebreather\tNN\tI-NP\tO' -p337786 -aS'and\tand\tCC\tO\tO' -p337787 -aS'his\this\tPRP$\tB-NP\tO' -p337788 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p337789 -aS'saturations\tsaturation\tNNS\tI-NP\tO' -p337790 -aS'improved\timprove\tVBD\tB-VP\tO' -p337791 -aS'to\tto\tTO\tB-PP\tO' -p337792 -aS'the\tthe\tDT\tB-NP\tO' -p337793 -aS'low\tlow\tJJ\tI-NP\tO' -p337794 -aS'nineties\tninety\tNNS\tI-NP\tO' -p337795 -aS'.\t.\t.\tO\tO' -p337796 -asS'Urinalysis negative except for large blood .' -p337797 -(lp337798 -S'Urinalysis\tUrinalysis\tNN\tB-NP\tO' -p337799 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p337800 -aS'except\texcept\tIN\tB-PP\tO' -p337801 -aS'for\tfor\tIN\tB-PP\tO' -p337802 -aS'large\tlarge\tJJ\tB-NP\tO' -p337803 -aS'blood\tblood\tNN\tI-NP\tO' -p337804 -aS'.\t.\t.\tO\tO' -p337805 -asS'The patient was scheduled for peripherally inserted central catheter line placement knowing that he was going to need long term intravenous antibiotics .' -p337806 -(lp337807 -S'The\tThe\tDT\tB-NP\tO' -p337808 -aS'patient\tpatient\tNN\tI-NP\tO' -p337809 -aS'was\tbe\tVBD\tB-VP\tO' -p337810 -aS'scheduled\tschedule\tVBN\tI-VP\tO' -p337811 -aS'for\tfor\tIN\tB-PP\tO' -p337812 -aS'peripherally\tperipherally\tRB\tB-NP\tO' -p337813 -aS'inserted\tinsert\tVBN\tI-NP\tO' -p337814 -aS'central\tcentral\tJJ\tI-NP\tO' -p337815 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p337816 -aS'line\tline\tNN\tI-NP\tO' -p337817 -aS'placement\tplacement\tNN\tI-NP\tO' -p337818 -aS'knowing\tknow\tVBG\tB-VP\tO' -p337819 -aS'that\tthat\tIN\tB-SBAR\tO' -p337820 -aS'he\the\tPRP\tB-NP\tO' -p337821 -aS'was\tbe\tVBD\tB-VP\tO' -p337822 -aS'going\tgo\tVBG\tI-VP\tO' -p337823 -aS'to\tto\tTO\tI-VP\tO' -p337824 -aS'need\tneed\tVB\tI-VP\tO' -p337825 -aS'long\tlong\tJJ\tB-NP\tO' -p337826 -aS'term\tterm\tNN\tI-NP\tO' -p337827 -aS'intravenous\tintravenous\tJJ\tI-NP\tO' -p337828 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p337829 -aS'.\t.\t.\tO\tO' -p337830 -asS'His wife says his hands and lips have been blue .' -p337831 -(lp337832 -S'His\tHis\tPRP$\tB-NP\tO' -p337833 -aS'wife\twife\tNN\tI-NP\tO' -p337834 -aS'says\tsay\tVBZ\tB-VP\tO' -p337835 -aS'his\this\tPRP$\tB-NP\tO' -p337836 -aS'hands\thand\tNNS\tI-NP\tO' -p337837 -aS'and\tand\tCC\tI-NP\tO' -p337838 -aS'lips\tlip\tNNS\tI-NP\tO' -p337839 -aS'have\thave\tVBP\tB-VP\tO' -p337840 -aS'been\tbe\tVBN\tI-VP\tO' -p337841 -aS'blue\tblue\tJJ\tB-ADJP\tO' -p337842 -aS'.\t.\t.\tO\tO' -p337843 -asS'Some spotting on the day prior to admission , but not a normal period .' -p337844 -(lp337845 -S'Some\tSome\tDT\tB-NP\tO' -p337846 -aS'spotting\tspotting\tNN\tI-NP\tO' -p337847 -aS'on\ton\tIN\tB-PP\tO' -p337848 -aS'the\tthe\tDT\tB-NP\tO' -p337849 -aS'day\tday\tNN\tI-NP\tO' -p337850 -aS'prior\tprior\tRB\tB-ADVP\tO' -p337851 -aS'to\tto\tTO\tB-PP\tO' -p337852 -aS'admission\tadmission\tNN\tB-NP\tO' -p337853 -aS',\t,\t,\tO\tO' -p337854 -aS'but\tbut\tCC\tB-CONJP\tO' -p337855 -aS'not\tnot\tRB\tI-CONJP\tO' -p337856 -aS'a\ta\tDT\tB-NP\tO' -p337857 -aS'normal\tnormal\tJJ\tI-NP\tO' -p337858 -aS'period\tperiod\tNN\tI-NP\tO' -p337859 -aS'.\t.\t.\tO\tO' -p337860 -asS'His troponins remained lower than his baseline levels and there was no suspicion of ACS causing syncope .' -p337861 -(lp337862 -S'His\tHis\tPRP$\tB-NP\tO' -p337863 -aS'troponins\ttroponin\tNNS\tI-NP\tO' -p337864 -aS'remained\tremain\tVBD\tB-VP\tO' -p337865 -aS'lower\tlow\tJJR\tB-ADJP\tO' -p337866 -aS'than\tthan\tIN\tB-PP\tO' -p337867 -aS'his\this\tPRP$\tB-NP\tO' -p337868 -aS'baseline\tbaseline\tNN\tI-NP\tO' -p337869 -aS'levels\tlevel\tNNS\tI-NP\tO' -p337870 -aS'and\tand\tCC\tO\tO' -p337871 -aS'there\tthere\tEX\tB-NP\tO' -p337872 -aS'was\tbe\tVBD\tB-VP\tO' -p337873 -aS'no\tno\tDT\tB-NP\tO' -p337874 -aS'suspicion\tsuspicion\tNN\tI-NP\tO' -p337875 -aS'of\tof\tIN\tB-PP\tO' -p337876 -aS'ACS\tACS\tNN\tB-NP\tO' -p337877 -aS'causing\tcause\tVBG\tB-VP\tO' -p337878 -aS'syncope\tsyncope\tNN\tB-NP\tO' -p337879 -aS'.\t.\t.\tO\tO' -p337880 -asS'His amylase decreased to 51 , and the increased back to 151 on hospital day #10 .' -p337881 -(lp337882 -S'His\tHis\tPRP$\tB-NP\tO' -p337883 -aS'amylase\tamylase\tNN\tI-NP\tB-protein' -p337884 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p337885 -aS'to\tto\tTO\tB-PP\tO' -p337886 -aS'51\t51\tCD\tB-NP\tO' -p337887 -aS',\t,\t,\tO\tO' -p337888 -aS'and\tand\tCC\tO\tO' -p337889 -aS'the\tthe\tDT\tB-NP\tO' -p337890 -aS'increased\tincrease\tVBD\tB-VP\tO' -p337891 -aS'back\tback\tRB\tB-ADVP\tO' -p337892 -aS'to\tto\tTO\tB-PP\tO' -p337893 -aS'151\t151\tCD\tB-NP\tO' -p337894 -aS'on\ton\tIN\tB-PP\tO' -p337895 -aS'hospital\thospital\tNN\tB-NP\tO' -p337896 -aS'day\tday\tNN\tI-NP\tO' -p337897 -aS'#10\t#10\tCD\tI-NP\tO' -p337898 -aS'.\t.\t.\tO\tO' -p337899 -asS'2. Amiodarone taper 400 mg po tid x4 days , then bid x7 days , qd x7 days , then 200 mg po qd' -p337900 -(lp337901 -S'2.\t2.\tLS\tB-NP\tO' -p337902 -aS'Amiodarone\tAmiodarone\tNN\tI-NP\tO' -p337903 -aS'taper\ttaper\tNN\tI-NP\tO' -p337904 -aS'400\t400\tCD\tI-NP\tO' -p337905 -aS'mg\tmg\tNN\tI-NP\tO' -p337906 -aS'po\tpo\tNN\tI-NP\tO' -p337907 -aS'tid\ttid\tNN\tI-NP\tO' -p337908 -aS'x4\tx4\tNN\tI-NP\tO' -p337909 -aS'days\tday\tNNS\tI-NP\tO' -p337910 -aS',\t,\t,\tO\tO' -p337911 -aS'then\tthen\tRB\tB-ADVP\tO' -p337912 -aS'bid\tbid\tVBD\tB-VP\tO' -p337913 -aS'x7\tx7\tNN\tB-NP\tO' -p337914 -aS'days\tday\tNNS\tI-NP\tO' -p337915 -aS',\t,\t,\tO\tO' -p337916 -aS'qd\tqd\tNN\tB-NP\tO' -p337917 -aS'x7\tx7\tCD\tB-NP\tO' -p337918 -aS'days\tday\tNNS\tI-NP\tO' -p337919 -aS',\t,\t,\tO\tO' -p337920 -aS'then\tthen\tRB\tB-ADVP\tO' -p337921 -aS'200\t200\tCD\tB-NP\tO' -p337922 -aS'mg\tmg\tNN\tI-NP\tO' -p337923 -aS'po\tpo\tNN\tI-NP\tO' -p337924 -aS'qd\tqd\tNN\tI-NP\tO' -p337925 -asS'3. Sepsis suspect ruled out with antibiotics .' -p337926 -(lp337927 -S'3.\t3.\tLS\tB-LST\tO' -p337928 -aS'Sepsis\tSepsis\tNNP\tB-NP\tO' -p337929 -aS'suspect\tsuspect\tVB\tB-VP\tO' -p337930 -aS'ruled\trule\tVBD\tB-VP\tO' -p337931 -aS'out\tout\tRP\tB-PRT\tO' -p337932 -aS'with\twith\tIN\tB-PP\tO' -p337933 -aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' -p337934 -aS'.\t.\t.\tO\tO' -p337935 -asS'S1 , S2 with Grade II/VI SEM . +S3 .' -p337936 -(lp337937 -S'S1\tS1\tNN\tB-NP\tB-protein' -p337938 -aS',\t,\t,\tO\tO' -p337939 -aS'S2\tS2\tNN\tB-NP\tB-protein' -p337940 -aS'with\twith\tIN\tB-PP\tO' -p337941 -aS'Grade\tGrade\tNNP\tB-NP\tO' -p337942 -aS'II/VI\tII/VI\tNNP\tI-NP\tO' -p337943 -aS'SEM\tSEM\tNNP\tI-NP\tO' -p337944 -aS'.\t.\t.\tI-NP\tO' -p337945 -aS'+S3\t+S3\tNNP\tI-NP\tB-protein' -p337946 -aS'.\t.\t.\tO\tO' -p337947 -asS'His headache improved , but her remained profoundly weak and intermittently febrile with dyspnea .' -p337948 -(lp337949 -S'His\tHis\tPRP$\tB-NP\tO' -p337950 -aS'headache\theadache\tNN\tI-NP\tO' -p337951 -aS'improved\timprove\tVBD\tB-VP\tO' -p337952 -aS',\t,\t,\tO\tO' -p337953 -aS'but\tbut\tCC\tO\tO' -p337954 -aS'her\ther\tPRP\tB-NP\tO' -p337955 -aS'remained\tremain\tVBD\tB-VP\tO' -p337956 -aS'profoundly\tprofoundly\tRB\tB-ADJP\tO' -p337957 -aS'weak\tweak\tJJ\tI-ADJP\tO' -p337958 -aS'and\tand\tCC\tO\tO' -p337959 -aS'intermittently\tintermittently\tRB\tB-ADJP\tO' -p337960 -aS'febrile\tfebrile\tJJ\tI-ADJP\tO' -p337961 -aS'with\twith\tIN\tB-PP\tO' -p337962 -aS'dyspnea\tdyspnea\tNN\tB-NP\tO' -p337963 -aS'.\t.\t.\tO\tO' -p337964 -asS'directional angioplasty of the right coronary artery , left main and left anterior descending vessels .' -p337965 -(lp337966 -S'directional\tdirectional\tJJ\tB-NP\tO' -p337967 -aS'angioplasty\tangioplasty\tNN\tI-NP\tO' -p337968 -aS'of\tof\tIN\tB-PP\tO' -p337969 -aS'the\tthe\tDT\tB-NP\tO' -p337970 -aS'right\tright\tJJ\tI-NP\tO' -p337971 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p337972 -aS'artery\tartery\tNN\tI-NP\tO' -p337973 -aS',\t,\t,\tO\tO' -p337974 -aS'left\tleave\tVBD\tB-VP\tO' -p337975 -aS'main\tmain\tJJ\tB-NP\tO' -p337976 -aS'and\tand\tCC\tI-NP\tO' -p337977 -aS'left\tleft\tJJ\tI-NP\tO' -p337978 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p337979 -aS'descending\tdescend\tVBG\tI-NP\tO' -p337980 -aS'vessels\tvessel\tNNS\tI-NP\tO' -p337981 -aS'.\t.\t.\tO\tO' -p337982 -asS'Chronic left pleural effusion .' -p337983 -(lp337984 -S'Chronic\tChronic\tJJ\tB-NP\tO' -p337985 -aS'left\tleft\tJJ\tI-NP\tO' -p337986 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p337987 -aS'effusion\teffusion\tNN\tI-NP\tO' -p337988 -aS'.\t.\t.\tO\tO' -p337989 -asS'Urine culture and blood culture have been unremarkable on 2014-04-03 .' -p337990 -(lp337991 -S'Urine\tUrine\tNN\tB-NP\tO' -p337992 -aS'culture\tculture\tNN\tI-NP\tO' -p337993 -aS'and\tand\tCC\tO\tO' -p337994 -aS'blood\tblood\tNN\tB-NP\tO' -p337995 -aS'culture\tculture\tNN\tI-NP\tO' -p337996 -aS'have\thave\tVBP\tB-VP\tO' -p337997 -aS'been\tbe\tVBN\tI-VP\tO' -p337998 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p337999 -aS'on\ton\tIN\tB-PP\tO' -p338000 -aS'2014-04-03\t2014-04-03\tCD\tB-NP\tO' -p338001 -aS'.\t.\t.\tO\tO' -p338002 -asS'Case was discussed with neurology .' -p338003 -(lp338004 -S'Case\tCase\tNN\tB-NP\tB-protein' -p338005 -aS'was\tbe\tVBD\tB-VP\tO' -p338006 -aS'discussed\tdiscuss\tVBN\tI-VP\tO' -p338007 -aS'with\twith\tIN\tB-PP\tO' -p338008 -aS'neurology\tneurology\tNN\tB-NP\tO' -p338009 -aS'.\t.\t.\tO\tO' -p338010 -asS'The chest was clear .' -p338011 -(lp338012 -S'The\tThe\tDT\tB-NP\tO' -p338013 -aS'chest\tchest\tNN\tI-NP\tO' -p338014 -aS'was\tbe\tVBD\tB-VP\tO' -p338015 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p338016 -aS'.\t.\t.\tO\tO' -p338017 -asS'Normal Correa , Kimberly , HTS .' -p338018 -(lp338019 -S'Normal\tNormal\tNNP\tB-NP\tO' -p338020 -aS'Correa\tCorrea\tNNP\tI-NP\tO' -p338021 -aS',\t,\t,\tO\tO' -p338022 -aS'Kimberly\tKimberly\tNNP\tB-NP\tO' -p338023 -aS',\t,\t,\tO\tO' -p338024 -aS'HTS\tHTS\tNNP\tB-NP\tO' -p338025 -aS'.\t.\t.\tO\tO' -p338026 -asS'Call your doctor in the morning for an appointment with the pain clinic .' -p338027 -(lp338028 -S'Call\tCall\tVB\tB-VP\tO' -p338029 -aS'your\tyour\tPRP$\tB-NP\tO' -p338030 -aS'doctor\tdoctor\tNN\tI-NP\tO' -p338031 -aS'in\tin\tIN\tB-PP\tO' -p338032 -aS'the\tthe\tDT\tB-NP\tO' -p338033 -aS'morning\tmorning\tNN\tI-NP\tO' -p338034 -aS'for\tfor\tIN\tB-PP\tO' -p338035 -aS'an\tan\tDT\tB-NP\tO' -p338036 -aS'appointment\tappointment\tNN\tI-NP\tO' -p338037 -aS'with\twith\tIN\tB-PP\tO' -p338038 -aS'the\tthe\tDT\tB-NP\tO' -p338039 -aS'pain\tpain\tNN\tI-NP\tO' -p338040 -aS'clinic\tclinic\tNN\tI-NP\tO' -p338041 -aS'.\t.\t.\tO\tO' -p338042 -asS'Cardiac silhouette and mediastinal contours are stable .' -p338043 -(lp338044 -S'Cardiac\tCardiac\tJJ\tB-NP\tO' -p338045 -aS'silhouette\tsilhouette\tNN\tI-NP\tO' -p338046 -aS'and\tand\tCC\tO\tO' -p338047 -aS'mediastinal\tmediastinal\tJJ\tB-NP\tO' -p338048 -aS'contours\tcontour\tNNS\tI-NP\tO' -p338049 -aS'are\tbe\tVBP\tB-VP\tO' -p338050 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p338051 -aS'.\t.\t.\tO\tO' -p338052 -asS'6. Hypercholesterolemia .' -p338053 -(lp338054 -S'6.\t6.\tLS\tB-NP\tO' -p338055 -aS'Hypercholesterolemia\tHypercholesterolemia\tNN\tI-NP\tO' -p338056 -aS'.\t.\t.\tO\tO' -p338057 -asS'She is status post an open cholecystectomy in 1968 , status post hysterectomy and axillary node biopsy which failed .' -p338058 -(lp338059 -S'She\tShe\tPRP\tB-NP\tO' -p338060 -aS'is\tbe\tVBZ\tB-VP\tO' -p338061 -aS'status\tstatus\tNN\tB-NP\tO' -p338062 -aS'post\tpost\tIN\tB-PP\tO' -p338063 -aS'an\tan\tDT\tB-NP\tO' -p338064 -aS'open\topen\tJJ\tI-NP\tO' -p338065 -aS'cholecystectomy\tcholecystectomy\tNN\tI-NP\tO' -p338066 -aS'in\tin\tIN\tB-PP\tO' -p338067 -aS'1968\t1968\tCD\tB-NP\tO' -p338068 -aS',\t,\t,\tO\tO' -p338069 -aS'status\tstatus\tNN\tB-NP\tO' -p338070 -aS'post\tpost\tNN\tI-NP\tO' -p338071 -aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' -p338072 -aS'and\tand\tCC\tO\tO' -p338073 -aS'axillary\taxillary\tJJ\tB-NP\tO' -p338074 -aS'node\tnode\tNN\tI-NP\tO' -p338075 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p338076 -aS'which\twhich\tWDT\tB-NP\tO' -p338077 -aS'failed\tfail\tVBD\tB-VP\tO' -p338078 -aS'.\t.\t.\tO\tO' -p338079 -asS'He had a subtotal colectomy on 03/22/05 which was uncomplicated .' -p338080 -(lp338081 -S'He\tHe\tPRP\tB-NP\tO' -p338082 -aS'had\thave\tVBD\tB-VP\tO' -p338083 -aS'a\ta\tDT\tB-NP\tO' -p338084 -aS'subtotal\tsubtotal\tJJ\tI-NP\tO' -p338085 -aS'colectomy\tcolectomy\tNN\tI-NP\tO' -p338086 -aS'on\ton\tIN\tB-PP\tO' -p338087 -aS'03/22/05\t03/22/05\tCD\tB-NP\tO' -p338088 -aS'which\twhich\tWDT\tB-NP\tO' -p338089 -aS'was\tbe\tVBD\tB-VP\tO' -p338090 -aS'uncomplicated\tuncomplicated\tJJ\tB-ADJP\tO' -p338091 -aS'.\t.\t.\tO\tO' -p338092 -asS'He will be visited by LDAMC for blood pressure and incision checks .' -p338093 -(lp338094 -S'He\tHe\tPRP\tB-NP\tO' -p338095 -aS'will\twill\tMD\tB-VP\tO' -p338096 -aS'be\tbe\tVB\tI-VP\tO' -p338097 -aS'visited\tvisit\tVBN\tI-VP\tO' -p338098 -aS'by\tby\tIN\tB-PP\tO' -p338099 -aS'LDAMC\tLDAMC\tNN\tB-NP\tB-protein' -p338100 -aS'for\tfor\tIN\tB-PP\tO' -p338101 -aS'blood\tblood\tNN\tB-NP\tO' -p338102 -aS'pressure\tpressure\tNN\tI-NP\tO' -p338103 -aS'and\tand\tCC\tI-NP\tO' -p338104 -aS'incision\tincision\tNN\tI-NP\tO' -p338105 -aS'checks\tcheck\tNNS\tI-NP\tO' -p338106 -aS'.\t.\t.\tO\tO' -p338107 -asS'82 F with h/o COPD , CAD , pafib and SSS s/p pacer on 05-08 for symptomatic pauses is transferred for large pericardial effusion ? needing drainage and CHF .' -p338108 -(lp338109 -S'82\t82\tCD\tB-NP\tO' -p338110 -aS'F\tF\tNN\tI-NP\tO' -p338111 -aS'with\twith\tIN\tB-PP\tO' -p338112 -aS'h/o\th/o\tNN\tB-NP\tO' -p338113 -aS'COPD\tCOPD\tNN\tI-NP\tO' -p338114 -aS',\t,\t,\tO\tO' -p338115 -aS'CAD\tCAD\tNN\tB-NP\tB-protein' -p338116 -aS',\t,\t,\tO\tO' -p338117 -aS'pafib\tpafib\tNN\tB-NP\tO' -p338118 -aS'and\tand\tCC\tO\tO' -p338119 -aS'SSS\tSSS\tNN\tB-NP\tO' -p338120 -aS's/p\ts/p\tNN\tI-NP\tO' -p338121 -aS'pacer\tpacer\tNN\tI-NP\tO' -p338122 -aS'on\ton\tIN\tB-PP\tO' -p338123 -aS'05-08\t05-08\tCD\tB-NP\tO' -p338124 -aS'for\tfor\tIN\tB-PP\tO' -p338125 -aS'symptomatic\tsymptomatic\tJJ\tB-NP\tO' -p338126 -aS'pauses\tpause\tNNS\tI-NP\tO' -p338127 -aS'is\tbe\tVBZ\tB-VP\tO' -p338128 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p338129 -aS'for\tfor\tIN\tB-PP\tO' -p338130 -aS'large\tlarge\tJJ\tB-NP\tO' -p338131 -aS'pericardial\tpericardial\tJJ\tI-NP\tO' -p338132 -aS'effusion\teffusion\tNN\tI-NP\tO' -p338133 -aS'?\t?\t.\tO\tO' -p338134 -aS'needing\tneed\tVBG\tB-VP\tO' -p338135 -aS'drainage\tdrainage\tNN\tB-NP\tO' -p338136 -aS'and\tand\tCC\tI-NP\tO' -p338137 -aS'CHF\tCHF\tNN\tI-NP\tB-protein' -p338138 -aS'.\t.\t.\tO\tO' -p338139 -asS'Her oxygen saturations were greater than 94% at the time .' -p338140 -(lp338141 -S'Her\tHer\tPRP$\tB-NP\tO' -p338142 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p338143 -aS'saturations\tsaturation\tNNS\tI-NP\tO' -p338144 -aS'were\tbe\tVBD\tB-VP\tO' -p338145 -aS'greater\tgreat\tJJR\tB-ADJP\tO' -p338146 -aS'than\tthan\tIN\tB-PP\tO' -p338147 -aS'94%\t94%\tCD\tB-NP\tO' -p338148 -aS'at\tat\tIN\tB-PP\tO' -p338149 -aS'the\tthe\tDT\tB-NP\tO' -p338150 -aS'time\ttime\tNN\tI-NP\tO' -p338151 -aS'.\t.\t.\tO\tO' -p338152 -asS'1. Open reduction and internal fixation of femur 2011-01-21 .' -p338153 -(lp338154 -S'1.\t1.\tLS\tB-NP\tO' -p338155 -aS'Open\tOpen\tNN\tI-NP\tO' -p338156 -aS'reduction\treduction\tNN\tI-NP\tO' -p338157 -aS'and\tand\tCC\tO\tO' -p338158 -aS'internal\tinternal\tJJ\tB-NP\tO' -p338159 -aS'fixation\tfixation\tNN\tI-NP\tO' -p338160 -aS'of\tof\tIN\tB-PP\tO' -p338161 -aS'femur\tfemur\tNN\tB-NP\tO' -p338162 -aS'2011-01-21\t2011-01-21\tCD\tI-NP\tO' -p338163 -aS'.\t.\t.\tO\tO' -p338164 -asS'5. Immunizations received : Hepatitis B vaccine on 2020-01-19 .' -p338165 -(lp338166 -S'5.\t5.\tLS\tB-NP\tO' -p338167 -aS'Immunizations\tImmunization\tNNS\tI-NP\tO' -p338168 -aS'received\treceive\tVBD\tB-VP\tO' -p338169 -aS':\t:\t:\tO\tO' -p338170 -aS'Hepatitis\tHepatitis\tNN\tB-NP\tO' -p338171 -aS'B\tB\tNN\tI-NP\tO' -p338172 -aS'vaccine\tvaccine\tNN\tI-NP\tO' -p338173 -aS'on\ton\tIN\tB-PP\tO' -p338174 -aS'2020-01-19\t2020-01-19\tCD\tB-NP\tO' -p338175 -aS'.\t.\t.\tO\tO' -p338176 -asS'The patient was admitted to the Operating Room where she underwent an unremarkable laparoscopic tubal ligation .' -p338177 -(lp338178 -S'The\tThe\tDT\tB-NP\tO' -p338179 -aS'patient\tpatient\tNN\tI-NP\tO' -p338180 -aS'was\tbe\tVBD\tB-VP\tO' -p338181 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p338182 -aS'to\tto\tTO\tB-PP\tO' -p338183 -aS'the\tthe\tDT\tB-NP\tO' -p338184 -aS'Operating\tOperating\tNNP\tI-NP\tO' -p338185 -aS'Room\tRoom\tNNP\tI-NP\tO' -p338186 -aS'where\twhere\tWRB\tB-ADVP\tO' -p338187 -aS'she\tshe\tPRP\tB-NP\tO' -p338188 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p338189 -aS'an\tan\tDT\tB-NP\tO' -p338190 -aS'unremarkable\tunremarkable\tJJ\tI-NP\tO' -p338191 -aS'laparoscopic\tlaparoscopic\tJJ\tI-NP\tO' -p338192 -aS'tubal\ttubal\tJJ\tI-NP\tO' -p338193 -aS'ligation\tligation\tNN\tI-NP\tO' -p338194 -aS'.\t.\t.\tO\tO' -p338195 -asS'TTE was obtained which was not concerning for endocarditis .' -p338196 -(lp338197 -S'TTE\tTTE\tNN\tB-NP\tO' -p338198 -aS'was\tbe\tVBD\tB-VP\tO' -p338199 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p338200 -aS'which\twhich\tWDT\tB-NP\tO' -p338201 -aS'was\tbe\tVBD\tB-VP\tO' -p338202 -aS'not\tnot\tRB\tI-VP\tO' -p338203 -aS'concerning\tconcern\tVBG\tI-VP\tO' -p338204 -aS'for\tfor\tIN\tB-PP\tO' -p338205 -aS'endocarditis\tendocarditis\tNN\tB-NP\tO' -p338206 -aS'.\t.\t.\tO\tO' -p338207 -asS'At the time of discharge , her potassium had been low despite repletion ,' -p338208 -(lp338209 -S'At\tAt\tIN\tB-PP\tO' -p338210 -aS'the\tthe\tDT\tB-NP\tO' -p338211 -aS'time\ttime\tNN\tI-NP\tO' -p338212 -aS'of\tof\tIN\tB-PP\tO' -p338213 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p338214 -aS',\t,\t,\tO\tO' -p338215 -aS'her\ther\tPRP$\tB-NP\tO' -p338216 -aS'potassium\tpotassium\tNN\tI-NP\tO' -p338217 -aS'had\thave\tVBD\tB-VP\tO' -p338218 -aS'been\tbe\tVBN\tI-VP\tO' -p338219 -aS'low\tlow\tJJ\tB-ADJP\tO' -p338220 -aS'despite\tdespite\tIN\tB-PP\tO' -p338221 -aS'repletion\trepletion\tNN\tB-NP\tO' -p338222 -aS',\t,\t,\tO\tO' -p338223 -asS'2. Combivent two puffs four times a day .' -p338224 -(lp338225 -S'2.\t2.\tLS\tB-LST\tO' -p338226 -aS'Combivent\tCombivent\tNNP\tB-NP\tO' -p338227 -aS'two\ttwo\tCD\tB-NP\tO' -p338228 -aS'puffs\tpuff\tNNS\tI-NP\tO' -p338229 -aS'four\tfour\tCD\tB-NP\tO' -p338230 -aS'times\ttime\tNNS\tI-NP\tO' -p338231 -aS'a\ta\tDT\tB-NP\tO' -p338232 -aS'day\tday\tNN\tI-NP\tO' -p338233 -aS'.\t.\t.\tO\tO' -p338234 -asS'6. The mitral valve appears structurally normal with trivial mitral regurgitation .' -p338235 -(lp338236 -S'6.\t6.\tLS\tB-LST\tO' -p338237 -aS'The\tThe\tDT\tB-NP\tO' -p338238 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p338239 -aS'valve\tvalve\tNN\tI-NP\tO' -p338240 -aS'appears\tappear\tVBZ\tB-VP\tO' -p338241 -aS'structurally\tstructurally\tRB\tB-ADJP\tO' -p338242 -aS'normal\tnormal\tJJ\tI-ADJP\tO' -p338243 -aS'with\twith\tIN\tB-PP\tO' -p338244 -aS'trivial\ttrivial\tJJ\tB-NP\tO' -p338245 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p338246 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p338247 -aS'.\t.\t.\tO\tO' -p338248 -asS'He had been on a diazepam CIWA scale prophylaxis against DT s; however , he had a very low CIWA scale during his entire admission and did not need any benzodiazepines .' -p338249 -(lp338250 -S'He\tHe\tPRP\tB-NP\tO' -p338251 -aS'had\thave\tVBD\tB-VP\tO' -p338252 -aS'been\tbe\tVBN\tI-VP\tO' -p338253 -aS'on\ton\tIN\tB-PP\tO' -p338254 -aS'a\ta\tDT\tB-NP\tO' -p338255 -aS'diazepam\tdiazepam\tNN\tI-NP\tO' -p338256 -aS'CIWA\tCIWA\tNNP\tI-NP\tO' -p338257 -aS'scale\tscale\tNN\tI-NP\tO' -p338258 -aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' -p338259 -aS'against\tagainst\tIN\tB-PP\tO' -p338260 -aS'DT\tDT\tNN\tB-NP\tB-protein' -p338261 -aS's;\ts;\tNN\tI-NP\tI-protein' -p338262 -aS'however\thowever\tRB\tB-ADVP\tO' -p338263 -aS',\t,\t,\tO\tO' -p338264 -aS'he\the\tPRP\tB-NP\tO' -p338265 -aS'had\thave\tVBD\tB-VP\tO' -p338266 -aS'a\ta\tDT\tB-NP\tO' -p338267 -aS'very\tvery\tRB\tI-NP\tO' -p338268 -aS'low\tlow\tJJ\tI-NP\tO' -p338269 -aS'CIWA\tCIWA\tNNP\tI-NP\tO' -p338270 -aS'scale\tscale\tNN\tI-NP\tO' -p338271 -aS'during\tduring\tIN\tB-PP\tO' -p338272 -aS'his\this\tPRP$\tB-NP\tO' -p338273 -aS'entire\tentire\tJJ\tI-NP\tO' -p338274 -aS'admission\tadmission\tNN\tI-NP\tO' -p338275 -aS'and\tand\tCC\tO\tO' -p338276 -aS'did\tdo\tVBD\tB-VP\tO' -p338277 -aS'not\tnot\tRB\tI-VP\tO' -p338278 -aS'need\tneed\tVB\tI-VP\tO' -p338279 -aS'any\tany\tDT\tB-NP\tO' -p338280 -aS'benzodiazepines\tbenzodiazepine\tNNS\tI-NP\tO' -p338281 -aS'.\t.\t.\tO\tO' -p338282 -asS'Please do not drive while on this medication .' -p338283 -(lp338284 -S'Please\tPlease\tNN\tB-NP\tB-protein' -p338285 -aS'do\tdo\tVBP\tB-VP\tO' -p338286 -aS'not\tnot\tRB\tI-VP\tO' -p338287 -aS'drive\tdrive\tVB\tI-VP\tO' -p338288 -aS'while\twhile\tIN\tB-SBAR\tO' -p338289 -aS'on\ton\tIN\tB-PP\tO' -p338290 -aS'this\tthis\tDT\tB-NP\tO' -p338291 -aS'medication\tmedication\tNN\tI-NP\tO' -p338292 -aS'.\t.\t.\tO\tO' -p338293 -asS'For blood pressure control she was maintained on metoprolol at the request of her primary care physician and enalapril was discontinued .' -p338294 -(lp338295 -S'For\tFor\tIN\tB-PP\tO' -p338296 -aS'blood\tblood\tNN\tB-NP\tO' -p338297 -aS'pressure\tpressure\tNN\tI-NP\tO' -p338298 -aS'control\tcontrol\tNN\tI-NP\tO' -p338299 -aS'she\tshe\tPRP\tB-NP\tO' -p338300 -aS'was\tbe\tVBD\tB-VP\tO' -p338301 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p338302 -aS'on\ton\tIN\tB-PP\tO' -p338303 -aS'metoprolol\tmetoprolol\tNN\tB-NP\tO' -p338304 -aS'at\tat\tIN\tB-PP\tO' -p338305 -aS'the\tthe\tDT\tB-NP\tO' -p338306 -aS'request\trequest\tNN\tI-NP\tO' -p338307 -aS'of\tof\tIN\tB-PP\tO' -p338308 -aS'her\ther\tPRP$\tB-NP\tO' -p338309 -aS'primary\tprimary\tJJ\tI-NP\tO' -p338310 -aS'care\tcare\tNN\tI-NP\tO' -p338311 -aS'physician\tphysician\tNN\tI-NP\tO' -p338312 -aS'and\tand\tCC\tI-NP\tO' -p338313 -aS'enalapril\tenalapril\tNN\tI-NP\tO' -p338314 -aS'was\tbe\tVBD\tB-VP\tO' -p338315 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p338316 -aS'.\t.\t.\tO\tO' -p338317 -asS'Extubated 12-28 with no incident .' -p338318 -(lp338319 -S'Extubated\tExtubate\tVBN\tB-VP\tO' -p338320 -aS'12-28\t12-28\tCD\tB-NP\tO' -p338321 -aS'with\twith\tIN\tB-PP\tO' -p338322 -aS'no\tno\tDT\tB-NP\tO' -p338323 -aS'incident\tincident\tNN\tI-NP\tO' -p338324 -aS'.\t.\t.\tO\tO' -p338325 -asS'Father with CAD at 90 , diabetes , CVA , hypercholesterolemia .' -p338326 -(lp338327 -S'Father\tFather\tRB\tB-ADVP\tO' -p338328 -aS'with\twith\tIN\tB-PP\tO' -p338329 -aS'CAD\tCAD\tNN\tB-NP\tO' -p338330 -aS'at\tat\tIN\tB-PP\tO' -p338331 -aS'90\t90\tCD\tB-NP\tO' -p338332 -aS',\t,\t,\tO\tO' -p338333 -aS'diabetes\tdiabetes\tNN\tB-NP\tO' -p338334 -aS',\t,\t,\tO\tO' -p338335 -aS'CVA\tCVA\tNN\tB-NP\tB-protein' -p338336 -aS',\t,\t,\tO\tO' -p338337 -aS'hypercholesterolemia\thypercholesterolemia\tNN\tB-NP\tO' -p338338 -aS'.\t.\t.\tO\tO' -p338339 -asS'Globulin was 1.6 , uric acid was 6.5 , alkaline phosphatase 150 , SGPT 11 , SGOT 85 , LDH 524 , CK 152 , NH3 81 .' -p338340 -(lp338341 -S'Globulin\tGlobulin\tNN\tB-NP\tB-protein' -p338342 -aS'was\tbe\tVBD\tB-VP\tO' -p338343 -aS'1.6\t1.6\tCD\tB-NP\tO' -p338344 -aS',\t,\t,\tO\tO' -p338345 -aS'uric\turic\tJJ\tB-NP\tO' -p338346 -aS'acid\tacid\tNN\tI-NP\tO' -p338347 -aS'was\tbe\tVBD\tB-VP\tO' -p338348 -aS'6.5\t6.5\tCD\tB-NP\tO' -p338349 -aS',\t,\t,\tO\tO' -p338350 -aS'alkaline\talkaline\tNN\tB-NP\tO' -p338351 -aS'phosphatase\tphosphatase\tNN\tI-NP\tO' -p338352 -aS'150\t150\tCD\tI-NP\tO' -p338353 -aS',\t,\t,\tO\tO' -p338354 -aS'SGPT\tSGPT\tNN\tB-NP\tB-DNA' -p338355 -aS'11\t11\tCD\tI-NP\tI-DNA' -p338356 -aS',\t,\t,\tO\tO' -p338357 -aS'SGOT\tSGOT\tNN\tB-NP\tO' -p338358 -aS'85\t85\tCD\tI-NP\tO' -p338359 -aS',\t,\t,\tO\tO' -p338360 -aS'LDH\tLDH\tNN\tB-NP\tB-protein' -p338361 -aS'524\t524\tCD\tI-NP\tI-protein' -p338362 -aS',\t,\t,\tO\tO' -p338363 -aS'CK\tCK\tNN\tB-NP\tB-cell_line' -p338364 -aS'152\t152\tCD\tI-NP\tI-cell_line' -p338365 -aS',\t,\t,\tO\tO' -p338366 -aS'NH3\tNH3\tNN\tB-NP\tB-protein' -p338367 -aS'81\t81\tCD\tI-NP\tO' -p338368 -aS'.\t.\t.\tO\tO' -p338369 -asS'The patient expired on 1/19/96 at 11:35 p.m.' -p338370 -(lp338371 -S'The\tThe\tDT\tB-NP\tO' -p338372 -aS'patient\tpatient\tNN\tI-NP\tO' -p338373 -aS'expired\texpire\tVBD\tB-VP\tO' -p338374 -aS'on\ton\tIN\tB-PP\tO' -p338375 -aS'1/19/96\t1/19/96\tCD\tB-NP\tO' -p338376 -aS'at\tat\tIN\tB-PP\tO' -p338377 -aS'11:35\t11:35\tCD\tB-NP\tO' -p338378 -aS'p.m.\tp.m.\tNN\tI-NP\tO' -p338379 -asS'Moderate leukocytes , 06-09 RBCs , 21-50 lymphocytes , many bacteria , 06-09 epithelial cells .' -p338380 -(lp338381 -S'Moderate\tModerate\tJJ\tB-NP\tB-cell_type' -p338382 -aS'leukocytes\tleukocyte\tNNS\tI-NP\tI-cell_type' -p338383 -aS',\t,\t,\tO\tO' -p338384 -aS'06-09\t06-09\tCD\tB-NP\tO' -p338385 -aS'RBCs\tRBC\tNNS\tI-NP\tB-cell_type' -p338386 -aS',\t,\t,\tO\tO' -p338387 -aS'21-50\t21-50\tCD\tB-NP\tO' -p338388 -aS'lymphocytes\tlymphocyte\tNNS\tI-NP\tB-cell_type' -p338389 -aS',\t,\t,\tO\tO' -p338390 -aS'many\tmany\tJJ\tB-NP\tO' -p338391 -aS'bacteria\tbacteria\tNNS\tI-NP\tO' -p338392 -aS',\t,\t,\tO\tO' -p338393 -aS'06-09\t06-09\tCD\tB-NP\tO' -p338394 -aS'epithelial\tepithelial\tJJ\tI-NP\tB-cell_type' -p338395 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p338396 -aS'.\t.\t.\tO\tO' -p338397 -asS'Her heel-to-shin and finger-to-nose testing was fully intact bilaterally without ataxia or tremor .' -p338398 -(lp338399 -S'Her\tHer\tPRP$\tB-NP\tO' -p338400 -aS'heel-to-shin\theel-to-shin\tJJ\tI-NP\tO' -p338401 -aS'and\tand\tCC\tI-NP\tO' -p338402 -aS'finger-to-nose\tfinger-to-nose\tJJ\tI-NP\tO' -p338403 -aS'testing\ttesting\tNN\tI-NP\tO' -p338404 -aS'was\tbe\tVBD\tB-VP\tO' -p338405 -aS'fully\tfully\tRB\tB-ADJP\tO' -p338406 -aS'intact\tintact\tJJ\tI-ADJP\tO' -p338407 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p338408 -aS'without\twithout\tIN\tB-PP\tO' -p338409 -aS'ataxia\tataxia\tNN\tB-NP\tO' -p338410 -aS'or\tor\tCC\tI-NP\tO' -p338411 -aS'tremor\ttremor\tNN\tI-NP\tO' -p338412 -aS'.\t.\t.\tO\tO' -p338413 -asS'She initially presented to Brottlake Medical Center on 9/15/00 complaining of acute onset dysphasia to liquids and solids .' -p338414 -(lp338415 -S'She\tShe\tPRP\tB-NP\tO' -p338416 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p338417 -aS'presented\tpresent\tVBD\tB-VP\tO' -p338418 -aS'to\tto\tTO\tB-PP\tO' -p338419 -aS'Brottlake\tBrottlake\tNNP\tB-NP\tO' -p338420 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p338421 -aS'Center\tCenter\tNNP\tI-NP\tO' -p338422 -aS'on\ton\tIN\tB-PP\tO' -p338423 -aS'9/15/00\t9/15/00\tCD\tB-NP\tO' -p338424 -aS'complaining\tcomplaining\tNN\tI-NP\tO' -p338425 -aS'of\tof\tIN\tB-PP\tO' -p338426 -aS'acute\tacute\tJJ\tB-NP\tO' -p338427 -aS'onset\tonset\tNN\tI-NP\tO' -p338428 -aS'dysphasia\tdysphasia\tNN\tI-NP\tO' -p338429 -aS'to\tto\tTO\tB-PP\tO' -p338430 -aS'liquids\tliquid\tNNS\tB-NP\tO' -p338431 -aS'and\tand\tCC\tI-NP\tO' -p338432 -aS'solids\tsolid\tNNS\tI-NP\tO' -p338433 -aS'.\t.\t.\tO\tO' -p338434 -asS'She received a total of 4 liters of NS then was started on levophed for continued hypotension .' -p338435 -(lp338436 -S'She\tShe\tPRP\tB-NP\tO' -p338437 -aS'received\treceive\tVBD\tB-VP\tO' -p338438 -aS'a\ta\tDT\tB-NP\tO' -p338439 -aS'total\ttotal\tNN\tI-NP\tO' -p338440 -aS'of\tof\tIN\tB-PP\tO' -p338441 -aS'4\t4\tCD\tB-NP\tO' -p338442 -aS'liters\tliter\tNNS\tI-NP\tO' -p338443 -aS'of\tof\tIN\tB-PP\tO' -p338444 -aS'NS\tNS\tNN\tB-NP\tO' -p338445 -aS'then\tthen\tRB\tB-ADVP\tO' -p338446 -aS'was\tbe\tVBD\tB-VP\tO' -p338447 -aS'started\tstart\tVBN\tI-VP\tO' -p338448 -aS'on\ton\tIN\tB-PP\tO' -p338449 -aS'levophed\tlevophe\tVBN\tB-VP\tO' -p338450 -aS'for\tfor\tIN\tB-PP\tO' -p338451 -aS'continued\tcontinued\tJJ\tB-NP\tO' -p338452 -aS'hypotension\thypotension\tNN\tI-NP\tO' -p338453 -aS'.\t.\t.\tO\tO' -p338454 -asS'There was a question of a cyst in her kidney with a stone right below the cyst , although this did not seem to be clinically significant .' -p338455 -(lp338456 -S'There\tThere\tEX\tB-NP\tO' -p338457 -aS'was\tbe\tVBD\tB-VP\tO' -p338458 -aS'a\ta\tDT\tB-NP\tO' -p338459 -aS'question\tquestion\tNN\tI-NP\tO' -p338460 -aS'of\tof\tIN\tB-PP\tO' -p338461 -aS'a\ta\tDT\tB-NP\tO' -p338462 -aS'cyst\tcyst\tNN\tI-NP\tO' -p338463 -aS'in\tin\tIN\tB-PP\tO' -p338464 -aS'her\ther\tPRP$\tB-NP\tO' -p338465 -aS'kidney\tkidney\tNN\tI-NP\tO' -p338466 -aS'with\twith\tIN\tB-PP\tO' -p338467 -aS'a\ta\tDT\tB-NP\tO' -p338468 -aS'stone\tstone\tNN\tI-NP\tO' -p338469 -aS'right\tright\tRB\tB-ADVP\tO' -p338470 -aS'below\tbelow\tIN\tB-PP\tO' -p338471 -aS'the\tthe\tDT\tB-NP\tO' -p338472 -aS'cyst\tcyst\tNN\tI-NP\tO' -p338473 -aS',\t,\t,\tO\tO' -p338474 -aS'although\talthough\tIN\tB-SBAR\tO' -p338475 -aS'this\tthis\tDT\tB-NP\tO' -p338476 -aS'did\tdo\tVBD\tB-VP\tO' -p338477 -aS'not\tnot\tRB\tI-VP\tO' -p338478 -aS'seem\tseem\tVB\tI-VP\tO' -p338479 -aS'to\tto\tTO\tI-VP\tO' -p338480 -aS'be\tbe\tVB\tI-VP\tO' -p338481 -aS'clinically\tclinically\tRB\tB-ADJP\tO' -p338482 -aS'significant\tsignificant\tJJ\tI-ADJP\tO' -p338483 -aS'.\t.\t.\tO\tO' -p338484 -asS'The cause of this erythema is not know at this time but has not shown extensive progression .' -p338485 -(lp338486 -S'The\tThe\tDT\tB-NP\tO' -p338487 -aS'cause\tcause\tNN\tI-NP\tO' -p338488 -aS'of\tof\tIN\tB-PP\tO' -p338489 -aS'this\tthis\tDT\tB-NP\tO' -p338490 -aS'erythema\terythema\tNN\tI-NP\tO' -p338491 -aS'is\tbe\tVBZ\tB-VP\tO' -p338492 -aS'not\tnot\tRB\tI-VP\tO' -p338493 -aS'know\tknow\tVB\tI-VP\tO' -p338494 -aS'at\tat\tIN\tB-PP\tO' -p338495 -aS'this\tthis\tDT\tB-NP\tO' -p338496 -aS'time\ttime\tNN\tI-NP\tO' -p338497 -aS'but\tbut\tCC\tO\tO' -p338498 -aS'has\thave\tVBZ\tB-VP\tO' -p338499 -aS'not\tnot\tRB\tI-VP\tO' -p338500 -aS'shown\tshow\tVBN\tI-VP\tO' -p338501 -aS'extensive\textensive\tJJ\tB-NP\tO' -p338502 -aS'progression\tprogression\tNN\tI-NP\tO' -p338503 -aS'.\t.\t.\tO\tO' -p338504 -asS'Thomasine was tranferred from MWMC ( where he was admitted on 02-15 with fevers and positive blood cultures ) to IDMC for further treatment and possibly MVR .' -p338505 -(lp338506 -S'Thomasine\tThomasine\tNN\tB-NP\tO' -p338507 -aS'was\tbe\tVBD\tB-VP\tO' -p338508 -aS'tranferred\ttranferre\tVBN\tI-VP\tO' -p338509 -aS'from\tfrom\tIN\tB-PP\tO' -p338510 -aS'MWMC\tMWMC\tNN\tB-NP\tB-cell_type' -p338511 -aS'(\t(\t(\tO\tO' -p338512 -aS'where\twhere\tWRB\tB-ADVP\tO' -p338513 -aS'he\the\tPRP\tB-NP\tO' -p338514 -aS'was\tbe\tVBD\tB-VP\tO' -p338515 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p338516 -aS'on\ton\tIN\tB-PP\tO' -p338517 -aS'02-15\t02-15\tCD\tB-NP\tO' -p338518 -aS'with\twith\tIN\tB-PP\tO' -p338519 -aS'fevers\tfever\tNNS\tB-NP\tO' -p338520 -aS'and\tand\tCC\tO\tO' -p338521 -aS'positive\tpositive\tJJ\tB-NP\tO' -p338522 -aS'blood\tblood\tNN\tI-NP\tO' -p338523 -aS'cultures\tculture\tNNS\tI-NP\tO' -p338524 -aS')\t)\t)\tO\tO' -p338525 -aS'to\tto\tTO\tB-PP\tO' -p338526 -aS'IDMC\tIDMC\tNN\tB-NP\tB-protein' -p338527 -aS'for\tfor\tIN\tB-PP\tO' -p338528 -aS'further\tfurther\tJJ\tB-NP\tO' -p338529 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p338530 -aS'and\tand\tCC\tO\tO' -p338531 -aS'possibly\tpossibly\tRB\tB-ADVP\tO' -p338532 -aS'MVR\tMVR\tNN\tB-NP\tB-protein' -p338533 -aS'.\t.\t.\tO\tO' -p338534 -asS'Result of a second biopsy , which was done three weeks after the operation , is still pending .' -p338535 -(lp338536 -S'Result\tResult\tNN\tB-NP\tO' -p338537 -aS'of\tof\tIN\tB-PP\tO' -p338538 -aS'a\ta\tDT\tB-NP\tO' -p338539 -aS'second\tsecond\tJJ\tI-NP\tO' -p338540 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p338541 -aS',\t,\t,\tO\tO' -p338542 -aS'which\twhich\tWDT\tB-NP\tO' -p338543 -aS'was\tbe\tVBD\tB-VP\tO' -p338544 -aS'done\tdo\tVBN\tI-VP\tO' -p338545 -aS'three\tthree\tCD\tB-NP\tO' -p338546 -aS'weeks\tweek\tNNS\tI-NP\tO' -p338547 -aS'after\tafter\tIN\tB-SBAR\tO' -p338548 -aS'the\tthe\tDT\tB-NP\tO' -p338549 -aS'operation\toperation\tNN\tI-NP\tO' -p338550 -aS',\t,\t,\tO\tO' -p338551 -aS'is\tbe\tVBZ\tB-VP\tO' -p338552 -aS'still\tstill\tRB\tI-VP\tO' -p338553 -aS'pending\tpende\tVBG\tI-VP\tO' -p338554 -aS'.\t.\t.\tO\tO' -p338555 -asS'However , with her history of disease , patient underwent a cardiac catheterization .' -p338556 -(lp338557 -S'However\tHowever\tRB\tB-ADVP\tO' -p338558 -aS',\t,\t,\tO\tO' -p338559 -aS'with\twith\tIN\tB-PP\tO' -p338560 -aS'her\ther\tPRP$\tB-NP\tO' -p338561 -aS'history\thistory\tNN\tI-NP\tO' -p338562 -aS'of\tof\tIN\tB-PP\tO' -p338563 -aS'disease\tdisease\tNN\tB-NP\tO' -p338564 -aS',\t,\t,\tO\tO' -p338565 -aS'patient\tpatient\tNN\tB-NP\tO' -p338566 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p338567 -aS'a\ta\tDT\tB-NP\tO' -p338568 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p338569 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p338570 -aS'.\t.\t.\tO\tO' -p338571 -asS'1) Please follow up with your PCP and cardiologist , David , Larry Robinson ( 771 ) 937-5400 , upon discharge .' -p338572 -(lp338573 -S'1)\t1)\tLS\tB-NP\tO' -p338574 -aS'Please\tPlease\tNN\tI-NP\tB-protein' -p338575 -aS'follow\tfollow\tVB\tB-VP\tO' -p338576 -aS'up\tup\tRP\tB-PRT\tO' -p338577 -aS'with\twith\tIN\tB-PP\tO' -p338578 -aS'your\tyour\tPRP$\tB-NP\tO' -p338579 -aS'PCP\tPCP\tNN\tI-NP\tO' -p338580 -aS'and\tand\tCC\tI-NP\tO' -p338581 -aS'cardiologist\tcardiologist\tNN\tI-NP\tO' -p338582 -aS',\t,\t,\tO\tO' -p338583 -aS'David\tDavid\tNNP\tB-NP\tO' -p338584 -aS',\t,\t,\tO\tO' -p338585 -aS'Larry\tLarry\tNNP\tB-NP\tO' -p338586 -aS'Robinson\tRobinson\tNNP\tI-NP\tO' -p338587 -aS'(\t(\t(\tO\tO' -p338588 -aS'771\t771\tCD\tB-NP\tO' -p338589 -aS')\t)\t)\tO\tO' -p338590 -aS'937-5400\t937-5400\tCD\tB-NP\tO' -p338591 -aS',\t,\t,\tO\tO' -p338592 -aS'upon\tupon\tIN\tB-PP\tO' -p338593 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p338594 -aS'.\t.\t.\tO\tO' -p338595 -asS'A few days later , on 11-07 , the patient began to develop dyspnea on exertion with normal activity .' -p338596 -(lp338597 -S'A\tA\tDT\tB-NP\tO' -p338598 -aS'few\tfew\tJJ\tI-NP\tO' -p338599 -aS'days\tday\tNNS\tI-NP\tO' -p338600 -aS'later\tlater\tRB\tB-ADVP\tO' -p338601 -aS',\t,\t,\tO\tO' -p338602 -aS'on\ton\tIN\tB-PP\tO' -p338603 -aS'11-07\t11-07\tCD\tB-NP\tO' -p338604 -aS',\t,\t,\tO\tO' -p338605 -aS'the\tthe\tDT\tB-NP\tO' -p338606 -aS'patient\tpatient\tNN\tI-NP\tO' -p338607 -aS'began\tbegin\tVBD\tB-VP\tO' -p338608 -aS'to\tto\tTO\tI-VP\tO' -p338609 -aS'develop\tdevelop\tVB\tI-VP\tO' -p338610 -aS'dyspnea\tdyspnea\tNN\tB-NP\tO' -p338611 -aS'on\ton\tIN\tB-PP\tO' -p338612 -aS'exertion\texertion\tNN\tB-NP\tO' -p338613 -aS'with\twith\tIN\tB-PP\tO' -p338614 -aS'normal\tnormal\tJJ\tB-NP\tO' -p338615 -aS'activity\tactivity\tNN\tI-NP\tO' -p338616 -aS'.\t.\t.\tO\tO' -p338617 -asS'The paranasal sinuses and mastoid air cells are well aerated .' -p338618 -(lp338619 -S'The\tThe\tDT\tB-NP\tO' -p338620 -aS'paranasal\tparanasal\tJJ\tI-NP\tO' -p338621 -aS'sinuses\tsinus\tNNS\tI-NP\tO' -p338622 -aS'and\tand\tCC\tO\tO' -p338623 -aS'mastoid\tmastoid\tJJ\tB-NP\tO' -p338624 -aS'air\tair\tNN\tI-NP\tO' -p338625 -aS'cells\tcell\tNNS\tI-NP\tO' -p338626 -aS'are\tbe\tVBP\tB-VP\tO' -p338627 -aS'well\twell\tRB\tI-VP\tO' -p338628 -aS'aerated\taerate\tVBN\tI-VP\tO' -p338629 -aS'.\t.\t.\tO\tO' -p338630 -asS'No adventitious movements , no tremor , no asterixis .' -p338631 -(lp338632 -S'No\tNo\tDT\tB-NP\tO' -p338633 -aS'adventitious\tadventitious\tJJ\tI-NP\tO' -p338634 -aS'movements\tmovement\tNNS\tI-NP\tO' -p338635 -aS',\t,\t,\tO\tO' -p338636 -aS'no\tno\tDT\tB-NP\tO' -p338637 -aS'tremor\ttremor\tNN\tI-NP\tO' -p338638 -aS',\t,\t,\tO\tO' -p338639 -aS'no\tno\tDT\tB-NP\tO' -p338640 -aS'asterixis\tasterixis\tNN\tI-NP\tO' -p338641 -aS'.\t.\t.\tO\tO' -p338642 -asS'Warm , dry - c/c/e , pulses 2+ throughout' -p338643 -(lp338644 -S'Warm\tWarm\tNNP\tB-NP\tO' -p338645 -aS',\t,\t,\tO\tO' -p338646 -aS'dry\tdry\tJJ\tB-NP\tO' -p338647 -aS'-\t-\tHYPH\tI-NP\tO' -p338648 -aS'c/c/e\tc/c/e\tNN\tI-NP\tO' -p338649 -aS',\t,\t,\tO\tO' -p338650 -aS'pulses\tpulse\tVBZ\tB-VP\tO' -p338651 -aS'2+\t2+\tJJ\tB-ADJP\tO' -p338652 -aS'throughout\tthroughout\tIN\tO\tO' -p338653 -asS'HPI This is a 60 yo gentleman who previously had an ileocolic resection for a right colon cancer , and was found to have recurrent disease on colonoscopy .' -p338654 -(lp338655 -S'HPI\tHPI\tLS\tB-LST\tO' -p338656 -aS'This\tThis\tDT\tB-NP\tO' -p338657 -aS'is\tbe\tVBZ\tB-VP\tO' -p338658 -aS'a\ta\tDT\tB-NP\tO' -p338659 -aS'60\t60\tCD\tI-NP\tO' -p338660 -aS'yo\tyo\tNN\tI-NP\tO' -p338661 -aS'gentleman\tgentleman\tNN\tI-NP\tO' -p338662 -aS'who\twho\tWP\tB-NP\tO' -p338663 -aS'previously\tpreviously\tRB\tB-ADVP\tO' -p338664 -aS'had\thave\tVBD\tB-VP\tO' -p338665 -aS'an\tan\tDT\tB-NP\tO' -p338666 -aS'ileocolic\tileocolic\tJJ\tI-NP\tO' -p338667 -aS'resection\tresection\tNN\tI-NP\tO' -p338668 -aS'for\tfor\tIN\tB-PP\tO' -p338669 -aS'a\ta\tDT\tB-NP\tO' -p338670 -aS'right\tright\tJJ\tI-NP\tO' -p338671 -aS'colon\tcolon\tNN\tI-NP\tO' -p338672 -aS'cancer\tcancer\tNN\tI-NP\tO' -p338673 -aS',\t,\t,\tO\tO' -p338674 -aS'and\tand\tCC\tO\tO' -p338675 -aS'was\tbe\tVBD\tB-VP\tO' -p338676 -aS'found\tfind\tVBN\tI-VP\tO' -p338677 -aS'to\tto\tTO\tI-VP\tO' -p338678 -aS'have\thave\tVB\tI-VP\tO' -p338679 -aS'recurrent\trecurrent\tJJ\tB-NP\tO' -p338680 -aS'disease\tdisease\tNN\tI-NP\tO' -p338681 -aS'on\ton\tIN\tB-PP\tO' -p338682 -aS'colonoscopy\tcolonoscopy\tNN\tB-NP\tO' -p338683 -aS'.\t.\t.\tO\tO' -p338684 -asS'He uses a cane p.r.n. for walking .' -p338685 -(lp338686 -S'He\tHe\tPRP\tB-NP\tO' -p338687 -aS'uses\tuse\tVBZ\tB-VP\tO' -p338688 -aS'a\ta\tDT\tB-NP\tO' -p338689 -aS'cane\tcane\tNN\tI-NP\tO' -p338690 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p338691 -aS'for\tfor\tIN\tB-PP\tO' -p338692 -aS'walking\twalk\tVBG\tB-NP\tO' -p338693 -aS'.\t.\t.\tO\tO' -p338694 -asS'The patient presented with a chief complaint of R THUMB INJURY .' -p338695 -(lp338696 -S'The\tThe\tDT\tB-NP\tO' -p338697 -aS'patient\tpatient\tNN\tI-NP\tO' -p338698 -aS'presented\tpresent\tVBD\tB-VP\tO' -p338699 -aS'with\twith\tIN\tB-PP\tO' -p338700 -aS'a\ta\tDT\tB-NP\tO' -p338701 -aS'chief\tchief\tJJ\tI-NP\tO' -p338702 -aS'complaint\tcomplaint\tNN\tI-NP\tO' -p338703 -aS'of\tof\tIN\tB-PP\tO' -p338704 -aS'R\tR\tNN\tB-NP\tO' -p338705 -aS'THUMB\tTHUMB\tNN\tI-NP\tO' -p338706 -aS'INJURY\tINJURY\tNN\tI-NP\tO' -p338707 -aS'.\t.\t.\tO\tO' -p338708 -asS'The patient was found out of bed but no signs of head trauma , no loss of consciousness .' -p338709 -(lp338710 -S'The\tThe\tDT\tB-NP\tO' -p338711 -aS'patient\tpatient\tNN\tI-NP\tO' -p338712 -aS'was\tbe\tVBD\tB-VP\tO' -p338713 -aS'found\tfind\tVBN\tI-VP\tO' -p338714 -aS'out\tout\tIN\tB-PP\tO' -p338715 -aS'of\tof\tIN\tB-PP\tO' -p338716 -aS'bed\tbed\tNN\tB-NP\tO' -p338717 -aS'but\tbut\tCC\tO\tO' -p338718 -aS'no\tno\tDT\tB-NP\tO' -p338719 -aS'signs\tsign\tNNS\tI-NP\tO' -p338720 -aS'of\tof\tIN\tB-PP\tO' -p338721 -aS'head\thead\tNN\tB-NP\tO' -p338722 -aS'trauma\ttrauma\tNN\tI-NP\tO' -p338723 -aS',\t,\t,\tO\tO' -p338724 -aS'no\tno\tDT\tB-NP\tO' -p338725 -aS'loss\tloss\tNN\tI-NP\tO' -p338726 -aS'of\tof\tIN\tB-PP\tO' -p338727 -aS'consciousness\tconsciousness\tNN\tB-NP\tO' -p338728 -aS'.\t.\t.\tO\tO' -p338729 -asS'A paracentesis was repeated with removal of 2.5 liters of fluid .' -p338730 -(lp338731 -S'A\tA\tDT\tB-NP\tO' -p338732 -aS'paracentesis\tparacentesis\tNN\tI-NP\tO' -p338733 -aS'was\tbe\tVBD\tB-VP\tO' -p338734 -aS'repeated\trepeat\tVBN\tI-VP\tO' -p338735 -aS'with\twith\tIN\tB-PP\tO' -p338736 -aS'removal\tremoval\tNN\tB-NP\tO' -p338737 -aS'of\tof\tIN\tB-PP\tO' -p338738 -aS'2.5\t2.5\tCD\tB-NP\tO' -p338739 -aS'liters\tliter\tNNS\tI-NP\tO' -p338740 -aS'of\tof\tIN\tB-PP\tO' -p338741 -aS'fluid\tfluid\tNN\tB-NP\tO' -p338742 -aS'.\t.\t.\tO\tO' -p338743 -asS'5. No immunizations administered .' -p338744 -(lp338745 -S'5.\t5.\tLS\tB-LST\tO' -p338746 -aS'No\tNo\tDT\tB-NP\tO' -p338747 -aS'immunizations\timmunization\tNNS\tI-NP\tO' -p338748 -aS'administered\tadminister\tVBN\tB-VP\tO' -p338749 -aS'.\t.\t.\tO\tO' -p338750 -asS'The patient was screened by the rehabilitation facility and felt to be an acceptable candidate .' -p338751 -(lp338752 -S'The\tThe\tDT\tB-NP\tO' -p338753 -aS'patient\tpatient\tNN\tI-NP\tO' -p338754 -aS'was\tbe\tVBD\tB-VP\tO' -p338755 -aS'screened\tscreen\tVBN\tI-VP\tO' -p338756 -aS'by\tby\tIN\tB-PP\tO' -p338757 -aS'the\tthe\tDT\tB-NP\tO' -p338758 -aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' -p338759 -aS'facility\tfacility\tNN\tI-NP\tO' -p338760 -aS'and\tand\tCC\tO\tO' -p338761 -aS'felt\tfeel\tVBD\tB-VP\tO' -p338762 -aS'to\tto\tTO\tI-VP\tO' -p338763 -aS'be\tbe\tVB\tI-VP\tO' -p338764 -aS'an\tan\tDT\tB-NP\tO' -p338765 -aS'acceptable\tacceptable\tJJ\tI-NP\tO' -p338766 -aS'candidate\tcandidate\tNN\tI-NP\tO' -p338767 -aS'.\t.\t.\tO\tO' -p338768 -asS'RIGHT HIP , OSTEOARTHRITIS .' -p338769 -(lp338770 -S'RIGHT\tRIGHT\tNN\tB-NP\tO' -p338771 -aS'HIP\tHIP\tNN\tI-NP\tO' -p338772 -aS',\t,\t,\tO\tO' -p338773 -aS'OSTEOARTHRITIS\tOSTEOARTHRITIS\tNN\tB-NP\tO' -p338774 -aS'.\t.\t.\tO\tO' -p338775 -asS'Morphine Sulfate / Codeine / Keflex / Sudafed' -p338776 -(lp338777 -S'Morphine\tMorphine\tNN\tB-NP\tO' -p338778 -aS'Sulfate\tSulfate\tNN\tI-NP\tO' -p338779 -aS'/\t/\tSYM\tB-NP\tO' -p338780 -aS'Codeine\tCodeine\tNN\tI-NP\tO' -p338781 -aS'/\t/\tSYM\tI-NP\tO' -p338782 -aS'Keflex\tKeflex\tNN\tI-NP\tO' -p338783 -aS'/\t/\tSYM\tB-NP\tO' -p338784 -aS'Sudafed\tSudafe\tVBN\tB-VP\tO' -p338785 -asS'The patient states he has no known drug allergies .' -p338786 -(lp338787 -S'The\tThe\tDT\tB-NP\tO' -p338788 -aS'patient\tpatient\tNN\tI-NP\tO' -p338789 -aS'states\tstate\tVBZ\tB-VP\tO' -p338790 -aS'he\the\tPRP\tB-NP\tO' -p338791 -aS'has\thave\tVBZ\tB-VP\tO' -p338792 -aS'no\tno\tDT\tB-NP\tO' -p338793 -aS'known\tknow\tVBN\tI-NP\tO' -p338794 -aS'drug\tdrug\tNN\tI-NP\tO' -p338795 -aS'allergies\tallergy\tNNS\tI-NP\tO' -p338796 -aS'.\t.\t.\tO\tO' -p338797 -asS'On postop day number one she was afebrile and doing well with a PCA for pain control .' -p338798 -(lp338799 -S'On\tOn\tIN\tB-PP\tO' -p338800 -aS'postop\tpostop\tJJ\tB-NP\tO' -p338801 -aS'day\tday\tNN\tI-NP\tO' -p338802 -aS'number\tnumber\tNN\tI-NP\tO' -p338803 -aS'one\tone\tCD\tB-NP\tO' -p338804 -aS'she\tshe\tPRP\tB-NP\tO' -p338805 -aS'was\tbe\tVBD\tB-VP\tO' -p338806 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p338807 -aS'and\tand\tCC\tO\tO' -p338808 -aS'doing\tdo\tVBG\tB-VP\tO' -p338809 -aS'well\twell\tRB\tB-ADVP\tO' -p338810 -aS'with\twith\tIN\tB-PP\tO' -p338811 -aS'a\ta\tDT\tB-NP\tO' -p338812 -aS'PCA\tPCA\tNN\tI-NP\tO' -p338813 -aS'for\tfor\tIN\tB-PP\tO' -p338814 -aS'pain\tpain\tNN\tB-NP\tO' -p338815 -aS'control\tcontrol\tNN\tI-NP\tO' -p338816 -aS'.\t.\t.\tO\tO' -p338817 -asS"Preprocedure of PTC on 10-30 she was transfused 1 unit PRBC 's, 2 platelets and 2U FFP and procedure went without complication ." -p338818 -(lp338819 -S'Preprocedure\tPreprocedure\tNN\tB-NP\tO' -p338820 -aS'of\tof\tIN\tB-PP\tO' -p338821 -aS'PTC\tPTC\tNN\tB-NP\tB-protein' -p338822 -aS'on\ton\tIN\tB-PP\tO' -p338823 -aS'10-30\t10-30\tCD\tB-NP\tO' -p338824 -aS'she\tshe\tPRP\tB-NP\tO' -p338825 -aS'was\tbe\tVBD\tB-VP\tO' -p338826 -aS'transfused\ttransfuse\tVBN\tI-VP\tO' -p338827 -aS'1\t1\tCD\tB-NP\tO' -p338828 -aS'unit\tunit\tNN\tI-NP\tO' -p338829 -aS'PRBC\tPRBC\tNN\tI-NP\tO' -p338830 -aS"'s,\t's,\tPOS\tB-NP\tO" -p338831 -aS'2\t2\tCD\tI-NP\tO' -p338832 -aS'platelets\tplatelet\tNNS\tI-NP\tB-cell_type' -p338833 -aS'and\tand\tCC\tI-NP\tO' -p338834 -aS'2U\t2U\tNN\tI-NP\tO' -p338835 -aS'FFP\tFFP\tNN\tI-NP\tO' -p338836 -aS'and\tand\tCC\tI-NP\tO' -p338837 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p338838 -aS'went\tgo\tVBD\tB-VP\tO' -p338839 -aS'without\twithout\tIN\tB-PP\tO' -p338840 -aS'complication\tcomplication\tNN\tB-NP\tO' -p338841 -aS'.\t.\t.\tO\tO' -p338842 -asS'Renal ultrasound was normal .' -p338843 -(lp338844 -S'Renal\tRenal\tJJ\tB-NP\tO' -p338845 -aS'ultrasound\tultrasound\tNN\tI-NP\tO' -p338846 -aS'was\tbe\tVBD\tB-VP\tO' -p338847 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p338848 -aS'.\t.\t.\tO\tO' -p338849 -asS'He had 4 surgeries ( 3 cardiac surgeries ) earlier in the summer , so it is likely that he required copious IVF hydration surrounding these procedures which may have been the cause of his massive fluid overload .' -p338850 -(lp338851 -S'He\tHe\tPRP\tB-NP\tO' -p338852 -aS'had\thave\tVBD\tB-VP\tO' -p338853 -aS'4\t4\tCD\tB-NP\tO' -p338854 -aS'surgeries\tsurgery\tNNS\tI-NP\tO' -p338855 -aS'(\t(\t(\tO\tO' -p338856 -aS'3\t3\tCD\tB-NP\tO' -p338857 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p338858 -aS'surgeries\tsurgery\tNNS\tI-NP\tO' -p338859 -aS')\t)\t)\tO\tO' -p338860 -aS'earlier\tearlier\tRBR\tB-ADVP\tO' -p338861 -aS'in\tin\tIN\tB-PP\tO' -p338862 -aS'the\tthe\tDT\tB-NP\tO' -p338863 -aS'summer\tsummer\tNN\tI-NP\tO' -p338864 -aS',\t,\t,\tO\tO' -p338865 -aS'so\tso\tIN\tB-SBAR\tO' -p338866 -aS'it\tit\tPRP\tB-NP\tO' -p338867 -aS'is\tbe\tVBZ\tB-VP\tO' -p338868 -aS'likely\tlikely\tJJ\tB-ADJP\tO' -p338869 -aS'that\tthat\tIN\tB-SBAR\tO' -p338870 -aS'he\the\tPRP\tB-NP\tO' -p338871 -aS'required\trequire\tVBD\tB-VP\tO' -p338872 -aS'copious\tcopious\tJJ\tB-NP\tO' -p338873 -aS'IVF\tIVF\tNN\tI-NP\tO' -p338874 -aS'hydration\thydration\tNN\tI-NP\tO' -p338875 -aS'surrounding\tsurround\tVBG\tB-VP\tO' -p338876 -aS'these\tthese\tDT\tB-NP\tO' -p338877 -aS'procedures\tprocedure\tNNS\tI-NP\tO' -p338878 -aS'which\twhich\tWDT\tB-NP\tO' -p338879 -aS'may\tmay\tMD\tB-VP\tO' -p338880 -aS'have\thave\tVB\tI-VP\tO' -p338881 -aS'been\tbe\tVBN\tI-VP\tO' -p338882 -aS'the\tthe\tDT\tB-NP\tO' -p338883 -aS'cause\tcause\tNN\tI-NP\tO' -p338884 -aS'of\tof\tIN\tB-PP\tO' -p338885 -aS'his\this\tPRP$\tB-NP\tO' -p338886 -aS'massive\tmassive\tJJ\tI-NP\tO' -p338887 -aS'fluid\tfluid\tNN\tI-NP\tO' -p338888 -aS'overload\toverload\tNN\tI-NP\tO' -p338889 -aS'.\t.\t.\tO\tO' -p338890 -asS'While on the floor , he continued to be diuresed .' -p338891 -(lp338892 -S'While\tWhile\tIN\tB-SBAR\tO' -p338893 -aS'on\ton\tIN\tB-PP\tO' -p338894 -aS'the\tthe\tDT\tB-NP\tO' -p338895 -aS'floor\tfloor\tNN\tI-NP\tO' -p338896 -aS',\t,\t,\tO\tO' -p338897 -aS'he\the\tPRP\tB-NP\tO' -p338898 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p338899 -aS'to\tto\tTO\tI-VP\tO' -p338900 -aS'be\tbe\tVB\tI-VP\tO' -p338901 -aS'diuresed\tdiurese\tVBN\tI-VP\tO' -p338902 -aS'.\t.\t.\tO\tO' -p338903 -asS'The patient denied any more gastrointestinal symptoms .' -p338904 -(lp338905 -S'The\tThe\tDT\tB-NP\tO' -p338906 -aS'patient\tpatient\tNN\tI-NP\tO' -p338907 -aS'denied\tdeny\tVBD\tB-VP\tO' -p338908 -aS'any\tany\tDT\tB-NP\tO' -p338909 -aS'more\tmore\tRBR\tI-NP\tO' -p338910 -aS'gastrointestinal\tgastrointestinal\tJJ\tI-NP\tO' -p338911 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p338912 -aS'.\t.\t.\tO\tO' -p338913 -asS'Mr. Reese is a 70 - year-old gentleman with end stage liver disease secondary to alcoholic cirrhosis .' -p338914 -(lp338915 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p338916 -aS'Reese\tReese\tNNP\tI-NP\tO' -p338917 -aS'is\tbe\tVBZ\tB-VP\tO' -p338918 -aS'a\ta\tDT\tB-NP\tO' -p338919 -aS'70\t70\tCD\tI-NP\tO' -p338920 -aS'-\t-\tHYPH\tI-NP\tO' -p338921 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p338922 -aS'gentleman\tgentleman\tNN\tI-NP\tO' -p338923 -aS'with\twith\tIN\tB-PP\tO' -p338924 -aS'end\tend\tNN\tB-NP\tO' -p338925 -aS'stage\tstage\tNN\tI-NP\tO' -p338926 -aS'liver\tliver\tNN\tI-NP\tO' -p338927 -aS'disease\tdisease\tNN\tI-NP\tO' -p338928 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p338929 -aS'to\tto\tTO\tB-PP\tO' -p338930 -aS'alcoholic\talcoholic\tJJ\tB-NP\tO' -p338931 -aS'cirrhosis\tcirrhosis\tNN\tI-NP\tO' -p338932 -aS'.\t.\t.\tO\tO' -p338933 -asS'much of the recording .' -p338934 -(lp338935 -S'much\tmuch\tRB\tB-NP\tO' -p338936 -aS'of\tof\tIN\tB-PP\tO' -p338937 -aS'the\tthe\tDT\tB-NP\tO' -p338938 -aS'recording\trecording\tNN\tI-NP\tO' -p338939 -aS'.\t.\t.\tO\tO' -p338940 -asS'Cadaveric pancreas transplantation .' -p338941 -(lp338942 -S'Cadaveric\tCadaveric\tJJ\tB-NP\tO' -p338943 -aS'pancreas\tpancreas\tNN\tI-NP\tO' -p338944 -aS'transplantation\ttransplantation\tNN\tI-NP\tO' -p338945 -aS'.\t.\t.\tO\tO' -p338946 -asS'3. Follow-up with Cardiologist in four weeks .' -p338947 -(lp338948 -S'3.\t3.\tLS\tB-NP\tO' -p338949 -aS'Follow-up\tFollow-up\tNN\tI-NP\tO' -p338950 -aS'with\twith\tIN\tB-PP\tO' -p338951 -aS'Cardiologist\tCardiologist\tNN\tB-NP\tO' -p338952 -aS'in\tin\tIN\tB-PP\tO' -p338953 -aS'four\tfour\tCD\tB-NP\tO' -p338954 -aS'weeks\tweek\tNNS\tI-NP\tO' -p338955 -aS'.\t.\t.\tO\tO' -p338956 -asS'He had good femoral pulses bilaterally .' -p338957 -(lp338958 -S'He\tHe\tPRP\tB-NP\tO' -p338959 -aS'had\thave\tVBD\tB-VP\tO' -p338960 -aS'good\tgood\tJJ\tB-NP\tO' -p338961 -aS'femoral\tfemoral\tJJ\tI-NP\tO' -p338962 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p338963 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p338964 -aS'.\t.\t.\tO\tO' -p338965 -asS'This is left for further follow up as an outpatient .' -p338966 -(lp338967 -S'This\tThis\tDT\tB-NP\tO' -p338968 -aS'is\tbe\tVBZ\tB-VP\tO' -p338969 -aS'left\tleave\tVBN\tI-VP\tO' -p338970 -aS'for\tfor\tIN\tB-PP\tO' -p338971 -aS'further\tfurther\tJJ\tB-NP\tO' -p338972 -aS'follow\tfollow\tVB\tB-VP\tO' -p338973 -aS'up\tup\tRP\tB-PRT\tO' -p338974 -aS'as\tas\tIN\tB-PP\tO' -p338975 -aS'an\tan\tDT\tB-NP\tO' -p338976 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p338977 -aS'.\t.\t.\tO\tO' -p338978 -asS'The patient was transferred to Fairm of Ijordcompmac Hospital and had 4-7 mm ST segment elevations across the precordium with Q's in V1 and V2 , 2 mm ST elevation in AVL , and 1-2 mm reciprocal ST depression in II , III , and F.' -p338979 -(lp338980 -S'The\tThe\tDT\tB-NP\tO' -p338981 -aS'patient\tpatient\tNN\tI-NP\tO' -p338982 -aS'was\tbe\tVBD\tB-VP\tO' -p338983 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p338984 -aS'to\tto\tTO\tB-PP\tO' -p338985 -aS'Fairm\tFairm\tNNP\tB-NP\tO' -p338986 -aS'of\tof\tIN\tB-PP\tO' -p338987 -aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' -p338988 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p338989 -aS'and\tand\tCC\tO\tO' -p338990 -aS'had\thave\tVBD\tB-VP\tO' -p338991 -aS'4-7\t4-7\tCD\tB-NP\tO' -p338992 -aS'mm\tmm\tNN\tI-NP\tO' -p338993 -aS'ST\tST\tNN\tI-NP\tO' -p338994 -aS'segment\tsegment\tNN\tI-NP\tO' -p338995 -aS'elevations\televation\tNNS\tI-NP\tO' -p338996 -aS'across\tacross\tIN\tB-PP\tO' -p338997 -aS'the\tthe\tDT\tB-NP\tO' -p338998 -aS'precordium\tprecordium\tNN\tI-NP\tO' -p338999 -aS'with\twith\tIN\tB-PP\tO' -p339000 -aS'Q's\tQ'\tNNS\tB-NP\tB-DNA' -p339001 -aS'in\tin\tIN\tB-PP\tO' -p339002 -aS'V1\tV1\tNN\tB-NP\tO' -p339003 -aS'and\tand\tCC\tI-NP\tO' -p339004 -aS'V2\tV2\tNN\tI-NP\tO' -p339005 -aS',\t,\t,\tO\tO' -p339006 -aS'2\t2\tCD\tB-NP\tO' -p339007 -aS'mm\tmm\tNN\tI-NP\tO' -p339008 -aS'ST\tST\tNN\tI-NP\tO' -p339009 -aS'elevation\televation\tNN\tI-NP\tO' -p339010 -aS'in\tin\tIN\tB-PP\tO' -p339011 -aS'AVL\tAVL\tNN\tB-NP\tO' -p339012 -aS',\t,\t,\tO\tO' -p339013 -aS'and\tand\tCC\tO\tO' -p339014 -aS'1-2\t1-2\tCD\tB-NP\tO' -p339015 -aS'mm\tmm\tNN\tI-NP\tO' -p339016 -aS'reciprocal\treciprocal\tJJ\tI-NP\tO' -p339017 -aS'ST\tST\tNN\tI-NP\tO' -p339018 -aS'depression\tdepression\tNN\tI-NP\tO' -p339019 -aS'in\tin\tIN\tB-PP\tO' -p339020 -aS'II\tII\tCD\tB-NP\tO' -p339021 -aS',\t,\t,\tI-NP\tO' -p339022 -aS'III\tIII\tCD\tI-NP\tO' -p339023 -aS',\t,\t,\tO\tO' -p339024 -aS'and\tand\tCC\tO\tO' -p339025 -aS'F.\tF.\tNNP\tB-NP\tO' -p339026 -asS'Pt is being AV paced , on an infusion of phenylephrine' -p339027 -(lp339028 -S'Pt\tPt\tNN\tB-NP\tO' -p339029 -aS'is\tbe\tVBZ\tB-VP\tO' -p339030 -aS'being\tbe\tVBG\tI-VP\tO' -p339031 -aS'AV\tAV\tNNP\tB-NP\tO' -p339032 -aS'paced\tpace\tVBD\tB-VP\tO' -p339033 -aS',\t,\t,\tO\tO' -p339034 -aS'on\ton\tIN\tB-PP\tO' -p339035 -aS'an\tan\tDT\tB-NP\tO' -p339036 -aS'infusion\tinfusion\tNN\tI-NP\tO' -p339037 -aS'of\tof\tIN\tB-PP\tO' -p339038 -aS'phenylephrine\tphenylephrine\tNN\tB-NP\tO' -p339039 -asS'This morning while on a cruise ship , she was eating breakfast when she suddenly noticed she could not see a roll on her plate although she knew that it was there .' -p339040 -(lp339041 -S'This\tThis\tDT\tB-NP\tO' -p339042 -aS'morning\tmorning\tNN\tI-NP\tO' -p339043 -aS'while\twhile\tIN\tB-SBAR\tO' -p339044 -aS'on\ton\tIN\tB-PP\tO' -p339045 -aS'a\ta\tDT\tB-NP\tO' -p339046 -aS'cruise\tcruise\tNN\tI-NP\tO' -p339047 -aS'ship\tship\tNN\tI-NP\tO' -p339048 -aS',\t,\t,\tO\tO' -p339049 -aS'she\tshe\tPRP\tB-NP\tO' -p339050 -aS'was\tbe\tVBD\tB-VP\tO' -p339051 -aS'eating\teat\tVBG\tI-VP\tO' -p339052 -aS'breakfast\tbreakfast\tNN\tB-NP\tO' -p339053 -aS'when\twhen\tWRB\tB-ADVP\tO' -p339054 -aS'she\tshe\tPRP\tB-NP\tO' -p339055 -aS'suddenly\tsuddenly\tRB\tB-ADVP\tO' -p339056 -aS'noticed\tnotice\tVBD\tB-VP\tO' -p339057 -aS'she\tshe\tPRP\tB-NP\tO' -p339058 -aS'could\tcould\tMD\tB-VP\tO' -p339059 -aS'not\tnot\tRB\tI-VP\tO' -p339060 -aS'see\tsee\tVB\tI-VP\tO' -p339061 -aS'a\ta\tDT\tB-NP\tO' -p339062 -aS'roll\troll\tNN\tI-NP\tO' -p339063 -aS'on\ton\tIN\tB-PP\tO' -p339064 -aS'her\ther\tPRP$\tB-NP\tO' -p339065 -aS'plate\tplate\tNN\tI-NP\tO' -p339066 -aS'although\talthough\tIN\tB-SBAR\tO' -p339067 -aS'she\tshe\tPRP\tB-NP\tO' -p339068 -aS'knew\tknow\tVBD\tB-VP\tO' -p339069 -aS'that\tthat\tIN\tB-SBAR\tO' -p339070 -aS'it\tit\tPRP\tB-NP\tO' -p339071 -aS'was\tbe\tVBD\tB-VP\tO' -p339072 -aS'there\tthere\tRB\tB-ADVP\tO' -p339073 -aS'.\t.\t.\tO\tO' -p339074 -asS'The patient also had a history of platelet reaction .' -p339075 -(lp339076 -S'The\tThe\tDT\tB-NP\tO' -p339077 -aS'patient\tpatient\tNN\tI-NP\tO' -p339078 -aS'also\talso\tRB\tB-ADVP\tO' -p339079 -aS'had\thave\tVBD\tB-VP\tO' -p339080 -aS'a\ta\tDT\tB-NP\tO' -p339081 -aS'history\thistory\tNN\tI-NP\tO' -p339082 -aS'of\tof\tIN\tB-PP\tO' -p339083 -aS'platelet\tplatelet\tNN\tB-NP\tO' -p339084 -aS'reaction\treaction\tNN\tI-NP\tO' -p339085 -aS'.\t.\t.\tO\tO' -p339086 -asS'Persantine thallium is scheduled at this time , but is yet to be performed .' -p339087 -(lp339088 -S'Persantine\tPersantine\tJJ\tB-NP\tO' -p339089 -aS'thallium\tthallium\tNN\tI-NP\tO' -p339090 -aS'is\tbe\tVBZ\tB-VP\tO' -p339091 -aS'scheduled\tschedule\tVBN\tI-VP\tO' -p339092 -aS'at\tat\tIN\tB-PP\tO' -p339093 -aS'this\tthis\tDT\tB-NP\tO' -p339094 -aS'time\ttime\tNN\tI-NP\tO' -p339095 -aS',\t,\t,\tO\tO' -p339096 -aS'but\tbut\tCC\tO\tO' -p339097 -aS'is\tbe\tVBZ\tB-VP\tO' -p339098 -aS'yet\tyet\tRB\tI-VP\tO' -p339099 -aS'to\tto\tTO\tI-VP\tO' -p339100 -aS'be\tbe\tVB\tI-VP\tO' -p339101 -aS'performed\tperform\tVBN\tI-VP\tO' -p339102 -aS'.\t.\t.\tO\tO' -p339103 -asS'No organomegaly or masses .' -p339104 -(lp339105 -S'No\tNo\tDT\tB-NP\tO' -p339106 -aS'organomegaly\torganomegaly\tNN\tI-NP\tO' -p339107 -aS'or\tor\tCC\tI-NP\tO' -p339108 -aS'masses\tmass\tNNS\tI-NP\tO' -p339109 -aS'.\t.\t.\tO\tO' -p339110 -asS'Other differential includes ischemia .' -p339111 -(lp339112 -S'Other\tOther\tJJ\tB-NP\tO' -p339113 -aS'differential\tdifferential\tJJ\tI-NP\tO' -p339114 -aS'includes\tinclude\tVBZ\tB-VP\tO' -p339115 -aS'ischemia\tischemia\tNN\tB-NP\tO' -p339116 -aS'.\t.\t.\tO\tO' -p339117 -asS'On 05-01-92 she was taken to the operating room at which time she underwent an aortic valve replacement with a # 19 St. Jude valve , coronary artery bypass graft times one with saphenous vein graft from the posterior descending artery to the obtuse marginal and right carotid endarterectomy .' -p339118 -(lp339119 -S'On\tOn\tIN\tB-PP\tO' -p339120 -aS'05-01-92\t05-01-92\tCD\tB-NP\tO' -p339121 -aS'she\tshe\tPRP\tB-NP\tO' -p339122 -aS'was\tbe\tVBD\tB-VP\tO' -p339123 -aS'taken\ttake\tVBN\tI-VP\tO' -p339124 -aS'to\tto\tTO\tB-PP\tO' -p339125 -aS'the\tthe\tDT\tB-NP\tO' -p339126 -aS'operating\toperating\tNN\tI-NP\tO' -p339127 -aS'room\troom\tNN\tI-NP\tO' -p339128 -aS'at\tat\tIN\tB-PP\tO' -p339129 -aS'which\twhich\tWDT\tB-NP\tO' -p339130 -aS'time\ttime\tNN\tI-NP\tO' -p339131 -aS'she\tshe\tPRP\tB-NP\tO' -p339132 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p339133 -aS'an\tan\tDT\tB-NP\tO' -p339134 -aS'aortic\taortic\tJJ\tI-NP\tO' -p339135 -aS'valve\tvalve\tNN\tI-NP\tO' -p339136 -aS'replacement\treplacement\tNN\tI-NP\tO' -p339137 -aS'with\twith\tIN\tB-PP\tO' -p339138 -aS'a\ta\tDT\tB-NP\tO' -p339139 -aS'#\t#\t#\tI-NP\tO' -p339140 -aS'19\t19\tCD\tI-NP\tO' -p339141 -aS'St.\tSt.\tNNP\tI-NP\tO' -p339142 -aS'Jude\tJude\tNNP\tI-NP\tO' -p339143 -aS'valve\tvalve\tNNP\tI-NP\tO' -p339144 -aS',\t,\t,\tO\tO' -p339145 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p339146 -aS'artery\tartery\tNN\tI-NP\tO' -p339147 -aS'bypass\tbypass\tIN\tB-PP\tO' -p339148 -aS'graft\tgraft\tNN\tB-NP\tO' -p339149 -aS'times\ttime\tNNS\tI-NP\tO' -p339150 -aS'one\tone\tCD\tB-NP\tO' -p339151 -aS'with\twith\tIN\tB-PP\tO' -p339152 -aS'saphenous\tsaphenous\tJJ\tB-NP\tO' -p339153 -aS'vein\tvein\tNN\tI-NP\tO' -p339154 -aS'graft\tgraft\tNN\tI-NP\tO' -p339155 -aS'from\tfrom\tIN\tB-PP\tO' -p339156 -aS'the\tthe\tDT\tB-NP\tO' -p339157 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p339158 -aS'descending\tdescend\tVBG\tI-NP\tO' -p339159 -aS'artery\tartery\tNN\tI-NP\tO' -p339160 -aS'to\tto\tTO\tB-PP\tO' -p339161 -aS'the\tthe\tDT\tB-NP\tO' -p339162 -aS'obtuse\tobtuse\tNN\tI-NP\tO' -p339163 -aS'marginal\tmarginal\tJJ\tI-NP\tO' -p339164 -aS'and\tand\tCC\tI-NP\tO' -p339165 -aS'right\tright\tJJ\tI-NP\tO' -p339166 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p339167 -aS'endarterectomy\tendarterectomy\tNN\tI-NP\tO' -p339168 -aS'.\t.\t.\tO\tO' -p339169 -asS'Gait disorder .' -p339170 -(lp339171 -S'Gait\tGait\tNN\tB-NP\tO' -p339172 -aS'disorder\tdisorder\tNN\tI-NP\tO' -p339173 -aS'.\t.\t.\tO\tO' -p339174 -asS"After lengthy discussions with the patient and the patient 's family as well as the various consultant services it was decided that the patient was a viable candidate for aortic root replacement procedure using homograft ." -p339175 -(lp339176 -S'After\tAfter\tIN\tB-PP\tO' -p339177 -aS'lengthy\tlengthy\tJJ\tB-NP\tO' -p339178 -aS'discussions\tdiscussion\tNNS\tI-NP\tO' -p339179 -aS'with\twith\tIN\tB-PP\tO' -p339180 -aS'the\tthe\tDT\tB-NP\tO' -p339181 -aS'patient\tpatient\tNN\tI-NP\tO' -p339182 -aS'and\tand\tCC\tO\tO' -p339183 -aS'the\tthe\tDT\tB-NP\tO' -p339184 -aS'patient\tpatient\tNN\tI-NP\tO' -p339185 -aS"'s\t's\tPOS\tB-NP\tO" -p339186 -aS'family\tfamily\tNN\tI-NP\tO' -p339187 -aS'as\tas\tRB\tB-CONJP\tO' -p339188 -aS'well\twell\tRB\tI-CONJP\tO' -p339189 -aS'as\tas\tIN\tI-CONJP\tO' -p339190 -aS'the\tthe\tDT\tB-NP\tO' -p339191 -aS'various\tvarious\tJJ\tI-NP\tO' -p339192 -aS'consultant\tconsultant\tNN\tI-NP\tO' -p339193 -aS'services\tservice\tNNS\tI-NP\tO' -p339194 -aS'it\tit\tPRP\tB-NP\tO' -p339195 -aS'was\tbe\tVBD\tB-VP\tO' -p339196 -aS'decided\tdecide\tVBN\tI-VP\tO' -p339197 -aS'that\tthat\tIN\tB-SBAR\tO' -p339198 -aS'the\tthe\tDT\tB-NP\tO' -p339199 -aS'patient\tpatient\tNN\tI-NP\tO' -p339200 -aS'was\tbe\tVBD\tB-VP\tO' -p339201 -aS'a\ta\tDT\tB-NP\tO' -p339202 -aS'viable\tviable\tJJ\tI-NP\tO' -p339203 -aS'candidate\tcandidate\tNN\tI-NP\tO' -p339204 -aS'for\tfor\tIN\tB-PP\tO' -p339205 -aS'aortic\taortic\tJJ\tB-NP\tO' -p339206 -aS'root\troot\tNN\tI-NP\tO' -p339207 -aS'replacement\treplacement\tNN\tI-NP\tO' -p339208 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p339209 -aS'using\tuse\tVBG\tB-VP\tO' -p339210 -aS'homograft\thomograft\tNN\tB-NP\tO' -p339211 -aS'.\t.\t.\tO\tO' -p339212 -asS'CT 11-04 : No acute intracranial hemorrhage .' -p339213 -(lp339214 -S'CT\tCT\tNN\tB-NP\tO' -p339215 -aS'11-04\t11-04\tCD\tI-NP\tO' -p339216 -aS':\t:\t:\tO\tO' -p339217 -aS'No\tNo\tDT\tB-NP\tO' -p339218 -aS'acute\tacute\tJJ\tI-NP\tO' -p339219 -aS'intracranial\tintracranial\tJJ\tI-NP\tO' -p339220 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p339221 -aS'.\t.\t.\tO\tO' -p339222 -asS'His oxygen saturations remained good and he did not require supplemental oxygen more than a couple of days after his extubation .' -p339223 -(lp339224 -S'His\tHis\tPRP$\tB-NP\tO' -p339225 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p339226 -aS'saturations\tsaturation\tNNS\tI-NP\tO' -p339227 -aS'remained\tremain\tVBD\tB-VP\tO' -p339228 -aS'good\tgood\tJJ\tB-ADJP\tO' -p339229 -aS'and\tand\tCC\tO\tO' -p339230 -aS'he\the\tPRP\tB-NP\tO' -p339231 -aS'did\tdo\tVBD\tB-VP\tO' -p339232 -aS'not\tnot\tRB\tI-VP\tO' -p339233 -aS'require\trequire\tVB\tI-VP\tO' -p339234 -aS'supplemental\tsupplemental\tJJ\tB-NP\tO' -p339235 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p339236 -aS'more\tmore\tJJR\tB-NP\tO' -p339237 -aS'than\tthan\tIN\tB-PP\tO' -p339238 -aS'a\ta\tDT\tB-NP\tO' -p339239 -aS'couple\tcouple\tNN\tI-NP\tO' -p339240 -aS'of\tof\tIN\tB-PP\tO' -p339241 -aS'days\tday\tNNS\tB-NP\tO' -p339242 -aS'after\tafter\tIN\tB-PP\tO' -p339243 -aS'his\this\tPRP$\tB-NP\tO' -p339244 -aS'extubation\textubation\tNN\tI-NP\tO' -p339245 -aS'.\t.\t.\tO\tO' -p339246 -asS'Patient was transferred to the PP floor in stable condition .' -p339247 -(lp339248 -S'Patient\tPatient\tNN\tB-NP\tO' -p339249 -aS'was\tbe\tVBD\tB-VP\tO' -p339250 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p339251 -aS'to\tto\tTO\tB-PP\tO' -p339252 -aS'the\tthe\tDT\tB-NP\tO' -p339253 -aS'PP\tPP\tNN\tI-NP\tB-protein' -p339254 -aS'floor\tfloor\tNN\tI-NP\tI-protein' -p339255 -aS'in\tin\tIN\tB-PP\tO' -p339256 -aS'stable\tstable\tJJ\tB-NP\tO' -p339257 -aS'condition\tcondition\tNN\tI-NP\tO' -p339258 -aS'.\t.\t.\tO\tO' -p339259 -asS'In addition , his cyclosporin levels were checked .' -p339260 -(lp339261 -S'In\tIn\tIN\tB-PP\tO' -p339262 -aS'addition\taddition\tNN\tB-NP\tO' -p339263 -aS',\t,\t,\tO\tO' -p339264 -aS'his\this\tPRP$\tB-NP\tO' -p339265 -aS'cyclosporin\tcyclosporin\tNN\tI-NP\tO' -p339266 -aS'levels\tlevel\tNNS\tI-NP\tO' -p339267 -aS'were\tbe\tVBD\tB-VP\tO' -p339268 -aS'checked\tcheck\tVBN\tI-VP\tO' -p339269 -aS'.\t.\t.\tO\tO' -p339270 -asS"The patient 's preoperative chest x-ray showed bilateral effusions and bibasilar atelectasis ." -p339271 -(lp339272 -S'The\tThe\tDT\tB-NP\tO' -p339273 -aS'patient\tpatient\tNN\tI-NP\tO' -p339274 -aS"'s\t's\tPOS\tB-NP\tO" -p339275 -aS'preoperative\tpreoperative\tJJ\tI-NP\tO' -p339276 -aS'chest\tchest\tNN\tI-NP\tO' -p339277 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p339278 -aS'showed\tshow\tVBD\tB-VP\tO' -p339279 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p339280 -aS'effusions\teffusion\tNNS\tI-NP\tO' -p339281 -aS'and\tand\tCC\tO\tO' -p339282 -aS'bibasilar\tbibasilar\tJJ\tB-NP\tO' -p339283 -aS'atelectasis\tatelectasis\tNN\tI-NP\tO' -p339284 -aS'.\t.\t.\tO\tO' -p339285 -asS'Continue to wear your left arm splint , but take it off daily to inspect your skin' -p339286 -(lp339287 -S'Continue\tContinue\tNNP\tB-NP\tO' -p339288 -aS'to\tto\tTO\tB-VP\tO' -p339289 -aS'wear\twear\tVB\tI-VP\tO' -p339290 -aS'your\tyour\tPRP$\tB-NP\tO' -p339291 -aS'left\tleft\tJJ\tI-NP\tO' -p339292 -aS'arm\tarm\tNN\tI-NP\tO' -p339293 -aS'splint\tsplint\tNN\tI-NP\tO' -p339294 -aS',\t,\t,\tO\tO' -p339295 -aS'but\tbut\tCC\tO\tO' -p339296 -aS'take\ttake\tVB\tB-VP\tO' -p339297 -aS'it\tit\tPRP\tB-NP\tO' -p339298 -aS'off\toff\tRP\tB-PRT\tO' -p339299 -aS'daily\tdaily\tRB\tB-ADVP\tO' -p339300 -aS'to\tto\tTO\tB-VP\tO' -p339301 -aS'inspect\tinspect\tVB\tI-VP\tO' -p339302 -aS'your\tyour\tPRP$\tB-NP\tO' -p339303 -aS'skin\tskin\tNN\tI-NP\tO' -p339304 -asS'70 y/o male with h/o CAD , T2DM , hyperlipidemia , and COPD who presented to the Juan on 2017-09-03 with worsening SOB x 5 days from Morton Hospital & Medical Center .' -p339305 -(lp339306 -S'70\t70\tCD\tB-NP\tO' -p339307 -aS'y/o\ty/o\tNN\tI-NP\tO' -p339308 -aS'male\tmale\tJJ\tB-ADJP\tO' -p339309 -aS'with\twith\tIN\tB-PP\tO' -p339310 -aS'h/o\th/o\tNN\tB-NP\tO' -p339311 -aS'CAD\tCAD\tNN\tI-NP\tO' -p339312 -aS',\t,\t,\tO\tO' -p339313 -aS'T2DM\tT2DM\tNN\tB-NP\tO' -p339314 -aS',\t,\t,\tO\tO' -p339315 -aS'hyperlipidemia\thyperlipidemia\tNN\tB-NP\tO' -p339316 -aS',\t,\t,\tO\tO' -p339317 -aS'and\tand\tCC\tO\tO' -p339318 -aS'COPD\tCOPD\tNN\tB-NP\tO' -p339319 -aS'who\twho\tWP\tB-NP\tO' -p339320 -aS'presented\tpresent\tVBD\tB-VP\tO' -p339321 -aS'to\tto\tTO\tB-PP\tO' -p339322 -aS'the\tthe\tDT\tB-NP\tO' -p339323 -aS'Juan\tJuan\tNNP\tI-NP\tO' -p339324 -aS'on\ton\tIN\tB-PP\tO' -p339325 -aS'2017-09-03\t2017-09-03\tCD\tB-NP\tO' -p339326 -aS'with\twith\tIN\tB-PP\tO' -p339327 -aS'worsening\tworsen\tVBG\tB-VP\tO' -p339328 -aS'SOB\tSOB\tNN\tB-NP\tB-protein' -p339329 -aS'x\tx\tSYM\tO\tO' -p339330 -aS'5\t5\tCD\tB-NP\tO' -p339331 -aS'days\tday\tNNS\tI-NP\tO' -p339332 -aS'from\tfrom\tIN\tB-PP\tO' -p339333 -aS'Morton\tMorton\tNNP\tB-NP\tO' -p339334 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p339335 -aS'&\t&\tCC\tI-NP\tO' -p339336 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p339337 -aS'Center\tCenter\tNNP\tI-NP\tO' -p339338 -aS'.\t.\t.\tO\tO' -p339339 -asS'This report was created by SHOULDER , RYBAM 06/05/2002 04:26 PM' -p339340 -(lp339341 -S'This\tThis\tDT\tB-NP\tO' -p339342 -aS'report\treport\tNN\tI-NP\tO' -p339343 -aS'was\tbe\tVBD\tB-VP\tO' -p339344 -aS'created\tcreate\tVBN\tI-VP\tO' -p339345 -aS'by\tby\tIN\tB-PP\tO' -p339346 -aS'SHOULDER\tSHOULDER\tNN\tB-NP\tO' -p339347 -aS',\t,\t,\tO\tO' -p339348 -aS'RYBAM\tRYBAM\tNN\tB-NP\tO' -p339349 -aS'06/05/2002\t06/05/2002\tCD\tI-NP\tO' -p339350 -aS'04:26\t04:26\tCD\tI-NP\tO' -p339351 -aS'PM\tPM\tNN\tI-NP\tO' -p339352 -asS'Please see operative report for surgical details .' -p339353 -(lp339354 -S'Please\tPlease\tVB\tB-VP\tO' -p339355 -aS'see\tsee\tVB\tI-VP\tO' -p339356 -aS'operative\toperative\tJJ\tB-NP\tO' -p339357 -aS'report\treport\tNN\tI-NP\tO' -p339358 -aS'for\tfor\tIN\tB-PP\tO' -p339359 -aS'surgical\tsurgical\tJJ\tB-NP\tO' -p339360 -aS'details\tdetail\tNNS\tI-NP\tO' -p339361 -aS'.\t.\t.\tO\tO' -p339362 -asS'OSH 27.5 hct at 2:50 AM 01-20 .' -p339363 -(lp339364 -S'OSH\tOSH\tNN\tB-NP\tO' -p339365 -aS'27.5\t27.5\tCD\tI-NP\tO' -p339366 -aS'hct\thct\tNN\tI-NP\tO' -p339367 -aS'at\tat\tIN\tB-PP\tO' -p339368 -aS'2:50\t2:50\tCD\tB-NP\tO' -p339369 -aS'AM\tAM\tNN\tI-NP\tO' -p339370 -aS'01-20\t01-20\tCD\tI-NP\tO' -p339371 -aS'.\t.\t.\tO\tO' -p339372 -asS'Pat incision wounds dry , do not scrub wound when showering .' -p339373 -(lp339374 -S'Pat\tPat\tNN\tB-NP\tO' -p339375 -aS'incision\tincision\tNN\tI-NP\tO' -p339376 -aS'wounds\twound\tNNS\tI-NP\tO' -p339377 -aS'dry\tdry\tJJ\tB-ADJP\tO' -p339378 -aS',\t,\t,\tO\tO' -p339379 -aS'do\tdo\tVBP\tB-VP\tO' -p339380 -aS'not\tnot\tRB\tI-VP\tO' -p339381 -aS'scrub\tscrub\tVB\tI-VP\tO' -p339382 -aS'wound\twound\tNN\tB-NP\tO' -p339383 -aS'when\twhen\tWRB\tB-ADVP\tO' -p339384 -aS'showering\tshower\tVBG\tB-VP\tO' -p339385 -aS'.\t.\t.\tO\tO' -p339386 -asS'He lapsed first into a junctional rhythm and then had very infrequent ventricular escape beats on telemetry .' -p339387 -(lp339388 -S'He\tHe\tPRP\tB-NP\tO' -p339389 -aS'lapsed\tlapse\tVBD\tB-VP\tO' -p339390 -aS'first\tfirst\tRB\tB-ADVP\tO' -p339391 -aS'into\tinto\tIN\tB-PP\tO' -p339392 -aS'a\ta\tDT\tB-NP\tO' -p339393 -aS'junctional\tjunctional\tJJ\tI-NP\tO' -p339394 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p339395 -aS'and\tand\tCC\tO\tO' -p339396 -aS'then\tthen\tRB\tB-VP\tO' -p339397 -aS'had\thave\tVBD\tI-VP\tO' -p339398 -aS'very\tvery\tRB\tB-NP\tO' -p339399 -aS'infrequent\tinfrequent\tJJ\tI-NP\tO' -p339400 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p339401 -aS'escape\tescape\tNN\tI-NP\tO' -p339402 -aS'beats\tbeat\tNNS\tI-NP\tO' -p339403 -aS'on\ton\tIN\tB-PP\tO' -p339404 -aS'telemetry\ttelemetry\tNN\tB-NP\tO' -p339405 -aS'.\t.\t.\tO\tO' -p339406 -asS'On admission showed a non-toxic appearing male with temperature 99.5 , blood pressure 82/50 , heart rate 118 , respiratory rate 15 .' -p339407 -(lp339408 -S'On\tOn\tIN\tB-PP\tO' -p339409 -aS'admission\tadmission\tNN\tB-NP\tO' -p339410 -aS'showed\tshow\tVBD\tB-VP\tO' -p339411 -aS'a\ta\tDT\tB-NP\tO' -p339412 -aS'non-toxic\tnon-toxic\tJJ\tI-NP\tO' -p339413 -aS'appearing\tappear\tVBG\tI-NP\tO' -p339414 -aS'male\tmale\tJJ\tI-NP\tO' -p339415 -aS'with\twith\tIN\tB-PP\tO' -p339416 -aS'temperature\ttemperature\tNN\tB-NP\tB-protein' -p339417 -aS'99.5\t99.5\tCD\tI-NP\tI-protein' -p339418 -aS',\t,\t,\tO\tO' -p339419 -aS'blood\tblood\tNN\tB-NP\tO' -p339420 -aS'pressure\tpressure\tNN\tI-NP\tO' -p339421 -aS'82/50\t82/50\tCD\tI-NP\tO' -p339422 -aS',\t,\t,\tO\tO' -p339423 -aS'heart\theart\tNN\tB-NP\tO' -p339424 -aS'rate\trate\tNN\tI-NP\tO' -p339425 -aS'118\t118\tCD\tI-NP\tO' -p339426 -aS',\t,\t,\tI-NP\tO' -p339427 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p339428 -aS'rate\trate\tNN\tI-NP\tO' -p339429 -aS'15\t15\tCD\tI-NP\tO' -p339430 -aS'.\t.\t.\tO\tO' -p339431 -asS'He is being covered by regular insulin sliding scale .' -p339432 -(lp339433 -S'He\tHe\tPRP\tB-NP\tO' -p339434 -aS'is\tbe\tVBZ\tB-VP\tO' -p339435 -aS'being\tbe\tVBG\tI-VP\tO' -p339436 -aS'covered\tcover\tVBN\tI-VP\tO' -p339437 -aS'by\tby\tIN\tB-PP\tO' -p339438 -aS'regular\tregular\tJJ\tB-NP\tB-protein' -p339439 -aS'insulin\tinsulin\tNN\tI-NP\tI-protein' -p339440 -aS'sliding\tslide\tVBG\tB-VP\tO' -p339441 -aS'scale\tscale\tNN\tB-NP\tO' -p339442 -aS'.\t.\t.\tO\tO' -p339443 -asS'Guaifenesin 100 mg / 5 mL Liquid Sig : 01-28 teaspoons PO every six ( 6 ) hours as needed for cold symptoms .' -p339444 -(lp339445 -S'Guaifenesin\tGuaifenesin\tNN\tB-NP\tO' -p339446 -aS'100\t100\tCD\tI-NP\tO' -p339447 -aS'mg\tmg\tNN\tI-NP\tO' -p339448 -aS'/\t/\tSYM\tB-NP\tO' -p339449 -aS'5\t5\tCD\tB-NP\tO' -p339450 -aS'mL\tmL\tNN\tI-NP\tO' -p339451 -aS'Liquid\tLiquid\tNNP\tI-NP\tO' -p339452 -aS'Sig\tSig\tNNP\tI-NP\tO' -p339453 -aS':\t:\t:\tO\tO' -p339454 -aS'01-28\t01-28\tCD\tB-NP\tO' -p339455 -aS'teaspoons\tteaspoon\tNNS\tI-NP\tO' -p339456 -aS'PO\tPO\tNN\tI-NP\tO' -p339457 -aS'every\tevery\tDT\tB-NP\tO' -p339458 -aS'six\tsix\tCD\tI-NP\tO' -p339459 -aS'(\t(\t(\tO\tO' -p339460 -aS'6\t6\tCD\tB-NP\tO' -p339461 -aS')\t)\t)\tO\tO' -p339462 -aS'hours\thour\tNNS\tB-NP\tO' -p339463 -aS'as\tas\tIN\tB-SBAR\tO' -p339464 -aS'needed\tneed\tVBN\tB-VP\tO' -p339465 -aS'for\tfor\tIN\tB-PP\tO' -p339466 -aS'cold\tcold\tJJ\tB-NP\tO' -p339467 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p339468 -aS'.\t.\t.\tO\tO' -p339469 -asS'An Ophthalmology consult was obtained to determine the presence of optic nerves .' -p339470 -(lp339471 -S'An\tAn\tDT\tB-NP\tO' -p339472 -aS'Ophthalmology\tOphthalmology\tNNP\tI-NP\tO' -p339473 -aS'consult\tconsult\tNN\tI-NP\tO' -p339474 -aS'was\tbe\tVBD\tB-VP\tO' -p339475 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p339476 -aS'to\tto\tTO\tB-VP\tO' -p339477 -aS'determine\tdetermine\tVB\tI-VP\tO' -p339478 -aS'the\tthe\tDT\tB-NP\tO' -p339479 -aS'presence\tpresence\tNN\tI-NP\tO' -p339480 -aS'of\tof\tIN\tB-PP\tO' -p339481 -aS'optic\toptic\tJJ\tB-NP\tO' -p339482 -aS'nerves\tnerve\tNNS\tI-NP\tO' -p339483 -aS'.\t.\t.\tO\tO' -p339484 -asS'Strength full power 05-31 execept Right Dubord 03-31 .' -p339485 -(lp339486 -S'Strength\tStrength\tNN\tB-NP\tO' -p339487 -aS'full\tfull\tJJ\tI-NP\tO' -p339488 -aS'power\tpower\tNN\tI-NP\tO' -p339489 -aS'05-31\t05-31\tCD\tI-NP\tO' -p339490 -aS'execept\texecept\tNN\tI-NP\tO' -p339491 -aS'Right\tRight\tNNP\tI-NP\tO' -p339492 -aS'Dubord\tDubord\tNNP\tI-NP\tO' -p339493 -aS'03-31\t03-31\tCD\tI-NP\tO' -p339494 -aS'.\t.\t.\tO\tO' -p339495 -asS'Prenatal screens included blood type A+ , antibody screen negative , rubella immune , RPR nonreactive .' -p339496 -(lp339497 -S'Prenatal\tPrenatal\tJJ\tB-NP\tO' -p339498 -aS'screens\tscreen\tNNS\tI-NP\tO' -p339499 -aS'included\tinclude\tVBD\tB-VP\tO' -p339500 -aS'blood\tblood\tNN\tB-NP\tO' -p339501 -aS'type\ttype\tNN\tI-NP\tO' -p339502 -aS'A+\tA+\tNN\tI-NP\tO' -p339503 -aS',\t,\t,\tO\tO' -p339504 -aS'antibody\tantibody\tNN\tB-NP\tO' -p339505 -aS'screen\tscreen\tNN\tI-NP\tO' -p339506 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p339507 -aS',\t,\t,\tO\tO' -p339508 -aS'rubella\trubella\tNN\tB-NP\tO' -p339509 -aS'immune\timmune\tJJ\tB-ADJP\tO' -p339510 -aS',\t,\t,\tO\tO' -p339511 -aS'RPR\tRPR\tNN\tB-NP\tB-protein' -p339512 -aS'nonreactive\tnonreactive\tJJ\tB-ADJP\tO' -p339513 -aS'.\t.\t.\tO\tO' -p339514 -asS'6. Pantoprazole Sodium 40 mg Tablet , Delayed Release ( E.C. ) Sig : One ( 1 ) Tablet , Delayed Release ( E.C. ) PO Q24H ( every 24 hours ) .' -p339515 -(lp339516 -S'6.\t6.\tLS\tB-NP\tO' -p339517 -aS'Pantoprazole\tPantoprazole\tNN\tI-NP\tO' -p339518 -aS'Sodium\tSodium\tNN\tI-NP\tO' -p339519 -aS'40\t40\tCD\tI-NP\tO' -p339520 -aS'mg\tmg\tNN\tI-NP\tO' -p339521 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p339522 -aS',\t,\t,\tO\tO' -p339523 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p339524 -aS'Release\tRelease\tNNP\tI-NP\tO' -p339525 -aS'(\t(\t(\tO\tO' -p339526 -aS'E.C.\tE.C.\tNNP\tB-NP\tO' -p339527 -aS')\t)\t)\tO\tO' -p339528 -aS'Sig\tSig\tNNP\tB-NP\tO' -p339529 -aS':\t:\t:\tO\tO' -p339530 -aS'One\tOne\tCD\tB-NP\tO' -p339531 -aS'(\t(\t(\tO\tO' -p339532 -aS'1\t1\tCD\tB-NP\tO' -p339533 -aS')\t)\t)\tO\tO' -p339534 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p339535 -aS',\t,\t,\tO\tO' -p339536 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p339537 -aS'Release\tRelease\tNNP\tI-NP\tO' -p339538 -aS'(\t(\t(\tO\tO' -p339539 -aS'E.C.\tE.C.\tNNP\tO\tO' -p339540 -aS')\t)\t)\tO\tO' -p339541 -aS'PO\tPO\tNN\tB-NP\tO' -p339542 -aS'Q24H\tQ24H\tNN\tI-NP\tO' -p339543 -aS'(\t(\t(\tO\tO' -p339544 -aS'every\tevery\tDT\tB-NP\tO' -p339545 -aS'24\t24\tCD\tI-NP\tO' -p339546 -aS'hours\thour\tNNS\tI-NP\tO' -p339547 -aS')\t)\t)\tO\tO' -p339548 -aS'.\t.\t.\tO\tO' -p339549 -asS'The fracture was seen by Orthopedics and was reduced .' -p339550 -(lp339551 -S'The\tThe\tDT\tB-NP\tO' -p339552 -aS'fracture\tfracture\tNN\tI-NP\tO' -p339553 -aS'was\tbe\tVBD\tB-VP\tO' -p339554 -aS'seen\tsee\tVBN\tI-VP\tO' -p339555 -aS'by\tby\tIN\tB-PP\tO' -p339556 -aS'Orthopedics\tOrthopedic\tNNS\tB-NP\tO' -p339557 -aS'and\tand\tCC\tO\tO' -p339558 -aS'was\tbe\tVBD\tB-VP\tO' -p339559 -aS'reduced\treduce\tVBN\tI-VP\tO' -p339560 -aS'.\t.\t.\tO\tO' -p339561 -asS'GEN : NAD , pleasant speaking in full sentences' -p339562 -(lp339563 -S'GEN\tGEN\tNN\tB-NP\tO' -p339564 -aS':\t:\t:\tO\tO' -p339565 -aS'NAD\tNAD\tNN\tB-NP\tO' -p339566 -aS',\t,\t,\tO\tO' -p339567 -aS'pleasant\tpleasant\tNN\tB-NP\tO' -p339568 -aS'speaking\tspeak\tVBG\tB-VP\tO' -p339569 -aS'in\tin\tIN\tB-PP\tO' -p339570 -aS'full\tfull\tJJ\tB-NP\tO' -p339571 -aS'sentences\tsentence\tNNS\tI-NP\tO' -p339572 -asS'3. Tylenol #3 .' -p339573 -(lp339574 -S'3.\t3.\tLS\tB-NP\tO' -p339575 -aS'Tylenol\tTylenol\tNN\tI-NP\tO' -p339576 -aS'#3\t#3\tNN\tI-NP\tO' -p339577 -aS'.\t.\t.\tO\tO' -p339578 -asS'possible drainage of the abscess vs. hysterectomy .' -p339579 -(lp339580 -S'possible\tpossible\tJJ\tB-NP\tO' -p339581 -aS'drainage\tdrainage\tNN\tI-NP\tO' -p339582 -aS'of\tof\tIN\tB-PP\tO' -p339583 -aS'the\tthe\tDT\tB-NP\tO' -p339584 -aS'abscess\tabscess\tNN\tI-NP\tO' -p339585 -aS'vs.\tvs.\tFW\tB-NP\tO' -p339586 -aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' -p339587 -aS'.\t.\t.\tO\tO' -p339588 -asS'Carotids were 2+ .' -p339589 -(lp339590 -S'Carotids\tCarotid\tNNS\tB-NP\tO' -p339591 -aS'were\tbe\tVBD\tB-VP\tO' -p339592 -aS'2+\t2+\tJJ\tB-ADJP\tO' -p339593 -aS'.\t.\t.\tO\tO' -p339594 -asS'He was therefore transferred to Saints Medical Center for endoscopic retrogram cholangiopancreatography .' -p339595 -(lp339596 -S'He\tHe\tPRP\tB-NP\tO' -p339597 -aS'was\tbe\tVBD\tB-VP\tO' -p339598 -aS'therefore\ttherefore\tRB\tI-VP\tO' -p339599 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p339600 -aS'to\tto\tTO\tB-PP\tO' -p339601 -aS'Saints\tSaints\tNNP\tB-NP\tO' -p339602 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p339603 -aS'Center\tCenter\tNNP\tI-NP\tO' -p339604 -aS'for\tfor\tIN\tB-PP\tO' -p339605 -aS'endoscopic\tendoscopic\tJJ\tB-NP\tO' -p339606 -aS'retrogram\tretrogram\tNN\tI-NP\tO' -p339607 -aS'cholangiopancreatography\tcholangiopancreatography\tNN\tI-NP\tO' -p339608 -aS'.\t.\t.\tO\tO' -p339609 -asS'3. Left superior/inferior pubic rami fractures .' -p339610 -(lp339611 -S'3.\t3.\tLS\tB-LST\tO' -p339612 -aS'Left\tLeave\tVBD\tB-VP\tO' -p339613 -aS'superior/inferior\tsuperior/inferior\tJJ\tB-NP\tO' -p339614 -aS'pubic\tpubic\tJJ\tI-NP\tO' -p339615 -aS'rami\trami\tNN\tI-NP\tO' -p339616 -aS'fractures\tfracture\tNNS\tI-NP\tO' -p339617 -aS'.\t.\t.\tO\tO' -p339618 -asS'Dictated By : Melinda U Yantis , M.D.' -p339619 -(lp339620 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p339621 -aS'By\tBy\tIN\tB-PP\tO' -p339622 -aS':\t:\t:\tO\tO' -p339623 -aS'Melinda\tMelinda\tNNP\tB-NP\tO' -p339624 -aS'U\tU\tNNP\tI-NP\tO' -p339625 -aS'Yantis\tYantis\tNNP\tI-NP\tO' -p339626 -aS',\t,\t,\tO\tO' -p339627 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p339628 -asS'Severe blunt abdominal trauma with rupture of liver , left renal vein , pancreas , and transverse mesocolon .' -p339629 -(lp339630 -S'Severe\tSevere\tJJ\tB-NP\tO' -p339631 -aS'blunt\tblunt\tNN\tI-NP\tO' -p339632 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p339633 -aS'trauma\ttrauma\tNN\tI-NP\tO' -p339634 -aS'with\twith\tIN\tB-PP\tO' -p339635 -aS'rupture\trupture\tNN\tB-NP\tO' -p339636 -aS'of\tof\tIN\tB-PP\tO' -p339637 -aS'liver\tliver\tNN\tB-NP\tO' -p339638 -aS',\t,\t,\tO\tO' -p339639 -aS'left\tleave\tVBD\tB-VP\tO' -p339640 -aS'renal\trenal\tJJ\tB-NP\tO' -p339641 -aS'vein\tvein\tNN\tI-NP\tO' -p339642 -aS',\t,\t,\tO\tO' -p339643 -aS'pancreas\tpancreas\tNN\tB-NP\tO' -p339644 -aS',\t,\t,\tO\tO' -p339645 -aS'and\tand\tCC\tO\tO' -p339646 -aS'transverse\ttransverse\tJJ\tB-NP\tO' -p339647 -aS'mesocolon\tmesocolon\tNN\tI-NP\tO' -p339648 -aS'.\t.\t.\tO\tO' -p339649 -asS'clear amniotic fluid , no antepartum maternal fever or fetal tachycardia , no antepartum antibiotic prophylaxis .' -p339650 -(lp339651 -S'clear\tclear\tJJ\tB-NP\tO' -p339652 -aS'amniotic\tamniotic\tJJ\tI-NP\tO' -p339653 -aS'fluid\tfluid\tNN\tI-NP\tO' -p339654 -aS',\t,\t,\tO\tO' -p339655 -aS'no\tno\tDT\tB-NP\tO' -p339656 -aS'antepartum\tantepartum\tNN\tI-NP\tO' -p339657 -aS'maternal\tmaternal\tJJ\tI-NP\tO' -p339658 -aS'fever\tfever\tNN\tI-NP\tO' -p339659 -aS'or\tor\tCC\tO\tO' -p339660 -aS'fetal\tfetal\tJJ\tB-NP\tO' -p339661 -aS'tachycardia\ttachycardia\tNN\tI-NP\tO' -p339662 -aS',\t,\t,\tO\tO' -p339663 -aS'no\tno\tDT\tB-NP\tO' -p339664 -aS'antepartum\tantepartum\tNN\tI-NP\tO' -p339665 -aS'antibiotic\tantibiotic\tJJ\tI-NP\tO' -p339666 -aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' -p339667 -aS'.\t.\t.\tO\tO' -p339668 -asS'The review of systems was essentially negative .' -p339669 -(lp339670 -S'The\tThe\tDT\tB-NP\tO' -p339671 -aS'review\treview\tNN\tI-NP\tO' -p339672 -aS'of\tof\tIN\tB-PP\tO' -p339673 -aS'systems\tsystem\tNNS\tB-NP\tO' -p339674 -aS'was\tbe\tVBD\tB-VP\tO' -p339675 -aS'essentially\tessentially\tRB\tB-ADJP\tO' -p339676 -aS'negative\tnegative\tJJ\tI-ADJP\tO' -p339677 -aS'.\t.\t.\tO\tO' -p339678 -asS'Sensation was intact to light touch .' -p339679 -(lp339680 -S'Sensation\tSensation\tNN\tB-NP\tO' -p339681 -aS'was\tbe\tVBD\tB-VP\tO' -p339682 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p339683 -aS'to\tto\tTO\tB-PP\tO' -p339684 -aS'light\tlight\tJJ\tB-NP\tO' -p339685 -aS'touch\ttouch\tNN\tI-NP\tO' -p339686 -aS'.\t.\t.\tO\tO' -p339687 -asS'The pregnancy was complicated by anemia .' -p339688 -(lp339689 -S'The\tThe\tDT\tB-NP\tO' -p339690 -aS'pregnancy\tpregnancy\tNN\tI-NP\tO' -p339691 -aS'was\tbe\tVBD\tB-VP\tO' -p339692 -aS'complicated\tcomplicate\tVBN\tI-VP\tO' -p339693 -aS'by\tby\tIN\tB-PP\tO' -p339694 -aS'anemia\tanemia\tNN\tB-NP\tO' -p339695 -aS'.\t.\t.\tO\tO' -p339696 -asS'It was of much lower voltage on the left .' -p339697 -(lp339698 -S'It\tIt\tPRP\tB-NP\tO' -p339699 -aS'was\tbe\tVBD\tB-VP\tO' -p339700 -aS'of\tof\tIN\tB-PP\tO' -p339701 -aS'much\tmuch\tRB\tB-NP\tO' -p339702 -aS'lower\tlow\tJJR\tI-NP\tO' -p339703 -aS'voltage\tvoltage\tNN\tI-NP\tO' -p339704 -aS'on\ton\tIN\tB-PP\tO' -p339705 -aS'the\tthe\tDT\tB-NP\tO' -p339706 -aS'left\tleft\tNN\tI-NP\tO' -p339707 -aS'.\t.\t.\tO\tO' -p339708 -asS'This revealed some supraglottic edema which revealed with time , without further intervention .' -p339709 -(lp339710 -S'This\tThis\tDT\tB-NP\tO' -p339711 -aS'revealed\treveal\tVBD\tB-VP\tO' -p339712 -aS'some\tsome\tDT\tB-NP\tO' -p339713 -aS'supraglottic\tsupraglottic\tJJ\tI-NP\tO' -p339714 -aS'edema\tedema\tNN\tI-NP\tO' -p339715 -aS'which\twhich\tWDT\tB-NP\tO' -p339716 -aS'revealed\treveal\tVBD\tB-VP\tO' -p339717 -aS'with\twith\tIN\tB-PP\tO' -p339718 -aS'time\ttime\tNN\tB-NP\tO' -p339719 -aS',\t,\t,\tO\tO' -p339720 -aS'without\twithout\tIN\tB-PP\tO' -p339721 -aS'further\tfurther\tJJ\tB-NP\tO' -p339722 -aS'intervention\tintervention\tNN\tI-NP\tO' -p339723 -aS'.\t.\t.\tO\tO' -p339724 -asS'Active , pink newborn in no distress on radiate warmer .' -p339725 -(lp339726 -S'Active\tActive\tJJ\tB-NP\tO' -p339727 -aS',\t,\t,\tI-NP\tO' -p339728 -aS'pink\tpink\tJJ\tI-NP\tO' -p339729 -aS'newborn\tnewborn\tNN\tI-NP\tO' -p339730 -aS'in\tin\tIN\tB-PP\tO' -p339731 -aS'no\tno\tDT\tB-NP\tO' -p339732 -aS'distress\tdistress\tNN\tI-NP\tO' -p339733 -aS'on\ton\tIN\tB-PP\tO' -p339734 -aS'radiate\tradiate\tNN\tB-NP\tO' -p339735 -aS'warmer\twarmer\tNN\tI-NP\tO' -p339736 -aS'.\t.\t.\tO\tO' -p339737 -asS'She will be followed by Dr. Mielke and home care services .' -p339738 -(lp339739 -S'She\tShe\tPRP\tB-NP\tO' -p339740 -aS'will\twill\tMD\tB-VP\tO' -p339741 -aS'be\tbe\tVB\tI-VP\tO' -p339742 -aS'followed\tfollow\tVBN\tI-VP\tO' -p339743 -aS'by\tby\tIN\tB-PP\tO' -p339744 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p339745 -aS'Mielke\tMielke\tNNP\tI-NP\tO' -p339746 -aS'and\tand\tCC\tO\tO' -p339747 -aS'home\thome\tNN\tB-NP\tO' -p339748 -aS'care\tcare\tNN\tI-NP\tO' -p339749 -aS'services\tservice\tNNS\tI-NP\tO' -p339750 -aS'.\t.\t.\tO\tO' -p339751 -asS'Treated with IV dilantin and decadron .' -p339752 -(lp339753 -S'Treated\tTreat\tVBN\tB-VP\tO' -p339754 -aS'with\twith\tIN\tB-PP\tO' -p339755 -aS'IV\tIV\tCD\tB-NP\tO' -p339756 -aS'dilantin\tdilantin\tNN\tI-NP\tO' -p339757 -aS'and\tand\tCC\tI-NP\tO' -p339758 -aS'decadron\tdecadron\tNN\tI-NP\tO' -p339759 -aS'.\t.\t.\tO\tO' -p339760 -asS'PT was 14.5 , PTT 25.5 .' -p339761 -(lp339762 -S'PT\tPT\tNN\tB-NP\tO' -p339763 -aS'was\tbe\tVBD\tB-VP\tO' -p339764 -aS'14.5\t14.5\tCD\tB-NP\tO' -p339765 -aS',\t,\t,\tO\tO' -p339766 -aS'PTT\tPTT\tNN\tB-NP\tB-protein' -p339767 -aS'25.5\t25.5\tCD\tI-NP\tI-protein' -p339768 -aS'.\t.\t.\tO\tO' -p339769 -asS'The left ventriculography shows anterior akinesis and apical severe hypokinesis with a moderately depressed ejection fraction , cardiac output of 3.9 , index of 2.0 .' -p339770 -(lp339771 -S'The\tThe\tDT\tB-NP\tO' -p339772 -aS'left\tleft\tJJ\tI-NP\tO' -p339773 -aS'ventriculography\tventriculography\tNN\tI-NP\tO' -p339774 -aS'shows\tshow\tVBZ\tB-VP\tO' -p339775 -aS'anterior\tanterior\tJJ\tB-NP\tO' -p339776 -aS'akinesis\takinesis\tNN\tI-NP\tO' -p339777 -aS'and\tand\tCC\tO\tO' -p339778 -aS'apical\tapical\tJJ\tB-NP\tO' -p339779 -aS'severe\tsevere\tJJ\tI-NP\tO' -p339780 -aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' -p339781 -aS'with\twith\tIN\tB-PP\tO' -p339782 -aS'a\ta\tDT\tB-NP\tO' -p339783 -aS'moderately\tmoderately\tRB\tI-NP\tO' -p339784 -aS'depressed\tdepressed\tJJ\tI-NP\tO' -p339785 -aS'ejection\tejection\tNN\tI-NP\tO' -p339786 -aS'fraction\tfraction\tNN\tI-NP\tO' -p339787 -aS',\t,\t,\tO\tO' -p339788 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p339789 -aS'output\toutput\tNN\tI-NP\tO' -p339790 -aS'of\tof\tIN\tB-PP\tO' -p339791 -aS'3.9\t3.9\tCD\tB-NP\tO' -p339792 -aS',\t,\t,\tO\tO' -p339793 -aS'index\tindex\tNN\tB-NP\tO' -p339794 -aS'of\tof\tIN\tB-PP\tO' -p339795 -aS'2.0\t2.0\tCD\tB-NP\tO' -p339796 -aS'.\t.\t.\tO\tO' -p339797 -asS'Low potassium , thought due to Gentamicin .' -p339798 -(lp339799 -S'Low\tLow\tJJ\tB-NP\tO' -p339800 -aS'potassium\tpotassium\tNN\tI-NP\tO' -p339801 -aS',\t,\t,\tO\tO' -p339802 -aS'thought\tthink\tVBD\tB-VP\tO' -p339803 -aS'due\tdue\tIN\tB-PP\tO' -p339804 -aS'to\tto\tTO\tB-PP\tO' -p339805 -aS'Gentamicin\tGentamicin\tNN\tB-NP\tO' -p339806 -aS'.\t.\t.\tO\tO' -p339807 -asS'However , her white blood cell count was never really elevated and she did not have a bandemia .' -p339808 -(lp339809 -S'However\tHowever\tRB\tB-ADVP\tO' -p339810 -aS',\t,\t,\tO\tO' -p339811 -aS'her\ther\tPRP$\tB-NP\tO' -p339812 -aS'white\twhite\tJJ\tI-NP\tO' -p339813 -aS'blood\tblood\tNN\tI-NP\tO' -p339814 -aS'cell\tcell\tNN\tI-NP\tO' -p339815 -aS'count\tcount\tNN\tI-NP\tO' -p339816 -aS'was\tbe\tVBD\tB-VP\tO' -p339817 -aS'never\tnever\tRB\tI-VP\tO' -p339818 -aS'really\treally\tRB\tI-VP\tO' -p339819 -aS'elevated\televate\tVBN\tI-VP\tO' -p339820 -aS'and\tand\tCC\tO\tO' -p339821 -aS'she\tshe\tPRP\tB-NP\tO' -p339822 -aS'did\tdo\tVBD\tB-VP\tO' -p339823 -aS'not\tnot\tRB\tI-VP\tO' -p339824 -aS'have\thave\tVB\tI-VP\tO' -p339825 -aS'a\ta\tDT\tB-NP\tO' -p339826 -aS'bandemia\tbandemia\tNN\tI-NP\tO' -p339827 -aS'.\t.\t.\tO\tO' -p339828 -asS'Leona Wheeler is to be transferred on 2015-07-17 to a rehabilitation facility .' -p339829 -(lp339830 -S'Leona\tLeona\tNNP\tB-NP\tO' -p339831 -aS'Wheeler\tWheeler\tNNP\tI-NP\tO' -p339832 -aS'is\tbe\tVBZ\tB-VP\tO' -p339833 -aS'to\tto\tTO\tI-VP\tO' -p339834 -aS'be\tbe\tVB\tI-VP\tO' -p339835 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p339836 -aS'on\ton\tIN\tB-PP\tO' -p339837 -aS'2015-07-17\t2015-07-17\tCD\tB-NP\tO' -p339838 -aS'to\tto\tTO\tB-PP\tO' -p339839 -aS'a\ta\tDT\tB-NP\tO' -p339840 -aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' -p339841 -aS'facility\tfacility\tNN\tI-NP\tO' -p339842 -aS'.\t.\t.\tO\tO' -p339843 -asS'She had a PCEA for pain , then a Dilaudid PCA .' -p339844 -(lp339845 -S'She\tShe\tPRP\tB-NP\tO' -p339846 -aS'had\thave\tVBD\tB-VP\tO' -p339847 -aS'a\ta\tDT\tB-NP\tO' -p339848 -aS'PCEA\tPCEA\tNN\tI-NP\tO' -p339849 -aS'for\tfor\tIN\tB-PP\tO' -p339850 -aS'pain\tpain\tNN\tB-NP\tO' -p339851 -aS',\t,\t,\tO\tO' -p339852 -aS'then\tthen\tRB\tB-ADVP\tO' -p339853 -aS'a\ta\tDT\tB-NP\tO' -p339854 -aS'Dilaudid\tDilaudid\tNNP\tI-NP\tO' -p339855 -aS'PCA\tPCA\tNN\tI-NP\tO' -p339856 -aS'.\t.\t.\tO\tO' -p339857 -asS'Theo-Dur level was 15 .' -p339858 -(lp339859 -S'Theo-Dur\tTheo-Dur\tJJ\tB-NP\tO' -p339860 -aS'level\tlevel\tNN\tI-NP\tO' -p339861 -aS'was\tbe\tVBD\tB-VP\tO' -p339862 -aS'15\t15\tCD\tB-NP\tO' -p339863 -aS'.\t.\t.\tO\tO' -p339864 -asS'An exercise tolerance test with Thallium was to be performed in order to assess myocardial viability in the infarct zone .' -p339865 -(lp339866 -S'An\tAn\tDT\tB-NP\tO' -p339867 -aS'exercise\texercise\tNN\tI-NP\tO' -p339868 -aS'tolerance\ttolerance\tNN\tI-NP\tO' -p339869 -aS'test\ttest\tNN\tI-NP\tO' -p339870 -aS'with\twith\tIN\tB-PP\tO' -p339871 -aS'Thallium\tThallium\tNN\tB-NP\tO' -p339872 -aS'was\tbe\tVBD\tB-VP\tO' -p339873 -aS'to\tto\tTO\tI-VP\tO' -p339874 -aS'be\tbe\tVB\tI-VP\tO' -p339875 -aS'performed\tperform\tVBN\tI-VP\tO' -p339876 -aS'in\tin\tIN\tB-SBAR\tO' -p339877 -aS'order\torder\tNN\tO\tO' -p339878 -aS'to\tto\tTO\tB-VP\tO' -p339879 -aS'assess\tassess\tVB\tI-VP\tO' -p339880 -aS'myocardial\tmyocardial\tJJ\tB-NP\tO' -p339881 -aS'viability\tviability\tNN\tI-NP\tO' -p339882 -aS'in\tin\tIN\tB-PP\tO' -p339883 -aS'the\tthe\tDT\tB-NP\tO' -p339884 -aS'infarct\tinfarct\tNN\tI-NP\tO' -p339885 -aS'zone\tzone\tNN\tI-NP\tO' -p339886 -aS'.\t.\t.\tO\tO' -p339887 -asS'Metformin 500 mg twice a day .' -p339888 -(lp339889 -S'Metformin\tMetformin\tNN\tB-NP\tO' -p339890 -aS'500\t500\tCD\tI-NP\tO' -p339891 -aS'mg\tmg\tNN\tI-NP\tO' -p339892 -aS'twice\ttwice\tRB\tB-NP\tO' -p339893 -aS'a\ta\tDT\tI-NP\tO' -p339894 -aS'day\tday\tNN\tI-NP\tO' -p339895 -aS'.\t.\t.\tO\tO' -p339896 -asS'He expressed interest in taking an anti-depressant for a short time while he was recovering and was started on Celexa .' -p339897 -(lp339898 -S'He\tHe\tPRP\tB-NP\tO' -p339899 -aS'expressed\texpress\tVBD\tB-VP\tO' -p339900 -aS'interest\tinterest\tNN\tB-NP\tO' -p339901 -aS'in\tin\tIN\tB-PP\tO' -p339902 -aS'taking\ttake\tVBG\tB-VP\tO' -p339903 -aS'an\tan\tDT\tB-NP\tO' -p339904 -aS'anti-depressant\tanti-depressant\tJJ\tI-NP\tO' -p339905 -aS'for\tfor\tIN\tB-PP\tO' -p339906 -aS'a\ta\tDT\tB-NP\tO' -p339907 -aS'short\tshort\tJJ\tI-NP\tO' -p339908 -aS'time\ttime\tNN\tI-NP\tO' -p339909 -aS'while\twhile\tIN\tB-SBAR\tO' -p339910 -aS'he\the\tPRP\tB-NP\tO' -p339911 -aS'was\tbe\tVBD\tB-VP\tO' -p339912 -aS'recovering\trecover\tVBG\tI-VP\tO' -p339913 -aS'and\tand\tCC\tO\tO' -p339914 -aS'was\tbe\tVBD\tB-VP\tO' -p339915 -aS'started\tstart\tVBN\tI-VP\tO' -p339916 -aS'on\ton\tIN\tB-PP\tO' -p339917 -aS'Celexa\tCelexa\tNNP\tB-NP\tO' -p339918 -aS'.\t.\t.\tO\tO' -p339919 -asS'For cranial nerves the patient had minimal blurred vision in left upper quadrant .' -p339920 -(lp339921 -S'For\tFor\tIN\tB-PP\tO' -p339922 -aS'cranial\tcranial\tJJ\tB-NP\tO' -p339923 -aS'nerves\tnerve\tNNS\tI-NP\tO' -p339924 -aS'the\tthe\tDT\tB-NP\tO' -p339925 -aS'patient\tpatient\tNN\tI-NP\tO' -p339926 -aS'had\thave\tVBD\tB-VP\tO' -p339927 -aS'minimal\tminimal\tJJ\tB-NP\tO' -p339928 -aS'blurred\tblur\tVBN\tI-NP\tO' -p339929 -aS'vision\tvision\tNN\tI-NP\tO' -p339930 -aS'in\tin\tIN\tB-PP\tO' -p339931 -aS'left\tleft\tJJ\tB-NP\tO' -p339932 -aS'upper\tupper\tJJ\tI-NP\tO' -p339933 -aS'quadrant\tquadrant\tNN\tI-NP\tO' -p339934 -aS'.\t.\t.\tO\tO' -p339935 -asS'The patient is a 52 - year-old female with no known cardiopulmonary history who presented with a chief complaint of dyspnea on exertion as well as exertional chest tightness which was acute-on-chronic .' -p339936 -(lp339937 -S'The\tThe\tDT\tB-NP\tO' -p339938 -aS'patient\tpatient\tNN\tI-NP\tO' -p339939 -aS'is\tbe\tVBZ\tB-VP\tO' -p339940 -aS'a\ta\tDT\tB-NP\tO' -p339941 -aS'52\t52\tCD\tI-NP\tO' -p339942 -aS'-\t-\tHYPH\tI-NP\tO' -p339943 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p339944 -aS'female\tfemale\tNN\tI-NP\tO' -p339945 -aS'with\twith\tIN\tB-PP\tO' -p339946 -aS'no\tno\tDT\tB-NP\tO' -p339947 -aS'known\tknown\tJJ\tI-NP\tO' -p339948 -aS'cardiopulmonary\tcardiopulmonary\tJJ\tI-NP\tO' -p339949 -aS'history\thistory\tNN\tI-NP\tO' -p339950 -aS'who\twho\tWP\tB-NP\tO' -p339951 -aS'presented\tpresent\tVBD\tB-VP\tO' -p339952 -aS'with\twith\tIN\tB-PP\tO' -p339953 -aS'a\ta\tDT\tB-NP\tO' -p339954 -aS'chief\tchief\tJJ\tI-NP\tO' -p339955 -aS'complaint\tcomplaint\tNN\tI-NP\tO' -p339956 -aS'of\tof\tIN\tB-PP\tO' -p339957 -aS'dyspnea\tdyspnea\tNN\tB-NP\tO' -p339958 -aS'on\ton\tIN\tB-PP\tO' -p339959 -aS'exertion\texertion\tNN\tB-NP\tO' -p339960 -aS'as\tas\tRB\tB-CONJP\tO' -p339961 -aS'well\twell\tRB\tI-CONJP\tO' -p339962 -aS'as\tas\tIN\tI-CONJP\tO' -p339963 -aS'exertional\texertional\tJJ\tB-NP\tO' -p339964 -aS'chest\tchest\tNN\tI-NP\tO' -p339965 -aS'tightness\ttightness\tNN\tI-NP\tO' -p339966 -aS'which\twhich\tWDT\tB-NP\tO' -p339967 -aS'was\tbe\tVBD\tB-VP\tO' -p339968 -aS'acute-on-chronic\tacute-on-chronic\tJJ\tB-ADJP\tO' -p339969 -aS'.\t.\t.\tO\tO' -p339970 -asS'8. Sensory .' -p339971 -(lp339972 -S'8.\t8.\tCD\tB-NP\tO' -p339973 -aS'Sensory\tSensory\tNNP\tI-NP\tO' -p339974 -aS'.\t.\t.\tO\tO' -p339975 -asS'14. The steroid will be kept for now and tapered at a later date on follow up with Dr. Coma .' -p339976 -(lp339977 -S'14.\t14.\tLS\tB-LST\tO' -p339978 -aS'The\tThe\tDT\tB-NP\tO' -p339979 -aS'steroid\tsteroid\tNN\tI-NP\tO' -p339980 -aS'will\twill\tMD\tB-VP\tO' -p339981 -aS'be\tbe\tVB\tI-VP\tO' -p339982 -aS'kept\tkeep\tVBN\tI-VP\tO' -p339983 -aS'for\tfor\tIN\tB-PP\tO' -p339984 -aS'now\tnow\tRB\tB-NP\tO' -p339985 -aS'and\tand\tCC\tO\tO' -p339986 -aS'tapered\ttaper\tVBD\tB-VP\tO' -p339987 -aS'at\tat\tIN\tB-PP\tO' -p339988 -aS'a\ta\tDT\tB-NP\tO' -p339989 -aS'later\tlater\tJJ\tI-NP\tO' -p339990 -aS'date\tdate\tNN\tI-NP\tO' -p339991 -aS'on\ton\tIN\tB-PP\tO' -p339992 -aS'follow\tfollow\tVB\tB-VP\tO' -p339993 -aS'up\tup\tRP\tB-PRT\tO' -p339994 -aS'with\twith\tIN\tB-PP\tO' -p339995 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p339996 -aS'Coma\tComa\tNNP\tI-NP\tO' -p339997 -aS'.\t.\t.\tO\tO' -p339998 -asS'Birth weight was 2.985 kg .' -p339999 -(lp340000 -S'Birth\tBirth\tNN\tB-NP\tO' -p340001 -aS'weight\tweight\tNN\tI-NP\tO' -p340002 -aS'was\tbe\tVBD\tB-VP\tO' -p340003 -aS'2.985\t2.985\tCD\tB-NP\tO' -p340004 -aS'kg\tkg\tNN\tI-NP\tO' -p340005 -aS'.\t.\t.\tO\tO' -p340006 -asS'In regards to his rhythm , he has an underlying right bundle branch block and first-degree AV block which were stable throughout this admission .' -p340007 -(lp340008 -S'In\tIn\tIN\tB-PP\tO' -p340009 -aS'regards\tregard\tNNS\tB-NP\tO' -p340010 -aS'to\tto\tTO\tB-PP\tO' -p340011 -aS'his\this\tPRP$\tB-NP\tO' -p340012 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p340013 -aS',\t,\t,\tO\tO' -p340014 -aS'he\the\tPRP\tB-NP\tO' -p340015 -aS'has\thave\tVBZ\tB-VP\tO' -p340016 -aS'an\tan\tDT\tB-NP\tO' -p340017 -aS'underlying\tunderlie\tVBG\tI-NP\tO' -p340018 -aS'right\tright\tJJ\tI-NP\tO' -p340019 -aS'bundle\tbundle\tNN\tI-NP\tO' -p340020 -aS'branch\tbranch\tNN\tI-NP\tO' -p340021 -aS'block\tblock\tNN\tI-NP\tO' -p340022 -aS'and\tand\tCC\tO\tO' -p340023 -aS'first-degree\tfirst-degree\tJJ\tB-NP\tO' -p340024 -aS'AV\tAV\tNN\tI-NP\tO' -p340025 -aS'block\tblock\tNN\tI-NP\tO' -p340026 -aS'which\twhich\tWDT\tB-NP\tO' -p340027 -aS'were\tbe\tVBD\tB-VP\tO' -p340028 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p340029 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p340030 -aS'this\tthis\tDT\tB-NP\tO' -p340031 -aS'admission\tadmission\tNN\tI-NP\tO' -p340032 -aS'.\t.\t.\tO\tO' -p340033 -asS'She climbs stairs one at a time and denied rest pain .' -p340034 -(lp340035 -S'She\tShe\tPRP\tB-NP\tO' -p340036 -aS'climbs\tclimb\tVBZ\tB-VP\tO' -p340037 -aS'stairs\tstair\tVBZ\tB-VP\tO' -p340038 -aS'one\tone\tCD\tB-NP\tO' -p340039 -aS'at\tat\tIN\tB-PP\tO' -p340040 -aS'a\ta\tDT\tB-NP\tO' -p340041 -aS'time\ttime\tNN\tI-NP\tO' -p340042 -aS'and\tand\tCC\tO\tO' -p340043 -aS'denied\tdeny\tVBD\tB-VP\tO' -p340044 -aS'rest\trest\tNN\tB-NP\tO' -p340045 -aS'pain\tpain\tNN\tI-NP\tO' -p340046 -aS'.\t.\t.\tO\tO' -p340047 -asS'3. Fluticasone Propionate 110 mcg / Actuation Aerosol Sig : Two ( 2 ) Puff Inhalation BID ( 2 times a day ) .' -p340048 -(lp340049 -S'3.\t3.\tLS\tB-NP\tO' -p340050 -aS'Fluticasone\tFluticasone\tNN\tI-NP\tO' -p340051 -aS'Propionate\tPropionate\tNN\tI-NP\tO' -p340052 -aS'110\t110\tCD\tI-NP\tO' -p340053 -aS'mcg\tmcg\tNN\tI-NP\tO' -p340054 -aS'/\t/\tSYM\tB-NP\tO' -p340055 -aS'Actuation\tActuation\tNN\tI-NP\tO' -p340056 -aS'Aerosol\tAerosol\tNNP\tI-NP\tO' -p340057 -aS'Sig\tSig\tNNP\tI-NP\tO' -p340058 -aS':\t:\t:\tO\tO' -p340059 -aS'Two\tTwo\tCD\tB-NP\tO' -p340060 -aS'(\t(\t(\tO\tO' -p340061 -aS'2\t2\tCD\tO\tO' -p340062 -aS')\t)\t)\tO\tO' -p340063 -aS'Puff\tPuff\tNN\tB-NP\tO' -p340064 -aS'Inhalation\tInhalation\tNN\tI-NP\tO' -p340065 -aS'BID\tBID\tNN\tI-NP\tO' -p340066 -aS'(\t(\t(\tO\tO' -p340067 -aS'2\t2\tCD\tB-NP\tO' -p340068 -aS'times\ttime\tNNS\tI-NP\tO' -p340069 -aS'a\ta\tDT\tB-NP\tO' -p340070 -aS'day\tday\tNN\tI-NP\tO' -p340071 -aS')\t)\t)\tO\tO' -p340072 -aS'.\t.\t.\tO\tO' -p340073 -asS'7. KCl 40 mEq once daily' -p340074 -(lp340075 -S'7.\t7.\tCD\tB-NP\tO' -p340076 -aS'KCl\tKCl\tNN\tI-NP\tO' -p340077 -aS'40\t40\tCD\tB-NP\tO' -p340078 -aS'mEq\tmEq\tNN\tI-NP\tO' -p340079 -aS'once\tonce\tRB\tB-ADVP\tO' -p340080 -aS'daily\tdaily\tRB\tI-ADVP\tO' -p340081 -asS'Noted for friendly , jovial 44 year-old woman with Down 's .' -p340082 -(lp340083 -S'Noted\tNote\tVBN\tB-VP\tO' -p340084 -aS'for\tfor\tIN\tB-PP\tO' -p340085 -aS'friendly\tfriendly\tJJ\tB-NP\tO' -p340086 -aS',\t,\t,\tI-NP\tO' -p340087 -aS'jovial\tjovial\tJJ\tI-NP\tO' -p340088 -aS'44\t44\tCD\tI-NP\tO' -p340089 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p340090 -aS'woman\twoman\tNN\tI-NP\tO' -p340091 -aS'with\twith\tIN\tB-PP\tO' -p340092 -aS'Down\tDown\tNN\tB-NP\tO' -p340093 -aS''s\t'\tNNS\tI-NP\tO' -p340094 -aS'.\t.\t.\tO\tO' -p340095 -asS'Albumin 2.5 .' -p340096 -(lp340097 -S'Albumin\tAlbumin\tNNP\tB-NP\tO' -p340098 -aS'2.5\t2.5\tCD\tI-NP\tO' -p340099 -aS'.\t.\t.\tO\tO' -p340100 -asS"The patient 's weight on 05-01 was 101.4 ." -p340101 -(lp340102 -S'The\tThe\tDT\tB-NP\tO' -p340103 -aS'patient\tpatient\tNN\tI-NP\tO' -p340104 -aS"'s\t's\tPOS\tB-NP\tO" -p340105 -aS'weight\tweight\tNN\tI-NP\tO' -p340106 -aS'on\ton\tIN\tB-PP\tO' -p340107 -aS'05-01\t05-01\tCD\tB-NP\tO' -p340108 -aS'was\tbe\tVBD\tB-VP\tO' -p340109 -aS'101.4\t101.4\tCD\tB-NP\tO' -p340110 -aS'.\t.\t.\tO\tO' -p340111 -asS'The last apnea and bradycardia was on 06-10 .' -p340112 -(lp340113 -S'The\tThe\tDT\tB-NP\tO' -p340114 -aS'last\tlast\tJJ\tI-NP\tO' -p340115 -aS'apnea\tapnea\tNN\tI-NP\tO' -p340116 -aS'and\tand\tCC\tI-NP\tO' -p340117 -aS'bradycardia\tbradycardia\tNN\tI-NP\tO' -p340118 -aS'was\tbe\tVBD\tB-VP\tO' -p340119 -aS'on\ton\tIN\tB-PP\tO' -p340120 -aS'06-10\t06-10\tCD\tB-NP\tO' -p340121 -aS'.\t.\t.\tO\tO' -p340122 -asS'Neck : supple , no JVD ,' -p340123 -(lp340124 -S'Neck\tNeck\tNN\tB-NP\tO' -p340125 -aS':\t:\t:\tO\tO' -p340126 -aS'supple\tsupple\tNN\tB-NP\tO' -p340127 -aS',\t,\t,\tO\tO' -p340128 -aS'no\tno\tDT\tB-NP\tO' -p340129 -aS'JVD\tJVD\tNN\tI-NP\tB-protein' -p340130 -aS',\t,\t,\tO\tO' -p340131 -asS'EKG showed sinus tachycardia at 100 and echo revealed pericardial effusion , a 10 mm pulsus paradoxus was noted , and no evidence of tamponade .' -p340132 -(lp340133 -S'EKG\tEKG\tNN\tB-NP\tB-protein' -p340134 -aS'showed\tshow\tVBD\tB-VP\tO' -p340135 -aS'sinus\tsinus\tNN\tB-NP\tO' -p340136 -aS'tachycardia\ttachycardia\tNN\tI-NP\tO' -p340137 -aS'at\tat\tIN\tB-PP\tO' -p340138 -aS'100\t100\tCD\tB-NP\tO' -p340139 -aS'and\tand\tCC\tO\tO' -p340140 -aS'echo\techo\tNN\tB-NP\tO' -p340141 -aS'revealed\treveal\tVBD\tB-VP\tO' -p340142 -aS'pericardial\tpericardial\tJJ\tB-NP\tO' -p340143 -aS'effusion\teffusion\tNN\tI-NP\tO' -p340144 -aS',\t,\t,\tO\tO' -p340145 -aS'a\ta\tDT\tB-NP\tO' -p340146 -aS'10\t10\tCD\tI-NP\tO' -p340147 -aS'mm\tmm\tNN\tI-NP\tO' -p340148 -aS'pulsus\tpulsus\tNN\tI-NP\tO' -p340149 -aS'paradoxus\tparadoxus\tNN\tI-NP\tO' -p340150 -aS'was\tbe\tVBD\tB-VP\tO' -p340151 -aS'noted\tnote\tVBN\tI-VP\tO' -p340152 -aS',\t,\t,\tO\tO' -p340153 -aS'and\tand\tCC\tO\tO' -p340154 -aS'no\tno\tDT\tB-NP\tO' -p340155 -aS'evidence\tevidence\tNN\tI-NP\tO' -p340156 -aS'of\tof\tIN\tB-PP\tO' -p340157 -aS'tamponade\ttamponade\tNN\tB-NP\tO' -p340158 -aS'.\t.\t.\tO\tO' -p340159 -asS'The pain was subsequently relieved with high dose Dilaudid .' -p340160 -(lp340161 -S'The\tThe\tDT\tB-NP\tO' -p340162 -aS'pain\tpain\tNN\tI-NP\tO' -p340163 -aS'was\tbe\tVBD\tB-VP\tO' -p340164 -aS'subsequently\tsubsequently\tRB\tI-VP\tO' -p340165 -aS'relieved\trelieve\tVBN\tI-VP\tO' -p340166 -aS'with\twith\tIN\tB-PP\tO' -p340167 -aS'high\thigh\tJJ\tB-NP\tO' -p340168 -aS'dose\tdose\tNN\tI-NP\tO' -p340169 -aS'Dilaudid\tDilaudid\tNNP\tI-NP\tO' -p340170 -aS'.\t.\t.\tO\tO' -p340171 -asS'The calves were nontender .' -p340172 -(lp340173 -S'The\tThe\tDT\tB-NP\tO' -p340174 -aS'calves\tcalf\tNNS\tI-NP\tO' -p340175 -aS'were\tbe\tVBD\tB-VP\tO' -p340176 -aS'nontender\tnontender\tJJ\tB-ADJP\tO' -p340177 -aS'.\t.\t.\tO\tO' -p340178 -asS"The patient 's serum and urine electrolytes indicated that this diuresis was appropriate ." -p340179 -(lp340180 -S'The\tThe\tDT\tB-NP\tO' -p340181 -aS'patient\tpatient\tNN\tI-NP\tO' -p340182 -aS"'s\t's\tPOS\tB-NP\tO" -p340183 -aS'serum\tserum\tNN\tI-NP\tO' -p340184 -aS'and\tand\tCC\tI-NP\tO' -p340185 -aS'urine\turine\tNN\tI-NP\tO' -p340186 -aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' -p340187 -aS'indicated\tindicate\tVBD\tB-VP\tO' -p340188 -aS'that\tthat\tIN\tB-SBAR\tO' -p340189 -aS'this\tthis\tDT\tB-NP\tO' -p340190 -aS'diuresis\tdiuresis\tNN\tI-NP\tO' -p340191 -aS'was\tbe\tVBD\tB-VP\tO' -p340192 -aS'appropriate\tappropriate\tJJ\tB-ADJP\tO' -p340193 -aS'.\t.\t.\tO\tO' -p340194 -asS'No evidence of active end organ damage .' -p340195 -(lp340196 -S'No\tNo\tDT\tB-NP\tO' -p340197 -aS'evidence\tevidence\tNN\tI-NP\tO' -p340198 -aS'of\tof\tIN\tB-PP\tO' -p340199 -aS'active\tactive\tJJ\tB-NP\tO' -p340200 -aS'end\tend\tNN\tI-NP\tO' -p340201 -aS'organ\torgan\tNN\tI-NP\tO' -p340202 -aS'damage\tdamage\tNN\tI-NP\tO' -p340203 -aS'.\t.\t.\tO\tO' -p340204 -asS'Multiple episodes of diabetic ketoacidosis in the past , migraine headaches and attention deficit disorder .' -p340205 -(lp340206 -S'Multiple\tMultiple\tJJ\tB-NP\tO' -p340207 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p340208 -aS'of\tof\tIN\tB-PP\tO' -p340209 -aS'diabetic\tdiabetic\tJJ\tB-NP\tO' -p340210 -aS'ketoacidosis\tketoacidosis\tNN\tI-NP\tO' -p340211 -aS'in\tin\tIN\tB-PP\tO' -p340212 -aS'the\tthe\tDT\tB-NP\tO' -p340213 -aS'past\tpast\tNN\tI-NP\tO' -p340214 -aS',\t,\t,\tO\tO' -p340215 -aS'migraine\tmigraine\tNN\tB-NP\tO' -p340216 -aS'headaches\theadache\tNNS\tI-NP\tO' -p340217 -aS'and\tand\tCC\tO\tO' -p340218 -aS'attention\tattention\tNN\tB-NP\tO' -p340219 -aS'deficit\tdeficit\tNN\tI-NP\tO' -p340220 -aS'disorder\tdisorder\tNN\tI-NP\tO' -p340221 -aS'.\t.\t.\tO\tO' -p340222 -asS"2. Alzheimer 's disease ." -p340223 -(lp340224 -S'2.\t2.\tLS\tB-LST\tO' -p340225 -aS'Alzheimer\tAlzheimer\tNNP\tB-NP\tO' -p340226 -aS"'s\t's\tPOS\tB-NP\tO" -p340227 -aS'disease\tdisease\tNN\tI-NP\tO' -p340228 -aS'.\t.\t.\tO\tO' -p340229 -asS'He will need to continue on Lovenox injections for at least 4-6 weeks .' -p340230 -(lp340231 -S'He\tHe\tPRP\tB-NP\tO' -p340232 -aS'will\twill\tMD\tB-VP\tO' -p340233 -aS'need\tneed\tVB\tI-VP\tO' -p340234 -aS'to\tto\tTO\tI-VP\tO' -p340235 -aS'continue\tcontinue\tVB\tI-VP\tO' -p340236 -aS'on\ton\tIN\tB-PP\tO' -p340237 -aS'Lovenox\tLovenox\tNNP\tB-NP\tO' -p340238 -aS'injections\tinjection\tNNS\tI-NP\tO' -p340239 -aS'for\tfor\tIN\tB-PP\tO' -p340240 -aS'at\tat\tIN\tB-NP\tO' -p340241 -aS'least\tleast\tJJS\tI-NP\tO' -p340242 -aS'4-6\t4-6\tCD\tI-NP\tO' -p340243 -aS'weeks\tweek\tNNS\tI-NP\tO' -p340244 -aS'.\t.\t.\tO\tO' -p340245 -asS'The baby emerged with spontaneous cry , received routine care and then was intubated in the Delivery Room due to inconsistent respiratory effort and increased work of breathing .' -p340246 -(lp340247 -S'The\tThe\tDT\tB-NP\tO' -p340248 -aS'baby\tbaby\tNN\tI-NP\tO' -p340249 -aS'emerged\temerge\tVBD\tB-VP\tO' -p340250 -aS'with\twith\tIN\tB-PP\tO' -p340251 -aS'spontaneous\tspontaneous\tJJ\tB-NP\tO' -p340252 -aS'cry\tcry\tNN\tI-NP\tO' -p340253 -aS',\t,\t,\tO\tO' -p340254 -aS'received\treceive\tVBD\tB-VP\tO' -p340255 -aS'routine\troutine\tJJ\tB-NP\tO' -p340256 -aS'care\tcare\tNN\tI-NP\tO' -p340257 -aS'and\tand\tCC\tO\tO' -p340258 -aS'then\tthen\tRB\tB-ADVP\tO' -p340259 -aS'was\tbe\tVBD\tB-VP\tO' -p340260 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p340261 -aS'in\tin\tIN\tB-PP\tO' -p340262 -aS'the\tthe\tDT\tB-NP\tO' -p340263 -aS'Delivery\tDelivery\tNNP\tI-NP\tO' -p340264 -aS'Room\tRoom\tNNP\tI-NP\tO' -p340265 -aS'due\tdue\tJJ\tB-ADJP\tO' -p340266 -aS'to\tto\tTO\tB-PP\tO' -p340267 -aS'inconsistent\tinconsistent\tJJ\tB-NP\tO' -p340268 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p340269 -aS'effort\teffort\tNN\tI-NP\tO' -p340270 -aS'and\tand\tCC\tO\tO' -p340271 -aS'increased\tincrease\tVBN\tB-NP\tO' -p340272 -aS'work\twork\tNN\tI-NP\tO' -p340273 -aS'of\tof\tIN\tB-PP\tO' -p340274 -aS'breathing\tbreathing\tNN\tB-NP\tO' -p340275 -aS'.\t.\t.\tO\tO' -p340276 -asS'8. Amiodarone 200 mg Tablet Sig : Two ( 2 ) Tablet PO DAILY ( Daily ) for 2 days : for 2 days , then start 200 mg daily ongoing on 05-20 .' -p340277 -(lp340278 -S'8.\t8.\tCD\tB-NP\tO' -p340279 -aS'Amiodarone\tAmiodarone\tNN\tI-NP\tO' -p340280 -aS'200\t200\tCD\tB-NP\tO' -p340281 -aS'mg\tmg\tNN\tI-NP\tO' -p340282 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p340283 -aS'Sig\tSig\tNNP\tI-NP\tO' -p340284 -aS':\t:\t:\tO\tO' -p340285 -aS'Two\tTwo\tCD\tB-NP\tO' -p340286 -aS'(\t(\t(\tO\tO' -p340287 -aS'2\t2\tCD\tO\tO' -p340288 -aS')\t)\t)\tO\tO' -p340289 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p340290 -aS'PO\tPO\tNN\tI-NP\tO' -p340291 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p340292 -aS'(\t(\t(\tO\tO' -p340293 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p340294 -aS')\t)\t)\tO\tO' -p340295 -aS'for\tfor\tIN\tB-PP\tO' -p340296 -aS'2\t2\tCD\tB-NP\tO' -p340297 -aS'days\tday\tNNS\tI-NP\tO' -p340298 -aS':\t:\t:\tO\tO' -p340299 -aS'for\tfor\tIN\tB-PP\tO' -p340300 -aS'2\t2\tCD\tB-NP\tO' -p340301 -aS'days\tday\tNNS\tI-NP\tO' -p340302 -aS',\t,\t,\tO\tO' -p340303 -aS'then\tthen\tRB\tB-ADVP\tO' -p340304 -aS'start\tstart\tVB\tB-VP\tO' -p340305 -aS'200\t200\tCD\tB-NP\tO' -p340306 -aS'mg\tmg\tNN\tI-NP\tO' -p340307 -aS'daily\tdaily\tJJ\tI-NP\tO' -p340308 -aS'ongoing\tongoe\tVBG\tB-VP\tO' -p340309 -aS'on\ton\tIN\tB-PP\tO' -p340310 -aS'05-20\t05-20\tCD\tB-NP\tO' -p340311 -aS'.\t.\t.\tO\tO' -p340312 -asS'At that time she was transferred from the Intensive Care Unit to Coden 2 for the Lemgarson Hospital service .' -p340313 -(lp340314 -S'At\tAt\tIN\tB-PP\tO' -p340315 -aS'that\tthat\tDT\tB-NP\tO' -p340316 -aS'time\ttime\tNN\tI-NP\tO' -p340317 -aS'she\tshe\tPRP\tB-NP\tO' -p340318 -aS'was\tbe\tVBD\tB-VP\tO' -p340319 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p340320 -aS'from\tfrom\tIN\tB-PP\tO' -p340321 -aS'the\tthe\tDT\tB-NP\tO' -p340322 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p340323 -aS'Care\tCare\tNNP\tI-NP\tO' -p340324 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p340325 -aS'to\tto\tTO\tB-PP\tO' -p340326 -aS'Coden\tCoden\tNNP\tB-NP\tO' -p340327 -aS'2\t2\tCD\tI-NP\tO' -p340328 -aS'for\tfor\tIN\tB-PP\tO' -p340329 -aS'the\tthe\tDT\tB-NP\tO' -p340330 -aS'Lemgarson\tLemgarson\tNNP\tI-NP\tO' -p340331 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p340332 -aS'service\tservice\tNN\tI-NP\tO' -p340333 -aS'.\t.\t.\tO\tO' -p340334 -asS'04-24 Urine Cx : pseudomonas as above' -p340335 -(lp340336 -S'04-24\t04-24\tCD\tB-NP\tO' -p340337 -aS'Urine\tUrine\tNN\tI-NP\tO' -p340338 -aS'Cx\tCx\tNN\tI-NP\tO' -p340339 -aS':\t:\t:\tO\tO' -p340340 -aS'pseudomonas\tpseudomona\tNNS\tB-NP\tO' -p340341 -aS'as\tas\tIN\tB-PP\tO' -p340342 -aS'above\tabove\tIN\tI-PP\tO' -p340343 -asS'He is a retired fire fighter .' -p340344 -(lp340345 -S'He\tHe\tPRP\tB-NP\tB-DNA' -p340346 -aS'is\tbe\tVBZ\tB-VP\tO' -p340347 -aS'a\ta\tDT\tB-NP\tO' -p340348 -aS'retired\tretired\tJJ\tI-NP\tO' -p340349 -aS'fire\tfire\tNN\tI-NP\tO' -p340350 -aS'fighter\tfighter\tNN\tI-NP\tO' -p340351 -aS'.\t.\t.\tO\tO' -p340352 -asS'PTT 36.4 , repeat PTT 50.9 .' -p340353 -(lp340354 -S'PTT\tPTT\tNN\tB-NP\tB-protein' -p340355 -aS'36.4\t36.4\tCD\tI-NP\tI-protein' -p340356 -aS',\t,\t,\tO\tO' -p340357 -aS'repeat\trepeat\tNN\tB-NP\tO' -p340358 -aS'PTT\tPTT\tNN\tI-NP\tO' -p340359 -aS'50.9\t50.9\tCD\tI-NP\tO' -p340360 -aS'.\t.\t.\tO\tO' -p340361 -asS'She was slightly agitated on the first postoperative day but this resolved by the second postoperative day .' -p340362 -(lp340363 -S'She\tShe\tPRP\tB-NP\tO' -p340364 -aS'was\tbe\tVBD\tB-VP\tO' -p340365 -aS'slightly\tslightly\tRB\tI-VP\tO' -p340366 -aS'agitated\tagitate\tVBN\tI-VP\tO' -p340367 -aS'on\ton\tIN\tB-PP\tO' -p340368 -aS'the\tthe\tDT\tB-NP\tO' -p340369 -aS'first\tfirst\tJJ\tI-NP\tO' -p340370 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p340371 -aS'day\tday\tNN\tI-NP\tO' -p340372 -aS'but\tbut\tCC\tO\tO' -p340373 -aS'this\tthis\tDT\tB-NP\tO' -p340374 -aS'resolved\tresolve\tVBN\tB-VP\tO' -p340375 -aS'by\tby\tIN\tB-PP\tO' -p340376 -aS'the\tthe\tDT\tB-NP\tO' -p340377 -aS'second\tsecond\tJJ\tI-NP\tO' -p340378 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p340379 -aS'day\tday\tNN\tI-NP\tO' -p340380 -aS'.\t.\t.\tO\tO' -p340381 -asS'1. Coronary artery disease status post non-ST-elevation myocardial infarction in 2009-05-05 , status post cardiac catheterization with left anterior descending artery stent placement in 05/2001 .' -p340382 -(lp340383 -S'1.\t1.\tLS\tB-NP\tO' -p340384 -aS'Coronary\tCoronary\tJJ\tI-NP\tO' -p340385 -aS'artery\tartery\tNN\tI-NP\tO' -p340386 -aS'disease\tdisease\tNN\tI-NP\tO' -p340387 -aS'status\tstatus\tNN\tI-NP\tO' -p340388 -aS'post\tpost\tIN\tB-PP\tO' -p340389 -aS'non-ST-elevation\tnon-ST-elevation\tJJ\tB-NP\tO' -p340390 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p340391 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p340392 -aS'in\tin\tIN\tB-PP\tO' -p340393 -aS'2009-05-05\t2009-05-05\tCD\tB-NP\tO' -p340394 -aS',\t,\t,\tO\tO' -p340395 -aS'status\tstatus\tNN\tB-NP\tO' -p340396 -aS'post\tpost\tNN\tI-NP\tO' -p340397 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p340398 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p340399 -aS'with\twith\tIN\tB-PP\tO' -p340400 -aS'left\tleft\tJJ\tB-NP\tO' -p340401 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p340402 -aS'descending\tdescend\tVBG\tI-NP\tO' -p340403 -aS'artery\tartery\tNN\tI-NP\tO' -p340404 -aS'stent\tstent\tJJ\tI-NP\tO' -p340405 -aS'placement\tplacement\tNN\tI-NP\tO' -p340406 -aS'in\tin\tIN\tB-PP\tO' -p340407 -aS'05/2001\t05/2001\tCD\tB-NP\tO' -p340408 -aS'.\t.\t.\tO\tO' -p340409 -asS'The patient tolerated this without difficulty .' -p340410 -(lp340411 -S'The\tThe\tDT\tB-NP\tO' -p340412 -aS'patient\tpatient\tNN\tI-NP\tO' -p340413 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p340414 -aS'this\tthis\tDT\tB-NP\tO' -p340415 -aS'without\twithout\tIN\tB-PP\tO' -p340416 -aS'difficulty\tdifficulty\tNN\tB-NP\tO' -p340417 -aS'.\t.\t.\tO\tO' -p340418 -asS'On March 13 , 1994 , she regained some level of consciousness .' -p340419 -(lp340420 -S'On\tOn\tIN\tB-PP\tO' -p340421 -aS'March\tMarch\tNNP\tB-NP\tO' -p340422 -aS'13\t13\tCD\tI-NP\tO' -p340423 -aS',\t,\t,\tI-NP\tO' -p340424 -aS'1994\t1994\tCD\tI-NP\tO' -p340425 -aS',\t,\t,\tO\tO' -p340426 -aS'she\tshe\tPRP\tB-NP\tO' -p340427 -aS'regained\tregain\tVBD\tB-VP\tO' -p340428 -aS'some\tsome\tDT\tB-NP\tO' -p340429 -aS'level\tlevel\tNN\tI-NP\tO' -p340430 -aS'of\tof\tIN\tB-PP\tO' -p340431 -aS'consciousness\tconsciousness\tNN\tB-NP\tO' -p340432 -aS'.\t.\t.\tO\tO' -p340433 -asS'1. Gastrointestinal .' -p340434 -(lp340435 -S'1.\t1.\tLS\tB-LST\tO' -p340436 -aS'Gastrointestinal\tGastrointestinal\tNNP\tB-NP\tO' -p340437 -aS'.\t.\t.\tO\tO' -p340438 -asS'During entire post-op course she was followed by physical therapy for strength and mobility .' -p340439 -(lp340440 -S'During\tDuring\tIN\tB-PP\tO' -p340441 -aS'entire\tentire\tJJ\tB-NP\tO' -p340442 -aS'post-op\tpost-op\tJJ\tI-NP\tO' -p340443 -aS'course\tcourse\tNN\tI-NP\tO' -p340444 -aS'she\tshe\tPRP\tB-NP\tO' -p340445 -aS'was\tbe\tVBD\tB-VP\tO' -p340446 -aS'followed\tfollow\tVBN\tI-VP\tO' -p340447 -aS'by\tby\tIN\tB-PP\tO' -p340448 -aS'physical\tphysical\tJJ\tB-NP\tO' -p340449 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p340450 -aS'for\tfor\tIN\tB-PP\tO' -p340451 -aS'strength\tstrength\tNN\tB-NP\tO' -p340452 -aS'and\tand\tCC\tI-NP\tO' -p340453 -aS'mobility\tmobility\tNN\tI-NP\tO' -p340454 -aS'.\t.\t.\tO\tO' -p340455 -asS'He received several units of packed red blood cells to increase his hematocrit and oncotic pressure .' -p340456 -(lp340457 -S'He\tHe\tPRP\tB-NP\tO' -p340458 -aS'received\treceive\tVBD\tB-VP\tO' -p340459 -aS'several\tseveral\tJJ\tB-NP\tO' -p340460 -aS'units\tunit\tNNS\tI-NP\tO' -p340461 -aS'of\tof\tIN\tB-PP\tO' -p340462 -aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' -p340463 -aS'red\tred\tJJ\tI-NP\tI-cell_type' -p340464 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p340465 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p340466 -aS'to\tto\tTO\tB-VP\tO' -p340467 -aS'increase\tincrease\tVB\tI-VP\tO' -p340468 -aS'his\this\tPRP$\tB-NP\tO' -p340469 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p340470 -aS'and\tand\tCC\tO\tO' -p340471 -aS'oncotic\toncotic\tJJ\tB-NP\tO' -p340472 -aS'pressure\tpressure\tNN\tI-NP\tO' -p340473 -aS'.\t.\t.\tO\tO' -p340474 -asS'Chest tubes were removed when output was low .' -p340475 -(lp340476 -S'Chest\tChest\tNNP\tB-NP\tO' -p340477 -aS'tubes\ttube\tNNS\tI-NP\tO' -p340478 -aS'were\tbe\tVBD\tB-VP\tO' -p340479 -aS'removed\tremove\tVBN\tI-VP\tO' -p340480 -aS'when\twhen\tWRB\tB-ADVP\tO' -p340481 -aS'output\toutput\tNN\tB-NP\tO' -p340482 -aS'was\tbe\tVBD\tB-VP\tO' -p340483 -aS'low\tlow\tJJ\tB-ADJP\tO' -p340484 -aS'.\t.\t.\tO\tO' -p340485 -asS'Currently living at Beth Israel Deaconess Hospital-Needham Rehab .' -p340486 -(lp340487 -S'Currently\tCurrently\tRB\tB-ADVP\tO' -p340488 -aS'living\tlive\tVBG\tB-VP\tO' -p340489 -aS'at\tat\tIN\tB-PP\tO' -p340490 -aS'Beth\tBeth\tNNP\tB-NP\tO' -p340491 -aS'Israel\tIsrael\tNNP\tI-NP\tO' -p340492 -aS'Deaconess\tDeaconess\tNNP\tI-NP\tO' -p340493 -aS'Hospital-Needham\tHospital-Needham\tNNP\tI-NP\tO' -p340494 -aS'Rehab\tRehab\tNNP\tI-NP\tO' -p340495 -aS'.\t.\t.\tO\tO' -p340496 -asS'On 2010-05-27 , an echocardiogram was done which revealed critical fibrocalcific aortic stenosis with a peak gradient of 125 mmHg , a mean gradient of 74 mmHg , an Oak Bluffs of 0.44 , and 1+ aortic and mitral insufficiency .' -p340497 -(lp340498 -S'On\tOn\tIN\tB-PP\tO' -p340499 -aS'2010-05-27\t2010-05-27\tCD\tB-NP\tO' -p340500 -aS',\t,\t,\tO\tO' -p340501 -aS'an\tan\tDT\tB-NP\tO' -p340502 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p340503 -aS'was\tbe\tVBD\tB-VP\tO' -p340504 -aS'done\tdo\tVBN\tI-VP\tO' -p340505 -aS'which\twhich\tWDT\tB-NP\tO' -p340506 -aS'revealed\treveal\tVBD\tB-VP\tO' -p340507 -aS'critical\tcritical\tJJ\tB-NP\tO' -p340508 -aS'fibrocalcific\tfibrocalcific\tJJ\tI-NP\tO' -p340509 -aS'aortic\taortic\tJJ\tI-NP\tO' -p340510 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p340511 -aS'with\twith\tIN\tB-PP\tO' -p340512 -aS'a\ta\tDT\tB-NP\tO' -p340513 -aS'peak\tpeak\tJJ\tI-NP\tO' -p340514 -aS'gradient\tgradient\tNN\tI-NP\tO' -p340515 -aS'of\tof\tIN\tB-PP\tO' -p340516 -aS'125\t125\tCD\tB-NP\tO' -p340517 -aS'mmHg\tmmHg\tNN\tI-NP\tO' -p340518 -aS',\t,\t,\tO\tO' -p340519 -aS'a\ta\tDT\tB-NP\tO' -p340520 -aS'mean\tmean\tJJ\tI-NP\tO' -p340521 -aS'gradient\tgradient\tNN\tI-NP\tO' -p340522 -aS'of\tof\tIN\tB-PP\tO' -p340523 -aS'74\t74\tCD\tB-NP\tO' -p340524 -aS'mmHg\tmmHg\tNN\tI-NP\tO' -p340525 -aS',\t,\t,\tO\tO' -p340526 -aS'an\tan\tDT\tB-NP\tO' -p340527 -aS'Oak\tOak\tNNP\tI-NP\tB-protein' -p340528 -aS'Bluffs\tBluff\tNNPS\tI-NP\tO' -p340529 -aS'of\tof\tIN\tB-PP\tO' -p340530 -aS'0.44\t0.44\tCD\tB-NP\tO' -p340531 -aS',\t,\t,\tO\tO' -p340532 -aS'and\tand\tCC\tO\tO' -p340533 -aS'1+\t1+\tJJ\tB-NP\tO' -p340534 -aS'aortic\taortic\tJJ\tI-NP\tO' -p340535 -aS'and\tand\tCC\tI-NP\tO' -p340536 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p340537 -aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' -p340538 -aS'.\t.\t.\tO\tO' -p340539 -asS'White blood cell count 7.8 with 86% polymorphonuclear cells , 11.1 lymphocytes , hemoglobin 14.3 , hematocrit 40.5 , MCV 88 , INR 1.0 , PTT 24.7 , PT 12.3 , platelet count 295,000 , glucose 81 , BUN 15 , creatinine 0.8 , sodium 142 , potassium 4.2 , chloride 104 , CO2 26 , calcium 9.3 , phosphate 4.8 , magnesium 2.3 .' -p340540 -(lp340541 -S'White\tWhite\tJJ\tB-NP\tO' -p340542 -aS'blood\tblood\tNN\tI-NP\tO' -p340543 -aS'cell\tcell\tNN\tI-NP\tO' -p340544 -aS'count\tcount\tNN\tI-NP\tO' -p340545 -aS'7.8\t7.8\tCD\tB-NP\tO' -p340546 -aS'with\twith\tIN\tB-PP\tO' -p340547 -aS'86%\t86%\tCD\tB-NP\tO' -p340548 -aS'polymorphonuclear\tpolymorphonuclear\tJJ\tI-NP\tB-cell_type' -p340549 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p340550 -aS',\t,\t,\tO\tO' -p340551 -aS'11.1\t11.1\tCD\tB-NP\tO' -p340552 -aS'lymphocytes\tlymphocyte\tNNS\tI-NP\tB-cell_type' -p340553 -aS',\t,\t,\tO\tO' -p340554 -aS'hemoglobin\themoglobin\tNN\tB-NP\tB-protein' -p340555 -aS'14.3\t14.3\tCD\tI-NP\tI-protein' -p340556 -aS',\t,\t,\tO\tO' -p340557 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p340558 -aS'40.5\t40.5\tCD\tI-NP\tI-protein' -p340559 -aS',\t,\t,\tO\tO' -p340560 -aS'MCV\tMCV\tNN\tB-NP\tB-DNA' -p340561 -aS'88\t88\tCD\tI-NP\tI-DNA' -p340562 -aS',\t,\t,\tO\tO' -p340563 -aS'INR\tINR\tNN\tB-NP\tB-protein' -p340564 -aS'1.0\t1.0\tCD\tI-NP\tI-protein' -p340565 -aS',\t,\t,\tO\tO' -p340566 -aS'PTT\tPTT\tNN\tB-NP\tB-protein' -p340567 -aS'24.7\t24.7\tCD\tI-NP\tI-protein' -p340568 -aS',\t,\t,\tO\tO' -p340569 -aS'PT\tPT\tNN\tB-NP\tB-protein' -p340570 -aS'12.3\t12.3\tCD\tI-NP\tI-protein' -p340571 -aS',\t,\t,\tO\tO' -p340572 -aS'platelet\tplatelet\tNN\tB-NP\tB-protein' -p340573 -aS'count\tcount\tNN\tI-NP\tI-protein' -p340574 -aS'295,000\t295,000\tCD\tI-NP\tI-protein' -p340575 -aS',\t,\t,\tO\tO' -p340576 -aS'glucose\tglucose\tNN\tB-NP\tB-protein' -p340577 -aS'81\t81\tCD\tI-NP\tI-protein' -p340578 -aS',\t,\t,\tO\tO' -p340579 -aS'BUN\tBUN\tNNP\tB-NP\tO' -p340580 -aS'15\t15\tCD\tI-NP\tO' -p340581 -aS',\t,\t,\tO\tO' -p340582 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p340583 -aS'0.8\t0.8\tCD\tI-NP\tO' -p340584 -aS',\t,\t,\tO\tO' -p340585 -aS'sodium\tsodium\tNN\tB-NP\tO' -p340586 -aS'142\t142\tCD\tI-NP\tO' -p340587 -aS',\t,\t,\tO\tO' -p340588 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p340589 -aS'4.2\t4.2\tCD\tI-NP\tO' -p340590 -aS',\t,\t,\tO\tO' -p340591 -aS'chloride\tchloride\tNN\tB-NP\tO' -p340592 -aS'104\t104\tCD\tI-NP\tO' -p340593 -aS',\t,\t,\tO\tO' -p340594 -aS'CO2\tCO2\tNN\tB-NP\tO' -p340595 -aS'26\t26\tCD\tI-NP\tO' -p340596 -aS',\t,\t,\tO\tO' -p340597 -aS'calcium\tcalcium\tNN\tB-NP\tO' -p340598 -aS'9.3\t9.3\tCD\tI-NP\tO' -p340599 -aS',\t,\t,\tO\tO' -p340600 -aS'phosphate\tphosphate\tNN\tB-NP\tO' -p340601 -aS'4.8\t4.8\tCD\tI-NP\tO' -p340602 -aS',\t,\t,\tO\tO' -p340603 -aS'magnesium\tmagnesium\tNN\tB-NP\tO' -p340604 -aS'2.3\t2.3\tCD\tI-NP\tO' -p340605 -aS'.\t.\t.\tO\tO' -p340606 -asS'7. Influenza immunization is recommended annually in the fall for all infants once they reach 6 months of age .' -p340607 -(lp340608 -S'7.\t7.\tLS\tB-NP\tO' -p340609 -aS'Influenza\tInfluenza\tNN\tI-NP\tO' -p340610 -aS'immunization\timmunization\tNN\tI-NP\tO' -p340611 -aS'is\tbe\tVBZ\tB-VP\tO' -p340612 -aS'recommended\trecommend\tVBN\tI-VP\tO' -p340613 -aS'annually\tannually\tRB\tB-ADVP\tO' -p340614 -aS'in\tin\tIN\tB-PP\tO' -p340615 -aS'the\tthe\tDT\tB-NP\tO' -p340616 -aS'fall\tfall\tNN\tI-NP\tO' -p340617 -aS'for\tfor\tIN\tB-PP\tO' -p340618 -aS'all\tall\tDT\tB-NP\tO' -p340619 -aS'infants\tinfant\tNNS\tI-NP\tO' -p340620 -aS'once\tonce\tIN\tB-SBAR\tO' -p340621 -aS'they\tthey\tPRP\tB-NP\tO' -p340622 -aS'reach\treach\tVBP\tB-VP\tO' -p340623 -aS'6\t6\tCD\tB-NP\tO' -p340624 -aS'months\tmonth\tNNS\tI-NP\tO' -p340625 -aS'of\tof\tIN\tB-PP\tO' -p340626 -aS'age\tage\tNN\tB-NP\tO' -p340627 -aS'.\t.\t.\tO\tO' -p340628 -asS'2014-11-11 : Tracheostomy performed without complication .' -p340629 -(lp340630 -S'2014-11-11\t2014-11-11\tCD\tB-NP\tO' -p340631 -aS':\t:\t:\tO\tO' -p340632 -aS'Tracheostomy\tTracheostomy\tNN\tB-NP\tO' -p340633 -aS'performed\tperform\tVBN\tB-VP\tO' -p340634 -aS'without\twithout\tIN\tB-PP\tO' -p340635 -aS'complication\tcomplication\tNN\tB-NP\tO' -p340636 -aS'.\t.\t.\tO\tO' -p340637 -asS'He was alert and oriented .' -p340638 -(lp340639 -S'He\tHe\tPRP\tB-NP\tO' -p340640 -aS'was\tbe\tVBD\tB-VP\tO' -p340641 -aS'alert\talert\tJJ\tB-ADJP\tO' -p340642 -aS'and\tand\tCC\tI-ADJP\tO' -p340643 -aS'oriented\toriented\tJJ\tI-ADJP\tO' -p340644 -aS'.\t.\t.\tO\tO' -p340645 -asS'The patient was continued on his admission medications .' -p340646 -(lp340647 -S'The\tThe\tDT\tB-NP\tO' -p340648 -aS'patient\tpatient\tNN\tI-NP\tO' -p340649 -aS'was\tbe\tVBD\tB-VP\tO' -p340650 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p340651 -aS'on\ton\tIN\tB-PP\tO' -p340652 -aS'his\this\tPRP$\tB-NP\tO' -p340653 -aS'admission\tadmission\tNN\tI-NP\tO' -p340654 -aS'medications\tmedication\tNNS\tI-NP\tO' -p340655 -aS'.\t.\t.\tO\tO' -p340656 -asS'On Blake , Nancy pe less likely' -p340657 -(lp340658 -S'On\tOn\tIN\tB-PP\tO' -p340659 -aS'Blake\tBlake\tNNP\tB-NP\tO' -p340660 -aS',\t,\t,\tO\tO' -p340661 -aS'Nancy\tNancy\tNNP\tB-NP\tO' -p340662 -aS'pe\tpe\tVBP\tB-VP\tO' -p340663 -aS'less\tless\tRBR\tB-ADJP\tO' -p340664 -aS'likely\tlikely\tJJ\tI-ADJP\tO' -p340665 -asS'Withdrawal to pain was still present .' -p340666 -(lp340667 -S'Withdrawal\tWithdrawal\tNN\tB-NP\tO' -p340668 -aS'to\tto\tTO\tB-PP\tO' -p340669 -aS'pain\tpain\tNN\tB-NP\tO' -p340670 -aS'was\tbe\tVBD\tB-VP\tO' -p340671 -aS'still\tstill\tRB\tB-ADVP\tO' -p340672 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p340673 -aS'.\t.\t.\tO\tO' -p340674 -asS'15. Hydralazine hydrochloride 10 mg IV q. six hours p.r.n. systolic blood pressure greater than 140 .' -p340675 -(lp340676 -S'15.\t15.\tLS\tB-NP\tO' -p340677 -aS'Hydralazine\tHydralazine\tNN\tI-NP\tO' -p340678 -aS'hydrochloride\thydrochloride\tNN\tI-NP\tO' -p340679 -aS'10\t10\tCD\tI-NP\tO' -p340680 -aS'mg\tmg\tNN\tI-NP\tO' -p340681 -aS'IV\tIV\tCD\tB-NP\tO' -p340682 -aS'q.\tq.\tNN\tI-NP\tO' -p340683 -aS'six\tsix\tCD\tB-NP\tO' -p340684 -aS'hours\thour\tNNS\tI-NP\tO' -p340685 -aS'p.r.n.\tp.r.n.\tVBP\tB-VP\tO' -p340686 -aS'systolic\tsystolic\tJJ\tB-NP\tO' -p340687 -aS'blood\tblood\tNN\tI-NP\tO' -p340688 -aS'pressure\tpressure\tNN\tI-NP\tO' -p340689 -aS'greater\tgreat\tJJR\tB-ADJP\tO' -p340690 -aS'than\tthan\tIN\tB-PP\tO' -p340691 -aS'140\t140\tCD\tB-NP\tO' -p340692 -aS'.\t.\t.\tO\tO' -p340693 -asS'4. Peripheral vascular disease .' -p340694 -(lp340695 -S'4.\t4.\tLS\tB-NP\tO' -p340696 -aS'Peripheral\tPeripheral\tJJ\tI-NP\tO' -p340697 -aS'vascular\tvascular\tJJ\tI-NP\tO' -p340698 -aS'disease\tdisease\tNN\tI-NP\tO' -p340699 -aS'.\t.\t.\tO\tO' -p340700 -asS'outpatient course and pleurodesis if the pt becomes symptomatic 02-07 fluid accumulation .' -p340701 -(lp340702 -S'outpatient\toutpatient\tNN\tB-NP\tO' -p340703 -aS'course\tcourse\tNN\tI-NP\tO' -p340704 -aS'and\tand\tCC\tI-NP\tO' -p340705 -aS'pleurodesis\tpleurodesis\tNN\tI-NP\tO' -p340706 -aS'if\tif\tIN\tB-SBAR\tO' -p340707 -aS'the\tthe\tDT\tB-NP\tO' -p340708 -aS'pt\tpt\tNN\tI-NP\tO' -p340709 -aS'becomes\tbecome\tVBZ\tB-VP\tO' -p340710 -aS'symptomatic\tsymptomatic\tJJ\tB-NP\tO' -p340711 -aS'02-07\t02-07\tCD\tI-NP\tO' -p340712 -aS'fluid\tfluid\tNN\tI-NP\tO' -p340713 -aS'accumulation\taccumulation\tNN\tI-NP\tO' -p340714 -aS'.\t.\t.\tO\tO' -p340715 -asS'The patient will be discharged in stable condition .' -p340716 -(lp340717 -S'The\tThe\tDT\tB-NP\tO' -p340718 -aS'patient\tpatient\tNN\tI-NP\tO' -p340719 -aS'will\twill\tMD\tB-VP\tO' -p340720 -aS'be\tbe\tVB\tI-VP\tO' -p340721 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p340722 -aS'in\tin\tIN\tB-PP\tO' -p340723 -aS'stable\tstable\tJJ\tB-NP\tO' -p340724 -aS'condition\tcondition\tNN\tI-NP\tO' -p340725 -aS'.\t.\t.\tO\tO' -p340726 -asS'prep was inadequate .' -p340727 -(lp340728 -S'prep\tprep\tNN\tB-NP\tO' -p340729 -aS'was\tbe\tVBD\tB-VP\tO' -p340730 -aS'inadequate\tinadequate\tJJ\tB-ADJP\tO' -p340731 -aS'.\t.\t.\tO\tO' -p340732 -asS'Nares were patent .' -p340733 -(lp340734 -S'Nares\tNare\tNNS\tB-NP\tO' -p340735 -aS'were\tbe\tVBD\tB-VP\tO' -p340736 -aS'patent\tpatent\tNN\tB-NP\tO' -p340737 -aS'.\t.\t.\tO\tO' -p340738 -asS'Lives with wife , retired 12 years ago after working as electrician for Attleboro Donald' -p340739 -(lp340740 -S'Lives\tLife\tNNS\tB-NP\tO' -p340741 -aS'with\twith\tIN\tB-PP\tO' -p340742 -aS'wife\twife\tNN\tB-NP\tO' -p340743 -aS',\t,\t,\tO\tO' -p340744 -aS'retired\tretire\tVBD\tB-VP\tO' -p340745 -aS'12\t12\tCD\tB-NP\tO' -p340746 -aS'years\tyear\tNNS\tI-NP\tO' -p340747 -aS'ago\tago\tRB\tB-ADVP\tO' -p340748 -aS'after\tafter\tIN\tB-PP\tO' -p340749 -aS'working\twork\tVBG\tB-VP\tO' -p340750 -aS'as\tas\tIN\tB-PP\tO' -p340751 -aS'electrician\telectrician\tNN\tB-NP\tO' -p340752 -aS'for\tfor\tIN\tB-PP\tO' -p340753 -aS'Attleboro\tAttleboro\tNNP\tB-NP\tO' -p340754 -aS'Donald\tDonald\tNNP\tI-NP\tO' -p340755 -asS'PATHOLOGY uterus , tubes , ovaries 12-04' -p340756 -(lp340757 -S'PATHOLOGY\tPATHOLOGY\tNN\tB-NP\tO' -p340758 -aS'uterus\tuterus\tNN\tI-NP\tO' -p340759 -aS',\t,\t,\tO\tO' -p340760 -aS'tubes\ttube\tNNS\tB-NP\tO' -p340761 -aS',\t,\t,\tO\tO' -p340762 -aS'ovaries\tovary\tNNS\tB-NP\tO' -p340763 -aS'12-04\t12-04\tCD\tB-NP\tO' -p340764 -asS'Pulmonary consult was done , and it was felt that the patient should undergo a formal sleep study , full PFTs , and a repeat CT scan in 1 year to assess for pulmonary nodule that was seen .' -p340765 -(lp340766 -S'Pulmonary\tPulmonary\tJJ\tB-NP\tO' -p340767 -aS'consult\tconsult\tNN\tI-NP\tO' -p340768 -aS'was\tbe\tVBD\tB-VP\tO' -p340769 -aS'done\tdo\tVBN\tI-VP\tO' -p340770 -aS',\t,\t,\tO\tO' -p340771 -aS'and\tand\tCC\tO\tO' -p340772 -aS'it\tit\tPRP\tB-NP\tO' -p340773 -aS'was\tbe\tVBD\tB-VP\tO' -p340774 -aS'felt\tfeel\tVBN\tI-VP\tO' -p340775 -aS'that\tthat\tIN\tB-SBAR\tO' -p340776 -aS'the\tthe\tDT\tB-NP\tO' -p340777 -aS'patient\tpatient\tNN\tI-NP\tO' -p340778 -aS'should\tshould\tMD\tB-VP\tO' -p340779 -aS'undergo\tundergo\tVB\tI-VP\tO' -p340780 -aS'a\ta\tDT\tB-NP\tO' -p340781 -aS'formal\tformal\tJJ\tI-NP\tO' -p340782 -aS'sleep\tsleep\tNN\tI-NP\tO' -p340783 -aS'study\tstudy\tNN\tI-NP\tO' -p340784 -aS',\t,\t,\tO\tO' -p340785 -aS'full\tfull\tJJ\tB-NP\tO' -p340786 -aS'PFTs\tPFT\tNNS\tI-NP\tO' -p340787 -aS',\t,\t,\tO\tO' -p340788 -aS'and\tand\tCC\tO\tO' -p340789 -aS'a\ta\tDT\tB-NP\tO' -p340790 -aS'repeat\trepeat\tNN\tI-NP\tO' -p340791 -aS'CT\tCT\tNN\tI-NP\tO' -p340792 -aS'scan\tscan\tNN\tI-NP\tO' -p340793 -aS'in\tin\tIN\tB-PP\tO' -p340794 -aS'1\t1\tCD\tB-NP\tO' -p340795 -aS'year\tyear\tNN\tI-NP\tO' -p340796 -aS'to\tto\tTO\tB-VP\tO' -p340797 -aS'assess\tassess\tVB\tI-VP\tO' -p340798 -aS'for\tfor\tIN\tB-PP\tO' -p340799 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p340800 -aS'nodule\tnodule\tNN\tI-NP\tO' -p340801 -aS'that\tthat\tWDT\tB-NP\tO' -p340802 -aS'was\tbe\tVBD\tB-VP\tO' -p340803 -aS'seen\tsee\tVBN\tI-VP\tO' -p340804 -aS'.\t.\t.\tO\tO' -p340805 -asS'His PT and PTT are now normal , however , he continues to run a low platelet count .' -p340806 -(lp340807 -S'His\tHis\tPRP$\tB-NP\tO' -p340808 -aS'PT\tPT\tNN\tI-NP\tO' -p340809 -aS'and\tand\tCC\tI-NP\tO' -p340810 -aS'PTT\tPTT\tNN\tI-NP\tO' -p340811 -aS'are\tbe\tVBP\tB-VP\tO' -p340812 -aS'now\tnow\tRB\tB-ADVP\tO' -p340813 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p340814 -aS',\t,\t,\tO\tO' -p340815 -aS'however\thowever\tRB\tB-ADVP\tO' -p340816 -aS',\t,\t,\tO\tO' -p340817 -aS'he\the\tPRP\tB-NP\tO' -p340818 -aS'continues\tcontinue\tVBZ\tB-VP\tO' -p340819 -aS'to\tto\tTO\tI-VP\tO' -p340820 -aS'run\trun\tVB\tI-VP\tO' -p340821 -aS'a\ta\tDT\tB-NP\tO' -p340822 -aS'low\tlow\tJJ\tI-NP\tO' -p340823 -aS'platelet\tplatelet\tNN\tI-NP\tO' -p340824 -aS'count\tcount\tNN\tI-NP\tO' -p340825 -aS'.\t.\t.\tO\tO' -p340826 -asS'Dictated By : Scott OK Astarita , M.D.' -p340827 -(lp340828 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p340829 -aS'By\tBy\tIN\tB-PP\tO' -p340830 -aS':\t:\t:\tO\tO' -p340831 -aS'Scott\tScott\tNNP\tB-NP\tO' -p340832 -aS'OK\tOK\tNNP\tI-NP\tO' -p340833 -aS'Astarita\tAstarita\tNNP\tI-NP\tO' -p340834 -aS',\t,\t,\tO\tO' -p340835 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p340836 -asS'The patient was evaluated by Dr. Rhalt of Dentvailr. Medical Center .' -p340837 -(lp340838 -S'The\tThe\tDT\tB-NP\tO' -p340839 -aS'patient\tpatient\tNN\tI-NP\tO' -p340840 -aS'was\tbe\tVBD\tB-VP\tO' -p340841 -aS'evaluated\tevaluate\tVBN\tI-VP\tO' -p340842 -aS'by\tby\tIN\tB-PP\tO' -p340843 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p340844 -aS'Rhalt\tRhalt\tNNP\tI-NP\tO' -p340845 -aS'of\tof\tIN\tB-PP\tO' -p340846 -aS'Dentvailr.\tDentvailr.\tNNP\tB-NP\tO' -p340847 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p340848 -aS'Center\tCenter\tNNP\tI-NP\tO' -p340849 -aS'.\t.\t.\tO\tO' -p340850 -asS'Slept well , but on the am of admission had same burning across chest ( " deeper than heartburn " ) so went to her MD 's office .' -p340851 -(lp340852 -S'Slept\tSlept\tRB\tB-ADVP\tO' -p340853 -aS'well\twell\tRB\tI-ADVP\tO' -p340854 -aS',\t,\t,\tO\tO' -p340855 -aS'but\tbut\tCC\tO\tO' -p340856 -aS'on\ton\tIN\tB-PP\tO' -p340857 -aS'the\tthe\tDT\tB-NP\tO' -p340858 -aS'am\tam\tNN\tI-NP\tO' -p340859 -aS'of\tof\tIN\tB-PP\tO' -p340860 -aS'admission\tadmission\tNN\tB-NP\tO' -p340861 -aS'had\thave\tVBD\tB-VP\tO' -p340862 -aS'same\tsame\tJJ\tB-NP\tO' -p340863 -aS'burning\tburning\tNN\tI-NP\tO' -p340864 -aS'across\tacross\tIN\tB-PP\tO' -p340865 -aS'chest\tchest\tNN\tB-NP\tO' -p340866 -aS'(\t(\t(\tO\tO' -p340867 -aS'"\t"\tNN\tB-NP\tO' -p340868 -aS'deeper\tdeep\tJJR\tB-ADJP\tO' -p340869 -aS'than\tthan\tIN\tB-PP\tO' -p340870 -aS'heartburn\theartburn\tNN\tB-NP\tO' -p340871 -aS'"\t"\tNN\tI-NP\tO' -p340872 -aS')\t)\t)\tO\tO' -p340873 -aS'so\tso\tRB\tB-ADVP\tO' -p340874 -aS'went\tgo\tVBD\tB-VP\tO' -p340875 -aS'to\tto\tTO\tB-PP\tO' -p340876 -aS'her\ther\tPRP$\tB-NP\tO' -p340877 -aS'MD\tMD\tNN\tI-NP\tO' -p340878 -aS''s\t'\tNNS\tI-NP\tO' -p340879 -aS'office\toffice\tNN\tI-NP\tO' -p340880 -aS'.\t.\t.\tO\tO' -p340881 -asS'He had a firm nodule in the left lower lobe .' -p340882 -(lp340883 -S'He\tHe\tPRP\tB-NP\tO' -p340884 -aS'had\thave\tVBD\tB-VP\tO' -p340885 -aS'a\ta\tDT\tB-NP\tO' -p340886 -aS'firm\tfirm\tJJ\tI-NP\tO' -p340887 -aS'nodule\tnodule\tNN\tI-NP\tO' -p340888 -aS'in\tin\tIN\tB-PP\tO' -p340889 -aS'the\tthe\tDT\tB-NP\tO' -p340890 -aS'left\tleft\tJJ\tI-NP\tO' -p340891 -aS'lower\tlow\tJJR\tI-NP\tO' -p340892 -aS'lobe\tlobe\tNN\tI-NP\tO' -p340893 -aS'.\t.\t.\tO\tO' -p340894 -asS'Absent in LUE , left ankle .' -p340895 -(lp340896 -S'Absent\tAbsent\tNN\tB-NP\tO' -p340897 -aS'in\tin\tIN\tB-PP\tO' -p340898 -aS'LUE\tLUE\tNN\tB-NP\tO' -p340899 -aS',\t,\t,\tO\tO' -p340900 -aS'left\tleave\tVBD\tB-VP\tO' -p340901 -aS'ankle\tankle\tNN\tB-NP\tO' -p340902 -aS'.\t.\t.\tO\tO' -p340903 -asS'Did not require lasix on discharge .' -p340904 -(lp340905 -S'Did\tDo\tVBD\tB-VP\tO' -p340906 -aS'not\tnot\tRB\tI-VP\tO' -p340907 -aS'require\trequire\tVB\tI-VP\tO' -p340908 -aS'lasix\tlasix\tNN\tB-NP\tO' -p340909 -aS'on\ton\tIN\tB-PP\tO' -p340910 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p340911 -aS'.\t.\t.\tO\tO' -p340912 -asS'The patient is a 68 year old , right handed caucasian female , former R.N. who complained of several days of vertigo , one day of double vision , dysarthria and worsening of vertigo .' -p340913 -(lp340914 -S'The\tThe\tDT\tB-NP\tO' -p340915 -aS'patient\tpatient\tNN\tI-NP\tO' -p340916 -aS'is\tbe\tVBZ\tB-VP\tO' -p340917 -aS'a\ta\tDT\tB-NP\tO' -p340918 -aS'68\t68\tCD\tI-NP\tO' -p340919 -aS'year\tyear\tNN\tI-NP\tO' -p340920 -aS'old\told\tJJ\tI-NP\tO' -p340921 -aS',\t,\t,\tI-NP\tO' -p340922 -aS'right\tright\tJJ\tI-NP\tO' -p340923 -aS'handed\thand\tVBN\tI-NP\tO' -p340924 -aS'caucasian\tcaucasian\tJJ\tI-NP\tO' -p340925 -aS'female\tfemale\tJJ\tI-NP\tO' -p340926 -aS',\t,\t,\tI-NP\tO' -p340927 -aS'former\tformer\tJJ\tI-NP\tO' -p340928 -aS'R.N.\tR.N.\tNNP\tI-NP\tO' -p340929 -aS'who\twho\tWP\tB-NP\tO' -p340930 -aS'complained\tcomplain\tVBD\tB-VP\tO' -p340931 -aS'of\tof\tIN\tB-PP\tO' -p340932 -aS'several\tseveral\tJJ\tB-NP\tO' -p340933 -aS'days\tday\tNNS\tI-NP\tO' -p340934 -aS'of\tof\tIN\tB-PP\tO' -p340935 -aS'vertigo\tvertigo\tNN\tB-NP\tO' -p340936 -aS',\t,\t,\tO\tO' -p340937 -aS'one\tone\tCD\tB-NP\tO' -p340938 -aS'day\tday\tNN\tI-NP\tO' -p340939 -aS'of\tof\tIN\tB-PP\tO' -p340940 -aS'double\tdouble\tJJ\tB-NP\tO' -p340941 -aS'vision\tvision\tNN\tI-NP\tO' -p340942 -aS',\t,\t,\tO\tO' -p340943 -aS'dysarthria\tdysarthria\tNN\tB-NP\tO' -p340944 -aS'and\tand\tCC\tO\tO' -p340945 -aS'worsening\tworsen\tVBG\tB-VP\tO' -p340946 -aS'of\tof\tIN\tB-PP\tO' -p340947 -aS'vertigo\tvertigo\tNN\tB-NP\tO' -p340948 -aS'.\t.\t.\tO\tO' -p340949 -asS'full strength Replete with fiber at 70 cc. per hour .' -p340950 -(lp340951 -S'full\tfull\tJJ\tB-NP\tO' -p340952 -aS'strength\tstrength\tNN\tI-NP\tO' -p340953 -aS'Replete\tReplete\tJJ\tB-ADJP\tO' -p340954 -aS'with\twith\tIN\tB-PP\tO' -p340955 -aS'fiber\tfiber\tNN\tB-NP\tO' -p340956 -aS'at\tat\tIN\tB-PP\tO' -p340957 -aS'70\t70\tCD\tB-NP\tO' -p340958 -aS'cc.\tcc.\tNN\tI-NP\tO' -p340959 -aS'per\tper\tIN\tB-PP\tO' -p340960 -aS'hour\thour\tNN\tB-NP\tO' -p340961 -aS'.\t.\t.\tO\tO' -p340962 -asS'No known drug allergies at the time of admission , however , it is assumed that her rigidity and jaw clenching was secondary to Fentanyl .' -p340963 -(lp340964 -S'No\tNo\tDT\tB-NP\tO' -p340965 -aS'known\tknow\tVBN\tI-NP\tO' -p340966 -aS'drug\tdrug\tNN\tI-NP\tO' -p340967 -aS'allergies\tallergy\tNNS\tI-NP\tO' -p340968 -aS'at\tat\tIN\tB-PP\tO' -p340969 -aS'the\tthe\tDT\tB-NP\tO' -p340970 -aS'time\ttime\tNN\tI-NP\tO' -p340971 -aS'of\tof\tIN\tB-PP\tO' -p340972 -aS'admission\tadmission\tNN\tB-NP\tO' -p340973 -aS',\t,\t,\tO\tO' -p340974 -aS'however\thowever\tRB\tB-ADVP\tO' -p340975 -aS',\t,\t,\tO\tO' -p340976 -aS'it\tit\tPRP\tB-NP\tO' -p340977 -aS'is\tbe\tVBZ\tB-VP\tO' -p340978 -aS'assumed\tassume\tVBN\tI-VP\tO' -p340979 -aS'that\tthat\tIN\tB-SBAR\tO' -p340980 -aS'her\ther\tPRP$\tB-NP\tO' -p340981 -aS'rigidity\trigidity\tNN\tI-NP\tO' -p340982 -aS'and\tand\tCC\tI-NP\tO' -p340983 -aS'jaw\tjaw\tNN\tI-NP\tO' -p340984 -aS'clenching\tclenching\tNN\tI-NP\tO' -p340985 -aS'was\tbe\tVBD\tB-VP\tO' -p340986 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p340987 -aS'to\tto\tTO\tB-PP\tO' -p340988 -aS'Fentanyl\tFentanyl\tNN\tB-NP\tO' -p340989 -aS'.\t.\t.\tO\tO' -p340990 -asS'Troponins remained mildly elevated as high as 0.6 throughout her admission , and most recent result now 0.1 .' -p340991 -(lp340992 -S'Troponins\tTroponin\tNNS\tB-NP\tB-protein' -p340993 -aS'remained\tremain\tVBD\tB-VP\tO' -p340994 -aS'mildly\tmildly\tRB\tI-VP\tO' -p340995 -aS'elevated\televate\tVBN\tI-VP\tO' -p340996 -aS'as\tas\tRB\tB-ADJP\tO' -p340997 -aS'high\thigh\tJJ\tI-ADJP\tO' -p340998 -aS'as\tas\tIN\tB-PP\tO' -p340999 -aS'0.6\t0.6\tCD\tB-NP\tO' -p341000 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p341001 -aS'her\ther\tPRP$\tB-NP\tO' -p341002 -aS'admission\tadmission\tNN\tI-NP\tO' -p341003 -aS',\t,\t,\tO\tO' -p341004 -aS'and\tand\tCC\tO\tO' -p341005 -aS'most\tmost\tRBS\tB-NP\tO' -p341006 -aS'recent\trecent\tJJ\tI-NP\tO' -p341007 -aS'result\tresult\tNN\tI-NP\tO' -p341008 -aS'now\tnow\tRB\tB-ADVP\tO' -p341009 -aS'0.1\t0.1\tCD\tB-NP\tO' -p341010 -aS'.\t.\t.\tO\tO' -p341011 -asS'Boston Coma Scale of 15 .' -p341012 -(lp341013 -S'Boston\tBoston\tNNP\tB-NP\tO' -p341014 -aS'Coma\tComa\tNNP\tI-NP\tO' -p341015 -aS'Scale\tScale\tNNP\tI-NP\tO' -p341016 -aS'of\tof\tIN\tB-PP\tO' -p341017 -aS'15\t15\tCD\tB-NP\tO' -p341018 -aS'.\t.\t.\tO\tO' -p341019 -asS'Asian-speaking only .' -p341020 -(lp341021 -S'Asian-speaking\tAsian-speake\tVBG\tB-VP\tO' -p341022 -aS'only\tonly\tRB\tB-ADVP\tO' -p341023 -aS'.\t.\t.\tO\tO' -p341024 -asS'8. Dilated cardiomyopathy ( also as noted above ).' -p341025 -(lp341026 -S'8.\t8.\tLS\tB-LST\tO' -p341027 -aS'Dilated\tDilate\tVBD\tB-VP\tO' -p341028 -aS'cardiomyopathy\tcardiomyopathy\tNN\tB-NP\tO' -p341029 -aS'(\t(\t(\tO\tO' -p341030 -aS'also\talso\tRB\tB-ADVP\tO' -p341031 -aS'as\tas\tIN\tB-SBAR\tO' -p341032 -aS'noted\tnote\tVBN\tB-VP\tO' -p341033 -aS'above\tabove\tIN\tB-PP\tO' -p341034 -aS').\t).\tNN\tB-NP\tO' -p341035 -asS'3. Respiratory distress , resolved .' -p341036 -(lp341037 -S'3.\t3.\tLS\tB-NP\tO' -p341038 -aS'Respiratory\tRespiratory\tJJ\tI-NP\tO' -p341039 -aS'distress\tdistress\tNN\tI-NP\tO' -p341040 -aS',\t,\t,\tO\tO' -p341041 -aS'resolved\tresolve\tVBN\tB-VP\tO' -p341042 -aS'.\t.\t.\tO\tO' -p341043 -asS'Attending : Maria X White , M.D.' -p341044 -(lp341045 -S'Attending\tAttend\tVBG\tB-VP\tO' -p341046 -aS':\t:\t:\tO\tO' -p341047 -aS'Maria\tMaria\tNNP\tB-NP\tO' -p341048 -aS'X\tX\tNNP\tI-NP\tO' -p341049 -aS'White\tWhite\tNNP\tI-NP\tO' -p341050 -aS',\t,\t,\tO\tO' -p341051 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p341052 -asS'221-240 mg / dL 13 Units' -p341053 -(lp341054 -S'221-240\t221-240\tCD\tB-NP\tO' -p341055 -aS'mg\tmg\tNN\tI-NP\tO' -p341056 -aS'/\t/\tSYM\tB-NP\tO' -p341057 -aS'dL\tdL\tNN\tI-NP\tO' -p341058 -aS'13\t13\tCD\tB-NP\tO' -p341059 -aS'Units\tUnit\tNNS\tI-NP\tO' -p341060 -asS'Penicillin .' -p341061 -(lp341062 -S'Penicillin\tPenicillin\tNNP\tB-NP\tO' -p341063 -aS'.\t.\t.\tO\tO' -p341064 -asS'2. Folic Acid 1 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' -p341065 -(lp341066 -S'2.\t2.\tLS\tB-NP\tO' -p341067 -aS'Folic\tFolic\tJJ\tI-NP\tO' -p341068 -aS'Acid\tAcid\tNN\tI-NP\tO' -p341069 -aS'1\t1\tCD\tI-NP\tO' -p341070 -aS'mg\tmg\tNN\tI-NP\tO' -p341071 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p341072 -aS'Sig\tSig\tNNP\tI-NP\tO' -p341073 -aS':\t:\t:\tO\tO' -p341074 -aS'One\tOne\tCD\tB-NP\tO' -p341075 -aS'(\t(\t(\tO\tO' -p341076 -aS'1\t1\tCD\tB-NP\tO' -p341077 -aS')\t)\t)\tO\tO' -p341078 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p341079 -aS'PO\tPO\tNN\tI-NP\tO' -p341080 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p341081 -aS'(\t(\t(\tO\tO' -p341082 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p341083 -aS')\t)\t)\tO\tO' -p341084 -aS'.\t.\t.\tO\tO' -p341085 -asS'Father died at age 56 of coronary artery disease .' -p341086 -(lp341087 -S'Father\tFather\tNNP\tB-NP\tO' -p341088 -aS'died\tdie\tVBD\tB-VP\tO' -p341089 -aS'at\tat\tIN\tB-PP\tO' -p341090 -aS'age\tage\tNN\tB-NP\tO' -p341091 -aS'56\t56\tCD\tI-NP\tO' -p341092 -aS'of\tof\tIN\tB-PP\tO' -p341093 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p341094 -aS'artery\tartery\tNN\tI-NP\tO' -p341095 -aS'disease\tdisease\tNN\tI-NP\tO' -p341096 -aS'.\t.\t.\tO\tO' -p341097 -asS'No bruits .' -p341098 -(lp341099 -S'No\tNo\tDT\tB-NP\tO' -p341100 -aS'bruits\tbruit\tNNS\tI-NP\tO' -p341101 -aS'.\t.\t.\tO\tO' -p341102 -asS'Strength , sensation , coordination and cranial nerve function were all normal .' -p341103 -(lp341104 -S'Strength\tStrength\tNN\tB-NP\tO' -p341105 -aS',\t,\t,\tI-NP\tO' -p341106 -aS'sensation\tsensation\tNN\tI-NP\tO' -p341107 -aS',\t,\t,\tI-NP\tO' -p341108 -aS'coordination\tcoordination\tNN\tI-NP\tO' -p341109 -aS'and\tand\tCC\tI-NP\tO' -p341110 -aS'cranial\tcranial\tJJ\tI-NP\tO' -p341111 -aS'nerve\tnerve\tNN\tI-NP\tO' -p341112 -aS'function\tfunction\tNN\tI-NP\tO' -p341113 -aS'were\tbe\tVBD\tB-VP\tO' -p341114 -aS'all\tall\tDT\tO\tO' -p341115 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p341116 -aS'.\t.\t.\tO\tO' -p341117 -asS'2. Hypothyroidism .' -p341118 -(lp341119 -S'2.\t2.\tLS\tB-NP\tO' -p341120 -aS'Hypothyroidism\tHypothyroidism\tNN\tI-NP\tO' -p341121 -aS'.\t.\t.\tO\tO' -p341122 -asS'The patient was maintained on heparin anticoagulation .' -p341123 -(lp341124 -S'The\tThe\tDT\tB-NP\tO' -p341125 -aS'patient\tpatient\tNN\tI-NP\tO' -p341126 -aS'was\tbe\tVBD\tB-VP\tO' -p341127 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p341128 -aS'on\ton\tIN\tB-PP\tO' -p341129 -aS'heparin\theparin\tNN\tB-NP\tO' -p341130 -aS'anticoagulation\tanticoagulation\tNN\tI-NP\tO' -p341131 -aS'.\t.\t.\tO\tO' -p341132 -asS'The morphine is for breakthrough pain .' -p341133 -(lp341134 -S'The\tThe\tDT\tB-NP\tO' -p341135 -aS'morphine\tmorphine\tNN\tI-NP\tO' -p341136 -aS'is\tbe\tVBZ\tB-VP\tO' -p341137 -aS'for\tfor\tIN\tB-PP\tO' -p341138 -aS'breakthrough\tbreakthrough\tNN\tB-NP\tO' -p341139 -aS'pain\tpain\tNN\tI-NP\tO' -p341140 -aS'.\t.\t.\tO\tO' -p341141 -asS'She was to continue on a BRAT diet over the weekend and two days after discharge she could advance to a low fat no dairy diet .' -p341142 -(lp341143 -S'She\tShe\tPRP\tB-NP\tO' -p341144 -aS'was\tbe\tVBD\tB-VP\tO' -p341145 -aS'to\tto\tTO\tI-VP\tO' -p341146 -aS'continue\tcontinue\tVB\tI-VP\tO' -p341147 -aS'on\ton\tIN\tB-PP\tO' -p341148 -aS'a\ta\tDT\tB-NP\tO' -p341149 -aS'BRAT\tBRAT\tNN\tI-NP\tO' -p341150 -aS'diet\tdiet\tNN\tI-NP\tO' -p341151 -aS'over\tover\tIN\tB-PP\tO' -p341152 -aS'the\tthe\tDT\tB-NP\tO' -p341153 -aS'weekend\tweekend\tNN\tI-NP\tO' -p341154 -aS'and\tand\tCC\tO\tO' -p341155 -aS'two\ttwo\tCD\tB-NP\tO' -p341156 -aS'days\tday\tNNS\tI-NP\tO' -p341157 -aS'after\tafter\tIN\tB-PP\tO' -p341158 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p341159 -aS'she\tshe\tPRP\tB-NP\tO' -p341160 -aS'could\tcould\tMD\tB-VP\tO' -p341161 -aS'advance\tadvance\tVB\tI-VP\tO' -p341162 -aS'to\tto\tTO\tB-PP\tO' -p341163 -aS'a\ta\tDT\tB-NP\tO' -p341164 -aS'low\tlow\tJJ\tI-NP\tO' -p341165 -aS'fat\tfat\tNN\tI-NP\tO' -p341166 -aS'no\tno\tDT\tB-NP\tO' -p341167 -aS'dairy\tdairy\tNN\tI-NP\tO' -p341168 -aS'diet\tdiet\tNN\tI-NP\tO' -p341169 -aS'.\t.\t.\tO\tO' -p341170 -asS'However , upon transfer from the operating room table to the RICU bed , he suffered a cardiac arrest , which upon investigation was a primary respiratory arrest ; the initial arterial blood gas was 32/88/6.92 .' -p341171 -(lp341172 -S'However\tHowever\tRB\tB-ADVP\tO' -p341173 -aS',\t,\t,\tO\tO' -p341174 -aS'upon\tupon\tIN\tB-PP\tO' -p341175 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p341176 -aS'from\tfrom\tIN\tB-PP\tO' -p341177 -aS'the\tthe\tDT\tB-NP\tO' -p341178 -aS'operating\toperating\tNN\tI-NP\tO' -p341179 -aS'room\troom\tNN\tI-NP\tO' -p341180 -aS'table\ttable\tNN\tI-NP\tO' -p341181 -aS'to\tto\tTO\tB-PP\tO' -p341182 -aS'the\tthe\tDT\tB-NP\tO' -p341183 -aS'RICU\tRICU\tNNP\tI-NP\tO' -p341184 -aS'bed\tbed\tNN\tI-NP\tO' -p341185 -aS',\t,\t,\tO\tO' -p341186 -aS'he\the\tPRP\tB-NP\tO' -p341187 -aS'suffered\tsuffer\tVBD\tB-VP\tO' -p341188 -aS'a\ta\tDT\tB-NP\tO' -p341189 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p341190 -aS'arrest\tarrest\tNN\tI-NP\tO' -p341191 -aS',\t,\t,\tO\tO' -p341192 -aS'which\twhich\tWDT\tB-NP\tO' -p341193 -aS'upon\tupon\tIN\tB-PP\tO' -p341194 -aS'investigation\tinvestigation\tNN\tB-NP\tO' -p341195 -aS'was\tbe\tVBD\tB-VP\tO' -p341196 -aS'a\ta\tDT\tB-NP\tO' -p341197 -aS'primary\tprimary\tJJ\tI-NP\tO' -p341198 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p341199 -aS'arrest\tarrest\tNN\tI-NP\tO' -p341200 -aS';\t;\t:\tO\tO' -p341201 -aS'the\tthe\tDT\tB-NP\tO' -p341202 -aS'initial\tinitial\tJJ\tI-NP\tO' -p341203 -aS'arterial\tarterial\tJJ\tI-NP\tO' -p341204 -aS'blood\tblood\tNN\tI-NP\tO' -p341205 -aS'gas\tgas\tNN\tI-NP\tO' -p341206 -aS'was\tbe\tVBD\tB-VP\tO' -p341207 -aS'32/88/6.92\t32/88/6.92\tCD\tB-NP\tO' -p341208 -aS'.\t.\t.\tO\tO' -p341209 -asS"Given all the findings on the aortogram and the subsequent chest computer tomogram scan it was discovered that the patient 's only real surgical option for cure was a risky operation that involved removal and replacement of the aortic graft probably with homograft and long term antibiotic coverage as well as a plastic surgical reconstructive procedure ." -p341210 -(lp341211 -S'Given\tGive\tVBN\tB-PP\tO' -p341212 -aS'all\tall\tPDT\tB-NP\tO' -p341213 -aS'the\tthe\tDT\tI-NP\tO' -p341214 -aS'findings\tfinding\tNNS\tI-NP\tO' -p341215 -aS'on\ton\tIN\tB-PP\tO' -p341216 -aS'the\tthe\tDT\tB-NP\tO' -p341217 -aS'aortogram\taortogram\tNN\tI-NP\tO' -p341218 -aS'and\tand\tCC\tO\tO' -p341219 -aS'the\tthe\tDT\tB-NP\tO' -p341220 -aS'subsequent\tsubsequent\tJJ\tI-NP\tO' -p341221 -aS'chest\tchest\tNN\tI-NP\tO' -p341222 -aS'computer\tcomputer\tNN\tI-NP\tO' -p341223 -aS'tomogram\ttomogram\tNN\tI-NP\tO' -p341224 -aS'scan\tscan\tNN\tI-NP\tO' -p341225 -aS'it\tit\tPRP\tB-NP\tO' -p341226 -aS'was\tbe\tVBD\tB-VP\tO' -p341227 -aS'discovered\tdiscover\tVBN\tI-VP\tO' -p341228 -aS'that\tthat\tIN\tB-SBAR\tO' -p341229 -aS'the\tthe\tDT\tB-NP\tO' -p341230 -aS'patient\tpatient\tNN\tI-NP\tO' -p341231 -aS"'s\t's\tPOS\tB-NP\tO" -p341232 -aS'only\tonly\tJJ\tI-NP\tO' -p341233 -aS'real\treal\tJJ\tI-NP\tO' -p341234 -aS'surgical\tsurgical\tJJ\tI-NP\tO' -p341235 -aS'option\toption\tNN\tI-NP\tO' -p341236 -aS'for\tfor\tIN\tB-PP\tO' -p341237 -aS'cure\tcure\tNN\tB-NP\tO' -p341238 -aS'was\tbe\tVBD\tB-VP\tO' -p341239 -aS'a\ta\tDT\tB-NP\tO' -p341240 -aS'risky\trisky\tJJ\tI-NP\tO' -p341241 -aS'operation\toperation\tNN\tI-NP\tO' -p341242 -aS'that\tthat\tWDT\tB-NP\tO' -p341243 -aS'involved\tinvolve\tVBD\tB-VP\tO' -p341244 -aS'removal\tremoval\tNN\tB-NP\tO' -p341245 -aS'and\tand\tCC\tI-NP\tO' -p341246 -aS'replacement\treplacement\tNN\tI-NP\tO' -p341247 -aS'of\tof\tIN\tB-PP\tO' -p341248 -aS'the\tthe\tDT\tB-NP\tO' -p341249 -aS'aortic\taortic\tJJ\tI-NP\tO' -p341250 -aS'graft\tgraft\tNN\tI-NP\tO' -p341251 -aS'probably\tprobably\tRB\tB-ADVP\tO' -p341252 -aS'with\twith\tIN\tB-PP\tO' -p341253 -aS'homograft\thomograft\tNN\tB-NP\tO' -p341254 -aS'and\tand\tCC\tI-NP\tO' -p341255 -aS'long\tlong\tJJ\tI-NP\tO' -p341256 -aS'term\tterm\tNN\tI-NP\tO' -p341257 -aS'antibiotic\tantibiotic\tJJ\tI-NP\tO' -p341258 -aS'coverage\tcoverage\tNN\tI-NP\tO' -p341259 -aS'as\tas\tRB\tB-CONJP\tO' -p341260 -aS'well\twell\tRB\tI-CONJP\tO' -p341261 -aS'as\tas\tIN\tI-CONJP\tO' -p341262 -aS'a\ta\tDT\tB-NP\tO' -p341263 -aS'plastic\tplastic\tJJ\tI-NP\tO' -p341264 -aS'surgical\tsurgical\tJJ\tI-NP\tO' -p341265 -aS'reconstructive\treconstructive\tJJ\tI-NP\tO' -p341266 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p341267 -aS'.\t.\t.\tO\tO' -p341268 -asS'Chest was clear , bilateral cardiac exam showed regular rate and rhythm , abdomen was soft , nontender , except for mild left upper quadrant tenderness with a well healed , midline abdominal scar .' -p341269 -(lp341270 -S'Chest\tChest\tNNP\tB-NP\tO' -p341271 -aS'was\tbe\tVBD\tB-VP\tO' -p341272 -aS'clear\tclear\tJJ\tB-NP\tO' -p341273 -aS',\t,\t,\tI-NP\tO' -p341274 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p341275 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p341276 -aS'exam\texam\tNN\tI-NP\tO' -p341277 -aS'showed\tshow\tVBD\tB-VP\tO' -p341278 -aS'regular\tregular\tJJ\tB-NP\tO' -p341279 -aS'rate\trate\tNN\tI-NP\tO' -p341280 -aS'and\tand\tCC\tI-NP\tO' -p341281 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p341282 -aS',\t,\t,\tO\tO' -p341283 -aS'abdomen\tabdomen\tNN\tB-NP\tO' -p341284 -aS'was\tbe\tVBD\tB-VP\tO' -p341285 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p341286 -aS',\t,\t,\tO\tO' -p341287 -aS'nontender\tnontender\tJJ\tB-ADJP\tO' -p341288 -aS',\t,\t,\tO\tO' -p341289 -aS'except\texcept\tIN\tB-PP\tO' -p341290 -aS'for\tfor\tIN\tB-PP\tO' -p341291 -aS'mild\tmild\tJJ\tB-NP\tO' -p341292 -aS'left\tleft\tJJ\tI-NP\tO' -p341293 -aS'upper\tupper\tJJ\tI-NP\tO' -p341294 -aS'quadrant\tquadrant\tJJ\tI-NP\tO' -p341295 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p341296 -aS'with\twith\tIN\tB-PP\tO' -p341297 -aS'a\ta\tDT\tB-NP\tO' -p341298 -aS'well\twell\tRB\tI-NP\tO' -p341299 -aS'healed\thealed\tJJ\tI-NP\tO' -p341300 -aS',\t,\t,\tI-NP\tO' -p341301 -aS'midline\tmidline\tNN\tI-NP\tO' -p341302 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p341303 -aS'scar\tscar\tNN\tI-NP\tO' -p341304 -aS'.\t.\t.\tO\tO' -p341305 -asS'A number of indwelling closed suction drains were left in place so as to drain the bed underneath the muscle flaps .' -p341306 -(lp341307 -S'A\tA\tDT\tB-NP\tO' -p341308 -aS'number\tnumber\tNN\tI-NP\tO' -p341309 -aS'of\tof\tIN\tB-PP\tO' -p341310 -aS'indwelling\tindwell\tVBG\tB-VP\tO' -p341311 -aS'closed\tclosed\tJJ\tB-NP\tO' -p341312 -aS'suction\tsuction\tNN\tI-NP\tO' -p341313 -aS'drains\tdrain\tNNS\tI-NP\tO' -p341314 -aS'were\tbe\tVBD\tB-VP\tO' -p341315 -aS'left\tleave\tVBN\tI-VP\tO' -p341316 -aS'in\tin\tIN\tB-PP\tO' -p341317 -aS'place\tplace\tNN\tB-NP\tO' -p341318 -aS'so\tso\tRB\tB-SBAR\tO' -p341319 -aS'as\tas\tIN\tI-SBAR\tO' -p341320 -aS'to\tto\tTO\tB-VP\tO' -p341321 -aS'drain\tdrain\tVB\tI-VP\tO' -p341322 -aS'the\tthe\tDT\tB-NP\tO' -p341323 -aS'bed\tbed\tNN\tI-NP\tO' -p341324 -aS'underneath\tunderneath\tIN\tB-PP\tO' -p341325 -aS'the\tthe\tDT\tB-NP\tO' -p341326 -aS'muscle\tmuscle\tNN\tI-NP\tB-protein' -p341327 -aS'flaps\tflap\tNNS\tI-NP\tI-protein' -p341328 -aS'.\t.\t.\tO\tO' -p341329 -asS'The drainage had been decreasing and the patient continued to be afebrile .' -p341330 -(lp341331 -S'The\tThe\tDT\tB-NP\tO' -p341332 -aS'drainage\tdrainage\tNN\tI-NP\tO' -p341333 -aS'had\thave\tVBD\tB-VP\tO' -p341334 -aS'been\tbe\tVBN\tI-VP\tO' -p341335 -aS'decreasing\tdecrease\tVBG\tI-VP\tO' -p341336 -aS'and\tand\tCC\tO\tO' -p341337 -aS'the\tthe\tDT\tB-NP\tO' -p341338 -aS'patient\tpatient\tNN\tI-NP\tO' -p341339 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p341340 -aS'to\tto\tTO\tI-VP\tO' -p341341 -aS'be\tbe\tVB\tI-VP\tO' -p341342 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p341343 -aS'.\t.\t.\tO\tO' -p341344 -asS'The patient developed ulceration after IM injection .' -p341345 -(lp341346 -S'The\tThe\tDT\tB-NP\tO' -p341347 -aS'patient\tpatient\tNN\tI-NP\tO' -p341348 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p341349 -aS'ulceration\tulceration\tNN\tB-NP\tO' -p341350 -aS'after\tafter\tIN\tB-PP\tO' -p341351 -aS'IM\tIM\tNN\tB-NP\tO' -p341352 -aS'injection\tinjection\tNN\tI-NP\tO' -p341353 -aS'.\t.\t.\tO\tO' -p341354 -asS'Her son , Nertland is nearby and he works at the Em Nysonken Medical Center on Verville .' -p341355 -(lp341356 -S'Her\tHer\tPRP$\tB-NP\tO' -p341357 -aS'son\tson\tNN\tI-NP\tO' -p341358 -aS',\t,\t,\tO\tO' -p341359 -aS'Nertland\tNertland\tNNP\tB-NP\tO' -p341360 -aS'is\tbe\tVBZ\tB-VP\tO' -p341361 -aS'nearby\tnearby\tRB\tB-ADVP\tO' -p341362 -aS'and\tand\tCC\tO\tO' -p341363 -aS'he\the\tPRP\tB-NP\tO' -p341364 -aS'works\twork\tVBZ\tB-VP\tO' -p341365 -aS'at\tat\tIN\tB-PP\tO' -p341366 -aS'the\tthe\tDT\tB-NP\tO' -p341367 -aS'Em\tEm\tNNP\tI-NP\tO' -p341368 -aS'Nysonken\tNysonken\tNNP\tI-NP\tO' -p341369 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p341370 -aS'Center\tCenter\tNNP\tI-NP\tO' -p341371 -aS'on\ton\tIN\tB-PP\tO' -p341372 -aS'Verville\tVerville\tNNP\tB-NP\tO' -p341373 -aS'.\t.\t.\tO\tO' -p341374 -asS'Statin was also deffered .' -p341375 -(lp341376 -S'Statin\tStatin\tNN\tB-NP\tB-protein' -p341377 -aS'was\tbe\tVBD\tB-VP\tO' -p341378 -aS'also\talso\tRB\tI-VP\tO' -p341379 -aS'deffered\tdeffere\tVBN\tI-VP\tO' -p341380 -aS'.\t.\t.\tO\tO' -p341381 -asS'Preserved LV systolic function on phenylephrine .' -p341382 -(lp341383 -S'Preserved\tPreserve\tVBN\tB-NP\tO' -p341384 -aS'LV\tLV\tNN\tI-NP\tO' -p341385 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p341386 -aS'function\tfunction\tNN\tI-NP\tO' -p341387 -aS'on\ton\tIN\tB-PP\tO' -p341388 -aS'phenylephrine\tphenylephrine\tNN\tB-NP\tO' -p341389 -aS'.\t.\t.\tO\tO' -p341390 -asS'Her only additional medication on discharge is Percocet as needed for pain .' -p341391 -(lp341392 -S'Her\tHer\tPRP$\tB-NP\tO' -p341393 -aS'only\tonly\tJJ\tI-NP\tO' -p341394 -aS'additional\tadditional\tJJ\tI-NP\tO' -p341395 -aS'medication\tmedication\tNN\tI-NP\tO' -p341396 -aS'on\ton\tIN\tB-PP\tO' -p341397 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p341398 -aS'is\tbe\tVBZ\tB-VP\tO' -p341399 -aS'Percocet\tPercocet\tNNP\tB-NP\tO' -p341400 -aS'as\tas\tIN\tB-SBAR\tO' -p341401 -aS'needed\tneed\tVBN\tB-VP\tO' -p341402 -aS'for\tfor\tIN\tB-PP\tO' -p341403 -aS'pain\tpain\tNN\tB-NP\tO' -p341404 -aS'.\t.\t.\tO\tO' -p341405 -asS'Guaiac negative .' -p341406 -(lp341407 -S'Guaiac\tGuaiac\tNN\tB-NP\tO' -p341408 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p341409 -aS'.\t.\t.\tO\tO' -p341410 -asS'She was also started on Decadron in preparation for her chemotherapy .' -p341411 -(lp341412 -S'She\tShe\tPRP\tB-NP\tO' -p341413 -aS'was\tbe\tVBD\tB-VP\tO' -p341414 -aS'also\talso\tRB\tI-VP\tO' -p341415 -aS'started\tstart\tVBN\tI-VP\tO' -p341416 -aS'on\ton\tIN\tB-PP\tO' -p341417 -aS'Decadron\tDecadron\tNNP\tB-NP\tO' -p341418 -aS'in\tin\tIN\tB-PP\tO' -p341419 -aS'preparation\tpreparation\tNN\tB-NP\tO' -p341420 -aS'for\tfor\tIN\tB-PP\tO' -p341421 -aS'her\ther\tPRP$\tB-NP\tO' -p341422 -aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' -p341423 -aS'.\t.\t.\tO\tO' -p341424 -asS'Reflexes 4+ overall in the upper extremities and 3+ overall in the lower extremities , an upgoing left toe and a down going right toe .' -p341425 -(lp341426 -S'Reflexes\tReflex\tNNS\tB-NP\tO' -p341427 -aS'4+\t4+\tJJ\tB-ADJP\tO' -p341428 -aS'overall\toverall\tNN\tB-ADVP\tO' -p341429 -aS'in\tin\tIN\tB-PP\tO' -p341430 -aS'the\tthe\tDT\tB-NP\tO' -p341431 -aS'upper\tupper\tJJ\tI-NP\tO' -p341432 -aS'extremities\textremity\tNNS\tI-NP\tO' -p341433 -aS'and\tand\tCC\tO\tO' -p341434 -aS'3+\t3+\tJJ\tB-NP\tO' -p341435 -aS'overall\toverall\tRB\tB-ADVP\tO' -p341436 -aS'in\tin\tIN\tB-PP\tO' -p341437 -aS'the\tthe\tDT\tB-NP\tO' -p341438 -aS'lower\tlow\tJJR\tI-NP\tO' -p341439 -aS'extremities\textremity\tNNS\tI-NP\tO' -p341440 -aS',\t,\t,\tO\tO' -p341441 -aS'an\tan\tDT\tB-NP\tO' -p341442 -aS'upgoing\tupgoe\tVBG\tI-NP\tO' -p341443 -aS'left\tleft\tJJ\tI-NP\tO' -p341444 -aS'toe\ttoe\tNN\tI-NP\tO' -p341445 -aS'and\tand\tCC\tO\tO' -p341446 -aS'a\ta\tDT\tB-NP\tO' -p341447 -aS'down\tdown\tRB\tI-NP\tO' -p341448 -aS'going\tgo\tVBG\tI-NP\tO' -p341449 -aS'right\tright\tJJ\tI-NP\tO' -p341450 -aS'toe\ttoe\tNN\tI-NP\tO' -p341451 -aS'.\t.\t.\tO\tO' -p341452 -asS'He was discharged to home in stable condition and feeling well .' -p341453 -(lp341454 -S'He\tHe\tPRP\tB-NP\tO' -p341455 -aS'was\tbe\tVBD\tB-VP\tO' -p341456 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p341457 -aS'to\tto\tTO\tB-PP\tO' -p341458 -aS'home\thome\tNN\tB-NP\tO' -p341459 -aS'in\tin\tIN\tB-PP\tO' -p341460 -aS'stable\tstable\tJJ\tB-NP\tO' -p341461 -aS'condition\tcondition\tNN\tI-NP\tO' -p341462 -aS'and\tand\tCC\tI-NP\tO' -p341463 -aS'feeling\tfeeling\tNN\tI-NP\tO' -p341464 -aS'well\twell\tRB\tB-ADVP\tO' -p341465 -aS'.\t.\t.\tO\tO' -p341466 -asS'+ Egophony .' -p341467 -(lp341468 -S'+\t+\tSYM\tO\tO' -p341469 -aS'Egophony\tEgophony\tNNP\tB-NP\tO' -p341470 -aS'.\t.\t.\tO\tO' -p341471 -asS'7.) H/O DVT ( right sided ) and subsequent PE , put onto lifetime warfarin' -p341472 -(lp341473 -S'7.)\t7.)\tLS\tB-NP\tO' -p341474 -aS'H/O\tH/O\tNN\tI-NP\tB-protein' -p341475 -aS'DVT\tDVT\tNN\tI-NP\tI-protein' -p341476 -aS'(\t(\t(\tO\tO' -p341477 -aS'right\tright\tJJ\tB-NP\tO' -p341478 -aS'sided\tsided\tJJ\tI-NP\tO' -p341479 -aS')\t)\t)\tO\tO' -p341480 -aS'and\tand\tCC\tO\tO' -p341481 -aS'subsequent\tsubsequent\tJJ\tB-NP\tO' -p341482 -aS'PE\tPE\tNN\tI-NP\tO' -p341483 -aS',\t,\t,\tO\tO' -p341484 -aS'put\tput\tVBN\tB-VP\tO' -p341485 -aS'onto\tonto\tIN\tB-PP\tO' -p341486 -aS'lifetime\tlifetime\tNN\tB-NP\tO' -p341487 -aS'warfarin\twarfarin\tNN\tI-NP\tO' -p341488 -asS'Normal S1 and S2 without murmurs or rubs .' -p341489 -(lp341490 -S'Normal\tNormal\tJJ\tB-NP\tO' -p341491 -aS'S1\tS1\tNN\tI-NP\tB-protein' -p341492 -aS'and\tand\tCC\tO\tO' -p341493 -aS'S2\tS2\tNN\tB-NP\tB-protein' -p341494 -aS'without\twithout\tIN\tB-PP\tO' -p341495 -aS'murmurs\tmurmur\tNNS\tB-NP\tO' -p341496 -aS'or\tor\tCC\tI-NP\tO' -p341497 -aS'rubs\trub\tNNS\tI-NP\tO' -p341498 -aS'.\t.\t.\tO\tO' -p341499 -asS'Blood electrolytes were remarkable for a sodium of 148 and a potassium of 5.1 .' -p341500 -(lp341501 -S'Blood\tBlood\tNN\tB-NP\tO' -p341502 -aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' -p341503 -aS'were\tbe\tVBD\tB-VP\tO' -p341504 -aS'remarkable\tremarkable\tJJ\tB-ADJP\tO' -p341505 -aS'for\tfor\tIN\tB-PP\tO' -p341506 -aS'a\ta\tDT\tB-NP\tO' -p341507 -aS'sodium\tsodium\tNN\tI-NP\tO' -p341508 -aS'of\tof\tIN\tB-PP\tO' -p341509 -aS'148\t148\tCD\tB-NP\tO' -p341510 -aS'and\tand\tCC\tO\tO' -p341511 -aS'a\ta\tDT\tB-NP\tO' -p341512 -aS'potassium\tpotassium\tNN\tI-NP\tO' -p341513 -aS'of\tof\tIN\tB-PP\tO' -p341514 -aS'5.1\t5.1\tCD\tB-NP\tO' -p341515 -aS'.\t.\t.\tO\tO' -p341516 -asS'No SOB , ? fever at home .' -p341517 -(lp341518 -S'No\tNo\tDT\tB-NP\tO' -p341519 -aS'SOB\tSOB\tNN\tI-NP\tB-protein' -p341520 -aS',\t,\t,\tO\tO' -p341521 -aS'?\t?\t.\tO\tO' -p341522 -aS'fever\tfever\tNN\tB-NP\tO' -p341523 -aS'at\tat\tIN\tB-PP\tO' -p341524 -aS'home\thome\tNN\tB-NP\tO' -p341525 -aS'.\t.\t.\tO\tO' -p341526 -asS'The patient told other staff that he had a few cocktails and drinking a few more glasses of wine when he ran into some friends at a bar .' -p341527 -(lp341528 -S'The\tThe\tDT\tB-NP\tO' -p341529 -aS'patient\tpatient\tNN\tI-NP\tO' -p341530 -aS'told\ttell\tVBD\tB-VP\tO' -p341531 -aS'other\tother\tJJ\tB-NP\tO' -p341532 -aS'staff\tstaff\tNN\tI-NP\tO' -p341533 -aS'that\tthat\tIN\tB-NP\tO' -p341534 -aS'he\the\tPRP\tB-NP\tO' -p341535 -aS'had\thave\tVBD\tB-VP\tO' -p341536 -aS'a\ta\tDT\tB-NP\tO' -p341537 -aS'few\tfew\tJJ\tI-NP\tO' -p341538 -aS'cocktails\tcocktail\tNNS\tI-NP\tO' -p341539 -aS'and\tand\tCC\tO\tO' -p341540 -aS'drinking\tdrink\tVBG\tB-VP\tO' -p341541 -aS'a\ta\tDT\tB-NP\tO' -p341542 -aS'few\tfew\tJJ\tI-NP\tO' -p341543 -aS'more\tmore\tJJR\tI-NP\tO' -p341544 -aS'glasses\tglass\tNNS\tI-NP\tO' -p341545 -aS'of\tof\tIN\tB-PP\tO' -p341546 -aS'wine\twine\tNN\tB-NP\tO' -p341547 -aS'when\twhen\tWRB\tB-ADVP\tO' -p341548 -aS'he\the\tPRP\tB-NP\tO' -p341549 -aS'ran\trun\tVBD\tB-VP\tO' -p341550 -aS'into\tinto\tIN\tB-PP\tO' -p341551 -aS'some\tsome\tDT\tB-NP\tO' -p341552 -aS'friends\tfriend\tNNS\tI-NP\tO' -p341553 -aS'at\tat\tIN\tB-PP\tO' -p341554 -aS'a\ta\tDT\tB-NP\tO' -p341555 -aS'bar\tbar\tNN\tI-NP\tB-protein' -p341556 -aS'.\t.\t.\tO\tO' -p341557 -asS'She tolerated the procedure well and was transferred to the CSRU for invasive monitoring in stable condition .' -p341558 -(lp341559 -S'She\tShe\tPRP\tB-NP\tO' -p341560 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p341561 -aS'the\tthe\tDT\tB-NP\tO' -p341562 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p341563 -aS'well\twell\tRB\tB-ADVP\tO' -p341564 -aS'and\tand\tCC\tO\tO' -p341565 -aS'was\tbe\tVBD\tB-VP\tO' -p341566 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p341567 -aS'to\tto\tTO\tB-PP\tO' -p341568 -aS'the\tthe\tDT\tB-NP\tO' -p341569 -aS'CSRU\tCSRU\tNN\tI-NP\tO' -p341570 -aS'for\tfor\tIN\tB-PP\tO' -p341571 -aS'invasive\tinvasive\tJJ\tB-NP\tO' -p341572 -aS'monitoring\tmonitoring\tNN\tI-NP\tO' -p341573 -aS'in\tin\tIN\tB-PP\tO' -p341574 -aS'stable\tstable\tJJ\tB-NP\tO' -p341575 -aS'condition\tcondition\tNN\tI-NP\tO' -p341576 -aS'.\t.\t.\tO\tO' -p341577 -asS'The patient 's father died at age 69 with metastatic prostate cancer .' -p341578 -(lp341579 -S'The\tThe\tDT\tB-NP\tO' -p341580 -aS'patient\tpatient\tNN\tI-NP\tO' -p341581 -aS''s\t'\tNNS\tI-NP\tO' -p341582 -aS'father\tfather\tNN\tI-NP\tO' -p341583 -aS'died\tdie\tVBD\tB-VP\tO' -p341584 -aS'at\tat\tIN\tB-PP\tO' -p341585 -aS'age\tage\tNN\tB-NP\tO' -p341586 -aS'69\t69\tCD\tI-NP\tO' -p341587 -aS'with\twith\tIN\tB-PP\tO' -p341588 -aS'metastatic\tmetastatic\tJJ\tB-NP\tO' -p341589 -aS'prostate\tprostate\tNN\tI-NP\tO' -p341590 -aS'cancer\tcancer\tNN\tI-NP\tO' -p341591 -aS'.\t.\t.\tO\tO' -p341592 -asS'She also has food allergies to raw vegetables as well as some shortness of breath and throat constriction with shrimp .' -p341593 -(lp341594 -S'She\tShe\tPRP\tB-NP\tO' -p341595 -aS'also\talso\tRB\tB-ADVP\tO' -p341596 -aS'has\thave\tVBZ\tB-VP\tO' -p341597 -aS'food\tfood\tNN\tB-NP\tO' -p341598 -aS'allergies\tallergy\tNNS\tI-NP\tO' -p341599 -aS'to\tto\tTO\tB-PP\tO' -p341600 -aS'raw\traw\tJJ\tB-NP\tO' -p341601 -aS'vegetables\tvegetable\tNNS\tI-NP\tO' -p341602 -aS'as\tas\tRB\tB-CONJP\tO' -p341603 -aS'well\twell\tRB\tI-CONJP\tO' -p341604 -aS'as\tas\tIN\tI-CONJP\tO' -p341605 -aS'some\tsome\tDT\tB-NP\tO' -p341606 -aS'shortness\tshortness\tNN\tI-NP\tO' -p341607 -aS'of\tof\tIN\tB-PP\tO' -p341608 -aS'breath\tbreath\tNN\tB-NP\tO' -p341609 -aS'and\tand\tCC\tI-NP\tO' -p341610 -aS'throat\tthroat\tNN\tI-NP\tO' -p341611 -aS'constriction\tconstriction\tNN\tI-NP\tO' -p341612 -aS'with\twith\tIN\tB-PP\tO' -p341613 -aS'shrimp\tshrimp\tNN\tB-NP\tO' -p341614 -aS'.\t.\t.\tO\tO' -p341615 -asS'Head CT There is diffuse metastatic disease .' -p341616 -(lp341617 -S'Head\tHead\tJJ\tB-NP\tO' -p341618 -aS'CT\tCT\tNN\tI-NP\tO' -p341619 -aS'There\tThere\tEX\tB-NP\tO' -p341620 -aS'is\tbe\tVBZ\tB-VP\tO' -p341621 -aS'diffuse\tdiffuse\tJJ\tB-NP\tO' -p341622 -aS'metastatic\tmetastatic\tJJ\tI-NP\tO' -p341623 -aS'disease\tdisease\tNN\tI-NP\tO' -p341624 -aS'.\t.\t.\tO\tO' -p341625 -asS'Temperature 98.4 , heart rate 78 and sinus rhythm , blood pressure 106/50 , respiratory rate 18 , oxygen saturation 97% on room air .' -p341626 -(lp341627 -S'Temperature\tTemperature\tNN\tB-NP\tB-protein' -p341628 -aS'98.4\t98.4\tCD\tI-NP\tI-protein' -p341629 -aS',\t,\t,\tO\tO' -p341630 -aS'heart\theart\tNN\tB-NP\tO' -p341631 -aS'rate\trate\tNN\tI-NP\tO' -p341632 -aS'78\t78\tCD\tB-NP\tO' -p341633 -aS'and\tand\tCC\tI-NP\tO' -p341634 -aS'sinus\tsinus\tNN\tI-NP\tO' -p341635 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p341636 -aS',\t,\t,\tO\tO' -p341637 -aS'blood\tblood\tNN\tB-NP\tO' -p341638 -aS'pressure\tpressure\tNN\tI-NP\tO' -p341639 -aS'106/50\t106/50\tCD\tI-NP\tO' -p341640 -aS',\t,\t,\tO\tO' -p341641 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p341642 -aS'rate\trate\tNN\tI-NP\tO' -p341643 -aS'18\t18\tCD\tI-NP\tO' -p341644 -aS',\t,\t,\tO\tO' -p341645 -aS'oxygen\toxygen\tNN\tB-NP\tO' -p341646 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p341647 -aS'97%\t97%\tNN\tI-NP\tO' -p341648 -aS'on\ton\tIN\tB-PP\tO' -p341649 -aS'room\troom\tNN\tB-NP\tO' -p341650 -aS'air\tair\tNN\tI-NP\tO' -p341651 -aS'.\t.\t.\tO\tO' -p341652 -asS'The patient 's preliminary admitting physician is LINKETHORE , HANSVERLLEN G and the preliminary diagnosis is HEMATURIA .' -p341653 -(lp341654 -S'The\tThe\tDT\tB-NP\tO' -p341655 -aS'patient\tpatient\tNN\tI-NP\tO' -p341656 -aS''s\t'\tNNS\tI-NP\tO' -p341657 -aS'preliminary\tpreliminary\tJJ\tB-NP\tO' -p341658 -aS'admitting\tadmit\tVBG\tI-NP\tO' -p341659 -aS'physician\tphysician\tNN\tI-NP\tO' -p341660 -aS'is\tbe\tVBZ\tB-VP\tO' -p341661 -aS'LINKETHORE\tLINKETHORE\tNNP\tB-NP\tO' -p341662 -aS',\t,\t,\tO\tO' -p341663 -aS'HANSVERLLEN\tHANSVERLLEN\tNNP\tB-NP\tO' -p341664 -aS'G\tG\tNNP\tI-NP\tO' -p341665 -aS'and\tand\tCC\tO\tO' -p341666 -aS'the\tthe\tDT\tB-NP\tO' -p341667 -aS'preliminary\tpreliminary\tJJ\tI-NP\tO' -p341668 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p341669 -aS'is\tbe\tVBZ\tB-VP\tO' -p341670 -aS'HEMATURIA\tHEMATURIA\tNN\tB-NP\tO' -p341671 -aS'.\t.\t.\tO\tO' -p341672 -asS'Bilateral pectoralis major myocutaneous advancement flap .' -p341673 -(lp341674 -S'Bilateral\tBilateral\tJJ\tB-NP\tO' -p341675 -aS'pectoralis\tpectoralis\tNN\tI-NP\tO' -p341676 -aS'major\tmajor\tJJ\tI-NP\tO' -p341677 -aS'myocutaneous\tmyocutaneous\tJJ\tI-NP\tO' -p341678 -aS'advancement\tadvancement\tNN\tI-NP\tO' -p341679 -aS'flap\tflap\tNN\tI-NP\tO' -p341680 -aS'.\t.\t.\tO\tO' -p341681 -asS'The patient 's father died at the age of 83 of CHF .' -p341682 -(lp341683 -S'The\tThe\tDT\tB-NP\tO' -p341684 -aS'patient\tpatient\tNN\tI-NP\tO' -p341685 -aS''s\t'\tNNS\tI-NP\tO' -p341686 -aS'father\tfather\tNN\tI-NP\tO' -p341687 -aS'died\tdie\tVBD\tB-VP\tO' -p341688 -aS'at\tat\tIN\tB-PP\tO' -p341689 -aS'the\tthe\tDT\tB-NP\tO' -p341690 -aS'age\tage\tNN\tI-NP\tO' -p341691 -aS'of\tof\tIN\tB-PP\tO' -p341692 -aS'83\t83\tCD\tB-NP\tO' -p341693 -aS'of\tof\tIN\tB-PP\tO' -p341694 -aS'CHF\tCHF\tNN\tB-NP\tB-protein' -p341695 -aS'.\t.\t.\tO\tO' -p341696 -asS'The patient otherwise continued to do well and was becoming more oriented as time went on and as his blood pressure was brought under control .' -p341697 -(lp341698 -S'The\tThe\tDT\tB-NP\tO' -p341699 -aS'patient\tpatient\tNN\tI-NP\tO' -p341700 -aS'otherwise\totherwise\tRB\tB-ADVP\tO' -p341701 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p341702 -aS'to\tto\tTO\tI-VP\tO' -p341703 -aS'do\tdo\tVB\tI-VP\tO' -p341704 -aS'well\twell\tRB\tB-ADVP\tO' -p341705 -aS'and\tand\tCC\tO\tO' -p341706 -aS'was\tbe\tVBD\tB-VP\tO' -p341707 -aS'becoming\tbecome\tVBG\tI-VP\tO' -p341708 -aS'more\tmore\tRBR\tB-ADJP\tO' -p341709 -aS'oriented\torient\tVBN\tI-ADJP\tO' -p341710 -aS'as\tas\tIN\tB-SBAR\tO' -p341711 -aS'time\ttime\tNN\tB-NP\tO' -p341712 -aS'went\tgo\tVBD\tB-VP\tO' -p341713 -aS'on\ton\tIN\tB-PP\tO' -p341714 -aS'and\tand\tCC\tI-PP\tO' -p341715 -aS'as\tas\tIN\tI-PP\tO' -p341716 -aS'his\this\tPRP$\tB-NP\tO' -p341717 -aS'blood\tblood\tNN\tI-NP\tO' -p341718 -aS'pressure\tpressure\tNN\tI-NP\tO' -p341719 -aS'was\tbe\tVBD\tB-VP\tO' -p341720 -aS'brought\tbring\tVBN\tI-VP\tO' -p341721 -aS'under\tunder\tIN\tB-PP\tO' -p341722 -aS'control\tcontrol\tNN\tB-NP\tO' -p341723 -aS'.\t.\t.\tO\tO' -p341724 -asS'She was started on her immunosuppressive agents as per protocol .' -p341725 -(lp341726 -S'She\tShe\tPRP\tB-NP\tO' -p341727 -aS'was\tbe\tVBD\tB-VP\tO' -p341728 -aS'started\tstart\tVBN\tI-VP\tO' -p341729 -aS'on\ton\tIN\tB-PP\tO' -p341730 -aS'her\ther\tPRP$\tB-NP\tO' -p341731 -aS'immunosuppressive\timmunosuppressive\tJJ\tI-NP\tO' -p341732 -aS'agents\tagent\tNNS\tI-NP\tO' -p341733 -aS'as\tas\tIN\tB-PP\tO' -p341734 -aS'per\tper\tIN\tB-PP\tO' -p341735 -aS'protocol\tprotocol\tNN\tB-NP\tO' -p341736 -aS'.\t.\t.\tO\tO' -p341737 -asS'Signed electronically by : DR. Elizabeth Gabriele on : FRI 2010-09-10 3:04 PM' -p341738 -(lp341739 -S'Signed\tSign\tVBN\tB-VP\tO' -p341740 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p341741 -aS'by\tby\tIN\tB-PP\tO' -p341742 -aS':\t:\t:\tO\tO' -p341743 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p341744 -aS'Elizabeth\tElizabeth\tNNP\tI-NP\tO' -p341745 -aS'Gabriele\tGabriele\tNNP\tI-NP\tO' -p341746 -aS'on\ton\tIN\tB-PP\tO' -p341747 -aS':\t:\t:\tO\tO' -p341748 -aS'FRI\tFRI\tCD\tB-NP\tO' -p341749 -aS'2010-09-10\t2010-09-10\tCD\tI-NP\tO' -p341750 -aS'3:04\t3:04\tCD\tI-NP\tO' -p341751 -aS'PM\tPM\tNN\tI-NP\tO' -p341752 -asS'This is consistent with intraparenchymal hemorrhage , more likely hypertensive in etiology .' -p341753 -(lp341754 -S'This\tThis\tDT\tB-NP\tO' -p341755 -aS'is\tbe\tVBZ\tB-VP\tO' -p341756 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p341757 -aS'with\twith\tIN\tB-PP\tO' -p341758 -aS'intraparenchymal\tintraparenchymal\tJJ\tB-NP\tO' -p341759 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p341760 -aS',\t,\t,\tO\tO' -p341761 -aS'more\tmore\tRBR\tB-NP\tO' -p341762 -aS'likely\tlikely\tJJ\tI-NP\tO' -p341763 -aS'hypertensive\thypertensive\tNN\tI-NP\tO' -p341764 -aS'in\tin\tIN\tB-PP\tO' -p341765 -aS'etiology\tetiology\tNN\tB-NP\tO' -p341766 -aS'.\t.\t.\tO\tO' -p341767 -asS'She was placed on 50% vent mask , which improved her oxygenation to 97% .' -p341768 -(lp341769 -S'She\tShe\tPRP\tB-NP\tO' -p341770 -aS'was\tbe\tVBD\tB-VP\tO' -p341771 -aS'placed\tplace\tVBN\tI-VP\tO' -p341772 -aS'on\ton\tIN\tB-PP\tO' -p341773 -aS'50%\t50%\tCD\tB-NP\tO' -p341774 -aS'vent\tvent\tNN\tI-NP\tO' -p341775 -aS'mask\tmask\tNN\tI-NP\tO' -p341776 -aS',\t,\t,\tO\tO' -p341777 -aS'which\twhich\tWDT\tB-NP\tO' -p341778 -aS'improved\timprove\tVBD\tB-VP\tO' -p341779 -aS'her\ther\tPRP$\tB-NP\tO' -p341780 -aS'oxygenation\toxygenation\tNN\tI-NP\tO' -p341781 -aS'to\tto\tTO\tB-PP\tO' -p341782 -aS'97%\t97%\tCD\tB-NP\tO' -p341783 -aS'.\t.\t.\tO\tO' -p341784 -asS'Initial improvement was followed by recurrence of low SVR , high cardiac output , ongoing acidosis , requiring norepinephrine infusion in the 30 to 40 mcg per minute range ; drainage from the Jackson-Pratt drains were minimal despite irrigation and manipulation .' -p341785 -(lp341786 -S'Initial\tInitial\tJJ\tB-NP\tO' -p341787 -aS'improvement\timprovement\tNN\tI-NP\tO' -p341788 -aS'was\tbe\tVBD\tB-VP\tO' -p341789 -aS'followed\tfollow\tVBN\tI-VP\tO' -p341790 -aS'by\tby\tIN\tB-PP\tO' -p341791 -aS'recurrence\trecurrence\tNN\tB-NP\tO' -p341792 -aS'of\tof\tIN\tB-PP\tO' -p341793 -aS'low\tlow\tJJ\tB-NP\tO' -p341794 -aS'SVR\tSVR\tNN\tI-NP\tO' -p341795 -aS',\t,\t,\tO\tO' -p341796 -aS'high\thigh\tJJ\tB-NP\tO' -p341797 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p341798 -aS'output\toutput\tNN\tI-NP\tO' -p341799 -aS',\t,\t,\tO\tO' -p341800 -aS'ongoing\tongoing\tJJ\tB-NP\tO' -p341801 -aS'acidosis\tacidosis\tNN\tI-NP\tO' -p341802 -aS',\t,\t,\tO\tO' -p341803 -aS'requiring\trequire\tVBG\tB-VP\tO' -p341804 -aS'norepinephrine\tnorepinephrine\tNN\tB-NP\tO' -p341805 -aS'infusion\tinfusion\tNN\tI-NP\tO' -p341806 -aS'in\tin\tIN\tB-PP\tO' -p341807 -aS'the\tthe\tDT\tB-NP\tO' -p341808 -aS'30\t30\tCD\tI-NP\tO' -p341809 -aS'to\tto\tTO\tI-NP\tO' -p341810 -aS'40\t40\tCD\tI-NP\tO' -p341811 -aS'mcg\tmcg\tNN\tI-NP\tO' -p341812 -aS'per\tper\tIN\tB-PP\tO' -p341813 -aS'minute\tminute\tNN\tB-NP\tO' -p341814 -aS'range\trange\tNN\tI-NP\tO' -p341815 -aS';\t;\t:\tO\tO' -p341816 -aS'drainage\tdrainage\tNN\tB-NP\tO' -p341817 -aS'from\tfrom\tIN\tB-PP\tO' -p341818 -aS'the\tthe\tDT\tB-NP\tO' -p341819 -aS'Jackson-Pratt\tJackson-Pratt\tJJ\tI-NP\tB-protein' -p341820 -aS'drains\tdrain\tNNS\tI-NP\tI-protein' -p341821 -aS'were\tbe\tVBD\tB-VP\tO' -p341822 -aS'minimal\tminimal\tJJ\tB-ADJP\tO' -p341823 -aS'despite\tdespite\tIN\tB-PP\tO' -p341824 -aS'irrigation\tirrigation\tNN\tB-NP\tO' -p341825 -aS'and\tand\tCC\tI-NP\tO' -p341826 -aS'manipulation\tmanipulation\tNN\tI-NP\tO' -p341827 -aS'.\t.\t.\tO\tO' -p341828 -asS'PRINCIPAL DISCHARGE DIAGNOSIS ; Responsible After Study for Causing Admission )' -p341829 -(lp341830 -S'PRINCIPAL\tPRINCIPAL\tJJ\tB-NP\tO' -p341831 -aS'DISCHARGE\tDISCHARGE\tNN\tI-NP\tO' -p341832 -aS'DIAGNOSIS\tDIAGNOSIS\tNN\tI-NP\tO' -p341833 -aS';\t;\t:\tO\tO' -p341834 -aS'Responsible\tResponsible\tJJ\tB-ADJP\tO' -p341835 -aS'After\tAfter\tIN\tB-PP\tO' -p341836 -aS'Study\tStudy\tNNP\tB-NP\tO' -p341837 -aS'for\tfor\tIN\tB-PP\tO' -p341838 -aS'Causing\tCausing\tNNP\tB-NP\tO' -p341839 -aS'Admission\tAdmission\tNNP\tI-NP\tO' -p341840 -aS')\t)\t)\tO\tO' -p341841 -asS"Given the patient 's persistent hypotensive episodes , and decreased urine output , she was transferred back to the Medical Intensive Care Unit for management prior to initiation of Flolan therapy ." -p341842 -(lp341843 -S'Given\tGive\tVBN\tB-PP\tO' -p341844 -aS'the\tthe\tDT\tB-NP\tO' -p341845 -aS'patient\tpatient\tNN\tI-NP\tO' -p341846 -aS"'s\t's\tPOS\tB-NP\tO" -p341847 -aS'persistent\tpersistent\tJJ\tI-NP\tO' -p341848 -aS'hypotensive\thypotensive\tJJ\tI-NP\tO' -p341849 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p341850 -aS',\t,\t,\tO\tO' -p341851 -aS'and\tand\tCC\tO\tO' -p341852 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p341853 -aS'urine\turine\tNN\tB-NP\tO' -p341854 -aS'output\toutput\tNN\tI-NP\tO' -p341855 -aS',\t,\t,\tO\tO' -p341856 -aS'she\tshe\tPRP\tB-NP\tO' -p341857 -aS'was\tbe\tVBD\tB-VP\tO' -p341858 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p341859 -aS'back\tback\tRB\tB-ADVP\tO' -p341860 -aS'to\tto\tTO\tB-PP\tO' -p341861 -aS'the\tthe\tDT\tB-NP\tO' -p341862 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p341863 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p341864 -aS'Care\tCare\tNNP\tI-NP\tO' -p341865 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p341866 -aS'for\tfor\tIN\tB-PP\tO' -p341867 -aS'management\tmanagement\tNN\tB-NP\tO' -p341868 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p341869 -aS'to\tto\tTO\tB-PP\tO' -p341870 -aS'initiation\tinitiation\tNN\tB-NP\tO' -p341871 -aS'of\tof\tIN\tB-PP\tO' -p341872 -aS'Flolan\tFlolan\tNN\tB-NP\tO' -p341873 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p341874 -aS'.\t.\t.\tO\tO' -p341875 -asS'In addition , he also complained of difficulty with swallowing , necessitating only soft and liquid diet .' -p341876 -(lp341877 -S'In\tIn\tIN\tB-PP\tO' -p341878 -aS'addition\taddition\tNN\tB-NP\tO' -p341879 -aS',\t,\t,\tO\tO' -p341880 -aS'he\the\tPRP\tB-NP\tO' -p341881 -aS'also\talso\tRB\tB-ADVP\tO' -p341882 -aS'complained\tcomplain\tVBD\tB-VP\tO' -p341883 -aS'of\tof\tIN\tB-PP\tO' -p341884 -aS'difficulty\tdifficulty\tNN\tB-NP\tO' -p341885 -aS'with\twith\tIN\tB-PP\tO' -p341886 -aS'swallowing\tswallow\tVBG\tB-NP\tO' -p341887 -aS',\t,\t,\tO\tO' -p341888 -aS'necessitating\tnecessitate\tVBG\tB-VP\tO' -p341889 -aS'only\tonly\tRB\tB-NP\tO' -p341890 -aS'soft\tsoft\tJJ\tI-NP\tO' -p341891 -aS'and\tand\tCC\tI-NP\tO' -p341892 -aS'liquid\tliquid\tJJ\tI-NP\tO' -p341893 -aS'diet\tdiet\tNN\tI-NP\tO' -p341894 -aS'.\t.\t.\tO\tO' -p341895 -asS'She quit 35 years ago .' -p341896 -(lp341897 -S'She\tShe\tPRP\tB-NP\tO' -p341898 -aS'quit\tquit\tVBD\tB-VP\tO' -p341899 -aS'35\t35\tCD\tB-NP\tO' -p341900 -aS'years\tyear\tNNS\tI-NP\tO' -p341901 -aS'ago\tago\tRB\tB-ADVP\tO' -p341902 -aS'.\t.\t.\tO\tO' -p341903 -asS'Please take medications as prescribed and read warning labels carefully .' -p341904 -(lp341905 -S'Please\tPlease\tVB\tB-VP\tO' -p341906 -aS'take\ttake\tVB\tI-VP\tO' -p341907 -aS'medications\tmedication\tNNS\tB-NP\tO' -p341908 -aS'as\tas\tIN\tB-SBAR\tO' -p341909 -aS'prescribed\tprescribe\tVBN\tB-VP\tO' -p341910 -aS'and\tand\tCC\tO\tO' -p341911 -aS'read\tread\tVB\tB-VP\tO' -p341912 -aS'warning\twarn\tVBG\tB-NP\tO' -p341913 -aS'labels\tlabel\tNNS\tI-NP\tO' -p341914 -aS'carefully\tcarefully\tRB\tB-ADVP\tO' -p341915 -aS'.\t.\t.\tO\tO' -p341916 -asS'There was there was obstructive uropathy on the right side , as well as questionable gastric outlet obstruction and peritoneal carcinomatosis .' -p341917 -(lp341918 -S'There\tThere\tEX\tB-NP\tO' -p341919 -aS'was\tbe\tVBD\tB-VP\tO' -p341920 -aS'there\tthere\tEX\tB-NP\tO' -p341921 -aS'was\tbe\tVBD\tB-VP\tO' -p341922 -aS'obstructive\tobstructive\tJJ\tB-NP\tO' -p341923 -aS'uropathy\turopathy\tNN\tI-NP\tO' -p341924 -aS'on\ton\tIN\tB-PP\tO' -p341925 -aS'the\tthe\tDT\tB-NP\tO' -p341926 -aS'right\tright\tJJ\tI-NP\tO' -p341927 -aS'side\tside\tNN\tI-NP\tO' -p341928 -aS',\t,\t,\tO\tO' -p341929 -aS'as\tas\tRB\tB-CONJP\tO' -p341930 -aS'well\twell\tRB\tI-CONJP\tO' -p341931 -aS'as\tas\tIN\tI-CONJP\tO' -p341932 -aS'questionable\tquestionable\tJJ\tB-NP\tO' -p341933 -aS'gastric\tgastric\tJJ\tI-NP\tO' -p341934 -aS'outlet\toutlet\tNN\tI-NP\tO' -p341935 -aS'obstruction\tobstruction\tNN\tI-NP\tO' -p341936 -aS'and\tand\tCC\tO\tO' -p341937 -aS'peritoneal\tperitoneal\tJJ\tB-NP\tO' -p341938 -aS'carcinomatosis\tcarcinomatosis\tNN\tI-NP\tO' -p341939 -aS'.\t.\t.\tO\tO' -p341940 -asS'He has a left subclavian PermCath access for his dialysis which takes place on Monday , Wednesday and Friday .' -p341941 -(lp341942 -S'He\tHe\tPRP\tB-NP\tO' -p341943 -aS'has\thave\tVBZ\tB-VP\tO' -p341944 -aS'a\ta\tDT\tB-NP\tO' -p341945 -aS'left\tleft\tJJ\tI-NP\tO' -p341946 -aS'subclavian\tsubclavian\tJJ\tI-NP\tO' -p341947 -aS'PermCath\tPermCath\tNN\tI-NP\tO' -p341948 -aS'access\taccess\tNN\tI-NP\tO' -p341949 -aS'for\tfor\tIN\tB-PP\tO' -p341950 -aS'his\this\tPRP$\tB-NP\tO' -p341951 -aS'dialysis\tdialysis\tNN\tI-NP\tO' -p341952 -aS'which\twhich\tWDT\tB-NP\tO' -p341953 -aS'takes\ttake\tVBZ\tB-VP\tO' -p341954 -aS'place\tplace\tNN\tB-NP\tO' -p341955 -aS'on\ton\tIN\tB-PP\tO' -p341956 -aS'Monday\tMonday\tNNP\tB-NP\tO' -p341957 -aS',\t,\t,\tO\tO' -p341958 -aS'Wednesday\tWednesday\tNNP\tB-NP\tO' -p341959 -aS'and\tand\tCC\tO\tO' -p341960 -aS'Friday\tFriday\tNNP\tB-NP\tO' -p341961 -aS'.\t.\t.\tO\tO' -p341962 -asS'He has had symptoms of dribbling , stress incontinence , hematuria , but has no dysuria .' -p341963 -(lp341964 -S'He\tHe\tPRP\tB-NP\tO' -p341965 -aS'has\thave\tVBZ\tB-VP\tO' -p341966 -aS'had\thave\tVBN\tI-VP\tO' -p341967 -aS'symptoms\tsymptom\tNNS\tB-NP\tO' -p341968 -aS'of\tof\tIN\tB-PP\tO' -p341969 -aS'dribbling\tdribbling\tNN\tB-NP\tO' -p341970 -aS',\t,\t,\tO\tO' -p341971 -aS'stress\tstress\tNN\tB-NP\tO' -p341972 -aS'incontinence\tincontinence\tNN\tI-NP\tO' -p341973 -aS',\t,\t,\tO\tO' -p341974 -aS'hematuria\thematuria\tNN\tB-NP\tO' -p341975 -aS',\t,\t,\tO\tO' -p341976 -aS'but\tbut\tCC\tO\tO' -p341977 -aS'has\thave\tVBZ\tB-VP\tO' -p341978 -aS'no\tno\tDT\tB-NP\tO' -p341979 -aS'dysuria\tdysuria\tNN\tI-NP\tO' -p341980 -aS'.\t.\t.\tO\tO' -p341981 -asS'Brandon felt well and was seen by PT who suggested a rehab/Hahnemann Hospital ( Worcester ) to work on walking with the eventual goal of returning to assisted living with his wife when walking improved .' -p341982 -(lp341983 -S'Brandon\tBrandon\tNNP\tB-NP\tO' -p341984 -aS'felt\tfeel\tVBD\tB-VP\tO' -p341985 -aS'well\twell\tRB\tB-ADVP\tO' -p341986 -aS'and\tand\tCC\tO\tO' -p341987 -aS'was\tbe\tVBD\tB-VP\tO' -p341988 -aS'seen\tsee\tVBN\tI-VP\tO' -p341989 -aS'by\tby\tIN\tB-PP\tO' -p341990 -aS'PT\tPT\tNN\tB-NP\tO' -p341991 -aS'who\twho\tWP\tB-NP\tO' -p341992 -aS'suggested\tsuggest\tVBD\tB-VP\tO' -p341993 -aS'a\ta\tDT\tB-NP\tO' -p341994 -aS'rehab/Hahnemann\trehab/Hahnemann\tNN\tI-NP\tO' -p341995 -aS'Hospital\tHospital\tNN\tI-NP\tO' -p341996 -aS'(\t(\t(\tO\tO' -p341997 -aS'Worcester\tWorcester\tNN\tB-NP\tO' -p341998 -aS')\t)\t)\tO\tO' -p341999 -aS'to\tto\tTO\tB-VP\tO' -p342000 -aS'work\twork\tVB\tI-VP\tO' -p342001 -aS'on\ton\tIN\tB-PP\tO' -p342002 -aS'walking\twalk\tVBG\tB-VP\tO' -p342003 -aS'with\twith\tIN\tB-PP\tO' -p342004 -aS'the\tthe\tDT\tB-NP\tO' -p342005 -aS'eventual\teventual\tJJ\tI-NP\tO' -p342006 -aS'goal\tgoal\tNN\tI-NP\tO' -p342007 -aS'of\tof\tIN\tB-PP\tO' -p342008 -aS'returning\treturn\tVBG\tB-VP\tO' -p342009 -aS'to\tto\tTO\tB-PP\tO' -p342010 -aS'assisted\tassist\tVBN\tB-NP\tO' -p342011 -aS'living\tlive\tVBG\tI-NP\tO' -p342012 -aS'with\twith\tIN\tB-PP\tO' -p342013 -aS'his\this\tPRP$\tB-NP\tO' -p342014 -aS'wife\twife\tNN\tI-NP\tO' -p342015 -aS'when\twhen\tWRB\tB-ADVP\tO' -p342016 -aS'walking\twalk\tVBG\tB-VP\tO' -p342017 -aS'improved\timprove\tVBN\tI-VP\tO' -p342018 -aS'.\t.\t.\tO\tO' -p342019 -asS'He had 2+ carotids , no bruits .' -p342020 -(lp342021 -S'He\tHe\tPRP\tB-NP\tO' -p342022 -aS'had\thave\tVBD\tB-VP\tO' -p342023 -aS'2+\t2+\tJJ\tB-NP\tO' -p342024 -aS'carotids\tcarotid\tNNS\tI-NP\tO' -p342025 -aS',\t,\t,\tO\tO' -p342026 -aS'no\tno\tDT\tB-NP\tO' -p342027 -aS'bruits\tbruit\tNNS\tI-NP\tO' -p342028 -aS'.\t.\t.\tO\tO' -p342029 -asS'Chest was clear to auscultation but with poor air entry .' -p342030 -(lp342031 -S'Chest\tChest\tNNP\tB-NP\tO' -p342032 -aS'was\tbe\tVBD\tB-VP\tO' -p342033 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p342034 -aS'to\tto\tTO\tB-PP\tO' -p342035 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p342036 -aS'but\tbut\tCC\tB-PP\tO' -p342037 -aS'with\twith\tIN\tB-PP\tO' -p342038 -aS'poor\tpoor\tJJ\tB-NP\tO' -p342039 -aS'air\tair\tNN\tI-NP\tO' -p342040 -aS'entry\tentry\tNN\tI-NP\tO' -p342041 -aS'.\t.\t.\tO\tO' -p342042 -asS'Oak Bluffs PHYSICIAN : Gregory,Domingo J .' -p342043 -(lp342044 -S'Oak\tOak\tNNP\tB-NP\tB-protein' -p342045 -aS'Bluffs\tBluff\tNNPS\tI-NP\tO' -p342046 -aS'PHYSICIAN\tPHYSICIAN\tNNP\tI-NP\tO' -p342047 -aS':\t:\t:\tO\tO' -p342048 -aS'Gregory,Domingo\tGregory,Domingo\tNNP\tB-NP\tO' -p342049 -aS'J\tJ\tNNP\tI-NP\tO' -p342050 -aS'.\t.\t.\tO\tO' -p342051 -asS'2ND STRAIN .' -p342052 -(lp342053 -S'2ND\t2ND\tNN\tB-NP\tO' -p342054 -aS'STRAIN\tSTRAIN\tNN\tI-NP\tO' -p342055 -aS'.\t.\t.\tO\tO' -p342056 -asS'The Intensive Care Unit course was notable for initially receiving broad spectrum antibiotics as well as a white blood cell count of 11.0 with 15 bands .' -p342057 -(lp342058 -S'The\tThe\tDT\tB-NP\tO' -p342059 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p342060 -aS'Care\tCare\tNNP\tI-NP\tO' -p342061 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p342062 -aS'course\tcourse\tNN\tI-NP\tO' -p342063 -aS'was\tbe\tVBD\tB-VP\tO' -p342064 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p342065 -aS'for\tfor\tIN\tB-PP\tO' -p342066 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p342067 -aS'receiving\treceive\tVBG\tB-VP\tO' -p342068 -aS'broad\tbroad\tJJ\tB-NP\tO' -p342069 -aS'spectrum\tspectrum\tNN\tI-NP\tO' -p342070 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p342071 -aS'as\tas\tRB\tB-CONJP\tO' -p342072 -aS'well\twell\tRB\tI-CONJP\tO' -p342073 -aS'as\tas\tIN\tI-CONJP\tO' -p342074 -aS'a\ta\tDT\tB-NP\tO' -p342075 -aS'white\twhite\tJJ\tI-NP\tO' -p342076 -aS'blood\tblood\tNN\tI-NP\tO' -p342077 -aS'cell\tcell\tNN\tI-NP\tO' -p342078 -aS'count\tcount\tNN\tI-NP\tO' -p342079 -aS'of\tof\tIN\tB-PP\tO' -p342080 -aS'11.0\t11.0\tCD\tB-NP\tO' -p342081 -aS'with\twith\tIN\tB-PP\tO' -p342082 -aS'15\t15\tCD\tB-NP\tO' -p342083 -aS'bands\tband\tNNS\tI-NP\tO' -p342084 -aS'.\t.\t.\tO\tO' -p342085 -asS'The patient is a 49 year old man who was admitted to the Medical Intensive Care Unit status post cardiac arrest .' -p342086 -(lp342087 -S'The\tThe\tDT\tB-NP\tO' -p342088 -aS'patient\tpatient\tNN\tI-NP\tO' -p342089 -aS'is\tbe\tVBZ\tB-VP\tO' -p342090 -aS'a\ta\tDT\tB-NP\tO' -p342091 -aS'49\t49\tCD\tI-NP\tO' -p342092 -aS'year\tyear\tNN\tI-NP\tO' -p342093 -aS'old\told\tJJ\tI-NP\tO' -p342094 -aS'man\tman\tNN\tI-NP\tO' -p342095 -aS'who\twho\tWP\tB-NP\tO' -p342096 -aS'was\tbe\tVBD\tB-VP\tO' -p342097 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p342098 -aS'to\tto\tTO\tB-PP\tO' -p342099 -aS'the\tthe\tDT\tB-NP\tO' -p342100 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p342101 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p342102 -aS'Care\tCare\tNNP\tI-NP\tO' -p342103 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p342104 -aS'status\tstatus\tNN\tI-NP\tO' -p342105 -aS'post\tpost\tNN\tI-NP\tO' -p342106 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p342107 -aS'arrest\tarrest\tNN\tI-NP\tO' -p342108 -aS'.\t.\t.\tO\tO' -p342109 -asS'The patient saw her PCP and was known to have an oxygen saturation of 82 to 85 percent on room air .' -p342110 -(lp342111 -S'The\tThe\tDT\tB-NP\tO' -p342112 -aS'patient\tpatient\tNN\tI-NP\tO' -p342113 -aS'saw\tsee\tVBD\tB-VP\tO' -p342114 -aS'her\ther\tPRP$\tB-NP\tO' -p342115 -aS'PCP\tPCP\tNN\tI-NP\tO' -p342116 -aS'and\tand\tCC\tO\tO' -p342117 -aS'was\tbe\tVBD\tB-VP\tO' -p342118 -aS'known\tknow\tVBN\tI-VP\tO' -p342119 -aS'to\tto\tTO\tI-VP\tO' -p342120 -aS'have\thave\tVB\tI-VP\tO' -p342121 -aS'an\tan\tDT\tB-NP\tO' -p342122 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p342123 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p342124 -aS'of\tof\tIN\tB-PP\tO' -p342125 -aS'82\t82\tCD\tB-NP\tO' -p342126 -aS'to\tto\tTO\tI-NP\tO' -p342127 -aS'85\t85\tCD\tI-NP\tO' -p342128 -aS'percent\tpercent\tNN\tI-NP\tO' -p342129 -aS'on\ton\tIN\tB-PP\tO' -p342130 -aS'room\troom\tNN\tB-NP\tO' -p342131 -aS'air\tair\tNN\tI-NP\tO' -p342132 -aS'.\t.\t.\tO\tO' -p342133 -asS'The assessment at the time of admission was that of an 86 year old female with poorly differentiated gastric adenocarcinoma , admitted for resection .' -p342134 -(lp342135 -S'The\tThe\tDT\tB-NP\tO' -p342136 -aS'assessment\tassessment\tNN\tI-NP\tO' -p342137 -aS'at\tat\tIN\tB-PP\tO' -p342138 -aS'the\tthe\tDT\tB-NP\tO' -p342139 -aS'time\ttime\tNN\tI-NP\tO' -p342140 -aS'of\tof\tIN\tB-PP\tO' -p342141 -aS'admission\tadmission\tNN\tB-NP\tO' -p342142 -aS'was\tbe\tVBD\tB-VP\tO' -p342143 -aS'that\tthat\tDT\tB-NP\tO' -p342144 -aS'of\tof\tIN\tB-PP\tO' -p342145 -aS'an\tan\tDT\tB-NP\tO' -p342146 -aS'86\t86\tCD\tI-NP\tO' -p342147 -aS'year\tyear\tNN\tI-NP\tO' -p342148 -aS'old\told\tJJ\tI-NP\tO' -p342149 -aS'female\tfemale\tNN\tI-NP\tO' -p342150 -aS'with\twith\tIN\tB-PP\tO' -p342151 -aS'poorly\tpoorly\tRB\tB-NP\tO' -p342152 -aS'differentiated\tdifferentiate\tVBN\tI-NP\tO' -p342153 -aS'gastric\tgastric\tJJ\tI-NP\tO' -p342154 -aS'adenocarcinoma\tadenocarcinoma\tNN\tI-NP\tO' -p342155 -aS',\t,\t,\tO\tO' -p342156 -aS'admitted\tadmit\tVBN\tB-VP\tO' -p342157 -aS'for\tfor\tIN\tB-PP\tO' -p342158 -aS'resection\tresection\tNN\tB-NP\tO' -p342159 -aS'.\t.\t.\tO\tO' -p342160 -asS'The patient diuresed and responded to Lasix 100 mg administered in the emergency room and was admitted to a monitored bed .' -p342161 -(lp342162 -S'The\tThe\tDT\tB-NP\tO' -p342163 -aS'patient\tpatient\tNN\tI-NP\tO' -p342164 -aS'diuresed\tdiurese\tVBD\tB-VP\tO' -p342165 -aS'and\tand\tCC\tO\tO' -p342166 -aS'responded\trespond\tVBD\tB-VP\tO' -p342167 -aS'to\tto\tTO\tB-PP\tO' -p342168 -aS'Lasix\tLasix\tNNP\tB-NP\tO' -p342169 -aS'100\t100\tCD\tI-NP\tO' -p342170 -aS'mg\tmg\tNN\tI-NP\tO' -p342171 -aS'administered\tadminister\tVBN\tB-VP\tO' -p342172 -aS'in\tin\tIN\tB-PP\tO' -p342173 -aS'the\tthe\tDT\tB-NP\tO' -p342174 -aS'emergency\temergency\tNN\tI-NP\tO' -p342175 -aS'room\troom\tNN\tI-NP\tO' -p342176 -aS'and\tand\tCC\tO\tO' -p342177 -aS'was\tbe\tVBD\tB-VP\tO' -p342178 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p342179 -aS'to\tto\tTO\tB-PP\tO' -p342180 -aS'a\ta\tDT\tB-NP\tO' -p342181 -aS'monitored\tmonitor\tVBN\tI-NP\tO' -p342182 -aS'bed\tbed\tNN\tI-NP\tO' -p342183 -aS'.\t.\t.\tO\tO' -p342184 -asS'Signed electronically by : DR. Earnestine Marsden on : WED 2012-03-21 1:21 PM' -p342185 -(lp342186 -S'Signed\tSign\tVBN\tB-VP\tO' -p342187 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p342188 -aS'by\tby\tIN\tB-PP\tO' -p342189 -aS':\t:\t:\tO\tO' -p342190 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p342191 -aS'Earnestine\tEarnestine\tNNP\tI-NP\tO' -p342192 -aS'Marsden\tMarsden\tNNP\tI-NP\tO' -p342193 -aS'on\ton\tIN\tB-PP\tO' -p342194 -aS':\t:\t:\tO\tO' -p342195 -aS'WED\tWED\tVBD\tB-VP\tO' -p342196 -aS'2012-03-21\t2012-03-21\tCD\tB-NP\tO' -p342197 -aS'1:21\t1:21\tCD\tI-NP\tO' -p342198 -aS'PM\tPM\tNN\tI-NP\tO' -p342199 -asS'Had fall pta with ? fx on initial CT , neg fx on f/u ct .' -p342200 -(lp342201 -S'Had\tHave\tVBD\tB-VP\tO' -p342202 -aS'fall\tfall\tNN\tB-NP\tO' -p342203 -aS'pta\tpta\tNN\tI-NP\tO' -p342204 -aS'with\twith\tIN\tB-PP\tO' -p342205 -aS'?\t?\t.\tO\tO' -p342206 -aS'fx\tfx\tNN\tB-NP\tO' -p342207 -aS'on\ton\tIN\tB-PP\tO' -p342208 -aS'initial\tinitial\tJJ\tB-NP\tO' -p342209 -aS'CT\tCT\tNN\tI-NP\tO' -p342210 -aS',\t,\t,\tO\tO' -p342211 -aS'neg\tneg\tNN\tB-NP\tO' -p342212 -aS'fx\tfx\tNN\tI-NP\tO' -p342213 -aS'on\ton\tIN\tB-PP\tO' -p342214 -aS'f/u\tf/u\tNN\tB-NP\tO' -p342215 -aS'ct\tct\tNN\tI-NP\tO' -p342216 -aS'.\t.\t.\tO\tO' -p342217 -asS'In the lower extremities on the left hip flexor is 1/5 , knee flexion and extension is 3/5 and 4/5 respectively and plantar and dorsiflexion is 4/5 .' -p342218 -(lp342219 -S'In\tIn\tIN\tB-PP\tO' -p342220 -aS'the\tthe\tDT\tB-NP\tO' -p342221 -aS'lower\tlow\tJJR\tI-NP\tO' -p342222 -aS'extremities\textremity\tNNS\tI-NP\tO' -p342223 -aS'on\ton\tIN\tB-PP\tO' -p342224 -aS'the\tthe\tDT\tB-NP\tO' -p342225 -aS'left\tleft\tJJ\tI-NP\tO' -p342226 -aS'hip\thip\tNN\tI-NP\tO' -p342227 -aS'flexor\tflexor\tNN\tI-NP\tO' -p342228 -aS'is\tbe\tVBZ\tB-VP\tO' -p342229 -aS'1/5\t1/5\tCD\tB-NP\tO' -p342230 -aS',\t,\t,\tO\tO' -p342231 -aS'knee\tknee\tNN\tB-NP\tO' -p342232 -aS'flexion\tflexion\tNN\tI-NP\tO' -p342233 -aS'and\tand\tCC\tI-NP\tO' -p342234 -aS'extension\textension\tNN\tI-NP\tO' -p342235 -aS'is\tbe\tVBZ\tB-VP\tO' -p342236 -aS'3/5\t3/5\tCD\tB-NP\tO' -p342237 -aS'and\tand\tCC\tI-NP\tO' -p342238 -aS'4/5\t4/5\tCD\tI-NP\tO' -p342239 -aS'respectively\trespectively\tRB\tB-ADVP\tO' -p342240 -aS'and\tand\tCC\tO\tO' -p342241 -aS'plantar\tplantar\tNN\tB-NP\tO' -p342242 -aS'and\tand\tCC\tI-NP\tO' -p342243 -aS'dorsiflexion\tdorsiflexion\tNN\tI-NP\tO' -p342244 -aS'is\tbe\tVBZ\tB-VP\tO' -p342245 -aS'4/5\t4/5\tCD\tB-NP\tO' -p342246 -aS'.\t.\t.\tO\tO' -p342247 -asS'The abdomen is soft , nontender , nondistended , without hepatosplenomegaly .' -p342248 -(lp342249 -S'The\tThe\tDT\tB-NP\tO' -p342250 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p342251 -aS'is\tbe\tVBZ\tB-VP\tO' -p342252 -aS'soft\tsoft\tJJ\tB-NP\tO' -p342253 -aS',\t,\t,\tI-NP\tO' -p342254 -aS'nontender\tnontender\tJJ\tI-NP\tO' -p342255 -aS',\t,\t,\tI-NP\tO' -p342256 -aS'nondistended\tnondistended\tJJ\tI-NP\tO' -p342257 -aS',\t,\t,\tO\tO' -p342258 -aS'without\twithout\tIN\tB-PP\tO' -p342259 -aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tB-NP\tO' -p342260 -aS'.\t.\t.\tO\tO' -p342261 -asS'He currently notes improvement in his throat pain after some Decadron and clindamycin .' -p342262 -(lp342263 -S'He\tHe\tPRP\tB-NP\tO' -p342264 -aS'currently\tcurrently\tRB\tB-ADVP\tO' -p342265 -aS'notes\tnote\tVBZ\tB-VP\tO' -p342266 -aS'improvement\timprovement\tNN\tB-NP\tO' -p342267 -aS'in\tin\tIN\tB-PP\tO' -p342268 -aS'his\this\tPRP$\tB-NP\tO' -p342269 -aS'throat\tthroat\tNN\tI-NP\tO' -p342270 -aS'pain\tpain\tNN\tI-NP\tO' -p342271 -aS'after\tafter\tIN\tB-PP\tO' -p342272 -aS'some\tsome\tDT\tB-NP\tO' -p342273 -aS'Decadron\tDecadron\tNNP\tI-NP\tO' -p342274 -aS'and\tand\tCC\tO\tO' -p342275 -aS'clindamycin\tclindamycin\tNN\tB-NP\tO' -p342276 -aS'.\t.\t.\tO\tO' -p342277 -asS'2. Metoprolol Tartrate 25 mg Tablet Sig : Three ( 3 ) Tablet PO TID ( 3 times a day ).' -p342278 -(lp342279 -S'2.\t2.\tLS\tB-NP\tO' -p342280 -aS'Metoprolol\tMetoprolol\tNN\tI-NP\tO' -p342281 -aS'Tartrate\tTartrate\tNN\tI-NP\tO' -p342282 -aS'25\t25\tCD\tI-NP\tO' -p342283 -aS'mg\tmg\tNN\tI-NP\tO' -p342284 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p342285 -aS'Sig\tSig\tNNP\tI-NP\tO' -p342286 -aS':\t:\t:\tO\tO' -p342287 -aS'Three\tThree\tCD\tB-NP\tO' -p342288 -aS'(\t(\t(\tO\tO' -p342289 -aS'3\t3\tCD\tB-NP\tO' -p342290 -aS')\t)\t)\tO\tO' -p342291 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p342292 -aS'PO\tPO\tNN\tI-NP\tO' -p342293 -aS'TID\tTID\tNN\tI-NP\tO' -p342294 -aS'(\t(\t(\tO\tO' -p342295 -aS'3\t3\tCD\tB-NP\tO' -p342296 -aS'times\ttime\tNNS\tI-NP\tO' -p342297 -aS'a\ta\tDT\tB-NP\tO' -p342298 -aS'day\tday\tNN\tI-NP\tO' -p342299 -aS').\t).\t.\tO\tO' -p342300 -asS'1) Resp failure - pt admitted w/ primarily hypoxic respiratory failure .' -p342301 -(lp342302 -S'1)\t1)\tLS\tB-NP\tO' -p342303 -aS'Resp\tResp\tNN\tI-NP\tO' -p342304 -aS'failure\tfailure\tNN\tI-NP\tO' -p342305 -aS'-\t-\tHYPH\tB-NP\tO' -p342306 -aS'pt\tpt\tNN\tI-NP\tO' -p342307 -aS'admitted\tadmit\tVBN\tI-NP\tO' -p342308 -aS'w/\tw/\tNN\tI-NP\tO' -p342309 -aS'primarily\tprimarily\tRB\tB-NP\tO' -p342310 -aS'hypoxic\thypoxic\tJJ\tI-NP\tO' -p342311 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p342312 -aS'failure\tfailure\tNN\tI-NP\tO' -p342313 -aS'.\t.\t.\tO\tO' -p342314 -asS'Sensation : intact to noxious stimuli in all four extremities' -p342315 -(lp342316 -S'Sensation\tSensation\tNN\tB-NP\tO' -p342317 -aS':\t:\t:\tO\tO' -p342318 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p342319 -aS'to\tto\tTO\tB-PP\tO' -p342320 -aS'noxious\tnoxious\tJJ\tB-NP\tO' -p342321 -aS'stimuli\tstimulus\tNNS\tI-NP\tO' -p342322 -aS'in\tin\tIN\tB-PP\tO' -p342323 -aS'all\tall\tDT\tB-NP\tO' -p342324 -aS'four\tfour\tCD\tI-NP\tO' -p342325 -aS'extremities\textremity\tNNS\tI-NP\tO' -p342326 -asS'3. FEN .' -p342327 -(lp342328 -S'3.\t3.\tLS\tB-NP\tO' -p342329 -aS'FEN\tFEN\tNN\tI-NP\tO' -p342330 -aS'.\t.\t.\tO\tO' -p342331 -asS'Include Lamictal 50 mgs bid , Aricept 10 mgs qhs , BuSpar 15 mgs bid , Trazodone 100 mgs qhs .' -p342332 -(lp342333 -S'Include\tInclude\tDT\tB-NP\tO' -p342334 -aS'Lamictal\tLamictal\tJJ\tI-NP\tO' -p342335 -aS'50\t50\tCD\tI-NP\tO' -p342336 -aS'mgs\tmg\tNNS\tI-NP\tO' -p342337 -aS'bid\tbid\tNN\tI-NP\tO' -p342338 -aS',\t,\t,\tO\tO' -p342339 -aS'Aricept\tAricept\tNNP\tB-NP\tO' -p342340 -aS'10\t10\tCD\tI-NP\tO' -p342341 -aS'mgs\tmg\tNNS\tI-NP\tO' -p342342 -aS'qhs\tqh\tNNS\tI-NP\tO' -p342343 -aS',\t,\t,\tO\tO' -p342344 -aS'BuSpar\tBuSpar\tNNP\tB-NP\tO' -p342345 -aS'15\t15\tCD\tI-NP\tO' -p342346 -aS'mgs\tmg\tNNS\tI-NP\tO' -p342347 -aS'bid\tbid\tNN\tB-VP\tO' -p342348 -aS',\t,\t,\tO\tO' -p342349 -aS'Trazodone\tTrazodone\tNN\tB-NP\tO' -p342350 -aS'100\t100\tCD\tI-NP\tO' -p342351 -aS'mgs\tmg\tNNS\tI-NP\tO' -p342352 -aS'qhs\tqh\tNNS\tI-NP\tO' -p342353 -aS'.\t.\t.\tO\tO' -p342354 -asS'137 / 4.3 / 104 / 22 / 14 / 0.7 / 155 .' -p342355 -(lp342356 -S'137\t137\tCD\tB-NP\tO' -p342357 -aS'/\t/\tSYM\tI-NP\tO' -p342358 -aS'4.3\t4.3\tCD\tI-NP\tO' -p342359 -aS'/\t/\tSYM\tI-NP\tO' -p342360 -aS'104\t104\tCD\tI-NP\tO' -p342361 -aS'/\t/\tSYM\tI-NP\tO' -p342362 -aS'22\t22\tCD\tI-NP\tO' -p342363 -aS'/\t/\tSYM\tI-NP\tO' -p342364 -aS'14\t14\tCD\tI-NP\tO' -p342365 -aS'/\t/\tSYM\tI-NP\tO' -p342366 -aS'0.7\t0.7\tCD\tI-NP\tO' -p342367 -aS'/\t/\tSYM\tI-NP\tO' -p342368 -aS'155\t155\tCD\tI-NP\tO' -p342369 -aS'.\t.\t.\tO\tO' -p342370 -asS'3) Atrial fibrillation : Rate controlled and on warfarin .' -p342371 -(lp342372 -S'3)\t3)\tLS\tB-NP\tO' -p342373 -aS'Atrial\tAtrial\tJJ\tI-NP\tO' -p342374 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p342375 -aS':\t:\t:\tO\tO' -p342376 -aS'Rate\tRate\tNN\tB-NP\tO' -p342377 -aS'controlled\tcontrol\tVBN\tB-VP\tO' -p342378 -aS'and\tand\tCC\tO\tO' -p342379 -aS'on\ton\tIN\tB-PP\tO' -p342380 -aS'warfarin\twarfarin\tNN\tB-NP\tO' -p342381 -aS'.\t.\t.\tO\tO' -p342382 -asS'As a result she was able to be discharged home on June 30 , 1994 .' -p342383 -(lp342384 -S'As\tAs\tIN\tB-PP\tO' -p342385 -aS'a\ta\tDT\tB-NP\tO' -p342386 -aS'result\tresult\tNN\tI-NP\tO' -p342387 -aS'she\tshe\tPRP\tB-NP\tO' -p342388 -aS'was\tbe\tVBD\tB-VP\tO' -p342389 -aS'able\table\tJJ\tB-ADJP\tO' -p342390 -aS'to\tto\tTO\tB-VP\tO' -p342391 -aS'be\tbe\tVB\tI-VP\tO' -p342392 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p342393 -aS'home\thome\tNN\tB-ADVP\tO' -p342394 -aS'on\ton\tIN\tB-PP\tO' -p342395 -aS'June\tJune\tNNP\tB-NP\tO' -p342396 -aS'30\t30\tCD\tI-NP\tO' -p342397 -aS',\t,\t,\tI-NP\tO' -p342398 -aS'1994\t1994\tCD\tI-NP\tO' -p342399 -aS'.\t.\t.\tO\tO' -p342400 -asS'He was placed on Zantac 150 mg. PO b.i.d. and H Pylori serology was sent .' -p342401 -(lp342402 -S'He\tHe\tPRP\tB-NP\tO' -p342403 -aS'was\tbe\tVBD\tB-VP\tO' -p342404 -aS'placed\tplace\tVBN\tI-VP\tO' -p342405 -aS'on\ton\tIN\tB-PP\tO' -p342406 -aS'Zantac\tZantac\tNN\tB-NP\tO' -p342407 -aS'150\t150\tCD\tI-NP\tO' -p342408 -aS'mg.\tmg.\tNN\tI-NP\tO' -p342409 -aS'PO\tPO\tNN\tI-NP\tO' -p342410 -aS'b.i.d.\tb.i.d.\tNN\tI-NP\tO' -p342411 -aS'and\tand\tCC\tO\tO' -p342412 -aS'H\tH\tNN\tB-NP\tO' -p342413 -aS'Pylori\tPylori\tNN\tI-NP\tO' -p342414 -aS'serology\tserology\tNN\tI-NP\tO' -p342415 -aS'was\tbe\tVBD\tB-VP\tO' -p342416 -aS'sent\tsend\tVBN\tI-VP\tO' -p342417 -aS'.\t.\t.\tO\tO' -p342418 -asS'NPO .' -p342419 -(lp342420 -S'NPO\tNPO\tNN\tB-NP\tB-protein' -p342421 -aS'.\t.\t.\tO\tO' -p342422 -asS'The oropharynx was clear and the fundi were normal .' -p342423 -(lp342424 -S'The\tThe\tDT\tB-NP\tO' -p342425 -aS'oropharynx\toropharynx\tNN\tI-NP\tO' -p342426 -aS'was\tbe\tVBD\tB-VP\tO' -p342427 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p342428 -aS'and\tand\tCC\tO\tO' -p342429 -aS'the\tthe\tDT\tB-NP\tO' -p342430 -aS'fundi\tfundi\tNN\tI-NP\tO' -p342431 -aS'were\tbe\tVBD\tB-VP\tO' -p342432 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p342433 -aS'.\t.\t.\tO\tO' -p342434 -asS'His incision was noted to be clean , dry , and intact with no evidence of cellulitis or purulent drainage .' -p342435 -(lp342436 -S'His\tHis\tPRP$\tB-NP\tO' -p342437 -aS'incision\tincision\tNN\tI-NP\tO' -p342438 -aS'was\tbe\tVBD\tB-VP\tO' -p342439 -aS'noted\tnote\tVBN\tI-VP\tO' -p342440 -aS'to\tto\tTO\tI-VP\tO' -p342441 -aS'be\tbe\tVB\tI-VP\tO' -p342442 -aS'clean\tclean\tJJ\tB-ADJP\tO' -p342443 -aS',\t,\t,\tO\tO' -p342444 -aS'dry\tdry\tJJ\tB-ADJP\tO' -p342445 -aS',\t,\t,\tO\tO' -p342446 -aS'and\tand\tCC\tO\tO' -p342447 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p342448 -aS'with\twith\tIN\tB-PP\tO' -p342449 -aS'no\tno\tDT\tB-NP\tO' -p342450 -aS'evidence\tevidence\tNN\tI-NP\tO' -p342451 -aS'of\tof\tIN\tB-PP\tO' -p342452 -aS'cellulitis\tcellulitis\tNN\tB-NP\tO' -p342453 -aS'or\tor\tCC\tO\tO' -p342454 -aS'purulent\tpurulent\tJJ\tB-NP\tO' -p342455 -aS'drainage\tdrainage\tNN\tI-NP\tO' -p342456 -aS'.\t.\t.\tO\tO' -p342457 -asS"The patient 's platelets , white count , and hematocrit have all been stable ." -p342458 -(lp342459 -S'The\tThe\tDT\tB-NP\tO' -p342460 -aS'patient\tpatient\tNN\tI-NP\tO' -p342461 -aS"'s\t's\tPOS\tB-NP\tO" -p342462 -aS'platelets\tplatelet\tNNS\tI-NP\tB-cell_type' -p342463 -aS',\t,\t,\tO\tO' -p342464 -aS'white\twhite\tJJ\tB-NP\tO' -p342465 -aS'count\tcount\tNN\tI-NP\tO' -p342466 -aS',\t,\t,\tO\tO' -p342467 -aS'and\tand\tCC\tO\tO' -p342468 -aS'hematocrit\thematocrit\tNN\tB-NP\tO' -p342469 -aS'have\thave\tVBP\tO\tO' -p342470 -aS'all\tall\tDT\tO\tO' -p342471 -aS'been\tbe\tVBN\tB-VP\tO' -p342472 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p342473 -aS'.\t.\t.\tO\tO' -p342474 -asS'Musculoskeletal : 5/5 strength all extremities' -p342475 -(lp342476 -S'Musculoskeletal\tMusculoskeletal\tJJ\tB-ADJP\tO' -p342477 -aS':\t:\t:\tO\tO' -p342478 -aS'5/5\t5/5\tCD\tB-NP\tO' -p342479 -aS'strength\tstrength\tNN\tI-NP\tO' -p342480 -aS'all\tall\tDT\tB-NP\tO' -p342481 -aS'extremities\textremity\tNNS\tI-NP\tO' -p342482 -asS'This should be followed up by her primary care physician .' -p342483 -(lp342484 -S'This\tThis\tDT\tB-NP\tO' -p342485 -aS'should\tshould\tMD\tB-VP\tO' -p342486 -aS'be\tbe\tVB\tI-VP\tO' -p342487 -aS'followed\tfollow\tVBN\tI-VP\tO' -p342488 -aS'up\tup\tRP\tB-PRT\tO' -p342489 -aS'by\tby\tIN\tB-PP\tO' -p342490 -aS'her\ther\tPRP$\tB-NP\tO' -p342491 -aS'primary\tprimary\tJJ\tI-NP\tO' -p342492 -aS'care\tcare\tNN\tI-NP\tO' -p342493 -aS'physician\tphysician\tNN\tI-NP\tO' -p342494 -aS'.\t.\t.\tO\tO' -p342495 -asS'Disp :* 120 Tablet (s)* Refills :* 2 *' -p342496 -(lp342497 -S'Disp\tDisp\tNN\tB-NP\tO' -p342498 -aS':*\t:*\tSYM\tI-NP\tO' -p342499 -aS'120\t120\tCD\tI-NP\tO' -p342500 -aS'Tablet\tTablet\tNN\tI-NP\tO' -p342501 -aS'(s)*\t(s)*\tSYM\tB-NP\tO' -p342502 -aS'Refills\tRefill\tNNPS\tI-NP\tO' -p342503 -aS':*\t:*\tSYM\tI-NP\tO' -p342504 -aS'2\t2\tCD\tI-NP\tO' -p342505 -aS'*\t*\tSYM\tB-NP\tO' -p342506 -asS'He came in on Carafate , Enteric Coated Aspirin , Albuterol Inhaler , Atrovent Inhaler , Procan SR , Mevacor , and Digoxin .' -p342507 -(lp342508 -S'He\tHe\tPRP\tB-NP\tO' -p342509 -aS'came\tcome\tVBD\tB-VP\tO' -p342510 -aS'in\tin\tRP\tB-PRT\tO' -p342511 -aS'on\ton\tIN\tB-PP\tO' -p342512 -aS'Carafate\tCarafate\tNNP\tB-NP\tO' -p342513 -aS',\t,\t,\tO\tO' -p342514 -aS'Enteric\tEnteric\tNNP\tB-NP\tO' -p342515 -aS'Coated\tCoated\tNNP\tI-NP\tO' -p342516 -aS'Aspirin\tAspirin\tNNP\tI-NP\tO' -p342517 -aS',\t,\t,\tO\tO' -p342518 -aS'Albuterol\tAlbuterol\tNNP\tB-NP\tO' -p342519 -aS'Inhaler\tInhaler\tNNP\tI-NP\tO' -p342520 -aS',\t,\t,\tO\tO' -p342521 -aS'Atrovent\tAtrovent\tNNP\tB-NP\tO' -p342522 -aS'Inhaler\tInhaler\tNNP\tI-NP\tO' -p342523 -aS',\t,\t,\tO\tO' -p342524 -aS'Procan\tProcan\tNNP\tB-NP\tO' -p342525 -aS'SR\tSR\tNNP\tI-NP\tO' -p342526 -aS',\t,\t,\tO\tO' -p342527 -aS'Mevacor\tMevacor\tNNP\tB-NP\tO' -p342528 -aS',\t,\t,\tO\tO' -p342529 -aS'and\tand\tCC\tO\tO' -p342530 -aS'Digoxin\tDigoxin\tNN\tB-NP\tO' -p342531 -aS'.\t.\t.\tO\tO' -p342532 -asS'Call for any fever , redness or drainage from wounds .' -p342533 -(lp342534 -S'Call\tCall\tVB\tB-NP\tO' -p342535 -aS'for\tfor\tIN\tB-PP\tO' -p342536 -aS'any\tany\tDT\tB-NP\tO' -p342537 -aS'fever\tfever\tNN\tI-NP\tO' -p342538 -aS',\t,\t,\tI-NP\tO' -p342539 -aS'redness\tredness\tNN\tI-NP\tO' -p342540 -aS'or\tor\tCC\tI-NP\tO' -p342541 -aS'drainage\tdrainage\tNN\tI-NP\tO' -p342542 -aS'from\tfrom\tIN\tB-PP\tO' -p342543 -aS'wounds\twound\tNNS\tB-NP\tO' -p342544 -aS'.\t.\t.\tO\tO' -p342545 -asS'The patient has been scheduled to have the second part of the sleep study done on June 18 , 2006 , at 8:30 p.m. at RWH in the Esley Community Hospital , 10th floor sleep lab , phone number 133-225-1257 .' -p342546 -(lp342547 -S'The\tThe\tDT\tB-NP\tO' -p342548 -aS'patient\tpatient\tNN\tI-NP\tO' -p342549 -aS'has\thave\tVBZ\tB-VP\tO' -p342550 -aS'been\tbe\tVBN\tI-VP\tO' -p342551 -aS'scheduled\tschedule\tVBN\tI-VP\tO' -p342552 -aS'to\tto\tTO\tI-VP\tO' -p342553 -aS'have\thave\tVB\tI-VP\tO' -p342554 -aS'the\tthe\tDT\tB-NP\tO' -p342555 -aS'second\tsecond\tJJ\tI-NP\tO' -p342556 -aS'part\tpart\tNN\tI-NP\tO' -p342557 -aS'of\tof\tIN\tB-PP\tO' -p342558 -aS'the\tthe\tDT\tB-NP\tO' -p342559 -aS'sleep\tsleep\tJJ\tI-NP\tO' -p342560 -aS'study\tstudy\tNN\tI-NP\tO' -p342561 -aS'done\tdo\tVBN\tB-VP\tO' -p342562 -aS'on\ton\tIN\tB-PP\tO' -p342563 -aS'June\tJune\tNNP\tB-NP\tO' -p342564 -aS'18\t18\tCD\tI-NP\tO' -p342565 -aS',\t,\t,\tI-NP\tO' -p342566 -aS'2006\t2006\tCD\tI-NP\tO' -p342567 -aS',\t,\t,\tO\tO' -p342568 -aS'at\tat\tIN\tB-PP\tO' -p342569 -aS'8:30\t8:30\tCD\tB-NP\tO' -p342570 -aS'p.m.\tp.m.\tNN\tI-NP\tO' -p342571 -aS'at\tat\tIN\tB-PP\tO' -p342572 -aS'RWH\tRWH\tNN\tB-NP\tB-protein' -p342573 -aS'in\tin\tIN\tB-PP\tO' -p342574 -aS'the\tthe\tDT\tB-NP\tO' -p342575 -aS'Esley\tEsley\tNNP\tI-NP\tO' -p342576 -aS'Community\tCommunity\tNNP\tI-NP\tO' -p342577 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p342578 -aS',\t,\t,\tO\tO' -p342579 -aS'10th\t10th\tJJ\tB-NP\tO' -p342580 -aS'floor\tfloor\tNN\tI-NP\tO' -p342581 -aS'sleep\tsleep\tNN\tI-NP\tO' -p342582 -aS'lab\tlab\tNN\tI-NP\tO' -p342583 -aS',\t,\t,\tO\tO' -p342584 -aS'phone\tphone\tNN\tB-NP\tO' -p342585 -aS'number\tnumber\tNN\tI-NP\tO' -p342586 -aS'133-225-1257\t133-225-1257\tCD\tI-NP\tO' -p342587 -aS'.\t.\t.\tO\tO' -p342588 -asS'His wife noted personality changes with increased irritability .' -p342589 -(lp342590 -S'His\tHis\tPRP$\tB-NP\tO' -p342591 -aS'wife\twife\tNN\tI-NP\tO' -p342592 -aS'noted\tnote\tVBD\tB-VP\tO' -p342593 -aS'personality\tpersonality\tNN\tB-NP\tO' -p342594 -aS'changes\tchange\tNNS\tI-NP\tO' -p342595 -aS'with\twith\tIN\tB-PP\tO' -p342596 -aS'increased\tincrease\tVBN\tB-NP\tO' -p342597 -aS'irritability\tirritability\tNN\tI-NP\tO' -p342598 -aS'.\t.\t.\tO\tO' -p342599 -asS'To Western Mass. Hospital Hospital .' -p342600 -(lp342601 -S'To\tTo\tTO\tB-PP\tO' -p342602 -aS'Western\tWestern\tNNP\tB-NP\tO' -p342603 -aS'Mass.\tMass.\tNNP\tI-NP\tO' -p342604 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p342605 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p342606 -aS'.\t.\t.\tO\tO' -p342607 -asS'Right foot and femur series demonstrated no evidence of fracture displacement .' -p342608 -(lp342609 -S'Right\tRight\tNN\tB-NP\tO' -p342610 -aS'foot\tfoot\tNN\tI-NP\tO' -p342611 -aS'and\tand\tCC\tO\tO' -p342612 -aS'femur\tfemur\tNN\tB-NP\tO' -p342613 -aS'series\tseries\tNN\tI-NP\tO' -p342614 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p342615 -aS'no\tno\tDT\tB-NP\tO' -p342616 -aS'evidence\tevidence\tNN\tI-NP\tO' -p342617 -aS'of\tof\tIN\tB-PP\tO' -p342618 -aS'fracture\tfracture\tNN\tB-NP\tO' -p342619 -aS'displacement\tdisplacement\tNN\tI-NP\tO' -p342620 -aS'.\t.\t.\tO\tO' -p342621 -asS'- Follow up with your surgeon in 1-2 weeks for wound check .' -p342622 -(lp342623 -S'-\t-\tHYPH\tO\tO' -p342624 -aS'Follow\tFollow\tVB\tB-VP\tO' -p342625 -aS'up\tup\tRP\tB-PRT\tO' -p342626 -aS'with\twith\tIN\tB-PP\tO' -p342627 -aS'your\tyour\tPRP$\tB-NP\tO' -p342628 -aS'surgeon\tsurgeon\tNN\tI-NP\tO' -p342629 -aS'in\tin\tIN\tB-PP\tO' -p342630 -aS'1-2\t1-2\tCD\tB-NP\tO' -p342631 -aS'weeks\tweek\tNNS\tI-NP\tO' -p342632 -aS'for\tfor\tIN\tB-PP\tO' -p342633 -aS'wound\twound\tNN\tB-NP\tO' -p342634 -aS'check\tcheck\tNN\tI-NP\tO' -p342635 -aS'.\t.\t.\tO\tO' -p342636 -asS"The patient 's hematocrit on the day of discharge was 35.6 showing significant bump in her count after her second two units of packed RBC 's ." -p342637 -(lp342638 -S'The\tThe\tDT\tB-NP\tO' -p342639 -aS'patient\tpatient\tNN\tI-NP\tO' -p342640 -aS"'s\t's\tPOS\tB-NP\tO" -p342641 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p342642 -aS'on\ton\tIN\tB-PP\tO' -p342643 -aS'the\tthe\tDT\tB-NP\tO' -p342644 -aS'day\tday\tNN\tI-NP\tO' -p342645 -aS'of\tof\tIN\tB-PP\tO' -p342646 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p342647 -aS'was\tbe\tVBD\tB-VP\tO' -p342648 -aS'35.6\t35.6\tCD\tB-NP\tO' -p342649 -aS'showing\tshow\tVBG\tB-VP\tO' -p342650 -aS'significant\tsignificant\tJJ\tB-NP\tO' -p342651 -aS'bump\tbump\tNN\tI-NP\tO' -p342652 -aS'in\tin\tIN\tB-PP\tO' -p342653 -aS'her\ther\tPRP$\tB-NP\tO' -p342654 -aS'count\tcount\tNN\tI-NP\tO' -p342655 -aS'after\tafter\tIN\tB-PP\tO' -p342656 -aS'her\ther\tPRP$\tB-NP\tO' -p342657 -aS'second\tsecond\tJJ\tI-NP\tO' -p342658 -aS'two\ttwo\tCD\tI-NP\tO' -p342659 -aS'units\tunit\tNNS\tI-NP\tO' -p342660 -aS'of\tof\tIN\tB-PP\tO' -p342661 -aS'packed\tpacked\tJJ\tB-NP\tO' -p342662 -aS'RBC\tRBC\tNN\tI-NP\tO' -p342663 -aS"'s\t's\tPOS\tB-NP\tO" -p342664 -aS'.\t.\t.\tO\tO' -p342665 -asS'near syncope , dehydration vs cardiogenic' -p342666 -(lp342667 -S'near\tnear\tIN\tB-PP\tO' -p342668 -aS'syncope\tsyncope\tNN\tB-NP\tO' -p342669 -aS',\t,\t,\tO\tO' -p342670 -aS'dehydration\tdehydration\tNN\tB-NP\tO' -p342671 -aS'vs\tvs\tIN\tB-PP\tO' -p342672 -aS'cardiogenic\tcardiogenic\tJJ\tB-NP\tO' -p342673 -asS'She has JVD to angle of the jaw , no bruits .' -p342674 -(lp342675 -S'She\tShe\tPRP\tB-NP\tO' -p342676 -aS'has\thave\tVBZ\tB-VP\tO' -p342677 -aS'JVD\tJVD\tVBN\tI-VP\tO' -p342678 -aS'to\tto\tTO\tB-PP\tO' -p342679 -aS'angle\tangle\tNN\tB-NP\tO' -p342680 -aS'of\tof\tIN\tB-PP\tO' -p342681 -aS'the\tthe\tDT\tB-NP\tO' -p342682 -aS'jaw\tjaw\tNN\tI-NP\tO' -p342683 -aS',\t,\t,\tO\tO' -p342684 -aS'no\tno\tDT\tB-NP\tO' -p342685 -aS'bruits\tbruit\tNNS\tI-NP\tO' -p342686 -aS'.\t.\t.\tO\tO' -p342687 -asS'Full term male infant with cyanosis episodes .' -p342688 -(lp342689 -S'Full\tFull\tJJ\tB-NP\tO' -p342690 -aS'term\tterm\tNN\tI-NP\tO' -p342691 -aS'male\tmale\tJJ\tI-NP\tO' -p342692 -aS'infant\tinfant\tNN\tI-NP\tO' -p342693 -aS'with\twith\tIN\tB-PP\tO' -p342694 -aS'cyanosis\tcyanosis\tNN\tB-NP\tO' -p342695 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p342696 -aS'.\t.\t.\tO\tO' -p342697 -asS'No prolonged rupture of membranes .' -p342698 -(lp342699 -S'No\tNo\tDT\tB-NP\tO' -p342700 -aS'prolonged\tprolonged\tJJ\tI-NP\tO' -p342701 -aS'rupture\trupture\tNN\tI-NP\tO' -p342702 -aS'of\tof\tIN\tB-PP\tO' -p342703 -aS'membranes\tmembrane\tNNS\tB-NP\tO' -p342704 -aS'.\t.\t.\tO\tO' -p342705 -asS'Normal S1 and S2 without murmur .' -p342706 -(lp342707 -S'Normal\tNormal\tJJ\tB-NP\tO' -p342708 -aS'S1\tS1\tNN\tI-NP\tB-protein' -p342709 -aS'and\tand\tCC\tO\tO' -p342710 -aS'S2\tS2\tNN\tB-NP\tB-protein' -p342711 -aS'without\twithout\tIN\tB-PP\tO' -p342712 -aS'murmur\tmurmur\tNN\tB-NP\tO' -p342713 -aS'.\t.\t.\tO\tO' -p342714 -asS'Laboratories on admission revealed white count 7.8 , hematocrit was 41.7 , platelets of 252 , MCV 89 , RDW 12.7 .' -p342715 -(lp342716 -S'Laboratories\tLaboratory\tNNS\tB-NP\tO' -p342717 -aS'on\ton\tIN\tB-PP\tO' -p342718 -aS'admission\tadmission\tNN\tB-NP\tO' -p342719 -aS'revealed\treveal\tVBD\tB-VP\tO' -p342720 -aS'white\twhite\tJJ\tB-NP\tO' -p342721 -aS'count\tcount\tNN\tI-NP\tO' -p342722 -aS'7.8\t7.8\tCD\tI-NP\tO' -p342723 -aS',\t,\t,\tO\tO' -p342724 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p342725 -aS'was\tbe\tVBD\tB-VP\tI-protein' -p342726 -aS'41.7\t41.7\tCD\tB-NP\tI-protein' -p342727 -aS',\t,\t,\tO\tO' -p342728 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p342729 -aS'of\tof\tIN\tB-PP\tO' -p342730 -aS'252\t252\tCD\tB-NP\tO' -p342731 -aS',\t,\t,\tO\tO' -p342732 -aS'MCV\tMCV\tNN\tB-NP\tB-DNA' -p342733 -aS'89\t89\tCD\tI-NP\tI-DNA' -p342734 -aS',\t,\t,\tO\tO' -p342735 -aS'RDW\tRDW\tNNP\tB-NP\tO' -p342736 -aS'12.7\t12.7\tCD\tI-NP\tO' -p342737 -aS'.\t.\t.\tO\tO' -p342738 -asS'Use ice to sore areas for the next few days .' -p342739 -(lp342740 -S'Use\tUse\tNN\tB-NP\tO' -p342741 -aS'ice\tice\tNN\tI-NP\tO' -p342742 -aS'to\tto\tTO\tB-VP\tO' -p342743 -aS'sore\tsore\tVB\tI-VP\tO' -p342744 -aS'areas\tarea\tNNS\tB-NP\tO' -p342745 -aS'for\tfor\tIN\tB-PP\tO' -p342746 -aS'the\tthe\tDT\tB-NP\tO' -p342747 -aS'next\tnext\tJJ\tI-NP\tO' -p342748 -aS'few\tfew\tJJ\tI-NP\tO' -p342749 -aS'days\tday\tNNS\tI-NP\tO' -p342750 -aS'.\t.\t.\tO\tO' -p342751 -asS'This showed lymphangitic spread of cancer in the chest , question of pulmonary nodules in the chest , pericardial effusion , multiple liver metastases , decreased function of the left kidney , dilated left intrarenal collecting system and proximal ureter , and periaortic lymphadenopathy .' -p342752 -(lp342753 -S'This\tThis\tDT\tB-NP\tO' -p342754 -aS'showed\tshow\tVBD\tB-VP\tO' -p342755 -aS'lymphangitic\tlymphangitic\tJJ\tB-NP\tO' -p342756 -aS'spread\tspread\tNN\tI-NP\tO' -p342757 -aS'of\tof\tIN\tB-PP\tO' -p342758 -aS'cancer\tcancer\tNN\tB-NP\tO' -p342759 -aS'in\tin\tIN\tB-PP\tO' -p342760 -aS'the\tthe\tDT\tB-NP\tO' -p342761 -aS'chest\tchest\tNN\tI-NP\tO' -p342762 -aS',\t,\t,\tO\tO' -p342763 -aS'question\tquestion\tNN\tB-NP\tO' -p342764 -aS'of\tof\tIN\tB-PP\tO' -p342765 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p342766 -aS'nodules\tnodule\tNNS\tI-NP\tO' -p342767 -aS'in\tin\tIN\tB-PP\tO' -p342768 -aS'the\tthe\tDT\tB-NP\tO' -p342769 -aS'chest\tchest\tNN\tI-NP\tO' -p342770 -aS',\t,\t,\tO\tO' -p342771 -aS'pericardial\tpericardial\tJJ\tB-NP\tO' -p342772 -aS'effusion\teffusion\tNN\tI-NP\tO' -p342773 -aS',\t,\t,\tO\tO' -p342774 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p342775 -aS'liver\tliver\tNN\tI-NP\tO' -p342776 -aS'metastases\tmetastasis\tNNS\tI-NP\tO' -p342777 -aS',\t,\t,\tO\tO' -p342778 -aS'decreased\tdecrease\tVBN\tB-NP\tO' -p342779 -aS'function\tfunction\tNN\tI-NP\tO' -p342780 -aS'of\tof\tIN\tB-PP\tO' -p342781 -aS'the\tthe\tDT\tB-NP\tO' -p342782 -aS'left\tleft\tJJ\tI-NP\tO' -p342783 -aS'kidney\tkidney\tNN\tI-NP\tO' -p342784 -aS',\t,\t,\tO\tO' -p342785 -aS'dilated\tdilate\tVBN\tB-VP\tO' -p342786 -aS'left\tleave\tVBD\tB-VP\tO' -p342787 -aS'intrarenal\tintrarenal\tJJ\tB-NP\tO' -p342788 -aS'collecting\tcollect\tVBG\tI-NP\tO' -p342789 -aS'system\tsystem\tNN\tI-NP\tO' -p342790 -aS'and\tand\tCC\tO\tO' -p342791 -aS'proximal\tproximal\tJJ\tB-NP\tO' -p342792 -aS'ureter\tureter\tNN\tI-NP\tO' -p342793 -aS',\t,\t,\tO\tO' -p342794 -aS'and\tand\tCC\tO\tO' -p342795 -aS'periaortic\tperiaortic\tJJ\tB-NP\tO' -p342796 -aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' -p342797 -aS'.\t.\t.\tO\tO' -p342798 -asS'The patient is to maintain her figure-of-eight clavicular splint and left posterior forearm splint in place for fourteen days following discharge .' -p342799 -(lp342800 -S'The\tThe\tDT\tB-NP\tO' -p342801 -aS'patient\tpatient\tNN\tI-NP\tO' -p342802 -aS'is\tbe\tVBZ\tB-VP\tO' -p342803 -aS'to\tto\tTO\tB-VP\tO' -p342804 -aS'maintain\tmaintain\tVB\tI-VP\tO' -p342805 -aS'her\ther\tPRP\tB-NP\tO' -p342806 -aS'figure-of-eight\tfigure-of-eight\tJJ\tI-NP\tO' -p342807 -aS'clavicular\tclavicular\tJJ\tI-NP\tO' -p342808 -aS'splint\tsplint\tNN\tI-NP\tO' -p342809 -aS'and\tand\tCC\tO\tO' -p342810 -aS'left\tleave\tVBD\tB-VP\tO' -p342811 -aS'posterior\tposterior\tJJ\tB-NP\tO' -p342812 -aS'forearm\tforearm\tNN\tI-NP\tO' -p342813 -aS'splint\tsplint\tNN\tI-NP\tO' -p342814 -aS'in\tin\tIN\tB-PP\tO' -p342815 -aS'place\tplace\tNN\tB-NP\tO' -p342816 -aS'for\tfor\tIN\tB-PP\tO' -p342817 -aS'fourteen\tfourteen\tCD\tB-NP\tO' -p342818 -aS'days\tday\tNNS\tI-NP\tO' -p342819 -aS'following\tfollow\tVBG\tB-PP\tO' -p342820 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p342821 -aS'.\t.\t.\tO\tO' -p342822 -asS'He recently developed fatigue and dyspnea and workup disclosed a large liver mass which was biopsied and revealed to be poorly differentiated neoplasm most consistent with metastatic rectal discontinued .' -p342823 -(lp342824 -S'He\tHe\tPRP\tB-NP\tO' -p342825 -aS'recently\trecently\tRB\tB-ADVP\tO' -p342826 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p342827 -aS'fatigue\tfatigue\tNN\tB-NP\tO' -p342828 -aS'and\tand\tCC\tI-NP\tO' -p342829 -aS'dyspnea\tdyspnea\tNN\tI-NP\tO' -p342830 -aS'and\tand\tCC\tI-NP\tO' -p342831 -aS'workup\tworkup\tNN\tI-NP\tO' -p342832 -aS'disclosed\tdisclose\tVBD\tB-VP\tO' -p342833 -aS'a\ta\tDT\tB-NP\tO' -p342834 -aS'large\tlarge\tJJ\tI-NP\tO' -p342835 -aS'liver\tliver\tNN\tI-NP\tO' -p342836 -aS'mass\tmass\tNN\tI-NP\tO' -p342837 -aS'which\twhich\tWDT\tB-NP\tO' -p342838 -aS'was\tbe\tVBD\tB-VP\tO' -p342839 -aS'biopsied\tbiopsie\tVBN\tI-VP\tO' -p342840 -aS'and\tand\tCC\tO\tO' -p342841 -aS'revealed\treveal\tVBN\tB-VP\tO' -p342842 -aS'to\tto\tTO\tI-VP\tO' -p342843 -aS'be\tbe\tVB\tI-VP\tO' -p342844 -aS'poorly\tpoorly\tRB\tB-NP\tO' -p342845 -aS'differentiated\tdifferentiate\tVBN\tI-NP\tO' -p342846 -aS'neoplasm\tneoplasm\tNN\tI-NP\tO' -p342847 -aS'most\tmost\tRBS\tB-ADJP\tO' -p342848 -aS'consistent\tconsistent\tJJ\tI-ADJP\tO' -p342849 -aS'with\twith\tIN\tB-PP\tO' -p342850 -aS'metastatic\tmetastatic\tJJ\tB-NP\tO' -p342851 -aS'rectal\trectal\tJJ\tI-NP\tO' -p342852 -aS'discontinued\tdiscontinue\tVBN\tB-VP\tO' -p342853 -aS'.\t.\t.\tO\tO' -p342854 -asS'There is mild aortic valve stenosis .' -p342855 -(lp342856 -S'There\tThere\tEX\tB-NP\tO' -p342857 -aS'is\tbe\tVBZ\tB-VP\tO' -p342858 -aS'mild\tmild\tJJ\tB-NP\tO' -p342859 -aS'aortic\taortic\tJJ\tI-NP\tO' -p342860 -aS'valve\tvalve\tNN\tI-NP\tO' -p342861 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p342862 -aS'.\t.\t.\tO\tO' -p342863 -asS'Full enteral feedings were achieved by day of life #7 .' -p342864 -(lp342865 -S'Full\tFull\tJJ\tB-NP\tO' -p342866 -aS'enteral\tenteral\tJJ\tI-NP\tO' -p342867 -aS'feedings\tfeeding\tNNS\tI-NP\tO' -p342868 -aS'were\tbe\tVBD\tB-VP\tO' -p342869 -aS'achieved\tachieve\tVBN\tI-VP\tO' -p342870 -aS'by\tby\tIN\tB-PP\tO' -p342871 -aS'day\tday\tNN\tB-NP\tO' -p342872 -aS'of\tof\tIN\tB-PP\tO' -p342873 -aS'life\tlife\tNN\tB-NP\tO' -p342874 -aS'#7\t#7\tCD\tI-NP\tO' -p342875 -aS'.\t.\t.\tO\tO' -p342876 -asS'Responsible After Study for Causing Admission ) Primary c / s for breech' -p342877 -(lp342878 -S'Responsible\tResponsible\tJJ\tB-ADJP\tO' -p342879 -aS'After\tAfter\tIN\tB-PP\tO' -p342880 -aS'Study\tStudy\tNN\tB-NP\tO' -p342881 -aS'for\tfor\tIN\tB-PP\tO' -p342882 -aS'Causing\tCause\tVBG\tB-NP\tO' -p342883 -aS'Admission\tAdmission\tNN\tI-NP\tO' -p342884 -aS')\t)\t)\tI-NP\tO' -p342885 -aS'Primary\tPrimary\tJJ\tI-NP\tO' -p342886 -aS'c\tc\tNN\tI-NP\tO' -p342887 -aS'/\t/\tSYM\tI-NP\tO' -p342888 -aS's\ts\tNN\tI-NP\tO' -p342889 -aS'for\tfor\tIN\tB-PP\tO' -p342890 -aS'breech\tbreech\tNN\tB-NP\tO' -p342891 -asS'She has a history of heavy alcohol use .' -p342892 -(lp342893 -S'She\tShe\tPRP\tB-NP\tO' -p342894 -aS'has\thave\tVBZ\tB-VP\tO' -p342895 -aS'a\ta\tDT\tB-NP\tO' -p342896 -aS'history\thistory\tNN\tI-NP\tO' -p342897 -aS'of\tof\tIN\tB-PP\tO' -p342898 -aS'heavy\theavy\tJJ\tB-NP\tO' -p342899 -aS'alcohol\talcohol\tNN\tI-NP\tO' -p342900 -aS'use\tuse\tNN\tI-NP\tO' -p342901 -aS'.\t.\t.\tO\tO' -p342902 -asS'INR 1.4 .' -p342903 -(lp342904 -S'INR\tINR\tNN\tB-NP\tO' -p342905 -aS'1.4\t1.4\tCD\tI-NP\tO' -p342906 -aS'.\t.\t.\tO\tO' -p342907 -asS'By report the patient was at that time told that there was no more that could be done for him and was then apparently placed on comfort measures and pain control at the outside hospital .' -p342908 -(lp342909 -S'By\tBy\tIN\tB-PP\tO' -p342910 -aS'report\treport\tNN\tB-NP\tO' -p342911 -aS'the\tthe\tDT\tB-NP\tO' -p342912 -aS'patient\tpatient\tNN\tI-NP\tO' -p342913 -aS'was\tbe\tVBD\tB-VP\tO' -p342914 -aS'at\tat\tIN\tB-PP\tO' -p342915 -aS'that\tthat\tDT\tB-NP\tO' -p342916 -aS'time\ttime\tNN\tI-NP\tO' -p342917 -aS'told\ttell\tVBD\tB-VP\tO' -p342918 -aS'that\tthat\tIN\tB-SBAR\tO' -p342919 -aS'there\tthere\tEX\tB-NP\tO' -p342920 -aS'was\tbe\tVBD\tB-VP\tO' -p342921 -aS'no\tno\tDT\tB-NP\tO' -p342922 -aS'more\tmore\tJJR\tI-NP\tO' -p342923 -aS'that\tthat\tWDT\tB-NP\tO' -p342924 -aS'could\tcould\tMD\tB-VP\tO' -p342925 -aS'be\tbe\tVB\tI-VP\tO' -p342926 -aS'done\tdo\tVBN\tI-VP\tO' -p342927 -aS'for\tfor\tIN\tB-PP\tO' -p342928 -aS'him\thim\tPRP\tB-NP\tO' -p342929 -aS'and\tand\tCC\tO\tO' -p342930 -aS'was\tbe\tVBD\tB-VP\tO' -p342931 -aS'then\tthen\tRB\tI-VP\tO' -p342932 -aS'apparently\tapparently\tRB\tI-VP\tO' -p342933 -aS'placed\tplace\tVBN\tI-VP\tO' -p342934 -aS'on\ton\tIN\tB-PP\tO' -p342935 -aS'comfort\tcomfort\tNN\tB-NP\tO' -p342936 -aS'measures\tmeasure\tNNS\tI-NP\tO' -p342937 -aS'and\tand\tCC\tO\tO' -p342938 -aS'pain\tpain\tNN\tB-NP\tO' -p342939 -aS'control\tcontrol\tNN\tI-NP\tO' -p342940 -aS'at\tat\tIN\tB-PP\tO' -p342941 -aS'the\tthe\tDT\tB-NP\tO' -p342942 -aS'outside\toutside\tJJ\tI-NP\tO' -p342943 -aS'hospital\thospital\tNN\tI-NP\tO' -p342944 -aS'.\t.\t.\tO\tO' -p342945 -asS'Left Ventricle - Diastolic Dimension : 5.3 cm ( nl <= 5.6 cm )' -p342946 -(lp342947 -S'Left\tLeft\tNNP\tB-NP\tO' -p342948 -aS'Ventricle\tVentricle\tNNP\tI-NP\tO' -p342949 -aS'-\t-\tHYPH\tB-NP\tO' -p342950 -aS'Diastolic\tDiastolic\tNNP\tI-NP\tO' -p342951 -aS'Dimension\tDimension\tNN\tI-NP\tO' -p342952 -aS':\t:\t:\tO\tO' -p342953 -aS'5.3\t5.3\tCD\tB-NP\tO' -p342954 -aS'cm\tcm\tNN\tI-NP\tO' -p342955 -aS'(\t(\t(\tO\tO' -p342956 -aS'nl\tnl\tNN\tB-NP\tO' -p342957 -aS'<=\t<=\tSYM\tO\tO' -p342958 -aS'5.6\t5.6\tCD\tB-NP\tO' -p342959 -aS'cm\tcm\tNN\tI-NP\tO' -p342960 -aS')\t)\t)\tO\tO' -p342961 -asS'The sensory exam revealed no focal deficits to limited exam .' -p342962 -(lp342963 -S'The\tThe\tDT\tB-NP\tO' -p342964 -aS'sensory\tsensory\tJJ\tI-NP\tO' -p342965 -aS'exam\texam\tNN\tI-NP\tO' -p342966 -aS'revealed\treveal\tVBD\tB-VP\tO' -p342967 -aS'no\tno\tDT\tB-NP\tO' -p342968 -aS'focal\tfocal\tJJ\tI-NP\tO' -p342969 -aS'deficits\tdeficit\tNNS\tI-NP\tO' -p342970 -aS'to\tto\tTO\tB-PP\tO' -p342971 -aS'limited\tlimited\tJJ\tB-NP\tO' -p342972 -aS'exam\texam\tNN\tI-NP\tO' -p342973 -aS'.\t.\t.\tO\tO' -p342974 -asS'He was diuresed towards his pre-op weight .' -p342975 -(lp342976 -S'He\tHe\tPRP\tB-NP\tO' -p342977 -aS'was\tbe\tVBD\tB-VP\tO' -p342978 -aS'diuresed\tdiurese\tVBN\tI-VP\tO' -p342979 -aS'towards\ttowards\tIN\tB-PP\tO' -p342980 -aS'his\this\tPRP$\tB-NP\tO' -p342981 -aS'pre-op\tpre-op\tJJ\tI-NP\tO' -p342982 -aS'weight\tweight\tNN\tI-NP\tO' -p342983 -aS'.\t.\t.\tO\tO' -p342984 -asS'PT 17.6 , PTT 48.7 , fibrinogen 686 , TT 39.2 .' -p342985 -(lp342986 -S'PT\tPT\tNN\tB-NP\tB-protein' -p342987 -aS'17.6\t17.6\tCD\tI-NP\tI-protein' -p342988 -aS',\t,\t,\tO\tO' -p342989 -aS'PTT\tPTT\tNN\tB-NP\tB-protein' -p342990 -aS'48.7\t48.7\tCD\tI-NP\tI-protein' -p342991 -aS',\t,\t,\tO\tO' -p342992 -aS'fibrinogen\tfibrinogen\tNN\tB-NP\tB-protein' -p342993 -aS'686\t686\tCD\tI-NP\tI-protein' -p342994 -aS',\t,\t,\tO\tO' -p342995 -aS'TT\tTT\tNN\tB-NP\tB-cell_line' -p342996 -aS'39.2\t39.2\tCD\tI-NP\tI-cell_line' -p342997 -aS'.\t.\t.\tO\tO' -p342998 -asS'On postoperative day three , the patient had a port placed .' -p342999 -(lp343000 -S'On\tOn\tIN\tB-PP\tO' -p343001 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p343002 -aS'day\tday\tNN\tI-NP\tO' -p343003 -aS'three\tthree\tCD\tI-NP\tO' -p343004 -aS',\t,\t,\tO\tO' -p343005 -aS'the\tthe\tDT\tB-NP\tO' -p343006 -aS'patient\tpatient\tNN\tI-NP\tO' -p343007 -aS'had\thave\tVBD\tB-VP\tO' -p343008 -aS'a\ta\tDT\tB-NP\tO' -p343009 -aS'port\tport\tNN\tI-NP\tO' -p343010 -aS'placed\tplace\tVBN\tB-VP\tO' -p343011 -aS'.\t.\t.\tO\tO' -p343012 -asS'Baby was vigorous at delivery , was bulb suction , dried , and had free flow oxygen administered briefly .' -p343013 -(lp343014 -S'Baby\tBaby\tNNP\tB-NP\tO' -p343015 -aS'was\tbe\tVBD\tB-VP\tO' -p343016 -aS'vigorous\tvigorous\tJJ\tB-ADJP\tO' -p343017 -aS'at\tat\tIN\tB-PP\tO' -p343018 -aS'delivery\tdelivery\tNN\tB-NP\tO' -p343019 -aS',\t,\t,\tO\tO' -p343020 -aS'was\tbe\tVBD\tB-VP\tO' -p343021 -aS'bulb\tbulb\tNN\tB-NP\tO' -p343022 -aS'suction\tsuction\tNN\tI-NP\tO' -p343023 -aS',\t,\t,\tO\tO' -p343024 -aS'dried\tdry\tVBN\tB-VP\tO' -p343025 -aS',\t,\t,\tO\tO' -p343026 -aS'and\tand\tCC\tO\tO' -p343027 -aS'had\thave\tVBD\tB-VP\tO' -p343028 -aS'free\tfree\tJJ\tB-NP\tO' -p343029 -aS'flow\tflow\tNN\tI-NP\tO' -p343030 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p343031 -aS'administered\tadminister\tVBN\tB-VP\tO' -p343032 -aS'briefly\tbriefly\tRB\tB-ADVP\tO' -p343033 -aS'.\t.\t.\tO\tO' -p343034 -asS'Breast cancer in multiple female relatives .' -p343035 -(lp343036 -S'Breast\tBreast\tNN\tB-NP\tO' -p343037 -aS'cancer\tcancer\tNN\tI-NP\tO' -p343038 -aS'in\tin\tIN\tB-PP\tO' -p343039 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p343040 -aS'female\tfemale\tJJ\tI-NP\tO' -p343041 -aS'relatives\trelative\tNNS\tI-NP\tO' -p343042 -aS'.\t.\t.\tO\tO' -p343043 -asS'Urine cultures , blood cultures and sputum cultures were sent .' -p343044 -(lp343045 -S'Urine\tUrine\tNN\tB-NP\tB-cell_line' -p343046 -aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' -p343047 -aS',\t,\t,\tO\tO' -p343048 -aS'blood\tblood\tNN\tB-NP\tO' -p343049 -aS'cultures\tculture\tNNS\tI-NP\tO' -p343050 -aS'and\tand\tCC\tO\tO' -p343051 -aS'sputum\tsputum\tNN\tB-NP\tO' -p343052 -aS'cultures\tculture\tNNS\tI-NP\tO' -p343053 -aS'were\tbe\tVBD\tB-VP\tO' -p343054 -aS'sent\tsend\tVBN\tI-VP\tO' -p343055 -aS'.\t.\t.\tO\tO' -p343056 -asS"Given the patient 's right thigh hematoma , a duplex evaluation of the right lower extremity was performed on 2010-06-28 and demonstrated no evidence of major arterial or venous injury in the level of" -p343057 -(lp343058 -S'Given\tGive\tVBN\tB-PP\tO' -p343059 -aS'the\tthe\tDT\tB-NP\tO' -p343060 -aS'patient\tpatient\tNN\tI-NP\tO' -p343061 -aS"'s\t's\tPOS\tB-NP\tO" -p343062 -aS'right\tright\tJJ\tI-NP\tO' -p343063 -aS'thigh\tthigh\tJJ\tI-NP\tO' -p343064 -aS'hematoma\thematoma\tNN\tI-NP\tO' -p343065 -aS',\t,\t,\tO\tO' -p343066 -aS'a\ta\tDT\tB-NP\tO' -p343067 -aS'duplex\tduplex\tNN\tI-NP\tO' -p343068 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p343069 -aS'of\tof\tIN\tB-PP\tO' -p343070 -aS'the\tthe\tDT\tB-NP\tO' -p343071 -aS'right\tright\tJJ\tI-NP\tO' -p343072 -aS'lower\tlow\tJJR\tI-NP\tO' -p343073 -aS'extremity\textremity\tNN\tI-NP\tO' -p343074 -aS'was\tbe\tVBD\tB-VP\tO' -p343075 -aS'performed\tperform\tVBN\tI-VP\tO' -p343076 -aS'on\ton\tIN\tB-PP\tO' -p343077 -aS'2010-06-28\t2010-06-28\tCD\tB-NP\tO' -p343078 -aS'and\tand\tCC\tO\tO' -p343079 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p343080 -aS'no\tno\tDT\tB-NP\tO' -p343081 -aS'evidence\tevidence\tNN\tI-NP\tO' -p343082 -aS'of\tof\tIN\tB-PP\tO' -p343083 -aS'major\tmajor\tJJ\tB-NP\tO' -p343084 -aS'arterial\tarterial\tJJ\tI-NP\tO' -p343085 -aS'or\tor\tCC\tI-NP\tO' -p343086 -aS'venous\tvenous\tJJ\tI-NP\tO' -p343087 -aS'injury\tinjury\tNN\tI-NP\tO' -p343088 -aS'in\tin\tIN\tB-PP\tO' -p343089 -aS'the\tthe\tDT\tB-NP\tO' -p343090 -aS'level\tlevel\tNN\tI-NP\tO' -p343091 -aS'of\tof\tIN\tB-PP\tO' -p343092 -asS'On 12/12/96 she had an uncomplicated total abdominal hysterectomy and bilateral salpingo-oophorectomy .' -p343093 -(lp343094 -S'On\tOn\tIN\tB-PP\tO' -p343095 -aS'12/12/96\t12/12/96\tCD\tB-NP\tO' -p343096 -aS'she\tshe\tPRP\tB-NP\tO' -p343097 -aS'had\thave\tVBD\tB-VP\tO' -p343098 -aS'an\tan\tDT\tB-NP\tO' -p343099 -aS'uncomplicated\tuncomplicated\tJJ\tI-NP\tO' -p343100 -aS'total\ttotal\tJJ\tI-NP\tO' -p343101 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p343102 -aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' -p343103 -aS'and\tand\tCC\tO\tO' -p343104 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p343105 -aS'salpingo-oophorectomy\tsalpingo-oophorectomy\tNN\tI-NP\tO' -p343106 -aS'.\t.\t.\tO\tO' -p343107 -asS'Now continued on 1 mg BID , to complete a 7 day course , which will be tapered to 1 mg qday on 01-15 , and subsequently to 0.5 mg qday x 7 days then to be discontinued .' -p343108 -(lp343109 -S'Now\tNow\tRB\tB-ADVP\tO' -p343110 -aS'continued\tcontinue\tVBN\tB-PP\tO' -p343111 -aS'on\ton\tIN\tB-PP\tO' -p343112 -aS'1\t1\tCD\tB-NP\tO' -p343113 -aS'mg\tmg\tNN\tI-NP\tO' -p343114 -aS'BID\tBID\tNN\tI-NP\tO' -p343115 -aS',\t,\t,\tO\tO' -p343116 -aS'to\tto\tTO\tB-VP\tO' -p343117 -aS'complete\tcomplete\tVB\tI-VP\tO' -p343118 -aS'a\ta\tDT\tB-NP\tO' -p343119 -aS'7\t7\tCD\tI-NP\tO' -p343120 -aS'day\tday\tNN\tI-NP\tO' -p343121 -aS'course\tcourse\tNN\tI-NP\tO' -p343122 -aS',\t,\t,\tO\tO' -p343123 -aS'which\twhich\tWDT\tB-NP\tO' -p343124 -aS'will\twill\tMD\tB-VP\tO' -p343125 -aS'be\tbe\tVB\tI-VP\tO' -p343126 -aS'tapered\ttaper\tVBN\tI-VP\tO' -p343127 -aS'to\tto\tTO\tB-PP\tO' -p343128 -aS'1\t1\tCD\tB-NP\tO' -p343129 -aS'mg\tmg\tNN\tI-NP\tO' -p343130 -aS'qday\tqday\tNN\tI-NP\tO' -p343131 -aS'on\ton\tIN\tB-PP\tO' -p343132 -aS'01-15\t01-15\tCD\tB-NP\tO' -p343133 -aS',\t,\t,\tO\tO' -p343134 -aS'and\tand\tCC\tO\tO' -p343135 -aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' -p343136 -aS'to\tto\tTO\tB-PP\tO' -p343137 -aS'0.5\t0.5\tCD\tB-NP\tO' -p343138 -aS'mg\tmg\tNN\tI-NP\tO' -p343139 -aS'qday\tqday\tNN\tI-NP\tO' -p343140 -aS'x\tx\tSYM\tB-VP\tO' -p343141 -aS'7\t7\tCD\tB-NP\tO' -p343142 -aS'days\tday\tNNS\tI-NP\tO' -p343143 -aS'then\tthen\tRB\tB-ADVP\tO' -p343144 -aS'to\tto\tTO\tB-VP\tO' -p343145 -aS'be\tbe\tVB\tI-VP\tO' -p343146 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p343147 -aS'.\t.\t.\tO\tO' -p343148 -asS'However , at this point , his liver function test abnormalities appeared more consistent with a cholestatic picture with his direct bilirubin being 12.1 and total being 14.1 .' -p343149 -(lp343150 -S'However\tHowever\tRB\tB-ADVP\tO' -p343151 -aS',\t,\t,\tO\tO' -p343152 -aS'at\tat\tIN\tB-PP\tO' -p343153 -aS'this\tthis\tDT\tB-NP\tO' -p343154 -aS'point\tpoint\tNN\tI-NP\tO' -p343155 -aS',\t,\t,\tO\tO' -p343156 -aS'his\this\tPRP$\tB-NP\tO' -p343157 -aS'liver\tliver\tNN\tI-NP\tO' -p343158 -aS'function\tfunction\tNN\tI-NP\tO' -p343159 -aS'test\ttest\tNN\tI-NP\tO' -p343160 -aS'abnormalities\tabnormality\tNNS\tI-NP\tO' -p343161 -aS'appeared\tappear\tVBD\tB-VP\tO' -p343162 -aS'more\tmore\tRBR\tB-ADJP\tO' -p343163 -aS'consistent\tconsistent\tJJ\tI-ADJP\tO' -p343164 -aS'with\twith\tIN\tB-PP\tO' -p343165 -aS'a\ta\tDT\tB-NP\tO' -p343166 -aS'cholestatic\tcholestatic\tJJ\tI-NP\tO' -p343167 -aS'picture\tpicture\tNN\tI-NP\tO' -p343168 -aS'with\twith\tIN\tB-PP\tO' -p343169 -aS'his\this\tPRP$\tB-NP\tO' -p343170 -aS'direct\tdirect\tJJ\tI-NP\tO' -p343171 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p343172 -aS'being\tbe\tVBG\tB-VP\tO' -p343173 -aS'12.1\t12.1\tCD\tB-NP\tO' -p343174 -aS'and\tand\tCC\tO\tO' -p343175 -aS'total\ttotal\tJJ\tB-NP\tO' -p343176 -aS'being\tbe\tVBG\tB-VP\tO' -p343177 -aS'14.1\t14.1\tCD\tB-NP\tO' -p343178 -aS'.\t.\t.\tO\tO' -p343179 -asS'She presented on clinic on 06-20 with hypotension for which she was given intravenous fluids .' -p343180 -(lp343181 -S'She\tShe\tPRP\tB-NP\tO' -p343182 -aS'presented\tpresent\tVBD\tB-VP\tO' -p343183 -aS'on\ton\tIN\tB-PP\tO' -p343184 -aS'clinic\tclinic\tNN\tB-NP\tO' -p343185 -aS'on\ton\tIN\tB-PP\tO' -p343186 -aS'06-20\t06-20\tCD\tB-NP\tO' -p343187 -aS'with\twith\tIN\tB-PP\tO' -p343188 -aS'hypotension\thypotension\tNN\tB-NP\tO' -p343189 -aS'for\tfor\tIN\tB-PP\tO' -p343190 -aS'which\twhich\tWDT\tB-NP\tO' -p343191 -aS'she\tshe\tPRP\tB-NP\tO' -p343192 -aS'was\tbe\tVBD\tB-VP\tO' -p343193 -aS'given\tgive\tVBN\tI-VP\tO' -p343194 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p343195 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p343196 -aS'.\t.\t.\tO\tO' -p343197 -asS'At the time of discharge , the patient was tolerating her Flolan therapy well .' -p343198 -(lp343199 -S'At\tAt\tIN\tB-PP\tO' -p343200 -aS'the\tthe\tDT\tB-NP\tO' -p343201 -aS'time\ttime\tNN\tI-NP\tO' -p343202 -aS'of\tof\tIN\tB-PP\tO' -p343203 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p343204 -aS',\t,\t,\tO\tO' -p343205 -aS'the\tthe\tDT\tB-NP\tO' -p343206 -aS'patient\tpatient\tNN\tI-NP\tO' -p343207 -aS'was\tbe\tVBD\tB-VP\tO' -p343208 -aS'tolerating\ttolerate\tVBG\tI-VP\tO' -p343209 -aS'her\ther\tPRP$\tB-NP\tO' -p343210 -aS'Flolan\tFlolan\tNNP\tI-NP\tO' -p343211 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p343212 -aS'well\twell\tRB\tB-ADVP\tO' -p343213 -aS'.\t.\t.\tO\tO' -p343214 -asS'On 02/06/91 , he was seen in FLFDMC and at that point , his temperature was noted to be 101.4 and he had malaise and diarrhea .' -p343215 -(lp343216 -S'On\tOn\tIN\tB-PP\tO' -p343217 -aS'02/06/91\t02/06/91\tCD\tB-NP\tO' -p343218 -aS',\t,\t,\tO\tO' -p343219 -aS'he\the\tPRP\tB-NP\tO' -p343220 -aS'was\tbe\tVBD\tB-VP\tO' -p343221 -aS'seen\tsee\tVBN\tI-VP\tO' -p343222 -aS'in\tin\tIN\tB-PP\tO' -p343223 -aS'FLFDMC\tFLFDMC\tNN\tB-NP\tB-cell_type' -p343224 -aS'and\tand\tCC\tB-PP\tO' -p343225 -aS'at\tat\tIN\tB-PP\tO' -p343226 -aS'that\tthat\tDT\tB-NP\tO' -p343227 -aS'point\tpoint\tNN\tI-NP\tO' -p343228 -aS',\t,\t,\tO\tO' -p343229 -aS'his\this\tPRP$\tB-NP\tO' -p343230 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p343231 -aS'was\tbe\tVBD\tB-VP\tO' -p343232 -aS'noted\tnote\tVBN\tI-VP\tO' -p343233 -aS'to\tto\tTO\tI-VP\tO' -p343234 -aS'be\tbe\tVB\tI-VP\tO' -p343235 -aS'101.4\t101.4\tCD\tB-NP\tO' -p343236 -aS'and\tand\tCC\tO\tO' -p343237 -aS'he\the\tPRP\tB-NP\tO' -p343238 -aS'had\thave\tVBD\tB-VP\tO' -p343239 -aS'malaise\tmalaise\tNN\tB-NP\tO' -p343240 -aS'and\tand\tCC\tI-NP\tO' -p343241 -aS'diarrhea\tdiarrhea\tNN\tI-NP\tO' -p343242 -aS'.\t.\t.\tO\tO' -p343243 -asS'The Neurology Service evaluated the patient who felt that her agitation was most likely due to infection , her multiple medications , or her metabolic condition .' -p343244 -(lp343245 -S'The\tThe\tDT\tB-NP\tO' -p343246 -aS'Neurology\tNeurology\tNNP\tI-NP\tO' -p343247 -aS'Service\tService\tNNP\tI-NP\tO' -p343248 -aS'evaluated\tevaluate\tVBD\tB-VP\tO' -p343249 -aS'the\tthe\tDT\tB-NP\tO' -p343250 -aS'patient\tpatient\tNN\tI-NP\tO' -p343251 -aS'who\twho\tWP\tB-NP\tO' -p343252 -aS'felt\tfeel\tVBD\tB-VP\tO' -p343253 -aS'that\tthat\tDT\tO\tO' -p343254 -aS'her\ther\tPRP$\tB-NP\tO' -p343255 -aS'agitation\tagitation\tNN\tI-NP\tO' -p343256 -aS'was\tbe\tVBD\tB-VP\tO' -p343257 -aS'most\tmost\tRBS\tB-ADVP\tO' -p343258 -aS'likely\tlikely\tRB\tI-ADVP\tO' -p343259 -aS'due\tdue\tIN\tB-PP\tO' -p343260 -aS'to\tto\tTO\tB-PP\tO' -p343261 -aS'infection\tinfection\tNN\tB-NP\tO' -p343262 -aS',\t,\t,\tO\tO' -p343263 -aS'her\ther\tPRP$\tB-NP\tO' -p343264 -aS'multiple\tmultiple\tJJ\tI-NP\tO' -p343265 -aS'medications\tmedication\tNNS\tI-NP\tO' -p343266 -aS',\t,\t,\tO\tO' -p343267 -aS'or\tor\tCC\tO\tO' -p343268 -aS'her\ther\tPRP$\tB-NP\tO' -p343269 -aS'metabolic\tmetabolic\tJJ\tI-NP\tO' -p343270 -aS'condition\tcondition\tNN\tI-NP\tO' -p343271 -aS'.\t.\t.\tO\tO' -p343272 -asS'Head CT scan showed a 2 x 2 x 2 left anterior temporal hemorrhage with minimal surrounding edema .' -p343273 -(lp343274 -S'Head\tHead\tJJ\tB-NP\tO' -p343275 -aS'CT\tCT\tNN\tI-NP\tO' -p343276 -aS'scan\tscan\tNN\tI-NP\tO' -p343277 -aS'showed\tshow\tVBD\tB-VP\tO' -p343278 -aS'a\ta\tDT\tB-NP\tO' -p343279 -aS'2\t2\tCD\tI-NP\tO' -p343280 -aS'x\tx\tSYM\tI-NP\tO' -p343281 -aS'2\t2\tCD\tI-NP\tO' -p343282 -aS'x\tx\tSYM\tI-NP\tO' -p343283 -aS'2\t2\tCD\tI-NP\tO' -p343284 -aS'left\tleave\tVBD\tB-VP\tO' -p343285 -aS'anterior\tanterior\tJJ\tB-NP\tO' -p343286 -aS'temporal\ttemporal\tJJ\tI-NP\tO' -p343287 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p343288 -aS'with\twith\tIN\tB-PP\tO' -p343289 -aS'minimal\tminimal\tJJ\tB-NP\tO' -p343290 -aS'surrounding\tsurround\tVBG\tI-NP\tO' -p343291 -aS'edema\tedema\tNN\tI-NP\tO' -p343292 -aS'.\t.\t.\tO\tO' -p343293 -asS'She was afebrile and had normal vital signs .' -p343294 -(lp343295 -S'She\tShe\tPRP\tB-NP\tO' -p343296 -aS'was\tbe\tVBD\tB-VP\tO' -p343297 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p343298 -aS'and\tand\tCC\tO\tO' -p343299 -aS'had\thave\tVBD\tB-VP\tO' -p343300 -aS'normal\tnormal\tJJ\tB-NP\tO' -p343301 -aS'vital\tvital\tJJ\tI-NP\tO' -p343302 -aS'signs\tsign\tNNS\tI-NP\tO' -p343303 -aS'.\t.\t.\tO\tO' -p343304 -asS'House / ADA 2100 cals / day / Low saturated fat low cholesterol < FDI >' -p343305 -(lp343306 -S'House\tHouse\tNN\tB-NP\tO' -p343307 -aS'/\t/\tSYM\tI-NP\tO' -p343308 -aS'ADA\tADA\tNN\tI-NP\tO' -p343309 -aS'2100\t2100\tCD\tB-NP\tO' -p343310 -aS'cals\tcal\tNNS\tI-NP\tO' -p343311 -aS'/\t/\tSYM\tB-NP\tO' -p343312 -aS'day\tday\tNN\tI-NP\tO' -p343313 -aS'/\t/\tSYM\tB-NP\tO' -p343314 -aS'Low\tLow\tNN\tI-NP\tO' -p343315 -aS'saturated\tsaturate\tVBD\tB-VP\tO' -p343316 -aS'fat\tfat\tJJ\tB-NP\tO' -p343317 -aS'low\tlow\tJJ\tI-NP\tO' -p343318 -aS'cholesterol\tcholesterol\tNN\tI-NP\tO' -p343319 -aS'<\t<\tCC\tO\tO' -p343320 -aS'FDI\tFDI\tNNP\tB-NP\tO' -p343321 -aS'>\t>\t:\tO\tO' -p343322 -asS'They recommended follow-up examination due on the week of 12/20 .' -p343323 -(lp343324 -S'They\tThey\tPRP\tB-NP\tO' -p343325 -aS'recommended\trecommend\tVBD\tB-VP\tO' -p343326 -aS'follow-up\tfollow-up\tJJ\tB-NP\tO' -p343327 -aS'examination\texamination\tNN\tI-NP\tO' -p343328 -aS'due\tdue\tJJ\tB-ADJP\tO' -p343329 -aS'on\ton\tIN\tB-PP\tO' -p343330 -aS'the\tthe\tDT\tB-NP\tO' -p343331 -aS'week\tweek\tNN\tI-NP\tO' -p343332 -aS'of\tof\tIN\tB-PP\tO' -p343333 -aS'12/20\t12/20\tCD\tB-NP\tO' -p343334 -aS'.\t.\t.\tO\tO' -p343335 -asS'He had an electroencephalogram performed on his initial admittance to the Intensive Care Unit which did not show any evidence of seizure activity .' -p343336 -(lp343337 -S'He\tHe\tPRP\tB-NP\tO' -p343338 -aS'had\thave\tVBD\tB-VP\tO' -p343339 -aS'an\tan\tDT\tB-NP\tO' -p343340 -aS'electroencephalogram\telectroencephalogram\tNN\tI-NP\tO' -p343341 -aS'performed\tperform\tVBN\tB-VP\tO' -p343342 -aS'on\ton\tIN\tB-PP\tO' -p343343 -aS'his\this\tPRP$\tB-NP\tO' -p343344 -aS'initial\tinitial\tJJ\tI-NP\tO' -p343345 -aS'admittance\tadmittance\tNN\tI-NP\tO' -p343346 -aS'to\tto\tTO\tB-PP\tO' -p343347 -aS'the\tthe\tDT\tB-NP\tO' -p343348 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p343349 -aS'Care\tCare\tNNP\tI-NP\tO' -p343350 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p343351 -aS'which\twhich\tWDT\tB-NP\tO' -p343352 -aS'did\tdo\tVBD\tB-VP\tO' -p343353 -aS'not\tnot\tRB\tI-VP\tO' -p343354 -aS'show\tshow\tVB\tI-VP\tO' -p343355 -aS'any\tany\tDT\tB-NP\tO' -p343356 -aS'evidence\tevidence\tNN\tI-NP\tO' -p343357 -aS'of\tof\tIN\tB-PP\tO' -p343358 -aS'seizure\tseizure\tNN\tB-NP\tO' -p343359 -aS'activity\tactivity\tNN\tI-NP\tO' -p343360 -aS'.\t.\t.\tO\tO' -p343361 -asS'He is currently married , has 10 children .' -p343362 -(lp343363 -S'He\tHe\tPRP\tB-NP\tO' -p343364 -aS'is\tbe\tVBZ\tB-VP\tO' -p343365 -aS'currently\tcurrently\tRB\tI-VP\tO' -p343366 -aS'married\tmarry\tVBN\tI-VP\tO' -p343367 -aS',\t,\t,\tO\tO' -p343368 -aS'has\thave\tVBZ\tB-VP\tO' -p343369 -aS'10\t10\tCD\tB-NP\tO' -p343370 -aS'children\tchild\tNNS\tI-NP\tO' -p343371 -aS'.\t.\t.\tO\tO' -p343372 -asS'In general , confused white man , in mild distress .' -p343373 -(lp343374 -S'In\tIn\tIN\tB-PP\tO' -p343375 -aS'general\tgeneral\tJJ\tB-NP\tO' -p343376 -aS',\t,\t,\tI-NP\tO' -p343377 -aS'confused\tconfused\tJJ\tI-NP\tO' -p343378 -aS'white\twhite\tJJ\tI-NP\tO' -p343379 -aS'man\tman\tNN\tI-NP\tO' -p343380 -aS',\t,\t,\tO\tO' -p343381 -aS'in\tin\tIN\tB-PP\tO' -p343382 -aS'mild\tmild\tJJ\tB-NP\tO' -p343383 -aS'distress\tdistress\tNN\tI-NP\tO' -p343384 -aS'.\t.\t.\tO\tO' -p343385 -asS'The EGD did show three esophageal ulcers that were localized and apparent suggestion of pill esophagitis .' -p343386 -(lp343387 -S'The\tThe\tDT\tB-NP\tO' -p343388 -aS'EGD\tEGD\tNN\tI-NP\tB-protein' -p343389 -aS'did\tdo\tVBD\tB-VP\tO' -p343390 -aS'show\tshow\tVB\tI-VP\tO' -p343391 -aS'three\tthree\tCD\tB-NP\tO' -p343392 -aS'esophageal\tesophageal\tJJ\tI-NP\tO' -p343393 -aS'ulcers\tulcer\tNNS\tI-NP\tO' -p343394 -aS'that\tthat\tWDT\tB-NP\tO' -p343395 -aS'were\tbe\tVBD\tB-VP\tO' -p343396 -aS'localized\tlocalize\tVBN\tI-VP\tO' -p343397 -aS'and\tand\tCC\tO\tO' -p343398 -aS'apparent\tapparent\tJJ\tB-NP\tO' -p343399 -aS'suggestion\tsuggestion\tNN\tI-NP\tO' -p343400 -aS'of\tof\tIN\tB-PP\tO' -p343401 -aS'pill\tpill\tNN\tB-NP\tO' -p343402 -aS'esophagitis\tesophagitis\tNN\tI-NP\tO' -p343403 -aS'.\t.\t.\tO\tO' -p343404 -asS'9. Carbidopa - Levodopa 50 - 200 mg Tablet Sustained Release Sig : One ( 1 ) Tablet PO TID ( 3 times a day ) .' -p343405 -(lp343406 -S'9.\t9.\tCD\tB-NP\tO' -p343407 -aS'Carbidopa\tCarbidopa\tNNP\tI-NP\tO' -p343408 -aS'-\t-\tHYPH\tO\tO' -p343409 -aS'Levodopa\tLevodopa\tNNP\tB-NP\tO' -p343410 -aS'50\t50\tCD\tI-NP\tO' -p343411 -aS'-\t-\tHYPH\tI-NP\tO' -p343412 -aS'200\t200\tCD\tI-NP\tO' -p343413 -aS'mg\tmg\tNN\tI-NP\tO' -p343414 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p343415 -aS'Sustained\tSustained\tNNP\tI-NP\tO' -p343416 -aS'Release\tRelease\tNNP\tI-NP\tO' -p343417 -aS'Sig\tSig\tNNP\tI-NP\tB-protein' -p343418 -aS':\t:\t:\tO\tO' -p343419 -aS'One\tOne\tCD\tB-NP\tO' -p343420 -aS'(\t(\t(\tO\tO' -p343421 -aS'1\t1\tCD\tB-NP\tO' -p343422 -aS')\t)\t)\tO\tO' -p343423 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p343424 -aS'PO\tPO\tNN\tI-NP\tO' -p343425 -aS'TID\tTID\tNN\tI-NP\tO' -p343426 -aS'(\t(\t(\tO\tO' -p343427 -aS'3\t3\tCD\tB-NP\tO' -p343428 -aS'times\ttime\tNNS\tI-NP\tO' -p343429 -aS'a\ta\tDT\tB-NP\tO' -p343430 -aS'day\tday\tNN\tI-NP\tO' -p343431 -aS')\t)\t)\tO\tO' -p343432 -aS'.\t.\t.\tO\tO' -p343433 -asS'She was discharged to home on hospital day number eight , on oral antibiotics .' -p343434 -(lp343435 -S'She\tShe\tPRP\tB-NP\tO' -p343436 -aS'was\tbe\tVBD\tB-VP\tO' -p343437 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p343438 -aS'to\tto\tTO\tB-PP\tO' -p343439 -aS'home\thome\tNN\tB-NP\tO' -p343440 -aS'on\ton\tIN\tB-PP\tO' -p343441 -aS'hospital\thospital\tNN\tB-NP\tO' -p343442 -aS'day\tday\tNN\tI-NP\tO' -p343443 -aS'number\tnumber\tNN\tI-NP\tO' -p343444 -aS'eight\teight\tCD\tB-NP\tO' -p343445 -aS',\t,\t,\tO\tO' -p343446 -aS'on\ton\tIN\tB-PP\tO' -p343447 -aS'oral\toral\tJJ\tB-NP\tO' -p343448 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p343449 -aS'.\t.\t.\tO\tO' -p343450 -asS'The infant was initially started on 80 cc / kg / day of intravenous fluid D10W and advanced to 150 cc / kg / day by day of life four .' -p343451 -(lp343452 -S'The\tThe\tDT\tB-NP\tO' -p343453 -aS'infant\tinfant\tNN\tI-NP\tO' -p343454 -aS'was\tbe\tVBD\tB-VP\tO' -p343455 -aS'initially\tinitially\tRB\tI-VP\tO' -p343456 -aS'started\tstart\tVBN\tI-VP\tO' -p343457 -aS'on\ton\tIN\tB-PP\tO' -p343458 -aS'80\t80\tCD\tB-NP\tO' -p343459 -aS'cc\tcc\tNN\tI-NP\tO' -p343460 -aS'/\t/\tSYM\tB-NP\tO' -p343461 -aS'kg\tkg\tNN\tI-NP\tO' -p343462 -aS'/\t/\tSYM\tB-NP\tO' -p343463 -aS'day\tday\tNN\tI-NP\tO' -p343464 -aS'of\tof\tIN\tB-PP\tO' -p343465 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p343466 -aS'fluid\tfluid\tNN\tI-NP\tO' -p343467 -aS'D10W\tD10W\tNN\tI-NP\tO' -p343468 -aS'and\tand\tCC\tO\tO' -p343469 -aS'advanced\tadvance\tVBN\tB-VP\tO' -p343470 -aS'to\tto\tTO\tB-PP\tO' -p343471 -aS'150\t150\tCD\tB-NP\tO' -p343472 -aS'cc\tcc\tNN\tI-NP\tO' -p343473 -aS'/\t/\tSYM\tB-NP\tO' -p343474 -aS'kg\tkg\tNN\tI-NP\tO' -p343475 -aS'/\t/\tSYM\tB-NP\tO' -p343476 -aS'day\tday\tNN\tI-NP\tO' -p343477 -aS'by\tby\tIN\tB-PP\tO' -p343478 -aS'day\tday\tNN\tB-NP\tO' -p343479 -aS'of\tof\tIN\tB-PP\tO' -p343480 -aS'life\tlife\tNN\tB-NP\tO' -p343481 -aS'four\tfour\tCD\tI-NP\tO' -p343482 -aS'.\t.\t.\tO\tO' -p343483 -asS'Dr. Hashimoto , No Known Allergies' -p343484 -(lp343485 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p343486 -aS'Hashimoto\tHashimoto\tNNP\tI-NP\tO' -p343487 -aS',\t,\t,\tO\tO' -p343488 -aS'No\tNo\tNNP\tB-NP\tO' -p343489 -aS'Known\tKnown\tNNP\tI-NP\tO' -p343490 -aS'Allergies\tAllergies\tNNP\tI-NP\tO' -p343491 -asS'Serum markers were normal .' -p343492 -(lp343493 -S'Serum\tSerum\tNN\tB-NP\tB-protein' -p343494 -aS'markers\tmarker\tNNS\tI-NP\tI-protein' -p343495 -aS'were\tbe\tVBD\tB-VP\tO' -p343496 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p343497 -aS'.\t.\t.\tO\tO' -p343498 -asS'There is no hepatosplenomegaly noted on abdominal exam .' -p343499 -(lp343500 -S'There\tThere\tEX\tB-NP\tO' -p343501 -aS'is\tbe\tVBZ\tB-VP\tO' -p343502 -aS'no\tno\tDT\tB-NP\tO' -p343503 -aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tI-NP\tO' -p343504 -aS'noted\tnote\tVBN\tB-VP\tO' -p343505 -aS'on\ton\tIN\tB-PP\tO' -p343506 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p343507 -aS'exam\texam\tNN\tI-NP\tO' -p343508 -aS'.\t.\t.\tO\tO' -p343509 -asS'No chest pain , no shortness of breath , 1+ ankle edema .' -p343510 -(lp343511 -S'No\tNo\tDT\tB-NP\tO' -p343512 -aS'chest\tchest\tNN\tI-NP\tO' -p343513 -aS'pain\tpain\tNN\tI-NP\tO' -p343514 -aS',\t,\t,\tO\tO' -p343515 -aS'no\tno\tDT\tB-NP\tO' -p343516 -aS'shortness\tshortness\tNN\tI-NP\tO' -p343517 -aS'of\tof\tIN\tB-PP\tO' -p343518 -aS'breath\tbreath\tNN\tB-NP\tO' -p343519 -aS',\t,\t,\tO\tO' -p343520 -aS'1+\t1+\tJJ\tB-NP\tO' -p343521 -aS'ankle\tankle\tNN\tI-NP\tO' -p343522 -aS'edema\tedema\tNN\tI-NP\tO' -p343523 -aS'.\t.\t.\tO\tO' -p343524 -asS'She received intermittent doses of Lasix to assure overall negative intakes and outputs .' -p343525 -(lp343526 -S'She\tShe\tPRP\tB-NP\tO' -p343527 -aS'received\treceive\tVBD\tB-VP\tO' -p343528 -aS'intermittent\tintermittent\tJJ\tB-NP\tO' -p343529 -aS'doses\tdose\tNNS\tI-NP\tO' -p343530 -aS'of\tof\tIN\tB-PP\tO' -p343531 -aS'Lasix\tLasix\tNNP\tB-NP\tO' -p343532 -aS'to\tto\tTO\tB-VP\tO' -p343533 -aS'assure\tassure\tVB\tI-VP\tO' -p343534 -aS'overall\toverall\tJJ\tB-NP\tO' -p343535 -aS'negative\tnegative\tJJ\tI-NP\tO' -p343536 -aS'intakes\tintake\tNNS\tI-NP\tO' -p343537 -aS'and\tand\tCC\tI-NP\tO' -p343538 -aS'outputs\toutput\tNNS\tI-NP\tO' -p343539 -aS'.\t.\t.\tO\tO' -p343540 -asS'The patient denies melena , bright red blood per rectum , no emesis , or fevers or chills .' -p343541 -(lp343542 -S'The\tThe\tDT\tB-NP\tO' -p343543 -aS'patient\tpatient\tNN\tI-NP\tO' -p343544 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p343545 -aS'melena\tmelena\tNN\tB-NP\tO' -p343546 -aS',\t,\t,\tO\tO' -p343547 -aS'bright\tbright\tJJ\tB-NP\tO' -p343548 -aS'red\tred\tJJ\tI-NP\tO' -p343549 -aS'blood\tblood\tNN\tI-NP\tO' -p343550 -aS'per\tper\tIN\tB-PP\tO' -p343551 -aS'rectum\trectum\tNN\tB-NP\tO' -p343552 -aS',\t,\t,\tO\tO' -p343553 -aS'no\tno\tDT\tB-NP\tO' -p343554 -aS'emesis\temesis\tNN\tI-NP\tO' -p343555 -aS',\t,\t,\tO\tO' -p343556 -aS'or\tor\tCC\tO\tO' -p343557 -aS'fevers\tfever\tNNS\tB-NP\tO' -p343558 -aS'or\tor\tCC\tI-NP\tO' -p343559 -aS'chills\tchill\tNNS\tI-NP\tO' -p343560 -aS'.\t.\t.\tO\tO' -p343561 -asS'Anterior fontanelle , soft and flat , palate intact , nondysmorphic features .' -p343562 -(lp343563 -S'Anterior\tAnterior\tJJ\tB-NP\tO' -p343564 -aS'fontanelle\tfontanelle\tNN\tI-NP\tO' -p343565 -aS',\t,\t,\tO\tO' -p343566 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p343567 -aS'and\tand\tCC\tI-ADJP\tO' -p343568 -aS'flat\tflat\tJJ\tI-ADJP\tO' -p343569 -aS',\t,\t,\tO\tO' -p343570 -aS'palate\tpalate\tVB\tB-VP\tO' -p343571 -aS'intact\tintact\tJJ\tB-NP\tO' -p343572 -aS',\t,\t,\tI-NP\tO' -p343573 -aS'nondysmorphic\tnondysmorphic\tJJ\tI-NP\tO' -p343574 -aS'features\tfeature\tNNS\tI-NP\tO' -p343575 -aS'.\t.\t.\tO\tO' -p343576 -asS'The patient does not smoke .' -p343577 -(lp343578 -S'The\tThe\tDT\tB-NP\tO' -p343579 -aS'patient\tpatient\tNN\tI-NP\tO' -p343580 -aS'does\tdo\tVBZ\tB-VP\tO' -p343581 -aS'not\tnot\tRB\tI-VP\tO' -p343582 -aS'smoke\tsmoke\tVB\tI-VP\tO' -p343583 -aS'.\t.\t.\tO\tO' -p343584 -asS'He is successfully extubated on 08-12 and hypertension transferred to the floor in stable condition where the Pain Service is managing his epidural with very good effect and he is tolerating a regular p.o. diet and is making adequate amount of urine .' -p343585 -(lp343586 -S'He\tHe\tPRP\tB-NP\tO' -p343587 -aS'is\tbe\tVBZ\tB-VP\tO' -p343588 -aS'successfully\tsuccessfully\tRB\tI-VP\tO' -p343589 -aS'extubated\textubate\tVBN\tI-VP\tO' -p343590 -aS'on\ton\tIN\tB-PP\tO' -p343591 -aS'08-12\t08-12\tNN\tB-NP\tO' -p343592 -aS'and\tand\tCC\tI-NP\tO' -p343593 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p343594 -aS'transferred\ttransfer\tVBN\tB-VP\tO' -p343595 -aS'to\tto\tTO\tB-PP\tO' -p343596 -aS'the\tthe\tDT\tB-NP\tO' -p343597 -aS'floor\tfloor\tNN\tI-NP\tO' -p343598 -aS'in\tin\tIN\tB-PP\tO' -p343599 -aS'stable\tstable\tJJ\tB-NP\tO' -p343600 -aS'condition\tcondition\tNN\tI-NP\tO' -p343601 -aS'where\twhere\tWRB\tB-ADVP\tO' -p343602 -aS'the\tthe\tDT\tB-NP\tO' -p343603 -aS'Pain\tPain\tNNP\tI-NP\tO' -p343604 -aS'Service\tService\tNNP\tI-NP\tO' -p343605 -aS'is\tbe\tVBZ\tB-VP\tO' -p343606 -aS'managing\tmanage\tVBG\tI-VP\tO' -p343607 -aS'his\this\tPRP$\tB-NP\tO' -p343608 -aS'epidural\tepidural\tNN\tI-NP\tO' -p343609 -aS'with\twith\tIN\tB-PP\tO' -p343610 -aS'very\tvery\tRB\tB-NP\tO' -p343611 -aS'good\tgood\tJJ\tI-NP\tO' -p343612 -aS'effect\teffect\tNN\tI-NP\tO' -p343613 -aS'and\tand\tCC\tO\tO' -p343614 -aS'he\the\tPRP\tB-NP\tO' -p343615 -aS'is\tbe\tVBZ\tB-VP\tO' -p343616 -aS'tolerating\ttolerate\tVBG\tI-VP\tO' -p343617 -aS'a\ta\tDT\tB-NP\tO' -p343618 -aS'regular\tregular\tJJ\tI-NP\tO' -p343619 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p343620 -aS'diet\tdiet\tNN\tI-NP\tO' -p343621 -aS'and\tand\tCC\tO\tO' -p343622 -aS'is\tbe\tVBZ\tB-VP\tO' -p343623 -aS'making\tmake\tVBG\tI-VP\tO' -p343624 -aS'adequate\tadequate\tJJ\tB-NP\tO' -p343625 -aS'amount\tamount\tNN\tI-NP\tO' -p343626 -aS'of\tof\tIN\tB-PP\tO' -p343627 -aS'urine\turine\tNN\tB-NP\tO' -p343628 -aS'.\t.\t.\tO\tO' -p343629 -asS'In addition pt will be given vancomycin at dialysis x 2 week course ( last day 2019-02-05 ) given his PORT line infection .' -p343630 -(lp343631 -S'In\tIn\tIN\tB-PP\tO' -p343632 -aS'addition\taddition\tNN\tB-NP\tO' -p343633 -aS'pt\tpt\tNN\tI-NP\tO' -p343634 -aS'will\twill\tMD\tB-VP\tO' -p343635 -aS'be\tbe\tVB\tI-VP\tO' -p343636 -aS'given\tgive\tVBN\tI-VP\tO' -p343637 -aS'vancomycin\tvancomycin\tNN\tB-NP\tO' -p343638 -aS'at\tat\tIN\tB-PP\tO' -p343639 -aS'dialysis\tdialysis\tNN\tB-NP\tO' -p343640 -aS'x\tx\tSYM\tO\tO' -p343641 -aS'2\t2\tCD\tB-NP\tO' -p343642 -aS'week\tweek\tNN\tI-NP\tO' -p343643 -aS'course\tcourse\tNN\tI-NP\tO' -p343644 -aS'(\t(\t(\tO\tO' -p343645 -aS'last\tlast\tJJ\tB-NP\tO' -p343646 -aS'day\tday\tNN\tI-NP\tO' -p343647 -aS'2019-02-05\t2019-02-05\tCD\tI-NP\tO' -p343648 -aS')\t)\t)\tO\tO' -p343649 -aS'given\tgive\tVBN\tB-VP\tO' -p343650 -aS'his\this\tPRP$\tB-NP\tO' -p343651 -aS'PORT\tPORT\tNN\tI-NP\tO' -p343652 -aS'line\tline\tNN\tI-NP\tO' -p343653 -aS'infection\tinfection\tNN\tI-NP\tO' -p343654 -aS'.\t.\t.\tO\tO' -p343655 -asS'11. History of hemoptysis , on Coumadin .' -p343656 -(lp343657 -S'11.\t11.\tLS\tB-NP\tO' -p343658 -aS'History\tHistory\tNN\tI-NP\tO' -p343659 -aS'of\tof\tIN\tB-PP\tO' -p343660 -aS'hemoptysis\themoptysis\tNN\tB-NP\tO' -p343661 -aS',\t,\t,\tO\tO' -p343662 -aS'on\ton\tIN\tB-PP\tO' -p343663 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p343664 -aS'.\t.\t.\tO\tO' -p343665 -asS'He was taken to fluoroscopy , where oral contrast was demonstrated to be extravasating through a posterior duodenum .' -p343666 -(lp343667 -S'He\tHe\tPRP\tB-NP\tO' -p343668 -aS'was\tbe\tVBD\tB-VP\tO' -p343669 -aS'taken\ttake\tVBN\tI-VP\tO' -p343670 -aS'to\tto\tTO\tI-VP\tO' -p343671 -aS'fluoroscopy\tfluoroscopy\tVB\tI-VP\tO' -p343672 -aS',\t,\t,\tO\tO' -p343673 -aS'where\twhere\tWRB\tB-ADVP\tO' -p343674 -aS'oral\toral\tJJ\tB-NP\tO' -p343675 -aS'contrast\tcontrast\tNN\tI-NP\tO' -p343676 -aS'was\tbe\tVBD\tB-VP\tO' -p343677 -aS'demonstrated\tdemonstrate\tVBN\tI-VP\tO' -p343678 -aS'to\tto\tTO\tI-VP\tO' -p343679 -aS'be\tbe\tVB\tI-VP\tO' -p343680 -aS'extravasating\textravasate\tVBG\tI-VP\tO' -p343681 -aS'through\tthrough\tIN\tB-PP\tO' -p343682 -aS'a\ta\tDT\tB-NP\tO' -p343683 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p343684 -aS'duodenum\tduodenum\tNN\tI-NP\tO' -p343685 -aS'.\t.\t.\tO\tO' -p343686 -asS'The patient has had no symptoms until approximately two years ago when she began having classic biliary colic pain with right upper quadrant epigastric pain radiating to midback with nausea , but without vomiting .' -p343687 -(lp343688 -S'The\tThe\tDT\tB-NP\tO' -p343689 -aS'patient\tpatient\tNN\tI-NP\tO' -p343690 -aS'has\thave\tVBZ\tB-VP\tO' -p343691 -aS'had\thave\tVBN\tI-VP\tO' -p343692 -aS'no\tno\tDT\tB-NP\tO' -p343693 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p343694 -aS'until\tuntil\tIN\tB-PP\tO' -p343695 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p343696 -aS'two\ttwo\tCD\tI-NP\tO' -p343697 -aS'years\tyear\tNNS\tI-NP\tO' -p343698 -aS'ago\tago\tRB\tB-ADVP\tO' -p343699 -aS'when\twhen\tWRB\tB-ADVP\tO' -p343700 -aS'she\tshe\tPRP\tB-NP\tO' -p343701 -aS'began\tbegin\tVBD\tB-VP\tO' -p343702 -aS'having\thave\tVBG\tI-VP\tO' -p343703 -aS'classic\tclassic\tJJ\tB-NP\tO' -p343704 -aS'biliary\tbiliary\tJJ\tI-NP\tO' -p343705 -aS'colic\tcolic\tJJ\tI-NP\tO' -p343706 -aS'pain\tpain\tNN\tI-NP\tO' -p343707 -aS'with\twith\tIN\tB-PP\tO' -p343708 -aS'right\tright\tJJ\tB-NP\tO' -p343709 -aS'upper\tupper\tJJ\tI-NP\tO' -p343710 -aS'quadrant\tquadrant\tJJ\tI-NP\tO' -p343711 -aS'epigastric\tepigastric\tJJ\tI-NP\tO' -p343712 -aS'pain\tpain\tNN\tI-NP\tO' -p343713 -aS'radiating\tradiate\tVBG\tB-VP\tO' -p343714 -aS'to\tto\tTO\tI-VP\tO' -p343715 -aS'midback\tmidback\tVB\tI-VP\tO' -p343716 -aS'with\twith\tIN\tB-PP\tO' -p343717 -aS'nausea\tnausea\tNN\tB-NP\tO' -p343718 -aS',\t,\t,\tO\tO' -p343719 -aS'but\tbut\tCC\tO\tO' -p343720 -aS'without\twithout\tIN\tB-PP\tO' -p343721 -aS'vomiting\tvomit\tVBG\tB-VP\tO' -p343722 -aS'.\t.\t.\tO\tO' -p343723 -asS'House / Low saturated fat low cholesterol < FDI >' -p343724 -(lp343725 -S'House\tHouse\tNN\tB-NP\tO' -p343726 -aS'/\t/\tSYM\tI-NP\tO' -p343727 -aS'Low\tLow\tNN\tI-NP\tO' -p343728 -aS'saturated\tsaturate\tVBD\tB-VP\tO' -p343729 -aS'fat\tfat\tJJ\tB-NP\tO' -p343730 -aS'low\tlow\tJJ\tI-NP\tO' -p343731 -aS'cholesterol\tcholesterol\tNN\tI-NP\tO' -p343732 -aS'<\t<\tCC\tO\tO' -p343733 -aS'FDI\tFDI\tNNP\tB-NP\tO' -p343734 -aS'>\t>\t:\tO\tO' -p343735 -asS"Tf 's were dc 'ed prior to second surgery ." -p343736 -(lp343737 -S'Tf\tTf\tNNP\tB-NP\tO' -p343738 -aS"'s\t's\tPOS\tB-NP\tO" -p343739 -aS'were\tbe\tVBD\tB-VP\tO' -p343740 -aS'dc\tdc\tNN\tB-NP\tB-cell_type' -p343741 -aS"'ed\t'e\tVBD\tB-VP\tO" -p343742 -aS'prior\tprior\tRB\tB-ADVP\tO' -p343743 -aS'to\tto\tTO\tB-PP\tO' -p343744 -aS'second\tsecond\tJJ\tB-NP\tO' -p343745 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p343746 -aS'.\t.\t.\tO\tO' -p343747 -asS'post angiogram her eyes were closed .' -p343748 -(lp343749 -S'post\tpost\tIN\tB-PP\tO' -p343750 -aS'angiogram\tangiogram\tNN\tB-NP\tO' -p343751 -aS'her\ther\tPRP$\tB-NP\tO' -p343752 -aS'eyes\teye\tNNS\tI-NP\tO' -p343753 -aS'were\tbe\tVBD\tB-VP\tO' -p343754 -aS'closed\tclose\tVBN\tI-VP\tO' -p343755 -aS'.\t.\t.\tO\tO' -p343756 -asS'Initially he had been on lamotrigine but the was stopped in 10/12 when the pt was noted to be developing a new rash .' -p343757 -(lp343758 -S'Initially\tInitially\tRB\tB-ADVP\tO' -p343759 -aS'he\the\tPRP\tB-NP\tO' -p343760 -aS'had\thave\tVBD\tB-VP\tO' -p343761 -aS'been\tbe\tVBN\tI-VP\tO' -p343762 -aS'on\ton\tIN\tB-PP\tO' -p343763 -aS'lamotrigine\tlamotrigine\tNN\tB-NP\tO' -p343764 -aS'but\tbut\tCC\tO\tO' -p343765 -aS'the\tthe\tDT\tB-NP\tO' -p343766 -aS'was\tbe\tVBD\tB-VP\tO' -p343767 -aS'stopped\tstop\tVBN\tI-VP\tO' -p343768 -aS'in\tin\tIN\tB-PP\tO' -p343769 -aS'10/12\t10/12\tCD\tB-NP\tO' -p343770 -aS'when\twhen\tWRB\tB-ADVP\tO' -p343771 -aS'the\tthe\tDT\tB-NP\tO' -p343772 -aS'pt\tpt\tNN\tI-NP\tO' -p343773 -aS'was\tbe\tVBD\tB-VP\tO' -p343774 -aS'noted\tnote\tVBN\tI-VP\tO' -p343775 -aS'to\tto\tTO\tI-VP\tO' -p343776 -aS'be\tbe\tVB\tI-VP\tO' -p343777 -aS'developing\tdevelop\tVBG\tI-VP\tO' -p343778 -aS'a\ta\tDT\tB-NP\tO' -p343779 -aS'new\tnew\tJJ\tI-NP\tO' -p343780 -aS'rash\trash\tNN\tI-NP\tO' -p343781 -aS'.\t.\t.\tO\tO' -p343782 -asS'The patient required 100% oxygen to maintain adequate oxygen saturations on the ventilator .' -p343783 -(lp343784 -S'The\tThe\tDT\tB-NP\tO' -p343785 -aS'patient\tpatient\tNN\tI-NP\tO' -p343786 -aS'required\trequire\tVBD\tB-VP\tO' -p343787 -aS'100%\t100%\tCD\tB-NP\tO' -p343788 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p343789 -aS'to\tto\tTO\tB-VP\tO' -p343790 -aS'maintain\tmaintain\tVB\tI-VP\tO' -p343791 -aS'adequate\tadequate\tJJ\tB-NP\tO' -p343792 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p343793 -aS'saturations\tsaturation\tNNS\tI-NP\tO' -p343794 -aS'on\ton\tIN\tB-PP\tO' -p343795 -aS'the\tthe\tDT\tB-NP\tO' -p343796 -aS'ventilator\tventilator\tNN\tI-NP\tO' -p343797 -aS'.\t.\t.\tO\tO' -p343798 -asS'Signed electronically by : DR. Charles Y.S. Warnock on : Maxine 2013-06-20 5:29 PM' -p343799 -(lp343800 -S'Signed\tSign\tVBN\tB-VP\tO' -p343801 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p343802 -aS'by\tby\tIN\tB-PP\tO' -p343803 -aS':\t:\t:\tO\tO' -p343804 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p343805 -aS'Charles\tCharles\tNNP\tI-NP\tO' -p343806 -aS'Y.S.\tY.S.\tNNP\tI-NP\tO' -p343807 -aS'Warnock\tWarnock\tNNP\tI-NP\tO' -p343808 -aS'on\ton\tIN\tB-PP\tO' -p343809 -aS':\t:\t:\tO\tO' -p343810 -aS'Maxine\tMaxine\tNN\tB-NP\tO' -p343811 -aS'2013-06-20\t2013-06-20\tCD\tI-NP\tO' -p343812 -aS'5:29\t5:29\tCD\tI-NP\tO' -p343813 -aS'PM\tPM\tNN\tI-NP\tO' -p343814 -asS'13. Multivitamins .' -p343815 -(lp343816 -S'13.\t13.\tLS\tB-NP\tO' -p343817 -aS'Multivitamins\tMultivitamin\tNNS\tI-NP\tO' -p343818 -aS'.\t.\t.\tO\tO' -p343819 -asS'CT OF THE ABDOMEN WITHOUT IV CONTRAST : There are bilateral pleural effusions , right greater the left ; there is compressive atelectasis at the left lung base .' -p343820 -(lp343821 -S'CT\tCT\tNN\tB-NP\tO' -p343822 -aS'OF\tOF\tIN\tB-PP\tO' -p343823 -aS'THE\tTHE\tDT\tB-NP\tO' -p343824 -aS'ABDOMEN\tABDOMEN\tNN\tI-NP\tO' -p343825 -aS'WITHOUT\tWITHOUT\tNN\tI-NP\tO' -p343826 -aS'IV\tIV\tCD\tI-NP\tO' -p343827 -aS'CONTRAST\tCONTRAST\tNN\tI-NP\tO' -p343828 -aS':\t:\t:\tO\tO' -p343829 -aS'There\tThere\tEX\tB-NP\tO' -p343830 -aS'are\tbe\tVBP\tB-VP\tO' -p343831 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p343832 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p343833 -aS'effusions\teffusion\tNNS\tI-NP\tO' -p343834 -aS',\t,\t,\tO\tO' -p343835 -aS'right\tright\tRB\tB-ADVP\tO' -p343836 -aS'greater\tgreat\tJJR\tI-ADVP\tO' -p343837 -aS'the\tthe\tDT\tB-NP\tO' -p343838 -aS'left\tleft\tNN\tI-NP\tO' -p343839 -aS';\t;\t:\tO\tO' -p343840 -aS'there\tthere\tEX\tB-NP\tO' -p343841 -aS'is\tbe\tVBZ\tB-VP\tO' -p343842 -aS'compressive\tcompressive\tJJ\tB-NP\tO' -p343843 -aS'atelectasis\tatelectasis\tNN\tI-NP\tO' -p343844 -aS'at\tat\tIN\tB-PP\tO' -p343845 -aS'the\tthe\tDT\tB-NP\tO' -p343846 -aS'left\tleft\tJJ\tI-NP\tO' -p343847 -aS'lung\tlung\tNN\tI-NP\tO' -p343848 -aS'base\tbase\tNN\tI-NP\tO' -p343849 -aS'.\t.\t.\tO\tO' -p343850 -asS'Denies ETOH , rare Tobacco .' -p343851 -(lp343852 -S'Denies\tDeny\tNNS\tB-NP\tO' -p343853 -aS'ETOH\tETOH\tNN\tI-NP\tO' -p343854 -aS',\t,\t,\tO\tO' -p343855 -aS'rare\trare\tJJ\tB-NP\tO' -p343856 -aS'Tobacco\tTobacco\tNNP\tI-NP\tO' -p343857 -aS'.\t.\t.\tO\tO' -p343858 -asS'Ext : + distal pulses , no edema' -p343859 -(lp343860 -S'Ext\tExt\tNN\tB-NP\tO' -p343861 -aS':\t:\t:\tO\tO' -p343862 -aS'+\t+\tSYM\tB-NP\tO' -p343863 -aS'distal\tdistal\tJJ\tI-NP\tO' -p343864 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p343865 -aS',\t,\t,\tO\tO' -p343866 -aS'no\tno\tDT\tB-NP\tO' -p343867 -aS'edema\tedema\tNN\tI-NP\tO' -p343868 -asS'The estimated blood loss was 300 cc .' -p343869 -(lp343870 -S'The\tThe\tDT\tB-NP\tO' -p343871 -aS'estimated\testimate\tVBN\tI-NP\tO' -p343872 -aS'blood\tblood\tNN\tI-NP\tO' -p343873 -aS'loss\tloss\tNN\tI-NP\tO' -p343874 -aS'was\tbe\tVBD\tB-VP\tO' -p343875 -aS'300\t300\tCD\tB-NP\tO' -p343876 -aS'cc\tcc\tNN\tI-NP\tO' -p343877 -aS'.\t.\t.\tO\tO' -p343878 -asS'She subsequently could not urinate and was in pain secondary to her problem .' -p343879 -(lp343880 -S'She\tShe\tPRP\tB-NP\tO' -p343881 -aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' -p343882 -aS'could\tcould\tMD\tB-VP\tO' -p343883 -aS'not\tnot\tRB\tI-VP\tO' -p343884 -aS'urinate\turinate\tVB\tI-VP\tO' -p343885 -aS'and\tand\tCC\tO\tO' -p343886 -aS'was\tbe\tVBD\tB-VP\tO' -p343887 -aS'in\tin\tIN\tB-PP\tO' -p343888 -aS'pain\tpain\tNN\tB-NP\tO' -p343889 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p343890 -aS'to\tto\tTO\tB-PP\tO' -p343891 -aS'her\ther\tPRP$\tB-NP\tO' -p343892 -aS'problem\tproblem\tNN\tI-NP\tO' -p343893 -aS'.\t.\t.\tO\tO' -p343894 -asS'5. Zantac 150 mg po bid .' -p343895 -(lp343896 -S'5.\t5.\tLS\tB-LST\tO' -p343897 -aS'Zantac\tZantac\tNN\tB-NP\tO' -p343898 -aS'150\t150\tCD\tI-NP\tO' -p343899 -aS'mg\tmg\tNN\tI-NP\tO' -p343900 -aS'po\tpo\tNN\tI-NP\tO' -p343901 -aS'bid\tbid\tNN\tI-NP\tO' -p343902 -aS'.\t.\t.\tO\tO' -p343903 -asS'There is no evidence of acute intra - or extra - axial hemorrhage .' -p343904 -(lp343905 -S'There\tThere\tEX\tB-NP\tO' -p343906 -aS'is\tbe\tVBZ\tB-VP\tO' -p343907 -aS'no\tno\tDT\tB-NP\tO' -p343908 -aS'evidence\tevidence\tNN\tI-NP\tO' -p343909 -aS'of\tof\tIN\tB-PP\tO' -p343910 -aS'acute\tacute\tJJ\tB-NP\tO' -p343911 -aS'intra\tintra\tAFX\tI-NP\tO' -p343912 -aS'-\t-\tHYPH\tI-NP\tO' -p343913 -aS'or\tor\tCC\tI-NP\tO' -p343914 -aS'extra\textra\tAFX\tI-NP\tO' -p343915 -aS'-\t-\tHYPH\tI-NP\tO' -p343916 -aS'axial\taxial\tJJ\tI-NP\tO' -p343917 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p343918 -aS'.\t.\t.\tO\tO' -p343919 -asS'Ileus .' -p343920 -(lp343921 -S'Ileus\tIleus\tNN\tB-NP\tO' -p343922 -aS'.\t.\t.\tO\tO' -p343923 -asS'Elderly man in NAD , VSS' -p343924 -(lp343925 -S'Elderly\tElderly\tJJ\tB-NP\tO' -p343926 -aS'man\tman\tNN\tI-NP\tO' -p343927 -aS'in\tin\tIN\tB-PP\tO' -p343928 -aS'NAD\tNAD\tNN\tB-NP\tO' -p343929 -aS',\t,\t,\tO\tO' -p343930 -aS'VSS\tVSS\tNN\tB-NP\tB-protein' -p343931 -asS'Patient was instructed to restart Sutent next Monday .' -p343932 -(lp343933 -S'Patient\tPatient\tNN\tB-NP\tO' -p343934 -aS'was\tbe\tVBD\tB-VP\tO' -p343935 -aS'instructed\tinstruct\tVBN\tI-VP\tO' -p343936 -aS'to\tto\tTO\tI-VP\tO' -p343937 -aS'restart\trestart\tVB\tI-VP\tO' -p343938 -aS'Sutent\tSutent\tNNP\tO\tO' -p343939 -aS'next\tnext\tIN\tB-NP\tO' -p343940 -aS'Monday\tMonday\tNNP\tI-NP\tO' -p343941 -aS'.\t.\t.\tO\tO' -p343942 -asS'His intra-aortic balloon pump was weaned the following day and he was transferred out of the Surgical Intensive Care Unit .' -p343943 -(lp343944 -S'His\tHis\tPRP$\tB-NP\tO' -p343945 -aS'intra-aortic\tintra-aortic\tJJ\tI-NP\tO' -p343946 -aS'balloon\tballoon\tNN\tI-NP\tO' -p343947 -aS'pump\tpump\tNN\tI-NP\tO' -p343948 -aS'was\tbe\tVBD\tB-VP\tO' -p343949 -aS'weaned\twean\tVBN\tI-VP\tO' -p343950 -aS'the\tthe\tDT\tB-NP\tO' -p343951 -aS'following\tfollow\tVBG\tI-NP\tO' -p343952 -aS'day\tday\tNN\tI-NP\tO' -p343953 -aS'and\tand\tCC\tO\tO' -p343954 -aS'he\the\tPRP\tB-NP\tO' -p343955 -aS'was\tbe\tVBD\tB-VP\tO' -p343956 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p343957 -aS'out\tout\tIN\tB-PP\tO' -p343958 -aS'of\tof\tIN\tB-PP\tO' -p343959 -aS'the\tthe\tDT\tB-NP\tO' -p343960 -aS'Surgical\tSurgical\tNNP\tI-NP\tO' -p343961 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p343962 -aS'Care\tCare\tNNP\tI-NP\tO' -p343963 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p343964 -aS'.\t.\t.\tO\tO' -p343965 -asS'Flap checks carried out q.2h. initially in the Surgical Intensive Care Unit showing positive biphasic Doppler signals .' -p343966 -(lp343967 -S'Flap\tFlap\tNN\tB-NP\tO' -p343968 -aS'checks\tcheck\tNNS\tI-NP\tO' -p343969 -aS'carried\tcarry\tVBN\tB-VP\tO' -p343970 -aS'out\tout\tRP\tB-PRT\tO' -p343971 -aS'q.2h.\tq.2h.\tNN\tB-NP\tO' -p343972 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p343973 -aS'in\tin\tIN\tB-PP\tO' -p343974 -aS'the\tthe\tDT\tB-NP\tO' -p343975 -aS'Surgical\tSurgical\tNNP\tI-NP\tO' -p343976 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p343977 -aS'Care\tCare\tNNP\tI-NP\tO' -p343978 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p343979 -aS'showing\tshow\tVBG\tB-VP\tO' -p343980 -aS'positive\tpositive\tJJ\tB-NP\tO' -p343981 -aS'biphasic\tbiphasic\tJJ\tI-NP\tO' -p343982 -aS'Doppler\tDoppler\tNNP\tI-NP\tO' -p343983 -aS'signals\tsignal\tNNS\tI-NP\tO' -p343984 -aS'.\t.\t.\tO\tO' -p343985 -asS'ECHO was done and confirmed normal ejection fraction .' -p343986 -(lp343987 -S'ECHO\tECHO\tNN\tB-NP\tB-protein' -p343988 -aS'was\tbe\tVBD\tB-VP\tO' -p343989 -aS'done\tdo\tVBN\tI-VP\tO' -p343990 -aS'and\tand\tCC\tO\tO' -p343991 -aS'confirmed\tconfirm\tVBN\tB-VP\tO' -p343992 -aS'normal\tnormal\tJJ\tB-NP\tO' -p343993 -aS'ejection\tejection\tNN\tI-NP\tO' -p343994 -aS'fraction\tfraction\tNN\tI-NP\tO' -p343995 -aS'.\t.\t.\tO\tO' -p343996 -asS'His chest x-ray was notable for clear lungs with no edema or infiltrates and small bilateral effusions .' -p343997 -(lp343998 -S'His\tHis\tPRP$\tB-NP\tO' -p343999 -aS'chest\tchest\tNN\tI-NP\tO' -p344000 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p344001 -aS'was\tbe\tVBD\tB-VP\tO' -p344002 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p344003 -aS'for\tfor\tIN\tB-PP\tO' -p344004 -aS'clear\tclear\tJJ\tB-NP\tO' -p344005 -aS'lungs\tlung\tNNS\tI-NP\tO' -p344006 -aS'with\twith\tIN\tB-PP\tO' -p344007 -aS'no\tno\tDT\tB-NP\tO' -p344008 -aS'edema\tedema\tNN\tI-NP\tO' -p344009 -aS'or\tor\tCC\tI-NP\tO' -p344010 -aS'infiltrates\tinfiltrate\tNNS\tI-NP\tO' -p344011 -aS'and\tand\tCC\tO\tO' -p344012 -aS'small\tsmall\tJJ\tB-NP\tO' -p344013 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p344014 -aS'effusions\teffusion\tNNS\tI-NP\tO' -p344015 -aS'.\t.\t.\tO\tO' -p344016 -asS'fetal bradycardia .' -p344017 -(lp344018 -S'fetal\tfetal\tJJ\tB-NP\tO' -p344019 -aS'bradycardia\tbradycardia\tNN\tI-NP\tO' -p344020 -aS'.\t.\t.\tO\tO' -p344021 -asS'6. Vasotec .' -p344022 -(lp344023 -S'6.\t6.\tLS\tB-LST\tO' -p344024 -aS'Vasotec\tVasotec\tNNP\tB-NP\tO' -p344025 -aS'.\t.\t.\tO\tO' -p344026 -asS'Chest - CTA b/l with good air entry' -p344027 -(lp344028 -S'Chest\tChest\tAFX\tB-NP\tO' -p344029 -aS'-\t-\tHYPH\tI-NP\tO' -p344030 -aS'CTA\tCTA\tNN\tI-NP\tO' -p344031 -aS'b/l\tb/l\tNN\tI-NP\tO' -p344032 -aS'with\twith\tIN\tB-PP\tO' -p344033 -aS'good\tgood\tJJ\tB-NP\tO' -p344034 -aS'air\tair\tNN\tI-NP\tO' -p344035 -aS'entry\tentry\tNN\tI-NP\tO' -p344036 -asS'The location was variable .' -p344037 -(lp344038 -S'The\tThe\tDT\tB-NP\tO' -p344039 -aS'location\tlocation\tNN\tI-NP\tO' -p344040 -aS'was\tbe\tVBD\tB-VP\tO' -p344041 -aS'variable\tvariable\tJJ\tB-ADJP\tO' -p344042 -aS'.\t.\t.\tO\tO' -p344043 -asS'dr. kote 6 weeks , No Known Allergies' -p344044 -(lp344045 -S'dr.\tdr.\tLS\tB-LST\tO' -p344046 -aS'kote\tkote\tVBP\tB-VP\tO' -p344047 -aS'6\t6\tCD\tB-NP\tO' -p344048 -aS'weeks\tweek\tNNS\tI-NP\tO' -p344049 -aS',\t,\t,\tO\tO' -p344050 -aS'No\tNo\tNNP\tB-NP\tO' -p344051 -aS'Known\tKnown\tNNP\tI-NP\tO' -p344052 -aS'Allergies\tAllergies\tNNP\tI-NP\tO' -p344053 -asS'She reported h/o fatigue and anorexia for the past few days and had noticed foul smelling urine and some abdominal distension , similar to prior episodes of pyelo .' -p344054 -(lp344055 -S'She\tShe\tPRP\tB-NP\tO' -p344056 -aS'reported\treport\tVBD\tB-VP\tO' -p344057 -aS'h/o\th/o\tNN\tB-NP\tO' -p344058 -aS'fatigue\tfatigue\tNN\tI-NP\tO' -p344059 -aS'and\tand\tCC\tI-NP\tO' -p344060 -aS'anorexia\tanorexia\tNN\tI-NP\tO' -p344061 -aS'for\tfor\tIN\tB-PP\tO' -p344062 -aS'the\tthe\tDT\tB-NP\tO' -p344063 -aS'past\tpast\tJJ\tI-NP\tO' -p344064 -aS'few\tfew\tJJ\tI-NP\tO' -p344065 -aS'days\tday\tNNS\tI-NP\tO' -p344066 -aS'and\tand\tCC\tO\tO' -p344067 -aS'had\thave\tVBD\tB-VP\tO' -p344068 -aS'noticed\tnotice\tVBN\tI-VP\tO' -p344069 -aS'foul\tfoul\tJJ\tB-NP\tO' -p344070 -aS'smelling\tsmell\tVBG\tI-NP\tO' -p344071 -aS'urine\turine\tNN\tI-NP\tO' -p344072 -aS'and\tand\tCC\tO\tO' -p344073 -aS'some\tsome\tDT\tB-NP\tO' -p344074 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p344075 -aS'distension\tdistension\tNN\tI-NP\tO' -p344076 -aS',\t,\t,\tO\tO' -p344077 -aS'similar\tsimilar\tJJ\tB-ADJP\tO' -p344078 -aS'to\tto\tTO\tB-PP\tO' -p344079 -aS'prior\tprior\tJJ\tB-NP\tO' -p344080 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p344081 -aS'of\tof\tIN\tB-PP\tO' -p344082 -aS'pyelo\tpyelo\tNN\tB-NP\tO' -p344083 -aS'.\t.\t.\tO\tO' -p344084 -asS'On postoperative day 7 , it was decided that the patient would be stable and ready to be discharged to home on the following day .' -p344085 -(lp344086 -S'On\tOn\tIN\tB-PP\tO' -p344087 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p344088 -aS'day\tday\tNN\tI-NP\tO' -p344089 -aS'7\t7\tCD\tI-NP\tO' -p344090 -aS',\t,\t,\tO\tO' -p344091 -aS'it\tit\tPRP\tB-NP\tO' -p344092 -aS'was\tbe\tVBD\tB-VP\tO' -p344093 -aS'decided\tdecide\tVBN\tI-VP\tO' -p344094 -aS'that\tthat\tIN\tB-SBAR\tO' -p344095 -aS'the\tthe\tDT\tB-NP\tO' -p344096 -aS'patient\tpatient\tNN\tI-NP\tO' -p344097 -aS'would\twould\tMD\tB-VP\tO' -p344098 -aS'be\tbe\tVB\tI-VP\tO' -p344099 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p344100 -aS'and\tand\tCC\tI-ADJP\tO' -p344101 -aS'ready\tready\tJJ\tI-ADJP\tO' -p344102 -aS'to\tto\tTO\tB-VP\tO' -p344103 -aS'be\tbe\tVB\tI-VP\tO' -p344104 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p344105 -aS'to\tto\tTO\tB-PP\tO' -p344106 -aS'home\thome\tNN\tB-NP\tO' -p344107 -aS'on\ton\tIN\tB-PP\tO' -p344108 -aS'the\tthe\tDT\tB-NP\tO' -p344109 -aS'following\tfollow\tVBG\tI-NP\tO' -p344110 -aS'day\tday\tNN\tI-NP\tO' -p344111 -aS'.\t.\t.\tO\tO' -p344112 -asS'Eye closing was tight .' -p344113 -(lp344114 -S'Eye\tEye\tNN\tB-NP\tO' -p344115 -aS'closing\tclosing\tNN\tI-NP\tO' -p344116 -aS'was\tbe\tVBD\tB-VP\tO' -p344117 -aS'tight\ttight\tJJ\tB-ADJP\tO' -p344118 -aS'.\t.\t.\tO\tO' -p344119 -asS'Potassium at the outside hospital was 3.1 .' -p344120 -(lp344121 -S'Potassium\tPotassium\tNN\tB-NP\tO' -p344122 -aS'at\tat\tIN\tB-PP\tO' -p344123 -aS'the\tthe\tDT\tB-NP\tO' -p344124 -aS'outside\toutside\tJJ\tI-NP\tO' -p344125 -aS'hospital\thospital\tNN\tI-NP\tO' -p344126 -aS'was\tbe\tVBD\tB-VP\tO' -p344127 -aS'3.1\t3.1\tCD\tB-NP\tO' -p344128 -aS'.\t.\t.\tO\tO' -p344129 -asS'The urinalysis revealed a specific gravity of 1.15 , pH 5.0 , and 4+ albumin , positive occult blood , with 0-5 granular casts and 5-10 RBCs and 3-5 WBCs .' -p344130 -(lp344131 -S'The\tThe\tDT\tB-NP\tO' -p344132 -aS'urinalysis\turinalysis\tNN\tI-NP\tO' -p344133 -aS'revealed\treveal\tVBD\tB-VP\tO' -p344134 -aS'a\ta\tDT\tB-NP\tO' -p344135 -aS'specific\tspecific\tJJ\tI-NP\tO' -p344136 -aS'gravity\tgravity\tNN\tI-NP\tO' -p344137 -aS'of\tof\tIN\tB-PP\tO' -p344138 -aS'1.15\t1.15\tCD\tB-NP\tO' -p344139 -aS',\t,\t,\tO\tO' -p344140 -aS'pH\tpH\tNN\tB-NP\tO' -p344141 -aS'5.0\t5.0\tCD\tI-NP\tO' -p344142 -aS',\t,\t,\tO\tO' -p344143 -aS'and\tand\tCC\tO\tO' -p344144 -aS'4+\t4+\tJJ\tB-NP\tB-protein' -p344145 -aS'albumin\talbumin\tNN\tI-NP\tI-protein' -p344146 -aS',\t,\t,\tO\tO' -p344147 -aS'positive\tpositive\tJJ\tB-NP\tO' -p344148 -aS'occult\toccult\tJJ\tI-NP\tO' -p344149 -aS'blood\tblood\tNN\tI-NP\tO' -p344150 -aS',\t,\t,\tO\tO' -p344151 -aS'with\twith\tIN\tB-PP\tO' -p344152 -aS'0-5\t0-5\tCD\tB-NP\tO' -p344153 -aS'granular\tgranular\tJJ\tI-NP\tO' -p344154 -aS'casts\tcast\tNNS\tI-NP\tO' -p344155 -aS'and\tand\tCC\tO\tO' -p344156 -aS'5-10\t5-10\tCD\tB-NP\tO' -p344157 -aS'RBCs\tRBC\tNNS\tI-NP\tO' -p344158 -aS'and\tand\tCC\tO\tO' -p344159 -aS'3-5\t3-5\tCD\tB-NP\tO' -p344160 -aS'WBCs\tWBC\tNNS\tI-NP\tO' -p344161 -aS'.\t.\t.\tO\tO' -p344162 -asS'He had had two falls to his wife 's recollection , both times slipping off the edge of a chair backwards .' -p344163 -(lp344164 -S'He\tHe\tPRP\tB-NP\tO' -p344165 -aS'had\thave\tVBD\tB-VP\tO' -p344166 -aS'had\thave\tVBN\tI-VP\tO' -p344167 -aS'two\ttwo\tCD\tB-NP\tO' -p344168 -aS'falls\tfall\tNNS\tI-NP\tO' -p344169 -aS'to\tto\tTO\tB-PP\tO' -p344170 -aS'his\this\tPRP$\tB-NP\tO' -p344171 -aS'wife\twife\tNN\tI-NP\tO' -p344172 -aS''s\t'\tNNS\tI-NP\tO' -p344173 -aS'recollection\trecollection\tNN\tI-NP\tO' -p344174 -aS',\t,\t,\tO\tO' -p344175 -aS'both\tboth\tDT\tB-NP\tO' -p344176 -aS'times\ttime\tNNS\tI-NP\tO' -p344177 -aS'slipping\tslip\tVBG\tB-VP\tO' -p344178 -aS'off\toff\tIN\tB-PP\tO' -p344179 -aS'the\tthe\tDT\tB-NP\tO' -p344180 -aS'edge\tedge\tNN\tI-NP\tO' -p344181 -aS'of\tof\tIN\tB-PP\tO' -p344182 -aS'a\ta\tDT\tB-NP\tO' -p344183 -aS'chair\tchair\tNN\tI-NP\tO' -p344184 -aS'backwards\tbackward\tNNS\tI-NP\tO' -p344185 -aS'.\t.\t.\tO\tO' -p344186 -asS'He was then transferred to Linghs County Medical Center .' -p344187 -(lp344188 -S'He\tHe\tPRP\tB-NP\tO' -p344189 -aS'was\tbe\tVBD\tB-VP\tO' -p344190 -aS'then\tthen\tRB\tI-VP\tO' -p344191 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p344192 -aS'to\tto\tTO\tB-PP\tO' -p344193 -aS'Linghs\tLinghs\tNNP\tB-NP\tO' -p344194 -aS'County\tCounty\tNNP\tI-NP\tO' -p344195 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p344196 -aS'Center\tCenter\tNNP\tI-NP\tO' -p344197 -aS'.\t.\t.\tO\tO' -p344198 -asS'Laser surgery for retinopathy .' -p344199 -(lp344200 -S'Laser\tLaser\tNN\tB-NP\tO' -p344201 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p344202 -aS'for\tfor\tIN\tB-PP\tO' -p344203 -aS'retinopathy\tretinopathy\tNN\tB-NP\tO' -p344204 -aS'.\t.\t.\tO\tO' -p344205 -asS'There is anteroseptal hypokinesis with mid and apical akinesis .' -p344206 -(lp344207 -S'There\tThere\tEX\tB-NP\tO' -p344208 -aS'is\tbe\tVBZ\tB-VP\tO' -p344209 -aS'anteroseptal\tanteroseptal\tJJ\tB-NP\tO' -p344210 -aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' -p344211 -aS'with\twith\tIN\tB-PP\tO' -p344212 -aS'mid\tmid\tJJ\tB-NP\tO' -p344213 -aS'and\tand\tCC\tI-NP\tO' -p344214 -aS'apical\tapical\tJJ\tI-NP\tO' -p344215 -aS'akinesis\takinesis\tNN\tI-NP\tO' -p344216 -aS'.\t.\t.\tO\tO' -p344217 -asS'no bruits .' -p344218 -(lp344219 -S'no\tno\tDT\tB-NP\tO' -p344220 -aS'bruits\tbruit\tNNS\tI-NP\tO' -p344221 -aS'.\t.\t.\tO\tO' -p344222 -asS'Disp :* 14 Capsule , Sustained Release (s)* Refills :* 0 *' -p344223 -(lp344224 -S'Disp\tDisp\tNN\tB-NP\tO' -p344225 -aS':*\t:*\tSYM\tI-NP\tO' -p344226 -aS'14\t14\tCD\tI-NP\tO' -p344227 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p344228 -aS',\t,\t,\tO\tO' -p344229 -aS'Sustained\tSustained\tNNP\tB-NP\tO' -p344230 -aS'Release\tRelease\tNNP\tI-NP\tO' -p344231 -aS'(s)*\t(s)*\tSYM\tB-NP\tO' -p344232 -aS'Refills\tRefill\tNNPS\tI-NP\tO' -p344233 -aS':*\t:*\tSYM\tI-NP\tO' -p344234 -aS'0\t0\tCD\tI-NP\tO' -p344235 -aS'*\t*\tSYM\tB-NP\tO' -p344236 -asS'Pain control was initiated with morphine but was then changed to Demerol , which gave the patient better relief of his epigastric pain .' -p344237 -(lp344238 -S'Pain\tPain\tNN\tB-NP\tO' -p344239 -aS'control\tcontrol\tNN\tI-NP\tO' -p344240 -aS'was\tbe\tVBD\tB-VP\tO' -p344241 -aS'initiated\tinitiate\tVBN\tI-VP\tO' -p344242 -aS'with\twith\tIN\tB-PP\tO' -p344243 -aS'morphine\tmorphine\tNN\tB-NP\tO' -p344244 -aS'but\tbut\tCC\tO\tO' -p344245 -aS'was\tbe\tVBD\tB-VP\tO' -p344246 -aS'then\tthen\tRB\tI-VP\tO' -p344247 -aS'changed\tchange\tVBN\tI-VP\tO' -p344248 -aS'to\tto\tTO\tB-PP\tO' -p344249 -aS'Demerol\tDemerol\tNN\tB-NP\tO' -p344250 -aS',\t,\t,\tO\tO' -p344251 -aS'which\twhich\tWDT\tB-NP\tO' -p344252 -aS'gave\tgive\tVBD\tB-VP\tO' -p344253 -aS'the\tthe\tDT\tB-NP\tO' -p344254 -aS'patient\tpatient\tNN\tI-NP\tO' -p344255 -aS'better\tgood\tJJR\tB-NP\tO' -p344256 -aS'relief\trelief\tNN\tI-NP\tO' -p344257 -aS'of\tof\tIN\tB-PP\tO' -p344258 -aS'his\this\tPRP$\tB-NP\tO' -p344259 -aS'epigastric\tepigastric\tJJ\tI-NP\tB-protein' -p344260 -aS'pain\tpain\tNN\tI-NP\tI-protein' -p344261 -aS'.\t.\t.\tO\tO' -p344262 -asS'On physical exam , she was noted to have bilateral lower extremity edema , mildly elevated pressures in the 140 to 150/90 range , and jugular venous distension .' -p344263 -(lp344264 -S'On\tOn\tIN\tB-PP\tO' -p344265 -aS'physical\tphysical\tJJ\tB-NP\tO' -p344266 -aS'exam\texam\tNN\tI-NP\tO' -p344267 -aS',\t,\t,\tO\tO' -p344268 -aS'she\tshe\tPRP\tB-NP\tO' -p344269 -aS'was\tbe\tVBD\tB-VP\tO' -p344270 -aS'noted\tnote\tVBN\tI-VP\tO' -p344271 -aS'to\tto\tTO\tI-VP\tO' -p344272 -aS'have\thave\tVB\tI-VP\tO' -p344273 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p344274 -aS'lower\tlow\tJJR\tI-NP\tO' -p344275 -aS'extremity\textremity\tNN\tI-NP\tO' -p344276 -aS'edema\tedema\tNN\tI-NP\tO' -p344277 -aS',\t,\t,\tO\tO' -p344278 -aS'mildly\tmildly\tRB\tB-NP\tO' -p344279 -aS'elevated\televated\tJJ\tI-NP\tO' -p344280 -aS'pressures\tpressure\tNNS\tI-NP\tO' -p344281 -aS'in\tin\tIN\tB-PP\tO' -p344282 -aS'the\tthe\tDT\tB-NP\tO' -p344283 -aS'140\t140\tCD\tI-NP\tO' -p344284 -aS'to\tto\tTO\tI-NP\tO' -p344285 -aS'150/90\t150/90\tCD\tI-NP\tO' -p344286 -aS'range\trange\tNN\tI-NP\tO' -p344287 -aS',\t,\t,\tO\tO' -p344288 -aS'and\tand\tCC\tO\tO' -p344289 -aS'jugular\tjugular\tJJ\tB-NP\tO' -p344290 -aS'venous\tvenous\tJJ\tI-NP\tO' -p344291 -aS'distension\tdistension\tNN\tI-NP\tO' -p344292 -aS'.\t.\t.\tO\tO' -p344293 -asS'His cardiac risk factors included hypertension , diabetes mellitus , hypercholesterolemia , cigarette smoking , and a positive family history .' -p344294 -(lp344295 -S'His\tHis\tPRP$\tB-NP\tO' -p344296 -aS'cardiac\tcardiac\tJJ\tI-NP\tB-protein' -p344297 -aS'risk\trisk\tNN\tI-NP\tI-protein' -p344298 -aS'factors\tfactor\tNNS\tI-NP\tI-protein' -p344299 -aS'included\tinclude\tVBD\tB-VP\tO' -p344300 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p344301 -aS',\t,\t,\tO\tO' -p344302 -aS'diabetes\tdiabetes\tNN\tB-NP\tO' -p344303 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p344304 -aS',\t,\t,\tO\tO' -p344305 -aS'hypercholesterolemia\thypercholesterolemia\tNN\tB-NP\tO' -p344306 -aS',\t,\t,\tO\tO' -p344307 -aS'cigarette\tcigarette\tNN\tB-NP\tO' -p344308 -aS'smoking\tsmoking\tNN\tI-NP\tO' -p344309 -aS',\t,\t,\tO\tO' -p344310 -aS'and\tand\tCC\tO\tO' -p344311 -aS'a\ta\tDT\tB-NP\tO' -p344312 -aS'positive\tpositive\tJJ\tI-NP\tO' -p344313 -aS'family\tfamily\tNN\tI-NP\tO' -p344314 -aS'history\thistory\tNN\tI-NP\tO' -p344315 -aS'.\t.\t.\tO\tO' -p344316 -asS'Tone initially low normal but improved within normal limits on admission .' -p344317 -(lp344318 -S'Tone\tTone\tNN\tB-NP\tO' -p344319 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p344320 -aS'low\tlow\tJJ\tB-NP\tO' -p344321 -aS'normal\tnormal\tJJ\tI-NP\tO' -p344322 -aS'but\tbut\tCC\tO\tO' -p344323 -aS'improved\timprove\tVBD\tB-VP\tO' -p344324 -aS'within\twithin\tIN\tB-PP\tO' -p344325 -aS'normal\tnormal\tJJ\tB-NP\tO' -p344326 -aS'limits\tlimit\tNNS\tI-NP\tO' -p344327 -aS'on\ton\tIN\tB-PP\tO' -p344328 -aS'admission\tadmission\tNN\tB-NP\tO' -p344329 -aS'.\t.\t.\tO\tO' -p344330 -asS'7. Hypothyroidism .' -p344331 -(lp344332 -S'7.\t7.\tCD\tB-NP\tO' -p344333 -aS'Hypothyroidism\tHypothyroidism\tNNP\tI-NP\tO' -p344334 -aS'.\t.\t.\tO\tO' -p344335 -asS'She continued to have nausea despite an agressive anti-emetic regimen .' -p344336 -(lp344337 -S'She\tShe\tPRP\tB-NP\tO' -p344338 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p344339 -aS'to\tto\tTO\tI-VP\tO' -p344340 -aS'have\thave\tVB\tI-VP\tO' -p344341 -aS'nausea\tnausea\tNN\tB-NP\tO' -p344342 -aS'despite\tdespite\tIN\tB-PP\tO' -p344343 -aS'an\tan\tDT\tB-NP\tO' -p344344 -aS'agressive\tagressive\tJJ\tI-NP\tO' -p344345 -aS'anti-emetic\tanti-emetic\tJJ\tI-NP\tO' -p344346 -aS'regimen\tregimen\tNN\tI-NP\tO' -p344347 -aS'.\t.\t.\tO\tO' -p344348 -asS'From a medical standpoint , the patient did well .' -p344349 -(lp344350 -S'From\tFrom\tIN\tB-PP\tO' -p344351 -aS'a\ta\tDT\tB-NP\tO' -p344352 -aS'medical\tmedical\tJJ\tI-NP\tO' -p344353 -aS'standpoint\tstandpoint\tNN\tI-NP\tO' -p344354 -aS',\t,\t,\tO\tO' -p344355 -aS'the\tthe\tDT\tB-NP\tO' -p344356 -aS'patient\tpatient\tNN\tI-NP\tO' -p344357 -aS'did\tdo\tVBD\tB-VP\tO' -p344358 -aS'well\twell\tRB\tB-ADVP\tO' -p344359 -aS'.\t.\t.\tO\tO' -p344360 -asS'2. Docusate Sodium 100 mg Capsule Sig : One ( 1 ) Capsule PO BID ( 2 times a day ) for 1 months .' -p344361 -(lp344362 -S'2.\t2.\tLS\tB-NP\tO' -p344363 -aS'Docusate\tDocusate\tNN\tI-NP\tO' -p344364 -aS'Sodium\tSodium\tNN\tI-NP\tO' -p344365 -aS'100\t100\tCD\tI-NP\tO' -p344366 -aS'mg\tmg\tNN\tI-NP\tO' -p344367 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p344368 -aS'Sig\tSig\tNNP\tI-NP\tO' -p344369 -aS':\t:\t:\tO\tO' -p344370 -aS'One\tOne\tCD\tB-NP\tO' -p344371 -aS'(\t(\t(\tO\tO' -p344372 -aS'1\t1\tCD\tB-NP\tO' -p344373 -aS')\t)\t)\tO\tO' -p344374 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p344375 -aS'PO\tPO\tNNP\tI-NP\tO' -p344376 -aS'BID\tBID\tNNP\tI-NP\tO' -p344377 -aS'(\t(\t(\tO\tO' -p344378 -aS'2\t2\tCD\tB-NP\tO' -p344379 -aS'times\ttime\tNNS\tI-NP\tO' -p344380 -aS'a\ta\tDT\tB-NP\tO' -p344381 -aS'day\tday\tNN\tI-NP\tO' -p344382 -aS')\t)\t)\tO\tO' -p344383 -aS'for\tfor\tIN\tB-PP\tO' -p344384 -aS'1\t1\tCD\tB-NP\tO' -p344385 -aS'months\tmonth\tNNS\tI-NP\tO' -p344386 -aS'.\t.\t.\tO\tO' -p344387 -asS'In lieu of a standard discharge summary given this patient 's complicated hospital course and associated illnesses I feel it best to just provide a system summary concerning this patient 's current status .' -p344388 -(lp344389 -S'In\tIn\tIN\tB-PP\tO' -p344390 -aS'lieu\tlieu\tNN\tB-NP\tO' -p344391 -aS'of\tof\tIN\tB-PP\tO' -p344392 -aS'a\ta\tDT\tB-NP\tO' -p344393 -aS'standard\tstandard\tJJ\tI-NP\tO' -p344394 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p344395 -aS'summary\tsummary\tNN\tI-NP\tO' -p344396 -aS'given\tgive\tVBN\tB-VP\tO' -p344397 -aS'this\tthis\tDT\tB-NP\tO' -p344398 -aS'patient\tpatient\tNN\tI-NP\tO' -p344399 -aS''s\t'\tNNS\tI-NP\tO' -p344400 -aS'complicated\tcomplicate\tVBD\tB-VP\tO' -p344401 -aS'hospital\thospital\tNN\tB-NP\tO' -p344402 -aS'course\tcourse\tNN\tI-NP\tO' -p344403 -aS'and\tand\tCC\tO\tO' -p344404 -aS'associated\tassociate\tVBN\tB-NP\tO' -p344405 -aS'illnesses\tillness\tNNS\tI-NP\tO' -p344406 -aS'I\tI\tPRP\tB-NP\tO' -p344407 -aS'feel\tfeel\tVBP\tB-VP\tO' -p344408 -aS'it\tit\tPRP\tB-NP\tO' -p344409 -aS'best\twell\tRBS\tB-VP\tO' -p344410 -aS'to\tto\tTO\tI-VP\tO' -p344411 -aS'just\tjust\tRB\tI-VP\tO' -p344412 -aS'provide\tprovide\tVB\tI-VP\tO' -p344413 -aS'a\ta\tDT\tB-NP\tO' -p344414 -aS'system\tsystem\tNN\tI-NP\tO' -p344415 -aS'summary\tsummary\tNN\tI-NP\tO' -p344416 -aS'concerning\tconcern\tVBG\tB-VP\tO' -p344417 -aS'this\tthis\tDT\tB-NP\tO' -p344418 -aS'patient\tpatient\tNN\tI-NP\tO' -p344419 -aS''s\t'\tNNS\tI-NP\tO' -p344420 -aS'current\tcurrent\tJJ\tB-NP\tO' -p344421 -aS'status\tstatus\tNN\tI-NP\tO' -p344422 -aS'.\t.\t.\tO\tO' -p344423 -asS"The patient 's surgical incision was also healing well by the time of discharge with no evidence of infection ." -p344424 -(lp344425 -S'The\tThe\tDT\tB-NP\tO' -p344426 -aS'patient\tpatient\tNN\tI-NP\tO' -p344427 -aS"'s\t's\tPOS\tB-NP\tO" -p344428 -aS'surgical\tsurgical\tJJ\tI-NP\tO' -p344429 -aS'incision\tincision\tNN\tI-NP\tO' -p344430 -aS'was\tbe\tVBD\tB-VP\tO' -p344431 -aS'also\talso\tRB\tI-VP\tO' -p344432 -aS'healing\theal\tVBG\tI-VP\tO' -p344433 -aS'well\twell\tRB\tB-ADVP\tO' -p344434 -aS'by\tby\tIN\tB-PP\tO' -p344435 -aS'the\tthe\tDT\tB-NP\tO' -p344436 -aS'time\ttime\tNN\tI-NP\tO' -p344437 -aS'of\tof\tIN\tB-PP\tO' -p344438 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p344439 -aS'with\twith\tIN\tB-PP\tO' -p344440 -aS'no\tno\tDT\tB-NP\tO' -p344441 -aS'evidence\tevidence\tNN\tI-NP\tO' -p344442 -aS'of\tof\tIN\tB-PP\tO' -p344443 -aS'infection\tinfection\tNN\tB-NP\tO' -p344444 -aS'.\t.\t.\tO\tO' -p344445 -asS'As stated the patient was status post endoscopic retrograde cholangiopancreatography with stent' -p344446 -(lp344447 -S'As\tAs\tIN\tB-SBAR\tO' -p344448 -aS'stated\tstate\tVBN\tB-VP\tO' -p344449 -aS'the\tthe\tDT\tB-NP\tO' -p344450 -aS'patient\tpatient\tNN\tI-NP\tO' -p344451 -aS'was\tbe\tVBD\tB-VP\tO' -p344452 -aS'status\tstatus\tNN\tB-NP\tO' -p344453 -aS'post\tpost\tIN\tB-PP\tO' -p344454 -aS'endoscopic\tendoscopic\tJJ\tB-NP\tO' -p344455 -aS'retrograde\tretrograde\tJJ\tI-NP\tO' -p344456 -aS'cholangiopancreatography\tcholangiopancreatography\tNN\tI-NP\tO' -p344457 -aS'with\twith\tIN\tB-PP\tO' -p344458 -aS'stent\tstent\tNN\tB-NP\tO' -p344459 -asS'The medical examiner was called and the case was discussed , and he declined autopsy of the case .' -p344460 -(lp344461 -S'The\tThe\tDT\tB-NP\tO' -p344462 -aS'medical\tmedical\tJJ\tI-NP\tO' -p344463 -aS'examiner\texaminer\tNN\tI-NP\tO' -p344464 -aS'was\tbe\tVBD\tB-VP\tO' -p344465 -aS'called\tcall\tVBN\tI-VP\tO' -p344466 -aS'and\tand\tCC\tO\tO' -p344467 -aS'the\tthe\tDT\tB-NP\tO' -p344468 -aS'case\tcase\tNN\tI-NP\tO' -p344469 -aS'was\tbe\tVBD\tB-VP\tO' -p344470 -aS'discussed\tdiscuss\tVBN\tI-VP\tO' -p344471 -aS',\t,\t,\tO\tO' -p344472 -aS'and\tand\tCC\tO\tO' -p344473 -aS'he\the\tPRP\tB-NP\tO' -p344474 -aS'declined\tdecline\tVBD\tB-VP\tO' -p344475 -aS'autopsy\tautopsy\tNN\tB-NP\tO' -p344476 -aS'of\tof\tIN\tB-PP\tO' -p344477 -aS'the\tthe\tDT\tB-NP\tO' -p344478 -aS'case\tcase\tNN\tI-NP\tO' -p344479 -aS'.\t.\t.\tO\tO' -p344480 -asS'Cardiovascular .' -p344481 -(lp344482 -S'Cardiovascular\tCardiovascular\tJJ\tB-ADJP\tO' -p344483 -aS'.\t.\t.\tO\tO' -p344484 -asS'2. Metoprolol Tartrate 50 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ) .' -p344485 -(lp344486 -S'2.\t2.\tLS\tB-NP\tO' -p344487 -aS'Metoprolol\tMetoprolol\tNN\tI-NP\tO' -p344488 -aS'Tartrate\tTartrate\tNN\tI-NP\tO' -p344489 -aS'50\t50\tCD\tI-NP\tO' -p344490 -aS'mg\tmg\tNN\tI-NP\tO' -p344491 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p344492 -aS'Sig\tSig\tNNP\tI-NP\tO' -p344493 -aS':\t:\t:\tO\tO' -p344494 -aS'One\tOne\tCD\tB-NP\tO' -p344495 -aS'(\t(\t(\tO\tO' -p344496 -aS'1\t1\tCD\tB-NP\tO' -p344497 -aS')\t)\t)\tO\tO' -p344498 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p344499 -aS'PO\tPO\tNN\tI-NP\tO' -p344500 -aS'BID\tBID\tNN\tI-NP\tO' -p344501 -aS'(\t(\t(\tO\tO' -p344502 -aS'2\t2\tCD\tB-NP\tO' -p344503 -aS'times\ttime\tNNS\tI-NP\tO' -p344504 -aS'a\ta\tDT\tB-NP\tO' -p344505 -aS'day\tday\tNN\tI-NP\tO' -p344506 -aS')\t)\t)\tO\tO' -p344507 -aS'.\t.\t.\tO\tO' -p344508 -asS'A chest x-ray in the Oaksgekesser/ Memorial Hospital Emergency Room showed new changes on his chest x-ray on top of his usual severe bilateral emphysema_____ with scarring in both lungs .' -p344509 -(lp344510 -S'A\tA\tDT\tB-NP\tO' -p344511 -aS'chest\tch\tJJS\tI-NP\tO' -p344512 -aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' -p344513 -aS'in\tin\tIN\tB-PP\tO' -p344514 -aS'the\tthe\tDT\tB-NP\tO' -p344515 -aS'Oaksgekesser/\tOaksgekesser/\tNNP\tI-NP\tO' -p344516 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p344517 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p344518 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p344519 -aS'Room\tRoom\tNNP\tI-NP\tO' -p344520 -aS'showed\tshow\tVBD\tB-VP\tO' -p344521 -aS'new\tnew\tJJ\tB-NP\tO' -p344522 -aS'changes\tchange\tNNS\tI-NP\tO' -p344523 -aS'on\ton\tIN\tB-PP\tO' -p344524 -aS'his\this\tPRP$\tB-NP\tO' -p344525 -aS'chest\tchest\tNN\tI-NP\tO' -p344526 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p344527 -aS'on\ton\tIN\tB-PP\tO' -p344528 -aS'top\ttop\tNN\tB-NP\tO' -p344529 -aS'of\tof\tIN\tB-PP\tO' -p344530 -aS'his\this\tPRP$\tB-NP\tO' -p344531 -aS'usual\tusual\tJJ\tI-NP\tO' -p344532 -aS'severe\tsevere\tJJ\tI-NP\tO' -p344533 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p344534 -aS'emphysema_____\temphysema_____\tNN\tI-NP\tO' -p344535 -aS'with\twith\tIN\tB-PP\tO' -p344536 -aS'scarring\tscar\tVBG\tB-VP\tO' -p344537 -aS'in\tin\tIN\tB-PP\tO' -p344538 -aS'both\tboth\tDT\tB-NP\tO' -p344539 -aS'lungs\tlung\tNNS\tI-NP\tO' -p344540 -aS'.\t.\t.\tO\tO' -p344541 -asS'As given above .' -p344542 -(lp344543 -S'As\tAs\tIN\tB-SBAR\tO' -p344544 -aS'given\tgive\tVBN\tB-VP\tO' -p344545 -aS'above\tabove\tRB\tB-ADVP\tO' -p344546 -aS'.\t.\t.\tO\tO' -p344547 -asS'Difficulty with word finding at times .' -p344548 -(lp344549 -S'Difficulty\tDifficulty\tNN\tB-NP\tO' -p344550 -aS'with\twith\tIN\tB-PP\tO' -p344551 -aS'word\tword\tNN\tB-NP\tO' -p344552 -aS'finding\tfinding\tNN\tI-NP\tO' -p344553 -aS'at\tat\tIN\tB-PP\tO' -p344554 -aS'times\ttime\tNNS\tB-NP\tO' -p344555 -aS'.\t.\t.\tO\tO' -p344556 -asS'She had a dominant right coronary artery with minor disease .' -p344557 -(lp344558 -S'She\tShe\tPRP\tB-NP\tO' -p344559 -aS'had\thave\tVBD\tB-VP\tO' -p344560 -aS'a\ta\tDT\tB-NP\tO' -p344561 -aS'dominant\tdominant\tJJ\tI-NP\tO' -p344562 -aS'right\tright\tJJ\tI-NP\tO' -p344563 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p344564 -aS'artery\tartery\tNN\tI-NP\tO' -p344565 -aS'with\twith\tIN\tB-PP\tO' -p344566 -aS'minor\tminor\tJJ\tB-NP\tO' -p344567 -aS'disease\tdisease\tNN\tI-NP\tO' -p344568 -aS'.\t.\t.\tO\tO' -p344569 -asS'Signed electronically by : DR. Janice Carpenter on : Andrea 2010-04-01 8:20 AM' -p344570 -(lp344571 -S'Signed\tSign\tVBN\tB-VP\tO' -p344572 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p344573 -aS'by\tby\tIN\tB-PP\tO' -p344574 -aS':\t:\t:\tO\tO' -p344575 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p344576 -aS'Janice\tJanice\tNNP\tI-NP\tO' -p344577 -aS'Carpenter\tCarpenter\tNNP\tI-NP\tO' -p344578 -aS'on\ton\tIN\tB-PP\tO' -p344579 -aS':\t:\t:\tO\tO' -p344580 -aS'Andrea\tAndrea\tNNP\tB-NP\tO' -p344581 -aS'2010-04-01\t2010-04-01\tCD\tB-NP\tO' -p344582 -aS'8:20\t8:20\tCD\tI-NP\tO' -p344583 -aS'AM\tAM\tNN\tI-NP\tO' -p344584 -asS'He required some sedation and restraint and was begun on whatever Physical Therapy he could have given his head injury .' -p344585 -(lp344586 -S'He\tHe\tPRP\tB-NP\tO' -p344587 -aS'required\trequire\tVBD\tB-VP\tO' -p344588 -aS'some\tsome\tDT\tB-NP\tO' -p344589 -aS'sedation\tsedation\tNN\tI-NP\tO' -p344590 -aS'and\tand\tCC\tI-NP\tO' -p344591 -aS'restraint\trestraint\tNN\tI-NP\tO' -p344592 -aS'and\tand\tCC\tO\tO' -p344593 -aS'was\tbe\tVBD\tB-VP\tO' -p344594 -aS'begun\tbegin\tVBN\tI-VP\tO' -p344595 -aS'on\ton\tIN\tB-PP\tO' -p344596 -aS'whatever\twhatever\tWDT\tB-NP\tO' -p344597 -aS'Physical\tPhysical\tJJ\tI-NP\tO' -p344598 -aS'Therapy\tTherapy\tNN\tI-NP\tO' -p344599 -aS'he\the\tPRP\tB-NP\tO' -p344600 -aS'could\tcould\tMD\tB-VP\tO' -p344601 -aS'have\thave\tVB\tI-VP\tO' -p344602 -aS'given\tgive\tVBN\tI-VP\tO' -p344603 -aS'his\this\tPRP$\tB-NP\tO' -p344604 -aS'head\thead\tNN\tI-NP\tO' -p344605 -aS'injury\tinjury\tNN\tI-NP\tO' -p344606 -aS'.\t.\t.\tO\tO' -p344607 -asS'Intravenous antibiotics chemotherapy .' -p344608 -(lp344609 -S'Intravenous\tIntravenous\tJJ\tB-NP\tO' -p344610 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p344611 -aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' -p344612 -aS'.\t.\t.\tO\tO' -p344613 -asS'3. Flovent 110 micrograms aerosol two puffs b.i.d.' -p344614 -(lp344615 -S'3.\t3.\tLS\tB-LST\tO' -p344616 -aS'Flovent\tFlovent\tNNP\tB-NP\tO' -p344617 -aS'110\t110\tCD\tI-NP\tO' -p344618 -aS'micrograms\tmicrogram\tNNS\tI-NP\tO' -p344619 -aS'aerosol\taerosol\tNN\tI-NP\tO' -p344620 -aS'two\ttwo\tCD\tB-NP\tO' -p344621 -aS'puffs\tpuff\tNNS\tI-NP\tO' -p344622 -aS'b.i.d.\tb.i.d.\tRB\tB-ADVP\tO' -p344623 -asS'The patient tolerated a regular diet throughout the course of her hospital stay .' -p344624 -(lp344625 -S'The\tThe\tDT\tB-NP\tO' -p344626 -aS'patient\tpatient\tNN\tI-NP\tO' -p344627 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p344628 -aS'a\ta\tDT\tB-NP\tO' -p344629 -aS'regular\tregular\tJJ\tI-NP\tO' -p344630 -aS'diet\tdiet\tNN\tI-NP\tO' -p344631 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p344632 -aS'the\tthe\tDT\tB-NP\tO' -p344633 -aS'course\tcourse\tNN\tI-NP\tO' -p344634 -aS'of\tof\tIN\tB-PP\tO' -p344635 -aS'her\ther\tPRP$\tB-NP\tO' -p344636 -aS'hospital\thospital\tNN\tI-NP\tO' -p344637 -aS'stay\tstay\tNN\tI-NP\tO' -p344638 -aS'.\t.\t.\tO\tO' -p344639 -asS'Aspirin 81 mg qd , Toprol XL 50 mg qd , MVI , Flexeril 10 mg qhs , Plavix 75 mg qd ( last on 10-18 )' -p344640 -(lp344641 -S'Aspirin\tAspirin\tNN\tB-NP\tO' -p344642 -aS'81\t81\tCD\tI-NP\tO' -p344643 -aS'mg\tmg\tNN\tI-NP\tO' -p344644 -aS'qd\tqd\tNN\tI-NP\tO' -p344645 -aS',\t,\t,\tO\tO' -p344646 -aS'Toprol\tToprol\tNNP\tB-NP\tO' -p344647 -aS'XL\tXL\tNNP\tI-NP\tO' -p344648 -aS'50\t50\tCD\tI-NP\tO' -p344649 -aS'mg\tmg\tNN\tI-NP\tO' -p344650 -aS'qd\tqd\tNN\tI-NP\tO' -p344651 -aS',\t,\t,\tO\tO' -p344652 -aS'MVI\tMVI\tNNP\tB-NP\tO' -p344653 -aS',\t,\t,\tO\tO' -p344654 -aS'Flexeril\tFlexeril\tNNP\tB-NP\tO' -p344655 -aS'10\t10\tCD\tI-NP\tO' -p344656 -aS'mg\tmg\tNN\tI-NP\tO' -p344657 -aS'qhs\tqh\tNNS\tI-NP\tO' -p344658 -aS',\t,\t,\tO\tO' -p344659 -aS'Plavix\tPlavix\tNN\tB-NP\tO' -p344660 -aS'75\t75\tCD\tI-NP\tO' -p344661 -aS'mg\tmg\tNN\tI-NP\tO' -p344662 -aS'qd\tqd\tNN\tI-NP\tO' -p344663 -aS'(\t(\t(\tO\tO' -p344664 -aS'last\tlast\tJJ\tB-ADJP\tO' -p344665 -aS'on\ton\tIN\tB-PP\tO' -p344666 -aS'10-18\t10-18\tCD\tB-NP\tO' -p344667 -aS')\t)\t)\tO\tO' -p344668 -asS'Son died at 14 d/t ASD .' -p344669 -(lp344670 -S'Son\tSon\tNNP\tB-NP\tO' -p344671 -aS'died\tdie\tVBD\tB-VP\tO' -p344672 -aS'at\tat\tIN\tB-PP\tO' -p344673 -aS'14\t14\tCD\tB-NP\tO' -p344674 -aS'd/t\td/t\tNN\tI-NP\tO' -p344675 -aS'ASD\tASD\tNN\tI-NP\tO' -p344676 -aS'.\t.\t.\tO\tO' -p344677 -asS'61-120 mg / dL 1 Units 0 Units 0 Units 0 Units' -p344678 -(lp344679 -S'61-120\t61-120\tCD\tB-NP\tO' -p344680 -aS'mg\tmg\tNN\tI-NP\tO' -p344681 -aS'/\t/\tSYM\tB-NP\tO' -p344682 -aS'dL\tdL\tNN\tB-NP\tB-protein' -p344683 -aS'1\t1\tCD\tI-NP\tI-protein' -p344684 -aS'Units\tUnits\tNNP\tI-NP\tI-protein' -p344685 -aS'0\t0\tCD\tI-NP\tI-protein' -p344686 -aS'Units\tUnits\tNNP\tI-NP\tI-protein' -p344687 -aS'0\t0\tCD\tI-NP\tI-protein' -p344688 -aS'Units\tUnits\tNNP\tI-NP\tI-protein' -p344689 -aS'0\t0\tCD\tI-NP\tI-protein' -p344690 -aS'Units\tUnit\tNNS\tI-NP\tI-protein' -p344691 -asS'No R/R/W .' -p344692 -(lp344693 -S'No\tNo\tDT\tB-NP\tO' -p344694 -aS'R/R/W\tR/R/W\tNNP\tI-NP\tO' -p344695 -aS'.\t.\t.\tO\tO' -p344696 -asS'Her abdomen was obese , soft , nontender .' -p344697 -(lp344698 -S'Her\tHer\tPRP$\tB-NP\tO' -p344699 -aS'abdomen\tabdoman\tNNS\tI-NP\tO' -p344700 -aS'was\tbe\tVBD\tB-VP\tO' -p344701 -aS'obese\tobese\tJJ\tB-NP\tO' -p344702 -aS',\t,\t,\tI-NP\tO' -p344703 -aS'soft\tsoft\tJJ\tI-NP\tO' -p344704 -aS',\t,\t,\tI-NP\tO' -p344705 -aS'nontender\tnontender\tJJ\tI-NP\tO' -p344706 -aS'.\t.\t.\tO\tO' -p344707 -asS'Normal neurologic examination .' -p344708 -(lp344709 -S'Normal\tNormal\tJJ\tB-NP\tO' -p344710 -aS'neurologic\tneurologic\tJJ\tI-NP\tO' -p344711 -aS'examination\texamination\tNN\tI-NP\tO' -p344712 -aS'.\t.\t.\tO\tO' -p344713 -asS'Her amylase was mildly elevated but has been down since then .' -p344714 -(lp344715 -S'Her\tHer\tPRP$\tB-NP\tO' -p344716 -aS'amylase\tamylase\tNN\tI-NP\tB-protein' -p344717 -aS'was\tbe\tVBD\tB-VP\tO' -p344718 -aS'mildly\tmildly\tRB\tI-VP\tO' -p344719 -aS'elevated\televate\tVBN\tI-VP\tO' -p344720 -aS'but\tbut\tCC\tO\tO' -p344721 -aS'has\thave\tVBZ\tB-VP\tO' -p344722 -aS'been\tbe\tVBN\tI-VP\tO' -p344723 -aS'down\tdown\tRP\tB-PRT\tO' -p344724 -aS'since\tsince\tIN\tB-PP\tO' -p344725 -aS'then\tthen\tRB\tB-NP\tO' -p344726 -aS'.\t.\t.\tO\tO' -p344727 -asS'He uses condoms consistently .' -p344728 -(lp344729 -S'He\tHe\tPRP\tB-NP\tO' -p344730 -aS'uses\tuse\tVBZ\tB-VP\tO' -p344731 -aS'condoms\tcondom\tNNS\tB-NP\tO' -p344732 -aS'consistently\tconsistently\tRB\tB-ADVP\tO' -p344733 -aS'.\t.\t.\tO\tO' -p344734 -asS'The patient transfused 2 units of 10/16/97 for a hematocrit of 30.03 .' -p344735 -(lp344736 -S'The\tThe\tDT\tB-NP\tO' -p344737 -aS'patient\tpatient\tNN\tI-NP\tO' -p344738 -aS'transfused\ttransfuse\tVBN\tB-VP\tO' -p344739 -aS'2\t2\tCD\tB-NP\tO' -p344740 -aS'units\tunit\tNNS\tI-NP\tO' -p344741 -aS'of\tof\tIN\tB-PP\tO' -p344742 -aS'10/16/97\t10/16/97\tCD\tB-NP\tO' -p344743 -aS'for\tfor\tIN\tB-PP\tO' -p344744 -aS'a\ta\tDT\tB-NP\tO' -p344745 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p344746 -aS'of\tof\tIN\tB-PP\tO' -p344747 -aS'30.03\t30.03\tCD\tB-NP\tO' -p344748 -aS'.\t.\t.\tO\tO' -p344749 -asS'Blood culture was sent but he was never started on antibiotics .' -p344750 -(lp344751 -S'Blood\tBlood\tNN\tB-NP\tO' -p344752 -aS'culture\tculture\tNN\tI-NP\tO' -p344753 -aS'was\tbe\tVBD\tB-VP\tO' -p344754 -aS'sent\tsend\tVBN\tI-VP\tO' -p344755 -aS'but\tbut\tCC\tO\tO' -p344756 -aS'he\the\tPRP\tB-NP\tO' -p344757 -aS'was\tbe\tVBD\tB-VP\tO' -p344758 -aS'never\tnever\tRB\tI-VP\tO' -p344759 -aS'started\tstart\tVBN\tI-VP\tO' -p344760 -aS'on\ton\tIN\tB-PP\tO' -p344761 -aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' -p344762 -aS'.\t.\t.\tO\tO' -p344763 -asS"57 y/o F with multiple medical problems including polyendocrine deficiency comprised of adrenal insufficiency , DM , premature ovarian failure , hypoparathyroidism , addison 's disease and also breast CA and depression with multiple suicide attempts in the past who originally presented s/p tylenol with codeine overdose and hypotension , was intubated and admitted to the FICU ." -p344764 -(lp344765 -S'57\t57\tCD\tB-NP\tO' -p344766 -aS'y/o\ty/o\tNN\tI-NP\tO' -p344767 -aS'F\tF\tNN\tI-NP\tO' -p344768 -aS'with\twith\tIN\tB-PP\tO' -p344769 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p344770 -aS'medical\tmedical\tJJ\tI-NP\tO' -p344771 -aS'problems\tproblem\tNNS\tI-NP\tO' -p344772 -aS'including\tinclude\tVBG\tB-PP\tO' -p344773 -aS'polyendocrine\tpolyendocrine\tJJ\tB-NP\tO' -p344774 -aS'deficiency\tdeficiency\tNN\tI-NP\tO' -p344775 -aS'comprised\tcomprise\tVBN\tB-VP\tO' -p344776 -aS'of\tof\tIN\tB-PP\tO' -p344777 -aS'adrenal\tadrenal\tJJ\tB-NP\tO' -p344778 -aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' -p344779 -aS',\t,\t,\tO\tO' -p344780 -aS'DM\tDM\tNN\tB-NP\tO' -p344781 -aS',\t,\t,\tO\tO' -p344782 -aS'premature\tpremature\tJJ\tB-NP\tO' -p344783 -aS'ovarian\tovarian\tJJ\tI-NP\tO' -p344784 -aS'failure\tfailure\tNN\tI-NP\tO' -p344785 -aS',\t,\t,\tO\tO' -p344786 -aS'hypoparathyroidism\thypoparathyroidism\tNN\tB-NP\tO' -p344787 -aS',\t,\t,\tO\tO' -p344788 -aS'addison\taddison\tNN\tB-NP\tO' -p344789 -aS"'s\t's\tPOS\tB-NP\tO" -p344790 -aS'disease\tdisease\tNN\tI-NP\tO' -p344791 -aS'and\tand\tCC\tO\tO' -p344792 -aS'also\talso\tRB\tB-ADVP\tO' -p344793 -aS'breast\tbreast\tNN\tB-NP\tO' -p344794 -aS'CA\tCA\tNN\tI-NP\tO' -p344795 -aS'and\tand\tCC\tO\tO' -p344796 -aS'depression\tdepression\tNN\tB-NP\tO' -p344797 -aS'with\twith\tIN\tB-PP\tO' -p344798 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p344799 -aS'suicide\tsuicide\tNN\tI-NP\tO' -p344800 -aS'attempts\tattempt\tNNS\tI-NP\tO' -p344801 -aS'in\tin\tIN\tB-PP\tO' -p344802 -aS'the\tthe\tDT\tB-NP\tO' -p344803 -aS'past\tpast\tNN\tI-NP\tO' -p344804 -aS'who\twho\tWP\tB-NP\tO' -p344805 -aS'originally\toriginally\tRB\tB-ADVP\tO' -p344806 -aS'presented\tpresent\tVBD\tB-VP\tO' -p344807 -aS's/p\ts/p\tNN\tB-NP\tO' -p344808 -aS'tylenol\ttylenol\tNN\tI-NP\tO' -p344809 -aS'with\twith\tIN\tB-PP\tO' -p344810 -aS'codeine\tcodeine\tNN\tB-NP\tO' -p344811 -aS'overdose\toverdose\tNN\tI-NP\tO' -p344812 -aS'and\tand\tCC\tI-NP\tO' -p344813 -aS'hypotension\thypotension\tNN\tI-NP\tO' -p344814 -aS',\t,\t,\tO\tO' -p344815 -aS'was\tbe\tVBD\tB-VP\tO' -p344816 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p344817 -aS'and\tand\tCC\tO\tO' -p344818 -aS'admitted\tadmit\tVBN\tB-VP\tO' -p344819 -aS'to\tto\tTO\tB-PP\tO' -p344820 -aS'the\tthe\tDT\tB-NP\tO' -p344821 -aS'FICU\tFICU\tNN\tI-NP\tB-DNA' -p344822 -aS'.\t.\t.\tO\tO' -p344823 -asS'Will also have INR checked at once weekly until target of INR of 2.0 to 3.0 is reached .' -p344824 -(lp344825 -S'Will\tWill\tMD\tB-VP\tO' -p344826 -aS'also\talso\tRB\tI-VP\tO' -p344827 -aS'have\thave\tVB\tI-VP\tO' -p344828 -aS'INR\tINR\tNN\tB-NP\tB-protein' -p344829 -aS'checked\tcheck\tVBN\tB-VP\tO' -p344830 -aS'at\tat\tIN\tB-PP\tO' -p344831 -aS'once\tonce\tRB\tB-ADVP\tO' -p344832 -aS'weekly\tweekly\tJJ\tI-ADVP\tO' -p344833 -aS'until\tuntil\tIN\tB-PP\tO' -p344834 -aS'target\ttarget\tNN\tB-NP\tO' -p344835 -aS'of\tof\tIN\tB-PP\tO' -p344836 -aS'INR\tINR\tNN\tB-NP\tB-protein' -p344837 -aS'of\tof\tIN\tB-PP\tO' -p344838 -aS'2.0\t2.0\tCD\tB-NP\tO' -p344839 -aS'to\tto\tTO\tB-PP\tO' -p344840 -aS'3.0\t3.0\tCD\tB-NP\tO' -p344841 -aS'is\tbe\tVBZ\tB-VP\tO' -p344842 -aS'reached\treach\tVBN\tI-VP\tO' -p344843 -aS'.\t.\t.\tO\tO' -p344844 -asS"The patient 's pain control was with morphine ." -p344845 -(lp344846 -S'The\tThe\tDT\tB-NP\tO' -p344847 -aS'patient\tpatient\tNN\tI-NP\tO' -p344848 -aS"'s\t's\tPOS\tB-NP\tO" -p344849 -aS'pain\tpain\tNN\tI-NP\tO' -p344850 -aS'control\tcontrol\tNN\tI-NP\tO' -p344851 -aS'was\tbe\tVBD\tB-VP\tO' -p344852 -aS'with\twith\tIN\tB-PP\tO' -p344853 -aS'morphine\tmorphine\tNN\tB-NP\tO' -p344854 -aS'.\t.\t.\tO\tO' -p344855 -asS'She has no chest pain , shortness of breath or fever .' -p344856 -(lp344857 -S'She\tShe\tPRP\tB-NP\tO' -p344858 -aS'has\thave\tVBZ\tB-VP\tO' -p344859 -aS'no\tno\tDT\tB-NP\tO' -p344860 -aS'chest\tchest\tNN\tI-NP\tO' -p344861 -aS'pain\tpain\tNN\tI-NP\tO' -p344862 -aS',\t,\t,\tO\tO' -p344863 -aS'shortness\tshortness\tNN\tB-NP\tO' -p344864 -aS'of\tof\tIN\tB-PP\tO' -p344865 -aS'breath\tbreath\tNN\tB-NP\tO' -p344866 -aS'or\tor\tCC\tI-NP\tO' -p344867 -aS'fever\tfever\tNN\tI-NP\tO' -p344868 -aS'.\t.\t.\tO\tO' -p344869 -asS'There is a small amount of pericardial fluid .' -p344870 -(lp344871 -S'There\tThere\tEX\tB-NP\tO' -p344872 -aS'is\tbe\tVBZ\tB-VP\tO' -p344873 -aS'a\ta\tDT\tB-NP\tO' -p344874 -aS'small\tsmall\tJJ\tI-NP\tO' -p344875 -aS'amount\tamount\tNN\tI-NP\tO' -p344876 -aS'of\tof\tIN\tB-PP\tO' -p344877 -aS'pericardial\tpericardial\tJJ\tB-NP\tO' -p344878 -aS'fluid\tfluid\tNN\tI-NP\tO' -p344879 -aS'.\t.\t.\tO\tO' -p344880 -asS'Her SPO2 was 98 percent on room air .' -p344881 -(lp344882 -S'Her\tHer\tPRP$\tB-NP\tO' -p344883 -aS'SPO2\tSPO2\tNN\tI-NP\tB-protein' -p344884 -aS'was\tbe\tVBD\tB-VP\tO' -p344885 -aS'98\t98\tCD\tB-NP\tO' -p344886 -aS'percent\tpercent\tNN\tI-NP\tO' -p344887 -aS'on\ton\tIN\tB-PP\tO' -p344888 -aS'room\troom\tNN\tB-NP\tO' -p344889 -aS'air\tair\tNN\tI-NP\tO' -p344890 -aS'.\t.\t.\tO\tO' -p344891 -asS'It was felt that he may have had some component of vascular congestion from his congestive heart failure as well as possibly some mild cirrhotic changes secondary to his previous alcohol use .' -p344892 -(lp344893 -S'It\tIt\tPRP\tB-NP\tO' -p344894 -aS'was\tbe\tVBD\tB-VP\tO' -p344895 -aS'felt\tfeel\tVBN\tI-VP\tO' -p344896 -aS'that\tthat\tIN\tB-SBAR\tO' -p344897 -aS'he\the\tPRP\tB-NP\tO' -p344898 -aS'may\tmay\tMD\tB-VP\tO' -p344899 -aS'have\thave\tVB\tI-VP\tO' -p344900 -aS'had\thave\tVBN\tI-VP\tO' -p344901 -aS'some\tsome\tDT\tB-NP\tO' -p344902 -aS'component\tcomponent\tNN\tI-NP\tO' -p344903 -aS'of\tof\tIN\tB-PP\tO' -p344904 -aS'vascular\tvascular\tJJ\tB-NP\tO' -p344905 -aS'congestion\tcongestion\tNN\tI-NP\tO' -p344906 -aS'from\tfrom\tIN\tB-PP\tO' -p344907 -aS'his\this\tPRP$\tB-NP\tO' -p344908 -aS'congestive\tcongestive\tJJ\tI-NP\tO' -p344909 -aS'heart\theart\tNN\tI-NP\tO' -p344910 -aS'failure\tfailure\tNN\tI-NP\tO' -p344911 -aS'as\tas\tRB\tB-CONJP\tO' -p344912 -aS'well\twell\tRB\tI-CONJP\tO' -p344913 -aS'as\tas\tIN\tI-CONJP\tO' -p344914 -aS'possibly\tpossibly\tRB\tB-NP\tO' -p344915 -aS'some\tsome\tDT\tI-NP\tO' -p344916 -aS'mild\tmild\tJJ\tI-NP\tO' -p344917 -aS'cirrhotic\tcirrhotic\tJJ\tI-NP\tO' -p344918 -aS'changes\tchange\tNNS\tI-NP\tO' -p344919 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p344920 -aS'to\tto\tTO\tB-PP\tO' -p344921 -aS'his\this\tPRP$\tB-NP\tO' -p344922 -aS'previous\tprevious\tJJ\tI-NP\tO' -p344923 -aS'alcohol\talcohol\tNN\tI-NP\tO' -p344924 -aS'use\tuse\tNN\tI-NP\tO' -p344925 -aS'.\t.\t.\tO\tO' -p344926 -asS'Ambulatory saturation was 82% on room air .' -p344927 -(lp344928 -S'Ambulatory\tAmbulatory\tJJ\tB-NP\tO' -p344929 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p344930 -aS'was\tbe\tVBD\tB-VP\tO' -p344931 -aS'82%\t82%\tNN\tB-NP\tO' -p344932 -aS'on\ton\tIN\tB-PP\tO' -p344933 -aS'room\troom\tNN\tB-NP\tO' -p344934 -aS'air\tair\tNN\tI-NP\tO' -p344935 -aS'.\t.\t.\tO\tO' -p344936 -asS'OTHER DIAGNOSIS ; Conditions , Infections , Complications , affecting Treatment / Stay' -p344937 -(lp344938 -S'OTHER\tOTHER\tNN\tB-NP\tO' -p344939 -aS'DIAGNOSIS\tDIAGNOSIS\tNN\tI-NP\tO' -p344940 -aS';\t;\t:\tO\tO' -p344941 -aS'Conditions\tCondition\tNNS\tB-NP\tO' -p344942 -aS',\t,\t,\tO\tO' -p344943 -aS'Infections\tInfection\tNNS\tB-NP\tO' -p344944 -aS',\t,\t,\tO\tO' -p344945 -aS'Complications\tComplication\tNNS\tB-NP\tO' -p344946 -aS',\t,\t,\tO\tO' -p344947 -aS'affecting\taffect\tVBG\tB-VP\tO' -p344948 -aS'Treatment\tTreatment\tNN\tB-NP\tO' -p344949 -aS'/\t/\tSYM\tB-VP\tO' -p344950 -aS'Stay\tStay\tNN\tB-NP\tO' -p344951 -asS'Again , this was unsuccessful .' -p344952 -(lp344953 -S'Again\tAgain\tRB\tB-ADVP\tO' -p344954 -aS',\t,\t,\tO\tO' -p344955 -aS'this\tthis\tDT\tB-NP\tO' -p344956 -aS'was\tbe\tVBD\tB-VP\tO' -p344957 -aS'unsuccessful\tunsuccessful\tJJ\tB-ADJP\tO' -p344958 -aS'.\t.\t.\tO\tO' -p344959 -asS'1 L was removed .' -p344960 -(lp344961 -S'1\t1\tCD\tB-NP\tO' -p344962 -aS'L\tL\tNN\tI-NP\tO' -p344963 -aS'was\tbe\tVBD\tB-VP\tO' -p344964 -aS'removed\tremove\tVBN\tI-VP\tO' -p344965 -aS'.\t.\t.\tO\tO' -p344966 -asS'Patient is intubated and sedated .' -p344967 -(lp344968 -S'Patient\tPatient\tNN\tB-NP\tO' -p344969 -aS'is\tbe\tVBZ\tB-VP\tO' -p344970 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p344971 -aS'and\tand\tCC\tI-VP\tO' -p344972 -aS'sedated\tsedate\tVBN\tI-VP\tO' -p344973 -aS'.\t.\t.\tO\tO' -p344974 -asS'Soft NT/ND , + BS without masses or hepatomegaly / splenomegaly' -p344975 -(lp344976 -S'Soft\tSoft\tNNP\tB-NP\tO' -p344977 -aS'NT/ND\tNT/ND\tNNP\tI-NP\tO' -p344978 -aS',\t,\t,\tO\tO' -p344979 -aS'+\t+\tNNP\tB-NP\tO' -p344980 -aS'BS\tBS\tNNP\tI-NP\tO' -p344981 -aS'without\twithout\tIN\tB-PP\tO' -p344982 -aS'masses\tmass\tNNS\tB-NP\tO' -p344983 -aS'or\tor\tCC\tI-NP\tO' -p344984 -aS'hepatomegaly\thepatomegaly\tNN\tI-NP\tO' -p344985 -aS'/\t/\tSYM\tB-NP\tO' -p344986 -aS'splenomegaly\tsplenomegaly\tNN\tB-NP\tO' -p344987 -asS'Able to follow simple commands .' -p344988 -(lp344989 -S'Able\tAble\tNN\tB-NP\tO' -p344990 -aS'to\tto\tTO\tB-VP\tO' -p344991 -aS'follow\tfollow\tVB\tI-VP\tO' -p344992 -aS'simple\tsimple\tJJ\tB-NP\tO' -p344993 -aS'commands\tcommand\tNNS\tI-NP\tO' -p344994 -aS'.\t.\t.\tO\tO' -p344995 -asS'Total bilirubin was 2.8 .' -p344996 -(lp344997 -S'Total\tTotal\tJJ\tB-NP\tO' -p344998 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p344999 -aS'was\tbe\tVBD\tB-VP\tO' -p345000 -aS'2.8\t2.8\tCD\tB-NP\tO' -p345001 -aS'.\t.\t.\tO\tO' -p345002 -asS'The patient his undergoing a TTE prior to discharge to rule out a thrombus .' -p345003 -(lp345004 -S'The\tThe\tDT\tB-NP\tO' -p345005 -aS'patient\tpatient\tNN\tI-NP\tO' -p345006 -aS'his\this\tPRP$\tB-NP\tO' -p345007 -aS'undergoing\tundergo\tVBG\tB-VP\tO' -p345008 -aS'a\ta\tDT\tB-NP\tO' -p345009 -aS'TTE\tTTE\tNN\tI-NP\tO' -p345010 -aS'prior\tprior\tRB\tB-ADVP\tO' -p345011 -aS'to\tto\tTO\tB-VP\tO' -p345012 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p345013 -aS'to\tto\tTO\tI-VP\tO' -p345014 -aS'rule\trule\tVB\tI-VP\tO' -p345015 -aS'out\tout\tRP\tB-PRT\tO' -p345016 -aS'a\ta\tDT\tB-NP\tO' -p345017 -aS'thrombus\tthrombus\tNN\tI-NP\tO' -p345018 -aS'.\t.\t.\tO\tO' -p345019 -asS'Urine culture came back positive for VRE , however , since patient improved without treatement ( ie Linezolid ) initially .' -p345020 -(lp345021 -S'Urine\tUrine\tNN\tB-NP\tO' -p345022 -aS'culture\tculture\tNN\tI-NP\tO' -p345023 -aS'came\tcome\tVBD\tB-VP\tO' -p345024 -aS'back\tback\tRB\tB-ADVP\tO' -p345025 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p345026 -aS'for\tfor\tIN\tB-PP\tO' -p345027 -aS'VRE\tVRE\tNN\tB-NP\tB-DNA' -p345028 -aS',\t,\t,\tO\tO' -p345029 -aS'however\thowever\tRB\tB-ADVP\tO' -p345030 -aS',\t,\t,\tO\tO' -p345031 -aS'since\tsince\tIN\tB-SBAR\tO' -p345032 -aS'patient\tpatient\tNN\tB-NP\tO' -p345033 -aS'improved\timprove\tVBD\tB-VP\tO' -p345034 -aS'without\twithout\tIN\tB-PP\tO' -p345035 -aS'treatement\ttreatement\tNN\tB-NP\tO' -p345036 -aS'(\t(\t(\tO\tO' -p345037 -aS'ie\tie\tNN\tB-NP\tO' -p345038 -aS'Linezolid\tLinezolid\tNN\tI-NP\tO' -p345039 -aS')\t)\t)\tO\tO' -p345040 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p345041 -aS'.\t.\t.\tO\tO' -p345042 -asS'The blood pressure was 113/70 , pulse 66 , respirations 20 , and a temperature of 96.8 .' -p345043 -(lp345044 -S'The\tThe\tDT\tB-NP\tO' -p345045 -aS'blood\tblood\tNN\tI-NP\tO' -p345046 -aS'pressure\tpressure\tNN\tI-NP\tO' -p345047 -aS'was\tbe\tVBD\tB-VP\tO' -p345048 -aS'113/70\t113/70\tCD\tB-NP\tO' -p345049 -aS',\t,\t,\tO\tO' -p345050 -aS'pulse\tpulse\tNN\tB-NP\tO' -p345051 -aS'66\t66\tCD\tI-NP\tO' -p345052 -aS',\t,\t,\tO\tO' -p345053 -aS'respirations\trespiration\tNNS\tB-NP\tO' -p345054 -aS'20\t20\tCD\tB-NP\tO' -p345055 -aS',\t,\t,\tO\tO' -p345056 -aS'and\tand\tCC\tO\tO' -p345057 -aS'a\ta\tDT\tB-NP\tO' -p345058 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p345059 -aS'of\tof\tIN\tB-PP\tO' -p345060 -aS'96.8\t96.8\tCD\tB-NP\tO' -p345061 -aS'.\t.\t.\tO\tO' -p345062 -asS'RRR with holosystolic murmur soft , NT , ND , + BS warm , well-perfused , no edema , superficial varicosities neuro grossly intact' -p345063 -(lp345064 -S'RRR\tRRR\tNN\tB-NP\tB-protein' -p345065 -aS'with\twith\tIN\tB-PP\tO' -p345066 -aS'holosystolic\tholosystolic\tJJ\tB-NP\tO' -p345067 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p345068 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p345069 -aS',\t,\t,\tO\tO' -p345070 -aS'NT\tNT\tNN\tB-NP\tO' -p345071 -aS',\t,\t,\tO\tO' -p345072 -aS'ND\tND\tNN\tB-NP\tO' -p345073 -aS',\t,\t,\tO\tO' -p345074 -aS'+\t+\tSYM\tB-NP\tO' -p345075 -aS'BS\tBS\tNNP\tI-NP\tO' -p345076 -aS'warm\twarm\tJJ\tI-NP\tO' -p345077 -aS',\t,\t,\tI-NP\tO' -p345078 -aS'well-perfused\twell-perfused\tJJ\tI-NP\tO' -p345079 -aS',\t,\t,\tO\tO' -p345080 -aS'no\tno\tDT\tB-NP\tO' -p345081 -aS'edema\tedema\tNN\tI-NP\tO' -p345082 -aS',\t,\t,\tO\tO' -p345083 -aS'superficial\tsuperficial\tJJ\tB-NP\tO' -p345084 -aS'varicosities\tvaricosity\tNNS\tI-NP\tO' -p345085 -aS'neuro\tneuro\tRB\tB-ADJP\tO' -p345086 -aS'grossly\tgrossly\tRB\tI-ADJP\tO' -p345087 -aS'intact\tintact\tJJ\tI-ADJP\tO' -p345088 -asS'This is thought to be the insighting cause of his massive rhabdomyolysis and hepatic failure .' -p345089 -(lp345090 -S'This\tThis\tDT\tB-NP\tO' -p345091 -aS'is\tbe\tVBZ\tB-VP\tO' -p345092 -aS'thought\tthink\tVBN\tI-VP\tO' -p345093 -aS'to\tto\tTO\tI-VP\tO' -p345094 -aS'be\tbe\tVB\tI-VP\tO' -p345095 -aS'the\tthe\tDT\tB-NP\tO' -p345096 -aS'insighting\tinsighting\tNN\tI-NP\tO' -p345097 -aS'cause\tcause\tNN\tI-NP\tO' -p345098 -aS'of\tof\tIN\tB-PP\tO' -p345099 -aS'his\this\tPRP$\tB-NP\tO' -p345100 -aS'massive\tmassive\tJJ\tI-NP\tO' -p345101 -aS'rhabdomyolysis\trhabdomyolysis\tNN\tI-NP\tO' -p345102 -aS'and\tand\tCC\tI-NP\tO' -p345103 -aS'hepatic\thepatic\tJJ\tI-NP\tO' -p345104 -aS'failure\tfailure\tNN\tI-NP\tO' -p345105 -aS'.\t.\t.\tO\tO' -p345106 -asS"At the same time the patient was seen in consultation by the Infectious Disease Service who upon culturing the patient 's sternal drainage switched the patient from intravenous Unasyn to Levofloxacin for what appeared to be Citrobacter and Diphtheroids in the wound cultures ." -p345107 -(lp345108 -S'At\tAt\tIN\tB-PP\tO' -p345109 -aS'the\tthe\tDT\tB-NP\tO' -p345110 -aS'same\tsame\tJJ\tI-NP\tO' -p345111 -aS'time\ttime\tNN\tI-NP\tO' -p345112 -aS'the\tthe\tDT\tB-NP\tO' -p345113 -aS'patient\tpatient\tNN\tI-NP\tO' -p345114 -aS'was\tbe\tVBD\tB-VP\tO' -p345115 -aS'seen\tsee\tVBN\tI-VP\tO' -p345116 -aS'in\tin\tIN\tB-PP\tO' -p345117 -aS'consultation\tconsultation\tNN\tB-NP\tO' -p345118 -aS'by\tby\tIN\tB-PP\tO' -p345119 -aS'the\tthe\tDT\tB-NP\tO' -p345120 -aS'Infectious\tInfectious\tNNP\tI-NP\tO' -p345121 -aS'Disease\tDisease\tNNP\tI-NP\tO' -p345122 -aS'Service\tService\tNNP\tI-NP\tO' -p345123 -aS'who\twho\tWP\tB-NP\tO' -p345124 -aS'upon\tupon\tIN\tB-PP\tO' -p345125 -aS'culturing\tculture\tVBG\tB-VP\tO' -p345126 -aS'the\tthe\tDT\tB-NP\tO' -p345127 -aS'patient\tpatient\tNN\tI-NP\tO' -p345128 -aS"'s\t's\tPOS\tB-NP\tO" -p345129 -aS'sternal\tsternal\tJJ\tI-NP\tO' -p345130 -aS'drainage\tdrainage\tNN\tI-NP\tO' -p345131 -aS'switched\tswitch\tVBD\tB-VP\tO' -p345132 -aS'the\tthe\tDT\tB-NP\tO' -p345133 -aS'patient\tpatient\tNN\tI-NP\tO' -p345134 -aS'from\tfrom\tIN\tB-PP\tO' -p345135 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p345136 -aS'Unasyn\tUnasyn\tNN\tI-NP\tO' -p345137 -aS'to\tto\tTO\tB-PP\tO' -p345138 -aS'Levofloxacin\tLevofloxacin\tNN\tB-NP\tO' -p345139 -aS'for\tfor\tIN\tB-PP\tO' -p345140 -aS'what\twhat\tWP\tB-NP\tO' -p345141 -aS'appeared\tappear\tVBD\tB-VP\tO' -p345142 -aS'to\tto\tTO\tI-VP\tO' -p345143 -aS'be\tbe\tVB\tI-VP\tO' -p345144 -aS'Citrobacter\tCitrobacter\tNNP\tB-NP\tO' -p345145 -aS'and\tand\tCC\tI-NP\tO' -p345146 -aS'Diphtheroids\tDiphtheroids\tNNP\tI-NP\tO' -p345147 -aS'in\tin\tIN\tB-PP\tO' -p345148 -aS'the\tthe\tDT\tB-NP\tO' -p345149 -aS'wound\twound\tJJ\tI-NP\tB-cell_line' -p345150 -aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' -p345151 -aS'.\t.\t.\tO\tO' -p345152 -asS'A stent was placed successfully .' -p345153 -(lp345154 -S'A\tA\tDT\tB-NP\tO' -p345155 -aS'stent\tstent\tNN\tI-NP\tO' -p345156 -aS'was\tbe\tVBD\tB-VP\tO' -p345157 -aS'placed\tplace\tVBN\tI-VP\tO' -p345158 -aS'successfully\tsuccessfully\tRB\tB-ADVP\tO' -p345159 -aS'.\t.\t.\tO\tO' -p345160 -asS'7. Nursing home resident .' -p345161 -(lp345162 -S'7.\t7.\tLS\tB-LST\tO' -p345163 -aS'Nursing\tNurse\tVBG\tB-VP\tO' -p345164 -aS'home\thome\tNN\tB-NP\tO' -p345165 -aS'resident\tresident\tNN\tI-NP\tO' -p345166 -aS'.\t.\t.\tO\tO' -p345167 -asS'Holding Metformin until Friday due to CT with contrast .' -p345168 -(lp345169 -S'Holding\tHolding\tNNP\tB-NP\tO' -p345170 -aS'Metformin\tMetformin\tNNP\tI-NP\tO' -p345171 -aS'until\tuntil\tIN\tB-PP\tO' -p345172 -aS'Friday\tFriday\tNNP\tB-NP\tO' -p345173 -aS'due\tdue\tIN\tB-PP\tO' -p345174 -aS'to\tto\tTO\tI-PP\tO' -p345175 -aS'CT\tCT\tNN\tB-NP\tB-protein' -p345176 -aS'with\twith\tIN\tB-PP\tO' -p345177 -aS'contrast\tcontrast\tNN\tB-NP\tO' -p345178 -aS'.\t.\t.\tO\tO' -p345179 -asS"Pt 's Hct trended down slowly throughout his hospitalization ." -p345180 -(lp345181 -S'Pt\tPt\tNN\tB-NP\tO' -p345182 -aS"'s\t's\tPOS\tB-NP\tO" -p345183 -aS'Hct\tHct\tNN\tI-NP\tO' -p345184 -aS'trended\ttrend\tVBD\tB-VP\tO' -p345185 -aS'down\tdown\tRP\tB-PRT\tO' -p345186 -aS'slowly\tslowly\tRB\tB-ADVP\tO' -p345187 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p345188 -aS'his\this\tPRP$\tB-NP\tO' -p345189 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p345190 -aS'.\t.\t.\tO\tO' -p345191 -asS'The Foley was discontinued and the patient was urinating on her own .' -p345192 -(lp345193 -S'The\tThe\tDT\tB-NP\tO' -p345194 -aS'Foley\tFoley\tNNP\tI-NP\tO' -p345195 -aS'was\tbe\tVBD\tB-VP\tO' -p345196 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p345197 -aS'and\tand\tCC\tO\tO' -p345198 -aS'the\tthe\tDT\tB-NP\tO' -p345199 -aS'patient\tpatient\tNN\tI-NP\tO' -p345200 -aS'was\tbe\tVBD\tB-VP\tO' -p345201 -aS'urinating\turinate\tVBG\tI-VP\tO' -p345202 -aS'on\ton\tIN\tB-PP\tO' -p345203 -aS'her\ther\tPRP$\tB-NP\tO' -p345204 -aS'own\town\tJJ\tI-NP\tO' -p345205 -aS'.\t.\t.\tO\tO' -p345206 -asS'He had faint bibasilar crackles on lung examination .' -p345207 -(lp345208 -S'He\tHe\tPRP\tB-NP\tO' -p345209 -aS'had\thave\tVBD\tB-VP\tO' -p345210 -aS'faint\tfaint\tJJ\tB-NP\tO' -p345211 -aS'bibasilar\tbibasilar\tJJ\tI-NP\tO' -p345212 -aS'crackles\tcrackle\tNNS\tI-NP\tO' -p345213 -aS'on\ton\tIN\tB-PP\tO' -p345214 -aS'lung\tlung\tNN\tB-NP\tO' -p345215 -aS'examination\texamination\tNN\tI-NP\tO' -p345216 -aS'.\t.\t.\tO\tO' -p345217 -asS'The patient is , therefore , discharged after a three day hospitalization , with plans for re-admission for the neuroradiology procedure .' -p345218 -(lp345219 -S'The\tThe\tDT\tB-NP\tO' -p345220 -aS'patient\tpatient\tNN\tI-NP\tO' -p345221 -aS'is\tbe\tVBZ\tB-VP\tO' -p345222 -aS',\t,\t,\tO\tO' -p345223 -aS'therefore\ttherefore\tRB\tB-ADVP\tO' -p345224 -aS',\t,\t,\tO\tO' -p345225 -aS'discharged\tdischarge\tVBD\tB-VP\tO' -p345226 -aS'after\tafter\tIN\tB-PP\tO' -p345227 -aS'a\ta\tDT\tB-NP\tO' -p345228 -aS'three\tthree\tCD\tI-NP\tO' -p345229 -aS'day\tday\tNN\tI-NP\tO' -p345230 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p345231 -aS',\t,\t,\tO\tO' -p345232 -aS'with\twith\tIN\tB-PP\tO' -p345233 -aS'plans\tplan\tNNS\tB-NP\tO' -p345234 -aS'for\tfor\tIN\tB-PP\tO' -p345235 -aS're-admission\tre-admission\tNN\tB-NP\tO' -p345236 -aS'for\tfor\tIN\tB-PP\tO' -p345237 -aS'the\tthe\tDT\tB-NP\tO' -p345238 -aS'neuroradiology\tneuroradiology\tNN\tI-NP\tO' -p345239 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p345240 -aS'.\t.\t.\tO\tO' -p345241 -asS'So accepted to be on dilaudid p.o. which was started at a dosage of 2-4 meg but since then we have tapered it up .' -p345242 -(lp345243 -S'So\tSo\tRB\tO\tO' -p345244 -aS'accepted\taccept\tVBN\tB-VP\tO' -p345245 -aS'to\tto\tTO\tI-VP\tO' -p345246 -aS'be\tbe\tVB\tI-VP\tO' -p345247 -aS'on\ton\tIN\tB-PP\tO' -p345248 -aS'dilaudid\tdilaudid\tJJ\tB-NP\tO' -p345249 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p345250 -aS'which\twhich\tWDT\tB-NP\tO' -p345251 -aS'was\tbe\tVBD\tB-VP\tO' -p345252 -aS'started\tstart\tVBN\tI-VP\tO' -p345253 -aS'at\tat\tIN\tB-PP\tO' -p345254 -aS'a\ta\tDT\tB-NP\tO' -p345255 -aS'dosage\tdosage\tNN\tI-NP\tO' -p345256 -aS'of\tof\tIN\tB-PP\tO' -p345257 -aS'2-4\t2-4\tCD\tB-NP\tO' -p345258 -aS'meg\tmeg\tNN\tI-NP\tO' -p345259 -aS'but\tbut\tCC\tB-PP\tO' -p345260 -aS'since\tsince\tIN\tB-PP\tO' -p345261 -aS'then\tthen\tRB\tB-NP\tO' -p345262 -aS'we\twe\tPRP\tB-NP\tO' -p345263 -aS'have\thave\tVBP\tB-VP\tO' -p345264 -aS'tapered\ttaper\tVBN\tI-VP\tO' -p345265 -aS'it\tit\tPRP\tB-NP\tO' -p345266 -aS'up\tup\tRP\tB-PRT\tO' -p345267 -aS'.\t.\t.\tO\tO' -p345268 -asS'She was hemodynamically stable .' -p345269 -(lp345270 -S'She\tShe\tPRP\tB-NP\tO' -p345271 -aS'was\tbe\tVBD\tB-VP\tO' -p345272 -aS'hemodynamically\themodynamically\tRB\tB-ADJP\tO' -p345273 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p345274 -aS'.\t.\t.\tO\tO' -p345275 -asS'Her gait was notable for requiring assist .' -p345276 -(lp345277 -S'Her\tHer\tPRP$\tB-NP\tO' -p345278 -aS'gait\tgait\tNN\tI-NP\tO' -p345279 -aS'was\tbe\tVBD\tB-VP\tO' -p345280 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p345281 -aS'for\tfor\tIN\tB-PP\tO' -p345282 -aS'requiring\trequire\tVBG\tB-VP\tO' -p345283 -aS'assist\tassist\tNN\tB-NP\tO' -p345284 -aS'.\t.\t.\tO\tO' -p345285 -asS'He was placed on Levo and Ceftriaxone .' -p345286 -(lp345287 -S'He\tHe\tPRP\tB-NP\tO' -p345288 -aS'was\tbe\tVBD\tB-VP\tO' -p345289 -aS'placed\tplace\tVBN\tI-VP\tO' -p345290 -aS'on\ton\tIN\tB-PP\tO' -p345291 -aS'Levo\tLevo\tNNP\tB-NP\tO' -p345292 -aS'and\tand\tCC\tI-NP\tO' -p345293 -aS'Ceftriaxone\tCeftriaxone\tNNP\tI-NP\tO' -p345294 -aS'.\t.\t.\tO\tO' -p345295 -asS'3. Lactulose 30 ml tid ( titrated to 4 to 5 bowel movements qd ) .' -p345296 -(lp345297 -S'3.\t3.\tLS\tB-LST\tO' -p345298 -aS'Lactulose\tLactulose\tNN\tB-NP\tO' -p345299 -aS'30\t30\tCD\tI-NP\tO' -p345300 -aS'ml\tml\tNN\tI-NP\tO' -p345301 -aS'tid\ttid\tNN\tI-NP\tO' -p345302 -aS'(\t(\t(\tO\tO' -p345303 -aS'titrated\ttitrate\tVBN\tB-VP\tO' -p345304 -aS'to\tto\tTO\tB-PP\tO' -p345305 -aS'4\t4\tCD\tB-NP\tO' -p345306 -aS'to\tto\tTO\tI-NP\tO' -p345307 -aS'5\t5\tCD\tI-NP\tO' -p345308 -aS'bowel\tbowel\tNN\tI-NP\tO' -p345309 -aS'movements\tmovement\tNNS\tI-NP\tO' -p345310 -aS'qd\tqd\tNN\tI-NP\tO' -p345311 -aS')\t)\t)\tO\tO' -p345312 -aS'.\t.\t.\tO\tO' -p345313 -asS'Levofloxacin 500 mg every day for 7 days' -p345314 -(lp345315 -S'Levofloxacin\tLevofloxacin\tNN\tB-NP\tO' -p345316 -aS'500\t500\tCD\tI-NP\tO' -p345317 -aS'mg\tmg\tNN\tI-NP\tO' -p345318 -aS'every\tevery\tDT\tB-NP\tO' -p345319 -aS'day\tday\tNN\tI-NP\tO' -p345320 -aS'for\tfor\tIN\tB-PP\tO' -p345321 -aS'7\t7\tCD\tB-NP\tO' -p345322 -aS'days\tday\tNNS\tI-NP\tO' -p345323 -asS'Former Vermont blacksmith .' -p345324 -(lp345325 -S'Former\tFormer\tNNP\tB-NP\tO' -p345326 -aS'Vermont\tVermont\tNNP\tI-NP\tO' -p345327 -aS'blacksmith\tblacksmith\tNN\tI-NP\tO' -p345328 -aS'.\t.\t.\tO\tO' -p345329 -asS'please call your primary care doctor on monday for follow up next week .' -p345330 -(lp345331 -S'please\tplease\tVB\tB-VP\tO' -p345332 -aS'call\tcall\tVB\tI-VP\tO' -p345333 -aS'your\tyour\tPRP$\tB-NP\tO' -p345334 -aS'primary\tprimary\tJJ\tI-NP\tO' -p345335 -aS'care\tcare\tNN\tI-NP\tO' -p345336 -aS'doctor\tdoctor\tNN\tI-NP\tO' -p345337 -aS'on\ton\tIN\tB-PP\tO' -p345338 -aS'monday\tmonday\tNN\tB-NP\tO' -p345339 -aS'for\tfor\tIN\tB-PP\tO' -p345340 -aS'follow\tfollow\tVB\tB-VP\tO' -p345341 -aS'up\tup\tRP\tB-PRT\tO' -p345342 -aS'next\tnext\tJJ\tB-NP\tO' -p345343 -aS'week\tweek\tNN\tI-NP\tO' -p345344 -aS'.\t.\t.\tO\tO' -p345345 -asS'Please see Dr. Holbrook ( 984 ) 452 0816 on monday and have your coumadin level checked .' -p345346 -(lp345347 -S'Please\tPlease\tVB\tB-VP\tO' -p345348 -aS'see\tsee\tVB\tI-VP\tO' -p345349 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p345350 -aS'Holbrook\tHolbrook\tNNP\tI-NP\tO' -p345351 -aS'(\t(\t(\tO\tO' -p345352 -aS'984\t984\tCD\tB-NP\tO' -p345353 -aS')\t)\t)\tO\tO' -p345354 -aS'452\t452\tCD\tB-NP\tO' -p345355 -aS'0816\t0816\tCD\tI-NP\tO' -p345356 -aS'on\ton\tIN\tB-PP\tO' -p345357 -aS'monday\tmonday\tNN\tB-NP\tO' -p345358 -aS'and\tand\tCC\tO\tO' -p345359 -aS'have\thave\tVBP\tB-VP\tO' -p345360 -aS'your\tyour\tPRP$\tB-NP\tO' -p345361 -aS'coumadin\tcoumadin\tNN\tI-NP\tO' -p345362 -aS'level\tlevel\tNN\tI-NP\tO' -p345363 -aS'checked\tcheck\tVBD\tB-VP\tO' -p345364 -aS'.\t.\t.\tO\tO' -p345365 -asS'No stigmata of IV drug use .' -p345366 -(lp345367 -S'No\tNo\tDT\tB-NP\tO' -p345368 -aS'stigmata\tstigmata\tNN\tI-NP\tO' -p345369 -aS'of\tof\tIN\tB-PP\tO' -p345370 -aS'IV\tIV\tCD\tB-NP\tO' -p345371 -aS'drug\tdrug\tNN\tI-NP\tO' -p345372 -aS'use\tuse\tNN\tI-NP\tO' -p345373 -aS'.\t.\t.\tO\tO' -p345374 -asS'She urinates frequently , but occasionally the urine is very slow to start .' -p345375 -(lp345376 -S'She\tShe\tPRP\tB-NP\tO' -p345377 -aS'urinates\turinate\tVBZ\tB-VP\tO' -p345378 -aS'frequently\tfrequently\tRB\tB-ADVP\tO' -p345379 -aS',\t,\t,\tO\tO' -p345380 -aS'but\tbut\tCC\tO\tO' -p345381 -aS'occasionally\toccasionally\tRB\tB-ADVP\tO' -p345382 -aS'the\tthe\tDT\tB-NP\tO' -p345383 -aS'urine\turine\tNN\tI-NP\tO' -p345384 -aS'is\tbe\tVBZ\tB-VP\tO' -p345385 -aS'very\tvery\tRB\tB-ADJP\tO' -p345386 -aS'slow\tslow\tJJ\tI-ADJP\tO' -p345387 -aS'to\tto\tTO\tB-VP\tO' -p345388 -aS'start\tstart\tVB\tI-VP\tO' -p345389 -aS'.\t.\t.\tO\tO' -p345390 -asS'Patient received as transfer from outside hospital .' -p345391 -(lp345392 -S'Patient\tPatient\tNN\tB-NP\tO' -p345393 -aS'received\treceive\tVBD\tB-VP\tO' -p345394 -aS'as\tas\tIN\tB-PP\tO' -p345395 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p345396 -aS'from\tfrom\tIN\tB-PP\tO' -p345397 -aS'outside\toutside\tJJ\tB-NP\tO' -p345398 -aS'hospital\thospital\tNN\tI-NP\tO' -p345399 -aS'.\t.\t.\tO\tO' -p345400 -asS'She delivered a 3550 gram male infant on 08/31/2004 at 09:33 pm with apgar scores of 9 and 9 at one and five minutes respectively at 41.0 weeks gestation via spontaneous vertex vaginal delivery .' -p345401 -(lp345402 -S'She\tShe\tPRP\tB-NP\tO' -p345403 -aS'delivered\tdeliver\tVBD\tB-VP\tO' -p345404 -aS'a\ta\tDT\tB-NP\tO' -p345405 -aS'3550\t3550\tCD\tI-NP\tO' -p345406 -aS'gram\tgram\tNN\tI-NP\tO' -p345407 -aS'male\tmale\tJJ\tI-NP\tO' -p345408 -aS'infant\tinfant\tNN\tI-NP\tO' -p345409 -aS'on\ton\tIN\tB-PP\tO' -p345410 -aS'08/31/2004\t08/31/2004\tCD\tB-NP\tO' -p345411 -aS'at\tat\tIN\tB-PP\tO' -p345412 -aS'09:33\t09:33\tCD\tB-NP\tO' -p345413 -aS'pm\tpm\tNN\tI-NP\tO' -p345414 -aS'with\twith\tIN\tB-PP\tO' -p345415 -aS'apgar\tapgar\tNN\tB-NP\tO' -p345416 -aS'scores\tscore\tNNS\tI-NP\tO' -p345417 -aS'of\tof\tIN\tB-PP\tO' -p345418 -aS'9\t9\tCD\tB-NP\tO' -p345419 -aS'and\tand\tCC\tI-NP\tO' -p345420 -aS'9\t9\tCD\tI-NP\tO' -p345421 -aS'at\tat\tIN\tB-PP\tO' -p345422 -aS'one\tone\tCD\tB-NP\tO' -p345423 -aS'and\tand\tCC\tI-NP\tO' -p345424 -aS'five\tfive\tCD\tI-NP\tO' -p345425 -aS'minutes\tminute\tNNS\tI-NP\tO' -p345426 -aS'respectively\trespectively\tRB\tB-ADVP\tO' -p345427 -aS'at\tat\tIN\tB-PP\tO' -p345428 -aS'41.0\t41.0\tCD\tB-NP\tO' -p345429 -aS'weeks\tweek\tNNS\tI-NP\tO' -p345430 -aS'gestation\tgestation\tNN\tI-NP\tO' -p345431 -aS'via\tvia\tIN\tB-PP\tO' -p345432 -aS'spontaneous\tspontaneous\tJJ\tB-NP\tO' -p345433 -aS'vertex\tvertex\tNN\tI-NP\tO' -p345434 -aS'vaginal\tvaginal\tJJ\tI-NP\tO' -p345435 -aS'delivery\tdelivery\tNN\tI-NP\tO' -p345436 -aS'.\t.\t.\tO\tO' -p345437 -asS'On 8-17-93 , she was taken to the cardiac catheterization laboratory where she underwent percutaneous transluminal coronary angioplasty of the proximal left anterior descending .' -p345438 -(lp345439 -S'On\tOn\tIN\tB-PP\tO' -p345440 -aS'8-17-93\t8-17-93\tCD\tB-NP\tO' -p345441 -aS',\t,\t,\tO\tO' -p345442 -aS'she\tshe\tPRP\tB-NP\tO' -p345443 -aS'was\tbe\tVBD\tB-VP\tO' -p345444 -aS'taken\ttake\tVBN\tI-VP\tO' -p345445 -aS'to\tto\tTO\tB-PP\tO' -p345446 -aS'the\tthe\tDT\tB-NP\tO' -p345447 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p345448 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p345449 -aS'laboratory\tlaboratory\tNN\tI-NP\tO' -p345450 -aS'where\twhere\tWRB\tB-ADVP\tO' -p345451 -aS'she\tshe\tPRP\tB-NP\tO' -p345452 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p345453 -aS'percutaneous\tpercutaneous\tJJ\tB-NP\tO' -p345454 -aS'transluminal\ttransluminal\tJJ\tI-NP\tO' -p345455 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p345456 -aS'angioplasty\tangioplasty\tNN\tI-NP\tO' -p345457 -aS'of\tof\tIN\tB-PP\tO' -p345458 -aS'the\tthe\tDT\tB-NP\tO' -p345459 -aS'proximal\tproximal\tJJ\tI-NP\tO' -p345460 -aS'left\tleft\tJJ\tI-NP\tO' -p345461 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p345462 -aS'descending\tdescending\tNN\tI-NP\tO' -p345463 -aS'.\t.\t.\tO\tO' -p345464 -asS'A repeat head CT 12 hours after the first was largely unchanged .' -p345465 -(lp345466 -S'A\tA\tDT\tB-NP\tO' -p345467 -aS'repeat\trepeat\tNN\tI-NP\tO' -p345468 -aS'head\thead\tNN\tI-NP\tO' -p345469 -aS'CT\tCT\tNN\tI-NP\tO' -p345470 -aS'12\t12\tCD\tB-NP\tO' -p345471 -aS'hours\thour\tNNS\tI-NP\tO' -p345472 -aS'after\tafter\tIN\tB-PP\tO' -p345473 -aS'the\tthe\tDT\tB-NP\tO' -p345474 -aS'first\tfirst\tJJ\tI-NP\tO' -p345475 -aS'was\tbe\tVBD\tB-VP\tO' -p345476 -aS'largely\tlargely\tRB\tB-ADJP\tO' -p345477 -aS'unchanged\tunchanged\tJJ\tI-ADJP\tO' -p345478 -aS'.\t.\t.\tO\tO' -p345479 -asS'There was no evidence for a definite leak but there was evidence for gas bubbles in the anterior posterior distal ends of the grafts consistent with an infectious process .' -p345480 -(lp345481 -S'There\tThere\tEX\tB-NP\tO' -p345482 -aS'was\tbe\tVBD\tB-VP\tO' -p345483 -aS'no\tno\tDT\tB-NP\tO' -p345484 -aS'evidence\tevidence\tNN\tI-NP\tO' -p345485 -aS'for\tfor\tIN\tB-PP\tO' -p345486 -aS'a\ta\tDT\tB-NP\tO' -p345487 -aS'definite\tdefinite\tJJ\tI-NP\tO' -p345488 -aS'leak\tleak\tNN\tI-NP\tO' -p345489 -aS'but\tbut\tCC\tO\tO' -p345490 -aS'there\tthere\tEX\tB-NP\tO' -p345491 -aS'was\tbe\tVBD\tB-VP\tO' -p345492 -aS'evidence\tevidence\tNN\tB-NP\tO' -p345493 -aS'for\tfor\tIN\tB-PP\tO' -p345494 -aS'gas\tgas\tNN\tB-NP\tO' -p345495 -aS'bubbles\tbubble\tNNS\tI-NP\tO' -p345496 -aS'in\tin\tIN\tB-PP\tO' -p345497 -aS'the\tthe\tDT\tB-NP\tO' -p345498 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p345499 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p345500 -aS'distal\tdistal\tJJ\tI-NP\tO' -p345501 -aS'ends\tend\tNNS\tI-NP\tO' -p345502 -aS'of\tof\tIN\tB-PP\tO' -p345503 -aS'the\tthe\tDT\tB-NP\tO' -p345504 -aS'grafts\tgraft\tNNS\tI-NP\tO' -p345505 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p345506 -aS'with\twith\tIN\tB-PP\tO' -p345507 -aS'an\tan\tDT\tB-NP\tO' -p345508 -aS'infectious\tinfectious\tJJ\tI-NP\tO' -p345509 -aS'process\tprocess\tNN\tI-NP\tO' -p345510 -aS'.\t.\t.\tO\tO' -p345511 -asS'2. Atrial fibrillation on Coumadin .' -p345512 -(lp345513 -S'2.\t2.\tLS\tB-NP\tO' -p345514 -aS'Atrial\tAtrial\tJJ\tI-NP\tO' -p345515 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p345516 -aS'on\ton\tIN\tB-PP\tO' -p345517 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p345518 -aS'.\t.\t.\tO\tO' -p345519 -asS'The patient was on no medications .' -p345520 -(lp345521 -S'The\tThe\tDT\tB-NP\tO' -p345522 -aS'patient\tpatient\tNN\tI-NP\tO' -p345523 -aS'was\tbe\tVBD\tB-VP\tO' -p345524 -aS'on\ton\tIN\tB-PP\tO' -p345525 -aS'no\tno\tDT\tB-NP\tO' -p345526 -aS'medications\tmedication\tNNS\tI-NP\tO' -p345527 -aS'.\t.\t.\tO\tO' -p345528 -asS'He denies any ilicit drug use .' -p345529 -(lp345530 -S'He\tHe\tPRP\tB-NP\tO' -p345531 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p345532 -aS'any\tany\tDT\tB-NP\tO' -p345533 -aS'ilicit\tilicit\tJJ\tI-NP\tO' -p345534 -aS'drug\tdrug\tNN\tI-NP\tO' -p345535 -aS'use\tuse\tNN\tI-NP\tO' -p345536 -aS'.\t.\t.\tO\tO' -p345537 -asS'Pathology revealed poorly differentiated squamous cell carcinoma of the cervix with spots of vaginal margins and metastatic squamous cell carcinoma in the cardinal ligaments with extensive lymphatic invasion .' -p345538 -(lp345539 -S'Pathology\tPathology\tNNS\tB-NP\tO' -p345540 -aS'revealed\treveal\tVBD\tB-VP\tO' -p345541 -aS'poorly\tpoorly\tRB\tB-NP\tO' -p345542 -aS'differentiated\tdifferentiate\tVBN\tI-NP\tO' -p345543 -aS'squamous\tsquamous\tJJ\tI-NP\tO' -p345544 -aS'cell\tcell\tNN\tI-NP\tO' -p345545 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p345546 -aS'of\tof\tIN\tB-PP\tO' -p345547 -aS'the\tthe\tDT\tB-NP\tO' -p345548 -aS'cervix\tcervix\tNN\tI-NP\tO' -p345549 -aS'with\twith\tIN\tB-PP\tO' -p345550 -aS'spots\tspot\tNNS\tB-NP\tO' -p345551 -aS'of\tof\tIN\tB-PP\tO' -p345552 -aS'vaginal\tvaginal\tJJ\tB-NP\tO' -p345553 -aS'margins\tmargin\tNNS\tI-NP\tO' -p345554 -aS'and\tand\tCC\tO\tO' -p345555 -aS'metastatic\tmetastatic\tJJ\tB-NP\tO' -p345556 -aS'squamous\tsquamous\tJJ\tI-NP\tO' -p345557 -aS'cell\tcell\tNN\tI-NP\tO' -p345558 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p345559 -aS'in\tin\tIN\tB-PP\tO' -p345560 -aS'the\tthe\tDT\tB-NP\tO' -p345561 -aS'cardinal\tcardinal\tJJ\tI-NP\tO' -p345562 -aS'ligaments\tligament\tNNS\tI-NP\tO' -p345563 -aS'with\twith\tIN\tB-PP\tO' -p345564 -aS'extensive\textensive\tJJ\tB-NP\tO' -p345565 -aS'lymphatic\tlymphatic\tJJ\tI-NP\tO' -p345566 -aS'invasion\tinvasion\tNN\tI-NP\tO' -p345567 -aS'.\t.\t.\tO\tO' -p345568 -asS'Left facial droop .' -p345569 -(lp345570 -S'Left\tLeave\tVBN\tB-NP\tO' -p345571 -aS'facial\tfacial\tJJ\tI-NP\tO' -p345572 -aS'droop\tdroop\tNN\tI-NP\tO' -p345573 -aS'.\t.\t.\tO\tO' -p345574 -asS'Her calcium channel blocker and ace inhibitor were continued .' -p345575 -(lp345576 -S'Her\tHer\tPRP$\tB-NP\tO' -p345577 -aS'calcium\tcalcium\tNN\tI-NP\tO' -p345578 -aS'channel\tchannel\tNN\tI-NP\tO' -p345579 -aS'blocker\tblocker\tNN\tI-NP\tO' -p345580 -aS'and\tand\tCC\tO\tO' -p345581 -aS'ace\tace\tNN\tB-NP\tO' -p345582 -aS'inhibitor\tinhibitor\tNN\tI-NP\tO' -p345583 -aS'were\tbe\tVBD\tB-VP\tO' -p345584 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p345585 -aS'.\t.\t.\tO\tO' -p345586 -asS'Perforated diverticulitis .' -p345587 -(lp345588 -S'Perforated\tPerforate\tVBN\tB-NP\tO' -p345589 -aS'diverticulitis\tdiverticulitis\tNN\tI-NP\tO' -p345590 -aS'.\t.\t.\tO\tO' -p345591 -asS'Neurologically , the patient is awake , alert and oriented times three .' -p345592 -(lp345593 -S'Neurologically\tNeurologically\tRB\tB-ADVP\tO' -p345594 -aS',\t,\t,\tO\tO' -p345595 -aS'the\tthe\tDT\tB-NP\tO' -p345596 -aS'patient\tpatient\tNN\tI-NP\tO' -p345597 -aS'is\tbe\tVBZ\tB-VP\tO' -p345598 -aS'awake\tawake\tJJ\tB-ADJP\tO' -p345599 -aS',\t,\t,\tO\tO' -p345600 -aS'alert\talert\tJJ\tB-ADJP\tO' -p345601 -aS'and\tand\tCC\tO\tO' -p345602 -aS'oriented\torient\tVBN\tB-VP\tO' -p345603 -aS'times\ttime\tNNS\tB-NP\tO' -p345604 -aS'three\tthree\tCD\tB-NP\tO' -p345605 -aS'.\t.\t.\tO\tO' -p345606 -asS'Thyroid cyst was aspirated with removal of 300cc of fluid .' -p345607 -(lp345608 -S'Thyroid\tThyroid\tJJ\tB-NP\tO' -p345609 -aS'cyst\tcyst\tNN\tI-NP\tO' -p345610 -aS'was\tbe\tVBD\tB-VP\tO' -p345611 -aS'aspirated\taspirate\tVBN\tI-VP\tO' -p345612 -aS'with\twith\tIN\tB-PP\tO' -p345613 -aS'removal\tremoval\tNN\tB-NP\tO' -p345614 -aS'of\tof\tIN\tB-PP\tO' -p345615 -aS'300cc\t300cc\tNN\tB-NP\tO' -p345616 -aS'of\tof\tIN\tB-PP\tO' -p345617 -aS'fluid\tfluid\tNN\tB-NP\tO' -p345618 -aS'.\t.\t.\tO\tO' -p345619 -asS'CONDITION ON DISCHARGE was stable .' -p345620 -(lp345621 -S'CONDITION\tCONDITION\tNN\tB-NP\tO' -p345622 -aS'ON\tON\tNN\tI-NP\tO' -p345623 -aS'DISCHARGE\tDISCHARGE\tNN\tI-NP\tO' -p345624 -aS'was\tbe\tVBD\tB-VP\tO' -p345625 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p345626 -aS'.\t.\t.\tO\tO' -p345627 -asS'She was discharged on Coumadin for a goal INR of 2.5 to 3 .' -p345628 -(lp345629 -S'She\tShe\tPRP\tB-NP\tO' -p345630 -aS'was\tbe\tVBD\tB-VP\tO' -p345631 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p345632 -aS'on\ton\tIN\tB-PP\tO' -p345633 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p345634 -aS'for\tfor\tIN\tB-PP\tO' -p345635 -aS'a\ta\tDT\tB-NP\tO' -p345636 -aS'goal\tgoal\tNN\tI-NP\tO' -p345637 -aS'INR\tINR\tNN\tI-NP\tO' -p345638 -aS'of\tof\tIN\tB-PP\tO' -p345639 -aS'2.5\t2.5\tCD\tB-NP\tO' -p345640 -aS'to\tto\tTO\tB-PP\tO' -p345641 -aS'3\t3\tCD\tB-NP\tO' -p345642 -aS'.\t.\t.\tO\tO' -p345643 -asS'B12 was noted to be low and the patient was given an injection of IM B12 while in the hospital .' -p345644 -(lp345645 -S'B12\tB12\tNN\tB-NP\tB-protein' -p345646 -aS'was\tbe\tVBD\tB-VP\tO' -p345647 -aS'noted\tnote\tVBN\tI-VP\tO' -p345648 -aS'to\tto\tTO\tI-VP\tO' -p345649 -aS'be\tbe\tVB\tI-VP\tO' -p345650 -aS'low\tlow\tJJ\tB-ADJP\tO' -p345651 -aS'and\tand\tCC\tO\tO' -p345652 -aS'the\tthe\tDT\tB-NP\tO' -p345653 -aS'patient\tpatient\tNN\tI-NP\tO' -p345654 -aS'was\tbe\tVBD\tB-VP\tO' -p345655 -aS'given\tgive\tVBN\tI-VP\tO' -p345656 -aS'an\tan\tDT\tB-NP\tO' -p345657 -aS'injection\tinjection\tNN\tI-NP\tO' -p345658 -aS'of\tof\tIN\tB-PP\tO' -p345659 -aS'IM\tIM\tNN\tB-NP\tB-protein' -p345660 -aS'B12\tB12\tNN\tI-NP\tI-protein' -p345661 -aS'while\twhile\tIN\tB-SBAR\tO' -p345662 -aS'in\tin\tIN\tB-PP\tO' -p345663 -aS'the\tthe\tDT\tB-NP\tO' -p345664 -aS'hospital\thospital\tNN\tI-NP\tO' -p345665 -aS'.\t.\t.\tO\tO' -p345666 -asS'The skin was without lesions .' -p345667 -(lp345668 -S'The\tThe\tDT\tB-NP\tO' -p345669 -aS'skin\tskin\tNN\tI-NP\tO' -p345670 -aS'was\tbe\tVBD\tB-VP\tO' -p345671 -aS'without\twithout\tIN\tB-PP\tO' -p345672 -aS'lesions\tlesion\tNNS\tB-NP\tO' -p345673 -aS'.\t.\t.\tO\tO' -p345674 -asS'Otherwise , there was pulmonary insufficiency , tricuspid insufficiency , mitral insufficiency and aortic insufficiency .' -p345675 -(lp345676 -S'Otherwise\tOtherwise\tRB\tB-ADVP\tO' -p345677 -aS',\t,\t,\tO\tO' -p345678 -aS'there\tthere\tEX\tB-NP\tO' -p345679 -aS'was\tbe\tVBD\tB-VP\tO' -p345680 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p345681 -aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' -p345682 -aS',\t,\t,\tO\tO' -p345683 -aS'tricuspid\ttricuspid\tJJ\tB-NP\tO' -p345684 -aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' -p345685 -aS',\t,\t,\tO\tO' -p345686 -aS'mitral\tmitral\tJJ\tB-NP\tO' -p345687 -aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' -p345688 -aS'and\tand\tCC\tO\tO' -p345689 -aS'aortic\taortic\tJJ\tB-NP\tO' -p345690 -aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' -p345691 -aS'.\t.\t.\tO\tO' -p345692 -asS'The patient has a Greenfield filter in .' -p345693 -(lp345694 -S'The\tThe\tDT\tB-NP\tO' -p345695 -aS'patient\tpatient\tNN\tI-NP\tO' -p345696 -aS'has\thave\tVBZ\tB-VP\tO' -p345697 -aS'a\ta\tDT\tB-NP\tO' -p345698 -aS'Greenfield\tGreenfield\tNNP\tI-NP\tO' -p345699 -aS'filter\tfilter\tNN\tI-NP\tO' -p345700 -aS'in\tin\tIN\tB-PP\tO' -p345701 -aS'.\t.\t.\tO\tO' -p345702 -asS'5. Dehydration .' -p345703 -(lp345704 -S'5.\t5.\tLS\tB-NP\tO' -p345705 -aS'Dehydration\tDehydration\tNN\tI-NP\tO' -p345706 -aS'.\t.\t.\tO\tO' -p345707 -asS'A complex plaque was found in the aortic arch in the descending thoracic aorta , although this plaque is non-mobile .' -p345708 -(lp345709 -S'A\tA\tDT\tB-NP\tO' -p345710 -aS'complex\tcomplex\tJJ\tI-NP\tO' -p345711 -aS'plaque\tplaque\tNN\tI-NP\tO' -p345712 -aS'was\tbe\tVBD\tB-VP\tO' -p345713 -aS'found\tfind\tVBN\tI-VP\tO' -p345714 -aS'in\tin\tIN\tB-PP\tO' -p345715 -aS'the\tthe\tDT\tB-NP\tO' -p345716 -aS'aortic\taortic\tJJ\tI-NP\tO' -p345717 -aS'arch\tarch\tNN\tI-NP\tO' -p345718 -aS'in\tin\tIN\tB-PP\tO' -p345719 -aS'the\tthe\tDT\tB-NP\tO' -p345720 -aS'descending\tdescend\tVBG\tI-NP\tO' -p345721 -aS'thoracic\tthoracic\tJJ\tI-NP\tO' -p345722 -aS'aorta\taorta\tNN\tI-NP\tO' -p345723 -aS',\t,\t,\tO\tO' -p345724 -aS'although\talthough\tIN\tB-SBAR\tO' -p345725 -aS'this\tthis\tDT\tB-NP\tO' -p345726 -aS'plaque\tplaque\tNN\tI-NP\tO' -p345727 -aS'is\tbe\tVBZ\tB-VP\tO' -p345728 -aS'non-mobile\tnon-mobile\tJJ\tB-ADJP\tO' -p345729 -aS'.\t.\t.\tO\tO' -p345730 -asS'Approximately 100 cc.'s of thick brownish material was aspirated through the indwelling catheter .' -p345731 -(lp345732 -S'Approximately\tApproximately\tRB\tB-NP\tO' -p345733 -aS'100\t100\tCD\tI-NP\tO' -p345734 -aS'cc.'s\tcc.'\tNNS\tI-NP\tO' -p345735 -aS'of\tof\tIN\tB-PP\tO' -p345736 -aS'thick\tthick\tJJ\tB-NP\tO' -p345737 -aS'brownish\tbrownish\tJJ\tI-NP\tO' -p345738 -aS'material\tmaterial\tNN\tI-NP\tO' -p345739 -aS'was\tbe\tVBD\tB-VP\tO' -p345740 -aS'aspirated\taspirate\tVBN\tI-VP\tO' -p345741 -aS'through\tthrough\tIN\tB-PP\tO' -p345742 -aS'the\tthe\tDT\tB-NP\tO' -p345743 -aS'indwelling\tindwell\tVBG\tI-NP\tO' -p345744 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p345745 -aS'.\t.\t.\tO\tO' -p345746 -asS'She was treated in IUC for unstable angina with nitroglycerin .' -p345747 -(lp345748 -S'She\tShe\tPRP\tB-NP\tO' -p345749 -aS'was\tbe\tVBD\tB-VP\tO' -p345750 -aS'treated\ttreat\tVBN\tI-VP\tO' -p345751 -aS'in\tin\tIN\tB-PP\tO' -p345752 -aS'IUC\tIUC\tNN\tB-NP\tB-protein' -p345753 -aS'for\tfor\tIN\tB-PP\tO' -p345754 -aS'unstable\tunstable\tJJ\tB-NP\tO' -p345755 -aS'angina\tangina\tNN\tI-NP\tO' -p345756 -aS'with\twith\tIN\tB-PP\tO' -p345757 -aS'nitroglycerin\tnitroglycerin\tNN\tB-NP\tB-protein' -p345758 -aS'.\t.\t.\tO\tO' -p345759 -asS'On 06-27 , his nutrition regimen was changed to Deliver 2.0 at 70 cc / hr with 15 g ProMod .' -p345760 -(lp345761 -S'On\tOn\tIN\tB-PP\tO' -p345762 -aS'06-27\t06-27\tCD\tB-NP\tO' -p345763 -aS',\t,\t,\tO\tO' -p345764 -aS'his\this\tPRP$\tB-NP\tO' -p345765 -aS'nutrition\tnutrition\tNN\tI-NP\tO' -p345766 -aS'regimen\tregimen\tNN\tI-NP\tO' -p345767 -aS'was\tbe\tVBD\tB-VP\tO' -p345768 -aS'changed\tchange\tVBN\tI-VP\tO' -p345769 -aS'to\tto\tTO\tI-VP\tO' -p345770 -aS'Deliver\tDeliver\tVB\tI-VP\tO' -p345771 -aS'2.0\t2.0\tCD\tB-NP\tO' -p345772 -aS'at\tat\tIN\tB-PP\tO' -p345773 -aS'70\t70\tCD\tB-NP\tO' -p345774 -aS'cc\tcc\tNN\tI-NP\tO' -p345775 -aS'/\t/\tSYM\tB-NP\tO' -p345776 -aS'hr\thr\tNN\tI-NP\tO' -p345777 -aS'with\twith\tIN\tB-PP\tO' -p345778 -aS'15\t15\tCD\tB-NP\tO' -p345779 -aS'g\tg\tNN\tI-NP\tO' -p345780 -aS'ProMod\tProMod\tNN\tI-NP\tO' -p345781 -aS'.\t.\t.\tO\tO' -p345782 -asS'She was given an oral prednisone taper .' -p345783 -(lp345784 -S'She\tShe\tPRP\tB-NP\tO' -p345785 -aS'was\tbe\tVBD\tB-VP\tO' -p345786 -aS'given\tgive\tVBN\tI-VP\tO' -p345787 -aS'an\tan\tDT\tB-NP\tO' -p345788 -aS'oral\toral\tJJ\tI-NP\tO' -p345789 -aS'prednisone\tprednisone\tNN\tI-NP\tO' -p345790 -aS'taper\ttaper\tNN\tI-NP\tO' -p345791 -aS'.\t.\t.\tO\tO' -p345792 -asS'He is now transferred to Mediplex Rehab Hospital for futher workup and Rx .' -p345793 -(lp345794 -S'He\tHe\tPRP\tB-NP\tO' -p345795 -aS'is\tbe\tVBZ\tB-VP\tO' -p345796 -aS'now\tnow\tRB\tI-VP\tO' -p345797 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p345798 -aS'to\tto\tTO\tB-PP\tO' -p345799 -aS'Mediplex\tMediplex\tNNP\tB-NP\tO' -p345800 -aS'Rehab\tRehab\tNNP\tI-NP\tO' -p345801 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p345802 -aS'for\tfor\tIN\tB-PP\tO' -p345803 -aS'futher\tfuther\tJJ\tB-NP\tO' -p345804 -aS'workup\tworkup\tNN\tI-NP\tO' -p345805 -aS'and\tand\tCC\tI-NP\tO' -p345806 -aS'Rx\tRx\tNN\tI-NP\tB-protein' -p345807 -aS'.\t.\t.\tO\tO' -p345808 -asS'Total bilirubin was 0.9 .' -p345809 -(lp345810 -S'Total\tTotal\tJJ\tB-NP\tO' -p345811 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p345812 -aS'was\tbe\tVBD\tB-VP\tO' -p345813 -aS'0.9\t0.9\tCD\tB-NP\tO' -p345814 -aS'.\t.\t.\tO\tO' -p345815 -asS'2. Open reduction and internal fixation of radius and ulna 2011-01-21 .' -p345816 -(lp345817 -S'2.\t2.\tLS\tB-NP\tO' -p345818 -aS'Open\tOpen\tNN\tI-NP\tO' -p345819 -aS'reduction\treduction\tNN\tI-NP\tO' -p345820 -aS'and\tand\tCC\tO\tO' -p345821 -aS'internal\tinternal\tJJ\tB-NP\tO' -p345822 -aS'fixation\tfixation\tNN\tI-NP\tO' -p345823 -aS'of\tof\tIN\tB-PP\tO' -p345824 -aS'radius\tradius\tNN\tB-NP\tO' -p345825 -aS'and\tand\tCC\tO\tO' -p345826 -aS'ulna\tulna\tNN\tB-NP\tO' -p345827 -aS'2011-01-21\t2011-01-21\tCD\tI-NP\tO' -p345828 -aS'.\t.\t.\tO\tO' -p345829 -asS'pupils equal , round , reactive to light and accommodation , extra ocular movements were intact .' -p345830 -(lp345831 -S'pupils\tpupil\tNNS\tB-NP\tO' -p345832 -aS'equal\tequal\tJJ\tI-NP\tO' -p345833 -aS',\t,\t,\tI-NP\tO' -p345834 -aS'round\tround\tJJ\tI-NP\tO' -p345835 -aS',\t,\t,\tI-NP\tO' -p345836 -aS'reactive\treactive\tJJ\tI-NP\tO' -p345837 -aS'to\tto\tTO\tB-PP\tO' -p345838 -aS'light\tlight\tNN\tB-NP\tO' -p345839 -aS'and\tand\tCC\tI-NP\tO' -p345840 -aS'accommodation\taccommodation\tNN\tI-NP\tO' -p345841 -aS',\t,\t,\tO\tO' -p345842 -aS'extra\textra\tJJ\tB-NP\tO' -p345843 -aS'ocular\tocular\tJJ\tI-NP\tO' -p345844 -aS'movements\tmovement\tNNS\tI-NP\tO' -p345845 -aS'were\tbe\tVBD\tB-VP\tO' -p345846 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p345847 -aS'.\t.\t.\tO\tO' -p345848 -asS'5) Depression : He was restarted on his paxil on 03-25 and was given 1:1 sitter for suicidal ideation leading up to his suicide leading up to this admission .' -p345849 -(lp345850 -S'5)\t5)\tCD\tB-NP\tO' -p345851 -aS'Depression\tDepression\tNN\tI-NP\tO' -p345852 -aS':\t:\t:\tO\tO' -p345853 -aS'He\tHe\tPRP\tB-NP\tO' -p345854 -aS'was\tbe\tVBD\tB-VP\tO' -p345855 -aS'restarted\trestart\tVBN\tI-VP\tO' -p345856 -aS'on\ton\tIN\tB-PP\tO' -p345857 -aS'his\this\tPRP$\tB-NP\tO' -p345858 -aS'paxil\tpaxil\tNN\tI-NP\tO' -p345859 -aS'on\ton\tIN\tB-PP\tO' -p345860 -aS'03-25\t03-25\tCD\tB-NP\tO' -p345861 -aS'and\tand\tCC\tO\tO' -p345862 -aS'was\tbe\tVBD\tB-VP\tO' -p345863 -aS'given\tgive\tVBN\tI-VP\tO' -p345864 -aS'1:1\t1:1\tCD\tB-NP\tO' -p345865 -aS'sitter\tsitter\tNN\tI-NP\tO' -p345866 -aS'for\tfor\tIN\tB-PP\tO' -p345867 -aS'suicidal\tsuicidal\tJJ\tB-NP\tO' -p345868 -aS'ideation\tideation\tNN\tI-NP\tO' -p345869 -aS'leading\tlead\tVBG\tB-VP\tO' -p345870 -aS'up\tup\tIN\tB-PP\tO' -p345871 -aS'to\tto\tTO\tB-PP\tO' -p345872 -aS'his\this\tPRP$\tB-NP\tO' -p345873 -aS'suicide\tsuicide\tNN\tI-NP\tO' -p345874 -aS'leading\tlead\tVBG\tB-VP\tO' -p345875 -aS'up\tup\tIN\tB-PP\tO' -p345876 -aS'to\tto\tTO\tB-PP\tO' -p345877 -aS'this\tthis\tDT\tB-NP\tO' -p345878 -aS'admission\tadmission\tNN\tI-NP\tO' -p345879 -aS'.\t.\t.\tO\tO' -p345880 -asS'Over the past several months , the patient has had increasing transfusing requirements .' -p345881 -(lp345882 -S'Over\tOver\tIN\tB-PP\tO' -p345883 -aS'the\tthe\tDT\tB-NP\tO' -p345884 -aS'past\tpast\tJJ\tI-NP\tO' -p345885 -aS'several\tseveral\tJJ\tI-NP\tO' -p345886 -aS'months\tmonth\tNNS\tI-NP\tO' -p345887 -aS',\t,\t,\tO\tO' -p345888 -aS'the\tthe\tDT\tB-NP\tO' -p345889 -aS'patient\tpatient\tNN\tI-NP\tO' -p345890 -aS'has\thave\tVBZ\tB-VP\tO' -p345891 -aS'had\thave\tVBN\tI-VP\tO' -p345892 -aS'increasing\tincrease\tVBG\tI-VP\tO' -p345893 -aS'transfusing\ttransfusing\tNN\tB-NP\tO' -p345894 -aS'requirements\trequirement\tNNS\tI-NP\tO' -p345895 -aS'.\t.\t.\tO\tO' -p345896 -asS'Other bowel loops are unremarkable on this limited study .' -p345897 -(lp345898 -S'Other\tOther\tJJ\tB-NP\tO' -p345899 -aS'bowel\tbowel\tNN\tI-NP\tO' -p345900 -aS'loops\tloop\tNNS\tI-NP\tO' -p345901 -aS'are\tbe\tVBP\tB-VP\tO' -p345902 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p345903 -aS'on\ton\tIN\tB-PP\tO' -p345904 -aS'this\tthis\tDT\tB-NP\tO' -p345905 -aS'limited\tlimit\tVBN\tI-NP\tO' -p345906 -aS'study\tstudy\tNN\tI-NP\tO' -p345907 -aS'.\t.\t.\tO\tO' -p345908 -asS'Rebound bilirubin 6.4 .' -p345909 -(lp345910 -S'Rebound\tRebound\tJJ\tB-NP\tO' -p345911 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p345912 -aS'6.4\t6.4\tCD\tI-NP\tO' -p345913 -aS'.\t.\t.\tO\tO' -p345914 -asS'The patient was admitted from 2016-01-21 to 2016-02-03 ; at which time she was ruled out for a myocardial infarction .' -p345915 -(lp345916 -S'The\tThe\tDT\tB-NP\tO' -p345917 -aS'patient\tpatient\tNN\tI-NP\tO' -p345918 -aS'was\tbe\tVBD\tB-VP\tO' -p345919 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p345920 -aS'from\tfrom\tIN\tB-PP\tO' -p345921 -aS'2016-01-21\t2016-01-21\tCD\tB-NP\tO' -p345922 -aS'to\tto\tTO\tB-PP\tO' -p345923 -aS'2016-02-03\t2016-02-03\tCD\tB-NP\tO' -p345924 -aS';\t;\t:\tO\tO' -p345925 -aS'at\tat\tIN\tB-PP\tO' -p345926 -aS'which\twhich\tWDT\tB-NP\tO' -p345927 -aS'time\ttime\tNN\tI-NP\tO' -p345928 -aS'she\tshe\tPRP\tB-NP\tO' -p345929 -aS'was\tbe\tVBD\tB-VP\tO' -p345930 -aS'ruled\trule\tVBN\tI-VP\tO' -p345931 -aS'out\tout\tRP\tB-PRT\tO' -p345932 -aS'for\tfor\tIN\tB-PP\tO' -p345933 -aS'a\ta\tDT\tB-NP\tO' -p345934 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p345935 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p345936 -aS'.\t.\t.\tO\tO' -p345937 -asS'-- Will discuss beta-blocker risks and benefits with primary cardiologist' -p345938 -(lp345939 -S'--\t--\t:\tO\tO' -p345940 -aS'Will\tWill\tMD\tB-VP\tO' -p345941 -aS'discuss\tdiscuss\tVBP\tI-VP\tO' -p345942 -aS'beta-blocker\tbeta-blocker\tNN\tB-NP\tO' -p345943 -aS'risks\trisk\tNNS\tI-NP\tO' -p345944 -aS'and\tand\tCC\tI-NP\tO' -p345945 -aS'benefits\tbenefit\tNNS\tI-NP\tO' -p345946 -aS'with\twith\tIN\tB-PP\tO' -p345947 -aS'primary\tprimary\tJJ\tB-NP\tO' -p345948 -aS'cardiologist\tcardiologist\tNN\tI-NP\tO' -p345949 -asS'LUNGS : + crackles at L base > R base .' -p345950 -(lp345951 -S'LUNGS\tLUNGS\tNN\tB-NP\tO' -p345952 -aS':\t:\t:\tO\tO' -p345953 -aS'+\t+\tSYM\tB-NP\tO' -p345954 -aS'crackles\tcrackle\tNNS\tI-NP\tO' -p345955 -aS'at\tat\tIN\tB-PP\tO' -p345956 -aS'L\tL\tNN\tB-NP\tB-protein' -p345957 -aS'base\tbase\tNN\tI-NP\tI-protein' -p345958 -aS'>\t>\tSYM\tB-NP\tO' -p345959 -aS'R\tR\tNN\tI-NP\tB-protein' -p345960 -aS'base\tbase\tNN\tI-NP\tI-protein' -p345961 -aS'.\t.\t.\tO\tO' -p345962 -asS's / p motor vehicle accident , muscle contusions' -p345963 -(lp345964 -S's\ts\tNN\tB-NP\tO' -p345965 -aS'/\t/\tSYM\tI-NP\tO' -p345966 -aS'p\tp\tNN\tI-NP\tO' -p345967 -aS'motor\tmotor\tNN\tI-NP\tO' -p345968 -aS'vehicle\tvehicle\tNN\tI-NP\tO' -p345969 -aS'accident\taccident\tNN\tI-NP\tO' -p345970 -aS',\t,\t,\tO\tO' -p345971 -aS'muscle\tmuscle\tNN\tB-NP\tO' -p345972 -aS'contusions\tcontusion\tNNS\tI-NP\tO' -p345973 -asS'preop w/ for knee surgery revealed cardiac dz , asymptomatic' -p345974 -(lp345975 -S'preop\tpreop\tJJ\tB-NP\tO' -p345976 -aS'w/\tw/\tNN\tI-NP\tO' -p345977 -aS'for\tfor\tIN\tB-PP\tO' -p345978 -aS'knee\tknee\tNN\tB-NP\tO' -p345979 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p345980 -aS'revealed\treveal\tVBD\tB-VP\tO' -p345981 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p345982 -aS'dz\tdz\tNN\tI-NP\tO' -p345983 -aS',\t,\t,\tO\tO' -p345984 -aS'asymptomatic\tasymptomatic\tJJ\tB-ADJP\tO' -p345985 -asS'Chest x-ray showed equivocal retrocardiac opacity .' -p345986 -(lp345987 -S'Chest\tCh\tJJS\tB-NP\tO' -p345988 -aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' -p345989 -aS'showed\tshow\tVBD\tB-VP\tO' -p345990 -aS'equivocal\tequivocal\tJJ\tB-NP\tO' -p345991 -aS'retrocardiac\tretrocardiac\tJJ\tI-NP\tO' -p345992 -aS'opacity\topacity\tNN\tI-NP\tO' -p345993 -aS'.\t.\t.\tO\tO' -p345994 -asS'She was given 500 mg p.o. q.d. of metformin to treat her steroid-induced diabetes on discharge .' -p345995 -(lp345996 -S'She\tShe\tPRP\tB-NP\tO' -p345997 -aS'was\tbe\tVBD\tB-VP\tO' -p345998 -aS'given\tgive\tVBN\tI-VP\tO' -p345999 -aS'500\t500\tCD\tB-NP\tO' -p346000 -aS'mg\tmg\tNN\tI-NP\tO' -p346001 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p346002 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p346003 -aS'of\tof\tIN\tB-PP\tO' -p346004 -aS'metformin\tmetformin\tNN\tB-NP\tO' -p346005 -aS'to\tto\tTO\tB-VP\tO' -p346006 -aS'treat\ttreat\tVB\tI-VP\tO' -p346007 -aS'her\ther\tPRP$\tB-NP\tO' -p346008 -aS'steroid-induced\tsteroid-induced\tJJ\tI-NP\tO' -p346009 -aS'diabetes\tdiabetes\tNN\tI-NP\tO' -p346010 -aS'on\ton\tIN\tB-PP\tO' -p346011 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p346012 -aS'.\t.\t.\tO\tO' -p346013 -asS'Responsible After Study for Causing Admission ) abdominal fluid collection' -p346014 -(lp346015 -S'Responsible\tResponsible\tJJ\tB-ADJP\tO' -p346016 -aS'After\tAfter\tIN\tB-PP\tO' -p346017 -aS'Study\tStudy\tNN\tB-NP\tO' -p346018 -aS'for\tfor\tIN\tB-PP\tO' -p346019 -aS'Causing\tCause\tVBG\tB-NP\tO' -p346020 -aS'Admission\tAdmission\tNN\tI-NP\tO' -p346021 -aS')\t)\t)\tI-NP\tO' -p346022 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p346023 -aS'fluid\tfluid\tNN\tI-NP\tO' -p346024 -aS'collection\tcollection\tNN\tI-NP\tO' -p346025 -asS'The patient was then continued by report on Dicloxacillin for approximately one year following that reconstructive operation .' -p346026 -(lp346027 -S'The\tThe\tDT\tB-NP\tO' -p346028 -aS'patient\tpatient\tNN\tI-NP\tO' -p346029 -aS'was\tbe\tVBD\tB-VP\tO' -p346030 -aS'then\tthen\tRB\tI-VP\tO' -p346031 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p346032 -aS'by\tby\tIN\tB-PP\tO' -p346033 -aS'report\treport\tNN\tB-NP\tO' -p346034 -aS'on\ton\tIN\tB-PP\tO' -p346035 -aS'Dicloxacillin\tDicloxacillin\tNNP\tB-NP\tO' -p346036 -aS'for\tfor\tIN\tB-PP\tO' -p346037 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p346038 -aS'one\tone\tCD\tI-NP\tO' -p346039 -aS'year\tyear\tNN\tI-NP\tO' -p346040 -aS'following\tfollow\tVBG\tB-PP\tO' -p346041 -aS'that\tthat\tIN\tB-SBAR\tO' -p346042 -aS'reconstructive\treconstructive\tJJ\tB-NP\tO' -p346043 -aS'operation\toperation\tNN\tI-NP\tO' -p346044 -aS'.\t.\t.\tO\tO' -p346045 -asS'Titrate prn .' -p346046 -(lp346047 -S'Titrate\tTitrate\tNN\tB-NP\tO' -p346048 -aS'prn\tprn\tNN\tI-NP\tO' -p346049 -aS'.\t.\t.\tO\tO' -p346050 -asS'He had no evidence of cholecystitis or gallstones or any abnormalities with the liver or kidneys .' -p346051 -(lp346052 -S'He\tHe\tPRP\tB-NP\tO' -p346053 -aS'had\thave\tVBD\tB-VP\tO' -p346054 -aS'no\tno\tDT\tB-NP\tO' -p346055 -aS'evidence\tevidence\tNN\tI-NP\tO' -p346056 -aS'of\tof\tIN\tB-PP\tO' -p346057 -aS'cholecystitis\tcholecystitis\tNN\tB-NP\tO' -p346058 -aS'or\tor\tCC\tI-NP\tO' -p346059 -aS'gallstones\tgallstone\tNNS\tI-NP\tO' -p346060 -aS'or\tor\tCC\tO\tO' -p346061 -aS'any\tany\tDT\tB-NP\tO' -p346062 -aS'abnormalities\tabnormality\tNNS\tI-NP\tO' -p346063 -aS'with\twith\tIN\tB-PP\tO' -p346064 -aS'the\tthe\tDT\tB-NP\tO' -p346065 -aS'liver\tliver\tNN\tI-NP\tO' -p346066 -aS'or\tor\tCC\tI-NP\tO' -p346067 -aS'kidneys\tkidney\tNNS\tI-NP\tO' -p346068 -aS'.\t.\t.\tO\tO' -p346069 -asS'She called the nurses and patted the infant on the back .' -p346070 -(lp346071 -S'She\tShe\tPRP\tB-NP\tO' -p346072 -aS'called\tcall\tVBD\tB-VP\tO' -p346073 -aS'the\tthe\tDT\tB-NP\tO' -p346074 -aS'nurses\tnurse\tNNS\tI-NP\tO' -p346075 -aS'and\tand\tCC\tO\tO' -p346076 -aS'patted\tpat\tVBD\tB-VP\tO' -p346077 -aS'the\tthe\tDT\tB-NP\tO' -p346078 -aS'infant\tinfant\tNN\tI-NP\tO' -p346079 -aS'on\ton\tIN\tB-PP\tO' -p346080 -aS'the\tthe\tDT\tB-NP\tO' -p346081 -aS'back\tback\tNN\tI-NP\tO' -p346082 -aS'.\t.\t.\tO\tO' -p346083 -asS'She was extensively counseled regarding other methods of birth control and desired to proceed with definitive surgical therapy .' -p346084 -(lp346085 -S'She\tShe\tPRP\tB-NP\tO' -p346086 -aS'was\tbe\tVBD\tB-VP\tO' -p346087 -aS'extensively\textensively\tRB\tI-VP\tO' -p346088 -aS'counseled\tcounsel\tVBN\tI-VP\tO' -p346089 -aS'regarding\tregard\tVBG\tB-PP\tO' -p346090 -aS'other\tother\tJJ\tB-NP\tO' -p346091 -aS'methods\tmethod\tNNS\tI-NP\tO' -p346092 -aS'of\tof\tIN\tB-PP\tO' -p346093 -aS'birth\tbirth\tNN\tB-NP\tO' -p346094 -aS'control\tcontrol\tNN\tI-NP\tO' -p346095 -aS'and\tand\tCC\tO\tO' -p346096 -aS'desired\tdesire\tVBN\tB-VP\tO' -p346097 -aS'to\tto\tTO\tI-VP\tO' -p346098 -aS'proceed\tproceed\tVB\tI-VP\tO' -p346099 -aS'with\twith\tIN\tB-PP\tO' -p346100 -aS'definitive\tdefinitive\tJJ\tB-NP\tO' -p346101 -aS'surgical\tsurgical\tJJ\tI-NP\tO' -p346102 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p346103 -aS'.\t.\t.\tO\tO' -p346104 -asS'She denies any CP / cough / fever / abd pain / diarrhea / black or bloody stools / headache .' -p346105 -(lp346106 -S'She\tShe\tPRP\tB-NP\tO' -p346107 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p346108 -aS'any\tany\tDT\tB-NP\tO' -p346109 -aS'CP\tCP\tNN\tI-NP\tB-DNA' -p346110 -aS'/\t/\tSYM\tB-NP\tO' -p346111 -aS'cough\tcough\tNN\tI-NP\tO' -p346112 -aS'/\t/\tSYM\tI-NP\tO' -p346113 -aS'fever\tfever\tNN\tI-NP\tO' -p346114 -aS'/\t/\tSYM\tI-NP\tO' -p346115 -aS'abd\tabd\tNN\tI-NP\tO' -p346116 -aS'pain\tpain\tNN\tI-NP\tO' -p346117 -aS'/\t/\tSYM\tB-NP\tO' -p346118 -aS'diarrhea\tdiarrhea\tNN\tI-NP\tO' -p346119 -aS'/\t/\tSYM\tB-VP\tO' -p346120 -aS'black\tblack\tJJ\tB-NP\tO' -p346121 -aS'or\tor\tCC\tI-NP\tO' -p346122 -aS'bloody\tbloody\tJJ\tI-NP\tO' -p346123 -aS'stools\tstool\tNNS\tI-NP\tO' -p346124 -aS'/\t/\tSYM\tB-NP\tO' -p346125 -aS'headache\theadache\tNN\tI-NP\tO' -p346126 -aS'.\t.\t.\tO\tO' -p346127 -asS'He was transferred to the Medical Intensive Care Unit from the Transplant Service for ventilatory management in the setting of hypotension .' -p346128 -(lp346129 -S'He\tHe\tPRP\tB-NP\tO' -p346130 -aS'was\tbe\tVBD\tB-VP\tO' -p346131 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p346132 -aS'to\tto\tTO\tB-PP\tO' -p346133 -aS'the\tthe\tDT\tB-NP\tO' -p346134 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p346135 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p346136 -aS'Care\tCare\tNNP\tI-NP\tO' -p346137 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p346138 -aS'from\tfrom\tIN\tB-PP\tO' -p346139 -aS'the\tthe\tDT\tB-NP\tO' -p346140 -aS'Transplant\tTransplant\tNNP\tI-NP\tO' -p346141 -aS'Service\tService\tNNP\tI-NP\tO' -p346142 -aS'for\tfor\tIN\tB-PP\tO' -p346143 -aS'ventilatory\tventilatory\tJJ\tB-NP\tO' -p346144 -aS'management\tmanagement\tNN\tI-NP\tO' -p346145 -aS'in\tin\tIN\tB-PP\tO' -p346146 -aS'the\tthe\tDT\tB-NP\tO' -p346147 -aS'setting\tsetting\tNN\tI-NP\tO' -p346148 -aS'of\tof\tIN\tB-PP\tO' -p346149 -aS'hypotension\thypotension\tNN\tB-NP\tO' -p346150 -aS'.\t.\t.\tO\tO' -p346151 -asS'A bone scan showed increased uptake at the manubrium at the site of an old fracture , as well as in the right supraclavicular area .' -p346152 -(lp346153 -S'A\tA\tDT\tB-NP\tO' -p346154 -aS'bone\tbone\tNN\tI-NP\tO' -p346155 -aS'scan\tscan\tNN\tI-NP\tO' -p346156 -aS'showed\tshow\tVBD\tB-VP\tO' -p346157 -aS'increased\tincrease\tVBN\tB-NP\tO' -p346158 -aS'uptake\tuptake\tNN\tI-NP\tO' -p346159 -aS'at\tat\tIN\tB-PP\tO' -p346160 -aS'the\tthe\tDT\tB-NP\tO' -p346161 -aS'manubrium\tmanubrium\tNN\tI-NP\tO' -p346162 -aS'at\tat\tIN\tB-PP\tO' -p346163 -aS'the\tthe\tDT\tB-NP\tO' -p346164 -aS'site\tsite\tNN\tI-NP\tO' -p346165 -aS'of\tof\tIN\tB-PP\tO' -p346166 -aS'an\tan\tDT\tB-NP\tO' -p346167 -aS'old\told\tJJ\tI-NP\tO' -p346168 -aS'fracture\tfracture\tNN\tI-NP\tO' -p346169 -aS',\t,\t,\tO\tO' -p346170 -aS'as\tas\tRB\tB-CONJP\tO' -p346171 -aS'well\twell\tRB\tI-CONJP\tO' -p346172 -aS'as\tas\tIN\tI-CONJP\tO' -p346173 -aS'in\tin\tIN\tB-PP\tO' -p346174 -aS'the\tthe\tDT\tB-NP\tO' -p346175 -aS'right\tright\tJJ\tI-NP\tO' -p346176 -aS'supraclavicular\tsupraclavicular\tJJ\tI-NP\tO' -p346177 -aS'area\tarea\tNN\tI-NP\tO' -p346178 -aS'.\t.\t.\tO\tO' -p346179 -asS'The patient was also reduced to 400 mg q. day of amiodarone .' -p346180 -(lp346181 -S'The\tThe\tDT\tB-NP\tO' -p346182 -aS'patient\tpatient\tNN\tI-NP\tO' -p346183 -aS'was\tbe\tVBD\tB-VP\tO' -p346184 -aS'also\talso\tRB\tI-VP\tO' -p346185 -aS'reduced\treduce\tVBN\tI-VP\tO' -p346186 -aS'to\tto\tTO\tB-PP\tO' -p346187 -aS'400\t400\tCD\tB-NP\tO' -p346188 -aS'mg\tmg\tNN\tI-NP\tO' -p346189 -aS'q.\tq.\tNN\tI-NP\tO' -p346190 -aS'day\tday\tNN\tI-NP\tO' -p346191 -aS'of\tof\tIN\tB-PP\tO' -p346192 -aS'amiodarone\tamiodarone\tNN\tB-NP\tO' -p346193 -aS'.\t.\t.\tO\tO' -p346194 -asS'His secretary can help you clarify your insurance .' -p346195 -(lp346196 -S'His\tHis\tPRP$\tB-NP\tO' -p346197 -aS'secretary\tsecretary\tNN\tI-NP\tO' -p346198 -aS'can\tcan\tMD\tB-VP\tO' -p346199 -aS'help\thelp\tVB\tI-VP\tO' -p346200 -aS'you\tyou\tPRP\tB-NP\tO' -p346201 -aS'clarify\tclarify\tVB\tB-VP\tO' -p346202 -aS'your\tyour\tPRP$\tB-NP\tO' -p346203 -aS'insurance\tinsurance\tNN\tI-NP\tO' -p346204 -aS'.\t.\t.\tO\tO' -p346205 -asS'The chest is clear to auscultation bilaterally .' -p346206 -(lp346207 -S'The\tThe\tDT\tB-NP\tO' -p346208 -aS'chest\tchest\tNN\tI-NP\tO' -p346209 -aS'is\tbe\tVBZ\tB-VP\tO' -p346210 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p346211 -aS'to\tto\tTO\tB-PP\tO' -p346212 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p346213 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p346214 -aS'.\t.\t.\tO\tO' -p346215 -asS'1. Oxycodone-Acetaminophen 5-325 mg Tablet Sig : 1-2 Tablets PO Q4-6H ( every 4 to 6 hours ) as needed .' -p346216 -(lp346217 -S'1.\t1.\tLS\tB-NP\tO' -p346218 -aS'Oxycodone-Acetaminophen\tOxycodone-Acetaminophen\tNN\tI-NP\tO' -p346219 -aS'5-325\t5-325\tCD\tI-NP\tO' -p346220 -aS'mg\tmg\tNN\tI-NP\tO' -p346221 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p346222 -aS'Sig\tSig\tNNP\tI-NP\tO' -p346223 -aS':\t:\t:\tO\tO' -p346224 -aS'1-2\t1-2\tCD\tB-NP\tO' -p346225 -aS'Tablets\tTablet\tNNS\tI-NP\tO' -p346226 -aS'PO\tPO\tNN\tI-NP\tO' -p346227 -aS'Q4-6H\tQ4-6H\tNN\tI-NP\tO' -p346228 -aS'(\t(\t(\tO\tO' -p346229 -aS'every\tevery\tDT\tB-NP\tO' -p346230 -aS'4\t4\tCD\tI-NP\tO' -p346231 -aS'to\tto\tTO\tI-NP\tO' -p346232 -aS'6\t6\tCD\tI-NP\tO' -p346233 -aS'hours\thour\tNNS\tI-NP\tO' -p346234 -aS')\t)\t)\tO\tO' -p346235 -aS'as\tas\tIN\tB-SBAR\tO' -p346236 -aS'needed\tneed\tVBN\tB-VP\tO' -p346237 -aS'.\t.\t.\tO\tO' -p346238 -asS'Throughout the month of June , she had a rising Potassium phosphate and increasing volume overload with decreasing response to diuretics and she was finally initiated on dialysis with ultrafiltration on July 12 , 1998 .' -p346239 -(lp346240 -S'Throughout\tThroughout\tIN\tB-PP\tO' -p346241 -aS'the\tthe\tDT\tB-NP\tO' -p346242 -aS'month\tmonth\tNN\tI-NP\tO' -p346243 -aS'of\tof\tIN\tB-PP\tO' -p346244 -aS'June\tJune\tNNP\tB-NP\tO' -p346245 -aS',\t,\t,\tO\tO' -p346246 -aS'she\tshe\tPRP\tB-NP\tO' -p346247 -aS'had\thave\tVBD\tB-VP\tO' -p346248 -aS'a\ta\tDT\tB-NP\tO' -p346249 -aS'rising\trise\tVBG\tI-NP\tO' -p346250 -aS'Potassium\tPotassium\tNN\tI-NP\tO' -p346251 -aS'phosphate\tphosphate\tNN\tI-NP\tO' -p346252 -aS'and\tand\tCC\tO\tO' -p346253 -aS'increasing\tincrease\tVBG\tB-NP\tO' -p346254 -aS'volume\tvolume\tNN\tI-NP\tO' -p346255 -aS'overload\toverload\tNN\tI-NP\tO' -p346256 -aS'with\twith\tIN\tB-PP\tO' -p346257 -aS'decreasing\tdecrease\tVBG\tB-VP\tO' -p346258 -aS'response\tresponse\tNN\tB-NP\tO' -p346259 -aS'to\tto\tTO\tB-PP\tO' -p346260 -aS'diuretics\tdiuretic\tNNS\tB-NP\tO' -p346261 -aS'and\tand\tCC\tO\tO' -p346262 -aS'she\tshe\tPRP\tB-NP\tO' -p346263 -aS'was\tbe\tVBD\tB-VP\tO' -p346264 -aS'finally\tfinally\tRB\tI-VP\tO' -p346265 -aS'initiated\tinitiate\tVBN\tI-VP\tO' -p346266 -aS'on\ton\tIN\tB-PP\tO' -p346267 -aS'dialysis\tdialysis\tNN\tB-NP\tO' -p346268 -aS'with\twith\tIN\tB-PP\tO' -p346269 -aS'ultrafiltration\tultrafiltration\tNN\tB-NP\tO' -p346270 -aS'on\ton\tIN\tB-PP\tO' -p346271 -aS'July\tJuly\tNNP\tB-NP\tO' -p346272 -aS'12\t12\tCD\tI-NP\tO' -p346273 -aS',\t,\t,\tO\tO' -p346274 -aS'1998\t1998\tCD\tB-NP\tO' -p346275 -aS'.\t.\t.\tO\tO' -p346276 -asS'Myocardial infarction also in l983 and l988 , congestive heart failure in l989 , diverticulitis in l978 , and spontaneous pneumothorax in l956 .' -p346277 -(lp346278 -S'Myocardial\tMyocardial\tJJ\tB-NP\tO' -p346279 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p346280 -aS'also\talso\tRB\tB-ADVP\tO' -p346281 -aS'in\tin\tIN\tB-PP\tO' -p346282 -aS'l983\tl983\tNN\tB-NP\tB-protein' -p346283 -aS'and\tand\tCC\tI-NP\tO' -p346284 -aS'l988\tl988\tNN\tI-NP\tB-protein' -p346285 -aS',\t,\t,\tO\tO' -p346286 -aS'congestive\tcongestive\tJJ\tB-NP\tO' -p346287 -aS'heart\theart\tNN\tI-NP\tO' -p346288 -aS'failure\tfailure\tNN\tI-NP\tO' -p346289 -aS'in\tin\tIN\tB-PP\tO' -p346290 -aS'l989\tl989\tNN\tB-NP\tB-protein' -p346291 -aS',\t,\t,\tO\tO' -p346292 -aS'diverticulitis\tdiverticulitis\tNN\tB-NP\tO' -p346293 -aS'in\tin\tIN\tB-PP\tO' -p346294 -aS'l978\tl978\tNN\tB-NP\tB-protein' -p346295 -aS',\t,\t,\tO\tO' -p346296 -aS'and\tand\tCC\tO\tO' -p346297 -aS'spontaneous\tspontaneous\tJJ\tB-NP\tO' -p346298 -aS'pneumothorax\tpneumothorax\tNN\tI-NP\tO' -p346299 -aS'in\tin\tIN\tB-PP\tO' -p346300 -aS'l956\tl956\tNN\tB-NP\tB-protein' -p346301 -aS'.\t.\t.\tO\tO' -p346302 -asS'Started on omeprazole 40 mg po bid x6 wks .' -p346303 -(lp346304 -S'Started\tStart\tVBN\tB-VP\tO' -p346305 -aS'on\ton\tIN\tB-PP\tO' -p346306 -aS'omeprazole\tomeprazole\tNN\tB-NP\tB-protein' -p346307 -aS'40\t40\tCD\tI-NP\tI-protein' -p346308 -aS'mg\tmg\tNN\tI-NP\tI-protein' -p346309 -aS'po\tpo\tNN\tI-NP\tI-protein' -p346310 -aS'bid\tbid\tNN\tI-NP\tI-protein' -p346311 -aS'x6\tx6\tCD\tB-NP\tI-protein' -p346312 -aS'wks\twk\tNNS\tI-NP\tI-protein' -p346313 -aS'.\t.\t.\tO\tO' -p346314 -asS'1. Aspirin 325 mg p.o. q. day .' -p346315 -(lp346316 -S'1.\t1.\tLS\tB-LST\tO' -p346317 -aS'Aspirin\tAspirin\tNN\tB-NP\tO' -p346318 -aS'325\t325\tCD\tI-NP\tO' -p346319 -aS'mg\tmg\tNN\tI-NP\tO' -p346320 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p346321 -aS'q.\tq.\tNN\tI-NP\tO' -p346322 -aS'day\tday\tNN\tI-NP\tO' -p346323 -aS'.\t.\t.\tO\tO' -p346324 -asS'The clinical picture was concerning for a post-operative hematoma .' -p346325 -(lp346326 -S'The\tThe\tDT\tB-NP\tO' -p346327 -aS'clinical\tclinical\tJJ\tI-NP\tO' -p346328 -aS'picture\tpicture\tNN\tI-NP\tO' -p346329 -aS'was\tbe\tVBD\tB-VP\tO' -p346330 -aS'concerning\tconcern\tVBG\tI-VP\tO' -p346331 -aS'for\tfor\tIN\tB-PP\tO' -p346332 -aS'a\ta\tDT\tB-NP\tO' -p346333 -aS'post-operative\tpost-operative\tJJ\tI-NP\tO' -p346334 -aS'hematoma\thematoma\tNN\tI-NP\tO' -p346335 -aS'.\t.\t.\tO\tO' -p346336 -asS'4. SUTENT 50 mg Capsule Sig : One ( 1 ) Capsule PO Every other day : Please restart on Wallace , 06-24 .' -p346337 -(lp346338 -S'4.\t4.\tLS\tB-NP\tO' -p346339 -aS'SUTENT\tSUTENT\tNN\tI-NP\tO' -p346340 -aS'50\t50\tCD\tI-NP\tO' -p346341 -aS'mg\tmg\tNN\tI-NP\tO' -p346342 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p346343 -aS'Sig\tSig\tNNP\tI-NP\tO' -p346344 -aS':\t:\t:\tO\tO' -p346345 -aS'One\tOne\tCD\tB-NP\tO' -p346346 -aS'(\t(\t(\tO\tO' -p346347 -aS'1\t1\tCD\tB-NP\tO' -p346348 -aS')\t)\t)\tO\tO' -p346349 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p346350 -aS'PO\tPO\tNNP\tI-NP\tO' -p346351 -aS'Every\tEvery\tDT\tB-NP\tO' -p346352 -aS'other\tother\tJJ\tI-NP\tO' -p346353 -aS'day\tday\tNN\tI-NP\tO' -p346354 -aS':\t:\t:\tO\tO' -p346355 -aS'Please\tPlease\tNN\tB-NP\tB-protein' -p346356 -aS'restart\trestart\tVB\tB-VP\tO' -p346357 -aS'on\ton\tIN\tB-PP\tO' -p346358 -aS'Wallace\tWallace\tNNP\tB-NP\tO' -p346359 -aS',\t,\t,\tO\tO' -p346360 -aS'06-24\t06-24\tCD\tB-NP\tO' -p346361 -aS'.\t.\t.\tO\tO' -p346362 -asS'Pulmonary vascularity is normal , lungs are clear .' -p346363 -(lp346364 -S'Pulmonary\tPulmonary\tJJ\tB-NP\tO' -p346365 -aS'vascularity\tvascularity\tNN\tI-NP\tO' -p346366 -aS'is\tbe\tVBZ\tB-VP\tO' -p346367 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p346368 -aS',\t,\t,\tO\tO' -p346369 -aS'lungs\tlung\tNNS\tB-NP\tO' -p346370 -aS'are\tbe\tVBP\tB-VP\tO' -p346371 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p346372 -aS'.\t.\t.\tO\tO' -p346373 -asS'22 year old female transfer from outside hospital after a motor vehicle accident with diagnosed liver laceration by CT scan .' -p346374 -(lp346375 -S'22\t22\tCD\tB-NP\tO' -p346376 -aS'year\tyear\tNN\tI-NP\tO' -p346377 -aS'old\told\tJJ\tI-NP\tO' -p346378 -aS'female\tfemale\tJJ\tI-NP\tO' -p346379 -aS'transfer\ttransfer\tNN\tI-NP\tO' -p346380 -aS'from\tfrom\tIN\tB-PP\tO' -p346381 -aS'outside\toutside\tJJ\tB-NP\tO' -p346382 -aS'hospital\thospital\tNN\tI-NP\tO' -p346383 -aS'after\tafter\tIN\tB-PP\tO' -p346384 -aS'a\ta\tDT\tB-NP\tO' -p346385 -aS'motor\tmotor\tNN\tI-NP\tO' -p346386 -aS'vehicle\tvehicle\tNN\tI-NP\tO' -p346387 -aS'accident\taccident\tNN\tI-NP\tO' -p346388 -aS'with\twith\tIN\tB-PP\tO' -p346389 -aS'diagnosed\tdiagnose\tVBN\tB-NP\tO' -p346390 -aS'liver\tliver\tNN\tI-NP\tO' -p346391 -aS'laceration\tlaceration\tNN\tI-NP\tO' -p346392 -aS'by\tby\tIN\tB-PP\tO' -p346393 -aS'CT\tCT\tNN\tB-NP\tO' -p346394 -aS'scan\tscan\tNN\tI-NP\tO' -p346395 -aS'.\t.\t.\tO\tO' -p346396 -asS'Two drains were used .' -p346397 -(lp346398 -S'Two\tTwo\tCD\tB-NP\tO' -p346399 -aS'drains\tdrain\tNNS\tI-NP\tO' -p346400 -aS'were\tbe\tVBD\tB-VP\tO' -p346401 -aS'used\tuse\tVBN\tI-VP\tO' -p346402 -aS'.\t.\t.\tO\tO' -p346403 -asS'The patient 's differential diagnosis included initially a question of an atypical pneumonia or PCP .' -p346404 -(lp346405 -S'The\tThe\tDT\tB-NP\tO' -p346406 -aS'patient\tpatient\tNN\tI-NP\tO' -p346407 -aS''s\t'\tNNS\tI-NP\tO' -p346408 -aS'differential\tdifferential\tJJ\tB-NP\tO' -p346409 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p346410 -aS'included\tinclude\tVBD\tB-VP\tO' -p346411 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p346412 -aS'a\ta\tDT\tB-NP\tO' -p346413 -aS'question\tquestion\tNN\tI-NP\tO' -p346414 -aS'of\tof\tIN\tB-PP\tO' -p346415 -aS'an\tan\tDT\tB-NP\tO' -p346416 -aS'atypical\tatypical\tJJ\tI-NP\tO' -p346417 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p346418 -aS'or\tor\tCC\tI-NP\tO' -p346419 -aS'PCP\tPCP\tNN\tI-NP\tB-protein' -p346420 -aS'.\t.\t.\tO\tO' -p346421 -asS'Recent neuro w / u including EEG , carotid u / s , head ct ( old stroke ) , dobutamine-MIBI ( fixed defect and small inferolateral reversible ) were all negative .' -p346422 -(lp346423 -S'Recent\tRecent\tJJ\tB-NP\tO' -p346424 -aS'neuro\tneuro\tNN\tI-NP\tO' -p346425 -aS'w\tw\tNN\tI-NP\tO' -p346426 -aS'/\t/\tSYM\tO\tO' -p346427 -aS'u\tu\tNN\tB-NP\tO' -p346428 -aS'including\tinclude\tVBG\tB-PP\tO' -p346429 -aS'EEG\tEEG\tNN\tB-NP\tB-protein' -p346430 -aS',\t,\t,\tO\tO' -p346431 -aS'carotid\tcarotid\tNN\tB-NP\tO' -p346432 -aS'u\tu\tNN\tI-NP\tO' -p346433 -aS'/\t/\tSYM\tI-NP\tO' -p346434 -aS's\ts\tNN\tI-NP\tO' -p346435 -aS',\t,\t,\tO\tO' -p346436 -aS'head\thead\tNN\tB-NP\tO' -p346437 -aS'ct\tct\tNN\tI-NP\tO' -p346438 -aS'(\t(\t(\tO\tO' -p346439 -aS'old\told\tJJ\tB-NP\tO' -p346440 -aS'stroke\tstroke\tNN\tI-NP\tO' -p346441 -aS')\t)\t)\tO\tO' -p346442 -aS',\t,\t,\tO\tO' -p346443 -aS'dobutamine-MIBI\tdobutamine-MIBI\tNN\tB-NP\tO' -p346444 -aS'(\t(\t(\tO\tO' -p346445 -aS'fixed\tfix\tVBN\tB-NP\tO' -p346446 -aS'defect\tdefect\tNN\tI-NP\tO' -p346447 -aS'and\tand\tCC\tO\tO' -p346448 -aS'small\tsmall\tJJ\tB-NP\tO' -p346449 -aS'inferolateral\tinferolateral\tJJ\tI-NP\tO' -p346450 -aS'reversible\treversible\tJJ\tI-NP\tO' -p346451 -aS')\t)\t)\tO\tO' -p346452 -aS'were\tbe\tVBD\tB-VP\tO' -p346453 -aS'all\tall\tDT\tO\tO' -p346454 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p346455 -aS'.\t.\t.\tO\tO' -p346456 -asS'bleed ?' -p346457 -(lp346458 -S'bleed\tbleed\tVBN\tB-VP\tO' -p346459 -aS'?\t?\t.\tO\tO' -p346460 -asS'Lungs : breath sounds clear and equal bilaterally , no retractions .' -p346461 -(lp346462 -S'Lungs\tLung\tNNS\tB-NP\tO' -p346463 -aS':\t:\t:\tO\tO' -p346464 -aS'breath\tbreath\tNN\tB-NP\tO' -p346465 -aS'sounds\tsound\tVBZ\tB-VP\tO' -p346466 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p346467 -aS'and\tand\tCC\tI-ADJP\tO' -p346468 -aS'equal\tequal\tJJ\tI-ADJP\tO' -p346469 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p346470 -aS',\t,\t,\tO\tO' -p346471 -aS'no\tno\tDT\tB-NP\tO' -p346472 -aS'retractions\tretraction\tNNS\tI-NP\tO' -p346473 -aS'.\t.\t.\tO\tO' -p346474 -asS'oropharynx was intubated with blood as well .' -p346475 -(lp346476 -S'oropharynx\toropharynx\tNN\tB-NP\tO' -p346477 -aS'was\tbe\tVBD\tB-VP\tO' -p346478 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p346479 -aS'with\twith\tIN\tB-PP\tO' -p346480 -aS'blood\tblood\tNN\tB-NP\tO' -p346481 -aS'as\tas\tRB\tB-ADVP\tO' -p346482 -aS'well\twell\tRB\tI-ADVP\tO' -p346483 -aS'.\t.\t.\tO\tO' -p346484 -asS'She was uncomfortable and slow to have bowel movements , although she did have flatus .' -p346485 -(lp346486 -S'She\tShe\tPRP\tB-NP\tO' -p346487 -aS'was\tbe\tVBD\tB-VP\tO' -p346488 -aS'uncomfortable\tuncomfortable\tJJ\tB-ADJP\tO' -p346489 -aS'and\tand\tCC\tO\tO' -p346490 -aS'slow\tslow\tJJ\tB-ADJP\tO' -p346491 -aS'to\tto\tTO\tB-VP\tO' -p346492 -aS'have\thave\tVB\tI-VP\tO' -p346493 -aS'bowel\tbowel\tNN\tB-NP\tO' -p346494 -aS'movements\tmovement\tNNS\tI-NP\tO' -p346495 -aS',\t,\t,\tO\tO' -p346496 -aS'although\talthough\tIN\tB-SBAR\tO' -p346497 -aS'she\tshe\tPRP\tB-NP\tO' -p346498 -aS'did\tdo\tVBD\tB-VP\tO' -p346499 -aS'have\thave\tVB\tI-VP\tO' -p346500 -aS'flatus\tflatus\tNN\tB-NP\tO' -p346501 -aS'.\t.\t.\tO\tO' -p346502 -asS'She received three days of intravenous etidronate with normal saline diuresis and the serum calcium subsequently decreased to 9.0 .' -p346503 -(lp346504 -S'She\tShe\tPRP\tB-NP\tO' -p346505 -aS'received\treceive\tVBD\tB-VP\tO' -p346506 -aS'three\tthree\tCD\tB-NP\tO' -p346507 -aS'days\tday\tNNS\tI-NP\tO' -p346508 -aS'of\tof\tIN\tB-PP\tO' -p346509 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p346510 -aS'etidronate\tetidronate\tNN\tI-NP\tO' -p346511 -aS'with\twith\tIN\tB-PP\tO' -p346512 -aS'normal\tnormal\tJJ\tB-NP\tO' -p346513 -aS'saline\tsaline\tNN\tI-NP\tO' -p346514 -aS'diuresis\tdiuresis\tNN\tI-NP\tO' -p346515 -aS'and\tand\tCC\tO\tO' -p346516 -aS'the\tthe\tDT\tB-NP\tO' -p346517 -aS'serum\tserum\tNN\tI-NP\tO' -p346518 -aS'calcium\tcalcium\tNN\tI-NP\tO' -p346519 -aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' -p346520 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p346521 -aS'to\tto\tTO\tB-PP\tO' -p346522 -aS'9.0\t9.0\tCD\tB-NP\tO' -p346523 -aS'.\t.\t.\tO\tO' -p346524 -asS"He had been admitted to the St. Margaret 's Center for Women & Infants multiple times early in 2013 for management of encephalopathy and ascites ." -p346525 -(lp346526 -S'He\tHe\tPRP\tB-NP\tO' -p346527 -aS'had\thave\tVBD\tB-VP\tO' -p346528 -aS'been\tbe\tVBN\tI-VP\tO' -p346529 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p346530 -aS'to\tto\tTO\tB-PP\tO' -p346531 -aS'the\tthe\tDT\tB-NP\tO' -p346532 -aS'St.\tSt.\tNNP\tI-NP\tO' -p346533 -aS'Margaret\tMargaret\tNNP\tI-NP\tO' -p346534 -aS"'s\t's\tPOS\tB-NP\tO" -p346535 -aS'Center\tCenter\tNNP\tI-NP\tO' -p346536 -aS'for\tfor\tIN\tB-PP\tO' -p346537 -aS'Women\tWomen\tNNP\tB-NP\tO' -p346538 -aS'&\t&\tCC\tI-NP\tO' -p346539 -aS'Infants\tInfant\tNNPS\tI-NP\tO' -p346540 -aS'multiple\tmultiple\tJJ\tI-NP\tO' -p346541 -aS'times\ttime\tNNS\tI-NP\tO' -p346542 -aS'early\tearly\tRB\tB-ADVP\tO' -p346543 -aS'in\tin\tIN\tB-PP\tO' -p346544 -aS'2013\t2013\tCD\tB-NP\tO' -p346545 -aS'for\tfor\tIN\tB-PP\tO' -p346546 -aS'management\tmanagement\tNN\tB-NP\tO' -p346547 -aS'of\tof\tIN\tB-PP\tO' -p346548 -aS'encephalopathy\tencephalopathy\tNN\tB-NP\tO' -p346549 -aS'and\tand\tCC\tI-NP\tO' -p346550 -aS'ascites\tascite\tNNS\tI-NP\tO' -p346551 -aS'.\t.\t.\tO\tO' -p346552 -asS'He had no cardiac murmur .' -p346553 -(lp346554 -S'He\tHe\tPRP\tB-NP\tO' -p346555 -aS'had\thave\tVBD\tB-VP\tO' -p346556 -aS'no\tno\tDT\tB-NP\tO' -p346557 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p346558 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p346559 -aS'.\t.\t.\tO\tO' -p346560 -asS'The left volar forearm has the PPD just proximal to the wrist crease and a candida albicans placed just distal to the antecubital fossa .' -p346561 -(lp346562 -S'The\tThe\tDT\tB-NP\tO' -p346563 -aS'left\tleft\tJJ\tI-NP\tO' -p346564 -aS'volar\tvolar\tJJ\tI-NP\tO' -p346565 -aS'forearm\tforearm\tNN\tI-NP\tO' -p346566 -aS'has\thave\tVBZ\tB-VP\tO' -p346567 -aS'the\tthe\tDT\tB-NP\tO' -p346568 -aS'PPD\tPPD\tNN\tI-NP\tB-protein' -p346569 -aS'just\tjust\tRB\tB-ADJP\tO' -p346570 -aS'proximal\tproximal\tJJ\tI-ADJP\tO' -p346571 -aS'to\tto\tTO\tB-PP\tO' -p346572 -aS'the\tthe\tDT\tB-NP\tO' -p346573 -aS'wrist\twrist\tNN\tI-NP\tO' -p346574 -aS'crease\tcrease\tNN\tI-NP\tO' -p346575 -aS'and\tand\tCC\tO\tO' -p346576 -aS'a\ta\tDT\tB-NP\tO' -p346577 -aS'candida\tcandida\tNN\tI-NP\tO' -p346578 -aS'albicans\talbican\tNNS\tI-NP\tO' -p346579 -aS'placed\tplace\tVBD\tB-VP\tO' -p346580 -aS'just\tjust\tRB\tB-NP\tO' -p346581 -aS'distal\tdistal\tJJ\tI-NP\tO' -p346582 -aS'to\tto\tTO\tB-PP\tO' -p346583 -aS'the\tthe\tDT\tB-NP\tO' -p346584 -aS'antecubital\tantecubital\tJJ\tI-NP\tO' -p346585 -aS'fossa\tfossa\tNN\tI-NP\tO' -p346586 -aS'.\t.\t.\tO\tO' -p346587 -asS'The patient was begun on Gentamicin , Vancomycin and Piperacillin , which was changed to Gentamicin and Ceftazidime .' -p346588 -(lp346589 -S'The\tThe\tDT\tB-NP\tO' -p346590 -aS'patient\tpatient\tNN\tI-NP\tO' -p346591 -aS'was\tbe\tVBD\tB-VP\tO' -p346592 -aS'begun\tbegin\tVBN\tI-VP\tO' -p346593 -aS'on\ton\tIN\tB-PP\tO' -p346594 -aS'Gentamicin\tGentamicin\tNN\tB-NP\tO' -p346595 -aS',\t,\t,\tI-NP\tO' -p346596 -aS'Vancomycin\tVancomycin\tNN\tI-NP\tO' -p346597 -aS'and\tand\tCC\tI-NP\tO' -p346598 -aS'Piperacillin\tPiperacillin\tNN\tI-NP\tB-protein' -p346599 -aS',\t,\t,\tO\tO' -p346600 -aS'which\twhich\tWDT\tB-NP\tO' -p346601 -aS'was\tbe\tVBD\tB-VP\tO' -p346602 -aS'changed\tchange\tVBN\tI-VP\tO' -p346603 -aS'to\tto\tTO\tB-PP\tO' -p346604 -aS'Gentamicin\tGentamicin\tNN\tB-NP\tO' -p346605 -aS'and\tand\tCC\tI-NP\tO' -p346606 -aS'Ceftazidime\tCeftazidime\tNN\tI-NP\tO' -p346607 -aS'.\t.\t.\tO\tO' -p346608 -asS'Urine tox screen negative for benzos , barbiturates , opiates , cocaine , amphetamines , and methadone .' -p346609 -(lp346610 -S'Urine\tUrine\tNN\tB-NP\tO' -p346611 -aS'tox\ttox\tNN\tI-NP\tO' -p346612 -aS'screen\tscreen\tNN\tI-NP\tO' -p346613 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p346614 -aS'for\tfor\tIN\tB-PP\tO' -p346615 -aS'benzos\tbenzo\tNNS\tB-NP\tO' -p346616 -aS',\t,\t,\tO\tO' -p346617 -aS'barbiturates\tbarbiturate\tNNS\tB-NP\tO' -p346618 -aS',\t,\t,\tO\tO' -p346619 -aS'opiates\topiate\tNNS\tB-NP\tO' -p346620 -aS',\t,\t,\tO\tO' -p346621 -aS'cocaine\tcocaine\tNN\tB-NP\tO' -p346622 -aS',\t,\t,\tO\tO' -p346623 -aS'amphetamines\tamphetamine\tNNS\tB-NP\tO' -p346624 -aS',\t,\t,\tO\tO' -p346625 -aS'and\tand\tCC\tO\tO' -p346626 -aS'methadone\tmethadone\tNN\tB-NP\tO' -p346627 -aS'.\t.\t.\tO\tO' -p346628 -asS'5 ) Thiamine .' -p346629 -(lp346630 -S'5\t5\tLS\tB-LST\tO' -p346631 -aS')\t)\t)\tO\tO' -p346632 -aS'Thiamine\tThiamine\tNN\tB-NP\tO' -p346633 -aS'.\t.\t.\tO\tO' -p346634 -asS'Social use of alcohol .' -p346635 -(lp346636 -S'Social\tSocial\tJJ\tB-NP\tO' -p346637 -aS'use\tuse\tNN\tI-NP\tO' -p346638 -aS'of\tof\tIN\tB-PP\tO' -p346639 -aS'alcohol\talcohol\tNN\tB-NP\tO' -p346640 -aS'.\t.\t.\tO\tO' -p346641 -asS'Chem-7 : Sodium 145 , potassium 3.4 , chloride 116 , bicarb 21 , BUN 12 , creatinine 0.6 , glucose 96 , calcium 7.2 , phos 3.6 , magnesium 1.7 .' -p346642 -(lp346643 -S'Chem-7\tChem-7\tNN\tB-NP\tO' -p346644 -aS':\t:\t:\tO\tO' -p346645 -aS'Sodium\tSodium\tNN\tB-NP\tO' -p346646 -aS'145\t145\tCD\tI-NP\tO' -p346647 -aS',\t,\t,\tO\tO' -p346648 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p346649 -aS'3.4\t3.4\tCD\tI-NP\tO' -p346650 -aS',\t,\t,\tO\tO' -p346651 -aS'chloride\tchloride\tNN\tB-NP\tO' -p346652 -aS'116\t116\tCD\tI-NP\tO' -p346653 -aS',\t,\t,\tO\tO' -p346654 -aS'bicarb\tbicarb\tNN\tB-NP\tO' -p346655 -aS'21\t21\tCD\tI-NP\tO' -p346656 -aS',\t,\t,\tO\tO' -p346657 -aS'BUN\tBUN\tNN\tB-NP\tB-DNA' -p346658 -aS'12\t12\tCD\tI-NP\tI-DNA' -p346659 -aS',\t,\t,\tO\tO' -p346660 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p346661 -aS'0.6\t0.6\tCD\tI-NP\tO' -p346662 -aS',\t,\t,\tO\tO' -p346663 -aS'glucose\tglucose\tNN\tB-NP\tB-protein' -p346664 -aS'96\t96\tCD\tI-NP\tI-protein' -p346665 -aS',\t,\t,\tO\tO' -p346666 -aS'calcium\tcalcium\tNN\tB-NP\tO' -p346667 -aS'7.2\t7.2\tCD\tI-NP\tO' -p346668 -aS',\t,\t,\tO\tO' -p346669 -aS'phos\tpho\tNNS\tB-NP\tO' -p346670 -aS'3.6\t3.6\tCD\tB-NP\tO' -p346671 -aS',\t,\t,\tO\tO' -p346672 -aS'magnesium\tmagnesium\tNN\tB-NP\tO' -p346673 -aS'1.7\t1.7\tCD\tI-NP\tO' -p346674 -aS'.\t.\t.\tO\tO' -p346675 -asS'She was started on appropriate antibiotics .' -p346676 -(lp346677 -S'She\tShe\tPRP\tB-NP\tO' -p346678 -aS'was\tbe\tVBD\tB-VP\tO' -p346679 -aS'started\tstart\tVBN\tI-VP\tO' -p346680 -aS'on\ton\tIN\tB-PP\tO' -p346681 -aS'appropriate\tappropriate\tJJ\tB-NP\tO' -p346682 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p346683 -aS'.\t.\t.\tO\tO' -p346684 -asS'She was intially maintained on an insulin drip for tight glycemic control .' -p346685 -(lp346686 -S'She\tShe\tPRP\tB-NP\tO' -p346687 -aS'was\tbe\tVBD\tB-VP\tO' -p346688 -aS'intially\tintially\tRB\tI-VP\tO' -p346689 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p346690 -aS'on\ton\tIN\tB-PP\tO' -p346691 -aS'an\tan\tDT\tB-NP\tO' -p346692 -aS'insulin\tinsulin\tNN\tI-NP\tO' -p346693 -aS'drip\tdrip\tNN\tI-NP\tO' -p346694 -aS'for\tfor\tIN\tB-PP\tO' -p346695 -aS'tight\ttight\tJJ\tB-NP\tO' -p346696 -aS'glycemic\tglycemic\tJJ\tI-NP\tO' -p346697 -aS'control\tcontrol\tNN\tI-NP\tO' -p346698 -aS'.\t.\t.\tO\tO' -p346699 -asS'Alleyne blood type is O+ / Coombs negative .' -p346700 -(lp346701 -S'Alleyne\tAlleyne\tNN\tB-NP\tO' -p346702 -aS'blood\tblood\tNN\tI-NP\tO' -p346703 -aS'type\ttype\tNN\tI-NP\tO' -p346704 -aS'is\tbe\tVBZ\tB-VP\tO' -p346705 -aS'O+\tO+\tJJ\tB-ADJP\tO' -p346706 -aS'/\t/\tSYM\tB-NP\tO' -p346707 -aS'Coombs\tCoomb\tNNS\tI-NP\tO' -p346708 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p346709 -aS'.\t.\t.\tO\tO' -p346710 -asS'blood pressure , and heart rate remained stable , and her oxygen saturations were well above 90% during the daytime on 2 liters nasal cannula and at night on the BiPAP settings' -p346711 -(lp346712 -S'blood\tblood\tNN\tB-NP\tO' -p346713 -aS'pressure\tpressure\tNN\tI-NP\tO' -p346714 -aS',\t,\t,\tO\tO' -p346715 -aS'and\tand\tCC\tO\tO' -p346716 -aS'heart\theart\tNN\tB-NP\tO' -p346717 -aS'rate\trate\tNN\tI-NP\tO' -p346718 -aS'remained\tremain\tVBD\tB-VP\tO' -p346719 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p346720 -aS',\t,\t,\tO\tO' -p346721 -aS'and\tand\tCC\tO\tO' -p346722 -aS'her\ther\tPRP$\tB-NP\tO' -p346723 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p346724 -aS'saturations\tsaturation\tNNS\tI-NP\tO' -p346725 -aS'were\tbe\tVBD\tB-VP\tO' -p346726 -aS'well\twell\tRB\tB-ADVP\tO' -p346727 -aS'above\tabove\tIN\tB-PP\tO' -p346728 -aS'90%\t90%\tCD\tB-NP\tO' -p346729 -aS'during\tduring\tIN\tB-PP\tO' -p346730 -aS'the\tthe\tDT\tB-NP\tO' -p346731 -aS'daytime\tdaytime\tNN\tI-NP\tO' -p346732 -aS'on\ton\tIN\tB-PP\tO' -p346733 -aS'2\t2\tCD\tB-NP\tO' -p346734 -aS'liters\tliter\tNNS\tI-NP\tO' -p346735 -aS'nasal\tnasal\tJJ\tB-NP\tO' -p346736 -aS'cannula\tcannula\tNN\tI-NP\tO' -p346737 -aS'and\tand\tCC\tB-PP\tO' -p346738 -aS'at\tat\tIN\tB-PP\tO' -p346739 -aS'night\tnight\tNN\tB-NP\tO' -p346740 -aS'on\ton\tIN\tB-PP\tO' -p346741 -aS'the\tthe\tDT\tB-NP\tO' -p346742 -aS'BiPAP\tBiPAP\tNN\tI-NP\tO' -p346743 -aS'settings\tsetting\tNNS\tI-NP\tO' -p346744 -asS'Disp :* 30 Cap (s)* Refills :* 2 *' -p346745 -(lp346746 -S'Disp\tDisp\tNN\tB-NP\tO' -p346747 -aS':*\t:*\tSYM\tI-NP\tO' -p346748 -aS'30\t30\tCD\tI-NP\tO' -p346749 -aS'Cap\tCap\tNN\tI-NP\tB-protein' -p346750 -aS'(s)*\t(s)*\tSYM\tB-NP\tO' -p346751 -aS'Refills\tRefill\tNNPS\tI-NP\tO' -p346752 -aS':*\t:*\tSYM\tI-NP\tO' -p346753 -aS'2\t2\tCD\tI-NP\tO' -p346754 -aS'*\t*\tSYM\tB-NP\tO' -p346755 -asS'LABORATORY AND RADIOLOGIC DATA : On admission , white count 10.8 , hematocrit 38.2 , platelets 324,000 .' -p346756 -(lp346757 -S'LABORATORY\tLABORATORY\tNN\tB-NP\tO' -p346758 -aS'AND\tAND\tCC\tI-NP\tO' -p346759 -aS'RADIOLOGIC\tRADIOLOGIC\tNN\tI-NP\tO' -p346760 -aS'DATA\tDATA\tNN\tI-NP\tO' -p346761 -aS':\t:\t:\tO\tO' -p346762 -aS'On\tOn\tIN\tB-PP\tO' -p346763 -aS'admission\tadmission\tNN\tB-NP\tO' -p346764 -aS',\t,\t,\tO\tO' -p346765 -aS'white\twhite\tJJ\tB-NP\tO' -p346766 -aS'count\tcount\tNN\tI-NP\tO' -p346767 -aS'10.8\t10.8\tCD\tI-NP\tO' -p346768 -aS',\t,\t,\tO\tO' -p346769 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p346770 -aS'38.2\t38.2\tCD\tI-NP\tI-protein' -p346771 -aS',\t,\t,\tO\tO' -p346772 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p346773 -aS'324,000\t324,000\tCD\tB-NP\tO' -p346774 -aS'.\t.\t.\tO\tO' -p346775 -asS'She was treated with IVF for her ARF .' -p346776 -(lp346777 -S'She\tShe\tPRP\tB-NP\tO' -p346778 -aS'was\tbe\tVBD\tB-VP\tO' -p346779 -aS'treated\ttreat\tVBN\tI-VP\tO' -p346780 -aS'with\twith\tIN\tB-PP\tO' -p346781 -aS'IVF\tIVF\tNN\tB-NP\tB-protein' -p346782 -aS'for\tfor\tIN\tB-PP\tO' -p346783 -aS'her\ther\tPRP$\tB-NP\tO' -p346784 -aS'ARF\tARF\tNN\tI-NP\tB-protein' -p346785 -aS'.\t.\t.\tO\tO' -p346786 -asS'He was admitted to the trauma service . Orthopedics and Neurosurgery were consulted because of his injuries .' -p346787 -(lp346788 -S'He\tHe\tPRP\tB-NP\tO' -p346789 -aS'was\tbe\tVBD\tB-VP\tO' -p346790 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p346791 -aS'to\tto\tTO\tB-PP\tO' -p346792 -aS'the\tthe\tDT\tB-NP\tO' -p346793 -aS'trauma\ttrauma\tNN\tI-NP\tO' -p346794 -aS'service\tservice\tNN\tI-NP\tO' -p346795 -aS'.\t.\t.\tI-NP\tO' -p346796 -aS'Orthopedics\tOrthopedic\tNNPS\tI-NP\tB-cell_type' -p346797 -aS'and\tand\tCC\tO\tO' -p346798 -aS'Neurosurgery\tNeurosurgery\tNN\tB-NP\tO' -p346799 -aS'were\tbe\tVBD\tB-VP\tO' -p346800 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p346801 -aS'because\tbecause\tIN\tB-PP\tO' -p346802 -aS'of\tof\tIN\tI-PP\tO' -p346803 -aS'his\this\tPRP$\tB-NP\tO' -p346804 -aS'injuries\tinjury\tNNS\tI-NP\tO' -p346805 -aS'.\t.\t.\tO\tO' -p346806 -asS'On the day of transfer to the General Medical Floor the patient had received clear liquids .' -p346807 -(lp346808 -S'On\tOn\tIN\tB-PP\tO' -p346809 -aS'the\tthe\tDT\tB-NP\tO' -p346810 -aS'day\tday\tNN\tI-NP\tO' -p346811 -aS'of\tof\tIN\tB-PP\tO' -p346812 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p346813 -aS'to\tto\tTO\tB-PP\tO' -p346814 -aS'the\tthe\tDT\tB-NP\tO' -p346815 -aS'General\tGeneral\tNNP\tI-NP\tO' -p346816 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p346817 -aS'Floor\tFloor\tNNP\tI-NP\tO' -p346818 -aS'the\tthe\tDT\tB-NP\tO' -p346819 -aS'patient\tpatient\tNN\tI-NP\tO' -p346820 -aS'had\thave\tVBD\tB-VP\tO' -p346821 -aS'received\treceive\tVBN\tI-VP\tO' -p346822 -aS'clear\tclear\tJJ\tB-NP\tO' -p346823 -aS'liquids\tliquid\tNNS\tI-NP\tO' -p346824 -aS'.\t.\t.\tO\tO' -p346825 -asS'On 2014-04-09 , FK level was 10.3 .' -p346826 -(lp346827 -S'On\tOn\tIN\tB-PP\tO' -p346828 -aS'2014-04-09\t2014-04-09\tCD\tB-NP\tO' -p346829 -aS',\t,\t,\tO\tO' -p346830 -aS'FK\tFK\tNN\tB-NP\tB-protein' -p346831 -aS'level\tlevel\tNN\tI-NP\tO' -p346832 -aS'was\tbe\tVBD\tB-VP\tO' -p346833 -aS'10.3\t10.3\tCD\tB-NP\tO' -p346834 -aS'.\t.\t.\tO\tO' -p346835 -asS'Patient was intubated in John for airway protection and administation of charcoal .' -p346836 -(lp346837 -S'Patient\tPatient\tNN\tB-NP\tO' -p346838 -aS'was\tbe\tVBD\tB-VP\tO' -p346839 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p346840 -aS'in\tin\tIN\tB-PP\tO' -p346841 -aS'John\tJohn\tNNP\tB-NP\tO' -p346842 -aS'for\tfor\tIN\tB-PP\tO' -p346843 -aS'airway\tairway\tNN\tB-NP\tO' -p346844 -aS'protection\tprotection\tNN\tI-NP\tO' -p346845 -aS'and\tand\tCC\tI-NP\tO' -p346846 -aS'administation\tadministation\tNN\tI-NP\tO' -p346847 -aS'of\tof\tIN\tB-PP\tO' -p346848 -aS'charcoal\tcharcoal\tNN\tB-NP\tO' -p346849 -aS'.\t.\t.\tO\tO' -p346850 -asS'Facial sensation intact to light touch and pinprick .' -p346851 -(lp346852 -S'Facial\tFacial\tJJ\tB-NP\tO' -p346853 -aS'sensation\tsensation\tNN\tI-NP\tO' -p346854 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p346855 -aS'to\tto\tTO\tB-PP\tO' -p346856 -aS'light\tlight\tJJ\tB-NP\tO' -p346857 -aS'touch\ttouch\tNN\tI-NP\tO' -p346858 -aS'and\tand\tCC\tI-NP\tO' -p346859 -aS'pinprick\tpinprick\tNN\tI-NP\tO' -p346860 -aS'.\t.\t.\tO\tO' -p346861 -asS'Mr. Knueppel should follow-up with his orthopedic surgeon in the Worcester State Hospital for reassessment of his injury and possible removal of the splint .' -p346862 -(lp346863 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p346864 -aS'Knueppel\tKnueppel\tNNP\tI-NP\tO' -p346865 -aS'should\tshould\tMD\tB-VP\tO' -p346866 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p346867 -aS'with\twith\tIN\tB-PP\tO' -p346868 -aS'his\this\tPRP$\tB-NP\tO' -p346869 -aS'orthopedic\torthopedic\tJJ\tI-NP\tO' -p346870 -aS'surgeon\tsurgeon\tNN\tI-NP\tO' -p346871 -aS'in\tin\tIN\tB-PP\tO' -p346872 -aS'the\tthe\tDT\tB-NP\tO' -p346873 -aS'Worcester\tWorcester\tNNP\tI-NP\tO' -p346874 -aS'State\tState\tNNP\tI-NP\tO' -p346875 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p346876 -aS'for\tfor\tIN\tB-PP\tO' -p346877 -aS'reassessment\treassessment\tNN\tB-NP\tO' -p346878 -aS'of\tof\tIN\tB-PP\tO' -p346879 -aS'his\this\tPRP$\tB-NP\tO' -p346880 -aS'injury\tinjury\tNN\tI-NP\tO' -p346881 -aS'and\tand\tCC\tI-NP\tO' -p346882 -aS'possible\tpossible\tJJ\tI-NP\tO' -p346883 -aS'removal\tremoval\tNN\tI-NP\tO' -p346884 -aS'of\tof\tIN\tB-PP\tO' -p346885 -aS'the\tthe\tDT\tB-NP\tO' -p346886 -aS'splint\tsplint\tNN\tI-NP\tO' -p346887 -aS'.\t.\t.\tO\tO' -p346888 -asS'He had normal male genitalia with bilaterally descended testes .' -p346889 -(lp346890 -S'He\tHe\tPRP\tB-NP\tO' -p346891 -aS'had\thave\tVBD\tB-VP\tO' -p346892 -aS'normal\tnormal\tJJ\tB-NP\tO' -p346893 -aS'male\tmale\tJJ\tI-NP\tO' -p346894 -aS'genitalia\tgenitalia\tNN\tI-NP\tO' -p346895 -aS'with\twith\tIN\tB-PP\tO' -p346896 -aS'bilaterally\tbilaterally\tRB\tB-NP\tO' -p346897 -aS'descended\tdescend\tVBN\tI-NP\tO' -p346898 -aS'testes\ttestis\tNNS\tI-NP\tO' -p346899 -aS'.\t.\t.\tO\tO' -p346900 -asS'Echocardiogram showed 50% ejection fraction with mild mitral regurgitation .' -p346901 -(lp346902 -S'Echocardiogram\tEchocardiogram\tNN\tB-NP\tO' -p346903 -aS'showed\tshow\tVBD\tB-VP\tO' -p346904 -aS'50%\t50%\tCD\tB-NP\tO' -p346905 -aS'ejection\tejection\tNN\tI-NP\tO' -p346906 -aS'fraction\tfraction\tNN\tI-NP\tO' -p346907 -aS'with\twith\tIN\tB-PP\tO' -p346908 -aS'mild\tmild\tJJ\tB-NP\tO' -p346909 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p346910 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p346911 -aS'.\t.\t.\tO\tO' -p346912 -asS'Now sent in to Amesbury by VNA because of asymptomatic sinus tachycardia .' -p346913 -(lp346914 -S'Now\tNow\tRB\tB-ADVP\tO' -p346915 -aS'sent\tsend\tVBN\tB-VP\tO' -p346916 -aS'in\tin\tRP\tB-PRT\tO' -p346917 -aS'to\tto\tTO\tB-PP\tO' -p346918 -aS'Amesbury\tAmesbury\tNNP\tB-NP\tO' -p346919 -aS'by\tby\tIN\tB-PP\tO' -p346920 -aS'VNA\tVNA\tNN\tB-NP\tB-protein' -p346921 -aS'because\tbecause\tIN\tB-PP\tO' -p346922 -aS'of\tof\tIN\tI-PP\tO' -p346923 -aS'asymptomatic\tasymptomatic\tJJ\tB-NP\tO' -p346924 -aS'sinus\tsinus\tNN\tI-NP\tO' -p346925 -aS'tachycardia\ttachycardia\tNN\tI-NP\tO' -p346926 -aS'.\t.\t.\tO\tO' -p346927 -asS'The initial part to this Discharge Summary confirmation number was 276836 ( I believe ) .' -p346928 -(lp346929 -S'The\tThe\tDT\tB-NP\tO' -p346930 -aS'initial\tinitial\tJJ\tI-NP\tO' -p346931 -aS'part\tpart\tNN\tI-NP\tO' -p346932 -aS'to\tto\tTO\tB-PP\tO' -p346933 -aS'this\tthis\tDT\tB-NP\tO' -p346934 -aS'Discharge\tDischarge\tNN\tI-NP\tO' -p346935 -aS'Summary\tSummary\tJJ\tI-NP\tO' -p346936 -aS'confirmation\tconfirmation\tNN\tI-NP\tO' -p346937 -aS'number\tnumber\tNN\tI-NP\tO' -p346938 -aS'was\tbe\tVBD\tB-VP\tO' -p346939 -aS'276836\t276836\tCD\tB-NP\tO' -p346940 -aS'(\t(\t(\tO\tO' -p346941 -aS'I\tI\tPRP\tB-NP\tO' -p346942 -aS'believe\tbelieve\tVBP\tB-VP\tO' -p346943 -aS')\t)\t)\tO\tO' -p346944 -aS'.\t.\t.\tO\tO' -p346945 -asS'The patient was transferred back to the general medicine service where she continued to exhibit signs of chronic obstructive pulmonary disease exacerbation and nebulizers , steroids and antibiotics were continued .' -p346946 -(lp346947 -S'The\tThe\tDT\tB-NP\tO' -p346948 -aS'patient\tpatient\tNN\tI-NP\tO' -p346949 -aS'was\tbe\tVBD\tB-VP\tO' -p346950 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p346951 -aS'back\tback\tRB\tB-ADVP\tO' -p346952 -aS'to\tto\tTO\tB-PP\tO' -p346953 -aS'the\tthe\tDT\tB-NP\tO' -p346954 -aS'general\tgeneral\tJJ\tI-NP\tO' -p346955 -aS'medicine\tmedicine\tNN\tI-NP\tO' -p346956 -aS'service\tservice\tNN\tI-NP\tO' -p346957 -aS'where\twhere\tWRB\tB-ADVP\tO' -p346958 -aS'she\tshe\tPRP\tB-NP\tO' -p346959 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p346960 -aS'to\tto\tTO\tI-VP\tO' -p346961 -aS'exhibit\texhibit\tVB\tI-VP\tO' -p346962 -aS'signs\tsign\tNNS\tB-NP\tO' -p346963 -aS'of\tof\tIN\tB-PP\tO' -p346964 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p346965 -aS'obstructive\tobstructive\tJJ\tI-NP\tO' -p346966 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p346967 -aS'disease\tdisease\tNN\tI-NP\tO' -p346968 -aS'exacerbation\texacerbation\tNN\tI-NP\tO' -p346969 -aS'and\tand\tCC\tI-NP\tO' -p346970 -aS'nebulizers\tnebulizer\tNNS\tI-NP\tO' -p346971 -aS',\t,\t,\tI-NP\tO' -p346972 -aS'steroids\tsteroid\tNNS\tI-NP\tO' -p346973 -aS'and\tand\tCC\tI-NP\tO' -p346974 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p346975 -aS'were\tbe\tVBD\tB-VP\tO' -p346976 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p346977 -aS'.\t.\t.\tO\tO' -p346978 -asS'Ciprofloxacin 500 mg. po. q12 .' -p346979 -(lp346980 -S'Ciprofloxacin\tCiprofloxacin\tNN\tB-NP\tO' -p346981 -aS'500\t500\tCD\tI-NP\tO' -p346982 -aS'mg.\tmg.\tNN\tI-NP\tO' -p346983 -aS'po.\tpo.\tNN\tI-NP\tO' -p346984 -aS'q12\tq12\tNN\tI-NP\tO' -p346985 -aS'.\t.\t.\tO\tO' -p346986 -asS"Patient 's last admission was significant for a negative ex-lap ." -p346987 -(lp346988 -S'Patient\tPatient\tNNP\tB-NP\tO' -p346989 -aS"'s\t's\tPOS\tB-NP\tO" -p346990 -aS'last\tlast\tJJ\tI-NP\tO' -p346991 -aS'admission\tadmission\tNN\tI-NP\tO' -p346992 -aS'was\tbe\tVBD\tB-VP\tO' -p346993 -aS'significant\tsignificant\tJJ\tB-ADJP\tO' -p346994 -aS'for\tfor\tIN\tB-PP\tO' -p346995 -aS'a\ta\tDT\tB-NP\tO' -p346996 -aS'negative\tnegative\tJJ\tI-NP\tO' -p346997 -aS'ex-lap\tex-lap\tNN\tI-NP\tO' -p346998 -aS'.\t.\t.\tO\tO' -p346999 -asS'He reports severe dyspnea on exertion .' -p347000 -(lp347001 -S'He\tHe\tPRP\tB-NP\tO' -p347002 -aS'reports\treport\tVBZ\tB-VP\tO' -p347003 -aS'severe\tsevere\tJJ\tB-NP\tO' -p347004 -aS'dyspnea\tdyspnea\tNN\tI-NP\tO' -p347005 -aS'on\ton\tIN\tB-PP\tO' -p347006 -aS'exertion\texertion\tNN\tB-NP\tO' -p347007 -aS'.\t.\t.\tO\tO' -p347008 -asS'1. Continue ad lib feeding .' -p347009 -(lp347010 -S'1.\t1.\tLS\tB-NP\tO' -p347011 -aS'Continue\tContinue\tNN\tI-NP\tO' -p347012 -aS'ad\tad\tNN\tI-NP\tO' -p347013 -aS'lib\tlib\tNN\tI-NP\tO' -p347014 -aS'feeding\tfeeding\tNN\tI-NP\tO' -p347015 -aS'.\t.\t.\tO\tO' -p347016 -asS'Abdomen is soft , nontender with a pulsatile mass in the epigastrium .' -p347017 -(lp347018 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p347019 -aS'is\tbe\tVBZ\tB-VP\tO' -p347020 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p347021 -aS',\t,\t,\tO\tO' -p347022 -aS'nontender\tnontender\tJJ\tB-ADJP\tO' -p347023 -aS'with\twith\tIN\tB-PP\tO' -p347024 -aS'a\ta\tDT\tB-NP\tO' -p347025 -aS'pulsatile\tpulsatile\tJJ\tI-NP\tO' -p347026 -aS'mass\tmass\tNN\tI-NP\tO' -p347027 -aS'in\tin\tIN\tB-PP\tO' -p347028 -aS'the\tthe\tDT\tB-NP\tO' -p347029 -aS'epigastrium\tepigastrium\tNN\tI-NP\tO' -p347030 -aS'.\t.\t.\tO\tO' -p347031 -asS'Rectal bleeding from inferior mesenteric artery tributaries supplying sigmoid colon .' -p347032 -(lp347033 -S'Rectal\tRectal\tJJ\tB-NP\tO' -p347034 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p347035 -aS'from\tfrom\tIN\tB-PP\tO' -p347036 -aS'inferior\tinferior\tJJ\tB-NP\tO' -p347037 -aS'mesenteric\tmesenteric\tJJ\tI-NP\tO' -p347038 -aS'artery\tartery\tNN\tI-NP\tO' -p347039 -aS'tributaries\ttributary\tNNS\tI-NP\tO' -p347040 -aS'supplying\tsupply\tVBG\tB-VP\tO' -p347041 -aS'sigmoid\tsigmoid\tJJ\tB-NP\tO' -p347042 -aS'colon\tcolon\tNN\tI-NP\tO' -p347043 -aS'.\t.\t.\tO\tO' -p347044 -asS'Postoperative laboratories revealed sodium was 134 , potassium was 4.1 , chloride was 102 , bicarbonate was 28 , blood urea nitrogen was 18 , creatinine was 0.8 , and glucose was 148 .' -p347045 -(lp347046 -S'Postoperative\tPostoperative\tJJ\tB-NP\tO' -p347047 -aS'laboratories\tlaboratory\tNNS\tI-NP\tO' -p347048 -aS'revealed\treveal\tVBD\tB-VP\tO' -p347049 -aS'sodium\tsodium\tNN\tB-NP\tO' -p347050 -aS'was\tbe\tVBD\tB-VP\tO' -p347051 -aS'134\t134\tCD\tB-NP\tO' -p347052 -aS',\t,\t,\tO\tO' -p347053 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p347054 -aS'was\tbe\tVBD\tB-VP\tO' -p347055 -aS'4.1\t4.1\tCD\tB-NP\tO' -p347056 -aS',\t,\t,\tO\tO' -p347057 -aS'chloride\tchloride\tNN\tB-NP\tO' -p347058 -aS'was\tbe\tVBD\tB-VP\tO' -p347059 -aS'102\t102\tCD\tB-NP\tO' -p347060 -aS',\t,\t,\tO\tO' -p347061 -aS'bicarbonate\tbicarbonate\tNN\tB-NP\tO' -p347062 -aS'was\tbe\tVBD\tB-VP\tO' -p347063 -aS'28\t28\tCD\tB-NP\tO' -p347064 -aS',\t,\t,\tO\tO' -p347065 -aS'blood\tblood\tNN\tB-NP\tO' -p347066 -aS'urea\turea\tNN\tI-NP\tO' -p347067 -aS'nitrogen\tnitrogen\tNN\tI-NP\tO' -p347068 -aS'was\tbe\tVBD\tB-VP\tO' -p347069 -aS'18\t18\tCD\tB-NP\tO' -p347070 -aS',\t,\t,\tO\tO' -p347071 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p347072 -aS'was\tbe\tVBD\tB-VP\tO' -p347073 -aS'0.8\t0.8\tCD\tB-NP\tO' -p347074 -aS',\t,\t,\tO\tO' -p347075 -aS'and\tand\tCC\tO\tO' -p347076 -aS'glucose\tglucose\tNN\tB-NP\tB-protein' -p347077 -aS'was\tbe\tVBD\tB-VP\tI-protein' -p347078 -aS'148\t148\tCD\tB-NP\tI-protein' -p347079 -aS'.\t.\t.\tO\tO' -p347080 -asS'Because of her age and mental condition and the fact that she had cerebral atrophy , the decision was made for comfort unless she has any further problem and no further chemotherapy or treatment will be given .' -p347081 -(lp347082 -S'Because\tBecause\tIN\tB-PP\tO' -p347083 -aS'of\tof\tIN\tI-PP\tO' -p347084 -aS'her\ther\tPRP$\tB-NP\tO' -p347085 -aS'age\tage\tNN\tI-NP\tO' -p347086 -aS'and\tand\tCC\tI-NP\tO' -p347087 -aS'mental\tmental\tJJ\tI-NP\tO' -p347088 -aS'condition\tcondition\tNN\tI-NP\tO' -p347089 -aS'and\tand\tCC\tO\tO' -p347090 -aS'the\tthe\tDT\tB-NP\tO' -p347091 -aS'fact\tfact\tNN\tI-NP\tO' -p347092 -aS'that\tthat\tIN\tB-SBAR\tO' -p347093 -aS'she\tshe\tPRP\tB-NP\tO' -p347094 -aS'had\thave\tVBD\tB-VP\tO' -p347095 -aS'cerebral\tcerebral\tJJ\tB-NP\tO' -p347096 -aS'atrophy\tatrophy\tNN\tI-NP\tO' -p347097 -aS',\t,\t,\tO\tO' -p347098 -aS'the\tthe\tDT\tB-NP\tO' -p347099 -aS'decision\tdecision\tNN\tI-NP\tO' -p347100 -aS'was\tbe\tVBD\tB-VP\tO' -p347101 -aS'made\tmake\tVBN\tI-VP\tO' -p347102 -aS'for\tfor\tIN\tB-PP\tO' -p347103 -aS'comfort\tcomfort\tNN\tB-NP\tO' -p347104 -aS'unless\tunless\tIN\tB-SBAR\tO' -p347105 -aS'she\tshe\tPRP\tB-NP\tO' -p347106 -aS'has\thave\tVBZ\tB-VP\tO' -p347107 -aS'any\tany\tDT\tB-NP\tO' -p347108 -aS'further\tfurther\tJJ\tI-NP\tO' -p347109 -aS'problem\tproblem\tNN\tI-NP\tO' -p347110 -aS'and\tand\tCC\tO\tO' -p347111 -aS'no\tno\tDT\tB-NP\tO' -p347112 -aS'further\tfurther\tJJ\tI-NP\tO' -p347113 -aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' -p347114 -aS'or\tor\tCC\tI-NP\tO' -p347115 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p347116 -aS'will\twill\tMD\tB-VP\tO' -p347117 -aS'be\tbe\tVB\tI-VP\tO' -p347118 -aS'given\tgive\tVBN\tI-VP\tO' -p347119 -aS'.\t.\t.\tO\tO' -p347120 -asS'She was discharged on 11/03/2004 at 11:18 am in good condition .' -p347121 -(lp347122 -S'She\tShe\tPRP\tB-NP\tO' -p347123 -aS'was\tbe\tVBD\tB-VP\tO' -p347124 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p347125 -aS'on\ton\tIN\tB-PP\tO' -p347126 -aS'11/03/2004\t11/03/2004\tCD\tB-NP\tO' -p347127 -aS'at\tat\tIN\tB-PP\tO' -p347128 -aS'11:18\t11:18\tCD\tB-NP\tO' -p347129 -aS'am\tam\tNN\tI-NP\tO' -p347130 -aS'in\tin\tIN\tB-PP\tO' -p347131 -aS'good\tgood\tJJ\tB-NP\tO' -p347132 -aS'condition\tcondition\tNN\tI-NP\tO' -p347133 -aS'.\t.\t.\tO\tO' -p347134 -asS'The patient was thus sent to GYN for further workup and is now here for surgical management of pelvic mass .' -p347135 -(lp347136 -S'The\tThe\tDT\tB-NP\tO' -p347137 -aS'patient\tpatient\tNN\tI-NP\tO' -p347138 -aS'was\tbe\tVBD\tB-VP\tO' -p347139 -aS'thus\tthus\tRB\tI-VP\tO' -p347140 -aS'sent\tsend\tVBN\tI-VP\tO' -p347141 -aS'to\tto\tTO\tB-PP\tO' -p347142 -aS'GYN\tGYN\tNN\tB-NP\tB-protein' -p347143 -aS'for\tfor\tIN\tB-PP\tO' -p347144 -aS'further\tfurther\tJJ\tB-NP\tO' -p347145 -aS'workup\tworkup\tNN\tI-NP\tO' -p347146 -aS'and\tand\tCC\tO\tO' -p347147 -aS'is\tbe\tVBZ\tB-VP\tO' -p347148 -aS'now\tnow\tRB\tB-ADVP\tO' -p347149 -aS'here\there\tRB\tB-ADVP\tO' -p347150 -aS'for\tfor\tIN\tB-PP\tO' -p347151 -aS'surgical\tsurgical\tJJ\tB-NP\tO' -p347152 -aS'management\tmanagement\tNN\tI-NP\tO' -p347153 -aS'of\tof\tIN\tB-PP\tO' -p347154 -aS'pelvic\tpelvic\tJJ\tB-NP\tO' -p347155 -aS'mass\tmass\tNN\tI-NP\tO' -p347156 -aS'.\t.\t.\tO\tO' -p347157 -asS"He received a one-to-one sitter during his admission and will be transferred to the Psychiatry HealthSouth New England Rehab Hospital to ensure the patient 's safety and initiate further antidepressant treatment ." -p347158 -(lp347159 -S'He\tHe\tPRP\tB-NP\tO' -p347160 -aS'received\treceive\tVBD\tB-VP\tO' -p347161 -aS'a\ta\tDT\tB-NP\tO' -p347162 -aS'one-to-one\tone-to-one\tJJ\tI-NP\tO' -p347163 -aS'sitter\tsitter\tNN\tI-NP\tO' -p347164 -aS'during\tduring\tIN\tB-PP\tO' -p347165 -aS'his\this\tPRP$\tB-NP\tO' -p347166 -aS'admission\tadmission\tNN\tI-NP\tO' -p347167 -aS'and\tand\tCC\tO\tO' -p347168 -aS'will\twill\tMD\tB-VP\tO' -p347169 -aS'be\tbe\tVB\tI-VP\tO' -p347170 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p347171 -aS'to\tto\tTO\tB-PP\tO' -p347172 -aS'the\tthe\tDT\tB-NP\tO' -p347173 -aS'Psychiatry\tPsychiatry\tNNP\tI-NP\tO' -p347174 -aS'HealthSouth\tHealthSouth\tNNP\tI-NP\tO' -p347175 -aS'New\tNew\tNNP\tI-NP\tO' -p347176 -aS'England\tEngland\tNNP\tI-NP\tO' -p347177 -aS'Rehab\tRehab\tNNP\tI-NP\tO' -p347178 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p347179 -aS'to\tto\tTO\tB-VP\tO' -p347180 -aS'ensure\tensure\tVB\tI-VP\tO' -p347181 -aS'the\tthe\tDT\tB-NP\tO' -p347182 -aS'patient\tpatient\tNN\tI-NP\tO' -p347183 -aS"'s\t's\tPOS\tB-NP\tO" -p347184 -aS'safety\tsafety\tNN\tI-NP\tO' -p347185 -aS'and\tand\tCC\tO\tO' -p347186 -aS'initiate\tinitiate\tVB\tB-VP\tO' -p347187 -aS'further\tfurther\tJJ\tB-NP\tO' -p347188 -aS'antidepressant\tantidepressant\tNN\tI-NP\tO' -p347189 -aS'treatment\ttreatment\tNN\tI-NP\tO' -p347190 -aS'.\t.\t.\tO\tO' -p347191 -asS'9. Protonix 20 mg po qd' -p347192 -(lp347193 -S'9.\t9.\tCD\tB-NP\tO' -p347194 -aS'Protonix\tProtonix\tNNP\tI-NP\tO' -p347195 -aS'20\t20\tCD\tI-NP\tO' -p347196 -aS'mg\tmg\tNN\tI-NP\tO' -p347197 -aS'po\tpo\tNN\tI-NP\tO' -p347198 -aS'qd\tqd\tNN\tI-NP\tO' -p347199 -asS'4. Ursodiol 600 mg po t.i.d.' -p347200 -(lp347201 -S'4.\t4.\tLS\tB-LST\tO' -p347202 -aS'Ursodiol\tUrsodiol\tNN\tB-NP\tO' -p347203 -aS'600\t600\tCD\tI-NP\tO' -p347204 -aS'mg\tmg\tNN\tI-NP\tO' -p347205 -aS'po\tpo\tNN\tI-NP\tO' -p347206 -aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' -p347207 -asS're-exploration ( 03-18 ) for developing necrotizing fascitis .' -p347208 -(lp347209 -S're-exploration\tre-exploration\tNN\tB-NP\tO' -p347210 -aS'(\t(\t(\tO\tO' -p347211 -aS'03-18\t03-18\tCD\tB-NP\tO' -p347212 -aS')\t)\t)\tO\tO' -p347213 -aS'for\tfor\tIN\tB-PP\tO' -p347214 -aS'developing\tdevelop\tVBG\tB-VP\tO' -p347215 -aS'necrotizing\tnecrotize\tVBG\tB-NP\tO' -p347216 -aS'fascitis\tfascitis\tNN\tI-NP\tO' -p347217 -aS'.\t.\t.\tO\tO' -p347218 -asS'She was arousable only to painful stimuli .' -p347219 -(lp347220 -S'She\tShe\tPRP\tB-NP\tO' -p347221 -aS'was\tbe\tVBD\tB-VP\tO' -p347222 -aS'arousable\tarousable\tJJ\tB-ADJP\tO' -p347223 -aS'only\tonly\tRB\tB-ADVP\tO' -p347224 -aS'to\tto\tTO\tB-PP\tO' -p347225 -aS'painful\tpainful\tJJ\tB-NP\tO' -p347226 -aS'stimuli\tstimulus\tNNS\tI-NP\tO' -p347227 -aS'.\t.\t.\tO\tO' -p347228 -asS"Also , pt 's strength has been declining over the past 2 weeks ." -p347229 -(lp347230 -S'Also\tAlso\tRB\tB-ADVP\tO' -p347231 -aS',\t,\t,\tO\tO' -p347232 -aS'pt\tpt\tNN\tB-NP\tO' -p347233 -aS"'s\t's\tPOS\tB-NP\tO" -p347234 -aS'strength\tstrength\tNN\tI-NP\tO' -p347235 -aS'has\thave\tVBZ\tB-VP\tO' -p347236 -aS'been\tbe\tVBN\tI-VP\tO' -p347237 -aS'declining\tdecline\tVBG\tI-VP\tO' -p347238 -aS'over\tover\tIN\tB-PP\tO' -p347239 -aS'the\tthe\tDT\tB-NP\tO' -p347240 -aS'past\tpast\tJJ\tI-NP\tB-protein' -p347241 -aS'2\t2\tCD\tI-NP\tI-protein' -p347242 -aS'weeks\tweek\tNNS\tI-NP\tI-protein' -p347243 -aS'.\t.\t.\tO\tO' -p347244 -asS'TIA in 1998 .' -p347245 -(lp347246 -S'TIA\tTIA\tNN\tB-NP\tO' -p347247 -aS'in\tin\tIN\tB-PP\tO' -p347248 -aS'1998\t1998\tCD\tB-NP\tO' -p347249 -aS'.\t.\t.\tO\tO' -p347250 -asS'His digoxin was held and his metoprolol was titrated down from his home dose .' -p347251 -(lp347252 -S'His\tHis\tPRP$\tB-NP\tO' -p347253 -aS'digoxin\tdigoxin\tNN\tI-NP\tO' -p347254 -aS'was\tbe\tVBD\tB-VP\tO' -p347255 -aS'held\thold\tVBN\tI-VP\tO' -p347256 -aS'and\tand\tCC\tO\tO' -p347257 -aS'his\this\tPRP$\tB-NP\tO' -p347258 -aS'metoprolol\tmetoprolol\tNN\tI-NP\tO' -p347259 -aS'was\tbe\tVBD\tB-VP\tO' -p347260 -aS'titrated\ttitrate\tVBN\tI-VP\tO' -p347261 -aS'down\tdown\tRB\tB-ADVP\tO' -p347262 -aS'from\tfrom\tIN\tB-PP\tO' -p347263 -aS'his\this\tPRP$\tB-NP\tO' -p347264 -aS'home\thome\tNN\tI-NP\tO' -p347265 -aS'dose\tdose\tNN\tI-NP\tO' -p347266 -aS'.\t.\t.\tO\tO' -p347267 -asS'Dr. Linke recommended chemotherapy with PFL .' -p347268 -(lp347269 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p347270 -aS'Linke\tLinke\tNNP\tI-NP\tO' -p347271 -aS'recommended\trecommend\tVBD\tB-VP\tO' -p347272 -aS'chemotherapy\tchemotherapy\tNN\tB-NP\tO' -p347273 -aS'with\twith\tIN\tB-PP\tO' -p347274 -aS'PFL\tPFL\tNN\tB-NP\tB-protein' -p347275 -aS'.\t.\t.\tO\tO' -p347276 -asS'Ultimately , the patient was discharged on postoperative day number six tolerating a regular diet , adequate pain control on p.o. pain medications , and ambulating well with clearance of physical therapy .' -p347277 -(lp347278 -S'Ultimately\tUltimately\tRB\tB-ADVP\tO' -p347279 -aS',\t,\t,\tO\tO' -p347280 -aS'the\tthe\tDT\tB-NP\tO' -p347281 -aS'patient\tpatient\tNN\tI-NP\tO' -p347282 -aS'was\tbe\tVBD\tB-VP\tO' -p347283 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p347284 -aS'on\ton\tIN\tB-PP\tO' -p347285 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p347286 -aS'day\tday\tNN\tI-NP\tO' -p347287 -aS'number\tnumber\tNN\tI-NP\tO' -p347288 -aS'six\tsix\tCD\tI-NP\tO' -p347289 -aS'tolerating\ttolerate\tVBG\tB-VP\tO' -p347290 -aS'a\ta\tDT\tB-NP\tO' -p347291 -aS'regular\tregular\tJJ\tI-NP\tO' -p347292 -aS'diet\tdiet\tNN\tI-NP\tO' -p347293 -aS',\t,\t,\tO\tO' -p347294 -aS'adequate\tadequate\tJJ\tB-NP\tO' -p347295 -aS'pain\tpain\tNN\tI-NP\tO' -p347296 -aS'control\tcontrol\tNN\tI-NP\tO' -p347297 -aS'on\ton\tIN\tB-PP\tO' -p347298 -aS'p.o.\tp.o.\tFW\tB-NP\tO' -p347299 -aS'pain\tpain\tNN\tI-NP\tO' -p347300 -aS'medications\tmedication\tNNS\tI-NP\tO' -p347301 -aS',\t,\t,\tO\tO' -p347302 -aS'and\tand\tCC\tO\tO' -p347303 -aS'ambulating\tambulate\tVBG\tB-VP\tO' -p347304 -aS'well\twell\tRB\tB-ADVP\tO' -p347305 -aS'with\twith\tIN\tB-PP\tO' -p347306 -aS'clearance\tclearance\tNN\tB-NP\tO' -p347307 -aS'of\tof\tIN\tB-PP\tO' -p347308 -aS'physical\tphysical\tJJ\tB-NP\tO' -p347309 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p347310 -aS'.\t.\t.\tO\tO' -p347311 -asS'The patient has multiple decubiti over his body , in particular his perineum and buttocks have large decubiti .' -p347312 -(lp347313 -S'The\tThe\tDT\tB-NP\tO' -p347314 -aS'patient\tpatient\tNN\tI-NP\tO' -p347315 -aS'has\thave\tVBZ\tB-VP\tO' -p347316 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p347317 -aS'decubiti\tdecubiti\tNN\tI-NP\tO' -p347318 -aS'over\tover\tIN\tB-PP\tO' -p347319 -aS'his\this\tPRP$\tB-NP\tO' -p347320 -aS'body\tbody\tNN\tI-NP\tO' -p347321 -aS',\t,\t,\tO\tO' -p347322 -aS'in\tin\tIN\tB-PP\tO' -p347323 -aS'particular\tparticular\tJJ\tB-NP\tO' -p347324 -aS'his\this\tPRP$\tI-NP\tO' -p347325 -aS'perineum\tperineum\tNN\tI-NP\tO' -p347326 -aS'and\tand\tCC\tI-NP\tO' -p347327 -aS'buttocks\tbuttock\tNNS\tI-NP\tO' -p347328 -aS'have\thave\tVBP\tB-VP\tO' -p347329 -aS'large\tlarge\tJJ\tB-NP\tO' -p347330 -aS'decubiti\tdecubiti\tNNS\tI-NP\tO' -p347331 -aS'.\t.\t.\tO\tO' -p347332 -asS'The patient also desaturated to the low 80 s and was started on a non-rebreather mask .' -p347333 -(lp347334 -S'The\tThe\tDT\tB-NP\tO' -p347335 -aS'patient\tpatient\tNN\tI-NP\tO' -p347336 -aS'also\talso\tRB\tB-VP\tO' -p347337 -aS'desaturated\tdesaturate\tVBN\tI-VP\tO' -p347338 -aS'to\tto\tTO\tB-PP\tO' -p347339 -aS'the\tthe\tDT\tB-NP\tO' -p347340 -aS'low\tlow\tJJ\tI-NP\tO' -p347341 -aS'80\t80\tCD\tI-NP\tO' -p347342 -aS's\ts\tNN\tI-NP\tO' -p347343 -aS'and\tand\tCC\tO\tO' -p347344 -aS'was\tbe\tVBD\tB-VP\tO' -p347345 -aS'started\tstart\tVBN\tI-VP\tO' -p347346 -aS'on\ton\tIN\tB-PP\tO' -p347347 -aS'a\ta\tDT\tB-NP\tO' -p347348 -aS'non-rebreather\tnon-rebreather\tJJ\tI-NP\tB-protein' -p347349 -aS'mask\tmask\tNN\tI-NP\tI-protein' -p347350 -aS'.\t.\t.\tO\tO' -p347351 -asS'Sputum cultures were negative .' -p347352 -(lp347353 -S'Sputum\tSputum\tNN\tB-NP\tO' -p347354 -aS'cultures\tculture\tNNS\tI-NP\tO' -p347355 -aS'were\tbe\tVBD\tB-VP\tO' -p347356 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p347357 -aS'.\t.\t.\tO\tO' -p347358 -asS'We discussed the risks with his family .' -p347359 -(lp347360 -S'We\tWe\tPRP\tB-NP\tO' -p347361 -aS'discussed\tdiscuss\tVBD\tB-VP\tO' -p347362 -aS'the\tthe\tDT\tB-NP\tO' -p347363 -aS'risks\trisk\tNNS\tI-NP\tO' -p347364 -aS'with\twith\tIN\tB-PP\tO' -p347365 -aS'his\this\tPRP$\tB-NP\tO' -p347366 -aS'family\tfamily\tNN\tI-NP\tO' -p347367 -aS'.\t.\t.\tO\tO' -p347368 -asS'Condition on discharge was stable .' -p347369 -(lp347370 -S'Condition\tCondition\tNN\tB-NP\tO' -p347371 -aS'on\ton\tIN\tB-PP\tO' -p347372 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p347373 -aS'was\tbe\tVBD\tB-VP\tO' -p347374 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p347375 -aS'.\t.\t.\tO\tO' -p347376 -asS'Testosterone 4 mg q. 24 hours .' -p347377 -(lp347378 -S'Testosterone\tTestosterone\tNN\tB-NP\tB-protein' -p347379 -aS'4\t4\tCD\tI-NP\tI-protein' -p347380 -aS'mg\tmg\tNN\tI-NP\tI-protein' -p347381 -aS'q.\tq.\tNN\tI-NP\tI-protein' -p347382 -aS'24\t24\tCD\tB-NP\tI-protein' -p347383 -aS'hours\thour\tNNS\tI-NP\tI-protein' -p347384 -aS'.\t.\t.\tO\tO' -p347385 -asS'Head CT was negative for acute bleed , mass effect , or stroke .' -p347386 -(lp347387 -S'Head\tHead\tNN\tB-NP\tO' -p347388 -aS'CT\tCT\tNN\tI-NP\tO' -p347389 -aS'was\tbe\tVBD\tB-VP\tO' -p347390 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p347391 -aS'for\tfor\tIN\tB-PP\tO' -p347392 -aS'acute\tacute\tJJ\tB-NP\tO' -p347393 -aS'bleed\tbleed\tNN\tI-NP\tO' -p347394 -aS',\t,\t,\tO\tO' -p347395 -aS'mass\tmass\tNN\tB-NP\tO' -p347396 -aS'effect\teffect\tNN\tI-NP\tO' -p347397 -aS',\t,\t,\tO\tO' -p347398 -aS'or\tor\tCC\tO\tO' -p347399 -aS'stroke\tstroke\tNN\tB-NP\tO' -p347400 -aS'.\t.\t.\tO\tO' -p347401 -asS'There is a history of childhood abuse .' -p347402 -(lp347403 -S'There\tThere\tEX\tB-NP\tO' -p347404 -aS'is\tbe\tVBZ\tB-VP\tO' -p347405 -aS'a\ta\tDT\tB-NP\tO' -p347406 -aS'history\thistory\tNN\tI-NP\tO' -p347407 -aS'of\tof\tIN\tB-PP\tO' -p347408 -aS'childhood\tchildhood\tNN\tB-NP\tO' -p347409 -aS'abuse\tabuse\tNN\tI-NP\tO' -p347410 -aS'.\t.\t.\tO\tO' -p347411 -asS'This patient is an seventy eight year old female with history of peripheral vascular disease who is status post above knee to fem pop bypass graft with 6 millimeter PTFE .' -p347412 -(lp347413 -S'This\tThis\tDT\tB-NP\tO' -p347414 -aS'patient\tpatient\tNN\tI-NP\tO' -p347415 -aS'is\tbe\tVBZ\tB-VP\tO' -p347416 -aS'an\tan\tDT\tB-NP\tO' -p347417 -aS'seventy\tseventy\tJJ\tI-NP\tO' -p347418 -aS'eight\teight\tCD\tI-NP\tO' -p347419 -aS'year\tyear\tNN\tI-NP\tO' -p347420 -aS'old\told\tJJ\tI-NP\tO' -p347421 -aS'female\tfemale\tNN\tI-NP\tO' -p347422 -aS'with\twith\tIN\tB-PP\tO' -p347423 -aS'history\thistory\tNN\tB-NP\tO' -p347424 -aS'of\tof\tIN\tB-PP\tO' -p347425 -aS'peripheral\tperipheral\tJJ\tB-NP\tO' -p347426 -aS'vascular\tvascular\tJJ\tI-NP\tO' -p347427 -aS'disease\tdisease\tNN\tI-NP\tO' -p347428 -aS'who\twho\tWP\tB-NP\tO' -p347429 -aS'is\tbe\tVBZ\tB-VP\tO' -p347430 -aS'status\tstatus\tNN\tB-NP\tO' -p347431 -aS'post\tpost\tNN\tI-NP\tO' -p347432 -aS'above\tabove\tIN\tB-PP\tO' -p347433 -aS'knee\tknee\tNN\tB-NP\tO' -p347434 -aS'to\tto\tTO\tB-VP\tO' -p347435 -aS'fem\tfem\tVB\tI-VP\tO' -p347436 -aS'pop\tpop\tNN\tB-NP\tO' -p347437 -aS'bypass\tbypass\tIN\tB-PP\tO' -p347438 -aS'graft\tgraft\tNN\tB-NP\tO' -p347439 -aS'with\twith\tIN\tB-PP\tO' -p347440 -aS'6\t6\tCD\tB-NP\tO' -p347441 -aS'millimeter\tmillimeter\tNN\tI-NP\tO' -p347442 -aS'PTFE\tPTFE\tNN\tI-NP\tO' -p347443 -aS'.\t.\t.\tO\tO' -p347444 -asS'The pneumocephalus adjacent to the linear skull fracture appears to have decreased in size .' -p347445 -(lp347446 -S'The\tThe\tDT\tB-NP\tO' -p347447 -aS'pneumocephalus\tpneumocephalus\tNN\tI-NP\tO' -p347448 -aS'adjacent\tadjacent\tJJ\tB-ADJP\tO' -p347449 -aS'to\tto\tTO\tB-PP\tO' -p347450 -aS'the\tthe\tDT\tB-NP\tO' -p347451 -aS'linear\tlinear\tJJ\tI-NP\tO' -p347452 -aS'skull\tskull\tNN\tI-NP\tO' -p347453 -aS'fracture\tfracture\tNN\tI-NP\tO' -p347454 -aS'appears\tappear\tVBZ\tB-VP\tO' -p347455 -aS'to\tto\tTO\tI-VP\tO' -p347456 -aS'have\thave\tVB\tI-VP\tO' -p347457 -aS'decreased\tdecrease\tVBN\tI-VP\tO' -p347458 -aS'in\tin\tIN\tB-PP\tO' -p347459 -aS'size\tsize\tNN\tB-NP\tO' -p347460 -aS'.\t.\t.\tO\tO' -p347461 -asS"The patient was instructed to followup with Dr. Naco Mesprhalt of the Infectious Disease Service by calling her office for an appointment at 094-902-2879 to be seen in approximately four weeks following the patient 's discharge ." -p347462 -(lp347463 -S'The\tThe\tDT\tB-NP\tO' -p347464 -aS'patient\tpatient\tNN\tI-NP\tO' -p347465 -aS'was\tbe\tVBD\tB-VP\tO' -p347466 -aS'instructed\tinstruct\tVBN\tI-VP\tO' -p347467 -aS'to\tto\tTO\tI-VP\tO' -p347468 -aS'followup\tfollowup\tVB\tI-VP\tO' -p347469 -aS'with\twith\tIN\tB-PP\tO' -p347470 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p347471 -aS'Naco\tNaco\tNNP\tI-NP\tO' -p347472 -aS'Mesprhalt\tMesprhalt\tNNP\tI-NP\tO' -p347473 -aS'of\tof\tIN\tB-PP\tO' -p347474 -aS'the\tthe\tDT\tB-NP\tO' -p347475 -aS'Infectious\tInfectious\tNNP\tI-NP\tO' -p347476 -aS'Disease\tDisease\tNNP\tI-NP\tO' -p347477 -aS'Service\tService\tNNP\tI-NP\tO' -p347478 -aS'by\tby\tIN\tB-PP\tO' -p347479 -aS'calling\tcall\tVBG\tB-VP\tO' -p347480 -aS'her\ther\tPRP$\tB-NP\tO' -p347481 -aS'office\toffice\tNN\tI-NP\tO' -p347482 -aS'for\tfor\tIN\tB-PP\tO' -p347483 -aS'an\tan\tDT\tB-NP\tO' -p347484 -aS'appointment\tappointment\tNN\tI-NP\tO' -p347485 -aS'at\tat\tIN\tB-PP\tO' -p347486 -aS'094-902-2879\t094-902-2879\tCD\tB-NP\tO' -p347487 -aS'to\tto\tTO\tB-VP\tO' -p347488 -aS'be\tbe\tVB\tI-VP\tO' -p347489 -aS'seen\tsee\tVBN\tI-VP\tO' -p347490 -aS'in\tin\tIN\tB-PP\tO' -p347491 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p347492 -aS'four\tfour\tCD\tI-NP\tO' -p347493 -aS'weeks\tweek\tNNS\tI-NP\tO' -p347494 -aS'following\tfollow\tVBG\tB-PP\tO' -p347495 -aS'the\tthe\tDT\tB-NP\tO' -p347496 -aS'patient\tpatient\tNN\tI-NP\tO' -p347497 -aS"'s\t's\tPOS\tB-NP\tO" -p347498 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p347499 -aS'.\t.\t.\tO\tO' -p347500 -asS'She was maintained on heparin therapy initially but this was quickly switched over to Coumadin anticoagulation therapy which she will need to be on long-term for her aortic valve replacement .' -p347501 -(lp347502 -S'She\tShe\tPRP\tB-NP\tO' -p347503 -aS'was\tbe\tVBD\tB-VP\tO' -p347504 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p347505 -aS'on\ton\tIN\tB-PP\tO' -p347506 -aS'heparin\theparin\tNN\tB-NP\tO' -p347507 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p347508 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p347509 -aS'but\tbut\tCC\tO\tO' -p347510 -aS'this\tthis\tDT\tB-NP\tO' -p347511 -aS'was\tbe\tVBD\tB-VP\tO' -p347512 -aS'quickly\tquickly\tRB\tI-VP\tO' -p347513 -aS'switched\tswitch\tVBN\tI-VP\tO' -p347514 -aS'over\tover\tRP\tB-PRT\tO' -p347515 -aS'to\tto\tTO\tB-PP\tO' -p347516 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p347517 -aS'anticoagulation\tanticoagulation\tNN\tI-NP\tO' -p347518 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p347519 -aS'which\twhich\tWDT\tB-NP\tO' -p347520 -aS'she\tshe\tPRP\tB-NP\tO' -p347521 -aS'will\twill\tMD\tB-VP\tO' -p347522 -aS'need\tneed\tVB\tI-VP\tO' -p347523 -aS'to\tto\tTO\tI-VP\tO' -p347524 -aS'be\tbe\tVB\tI-VP\tO' -p347525 -aS'on\ton\tIN\tB-PP\tO' -p347526 -aS'long-term\tlong-term\tJJ\tB-ADJP\tO' -p347527 -aS'for\tfor\tIN\tB-PP\tO' -p347528 -aS'her\ther\tPRP$\tB-NP\tO' -p347529 -aS'aortic\taortic\tJJ\tI-NP\tO' -p347530 -aS'valve\tvalve\tNN\tI-NP\tO' -p347531 -aS'replacement\treplacement\tNN\tI-NP\tO' -p347532 -aS'.\t.\t.\tO\tO' -p347533 -asS'2. Morbid obesity .' -p347534 -(lp347535 -S'2.\t2.\tLS\tB-NP\tO' -p347536 -aS'Morbid\tMorbid\tNN\tI-NP\tO' -p347537 -aS'obesity\tobesity\tNN\tI-NP\tO' -p347538 -aS'.\t.\t.\tO\tO' -p347539 -asS'2. Acetaminophen 325 mg Tablet Sig : 1-2 Tablets PO Q4-6H ( every 4 to 6 hours ) as needed .' -p347540 -(lp347541 -S'2.\t2.\tCD\tB-NP\tO' -p347542 -aS'Acetaminophen\tAcetaminophen\tNN\tI-NP\tO' -p347543 -aS'325\t325\tCD\tB-NP\tO' -p347544 -aS'mg\tmg\tNN\tI-NP\tO' -p347545 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p347546 -aS'Sig\tSig\tNNP\tI-NP\tO' -p347547 -aS':\t:\t:\tO\tO' -p347548 -aS'1-2\t1-2\tCD\tB-NP\tO' -p347549 -aS'Tablets\tTablet\tNNS\tI-NP\tO' -p347550 -aS'PO\tPO\tNN\tI-NP\tO' -p347551 -aS'Q4-6H\tQ4-6H\tNN\tI-NP\tO' -p347552 -aS'(\t(\t(\tO\tO' -p347553 -aS'every\tevery\tDT\tB-NP\tO' -p347554 -aS'4\t4\tCD\tI-NP\tO' -p347555 -aS'to\tto\tTO\tI-NP\tO' -p347556 -aS'6\t6\tCD\tI-NP\tO' -p347557 -aS'hours\thour\tNNS\tI-NP\tO' -p347558 -aS')\t)\t)\tO\tO' -p347559 -aS'as\tas\tIN\tB-SBAR\tO' -p347560 -aS'needed\tneed\tVBN\tB-VP\tO' -p347561 -aS'.\t.\t.\tO\tO' -p347562 -asS'The patient continues to be diuresed with approximately 20 mg of Lasix a day and she has had good urine output .' -p347563 -(lp347564 -S'The\tThe\tDT\tB-NP\tO' -p347565 -aS'patient\tpatient\tNN\tI-NP\tO' -p347566 -aS'continues\tcontinue\tVBZ\tB-VP\tO' -p347567 -aS'to\tto\tTO\tI-VP\tO' -p347568 -aS'be\tbe\tVB\tI-VP\tO' -p347569 -aS'diuresed\tdiurese\tVBN\tI-VP\tO' -p347570 -aS'with\twith\tIN\tB-PP\tO' -p347571 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p347572 -aS'20\t20\tCD\tI-NP\tO' -p347573 -aS'mg\tmg\tNN\tI-NP\tO' -p347574 -aS'of\tof\tIN\tB-PP\tO' -p347575 -aS'Lasix\tLasix\tNNP\tB-NP\tO' -p347576 -aS'a\ta\tDT\tB-NP\tO' -p347577 -aS'day\tday\tNN\tI-NP\tO' -p347578 -aS'and\tand\tCC\tO\tO' -p347579 -aS'she\tshe\tPRP\tB-NP\tO' -p347580 -aS'has\thave\tVBZ\tB-VP\tO' -p347581 -aS'had\thave\tVBN\tI-VP\tO' -p347582 -aS'good\tgood\tJJ\tB-NP\tO' -p347583 -aS'urine\turine\tNN\tI-NP\tO' -p347584 -aS'output\toutput\tNN\tI-NP\tO' -p347585 -aS'.\t.\t.\tO\tO' -p347586 -asS'Discharge was delayed by one day to ensure patient could tolerate P.O. which patient did without difficulty .' -p347587 -(lp347588 -S'Discharge\tDischarge\tNN\tB-NP\tO' -p347589 -aS'was\tbe\tVBD\tB-VP\tO' -p347590 -aS'delayed\tdelay\tVBN\tI-VP\tO' -p347591 -aS'by\tby\tIN\tB-PP\tO' -p347592 -aS'one\tone\tCD\tB-NP\tO' -p347593 -aS'day\tday\tNN\tI-NP\tO' -p347594 -aS'to\tto\tTO\tB-VP\tO' -p347595 -aS'ensure\tensure\tVB\tI-VP\tO' -p347596 -aS'patient\tpatient\tNN\tB-NP\tO' -p347597 -aS'could\tcould\tMD\tB-VP\tO' -p347598 -aS'tolerate\ttolerate\tVB\tI-VP\tO' -p347599 -aS'P.O.\tP.O.\tNNP\tB-NP\tO' -p347600 -aS'which\twhich\tWDT\tB-NP\tO' -p347601 -aS'patient\tpatient\tNN\tI-NP\tO' -p347602 -aS'did\tdo\tVBD\tB-VP\tO' -p347603 -aS'without\twithout\tIN\tB-PP\tO' -p347604 -aS'difficulty\tdifficulty\tNN\tB-NP\tO' -p347605 -aS'.\t.\t.\tO\tO' -p347606 -asS'Give on an empty stomach ( give 1hr before or 2hr after food )' -p347607 -(lp347608 -S'Give\tGive\tVB\tB-VP\tO' -p347609 -aS'on\ton\tIN\tB-PP\tO' -p347610 -aS'an\tan\tDT\tB-NP\tO' -p347611 -aS'empty\tempty\tJJ\tI-NP\tO' -p347612 -aS'stomach\tstomach\tNN\tI-NP\tO' -p347613 -aS'(\t(\t(\tO\tO' -p347614 -aS'give\tgive\tVBP\tB-VP\tO' -p347615 -aS'1hr\t1hr\tNN\tB-NP\tO' -p347616 -aS'before\tbefore\tIN\tB-SBAR\tO' -p347617 -aS'or\tor\tCC\tO\tO' -p347618 -aS'2hr\t2hr\tNN\tB-NP\tO' -p347619 -aS'after\tafter\tIN\tB-PP\tO' -p347620 -aS'food\tfood\tNN\tB-NP\tO' -p347621 -aS')\t)\t)\tO\tO' -p347622 -asS'She had a normal RUQ US , as well .' -p347623 -(lp347624 -S'She\tShe\tPRP\tB-NP\tO' -p347625 -aS'had\thave\tVBD\tB-VP\tO' -p347626 -aS'a\ta\tDT\tB-NP\tO' -p347627 -aS'normal\tnormal\tJJ\tI-NP\tO' -p347628 -aS'RUQ\tRUQ\tNNP\tI-NP\tO' -p347629 -aS'US\tUS\tNNP\tI-NP\tO' -p347630 -aS',\t,\t,\tO\tO' -p347631 -aS'as\tas\tRB\tB-ADVP\tO' -p347632 -aS'well\twell\tRB\tI-ADVP\tO' -p347633 -aS'.\t.\t.\tO\tO' -p347634 -asS'On hospital day #2 , the patient was transferred to the Medicine Ludlow Team .' -p347635 -(lp347636 -S'On\tOn\tIN\tB-PP\tO' -p347637 -aS'hospital\thospital\tNN\tB-NP\tO' -p347638 -aS'day\tday\tNN\tI-NP\tO' -p347639 -aS'#2\t#2\tNN\tI-NP\tO' -p347640 -aS',\t,\t,\tO\tO' -p347641 -aS'the\tthe\tDT\tB-NP\tO' -p347642 -aS'patient\tpatient\tNN\tI-NP\tO' -p347643 -aS'was\tbe\tVBD\tB-VP\tO' -p347644 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p347645 -aS'to\tto\tTO\tB-PP\tO' -p347646 -aS'the\tthe\tDT\tB-NP\tO' -p347647 -aS'Medicine\tMedicine\tNNP\tI-NP\tO' -p347648 -aS'Ludlow\tLudlow\tNNP\tI-NP\tO' -p347649 -aS'Team\tTeam\tNNP\tI-NP\tO' -p347650 -aS'.\t.\t.\tO\tO' -p347651 -asS'He was admitted to the Surgical Intensive Care Unit where his respiratory and cardiac status was monitored carefully .' -p347652 -(lp347653 -S'He\tHe\tPRP\tB-NP\tO' -p347654 -aS'was\tbe\tVBD\tB-VP\tO' -p347655 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p347656 -aS'to\tto\tTO\tB-PP\tO' -p347657 -aS'the\tthe\tDT\tB-NP\tO' -p347658 -aS'Surgical\tSurgical\tNNP\tI-NP\tO' -p347659 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p347660 -aS'Care\tCare\tNNP\tI-NP\tO' -p347661 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p347662 -aS'where\twhere\tWRB\tB-ADVP\tO' -p347663 -aS'his\this\tPRP$\tB-NP\tO' -p347664 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p347665 -aS'and\tand\tCC\tI-NP\tO' -p347666 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p347667 -aS'status\tstatus\tNN\tI-NP\tO' -p347668 -aS'was\tbe\tVBD\tB-VP\tO' -p347669 -aS'monitored\tmonitor\tVBN\tI-VP\tO' -p347670 -aS'carefully\tcarefully\tRB\tB-ADVP\tO' -p347671 -aS'.\t.\t.\tO\tO' -p347672 -asS'5) PPD anergic .' -p347673 -(lp347674 -S'5)\t5)\tLS\tB-NP\tO' -p347675 -aS'PPD\tPPD\tNN\tI-NP\tO' -p347676 -aS'anergic\tanergic\tJJ\tB-ADJP\tO' -p347677 -aS'.\t.\t.\tO\tO' -p347678 -asS'Electrical cardioversion .' -p347679 -(lp347680 -S'Electrical\tElectrical\tJJ\tB-NP\tO' -p347681 -aS'cardioversion\tcardioversion\tNN\tI-NP\tO' -p347682 -aS'.\t.\t.\tO\tO' -p347683 -asS'The infant delivered vaginally with Apgar scores of 9 at one minute and 9 at five minutes .' -p347684 -(lp347685 -S'The\tThe\tDT\tB-NP\tO' -p347686 -aS'infant\tinfant\tNN\tI-NP\tO' -p347687 -aS'delivered\tdeliver\tVBN\tB-VP\tO' -p347688 -aS'vaginally\tvaginally\tRB\tB-ADVP\tO' -p347689 -aS'with\twith\tIN\tB-PP\tO' -p347690 -aS'Apgar\tApgar\tNN\tB-NP\tO' -p347691 -aS'scores\tscore\tNNS\tI-NP\tO' -p347692 -aS'of\tof\tIN\tB-PP\tO' -p347693 -aS'9\t9\tCD\tB-NP\tO' -p347694 -aS'at\tat\tIN\tB-PP\tO' -p347695 -aS'one\tone\tCD\tB-NP\tO' -p347696 -aS'minute\tminute\tNN\tI-NP\tO' -p347697 -aS'and\tand\tCC\tO\tO' -p347698 -aS'9\t9\tCD\tB-NP\tO' -p347699 -aS'at\tat\tIN\tB-PP\tO' -p347700 -aS'five\tfive\tCD\tB-NP\tO' -p347701 -aS'minutes\tminute\tNNS\tI-NP\tO' -p347702 -aS'.\t.\t.\tO\tO' -p347703 -asS'Due to continued worsening pulmonary status and an overall grim prognosis , the family decided , in consultation with the Medical Team , to withdraw ventilatory support .' -p347704 -(lp347705 -S'Due\tDue\tJJ\tB-PP\tO' -p347706 -aS'to\tto\tTO\tI-PP\tO' -p347707 -aS'continued\tcontinue\tVBN\tB-NP\tO' -p347708 -aS'worsening\tworsen\tVBG\tI-NP\tO' -p347709 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p347710 -aS'status\tstatus\tNN\tI-NP\tO' -p347711 -aS'and\tand\tCC\tO\tO' -p347712 -aS'an\tan\tDT\tB-NP\tO' -p347713 -aS'overall\toverall\tJJ\tI-NP\tO' -p347714 -aS'grim\tgrim\tJJ\tI-NP\tO' -p347715 -aS'prognosis\tprognosis\tNN\tI-NP\tO' -p347716 -aS',\t,\t,\tO\tO' -p347717 -aS'the\tthe\tDT\tB-NP\tO' -p347718 -aS'family\tfamily\tNN\tI-NP\tO' -p347719 -aS'decided\tdecide\tVBD\tB-VP\tO' -p347720 -aS',\t,\t,\tO\tO' -p347721 -aS'in\tin\tIN\tB-PP\tO' -p347722 -aS'consultation\tconsultation\tNN\tB-NP\tO' -p347723 -aS'with\twith\tIN\tB-PP\tO' -p347724 -aS'the\tthe\tDT\tB-NP\tO' -p347725 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p347726 -aS'Team\tTeam\tNNP\tI-NP\tO' -p347727 -aS',\t,\t,\tO\tO' -p347728 -aS'to\tto\tTO\tB-VP\tO' -p347729 -aS'withdraw\twithdraw\tVB\tI-VP\tO' -p347730 -aS'ventilatory\tventilatory\tJJ\tB-NP\tO' -p347731 -aS'support\tsupport\tNN\tI-NP\tO' -p347732 -aS'.\t.\t.\tO\tO' -p347733 -asS'ALLERGIES : The patient has no known drug allergies .' -p347734 -(lp347735 -S'ALLERGIES\tALLERGIES\tNNS\tB-NP\tO' -p347736 -aS':\t:\t:\tO\tO' -p347737 -aS'The\tThe\tDT\tB-NP\tO' -p347738 -aS'patient\tpatient\tNN\tI-NP\tO' -p347739 -aS'has\thave\tVBZ\tB-VP\tO' -p347740 -aS'no\tno\tDT\tB-NP\tO' -p347741 -aS'known\tknow\tVBN\tI-NP\tO' -p347742 -aS'drug\tdrug\tNN\tI-NP\tO' -p347743 -aS'allergies\tallergy\tNNS\tI-NP\tO' -p347744 -aS'.\t.\t.\tO\tO' -p347745 -asS'The patient denied any prior episodes of pain or any since 2005 following the initial episode of pain .' -p347746 -(lp347747 -S'The\tThe\tDT\tB-NP\tO' -p347748 -aS'patient\tpatient\tNN\tI-NP\tO' -p347749 -aS'denied\tdeny\tVBD\tB-VP\tO' -p347750 -aS'any\tany\tDT\tB-NP\tO' -p347751 -aS'prior\tprior\tJJ\tI-NP\tO' -p347752 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p347753 -aS'of\tof\tIN\tB-PP\tO' -p347754 -aS'pain\tpain\tNN\tB-NP\tO' -p347755 -aS'or\tor\tCC\tO\tO' -p347756 -aS'any\tany\tDT\tB-NP\tO' -p347757 -aS'since\tsince\tIN\tB-PP\tO' -p347758 -aS'2005\t2005\tCD\tB-NP\tO' -p347759 -aS'following\tfollow\tVBG\tB-PP\tO' -p347760 -aS'the\tthe\tDT\tB-NP\tO' -p347761 -aS'initial\tinitial\tJJ\tI-NP\tO' -p347762 -aS'episode\tepisode\tNN\tI-NP\tO' -p347763 -aS'of\tof\tIN\tB-PP\tO' -p347764 -aS'pain\tpain\tNN\tB-NP\tO' -p347765 -aS'.\t.\t.\tO\tO' -p347766 -asS'Urine tox was negative .' -p347767 -(lp347768 -S'Urine\tUrine\tNN\tB-NP\tO' -p347769 -aS'tox\ttox\tNN\tI-NP\tO' -p347770 -aS'was\tbe\tVBD\tB-VP\tO' -p347771 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p347772 -aS'.\t.\t.\tO\tO' -p347773 -asS'6. Ipratropium Bromide 0.02 % Solution Sig : One ( 1 ) neb Inhalation Q6H ( every 6 hours ) as needed .' -p347774 -(lp347775 -S'6.\t6.\tLS\tB-NP\tO' -p347776 -aS'Ipratropium\tIpratropium\tNNP\tI-NP\tO' -p347777 -aS'Bromide\tBromide\tNNP\tI-NP\tO' -p347778 -aS'0.02\t0.02\tCD\tI-NP\tO' -p347779 -aS'%\t%\tNN\tI-NP\tO' -p347780 -aS'Solution\tSolution\tNNP\tI-NP\tO' -p347781 -aS'Sig\tSig\tNNP\tI-NP\tO' -p347782 -aS':\t:\t:\tO\tO' -p347783 -aS'One\tOne\tCD\tB-NP\tO' -p347784 -aS'(\t(\t(\tO\tO' -p347785 -aS'1\t1\tCD\tB-NP\tO' -p347786 -aS')\t)\t)\tO\tO' -p347787 -aS'neb\tneb\tNN\tB-NP\tO' -p347788 -aS'Inhalation\tInhalation\tNN\tI-NP\tO' -p347789 -aS'Q6H\tQ6H\tNN\tI-NP\tO' -p347790 -aS'(\t(\t(\tO\tO' -p347791 -aS'every\tevery\tDT\tB-NP\tO' -p347792 -aS'6\t6\tCD\tI-NP\tO' -p347793 -aS'hours\thour\tNNS\tI-NP\tO' -p347794 -aS')\t)\t)\tO\tO' -p347795 -aS'as\tas\tIN\tB-SBAR\tO' -p347796 -aS'needed\tneed\tVBN\tB-VP\tO' -p347797 -aS'.\t.\t.\tO\tO' -p347798 -asS'Phototherapy was discontinued when bilirubin was a total of 4.7 .' -p347799 -(lp347800 -S'Phototherapy\tPhototherapy\tNN\tB-NP\tO' -p347801 -aS'was\tbe\tVBD\tB-VP\tO' -p347802 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p347803 -aS'when\twhen\tWRB\tB-ADVP\tO' -p347804 -aS'bilirubin\tbilirubin\tNN\tB-NP\tO' -p347805 -aS'was\tbe\tVBD\tB-VP\tO' -p347806 -aS'a\ta\tDT\tB-NP\tO' -p347807 -aS'total\ttotal\tNN\tI-NP\tO' -p347808 -aS'of\tof\tIN\tB-PP\tO' -p347809 -aS'4.7\t4.7\tCD\tB-NP\tO' -p347810 -aS'.\t.\t.\tO\tO' -p347811 -asS'HIV testing results pending .' -p347812 -(lp347813 -S'HIV\tHIV\tNN\tB-NP\tO' -p347814 -aS'testing\ttesting\tNN\tI-NP\tO' -p347815 -aS'results\tresult\tNNS\tI-NP\tO' -p347816 -aS'pending\tpende\tVBG\tB-VP\tO' -p347817 -aS'.\t.\t.\tO\tO' -p347818 -asS'8. Neutra-Phos .' -p347819 -(lp347820 -S'8.\t8.\tCD\tB-NP\tO' -p347821 -aS'Neutra-Phos\tNeutra-Phos\tNNP\tI-NP\tO' -p347822 -aS'.\t.\t.\tO\tO' -p347823 -asS'CT of the neck revealed a possible C1 fracture and the X-ray at the OSH revealed intratrochanteric fracture of the right femur .' -p347824 -(lp347825 -S'CT\tCT\tNN\tB-NP\tO' -p347826 -aS'of\tof\tIN\tB-PP\tO' -p347827 -aS'the\tthe\tDT\tB-NP\tO' -p347828 -aS'neck\tneck\tNN\tI-NP\tO' -p347829 -aS'revealed\treveal\tVBD\tB-VP\tO' -p347830 -aS'a\ta\tDT\tB-NP\tO' -p347831 -aS'possible\tpossible\tJJ\tI-NP\tO' -p347832 -aS'C1\tC1\tNN\tI-NP\tO' -p347833 -aS'fracture\tfracture\tNN\tI-NP\tO' -p347834 -aS'and\tand\tCC\tO\tO' -p347835 -aS'the\tthe\tDT\tB-NP\tO' -p347836 -aS'X-ray\tX-ray\tNN\tI-NP\tO' -p347837 -aS'at\tat\tIN\tB-PP\tO' -p347838 -aS'the\tthe\tDT\tB-NP\tO' -p347839 -aS'OSH\tOSH\tNN\tI-NP\tB-protein' -p347840 -aS'revealed\treveal\tVBD\tB-VP\tO' -p347841 -aS'intratrochanteric\tintratrochanteric\tJJ\tB-NP\tO' -p347842 -aS'fracture\tfracture\tNN\tI-NP\tO' -p347843 -aS'of\tof\tIN\tB-PP\tO' -p347844 -aS'the\tthe\tDT\tB-NP\tO' -p347845 -aS'right\tright\tJJ\tI-NP\tO' -p347846 -aS'femur\tfemur\tNN\tI-NP\tO' -p347847 -aS'.\t.\t.\tO\tO' -p347848 -asS'Mr. Mcelveen is a 51 year-old male with metastatic RCC status post left radical nephrectomy in 2018-03-21 , status post Avastin and sorafenib , most recently on Sutent monotherapy since 2018-12-21 , with mild renal insufficiency , who presented from home on 2019-06-14 with shortness of breath and fever .' -p347849 -(lp347850 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p347851 -aS'Mcelveen\tMcelveen\tNNP\tI-NP\tO' -p347852 -aS'is\tbe\tVBZ\tB-VP\tO' -p347853 -aS'a\ta\tDT\tB-NP\tO' -p347854 -aS'51\t51\tCD\tI-NP\tO' -p347855 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p347856 -aS'male\tmale\tNN\tI-NP\tO' -p347857 -aS'with\twith\tIN\tB-PP\tO' -p347858 -aS'metastatic\tmetastatic\tJJ\tB-NP\tO' -p347859 -aS'RCC\tRCC\tNN\tI-NP\tO' -p347860 -aS'status\tstatus\tNN\tI-NP\tO' -p347861 -aS'post\tpost\tNN\tI-NP\tO' -p347862 -aS'left\tleave\tVBD\tB-VP\tO' -p347863 -aS'radical\tradical\tJJ\tB-NP\tO' -p347864 -aS'nephrectomy\tnephrectomy\tNN\tI-NP\tO' -p347865 -aS'in\tin\tIN\tB-PP\tO' -p347866 -aS'2018-03-21\t2018-03-21\tCD\tB-NP\tO' -p347867 -aS',\t,\t,\tO\tO' -p347868 -aS'status\tstatus\tNN\tB-NP\tB-protein' -p347869 -aS'post\tpost\tNN\tI-NP\tI-protein' -p347870 -aS'Avastin\tAvastin\tNN\tI-NP\tI-protein' -p347871 -aS'and\tand\tCC\tI-NP\tO' -p347872 -aS'sorafenib\tsorafenib\tNN\tI-NP\tO' -p347873 -aS',\t,\t,\tO\tO' -p347874 -aS'most\tmost\tRBS\tB-ADVP\tO' -p347875 -aS'recently\trecently\tRB\tI-ADVP\tO' -p347876 -aS'on\ton\tIN\tB-PP\tO' -p347877 -aS'Sutent\tSutent\tJJ\tB-NP\tO' -p347878 -aS'monotherapy\tmonotherapy\tNN\tI-NP\tO' -p347879 -aS'since\tsince\tIN\tB-PP\tO' -p347880 -aS'2018-12-21\t2018-12-21\tCD\tB-NP\tO' -p347881 -aS',\t,\t,\tO\tO' -p347882 -aS'with\twith\tIN\tB-PP\tO' -p347883 -aS'mild\tmild\tJJ\tB-NP\tO' -p347884 -aS'renal\trenal\tJJ\tI-NP\tO' -p347885 -aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' -p347886 -aS',\t,\t,\tO\tO' -p347887 -aS'who\twho\tWP\tB-NP\tO' -p347888 -aS'presented\tpresent\tVBD\tB-VP\tO' -p347889 -aS'from\tfrom\tIN\tB-PP\tO' -p347890 -aS'home\thome\tNN\tB-NP\tO' -p347891 -aS'on\ton\tIN\tB-PP\tO' -p347892 -aS'2019-06-14\t2019-06-14\tCD\tB-NP\tO' -p347893 -aS'with\twith\tIN\tB-PP\tO' -p347894 -aS'shortness\tshortness\tNN\tB-NP\tO' -p347895 -aS'of\tof\tIN\tB-PP\tO' -p347896 -aS'breath\tbreath\tNN\tB-NP\tO' -p347897 -aS'and\tand\tCC\tI-NP\tO' -p347898 -aS'fever\tfever\tNN\tI-NP\tO' -p347899 -aS'.\t.\t.\tO\tO' -p347900 -asS'Left ventricular wall thicknesses are normal .' -p347901 -(lp347902 -S'Left\tLeave\tVBN\tB-NP\tO' -p347903 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p347904 -aS'wall\twall\tNN\tI-NP\tO' -p347905 -aS'thicknesses\tthickness\tNNS\tI-NP\tO' -p347906 -aS'are\tbe\tVBP\tB-VP\tO' -p347907 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p347908 -aS'.\t.\t.\tO\tO' -p347909 -asS'Examination showed right axillary and right posterior axillary skin tags and crusted lesions .' -p347910 -(lp347911 -S'Examination\tExamination\tNN\tB-NP\tO' -p347912 -aS'showed\tshow\tVBD\tB-VP\tO' -p347913 -aS'right\tright\tJJ\tB-NP\tO' -p347914 -aS'axillary\taxillary\tJJ\tI-NP\tO' -p347915 -aS'and\tand\tCC\tI-NP\tO' -p347916 -aS'right\tright\tJJ\tI-NP\tO' -p347917 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p347918 -aS'axillary\taxillary\tJJ\tI-NP\tO' -p347919 -aS'skin\tskin\tNN\tI-NP\tO' -p347920 -aS'tags\ttag\tNNS\tI-NP\tO' -p347921 -aS'and\tand\tCC\tO\tO' -p347922 -aS'crusted\tcrusted\tJJ\tB-NP\tO' -p347923 -aS'lesions\tlesion\tNNS\tI-NP\tO' -p347924 -aS'.\t.\t.\tO\tO' -p347925 -asS'The patient was evaluated in one of the neurology conferences for several hours , and during this time , showed significant improvement while receiving gait training as well as evaluation ; in particular , she became more stable with counter-balancing methods .' -p347926 -(lp347927 -S'The\tThe\tDT\tB-NP\tO' -p347928 -aS'patient\tpatient\tNN\tI-NP\tO' -p347929 -aS'was\tbe\tVBD\tB-VP\tO' -p347930 -aS'evaluated\tevaluate\tVBN\tI-VP\tO' -p347931 -aS'in\tin\tIN\tB-PP\tO' -p347932 -aS'one\tone\tCD\tB-NP\tO' -p347933 -aS'of\tof\tIN\tB-PP\tO' -p347934 -aS'the\tthe\tDT\tB-NP\tO' -p347935 -aS'neurology\tneurology\tNN\tI-NP\tO' -p347936 -aS'conferences\tconference\tNNS\tI-NP\tO' -p347937 -aS'for\tfor\tIN\tB-PP\tO' -p347938 -aS'several\tseveral\tJJ\tB-NP\tO' -p347939 -aS'hours\thour\tNNS\tI-NP\tO' -p347940 -aS',\t,\t,\tO\tO' -p347941 -aS'and\tand\tCC\tO\tO' -p347942 -aS'during\tduring\tIN\tB-PP\tO' -p347943 -aS'this\tthis\tDT\tB-NP\tO' -p347944 -aS'time\ttime\tNN\tI-NP\tO' -p347945 -aS',\t,\t,\tO\tO' -p347946 -aS'showed\tshow\tVBD\tB-VP\tO' -p347947 -aS'significant\tsignificant\tJJ\tB-NP\tO' -p347948 -aS'improvement\timprovement\tNN\tI-NP\tO' -p347949 -aS'while\twhile\tIN\tB-SBAR\tO' -p347950 -aS'receiving\treceive\tVBG\tB-VP\tO' -p347951 -aS'gait\tgait\tNN\tB-NP\tO' -p347952 -aS'training\ttraining\tNN\tI-NP\tO' -p347953 -aS'as\tas\tRB\tB-CONJP\tO' -p347954 -aS'well\twell\tRB\tI-CONJP\tO' -p347955 -aS'as\tas\tIN\tI-CONJP\tO' -p347956 -aS'evaluation\tevaluation\tNN\tB-NP\tO' -p347957 -aS';\t;\t:\tO\tO' -p347958 -aS'in\tin\tIN\tB-PP\tO' -p347959 -aS'particular\tparticular\tJJ\tB-ADJP\tO' -p347960 -aS',\t,\t,\tO\tO' -p347961 -aS'she\tshe\tPRP\tB-NP\tO' -p347962 -aS'became\tbecome\tVBD\tB-VP\tO' -p347963 -aS'more\tmore\tRBR\tB-ADJP\tO' -p347964 -aS'stable\tstable\tJJ\tI-ADJP\tO' -p347965 -aS'with\twith\tIN\tB-PP\tO' -p347966 -aS'counter-balancing\tcounter-balancing\tJJ\tB-NP\tO' -p347967 -aS'methods\tmethod\tNNS\tI-NP\tO' -p347968 -aS'.\t.\t.\tO\tO' -p347969 -asS'Mild cardiomegaly is stable .' -p347970 -(lp347971 -S'Mild\tMild\tNNP\tB-NP\tO' -p347972 -aS'cardiomegaly\tcardiomegaly\tRB\tB-ADVP\tO' -p347973 -aS'is\tbe\tVBZ\tB-VP\tO' -p347974 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p347975 -aS'.\t.\t.\tO\tO' -p347976 -asS'The birth weight was 1,980 grams , 80th percentile .' -p347977 -(lp347978 -S'The\tThe\tDT\tB-NP\tO' -p347979 -aS'birth\tbirth\tNN\tI-NP\tO' -p347980 -aS'weight\tweight\tNN\tI-NP\tO' -p347981 -aS'was\tbe\tVBD\tB-VP\tO' -p347982 -aS'1,980\t1,980\tCD\tB-NP\tO' -p347983 -aS'grams\tgram\tNNS\tI-NP\tO' -p347984 -aS',\t,\t,\tO\tO' -p347985 -aS'80th\t80th\tJJ\tB-NP\tO' -p347986 -aS'percentile\tpercentile\tNN\tI-NP\tO' -p347987 -aS'.\t.\t.\tO\tO' -p347988 -asS'Ileostomy remains pink and intact , draining green-brown soft stool .' -p347989 -(lp347990 -S'Ileostomy\tIleostomy\tNN\tB-NP\tO' -p347991 -aS'remains\tremain\tVBZ\tB-VP\tO' -p347992 -aS'pink\tpink\tJJ\tB-ADJP\tO' -p347993 -aS'and\tand\tCC\tI-ADJP\tO' -p347994 -aS'intact\tintact\tJJ\tI-ADJP\tO' -p347995 -aS',\t,\t,\tO\tO' -p347996 -aS'draining\tdrain\tVBG\tB-VP\tO' -p347997 -aS'green-brown\tgreen-brown\tJJ\tB-NP\tO' -p347998 -aS'soft\tsoft\tJJ\tI-NP\tO' -p347999 -aS'stool\tstool\tNN\tI-NP\tO' -p348000 -aS'.\t.\t.\tO\tO' -p348001 -asS'Her alkaline phosphatase was 134 .' -p348002 -(lp348003 -S'Her\tHer\tPRP$\tB-NP\tO' -p348004 -aS'alkaline\talkaline\tNN\tI-NP\tB-protein' -p348005 -aS'phosphatase\tphosphatase\tNN\tI-NP\tI-protein' -p348006 -aS'was\tbe\tVBD\tB-VP\tO' -p348007 -aS'134\t134\tCD\tB-NP\tO' -p348008 -aS'.\t.\t.\tO\tO' -p348009 -asS'Nasogastric tube passes below the diaphragm and out of view .' -p348010 -(lp348011 -S'Nasogastric\tNasogastric\tJJ\tB-NP\tO' -p348012 -aS'tube\ttube\tNN\tI-NP\tO' -p348013 -aS'passes\tpass\tNNS\tI-NP\tO' -p348014 -aS'below\tbelow\tIN\tB-PP\tO' -p348015 -aS'the\tthe\tDT\tB-NP\tO' -p348016 -aS'diaphragm\tdiaphragm\tNN\tI-NP\tO' -p348017 -aS'and\tand\tCC\tB-PP\tO' -p348018 -aS'out\tout\tIN\tB-PP\tO' -p348019 -aS'of\tof\tIN\tB-PP\tO' -p348020 -aS'view\tview\tNN\tB-NP\tO' -p348021 -aS'.\t.\t.\tO\tO' -p348022 -asS'Negative except as above .' -p348023 -(lp348024 -S'Negative\tNegative\tJJ\tB-ADJP\tO' -p348025 -aS'except\texcept\tIN\tB-PP\tO' -p348026 -aS'as\tas\tIN\tB-PP\tO' -p348027 -aS'above\tabove\tRB\tB-ADVP\tO' -p348028 -aS'.\t.\t.\tO\tO' -p348029 -asS'The patient was set to go for a dobutamine stress test on 11/16/04 given her history of COPD , but the stress portion was canceled when she was down there due to fever and hypotension .' -p348030 -(lp348031 -S'The\tThe\tDT\tB-NP\tO' -p348032 -aS'patient\tpatient\tNN\tI-NP\tO' -p348033 -aS'was\tbe\tVBD\tB-VP\tO' -p348034 -aS'set\tset\tVBN\tI-VP\tO' -p348035 -aS'to\tto\tTO\tI-VP\tO' -p348036 -aS'go\tgo\tVB\tI-VP\tO' -p348037 -aS'for\tfor\tIN\tB-PP\tO' -p348038 -aS'a\ta\tDT\tB-NP\tO' -p348039 -aS'dobutamine\tdobutamine\tNN\tI-NP\tO' -p348040 -aS'stress\tstress\tNN\tI-NP\tO' -p348041 -aS'test\ttest\tNN\tI-NP\tO' -p348042 -aS'on\ton\tIN\tB-PP\tO' -p348043 -aS'11/16/04\t11/16/04\tCD\tB-NP\tO' -p348044 -aS'given\tgive\tVBN\tB-PP\tO' -p348045 -aS'her\ther\tPRP$\tB-NP\tO' -p348046 -aS'history\thistory\tNN\tI-NP\tO' -p348047 -aS'of\tof\tIN\tB-PP\tO' -p348048 -aS'COPD\tCOPD\tNN\tB-NP\tO' -p348049 -aS',\t,\t,\tO\tO' -p348050 -aS'but\tbut\tCC\tO\tO' -p348051 -aS'the\tthe\tDT\tB-NP\tO' -p348052 -aS'stress\tstress\tNN\tI-NP\tO' -p348053 -aS'portion\tportion\tNN\tI-NP\tO' -p348054 -aS'was\tbe\tVBD\tB-VP\tO' -p348055 -aS'canceled\tcancel\tVBN\tI-VP\tO' -p348056 -aS'when\twhen\tWRB\tB-ADVP\tO' -p348057 -aS'she\tshe\tPRP\tB-NP\tO' -p348058 -aS'was\tbe\tVBD\tB-VP\tO' -p348059 -aS'down\tdown\tRB\tB-ADVP\tO' -p348060 -aS'there\tthere\tRB\tB-NP\tO' -p348061 -aS'due\tdue\tJJ\tB-ADJP\tO' -p348062 -aS'to\tto\tTO\tB-PP\tO' -p348063 -aS'fever\tfever\tNN\tB-NP\tO' -p348064 -aS'and\tand\tCC\tI-NP\tO' -p348065 -aS'hypotension\thypotension\tNN\tI-NP\tO' -p348066 -aS'.\t.\t.\tO\tO' -p348067 -asS'pressure .' -p348068 -(lp348069 -S'pressure\tpressure\tNN\tB-NP\tO' -p348070 -aS'.\t.\t.\tO\tO' -p348071 -asS'Followed her sats likely due to obstructive-sleep apnea and hypoventilation .' -p348072 -(lp348073 -S'Followed\tFollow\tVBD\tB-VP\tO' -p348074 -aS'her\ther\tPRP$\tB-NP\tO' -p348075 -aS'sats\tsat\tNNS\tI-NP\tO' -p348076 -aS'likely\tlikely\tRB\tB-ADJP\tO' -p348077 -aS'due\tdue\tIN\tB-PP\tO' -p348078 -aS'to\tto\tTO\tB-PP\tO' -p348079 -aS'obstructive-sleep\tobstructive-sleep\tJJ\tB-NP\tO' -p348080 -aS'apnea\tapnea\tNN\tI-NP\tO' -p348081 -aS'and\tand\tCC\tI-NP\tO' -p348082 -aS'hypoventilation\thypoventilation\tNN\tI-NP\tO' -p348083 -aS'.\t.\t.\tO\tO' -p348084 -asS'The Athol Memorial Hospital hospital course was unremarkable .' -p348085 -(lp348086 -S'The\tThe\tDT\tB-NP\tO' -p348087 -aS'Athol\tAthol\tNNP\tI-NP\tO' -p348088 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p348089 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p348090 -aS'hospital\thospital\tNN\tI-NP\tO' -p348091 -aS'course\tcourse\tNN\tI-NP\tO' -p348092 -aS'was\tbe\tVBD\tB-VP\tO' -p348093 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p348094 -aS'.\t.\t.\tO\tO' -p348095 -asS'Responsible After Study for Causing Admission ) Chest pain' -p348096 -(lp348097 -S'Responsible\tResponsible\tJJ\tB-ADJP\tO' -p348098 -aS'After\tAfter\tIN\tB-PP\tO' -p348099 -aS'Study\tStudy\tNNP\tB-NP\tO' -p348100 -aS'for\tfor\tIN\tB-PP\tO' -p348101 -aS'Causing\tCausing\tNNP\tB-NP\tO' -p348102 -aS'Admission\tAdmission\tNNP\tI-NP\tO' -p348103 -aS')\t)\t)\tO\tO' -p348104 -aS'Chest\tChest\tNNP\tB-NP\tO' -p348105 -aS'pain\tpain\tNN\tI-NP\tO' -p348106 -asS'5. URINARY TRACT INFECTION .' -p348107 -(lp348108 -S'5.\t5.\tLS\tB-NP\tO' -p348109 -aS'URINARY\tURINARY\tNN\tI-NP\tO' -p348110 -aS'TRACT\tTRACT\tNN\tI-NP\tO' -p348111 -aS'INFECTION\tINFECTION\tNN\tI-NP\tO' -p348112 -aS'.\t.\t.\tO\tO' -p348113 -asS'Attleboro has been stable throughout her newborn intensive care course without issue .' -p348114 -(lp348115 -S'Attleboro\tAttleboro\tNNP\tB-NP\tO' -p348116 -aS'has\thave\tVBZ\tB-VP\tO' -p348117 -aS'been\tbe\tVBN\tI-VP\tO' -p348118 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p348119 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p348120 -aS'her\ther\tPRP$\tB-NP\tO' -p348121 -aS'newborn\tnewborn\tJJ\tI-NP\tO' -p348122 -aS'intensive\tintensive\tJJ\tI-NP\tO' -p348123 -aS'care\tcare\tNN\tI-NP\tO' -p348124 -aS'course\tcourse\tNN\tI-NP\tO' -p348125 -aS'without\twithout\tIN\tB-PP\tO' -p348126 -aS'issue\tissue\tNN\tB-NP\tO' -p348127 -aS'.\t.\t.\tO\tO' -p348128 -asS'This echo showed LV ejection fraction of 50% with no wall motion abnormality .' -p348129 -(lp348130 -S'This\tThis\tDT\tB-NP\tO' -p348131 -aS'echo\techo\tNN\tI-NP\tO' -p348132 -aS'showed\tshow\tVBD\tB-VP\tO' -p348133 -aS'LV\tLV\tNN\tB-NP\tO' -p348134 -aS'ejection\tejection\tNN\tI-NP\tO' -p348135 -aS'fraction\tfraction\tNN\tI-NP\tO' -p348136 -aS'of\tof\tIN\tB-PP\tO' -p348137 -aS'50%\t50%\tCD\tB-NP\tO' -p348138 -aS'with\twith\tIN\tB-PP\tO' -p348139 -aS'no\tno\tDT\tB-NP\tO' -p348140 -aS'wall\twall\tNN\tI-NP\tO' -p348141 -aS'motion\tmotion\tNN\tI-NP\tO' -p348142 -aS'abnormality\tabnormality\tNN\tI-NP\tO' -p348143 -aS'.\t.\t.\tO\tO' -p348144 -asS'baseline CRI ( 1.2-1.6 ) with elevation at admission probably prerenal ; will monitor BUN / Cr after giving Lasix' -p348145 -(lp348146 -S'baseline\tbaseline\tNN\tB-NP\tO' -p348147 -aS'CRI\tCRI\tNN\tI-NP\tO' -p348148 -aS'(\t(\t(\tO\tO' -p348149 -aS'1.2-1.6\t1.2-1.6\tCD\tB-NP\tO' -p348150 -aS')\t)\t)\tO\tO' -p348151 -aS'with\twith\tIN\tB-PP\tO' -p348152 -aS'elevation\televation\tNN\tB-NP\tO' -p348153 -aS'at\tat\tIN\tB-PP\tO' -p348154 -aS'admission\tadmission\tNN\tB-NP\tO' -p348155 -aS'probably\tprobably\tRB\tB-ADJP\tO' -p348156 -aS'prerenal\tprerenal\tJJ\tI-ADJP\tO' -p348157 -aS';\t;\t:\tO\tO' -p348158 -aS'will\twill\tMD\tB-VP\tO' -p348159 -aS'monitor\tmonitor\tVB\tI-VP\tO' -p348160 -aS'BUN\tBUN\tNN\tB-NP\tB-protein' -p348161 -aS'/\t/\tSYM\tB-NP\tO' -p348162 -aS'Cr\tCr\tNN\tI-NP\tO' -p348163 -aS'after\tafter\tIN\tB-PP\tO' -p348164 -aS'giving\tgive\tVBG\tB-VP\tO' -p348165 -aS'Lasix\tLasix\tNNP\tB-NP\tO' -p348166 -asS'Imitrex ; Indocin ; Celebrex ; Verapamil for migraines .' -p348167 -(lp348168 -S'Imitrex\tImitrex\tNN\tB-NP\tO' -p348169 -aS';\t;\t:\tO\tO' -p348170 -aS'Indocin\tIndocin\tNN\tB-NP\tO' -p348171 -aS';\t;\t:\tO\tO' -p348172 -aS'Celebrex\tCelebrex\tNN\tB-NP\tO' -p348173 -aS';\t;\t:\tO\tO' -p348174 -aS'Verapamil\tVerapamil\tNN\tB-NP\tO' -p348175 -aS'for\tfor\tIN\tB-PP\tO' -p348176 -aS'migraines\tmigraine\tNNS\tB-NP\tO' -p348177 -aS'.\t.\t.\tO\tO' -p348178 -asS'Antenatal course benign .' -p348179 -(lp348180 -S'Antenatal\tAntenatal\tJJ\tB-NP\tO' -p348181 -aS'course\tcourse\tNN\tI-NP\tO' -p348182 -aS'benign\tbenign\tJJ\tB-ADJP\tO' -p348183 -aS'.\t.\t.\tO\tO' -p348184 -asS'14. Status post partial colectomy 1972' -p348185 -(lp348186 -S'14.\t14.\tLS\tB-LST\tO' -p348187 -aS'Status\tStatus\tNNP\tB-NP\tO' -p348188 -aS'post\tpost\tIN\tB-PP\tO' -p348189 -aS'partial\tpartial\tJJ\tB-NP\tO' -p348190 -aS'colectomy\tcolectomy\tNN\tI-NP\tO' -p348191 -aS'1972\t1972\tCD\tI-NP\tO' -p348192 -asS'The patient also reports blood-streaked diarrhea for two days .' -p348193 -(lp348194 -S'The\tThe\tDT\tB-NP\tO' -p348195 -aS'patient\tpatient\tNN\tI-NP\tO' -p348196 -aS'also\talso\tRB\tB-ADVP\tO' -p348197 -aS'reports\treport\tVBZ\tB-VP\tO' -p348198 -aS'blood-streaked\tblood-streaked\tJJ\tB-NP\tO' -p348199 -aS'diarrhea\tdiarrhea\tNN\tI-NP\tO' -p348200 -aS'for\tfor\tIN\tB-PP\tO' -p348201 -aS'two\ttwo\tCD\tB-NP\tO' -p348202 -aS'days\tday\tNNS\tI-NP\tO' -p348203 -aS'.\t.\t.\tO\tO' -p348204 -asS'The patient tolerated the procedure well and was stable in the PACU and admitted to the CMED CCU floor for routine care .' -p348205 -(lp348206 -S'The\tThe\tDT\tB-NP\tO' -p348207 -aS'patient\tpatient\tNN\tI-NP\tO' -p348208 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p348209 -aS'the\tthe\tDT\tB-NP\tO' -p348210 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p348211 -aS'well\twell\tRB\tB-ADVP\tO' -p348212 -aS'and\tand\tCC\tO\tO' -p348213 -aS'was\tbe\tVBD\tB-VP\tO' -p348214 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p348215 -aS'in\tin\tIN\tB-PP\tO' -p348216 -aS'the\tthe\tDT\tB-NP\tO' -p348217 -aS'PACU\tPACU\tNN\tI-NP\tB-DNA' -p348218 -aS'and\tand\tCC\tO\tO' -p348219 -aS'admitted\tadmit\tVBN\tB-VP\tO' -p348220 -aS'to\tto\tTO\tB-PP\tO' -p348221 -aS'the\tthe\tDT\tB-NP\tO' -p348222 -aS'CMED\tCMED\tVBN\tI-NP\tO' -p348223 -aS'CCU\tCCU\tNN\tI-NP\tO' -p348224 -aS'floor\tfloor\tNN\tI-NP\tO' -p348225 -aS'for\tfor\tIN\tB-PP\tO' -p348226 -aS'routine\troutine\tJJ\tB-NP\tO' -p348227 -aS'care\tcare\tNN\tI-NP\tO' -p348228 -aS'.\t.\t.\tO\tO' -p348229 -asS'Her coags , her PT was 14.5 , PTT was 143.4 , and her INR was 1.3 .' -p348230 -(lp348231 -S'Her\tHer\tPRP$\tB-NP\tO' -p348232 -aS'coags\tcoag\tNNS\tI-NP\tO' -p348233 -aS',\t,\t,\tO\tO' -p348234 -aS'her\ther\tPRP$\tB-NP\tO' -p348235 -aS'PT\tPT\tNN\tI-NP\tB-protein' -p348236 -aS'was\tbe\tVBD\tB-VP\tI-protein' -p348237 -aS'14.5\t14.5\tCD\tB-NP\tI-protein' -p348238 -aS',\t,\t,\tO\tO' -p348239 -aS'PTT\tPTT\tNN\tB-NP\tO' -p348240 -aS'was\tbe\tVBD\tB-VP\tO' -p348241 -aS'143.4\t143.4\tCD\tB-NP\tO' -p348242 -aS',\t,\t,\tO\tO' -p348243 -aS'and\tand\tCC\tO\tO' -p348244 -aS'her\ther\tPRP$\tB-NP\tO' -p348245 -aS'INR\tINR\tNN\tI-NP\tB-protein' -p348246 -aS'was\tbe\tVBD\tB-VP\tO' -p348247 -aS'1.3\t1.3\tCD\tB-NP\tO' -p348248 -aS'.\t.\t.\tO\tO' -p348249 -asS'She arrived in the Emergency Room at 8:00 p.m.' -p348250 -(lp348251 -S'She\tShe\tPRP\tB-NP\tO' -p348252 -aS'arrived\tarrive\tVBD\tB-VP\tO' -p348253 -aS'in\tin\tIN\tB-PP\tO' -p348254 -aS'the\tthe\tDT\tB-NP\tO' -p348255 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p348256 -aS'Room\tRoom\tNNP\tI-NP\tO' -p348257 -aS'at\tat\tIN\tB-PP\tO' -p348258 -aS'8:00\t8:00\tCD\tB-NP\tO' -p348259 -aS'p.m.\tp.m.\tNN\tI-NP\tO' -p348260 -asS'She underwent a mitral valve replacement , utilizing a 27 mm .' -p348261 -(lp348262 -S'She\tShe\tPRP\tB-NP\tO' -p348263 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p348264 -aS'a\ta\tDT\tB-NP\tO' -p348265 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p348266 -aS'valve\tvalve\tNN\tI-NP\tO' -p348267 -aS'replacement\treplacement\tNN\tI-NP\tO' -p348268 -aS',\t,\t,\tO\tO' -p348269 -aS'utilizing\tutilize\tVBG\tB-VP\tO' -p348270 -aS'a\ta\tDT\tB-NP\tO' -p348271 -aS'27\t27\tCD\tI-NP\tO' -p348272 -aS'mm\tmm\tNN\tI-NP\tO' -p348273 -aS'.\t.\t.\tO\tO' -p348274 -asS'The neurological examination revealed that the patient was awake , alert and oriented to person , place and time .' -p348275 -(lp348276 -S'The\tThe\tDT\tB-NP\tO' -p348277 -aS'neurological\tneurological\tJJ\tI-NP\tO' -p348278 -aS'examination\texamination\tNN\tI-NP\tO' -p348279 -aS'revealed\treveal\tVBD\tB-VP\tO' -p348280 -aS'that\tthat\tIN\tB-SBAR\tO' -p348281 -aS'the\tthe\tDT\tB-NP\tO' -p348282 -aS'patient\tpatient\tNN\tI-NP\tO' -p348283 -aS'was\tbe\tVBD\tB-VP\tO' -p348284 -aS'awake\tawake\tJJ\tB-ADJP\tO' -p348285 -aS',\t,\t,\tO\tO' -p348286 -aS'alert\talert\tJJ\tB-ADJP\tO' -p348287 -aS'and\tand\tCC\tO\tO' -p348288 -aS'oriented\torient\tVBN\tB-VP\tO' -p348289 -aS'to\tto\tTO\tB-PP\tO' -p348290 -aS'person\tperson\tNN\tB-NP\tO' -p348291 -aS',\t,\t,\tI-NP\tO' -p348292 -aS'place\tplace\tNN\tI-NP\tO' -p348293 -aS'and\tand\tCC\tI-NP\tO' -p348294 -aS'time\ttime\tNN\tI-NP\tO' -p348295 -aS'.\t.\t.\tO\tO' -p348296 -asS'Patient needs to have labs every Monday and Thursday including a CBC , chem-10 , AST , ALT , alkaline phosphatase , albumin , total bilirubin and Prograf level need to be obtained .' -p348297 -(lp348298 -S'Patient\tPatient\tNN\tB-NP\tO' -p348299 -aS'needs\tneed\tVBZ\tB-VP\tO' -p348300 -aS'to\tto\tTO\tI-VP\tO' -p348301 -aS'have\thave\tVB\tI-VP\tO' -p348302 -aS'labs\tlab\tNNS\tB-NP\tO' -p348303 -aS'every\tevery\tDT\tB-NP\tO' -p348304 -aS'Monday\tMonday\tNNP\tI-NP\tO' -p348305 -aS'and\tand\tCC\tI-NP\tO' -p348306 -aS'Thursday\tThursday\tNNP\tI-NP\tO' -p348307 -aS'including\tinclude\tVBG\tB-PP\tO' -p348308 -aS'a\ta\tDT\tB-NP\tO' -p348309 -aS'CBC\tCBC\tNN\tI-NP\tB-protein' -p348310 -aS',\t,\t,\tO\tO' -p348311 -aS'chem-10\tchem-10\tNN\tB-NP\tB-protein' -p348312 -aS',\t,\t,\tO\tO' -p348313 -aS'AST\tAST\tNN\tB-NP\tO' -p348314 -aS',\t,\t,\tO\tO' -p348315 -aS'ALT\tALT\tNN\tB-NP\tB-protein' -p348316 -aS',\t,\t,\tO\tO' -p348317 -aS'alkaline\talkaline\tNN\tB-NP\tB-protein' -p348318 -aS'phosphatase\tphosphatase\tNN\tI-NP\tI-protein' -p348319 -aS',\t,\t,\tO\tO' -p348320 -aS'albumin\talbumin\tNN\tB-NP\tB-protein' -p348321 -aS',\t,\t,\tO\tO' -p348322 -aS'total\ttotal\tJJ\tB-NP\tO' -p348323 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p348324 -aS'and\tand\tCC\tI-NP\tO' -p348325 -aS'Prograf\tPrograf\tNN\tI-NP\tO' -p348326 -aS'level\tlevel\tNN\tI-NP\tO' -p348327 -aS'need\tneed\tVBP\tB-VP\tO' -p348328 -aS'to\tto\tTO\tI-VP\tO' -p348329 -aS'be\tbe\tVB\tI-VP\tO' -p348330 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p348331 -aS'.\t.\t.\tO\tO' -p348332 -asS'pelvic ultrasound - normal ovaries , thickened endometrium hematocrit - 33' -p348333 -(lp348334 -S'pelvic\tpelvic\tJJ\tB-NP\tO' -p348335 -aS'ultrasound\tultrasound\tNN\tI-NP\tO' -p348336 -aS'-\t-\tHYPH\tB-NP\tO' -p348337 -aS'normal\tnormal\tJJ\tI-NP\tO' -p348338 -aS'ovaries\tovary\tNNS\tI-NP\tO' -p348339 -aS',\t,\t,\tO\tO' -p348340 -aS'thickened\tthicken\tVBD\tB-VP\tO' -p348341 -aS'endometrium\tendometrium\tNN\tB-NP\tO' -p348342 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p348343 -aS'-\t-\tHYPH\tO\tO' -p348344 -aS'33\t33\tCD\tB-NP\tO' -p348345 -asS'13. Insulin Regular Human 300 unit / 3 mL Insulin Pen Sig : One ( 1 ) Subcutaneous four times a day : Please take as prescribed by Albano / Transplant team .' -p348346 -(lp348347 -S'13.\t13.\tLS\tB-NP\tO' -p348348 -aS'Insulin\tInsulin\tNN\tI-NP\tB-protein' -p348349 -aS'Regular\tRegular\tJJ\tI-NP\tI-protein' -p348350 -aS'Human\tHuman\tJJ\tI-NP\tI-protein' -p348351 -aS'300\t300\tCD\tI-NP\tI-protein' -p348352 -aS'unit\tunit\tNN\tI-NP\tI-protein' -p348353 -aS'/\t/\tSYM\tB-NP\tI-protein' -p348354 -aS'3\t3\tCD\tB-NP\tI-protein' -p348355 -aS'mL\tmL\tNN\tI-NP\tI-protein' -p348356 -aS'Insulin\tInsulin\tNNP\tI-NP\tI-protein' -p348357 -aS'Pen\tPen\tNNP\tI-NP\tO' -p348358 -aS'Sig\tSig\tNNP\tI-NP\tO' -p348359 -aS':\t:\t:\tO\tO' -p348360 -aS'One\tOne\tCD\tB-NP\tO' -p348361 -aS'(\t(\t(\tO\tO' -p348362 -aS'1\t1\tCD\tB-NP\tO' -p348363 -aS')\t)\t)\tO\tO' -p348364 -aS'Subcutaneous\tSubcutaneous\tJJ\tB-VP\tO' -p348365 -aS'four\tfour\tCD\tB-NP\tO' -p348366 -aS'times\ttime\tNNS\tI-NP\tO' -p348367 -aS'a\ta\tDT\tB-NP\tO' -p348368 -aS'day\tday\tNN\tI-NP\tO' -p348369 -aS':\t:\t:\tO\tO' -p348370 -aS'Please\tPlease\tNN\tB-NP\tB-protein' -p348371 -aS'take\ttake\tVBP\tB-VP\tO' -p348372 -aS'as\tas\tRB\tI-VP\tO' -p348373 -aS'prescribed\tprescribe\tVBN\tI-VP\tO' -p348374 -aS'by\tby\tIN\tB-PP\tO' -p348375 -aS'Albano\tAlbano\tNN\tB-NP\tO' -p348376 -aS'/\t/\tSYM\tI-NP\tO' -p348377 -aS'Transplant\tTransplant\tNN\tI-NP\tO' -p348378 -aS'team\tteam\tNN\tI-NP\tO' -p348379 -aS'.\t.\t.\tO\tO' -p348380 -asS'She does have radiation of the pain to her neck and jaw bilaterally .' -p348381 -(lp348382 -S'She\tShe\tPRP\tB-NP\tO' -p348383 -aS'does\tdo\tVBZ\tB-VP\tO' -p348384 -aS'have\thave\tVB\tI-VP\tO' -p348385 -aS'radiation\tradiation\tNN\tB-NP\tO' -p348386 -aS'of\tof\tIN\tB-PP\tO' -p348387 -aS'the\tthe\tDT\tB-NP\tO' -p348388 -aS'pain\tpain\tNN\tI-NP\tO' -p348389 -aS'to\tto\tTO\tB-PP\tO' -p348390 -aS'her\ther\tPRP$\tB-NP\tO' -p348391 -aS'neck\tneck\tNN\tI-NP\tO' -p348392 -aS'and\tand\tCC\tI-NP\tO' -p348393 -aS'jaw\tjaw\tNN\tI-NP\tO' -p348394 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p348395 -aS'.\t.\t.\tO\tO' -p348396 -asS'Findings included necrotic debris in the distal trachea at the carina and right mainstem bronchus .' -p348397 -(lp348398 -S'Findings\tFinding\tNNS\tB-NP\tO' -p348399 -aS'included\tinclude\tVBD\tB-VP\tO' -p348400 -aS'necrotic\tnecrotic\tJJ\tB-NP\tO' -p348401 -aS'debris\tdebris\tNN\tI-NP\tO' -p348402 -aS'in\tin\tIN\tB-PP\tO' -p348403 -aS'the\tthe\tDT\tB-NP\tO' -p348404 -aS'distal\tdistal\tJJ\tI-NP\tO' -p348405 -aS'trachea\ttrachea\tNN\tI-NP\tO' -p348406 -aS'at\tat\tIN\tB-PP\tO' -p348407 -aS'the\tthe\tDT\tB-NP\tO' -p348408 -aS'carina\tcarina\tNN\tI-NP\tO' -p348409 -aS'and\tand\tCC\tI-NP\tO' -p348410 -aS'right\tright\tJJ\tI-NP\tO' -p348411 -aS'mainstem\tmainstem\tNN\tI-NP\tO' -p348412 -aS'bronchus\tbronchus\tNN\tI-NP\tO' -p348413 -aS'.\t.\t.\tO\tO' -p348414 -asS'L lobe of the thyroid gland also prominent .' -p348415 -(lp348416 -S'L\tL\tNN\tB-NP\tO' -p348417 -aS'lobe\tlobe\tNN\tI-NP\tO' -p348418 -aS'of\tof\tIN\tB-PP\tO' -p348419 -aS'the\tthe\tDT\tB-NP\tO' -p348420 -aS'thyroid\tthyroid\tJJ\tI-NP\tO' -p348421 -aS'gland\tgland\tNN\tI-NP\tO' -p348422 -aS'also\talso\tRB\tB-ADVP\tO' -p348423 -aS'prominent\tprominent\tJJ\tB-ADJP\tO' -p348424 -aS'.\t.\t.\tO\tO' -p348425 -asS'His central line and chest tubes were removed on post-op day #2 and was transferred to the floor in stable condition .' -p348426 -(lp348427 -S'His\tHis\tPRP$\tB-NP\tO' -p348428 -aS'central\tcentral\tJJ\tI-NP\tO' -p348429 -aS'line\tline\tNN\tI-NP\tO' -p348430 -aS'and\tand\tCC\tI-NP\tO' -p348431 -aS'chest\tchest\tNN\tI-NP\tO' -p348432 -aS'tubes\ttube\tNNS\tI-NP\tO' -p348433 -aS'were\tbe\tVBD\tB-VP\tO' -p348434 -aS'removed\tremove\tVBN\tI-VP\tO' -p348435 -aS'on\ton\tIN\tB-PP\tO' -p348436 -aS'post-op\tpost-op\tJJ\tB-NP\tO' -p348437 -aS'day\tday\tNN\tI-NP\tO' -p348438 -aS'#2\t#2\tNN\tI-NP\tO' -p348439 -aS'and\tand\tCC\tO\tO' -p348440 -aS'was\tbe\tVBD\tB-VP\tO' -p348441 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p348442 -aS'to\tto\tTO\tB-PP\tO' -p348443 -aS'the\tthe\tDT\tB-NP\tO' -p348444 -aS'floor\tfloor\tNN\tI-NP\tO' -p348445 -aS'in\tin\tIN\tB-PP\tO' -p348446 -aS'stable\tstable\tJJ\tB-NP\tO' -p348447 -aS'condition\tcondition\tNN\tI-NP\tO' -p348448 -aS'.\t.\t.\tO\tO' -p348449 -asS'At this time , she decided that she needed the prolapse fixed and actually wrote to the Norri Hospital to try and find a Gynecologist .' -p348450 -(lp348451 -S'At\tAt\tIN\tB-PP\tO' -p348452 -aS'this\tthis\tDT\tB-NP\tO' -p348453 -aS'time\ttime\tNN\tI-NP\tO' -p348454 -aS',\t,\t,\tO\tO' -p348455 -aS'she\tshe\tPRP\tB-NP\tO' -p348456 -aS'decided\tdecide\tVBD\tB-VP\tO' -p348457 -aS'that\tthat\tIN\tB-SBAR\tO' -p348458 -aS'she\tshe\tPRP\tB-NP\tO' -p348459 -aS'needed\tneed\tVBD\tB-VP\tO' -p348460 -aS'the\tthe\tDT\tB-NP\tO' -p348461 -aS'prolapse\tprolapse\tNN\tI-NP\tO' -p348462 -aS'fixed\tfix\tVBN\tB-VP\tO' -p348463 -aS'and\tand\tCC\tO\tO' -p348464 -aS'actually\tactually\tRB\tB-VP\tO' -p348465 -aS'wrote\twrite\tVBD\tI-VP\tO' -p348466 -aS'to\tto\tTO\tB-PP\tO' -p348467 -aS'the\tthe\tDT\tB-NP\tO' -p348468 -aS'Norri\tNorri\tNNP\tI-NP\tO' -p348469 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p348470 -aS'to\tto\tTO\tB-VP\tO' -p348471 -aS'try\ttry\tVB\tI-VP\tO' -p348472 -aS'and\tand\tCC\tI-VP\tO' -p348473 -aS'find\tfind\tVB\tI-VP\tO' -p348474 -aS'a\ta\tDT\tB-NP\tO' -p348475 -aS'Gynecologist\tGynecologist\tNNP\tI-NP\tO' -p348476 -aS'.\t.\t.\tO\tO' -p348477 -asS'Signed electronically by : DR. Carol Warren on : MON 2014-12-08 11:49 AM' -p348478 -(lp348479 -S'Signed\tSign\tVBN\tB-VP\tO' -p348480 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p348481 -aS'by\tby\tIN\tB-PP\tO' -p348482 -aS':\t:\t:\tO\tO' -p348483 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p348484 -aS'Carol\tCarol\tNNP\tI-NP\tO' -p348485 -aS'Warren\tWarren\tNNP\tI-NP\tO' -p348486 -aS'on\ton\tIN\tB-PP\tO' -p348487 -aS':\t:\t:\tO\tO' -p348488 -aS'MON\tMON\tNN\tB-NP\tO' -p348489 -aS'2014-12-08\t2014-12-08\tCD\tI-NP\tO' -p348490 -aS'11:49\t11:49\tCD\tI-NP\tO' -p348491 -aS'AM\tAM\tNN\tI-NP\tO' -p348492 -asS'Spine straight and no abnormalities .' -p348493 -(lp348494 -S'Spine\tSpine\tNN\tB-NP\tO' -p348495 -aS'straight\tstraight\tRB\tB-ADVP\tO' -p348496 -aS'and\tand\tCC\tO\tO' -p348497 -aS'no\tno\tDT\tB-NP\tO' -p348498 -aS'abnormalities\tabnormality\tNNS\tI-NP\tO' -p348499 -aS'.\t.\t.\tO\tO' -p348500 -asS'Complete blood count revealed white count was 5.4 , hematocrit was 31.3 , and platelets were 160 .' -p348501 -(lp348502 -S'Complete\tComplete\tJJ\tB-NP\tO' -p348503 -aS'blood\tblood\tNN\tI-NP\tO' -p348504 -aS'count\tcount\tNN\tI-NP\tO' -p348505 -aS'revealed\treveal\tVBD\tB-VP\tO' -p348506 -aS'white\twhite\tJJ\tB-NP\tO' -p348507 -aS'count\tcount\tNN\tI-NP\tO' -p348508 -aS'was\tbe\tVBD\tB-VP\tO' -p348509 -aS'5.4\t5.4\tCD\tB-NP\tO' -p348510 -aS',\t,\t,\tO\tO' -p348511 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p348512 -aS'was\tbe\tVBD\tB-VP\tI-protein' -p348513 -aS'31.3\t31.3\tCD\tB-NP\tI-protein' -p348514 -aS',\t,\t,\tO\tO' -p348515 -aS'and\tand\tCC\tO\tO' -p348516 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p348517 -aS'were\tbe\tVBD\tB-VP\tO' -p348518 -aS'160\t160\tCD\tB-NP\tO' -p348519 -aS'.\t.\t.\tO\tO' -p348520 -asS'# DM-2 -- The patient was maintained on his home insulin regimen .' -p348521 -(lp348522 -S'#\t#\t#\tB-NP\tO' -p348523 -aS'DM-2\tDM-2\tNN\tI-NP\tB-protein' -p348524 -aS'--\t--\t:\tO\tO' -p348525 -aS'The\tThe\tDT\tB-NP\tO' -p348526 -aS'patient\tpatient\tNN\tI-NP\tO' -p348527 -aS'was\tbe\tVBD\tB-VP\tO' -p348528 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p348529 -aS'on\ton\tIN\tB-PP\tO' -p348530 -aS'his\this\tPRP$\tB-NP\tO' -p348531 -aS'home\thome\tNN\tI-NP\tO' -p348532 -aS'insulin\tinsulin\tNN\tI-NP\tO' -p348533 -aS'regimen\tregimen\tNN\tI-NP\tO' -p348534 -aS'.\t.\t.\tO\tO' -p348535 -asS'Right subclavian CV line overlies proximal SVC .' -p348536 -(lp348537 -S'Right\tRight\tRB\tB-NP\tO' -p348538 -aS'subclavian\tsubclavian\tJJ\tI-NP\tO' -p348539 -aS'CV\tCV\tNN\tI-NP\tO' -p348540 -aS'line\tline\tNN\tI-NP\tO' -p348541 -aS'overlies\toverlie\tVBZ\tB-VP\tO' -p348542 -aS'proximal\tproximal\tJJ\tB-NP\tO' -p348543 -aS'SVC\tSVC\tNN\tI-NP\tO' -p348544 -aS'.\t.\t.\tO\tO' -p348545 -asS'It did not radiate .' -p348546 -(lp348547 -S'It\tIt\tPRP\tB-NP\tO' -p348548 -aS'did\tdo\tVBD\tB-VP\tO' -p348549 -aS'not\tnot\tRB\tI-VP\tO' -p348550 -aS'radiate\tradiate\tVB\tI-VP\tO' -p348551 -aS'.\t.\t.\tO\tO' -p348552 -asS'The patient is a 42 year old gravida II , para I female with a long history of menorrhagia and pelvic pain .' -p348553 -(lp348554 -S'The\tThe\tDT\tB-NP\tO' -p348555 -aS'patient\tpatient\tNN\tI-NP\tO' -p348556 -aS'is\tbe\tVBZ\tB-VP\tO' -p348557 -aS'a\ta\tDT\tB-NP\tO' -p348558 -aS'42\t42\tCD\tI-NP\tO' -p348559 -aS'year\tyear\tNN\tI-NP\tO' -p348560 -aS'old\told\tJJ\tI-NP\tO' -p348561 -aS'gravida\tgravida\tNN\tI-NP\tO' -p348562 -aS'II\tII\tCD\tI-NP\tO' -p348563 -aS',\t,\t,\tO\tO' -p348564 -aS'para\tpara\tNN\tB-NP\tO' -p348565 -aS'I\tI\tPRP\tB-NP\tO' -p348566 -aS'female\tfemale\tVBP\tB-VP\tO' -p348567 -aS'with\twith\tIN\tB-PP\tO' -p348568 -aS'a\ta\tDT\tB-NP\tO' -p348569 -aS'long\tlong\tJJ\tI-NP\tO' -p348570 -aS'history\thistory\tNN\tI-NP\tO' -p348571 -aS'of\tof\tIN\tB-PP\tO' -p348572 -aS'menorrhagia\tmenorrhagia\tNN\tB-NP\tO' -p348573 -aS'and\tand\tCC\tO\tO' -p348574 -aS'pelvic\tpelvic\tJJ\tB-NP\tO' -p348575 -aS'pain\tpain\tNN\tI-NP\tO' -p348576 -aS'.\t.\t.\tO\tO' -p348577 -asS'She has no complaints at the time of presentation .' -p348578 -(lp348579 -S'She\tShe\tPRP\tB-NP\tO' -p348580 -aS'has\thave\tVBZ\tB-VP\tO' -p348581 -aS'no\tno\tDT\tB-NP\tO' -p348582 -aS'complaints\tcomplaint\tNNS\tI-NP\tO' -p348583 -aS'at\tat\tIN\tB-PP\tO' -p348584 -aS'the\tthe\tDT\tB-NP\tO' -p348585 -aS'time\ttime\tNN\tI-NP\tO' -p348586 -aS'of\tof\tIN\tB-PP\tO' -p348587 -aS'presentation\tpresentation\tNN\tB-NP\tO' -p348588 -aS'.\t.\t.\tO\tO' -p348589 -asS'3. The patient will call for any fevers or difficulties with the wound care , and will be instructed with an interpreter present .' -p348590 -(lp348591 -S'3.\t3.\tLS\tB-LST\tO' -p348592 -aS'The\tThe\tDT\tB-NP\tO' -p348593 -aS'patient\tpatient\tNN\tI-NP\tO' -p348594 -aS'will\twill\tMD\tB-VP\tO' -p348595 -aS'call\tcall\tVB\tI-VP\tO' -p348596 -aS'for\tfor\tIN\tB-PP\tO' -p348597 -aS'any\tany\tDT\tB-NP\tO' -p348598 -aS'fevers\tfever\tNNS\tI-NP\tO' -p348599 -aS'or\tor\tCC\tI-NP\tO' -p348600 -aS'difficulties\tdifficulty\tNNS\tI-NP\tO' -p348601 -aS'with\twith\tIN\tB-PP\tO' -p348602 -aS'the\tthe\tDT\tB-NP\tO' -p348603 -aS'wound\twound\tNN\tI-NP\tO' -p348604 -aS'care\tcare\tNN\tI-NP\tO' -p348605 -aS',\t,\t,\tO\tO' -p348606 -aS'and\tand\tCC\tO\tO' -p348607 -aS'will\twill\tMD\tB-VP\tO' -p348608 -aS'be\tbe\tVB\tI-VP\tO' -p348609 -aS'instructed\tinstruct\tVBN\tI-VP\tO' -p348610 -aS'with\twith\tIN\tB-PP\tO' -p348611 -aS'an\tan\tDT\tB-NP\tO' -p348612 -aS'interpreter\tinterpreter\tNN\tI-NP\tO' -p348613 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p348614 -aS'.\t.\t.\tO\tO' -p348615 -asS'Coumadin was discontinued .' -p348616 -(lp348617 -S'Coumadin\tCoumadin\tNN\tB-NP\tO' -p348618 -aS'was\tbe\tVBD\tB-VP\tO' -p348619 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p348620 -aS'.\t.\t.\tO\tO' -p348621 -asS'Her right foot remained warm .' -p348622 -(lp348623 -S'Her\tHer\tPRP$\tB-NP\tO' -p348624 -aS'right\tright\tJJ\tI-NP\tO' -p348625 -aS'foot\tfoot\tNN\tI-NP\tO' -p348626 -aS'remained\tremain\tVBD\tB-VP\tO' -p348627 -aS'warm\twarm\tJJ\tB-ADJP\tO' -p348628 -aS'.\t.\t.\tO\tO' -p348629 -asS'he states he gives her one of his pensions and she helps him with medicines etc .' -p348630 -(lp348631 -S'he\the\tPRP\tB-NP\tO' -p348632 -aS'states\tstate\tVBZ\tB-VP\tO' -p348633 -aS'he\the\tPRP\tB-NP\tO' -p348634 -aS'gives\tgive\tVBZ\tB-VP\tO' -p348635 -aS'her\ther\tPRP\tB-NP\tO' -p348636 -aS'one\tone\tCD\tB-NP\tO' -p348637 -aS'of\tof\tIN\tB-PP\tO' -p348638 -aS'his\this\tPRP$\tB-NP\tO' -p348639 -aS'pensions\tpension\tNNS\tI-NP\tO' -p348640 -aS'and\tand\tCC\tO\tO' -p348641 -aS'she\tshe\tPRP\tB-NP\tO' -p348642 -aS'helps\thelp\tVBZ\tB-VP\tO' -p348643 -aS'him\thim\tPRP\tB-NP\tO' -p348644 -aS'with\twith\tIN\tB-PP\tO' -p348645 -aS'medicines\tmedicine\tNNS\tB-NP\tO' -p348646 -aS'etc\tetc\tFW\tB-NP\tO' -p348647 -aS'.\t.\t.\tO\tO' -p348648 -asS'He had a creatinine of 4.0 on admission and this decreased down to the mid ones with fluid , currently at 1.7 on discharge .' -p348649 -(lp348650 -S'He\tHe\tPRP\tB-NP\tO' -p348651 -aS'had\thave\tVBD\tB-VP\tO' -p348652 -aS'a\ta\tDT\tB-NP\tO' -p348653 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p348654 -aS'of\tof\tIN\tB-PP\tO' -p348655 -aS'4.0\t4.0\tCD\tB-NP\tO' -p348656 -aS'on\ton\tIN\tB-PP\tO' -p348657 -aS'admission\tadmission\tNN\tB-NP\tO' -p348658 -aS'and\tand\tCC\tO\tO' -p348659 -aS'this\tthis\tDT\tB-NP\tO' -p348660 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p348661 -aS'down\tdown\tRB\tB-ADVP\tO' -p348662 -aS'to\tto\tTO\tB-PP\tO' -p348663 -aS'the\tthe\tDT\tB-NP\tO' -p348664 -aS'mid\tmid\tJJ\tI-NP\tO' -p348665 -aS'ones\tone\tNNS\tI-NP\tO' -p348666 -aS'with\twith\tIN\tB-PP\tO' -p348667 -aS'fluid\tfluid\tNN\tB-NP\tO' -p348668 -aS',\t,\t,\tO\tO' -p348669 -aS'currently\tcurrently\tRB\tB-ADVP\tO' -p348670 -aS'at\tat\tIN\tB-PP\tO' -p348671 -aS'1.7\t1.7\tCD\tB-NP\tO' -p348672 -aS'on\ton\tIN\tB-PP\tO' -p348673 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p348674 -aS'.\t.\t.\tO\tO' -p348675 -asS'His intravenous antibiotics were discontinued .' -p348676 -(lp348677 -S'His\tHis\tPRP$\tB-NP\tO' -p348678 -aS'intravenous\tintravenous\tJJ\tI-NP\tO' -p348679 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p348680 -aS'were\tbe\tVBD\tB-VP\tO' -p348681 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p348682 -aS'.\t.\t.\tO\tO' -p348683 -asS'11. Fragmin 2500 units subcut every day .' -p348684 -(lp348685 -S'11.\t11.\tLS\tB-NP\tO' -p348686 -aS'Fragmin\tFragmin\tNNP\tI-NP\tO' -p348687 -aS'2500\t2500\tCD\tI-NP\tO' -p348688 -aS'units\tunit\tNNS\tI-NP\tO' -p348689 -aS'subcut\tsubcut\tVBD\tB-VP\tO' -p348690 -aS'every\tevery\tDT\tB-NP\tO' -p348691 -aS'day\tday\tNN\tI-NP\tO' -p348692 -aS'.\t.\t.\tO\tO' -p348693 -asS'Active , alert , responding to stimulation .' -p348694 -(lp348695 -S'Active\tActive\tJJ\tB-NP\tO' -p348696 -aS',\t,\t,\tI-NP\tO' -p348697 -aS'alert\talert\tJJ\tI-NP\tO' -p348698 -aS',\t,\t,\tO\tO' -p348699 -aS'responding\trespond\tVBG\tB-VP\tO' -p348700 -aS'to\tto\tTO\tB-PP\tO' -p348701 -aS'stimulation\tstimulation\tNN\tB-NP\tO' -p348702 -aS'.\t.\t.\tO\tO' -p348703 -asS'Red reflexes noted bilaterally .' -p348704 -(lp348705 -S'Red\tRed\tJJ\tB-NP\tO' -p348706 -aS'reflexes\treflex\tNNS\tI-NP\tO' -p348707 -aS'noted\tnote\tVBN\tB-VP\tO' -p348708 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p348709 -aS'.\t.\t.\tO\tO' -p348710 -asS'MEDICATIONS ON TRANSFER FROM THE INTENSIVE CARE 4999801 .' -p348711 -(lp348712 -S'MEDICATIONS\tMEDICATIONS\tNNS\tB-NP\tO' -p348713 -aS'ON\tON\tVBP\tB-VP\tO' -p348714 -aS'TRANSFER\tTRANSFER\tNN\tB-NP\tO' -p348715 -aS'FROM\tFROM\tNN\tI-NP\tO' -p348716 -aS'THE\tTHE\tDT\tB-NP\tO' -p348717 -aS'INTENSIVE\tINTENSIVE\tJJ\tI-NP\tO' -p348718 -aS'CARE\tCARE\tNN\tI-NP\tO' -p348719 -aS'4999801\t4999801\tCD\tI-NP\tO' -p348720 -aS'.\t.\t.\tO\tO' -p348721 -asS'Righteye surgery for glaucoma in 05/97 .' -p348722 -(lp348723 -S'Righteye\tRighteye\tNN\tB-NP\tO' -p348724 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p348725 -aS'for\tfor\tIN\tB-PP\tO' -p348726 -aS'glaucoma\tglaucoma\tNN\tB-NP\tO' -p348727 -aS'in\tin\tIN\tB-PP\tO' -p348728 -aS'05/97\t05/97\tCD\tB-NP\tO' -p348729 -aS'.\t.\t.\tO\tO' -p348730 -asS'He had a left pupil that was in unequal in size with a keyhole appearance consistent with a coloboma .' -p348731 -(lp348732 -S'He\tHe\tPRP\tB-NP\tO' -p348733 -aS'had\thave\tVBD\tB-VP\tO' -p348734 -aS'a\ta\tDT\tB-NP\tO' -p348735 -aS'left\tleft\tJJ\tI-NP\tO' -p348736 -aS'pupil\tpupil\tNN\tI-NP\tO' -p348737 -aS'that\tthat\tWDT\tB-NP\tO' -p348738 -aS'was\tbe\tVBD\tB-VP\tO' -p348739 -aS'in\tin\tIN\tB-PP\tO' -p348740 -aS'unequal\tunequal\tJJ\tB-NP\tO' -p348741 -aS'in\tin\tIN\tB-PP\tO' -p348742 -aS'size\tsize\tNN\tB-NP\tO' -p348743 -aS'with\twith\tIN\tB-PP\tO' -p348744 -aS'a\ta\tDT\tB-NP\tO' -p348745 -aS'keyhole\tkeyhole\tJJ\tI-NP\tO' -p348746 -aS'appearance\tappearance\tNN\tI-NP\tO' -p348747 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p348748 -aS'with\twith\tIN\tB-PP\tO' -p348749 -aS'a\ta\tDT\tB-NP\tO' -p348750 -aS'coloboma\tcoloboma\tNN\tI-NP\tO' -p348751 -aS'.\t.\t.\tO\tO' -p348752 -asS'Afib , occasional V-paced , rate 83 bpm .' -p348753 -(lp348754 -S'Afib\tAfib\tNN\tB-NP\tO' -p348755 -aS',\t,\t,\tO\tO' -p348756 -aS'occasional\toccasional\tJJ\tB-NP\tO' -p348757 -aS'V-paced\tV-paced\tJJ\tI-NP\tO' -p348758 -aS',\t,\t,\tI-NP\tO' -p348759 -aS'rate\trate\tNN\tI-NP\tO' -p348760 -aS'83\t83\tCD\tI-NP\tO' -p348761 -aS'bpm\tbpm\tNN\tI-NP\tO' -p348762 -aS'.\t.\t.\tO\tO' -p348763 -asS'Weight 70.4 kilograms , temperature 96.5 , respiratory rate 20 , blood pressure 105/60 , pulse 76 .' -p348764 -(lp348765 -S'Weight\tWeight\tNN\tB-NP\tO' -p348766 -aS'70.4\t70.4\tCD\tB-NP\tO' -p348767 -aS'kilograms\tkilogram\tNNS\tI-NP\tO' -p348768 -aS',\t,\t,\tO\tO' -p348769 -aS'temperature\ttemperature\tNN\tB-NP\tB-protein' -p348770 -aS'96.5\t96.5\tCD\tI-NP\tI-protein' -p348771 -aS',\t,\t,\tO\tO' -p348772 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p348773 -aS'rate\trate\tNN\tI-NP\tO' -p348774 -aS'20\t20\tCD\tI-NP\tO' -p348775 -aS',\t,\t,\tO\tO' -p348776 -aS'blood\tblood\tNN\tB-NP\tO' -p348777 -aS'pressure\tpressure\tNN\tI-NP\tO' -p348778 -aS'105/60\t105/60\tCD\tI-NP\tO' -p348779 -aS',\t,\t,\tO\tO' -p348780 -aS'pulse\tpulse\tNN\tB-NP\tO' -p348781 -aS'76\t76\tCD\tI-NP\tO' -p348782 -aS'.\t.\t.\tO\tO' -p348783 -asS'All physicians and the family were in agreement that the most appropriate approach was to institute comfort measures .' -p348784 -(lp348785 -S'All\tAll\tDT\tB-NP\tO' -p348786 -aS'physicians\tphysician\tNNS\tI-NP\tO' -p348787 -aS'and\tand\tCC\tO\tO' -p348788 -aS'the\tthe\tDT\tB-NP\tO' -p348789 -aS'family\tfamily\tNN\tI-NP\tO' -p348790 -aS'were\tbe\tVBD\tB-VP\tO' -p348791 -aS'in\tin\tIN\tB-PP\tO' -p348792 -aS'agreement\tagreement\tNN\tB-NP\tO' -p348793 -aS'that\tthat\tIN\tB-SBAR\tO' -p348794 -aS'the\tthe\tDT\tB-NP\tO' -p348795 -aS'most\tmost\tRBS\tI-NP\tO' -p348796 -aS'appropriate\tappropriate\tJJ\tI-NP\tO' -p348797 -aS'approach\tapproach\tNN\tI-NP\tO' -p348798 -aS'was\tbe\tVBD\tB-VP\tO' -p348799 -aS'to\tto\tTO\tB-VP\tO' -p348800 -aS'institute\tinstitute\tVB\tI-VP\tO' -p348801 -aS'comfort\tcomfort\tNN\tB-NP\tO' -p348802 -aS'measures\tmeasure\tNNS\tI-NP\tO' -p348803 -aS'.\t.\t.\tO\tO' -p348804 -asS'Given his tenuous respiratory status , he was transferred to the FICU with closer observation .' -p348805 -(lp348806 -S'Given\tGive\tVBN\tB-VP\tO' -p348807 -aS'his\this\tPRP$\tB-NP\tO' -p348808 -aS'tenuous\ttenuous\tJJ\tI-NP\tO' -p348809 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p348810 -aS'status\tstatus\tNN\tI-NP\tO' -p348811 -aS',\t,\t,\tO\tO' -p348812 -aS'he\the\tPRP\tB-NP\tO' -p348813 -aS'was\tbe\tVBD\tB-VP\tO' -p348814 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p348815 -aS'to\tto\tTO\tB-PP\tO' -p348816 -aS'the\tthe\tDT\tB-NP\tO' -p348817 -aS'FICU\tFICU\tNN\tI-NP\tO' -p348818 -aS'with\twith\tIN\tB-PP\tO' -p348819 -aS'closer\tclose\tJJR\tB-NP\tO' -p348820 -aS'observation\tobservation\tNN\tI-NP\tO' -p348821 -aS'.\t.\t.\tO\tO' -p348822 -asS'It was initially managed with intravenous diltiazam , and it was later managed with metoprolol and anticoagulation .' -p348823 -(lp348824 -S'It\tIt\tPRP\tB-NP\tO' -p348825 -aS'was\tbe\tVBD\tB-VP\tO' -p348826 -aS'initially\tinitially\tRB\tI-VP\tO' -p348827 -aS'managed\tmanage\tVBN\tI-VP\tO' -p348828 -aS'with\twith\tIN\tB-PP\tO' -p348829 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p348830 -aS'diltiazam\tdiltiazam\tNN\tI-NP\tO' -p348831 -aS',\t,\t,\tO\tO' -p348832 -aS'and\tand\tCC\tO\tO' -p348833 -aS'it\tit\tPRP\tB-NP\tO' -p348834 -aS'was\tbe\tVBD\tB-VP\tO' -p348835 -aS'later\tlater\tRB\tI-VP\tO' -p348836 -aS'managed\tmanage\tVBN\tI-VP\tO' -p348837 -aS'with\twith\tIN\tB-PP\tO' -p348838 -aS'metoprolol\tmetoprolol\tNN\tB-NP\tO' -p348839 -aS'and\tand\tCC\tI-NP\tO' -p348840 -aS'anticoagulation\tanticoagulation\tNN\tI-NP\tO' -p348841 -aS'.\t.\t.\tO\tO' -p348842 -asS'However , no acute changes were apparent .' -p348843 -(lp348844 -S'However\tHowever\tRB\tB-ADVP\tO' -p348845 -aS',\t,\t,\tO\tO' -p348846 -aS'no\tno\tDT\tB-NP\tO' -p348847 -aS'acute\tacute\tJJ\tI-NP\tO' -p348848 -aS'changes\tchange\tNNS\tI-NP\tO' -p348849 -aS'were\tbe\tVBD\tB-VP\tO' -p348850 -aS'apparent\tapparent\tJJ\tB-ADJP\tO' -p348851 -aS'.\t.\t.\tO\tO' -p348852 -asS'She tolerated the procedure well , see op report for details .' -p348853 -(lp348854 -S'She\tShe\tPRP\tB-NP\tO' -p348855 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p348856 -aS'the\tthe\tDT\tB-NP\tO' -p348857 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p348858 -aS'well\twell\tRB\tB-ADVP\tO' -p348859 -aS',\t,\t,\tO\tO' -p348860 -aS'see\tsee\tVB\tB-VP\tO' -p348861 -aS'op\top\tNN\tB-NP\tO' -p348862 -aS'report\treport\tNN\tI-NP\tO' -p348863 -aS'for\tfor\tIN\tB-PP\tO' -p348864 -aS'details\tdetail\tNNS\tB-NP\tO' -p348865 -aS'.\t.\t.\tO\tO' -p348866 -asS'She was given Flagyl for presumed C. Diff. Colitis , however this was stopped when C. Diff B toxin came back negative on 2019-01-10 .' -p348867 -(lp348868 -S'She\tShe\tPRP\tB-NP\tO' -p348869 -aS'was\tbe\tVBD\tB-VP\tO' -p348870 -aS'given\tgive\tVBN\tI-VP\tO' -p348871 -aS'Flagyl\tFlagyl\tNNP\tB-NP\tO' -p348872 -aS'for\tfor\tIN\tB-PP\tO' -p348873 -aS'presumed\tpresumed\tNNP\tB-NP\tO' -p348874 -aS'C.\tC.\tNNP\tI-NP\tO' -p348875 -aS'Diff.\tDiff.\tNNP\tI-NP\tO' -p348876 -aS'Colitis\tColitis\tNNP\tI-NP\tO' -p348877 -aS',\t,\t,\tO\tO' -p348878 -aS'however\thowever\tRB\tB-ADVP\tO' -p348879 -aS'this\tthis\tDT\tB-NP\tO' -p348880 -aS'was\tbe\tVBD\tB-VP\tO' -p348881 -aS'stopped\tstop\tVBN\tI-VP\tO' -p348882 -aS'when\twhen\tWRB\tB-ADVP\tO' -p348883 -aS'C.\tC.\tNNP\tB-NP\tO' -p348884 -aS'Diff\tDiff\tNNP\tI-NP\tO' -p348885 -aS'B\tB\tNNP\tI-NP\tO' -p348886 -aS'toxin\ttoxin\tNN\tI-NP\tO' -p348887 -aS'came\tcome\tVBD\tB-VP\tO' -p348888 -aS'back\tback\tRB\tB-ADJP\tO' -p348889 -aS'negative\tnegative\tJJ\tI-ADJP\tO' -p348890 -aS'on\ton\tIN\tB-PP\tO' -p348891 -aS'2019-01-10\t2019-01-10\tCD\tB-NP\tO' -p348892 -aS'.\t.\t.\tO\tO' -p348893 -asS'The patient required supplemental oxygen to keep his oxygen saturation greater than 93% .' -p348894 -(lp348895 -S'The\tThe\tDT\tB-NP\tO' -p348896 -aS'patient\tpatient\tNN\tI-NP\tO' -p348897 -aS'required\trequire\tVBD\tB-VP\tO' -p348898 -aS'supplemental\tsupplemental\tJJ\tB-NP\tO' -p348899 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p348900 -aS'to\tto\tTO\tB-VP\tO' -p348901 -aS'keep\tkeep\tVB\tI-VP\tO' -p348902 -aS'his\this\tPRP$\tB-NP\tO' -p348903 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p348904 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p348905 -aS'greater\tgreat\tJJR\tB-ADJP\tO' -p348906 -aS'than\tthan\tIN\tB-PP\tO' -p348907 -aS'93%\t93%\tCD\tB-NP\tO' -p348908 -aS'.\t.\t.\tO\tO' -p348909 -asS'Patient was referred to Cardiology and underwent a three vessel coronary artery bypass graft on 11/25/09 .' -p348910 -(lp348911 -S'Patient\tPatient\tNN\tB-NP\tO' -p348912 -aS'was\tbe\tVBD\tB-VP\tO' -p348913 -aS'referred\trefer\tVBN\tI-VP\tO' -p348914 -aS'to\tto\tTO\tB-PP\tO' -p348915 -aS'Cardiology\tCardiology\tNNP\tB-NP\tO' -p348916 -aS'and\tand\tCC\tO\tO' -p348917 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p348918 -aS'a\ta\tDT\tB-NP\tO' -p348919 -aS'three\tthree\tCD\tI-NP\tO' -p348920 -aS'vessel\tvessel\tNN\tI-NP\tO' -p348921 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p348922 -aS'artery\tartery\tNN\tI-NP\tO' -p348923 -aS'bypass\tbypass\tIN\tB-PP\tO' -p348924 -aS'graft\tgraft\tNN\tB-NP\tO' -p348925 -aS'on\ton\tIN\tB-PP\tO' -p348926 -aS'11/25/09\t11/25/09\tCD\tB-NP\tO' -p348927 -aS'.\t.\t.\tO\tO' -p348928 -asS'Captopril and nitropaste to control pressure .' -p348929 -(lp348930 -S'Captopril\tCaptopril\tNNP\tB-NP\tO' -p348931 -aS'and\tand\tCC\tO\tO' -p348932 -aS'nitropaste\tnitropaste\tNN\tB-NP\tO' -p348933 -aS'to\tto\tTO\tB-PP\tO' -p348934 -aS'control\tcontrol\tNN\tB-NP\tO' -p348935 -aS'pressure\tpressure\tNN\tI-NP\tO' -p348936 -aS'.\t.\t.\tO\tO' -p348937 -asS'Her sutures were removed on postoperative day # one , at which time she went home in satisfactory condition .' -p348938 -(lp348939 -S'Her\tHer\tPRP$\tB-NP\tO' -p348940 -aS'sutures\tsuture\tNNS\tI-NP\tO' -p348941 -aS'were\tbe\tVBD\tB-VP\tO' -p348942 -aS'removed\tremove\tVBN\tI-VP\tO' -p348943 -aS'on\ton\tIN\tB-PP\tO' -p348944 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p348945 -aS'day\tday\tNN\tI-NP\tO' -p348946 -aS'#\t#\t#\tB-NP\tO' -p348947 -aS'one\tone\tCD\tI-NP\tO' -p348948 -aS',\t,\t,\tO\tO' -p348949 -aS'at\tat\tIN\tB-PP\tO' -p348950 -aS'which\twhich\tWDT\tB-NP\tO' -p348951 -aS'time\ttime\tNN\tI-NP\tO' -p348952 -aS'she\tshe\tPRP\tB-NP\tO' -p348953 -aS'went\tgo\tVBD\tB-VP\tO' -p348954 -aS'home\thome\tNN\tB-ADVP\tO' -p348955 -aS'in\tin\tIN\tB-PP\tO' -p348956 -aS'satisfactory\tsatisfactory\tJJ\tB-NP\tO' -p348957 -aS'condition\tcondition\tNN\tI-NP\tO' -p348958 -aS'.\t.\t.\tO\tO' -p348959 -asS'Notable for a sodium of 145 , potassium 3.6 , BUN 23 , creatinine 1.3 , glucose 104 , hematocrit 42 , white count 8.7 , platelet count 235 and a PT of 12.9 seconds .' -p348960 -(lp348961 -S'Notable\tNotable\tJJ\tB-ADJP\tO' -p348962 -aS'for\tfor\tIN\tB-PP\tO' -p348963 -aS'a\ta\tDT\tB-NP\tO' -p348964 -aS'sodium\tsodium\tNN\tI-NP\tO' -p348965 -aS'of\tof\tIN\tB-PP\tO' -p348966 -aS'145\t145\tCD\tB-NP\tO' -p348967 -aS',\t,\t,\tO\tO' -p348968 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p348969 -aS'3.6\t3.6\tCD\tI-NP\tO' -p348970 -aS',\t,\t,\tO\tO' -p348971 -aS'BUN\tBUN\tNN\tB-NP\tB-DNA' -p348972 -aS'23\t23\tCD\tI-NP\tI-DNA' -p348973 -aS',\t,\t,\tO\tO' -p348974 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p348975 -aS'1.3\t1.3\tCD\tI-NP\tO' -p348976 -aS',\t,\t,\tO\tO' -p348977 -aS'glucose\tglucose\tNN\tB-NP\tO' -p348978 -aS'104\t104\tCD\tI-NP\tO' -p348979 -aS',\t,\t,\tO\tO' -p348980 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p348981 -aS'42\t42\tCD\tI-NP\tI-protein' -p348982 -aS',\t,\t,\tO\tO' -p348983 -aS'white\twhite\tJJ\tB-NP\tO' -p348984 -aS'count\tcount\tNN\tI-NP\tO' -p348985 -aS'8.7\t8.7\tCD\tI-NP\tO' -p348986 -aS',\t,\t,\tO\tO' -p348987 -aS'platelet\tplatelet\tNN\tB-NP\tB-protein' -p348988 -aS'count\tcount\tNN\tI-NP\tI-protein' -p348989 -aS'235\t235\tCD\tI-NP\tI-protein' -p348990 -aS'and\tand\tCC\tO\tO' -p348991 -aS'a\ta\tDT\tB-NP\tO' -p348992 -aS'PT\tPT\tNN\tI-NP\tO' -p348993 -aS'of\tof\tIN\tB-PP\tO' -p348994 -aS'12.9\t12.9\tCD\tB-NP\tO' -p348995 -aS'seconds\tsecond\tNNS\tI-NP\tO' -p348996 -aS'.\t.\t.\tO\tO' -p348997 -asS'On day of life 25 , calcium 10.1 , phosphorus 6.9 , alkaline phosphatase 341 .' -p348998 -(lp348999 -S'On\tOn\tIN\tB-PP\tO' -p349000 -aS'day\tday\tNN\tB-NP\tO' -p349001 -aS'of\tof\tIN\tB-PP\tO' -p349002 -aS'life\tlife\tNN\tB-NP\tO' -p349003 -aS'25\t25\tCD\tI-NP\tO' -p349004 -aS',\t,\t,\tO\tO' -p349005 -aS'calcium\tcalcium\tNN\tB-NP\tO' -p349006 -aS'10.1\t10.1\tCD\tI-NP\tO' -p349007 -aS',\t,\t,\tO\tO' -p349008 -aS'phosphorus\tphosphorus\tNN\tB-NP\tO' -p349009 -aS'6.9\t6.9\tCD\tI-NP\tO' -p349010 -aS',\t,\t,\tO\tO' -p349011 -aS'alkaline\talkaline\tNN\tB-NP\tO' -p349012 -aS'phosphatase\tphosphatase\tNN\tI-NP\tO' -p349013 -aS'341\t341\tCD\tI-NP\tO' -p349014 -aS'.\t.\t.\tO\tO' -p349015 -asS'In the past , her seizures were on the left side , which implies that she now has a new focus .' -p349016 -(lp349017 -S'In\tIn\tIN\tB-PP\tO' -p349018 -aS'the\tthe\tDT\tB-NP\tO' -p349019 -aS'past\tpast\tNN\tI-NP\tO' -p349020 -aS',\t,\t,\tO\tO' -p349021 -aS'her\ther\tPRP$\tB-NP\tO' -p349022 -aS'seizures\tseizure\tNNS\tI-NP\tO' -p349023 -aS'were\tbe\tVBD\tB-VP\tO' -p349024 -aS'on\ton\tIN\tB-PP\tO' -p349025 -aS'the\tthe\tDT\tB-NP\tO' -p349026 -aS'left\tleft\tJJ\tI-NP\tO' -p349027 -aS'side\tside\tNN\tI-NP\tO' -p349028 -aS',\t,\t,\tO\tO' -p349029 -aS'which\twhich\tWDT\tB-NP\tO' -p349030 -aS'implies\timply\tVBZ\tB-VP\tO' -p349031 -aS'that\tthat\tIN\tB-SBAR\tO' -p349032 -aS'she\tshe\tPRP\tB-NP\tO' -p349033 -aS'now\tnow\tRB\tB-ADVP\tO' -p349034 -aS'has\thave\tVBZ\tB-VP\tO' -p349035 -aS'a\ta\tDT\tB-NP\tO' -p349036 -aS'new\tnew\tJJ\tI-NP\tO' -p349037 -aS'focus\tfocus\tNN\tI-NP\tO' -p349038 -aS'.\t.\t.\tO\tO' -p349039 -asS'The patient was fully weaned from ventilatory support secondary to a persistent acidemia .' -p349040 -(lp349041 -S'The\tThe\tDT\tB-NP\tO' -p349042 -aS'patient\tpatient\tNN\tI-NP\tO' -p349043 -aS'was\tbe\tVBD\tB-VP\tO' -p349044 -aS'fully\tfully\tRB\tI-VP\tO' -p349045 -aS'weaned\twean\tVBN\tI-VP\tO' -p349046 -aS'from\tfrom\tIN\tB-PP\tO' -p349047 -aS'ventilatory\tventilatory\tJJ\tB-NP\tO' -p349048 -aS'support\tsupport\tNN\tI-NP\tO' -p349049 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p349050 -aS'to\tto\tTO\tB-PP\tO' -p349051 -aS'a\ta\tDT\tB-NP\tO' -p349052 -aS'persistent\tpersistent\tJJ\tI-NP\tO' -p349053 -aS'acidemia\tacidemia\tNN\tI-NP\tO' -p349054 -aS'.\t.\t.\tO\tO' -p349055 -asS'On admission to Fairm of Ijordcompmac Hospital , hypernatremia and hypovolemic shock .' -p349056 -(lp349057 -S'On\tOn\tIN\tB-PP\tO' -p349058 -aS'admission\tadmission\tNN\tB-NP\tO' -p349059 -aS'to\tto\tTO\tB-PP\tO' -p349060 -aS'Fairm\tFairm\tNNP\tB-NP\tO' -p349061 -aS'of\tof\tIN\tB-PP\tO' -p349062 -aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' -p349063 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p349064 -aS',\t,\t,\tO\tO' -p349065 -aS'hypernatremia\thypernatremia\tNN\tB-NP\tO' -p349066 -aS'and\tand\tCC\tO\tO' -p349067 -aS'hypovolemic\thypovolemic\tJJ\tB-NP\tO' -p349068 -aS'shock\tshock\tNN\tI-NP\tO' -p349069 -aS'.\t.\t.\tO\tO' -p349070 -asS'The abdomen is soft , nontender , nondistended , with a small umbilical hernia .' -p349071 -(lp349072 -S'The\tThe\tDT\tB-NP\tO' -p349073 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p349074 -aS'is\tbe\tVBZ\tB-VP\tO' -p349075 -aS'soft\tsoft\tJJ\tB-NP\tO' -p349076 -aS',\t,\t,\tI-NP\tO' -p349077 -aS'nontender\tnontender\tJJ\tI-NP\tO' -p349078 -aS',\t,\t,\tI-NP\tO' -p349079 -aS'nondistended\tnondistended\tJJ\tI-NP\tO' -p349080 -aS',\t,\t,\tO\tO' -p349081 -aS'with\twith\tIN\tB-PP\tO' -p349082 -aS'a\ta\tDT\tB-NP\tO' -p349083 -aS'small\tsmall\tJJ\tI-NP\tO' -p349084 -aS'umbilical\tumbilical\tJJ\tI-NP\tO' -p349085 -aS'hernia\thernia\tNN\tI-NP\tO' -p349086 -aS'.\t.\t.\tO\tO' -p349087 -asS'You should continue taking this medication and your last day will be Nolen , 06-23 .' -p349088 -(lp349089 -S'You\tYou\tPRP\tB-NP\tB-protein' -p349090 -aS'should\tshould\tMD\tB-VP\tO' -p349091 -aS'continue\tcontinue\tVB\tI-VP\tO' -p349092 -aS'taking\ttake\tVBG\tI-VP\tO' -p349093 -aS'this\tthis\tDT\tB-NP\tO' -p349094 -aS'medication\tmedication\tNN\tI-NP\tO' -p349095 -aS'and\tand\tCC\tO\tO' -p349096 -aS'your\tyour\tPRP$\tB-NP\tO' -p349097 -aS'last\tlast\tJJ\tI-NP\tO' -p349098 -aS'day\tday\tNN\tI-NP\tO' -p349099 -aS'will\twill\tMD\tB-VP\tO' -p349100 -aS'be\tbe\tVB\tI-VP\tO' -p349101 -aS'Nolen\tNolen\tVBN\tI-VP\tO' -p349102 -aS',\t,\t,\tO\tO' -p349103 -aS'06-23\t06-23\tCD\tB-NP\tO' -p349104 -aS'.\t.\t.\tO\tO' -p349105 -asS'PRINCIPAL DISCHARGE DIAGNOSIS ; Responsible After Study for Causing Admission ) chest pain' -p349106 -(lp349107 -S'PRINCIPAL\tPRINCIPAL\tJJ\tB-NP\tO' -p349108 -aS'DISCHARGE\tDISCHARGE\tNN\tI-NP\tO' -p349109 -aS'DIAGNOSIS\tDIAGNOSIS\tNN\tI-NP\tO' -p349110 -aS';\t;\t:\tO\tO' -p349111 -aS'Responsible\tResponsible\tJJ\tB-ADJP\tO' -p349112 -aS'After\tAfter\tIN\tB-PP\tO' -p349113 -aS'Study\tStudy\tNN\tB-NP\tO' -p349114 -aS'for\tfor\tIN\tB-PP\tO' -p349115 -aS'Causing\tCause\tVBG\tB-VP\tO' -p349116 -aS'Admission\tAdmission\tNN\tB-NP\tO' -p349117 -aS')\t)\t)\tO\tO' -p349118 -aS'chest\tchest\tNN\tB-NP\tO' -p349119 -aS'pain\tpain\tNN\tI-NP\tO' -p349120 -asS'5. Insulin-dependent diabetes mellitus times 32 years .' -p349121 -(lp349122 -S'5.\t5.\tLS\tB-NP\tO' -p349123 -aS'Insulin-dependent\tInsulin-dependent\tJJ\tI-NP\tB-protein' -p349124 -aS'diabetes\tdiabetes\tNN\tI-NP\tI-protein' -p349125 -aS'mellitus\tmellitus\tNN\tI-NP\tI-protein' -p349126 -aS'times\ttime\tNNS\tI-NP\tI-protein' -p349127 -aS'32\t32\tCD\tB-NP\tI-protein' -p349128 -aS'years\tyear\tNNS\tI-NP\tI-protein' -p349129 -aS'.\t.\t.\tO\tO' -p349130 -asS'Her creatine kinases climbed ; reaching a peak of 3523 , which was down to 1500 at the time of discharge .' -p349131 -(lp349132 -S'Her\tHer\tPRP$\tB-NP\tO' -p349133 -aS'creatine\tcreatine\tNN\tI-NP\tB-protein' -p349134 -aS'kinases\tkinase\tNNS\tI-NP\tI-protein' -p349135 -aS'climbed\tclimb\tVBD\tB-VP\tO' -p349136 -aS';\t;\t:\tO\tO' -p349137 -aS'reaching\treach\tVBG\tB-VP\tO' -p349138 -aS'a\ta\tDT\tB-NP\tO' -p349139 -aS'peak\tpeak\tNN\tI-NP\tO' -p349140 -aS'of\tof\tIN\tB-PP\tO' -p349141 -aS'3523\t3523\tCD\tB-NP\tO' -p349142 -aS',\t,\t,\tO\tO' -p349143 -aS'which\twhich\tWDT\tB-NP\tO' -p349144 -aS'was\tbe\tVBD\tB-VP\tO' -p349145 -aS'down\tdown\tRB\tB-ADVP\tO' -p349146 -aS'to\tto\tTO\tB-PP\tO' -p349147 -aS'1500\t1500\tCD\tB-NP\tO' -p349148 -aS'at\tat\tIN\tB-PP\tO' -p349149 -aS'the\tthe\tDT\tB-NP\tO' -p349150 -aS'time\ttime\tNN\tI-NP\tO' -p349151 -aS'of\tof\tIN\tB-PP\tO' -p349152 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p349153 -aS'.\t.\t.\tO\tO' -p349154 -asS'She was negative for PCP and subsequently _____________ was continued and Clindamycin was changed for anaerobic coverage .' -p349155 -(lp349156 -S'She\tShe\tPRP\tB-NP\tO' -p349157 -aS'was\tbe\tVBD\tB-VP\tO' -p349158 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p349159 -aS'for\tfor\tIN\tB-PP\tO' -p349160 -aS'PCP\tPCP\tNN\tB-NP\tB-protein' -p349161 -aS'and\tand\tCC\tO\tO' -p349162 -aS'subsequently\tsubsequently\tRB\tB-NP\tO' -p349163 -aS'_____________\t_____________\tDT\tI-NP\tO' -p349164 -aS'was\tbe\tVBD\tB-VP\tO' -p349165 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p349166 -aS'and\tand\tCC\tO\tO' -p349167 -aS'Clindamycin\tClindamycin\tNN\tB-NP\tO' -p349168 -aS'was\tbe\tVBD\tB-VP\tO' -p349169 -aS'changed\tchange\tVBN\tI-VP\tO' -p349170 -aS'for\tfor\tIN\tB-PP\tO' -p349171 -aS'anaerobic\tanaerobic\tJJ\tB-NP\tO' -p349172 -aS'coverage\tcoverage\tNN\tI-NP\tO' -p349173 -aS'.\t.\t.\tO\tO' -p349174 -asS'She denies any abdominal pain .' -p349175 -(lp349176 -S'She\tShe\tPRP\tB-NP\tO' -p349177 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p349178 -aS'any\tany\tDT\tB-NP\tO' -p349179 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p349180 -aS'pain\tpain\tNN\tI-NP\tO' -p349181 -aS'.\t.\t.\tO\tO' -p349182 -asS'The pleurae are normal .' -p349183 -(lp349184 -S'The\tThe\tDT\tB-NP\tO' -p349185 -aS'pleurae\tpleura\tNNS\tI-NP\tO' -p349186 -aS'are\tbe\tVBP\tB-VP\tO' -p349187 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p349188 -aS'.\t.\t.\tO\tO' -p349189 -asS'1 ETO drink daily .' -p349190 -(lp349191 -S'1\t1\tCD\tB-NP\tO' -p349192 -aS'ETO\tETO\tNN\tI-NP\tO' -p349193 -aS'drink\tdrink\tNN\tI-NP\tO' -p349194 -aS'daily\tdaily\tRB\tB-ADVP\tO' -p349195 -aS'.\t.\t.\tO\tO' -p349196 -asS'decreased reflexes Lower extremities .' -p349197 -(lp349198 -S'decreased\tdecrease\tVBN\tB-NP\tO' -p349199 -aS'reflexes\treflex\tNNS\tI-NP\tO' -p349200 -aS'Lower\tLow\tJJR\tB-NP\tO' -p349201 -aS'extremities\textremity\tNNS\tI-NP\tO' -p349202 -aS'.\t.\t.\tO\tO' -p349203 -asS'5. Arterial emboli , left femoral artery .' -p349204 -(lp349205 -S'5.\t5.\tLS\tB-LST\tO' -p349206 -aS'Arterial\tArterial\tNNP\tB-NP\tO' -p349207 -aS'emboli\temboli\tNNP\tI-NP\tO' -p349208 -aS',\t,\t,\tO\tO' -p349209 -aS'left\tleave\tVBD\tB-VP\tO' -p349210 -aS'femoral\tfemoral\tJJ\tB-NP\tO' -p349211 -aS'artery\tartery\tNN\tI-NP\tO' -p349212 -aS'.\t.\t.\tO\tO' -p349213 -asS'Include hypertension .' -p349214 -(lp349215 -S'Include\tInclude\tNN\tB-NP\tO' -p349216 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p349217 -aS'.\t.\t.\tO\tO' -p349218 -asS'Her left internal mammary artery was also unused .' -p349219 -(lp349220 -S'Her\tHer\tPRP$\tB-NP\tO' -p349221 -aS'left\tleft\tJJ\tI-NP\tO' -p349222 -aS'internal\tinternal\tJJ\tI-NP\tO' -p349223 -aS'mammary\tmammary\tJJ\tI-NP\tO' -p349224 -aS'artery\tartery\tNN\tI-NP\tO' -p349225 -aS'was\tbe\tVBD\tB-VP\tO' -p349226 -aS'also\talso\tRB\tB-ADVP\tO' -p349227 -aS'unused\tunused\tJJ\tB-ADJP\tO' -p349228 -aS'.\t.\t.\tO\tO' -p349229 -asS'HEENT revealed pupils were equally round and reactive to light .' -p349230 -(lp349231 -S'HEENT\tHEENT\tNN\tB-NP\tO' -p349232 -aS'revealed\treveal\tVBD\tB-VP\tO' -p349233 -aS'pupils\tpupil\tNNS\tB-NP\tO' -p349234 -aS'were\tbe\tVBD\tB-VP\tO' -p349235 -aS'equally\tequally\tRB\tB-ADJP\tO' -p349236 -aS'round\tround\tJJ\tI-ADJP\tO' -p349237 -aS'and\tand\tCC\tI-ADJP\tO' -p349238 -aS'reactive\treactive\tJJ\tI-ADJP\tO' -p349239 -aS'to\tto\tTO\tB-PP\tO' -p349240 -aS'light\tlight\tNN\tB-NP\tO' -p349241 -aS'.\t.\t.\tO\tO' -p349242 -asS'At the hospital , she was started on Rocephin and Levaquin for a right lower lobe pneumonia seen on chest x-ray .' -p349243 -(lp349244 -S'At\tAt\tIN\tB-PP\tO' -p349245 -aS'the\tthe\tDT\tB-NP\tO' -p349246 -aS'hospital\thospital\tNN\tI-NP\tO' -p349247 -aS',\t,\t,\tO\tO' -p349248 -aS'she\tshe\tPRP\tB-NP\tO' -p349249 -aS'was\tbe\tVBD\tB-VP\tO' -p349250 -aS'started\tstart\tVBN\tI-VP\tO' -p349251 -aS'on\ton\tIN\tB-PP\tO' -p349252 -aS'Rocephin\tRocephin\tNNP\tB-NP\tO' -p349253 -aS'and\tand\tCC\tI-NP\tO' -p349254 -aS'Levaquin\tLevaquin\tNNP\tI-NP\tO' -p349255 -aS'for\tfor\tIN\tB-PP\tO' -p349256 -aS'a\ta\tDT\tB-NP\tO' -p349257 -aS'right\tright\tJJ\tI-NP\tO' -p349258 -aS'lower\tlow\tJJR\tI-NP\tO' -p349259 -aS'lobe\tlobe\tNN\tI-NP\tO' -p349260 -aS'pneumonia\tpneumonia\tNN\tI-NP\tO' -p349261 -aS'seen\tsee\tVBN\tB-VP\tO' -p349262 -aS'on\ton\tIN\tB-PP\tO' -p349263 -aS'chest\tchest\tNN\tB-NP\tO' -p349264 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p349265 -aS'.\t.\t.\tO\tO' -p349266 -asS'World War II veteran .' -p349267 -(lp349268 -S'World\tWorld\tNNP\tB-NP\tO' -p349269 -aS'War\tWar\tNNP\tI-NP\tO' -p349270 -aS'II\tII\tNNP\tI-NP\tO' -p349271 -aS'veteran\tveteran\tNN\tI-NP\tO' -p349272 -aS'.\t.\t.\tO\tO' -p349273 -asS'February 6 , 1994 , rigid bronchoscopy with biopsy and upper gastrointestinal endoscopy .' -p349274 -(lp349275 -S'February\tFebruary\tNNP\tB-NP\tO' -p349276 -aS'6\t6\tCD\tI-NP\tO' -p349277 -aS',\t,\t,\tI-NP\tO' -p349278 -aS'1994\t1994\tCD\tI-NP\tO' -p349279 -aS',\t,\t,\tI-NP\tO' -p349280 -aS'rigid\trigid\tJJ\tI-NP\tO' -p349281 -aS'bronchoscopy\tbronchoscopy\tNN\tI-NP\tO' -p349282 -aS'with\twith\tIN\tB-PP\tO' -p349283 -aS'biopsy\tbiopsy\tNN\tB-NP\tO' -p349284 -aS'and\tand\tCC\tO\tO' -p349285 -aS'upper\tupper\tJJ\tB-NP\tO' -p349286 -aS'gastrointestinal\tgastrointestinal\tJJ\tI-NP\tO' -p349287 -aS'endoscopy\tendoscopy\tNN\tI-NP\tO' -p349288 -aS'.\t.\t.\tO\tO' -p349289 -asS'The patient feels this is secondary to her hemorrhoids , although it does not clearly localize to the rectum .' -p349290 -(lp349291 -S'The\tThe\tDT\tB-NP\tO' -p349292 -aS'patient\tpatient\tNN\tI-NP\tO' -p349293 -aS'feels\tfeel\tNNS\tI-NP\tO' -p349294 -aS'this\tthis\tDT\tB-NP\tO' -p349295 -aS'is\tbe\tVBZ\tB-VP\tO' -p349296 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p349297 -aS'to\tto\tTO\tB-PP\tO' -p349298 -aS'her\ther\tPRP$\tB-NP\tO' -p349299 -aS'hemorrhoids\themorrhoid\tNNS\tI-NP\tO' -p349300 -aS',\t,\t,\tO\tO' -p349301 -aS'although\talthough\tIN\tB-SBAR\tO' -p349302 -aS'it\tit\tPRP\tB-NP\tO' -p349303 -aS'does\tdo\tVBZ\tB-VP\tO' -p349304 -aS'not\tnot\tRB\tI-VP\tO' -p349305 -aS'clearly\tclearly\tRB\tI-VP\tO' -p349306 -aS'localize\tlocalize\tVB\tI-VP\tO' -p349307 -aS'to\tto\tTO\tB-PP\tO' -p349308 -aS'the\tthe\tDT\tB-NP\tO' -p349309 -aS'rectum\trectum\tNN\tI-NP\tO' -p349310 -aS'.\t.\t.\tO\tO' -p349311 -asS'She was intubated for this hypoxia and treated with lasix , metoprolol , and diltiazem .' -p349312 -(lp349313 -S'She\tShe\tPRP\tB-NP\tO' -p349314 -aS'was\tbe\tVBD\tB-VP\tO' -p349315 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p349316 -aS'for\tfor\tIN\tB-PP\tO' -p349317 -aS'this\tthis\tDT\tB-NP\tO' -p349318 -aS'hypoxia\thypoxia\tNN\tI-NP\tO' -p349319 -aS'and\tand\tCC\tO\tO' -p349320 -aS'treated\ttreat\tVBN\tB-VP\tO' -p349321 -aS'with\twith\tIN\tB-PP\tO' -p349322 -aS'lasix\tlasix\tNN\tB-NP\tO' -p349323 -aS',\t,\t,\tO\tO' -p349324 -aS'metoprolol\tmetoprolol\tNN\tB-NP\tO' -p349325 -aS',\t,\t,\tO\tO' -p349326 -aS'and\tand\tCC\tO\tO' -p349327 -aS'diltiazem\tdiltiazem\tNN\tB-NP\tO' -p349328 -aS'.\t.\t.\tO\tO' -p349329 -asS'OTHER DIAGNOSIS ; Conditions , Infections , Complications , affecting Treatment / Stay dm ( diabetes mellitus ) anxiety ( anxiety ) htn ( hypertension ) gerd ( esophageal reflux )' -p349330 -(lp349331 -S'OTHER\tOTHER\tNN\tB-NP\tO' -p349332 -aS'DIAGNOSIS\tDIAGNOSIS\tNN\tI-NP\tO' -p349333 -aS';\t;\t:\tO\tO' -p349334 -aS'Conditions\tCondition\tNNS\tB-NP\tO' -p349335 -aS',\t,\t,\tO\tO' -p349336 -aS'Infections\tInfection\tNNS\tB-NP\tO' -p349337 -aS',\t,\t,\tO\tO' -p349338 -aS'Complications\tComplication\tNNS\tB-NP\tO' -p349339 -aS',\t,\t,\tO\tO' -p349340 -aS'affecting\taffect\tVBG\tB-VP\tO' -p349341 -aS'Treatment\tTreatment\tNN\tB-NP\tO' -p349342 -aS'/\t/\tSYM\tO\tO' -p349343 -aS'Stay\tStay\tNN\tB-NP\tO' -p349344 -aS'dm\tdm\tNN\tI-NP\tO' -p349345 -aS'(\t(\t(\tO\tO' -p349346 -aS'diabetes\tdiabetes\tNN\tB-NP\tO' -p349347 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p349348 -aS')\t)\t)\tO\tO' -p349349 -aS'anxiety\tanxiety\tNN\tB-NP\tO' -p349350 -aS'(\t(\t(\tO\tO' -p349351 -aS'anxiety\tanxiety\tNN\tB-NP\tO' -p349352 -aS')\t)\t)\tO\tO' -p349353 -aS'htn\thtn\tNN\tB-NP\tO' -p349354 -aS'(\t(\t(\tO\tO' -p349355 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p349356 -aS')\t)\t)\tO\tO' -p349357 -aS'gerd\tgerd\tNN\tB-NP\tO' -p349358 -aS'(\t(\t(\tO\tO' -p349359 -aS'esophageal\tesophageal\tJJ\tB-NP\tO' -p349360 -aS'reflux\treflux\tNN\tI-NP\tO' -p349361 -aS')\t)\t)\tO\tO' -p349362 -asS'Family History : father with history of liver cancer at a late age' -p349363 -(lp349364 -S'Family\tFamily\tRB\tB-NP\tO' -p349365 -aS'History\tHistory\tNN\tI-NP\tO' -p349366 -aS':\t:\t:\tO\tO' -p349367 -aS'father\tfather\tNN\tB-NP\tO' -p349368 -aS'with\twith\tIN\tB-PP\tO' -p349369 -aS'history\thistory\tNN\tB-NP\tO' -p349370 -aS'of\tof\tIN\tB-PP\tO' -p349371 -aS'liver\tliver\tNN\tB-NP\tO' -p349372 -aS'cancer\tcancer\tNN\tI-NP\tO' -p349373 -aS'at\tat\tIN\tB-PP\tO' -p349374 -aS'a\ta\tDT\tB-NP\tO' -p349375 -aS'late\tlate\tJJ\tI-NP\tO' -p349376 -aS'age\tage\tNN\tI-NP\tO' -p349377 -asS'3133 W. Third Ave. Rehab & Nursing Center - Westwood Lodge Hospital' -p349378 -(lp349379 -S'3133\t3133\tCD\tB-NP\tO' -p349380 -aS'W.\tW.\tNNP\tI-NP\tO' -p349381 -aS'Third\tThird\tNNP\tI-NP\tO' -p349382 -aS'Ave.\tAve.\tNNP\tI-NP\tO' -p349383 -aS'Rehab\tRehab\tNNP\tI-NP\tO' -p349384 -aS'&\t&\tCC\tI-NP\tO' -p349385 -aS'Nursing\tNursing\tNNP\tI-NP\tO' -p349386 -aS'Center\tCenter\tNNP\tI-NP\tO' -p349387 -aS'-\t-\tHYPH\tB-NP\tO' -p349388 -aS'Westwood\tWestwood\tNNP\tI-NP\tO' -p349389 -aS'Lodge\tLodge\tNNP\tI-NP\tO' -p349390 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p349391 -asS'Also , patient was started on amiodarone and digoxin was held secondary to high levels ( please restart when level less than 2 )' -p349392 -(lp349393 -S'Also\tAlso\tRB\tB-ADVP\tO' -p349394 -aS',\t,\t,\tO\tO' -p349395 -aS'patient\tpatient\tNN\tB-NP\tO' -p349396 -aS'was\tbe\tVBD\tB-VP\tO' -p349397 -aS'started\tstart\tVBN\tI-VP\tO' -p349398 -aS'on\ton\tIN\tB-PP\tO' -p349399 -aS'amiodarone\tamiodarone\tNN\tB-NP\tO' -p349400 -aS'and\tand\tCC\tI-NP\tO' -p349401 -aS'digoxin\tdigoxin\tNN\tI-NP\tO' -p349402 -aS'was\tbe\tVBD\tB-VP\tO' -p349403 -aS'held\thold\tVBN\tI-VP\tO' -p349404 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p349405 -aS'to\tto\tTO\tB-PP\tO' -p349406 -aS'high\thigh\tJJ\tB-NP\tO' -p349407 -aS'levels\tlevel\tNNS\tI-NP\tO' -p349408 -aS'(\t(\t(\tO\tO' -p349409 -aS'please\tplease\tNN\tB-NP\tO' -p349410 -aS'restart\trestart\tNN\tI-NP\tO' -p349411 -aS'when\twhen\tWRB\tB-ADVP\tO' -p349412 -aS'level\tlevel\tNN\tB-NP\tO' -p349413 -aS'less\tless\tJJR\tB-ADJP\tO' -p349414 -aS'than\tthan\tIN\tB-PP\tO' -p349415 -aS'2\t2\tCD\tB-NP\tO' -p349416 -aS')\t)\t)\tO\tO' -p349417 -asS'MRI demonstrated a left femoral condyle osteonecrotic defect and degenerative meniscus .' -p349418 -(lp349419 -S'MRI\tMRI\tNN\tB-NP\tO' -p349420 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p349421 -aS'a\ta\tDT\tB-NP\tO' -p349422 -aS'left\tleft\tJJ\tI-NP\tO' -p349423 -aS'femoral\tfemoral\tJJ\tI-NP\tO' -p349424 -aS'condyle\tcondyle\tNN\tI-NP\tO' -p349425 -aS'osteonecrotic\tosteonecrotic\tJJ\tI-NP\tO' -p349426 -aS'defect\tdefect\tNN\tI-NP\tO' -p349427 -aS'and\tand\tCC\tO\tO' -p349428 -aS'degenerative\tdegenerative\tJJ\tB-NP\tO' -p349429 -aS'meniscus\tmeniscus\tNN\tI-NP\tO' -p349430 -aS'.\t.\t.\tO\tO' -p349431 -asS'He had an unwitnessed fall .' -p349432 -(lp349433 -S'He\tHe\tPRP\tB-NP\tO' -p349434 -aS'had\thave\tVBD\tB-VP\tO' -p349435 -aS'an\tan\tDT\tB-NP\tO' -p349436 -aS'unwitnessed\tunwitnessed\tJJ\tI-NP\tO' -p349437 -aS'fall\tfall\tNN\tI-NP\tO' -p349438 -aS'.\t.\t.\tO\tO' -p349439 -asS'Hematocrit was 42 , PT was 10 , potassium was 3.6 , BUN was 29 , creatinine was 1.4 , blood sugar was 111 .' -p349440 -(lp349441 -S'Hematocrit\tHematocrit\tNN\tB-NP\tO' -p349442 -aS'was\tbe\tVBD\tB-VP\tO' -p349443 -aS'42\t42\tCD\tB-NP\tO' -p349444 -aS',\t,\t,\tO\tO' -p349445 -aS'PT\tPT\tNN\tB-NP\tO' -p349446 -aS'was\tbe\tVBD\tB-VP\tO' -p349447 -aS'10\t10\tCD\tB-NP\tO' -p349448 -aS',\t,\t,\tO\tO' -p349449 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p349450 -aS'was\tbe\tVBD\tB-VP\tO' -p349451 -aS'3.6\t3.6\tCD\tB-NP\tO' -p349452 -aS',\t,\t,\tO\tO' -p349453 -aS'BUN\tBUN\tNN\tB-NP\tB-protein' -p349454 -aS'was\tbe\tVBD\tB-VP\tO' -p349455 -aS'29\t29\tCD\tB-NP\tO' -p349456 -aS',\t,\t,\tO\tO' -p349457 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p349458 -aS'was\tbe\tVBD\tB-VP\tO' -p349459 -aS'1.4\t1.4\tCD\tB-NP\tO' -p349460 -aS',\t,\t,\tO\tO' -p349461 -aS'blood\tblood\tNN\tB-NP\tO' -p349462 -aS'sugar\tsugar\tNN\tI-NP\tO' -p349463 -aS'was\tbe\tVBD\tB-VP\tO' -p349464 -aS'111\t111\tCD\tB-NP\tO' -p349465 -aS'.\t.\t.\tO\tO' -p349466 -asS'Plans were made for the patient to be discharged to Dwardmegriff Rehabilitation for rehabilitation of her rami fracture .' -p349467 -(lp349468 -S'Plans\tPlan\tNNS\tB-NP\tO' -p349469 -aS'were\tbe\tVBD\tB-VP\tO' -p349470 -aS'made\tmake\tVBN\tI-VP\tO' -p349471 -aS'for\tfor\tIN\tB-PP\tO' -p349472 -aS'the\tthe\tDT\tB-NP\tO' -p349473 -aS'patient\tpatient\tNN\tI-NP\tO' -p349474 -aS'to\tto\tTO\tB-VP\tO' -p349475 -aS'be\tbe\tVB\tI-VP\tO' -p349476 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p349477 -aS'to\tto\tTO\tB-PP\tO' -p349478 -aS'Dwardmegriff\tDwardmegriff\tNN\tB-NP\tO' -p349479 -aS'Rehabilitation\tRehabilitation\tNN\tI-NP\tO' -p349480 -aS'for\tfor\tIN\tB-PP\tO' -p349481 -aS'rehabilitation\trehabilitation\tNN\tB-NP\tO' -p349482 -aS'of\tof\tIN\tB-PP\tO' -p349483 -aS'her\ther\tPRP$\tB-NP\tO' -p349484 -aS'rami\trami\tNN\tI-NP\tO' -p349485 -aS'fracture\tfracture\tNN\tI-NP\tO' -p349486 -aS'.\t.\t.\tO\tO' -p349487 -asS'He was weaned and extubated from mechanical ventillation on POD#1 without difficulty .' -p349488 -(lp349489 -S'He\tHe\tPRP\tB-NP\tO' -p349490 -aS'was\tbe\tVBD\tB-VP\tO' -p349491 -aS'weaned\twean\tVBN\tI-VP\tO' -p349492 -aS'and\tand\tCC\tO\tO' -p349493 -aS'extubated\textubate\tVBN\tB-VP\tO' -p349494 -aS'from\tfrom\tIN\tB-PP\tO' -p349495 -aS'mechanical\tmechanical\tJJ\tB-NP\tO' -p349496 -aS'ventillation\tventillation\tNN\tI-NP\tO' -p349497 -aS'on\ton\tIN\tB-PP\tO' -p349498 -aS'POD#1\tPOD#1\tNN\tB-NP\tB-protein' -p349499 -aS'without\twithout\tIN\tB-PP\tO' -p349500 -aS'difficulty\tdifficulty\tNN\tB-NP\tO' -p349501 -aS'.\t.\t.\tO\tO' -p349502 -asS'CSF cytology : NEGATIVE FOR MALIGNANT CELLS .' -p349503 -(lp349504 -S'CSF\tCSF\tNN\tB-NP\tB-protein' -p349505 -aS'cytology\tcytology\tNN\tI-NP\tO' -p349506 -aS':\t:\t:\tO\tO' -p349507 -aS'NEGATIVE\tNEGATIVE\tNNP\tB-NP\tO' -p349508 -aS'FOR\tFOR\tNNP\tI-NP\tO' -p349509 -aS'MALIGNANT\tMALIGNANT\tNNP\tI-NP\tO' -p349510 -aS'CELLS\tCELLS\tNNP\tI-NP\tO' -p349511 -aS'.\t.\t.\tO\tO' -p349512 -asS'She also went home on naldolol 20 mg qd for portal htn , and her home doses of diuretics to control her ascites .' -p349513 -(lp349514 -S'She\tShe\tPRP\tB-NP\tO' -p349515 -aS'also\talso\tRB\tB-ADVP\tO' -p349516 -aS'went\tgo\tVBD\tB-VP\tO' -p349517 -aS'home\thome\tNN\tB-ADVP\tO' -p349518 -aS'on\ton\tIN\tB-PP\tO' -p349519 -aS'naldolol\tnaldolol\tNN\tB-NP\tO' -p349520 -aS'20\t20\tCD\tI-NP\tO' -p349521 -aS'mg\tmg\tNN\tI-NP\tO' -p349522 -aS'qd\tqd\tNN\tI-NP\tO' -p349523 -aS'for\tfor\tIN\tB-PP\tO' -p349524 -aS'portal\tportal\tJJ\tB-NP\tO' -p349525 -aS'htn\thtn\tNN\tI-NP\tO' -p349526 -aS',\t,\t,\tO\tO' -p349527 -aS'and\tand\tCC\tO\tO' -p349528 -aS'her\ther\tPRP$\tB-NP\tO' -p349529 -aS'home\thome\tNN\tI-NP\tO' -p349530 -aS'doses\tdose\tNNS\tI-NP\tO' -p349531 -aS'of\tof\tIN\tB-PP\tO' -p349532 -aS'diuretics\tdiuretic\tNNS\tB-NP\tO' -p349533 -aS'to\tto\tTO\tB-VP\tO' -p349534 -aS'control\tcontrol\tVB\tI-VP\tO' -p349535 -aS'her\ther\tPRP$\tB-NP\tO' -p349536 -aS'ascites\tascite\tNNS\tI-NP\tO' -p349537 -aS'.\t.\t.\tO\tO' -p349538 -asS'The patient was admitted and taken to the operating room on the following day and she underwent a right fem to below knee popliteal bypass graft using a six millimeter ring PTFE .' -p349539 -(lp349540 -S'The\tThe\tDT\tB-NP\tO' -p349541 -aS'patient\tpatient\tNN\tI-NP\tO' -p349542 -aS'was\tbe\tVBD\tB-VP\tO' -p349543 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p349544 -aS'and\tand\tCC\tO\tO' -p349545 -aS'taken\ttake\tVBN\tB-VP\tO' -p349546 -aS'to\tto\tTO\tB-PP\tO' -p349547 -aS'the\tthe\tDT\tB-NP\tO' -p349548 -aS'operating\toperating\tNN\tI-NP\tO' -p349549 -aS'room\troom\tNN\tI-NP\tO' -p349550 -aS'on\ton\tIN\tB-PP\tO' -p349551 -aS'the\tthe\tDT\tB-NP\tO' -p349552 -aS'following\tfollow\tVBG\tI-NP\tO' -p349553 -aS'day\tday\tNN\tI-NP\tO' -p349554 -aS'and\tand\tCC\tO\tO' -p349555 -aS'she\tshe\tPRP\tB-NP\tO' -p349556 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p349557 -aS'a\ta\tDT\tB-NP\tO' -p349558 -aS'right\tright\tJJ\tI-NP\tO' -p349559 -aS'fem\tfem\tNN\tI-NP\tO' -p349560 -aS'to\tto\tTO\tB-PP\tO' -p349561 -aS'below\tbelow\tIN\tB-PP\tO' -p349562 -aS'knee\tknee\tNN\tB-NP\tO' -p349563 -aS'popliteal\tpopliteal\tJJ\tI-NP\tO' -p349564 -aS'bypass\tbypass\tNN\tI-NP\tO' -p349565 -aS'graft\tgraft\tNN\tI-NP\tO' -p349566 -aS'using\tuse\tVBG\tB-VP\tO' -p349567 -aS'a\ta\tDT\tB-NP\tO' -p349568 -aS'six\tsix\tCD\tI-NP\tO' -p349569 -aS'millimeter\tmillimeter\tNN\tI-NP\tO' -p349570 -aS'ring\tring\tNN\tI-NP\tO' -p349571 -aS'PTFE\tPTFE\tNN\tI-NP\tO' -p349572 -aS'.\t.\t.\tO\tO' -p349573 -asS'He underwent cardiac catheterization which showed an 80% LAD lesion , chronically occluded RCA , anneurysmal mid LCX w/50% lesion .' -p349574 -(lp349575 -S'He\tHe\tPRP\tB-NP\tO' -p349576 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p349577 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p349578 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p349579 -aS'which\twhich\tWDT\tB-NP\tO' -p349580 -aS'showed\tshow\tVBD\tB-VP\tO' -p349581 -aS'an\tan\tDT\tB-NP\tO' -p349582 -aS'80%\t80%\tNN\tI-NP\tO' -p349583 -aS'LAD\tLAD\tNN\tI-NP\tO' -p349584 -aS'lesion\tlesion\tNN\tI-NP\tO' -p349585 -aS',\t,\t,\tO\tO' -p349586 -aS'chronically\tchronically\tRB\tB-ADVP\tO' -p349587 -aS'occluded\tocclude\tVBD\tB-VP\tO' -p349588 -aS'RCA\tRCA\tNN\tB-NP\tB-protein' -p349589 -aS',\t,\t,\tO\tO' -p349590 -aS'anneurysmal\tanneurysmal\tJJ\tB-NP\tO' -p349591 -aS'mid\tmid\tJJ\tI-NP\tO' -p349592 -aS'LCX\tLCX\tNN\tI-NP\tO' -p349593 -aS'w/50%\tw/50%\tNN\tI-NP\tO' -p349594 -aS'lesion\tlesion\tNN\tI-NP\tO' -p349595 -aS'.\t.\t.\tO\tO' -p349596 -asS'5. Potassium chloride 20 mEq q.d. times two weeks .' -p349597 -(lp349598 -S'5.\t5.\tLS\tB-NP\tO' -p349599 -aS'Potassium\tPotassium\tNN\tI-NP\tO' -p349600 -aS'chloride\tchloride\tNN\tI-NP\tO' -p349601 -aS'20\t20\tCD\tI-NP\tO' -p349602 -aS'mEq\tmEq\tNN\tI-NP\tO' -p349603 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p349604 -aS'times\ttime\tNNS\tI-NP\tO' -p349605 -aS'two\ttwo\tCD\tB-NP\tO' -p349606 -aS'weeks\tweek\tNNS\tI-NP\tO' -p349607 -aS'.\t.\t.\tO\tO' -p349608 -asS'His peak level after a bolus of 75 units / kg of factor 8 was 131 .' -p349609 -(lp349610 -S'His\tHis\tPRP$\tB-NP\tO' -p349611 -aS'peak\tpeak\tJJ\tI-NP\tO' -p349612 -aS'level\tlevel\tNN\tI-NP\tO' -p349613 -aS'after\tafter\tIN\tB-PP\tO' -p349614 -aS'a\ta\tDT\tB-NP\tO' -p349615 -aS'bolus\tbolus\tNN\tI-NP\tO' -p349616 -aS'of\tof\tIN\tB-PP\tO' -p349617 -aS'75\t75\tCD\tB-NP\tO' -p349618 -aS'units\tunit\tNNS\tI-NP\tO' -p349619 -aS'/\t/\tSYM\tB-NP\tO' -p349620 -aS'kg\tkg\tNN\tI-NP\tO' -p349621 -aS'of\tof\tIN\tB-PP\tO' -p349622 -aS'factor\tfactor\tNN\tB-NP\tO' -p349623 -aS'8\t8\tCD\tI-NP\tO' -p349624 -aS'was\tbe\tVBD\tB-VP\tO' -p349625 -aS'131\t131\tCD\tB-NP\tO' -p349626 -aS'.\t.\t.\tO\tO' -p349627 -asS'She has also had intermittent post-prandial nausea / satiety for which she had been scheduled for an outpt EGD with GI on 2/8 .' -p349628 -(lp349629 -S'She\tShe\tPRP\tB-NP\tO' -p349630 -aS'has\thave\tVBZ\tB-VP\tO' -p349631 -aS'also\talso\tRB\tI-VP\tO' -p349632 -aS'had\thave\tVBD\tI-VP\tO' -p349633 -aS'intermittent\tintermittent\tJJ\tB-NP\tO' -p349634 -aS'post-prandial\tpost-prandial\tJJ\tI-NP\tO' -p349635 -aS'nausea\tnausea\tNN\tI-NP\tO' -p349636 -aS'/\t/\tSYM\tB-NP\tO' -p349637 -aS'satiety\tsatiety\tNN\tI-NP\tO' -p349638 -aS'for\tfor\tIN\tB-PP\tO' -p349639 -aS'which\twhich\tWDT\tB-NP\tO' -p349640 -aS'she\tshe\tPRP\tB-NP\tO' -p349641 -aS'had\thave\tVBD\tB-VP\tO' -p349642 -aS'been\tbe\tVBN\tI-VP\tO' -p349643 -aS'scheduled\tschedule\tVBN\tI-VP\tO' -p349644 -aS'for\tfor\tIN\tB-PP\tO' -p349645 -aS'an\tan\tDT\tB-NP\tO' -p349646 -aS'outpt\toutpt\tJJ\tI-NP\tO' -p349647 -aS'EGD\tEGD\tNN\tI-NP\tO' -p349648 -aS'with\twith\tIN\tB-PP\tO' -p349649 -aS'GI\tGI\tNN\tB-NP\tO' -p349650 -aS'on\ton\tIN\tB-PP\tO' -p349651 -aS'2/8\t2/8\tCD\tB-NP\tO' -p349652 -aS'.\t.\t.\tO\tO' -p349653 -asS'no N / V/HA / D no sweats , no chills , of abdominal pain , no chest pain , no pleuricy , no LEE , no paresthesias , no numbness , no shoulder pain , no jaw pain .' -p349654 -(lp349655 -S'no\tno\tDT\tB-NP\tO' -p349656 -aS'N\tN\tNN\tI-NP\tO' -p349657 -aS'/\t/\tSYM\tB-NP\tO' -p349658 -aS'V/HA\tV/HA\tNN\tI-NP\tB-protein' -p349659 -aS'/\t/\tSYM\tB-NP\tO' -p349660 -aS'D\tD\tNN\tI-NP\tO' -p349661 -aS'no\tno\tDT\tB-NP\tO' -p349662 -aS'sweats\tsweat\tNNS\tI-NP\tO' -p349663 -aS',\t,\t,\tO\tO' -p349664 -aS'no\tno\tDT\tB-NP\tO' -p349665 -aS'chills\tchill\tNNS\tI-NP\tO' -p349666 -aS',\t,\t,\tO\tO' -p349667 -aS'of\tof\tIN\tB-PP\tO' -p349668 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p349669 -aS'pain\tpain\tNN\tI-NP\tO' -p349670 -aS',\t,\t,\tO\tO' -p349671 -aS'no\tno\tDT\tB-NP\tO' -p349672 -aS'chest\tchest\tNN\tI-NP\tO' -p349673 -aS'pain\tpain\tNN\tI-NP\tO' -p349674 -aS',\t,\t,\tO\tO' -p349675 -aS'no\tno\tDT\tB-NP\tO' -p349676 -aS'pleuricy\tpleuricy\tNN\tI-NP\tO' -p349677 -aS',\t,\t,\tO\tO' -p349678 -aS'no\tno\tDT\tB-NP\tO' -p349679 -aS'LEE\tLEE\tNNP\tI-NP\tO' -p349680 -aS',\t,\t,\tO\tO' -p349681 -aS'no\tno\tDT\tB-NP\tO' -p349682 -aS'paresthesias\tparesthesia\tNNS\tI-NP\tO' -p349683 -aS',\t,\t,\tO\tO' -p349684 -aS'no\tno\tDT\tB-NP\tO' -p349685 -aS'numbness\tnumbness\tNN\tI-NP\tO' -p349686 -aS',\t,\t,\tO\tO' -p349687 -aS'no\tno\tDT\tB-NP\tO' -p349688 -aS'shoulder\tshoulder\tNN\tI-NP\tO' -p349689 -aS'pain\tpain\tNN\tI-NP\tO' -p349690 -aS',\t,\t,\tO\tO' -p349691 -aS'no\tno\tDT\tB-NP\tO' -p349692 -aS'jaw\tjaw\tNN\tI-NP\tO' -p349693 -aS'pain\tpain\tNN\tI-NP\tO' -p349694 -aS'.\t.\t.\tO\tO' -p349695 -asS'Head , eyes , ears , nose and throat exam is within normal limits .' -p349696 -(lp349697 -S'Head\tHead\tRB\tB-ADVP\tO' -p349698 -aS',\t,\t,\tO\tO' -p349699 -aS'eyes\teye\tNNS\tB-NP\tO' -p349700 -aS',\t,\t,\tO\tO' -p349701 -aS'ears\tear\tNNS\tB-NP\tO' -p349702 -aS',\t,\t,\tO\tO' -p349703 -aS'nose\tnose\tNN\tB-NP\tO' -p349704 -aS'and\tand\tCC\tI-NP\tO' -p349705 -aS'throat\tthroat\tNN\tI-NP\tO' -p349706 -aS'exam\texam\tNN\tI-NP\tO' -p349707 -aS'is\tbe\tVBZ\tB-VP\tO' -p349708 -aS'within\twithin\tIN\tB-PP\tO' -p349709 -aS'normal\tnormal\tJJ\tB-NP\tO' -p349710 -aS'limits\tlimit\tNNS\tI-NP\tO' -p349711 -aS'.\t.\t.\tO\tO' -p349712 -asS'He had a head Ct which remains stable and head wound remain dry .' -p349713 -(lp349714 -S'He\tHe\tPRP\tB-NP\tO' -p349715 -aS'had\thave\tVBD\tB-VP\tO' -p349716 -aS'a\ta\tDT\tB-NP\tO' -p349717 -aS'head\thead\tNN\tI-NP\tO' -p349718 -aS'Ct\tCt\tNN\tI-NP\tO' -p349719 -aS'which\twhich\tWDT\tB-NP\tO' -p349720 -aS'remains\tremain\tVBZ\tB-VP\tO' -p349721 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p349722 -aS'and\tand\tCC\tO\tO' -p349723 -aS'head\thead\tNN\tB-NP\tO' -p349724 -aS'wound\twound\tNN\tI-NP\tO' -p349725 -aS'remain\tremain\tVBP\tB-VP\tO' -p349726 -aS'dry\tdry\tJJ\tB-ADJP\tO' -p349727 -aS'.\t.\t.\tO\tO' -p349728 -asS'The patient also had serial creatinine kinase with MB fractions studied , which revealed MB fraction too low to be tested .' -p349729 -(lp349730 -S'The\tThe\tDT\tB-NP\tO' -p349731 -aS'patient\tpatient\tNN\tI-NP\tO' -p349732 -aS'also\talso\tRB\tB-ADVP\tO' -p349733 -aS'had\thave\tVBD\tB-VP\tO' -p349734 -aS'serial\tserial\tJJ\tB-NP\tB-protein' -p349735 -aS'creatinine\tcreatinine\tNN\tI-NP\tI-protein' -p349736 -aS'kinase\tkinase\tNN\tI-NP\tI-protein' -p349737 -aS'with\twith\tIN\tB-PP\tO' -p349738 -aS'MB\tMB\tNN\tB-NP\tO' -p349739 -aS'fractions\tfraction\tNNS\tI-NP\tO' -p349740 -aS'studied\tstudy\tVBN\tB-VP\tO' -p349741 -aS',\t,\t,\tO\tO' -p349742 -aS'which\twhich\tWDT\tB-NP\tO' -p349743 -aS'revealed\treveal\tVBD\tB-VP\tO' -p349744 -aS'MB\tMB\tNN\tB-NP\tO' -p349745 -aS'fraction\tfraction\tNN\tI-NP\tO' -p349746 -aS'too\ttoo\tRB\tB-ADJP\tO' -p349747 -aS'low\tlow\tJJ\tI-ADJP\tO' -p349748 -aS'to\tto\tTO\tB-VP\tO' -p349749 -aS'be\tbe\tVB\tI-VP\tO' -p349750 -aS'tested\ttest\tVBN\tI-VP\tO' -p349751 -aS'.\t.\t.\tO\tO' -p349752 -asS'He has had night sweats for the past 2 weeks .' -p349753 -(lp349754 -S'He\tHe\tPRP\tB-NP\tO' -p349755 -aS'has\thave\tVBZ\tB-VP\tO' -p349756 -aS'had\thave\tVBN\tI-VP\tO' -p349757 -aS'night\tnight\tNN\tB-NP\tO' -p349758 -aS'sweats\tsweat\tNNS\tI-NP\tO' -p349759 -aS'for\tfor\tIN\tB-PP\tO' -p349760 -aS'the\tthe\tDT\tB-NP\tO' -p349761 -aS'past\tpast\tJJ\tI-NP\tB-protein' -p349762 -aS'2\t2\tCD\tI-NP\tI-protein' -p349763 -aS'weeks\tweek\tNNS\tI-NP\tI-protein' -p349764 -aS'.\t.\t.\tO\tO' -p349765 -asS'The patient instructed to call Dr. Coma 's office at 496-260-3297 to arrange for a follow up appointment in the Saintaelfoote Hospital at the first available time , one to two months after surgery .' -p349766 -(lp349767 -S'The\tThe\tDT\tB-NP\tO' -p349768 -aS'patient\tpatient\tNN\tI-NP\tO' -p349769 -aS'instructed\tinstruct\tVBN\tB-VP\tO' -p349770 -aS'to\tto\tTO\tB-VP\tO' -p349771 -aS'call\tcall\tVB\tI-VP\tO' -p349772 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p349773 -aS'Coma\tComa\tNNP\tI-NP\tO' -p349774 -aS''s\t'\tNNS\tI-NP\tO' -p349775 -aS'office\toffice\tNN\tI-NP\tO' -p349776 -aS'at\tat\tIN\tB-PP\tO' -p349777 -aS'496-260-3297\t496-260-3297\tCD\tB-NP\tO' -p349778 -aS'to\tto\tTO\tB-VP\tO' -p349779 -aS'arrange\tarrange\tVB\tI-VP\tO' -p349780 -aS'for\tfor\tIN\tB-PP\tO' -p349781 -aS'a\ta\tDT\tB-NP\tO' -p349782 -aS'follow\tfollow\tNN\tI-NP\tO' -p349783 -aS'up\tup\tRP\tB-PRT\tO' -p349784 -aS'appointment\tappointment\tNN\tB-NP\tO' -p349785 -aS'in\tin\tIN\tB-PP\tO' -p349786 -aS'the\tthe\tDT\tB-NP\tO' -p349787 -aS'Saintaelfoote\tSaintaelfoote\tNNP\tI-NP\tO' -p349788 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p349789 -aS'at\tat\tIN\tB-PP\tO' -p349790 -aS'the\tthe\tDT\tB-NP\tO' -p349791 -aS'first\tfirst\tJJ\tI-NP\tO' -p349792 -aS'available\tavailable\tJJ\tI-NP\tO' -p349793 -aS'time\ttime\tNN\tI-NP\tO' -p349794 -aS',\t,\t,\tO\tO' -p349795 -aS'one\tone\tCD\tB-NP\tO' -p349796 -aS'to\tto\tTO\tI-NP\tO' -p349797 -aS'two\ttwo\tCD\tI-NP\tO' -p349798 -aS'months\tmonth\tNNS\tI-NP\tO' -p349799 -aS'after\tafter\tIN\tB-PP\tO' -p349800 -aS'surgery\tsurgery\tNN\tB-NP\tO' -p349801 -aS'.\t.\t.\tO\tO' -p349802 -asS'8. Humalog 100 unit / mL Cartridge Sig : asdir Subcutaneous once a day : see attached sheet for sliding scale .' -p349803 -(lp349804 -S'8.\t8.\tCD\tB-NP\tO' -p349805 -aS'Humalog\tHumalog\tNNP\tI-NP\tO' -p349806 -aS'100\t100\tCD\tI-NP\tO' -p349807 -aS'unit\tunit\tNN\tI-NP\tO' -p349808 -aS'/\t/\tSYM\tB-NP\tO' -p349809 -aS'mL\tmL\tNN\tI-NP\tO' -p349810 -aS'Cartridge\tCartridge\tNNP\tI-NP\tO' -p349811 -aS'Sig\tSig\tNNP\tI-NP\tO' -p349812 -aS':\t:\t:\tO\tO' -p349813 -aS'asdir\tasdir\tIN\tB-PP\tO' -p349814 -aS'Subcutaneous\tSubcutaneous\tNNP\tB-NP\tO' -p349815 -aS'once\tonce\tRB\tB-ADVP\tO' -p349816 -aS'a\ta\tDT\tB-NP\tO' -p349817 -aS'day\tday\tNN\tI-NP\tO' -p349818 -aS':\t:\t:\tO\tO' -p349819 -aS'see\tsee\tVB\tB-VP\tO' -p349820 -aS'attached\tattach\tVBN\tB-NP\tO' -p349821 -aS'sheet\tsheet\tNN\tI-NP\tO' -p349822 -aS'for\tfor\tIN\tB-PP\tO' -p349823 -aS'sliding\tslide\tVBG\tB-VP\tO' -p349824 -aS'scale\tscale\tNN\tB-NP\tO' -p349825 -aS'.\t.\t.\tO\tO' -p349826 -asS'Hepatitis serologies pending .' -p349827 -(lp349828 -S'Hepatitis\tHepatitis\tNN\tB-NP\tO' -p349829 -aS'serologies\tserology\tNNS\tI-NP\tO' -p349830 -aS'pending\tpende\tVBG\tB-VP\tO' -p349831 -aS'.\t.\t.\tO\tO' -p349832 -asS'The urinalysis revealed 4+ albumin with marked occult blood .' -p349833 -(lp349834 -S'The\tThe\tDT\tB-NP\tO' -p349835 -aS'urinalysis\turinalysis\tNN\tI-NP\tB-protein' -p349836 -aS'revealed\treveal\tVBD\tB-VP\tI-protein' -p349837 -aS'4+\t4+\tJJ\tB-NP\tI-protein' -p349838 -aS'albumin\talbumin\tNN\tI-NP\tI-protein' -p349839 -aS'with\twith\tIN\tB-PP\tO' -p349840 -aS'marked\tmarked\tJJ\tB-NP\tO' -p349841 -aS'occult\toccult\tJJ\tI-NP\tO' -p349842 -aS'blood\tblood\tNN\tI-NP\tO' -p349843 -aS'.\t.\t.\tO\tO' -p349844 -asS'The patient had mild weakness on the left side with the strength of 5 minus on the upper and lower extremities , distally and proximally .' -p349845 -(lp349846 -S'The\tThe\tDT\tB-NP\tO' -p349847 -aS'patient\tpatient\tNN\tI-NP\tO' -p349848 -aS'had\thave\tVBD\tB-VP\tO' -p349849 -aS'mild\tmild\tJJ\tB-NP\tO' -p349850 -aS'weakness\tweakness\tNN\tI-NP\tO' -p349851 -aS'on\ton\tIN\tB-PP\tO' -p349852 -aS'the\tthe\tDT\tB-NP\tO' -p349853 -aS'left\tleft\tJJ\tI-NP\tO' -p349854 -aS'side\tside\tNN\tI-NP\tO' -p349855 -aS'with\twith\tIN\tB-PP\tO' -p349856 -aS'the\tthe\tDT\tB-NP\tO' -p349857 -aS'strength\tstrength\tNN\tI-NP\tO' -p349858 -aS'of\tof\tIN\tB-PP\tO' -p349859 -aS'5\t5\tCD\tB-NP\tO' -p349860 -aS'minus\tminus\tCC\tB-PP\tO' -p349861 -aS'on\ton\tIN\tB-PP\tO' -p349862 -aS'the\tthe\tDT\tB-NP\tO' -p349863 -aS'upper\tupper\tJJ\tI-NP\tO' -p349864 -aS'and\tand\tCC\tI-NP\tO' -p349865 -aS'lower\tlow\tJJR\tI-NP\tO' -p349866 -aS'extremities\textremity\tNNS\tI-NP\tO' -p349867 -aS',\t,\t,\tO\tO' -p349868 -aS'distally\tdistally\tRB\tB-ADVP\tO' -p349869 -aS'and\tand\tCC\tI-ADVP\tO' -p349870 -aS'proximally\tproximally\tRB\tI-ADVP\tO' -p349871 -aS'.\t.\t.\tO\tO' -p349872 -asS'Epistaxis on Coumadin in the past .' -p349873 -(lp349874 -S'Epistaxis\tEpistaxis\tNN\tB-NP\tO' -p349875 -aS'on\ton\tIN\tB-PP\tO' -p349876 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p349877 -aS'in\tin\tIN\tB-PP\tO' -p349878 -aS'the\tthe\tDT\tB-NP\tO' -p349879 -aS'past\tpast\tNN\tI-NP\tO' -p349880 -aS'.\t.\t.\tO\tO' -p349881 -asS'Pulmonary hypertension as seen on echocardiogram .' -p349882 -(lp349883 -S'Pulmonary\tPulmonary\tJJ\tB-NP\tO' -p349884 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p349885 -aS'as\tas\tIN\tB-SBAR\tO' -p349886 -aS'seen\tsee\tVBN\tB-VP\tO' -p349887 -aS'on\ton\tIN\tB-PP\tO' -p349888 -aS'echocardiogram\techocardiogram\tNN\tB-NP\tO' -p349889 -aS'.\t.\t.\tO\tO' -p349890 -asS'She also had mild weakness in the left extremities , both upper and lower .' -p349891 -(lp349892 -S'She\tShe\tPRP\tB-NP\tO' -p349893 -aS'also\talso\tRB\tB-ADVP\tO' -p349894 -aS'had\thave\tVBD\tB-VP\tO' -p349895 -aS'mild\tmild\tJJ\tB-NP\tO' -p349896 -aS'weakness\tweakness\tNN\tI-NP\tO' -p349897 -aS'in\tin\tIN\tB-PP\tO' -p349898 -aS'the\tthe\tDT\tB-NP\tO' -p349899 -aS'left\tleft\tJJ\tI-NP\tO' -p349900 -aS'extremities\textremity\tNNS\tI-NP\tO' -p349901 -aS',\t,\t,\tO\tO' -p349902 -aS'both\tboth\tCC\tO\tO' -p349903 -aS'upper\tupper\tJJ\tB-ADJP\tO' -p349904 -aS'and\tand\tCC\tI-ADJP\tO' -p349905 -aS'lower\tlow\tJJR\tI-ADJP\tO' -p349906 -aS'.\t.\t.\tO\tO' -p349907 -asS'The prednisone dose was gradually tapered to 20 mg q.d.' -p349908 -(lp349909 -S'The\tThe\tDT\tB-NP\tO' -p349910 -aS'prednisone\tprednisone\tNN\tI-NP\tO' -p349911 -aS'dose\tdose\tNN\tI-NP\tO' -p349912 -aS'was\tbe\tVBD\tB-VP\tO' -p349913 -aS'gradually\tgradually\tRB\tI-VP\tO' -p349914 -aS'tapered\ttaper\tVBN\tI-VP\tO' -p349915 -aS'to\tto\tTO\tB-PP\tO' -p349916 -aS'20\t20\tCD\tB-NP\tO' -p349917 -aS'mg\tmg\tNN\tI-NP\tO' -p349918 -aS'q.d.\tq.d.\t.\tO\tO' -p349919 -asS"As mentioned above the patient 's hemodynamic status was tenuous throughout her hospital course as it was difficult to wean the patient off of neo-synephrine ." -p349920 -(lp349921 -S'As\tAs\tIN\tB-SBAR\tO' -p349922 -aS'mentioned\tmention\tVBN\tB-VP\tO' -p349923 -aS'above\tabove\tIN\tB-PP\tO' -p349924 -aS'the\tthe\tDT\tB-NP\tO' -p349925 -aS'patient\tpatient\tNN\tI-NP\tO' -p349926 -aS"'s\t's\tPOS\tB-NP\tO" -p349927 -aS'hemodynamic\themodynamic\tJJ\tI-NP\tO' -p349928 -aS'status\tstatus\tNN\tI-NP\tO' -p349929 -aS'was\tbe\tVBD\tB-VP\tO' -p349930 -aS'tenuous\ttenuous\tJJ\tB-ADJP\tO' -p349931 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p349932 -aS'her\ther\tPRP$\tB-NP\tO' -p349933 -aS'hospital\thospital\tNN\tI-NP\tO' -p349934 -aS'course\tcourse\tNN\tI-NP\tO' -p349935 -aS'as\tas\tIN\tB-SBAR\tO' -p349936 -aS'it\tit\tPRP\tB-NP\tO' -p349937 -aS'was\tbe\tVBD\tB-VP\tO' -p349938 -aS'difficult\tdifficult\tJJ\tB-ADJP\tO' -p349939 -aS'to\tto\tTO\tB-VP\tO' -p349940 -aS'wean\twean\tVB\tI-VP\tO' -p349941 -aS'the\tthe\tDT\tB-NP\tO' -p349942 -aS'patient\tpatient\tNN\tI-NP\tO' -p349943 -aS'off\toff\tRP\tB-PRT\tO' -p349944 -aS'of\tof\tIN\tB-PP\tO' -p349945 -aS'neo-synephrine\tneo-synephrine\tNN\tB-NP\tO' -p349946 -aS'.\t.\t.\tO\tO' -p349947 -asS'5. Vitamin C 500 mg p.o. twice a day times one month .' -p349948 -(lp349949 -S'5.\t5.\tLS\tB-NP\tO' -p349950 -aS'Vitamin\tVitamin\tNN\tI-NP\tO' -p349951 -aS'C\tC\tNN\tI-NP\tO' -p349952 -aS'500\t500\tCD\tI-NP\tO' -p349953 -aS'mg\tmg\tNN\tI-NP\tO' -p349954 -aS'p.o.\tp.o.\tRB\tB-NP\tO' -p349955 -aS'twice\ttwice\tRB\tI-NP\tO' -p349956 -aS'a\ta\tDT\tI-NP\tO' -p349957 -aS'day\tday\tNN\tI-NP\tO' -p349958 -aS'times\ttime\tVBZ\tB-VP\tO' -p349959 -aS'one\tone\tCD\tB-NP\tO' -p349960 -aS'month\tmonth\tNN\tI-NP\tO' -p349961 -aS'.\t.\t.\tO\tO' -p349962 -asS'Anterior fontanelle open , soft and flat .' -p349963 -(lp349964 -S'Anterior\tAnterior\tJJ\tB-NP\tO' -p349965 -aS'fontanelle\tfontanelle\tNN\tI-NP\tO' -p349966 -aS'open\topen\tJJ\tB-ADJP\tO' -p349967 -aS',\t,\t,\tI-ADJP\tO' -p349968 -aS'soft\tsoft\tJJ\tI-ADJP\tO' -p349969 -aS'and\tand\tCC\tI-ADJP\tO' -p349970 -aS'flat\tflat\tJJ\tI-ADJP\tO' -p349971 -aS'.\t.\t.\tO\tO' -p349972 -asS'Ica Gachcienne - in PCP office 01/26/03 ,' -p349973 -(lp349974 -S'Ica\tIca\tNNP\tB-NP\tO' -p349975 -aS'Gachcienne\tGachcienne\tNNP\tI-NP\tO' -p349976 -aS'-\t-\t:\tO\tO' -p349977 -aS'in\tin\tIN\tB-PP\tO' -p349978 -aS'PCP\tPCP\tNN\tB-NP\tO' -p349979 -aS'office\toffice\tNN\tI-NP\tO' -p349980 -aS'01/26/03\t01/26/03\tCD\tI-NP\tO' -p349981 -aS',\t,\t,\tO\tO' -p349982 -asS'Point tenderness at the left costovertebral angle .' -p349983 -(lp349984 -S'Point\tPoint\tNN\tB-NP\tO' -p349985 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p349986 -aS'at\tat\tIN\tB-PP\tO' -p349987 -aS'the\tthe\tDT\tB-NP\tO' -p349988 -aS'left\tleft\tJJ\tI-NP\tO' -p349989 -aS'costovertebral\tcostovertebral\tJJ\tI-NP\tO' -p349990 -aS'angle\tangle\tNN\tI-NP\tO' -p349991 -aS'.\t.\t.\tO\tO' -p349992 -asS'The patient tolerated this procedure well .' -p349993 -(lp349994 -S'The\tThe\tDT\tB-NP\tO' -p349995 -aS'patient\tpatient\tNN\tI-NP\tO' -p349996 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p349997 -aS'this\tthis\tDT\tB-NP\tO' -p349998 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p349999 -aS'well\twell\tRB\tB-ADVP\tO' -p350000 -aS'.\t.\t.\tO\tO' -p350001 -asS'They were normal and did not change and the patient received pneumatic boots for DVT prophylaxis .' -p350002 -(lp350003 -S'They\tThey\tPRP\tB-NP\tO' -p350004 -aS'were\tbe\tVBD\tB-VP\tO' -p350005 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p350006 -aS'and\tand\tCC\tO\tO' -p350007 -aS'did\tdo\tVBD\tB-VP\tO' -p350008 -aS'not\tnot\tRB\tI-VP\tO' -p350009 -aS'change\tchange\tVB\tI-VP\tO' -p350010 -aS'and\tand\tCC\tO\tO' -p350011 -aS'the\tthe\tDT\tB-NP\tO' -p350012 -aS'patient\tpatient\tNN\tI-NP\tO' -p350013 -aS'received\treceive\tVBD\tB-VP\tO' -p350014 -aS'pneumatic\tpneumatic\tJJ\tB-NP\tO' -p350015 -aS'boots\tboot\tNNS\tI-NP\tO' -p350016 -aS'for\tfor\tIN\tB-PP\tO' -p350017 -aS'DVT\tDVT\tNN\tB-NP\tO' -p350018 -aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' -p350019 -aS'.\t.\t.\tO\tO' -p350020 -asS'ECG : a paced at 70 bpm / nml axis , LBBB , no ST or TW changes' -p350021 -(lp350022 -S'ECG\tECG\tNN\tB-NP\tO' -p350023 -aS':\t:\t:\tO\tO' -p350024 -aS'a\ta\tDT\tB-NP\tO' -p350025 -aS'paced\tpace\tVBN\tI-NP\tO' -p350026 -aS'at\tat\tIN\tB-PP\tO' -p350027 -aS'70\t70\tCD\tB-NP\tO' -p350028 -aS'bpm\tbpm\tNN\tI-NP\tO' -p350029 -aS'/\t/\tSYM\tB-NP\tO' -p350030 -aS'nml\tnml\tNN\tI-NP\tO' -p350031 -aS'axis\taxis\tNN\tI-NP\tO' -p350032 -aS',\t,\t,\tO\tO' -p350033 -aS'LBBB\tLBBB\tNNP\tB-NP\tB-protein' -p350034 -aS',\t,\t,\tO\tO' -p350035 -aS'no\tno\tDT\tB-NP\tO' -p350036 -aS'ST\tST\tNN\tI-NP\tO' -p350037 -aS'or\tor\tCC\tI-NP\tO' -p350038 -aS'TW\tTW\tNN\tI-NP\tO' -p350039 -aS'changes\tchange\tNNS\tI-NP\tO' -p350040 -asS'Cholecystectomy .' -p350041 -(lp350042 -S'Cholecystectomy\tCholecystectomy\tNN\tB-NP\tO' -p350043 -aS'.\t.\t.\tO\tO' -p350044 -asS'He underwent a coronary artery bypass graft of four vessels .' -p350045 -(lp350046 -S'He\tHe\tPRP\tB-NP\tO' -p350047 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p350048 -aS'a\ta\tDT\tB-NP\tO' -p350049 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p350050 -aS'artery\tartery\tNN\tI-NP\tO' -p350051 -aS'bypass\tbypass\tIN\tB-PP\tO' -p350052 -aS'graft\tgraft\tNN\tB-NP\tO' -p350053 -aS'of\tof\tIN\tB-PP\tO' -p350054 -aS'four\tfour\tCD\tB-NP\tO' -p350055 -aS'vessels\tvessel\tNNS\tI-NP\tO' -p350056 -aS'.\t.\t.\tO\tO' -p350057 -asS'He has no history of a GI bleed or varices by endoscopy .' -p350058 -(lp350059 -S'He\tHe\tPRP\tB-NP\tO' -p350060 -aS'has\thave\tVBZ\tB-VP\tO' -p350061 -aS'no\tno\tDT\tB-NP\tO' -p350062 -aS'history\thistory\tNN\tI-NP\tO' -p350063 -aS'of\tof\tIN\tB-PP\tO' -p350064 -aS'a\ta\tDT\tB-NP\tO' -p350065 -aS'GI\tGI\tNN\tI-NP\tO' -p350066 -aS'bleed\tbleed\tNN\tI-NP\tO' -p350067 -aS'or\tor\tCC\tO\tO' -p350068 -aS'varices\tvarix\tNNS\tB-NP\tO' -p350069 -aS'by\tby\tIN\tB-PP\tO' -p350070 -aS'endoscopy\tendoscopy\tNN\tB-NP\tO' -p350071 -aS'.\t.\t.\tO\tO' -p350072 -asS'The patient is asked to take a course of Dilantin for ten more days .' -p350073 -(lp350074 -S'The\tThe\tDT\tB-NP\tO' -p350075 -aS'patient\tpatient\tNN\tI-NP\tO' -p350076 -aS'is\tbe\tVBZ\tB-VP\tO' -p350077 -aS'asked\task\tVBN\tI-VP\tO' -p350078 -aS'to\tto\tTO\tB-VP\tO' -p350079 -aS'take\ttake\tVB\tI-VP\tO' -p350080 -aS'a\ta\tDT\tB-NP\tO' -p350081 -aS'course\tcourse\tNN\tI-NP\tO' -p350082 -aS'of\tof\tIN\tB-PP\tO' -p350083 -aS'Dilantin\tDilantin\tNN\tB-NP\tB-protein' -p350084 -aS'for\tfor\tIN\tB-PP\tO' -p350085 -aS'ten\tten\tCD\tB-NP\tO' -p350086 -aS'more\tmore\tJJR\tI-NP\tO' -p350087 -aS'days\tday\tNNS\tI-NP\tO' -p350088 -aS'.\t.\t.\tO\tO' -p350089 -asS'cholangiopancreatography with adverse reaction to Fentanyl and tongue injury .' -p350090 -(lp350091 -S'cholangiopancreatography\tcholangiopancreatography\tNN\tB-NP\tO' -p350092 -aS'with\twith\tIN\tB-PP\tO' -p350093 -aS'adverse\tadverse\tJJ\tB-NP\tO' -p350094 -aS'reaction\treaction\tNN\tI-NP\tO' -p350095 -aS'to\tto\tTO\tB-PP\tO' -p350096 -aS'Fentanyl\tFentanyl\tNN\tB-NP\tO' -p350097 -aS'and\tand\tCC\tI-NP\tO' -p350098 -aS'tongue\ttongue\tNN\tI-NP\tO' -p350099 -aS'injury\tinjury\tNN\tI-NP\tO' -p350100 -aS'.\t.\t.\tO\tO' -p350101 -asS'His skin was clear , without rashes .' -p350102 -(lp350103 -S'His\tHis\tPRP$\tB-NP\tO' -p350104 -aS'skin\tskin\tNN\tI-NP\tO' -p350105 -aS'was\tbe\tVBD\tB-VP\tO' -p350106 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p350107 -aS',\t,\t,\tO\tO' -p350108 -aS'without\twithout\tIN\tB-PP\tO' -p350109 -aS'rashes\trash\tNNS\tB-NP\tO' -p350110 -aS'.\t.\t.\tO\tO' -p350111 -asS'SEPSIS .' -p350112 -(lp350113 -S'SEPSIS\tSEPSIS\tNNS\tB-NP\tO' -p350114 -aS'.\t.\t.\tO\tO' -p350115 -asS'The patient was in her usual state of excellent health until July of 1991 when she first noted a left clavicular mass .' -p350116 -(lp350117 -S'The\tThe\tDT\tB-NP\tO' -p350118 -aS'patient\tpatient\tNN\tI-NP\tO' -p350119 -aS'was\tbe\tVBD\tB-VP\tO' -p350120 -aS'in\tin\tIN\tB-PP\tO' -p350121 -aS'her\ther\tPRP$\tB-NP\tO' -p350122 -aS'usual\tusual\tJJ\tI-NP\tO' -p350123 -aS'state\tstate\tNN\tI-NP\tO' -p350124 -aS'of\tof\tIN\tB-PP\tO' -p350125 -aS'excellent\texcellent\tJJ\tB-NP\tO' -p350126 -aS'health\thealth\tNN\tI-NP\tO' -p350127 -aS'until\tuntil\tIN\tB-PP\tO' -p350128 -aS'July\tJuly\tNNP\tB-NP\tO' -p350129 -aS'of\tof\tIN\tB-PP\tO' -p350130 -aS'1991\t1991\tCD\tB-NP\tO' -p350131 -aS'when\twhen\tWRB\tB-ADVP\tO' -p350132 -aS'she\tshe\tPRP\tB-NP\tO' -p350133 -aS'first\tfirst\tRB\tB-ADVP\tO' -p350134 -aS'noted\tnote\tVBD\tB-VP\tO' -p350135 -aS'a\ta\tDT\tB-NP\tO' -p350136 -aS'left\tleft\tJJ\tI-NP\tO' -p350137 -aS'clavicular\tclavicular\tJJ\tI-NP\tO' -p350138 -aS'mass\tmass\tNN\tI-NP\tO' -p350139 -aS'.\t.\t.\tO\tO' -p350140 -asS'The goal SBP of < 150 was achieved .' -p350141 -(lp350142 -S'The\tThe\tDT\tB-NP\tO' -p350143 -aS'goal\tgoal\tNN\tI-NP\tO' -p350144 -aS'SBP\tSBP\tNN\tI-NP\tO' -p350145 -aS'of\tof\tIN\tB-PP\tO' -p350146 -aS'<\t<\tSYM\tB-NP\tO' -p350147 -aS'150\t150\tCD\tI-NP\tO' -p350148 -aS'was\tbe\tVBD\tB-VP\tO' -p350149 -aS'achieved\tachieve\tVBN\tI-VP\tO' -p350150 -aS'.\t.\t.\tO\tO' -p350151 -asS'Skin was strong build and was in no apparent distress .' -p350152 -(lp350153 -S'Skin\tSkin\tNNP\tB-NP\tO' -p350154 -aS'was\tbe\tVBD\tB-VP\tO' -p350155 -aS'strong\tstrong\tJJ\tB-NP\tO' -p350156 -aS'build\tbuild\tNN\tI-NP\tO' -p350157 -aS'and\tand\tCC\tO\tO' -p350158 -aS'was\tbe\tVBD\tB-VP\tO' -p350159 -aS'in\tin\tIN\tB-PP\tO' -p350160 -aS'no\tno\tDT\tB-NP\tO' -p350161 -aS'apparent\tapparent\tJJ\tI-NP\tO' -p350162 -aS'distress\tdistress\tNN\tI-NP\tO' -p350163 -aS'.\t.\t.\tO\tO' -p350164 -asS'He currently smokes , about 1 ppd .' -p350165 -(lp350166 -S'He\tHe\tPRP\tB-NP\tO' -p350167 -aS'currently\tcurrently\tRB\tB-ADVP\tO' -p350168 -aS'smokes\tsmoke\tVBZ\tB-VP\tO' -p350169 -aS',\t,\t,\tO\tO' -p350170 -aS'about\tabout\tIN\tB-NP\tO' -p350171 -aS'1\t1\tCD\tI-NP\tO' -p350172 -aS'ppd\tppd\tNN\tI-NP\tO' -p350173 -aS'.\t.\t.\tO\tO' -p350174 -asS'Signed electronically by : DR. Derek Vildosola on : WED 2015-07-29 1:15 PM' -p350175 -(lp350176 -S'Signed\tSign\tVBN\tB-VP\tO' -p350177 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p350178 -aS'by\tby\tIN\tB-PP\tO' -p350179 -aS':\t:\t:\tO\tO' -p350180 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p350181 -aS'Derek\tDerek\tNNP\tI-NP\tO' -p350182 -aS'Vildosola\tVildosola\tNNP\tI-NP\tO' -p350183 -aS'on\ton\tIN\tB-PP\tO' -p350184 -aS':\t:\t:\tO\tO' -p350185 -aS'WED\tWED\tVBD\tB-VP\tO' -p350186 -aS'2015-07-29\t2015-07-29\tCD\tB-NP\tO' -p350187 -aS'1:15\t1:15\tCD\tI-NP\tO' -p350188 -aS'PM\tPM\tNN\tI-NP\tO' -p350189 -asS'The patient would awake prior to arrival and not need transfer .' -p350190 -(lp350191 -S'The\tThe\tDT\tB-NP\tO' -p350192 -aS'patient\tpatient\tNN\tI-NP\tO' -p350193 -aS'would\twould\tMD\tB-VP\tO' -p350194 -aS'awake\tawake\tVB\tI-VP\tO' -p350195 -aS'prior\tprior\tRB\tB-ADVP\tO' -p350196 -aS'to\tto\tTO\tB-PP\tO' -p350197 -aS'arrival\tarrival\tNN\tB-NP\tO' -p350198 -aS'and\tand\tCC\tO\tO' -p350199 -aS'not\tnot\tRB\tB-VP\tO' -p350200 -aS'need\tneed\tVB\tI-VP\tO' -p350201 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p350202 -aS'.\t.\t.\tO\tO' -p350203 -asS'On the following day the patient underwent an echocardiogram which demonstrated dilated right ventricle secondary to chronic dysfunction and a pulmonary artery pressure of greater than 100 .' -p350204 -(lp350205 -S'On\tOn\tIN\tB-PP\tO' -p350206 -aS'the\tthe\tDT\tB-NP\tO' -p350207 -aS'following\tfollow\tVBG\tI-NP\tO' -p350208 -aS'day\tday\tNN\tI-NP\tO' -p350209 -aS'the\tthe\tDT\tB-NP\tO' -p350210 -aS'patient\tpatient\tNN\tI-NP\tO' -p350211 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p350212 -aS'an\tan\tDT\tB-NP\tO' -p350213 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p350214 -aS'which\twhich\tWDT\tB-NP\tO' -p350215 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p350216 -aS'dilated\tdilate\tVBN\tB-NP\tO' -p350217 -aS'right\tright\tJJ\tI-NP\tO' -p350218 -aS'ventricle\tventricle\tNN\tI-NP\tO' -p350219 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p350220 -aS'to\tto\tTO\tB-PP\tO' -p350221 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p350222 -aS'dysfunction\tdysfunction\tNN\tI-NP\tO' -p350223 -aS'and\tand\tCC\tO\tO' -p350224 -aS'a\ta\tDT\tB-NP\tO' -p350225 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p350226 -aS'artery\tartery\tNN\tI-NP\tO' -p350227 -aS'pressure\tpressure\tNN\tI-NP\tO' -p350228 -aS'of\tof\tIN\tB-PP\tO' -p350229 -aS'greater\tgreat\tJJR\tB-NP\tO' -p350230 -aS'than\tthan\tIN\tI-NP\tO' -p350231 -aS'100\t100\tCD\tI-NP\tO' -p350232 -aS'.\t.\t.\tO\tO' -p350233 -asS'VNA will check his INR at home and page his PCP with the results .' -p350234 -(lp350235 -S'VNA\tVNA\tNN\tB-NP\tB-protein' -p350236 -aS'will\twill\tMD\tB-VP\tO' -p350237 -aS'check\tcheck\tVB\tI-VP\tO' -p350238 -aS'his\this\tPRP$\tB-NP\tO' -p350239 -aS'INR\tINR\tNN\tI-NP\tB-protein' -p350240 -aS'at\tat\tIN\tB-PP\tO' -p350241 -aS'home\thome\tNN\tB-NP\tO' -p350242 -aS'and\tand\tCC\tO\tO' -p350243 -aS'page\tpage\tVB\tB-VP\tO' -p350244 -aS'his\this\tPRP$\tB-NP\tO' -p350245 -aS'PCP\tPCP\tNN\tI-NP\tB-protein' -p350246 -aS'with\twith\tIN\tB-PP\tO' -p350247 -aS'the\tthe\tDT\tB-NP\tO' -p350248 -aS'results\tresult\tNNS\tI-NP\tO' -p350249 -aS'.\t.\t.\tO\tO' -p350250 -asS'In addition , Vancomycin , Levaquin were also discontinued .' -p350251 -(lp350252 -S'In\tIn\tIN\tB-PP\tO' -p350253 -aS'addition\taddition\tNN\tB-NP\tO' -p350254 -aS',\t,\t,\tO\tO' -p350255 -aS'Vancomycin\tVancomycin\tNN\tB-NP\tO' -p350256 -aS',\t,\t,\tO\tO' -p350257 -aS'Levaquin\tLevaquin\tNNP\tB-NP\tO' -p350258 -aS'were\tbe\tVBD\tB-VP\tO' -p350259 -aS'also\talso\tRB\tI-VP\tO' -p350260 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p350261 -aS'.\t.\t.\tO\tO' -p350262 -asS"On her mom 's side is an extensive family cardiac history ." -p350263 -(lp350264 -S'On\tOn\tIN\tB-PP\tO' -p350265 -aS'her\ther\tPRP$\tB-NP\tO' -p350266 -aS'mom\tmom\tNN\tI-NP\tO' -p350267 -aS"'s\t's\tPOS\tB-NP\tO" -p350268 -aS'side\tside\tNN\tI-NP\tO' -p350269 -aS'is\tbe\tVBZ\tB-VP\tO' -p350270 -aS'an\tan\tDT\tB-NP\tO' -p350271 -aS'extensive\textensive\tJJ\tI-NP\tO' -p350272 -aS'family\tfamily\tNN\tI-NP\tO' -p350273 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p350274 -aS'history\thistory\tNN\tI-NP\tO' -p350275 -aS'.\t.\t.\tO\tO' -p350276 -asS'Squamous mucosa and skin with no significant pathologic change .' -p350277 -(lp350278 -S'Squamous\tSquamous\tJJ\tB-NP\tO' -p350279 -aS'mucosa\tmucosa\tNN\tI-NP\tO' -p350280 -aS'and\tand\tCC\tI-NP\tO' -p350281 -aS'skin\tskin\tNN\tI-NP\tO' -p350282 -aS'with\twith\tIN\tB-PP\tO' -p350283 -aS'no\tno\tDT\tB-NP\tO' -p350284 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p350285 -aS'pathologic\tpathologic\tJJ\tI-NP\tO' -p350286 -aS'change\tchange\tNN\tI-NP\tO' -p350287 -aS'.\t.\t.\tO\tO' -p350288 -asS'The patient was admitted to the Hospital and underwent an approximate 1.5 liter diuresis within the first 24 hours with improvement in his symptoms and improvement in his oxygen saturations .' -p350289 -(lp350290 -S'The\tThe\tDT\tB-NP\tO' -p350291 -aS'patient\tpatient\tNN\tI-NP\tO' -p350292 -aS'was\tbe\tVBD\tB-VP\tO' -p350293 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p350294 -aS'to\tto\tTO\tB-PP\tO' -p350295 -aS'the\tthe\tDT\tB-NP\tO' -p350296 -aS'Hospital\tHospital\tNN\tI-NP\tO' -p350297 -aS'and\tand\tCC\tO\tO' -p350298 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p350299 -aS'an\tan\tDT\tB-NP\tO' -p350300 -aS'approximate\tapproximate\tJJ\tI-NP\tO' -p350301 -aS'1.5\t1.5\tCD\tI-NP\tO' -p350302 -aS'liter\tliter\tNN\tI-NP\tO' -p350303 -aS'diuresis\tdiuresis\tNN\tI-NP\tO' -p350304 -aS'within\twithin\tIN\tB-PP\tO' -p350305 -aS'the\tthe\tDT\tB-NP\tO' -p350306 -aS'first\tfirst\tJJ\tI-NP\tO' -p350307 -aS'24\t24\tCD\tI-NP\tO' -p350308 -aS'hours\thour\tNNS\tI-NP\tO' -p350309 -aS'with\twith\tIN\tB-PP\tO' -p350310 -aS'improvement\timprovement\tNN\tB-NP\tO' -p350311 -aS'in\tin\tIN\tB-PP\tO' -p350312 -aS'his\this\tPRP$\tB-NP\tO' -p350313 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p350314 -aS'and\tand\tCC\tI-NP\tO' -p350315 -aS'improvement\timprovement\tNN\tI-NP\tO' -p350316 -aS'in\tin\tIN\tB-PP\tO' -p350317 -aS'his\this\tPRP$\tB-NP\tO' -p350318 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p350319 -aS'saturations\tsaturation\tNNS\tI-NP\tO' -p350320 -aS'.\t.\t.\tO\tO' -p350321 -asS'Prenatal screens were O positive , antibody negative , hepatitis surface antigen negative , rapid plasma reagent nonreactive , rubella immune , group B strep negative .' -p350322 -(lp350323 -S'Prenatal\tPrenatal\tJJ\tB-NP\tO' -p350324 -aS'screens\tscreen\tNNS\tI-NP\tO' -p350325 -aS'were\tbe\tVBD\tB-VP\tO' -p350326 -aS'O\tO\tNN\tB-NP\tO' -p350327 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p350328 -aS',\t,\t,\tO\tO' -p350329 -aS'antibody\tantibody\tNN\tB-NP\tO' -p350330 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p350331 -aS',\t,\t,\tO\tO' -p350332 -aS'hepatitis\thepatitis\tNN\tB-NP\tB-protein' -p350333 -aS'surface\tsurface\tNN\tI-NP\tI-protein' -p350334 -aS'antigen\tantigen\tNN\tI-NP\tI-protein' -p350335 -aS'negative\tnegative\tJJ\tI-NP\tO' -p350336 -aS',\t,\t,\tI-NP\tO' -p350337 -aS'rapid\trapid\tJJ\tI-NP\tO' -p350338 -aS'plasma\tplasma\tNN\tI-NP\tO' -p350339 -aS'reagent\treagent\tNN\tI-NP\tO' -p350340 -aS'nonreactive\tnonreactive\tJJ\tB-ADJP\tO' -p350341 -aS',\t,\t,\tO\tO' -p350342 -aS'rubella\trubella\tNN\tB-NP\tO' -p350343 -aS'immune\timmune\tJJ\tI-NP\tO' -p350344 -aS',\t,\t,\tI-NP\tO' -p350345 -aS'group\tgroup\tNN\tI-NP\tO' -p350346 -aS'B\tB\tNN\tI-NP\tO' -p350347 -aS'strep\tstrep\tNN\tI-NP\tO' -p350348 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p350349 -aS'.\t.\t.\tO\tO' -p350350 -asS'Anemia , discharge hematocrit 28 , not iron deficient .' -p350351 -(lp350352 -S'Anemia\tAnemia\tNNP\tB-NP\tO' -p350353 -aS',\t,\t,\tO\tO' -p350354 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p350355 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p350356 -aS'28\t28\tCD\tI-NP\tO' -p350357 -aS',\t,\t,\tI-NP\tO' -p350358 -aS'not\tnot\tRB\tI-NP\tO' -p350359 -aS'iron\tiron\tNN\tI-NP\tO' -p350360 -aS'deficient\tdeficient\tJJ\tB-ADJP\tO' -p350361 -aS'.\t.\t.\tO\tO' -p350362 -asS'OVARIAN MASS .' -p350363 -(lp350364 -S'OVARIAN\tOVARIAN\tNNP\tB-NP\tO' -p350365 -aS'MASS\tMASS\tNNP\tI-NP\tO' -p350366 -aS'.\t.\t.\tO\tO' -p350367 -asS'Apical impulse not palpable .' -p350368 -(lp350369 -S'Apical\tApical\tJJ\tB-NP\tO' -p350370 -aS'impulse\timpulse\tNN\tI-NP\tO' -p350371 -aS'not\tnot\tRB\tB-ADJP\tO' -p350372 -aS'palpable\tpalpable\tJJ\tI-ADJP\tO' -p350373 -aS'.\t.\t.\tO\tO' -p350374 -asS'She had flatus and regular bowel movements by postoperative day # 5 .' -p350375 -(lp350376 -S'She\tShe\tPRP\tB-NP\tO' -p350377 -aS'had\thave\tVBD\tB-VP\tO' -p350378 -aS'flatus\tflatus\tNN\tB-NP\tO' -p350379 -aS'and\tand\tCC\tO\tO' -p350380 -aS'regular\tregular\tJJ\tB-NP\tO' -p350381 -aS'bowel\tbowel\tNN\tI-NP\tO' -p350382 -aS'movements\tmovement\tNNS\tI-NP\tO' -p350383 -aS'by\tby\tIN\tB-PP\tO' -p350384 -aS'postoperative\tpostoperative\tJJ\tB-NP\tB-protein' -p350385 -aS'day\tday\tNN\tI-NP\tI-protein' -p350386 -aS'#\t#\t#\tB-NP\tI-protein' -p350387 -aS'5\t5\tCD\tI-NP\tI-protein' -p350388 -aS'.\t.\t.\tO\tO' -p350389 -asS'Postoperatively , the patient did extremely well and was extubated the following morning .' -p350390 -(lp350391 -S'Postoperatively\tPostoperatively\tRB\tB-ADVP\tO' -p350392 -aS',\t,\t,\tO\tO' -p350393 -aS'the\tthe\tDT\tB-NP\tO' -p350394 -aS'patient\tpatient\tNN\tI-NP\tO' -p350395 -aS'did\tdo\tVBD\tB-VP\tO' -p350396 -aS'extremely\textremely\tRB\tB-ADVP\tO' -p350397 -aS'well\twell\tRB\tI-ADVP\tO' -p350398 -aS'and\tand\tCC\tO\tO' -p350399 -aS'was\tbe\tVBD\tB-VP\tO' -p350400 -aS'extubated\textubate\tVBN\tI-VP\tO' -p350401 -aS'the\tthe\tDT\tB-NP\tO' -p350402 -aS'following\tfollowing\tJJ\tI-NP\tO' -p350403 -aS'morning\tmorning\tNN\tI-NP\tO' -p350404 -aS'.\t.\t.\tO\tO' -p350405 -asS'NH resident , guardian Robert Murrell' -p350406 -(lp350407 -S'NH\tNH\tNN\tB-NP\tO' -p350408 -aS'resident\tresident\tNN\tI-NP\tO' -p350409 -aS',\t,\t,\tO\tO' -p350410 -aS'guardian\tguardian\tJJ\tB-NP\tO' -p350411 -aS'Robert\tRobert\tNNP\tI-NP\tO' -p350412 -aS'Murrell\tMurrell\tNNP\tI-NP\tO' -p350413 -asS'He was referred to the Surgical Clinic where the wound was opened and the patient was admitted for intravenous antibiotics .' -p350414 -(lp350415 -S'He\tHe\tPRP\tB-NP\tO' -p350416 -aS'was\tbe\tVBD\tB-VP\tO' -p350417 -aS'referred\trefer\tVBN\tI-VP\tO' -p350418 -aS'to\tto\tTO\tB-PP\tO' -p350419 -aS'the\tthe\tDT\tB-NP\tO' -p350420 -aS'Surgical\tSurgical\tNNP\tI-NP\tO' -p350421 -aS'Clinic\tClinic\tNNP\tI-NP\tO' -p350422 -aS'where\twhere\tWRB\tB-ADVP\tO' -p350423 -aS'the\tthe\tDT\tB-NP\tO' -p350424 -aS'wound\twound\tNN\tI-NP\tO' -p350425 -aS'was\tbe\tVBD\tB-VP\tO' -p350426 -aS'opened\topen\tVBN\tI-VP\tO' -p350427 -aS'and\tand\tCC\tO\tO' -p350428 -aS'the\tthe\tDT\tB-NP\tO' -p350429 -aS'patient\tpatient\tNN\tI-NP\tO' -p350430 -aS'was\tbe\tVBD\tB-VP\tO' -p350431 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p350432 -aS'for\tfor\tIN\tB-PP\tO' -p350433 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p350434 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p350435 -aS'.\t.\t.\tO\tO' -p350436 -asS'A stool assay was taken for Clostridium difficile which was negative .' -p350437 -(lp350438 -S'A\tA\tDT\tB-NP\tO' -p350439 -aS'stool\tstool\tNN\tI-NP\tO' -p350440 -aS'assay\tassay\tNN\tI-NP\tO' -p350441 -aS'was\tbe\tVBD\tB-VP\tO' -p350442 -aS'taken\ttake\tVBN\tI-VP\tO' -p350443 -aS'for\tfor\tIN\tB-PP\tO' -p350444 -aS'Clostridium\tClostridium\tNN\tB-NP\tO' -p350445 -aS'difficile\tdifficile\tNN\tI-NP\tO' -p350446 -aS'which\twhich\tWDT\tB-NP\tO' -p350447 -aS'was\tbe\tVBD\tB-VP\tO' -p350448 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p350449 -aS'.\t.\t.\tO\tO' -p350450 -asS'2. Lasix 25 mg po qd' -p350451 -(lp350452 -S'2.\t2.\tLS\tB-NP\tO' -p350453 -aS'Lasix\tLasix\tNNP\tI-NP\tO' -p350454 -aS'25\t25\tCD\tI-NP\tO' -p350455 -aS'mg\tmg\tNN\tI-NP\tO' -p350456 -aS'po\tpo\tNN\tI-NP\tO' -p350457 -aS'qd\tqd\tNN\tI-NP\tO' -p350458 -asS'No evidence of major vascular occlusion seen .' -p350459 -(lp350460 -S'No\tNo\tDT\tB-NP\tO' -p350461 -aS'evidence\tevidence\tNN\tI-NP\tO' -p350462 -aS'of\tof\tIN\tB-PP\tO' -p350463 -aS'major\tmajor\tJJ\tB-NP\tO' -p350464 -aS'vascular\tvascular\tJJ\tI-NP\tO' -p350465 -aS'occlusion\tocclusion\tNN\tI-NP\tO' -p350466 -aS'seen\tsee\tVBN\tB-VP\tO' -p350467 -aS'.\t.\t.\tO\tO' -p350468 -asS'The procedure was performed under endoscopic guidance in the Intensive Care Unit without complication .' -p350469 -(lp350470 -S'The\tThe\tDT\tB-NP\tO' -p350471 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p350472 -aS'was\tbe\tVBD\tB-VP\tO' -p350473 -aS'performed\tperform\tVBN\tI-VP\tO' -p350474 -aS'under\tunder\tIN\tB-PP\tO' -p350475 -aS'endoscopic\tendoscopic\tJJ\tB-NP\tO' -p350476 -aS'guidance\tguidance\tNN\tI-NP\tO' -p350477 -aS'in\tin\tIN\tB-PP\tO' -p350478 -aS'the\tthe\tDT\tB-NP\tO' -p350479 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p350480 -aS'Care\tCare\tNNP\tI-NP\tO' -p350481 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p350482 -aS'without\twithout\tIN\tB-PP\tO' -p350483 -aS'complication\tcomplication\tNN\tB-NP\tO' -p350484 -aS'.\t.\t.\tO\tO' -p350485 -asS'Coronary artery bypass graft x 2 / Aortic valve replacement 05-08' -p350486 -(lp350487 -S'Coronary\tCoronary\tJJ\tB-NP\tO' -p350488 -aS'artery\tartery\tNN\tI-NP\tO' -p350489 -aS'bypass\tbypass\tIN\tB-PP\tO' -p350490 -aS'graft\tgraft\tNN\tB-NP\tB-protein' -p350491 -aS'x\tx\tSYM\tB-NP\tI-protein' -p350492 -aS'2\t2\tCD\tI-NP\tI-protein' -p350493 -aS'/\t/\tSYM\tI-NP\tO' -p350494 -aS'Aortic\tAortic\tJJ\tI-NP\tO' -p350495 -aS'valve\tvalve\tNN\tI-NP\tO' -p350496 -aS'replacement\treplacement\tNN\tI-NP\tO' -p350497 -aS'05-08\t05-08\tCD\tI-NP\tO' -p350498 -asS'She also had a right lower extremity noninvasive ultrasound that was negative for deep venous thrombosis .' -p350499 -(lp350500 -S'She\tShe\tPRP\tB-NP\tO' -p350501 -aS'also\talso\tRB\tB-ADVP\tO' -p350502 -aS'had\thave\tVBD\tB-VP\tO' -p350503 -aS'a\ta\tDT\tB-NP\tO' -p350504 -aS'right\tright\tRB\tI-NP\tO' -p350505 -aS'lower\tlow\tJJR\tI-NP\tO' -p350506 -aS'extremity\textremity\tNN\tI-NP\tO' -p350507 -aS'noninvasive\tnoninvasive\tJJ\tI-NP\tO' -p350508 -aS'ultrasound\tultrasound\tNN\tI-NP\tO' -p350509 -aS'that\tthat\tWDT\tB-NP\tO' -p350510 -aS'was\tbe\tVBD\tB-VP\tO' -p350511 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p350512 -aS'for\tfor\tIN\tB-PP\tO' -p350513 -aS'deep\tdeep\tJJ\tB-NP\tO' -p350514 -aS'venous\tvenous\tJJ\tI-NP\tO' -p350515 -aS'thrombosis\tthrombosis\tNN\tI-NP\tO' -p350516 -aS'.\t.\t.\tO\tO' -p350517 -asS'11. Toprol XL 25 mg once daily .' -p350518 -(lp350519 -S'11.\t11.\tLS\tB-NP\tO' -p350520 -aS'Toprol\tToprol\tNNP\tI-NP\tO' -p350521 -aS'XL\tXL\tNNP\tI-NP\tO' -p350522 -aS'25\t25\tCD\tI-NP\tO' -p350523 -aS'mg\tmg\tNN\tI-NP\tO' -p350524 -aS'once\tonce\tRB\tB-ADVP\tO' -p350525 -aS'daily\tdaily\tRB\tI-ADVP\tO' -p350526 -aS'.\t.\t.\tO\tO' -p350527 -asS'Incentive spirometry was started .' -p350528 -(lp350529 -S'Incentive\tIncentive\tJJ\tB-NP\tO' -p350530 -aS'spirometry\tspirometry\tNN\tI-NP\tO' -p350531 -aS'was\tbe\tVBD\tB-VP\tO' -p350532 -aS'started\tstart\tVBN\tI-VP\tO' -p350533 -aS'.\t.\t.\tO\tO' -p350534 -asS'HIV times 13 years .' -p350535 -(lp350536 -S'HIV\tHIV\tNN\tB-NP\tO' -p350537 -aS'times\ttime\tNNS\tI-NP\tO' -p350538 -aS'13\t13\tCD\tB-NP\tO' -p350539 -aS'years\tyear\tNNS\tI-NP\tO' -p350540 -aS'.\t.\t.\tO\tO' -p350541 -asS'without clubbing , claudication , or edema .' -p350542 -(lp350543 -S'without\twithout\tIN\tB-PP\tO' -p350544 -aS'clubbing\tclubbing\tNN\tB-NP\tO' -p350545 -aS',\t,\t,\tO\tO' -p350546 -aS'claudication\tclaudication\tNN\tB-NP\tO' -p350547 -aS',\t,\t,\tO\tO' -p350548 -aS'or\tor\tCC\tO\tO' -p350549 -aS'edema\tedema\tNN\tB-NP\tO' -p350550 -aS'.\t.\t.\tO\tO' -p350551 -asS'IVF , cbc ( hct 36 ) , normal chem 7 , negative cardiac enzymes , negative stool guaiac , normal CXR' -p350552 -(lp350553 -S'IVF\tIVF\tNN\tB-NP\tB-protein' -p350554 -aS',\t,\t,\tO\tO' -p350555 -aS'cbc\tcbc\tNN\tB-NP\tO' -p350556 -aS'(\t(\t(\tO\tO' -p350557 -aS'hct\thct\tNN\tB-NP\tO' -p350558 -aS'36\t36\tCD\tI-NP\tO' -p350559 -aS')\t)\t)\tO\tO' -p350560 -aS',\t,\t,\tO\tO' -p350561 -aS'normal\tnormal\tJJ\tB-NP\tO' -p350562 -aS'chem\tchem\tNN\tI-NP\tO' -p350563 -aS'7\t7\tCD\tI-NP\tO' -p350564 -aS',\t,\t,\tO\tO' -p350565 -aS'negative\tnegative\tJJ\tB-NP\tB-protein' -p350566 -aS'cardiac\tcardiac\tJJ\tI-NP\tI-protein' -p350567 -aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' -p350568 -aS',\t,\t,\tO\tO' -p350569 -aS'negative\tnegative\tJJ\tB-NP\tO' -p350570 -aS'stool\tstool\tNN\tI-NP\tO' -p350571 -aS'guaiac\tguaiac\tNN\tI-NP\tO' -p350572 -aS',\t,\t,\tO\tO' -p350573 -aS'normal\tnormal\tJJ\tB-NP\tO' -p350574 -aS'CXR\tCXR\tNN\tI-NP\tB-protein' -p350575 -asS'Fibrinogen 211 .' -p350576 -(lp350577 -S'Fibrinogen\tFibrinogen\tNN\tB-NP\tB-protein' -p350578 -aS'211\t211\tCD\tI-NP\tI-protein' -p350579 -aS'.\t.\t.\tO\tO' -p350580 -asS'3. Hypoglycemia .' -p350581 -(lp350582 -S'3.\t3.\tLS\tB-NP\tO' -p350583 -aS'Hypoglycemia\tHypoglycemia\tNN\tI-NP\tO' -p350584 -aS'.\t.\t.\tO\tO' -p350585 -asS'She was ambulating frequently .' -p350586 -(lp350587 -S'She\tShe\tPRP\tB-NP\tO' -p350588 -aS'was\tbe\tVBD\tB-VP\tO' -p350589 -aS'ambulating\tambulate\tVBG\tI-VP\tO' -p350590 -aS'frequently\tfrequently\tRB\tB-ADVP\tO' -p350591 -aS'.\t.\t.\tO\tO' -p350592 -asS'On the next day , it was 1.6 and she returned to a normal dosing of 4 mg followed by outpatient draws to determine the further Coumadin dosing .' -p350593 -(lp350594 -S'On\tOn\tIN\tB-PP\tO' -p350595 -aS'the\tthe\tDT\tB-NP\tO' -p350596 -aS'next\tnext\tJJ\tI-NP\tO' -p350597 -aS'day\tday\tNN\tI-NP\tO' -p350598 -aS',\t,\t,\tO\tO' -p350599 -aS'it\tit\tPRP\tB-NP\tO' -p350600 -aS'was\tbe\tVBD\tB-VP\tO' -p350601 -aS'1.6\t1.6\tCD\tB-NP\tO' -p350602 -aS'and\tand\tCC\tO\tO' -p350603 -aS'she\tshe\tPRP\tB-NP\tO' -p350604 -aS'returned\treturn\tVBD\tB-VP\tO' -p350605 -aS'to\tto\tTO\tB-PP\tO' -p350606 -aS'a\ta\tDT\tB-NP\tO' -p350607 -aS'normal\tnormal\tJJ\tI-NP\tO' -p350608 -aS'dosing\tdosing\tNN\tI-NP\tO' -p350609 -aS'of\tof\tIN\tB-PP\tO' -p350610 -aS'4\t4\tCD\tB-NP\tO' -p350611 -aS'mg\tmg\tNN\tI-NP\tO' -p350612 -aS'followed\tfollow\tVBN\tB-VP\tO' -p350613 -aS'by\tby\tIN\tB-PP\tO' -p350614 -aS'outpatient\toutpatient\tNN\tB-NP\tO' -p350615 -aS'draws\tdraw\tNNS\tI-NP\tO' -p350616 -aS'to\tto\tTO\tB-VP\tO' -p350617 -aS'determine\tdetermine\tVB\tI-VP\tO' -p350618 -aS'the\tthe\tDT\tB-NP\tO' -p350619 -aS'further\tfurther\tJJ\tI-NP\tO' -p350620 -aS'Coumadin\tCoumadin\tNN\tI-NP\tO' -p350621 -aS'dosing\tdosing\tNN\tI-NP\tO' -p350622 -aS'.\t.\t.\tO\tO' -p350623 -asS'The posterior elements are intact .' -p350624 -(lp350625 -S'The\tThe\tDT\tB-NP\tO' -p350626 -aS'posterior\tposterior\tJJ\tI-NP\tB-DNA' -p350627 -aS'elements\telement\tNNS\tI-NP\tI-DNA' -p350628 -aS'are\tbe\tVBP\tB-VP\tO' -p350629 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p350630 -aS'.\t.\t.\tO\tO' -p350631 -asS'Furthermore , she needs a follow-up appointment with Dr. Miller of Cardiology within the next two weeks .' -p350632 -(lp350633 -S'Furthermore\tFurthermore\tRB\tB-ADVP\tO' -p350634 -aS',\t,\t,\tO\tO' -p350635 -aS'she\tshe\tPRP\tB-NP\tO' -p350636 -aS'needs\tneed\tVBZ\tB-VP\tO' -p350637 -aS'a\ta\tDT\tB-NP\tO' -p350638 -aS'follow-up\tfollow-up\tJJ\tI-NP\tO' -p350639 -aS'appointment\tappointment\tNN\tI-NP\tO' -p350640 -aS'with\twith\tIN\tB-PP\tO' -p350641 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p350642 -aS'Miller\tMiller\tNNP\tI-NP\tO' -p350643 -aS'of\tof\tIN\tB-PP\tO' -p350644 -aS'Cardiology\tCardiology\tNNP\tB-NP\tO' -p350645 -aS'within\twithin\tIN\tB-PP\tO' -p350646 -aS'the\tthe\tDT\tB-NP\tO' -p350647 -aS'next\tnext\tJJ\tI-NP\tO' -p350648 -aS'two\ttwo\tCD\tI-NP\tO' -p350649 -aS'weeks\tweek\tNNS\tI-NP\tO' -p350650 -aS'.\t.\t.\tO\tO' -p350651 -asS'Abdomen is soft , with marked suprapubic tenderness and reduced bowel sounds .' -p350652 -(lp350653 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p350654 -aS'is\tbe\tVBZ\tB-VP\tO' -p350655 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p350656 -aS',\t,\t,\tO\tO' -p350657 -aS'with\twith\tIN\tB-PP\tO' -p350658 -aS'marked\tmarked\tJJ\tB-NP\tO' -p350659 -aS'suprapubic\tsuprapubic\tJJ\tI-NP\tO' -p350660 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p350661 -aS'and\tand\tCC\tO\tO' -p350662 -aS'reduced\treduce\tVBD\tB-VP\tO' -p350663 -aS'bowel\tbowel\tNN\tB-NP\tO' -p350664 -aS'sounds\tsound\tNNS\tI-NP\tO' -p350665 -aS'.\t.\t.\tO\tO' -p350666 -asS'He was placed on a diabetic diet and his sugars did show some improvement .' -p350667 -(lp350668 -S'He\tHe\tPRP\tB-NP\tO' -p350669 -aS'was\tbe\tVBD\tB-VP\tO' -p350670 -aS'placed\tplace\tVBN\tI-VP\tO' -p350671 -aS'on\ton\tIN\tB-PP\tO' -p350672 -aS'a\ta\tDT\tB-NP\tO' -p350673 -aS'diabetic\tdiabetic\tJJ\tI-NP\tO' -p350674 -aS'diet\tdiet\tNN\tI-NP\tO' -p350675 -aS'and\tand\tCC\tO\tO' -p350676 -aS'his\this\tPRP$\tB-NP\tO' -p350677 -aS'sugars\tsugar\tNNS\tI-NP\tO' -p350678 -aS'did\tdo\tVBD\tB-VP\tO' -p350679 -aS'show\tshow\tVB\tI-VP\tO' -p350680 -aS'some\tsome\tDT\tB-NP\tO' -p350681 -aS'improvement\timprovement\tNN\tI-NP\tO' -p350682 -aS'.\t.\t.\tO\tO' -p350683 -asS'Her platelet count initially rose to a maximum of 159 on July 3 , 1998 , then they steadily fell to a low of 60 on July 20 , 1999 .' -p350684 -(lp350685 -S'Her\tHer\tPRP$\tB-NP\tO' -p350686 -aS'platelet\tplatelet\tNN\tI-NP\tO' -p350687 -aS'count\tcount\tNN\tI-NP\tO' -p350688 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p350689 -aS'rose\trise\tVBD\tB-VP\tO' -p350690 -aS'to\tto\tTO\tB-PP\tO' -p350691 -aS'a\ta\tDT\tB-NP\tO' -p350692 -aS'maximum\tmaximum\tNN\tI-NP\tO' -p350693 -aS'of\tof\tIN\tB-PP\tO' -p350694 -aS'159\t159\tCD\tB-NP\tO' -p350695 -aS'on\ton\tIN\tB-PP\tO' -p350696 -aS'July\tJuly\tNNP\tB-NP\tO' -p350697 -aS'3\t3\tCD\tI-NP\tO' -p350698 -aS',\t,\t,\tI-NP\tO' -p350699 -aS'1998\t1998\tCD\tI-NP\tO' -p350700 -aS',\t,\t,\tO\tO' -p350701 -aS'then\tthen\tRB\tO\tO' -p350702 -aS'they\tthey\tPRP\tB-NP\tO' -p350703 -aS'steadily\tsteadily\tRB\tB-ADVP\tO' -p350704 -aS'fell\tfall\tVBD\tB-VP\tO' -p350705 -aS'to\tto\tTO\tB-PP\tO' -p350706 -aS'a\ta\tDT\tB-NP\tO' -p350707 -aS'low\tlow\tJJ\tI-NP\tO' -p350708 -aS'of\tof\tIN\tB-PP\tO' -p350709 -aS'60\t60\tCD\tB-NP\tO' -p350710 -aS'on\ton\tIN\tB-PP\tO' -p350711 -aS'July\tJuly\tNNP\tB-NP\tO' -p350712 -aS'20\t20\tCD\tI-NP\tO' -p350713 -aS',\t,\t,\tI-NP\tO' -p350714 -aS'1999\t1999\tCD\tI-NP\tO' -p350715 -aS'.\t.\t.\tO\tO' -p350716 -asS'Now rate controlled on metop 125 tid and dilt .' -p350717 -(lp350718 -S'Now\tNow\tRB\tB-NP\tO' -p350719 -aS'rate\trate\tNN\tI-NP\tO' -p350720 -aS'controlled\tcontrol\tVBN\tB-VP\tO' -p350721 -aS'on\ton\tIN\tB-PP\tO' -p350722 -aS'metop\tmetop\tNN\tB-NP\tO' -p350723 -aS'125\t125\tCD\tI-NP\tO' -p350724 -aS'tid\ttid\tNN\tI-NP\tO' -p350725 -aS'and\tand\tCC\tI-NP\tO' -p350726 -aS'dilt\tdilt\tNN\tI-NP\tO' -p350727 -aS'.\t.\t.\tO\tO' -p350728 -asS'5. Albuterol multiple dose inhalers , one to two puffs q. six hours as needed .' -p350729 -(lp350730 -S'5.\t5.\tLS\tB-NP\tO' -p350731 -aS'Albuterol\tAlbuterol\tNN\tI-NP\tO' -p350732 -aS'multiple\tmultiple\tJJ\tI-NP\tO' -p350733 -aS'dose\tdose\tNN\tI-NP\tO' -p350734 -aS'inhalers\tinhaler\tNNS\tI-NP\tO' -p350735 -aS',\t,\t,\tO\tO' -p350736 -aS'one\tone\tCD\tB-NP\tO' -p350737 -aS'to\tto\tTO\tI-NP\tO' -p350738 -aS'two\ttwo\tCD\tI-NP\tO' -p350739 -aS'puffs\tpuff\tNNS\tI-NP\tO' -p350740 -aS'q.\tq.\tRB\tB-NP\tO' -p350741 -aS'six\tsix\tCD\tI-NP\tO' -p350742 -aS'hours\thour\tNNS\tI-NP\tO' -p350743 -aS'as\tas\tIN\tB-SBAR\tO' -p350744 -aS'needed\tneed\tVBN\tB-VP\tO' -p350745 -aS'.\t.\t.\tO\tO' -p350746 -asS'As above , including an embolectomy in June 1992 .' -p350747 -(lp350748 -S'As\tAs\tIN\tB-PP\tO' -p350749 -aS'above\tabove\tRB\tB-ADVP\tO' -p350750 -aS',\t,\t,\tO\tO' -p350751 -aS'including\tinclude\tVBG\tB-PP\tO' -p350752 -aS'an\tan\tDT\tB-NP\tO' -p350753 -aS'embolectomy\tembolectomy\tNN\tI-NP\tO' -p350754 -aS'in\tin\tIN\tB-PP\tO' -p350755 -aS'June\tJune\tNNP\tB-NP\tO' -p350756 -aS'1992\t1992\tCD\tI-NP\tO' -p350757 -aS'.\t.\t.\tO\tO' -p350758 -asS'2. Enhancing lesions in the left centrum semiovale and also left hippocampal cortex .' -p350759 -(lp350760 -S'2.\t2.\tLS\tB-LST\tO' -p350761 -aS'Enhancing\tEnhance\tVBG\tB-VP\tO' -p350762 -aS'lesions\tlesion\tNNS\tB-NP\tO' -p350763 -aS'in\tin\tIN\tB-PP\tO' -p350764 -aS'the\tthe\tDT\tB-NP\tO' -p350765 -aS'left\tleft\tJJ\tI-NP\tO' -p350766 -aS'centrum\tcentrum\tNN\tI-NP\tO' -p350767 -aS'semiovale\tsemiovale\tNN\tI-NP\tO' -p350768 -aS'and\tand\tCC\tO\tO' -p350769 -aS'also\talso\tRB\tB-ADVP\tO' -p350770 -aS'left\tleave\tVBD\tB-VP\tO' -p350771 -aS'hippocampal\thippocampal\tJJ\tB-NP\tO' -p350772 -aS'cortex\tcortex\tNN\tI-NP\tO' -p350773 -aS'.\t.\t.\tO\tO' -p350774 -asS'the patient had 2+ femoral pulses and 1+ pedal pulses .' -p350775 -(lp350776 -S'the\tthe\tDT\tB-NP\tO' -p350777 -aS'patient\tpatient\tNN\tI-NP\tO' -p350778 -aS'had\thave\tVBD\tB-VP\tO' -p350779 -aS'2+\t2+\tJJ\tB-NP\tO' -p350780 -aS'femoral\tfemoral\tJJ\tI-NP\tO' -p350781 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p350782 -aS'and\tand\tCC\tO\tO' -p350783 -aS'1+\t1+\tJJ\tB-NP\tO' -p350784 -aS'pedal\tpedal\tJJ\tI-NP\tO' -p350785 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p350786 -aS'.\t.\t.\tO\tO' -p350787 -asS'This is a 35-year-old gentleman with HIV on HAART with last CD4 count of 268 and undetectable viral load who was referred to the emergency room via his PCP for progressive throat pain and edema .' -p350788 -(lp350789 -S'This\tThis\tDT\tB-NP\tO' -p350790 -aS'is\tbe\tVBZ\tB-VP\tO' -p350791 -aS'a\ta\tDT\tB-NP\tO' -p350792 -aS'35-year-old\t35-year-old\tJJ\tI-NP\tO' -p350793 -aS'gentleman\tgentleman\tNN\tI-NP\tO' -p350794 -aS'with\twith\tIN\tB-PP\tO' -p350795 -aS'HIV\tHIV\tNN\tB-NP\tO' -p350796 -aS'on\ton\tIN\tB-PP\tO' -p350797 -aS'HAART\tHAART\tNN\tB-NP\tB-protein' -p350798 -aS'with\twith\tIN\tB-PP\tO' -p350799 -aS'last\tlast\tJJ\tB-NP\tO' -p350800 -aS'CD4\tCD4\tNN\tI-NP\tO' -p350801 -aS'count\tcount\tNN\tI-NP\tO' -p350802 -aS'of\tof\tIN\tB-PP\tO' -p350803 -aS'268\t268\tCD\tB-NP\tO' -p350804 -aS'and\tand\tCC\tO\tO' -p350805 -aS'undetectable\tundetectable\tJJ\tB-NP\tO' -p350806 -aS'viral\tviral\tJJ\tI-NP\tO' -p350807 -aS'load\tload\tNN\tI-NP\tO' -p350808 -aS'who\twho\tWP\tB-NP\tO' -p350809 -aS'was\tbe\tVBD\tB-VP\tO' -p350810 -aS'referred\trefer\tVBN\tI-VP\tO' -p350811 -aS'to\tto\tTO\tB-PP\tO' -p350812 -aS'the\tthe\tDT\tB-NP\tO' -p350813 -aS'emergency\temergency\tNN\tI-NP\tO' -p350814 -aS'room\troom\tNN\tI-NP\tO' -p350815 -aS'via\tvia\tIN\tB-PP\tO' -p350816 -aS'his\this\tPRP$\tB-NP\tO' -p350817 -aS'PCP\tPCP\tNN\tI-NP\tB-DNA' -p350818 -aS'for\tfor\tIN\tB-PP\tO' -p350819 -aS'progressive\tprogressive\tJJ\tB-NP\tO' -p350820 -aS'throat\tthroat\tNN\tI-NP\tO' -p350821 -aS'pain\tpain\tNN\tI-NP\tO' -p350822 -aS'and\tand\tCC\tI-NP\tO' -p350823 -aS'edema\tedema\tNN\tI-NP\tO' -p350824 -aS'.\t.\t.\tO\tO' -p350825 -asS'1. Folic Acid .' -p350826 -(lp350827 -S'1.\t1.\tLS\tB-NP\tO' -p350828 -aS'Folic\tFolic\tJJ\tI-NP\tO' -p350829 -aS'Acid\tAcid\tNN\tI-NP\tO' -p350830 -aS'.\t.\t.\tO\tO' -p350831 -asS'Clear lungs , normal heart , Pagett 's type changes on the right breast and left breast without apparent masses with scarring supra-areolar and infra-areolar .' -p350832 -(lp350833 -S'Clear\tClear\tJJ\tB-NP\tO' -p350834 -aS'lungs\tlung\tNNS\tI-NP\tO' -p350835 -aS',\t,\t,\tO\tO' -p350836 -aS'normal\tnormal\tJJ\tB-NP\tO' -p350837 -aS'heart\theart\tNN\tI-NP\tO' -p350838 -aS',\t,\t,\tO\tO' -p350839 -aS'Pagett\tPagett\tNNP\tB-NP\tO' -p350840 -aS''s\t'\tVBZ\tB-VP\tO' -p350841 -aS'type\ttype\tNN\tB-NP\tO' -p350842 -aS'changes\tchange\tNNS\tI-NP\tO' -p350843 -aS'on\ton\tIN\tB-PP\tO' -p350844 -aS'the\tthe\tDT\tB-NP\tO' -p350845 -aS'right\tright\tJJ\tI-NP\tO' -p350846 -aS'breast\tbreast\tNN\tI-NP\tO' -p350847 -aS'and\tand\tCC\tI-NP\tO' -p350848 -aS'left\tleft\tJJ\tI-NP\tO' -p350849 -aS'breast\tbreast\tNN\tI-NP\tO' -p350850 -aS'without\twithout\tIN\tB-PP\tO' -p350851 -aS'apparent\tapparent\tJJ\tB-NP\tO' -p350852 -aS'masses\tmass\tNNS\tI-NP\tO' -p350853 -aS'with\twith\tIN\tB-PP\tO' -p350854 -aS'scarring\tscar\tVBG\tB-VP\tO' -p350855 -aS'supra-areolar\tsupra-areolar\tJJ\tB-ADJP\tO' -p350856 -aS'and\tand\tCC\tI-ADJP\tO' -p350857 -aS'infra-areolar\tinfra-areolar\tJJ\tI-ADJP\tO' -p350858 -aS'.\t.\t.\tO\tO' -p350859 -asS'Neck shows a well healed low collar incision without adenopathy or bruit .' -p350860 -(lp350861 -S'Neck\tNeck\tNN\tB-NP\tO' -p350862 -aS'shows\tshow\tVBZ\tB-VP\tO' -p350863 -aS'a\ta\tDT\tB-NP\tO' -p350864 -aS'well\twell\tRB\tI-NP\tO' -p350865 -aS'healed\theal\tVBN\tI-NP\tO' -p350866 -aS'low\tlow\tJJ\tI-NP\tO' -p350867 -aS'collar\tcollar\tNN\tI-NP\tO' -p350868 -aS'incision\tincision\tNN\tI-NP\tO' -p350869 -aS'without\twithout\tIN\tB-PP\tO' -p350870 -aS'adenopathy\tadenopathy\tNN\tB-NP\tO' -p350871 -aS'or\tor\tCC\tI-NP\tO' -p350872 -aS'bruit\tbruit\tNN\tI-NP\tO' -p350873 -aS'.\t.\t.\tO\tO' -p350874 -asS'Diabetic retinopathy with the patient blind in right eye .' -p350875 -(lp350876 -S'Diabetic\tDiabetic\tJJ\tB-NP\tO' -p350877 -aS'retinopathy\tretinopathy\tNN\tI-NP\tO' -p350878 -aS'with\twith\tIN\tB-PP\tO' -p350879 -aS'the\tthe\tDT\tB-NP\tO' -p350880 -aS'patient\tpatient\tNN\tI-NP\tO' -p350881 -aS'blind\tblind\tNN\tI-NP\tO' -p350882 -aS'in\tin\tIN\tB-PP\tO' -p350883 -aS'right\tright\tJJ\tB-NP\tO' -p350884 -aS'eye\teye\tNN\tI-NP\tO' -p350885 -aS'.\t.\t.\tO\tO' -p350886 -asS'She denied abd pain , fevers , chills .' -p350887 -(lp350888 -S'She\tShe\tPRP\tB-NP\tO' -p350889 -aS'denied\tdeny\tVBD\tB-VP\tO' -p350890 -aS'abd\tabd\tNN\tB-NP\tO' -p350891 -aS'pain\tpain\tNN\tI-NP\tO' -p350892 -aS',\t,\t,\tO\tO' -p350893 -aS'fevers\tfever\tNNS\tB-NP\tO' -p350894 -aS',\t,\t,\tO\tO' -p350895 -aS'chills\tchill\tNNS\tB-NP\tO' -p350896 -aS'.\t.\t.\tO\tO' -p350897 -asS'Rubella status was not documented .' -p350898 -(lp350899 -S'Rubella\tRubella\tNN\tB-NP\tO' -p350900 -aS'status\tstatus\tNN\tI-NP\tO' -p350901 -aS'was\tbe\tVBD\tB-VP\tO' -p350902 -aS'not\tnot\tRB\tI-VP\tO' -p350903 -aS'documented\tdocument\tVBN\tI-VP\tO' -p350904 -aS'.\t.\t.\tO\tO' -p350905 -asS'PLEASE TAKE MEDICATIONS AS PRESCRIBED AND READ WARNING LABELS CAREFULLY .' -p350906 -(lp350907 -S'PLEASE\tPLEASE\tNNP\tB-NP\tO' -p350908 -aS'TAKE\tTAKE\tNNP\tI-NP\tO' -p350909 -aS'MEDICATIONS\tMEDICATIONS\tNNP\tI-NP\tO' -p350910 -aS'AS\tAS\tNNP\tI-NP\tO' -p350911 -aS'PRESCRIBED\tPRESCRIBED\tVBD\tB-VP\tO' -p350912 -aS'AND\tAND\tCC\tB-NP\tO' -p350913 -aS'READ\tREAD\tNN\tI-NP\tO' -p350914 -aS'WARNING\tWARNING\tNN\tI-NP\tO' -p350915 -aS'LABELS\tLABELS\tNN\tI-NP\tO' -p350916 -aS'CAREFULLY\tCAREFULLY\tNN\tI-NP\tO' -p350917 -aS'.\t.\t.\tO\tO' -p350918 -asS'Bactrim and Vancomycin .' -p350919 -(lp350920 -S'Bactrim\tBactrim\tNN\tB-NP\tO' -p350921 -aS'and\tand\tCC\tI-NP\tO' -p350922 -aS'Vancomycin\tVancomycin\tNN\tI-NP\tO' -p350923 -aS'.\t.\t.\tO\tO' -p350924 -asS'She was NPO with a decrease in her mental status .' -p350925 -(lp350926 -S'She\tShe\tPRP\tB-NP\tO' -p350927 -aS'was\tbe\tVBD\tB-VP\tO' -p350928 -aS'NPO\tNPO\tNN\tB-NP\tB-protein' -p350929 -aS'with\twith\tIN\tB-PP\tO' -p350930 -aS'a\ta\tDT\tB-NP\tO' -p350931 -aS'decrease\tdecrease\tNN\tI-NP\tO' -p350932 -aS'in\tin\tIN\tB-PP\tO' -p350933 -aS'her\ther\tPRP$\tB-NP\tO' -p350934 -aS'mental\tmental\tJJ\tI-NP\tO' -p350935 -aS'status\tstatus\tNN\tI-NP\tO' -p350936 -aS'.\t.\t.\tO\tO' -p350937 -asS'Eyes - pupils equal , round , reactive to light , sclera non-icteric .' -p350938 -(lp350939 -S'Eyes\tEye\tNNS\tB-NP\tO' -p350940 -aS'-\t-\tHYPH\tB-NP\tO' -p350941 -aS'pupils\tpupil\tNNS\tI-NP\tO' -p350942 -aS'equal\tequal\tJJ\tB-NP\tO' -p350943 -aS',\t,\t,\tI-NP\tO' -p350944 -aS'round\tround\tJJ\tI-NP\tO' -p350945 -aS',\t,\t,\tI-NP\tO' -p350946 -aS'reactive\treactive\tJJ\tI-NP\tO' -p350947 -aS'to\tto\tTO\tB-PP\tO' -p350948 -aS'light\tlight\tNN\tB-NP\tO' -p350949 -aS',\t,\t,\tO\tO' -p350950 -aS'sclera\tsclera\tNN\tB-NP\tO' -p350951 -aS'non-icteric\tnon-icteric\tJJ\tB-ADJP\tO' -p350952 -aS'.\t.\t.\tO\tO' -p350953 -asS'VITALS : T 96.9 , BP 110/70 , HR 84 , RR 20 , Sat 97% on 4L .' -p350954 -(lp350955 -S'VITALS\tVITALS\tNNS\tB-NP\tO' -p350956 -aS':\t:\t:\tO\tO' -p350957 -aS'T\tT\tNN\tB-NP\tB-protein' -p350958 -aS'96.9\t96.9\tCD\tI-NP\tI-protein' -p350959 -aS',\t,\t,\tO\tO' -p350960 -aS'BP\tBP\tNN\tB-NP\tB-DNA' -p350961 -aS'110/70\t110/70\tCD\tI-NP\tI-DNA' -p350962 -aS',\t,\t,\tO\tO' -p350963 -aS'HR\tHR\tNN\tB-NP\tB-protein' -p350964 -aS'84\t84\tCD\tI-NP\tI-protein' -p350965 -aS',\t,\t,\tO\tO' -p350966 -aS'RR\tRR\tNN\tB-NP\tB-protein' -p350967 -aS'20\t20\tCD\tI-NP\tI-protein' -p350968 -aS',\t,\t,\tO\tO' -p350969 -aS'Sat\tSat\tNNP\tB-NP\tO' -p350970 -aS'97%\t97%\tCD\tI-NP\tO' -p350971 -aS'on\ton\tIN\tB-PP\tO' -p350972 -aS'4L\t4L\tNN\tB-NP\tB-protein' -p350973 -aS'.\t.\t.\tO\tO' -p350974 -asS'However later on during his course , his mental status deteriorated , being even less responsive .' -p350975 -(lp350976 -S'However\tHowever\tRB\tB-ADVP\tO' -p350977 -aS'later\tlater\tRB\tI-ADVP\tO' -p350978 -aS'on\ton\tIN\tB-PP\tO' -p350979 -aS'during\tduring\tIN\tB-PP\tO' -p350980 -aS'his\this\tPRP$\tB-NP\tO' -p350981 -aS'course\tcourse\tNN\tI-NP\tO' -p350982 -aS',\t,\t,\tO\tO' -p350983 -aS'his\this\tPRP$\tB-NP\tO' -p350984 -aS'mental\tmental\tJJ\tI-NP\tO' -p350985 -aS'status\tstatus\tNN\tI-NP\tO' -p350986 -aS'deteriorated\tdeteriorate\tVBD\tB-VP\tO' -p350987 -aS',\t,\t,\tO\tO' -p350988 -aS'being\tbe\tVBG\tB-VP\tO' -p350989 -aS'even\teven\tRB\tB-ADJP\tO' -p350990 -aS'less\tless\tRBR\tI-ADJP\tO' -p350991 -aS'responsive\tresponsive\tJJ\tI-ADJP\tO' -p350992 -aS'.\t.\t.\tO\tO' -p350993 -asS'His INR was also 3.4 .' -p350994 -(lp350995 -S'His\tHis\tPRP$\tB-NP\tO' -p350996 -aS'INR\tINR\tNN\tI-NP\tB-protein' -p350997 -aS'was\tbe\tVBD\tB-VP\tO' -p350998 -aS'also\talso\tRB\tB-ADVP\tO' -p350999 -aS'3.4\t3.4\tCD\tB-NP\tO' -p351000 -aS'.\t.\t.\tO\tO' -p351001 -asS'Please see the separately dictated operative report for further details of the procedure .' -p351002 -(lp351003 -S'Please\tPlease\tVB\tB-VP\tO' -p351004 -aS'see\tsee\tVB\tI-VP\tO' -p351005 -aS'the\tthe\tDT\tB-NP\tO' -p351006 -aS'separately\tseparately\tRB\tI-NP\tO' -p351007 -aS'dictated\tdictate\tVBN\tI-NP\tO' -p351008 -aS'operative\toperative\tJJ\tI-NP\tO' -p351009 -aS'report\treport\tNN\tI-NP\tO' -p351010 -aS'for\tfor\tIN\tB-PP\tO' -p351011 -aS'further\tfurther\tJJ\tB-NP\tO' -p351012 -aS'details\tdetail\tNNS\tI-NP\tO' -p351013 -aS'of\tof\tIN\tB-PP\tO' -p351014 -aS'the\tthe\tDT\tB-NP\tO' -p351015 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p351016 -aS'.\t.\t.\tO\tO' -p351017 -asS'Her family memebers stated that she was found at home with altered mental status and diaphoresis .' -p351018 -(lp351019 -S'Her\tHer\tPRP$\tB-NP\tO' -p351020 -aS'family\tfamily\tNN\tI-NP\tO' -p351021 -aS'memebers\tmemeber\tNNS\tI-NP\tO' -p351022 -aS'stated\tstate\tVBD\tB-VP\tO' -p351023 -aS'that\tthat\tIN\tB-SBAR\tO' -p351024 -aS'she\tshe\tPRP\tB-NP\tO' -p351025 -aS'was\tbe\tVBD\tB-VP\tO' -p351026 -aS'found\tfind\tVBN\tI-VP\tO' -p351027 -aS'at\tat\tIN\tB-PP\tO' -p351028 -aS'home\thome\tNN\tB-NP\tO' -p351029 -aS'with\twith\tIN\tB-PP\tO' -p351030 -aS'altered\talter\tVBN\tB-NP\tO' -p351031 -aS'mental\tmental\tJJ\tI-NP\tO' -p351032 -aS'status\tstatus\tNN\tI-NP\tO' -p351033 -aS'and\tand\tCC\tI-NP\tO' -p351034 -aS'diaphoresis\tdiaphoresis\tNN\tI-NP\tO' -p351035 -aS'.\t.\t.\tO\tO' -p351036 -asS'H ewas switched to oral CIpro for the pelvic abcess and will continue it until he has his followup with infectious disease in 2 weeks .' -p351037 -(lp351038 -S'H\tH\tNN\tB-NP\tO' -p351039 -aS'ewas\tewa\tVBD\tB-VP\tO' -p351040 -aS'switched\tswitch\tVBN\tI-VP\tO' -p351041 -aS'to\tto\tTO\tB-PP\tO' -p351042 -aS'oral\toral\tJJ\tB-NP\tO' -p351043 -aS'CIpro\tCIpro\tNN\tI-NP\tO' -p351044 -aS'for\tfor\tIN\tB-PP\tO' -p351045 -aS'the\tthe\tDT\tB-NP\tO' -p351046 -aS'pelvic\tpelvic\tJJ\tI-NP\tO' -p351047 -aS'abcess\tabcess\tNN\tI-NP\tO' -p351048 -aS'and\tand\tCC\tO\tO' -p351049 -aS'will\twill\tMD\tB-VP\tO' -p351050 -aS'continue\tcontinue\tVB\tI-VP\tO' -p351051 -aS'it\tit\tPRP\tB-NP\tO' -p351052 -aS'until\tuntil\tIN\tB-SBAR\tO' -p351053 -aS'he\the\tPRP\tB-NP\tO' -p351054 -aS'has\thave\tVBZ\tB-VP\tO' -p351055 -aS'his\this\tPRP$\tB-NP\tO' -p351056 -aS'followup\tfollowup\tNN\tI-NP\tO' -p351057 -aS'with\twith\tIN\tB-PP\tO' -p351058 -aS'infectious\tinfectious\tJJ\tB-NP\tO' -p351059 -aS'disease\tdisease\tNN\tI-NP\tO' -p351060 -aS'in\tin\tIN\tB-PP\tO' -p351061 -aS'2\t2\tCD\tB-NP\tO' -p351062 -aS'weeks\tweek\tNNS\tI-NP\tO' -p351063 -aS'.\t.\t.\tO\tO' -p351064 -asS'Decadron 4 mg PO bid , Dilantin 100 mg PO tid .' -p351065 -(lp351066 -S'Decadron\tDecadron\tNNP\tB-NP\tO' -p351067 -aS'4\t4\tCD\tI-NP\tO' -p351068 -aS'mg\tmg\tNN\tI-NP\tO' -p351069 -aS'PO\tPO\tNN\tI-NP\tO' -p351070 -aS'bid\tbid\tNN\tI-NP\tO' -p351071 -aS',\t,\t,\tO\tO' -p351072 -aS'Dilantin\tDilantin\tNN\tB-NP\tO' -p351073 -aS'100\t100\tCD\tI-NP\tO' -p351074 -aS'mg\tmg\tNN\tI-NP\tO' -p351075 -aS'PO\tPO\tNN\tI-NP\tO' -p351076 -aS'tid\ttid\tNN\tI-NP\tO' -p351077 -aS'.\t.\t.\tO\tO' -p351078 -asS'The patient was reportedly alert at scene , and then became unresponsive in route to the hospital .' -p351079 -(lp351080 -S'The\tThe\tDT\tB-NP\tO' -p351081 -aS'patient\tpatient\tNN\tI-NP\tO' -p351082 -aS'was\tbe\tVBD\tB-VP\tO' -p351083 -aS'reportedly\treportedly\tRB\tB-ADJP\tO' -p351084 -aS'alert\talert\tJJ\tI-ADJP\tO' -p351085 -aS'at\tat\tIN\tB-PP\tO' -p351086 -aS'scene\tscene\tNN\tB-NP\tO' -p351087 -aS',\t,\t,\tO\tO' -p351088 -aS'and\tand\tCC\tO\tO' -p351089 -aS'then\tthen\tRB\tB-VP\tO' -p351090 -aS'became\tbecome\tVBD\tI-VP\tO' -p351091 -aS'unresponsive\tunresponsive\tJJ\tB-ADJP\tO' -p351092 -aS'in\tin\tIN\tB-PP\tO' -p351093 -aS'route\troute\tNN\tB-NP\tO' -p351094 -aS'to\tto\tTO\tB-PP\tO' -p351095 -aS'the\tthe\tDT\tB-NP\tO' -p351096 -aS'hospital\thospital\tNN\tI-NP\tO' -p351097 -aS'.\t.\t.\tO\tO' -p351098 -asS'The patient was carefully diuresed over the next 48 hours .' -p351099 -(lp351100 -S'The\tThe\tDT\tB-NP\tO' -p351101 -aS'patient\tpatient\tNN\tI-NP\tO' -p351102 -aS'was\tbe\tVBD\tB-VP\tO' -p351103 -aS'carefully\tcarefully\tRB\tI-VP\tO' -p351104 -aS'diuresed\tdiurese\tVBN\tI-VP\tO' -p351105 -aS'over\tover\tIN\tB-PP\tO' -p351106 -aS'the\tthe\tDT\tB-NP\tO' -p351107 -aS'next\tnext\tJJ\tI-NP\tO' -p351108 -aS'48\t48\tCD\tI-NP\tO' -p351109 -aS'hours\thour\tNNS\tI-NP\tO' -p351110 -aS'.\t.\t.\tO\tO' -p351111 -asS'RPR card test was negative .' -p351112 -(lp351113 -S'RPR\tRPR\tNN\tB-NP\tO' -p351114 -aS'card\tcard\tNN\tI-NP\tO' -p351115 -aS'test\ttest\tNN\tI-NP\tO' -p351116 -aS'was\tbe\tVBD\tB-VP\tO' -p351117 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p351118 -aS'.\t.\t.\tO\tO' -p351119 -asS'His coronary arteries revealed an 80% stenosis and a large OM .' -p351120 -(lp351121 -S'His\tHis\tPRP$\tB-NP\tO' -p351122 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p351123 -aS'arteries\tartery\tNNS\tI-NP\tO' -p351124 -aS'revealed\treveal\tVBD\tB-VP\tO' -p351125 -aS'an\tan\tDT\tB-NP\tO' -p351126 -aS'80%\t80%\tNN\tI-NP\tO' -p351127 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p351128 -aS'and\tand\tCC\tO\tO' -p351129 -aS'a\ta\tDT\tB-NP\tO' -p351130 -aS'large\tlarge\tJJ\tI-NP\tO' -p351131 -aS'OM\tOM\tNN\tI-NP\tO' -p351132 -aS'.\t.\t.\tO\tO' -p351133 -asS'Because these symptoms have been increasing , particularly at cardiac rehabilitation , she was referred here .' -p351134 -(lp351135 -S'Because\tBecause\tIN\tB-SBAR\tO' -p351136 -aS'these\tthese\tDT\tB-NP\tO' -p351137 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p351138 -aS'have\thave\tVBP\tB-VP\tO' -p351139 -aS'been\tbe\tVBN\tI-VP\tO' -p351140 -aS'increasing\tincrease\tVBG\tI-VP\tO' -p351141 -aS',\t,\t,\tO\tO' -p351142 -aS'particularly\tparticularly\tRB\tB-ADVP\tO' -p351143 -aS'at\tat\tIN\tB-PP\tO' -p351144 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p351145 -aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' -p351146 -aS',\t,\t,\tO\tO' -p351147 -aS'she\tshe\tPRP\tB-NP\tO' -p351148 -aS'was\tbe\tVBD\tB-VP\tO' -p351149 -aS'referred\trefer\tVBN\tI-VP\tO' -p351150 -aS'here\there\tRB\tB-ADVP\tO' -p351151 -aS'.\t.\t.\tO\tO' -p351152 -asS'This ecchymosis is much improved from previous examinations .' -p351153 -(lp351154 -S'This\tThis\tDT\tB-NP\tO' -p351155 -aS'ecchymosis\tecchymosis\tNN\tI-NP\tO' -p351156 -aS'is\tbe\tVBZ\tB-VP\tO' -p351157 -aS'much\tmuch\tRB\tI-VP\tO' -p351158 -aS'improved\timprove\tVBN\tI-VP\tO' -p351159 -aS'from\tfrom\tIN\tB-PP\tO' -p351160 -aS'previous\tprevious\tJJ\tB-NP\tO' -p351161 -aS'examinations\texamination\tNNS\tI-NP\tO' -p351162 -aS'.\t.\t.\tO\tO' -p351163 -asS'The patient 's abdominal CT scan showed no liver disease and no obstruction .' -p351164 -(lp351165 -S'The\tThe\tDT\tB-NP\tO' -p351166 -aS'patient\tpatient\tNN\tI-NP\tO' -p351167 -aS''s\t'\tNNS\tI-NP\tO' -p351168 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p351169 -aS'CT\tCT\tNN\tI-NP\tO' -p351170 -aS'scan\tscan\tNN\tI-NP\tO' -p351171 -aS'showed\tshow\tVBD\tB-VP\tO' -p351172 -aS'no\tno\tDT\tB-NP\tO' -p351173 -aS'liver\tliver\tNN\tI-NP\tO' -p351174 -aS'disease\tdisease\tNN\tI-NP\tO' -p351175 -aS'and\tand\tCC\tO\tO' -p351176 -aS'no\tno\tDT\tB-NP\tO' -p351177 -aS'obstruction\tobstruction\tNN\tI-NP\tO' -p351178 -aS'.\t.\t.\tO\tO' -p351179 -asS'1. Metoprolol Tartrate 25 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a Ellis ).' -p351180 -(lp351181 -S'1.\t1.\tLS\tB-NP\tO' -p351182 -aS'Metoprolol\tMetoprolol\tNN\tI-NP\tO' -p351183 -aS'Tartrate\tTartrate\tNN\tI-NP\tO' -p351184 -aS'25\t25\tCD\tI-NP\tO' -p351185 -aS'mg\tmg\tNN\tI-NP\tO' -p351186 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p351187 -aS'Sig\tSig\tNNP\tI-NP\tO' -p351188 -aS':\t:\t:\tO\tO' -p351189 -aS'One\tOne\tCD\tB-NP\tO' -p351190 -aS'(\t(\t(\tO\tO' -p351191 -aS'1\t1\tCD\tB-NP\tO' -p351192 -aS')\t)\t)\tO\tO' -p351193 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p351194 -aS'PO\tPO\tNN\tI-NP\tO' -p351195 -aS'BID\tBID\tNN\tI-NP\tO' -p351196 -aS'(\t(\t(\tO\tO' -p351197 -aS'2\t2\tCD\tB-NP\tO' -p351198 -aS'times\ttime\tNNS\tI-NP\tO' -p351199 -aS'a\ta\tDT\tB-NP\tO' -p351200 -aS'Ellis\tEllis\tNNP\tI-NP\tO' -p351201 -aS').\t).\tNNP\tI-NP\tO' -p351202 -asS'The lungs were clear , heart normal .' -p351203 -(lp351204 -S'The\tThe\tDT\tB-NP\tO' -p351205 -aS'lungs\tlung\tNNS\tI-NP\tO' -p351206 -aS'were\tbe\tVBD\tB-VP\tO' -p351207 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p351208 -aS',\t,\t,\tO\tO' -p351209 -aS'heart\theart\tNN\tB-NP\tO' -p351210 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p351211 -aS'.\t.\t.\tO\tO' -p351212 -asS'Intravenous fluids was given .' -p351213 -(lp351214 -S'Intravenous\tIntravenous\tJJ\tB-NP\tO' -p351215 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p351216 -aS'was\tbe\tVBD\tB-VP\tO' -p351217 -aS'given\tgive\tVBN\tI-VP\tO' -p351218 -aS'.\t.\t.\tO\tO' -p351219 -asS'Following surgery his anesthesia was reversed , he was weaned from ventilator and successfully extubated .' -p351220 -(lp351221 -S'Following\tFollow\tVBG\tB-VP\tO' -p351222 -aS'surgery\tsurgery\tNN\tB-NP\tO' -p351223 -aS'his\this\tPRP$\tB-NP\tO' -p351224 -aS'anesthesia\tanesthesia\tNN\tI-NP\tO' -p351225 -aS'was\tbe\tVBD\tB-VP\tO' -p351226 -aS'reversed\treverse\tVBN\tI-VP\tO' -p351227 -aS',\t,\t,\tO\tO' -p351228 -aS'he\the\tPRP\tB-NP\tO' -p351229 -aS'was\tbe\tVBD\tB-VP\tO' -p351230 -aS'weaned\twean\tVBN\tI-VP\tO' -p351231 -aS'from\tfrom\tIN\tB-PP\tO' -p351232 -aS'ventilator\tventilator\tNN\tB-NP\tO' -p351233 -aS'and\tand\tCC\tO\tO' -p351234 -aS'successfully\tsuccessfully\tRB\tB-VP\tO' -p351235 -aS'extubated\textubate\tVBN\tI-VP\tO' -p351236 -aS'.\t.\t.\tO\tO' -p351237 -asS'you will have your PORT replaced after 2 weeks of antibiotics if your blood cultures remain negative .' -p351238 -(lp351239 -S'you\tyou\tPRP\tB-NP\tO' -p351240 -aS'will\twill\tMD\tB-VP\tO' -p351241 -aS'have\thave\tVB\tI-VP\tO' -p351242 -aS'your\tyour\tPRP$\tB-NP\tO' -p351243 -aS'PORT\tPORT\tNN\tI-NP\tO' -p351244 -aS'replaced\treplace\tVBN\tB-VP\tO' -p351245 -aS'after\tafter\tIN\tB-PP\tO' -p351246 -aS'2\t2\tCD\tB-NP\tO' -p351247 -aS'weeks\tweek\tNNS\tI-NP\tO' -p351248 -aS'of\tof\tIN\tB-PP\tO' -p351249 -aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' -p351250 -aS'if\tif\tIN\tB-SBAR\tO' -p351251 -aS'your\tyour\tPRP$\tB-NP\tB-cell_line' -p351252 -aS'blood\tblood\tNN\tI-NP\tI-cell_line' -p351253 -aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' -p351254 -aS'remain\tremain\tVBP\tB-VP\tO' -p351255 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p351256 -aS'.\t.\t.\tO\tO' -p351257 -asS'ID - afebrile , no wbc , started on Azithromycin for COPD flare' -p351258 -(lp351259 -S'ID\tID\tNN\tB-NP\tO' -p351260 -aS'-\t-\tHYPH\tB-PP\tO' -p351261 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p351262 -aS',\t,\t,\tO\tO' -p351263 -aS'no\tno\tDT\tB-NP\tO' -p351264 -aS'wbc\twbc\tNN\tI-NP\tO' -p351265 -aS',\t,\t,\tO\tO' -p351266 -aS'started\tstart\tVBN\tB-VP\tO' -p351267 -aS'on\ton\tIN\tB-PP\tO' -p351268 -aS'Azithromycin\tAzithromycin\tNN\tB-NP\tO' -p351269 -aS'for\tfor\tIN\tB-PP\tO' -p351270 -aS'COPD\tCOPD\tNN\tB-NP\tO' -p351271 -aS'flare\tflare\tNN\tI-NP\tO' -p351272 -asS'On 08-15 , he went for pheresis / IVIG .' -p351273 -(lp351274 -S'On\tOn\tIN\tB-PP\tO' -p351275 -aS'08-15\t08-15\tCD\tB-NP\tO' -p351276 -aS',\t,\t,\tO\tO' -p351277 -aS'he\the\tPRP\tB-NP\tO' -p351278 -aS'went\tgo\tVBD\tB-VP\tO' -p351279 -aS'for\tfor\tIN\tB-PP\tO' -p351280 -aS'pheresis\tpheresis\tNN\tB-NP\tO' -p351281 -aS'/\t/\tSYM\tB-NP\tO' -p351282 -aS'IVIG\tIVIG\tNN\tI-NP\tB-protein' -p351283 -aS'.\t.\t.\tO\tO' -p351284 -asS'The patient was transferred to the Vascular Surgery Service for bilateral iliac stenting at that time .' -p351285 -(lp351286 -S'The\tThe\tDT\tB-NP\tO' -p351287 -aS'patient\tpatient\tNN\tI-NP\tO' -p351288 -aS'was\tbe\tVBD\tB-VP\tO' -p351289 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p351290 -aS'to\tto\tTO\tB-PP\tO' -p351291 -aS'the\tthe\tDT\tB-NP\tO' -p351292 -aS'Vascular\tVascular\tNNP\tI-NP\tO' -p351293 -aS'Surgery\tSurgery\tNNP\tI-NP\tO' -p351294 -aS'Service\tService\tNNP\tI-NP\tO' -p351295 -aS'for\tfor\tIN\tB-PP\tO' -p351296 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p351297 -aS'iliac\tiliac\tJJ\tI-NP\tO' -p351298 -aS'stenting\tstenting\tNN\tI-NP\tO' -p351299 -aS'at\tat\tIN\tB-PP\tO' -p351300 -aS'that\tthat\tDT\tB-NP\tO' -p351301 -aS'time\ttime\tNN\tI-NP\tO' -p351302 -aS'.\t.\t.\tO\tO' -p351303 -asS'ext warm , + 1 edema' -p351304 -(lp351305 -S'ext\text\tJJ\tB-NP\tO' -p351306 -aS'warm\twarm\tNN\tI-NP\tO' -p351307 -aS',\t,\t,\tO\tO' -p351308 -aS'+\t+\tSYM\tB-NP\tO' -p351309 -aS'1\t1\tCD\tI-NP\tO' -p351310 -aS'edema\tedema\tNN\tI-NP\tO' -p351311 -asS'He was extubated the next morning .' -p351312 -(lp351313 -S'He\tHe\tPRP\tB-NP\tO' -p351314 -aS'was\tbe\tVBD\tB-VP\tO' -p351315 -aS'extubated\textubate\tVBN\tI-VP\tO' -p351316 -aS'the\tthe\tDT\tB-NP\tO' -p351317 -aS'next\tnext\tJJ\tI-NP\tO' -p351318 -aS'morning\tmorning\tNN\tI-NP\tO' -p351319 -aS'.\t.\t.\tO\tO' -p351320 -asS'Findings included no gross evidence seating in the abdominal wall ; one nodule on the posterior surface of the right lobe of the liver ; one nodule in the inferior edge of the falciform ligament .' -p351321 -(lp351322 -S'Findings\tFinding\tNNS\tB-NP\tO' -p351323 -aS'included\tinclude\tVBD\tB-VP\tO' -p351324 -aS'no\tno\tDT\tB-NP\tO' -p351325 -aS'gross\tgross\tJJ\tI-NP\tO' -p351326 -aS'evidence\tevidence\tNN\tI-NP\tO' -p351327 -aS'seating\tseating\tNN\tI-NP\tO' -p351328 -aS'in\tin\tIN\tB-PP\tO' -p351329 -aS'the\tthe\tDT\tB-NP\tO' -p351330 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p351331 -aS'wall\twall\tNN\tI-NP\tO' -p351332 -aS';\t;\t:\tO\tO' -p351333 -aS'one\tone\tCD\tB-NP\tO' -p351334 -aS'nodule\tnodule\tNN\tI-NP\tO' -p351335 -aS'on\ton\tIN\tB-PP\tO' -p351336 -aS'the\tthe\tDT\tB-NP\tO' -p351337 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p351338 -aS'surface\tsurface\tNN\tI-NP\tO' -p351339 -aS'of\tof\tIN\tB-PP\tO' -p351340 -aS'the\tthe\tDT\tB-NP\tO' -p351341 -aS'right\tright\tJJ\tI-NP\tO' -p351342 -aS'lobe\tlobe\tNN\tI-NP\tO' -p351343 -aS'of\tof\tIN\tB-PP\tO' -p351344 -aS'the\tthe\tDT\tB-NP\tO' -p351345 -aS'liver\tliver\tNN\tI-NP\tO' -p351346 -aS';\t;\t:\tO\tO' -p351347 -aS'one\tone\tCD\tB-NP\tO' -p351348 -aS'nodule\tnodule\tNN\tI-NP\tO' -p351349 -aS'in\tin\tIN\tB-PP\tO' -p351350 -aS'the\tthe\tDT\tB-NP\tO' -p351351 -aS'inferior\tinferior\tJJ\tI-NP\tO' -p351352 -aS'edge\tedge\tNN\tI-NP\tO' -p351353 -aS'of\tof\tIN\tB-PP\tO' -p351354 -aS'the\tthe\tDT\tB-NP\tO' -p351355 -aS'falciform\tfalciform\tJJ\tI-NP\tO' -p351356 -aS'ligament\tligament\tNN\tI-NP\tO' -p351357 -aS'.\t.\t.\tO\tO' -p351358 -asS'There is 1 cm. sulcus sign bilaterally .' -p351359 -(lp351360 -S'There\tThere\tEX\tB-NP\tO' -p351361 -aS'is\tbe\tVBZ\tB-VP\tO' -p351362 -aS'1\t1\tCD\tB-NP\tO' -p351363 -aS'cm.\tcm.\tNN\tI-NP\tO' -p351364 -aS'sulcus\tsulcus\tNN\tI-NP\tO' -p351365 -aS'sign\tsign\tNN\tI-NP\tO' -p351366 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p351367 -aS'.\t.\t.\tO\tO' -p351368 -asS'3. Metoprolol 100 mg twice a day .' -p351369 -(lp351370 -S'3.\t3.\tLS\tB-NP\tO' -p351371 -aS'Metoprolol\tMetoprolol\tNN\tI-NP\tO' -p351372 -aS'100\t100\tCD\tB-NP\tO' -p351373 -aS'mg\tmg\tNN\tI-NP\tO' -p351374 -aS'twice\ttwice\tRB\tB-NP\tO' -p351375 -aS'a\ta\tDT\tI-NP\tO' -p351376 -aS'day\tday\tNN\tI-NP\tO' -p351377 -aS'.\t.\t.\tO\tO' -p351378 -asS'Please make all appointments listed in the discharge paperwork .' -p351379 -(lp351380 -S'Please\tPlease\tVB\tB-VP\tO' -p351381 -aS'make\tmake\tVB\tI-VP\tO' -p351382 -aS'all\tall\tDT\tB-NP\tO' -p351383 -aS'appointments\tappointment\tNNS\tI-NP\tO' -p351384 -aS'listed\tlist\tVBN\tB-VP\tO' -p351385 -aS'in\tin\tIN\tB-PP\tO' -p351386 -aS'the\tthe\tDT\tB-NP\tO' -p351387 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p351388 -aS'paperwork\tpaperwork\tNN\tI-NP\tO' -p351389 -aS'.\t.\t.\tO\tO' -p351390 -asS'Head circumference was 41 cm .' -p351391 -(lp351392 -S'Head\tHead\tNN\tB-NP\tO' -p351393 -aS'circumference\tcircumference\tNN\tI-NP\tO' -p351394 -aS'was\tbe\tVBD\tB-VP\tO' -p351395 -aS'41\t41\tCD\tB-NP\tO' -p351396 -aS'cm\tcm\tNN\tI-NP\tO' -p351397 -aS'.\t.\t.\tO\tO' -p351398 -asS'Azithromycin & CTX at time of transfer to the oncology service .' -p351399 -(lp351400 -S'Azithromycin\tAzithromycin\tNN\tB-NP\tO' -p351401 -aS'&\t&\tCC\tI-NP\tO' -p351402 -aS'CTX\tCTX\tNN\tI-NP\tB-protein' -p351403 -aS'at\tat\tIN\tB-PP\tO' -p351404 -aS'time\ttime\tNN\tB-NP\tO' -p351405 -aS'of\tof\tIN\tB-PP\tO' -p351406 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p351407 -aS'to\tto\tTO\tB-PP\tO' -p351408 -aS'the\tthe\tDT\tB-NP\tO' -p351409 -aS'oncology\toncology\tNN\tI-NP\tO' -p351410 -aS'service\tservice\tNN\tI-NP\tO' -p351411 -aS'.\t.\t.\tO\tO' -p351412 -asS'Amylase was 108 and lipase was 213 .' -p351413 -(lp351414 -S'Amylase\tAmylase\tNN\tB-NP\tB-protein' -p351415 -aS'was\tbe\tVBD\tB-VP\tO' -p351416 -aS'108\t108\tCD\tB-NP\tO' -p351417 -aS'and\tand\tCC\tO\tO' -p351418 -aS'lipase\tlipase\tNN\tB-NP\tO' -p351419 -aS'was\tbe\tVBD\tB-VP\tO' -p351420 -aS'213\t213\tCD\tB-NP\tO' -p351421 -aS'.\t.\t.\tO\tO' -p351422 -asS'Neither IV nor oral contrast were used .' -p351423 -(lp351424 -S'Neither\tNeither\tCC\tO\tO' -p351425 -aS'IV\tIV\tCD\tB-NP\tO' -p351426 -aS'nor\tnor\tCC\tO\tO' -p351427 -aS'oral\toral\tJJ\tB-NP\tO' -p351428 -aS'contrast\tcontrast\tNN\tI-NP\tO' -p351429 -aS'were\tbe\tVBD\tB-VP\tO' -p351430 -aS'used\tuse\tVBN\tI-VP\tO' -p351431 -aS'.\t.\t.\tO\tO' -p351432 -asS'He was on intravenous TNG and was supratherapeutic on his anti-coagulation .' -p351433 -(lp351434 -S'He\tHe\tPRP\tB-NP\tO' -p351435 -aS'was\tbe\tVBD\tB-VP\tO' -p351436 -aS'on\ton\tIN\tB-PP\tO' -p351437 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p351438 -aS'TNG\tTNG\tNN\tI-NP\tO' -p351439 -aS'and\tand\tCC\tO\tO' -p351440 -aS'was\tbe\tVBD\tB-VP\tO' -p351441 -aS'supratherapeutic\tsupratherapeutic\tJJ\tB-ADJP\tO' -p351442 -aS'on\ton\tIN\tB-PP\tO' -p351443 -aS'his\this\tPRP$\tB-NP\tO' -p351444 -aS'anti-coagulation\tanti-coagulation\tNN\tI-NP\tO' -p351445 -aS'.\t.\t.\tO\tO' -p351446 -asS'MEDIASTINAL TUMOR MASS .' -p351447 -(lp351448 -S'MEDIASTINAL\tMEDIASTINAL\tNNP\tB-NP\tO' -p351449 -aS'TUMOR\tTUMOR\tNNP\tI-NP\tO' -p351450 -aS'MASS\tMASS\tNNP\tI-NP\tO' -p351451 -aS'.\t.\t.\tO\tO' -p351452 -asS'No deformities , stepoff , or tenderness of the cervical spine .' -p351453 -(lp351454 -S'No\tNo\tDT\tB-NP\tO' -p351455 -aS'deformities\tdeformity\tNNS\tI-NP\tO' -p351456 -aS',\t,\t,\tO\tO' -p351457 -aS'stepoff\tstepoff\tNN\tB-NP\tO' -p351458 -aS',\t,\t,\tO\tO' -p351459 -aS'or\tor\tCC\tO\tO' -p351460 -aS'tenderness\ttenderness\tNN\tB-NP\tO' -p351461 -aS'of\tof\tIN\tB-PP\tO' -p351462 -aS'the\tthe\tDT\tB-NP\tO' -p351463 -aS'cervical\tcervical\tJJ\tI-NP\tO' -p351464 -aS'spine\tspine\tNN\tI-NP\tO' -p351465 -aS'.\t.\t.\tO\tO' -p351466 -asS'The patient resides in the Pcaer,ter Medical Center , is nonambulatory , and her code status is do not resuscitate / do not intubate .' -p351467 -(lp351468 -S'The\tThe\tDT\tB-NP\tO' -p351469 -aS'patient\tpatient\tNN\tI-NP\tO' -p351470 -aS'resides\treside\tVBZ\tB-VP\tO' -p351471 -aS'in\tin\tIN\tB-PP\tO' -p351472 -aS'the\tthe\tDT\tB-NP\tO' -p351473 -aS'Pcaer,ter\tPcaer,ter\tNNP\tI-NP\tO' -p351474 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p351475 -aS'Center\tCenter\tNNP\tI-NP\tO' -p351476 -aS',\t,\t,\tO\tO' -p351477 -aS'is\tbe\tVBZ\tB-VP\tO' -p351478 -aS'nonambulatory\tnonambulatory\tJJ\tB-ADJP\tO' -p351479 -aS',\t,\t,\tO\tO' -p351480 -aS'and\tand\tCC\tO\tO' -p351481 -aS'her\ther\tPRP$\tB-NP\tO' -p351482 -aS'code\tcode\tNN\tI-NP\tO' -p351483 -aS'status\tstatus\tNN\tI-NP\tO' -p351484 -aS'is\tbe\tVBZ\tB-VP\tO' -p351485 -aS'do\tdo\tVBP\tI-VP\tO' -p351486 -aS'not\tnot\tRB\tI-VP\tO' -p351487 -aS'resuscitate\tresuscitate\tVB\tI-VP\tO' -p351488 -aS'/\t/\tSYM\tB-NP\tO' -p351489 -aS'do\tdo\tVB\tB-VP\tO' -p351490 -aS'not\tnot\tRB\tI-VP\tO' -p351491 -aS'intubate\tintubate\tVB\tI-VP\tO' -p351492 -aS'.\t.\t.\tO\tO' -p351493 -asS'No HSM .' -p351494 -(lp351495 -S'No\tNo\tDT\tB-NP\tO' -p351496 -aS'HSM\tHSM\tNN\tI-NP\tB-protein' -p351497 -aS'.\t.\t.\tO\tO' -p351498 -asS'The patient was put on heparin and was stable since .' -p351499 -(lp351500 -S'The\tThe\tDT\tB-NP\tO' -p351501 -aS'patient\tpatient\tNN\tI-NP\tO' -p351502 -aS'was\tbe\tVBD\tB-VP\tO' -p351503 -aS'put\tput\tVBN\tI-VP\tO' -p351504 -aS'on\ton\tIN\tB-PP\tO' -p351505 -aS'heparin\theparin\tNN\tB-NP\tO' -p351506 -aS'and\tand\tCC\tO\tO' -p351507 -aS'was\tbe\tVBD\tB-VP\tO' -p351508 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p351509 -aS'since\tsince\tIN\tB-ADVP\tO' -p351510 -aS'.\t.\t.\tO\tO' -p351511 -asS'Morphine -> confusion / delerium .' -p351512 -(lp351513 -S'Morphine\tMorphine\tNN\tB-NP\tO' -p351514 -aS'->\t->\tSYM\tI-NP\tO' -p351515 -aS'confusion\tconfusion\tNN\tI-NP\tO' -p351516 -aS'/\t/\tSYM\tB-NP\tO' -p351517 -aS'delerium\tdelerium\tNN\tI-NP\tO' -p351518 -aS'.\t.\t.\tO\tO' -p351519 -asS'Smoked twenty years ago .' -p351520 -(lp351521 -S'Smoked\tSmoke\tVBN\tB-VP\tO' -p351522 -aS'twenty\ttwenty\tCD\tB-NP\tO' -p351523 -aS'years\tyear\tNNS\tI-NP\tO' -p351524 -aS'ago\tago\tRB\tB-ADVP\tO' -p351525 -aS'.\t.\t.\tO\tO' -p351526 -asS'Mild posterior mitral valve prolapse with mild mitral regurgitation .' -p351527 -(lp351528 -S'Mild\tMild\tJJ\tB-NP\tO' -p351529 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p351530 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p351531 -aS'valve\tvalve\tNN\tI-NP\tO' -p351532 -aS'prolapse\tprolapse\tNN\tI-NP\tO' -p351533 -aS'with\twith\tIN\tB-PP\tO' -p351534 -aS'mild\tmild\tJJ\tB-NP\tO' -p351535 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p351536 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p351537 -aS'.\t.\t.\tO\tO' -p351538 -asS'This was poorly responsive to Eldopa .' -p351539 -(lp351540 -S'This\tThis\tDT\tB-NP\tO' -p351541 -aS'was\tbe\tVBD\tB-VP\tO' -p351542 -aS'poorly\tpoorly\tRB\tB-ADJP\tO' -p351543 -aS'responsive\tresponsive\tJJ\tI-ADJP\tO' -p351544 -aS'to\tto\tTO\tB-PP\tO' -p351545 -aS'Eldopa\tEldopa\tNN\tB-NP\tO' -p351546 -aS'.\t.\t.\tO\tO' -p351547 -asS'5. Folic Acid 1 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' -p351548 -(lp351549 -S'5.\t5.\tLS\tB-NP\tO' -p351550 -aS'Folic\tFolic\tJJ\tI-NP\tO' -p351551 -aS'Acid\tAcid\tNN\tI-NP\tO' -p351552 -aS'1\t1\tCD\tI-NP\tO' -p351553 -aS'mg\tmg\tNN\tI-NP\tO' -p351554 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p351555 -aS'Sig\tSig\tNNP\tI-NP\tO' -p351556 -aS':\t:\t:\tO\tO' -p351557 -aS'One\tOne\tCD\tB-NP\tO' -p351558 -aS'(\t(\t(\tO\tO' -p351559 -aS'1\t1\tCD\tB-NP\tO' -p351560 -aS')\t)\t)\tO\tO' -p351561 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p351562 -aS'PO\tPO\tNN\tI-NP\tO' -p351563 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p351564 -aS'(\t(\t(\tO\tO' -p351565 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p351566 -aS')\t)\t)\tO\tO' -p351567 -aS'.\t.\t.\tO\tO' -p351568 -asS'No known TB or CA history .' -p351569 -(lp351570 -S'No\tNo\tDT\tB-NP\tO' -p351571 -aS'known\tknown\tJJ\tI-NP\tO' -p351572 -aS'TB\tTB\tNN\tI-NP\tO' -p351573 -aS'or\tor\tCC\tI-NP\tO' -p351574 -aS'CA\tCA\tNN\tI-NP\tO' -p351575 -aS'history\thistory\tNN\tI-NP\tO' -p351576 -aS'.\t.\t.\tO\tO' -p351577 -asS'Strong maternal history of hemangiomas .' -p351578 -(lp351579 -S'Strong\tStrong\tJJ\tB-NP\tO' -p351580 -aS'maternal\tmaternal\tJJ\tI-NP\tO' -p351581 -aS'history\thistory\tNN\tI-NP\tO' -p351582 -aS'of\tof\tIN\tB-PP\tO' -p351583 -aS'hemangiomas\themangioma\tNNS\tB-NP\tO' -p351584 -aS'.\t.\t.\tO\tO' -p351585 -asS'Do not apply any creams , lotions , powders , or ointments .' -p351586 -(lp351587 -S'Do\tDo\tVBP\tB-VP\tO' -p351588 -aS'not\tnot\tRB\tI-VP\tO' -p351589 -aS'apply\tapply\tVB\tI-VP\tO' -p351590 -aS'any\tany\tDT\tB-NP\tO' -p351591 -aS'creams\tcream\tNNS\tI-NP\tO' -p351592 -aS',\t,\t,\tO\tO' -p351593 -aS'lotions\tlotion\tNNS\tB-NP\tO' -p351594 -aS',\t,\t,\tO\tO' -p351595 -aS'powders\tpowder\tNNS\tB-NP\tO' -p351596 -aS',\t,\t,\tO\tO' -p351597 -aS'or\tor\tCC\tO\tO' -p351598 -aS'ointments\tointment\tNNS\tB-NP\tO' -p351599 -aS'.\t.\t.\tO\tO' -p351600 -asS'Tongue protrudes 2 cm. with slight deviation to the right .' -p351601 -(lp351602 -S'Tongue\tTongue\tNNP\tB-NP\tO' -p351603 -aS'protrudes\tprotrude\tVBZ\tB-VP\tO' -p351604 -aS'2\t2\tCD\tB-NP\tO' -p351605 -aS'cm.\tcm.\tNN\tI-NP\tO' -p351606 -aS'with\twith\tIN\tB-PP\tO' -p351607 -aS'slight\tslight\tJJ\tB-NP\tO' -p351608 -aS'deviation\tdeviation\tNN\tI-NP\tO' -p351609 -aS'to\tto\tTO\tB-PP\tO' -p351610 -aS'the\tthe\tDT\tB-NP\tO' -p351611 -aS'right\tright\tNN\tI-NP\tO' -p351612 -aS'.\t.\t.\tO\tO' -p351613 -asS'No murmurs , rubs , or gallops .' -p351614 -(lp351615 -S'No\tNo\tDT\tB-NP\tO' -p351616 -aS'murmurs\tmurmur\tNNS\tI-NP\tO' -p351617 -aS',\t,\t,\tO\tO' -p351618 -aS'rubs\trub\tNNS\tB-NP\tO' -p351619 -aS',\t,\t,\tO\tO' -p351620 -aS'or\tor\tCC\tO\tO' -p351621 -aS'gallops\tgallop\tNNS\tB-NP\tO' -p351622 -aS'.\t.\t.\tO\tO' -p351623 -asS'Cardiology felt she had a rub and her pulsus was still 10 .' -p351624 -(lp351625 -S'Cardiology\tCardiology\tNNP\tB-NP\tO' -p351626 -aS'felt\tfeel\tVBD\tB-VP\tO' -p351627 -aS'she\tshe\tPRP\tB-NP\tO' -p351628 -aS'had\thave\tVBD\tB-VP\tO' -p351629 -aS'a\ta\tDT\tB-NP\tO' -p351630 -aS'rub\trub\tNN\tI-NP\tO' -p351631 -aS'and\tand\tCC\tO\tO' -p351632 -aS'her\ther\tPRP$\tB-NP\tO' -p351633 -aS'pulsus\tpulsus\tNN\tI-NP\tO' -p351634 -aS'was\tbe\tVBD\tB-VP\tO' -p351635 -aS'still\tstill\tRB\tB-ADVP\tO' -p351636 -aS'10\t10\tCD\tB-NP\tO' -p351637 -aS'.\t.\t.\tO\tO' -p351638 -asS'On postoperative day number one , the patient was successfully weaned and extubated without complication .' -p351639 -(lp351640 -S'On\tOn\tIN\tB-PP\tO' -p351641 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p351642 -aS'day\tday\tNN\tI-NP\tO' -p351643 -aS'number\tnumber\tNN\tI-NP\tO' -p351644 -aS'one\tone\tCD\tB-NP\tO' -p351645 -aS',\t,\t,\tO\tO' -p351646 -aS'the\tthe\tDT\tB-NP\tO' -p351647 -aS'patient\tpatient\tNN\tI-NP\tO' -p351648 -aS'was\tbe\tVBD\tB-VP\tO' -p351649 -aS'successfully\tsuccessfully\tRB\tI-VP\tO' -p351650 -aS'weaned\twean\tVBN\tI-VP\tO' -p351651 -aS'and\tand\tCC\tI-VP\tO' -p351652 -aS'extubated\textubate\tVBN\tI-VP\tO' -p351653 -aS'without\twithout\tIN\tB-PP\tO' -p351654 -aS'complication\tcomplication\tNN\tB-NP\tO' -p351655 -aS'.\t.\t.\tO\tO' -p351656 -asS'They attempted a fiberoptic intubation with a # 6 endotracheal tube and found a 5 mm severely compressed airway .' -p351657 -(lp351658 -S'They\tThey\tPRP\tB-NP\tO' -p351659 -aS'attempted\tattempt\tVBD\tB-VP\tO' -p351660 -aS'a\ta\tDT\tB-NP\tO' -p351661 -aS'fiberoptic\tfiberoptic\tJJ\tI-NP\tO' -p351662 -aS'intubation\tintubation\tNN\tI-NP\tO' -p351663 -aS'with\twith\tIN\tB-PP\tO' -p351664 -aS'a\ta\tDT\tB-NP\tO' -p351665 -aS'#\t#\t#\tI-NP\tB-DNA' -p351666 -aS'6\t6\tCD\tI-NP\tI-DNA' -p351667 -aS'endotracheal\tendotracheal\tJJ\tI-NP\tI-DNA' -p351668 -aS'tube\ttube\tNN\tI-NP\tI-DNA' -p351669 -aS'and\tand\tCC\tO\tO' -p351670 -aS'found\tfind\tVBD\tB-VP\tO' -p351671 -aS'a\ta\tDT\tB-NP\tO' -p351672 -aS'5\t5\tCD\tI-NP\tO' -p351673 -aS'mm\tmm\tNN\tI-NP\tO' -p351674 -aS'severely\tseverely\tRB\tB-ADVP\tO' -p351675 -aS'compressed\tcompress\tVBD\tB-VP\tO' -p351676 -aS'airway\tairway\tNN\tB-NP\tO' -p351677 -aS'.\t.\t.\tO\tO' -p351678 -asS'This mass was situated in the aortopulmonary window and was sent to pathology .' -p351679 -(lp351680 -S'This\tThis\tDT\tB-NP\tO' -p351681 -aS'mass\tmass\tNN\tI-NP\tO' -p351682 -aS'was\tbe\tVBD\tB-VP\tO' -p351683 -aS'situated\tsituate\tVBN\tI-VP\tO' -p351684 -aS'in\tin\tIN\tB-PP\tO' -p351685 -aS'the\tthe\tDT\tB-NP\tO' -p351686 -aS'aortopulmonary\taortopulmonary\tJJ\tI-NP\tO' -p351687 -aS'window\twindow\tNN\tI-NP\tO' -p351688 -aS'and\tand\tCC\tO\tO' -p351689 -aS'was\tbe\tVBD\tB-VP\tO' -p351690 -aS'sent\tsend\tVBN\tI-VP\tO' -p351691 -aS'to\tto\tTO\tB-PP\tO' -p351692 -aS'pathology\tpathology\tNN\tB-NP\tO' -p351693 -aS'.\t.\t.\tO\tO' -p351694 -asS'1. Type 2 diabetes mellitus .' -p351695 -(lp351696 -S'1.\t1.\tLS\tO\tO' -p351697 -aS'Type\tType\tNN\tB-NP\tO' -p351698 -aS'2\t2\tCD\tI-NP\tO' -p351699 -aS'diabetes\tdiabetes\tNN\tI-NP\tO' -p351700 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p351701 -aS'.\t.\t.\tO\tO' -p351702 -asS'Urinalysis demonstrated 30-50 white blood cells with red blood cells too numerous to count and 2+ bacteria .' -p351703 -(lp351704 -S'Urinalysis\tUrinalysis\tNN\tB-NP\tO' -p351705 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p351706 -aS'30-50\t30-50\tCD\tB-NP\tO' -p351707 -aS'white\twhite\tJJ\tI-NP\tB-cell_type' -p351708 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p351709 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p351710 -aS'with\twith\tIN\tB-PP\tO' -p351711 -aS'red\tred\tJJ\tB-NP\tB-cell_type' -p351712 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p351713 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p351714 -aS'too\ttoo\tRB\tB-ADJP\tO' -p351715 -aS'numerous\tnumerous\tJJ\tI-ADJP\tO' -p351716 -aS'to\tto\tTO\tB-PP\tO' -p351717 -aS'count\tcount\tNN\tB-NP\tO' -p351718 -aS'and\tand\tCC\tO\tO' -p351719 -aS'2+\t2+\tJJ\tB-NP\tO' -p351720 -aS'bacteria\tbacteria\tNNS\tI-NP\tO' -p351721 -aS'.\t.\t.\tO\tO' -p351722 -asS'His extremities were warm , pink with no edema .' -p351723 -(lp351724 -S'His\tHis\tPRP$\tB-NP\tO' -p351725 -aS'extremities\textremity\tNNS\tI-NP\tO' -p351726 -aS'were\tbe\tVBD\tB-VP\tO' -p351727 -aS'warm\twarm\tJJ\tB-ADJP\tO' -p351728 -aS',\t,\t,\tO\tO' -p351729 -aS'pink\tpink\tJJ\tB-ADJP\tO' -p351730 -aS'with\twith\tIN\tB-PP\tO' -p351731 -aS'no\tno\tDT\tB-NP\tO' -p351732 -aS'edema\tedema\tNN\tI-NP\tO' -p351733 -aS'.\t.\t.\tO\tO' -p351734 -asS'The patient was started on 2.5 of Micronase with resulting sugars as low as 63 , decreased to 1.25 mg q.day .' -p351735 -(lp351736 -S'The\tThe\tDT\tB-NP\tO' -p351737 -aS'patient\tpatient\tNN\tI-NP\tO' -p351738 -aS'was\tbe\tVBD\tB-VP\tO' -p351739 -aS'started\tstart\tVBN\tI-VP\tO' -p351740 -aS'on\ton\tIN\tB-PP\tO' -p351741 -aS'2.5\t2.5\tCD\tB-NP\tO' -p351742 -aS'of\tof\tIN\tB-PP\tO' -p351743 -aS'Micronase\tMicronase\tNN\tB-NP\tB-protein' -p351744 -aS'with\twith\tIN\tB-PP\tO' -p351745 -aS'resulting\tresult\tVBG\tB-NP\tO' -p351746 -aS'sugars\tsugar\tNNS\tI-NP\tO' -p351747 -aS'as\tas\tRB\tB-ADJP\tO' -p351748 -aS'low\tlow\tJJ\tI-ADJP\tO' -p351749 -aS'as\tas\tIN\tB-PP\tO' -p351750 -aS'63\t63\tCD\tB-NP\tO' -p351751 -aS',\t,\t,\tO\tO' -p351752 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p351753 -aS'to\tto\tTO\tB-PP\tO' -p351754 -aS'1.25\t1.25\tCD\tB-NP\tO' -p351755 -aS'mg\tmg\tNN\tI-NP\tO' -p351756 -aS'q.day\tq.day\tNN\tI-NP\tO' -p351757 -aS'.\t.\t.\tO\tO' -p351758 -asS'Lisinopril 5 mg p.o. every day .' -p351759 -(lp351760 -S'Lisinopril\tLisinopril\tNNP\tB-NP\tO' -p351761 -aS'5\t5\tCD\tI-NP\tO' -p351762 -aS'mg\tmg\tNN\tI-NP\tO' -p351763 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p351764 -aS'every\tevery\tDT\tB-NP\tO' -p351765 -aS'day\tday\tNN\tI-NP\tO' -p351766 -aS'.\t.\t.\tO\tO' -p351767 -asS'In the first week of November , her electrocardiogram showed T wave inversions in the lateral leads , correlating with an increase in the LDH , but not CK .' -p351768 -(lp351769 -S'In\tIn\tIN\tB-PP\tO' -p351770 -aS'the\tthe\tDT\tB-NP\tO' -p351771 -aS'first\tfirst\tJJ\tI-NP\tO' -p351772 -aS'week\tweek\tNN\tI-NP\tO' -p351773 -aS'of\tof\tIN\tB-PP\tO' -p351774 -aS'November\tNovember\tNNP\tB-NP\tO' -p351775 -aS',\t,\t,\tO\tO' -p351776 -aS'her\ther\tPRP$\tB-NP\tO' -p351777 -aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' -p351778 -aS'showed\tshow\tVBD\tB-VP\tO' -p351779 -aS'T\tT\tNN\tB-NP\tO' -p351780 -aS'wave\twave\tNN\tI-NP\tO' -p351781 -aS'inversions\tinversion\tNNS\tI-NP\tO' -p351782 -aS'in\tin\tIN\tB-PP\tO' -p351783 -aS'the\tthe\tDT\tB-NP\tO' -p351784 -aS'lateral\tlateral\tJJ\tI-NP\tO' -p351785 -aS'leads\tlead\tNNS\tI-NP\tO' -p351786 -aS',\t,\t,\tO\tO' -p351787 -aS'correlating\tcorrelate\tVBG\tB-VP\tO' -p351788 -aS'with\twith\tIN\tB-PP\tO' -p351789 -aS'an\tan\tDT\tB-NP\tO' -p351790 -aS'increase\tincrease\tNN\tI-NP\tO' -p351791 -aS'in\tin\tIN\tB-PP\tO' -p351792 -aS'the\tthe\tDT\tB-NP\tO' -p351793 -aS'LDH\tLDH\tNN\tI-NP\tB-DNA' -p351794 -aS',\t,\t,\tO\tO' -p351795 -aS'but\tbut\tCC\tO\tO' -p351796 -aS'not\tnot\tRB\tO\tO' -p351797 -aS'CK\tCK\tNN\tB-NP\tB-protein' -p351798 -aS'.\t.\t.\tO\tO' -p351799 -asS'Thereafter , wife noted development of left sided weakness , facial droop , slurring of speech .' -p351800 -(lp351801 -S'Thereafter\tThereafter\tRB\tB-ADVP\tO' -p351802 -aS',\t,\t,\tO\tO' -p351803 -aS'wife\twife\tNN\tB-NP\tO' -p351804 -aS'noted\tnote\tVBD\tB-VP\tO' -p351805 -aS'development\tdevelopment\tNN\tB-NP\tO' -p351806 -aS'of\tof\tIN\tB-PP\tO' -p351807 -aS'left\tleft\tJJ\tB-NP\tO' -p351808 -aS'sided\tsided\tJJ\tI-NP\tO' -p351809 -aS'weakness\tweakness\tNN\tI-NP\tO' -p351810 -aS',\t,\t,\tO\tO' -p351811 -aS'facial\tfacial\tJJ\tB-NP\tO' -p351812 -aS'droop\tdroop\tNN\tI-NP\tO' -p351813 -aS',\t,\t,\tO\tO' -p351814 -aS'slurring\tslur\tVBG\tB-VP\tO' -p351815 -aS'of\tof\tIN\tB-PP\tO' -p351816 -aS'speech\tspeech\tNN\tB-NP\tO' -p351817 -aS'.\t.\t.\tO\tO' -p351818 -asS'This is a 25 - year-old gentleman who is status post a motor vehicle accident in which he was the unrestrained driver and struck a telephone pole .' -p351819 -(lp351820 -S'This\tThis\tDT\tB-NP\tO' -p351821 -aS'is\tbe\tVBZ\tB-VP\tO' -p351822 -aS'a\ta\tDT\tB-NP\tO' -p351823 -aS'25\t25\tCD\tI-NP\tO' -p351824 -aS'-\t-\tHYPH\tI-NP\tO' -p351825 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p351826 -aS'gentleman\tgentleman\tNN\tI-NP\tO' -p351827 -aS'who\twho\tWP\tB-NP\tO' -p351828 -aS'is\tbe\tVBZ\tB-VP\tO' -p351829 -aS'status\tstatus\tNN\tB-NP\tO' -p351830 -aS'post\tpost\tIN\tB-PP\tO' -p351831 -aS'a\ta\tDT\tB-NP\tO' -p351832 -aS'motor\tmotor\tNN\tI-NP\tO' -p351833 -aS'vehicle\tvehicle\tNN\tI-NP\tO' -p351834 -aS'accident\taccident\tNN\tI-NP\tO' -p351835 -aS'in\tin\tIN\tB-PP\tO' -p351836 -aS'which\twhich\tWDT\tB-NP\tO' -p351837 -aS'he\the\tPRP\tB-NP\tO' -p351838 -aS'was\tbe\tVBD\tB-VP\tO' -p351839 -aS'the\tthe\tDT\tB-NP\tO' -p351840 -aS'unrestrained\tunrestrained\tJJ\tI-NP\tO' -p351841 -aS'driver\tdriver\tNN\tI-NP\tO' -p351842 -aS'and\tand\tCC\tO\tO' -p351843 -aS'struck\tstrike\tVBD\tB-VP\tO' -p351844 -aS'a\ta\tDT\tB-NP\tO' -p351845 -aS'telephone\ttelephone\tNN\tI-NP\tO' -p351846 -aS'pole\tpole\tNN\tI-NP\tO' -p351847 -aS'.\t.\t.\tO\tO' -p351848 -asS'She was found to have an ejection fraction of 30-35% as well as an akinetic apex and apical mid and septal akinesis .' -p351849 -(lp351850 -S'She\tShe\tPRP\tB-NP\tO' -p351851 -aS'was\tbe\tVBD\tB-VP\tO' -p351852 -aS'found\tfind\tVBN\tI-VP\tO' -p351853 -aS'to\tto\tTO\tI-VP\tO' -p351854 -aS'have\thave\tVB\tI-VP\tO' -p351855 -aS'an\tan\tDT\tB-NP\tO' -p351856 -aS'ejection\tejection\tNN\tI-NP\tO' -p351857 -aS'fraction\tfraction\tNN\tI-NP\tO' -p351858 -aS'of\tof\tIN\tB-PP\tO' -p351859 -aS'30-35%\t30-35%\tJJ\tO\tO' -p351860 -aS'as\tas\tRB\tB-CONJP\tO' -p351861 -aS'well\twell\tRB\tI-CONJP\tO' -p351862 -aS'as\tas\tIN\tI-CONJP\tO' -p351863 -aS'an\tan\tDT\tB-NP\tO' -p351864 -aS'akinetic\takinetic\tJJ\tI-NP\tO' -p351865 -aS'apex\tapex\tNN\tI-NP\tO' -p351866 -aS'and\tand\tCC\tO\tO' -p351867 -aS'apical\tapical\tJJ\tB-NP\tO' -p351868 -aS'mid\tmid\tJJ\tI-NP\tO' -p351869 -aS'and\tand\tCC\tI-NP\tO' -p351870 -aS'septal\tseptal\tJJ\tI-NP\tO' -p351871 -aS'akinesis\takinesis\tNN\tI-NP\tO' -p351872 -aS'.\t.\t.\tO\tO' -p351873 -asS'Patient is a 79 - year-old female with a history of cataracts , glaucoma , and diabetes , who fell and tripped over a wheelchair of a friend with no loss of consciousness , no dizziness , no chest pain , and no shortness of breath .' -p351874 -(lp351875 -S'Patient\tPatient\tNN\tB-NP\tO' -p351876 -aS'is\tbe\tVBZ\tB-VP\tO' -p351877 -aS'a\ta\tDT\tB-NP\tO' -p351878 -aS'79\t79\tCD\tI-NP\tO' -p351879 -aS'-\t-\tHYPH\tI-NP\tO' -p351880 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p351881 -aS'female\tfemale\tNN\tI-NP\tO' -p351882 -aS'with\twith\tIN\tB-PP\tO' -p351883 -aS'a\ta\tDT\tB-NP\tO' -p351884 -aS'history\thistory\tNN\tI-NP\tO' -p351885 -aS'of\tof\tIN\tB-PP\tO' -p351886 -aS'cataracts\tcataract\tNNS\tB-NP\tO' -p351887 -aS',\t,\t,\tO\tO' -p351888 -aS'glaucoma\tglaucoma\tNN\tB-NP\tO' -p351889 -aS',\t,\t,\tO\tO' -p351890 -aS'and\tand\tCC\tO\tO' -p351891 -aS'diabetes\tdiabete\tNNS\tB-NP\tO' -p351892 -aS',\t,\t,\tO\tO' -p351893 -aS'who\twho\tWP\tB-NP\tO' -p351894 -aS'fell\tfall\tVBD\tB-VP\tO' -p351895 -aS'and\tand\tCC\tI-VP\tO' -p351896 -aS'tripped\ttrip\tVBD\tI-VP\tO' -p351897 -aS'over\tover\tIN\tB-PP\tO' -p351898 -aS'a\ta\tDT\tB-NP\tO' -p351899 -aS'wheelchair\twheelchair\tNN\tI-NP\tO' -p351900 -aS'of\tof\tIN\tB-PP\tO' -p351901 -aS'a\ta\tDT\tB-NP\tO' -p351902 -aS'friend\tfriend\tNN\tI-NP\tO' -p351903 -aS'with\twith\tIN\tB-PP\tO' -p351904 -aS'no\tno\tDT\tB-NP\tO' -p351905 -aS'loss\tloss\tNN\tI-NP\tO' -p351906 -aS'of\tof\tIN\tB-PP\tO' -p351907 -aS'consciousness\tconsciousness\tNN\tB-NP\tO' -p351908 -aS',\t,\t,\tO\tO' -p351909 -aS'no\tno\tDT\tB-NP\tO' -p351910 -aS'dizziness\tdizziness\tNN\tI-NP\tO' -p351911 -aS',\t,\t,\tO\tO' -p351912 -aS'no\tno\tDT\tB-NP\tO' -p351913 -aS'chest\tchest\tNN\tI-NP\tO' -p351914 -aS'pain\tpain\tNN\tI-NP\tO' -p351915 -aS',\t,\t,\tO\tO' -p351916 -aS'and\tand\tCC\tO\tO' -p351917 -aS'no\tno\tDT\tB-NP\tO' -p351918 -aS'shortness\tshortness\tNN\tI-NP\tO' -p351919 -aS'of\tof\tIN\tB-PP\tO' -p351920 -aS'breath\tbreath\tNN\tB-NP\tO' -p351921 -aS'.\t.\t.\tO\tO' -p351922 -asS'3. Calcium Acetate 667 mg Capsule Sig : Two ( 2 ) Capsule PO TID W/MEALS ( 3 TIMES A DAY WITH MEALS ) .' -p351923 -(lp351924 -S'3.\t3.\tLS\tB-NP\tO' -p351925 -aS'Calcium\tCalcium\tNN\tI-NP\tO' -p351926 -aS'Acetate\tAcetate\tNN\tI-NP\tO' -p351927 -aS'667\t667\tCD\tI-NP\tO' -p351928 -aS'mg\tmg\tNN\tI-NP\tO' -p351929 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p351930 -aS'Sig\tSig\tNNP\tI-NP\tO' -p351931 -aS':\t:\t:\tO\tO' -p351932 -aS'Two\tTwo\tCD\tB-NP\tO' -p351933 -aS'(\t(\t(\tO\tO' -p351934 -aS'2\t2\tCD\tB-NP\tO' -p351935 -aS')\t)\t)\tO\tO' -p351936 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p351937 -aS'PO\tPO\tNNP\tI-NP\tO' -p351938 -aS'TID\tTID\tNNP\tI-NP\tO' -p351939 -aS'W/MEALS\tW/MEALS\tNNP\tI-NP\tO' -p351940 -aS'(\t(\t(\tO\tO' -p351941 -aS'3\t3\tCD\tB-NP\tO' -p351942 -aS'TIMES\tTIMES\tNN\tI-NP\tO' -p351943 -aS'A\tA\tNN\tI-NP\tO' -p351944 -aS'DAY\tDAY\tNN\tI-NP\tO' -p351945 -aS'WITH\tWITH\tNN\tI-NP\tO' -p351946 -aS'MEALS\tMEALS\tNN\tI-NP\tO' -p351947 -aS')\t)\t)\tO\tO' -p351948 -aS'.\t.\t.\tO\tO' -p351949 -asS'The patient is a 20 year old black female who was a pedestrian when struck by a car at apparent high speed .' -p351950 -(lp351951 -S'The\tThe\tDT\tB-NP\tO' -p351952 -aS'patient\tpatient\tNN\tI-NP\tO' -p351953 -aS'is\tbe\tVBZ\tB-VP\tO' -p351954 -aS'a\ta\tDT\tB-NP\tO' -p351955 -aS'20\t20\tCD\tI-NP\tO' -p351956 -aS'year\tyear\tNN\tI-NP\tO' -p351957 -aS'old\told\tJJ\tI-NP\tO' -p351958 -aS'black\tblack\tJJ\tI-NP\tO' -p351959 -aS'female\tfemale\tNN\tI-NP\tO' -p351960 -aS'who\twho\tWP\tB-NP\tO' -p351961 -aS'was\tbe\tVBD\tB-VP\tO' -p351962 -aS'a\ta\tDT\tB-NP\tO' -p351963 -aS'pedestrian\tpedestrian\tJJ\tI-NP\tO' -p351964 -aS'when\twhen\tWRB\tB-ADVP\tO' -p351965 -aS'struck\tstrike\tVBN\tB-VP\tO' -p351966 -aS'by\tby\tIN\tB-PP\tO' -p351967 -aS'a\ta\tDT\tB-NP\tO' -p351968 -aS'car\tcar\tNN\tI-NP\tB-protein' -p351969 -aS'at\tat\tIN\tB-PP\tO' -p351970 -aS'apparent\tapparent\tJJ\tB-NP\tO' -p351971 -aS'high\thigh\tJJ\tI-NP\tO' -p351972 -aS'speed\tspeed\tNN\tI-NP\tO' -p351973 -aS'.\t.\t.\tO\tO' -p351974 -asS'no masses or tenderness .' -p351975 -(lp351976 -S'no\tno\tDT\tB-NP\tO' -p351977 -aS'masses\tmass\tNNS\tI-NP\tO' -p351978 -aS'or\tor\tCC\tI-NP\tO' -p351979 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p351980 -aS'.\t.\t.\tO\tO' -p351981 -asS'Please note that all of the conversations regarding code status took place during we icu admit ; and that this patient passed away in early am hours of night she was called back out to the medicine floor , therefore she had not yet been re-evaluated by the floor medicine attending , but had been earlier that day by the icu attending .' -p351982 -(lp351983 -S'Please\tPlease\tNN\tB-NP\tB-protein' -p351984 -aS'note\tnote\tVBP\tB-VP\tO' -p351985 -aS'that\tthat\tIN\tB-SBAR\tO' -p351986 -aS'all\tall\tDT\tB-NP\tO' -p351987 -aS'of\tof\tIN\tB-PP\tO' -p351988 -aS'the\tthe\tDT\tB-NP\tO' -p351989 -aS'conversations\tconversation\tNNS\tI-NP\tO' -p351990 -aS'regarding\tregard\tVBG\tB-VP\tO' -p351991 -aS'code\tcode\tNN\tB-NP\tO' -p351992 -aS'status\tstatus\tNN\tI-NP\tO' -p351993 -aS'took\ttake\tVBD\tB-VP\tO' -p351994 -aS'place\tplace\tNN\tB-NP\tO' -p351995 -aS'during\tduring\tIN\tB-PP\tO' -p351996 -aS'we\twe\tPRP\tB-NP\tO' -p351997 -aS'icu\ticu\tVBP\tB-VP\tO' -p351998 -aS'admit\tadmit\tNN\tB-NP\tO' -p351999 -aS';\t;\t:\tO\tO' -p352000 -aS'and\tand\tCC\tO\tO' -p352001 -aS'that\tthat\tIN\tB-SBAR\tO' -p352002 -aS'this\tthis\tDT\tB-NP\tO' -p352003 -aS'patient\tpatient\tNN\tI-NP\tO' -p352004 -aS'passed\tpass\tVBD\tB-VP\tO' -p352005 -aS'away\taway\tRB\tB-ADVP\tO' -p352006 -aS'in\tin\tIN\tB-PP\tO' -p352007 -aS'early\tearly\tJJ\tB-NP\tO' -p352008 -aS'am\tam\tNN\tI-NP\tO' -p352009 -aS'hours\thour\tNNS\tI-NP\tO' -p352010 -aS'of\tof\tIN\tB-PP\tO' -p352011 -aS'night\tnight\tNN\tB-NP\tO' -p352012 -aS'she\tshe\tPRP\tB-NP\tO' -p352013 -aS'was\tbe\tVBD\tB-VP\tO' -p352014 -aS'called\tcall\tVBN\tI-VP\tO' -p352015 -aS'back\tback\tRB\tB-ADVP\tO' -p352016 -aS'out\tout\tIN\tB-PP\tO' -p352017 -aS'to\tto\tTO\tB-PP\tO' -p352018 -aS'the\tthe\tDT\tB-NP\tO' -p352019 -aS'medicine\tmedicine\tNN\tI-NP\tO' -p352020 -aS'floor\tfloor\tNN\tI-NP\tO' -p352021 -aS',\t,\t,\tO\tO' -p352022 -aS'therefore\ttherefore\tRB\tB-ADVP\tO' -p352023 -aS'she\tshe\tPRP\tB-NP\tO' -p352024 -aS'had\thave\tVBD\tB-VP\tO' -p352025 -aS'not\tnot\tRB\tI-VP\tO' -p352026 -aS'yet\tyet\tRB\tI-VP\tO' -p352027 -aS'been\tbe\tVBN\tI-VP\tO' -p352028 -aS're-evaluated\tre-evaluate\tVBN\tI-VP\tO' -p352029 -aS'by\tby\tIN\tB-PP\tO' -p352030 -aS'the\tthe\tDT\tB-NP\tO' -p352031 -aS'floor\tfloor\tNN\tI-NP\tO' -p352032 -aS'medicine\tmedicine\tNN\tI-NP\tO' -p352033 -aS'attending\tattend\tVBG\tB-VP\tO' -p352034 -aS',\t,\t,\tO\tO' -p352035 -aS'but\tbut\tCC\tO\tO' -p352036 -aS'had\thave\tVBD\tB-VP\tO' -p352037 -aS'been\tbe\tVBN\tI-VP\tO' -p352038 -aS'earlier\tearlier\tRBR\tB-ADVP\tO' -p352039 -aS'that\tthat\tDT\tB-NP\tO' -p352040 -aS'day\tday\tNN\tI-NP\tO' -p352041 -aS'by\tby\tIN\tB-PP\tO' -p352042 -aS'the\tthe\tDT\tB-NP\tO' -p352043 -aS'icu\ticu\tNN\tI-NP\tO' -p352044 -aS'attending\tattend\tVBG\tB-VP\tO' -p352045 -aS'.\t.\t.\tO\tO' -p352046 -asS'The patient tolerated the procedure well .' -p352047 -(lp352048 -S'The\tThe\tDT\tB-NP\tO' -p352049 -aS'patient\tpatient\tNN\tI-NP\tO' -p352050 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p352051 -aS'the\tthe\tDT\tB-NP\tO' -p352052 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p352053 -aS'well\twell\tRB\tB-ADVP\tO' -p352054 -aS'.\t.\t.\tO\tO' -p352055 -asS'14. Colon cancer status post colectomy with XRT four years ago .' -p352056 -(lp352057 -S'14.\t14.\tLS\tB-NP\tO' -p352058 -aS'Colon\tColon\tNN\tI-NP\tO' -p352059 -aS'cancer\tcancer\tNN\tI-NP\tO' -p352060 -aS'status\tstatus\tNN\tI-NP\tO' -p352061 -aS'post\tpost\tNN\tI-NP\tO' -p352062 -aS'colectomy\tcolectomy\tNN\tI-NP\tO' -p352063 -aS'with\twith\tIN\tB-PP\tO' -p352064 -aS'XRT\tXRT\tNN\tB-NP\tO' -p352065 -aS'four\tfour\tCD\tB-NP\tO' -p352066 -aS'years\tyear\tNNS\tI-NP\tO' -p352067 -aS'ago\tago\tRB\tB-ADVP\tO' -p352068 -aS'.\t.\t.\tO\tO' -p352069 -asS'- Iron Sulfate 300 mg po tid' -p352070 -(lp352071 -S'-\t-\tHYPH\tB-NP\tO' -p352072 -aS'Iron\tIron\tNNP\tI-NP\tO' -p352073 -aS'Sulfate\tSulfate\tNNP\tI-NP\tO' -p352074 -aS'300\t300\tCD\tI-NP\tO' -p352075 -aS'mg\tmg\tNN\tI-NP\tO' -p352076 -aS'po\tpo\tNN\tI-NP\tO' -p352077 -aS'tid\ttid\tNN\tI-NP\tO' -p352078 -asS'She was followed closely with serial abdominal examinations .' -p352079 -(lp352080 -S'She\tShe\tPRP\tB-NP\tO' -p352081 -aS'was\tbe\tVBD\tB-VP\tO' -p352082 -aS'followed\tfollow\tVBN\tI-VP\tO' -p352083 -aS'closely\tclosely\tRB\tB-ADVP\tO' -p352084 -aS'with\twith\tIN\tB-PP\tO' -p352085 -aS'serial\tserial\tJJ\tB-NP\tO' -p352086 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p352087 -aS'examinations\texamination\tNNS\tI-NP\tO' -p352088 -aS'.\t.\t.\tO\tO' -p352089 -asS'Provided in the house staff note from the admission date .' -p352090 -(lp352091 -S'Provided\tProvide\tVBN\tB-VP\tO' -p352092 -aS'in\tin\tIN\tB-PP\tO' -p352093 -aS'the\tthe\tDT\tB-NP\tO' -p352094 -aS'house\thouse\tNN\tI-NP\tO' -p352095 -aS'staff\tstaff\tNN\tI-NP\tO' -p352096 -aS'note\tnote\tNN\tI-NP\tO' -p352097 -aS'from\tfrom\tIN\tB-PP\tO' -p352098 -aS'the\tthe\tDT\tB-NP\tO' -p352099 -aS'admission\tadmission\tNN\tI-NP\tO' -p352100 -aS'date\tdate\tNN\tI-NP\tO' -p352101 -aS'.\t.\t.\tO\tO' -p352102 -asS'64 F with breast CA s/p mastectomy 17 y ago with local recurrence leading to paralysis of L arm ~ 5-6 y ago .' -p352103 -(lp352104 -S'64\t64\tCD\tB-NP\tO' -p352105 -aS'F\tF\tNN\tI-NP\tO' -p352106 -aS'with\twith\tIN\tB-PP\tO' -p352107 -aS'breast\tbreast\tNN\tB-NP\tO' -p352108 -aS'CA\tCA\tNN\tI-NP\tO' -p352109 -aS's/p\ts/p\tNN\tI-NP\tO' -p352110 -aS'mastectomy\tmastectomy\tNN\tI-NP\tO' -p352111 -aS'17\t17\tCD\tI-NP\tO' -p352112 -aS'y\ty\tNN\tI-NP\tO' -p352113 -aS'ago\tago\tRB\tB-ADVP\tO' -p352114 -aS'with\twith\tIN\tB-PP\tO' -p352115 -aS'local\tlocal\tJJ\tB-NP\tO' -p352116 -aS'recurrence\trecurrence\tNN\tI-NP\tO' -p352117 -aS'leading\tlead\tVBG\tB-VP\tO' -p352118 -aS'to\tto\tTO\tB-PP\tO' -p352119 -aS'paralysis\tparalysis\tNN\tB-NP\tO' -p352120 -aS'of\tof\tIN\tB-PP\tO' -p352121 -aS'L\tL\tNN\tB-NP\tO' -p352122 -aS'arm\tarm\tNN\tI-NP\tO' -p352123 -aS'~\t~\tNN\tI-NP\tO' -p352124 -aS'5-6\t5-6\tCD\tI-NP\tO' -p352125 -aS'y\ty\tNN\tI-NP\tO' -p352126 -aS'ago\tago\tRB\tB-ADVP\tO' -p352127 -aS'.\t.\t.\tO\tO' -p352128 -asS'In addition , she was empirically started on Flagyl for persistent diarrhea ( despite negative C. diff cultures ) , however she developed an additional rash on her buttocks after the first dose of flagyl , so the flagyl was discontinued .' -p352129 -(lp352130 -S'In\tIn\tIN\tB-PP\tO' -p352131 -aS'addition\taddition\tNN\tB-NP\tO' -p352132 -aS',\t,\t,\tO\tO' -p352133 -aS'she\tshe\tPRP\tB-NP\tO' -p352134 -aS'was\tbe\tVBD\tB-VP\tO' -p352135 -aS'empirically\tempirically\tRB\tI-VP\tO' -p352136 -aS'started\tstart\tVBN\tI-VP\tO' -p352137 -aS'on\ton\tIN\tB-PP\tO' -p352138 -aS'Flagyl\tFlagyl\tNN\tB-NP\tO' -p352139 -aS'for\tfor\tIN\tB-PP\tO' -p352140 -aS'persistent\tpersistent\tJJ\tB-NP\tO' -p352141 -aS'diarrhea\tdiarrhea\tNN\tI-NP\tO' -p352142 -aS'(\t(\t(\tO\tO' -p352143 -aS'despite\tdespite\tIN\tB-PP\tO' -p352144 -aS'negative\tnegative\tJJ\tB-NP\tB-cell_line' -p352145 -aS'C.\tC.\tNNP\tI-NP\tI-cell_line' -p352146 -aS'diff\tdiff\tNN\tI-NP\tI-cell_line' -p352147 -aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' -p352148 -aS')\t)\t)\tO\tO' -p352149 -aS',\t,\t,\tO\tO' -p352150 -aS'however\thowever\tRB\tB-ADVP\tO' -p352151 -aS'she\tshe\tPRP\tB-NP\tO' -p352152 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p352153 -aS'an\tan\tDT\tB-NP\tO' -p352154 -aS'additional\tadditional\tJJ\tI-NP\tO' -p352155 -aS'rash\trash\tNN\tI-NP\tO' -p352156 -aS'on\ton\tIN\tB-PP\tO' -p352157 -aS'her\ther\tPRP$\tB-NP\tO' -p352158 -aS'buttocks\tbuttock\tNNS\tI-NP\tO' -p352159 -aS'after\tafter\tIN\tB-PP\tO' -p352160 -aS'the\tthe\tDT\tB-NP\tO' -p352161 -aS'first\tfirst\tJJ\tI-NP\tO' -p352162 -aS'dose\tdose\tNN\tI-NP\tO' -p352163 -aS'of\tof\tIN\tB-PP\tO' -p352164 -aS'flagyl\tflagyl\tNN\tB-NP\tO' -p352165 -aS',\t,\t,\tO\tO' -p352166 -aS'so\tso\tIN\tO\tO' -p352167 -aS'the\tthe\tDT\tB-NP\tO' -p352168 -aS'flagyl\tflagyl\tNN\tI-NP\tO' -p352169 -aS'was\tbe\tVBD\tB-VP\tO' -p352170 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p352171 -aS'.\t.\t.\tO\tO' -p352172 -asS'Urine cultures were significant for Klebsiella UTI and sputum cultures were significant for MRSA .' -p352173 -(lp352174 -S'Urine\tUrine\tNN\tB-NP\tB-cell_line' -p352175 -aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' -p352176 -aS'were\tbe\tVBD\tB-VP\tO' -p352177 -aS'significant\tsignificant\tJJ\tB-ADJP\tO' -p352178 -aS'for\tfor\tIN\tB-PP\tO' -p352179 -aS'Klebsiella\tKlebsiella\tNN\tB-NP\tO' -p352180 -aS'UTI\tUTI\tNN\tI-NP\tO' -p352181 -aS'and\tand\tCC\tI-NP\tO' -p352182 -aS'sputum\tsputum\tNN\tI-NP\tO' -p352183 -aS'cultures\tculture\tNNS\tI-NP\tO' -p352184 -aS'were\tbe\tVBD\tB-VP\tO' -p352185 -aS'significant\tsignificant\tJJ\tB-ADJP\tO' -p352186 -aS'for\tfor\tIN\tB-PP\tO' -p352187 -aS'MRSA\tMRSA\tNN\tB-NP\tO' -p352188 -aS'.\t.\t.\tO\tO' -p352189 -asS"On postoperative day two , the patient 's hematocrit was noted to be 23.1 ; he was transfused one unit of packed red blood cells as well as given a dose of Lasix ." -p352190 -(lp352191 -S'On\tOn\tIN\tB-PP\tO' -p352192 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p352193 -aS'day\tday\tNN\tI-NP\tO' -p352194 -aS'two\ttwo\tCD\tB-NP\tO' -p352195 -aS',\t,\t,\tO\tO' -p352196 -aS'the\tthe\tDT\tB-NP\tO' -p352197 -aS'patient\tpatient\tNN\tI-NP\tO' -p352198 -aS"'s\t's\tPOS\tB-NP\tO" -p352199 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p352200 -aS'was\tbe\tVBD\tB-VP\tO' -p352201 -aS'noted\tnote\tVBN\tI-VP\tO' -p352202 -aS'to\tto\tTO\tI-VP\tO' -p352203 -aS'be\tbe\tVB\tI-VP\tO' -p352204 -aS'23.1\t23.1\tCD\tB-NP\tO' -p352205 -aS';\t;\t:\tO\tO' -p352206 -aS'he\the\tPRP\tB-NP\tO' -p352207 -aS'was\tbe\tVBD\tB-VP\tO' -p352208 -aS'transfused\ttransfuse\tVBN\tI-VP\tO' -p352209 -aS'one\tone\tCD\tB-NP\tO' -p352210 -aS'unit\tunit\tNN\tI-NP\tO' -p352211 -aS'of\tof\tIN\tB-PP\tO' -p352212 -aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' -p352213 -aS'red\tred\tJJ\tI-NP\tI-cell_type' -p352214 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p352215 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p352216 -aS'as\tas\tRB\tB-CONJP\tO' -p352217 -aS'well\twell\tRB\tI-CONJP\tO' -p352218 -aS'as\tas\tIN\tI-CONJP\tO' -p352219 -aS'given\tgive\tVBN\tB-VP\tO' -p352220 -aS'a\ta\tDT\tB-NP\tO' -p352221 -aS'dose\tdose\tNN\tI-NP\tO' -p352222 -aS'of\tof\tIN\tB-PP\tO' -p352223 -aS'Lasix\tLasix\tNNP\tB-NP\tO' -p352224 -aS'.\t.\t.\tO\tO' -p352225 -asS'Nondysmorphic intact Veliz .' -p352226 -(lp352227 -S'Nondysmorphic\tNondysmorphic\tJJ\tB-NP\tO' -p352228 -aS'intact\tintact\tJJ\tI-NP\tO' -p352229 -aS'Veliz\tVeliz\tNNP\tI-NP\tO' -p352230 -aS'.\t.\t.\tO\tO' -p352231 -asS'The patient was given a prescription for ten pills .' -p352232 -(lp352233 -S'The\tThe\tDT\tB-NP\tO' -p352234 -aS'patient\tpatient\tNN\tI-NP\tO' -p352235 -aS'was\tbe\tVBD\tB-VP\tO' -p352236 -aS'given\tgive\tVBN\tI-VP\tO' -p352237 -aS'a\ta\tDT\tB-NP\tO' -p352238 -aS'prescription\tprescription\tNN\tI-NP\tO' -p352239 -aS'for\tfor\tIN\tB-PP\tO' -p352240 -aS'ten\tten\tCD\tB-NP\tO' -p352241 -aS'pills\tpill\tNNS\tI-NP\tO' -p352242 -aS'.\t.\t.\tO\tO' -p352243 -asS'She will have an IVP repeated in one week at which time she should have cleared the residual contrast in her colon .' -p352244 -(lp352245 -S'She\tShe\tPRP\tB-NP\tO' -p352246 -aS'will\twill\tMD\tB-VP\tO' -p352247 -aS'have\thave\tVB\tI-VP\tO' -p352248 -aS'an\tan\tDT\tB-NP\tO' -p352249 -aS'IVP\tIVP\tNN\tI-NP\tB-protein' -p352250 -aS'repeated\trepeat\tVBN\tB-VP\tO' -p352251 -aS'in\tin\tIN\tB-PP\tO' -p352252 -aS'one\tone\tCD\tB-NP\tO' -p352253 -aS'week\tweek\tNN\tI-NP\tO' -p352254 -aS'at\tat\tIN\tB-PP\tO' -p352255 -aS'which\twhich\tWDT\tB-NP\tO' -p352256 -aS'time\ttime\tNN\tB-NP\tO' -p352257 -aS'she\tshe\tPRP\tB-NP\tO' -p352258 -aS'should\tshould\tMD\tB-VP\tO' -p352259 -aS'have\thave\tVB\tI-VP\tO' -p352260 -aS'cleared\tclear\tVBN\tI-VP\tO' -p352261 -aS'the\tthe\tDT\tB-NP\tO' -p352262 -aS'residual\tresidual\tJJ\tI-NP\tO' -p352263 -aS'contrast\tcontrast\tNN\tI-NP\tO' -p352264 -aS'in\tin\tIN\tB-PP\tO' -p352265 -aS'her\ther\tPRP$\tB-NP\tO' -p352266 -aS'colon\tcolon\tNN\tI-NP\tO' -p352267 -aS'.\t.\t.\tO\tO' -p352268 -asS'His PEG tube should be flushed with 30 cc of water after every use .' -p352269 -(lp352270 -S'His\tHis\tPRP$\tB-NP\tO' -p352271 -aS'PEG\tPEG\tNN\tI-NP\tO' -p352272 -aS'tube\ttube\tNN\tI-NP\tO' -p352273 -aS'should\tshould\tMD\tB-VP\tO' -p352274 -aS'be\tbe\tVB\tI-VP\tO' -p352275 -aS'flushed\tflush\tVBN\tI-VP\tO' -p352276 -aS'with\twith\tIN\tB-PP\tO' -p352277 -aS'30\t30\tCD\tB-NP\tO' -p352278 -aS'cc\tcc\tNN\tI-NP\tO' -p352279 -aS'of\tof\tIN\tB-PP\tO' -p352280 -aS'water\twater\tNN\tB-NP\tO' -p352281 -aS'after\tafter\tIN\tB-PP\tO' -p352282 -aS'every\tevery\tDT\tB-NP\tO' -p352283 -aS'use\tuse\tNN\tI-NP\tO' -p352284 -aS'.\t.\t.\tO\tO' -p352285 -asS'However , she was soon moved out of there as her examination appeared to be stable .' -p352286 -(lp352287 -S'However\tHowever\tRB\tB-ADVP\tO' -p352288 -aS',\t,\t,\tO\tO' -p352289 -aS'she\tshe\tPRP\tB-NP\tO' -p352290 -aS'was\tbe\tVBD\tB-VP\tO' -p352291 -aS'soon\tsoon\tRB\tI-VP\tO' -p352292 -aS'moved\tmove\tVBN\tI-VP\tO' -p352293 -aS'out\tout\tIN\tB-PP\tO' -p352294 -aS'of\tof\tIN\tB-PP\tO' -p352295 -aS'there\tthere\tRB\tB-NP\tO' -p352296 -aS'as\tas\tIN\tB-PP\tO' -p352297 -aS'her\ther\tPRP$\tB-NP\tO' -p352298 -aS'examination\texamination\tNN\tI-NP\tO' -p352299 -aS'appeared\tappear\tVBD\tB-VP\tO' -p352300 -aS'to\tto\tTO\tI-VP\tO' -p352301 -aS'be\tbe\tVB\tI-VP\tO' -p352302 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p352303 -aS'.\t.\t.\tO\tO' -p352304 -asS'The patient states that he has felt " cloudy " of late which seems to relate to his worsening SOB .' -p352305 -(lp352306 -S'The\tThe\tDT\tB-NP\tO' -p352307 -aS'patient\tpatient\tNN\tI-NP\tO' -p352308 -aS'states\tstate\tVBZ\tB-VP\tO' -p352309 -aS'that\tthat\tIN\tB-SBAR\tO' -p352310 -aS'he\the\tPRP\tB-NP\tO' -p352311 -aS'has\thave\tVBZ\tB-VP\tO' -p352312 -aS'felt\tfeel\tVBN\tI-VP\tO' -p352313 -aS'"\t"\t``\tO\tO' -p352314 -aS'cloudy\tcloudy\tNN\tB-NP\tO' -p352315 -aS'"\t"\t\'\'\tO\tO' -p352316 -aS'of\tof\tIN\tB-PP\tO' -p352317 -aS'late\tlate\tRB\tB-NP\tO' -p352318 -aS'which\twhich\tWDT\tI-NP\tO' -p352319 -aS'seems\tseem\tVBZ\tB-VP\tO' -p352320 -aS'to\tto\tTO\tI-VP\tO' -p352321 -aS'relate\trelate\tVB\tI-VP\tO' -p352322 -aS'to\tto\tTO\tB-PP\tO' -p352323 -aS'his\this\tPRP$\tB-NP\tB-DNA' -p352324 -aS'worsening\tworsen\tVBG\tI-NP\tO' -p352325 -aS'SOB\tSOB\tNN\tI-NP\tB-protein' -p352326 -aS'.\t.\t.\tO\tO' -p352327 -asS'RIEEA ODEE SAPMAL , M.D. CEALME LEOE MARESSYTHE Dr. Tokbelb Welle Health Sonsant .' -p352328 -(lp352329 -S'RIEEA\tRIEEA\tNNP\tB-NP\tO' -p352330 -aS'ODEE\tODEE\tNNP\tI-NP\tO' -p352331 -aS'SAPMAL\tSAPMAL\tNNP\tI-NP\tO' -p352332 -aS',\t,\t,\tO\tO' -p352333 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p352334 -aS'CEALME\tCEALME\tNNP\tI-NP\tO' -p352335 -aS'LEOE\tLEOE\tNNP\tI-NP\tO' -p352336 -aS'MARESSYTHE\tMARESSYTHE\tNNP\tI-NP\tO' -p352337 -aS'Dr.\tDr.\tNNP\tI-NP\tO' -p352338 -aS'Tokbelb\tTokbelb\tNNP\tI-NP\tO' -p352339 -aS'Welle\tWelle\tNNP\tI-NP\tO' -p352340 -aS'Health\tHealth\tNNP\tI-NP\tO' -p352341 -aS'Sonsant\tSonsant\tNNP\tI-NP\tO' -p352342 -aS'.\t.\t.\tO\tO' -p352343 -asS'OP clear w/ MMM .' -p352344 -(lp352345 -S'OP\tOP\tNN\tB-NP\tO' -p352346 -aS'clear\tclear\tJJ\tI-NP\tO' -p352347 -aS'w/\tw/\tNN\tI-NP\tO' -p352348 -aS'MMM\tMMM\tNN\tI-NP\tO' -p352349 -aS'.\t.\t.\tO\tO' -p352350 -asS'His preliminary cultures including sputum from 08-25 grew Escherichia coli .' -p352351 -(lp352352 -S'His\tHis\tPRP$\tB-NP\tB-cell_line' -p352353 -aS'preliminary\tpreliminary\tJJ\tI-NP\tI-cell_line' -p352354 -aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' -p352355 -aS'including\tinclude\tVBG\tB-PP\tO' -p352356 -aS'sputum\tsputum\tNN\tB-NP\tO' -p352357 -aS'from\tfrom\tIN\tB-PP\tO' -p352358 -aS'08-25\t08-25\tCD\tB-NP\tO' -p352359 -aS'grew\tgrow\tVBD\tB-VP\tO' -p352360 -aS'Escherichia\tEscherichia\tNNP\tB-NP\tO' -p352361 -aS'coli\tcoli\tNNP\tI-NP\tO' -p352362 -aS'.\t.\t.\tO\tO' -p352363 -asS'One of them was to do a subarachnoid neurologic block at C6-C7 interface on 1-6-94 .' -p352364 -(lp352365 -S'One\tOne\tCD\tB-NP\tO' -p352366 -aS'of\tof\tIN\tB-PP\tO' -p352367 -aS'them\tthem\tPRP\tB-NP\tO' -p352368 -aS'was\tbe\tVBD\tB-VP\tO' -p352369 -aS'to\tto\tTO\tB-VP\tO' -p352370 -aS'do\tdo\tVB\tI-VP\tO' -p352371 -aS'a\ta\tDT\tB-NP\tO' -p352372 -aS'subarachnoid\tsubarachnoid\tJJ\tI-NP\tO' -p352373 -aS'neurologic\tneurologic\tJJ\tI-NP\tO' -p352374 -aS'block\tblock\tNN\tI-NP\tO' -p352375 -aS'at\tat\tIN\tB-PP\tO' -p352376 -aS'C6-C7\tC6-C7\tNN\tB-NP\tB-DNA' -p352377 -aS'interface\tinterface\tNN\tI-NP\tO' -p352378 -aS'on\ton\tIN\tB-PP\tO' -p352379 -aS'1-6-94\t1-6-94\tNN\tB-NP\tO' -p352380 -aS'.\t.\t.\tO\tO' -p352381 -asS'He received Rx for potassium to help with cramps .' -p352382 -(lp352383 -S'He\tHe\tPRP\tB-NP\tO' -p352384 -aS'received\treceive\tVBD\tB-VP\tO' -p352385 -aS'Rx\tRx\tNN\tB-NP\tB-protein' -p352386 -aS'for\tfor\tIN\tB-PP\tO' -p352387 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p352388 -aS'to\tto\tTO\tB-VP\tO' -p352389 -aS'help\thelp\tVB\tI-VP\tO' -p352390 -aS'with\twith\tIN\tB-PP\tO' -p352391 -aS'cramps\tcramp\tNNS\tB-NP\tO' -p352392 -aS'.\t.\t.\tO\tO' -p352393 -asS'Her SBP remained in the 160s-170s on hospital day 1 and she was gently diuresed .' -p352394 -(lp352395 -S'Her\tHer\tPRP$\tB-NP\tO' -p352396 -aS'SBP\tSBP\tNN\tI-NP\tB-protein' -p352397 -aS'remained\tremain\tVBD\tB-VP\tO' -p352398 -aS'in\tin\tIN\tB-PP\tO' -p352399 -aS'the\tthe\tDT\tB-NP\tO' -p352400 -aS'160s-170s\t160s-170\tNNS\tI-NP\tO' -p352401 -aS'on\ton\tIN\tB-PP\tO' -p352402 -aS'hospital\thospital\tNN\tB-NP\tO' -p352403 -aS'day\tday\tNN\tI-NP\tO' -p352404 -aS'1\t1\tCD\tI-NP\tO' -p352405 -aS'and\tand\tCC\tO\tO' -p352406 -aS'she\tshe\tPRP\tB-NP\tO' -p352407 -aS'was\tbe\tVBD\tB-VP\tO' -p352408 -aS'gently\tgently\tRB\tI-VP\tO' -p352409 -aS'diuresed\tdiurese\tVBN\tI-VP\tO' -p352410 -aS'.\t.\t.\tO\tO' -p352411 -asS'She was given 40 mg IV lasix and 325 mg ASA .' -p352412 -(lp352413 -S'She\tShe\tPRP\tB-NP\tO' -p352414 -aS'was\tbe\tVBD\tB-VP\tO' -p352415 -aS'given\tgive\tVBN\tI-VP\tO' -p352416 -aS'40\t40\tCD\tB-NP\tO' -p352417 -aS'mg\tmg\tNN\tI-NP\tO' -p352418 -aS'IV\tIV\tCD\tB-NP\tO' -p352419 -aS'lasix\tlasix\tCD\tI-NP\tO' -p352420 -aS'and\tand\tCC\tI-NP\tO' -p352421 -aS'325\t325\tCD\tI-NP\tO' -p352422 -aS'mg\tmg\tNN\tI-NP\tO' -p352423 -aS'ASA\tASA\tNN\tI-NP\tO' -p352424 -aS'.\t.\t.\tO\tO' -p352425 -asS'The patient was discharged on the 2011-03-15 on the following medications .' -p352426 -(lp352427 -S'The\tThe\tDT\tB-NP\tO' -p352428 -aS'patient\tpatient\tNN\tI-NP\tO' -p352429 -aS'was\tbe\tVBD\tB-VP\tO' -p352430 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p352431 -aS'on\ton\tIN\tB-PP\tO' -p352432 -aS'the\tthe\tDT\tB-NP\tO' -p352433 -aS'2011-03-15\t2011-03-15\tCD\tI-NP\tO' -p352434 -aS'on\ton\tIN\tB-PP\tO' -p352435 -aS'the\tthe\tDT\tB-NP\tO' -p352436 -aS'following\tfollow\tVBG\tI-NP\tO' -p352437 -aS'medications\tmedication\tNNS\tI-NP\tO' -p352438 -aS'.\t.\t.\tO\tO' -p352439 -asS'Over the next couple of days it was very slowly decreased as his Ace inhibitors were increased orally .' -p352440 -(lp352441 -S'Over\tOver\tIN\tB-PP\tO' -p352442 -aS'the\tthe\tDT\tB-NP\tO' -p352443 -aS'next\tnext\tJJ\tI-NP\tO' -p352444 -aS'couple\tcouple\tNN\tI-NP\tO' -p352445 -aS'of\tof\tIN\tB-PP\tO' -p352446 -aS'days\tday\tNNS\tB-NP\tO' -p352447 -aS'it\tit\tPRP\tB-NP\tO' -p352448 -aS'was\tbe\tVBD\tB-VP\tO' -p352449 -aS'very\tvery\tRB\tB-VP\tO' -p352450 -aS'slowly\tslowly\tRB\tI-VP\tO' -p352451 -aS'decreased\tdecrease\tVBN\tI-VP\tO' -p352452 -aS'as\tas\tIN\tB-PP\tO' -p352453 -aS'his\this\tPRP$\tB-NP\tO' -p352454 -aS'Ace\tAce\tNNP\tI-NP\tO' -p352455 -aS'inhibitors\tinhibitor\tNNS\tI-NP\tO' -p352456 -aS'were\tbe\tVBD\tB-VP\tO' -p352457 -aS'increased\tincrease\tVBN\tI-VP\tO' -p352458 -aS'orally\torally\tRB\tB-ADVP\tO' -p352459 -aS'.\t.\t.\tO\tO' -p352460 -asS'COMPARISONS : Comparison is made to 2015-10-27 .' -p352461 -(lp352462 -S'COMPARISONS\tCOMPARISONS\tNNS\tB-NP\tO' -p352463 -aS':\t:\t:\tO\tO' -p352464 -aS'Comparison\tComparison\tNN\tB-NP\tO' -p352465 -aS'is\tbe\tVBZ\tB-VP\tO' -p352466 -aS'made\tmake\tVBN\tI-VP\tO' -p352467 -aS'to\tto\tTO\tB-PP\tO' -p352468 -aS'2015-10-27\t2015-10-27\tCD\tB-NP\tO' -p352469 -aS'.\t.\t.\tO\tO' -p352470 -asS'Antibiotic levels were monitored and doses adjusted accordingly .' -p352471 -(lp352472 -S'Antibiotic\tAntibiotic\tJJ\tB-NP\tO' -p352473 -aS'levels\tlevel\tNNS\tI-NP\tO' -p352474 -aS'were\tbe\tVBD\tB-VP\tO' -p352475 -aS'monitored\tmonitor\tVBN\tI-VP\tO' -p352476 -aS'and\tand\tCC\tO\tO' -p352477 -aS'doses\tdose\tNNS\tB-NP\tO' -p352478 -aS'adjusted\tadjust\tVBN\tB-VP\tO' -p352479 -aS'accordingly\taccordingly\tRB\tB-ADVP\tO' -p352480 -aS'.\t.\t.\tO\tO' -p352481 -asS'He states that mood is depressed .' -p352482 -(lp352483 -S'He\tHe\tPRP\tB-NP\tO' -p352484 -aS'states\tstate\tVBZ\tB-VP\tO' -p352485 -aS'that\tthat\tIN\tB-SBAR\tO' -p352486 -aS'mood\tmood\tNN\tB-NP\tO' -p352487 -aS'is\tbe\tVBZ\tB-VP\tO' -p352488 -aS'depressed\tdepress\tVBN\tI-VP\tO' -p352489 -aS'.\t.\t.\tO\tO' -p352490 -asS'INTERMITTENT PHOTIC STIMULATION : Could not be performed .' -p352491 -(lp352492 -S'INTERMITTENT\tINTERMITTENT\tJJ\tB-NP\tO' -p352493 -aS'PHOTIC\tPHOTIC\tNN\tI-NP\tO' -p352494 -aS'STIMULATION\tSTIMULATION\tNN\tI-NP\tO' -p352495 -aS':\t:\t:\tO\tO' -p352496 -aS'Could\tCould\tMD\tB-VP\tO' -p352497 -aS'not\tnot\tRB\tI-VP\tO' -p352498 -aS'be\tbe\tVB\tI-VP\tO' -p352499 -aS'performed\tperform\tVBN\tI-VP\tO' -p352500 -aS'.\t.\t.\tO\tO' -p352501 -asS'All systems were reviewed and were negative except as given above .' -p352502 -(lp352503 -S'All\tAll\tDT\tB-NP\tO' -p352504 -aS'systems\tsystem\tNNS\tI-NP\tO' -p352505 -aS'were\tbe\tVBD\tB-VP\tO' -p352506 -aS'reviewed\treview\tVBN\tI-VP\tO' -p352507 -aS'and\tand\tCC\tO\tO' -p352508 -aS'were\tbe\tVBD\tB-VP\tO' -p352509 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p352510 -aS'except\texcept\tIN\tB-PP\tO' -p352511 -aS'as\tas\tIN\tB-SBAR\tO' -p352512 -aS'given\tgive\tVBN\tB-VP\tO' -p352513 -aS'above\tabove\tRB\tB-ADVP\tO' -p352514 -aS'.\t.\t.\tO\tO' -p352515 -asS'Left circumflex had 80% stenosis in a large OM1 branch .' -p352516 -(lp352517 -S'Left\tLeave\tVBN\tB-NP\tO' -p352518 -aS'circumflex\tcircumflex\tNN\tI-NP\tO' -p352519 -aS'had\thave\tVBD\tB-VP\tO' -p352520 -aS'80%\t80%\tCD\tB-NP\tO' -p352521 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p352522 -aS'in\tin\tIN\tB-PP\tO' -p352523 -aS'a\ta\tDT\tB-NP\tO' -p352524 -aS'large\tlarge\tJJ\tI-NP\tO' -p352525 -aS'OM1\tOM1\tNN\tI-NP\tO' -p352526 -aS'branch\tbranch\tNN\tI-NP\tO' -p352527 -aS'.\t.\t.\tO\tO' -p352528 -asS'Renal u/s negative for hydronephrosis .' -p352529 -(lp352530 -S'Renal\tRenal\tJJ\tB-NP\tO' -p352531 -aS'u/s\tu/\tNNS\tI-NP\tO' -p352532 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p352533 -aS'for\tfor\tIN\tB-PP\tO' -p352534 -aS'hydronephrosis\thydronephrosis\tNN\tB-NP\tO' -p352535 -aS'.\t.\t.\tO\tO' -p352536 -asS'4. Chronic idiopathic pancreatitis , as demonstrated on CT in 09-01' -p352537 -(lp352538 -S'4.\t4.\tLS\tB-NP\tO' -p352539 -aS'Chronic\tChronic\tJJ\tI-NP\tO' -p352540 -aS'idiopathic\tidiopathic\tJJ\tI-NP\tO' -p352541 -aS'pancreatitis\tpancreatitis\tNN\tI-NP\tO' -p352542 -aS',\t,\t,\tO\tO' -p352543 -aS'as\tas\tIN\tB-SBAR\tO' -p352544 -aS'demonstrated\tdemonstrate\tVBN\tB-VP\tO' -p352545 -aS'on\ton\tIN\tB-PP\tO' -p352546 -aS'CT\tCT\tNN\tB-NP\tB-protein' -p352547 -aS'in\tin\tIN\tB-PP\tO' -p352548 -aS'09-01\t09-01\tCD\tB-NP\tO' -p352549 -asS'Physical examination of the RLE showed mild pain in right hip with some movements .' -p352550 -(lp352551 -S'Physical\tPhysical\tJJ\tB-NP\tO' -p352552 -aS'examination\texamination\tNN\tI-NP\tO' -p352553 -aS'of\tof\tIN\tB-PP\tO' -p352554 -aS'the\tthe\tDT\tB-NP\tO' -p352555 -aS'RLE\tRLE\tNN\tI-NP\tB-protein' -p352556 -aS'showed\tshow\tVBD\tB-VP\tI-protein' -p352557 -aS'mild\tmild\tJJ\tB-NP\tI-protein' -p352558 -aS'pain\tpain\tNN\tI-NP\tI-protein' -p352559 -aS'in\tin\tIN\tB-PP\tO' -p352560 -aS'right\tright\tJJ\tB-NP\tO' -p352561 -aS'hip\thip\tNN\tI-NP\tO' -p352562 -aS'with\twith\tIN\tB-PP\tO' -p352563 -aS'some\tsome\tDT\tB-NP\tO' -p352564 -aS'movements\tmovement\tNNS\tI-NP\tO' -p352565 -aS'.\t.\t.\tO\tO' -p352566 -asS'Weight is 82 kilograms .' -p352567 -(lp352568 -S'Weight\tWeight\tNNP\tB-NP\tO' -p352569 -aS'is\tbe\tVBZ\tB-VP\tO' -p352570 -aS'82\t82\tCD\tB-NP\tO' -p352571 -aS'kilograms\tkilogram\tNNS\tI-NP\tO' -p352572 -aS'.\t.\t.\tO\tO' -p352573 -asS'PMH : Carpal tunnel syndrome , Hypertension , Hyperlipidemia , Arthritis' -p352574 -(lp352575 -S'PMH\tPMH\tNN\tB-NP\tO' -p352576 -aS':\t:\t:\tO\tO' -p352577 -aS'Carpal\tCarpal\tJJ\tB-NP\tO' -p352578 -aS'tunnel\ttunnel\tNN\tI-NP\tO' -p352579 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p352580 -aS',\t,\t,\tO\tO' -p352581 -aS'Hypertension\tHypertension\tNN\tB-NP\tO' -p352582 -aS',\t,\t,\tO\tO' -p352583 -aS'Hyperlipidemia\tHyperlipidemia\tNN\tB-NP\tO' -p352584 -aS',\t,\t,\tO\tO' -p352585 -aS'Arthritis\tArthritis\tNN\tB-NP\tO' -p352586 -asS'2. Right ventricular hypokinesis .' -p352587 -(lp352588 -S'2.\t2.\tLS\tB-NP\tO' -p352589 -aS'Right\tRight\tNN\tI-NP\tO' -p352590 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p352591 -aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' -p352592 -aS'.\t.\t.\tO\tO' -p352593 -asS'The chief obstacle was bringing his blood pressure under control and this was ultimately achieved with a combination of Captopril and Nifedipine .' -p352594 -(lp352595 -S'The\tThe\tDT\tB-NP\tO' -p352596 -aS'chief\tchief\tJJ\tI-NP\tO' -p352597 -aS'obstacle\tobstacle\tNN\tI-NP\tO' -p352598 -aS'was\tbe\tVBD\tB-VP\tO' -p352599 -aS'bringing\tbring\tVBG\tI-VP\tO' -p352600 -aS'his\this\tPRP$\tB-NP\tO' -p352601 -aS'blood\tblood\tNN\tI-NP\tO' -p352602 -aS'pressure\tpressure\tNN\tI-NP\tO' -p352603 -aS'under\tunder\tIN\tB-PP\tO' -p352604 -aS'control\tcontrol\tNN\tB-NP\tO' -p352605 -aS'and\tand\tCC\tO\tO' -p352606 -aS'this\tthis\tDT\tB-NP\tO' -p352607 -aS'was\tbe\tVBD\tB-VP\tO' -p352608 -aS'ultimately\tultimately\tRB\tI-VP\tO' -p352609 -aS'achieved\tachieve\tVBN\tI-VP\tO' -p352610 -aS'with\twith\tIN\tB-PP\tO' -p352611 -aS'a\ta\tDT\tB-NP\tO' -p352612 -aS'combination\tcombination\tNN\tI-NP\tO' -p352613 -aS'of\tof\tIN\tB-PP\tO' -p352614 -aS'Captopril\tCaptopril\tNNP\tB-NP\tO' -p352615 -aS'and\tand\tCC\tI-NP\tO' -p352616 -aS'Nifedipine\tNifedipine\tNNP\tI-NP\tO' -p352617 -aS'.\t.\t.\tO\tO' -p352618 -asS'Her trauma clinic follow-up is strictly p.r.n.' -p352619 -(lp352620 -S'Her\tHer\tPRP$\tB-NP\tO' -p352621 -aS'trauma\ttrauma\tNN\tI-NP\tB-protein' -p352622 -aS'clinic\tclinic\tNN\tI-NP\tI-protein' -p352623 -aS'follow-up\tfollow-up\tNN\tI-NP\tI-protein' -p352624 -aS'is\tbe\tVBZ\tB-VP\tO' -p352625 -aS'strictly\tstrictly\tRB\tB-ADJP\tO' -p352626 -aS'p.r.n.\tp.r.n.\tJJ\tI-ADJP\tO' -p352627 -asS'Fred Grauman is the former 2.252 kg product of a 35-1/7 week gestation pregnancy born to a 37-year-old G4 P3-5 woman .' -p352628 -(lp352629 -S'Fred\tFred\tNNP\tB-NP\tO' -p352630 -aS'Grauman\tGrauman\tNNP\tI-NP\tO' -p352631 -aS'is\tbe\tVBZ\tB-VP\tO' -p352632 -aS'the\tthe\tDT\tB-NP\tO' -p352633 -aS'former\tformer\tJJ\tI-NP\tO' -p352634 -aS'2.252\t2.252\tCD\tI-NP\tO' -p352635 -aS'kg\tkg\tNN\tI-NP\tO' -p352636 -aS'product\tproduct\tNN\tI-NP\tO' -p352637 -aS'of\tof\tIN\tB-PP\tO' -p352638 -aS'a\ta\tDT\tB-NP\tO' -p352639 -aS'35-1/7\t35-1/7\tCD\tI-NP\tO' -p352640 -aS'week\tweek\tNN\tI-NP\tO' -p352641 -aS'gestation\tgestation\tNN\tI-NP\tO' -p352642 -aS'pregnancy\tpregnancy\tNN\tI-NP\tO' -p352643 -aS'born\tbear\tVBN\tB-VP\tO' -p352644 -aS'to\tto\tTO\tB-PP\tO' -p352645 -aS'a\ta\tDT\tB-NP\tO' -p352646 -aS'37-year-old\t37-year-old\tJJ\tI-NP\tO' -p352647 -aS'G4\tG4\tNN\tI-NP\tO' -p352648 -aS'P3-5\tP3-5\tNN\tI-NP\tO' -p352649 -aS'woman\twoman\tNN\tI-NP\tO' -p352650 -aS'.\t.\t.\tO\tO' -p352651 -asS'Her nasogastric tube was discontinued on postoperative day # 1 , and she tolerated a regular diet by postoperative day # 3 .' -p352652 -(lp352653 -S'Her\tHer\tPRP$\tB-NP\tO' -p352654 -aS'nasogastric\tnasogastric\tJJ\tI-NP\tO' -p352655 -aS'tube\ttube\tNN\tI-NP\tO' -p352656 -aS'was\tbe\tVBD\tB-VP\tO' -p352657 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p352658 -aS'on\ton\tIN\tB-PP\tO' -p352659 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p352660 -aS'day\tday\tNN\tI-NP\tO' -p352661 -aS'#\t#\t#\tB-NP\tO' -p352662 -aS'1\t1\tCD\tI-NP\tO' -p352663 -aS',\t,\t,\tO\tO' -p352664 -aS'and\tand\tCC\tO\tO' -p352665 -aS'she\tshe\tPRP\tB-NP\tO' -p352666 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p352667 -aS'a\ta\tDT\tB-NP\tO' -p352668 -aS'regular\tregular\tJJ\tI-NP\tO' -p352669 -aS'diet\tdiet\tNN\tI-NP\tO' -p352670 -aS'by\tby\tIN\tB-PP\tO' -p352671 -aS'postoperative\tpostoperative\tJJ\tB-NP\tB-protein' -p352672 -aS'day\tday\tNN\tI-NP\tI-protein' -p352673 -aS'#\t#\t#\tB-NP\tI-protein' -p352674 -aS'3\t3\tCD\tI-NP\tI-protein' -p352675 -aS'.\t.\t.\tO\tO' -p352676 -asS'END-STAGE RENAL DISEASE .' -p352677 -(lp352678 -S'END-STAGE\tEND-STAGE\tNNP\tB-NP\tO' -p352679 -aS'RENAL\tRENAL\tNNP\tI-NP\tO' -p352680 -aS'DISEASE\tDISEASE\tNNP\tI-NP\tO' -p352681 -aS'.\t.\t.\tO\tO' -p352682 -asS'Negative Barbara .' -p352683 -(lp352684 -S'Negative\tNegative\tJJ\tB-NP\tO' -p352685 -aS'Barbara\tBarbara\tNNP\tI-NP\tO' -p352686 -aS'.\t.\t.\tO\tO' -p352687 -asS'Well healed Pfannenstiel scars and no masses .' -p352688 -(lp352689 -S'Well\tWell\tNNP\tB-NP\tO' -p352690 -aS'healed\theal\tVBD\tB-VP\tO' -p352691 -aS'Pfannenstiel\tPfannenstiel\tNNP\tB-NP\tO' -p352692 -aS'scars\tscar\tNNS\tI-NP\tO' -p352693 -aS'and\tand\tCC\tO\tO' -p352694 -aS'no\tno\tDT\tB-NP\tO' -p352695 -aS'masses\tmass\tNNS\tI-NP\tO' -p352696 -aS'.\t.\t.\tO\tO' -p352697 -asS'However , he still appeared volume overloaded with minimal improvement in his oxygen requirement .' -p352698 -(lp352699 -S'However\tHowever\tRB\tB-ADVP\tO' -p352700 -aS',\t,\t,\tO\tO' -p352701 -aS'he\the\tPRP\tB-NP\tO' -p352702 -aS'still\tstill\tRB\tB-ADVP\tO' -p352703 -aS'appeared\tappear\tVBD\tB-VP\tO' -p352704 -aS'volume\tvolume\tNN\tB-NP\tO' -p352705 -aS'overloaded\toverload\tVBN\tB-VP\tO' -p352706 -aS'with\twith\tIN\tB-PP\tO' -p352707 -aS'minimal\tminimal\tJJ\tB-NP\tO' -p352708 -aS'improvement\timprovement\tNN\tI-NP\tO' -p352709 -aS'in\tin\tIN\tB-PP\tO' -p352710 -aS'his\this\tPRP$\tB-NP\tO' -p352711 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p352712 -aS'requirement\trequirement\tNN\tI-NP\tO' -p352713 -aS'.\t.\t.\tO\tO' -p352714 -asS'Soft , nontender , without any masses and without any hepatosplenomegaly .' -p352715 -(lp352716 -S'Soft\tSoft\tRB\tB-ADVP\tO' -p352717 -aS',\t,\t,\tO\tO' -p352718 -aS'nontender\tnontender\tJJ\tB-ADJP\tO' -p352719 -aS',\t,\t,\tO\tO' -p352720 -aS'without\twithout\tIN\tB-PP\tO' -p352721 -aS'any\tany\tDT\tB-NP\tO' -p352722 -aS'masses\tmass\tNNS\tI-NP\tO' -p352723 -aS'and\tand\tCC\tB-PP\tO' -p352724 -aS'without\twithout\tIN\tB-PP\tO' -p352725 -aS'any\tany\tDT\tB-NP\tO' -p352726 -aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tI-NP\tO' -p352727 -aS'.\t.\t.\tO\tO' -p352728 -asS"The pt had an EEG and 2 head CT 's which did not show anoxic brain injury or bleeding ." -p352729 -(lp352730 -S'The\tThe\tDT\tB-NP\tO' -p352731 -aS'pt\tpt\tNN\tI-NP\tO' -p352732 -aS'had\thave\tVBD\tB-VP\tO' -p352733 -aS'an\tan\tDT\tB-NP\tO' -p352734 -aS'EEG\tEEG\tNN\tI-NP\tO' -p352735 -aS'and\tand\tCC\tI-NP\tO' -p352736 -aS'2\t2\tCD\tI-NP\tO' -p352737 -aS'head\thead\tNN\tI-NP\tO' -p352738 -aS'CT\tCT\tNN\tI-NP\tO' -p352739 -aS"'s\t's\tPOS\tB-NP\tO" -p352740 -aS'which\twhich\tWDT\tB-NP\tO' -p352741 -aS'did\tdo\tVBD\tB-VP\tO' -p352742 -aS'not\tnot\tRB\tI-VP\tO' -p352743 -aS'show\tshow\tVB\tI-VP\tO' -p352744 -aS'anoxic\tanoxic\tJJ\tB-NP\tO' -p352745 -aS'brain\tbrain\tNN\tI-NP\tO' -p352746 -aS'injury\tinjury\tNN\tI-NP\tO' -p352747 -aS'or\tor\tCC\tI-NP\tO' -p352748 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p352749 -aS'.\t.\t.\tO\tO' -p352750 -asS'She also has a history of uterine fibroids , status post total abdominal hysterectomy .' -p352751 -(lp352752 -S'She\tShe\tPRP\tB-NP\tO' -p352753 -aS'also\talso\tRB\tB-ADVP\tO' -p352754 -aS'has\thave\tVBZ\tB-VP\tO' -p352755 -aS'a\ta\tDT\tB-NP\tO' -p352756 -aS'history\thistory\tNN\tI-NP\tO' -p352757 -aS'of\tof\tIN\tB-PP\tO' -p352758 -aS'uterine\tuterine\tJJ\tB-NP\tO' -p352759 -aS'fibroids\tfibroid\tNNS\tI-NP\tO' -p352760 -aS',\t,\t,\tO\tO' -p352761 -aS'status\tstatus\tNN\tB-NP\tO' -p352762 -aS'post\tpost\tVBD\tB-VP\tO' -p352763 -aS'total\ttotal\tJJ\tB-NP\tO' -p352764 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p352765 -aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' -p352766 -aS'.\t.\t.\tO\tO' -p352767 -asS'4. State newborn screening sent .' -p352768 -(lp352769 -S'4.\t4.\tLS\tB-NP\tO' -p352770 -aS'State\tState\tNN\tI-NP\tO' -p352771 -aS'newborn\tnewborn\tJJ\tI-NP\tO' -p352772 -aS'screening\tscreening\tNN\tI-NP\tO' -p352773 -aS'sent\tsent\tNN\tI-NP\tO' -p352774 -aS'.\t.\t.\tO\tO' -p352775 -asS'Consideration was given to performing a repeat colonoscopy .' -p352776 -(lp352777 -S'Consideration\tConsideration\tNN\tB-NP\tO' -p352778 -aS'was\tbe\tVBD\tB-VP\tO' -p352779 -aS'given\tgive\tVBN\tI-VP\tO' -p352780 -aS'to\tto\tTO\tB-PP\tO' -p352781 -aS'performing\tperform\tVBG\tB-VP\tO' -p352782 -aS'a\ta\tDT\tB-NP\tO' -p352783 -aS'repeat\trepeat\tNN\tI-NP\tO' -p352784 -aS'colonoscopy\tcolonoscopy\tNN\tI-NP\tO' -p352785 -aS'.\t.\t.\tO\tO' -p352786 -asS'4 mm left upper lobe lung nodule .' -p352787 -(lp352788 -S'4\t4\tCD\tB-NP\tO' -p352789 -aS'mm\tmm\tNN\tI-NP\tO' -p352790 -aS'left\tleave\tVBD\tB-VP\tO' -p352791 -aS'upper\tupper\tJJ\tB-NP\tO' -p352792 -aS'lobe\tlobe\tNN\tI-NP\tO' -p352793 -aS'lung\tlung\tNN\tI-NP\tO' -p352794 -aS'nodule\tnodule\tNN\tI-NP\tO' -p352795 -aS'.\t.\t.\tO\tO' -p352796 -asS'Disc margins appeared blurred on funduscopic exam .' -p352797 -(lp352798 -S'Disc\tDisc\tNN\tB-NP\tO' -p352799 -aS'margins\tmargin\tNNS\tI-NP\tO' -p352800 -aS'appeared\tappear\tVBD\tB-VP\tO' -p352801 -aS'blurred\tblur\tVBN\tI-VP\tO' -p352802 -aS'on\ton\tIN\tB-PP\tO' -p352803 -aS'funduscopic\tfunduscopic\tJJ\tB-NP\tO' -p352804 -aS'exam\texam\tNN\tI-NP\tO' -p352805 -aS'.\t.\t.\tO\tO' -p352806 -asS'Elderly man , somewhat cachectic .' -p352807 -(lp352808 -S'Elderly\tElderly\tJJ\tB-NP\tO' -p352809 -aS'man\tman\tNN\tI-NP\tO' -p352810 -aS',\t,\t,\tO\tO' -p352811 -aS'somewhat\tsomewhat\tRB\tB-ADJP\tO' -p352812 -aS'cachectic\tcachectic\tJJ\tI-ADJP\tO' -p352813 -aS'.\t.\t.\tO\tO' -p352814 -asS'At this time Leona Wheeler was felt stable to be transferred to rehabilitation facility .' -p352815 -(lp352816 -S'At\tAt\tIN\tB-PP\tO' -p352817 -aS'this\tthis\tDT\tB-NP\tO' -p352818 -aS'time\ttime\tNN\tI-NP\tO' -p352819 -aS'Leona\tLeona\tNNP\tB-NP\tO' -p352820 -aS'Wheeler\tWheeler\tNNP\tI-NP\tO' -p352821 -aS'was\tbe\tVBD\tB-VP\tO' -p352822 -aS'felt\tfeel\tVBN\tI-VP\tO' -p352823 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p352824 -aS'to\tto\tTO\tB-VP\tO' -p352825 -aS'be\tbe\tVB\tI-VP\tO' -p352826 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p352827 -aS'to\tto\tTO\tB-PP\tO' -p352828 -aS'rehabilitation\trehabilitation\tNN\tB-NP\tO' -p352829 -aS'facility\tfacility\tNN\tI-NP\tO' -p352830 -aS'.\t.\t.\tO\tO' -p352831 -asS'A subsequent sample was done ( 05-21 ) and results are pending .' -p352832 -(lp352833 -S'A\tA\tDT\tB-NP\tO' -p352834 -aS'subsequent\tsubsequent\tJJ\tI-NP\tO' -p352835 -aS'sample\tsample\tNN\tI-NP\tO' -p352836 -aS'was\tbe\tVBD\tB-VP\tO' -p352837 -aS'done\tdo\tVBN\tI-VP\tO' -p352838 -aS'(\t(\t(\tO\tO' -p352839 -aS'05-21\t05-21\tCD\tB-NP\tO' -p352840 -aS')\t)\t)\tO\tO' -p352841 -aS'and\tand\tCC\tO\tO' -p352842 -aS'results\tresult\tNNS\tB-NP\tO' -p352843 -aS'are\tbe\tVBP\tB-VP\tO' -p352844 -aS'pending\tpende\tVBG\tI-VP\tO' -p352845 -aS'.\t.\t.\tO\tO' -p352846 -asS'III / VI systolic click and irregularly irregular rhythm .' -p352847 -(lp352848 -S'III\tIII\tCD\tB-NP\tO' -p352849 -aS'/\t/\tSYM\tI-NP\tO' -p352850 -aS'VI\tVI\tCD\tI-NP\tO' -p352851 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p352852 -aS'click\tclick\tNN\tI-NP\tO' -p352853 -aS'and\tand\tCC\tO\tO' -p352854 -aS'irregularly\tirregularly\tRB\tB-NP\tO' -p352855 -aS'irregular\tirregular\tJJ\tI-NP\tO' -p352856 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p352857 -aS'.\t.\t.\tO\tO' -p352858 -asS'He was again transferred to the CMED Service for further management of his COPD exacerbation .' -p352859 -(lp352860 -S'He\tHe\tPRP\tB-NP\tO' -p352861 -aS'was\tbe\tVBD\tB-VP\tO' -p352862 -aS'again\tagain\tRB\tI-VP\tO' -p352863 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p352864 -aS'to\tto\tTO\tB-PP\tO' -p352865 -aS'the\tthe\tDT\tB-NP\tO' -p352866 -aS'CMED\tCMED\tNNP\tI-NP\tO' -p352867 -aS'Service\tService\tNNP\tI-NP\tO' -p352868 -aS'for\tfor\tIN\tB-PP\tO' -p352869 -aS'further\tfurther\tJJ\tB-NP\tO' -p352870 -aS'management\tmanagement\tNN\tI-NP\tO' -p352871 -aS'of\tof\tIN\tB-PP\tO' -p352872 -aS'his\this\tPRP$\tB-NP\tO' -p352873 -aS'COPD\tCOPD\tNN\tI-NP\tO' -p352874 -aS'exacerbation\texacerbation\tNN\tI-NP\tO' -p352875 -aS'.\t.\t.\tO\tO' -p352876 -asS'On admission , the patient was afebrile , blood pressure 146/88 , pulse 71 , respirations 18 .' -p352877 -(lp352878 -S'On\tOn\tIN\tB-PP\tO' -p352879 -aS'admission\tadmission\tNN\tB-NP\tO' -p352880 -aS',\t,\t,\tO\tO' -p352881 -aS'the\tthe\tDT\tB-NP\tO' -p352882 -aS'patient\tpatient\tNN\tI-NP\tO' -p352883 -aS'was\tbe\tVBD\tB-VP\tO' -p352884 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p352885 -aS',\t,\t,\tO\tO' -p352886 -aS'blood\tblood\tNN\tB-NP\tO' -p352887 -aS'pressure\tpressure\tNN\tI-NP\tO' -p352888 -aS'146/88\t146/88\tCD\tI-NP\tO' -p352889 -aS',\t,\t,\tO\tO' -p352890 -aS'pulse\tpulse\tNN\tB-NP\tO' -p352891 -aS'71\t71\tCD\tI-NP\tO' -p352892 -aS',\t,\t,\tO\tO' -p352893 -aS'respirations\trespiration\tNNS\tB-NP\tO' -p352894 -aS'18\t18\tCD\tB-NP\tO' -p352895 -aS'.\t.\t.\tO\tO' -p352896 -asS'1. Dr. Martha Lopez or Dr. Henson in infectious disese in 2 weeks .' -p352897 -(lp352898 -S'1.\t1.\tLS\tB-LST\tO' -p352899 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p352900 -aS'Martha\tMartha\tNNP\tI-NP\tO' -p352901 -aS'Lopez\tLopez\tNNP\tI-NP\tO' -p352902 -aS'or\tor\tCC\tO\tO' -p352903 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p352904 -aS'Henson\tHenson\tNNP\tI-NP\tO' -p352905 -aS'in\tin\tIN\tB-PP\tO' -p352906 -aS'infectious\tinfectious\tJJ\tB-NP\tO' -p352907 -aS'disese\tdisese\tNN\tI-NP\tO' -p352908 -aS'in\tin\tIN\tB-PP\tO' -p352909 -aS'2\t2\tCD\tB-NP\tO' -p352910 -aS'weeks\tweek\tNNS\tI-NP\tO' -p352911 -aS'.\t.\t.\tO\tO' -p352912 -asS'She will have a follow up appointment with Dr. Fuscmadril in four weeks .' -p352913 -(lp352914 -S'She\tShe\tPRP\tB-NP\tO' -p352915 -aS'will\twill\tMD\tB-VP\tO' -p352916 -aS'have\thave\tVB\tI-VP\tO' -p352917 -aS'a\ta\tDT\tB-NP\tO' -p352918 -aS'follow\tfollow\tNN\tI-NP\tO' -p352919 -aS'up\tup\tRP\tB-PRT\tO' -p352920 -aS'appointment\tappointment\tNN\tB-NP\tO' -p352921 -aS'with\twith\tIN\tB-PP\tO' -p352922 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p352923 -aS'Fuscmadril\tFuscmadril\tNNP\tI-NP\tO' -p352924 -aS'in\tin\tIN\tB-PP\tO' -p352925 -aS'four\tfour\tCD\tB-NP\tO' -p352926 -aS'weeks\tweek\tNNS\tI-NP\tO' -p352927 -aS'.\t.\t.\tO\tO' -p352928 -asS'In the past , patient had been noted to be non-compliant with cardiac medications and continues to smoke .' -p352929 -(lp352930 -S'In\tIn\tIN\tB-PP\tO' -p352931 -aS'the\tthe\tDT\tB-NP\tO' -p352932 -aS'past\tpast\tNN\tI-NP\tO' -p352933 -aS',\t,\t,\tO\tO' -p352934 -aS'patient\tpatient\tNN\tB-NP\tO' -p352935 -aS'had\thave\tVBD\tB-VP\tO' -p352936 -aS'been\tbe\tVBN\tI-VP\tO' -p352937 -aS'noted\tnote\tVBN\tI-VP\tO' -p352938 -aS'to\tto\tTO\tI-VP\tO' -p352939 -aS'be\tbe\tVB\tI-VP\tO' -p352940 -aS'non-compliant\tnon-compliant\tJJ\tB-ADJP\tO' -p352941 -aS'with\twith\tIN\tB-PP\tO' -p352942 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p352943 -aS'medications\tmedication\tNNS\tI-NP\tO' -p352944 -aS'and\tand\tCC\tO\tO' -p352945 -aS'continues\tcontinue\tVBZ\tB-VP\tO' -p352946 -aS'to\tto\tTO\tI-VP\tO' -p352947 -aS'smoke\tsmoke\tVB\tI-VP\tO' -p352948 -aS'.\t.\t.\tO\tO' -p352949 -asS'Denies BRBPR , n/v/d .' -p352950 -(lp352951 -S'Denies\tDeny\tNNS\tB-NP\tO' -p352952 -aS'BRBPR\tBRBPR\tNN\tI-NP\tB-protein' -p352953 -aS',\t,\t,\tO\tO' -p352954 -aS'n/v/d\tn/v/d\tNN\tB-NP\tO' -p352955 -aS'.\t.\t.\tO\tO' -p352956 -asS'She had a 3 x 4 cm firm , nontender right thyroid mass that seemed to be fixed to the trachea .' -p352957 -(lp352958 -S'She\tShe\tPRP\tB-NP\tO' -p352959 -aS'had\thave\tVBD\tB-VP\tO' -p352960 -aS'a\ta\tDT\tB-NP\tO' -p352961 -aS'3\t3\tCD\tI-NP\tO' -p352962 -aS'x\tx\tSYM\tI-NP\tO' -p352963 -aS'4\t4\tCD\tI-NP\tO' -p352964 -aS'cm\tcm\tNN\tI-NP\tO' -p352965 -aS'firm\tfirm\tNN\tI-NP\tO' -p352966 -aS',\t,\t,\tO\tO' -p352967 -aS'nontender\tnontender\tJJ\tB-NP\tO' -p352968 -aS'right\tright\tJJ\tI-NP\tO' -p352969 -aS'thyroid\tthyroid\tNN\tI-NP\tO' -p352970 -aS'mass\tmass\tNN\tI-NP\tO' -p352971 -aS'that\tthat\tWDT\tB-NP\tO' -p352972 -aS'seemed\tseem\tVBD\tB-VP\tO' -p352973 -aS'to\tto\tTO\tI-VP\tO' -p352974 -aS'be\tbe\tVB\tI-VP\tO' -p352975 -aS'fixed\tfix\tVBN\tI-VP\tO' -p352976 -aS'to\tto\tTO\tB-PP\tO' -p352977 -aS'the\tthe\tDT\tB-NP\tO' -p352978 -aS'trachea\ttrachea\tNN\tI-NP\tO' -p352979 -aS'.\t.\t.\tO\tO' -p352980 -asS'Hematocrit at that time was noted to be 31 and platelets 370,000 .' -p352981 -(lp352982 -S'Hematocrit\tHematocrit\tNN\tB-NP\tO' -p352983 -aS'at\tat\tIN\tB-PP\tO' -p352984 -aS'that\tthat\tDT\tB-NP\tO' -p352985 -aS'time\ttime\tNN\tI-NP\tO' -p352986 -aS'was\tbe\tVBD\tB-VP\tO' -p352987 -aS'noted\tnote\tVBN\tI-VP\tO' -p352988 -aS'to\tto\tTO\tI-VP\tO' -p352989 -aS'be\tbe\tVB\tI-VP\tO' -p352990 -aS'31\t31\tCD\tB-NP\tO' -p352991 -aS'and\tand\tCC\tO\tO' -p352992 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p352993 -aS'370,000\t370,000\tCD\tB-NP\tO' -p352994 -aS'.\t.\t.\tO\tO' -p352995 -asS'Metformin 500 mg two tabs bid' -p352996 -(lp352997 -S'Metformin\tMetformin\tNN\tB-NP\tO' -p352998 -aS'500\t500\tCD\tI-NP\tO' -p352999 -aS'mg\tmg\tNN\tI-NP\tO' -p353000 -aS'two\ttwo\tCD\tB-NP\tO' -p353001 -aS'tabs\ttab\tNNS\tI-NP\tO' -p353002 -aS'bid\tbid\tVBD\tB-VP\tO' -p353003 -asS'1 x 2 cm ulcer with clean sharp borders to the dermatome on the left posterior thigh .' -p353004 -(lp353005 -S'1\t1\tCD\tB-NP\tO' -p353006 -aS'x\tx\tCC\tI-NP\tO' -p353007 -aS'2\t2\tCD\tI-NP\tO' -p353008 -aS'cm\tcm\tNN\tI-NP\tO' -p353009 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p353010 -aS'with\twith\tIN\tB-PP\tO' -p353011 -aS'clean\tclean\tJJ\tB-NP\tO' -p353012 -aS'sharp\tsharp\tJJ\tI-NP\tO' -p353013 -aS'borders\tborder\tNNS\tI-NP\tO' -p353014 -aS'to\tto\tTO\tB-PP\tO' -p353015 -aS'the\tthe\tDT\tB-NP\tO' -p353016 -aS'dermatome\tdermatome\tNN\tI-NP\tO' -p353017 -aS'on\ton\tIN\tB-PP\tO' -p353018 -aS'the\tthe\tDT\tB-NP\tO' -p353019 -aS'left\tleft\tJJ\tI-NP\tO' -p353020 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p353021 -aS'thigh\tthigh\tNN\tI-NP\tO' -p353022 -aS'.\t.\t.\tO\tO' -p353023 -asS'On admission , she was diuresed with Lasix and was negative 1-2 liters per day for several days .' -p353024 -(lp353025 -S'On\tOn\tIN\tB-PP\tO' -p353026 -aS'admission\tadmission\tNN\tB-NP\tO' -p353027 -aS',\t,\t,\tO\tO' -p353028 -aS'she\tshe\tPRP\tB-NP\tO' -p353029 -aS'was\tbe\tVBD\tB-VP\tO' -p353030 -aS'diuresed\tdiurese\tVBN\tI-VP\tO' -p353031 -aS'with\twith\tIN\tB-PP\tO' -p353032 -aS'Lasix\tLasix\tNN\tB-NP\tO' -p353033 -aS'and\tand\tCC\tO\tO' -p353034 -aS'was\tbe\tVBD\tB-VP\tO' -p353035 -aS'negative\tnegative\tJJ\tB-NP\tO' -p353036 -aS'1-2\t1-2\tCD\tI-NP\tO' -p353037 -aS'liters\tliter\tNNS\tI-NP\tO' -p353038 -aS'per\tper\tIN\tB-PP\tO' -p353039 -aS'day\tday\tNN\tB-NP\tO' -p353040 -aS'for\tfor\tIN\tB-PP\tO' -p353041 -aS'several\tseveral\tJJ\tB-NP\tO' -p353042 -aS'days\tday\tNNS\tI-NP\tO' -p353043 -aS'.\t.\t.\tO\tO' -p353044 -asS'Will be reassessed after a month of intensive physical therapy and occupational therapy .' -p353045 -(lp353046 -S'Will\tWill\tMD\tB-VP\tO' -p353047 -aS'be\tbe\tVB\tI-VP\tO' -p353048 -aS'reassessed\treassess\tVBN\tI-VP\tO' -p353049 -aS'after\tafter\tIN\tB-PP\tO' -p353050 -aS'a\ta\tDT\tB-NP\tO' -p353051 -aS'month\tmonth\tNN\tI-NP\tO' -p353052 -aS'of\tof\tIN\tB-PP\tO' -p353053 -aS'intensive\tintensive\tJJ\tB-NP\tO' -p353054 -aS'physical\tphysical\tJJ\tI-NP\tO' -p353055 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p353056 -aS'and\tand\tCC\tO\tO' -p353057 -aS'occupational\toccupational\tJJ\tB-NP\tO' -p353058 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p353059 -aS'.\t.\t.\tO\tO' -p353060 -asS'Hyperthyroidism .' -p353061 -(lp353062 -S'Hyperthyroidism\tHyperthyroidism\tNN\tB-NP\tO' -p353063 -aS'.\t.\t.\tO\tO' -p353064 -asS'Dr. Foutchner will arrange for an outpatient Holter monitor .' -p353065 -(lp353066 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p353067 -aS'Foutchner\tFoutchner\tNNP\tI-NP\tO' -p353068 -aS'will\twill\tMD\tB-VP\tO' -p353069 -aS'arrange\tarrange\tVB\tI-VP\tO' -p353070 -aS'for\tfor\tIN\tB-PP\tO' -p353071 -aS'an\tan\tDT\tB-NP\tO' -p353072 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p353073 -aS'Holter\tHolter\tNNP\tI-NP\tO' -p353074 -aS'monitor\tmonitor\tNNP\tI-NP\tO' -p353075 -aS'.\t.\t.\tO\tO' -p353076 -asS'PRINCIPAL DISCHARGE DIAGNOSIS ; Responsible After Study for Causing Admission ) VT s / p cardiac cath , stent and amio loading' -p353077 -(lp353078 -S'PRINCIPAL\tPRINCIPAL\tJJ\tB-NP\tO' -p353079 -aS'DISCHARGE\tDISCHARGE\tNN\tI-NP\tO' -p353080 -aS'DIAGNOSIS\tDIAGNOSIS\tNN\tI-NP\tO' -p353081 -aS';\t;\t:\tO\tO' -p353082 -aS'Responsible\tResponsible\tJJ\tB-ADJP\tO' -p353083 -aS'After\tAfter\tIN\tB-PP\tO' -p353084 -aS'Study\tStudy\tNN\tB-NP\tO' -p353085 -aS'for\tfor\tIN\tB-PP\tO' -p353086 -aS'Causing\tCause\tVBG\tB-NP\tO' -p353087 -aS'Admission\tAdmission\tNN\tI-NP\tO' -p353088 -aS')\t)\t)\tI-NP\tO' -p353089 -aS'VT\tVT\tNN\tI-NP\tO' -p353090 -aS's\ts\tNN\tI-NP\tO' -p353091 -aS'/\t/\tSYM\tB-NP\tO' -p353092 -aS'p\tp\tNN\tI-NP\tO' -p353093 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p353094 -aS'cath\tcath\tNN\tI-NP\tO' -p353095 -aS',\t,\t,\tO\tO' -p353096 -aS'stent\tstent\tNN\tB-NP\tO' -p353097 -aS'and\tand\tCC\tO\tO' -p353098 -aS'amio\tamio\tNN\tB-NP\tO' -p353099 -aS'loading\tloading\tNN\tI-NP\tO' -p353100 -asS'The brain parenchyma was otherwise normal .' -p353101 -(lp353102 -S'The\tThe\tDT\tB-NP\tO' -p353103 -aS'brain\tbrain\tNN\tI-NP\tO' -p353104 -aS'parenchyma\tparenchyma\tNN\tI-NP\tO' -p353105 -aS'was\tbe\tVBD\tB-VP\tO' -p353106 -aS'otherwise\totherwise\tRB\tB-ADJP\tO' -p353107 -aS'normal\tnormal\tJJ\tI-ADJP\tO' -p353108 -aS'.\t.\t.\tO\tO' -p353109 -asS'7. Colace 100 mg p.o. twice per day .' -p353110 -(lp353111 -S'7.\t7.\tCD\tB-NP\tO' -p353112 -aS'Colace\tColace\tNNP\tI-NP\tO' -p353113 -aS'100\t100\tCD\tI-NP\tO' -p353114 -aS'mg\tmg\tNN\tI-NP\tO' -p353115 -aS'p.o.\tp.o.\tRB\tB-ADVP\tO' -p353116 -aS'twice\ttwice\tRB\tI-ADVP\tO' -p353117 -aS'per\tper\tIN\tB-PP\tO' -p353118 -aS'day\tday\tNN\tB-NP\tO' -p353119 -aS'.\t.\t.\tO\tO' -p353120 -asS'They showed an FVC of 91% of predicted , and a FEV1 of 104% of predicted , with a ratio of 114% .' -p353121 -(lp353122 -S'They\tThey\tPRP\tB-NP\tO' -p353123 -aS'showed\tshow\tVBD\tB-VP\tO' -p353124 -aS'an\tan\tDT\tB-NP\tO' -p353125 -aS'FVC\tFVC\tNN\tI-NP\tO' -p353126 -aS'of\tof\tIN\tB-PP\tO' -p353127 -aS'91%\t91%\tNN\tB-NP\tO' -p353128 -aS'of\tof\tIN\tB-PP\tO' -p353129 -aS'predicted\tpredict\tVBN\tO\tO' -p353130 -aS',\t,\t,\tO\tO' -p353131 -aS'and\tand\tCC\tO\tO' -p353132 -aS'a\ta\tDT\tB-NP\tO' -p353133 -aS'FEV1\tFEV1\tNN\tI-NP\tO' -p353134 -aS'of\tof\tIN\tB-PP\tO' -p353135 -aS'104%\t104%\tCD\tB-NP\tO' -p353136 -aS'of\tof\tIN\tB-PP\tO' -p353137 -aS'predicted\tpredict\tVBN\tO\tO' -p353138 -aS',\t,\t,\tO\tO' -p353139 -aS'with\twith\tIN\tB-PP\tO' -p353140 -aS'a\ta\tDT\tB-NP\tO' -p353141 -aS'ratio\tratio\tNN\tI-NP\tO' -p353142 -aS'of\tof\tIN\tB-PP\tO' -p353143 -aS'114%\t114%\tNN\tB-NP\tB-protein' -p353144 -aS'.\t.\t.\tO\tO' -p353145 -asS'The etiology for his congestive heart failure was determined likely to be diastolic dysfunction from increased heart rate as well as excess volume .' -p353146 -(lp353147 -S'The\tThe\tDT\tB-NP\tO' -p353148 -aS'etiology\tetiology\tNN\tI-NP\tO' -p353149 -aS'for\tfor\tIN\tB-PP\tO' -p353150 -aS'his\this\tPRP$\tB-NP\tO' -p353151 -aS'congestive\tcongestive\tJJ\tI-NP\tO' -p353152 -aS'heart\theart\tNN\tI-NP\tO' -p353153 -aS'failure\tfailure\tNN\tI-NP\tO' -p353154 -aS'was\tbe\tVBD\tB-VP\tO' -p353155 -aS'determined\tdetermine\tVBN\tI-VP\tO' -p353156 -aS'likely\tlikely\tJJ\tB-ADJP\tO' -p353157 -aS'to\tto\tTO\tB-VP\tO' -p353158 -aS'be\tbe\tVB\tI-VP\tO' -p353159 -aS'diastolic\tdiastolic\tJJ\tB-NP\tO' -p353160 -aS'dysfunction\tdysfunction\tNN\tI-NP\tO' -p353161 -aS'from\tfrom\tIN\tB-PP\tO' -p353162 -aS'increased\tincrease\tVBN\tB-NP\tO' -p353163 -aS'heart\theart\tNN\tI-NP\tO' -p353164 -aS'rate\trate\tNN\tI-NP\tO' -p353165 -aS'as\tas\tRB\tB-CONJP\tO' -p353166 -aS'well\twell\tRB\tI-CONJP\tO' -p353167 -aS'as\tas\tIN\tI-CONJP\tO' -p353168 -aS'excess\texcess\tJJ\tB-NP\tO' -p353169 -aS'volume\tvolume\tNN\tI-NP\tO' -p353170 -aS'.\t.\t.\tO\tO' -p353171 -asS'Her neurological status continued to improve .' -p353172 -(lp353173 -S'Her\tHer\tPRP$\tB-NP\tO' -p353174 -aS'neurological\tneurological\tJJ\tI-NP\tO' -p353175 -aS'status\tstatus\tNN\tI-NP\tO' -p353176 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p353177 -aS'to\tto\tTO\tI-VP\tO' -p353178 -aS'improve\timprove\tVB\tI-VP\tO' -p353179 -aS'.\t.\t.\tO\tO' -p353180 -asS'The patient was admitted on 07/20/99 for a history of left chest wall pain from postthoracotomy syndrome .' -p353181 -(lp353182 -S'The\tThe\tDT\tB-NP\tO' -p353183 -aS'patient\tpatient\tNN\tI-NP\tO' -p353184 -aS'was\tbe\tVBD\tB-VP\tO' -p353185 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p353186 -aS'on\ton\tIN\tB-PP\tO' -p353187 -aS'07/20/99\t07/20/99\tCD\tB-NP\tO' -p353188 -aS'for\tfor\tIN\tB-PP\tO' -p353189 -aS'a\ta\tDT\tB-NP\tO' -p353190 -aS'history\thistory\tNN\tI-NP\tO' -p353191 -aS'of\tof\tIN\tB-PP\tO' -p353192 -aS'left\tleft\tJJ\tB-NP\tB-protein' -p353193 -aS'chest\tchest\tNN\tI-NP\tI-protein' -p353194 -aS'wall\twall\tNN\tI-NP\tI-protein' -p353195 -aS'pain\tpain\tNN\tI-NP\tI-protein' -p353196 -aS'from\tfrom\tIN\tB-PP\tO' -p353197 -aS'postthoracotomy\tpostthoracotomy\tJJ\tB-NP\tO' -p353198 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p353199 -aS'.\t.\t.\tO\tO' -p353200 -asS'On the left , there was a new shawdown but the biopsy was negative .' -p353201 -(lp353202 -S'On\tOn\tIN\tB-PP\tO' -p353203 -aS'the\tthe\tDT\tB-NP\tO' -p353204 -aS'left\tleft\tNN\tI-NP\tO' -p353205 -aS',\t,\t,\tO\tO' -p353206 -aS'there\tthere\tEX\tB-NP\tO' -p353207 -aS'was\tbe\tVBD\tB-VP\tO' -p353208 -aS'a\ta\tDT\tB-NP\tO' -p353209 -aS'new\tnew\tJJ\tI-NP\tO' -p353210 -aS'shawdown\tshawdown\tNN\tI-NP\tO' -p353211 -aS'but\tbut\tCC\tO\tO' -p353212 -aS'the\tthe\tDT\tB-NP\tO' -p353213 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p353214 -aS'was\tbe\tVBD\tB-VP\tO' -p353215 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p353216 -aS'.\t.\t.\tO\tO' -p353217 -asS'CMED CSRU : Listens and responds to questions appropriately , pleasant' -p353218 -(lp353219 -S'CMED\tCMED\tNNP\tB-NP\tO' -p353220 -aS'CSRU\tCSRU\tNNP\tI-NP\tO' -p353221 -aS':\t:\t:\tO\tO' -p353222 -aS'Listens\tListens\tNNP\tB-NP\tO' -p353223 -aS'and\tand\tCC\tO\tO' -p353224 -aS'responds\trespond\tVBZ\tB-VP\tO' -p353225 -aS'to\tto\tTO\tB-PP\tO' -p353226 -aS'questions\tquestion\tNNS\tB-NP\tO' -p353227 -aS'appropriately\tappropriately\tRB\tB-ADVP\tO' -p353228 -aS',\t,\t,\tO\tO' -p353229 -aS'pleasant\tpleasant\tNN\tB-NP\tO' -p353230 -asS'( On 02/06 , his bilirubin had been 7.2 with 6 direct ) .' -p353231 -(lp353232 -S'(\t(\t(\tO\tO' -p353233 -aS'On\tOn\tIN\tB-PP\tO' -p353234 -aS'02/06\t02/06\tCD\tB-NP\tO' -p353235 -aS',\t,\t,\tO\tO' -p353236 -aS'his\this\tPRP$\tB-NP\tO' -p353237 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p353238 -aS'had\thave\tVBD\tB-VP\tO' -p353239 -aS'been\tbe\tVBN\tI-VP\tO' -p353240 -aS'7.2\t7.2\tCD\tB-NP\tO' -p353241 -aS'with\twith\tIN\tB-PP\tO' -p353242 -aS'6\t6\tCD\tB-NP\tO' -p353243 -aS'direct\tdirect\tJJ\tI-NP\tO' -p353244 -aS')\t)\t)\tO\tO' -p353245 -aS'.\t.\t.\tO\tO' -p353246 -asS'Findings consistent with failure or fluid overload .' -p353247 -(lp353248 -S'Findings\tFinding\tNNS\tB-NP\tO' -p353249 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p353250 -aS'with\twith\tIN\tB-PP\tO' -p353251 -aS'failure\tfailure\tNN\tB-NP\tO' -p353252 -aS'or\tor\tCC\tO\tO' -p353253 -aS'fluid\tfluid\tNN\tB-NP\tO' -p353254 -aS'overload\toverload\tNN\tI-NP\tO' -p353255 -aS'.\t.\t.\tO\tO' -p353256 -asS'hydrochlorothiazide 25 mg. po q.day , Captopril 75 mg. po three times a day , Nifedipine 40 mg. po three times a day .' -p353257 -(lp353258 -S'hydrochlorothiazide\thydrochlorothiazide\tNN\tB-NP\tO' -p353259 -aS'25\t25\tCD\tI-NP\tO' -p353260 -aS'mg.\tmg.\tNN\tI-NP\tO' -p353261 -aS'po\tpo\tNN\tI-NP\tO' -p353262 -aS'q.day\tq.day\tNN\tI-NP\tO' -p353263 -aS',\t,\t,\tO\tO' -p353264 -aS'Captopril\tCaptopril\tNNP\tB-NP\tO' -p353265 -aS'75\t75\tCD\tI-NP\tO' -p353266 -aS'mg.\tmg.\tNN\tI-NP\tO' -p353267 -aS'po\tpo\tNN\tI-NP\tO' -p353268 -aS'three\tthree\tCD\tB-NP\tO' -p353269 -aS'times\ttime\tNNS\tI-NP\tO' -p353270 -aS'a\ta\tDT\tB-NP\tO' -p353271 -aS'day\tday\tNN\tI-NP\tO' -p353272 -aS',\t,\t,\tO\tO' -p353273 -aS'Nifedipine\tNifedipine\tNN\tB-NP\tO' -p353274 -aS'40\t40\tCD\tI-NP\tO' -p353275 -aS'mg.\tmg.\tNN\tI-NP\tO' -p353276 -aS'po\tpo\tNN\tI-NP\tO' -p353277 -aS'three\tthree\tCD\tB-NP\tO' -p353278 -aS'times\ttime\tNNS\tI-NP\tO' -p353279 -aS'a\ta\tDT\tB-NP\tO' -p353280 -aS'day\tday\tNN\tI-NP\tO' -p353281 -aS'.\t.\t.\tO\tO' -p353282 -asS'Hematocrit on admission was 38.2 .' -p353283 -(lp353284 -S'Hematocrit\tHematocrit\tNN\tB-NP\tO' -p353285 -aS'on\ton\tIN\tB-PP\tO' -p353286 -aS'admission\tadmission\tNN\tB-NP\tO' -p353287 -aS'was\tbe\tVBD\tB-VP\tO' -p353288 -aS'38.2\t38.2\tCD\tB-NP\tO' -p353289 -aS'.\t.\t.\tO\tO' -p353290 -asS'He denied ever having any chest pain , chest pressure , shortness of breath , dyspnea on exertion and he was discharged to home .' -p353291 -(lp353292 -S'He\tHe\tPRP\tB-NP\tO' -p353293 -aS'denied\tdeny\tVBD\tB-VP\tO' -p353294 -aS'ever\tever\tRB\tI-VP\tO' -p353295 -aS'having\thave\tVBG\tI-VP\tO' -p353296 -aS'any\tany\tDT\tB-NP\tO' -p353297 -aS'chest\tchest\tNN\tI-NP\tO' -p353298 -aS'pain\tpain\tNN\tI-NP\tO' -p353299 -aS',\t,\t,\tO\tO' -p353300 -aS'chest\tchest\tNN\tB-NP\tO' -p353301 -aS'pressure\tpressure\tNN\tI-NP\tO' -p353302 -aS',\t,\t,\tO\tO' -p353303 -aS'shortness\tshortness\tNN\tB-NP\tO' -p353304 -aS'of\tof\tIN\tB-PP\tO' -p353305 -aS'breath\tbreath\tNN\tB-NP\tO' -p353306 -aS',\t,\t,\tO\tO' -p353307 -aS'dyspnea\tdyspnea\tNN\tB-NP\tO' -p353308 -aS'on\ton\tIN\tB-PP\tO' -p353309 -aS'exertion\texertion\tNN\tB-NP\tO' -p353310 -aS'and\tand\tCC\tO\tO' -p353311 -aS'he\the\tPRP\tB-NP\tO' -p353312 -aS'was\tbe\tVBD\tB-VP\tO' -p353313 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p353314 -aS'to\tto\tTO\tB-PP\tO' -p353315 -aS'home\thome\tNN\tB-NP\tO' -p353316 -aS'.\t.\t.\tO\tO' -p353317 -asS'12. Cerebral aneurysm .' -p353318 -(lp353319 -S'12.\t12.\tLS\tB-NP\tO' -p353320 -aS'Cerebral\tCerebral\tJJ\tI-NP\tO' -p353321 -aS'aneurysm\taneurysm\tNN\tI-NP\tO' -p353322 -aS'.\t.\t.\tO\tO' -p353323 -asS'Narcolepsy .' -p353324 -(lp353325 -S'Narcolepsy\tNarcolepsy\tNN\tB-NP\tO' -p353326 -aS'.\t.\t.\tO\tO' -p353327 -asS'Heart sounds were normal and regular .' -p353328 -(lp353329 -S'Heart\tHeart\tNN\tB-NP\tO' -p353330 -aS'sounds\tsound\tNNS\tI-NP\tO' -p353331 -aS'were\tbe\tVBD\tB-VP\tO' -p353332 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p353333 -aS'and\tand\tCC\tI-ADJP\tO' -p353334 -aS'regular\tregular\tJJ\tI-ADJP\tO' -p353335 -aS'.\t.\t.\tO\tO' -p353336 -asS'The back was notable for tenderness at the level of L3-L5 .' -p353337 -(lp353338 -S'The\tThe\tDT\tB-NP\tO' -p353339 -aS'back\tback\tNN\tI-NP\tO' -p353340 -aS'was\tbe\tVBD\tB-VP\tO' -p353341 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p353342 -aS'for\tfor\tIN\tB-PP\tO' -p353343 -aS'tenderness\ttenderness\tNN\tB-NP\tO' -p353344 -aS'at\tat\tIN\tB-PP\tO' -p353345 -aS'the\tthe\tDT\tB-NP\tO' -p353346 -aS'level\tlevel\tNN\tI-NP\tO' -p353347 -aS'of\tof\tIN\tB-PP\tO' -p353348 -aS'L3-L5\tL3-L5\tNN\tB-NP\tB-protein' -p353349 -aS'.\t.\t.\tO\tO' -p353350 -asS'4. No hydronephrosis .' -p353351 -(lp353352 -S'4.\t4.\tLS\tB-LST\tO' -p353353 -aS'No\tNo\tDT\tB-NP\tO' -p353354 -aS'hydronephrosis\thydronephrosis\tNN\tI-NP\tO' -p353355 -aS'.\t.\t.\tO\tO' -p353356 -asS'Neck : no LAD , ? enlarged parotid glands bilaterally' -p353357 -(lp353358 -S'Neck\tNeck\tNN\tB-NP\tO' -p353359 -aS':\t:\t:\tO\tO' -p353360 -aS'no\tno\tDT\tB-NP\tO' -p353361 -aS'LAD\tLAD\tNN\tI-NP\tB-protein' -p353362 -aS',\t,\t,\tO\tO' -p353363 -aS'?\t?\t.\tO\tO' -p353364 -aS'enlarged\tenlarge\tVBD\tB-VP\tO' -p353365 -aS'parotid\tparotid\tNN\tB-NP\tO' -p353366 -aS'glands\tgland\tNNS\tI-NP\tO' -p353367 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p353368 -asS'The infant did not receive parenteral nutrition .' -p353369 -(lp353370 -S'The\tThe\tDT\tB-NP\tO' -p353371 -aS'infant\tinfant\tNN\tI-NP\tO' -p353372 -aS'did\tdo\tVBD\tB-VP\tO' -p353373 -aS'not\tnot\tRB\tI-VP\tO' -p353374 -aS'receive\treceive\tVB\tI-VP\tO' -p353375 -aS'parenteral\tparenteral\tJJ\tB-NP\tO' -p353376 -aS'nutrition\tnutrition\tNN\tI-NP\tO' -p353377 -aS'.\t.\t.\tO\tO' -p353378 -asS'ACE inhibitors , possible allergy to barium reported by the patient during a barium swallow 25 years ago .' -p353379 -(lp353380 -S'ACE\tACE\tNN\tB-NP\tO' -p353381 -aS'inhibitors\tinhibitor\tNNS\tI-NP\tO' -p353382 -aS',\t,\t,\tO\tO' -p353383 -aS'possible\tpossible\tJJ\tB-NP\tO' -p353384 -aS'allergy\tallergy\tNN\tI-NP\tO' -p353385 -aS'to\tto\tTO\tB-PP\tO' -p353386 -aS'barium\tbarium\tNN\tB-NP\tO' -p353387 -aS'reported\treport\tVBN\tB-VP\tO' -p353388 -aS'by\tby\tIN\tB-PP\tO' -p353389 -aS'the\tthe\tDT\tB-NP\tO' -p353390 -aS'patient\tpatient\tNN\tI-NP\tO' -p353391 -aS'during\tduring\tIN\tB-PP\tO' -p353392 -aS'a\ta\tDT\tB-NP\tO' -p353393 -aS'barium\tbarium\tNN\tI-NP\tO' -p353394 -aS'swallow\tswallow\tVB\tB-VP\tO' -p353395 -aS'25\t25\tCD\tB-NP\tO' -p353396 -aS'years\tyear\tNNS\tI-NP\tO' -p353397 -aS'ago\tago\tRB\tB-ADVP\tO' -p353398 -aS'.\t.\t.\tO\tO' -p353399 -asS'He was watched after his initial diagnosis , but six months later he developed rapidly increasing leukocytosis and he became more symptomatic .' -p353400 -(lp353401 -S'He\tHe\tPRP\tB-NP\tO' -p353402 -aS'was\tbe\tVBD\tB-VP\tO' -p353403 -aS'watched\twatch\tVBN\tI-VP\tO' -p353404 -aS'after\tafter\tIN\tB-PP\tO' -p353405 -aS'his\this\tPRP$\tB-NP\tO' -p353406 -aS'initial\tinitial\tJJ\tI-NP\tO' -p353407 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p353408 -aS',\t,\t,\tO\tO' -p353409 -aS'but\tbut\tCC\tO\tO' -p353410 -aS'six\tsix\tCD\tB-NP\tO' -p353411 -aS'months\tmonth\tNNS\tI-NP\tO' -p353412 -aS'later\tlater\tRB\tB-ADVP\tO' -p353413 -aS'he\the\tPRP\tB-NP\tO' -p353414 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p353415 -aS'rapidly\trapidly\tRB\tI-VP\tO' -p353416 -aS'increasing\tincrease\tVBG\tI-VP\tO' -p353417 -aS'leukocytosis\tleukocytosis\tNN\tB-NP\tO' -p353418 -aS'and\tand\tCC\tO\tO' -p353419 -aS'he\the\tPRP\tB-NP\tO' -p353420 -aS'became\tbecome\tVBD\tB-VP\tO' -p353421 -aS'more\tmore\tRBR\tB-ADJP\tO' -p353422 -aS'symptomatic\tsymptomatic\tJJ\tI-ADJP\tO' -p353423 -aS'.\t.\t.\tO\tO' -p353424 -asS'Patient lives at home with his mother , father and brother .' -p353425 -(lp353426 -S'Patient\tPatient\tNN\tB-NP\tO' -p353427 -aS'lives\tlive\tVBZ\tB-VP\tO' -p353428 -aS'at\tat\tIN\tB-PP\tO' -p353429 -aS'home\thome\tNN\tB-NP\tO' -p353430 -aS'with\twith\tIN\tB-PP\tO' -p353431 -aS'his\this\tPRP$\tB-NP\tO' -p353432 -aS'mother\tmother\tNN\tI-NP\tO' -p353433 -aS',\t,\t,\tI-NP\tO' -p353434 -aS'father\tfather\tNN\tI-NP\tO' -p353435 -aS'and\tand\tCC\tI-NP\tO' -p353436 -aS'brother\tbrother\tNN\tI-NP\tO' -p353437 -aS'.\t.\t.\tO\tO' -p353438 -asS'Mild right facial droop .' -p353439 -(lp353440 -S'Mild\tMild\tJJ\tB-NP\tO' -p353441 -aS'right\tright\tJJ\tI-NP\tO' -p353442 -aS'facial\tfacial\tJJ\tI-NP\tO' -p353443 -aS'droop\tdroop\tNN\tI-NP\tO' -p353444 -aS'.\t.\t.\tO\tO' -p353445 -asS'The patient is a 37-year-old white male with AIDS complicated by recurrent pseudomonas infections presently on Ceftazidime and Aztrenam complicated by MAI who comes in with fever , chills and blood cultures positive for candida species .' -p353446 -(lp353447 -S'The\tThe\tDT\tB-NP\tO' -p353448 -aS'patient\tpatient\tNN\tI-NP\tO' -p353449 -aS'is\tbe\tVBZ\tB-VP\tO' -p353450 -aS'a\ta\tDT\tB-NP\tO' -p353451 -aS'37-year-old\t37-year-old\tJJ\tI-NP\tO' -p353452 -aS'white\twhite\tJJ\tI-NP\tO' -p353453 -aS'male\tmale\tNN\tI-NP\tO' -p353454 -aS'with\twith\tIN\tB-PP\tO' -p353455 -aS'AIDS\tAIDS\tNN\tB-NP\tO' -p353456 -aS'complicated\tcomplicate\tVBN\tB-VP\tO' -p353457 -aS'by\tby\tIN\tB-PP\tO' -p353458 -aS'recurrent\trecurrent\tJJ\tB-NP\tO' -p353459 -aS'pseudomonas\tpseudomonas\tNN\tI-NP\tO' -p353460 -aS'infections\tinfection\tNNS\tI-NP\tO' -p353461 -aS'presently\tpresently\tRB\tB-ADVP\tO' -p353462 -aS'on\ton\tIN\tB-PP\tO' -p353463 -aS'Ceftazidime\tCeftazidime\tNN\tB-NP\tO' -p353464 -aS'and\tand\tCC\tI-NP\tO' -p353465 -aS'Aztrenam\tAztrenam\tNN\tI-NP\tO' -p353466 -aS'complicated\tcomplicate\tVBN\tB-VP\tO' -p353467 -aS'by\tby\tIN\tB-PP\tO' -p353468 -aS'MAI\tMAI\tNN\tB-NP\tB-protein' -p353469 -aS'who\twho\tWP\tB-NP\tO' -p353470 -aS'comes\tcome\tVBZ\tB-VP\tO' -p353471 -aS'in\tin\tRP\tB-PRT\tO' -p353472 -aS'with\twith\tIN\tB-PP\tO' -p353473 -aS'fever\tfever\tNN\tB-NP\tO' -p353474 -aS',\t,\t,\tO\tO' -p353475 -aS'chills\tchill\tNNS\tB-NP\tO' -p353476 -aS'and\tand\tCC\tO\tO' -p353477 -aS'blood\tblood\tNN\tB-NP\tO' -p353478 -aS'cultures\tculture\tNNS\tI-NP\tO' -p353479 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p353480 -aS'for\tfor\tIN\tB-PP\tO' -p353481 -aS'candida\tcandida\tNN\tB-NP\tB-protein' -p353482 -aS'species\tspecie\tNNS\tI-NP\tI-protein' -p353483 -aS'.\t.\t.\tO\tO' -p353484 -asS'The following day the patient received a permanent dual chamber rate responsive pacemaker .' -p353485 -(lp353486 -S'The\tThe\tDT\tB-NP\tO' -p353487 -aS'following\tfollow\tVBG\tI-NP\tO' -p353488 -aS'day\tday\tNN\tI-NP\tO' -p353489 -aS'the\tthe\tDT\tB-NP\tO' -p353490 -aS'patient\tpatient\tNN\tI-NP\tO' -p353491 -aS'received\treceive\tVBD\tB-VP\tO' -p353492 -aS'a\ta\tDT\tB-NP\tO' -p353493 -aS'permanent\tpermanent\tJJ\tI-NP\tO' -p353494 -aS'dual\tdual\tJJ\tI-NP\tO' -p353495 -aS'chamber\tchamber\tNN\tI-NP\tO' -p353496 -aS'rate\trate\tNN\tI-NP\tO' -p353497 -aS'responsive\tresponsive\tJJ\tI-NP\tO' -p353498 -aS'pacemaker\tpacemaker\tNN\tI-NP\tO' -p353499 -aS'.\t.\t.\tO\tO' -p353500 -asS'Probable ateletasis of lingula , consistent with pneumonitis' -p353501 -(lp353502 -S'Probable\tProbable\tJJ\tB-NP\tO' -p353503 -aS'ateletasis\tateletasis\tNN\tI-NP\tO' -p353504 -aS'of\tof\tIN\tB-PP\tO' -p353505 -aS'lingula\tlingula\tNN\tB-NP\tO' -p353506 -aS',\t,\t,\tO\tO' -p353507 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p353508 -aS'with\twith\tIN\tB-PP\tO' -p353509 -aS'pneumonitis\tpneumonitis\tNN\tB-NP\tO' -p353510 -asS'Both are less than 2 cm .' -p353511 -(lp353512 -S'Both\tBoth\tDT\tB-NP\tO' -p353513 -aS'are\tbe\tVBP\tB-VP\tO' -p353514 -aS'less\tless\tJJR\tB-NP\tO' -p353515 -aS'than\tthan\tIN\tI-NP\tO' -p353516 -aS'2\t2\tCD\tI-NP\tO' -p353517 -aS'cm\tcm\tNN\tI-NP\tO' -p353518 -aS'.\t.\t.\tO\tO' -p353519 -asS'She was continued on Protonix over the course of her hospital stay and had no further gastrointestinal issues .' -p353520 -(lp353521 -S'She\tShe\tPRP\tB-NP\tO' -p353522 -aS'was\tbe\tVBD\tB-VP\tO' -p353523 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p353524 -aS'on\ton\tIN\tB-PP\tO' -p353525 -aS'Protonix\tProtonix\tNNP\tB-NP\tO' -p353526 -aS'over\tover\tIN\tB-PP\tO' -p353527 -aS'the\tthe\tDT\tB-NP\tO' -p353528 -aS'course\tcourse\tNN\tI-NP\tO' -p353529 -aS'of\tof\tIN\tB-PP\tO' -p353530 -aS'her\ther\tPRP$\tB-NP\tO' -p353531 -aS'hospital\thospital\tNN\tI-NP\tO' -p353532 -aS'stay\tstay\tNN\tI-NP\tO' -p353533 -aS'and\tand\tCC\tO\tO' -p353534 -aS'had\thave\tVBD\tB-VP\tO' -p353535 -aS'no\tno\tDT\tB-NP\tO' -p353536 -aS'further\tfurther\tJJ\tI-NP\tO' -p353537 -aS'gastrointestinal\tgastrointestinal\tJJ\tI-NP\tO' -p353538 -aS'issues\tissue\tNNS\tI-NP\tO' -p353539 -aS'.\t.\t.\tO\tO' -p353540 -asS'1. Atenolol 25 mg p.o. q. day .' -p353541 -(lp353542 -S'1.\t1.\tLS\tB-NP\tO' -p353543 -aS'Atenolol\tAtenolol\tNN\tI-NP\tO' -p353544 -aS'25\t25\tCD\tI-NP\tO' -p353545 -aS'mg\tmg\tNN\tI-NP\tO' -p353546 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p353547 -aS'q.\tq.\tNN\tI-NP\tO' -p353548 -aS'day\tday\tNN\tI-NP\tO' -p353549 -aS'.\t.\t.\tO\tO' -p353550 -asS'She presented with left upper quadrant pain as well as nausea and vomiting which is a long-standing complaint .' -p353551 -(lp353552 -S'She\tShe\tPRP\tB-NP\tO' -p353553 -aS'presented\tpresent\tVBD\tB-VP\tO' -p353554 -aS'with\twith\tIN\tB-PP\tO' -p353555 -aS'left\tleft\tJJ\tB-NP\tB-protein' -p353556 -aS'upper\tupper\tJJ\tI-NP\tI-protein' -p353557 -aS'quadrant\tquadrant\tJJ\tI-NP\tI-protein' -p353558 -aS'pain\tpain\tNN\tI-NP\tI-protein' -p353559 -aS'as\tas\tRB\tB-CONJP\tO' -p353560 -aS'well\twell\tRB\tI-CONJP\tO' -p353561 -aS'as\tas\tIN\tI-CONJP\tO' -p353562 -aS'nausea\tnausea\tNN\tB-NP\tO' -p353563 -aS'and\tand\tCC\tI-NP\tO' -p353564 -aS'vomiting\tvomiting\tNN\tI-NP\tO' -p353565 -aS'which\twhich\tWDT\tB-NP\tO' -p353566 -aS'is\tbe\tVBZ\tB-VP\tO' -p353567 -aS'a\ta\tDT\tB-NP\tO' -p353568 -aS'long-standing\tlong-standing\tJJ\tI-NP\tO' -p353569 -aS'complaint\tcomplaint\tNN\tI-NP\tO' -p353570 -aS'.\t.\t.\tO\tO' -p353571 -asS'6. Trauma was also considered .' -p353572 -(lp353573 -S'6.\t6.\tLS\tB-LST\tO' -p353574 -aS'Trauma\tTrauma\tNNP\tB-NP\tO' -p353575 -aS'was\tbe\tVBD\tB-VP\tO' -p353576 -aS'also\talso\tRB\tI-VP\tO' -p353577 -aS'considered\tconsider\tVBN\tI-VP\tO' -p353578 -aS'.\t.\t.\tO\tO' -p353579 -asS'Pt was admitted to the CMED CCU , intubated overnight for ERCP procedure and fluid resuscitation .' -p353580 -(lp353581 -S'Pt\tPt\tNN\tB-NP\tO' -p353582 -aS'was\tbe\tVBD\tB-VP\tO' -p353583 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p353584 -aS'to\tto\tTO\tB-PP\tO' -p353585 -aS'the\tthe\tDT\tB-NP\tO' -p353586 -aS'CMED\tCMED\tNNP\tI-NP\tO' -p353587 -aS'CCU\tCCU\tNNP\tI-NP\tO' -p353588 -aS',\t,\t,\tO\tO' -p353589 -aS'intubated\tintubate\tVBD\tB-VP\tO' -p353590 -aS'overnight\tovernight\tRB\tB-ADVP\tO' -p353591 -aS'for\tfor\tIN\tB-PP\tO' -p353592 -aS'ERCP\tERCP\tNN\tB-NP\tO' -p353593 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p353594 -aS'and\tand\tCC\tO\tO' -p353595 -aS'fluid\tfluid\tNN\tB-NP\tO' -p353596 -aS'resuscitation\tresuscitation\tNN\tI-NP\tO' -p353597 -aS'.\t.\t.\tO\tO' -p353598 -asS'Lasix 2.5 mg. intravenous qid .' -p353599 -(lp353600 -S'Lasix\tLasix\tNN\tB-NP\tO' -p353601 -aS'2.5\t2.5\tCD\tI-NP\tO' -p353602 -aS'mg.\tmg.\tNN\tI-NP\tO' -p353603 -aS'intravenous\tintravenous\tJJ\tI-NP\tO' -p353604 -aS'qid\tqid\tNN\tI-NP\tO' -p353605 -aS'.\t.\t.\tO\tO' -p353606 -asS'Loose bowel movements - This problem was resolved and had been a viral syndrome on presentation .' -p353607 -(lp353608 -S'Loose\tLoose\tJJ\tB-NP\tO' -p353609 -aS'bowel\tbowel\tNN\tI-NP\tO' -p353610 -aS'movements\tmovement\tNNS\tI-NP\tO' -p353611 -aS'-\t-\t:\tO\tO' -p353612 -aS'This\tThis\tDT\tB-NP\tO' -p353613 -aS'problem\tproblem\tNN\tI-NP\tO' -p353614 -aS'was\tbe\tVBD\tB-VP\tO' -p353615 -aS'resolved\tresolve\tVBN\tI-VP\tO' -p353616 -aS'and\tand\tCC\tO\tO' -p353617 -aS'had\thave\tVBD\tB-VP\tO' -p353618 -aS'been\tbe\tVBN\tI-VP\tO' -p353619 -aS'a\ta\tDT\tB-NP\tO' -p353620 -aS'viral\tviral\tJJ\tI-NP\tO' -p353621 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p353622 -aS'on\ton\tIN\tB-PP\tO' -p353623 -aS'presentation\tpresentation\tNN\tB-NP\tO' -p353624 -aS'.\t.\t.\tO\tO' -p353625 -asS'INTRAOPERATIVELY , THE PATIENT WAS FOUND TO HAVE SMALL BOWEL OBSTRUCTION WITH ISCHEMIC SMALL BOWEL .' -p353626 -(lp353627 -S'INTRAOPERATIVELY\tINTRAOPERATIVELY\tNN\tB-NP\tO' -p353628 -aS',\t,\t,\tO\tO' -p353629 -aS'THE\tTHE\tDT\tB-NP\tO' -p353630 -aS'PATIENT\tPATIENT\tNN\tI-NP\tO' -p353631 -aS'WAS\tWAS\tNN\tI-NP\tO' -p353632 -aS'FOUND\tFOUND\tNN\tI-NP\tO' -p353633 -aS'TO\tTO\tTO\tB-PP\tO' -p353634 -aS'HAVE\tHAVE\tNNP\tB-NP\tO' -p353635 -aS'SMALL\tSMALL\tNNP\tI-NP\tO' -p353636 -aS'BOWEL\tBOWEL\tNNP\tI-NP\tO' -p353637 -aS'OBSTRUCTION\tOBSTRUCTION\tNNP\tI-NP\tO' -p353638 -aS'WITH\tWITH\tNNP\tI-NP\tO' -p353639 -aS'ISCHEMIC\tISCHEMIC\tNNP\tI-NP\tO' -p353640 -aS'SMALL\tSMALL\tNNP\tI-NP\tO' -p353641 -aS'BOWEL\tBOWEL\tNNP\tI-NP\tO' -p353642 -aS'.\t.\t.\tO\tO' -p353643 -asS'He was afebrile with normal vitals .' -p353644 -(lp353645 -S'He\tHe\tPRP\tB-NP\tO' -p353646 -aS'was\tbe\tVBD\tB-VP\tO' -p353647 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p353648 -aS'with\twith\tIN\tB-PP\tO' -p353649 -aS'normal\tnormal\tJJ\tB-NP\tO' -p353650 -aS'vitals\tvital\tNNS\tI-NP\tO' -p353651 -aS'.\t.\t.\tO\tO' -p353652 -asS'2. Status post sternal debridement .' -p353653 -(lp353654 -S'2.\t2.\tLS\tB-LST\tO' -p353655 -aS'Status\tStatus\tNNP\tB-NP\tO' -p353656 -aS'post\tpost\tIN\tB-PP\tO' -p353657 -aS'sternal\tsternal\tJJ\tB-NP\tO' -p353658 -aS'debridement\tdebridement\tNN\tI-NP\tO' -p353659 -aS'.\t.\t.\tO\tO' -p353660 -asS'The urine sodium was 147 .' -p353661 -(lp353662 -S'The\tThe\tDT\tB-NP\tO' -p353663 -aS'urine\turine\tNN\tI-NP\tO' -p353664 -aS'sodium\tsodium\tNN\tI-NP\tO' -p353665 -aS'was\tbe\tVBD\tB-VP\tO' -p353666 -aS'147\t147\tCD\tB-NP\tO' -p353667 -aS'.\t.\t.\tO\tO' -p353668 -asS'The patient was discharged home in stable condition on postoperative day number five , without any complications .' -p353669 -(lp353670 -S'The\tThe\tDT\tB-NP\tO' -p353671 -aS'patient\tpatient\tNN\tI-NP\tO' -p353672 -aS'was\tbe\tVBD\tB-VP\tO' -p353673 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p353674 -aS'home\thome\tNN\tB-ADVP\tO' -p353675 -aS'in\tin\tIN\tB-PP\tO' -p353676 -aS'stable\tstable\tJJ\tB-NP\tO' -p353677 -aS'condition\tcondition\tNN\tI-NP\tO' -p353678 -aS'on\ton\tIN\tB-PP\tO' -p353679 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p353680 -aS'day\tday\tNN\tI-NP\tO' -p353681 -aS'number\tnumber\tNN\tI-NP\tO' -p353682 -aS'five\tfive\tCD\tI-NP\tO' -p353683 -aS',\t,\t,\tO\tO' -p353684 -aS'without\twithout\tIN\tB-PP\tO' -p353685 -aS'any\tany\tDT\tB-NP\tO' -p353686 -aS'complications\tcomplication\tNNS\tI-NP\tO' -p353687 -aS'.\t.\t.\tO\tO' -p353688 -asS'11. Oxygen per nasal cannula as needed .' -p353689 -(lp353690 -S'11.\t11.\tLS\tB-NP\tO' -p353691 -aS'Oxygen\tOxygen\tNN\tI-NP\tO' -p353692 -aS'per\tper\tIN\tB-PP\tO' -p353693 -aS'nasal\tnasal\tJJ\tB-NP\tO' -p353694 -aS'cannula\tcannula\tNN\tI-NP\tO' -p353695 -aS'as\tas\tIN\tB-SBAR\tO' -p353696 -aS'needed\tneed\tVBN\tB-VP\tO' -p353697 -aS'.\t.\t.\tO\tO' -p353698 -asS'Patient had a cesarean section at eight months .' -p353699 -(lp353700 -S'Patient\tPatient\tNN\tB-NP\tO' -p353701 -aS'had\thave\tVBD\tB-VP\tO' -p353702 -aS'a\ta\tDT\tB-NP\tO' -p353703 -aS'cesarean\tcesarean\tJJ\tI-NP\tO' -p353704 -aS'section\tsection\tNN\tI-NP\tO' -p353705 -aS'at\tat\tIN\tB-PP\tO' -p353706 -aS'eight\teight\tCD\tB-NP\tO' -p353707 -aS'months\tmonth\tNNS\tI-NP\tO' -p353708 -aS'.\t.\t.\tO\tO' -p353709 -asS'Quetiapine was continued however clonipin was initially held when she was intubated on fentynyl / versed .' -p353710 -(lp353711 -S'Quetiapine\tQuetiapine\tNN\tB-NP\tO' -p353712 -aS'was\tbe\tVBD\tB-VP\tO' -p353713 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p353714 -aS'however\thowever\tRB\tB-NP\tO' -p353715 -aS'clonipin\tclonipin\tNN\tI-NP\tO' -p353716 -aS'was\tbe\tVBD\tB-VP\tO' -p353717 -aS'initially\tinitially\tRB\tI-VP\tO' -p353718 -aS'held\thold\tVBN\tI-VP\tO' -p353719 -aS'when\twhen\tWRB\tB-ADVP\tO' -p353720 -aS'she\tshe\tPRP\tB-NP\tO' -p353721 -aS'was\tbe\tVBD\tB-VP\tO' -p353722 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p353723 -aS'on\ton\tIN\tB-PP\tO' -p353724 -aS'fentynyl\tfentynyl\tNN\tB-NP\tO' -p353725 -aS'/\t/\tSYM\tB-NP\tO' -p353726 -aS'versed\tverse\tVBN\tB-VP\tO' -p353727 -aS'.\t.\t.\tO\tO' -p353728 -asS'The abdomen revealed normal active bowel sounds , soft , nontender , obese , and nondistended .' -p353729 -(lp353730 -S'The\tThe\tDT\tB-NP\tO' -p353731 -aS'abdomen\tabdoman\tNNS\tI-NP\tO' -p353732 -aS'revealed\treveal\tVBD\tB-VP\tO' -p353733 -aS'normal\tnormal\tJJ\tB-NP\tO' -p353734 -aS'active\tactive\tJJ\tI-NP\tO' -p353735 -aS'bowel\tbowel\tNN\tI-NP\tO' -p353736 -aS'sounds\tsound\tNNS\tI-NP\tO' -p353737 -aS',\t,\t,\tO\tO' -p353738 -aS'soft\tsoft\tJJ\tB-NP\tO' -p353739 -aS',\t,\t,\tI-NP\tO' -p353740 -aS'nontender\tnontender\tJJ\tI-NP\tO' -p353741 -aS',\t,\t,\tI-NP\tO' -p353742 -aS'obese\tobese\tJJ\tI-NP\tO' -p353743 -aS',\t,\t,\tI-NP\tO' -p353744 -aS'and\tand\tCC\tI-NP\tO' -p353745 -aS'nondistended\tnondistended\tJJ\tI-NP\tO' -p353746 -aS'.\t.\t.\tO\tO' -p353747 -asS'- watch for BZD withdrawal , agitation' -p353748 -(lp353749 -S'-\t-\tHYPH\tB-NP\tO' -p353750 -aS'watch\twatch\tNN\tI-NP\tO' -p353751 -aS'for\tfor\tIN\tB-PP\tO' -p353752 -aS'BZD\tBZD\tNN\tB-NP\tO' -p353753 -aS'withdrawal\twithdrawal\tNN\tI-NP\tO' -p353754 -aS',\t,\t,\tO\tO' -p353755 -aS'agitation\tagitation\tNN\tB-NP\tO' -p353756 -asS'This report was created by KOTEKOLL , CH 10/17/2001 07:08 PM' -p353757 -(lp353758 -S'This\tThis\tDT\tB-NP\tO' -p353759 -aS'report\treport\tNN\tI-NP\tO' -p353760 -aS'was\tbe\tVBD\tB-VP\tO' -p353761 -aS'created\tcreate\tVBN\tI-VP\tO' -p353762 -aS'by\tby\tIN\tB-PP\tO' -p353763 -aS'KOTEKOLL\tKOTEKOLL\tNNP\tB-NP\tO' -p353764 -aS',\t,\t,\tO\tO' -p353765 -aS'CH\tCH\tNNP\tB-NP\tO' -p353766 -aS'10/17/2001\t10/17/2001\tCD\tB-NP\tO' -p353767 -aS'07:08\t07:08\tCD\tI-NP\tO' -p353768 -aS'PM\tPM\tNN\tI-NP\tO' -p353769 -asS'Cardiac examination was remarkable for frequent ectopic beats .' -p353770 -(lp353771 -S'Cardiac\tCardiac\tJJ\tB-NP\tO' -p353772 -aS'examination\texamination\tNN\tI-NP\tO' -p353773 -aS'was\tbe\tVBD\tB-VP\tO' -p353774 -aS'remarkable\tremarkable\tJJ\tB-ADJP\tO' -p353775 -aS'for\tfor\tIN\tB-PP\tO' -p353776 -aS'frequent\tfrequent\tJJ\tB-NP\tO' -p353777 -aS'ectopic\tectopic\tJJ\tI-NP\tO' -p353778 -aS'beats\tbeat\tNNS\tI-NP\tO' -p353779 -aS'.\t.\t.\tO\tO' -p353780 -asS'1. Plavix 75 mg times 6 doses .' -p353781 -(lp353782 -S'1.\t1.\tLS\tB-NP\tO' -p353783 -aS'Plavix\tPlavix\tNNP\tI-NP\tO' -p353784 -aS'75\t75\tCD\tI-NP\tO' -p353785 -aS'mg\tmg\tNN\tI-NP\tO' -p353786 -aS'times\ttime\tNNS\tI-NP\tO' -p353787 -aS'6\t6\tCD\tI-NP\tO' -p353788 -aS'doses\tdose\tNNS\tI-NP\tO' -p353789 -aS'.\t.\t.\tO\tO' -p353790 -asS'ALT 27 , AST 21 , alkaline phosphatase 72 , total bilirubin 1.2 , amylase 47 .' -p353791 -(lp353792 -S'ALT\tALT\tNN\tB-NP\tB-protein' -p353793 -aS'27\t27\tCD\tI-NP\tI-protein' -p353794 -aS',\t,\t,\tO\tO' -p353795 -aS'AST\tAST\tNN\tB-NP\tO' -p353796 -aS'21\t21\tCD\tI-NP\tO' -p353797 -aS',\t,\t,\tO\tO' -p353798 -aS'alkaline\talkaline\tNN\tB-NP\tO' -p353799 -aS'phosphatase\tphosphatase\tNN\tI-NP\tO' -p353800 -aS'72\t72\tCD\tI-NP\tO' -p353801 -aS',\t,\t,\tO\tO' -p353802 -aS'total\ttotal\tJJ\tB-NP\tO' -p353803 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p353804 -aS'1.2\t1.2\tCD\tI-NP\tO' -p353805 -aS',\t,\t,\tO\tO' -p353806 -aS'amylase\tamylase\tNN\tB-NP\tO' -p353807 -aS'47\t47\tCD\tI-NP\tO' -p353808 -aS'.\t.\t.\tO\tO' -p353809 -asS'However , he continued to have left arm focal motor seizures and problems thinking .' -p353810 -(lp353811 -S'However\tHowever\tRB\tB-ADVP\tO' -p353812 -aS',\t,\t,\tO\tO' -p353813 -aS'he\the\tPRP\tB-NP\tO' -p353814 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p353815 -aS'to\tto\tTO\tI-VP\tO' -p353816 -aS'have\thave\tVB\tI-VP\tO' -p353817 -aS'left\tleave\tVBN\tI-VP\tO' -p353818 -aS'arm\tarm\tNN\tB-NP\tO' -p353819 -aS'focal\tfocal\tJJ\tI-NP\tO' -p353820 -aS'motor\tmotor\tNN\tI-NP\tO' -p353821 -aS'seizures\tseizure\tNNS\tI-NP\tO' -p353822 -aS'and\tand\tCC\tI-NP\tO' -p353823 -aS'problems\tproblem\tNNS\tI-NP\tO' -p353824 -aS'thinking\tthink\tVBG\tB-VP\tO' -p353825 -aS'.\t.\t.\tO\tO' -p353826 -asS'Mr. Breath was a 32 year old previously healthy unbelted driver whose car was hit at high speed by a vehicle driven by an intoxicated driver .' -p353827 -(lp353828 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p353829 -aS'Breath\tBreath\tNNP\tI-NP\tO' -p353830 -aS'was\tbe\tVBD\tB-VP\tO' -p353831 -aS'a\ta\tDT\tB-NP\tO' -p353832 -aS'32\t32\tCD\tI-NP\tO' -p353833 -aS'year\tyear\tNN\tI-NP\tO' -p353834 -aS'old\told\tJJ\tI-NP\tO' -p353835 -aS'previously\tpreviously\tRB\tI-NP\tO' -p353836 -aS'healthy\thealthy\tJJ\tI-NP\tO' -p353837 -aS'unbelted\tunbelted\tJJ\tI-NP\tO' -p353838 -aS'driver\tdriver\tNN\tI-NP\tO' -p353839 -aS'whose\twhose\tWP$\tB-NP\tO' -p353840 -aS'car\tcar\tNN\tI-NP\tB-protein' -p353841 -aS'was\tbe\tVBD\tB-VP\tO' -p353842 -aS'hit\thit\tVBN\tI-VP\tO' -p353843 -aS'at\tat\tIN\tB-PP\tO' -p353844 -aS'high\thigh\tJJ\tB-NP\tO' -p353845 -aS'speed\tspeed\tNN\tI-NP\tO' -p353846 -aS'by\tby\tIN\tB-PP\tO' -p353847 -aS'a\ta\tDT\tB-NP\tO' -p353848 -aS'vehicle\tvehicle\tNN\tI-NP\tO' -p353849 -aS'driven\tdrive\tVBN\tB-VP\tO' -p353850 -aS'by\tby\tIN\tB-PP\tO' -p353851 -aS'an\tan\tDT\tB-NP\tO' -p353852 -aS'intoxicated\tintoxicated\tJJ\tI-NP\tO' -p353853 -aS'driver\tdriver\tNN\tI-NP\tO' -p353854 -aS'.\t.\t.\tO\tO' -p353855 -asS'Rheumatology was also consulted for patient and after workup , it was believed that arthritis may be a rheumatoid factor negative , rheumatoid polyarthritis .' -p353856 -(lp353857 -S'Rheumatology\tRheumatology\tNN\tB-NP\tO' -p353858 -aS'was\tbe\tVBD\tB-VP\tO' -p353859 -aS'also\talso\tRB\tI-VP\tO' -p353860 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p353861 -aS'for\tfor\tIN\tB-PP\tO' -p353862 -aS'patient\tpatient\tNN\tB-NP\tO' -p353863 -aS'and\tand\tCC\tB-PP\tO' -p353864 -aS'after\tafter\tIN\tB-PP\tO' -p353865 -aS'workup\tworkup\tNN\tB-NP\tO' -p353866 -aS',\t,\t,\tO\tO' -p353867 -aS'it\tit\tPRP\tB-NP\tO' -p353868 -aS'was\tbe\tVBD\tB-VP\tO' -p353869 -aS'believed\tbelieve\tVBN\tI-VP\tO' -p353870 -aS'that\tthat\tIN\tB-SBAR\tO' -p353871 -aS'arthritis\tarthritis\tNN\tB-NP\tO' -p353872 -aS'may\tmay\tMD\tB-VP\tO' -p353873 -aS'be\tbe\tVB\tI-VP\tO' -p353874 -aS'a\ta\tDT\tB-NP\tO' -p353875 -aS'rheumatoid\trheumatoid\tJJ\tI-NP\tO' -p353876 -aS'factor\tfactor\tNN\tI-NP\tO' -p353877 -aS'negative\tnegative\tJJ\tI-NP\tO' -p353878 -aS',\t,\t,\tI-NP\tO' -p353879 -aS'rheumatoid\trheumatoid\tJJ\tI-NP\tO' -p353880 -aS'polyarthritis\tpolyarthritis\tNN\tI-NP\tO' -p353881 -aS'.\t.\t.\tO\tO' -p353882 -asS'In general , she is well appearing in no acute distress .' -p353883 -(lp353884 -S'In\tIn\tIN\tB-PP\tO' -p353885 -aS'general\tgeneral\tJJ\tB-ADJP\tO' -p353886 -aS',\t,\t,\tO\tO' -p353887 -aS'she\tshe\tPRP\tB-NP\tO' -p353888 -aS'is\tbe\tVBZ\tB-VP\tO' -p353889 -aS'well\twell\tRB\tI-VP\tO' -p353890 -aS'appearing\tappear\tVBG\tI-VP\tO' -p353891 -aS'in\tin\tIN\tB-PP\tO' -p353892 -aS'no\tno\tDT\tB-NP\tO' -p353893 -aS'acute\tacute\tJJ\tI-NP\tO' -p353894 -aS'distress\tdistress\tNN\tI-NP\tO' -p353895 -aS'.\t.\t.\tO\tO' -p353896 -asS'RED CELL MORPHOLOGY Hypochr Anisocy Poiklo Macrocy Microcy Polychr' -p353897 -(lp353898 -S'RED\tRED\tNNP\tB-NP\tB-cell_type' -p353899 -aS'CELL\tCELL\tNNP\tI-NP\tI-cell_type' -p353900 -aS'MORPHOLOGY\tMORPHOLOGY\tNNP\tI-NP\tO' -p353901 -aS'Hypochr\tHypochr\tNNP\tI-NP\tO' -p353902 -aS'Anisocy\tAnisocy\tNNP\tI-NP\tO' -p353903 -aS'Poiklo\tPoiklo\tNNP\tI-NP\tO' -p353904 -aS'Macrocy\tMacrocy\tNNP\tI-NP\tO' -p353905 -aS'Microcy\tMicrocy\tNNP\tI-NP\tO' -p353906 -aS'Polychr\tPolychr\tNNP\tI-NP\tO' -p353907 -asS'Abdominal ultrasound was unremarkable .' -p353908 -(lp353909 -S'Abdominal\tAbdominal\tJJ\tB-NP\tO' -p353910 -aS'ultrasound\tultrasound\tNN\tI-NP\tO' -p353911 -aS'was\tbe\tVBD\tB-VP\tO' -p353912 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p353913 -aS'.\t.\t.\tO\tO' -p353914 -asS'It was recommended by Gastroenterology that the patient is to stay off aspirin for at least four to six weeks at discharge to prevent further bleeding .' -p353915 -(lp353916 -S'It\tIt\tPRP\tB-NP\tO' -p353917 -aS'was\tbe\tVBD\tB-VP\tO' -p353918 -aS'recommended\trecommend\tVBN\tI-VP\tO' -p353919 -aS'by\tby\tIN\tB-PP\tO' -p353920 -aS'Gastroenterology\tGastroenterology\tNNP\tB-NP\tO' -p353921 -aS'that\tthat\tIN\tB-SBAR\tO' -p353922 -aS'the\tthe\tDT\tB-NP\tO' -p353923 -aS'patient\tpatient\tNN\tI-NP\tO' -p353924 -aS'is\tbe\tVBZ\tB-VP\tO' -p353925 -aS'to\tto\tTO\tB-VP\tO' -p353926 -aS'stay\tstay\tVB\tI-VP\tO' -p353927 -aS'off\toff\tRP\tB-PRT\tO' -p353928 -aS'aspirin\taspirin\tNN\tB-NP\tO' -p353929 -aS'for\tfor\tIN\tB-PP\tO' -p353930 -aS'at\tat\tIN\tB-NP\tO' -p353931 -aS'least\tleast\tJJS\tI-NP\tO' -p353932 -aS'four\tfour\tCD\tI-NP\tO' -p353933 -aS'to\tto\tTO\tI-NP\tO' -p353934 -aS'six\tsix\tCD\tI-NP\tO' -p353935 -aS'weeks\tweek\tNNS\tI-NP\tO' -p353936 -aS'at\tat\tIN\tB-PP\tO' -p353937 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p353938 -aS'to\tto\tTO\tB-VP\tO' -p353939 -aS'prevent\tprevent\tVB\tI-VP\tO' -p353940 -aS'further\tfurther\tJJ\tB-NP\tO' -p353941 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p353942 -aS'.\t.\t.\tO\tO' -p353943 -asS'Group B strep status negative .' -p353944 -(lp353945 -S'Group\tGroup\tNN\tB-NP\tO' -p353946 -aS'B\tB\tNN\tI-NP\tO' -p353947 -aS'strep\tstrep\tNN\tI-NP\tO' -p353948 -aS'status\tstatus\tNN\tI-NP\tO' -p353949 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p353950 -aS'.\t.\t.\tO\tO' -p353951 -asS'He subsequently became hypotensive and bradycardiac in the Catheterization Laboratory which responded to IV fluids , dopamine , Atropine , and he was then transferred to the CCU for further monitoring .' -p353952 -(lp353953 -S'He\tHe\tPRP\tB-NP\tO' -p353954 -aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' -p353955 -aS'became\tbecome\tVBD\tB-VP\tO' -p353956 -aS'hypotensive\thypotensive\tJJ\tB-ADJP\tO' -p353957 -aS'and\tand\tCC\tI-ADJP\tO' -p353958 -aS'bradycardiac\tbradycardiac\tJJ\tI-ADJP\tO' -p353959 -aS'in\tin\tIN\tB-PP\tO' -p353960 -aS'the\tthe\tDT\tB-NP\tO' -p353961 -aS'Catheterization\tCatheterization\tNNP\tI-NP\tO' -p353962 -aS'Laboratory\tLaboratory\tNNP\tI-NP\tO' -p353963 -aS'which\twhich\tWDT\tB-NP\tO' -p353964 -aS'responded\trespond\tVBD\tB-VP\tO' -p353965 -aS'to\tto\tTO\tB-PP\tO' -p353966 -aS'IV\tIV\tCD\tB-NP\tO' -p353967 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p353968 -aS',\t,\t,\tO\tO' -p353969 -aS'dopamine\tdopamine\tNN\tB-NP\tO' -p353970 -aS',\t,\t,\tO\tO' -p353971 -aS'Atropine\tAtropine\tNN\tB-NP\tO' -p353972 -aS',\t,\t,\tO\tO' -p353973 -aS'and\tand\tCC\tO\tO' -p353974 -aS'he\the\tPRP\tB-NP\tO' -p353975 -aS'was\tbe\tVBD\tB-VP\tO' -p353976 -aS'then\tthen\tRB\tI-VP\tO' -p353977 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p353978 -aS'to\tto\tTO\tB-PP\tO' -p353979 -aS'the\tthe\tDT\tB-NP\tO' -p353980 -aS'CCU\tCCU\tNN\tI-NP\tO' -p353981 -aS'for\tfor\tIN\tB-PP\tO' -p353982 -aS'further\tfurther\tJJ\tB-NP\tO' -p353983 -aS'monitoring\tmonitoring\tNN\tI-NP\tO' -p353984 -aS'.\t.\t.\tO\tO' -p353985 -asS'He describes the room spinning with attempts to sit upright .' -p353986 -(lp353987 -S'He\tHe\tPRP\tB-NP\tO' -p353988 -aS'describes\tdescribe\tVBZ\tB-VP\tO' -p353989 -aS'the\tthe\tDT\tB-NP\tO' -p353990 -aS'room\troom\tNN\tI-NP\tO' -p353991 -aS'spinning\tspinning\tNN\tI-NP\tO' -p353992 -aS'with\twith\tIN\tB-PP\tO' -p353993 -aS'attempts\tattempt\tNNS\tB-NP\tO' -p353994 -aS'to\tto\tTO\tB-VP\tO' -p353995 -aS'sit\tsit\tVB\tI-VP\tO' -p353996 -aS'upright\tupright\tRB\tB-ADVP\tO' -p353997 -aS'.\t.\t.\tO\tO' -p353998 -asS'restraints , for the safety of both the patient and the staff of the hospital .' -p353999 -(lp354000 -S'restraints\trestraint\tNNS\tB-NP\tO' -p354001 -aS',\t,\t,\tO\tO' -p354002 -aS'for\tfor\tIN\tB-PP\tO' -p354003 -aS'the\tthe\tDT\tB-NP\tO' -p354004 -aS'safety\tsafety\tNN\tI-NP\tO' -p354005 -aS'of\tof\tIN\tB-PP\tO' -p354006 -aS'both\tboth\tCC\tO\tO' -p354007 -aS'the\tthe\tDT\tB-NP\tO' -p354008 -aS'patient\tpatient\tNN\tI-NP\tO' -p354009 -aS'and\tand\tCC\tO\tO' -p354010 -aS'the\tthe\tDT\tB-NP\tO' -p354011 -aS'staff\tstaff\tNN\tI-NP\tO' -p354012 -aS'of\tof\tIN\tB-PP\tO' -p354013 -aS'the\tthe\tDT\tB-NP\tO' -p354014 -aS'hospital\thospital\tNN\tI-NP\tO' -p354015 -aS'.\t.\t.\tO\tO' -p354016 -asS'Her erythrocyte sedimentation rate was 12 .' -p354017 -(lp354018 -S'Her\tHer\tPRP$\tB-NP\tO' -p354019 -aS'erythrocyte\terythrocyte\tNN\tI-NP\tO' -p354020 -aS'sedimentation\tsedimentation\tNN\tI-NP\tO' -p354021 -aS'rate\trate\tNN\tI-NP\tO' -p354022 -aS'was\tbe\tVBD\tB-VP\tO' -p354023 -aS'12\t12\tCD\tB-NP\tO' -p354024 -aS'.\t.\t.\tO\tO' -p354025 -asS'His intravenous fluids were discontinued at this time .' -p354026 -(lp354027 -S'His\tHis\tPRP$\tB-NP\tO' -p354028 -aS'intravenous\tintravenous\tJJ\tI-NP\tO' -p354029 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p354030 -aS'were\tbe\tVBD\tB-VP\tO' -p354031 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p354032 -aS'at\tat\tIN\tB-PP\tO' -p354033 -aS'this\tthis\tDT\tB-NP\tO' -p354034 -aS'time\ttime\tNN\tI-NP\tO' -p354035 -aS'.\t.\t.\tO\tO' -p354036 -asS'- Analgesic ( Percocet ) as needed' -p354037 -(lp354038 -S'-\t-\tHYPH\tB-NP\tO' -p354039 -aS'Analgesic\tAnalgesic\tJJ\tI-NP\tO' -p354040 -aS'(\t(\t(\tO\tO' -p354041 -aS'Percocet\tPercocet\tNN\tB-NP\tO' -p354042 -aS')\t)\t)\tO\tO' -p354043 -aS'as\tas\tIN\tB-SBAR\tO' -p354044 -aS'needed\tneed\tVBN\tB-VP\tO' -p354045 -asS'Repeat hip films demonstrated a right sided pubic rami fracture , likely new .' -p354046 -(lp354047 -S'Repeat\tRepeat\tNN\tB-NP\tO' -p354048 -aS'hip\thip\tNN\tI-NP\tO' -p354049 -aS'films\tfilm\tNNS\tI-NP\tO' -p354050 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p354051 -aS'a\ta\tDT\tB-NP\tO' -p354052 -aS'right\tright\tJJ\tI-NP\tO' -p354053 -aS'sided\tsided\tJJ\tI-NP\tO' -p354054 -aS'pubic\tpubic\tJJ\tI-NP\tO' -p354055 -aS'rami\trami\tNN\tI-NP\tO' -p354056 -aS'fracture\tfracture\tNN\tI-NP\tO' -p354057 -aS',\t,\t,\tO\tO' -p354058 -aS'likely\tlikely\tRB\tB-ADJP\tO' -p354059 -aS'new\tnew\tJJ\tI-ADJP\tO' -p354060 -aS'.\t.\t.\tO\tO' -p354061 -asS'2+ pitting edema B LE to knee , nonpitting edema in B hands and arms .' -p354062 -(lp354063 -S'2+\t2+\tJJ\tB-NP\tO' -p354064 -aS'pitting\tpit\tVBG\tI-NP\tO' -p354065 -aS'edema\tedema\tNN\tI-NP\tO' -p354066 -aS'B\tB\tNN\tI-NP\tO' -p354067 -aS'LE\tLE\tNN\tI-NP\tO' -p354068 -aS'to\tto\tTO\tB-VP\tO' -p354069 -aS'knee\tknee\tVB\tI-VP\tO' -p354070 -aS',\t,\t,\tO\tO' -p354071 -aS'nonpitting\tnonpitting\tJJ\tB-NP\tO' -p354072 -aS'edema\tedema\tNN\tI-NP\tO' -p354073 -aS'in\tin\tIN\tB-PP\tO' -p354074 -aS'B\tB\tNN\tB-NP\tO' -p354075 -aS'hands\thand\tNNS\tI-NP\tO' -p354076 -aS'and\tand\tCC\tI-NP\tO' -p354077 -aS'arms\tarm\tNNS\tI-NP\tO' -p354078 -aS'.\t.\t.\tO\tO' -p354079 -asS'There are no echocardiographic signs of tamponade .' -p354080 -(lp354081 -S'There\tThere\tEX\tB-NP\tO' -p354082 -aS'are\tbe\tVBP\tB-VP\tO' -p354083 -aS'no\tno\tDT\tB-NP\tO' -p354084 -aS'echocardiographic\techocardiographic\tJJ\tI-NP\tO' -p354085 -aS'signs\tsign\tNNS\tI-NP\tO' -p354086 -aS'of\tof\tIN\tB-PP\tO' -p354087 -aS'tamponade\ttamponade\tNN\tB-NP\tO' -p354088 -aS'.\t.\t.\tO\tO' -p354089 -asS'Blood cultures from 04/07 showed NGTD .' -p354090 -(lp354091 -S'Blood\tBlood\tNN\tB-NP\tB-cell_line' -p354092 -aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' -p354093 -aS'from\tfrom\tIN\tB-PP\tO' -p354094 -aS'04/07\t04/07\tCD\tB-NP\tO' -p354095 -aS'showed\tshow\tVBD\tB-VP\tO' -p354096 -aS'NGTD\tNGTD\tNN\tB-NP\tB-protein' -p354097 -aS'.\t.\t.\tO\tO' -p354098 -asS'His discharge range of motion is from zero to 40 degrees .' -p354099 -(lp354100 -S'His\tHis\tPRP$\tB-NP\tO' -p354101 -aS'discharge\tdischarge\tJJ\tI-NP\tO' -p354102 -aS'range\trange\tNN\tI-NP\tO' -p354103 -aS'of\tof\tIN\tB-PP\tO' -p354104 -aS'motion\tmotion\tNN\tB-NP\tO' -p354105 -aS'is\tbe\tVBZ\tB-VP\tO' -p354106 -aS'from\tfrom\tIN\tB-PP\tO' -p354107 -aS'zero\tzero\tCD\tB-NP\tO' -p354108 -aS'to\tto\tTO\tI-NP\tO' -p354109 -aS'40\t40\tCD\tI-NP\tO' -p354110 -aS'degrees\tdegree\tNNS\tI-NP\tO' -p354111 -aS'.\t.\t.\tO\tO' -p354112 -asS'Rectal was heme positive with normal prostate .' -p354113 -(lp354114 -S'Rectal\tRectal\tJJ\tB-NP\tO' -p354115 -aS'was\tbe\tVBD\tB-VP\tO' -p354116 -aS'heme\theme\tNN\tB-NP\tO' -p354117 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p354118 -aS'with\twith\tIN\tB-PP\tO' -p354119 -aS'normal\tnormal\tJJ\tB-NP\tO' -p354120 -aS'prostate\tprostate\tNN\tI-NP\tO' -p354121 -aS'.\t.\t.\tO\tO' -p354122 -asS'Father - Stephanie tumor , no DM , no CAD' -p354123 -(lp354124 -S'Father\tFather\tNNP\tB-NP\tO' -p354125 -aS'-\t-\tHYPH\tI-NP\tO' -p354126 -aS'Stephanie\tStephanie\tNNP\tI-NP\tO' -p354127 -aS'tumor\ttumor\tNN\tI-NP\tO' -p354128 -aS',\t,\t,\tO\tO' -p354129 -aS'no\tno\tDT\tB-NP\tO' -p354130 -aS'DM\tDM\tNN\tI-NP\tO' -p354131 -aS',\t,\t,\tO\tO' -p354132 -aS'no\tno\tDT\tB-NP\tO' -p354133 -aS'CAD\tCAD\tNN\tI-NP\tB-protein' -p354134 -asS'She is a seventy-one year old female with a history of hypertension who is in otherwise good health .' -p354135 -(lp354136 -S'She\tShe\tPRP\tB-NP\tO' -p354137 -aS'is\tbe\tVBZ\tB-VP\tO' -p354138 -aS'a\ta\tDT\tB-NP\tO' -p354139 -aS'seventy-one\tseventy-one\tJJ\tI-NP\tO' -p354140 -aS'year\tyear\tNN\tI-NP\tO' -p354141 -aS'old\told\tJJ\tI-NP\tO' -p354142 -aS'female\tfemale\tNN\tI-NP\tO' -p354143 -aS'with\twith\tIN\tB-PP\tO' -p354144 -aS'a\ta\tDT\tB-NP\tO' -p354145 -aS'history\thistory\tNN\tI-NP\tO' -p354146 -aS'of\tof\tIN\tB-PP\tO' -p354147 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p354148 -aS'who\twho\tWP\tB-NP\tO' -p354149 -aS'is\tbe\tVBZ\tB-VP\tO' -p354150 -aS'in\tin\tIN\tB-PP\tO' -p354151 -aS'otherwise\totherwise\tRB\tB-NP\tO' -p354152 -aS'good\tgood\tJJ\tI-NP\tO' -p354153 -aS'health\thealth\tNN\tI-NP\tO' -p354154 -aS'.\t.\t.\tO\tO' -p354155 -asS'She had three views of the cervical spine that were negative .' -p354156 -(lp354157 -S'She\tShe\tPRP\tB-NP\tO' -p354158 -aS'had\thave\tVBD\tB-VP\tO' -p354159 -aS'three\tthree\tCD\tB-NP\tO' -p354160 -aS'views\tview\tNNS\tI-NP\tO' -p354161 -aS'of\tof\tIN\tB-PP\tO' -p354162 -aS'the\tthe\tDT\tB-NP\tO' -p354163 -aS'cervical\tcervical\tJJ\tI-NP\tO' -p354164 -aS'spine\tspine\tNN\tI-NP\tO' -p354165 -aS'that\tthat\tWDT\tB-NP\tO' -p354166 -aS'were\tbe\tVBD\tB-VP\tO' -p354167 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p354168 -aS'.\t.\t.\tO\tO' -p354169 -asS'Mother had adrenal cancer .' -p354170 -(lp354171 -S'Mother\tMother\tNNP\tB-NP\tO' -p354172 -aS'had\thave\tVBD\tB-VP\tO' -p354173 -aS'adrenal\tadrenal\tJJ\tB-NP\tO' -p354174 -aS'cancer\tcancer\tNN\tI-NP\tO' -p354175 -aS'.\t.\t.\tO\tO' -p354176 -asS'Used to work as an engineer at an automobile plant .' -p354177 -(lp354178 -S'Used\tUse\tVBN\tB-VP\tO' -p354179 -aS'to\tto\tTO\tB-PP\tO' -p354180 -aS'work\twork\tVB\tB-NP\tO' -p354181 -aS'as\tas\tIN\tB-PP\tO' -p354182 -aS'an\tan\tDT\tB-NP\tO' -p354183 -aS'engineer\tengineer\tNN\tI-NP\tO' -p354184 -aS'at\tat\tIN\tB-PP\tO' -p354185 -aS'an\tan\tDT\tB-NP\tO' -p354186 -aS'automobile\tautomobile\tNN\tI-NP\tO' -p354187 -aS'plant\tplant\tNN\tI-NP\tO' -p354188 -aS'.\t.\t.\tO\tO' -p354189 -asS'It is not clearly outside normal limits .' -p354190 -(lp354191 -S'It\tIt\tPRP\tB-NP\tO' -p354192 -aS'is\tbe\tVBZ\tB-VP\tO' -p354193 -aS'not\tnot\tRB\tO\tO' -p354194 -aS'clearly\tclearly\tRB\tB-ADVP\tO' -p354195 -aS'outside\toutside\tIN\tB-PP\tO' -p354196 -aS'normal\tnormal\tJJ\tB-NP\tO' -p354197 -aS'limits\tlimit\tNNS\tI-NP\tO' -p354198 -aS'.\t.\t.\tO\tO' -p354199 -asS'Hepatitis serologies were negative .' -p354200 -(lp354201 -S'Hepatitis\tHepatitis\tNN\tB-NP\tO' -p354202 -aS'serologies\tserology\tNNS\tI-NP\tO' -p354203 -aS'were\tbe\tVBD\tB-VP\tO' -p354204 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p354205 -aS'.\t.\t.\tO\tO' -p354206 -asS'- mild transaminitis likely 03-25 etoh and cocaine abuse' -p354207 -(lp354208 -S'-\t-\tHYPH\tB-NP\tO' -p354209 -aS'mild\tmild\tJJ\tI-NP\tO' -p354210 -aS'transaminitis\ttransaminitis\tNN\tI-NP\tO' -p354211 -aS'likely\tlikely\tRB\tB-NP\tO' -p354212 -aS'03-25\t03-25\tCD\tI-NP\tO' -p354213 -aS'etoh\tetoh\tNN\tI-NP\tO' -p354214 -aS'and\tand\tCC\tI-NP\tO' -p354215 -aS'cocaine\tcocaine\tNN\tI-NP\tO' -p354216 -aS'abuse\tabuse\tNN\tI-NP\tO' -p354217 -asS'Sigmoid colectomy and Hartmans pouch 2012-05-26' -p354218 -(lp354219 -S'Sigmoid\tSigmoid\tJJ\tB-NP\tO' -p354220 -aS'colectomy\tcolectomy\tNN\tI-NP\tO' -p354221 -aS'and\tand\tCC\tO\tO' -p354222 -aS'Hartmans\tHartmans\tNNP\tB-NP\tO' -p354223 -aS'pouch\tpouch\tNN\tI-NP\tO' -p354224 -aS'2012-05-26\t2012-05-26\tCD\tI-NP\tO' -p354225 -asS'This 78 year old Mexican speaking female presented to the emergency department on 2015-04-16 .' -p354226 -(lp354227 -S'This\tThis\tDT\tB-NP\tO' -p354228 -aS'78\t78\tCD\tI-NP\tO' -p354229 -aS'year\tyear\tNN\tI-NP\tO' -p354230 -aS'old\told\tJJ\tI-NP\tO' -p354231 -aS'Mexican\tMexican\tNN\tI-NP\tO' -p354232 -aS'speaking\tspeak\tVBG\tB-VP\tO' -p354233 -aS'female\tfemale\tJJ\tB-ADJP\tO' -p354234 -aS'presented\tpresent\tVBN\tB-VP\tO' -p354235 -aS'to\tto\tTO\tB-PP\tO' -p354236 -aS'the\tthe\tDT\tB-NP\tO' -p354237 -aS'emergency\temergency\tNN\tI-NP\tO' -p354238 -aS'department\tdepartment\tNN\tI-NP\tO' -p354239 -aS'on\ton\tIN\tB-PP\tO' -p354240 -aS'2015-04-16\t2015-04-16\tCD\tB-NP\tO' -p354241 -aS'.\t.\t.\tO\tO' -p354242 -asS'Apgars were 8 and 9 .' -p354243 -(lp354244 -S'Apgars\tApgar\tNNS\tB-NP\tO' -p354245 -aS'were\tbe\tVBD\tB-VP\tO' -p354246 -aS'8\t8\tCD\tB-NP\tO' -p354247 -aS'and\tand\tCC\tI-NP\tO' -p354248 -aS'9\t9\tCD\tI-NP\tO' -p354249 -aS'.\t.\t.\tO\tO' -p354250 -asS'3. Aspirin 81 mg Tablet , Delayed Release ( E.C. ) Sig : One ( 1 ) Tablet , Delayed Release ( E.C. ) PO DAILY ( Daily ) .' -p354251 -(lp354252 -S'3.\t3.\tLS\tB-NP\tO' -p354253 -aS'Aspirin\tAspirin\tNN\tI-NP\tO' -p354254 -aS'81\t81\tCD\tB-NP\tO' -p354255 -aS'mg\tmg\tNN\tI-NP\tO' -p354256 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p354257 -aS',\t,\t,\tO\tO' -p354258 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p354259 -aS'Release\tRelease\tNNP\tI-NP\tO' -p354260 -aS'(\t(\t(\tO\tO' -p354261 -aS'E.C.\tE.C.\tNNP\tB-NP\tO' -p354262 -aS')\t)\t)\tO\tO' -p354263 -aS'Sig\tSig\tNNP\tB-NP\tO' -p354264 -aS':\t:\t:\tO\tO' -p354265 -aS'One\tOne\tCD\tB-NP\tO' -p354266 -aS'(\t(\t(\tO\tO' -p354267 -aS'1\t1\tCD\tB-NP\tO' -p354268 -aS')\t)\t)\tO\tO' -p354269 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p354270 -aS',\t,\t,\tO\tO' -p354271 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p354272 -aS'Release\tRelease\tNNP\tI-NP\tO' -p354273 -aS'(\t(\t(\tO\tO' -p354274 -aS'E.C.\tE.C.\tNNP\tO\tO' -p354275 -aS')\t)\t)\tO\tO' -p354276 -aS'PO\tPO\tNN\tB-NP\tO' -p354277 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p354278 -aS'(\t(\t(\tO\tO' -p354279 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p354280 -aS')\t)\t)\tO\tO' -p354281 -aS'.\t.\t.\tO\tO' -p354282 -asS'This consisted of continued nebulizer treatments as well as intravenous antibiotics and intravenous Solu-Medrol .' -p354283 -(lp354284 -S'This\tThis\tDT\tB-NP\tO' -p354285 -aS'consisted\tconsist\tVBD\tB-VP\tO' -p354286 -aS'of\tof\tIN\tB-PP\tO' -p354287 -aS'continued\tcontinue\tVBN\tB-NP\tO' -p354288 -aS'nebulizer\tnebulizer\tNN\tI-NP\tO' -p354289 -aS'treatments\ttreatment\tNNS\tI-NP\tO' -p354290 -aS'as\tas\tRB\tB-CONJP\tO' -p354291 -aS'well\twell\tRB\tI-CONJP\tO' -p354292 -aS'as\tas\tIN\tI-CONJP\tO' -p354293 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p354294 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p354295 -aS'and\tand\tCC\tO\tO' -p354296 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p354297 -aS'Solu-Medrol\tSolu-Medrol\tNN\tI-NP\tO' -p354298 -aS'.\t.\t.\tO\tO' -p354299 -asS'- if HR drops , restart glucagon gtt' -p354300 -(lp354301 -S'-\t-\t:\tO\tO' -p354302 -aS'if\tif\tIN\tB-SBAR\tO' -p354303 -aS'HR\tHR\tNN\tB-NP\tB-protein' -p354304 -aS'drops\tdrop\tNNS\tI-NP\tI-protein' -p354305 -aS',\t,\t,\tO\tO' -p354306 -aS'restart\trestart\tVB\tB-VP\tO' -p354307 -aS'glucagon\tglucagon\tNN\tB-NP\tO' -p354308 -aS'gtt\tgtt\tNN\tI-NP\tO' -p354309 -asS'Heme negative .' -p354310 -(lp354311 -S'Heme\tHeme\tNN\tB-NP\tB-protein' -p354312 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p354313 -aS'.\t.\t.\tO\tO' -p354314 -asS'On the first postoperative day her diet was advanced as tolerated and she was transferred to the patient care floor .' -p354315 -(lp354316 -S'On\tOn\tIN\tB-PP\tO' -p354317 -aS'the\tthe\tDT\tB-NP\tO' -p354318 -aS'first\tfirst\tJJ\tI-NP\tO' -p354319 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p354320 -aS'day\tday\tNN\tI-NP\tO' -p354321 -aS'her\ther\tPRP$\tB-NP\tO' -p354322 -aS'diet\tdiet\tNN\tI-NP\tO' -p354323 -aS'was\tbe\tVBD\tB-VP\tO' -p354324 -aS'advanced\tadvance\tVBN\tI-VP\tO' -p354325 -aS'as\tas\tIN\tB-SBAR\tO' -p354326 -aS'tolerated\ttolerate\tVBN\tB-VP\tO' -p354327 -aS'and\tand\tCC\tO\tO' -p354328 -aS'she\tshe\tPRP\tB-NP\tO' -p354329 -aS'was\tbe\tVBD\tB-VP\tO' -p354330 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p354331 -aS'to\tto\tTO\tB-PP\tO' -p354332 -aS'the\tthe\tDT\tB-NP\tO' -p354333 -aS'patient\tpatient\tNN\tI-NP\tO' -p354334 -aS'care\tcare\tNN\tI-NP\tO' -p354335 -aS'floor\tfloor\tNN\tI-NP\tO' -p354336 -aS'.\t.\t.\tO\tO' -p354337 -asS'Ext : Warm , well-perfused - edema , - varicosities' -p354338 -(lp354339 -S'Ext\tExt\tNNP\tB-NP\tO' -p354340 -aS':\t:\t:\tO\tO' -p354341 -aS'Warm\tWarm\tNNP\tB-NP\tO' -p354342 -aS',\t,\t,\tO\tO' -p354343 -aS'well-perfused\twell-perfused\tJJ\tB-NP\tO' -p354344 -aS'-\t-\tHYPH\tI-NP\tO' -p354345 -aS'edema\tedema\tNN\tI-NP\tO' -p354346 -aS',\t,\t,\tO\tO' -p354347 -aS'-\t-\tHYPH\tB-NP\tO' -p354348 -aS'varicosities\tvaricosity\tNNS\tI-NP\tO' -p354349 -asS'He is a paraplegic from T4 down .' -p354350 -(lp354351 -S'He\tHe\tPRP\tB-NP\tB-DNA' -p354352 -aS'is\tbe\tVBZ\tB-VP\tO' -p354353 -aS'a\ta\tDT\tB-NP\tO' -p354354 -aS'paraplegic\tparaplegic\tJJ\tI-NP\tO' -p354355 -aS'from\tfrom\tIN\tB-PP\tO' -p354356 -aS'T4\tT4\tNN\tB-VP\tB-DNA' -p354357 -aS'down\tdown\tRP\tB-ADVP\tO' -p354358 -aS'.\t.\t.\tO\tO' -p354359 -asS'Anemia of chronic disease .' -p354360 -(lp354361 -S'Anemia\tAnemia\tNN\tB-NP\tO' -p354362 -aS'of\tof\tIN\tB-PP\tO' -p354363 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p354364 -aS'disease\tdisease\tNN\tI-NP\tO' -p354365 -aS'.\t.\t.\tO\tO' -p354366 -asS'Multivitamin , one tab q.d. Morphine immediate release , MSIR , 15 to 30 mg p.o. q 2 to 3 hours prn pain .' -p354367 -(lp354368 -S'Multivitamin\tMultivitamin\tNN\tB-NP\tO' -p354369 -aS',\t,\t,\tO\tO' -p354370 -aS'one\tone\tCD\tB-NP\tO' -p354371 -aS'tab\ttab\tNN\tI-NP\tO' -p354372 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p354373 -aS'Morphine\tMorphine\tNN\tI-NP\tO' -p354374 -aS'immediate\timmediate\tJJ\tI-NP\tO' -p354375 -aS'release\trelease\tNN\tI-NP\tO' -p354376 -aS',\t,\t,\tO\tO' -p354377 -aS'MSIR\tMSIR\tNN\tB-NP\tB-protein' -p354378 -aS',\t,\t,\tO\tO' -p354379 -aS'15\t15\tCD\tB-NP\tO' -p354380 -aS'to\tto\tTO\tI-NP\tO' -p354381 -aS'30\t30\tCD\tI-NP\tO' -p354382 -aS'mg\tmg\tNN\tI-NP\tO' -p354383 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p354384 -aS'q\tq\tNN\tI-NP\tO' -p354385 -aS'2\t2\tCD\tI-NP\tO' -p354386 -aS'to\tto\tTO\tI-NP\tO' -p354387 -aS'3\t3\tCD\tI-NP\tO' -p354388 -aS'hours\thour\tNNS\tI-NP\tO' -p354389 -aS'prn\tprn\tJJ\tI-NP\tO' -p354390 -aS'pain\tpain\tNN\tI-NP\tO' -p354391 -aS'.\t.\t.\tO\tO' -p354392 -asS'- pt r'd / o for mi by CPK ( 54-> 38-> 33 ) and TPN ( 0.03 ) , and stable EKG .' -p354393 -(lp354394 -S'-\t-\tHYPH\tB-NP\tO' -p354395 -aS'pt\tpt\tNN\tI-NP\tO' -p354396 -aS'r'd\tr'd\tNN\tI-NP\tO' -p354397 -aS'/\t/\tSYM\tB-NP\tO' -p354398 -aS'o\to\tNN\tI-NP\tO' -p354399 -aS'for\tfor\tIN\tB-PP\tO' -p354400 -aS'mi\tmi\tNNS\tB-NP\tO' -p354401 -aS'by\tby\tIN\tB-PP\tO' -p354402 -aS'CPK\tCPK\tNN\tB-NP\tB-protein' -p354403 -aS'(\t(\t(\tO\tO' -p354404 -aS'54->\t54->\tCD\tB-NP\tO' -p354405 -aS'38->\t38->\tJJ\tI-NP\tO' -p354406 -aS'33\t33\tCD\tI-NP\tO' -p354407 -aS')\t)\t)\tO\tO' -p354408 -aS'and\tand\tCC\tO\tO' -p354409 -aS'TPN\tTPN\tNN\tB-NP\tB-protein' -p354410 -aS'(\t(\t(\tO\tO' -p354411 -aS'0.03\t0.03\tCD\tB-NP\tO' -p354412 -aS')\t)\t)\tO\tO' -p354413 -aS',\t,\t,\tO\tO' -p354414 -aS'and\tand\tCC\tO\tO' -p354415 -aS'stable\tstable\tJJ\tB-NP\tO' -p354416 -aS'EKG\tEKG\tNN\tI-NP\tO' -p354417 -aS'.\t.\t.\tO\tO' -p354418 -asS'The patient was a soft-spoken male resting in his bed in no acute distress .' -p354419 -(lp354420 -S'The\tThe\tDT\tB-NP\tO' -p354421 -aS'patient\tpatient\tNN\tI-NP\tO' -p354422 -aS'was\tbe\tVBD\tB-VP\tO' -p354423 -aS'a\ta\tDT\tB-NP\tO' -p354424 -aS'soft-spoken\tsoft-spoken\tJJ\tI-NP\tO' -p354425 -aS'male\tmale\tNN\tI-NP\tO' -p354426 -aS'resting\trest\tVBG\tB-VP\tO' -p354427 -aS'in\tin\tIN\tB-PP\tO' -p354428 -aS'his\this\tPRP$\tB-NP\tO' -p354429 -aS'bed\tbed\tNN\tI-NP\tO' -p354430 -aS'in\tin\tIN\tB-PP\tO' -p354431 -aS'no\tno\tDT\tB-NP\tO' -p354432 -aS'acute\tacute\tJJ\tI-NP\tO' -p354433 -aS'distress\tdistress\tNN\tI-NP\tO' -p354434 -aS'.\t.\t.\tO\tO' -p354435 -asS'On sensory examination , had decreased pin prick , temperature , vibration in the left side of the body .' -p354436 -(lp354437 -S'On\tOn\tIN\tB-PP\tO' -p354438 -aS'sensory\tsensory\tJJ\tB-NP\tO' -p354439 -aS'examination\texamination\tNN\tI-NP\tO' -p354440 -aS',\t,\t,\tO\tO' -p354441 -aS'had\thave\tVBD\tB-VP\tO' -p354442 -aS'decreased\tdecrease\tVBN\tI-VP\tO' -p354443 -aS'pin\tpin\tNN\tB-NP\tO' -p354444 -aS'prick\tprick\tNN\tI-NP\tO' -p354445 -aS',\t,\t,\tO\tO' -p354446 -aS'temperature\ttemperature\tNN\tB-NP\tO' -p354447 -aS',\t,\t,\tO\tO' -p354448 -aS'vibration\tvibration\tNN\tB-NP\tO' -p354449 -aS'in\tin\tIN\tB-PP\tO' -p354450 -aS'the\tthe\tDT\tB-NP\tO' -p354451 -aS'left\tleft\tJJ\tI-NP\tO' -p354452 -aS'side\tside\tNN\tI-NP\tO' -p354453 -aS'of\tof\tIN\tB-PP\tO' -p354454 -aS'the\tthe\tDT\tB-NP\tO' -p354455 -aS'body\tbody\tNN\tI-NP\tO' -p354456 -aS'.\t.\t.\tO\tO' -p354457 -asS'IMPRESSION : Moderate to large pericardial effusion ( minimal fluid anteriorly ( 1cm ), ? bloody ).' -p354458 -(lp354459 -S'IMPRESSION\tIMPRESSION\tNN\tB-NP\tO' -p354460 -aS':\t:\t:\tO\tO' -p354461 -aS'Moderate\tModerate\tJJ\tB-ADJP\tO' -p354462 -aS'to\tto\tTO\tB-PP\tO' -p354463 -aS'large\tlarge\tJJ\tB-NP\tO' -p354464 -aS'pericardial\tpericardial\tJJ\tI-NP\tO' -p354465 -aS'effusion\teffusion\tNN\tI-NP\tO' -p354466 -aS'(\t(\t(\tO\tO' -p354467 -aS'minimal\tminimal\tJJ\tB-NP\tO' -p354468 -aS'fluid\tfluid\tNN\tI-NP\tO' -p354469 -aS'anteriorly\tanteriorly\tRB\tB-ADVP\tO' -p354470 -aS'(\t(\t(\tO\tO' -p354471 -aS'1cm\t1cm\tRB\tB-ADVP\tO' -p354472 -aS'),\t),\t)\tO\tO' -p354473 -aS'?\t?\t.\tO\tO' -p354474 -aS'bloody\tbloody\tJJ\tB-NP\tO' -p354475 -aS').\t).\tNNS\tI-NP\tO' -p354476 -asS'Blood cultures on this admission and were positive for Beta streptococcus Group B .' -p354477 -(lp354478 -S'Blood\tBlood\tNN\tB-NP\tO' -p354479 -aS'cultures\tculture\tNNS\tI-NP\tO' -p354480 -aS'on\ton\tIN\tB-PP\tO' -p354481 -aS'this\tthis\tDT\tB-NP\tO' -p354482 -aS'admission\tadmission\tNN\tI-NP\tO' -p354483 -aS'and\tand\tCC\tO\tO' -p354484 -aS'were\tbe\tVBD\tB-VP\tO' -p354485 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p354486 -aS'for\tfor\tIN\tB-PP\tO' -p354487 -aS'Beta\tBeta\tNNP\tB-NP\tO' -p354488 -aS'streptococcus\tstreptococcus\tNNP\tI-NP\tO' -p354489 -aS'Group\tGroup\tNNP\tI-NP\tO' -p354490 -aS'B\tB\tNNP\tI-NP\tO' -p354491 -aS'.\t.\t.\tO\tO' -p354492 -asS'After multiple attempts of weaning the Pentobarb , the patient was continually reverting to status epilepticus which was never able to be suppressed .' -p354493 -(lp354494 -S'After\tAfter\tIN\tB-PP\tO' -p354495 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p354496 -aS'attempts\tattempt\tNNS\tI-NP\tO' -p354497 -aS'of\tof\tIN\tB-PP\tO' -p354498 -aS'weaning\twean\tVBG\tB-VP\tO' -p354499 -aS'the\tthe\tDT\tB-NP\tO' -p354500 -aS'Pentobarb\tPentobarb\tNNP\tI-NP\tO' -p354501 -aS',\t,\t,\tO\tO' -p354502 -aS'the\tthe\tDT\tB-NP\tO' -p354503 -aS'patient\tpatient\tNN\tI-NP\tO' -p354504 -aS'was\tbe\tVBD\tB-VP\tO' -p354505 -aS'continually\tcontinually\tRB\tI-VP\tO' -p354506 -aS'reverting\trevert\tVBG\tI-VP\tO' -p354507 -aS'to\tto\tTO\tB-PP\tO' -p354508 -aS'status\tstatus\tNN\tB-NP\tO' -p354509 -aS'epilepticus\tepilepticus\tNN\tI-NP\tO' -p354510 -aS'which\twhich\tWDT\tB-NP\tO' -p354511 -aS'was\tbe\tVBD\tB-VP\tO' -p354512 -aS'never\tnever\tRB\tB-ADVP\tO' -p354513 -aS'able\table\tJJ\tB-ADJP\tO' -p354514 -aS'to\tto\tTO\tB-VP\tO' -p354515 -aS'be\tbe\tVB\tI-VP\tO' -p354516 -aS'suppressed\tsuppress\tVBN\tI-VP\tO' -p354517 -aS'.\t.\t.\tO\tO' -p354518 -asS'It decreased to 30 in the setting of aggressive hydration .' -p354519 -(lp354520 -S'It\tIt\tPRP\tB-NP\tO' -p354521 -aS'decreased\tdecrease\tVBD\tB-VP\tO' -p354522 -aS'to\tto\tTO\tB-PP\tO' -p354523 -aS'30\t30\tCD\tB-NP\tO' -p354524 -aS'in\tin\tIN\tB-PP\tO' -p354525 -aS'the\tthe\tDT\tB-NP\tO' -p354526 -aS'setting\tsetting\tNN\tI-NP\tO' -p354527 -aS'of\tof\tIN\tB-PP\tO' -p354528 -aS'aggressive\taggressive\tJJ\tB-NP\tO' -p354529 -aS'hydration\thydration\tNN\tI-NP\tO' -p354530 -aS'.\t.\t.\tO\tO' -p354531 -asS'She wanted to be closer to North Dakota .' -p354532 -(lp354533 -S'She\tShe\tPRP\tB-NP\tO' -p354534 -aS'wanted\twant\tVBD\tB-VP\tO' -p354535 -aS'to\tto\tTO\tI-VP\tO' -p354536 -aS'be\tbe\tVB\tI-VP\tO' -p354537 -aS'closer\tclose\tJJR\tB-ADJP\tO' -p354538 -aS'to\tto\tTO\tB-PP\tO' -p354539 -aS'North\tNorth\tNNP\tB-NP\tO' -p354540 -aS'Dakota\tDakota\tNNP\tI-NP\tO' -p354541 -aS'.\t.\t.\tO\tO' -p354542 -asS"Patient's K was followed , and trended back down to normal on the day of discharge at 3.9 ." -p354543 -(lp354544 -S"Patient's\tPatient'\tNNS\tB-NP\tO" -p354545 -aS'K\tK\tNN\tI-NP\tO' -p354546 -aS'was\tbe\tVBD\tB-VP\tO' -p354547 -aS'followed\tfollow\tVBN\tI-VP\tO' -p354548 -aS',\t,\t,\tO\tO' -p354549 -aS'and\tand\tCC\tO\tO' -p354550 -aS'trended\ttrend\tVBD\tB-VP\tO' -p354551 -aS'back\tback\tRB\tB-ADVP\tO' -p354552 -aS'down\tdown\tRB\tB-ADVP\tO' -p354553 -aS'to\tto\tTO\tB-PP\tO' -p354554 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p354555 -aS'on\ton\tIN\tB-PP\tO' -p354556 -aS'the\tthe\tDT\tB-NP\tO' -p354557 -aS'day\tday\tNN\tI-NP\tO' -p354558 -aS'of\tof\tIN\tB-PP\tO' -p354559 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p354560 -aS'at\tat\tIN\tB-PP\tO' -p354561 -aS'3.9\t3.9\tCD\tB-NP\tO' -p354562 -aS'.\t.\t.\tO\tO' -p354563 -asS'alkaline phosphatase 101 .' -p354564 -(lp354565 -S'alkaline\talkaline\tNN\tB-NP\tO' -p354566 -aS'phosphatase\tphosphatase\tNN\tI-NP\tO' -p354567 -aS'101\t101\tCD\tI-NP\tO' -p354568 -aS'.\t.\t.\tO\tO' -p354569 -asS'Remote history of tobacco , occasional alcohol use .' -p354570 -(lp354571 -S'Remote\tRemote\tJJ\tB-NP\tO' -p354572 -aS'history\thistory\tNN\tI-NP\tO' -p354573 -aS'of\tof\tIN\tB-PP\tO' -p354574 -aS'tobacco\ttobacco\tNN\tB-NP\tO' -p354575 -aS',\t,\t,\tO\tO' -p354576 -aS'occasional\toccasional\tJJ\tB-NP\tO' -p354577 -aS'alcohol\talcohol\tNN\tI-NP\tO' -p354578 -aS'use\tuse\tNN\tI-NP\tO' -p354579 -aS'.\t.\t.\tO\tO' -p354580 -asS'Sodium 139 , potassium 4.7 , chloride 106 , bicarbonate 21.6 , BUN 22 , creatinine 1.6 , glucose 107 , amylase 120 , calcium 8.7 , phosphorus 3.3 , magnesium 1.9 , total protein 7.5 , albumin 3.9 , globulin 3.6 , uric acid 5.6 , alkaline phosphatase 43 , GOT 42 , LDH 549 with hemolyzed sample .' -p354581 -(lp354582 -S'Sodium\tSodium\tNN\tB-NP\tB-protein' -p354583 -aS'139\t139\tCD\tI-NP\tI-protein' -p354584 -aS',\t,\t,\tO\tO' -p354585 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p354586 -aS'4.7\t4.7\tCD\tI-NP\tO' -p354587 -aS',\t,\t,\tO\tO' -p354588 -aS'chloride\tchloride\tNN\tB-NP\tO' -p354589 -aS'106\t106\tCD\tI-NP\tO' -p354590 -aS',\t,\t,\tO\tO' -p354591 -aS'bicarbonate\tbicarbonate\tNN\tB-NP\tB-protein' -p354592 -aS'21.6\t21.6\tCD\tI-NP\tI-protein' -p354593 -aS',\t,\t,\tO\tO' -p354594 -aS'BUN\tBUN\tNN\tB-NP\tB-DNA' -p354595 -aS'22\t22\tCD\tI-NP\tI-DNA' -p354596 -aS',\t,\t,\tO\tO' -p354597 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p354598 -aS'1.6\t1.6\tCD\tI-NP\tO' -p354599 -aS',\t,\t,\tO\tO' -p354600 -aS'glucose\tglucose\tNN\tB-NP\tO' -p354601 -aS'107\t107\tCD\tI-NP\tO' -p354602 -aS',\t,\t,\tO\tO' -p354603 -aS'amylase\tamylase\tNN\tB-NP\tB-protein' -p354604 -aS'120\t120\tCD\tI-NP\tI-protein' -p354605 -aS',\t,\t,\tO\tO' -p354606 -aS'calcium\tcalcium\tNN\tB-NP\tO' -p354607 -aS'8.7\t8.7\tCD\tI-NP\tO' -p354608 -aS',\t,\t,\tO\tO' -p354609 -aS'phosphorus\tphosphorus\tNN\tB-NP\tO' -p354610 -aS'3.3\t3.3\tCD\tI-NP\tO' -p354611 -aS',\t,\t,\tO\tO' -p354612 -aS'magnesium\tmagnesium\tNN\tB-NP\tO' -p354613 -aS'1.9\t1.9\tCD\tI-NP\tO' -p354614 -aS',\t,\t,\tO\tO' -p354615 -aS'total\ttotal\tJJ\tB-NP\tO' -p354616 -aS'protein\tprotein\tNN\tI-NP\tO' -p354617 -aS'7.5\t7.5\tCD\tI-NP\tO' -p354618 -aS',\t,\t,\tO\tO' -p354619 -aS'albumin\talbumin\tNN\tB-NP\tB-protein' -p354620 -aS'3.9\t3.9\tCD\tI-NP\tI-protein' -p354621 -aS',\t,\t,\tO\tO' -p354622 -aS'globulin\tglobulin\tNN\tB-NP\tB-protein' -p354623 -aS'3.6\t3.6\tCD\tI-NP\tI-protein' -p354624 -aS',\t,\t,\tO\tO' -p354625 -aS'uric\turic\tJJ\tB-NP\tO' -p354626 -aS'acid\tacid\tNN\tI-NP\tO' -p354627 -aS'5.6\t5.6\tCD\tI-NP\tO' -p354628 -aS',\t,\t,\tO\tO' -p354629 -aS'alkaline\talkaline\tNN\tB-NP\tO' -p354630 -aS'phosphatase\tphosphatase\tNN\tI-NP\tO' -p354631 -aS'43\t43\tCD\tI-NP\tO' -p354632 -aS',\t,\t,\tO\tO' -p354633 -aS'GOT\tGOT\tNN\tB-NP\tB-DNA' -p354634 -aS'42\t42\tCD\tI-NP\tI-DNA' -p354635 -aS',\t,\t,\tO\tO' -p354636 -aS'LDH\tLDH\tNN\tB-NP\tB-protein' -p354637 -aS'549\t549\tCD\tI-NP\tI-protein' -p354638 -aS'with\twith\tIN\tB-PP\tO' -p354639 -aS'hemolyzed\themolyze\tVBN\tB-NP\tO' -p354640 -aS'sample\tsample\tNN\tI-NP\tO' -p354641 -aS'.\t.\t.\tO\tO' -p354642 -asS'Heart size normal .' -p354643 -(lp354644 -S'Heart\tHeart\tNN\tB-NP\tO' -p354645 -aS'size\tsize\tNN\tI-NP\tO' -p354646 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p354647 -aS'.\t.\t.\tO\tO' -p354648 -asS'The patient had conduction hearing on the left side , which had been old .' -p354649 -(lp354650 -S'The\tThe\tDT\tB-NP\tO' -p354651 -aS'patient\tpatient\tNN\tI-NP\tO' -p354652 -aS'had\thave\tVBD\tB-VP\tO' -p354653 -aS'conduction\tconduction\tNN\tB-NP\tO' -p354654 -aS'hearing\thearing\tNN\tI-NP\tO' -p354655 -aS'on\ton\tIN\tB-PP\tO' -p354656 -aS'the\tthe\tDT\tB-NP\tO' -p354657 -aS'left\tleft\tJJ\tI-NP\tO' -p354658 -aS'side\tside\tNN\tI-NP\tO' -p354659 -aS',\t,\t,\tO\tO' -p354660 -aS'which\twhich\tWDT\tB-NP\tO' -p354661 -aS'had\thave\tVBD\tB-VP\tO' -p354662 -aS'been\tbe\tVBN\tI-VP\tO' -p354663 -aS'old\told\tJJ\tB-ADJP\tO' -p354664 -aS'.\t.\t.\tO\tO' -p354665 -asS'Patient was restarted on po feeds as of day of life three after the bleeding had stabilized .' -p354666 -(lp354667 -S'Patient\tPatient\tNN\tB-NP\tO' -p354668 -aS'was\tbe\tVBD\tB-VP\tO' -p354669 -aS'restarted\trestart\tVBN\tI-VP\tO' -p354670 -aS'on\ton\tIN\tB-PP\tO' -p354671 -aS'po\tpo\tNN\tB-NP\tO' -p354672 -aS'feeds\tfeed\tNNS\tI-NP\tO' -p354673 -aS'as\tas\tIN\tB-PP\tO' -p354674 -aS'of\tof\tIN\tB-PP\tO' -p354675 -aS'day\tday\tNN\tB-NP\tO' -p354676 -aS'of\tof\tIN\tB-PP\tO' -p354677 -aS'life\tlife\tNN\tB-NP\tO' -p354678 -aS'three\tthree\tCD\tI-NP\tO' -p354679 -aS'after\tafter\tIN\tB-PP\tO' -p354680 -aS'the\tthe\tDT\tB-NP\tO' -p354681 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p354682 -aS'had\thave\tVBD\tB-VP\tO' -p354683 -aS'stabilized\tstabilize\tVBN\tI-VP\tO' -p354684 -aS'.\t.\t.\tO\tO' -p354685 -asS'Attending : Mary T Davis , M.D.' -p354686 -(lp354687 -S'Attending\tAttend\tVBG\tB-VP\tO' -p354688 -aS':\t:\t:\tO\tO' -p354689 -aS'Mary\tMary\tNNP\tB-NP\tO' -p354690 -aS'T\tT\tNNP\tI-NP\tO' -p354691 -aS'Davis\tDavis\tNNP\tI-NP\tO' -p354692 -aS',\t,\t,\tO\tO' -p354693 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p354694 -asS'She was restarted on 20 mg p.o. q day prior to discharge .' -p354695 -(lp354696 -S'She\tShe\tPRP\tB-NP\tO' -p354697 -aS'was\tbe\tVBD\tB-VP\tO' -p354698 -aS'restarted\trestart\tVBN\tI-VP\tO' -p354699 -aS'on\ton\tIN\tB-PP\tO' -p354700 -aS'20\t20\tCD\tB-NP\tO' -p354701 -aS'mg\tmg\tNN\tI-NP\tO' -p354702 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p354703 -aS'q\tq\tNN\tI-NP\tO' -p354704 -aS'day\tday\tNN\tI-NP\tO' -p354705 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p354706 -aS'to\tto\tTO\tB-VP\tO' -p354707 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p354708 -aS'.\t.\t.\tO\tO' -p354709 -asS'PCP at Cynthia ( 656 ) 302 4444 Dr. Mosier .' -p354710 -(lp354711 -S'PCP\tPCP\tNN\tB-NP\tO' -p354712 -aS'at\tat\tIN\tB-PP\tO' -p354713 -aS'Cynthia\tCynthia\tNNP\tB-NP\tO' -p354714 -aS'(\t(\t(\tO\tO' -p354715 -aS'656\t656\tCD\tB-NP\tO' -p354716 -aS')\t)\t)\tO\tO' -p354717 -aS'302\t302\tCD\tB-NP\tO' -p354718 -aS'4444\t4444\tCD\tI-NP\tO' -p354719 -aS'Dr.\tDr.\tNNP\tI-NP\tO' -p354720 -aS'Mosier\tMosier\tNNP\tI-NP\tO' -p354721 -aS'.\t.\t.\tO\tO' -p354722 -asS'He had palmar erythema .' -p354723 -(lp354724 -S'He\tHe\tPRP\tB-NP\tO' -p354725 -aS'had\thave\tVBD\tB-VP\tO' -p354726 -aS'palmar\tpalmar\tJJ\tB-NP\tO' -p354727 -aS'erythema\terythema\tNN\tI-NP\tO' -p354728 -aS'.\t.\t.\tO\tO' -p354729 -asS'1. Term ( 37 and 1/7 weeks ) appropriate for gestational age male neonate .' -p354730 -(lp354731 -S'1.\t1.\tLS\tB-NP\tO' -p354732 -aS'Term\tTerm\tNN\tI-NP\tO' -p354733 -aS'(\t(\t(\tO\tO' -p354734 -aS'37\t37\tCD\tB-NP\tO' -p354735 -aS'and\tand\tCC\tI-NP\tO' -p354736 -aS'1/7\t1/7\tCD\tI-NP\tO' -p354737 -aS'weeks\tweek\tNNS\tI-NP\tO' -p354738 -aS')\t)\t)\tO\tO' -p354739 -aS'appropriate\tappropriate\tJJ\tB-ADJP\tO' -p354740 -aS'for\tfor\tIN\tB-PP\tO' -p354741 -aS'gestational\tgestational\tJJ\tB-NP\tO' -p354742 -aS'age\tage\tNN\tI-NP\tO' -p354743 -aS'male\tmale\tJJ\tI-NP\tO' -p354744 -aS'neonate\tneonate\tNN\tI-NP\tO' -p354745 -aS'.\t.\t.\tO\tO' -p354746 -asS'The patient did have a Swan-Ganz catheter in place and had a low cardiac output .' -p354747 -(lp354748 -S'The\tThe\tDT\tB-NP\tO' -p354749 -aS'patient\tpatient\tNN\tI-NP\tO' -p354750 -aS'did\tdo\tVBD\tB-VP\tO' -p354751 -aS'have\thave\tVB\tI-VP\tO' -p354752 -aS'a\ta\tDT\tB-NP\tO' -p354753 -aS'Swan-Ganz\tSwan-Ganz\tJJ\tI-NP\tO' -p354754 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p354755 -aS'in\tin\tIN\tB-PP\tO' -p354756 -aS'place\tplace\tNN\tB-NP\tO' -p354757 -aS'and\tand\tCC\tO\tO' -p354758 -aS'had\thave\tVBD\tB-VP\tO' -p354759 -aS'a\ta\tDT\tB-NP\tO' -p354760 -aS'low\tlow\tJJ\tI-NP\tO' -p354761 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p354762 -aS'output\toutput\tNN\tI-NP\tO' -p354763 -aS'.\t.\t.\tO\tO' -p354764 -asS'Additionally , there is diminished color flow with confluence of the hepatic veins .' -p354765 -(lp354766 -S'Additionally\tAdditionally\tRB\tB-ADVP\tO' -p354767 -aS',\t,\t,\tO\tO' -p354768 -aS'there\tthere\tEX\tB-NP\tO' -p354769 -aS'is\tbe\tVBZ\tB-VP\tO' -p354770 -aS'diminished\tdiminish\tVBN\tI-VP\tO' -p354771 -aS'color\tcolor\tNN\tB-NP\tO' -p354772 -aS'flow\tflow\tNN\tI-NP\tO' -p354773 -aS'with\twith\tIN\tB-PP\tO' -p354774 -aS'confluence\tconfluence\tNN\tB-NP\tO' -p354775 -aS'of\tof\tIN\tB-PP\tO' -p354776 -aS'the\tthe\tDT\tB-NP\tO' -p354777 -aS'hepatic\thepatic\tJJ\tI-NP\tB-protein' -p354778 -aS'veins\tvein\tNNS\tI-NP\tI-protein' -p354779 -aS'.\t.\t.\tO\tO' -p354780 -asS'Raymond did not receive any transfusions of blood products during admission .' -p354781 -(lp354782 -S'Raymond\tRaymond\tNNP\tB-NP\tO' -p354783 -aS'did\tdo\tVBD\tB-VP\tO' -p354784 -aS'not\tnot\tRB\tI-VP\tO' -p354785 -aS'receive\treceive\tVB\tI-VP\tO' -p354786 -aS'any\tany\tDT\tB-NP\tO' -p354787 -aS'transfusions\ttransfusion\tNNS\tI-NP\tO' -p354788 -aS'of\tof\tIN\tB-PP\tO' -p354789 -aS'blood\tblood\tNN\tB-NP\tO' -p354790 -aS'products\tproduct\tNNS\tI-NP\tO' -p354791 -aS'during\tduring\tIN\tB-PP\tO' -p354792 -aS'admission\tadmission\tNN\tB-NP\tO' -p354793 -aS'.\t.\t.\tO\tO' -p354794 -asS'Coumadin was reportedly discontinued approximately six months ago secondary to planned surgery for diabetic retinopathy and glaucoma .' -p354795 -(lp354796 -S'Coumadin\tCoumadin\tNN\tB-NP\tO' -p354797 -aS'was\tbe\tVBD\tB-VP\tO' -p354798 -aS'reportedly\treportedly\tRB\tI-VP\tO' -p354799 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p354800 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p354801 -aS'six\tsix\tCD\tI-NP\tO' -p354802 -aS'months\tmonth\tNNS\tI-NP\tO' -p354803 -aS'ago\tago\tRB\tB-ADJP\tO' -p354804 -aS'secondary\tsecondary\tJJ\tI-ADJP\tO' -p354805 -aS'to\tto\tTO\tB-PP\tO' -p354806 -aS'planned\tplan\tVBN\tB-NP\tO' -p354807 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p354808 -aS'for\tfor\tIN\tB-PP\tO' -p354809 -aS'diabetic\tdiabetic\tJJ\tB-NP\tO' -p354810 -aS'retinopathy\tretinopathy\tNN\tI-NP\tO' -p354811 -aS'and\tand\tCC\tI-NP\tO' -p354812 -aS'glaucoma\tglaucoma\tNN\tI-NP\tO' -p354813 -aS'.\t.\t.\tO\tO' -p354814 -asS'Neurological exam was alert and oriented x three .' -p354815 -(lp354816 -S'Neurological\tNeurological\tJJ\tB-NP\tO' -p354817 -aS'exam\texam\tNN\tI-NP\tO' -p354818 -aS'was\tbe\tVBD\tB-VP\tO' -p354819 -aS'alert\talert\tJJ\tB-ADJP\tO' -p354820 -aS'and\tand\tCC\tO\tO' -p354821 -aS'oriented\torient\tVBN\tB-VP\tO' -p354822 -aS'x\tx\tNN\tB-NP\tO' -p354823 -aS'three\tthree\tCD\tI-NP\tO' -p354824 -aS'.\t.\t.\tO\tO' -p354825 -asS'On 2014-04-04 , the transplant service was consulted because the patient was possibly going to the operating room for transplant on 2014-04-04 .' -p354826 -(lp354827 -S'On\tOn\tIN\tB-PP\tO' -p354828 -aS'2014-04-04\t2014-04-04\tCD\tB-NP\tO' -p354829 -aS',\t,\t,\tO\tO' -p354830 -aS'the\tthe\tDT\tB-NP\tO' -p354831 -aS'transplant\ttransplant\tNN\tI-NP\tO' -p354832 -aS'service\tservice\tNN\tI-NP\tO' -p354833 -aS'was\tbe\tVBD\tB-VP\tO' -p354834 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p354835 -aS'because\tbecause\tIN\tB-SBAR\tO' -p354836 -aS'the\tthe\tDT\tB-NP\tO' -p354837 -aS'patient\tpatient\tNN\tI-NP\tO' -p354838 -aS'was\tbe\tVBD\tB-VP\tO' -p354839 -aS'possibly\tpossibly\tRB\tI-VP\tO' -p354840 -aS'going\tgo\tVBG\tI-VP\tO' -p354841 -aS'to\tto\tTO\tB-PP\tO' -p354842 -aS'the\tthe\tDT\tB-NP\tO' -p354843 -aS'operating\toperating\tNN\tI-NP\tO' -p354844 -aS'room\troom\tNN\tI-NP\tO' -p354845 -aS'for\tfor\tIN\tB-PP\tO' -p354846 -aS'transplant\ttransplant\tNN\tB-NP\tO' -p354847 -aS'on\ton\tIN\tB-PP\tO' -p354848 -aS'2014-04-04\t2014-04-04\tCD\tB-NP\tO' -p354849 -aS'.\t.\t.\tO\tO' -p354850 -asS'4. Fluticasone .' -p354851 -(lp354852 -S'4.\t4.\tLS\tB-NP\tO' -p354853 -aS'Fluticasone\tFluticasone\tNN\tI-NP\tO' -p354854 -aS'.\t.\t.\tO\tO' -p354855 -asS'She has had an inguinal hernia repair .' -p354856 -(lp354857 -S'She\tShe\tPRP\tB-NP\tO' -p354858 -aS'has\thave\tVBZ\tB-VP\tO' -p354859 -aS'had\thave\tVBN\tI-VP\tO' -p354860 -aS'an\tan\tDT\tB-NP\tO' -p354861 -aS'inguinal\tinguinal\tJJ\tI-NP\tO' -p354862 -aS'hernia\thernia\tNN\tI-NP\tO' -p354863 -aS'repair\trepair\tNN\tI-NP\tO' -p354864 -aS'.\t.\t.\tO\tO' -p354865 -asS'The pregnancy was benign with an EDC of 2019-01-18 .' -p354866 -(lp354867 -S'The\tThe\tDT\tB-NP\tO' -p354868 -aS'pregnancy\tpregnancy\tNN\tI-NP\tO' -p354869 -aS'was\tbe\tVBD\tB-VP\tO' -p354870 -aS'benign\tbenign\tJJ\tB-ADJP\tO' -p354871 -aS'with\twith\tIN\tB-PP\tO' -p354872 -aS'an\tan\tDT\tB-NP\tO' -p354873 -aS'EDC\tEDC\tNN\tI-NP\tO' -p354874 -aS'of\tof\tIN\tB-PP\tO' -p354875 -aS'2019-01-18\t2019-01-18\tCD\tB-NP\tO' -p354876 -aS'.\t.\t.\tO\tO' -p354877 -asS'He underwent a PTC stenting of an RCA with a Vision stent , 3 x 18 .' -p354878 -(lp354879 -S'He\tHe\tPRP\tB-NP\tO' -p354880 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p354881 -aS'a\ta\tDT\tB-NP\tO' -p354882 -aS'PTC\tPTC\tNN\tI-NP\tO' -p354883 -aS'stenting\tstenting\tNN\tI-NP\tO' -p354884 -aS'of\tof\tIN\tB-PP\tO' -p354885 -aS'an\tan\tDT\tB-NP\tO' -p354886 -aS'RCA\tRCA\tNN\tI-NP\tB-protein' -p354887 -aS'with\twith\tIN\tB-PP\tO' -p354888 -aS'a\ta\tDT\tB-NP\tO' -p354889 -aS'Vision\tVision\tNNP\tI-NP\tO' -p354890 -aS'stent\tstent\tNN\tI-NP\tO' -p354891 -aS',\t,\t,\tO\tO' -p354892 -aS'3\t3\tCD\tB-NP\tO' -p354893 -aS'x\tx\tSYM\tI-NP\tO' -p354894 -aS'18\t18\tCD\tI-NP\tO' -p354895 -aS'.\t.\t.\tO\tO' -p354896 -asS'Wife denies any recent bleeding , surgeries , or upper respiratory infection .' -p354897 -(lp354898 -S'Wife\tWife\tNNP\tB-NP\tO' -p354899 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p354900 -aS'any\tany\tDT\tB-NP\tO' -p354901 -aS'recent\trecent\tJJ\tI-NP\tO' -p354902 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p354903 -aS',\t,\t,\tO\tO' -p354904 -aS'surgeries\tsurgeries\tNN\tB-NP\tO' -p354905 -aS',\t,\t,\tO\tO' -p354906 -aS'or\tor\tCC\tO\tO' -p354907 -aS'upper\tupper\tJJ\tB-NP\tO' -p354908 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p354909 -aS'infection\tinfection\tNN\tI-NP\tO' -p354910 -aS'.\t.\t.\tO\tO' -p354911 -asS'The patient was cleared from surgery from a cardiology standpoint .' -p354912 -(lp354913 -S'The\tThe\tDT\tB-NP\tO' -p354914 -aS'patient\tpatient\tNN\tI-NP\tO' -p354915 -aS'was\tbe\tVBD\tB-VP\tO' -p354916 -aS'cleared\tclear\tVBN\tI-VP\tO' -p354917 -aS'from\tfrom\tIN\tB-PP\tO' -p354918 -aS'surgery\tsurgery\tNN\tB-NP\tO' -p354919 -aS'from\tfrom\tIN\tB-PP\tO' -p354920 -aS'a\ta\tDT\tB-NP\tO' -p354921 -aS'cardiology\tcardiology\tNN\tI-NP\tO' -p354922 -aS'standpoint\tstandpoint\tNN\tI-NP\tO' -p354923 -aS'.\t.\t.\tO\tO' -p354924 -asS'Dr Scott Raines in 2-3 weeks please call for appointment' -p354925 -(lp354926 -S'Dr\tDr\tNNP\tB-NP\tO' -p354927 -aS'Scott\tScott\tNNP\tI-NP\tO' -p354928 -aS'Raines\tRaines\tNNP\tI-NP\tO' -p354929 -aS'in\tin\tIN\tB-PP\tO' -p354930 -aS'2-3\t2-3\tCD\tB-NP\tO' -p354931 -aS'weeks\tweek\tNNS\tI-NP\tO' -p354932 -aS'please\tplease\tNN\tI-NP\tO' -p354933 -aS'call\tcall\tVBP\tB-VP\tO' -p354934 -aS'for\tfor\tIN\tB-PP\tO' -p354935 -aS'appointment\tappointment\tNN\tB-NP\tO' -p354936 -asS'Patient , during this hospital course , became hypervolemic likely due to his diuretics being held and due to his receiving blood products .' -p354937 -(lp354938 -S'Patient\tPatient\tNN\tB-NP\tO' -p354939 -aS',\t,\t,\tO\tO' -p354940 -aS'during\tduring\tIN\tB-PP\tO' -p354941 -aS'this\tthis\tDT\tB-NP\tO' -p354942 -aS'hospital\thospital\tNN\tI-NP\tO' -p354943 -aS'course\tcourse\tNN\tI-NP\tO' -p354944 -aS',\t,\t,\tO\tO' -p354945 -aS'became\tbecome\tVBD\tB-VP\tO' -p354946 -aS'hypervolemic\thypervolemic\tJJ\tB-ADJP\tO' -p354947 -aS'likely\tlikely\tRB\tI-ADJP\tO' -p354948 -aS'due\tdue\tIN\tB-PP\tO' -p354949 -aS'to\tto\tTO\tB-PP\tO' -p354950 -aS'his\this\tPRP$\tB-NP\tO' -p354951 -aS'diuretics\tdiuretic\tNNS\tI-NP\tO' -p354952 -aS'being\tbe\tVBG\tB-VP\tO' -p354953 -aS'held\thold\tVBN\tI-VP\tO' -p354954 -aS'and\tand\tCC\tO\tO' -p354955 -aS'due\tdue\tJJ\tB-ADJP\tO' -p354956 -aS'to\tto\tTO\tB-PP\tO' -p354957 -aS'his\this\tPRP$\tB-NP\tB-protein' -p354958 -aS'receiving\treceive\tVBG\tI-NP\tI-protein' -p354959 -aS'blood\tblood\tNN\tI-NP\tI-protein' -p354960 -aS'products\tproduct\tNNS\tI-NP\tI-protein' -p354961 -aS'.\t.\t.\tO\tO' -p354962 -asS'Continue to take the antibiotics as directed .' -p354963 -(lp354964 -S'Continue\tContinue\tNNP\tB-NP\tO' -p354965 -aS'to\tto\tTO\tB-VP\tO' -p354966 -aS'take\ttake\tVB\tI-VP\tO' -p354967 -aS'the\tthe\tDT\tB-NP\tO' -p354968 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p354969 -aS'as\tas\tIN\tB-SBAR\tO' -p354970 -aS'directed\tdirect\tVBN\tB-VP\tO' -p354971 -aS'.\t.\t.\tO\tO' -p354972 -asS'She then became bradycardic which responded to atropine and intravenous fluids .' -p354973 -(lp354974 -S'She\tShe\tPRP\tB-NP\tO' -p354975 -aS'then\tthen\tRB\tB-ADVP\tO' -p354976 -aS'became\tbecome\tVBD\tB-VP\tO' -p354977 -aS'bradycardic\tbradycardic\tJJ\tB-ADJP\tO' -p354978 -aS'which\twhich\tWDT\tB-NP\tO' -p354979 -aS'responded\trespond\tVBD\tB-VP\tO' -p354980 -aS'to\tto\tTO\tB-PP\tO' -p354981 -aS'atropine\tatropine\tNN\tB-NP\tO' -p354982 -aS'and\tand\tCC\tO\tO' -p354983 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p354984 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p354985 -aS'.\t.\t.\tO\tO' -p354986 -asS'The prior study of 2017-06-01 ( tape reviewed ) was of very suboptimal technical quality and not directly comparable to the current study .' -p354987 -(lp354988 -S'The\tThe\tDT\tB-NP\tO' -p354989 -aS'prior\tprior\tJJ\tI-NP\tO' -p354990 -aS'study\tstudy\tNN\tI-NP\tO' -p354991 -aS'of\tof\tIN\tB-PP\tO' -p354992 -aS'2017-06-01\t2017-06-01\tCD\tB-NP\tO' -p354993 -aS'(\t(\t(\tO\tO' -p354994 -aS'tape\ttape\tNN\tB-NP\tO' -p354995 -aS'reviewed\treview\tVBN\tB-VP\tO' -p354996 -aS')\t)\t)\tO\tO' -p354997 -aS'was\tbe\tVBD\tB-VP\tO' -p354998 -aS'of\tof\tIN\tB-PP\tO' -p354999 -aS'very\tvery\tRB\tB-NP\tO' -p355000 -aS'suboptimal\tsuboptimal\tJJ\tI-NP\tO' -p355001 -aS'technical\ttechnical\tJJ\tI-NP\tO' -p355002 -aS'quality\tquality\tNN\tI-NP\tO' -p355003 -aS'and\tand\tCC\tO\tO' -p355004 -aS'not\tnot\tRB\tB-ADJP\tO' -p355005 -aS'directly\tdirectly\tRB\tI-ADJP\tO' -p355006 -aS'comparable\tcomparable\tJJ\tI-ADJP\tO' -p355007 -aS'to\tto\tTO\tB-PP\tO' -p355008 -aS'the\tthe\tDT\tB-NP\tO' -p355009 -aS'current\tcurrent\tJJ\tI-NP\tO' -p355010 -aS'study\tstudy\tNN\tI-NP\tO' -p355011 -aS'.\t.\t.\tO\tO' -p355012 -asS'Abdomen : Soft and nontender , nondistended with positive bowel sounds .' -p355013 -(lp355014 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p355015 -aS':\t:\t:\tO\tO' -p355016 -aS'Soft\tSoft\tJJ\tB-ADJP\tO' -p355017 -aS'and\tand\tCC\tI-ADJP\tO' -p355018 -aS'nontender\tnontender\tJJ\tI-ADJP\tO' -p355019 -aS',\t,\t,\tO\tO' -p355020 -aS'nondistended\tnondistended\tJJ\tB-ADJP\tO' -p355021 -aS'with\twith\tIN\tB-PP\tO' -p355022 -aS'positive\tpositive\tJJ\tB-NP\tO' -p355023 -aS'bowel\tbowel\tNN\tI-NP\tO' -p355024 -aS'sounds\tsound\tNNS\tI-NP\tO' -p355025 -aS'.\t.\t.\tO\tO' -p355026 -asS'When she tried to awaken him at 11 a.m. , she was unable to do so and called EMS .' -p355027 -(lp355028 -S'When\tWhen\tWRB\tB-ADVP\tO' -p355029 -aS'she\tshe\tPRP\tB-NP\tO' -p355030 -aS'tried\ttry\tVBD\tB-VP\tO' -p355031 -aS'to\tto\tTO\tI-VP\tO' -p355032 -aS'awaken\tawaken\tVB\tI-VP\tO' -p355033 -aS'him\thim\tPRP\tB-NP\tO' -p355034 -aS'at\tat\tIN\tB-PP\tO' -p355035 -aS'11\t11\tCD\tB-NP\tO' -p355036 -aS'a.m.\ta.m.\tRB\tI-NP\tO' -p355037 -aS',\t,\t,\tO\tO' -p355038 -aS'she\tshe\tPRP\tB-NP\tO' -p355039 -aS'was\tbe\tVBD\tB-VP\tO' -p355040 -aS'unable\tunable\tJJ\tB-ADJP\tO' -p355041 -aS'to\tto\tTO\tB-VP\tO' -p355042 -aS'do\tdo\tVB\tI-VP\tO' -p355043 -aS'so\tso\tRB\tB-ADVP\tO' -p355044 -aS'and\tand\tCC\tO\tO' -p355045 -aS'called\tcall\tVBD\tB-VP\tO' -p355046 -aS'EMS\tEMS\tNNP\tB-NP\tO' -p355047 -aS'.\t.\t.\tO\tO' -p355048 -asS'Blood gases were done and he was found to have a pH of 7.2 with a pCO2 of 21 .' -p355049 -(lp355050 -S'Blood\tBlood\tNN\tB-NP\tO' -p355051 -aS'gases\tgas\tNNS\tI-NP\tO' -p355052 -aS'were\tbe\tVBD\tB-VP\tO' -p355053 -aS'done\tdo\tVBN\tI-VP\tO' -p355054 -aS'and\tand\tCC\tO\tO' -p355055 -aS'he\the\tPRP\tB-NP\tO' -p355056 -aS'was\tbe\tVBD\tB-VP\tO' -p355057 -aS'found\tfind\tVBN\tI-VP\tO' -p355058 -aS'to\tto\tTO\tI-VP\tO' -p355059 -aS'have\thave\tVB\tI-VP\tO' -p355060 -aS'a\ta\tDT\tB-NP\tO' -p355061 -aS'pH\tpH\tNN\tI-NP\tO' -p355062 -aS'of\tof\tIN\tB-PP\tO' -p355063 -aS'7.2\t7.2\tCD\tB-NP\tO' -p355064 -aS'with\twith\tIN\tB-PP\tO' -p355065 -aS'a\ta\tDT\tB-NP\tO' -p355066 -aS'pCO2\tpCO2\tNN\tI-NP\tO' -p355067 -aS'of\tof\tIN\tB-PP\tO' -p355068 -aS'21\t21\tCD\tB-NP\tO' -p355069 -aS'.\t.\t.\tO\tO' -p355070 -asS'Danvers State Hospital & Rehab Center - Sterling Medical Center' -p355071 -(lp355072 -S'Danvers\tDanvers\tNNP\tB-NP\tO' -p355073 -aS'State\tState\tNNP\tI-NP\tO' -p355074 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p355075 -aS'&\t&\tCC\tI-NP\tO' -p355076 -aS'Rehab\tRehab\tNNP\tI-NP\tO' -p355077 -aS'Center\tCenter\tNNP\tI-NP\tO' -p355078 -aS'-\t-\tHYPH\tB-NP\tO' -p355079 -aS'Sterling\tSterling\tNNP\tI-NP\tO' -p355080 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p355081 -aS'Center\tCenter\tNNP\tI-NP\tO' -p355082 -asS'Home Under Care Of Shingle Geabell Hospital' -p355083 -(lp355084 -S'Home\tHome\tNNP\tB-NP\tO' -p355085 -aS'Under\tUnder\tNNP\tI-NP\tO' -p355086 -aS'Care\tCare\tNNP\tI-NP\tO' -p355087 -aS'Of\tOf\tNNP\tI-NP\tO' -p355088 -aS'Shingle\tShingle\tNNP\tI-NP\tO' -p355089 -aS'Geabell\tGeabell\tNNP\tI-NP\tO' -p355090 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p355091 -asS'Soft and non-tender .' -p355092 -(lp355093 -S'Soft\tSoft\tJJ\tB-ADJP\tO' -p355094 -aS'and\tand\tCC\tI-ADJP\tO' -p355095 -aS'non-tender\tnon-tender\tJJ\tI-ADJP\tO' -p355096 -aS'.\t.\t.\tO\tO' -p355097 -asS'Subfascia drain was discontinued .' -p355098 -(lp355099 -S'Subfascia\tSubfascia\tNNP\tB-NP\tO' -p355100 -aS'drain\tdrain\tNN\tI-NP\tO' -p355101 -aS'was\tbe\tVBD\tB-VP\tO' -p355102 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p355103 -aS'.\t.\t.\tO\tO' -p355104 -asS'Large intraparenchymal hemorrhage within the right frontal lobe .' -p355105 -(lp355106 -S'Large\tLarge\tJJ\tB-NP\tO' -p355107 -aS'intraparenchymal\tintraparenchymal\tJJ\tI-NP\tO' -p355108 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p355109 -aS'within\twithin\tIN\tB-PP\tO' -p355110 -aS'the\tthe\tDT\tB-NP\tO' -p355111 -aS'right\tright\tJJ\tI-NP\tO' -p355112 -aS'frontal\tfrontal\tJJ\tI-NP\tO' -p355113 -aS'lobe\tlobe\tNN\tI-NP\tO' -p355114 -aS'.\t.\t.\tO\tO' -p355115 -asS'Previous intracranial hemorrhage .' -p355116 -(lp355117 -S'Previous\tPrevious\tJJ\tB-NP\tO' -p355118 -aS'intracranial\tintracranial\tJJ\tI-NP\tO' -p355119 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p355120 -aS'.\t.\t.\tO\tO' -p355121 -asS'She had a BNP of > 5000 on admission .' -p355122 -(lp355123 -S'She\tShe\tPRP\tB-NP\tO' -p355124 -aS'had\thave\tVBD\tB-VP\tO' -p355125 -aS'a\ta\tDT\tB-NP\tO' -p355126 -aS'BNP\tBNP\tNN\tI-NP\tO' -p355127 -aS'of\tof\tIN\tB-PP\tO' -p355128 -aS'>\t>\tSYM\tB-NP\tO' -p355129 -aS'5000\t5000\tCD\tI-NP\tO' -p355130 -aS'on\ton\tIN\tB-PP\tO' -p355131 -aS'admission\tadmission\tNN\tB-NP\tO' -p355132 -aS'.\t.\t.\tO\tO' -p355133 -asS'Jadiara Harrison is twin #1 born to a 17 year-old primiparous mother at 31 weeks gestation .' -p355134 -(lp355135 -S'Jadiara\tJadiara\tNNP\tB-NP\tO' -p355136 -aS'Harrison\tHarrison\tNNP\tI-NP\tO' -p355137 -aS'is\tbe\tVBZ\tB-VP\tO' -p355138 -aS'twin\ttwin\tJJ\tB-NP\tO' -p355139 -aS'#1\t#1\tNN\tI-NP\tO' -p355140 -aS'born\tbear\tVBN\tB-VP\tO' -p355141 -aS'to\tto\tTO\tB-PP\tO' -p355142 -aS'a\ta\tDT\tB-NP\tO' -p355143 -aS'17\t17\tCD\tI-NP\tO' -p355144 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p355145 -aS'primiparous\tprimiparous\tJJ\tI-NP\tO' -p355146 -aS'mother\tmother\tNN\tI-NP\tO' -p355147 -aS'at\tat\tIN\tB-PP\tO' -p355148 -aS'31\t31\tCD\tB-NP\tO' -p355149 -aS'weeks\tweek\tNNS\tI-NP\tO' -p355150 -aS'gestation\tgestation\tNN\tI-NP\tO' -p355151 -aS'.\t.\t.\tO\tO' -p355152 -asS'There were no complications during the procedure and the patient returned to the recovery room in stable condition .' -p355153 -(lp355154 -S'There\tThere\tEX\tB-NP\tO' -p355155 -aS'were\tbe\tVBD\tB-VP\tO' -p355156 -aS'no\tno\tDT\tB-NP\tO' -p355157 -aS'complications\tcomplication\tNNS\tI-NP\tO' -p355158 -aS'during\tduring\tIN\tB-PP\tO' -p355159 -aS'the\tthe\tDT\tB-NP\tO' -p355160 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p355161 -aS'and\tand\tCC\tO\tO' -p355162 -aS'the\tthe\tDT\tB-NP\tO' -p355163 -aS'patient\tpatient\tNN\tI-NP\tO' -p355164 -aS'returned\treturn\tVBD\tB-VP\tO' -p355165 -aS'to\tto\tTO\tB-PP\tO' -p355166 -aS'the\tthe\tDT\tB-NP\tO' -p355167 -aS'recovery\trecovery\tNN\tI-NP\tO' -p355168 -aS'room\troom\tNN\tI-NP\tO' -p355169 -aS'in\tin\tIN\tB-PP\tO' -p355170 -aS'stable\tstable\tJJ\tB-NP\tO' -p355171 -aS'condition\tcondition\tNN\tI-NP\tO' -p355172 -aS'.\t.\t.\tO\tO' -p355173 -asS'Motor : moves all extremities with some strength, improved bilaterally' -p355174 -(lp355175 -S'Motor\tMotor\tNNP\tB-NP\tO' -p355176 -aS':\t:\t:\tO\tO' -p355177 -aS'moves\tmove\tVBZ\tB-VP\tO' -p355178 -aS'all\tall\tDT\tB-NP\tO' -p355179 -aS'extremities\textremity\tNNS\tI-NP\tO' -p355180 -aS'with\twith\tIN\tB-PP\tO' -p355181 -aS'some\tsome\tDT\tB-NP\tO' -p355182 -aS'strength,\tstrength,\tNN\tI-NP\tO' -p355183 -aS'improved\timprove\tVBD\tB-VP\tO' -p355184 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p355185 -asS'Return to the Emergency Department if you develop fevers , chills , chest pain , shortness of breath , palpitations , or lightheadedness .' -p355186 -(lp355187 -S'Return\tReturn\tNN\tB-NP\tO' -p355188 -aS'to\tto\tTO\tB-PP\tO' -p355189 -aS'the\tthe\tDT\tB-NP\tO' -p355190 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p355191 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p355192 -aS'if\tif\tIN\tB-SBAR\tO' -p355193 -aS'you\tyou\tPRP\tB-NP\tO' -p355194 -aS'develop\tdevelop\tVBP\tB-VP\tO' -p355195 -aS'fevers\tfever\tNNS\tB-NP\tO' -p355196 -aS',\t,\t,\tO\tO' -p355197 -aS'chills\tchill\tNNS\tB-NP\tO' -p355198 -aS',\t,\t,\tO\tO' -p355199 -aS'chest\tchest\tNN\tB-NP\tO' -p355200 -aS'pain\tpain\tNN\tI-NP\tO' -p355201 -aS',\t,\t,\tO\tO' -p355202 -aS'shortness\tshortness\tNN\tB-NP\tO' -p355203 -aS'of\tof\tIN\tB-PP\tO' -p355204 -aS'breath\tbreath\tNN\tB-NP\tO' -p355205 -aS',\t,\t,\tO\tO' -p355206 -aS'palpitations\tpalpitation\tNNS\tB-NP\tO' -p355207 -aS',\t,\t,\tO\tO' -p355208 -aS'or\tor\tCC\tO\tO' -p355209 -aS'lightheadedness\tlightheadedness\tNN\tB-NP\tO' -p355210 -aS'.\t.\t.\tO\tO' -p355211 -asS'6. Chronic allograft nephropathy .' -p355212 -(lp355213 -S'6.\t6.\tLS\tB-NP\tO' -p355214 -aS'Chronic\tChronic\tJJ\tI-NP\tO' -p355215 -aS'allograft\tallograft\tNN\tI-NP\tO' -p355216 -aS'nephropathy\tnephropathy\tNN\tI-NP\tO' -p355217 -aS'.\t.\t.\tO\tO' -p355218 -asS'He was transferred to Fairm of Ijordcompmac Hospital , where seizures were stopped with 2 mg of Ativan .' -p355219 -(lp355220 -S'He\tHe\tPRP\tB-NP\tO' -p355221 -aS'was\tbe\tVBD\tB-VP\tO' -p355222 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p355223 -aS'to\tto\tTO\tB-PP\tO' -p355224 -aS'Fairm\tFairm\tNNP\tB-NP\tO' -p355225 -aS'of\tof\tIN\tB-PP\tO' -p355226 -aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' -p355227 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p355228 -aS',\t,\t,\tO\tO' -p355229 -aS'where\twhere\tWRB\tB-ADVP\tO' -p355230 -aS'seizures\tseizure\tNNS\tB-NP\tO' -p355231 -aS'were\tbe\tVBD\tB-VP\tO' -p355232 -aS'stopped\tstop\tVBN\tI-VP\tO' -p355233 -aS'with\twith\tIN\tB-PP\tO' -p355234 -aS'2\t2\tCD\tB-NP\tO' -p355235 -aS'mg\tmg\tNN\tI-NP\tO' -p355236 -aS'of\tof\tIN\tB-PP\tO' -p355237 -aS'Ativan\tAtivan\tNNP\tB-NP\tO' -p355238 -aS'.\t.\t.\tO\tO' -p355239 -asS'His left ventricular function was well preserved .' -p355240 -(lp355241 -S'His\tHis\tPRP$\tB-NP\tO' -p355242 -aS'left\tleft\tJJ\tI-NP\tO' -p355243 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p355244 -aS'function\tfunction\tNN\tI-NP\tO' -p355245 -aS'was\tbe\tVBD\tB-VP\tO' -p355246 -aS'well\twell\tRB\tI-VP\tO' -p355247 -aS'preserved\tpreserve\tVBN\tI-VP\tO' -p355248 -aS'.\t.\t.\tO\tO' -p355249 -asS'Dentition very poor , large bilateral neck and submandibular swelling very tender to palpation .' -p355250 -(lp355251 -S'Dentition\tDentition\tNN\tB-NP\tO' -p355252 -aS'very\tvery\tRB\tI-NP\tO' -p355253 -aS'poor\tpoor\tJJ\tI-NP\tO' -p355254 -aS',\t,\t,\tI-NP\tO' -p355255 -aS'large\tlarge\tJJ\tI-NP\tO' -p355256 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p355257 -aS'neck\tneck\tNN\tI-NP\tO' -p355258 -aS'and\tand\tCC\tO\tO' -p355259 -aS'submandibular\tsubmandibular\tJJ\tB-NP\tO' -p355260 -aS'swelling\tswelling\tNN\tI-NP\tO' -p355261 -aS'very\tvery\tRB\tB-NP\tO' -p355262 -aS'tender\ttender\tNN\tI-NP\tO' -p355263 -aS'to\tto\tTO\tB-PP\tO' -p355264 -aS'palpation\tpalpation\tNN\tB-NP\tO' -p355265 -aS'.\t.\t.\tO\tO' -p355266 -asS'Extremities were warm and well perfused with no edema .' -p355267 -(lp355268 -S'Extremities\tExtremity\tNNS\tB-NP\tO' -p355269 -aS'were\tbe\tVBD\tB-VP\tO' -p355270 -aS'warm\twarm\tJJ\tB-ADJP\tO' -p355271 -aS'and\tand\tCC\tO\tO' -p355272 -aS'well\twell\tRB\tB-ADJP\tO' -p355273 -aS'perfused\tperfuse\tVBN\tI-ADJP\tO' -p355274 -aS'with\twith\tIN\tB-PP\tO' -p355275 -aS'no\tno\tDT\tB-NP\tO' -p355276 -aS'edema\tedema\tNN\tI-NP\tO' -p355277 -aS'.\t.\t.\tO\tO' -p355278 -asS'Her urinalysis shows 2+ bacteria and 2+ squamous epithelium with greater than 10,000 mixed bacteria .' -p355279 -(lp355280 -S'Her\tHer\tPRP$\tB-NP\tO' -p355281 -aS'urinalysis\turinalysis\tNN\tI-NP\tO' -p355282 -aS'shows\tshow\tVBZ\tB-VP\tO' -p355283 -aS'2+\t2+\tJJ\tB-NP\tO' -p355284 -aS'bacteria\tbacteria\tNNS\tI-NP\tO' -p355285 -aS'and\tand\tCC\tO\tO' -p355286 -aS'2+\t2+\tJJ\tB-NP\tO' -p355287 -aS'squamous\tsquamous\tJJ\tI-NP\tO' -p355288 -aS'epithelium\tepithelium\tNN\tI-NP\tO' -p355289 -aS'with\twith\tIN\tB-PP\tO' -p355290 -aS'greater\tgreat\tJJR\tB-NP\tO' -p355291 -aS'than\tthan\tIN\tI-NP\tO' -p355292 -aS'10,000\t10,000\tCD\tI-NP\tO' -p355293 -aS'mixed\tmixed\tJJ\tI-NP\tO' -p355294 -aS'bacteria\tbacteria\tNNS\tI-NP\tO' -p355295 -aS'.\t.\t.\tO\tO' -p355296 -asS'Obesity , hypertension , lower extremity cellulitis and edema , breast cancer in 1988 treated with right lumpectomy and XRT , partial thyroidectomy in 1963 , osteoarthritis with right leg deformities , hernia repair 50 years ago , bilateral cataract surgery .' -p355297 -(lp355298 -S'Obesity\tObesity\tNN\tB-NP\tO' -p355299 -aS',\t,\t,\tO\tO' -p355300 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p355301 -aS',\t,\t,\tO\tO' -p355302 -aS'lower\tlow\tJJR\tB-NP\tO' -p355303 -aS'extremity\textremity\tNN\tI-NP\tO' -p355304 -aS'cellulitis\tcellulitis\tNN\tI-NP\tO' -p355305 -aS'and\tand\tCC\tI-NP\tO' -p355306 -aS'edema\tedema\tNN\tI-NP\tO' -p355307 -aS',\t,\t,\tO\tO' -p355308 -aS'breast\tbreast\tNN\tB-NP\tO' -p355309 -aS'cancer\tcancer\tNN\tI-NP\tO' -p355310 -aS'in\tin\tIN\tB-PP\tO' -p355311 -aS'1988\t1988\tCD\tB-NP\tO' -p355312 -aS'treated\ttreat\tVBN\tB-VP\tO' -p355313 -aS'with\twith\tIN\tB-PP\tO' -p355314 -aS'right\tright\tJJ\tB-NP\tO' -p355315 -aS'lumpectomy\tlumpectomy\tNN\tI-NP\tO' -p355316 -aS'and\tand\tCC\tI-NP\tO' -p355317 -aS'XRT\tXRT\tNN\tI-NP\tB-protein' -p355318 -aS',\t,\t,\tO\tO' -p355319 -aS'partial\tpartial\tJJ\tB-NP\tO' -p355320 -aS'thyroidectomy\tthyroidectomy\tNN\tI-NP\tO' -p355321 -aS'in\tin\tIN\tB-PP\tO' -p355322 -aS'1963\t1963\tCD\tB-NP\tO' -p355323 -aS',\t,\t,\tO\tO' -p355324 -aS'osteoarthritis\tosteoarthritis\tNN\tB-NP\tO' -p355325 -aS'with\twith\tIN\tB-PP\tO' -p355326 -aS'right\tright\tJJ\tB-NP\tO' -p355327 -aS'leg\tleg\tNN\tI-NP\tO' -p355328 -aS'deformities\tdeformity\tNNS\tI-NP\tO' -p355329 -aS',\t,\t,\tO\tO' -p355330 -aS'hernia\thernia\tNN\tB-NP\tO' -p355331 -aS'repair\trepair\tNN\tI-NP\tO' -p355332 -aS'50\t50\tCD\tB-NP\tO' -p355333 -aS'years\tyear\tNNS\tI-NP\tO' -p355334 -aS'ago\tago\tRB\tB-ADVP\tO' -p355335 -aS',\t,\t,\tO\tO' -p355336 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p355337 -aS'cataract\tcataract\tNN\tI-NP\tO' -p355338 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p355339 -aS'.\t.\t.\tO\tO' -p355340 -asS'6) If you experience any fevers , chills , chest pain , shortness of breath , dizziness or any other concerning symptoms please return to the emergency department .' -p355341 -(lp355342 -S'6)\t6)\tLS\tB-LST\tO' -p355343 -aS'If\tIf\tIN\tB-SBAR\tO' -p355344 -aS'you\tyou\tPRP\tB-NP\tO' -p355345 -aS'experience\texperience\tVBP\tB-VP\tO' -p355346 -aS'any\tany\tDT\tB-NP\tO' -p355347 -aS'fevers\tfever\tNNS\tI-NP\tO' -p355348 -aS',\t,\t,\tO\tO' -p355349 -aS'chills\tchill\tNNS\tB-NP\tO' -p355350 -aS',\t,\t,\tO\tO' -p355351 -aS'chest\tchest\tNN\tB-NP\tO' -p355352 -aS'pain\tpain\tNN\tI-NP\tO' -p355353 -aS',\t,\t,\tO\tO' -p355354 -aS'shortness\tshortness\tNN\tB-NP\tO' -p355355 -aS'of\tof\tIN\tB-PP\tO' -p355356 -aS'breath\tbreath\tNN\tB-NP\tO' -p355357 -aS',\t,\t,\tO\tO' -p355358 -aS'dizziness\tdizziness\tNN\tB-NP\tO' -p355359 -aS'or\tor\tCC\tO\tO' -p355360 -aS'any\tany\tDT\tB-NP\tO' -p355361 -aS'other\tother\tJJ\tI-NP\tO' -p355362 -aS'concerning\tconcern\tVBG\tI-NP\tO' -p355363 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p355364 -aS'please\tplease\tVB\tB-VP\tO' -p355365 -aS'return\treturn\tNN\tB-NP\tO' -p355366 -aS'to\tto\tTO\tB-PP\tO' -p355367 -aS'the\tthe\tDT\tB-NP\tO' -p355368 -aS'emergency\temergency\tNN\tI-NP\tO' -p355369 -aS'department\tdepartment\tNN\tI-NP\tO' -p355370 -aS'.\t.\t.\tO\tO' -p355371 -asS'Ms. Less is a 79 year old white female with history of non small cell lung cancer diagnosed in 02/95 .' -p355372 -(lp355373 -S'Ms.\tMs.\tNNP\tB-NP\tO' -p355374 -aS'Less\tLess\tNNP\tI-NP\tO' -p355375 -aS'is\tbe\tVBZ\tB-VP\tO' -p355376 -aS'a\ta\tDT\tB-NP\tO' -p355377 -aS'79\t79\tCD\tI-NP\tO' -p355378 -aS'year\tyear\tNN\tI-NP\tO' -p355379 -aS'old\told\tJJ\tI-NP\tO' -p355380 -aS'white\twhite\tJJ\tI-NP\tO' -p355381 -aS'female\tfemale\tNN\tI-NP\tO' -p355382 -aS'with\twith\tIN\tB-PP\tO' -p355383 -aS'history\thistory\tNN\tB-NP\tO' -p355384 -aS'of\tof\tIN\tB-PP\tO' -p355385 -aS'non\tnon\tJJ\tB-NP\tO' -p355386 -aS'small\tsmall\tJJ\tI-NP\tO' -p355387 -aS'cell\tcell\tNN\tI-NP\tO' -p355388 -aS'lung\tlung\tNN\tI-NP\tO' -p355389 -aS'cancer\tcancer\tNN\tI-NP\tO' -p355390 -aS'diagnosed\tdiagnose\tVBN\tB-VP\tO' -p355391 -aS'in\tin\tIN\tB-PP\tO' -p355392 -aS'02/95\t02/95\tCD\tB-NP\tO' -p355393 -aS'.\t.\t.\tO\tO' -p355394 -asS'STAGE 3C PAPILLARY SEROUS CARCINOMA OF THE OVARY .' -p355395 -(lp355396 -S'STAGE\tSTAGE\tNN\tB-NP\tO' -p355397 -aS'3C\t3C\tNN\tI-NP\tO' -p355398 -aS'PAPILLARY\tPAPILLARY\tNN\tI-NP\tO' -p355399 -aS'SEROUS\tSEROUS\tVBZ\tB-VP\tO' -p355400 -aS'CARCINOMA\tCARCINOMA\tNN\tB-NP\tO' -p355401 -aS'OF\tOF\tIN\tB-PP\tO' -p355402 -aS'THE\tTHE\tDT\tB-NP\tO' -p355403 -aS'OVARY\tOVARY\tNN\tI-NP\tO' -p355404 -aS'.\t.\t.\tO\tO' -p355405 -asS'The CSF culture was negative .' -p355406 -(lp355407 -S'The\tThe\tDT\tB-NP\tO' -p355408 -aS'CSF\tCSF\tNN\tI-NP\tB-cell_line' -p355409 -aS'culture\tculture\tNN\tI-NP\tI-cell_line' -p355410 -aS'was\tbe\tVBD\tB-VP\tO' -p355411 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p355412 -aS'.\t.\t.\tO\tO' -p355413 -asS'The patient was ruled out for a myocardial infarction , given his fall at the airport and bigeminy seen on electrocardiogram that he developed during conscious sedation during reduction of the fracture .' -p355414 -(lp355415 -S'The\tThe\tDT\tB-NP\tO' -p355416 -aS'patient\tpatient\tNN\tI-NP\tO' -p355417 -aS'was\tbe\tVBD\tB-VP\tO' -p355418 -aS'ruled\trule\tVBN\tI-VP\tO' -p355419 -aS'out\tout\tRP\tB-PRT\tO' -p355420 -aS'for\tfor\tIN\tB-PP\tO' -p355421 -aS'a\ta\tDT\tB-NP\tO' -p355422 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p355423 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p355424 -aS',\t,\t,\tO\tO' -p355425 -aS'given\tgive\tVBN\tB-PP\tO' -p355426 -aS'his\this\tPRP$\tB-NP\tO' -p355427 -aS'fall\tfall\tNN\tI-NP\tO' -p355428 -aS'at\tat\tIN\tB-PP\tO' -p355429 -aS'the\tthe\tDT\tB-NP\tO' -p355430 -aS'airport\tairport\tNN\tI-NP\tO' -p355431 -aS'and\tand\tCC\tI-NP\tO' -p355432 -aS'bigeminy\tbigeminy\tNN\tI-NP\tO' -p355433 -aS'seen\tsee\tVBN\tB-VP\tO' -p355434 -aS'on\ton\tIN\tB-PP\tO' -p355435 -aS'electrocardiogram\telectrocardiogram\tNN\tB-NP\tO' -p355436 -aS'that\tthat\tIN\tB-SBAR\tO' -p355437 -aS'he\the\tPRP\tB-NP\tO' -p355438 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p355439 -aS'during\tduring\tIN\tB-PP\tO' -p355440 -aS'conscious\tconscious\tJJ\tB-NP\tO' -p355441 -aS'sedation\tsedation\tNN\tI-NP\tO' -p355442 -aS'during\tduring\tIN\tB-PP\tO' -p355443 -aS'reduction\treduction\tNN\tB-NP\tO' -p355444 -aS'of\tof\tIN\tB-PP\tO' -p355445 -aS'the\tthe\tDT\tB-NP\tO' -p355446 -aS'fracture\tfracture\tNN\tI-NP\tO' -p355447 -aS'.\t.\t.\tO\tO' -p355448 -asS'Gen : somnolent , pleasant male , lying in bed' -p355449 -(lp355450 -S'Gen\tGen\tNN\tB-NP\tO' -p355451 -aS':\t:\t:\tO\tO' -p355452 -aS'somnolent\tsomnolent\tJJ\tB-NP\tO' -p355453 -aS',\t,\t,\tI-NP\tO' -p355454 -aS'pleasant\tpleasant\tJJ\tI-NP\tO' -p355455 -aS'male\tmale\tNN\tI-NP\tO' -p355456 -aS',\t,\t,\tO\tO' -p355457 -aS'lying\tlie\tVBG\tB-VP\tO' -p355458 -aS'in\tin\tIN\tB-PP\tO' -p355459 -aS'bed\tbed\tNN\tB-NP\tO' -p355460 -asS'Right groin : with sheath in place' -p355461 -(lp355462 -S'Right\tRight\tJJ\tB-NP\tO' -p355463 -aS'groin\tgroin\tNN\tI-NP\tO' -p355464 -aS':\t:\t:\tO\tO' -p355465 -aS'with\twith\tIN\tB-PP\tO' -p355466 -aS'sheath\tsheath\tNN\tB-NP\tO' -p355467 -aS'in\tin\tIN\tB-PP\tO' -p355468 -aS'place\tplace\tNN\tB-NP\tO' -p355469 -asS'2. Mavik question of dosage .' -p355470 -(lp355471 -S'2.\t2.\tLS\tB-NP\tO' -p355472 -aS'Mavik\tMavik\tNNP\tI-NP\tO' -p355473 -aS'question\tquestion\tNN\tI-NP\tO' -p355474 -aS'of\tof\tIN\tB-PP\tO' -p355475 -aS'dosage\tdosage\tNN\tB-NP\tO' -p355476 -aS'.\t.\t.\tO\tO' -p355477 -asS'Carvedilol 6.125 mg a day .' -p355478 -(lp355479 -S'Carvedilol\tCarvedilol\tNN\tB-NP\tO' -p355480 -aS'6.125\t6.125\tCD\tI-NP\tO' -p355481 -aS'mg\tmg\tNN\tI-NP\tO' -p355482 -aS'a\ta\tDT\tB-NP\tO' -p355483 -aS'day\tday\tNN\tI-NP\tO' -p355484 -aS'.\t.\t.\tO\tO' -p355485 -asS'Pt was doing well till night of admission when she developed nausea / vomitting and sizable amount of hemoptysis and clots .' -p355486 -(lp355487 -S'Pt\tPt\tNN\tB-NP\tO' -p355488 -aS'was\tbe\tVBD\tB-VP\tO' -p355489 -aS'doing\tdo\tVBG\tI-VP\tO' -p355490 -aS'well\twell\tRB\tB-ADVP\tO' -p355491 -aS'till\ttill\tJJ\tB-NP\tO' -p355492 -aS'night\tnight\tNN\tI-NP\tO' -p355493 -aS'of\tof\tIN\tB-PP\tO' -p355494 -aS'admission\tadmission\tNN\tB-NP\tO' -p355495 -aS'when\twhen\tWRB\tB-ADVP\tO' -p355496 -aS'she\tshe\tPRP\tB-NP\tO' -p355497 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p355498 -aS'nausea\tnausea\tNN\tB-NP\tO' -p355499 -aS'/\t/\tSYM\tB-NP\tO' -p355500 -aS'vomitting\tvomitting\tNN\tI-NP\tO' -p355501 -aS'and\tand\tCC\tO\tO' -p355502 -aS'sizable\tsizable\tJJ\tB-NP\tO' -p355503 -aS'amount\tamount\tNN\tI-NP\tO' -p355504 -aS'of\tof\tIN\tB-PP\tO' -p355505 -aS'hemoptysis\themoptysis\tNN\tB-NP\tO' -p355506 -aS'and\tand\tCC\tI-NP\tO' -p355507 -aS'clots\tclot\tNNS\tI-NP\tO' -p355508 -aS'.\t.\t.\tO\tO' -p355509 -asS'This is recommended prior to discharge from hospital to home .' -p355510 -(lp355511 -S'This\tThis\tDT\tB-NP\tO' -p355512 -aS'is\tbe\tVBZ\tB-VP\tO' -p355513 -aS'recommended\trecommend\tVBN\tI-VP\tO' -p355514 -aS'prior\tprior\tRB\tB-ADVP\tO' -p355515 -aS'to\tto\tTO\tB-VP\tO' -p355516 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p355517 -aS'from\tfrom\tIN\tB-PP\tO' -p355518 -aS'hospital\thospital\tNN\tB-NP\tO' -p355519 -aS'to\tto\tTO\tB-PP\tO' -p355520 -aS'home\thome\tNN\tB-NP\tO' -p355521 -aS'.\t.\t.\tO\tO' -p355522 -asS'Labetalol continuous infusion was titrated for systolic blood pressure of 130-160 .' -p355523 -(lp355524 -S'Labetalol\tLabetalol\tNN\tB-NP\tO' -p355525 -aS'continuous\tcontinuous\tJJ\tI-NP\tO' -p355526 -aS'infusion\tinfusion\tNN\tI-NP\tO' -p355527 -aS'was\tbe\tVBD\tB-VP\tO' -p355528 -aS'titrated\ttitrate\tVBN\tI-VP\tO' -p355529 -aS'for\tfor\tIN\tB-PP\tO' -p355530 -aS'systolic\tsystolic\tJJ\tB-NP\tO' -p355531 -aS'blood\tblood\tNN\tI-NP\tO' -p355532 -aS'pressure\tpressure\tNN\tI-NP\tO' -p355533 -aS'of\tof\tIN\tB-PP\tO' -p355534 -aS'130-160\t130-160\tCD\tB-NP\tO' -p355535 -aS'.\t.\t.\tO\tO' -p355536 -asS'She sleeps on elevated pillows secondary to her gastroesophageal reflux disease .' -p355537 -(lp355538 -S'She\tShe\tPRP\tB-NP\tO' -p355539 -aS'sleeps\tsleep\tVBZ\tB-VP\tO' -p355540 -aS'on\ton\tIN\tB-PP\tO' -p355541 -aS'elevated\televate\tVBN\tB-NP\tO' -p355542 -aS'pillows\tpillow\tVBZ\tB-VP\tO' -p355543 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p355544 -aS'to\tto\tTO\tB-PP\tO' -p355545 -aS'her\ther\tPRP$\tB-NP\tO' -p355546 -aS'gastroesophageal\tgastroesophageal\tJJ\tI-NP\tO' -p355547 -aS'reflux\treflux\tNN\tI-NP\tO' -p355548 -aS'disease\tdisease\tNN\tI-NP\tO' -p355549 -aS'.\t.\t.\tO\tO' -p355550 -asS'He was started on 2.5 mg PO qd .' -p355551 -(lp355552 -S'He\tHe\tPRP\tB-NP\tO' -p355553 -aS'was\tbe\tVBD\tB-VP\tO' -p355554 -aS'started\tstart\tVBN\tI-VP\tO' -p355555 -aS'on\ton\tIN\tB-PP\tO' -p355556 -aS'2.5\t2.5\tCD\tB-NP\tO' -p355557 -aS'mg\tmg\tNN\tI-NP\tO' -p355558 -aS'PO\tPO\tNN\tI-NP\tO' -p355559 -aS'qd\tqd\tNN\tI-NP\tO' -p355560 -aS'.\t.\t.\tO\tO' -p355561 -asS'White cell count 9.4 , hematocrit 42 , platelets 151,000 .' -p355562 -(lp355563 -S'White\tWhite\tJJ\tB-NP\tO' -p355564 -aS'cell\tcell\tNN\tI-NP\tO' -p355565 -aS'count\tcount\tNN\tI-NP\tO' -p355566 -aS'9.4\t9.4\tCD\tB-NP\tO' -p355567 -aS',\t,\t,\tO\tO' -p355568 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p355569 -aS'42\t42\tCD\tI-NP\tI-protein' -p355570 -aS',\t,\t,\tO\tO' -p355571 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p355572 -aS'151,000\t151,000\tCD\tB-NP\tO' -p355573 -aS'.\t.\t.\tO\tO' -p355574 -asS'Tone was appropriate for gestational age .' -p355575 -(lp355576 -S'Tone\tTone\tNN\tB-NP\tO' -p355577 -aS'was\tbe\tVBD\tB-VP\tO' -p355578 -aS'appropriate\tappropriate\tJJ\tB-ADJP\tO' -p355579 -aS'for\tfor\tIN\tB-PP\tO' -p355580 -aS'gestational\tgestational\tJJ\tB-NP\tO' -p355581 -aS'age\tage\tNN\tI-NP\tO' -p355582 -aS'.\t.\t.\tO\tO' -p355583 -asS'11. Midodrine 10 mg Tablet Sig : 1.5 Tablets PO twice a day : at 8 am and noon .' -p355584 -(lp355585 -S'11.\t11.\tCD\tB-NP\tO' -p355586 -aS'Midodrine\tMidodrine\tNN\tI-NP\tO' -p355587 -aS'10\t10\tCD\tB-NP\tO' -p355588 -aS'mg\tmg\tNN\tI-NP\tO' -p355589 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p355590 -aS'Sig\tSig\tNNP\tI-NP\tO' -p355591 -aS':\t:\t:\tO\tO' -p355592 -aS'1.5\t1.5\tCD\tB-NP\tO' -p355593 -aS'Tablets\tTablet\tNNS\tI-NP\tB-protein' -p355594 -aS'PO\tPO\tNN\tI-NP\tI-protein' -p355595 -aS'twice\ttwice\tRB\tB-NP\tO' -p355596 -aS'a\ta\tDT\tI-NP\tO' -p355597 -aS'day\tday\tNN\tI-NP\tO' -p355598 -aS':\t:\t:\tO\tO' -p355599 -aS'at\tat\tIN\tB-PP\tO' -p355600 -aS'8\t8\tCD\tB-NP\tO' -p355601 -aS'am\tam\tNN\tI-NP\tO' -p355602 -aS'and\tand\tCC\tI-NP\tO' -p355603 -aS'noon\tnoon\tNN\tI-NP\tO' -p355604 -aS'.\t.\t.\tO\tO' -p355605 -asS'He has retired .' -p355606 -(lp355607 -S'He\tHe\tPRP\tB-NP\tO' -p355608 -aS'has\thave\tVBZ\tB-VP\tO' -p355609 -aS'retired\tretire\tVBN\tI-VP\tO' -p355610 -aS'.\t.\t.\tO\tO' -p355611 -asS"The patient 's attending physician was in constant communication with the patient 's health care proxy her husband ." -p355612 -(lp355613 -S'The\tThe\tDT\tB-NP\tO' -p355614 -aS'patient\tpatient\tNN\tI-NP\tO' -p355615 -aS"'s\t's\tPOS\tB-NP\tO" -p355616 -aS'attending\tattend\tVBG\tI-NP\tO' -p355617 -aS'physician\tphysician\tNN\tI-NP\tO' -p355618 -aS'was\tbe\tVBD\tB-VP\tO' -p355619 -aS'in\tin\tIN\tB-PP\tO' -p355620 -aS'constant\tconstant\tJJ\tB-NP\tO' -p355621 -aS'communication\tcommunication\tNN\tI-NP\tO' -p355622 -aS'with\twith\tIN\tB-PP\tO' -p355623 -aS'the\tthe\tDT\tB-NP\tO' -p355624 -aS'patient\tpatient\tNN\tI-NP\tO' -p355625 -aS"'s\t's\tPOS\tB-NP\tO" -p355626 -aS'health\thealth\tNN\tI-NP\tO' -p355627 -aS'care\tcare\tNN\tI-NP\tO' -p355628 -aS'proxy\tproxy\tNN\tI-NP\tO' -p355629 -aS'her\ther\tPRP$\tB-NP\tO' -p355630 -aS'husband\thusband\tNN\tI-NP\tO' -p355631 -aS'.\t.\t.\tO\tO' -p355632 -asS'Total bilirubin was 0.8 .' -p355633 -(lp355634 -S'Total\tTotal\tJJ\tB-NP\tO' -p355635 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p355636 -aS'was\tbe\tVBD\tB-VP\tO' -p355637 -aS'0.8\t0.8\tCD\tB-NP\tO' -p355638 -aS'.\t.\t.\tO\tO' -p355639 -asS'He also had a stress test which revealed an irreversible deficit from his prior known IMI .' -p355640 -(lp355641 -S'He\tHe\tPRP\tB-NP\tO' -p355642 -aS'also\talso\tRB\tB-ADVP\tO' -p355643 -aS'had\thave\tVBD\tB-VP\tO' -p355644 -aS'a\ta\tDT\tB-NP\tO' -p355645 -aS'stress\tstress\tNN\tI-NP\tO' -p355646 -aS'test\ttest\tNN\tI-NP\tO' -p355647 -aS'which\twhich\tWDT\tB-NP\tO' -p355648 -aS'revealed\treveal\tVBD\tB-VP\tO' -p355649 -aS'an\tan\tDT\tB-NP\tO' -p355650 -aS'irreversible\tirreversible\tJJ\tI-NP\tO' -p355651 -aS'deficit\tdeficit\tNN\tI-NP\tO' -p355652 -aS'from\tfrom\tIN\tB-PP\tO' -p355653 -aS'his\this\tPRP$\tB-NP\tO' -p355654 -aS'prior\tprior\tJJ\tI-NP\tO' -p355655 -aS'known\tknow\tVBN\tI-NP\tO' -p355656 -aS'IMI\tIMI\tNNP\tI-NP\tO' -p355657 -aS'.\t.\t.\tO\tO' -p355658 -asS'Since 2012-02-26 , the patient has been stable .' -p355659 -(lp355660 -S'Since\tSince\tIN\tB-PP\tO' -p355661 -aS'2012-02-26\t2012-02-26\tCD\tB-NP\tO' -p355662 -aS',\t,\t,\tO\tO' -p355663 -aS'the\tthe\tDT\tB-NP\tO' -p355664 -aS'patient\tpatient\tNN\tI-NP\tO' -p355665 -aS'has\thave\tVBZ\tB-VP\tO' -p355666 -aS'been\tbe\tVBN\tI-VP\tO' -p355667 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p355668 -aS'.\t.\t.\tO\tO' -p355669 -asS'9. Magnesium Hydroxide 400 mg / 5 mL Suspension Sig : Thirty ( 30 ) ML PO Q6H ( every 6 hours ) as needed for consitpation .' -p355670 -(lp355671 -S'9.\t9.\tLS\tB-NP\tO' -p355672 -aS'Magnesium\tMagnesium\tNNP\tI-NP\tO' -p355673 -aS'Hydroxide\tHydroxide\tNNP\tI-NP\tO' -p355674 -aS'400\t400\tCD\tI-NP\tO' -p355675 -aS'mg\tmg\tNN\tI-NP\tO' -p355676 -aS'/\t/\tSYM\tB-NP\tO' -p355677 -aS'5\t5\tCD\tB-NP\tO' -p355678 -aS'mL\tmL\tNN\tI-NP\tO' -p355679 -aS'Suspension\tSuspension\tNNP\tI-NP\tO' -p355680 -aS'Sig\tSig\tNNP\tI-NP\tO' -p355681 -aS':\t:\t:\tO\tO' -p355682 -aS'Thirty\tThirty\tCD\tB-NP\tO' -p355683 -aS'(\t(\t(\tO\tO' -p355684 -aS'30\t30\tCD\tO\tO' -p355685 -aS')\t)\t)\tO\tO' -p355686 -aS'ML\tML\tNN\tB-NP\tO' -p355687 -aS'PO\tPO\tNN\tI-NP\tO' -p355688 -aS'Q6H\tQ6H\tNN\tI-NP\tO' -p355689 -aS'(\t(\t(\tO\tO' -p355690 -aS'every\tevery\tDT\tB-NP\tO' -p355691 -aS'6\t6\tCD\tI-NP\tO' -p355692 -aS'hours\thour\tNNS\tI-NP\tO' -p355693 -aS')\t)\t)\tO\tO' -p355694 -aS'as\tas\tIN\tB-SBAR\tO' -p355695 -aS'needed\tneed\tVBN\tB-VP\tO' -p355696 -aS'for\tfor\tIN\tB-PP\tO' -p355697 -aS'consitpation\tconsitpation\tNN\tB-NP\tO' -p355698 -aS'.\t.\t.\tO\tO' -p355699 -asS"The family was informed of the patient 's condition and repeat scan ." -p355700 -(lp355701 -S'The\tThe\tDT\tB-NP\tO' -p355702 -aS'family\tfamily\tNN\tI-NP\tO' -p355703 -aS'was\tbe\tVBD\tB-VP\tO' -p355704 -aS'informed\tinform\tVBN\tI-VP\tO' -p355705 -aS'of\tof\tIN\tB-PP\tO' -p355706 -aS'the\tthe\tDT\tB-NP\tO' -p355707 -aS'patient\tpatient\tNN\tI-NP\tO' -p355708 -aS"'s\t's\tPOS\tB-NP\tO" -p355709 -aS'condition\tcondition\tNN\tI-NP\tO' -p355710 -aS'and\tand\tCC\tI-NP\tO' -p355711 -aS'repeat\trepeat\tNN\tI-NP\tO' -p355712 -aS'scan\tscan\tNN\tI-NP\tO' -p355713 -aS'.\t.\t.\tO\tO' -p355714 -asS'No mass was noticed .' -p355715 -(lp355716 -S'No\tNo\tDT\tB-NP\tO' -p355717 -aS'mass\tmass\tNN\tI-NP\tO' -p355718 -aS'was\tbe\tVBD\tB-VP\tO' -p355719 -aS'noticed\tnotice\tVBN\tI-VP\tO' -p355720 -aS'.\t.\t.\tO\tO' -p355721 -asS'He was kept sedated and paralyzed because of his severe adult respiratory distress syndrome .' -p355722 -(lp355723 -S'He\tHe\tPRP\tB-NP\tO' -p355724 -aS'was\tbe\tVBD\tB-VP\tO' -p355725 -aS'kept\tkeep\tVBN\tI-VP\tO' -p355726 -aS'sedated\tsedate\tVBN\tI-VP\tO' -p355727 -aS'and\tand\tCC\tI-VP\tO' -p355728 -aS'paralyzed\tparalyze\tVBN\tI-VP\tO' -p355729 -aS'because\tbecause\tIN\tB-PP\tO' -p355730 -aS'of\tof\tIN\tI-PP\tO' -p355731 -aS'his\this\tPRP$\tB-NP\tO' -p355732 -aS'severe\tsevere\tJJ\tI-NP\tO' -p355733 -aS'adult\tadult\tJJ\tI-NP\tO' -p355734 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p355735 -aS'distress\tdistress\tNN\tI-NP\tO' -p355736 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p355737 -aS'.\t.\t.\tO\tO' -p355738 -asS'An ultrasound on 1/25/00 showed six gallstones without cholecystitis .' -p355739 -(lp355740 -S'An\tAn\tDT\tB-NP\tO' -p355741 -aS'ultrasound\tultrasound\tNN\tI-NP\tO' -p355742 -aS'on\ton\tIN\tB-PP\tO' -p355743 -aS'1/25/00\t1/25/00\tCD\tB-NP\tO' -p355744 -aS'showed\tshow\tVBD\tB-VP\tO' -p355745 -aS'six\tsix\tCD\tB-NP\tO' -p355746 -aS'gallstones\tgallstone\tNNS\tI-NP\tO' -p355747 -aS'without\twithout\tIN\tB-PP\tO' -p355748 -aS'cholecystitis\tcholecystitis\tNN\tB-NP\tO' -p355749 -aS'.\t.\t.\tO\tO' -p355750 -asS'Chronic abdominal pain .' -p355751 -(lp355752 -S'Chronic\tChronic\tJJ\tB-NP\tO' -p355753 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p355754 -aS'pain\tpain\tNN\tI-NP\tO' -p355755 -aS'.\t.\t.\tO\tO' -p355756 -asS'No costovertebral angle tenderness .' -p355757 -(lp355758 -S'No\tNo\tDT\tB-NP\tO' -p355759 -aS'costovertebral\tcostovertebral\tJJ\tI-NP\tO' -p355760 -aS'angle\tangle\tNN\tI-NP\tO' -p355761 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p355762 -aS'.\t.\t.\tO\tO' -p355763 -asS'Chest x-ray on August 6 , 1997 revealed multiple pulmonary nodules increasing in size since July 22 , 1995 .' -p355764 -(lp355765 -S'Chest\tCh\tJJS\tB-NP\tO' -p355766 -aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' -p355767 -aS'on\ton\tIN\tB-PP\tO' -p355768 -aS'August\tAugust\tNNP\tB-NP\tO' -p355769 -aS'6\t6\tCD\tI-NP\tO' -p355770 -aS',\t,\t,\tI-NP\tO' -p355771 -aS'1997\t1997\tCD\tI-NP\tO' -p355772 -aS'revealed\treveal\tVBD\tB-VP\tO' -p355773 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p355774 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p355775 -aS'nodules\tnodule\tNNS\tI-NP\tO' -p355776 -aS'increasing\tincrease\tVBG\tB-VP\tO' -p355777 -aS'in\tin\tIN\tB-PP\tO' -p355778 -aS'size\tsize\tNN\tB-NP\tO' -p355779 -aS'since\tsince\tIN\tB-PP\tO' -p355780 -aS'July\tJuly\tNNP\tB-NP\tO' -p355781 -aS'22\t22\tCD\tI-NP\tO' -p355782 -aS',\t,\t,\tI-NP\tO' -p355783 -aS'1995\t1995\tCD\tI-NP\tO' -p355784 -aS'.\t.\t.\tO\tO' -p355785 -asS'Signed electronically by : DR. Dorothy Donahue on : TUE 2011-04-19 3:15 PM' -p355786 -(lp355787 -S'Signed\tSign\tVBN\tB-VP\tO' -p355788 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p355789 -aS'by\tby\tIN\tB-PP\tO' -p355790 -aS':\t:\t:\tO\tO' -p355791 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p355792 -aS'Dorothy\tDorothy\tNNP\tI-NP\tO' -p355793 -aS'Donahue\tDonahue\tNNP\tI-NP\tO' -p355794 -aS'on\ton\tIN\tB-PP\tO' -p355795 -aS':\t:\t:\tO\tO' -p355796 -aS'TUE\tTUE\tNN\tB-NP\tO' -p355797 -aS'2011-04-19\t2011-04-19\tCD\tI-NP\tO' -p355798 -aS'3:15\t3:15\tCD\tI-NP\tO' -p355799 -aS'PM\tPM\tNN\tI-NP\tO' -p355800 -asS'No lifting more than 10 pounds or driving until follow up with surgeon .' -p355801 -(lp355802 -S'No\tNo\tDT\tB-NP\tO' -p355803 -aS'lifting\tlift\tVBG\tB-VP\tO' -p355804 -aS'more\tmore\tJJR\tB-NP\tO' -p355805 -aS'than\tthan\tIN\tI-NP\tO' -p355806 -aS'10\t10\tCD\tI-NP\tO' -p355807 -aS'pounds\tpound\tNNS\tI-NP\tO' -p355808 -aS'or\tor\tCC\tO\tO' -p355809 -aS'driving\tdrive\tVBG\tB-VP\tO' -p355810 -aS'until\tuntil\tIN\tB-SBAR\tO' -p355811 -aS'follow\tfollow\tVB\tB-VP\tO' -p355812 -aS'up\tup\tRP\tB-PRT\tO' -p355813 -aS'with\twith\tIN\tB-PP\tO' -p355814 -aS'surgeon\tsurgeon\tNN\tB-NP\tO' -p355815 -aS'.\t.\t.\tO\tO' -p355816 -asS'BIPAP mask in place with no apparent leak , eyes closed , mouth open , no rhinorhea or oral discharge visible' -p355817 -(lp355818 -S'BIPAP\tBIPAP\tNN\tB-NP\tB-protein' -p355819 -aS'mask\tmask\tNN\tI-NP\tO' -p355820 -aS'in\tin\tIN\tB-PP\tO' -p355821 -aS'place\tplace\tNN\tB-NP\tO' -p355822 -aS'with\twith\tIN\tB-PP\tO' -p355823 -aS'no\tno\tDT\tB-NP\tO' -p355824 -aS'apparent\tapparent\tJJ\tI-NP\tO' -p355825 -aS'leak\tleak\tNN\tI-NP\tO' -p355826 -aS',\t,\t,\tO\tO' -p355827 -aS'eyes\teye\tNNS\tB-NP\tO' -p355828 -aS'closed\tclose\tVBD\tB-VP\tO' -p355829 -aS',\t,\t,\tO\tO' -p355830 -aS'mouth\tmouth\tNN\tB-NP\tO' -p355831 -aS'open\topen\tJJ\tB-ADJP\tO' -p355832 -aS',\t,\t,\tO\tO' -p355833 -aS'no\tno\tDT\tB-NP\tO' -p355834 -aS'rhinorhea\trhinorhea\tNN\tI-NP\tO' -p355835 -aS'or\tor\tCC\tO\tO' -p355836 -aS'oral\toral\tJJ\tB-NP\tO' -p355837 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p355838 -aS'visible\tvisible\tJJ\tB-ADJP\tO' -p355839 -asS'1. Distended gallbladder with impacted 1.6 cm gallstone , focal wall thickening , and positive sonAllan Stephens sign - findings consistent with acute cholecystitis .' -p355840 -(lp355841 -S'1.\t1.\tLS\tB-LST\tO' -p355842 -aS'Distended\tDistend\tVBD\tB-VP\tO' -p355843 -aS'gallbladder\tgallbladder\tNN\tB-NP\tO' -p355844 -aS'with\twith\tIN\tB-PP\tO' -p355845 -aS'impacted\timpacted\tJJ\tB-NP\tO' -p355846 -aS'1.6\t1.6\tCD\tI-NP\tO' -p355847 -aS'cm\tcm\tNN\tI-NP\tO' -p355848 -aS'gallstone\tgallstone\tNN\tI-NP\tO' -p355849 -aS',\t,\t,\tO\tO' -p355850 -aS'focal\tfocal\tJJ\tB-NP\tO' -p355851 -aS'wall\twall\tNN\tI-NP\tO' -p355852 -aS'thickening\tthickening\tNN\tI-NP\tO' -p355853 -aS',\t,\t,\tO\tO' -p355854 -aS'and\tand\tCC\tO\tO' -p355855 -aS'positive\tpositive\tJJ\tB-NP\tO' -p355856 -aS'sonAllan\tsonAllan\tNN\tI-NP\tO' -p355857 -aS'Stephens\tStephen\tVBZ\tB-VP\tO' -p355858 -aS'sign\tsign\tNN\tB-NP\tO' -p355859 -aS'-\t-\tHYPH\tI-NP\tO' -p355860 -aS'findings\tfinding\tNNS\tI-NP\tO' -p355861 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p355862 -aS'with\twith\tIN\tB-PP\tO' -p355863 -aS'acute\tacute\tJJ\tB-NP\tO' -p355864 -aS'cholecystitis\tcholecystitis\tNN\tI-NP\tO' -p355865 -aS'.\t.\t.\tO\tO' -p355866 -asS'Abdomen is benign , no mass .' -p355867 -(lp355868 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p355869 -aS'is\tbe\tVBZ\tB-VP\tO' -p355870 -aS'benign\tbenign\tJJ\tB-ADJP\tO' -p355871 -aS',\t,\t,\tO\tO' -p355872 -aS'no\tno\tDT\tB-NP\tO' -p355873 -aS'mass\tmass\tNN\tI-NP\tO' -p355874 -aS'.\t.\t.\tO\tO' -p355875 -asS'The patient is allergic Ampicillin , Tylenol , Clinoril , Biaxin , Codeine , Sulfa and Aminophylline .' -p355876 -(lp355877 -S'The\tThe\tDT\tB-NP\tO' -p355878 -aS'patient\tpatient\tNN\tI-NP\tO' -p355879 -aS'is\tbe\tVBZ\tB-VP\tO' -p355880 -aS'allergic\tallergic\tJJ\tB-NP\tO' -p355881 -aS'Ampicillin\tAmpicillin\tNNP\tI-NP\tO' -p355882 -aS',\t,\t,\tO\tO' -p355883 -aS'Tylenol\tTylenol\tNNP\tB-NP\tO' -p355884 -aS',\t,\t,\tO\tO' -p355885 -aS'Clinoril\tClinoril\tNNP\tB-NP\tO' -p355886 -aS',\t,\t,\tO\tO' -p355887 -aS'Biaxin\tBiaxin\tNNP\tB-NP\tO' -p355888 -aS',\t,\t,\tO\tO' -p355889 -aS'Codeine\tCodeine\tNNP\tB-NP\tO' -p355890 -aS',\t,\t,\tO\tO' -p355891 -aS'Sulfa\tSulfa\tNNP\tB-NP\tO' -p355892 -aS'and\tand\tCC\tO\tO' -p355893 -aS'Aminophylline\tAminophylline\tNNP\tB-NP\tO' -p355894 -aS'.\t.\t.\tO\tO' -p355895 -asS'We put her on nifedipine IR , SL and that was not enough to control her blood pressure which was in the 200s in the systolic , so we had started her on atenolol .' -p355896 -(lp355897 -S'We\tWe\tPRP\tB-NP\tO' -p355898 -aS'put\tput\tVBD\tB-VP\tO' -p355899 -aS'her\ther\tPRP\tB-NP\tO' -p355900 -aS'on\ton\tIN\tB-PP\tO' -p355901 -aS'nifedipine\tnifedipine\tNN\tB-NP\tO' -p355902 -aS'IR\tIR\tNN\tI-NP\tO' -p355903 -aS',\t,\t,\tO\tO' -p355904 -aS'SL\tSL\tNN\tB-NP\tO' -p355905 -aS'and\tand\tCC\tO\tO' -p355906 -aS'that\tthat\tDT\tB-NP\tO' -p355907 -aS'was\tbe\tVBD\tB-VP\tO' -p355908 -aS'not\tnot\tRB\tO\tO' -p355909 -aS'enough\tenough\tJJ\tB-ADJP\tO' -p355910 -aS'to\tto\tTO\tB-VP\tO' -p355911 -aS'control\tcontrol\tVB\tI-VP\tO' -p355912 -aS'her\ther\tPRP$\tB-NP\tO' -p355913 -aS'blood\tblood\tNN\tI-NP\tO' -p355914 -aS'pressure\tpressure\tNN\tI-NP\tO' -p355915 -aS'which\twhich\tWDT\tB-NP\tO' -p355916 -aS'was\tbe\tVBD\tB-VP\tO' -p355917 -aS'in\tin\tIN\tB-PP\tO' -p355918 -aS'the\tthe\tDT\tB-NP\tO' -p355919 -aS'200s\t200s\tCD\tI-NP\tO' -p355920 -aS'in\tin\tIN\tB-PP\tO' -p355921 -aS'the\tthe\tDT\tB-NP\tO' -p355922 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p355923 -aS',\t,\t,\tO\tO' -p355924 -aS'so\tso\tIN\tO\tO' -p355925 -aS'we\twe\tPRP\tB-NP\tO' -p355926 -aS'had\thave\tVBD\tB-VP\tO' -p355927 -aS'started\tstart\tVBN\tI-VP\tO' -p355928 -aS'her\ther\tPRP\tB-NP\tO' -p355929 -aS'on\ton\tIN\tB-PP\tO' -p355930 -aS'atenolol\tatenolol\tNN\tB-NP\tO' -p355931 -aS'.\t.\t.\tO\tO' -p355932 -asS'05-14- Urine culture : no growth to date' -p355933 -(lp355934 -S'05-14-\t05-14-\tCD\tB-NP\tO' -p355935 -aS'Urine\tUrine\tNNP\tI-NP\tO' -p355936 -aS'culture\tculture\tNN\tI-NP\tO' -p355937 -aS':\t:\t:\tO\tO' -p355938 -aS'no\tno\tDT\tB-NP\tO' -p355939 -aS'growth\tgrowth\tNN\tI-NP\tO' -p355940 -aS'to\tto\tTO\tB-PP\tO' -p355941 -aS'date\tdate\tNN\tB-NP\tO' -p355942 -asS'Serum toxicology and urine toxicology were negative .' -p355943 -(lp355944 -S'Serum\tSerum\tNN\tB-NP\tO' -p355945 -aS'toxicology\ttoxicology\tNN\tI-NP\tO' -p355946 -aS'and\tand\tCC\tO\tO' -p355947 -aS'urine\turine\tNN\tB-NP\tO' -p355948 -aS'toxicology\ttoxicology\tNN\tI-NP\tO' -p355949 -aS'were\tbe\tVBD\tB-VP\tO' -p355950 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p355951 -aS'.\t.\t.\tO\tO' -p355952 -asS'Awake and alert , cooperative with exam , normal affect ; facial expression somewhat sparse .' -p355953 -(lp355954 -S'Awake\tAwake\tNN\tB-NP\tO' -p355955 -aS'and\tand\tCC\tI-NP\tO' -p355956 -aS'alert\talert\tJJ\tI-NP\tO' -p355957 -aS',\t,\t,\tO\tO' -p355958 -aS'cooperative\tcooperative\tJJ\tB-ADJP\tO' -p355959 -aS'with\twith\tIN\tB-PP\tO' -p355960 -aS'exam\texam\tNN\tB-NP\tO' -p355961 -aS',\t,\t,\tO\tO' -p355962 -aS'normal\tnormal\tJJ\tB-NP\tO' -p355963 -aS'affect\taffect\tNN\tI-NP\tO' -p355964 -aS';\t;\t:\tO\tO' -p355965 -aS'facial\tfacial\tJJ\tB-NP\tO' -p355966 -aS'expression\texpression\tNN\tI-NP\tO' -p355967 -aS'somewhat\tsomewhat\tRB\tB-ADJP\tO' -p355968 -aS'sparse\tsparse\tJJ\tI-ADJP\tO' -p355969 -aS'.\t.\t.\tO\tO' -p355970 -asS'His INR was found to be 4.4 .' -p355971 -(lp355972 -S'His\tHis\tPRP$\tB-NP\tO' -p355973 -aS'INR\tINR\tNN\tI-NP\tB-protein' -p355974 -aS'was\tbe\tVBD\tB-VP\tO' -p355975 -aS'found\tfind\tVBN\tI-VP\tO' -p355976 -aS'to\tto\tTO\tI-VP\tO' -p355977 -aS'be\tbe\tVB\tI-VP\tO' -p355978 -aS'4.4\t4.4\tCD\tB-NP\tO' -p355979 -aS'.\t.\t.\tO\tO' -p355980 -asS'Chest exam reveals coarse rhonchi with some bibasilar crackles .' -p355981 -(lp355982 -S'Chest\tCh\tJJS\tB-NP\tO' -p355983 -aS'exam\texam\tNN\tI-NP\tO' -p355984 -aS'reveals\treveal\tVBZ\tB-VP\tO' -p355985 -aS'coarse\tcoarse\tNN\tB-NP\tO' -p355986 -aS'rhonchi\trhonchi\tNN\tI-NP\tO' -p355987 -aS'with\twith\tIN\tB-PP\tO' -p355988 -aS'some\tsome\tDT\tB-NP\tO' -p355989 -aS'bibasilar\tbibasilar\tJJ\tI-NP\tO' -p355990 -aS'crackles\tcrackle\tNNS\tI-NP\tO' -p355991 -aS'.\t.\t.\tO\tO' -p355992 -asS'Normal LV wall thicknesses and cavity size .' -p355993 -(lp355994 -S'Normal\tNormal\tJJ\tB-NP\tO' -p355995 -aS'LV\tLV\tNN\tI-NP\tO' -p355996 -aS'wall\twall\tNN\tI-NP\tO' -p355997 -aS'thicknesses\tthickness\tNNS\tI-NP\tO' -p355998 -aS'and\tand\tCC\tO\tO' -p355999 -aS'cavity\tcavity\tNN\tB-NP\tO' -p356000 -aS'size\tsize\tNN\tI-NP\tO' -p356001 -aS'.\t.\t.\tO\tO' -p356002 -asS'Abdomen : Slightly distended , nontender .' -p356003 -(lp356004 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p356005 -aS':\t:\t:\tO\tO' -p356006 -aS'Slightly\tSlightly\tRB\tB-VP\tO' -p356007 -aS'distended\tdistend\tVBN\tI-VP\tO' -p356008 -aS',\t,\t,\tO\tO' -p356009 -aS'nontender\tnontender\tJJ\tB-ADJP\tO' -p356010 -aS'.\t.\t.\tO\tO' -p356011 -asS'A flexible bronchoscopy and extrapleural-pleural lobectomy on 12-4-93 .' -p356012 -(lp356013 -S'A\tA\tDT\tB-NP\tO' -p356014 -aS'flexible\tflexible\tJJ\tI-NP\tO' -p356015 -aS'bronchoscopy\tbronchoscopy\tNN\tI-NP\tO' -p356016 -aS'and\tand\tCC\tO\tO' -p356017 -aS'extrapleural-pleural\textrapleural-pleural\tJJ\tB-NP\tO' -p356018 -aS'lobectomy\tlobectomy\tNN\tI-NP\tO' -p356019 -aS'on\ton\tIN\tB-PP\tO' -p356020 -aS'12-4-93\t12-4-93\tCD\tB-NP\tO' -p356021 -aS'.\t.\t.\tO\tO' -p356022 -asS'1. Atrial fibrillation , on coumadin' -p356023 -(lp356024 -S'1.\t1.\tLS\tB-NP\tO' -p356025 -aS'Atrial\tAtrial\tJJ\tI-NP\tO' -p356026 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p356027 -aS',\t,\t,\tO\tO' -p356028 -aS'on\ton\tIN\tB-PP\tO' -p356029 -aS'coumadin\tcoumadin\tNN\tB-NP\tO' -p356030 -asS'Baby appeared well and went to the newborn nursery and was breast feeding and undergoing routine newborn care .' -p356031 -(lp356032 -S'Baby\tBaby\tNNP\tB-NP\tO' -p356033 -aS'appeared\tappear\tVBD\tB-VP\tO' -p356034 -aS'well\twell\tRB\tB-ADVP\tO' -p356035 -aS'and\tand\tCC\tO\tO' -p356036 -aS'went\tgo\tVBD\tB-VP\tO' -p356037 -aS'to\tto\tTO\tB-PP\tO' -p356038 -aS'the\tthe\tDT\tB-NP\tO' -p356039 -aS'newborn\tnewborn\tJJ\tI-NP\tO' -p356040 -aS'nursery\tnursery\tNN\tI-NP\tO' -p356041 -aS'and\tand\tCC\tO\tO' -p356042 -aS'was\tbe\tVBD\tB-VP\tO' -p356043 -aS'breast\tbreast\tNN\tB-NP\tO' -p356044 -aS'feeding\tfeeding\tNN\tI-NP\tO' -p356045 -aS'and\tand\tCC\tO\tO' -p356046 -aS'undergoing\tundergo\tVBG\tB-VP\tO' -p356047 -aS'routine\troutine\tJJ\tB-NP\tO' -p356048 -aS'newborn\tnewborn\tJJ\tI-NP\tO' -p356049 -aS'care\tcare\tNN\tI-NP\tO' -p356050 -aS'.\t.\t.\tO\tO' -p356051 -asS'The blood pressure 140/75 , pulse 90 and irregular , respirations 20 .' -p356052 -(lp356053 -S'The\tThe\tDT\tB-NP\tO' -p356054 -aS'blood\tblood\tNN\tI-NP\tO' -p356055 -aS'pressure\tpressure\tNN\tI-NP\tO' -p356056 -aS'140/75\t140/75\tCD\tI-NP\tO' -p356057 -aS',\t,\t,\tO\tO' -p356058 -aS'pulse\tpulse\tNN\tB-NP\tO' -p356059 -aS'90\t90\tCD\tI-NP\tO' -p356060 -aS'and\tand\tCC\tO\tO' -p356061 -aS'irregular\tirregular\tJJ\tB-NP\tO' -p356062 -aS',\t,\t,\tO\tO' -p356063 -aS'respirations\trespiration\tNNS\tB-NP\tO' -p356064 -aS'20\t20\tCD\tB-NP\tO' -p356065 -aS'.\t.\t.\tO\tO' -p356066 -asS'5. Ativan 0.5 mg po q4 hours prn for anxiety .' -p356067 -(lp356068 -S'5.\t5.\tLS\tB-LST\tO' -p356069 -aS'Ativan\tAtivan\tNNP\tB-NP\tO' -p356070 -aS'0.5\t0.5\tCD\tI-NP\tO' -p356071 -aS'mg\tmg\tNN\tI-NP\tO' -p356072 -aS'po\tpo\tNN\tI-NP\tO' -p356073 -aS'q4\tq4\tNN\tI-NP\tO' -p356074 -aS'hours\thour\tNNS\tI-NP\tO' -p356075 -aS'prn\tprn\tVBP\tB-VP\tO' -p356076 -aS'for\tfor\tIN\tB-PP\tO' -p356077 -aS'anxiety\tanxiety\tNN\tB-NP\tO' -p356078 -aS'.\t.\t.\tO\tO' -p356079 -asS'Signed electronically by : DR. Richard Gomez on : FRI 2016-09-16 7:05 AM' -p356080 -(lp356081 -S'Signed\tSign\tVBN\tB-VP\tO' -p356082 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p356083 -aS'by\tby\tIN\tB-PP\tO' -p356084 -aS':\t:\t:\tO\tO' -p356085 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p356086 -aS'Richard\tRichard\tNNP\tI-NP\tO' -p356087 -aS'Gomez\tGomez\tNNP\tI-NP\tO' -p356088 -aS'on\ton\tIN\tB-PP\tO' -p356089 -aS':\t:\t:\tO\tO' -p356090 -aS'FRI\tFRI\tCD\tB-NP\tO' -p356091 -aS'2016-09-16\t2016-09-16\tCD\tI-NP\tO' -p356092 -aS'7:05\t7:05\tCD\tI-NP\tO' -p356093 -aS'AM\tAM\tNN\tI-NP\tO' -p356094 -asS'However , on day of life 34 , 12-04 , she was noted to be pale and less stress tolerant , mottling easily with care .' -p356095 -(lp356096 -S'However\tHowever\tRB\tB-ADVP\tO' -p356097 -aS',\t,\t,\tO\tO' -p356098 -aS'on\ton\tIN\tB-PP\tO' -p356099 -aS'day\tday\tNN\tB-NP\tO' -p356100 -aS'of\tof\tIN\tB-PP\tO' -p356101 -aS'life\tlife\tNN\tB-NP\tO' -p356102 -aS'34\t34\tCD\tI-NP\tO' -p356103 -aS',\t,\t,\tI-NP\tO' -p356104 -aS'12-04\t12-04\tCD\tI-NP\tO' -p356105 -aS',\t,\t,\tO\tO' -p356106 -aS'she\tshe\tPRP\tB-NP\tO' -p356107 -aS'was\tbe\tVBD\tB-VP\tO' -p356108 -aS'noted\tnote\tVBN\tI-VP\tO' -p356109 -aS'to\tto\tTO\tI-VP\tO' -p356110 -aS'be\tbe\tVB\tI-VP\tO' -p356111 -aS'pale\tpale\tJJ\tB-NP\tO' -p356112 -aS'and\tand\tCC\tI-NP\tO' -p356113 -aS'less\tless\tJJR\tI-NP\tO' -p356114 -aS'stress\tstress\tNN\tI-NP\tO' -p356115 -aS'tolerant\ttolerant\tNN\tI-NP\tO' -p356116 -aS',\t,\t,\tO\tO' -p356117 -aS'mottling\tmottle\tVBG\tB-VP\tO' -p356118 -aS'easily\teasily\tRB\tB-ADVP\tO' -p356119 -aS'with\twith\tIN\tB-PP\tO' -p356120 -aS'care\tcare\tNN\tB-NP\tO' -p356121 -aS'.\t.\t.\tO\tO' -p356122 -asS'The patient was transferred from an outside hospital for a second opinion regarding workup of his pancreatic cancer .' -p356123 -(lp356124 -S'The\tThe\tDT\tB-NP\tO' -p356125 -aS'patient\tpatient\tNN\tI-NP\tO' -p356126 -aS'was\tbe\tVBD\tB-VP\tO' -p356127 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p356128 -aS'from\tfrom\tIN\tB-PP\tO' -p356129 -aS'an\tan\tDT\tB-NP\tO' -p356130 -aS'outside\toutside\tJJ\tI-NP\tO' -p356131 -aS'hospital\thospital\tNN\tI-NP\tO' -p356132 -aS'for\tfor\tIN\tB-PP\tO' -p356133 -aS'a\ta\tDT\tB-NP\tO' -p356134 -aS'second\tsecond\tJJ\tI-NP\tO' -p356135 -aS'opinion\topinion\tNN\tI-NP\tO' -p356136 -aS'regarding\tregard\tVBG\tB-VP\tO' -p356137 -aS'workup\tworkup\tNN\tB-NP\tO' -p356138 -aS'of\tof\tIN\tB-PP\tO' -p356139 -aS'his\this\tPRP$\tB-NP\tO' -p356140 -aS'pancreatic\tpancreatic\tJJ\tI-NP\tO' -p356141 -aS'cancer\tcancer\tNN\tI-NP\tO' -p356142 -aS'.\t.\t.\tO\tO' -p356143 -asS'The patient was given printed instructions for sprains , fractures and bruises ( English ) .' -p356144 -(lp356145 -S'The\tThe\tDT\tB-NP\tO' -p356146 -aS'patient\tpatient\tNN\tI-NP\tO' -p356147 -aS'was\tbe\tVBD\tB-VP\tO' -p356148 -aS'given\tgive\tVBN\tI-VP\tO' -p356149 -aS'printed\tprint\tVBN\tB-NP\tO' -p356150 -aS'instructions\tinstruction\tNNS\tI-NP\tO' -p356151 -aS'for\tfor\tIN\tB-PP\tO' -p356152 -aS'sprains\tsprain\tNNS\tB-NP\tO' -p356153 -aS',\t,\t,\tI-NP\tO' -p356154 -aS'fractures\tfracture\tNNS\tI-NP\tO' -p356155 -aS'and\tand\tCC\tI-NP\tO' -p356156 -aS'bruises\tbruise\tNNS\tI-NP\tO' -p356157 -aS'(\t(\t(\tO\tO' -p356158 -aS'English\tEnglish\tNNS\tB-NP\tO' -p356159 -aS')\t)\t)\tO\tO' -p356160 -aS'.\t.\t.\tO\tO' -p356161 -asS'The patient had been tolerating oral feeding as of day of life 2 and is currently taking Enfamil 20 p.o. ad lib .' -p356162 -(lp356163 -S'The\tThe\tDT\tB-NP\tO' -p356164 -aS'patient\tpatient\tNN\tI-NP\tO' -p356165 -aS'had\thave\tVBD\tB-VP\tO' -p356166 -aS'been\tbe\tVBN\tI-VP\tO' -p356167 -aS'tolerating\ttolerate\tVBG\tI-VP\tO' -p356168 -aS'oral\toral\tJJ\tB-NP\tO' -p356169 -aS'feeding\tfeeding\tNN\tI-NP\tO' -p356170 -aS'as\tas\tIN\tB-PP\tO' -p356171 -aS'of\tof\tIN\tB-PP\tO' -p356172 -aS'day\tday\tNN\tB-NP\tO' -p356173 -aS'of\tof\tIN\tB-PP\tO' -p356174 -aS'life\tlife\tNN\tB-NP\tB-protein' -p356175 -aS'2\t2\tCD\tI-NP\tI-protein' -p356176 -aS'and\tand\tCC\tO\tO' -p356177 -aS'is\tbe\tVBZ\tB-VP\tO' -p356178 -aS'currently\tcurrently\tRB\tI-VP\tO' -p356179 -aS'taking\ttake\tVBG\tI-VP\tO' -p356180 -aS'Enfamil\tEnfamil\tNNP\tB-NP\tO' -p356181 -aS'20\t20\tCD\tI-NP\tO' -p356182 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p356183 -aS'ad\tad\tNN\tI-NP\tO' -p356184 -aS'lib\tlib\tNN\tI-NP\tO' -p356185 -aS'.\t.\t.\tO\tO' -p356186 -asS'The patient has a history of multiple hospitalizations for lower extremity cellulitis and noted that his symptoms and the appearance of his left leg mirrored previous episodes .' -p356187 -(lp356188 -S'The\tThe\tDT\tB-NP\tO' -p356189 -aS'patient\tpatient\tNN\tI-NP\tO' -p356190 -aS'has\thave\tVBZ\tB-VP\tO' -p356191 -aS'a\ta\tDT\tB-NP\tO' -p356192 -aS'history\thistory\tNN\tI-NP\tO' -p356193 -aS'of\tof\tIN\tB-PP\tO' -p356194 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p356195 -aS'hospitalizations\thospitalization\tNNS\tI-NP\tO' -p356196 -aS'for\tfor\tIN\tB-PP\tO' -p356197 -aS'lower\tlow\tJJR\tB-NP\tO' -p356198 -aS'extremity\textremity\tNN\tI-NP\tO' -p356199 -aS'cellulitis\tcellulitis\tNN\tI-NP\tO' -p356200 -aS'and\tand\tCC\tO\tO' -p356201 -aS'noted\tnote\tVBD\tB-VP\tO' -p356202 -aS'that\tthat\tIN\tB-SBAR\tO' -p356203 -aS'his\this\tPRP$\tB-NP\tO' -p356204 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p356205 -aS'and\tand\tCC\tO\tO' -p356206 -aS'the\tthe\tDT\tB-NP\tO' -p356207 -aS'appearance\tappearance\tNN\tI-NP\tO' -p356208 -aS'of\tof\tIN\tB-PP\tO' -p356209 -aS'his\this\tPRP$\tB-NP\tO' -p356210 -aS'left\tleft\tJJ\tI-NP\tO' -p356211 -aS'leg\tleg\tNN\tI-NP\tO' -p356212 -aS'mirrored\tmirror\tVBD\tB-VP\tO' -p356213 -aS'previous\tprevious\tJJ\tB-NP\tO' -p356214 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p356215 -aS'.\t.\t.\tO\tO' -p356216 -asS'The patient was started on ceftazidime , nafcillin and Flagyl for concern of a soft tissue infection .' -p356217 -(lp356218 -S'The\tThe\tDT\tB-NP\tO' -p356219 -aS'patient\tpatient\tNN\tI-NP\tO' -p356220 -aS'was\tbe\tVBD\tB-VP\tO' -p356221 -aS'started\tstart\tVBN\tI-VP\tO' -p356222 -aS'on\ton\tIN\tB-PP\tO' -p356223 -aS'ceftazidime\tceftazidime\tNN\tB-NP\tO' -p356224 -aS',\t,\t,\tI-NP\tO' -p356225 -aS'nafcillin\tnafcillin\tNN\tI-NP\tO' -p356226 -aS'and\tand\tCC\tI-NP\tO' -p356227 -aS'Flagyl\tFlagyl\tNN\tI-NP\tO' -p356228 -aS'for\tfor\tIN\tB-PP\tO' -p356229 -aS'concern\tconcern\tNN\tB-NP\tO' -p356230 -aS'of\tof\tIN\tB-PP\tO' -p356231 -aS'a\ta\tDT\tB-NP\tO' -p356232 -aS'soft\tsoft\tJJ\tI-NP\tO' -p356233 -aS'tissue\ttissue\tNN\tI-NP\tO' -p356234 -aS'infection\tinfection\tNN\tI-NP\tO' -p356235 -aS'.\t.\t.\tO\tO' -p356236 -asS'He developed zoster for which he received a course of acyclovir .' -p356237 -(lp356238 -S'He\tHe\tPRP\tB-NP\tO' -p356239 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p356240 -aS'zoster\tzoster\tNN\tB-NP\tO' -p356241 -aS'for\tfor\tIN\tB-PP\tO' -p356242 -aS'which\twhich\tWDT\tB-NP\tO' -p356243 -aS'he\the\tPRP\tB-NP\tO' -p356244 -aS'received\treceive\tVBD\tB-VP\tO' -p356245 -aS'a\ta\tDT\tB-NP\tO' -p356246 -aS'course\tcourse\tNN\tI-NP\tO' -p356247 -aS'of\tof\tIN\tB-PP\tO' -p356248 -aS'acyclovir\tacyclovir\tNN\tB-NP\tO' -p356249 -aS'.\t.\t.\tO\tO' -p356250 -asS'His maximum caloric intake was 24 calories per ounce .' -p356251 -(lp356252 -S'His\tHis\tPRP$\tB-NP\tO' -p356253 -aS'maximum\tmaximum\tJJ\tI-NP\tO' -p356254 -aS'caloric\tcaloric\tJJ\tI-NP\tO' -p356255 -aS'intake\tintake\tNN\tI-NP\tO' -p356256 -aS'was\tbe\tVBD\tB-VP\tO' -p356257 -aS'24\t24\tCD\tB-NP\tO' -p356258 -aS'calories\tcalorie\tNNS\tI-NP\tO' -p356259 -aS'per\tper\tIN\tB-PP\tO' -p356260 -aS'ounce\tounce\tNN\tB-NP\tO' -p356261 -aS'.\t.\t.\tO\tO' -p356262 -asS'NIACIN , VIT .' -p356263 -(lp356264 -S'NIACIN\tNIACIN\tNN\tB-NP\tB-protein' -p356265 -aS',\t,\t,\tO\tO' -p356266 -aS'VIT\tVIT\tNN\tB-NP\tB-protein' -p356267 -aS'.\t.\t.\tO\tO' -p356268 -asS'COPD with 2 liters dependence of home 02 .' -p356269 -(lp356270 -S'COPD\tCOPD\tNN\tB-NP\tO' -p356271 -aS'with\twith\tIN\tB-PP\tO' -p356272 -aS'2\t2\tCD\tB-NP\tO' -p356273 -aS'liters\tliter\tNNS\tI-NP\tO' -p356274 -aS'dependence\tdependence\tNN\tI-NP\tO' -p356275 -aS'of\tof\tIN\tB-PP\tO' -p356276 -aS'home\thome\tNN\tB-NP\tB-DNA' -p356277 -aS'02\t02\tCD\tI-NP\tI-DNA' -p356278 -aS'.\t.\t.\tO\tO' -p356279 -asS'An echocardiogram was obtained on 4-26 which showed concentric left ventricular hypertrophy with normal _____ left ventricular function , severe right ventricular dilatation with septal hypokinesis and flattening with a question of right ventricular apical clot raised with mild aortic stenosis , severe tricuspid regurgitation and increased pulmonary artery pressure of approximately 70 millimeters , consistent with fairly severe pulmonary hypertension .' -p356280 -(lp356281 -S'An\tAn\tDT\tB-NP\tO' -p356282 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p356283 -aS'was\tbe\tVBD\tB-VP\tO' -p356284 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p356285 -aS'on\ton\tIN\tB-PP\tO' -p356286 -aS'4-26\t4-26\tNN\tB-NP\tO' -p356287 -aS'which\twhich\tWDT\tB-NP\tO' -p356288 -aS'showed\tshow\tVBD\tB-VP\tO' -p356289 -aS'concentric\tconcentric\tJJ\tB-NP\tO' -p356290 -aS'left\tleft\tJJ\tI-NP\tO' -p356291 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p356292 -aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' -p356293 -aS'with\twith\tIN\tB-PP\tO' -p356294 -aS'normal\tnormal\tJJ\tB-NP\tO' -p356295 -aS'_____\t_____\tNN\tI-NP\tO' -p356296 -aS'left\tleave\tVBD\tB-VP\tO' -p356297 -aS'ventricular\tventricular\tJJ\tB-NP\tO' -p356298 -aS'function\tfunction\tNN\tI-NP\tO' -p356299 -aS',\t,\t,\tO\tO' -p356300 -aS'severe\tsevere\tJJ\tB-NP\tO' -p356301 -aS'right\tright\tJJ\tI-NP\tO' -p356302 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p356303 -aS'dilatation\tdilatation\tNN\tI-NP\tO' -p356304 -aS'with\twith\tIN\tB-PP\tO' -p356305 -aS'septal\tseptal\tJJ\tB-NP\tO' -p356306 -aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' -p356307 -aS'and\tand\tCC\tO\tO' -p356308 -aS'flattening\tflatten\tVBG\tB-VP\tO' -p356309 -aS'with\twith\tIN\tB-PP\tO' -p356310 -aS'a\ta\tDT\tB-NP\tO' -p356311 -aS'question\tquestion\tNN\tI-NP\tO' -p356312 -aS'of\tof\tIN\tB-PP\tO' -p356313 -aS'right\tright\tJJ\tB-NP\tO' -p356314 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p356315 -aS'apical\tapical\tJJ\tI-NP\tO' -p356316 -aS'clot\tclot\tNN\tI-NP\tO' -p356317 -aS'raised\traise\tVBN\tB-VP\tO' -p356318 -aS'with\twith\tIN\tB-PP\tO' -p356319 -aS'mild\tmild\tJJ\tB-NP\tO' -p356320 -aS'aortic\taortic\tJJ\tI-NP\tO' -p356321 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p356322 -aS',\t,\t,\tO\tO' -p356323 -aS'severe\tsevere\tJJ\tB-NP\tO' -p356324 -aS'tricuspid\ttricuspid\tJJ\tI-NP\tO' -p356325 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p356326 -aS'and\tand\tCC\tO\tO' -p356327 -aS'increased\tincrease\tVBD\tB-VP\tO' -p356328 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p356329 -aS'artery\tartery\tNN\tI-NP\tO' -p356330 -aS'pressure\tpressure\tNN\tI-NP\tO' -p356331 -aS'of\tof\tIN\tB-PP\tO' -p356332 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p356333 -aS'70\t70\tCD\tI-NP\tO' -p356334 -aS'millimeters\tmillimeter\tNNS\tI-NP\tO' -p356335 -aS',\t,\t,\tO\tO' -p356336 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p356337 -aS'with\twith\tIN\tB-PP\tO' -p356338 -aS'fairly\tfairly\tRB\tB-NP\tO' -p356339 -aS'severe\tsevere\tJJ\tI-NP\tO' -p356340 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p356341 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p356342 -aS'.\t.\t.\tO\tO' -p356343 -asS'Discharge weight is 1700 grams up 15 grams ..' -p356344 -(lp356345 -S'Discharge\tDischarge\tNN\tB-NP\tO' -p356346 -aS'weight\tweight\tNN\tI-NP\tO' -p356347 -aS'is\tbe\tVBZ\tB-VP\tO' -p356348 -aS'1700\t1700\tCD\tB-NP\tO' -p356349 -aS'grams\tgram\tNNS\tI-NP\tO' -p356350 -aS'up\tup\tRB\tB-ADVP\tO' -p356351 -aS'15\t15\tCD\tB-NP\tO' -p356352 -aS'grams\tgram\tNNS\tI-NP\tO' -p356353 -aS'..\t..\t.\tO\tO' -p356354 -asS'8. There is a trivial / physiologic pericardial effusion .' -p356355 -(lp356356 -S'8.\t8.\tLS\tB-LST\tO' -p356357 -aS'There\tThere\tEX\tB-NP\tO' -p356358 -aS'is\tbe\tVBZ\tB-VP\tO' -p356359 -aS'a\ta\tDT\tB-NP\tO' -p356360 -aS'trivial\ttrivial\tJJ\tI-NP\tO' -p356361 -aS'/\t/\tSYM\tI-NP\tO' -p356362 -aS'physiologic\tphysiologic\tJJ\tI-NP\tO' -p356363 -aS'pericardial\tpericardial\tJJ\tI-NP\tO' -p356364 -aS'effusion\teffusion\tNN\tI-NP\tO' -p356365 -aS'.\t.\t.\tO\tO' -p356366 -asS'Our recommendations were to load her with Dilantin and then continue at 100 mg PO TID .' -p356367 -(lp356368 -S'Our\tOur\tPRP$\tB-NP\tO' -p356369 -aS'recommendations\trecommendation\tNNS\tI-NP\tO' -p356370 -aS'were\tbe\tVBD\tB-VP\tO' -p356371 -aS'to\tto\tTO\tI-VP\tO' -p356372 -aS'load\tload\tVB\tI-VP\tO' -p356373 -aS'her\ther\tPRP\tB-NP\tO' -p356374 -aS'with\twith\tIN\tB-PP\tO' -p356375 -aS'Dilantin\tDilantin\tNN\tB-NP\tB-protein' -p356376 -aS'and\tand\tCC\tO\tO' -p356377 -aS'then\tthen\tRB\tB-VP\tO' -p356378 -aS'continue\tcontinue\tVBP\tI-VP\tO' -p356379 -aS'at\tat\tIN\tB-PP\tO' -p356380 -aS'100\t100\tCD\tB-NP\tO' -p356381 -aS'mg\tmg\tNN\tI-NP\tO' -p356382 -aS'PO\tPO\tNN\tI-NP\tO' -p356383 -aS'TID\tTID\tNN\tI-NP\tO' -p356384 -aS'.\t.\t.\tO\tO' -p356385 -asS'A shallow chronic ulcer in the right shin with desquamation bilaterally around the ankle and half way up the shin .' -p356386 -(lp356387 -S'A\tA\tDT\tB-NP\tO' -p356388 -aS'shallow\tshallow\tJJ\tI-NP\tO' -p356389 -aS'chronic\tchronic\tJJ\tI-NP\tO' -p356390 -aS'ulcer\tulcer\tNN\tI-NP\tO' -p356391 -aS'in\tin\tIN\tB-PP\tO' -p356392 -aS'the\tthe\tDT\tB-NP\tO' -p356393 -aS'right\tright\tJJ\tI-NP\tO' -p356394 -aS'shin\tshin\tNN\tI-NP\tO' -p356395 -aS'with\twith\tIN\tB-PP\tO' -p356396 -aS'desquamation\tdesquamation\tNN\tB-NP\tO' -p356397 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p356398 -aS'around\taround\tIN\tB-PP\tO' -p356399 -aS'the\tthe\tDT\tB-NP\tO' -p356400 -aS'ankle\tankle\tNN\tI-NP\tO' -p356401 -aS'and\tand\tCC\tI-NP\tO' -p356402 -aS'half\thalf\tJJ\tI-NP\tO' -p356403 -aS'way\tway\tNN\tI-NP\tO' -p356404 -aS'up\tup\tIN\tB-PP\tO' -p356405 -aS'the\tthe\tDT\tB-NP\tO' -p356406 -aS'shin\tshin\tNN\tI-NP\tO' -p356407 -aS'.\t.\t.\tO\tO' -p356408 -asS'The chest X-ray reveals no evidence of acute disease .' -p356409 -(lp356410 -S'The\tThe\tDT\tB-NP\tO' -p356411 -aS'chest\tchest\tNN\tI-NP\tO' -p356412 -aS'X-ray\tX-ray\tNN\tI-NP\tO' -p356413 -aS'reveals\treveal\tVBZ\tB-VP\tO' -p356414 -aS'no\tno\tDT\tB-NP\tO' -p356415 -aS'evidence\tevidence\tNN\tI-NP\tO' -p356416 -aS'of\tof\tIN\tB-PP\tO' -p356417 -aS'acute\tacute\tJJ\tB-NP\tO' -p356418 -aS'disease\tdisease\tNN\tI-NP\tO' -p356419 -aS'.\t.\t.\tO\tO' -p356420 -asS'Hematocrit 24.8 , platelets 223 , INR 2.4 , CK 234 .' -p356421 -(lp356422 -S'Hematocrit\tHematocrit\tNN\tB-NP\tB-protein' -p356423 -aS'24.8\t24.8\tCD\tI-NP\tI-protein' -p356424 -aS',\t,\t,\tO\tO' -p356425 -aS'platelets\tplatelet\tNNS\tB-NP\tB-protein' -p356426 -aS'223\t223\tCD\tB-NP\tI-protein' -p356427 -aS',\t,\t,\tO\tO' -p356428 -aS'INR\tINR\tNN\tB-NP\tB-protein' -p356429 -aS'2.4\t2.4\tCD\tI-NP\tI-protein' -p356430 -aS',\t,\t,\tO\tO' -p356431 -aS'CK\tCK\tNN\tB-NP\tB-protein' -p356432 -aS'234\t234\tCD\tI-NP\tI-protein' -p356433 -aS'.\t.\t.\tO\tO' -p356434 -asS'Please follow up with Dr. Ner' -p356435 -(lp356436 -S'Please\tPlease\tVB\tB-VP\tO' -p356437 -aS'follow\tfollow\tVB\tI-VP\tO' -p356438 -aS'up\tup\tRP\tB-PRT\tO' -p356439 -aS'with\twith\tIN\tB-PP\tO' -p356440 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p356441 -aS'Ner\tNer\tNNP\tI-NP\tO' -p356442 -asS'No AR .' -p356443 -(lp356444 -S'No\tNo\tDT\tB-NP\tO' -p356445 -aS'AR\tAR\tNN\tI-NP\tB-protein' -p356446 -aS'.\t.\t.\tO\tO' -p356447 -asS'There was also some evidence of left ventricular dysfunction during the test .' -p356448 -(lp356449 -S'There\tThere\tEX\tB-NP\tO' -p356450 -aS'was\tbe\tVBD\tB-VP\tO' -p356451 -aS'also\talso\tRB\tB-ADVP\tO' -p356452 -aS'some\tsome\tDT\tB-NP\tO' -p356453 -aS'evidence\tevidence\tNN\tI-NP\tO' -p356454 -aS'of\tof\tIN\tB-PP\tO' -p356455 -aS'left\tleft\tJJ\tB-NP\tO' -p356456 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p356457 -aS'dysfunction\tdysfunction\tNN\tI-NP\tO' -p356458 -aS'during\tduring\tIN\tB-PP\tO' -p356459 -aS'the\tthe\tDT\tB-NP\tO' -p356460 -aS'test\ttest\tNN\tI-NP\tO' -p356461 -aS'.\t.\t.\tO\tO' -p356462 -asS'On the left side it is 4 out of 5 in the lower extremities .' -p356463 -(lp356464 -S'On\tOn\tIN\tB-PP\tO' -p356465 -aS'the\tthe\tDT\tB-NP\tO' -p356466 -aS'left\tleft\tJJ\tI-NP\tO' -p356467 -aS'side\tside\tNN\tI-NP\tO' -p356468 -aS'it\tit\tPRP\tB-NP\tO' -p356469 -aS'is\tbe\tVBZ\tB-VP\tO' -p356470 -aS'4\t4\tCD\tB-NP\tO' -p356471 -aS'out\tout\tIN\tB-PP\tO' -p356472 -aS'of\tof\tIN\tB-PP\tO' -p356473 -aS'5\t5\tCD\tB-NP\tO' -p356474 -aS'in\tin\tIN\tB-PP\tO' -p356475 -aS'the\tthe\tDT\tB-NP\tO' -p356476 -aS'lower\tlow\tJJR\tI-NP\tO' -p356477 -aS'extremities\textremity\tNNS\tI-NP\tO' -p356478 -aS'.\t.\t.\tO\tO' -p356479 -asS'Blood and urine cultures were no growth at the time of discharge as well .' -p356480 -(lp356481 -S'Blood\tBlood\tNN\tB-NP\tO' -p356482 -aS'and\tand\tCC\tI-NP\tO' -p356483 -aS'urine\turine\tNN\tI-NP\tB-cell_line' -p356484 -aS'cultures\tculture\tNNS\tI-NP\tI-cell_line' -p356485 -aS'were\tbe\tVBD\tB-VP\tO' -p356486 -aS'no\tno\tDT\tB-NP\tO' -p356487 -aS'growth\tgrowth\tNN\tI-NP\tO' -p356488 -aS'at\tat\tIN\tB-PP\tO' -p356489 -aS'the\tthe\tDT\tB-NP\tO' -p356490 -aS'time\ttime\tNN\tI-NP\tO' -p356491 -aS'of\tof\tIN\tB-PP\tO' -p356492 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p356493 -aS'as\tas\tRB\tB-ADVP\tO' -p356494 -aS'well\twell\tRB\tI-ADVP\tO' -p356495 -aS'.\t.\t.\tO\tO' -p356496 -asS'The patient was maintained on intravenous heparin .' -p356497 -(lp356498 -S'The\tThe\tDT\tB-NP\tO' -p356499 -aS'patient\tpatient\tNN\tI-NP\tO' -p356500 -aS'was\tbe\tVBD\tB-VP\tO' -p356501 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p356502 -aS'on\ton\tIN\tB-PP\tO' -p356503 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p356504 -aS'heparin\theparin\tNN\tI-NP\tO' -p356505 -aS'.\t.\t.\tO\tO' -p356506 -asS'Neurological examination revealed a patient who was intermittently alert , opening eyes to voice , following simple commands , but without any speech .' -p356507 -(lp356508 -S'Neurological\tNeurological\tJJ\tB-NP\tO' -p356509 -aS'examination\texamination\tNN\tI-NP\tO' -p356510 -aS'revealed\treveal\tVBD\tB-VP\tO' -p356511 -aS'a\ta\tDT\tB-NP\tO' -p356512 -aS'patient\tpatient\tNN\tI-NP\tO' -p356513 -aS'who\twho\tWP\tB-NP\tO' -p356514 -aS'was\tbe\tVBD\tB-VP\tO' -p356515 -aS'intermittently\tintermittently\tRB\tB-ADJP\tO' -p356516 -aS'alert\talert\tJJ\tI-ADJP\tO' -p356517 -aS',\t,\t,\tO\tO' -p356518 -aS'opening\topen\tVBG\tB-VP\tO' -p356519 -aS'eyes\teye\tNNS\tB-NP\tO' -p356520 -aS'to\tto\tTO\tB-VP\tO' -p356521 -aS'voice\tvoice\tVB\tI-VP\tO' -p356522 -aS',\t,\t,\tO\tO' -p356523 -aS'following\tfollow\tVBG\tB-PP\tO' -p356524 -aS'simple\tsimple\tJJ\tB-NP\tO' -p356525 -aS'commands\tcommand\tNNS\tI-NP\tO' -p356526 -aS',\t,\t,\tO\tO' -p356527 -aS'but\tbut\tCC\tO\tO' -p356528 -aS'without\twithout\tIN\tB-PP\tO' -p356529 -aS'any\tany\tDT\tB-NP\tO' -p356530 -aS'speech\tspeech\tNN\tI-NP\tO' -p356531 -aS'.\t.\t.\tO\tO' -p356532 -asS'Immunizations recommended , Synagis RSV prophylaxis should be considered from October through April for infants who meet any of the following three criteria , born at less then 32 weeks , born between 32 and 35 weeks with two of three of the following , day care during RSV season , smoker on the household , neuromuscular disease , airway abnormalities or school age siblings or with chronic lung disease .' -p356533 -(lp356534 -S'Immunizations\tImmunization\tNNS\tB-NP\tO' -p356535 -aS'recommended\trecommend\tVBD\tB-VP\tO' -p356536 -aS',\t,\t,\tO\tO' -p356537 -aS'Synagis\tSynagis\tNNP\tB-NP\tO' -p356538 -aS'RSV\tRSV\tNNP\tI-NP\tO' -p356539 -aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' -p356540 -aS'should\tshould\tMD\tB-VP\tO' -p356541 -aS'be\tbe\tVB\tI-VP\tO' -p356542 -aS'considered\tconsider\tVBN\tI-VP\tO' -p356543 -aS'from\tfrom\tIN\tB-PP\tO' -p356544 -aS'October\tOctober\tNNP\tB-NP\tO' -p356545 -aS'through\tthrough\tIN\tB-PP\tO' -p356546 -aS'April\tApril\tNNP\tB-NP\tO' -p356547 -aS'for\tfor\tIN\tB-PP\tO' -p356548 -aS'infants\tinfant\tNNS\tB-NP\tO' -p356549 -aS'who\twho\tWP\tB-NP\tO' -p356550 -aS'meet\tmeet\tVBP\tB-VP\tO' -p356551 -aS'any\tany\tDT\tB-NP\tO' -p356552 -aS'of\tof\tIN\tB-PP\tO' -p356553 -aS'the\tthe\tDT\tB-NP\tO' -p356554 -aS'following\tfollow\tVBG\tI-NP\tO' -p356555 -aS'three\tthree\tCD\tI-NP\tO' -p356556 -aS'criteria\tcriterion\tNNS\tI-NP\tO' -p356557 -aS',\t,\t,\tO\tO' -p356558 -aS'born\tbear\tVBN\tB-VP\tO' -p356559 -aS'at\tat\tIN\tB-PP\tO' -p356560 -aS'less\tless\tRBR\tB-ADVP\tO' -p356561 -aS'then\tthen\tRB\tI-ADVP\tO' -p356562 -aS'32\t32\tCD\tB-NP\tO' -p356563 -aS'weeks\tweek\tNNS\tI-NP\tO' -p356564 -aS',\t,\t,\tO\tO' -p356565 -aS'born\tbear\tVBN\tB-VP\tO' -p356566 -aS'between\tbetween\tIN\tB-PP\tO' -p356567 -aS'32\t32\tCD\tB-NP\tO' -p356568 -aS'and\tand\tCC\tI-NP\tO' -p356569 -aS'35\t35\tCD\tI-NP\tO' -p356570 -aS'weeks\tweek\tNNS\tI-NP\tO' -p356571 -aS'with\twith\tIN\tB-PP\tO' -p356572 -aS'two\ttwo\tCD\tB-NP\tO' -p356573 -aS'of\tof\tIN\tB-PP\tO' -p356574 -aS'three\tthree\tCD\tB-NP\tO' -p356575 -aS'of\tof\tIN\tB-PP\tO' -p356576 -aS'the\tthe\tDT\tB-NP\tO' -p356577 -aS'following\tfollowing\tNN\tI-NP\tO' -p356578 -aS',\t,\t,\tO\tO' -p356579 -aS'day\tday\tNN\tB-NP\tO' -p356580 -aS'care\tcare\tNN\tI-NP\tO' -p356581 -aS'during\tduring\tIN\tB-PP\tO' -p356582 -aS'RSV\tRSV\tNN\tB-NP\tO' -p356583 -aS'season\tseason\tNN\tI-NP\tO' -p356584 -aS',\t,\t,\tO\tO' -p356585 -aS'smoker\tsmoker\tNN\tB-NP\tO' -p356586 -aS'on\ton\tIN\tB-PP\tO' -p356587 -aS'the\tthe\tDT\tB-NP\tO' -p356588 -aS'household\thousehold\tNN\tI-NP\tO' -p356589 -aS',\t,\t,\tO\tO' -p356590 -aS'neuromuscular\tneuromuscular\tJJ\tB-NP\tO' -p356591 -aS'disease\tdisease\tNN\tI-NP\tO' -p356592 -aS',\t,\t,\tO\tO' -p356593 -aS'airway\tairway\tNN\tB-NP\tO' -p356594 -aS'abnormalities\tabnormality\tNNS\tI-NP\tO' -p356595 -aS'or\tor\tCC\tO\tO' -p356596 -aS'school\tschool\tNN\tB-NP\tO' -p356597 -aS'age\tage\tNN\tI-NP\tO' -p356598 -aS'siblings\tsibling\tNNS\tI-NP\tO' -p356599 -aS'or\tor\tCC\tB-PP\tO' -p356600 -aS'with\twith\tIN\tB-PP\tO' -p356601 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p356602 -aS'lung\tlung\tNN\tI-NP\tO' -p356603 -aS'disease\tdisease\tNN\tI-NP\tO' -p356604 -aS'.\t.\t.\tO\tO' -p356605 -asS'Rales at the right base , bilateral decreased breath sounds at the bases .' -p356606 -(lp356607 -S'Rales\tRale\tNNS\tB-NP\tO' -p356608 -aS'at\tat\tIN\tB-PP\tO' -p356609 -aS'the\tthe\tDT\tB-NP\tO' -p356610 -aS'right\tright\tJJ\tI-NP\tO' -p356611 -aS'base\tbase\tNN\tI-NP\tO' -p356612 -aS',\t,\t,\tO\tO' -p356613 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p356614 -aS'decreased\tdecrease\tVBN\tI-NP\tO' -p356615 -aS'breath\tbreath\tNN\tI-NP\tO' -p356616 -aS'sounds\tsound\tNNS\tI-NP\tO' -p356617 -aS'at\tat\tIN\tB-PP\tO' -p356618 -aS'the\tthe\tDT\tB-NP\tO' -p356619 -aS'bases\tbase\tNNS\tI-NP\tO' -p356620 -aS'.\t.\t.\tO\tO' -p356621 -asS'The patient will be discharged with WH and continued dressing changes bid .' -p356622 -(lp356623 -S'The\tThe\tDT\tB-NP\tO' -p356624 -aS'patient\tpatient\tNN\tI-NP\tO' -p356625 -aS'will\twill\tMD\tB-VP\tO' -p356626 -aS'be\tbe\tVB\tI-VP\tO' -p356627 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p356628 -aS'with\twith\tIN\tB-PP\tO' -p356629 -aS'WH\tWH\tNN\tB-NP\tO' -p356630 -aS'and\tand\tCC\tO\tO' -p356631 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p356632 -aS'dressing\tdress\tVBG\tI-VP\tO' -p356633 -aS'changes\tchange\tNNS\tB-NP\tO' -p356634 -aS'bid\tbid\tNN\tI-NP\tO' -p356635 -aS'.\t.\t.\tO\tO' -p356636 -asS'Given the localization of the hematoma and the history of hypertension , the most likely cause for Mrs. Dua 's cerebellar hemorrhage is hypertension .' -p356637 -(lp356638 -S'Given\tGive\tVBN\tB-PP\tO' -p356639 -aS'the\tthe\tDT\tB-NP\tO' -p356640 -aS'localization\tlocalization\tNN\tI-NP\tO' -p356641 -aS'of\tof\tIN\tB-PP\tO' -p356642 -aS'the\tthe\tDT\tB-NP\tO' -p356643 -aS'hematoma\thematoma\tNN\tI-NP\tO' -p356644 -aS'and\tand\tCC\tO\tO' -p356645 -aS'the\tthe\tDT\tB-NP\tO' -p356646 -aS'history\thistory\tNN\tI-NP\tO' -p356647 -aS'of\tof\tIN\tB-PP\tO' -p356648 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p356649 -aS',\t,\t,\tO\tO' -p356650 -aS'the\tthe\tDT\tB-NP\tO' -p356651 -aS'most\tmost\tRBS\tI-NP\tO' -p356652 -aS'likely\tlikely\tJJ\tI-NP\tO' -p356653 -aS'cause\tcause\tNN\tI-NP\tO' -p356654 -aS'for\tfor\tIN\tB-PP\tO' -p356655 -aS'Mrs.\tMrs.\tNNP\tB-NP\tO' -p356656 -aS'Dua\tDua\tNNP\tI-NP\tO' -p356657 -aS''s\t'\tVBZ\tB-VP\tO' -p356658 -aS'cerebellar\tcerebellar\tJJ\tB-NP\tO' -p356659 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p356660 -aS'is\tbe\tVBZ\tB-VP\tO' -p356661 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p356662 -aS'.\t.\t.\tO\tO' -p356663 -asS'The patient was discharged home in stable condition .' -p356664 -(lp356665 -S'The\tThe\tDT\tB-NP\tO' -p356666 -aS'patient\tpatient\tNN\tI-NP\tO' -p356667 -aS'was\tbe\tVBD\tB-VP\tO' -p356668 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p356669 -aS'home\thome\tNN\tB-ADVP\tO' -p356670 -aS'in\tin\tIN\tB-PP\tO' -p356671 -aS'stable\tstable\tJJ\tB-NP\tO' -p356672 -aS'condition\tcondition\tNN\tI-NP\tO' -p356673 -aS'.\t.\t.\tO\tO' -p356674 -asS'He continued to do well over the next few days and was quite surprisingly intact on both sides of his body in terms of his ability to move .' -p356675 -(lp356676 -S'He\tHe\tPRP\tB-NP\tO' -p356677 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p356678 -aS'to\tto\tTO\tI-VP\tO' -p356679 -aS'do\tdo\tVB\tI-VP\tO' -p356680 -aS'well\twell\tRB\tB-ADVP\tO' -p356681 -aS'over\tover\tIN\tB-PP\tO' -p356682 -aS'the\tthe\tDT\tB-NP\tO' -p356683 -aS'next\tnext\tJJ\tI-NP\tO' -p356684 -aS'few\tfew\tJJ\tI-NP\tO' -p356685 -aS'days\tday\tNNS\tI-NP\tO' -p356686 -aS'and\tand\tCC\tO\tO' -p356687 -aS'was\tbe\tVBD\tB-VP\tO' -p356688 -aS'quite\tquite\tRB\tB-ADJP\tO' -p356689 -aS'surprisingly\tsurprisingly\tRB\tI-ADJP\tO' -p356690 -aS'intact\tintact\tJJ\tI-ADJP\tO' -p356691 -aS'on\ton\tIN\tB-PP\tO' -p356692 -aS'both\tboth\tDT\tB-NP\tO' -p356693 -aS'sides\tside\tNNS\tI-NP\tO' -p356694 -aS'of\tof\tIN\tB-PP\tO' -p356695 -aS'his\this\tPRP$\tB-NP\tO' -p356696 -aS'body\tbody\tNN\tI-NP\tO' -p356697 -aS'in\tin\tIN\tB-PP\tO' -p356698 -aS'terms\tterm\tNNS\tB-NP\tO' -p356699 -aS'of\tof\tIN\tB-PP\tO' -p356700 -aS'his\this\tPRP$\tB-NP\tO' -p356701 -aS'ability\tability\tNN\tI-NP\tO' -p356702 -aS'to\tto\tTO\tB-VP\tO' -p356703 -aS'move\tmove\tVB\tI-VP\tO' -p356704 -aS'.\t.\t.\tO\tO' -p356705 -asS'After this procedure , the patient again hemorrhaged in the ICU and was taken back to the OR for reexploration and ligation of a bleeding vaginal artery .' -p356706 -(lp356707 -S'After\tAfter\tIN\tB-PP\tO' -p356708 -aS'this\tthis\tDT\tB-NP\tO' -p356709 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p356710 -aS',\t,\t,\tO\tO' -p356711 -aS'the\tthe\tDT\tB-NP\tO' -p356712 -aS'patient\tpatient\tNN\tI-NP\tO' -p356713 -aS'again\tagain\tRB\tB-VP\tO' -p356714 -aS'hemorrhaged\themorrhage\tVBN\tI-VP\tO' -p356715 -aS'in\tin\tIN\tB-PP\tO' -p356716 -aS'the\tthe\tDT\tB-NP\tO' -p356717 -aS'ICU\tICU\tNN\tI-NP\tB-DNA' -p356718 -aS'and\tand\tCC\tO\tO' -p356719 -aS'was\tbe\tVBD\tB-VP\tO' -p356720 -aS'taken\ttake\tVBN\tI-VP\tO' -p356721 -aS'back\tback\tRB\tB-ADVP\tO' -p356722 -aS'to\tto\tTO\tB-PP\tO' -p356723 -aS'the\tthe\tDT\tB-NP\tO' -p356724 -aS'OR\tOR\tNN\tI-NP\tO' -p356725 -aS'for\tfor\tIN\tB-PP\tO' -p356726 -aS'reexploration\treexploration\tNN\tB-NP\tO' -p356727 -aS'and\tand\tCC\tI-NP\tO' -p356728 -aS'ligation\tligation\tNN\tI-NP\tO' -p356729 -aS'of\tof\tIN\tB-PP\tO' -p356730 -aS'a\ta\tDT\tB-NP\tO' -p356731 -aS'bleeding\tbleed\tVBG\tI-NP\tO' -p356732 -aS'vaginal\tvaginal\tJJ\tI-NP\tO' -p356733 -aS'artery\tartery\tNN\tI-NP\tO' -p356734 -aS'.\t.\t.\tO\tO' -p356735 -asS'The patient was having a hard time walking and reports that he has felt weaker .' -p356736 -(lp356737 -S'The\tThe\tDT\tB-NP\tO' -p356738 -aS'patient\tpatient\tNN\tI-NP\tO' -p356739 -aS'was\tbe\tVBD\tB-VP\tO' -p356740 -aS'having\thave\tVBG\tI-VP\tO' -p356741 -aS'a\ta\tDT\tB-NP\tO' -p356742 -aS'hard\thard\tJJ\tI-NP\tO' -p356743 -aS'time\ttime\tNN\tI-NP\tO' -p356744 -aS'walking\twalk\tVBG\tB-VP\tO' -p356745 -aS'and\tand\tCC\tO\tO' -p356746 -aS'reports\treport\tNNS\tB-NP\tO' -p356747 -aS'that\tthat\tIN\tB-SBAR\tO' -p356748 -aS'he\the\tPRP\tB-NP\tO' -p356749 -aS'has\thave\tVBZ\tB-VP\tO' -p356750 -aS'felt\tfeel\tVBN\tI-VP\tO' -p356751 -aS'weaker\tweak\tJJR\tB-ADJP\tO' -p356752 -aS'.\t.\t.\tO\tO' -p356753 -asS'Significant for a history of hypertension , basal cell carcinoma of the nose six years ago , cataracts , and a hysterectomy .' -p356754 -(lp356755 -S'Significant\tSignificant\tJJ\tB-ADJP\tO' -p356756 -aS'for\tfor\tIN\tB-PP\tO' -p356757 -aS'a\ta\tDT\tB-NP\tO' -p356758 -aS'history\thistory\tNN\tI-NP\tO' -p356759 -aS'of\tof\tIN\tB-PP\tO' -p356760 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p356761 -aS',\t,\t,\tO\tO' -p356762 -aS'basal\tbasal\tJJ\tB-NP\tO' -p356763 -aS'cell\tcell\tNN\tI-NP\tO' -p356764 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p356765 -aS'of\tof\tIN\tB-PP\tO' -p356766 -aS'the\tthe\tDT\tB-NP\tO' -p356767 -aS'nose\tnose\tNN\tI-NP\tO' -p356768 -aS'six\tsix\tCD\tB-NP\tO' -p356769 -aS'years\tyear\tNNS\tI-NP\tO' -p356770 -aS'ago\tago\tRB\tB-ADVP\tO' -p356771 -aS',\t,\t,\tO\tO' -p356772 -aS'cataracts\tcataract\tNNS\tB-NP\tO' -p356773 -aS',\t,\t,\tO\tO' -p356774 -aS'and\tand\tCC\tO\tO' -p356775 -aS'a\ta\tDT\tB-NP\tO' -p356776 -aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' -p356777 -aS'.\t.\t.\tO\tO' -p356778 -asS'1. Status post aortic valve replacement and coronary artery bypass grafting times four .' -p356779 -(lp356780 -S'1.\t1.\tLS\tB-LST\tO' -p356781 -aS'Status\tStatus\tNNP\tB-NP\tO' -p356782 -aS'post\tpost\tIN\tB-PP\tO' -p356783 -aS'aortic\taortic\tJJ\tB-NP\tO' -p356784 -aS'valve\tvalve\tNN\tI-NP\tO' -p356785 -aS'replacement\treplacement\tNN\tI-NP\tO' -p356786 -aS'and\tand\tCC\tO\tO' -p356787 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p356788 -aS'artery\tartery\tNN\tI-NP\tO' -p356789 -aS'bypass\tbypass\tIN\tB-PP\tO' -p356790 -aS'grafting\tgraft\tVBG\tB-VP\tO' -p356791 -aS'times\ttime\tNNS\tB-NP\tO' -p356792 -aS'four\tfour\tCD\tB-NP\tO' -p356793 -aS'.\t.\t.\tO\tO' -p356794 -asS'Head circumference not done .' -p356795 -(lp356796 -S'Head\tHead\tNN\tB-NP\tO' -p356797 -aS'circumference\tcircumference\tNN\tI-NP\tO' -p356798 -aS'not\tnot\tRB\tB-VP\tO' -p356799 -aS'done\tdo\tVBN\tI-VP\tO' -p356800 -aS'.\t.\t.\tO\tO' -p356801 -asS'Please taper off your prednisone within 2 weeks' -p356802 -(lp356803 -S'Please\tPlease\tVB\tB-VP\tO' -p356804 -aS'taper\ttaper\tVB\tI-VP\tO' -p356805 -aS'off\toff\tRP\tB-PRT\tB-protein' -p356806 -aS'your\tyour\tPRP$\tB-NP\tO' -p356807 -aS'prednisone\tprednisone\tNN\tI-NP\tO' -p356808 -aS'within\twithin\tIN\tB-PP\tO' -p356809 -aS'2\t2\tCD\tB-NP\tO' -p356810 -aS'weeks\tweek\tNNS\tI-NP\tO' -p356811 -asS'Full term well appearing infant with some facial jaundice , overall pink , warm and well perfused , alert and responsive .' -p356812 -(lp356813 -S'Full\tFull\tJJ\tB-NP\tO' -p356814 -aS'term\tterm\tNN\tI-NP\tO' -p356815 -aS'well\twell\tRB\tB-VP\tO' -p356816 -aS'appearing\tappear\tVBG\tI-VP\tO' -p356817 -aS'infant\tinfant\tNN\tB-NP\tO' -p356818 -aS'with\twith\tIN\tB-PP\tO' -p356819 -aS'some\tsome\tDT\tB-NP\tO' -p356820 -aS'facial\tfacial\tJJ\tI-NP\tO' -p356821 -aS'jaundice\tjaundice\tNN\tI-NP\tO' -p356822 -aS',\t,\t,\tO\tO' -p356823 -aS'overall\toverall\tJJ\tB-NP\tO' -p356824 -aS'pink\tpink\tNN\tI-NP\tO' -p356825 -aS',\t,\t,\tO\tO' -p356826 -aS'warm\twarm\tJJ\tB-ADJP\tO' -p356827 -aS'and\tand\tCC\tO\tO' -p356828 -aS'well\twell\tRB\tB-ADJP\tO' -p356829 -aS'perfused\tperfuse\tVBN\tI-ADJP\tO' -p356830 -aS',\t,\t,\tO\tO' -p356831 -aS'alert\talert\tJJ\tB-ADJP\tO' -p356832 -aS'and\tand\tCC\tI-ADJP\tO' -p356833 -aS'responsive\tresponsive\tJJ\tI-ADJP\tO' -p356834 -aS'.\t.\t.\tO\tO' -p356835 -asS'In the interim , the white blood count rose again to 4.2 with a hematocrit of 30.5 , platelet count of 196 thousand .' -p356836 -(lp356837 -S'In\tIn\tIN\tB-PP\tO' -p356838 -aS'the\tthe\tDT\tB-NP\tO' -p356839 -aS'interim\tinterim\tNN\tI-NP\tO' -p356840 -aS',\t,\t,\tO\tO' -p356841 -aS'the\tthe\tDT\tB-NP\tO' -p356842 -aS'white\twhite\tJJ\tI-NP\tO' -p356843 -aS'blood\tblood\tNN\tI-NP\tO' -p356844 -aS'count\tcount\tNN\tI-NP\tO' -p356845 -aS'rose\trise\tVBD\tB-VP\tO' -p356846 -aS'again\tagain\tRB\tB-ADVP\tO' -p356847 -aS'to\tto\tTO\tB-PP\tO' -p356848 -aS'4.2\t4.2\tCD\tB-NP\tO' -p356849 -aS'with\twith\tIN\tB-PP\tO' -p356850 -aS'a\ta\tDT\tB-NP\tO' -p356851 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p356852 -aS'of\tof\tIN\tB-PP\tO' -p356853 -aS'30.5\t30.5\tCD\tB-NP\tO' -p356854 -aS',\t,\t,\tO\tO' -p356855 -aS'platelet\tplatelet\tNN\tB-NP\tO' -p356856 -aS'count\tcount\tNN\tI-NP\tO' -p356857 -aS'of\tof\tIN\tB-PP\tO' -p356858 -aS'196\t196\tCD\tB-NP\tO' -p356859 -aS'thousand\tthousand\tCD\tI-NP\tO' -p356860 -aS'.\t.\t.\tO\tO' -p356861 -asS'He is to see Dr. les Dina in one month , Dr. Bennett in one month and Dr. Duval in one month .' -p356862 -(lp356863 -S'He\tHe\tPRP\tB-NP\tO' -p356864 -aS'is\tbe\tVBZ\tB-VP\tO' -p356865 -aS'to\tto\tTO\tB-VP\tO' -p356866 -aS'see\tsee\tVB\tI-VP\tO' -p356867 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p356868 -aS'les\tle\tVBZ\tB-VP\tO' -p356869 -aS'Dina\tDina\tNNP\tB-NP\tO' -p356870 -aS'in\tin\tIN\tB-PP\tO' -p356871 -aS'one\tone\tCD\tB-NP\tO' -p356872 -aS'month\tmonth\tNN\tI-NP\tO' -p356873 -aS',\t,\t,\tO\tO' -p356874 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p356875 -aS'Bennett\tBennett\tNNP\tI-NP\tO' -p356876 -aS'in\tin\tIN\tB-PP\tO' -p356877 -aS'one\tone\tCD\tB-NP\tO' -p356878 -aS'month\tmonth\tNN\tI-NP\tO' -p356879 -aS'and\tand\tCC\tO\tO' -p356880 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p356881 -aS'Duval\tDuval\tNNP\tI-NP\tO' -p356882 -aS'in\tin\tIN\tB-PP\tO' -p356883 -aS'one\tone\tCD\tB-NP\tO' -p356884 -aS'month\tmonth\tNN\tI-NP\tO' -p356885 -aS'.\t.\t.\tO\tO' -p356886 -asS'13. Warfarin 1 mg PO HS .' -p356887 -(lp356888 -S'13.\t13.\tLS\tB-LST\tO' -p356889 -aS'Warfarin\tWarfarin\tNNP\tB-NP\tO' -p356890 -aS'1\t1\tCD\tI-NP\tO' -p356891 -aS'mg\tmg\tNN\tI-NP\tO' -p356892 -aS'PO\tPO\tNN\tI-NP\tO' -p356893 -aS'HS\tHS\tNN\tI-NP\tO' -p356894 -aS'.\t.\t.\tO\tO' -p356895 -asS'Follow hct daily Goal > 28' -p356896 -(lp356897 -S'Follow\tFollow\tJJ\tB-NP\tO' -p356898 -aS'hct\thct\tNN\tI-NP\tO' -p356899 -aS'daily\tdaily\tJJ\tI-NP\tO' -p356900 -aS'Goal\tGoal\tNN\tI-NP\tO' -p356901 -aS'>\t>\tSYM\tB-NP\tO' -p356902 -aS'28\t28\tCD\tB-NP\tO' -p356903 -asS'When walking outside , she stops multiple times because of shortness of breath .' -p356904 -(lp356905 -S'When\tWhen\tWRB\tB-ADVP\tO' -p356906 -aS'walking\twalk\tVBG\tB-VP\tO' -p356907 -aS'outside\toutside\tIN\tB-ADVP\tO' -p356908 -aS',\t,\t,\tO\tO' -p356909 -aS'she\tshe\tPRP\tB-NP\tO' -p356910 -aS'stops\tstop\tVBZ\tB-VP\tO' -p356911 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p356912 -aS'times\ttime\tNNS\tI-NP\tO' -p356913 -aS'because\tbecause\tIN\tB-PP\tO' -p356914 -aS'of\tof\tIN\tI-PP\tO' -p356915 -aS'shortness\tshortness\tNN\tB-NP\tO' -p356916 -aS'of\tof\tIN\tB-PP\tO' -p356917 -aS'breath\tbreath\tNN\tB-NP\tO' -p356918 -aS'.\t.\t.\tO\tO' -p356919 -asS'He identified no bleeding source , but felt that the risk of nasal hemorrhage on Coumadin could be minimized interventional neuroradiology occlusion of the arteries to the nose bilaterally .' -p356920 -(lp356921 -S'He\tHe\tPRP\tB-NP\tO' -p356922 -aS'identified\tidentify\tVBD\tB-VP\tO' -p356923 -aS'no\tno\tDT\tB-NP\tO' -p356924 -aS'bleeding\tbleed\tVBG\tI-NP\tO' -p356925 -aS'source\tsource\tNN\tI-NP\tO' -p356926 -aS',\t,\t,\tO\tO' -p356927 -aS'but\tbut\tCC\tO\tO' -p356928 -aS'felt\tfeel\tVBD\tB-VP\tO' -p356929 -aS'that\tthat\tIN\tB-SBAR\tO' -p356930 -aS'the\tthe\tDT\tB-NP\tO' -p356931 -aS'risk\trisk\tNN\tI-NP\tO' -p356932 -aS'of\tof\tIN\tB-PP\tO' -p356933 -aS'nasal\tnasal\tJJ\tB-NP\tO' -p356934 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p356935 -aS'on\ton\tIN\tB-PP\tO' -p356936 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p356937 -aS'could\tcould\tMD\tB-VP\tO' -p356938 -aS'be\tbe\tVB\tI-VP\tO' -p356939 -aS'minimized\tminimize\tVBN\tI-VP\tO' -p356940 -aS'interventional\tinterventional\tJJ\tB-NP\tO' -p356941 -aS'neuroradiology\tneuroradiology\tNN\tI-NP\tO' -p356942 -aS'occlusion\tocclusion\tNN\tI-NP\tO' -p356943 -aS'of\tof\tIN\tB-PP\tO' -p356944 -aS'the\tthe\tDT\tB-NP\tO' -p356945 -aS'arteries\tartery\tNNS\tI-NP\tO' -p356946 -aS'to\tto\tTO\tB-PP\tO' -p356947 -aS'the\tthe\tDT\tB-NP\tO' -p356948 -aS'nose\tnose\tNN\tI-NP\tO' -p356949 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p356950 -aS'.\t.\t.\tO\tO' -p356951 -asS'Disp :* 20 Tablet (s)* Refills :* 0 *' -p356952 -(lp356953 -S'Disp\tDisp\tNN\tB-NP\tO' -p356954 -aS':*\t:*\tSYM\tI-NP\tO' -p356955 -aS'20\t20\tCD\tI-NP\tO' -p356956 -aS'Tablet\tTablet\tNN\tI-NP\tO' -p356957 -aS'(s)*\t(s)*\tSYM\tB-NP\tO' -p356958 -aS'Refills\tRefill\tNNPS\tI-NP\tO' -p356959 -aS':*\t:*\tSYM\tI-NP\tO' -p356960 -aS'0\t0\tCD\tI-NP\tO' -p356961 -aS'*\t*\tSYM\tB-NP\tO' -p356962 -asS'3. Respiratory distress with left pneumothorax resolved .' -p356963 -(lp356964 -S'3.\t3.\tLS\tB-NP\tO' -p356965 -aS'Respiratory\tRespiratory\tJJ\tI-NP\tO' -p356966 -aS'distress\tdistress\tNN\tI-NP\tO' -p356967 -aS'with\twith\tIN\tB-PP\tO' -p356968 -aS'left\tleft\tJJ\tB-NP\tO' -p356969 -aS'pneumothorax\tpneumothorax\tNN\tI-NP\tO' -p356970 -aS'resolved\tresolve\tVBN\tB-VP\tO' -p356971 -aS'.\t.\t.\tO\tO' -p356972 -asS'4/5 lower extremity bilaterally .' -p356973 -(lp356974 -S'4/5\t4/5\tCD\tB-NP\tO' -p356975 -aS'lower\tlow\tJJR\tI-NP\tO' -p356976 -aS'extremity\textremity\tNN\tI-NP\tO' -p356977 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p356978 -aS'.\t.\t.\tO\tO' -p356979 -asS'The left internal mammary artery was connected to the proximal left anterior descending and saphenous vein grafts were connected to the posterior descending artery , diagonal branch , obtuse marginal and distal left anterior descending .' -p356980 -(lp356981 -S'The\tThe\tDT\tB-NP\tO' -p356982 -aS'left\tleft\tJJ\tI-NP\tO' -p356983 -aS'internal\tinternal\tJJ\tI-NP\tO' -p356984 -aS'mammary\tmammary\tJJ\tI-NP\tO' -p356985 -aS'artery\tartery\tNN\tI-NP\tO' -p356986 -aS'was\tbe\tVBD\tB-VP\tO' -p356987 -aS'connected\tconnect\tVBN\tI-VP\tO' -p356988 -aS'to\tto\tTO\tB-PP\tO' -p356989 -aS'the\tthe\tDT\tB-NP\tO' -p356990 -aS'proximal\tproximal\tJJ\tI-NP\tO' -p356991 -aS'left\tleft\tJJ\tI-NP\tO' -p356992 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p356993 -aS'descending\tdescending\tNN\tI-NP\tO' -p356994 -aS'and\tand\tCC\tO\tO' -p356995 -aS'saphenous\tsaphenous\tJJ\tB-NP\tO' -p356996 -aS'vein\tvein\tNN\tI-NP\tO' -p356997 -aS'grafts\tgraft\tNNS\tI-NP\tO' -p356998 -aS'were\tbe\tVBD\tB-VP\tO' -p356999 -aS'connected\tconnect\tVBN\tI-VP\tO' -p357000 -aS'to\tto\tTO\tB-PP\tO' -p357001 -aS'the\tthe\tDT\tB-NP\tO' -p357002 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p357003 -aS'descending\tdescend\tVBG\tI-NP\tO' -p357004 -aS'artery\tartery\tNN\tI-NP\tO' -p357005 -aS',\t,\t,\tO\tO' -p357006 -aS'diagonal\tdiagonal\tJJ\tB-NP\tO' -p357007 -aS'branch\tbranch\tNN\tI-NP\tO' -p357008 -aS',\t,\t,\tO\tO' -p357009 -aS'obtuse\tobtuse\tVBP\tB-VP\tO' -p357010 -aS'marginal\tmarginal\tJJ\tB-NP\tO' -p357011 -aS'and\tand\tCC\tI-NP\tO' -p357012 -aS'distal\tdistal\tJJ\tI-NP\tO' -p357013 -aS'left\tleft\tJJ\tI-NP\tO' -p357014 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p357015 -aS'descending\tdescending\tNN\tI-NP\tO' -p357016 -aS'.\t.\t.\tO\tO' -p357017 -asS'See above .' -p357018 -(lp357019 -S'See\tSee\tVB\tB-VP\tO' -p357020 -aS'above\tabove\tRB\tB-ADVP\tO' -p357021 -aS'.\t.\t.\tO\tO' -p357022 -asS'On the day of discharge the patient was tolerating a BRAT diet without significant abdominal' -p357023 -(lp357024 -S'On\tOn\tIN\tB-PP\tO' -p357025 -aS'the\tthe\tDT\tB-NP\tO' -p357026 -aS'day\tday\tNN\tI-NP\tO' -p357027 -aS'of\tof\tIN\tB-PP\tO' -p357028 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p357029 -aS'the\tthe\tDT\tB-NP\tO' -p357030 -aS'patient\tpatient\tNN\tI-NP\tO' -p357031 -aS'was\tbe\tVBD\tB-VP\tO' -p357032 -aS'tolerating\ttolerate\tVBG\tI-VP\tO' -p357033 -aS'a\ta\tDT\tB-NP\tO' -p357034 -aS'BRAT\tBRAT\tNN\tI-NP\tO' -p357035 -aS'diet\tdiet\tNN\tI-NP\tO' -p357036 -aS'without\twithout\tIN\tB-PP\tO' -p357037 -aS'significant\tsignificant\tJJ\tB-NP\tO' -p357038 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p357039 -asS'There is no skull fracture .' -p357040 -(lp357041 -S'There\tThere\tEX\tB-NP\tO' -p357042 -aS'is\tbe\tVBZ\tB-VP\tO' -p357043 -aS'no\tno\tDT\tB-NP\tO' -p357044 -aS'skull\tskull\tJJ\tI-NP\tO' -p357045 -aS'fracture\tfracture\tNN\tI-NP\tO' -p357046 -aS'.\t.\t.\tO\tO' -p357047 -asS'Chest revealed bilateral basilar rales .' -p357048 -(lp357049 -S'Chest\tChest\tNNP\tB-NP\tO' -p357050 -aS'revealed\treveal\tVBD\tB-VP\tO' -p357051 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p357052 -aS'basilar\tbasilar\tJJ\tI-NP\tO' -p357053 -aS'rales\trale\tNNS\tI-NP\tO' -p357054 -aS'.\t.\t.\tO\tO' -p357055 -asS"4. Bilateral small pleural effusion , which certainly could be malignant given today 's findings and history of breast cancer ." -p357056 -(lp357057 -S'4.\t4.\tLS\tB-NP\tO' -p357058 -aS'Bilateral\tBilateral\tJJ\tI-NP\tO' -p357059 -aS'small\tsmall\tJJ\tI-NP\tO' -p357060 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p357061 -aS'effusion\teffusion\tNN\tI-NP\tO' -p357062 -aS',\t,\t,\tO\tO' -p357063 -aS'which\twhich\tWDT\tB-NP\tO' -p357064 -aS'certainly\tcertainly\tRB\tB-ADVP\tO' -p357065 -aS'could\tcould\tMD\tB-VP\tO' -p357066 -aS'be\tbe\tVB\tI-VP\tO' -p357067 -aS'malignant\tmalignant\tJJ\tB-ADJP\tO' -p357068 -aS'given\tgive\tVBN\tB-PP\tO' -p357069 -aS'today\ttoday\tNN\tB-NP\tO' -p357070 -aS"'s\t's\tPOS\tB-NP\tO" -p357071 -aS'findings\tfinding\tNNS\tI-NP\tO' -p357072 -aS'and\tand\tCC\tO\tO' -p357073 -aS'history\thistory\tNN\tB-NP\tO' -p357074 -aS'of\tof\tIN\tB-PP\tO' -p357075 -aS'breast\tbreast\tNN\tB-NP\tO' -p357076 -aS'cancer\tcancer\tNN\tI-NP\tO' -p357077 -aS'.\t.\t.\tO\tO' -p357078 -asS'Neuro : arousable .' -p357079 -(lp357080 -S'Neuro\tNeuro\tNN\tB-NP\tO' -p357081 -aS':\t:\t:\tO\tO' -p357082 -aS'arousable\tarousable\tJJ\tB-ADJP\tO' -p357083 -aS'.\t.\t.\tO\tO' -p357084 -asS'She was given Aspirin , Lopressor and Insulin for hyperglycemia .' -p357085 -(lp357086 -S'She\tShe\tPRP\tB-NP\tO' -p357087 -aS'was\tbe\tVBD\tB-VP\tO' -p357088 -aS'given\tgive\tVBN\tI-VP\tO' -p357089 -aS'Aspirin\tAspirin\tNN\tB-NP\tO' -p357090 -aS',\t,\t,\tI-NP\tO' -p357091 -aS'Lopressor\tLopressor\tNN\tI-NP\tO' -p357092 -aS'and\tand\tCC\tI-NP\tO' -p357093 -aS'Insulin\tInsulin\tNN\tI-NP\tB-protein' -p357094 -aS'for\tfor\tIN\tB-PP\tO' -p357095 -aS'hyperglycemia\thyperglycemia\tNN\tB-NP\tO' -p357096 -aS'.\t.\t.\tO\tO' -p357097 -asS'To Massachusetts General Hospital .' -p357098 -(lp357099 -S'To\tTo\tTO\tB-PP\tO' -p357100 -aS'Massachusetts\tMassachusetts\tNNP\tB-NP\tO' -p357101 -aS'General\tGeneral\tNNP\tI-NP\tO' -p357102 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p357103 -aS'.\t.\t.\tO\tO' -p357104 -asS'281-300 mg / dL 19 Units' -p357105 -(lp357106 -S'281-300\t281-300\tCD\tB-NP\tO' -p357107 -aS'mg\tmg\tNN\tI-NP\tO' -p357108 -aS'/\t/\tSYM\tB-NP\tO' -p357109 -aS'dL\tdL\tNN\tI-NP\tO' -p357110 -aS'19\t19\tCD\tB-NP\tO' -p357111 -aS'Units\tUnit\tNNS\tI-NP\tO' -p357112 -asS'He stabilized over the weekend .' -p357113 -(lp357114 -S'He\tHe\tPRP\tB-NP\tO' -p357115 -aS'stabilized\tstabilize\tVBD\tB-VP\tO' -p357116 -aS'over\tover\tIN\tB-PP\tO' -p357117 -aS'the\tthe\tDT\tB-NP\tO' -p357118 -aS'weekend\tweekend\tNN\tI-NP\tO' -p357119 -aS'.\t.\t.\tO\tO' -p357120 -asS'The most recent percutaneous transluminal coronary angioplasty was done in 2009-07-25 .' -p357121 -(lp357122 -S'The\tThe\tDT\tB-NP\tO' -p357123 -aS'most\tmost\tRBS\tI-NP\tO' -p357124 -aS'recent\trecent\tJJ\tI-NP\tO' -p357125 -aS'percutaneous\tpercutaneous\tJJ\tI-NP\tO' -p357126 -aS'transluminal\ttransluminal\tJJ\tI-NP\tO' -p357127 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p357128 -aS'angioplasty\tangioplasty\tNN\tI-NP\tO' -p357129 -aS'was\tbe\tVBD\tB-VP\tO' -p357130 -aS'done\tdo\tVBN\tI-VP\tO' -p357131 -aS'in\tin\tIN\tB-PP\tO' -p357132 -aS'2009-07-25\t2009-07-25\tCD\tB-NP\tO' -p357133 -aS'.\t.\t.\tO\tO' -p357134 -asS'Please eval for perf / ischemic bowel' -p357135 -(lp357136 -S'Please\tPlease\tNN\tB-NP\tO' -p357137 -aS'eval\teval\tNN\tI-NP\tO' -p357138 -aS'for\tfor\tIN\tB-PP\tO' -p357139 -aS'perf\tperf\tNN\tB-NP\tO' -p357140 -aS'/\t/\tSYM\tB-VP\tO' -p357141 -aS'ischemic\tischemic\tJJ\tB-NP\tO' -p357142 -aS'bowel\tbowel\tNN\tI-NP\tO' -p357143 -asS'This was placed on postoperative day no. 9 without any difficulty .' -p357144 -(lp357145 -S'This\tThis\tDT\tB-NP\tO' -p357146 -aS'was\tbe\tVBD\tB-VP\tO' -p357147 -aS'placed\tplace\tVBN\tI-VP\tO' -p357148 -aS'on\ton\tIN\tB-PP\tO' -p357149 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p357150 -aS'day\tday\tNN\tI-NP\tO' -p357151 -aS'no.\tno.\tNN\tI-NP\tO' -p357152 -aS'9\t9\tCD\tI-NP\tO' -p357153 -aS'without\twithout\tIN\tB-PP\tO' -p357154 -aS'any\tany\tDT\tB-NP\tO' -p357155 -aS'difficulty\tdifficulty\tNN\tI-NP\tO' -p357156 -aS'.\t.\t.\tO\tO' -p357157 -asS'The patient also had an electrocardiogram in April of 1996 which was negative following , however was at a low workload .' -p357158 -(lp357159 -S'The\tThe\tDT\tB-NP\tO' -p357160 -aS'patient\tpatient\tNN\tI-NP\tO' -p357161 -aS'also\talso\tRB\tB-ADVP\tO' -p357162 -aS'had\thave\tVBD\tB-VP\tO' -p357163 -aS'an\tan\tDT\tB-NP\tO' -p357164 -aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' -p357165 -aS'in\tin\tIN\tB-PP\tO' -p357166 -aS'April\tApril\tNNP\tB-NP\tO' -p357167 -aS'of\tof\tIN\tB-PP\tO' -p357168 -aS'1996\t1996\tCD\tB-NP\tO' -p357169 -aS'which\twhich\tWDT\tB-NP\tO' -p357170 -aS'was\tbe\tVBD\tB-VP\tO' -p357171 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p357172 -aS'following\tfollow\tVBG\tB-PP\tO' -p357173 -aS',\t,\t,\tO\tO' -p357174 -aS'however\thowever\tRB\tB-ADVP\tO' -p357175 -aS'was\tbe\tVBD\tB-VP\tO' -p357176 -aS'at\tat\tIN\tB-PP\tO' -p357177 -aS'a\ta\tDT\tB-NP\tO' -p357178 -aS'low\tlow\tJJ\tI-NP\tO' -p357179 -aS'workload\tworkload\tNN\tI-NP\tO' -p357180 -aS'.\t.\t.\tO\tO' -p357181 -asS'Gentle diuresis and beta blockade started , and he was transferred to the floor to begin increasing his activity level .' -p357182 -(lp357183 -S'Gentle\tGentle\tNN\tB-NP\tO' -p357184 -aS'diuresis\tdiuresis\tNN\tI-NP\tO' -p357185 -aS'and\tand\tCC\tO\tO' -p357186 -aS'beta\tbeta\tNN\tB-NP\tO' -p357187 -aS'blockade\tblockade\tNN\tI-NP\tO' -p357188 -aS'started\tstart\tVBD\tB-VP\tO' -p357189 -aS',\t,\t,\tO\tO' -p357190 -aS'and\tand\tCC\tO\tO' -p357191 -aS'he\the\tPRP\tB-NP\tO' -p357192 -aS'was\tbe\tVBD\tB-VP\tO' -p357193 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p357194 -aS'to\tto\tTO\tB-PP\tO' -p357195 -aS'the\tthe\tDT\tB-NP\tO' -p357196 -aS'floor\tfloor\tNN\tI-NP\tO' -p357197 -aS'to\tto\tTO\tB-VP\tO' -p357198 -aS'begin\tbegin\tVB\tI-VP\tO' -p357199 -aS'increasing\tincrease\tVBG\tI-VP\tO' -p357200 -aS'his\this\tPRP$\tB-NP\tO' -p357201 -aS'activity\tactivity\tNN\tI-NP\tO' -p357202 -aS'level\tlevel\tNN\tI-NP\tO' -p357203 -aS'.\t.\t.\tO\tO' -p357204 -asS'PT of 20.6 .' -p357205 -(lp357206 -S'PT\tPT\tNN\tB-NP\tO' -p357207 -aS'of\tof\tIN\tB-PP\tO' -p357208 -aS'20.6\t20.6\tCD\tB-NP\tO' -p357209 -aS'.\t.\t.\tO\tO' -p357210 -asS'The right coronary artery lesion was complex and there was severe stenosis in the obtuse marginal 1 .' -p357211 -(lp357212 -S'The\tThe\tDT\tB-NP\tO' -p357213 -aS'right\tright\tJJ\tI-NP\tO' -p357214 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p357215 -aS'artery\tartery\tNN\tI-NP\tO' -p357216 -aS'lesion\tlesion\tNN\tI-NP\tO' -p357217 -aS'was\tbe\tVBD\tB-VP\tO' -p357218 -aS'complex\tcomplex\tJJ\tB-ADJP\tO' -p357219 -aS'and\tand\tCC\tO\tO' -p357220 -aS'there\tthere\tEX\tB-NP\tO' -p357221 -aS'was\tbe\tVBD\tB-VP\tO' -p357222 -aS'severe\tsevere\tJJ\tB-NP\tO' -p357223 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p357224 -aS'in\tin\tIN\tB-PP\tO' -p357225 -aS'the\tthe\tDT\tB-NP\tO' -p357226 -aS'obtuse\tobtuse\tNN\tI-NP\tO' -p357227 -aS'marginal\tmarginal\tJJ\tI-NP\tO' -p357228 -aS'1\t1\tCD\tI-NP\tO' -p357229 -aS'.\t.\t.\tO\tO' -p357230 -asS'She was started on enteral feeds on day of life six with a slow advance secondary to increased abdominal girth which was felt to be due to CPAP .' -p357231 -(lp357232 -S'She\tShe\tPRP\tB-NP\tO' -p357233 -aS'was\tbe\tVBD\tB-VP\tO' -p357234 -aS'started\tstart\tVBN\tI-VP\tO' -p357235 -aS'on\ton\tIN\tB-PP\tO' -p357236 -aS'enteral\tenteral\tJJ\tB-NP\tO' -p357237 -aS'feeds\tfeed\tNNS\tI-NP\tO' -p357238 -aS'on\ton\tIN\tB-PP\tO' -p357239 -aS'day\tday\tNN\tB-NP\tO' -p357240 -aS'of\tof\tIN\tB-PP\tO' -p357241 -aS'life\tlife\tNN\tB-NP\tO' -p357242 -aS'six\tsix\tCD\tI-NP\tO' -p357243 -aS'with\twith\tIN\tB-PP\tO' -p357244 -aS'a\ta\tDT\tB-NP\tO' -p357245 -aS'slow\tslow\tJJ\tI-NP\tO' -p357246 -aS'advance\tadvance\tNN\tI-NP\tO' -p357247 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p357248 -aS'to\tto\tTO\tB-PP\tO' -p357249 -aS'increased\tincrease\tVBN\tB-NP\tO' -p357250 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p357251 -aS'girth\tgirth\tNN\tI-NP\tO' -p357252 -aS'which\twhich\tWDT\tB-NP\tO' -p357253 -aS'was\tbe\tVBD\tB-VP\tO' -p357254 -aS'felt\tfeel\tVBN\tI-VP\tO' -p357255 -aS'to\tto\tTO\tI-VP\tO' -p357256 -aS'be\tbe\tVB\tI-VP\tO' -p357257 -aS'due\tdue\tIN\tB-PP\tO' -p357258 -aS'to\tto\tTO\tB-PP\tO' -p357259 -aS'CPAP\tCPAP\tNN\tB-NP\tB-protein' -p357260 -aS'.\t.\t.\tO\tO' -p357261 -asS'Admitting creatinine was .7 , glucose 131 , white blood count was 10,000 , hematocrit was 40 , liver enzymes normal range .' -p357262 -(lp357263 -S'Admitting\tAdmit\tVBG\tB-VP\tO' -p357264 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p357265 -aS'was\tbe\tVBD\tB-VP\tO' -p357266 -aS'.7\t.7\tCD\tB-NP\tO' -p357267 -aS',\t,\t,\tO\tO' -p357268 -aS'glucose\tglucose\tNN\tB-NP\tB-protein' -p357269 -aS'131\t131\tCD\tI-NP\tI-protein' -p357270 -aS',\t,\t,\tO\tO' -p357271 -aS'white\twhite\tJJ\tB-NP\tO' -p357272 -aS'blood\tblood\tNN\tI-NP\tO' -p357273 -aS'count\tcount\tNN\tI-NP\tO' -p357274 -aS'was\tbe\tVBD\tB-VP\tO' -p357275 -aS'10,000\t10,000\tCD\tB-NP\tO' -p357276 -aS',\t,\t,\tO\tO' -p357277 -aS'hematocrit\thematocrit\tNN\tB-NP\tO' -p357278 -aS'was\tbe\tVBD\tB-VP\tO' -p357279 -aS'40\t40\tCD\tB-NP\tO' -p357280 -aS',\t,\t,\tO\tO' -p357281 -aS'liver\tliver\tNN\tB-NP\tB-protein' -p357282 -aS'enzymes\tenzyme\tNNS\tI-NP\tI-protein' -p357283 -aS'normal\tnormal\tJJ\tB-NP\tO' -p357284 -aS'range\trange\tNN\tI-NP\tO' -p357285 -aS'.\t.\t.\tO\tO' -p357286 -asS'Mother is an 18-year-old prima gravida , estimated date of delivery 2014-01-22 .' -p357287 -(lp357288 -S'Mother\tMother\tNNP\tB-NP\tO' -p357289 -aS'is\tbe\tVBZ\tB-VP\tO' -p357290 -aS'an\tan\tDT\tB-NP\tO' -p357291 -aS'18-year-old\t18-year-old\tJJ\tI-NP\tO' -p357292 -aS'prima\tprima\tNN\tI-NP\tO' -p357293 -aS'gravida\tgravida\tNN\tI-NP\tO' -p357294 -aS',\t,\t,\tO\tO' -p357295 -aS'estimated\testimate\tVBN\tB-VP\tO' -p357296 -aS'date\tdate\tNN\tB-NP\tO' -p357297 -aS'of\tof\tIN\tB-PP\tO' -p357298 -aS'delivery\tdelivery\tNN\tB-NP\tO' -p357299 -aS'2014-01-22\t2014-01-22\tCD\tI-NP\tO' -p357300 -aS'.\t.\t.\tO\tO' -p357301 -asS'No grimacing with palpation .' -p357302 -(lp357303 -S'No\tNo\tDT\tB-NP\tO' -p357304 -aS'grimacing\tgrimacing\tNN\tI-NP\tO' -p357305 -aS'with\twith\tIN\tB-PP\tO' -p357306 -aS'palpation\tpalpation\tNN\tB-NP\tO' -p357307 -aS'.\t.\t.\tO\tO' -p357308 -asS'Two significant focal stenoses of the distal right anterior tibial artery .' -p357309 -(lp357310 -S'Two\tTwo\tCD\tB-NP\tO' -p357311 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p357312 -aS'focal\tfocal\tJJ\tI-NP\tO' -p357313 -aS'stenoses\tstenosis\tNNS\tI-NP\tO' -p357314 -aS'of\tof\tIN\tB-PP\tO' -p357315 -aS'the\tthe\tDT\tB-NP\tO' -p357316 -aS'distal\tdistal\tJJ\tI-NP\tO' -p357317 -aS'right\tright\tJJ\tI-NP\tO' -p357318 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p357319 -aS'tibial\ttibial\tJJ\tI-NP\tO' -p357320 -aS'artery\tartery\tNN\tI-NP\tO' -p357321 -aS'.\t.\t.\tO\tO' -p357322 -asS'Status post living-related renal transplant with perioperative small myocardial infarction .' -p357323 -(lp357324 -S'Status\tStatus\tNNP\tB-NP\tO' -p357325 -aS'post\tpost\tVBD\tB-VP\tO' -p357326 -aS'living-related\tliving-related\tJJ\tB-NP\tO' -p357327 -aS'renal\trenal\tJJ\tI-NP\tO' -p357328 -aS'transplant\ttransplant\tNN\tI-NP\tO' -p357329 -aS'with\twith\tIN\tB-PP\tO' -p357330 -aS'perioperative\tperioperative\tJJ\tB-NP\tO' -p357331 -aS'small\tsmall\tJJ\tI-NP\tO' -p357332 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p357333 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p357334 -aS'.\t.\t.\tO\tO' -p357335 -asS'201-220 mg / dL 11 Units' -p357336 -(lp357337 -S'201-220\t201-220\tCD\tB-NP\tO' -p357338 -aS'mg\tmg\tNN\tI-NP\tO' -p357339 -aS'/\t/\tSYM\tB-NP\tO' -p357340 -aS'dL\tdL\tNN\tI-NP\tO' -p357341 -aS'11\t11\tCD\tB-NP\tO' -p357342 -aS'Units\tUnit\tNNS\tI-NP\tO' -p357343 -asS'14. Pantoprazole 40 mg Tablet , Delayed Release ( E.C. ) Sig : One ( 1 ) Tablet , Delayed Release ( E.C. ) PO DAILY ( Daily ) .' -p357344 -(lp357345 -S'14.\t14.\tLS\tB-NP\tO' -p357346 -aS'Pantoprazole\tPantoprazole\tNN\tI-NP\tO' -p357347 -aS'40\t40\tCD\tI-NP\tO' -p357348 -aS'mg\tmg\tNN\tI-NP\tO' -p357349 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p357350 -aS',\t,\t,\tO\tO' -p357351 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p357352 -aS'Release\tRelease\tNNP\tI-NP\tO' -p357353 -aS'(\t(\t(\tO\tO' -p357354 -aS'E.C.\tE.C.\tNNP\tB-NP\tO' -p357355 -aS')\t)\t)\tO\tO' -p357356 -aS'Sig\tSig\tNNP\tB-NP\tO' -p357357 -aS':\t:\t:\tO\tO' -p357358 -aS'One\tOne\tCD\tB-NP\tO' -p357359 -aS'(\t(\t(\tO\tO' -p357360 -aS'1\t1\tCD\tB-NP\tO' -p357361 -aS')\t)\t)\tO\tO' -p357362 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p357363 -aS',\t,\t,\tO\tO' -p357364 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p357365 -aS'Release\tRelease\tNNP\tI-NP\tO' -p357366 -aS'(\t(\t(\tO\tO' -p357367 -aS'E.C.\tE.C.\tNNP\tO\tO' -p357368 -aS')\t)\t)\tO\tO' -p357369 -aS'PO\tPO\tNN\tB-NP\tO' -p357370 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p357371 -aS'(\t(\t(\tO\tO' -p357372 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p357373 -aS')\t)\t)\tO\tO' -p357374 -aS'.\t.\t.\tO\tO' -p357375 -asS'He is to be discharged to rehabilitation .' -p357376 -(lp357377 -S'He\tHe\tPRP\tB-NP\tO' -p357378 -aS'is\tbe\tVBZ\tB-VP\tO' -p357379 -aS'to\tto\tTO\tI-VP\tO' -p357380 -aS'be\tbe\tVB\tI-VP\tO' -p357381 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p357382 -aS'to\tto\tTO\tB-PP\tO' -p357383 -aS'rehabilitation\trehabilitation\tNN\tB-NP\tO' -p357384 -aS'.\t.\t.\tO\tO' -p357385 -asS'The infant delivered by spontaneous vaginal delivery with Apgar scores of 8 at one minute and 8 at five minutes .' -p357386 -(lp357387 -S'The\tThe\tDT\tB-NP\tO' -p357388 -aS'infant\tinfant\tNN\tI-NP\tO' -p357389 -aS'delivered\tdeliver\tVBN\tB-VP\tO' -p357390 -aS'by\tby\tIN\tB-PP\tO' -p357391 -aS'spontaneous\tspontaneous\tJJ\tB-NP\tO' -p357392 -aS'vaginal\tvaginal\tJJ\tI-NP\tO' -p357393 -aS'delivery\tdelivery\tNN\tI-NP\tO' -p357394 -aS'with\twith\tIN\tB-PP\tO' -p357395 -aS'Apgar\tApgar\tNN\tB-NP\tO' -p357396 -aS'scores\tscore\tNNS\tI-NP\tO' -p357397 -aS'of\tof\tIN\tB-PP\tO' -p357398 -aS'8\t8\tCD\tB-NP\tO' -p357399 -aS'at\tat\tIN\tB-PP\tO' -p357400 -aS'one\tone\tCD\tB-NP\tO' -p357401 -aS'minute\tminute\tNN\tI-NP\tO' -p357402 -aS'and\tand\tCC\tO\tO' -p357403 -aS'8\t8\tCD\tB-NP\tO' -p357404 -aS'at\tat\tIN\tB-PP\tO' -p357405 -aS'five\tfive\tCD\tB-NP\tO' -p357406 -aS'minutes\tminute\tNNS\tI-NP\tO' -p357407 -aS'.\t.\t.\tO\tO' -p357408 -asS'Chest X-ray was consistent with an old chest X-ray on 08/08/92 showing a resolving left lower lobe and lingular infiltrate and resolution of the right mid lung infiltrate .' -p357409 -(lp357410 -S'Chest\tCh\tJJS\tB-NP\tO' -p357411 -aS'X-ray\tX-ray\tNN\tI-NP\tO' -p357412 -aS'was\tbe\tVBD\tB-VP\tO' -p357413 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p357414 -aS'with\twith\tIN\tB-PP\tO' -p357415 -aS'an\tan\tDT\tB-NP\tO' -p357416 -aS'old\told\tJJ\tI-NP\tO' -p357417 -aS'chest\tchest\tNN\tI-NP\tO' -p357418 -aS'X-ray\tX-ray\tNN\tI-NP\tO' -p357419 -aS'on\ton\tIN\tB-PP\tO' -p357420 -aS'08/08/92\t08/08/92\tCD\tB-NP\tO' -p357421 -aS'showing\tshow\tVBG\tB-VP\tO' -p357422 -aS'a\ta\tDT\tB-NP\tO' -p357423 -aS'resolving\tresolve\tVBG\tI-NP\tO' -p357424 -aS'left\tleave\tVBD\tB-VP\tO' -p357425 -aS'lower\tlow\tJJR\tB-NP\tO' -p357426 -aS'lobe\tlobe\tNN\tI-NP\tO' -p357427 -aS'and\tand\tCC\tI-NP\tO' -p357428 -aS'lingular\tlingular\tJJ\tI-NP\tO' -p357429 -aS'infiltrate\tinfiltrate\tNN\tI-NP\tO' -p357430 -aS'and\tand\tCC\tI-NP\tO' -p357431 -aS'resolution\tresolution\tNN\tI-NP\tO' -p357432 -aS'of\tof\tIN\tB-PP\tO' -p357433 -aS'the\tthe\tDT\tB-NP\tO' -p357434 -aS'right\tright\tJJ\tI-NP\tO' -p357435 -aS'mid\tmid\tJJ\tI-NP\tO' -p357436 -aS'lung\tlung\tNN\tI-NP\tO' -p357437 -aS'infiltrate\tinfiltrate\tNN\tI-NP\tO' -p357438 -aS'.\t.\t.\tO\tO' -p357439 -asS'He did travel to the Taheimpromong , last in 01/2004 for three weeks .' -p357440 -(lp357441 -S'He\tHe\tPRP\tB-NP\tO' -p357442 -aS'did\tdo\tVBD\tB-VP\tO' -p357443 -aS'travel\ttravel\tVB\tI-VP\tO' -p357444 -aS'to\tto\tTO\tB-PP\tO' -p357445 -aS'the\tthe\tDT\tB-NP\tO' -p357446 -aS'Taheimpromong\tTaheimpromong\tNNP\tI-NP\tO' -p357447 -aS',\t,\t,\tO\tO' -p357448 -aS'last\tlast\tRB\tB-ADVP\tO' -p357449 -aS'in\tin\tIN\tB-PP\tO' -p357450 -aS'01/2004\t01/2004\tCD\tB-NP\tO' -p357451 -aS'for\tfor\tIN\tB-PP\tO' -p357452 -aS'three\tthree\tCD\tB-NP\tO' -p357453 -aS'weeks\tweek\tNNS\tI-NP\tO' -p357454 -aS'.\t.\t.\tO\tO' -p357455 -asS'Follow-up with the Visiting Nurses Association to arrange assistance with her tube feeding and' -p357456 -(lp357457 -S'Follow-up\tFollow-up\tNN\tB-NP\tO' -p357458 -aS'with\twith\tIN\tB-PP\tO' -p357459 -aS'the\tthe\tDT\tB-NP\tO' -p357460 -aS'Visiting\tVisiting\tNNP\tI-NP\tO' -p357461 -aS'Nurses\tNurses\tNNP\tI-NP\tO' -p357462 -aS'Association\tAssociation\tNNP\tI-NP\tO' -p357463 -aS'to\tto\tTO\tB-VP\tO' -p357464 -aS'arrange\tarrange\tVB\tI-VP\tO' -p357465 -aS'assistance\tassistance\tNN\tB-NP\tO' -p357466 -aS'with\twith\tIN\tB-PP\tO' -p357467 -aS'her\ther\tPRP$\tB-NP\tO' -p357468 -aS'tube\ttube\tNN\tI-NP\tO' -p357469 -aS'feeding\tfeeding\tNN\tI-NP\tO' -p357470 -aS'and\tand\tCC\tO\tO' -p357471 -asS'2. Right renal cysts - lower pole cyst is unchanged from prior exam of 2010-10-25 and upper pole exophytic cyst was not previously seen sonStacy .' -p357472 -(lp357473 -S'2.\t2.\tLS\tB-NP\tO' -p357474 -aS'Right\tRight\tNN\tI-NP\tO' -p357475 -aS'renal\trenal\tJJ\tI-NP\tO' -p357476 -aS'cysts\tcyst\tNNS\tI-NP\tO' -p357477 -aS'-\t-\tHYPH\tO\tO' -p357478 -aS'lower\tlow\tJJR\tB-NP\tO' -p357479 -aS'pole\tpole\tNN\tI-NP\tO' -p357480 -aS'cyst\tcyst\tNN\tI-NP\tO' -p357481 -aS'is\tbe\tVBZ\tB-VP\tO' -p357482 -aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' -p357483 -aS'from\tfrom\tIN\tB-PP\tO' -p357484 -aS'prior\tprior\tJJ\tB-NP\tO' -p357485 -aS'exam\texam\tNN\tI-NP\tO' -p357486 -aS'of\tof\tIN\tB-PP\tO' -p357487 -aS'2010-10-25\t2010-10-25\tCD\tB-NP\tO' -p357488 -aS'and\tand\tCC\tO\tO' -p357489 -aS'upper\tupper\tJJ\tB-NP\tO' -p357490 -aS'pole\tpole\tNN\tI-NP\tO' -p357491 -aS'exophytic\texophytic\tJJ\tI-NP\tO' -p357492 -aS'cyst\tcyst\tNN\tI-NP\tO' -p357493 -aS'was\tbe\tVBD\tB-VP\tO' -p357494 -aS'not\tnot\tRB\tI-VP\tO' -p357495 -aS'previously\tpreviously\tRB\tI-VP\tO' -p357496 -aS'seen\tsee\tVBN\tI-VP\tO' -p357497 -aS'sonStacy\tsonStacy\tNN\tB-NP\tO' -p357498 -aS'.\t.\t.\tO\tO' -p357499 -asS'The patient was taken off of Neurontin because it started to worsen his mental status .' -p357500 -(lp357501 -S'The\tThe\tDT\tB-NP\tO' -p357502 -aS'patient\tpatient\tNN\tI-NP\tO' -p357503 -aS'was\tbe\tVBD\tB-VP\tO' -p357504 -aS'taken\ttake\tVBN\tI-VP\tO' -p357505 -aS'off\toff\tRP\tB-PRT\tO' -p357506 -aS'of\tof\tIN\tB-PP\tO' -p357507 -aS'Neurontin\tNeurontin\tNN\tB-NP\tB-protein' -p357508 -aS'because\tbecause\tIN\tB-SBAR\tO' -p357509 -aS'it\tit\tPRP\tB-NP\tO' -p357510 -aS'started\tstart\tVBD\tB-VP\tO' -p357511 -aS'to\tto\tTO\tI-VP\tO' -p357512 -aS'worsen\tworsen\tVB\tI-VP\tO' -p357513 -aS'his\this\tPRP$\tB-NP\tO' -p357514 -aS'mental\tmental\tJJ\tI-NP\tO' -p357515 -aS'status\tstatus\tNN\tI-NP\tO' -p357516 -aS'.\t.\t.\tO\tO' -p357517 -asS'The abdomen was soft , flat , nontender , with normal bowel sounds and no hepatosplenomegaly was noticed .' -p357518 -(lp357519 -S'The\tThe\tDT\tB-NP\tO' -p357520 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p357521 -aS'was\tbe\tVBD\tB-VP\tO' -p357522 -aS'soft\tsoft\tJJ\tB-NP\tO' -p357523 -aS',\t,\t,\tI-NP\tO' -p357524 -aS'flat\tflat\tJJ\tI-NP\tO' -p357525 -aS',\t,\t,\tI-NP\tO' -p357526 -aS'nontender\tnontender\tJJ\tI-NP\tO' -p357527 -aS',\t,\t,\tO\tO' -p357528 -aS'with\twith\tIN\tB-PP\tO' -p357529 -aS'normal\tnormal\tJJ\tB-NP\tO' -p357530 -aS'bowel\tbowel\tNN\tI-NP\tO' -p357531 -aS'sounds\tsound\tNNS\tI-NP\tO' -p357532 -aS'and\tand\tCC\tO\tO' -p357533 -aS'no\tno\tDT\tB-NP\tO' -p357534 -aS'hepatosplenomegaly\thepatosplenomegaly\tNN\tI-NP\tO' -p357535 -aS'was\tbe\tVBD\tB-VP\tO' -p357536 -aS'noticed\tnotice\tVBN\tI-VP\tO' -p357537 -aS'.\t.\t.\tO\tO' -p357538 -asS'This is a discharge summary addendum for Discharge Summary number 554108 .' -p357539 -(lp357540 -S'This\tThis\tDT\tB-NP\tO' -p357541 -aS'is\tbe\tVBZ\tB-VP\tO' -p357542 -aS'a\ta\tDT\tB-NP\tO' -p357543 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p357544 -aS'summary\tsummary\tNN\tI-NP\tO' -p357545 -aS'addendum\taddendum\tNN\tI-NP\tO' -p357546 -aS'for\tfor\tIN\tB-PP\tO' -p357547 -aS'Discharge\tDischarge\tNNP\tB-NP\tO' -p357548 -aS'Summary\tSummary\tNNP\tI-NP\tO' -p357549 -aS'number\tnumber\tNN\tI-NP\tO' -p357550 -aS'554108\t554108\tCD\tI-NP\tO' -p357551 -aS'.\t.\t.\tO\tO' -p357552 -asS'2. Celexa .' -p357553 -(lp357554 -S'2.\t2.\tLS\tB-LST\tO' -p357555 -aS'Celexa\tCelexa\tNNP\tB-NP\tO' -p357556 -aS'.\t.\t.\tO\tO' -p357557 -asS'Upon discussion with him it was noted that the patient had progression of her disease after systemic therapy with topotecan and cisplatin .' -p357558 -(lp357559 -S'Upon\tUpon\tIN\tB-PP\tO' -p357560 -aS'discussion\tdiscussion\tNN\tB-NP\tO' -p357561 -aS'with\twith\tIN\tB-PP\tO' -p357562 -aS'him\thim\tPRP\tB-NP\tO' -p357563 -aS'it\tit\tPRP\tB-NP\tO' -p357564 -aS'was\tbe\tVBD\tB-VP\tO' -p357565 -aS'noted\tnote\tVBN\tI-VP\tO' -p357566 -aS'that\tthat\tIN\tB-SBAR\tO' -p357567 -aS'the\tthe\tDT\tB-NP\tO' -p357568 -aS'patient\tpatient\tNN\tI-NP\tO' -p357569 -aS'had\thave\tVBD\tB-VP\tO' -p357570 -aS'progression\tprogression\tNN\tB-NP\tO' -p357571 -aS'of\tof\tIN\tB-PP\tO' -p357572 -aS'her\ther\tPRP$\tB-NP\tO' -p357573 -aS'disease\tdisease\tNN\tI-NP\tO' -p357574 -aS'after\tafter\tIN\tB-PP\tO' -p357575 -aS'systemic\tsystemic\tJJ\tB-NP\tO' -p357576 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p357577 -aS'with\twith\tIN\tB-PP\tO' -p357578 -aS'topotecan\ttopotecan\tNN\tB-NP\tO' -p357579 -aS'and\tand\tCC\tI-NP\tO' -p357580 -aS'cisplatin\tcisplatin\tNN\tI-NP\tO' -p357581 -aS'.\t.\t.\tO\tO' -p357582 -asS'She was found to be febrile to 101.9 and received levoflox and vancomycin .' -p357583 -(lp357584 -S'She\tShe\tPRP\tB-NP\tO' -p357585 -aS'was\tbe\tVBD\tB-VP\tO' -p357586 -aS'found\tfind\tVBN\tI-VP\tO' -p357587 -aS'to\tto\tTO\tI-VP\tO' -p357588 -aS'be\tbe\tVB\tI-VP\tO' -p357589 -aS'febrile\tfebrile\tJJ\tB-ADJP\tO' -p357590 -aS'to\tto\tTO\tB-PP\tO' -p357591 -aS'101.9\t101.9\tCD\tB-NP\tO' -p357592 -aS'and\tand\tCC\tO\tO' -p357593 -aS'received\treceive\tVBD\tB-VP\tO' -p357594 -aS'levoflox\tlevoflox\tNN\tB-NP\tO' -p357595 -aS'and\tand\tCC\tI-NP\tO' -p357596 -aS'vancomycin\tvancomycin\tNN\tI-NP\tO' -p357597 -aS'.\t.\t.\tO\tO' -p357598 -asS'Extrem : Cool , No C/C/E .' -p357599 -(lp357600 -S'Extrem\tExtrem\tNNP\tB-NP\tO' -p357601 -aS':\t:\t:\tO\tO' -p357602 -aS'Cool\tCool\tNNP\tB-NP\tO' -p357603 -aS',\t,\t,\tO\tO' -p357604 -aS'No\tNo\tDT\tB-NP\tO' -p357605 -aS'C/C/E\tC/C/E\tNN\tI-NP\tB-protein' -p357606 -aS'.\t.\t.\tO\tO' -p357607 -asS'No sacral dimple .' -p357608 -(lp357609 -S'No\tNo\tDT\tB-NP\tO' -p357610 -aS'sacral\tsacral\tJJ\tI-NP\tO' -p357611 -aS'dimple\tdimple\tNN\tI-NP\tO' -p357612 -aS'.\t.\t.\tO\tO' -p357613 -asS'He used Ativan in the hospital , which helped him .' -p357614 -(lp357615 -S'He\tHe\tPRP\tB-NP\tO' -p357616 -aS'used\tuse\tVBD\tB-VP\tO' -p357617 -aS'Ativan\tAtivan\tNNP\tB-NP\tO' -p357618 -aS'in\tin\tIN\tB-PP\tO' -p357619 -aS'the\tthe\tDT\tB-NP\tO' -p357620 -aS'hospital\thospital\tNN\tI-NP\tO' -p357621 -aS',\t,\t,\tO\tO' -p357622 -aS'which\twhich\tWDT\tB-NP\tO' -p357623 -aS'helped\thelp\tVBD\tB-VP\tO' -p357624 -aS'him\thim\tPRP\tB-NP\tO' -p357625 -aS'.\t.\t.\tO\tO' -p357626 -asS'He was switched back to his home dose of atenolol 25 mg po bid' -p357627 -(lp357628 -S'He\tHe\tPRP\tB-NP\tO' -p357629 -aS'was\tbe\tVBD\tB-VP\tO' -p357630 -aS'switched\tswitch\tVBN\tI-VP\tO' -p357631 -aS'back\tback\tRB\tB-ADVP\tO' -p357632 -aS'to\tto\tTO\tB-PP\tO' -p357633 -aS'his\this\tPRP$\tB-NP\tO' -p357634 -aS'home\thome\tNN\tI-NP\tO' -p357635 -aS'dose\tdose\tNN\tI-NP\tO' -p357636 -aS'of\tof\tIN\tB-PP\tO' -p357637 -aS'atenolol\tatenolol\tNN\tB-NP\tO' -p357638 -aS'25\t25\tCD\tI-NP\tO' -p357639 -aS'mg\tmg\tNN\tI-NP\tO' -p357640 -aS'po\tpo\tNN\tI-NP\tO' -p357641 -aS'bid\tbid\tNN\tI-NP\tO' -p357642 -asS'Transfer from Newton-Wellesley Hospital hospital for epidural abscess' -p357643 -(lp357644 -S'Transfer\tTransfer\tNNP\tB-NP\tO' -p357645 -aS'from\tfrom\tIN\tB-PP\tO' -p357646 -aS'Newton-Wellesley\tNewton-Wellesley\tNNP\tB-NP\tO' -p357647 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p357648 -aS'hospital\thospital\tNN\tI-NP\tO' -p357649 -aS'for\tfor\tIN\tB-PP\tO' -p357650 -aS'epidural\tepidural\tJJ\tB-NP\tO' -p357651 -aS'abscess\tabscess\tNN\tI-NP\tO' -p357652 -asS'The left main coronary artery was clear .' -p357653 -(lp357654 -S'The\tThe\tDT\tB-NP\tO' -p357655 -aS'left\tleft\tJJ\tI-NP\tO' -p357656 -aS'main\tmain\tJJ\tI-NP\tO' -p357657 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p357658 -aS'artery\tartery\tNN\tI-NP\tO' -p357659 -aS'was\tbe\tVBD\tB-VP\tO' -p357660 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p357661 -aS'.\t.\t.\tO\tO' -p357662 -asS'She was then started on propofol while intubated .' -p357663 -(lp357664 -S'She\tShe\tPRP\tB-NP\tO' -p357665 -aS'was\tbe\tVBD\tB-VP\tO' -p357666 -aS'then\tthen\tRB\tI-VP\tO' -p357667 -aS'started\tstart\tVBN\tI-VP\tO' -p357668 -aS'on\ton\tIN\tB-PP\tO' -p357669 -aS'propofol\tpropofol\tNN\tB-NP\tO' -p357670 -aS'while\twhile\tIN\tB-SBAR\tO' -p357671 -aS'intubated\tintubate\tVBN\tB-VP\tO' -p357672 -aS'.\t.\t.\tO\tO' -p357673 -asS'Mother died at age 68 of pancreatic carcinoma .' -p357674 -(lp357675 -S'Mother\tMother\tNNP\tB-NP\tO' -p357676 -aS'died\tdie\tVBD\tB-VP\tO' -p357677 -aS'at\tat\tIN\tB-PP\tO' -p357678 -aS'age\tage\tNN\tB-NP\tO' -p357679 -aS'68\t68\tCD\tI-NP\tO' -p357680 -aS'of\tof\tIN\tB-PP\tO' -p357681 -aS'pancreatic\tpancreatic\tJJ\tB-NP\tO' -p357682 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p357683 -aS'.\t.\t.\tO\tO' -p357684 -asS'Per the patient , the mass was benign .' -p357685 -(lp357686 -S'Per\tPer\tIN\tB-PP\tO' -p357687 -aS'the\tthe\tDT\tB-NP\tO' -p357688 -aS'patient\tpatient\tNN\tI-NP\tO' -p357689 -aS',\t,\t,\tO\tO' -p357690 -aS'the\tthe\tDT\tB-NP\tO' -p357691 -aS'mass\tmass\tNN\tI-NP\tO' -p357692 -aS'was\tbe\tVBD\tB-VP\tO' -p357693 -aS'benign\tbenign\tJJ\tB-ADJP\tO' -p357694 -aS'.\t.\t.\tO\tO' -p357695 -asS'The superior clavicular area showed no signs of central line access attempts .' -p357696 -(lp357697 -S'The\tThe\tDT\tB-NP\tO' -p357698 -aS'superior\tsuperior\tJJ\tI-NP\tO' -p357699 -aS'clavicular\tclavicular\tJJ\tI-NP\tO' -p357700 -aS'area\tarea\tNN\tI-NP\tO' -p357701 -aS'showed\tshow\tVBD\tB-VP\tO' -p357702 -aS'no\tno\tDT\tB-NP\tO' -p357703 -aS'signs\tsign\tNNS\tI-NP\tO' -p357704 -aS'of\tof\tIN\tB-PP\tO' -p357705 -aS'central\tcentral\tJJ\tB-NP\tO' -p357706 -aS'line\tline\tNN\tI-NP\tO' -p357707 -aS'access\taccess\tNN\tI-NP\tO' -p357708 -aS'attempts\tattempt\tNNS\tI-NP\tO' -p357709 -aS'.\t.\t.\tO\tO' -p357710 -asS'It is unclear why the patient did not bump his hematocrit more but he did not appear to be hemolyzing from laboratory data , that is his LDH was within normal limits .' -p357711 -(lp357712 -S'It\tIt\tPRP\tB-NP\tO' -p357713 -aS'is\tbe\tVBZ\tB-VP\tO' -p357714 -aS'unclear\tunclear\tJJ\tB-ADJP\tO' -p357715 -aS'why\twhy\tWRB\tB-ADVP\tO' -p357716 -aS'the\tthe\tDT\tB-NP\tO' -p357717 -aS'patient\tpatient\tNN\tI-NP\tO' -p357718 -aS'did\tdo\tVBD\tB-VP\tO' -p357719 -aS'not\tnot\tRB\tI-VP\tO' -p357720 -aS'bump\tbump\tVB\tI-VP\tO' -p357721 -aS'his\this\tPRP$\tB-NP\tO' -p357722 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p357723 -aS'more\tmore\tRBR\tB-ADVP\tO' -p357724 -aS'but\tbut\tCC\tO\tO' -p357725 -aS'he\the\tPRP\tB-NP\tO' -p357726 -aS'did\tdo\tVBD\tB-VP\tO' -p357727 -aS'not\tnot\tRB\tI-VP\tO' -p357728 -aS'appear\tappear\tVB\tI-VP\tO' -p357729 -aS'to\tto\tTO\tI-VP\tO' -p357730 -aS'be\tbe\tVB\tI-VP\tO' -p357731 -aS'hemolyzing\themolyze\tVBG\tI-VP\tO' -p357732 -aS'from\tfrom\tIN\tB-PP\tO' -p357733 -aS'laboratory\tlaboratory\tNN\tB-NP\tO' -p357734 -aS'data\tdatum\tNNS\tI-NP\tO' -p357735 -aS',\t,\t,\tO\tO' -p357736 -aS'that\tthat\tWDT\tB-NP\tO' -p357737 -aS'is\tbe\tVBZ\tB-VP\tO' -p357738 -aS'his\this\tPRP$\tB-NP\tO' -p357739 -aS'LDH\tLDH\tNN\tI-NP\tB-protein' -p357740 -aS'was\tbe\tVBD\tB-VP\tO' -p357741 -aS'within\twithin\tIN\tB-PP\tO' -p357742 -aS'normal\tnormal\tJJ\tB-NP\tO' -p357743 -aS'limits\tlimit\tNNS\tI-NP\tO' -p357744 -aS'.\t.\t.\tO\tO' -p357745 -asS'The patient has two teeth .' -p357746 -(lp357747 -S'The\tThe\tDT\tB-NP\tO' -p357748 -aS'patient\tpatient\tNN\tI-NP\tO' -p357749 -aS'has\thave\tVBZ\tB-VP\tO' -p357750 -aS'two\ttwo\tCD\tB-NP\tO' -p357751 -aS'teeth\ttooth\tNNS\tI-NP\tO' -p357752 -aS'.\t.\t.\tO\tO' -p357753 -asS'Given these findings , she underwent a CT scan which showed a retrotracheal mass that appeared to obliterate the esophagus .' -p357754 -(lp357755 -S'Given\tGive\tVBN\tB-PP\tO' -p357756 -aS'these\tthese\tDT\tB-NP\tO' -p357757 -aS'findings\tfinding\tNNS\tI-NP\tO' -p357758 -aS',\t,\t,\tO\tO' -p357759 -aS'she\tshe\tPRP\tB-NP\tO' -p357760 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p357761 -aS'a\ta\tDT\tB-NP\tO' -p357762 -aS'CT\tCT\tNN\tI-NP\tO' -p357763 -aS'scan\tscan\tNN\tI-NP\tO' -p357764 -aS'which\twhich\tWDT\tB-NP\tO' -p357765 -aS'showed\tshow\tVBD\tB-VP\tO' -p357766 -aS'a\ta\tDT\tB-NP\tO' -p357767 -aS'retrotracheal\tretrotracheal\tJJ\tI-NP\tO' -p357768 -aS'mass\tmass\tNN\tI-NP\tO' -p357769 -aS'that\tthat\tWDT\tB-NP\tO' -p357770 -aS'appeared\tappear\tVBD\tB-VP\tO' -p357771 -aS'to\tto\tTO\tI-VP\tO' -p357772 -aS'obliterate\tobliterate\tVB\tI-VP\tO' -p357773 -aS'the\tthe\tDT\tB-NP\tO' -p357774 -aS'esophagus\tesophagus\tNN\tI-NP\tO' -p357775 -aS'.\t.\t.\tO\tO' -p357776 -asS'Stable on room air .' -p357777 -(lp357778 -S'Stable\tStable\tJJ\tB-ADJP\tO' -p357779 -aS'on\ton\tIN\tB-PP\tO' -p357780 -aS'room\troom\tNN\tB-NP\tO' -p357781 -aS'air\tair\tNN\tI-NP\tO' -p357782 -aS'.\t.\t.\tO\tO' -p357783 -asS'She denies V or D .' -p357784 -(lp357785 -S'She\tShe\tPRP\tB-NP\tO' -p357786 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p357787 -aS'V\tV\tNN\tB-NP\tO' -p357788 -aS'or\tor\tCC\tI-NP\tO' -p357789 -aS'D\tD\tNN\tI-NP\tO' -p357790 -aS'.\t.\t.\tO\tO' -p357791 -asS'With these goals of care , the patient expired on 2013-05-11 .' -p357792 -(lp357793 -S'With\tWith\tIN\tB-PP\tO' -p357794 -aS'these\tthese\tDT\tB-NP\tO' -p357795 -aS'goals\tgoal\tNNS\tI-NP\tO' -p357796 -aS'of\tof\tIN\tB-PP\tO' -p357797 -aS'care\tcare\tNN\tB-NP\tO' -p357798 -aS',\t,\t,\tO\tO' -p357799 -aS'the\tthe\tDT\tB-NP\tO' -p357800 -aS'patient\tpatient\tNN\tI-NP\tO' -p357801 -aS'expired\texpire\tVBD\tB-VP\tO' -p357802 -aS'on\ton\tIN\tB-PP\tO' -p357803 -aS'2013-05-11\t2013-05-11\tCD\tB-NP\tO' -p357804 -aS'.\t.\t.\tO\tO' -p357805 -asS'Abdomen is soft and nontender .' -p357806 -(lp357807 -S'Abdomen\tAbdoman\tNNS\tB-NP\tO' -p357808 -aS'is\tbe\tVBZ\tB-VP\tO' -p357809 -aS'soft\tsoft\tJJ\tB-ADJP\tO' -p357810 -aS'and\tand\tCC\tI-ADJP\tO' -p357811 -aS'nontender\tnontender\tJJ\tI-ADJP\tO' -p357812 -aS'.\t.\t.\tO\tO' -p357813 -asS'Dr. Rhalttland was called at Sondi Memorial to update him on the patient 's condition .' -p357814 -(lp357815 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p357816 -aS'Rhalttland\tRhalttland\tNNP\tI-NP\tO' -p357817 -aS'was\tbe\tVBD\tB-VP\tO' -p357818 -aS'called\tcall\tVBN\tI-VP\tO' -p357819 -aS'at\tat\tIN\tB-PP\tO' -p357820 -aS'Sondi\tSondi\tNNP\tB-NP\tO' -p357821 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p357822 -aS'to\tto\tTO\tB-VP\tO' -p357823 -aS'update\tupdate\tVB\tI-VP\tO' -p357824 -aS'him\thim\tPRP\tB-NP\tO' -p357825 -aS'on\ton\tIN\tB-PP\tO' -p357826 -aS'the\tthe\tDT\tB-NP\tO' -p357827 -aS'patient\tpatient\tNN\tI-NP\tO' -p357828 -aS''s\t'\tNNS\tI-NP\tO' -p357829 -aS'condition\tcondition\tNN\tI-NP\tO' -p357830 -aS'.\t.\t.\tO\tO' -p357831 -asS'Moves all extremities and follows commands .' -p357832 -(lp357833 -S'Moves\tMove\tVBZ\tB-VP\tO' -p357834 -aS'all\tall\tDT\tB-NP\tO' -p357835 -aS'extremities\textremity\tNNS\tI-NP\tO' -p357836 -aS'and\tand\tCC\tO\tO' -p357837 -aS'follows\tfollow\tVBZ\tB-VP\tO' -p357838 -aS'commands\tcommand\tNNS\tB-NP\tO' -p357839 -aS'.\t.\t.\tO\tO' -p357840 -asS'Initial white count 19.4 thousand , 64 polys , 3 bands , hematocrit 35.8 , platelets 281,000 .' -p357841 -(lp357842 -S'Initial\tInitial\tJJ\tB-NP\tO' -p357843 -aS'white\twhite\tJJ\tI-NP\tO' -p357844 -aS'count\tcount\tNN\tI-NP\tO' -p357845 -aS'19.4\t19.4\tCD\tI-NP\tO' -p357846 -aS'thousand\tthousand\tCD\tI-NP\tO' -p357847 -aS',\t,\t,\tO\tO' -p357848 -aS'64\t64\tCD\tB-NP\tO' -p357849 -aS'polys\tpoly\tNNS\tI-NP\tO' -p357850 -aS',\t,\t,\tO\tO' -p357851 -aS'3\t3\tCD\tB-NP\tO' -p357852 -aS'bands\tband\tNNS\tI-NP\tO' -p357853 -aS',\t,\t,\tO\tO' -p357854 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p357855 -aS'35.8\t35.8\tCD\tI-NP\tI-protein' -p357856 -aS',\t,\t,\tO\tO' -p357857 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p357858 -aS'281,000\t281,000\tCD\tB-NP\tO' -p357859 -aS'.\t.\t.\tO\tO' -p357860 -asS'Chest , lungs clear to auscultation with faint wheezes , no rales .' -p357861 -(lp357862 -S'Chest\tChest\tNNP\tB-NP\tO' -p357863 -aS',\t,\t,\tO\tO' -p357864 -aS'lungs\tlung\tVBZ\tB-VP\tO' -p357865 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p357866 -aS'to\tto\tTO\tB-PP\tO' -p357867 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p357868 -aS'with\twith\tIN\tB-PP\tO' -p357869 -aS'faint\tfaint\tJJ\tB-NP\tO' -p357870 -aS'wheezes\twheeze\tNNS\tI-NP\tO' -p357871 -aS',\t,\t,\tO\tO' -p357872 -aS'no\tno\tDT\tB-NP\tO' -p357873 -aS'rales\trale\tNNS\tI-NP\tO' -p357874 -aS'.\t.\t.\tO\tO' -p357875 -asS'Physical Therapy felt that the patient was cleared for transfer home with services .' -p357876 -(lp357877 -S'Physical\tPhysical\tJJ\tB-NP\tO' -p357878 -aS'Therapy\tTherapy\tNN\tI-NP\tO' -p357879 -aS'felt\tfeel\tVBD\tB-VP\tO' -p357880 -aS'that\tthat\tIN\tB-SBAR\tO' -p357881 -aS'the\tthe\tDT\tB-NP\tO' -p357882 -aS'patient\tpatient\tNN\tI-NP\tO' -p357883 -aS'was\tbe\tVBD\tB-VP\tO' -p357884 -aS'cleared\tclear\tVBN\tI-VP\tO' -p357885 -aS'for\tfor\tIN\tB-PP\tO' -p357886 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p357887 -aS'home\thome\tNN\tI-NP\tO' -p357888 -aS'with\twith\tIN\tB-PP\tO' -p357889 -aS'services\tservice\tNNS\tB-NP\tO' -p357890 -aS'.\t.\t.\tO\tO' -p357891 -asS'Intraoperatively , for immunosuppression she received thymoglobulin and Solu-Medrol .' -p357892 -(lp357893 -S'Intraoperatively\tIntraoperatively\tRB\tB-ADVP\tO' -p357894 -aS',\t,\t,\tO\tO' -p357895 -aS'for\tfor\tIN\tB-PP\tO' -p357896 -aS'immunosuppression\timmunosuppression\tNN\tB-NP\tB-protein' -p357897 -aS'she\tshe\tPRP\tB-NP\tI-protein' -p357898 -aS'received\treceive\tVBD\tB-VP\tI-protein' -p357899 -aS'thymoglobulin\tthymoglobulin\tNN\tB-NP\tI-protein' -p357900 -aS'and\tand\tCC\tI-NP\tO' -p357901 -aS'Solu-Medrol\tSolu-Medrol\tNN\tI-NP\tO' -p357902 -aS'.\t.\t.\tO\tO' -p357903 -asS'He has had recurrent CMB infection in the setting of Campath therapy , requiring IV Foscarnet therapy during stay , with inability to tolerate valganciclovir maintenance suppression subsequently due to increasing ARS .' -p357904 -(lp357905 -S'He\tHe\tPRP\tB-NP\tO' -p357906 -aS'has\thave\tVBZ\tB-VP\tO' -p357907 -aS'had\thave\tVBN\tI-VP\tO' -p357908 -aS'recurrent\trecurrent\tJJ\tB-NP\tO' -p357909 -aS'CMB\tCMB\tNN\tI-NP\tO' -p357910 -aS'infection\tinfection\tNN\tI-NP\tO' -p357911 -aS'in\tin\tIN\tB-PP\tO' -p357912 -aS'the\tthe\tDT\tB-NP\tO' -p357913 -aS'setting\tsetting\tNN\tI-NP\tO' -p357914 -aS'of\tof\tIN\tB-PP\tO' -p357915 -aS'Campath\tCampath\tNN\tB-NP\tO' -p357916 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p357917 -aS',\t,\t,\tO\tO' -p357918 -aS'requiring\trequire\tVBG\tB-VP\tO' -p357919 -aS'IV\tIV\tCD\tB-NP\tO' -p357920 -aS'Foscarnet\tFoscarnet\tNNP\tI-NP\tO' -p357921 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p357922 -aS'during\tduring\tIN\tB-PP\tO' -p357923 -aS'stay\tstay\tNN\tB-NP\tO' -p357924 -aS',\t,\t,\tO\tO' -p357925 -aS'with\twith\tIN\tB-PP\tO' -p357926 -aS'inability\tinability\tNN\tB-NP\tO' -p357927 -aS'to\tto\tTO\tB-VP\tO' -p357928 -aS'tolerate\ttolerate\tVB\tI-VP\tO' -p357929 -aS'valganciclovir\tvalganciclovir\tNN\tB-NP\tO' -p357930 -aS'maintenance\tmaintenance\tNN\tI-NP\tO' -p357931 -aS'suppression\tsuppression\tNN\tI-NP\tO' -p357932 -aS'subsequently\tsubsequently\tRB\tB-ADJP\tO' -p357933 -aS'due\tdue\tJJ\tI-ADJP\tO' -p357934 -aS'to\tto\tTO\tB-PP\tO' -p357935 -aS'increasing\tincrease\tVBG\tB-NP\tO' -p357936 -aS'ARS\tARS\tNN\tI-NP\tB-protein' -p357937 -aS'.\t.\t.\tO\tO' -p357938 -asS'Pediatrics , phone number 353-5927 , fax number' -p357939 -(lp357940 -S'Pediatrics\tPediatric\tNNS\tB-NP\tO' -p357941 -aS',\t,\t,\tO\tO' -p357942 -aS'phone\tphone\tNN\tB-NP\tO' -p357943 -aS'number\tnumber\tNN\tI-NP\tO' -p357944 -aS'353-5927\t353-5927\tCD\tI-NP\tO' -p357945 -aS',\t,\t,\tO\tO' -p357946 -aS'fax\tfax\tNN\tB-NP\tO' -p357947 -aS'number\tnumber\tNN\tI-NP\tO' -p357948 -asS'3. End stage renal disease on HD' -p357949 -(lp357950 -S'3.\t3.\tLS\tB-NP\tO' -p357951 -aS'End\tEnd\tNN\tI-NP\tO' -p357952 -aS'stage\tstage\tNN\tI-NP\tO' -p357953 -aS'renal\trenal\tJJ\tI-NP\tO' -p357954 -aS'disease\tdisease\tNN\tI-NP\tO' -p357955 -aS'on\ton\tIN\tB-PP\tO' -p357956 -aS'HD\tHD\tNN\tB-NP\tO' -p357957 -asS'However , on 12-07 , the patient once again experienced an episode of unresponsiveness .' -p357958 -(lp357959 -S'However\tHowever\tRB\tB-ADVP\tO' -p357960 -aS',\t,\t,\tO\tO' -p357961 -aS'on\ton\tIN\tB-PP\tO' -p357962 -aS'12-07\t12-07\tCD\tB-NP\tO' -p357963 -aS',\t,\t,\tO\tO' -p357964 -aS'the\tthe\tDT\tB-NP\tO' -p357965 -aS'patient\tpatient\tNN\tI-NP\tO' -p357966 -aS'once\tonce\tRB\tB-ADVP\tO' -p357967 -aS'again\tagain\tRB\tI-ADVP\tO' -p357968 -aS'experienced\texperience\tVBD\tB-VP\tO' -p357969 -aS'an\tan\tDT\tB-NP\tO' -p357970 -aS'episode\tepisode\tNN\tI-NP\tO' -p357971 -aS'of\tof\tIN\tB-PP\tO' -p357972 -aS'unresponsiveness\tunresponsiveness\tNN\tB-NP\tO' -p357973 -aS'.\t.\t.\tO\tO' -p357974 -asS'She remained full code throughout the hospitalization .' -p357975 -(lp357976 -S'She\tShe\tPRP\tB-NP\tO' -p357977 -aS'remained\tremain\tVBD\tB-VP\tO' -p357978 -aS'full\tfull\tJJ\tB-NP\tO' -p357979 -aS'code\tcode\tNN\tI-NP\tO' -p357980 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p357981 -aS'the\tthe\tDT\tB-NP\tO' -p357982 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p357983 -aS'.\t.\t.\tO\tO' -p357984 -asS'Also , due to worsening renal function , she was started on octreotide / midodrine / albumin for hepatorenal' -p357985 -(lp357986 -S'Also\tAlso\tRB\tB-ADVP\tO' -p357987 -aS',\t,\t,\tO\tO' -p357988 -aS'due\tdue\tJJ\tB-ADJP\tO' -p357989 -aS'to\tto\tTO\tB-PP\tO' -p357990 -aS'worsening\tworsen\tVBG\tB-VP\tO' -p357991 -aS'renal\trenal\tJJ\tB-NP\tO' -p357992 -aS'function\tfunction\tNN\tI-NP\tO' -p357993 -aS',\t,\t,\tO\tO' -p357994 -aS'she\tshe\tPRP\tB-NP\tO' -p357995 -aS'was\tbe\tVBD\tB-VP\tO' -p357996 -aS'started\tstart\tVBN\tI-VP\tO' -p357997 -aS'on\ton\tIN\tB-PP\tO' -p357998 -aS'octreotide\toctreotide\tNN\tB-NP\tO' -p357999 -aS'/\t/\tSYM\tB-NP\tO' -p358000 -aS'midodrine\tmidodrine\tNN\tI-NP\tO' -p358001 -aS'/\t/\tSYM\tB-NP\tO' -p358002 -aS'albumin\talbumin\tNN\tI-NP\tO' -p358003 -aS'for\tfor\tIN\tB-PP\tO' -p358004 -aS'hepatorenal\thepatorenal\tJJ\tB-NP\tO' -p358005 -asS'She also had a new lesion on her last MRI in the centrum semiovale .' -p358006 -(lp358007 -S'She\tShe\tPRP\tB-NP\tO' -p358008 -aS'also\talso\tRB\tB-ADVP\tO' -p358009 -aS'had\thave\tVBD\tB-VP\tO' -p358010 -aS'a\ta\tDT\tB-NP\tO' -p358011 -aS'new\tnew\tJJ\tI-NP\tO' -p358012 -aS'lesion\tlesion\tNN\tI-NP\tO' -p358013 -aS'on\ton\tIN\tB-PP\tO' -p358014 -aS'her\ther\tPRP$\tB-NP\tO' -p358015 -aS'last\tlast\tJJ\tI-NP\tO' -p358016 -aS'MRI\tMRI\tNN\tI-NP\tO' -p358017 -aS'in\tin\tIN\tB-PP\tO' -p358018 -aS'the\tthe\tDT\tB-NP\tO' -p358019 -aS'centrum\tcentrum\tNN\tI-NP\tO' -p358020 -aS'semiovale\tsemiovale\tNN\tI-NP\tO' -p358021 -aS'.\t.\t.\tO\tO' -p358022 -asS'The right ventricle is dilated and diffusely hypokinetic and there is no evidence of constrictive physiology which was seen on December 6 , 1995 .' -p358023 -(lp358024 -S'The\tThe\tDT\tB-NP\tO' -p358025 -aS'right\tright\tJJ\tI-NP\tO' -p358026 -aS'ventricle\tventricle\tNN\tI-NP\tO' -p358027 -aS'is\tbe\tVBZ\tB-VP\tO' -p358028 -aS'dilated\tdilate\tVBN\tI-VP\tO' -p358029 -aS'and\tand\tCC\tO\tO' -p358030 -aS'diffusely\tdiffusely\tRB\tB-ADJP\tO' -p358031 -aS'hypokinetic\thypokinetic\tJJ\tI-ADJP\tO' -p358032 -aS'and\tand\tCC\tO\tO' -p358033 -aS'there\tthere\tEX\tB-NP\tO' -p358034 -aS'is\tbe\tVBZ\tB-VP\tO' -p358035 -aS'no\tno\tDT\tB-NP\tO' -p358036 -aS'evidence\tevidence\tNN\tI-NP\tO' -p358037 -aS'of\tof\tIN\tB-PP\tO' -p358038 -aS'constrictive\tconstrictive\tJJ\tB-NP\tO' -p358039 -aS'physiology\tphysiology\tNN\tI-NP\tO' -p358040 -aS'which\twhich\tWDT\tB-NP\tO' -p358041 -aS'was\tbe\tVBD\tB-VP\tO' -p358042 -aS'seen\tsee\tVBN\tI-VP\tO' -p358043 -aS'on\ton\tIN\tB-PP\tO' -p358044 -aS'December\tDecember\tNNP\tB-NP\tO' -p358045 -aS'6\t6\tCD\tI-NP\tO' -p358046 -aS',\t,\t,\tI-NP\tO' -p358047 -aS'1995\t1995\tCD\tI-NP\tO' -p358048 -aS'.\t.\t.\tO\tO' -p358049 -asS'The patient was admitted to the hospital and begun on high dose Hydroxyurea , with a gradual improvement in his white blood count over the next few days .' -p358050 -(lp358051 -S'The\tThe\tDT\tB-NP\tO' -p358052 -aS'patient\tpatient\tNN\tI-NP\tO' -p358053 -aS'was\tbe\tVBD\tB-VP\tO' -p358054 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p358055 -aS'to\tto\tTO\tB-PP\tO' -p358056 -aS'the\tthe\tDT\tB-NP\tO' -p358057 -aS'hospital\thospital\tNN\tI-NP\tO' -p358058 -aS'and\tand\tCC\tO\tO' -p358059 -aS'begun\tbegin\tVBN\tB-VP\tO' -p358060 -aS'on\ton\tIN\tB-PP\tO' -p358061 -aS'high\thigh\tJJ\tB-NP\tO' -p358062 -aS'dose\tdose\tNN\tI-NP\tO' -p358063 -aS'Hydroxyurea\tHydroxyurea\tNN\tI-NP\tO' -p358064 -aS',\t,\t,\tO\tO' -p358065 -aS'with\twith\tIN\tB-PP\tO' -p358066 -aS'a\ta\tDT\tB-NP\tO' -p358067 -aS'gradual\tgradual\tJJ\tI-NP\tO' -p358068 -aS'improvement\timprovement\tNN\tI-NP\tO' -p358069 -aS'in\tin\tIN\tB-PP\tO' -p358070 -aS'his\this\tPRP$\tB-NP\tO' -p358071 -aS'white\twhite\tJJ\tI-NP\tO' -p358072 -aS'blood\tblood\tNN\tI-NP\tO' -p358073 -aS'count\tcount\tNN\tI-NP\tO' -p358074 -aS'over\tover\tIN\tB-PP\tO' -p358075 -aS'the\tthe\tDT\tB-NP\tO' -p358076 -aS'next\tnext\tJJ\tI-NP\tO' -p358077 -aS'few\tfew\tJJ\tI-NP\tO' -p358078 -aS'days\tday\tNNS\tI-NP\tO' -p358079 -aS'.\t.\t.\tO\tO' -p358080 -asS'There were no ST or T wave changes .' -p358081 -(lp358082 -S'There\tThere\tEX\tB-NP\tO' -p358083 -aS'were\tbe\tVBD\tB-VP\tO' -p358084 -aS'no\tno\tDT\tB-NP\tO' -p358085 -aS'ST\tST\tNN\tI-NP\tO' -p358086 -aS'or\tor\tCC\tI-NP\tO' -p358087 -aS'T\tT\tNN\tI-NP\tO' -p358088 -aS'wave\twave\tNN\tI-NP\tO' -p358089 -aS'changes\tchange\tNNS\tI-NP\tO' -p358090 -aS'.\t.\t.\tO\tO' -p358091 -asS'While in the hospital , the patient received initial work-up including echocardiogram , electrocardiogram and serology studies to be listed for liver transplant .' -p358092 -(lp358093 -S'While\tWhile\tIN\tB-SBAR\tO' -p358094 -aS'in\tin\tIN\tB-PP\tO' -p358095 -aS'the\tthe\tDT\tB-NP\tO' -p358096 -aS'hospital\thospital\tNN\tI-NP\tO' -p358097 -aS',\t,\t,\tO\tO' -p358098 -aS'the\tthe\tDT\tB-NP\tO' -p358099 -aS'patient\tpatient\tNN\tI-NP\tO' -p358100 -aS'received\treceive\tVBD\tB-VP\tO' -p358101 -aS'initial\tinitial\tJJ\tB-NP\tO' -p358102 -aS'work-up\twork-up\tNN\tI-NP\tO' -p358103 -aS'including\tinclude\tVBG\tB-PP\tO' -p358104 -aS'echocardiogram\techocardiogram\tNN\tB-NP\tO' -p358105 -aS',\t,\t,\tI-NP\tO' -p358106 -aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' -p358107 -aS'and\tand\tCC\tI-NP\tO' -p358108 -aS'serology\tserology\tNN\tI-NP\tO' -p358109 -aS'studies\tstudy\tNNS\tI-NP\tO' -p358110 -aS'to\tto\tTO\tB-VP\tO' -p358111 -aS'be\tbe\tVB\tI-VP\tO' -p358112 -aS'listed\tlist\tVBN\tI-VP\tO' -p358113 -aS'for\tfor\tIN\tB-PP\tO' -p358114 -aS'liver\tliver\tNN\tB-NP\tO' -p358115 -aS'transplant\ttransplant\tNN\tI-NP\tO' -p358116 -aS'.\t.\t.\tO\tO' -p358117 -asS'She will follow up with Dr. Top in his office .' -p358118 -(lp358119 -S'She\tShe\tPRP\tB-NP\tO' -p358120 -aS'will\twill\tMD\tB-VP\tO' -p358121 -aS'follow\tfollow\tVB\tI-VP\tO' -p358122 -aS'up\tup\tRP\tB-PRT\tO' -p358123 -aS'with\twith\tIN\tB-PP\tO' -p358124 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p358125 -aS'Top\tTop\tNNP\tI-NP\tO' -p358126 -aS'in\tin\tIN\tB-PP\tO' -p358127 -aS'his\this\tPRP$\tB-NP\tO' -p358128 -aS'office\toffice\tNN\tI-NP\tO' -p358129 -aS'.\t.\t.\tO\tO' -p358130 -asS'The patient is to report to Dr. Jones office on 2010-06-14 for an initial blood draw and subsequent Coumadin titration ; Coumadin levels are to be monitored per his PCP David .' -p358131 -(lp358132 -S'The\tThe\tDT\tB-NP\tO' -p358133 -aS'patient\tpatient\tNN\tI-NP\tO' -p358134 -aS'is\tbe\tVBZ\tB-VP\tO' -p358135 -aS'to\tto\tTO\tB-VP\tO' -p358136 -aS'report\treport\tVB\tI-VP\tO' -p358137 -aS'to\tto\tTO\tB-PP\tO' -p358138 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p358139 -aS'Jones\tJones\tNNP\tI-NP\tO' -p358140 -aS'office\toffice\tNN\tI-NP\tO' -p358141 -aS'on\ton\tIN\tB-PP\tO' -p358142 -aS'2010-06-14\t2010-06-14\tCD\tB-NP\tO' -p358143 -aS'for\tfor\tIN\tB-PP\tO' -p358144 -aS'an\tan\tDT\tB-NP\tO' -p358145 -aS'initial\tinitial\tJJ\tI-NP\tO' -p358146 -aS'blood\tblood\tNN\tI-NP\tO' -p358147 -aS'draw\tdraw\tNN\tI-NP\tO' -p358148 -aS'and\tand\tCC\tO\tO' -p358149 -aS'subsequent\tsubsequent\tJJ\tB-NP\tO' -p358150 -aS'Coumadin\tCoumadin\tNN\tI-NP\tO' -p358151 -aS'titration\ttitration\tNN\tI-NP\tO' -p358152 -aS';\t;\t:\tO\tO' -p358153 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p358154 -aS'levels\tlevel\tNNS\tI-NP\tO' -p358155 -aS'are\tbe\tVBP\tB-VP\tO' -p358156 -aS'to\tto\tTO\tI-VP\tO' -p358157 -aS'be\tbe\tVB\tI-VP\tO' -p358158 -aS'monitored\tmonitor\tVBN\tI-VP\tO' -p358159 -aS'per\tper\tIN\tB-PP\tO' -p358160 -aS'his\this\tPRP$\tB-NP\tO' -p358161 -aS'PCP\tPCP\tNN\tI-NP\tO' -p358162 -aS'David\tDavid\tNNP\tI-NP\tO' -p358163 -aS'.\t.\t.\tO\tO' -p358164 -asS'1. Undesired fertility .' -p358165 -(lp358166 -S'1.\t1.\tLS\tB-NP\tO' -p358167 -aS'Undesired\tUndesired\tJJ\tI-NP\tO' -p358168 -aS'fertility\tfertility\tNN\tI-NP\tO' -p358169 -aS'.\t.\t.\tO\tO' -p358170 -asS'1 ) THROMBOTIC THROMBOCYTOPENIC PURPURA .' -p358171 -(lp358172 -S'1\t1\tLS\tB-LST\tO' -p358173 -aS')\t)\t)\tO\tO' -p358174 -aS'THROMBOTIC\tTHROMBOTIC\tNN\tB-NP\tO' -p358175 -aS'THROMBOCYTOPENIC\tTHROMBOCYTOPENIC\tNN\tI-NP\tO' -p358176 -aS'PURPURA\tPURPURA\tNN\tI-NP\tO' -p358177 -aS'.\t.\t.\tO\tO' -p358178 -asS'The patient was on home Synthroid dose during her hospitalization , insulin sliding scale with q.6h. fingersticks while she was on TPN .' -p358179 -(lp358180 -S'The\tThe\tDT\tB-NP\tO' -p358181 -aS'patient\tpatient\tNN\tI-NP\tO' -p358182 -aS'was\tbe\tVBD\tB-VP\tO' -p358183 -aS'on\ton\tIN\tB-PP\tO' -p358184 -aS'home\thome\tNN\tB-NP\tO' -p358185 -aS'Synthroid\tSynthroid\tJJ\tI-NP\tO' -p358186 -aS'dose\tdose\tNN\tI-NP\tO' -p358187 -aS'during\tduring\tIN\tB-PP\tO' -p358188 -aS'her\ther\tPRP$\tB-NP\tO' -p358189 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p358190 -aS',\t,\t,\tO\tO' -p358191 -aS'insulin\tinsulin\tNN\tB-NP\tB-protein' -p358192 -aS'sliding\tslide\tVBG\tB-VP\tO' -p358193 -aS'scale\tscale\tNN\tB-NP\tO' -p358194 -aS'with\twith\tIN\tB-PP\tO' -p358195 -aS'q.6h.\tq.6h.\tNN\tB-NP\tO' -p358196 -aS'fingersticks\tfingerstick\tNNS\tI-NP\tO' -p358197 -aS'while\twhile\tIN\tB-SBAR\tO' -p358198 -aS'she\tshe\tPRP\tB-NP\tO' -p358199 -aS'was\tbe\tVBD\tB-VP\tO' -p358200 -aS'on\ton\tIN\tB-PP\tO' -p358201 -aS'TPN\tTPN\tNN\tB-NP\tB-protein' -p358202 -aS'.\t.\t.\tO\tO' -p358203 -asS'Despite maximal supports the patient continued to be hypotensive .' -p358204 -(lp358205 -S'Despite\tDespite\tIN\tB-PP\tO' -p358206 -aS'maximal\tmaximal\tJJ\tB-NP\tO' -p358207 -aS'supports\tsupport\tNNS\tI-NP\tO' -p358208 -aS'the\tthe\tDT\tB-NP\tO' -p358209 -aS'patient\tpatient\tNN\tI-NP\tO' -p358210 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p358211 -aS'to\tto\tTO\tI-VP\tO' -p358212 -aS'be\tbe\tVB\tI-VP\tO' -p358213 -aS'hypotensive\thypotensive\tJJ\tB-ADJP\tO' -p358214 -aS'.\t.\t.\tO\tO' -p358215 -asS'He also had a very positive tox screen for alcohol .' -p358216 -(lp358217 -S'He\tHe\tPRP\tB-NP\tO' -p358218 -aS'also\talso\tRB\tB-ADVP\tO' -p358219 -aS'had\thave\tVBD\tB-VP\tO' -p358220 -aS'a\ta\tDT\tB-NP\tO' -p358221 -aS'very\tvery\tRB\tI-NP\tO' -p358222 -aS'positive\tpositive\tJJ\tI-NP\tO' -p358223 -aS'tox\ttox\tNN\tI-NP\tO' -p358224 -aS'screen\tscreen\tNN\tI-NP\tO' -p358225 -aS'for\tfor\tIN\tB-PP\tO' -p358226 -aS'alcohol\talcohol\tNN\tB-NP\tO' -p358227 -aS'.\t.\t.\tO\tO' -p358228 -asS'10. Coumadin 7.5 mg on Sun , Tues , Wed , Fri and Sat .' -p358229 -(lp358230 -S'10.\t10.\tCD\tB-NP\tO' -p358231 -aS'Coumadin\tCoumadin\tNN\tI-NP\tO' -p358232 -aS'7.5\t7.5\tCD\tB-NP\tO' -p358233 -aS'mg\tmg\tNN\tI-NP\tO' -p358234 -aS'on\ton\tIN\tB-PP\tO' -p358235 -aS'Sun\tSun\tNNP\tB-NP\tO' -p358236 -aS',\t,\t,\tO\tO' -p358237 -aS'Tues\tTues\tNNP\tB-NP\tO' -p358238 -aS',\t,\t,\tO\tO' -p358239 -aS'Wed\tWed\tNNP\tB-NP\tO' -p358240 -aS',\t,\t,\tO\tO' -p358241 -aS'Fri\tFri\tNNP\tB-NP\tO' -p358242 -aS'and\tand\tCC\tO\tO' -p358243 -aS'Sat\tSat\tNNP\tB-NP\tO' -p358244 -aS'.\t.\t.\tO\tO' -p358245 -asS'General : Awake , alert , responding to voice .' -p358246 -(lp358247 -S'General\tGeneral\tNNP\tB-NP\tO' -p358248 -aS':\t:\t:\tO\tO' -p358249 -aS'Awake\tAwake\tNNP\tB-NP\tO' -p358250 -aS',\t,\t,\tO\tO' -p358251 -aS'alert\talert\tRB\tB-ADVP\tO' -p358252 -aS',\t,\t,\tO\tO' -p358253 -aS'responding\trespond\tVBG\tB-VP\tO' -p358254 -aS'to\tto\tTO\tI-VP\tO' -p358255 -aS'voice\tvoice\tVB\tI-VP\tO' -p358256 -aS'.\t.\t.\tO\tO' -p358257 -asS'The patient was started on Glargine for tighter glycemic control and was covered with an insulin sliding scale .' -p358258 -(lp358259 -S'The\tThe\tDT\tB-NP\tO' -p358260 -aS'patient\tpatient\tNN\tI-NP\tO' -p358261 -aS'was\tbe\tVBD\tB-VP\tO' -p358262 -aS'started\tstart\tVBN\tI-VP\tO' -p358263 -aS'on\ton\tIN\tB-PP\tO' -p358264 -aS'Glargine\tGlargine\tNN\tB-NP\tO' -p358265 -aS'for\tfor\tIN\tB-PP\tO' -p358266 -aS'tighter\ttight\tJJR\tB-NP\tO' -p358267 -aS'glycemic\tglycemic\tJJ\tI-NP\tO' -p358268 -aS'control\tcontrol\tNN\tI-NP\tO' -p358269 -aS'and\tand\tCC\tO\tO' -p358270 -aS'was\tbe\tVBD\tB-VP\tO' -p358271 -aS'covered\tcover\tVBN\tI-VP\tO' -p358272 -aS'with\twith\tIN\tB-PP\tO' -p358273 -aS'an\tan\tDT\tB-NP\tO' -p358274 -aS'insulin\tinsulin\tNN\tI-NP\tO' -p358275 -aS'sliding\tslide\tVBG\tB-VP\tO' -p358276 -aS'scale\tscale\tNN\tB-NP\tO' -p358277 -aS'.\t.\t.\tO\tO' -p358278 -asS'EXTREMITIES : Pink and well perfused .' -p358279 -(lp358280 -S'EXTREMITIES\tEXTREMITIES\tNNS\tB-NP\tO' -p358281 -aS':\t:\t:\tO\tO' -p358282 -aS'Pink\tPink\tNN\tB-NP\tO' -p358283 -aS'and\tand\tCC\tO\tO' -p358284 -aS'well\twell\tRB\tB-ADJP\tO' -p358285 -aS'perfused\tperfuse\tVBN\tI-ADJP\tO' -p358286 -aS'.\t.\t.\tO\tO' -p358287 -asS'The creatinine was 4.4 on admission and peaked at 10.5 on the 15th .' -p358288 -(lp358289 -S'The\tThe\tDT\tB-NP\tO' -p358290 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p358291 -aS'was\tbe\tVBD\tB-VP\tO' -p358292 -aS'4.4\t4.4\tCD\tB-NP\tO' -p358293 -aS'on\ton\tIN\tB-PP\tO' -p358294 -aS'admission\tadmission\tNN\tB-NP\tO' -p358295 -aS'and\tand\tCC\tO\tO' -p358296 -aS'peaked\tpeak\tVBD\tB-VP\tO' -p358297 -aS'at\tat\tIN\tB-PP\tO' -p358298 -aS'10.5\t10.5\tCD\tB-NP\tO' -p358299 -aS'on\ton\tIN\tB-PP\tO' -p358300 -aS'the\tthe\tDT\tB-NP\tO' -p358301 -aS'15th\t15th\tNN\tI-NP\tO' -p358302 -aS'.\t.\t.\tO\tO' -p358303 -asS'The walk was paretic in the left side .' -p358304 -(lp358305 -S'The\tThe\tDT\tB-NP\tO' -p358306 -aS'walk\twalk\tNN\tI-NP\tO' -p358307 -aS'was\tbe\tVBD\tB-VP\tO' -p358308 -aS'paretic\tparetic\tJJ\tB-ADJP\tO' -p358309 -aS'in\tin\tIN\tB-PP\tO' -p358310 -aS'the\tthe\tDT\tB-NP\tO' -p358311 -aS'left\tleft\tJJ\tI-NP\tO' -p358312 -aS'side\tside\tNN\tI-NP\tO' -p358313 -aS'.\t.\t.\tO\tO' -p358314 -asS'Bactrim , single strength , one p.o. b.i.d. times 10 days , initiated 9/27/92 , Synthroid 0.1 mg p.o. q.day , Ferrous Gluconate 300 mg p.o. t.i.d. and Folate 1 mg p.o. q. day .' -p358315 -(lp358316 -S'Bactrim\tBactrim\tJJ\tB-NP\tO' -p358317 -aS',\t,\t,\tI-NP\tO' -p358318 -aS'single\tsingle\tJJ\tI-NP\tO' -p358319 -aS'strength\tstrength\tNN\tI-NP\tO' -p358320 -aS',\t,\t,\tO\tO' -p358321 -aS'one\tone\tCD\tB-NP\tO' -p358322 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p358323 -aS'b.i.d.\tb.i.d.\tFW\tI-NP\tO' -p358324 -aS'times\ttime\tNNS\tI-NP\tO' -p358325 -aS'10\t10\tCD\tI-NP\tO' -p358326 -aS'days\tday\tNNS\tI-NP\tO' -p358327 -aS',\t,\t,\tO\tO' -p358328 -aS'initiated\tinitiate\tVBD\tB-VP\tO' -p358329 -aS'9/27/92\t9/27/92\tCD\tB-NP\tO' -p358330 -aS',\t,\t,\tO\tO' -p358331 -aS'Synthroid\tSynthroid\tJJ\tB-NP\tO' -p358332 -aS'0.1\t0.1\tCD\tI-NP\tO' -p358333 -aS'mg\tmg\tNN\tI-NP\tO' -p358334 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p358335 -aS'q.day\tq.day\tNN\tI-NP\tO' -p358336 -aS',\t,\t,\tO\tO' -p358337 -aS'Ferrous\tFerrous\tJJ\tB-NP\tO' -p358338 -aS'Gluconate\tGluconate\tNN\tI-NP\tO' -p358339 -aS'300\t300\tCD\tI-NP\tO' -p358340 -aS'mg\tmg\tNN\tI-NP\tO' -p358341 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p358342 -aS't.i.d.\tt.i.d.\tNN\tI-NP\tO' -p358343 -aS'and\tand\tCC\tO\tO' -p358344 -aS'Folate\tFolate\tNN\tB-NP\tO' -p358345 -aS'1\t1\tCD\tI-NP\tO' -p358346 -aS'mg\tmg\tNN\tI-NP\tO' -p358347 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p358348 -aS'q.\tq.\tNN\tI-NP\tO' -p358349 -aS'day\tday\tNN\tI-NP\tO' -p358350 -aS'.\t.\t.\tO\tO' -p358351 -asS'Chest clear .' -p358352 -(lp358353 -S'Chest\tChest\tRBS\tB-ADJP\tO' -p358354 -aS'clear\tclear\tJJ\tI-ADJP\tO' -p358355 -aS'.\t.\t.\tO\tO' -p358356 -asS'The patient has been on cardiac medications since and has had no new episodes .' -p358357 -(lp358358 -S'The\tThe\tDT\tB-NP\tO' -p358359 -aS'patient\tpatient\tNN\tI-NP\tO' -p358360 -aS'has\thave\tVBZ\tB-VP\tO' -p358361 -aS'been\tbe\tVBN\tI-VP\tO' -p358362 -aS'on\ton\tIN\tB-PP\tO' -p358363 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p358364 -aS'medications\tmedication\tNNS\tI-NP\tO' -p358365 -aS'since\tsince\tIN\tB-PP\tO' -p358366 -aS'and\tand\tCC\tO\tO' -p358367 -aS'has\thave\tVBZ\tB-VP\tO' -p358368 -aS'had\thave\tVBN\tI-VP\tO' -p358369 -aS'no\tno\tDT\tB-NP\tO' -p358370 -aS'new\tnew\tJJ\tI-NP\tO' -p358371 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p358372 -aS'.\t.\t.\tO\tO' -p358373 -asS'The patient is allergic to sulfa .' -p358374 -(lp358375 -S'The\tThe\tDT\tB-NP\tO' -p358376 -aS'patient\tpatient\tNN\tI-NP\tO' -p358377 -aS'is\tbe\tVBZ\tB-VP\tO' -p358378 -aS'allergic\tallergic\tJJ\tB-ADJP\tO' -p358379 -aS'to\tto\tTO\tB-PP\tO' -p358380 -aS'sulfa\tsulfa\tNN\tB-NP\tO' -p358381 -aS'.\t.\t.\tO\tO' -p358382 -asS'She is guaiac negative on rectal examination .' -p358383 -(lp358384 -S'She\tShe\tPRP\tB-NP\tO' -p358385 -aS'is\tbe\tVBZ\tB-VP\tO' -p358386 -aS'guaiac\tguaiac\tJJ\tB-ADJP\tO' -p358387 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p358388 -aS'on\ton\tIN\tB-PP\tO' -p358389 -aS'rectal\trectal\tJJ\tB-NP\tO' -p358390 -aS'examination\texamination\tNN\tI-NP\tO' -p358391 -aS'.\t.\t.\tO\tO' -p358392 -asS'The patient was initially started on nasal prong CPAP at 6 and required additional oxygen to 35% .' -p358393 -(lp358394 -S'The\tThe\tDT\tB-NP\tO' -p358395 -aS'patient\tpatient\tNN\tI-NP\tO' -p358396 -aS'was\tbe\tVBD\tB-VP\tO' -p358397 -aS'initially\tinitially\tRB\tI-VP\tO' -p358398 -aS'started\tstart\tVBN\tI-VP\tO' -p358399 -aS'on\ton\tIN\tB-PP\tO' -p358400 -aS'nasal\tnasal\tJJ\tB-NP\tO' -p358401 -aS'prong\tprong\tJJ\tI-NP\tO' -p358402 -aS'CPAP\tCPAP\tNN\tI-NP\tB-protein' -p358403 -aS'at\tat\tIN\tB-PP\tO' -p358404 -aS'6\t6\tCD\tB-NP\tO' -p358405 -aS'and\tand\tCC\tO\tO' -p358406 -aS'required\trequire\tVBD\tB-VP\tO' -p358407 -aS'additional\tadditional\tJJ\tB-NP\tO' -p358408 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p358409 -aS'to\tto\tTO\tB-PP\tO' -p358410 -aS'35%\t35%\tCD\tB-NP\tO' -p358411 -aS'.\t.\t.\tO\tO' -p358412 -asS'Lives with boyfriend in apt .' -p358413 -(lp358414 -S'Lives\tLife\tNNS\tB-NP\tO' -p358415 -aS'with\twith\tIN\tB-PP\tO' -p358416 -aS'boyfriend\tboyfriend\tNN\tB-NP\tO' -p358417 -aS'in\tin\tIN\tB-PP\tO' -p358418 -aS'apt\tapt\tNN\tB-NP\tO' -p358419 -aS'.\t.\t.\tO\tO' -p358420 -asS'Over the next several days his activity was advanced on POD5 it was decided he was stable and ready to be discharged home with visiting nurses .' -p358421 -(lp358422 -S'Over\tOver\tIN\tB-PP\tO' -p358423 -aS'the\tthe\tDT\tB-NP\tO' -p358424 -aS'next\tnext\tJJ\tI-NP\tO' -p358425 -aS'several\tseveral\tJJ\tI-NP\tO' -p358426 -aS'days\tday\tNNS\tI-NP\tO' -p358427 -aS'his\this\tPRP$\tB-NP\tO' -p358428 -aS'activity\tactivity\tNN\tI-NP\tO' -p358429 -aS'was\tbe\tVBD\tB-VP\tO' -p358430 -aS'advanced\tadvance\tVBN\tI-VP\tO' -p358431 -aS'on\ton\tIN\tB-PP\tO' -p358432 -aS'POD5\tPOD5\tNN\tB-NP\tB-protein' -p358433 -aS'it\tit\tPRP\tB-NP\tO' -p358434 -aS'was\tbe\tVBD\tB-VP\tO' -p358435 -aS'decided\tdecide\tVBN\tI-VP\tO' -p358436 -aS'he\the\tPRP\tB-NP\tO' -p358437 -aS'was\tbe\tVBD\tB-VP\tO' -p358438 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p358439 -aS'and\tand\tCC\tI-ADJP\tO' -p358440 -aS'ready\tready\tJJ\tI-ADJP\tO' -p358441 -aS'to\tto\tTO\tB-VP\tO' -p358442 -aS'be\tbe\tVB\tI-VP\tO' -p358443 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p358444 -aS'home\thome\tNN\tB-ADVP\tO' -p358445 -aS'with\twith\tIN\tB-PP\tO' -p358446 -aS'visiting\tvisit\tVBG\tB-NP\tO' -p358447 -aS'nurses\tnurse\tNNS\tI-NP\tO' -p358448 -aS'.\t.\t.\tO\tO' -p358449 -asS'Extremities were 2+ pedal edema to the knees .' -p358450 -(lp358451 -S'Extremities\tExtremity\tNNS\tB-NP\tO' -p358452 -aS'were\tbe\tVBD\tB-VP\tO' -p358453 -aS'2+\t2+\tJJ\tB-NP\tO' -p358454 -aS'pedal\tpedal\tJJ\tI-NP\tO' -p358455 -aS'edema\tedema\tNN\tI-NP\tO' -p358456 -aS'to\tto\tTO\tB-PP\tO' -p358457 -aS'the\tthe\tDT\tB-NP\tO' -p358458 -aS'knees\tknee\tNNS\tI-NP\tO' -p358459 -aS'.\t.\t.\tO\tO' -p358460 -asS'The diuresis was backed off when her bicarbonate increased from 36 to 39 .' -p358461 -(lp358462 -S'The\tThe\tDT\tB-NP\tO' -p358463 -aS'diuresis\tdiuresis\tNN\tI-NP\tO' -p358464 -aS'was\tbe\tVBD\tB-VP\tO' -p358465 -aS'backed\tback\tVBN\tI-VP\tO' -p358466 -aS'off\toff\tRP\tB-PRT\tO' -p358467 -aS'when\twhen\tWRB\tB-ADVP\tO' -p358468 -aS'her\ther\tPRP$\tB-NP\tO' -p358469 -aS'bicarbonate\tbicarbonate\tNN\tI-NP\tO' -p358470 -aS'increased\tincrease\tVBD\tB-VP\tO' -p358471 -aS'from\tfrom\tIN\tB-PP\tO' -p358472 -aS'36\t36\tCD\tB-NP\tO' -p358473 -aS'to\tto\tTO\tB-PP\tO' -p358474 -aS'39\t39\tCD\tB-NP\tO' -p358475 -aS'.\t.\t.\tO\tO' -p358476 -asS'The urinalysis was negative .' -p358477 -(lp358478 -S'The\tThe\tDT\tB-NP\tO' -p358479 -aS'urinalysis\turinalysis\tNN\tI-NP\tO' -p358480 -aS'was\tbe\tVBD\tB-VP\tO' -p358481 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p358482 -aS'.\t.\t.\tO\tO' -p358483 -asS'Rate was 75 .' -p358484 -(lp358485 -S'Rate\tRate\tNN\tB-NP\tO' -p358486 -aS'was\tbe\tVBD\tB-VP\tO' -p358487 -aS'75\t75\tCD\tB-NP\tO' -p358488 -aS'.\t.\t.\tO\tO' -p358489 -asS'Subsequent exercise treadmill test demonstrated no evidence of ischemia by EKG .' -p358490 -(lp358491 -S'Subsequent\tSubsequent\tJJ\tB-NP\tO' -p358492 -aS'exercise\texercise\tNN\tI-NP\tO' -p358493 -aS'treadmill\ttreadmill\tNN\tI-NP\tO' -p358494 -aS'test\ttest\tNN\tI-NP\tO' -p358495 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p358496 -aS'no\tno\tDT\tB-NP\tO' -p358497 -aS'evidence\tevidence\tNN\tI-NP\tO' -p358498 -aS'of\tof\tIN\tB-PP\tO' -p358499 -aS'ischemia\tischemia\tNN\tB-NP\tO' -p358500 -aS'by\tby\tIN\tB-PP\tO' -p358501 -aS'EKG\tEKG\tNN\tB-NP\tB-protein' -p358502 -aS'.\t.\t.\tO\tO' -p358503 -asS'12. Asthma .' -p358504 -(lp358505 -S'12.\t12.\tLS\tB-LST\tO' -p358506 -aS'Asthma\tAsthma\tNNP\tB-NP\tO' -p358507 -aS'.\t.\t.\tO\tO' -p358508 -asS'PT was 12.3 , PTT 27.1. An EKG showed sinus bradycardia at 53 with a normal axis , first degree atrioventricular block , biphasic T-waves in V1 to V3 without any acute changes .' -p358509 -(lp358510 -S'PT\tPT\tNN\tB-NP\tO' -p358511 -aS'was\tbe\tVBD\tB-VP\tO' -p358512 -aS'12.3\t12.3\tCD\tB-NP\tO' -p358513 -aS',\t,\t,\tO\tO' -p358514 -aS'PTT\tPTT\tNN\tB-NP\tO' -p358515 -aS'27.1.\t27.1.\tCD\tI-NP\tO' -p358516 -aS'An\tAn\tDT\tB-NP\tO' -p358517 -aS'EKG\tEKG\tNN\tI-NP\tB-protein' -p358518 -aS'showed\tshow\tVBD\tB-VP\tO' -p358519 -aS'sinus\tsinus\tNN\tB-NP\tO' -p358520 -aS'bradycardia\tbradycardia\tNN\tI-NP\tO' -p358521 -aS'at\tat\tIN\tB-PP\tO' -p358522 -aS'53\t53\tCD\tB-NP\tO' -p358523 -aS'with\twith\tIN\tB-PP\tO' -p358524 -aS'a\ta\tDT\tB-NP\tO' -p358525 -aS'normal\tnormal\tJJ\tI-NP\tO' -p358526 -aS'axis\taxis\tNN\tI-NP\tO' -p358527 -aS',\t,\t,\tO\tO' -p358528 -aS'first\tfirst\tJJ\tB-NP\tO' -p358529 -aS'degree\tdegree\tNN\tI-NP\tO' -p358530 -aS'atrioventricular\tatrioventricular\tJJ\tI-NP\tO' -p358531 -aS'block\tblock\tNN\tI-NP\tO' -p358532 -aS',\t,\t,\tO\tO' -p358533 -aS'biphasic\tbiphasic\tJJ\tB-NP\tO' -p358534 -aS'T-waves\tT-wave\tNNS\tI-NP\tO' -p358535 -aS'in\tin\tIN\tB-PP\tO' -p358536 -aS'V1\tV1\tNN\tB-NP\tO' -p358537 -aS'to\tto\tTO\tB-PP\tO' -p358538 -aS'V3\tV3\tNN\tB-NP\tB-protein' -p358539 -aS'without\twithout\tIN\tB-PP\tO' -p358540 -aS'any\tany\tDT\tB-NP\tO' -p358541 -aS'acute\tacute\tJJ\tI-NP\tO' -p358542 -aS'changes\tchange\tNNS\tI-NP\tO' -p358543 -aS'.\t.\t.\tO\tO' -p358544 -asS'On the left nasolabial , there was a boil with pus and surrounding erythema and tenderness .' -p358545 -(lp358546 -S'On\tOn\tIN\tB-PP\tO' -p358547 -aS'the\tthe\tDT\tB-NP\tO' -p358548 -aS'left\tleft\tJJ\tI-NP\tO' -p358549 -aS'nasolabial\tnasolabial\tNN\tI-NP\tO' -p358550 -aS',\t,\t,\tO\tO' -p358551 -aS'there\tthere\tEX\tB-NP\tO' -p358552 -aS'was\tbe\tVBD\tB-VP\tO' -p358553 -aS'a\ta\tDT\tB-NP\tO' -p358554 -aS'boil\tboil\tNN\tI-NP\tO' -p358555 -aS'with\twith\tIN\tB-PP\tO' -p358556 -aS'pus\tpus\tNN\tB-NP\tO' -p358557 -aS'and\tand\tCC\tO\tO' -p358558 -aS'surrounding\tsurround\tVBG\tB-VP\tO' -p358559 -aS'erythema\terythema\tNN\tB-NP\tO' -p358560 -aS'and\tand\tCC\tI-NP\tO' -p358561 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p358562 -aS'.\t.\t.\tO\tO' -p358563 -asS'She was discharged home in stable condition on postoperative day six .' -p358564 -(lp358565 -S'She\tShe\tPRP\tB-NP\tO' -p358566 -aS'was\tbe\tVBD\tB-VP\tO' -p358567 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p358568 -aS'home\thome\tNN\tB-ADVP\tO' -p358569 -aS'in\tin\tIN\tB-PP\tO' -p358570 -aS'stable\tstable\tJJ\tB-NP\tO' -p358571 -aS'condition\tcondition\tNN\tI-NP\tO' -p358572 -aS'on\ton\tIN\tB-PP\tO' -p358573 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p358574 -aS'day\tday\tNN\tI-NP\tO' -p358575 -aS'six\tsix\tCD\tI-NP\tO' -p358576 -aS'.\t.\t.\tO\tO' -p358577 -asS'Diabetes mellitus for approximately 40 years .' -p358578 -(lp358579 -S'Diabetes\tDiabetes\tNN\tB-NP\tO' -p358580 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p358581 -aS'for\tfor\tIN\tB-PP\tO' -p358582 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p358583 -aS'40\t40\tCD\tI-NP\tO' -p358584 -aS'years\tyear\tNNS\tI-NP\tO' -p358585 -aS'.\t.\t.\tO\tO' -p358586 -asS'A CT scan of your abdomen showed a right pelvic mass , most likely a hematoma , which had been described previously in 2015-03-28 .' -p358587 -(lp358588 -S'A\tA\tDT\tB-NP\tO' -p358589 -aS'CT\tCT\tNN\tI-NP\tO' -p358590 -aS'scan\tscan\tNN\tI-NP\tO' -p358591 -aS'of\tof\tIN\tB-PP\tO' -p358592 -aS'your\tyour\tPRP$\tB-NP\tO' -p358593 -aS'abdomen\tabdoman\tNNS\tI-NP\tO' -p358594 -aS'showed\tshow\tVBD\tB-VP\tO' -p358595 -aS'a\ta\tDT\tB-NP\tO' -p358596 -aS'right\tright\tJJ\tI-NP\tO' -p358597 -aS'pelvic\tpelvic\tJJ\tI-NP\tO' -p358598 -aS'mass\tmass\tNN\tI-NP\tO' -p358599 -aS',\t,\t,\tO\tO' -p358600 -aS'most\tmost\tRBS\tB-ADVP\tO' -p358601 -aS'likely\tlikely\tRB\tI-ADVP\tO' -p358602 -aS'a\ta\tDT\tB-NP\tO' -p358603 -aS'hematoma\thematoma\tNN\tI-NP\tO' -p358604 -aS',\t,\t,\tO\tO' -p358605 -aS'which\twhich\tWDT\tB-NP\tO' -p358606 -aS'had\thave\tVBD\tB-VP\tO' -p358607 -aS'been\tbe\tVBN\tI-VP\tO' -p358608 -aS'described\tdescribe\tVBN\tI-VP\tO' -p358609 -aS'previously\tpreviously\tRB\tB-ADVP\tO' -p358610 -aS'in\tin\tIN\tB-PP\tO' -p358611 -aS'2015-03-28\t2015-03-28\tCD\tB-NP\tO' -p358612 -aS'.\t.\t.\tO\tO' -p358613 -asS'Her cardiac examination remained the same and there continued to be no evidence of tamponade .' -p358614 -(lp358615 -S'Her\tHer\tPRP$\tB-NP\tO' -p358616 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p358617 -aS'examination\texamination\tNN\tI-NP\tO' -p358618 -aS'remained\tremain\tVBD\tB-VP\tO' -p358619 -aS'the\tthe\tDT\tB-NP\tO' -p358620 -aS'same\tsame\tJJ\tI-NP\tO' -p358621 -aS'and\tand\tCC\tO\tO' -p358622 -aS'there\tthere\tEX\tB-NP\tO' -p358623 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p358624 -aS'to\tto\tTO\tI-VP\tO' -p358625 -aS'be\tbe\tVB\tI-VP\tO' -p358626 -aS'no\tno\tDT\tB-NP\tO' -p358627 -aS'evidence\tevidence\tNN\tI-NP\tO' -p358628 -aS'of\tof\tIN\tB-PP\tO' -p358629 -aS'tamponade\ttamponade\tNN\tB-NP\tO' -p358630 -aS'.\t.\t.\tO\tO' -p358631 -asS'1. Miconazole nitrate powder tid prn for groin rash .' -p358632 -(lp358633 -S'1.\t1.\tLS\tB-NP\tO' -p358634 -aS'Miconazole\tMiconazole\tNN\tI-NP\tO' -p358635 -aS'nitrate\tnitrate\tNN\tI-NP\tO' -p358636 -aS'powder\tpowder\tNN\tI-NP\tO' -p358637 -aS'tid\ttid\tNN\tI-NP\tO' -p358638 -aS'prn\tprn\tNN\tI-NP\tO' -p358639 -aS'for\tfor\tIN\tB-PP\tO' -p358640 -aS'groin\tgroin\tNN\tB-NP\tO' -p358641 -aS'rash\trash\tNN\tI-NP\tO' -p358642 -aS'.\t.\t.\tO\tO' -p358643 -asS's/p AVR 2000 remote tonsillectomy/adenoidectomy partial thyroidectomy rem. right wrist ganglion cyst left foot bunionectomy breast biopsies' -p358644 -(lp358645 -S's/p\ts/p\tNN\tB-NP\tO' -p358646 -aS'AVR\tAVR\tNN\tI-NP\tO' -p358647 -aS'2000\t2000\tCD\tI-NP\tO' -p358648 -aS'remote\tremote\tJJ\tI-NP\tO' -p358649 -aS'tonsillectomy/adenoidectomy\ttonsillectomy/adenoidectomy\tNN\tI-NP\tO' -p358650 -aS'partial\tpartial\tJJ\tI-NP\tO' -p358651 -aS'thyroidectomy\tthyroidectomy\tNN\tI-NP\tO' -p358652 -aS'rem.\trem.\tNN\tI-NP\tO' -p358653 -aS'right\tright\tJJ\tI-NP\tO' -p358654 -aS'wrist\twrist\tNN\tI-NP\tO' -p358655 -aS'ganglion\tganglion\tNN\tI-NP\tO' -p358656 -aS'cyst\tcyst\tNN\tI-NP\tO' -p358657 -aS'left\tleave\tVBD\tB-VP\tO' -p358658 -aS'foot\tfoot\tNN\tB-NP\tO' -p358659 -aS'bunionectomy\tbunionectomy\tNN\tI-NP\tO' -p358660 -aS'breast\tbreast\tNN\tI-NP\tO' -p358661 -aS'biopsies\tbiopsy\tNNS\tI-NP\tO' -p358662 -asS'Lipase and amylase remained normal .' -p358663 -(lp358664 -S'Lipase\tLipase\tNN\tB-NP\tB-protein' -p358665 -aS'and\tand\tCC\tI-NP\tO' -p358666 -aS'amylase\tamylase\tNN\tI-NP\tB-protein' -p358667 -aS'remained\tremain\tVBD\tB-VP\tO' -p358668 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p358669 -aS'.\t.\t.\tO\tO' -p358670 -asS'Exam sig. for erthyema as described previously and tenderness to minimal palpation .' -p358671 -(lp358672 -S'Exam\tExam\tNN\tB-NP\tO' -p358673 -aS'sig.\tsig.\tNN\tI-NP\tO' -p358674 -aS'for\tfor\tIN\tB-PP\tO' -p358675 -aS'erthyema\terthyema\tNN\tB-NP\tO' -p358676 -aS'as\tas\tIN\tB-SBAR\tO' -p358677 -aS'described\tdescribe\tVBN\tB-VP\tO' -p358678 -aS'previously\tpreviously\tRB\tB-ADVP\tO' -p358679 -aS'and\tand\tCC\tO\tO' -p358680 -aS'tenderness\ttenderness\tNN\tB-NP\tO' -p358681 -aS'to\tto\tTO\tB-PP\tO' -p358682 -aS'minimal\tminimal\tJJ\tB-NP\tO' -p358683 -aS'palpation\tpalpation\tNN\tI-NP\tO' -p358684 -aS'.\t.\t.\tO\tO' -p358685 -asS'Included aspirin 325 mg PO q.day .' -p358686 -(lp358687 -S'Included\tInclude\tVBN\tB-NP\tO' -p358688 -aS'aspirin\taspirin\tNN\tI-NP\tO' -p358689 -aS'325\t325\tCD\tI-NP\tO' -p358690 -aS'mg\tmg\tNN\tI-NP\tO' -p358691 -aS'PO\tPO\tNN\tI-NP\tO' -p358692 -aS'q.day\tq.day\tNN\tI-NP\tO' -p358693 -aS'.\t.\t.\tO\tO' -p358694 -asS'He was given fresh frozen plasma to correct his INR and a left chest tube was placed .' -p358695 -(lp358696 -S'He\tHe\tPRP\tB-NP\tO' -p358697 -aS'was\tbe\tVBD\tB-VP\tO' -p358698 -aS'given\tgive\tVBN\tI-VP\tO' -p358699 -aS'fresh\tfresh\tJJ\tB-NP\tO' -p358700 -aS'frozen\tfrozen\tJJ\tI-NP\tO' -p358701 -aS'plasma\tplasma\tNN\tI-NP\tO' -p358702 -aS'to\tto\tTO\tB-VP\tO' -p358703 -aS'correct\tcorrect\tVB\tI-VP\tO' -p358704 -aS'his\this\tPRP$\tB-NP\tO' -p358705 -aS'INR\tINR\tNN\tI-NP\tB-protein' -p358706 -aS'and\tand\tCC\tO\tO' -p358707 -aS'a\ta\tDT\tB-NP\tO' -p358708 -aS'left\tleft\tJJ\tI-NP\tO' -p358709 -aS'chest\tchest\tNN\tI-NP\tO' -p358710 -aS'tube\ttube\tNN\tI-NP\tO' -p358711 -aS'was\tbe\tVBD\tB-VP\tO' -p358712 -aS'placed\tplace\tVBN\tI-VP\tO' -p358713 -aS'.\t.\t.\tO\tO' -p358714 -asS'He should also be encouraged to eat as much as possible orally in addition to this tube feeds and aspiration precaution should be maintained .' -p358715 -(lp358716 -S'He\tHe\tPRP\tB-NP\tO' -p358717 -aS'should\tshould\tMD\tB-VP\tO' -p358718 -aS'also\talso\tRB\tI-VP\tO' -p358719 -aS'be\tbe\tVB\tI-VP\tO' -p358720 -aS'encouraged\tencourage\tVBN\tI-VP\tO' -p358721 -aS'to\tto\tTO\tI-VP\tO' -p358722 -aS'eat\teat\tVB\tI-VP\tO' -p358723 -aS'as\tas\tRB\tB-NP\tO' -p358724 -aS'much\tmuch\tRB\tI-NP\tO' -p358725 -aS'as\tas\tIN\tB-PP\tO' -p358726 -aS'possible\tpossible\tJJ\tB-ADJP\tO' -p358727 -aS'orally\torally\tRB\tB-ADVP\tO' -p358728 -aS'in\tin\tIN\tB-PP\tO' -p358729 -aS'addition\taddition\tNN\tB-NP\tO' -p358730 -aS'to\tto\tTO\tB-PP\tO' -p358731 -aS'this\tthis\tDT\tB-NP\tO' -p358732 -aS'tube\ttube\tNN\tI-NP\tO' -p358733 -aS'feeds\tfeed\tNNS\tI-NP\tO' -p358734 -aS'and\tand\tCC\tO\tO' -p358735 -aS'aspiration\taspiration\tNN\tB-NP\tO' -p358736 -aS'precaution\tprecaution\tNN\tI-NP\tO' -p358737 -aS'should\tshould\tMD\tB-VP\tO' -p358738 -aS'be\tbe\tVB\tI-VP\tO' -p358739 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p358740 -aS'.\t.\t.\tO\tO' -p358741 -asS'EKG without acute changes .' -p358742 -(lp358743 -S'EKG\tEKG\tNN\tB-NP\tB-protein' -p358744 -aS'without\twithout\tIN\tB-PP\tO' -p358745 -aS'acute\tacute\tJJ\tB-NP\tO' -p358746 -aS'changes\tchange\tNNS\tI-NP\tO' -p358747 -aS'.\t.\t.\tO\tO' -p358748 -asS'The patient was transferred to the CSRU postoperatively where he did well .' -p358749 -(lp358750 -S'The\tThe\tDT\tB-NP\tO' -p358751 -aS'patient\tpatient\tNN\tI-NP\tO' -p358752 -aS'was\tbe\tVBD\tB-VP\tO' -p358753 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p358754 -aS'to\tto\tTO\tB-PP\tO' -p358755 -aS'the\tthe\tDT\tB-NP\tO' -p358756 -aS'CSRU\tCSRU\tNNP\tI-NP\tO' -p358757 -aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' -p358758 -aS'where\twhere\tWRB\tB-ADVP\tO' -p358759 -aS'he\the\tPRP\tB-NP\tO' -p358760 -aS'did\tdo\tVBD\tB-VP\tO' -p358761 -aS'well\twell\tRB\tB-ADVP\tO' -p358762 -aS'.\t.\t.\tO\tO' -p358763 -asS'Follow up computerized tomography scans and magnetic resonance imaging studies have shown infarction in bilateral basis pontis , mid brain , the superior cerebellar areas , left thalamus , bilateral temporal lobes medially and inferiorly and left posterior communicating artery .' -p358764 -(lp358765 -S'Follow\tFollow\tVB\tB-VP\tO' -p358766 -aS'up\tup\tRP\tB-PRT\tO' -p358767 -aS'computerized\tcomputerized\tJJ\tB-NP\tO' -p358768 -aS'tomography\ttomography\tNN\tI-NP\tO' -p358769 -aS'scans\tscan\tNNS\tI-NP\tO' -p358770 -aS'and\tand\tCC\tO\tO' -p358771 -aS'magnetic\tmagnetic\tJJ\tB-NP\tO' -p358772 -aS'resonance\tresonance\tNN\tI-NP\tO' -p358773 -aS'imaging\timaging\tNN\tI-NP\tO' -p358774 -aS'studies\tstudy\tNNS\tI-NP\tO' -p358775 -aS'have\thave\tVBP\tB-VP\tO' -p358776 -aS'shown\tshow\tVBN\tI-VP\tO' -p358777 -aS'infarction\tinfarction\tNN\tB-NP\tO' -p358778 -aS'in\tin\tIN\tB-PP\tO' -p358779 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p358780 -aS'basis\tbasis\tNN\tI-NP\tO' -p358781 -aS'pontis\tpontis\tNN\tI-NP\tO' -p358782 -aS',\t,\t,\tO\tO' -p358783 -aS'mid\tmid\tJJ\tB-NP\tO' -p358784 -aS'brain\tbrain\tNN\tI-NP\tO' -p358785 -aS',\t,\t,\tO\tO' -p358786 -aS'the\tthe\tDT\tB-NP\tO' -p358787 -aS'superior\tsuperior\tJJ\tI-NP\tO' -p358788 -aS'cerebellar\tcerebellar\tJJ\tI-NP\tO' -p358789 -aS'areas\tarea\tNNS\tI-NP\tO' -p358790 -aS',\t,\t,\tO\tO' -p358791 -aS'left\tleave\tVBD\tB-VP\tO' -p358792 -aS'thalamus\tthalamus\tNN\tB-NP\tO' -p358793 -aS',\t,\t,\tO\tO' -p358794 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p358795 -aS'temporal\ttemporal\tJJ\tI-NP\tO' -p358796 -aS'lobes\tlobe\tNNS\tI-NP\tO' -p358797 -aS'medially\tmedially\tRB\tB-ADVP\tO' -p358798 -aS'and\tand\tCC\tI-ADVP\tO' -p358799 -aS'inferiorly\tinferiorly\tRB\tI-ADVP\tO' -p358800 -aS'and\tand\tCC\tO\tO' -p358801 -aS'left\tleave\tVBD\tB-VP\tO' -p358802 -aS'posterior\tposterior\tJJ\tB-NP\tO' -p358803 -aS'communicating\tcommunicate\tVBG\tI-NP\tO' -p358804 -aS'artery\tartery\tNN\tI-NP\tO' -p358805 -aS'.\t.\t.\tO\tO' -p358806 -asS'She was admitted and placed on a bowel prep two days before surgery and was taken to the Operating Room on hospital day # 3 , 10/28/97 .' -p358807 -(lp358808 -S'She\tShe\tPRP\tB-NP\tO' -p358809 -aS'was\tbe\tVBD\tB-VP\tO' -p358810 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p358811 -aS'and\tand\tCC\tO\tO' -p358812 -aS'placed\tplace\tVBN\tB-VP\tO' -p358813 -aS'on\ton\tIN\tB-PP\tO' -p358814 -aS'a\ta\tDT\tB-NP\tO' -p358815 -aS'bowel\tbowel\tNN\tI-NP\tO' -p358816 -aS'prep\tprep\tNN\tI-NP\tO' -p358817 -aS'two\ttwo\tCD\tB-NP\tO' -p358818 -aS'days\tday\tNNS\tI-NP\tO' -p358819 -aS'before\tbefore\tIN\tB-PP\tO' -p358820 -aS'surgery\tsurgery\tNN\tB-NP\tO' -p358821 -aS'and\tand\tCC\tO\tO' -p358822 -aS'was\tbe\tVBD\tB-VP\tO' -p358823 -aS'taken\ttake\tVBN\tI-VP\tO' -p358824 -aS'to\tto\tTO\tB-PP\tO' -p358825 -aS'the\tthe\tDT\tB-NP\tO' -p358826 -aS'Operating\tOperating\tNN\tI-NP\tO' -p358827 -aS'Room\tRoom\tNN\tI-NP\tO' -p358828 -aS'on\ton\tIN\tB-PP\tO' -p358829 -aS'hospital\thospital\tNN\tB-NP\tO' -p358830 -aS'day\tday\tNN\tI-NP\tO' -p358831 -aS'#\t#\t#\tB-NP\tO' -p358832 -aS'3\t3\tCD\tI-NP\tO' -p358833 -aS',\t,\t,\tI-NP\tO' -p358834 -aS'10/28/97\t10/28/97\tCD\tI-NP\tO' -p358835 -aS'.\t.\t.\tO\tO' -p358836 -asS'She had a functioning arteriovenous fistula with a thrill and a bruit in her left arm .' -p358837 -(lp358838 -S'She\tShe\tPRP\tB-NP\tO' -p358839 -aS'had\thave\tVBD\tB-VP\tO' -p358840 -aS'a\ta\tDT\tB-NP\tO' -p358841 -aS'functioning\tfunctioning\tJJ\tI-NP\tO' -p358842 -aS'arteriovenous\tarteriovenous\tJJ\tI-NP\tO' -p358843 -aS'fistula\tfistula\tNN\tI-NP\tO' -p358844 -aS'with\twith\tIN\tB-PP\tO' -p358845 -aS'a\ta\tDT\tB-NP\tO' -p358846 -aS'thrill\tthrill\tNN\tI-NP\tO' -p358847 -aS'and\tand\tCC\tO\tO' -p358848 -aS'a\ta\tDT\tB-NP\tO' -p358849 -aS'bruit\tbruit\tNN\tI-NP\tO' -p358850 -aS'in\tin\tIN\tB-PP\tO' -p358851 -aS'her\ther\tPRP$\tB-NP\tO' -p358852 -aS'left\tleft\tJJ\tI-NP\tO' -p358853 -aS'arm\tarm\tNN\tI-NP\tO' -p358854 -aS'.\t.\t.\tO\tO' -p358855 -asS'2. US finding - Pt was incidentally found to have R hydronephrosis and a R adenexal mass on her US .' -p358856 -(lp358857 -S'2.\t2.\tLS\tB-LST\tO' -p358858 -aS'US\tUS\t:\tO\tO' -p358859 -aS'finding\tfinding\tNN\tB-NP\tO' -p358860 -aS'-\t-\tHYPH\tB-NP\tO' -p358861 -aS'Pt\tPt\tNN\tI-NP\tO' -p358862 -aS'was\tbe\tVBD\tB-VP\tO' -p358863 -aS'incidentally\tincidentally\tRB\tI-VP\tO' -p358864 -aS'found\tfind\tVBN\tI-VP\tO' -p358865 -aS'to\tto\tTO\tI-VP\tO' -p358866 -aS'have\thave\tVB\tI-VP\tO' -p358867 -aS'R\tR\tNN\tB-NP\tO' -p358868 -aS'hydronephrosis\thydronephrosis\tNN\tI-NP\tO' -p358869 -aS'and\tand\tCC\tO\tO' -p358870 -aS'a\ta\tDT\tB-NP\tO' -p358871 -aS'R\tR\tNN\tI-NP\tO' -p358872 -aS'adenexal\tadenexal\tJJ\tI-NP\tO' -p358873 -aS'mass\tmass\tNN\tI-NP\tO' -p358874 -aS'on\ton\tIN\tB-PP\tO' -p358875 -aS'her\ther\tPRP$\tB-NP\tO' -p358876 -aS'US\tUS\tNNP\tI-NP\tO' -p358877 -aS'.\t.\t.\tO\tO' -p358878 -asS'He was advised the importance of each of his and compliance with each of these medications and was told he needed close followup with a cardiologist .' -p358879 -(lp358880 -S'He\tHe\tPRP\tB-NP\tO' -p358881 -aS'was\tbe\tVBD\tB-VP\tO' -p358882 -aS'advised\tadvise\tVBN\tI-VP\tO' -p358883 -aS'the\tthe\tDT\tB-NP\tO' -p358884 -aS'importance\timportance\tNN\tI-NP\tO' -p358885 -aS'of\tof\tIN\tB-PP\tO' -p358886 -aS'each\teach\tDT\tB-NP\tO' -p358887 -aS'of\tof\tIN\tB-PP\tO' -p358888 -aS'his\this\tPRP$\tB-NP\tB-DNA' -p358889 -aS'and\tand\tCC\tI-NP\tO' -p358890 -aS'compliance\tcompliance\tNN\tI-NP\tO' -p358891 -aS'with\twith\tIN\tB-PP\tO' -p358892 -aS'each\teach\tDT\tB-NP\tO' -p358893 -aS'of\tof\tIN\tB-PP\tO' -p358894 -aS'these\tthese\tDT\tB-NP\tO' -p358895 -aS'medications\tmedication\tNNS\tI-NP\tO' -p358896 -aS'and\tand\tCC\tO\tO' -p358897 -aS'was\tbe\tVBD\tB-VP\tO' -p358898 -aS'told\ttell\tVBN\tI-VP\tO' -p358899 -aS'he\the\tPRP\tB-NP\tO' -p358900 -aS'needed\tneed\tVBD\tB-VP\tO' -p358901 -aS'close\tclose\tJJ\tB-NP\tO' -p358902 -aS'followup\tfollowup\tNN\tI-NP\tO' -p358903 -aS'with\twith\tIN\tB-PP\tO' -p358904 -aS'a\ta\tDT\tB-NP\tO' -p358905 -aS'cardiologist\tcardiologist\tNN\tI-NP\tO' -p358906 -aS'.\t.\t.\tO\tO' -p358907 -asS"Overnight on pt 's first evening on the floor , she had episode of desaturation with inc O2 requirement ( 4L -> 6L -> sating 91% on NRB ) - CXR with worsening - non responsive to lasix ." -p358908 -(lp358909 -S'Overnight\tOvernight\tNN\tB-NP\tO' -p358910 -aS'on\ton\tIN\tB-PP\tO' -p358911 -aS'pt\tpt\tNN\tB-NP\tO' -p358912 -aS"'s\t's\tPOS\tB-NP\tO" -p358913 -aS'first\tfirst\tJJ\tI-NP\tO' -p358914 -aS'evening\tevening\tNN\tI-NP\tO' -p358915 -aS'on\ton\tIN\tB-PP\tO' -p358916 -aS'the\tthe\tDT\tB-NP\tO' -p358917 -aS'floor\tfloor\tNN\tI-NP\tO' -p358918 -aS',\t,\t,\tO\tO' -p358919 -aS'she\tshe\tPRP\tB-NP\tO' -p358920 -aS'had\thave\tVBD\tB-VP\tO' -p358921 -aS'episode\tepisode\tNN\tB-NP\tO' -p358922 -aS'of\tof\tIN\tB-PP\tO' -p358923 -aS'desaturation\tdesaturation\tNN\tB-NP\tO' -p358924 -aS'with\twith\tIN\tB-PP\tO' -p358925 -aS'inc\tinc\tNN\tB-NP\tO' -p358926 -aS'O2\tO2\tNN\tI-NP\tO' -p358927 -aS'requirement\trequirement\tNN\tI-NP\tO' -p358928 -aS'(\t(\t(\tO\tO' -p358929 -aS'4L\t4L\tNN\tB-NP\tO' -p358930 -aS'->\t->\tSYM\tB-NP\tO' -p358931 -aS'6L\t6L\tNN\tI-NP\tO' -p358932 -aS'->\t->\tSYM\tB-NP\tO' -p358933 -aS'sating\tsate\tVBG\tB-VP\tO' -p358934 -aS'91%\t91%\tNN\tB-NP\tO' -p358935 -aS'on\ton\tIN\tB-PP\tO' -p358936 -aS'NRB\tNRB\tNN\tB-NP\tB-protein' -p358937 -aS')\t)\t)\tO\tO' -p358938 -aS'-\t-\tHYPH\tB-NP\tO' -p358939 -aS'CXR\tCXR\tNN\tI-NP\tB-protein' -p358940 -aS'with\twith\tIN\tB-PP\tO' -p358941 -aS'worsening\tworsen\tVBG\tB-VP\tO' -p358942 -aS'-\t-\tHYPH\tB-NP\tO' -p358943 -aS'non\tnon\tNN\tI-NP\tO' -p358944 -aS'responsive\tresponsive\tJJ\tB-ADJP\tO' -p358945 -aS'to\tto\tTO\tB-PP\tO' -p358946 -aS'lasix\tlasix\tNN\tB-NP\tO' -p358947 -aS'.\t.\t.\tO\tO' -p358948 -asS'Please call gynecology clinic at 150-5825 to arrange for follow up .' -p358949 -(lp358950 -S'Please\tPlease\tVB\tB-VP\tO' -p358951 -aS'call\tcall\tVB\tI-VP\tO' -p358952 -aS'gynecology\tgynecology\tNN\tB-NP\tO' -p358953 -aS'clinic\tclinic\tNN\tI-NP\tO' -p358954 -aS'at\tat\tIN\tB-PP\tO' -p358955 -aS'150-5825\t150-5825\tCD\tB-NP\tO' -p358956 -aS'to\tto\tTO\tB-VP\tO' -p358957 -aS'arrange\tarrange\tVB\tI-VP\tO' -p358958 -aS'for\tfor\tIN\tB-PP\tO' -p358959 -aS'follow\tfollow\tVB\tB-VP\tO' -p358960 -aS'up\tup\tIN\tB-PRT\tO' -p358961 -aS'.\t.\t.\tO\tO' -p358962 -asS'The patient was vigorously fluid rehydrated ; however , by hospital day number nine , BUN was 22 , creatinine was 3.5 .' -p358963 -(lp358964 -S'The\tThe\tDT\tB-NP\tO' -p358965 -aS'patient\tpatient\tNN\tI-NP\tO' -p358966 -aS'was\tbe\tVBD\tB-VP\tO' -p358967 -aS'vigorously\tvigorously\tRB\tB-ADJP\tO' -p358968 -aS'fluid\tfluid\tJJ\tI-ADJP\tO' -p358969 -aS'rehydrated\trehydrate\tVBN\tB-VP\tO' -p358970 -aS';\t;\t:\tO\tO' -p358971 -aS'however\thowever\tRB\tO\tO' -p358972 -aS',\t,\t,\tO\tO' -p358973 -aS'by\tby\tIN\tB-PP\tO' -p358974 -aS'hospital\thospital\tNN\tB-NP\tO' -p358975 -aS'day\tday\tNN\tI-NP\tO' -p358976 -aS'number\tnumber\tNN\tI-NP\tO' -p358977 -aS'nine\tnine\tCD\tI-NP\tO' -p358978 -aS',\t,\t,\tO\tO' -p358979 -aS'BUN\tBUN\tNN\tB-NP\tB-protein' -p358980 -aS'was\tbe\tVBD\tB-VP\tO' -p358981 -aS'22\t22\tCD\tB-NP\tO' -p358982 -aS',\t,\t,\tO\tO' -p358983 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p358984 -aS'was\tbe\tVBD\tB-VP\tO' -p358985 -aS'3.5\t3.5\tCD\tB-NP\tO' -p358986 -aS'.\t.\t.\tO\tO' -p358987 -asS'Tricuspid insufficiency , atrial fibrillation , congestive heart failure , chronic obstructive pulmonary disease , pulmonary hypertension .' -p358988 -(lp358989 -S'Tricuspid\tTricuspid\tJJ\tB-NP\tO' -p358990 -aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' -p358991 -aS',\t,\t,\tO\tO' -p358992 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p358993 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p358994 -aS',\t,\t,\tO\tO' -p358995 -aS'congestive\tcongestive\tJJ\tB-NP\tO' -p358996 -aS'heart\theart\tNN\tI-NP\tO' -p358997 -aS'failure\tfailure\tNN\tI-NP\tO' -p358998 -aS',\t,\t,\tO\tO' -p358999 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p359000 -aS'obstructive\tobstructive\tJJ\tI-NP\tO' -p359001 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p359002 -aS'disease\tdisease\tNN\tI-NP\tO' -p359003 -aS',\t,\t,\tO\tO' -p359004 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p359005 -aS'hypertension\thypertension\tNN\tI-NP\tO' -p359006 -aS'.\t.\t.\tO\tO' -p359007 -asS'He has had mild dyspnea on exertion increasing over the past couple of months prior to admission .' -p359008 -(lp359009 -S'He\tHe\tPRP\tB-NP\tO' -p359010 -aS'has\thave\tVBZ\tB-VP\tO' -p359011 -aS'had\thave\tVBN\tI-VP\tO' -p359012 -aS'mild\tmild\tJJ\tB-NP\tO' -p359013 -aS'dyspnea\tdyspnea\tNN\tI-NP\tO' -p359014 -aS'on\ton\tIN\tB-PP\tO' -p359015 -aS'exertion\texertion\tNN\tB-NP\tO' -p359016 -aS'increasing\tincrease\tVBG\tB-VP\tO' -p359017 -aS'over\tover\tIN\tB-PP\tO' -p359018 -aS'the\tthe\tDT\tB-NP\tO' -p359019 -aS'past\tpast\tJJ\tI-NP\tO' -p359020 -aS'couple\tcouple\tNN\tI-NP\tO' -p359021 -aS'of\tof\tIN\tB-PP\tO' -p359022 -aS'months\tmonth\tNNS\tB-NP\tO' -p359023 -aS'prior\tprior\tRB\tB-ADVP\tO' -p359024 -aS'to\tto\tTO\tB-PP\tO' -p359025 -aS'admission\tadmission\tNN\tB-NP\tO' -p359026 -aS'.\t.\t.\tO\tO' -p359027 -asS'The operation was somewhat technically difficult secondary to a short segment of ureter which was anastomosed over a stent to the bladder .' -p359028 -(lp359029 -S'The\tThe\tDT\tB-NP\tO' -p359030 -aS'operation\toperation\tNN\tI-NP\tO' -p359031 -aS'was\tbe\tVBD\tB-VP\tO' -p359032 -aS'somewhat\tsomewhat\tRB\tB-ADJP\tO' -p359033 -aS'technically\ttechnically\tRB\tI-ADJP\tO' -p359034 -aS'difficult\tdifficult\tJJ\tI-ADJP\tO' -p359035 -aS'secondary\tsecondary\tJJ\tB-NP\tO' -p359036 -aS'to\tto\tTO\tB-PP\tO' -p359037 -aS'a\ta\tDT\tB-NP\tO' -p359038 -aS'short\tshort\tJJ\tI-NP\tO' -p359039 -aS'segment\tsegment\tNN\tI-NP\tO' -p359040 -aS'of\tof\tIN\tB-PP\tO' -p359041 -aS'ureter\tureter\tNN\tB-NP\tO' -p359042 -aS'which\twhich\tWDT\tB-NP\tO' -p359043 -aS'was\tbe\tVBD\tB-VP\tO' -p359044 -aS'anastomosed\tanastomose\tVBN\tI-VP\tO' -p359045 -aS'over\tover\tIN\tB-PP\tO' -p359046 -aS'a\ta\tDT\tB-NP\tO' -p359047 -aS'stent\tstent\tNN\tI-NP\tO' -p359048 -aS'to\tto\tTO\tB-PP\tO' -p359049 -aS'the\tthe\tDT\tB-NP\tO' -p359050 -aS'bladder\tbladder\tNN\tI-NP\tO' -p359051 -aS'.\t.\t.\tO\tO' -p359052 -asS'An examination revealed an apicovaginal lesion consistent with recurrent tumor .' -p359053 -(lp359054 -S'An\tAn\tDT\tB-NP\tO' -p359055 -aS'examination\texamination\tNN\tI-NP\tO' -p359056 -aS'revealed\treveal\tVBD\tB-VP\tO' -p359057 -aS'an\tan\tDT\tB-NP\tO' -p359058 -aS'apicovaginal\tapicovaginal\tJJ\tI-NP\tO' -p359059 -aS'lesion\tlesion\tNN\tI-NP\tO' -p359060 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p359061 -aS'with\twith\tIN\tB-PP\tO' -p359062 -aS'recurrent\trecurrent\tJJ\tB-NP\tO' -p359063 -aS'tumor\ttumor\tNN\tI-NP\tO' -p359064 -aS'.\t.\t.\tO\tO' -p359065 -asS'As of the time of this dictation , on 2010-10-17 , the patient appears to be getting better .' -p359066 -(lp359067 -S'As\tAs\tIN\tB-PP\tO' -p359068 -aS'of\tof\tIN\tB-PP\tO' -p359069 -aS'the\tthe\tDT\tB-NP\tO' -p359070 -aS'time\ttime\tNN\tI-NP\tO' -p359071 -aS'of\tof\tIN\tB-PP\tO' -p359072 -aS'this\tthis\tDT\tB-NP\tO' -p359073 -aS'dictation\tdictation\tNN\tI-NP\tO' -p359074 -aS',\t,\t,\tO\tO' -p359075 -aS'on\ton\tIN\tB-PP\tO' -p359076 -aS'2010-10-17\t2010-10-17\tCD\tB-NP\tO' -p359077 -aS',\t,\t,\tO\tO' -p359078 -aS'the\tthe\tDT\tB-NP\tO' -p359079 -aS'patient\tpatient\tNN\tI-NP\tO' -p359080 -aS'appears\tappear\tVBZ\tB-VP\tO' -p359081 -aS'to\tto\tTO\tI-VP\tO' -p359082 -aS'be\tbe\tVB\tI-VP\tO' -p359083 -aS'getting\tget\tVBG\tI-VP\tO' -p359084 -aS'better\twell\tRBR\tB-ADJP\tO' -p359085 -aS'.\t.\t.\tO\tO' -p359086 -asS'Two months ago , the patient slipped and fell with valsalva that precipitated an exacerbation of her prolapse .' -p359087 -(lp359088 -S'Two\tTwo\tCD\tB-NP\tO' -p359089 -aS'months\tmonth\tNNS\tI-NP\tO' -p359090 -aS'ago\tago\tRB\tB-ADVP\tO' -p359091 -aS',\t,\t,\tO\tO' -p359092 -aS'the\tthe\tDT\tB-NP\tO' -p359093 -aS'patient\tpatient\tNN\tI-NP\tO' -p359094 -aS'slipped\tslip\tVBD\tB-VP\tO' -p359095 -aS'and\tand\tCC\tO\tO' -p359096 -aS'fell\tfall\tVBD\tB-VP\tO' -p359097 -aS'with\twith\tIN\tB-PP\tO' -p359098 -aS'valsalva\tvalsalva\tNN\tB-NP\tO' -p359099 -aS'that\tthat\tWDT\tB-NP\tO' -p359100 -aS'precipitated\tprecipitate\tVBD\tB-VP\tO' -p359101 -aS'an\tan\tDT\tB-NP\tO' -p359102 -aS'exacerbation\texacerbation\tNN\tI-NP\tO' -p359103 -aS'of\tof\tIN\tB-PP\tO' -p359104 -aS'her\ther\tPRP$\tB-NP\tO' -p359105 -aS'prolapse\tprolapse\tNN\tI-NP\tO' -p359106 -aS'.\t.\t.\tO\tO' -p359107 -asS'In addition , the patient was also fitted with a figure-of-eight clavicular splint and instructed in its' -p359108 -(lp359109 -S'In\tIn\tIN\tB-PP\tO' -p359110 -aS'addition\taddition\tNN\tB-NP\tO' -p359111 -aS',\t,\t,\tO\tO' -p359112 -aS'the\tthe\tDT\tB-NP\tO' -p359113 -aS'patient\tpatient\tNN\tI-NP\tO' -p359114 -aS'was\tbe\tVBD\tB-VP\tO' -p359115 -aS'also\talso\tRB\tI-VP\tO' -p359116 -aS'fitted\tfit\tVBN\tI-VP\tO' -p359117 -aS'with\twith\tIN\tB-PP\tO' -p359118 -aS'a\ta\tDT\tB-NP\tO' -p359119 -aS'figure-of-eight\tfigure-of-eight\tJJ\tI-NP\tO' -p359120 -aS'clavicular\tclavicular\tJJ\tI-NP\tO' -p359121 -aS'splint\tsplint\tNN\tI-NP\tO' -p359122 -aS'and\tand\tCC\tO\tO' -p359123 -aS'instructed\tinstruct\tVBN\tB-VP\tO' -p359124 -aS'in\tin\tIN\tB-PP\tO' -p359125 -aS'its\tits\tPRP$\tB-NP\tO' -p359126 -asS'His electrocardiogram showed a normal sinus rhythm .' -p359127 -(lp359128 -S'His\tHis\tPRP$\tB-NP\tO' -p359129 -aS'electrocardiogram\telectrocardiogram\tNN\tI-NP\tO' -p359130 -aS'showed\tshow\tVBD\tB-VP\tO' -p359131 -aS'a\ta\tDT\tB-NP\tO' -p359132 -aS'normal\tnormal\tJJ\tI-NP\tO' -p359133 -aS'sinus\tsinus\tNN\tI-NP\tO' -p359134 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p359135 -aS'.\t.\t.\tO\tO' -p359136 -asS'Permanent .' -p359137 -(lp359138 -S'Permanent\tPermanent\tNNP\tB-NP\tO' -p359139 -aS'.\t.\t.\tO\tO' -p359140 -asS'She was also given stress dose steroids .' -p359141 -(lp359142 -S'She\tShe\tPRP\tB-NP\tO' -p359143 -aS'was\tbe\tVBD\tB-VP\tO' -p359144 -aS'also\talso\tRB\tI-VP\tO' -p359145 -aS'given\tgive\tVBN\tI-VP\tO' -p359146 -aS'stress\tstress\tNN\tB-NP\tO' -p359147 -aS'dose\tdose\tNN\tI-NP\tO' -p359148 -aS'steroids\tsteroid\tNNS\tI-NP\tO' -p359149 -aS'.\t.\t.\tO\tO' -p359150 -asS'Attempts were made to facilitate her wean by resting her overnight with a combination of propafol and Fentanyl .' -p359151 -(lp359152 -S'Attempts\tAttempt\tNNS\tB-NP\tO' -p359153 -aS'were\tbe\tVBD\tB-VP\tO' -p359154 -aS'made\tmake\tVBN\tI-VP\tO' -p359155 -aS'to\tto\tTO\tB-VP\tO' -p359156 -aS'facilitate\tfacilitate\tVB\tI-VP\tO' -p359157 -aS'her\ther\tPRP$\tB-NP\tO' -p359158 -aS'wean\twean\tNN\tI-NP\tO' -p359159 -aS'by\tby\tIN\tB-PP\tO' -p359160 -aS'resting\trest\tVBG\tB-VP\tO' -p359161 -aS'her\ther\tPRP$\tB-NP\tO' -p359162 -aS'overnight\tovernight\tNN\tI-NP\tO' -p359163 -aS'with\twith\tIN\tB-PP\tO' -p359164 -aS'a\ta\tDT\tB-NP\tO' -p359165 -aS'combination\tcombination\tNN\tI-NP\tO' -p359166 -aS'of\tof\tIN\tB-PP\tO' -p359167 -aS'propafol\tpropafol\tNN\tB-NP\tO' -p359168 -aS'and\tand\tCC\tI-NP\tO' -p359169 -aS'Fentanyl\tFentanyl\tNN\tI-NP\tO' -p359170 -aS'.\t.\t.\tO\tO' -p359171 -asS'She is a nursing home resident .' -p359172 -(lp359173 -S'She\tShe\tPRP\tB-NP\tO' -p359174 -aS'is\tbe\tVBZ\tB-VP\tO' -p359175 -aS'a\ta\tDT\tB-NP\tO' -p359176 -aS'nursing\tnursing\tNN\tI-NP\tO' -p359177 -aS'home\thome\tNN\tI-NP\tO' -p359178 -aS'resident\tresident\tNN\tI-NP\tO' -p359179 -aS'.\t.\t.\tO\tO' -p359180 -asS'Repeat taps did not revealed evidence of infection .' -p359181 -(lp359182 -S'Repeat\tRepeat\tNN\tB-NP\tO' -p359183 -aS'taps\ttap\tNNS\tI-NP\tO' -p359184 -aS'did\tdo\tVBD\tB-VP\tO' -p359185 -aS'not\tnot\tRB\tI-VP\tO' -p359186 -aS'revealed\treveal\tVBN\tI-VP\tO' -p359187 -aS'evidence\tevidence\tNN\tB-NP\tO' -p359188 -aS'of\tof\tIN\tB-PP\tO' -p359189 -aS'infection\tinfection\tNN\tB-NP\tO' -p359190 -aS'.\t.\t.\tO\tO' -p359191 -asS'13) Zyrtec 10 mg p.o. q. day .' -p359192 -(lp359193 -S'13)\t13)\tLS\tB-LST\tO' -p359194 -aS'Zyrtec\tZyrtec\tNNP\tB-NP\tO' -p359195 -aS'10\t10\tCD\tI-NP\tO' -p359196 -aS'mg\tmg\tNN\tI-NP\tO' -p359197 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p359198 -aS'q.\tq.\tNN\tI-NP\tO' -p359199 -aS'day\tday\tNN\tI-NP\tO' -p359200 -aS'.\t.\t.\tO\tO' -p359201 -asS'The patient 's abdominal pain should be followed over the next week or so in case it does not respond to Prilosec .' -p359202 -(lp359203 -S'The\tThe\tDT\tB-NP\tO' -p359204 -aS'patient\tpatient\tNN\tI-NP\tO' -p359205 -aS''s\t'\tNNS\tI-NP\tO' -p359206 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p359207 -aS'pain\tpain\tNN\tI-NP\tO' -p359208 -aS'should\tshould\tMD\tB-VP\tO' -p359209 -aS'be\tbe\tVB\tI-VP\tO' -p359210 -aS'followed\tfollow\tVBN\tI-VP\tO' -p359211 -aS'over\tover\tIN\tB-PP\tO' -p359212 -aS'the\tthe\tDT\tB-NP\tO' -p359213 -aS'next\tnext\tJJ\tI-NP\tO' -p359214 -aS'week\tweek\tNN\tI-NP\tO' -p359215 -aS'or\tor\tCC\tI-NP\tO' -p359216 -aS'so\tso\tRB\tI-NP\tO' -p359217 -aS'in\tin\tIN\tB-PP\tO' -p359218 -aS'case\tcase\tNN\tB-NP\tO' -p359219 -aS'it\tit\tPRP\tB-NP\tO' -p359220 -aS'does\tdo\tVBZ\tB-VP\tO' -p359221 -aS'not\tnot\tRB\tI-VP\tO' -p359222 -aS'respond\trespond\tVB\tI-VP\tO' -p359223 -aS'to\tto\tTO\tB-PP\tO' -p359224 -aS'Prilosec\tPrilosec\tNNP\tB-NP\tO' -p359225 -aS'.\t.\t.\tO\tO' -p359226 -asS'COMPARISON : 2019-06-29 .' -p359227 -(lp359228 -S'COMPARISON\tCOMPARISON\tNN\tB-NP\tO' -p359229 -aS':\t:\t:\tO\tO' -p359230 -aS'2019-06-29\t2019-06-29\tCD\tB-NP\tO' -p359231 -aS'.\t.\t.\tO\tO' -p359232 -asS'He was discharged to Athol Memorial Hospital for continued weaning .' -p359233 -(lp359234 -S'He\tHe\tPRP\tB-NP\tO' -p359235 -aS'was\tbe\tVBD\tB-VP\tO' -p359236 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p359237 -aS'to\tto\tTO\tB-PP\tO' -p359238 -aS'Athol\tAthol\tNNP\tB-NP\tO' -p359239 -aS'Memorial\tMemorial\tNNP\tI-NP\tO' -p359240 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p359241 -aS'for\tfor\tIN\tB-PP\tO' -p359242 -aS'continued\tcontinued\tJJ\tB-NP\tO' -p359243 -aS'weaning\tweaning\tNN\tI-NP\tO' -p359244 -aS'.\t.\t.\tO\tO' -p359245 -asS'Insulin-dependent diabetes mellitus , lymphoma as above , ulcerative colitis , melanoma status post excision in right upper extremity , hypertension , hypothyroidism , congestive heart failure , and coronary artery disease with bypass grafting .' -p359246 -(lp359247 -S'Insulin-dependent\tInsulin-dependent\tJJ\tB-NP\tO' -p359248 -aS'diabetes\tdiabetes\tNN\tI-NP\tO' -p359249 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p359250 -aS',\t,\t,\tO\tO' -p359251 -aS'lymphoma\tlymphoma\tNN\tB-NP\tO' -p359252 -aS'as\tas\tIN\tB-PP\tO' -p359253 -aS'above\tabove\tJJ\tB-NP\tO' -p359254 -aS',\t,\t,\tI-NP\tO' -p359255 -aS'ulcerative\tulcerative\tJJ\tI-NP\tO' -p359256 -aS'colitis\tcolitis\tNN\tI-NP\tO' -p359257 -aS',\t,\t,\tO\tO' -p359258 -aS'melanoma\tmelanoma\tNN\tB-NP\tO' -p359259 -aS'status\tstatus\tNN\tI-NP\tO' -p359260 -aS'post\tpost\tNN\tI-NP\tO' -p359261 -aS'excision\texcision\tNN\tI-NP\tO' -p359262 -aS'in\tin\tIN\tB-PP\tO' -p359263 -aS'right\tright\tJJ\tB-NP\tO' -p359264 -aS'upper\tupper\tJJ\tI-NP\tO' -p359265 -aS'extremity\textremity\tNN\tI-NP\tO' -p359266 -aS',\t,\t,\tO\tO' -p359267 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p359268 -aS',\t,\t,\tO\tO' -p359269 -aS'hypothyroidism\thypothyroidism\tNN\tB-NP\tO' -p359270 -aS',\t,\t,\tO\tO' -p359271 -aS'congestive\tcongestive\tJJ\tB-NP\tO' -p359272 -aS'heart\theart\tNN\tI-NP\tO' -p359273 -aS'failure\tfailure\tNN\tI-NP\tO' -p359274 -aS',\t,\t,\tO\tO' -p359275 -aS'and\tand\tCC\tO\tO' -p359276 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p359277 -aS'artery\tartery\tNN\tI-NP\tO' -p359278 -aS'disease\tdisease\tNN\tI-NP\tO' -p359279 -aS'with\twith\tIN\tB-PP\tO' -p359280 -aS'bypass\tbypass\tNN\tB-NP\tO' -p359281 -aS'grafting\tgrafting\tNN\tI-NP\tO' -p359282 -aS'.\t.\t.\tO\tO' -p359283 -asS'2. pacemaker placement for arrhythmia , Afibb ; during last hospitalization episodes of NSVT' -p359284 -(lp359285 -S'2.\t2.\tLS\tB-NP\tO' -p359286 -aS'pacemaker\tpacemaker\tNN\tI-NP\tO' -p359287 -aS'placement\tplacement\tNN\tI-NP\tO' -p359288 -aS'for\tfor\tIN\tB-PP\tO' -p359289 -aS'arrhythmia\tarrhythmia\tNN\tB-NP\tO' -p359290 -aS',\t,\t,\tO\tO' -p359291 -aS'Afibb\tAfibb\tNNP\tB-NP\tO' -p359292 -aS';\t;\t:\tO\tO' -p359293 -aS'during\tduring\tIN\tB-PP\tO' -p359294 -aS'last\tlast\tJJ\tB-NP\tO' -p359295 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p359296 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p359297 -aS'of\tof\tIN\tB-PP\tO' -p359298 -aS'NSVT\tNSVT\tNN\tB-NP\tB-protein' -p359299 -asS'Include Lisinopril 5 mg p.o. every day ; nitroglycerin sublingual p.r.n.; Toprol XL 100 mg p.o. every day ; Plavix 75 mg p.o. every day ; Avandia 4 mg p.o. every day ; Lipitor 40 mg p.o. every day ; TriCor 145 mg p.o. every day .' -p359300 -(lp359301 -S'Include\tInclude\tNNP\tB-NP\tO' -p359302 -aS'Lisinopril\tLisinopril\tNNP\tI-NP\tO' -p359303 -aS'5\t5\tCD\tI-NP\tO' -p359304 -aS'mg\tmg\tNN\tI-NP\tO' -p359305 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p359306 -aS'every\tevery\tDT\tB-NP\tO' -p359307 -aS'day\tday\tNN\tI-NP\tO' -p359308 -aS';\t;\t:\tO\tO' -p359309 -aS'nitroglycerin\tnitroglycerin\tNN\tB-NP\tO' -p359310 -aS'sublingual\tsublingual\tJJ\tI-NP\tO' -p359311 -aS'p.r.n.;\tp.r.n.;\tNN\tI-NP\tO' -p359312 -aS'Toprol\tToprol\tNN\tI-NP\tO' -p359313 -aS'XL\tXL\tNN\tI-NP\tO' -p359314 -aS'100\t100\tCD\tI-NP\tO' -p359315 -aS'mg\tmg\tNN\tI-NP\tO' -p359316 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p359317 -aS'every\tevery\tDT\tB-NP\tO' -p359318 -aS'day\tday\tNN\tI-NP\tO' -p359319 -aS';\t;\t:\tO\tO' -p359320 -aS'Plavix\tPlavix\tNN\tB-NP\tO' -p359321 -aS'75\t75\tCD\tI-NP\tO' -p359322 -aS'mg\tmg\tNN\tI-NP\tO' -p359323 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p359324 -aS'every\tevery\tDT\tB-NP\tO' -p359325 -aS'day\tday\tNN\tI-NP\tO' -p359326 -aS';\t;\t:\tO\tO' -p359327 -aS'Avandia\tAvandia\tNNP\tB-NP\tO' -p359328 -aS'4\t4\tCD\tI-NP\tO' -p359329 -aS'mg\tmg\tNN\tI-NP\tO' -p359330 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p359331 -aS'every\tevery\tDT\tB-NP\tO' -p359332 -aS'day\tday\tNN\tI-NP\tO' -p359333 -aS';\t;\t:\tO\tO' -p359334 -aS'Lipitor\tLipitor\tNN\tB-NP\tO' -p359335 -aS'40\t40\tCD\tI-NP\tO' -p359336 -aS'mg\tmg\tNN\tI-NP\tO' -p359337 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p359338 -aS'every\tevery\tDT\tB-NP\tO' -p359339 -aS'day\tday\tNN\tI-NP\tO' -p359340 -aS';\t;\t:\tO\tO' -p359341 -aS'TriCor\tTriCor\tNN\tB-NP\tO' -p359342 -aS'145\t145\tCD\tI-NP\tO' -p359343 -aS'mg\tmg\tNN\tI-NP\tO' -p359344 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p359345 -aS'every\tevery\tDT\tB-NP\tO' -p359346 -aS'day\tday\tNN\tI-NP\tO' -p359347 -aS'.\t.\t.\tO\tO' -p359348 -asS'At that time , the pain was unremitting .' -p359349 -(lp359350 -S'At\tAt\tIN\tB-PP\tO' -p359351 -aS'that\tthat\tDT\tB-NP\tO' -p359352 -aS'time\ttime\tNN\tI-NP\tO' -p359353 -aS',\t,\t,\tO\tO' -p359354 -aS'the\tthe\tDT\tB-NP\tO' -p359355 -aS'pain\tpain\tNN\tI-NP\tO' -p359356 -aS'was\tbe\tVBD\tB-VP\tO' -p359357 -aS'unremitting\tunremitte\tVBG\tI-VP\tO' -p359358 -aS'.\t.\t.\tO\tO' -p359359 -asS'Repeat neurological examination revealed no spontaneous movement and no response to voice or noxious stimulation .' -p359360 -(lp359361 -S'Repeat\tRepeat\tNN\tB-NP\tO' -p359362 -aS'neurological\tneurological\tJJ\tI-NP\tO' -p359363 -aS'examination\texamination\tNN\tI-NP\tO' -p359364 -aS'revealed\treveal\tVBD\tB-VP\tO' -p359365 -aS'no\tno\tDT\tB-NP\tO' -p359366 -aS'spontaneous\tspontaneous\tJJ\tI-NP\tO' -p359367 -aS'movement\tmovement\tNN\tI-NP\tO' -p359368 -aS'and\tand\tCC\tO\tO' -p359369 -aS'no\tno\tDT\tB-NP\tO' -p359370 -aS'response\tresponse\tNN\tI-NP\tO' -p359371 -aS'to\tto\tTO\tB-PP\tO' -p359372 -aS'voice\tvoice\tNN\tB-NP\tO' -p359373 -aS'or\tor\tCC\tO\tO' -p359374 -aS'noxious\tnoxious\tJJ\tB-NP\tO' -p359375 -aS'stimulation\tstimulation\tNN\tI-NP\tO' -p359376 -aS'.\t.\t.\tO\tO' -p359377 -asS"The patient 's electrolytes sere managed daily and repleted on an as needed basis ." -p359378 -(lp359379 -S'The\tThe\tDT\tB-NP\tO' -p359380 -aS'patient\tpatient\tNN\tI-NP\tO' -p359381 -aS"'s\t's\tPOS\tB-NP\tO" -p359382 -aS'electrolytes\telectrolyte\tNNS\tI-NP\tO' -p359383 -aS'sere\tsere\tVBP\tB-VP\tO' -p359384 -aS'managed\tmanage\tVBD\tB-VP\tO' -p359385 -aS'daily\tdaily\tRB\tB-ADVP\tO' -p359386 -aS'and\tand\tCC\tO\tO' -p359387 -aS'repleted\treplete\tVBN\tB-VP\tO' -p359388 -aS'on\ton\tIN\tB-PP\tO' -p359389 -aS'an\tan\tDT\tB-NP\tO' -p359390 -aS'as\tas\tIN\tB-PP\tO' -p359391 -aS'needed\tneeded\tJJ\tB-NP\tO' -p359392 -aS'basis\tbasis\tNN\tI-NP\tO' -p359393 -aS'.\t.\t.\tO\tO' -p359394 -asS'2. Eosinophilia .' -p359395 -(lp359396 -S'2.\t2.\tLS\tB-LST\tO' -p359397 -aS'Eosinophilia\tEosinophilia\tNNP\tB-NP\tO' -p359398 -aS'.\t.\t.\tO\tO' -p359399 -asS'Significant for motor vehicle accident in 1966 , requiring exploratory laparotomy and splenectomy , tonsillectomy as a child , pneumonia in the past , hepatitis C and recent diagnosis of hepatocellular carcinoma .' -p359400 -(lp359401 -S'Significant\tSignificant\tJJ\tB-ADJP\tO' -p359402 -aS'for\tfor\tIN\tB-PP\tO' -p359403 -aS'motor\tmotor\tNN\tB-NP\tO' -p359404 -aS'vehicle\tvehicle\tNN\tI-NP\tO' -p359405 -aS'accident\taccident\tNN\tI-NP\tO' -p359406 -aS'in\tin\tIN\tB-PP\tO' -p359407 -aS'1966\t1966\tCD\tB-NP\tO' -p359408 -aS',\t,\t,\tO\tO' -p359409 -aS'requiring\trequire\tVBG\tB-VP\tO' -p359410 -aS'exploratory\texploratory\tJJ\tB-NP\tO' -p359411 -aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' -p359412 -aS'and\tand\tCC\tI-NP\tO' -p359413 -aS'splenectomy\tsplenectomy\tNN\tI-NP\tO' -p359414 -aS',\t,\t,\tO\tO' -p359415 -aS'tonsillectomy\ttonsillectomy\tNN\tB-NP\tO' -p359416 -aS'as\tas\tIN\tB-PP\tO' -p359417 -aS'a\ta\tDT\tB-NP\tO' -p359418 -aS'child\tchild\tNN\tI-NP\tO' -p359419 -aS',\t,\t,\tO\tO' -p359420 -aS'pneumonia\tpneumonia\tNN\tB-NP\tO' -p359421 -aS'in\tin\tIN\tB-PP\tO' -p359422 -aS'the\tthe\tDT\tB-NP\tO' -p359423 -aS'past\tpast\tNN\tI-NP\tO' -p359424 -aS',\t,\t,\tO\tO' -p359425 -aS'hepatitis\thepatitis\tNN\tB-NP\tO' -p359426 -aS'C\tC\tNN\tI-NP\tO' -p359427 -aS'and\tand\tCC\tO\tO' -p359428 -aS'recent\trecent\tJJ\tB-NP\tO' -p359429 -aS'diagnosis\tdiagnosis\tNN\tI-NP\tO' -p359430 -aS'of\tof\tIN\tB-PP\tO' -p359431 -aS'hepatocellular\thepatocellular\tJJ\tB-NP\tO' -p359432 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p359433 -aS'.\t.\t.\tO\tO' -p359434 -asS'Presumably , should follow up with the Urology Clinic for removal of the ureteral stents at some point .' -p359435 -(lp359436 -S'Presumably\tPresumably\tRB\tB-ADVP\tO' -p359437 -aS',\t,\t,\tO\tO' -p359438 -aS'should\tshould\tMD\tB-VP\tO' -p359439 -aS'follow\tfollow\tVB\tI-VP\tO' -p359440 -aS'up\tup\tRP\tB-PRT\tO' -p359441 -aS'with\twith\tIN\tB-PP\tO' -p359442 -aS'the\tthe\tDT\tB-NP\tO' -p359443 -aS'Urology\tUrology\tNNP\tI-NP\tO' -p359444 -aS'Clinic\tClinic\tNNP\tI-NP\tO' -p359445 -aS'for\tfor\tIN\tB-PP\tO' -p359446 -aS'removal\tremoval\tNN\tB-NP\tO' -p359447 -aS'of\tof\tIN\tB-PP\tO' -p359448 -aS'the\tthe\tDT\tB-NP\tO' -p359449 -aS'ureteral\tureteral\tJJ\tI-NP\tO' -p359450 -aS'stents\tstent\tNNS\tI-NP\tO' -p359451 -aS'at\tat\tIN\tB-PP\tO' -p359452 -aS'some\tsome\tDT\tB-NP\tO' -p359453 -aS'point\tpoint\tNN\tI-NP\tO' -p359454 -aS'.\t.\t.\tO\tO' -p359455 -asS'Appropriate for gestational age .' -p359456 -(lp359457 -S'Appropriate\tAppropriate\tJJ\tB-ADJP\tO' -p359458 -aS'for\tfor\tIN\tB-PP\tO' -p359459 -aS'gestational\tgestational\tJJ\tB-NP\tO' -p359460 -aS'age\tage\tNN\tI-NP\tO' -p359461 -aS'.\t.\t.\tO\tO' -p359462 -asS'Subsequently a saline-filled right breast implant was performed .' -p359463 -(lp359464 -S'Subsequently\tSubsequently\tRB\tB-NP\tO' -p359465 -aS'a\ta\tDT\tI-NP\tO' -p359466 -aS'saline-filled\tsaline-filled\tJJ\tI-NP\tO' -p359467 -aS'right\tright\tJJ\tI-NP\tO' -p359468 -aS'breast\tbreast\tNN\tI-NP\tO' -p359469 -aS'implant\timplant\tNN\tI-NP\tO' -p359470 -aS'was\tbe\tVBD\tB-VP\tO' -p359471 -aS'performed\tperform\tVBN\tI-VP\tO' -p359472 -aS'.\t.\t.\tO\tO' -p359473 -asS'He was made NPO and was resuscitated with IV fluids .' -p359474 -(lp359475 -S'He\tHe\tPRP\tB-NP\tO' -p359476 -aS'was\tbe\tVBD\tB-VP\tO' -p359477 -aS'made\tmake\tVBN\tI-VP\tO' -p359478 -aS'NPO\tNPO\tNN\tB-NP\tB-protein' -p359479 -aS'and\tand\tCC\tO\tO' -p359480 -aS'was\tbe\tVBD\tB-VP\tO' -p359481 -aS'resuscitated\tresuscitate\tVBN\tI-VP\tO' -p359482 -aS'with\twith\tIN\tB-PP\tO' -p359483 -aS'IV\tIV\tCD\tB-NP\tO' -p359484 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p359485 -aS'.\t.\t.\tO\tO' -p359486 -asS'The patient is a 63 - year-old man with a history of hypertension and prior history of atrial fibrillation secondary to hyperthyroidism who presented to an outside hospital with a history of left-sided chest pain at rest .' -p359487 -(lp359488 -S'The\tThe\tDT\tB-NP\tO' -p359489 -aS'patient\tpatient\tNN\tI-NP\tO' -p359490 -aS'is\tbe\tVBZ\tB-VP\tO' -p359491 -aS'a\ta\tDT\tB-NP\tO' -p359492 -aS'63\t63\tCD\tI-NP\tO' -p359493 -aS'-\t-\tHYPH\tI-NP\tO' -p359494 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p359495 -aS'man\tman\tNN\tI-NP\tO' -p359496 -aS'with\twith\tIN\tB-PP\tO' -p359497 -aS'a\ta\tDT\tB-NP\tO' -p359498 -aS'history\thistory\tNN\tI-NP\tO' -p359499 -aS'of\tof\tIN\tB-PP\tO' -p359500 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p359501 -aS'and\tand\tCC\tI-NP\tO' -p359502 -aS'prior\tprior\tJJ\tI-NP\tO' -p359503 -aS'history\thistory\tNN\tI-NP\tO' -p359504 -aS'of\tof\tIN\tB-PP\tO' -p359505 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p359506 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p359507 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p359508 -aS'to\tto\tTO\tB-PP\tO' -p359509 -aS'hyperthyroidism\thyperthyroidism\tNN\tB-NP\tO' -p359510 -aS'who\twho\tWP\tB-NP\tO' -p359511 -aS'presented\tpresent\tVBD\tB-VP\tO' -p359512 -aS'to\tto\tTO\tB-PP\tO' -p359513 -aS'an\tan\tDT\tB-NP\tO' -p359514 -aS'outside\toutside\tJJ\tI-NP\tO' -p359515 -aS'hospital\thospital\tNN\tI-NP\tO' -p359516 -aS'with\twith\tIN\tB-PP\tO' -p359517 -aS'a\ta\tDT\tB-NP\tO' -p359518 -aS'history\thistory\tNN\tI-NP\tO' -p359519 -aS'of\tof\tIN\tB-PP\tO' -p359520 -aS'left-sided\tleft-sided\tJJ\tB-NP\tB-protein' -p359521 -aS'chest\tchest\tNN\tI-NP\tI-protein' -p359522 -aS'pain\tpain\tNN\tI-NP\tI-protein' -p359523 -aS'at\tat\tIN\tB-PP\tO' -p359524 -aS'rest\trest\tNN\tB-NP\tO' -p359525 -aS'.\t.\t.\tO\tO' -p359526 -asS'No history of hemodialysis .' -p359527 -(lp359528 -S'No\tNo\tDT\tB-NP\tO' -p359529 -aS'history\thistory\tNN\tI-NP\tO' -p359530 -aS'of\tof\tIN\tB-PP\tO' -p359531 -aS'hemodialysis\themodialysis\tNN\tB-NP\tO' -p359532 -aS'.\t.\t.\tO\tO' -p359533 -asS'Came for neurosurgery follow up on 05-21 , and had been having clear fluid leaking from his incision , as well as frontal headache , imbalance , bumping into things with his left leg and worsening tremors .' -p359534 -(lp359535 -S'Came\tCame\tNN\tB-NP\tO' -p359536 -aS'for\tfor\tIN\tB-PP\tO' -p359537 -aS'neurosurgery\tneurosurgery\tNN\tB-NP\tO' -p359538 -aS'follow\tfollow\tVBP\tB-VP\tO' -p359539 -aS'up\tup\tRP\tB-PRT\tO' -p359540 -aS'on\ton\tIN\tB-PP\tO' -p359541 -aS'05-21\t05-21\tCD\tB-NP\tO' -p359542 -aS',\t,\t,\tO\tO' -p359543 -aS'and\tand\tCC\tO\tO' -p359544 -aS'had\thave\tVBD\tB-VP\tO' -p359545 -aS'been\tbe\tVBN\tI-VP\tO' -p359546 -aS'having\thave\tVBG\tI-VP\tO' -p359547 -aS'clear\tclear\tJJ\tB-NP\tO' -p359548 -aS'fluid\tfluid\tNN\tI-NP\tO' -p359549 -aS'leaking\tleak\tVBG\tB-VP\tO' -p359550 -aS'from\tfrom\tIN\tB-PP\tO' -p359551 -aS'his\this\tPRP$\tB-NP\tO' -p359552 -aS'incision\tincision\tNN\tI-NP\tO' -p359553 -aS',\t,\t,\tO\tO' -p359554 -aS'as\tas\tRB\tB-CONJP\tO' -p359555 -aS'well\twell\tRB\tI-CONJP\tO' -p359556 -aS'as\tas\tIN\tI-CONJP\tO' -p359557 -aS'frontal\tfrontal\tJJ\tB-NP\tO' -p359558 -aS'headache\theadache\tNN\tI-NP\tO' -p359559 -aS',\t,\t,\tO\tO' -p359560 -aS'imbalance\timbalance\tNN\tB-NP\tO' -p359561 -aS',\t,\t,\tO\tO' -p359562 -aS'bumping\tbump\tVBG\tB-VP\tO' -p359563 -aS'into\tinto\tIN\tB-PP\tO' -p359564 -aS'things\tthing\tNNS\tB-NP\tO' -p359565 -aS'with\twith\tIN\tB-PP\tO' -p359566 -aS'his\this\tPRP$\tB-NP\tO' -p359567 -aS'left\tleft\tJJ\tI-NP\tO' -p359568 -aS'leg\tleg\tNN\tI-NP\tO' -p359569 -aS'and\tand\tCC\tO\tO' -p359570 -aS'worsening\tworsen\tVBG\tB-VP\tO' -p359571 -aS'tremors\ttremor\tNNS\tB-NP\tO' -p359572 -aS'.\t.\t.\tO\tO' -p359573 -asS'Given stress dose steroids empirically and Sanchez stim showed cortisol of 9.3 --> 10.3 therefore steroids continued .' -p359574 -(lp359575 -S'Given\tGive\tVBN\tB-NP\tO' -p359576 -aS'stress\tstress\tNN\tI-NP\tO' -p359577 -aS'dose\tdose\tNN\tI-NP\tO' -p359578 -aS'steroids\tsteroid\tNNS\tI-NP\tO' -p359579 -aS'empirically\tempirically\tRB\tB-ADVP\tO' -p359580 -aS'and\tand\tCC\tO\tO' -p359581 -aS'Sanchez\tSanchez\tNNP\tB-NP\tO' -p359582 -aS'stim\tstim\tNN\tI-NP\tO' -p359583 -aS'showed\tshow\tVBD\tB-VP\tO' -p359584 -aS'cortisol\tcortisol\tNN\tB-NP\tO' -p359585 -aS'of\tof\tIN\tB-PP\tO' -p359586 -aS'9.3\t9.3\tCD\tB-NP\tO' -p359587 -aS'-->\t-->\tSYM\tI-NP\tO' -p359588 -aS'10.3\t10.3\tCD\tI-NP\tO' -p359589 -aS'therefore\ttherefore\tRB\tI-NP\tO' -p359590 -aS'steroids\tsteroid\tNNS\tI-NP\tO' -p359591 -aS'continued\tcontinue\tVBN\tB-VP\tO' -p359592 -aS'.\t.\t.\tO\tO' -p359593 -asS'Pupils were dilated and non reactive .' -p359594 -(lp359595 -S'Pupils\tPupil\tNNS\tB-NP\tO' -p359596 -aS'were\tbe\tVBD\tB-VP\tO' -p359597 -aS'dilated\tdilate\tVBN\tI-VP\tO' -p359598 -aS'and\tand\tCC\tO\tO' -p359599 -aS'non\tnon\tAFX\tB-NP\tO' -p359600 -aS'reactive\treactive\tJJ\tB-ADJP\tO' -p359601 -aS'.\t.\t.\tO\tO' -p359602 -asS'His neck was supple without any jugular venous distention .' -p359603 -(lp359604 -S'His\tHis\tPRP$\tB-NP\tO' -p359605 -aS'neck\tneck\tNN\tI-NP\tO' -p359606 -aS'was\tbe\tVBD\tB-VP\tO' -p359607 -aS'supple\tsupple\tNN\tB-NP\tO' -p359608 -aS'without\twithout\tIN\tB-PP\tO' -p359609 -aS'any\tany\tDT\tB-NP\tO' -p359610 -aS'jugular\tjugular\tJJ\tI-NP\tO' -p359611 -aS'venous\tvenous\tJJ\tI-NP\tO' -p359612 -aS'distention\tdistention\tNN\tI-NP\tO' -p359613 -aS'.\t.\t.\tO\tO' -p359614 -asS'Her systolic BP measurements have been running around 100-110 over the past few weeks .' -p359615 -(lp359616 -S'Her\tHer\tPRP$\tB-NP\tO' -p359617 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p359618 -aS'BP\tBP\tNN\tI-NP\tO' -p359619 -aS'measurements\tmeasurement\tNNS\tI-NP\tO' -p359620 -aS'have\thave\tVBP\tB-VP\tO' -p359621 -aS'been\tbe\tVBN\tI-VP\tO' -p359622 -aS'running\trun\tVBG\tI-VP\tO' -p359623 -aS'around\taround\tIN\tB-PP\tO' -p359624 -aS'100-110\t100-110\tCD\tB-NP\tO' -p359625 -aS'over\tover\tIN\tB-PP\tO' -p359626 -aS'the\tthe\tDT\tB-NP\tO' -p359627 -aS'past\tpast\tJJ\tI-NP\tO' -p359628 -aS'few\tfew\tJJ\tI-NP\tO' -p359629 -aS'weeks\tweek\tNNS\tI-NP\tO' -p359630 -aS'.\t.\t.\tO\tO' -p359631 -asS'After a long discussion with the patient and his family it was determined that a cardiac catheterization would be prudent .' -p359632 -(lp359633 -S'After\tAfter\tIN\tB-PP\tO' -p359634 -aS'a\ta\tDT\tB-NP\tO' -p359635 -aS'long\tlong\tJJ\tI-NP\tO' -p359636 -aS'discussion\tdiscussion\tNN\tI-NP\tO' -p359637 -aS'with\twith\tIN\tB-PP\tO' -p359638 -aS'the\tthe\tDT\tB-NP\tO' -p359639 -aS'patient\tpatient\tNN\tI-NP\tO' -p359640 -aS'and\tand\tCC\tO\tO' -p359641 -aS'his\this\tPRP$\tB-NP\tO' -p359642 -aS'family\tfamily\tNN\tI-NP\tO' -p359643 -aS'it\tit\tPRP\tB-NP\tO' -p359644 -aS'was\tbe\tVBD\tB-VP\tO' -p359645 -aS'determined\tdetermine\tVBN\tI-VP\tO' -p359646 -aS'that\tthat\tIN\tB-SBAR\tO' -p359647 -aS'a\ta\tDT\tB-NP\tO' -p359648 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p359649 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p359650 -aS'would\twould\tMD\tB-VP\tO' -p359651 -aS'be\tbe\tVB\tI-VP\tO' -p359652 -aS'prudent\tprudent\tJJ\tB-ADJP\tO' -p359653 -aS'.\t.\t.\tO\tO' -p359654 -asS'Language : fluent ; repetition : intact ; Naming intact ; Comprehension intact ; no dysarthria , no paraphasic errors .' -p359655 -(lp359656 -S'Language\tLanguage\tNN\tB-NP\tO' -p359657 -aS':\t:\t:\tO\tO' -p359658 -aS'fluent\tfluent\tJJ\tB-ADJP\tO' -p359659 -aS';\t;\t:\tO\tO' -p359660 -aS'repetition\trepetition\tNN\tB-NP\tO' -p359661 -aS':\t:\t:\tO\tO' -p359662 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p359663 -aS';\t;\t:\tO\tO' -p359664 -aS'Naming\tName\tVBG\tB-VP\tO' -p359665 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p359666 -aS';\t;\t:\tO\tO' -p359667 -aS'Comprehension\tComprehension\tNN\tB-NP\tO' -p359668 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p359669 -aS';\t;\t:\tO\tO' -p359670 -aS'no\tno\tDT\tB-NP\tO' -p359671 -aS'dysarthria\tdysarthria\tNN\tI-NP\tO' -p359672 -aS',\t,\t,\tO\tO' -p359673 -aS'no\tno\tDT\tB-NP\tO' -p359674 -aS'paraphasic\tparaphasic\tJJ\tI-NP\tO' -p359675 -aS'errors\terror\tNNS\tI-NP\tO' -p359676 -aS'.\t.\t.\tO\tO' -p359677 -asS'Elderly white male who was somnolent , looking his stated age .' -p359678 -(lp359679 -S'Elderly\tElderly\tJJ\tB-NP\tO' -p359680 -aS'white\twhite\tJJ\tI-NP\tO' -p359681 -aS'male\tmale\tNN\tI-NP\tO' -p359682 -aS'who\twho\tWP\tB-NP\tO' -p359683 -aS'was\tbe\tVBD\tB-VP\tO' -p359684 -aS'somnolent\tsomnolent\tJJ\tB-ADJP\tO' -p359685 -aS',\t,\t,\tO\tO' -p359686 -aS'looking\tlook\tVBG\tB-VP\tO' -p359687 -aS'his\this\tPRP$\tB-NP\tB-DNA' -p359688 -aS'stated\tstate\tVBN\tI-NP\tO' -p359689 -aS'age\tage\tNN\tI-NP\tO' -p359690 -aS'.\t.\t.\tO\tO' -p359691 -asS'Call your primary care doctor , oncologist , or return to the Emergency Room if you have increasing nausea , vomiting , leg swelling , confusion , or pain .' -p359692 -(lp359693 -S'Call\tCall\tVB\tB-VP\tO' -p359694 -aS'your\tyour\tPRP$\tB-NP\tO' -p359695 -aS'primary\tprimary\tJJ\tI-NP\tO' -p359696 -aS'care\tcare\tNN\tI-NP\tO' -p359697 -aS'doctor\tdoctor\tNN\tI-NP\tO' -p359698 -aS',\t,\t,\tO\tO' -p359699 -aS'oncologist\toncologist\tNN\tB-NP\tO' -p359700 -aS',\t,\t,\tO\tO' -p359701 -aS'or\tor\tCC\tO\tO' -p359702 -aS'return\treturn\tNN\tB-NP\tO' -p359703 -aS'to\tto\tTO\tB-PP\tO' -p359704 -aS'the\tthe\tDT\tB-NP\tO' -p359705 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p359706 -aS'Room\tRoom\tNNP\tI-NP\tO' -p359707 -aS'if\tif\tIN\tB-SBAR\tO' -p359708 -aS'you\tyou\tPRP\tB-NP\tO' -p359709 -aS'have\thave\tVBP\tB-VP\tO' -p359710 -aS'increasing\tincrease\tVBG\tI-VP\tO' -p359711 -aS'nausea\tnausea\tNN\tB-NP\tO' -p359712 -aS',\t,\t,\tO\tO' -p359713 -aS'vomiting\tvomiting\tNN\tB-NP\tO' -p359714 -aS',\t,\t,\tO\tO' -p359715 -aS'leg\tleg\tNN\tB-NP\tO' -p359716 -aS'swelling\tswelling\tNN\tI-NP\tO' -p359717 -aS',\t,\t,\tO\tO' -p359718 -aS'confusion\tconfusion\tNN\tB-NP\tO' -p359719 -aS',\t,\t,\tO\tO' -p359720 -aS'or\tor\tCC\tO\tO' -p359721 -aS'pain\tpain\tNN\tB-NP\tO' -p359722 -aS'.\t.\t.\tO\tO' -p359723 -asS'Patient may shower , no baths .' -p359724 -(lp359725 -S'Patient\tPatient\tNN\tB-NP\tO' -p359726 -aS'may\tmay\tMD\tB-VP\tO' -p359727 -aS'shower\tshower\tVB\tI-VP\tO' -p359728 -aS',\t,\t,\tO\tO' -p359729 -aS'no\tno\tDT\tB-NP\tO' -p359730 -aS'baths\tbath\tNNS\tI-NP\tO' -p359731 -aS'.\t.\t.\tO\tO' -p359732 -asS'She was originally admitted to the Verg Medical Center in January , 1998 , because of a one year history of left sided weakness and spasticity .' -p359733 -(lp359734 -S'She\tShe\tPRP\tB-NP\tO' -p359735 -aS'was\tbe\tVBD\tB-VP\tO' -p359736 -aS'originally\toriginally\tRB\tI-VP\tO' -p359737 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p359738 -aS'to\tto\tTO\tB-PP\tO' -p359739 -aS'the\tthe\tDT\tB-NP\tO' -p359740 -aS'Verg\tVerg\tNNP\tI-NP\tO' -p359741 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p359742 -aS'Center\tCenter\tNNP\tI-NP\tO' -p359743 -aS'in\tin\tIN\tB-PP\tO' -p359744 -aS'January\tJanuary\tNNP\tB-NP\tO' -p359745 -aS',\t,\t,\tO\tO' -p359746 -aS'1998\t1998\tCD\tB-NP\tO' -p359747 -aS',\t,\t,\tO\tO' -p359748 -aS'because\tbecause\tIN\tB-PP\tO' -p359749 -aS'of\tof\tIN\tI-PP\tO' -p359750 -aS'a\ta\tDT\tB-NP\tO' -p359751 -aS'one\tone\tCD\tI-NP\tO' -p359752 -aS'year\tyear\tNN\tI-NP\tO' -p359753 -aS'history\thistory\tNN\tI-NP\tO' -p359754 -aS'of\tof\tIN\tB-PP\tO' -p359755 -aS'left\tleft\tJJ\tB-NP\tO' -p359756 -aS'sided\tsided\tJJ\tI-NP\tO' -p359757 -aS'weakness\tweakness\tNN\tI-NP\tO' -p359758 -aS'and\tand\tCC\tI-NP\tO' -p359759 -aS'spasticity\tspasticity\tNN\tI-NP\tO' -p359760 -aS'.\t.\t.\tO\tO' -p359761 -asS'The heart examination revealed that the patient had a sustained PMI which was located in the left mid clavicular line , S1 , near complete obliteration of the second heart sound by a two out of six high pitched murmur peaking at mid to late systole and heard across the precordium .' -p359762 -(lp359763 -S'The\tThe\tDT\tB-NP\tO' -p359764 -aS'heart\theart\tNN\tI-NP\tO' -p359765 -aS'examination\texamination\tNN\tI-NP\tO' -p359766 -aS'revealed\treveal\tVBD\tB-VP\tO' -p359767 -aS'that\tthat\tIN\tB-SBAR\tO' -p359768 -aS'the\tthe\tDT\tB-NP\tO' -p359769 -aS'patient\tpatient\tNN\tI-NP\tO' -p359770 -aS'had\thave\tVBD\tB-VP\tO' -p359771 -aS'a\ta\tDT\tB-NP\tO' -p359772 -aS'sustained\tsustained\tJJ\tI-NP\tO' -p359773 -aS'PMI\tPMI\tNN\tI-NP\tO' -p359774 -aS'which\twhich\tWDT\tB-NP\tO' -p359775 -aS'was\tbe\tVBD\tB-VP\tO' -p359776 -aS'located\tlocated\tJJ\tB-ADJP\tO' -p359777 -aS'in\tin\tIN\tB-PP\tO' -p359778 -aS'the\tthe\tDT\tB-NP\tO' -p359779 -aS'left\tleft\tJJ\tI-NP\tB-cell_line' -p359780 -aS'mid\tmid\tJJ\tI-NP\tI-cell_line' -p359781 -aS'clavicular\tclavicular\tJJ\tI-NP\tI-cell_line' -p359782 -aS'line\tline\tNN\tI-NP\tI-cell_line' -p359783 -aS',\t,\t,\tO\tO' -p359784 -aS'S1\tS1\tNN\tB-NP\tB-protein' -p359785 -aS',\t,\t,\tO\tO' -p359786 -aS'near\tnear\tIN\tB-PP\tO' -p359787 -aS'complete\tcomplete\tJJ\tB-NP\tO' -p359788 -aS'obliteration\tobliteration\tNN\tI-NP\tO' -p359789 -aS'of\tof\tIN\tB-PP\tO' -p359790 -aS'the\tthe\tDT\tB-NP\tO' -p359791 -aS'second\tsecond\tJJ\tI-NP\tO' -p359792 -aS'heart\theart\tNN\tI-NP\tO' -p359793 -aS'sound\tsound\tNN\tI-NP\tO' -p359794 -aS'by\tby\tIN\tB-PP\tO' -p359795 -aS'a\ta\tDT\tB-NP\tO' -p359796 -aS'two\ttwo\tCD\tI-NP\tO' -p359797 -aS'out\tout\tIN\tI-NP\tO' -p359798 -aS'of\tof\tIN\tI-NP\tO' -p359799 -aS'six\tsix\tCD\tI-NP\tO' -p359800 -aS'high\thigh\tJJ\tI-NP\tO' -p359801 -aS'pitched\tpitch\tVBN\tI-NP\tO' -p359802 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p359803 -aS'peaking\tpeak\tVBG\tB-VP\tO' -p359804 -aS'at\tat\tIN\tB-PP\tO' -p359805 -aS'mid\tmid\tJJ\tB-ADJP\tO' -p359806 -aS'to\tto\tTO\tB-PP\tO' -p359807 -aS'late\tlate\tJJ\tB-NP\tO' -p359808 -aS'systole\tsystole\tNN\tI-NP\tO' -p359809 -aS'and\tand\tCC\tO\tO' -p359810 -aS'heard\thear\tVBD\tB-VP\tO' -p359811 -aS'across\tacross\tIN\tB-PP\tO' -p359812 -aS'the\tthe\tDT\tB-NP\tO' -p359813 -aS'precordium\tprecordium\tNN\tI-NP\tO' -p359814 -aS'.\t.\t.\tO\tO' -p359815 -asS'1. Continue with medications as prescribed , including antibiotics ( levofloxacin / flagyl ) through 7/16/00 .' -p359816 -(lp359817 -S'1.\t1.\tLS\tB-NP\tO' -p359818 -aS'Continue\tContinue\tNN\tI-NP\tO' -p359819 -aS'with\twith\tIN\tB-PP\tO' -p359820 -aS'medications\tmedication\tNNS\tB-NP\tO' -p359821 -aS'as\tas\tIN\tB-SBAR\tO' -p359822 -aS'prescribed\tprescribe\tVBN\tB-VP\tO' -p359823 -aS',\t,\t,\tO\tO' -p359824 -aS'including\tinclude\tVBG\tB-PP\tO' -p359825 -aS'antibiotics\tantibiotic\tNNS\tB-NP\tO' -p359826 -aS'(\t(\t(\tO\tO' -p359827 -aS'levofloxacin\tlevofloxacin\tNN\tB-NP\tO' -p359828 -aS'/\t/\tSYM\tB-NP\tO' -p359829 -aS'flagyl\tflagyl\tNN\tI-NP\tO' -p359830 -aS')\t)\t)\tO\tO' -p359831 -aS'through\tthrough\tIN\tB-PP\tO' -p359832 -aS'7/16/00\t7/16/00\tCD\tB-NP\tO' -p359833 -aS'.\t.\t.\tO\tO' -p359834 -asS'Another major issue with this patient was pain control .' -p359835 -(lp359836 -S'Another\tAnother\tDT\tB-NP\tO' -p359837 -aS'major\tmajor\tJJ\tI-NP\tO' -p359838 -aS'issue\tissue\tNN\tI-NP\tO' -p359839 -aS'with\twith\tIN\tB-PP\tO' -p359840 -aS'this\tthis\tDT\tB-NP\tO' -p359841 -aS'patient\tpatient\tNN\tI-NP\tO' -p359842 -aS'was\tbe\tVBD\tB-VP\tO' -p359843 -aS'pain\tpain\tNN\tB-NP\tO' -p359844 -aS'control\tcontrol\tNN\tI-NP\tO' -p359845 -aS'.\t.\t.\tO\tO' -p359846 -asS'CBC - White count 7.5 , hematocrit 28.5 , platelets 452 .' -p359847 -(lp359848 -S'CBC\tCBC\tNN\tB-NP\tB-protein' -p359849 -aS'-\t-\tHYPH\tI-NP\tO' -p359850 -aS'White\tWhite\tJJ\tI-NP\tO' -p359851 -aS'count\tcount\tNN\tI-NP\tO' -p359852 -aS'7.5\t7.5\tCD\tI-NP\tO' -p359853 -aS',\t,\t,\tO\tO' -p359854 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p359855 -aS'28.5\t28.5\tCD\tI-NP\tI-protein' -p359856 -aS',\t,\t,\tO\tO' -p359857 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p359858 -aS'452\t452\tCD\tB-NP\tO' -p359859 -aS'.\t.\t.\tO\tO' -p359860 -asS'In general , she was sedated at the time , responsive to stimuli , and was following commands .' -p359861 -(lp359862 -S'In\tIn\tIN\tB-PP\tO' -p359863 -aS'general\tgeneral\tJJ\tB-ADJP\tO' -p359864 -aS',\t,\t,\tO\tO' -p359865 -aS'she\tshe\tPRP\tB-NP\tO' -p359866 -aS'was\tbe\tVBD\tB-VP\tO' -p359867 -aS'sedated\tsedate\tVBN\tI-VP\tO' -p359868 -aS'at\tat\tIN\tB-PP\tO' -p359869 -aS'the\tthe\tDT\tB-NP\tO' -p359870 -aS'time\ttime\tNN\tI-NP\tO' -p359871 -aS',\t,\t,\tO\tO' -p359872 -aS'responsive\tresponsive\tJJ\tB-ADJP\tO' -p359873 -aS'to\tto\tTO\tB-PP\tO' -p359874 -aS'stimuli\tstimulus\tNNS\tB-NP\tO' -p359875 -aS',\t,\t,\tO\tO' -p359876 -aS'and\tand\tCC\tO\tO' -p359877 -aS'was\tbe\tVBD\tB-VP\tO' -p359878 -aS'following\tfollow\tVBG\tI-VP\tO' -p359879 -aS'commands\tcommand\tNNS\tB-NP\tO' -p359880 -aS'.\t.\t.\tO\tO' -p359881 -asS'Mag was 1.7 , repleted with magnesium oxide with 400 mg p.o. times one dose .' -p359882 -(lp359883 -S'Mag\tMag\tNNP\tB-NP\tO' -p359884 -aS'was\tbe\tVBD\tB-VP\tO' -p359885 -aS'1.7\t1.7\tCD\tB-NP\tO' -p359886 -aS',\t,\t,\tO\tO' -p359887 -aS'repleted\treplete\tVBN\tB-VP\tO' -p359888 -aS'with\twith\tIN\tB-PP\tO' -p359889 -aS'magnesium\tmagnesium\tNN\tB-NP\tO' -p359890 -aS'oxide\toxide\tNN\tI-NP\tO' -p359891 -aS'with\twith\tIN\tB-PP\tO' -p359892 -aS'400\t400\tCD\tB-NP\tO' -p359893 -aS'mg\tmg\tNN\tI-NP\tO' -p359894 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p359895 -aS'times\ttime\tNNS\tI-NP\tO' -p359896 -aS'one\tone\tCD\tB-NP\tO' -p359897 -aS'dose\tdose\tNN\tI-NP\tO' -p359898 -aS'.\t.\t.\tO\tO' -p359899 -asS'The left ventricular angiogram showed akinesis of the posterobasal walls , severe hypokinesis of the diaphragmatic wall and trace mitral regurgitation .' -p359900 -(lp359901 -S'The\tThe\tDT\tB-NP\tO' -p359902 -aS'left\tleft\tJJ\tI-NP\tO' -p359903 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p359904 -aS'angiogram\tangiogram\tNN\tI-NP\tO' -p359905 -aS'showed\tshow\tVBD\tB-VP\tO' -p359906 -aS'akinesis\takinesis\tNN\tB-NP\tO' -p359907 -aS'of\tof\tIN\tB-PP\tO' -p359908 -aS'the\tthe\tDT\tB-NP\tO' -p359909 -aS'posterobasal\tposterobasal\tJJ\tI-NP\tO' -p359910 -aS'walls\twall\tNNS\tI-NP\tO' -p359911 -aS',\t,\t,\tO\tO' -p359912 -aS'severe\tsevere\tJJ\tB-NP\tO' -p359913 -aS'hypokinesis\thypokinesis\tNN\tI-NP\tO' -p359914 -aS'of\tof\tIN\tB-PP\tO' -p359915 -aS'the\tthe\tDT\tB-NP\tO' -p359916 -aS'diaphragmatic\tdiaphragmatic\tJJ\tI-NP\tO' -p359917 -aS'wall\twall\tNN\tI-NP\tO' -p359918 -aS'and\tand\tCC\tI-NP\tO' -p359919 -aS'trace\ttrace\tNN\tI-NP\tO' -p359920 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p359921 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p359922 -aS'.\t.\t.\tO\tO' -p359923 -asS'There is a possibility of a structural lesion on the left , but the encephalopathy dominated the overall picture .' -p359924 -(lp359925 -S'There\tThere\tEX\tB-NP\tO' -p359926 -aS'is\tbe\tVBZ\tB-VP\tO' -p359927 -aS'a\ta\tDT\tB-NP\tO' -p359928 -aS'possibility\tpossibility\tNN\tI-NP\tO' -p359929 -aS'of\tof\tIN\tB-PP\tO' -p359930 -aS'a\ta\tDT\tB-NP\tO' -p359931 -aS'structural\tstructural\tJJ\tI-NP\tO' -p359932 -aS'lesion\tlesion\tNN\tI-NP\tO' -p359933 -aS'on\ton\tIN\tB-PP\tO' -p359934 -aS'the\tthe\tDT\tB-NP\tO' -p359935 -aS'left\tleft\tNN\tI-NP\tO' -p359936 -aS',\t,\t,\tO\tO' -p359937 -aS'but\tbut\tCC\tO\tO' -p359938 -aS'the\tthe\tDT\tB-NP\tO' -p359939 -aS'encephalopathy\tencephalopathy\tNN\tI-NP\tO' -p359940 -aS'dominated\tdominate\tVBD\tB-VP\tO' -p359941 -aS'the\tthe\tDT\tB-NP\tO' -p359942 -aS'overall\toverall\tJJ\tI-NP\tO' -p359943 -aS'picture\tpicture\tNN\tI-NP\tO' -p359944 -aS'.\t.\t.\tO\tO' -p359945 -asS'Gallbladder ultra sound revealed a distended 1.6 cm non mobile stone in the neck .' -p359946 -(lp359947 -S'Gallbladder\tGallbladder\tNN\tB-NP\tO' -p359948 -aS'ultra\tultra\tJJ\tI-NP\tO' -p359949 -aS'sound\tsound\tNN\tI-NP\tO' -p359950 -aS'revealed\treveal\tVBD\tB-VP\tO' -p359951 -aS'a\ta\tDT\tB-NP\tO' -p359952 -aS'distended\tdistended\tJJ\tI-NP\tO' -p359953 -aS'1.6\t1.6\tCD\tI-NP\tO' -p359954 -aS'cm\tcm\tNN\tI-NP\tO' -p359955 -aS'non\tnon\tJJ\tI-NP\tO' -p359956 -aS'mobile\tmobile\tJJ\tI-NP\tO' -p359957 -aS'stone\tstone\tNN\tI-NP\tO' -p359958 -aS'in\tin\tIN\tB-PP\tO' -p359959 -aS'the\tthe\tDT\tB-NP\tO' -p359960 -aS'neck\tneck\tNN\tI-NP\tO' -p359961 -aS'.\t.\t.\tO\tO' -p359962 -asS'1. Depression .' -p359963 -(lp359964 -S'1.\t1.\tLS\tB-NP\tO' -p359965 -aS'Depression\tDepression\tNN\tI-NP\tO' -p359966 -aS'.\t.\t.\tO\tO' -p359967 -asS'1+ DP pulses bilaterally .' -p359968 -(lp359969 -S'1+\t1+\tJJ\tB-NP\tO' -p359970 -aS'DP\tDP\tNN\tI-NP\tO' -p359971 -aS'pulses\tpulse\tVBZ\tB-VP\tO' -p359972 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p359973 -aS'.\t.\t.\tO\tO' -p359974 -asS'Note , the patient is not a candidate for magnetic resonance imaging secondary to ferromagnetic intracardiac pacing device .' -p359975 -(lp359976 -S'Note\tNote\tNNP\tB-NP\tO' -p359977 -aS',\t,\t,\tO\tO' -p359978 -aS'the\tthe\tDT\tB-NP\tO' -p359979 -aS'patient\tpatient\tNN\tI-NP\tO' -p359980 -aS'is\tbe\tVBZ\tB-VP\tO' -p359981 -aS'not\tnot\tRB\tO\tO' -p359982 -aS'a\ta\tDT\tB-NP\tO' -p359983 -aS'candidate\tcandidate\tNN\tI-NP\tO' -p359984 -aS'for\tfor\tIN\tB-PP\tO' -p359985 -aS'magnetic\tmagnetic\tJJ\tB-NP\tO' -p359986 -aS'resonance\tresonance\tNN\tI-NP\tO' -p359987 -aS'imaging\timaging\tNN\tI-NP\tO' -p359988 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p359989 -aS'to\tto\tTO\tB-PP\tO' -p359990 -aS'ferromagnetic\tferromagnetic\tJJ\tB-NP\tO' -p359991 -aS'intracardiac\tintracardiac\tJJ\tI-NP\tO' -p359992 -aS'pacing\tpacing\tNN\tI-NP\tO' -p359993 -aS'device\tdevice\tNN\tI-NP\tO' -p359994 -aS'.\t.\t.\tO\tO' -p359995 -asS'Allowing the patient to ambulate was not recommended .' -p359996 -(lp359997 -S'Allowing\tAllow\tVBG\tB-VP\tO' -p359998 -aS'the\tthe\tDT\tB-NP\tO' -p359999 -aS'patient\tpatient\tNN\tI-NP\tO' -p360000 -aS'to\tto\tTO\tB-VP\tO' -p360001 -aS'ambulate\tambulate\tVB\tI-VP\tO' -p360002 -aS'was\tbe\tVBD\tB-VP\tO' -p360003 -aS'not\tnot\tRB\tI-VP\tO' -p360004 -aS'recommended\trecommend\tVBN\tI-VP\tO' -p360005 -aS'.\t.\t.\tO\tO' -p360006 -asS'He was also placed on Vasotec .' -p360007 -(lp360008 -S'He\tHe\tPRP\tB-NP\tO' -p360009 -aS'was\tbe\tVBD\tB-VP\tO' -p360010 -aS'also\talso\tRB\tI-VP\tO' -p360011 -aS'placed\tplace\tVBN\tI-VP\tO' -p360012 -aS'on\ton\tIN\tB-PP\tO' -p360013 -aS'Vasotec\tVasotec\tNNP\tB-NP\tO' -p360014 -aS'.\t.\t.\tO\tO' -p360015 -asS'Deep tendon reflexes could not be elicited and plantar responses were silent .' -p360016 -(lp360017 -S'Deep\tDeep\tJJ\tB-NP\tO' -p360018 -aS'tendon\ttendon\tNN\tI-NP\tO' -p360019 -aS'reflexes\treflex\tNNS\tI-NP\tO' -p360020 -aS'could\tcould\tMD\tB-VP\tO' -p360021 -aS'not\tnot\tRB\tI-VP\tO' -p360022 -aS'be\tbe\tVB\tI-VP\tO' -p360023 -aS'elicited\telicit\tVBN\tI-VP\tO' -p360024 -aS'and\tand\tCC\tO\tO' -p360025 -aS'plantar\tplantar\tNN\tB-NP\tO' -p360026 -aS'responses\tresponse\tNNS\tI-NP\tO' -p360027 -aS'were\tbe\tVBD\tB-VP\tO' -p360028 -aS'silent\tsilent\tJJ\tB-ADJP\tO' -p360029 -aS'.\t.\t.\tO\tO' -p360030 -asS'3. Neurontin 300 mg taken three times a day .' -p360031 -(lp360032 -S'3.\t3.\tLS\tB-NP\tO' -p360033 -aS'Neurontin\tNeurontin\tNN\tI-NP\tO' -p360034 -aS'300\t300\tCD\tI-NP\tO' -p360035 -aS'mg\tmg\tNN\tI-NP\tO' -p360036 -aS'taken\ttake\tVBN\tB-VP\tO' -p360037 -aS'three\tthree\tCD\tB-NP\tO' -p360038 -aS'times\ttime\tNNS\tI-NP\tO' -p360039 -aS'a\ta\tDT\tB-NP\tO' -p360040 -aS'day\tday\tNN\tI-NP\tO' -p360041 -aS'.\t.\t.\tO\tO' -p360042 -asS'Plans for placement of a pacemaker were initiated .' -p360043 -(lp360044 -S'Plans\tPlan\tNNS\tB-NP\tO' -p360045 -aS'for\tfor\tIN\tB-PP\tO' -p360046 -aS'placement\tplacement\tNN\tB-NP\tO' -p360047 -aS'of\tof\tIN\tB-PP\tO' -p360048 -aS'a\ta\tDT\tB-NP\tO' -p360049 -aS'pacemaker\tpacemaker\tNN\tI-NP\tO' -p360050 -aS'were\tbe\tVBD\tB-VP\tO' -p360051 -aS'initiated\tinitiate\tVBN\tI-VP\tO' -p360052 -aS'.\t.\t.\tO\tO' -p360053 -asS'She was recently discharged from the Per Naplesspecrycet Hospital after an admission for congestive heart failure .' -p360054 -(lp360055 -S'She\tShe\tPRP\tB-NP\tO' -p360056 -aS'was\tbe\tVBD\tB-VP\tO' -p360057 -aS'recently\trecently\tRB\tI-VP\tO' -p360058 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p360059 -aS'from\tfrom\tIN\tB-PP\tO' -p360060 -aS'the\tthe\tDT\tB-NP\tO' -p360061 -aS'Per\tPer\tNNP\tI-NP\tO' -p360062 -aS'Naplesspecrycet\tNaplesspecrycet\tNNP\tI-NP\tO' -p360063 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p360064 -aS'after\tafter\tIN\tB-PP\tO' -p360065 -aS'an\tan\tDT\tB-NP\tO' -p360066 -aS'admission\tadmission\tNN\tI-NP\tO' -p360067 -aS'for\tfor\tIN\tB-PP\tO' -p360068 -aS'congestive\tcongestive\tJJ\tB-NP\tO' -p360069 -aS'heart\theart\tNN\tI-NP\tO' -p360070 -aS'failure\tfailure\tNN\tI-NP\tO' -p360071 -aS'.\t.\t.\tO\tO' -p360072 -asS'Chest x-ray was negative .' -p360073 -(lp360074 -S'Chest\tCh\tJJS\tB-NP\tO' -p360075 -aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' -p360076 -aS'was\tbe\tVBD\tB-VP\tO' -p360077 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p360078 -aS'.\t.\t.\tO\tO' -p360079 -asS'Percocet 5/325 mg. s , one to two tablets PO q.4 to 6 hours p.r.n. pain ;' -p360080 -(lp360081 -S'Percocet\tPercocet\tIN\tB-PP\tO' -p360082 -aS'5/325\t5/325\tCD\tB-NP\tO' -p360083 -aS'mg.\tmg.\tNN\tI-NP\tO' -p360084 -aS's\ts\tNNS\tI-NP\tO' -p360085 -aS',\t,\t,\tO\tO' -p360086 -aS'one\tone\tCD\tB-NP\tO' -p360087 -aS'to\tto\tTO\tI-NP\tO' -p360088 -aS'two\ttwo\tCD\tI-NP\tO' -p360089 -aS'tablets\ttablet\tNNS\tI-NP\tO' -p360090 -aS'PO\tPO\tNN\tI-NP\tO' -p360091 -aS'q.4\tq.4\tCD\tI-NP\tO' -p360092 -aS'to\tto\tTO\tI-NP\tO' -p360093 -aS'6\t6\tCD\tI-NP\tO' -p360094 -aS'hours\thour\tNNS\tI-NP\tO' -p360095 -aS'p.r.n.\tp.r.n.\tJJ\tI-NP\tO' -p360096 -aS'pain\tpain\tNN\tI-NP\tO' -p360097 -aS';\t;\t:\tO\tO' -p360098 -asS'He was discharged on 1 mg , but a stable regimen had not been achieved .' -p360099 -(lp360100 -S'He\tHe\tPRP\tB-NP\tO' -p360101 -aS'was\tbe\tVBD\tB-VP\tO' -p360102 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p360103 -aS'on\ton\tIN\tB-PP\tO' -p360104 -aS'1\t1\tCD\tB-NP\tO' -p360105 -aS'mg\tmg\tNN\tI-NP\tO' -p360106 -aS',\t,\t,\tO\tO' -p360107 -aS'but\tbut\tCC\tO\tO' -p360108 -aS'a\ta\tDT\tB-NP\tO' -p360109 -aS'stable\tstable\tJJ\tI-NP\tO' -p360110 -aS'regimen\tregimen\tNN\tI-NP\tO' -p360111 -aS'had\thave\tVBD\tB-VP\tO' -p360112 -aS'not\tnot\tRB\tI-VP\tO' -p360113 -aS'been\tbe\tVBN\tI-VP\tO' -p360114 -aS'achieved\tachieve\tVBN\tI-VP\tO' -p360115 -aS'.\t.\t.\tO\tO' -p360116 -asS'He tolerated the procedure without difficulty .' -p360117 -(lp360118 -S'He\tHe\tPRP\tB-NP\tO' -p360119 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p360120 -aS'the\tthe\tDT\tB-NP\tO' -p360121 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p360122 -aS'without\twithout\tIN\tB-PP\tO' -p360123 -aS'difficulty\tdifficulty\tNN\tB-NP\tO' -p360124 -aS'.\t.\t.\tO\tO' -p360125 -asS'She has now had progressive heart failure .' -p360126 -(lp360127 -S'She\tShe\tPRP\tB-NP\tO' -p360128 -aS'has\thave\tVBZ\tB-VP\tO' -p360129 -aS'now\tnow\tRB\tI-VP\tO' -p360130 -aS'had\thave\tVBN\tI-VP\tO' -p360131 -aS'progressive\tprogressive\tJJ\tB-NP\tO' -p360132 -aS'heart\theart\tNN\tI-NP\tO' -p360133 -aS'failure\tfailure\tNN\tI-NP\tO' -p360134 -aS'.\t.\t.\tO\tO' -p360135 -asS'Social History : denies tobacco , ETOH , drugs' -p360136 -(lp360137 -S'Social\tSocial\tNNP\tB-NP\tO' -p360138 -aS'History\tHistory\tNNP\tI-NP\tO' -p360139 -aS':\t:\t:\tO\tO' -p360140 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p360141 -aS'tobacco\ttobacco\tNN\tB-NP\tO' -p360142 -aS',\t,\t,\tO\tO' -p360143 -aS'ETOH\tETOH\tNN\tB-NP\tB-protein' -p360144 -aS',\t,\t,\tO\tO' -p360145 -aS'drugs\tdrug\tNNS\tB-NP\tO' -p360146 -asS"On room air , the patient 's oxygen saturation was 80% ." -p360147 -(lp360148 -S'On\tOn\tIN\tB-PP\tO' -p360149 -aS'room\troom\tNN\tB-NP\tO' -p360150 -aS'air\tair\tNN\tI-NP\tO' -p360151 -aS',\t,\t,\tO\tO' -p360152 -aS'the\tthe\tDT\tB-NP\tO' -p360153 -aS'patient\tpatient\tNN\tI-NP\tO' -p360154 -aS"'s\t's\tPOS\tB-NP\tO" -p360155 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p360156 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p360157 -aS'was\tbe\tVBD\tB-VP\tO' -p360158 -aS'80%\t80%\tCD\tB-NP\tO' -p360159 -aS'.\t.\t.\tO\tO' -p360160 -asS'The patient started ambulating with the assistance of physical therapy following transfer to the surgical floor .' -p360161 -(lp360162 -S'The\tThe\tDT\tB-NP\tO' -p360163 -aS'patient\tpatient\tNN\tI-NP\tO' -p360164 -aS'started\tstart\tVBD\tB-VP\tO' -p360165 -aS'ambulating\tambulate\tVBG\tI-VP\tO' -p360166 -aS'with\twith\tIN\tB-PP\tO' -p360167 -aS'the\tthe\tDT\tB-NP\tO' -p360168 -aS'assistance\tassistance\tNN\tI-NP\tO' -p360169 -aS'of\tof\tIN\tB-PP\tO' -p360170 -aS'physical\tphysical\tJJ\tB-NP\tO' -p360171 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p360172 -aS'following\tfollow\tVBG\tB-PP\tO' -p360173 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p360174 -aS'to\tto\tTO\tB-PP\tO' -p360175 -aS'the\tthe\tDT\tB-NP\tO' -p360176 -aS'surgical\tsurgical\tJJ\tI-NP\tO' -p360177 -aS'floor\tfloor\tNN\tI-NP\tO' -p360178 -aS'.\t.\t.\tO\tO' -p360179 -asS'4. Folic Acid 1 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' -p360180 -(lp360181 -S'4.\t4.\tLS\tB-NP\tO' -p360182 -aS'Folic\tFolic\tJJ\tI-NP\tO' -p360183 -aS'Acid\tAcid\tNN\tI-NP\tO' -p360184 -aS'1\t1\tCD\tI-NP\tO' -p360185 -aS'mg\tmg\tNN\tI-NP\tO' -p360186 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p360187 -aS'Sig\tSig\tNNP\tI-NP\tO' -p360188 -aS':\t:\t:\tO\tO' -p360189 -aS'One\tOne\tCD\tB-NP\tO' -p360190 -aS'(\t(\t(\tO\tO' -p360191 -aS'1\t1\tCD\tB-NP\tO' -p360192 -aS')\t)\t)\tO\tO' -p360193 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p360194 -aS'PO\tPO\tNN\tI-NP\tO' -p360195 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p360196 -aS'(\t(\t(\tO\tO' -p360197 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p360198 -aS')\t)\t)\tO\tO' -p360199 -aS'.\t.\t.\tO\tO' -p360200 -asS'15) Peridex 30 cc p.o. b.i.d. x 14 days .' -p360201 -(lp360202 -S'15)\t15)\tLS\tB-LST\tO' -p360203 -aS'Peridex\tPeridex\tNNP\tB-NP\tO' -p360204 -aS'30\t30\tCD\tI-NP\tO' -p360205 -aS'cc\tcc\tNN\tI-NP\tO' -p360206 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p360207 -aS'b.i.d.\tb.i.d.\tFW\tI-NP\tO' -p360208 -aS'x\tx\tNN\tI-NP\tO' -p360209 -aS'14\t14\tCD\tB-NP\tO' -p360210 -aS'days\tday\tNNS\tI-NP\tO' -p360211 -aS'.\t.\t.\tO\tO' -p360212 -asS'They will be restarted on discharge .' -p360213 -(lp360214 -S'They\tThey\tPRP\tB-NP\tO' -p360215 -aS'will\twill\tMD\tB-VP\tO' -p360216 -aS'be\tbe\tVB\tI-VP\tO' -p360217 -aS'restarted\trestart\tVBN\tI-VP\tO' -p360218 -aS'on\ton\tIN\tB-PP\tO' -p360219 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p360220 -aS'.\t.\t.\tO\tO' -p360221 -asS'Prenatal screens were O+ , antibody negative , hepatitis surface antigen negative , rapid plasma reagin nonreactive , rubella immune , group B strep positive .' -p360222 -(lp360223 -S'Prenatal\tPrenatal\tJJ\tB-NP\tO' -p360224 -aS'screens\tscreen\tNNS\tI-NP\tO' -p360225 -aS'were\tbe\tVBD\tB-VP\tO' -p360226 -aS'O+\tO+\tJJ\tB-ADJP\tO' -p360227 -aS',\t,\t,\tO\tO' -p360228 -aS'antibody\tantibody\tNN\tB-NP\tO' -p360229 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p360230 -aS',\t,\t,\tO\tO' -p360231 -aS'hepatitis\thepatitis\tNN\tB-NP\tB-protein' -p360232 -aS'surface\tsurface\tNN\tI-NP\tI-protein' -p360233 -aS'antigen\tantigen\tNN\tI-NP\tI-protein' -p360234 -aS'negative\tnegative\tJJ\tI-NP\tO' -p360235 -aS',\t,\t,\tI-NP\tO' -p360236 -aS'rapid\trapid\tJJ\tI-NP\tO' -p360237 -aS'plasma\tplasma\tNN\tI-NP\tO' -p360238 -aS'reagin\treagin\tNN\tI-NP\tO' -p360239 -aS'nonreactive\tnonreactive\tJJ\tB-ADJP\tO' -p360240 -aS',\t,\t,\tO\tO' -p360241 -aS'rubella\trubella\tNN\tB-NP\tO' -p360242 -aS'immune\timmune\tJJ\tI-NP\tO' -p360243 -aS',\t,\t,\tI-NP\tO' -p360244 -aS'group\tgroup\tNN\tI-NP\tO' -p360245 -aS'B\tB\tNN\tI-NP\tO' -p360246 -aS'strep\tstrep\tNN\tI-NP\tO' -p360247 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p360248 -aS'.\t.\t.\tO\tO' -p360249 -asS'PRIMARY PEDIATRICIAN : Dr. Penny Scott , 8400 S. Maple Blvd. , Arbour-Fuller Hospital , New Hampshire 25344 , phone number 617-6198 .' -p360250 -(lp360251 -S'PRIMARY\tPRIMARY\tNN\tB-NP\tO' -p360252 -aS'PEDIATRICIAN\tPEDIATRICIAN\tNN\tI-NP\tO' -p360253 -aS':\t:\t:\tO\tO' -p360254 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p360255 -aS'Penny\tPenny\tNNP\tI-NP\tO' -p360256 -aS'Scott\tScott\tNNP\tI-NP\tO' -p360257 -aS',\t,\t,\tO\tO' -p360258 -aS'8400\t8400\tCD\tB-NP\tO' -p360259 -aS'S.\tS.\tNNP\tI-NP\tO' -p360260 -aS'Maple\tMaple\tNNP\tI-NP\tO' -p360261 -aS'Blvd.\tBlvd.\tNNP\tI-NP\tO' -p360262 -aS',\t,\t,\tO\tO' -p360263 -aS'Arbour-Fuller\tArbour-Fuller\tNNP\tB-NP\tO' -p360264 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p360265 -aS',\t,\t,\tO\tO' -p360266 -aS'New\tNew\tNNP\tB-NP\tO' -p360267 -aS'Hampshire\tHampshire\tNNP\tI-NP\tO' -p360268 -aS'25344\t25344\tCD\tI-NP\tO' -p360269 -aS',\t,\t,\tO\tO' -p360270 -aS'phone\tphone\tNN\tB-NP\tO' -p360271 -aS'number\tnumber\tNN\tI-NP\tO' -p360272 -aS'617-6198\t617-6198\tCD\tI-NP\tO' -p360273 -aS'.\t.\t.\tO\tO' -p360274 -asS'His postoperative CT scan showed no evidence of endo leak , or graft kinking .' -p360275 -(lp360276 -S'His\tHis\tPRP$\tB-NP\tO' -p360277 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p360278 -aS'CT\tCT\tNN\tI-NP\tO' -p360279 -aS'scan\tscan\tNN\tI-NP\tO' -p360280 -aS'showed\tshow\tVBD\tB-VP\tO' -p360281 -aS'no\tno\tDT\tB-NP\tO' -p360282 -aS'evidence\tevidence\tNN\tI-NP\tO' -p360283 -aS'of\tof\tIN\tB-PP\tO' -p360284 -aS'endo\tendo\tNN\tB-NP\tO' -p360285 -aS'leak\tleak\tNN\tI-NP\tO' -p360286 -aS',\t,\t,\tO\tO' -p360287 -aS'or\tor\tCC\tO\tO' -p360288 -aS'graft\tgraft\tNN\tB-NP\tO' -p360289 -aS'kinking\tkinking\tNN\tI-NP\tO' -p360290 -aS'.\t.\t.\tO\tO' -p360291 -asS'No CVA tenderness was appreciated in the heart and the heart appears to be in regular rate and rhythm .' -p360292 -(lp360293 -S'No\tNo\tDT\tB-NP\tO' -p360294 -aS'CVA\tCVA\tNN\tI-NP\tO' -p360295 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p360296 -aS'was\tbe\tVBD\tB-VP\tO' -p360297 -aS'appreciated\tappreciate\tVBN\tI-VP\tO' -p360298 -aS'in\tin\tIN\tB-PP\tO' -p360299 -aS'the\tthe\tDT\tB-NP\tO' -p360300 -aS'heart\theart\tNN\tI-NP\tO' -p360301 -aS'and\tand\tCC\tO\tO' -p360302 -aS'the\tthe\tDT\tB-NP\tO' -p360303 -aS'heart\theart\tNN\tI-NP\tO' -p360304 -aS'appears\tappear\tVBZ\tB-VP\tO' -p360305 -aS'to\tto\tTO\tI-VP\tO' -p360306 -aS'be\tbe\tVB\tI-VP\tO' -p360307 -aS'in\tin\tIN\tB-PP\tO' -p360308 -aS'regular\tregular\tJJ\tB-NP\tO' -p360309 -aS'rate\trate\tNN\tI-NP\tO' -p360310 -aS'and\tand\tCC\tI-NP\tO' -p360311 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p360312 -aS'.\t.\t.\tO\tO' -p360313 -asS'RRR , sternum stable , incision clean and dry , no erythema / drainage' -p360314 -(lp360315 -S'RRR\tRRR\tNN\tB-NP\tB-protein' -p360316 -aS',\t,\t,\tI-NP\tO' -p360317 -aS'sternum\tsternum\tNN\tI-NP\tO' -p360318 -aS'stable\tstable\tJJ\tI-NP\tO' -p360319 -aS',\t,\t,\tO\tO' -p360320 -aS'incision\tincision\tNN\tB-NP\tO' -p360321 -aS'clean\tclean\tJJ\tB-ADJP\tO' -p360322 -aS'and\tand\tCC\tI-ADJP\tO' -p360323 -aS'dry\tdry\tJJ\tI-ADJP\tO' -p360324 -aS',\t,\t,\tO\tO' -p360325 -aS'no\tno\tDT\tB-NP\tO' -p360326 -aS'erythema\terythema\tNN\tI-NP\tO' -p360327 -aS'/\t/\tSYM\tO\tO' -p360328 -aS'drainage\tdrainage\tNN\tB-NP\tO' -p360329 -asS'7. Pantoprazole 40 mg Tablet , Delayed Release ( E.C. ) Sig : One ( 1 ) Tablet , Delayed Release ( E.C. ) PO Q12H ( every 12 hours ) .' -p360330 -(lp360331 -S'7.\t7.\tCD\tB-NP\tO' -p360332 -aS'Pantoprazole\tPantoprazole\tNN\tI-NP\tO' -p360333 -aS'40\t40\tCD\tB-NP\tO' -p360334 -aS'mg\tmg\tNN\tI-NP\tO' -p360335 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p360336 -aS',\t,\t,\tO\tO' -p360337 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p360338 -aS'Release\tRelease\tNNP\tI-NP\tO' -p360339 -aS'(\t(\t(\tO\tO' -p360340 -aS'E.C.\tE.C.\tNNP\tB-NP\tO' -p360341 -aS')\t)\t)\tO\tO' -p360342 -aS'Sig\tSig\tNNP\tB-NP\tO' -p360343 -aS':\t:\t:\tO\tO' -p360344 -aS'One\tOne\tCD\tB-NP\tO' -p360345 -aS'(\t(\t(\tO\tO' -p360346 -aS'1\t1\tCD\tB-NP\tO' -p360347 -aS')\t)\t)\tO\tO' -p360348 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p360349 -aS',\t,\t,\tO\tO' -p360350 -aS'Delayed\tDelayed\tNNP\tB-NP\tO' -p360351 -aS'Release\tRelease\tNNP\tI-NP\tO' -p360352 -aS'(\t(\t(\tO\tO' -p360353 -aS'E.C.\tE.C.\tNNP\tO\tO' -p360354 -aS')\t)\t)\tO\tO' -p360355 -aS'PO\tPO\tNN\tB-NP\tO' -p360356 -aS'Q12H\tQ12H\tNN\tI-NP\tO' -p360357 -aS'(\t(\t(\tO\tO' -p360358 -aS'every\tevery\tDT\tB-NP\tO' -p360359 -aS'12\t12\tCD\tI-NP\tO' -p360360 -aS'hours\thour\tNNS\tI-NP\tO' -p360361 -aS')\t)\t)\tO\tO' -p360362 -aS'.\t.\t.\tO\tO' -p360363 -asS'His immunosuppressive therapy was continued throughout his stay ; his creatinine remained approximately 2.3 to 2.4 ; he has a baseline renal insufficiency .' -p360364 -(lp360365 -S'His\tHis\tPRP$\tB-NP\tO' -p360366 -aS'immunosuppressive\timmunosuppressive\tJJ\tI-NP\tO' -p360367 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p360368 -aS'was\tbe\tVBD\tB-VP\tO' -p360369 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p360370 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p360371 -aS'his\this\tPRP$\tB-NP\tO' -p360372 -aS'stay\tstay\tNN\tI-NP\tO' -p360373 -aS';\t;\t:\tO\tO' -p360374 -aS'his\this\tPRP$\tB-NP\tO' -p360375 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p360376 -aS'remained\tremain\tVBD\tB-VP\tO' -p360377 -aS'approximately\tapproximately\tRB\tB-ADVP\tO' -p360378 -aS'2.3\t2.3\tCD\tB-NP\tO' -p360379 -aS'to\tto\tTO\tB-PP\tO' -p360380 -aS'2.4\t2.4\tCD\tB-NP\tO' -p360381 -aS';\t;\t:\tO\tO' -p360382 -aS'he\the\tPRP\tB-NP\tO' -p360383 -aS'has\thave\tVBZ\tB-VP\tO' -p360384 -aS'a\ta\tDT\tB-NP\tO' -p360385 -aS'baseline\tbaseline\tNN\tI-NP\tO' -p360386 -aS'renal\trenal\tJJ\tI-NP\tO' -p360387 -aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' -p360388 -aS'.\t.\t.\tO\tO' -p360389 -asS'Started on clear liquids .' -p360390 -(lp360391 -S'Started\tStart\tVBN\tB-VP\tO' -p360392 -aS'on\ton\tIN\tB-PP\tO' -p360393 -aS'clear\tclear\tJJ\tB-NP\tO' -p360394 -aS'liquids\tliquid\tNNS\tI-NP\tO' -p360395 -aS'.\t.\t.\tO\tO' -p360396 -asS'11. Iron sulfate 325 mg p.o. q. day .' -p360397 -(lp360398 -S'11.\t11.\tLS\tB-NP\tO' -p360399 -aS'Iron\tIron\tNNP\tI-NP\tO' -p360400 -aS'sulfate\tsulfate\tNN\tI-NP\tO' -p360401 -aS'325\t325\tCD\tI-NP\tO' -p360402 -aS'mg\tmg\tNN\tI-NP\tO' -p360403 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p360404 -aS'q.\tq.\tNN\tI-NP\tO' -p360405 -aS'day\tday\tNN\tI-NP\tO' -p360406 -aS'.\t.\t.\tO\tO' -p360407 -asS'The patient will follow-up with Dr. Streeter in his office in four to six weeks .' -p360408 -(lp360409 -S'The\tThe\tDT\tB-NP\tO' -p360410 -aS'patient\tpatient\tNN\tI-NP\tO' -p360411 -aS'will\twill\tMD\tB-VP\tO' -p360412 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p360413 -aS'with\twith\tIN\tB-PP\tO' -p360414 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p360415 -aS'Streeter\tStreeter\tNNP\tI-NP\tO' -p360416 -aS'in\tin\tIN\tB-PP\tO' -p360417 -aS'his\this\tPRP$\tB-NP\tO' -p360418 -aS'office\toffice\tNN\tI-NP\tO' -p360419 -aS'in\tin\tIN\tB-PP\tO' -p360420 -aS'four\tfour\tCD\tB-NP\tO' -p360421 -aS'to\tto\tTO\tI-NP\tO' -p360422 -aS'six\tsix\tCD\tI-NP\tO' -p360423 -aS'weeks\tweek\tNNS\tI-NP\tO' -p360424 -aS'.\t.\t.\tO\tO' -p360425 -asS'Extremities revealed 2+ pitting edema in the knees bilaterally .' -p360426 -(lp360427 -S'Extremities\tExtremity\tNNS\tB-NP\tO' -p360428 -aS'revealed\treveal\tVBD\tB-VP\tO' -p360429 -aS'2+\t2+\tJJ\tB-NP\tO' -p360430 -aS'pitting\tpitting\tNN\tI-NP\tO' -p360431 -aS'edema\tedema\tNN\tI-NP\tO' -p360432 -aS'in\tin\tIN\tB-PP\tO' -p360433 -aS'the\tthe\tDT\tB-NP\tO' -p360434 -aS'knees\tknee\tNNS\tI-NP\tO' -p360435 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p360436 -aS'.\t.\t.\tO\tO' -p360437 -asS'On postoperative day the Milrinone was weaned down .' -p360438 -(lp360439 -S'On\tOn\tIN\tB-PP\tO' -p360440 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p360441 -aS'day\tday\tNN\tI-NP\tO' -p360442 -aS'the\tthe\tDT\tB-NP\tO' -p360443 -aS'Milrinone\tMilrinone\tNN\tI-NP\tO' -p360444 -aS'was\tbe\tVBD\tB-VP\tO' -p360445 -aS'weaned\twean\tVBN\tI-VP\tO' -p360446 -aS'down\tdown\tRB\tB-ADVP\tO' -p360447 -aS'.\t.\t.\tO\tO' -p360448 -asS'CV was regular rate and rhythm without murmurs .' -p360449 -(lp360450 -S'CV\tCV\tNN\tB-NP\tO' -p360451 -aS'was\tbe\tVBD\tB-VP\tO' -p360452 -aS'regular\tregular\tJJ\tB-NP\tO' -p360453 -aS'rate\trate\tNN\tI-NP\tO' -p360454 -aS'and\tand\tCC\tI-NP\tO' -p360455 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p360456 -aS'without\twithout\tIN\tB-PP\tO' -p360457 -aS'murmurs\tmurmur\tNNS\tB-NP\tO' -p360458 -aS'.\t.\t.\tO\tO' -p360459 -asS'K was 3.4 , repleted , potassium chloride 40 mEq times 1 dose p.o.' -p360460 -(lp360461 -S'K\tK\tNN\tB-NP\tO' -p360462 -aS'was\tbe\tVBD\tB-VP\tO' -p360463 -aS'3.4\t3.4\tCD\tB-NP\tO' -p360464 -aS',\t,\t,\tO\tO' -p360465 -aS'repleted\treplete\tVBN\tB-VP\tO' -p360466 -aS',\t,\t,\tO\tO' -p360467 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p360468 -aS'chloride\tchloride\tNN\tI-NP\tO' -p360469 -aS'40\t40\tCD\tI-NP\tO' -p360470 -aS'mEq\tmEq\tNN\tI-NP\tO' -p360471 -aS'times\ttime\tNNS\tI-NP\tO' -p360472 -aS'1\t1\tCD\tI-NP\tO' -p360473 -aS'dose\tdose\tNN\tI-NP\tO' -p360474 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p360475 -asS'For his coronary artery disease , aspirin was started at 325 .' -p360476 -(lp360477 -S'For\tFor\tIN\tB-PP\tO' -p360478 -aS'his\this\tPRP$\tB-NP\tO' -p360479 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p360480 -aS'artery\tartery\tNN\tI-NP\tO' -p360481 -aS'disease\tdisease\tNN\tI-NP\tO' -p360482 -aS',\t,\t,\tO\tO' -p360483 -aS'aspirin\taspirin\tNN\tB-NP\tO' -p360484 -aS'was\tbe\tVBD\tB-VP\tO' -p360485 -aS'started\tstart\tVBN\tI-VP\tO' -p360486 -aS'at\tat\tIN\tB-PP\tO' -p360487 -aS'325\t325\tCD\tB-NP\tO' -p360488 -aS'.\t.\t.\tO\tO' -p360489 -asS'Her sedation was weaned down and she was successfully extubated shortly thereafter .' -p360490 -(lp360491 -S'Her\tHer\tPRP$\tB-NP\tO' -p360492 -aS'sedation\tsedation\tNN\tI-NP\tO' -p360493 -aS'was\tbe\tVBD\tB-VP\tO' -p360494 -aS'weaned\twean\tVBN\tI-VP\tO' -p360495 -aS'down\tdown\tRP\tB-PRT\tO' -p360496 -aS'and\tand\tCC\tO\tO' -p360497 -aS'she\tshe\tPRP\tB-NP\tO' -p360498 -aS'was\tbe\tVBD\tB-VP\tO' -p360499 -aS'successfully\tsuccessfully\tRB\tI-VP\tO' -p360500 -aS'extubated\textubate\tVBN\tI-VP\tO' -p360501 -aS'shortly\tshortly\tRB\tB-ADVP\tO' -p360502 -aS'thereafter\tthereafter\tRB\tI-ADVP\tO' -p360503 -aS'.\t.\t.\tO\tO' -p360504 -asS'They felt that it was most likely secondary to Bactrim and these actually were getting better when the patient died .' -p360505 -(lp360506 -S'They\tThey\tPRP\tB-NP\tO' -p360507 -aS'felt\tfeel\tVBD\tB-VP\tO' -p360508 -aS'that\tthat\tIN\tB-SBAR\tO' -p360509 -aS'it\tit\tPRP\tB-NP\tO' -p360510 -aS'was\tbe\tVBD\tB-VP\tO' -p360511 -aS'most\tmost\tRBS\tB-ADVP\tO' -p360512 -aS'likely\tlikely\tRB\tI-ADVP\tO' -p360513 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p360514 -aS'to\tto\tTO\tB-PP\tO' -p360515 -aS'Bactrim\tBactrim\tNNP\tB-NP\tO' -p360516 -aS'and\tand\tCC\tO\tO' -p360517 -aS'these\tthese\tDT\tB-NP\tO' -p360518 -aS'actually\tactually\tRB\tB-ADVP\tO' -p360519 -aS'were\tbe\tVBD\tB-VP\tO' -p360520 -aS'getting\tget\tVBG\tI-VP\tO' -p360521 -aS'better\twell\tRBR\tB-ADVP\tO' -p360522 -aS'when\twhen\tWRB\tB-ADVP\tO' -p360523 -aS'the\tthe\tDT\tB-NP\tO' -p360524 -aS'patient\tpatient\tNN\tI-NP\tO' -p360525 -aS'died\tdie\tVBD\tB-VP\tO' -p360526 -aS'.\t.\t.\tO\tO' -p360527 -asS'Trace MR , AI as described .' -p360528 -(lp360529 -S'Trace\tTrace\tNNP\tB-NP\tB-protein' -p360530 -aS'MR\tMR\tNNP\tI-NP\tI-protein' -p360531 -aS',\t,\t,\tO\tO' -p360532 -aS'AI\tAI\tNNP\tB-NP\tO' -p360533 -aS'as\tas\tIN\tB-SBAR\tO' -p360534 -aS'described\tdescribe\tVBN\tB-VP\tO' -p360535 -aS'.\t.\t.\tO\tO' -p360536 -asS'9. Fluconazole 200 mg Tablet Sig : Two ( 2 ) Tablet PO Q24H ( every 24 hours ) .' -p360537 -(lp360538 -S'9.\t9.\tCD\tB-NP\tO' -p360539 -aS'Fluconazole\tFluconazole\tNN\tI-NP\tO' -p360540 -aS'200\t200\tCD\tB-NP\tO' -p360541 -aS'mg\tmg\tNN\tI-NP\tO' -p360542 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p360543 -aS'Sig\tSig\tNNP\tI-NP\tO' -p360544 -aS':\t:\t:\tO\tO' -p360545 -aS'Two\tTwo\tCD\tB-NP\tO' -p360546 -aS'(\t(\t(\tO\tO' -p360547 -aS'2\t2\tCD\tO\tO' -p360548 -aS')\t)\t)\tO\tO' -p360549 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p360550 -aS'PO\tPO\tNN\tI-NP\tO' -p360551 -aS'Q24H\tQ24H\tNN\tI-NP\tO' -p360552 -aS'(\t(\t(\tO\tO' -p360553 -aS'every\tevery\tDT\tB-NP\tO' -p360554 -aS'24\t24\tCD\tI-NP\tO' -p360555 -aS'hours\thour\tNNS\tI-NP\tO' -p360556 -aS')\t)\t)\tO\tO' -p360557 -aS'.\t.\t.\tO\tO' -p360558 -asS'Status post sigmoid colectomy , hartmans pouch and washout' -p360559 -(lp360560 -S'Status\tStatus\tNNP\tB-NP\tO' -p360561 -aS'post\tpost\tVBD\tB-VP\tO' -p360562 -aS'sigmoid\tsigmoid\tJJ\tB-NP\tO' -p360563 -aS'colectomy\tcolectomy\tNN\tI-NP\tO' -p360564 -aS',\t,\t,\tO\tO' -p360565 -aS'hartmans\thartman\tVBZ\tB-VP\tO' -p360566 -aS'pouch\tpouch\tNN\tB-NP\tO' -p360567 -aS'and\tand\tCC\tI-NP\tO' -p360568 -aS'washout\twashout\tNN\tI-NP\tO' -p360569 -asS'The patient is a 43-year-old gravida II para II white female referred by Dr. Ca Shuff for evaluation .' -p360570 -(lp360571 -S'The\tThe\tDT\tB-NP\tO' -p360572 -aS'patient\tpatient\tNN\tI-NP\tO' -p360573 -aS'is\tbe\tVBZ\tB-VP\tO' -p360574 -aS'a\ta\tDT\tB-NP\tO' -p360575 -aS'43-year-old\t43-year-old\tJJ\tI-NP\tO' -p360576 -aS'gravida\tgravida\tNN\tI-NP\tO' -p360577 -aS'II\tII\tCD\tI-NP\tO' -p360578 -aS'para\tpara\tNN\tI-NP\tO' -p360579 -aS'II\tII\tCD\tI-NP\tO' -p360580 -aS'white\twhite\tJJ\tI-NP\tO' -p360581 -aS'female\tfemale\tNN\tI-NP\tO' -p360582 -aS'referred\trefer\tVBN\tB-VP\tO' -p360583 -aS'by\tby\tIN\tB-PP\tO' -p360584 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p360585 -aS'Ca\tCa\tNNP\tI-NP\tO' -p360586 -aS'Shuff\tShuff\tNNP\tI-NP\tO' -p360587 -aS'for\tfor\tIN\tB-PP\tO' -p360588 -aS'evaluation\tevaluation\tNN\tB-NP\tO' -p360589 -aS'.\t.\t.\tO\tO' -p360590 -asS'It progressed over the course of the day requiring less movement .' -p360591 -(lp360592 -S'It\tIt\tPRP\tB-NP\tO' -p360593 -aS'progressed\tprogress\tVBD\tB-VP\tO' -p360594 -aS'over\tover\tIN\tB-PP\tO' -p360595 -aS'the\tthe\tDT\tB-NP\tO' -p360596 -aS'course\tcourse\tNN\tI-NP\tO' -p360597 -aS'of\tof\tIN\tB-PP\tO' -p360598 -aS'the\tthe\tDT\tB-NP\tO' -p360599 -aS'day\tday\tNN\tI-NP\tO' -p360600 -aS'requiring\trequire\tVBG\tB-VP\tO' -p360601 -aS'less\tless\tJJR\tB-NP\tO' -p360602 -aS'movement\tmovement\tNN\tI-NP\tO' -p360603 -aS'.\t.\t.\tO\tO' -p360604 -asS'Neurology consultation on the evening of 9/7/93 revealed supple neck , no response to external rub .' -p360605 -(lp360606 -S'Neurology\tNeurology\tNN\tB-NP\tO' -p360607 -aS'consultation\tconsultation\tNN\tI-NP\tO' -p360608 -aS'on\ton\tIN\tB-PP\tO' -p360609 -aS'the\tthe\tDT\tB-NP\tO' -p360610 -aS'evening\tevening\tNN\tI-NP\tO' -p360611 -aS'of\tof\tIN\tB-PP\tO' -p360612 -aS'9/7/93\t9/7/93\tCD\tB-NP\tO' -p360613 -aS'revealed\treveal\tVBD\tB-VP\tO' -p360614 -aS'supple\tsupple\tNN\tB-NP\tO' -p360615 -aS'neck\tneck\tNN\tI-NP\tO' -p360616 -aS',\t,\t,\tO\tO' -p360617 -aS'no\tno\tDT\tB-NP\tO' -p360618 -aS'response\tresponse\tNN\tI-NP\tO' -p360619 -aS'to\tto\tTO\tB-PP\tO' -p360620 -aS'external\texternal\tJJ\tB-NP\tO' -p360621 -aS'rub\trub\tNN\tI-NP\tO' -p360622 -aS'.\t.\t.\tO\tO' -p360623 -asS"Her foley was subsequently dc 'd ." -p360624 -(lp360625 -S'Her\tHer\tPRP$\tB-NP\tO' -p360626 -aS'foley\tfoley\tNN\tI-NP\tO' -p360627 -aS'was\tbe\tVBD\tB-VP\tO' -p360628 -aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' -p360629 -aS'dc\tdc\tNN\tB-NP\tO' -p360630 -aS"'d\t'd\tNN\tI-NP\tO" -p360631 -aS'.\t.\t.\tO\tO' -p360632 -asS'G-tube was to gravity , Foley to gravity , left radial A-line .' -p360633 -(lp360634 -S'G-tube\tG-tube\tNN\tB-NP\tO' -p360635 -aS'was\tbe\tVBD\tB-VP\tO' -p360636 -aS'to\tto\tTO\tB-PP\tO' -p360637 -aS'gravity\tgravity\tNN\tB-NP\tO' -p360638 -aS',\t,\t,\tO\tO' -p360639 -aS'Foley\tFoley\tNNP\tB-NP\tO' -p360640 -aS'to\tto\tTO\tB-PP\tO' -p360641 -aS'gravity\tgravity\tNN\tB-NP\tO' -p360642 -aS',\t,\t,\tO\tO' -p360643 -aS'left\tleave\tVBD\tB-VP\tO' -p360644 -aS'radial\tradial\tJJ\tB-NP\tO' -p360645 -aS'A-line\tA-line\tNN\tI-NP\tO' -p360646 -aS'.\t.\t.\tO\tO' -p360647 -asS'please continue to take all of your medications as prescribed .' -p360648 -(lp360649 -S'please\tplease\tVB\tB-VP\tO' -p360650 -aS'continue\tcontinue\tVBP\tB-VP\tO' -p360651 -aS'to\tto\tTO\tI-VP\tO' -p360652 -aS'take\ttake\tVB\tI-VP\tO' -p360653 -aS'all\tall\tDT\tB-NP\tO' -p360654 -aS'of\tof\tIN\tB-PP\tO' -p360655 -aS'your\tyour\tPRP$\tB-NP\tO' -p360656 -aS'medications\tmedication\tNNS\tI-NP\tO' -p360657 -aS'as\tas\tIN\tB-SBAR\tO' -p360658 -aS'prescribed\tprescribe\tVBN\tB-VP\tO' -p360659 -aS'.\t.\t.\tO\tO' -p360660 -asS'Coumadin 5 mg po q d , Tagamet 400 mg po q d , Amoxicillin which was started on Labor Day , for a sore throat and Ativan 1 mg po prn nausea / anxiety .' -p360661 -(lp360662 -S'Coumadin\tCoumadin\tNN\tB-NP\tO' -p360663 -aS'5\t5\tCD\tI-NP\tO' -p360664 -aS'mg\tmg\tNN\tI-NP\tO' -p360665 -aS'po\tpo\tNN\tI-NP\tO' -p360666 -aS'q\tq\tNN\tI-NP\tO' -p360667 -aS'd\td\tNN\tI-NP\tO' -p360668 -aS',\t,\t,\tO\tO' -p360669 -aS'Tagamet\tTagamet\tNN\tB-NP\tO' -p360670 -aS'400\t400\tCD\tI-NP\tO' -p360671 -aS'mg\tmg\tNN\tI-NP\tO' -p360672 -aS'po\tpo\tNN\tI-NP\tO' -p360673 -aS'q\tq\tNN\tI-NP\tO' -p360674 -aS'd\td\tNN\tI-NP\tO' -p360675 -aS',\t,\t,\tO\tO' -p360676 -aS'Amoxicillin\tAmoxicillin\tNN\tB-NP\tB-protein' -p360677 -aS'which\twhich\tWDT\tB-NP\tO' -p360678 -aS'was\tbe\tVBD\tB-VP\tO' -p360679 -aS'started\tstart\tVBN\tI-VP\tO' -p360680 -aS'on\ton\tIN\tB-PP\tO' -p360681 -aS'Labor\tLabor\tNNP\tB-NP\tO' -p360682 -aS'Day\tDay\tNNP\tI-NP\tO' -p360683 -aS',\t,\t,\tO\tO' -p360684 -aS'for\tfor\tIN\tB-PP\tO' -p360685 -aS'a\ta\tDT\tB-NP\tO' -p360686 -aS'sore\tsore\tJJ\tI-NP\tO' -p360687 -aS'throat\tthroat\tNN\tI-NP\tO' -p360688 -aS'and\tand\tCC\tO\tO' -p360689 -aS'Ativan\tAtivan\tIN\tB-NP\tO' -p360690 -aS'1\t1\tCD\tI-NP\tO' -p360691 -aS'mg\tmg\tNN\tI-NP\tO' -p360692 -aS'po\tpo\tNN\tI-NP\tO' -p360693 -aS'prn\tprn\tNN\tI-NP\tO' -p360694 -aS'nausea\tnausea\tNN\tI-NP\tO' -p360695 -aS'/\t/\tSYM\tB-NP\tO' -p360696 -aS'anxiety\tanxiety\tNN\tI-NP\tO' -p360697 -aS'.\t.\t.\tO\tO' -p360698 -asS'At the time of surgery , frozen section revealed benign mucinous cystadenoma .' -p360699 -(lp360700 -S'At\tAt\tIN\tB-PP\tO' -p360701 -aS'the\tthe\tDT\tB-NP\tO' -p360702 -aS'time\ttime\tNN\tI-NP\tO' -p360703 -aS'of\tof\tIN\tB-PP\tO' -p360704 -aS'surgery\tsurgery\tNN\tB-NP\tO' -p360705 -aS',\t,\t,\tO\tO' -p360706 -aS'frozen\tfrozen\tJJ\tB-NP\tO' -p360707 -aS'section\tsection\tNN\tI-NP\tO' -p360708 -aS'revealed\treveal\tVBD\tB-VP\tO' -p360709 -aS'benign\tbenign\tJJ\tB-NP\tO' -p360710 -aS'mucinous\tmucinous\tJJ\tI-NP\tO' -p360711 -aS'cystadenoma\tcystadenoma\tNN\tI-NP\tO' -p360712 -aS'.\t.\t.\tO\tO' -p360713 -asS'Left anterior temporal intraparenchymal hemorrhage .' -p360714 -(lp360715 -S'Left\tLeave\tVBN\tB-NP\tO' -p360716 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p360717 -aS'temporal\ttemporal\tJJ\tI-NP\tO' -p360718 -aS'intraparenchymal\tintraparenchymal\tJJ\tI-NP\tO' -p360719 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p360720 -aS'.\t.\t.\tO\tO' -p360721 -asS'The patient is also status post aortic valve replacement in 1996 , and presented for heparinization prior to her elective valve surgery .' -p360722 -(lp360723 -S'The\tThe\tDT\tB-NP\tO' -p360724 -aS'patient\tpatient\tNN\tI-NP\tO' -p360725 -aS'is\tbe\tVBZ\tB-VP\tO' -p360726 -aS'also\talso\tRB\tB-ADVP\tO' -p360727 -aS'status\tstatus\tNN\tB-NP\tO' -p360728 -aS'post\tpost\tNN\tI-NP\tO' -p360729 -aS'aortic\taortic\tJJ\tI-NP\tO' -p360730 -aS'valve\tvalve\tNN\tI-NP\tO' -p360731 -aS'replacement\treplacement\tNN\tI-NP\tO' -p360732 -aS'in\tin\tIN\tB-PP\tO' -p360733 -aS'1996\t1996\tCD\tB-NP\tO' -p360734 -aS',\t,\t,\tO\tO' -p360735 -aS'and\tand\tCC\tO\tO' -p360736 -aS'presented\tpresent\tVBN\tB-VP\tO' -p360737 -aS'for\tfor\tIN\tB-PP\tO' -p360738 -aS'heparinization\theparinization\tNN\tB-NP\tO' -p360739 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p360740 -aS'to\tto\tTO\tB-PP\tO' -p360741 -aS'her\ther\tPRP$\tB-NP\tO' -p360742 -aS'elective\telective\tJJ\tI-NP\tO' -p360743 -aS'valve\tvalve\tNN\tI-NP\tO' -p360744 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p360745 -aS'.\t.\t.\tO\tO' -p360746 -asS'She presented with three days of general malaise , nausea , vomiting , shortness of breath , cough productive of white sputum .' -p360747 -(lp360748 -S'She\tShe\tPRP\tB-NP\tO' -p360749 -aS'presented\tpresent\tVBD\tB-VP\tO' -p360750 -aS'with\twith\tIN\tB-PP\tO' -p360751 -aS'three\tthree\tCD\tB-NP\tO' -p360752 -aS'days\tday\tNNS\tI-NP\tO' -p360753 -aS'of\tof\tIN\tB-PP\tO' -p360754 -aS'general\tgeneral\tJJ\tB-NP\tO' -p360755 -aS'malaise\tmalaise\tNN\tI-NP\tO' -p360756 -aS',\t,\t,\tO\tO' -p360757 -aS'nausea\tnausea\tNN\tB-NP\tO' -p360758 -aS',\t,\t,\tO\tO' -p360759 -aS'vomiting\tvomiting\tNN\tB-NP\tO' -p360760 -aS',\t,\t,\tO\tO' -p360761 -aS'shortness\tshortness\tNN\tB-NP\tO' -p360762 -aS'of\tof\tIN\tB-PP\tO' -p360763 -aS'breath\tbreath\tNN\tB-NP\tO' -p360764 -aS',\t,\t,\tO\tO' -p360765 -aS'cough\tcough\tNN\tB-NP\tO' -p360766 -aS'productive\tproductive\tJJ\tB-ADJP\tO' -p360767 -aS'of\tof\tIN\tB-PP\tO' -p360768 -aS'white\twhite\tJJ\tB-NP\tO' -p360769 -aS'sputum\tsputum\tNN\tI-NP\tO' -p360770 -aS'.\t.\t.\tO\tO' -p360771 -asS'His meds should be crushed and mixed with puree thick liquid .' -p360772 -(lp360773 -S'His\tHis\tPRP$\tB-NP\tO' -p360774 -aS'meds\tmed\tNNS\tI-NP\tO' -p360775 -aS'should\tshould\tMD\tB-VP\tO' -p360776 -aS'be\tbe\tVB\tI-VP\tO' -p360777 -aS'crushed\tcrush\tVBN\tI-VP\tO' -p360778 -aS'and\tand\tCC\tO\tO' -p360779 -aS'mixed\tmix\tVBN\tB-VP\tO' -p360780 -aS'with\twith\tIN\tB-PP\tO' -p360781 -aS'puree\tpuree\tJJ\tB-NP\tO' -p360782 -aS'thick\tthick\tJJ\tI-NP\tO' -p360783 -aS'liquid\tliquid\tNN\tI-NP\tO' -p360784 -aS'.\t.\t.\tO\tO' -p360785 -asS'Slight abductive and adductive movement on the left only in the upper extremity .' -p360786 -(lp360787 -S'Slight\tSlight\tNN\tB-NP\tO' -p360788 -aS'abductive\tabductive\tJJ\tI-NP\tO' -p360789 -aS'and\tand\tCC\tI-NP\tO' -p360790 -aS'adductive\tadductive\tJJ\tI-NP\tO' -p360791 -aS'movement\tmovement\tNN\tI-NP\tO' -p360792 -aS'on\ton\tIN\tB-PP\tO' -p360793 -aS'the\tthe\tDT\tB-NP\tO' -p360794 -aS'left\tleft\tJJ\tI-NP\tO' -p360795 -aS'only\tonly\tRB\tB-PP\tO' -p360796 -aS'in\tin\tIN\tI-PP\tO' -p360797 -aS'the\tthe\tDT\tB-NP\tO' -p360798 -aS'upper\tupper\tJJ\tI-NP\tO' -p360799 -aS'extremity\textremity\tNN\tI-NP\tO' -p360800 -aS'.\t.\t.\tO\tO' -p360801 -asS'His immunosuppression was OKT3 and Solu Medrol , and he underwent hemodialysis and ultra filtration to remove fluid .' -p360802 -(lp360803 -S'His\tHis\tPRP$\tB-NP\tO' -p360804 -aS'immunosuppression\timmunosuppression\tNN\tI-NP\tO' -p360805 -aS'was\tbe\tVBD\tB-VP\tO' -p360806 -aS'OKT3\tOKT3\tNN\tB-NP\tB-protein' -p360807 -aS'and\tand\tCC\tO\tO' -p360808 -aS'Solu\tSolu\tNNP\tB-NP\tO' -p360809 -aS'Medrol\tMedrol\tNNP\tI-NP\tO' -p360810 -aS',\t,\t,\tO\tO' -p360811 -aS'and\tand\tCC\tO\tO' -p360812 -aS'he\the\tPRP\tB-NP\tO' -p360813 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p360814 -aS'hemodialysis\themodialysis\tNN\tB-NP\tO' -p360815 -aS'and\tand\tCC\tO\tO' -p360816 -aS'ultra\tultra\tJJ\tB-NP\tO' -p360817 -aS'filtration\tfiltration\tNN\tI-NP\tO' -p360818 -aS'to\tto\tTO\tB-VP\tO' -p360819 -aS'remove\tremove\tVB\tI-VP\tO' -p360820 -aS'fluid\tfluid\tNN\tB-NP\tO' -p360821 -aS'.\t.\t.\tO\tO' -p360822 -asS'The patient received chest PT and was encouraged to ambulate frequently .' -p360823 -(lp360824 -S'The\tThe\tDT\tB-NP\tO' -p360825 -aS'patient\tpatient\tNN\tI-NP\tO' -p360826 -aS'received\treceive\tVBD\tB-VP\tO' -p360827 -aS'chest\tchest\tNN\tB-NP\tO' -p360828 -aS'PT\tPT\tNN\tI-NP\tO' -p360829 -aS'and\tand\tCC\tO\tO' -p360830 -aS'was\tbe\tVBD\tB-VP\tO' -p360831 -aS'encouraged\tencourage\tVBN\tI-VP\tO' -p360832 -aS'to\tto\tTO\tI-VP\tO' -p360833 -aS'ambulate\tambulate\tVB\tI-VP\tO' -p360834 -aS'frequently\tfrequently\tRB\tB-ADVP\tO' -p360835 -aS'.\t.\t.\tO\tO' -p360836 -asS'His blood pressure was taken down from 230 systolic to approx 160 systolic / 100 diastolic on discharge .' -p360837 -(lp360838 -S'His\tHis\tPRP$\tB-NP\tO' -p360839 -aS'blood\tblood\tNN\tI-NP\tO' -p360840 -aS'pressure\tpressure\tNN\tI-NP\tO' -p360841 -aS'was\tbe\tVBD\tB-VP\tO' -p360842 -aS'taken\ttake\tVBN\tI-VP\tO' -p360843 -aS'down\tdown\tRB\tB-ADVP\tO' -p360844 -aS'from\tfrom\tIN\tB-PP\tO' -p360845 -aS'230\t230\tCD\tB-NP\tO' -p360846 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p360847 -aS'to\tto\tTO\tB-VP\tO' -p360848 -aS'approx\tapprox\tVB\tI-VP\tO' -p360849 -aS'160\t160\tCD\tB-NP\tO' -p360850 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p360851 -aS'/\t/\tSYM\tI-NP\tO' -p360852 -aS'100\t100\tCD\tI-NP\tO' -p360853 -aS'diastolic\tdiastolic\tJJ\tI-NP\tO' -p360854 -aS'on\ton\tIN\tB-PP\tO' -p360855 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p360856 -aS'.\t.\t.\tO\tO' -p360857 -asS'He has insulin dependent diabetes mellitus and a history of a dilated cardiomyopathy .' -p360858 -(lp360859 -S'He\tHe\tPRP\tB-NP\tO' -p360860 -aS'has\thave\tVBZ\tB-VP\tO' -p360861 -aS'insulin\tinsulin\tNN\tB-NP\tB-protein' -p360862 -aS'dependent\tdependent\tJJ\tI-NP\tO' -p360863 -aS'diabetes\tdiabete\tNNS\tI-NP\tO' -p360864 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p360865 -aS'and\tand\tCC\tO\tO' -p360866 -aS'a\ta\tDT\tB-NP\tO' -p360867 -aS'history\thistory\tNN\tI-NP\tO' -p360868 -aS'of\tof\tIN\tB-PP\tO' -p360869 -aS'a\ta\tDT\tB-NP\tO' -p360870 -aS'dilated\tdilated\tJJ\tI-NP\tO' -p360871 -aS'cardiomyopathy\tcardiomyopathy\tNN\tI-NP\tO' -p360872 -aS'.\t.\t.\tO\tO' -p360873 -asS'Lungs were clear to auscultation .' -p360874 -(lp360875 -S'Lungs\tLung\tNNS\tB-NP\tO' -p360876 -aS'were\tbe\tVBD\tB-VP\tO' -p360877 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p360878 -aS'to\tto\tTO\tB-PP\tO' -p360879 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p360880 -aS'.\t.\t.\tO\tO' -p360881 -asS'Baby received 48 hours of Ampicillin and Gentamycin with negative cultures and a stable clinical course .' -p360882 -(lp360883 -S'Baby\tBaby\tNNP\tB-NP\tO' -p360884 -aS'received\treceive\tVBD\tB-VP\tO' -p360885 -aS'48\t48\tCD\tB-NP\tO' -p360886 -aS'hours\thour\tNNS\tI-NP\tO' -p360887 -aS'of\tof\tIN\tB-PP\tO' -p360888 -aS'Ampicillin\tAmpicillin\tNN\tB-NP\tB-protein' -p360889 -aS'and\tand\tCC\tI-NP\tO' -p360890 -aS'Gentamycin\tGentamycin\tNN\tI-NP\tO' -p360891 -aS'with\twith\tIN\tB-PP\tO' -p360892 -aS'negative\tnegative\tJJ\tB-NP\tO' -p360893 -aS'cultures\tculture\tNNS\tI-NP\tO' -p360894 -aS'and\tand\tCC\tO\tO' -p360895 -aS'a\ta\tDT\tB-NP\tO' -p360896 -aS'stable\tstable\tJJ\tI-NP\tO' -p360897 -aS'clinical\tclinical\tJJ\tI-NP\tO' -p360898 -aS'course\tcourse\tNN\tI-NP\tO' -p360899 -aS'.\t.\t.\tO\tO' -p360900 -asS'The contact social worker is Barbara Cole and she can be reached at ( 972 ) 433-8086 .' -p360901 -(lp360902 -S'The\tThe\tDT\tB-NP\tO' -p360903 -aS'contact\tcontact\tNN\tI-NP\tO' -p360904 -aS'social\tsocial\tJJ\tI-NP\tO' -p360905 -aS'worker\tworker\tNN\tI-NP\tO' -p360906 -aS'is\tbe\tVBZ\tB-VP\tO' -p360907 -aS'Barbara\tBarbara\tNNP\tB-NP\tO' -p360908 -aS'Cole\tCole\tNNP\tI-NP\tO' -p360909 -aS'and\tand\tCC\tO\tO' -p360910 -aS'she\tshe\tPRP\tB-NP\tO' -p360911 -aS'can\tcan\tMD\tB-VP\tO' -p360912 -aS'be\tbe\tVB\tI-VP\tO' -p360913 -aS'reached\treach\tVBN\tI-VP\tO' -p360914 -aS'at\tat\tIN\tB-PP\tO' -p360915 -aS'(\t(\t(\tO\tO' -p360916 -aS'972\t972\tCD\tB-NP\tO' -p360917 -aS')\t)\t)\tO\tO' -p360918 -aS'433-8086\t433-8086\tCD\tB-NP\tO' -p360919 -aS'.\t.\t.\tO\tO' -p360920 -asS'Systolic blood pressure was reported 250 on arrival to the Mass. Eye & Ear Infirmary Emergency Department .' -p360921 -(lp360922 -S'Systolic\tSystolic\tJJ\tB-NP\tO' -p360923 -aS'blood\tblood\tNN\tI-NP\tO' -p360924 -aS'pressure\tpressure\tNN\tI-NP\tO' -p360925 -aS'was\tbe\tVBD\tB-VP\tO' -p360926 -aS'reported\treport\tVBN\tI-VP\tO' -p360927 -aS'250\t250\tCD\tB-NP\tO' -p360928 -aS'on\ton\tIN\tB-PP\tO' -p360929 -aS'arrival\tarrival\tNN\tB-NP\tO' -p360930 -aS'to\tto\tTO\tB-PP\tO' -p360931 -aS'the\tthe\tDT\tB-NP\tO' -p360932 -aS'Mass.\tMass.\tNNP\tI-NP\tO' -p360933 -aS'Eye\tEye\tNNP\tI-NP\tO' -p360934 -aS'&\t&\tCC\tI-NP\tO' -p360935 -aS'Ear\tEar\tNNP\tI-NP\tO' -p360936 -aS'Infirmary\tInfirmary\tNNP\tI-NP\tO' -p360937 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p360938 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p360939 -aS'.\t.\t.\tO\tO' -p360940 -asS'PA was 19/7 with a mean of 13 .' -p360941 -(lp360942 -S'PA\tPA\tNN\tB-NP\tO' -p360943 -aS'was\tbe\tVBD\tB-VP\tO' -p360944 -aS'19/7\t19/7\tCD\tB-NP\tO' -p360945 -aS'with\twith\tIN\tB-PP\tO' -p360946 -aS'a\ta\tDT\tB-NP\tO' -p360947 -aS'mean\tmean\tNN\tI-NP\tO' -p360948 -aS'of\tof\tIN\tB-PP\tO' -p360949 -aS'13\t13\tCD\tB-NP\tO' -p360950 -aS'.\t.\t.\tO\tO' -p360951 -asS'Prilosec , 20 mg. PO q.day ; Singulair .' -p360952 -(lp360953 -S'Prilosec\tPrilosec\tNNP\tB-NP\tO' -p360954 -aS',\t,\t,\tO\tO' -p360955 -aS'20\t20\tCD\tB-NP\tO' -p360956 -aS'mg.\tmg.\tNN\tI-NP\tO' -p360957 -aS'PO\tPO\tNN\tI-NP\tO' -p360958 -aS'q.day\tq.day\tNN\tI-NP\tO' -p360959 -aS';\t;\t:\tO\tO' -p360960 -aS'Singulair\tSingulair\tNNP\tB-NP\tO' -p360961 -aS'.\t.\t.\tO\tO' -p360962 -asS'Call to reschedule .' -p360963 -(lp360964 -S'Call\tCall\tVB\tB-VP\tO' -p360965 -aS'to\tto\tTO\tI-VP\tO' -p360966 -aS'reschedule\treschedule\tVB\tI-VP\tO' -p360967 -aS'.\t.\t.\tO\tO' -p360968 -asS'The patient had no shortness of breath or cough on discharge .' -p360969 -(lp360970 -S'The\tThe\tDT\tB-NP\tO' -p360971 -aS'patient\tpatient\tNN\tI-NP\tO' -p360972 -aS'had\thave\tVBD\tB-VP\tO' -p360973 -aS'no\tno\tDT\tB-NP\tO' -p360974 -aS'shortness\tshortness\tNN\tI-NP\tO' -p360975 -aS'of\tof\tIN\tB-PP\tO' -p360976 -aS'breath\tbreath\tNN\tB-NP\tO' -p360977 -aS'or\tor\tCC\tI-NP\tO' -p360978 -aS'cough\tcough\tNN\tI-NP\tO' -p360979 -aS'on\ton\tIN\tB-PP\tO' -p360980 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p360981 -aS'.\t.\t.\tO\tO' -p360982 -asS'Her temperature is 97.9 , blood pressure 160/80 , heart rate 92 , her HEENT examination reveals anicteric sclerae and her left eye has slightly relaxed inferoorbital wall .' -p360983 -(lp360984 -S'Her\tHer\tPRP$\tB-NP\tO' -p360985 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p360986 -aS'is\tbe\tVBZ\tB-VP\tO' -p360987 -aS'97.9\t97.9\tCD\tB-NP\tO' -p360988 -aS',\t,\t,\tO\tO' -p360989 -aS'blood\tblood\tNN\tB-NP\tO' -p360990 -aS'pressure\tpressure\tNN\tI-NP\tO' -p360991 -aS'160/80\t160/80\tCD\tI-NP\tO' -p360992 -aS',\t,\t,\tO\tO' -p360993 -aS'heart\theart\tNN\tB-NP\tO' -p360994 -aS'rate\trate\tNN\tI-NP\tO' -p360995 -aS'92\t92\tCD\tI-NP\tO' -p360996 -aS',\t,\t,\tO\tO' -p360997 -aS'her\ther\tPRP$\tB-NP\tO' -p360998 -aS'HEENT\tHEENT\tNN\tI-NP\tO' -p360999 -aS'examination\texamination\tNN\tI-NP\tO' -p361000 -aS'reveals\treveal\tVBZ\tB-VP\tO' -p361001 -aS'anicteric\tanicteric\tJJ\tB-NP\tO' -p361002 -aS'sclerae\tsclerae\tNNS\tI-NP\tO' -p361003 -aS'and\tand\tCC\tO\tO' -p361004 -aS'her\ther\tPRP$\tB-NP\tO' -p361005 -aS'left\tleft\tJJ\tI-NP\tO' -p361006 -aS'eye\teye\tNN\tI-NP\tO' -p361007 -aS'has\thave\tVBZ\tB-VP\tO' -p361008 -aS'slightly\tslightly\tRB\tI-VP\tO' -p361009 -aS'relaxed\trelax\tVBN\tI-VP\tO' -p361010 -aS'inferoorbital\tinferoorbital\tJJ\tB-NP\tO' -p361011 -aS'wall\twall\tNN\tI-NP\tO' -p361012 -aS'.\t.\t.\tO\tO' -p361013 -asS'The patient tolerated the procedure well and he was sent to the floor in stable condition .' -p361014 -(lp361015 -S'The\tThe\tDT\tB-NP\tO' -p361016 -aS'patient\tpatient\tNN\tI-NP\tO' -p361017 -aS'tolerated\ttolerate\tVBD\tB-VP\tO' -p361018 -aS'the\tthe\tDT\tB-NP\tO' -p361019 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p361020 -aS'well\twell\tRB\tB-ADVP\tO' -p361021 -aS'and\tand\tCC\tO\tO' -p361022 -aS'he\the\tPRP\tB-NP\tO' -p361023 -aS'was\tbe\tVBD\tB-VP\tO' -p361024 -aS'sent\tsend\tVBN\tI-VP\tO' -p361025 -aS'to\tto\tTO\tB-PP\tO' -p361026 -aS'the\tthe\tDT\tB-NP\tO' -p361027 -aS'floor\tfloor\tNN\tI-NP\tO' -p361028 -aS'in\tin\tIN\tB-PP\tO' -p361029 -aS'stable\tstable\tJJ\tB-NP\tO' -p361030 -aS'condition\tcondition\tNN\tI-NP\tO' -p361031 -aS'.\t.\t.\tO\tO' -p361032 -asS'- Insulin NPH 75-25 20units qAM and humalog sliding scale' -p361033 -(lp361034 -S'-\t-\tHYPH\tB-NP\tO' -p361035 -aS'Insulin\tInsulin\tNN\tI-NP\tB-protein' -p361036 -aS'NPH\tNPH\tNN\tI-NP\tO' -p361037 -aS'75-25\t75-25\tCD\tB-NP\tO' -p361038 -aS'20units\t20unit\tNNS\tI-NP\tO' -p361039 -aS'qAM\tqAM\tNN\tB-NP\tO' -p361040 -aS'and\tand\tCC\tO\tO' -p361041 -aS'humalog\thumalog\tNN\tB-NP\tO' -p361042 -aS'sliding\tslide\tVBG\tB-VP\tO' -p361043 -aS'scale\tscale\tNN\tB-NP\tO' -p361044 -asS'No masses or thrombi are seen in the left ventricle ( due to poor echo windows cannot fully exclude ).' -p361045 -(lp361046 -S'No\tNo\tDT\tB-NP\tO' -p361047 -aS'masses\tmass\tNNS\tI-NP\tO' -p361048 -aS'or\tor\tCC\tI-NP\tO' -p361049 -aS'thrombi\tthrombus\tNNS\tI-NP\tO' -p361050 -aS'are\tbe\tVBP\tB-VP\tO' -p361051 -aS'seen\tsee\tVBN\tI-VP\tO' -p361052 -aS'in\tin\tIN\tB-PP\tO' -p361053 -aS'the\tthe\tDT\tB-NP\tO' -p361054 -aS'left\tleft\tJJ\tI-NP\tO' -p361055 -aS'ventricle\tventricle\tNN\tI-NP\tO' -p361056 -aS'(\t(\t(\tO\tO' -p361057 -aS'due\tdue\tJJ\tB-PP\tO' -p361058 -aS'to\tto\tTO\tB-PP\tO' -p361059 -aS'poor\tpoor\tJJ\tB-NP\tO' -p361060 -aS'echo\techo\tJJ\tI-NP\tO' -p361061 -aS'windows\twindow\tNNS\tI-NP\tO' -p361062 -aS'cannot\tcannot\tMD\tB-VP\tO' -p361063 -aS'fully\tfully\tRB\tI-VP\tO' -p361064 -aS'exclude\texclude\tVB\tI-VP\tO' -p361065 -aS').\t).\t.\tO\tO' -p361066 -asS'Mother with asthma .' -p361067 -(lp361068 -S'Mother\tMother\tDT\tB-NP\tO' -p361069 -aS'with\twith\tIN\tB-PP\tO' -p361070 -aS'asthma\tasthma\tNN\tB-NP\tO' -p361071 -aS'.\t.\t.\tO\tO' -p361072 -asS'Attention was paid to a variety of metabolic and electrolyte abnormalities , which were corrected appropriately .' -p361073 -(lp361074 -S'Attention\tAttention\tNN\tB-NP\tO' -p361075 -aS'was\tbe\tVBD\tB-VP\tO' -p361076 -aS'paid\tpay\tVBN\tI-VP\tO' -p361077 -aS'to\tto\tTO\tB-PP\tO' -p361078 -aS'a\ta\tDT\tB-NP\tO' -p361079 -aS'variety\tvariety\tNN\tI-NP\tO' -p361080 -aS'of\tof\tIN\tB-PP\tO' -p361081 -aS'metabolic\tmetabolic\tJJ\tB-NP\tO' -p361082 -aS'and\tand\tCC\tI-NP\tO' -p361083 -aS'electrolyte\telectrolyte\tNN\tI-NP\tO' -p361084 -aS'abnormalities\tabnormality\tNNS\tI-NP\tO' -p361085 -aS',\t,\t,\tO\tO' -p361086 -aS'which\twhich\tWDT\tB-NP\tO' -p361087 -aS'were\tbe\tVBD\tB-VP\tO' -p361088 -aS'corrected\tcorrect\tVBN\tI-VP\tO' -p361089 -aS'appropriately\tappropriately\tRB\tB-ADVP\tO' -p361090 -aS'.\t.\t.\tO\tO' -p361091 -asS"The patient 's SMA 7 was notable for a BUN of 28 , creatinine 1.3 , and a glucose of 102 ." -p361092 -(lp361093 -S'The\tThe\tDT\tB-NP\tO' -p361094 -aS'patient\tpatient\tNN\tI-NP\tO' -p361095 -aS"'s\t's\tPOS\tB-NP\tO" -p361096 -aS'SMA\tSMA\tNN\tI-NP\tB-protein' -p361097 -aS'7\t7\tCD\tI-NP\tI-protein' -p361098 -aS'was\tbe\tVBD\tB-VP\tO' -p361099 -aS'notable\tnotable\tJJ\tB-ADJP\tO' -p361100 -aS'for\tfor\tIN\tB-PP\tO' -p361101 -aS'a\ta\tDT\tB-NP\tO' -p361102 -aS'BUN\tBUN\tNN\tI-NP\tB-protein' -p361103 -aS'of\tof\tIN\tB-PP\tO' -p361104 -aS'28\t28\tCD\tB-NP\tO' -p361105 -aS',\t,\t,\tO\tO' -p361106 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p361107 -aS'1.3\t1.3\tCD\tI-NP\tO' -p361108 -aS',\t,\t,\tO\tO' -p361109 -aS'and\tand\tCC\tO\tO' -p361110 -aS'a\ta\tDT\tB-NP\tO' -p361111 -aS'glucose\tglucose\tNN\tI-NP\tO' -p361112 -aS'of\tof\tIN\tB-PP\tO' -p361113 -aS'102\t102\tCD\tB-NP\tO' -p361114 -aS'.\t.\t.\tO\tO' -p361115 -asS'There was approximately 500cc of retroperitoneal clot .' -p361116 -(lp361117 -S'There\tThere\tEX\tB-NP\tO' -p361118 -aS'was\tbe\tVBD\tB-VP\tO' -p361119 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p361120 -aS'500cc\t500cc\tCD\tI-NP\tO' -p361121 -aS'of\tof\tIN\tB-PP\tO' -p361122 -aS'retroperitoneal\tretroperitoneal\tJJ\tB-NP\tO' -p361123 -aS'clot\tclot\tNN\tI-NP\tO' -p361124 -aS'.\t.\t.\tO\tO' -p361125 -asS'POD# 22/15 Ms Crossman was transferred to 3 North where she continued to progress well with PT , increasing PO intake , tolerating TF s, and weaning from nasal cannula oxygen .' -p361126 -(lp361127 -S'POD#\tPOD#\tNN\tB-NP\tO' -p361128 -aS'22/15\t22/15\tCD\tI-NP\tO' -p361129 -aS'Ms\tM\tNNS\tI-NP\tO' -p361130 -aS'Crossman\tCrossman\tNN\tI-NP\tO' -p361131 -aS'was\tbe\tVBD\tB-VP\tO' -p361132 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p361133 -aS'to\tto\tTO\tB-PP\tO' -p361134 -aS'3\t3\tCD\tB-NP\tO' -p361135 -aS'North\tNorth\tNN\tI-NP\tO' -p361136 -aS'where\twhere\tWRB\tB-ADVP\tO' -p361137 -aS'she\tshe\tPRP\tB-NP\tO' -p361138 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p361139 -aS'to\tto\tTO\tI-VP\tO' -p361140 -aS'progress\tprogress\tVB\tI-VP\tO' -p361141 -aS'well\twell\tRB\tB-ADVP\tO' -p361142 -aS'with\twith\tIN\tB-PP\tO' -p361143 -aS'PT\tPT\tNN\tB-NP\tO' -p361144 -aS',\t,\t,\tO\tO' -p361145 -aS'increasing\tincrease\tVBG\tB-VP\tO' -p361146 -aS'PO\tPO\tNN\tB-NP\tO' -p361147 -aS'intake\tintake\tNN\tI-NP\tO' -p361148 -aS',\t,\t,\tO\tO' -p361149 -aS'tolerating\ttolerate\tVBG\tB-VP\tO' -p361150 -aS'TF\tTF\tNN\tB-NP\tB-protein' -p361151 -aS's,\ts,\tNN\tI-NP\tI-protein' -p361152 -aS'and\tand\tCC\tO\tO' -p361153 -aS'weaning\tweaning\tNN\tB-NP\tO' -p361154 -aS'from\tfrom\tIN\tB-PP\tO' -p361155 -aS'nasal\tnasal\tJJ\tB-NP\tO' -p361156 -aS'cannula\tcannula\tNN\tI-NP\tO' -p361157 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p361158 -aS'.\t.\t.\tO\tO' -p361159 -asS'1. Right middle lobe lung nodule , suspicious for metastatic disease .' -p361160 -(lp361161 -S'1.\t1.\tLS\tB-NP\tO' -p361162 -aS'Right\tRight\tNN\tI-NP\tO' -p361163 -aS'middle\tmiddle\tJJ\tI-NP\tO' -p361164 -aS'lobe\tlobe\tNN\tI-NP\tO' -p361165 -aS'lung\tlung\tNN\tI-NP\tO' -p361166 -aS'nodule\tnodule\tNN\tI-NP\tO' -p361167 -aS',\t,\t,\tO\tO' -p361168 -aS'suspicious\tsuspicious\tJJ\tB-ADJP\tO' -p361169 -aS'for\tfor\tIN\tB-PP\tO' -p361170 -aS'metastatic\tmetastatic\tJJ\tB-NP\tO' -p361171 -aS'disease\tdisease\tNN\tI-NP\tO' -p361172 -aS'.\t.\t.\tO\tO' -p361173 -asS'The patient had no further episodes of chest discomfort and remained afebrile while in house .' -p361174 -(lp361175 -S'The\tThe\tDT\tB-NP\tO' -p361176 -aS'patient\tpatient\tNN\tI-NP\tO' -p361177 -aS'had\thave\tVBD\tB-VP\tO' -p361178 -aS'no\tno\tDT\tB-NP\tO' -p361179 -aS'further\tfurther\tJJ\tI-NP\tO' -p361180 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p361181 -aS'of\tof\tIN\tB-PP\tO' -p361182 -aS'chest\tchest\tNN\tB-NP\tO' -p361183 -aS'discomfort\tdiscomfort\tNN\tI-NP\tO' -p361184 -aS'and\tand\tCC\tO\tO' -p361185 -aS'remained\tremain\tVBD\tB-VP\tO' -p361186 -aS'afebrile\tafebrile\tJJ\tB-NP\tO' -p361187 -aS'while\twhile\tNN\tI-NP\tO' -p361188 -aS'in\tin\tIN\tB-PP\tO' -p361189 -aS'house\thouse\tNN\tB-NP\tO' -p361190 -aS'.\t.\t.\tO\tO' -p361191 -asS'Negative trismus or stridor .' -p361192 -(lp361193 -S'Negative\tNegative\tJJ\tB-NP\tO' -p361194 -aS'trismus\ttrismus\tNN\tI-NP\tO' -p361195 -aS'or\tor\tCC\tI-NP\tO' -p361196 -aS'stridor\tstridor\tNN\tI-NP\tO' -p361197 -aS'.\t.\t.\tO\tO' -p361198 -asS'She has had ultrasound proven gallstones for ten years , seen on an earlier obstetric ultrasound .' -p361199 -(lp361200 -S'She\tShe\tPRP\tB-NP\tO' -p361201 -aS'has\thave\tVBZ\tB-VP\tO' -p361202 -aS'had\thave\tVBN\tI-VP\tO' -p361203 -aS'ultrasound\tultrasound\tVBN\tI-VP\tO' -p361204 -aS'proven\tproven\tJJ\tB-NP\tO' -p361205 -aS'gallstones\tgallstone\tNNS\tI-NP\tO' -p361206 -aS'for\tfor\tIN\tB-PP\tO' -p361207 -aS'ten\tten\tCD\tB-NP\tO' -p361208 -aS'years\tyear\tNNS\tI-NP\tO' -p361209 -aS',\t,\t,\tO\tO' -p361210 -aS'seen\tsee\tVBN\tB-VP\tO' -p361211 -aS'on\ton\tIN\tB-PP\tO' -p361212 -aS'an\tan\tDT\tB-NP\tO' -p361213 -aS'earlier\tearly\tJJR\tI-NP\tO' -p361214 -aS'obstetric\tobstetric\tJJ\tI-NP\tO' -p361215 -aS'ultrasound\tultrasound\tNN\tI-NP\tO' -p361216 -aS'.\t.\t.\tO\tO' -p361217 -asS'At 9/6/93 , 2:30 p.m. , fluids were decreased to 75 cc's per hour , 150 cc's per kilo , 40 mEq of K phosphate added to the intravenous fluids .' -p361218 -(lp361219 -S'At\tAt\tIN\tB-PP\tO' -p361220 -aS'9/6/93\t9/6/93\tCD\tB-NP\tO' -p361221 -aS',\t,\t,\tO\tO' -p361222 -aS'2:30\t2:30\tCD\tB-NP\tO' -p361223 -aS'p.m.\tp.m.\tRB\tB-ADVP\tO' -p361224 -aS',\t,\t,\tO\tO' -p361225 -aS'fluids\tfluid\tNNS\tB-NP\tO' -p361226 -aS'were\tbe\tVBD\tB-VP\tO' -p361227 -aS'decreased\tdecrease\tVBN\tI-VP\tO' -p361228 -aS'to\tto\tTO\tB-PP\tO' -p361229 -aS'75\t75\tCD\tB-NP\tO' -p361230 -aS'cc's\tcc'\tNNS\tI-NP\tO' -p361231 -aS'per\tper\tIN\tB-PP\tO' -p361232 -aS'hour\thour\tNN\tB-NP\tO' -p361233 -aS',\t,\t,\tO\tO' -p361234 -aS'150\t150\tCD\tB-NP\tO' -p361235 -aS'cc's\tcc'\tNNS\tI-NP\tO' -p361236 -aS'per\tper\tIN\tB-PP\tO' -p361237 -aS'kilo\tkilo\tNN\tB-NP\tO' -p361238 -aS',\t,\t,\tO\tO' -p361239 -aS'40\t40\tCD\tB-NP\tO' -p361240 -aS'mEq\tmEq\tNN\tI-NP\tO' -p361241 -aS'of\tof\tIN\tB-PP\tO' -p361242 -aS'K\tK\tNN\tB-NP\tO' -p361243 -aS'phosphate\tphosphate\tNN\tI-NP\tO' -p361244 -aS'added\tadd\tVBN\tB-VP\tO' -p361245 -aS'to\tto\tTO\tB-PP\tO' -p361246 -aS'the\tthe\tDT\tB-NP\tO' -p361247 -aS'intravenous\tintravenous\tJJ\tI-NP\tO' -p361248 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p361249 -aS'.\t.\t.\tO\tO' -p361250 -asS'Status post cardiac catheterization and stents times three of the right coronary artery .' -p361251 -(lp361252 -S'Status\tStatus\tNNP\tB-NP\tO' -p361253 -aS'post\tpost\tVBD\tB-VP\tO' -p361254 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p361255 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p361256 -aS'and\tand\tCC\tO\tO' -p361257 -aS'stents\tstent\tNNS\tB-NP\tO' -p361258 -aS'times\ttime\tNNS\tI-NP\tO' -p361259 -aS'three\tthree\tCD\tB-NP\tO' -p361260 -aS'of\tof\tIN\tB-PP\tO' -p361261 -aS'the\tthe\tDT\tB-NP\tO' -p361262 -aS'right\tright\tJJ\tI-NP\tO' -p361263 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p361264 -aS'artery\tartery\tNN\tI-NP\tO' -p361265 -aS'.\t.\t.\tO\tO' -p361266 -asS'CBC and blood culture were obtained upon admission revealing a white blood cell count of 9.0 with 25 polys and 0 bands ; hematocrit was 46.9% and platelets of 222,000 .' -p361267 -(lp361268 -S'CBC\tCBC\tNN\tB-NP\tB-protein' -p361269 -aS'and\tand\tCC\tI-NP\tO' -p361270 -aS'blood\tblood\tNN\tI-NP\tO' -p361271 -aS'culture\tculture\tNN\tI-NP\tO' -p361272 -aS'were\tbe\tVBD\tB-VP\tO' -p361273 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p361274 -aS'upon\tupon\tIN\tB-PP\tO' -p361275 -aS'admission\tadmission\tNN\tB-NP\tO' -p361276 -aS'revealing\treveal\tVBG\tB-VP\tO' -p361277 -aS'a\ta\tDT\tB-NP\tO' -p361278 -aS'white\twhite\tJJ\tI-NP\tO' -p361279 -aS'blood\tblood\tNN\tI-NP\tO' -p361280 -aS'cell\tcell\tNN\tI-NP\tO' -p361281 -aS'count\tcount\tNN\tI-NP\tO' -p361282 -aS'of\tof\tIN\tB-PP\tO' -p361283 -aS'9.0\t9.0\tCD\tB-NP\tO' -p361284 -aS'with\twith\tIN\tB-PP\tO' -p361285 -aS'25\t25\tCD\tB-NP\tO' -p361286 -aS'polys\tpoly\tNNS\tI-NP\tO' -p361287 -aS'and\tand\tCC\tO\tO' -p361288 -aS'0\t0\tCD\tB-NP\tO' -p361289 -aS'bands\tband\tNNS\tI-NP\tO' -p361290 -aS';\t;\t:\tO\tO' -p361291 -aS'hematocrit\thematocrit\tNN\tB-NP\tO' -p361292 -aS'was\tbe\tVBD\tB-VP\tO' -p361293 -aS'46.9%\t46.9%\tCD\tB-NP\tO' -p361294 -aS'and\tand\tCC\tO\tO' -p361295 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p361296 -aS'of\tof\tIN\tB-PP\tO' -p361297 -aS'222,000\t222,000\tCD\tB-NP\tO' -p361298 -aS'.\t.\t.\tO\tO' -p361299 -asS'Incicsion was clean dry and intact and pt was discharged home in stable condition' -p361300 -(lp361301 -S'Incicsion\tIncicsion\tNN\tB-NP\tO' -p361302 -aS'was\tbe\tVBD\tB-VP\tO' -p361303 -aS'clean\tclean\tJJ\tB-NP\tO' -p361304 -aS'dry\tdry\tJJ\tI-NP\tO' -p361305 -aS'and\tand\tCC\tI-NP\tO' -p361306 -aS'intact\tintact\tJJ\tI-NP\tO' -p361307 -aS'and\tand\tCC\tO\tO' -p361308 -aS'pt\tpt\tNN\tB-NP\tO' -p361309 -aS'was\tbe\tVBD\tB-VP\tO' -p361310 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p361311 -aS'home\thome\tNN\tB-ADVP\tO' -p361312 -aS'in\tin\tIN\tB-PP\tO' -p361313 -aS'stable\tstable\tJJ\tB-NP\tO' -p361314 -aS'condition\tcondition\tNN\tI-NP\tO' -p361315 -asS'This was a change from her prior echocardiogram and demonstrated evidence of a small myocardial infarction .' -p361316 -(lp361317 -S'This\tThis\tDT\tB-NP\tO' -p361318 -aS'was\tbe\tVBD\tB-VP\tO' -p361319 -aS'a\ta\tDT\tB-NP\tO' -p361320 -aS'change\tchange\tNN\tI-NP\tO' -p361321 -aS'from\tfrom\tIN\tB-PP\tO' -p361322 -aS'her\ther\tPRP$\tB-NP\tO' -p361323 -aS'prior\tprior\tJJ\tI-NP\tO' -p361324 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p361325 -aS'and\tand\tCC\tO\tO' -p361326 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p361327 -aS'evidence\tevidence\tNN\tB-NP\tO' -p361328 -aS'of\tof\tIN\tB-PP\tO' -p361329 -aS'a\ta\tDT\tB-NP\tO' -p361330 -aS'small\tsmall\tJJ\tI-NP\tO' -p361331 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p361332 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p361333 -aS'.\t.\t.\tO\tO' -p361334 -asS'4) Venereal disease history .' -p361335 -(lp361336 -S'4)\t4)\tLS\tB-NP\tO' -p361337 -aS'Venereal\tVenereal\tNN\tI-NP\tO' -p361338 -aS'disease\tdisease\tNN\tI-NP\tO' -p361339 -aS'history\thistory\tNN\tI-NP\tO' -p361340 -aS'.\t.\t.\tO\tO' -p361341 -asS'Gag was intact .' -p361342 -(lp361343 -S'Gag\tGag\tNN\tB-NP\tB-protein' -p361344 -aS'was\tbe\tVBD\tB-VP\tO' -p361345 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p361346 -aS'.\t.\t.\tO\tO' -p361347 -asS'4) peripheral vascular disease with previous left femoral popliteal bypass ,' -p361348 -(lp361349 -S'4)\t4)\tLS\tB-NP\tO' -p361350 -aS'peripheral\tperipheral\tJJ\tI-NP\tO' -p361351 -aS'vascular\tvascular\tJJ\tI-NP\tO' -p361352 -aS'disease\tdisease\tNN\tI-NP\tO' -p361353 -aS'with\twith\tIN\tB-PP\tO' -p361354 -aS'previous\tprevious\tJJ\tB-NP\tO' -p361355 -aS'left\tleft\tJJ\tI-NP\tO' -p361356 -aS'femoral\tfemoral\tJJ\tI-NP\tO' -p361357 -aS'popliteal\tpopliteal\tJJ\tI-NP\tO' -p361358 -aS'bypass\tbypass\tNN\tI-NP\tO' -p361359 -aS',\t,\t,\tO\tO' -p361360 -asS'Positive blood cultures with Staph. aureus sensitiveto Methicillin .' -p361361 -(lp361362 -S'Positive\tPositive\tJJ\tB-NP\tO' -p361363 -aS'blood\tblood\tNN\tI-NP\tO' -p361364 -aS'cultures\tculture\tNNS\tI-NP\tO' -p361365 -aS'with\twith\tIN\tB-PP\tO' -p361366 -aS'Staph.\tStaph.\tNNP\tB-NP\tB-protein' -p361367 -aS'aureus\taureus\tNNP\tI-NP\tI-protein' -p361368 -aS'sensitiveto\tsensitiveto\tNN\tI-NP\tI-protein' -p361369 -aS'Methicillin\tMethicillin\tNN\tI-NP\tI-protein' -p361370 -aS'.\t.\t.\tO\tO' -p361371 -asS'Adult-onset diabetes mellitus x 40 years , history of silent myocardial infarction , coronary artery bypass graft ( three vessels in 1987 ) , history of chronic , stable angina pectoris , Fournier 's gangrene versus necrotizing fasciitis , congestive heart failure in 03/97 while in the hospital for a rib fracture , glaucoma , diabetic retinopathy with blindness in the right eye , history of gastric stapling , left rib fracture , right femur surgery .' -p361372 -(lp361373 -S'Adult-onset\tAdult-onset\tJJ\tB-NP\tO' -p361374 -aS'diabetes\tdiabetes\tNN\tI-NP\tO' -p361375 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p361376 -aS'x\tx\tSYM\tO\tO' -p361377 -aS'40\t40\tCD\tB-NP\tO' -p361378 -aS'years\tyear\tNNS\tI-NP\tO' -p361379 -aS',\t,\t,\tO\tO' -p361380 -aS'history\thistory\tNN\tB-NP\tO' -p361381 -aS'of\tof\tIN\tB-PP\tO' -p361382 -aS'silent\tsilent\tJJ\tB-NP\tO' -p361383 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p361384 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p361385 -aS',\t,\t,\tO\tO' -p361386 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p361387 -aS'artery\tartery\tNN\tI-NP\tO' -p361388 -aS'bypass\tbypass\tNN\tI-NP\tO' -p361389 -aS'graft\tgraft\tNN\tI-NP\tO' -p361390 -aS'(\t(\t(\tO\tO' -p361391 -aS'three\tthree\tCD\tB-NP\tO' -p361392 -aS'vessels\tvessel\tNNS\tI-NP\tO' -p361393 -aS'in\tin\tIN\tB-PP\tO' -p361394 -aS'1987\t1987\tCD\tB-NP\tO' -p361395 -aS')\t)\t)\tO\tO' -p361396 -aS',\t,\t,\tO\tO' -p361397 -aS'history\thistory\tNN\tB-NP\tO' -p361398 -aS'of\tof\tIN\tB-PP\tO' -p361399 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p361400 -aS',\t,\t,\tI-NP\tO' -p361401 -aS'stable\tstable\tJJ\tI-NP\tO' -p361402 -aS'angina\tangina\tNN\tI-NP\tO' -p361403 -aS'pectoris\tpectoris\tNN\tI-NP\tO' -p361404 -aS',\t,\t,\tO\tO' -p361405 -aS'Fournier\tFourni\tJJR\tB-NP\tO' -p361406 -aS''s\t'\tNNS\tI-NP\tO' -p361407 -aS'gangrene\tgangrene\tNN\tI-NP\tO' -p361408 -aS'versus\tversus\tIN\tB-PP\tO' -p361409 -aS'necrotizing\tnecrotize\tVBG\tB-VP\tO' -p361410 -aS'fasciitis\tfasciitis\tNN\tB-NP\tO' -p361411 -aS',\t,\t,\tO\tO' -p361412 -aS'congestive\tcongestive\tJJ\tB-NP\tO' -p361413 -aS'heart\theart\tNN\tI-NP\tO' -p361414 -aS'failure\tfailure\tNN\tI-NP\tO' -p361415 -aS'in\tin\tIN\tB-PP\tO' -p361416 -aS'03/97\t03/97\tCD\tB-NP\tO' -p361417 -aS'while\twhile\tIN\tB-SBAR\tO' -p361418 -aS'in\tin\tIN\tB-PP\tO' -p361419 -aS'the\tthe\tDT\tB-NP\tO' -p361420 -aS'hospital\thospital\tNN\tI-NP\tO' -p361421 -aS'for\tfor\tIN\tB-PP\tO' -p361422 -aS'a\ta\tDT\tB-NP\tO' -p361423 -aS'rib\trib\tNN\tI-NP\tO' -p361424 -aS'fracture\tfracture\tNN\tI-NP\tO' -p361425 -aS',\t,\t,\tO\tO' -p361426 -aS'glaucoma\tglaucoma\tNN\tB-NP\tO' -p361427 -aS',\t,\t,\tO\tO' -p361428 -aS'diabetic\tdiabetic\tJJ\tB-NP\tO' -p361429 -aS'retinopathy\tretinopathy\tNN\tI-NP\tO' -p361430 -aS'with\twith\tIN\tB-PP\tO' -p361431 -aS'blindness\tblindness\tNN\tB-NP\tO' -p361432 -aS'in\tin\tIN\tB-PP\tO' -p361433 -aS'the\tthe\tDT\tB-NP\tO' -p361434 -aS'right\tright\tJJ\tI-NP\tO' -p361435 -aS'eye\teye\tNN\tI-NP\tO' -p361436 -aS',\t,\t,\tO\tO' -p361437 -aS'history\thistory\tNN\tB-NP\tO' -p361438 -aS'of\tof\tIN\tB-PP\tO' -p361439 -aS'gastric\tgastric\tJJ\tB-NP\tO' -p361440 -aS'stapling\tstapling\tNN\tI-NP\tO' -p361441 -aS',\t,\t,\tO\tO' -p361442 -aS'left\tleave\tVBD\tB-VP\tO' -p361443 -aS'rib\trib\tNN\tB-NP\tO' -p361444 -aS'fracture\tfracture\tNN\tI-NP\tO' -p361445 -aS',\t,\t,\tO\tO' -p361446 -aS'right\tright\tJJ\tB-NP\tO' -p361447 -aS'femur\tfemur\tNN\tI-NP\tO' -p361448 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p361449 -aS'.\t.\t.\tO\tO' -p361450 -asS'Hydrocortisone was given 1 g in an attempt to reverse what was thought to be aggressive coronary allograft vasculopathy .' -p361451 -(lp361452 -S'Hydrocortisone\tHydrocortisone\tNN\tB-NP\tO' -p361453 -aS'was\tbe\tVBD\tB-VP\tO' -p361454 -aS'given\tgive\tVBN\tI-VP\tO' -p361455 -aS'1\t1\tCD\tB-NP\tO' -p361456 -aS'g\tg\tNN\tI-NP\tO' -p361457 -aS'in\tin\tIN\tB-PP\tO' -p361458 -aS'an\tan\tDT\tB-NP\tO' -p361459 -aS'attempt\tattempt\tNN\tI-NP\tO' -p361460 -aS'to\tto\tTO\tB-VP\tO' -p361461 -aS'reverse\treverse\tVB\tI-VP\tO' -p361462 -aS'what\twhat\tWP\tB-NP\tO' -p361463 -aS'was\tbe\tVBD\tB-VP\tO' -p361464 -aS'thought\tthink\tVBN\tI-VP\tO' -p361465 -aS'to\tto\tTO\tI-VP\tO' -p361466 -aS'be\tbe\tVB\tI-VP\tO' -p361467 -aS'aggressive\taggressive\tJJ\tB-NP\tO' -p361468 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p361469 -aS'allograft\tallograft\tNN\tI-NP\tO' -p361470 -aS'vasculopathy\tvasculopathy\tNN\tI-NP\tO' -p361471 -aS'.\t.\t.\tO\tO' -p361472 -asS'Her O2 requirement improved on the vent over the next few days and she was weaned off the vent on 2013-01-01 .' -p361473 -(lp361474 -S'Her\tHer\tPRP$\tB-NP\tO' -p361475 -aS'O2\tO2\tNN\tI-NP\tO' -p361476 -aS'requirement\trequirement\tNN\tI-NP\tO' -p361477 -aS'improved\timprove\tVBN\tB-VP\tO' -p361478 -aS'on\ton\tIN\tB-PP\tO' -p361479 -aS'the\tthe\tDT\tB-NP\tO' -p361480 -aS'vent\tvent\tNN\tI-NP\tO' -p361481 -aS'over\tover\tIN\tB-PP\tO' -p361482 -aS'the\tthe\tDT\tB-NP\tO' -p361483 -aS'next\tnext\tJJ\tI-NP\tO' -p361484 -aS'few\tfew\tJJ\tI-NP\tO' -p361485 -aS'days\tday\tNNS\tI-NP\tO' -p361486 -aS'and\tand\tCC\tO\tO' -p361487 -aS'she\tshe\tPRP\tB-NP\tO' -p361488 -aS'was\tbe\tVBD\tB-VP\tO' -p361489 -aS'weaned\twean\tVBN\tI-VP\tO' -p361490 -aS'off\toff\tIN\tB-PP\tO' -p361491 -aS'the\tthe\tDT\tB-NP\tO' -p361492 -aS'vent\tvent\tNN\tI-NP\tO' -p361493 -aS'on\ton\tIN\tB-PP\tO' -p361494 -aS'2013-01-01\t2013-01-01\tCD\tB-NP\tO' -p361495 -aS'.\t.\t.\tO\tO' -p361496 -asS'She did not tolerate this very well .' -p361497 -(lp361498 -S'She\tShe\tPRP\tB-NP\tO' -p361499 -aS'did\tdo\tVBD\tB-VP\tO' -p361500 -aS'not\tnot\tRB\tI-VP\tO' -p361501 -aS'tolerate\ttolerate\tVB\tI-VP\tO' -p361502 -aS'this\tthis\tDT\tB-NP\tO' -p361503 -aS'very\tvery\tRB\tB-ADVP\tO' -p361504 -aS'well\twell\tRB\tI-ADVP\tO' -p361505 -aS'.\t.\t.\tO\tO' -p361506 -asS'Patient was continued on intravenous fluids until taking good po .' -p361507 -(lp361508 -S'Patient\tPatient\tNN\tB-NP\tO' -p361509 -aS'was\tbe\tVBD\tB-VP\tO' -p361510 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p361511 -aS'on\ton\tIN\tB-PP\tO' -p361512 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p361513 -aS'fluids\tfluid\tNNS\tI-NP\tO' -p361514 -aS'until\tuntil\tIN\tB-PP\tO' -p361515 -aS'taking\ttake\tVBG\tB-VP\tO' -p361516 -aS'good\tgood\tJJ\tB-NP\tO' -p361517 -aS'po\tpo\tNN\tI-NP\tO' -p361518 -aS'.\t.\t.\tO\tO' -p361519 -asS'Chest x-ray on August 6 , 1997 revealed multiple pulmonary nodules increased in size as previously mentioned .' -p361520 -(lp361521 -S'Chest\tCh\tJJS\tB-NP\tO' -p361522 -aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' -p361523 -aS'on\ton\tIN\tB-PP\tO' -p361524 -aS'August\tAugust\tNNP\tB-NP\tO' -p361525 -aS'6\t6\tCD\tI-NP\tO' -p361526 -aS',\t,\t,\tI-NP\tO' -p361527 -aS'1997\t1997\tCD\tI-NP\tO' -p361528 -aS'revealed\treveal\tVBD\tB-VP\tO' -p361529 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p361530 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p361531 -aS'nodules\tnodule\tNNS\tI-NP\tO' -p361532 -aS'increased\tincrease\tVBD\tB-VP\tO' -p361533 -aS'in\tin\tIN\tB-PP\tO' -p361534 -aS'size\tsize\tNN\tB-NP\tO' -p361535 -aS'as\tas\tIN\tB-SBAR\tO' -p361536 -aS'previously\tpreviously\tRB\tB-ADVP\tO' -p361537 -aS'mentioned\tmention\tVBN\tB-VP\tO' -p361538 -aS'.\t.\t.\tO\tO' -p361539 -asS'The patient is transferred to El Hospital , still receiving IV hydration at a rate currently of 50 cc an hour of D5 one-half normal with 20 mEq of K .' -p361540 -(lp361541 -S'The\tThe\tDT\tB-NP\tO' -p361542 -aS'patient\tpatient\tNN\tI-NP\tO' -p361543 -aS'is\tbe\tVBZ\tB-VP\tO' -p361544 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p361545 -aS'to\tto\tTO\tB-PP\tO' -p361546 -aS'El\tEl\tNNP\tB-NP\tO' -p361547 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p361548 -aS',\t,\t,\tO\tO' -p361549 -aS'still\tstill\tRB\tB-ADVP\tO' -p361550 -aS'receiving\treceive\tVBG\tB-VP\tO' -p361551 -aS'IV\tIV\tCD\tB-NP\tO' -p361552 -aS'hydration\thydration\tNN\tI-NP\tO' -p361553 -aS'at\tat\tIN\tB-PP\tO' -p361554 -aS'a\ta\tDT\tB-NP\tO' -p361555 -aS'rate\trate\tNN\tI-NP\tO' -p361556 -aS'currently\tcurrently\tRB\tB-ADVP\tO' -p361557 -aS'of\tof\tIN\tB-PP\tO' -p361558 -aS'50\t50\tCD\tB-NP\tO' -p361559 -aS'cc\tcc\tNN\tI-NP\tO' -p361560 -aS'an\tan\tDT\tB-NP\tO' -p361561 -aS'hour\thour\tNN\tI-NP\tO' -p361562 -aS'of\tof\tIN\tB-PP\tO' -p361563 -aS'D5\tD5\tNN\tB-NP\tO' -p361564 -aS'one-half\tone-half\tNN\tI-NP\tO' -p361565 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p361566 -aS'with\twith\tIN\tB-PP\tO' -p361567 -aS'20\t20\tCD\tB-NP\tO' -p361568 -aS'mEq\tmEq\tNN\tI-NP\tO' -p361569 -aS'of\tof\tIN\tB-PP\tO' -p361570 -aS'K\tK\tNN\tB-NP\tO' -p361571 -aS'.\t.\t.\tO\tO' -p361572 -asS'She was monitored on telemetry for mild tachycardia and recieved IV beta blockers .' -p361573 -(lp361574 -S'She\tShe\tPRP\tB-NP\tO' -p361575 -aS'was\tbe\tVBD\tB-VP\tO' -p361576 -aS'monitored\tmonitor\tVBN\tI-VP\tO' -p361577 -aS'on\ton\tIN\tB-PP\tO' -p361578 -aS'telemetry\ttelemetry\tNN\tB-NP\tO' -p361579 -aS'for\tfor\tIN\tB-PP\tO' -p361580 -aS'mild\tmild\tJJ\tB-NP\tO' -p361581 -aS'tachycardia\ttachycardia\tNN\tI-NP\tO' -p361582 -aS'and\tand\tCC\tO\tO' -p361583 -aS'recieved\trecieve\tVBD\tB-VP\tO' -p361584 -aS'IV\tIV\tCD\tB-NP\tO' -p361585 -aS'beta\tbeta\tSYM\tI-NP\tO' -p361586 -aS'blockers\tblocker\tNNS\tI-NP\tO' -p361587 -aS'.\t.\t.\tO\tO' -p361588 -asS'HEENT -- perrla , eomi , mmm , tongue midline , op clear , no masses' -p361589 -(lp361590 -S'HEENT\tHEENT\tNN\tB-NP\tO' -p361591 -aS'--\t--\t:\tO\tO' -p361592 -aS'perrla\tperrla\tNN\tB-NP\tO' -p361593 -aS',\t,\t,\tO\tO' -p361594 -aS'eomi\teomi\tNN\tB-NP\tO' -p361595 -aS',\t,\t,\tO\tO' -p361596 -aS'mmm\tmmm\tNN\tB-NP\tO' -p361597 -aS',\t,\t,\tO\tO' -p361598 -aS'tongue\ttongue\tNN\tB-NP\tO' -p361599 -aS'midline\tmidline\tNN\tI-NP\tO' -p361600 -aS',\t,\t,\tO\tO' -p361601 -aS'op\top\tVBP\tB-VP\tO' -p361602 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p361603 -aS',\t,\t,\tO\tO' -p361604 -aS'no\tno\tDT\tB-NP\tO' -p361605 -aS'masses\tmass\tNNS\tI-NP\tO' -p361606 -asS'SHE WILL BE DISCHARGED IN GOOD CONDITION .' -p361607 -(lp361608 -S'SHE\tSHE\tNN\tB-NP\tO' -p361609 -aS'WILL\tWILL\tMD\tB-VP\tO' -p361610 -aS'BE\tBE\tVB\tI-VP\tO' -p361611 -aS'DISCHARGED\tDISCHARGED\tJJ\tB-NP\tO' -p361612 -aS'IN\tIN\tNN\tI-NP\tO' -p361613 -aS'GOOD\tGOOD\tNN\tI-NP\tO' -p361614 -aS'CONDITION\tCONDITION\tNN\tI-NP\tO' -p361615 -aS'.\t.\t.\tO\tO' -p361616 -asS'TTE revealed large pericardial effusion .' -p361617 -(lp361618 -S'TTE\tTTE\tNN\tB-NP\tO' -p361619 -aS'revealed\treveal\tVBD\tB-VP\tO' -p361620 -aS'large\tlarge\tJJ\tB-NP\tO' -p361621 -aS'pericardial\tpericardial\tJJ\tI-NP\tO' -p361622 -aS'effusion\teffusion\tNN\tI-NP\tO' -p361623 -aS'.\t.\t.\tO\tO' -p361624 -asS'Her steroids were weaned .' -p361625 -(lp361626 -S'Her\tHer\tPRP$\tB-NP\tO' -p361627 -aS'steroids\tsteroid\tNNS\tI-NP\tO' -p361628 -aS'were\tbe\tVBD\tB-VP\tO' -p361629 -aS'weaned\twean\tVBN\tI-VP\tO' -p361630 -aS'.\t.\t.\tO\tO' -p361631 -asS'His prostate enlarged and he had no peripheral edema .' -p361632 -(lp361633 -S'His\tHis\tPRP$\tB-NP\tO' -p361634 -aS'prostate\tprostate\tNN\tI-NP\tO' -p361635 -aS'enlarged\tenlarge\tVBD\tB-VP\tO' -p361636 -aS'and\tand\tCC\tO\tO' -p361637 -aS'he\the\tPRP\tB-NP\tO' -p361638 -aS'had\thave\tVBD\tB-VP\tO' -p361639 -aS'no\tno\tDT\tB-NP\tO' -p361640 -aS'peripheral\tperipheral\tJJ\tI-NP\tO' -p361641 -aS'edema\tedema\tNN\tI-NP\tO' -p361642 -aS'.\t.\t.\tO\tO' -p361643 -asS'The patient was brought to the Operating Room on 2-19-91 where she had an exploratory laparotomy , TAH / BSO , and omental biopsy .' -p361644 -(lp361645 -S'The\tThe\tDT\tB-NP\tO' -p361646 -aS'patient\tpatient\tNN\tI-NP\tO' -p361647 -aS'was\tbe\tVBD\tB-VP\tO' -p361648 -aS'brought\tbring\tVBN\tI-VP\tO' -p361649 -aS'to\tto\tTO\tB-PP\tO' -p361650 -aS'the\tthe\tDT\tB-NP\tO' -p361651 -aS'Operating\tOperating\tNNP\tI-NP\tO' -p361652 -aS'Room\tRoom\tNNP\tI-NP\tO' -p361653 -aS'on\ton\tIN\tB-PP\tO' -p361654 -aS'2-19-91\t2-19-91\tCD\tB-NP\tO' -p361655 -aS'where\twhere\tWRB\tB-ADVP\tO' -p361656 -aS'she\tshe\tPRP\tB-NP\tO' -p361657 -aS'had\thave\tVBD\tB-VP\tO' -p361658 -aS'an\tan\tDT\tB-NP\tO' -p361659 -aS'exploratory\texploratory\tJJ\tI-NP\tO' -p361660 -aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' -p361661 -aS',\t,\t,\tO\tO' -p361662 -aS'TAH\tTAH\tNN\tB-NP\tB-protein' -p361663 -aS'/\t/\tSYM\tB-NP\tO' -p361664 -aS'BSO\tBSO\tNN\tI-NP\tO' -p361665 -aS',\t,\t,\tO\tO' -p361666 -aS'and\tand\tCC\tO\tO' -p361667 -aS'omental\tomental\tJJ\tB-NP\tO' -p361668 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p361669 -aS'.\t.\t.\tO\tO' -p361670 -asS'Since oxycontin was discontinued , the foley was removed on 07-27 and was able to void without any difficulty .' -p361671 -(lp361672 -S'Since\tSince\tIN\tB-SBAR\tO' -p361673 -aS'oxycontin\toxycontin\tNN\tB-NP\tO' -p361674 -aS'was\tbe\tVBD\tB-VP\tO' -p361675 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p361676 -aS',\t,\t,\tO\tO' -p361677 -aS'the\tthe\tDT\tB-NP\tO' -p361678 -aS'foley\tfoley\tNN\tI-NP\tO' -p361679 -aS'was\tbe\tVBD\tB-VP\tO' -p361680 -aS'removed\tremove\tVBN\tI-VP\tO' -p361681 -aS'on\ton\tIN\tB-PP\tO' -p361682 -aS'07-27\t07-27\tCD\tB-NP\tO' -p361683 -aS'and\tand\tCC\tO\tO' -p361684 -aS'was\tbe\tVBD\tB-VP\tO' -p361685 -aS'able\table\tJJ\tB-ADJP\tO' -p361686 -aS'to\tto\tTO\tB-VP\tO' -p361687 -aS'void\tvoid\tVB\tI-VP\tO' -p361688 -aS'without\twithout\tIN\tB-PP\tO' -p361689 -aS'any\tany\tDT\tB-NP\tO' -p361690 -aS'difficulty\tdifficulty\tNN\tI-NP\tO' -p361691 -aS'.\t.\t.\tO\tO' -p361692 -asS'Of note , he did not become thrombocytopenic on this admission .' -p361693 -(lp361694 -S'Of\tOf\tIN\tB-PP\tO' -p361695 -aS'note\tnote\tNN\tB-NP\tO' -p361696 -aS',\t,\t,\tO\tO' -p361697 -aS'he\the\tPRP\tB-NP\tO' -p361698 -aS'did\tdo\tVBD\tB-VP\tO' -p361699 -aS'not\tnot\tRB\tI-VP\tO' -p361700 -aS'become\tbecome\tVB\tI-VP\tO' -p361701 -aS'thrombocytopenic\tthrombocytopenic\tJJ\tB-ADJP\tO' -p361702 -aS'on\ton\tIN\tB-PP\tO' -p361703 -aS'this\tthis\tDT\tB-NP\tO' -p361704 -aS'admission\tadmission\tNN\tI-NP\tO' -p361705 -aS'.\t.\t.\tO\tO' -p361706 -asS'His bypass time was 103 minutes / crossclamp 89 mins .' -p361707 -(lp361708 -S'His\tHis\tPRP$\tB-NP\tO' -p361709 -aS'bypass\tbypass\tNN\tI-NP\tO' -p361710 -aS'time\ttime\tNN\tI-NP\tO' -p361711 -aS'was\tbe\tVBD\tB-VP\tO' -p361712 -aS'103\t103\tCD\tB-NP\tO' -p361713 -aS'minutes\tminute\tNNS\tI-NP\tO' -p361714 -aS'/\t/\tSYM\tB-NP\tO' -p361715 -aS'crossclamp\tcrossclamp\tNN\tI-NP\tO' -p361716 -aS'89\t89\tCD\tB-NP\tO' -p361717 -aS'mins\tmin\tNNS\tI-NP\tO' -p361718 -aS'.\t.\t.\tO\tO' -p361719 -asS'No lotions , creams , or powders on wounds .' -p361720 -(lp361721 -S'No\tNo\tDT\tB-NP\tO' -p361722 -aS'lotions\tlotion\tNNS\tI-NP\tO' -p361723 -aS',\t,\t,\tO\tO' -p361724 -aS'creams\tcream\tNNS\tB-NP\tO' -p361725 -aS',\t,\t,\tO\tO' -p361726 -aS'or\tor\tCC\tO\tO' -p361727 -aS'powders\tpowder\tNNS\tB-NP\tO' -p361728 -aS'on\ton\tIN\tB-PP\tO' -p361729 -aS'wounds\twound\tNNS\tB-NP\tO' -p361730 -aS'.\t.\t.\tO\tO' -p361731 -asS'This dictation goes through 12/21/03 .' -p361732 -(lp361733 -S'This\tThis\tDT\tB-NP\tO' -p361734 -aS'dictation\tdictation\tNN\tI-NP\tO' -p361735 -aS'goes\tgo\tVBZ\tB-VP\tO' -p361736 -aS'through\tthrough\tIN\tB-PP\tO' -p361737 -aS'12/21/03\t12/21/03\tCD\tB-NP\tO' -p361738 -aS'.\t.\t.\tO\tO' -p361739 -asS'This is to notify you that your patient , JEMSKOP , COT arrived in the Emergency Department at Ro Woodma Healthcare on 07/06/2005 11:11 AM .' -p361740 -(lp361741 -S'This\tThis\tDT\tB-NP\tO' -p361742 -aS'is\tbe\tVBZ\tB-VP\tO' -p361743 -aS'to\tto\tTO\tB-VP\tO' -p361744 -aS'notify\tnotify\tVB\tI-VP\tO' -p361745 -aS'you\tyou\tPRP\tB-NP\tO' -p361746 -aS'that\tthat\tIN\tB-SBAR\tO' -p361747 -aS'your\tyour\tPRP$\tB-NP\tO' -p361748 -aS'patient\tpatient\tNN\tI-NP\tO' -p361749 -aS',\t,\t,\tO\tO' -p361750 -aS'JEMSKOP\tJEMSKOP\tNN\tB-NP\tB-protein' -p361751 -aS',\t,\t,\tO\tO' -p361752 -aS'COT\tCOT\tNN\tB-NP\tO' -p361753 -aS'arrived\tarrive\tVBD\tB-VP\tO' -p361754 -aS'in\tin\tIN\tB-PP\tO' -p361755 -aS'the\tthe\tDT\tB-NP\tO' -p361756 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p361757 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p361758 -aS'at\tat\tIN\tB-PP\tO' -p361759 -aS'Ro\tRo\tNNP\tB-NP\tO' -p361760 -aS'Woodma\tWoodma\tNNP\tI-NP\tO' -p361761 -aS'Healthcare\tHealthcare\tNNP\tI-NP\tO' -p361762 -aS'on\ton\tIN\tB-PP\tO' -p361763 -aS'07/06/2005\t07/06/2005\tCD\tB-NP\tO' -p361764 -aS'11:11\t11:11\tCD\tI-NP\tO' -p361765 -aS'AM\tAM\tNN\tI-NP\tO' -p361766 -aS'.\t.\t.\tO\tO' -p361767 -asS'+ Epigastric discomfort , gurgling gas-like pain , no association with food .' -p361768 -(lp361769 -S'+\t+\tSYM\tO\tO' -p361770 -aS'Epigastric\tEpigastric\tJJ\tB-NP\tO' -p361771 -aS'discomfort\tdiscomfort\tNN\tI-NP\tO' -p361772 -aS',\t,\t,\tO\tO' -p361773 -aS'gurgling\tgurgle\tVBG\tB-VP\tO' -p361774 -aS'gas-like\tgas-like\tJJ\tB-NP\tB-protein' -p361775 -aS'pain\tpain\tNN\tI-NP\tI-protein' -p361776 -aS',\t,\t,\tO\tO' -p361777 -aS'no\tno\tDT\tB-NP\tO' -p361778 -aS'association\tassociation\tNN\tI-NP\tO' -p361779 -aS'with\twith\tIN\tB-PP\tO' -p361780 -aS'food\tfood\tNN\tB-NP\tO' -p361781 -aS'.\t.\t.\tO\tO' -p361782 -asS'04-24 PICC Bld Cx : pseudomonas Diaz to zosyn , cipro , cefepime , Tardugno -- staph epi- Gray to vanc' -p361783 -(lp361784 -S'04-24\t04-24\tCD\tB-NP\tO' -p361785 -aS'PICC\tPICC\tNNP\tI-NP\tO' -p361786 -aS'Bld\tBld\tNNP\tI-NP\tO' -p361787 -aS'Cx\tCx\tNNP\tI-NP\tO' -p361788 -aS':\t:\t:\tO\tO' -p361789 -aS'pseudomonas\tpseudomona\tNNS\tB-NP\tO' -p361790 -aS'Diaz\tDiaz\tNN\tI-NP\tO' -p361791 -aS'to\tto\tTO\tB-PP\tO' -p361792 -aS'zosyn\tzosyn\tNN\tB-NP\tO' -p361793 -aS',\t,\t,\tO\tO' -p361794 -aS'cipro\tcipro\tNN\tB-NP\tO' -p361795 -aS',\t,\t,\tO\tO' -p361796 -aS'cefepime\tcefepime\tNN\tB-NP\tO' -p361797 -aS',\t,\t,\tO\tO' -p361798 -aS'Tardugno\tTardugno\tNNP\tB-NP\tO' -p361799 -aS'--\t--\t:\tO\tO' -p361800 -aS'staph\tstaph\tNN\tB-NP\tO' -p361801 -aS'epi-\tepi-\tNN\tI-NP\tO' -p361802 -aS'Gray\tGray\tNNP\tI-NP\tO' -p361803 -aS'to\tto\tTO\tB-VP\tO' -p361804 -aS'vanc\tvanc\tVB\tI-VP\tO' -p361805 -asS'This required a chest tube .' -p361806 -(lp361807 -S'This\tThis\tDT\tB-NP\tO' -p361808 -aS'required\trequire\tVBD\tB-VP\tO' -p361809 -aS'a\ta\tDT\tB-NP\tO' -p361810 -aS'chest\tchest\tNN\tI-NP\tO' -p361811 -aS'tube\ttube\tNN\tI-NP\tO' -p361812 -aS'.\t.\t.\tO\tO' -p361813 -asS'3) ? unstable serum calcium since 1999' -p361814 -(lp361815 -S'3)\t3)\tLS\tB-LST\tO' -p361816 -aS'?\t?\t.\tO\tO' -p361817 -aS'unstable\tunstable\tJJ\tB-NP\tO' -p361818 -aS'serum\tserum\tNN\tI-NP\tO' -p361819 -aS'calcium\tcalcium\tNN\tI-NP\tO' -p361820 -aS'since\tsince\tIN\tB-PP\tO' -p361821 -aS'1999\t1999\tCD\tB-NP\tO' -p361822 -asS'Retired ICU nurse .' -p361823 -(lp361824 -S'Retired\tRetire\tVBN\tB-NP\tO' -p361825 -aS'ICU\tICU\tNN\tI-NP\tO' -p361826 -aS'nurse\tnurse\tNN\tI-NP\tO' -p361827 -aS'.\t.\t.\tO\tO' -p361828 -asS'TRACHEOESOPHAGEAL FISTULA .' -p361829 -(lp361830 -S'TRACHEOESOPHAGEAL\tTRACHEOESOPHAGEAL\tNN\tB-NP\tO' -p361831 -aS'FISTULA\tFISTULA\tNN\tI-NP\tO' -p361832 -aS'.\t.\t.\tO\tO' -p361833 -asS'Saline wet to dry dressing changes three times daily to penis and pelvis decubiti , 40% humidified oxygen , Fluconazole 200 mg. po. bid .' -p361834 -(lp361835 -S'Saline\tSaline\tNN\tB-NP\tO' -p361836 -aS'wet\twet\tJJ\tB-ADJP\tO' -p361837 -aS'to\tto\tTO\tB-PP\tO' -p361838 -aS'dry\tdry\tJJ\tB-NP\tO' -p361839 -aS'dressing\tdress\tVBG\tI-NP\tO' -p361840 -aS'changes\tchange\tNNS\tI-NP\tO' -p361841 -aS'three\tthree\tCD\tB-NP\tO' -p361842 -aS'times\ttime\tNNS\tI-NP\tO' -p361843 -aS'daily\tdaily\tRB\tI-NP\tO' -p361844 -aS'to\tto\tTO\tB-PP\tO' -p361845 -aS'penis\tpenis\tNN\tB-NP\tO' -p361846 -aS'and\tand\tCC\tI-NP\tO' -p361847 -aS'pelvis\tpelvis\tNN\tI-NP\tO' -p361848 -aS'decubiti\tdecubiti\tNNS\tI-NP\tO' -p361849 -aS',\t,\t,\tO\tO' -p361850 -aS'40%\t40%\tCD\tB-NP\tO' -p361851 -aS'humidified\thumidified\tJJ\tI-NP\tO' -p361852 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p361853 -aS',\t,\t,\tO\tO' -p361854 -aS'Fluconazole\tFluconazole\tNN\tB-NP\tO' -p361855 -aS'200\t200\tCD\tI-NP\tO' -p361856 -aS'mg.\tmg.\tNN\tI-NP\tO' -p361857 -aS'po.\tpo.\tNN\tI-NP\tO' -p361858 -aS'bid\tbid\tNN\tI-NP\tO' -p361859 -aS'.\t.\t.\tO\tO' -p361860 -asS'The patient was referred back to Dr. Pop for the possibility of a revascularization procedure .' -p361861 -(lp361862 -S'The\tThe\tDT\tB-NP\tO' -p361863 -aS'patient\tpatient\tNN\tI-NP\tO' -p361864 -aS'was\tbe\tVBD\tB-VP\tO' -p361865 -aS'referred\trefer\tVBN\tI-VP\tO' -p361866 -aS'back\tback\tRB\tB-ADVP\tO' -p361867 -aS'to\tto\tTO\tB-PP\tO' -p361868 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p361869 -aS'Pop\tPop\tNNP\tI-NP\tO' -p361870 -aS'for\tfor\tIN\tB-PP\tO' -p361871 -aS'the\tthe\tDT\tB-NP\tO' -p361872 -aS'possibility\tpossibility\tNN\tI-NP\tO' -p361873 -aS'of\tof\tIN\tB-PP\tO' -p361874 -aS'a\ta\tDT\tB-NP\tO' -p361875 -aS'revascularization\trevascularization\tNN\tI-NP\tO' -p361876 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p361877 -aS'.\t.\t.\tO\tO' -p361878 -asS'# Candidemia : The patient was noted to have a positive blood culture from 03-12 .' -p361879 -(lp361880 -S'#\t#\t#\tB-NP\tO' -p361881 -aS'Candidemia\tCandidemia\tNNP\tI-NP\tO' -p361882 -aS':\t:\t:\tO\tO' -p361883 -aS'The\tThe\tDT\tB-NP\tO' -p361884 -aS'patient\tpatient\tNN\tI-NP\tO' -p361885 -aS'was\tbe\tVBD\tB-VP\tO' -p361886 -aS'noted\tnote\tVBN\tI-VP\tO' -p361887 -aS'to\tto\tTO\tI-VP\tO' -p361888 -aS'have\thave\tVB\tI-VP\tO' -p361889 -aS'a\ta\tDT\tB-NP\tO' -p361890 -aS'positive\tpositive\tJJ\tI-NP\tO' -p361891 -aS'blood\tblood\tNN\tI-NP\tO' -p361892 -aS'culture\tculture\tNN\tI-NP\tO' -p361893 -aS'from\tfrom\tIN\tB-PP\tO' -p361894 -aS'03-12\t03-12\tCD\tB-NP\tO' -p361895 -aS'.\t.\t.\tO\tO' -p361896 -asS'On admission , this was felt to be likely 03-15 worsening PNA .' -p361897 -(lp361898 -S'On\tOn\tIN\tB-PP\tO' -p361899 -aS'admission\tadmission\tNN\tB-NP\tO' -p361900 -aS',\t,\t,\tO\tO' -p361901 -aS'this\tthis\tDT\tB-NP\tO' -p361902 -aS'was\tbe\tVBD\tB-VP\tO' -p361903 -aS'felt\tfeel\tVBN\tI-VP\tO' -p361904 -aS'to\tto\tTO\tI-VP\tO' -p361905 -aS'be\tbe\tVB\tI-VP\tO' -p361906 -aS'likely\tlikely\tJJ\tB-ADJP\tO' -p361907 -aS'03-15\t03-15\tCD\tB-NP\tO' -p361908 -aS'worsening\tworsen\tVBG\tI-NP\tO' -p361909 -aS'PNA\tPNA\tNN\tI-NP\tO' -p361910 -aS'.\t.\t.\tO\tO' -p361911 -asS'Over the past 4-5 weeks her functional level has progressively deteriorated .' -p361912 -(lp361913 -S'Over\tOver\tIN\tB-PP\tO' -p361914 -aS'the\tthe\tDT\tB-NP\tO' -p361915 -aS'past\tpast\tJJ\tI-NP\tB-protein' -p361916 -aS'4-5\t4-5\tCD\tI-NP\tI-protein' -p361917 -aS'weeks\tweek\tNNS\tI-NP\tI-protein' -p361918 -aS'her\ther\tPRP$\tB-NP\tO' -p361919 -aS'functional\tfunctional\tJJ\tI-NP\tO' -p361920 -aS'level\tlevel\tNN\tI-NP\tO' -p361921 -aS'has\thave\tVBZ\tB-VP\tO' -p361922 -aS'progressively\tprogressively\tRB\tI-VP\tO' -p361923 -aS'deteriorated\tdeteriorate\tVBN\tI-VP\tO' -p361924 -aS'.\t.\t.\tO\tO' -p361925 -asS'5. Mirtazapine 30 mg Tablet Sig : 0.5 Tablet PO HS ( at bedtime ) .' -p361926 -(lp361927 -S'5.\t5.\tLS\tB-LST\tO' -p361928 -aS'Mirtazapine\tMirtazapine\tNNP\tB-NP\tO' -p361929 -aS'30\t30\tCD\tI-NP\tO' -p361930 -aS'mg\tmg\tNN\tI-NP\tO' -p361931 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p361932 -aS'Sig\tSig\tNNP\tI-NP\tO' -p361933 -aS':\t:\t:\tO\tO' -p361934 -aS'0.5\t0.5\tCD\tB-NP\tO' -p361935 -aS'Tablet\tTablet\tNN\tI-NP\tO' -p361936 -aS'PO\tPO\tNN\tI-NP\tO' -p361937 -aS'HS\tHS\tNN\tI-NP\tO' -p361938 -aS'(\t(\t(\tO\tO' -p361939 -aS'at\tat\tIN\tB-PP\tO' -p361940 -aS'bedtime\tbedtime\tNN\tB-NP\tO' -p361941 -aS')\t)\t)\tO\tO' -p361942 -aS'.\t.\t.\tO\tO' -p361943 -asS'Cardiovascular is well perfused with regular rate and rhythm and normal S1 and S2 , no murmur , normal pulses and perfusion .' -p361944 -(lp361945 -S'Cardiovascular\tCardiovascular\tNNP\tB-NP\tO' -p361946 -aS'is\tbe\tVBZ\tB-VP\tO' -p361947 -aS'well\twell\tRB\tI-VP\tO' -p361948 -aS'perfused\tperfuse\tVBN\tI-VP\tO' -p361949 -aS'with\twith\tIN\tB-PP\tO' -p361950 -aS'regular\tregular\tJJ\tB-NP\tO' -p361951 -aS'rate\trate\tNN\tI-NP\tO' -p361952 -aS'and\tand\tCC\tI-NP\tO' -p361953 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p361954 -aS'and\tand\tCC\tO\tO' -p361955 -aS'normal\tnormal\tJJ\tB-NP\tO' -p361956 -aS'S1\tS1\tNN\tI-NP\tB-protein' -p361957 -aS'and\tand\tCC\tO\tO' -p361958 -aS'S2\tS2\tNN\tB-NP\tB-protein' -p361959 -aS',\t,\t,\tO\tO' -p361960 -aS'no\tno\tDT\tB-NP\tO' -p361961 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p361962 -aS',\t,\t,\tO\tO' -p361963 -aS'normal\tnormal\tJJ\tB-NP\tO' -p361964 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p361965 -aS'and\tand\tCC\tO\tO' -p361966 -aS'perfusion\tperfusion\tNN\tB-NP\tO' -p361967 -aS'.\t.\t.\tO\tO' -p361968 -asS'Evidence of old left anterior septal infarct .' -p361969 -(lp361970 -S'Evidence\tEvidence\tNN\tB-NP\tO' -p361971 -aS'of\tof\tIN\tB-PP\tO' -p361972 -aS'old\told\tJJ\tB-NP\tO' -p361973 -aS'left\tleft\tJJ\tI-NP\tO' -p361974 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p361975 -aS'septal\tseptal\tJJ\tI-NP\tO' -p361976 -aS'infarct\tinfarct\tNN\tI-NP\tO' -p361977 -aS'.\t.\t.\tO\tO' -p361978 -asS'The next morning , he was doing well with the intact drain draining bilious material without any difficulty .' -p361979 -(lp361980 -S'The\tThe\tDT\tB-NP\tO' -p361981 -aS'next\tnext\tJJ\tI-NP\tO' -p361982 -aS'morning\tmorning\tNN\tI-NP\tO' -p361983 -aS',\t,\t,\tO\tO' -p361984 -aS'he\the\tPRP\tB-NP\tO' -p361985 -aS'was\tbe\tVBD\tB-VP\tO' -p361986 -aS'doing\tdo\tVBG\tI-VP\tO' -p361987 -aS'well\twell\tRB\tB-ADVP\tO' -p361988 -aS'with\twith\tIN\tB-PP\tO' -p361989 -aS'the\tthe\tDT\tB-NP\tO' -p361990 -aS'intact\tintact\tJJ\tI-NP\tO' -p361991 -aS'drain\tdrain\tNN\tI-NP\tO' -p361992 -aS'draining\tdrain\tVBG\tB-VP\tO' -p361993 -aS'bilious\tbilious\tJJ\tB-NP\tO' -p361994 -aS'material\tmaterial\tNN\tI-NP\tO' -p361995 -aS'without\twithout\tIN\tB-PP\tO' -p361996 -aS'any\tany\tDT\tB-NP\tO' -p361997 -aS'difficulty\tdifficulty\tNN\tI-NP\tO' -p361998 -aS'.\t.\t.\tO\tO' -p361999 -asS'At the time of transfer , a 16 Coude catheter was in place and draining well .' -p362000 -(lp362001 -S'At\tAt\tIN\tB-PP\tO' -p362002 -aS'the\tthe\tDT\tB-NP\tO' -p362003 -aS'time\ttime\tNN\tI-NP\tO' -p362004 -aS'of\tof\tIN\tB-PP\tO' -p362005 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p362006 -aS',\t,\t,\tO\tO' -p362007 -aS'a\ta\tDT\tB-NP\tO' -p362008 -aS'16\t16\tCD\tI-NP\tO' -p362009 -aS'Coude\tCoude\tNNP\tI-NP\tO' -p362010 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p362011 -aS'was\tbe\tVBD\tB-VP\tO' -p362012 -aS'in\tin\tIN\tB-PP\tO' -p362013 -aS'place\tplace\tNN\tB-NP\tO' -p362014 -aS'and\tand\tCC\tO\tO' -p362015 -aS'draining\tdrain\tVBG\tB-VP\tO' -p362016 -aS'well\twell\tRB\tB-ADVP\tO' -p362017 -aS'.\t.\t.\tO\tO' -p362018 -asS'He was also given 5mg of glucagon and started on a glucagon drip with good response .' -p362019 -(lp362020 -S'He\tHe\tPRP\tB-NP\tO' -p362021 -aS'was\tbe\tVBD\tB-VP\tO' -p362022 -aS'also\talso\tRB\tI-VP\tO' -p362023 -aS'given\tgive\tVBN\tI-VP\tO' -p362024 -aS'5mg\t5mg\tNN\tB-NP\tO' -p362025 -aS'of\tof\tIN\tB-PP\tO' -p362026 -aS'glucagon\tglucagon\tNN\tB-NP\tO' -p362027 -aS'and\tand\tCC\tO\tO' -p362028 -aS'started\tstart\tVBD\tB-VP\tO' -p362029 -aS'on\ton\tIN\tB-PP\tO' -p362030 -aS'a\ta\tDT\tB-NP\tO' -p362031 -aS'glucagon\tglucagon\tNN\tI-NP\tO' -p362032 -aS'drip\tdrip\tNN\tI-NP\tO' -p362033 -aS'with\twith\tIN\tB-PP\tO' -p362034 -aS'good\tgood\tJJ\tB-NP\tO' -p362035 -aS'response\tresponse\tNN\tI-NP\tO' -p362036 -aS'.\t.\t.\tO\tO' -p362037 -asS'These measures were all instituted .' -p362038 -(lp362039 -S'These\tThese\tDT\tB-NP\tO' -p362040 -aS'measures\tmeasure\tNNS\tI-NP\tO' -p362041 -aS'were\tbe\tVBD\tB-VP\tO' -p362042 -aS'all\tall\tDT\tO\tO' -p362043 -aS'instituted\tinstitute\tVBN\tB-VP\tO' -p362044 -aS'.\t.\t.\tO\tO' -p362045 -asS'Wasted .' -p362046 -(lp362047 -S'Wasted\tWaste\tVBN\tB-VP\tO' -p362048 -aS'.\t.\t.\tO\tO' -p362049 -asS'Dr. Mcfarlane is the doctor who performed the procedure to place a stent in your bile duct ( a tube that drains the liver ).' -p362050 -(lp362051 -S'Dr.\tDr.\tNNP\tB-NP\tO' -p362052 -aS'Mcfarlane\tMcfarlane\tNNP\tI-NP\tO' -p362053 -aS'is\tbe\tVBZ\tB-VP\tO' -p362054 -aS'the\tthe\tDT\tB-NP\tO' -p362055 -aS'doctor\tdoctor\tNN\tI-NP\tO' -p362056 -aS'who\twho\tWP\tB-NP\tO' -p362057 -aS'performed\tperform\tVBD\tB-VP\tO' -p362058 -aS'the\tthe\tDT\tB-NP\tO' -p362059 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p362060 -aS'to\tto\tTO\tB-VP\tO' -p362061 -aS'place\tplace\tVB\tI-VP\tO' -p362062 -aS'a\ta\tDT\tB-NP\tO' -p362063 -aS'stent\tstent\tNN\tI-NP\tO' -p362064 -aS'in\tin\tIN\tB-PP\tO' -p362065 -aS'your\tyour\tPRP$\tB-NP\tO' -p362066 -aS'bile\tbile\tNN\tI-NP\tO' -p362067 -aS'duct\tduct\tNN\tI-NP\tO' -p362068 -aS'(\t(\t(\tO\tO' -p362069 -aS'a\ta\tDT\tB-NP\tO' -p362070 -aS'tube\ttube\tNN\tI-NP\tO' -p362071 -aS'that\tthat\tWDT\tB-NP\tO' -p362072 -aS'drains\tdrain\tVBZ\tB-VP\tO' -p362073 -aS'the\tthe\tDT\tB-NP\tO' -p362074 -aS'liver\tliver\tNN\tI-NP\tO' -p362075 -aS').\t).\t.\tO\tO' -p362076 -asS'(4) Pulm - Albuterol inhalers prn Patient seems to be improving and afebrile and resting comfortably .' -p362077 -(lp362078 -S'(4)\t(4)\tLS\tB-NP\tO' -p362079 -aS'Pulm\tPulm\tNN\tI-NP\tB-protein' -p362080 -aS'-\t-\tHYPH\tB-NP\tO' -p362081 -aS'Albuterol\tAlbuterol\tNN\tI-NP\tO' -p362082 -aS'inhalers\tinhaler\tNNS\tI-NP\tO' -p362083 -aS'prn\tprn\tVBP\tB-VP\tO' -p362084 -aS'Patient\tPatient\tNN\tB-NP\tO' -p362085 -aS'seems\tseem\tVBZ\tB-VP\tO' -p362086 -aS'to\tto\tTO\tI-VP\tO' -p362087 -aS'be\tbe\tVB\tI-VP\tO' -p362088 -aS'improving\timprove\tVBG\tI-VP\tO' -p362089 -aS'and\tand\tCC\tO\tO' -p362090 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p362091 -aS'and\tand\tCC\tO\tO' -p362092 -aS'resting\trest\tVBG\tB-VP\tO' -p362093 -aS'comfortably\tcomfortably\tRB\tB-ADVP\tO' -p362094 -aS'.\t.\t.\tO\tO' -p362095 -asS'There was no clear blood in the toilet bowl .' -p362096 -(lp362097 -S'There\tThere\tEX\tB-NP\tO' -p362098 -aS'was\tbe\tVBD\tB-VP\tO' -p362099 -aS'no\tno\tDT\tB-NP\tO' -p362100 -aS'clear\tclear\tJJ\tI-NP\tO' -p362101 -aS'blood\tblood\tNN\tI-NP\tO' -p362102 -aS'in\tin\tIN\tB-PP\tO' -p362103 -aS'the\tthe\tDT\tB-NP\tO' -p362104 -aS'toilet\ttoilet\tNN\tI-NP\tO' -p362105 -aS'bowl\tbowl\tNN\tI-NP\tO' -p362106 -aS'.\t.\t.\tO\tO' -p362107 -asS'> 320 mg / dL Notify M.D.' -p362108 -(lp362109 -S'>\t>\tSYM\tO\tO' -p362110 -aS'320\t320\tCD\tB-NP\tO' -p362111 -aS'mg\tmg\tNN\tI-NP\tO' -p362112 -aS'/\t/\tSYM\tB-NP\tO' -p362113 -aS'dL\tdL\tNN\tI-NP\tO' -p362114 -aS'Notify\tNotify\tNNP\tI-NP\tO' -p362115 -aS'M.D.\tM.D.\tNNP\tI-NP\tO' -p362116 -asS'He was taken to the Deanna by his wife .' -p362117 -(lp362118 -S'He\tHe\tPRP\tB-NP\tO' -p362119 -aS'was\tbe\tVBD\tB-VP\tO' -p362120 -aS'taken\ttake\tVBN\tI-VP\tO' -p362121 -aS'to\tto\tTO\tB-PP\tO' -p362122 -aS'the\tthe\tDT\tB-NP\tO' -p362123 -aS'Deanna\tDeanna\tNNP\tI-NP\tO' -p362124 -aS'by\tby\tIN\tB-PP\tO' -p362125 -aS'his\this\tPRP$\tB-NP\tO' -p362126 -aS'wife\twife\tNN\tI-NP\tO' -p362127 -aS'.\t.\t.\tO\tO' -p362128 -asS'The patient was admitted to the hospital via the emergency room where a bedside echocardiogram was performed .' -p362129 -(lp362130 -S'The\tThe\tDT\tB-NP\tO' -p362131 -aS'patient\tpatient\tNN\tI-NP\tO' -p362132 -aS'was\tbe\tVBD\tB-VP\tO' -p362133 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p362134 -aS'to\tto\tTO\tB-PP\tO' -p362135 -aS'the\tthe\tDT\tB-NP\tO' -p362136 -aS'hospital\thospital\tNN\tI-NP\tO' -p362137 -aS'via\tvia\tIN\tB-PP\tO' -p362138 -aS'the\tthe\tDT\tB-NP\tO' -p362139 -aS'emergency\temergency\tNN\tI-NP\tO' -p362140 -aS'room\troom\tNN\tI-NP\tO' -p362141 -aS'where\twhere\tWRB\tB-ADVP\tO' -p362142 -aS'a\ta\tDT\tB-NP\tO' -p362143 -aS'bedside\tbedside\tNN\tI-NP\tO' -p362144 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p362145 -aS'was\tbe\tVBD\tB-VP\tO' -p362146 -aS'performed\tperform\tVBN\tI-VP\tO' -p362147 -aS'.\t.\t.\tO\tO' -p362148 -asS'No rubs or Andringa appreciated .' -p362149 -(lp362150 -S'No\tNo\tDT\tB-NP\tO' -p362151 -aS'rubs\trub\tNNS\tI-NP\tO' -p362152 -aS'or\tor\tCC\tO\tO' -p362153 -aS'Andringa\tAndringa\tNNP\tB-NP\tO' -p362154 -aS'appreciated\tappreciate\tVBN\tB-VP\tO' -p362155 -aS'.\t.\t.\tO\tO' -p362156 -asS'Methylmalonic acid levels were sent , the results are pending at the time of discharge .' -p362157 -(lp362158 -S'Methylmalonic\tMethylmalonic\tJJ\tB-NP\tO' -p362159 -aS'acid\tacid\tNN\tI-NP\tO' -p362160 -aS'levels\tlevel\tNNS\tI-NP\tO' -p362161 -aS'were\tbe\tVBD\tB-VP\tO' -p362162 -aS'sent\tsend\tVBN\tI-VP\tO' -p362163 -aS',\t,\t,\tO\tO' -p362164 -aS'the\tthe\tDT\tB-NP\tO' -p362165 -aS'results\tresult\tNNS\tI-NP\tO' -p362166 -aS'are\tbe\tVBP\tB-VP\tO' -p362167 -aS'pending\tpende\tVBG\tI-VP\tO' -p362168 -aS'at\tat\tIN\tB-PP\tO' -p362169 -aS'the\tthe\tDT\tB-NP\tO' -p362170 -aS'time\ttime\tNN\tI-NP\tO' -p362171 -aS'of\tof\tIN\tB-PP\tO' -p362172 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p362173 -aS'.\t.\t.\tO\tO' -p362174 -asS'Significant for a lower left saphenous vein thrombosis diagnosed with lower extremity non-invasives and on May 2 , 1993 with no evidence of deep venous thrombosis and clearance by Dr. Ribreefcheampner for further intervention .' -p362175 -(lp362176 -S'Significant\tSignificant\tJJ\tB-ADJP\tO' -p362177 -aS'for\tfor\tIN\tB-PP\tO' -p362178 -aS'a\ta\tDT\tB-NP\tO' -p362179 -aS'lower\tlow\tJJR\tI-NP\tO' -p362180 -aS'left\tleave\tVBD\tB-VP\tO' -p362181 -aS'saphenous\tsaphenous\tJJ\tB-NP\tO' -p362182 -aS'vein\tvein\tNN\tI-NP\tO' -p362183 -aS'thrombosis\tthrombosis\tNN\tI-NP\tO' -p362184 -aS'diagnosed\tdiagnose\tVBN\tB-VP\tO' -p362185 -aS'with\twith\tIN\tB-PP\tO' -p362186 -aS'lower\tlow\tJJR\tB-NP\tO' -p362187 -aS'extremity\textremity\tNN\tI-NP\tO' -p362188 -aS'non-invasives\tnon-invasive\tNNS\tI-NP\tO' -p362189 -aS'and\tand\tCC\tB-PP\tO' -p362190 -aS'on\ton\tIN\tB-PP\tO' -p362191 -aS'May\tMay\tNNP\tB-NP\tO' -p362192 -aS'2\t2\tCD\tI-NP\tO' -p362193 -aS',\t,\t,\tI-NP\tO' -p362194 -aS'1993\t1993\tCD\tI-NP\tO' -p362195 -aS'with\twith\tIN\tB-PP\tO' -p362196 -aS'no\tno\tDT\tB-NP\tO' -p362197 -aS'evidence\tevidence\tNN\tI-NP\tO' -p362198 -aS'of\tof\tIN\tB-PP\tO' -p362199 -aS'deep\tdeep\tJJ\tB-NP\tO' -p362200 -aS'venous\tvenous\tJJ\tI-NP\tO' -p362201 -aS'thrombosis\tthrombosis\tNN\tI-NP\tO' -p362202 -aS'and\tand\tCC\tI-NP\tO' -p362203 -aS'clearance\tclearance\tNN\tI-NP\tO' -p362204 -aS'by\tby\tIN\tB-PP\tO' -p362205 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p362206 -aS'Ribreefcheampner\tRibreefcheampner\tNNP\tI-NP\tO' -p362207 -aS'for\tfor\tIN\tB-PP\tO' -p362208 -aS'further\tfurther\tJJ\tB-NP\tO' -p362209 -aS'intervention\tintervention\tNN\tI-NP\tO' -p362210 -aS'.\t.\t.\tO\tO' -p362211 -asS'It was felt that the patient had continued massive retroperitoneal contamination and probable multiple enteric fistulae from an ischemic bowel .' -p362212 -(lp362213 -S'It\tIt\tPRP\tB-NP\tO' -p362214 -aS'was\tbe\tVBD\tB-VP\tO' -p362215 -aS'felt\tfeel\tVBN\tI-VP\tO' -p362216 -aS'that\tthat\tIN\tB-SBAR\tO' -p362217 -aS'the\tthe\tDT\tB-NP\tO' -p362218 -aS'patient\tpatient\tNN\tI-NP\tO' -p362219 -aS'had\thave\tVBD\tB-VP\tO' -p362220 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p362221 -aS'massive\tmassive\tJJ\tB-NP\tO' -p362222 -aS'retroperitoneal\tretroperitoneal\tJJ\tI-NP\tO' -p362223 -aS'contamination\tcontamination\tNN\tI-NP\tO' -p362224 -aS'and\tand\tCC\tO\tO' -p362225 -aS'probable\tprobable\tJJ\tB-NP\tO' -p362226 -aS'multiple\tmultiple\tJJ\tI-NP\tO' -p362227 -aS'enteric\tenteric\tJJ\tI-NP\tO' -p362228 -aS'fistulae\tfistula\tNNS\tI-NP\tO' -p362229 -aS'from\tfrom\tIN\tB-PP\tO' -p362230 -aS'an\tan\tDT\tB-NP\tO' -p362231 -aS'ischemic\tischemic\tJJ\tI-NP\tO' -p362232 -aS'bowel\tbowel\tNN\tI-NP\tO' -p362233 -aS'.\t.\t.\tO\tO' -p362234 -asS'Her pain was well controlled by Tylenol .' -p362235 -(lp362236 -S'Her\tHer\tPRP$\tB-NP\tO' -p362237 -aS'pain\tpain\tNN\tI-NP\tO' -p362238 -aS'was\tbe\tVBD\tB-VP\tO' -p362239 -aS'well\twell\tRB\tI-VP\tO' -p362240 -aS'controlled\tcontrol\tVBN\tI-VP\tO' -p362241 -aS'by\tby\tIN\tB-PP\tO' -p362242 -aS'Tylenol\tTylenol\tNN\tB-NP\tO' -p362243 -aS'.\t.\t.\tO\tO' -p362244 -asS'He was admitted to the Sephsandpot Center on the morning of 4/9 and was subsequently transferred to the Fairm of Ijordcompmac Hospital for further care .' -p362245 -(lp362246 -S'He\tHe\tPRP\tB-NP\tO' -p362247 -aS'was\tbe\tVBD\tB-VP\tO' -p362248 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p362249 -aS'to\tto\tTO\tB-PP\tO' -p362250 -aS'the\tthe\tDT\tB-NP\tO' -p362251 -aS'Sephsandpot\tSephsandpot\tNNP\tI-NP\tO' -p362252 -aS'Center\tCenter\tNNP\tI-NP\tO' -p362253 -aS'on\ton\tIN\tB-PP\tO' -p362254 -aS'the\tthe\tDT\tB-NP\tO' -p362255 -aS'morning\tmorning\tNN\tI-NP\tO' -p362256 -aS'of\tof\tIN\tB-PP\tO' -p362257 -aS'4/9\t4/9\tCD\tB-NP\tO' -p362258 -aS'and\tand\tCC\tO\tO' -p362259 -aS'was\tbe\tVBD\tB-VP\tO' -p362260 -aS'subsequently\tsubsequently\tRB\tI-VP\tO' -p362261 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p362262 -aS'to\tto\tTO\tB-PP\tO' -p362263 -aS'the\tthe\tDT\tB-NP\tO' -p362264 -aS'Fairm\tFairm\tNNP\tI-NP\tO' -p362265 -aS'of\tof\tIN\tB-PP\tO' -p362266 -aS'Ijordcompmac\tIjordcompmac\tNNP\tB-NP\tO' -p362267 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p362268 -aS'for\tfor\tIN\tB-PP\tO' -p362269 -aS'further\tfurther\tJJ\tB-NP\tO' -p362270 -aS'care\tcare\tNN\tI-NP\tO' -p362271 -aS'.\t.\t.\tO\tO' -p362272 -asS'The patient 's baseline O2 saturation is 92% on three liters .' -p362273 -(lp362274 -S'The\tThe\tDT\tB-NP\tO' -p362275 -aS'patient\tpatient\tNN\tI-NP\tO' -p362276 -aS''s\t'\tNNS\tI-NP\tO' -p362277 -aS'baseline\tbaseline\tNN\tI-NP\tO' -p362278 -aS'O2\tO2\tNN\tI-NP\tO' -p362279 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p362280 -aS'is\tbe\tVBZ\tB-VP\tO' -p362281 -aS'92%\t92%\tCD\tB-NP\tO' -p362282 -aS'on\ton\tIN\tB-PP\tO' -p362283 -aS'three\tthree\tCD\tB-NP\tO' -p362284 -aS'liters\tliter\tNNS\tI-NP\tO' -p362285 -aS'.\t.\t.\tO\tO' -p362286 -asS'The liver was from a 62 year-old gentleman who had died from CVA with normal liver function .' -p362287 -(lp362288 -S'The\tThe\tDT\tB-NP\tO' -p362289 -aS'liver\tliver\tNN\tI-NP\tO' -p362290 -aS'was\tbe\tVBD\tB-VP\tO' -p362291 -aS'from\tfrom\tIN\tB-PP\tO' -p362292 -aS'a\ta\tDT\tB-NP\tO' -p362293 -aS'62\t62\tCD\tI-NP\tO' -p362294 -aS'year-old\tyear-old\tJJ\tI-NP\tO' -p362295 -aS'gentleman\tgentleman\tNN\tI-NP\tO' -p362296 -aS'who\twho\tWP\tB-NP\tO' -p362297 -aS'had\thave\tVBD\tB-VP\tO' -p362298 -aS'died\tdie\tVBN\tI-VP\tO' -p362299 -aS'from\tfrom\tIN\tB-PP\tO' -p362300 -aS'CVA\tCVA\tNN\tB-NP\tB-protein' -p362301 -aS'with\twith\tIN\tB-PP\tO' -p362302 -aS'normal\tnormal\tJJ\tB-NP\tO' -p362303 -aS'liver\tliver\tNN\tI-NP\tO' -p362304 -aS'function\tfunction\tNN\tI-NP\tO' -p362305 -aS'.\t.\t.\tO\tO' -p362306 -asS'There was severe aortic stenosis of 70 millimeter peak gradient , native three vessel disease with patent left internal mammary artery graft to the left circumflex , dissection of the left main was induced by the catheter tip .' -p362307 -(lp362308 -S'There\tThere\tEX\tB-NP\tO' -p362309 -aS'was\tbe\tVBD\tB-VP\tO' -p362310 -aS'severe\tsevere\tJJ\tB-NP\tO' -p362311 -aS'aortic\taortic\tJJ\tI-NP\tO' -p362312 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p362313 -aS'of\tof\tIN\tB-PP\tO' -p362314 -aS'70\t70\tCD\tB-NP\tO' -p362315 -aS'millimeter\tmillimet\tJJR\tI-NP\tO' -p362316 -aS'peak\tpeak\tJJ\tI-NP\tO' -p362317 -aS'gradient\tgradient\tNN\tI-NP\tO' -p362318 -aS',\t,\t,\tO\tO' -p362319 -aS'native\tnative\tJJ\tB-VP\tO' -p362320 -aS'three\tthree\tCD\tB-NP\tO' -p362321 -aS'vessel\tvessel\tNN\tI-NP\tO' -p362322 -aS'disease\tdisease\tNN\tI-NP\tO' -p362323 -aS'with\twith\tIN\tB-PP\tO' -p362324 -aS'patent\tpatent\tNN\tB-NP\tO' -p362325 -aS'left\tleave\tVBD\tB-VP\tO' -p362326 -aS'internal\tinternal\tJJ\tB-NP\tO' -p362327 -aS'mammary\tmammary\tJJ\tI-NP\tO' -p362328 -aS'artery\tartery\tNN\tI-NP\tO' -p362329 -aS'graft\tgraft\tNN\tI-NP\tO' -p362330 -aS'to\tto\tTO\tB-PP\tO' -p362331 -aS'the\tthe\tDT\tB-NP\tO' -p362332 -aS'left\tleft\tJJ\tI-NP\tO' -p362333 -aS'circumflex\tcircumflex\tNN\tI-NP\tO' -p362334 -aS',\t,\t,\tO\tO' -p362335 -aS'dissection\tdissection\tNN\tB-NP\tO' -p362336 -aS'of\tof\tIN\tB-PP\tO' -p362337 -aS'the\tthe\tDT\tB-NP\tO' -p362338 -aS'left\tleft\tJJ\tI-NP\tO' -p362339 -aS'main\tmain\tNN\tI-NP\tO' -p362340 -aS'was\tbe\tVBD\tB-VP\tO' -p362341 -aS'induced\tinduce\tVBN\tI-VP\tO' -p362342 -aS'by\tby\tIN\tB-PP\tO' -p362343 -aS'the\tthe\tDT\tB-NP\tO' -p362344 -aS'catheter\tcatheter\tNN\tI-NP\tB-protein' -p362345 -aS'tip\ttip\tNN\tI-NP\tI-protein' -p362346 -aS'.\t.\t.\tO\tO' -p362347 -asS'She presents now for excision of her local cancer recurrence .' -p362348 -(lp362349 -S'She\tShe\tPRP\tB-NP\tO' -p362350 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p362351 -aS'now\tnow\tRB\tB-ADVP\tO' -p362352 -aS'for\tfor\tIN\tB-PP\tO' -p362353 -aS'excision\texcision\tNN\tB-NP\tO' -p362354 -aS'of\tof\tIN\tB-PP\tO' -p362355 -aS'her\ther\tPRP$\tB-NP\tO' -p362356 -aS'local\tlocal\tJJ\tI-NP\tO' -p362357 -aS'cancer\tcancer\tNN\tI-NP\tO' -p362358 -aS'recurrence\trecurrence\tNN\tI-NP\tO' -p362359 -aS'.\t.\t.\tO\tO' -p362360 -asS'The patient was discharged on 2012-01-26 .' -p362361 -(lp362362 -S'The\tThe\tDT\tB-NP\tO' -p362363 -aS'patient\tpatient\tNN\tI-NP\tO' -p362364 -aS'was\tbe\tVBD\tB-VP\tO' -p362365 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p362366 -aS'on\ton\tIN\tB-PP\tO' -p362367 -aS'2012-01-26\t2012-01-26\tCD\tB-NP\tO' -p362368 -aS'.\t.\t.\tO\tO' -p362369 -asS'Tongue was midline .' -p362370 -(lp362371 -S'Tongue\tTongue\tNN\tB-NP\tO' -p362372 -aS'was\tbe\tVBD\tB-VP\tO' -p362373 -aS'midline\tmidline\tNN\tB-NP\tO' -p362374 -aS'.\t.\t.\tO\tO' -p362375 -asS'She reported that she was sitting on the commode urinating and began to feel nauseous and presyncopal .' -p362376 -(lp362377 -S'She\tShe\tPRP\tB-NP\tO' -p362378 -aS'reported\treport\tVBD\tB-VP\tO' -p362379 -aS'that\tthat\tIN\tB-SBAR\tO' -p362380 -aS'she\tshe\tPRP\tB-NP\tO' -p362381 -aS'was\tbe\tVBD\tB-VP\tO' -p362382 -aS'sitting\tsit\tVBG\tI-VP\tO' -p362383 -aS'on\ton\tIN\tB-PP\tO' -p362384 -aS'the\tthe\tDT\tB-NP\tO' -p362385 -aS'commode\tcommode\tNN\tI-NP\tO' -p362386 -aS'urinating\turinate\tVBG\tB-VP\tO' -p362387 -aS'and\tand\tCC\tO\tO' -p362388 -aS'began\tbegin\tVBD\tB-VP\tO' -p362389 -aS'to\tto\tTO\tI-VP\tO' -p362390 -aS'feel\tfeel\tVB\tI-VP\tO' -p362391 -aS'nauseous\tnauseous\tJJ\tB-ADJP\tO' -p362392 -aS'and\tand\tCC\tI-ADJP\tO' -p362393 -aS'presyncopal\tpresyncopal\tJJ\tI-ADJP\tO' -p362394 -aS'.\t.\t.\tO\tO' -p362395 -asS'His spleen was not palpable .' -p362396 -(lp362397 -S'His\tHis\tPRP$\tB-NP\tO' -p362398 -aS'spleen\tspleen\tNN\tI-NP\tO' -p362399 -aS'was\tbe\tVBD\tB-VP\tO' -p362400 -aS'not\tnot\tRB\tO\tO' -p362401 -aS'palpable\tpalpable\tJJ\tB-ADJP\tO' -p362402 -aS'.\t.\t.\tO\tO' -p362403 -asS'Ext : warm , 2+ DP b/l , 2+ pitting edema to knees b/l' -p362404 -(lp362405 -S'Ext\tExt\tNN\tB-NP\tO' -p362406 -aS':\t:\t:\tO\tO' -p362407 -aS'warm\twarm\tJJ\tB-NP\tO' -p362408 -aS',\t,\t,\tI-NP\tO' -p362409 -aS'2+\t2+\tJJ\tI-NP\tO' -p362410 -aS'DP\tDP\tNN\tI-NP\tO' -p362411 -aS'b/l\tb/l\tNN\tI-NP\tO' -p362412 -aS',\t,\t,\tO\tO' -p362413 -aS'2+\t2+\tJJ\tB-NP\tO' -p362414 -aS'pitting\tpit\tVBG\tI-NP\tO' -p362415 -aS'edema\tedema\tNN\tI-NP\tO' -p362416 -aS'to\tto\tTO\tB-PP\tO' -p362417 -aS'knees\tknee\tNNS\tB-NP\tO' -p362418 -aS'b/l\tb/l\tNN\tI-NP\tO' -p362419 -asS'2) Influenza immunization should be considered annually in the Fall for preterm infants with chronic lung disease once they reach six months of age .' -p362420 -(lp362421 -S'2)\t2)\tLS\tB-NP\tO' -p362422 -aS'Influenza\tInfluenza\tNN\tI-NP\tO' -p362423 -aS'immunization\timmunization\tNN\tI-NP\tO' -p362424 -aS'should\tshould\tMD\tB-VP\tO' -p362425 -aS'be\tbe\tVB\tI-VP\tO' -p362426 -aS'considered\tconsider\tVBN\tI-VP\tO' -p362427 -aS'annually\tannually\tRB\tB-ADVP\tO' -p362428 -aS'in\tin\tIN\tB-PP\tO' -p362429 -aS'the\tthe\tDT\tB-NP\tO' -p362430 -aS'Fall\tFall\tNNP\tI-NP\tO' -p362431 -aS'for\tfor\tIN\tB-PP\tO' -p362432 -aS'preterm\tpreterm\tJJ\tB-NP\tO' -p362433 -aS'infants\tinfant\tNNS\tI-NP\tO' -p362434 -aS'with\twith\tIN\tB-PP\tO' -p362435 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p362436 -aS'lung\tlung\tNN\tI-NP\tO' -p362437 -aS'disease\tdisease\tNN\tI-NP\tO' -p362438 -aS'once\tonce\tIN\tB-SBAR\tO' -p362439 -aS'they\tthey\tPRP\tB-NP\tO' -p362440 -aS'reach\treach\tVBP\tB-VP\tO' -p362441 -aS'six\tsix\tCD\tB-NP\tO' -p362442 -aS'months\tmonth\tNNS\tI-NP\tO' -p362443 -aS'of\tof\tIN\tB-PP\tO' -p362444 -aS'age\tage\tNN\tB-NP\tO' -p362445 -aS'.\t.\t.\tO\tO' -p362446 -asS'16. Furosemide 40 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ) .' -p362447 -(lp362448 -S'16.\t16.\tCD\tB-NP\tO' -p362449 -aS'Furosemide\tFurosemide\tNNP\tI-NP\tO' -p362450 -aS'40\t40\tCD\tI-NP\tO' -p362451 -aS'mg\tmg\tNN\tI-NP\tO' -p362452 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p362453 -aS'Sig\tSig\tNNP\tI-NP\tO' -p362454 -aS':\t:\t:\tO\tO' -p362455 -aS'One\tOne\tCD\tB-NP\tO' -p362456 -aS'(\t(\t(\tO\tO' -p362457 -aS'1\t1\tCD\tB-NP\tO' -p362458 -aS')\t)\t)\tO\tO' -p362459 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p362460 -aS'PO\tPO\tNN\tI-NP\tO' -p362461 -aS'BID\tBID\tNN\tI-NP\tO' -p362462 -aS'(\t(\t(\tO\tO' -p362463 -aS'2\t2\tCD\tB-NP\tO' -p362464 -aS'times\ttime\tNNS\tI-NP\tO' -p362465 -aS'a\ta\tDT\tB-NP\tO' -p362466 -aS'day\tday\tNN\tI-NP\tO' -p362467 -aS')\t)\t)\tO\tO' -p362468 -aS'.\t.\t.\tO\tO' -p362469 -asS'The patient underwent MRI / MRA of the head , neck and upper chest which demonstrated a proximal left subclavian artery stenosis , proximal to the take off of the left vertebral artery .' -p362470 -(lp362471 -S'The\tThe\tDT\tB-NP\tO' -p362472 -aS'patient\tpatient\tNN\tI-NP\tO' -p362473 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p362474 -aS'MRI\tMRI\tNN\tB-NP\tB-protein' -p362475 -aS'/\t/\tSYM\tB-NP\tO' -p362476 -aS'MRA\tMRA\tNN\tI-NP\tB-protein' -p362477 -aS'of\tof\tIN\tB-PP\tO' -p362478 -aS'the\tthe\tDT\tB-NP\tO' -p362479 -aS'head\thead\tNN\tI-NP\tO' -p362480 -aS',\t,\t,\tO\tO' -p362481 -aS'neck\tneck\tNN\tB-NP\tO' -p362482 -aS'and\tand\tCC\tO\tO' -p362483 -aS'upper\tupper\tJJ\tB-NP\tO' -p362484 -aS'chest\tchest\tNN\tI-NP\tO' -p362485 -aS'which\twhich\tWDT\tB-NP\tO' -p362486 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p362487 -aS'a\ta\tDT\tB-NP\tO' -p362488 -aS'proximal\tproximal\tJJ\tI-NP\tO' -p362489 -aS'left\tleft\tJJ\tI-NP\tO' -p362490 -aS'subclavian\tsubclavian\tJJ\tI-NP\tO' -p362491 -aS'artery\tartery\tNN\tI-NP\tO' -p362492 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p362493 -aS',\t,\t,\tO\tO' -p362494 -aS'proximal\tproximal\tJJ\tB-ADJP\tO' -p362495 -aS'to\tto\tTO\tB-PP\tO' -p362496 -aS'the\tthe\tDT\tB-NP\tO' -p362497 -aS'take\ttake\tNN\tI-NP\tO' -p362498 -aS'off\toff\tRP\tB-PRT\tO' -p362499 -aS'of\tof\tIN\tB-PP\tO' -p362500 -aS'the\tthe\tDT\tB-NP\tO' -p362501 -aS'left\tleft\tJJ\tI-NP\tO' -p362502 -aS'vertebral\tvertebral\tJJ\tI-NP\tO' -p362503 -aS'artery\tartery\tNN\tI-NP\tO' -p362504 -aS'.\t.\t.\tO\tO' -p362505 -asS'Estradialol pending .' -p362506 -(lp362507 -S'Estradialol\tEstradialol\tNN\tB-NP\tO' -p362508 -aS'pending\tpending\tNN\tI-NP\tO' -p362509 -aS'.\t.\t.\tO\tO' -p362510 -asS'At 3:00 a.m. on the day of admission he was found by the emergency medical technicians " crawling on all fours " , confused , and combative outside his home .' -p362511 -(lp362512 -S'At\tAt\tIN\tB-PP\tO' -p362513 -aS'3:00\t3:00\tCD\tB-NP\tO' -p362514 -aS'a.m.\ta.m.\tNN\tI-NP\tO' -p362515 -aS'on\ton\tIN\tB-PP\tO' -p362516 -aS'the\tthe\tDT\tB-NP\tO' -p362517 -aS'day\tday\tNN\tI-NP\tO' -p362518 -aS'of\tof\tIN\tB-PP\tO' -p362519 -aS'admission\tadmission\tNN\tB-NP\tO' -p362520 -aS'he\the\tPRP\tB-NP\tO' -p362521 -aS'was\tbe\tVBD\tB-VP\tO' -p362522 -aS'found\tfind\tVBN\tI-VP\tO' -p362523 -aS'by\tby\tIN\tB-PP\tO' -p362524 -aS'the\tthe\tDT\tB-NP\tO' -p362525 -aS'emergency\temergency\tNN\tI-NP\tO' -p362526 -aS'medical\tmedical\tJJ\tI-NP\tO' -p362527 -aS'technicians\ttechnician\tNNS\tI-NP\tO' -p362528 -aS'"\t"\tCC\tO\tO' -p362529 -aS'crawling\tcrawl\tVBG\tB-VP\tO' -p362530 -aS'on\ton\tIN\tB-PP\tO' -p362531 -aS'all\tall\tDT\tB-NP\tO' -p362532 -aS'fours\tfour\tNNS\tI-NP\tO' -p362533 -aS'"\t"\tCC\tO\tO' -p362534 -aS',\t,\t,\tO\tO' -p362535 -aS'confused\tconfuse\tVBN\tB-VP\tO' -p362536 -aS',\t,\t,\tO\tO' -p362537 -aS'and\tand\tCC\tO\tO' -p362538 -aS'combative\tcombative\tJJ\tB-ADJP\tO' -p362539 -aS'outside\toutside\tIN\tB-PP\tO' -p362540 -aS'his\this\tPRP$\tB-NP\tO' -p362541 -aS'home\thome\tNN\tI-NP\tO' -p362542 -aS'.\t.\t.\tO\tO' -p362543 -asS'She was transfused another 2 units of packed red blood cells over the course of the day and her hematocrit improved to 29.4 and then 31.2 .' -p362544 -(lp362545 -S'She\tShe\tPRP\tB-NP\tO' -p362546 -aS'was\tbe\tVBD\tB-VP\tO' -p362547 -aS'transfused\ttransfuse\tVBN\tI-VP\tO' -p362548 -aS'another\tanother\tDT\tB-NP\tO' -p362549 -aS'2\t2\tCD\tI-NP\tO' -p362550 -aS'units\tunit\tNNS\tI-NP\tO' -p362551 -aS'of\tof\tIN\tB-PP\tO' -p362552 -aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' -p362553 -aS'red\tred\tJJ\tI-NP\tI-cell_type' -p362554 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p362555 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p362556 -aS'over\tover\tIN\tB-PP\tO' -p362557 -aS'the\tthe\tDT\tB-NP\tO' -p362558 -aS'course\tcourse\tNN\tI-NP\tO' -p362559 -aS'of\tof\tIN\tB-PP\tO' -p362560 -aS'the\tthe\tDT\tB-NP\tO' -p362561 -aS'day\tday\tNN\tI-NP\tO' -p362562 -aS'and\tand\tCC\tO\tO' -p362563 -aS'her\ther\tPRP$\tB-NP\tO' -p362564 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p362565 -aS'improved\timprove\tVBD\tB-VP\tO' -p362566 -aS'to\tto\tTO\tB-PP\tO' -p362567 -aS'29.4\t29.4\tCD\tB-NP\tO' -p362568 -aS'and\tand\tCC\tO\tO' -p362569 -aS'then\tthen\tRB\tB-NP\tO' -p362570 -aS'31.2\t31.2\tCD\tI-NP\tO' -p362571 -aS'.\t.\t.\tO\tO' -p362572 -asS'A follow up examination is recommended in six to eight months .' -p362573 -(lp362574 -S'A\tA\tDT\tB-NP\tO' -p362575 -aS'follow\tfollow\tNN\tI-NP\tO' -p362576 -aS'up\tup\tRP\tB-PRT\tO' -p362577 -aS'examination\texamination\tNN\tB-NP\tO' -p362578 -aS'is\tbe\tVBZ\tB-VP\tO' -p362579 -aS'recommended\trecommend\tVBN\tI-VP\tO' -p362580 -aS'in\tin\tIN\tB-PP\tO' -p362581 -aS'six\tsix\tCD\tB-NP\tO' -p362582 -aS'to\tto\tTO\tI-NP\tO' -p362583 -aS'eight\teight\tCD\tI-NP\tO' -p362584 -aS'months\tmonth\tNNS\tI-NP\tO' -p362585 -aS'.\t.\t.\tO\tO' -p362586 -asS'2. Phenytoin 50 mg Tablet , Chewable Sig : Four ( 4 ) Tablet , Chewable PO QAM ( once a day ( in the morning )).' -p362587 -(lp362588 -S'2.\t2.\tLS\tB-NP\tO' -p362589 -aS'Phenytoin\tPhenytoin\tNN\tI-NP\tO' -p362590 -aS'50\t50\tCD\tB-NP\tO' -p362591 -aS'mg\tmg\tNN\tI-NP\tO' -p362592 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p362593 -aS',\t,\t,\tO\tO' -p362594 -aS'Chewable\tChewable\tNNP\tB-NP\tO' -p362595 -aS'Sig\tSig\tNNP\tI-NP\tO' -p362596 -aS':\t:\t:\tO\tO' -p362597 -aS'Four\tFour\tCD\tB-NP\tO' -p362598 -aS'(\t(\t(\tO\tO' -p362599 -aS'4\t4\tCD\tB-NP\tO' -p362600 -aS')\t)\t)\tO\tO' -p362601 -aS'Tablet\tTablet\tNNP\tB-NP\tO' -p362602 -aS',\t,\t,\tO\tO' -p362603 -aS'Chewable\tChewable\tJJ\tB-NP\tO' -p362604 -aS'PO\tPO\tNN\tI-NP\tO' -p362605 -aS'QAM\tQAM\tNN\tI-NP\tO' -p362606 -aS'(\t(\t(\tO\tO' -p362607 -aS'once\tonce\tRB\tB-ADVP\tO' -p362608 -aS'a\ta\tDT\tB-NP\tO' -p362609 -aS'day\tday\tNN\tI-NP\tO' -p362610 -aS'(\t(\t(\tO\tO' -p362611 -aS'in\tin\tIN\tB-PP\tO' -p362612 -aS'the\tthe\tDT\tB-NP\tO' -p362613 -aS'morning\tmorning\tNN\tI-NP\tO' -p362614 -aS')).\t)).\t.\tO\tO' -p362615 -asS'NO Tifany , ETOH , OR REC DRUG USE .' -p362616 -(lp362617 -S'NO\tNO\tNNP\tB-NP\tO' -p362618 -aS'Tifany\tTifany\tNNP\tI-NP\tO' -p362619 -aS',\t,\t,\tO\tO' -p362620 -aS'ETOH\tETOH\tNN\tB-NP\tB-protein' -p362621 -aS',\t,\t,\tO\tO' -p362622 -aS'OR\tOR\tNNP\tB-NP\tB-cell_type' -p362623 -aS'REC\tREC\tNNP\tI-NP\tI-cell_type' -p362624 -aS'DRUG\tDRUG\tNNP\tI-NP\tO' -p362625 -aS'USE\tUSE\tNNP\tI-NP\tO' -p362626 -aS'.\t.\t.\tO\tO' -p362627 -asS'Tox screen negative .' -p362628 -(lp362629 -S'Tox\tTox\tNN\tB-NP\tO' -p362630 -aS'screen\tscreen\tNN\tI-NP\tO' -p362631 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p362632 -aS'.\t.\t.\tO\tO' -p362633 -asS'She lives alone but is completely independent .' -p362634 -(lp362635 -S'She\tShe\tPRP\tB-NP\tO' -p362636 -aS'lives\tlive\tVBZ\tB-VP\tO' -p362637 -aS'alone\talone\tRB\tB-ADVP\tO' -p362638 -aS'but\tbut\tCC\tO\tO' -p362639 -aS'is\tbe\tVBZ\tB-VP\tO' -p362640 -aS'completely\tcompletely\tRB\tB-ADJP\tO' -p362641 -aS'independent\tindependent\tJJ\tI-ADJP\tO' -p362642 -aS'.\t.\t.\tO\tO' -p362643 -asS'Her exact Coumadin dose is undetermined at this point , however it looks like it will be something around 5 mg a day .' -p362644 -(lp362645 -S'Her\tHer\tPRP$\tB-NP\tO' -p362646 -aS'exact\texact\tJJ\tI-NP\tO' -p362647 -aS'Coumadin\tCoumadin\tNN\tI-NP\tO' -p362648 -aS'dose\tdose\tNN\tI-NP\tO' -p362649 -aS'is\tbe\tVBZ\tB-VP\tO' -p362650 -aS'undetermined\tundetermine\tVBN\tI-VP\tO' -p362651 -aS'at\tat\tIN\tB-PP\tO' -p362652 -aS'this\tthis\tDT\tB-NP\tO' -p362653 -aS'point\tpoint\tNN\tI-NP\tO' -p362654 -aS',\t,\t,\tO\tO' -p362655 -aS'however\thowever\tRB\tB-ADVP\tO' -p362656 -aS'it\tit\tPRP\tB-NP\tO' -p362657 -aS'looks\tlook\tVBZ\tB-VP\tO' -p362658 -aS'like\tlike\tIN\tB-SBAR\tO' -p362659 -aS'it\tit\tPRP\tB-NP\tO' -p362660 -aS'will\twill\tMD\tB-VP\tO' -p362661 -aS'be\tbe\tVB\tI-VP\tO' -p362662 -aS'something\tsomething\tNN\tB-NP\tO' -p362663 -aS'around\taround\tIN\tB-PP\tO' -p362664 -aS'5\t5\tCD\tB-NP\tO' -p362665 -aS'mg\tmg\tNN\tI-NP\tO' -p362666 -aS'a\ta\tDT\tB-NP\tO' -p362667 -aS'day\tday\tNN\tI-NP\tO' -p362668 -aS'.\t.\t.\tO\tO' -p362669 -asS'She does not smoke tobacco .' -p362670 -(lp362671 -S'She\tShe\tPRP\tB-NP\tO' -p362672 -aS'does\tdo\tVBZ\tB-VP\tO' -p362673 -aS'not\tnot\tRB\tI-VP\tO' -p362674 -aS'smoke\tsmoke\tVB\tI-VP\tO' -p362675 -aS'tobacco\ttobacco\tNN\tB-NP\tO' -p362676 -aS'.\t.\t.\tO\tO' -p362677 -asS'The patient was weaned the next day from mechanical ventilation on his first postoperative night .' -p362678 -(lp362679 -S'The\tThe\tDT\tB-NP\tO' -p362680 -aS'patient\tpatient\tNN\tI-NP\tO' -p362681 -aS'was\tbe\tVBD\tB-VP\tO' -p362682 -aS'weaned\twean\tVBN\tI-VP\tO' -p362683 -aS'the\tthe\tDT\tB-NP\tO' -p362684 -aS'next\tnext\tJJ\tI-NP\tO' -p362685 -aS'day\tday\tNN\tI-NP\tO' -p362686 -aS'from\tfrom\tIN\tB-PP\tO' -p362687 -aS'mechanical\tmechanical\tJJ\tB-NP\tO' -p362688 -aS'ventilation\tventilation\tNN\tI-NP\tO' -p362689 -aS'on\ton\tIN\tB-PP\tO' -p362690 -aS'his\this\tPRP$\tB-NP\tO' -p362691 -aS'first\tfirst\tJJ\tI-NP\tO' -p362692 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p362693 -aS'night\tnight\tNN\tI-NP\tO' -p362694 -aS'.\t.\t.\tO\tO' -p362695 -asS'On hospital day number three , her blood cultures came back positive in the anaerobic culture for gram-positive cocci in pairs and clusters .' -p362696 -(lp362697 -S'On\tOn\tIN\tB-PP\tO' -p362698 -aS'hospital\thospital\tNN\tB-NP\tO' -p362699 -aS'day\tday\tNN\tI-NP\tO' -p362700 -aS'number\tnumber\tNN\tI-NP\tO' -p362701 -aS'three\tthree\tCD\tI-NP\tO' -p362702 -aS',\t,\t,\tO\tO' -p362703 -aS'her\ther\tPRP$\tB-NP\tO' -p362704 -aS'blood\tblood\tNN\tI-NP\tO' -p362705 -aS'cultures\tculture\tNNS\tI-NP\tO' -p362706 -aS'came\tcome\tVBD\tB-VP\tO' -p362707 -aS'back\tback\tRB\tB-ADJP\tO' -p362708 -aS'positive\tpositive\tJJ\tI-ADJP\tO' -p362709 -aS'in\tin\tIN\tB-PP\tO' -p362710 -aS'the\tthe\tDT\tB-NP\tO' -p362711 -aS'anaerobic\tanaerobic\tJJ\tI-NP\tO' -p362712 -aS'culture\tculture\tNN\tI-NP\tO' -p362713 -aS'for\tfor\tIN\tB-PP\tO' -p362714 -aS'gram-positive\tgram-positive\tJJ\tB-NP\tB-protein' -p362715 -aS'cocci\tcoccus\tNNS\tI-NP\tI-protein' -p362716 -aS'in\tin\tIN\tB-PP\tO' -p362717 -aS'pairs\tpair\tNNS\tB-NP\tO' -p362718 -aS'and\tand\tCC\tI-NP\tO' -p362719 -aS'clusters\tcluster\tNNS\tI-NP\tO' -p362720 -aS'.\t.\t.\tO\tO' -p362721 -asS'241-280 mg / dL 6 Units 7 Units 5 Units 1 Units' -p362722 -(lp362723 -S'241-280\t241-280\tCD\tB-NP\tO' -p362724 -aS'mg\tmg\tNN\tI-NP\tO' -p362725 -aS'/\t/\tSYM\tB-NP\tO' -p362726 -aS'dL\tdL\tNN\tB-NP\tB-protein' -p362727 -aS'6\t6\tCD\tI-NP\tI-protein' -p362728 -aS'Units\tUnits\tNNP\tI-NP\tI-protein' -p362729 -aS'7\t7\tCD\tI-NP\tI-protein' -p362730 -aS'Units\tUnit\tNNS\tI-NP\tI-protein' -p362731 -aS'5\t5\tCD\tB-NP\tI-protein' -p362732 -aS'Units\tUnit\tNNS\tI-NP\tI-protein' -p362733 -aS'1\t1\tCD\tB-NP\tI-protein' -p362734 -aS'Units\tUnit\tNNS\tI-NP\tI-protein' -p362735 -asS'He was given stress steroids and was subsequently transferred to Lorough Medical Center 's Intensive Care Unit for further management .' -p362736 -(lp362737 -S'He\tHe\tPRP\tB-NP\tO' -p362738 -aS'was\tbe\tVBD\tB-VP\tO' -p362739 -aS'given\tgive\tVBN\tI-VP\tO' -p362740 -aS'stress\tstress\tNN\tB-NP\tO' -p362741 -aS'steroids\tsteroid\tNNS\tI-NP\tO' -p362742 -aS'and\tand\tCC\tO\tO' -p362743 -aS'was\tbe\tVBD\tB-VP\tO' -p362744 -aS'subsequently\tsubsequently\tRB\tI-VP\tO' -p362745 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p362746 -aS'to\tto\tTO\tB-PP\tO' -p362747 -aS'Lorough\tLorough\tNNP\tB-NP\tO' -p362748 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p362749 -aS'Center\tCenter\tNNP\tI-NP\tO' -p362750 -aS''s\t'\tNNS\tI-NP\tO' -p362751 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p362752 -aS'Care\tCare\tNNP\tI-NP\tO' -p362753 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p362754 -aS'for\tfor\tIN\tB-PP\tO' -p362755 -aS'further\tfurther\tJJ\tB-NP\tO' -p362756 -aS'management\tmanagement\tNN\tI-NP\tO' -p362757 -aS'.\t.\t.\tO\tO' -p362758 -asS'3. A state newborn screen was sent on day of life three ; the results are pending .' -p362759 -(lp362760 -S'3.\t3.\tLS\tB-LST\tO' -p362761 -aS'A\tA\tDT\tB-NP\tO' -p362762 -aS'state\tstate\tNN\tI-NP\tO' -p362763 -aS'newborn\tnewborn\tJJ\tI-NP\tO' -p362764 -aS'screen\tscreen\tNN\tI-NP\tO' -p362765 -aS'was\tbe\tVBD\tB-VP\tO' -p362766 -aS'sent\tsend\tVBN\tI-VP\tO' -p362767 -aS'on\ton\tIN\tB-PP\tO' -p362768 -aS'day\tday\tNN\tB-NP\tO' -p362769 -aS'of\tof\tIN\tB-PP\tO' -p362770 -aS'life\tlife\tNN\tB-NP\tO' -p362771 -aS'three\tthree\tCD\tI-NP\tO' -p362772 -aS';\t;\t:\tO\tO' -p362773 -aS'the\tthe\tDT\tB-NP\tO' -p362774 -aS'results\tresult\tNNS\tI-NP\tO' -p362775 -aS'are\tbe\tVBP\tB-VP\tO' -p362776 -aS'pending\tpende\tVBG\tI-VP\tO' -p362777 -aS'.\t.\t.\tO\tO' -p362778 -asS'The patient was continued on Lipitor and aspirin , and Plavix was added and will be continued for 30 days post catheterization .' -p362779 -(lp362780 -S'The\tThe\tDT\tB-NP\tO' -p362781 -aS'patient\tpatient\tNN\tI-NP\tO' -p362782 -aS'was\tbe\tVBD\tB-VP\tO' -p362783 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p362784 -aS'on\ton\tIN\tB-PP\tO' -p362785 -aS'Lipitor\tLipitor\tNN\tB-NP\tO' -p362786 -aS'and\tand\tCC\tI-NP\tO' -p362787 -aS'aspirin\taspirin\tNN\tI-NP\tO' -p362788 -aS',\t,\t,\tO\tO' -p362789 -aS'and\tand\tCC\tO\tO' -p362790 -aS'Plavix\tPlavix\tNN\tB-NP\tO' -p362791 -aS'was\tbe\tVBD\tB-VP\tO' -p362792 -aS'added\tadd\tVBN\tI-VP\tO' -p362793 -aS'and\tand\tCC\tO\tO' -p362794 -aS'will\twill\tMD\tB-VP\tO' -p362795 -aS'be\tbe\tVB\tI-VP\tO' -p362796 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p362797 -aS'for\tfor\tIN\tB-PP\tO' -p362798 -aS'30\t30\tCD\tB-NP\tO' -p362799 -aS'days\tday\tNNS\tI-NP\tO' -p362800 -aS'post\tpost\tJJ\tB-NP\tO' -p362801 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p362802 -aS'.\t.\t.\tO\tO' -p362803 -asS'There is no free air or free fluid .' -p362804 -(lp362805 -S'There\tThere\tEX\tB-NP\tO' -p362806 -aS'is\tbe\tVBZ\tB-VP\tO' -p362807 -aS'no\tno\tDT\tB-NP\tO' -p362808 -aS'free\tfree\tJJ\tI-NP\tO' -p362809 -aS'air\tair\tNN\tI-NP\tO' -p362810 -aS'or\tor\tCC\tO\tO' -p362811 -aS'free\tfree\tJJ\tB-NP\tO' -p362812 -aS'fluid\tfluid\tNN\tI-NP\tO' -p362813 -aS'.\t.\t.\tO\tO' -p362814 -asS'The patient was instructed that he needed to followup with Dr. Rhalt by calling his office for appointment at 763-6361 subsequent to his discharge to his rehabilitation facility in Oaksale Lavalle .' -p362815 -(lp362816 -S'The\tThe\tDT\tB-NP\tO' -p362817 -aS'patient\tpatient\tNN\tI-NP\tO' -p362818 -aS'was\tbe\tVBD\tB-VP\tO' -p362819 -aS'instructed\tinstruct\tVBN\tI-VP\tO' -p362820 -aS'that\tthat\tIN\tB-SBAR\tO' -p362821 -aS'he\the\tPRP\tB-NP\tO' -p362822 -aS'needed\tneed\tVBD\tB-VP\tO' -p362823 -aS'to\tto\tTO\tI-VP\tO' -p362824 -aS'followup\tfollowup\tVB\tI-VP\tO' -p362825 -aS'with\twith\tIN\tB-PP\tO' -p362826 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p362827 -aS'Rhalt\tRhalt\tNNP\tI-NP\tO' -p362828 -aS'by\tby\tIN\tB-PP\tO' -p362829 -aS'calling\tcall\tVBG\tB-VP\tO' -p362830 -aS'his\this\tPRP$\tB-NP\tO' -p362831 -aS'office\toffice\tNN\tI-NP\tO' -p362832 -aS'for\tfor\tIN\tB-PP\tO' -p362833 -aS'appointment\tappointment\tNN\tB-NP\tO' -p362834 -aS'at\tat\tIN\tB-PP\tO' -p362835 -aS'763-6361\t763-6361\tCD\tB-NP\tO' -p362836 -aS'subsequent\tsubsequent\tJJ\tI-NP\tO' -p362837 -aS'to\tto\tTO\tB-PP\tO' -p362838 -aS'his\this\tPRP$\tB-NP\tO' -p362839 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p362840 -aS'to\tto\tTO\tB-PP\tO' -p362841 -aS'his\this\tPRP$\tB-NP\tO' -p362842 -aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' -p362843 -aS'facility\tfacility\tNN\tI-NP\tO' -p362844 -aS'in\tin\tIN\tB-PP\tO' -p362845 -aS'Oaksale\tOaksale\tNNP\tB-NP\tO' -p362846 -aS'Lavalle\tLavalle\tNNP\tI-NP\tO' -p362847 -aS'.\t.\t.\tO\tO' -p362848 -asS'This report was created by CHIRDKOTEKERTH , LICHEREANYVE 10/24/2001 10:09 AM' -p362849 -(lp362850 -S'This\tThis\tDT\tB-NP\tO' -p362851 -aS'report\treport\tNN\tI-NP\tO' -p362852 -aS'was\tbe\tVBD\tB-VP\tO' -p362853 -aS'created\tcreate\tVBN\tI-VP\tO' -p362854 -aS'by\tby\tIN\tB-PP\tO' -p362855 -aS'CHIRDKOTEKERTH\tCHIRDKOTEKERTH\tNNP\tB-NP\tO' -p362856 -aS',\t,\t,\tO\tO' -p362857 -aS'LICHEREANYVE\tLICHEREANYVE\tNNP\tB-NP\tO' -p362858 -aS'10/24/2001\t10/24/2001\tCD\tB-NP\tO' -p362859 -aS'10:09\t10:09\tCD\tI-NP\tO' -p362860 -aS'AM\tAM\tNN\tI-NP\tO' -p362861 -asS'The patient had mild hyponatremia during this hospitalization with a sodium as low as 131 .' -p362862 -(lp362863 -S'The\tThe\tDT\tB-NP\tO' -p362864 -aS'patient\tpatient\tNN\tI-NP\tO' -p362865 -aS'had\thave\tVBD\tB-VP\tO' -p362866 -aS'mild\tmild\tJJ\tB-NP\tO' -p362867 -aS'hyponatremia\thyponatremia\tNN\tI-NP\tO' -p362868 -aS'during\tduring\tIN\tB-PP\tO' -p362869 -aS'this\tthis\tDT\tB-NP\tO' -p362870 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p362871 -aS'with\twith\tIN\tB-PP\tO' -p362872 -aS'a\ta\tDT\tB-NP\tO' -p362873 -aS'sodium\tsodium\tNN\tI-NP\tO' -p362874 -aS'as\tas\tRB\tB-ADJP\tO' -p362875 -aS'low\tlow\tJJ\tI-ADJP\tO' -p362876 -aS'as\tas\tIN\tB-PP\tO' -p362877 -aS'131\t131\tCD\tB-NP\tO' -p362878 -aS'.\t.\t.\tO\tO' -p362879 -asS'He was subsequently tranferred to the floor , where he continued to have a stable oxygen requirement .' -p362880 -(lp362881 -S'He\tHe\tPRP\tB-NP\tO' -p362882 -aS'was\tbe\tVBD\tB-VP\tO' -p362883 -aS'subsequently\tsubsequently\tRB\tI-VP\tO' -p362884 -aS'tranferred\ttranferre\tVBN\tI-VP\tO' -p362885 -aS'to\tto\tTO\tB-PP\tO' -p362886 -aS'the\tthe\tDT\tB-NP\tO' -p362887 -aS'floor\tfloor\tNN\tI-NP\tO' -p362888 -aS',\t,\t,\tO\tO' -p362889 -aS'where\twhere\tWRB\tB-ADVP\tO' -p362890 -aS'he\the\tPRP\tB-NP\tO' -p362891 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p362892 -aS'to\tto\tTO\tI-VP\tO' -p362893 -aS'have\thave\tVB\tI-VP\tO' -p362894 -aS'a\ta\tDT\tB-NP\tO' -p362895 -aS'stable\tstable\tJJ\tI-NP\tO' -p362896 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p362897 -aS'requirement\trequirement\tNN\tI-NP\tO' -p362898 -aS'.\t.\t.\tO\tO' -p362899 -asS'upper extremity .' -p362900 -(lp362901 -S'upper\tupper\tJJ\tB-NP\tO' -p362902 -aS'extremity\textremity\tNN\tI-NP\tO' -p362903 -aS'.\t.\t.\tO\tO' -p362904 -asS'The palate was intact .' -p362905 -(lp362906 -S'The\tThe\tDT\tB-NP\tO' -p362907 -aS'palate\tpalate\tNN\tI-NP\tO' -p362908 -aS'was\tbe\tVBD\tB-VP\tO' -p362909 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p362910 -aS'.\t.\t.\tO\tO' -p362911 -asS'He was observed in the nursery for progression of symptoms .' -p362912 -(lp362913 -S'He\tHe\tPRP\tB-NP\tO' -p362914 -aS'was\tbe\tVBD\tB-VP\tO' -p362915 -aS'observed\tobserve\tVBN\tI-VP\tO' -p362916 -aS'in\tin\tIN\tB-PP\tO' -p362917 -aS'the\tthe\tDT\tB-NP\tO' -p362918 -aS'nursery\tnursery\tNN\tI-NP\tO' -p362919 -aS'for\tfor\tIN\tB-PP\tO' -p362920 -aS'progression\tprogression\tNN\tB-NP\tO' -p362921 -aS'of\tof\tIN\tB-PP\tO' -p362922 -aS'symptoms\tsymptom\tNNS\tB-NP\tO' -p362923 -aS'.\t.\t.\tO\tO' -p362924 -asS'No S3 or opening snap .' -p362925 -(lp362926 -S'No\tNo\tDT\tB-NP\tO' -p362927 -aS'S3\tS3\tNN\tI-NP\tB-protein' -p362928 -aS'or\tor\tCC\tI-NP\tO' -p362929 -aS'opening\topening\tNN\tI-NP\tO' -p362930 -aS'snap\tsnap\tNN\tI-NP\tO' -p362931 -aS'.\t.\t.\tO\tO' -p362932 -asS'Neurologic exam revealed a resting tremor in the right arm and hand .' -p362933 -(lp362934 -S'Neurologic\tNeurologic\tJJ\tB-NP\tO' -p362935 -aS'exam\texam\tNN\tI-NP\tO' -p362936 -aS'revealed\treveal\tVBD\tB-VP\tO' -p362937 -aS'a\ta\tDT\tB-NP\tO' -p362938 -aS'resting\tresting\tJJ\tI-NP\tO' -p362939 -aS'tremor\ttremor\tNN\tI-NP\tO' -p362940 -aS'in\tin\tIN\tB-PP\tO' -p362941 -aS'the\tthe\tDT\tB-NP\tO' -p362942 -aS'right\tright\tJJ\tI-NP\tO' -p362943 -aS'arm\tarm\tNN\tI-NP\tO' -p362944 -aS'and\tand\tCC\tI-NP\tO' -p362945 -aS'hand\thand\tNN\tI-NP\tO' -p362946 -aS'.\t.\t.\tO\tO' -p362947 -asS'She seems to be tolerating this well as she has an O2 sat of 100% on 40% FIO2 .' -p362948 -(lp362949 -S'She\tShe\tPRP\tB-NP\tO' -p362950 -aS'seems\tseem\tVBZ\tB-VP\tO' -p362951 -aS'to\tto\tTO\tI-VP\tO' -p362952 -aS'be\tbe\tVB\tI-VP\tO' -p362953 -aS'tolerating\ttolerate\tVBG\tI-VP\tO' -p362954 -aS'this\tthis\tDT\tB-NP\tO' -p362955 -aS'well\twell\tNN\tI-NP\tO' -p362956 -aS'as\tas\tIN\tB-SBAR\tO' -p362957 -aS'she\tshe\tPRP\tB-NP\tO' -p362958 -aS'has\thave\tVBZ\tB-VP\tO' -p362959 -aS'an\tan\tDT\tB-NP\tO' -p362960 -aS'O2\tO2\tNN\tI-NP\tO' -p362961 -aS'sat\tsat\tNN\tI-NP\tO' -p362962 -aS'of\tof\tIN\tB-PP\tO' -p362963 -aS'100%\t100%\tNN\tB-NP\tO' -p362964 -aS'on\ton\tIN\tB-PP\tO' -p362965 -aS'40%\t40%\tJJ\tB-NP\tB-protein' -p362966 -aS'FIO2\tFIO2\tNN\tI-NP\tI-protein' -p362967 -aS'.\t.\t.\tO\tO' -p362968 -asS'He was able to communicate appropriately as his level of narcotic medications waned in his blood .' -p362969 -(lp362970 -S'He\tHe\tPRP\tB-NP\tO' -p362971 -aS'was\tbe\tVBD\tB-VP\tO' -p362972 -aS'able\table\tJJ\tB-ADJP\tO' -p362973 -aS'to\tto\tTO\tB-VP\tO' -p362974 -aS'communicate\tcommunicate\tVB\tI-VP\tO' -p362975 -aS'appropriately\tappropriately\tRB\tB-ADVP\tO' -p362976 -aS'as\tas\tIN\tB-PP\tO' -p362977 -aS'his\this\tPRP$\tB-NP\tO' -p362978 -aS'level\tlevel\tNN\tI-NP\tO' -p362979 -aS'of\tof\tIN\tB-PP\tO' -p362980 -aS'narcotic\tnarcotic\tJJ\tB-NP\tO' -p362981 -aS'medications\tmedication\tNNS\tI-NP\tO' -p362982 -aS'waned\twan\tVBD\tB-VP\tO' -p362983 -aS'in\tin\tIN\tB-PP\tO' -p362984 -aS'his\this\tPRP$\tB-NP\tO' -p362985 -aS'blood\tblood\tNN\tI-NP\tO' -p362986 -aS'.\t.\t.\tO\tO' -p362987 -asS'At the time of discharge , Mrs. Dua has had a remarkable recovery .' -p362988 -(lp362989 -S'At\tAt\tIN\tB-PP\tO' -p362990 -aS'the\tthe\tDT\tB-NP\tO' -p362991 -aS'time\ttime\tNN\tI-NP\tO' -p362992 -aS'of\tof\tIN\tB-PP\tO' -p362993 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p362994 -aS',\t,\t,\tO\tO' -p362995 -aS'Mrs.\tMrs.\tNNP\tB-NP\tO' -p362996 -aS'Dua\tDua\tNNP\tI-NP\tO' -p362997 -aS'has\thave\tVBZ\tB-VP\tO' -p362998 -aS'had\thave\tVBN\tI-VP\tO' -p362999 -aS'a\ta\tDT\tB-NP\tO' -p363000 -aS'remarkable\tremarkable\tJJ\tI-NP\tO' -p363001 -aS'recovery\trecovery\tNN\tI-NP\tO' -p363002 -aS'.\t.\t.\tO\tO' -p363003 -asS'There was no evidence of LV hypertrophy .' -p363004 -(lp363005 -S'There\tThere\tEX\tB-NP\tO' -p363006 -aS'was\tbe\tVBD\tB-VP\tO' -p363007 -aS'no\tno\tDT\tB-NP\tO' -p363008 -aS'evidence\tevidence\tNN\tI-NP\tO' -p363009 -aS'of\tof\tIN\tB-PP\tO' -p363010 -aS'LV\tLV\tNN\tB-NP\tO' -p363011 -aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' -p363012 -aS'.\t.\t.\tO\tO' -p363013 -asS'He was extubated a few days later and transferred back to the floor where his pulm status improved dramatically with lasix and continued nebulizer treatments .' -p363014 -(lp363015 -S'He\tHe\tPRP\tB-NP\tO' -p363016 -aS'was\tbe\tVBD\tB-VP\tO' -p363017 -aS'extubated\textubate\tVBN\tI-VP\tO' -p363018 -aS'a\ta\tDT\tB-NP\tO' -p363019 -aS'few\tfew\tJJ\tI-NP\tO' -p363020 -aS'days\tday\tNNS\tI-NP\tO' -p363021 -aS'later\tlater\tRB\tB-ADVP\tO' -p363022 -aS'and\tand\tCC\tO\tO' -p363023 -aS'transferred\ttransfer\tVBD\tB-VP\tO' -p363024 -aS'back\tback\tRB\tB-ADVP\tO' -p363025 -aS'to\tto\tTO\tB-PP\tO' -p363026 -aS'the\tthe\tDT\tB-NP\tO' -p363027 -aS'floor\tfloor\tNN\tI-NP\tO' -p363028 -aS'where\twhere\tWRB\tB-ADVP\tO' -p363029 -aS'his\this\tPRP$\tB-NP\tO' -p363030 -aS'pulm\tpulm\tNN\tI-NP\tO' -p363031 -aS'status\tstatus\tNN\tI-NP\tO' -p363032 -aS'improved\timprove\tVBD\tB-VP\tO' -p363033 -aS'dramatically\tdramatically\tRB\tB-ADVP\tO' -p363034 -aS'with\twith\tIN\tB-PP\tO' -p363035 -aS'lasix\tlasix\tNN\tB-NP\tO' -p363036 -aS'and\tand\tCC\tO\tO' -p363037 -aS'continued\tcontinued\tJJ\tB-NP\tO' -p363038 -aS'nebulizer\tnebulizer\tNN\tI-NP\tO' -p363039 -aS'treatments\ttreatment\tNNS\tI-NP\tO' -p363040 -aS'.\t.\t.\tO\tO' -p363041 -asS'CT head remained stable for SAH .' -p363042 -(lp363043 -S'CT\tCT\tNN\tB-NP\tO' -p363044 -aS'head\thead\tNN\tI-NP\tO' -p363045 -aS'remained\tremain\tVBD\tB-VP\tO' -p363046 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p363047 -aS'for\tfor\tIN\tB-PP\tO' -p363048 -aS'SAH\tSAH\tNN\tB-NP\tB-protein' -p363049 -aS'.\t.\t.\tO\tO' -p363050 -asS'She was watched very closely while on the floor .' -p363051 -(lp363052 -S'She\tShe\tPRP\tB-NP\tO' -p363053 -aS'was\tbe\tVBD\tB-VP\tO' -p363054 -aS'watched\twatch\tVBN\tI-VP\tO' -p363055 -aS'very\tvery\tRB\tB-ADVP\tO' -p363056 -aS'closely\tclosely\tRB\tI-ADVP\tO' -p363057 -aS'while\twhile\tIN\tB-SBAR\tO' -p363058 -aS'on\ton\tIN\tB-PP\tO' -p363059 -aS'the\tthe\tDT\tB-NP\tO' -p363060 -aS'floor\tfloor\tNN\tI-NP\tO' -p363061 -aS'.\t.\t.\tO\tO' -p363062 -asS'However , other causes were looked for including adrenal insufficiency and bowel obstruction .' -p363063 -(lp363064 -S'However\tHowever\tRB\tB-ADVP\tO' -p363065 -aS',\t,\t,\tO\tO' -p363066 -aS'other\tother\tJJ\tB-NP\tO' -p363067 -aS'causes\tcause\tNNS\tI-NP\tO' -p363068 -aS'were\tbe\tVBD\tB-VP\tO' -p363069 -aS'looked\tlook\tVBN\tI-VP\tO' -p363070 -aS'for\tfor\tIN\tB-PP\tO' -p363071 -aS'including\tinclude\tVBG\tB-VP\tO' -p363072 -aS'adrenal\tadrenal\tJJ\tB-NP\tO' -p363073 -aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' -p363074 -aS'and\tand\tCC\tI-NP\tO' -p363075 -aS'bowel\tbowel\tNN\tI-NP\tO' -p363076 -aS'obstruction\tobstruction\tNN\tI-NP\tO' -p363077 -aS'.\t.\t.\tO\tO' -p363078 -asS'Patient underwent suction curettage and finally a supercervical hysterectomy .' -p363079 -(lp363080 -S'Patient\tPatient\tNN\tB-NP\tO' -p363081 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p363082 -aS'suction\tsuction\tNN\tB-NP\tO' -p363083 -aS'curettage\tcurettage\tNN\tI-NP\tO' -p363084 -aS'and\tand\tCC\tO\tO' -p363085 -aS'finally\tfinally\tRB\tB-ADVP\tO' -p363086 -aS'a\ta\tDT\tB-NP\tO' -p363087 -aS'supercervical\tsupercervical\tJJ\tI-NP\tO' -p363088 -aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' -p363089 -aS'.\t.\t.\tO\tO' -p363090 -asS'The right superior parathyroid gland was found to be markedly enlarged and consistent with an adenoma .' -p363091 -(lp363092 -S'The\tThe\tDT\tB-NP\tO' -p363093 -aS'right\tright\tJJ\tI-NP\tO' -p363094 -aS'superior\tsuperior\tJJ\tI-NP\tO' -p363095 -aS'parathyroid\tparathyroid\tJJ\tI-NP\tO' -p363096 -aS'gland\tgland\tNN\tI-NP\tO' -p363097 -aS'was\tbe\tVBD\tB-VP\tO' -p363098 -aS'found\tfind\tVBN\tI-VP\tO' -p363099 -aS'to\tto\tTO\tI-VP\tO' -p363100 -aS'be\tbe\tVB\tI-VP\tO' -p363101 -aS'markedly\tmarkedly\tRB\tB-ADJP\tO' -p363102 -aS'enlarged\tenlarged\tJJ\tI-ADJP\tO' -p363103 -aS'and\tand\tCC\tI-ADJP\tO' -p363104 -aS'consistent\tconsistent\tJJ\tI-ADJP\tO' -p363105 -aS'with\twith\tIN\tB-PP\tO' -p363106 -aS'an\tan\tDT\tB-NP\tO' -p363107 -aS'adenoma\tadenoma\tNN\tI-NP\tO' -p363108 -aS'.\t.\t.\tO\tO' -p363109 -asS'The vital signs temperature 98.0 , heart rate 78 , blood pressure 186/69 , respirations 18 .' -p363110 -(lp363111 -S'The\tThe\tDT\tB-NP\tO' -p363112 -aS'vital\tvital\tJJ\tI-NP\tO' -p363113 -aS'signs\tsign\tNNS\tI-NP\tO' -p363114 -aS'temperature\ttemperature\tNN\tI-NP\tO' -p363115 -aS'98.0\t98.0\tCD\tI-NP\tO' -p363116 -aS',\t,\t,\tO\tO' -p363117 -aS'heart\theart\tNN\tB-NP\tO' -p363118 -aS'rate\trate\tNN\tI-NP\tO' -p363119 -aS'78\t78\tCD\tI-NP\tO' -p363120 -aS',\t,\t,\tO\tO' -p363121 -aS'blood\tblood\tNN\tB-NP\tO' -p363122 -aS'pressure\tpressure\tNN\tI-NP\tO' -p363123 -aS'186/69\t186/69\tCD\tI-NP\tO' -p363124 -aS',\t,\t,\tO\tO' -p363125 -aS'respirations\trespiration\tNNS\tB-NP\tO' -p363126 -aS'18\t18\tCD\tB-NP\tO' -p363127 -aS'.\t.\t.\tO\tO' -p363128 -asS'The patient was also treated initially with amphotericin-B and then with fluconazole for a computerized tomography guided aspirate of a small fluid collection around his pancreas , which grew Candida albicans .' -p363129 -(lp363130 -S'The\tThe\tDT\tB-NP\tO' -p363131 -aS'patient\tpatient\tNN\tI-NP\tO' -p363132 -aS'was\tbe\tVBD\tB-VP\tO' -p363133 -aS'also\talso\tRB\tI-VP\tO' -p363134 -aS'treated\ttreat\tVBN\tI-VP\tO' -p363135 -aS'initially\tinitially\tRB\tB-ADVP\tO' -p363136 -aS'with\twith\tIN\tB-PP\tO' -p363137 -aS'amphotericin-B\tamphotericin-B\tNN\tB-NP\tB-protein' -p363138 -aS'and\tand\tCC\tO\tO' -p363139 -aS'then\tthen\tRB\tB-ADVP\tO' -p363140 -aS'with\twith\tIN\tB-PP\tO' -p363141 -aS'fluconazole\tfluconazole\tNN\tB-NP\tO' -p363142 -aS'for\tfor\tIN\tB-PP\tO' -p363143 -aS'a\ta\tDT\tB-NP\tO' -p363144 -aS'computerized\tcomputerize\tVBN\tI-NP\tO' -p363145 -aS'tomography\ttomography\tNN\tI-NP\tO' -p363146 -aS'guided\tguide\tVBD\tB-VP\tO' -p363147 -aS'aspirate\taspirate\tNN\tB-NP\tO' -p363148 -aS'of\tof\tIN\tB-PP\tO' -p363149 -aS'a\ta\tDT\tB-NP\tO' -p363150 -aS'small\tsmall\tJJ\tI-NP\tO' -p363151 -aS'fluid\tfluid\tNN\tI-NP\tO' -p363152 -aS'collection\tcollection\tNN\tI-NP\tO' -p363153 -aS'around\taround\tIN\tB-PP\tO' -p363154 -aS'his\this\tPRP$\tB-NP\tO' -p363155 -aS'pancreas\tpancreas\tNN\tI-NP\tO' -p363156 -aS',\t,\t,\tO\tO' -p363157 -aS'which\twhich\tWDT\tB-NP\tO' -p363158 -aS'grew\tgrow\tVBD\tB-VP\tO' -p363159 -aS'Candida\tCandida\tNNP\tB-NP\tO' -p363160 -aS'albicans\talbican\tNNS\tI-NP\tO' -p363161 -aS'.\t.\t.\tO\tO' -p363162 -asS'The cervix revealed squamous metaplasia .' -p363163 -(lp363164 -S'The\tThe\tDT\tB-NP\tO' -p363165 -aS'cervix\tcervix\tNN\tI-NP\tO' -p363166 -aS'revealed\treveal\tVBD\tB-VP\tO' -p363167 -aS'squamous\tsquamous\tJJ\tB-NP\tO' -p363168 -aS'metaplasia\tmetaplasia\tNN\tI-NP\tO' -p363169 -aS'.\t.\t.\tO\tO' -p363170 -asS'During the last four hospital days , the continued to do relatively well .' -p363171 -(lp363172 -S'During\tDuring\tIN\tB-PP\tO' -p363173 -aS'the\tthe\tDT\tB-NP\tO' -p363174 -aS'last\tlast\tJJ\tI-NP\tO' -p363175 -aS'four\tfour\tCD\tI-NP\tO' -p363176 -aS'hospital\thospital\tNN\tI-NP\tO' -p363177 -aS'days\tday\tNNS\tI-NP\tO' -p363178 -aS',\t,\t,\tO\tO' -p363179 -aS'the\tthe\tDT\tO\tO' -p363180 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p363181 -aS'to\tto\tTO\tI-VP\tO' -p363182 -aS'do\tdo\tVB\tI-VP\tO' -p363183 -aS'relatively\trelatively\tRB\tB-ADVP\tO' -p363184 -aS'well\twell\tRB\tI-ADVP\tO' -p363185 -aS'.\t.\t.\tO\tO' -p363186 -asS'BLOOD GASES Type Temp Rates Tidal V PEEP FiO2 O2 Flow pO2 pCO2 pH calHCO3 Base XS AADO2 REQ O2 Intubat Vent' -p363187 -(lp363188 -S'BLOOD\tBLOOD\tNNP\tB-NP\tO' -p363189 -aS'GASES\tGASES\tNNP\tI-NP\tO' -p363190 -aS'Type\tType\tNNP\tI-NP\tO' -p363191 -aS'Temp\tTemp\tNNP\tI-NP\tO' -p363192 -aS'Rates\tRates\tNNP\tI-NP\tO' -p363193 -aS'Tidal\tTidal\tNNP\tI-NP\tO' -p363194 -aS'V\tV\tNNP\tI-NP\tO' -p363195 -aS'PEEP\tPEEP\tNNP\tI-NP\tO' -p363196 -aS'FiO2\tFiO2\tNN\tI-NP\tO' -p363197 -aS'O2\tO2\tNN\tI-NP\tO' -p363198 -aS'Flow\tFlow\tNN\tI-NP\tO' -p363199 -aS'pO2\tpO2\tNN\tI-NP\tO' -p363200 -aS'pCO2\tpCO2\tNN\tI-NP\tO' -p363201 -aS'pH\tpH\tNN\tI-NP\tO' -p363202 -aS'calHCO3\tcalHCO3\tNN\tI-NP\tO' -p363203 -aS'Base\tBase\tNN\tI-NP\tO' -p363204 -aS'XS\tXS\tNN\tI-NP\tO' -p363205 -aS'AADO2\tAADO2\tNN\tI-NP\tO' -p363206 -aS'REQ\tREQ\tNN\tI-NP\tO' -p363207 -aS'O2\tO2\tNN\tI-NP\tO' -p363208 -aS'Intubat\tIntubat\tNNP\tI-NP\tO' -p363209 -aS'Vent\tVent\tNNP\tI-NP\tO' -p363210 -asS'His last admission was 9-14-93 , for a transfusion without complications , and prior to admission the patient reports having several days of increasing weakness , dizziness and fatigue .' -p363211 -(lp363212 -S'His\tHis\tPRP$\tB-NP\tO' -p363213 -aS'last\tlast\tJJ\tI-NP\tO' -p363214 -aS'admission\tadmission\tNN\tI-NP\tO' -p363215 -aS'was\tbe\tVBD\tB-VP\tO' -p363216 -aS'9-14-93\t9-14-93\tCD\tB-NP\tO' -p363217 -aS',\t,\t,\tO\tO' -p363218 -aS'for\tfor\tIN\tB-PP\tO' -p363219 -aS'a\ta\tDT\tB-NP\tO' -p363220 -aS'transfusion\ttransfusion\tNN\tI-NP\tO' -p363221 -aS'without\twithout\tIN\tB-PP\tO' -p363222 -aS'complications\tcomplication\tNNS\tB-NP\tO' -p363223 -aS',\t,\t,\tO\tO' -p363224 -aS'and\tand\tCC\tO\tO' -p363225 -aS'prior\tprior\tRB\tB-ADVP\tO' -p363226 -aS'to\tto\tTO\tB-VP\tO' -p363227 -aS'admission\tadmission\tVB\tI-VP\tO' -p363228 -aS'the\tthe\tDT\tB-NP\tO' -p363229 -aS'patient\tpatient\tNN\tI-NP\tO' -p363230 -aS'reports\treport\tNNS\tI-NP\tO' -p363231 -aS'having\thave\tVBG\tB-VP\tO' -p363232 -aS'several\tseveral\tJJ\tB-NP\tO' -p363233 -aS'days\tday\tNNS\tI-NP\tO' -p363234 -aS'of\tof\tIN\tB-PP\tO' -p363235 -aS'increasing\tincrease\tVBG\tB-NP\tO' -p363236 -aS'weakness\tweakness\tNN\tI-NP\tO' -p363237 -aS',\t,\t,\tI-NP\tO' -p363238 -aS'dizziness\tdizziness\tNN\tI-NP\tO' -p363239 -aS'and\tand\tCC\tI-NP\tO' -p363240 -aS'fatigue\tfatigue\tNN\tI-NP\tO' -p363241 -aS'.\t.\t.\tO\tO' -p363242 -asS'4-to 4+ strength at the left ankle , 4+ strength at the right knee and right ankle .' -p363243 -(lp363244 -S'4-to\t4-to\tJJ\tB-NP\tO' -p363245 -aS'4+\t4+\tJJ\tI-NP\tO' -p363246 -aS'strength\tstrength\tNN\tI-NP\tO' -p363247 -aS'at\tat\tIN\tB-PP\tO' -p363248 -aS'the\tthe\tDT\tB-NP\tO' -p363249 -aS'left\tleft\tJJ\tI-NP\tO' -p363250 -aS'ankle\tankle\tNN\tI-NP\tO' -p363251 -aS',\t,\t,\tO\tO' -p363252 -aS'4+\t4+\tJJ\tB-NP\tO' -p363253 -aS'strength\tstrength\tNN\tI-NP\tO' -p363254 -aS'at\tat\tIN\tB-PP\tO' -p363255 -aS'the\tthe\tDT\tB-NP\tO' -p363256 -aS'right\tright\tJJ\tI-NP\tO' -p363257 -aS'knee\tknee\tNN\tI-NP\tO' -p363258 -aS'and\tand\tCC\tI-NP\tO' -p363259 -aS'right\tright\tJJ\tI-NP\tO' -p363260 -aS'ankle\tankle\tNN\tI-NP\tO' -p363261 -aS'.\t.\t.\tO\tO' -p363262 -asS'Significant tobacco history x 40 yrs x 1ppd , quit 20 yrs ago ,' -p363263 -(lp363264 -S'Significant\tSignificant\tJJ\tB-NP\tO' -p363265 -aS'tobacco\ttobacco\tNN\tI-NP\tO' -p363266 -aS'history\thistory\tNN\tI-NP\tO' -p363267 -aS'x\tx\tSYM\tB-VP\tO' -p363268 -aS'40\t40\tCD\tB-NP\tO' -p363269 -aS'yrs\tyr\tNNS\tI-NP\tO' -p363270 -aS'x\tx\tSYM\tB-NP\tO' -p363271 -aS'1ppd\t1ppd\tNN\tI-NP\tO' -p363272 -aS',\t,\t,\tO\tO' -p363273 -aS'quit\tquit\tVBP\tB-VP\tO' -p363274 -aS'20\t20\tCD\tB-NP\tO' -p363275 -aS'yrs\tyr\tNNS\tI-NP\tO' -p363276 -aS'ago\tago\tRB\tB-ADVP\tO' -p363277 -aS',\t,\t,\tO\tO' -p363278 -asS'Visual fields are full to confrontation .' -p363279 -(lp363280 -S'Visual\tVisual\tJJ\tB-NP\tO' -p363281 -aS'fields\tfield\tNNS\tI-NP\tO' -p363282 -aS'are\tbe\tVBP\tB-VP\tO' -p363283 -aS'full\tfull\tJJ\tB-ADJP\tO' -p363284 -aS'to\tto\tTO\tB-PP\tO' -p363285 -aS'confrontation\tconfrontation\tNN\tB-NP\tO' -p363286 -aS'.\t.\t.\tO\tO' -p363287 -asS'At baseline the patient denies any previous chest pain , pressure , dyspnea on exertion , orthopnea , PND or palpitations .' -p363288 -(lp363289 -S'At\tAt\tIN\tB-PP\tO' -p363290 -aS'baseline\tbaseline\tNN\tB-NP\tO' -p363291 -aS'the\tthe\tDT\tB-NP\tO' -p363292 -aS'patient\tpatient\tNN\tI-NP\tO' -p363293 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p363294 -aS'any\tany\tDT\tB-NP\tO' -p363295 -aS'previous\tprevious\tJJ\tI-NP\tO' -p363296 -aS'chest\tchest\tNN\tI-NP\tO' -p363297 -aS'pain\tpain\tNN\tI-NP\tO' -p363298 -aS',\t,\t,\tO\tO' -p363299 -aS'pressure\tpressure\tNN\tB-NP\tO' -p363300 -aS',\t,\t,\tO\tO' -p363301 -aS'dyspnea\tdyspnea\tNN\tB-NP\tO' -p363302 -aS'on\ton\tIN\tB-PP\tO' -p363303 -aS'exertion\texertion\tNN\tB-NP\tO' -p363304 -aS',\t,\t,\tI-NP\tO' -p363305 -aS'orthopnea\torthopnea\tNN\tI-NP\tO' -p363306 -aS',\t,\t,\tI-NP\tO' -p363307 -aS'PND\tPND\tNN\tI-NP\tO' -p363308 -aS'or\tor\tCC\tI-NP\tO' -p363309 -aS'palpitations\tpalpitation\tNNS\tI-NP\tO' -p363310 -aS'.\t.\t.\tO\tO' -p363311 -asS'She was refusing to take p.o.'s .' -p363312 -(lp363313 -S'She\tShe\tPRP\tB-NP\tO' -p363314 -aS'was\tbe\tVBD\tB-VP\tO' -p363315 -aS'refusing\trefuse\tVBG\tI-VP\tO' -p363316 -aS'to\tto\tTO\tI-VP\tO' -p363317 -aS'take\ttake\tVB\tI-VP\tO' -p363318 -aS'p.o.'s\tp.o.'\tNNS\tB-NP\tO' -p363319 -aS'.\t.\t.\tO\tO' -p363320 -asS'No other cultures grew out and the patient 's clinical status deteriorated .' -p363321 -(lp363322 -S'No\tNo\tDT\tB-NP\tO' -p363323 -aS'other\tother\tJJ\tI-NP\tO' -p363324 -aS'cultures\tculture\tNNS\tI-NP\tO' -p363325 -aS'grew\tgrow\tVBD\tB-VP\tO' -p363326 -aS'out\tout\tRP\tB-PRT\tO' -p363327 -aS'and\tand\tCC\tO\tO' -p363328 -aS'the\tthe\tDT\tB-NP\tO' -p363329 -aS'patient\tpatient\tNN\tI-NP\tO' -p363330 -aS''s\t'\tNNS\tI-NP\tO' -p363331 -aS'clinical\tclinical\tJJ\tB-NP\tO' -p363332 -aS'status\tstatus\tNN\tI-NP\tO' -p363333 -aS'deteriorated\tdeteriorate\tVBN\tB-VP\tO' -p363334 -aS'.\t.\t.\tO\tO' -p363335 -asS'3. Mental status .' -p363336 -(lp363337 -S'3.\t3.\tLS\tB-NP\tO' -p363338 -aS'Mental\tMental\tJJ\tI-NP\tO' -p363339 -aS'status\tstatus\tNN\tI-NP\tO' -p363340 -aS'.\t.\t.\tO\tO' -p363341 -asS'Exam remarkable for b / l carotid bruits , soft murmur at L sternal border , clear chest , 1+ b / l edema .' -p363342 -(lp363343 -S'Exam\tExam\tNN\tB-NP\tO' -p363344 -aS'remarkable\tremarkable\tJJ\tB-ADJP\tO' -p363345 -aS'for\tfor\tIN\tB-PP\tO' -p363346 -aS'b\tb\tNN\tB-NP\tO' -p363347 -aS'/\t/\tSYM\tI-NP\tO' -p363348 -aS'l\tl\tNN\tI-NP\tO' -p363349 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p363350 -aS'bruits\tbruit\tNNS\tI-NP\tO' -p363351 -aS',\t,\t,\tO\tO' -p363352 -aS'soft\tsoft\tJJ\tB-NP\tO' -p363353 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p363354 -aS'at\tat\tIN\tB-PP\tO' -p363355 -aS'L\tL\tNN\tB-NP\tO' -p363356 -aS'sternal\tsternal\tJJ\tI-NP\tO' -p363357 -aS'border\tborder\tNN\tI-NP\tO' -p363358 -aS',\t,\t,\tO\tO' -p363359 -aS'clear\tclear\tJJ\tB-NP\tO' -p363360 -aS'chest\tchest\tNN\tI-NP\tO' -p363361 -aS',\t,\t,\tO\tO' -p363362 -aS'1+\t1+\tJJ\tB-NP\tO' -p363363 -aS'b\tb\tNN\tI-NP\tO' -p363364 -aS'/\t/\tSYM\tB-VP\tO' -p363365 -aS'l\tl\tNN\tB-NP\tO' -p363366 -aS'edema\tedema\tNN\tI-NP\tO' -p363367 -aS'.\t.\t.\tO\tO' -p363368 -asS'The nephrologist who will follow her there is Dr. Study .' -p363369 -(lp363370 -S'The\tThe\tDT\tB-NP\tO' -p363371 -aS'nephrologist\tnephrologist\tNN\tI-NP\tO' -p363372 -aS'who\twho\tWP\tB-NP\tO' -p363373 -aS'will\twill\tMD\tB-VP\tO' -p363374 -aS'follow\tfollow\tVB\tI-VP\tO' -p363375 -aS'her\ther\tPRP$\tO\tO' -p363376 -aS'there\tthere\tEX\tB-NP\tO' -p363377 -aS'is\tbe\tVBZ\tB-VP\tO' -p363378 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p363379 -aS'Study\tStudy\tNNP\tI-NP\tO' -p363380 -aS'.\t.\t.\tO\tO' -p363381 -asS'4. Successful PTCA and stenting of the proximal LAD with overlapping 2.25 x 13 mm and 2.25 x 18 mm Hepacoat stents with no residual stenosis or dissection and normal flow ( see PTCA comments ).' -p363382 -(lp363383 -S'4.\t4.\tLS\tB-NP\tO' -p363384 -aS'Successful\tSuccessful\tJJ\tI-NP\tO' -p363385 -aS'PTCA\tPTCA\tNN\tI-NP\tO' -p363386 -aS'and\tand\tCC\tI-NP\tO' -p363387 -aS'stenting\tstenting\tNN\tI-NP\tO' -p363388 -aS'of\tof\tIN\tB-PP\tO' -p363389 -aS'the\tthe\tDT\tB-NP\tO' -p363390 -aS'proximal\tproximal\tJJ\tI-NP\tO' -p363391 -aS'LAD\tLAD\tNN\tI-NP\tO' -p363392 -aS'with\twith\tIN\tB-PP\tO' -p363393 -aS'overlapping\toverlap\tVBG\tB-VP\tO' -p363394 -aS'2.25\t2.25\tCD\tB-NP\tO' -p363395 -aS'x\tx\tSYM\tO\tO' -p363396 -aS'13\t13\tCD\tB-NP\tO' -p363397 -aS'mm\tmm\tNN\tI-NP\tO' -p363398 -aS'and\tand\tCC\tO\tO' -p363399 -aS'2.25\t2.25\tCD\tB-NP\tO' -p363400 -aS'x\tx\tSYM\tI-NP\tO' -p363401 -aS'18\t18\tCD\tI-NP\tO' -p363402 -aS'mm\tmm\tNN\tI-NP\tO' -p363403 -aS'Hepacoat\tHepacoat\tNN\tI-NP\tO' -p363404 -aS'stents\tstent\tNNS\tI-NP\tO' -p363405 -aS'with\twith\tIN\tB-PP\tO' -p363406 -aS'no\tno\tDT\tB-NP\tO' -p363407 -aS'residual\tresidual\tJJ\tI-NP\tO' -p363408 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p363409 -aS'or\tor\tCC\tI-NP\tO' -p363410 -aS'dissection\tdissection\tNN\tI-NP\tO' -p363411 -aS'and\tand\tCC\tO\tO' -p363412 -aS'normal\tnormal\tJJ\tB-NP\tO' -p363413 -aS'flow\tflow\tNN\tI-NP\tO' -p363414 -aS'(\t(\t(\tO\tO' -p363415 -aS'see\tsee\tVB\tB-VP\tO' -p363416 -aS'PTCA\tPTCA\tNN\tB-NP\tO' -p363417 -aS'comments\tcomment\tNNS\tI-NP\tO' -p363418 -aS').\t).\tVBP\tB-VP\tO' -p363419 -asS'The lungs were clear to auscultation .' -p363420 -(lp363421 -S'The\tThe\tDT\tB-NP\tO' -p363422 -aS'lungs\tlung\tNNS\tI-NP\tO' -p363423 -aS'were\tbe\tVBD\tB-VP\tO' -p363424 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p363425 -aS'to\tto\tTO\tB-PP\tO' -p363426 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p363427 -aS'.\t.\t.\tO\tO' -p363428 -asS'Patient was started on morphine drip and palliative care team was consulted with recommendations to ensure comfort .' -p363429 -(lp363430 -S'Patient\tPatient\tNN\tB-NP\tO' -p363431 -aS'was\tbe\tVBD\tB-VP\tO' -p363432 -aS'started\tstart\tVBN\tI-VP\tO' -p363433 -aS'on\ton\tIN\tB-PP\tO' -p363434 -aS'morphine\tmorphine\tNN\tB-NP\tO' -p363435 -aS'drip\tdrip\tNN\tI-NP\tO' -p363436 -aS'and\tand\tCC\tO\tO' -p363437 -aS'palliative\tpalliative\tJJ\tB-NP\tO' -p363438 -aS'care\tcare\tNN\tI-NP\tO' -p363439 -aS'team\tteam\tNN\tI-NP\tO' -p363440 -aS'was\tbe\tVBD\tB-VP\tO' -p363441 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p363442 -aS'with\twith\tIN\tB-PP\tO' -p363443 -aS'recommendations\trecommendation\tNNS\tB-NP\tO' -p363444 -aS'to\tto\tTO\tB-VP\tO' -p363445 -aS'ensure\tensure\tVB\tI-VP\tO' -p363446 -aS'comfort\tcomfort\tNN\tB-NP\tO' -p363447 -aS'.\t.\t.\tO\tO' -p363448 -asS'1. Lopressor intravenous q 6 hours .' -p363449 -(lp363450 -S'1.\t1.\tLS\tB-NP\tO' -p363451 -aS'Lopressor\tLopressor\tNN\tI-NP\tO' -p363452 -aS'intravenous\tintravenous\tJJ\tI-NP\tO' -p363453 -aS'q\tq\tNN\tI-NP\tO' -p363454 -aS'6\t6\tCD\tB-NP\tO' -p363455 -aS'hours\thour\tNNS\tI-NP\tO' -p363456 -aS'.\t.\t.\tO\tO' -p363457 -asS'The site was clean and dry .' -p363458 -(lp363459 -S'The\tThe\tDT\tB-NP\tO' -p363460 -aS'site\tsite\tNN\tI-NP\tO' -p363461 -aS'was\tbe\tVBD\tB-VP\tO' -p363462 -aS'clean\tclean\tJJ\tB-ADJP\tO' -p363463 -aS'and\tand\tCC\tI-ADJP\tO' -p363464 -aS'dry\tdry\tJJ\tI-ADJP\tO' -p363465 -aS'.\t.\t.\tO\tO' -p363466 -asS'Low salt diet .' -p363467 -(lp363468 -S'Low\tLow\tJJ\tB-NP\tO' -p363469 -aS'salt\tsalt\tNN\tI-NP\tO' -p363470 -aS'diet\tdiet\tNN\tI-NP\tO' -p363471 -aS'.\t.\t.\tO\tO' -p363472 -asS'Sedimentation rate 2 , antithrombin 3 .' -p363473 -(lp363474 -S'Sedimentation\tSedimentation\tNN\tB-NP\tO' -p363475 -aS'rate\trate\tNN\tI-NP\tO' -p363476 -aS'2\t2\tCD\tI-NP\tO' -p363477 -aS',\t,\t,\tO\tO' -p363478 -aS'antithrombin\tantithrombin\tNN\tB-NP\tB-protein' -p363479 -aS'3\t3\tCD\tI-NP\tI-protein' -p363480 -aS'.\t.\t.\tO\tO' -p363481 -asS'The lungs were clear to auscultation and percussion .' -p363482 -(lp363483 -S'The\tThe\tDT\tB-NP\tO' -p363484 -aS'lungs\tlung\tNNS\tI-NP\tO' -p363485 -aS'were\tbe\tVBD\tB-VP\tO' -p363486 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p363487 -aS'to\tto\tTO\tB-PP\tO' -p363488 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p363489 -aS'and\tand\tCC\tI-NP\tO' -p363490 -aS'percussion\tpercussion\tNN\tI-NP\tO' -p363491 -aS'.\t.\t.\tO\tO' -p363492 -asS'The patient was tolerating a general diet , she was voiding on her own and the patient was discharged to home as her daughter is a nurse .' -p363493 -(lp363494 -S'The\tThe\tDT\tB-NP\tO' -p363495 -aS'patient\tpatient\tNN\tI-NP\tO' -p363496 -aS'was\tbe\tVBD\tB-VP\tO' -p363497 -aS'tolerating\ttolerate\tVBG\tI-VP\tO' -p363498 -aS'a\ta\tDT\tB-NP\tO' -p363499 -aS'general\tgeneral\tJJ\tI-NP\tO' -p363500 -aS'diet\tdiet\tNN\tI-NP\tO' -p363501 -aS',\t,\t,\tO\tO' -p363502 -aS'she\tshe\tPRP\tB-NP\tO' -p363503 -aS'was\tbe\tVBD\tB-VP\tO' -p363504 -aS'voiding\tvoid\tVBG\tI-VP\tO' -p363505 -aS'on\ton\tIN\tB-PP\tO' -p363506 -aS'her\ther\tPRP$\tB-NP\tO' -p363507 -aS'own\town\tJJ\tI-NP\tO' -p363508 -aS'and\tand\tCC\tO\tO' -p363509 -aS'the\tthe\tDT\tB-NP\tO' -p363510 -aS'patient\tpatient\tNN\tI-NP\tO' -p363511 -aS'was\tbe\tVBD\tB-VP\tO' -p363512 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p363513 -aS'to\tto\tTO\tB-PP\tO' -p363514 -aS'home\thome\tNN\tB-NP\tO' -p363515 -aS'as\tas\tIN\tB-PP\tO' -p363516 -aS'her\ther\tPRP$\tB-NP\tO' -p363517 -aS'daughter\tdaughter\tNN\tI-NP\tO' -p363518 -aS'is\tbe\tVBZ\tB-VP\tO' -p363519 -aS'a\ta\tDT\tB-NP\tO' -p363520 -aS'nurse\tnurse\tNN\tI-NP\tO' -p363521 -aS'.\t.\t.\tO\tO' -p363522 -asS'The patient was admitted to the ICU for further care .' -p363523 -(lp363524 -S'The\tThe\tDT\tB-NP\tO' -p363525 -aS'patient\tpatient\tNN\tI-NP\tO' -p363526 -aS'was\tbe\tVBD\tB-VP\tO' -p363527 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p363528 -aS'to\tto\tTO\tB-PP\tO' -p363529 -aS'the\tthe\tDT\tB-NP\tO' -p363530 -aS'ICU\tICU\tNN\tI-NP\tO' -p363531 -aS'for\tfor\tIN\tB-PP\tO' -p363532 -aS'further\tfurther\tJJ\tB-NP\tO' -p363533 -aS'care\tcare\tNN\tI-NP\tO' -p363534 -aS'.\t.\t.\tO\tO' -p363535 -asS'Pupils equal , round and reactive to light .' -p363536 -(lp363537 -S'Pupils\tPupil\tNNS\tB-NP\tO' -p363538 -aS'equal\tequal\tJJ\tI-NP\tO' -p363539 -aS',\t,\t,\tI-NP\tO' -p363540 -aS'round\tround\tJJ\tI-NP\tO' -p363541 -aS'and\tand\tCC\tI-NP\tO' -p363542 -aS'reactive\treactive\tJJ\tI-NP\tO' -p363543 -aS'to\tto\tTO\tB-PP\tO' -p363544 -aS'light\tlight\tNN\tB-NP\tO' -p363545 -aS'.\t.\t.\tO\tO' -p363546 -asS'The patient reportedly had been experiencing increasing fatigue and dyspnea with exertion for the year prior to his admission .' -p363547 -(lp363548 -S'The\tThe\tDT\tB-NP\tO' -p363549 -aS'patient\tpatient\tNN\tI-NP\tO' -p363550 -aS'reportedly\treportedly\tRB\tB-ADVP\tO' -p363551 -aS'had\thave\tVBD\tB-VP\tO' -p363552 -aS'been\tbe\tVBN\tI-VP\tO' -p363553 -aS'experiencing\texperience\tVBG\tI-VP\tO' -p363554 -aS'increasing\tincrease\tVBG\tB-NP\tO' -p363555 -aS'fatigue\tfatigue\tNN\tI-NP\tO' -p363556 -aS'and\tand\tCC\tI-NP\tO' -p363557 -aS'dyspnea\tdyspnea\tNN\tI-NP\tO' -p363558 -aS'with\twith\tIN\tB-PP\tO' -p363559 -aS'exertion\texertion\tNN\tB-NP\tO' -p363560 -aS'for\tfor\tIN\tB-PP\tO' -p363561 -aS'the\tthe\tDT\tB-NP\tO' -p363562 -aS'year\tyear\tNN\tI-NP\tO' -p363563 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p363564 -aS'to\tto\tTO\tB-PP\tO' -p363565 -aS'his\this\tPRP$\tB-NP\tO' -p363566 -aS'admission\tadmission\tNN\tI-NP\tO' -p363567 -aS'.\t.\t.\tO\tO' -p363568 -asS'She was able to subtract serial sevens , remember three out of three objects after five minutes , and there was notable aphasia or word finding difficulty .' -p363569 -(lp363570 -S'She\tShe\tPRP\tB-NP\tO' -p363571 -aS'was\tbe\tVBD\tB-VP\tO' -p363572 -aS'able\table\tJJ\tB-ADJP\tO' -p363573 -aS'to\tto\tTO\tB-VP\tO' -p363574 -aS'subtract\tsubtract\tVB\tI-VP\tO' -p363575 -aS'serial\tserial\tJJ\tB-NP\tO' -p363576 -aS'sevens\tseven\tNNS\tI-NP\tO' -p363577 -aS',\t,\t,\tO\tO' -p363578 -aS'remember\tremember\tVBP\tB-VP\tO' -p363579 -aS'three\tthree\tCD\tB-NP\tO' -p363580 -aS'out\tout\tIN\tI-NP\tO' -p363581 -aS'of\tof\tIN\tI-NP\tO' -p363582 -aS'three\tthree\tCD\tI-NP\tO' -p363583 -aS'objects\tobject\tNNS\tI-NP\tO' -p363584 -aS'after\tafter\tIN\tB-PP\tO' -p363585 -aS'five\tfive\tCD\tB-NP\tO' -p363586 -aS'minutes\tminute\tNNS\tI-NP\tO' -p363587 -aS',\t,\t,\tO\tO' -p363588 -aS'and\tand\tCC\tO\tO' -p363589 -aS'there\tthere\tEX\tB-NP\tO' -p363590 -aS'was\tbe\tVBD\tB-VP\tO' -p363591 -aS'notable\tnotable\tJJ\tB-NP\tO' -p363592 -aS'aphasia\taphasia\tNN\tI-NP\tO' -p363593 -aS'or\tor\tCC\tI-NP\tO' -p363594 -aS'word\tword\tNN\tI-NP\tO' -p363595 -aS'finding\tfinding\tNN\tI-NP\tO' -p363596 -aS'difficulty\tdifficulty\tNN\tI-NP\tO' -p363597 -aS'.\t.\t.\tO\tO' -p363598 -asS'gen : mild resp distress speaking in full sentences but using accessory muscles' -p363599 -(lp363600 -S'gen\tgen\tNN\tB-NP\tO' -p363601 -aS':\t:\t:\tO\tO' -p363602 -aS'mild\tmild\tJJ\tB-NP\tO' -p363603 -aS'resp\tresp\tNN\tI-NP\tO' -p363604 -aS'distress\tdistress\tNN\tI-NP\tO' -p363605 -aS'speaking\tspeak\tVBG\tB-VP\tO' -p363606 -aS'in\tin\tIN\tB-PP\tO' -p363607 -aS'full\tfull\tJJ\tB-NP\tO' -p363608 -aS'sentences\tsentence\tNNS\tI-NP\tO' -p363609 -aS'but\tbut\tCC\tO\tO' -p363610 -aS'using\tuse\tVBG\tB-VP\tO' -p363611 -aS'accessory\taccessory\tJJ\tB-NP\tO' -p363612 -aS'muscles\tmuscle\tNNS\tI-NP\tO' -p363613 -asS'Bronchitis , asthma , carcinoid cancer , no history of coronary artery disease or cerebrovascular accident .' -p363614 -(lp363615 -S'Bronchitis\tBronchitis\tNN\tB-NP\tO' -p363616 -aS',\t,\t,\tO\tO' -p363617 -aS'asthma\tasthma\tNN\tB-NP\tO' -p363618 -aS',\t,\t,\tO\tO' -p363619 -aS'carcinoid\tcarcinoid\tJJ\tB-NP\tO' -p363620 -aS'cancer\tcancer\tNN\tI-NP\tO' -p363621 -aS',\t,\t,\tO\tO' -p363622 -aS'no\tno\tDT\tB-NP\tO' -p363623 -aS'history\thistory\tNN\tI-NP\tO' -p363624 -aS'of\tof\tIN\tB-PP\tO' -p363625 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p363626 -aS'artery\tartery\tNN\tI-NP\tO' -p363627 -aS'disease\tdisease\tNN\tI-NP\tO' -p363628 -aS'or\tor\tCC\tO\tO' -p363629 -aS'cerebrovascular\tcerebrovascular\tJJ\tB-NP\tO' -p363630 -aS'accident\taccident\tNN\tI-NP\tO' -p363631 -aS'.\t.\t.\tO\tO' -p363632 -asS'Left salpingo oophorectomy 2002 for torsion; coloposcopy and cryotherapy 2001; appendectomy; T + A' -p363633 -(lp363634 -S'Left\tLeave\tVBN\tB-NP\tO' -p363635 -aS'salpingo\tsalpingo\tNN\tI-NP\tO' -p363636 -aS'oophorectomy\toophorectomy\tNN\tI-NP\tO' -p363637 -aS'2002\t2002\tCD\tI-NP\tO' -p363638 -aS'for\tfor\tIN\tB-PP\tO' -p363639 -aS'torsion;\ttorsion;\tNN\tB-NP\tO' -p363640 -aS'coloposcopy\tcoloposcopy\tNN\tI-NP\tO' -p363641 -aS'and\tand\tCC\tO\tO' -p363642 -aS'cryotherapy\tcryotherapy\tNN\tB-NP\tO' -p363643 -aS'2001;\t2001;\tCD\tI-NP\tO' -p363644 -aS'appendectomy;\tappendectomy;\tNN\tI-NP\tO' -p363645 -aS'T\tT\tNN\tI-NP\tO' -p363646 -aS'+\t+\tSYM\tB-NP\tO' -p363647 -aS'A\tA\tNN\tI-NP\tO' -p363648 -asS'Patient will follow up with Dr. Ausguall , in about 4-5 days , at which time the JP drain will be removed .' -p363649 -(lp363650 -S'Patient\tPatient\tNN\tB-NP\tO' -p363651 -aS'will\twill\tMD\tB-VP\tO' -p363652 -aS'follow\tfollow\tVB\tI-VP\tO' -p363653 -aS'up\tup\tRP\tB-PRT\tO' -p363654 -aS'with\twith\tIN\tB-PP\tO' -p363655 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p363656 -aS'Ausguall\tAusguall\tNNP\tI-NP\tO' -p363657 -aS',\t,\t,\tO\tO' -p363658 -aS'in\tin\tIN\tB-PP\tO' -p363659 -aS'about\tabout\tRB\tB-NP\tO' -p363660 -aS'4-5\t4-5\tCD\tI-NP\tO' -p363661 -aS'days\tday\tNNS\tI-NP\tO' -p363662 -aS',\t,\t,\tO\tO' -p363663 -aS'at\tat\tIN\tB-PP\tO' -p363664 -aS'which\twhich\tWDT\tB-NP\tO' -p363665 -aS'time\ttime\tNN\tI-NP\tO' -p363666 -aS'the\tthe\tDT\tB-NP\tO' -p363667 -aS'JP\tJP\tNN\tI-NP\tB-protein' -p363668 -aS'drain\tdrain\tNN\tI-NP\tI-protein' -p363669 -aS'will\twill\tMD\tB-VP\tO' -p363670 -aS'be\tbe\tVB\tI-VP\tO' -p363671 -aS'removed\tremove\tVBN\tI-VP\tO' -p363672 -aS'.\t.\t.\tO\tO' -p363673 -asS'EGD normal .' -p363674 -(lp363675 -S'EGD\tEGD\tNN\tB-NP\tO' -p363676 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p363677 -aS'.\t.\t.\tO\tO' -p363678 -asS'Extensive discussion was held , and second opinion was obtained regarding the need for' -p363679 -(lp363680 -S'Extensive\tExtensive\tJJ\tB-NP\tO' -p363681 -aS'discussion\tdiscussion\tNN\tI-NP\tO' -p363682 -aS'was\tbe\tVBD\tB-VP\tO' -p363683 -aS'held\thold\tVBN\tI-VP\tO' -p363684 -aS',\t,\t,\tO\tO' -p363685 -aS'and\tand\tCC\tO\tO' -p363686 -aS'second\tsecond\tJJ\tB-NP\tO' -p363687 -aS'opinion\topinion\tNN\tI-NP\tO' -p363688 -aS'was\tbe\tVBD\tB-VP\tO' -p363689 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p363690 -aS'regarding\tregard\tVBG\tB-PP\tO' -p363691 -aS'the\tthe\tDT\tB-NP\tO' -p363692 -aS'need\tneed\tNN\tI-NP\tO' -p363693 -aS'for\tfor\tIN\tB-SBAR\tO' -p363694 -asS'The colonoscopy and upper gastrointestinal series were negative .' -p363695 -(lp363696 -S'The\tThe\tDT\tB-NP\tO' -p363697 -aS'colonoscopy\tcolonoscopy\tNN\tI-NP\tO' -p363698 -aS'and\tand\tCC\tI-NP\tO' -p363699 -aS'upper\tupper\tJJ\tI-NP\tO' -p363700 -aS'gastrointestinal\tgastrointestinal\tJJ\tI-NP\tO' -p363701 -aS'series\tseries\tNN\tI-NP\tO' -p363702 -aS'were\tbe\tVBD\tB-VP\tO' -p363703 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p363704 -aS'.\t.\t.\tO\tO' -p363705 -asS'In addition , on telemetry she developed complete heart block and hypotension requiring temporary pacing wire and then a permanent pacemaker implantation on 08-03-93 .' -p363706 -(lp363707 -S'In\tIn\tIN\tB-PP\tO' -p363708 -aS'addition\taddition\tNN\tB-NP\tO' -p363709 -aS',\t,\t,\tO\tO' -p363710 -aS'on\ton\tIN\tB-PP\tO' -p363711 -aS'telemetry\ttelemetry\tNN\tB-NP\tO' -p363712 -aS'she\tshe\tPRP\tB-NP\tO' -p363713 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p363714 -aS'complete\tcomplete\tJJ\tB-NP\tO' -p363715 -aS'heart\theart\tNN\tI-NP\tO' -p363716 -aS'block\tblock\tNN\tI-NP\tO' -p363717 -aS'and\tand\tCC\tI-NP\tO' -p363718 -aS'hypotension\thypotension\tNN\tI-NP\tO' -p363719 -aS'requiring\trequire\tVBG\tB-VP\tO' -p363720 -aS'temporary\ttemporary\tJJ\tB-NP\tO' -p363721 -aS'pacing\tpacing\tNN\tI-NP\tO' -p363722 -aS'wire\twire\tNN\tI-NP\tO' -p363723 -aS'and\tand\tCC\tB-NP\tO' -p363724 -aS'then\tthen\tRB\tI-NP\tO' -p363725 -aS'a\ta\tDT\tB-NP\tO' -p363726 -aS'permanent\tpermanent\tJJ\tI-NP\tO' -p363727 -aS'pacemaker\tpacemaker\tNN\tI-NP\tO' -p363728 -aS'implantation\timplantation\tNN\tI-NP\tO' -p363729 -aS'on\ton\tIN\tB-PP\tO' -p363730 -aS'08-03-93\t08-03-93\tCD\tB-NP\tO' -p363731 -aS'.\t.\t.\tO\tO' -p363732 -asS'There was a small Penrose drain postoperatively that was placed intraoperatively and discontinued on approximately postoperative day number three .' -p363733 -(lp363734 -S'There\tThere\tEX\tB-NP\tO' -p363735 -aS'was\tbe\tVBD\tB-VP\tO' -p363736 -aS'a\ta\tDT\tB-NP\tO' -p363737 -aS'small\tsmall\tJJ\tI-NP\tO' -p363738 -aS'Penrose\tPenrose\tNNP\tI-NP\tO' -p363739 -aS'drain\tdrain\tNN\tI-NP\tO' -p363740 -aS'postoperatively\tpostoperatively\tRB\tB-ADVP\tO' -p363741 -aS'that\tthat\tDT\tB-NP\tO' -p363742 -aS'was\tbe\tVBD\tB-VP\tO' -p363743 -aS'placed\tplace\tVBN\tI-VP\tO' -p363744 -aS'intraoperatively\tintraoperatively\tRB\tB-ADVP\tO' -p363745 -aS'and\tand\tCC\tO\tO' -p363746 -aS'discontinued\tdiscontinue\tVBN\tB-VP\tO' -p363747 -aS'on\ton\tIN\tB-PP\tO' -p363748 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p363749 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p363750 -aS'day\tday\tNN\tI-NP\tO' -p363751 -aS'number\tnumber\tNN\tI-NP\tO' -p363752 -aS'three\tthree\tCD\tI-NP\tO' -p363753 -aS'.\t.\t.\tO\tO' -p363754 -asS'Downgoing toes bilaterally .' -p363755 -(lp363756 -S'Downgoing\tDowngoe\tVBG\tB-VP\tO' -p363757 -aS'toes\ttoe\tNNS\tB-NP\tO' -p363758 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p363759 -aS'.\t.\t.\tO\tO' -p363760 -asS'The Clinci phone number is ( 754 ) 280-1011' -p363761 -(lp363762 -S'The\tThe\tDT\tB-NP\tO' -p363763 -aS'Clinci\tClinci\tNNP\tI-NP\tO' -p363764 -aS'phone\tphone\tNN\tI-NP\tO' -p363765 -aS'number\tnumber\tNN\tI-NP\tO' -p363766 -aS'is\tbe\tVBZ\tB-VP\tO' -p363767 -aS'(\t(\t(\tO\tO' -p363768 -aS'754\t754\tCD\tB-NP\tO' -p363769 -aS')\t)\t)\tO\tO' -p363770 -aS'280-1011\t280-1011\tCD\tB-NP\tO' -p363771 -asS'According to Dr. Nicole , she has had stable deficits for many years without any flare-like episodes .' -p363772 -(lp363773 -S'According\tAccord\tVBG\tB-PP\tO' -p363774 -aS'to\tto\tTO\tB-PP\tO' -p363775 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p363776 -aS'Nicole\tNicole\tNNP\tI-NP\tO' -p363777 -aS',\t,\t,\tO\tO' -p363778 -aS'she\tshe\tPRP\tB-NP\tO' -p363779 -aS'has\thave\tVBZ\tB-VP\tO' -p363780 -aS'had\thave\tVBN\tI-VP\tO' -p363781 -aS'stable\tstable\tJJ\tB-NP\tO' -p363782 -aS'deficits\tdeficit\tNNS\tI-NP\tO' -p363783 -aS'for\tfor\tIN\tB-PP\tO' -p363784 -aS'many\tmany\tJJ\tB-NP\tO' -p363785 -aS'years\tyear\tNNS\tI-NP\tO' -p363786 -aS'without\twithout\tIN\tB-PP\tO' -p363787 -aS'any\tany\tDT\tB-NP\tO' -p363788 -aS'flare-like\tflare-like\tJJ\tI-NP\tO' -p363789 -aS'episodes\tepisode\tNNS\tI-NP\tO' -p363790 -aS'.\t.\t.\tO\tO' -p363791 -asS'Subsequent 4 ICD discharges at rest .' -p363792 -(lp363793 -S'Subsequent\tSubsequent\tJJ\tB-NP\tO' -p363794 -aS'4\t4\tCD\tI-NP\tO' -p363795 -aS'ICD\tICD\tNN\tI-NP\tO' -p363796 -aS'discharges\tdischarge\tNNS\tI-NP\tO' -p363797 -aS'at\tat\tIN\tB-PP\tO' -p363798 -aS'rest\trest\tNN\tB-NP\tO' -p363799 -aS'.\t.\t.\tO\tO' -p363800 -asS'In John , VS - 99.6 , 135 , 122/65 , 20 .' -p363801 -(lp363802 -S'In\tIn\tIN\tB-PP\tO' -p363803 -aS'John\tJohn\tNNP\tB-NP\tO' -p363804 -aS',\t,\t,\tO\tO' -p363805 -aS'VS\tVS\tNNP\tB-NP\tB-cell_line' -p363806 -aS'-\t-\tHYPH\tB-NP\tI-cell_line' -p363807 -aS'99.6\t99.6\tCD\tI-NP\tI-cell_line' -p363808 -aS',\t,\t,\tI-NP\tO' -p363809 -aS'135\t135\tCD\tI-NP\tO' -p363810 -aS',\t,\t,\tI-NP\tO' -p363811 -aS'122/65\t122/65\tCD\tI-NP\tO' -p363812 -aS',\t,\t,\tI-NP\tO' -p363813 -aS'20\t20\tCD\tI-NP\tO' -p363814 -aS'.\t.\t.\tO\tO' -p363815 -asS'MRI by report showed bilateral rotator cuff repairs and he was admitted for repair of the left rotator cuff .' -p363816 -(lp363817 -S'MRI\tMRI\tNN\tB-NP\tO' -p363818 -aS'by\tby\tIN\tB-PP\tO' -p363819 -aS'report\treport\tNN\tB-NP\tO' -p363820 -aS'showed\tshow\tVBD\tB-VP\tO' -p363821 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p363822 -aS'rotator\trotator\tNN\tI-NP\tO' -p363823 -aS'cuff\tcuff\tNN\tI-NP\tO' -p363824 -aS'repairs\trepair\tNNS\tI-NP\tO' -p363825 -aS'and\tand\tCC\tO\tO' -p363826 -aS'he\the\tPRP\tB-NP\tO' -p363827 -aS'was\tbe\tVBD\tB-VP\tO' -p363828 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p363829 -aS'for\tfor\tIN\tB-PP\tO' -p363830 -aS'repair\trepair\tNN\tB-NP\tO' -p363831 -aS'of\tof\tIN\tB-PP\tO' -p363832 -aS'the\tthe\tDT\tB-NP\tO' -p363833 -aS'left\tleft\tJJ\tI-NP\tO' -p363834 -aS'rotator\trotator\tNN\tI-NP\tO' -p363835 -aS'cuff\tcuff\tNN\tI-NP\tO' -p363836 -aS'.\t.\t.\tO\tO' -p363837 -asS'He characterized this headache as the worst headache of his life and had associated nausea and vomiting times one .' -p363838 -(lp363839 -S'He\tHe\tPRP\tB-NP\tO' -p363840 -aS'characterized\tcharacterize\tVBD\tB-VP\tO' -p363841 -aS'this\tthis\tDT\tB-NP\tO' -p363842 -aS'headache\theadache\tNN\tI-NP\tO' -p363843 -aS'as\tas\tIN\tB-PP\tO' -p363844 -aS'the\tthe\tDT\tB-NP\tO' -p363845 -aS'worst\tworst\tJJS\tI-NP\tO' -p363846 -aS'headache\theadache\tNN\tI-NP\tO' -p363847 -aS'of\tof\tIN\tB-PP\tO' -p363848 -aS'his\this\tPRP$\tB-NP\tO' -p363849 -aS'life\tlife\tNN\tI-NP\tO' -p363850 -aS'and\tand\tCC\tO\tO' -p363851 -aS'had\thave\tVBD\tB-VP\tO' -p363852 -aS'associated\tassociate\tVBN\tI-VP\tO' -p363853 -aS'nausea\tnausea\tNN\tB-NP\tO' -p363854 -aS'and\tand\tCC\tO\tO' -p363855 -aS'vomiting\tvomit\tVBG\tB-VP\tO' -p363856 -aS'times\ttime\tNNS\tB-NP\tO' -p363857 -aS'one\tone\tCD\tB-NP\tO' -p363858 -aS'.\t.\t.\tO\tO' -p363859 -asS'His hips were stable .' -p363860 -(lp363861 -S'His\tHis\tPRP$\tB-NP\tO' -p363862 -aS'hips\thip\tNNS\tI-NP\tO' -p363863 -aS'were\tbe\tVBD\tB-VP\tO' -p363864 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p363865 -aS'.\t.\t.\tO\tO' -p363866 -asS'On 9/6/93 , 22:00 , fluids were changed to D5 normal saline plus 40 KCL and 40 K phosphate at 75 cc 's per hour .' -p363867 -(lp363868 -S'On\tOn\tIN\tB-PP\tO' -p363869 -aS'9/6/93\t9/6/93\tCD\tB-NP\tO' -p363870 -aS',\t,\t,\tI-NP\tO' -p363871 -aS'22:00\t22:00\tCD\tI-NP\tO' -p363872 -aS',\t,\t,\tO\tO' -p363873 -aS'fluids\tfluid\tNNS\tB-NP\tO' -p363874 -aS'were\tbe\tVBD\tB-VP\tO' -p363875 -aS'changed\tchange\tVBN\tI-VP\tO' -p363876 -aS'to\tto\tTO\tB-PP\tO' -p363877 -aS'D5\tD5\tNN\tB-NP\tO' -p363878 -aS'normal\tnormal\tJJ\tI-NP\tO' -p363879 -aS'saline\tsaline\tNN\tI-NP\tO' -p363880 -aS'plus\tplus\tCC\tO\tO' -p363881 -aS'40\t40\tCD\tB-NP\tO' -p363882 -aS'KCL\tKCL\tNN\tI-NP\tO' -p363883 -aS'and\tand\tCC\tI-NP\tO' -p363884 -aS'40\t40\tCD\tI-NP\tO' -p363885 -aS'K\tK\tNN\tI-NP\tO' -p363886 -aS'phosphate\tphosphate\tNN\tI-NP\tO' -p363887 -aS'at\tat\tIN\tB-PP\tO' -p363888 -aS'75\t75\tCD\tB-NP\tO' -p363889 -aS'cc\tcc\tNN\tI-NP\tO' -p363890 -aS''s\t'\tNNS\tI-NP\tO' -p363891 -aS'per\tper\tIN\tB-PP\tO' -p363892 -aS'hour\thour\tNN\tB-NP\tO' -p363893 -aS'.\t.\t.\tO\tO' -p363894 -asS'06-30 resolved as of repeat head CT one month later , no residual deficits; 03-03 : ICH in 3rd , 4th , and L-lat ventricle ; no aneurysm ; 07-01 : ICH in R-temporal lobe ; question of underlying mass at that time per contrast CT ; decided to follow up with serial scans rather than to biopsy' -p363895 -(lp363896 -S'06-30\t06-30\tCD\tB-NP\tO' -p363897 -aS'resolved\tresolve\tVBN\tB-VP\tO' -p363898 -aS'as\tas\tIN\tB-PP\tO' -p363899 -aS'of\tof\tIN\tB-PP\tO' -p363900 -aS'repeat\trepeat\tNN\tB-NP\tO' -p363901 -aS'head\thead\tNN\tI-NP\tO' -p363902 -aS'CT\tCT\tNN\tI-NP\tO' -p363903 -aS'one\tone\tCD\tB-NP\tO' -p363904 -aS'month\tmonth\tNN\tI-NP\tO' -p363905 -aS'later\tlater\tRB\tB-ADVP\tO' -p363906 -aS',\t,\t,\tO\tO' -p363907 -aS'no\tno\tDT\tB-NP\tO' -p363908 -aS'residual\tresidual\tJJ\tI-NP\tO' -p363909 -aS'deficits;\tdeficits;\tNN\tI-NP\tO' -p363910 -aS'03-03\t03-03\tCD\tI-NP\tO' -p363911 -aS':\t:\t:\tO\tO' -p363912 -aS'ICH\tICH\tNN\tB-NP\tO' -p363913 -aS'in\tin\tIN\tB-PP\tO' -p363914 -aS'3rd\t3rd\tNN\tB-NP\tO' -p363915 -aS',\t,\t,\tO\tO' -p363916 -aS'4th\t4th\tNN\tB-NP\tO' -p363917 -aS',\t,\t,\tO\tO' -p363918 -aS'and\tand\tCC\tO\tO' -p363919 -aS'L-lat\tL-lat\tNN\tB-NP\tO' -p363920 -aS'ventricle\tventricle\tNN\tI-NP\tO' -p363921 -aS';\t;\t:\tO\tO' -p363922 -aS'no\tno\tDT\tB-NP\tO' -p363923 -aS'aneurysm\taneurysm\tNN\tI-NP\tO' -p363924 -aS';\t;\t:\tO\tO' -p363925 -aS'07-01\t07-01\tCD\tB-NP\tO' -p363926 -aS':\t:\t:\tO\tO' -p363927 -aS'ICH\tICH\tNN\tB-NP\tO' -p363928 -aS'in\tin\tIN\tB-PP\tO' -p363929 -aS'R-temporal\tR-temporal\tJJ\tB-NP\tO' -p363930 -aS'lobe\tlobe\tNN\tI-NP\tO' -p363931 -aS';\t;\t:\tO\tO' -p363932 -aS'question\tquestion\tNN\tB-NP\tO' -p363933 -aS'of\tof\tIN\tB-PP\tO' -p363934 -aS'underlying\tunderlie\tVBG\tB-VP\tO' -p363935 -aS'mass\tmass\tNN\tB-NP\tO' -p363936 -aS'at\tat\tIN\tB-PP\tO' -p363937 -aS'that\tthat\tDT\tB-NP\tO' -p363938 -aS'time\ttime\tNN\tI-NP\tO' -p363939 -aS'per\tper\tIN\tB-PP\tO' -p363940 -aS'contrast\tcontrast\tNN\tB-NP\tO' -p363941 -aS'CT\tCT\tNN\tI-NP\tO' -p363942 -aS';\t;\t:\tO\tO' -p363943 -aS'decided\tdecide\tVBD\tB-VP\tO' -p363944 -aS'to\tto\tTO\tI-VP\tO' -p363945 -aS'follow\tfollow\tVB\tI-VP\tO' -p363946 -aS'up\tup\tRP\tB-PRT\tO' -p363947 -aS'with\twith\tIN\tB-PP\tO' -p363948 -aS'serial\tserial\tJJ\tB-NP\tO' -p363949 -aS'scans\tscan\tNNS\tI-NP\tO' -p363950 -aS'rather\trather\tRB\tB-CONJP\tO' -p363951 -aS'than\tthan\tIN\tI-CONJP\tO' -p363952 -aS'to\tto\tTO\tB-PP\tO' -p363953 -aS'biopsy\tbiopsy\tNN\tB-NP\tO' -p363954 -asS'The chest X-ray shows no evidence of pneumonia .' -p363955 -(lp363956 -S'The\tThe\tDT\tB-NP\tO' -p363957 -aS'chest\tchest\tNN\tI-NP\tO' -p363958 -aS'X-ray\tX-ray\tNN\tI-NP\tO' -p363959 -aS'shows\tshow\tVBZ\tB-VP\tO' -p363960 -aS'no\tno\tDT\tB-NP\tO' -p363961 -aS'evidence\tevidence\tNN\tI-NP\tO' -p363962 -aS'of\tof\tIN\tB-PP\tO' -p363963 -aS'pneumonia\tpneumonia\tNN\tB-NP\tO' -p363964 -aS'.\t.\t.\tO\tO' -p363965 -asS'The patient was told repeatedly that he needed to stop smoking and was given a nicotine patch and his primary care provider was called to discuss outpatient plans to help the patient stop smoking .' -p363966 -(lp363967 -S'The\tThe\tDT\tB-NP\tO' -p363968 -aS'patient\tpatient\tNN\tI-NP\tO' -p363969 -aS'was\tbe\tVBD\tB-VP\tO' -p363970 -aS'told\ttell\tVBN\tI-VP\tO' -p363971 -aS'repeatedly\trepeatedly\tRB\tB-ADVP\tO' -p363972 -aS'that\tthat\tIN\tB-SBAR\tO' -p363973 -aS'he\the\tPRP\tB-NP\tO' -p363974 -aS'needed\tneed\tVBD\tB-VP\tO' -p363975 -aS'to\tto\tTO\tI-VP\tO' -p363976 -aS'stop\tstop\tVB\tI-VP\tO' -p363977 -aS'smoking\tsmoking\tNN\tB-NP\tO' -p363978 -aS'and\tand\tCC\tO\tO' -p363979 -aS'was\tbe\tVBD\tB-VP\tO' -p363980 -aS'given\tgive\tVBN\tI-VP\tO' -p363981 -aS'a\ta\tDT\tB-NP\tO' -p363982 -aS'nicotine\tnicotine\tNN\tI-NP\tO' -p363983 -aS'patch\tpatch\tNN\tI-NP\tO' -p363984 -aS'and\tand\tCC\tO\tO' -p363985 -aS'his\this\tPRP$\tB-NP\tO' -p363986 -aS'primary\tprimary\tJJ\tI-NP\tO' -p363987 -aS'care\tcare\tNN\tI-NP\tO' -p363988 -aS'provider\tprovider\tNN\tI-NP\tO' -p363989 -aS'was\tbe\tVBD\tB-VP\tO' -p363990 -aS'called\tcall\tVBN\tI-VP\tO' -p363991 -aS'to\tto\tTO\tB-VP\tO' -p363992 -aS'discuss\tdiscuss\tVB\tI-VP\tO' -p363993 -aS'outpatient\toutpatient\tNN\tB-NP\tO' -p363994 -aS'plans\tplan\tNNS\tI-NP\tO' -p363995 -aS'to\tto\tTO\tB-VP\tO' -p363996 -aS'help\thelp\tVB\tI-VP\tO' -p363997 -aS'the\tthe\tDT\tB-NP\tO' -p363998 -aS'patient\tpatient\tNN\tI-NP\tO' -p363999 -aS'stop\tstop\tNN\tI-NP\tO' -p364000 -aS'smoking\tsmoking\tNN\tI-NP\tO' -p364001 -aS'.\t.\t.\tO\tO' -p364002 -asS'Intially concern for sepsis in the setting of fevers and high blood count .' -p364003 -(lp364004 -S'Intially\tIntially\tRB\tB-NP\tO' -p364005 -aS'concern\tconcern\tNN\tI-NP\tO' -p364006 -aS'for\tfor\tIN\tB-PP\tO' -p364007 -aS'sepsis\tsepsis\tNN\tB-NP\tO' -p364008 -aS'in\tin\tIN\tB-PP\tO' -p364009 -aS'the\tthe\tDT\tB-NP\tO' -p364010 -aS'setting\tsetting\tNN\tI-NP\tO' -p364011 -aS'of\tof\tIN\tB-PP\tO' -p364012 -aS'fevers\tfever\tNNS\tB-NP\tO' -p364013 -aS'and\tand\tCC\tO\tO' -p364014 -aS'high\thigh\tJJ\tB-NP\tO' -p364015 -aS'blood\tblood\tNN\tI-NP\tO' -p364016 -aS'count\tcount\tNN\tI-NP\tO' -p364017 -aS'.\t.\t.\tO\tO' -p364018 -asS'He nods appropriately and was able to confirm known history .' -p364019 -(lp364020 -S'He\tHe\tPRP\tB-NP\tO' -p364021 -aS'nods\tnod\tVBZ\tB-VP\tO' -p364022 -aS'appropriately\tappropriately\tRB\tB-ADVP\tO' -p364023 -aS'and\tand\tCC\tO\tO' -p364024 -aS'was\tbe\tVBD\tB-VP\tO' -p364025 -aS'able\table\tJJ\tB-ADJP\tO' -p364026 -aS'to\tto\tTO\tB-VP\tO' -p364027 -aS'confirm\tconfirm\tVB\tI-VP\tO' -p364028 -aS'known\tknown\tJJ\tB-NP\tO' -p364029 -aS'history\thistory\tNN\tI-NP\tO' -p364030 -aS'.\t.\t.\tO\tO' -p364031 -asS'On XRT .' -p364032 -(lp364033 -S'On\tOn\tIN\tB-PP\tO' -p364034 -aS'XRT\tXRT\tNN\tB-NP\tB-DNA' -p364035 -aS'.\t.\t.\tO\tO' -p364036 -asS'3-Disseminated intravascular coagulation .' -p364037 -(lp364038 -S'3-Disseminated\t3-Disseminated\tJJ\tB-NP\tO' -p364039 -aS'intravascular\tintravascular\tJJ\tI-NP\tO' -p364040 -aS'coagulation\tcoagulation\tNN\tI-NP\tO' -p364041 -aS'.\t.\t.\tO\tO' -p364042 -asS'He also complained of increased shortness of breath and " difficulty catching his breath ."' -p364043 -(lp364044 -S'He\tHe\tPRP\tB-NP\tO' -p364045 -aS'also\talso\tRB\tB-ADVP\tO' -p364046 -aS'complained\tcomplain\tVBD\tB-VP\tO' -p364047 -aS'of\tof\tIN\tB-PP\tO' -p364048 -aS'increased\tincrease\tVBN\tB-NP\tO' -p364049 -aS'shortness\tshortness\tNN\tI-NP\tO' -p364050 -aS'of\tof\tIN\tB-PP\tO' -p364051 -aS'breath\tbreath\tNN\tB-NP\tO' -p364052 -aS'and\tand\tCC\tO\tO' -p364053 -aS'"\t"\t``\tO\tB-cell_type' -p364054 -aS'difficulty\tdifficulty\tNN\tB-NP\tI-cell_type' -p364055 -aS'catching\tcatch\tVBG\tB-VP\tI-cell_type' -p364056 -aS'his\this\tPRP$\tB-NP\tI-cell_type' -p364057 -aS'breath\tbreath\tNN\tI-NP\tI-cell_type' -p364058 -aS'."\t."\t.\tO\tI-cell_type' -p364059 -asS'1. Premature twin #1 born at 32 and 5/7 weeks .' -p364060 -(lp364061 -S'1.\t1.\tLS\tB-NP\tO' -p364062 -aS'Premature\tPremature\tJJ\tI-NP\tO' -p364063 -aS'twin\ttwin\tNN\tI-NP\tO' -p364064 -aS'#1\t#1\tNN\tI-NP\tO' -p364065 -aS'born\tbear\tVBN\tB-VP\tO' -p364066 -aS'at\tat\tIN\tB-PP\tO' -p364067 -aS'32\t32\tCD\tB-NP\tO' -p364068 -aS'and\tand\tCC\tI-NP\tO' -p364069 -aS'5/7\t5/7\tCD\tI-NP\tO' -p364070 -aS'weeks\tweek\tNNS\tI-NP\tO' -p364071 -aS'.\t.\t.\tO\tO' -p364072 -asS'However , after Patient did well .' -p364073 -(lp364074 -S'However\tHowever\tRB\tB-ADVP\tO' -p364075 -aS',\t,\t,\tO\tO' -p364076 -aS'after\tafter\tIN\tB-SBAR\tO' -p364077 -aS'Patient\tPatient\tNN\tB-NP\tO' -p364078 -aS'did\tdo\tVBD\tB-VP\tO' -p364079 -aS'well\twell\tRB\tB-ADVP\tO' -p364080 -aS'.\t.\t.\tO\tO' -p364081 -asS'The patient recovered well from her surgery for pacemaker placement .' -p364082 -(lp364083 -S'The\tThe\tDT\tB-NP\tO' -p364084 -aS'patient\tpatient\tNN\tI-NP\tO' -p364085 -aS'recovered\trecover\tVBD\tB-VP\tO' -p364086 -aS'well\twell\tRB\tB-ADVP\tO' -p364087 -aS'from\tfrom\tIN\tB-PP\tO' -p364088 -aS'her\ther\tPRP$\tB-NP\tO' -p364089 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p364090 -aS'for\tfor\tIN\tB-PP\tO' -p364091 -aS'pacemaker\tpacemaker\tNN\tB-NP\tO' -p364092 -aS'placement\tplacement\tNN\tI-NP\tO' -p364093 -aS'.\t.\t.\tO\tO' -p364094 -asS'1. Coronary artery disease status post myocardial infarction status post percutaneous transluminal coronary angioplasty , status post coronary artery bypass graft .' -p364095 -(lp364096 -S'1.\t1.\tLS\tB-NP\tO' -p364097 -aS'Coronary\tCoronary\tJJ\tI-NP\tO' -p364098 -aS'artery\tartery\tNN\tI-NP\tO' -p364099 -aS'disease\tdisease\tNN\tI-NP\tO' -p364100 -aS'status\tstatus\tNN\tI-NP\tO' -p364101 -aS'post\tpost\tNN\tI-NP\tO' -p364102 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p364103 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p364104 -aS'status\tstatus\tNN\tI-NP\tO' -p364105 -aS'post\tpost\tIN\tB-PP\tO' -p364106 -aS'percutaneous\tpercutaneous\tJJ\tB-NP\tO' -p364107 -aS'transluminal\ttransluminal\tJJ\tI-NP\tO' -p364108 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p364109 -aS'angioplasty\tangioplasty\tNN\tI-NP\tO' -p364110 -aS',\t,\t,\tO\tO' -p364111 -aS'status\tstatus\tNN\tB-NP\tO' -p364112 -aS'post\tpost\tNN\tI-NP\tO' -p364113 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p364114 -aS'artery\tartery\tNN\tI-NP\tO' -p364115 -aS'bypass\tbypass\tIN\tB-PP\tO' -p364116 -aS'graft\tgraft\tNN\tB-NP\tO' -p364117 -aS'.\t.\t.\tO\tO' -p364118 -asS'hydrochlorothiazide 50 mg. PO qday , KayCiel .' -p364119 -(lp364120 -S'hydrochlorothiazide\thydrochlorothiazide\tNN\tB-NP\tO' -p364121 -aS'50\t50\tCD\tI-NP\tO' -p364122 -aS'mg.\tmg.\tNN\tI-NP\tO' -p364123 -aS'PO\tPO\tNN\tI-NP\tO' -p364124 -aS'qday\tqday\tNN\tI-NP\tO' -p364125 -aS',\t,\t,\tO\tO' -p364126 -aS'KayCiel\tKayCiel\tNNP\tB-NP\tO' -p364127 -aS'.\t.\t.\tO\tO' -p364128 -asS'Disp :* 1 Disk with Device (s)* Refills :* 0 *' -p364129 -(lp364130 -S'Disp\tDisp\tNN\tB-NP\tO' -p364131 -aS':*\t:*\tSYM\tO\tO' -p364132 -aS'1\t1\tCD\tB-NP\tO' -p364133 -aS'Disk\tDisk\tNN\tI-NP\tO' -p364134 -aS'with\twith\tIN\tB-PP\tO' -p364135 -aS'Device\tDevice\tNN\tB-NP\tO' -p364136 -aS'(s)*\t(s)*\tSYM\tI-NP\tO' -p364137 -aS'Refills\tRefill\tNNPS\tI-NP\tO' -p364138 -aS':*\t:*\tSYM\tB-NP\tO' -p364139 -aS'0\t0\tCD\tI-NP\tO' -p364140 -aS'*\t*\tSYM\tB-NP\tO' -p364141 -asS'This could be due to internal hernia or could be stricture related .' -p364142 -(lp364143 -S'This\tThis\tDT\tB-NP\tO' -p364144 -aS'could\tcould\tMD\tB-VP\tO' -p364145 -aS'be\tbe\tVB\tI-VP\tO' -p364146 -aS'due\tdue\tJJ\tB-ADVP\tO' -p364147 -aS'to\tto\tTO\tB-PP\tO' -p364148 -aS'internal\tinternal\tJJ\tB-NP\tO' -p364149 -aS'hernia\thernia\tNN\tI-NP\tO' -p364150 -aS'or\tor\tCC\tO\tO' -p364151 -aS'could\tcould\tMD\tB-VP\tO' -p364152 -aS'be\tbe\tVB\tI-VP\tO' -p364153 -aS'stricture\tstricture\tNN\tB-NP\tO' -p364154 -aS'related\trelate\tVBN\tB-ADJP\tO' -p364155 -aS'.\t.\t.\tO\tO' -p364156 -asS'She was also changed to intravenous Solu-Medrol 50 mg q. day which was changed back to 40 mg of Prednisone prior to discharge .' -p364157 -(lp364158 -S'She\tShe\tPRP\tB-NP\tO' -p364159 -aS'was\tbe\tVBD\tB-VP\tO' -p364160 -aS'also\talso\tRB\tI-VP\tO' -p364161 -aS'changed\tchange\tVBN\tI-VP\tO' -p364162 -aS'to\tto\tTO\tB-PP\tO' -p364163 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p364164 -aS'Solu-Medrol\tSolu-Medrol\tNN\tI-NP\tO' -p364165 -aS'50\t50\tCD\tI-NP\tO' -p364166 -aS'mg\tmg\tNN\tI-NP\tO' -p364167 -aS'q.\tq.\tNN\tI-NP\tO' -p364168 -aS'day\tday\tNN\tI-NP\tO' -p364169 -aS'which\twhich\tWDT\tB-NP\tO' -p364170 -aS'was\tbe\tVBD\tB-VP\tO' -p364171 -aS'changed\tchange\tVBN\tI-VP\tO' -p364172 -aS'back\tback\tRB\tB-ADVP\tO' -p364173 -aS'to\tto\tTO\tB-PP\tO' -p364174 -aS'40\t40\tCD\tB-NP\tO' -p364175 -aS'mg\tmg\tNN\tI-NP\tO' -p364176 -aS'of\tof\tIN\tB-PP\tO' -p364177 -aS'Prednisone\tPrednisone\tNN\tB-NP\tO' -p364178 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p364179 -aS'to\tto\tTO\tB-VP\tO' -p364180 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p364181 -aS'.\t.\t.\tO\tO' -p364182 -asS'Signed electronically by : DR. Jane Nix on : MON 2012-05-07 9:28 AM' -p364183 -(lp364184 -S'Signed\tSign\tVBN\tB-VP\tO' -p364185 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p364186 -aS'by\tby\tIN\tB-PP\tO' -p364187 -aS':\t:\t:\tO\tO' -p364188 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p364189 -aS'Jane\tJane\tNNP\tI-NP\tO' -p364190 -aS'Nix\tNix\tNNP\tI-NP\tO' -p364191 -aS'on\ton\tIN\tB-PP\tO' -p364192 -aS':\t:\t:\tO\tO' -p364193 -aS'MON\tMON\tNN\tB-NP\tO' -p364194 -aS'2012-05-07\t2012-05-07\tCD\tI-NP\tO' -p364195 -aS'9:28\t9:28\tCD\tI-NP\tO' -p364196 -aS'AM\tAM\tNN\tI-NP\tO' -p364197 -asS'On 5/6/93 the patient underwent a right thyroidectomy with sacrifice of the right recurrent laryngeal nerve as well as the right sternothyroid muscle and lower parathyroid gland .' -p364198 -(lp364199 -S'On\tOn\tIN\tB-PP\tO' -p364200 -aS'5/6/93\t5/6/93\tCD\tB-NP\tO' -p364201 -aS'the\tthe\tDT\tB-NP\tO' -p364202 -aS'patient\tpatient\tNN\tI-NP\tO' -p364203 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p364204 -aS'a\ta\tDT\tB-NP\tO' -p364205 -aS'right\tright\tJJ\tI-NP\tO' -p364206 -aS'thyroidectomy\tthyroidectomy\tNN\tI-NP\tO' -p364207 -aS'with\twith\tIN\tB-PP\tO' -p364208 -aS'sacrifice\tsacrifice\tNN\tB-NP\tO' -p364209 -aS'of\tof\tIN\tB-PP\tO' -p364210 -aS'the\tthe\tDT\tB-NP\tO' -p364211 -aS'right\tright\tJJ\tI-NP\tO' -p364212 -aS'recurrent\trecurrent\tJJ\tI-NP\tO' -p364213 -aS'laryngeal\tlaryngeal\tJJ\tI-NP\tO' -p364214 -aS'nerve\tnerve\tNN\tI-NP\tO' -p364215 -aS'as\tas\tRB\tB-CONJP\tO' -p364216 -aS'well\twell\tRB\tI-CONJP\tO' -p364217 -aS'as\tas\tIN\tI-CONJP\tO' -p364218 -aS'the\tthe\tDT\tB-NP\tO' -p364219 -aS'right\tright\tJJ\tI-NP\tO' -p364220 -aS'sternothyroid\tsternothyroid\tJJ\tI-NP\tO' -p364221 -aS'muscle\tmuscle\tNN\tI-NP\tO' -p364222 -aS'and\tand\tCC\tO\tO' -p364223 -aS'lower\tlow\tJJR\tB-NP\tO' -p364224 -aS'parathyroid\tparathyroid\tJJ\tI-NP\tO' -p364225 -aS'gland\tgland\tNN\tI-NP\tO' -p364226 -aS'.\t.\t.\tO\tO' -p364227 -asS'A repeat CT on 09-26 showed worsening of the diffuse subarachnoid hemorrhage and a new cerebellar hemorrhage .' -p364228 -(lp364229 -S'A\tA\tDT\tB-NP\tO' -p364230 -aS'repeat\trepeat\tNN\tI-NP\tO' -p364231 -aS'CT\tCT\tNN\tI-NP\tO' -p364232 -aS'on\ton\tIN\tB-PP\tO' -p364233 -aS'09-26\t09-26\tCD\tB-NP\tO' -p364234 -aS'showed\tshow\tVBD\tB-VP\tO' -p364235 -aS'worsening\tworsen\tVBG\tB-NP\tO' -p364236 -aS'of\tof\tIN\tB-PP\tO' -p364237 -aS'the\tthe\tDT\tB-NP\tO' -p364238 -aS'diffuse\tdiffuse\tJJ\tI-NP\tO' -p364239 -aS'subarachnoid\tsubarachnoid\tJJ\tI-NP\tO' -p364240 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p364241 -aS'and\tand\tCC\tO\tO' -p364242 -aS'a\ta\tDT\tB-NP\tO' -p364243 -aS'new\tnew\tJJ\tI-NP\tO' -p364244 -aS'cerebellar\tcerebellar\tJJ\tI-NP\tO' -p364245 -aS'hemorrhage\themorrhage\tNN\tI-NP\tO' -p364246 -aS'.\t.\t.\tO\tO' -p364247 -asS'Over the two weeks prior to admission he had noticed an increasing heart rate from his baseline in the 60s to a heart rate in the 120s .' -p364248 -(lp364249 -S'Over\tOver\tIN\tB-PP\tO' -p364250 -aS'the\tthe\tDT\tB-NP\tO' -p364251 -aS'two\ttwo\tCD\tI-NP\tO' -p364252 -aS'weeks\tweek\tNNS\tI-NP\tO' -p364253 -aS'prior\tprior\tRB\tB-ADVP\tO' -p364254 -aS'to\tto\tTO\tB-PP\tO' -p364255 -aS'admission\tadmission\tNN\tB-NP\tO' -p364256 -aS'he\the\tPRP\tB-NP\tO' -p364257 -aS'had\thave\tVBD\tB-VP\tO' -p364258 -aS'noticed\tnotice\tVBN\tI-VP\tO' -p364259 -aS'an\tan\tDT\tB-NP\tO' -p364260 -aS'increasing\tincrease\tVBG\tI-NP\tO' -p364261 -aS'heart\theart\tNN\tI-NP\tO' -p364262 -aS'rate\trate\tNN\tI-NP\tO' -p364263 -aS'from\tfrom\tIN\tB-PP\tO' -p364264 -aS'his\this\tPRP$\tB-NP\tO' -p364265 -aS'baseline\tbaseline\tNN\tI-NP\tO' -p364266 -aS'in\tin\tIN\tB-PP\tO' -p364267 -aS'the\tthe\tDT\tB-NP\tO' -p364268 -aS'60s\t60\tNNS\tI-NP\tO' -p364269 -aS'to\tto\tTO\tB-PP\tO' -p364270 -aS'a\ta\tDT\tB-NP\tO' -p364271 -aS'heart\theart\tNN\tI-NP\tO' -p364272 -aS'rate\trate\tNN\tI-NP\tO' -p364273 -aS'in\tin\tIN\tB-PP\tO' -p364274 -aS'the\tthe\tDT\tB-NP\tO' -p364275 -aS'120s\t120\tNNS\tI-NP\tB-DNA' -p364276 -aS'.\t.\t.\tO\tO' -p364277 -asS'4. Mild hyperbilirubinemia , resolving .' -p364278 -(lp364279 -S'4.\t4.\tLS\tB-NP\tO' -p364280 -aS'Mild\tMild\tNNP\tI-NP\tO' -p364281 -aS'hyperbilirubinemia\thyperbilirubinemia\tNN\tI-NP\tO' -p364282 -aS',\t,\t,\tO\tO' -p364283 -aS'resolving\tresolve\tVBG\tB-VP\tO' -p364284 -aS'.\t.\t.\tO\tO' -p364285 -asS'On POD#7 he was cleared for discharge to home by physical therapy and on POD#8 he was discharged .' -p364286 -(lp364287 -S'On\tOn\tIN\tB-PP\tO' -p364288 -aS'POD#7\tPOD#7\tNN\tB-NP\tB-protein' -p364289 -aS'he\the\tPRP\tB-NP\tO' -p364290 -aS'was\tbe\tVBD\tB-VP\tO' -p364291 -aS'cleared\tclear\tVBN\tI-VP\tO' -p364292 -aS'for\tfor\tIN\tB-PP\tO' -p364293 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p364294 -aS'to\tto\tTO\tB-PP\tO' -p364295 -aS'home\thome\tNN\tB-NP\tO' -p364296 -aS'by\tby\tIN\tB-PP\tO' -p364297 -aS'physical\tphysical\tJJ\tB-NP\tO' -p364298 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p364299 -aS'and\tand\tCC\tB-PP\tO' -p364300 -aS'on\ton\tIN\tB-PP\tO' -p364301 -aS'POD#8\tPOD#8\tNN\tB-NP\tB-protein' -p364302 -aS'he\the\tPRP\tB-NP\tO' -p364303 -aS'was\tbe\tVBD\tB-VP\tO' -p364304 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p364305 -aS'.\t.\t.\tO\tO' -p364306 -asS'8. Furosemide 20 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ) for 7 days .' -p364307 -(lp364308 -S'8.\t8.\tCD\tB-NP\tO' -p364309 -aS'Furosemide\tFurosemide\tNN\tI-NP\tO' -p364310 -aS'20\t20\tCD\tB-NP\tO' -p364311 -aS'mg\tmg\tNN\tI-NP\tO' -p364312 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p364313 -aS'Sig\tSig\tNNP\tI-NP\tO' -p364314 -aS':\t:\t:\tO\tO' -p364315 -aS'One\tOne\tCD\tB-NP\tO' -p364316 -aS'(\t(\t(\tO\tO' -p364317 -aS'1\t1\tCD\tB-NP\tO' -p364318 -aS')\t)\t)\tO\tO' -p364319 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p364320 -aS'PO\tPO\tNN\tI-NP\tO' -p364321 -aS'BID\tBID\tNN\tI-NP\tO' -p364322 -aS'(\t(\t(\tO\tO' -p364323 -aS'2\t2\tCD\tB-NP\tO' -p364324 -aS'times\ttime\tNNS\tI-NP\tO' -p364325 -aS'a\ta\tDT\tB-NP\tO' -p364326 -aS'day\tday\tNN\tI-NP\tO' -p364327 -aS')\t)\t)\tO\tO' -p364328 -aS'for\tfor\tIN\tB-PP\tO' -p364329 -aS'7\t7\tCD\tB-NP\tO' -p364330 -aS'days\tday\tNNS\tI-NP\tO' -p364331 -aS'.\t.\t.\tO\tO' -p364332 -asS'Tagged RBC + activity in RLQ .' -p364333 -(lp364334 -S'Tagged\tTag\tVBN\tB-NP\tO' -p364335 -aS'RBC\tRBC\tNN\tI-NP\tB-protein' -p364336 -aS'+\t+\tSYM\tB-VP\tO' -p364337 -aS'activity\tactivity\tNN\tB-NP\tO' -p364338 -aS'in\tin\tIN\tB-PP\tO' -p364339 -aS'RLQ\tRLQ\tNN\tB-NP\tB-protein' -p364340 -aS'.\t.\t.\tO\tO' -p364341 -asS'Please take Fioricet as directed for headaches .' -p364342 -(lp364343 -S'Please\tPlease\tVB\tB-VP\tO' -p364344 -aS'take\ttake\tVB\tI-VP\tO' -p364345 -aS'Fioricet\tFioricet\tNNP\tB-NP\tO' -p364346 -aS'as\tas\tIN\tB-SBAR\tO' -p364347 -aS'directed\tdirect\tVBN\tB-VP\tO' -p364348 -aS'for\tfor\tIN\tB-PP\tO' -p364349 -aS'headaches\theadache\tNNS\tB-NP\tO' -p364350 -aS'.\t.\t.\tO\tO' -p364351 -asS'No S3 or S4 .' -p364352 -(lp364353 -S'No\tNo\tDT\tB-NP\tO' -p364354 -aS'S3\tS3\tNN\tI-NP\tB-protein' -p364355 -aS'or\tor\tCC\tI-NP\tO' -p364356 -aS'S4\tS4\tNN\tI-NP\tB-protein' -p364357 -aS'.\t.\t.\tO\tO' -p364358 -asS'His Plavix was held at the time of discharge due to a question of GI bleed and in the setting of not having a stent placed at the time of catheterization .' -p364359 -(lp364360 -S'His\tHis\tPRP$\tB-NP\tO' -p364361 -aS'Plavix\tPlavix\tNN\tI-NP\tO' -p364362 -aS'was\tbe\tVBD\tB-VP\tO' -p364363 -aS'held\thold\tVBN\tI-VP\tO' -p364364 -aS'at\tat\tIN\tB-PP\tO' -p364365 -aS'the\tthe\tDT\tB-NP\tO' -p364366 -aS'time\ttime\tNN\tI-NP\tO' -p364367 -aS'of\tof\tIN\tB-PP\tO' -p364368 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p364369 -aS'due\tdue\tJJ\tB-ADVP\tO' -p364370 -aS'to\tto\tTO\tB-PP\tO' -p364371 -aS'a\ta\tDT\tB-NP\tO' -p364372 -aS'question\tquestion\tNN\tI-NP\tO' -p364373 -aS'of\tof\tIN\tB-PP\tO' -p364374 -aS'GI\tGI\tNN\tB-NP\tO' -p364375 -aS'bleed\tbleed\tNN\tI-NP\tO' -p364376 -aS'and\tand\tCC\tB-PP\tO' -p364377 -aS'in\tin\tIN\tB-PP\tO' -p364378 -aS'the\tthe\tDT\tB-NP\tO' -p364379 -aS'setting\tsetting\tNN\tI-NP\tO' -p364380 -aS'of\tof\tIN\tB-PP\tO' -p364381 -aS'not\tnot\tRB\tB-VP\tO' -p364382 -aS'having\thave\tVBG\tI-VP\tO' -p364383 -aS'a\ta\tDT\tB-NP\tO' -p364384 -aS'stent\tstent\tJJ\tI-NP\tO' -p364385 -aS'placed\tplaced\tNN\tI-NP\tO' -p364386 -aS'at\tat\tIN\tB-PP\tO' -p364387 -aS'the\tthe\tDT\tB-NP\tO' -p364388 -aS'time\ttime\tNN\tI-NP\tO' -p364389 -aS'of\tof\tIN\tB-PP\tO' -p364390 -aS'catheterization\tcatheterization\tNN\tB-NP\tO' -p364391 -aS'.\t.\t.\tO\tO' -p364392 -asS'HEART : Regular rate , s1 s2 .' -p364393 -(lp364394 -S'HEART\tHEART\tNN\tB-NP\tO' -p364395 -aS':\t:\t:\tO\tO' -p364396 -aS'Regular\tRegular\tJJ\tB-NP\tO' -p364397 -aS'rate\trate\tNN\tI-NP\tO' -p364398 -aS',\t,\t,\tO\tO' -p364399 -aS's1\ts1\tNN\tB-NP\tB-protein' -p364400 -aS's2\ts2\tNN\tI-NP\tI-protein' -p364401 -aS'.\t.\t.\tO\tO' -p364402 -asS'The memory was intact for retention and long-term memory .' -p364403 -(lp364404 -S'The\tThe\tDT\tB-NP\tO' -p364405 -aS'memory\tmemory\tNN\tI-NP\tO' -p364406 -aS'was\tbe\tVBD\tB-VP\tO' -p364407 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p364408 -aS'for\tfor\tIN\tB-PP\tO' -p364409 -aS'retention\tretention\tNN\tB-NP\tO' -p364410 -aS'and\tand\tCC\tO\tO' -p364411 -aS'long-term\tlong-term\tJJ\tB-NP\tO' -p364412 -aS'memory\tmemory\tNN\tI-NP\tO' -p364413 -aS'.\t.\t.\tO\tO' -p364414 -asS'2. Status post cholecystectomy four days prior to admission .' -p364415 -(lp364416 -S'2.\t2.\tLS\tB-NP\tO' -p364417 -aS'Status\tStatus\tNNP\tI-NP\tO' -p364418 -aS'post\tpost\tNN\tI-NP\tO' -p364419 -aS'cholecystectomy\tcholecystectomy\tNN\tI-NP\tO' -p364420 -aS'four\tfour\tCD\tB-NP\tO' -p364421 -aS'days\tday\tNNS\tI-NP\tO' -p364422 -aS'prior\tprior\tRB\tB-ADVP\tO' -p364423 -aS'to\tto\tTO\tB-PP\tO' -p364424 -aS'admission\tadmission\tNN\tB-NP\tO' -p364425 -aS'.\t.\t.\tO\tO' -p364426 -asS'He also began to develop noticeably increasing bilateral lower extremity weakness and possibly numbness in the lower extremities .' -p364427 -(lp364428 -S'He\tHe\tPRP\tB-NP\tO' -p364429 -aS'also\talso\tRB\tB-ADVP\tO' -p364430 -aS'began\tbegin\tVBD\tB-VP\tO' -p364431 -aS'to\tto\tTO\tI-VP\tO' -p364432 -aS'develop\tdevelop\tVB\tI-VP\tO' -p364433 -aS'noticeably\tnoticeably\tRB\tB-ADVP\tO' -p364434 -aS'increasing\tincrease\tVBG\tB-VP\tO' -p364435 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p364436 -aS'lower\tlow\tJJR\tI-NP\tO' -p364437 -aS'extremity\textremity\tNN\tI-NP\tO' -p364438 -aS'weakness\tweakness\tNN\tI-NP\tO' -p364439 -aS'and\tand\tCC\tO\tO' -p364440 -aS'possibly\tpossibly\tRB\tB-ADVP\tO' -p364441 -aS'numbness\tnumbness\tNN\tB-NP\tO' -p364442 -aS'in\tin\tIN\tB-PP\tO' -p364443 -aS'the\tthe\tDT\tB-NP\tO' -p364444 -aS'lower\tlow\tJJR\tI-NP\tO' -p364445 -aS'extremities\textremity\tNNS\tI-NP\tO' -p364446 -aS'.\t.\t.\tO\tO' -p364447 -asS'CMED .' -p364448 -(lp364449 -S'CMED\tCMED\tVBN\tB-VP\tO' -p364450 -aS'.\t.\t.\tO\tO' -p364451 -asS'No pneumatosis or free air was seen .' -p364452 -(lp364453 -S'No\tNo\tDT\tB-NP\tO' -p364454 -aS'pneumatosis\tpneumatosis\tNN\tI-NP\tO' -p364455 -aS'or\tor\tCC\tO\tO' -p364456 -aS'free\tfree\tJJ\tB-NP\tO' -p364457 -aS'air\tair\tNN\tI-NP\tO' -p364458 -aS'was\tbe\tVBD\tB-VP\tO' -p364459 -aS'seen\tsee\tVBN\tI-VP\tO' -p364460 -aS'.\t.\t.\tO\tO' -p364461 -asS'CT of the abdomen showed a collection in the RLQ which appears to be amenable to IR drainage .' -p364462 -(lp364463 -S'CT\tCT\tNN\tB-NP\tO' -p364464 -aS'of\tof\tIN\tB-PP\tO' -p364465 -aS'the\tthe\tDT\tB-NP\tO' -p364466 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p364467 -aS'showed\tshow\tVBD\tB-VP\tO' -p364468 -aS'a\ta\tDT\tB-NP\tO' -p364469 -aS'collection\tcollection\tNN\tI-NP\tO' -p364470 -aS'in\tin\tIN\tB-PP\tO' -p364471 -aS'the\tthe\tDT\tB-NP\tO' -p364472 -aS'RLQ\tRLQ\tNN\tI-NP\tB-protein' -p364473 -aS'which\twhich\tWDT\tB-NP\tO' -p364474 -aS'appears\tappear\tVBZ\tB-VP\tO' -p364475 -aS'to\tto\tTO\tI-VP\tO' -p364476 -aS'be\tbe\tVB\tI-VP\tO' -p364477 -aS'amenable\tamenable\tJJ\tB-ADJP\tO' -p364478 -aS'to\tto\tTO\tB-PP\tO' -p364479 -aS'IR\tIR\tNN\tB-NP\tO' -p364480 -aS'drainage\tdrainage\tNN\tI-NP\tO' -p364481 -aS'.\t.\t.\tO\tO' -p364482 -asS'Brother has coronary artery disease .' -p364483 -(lp364484 -S'Brother\tBrother\tNNP\tB-NP\tO' -p364485 -aS'has\thave\tVBZ\tB-VP\tO' -p364486 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p364487 -aS'artery\tartery\tNN\tI-NP\tO' -p364488 -aS'disease\tdisease\tNN\tI-NP\tO' -p364489 -aS'.\t.\t.\tO\tO' -p364490 -asS'Normal pulses .' -p364491 -(lp364492 -S'Normal\tNormal\tJJ\tB-NP\tO' -p364493 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p364494 -aS'.\t.\t.\tO\tO' -p364495 -asS'The heart revealed a regular rate and rhythm .' -p364496 -(lp364497 -S'The\tThe\tDT\tB-NP\tO' -p364498 -aS'heart\theart\tNN\tI-NP\tO' -p364499 -aS'revealed\treveal\tVBD\tB-VP\tO' -p364500 -aS'a\ta\tDT\tB-NP\tO' -p364501 -aS'regular\tregular\tJJ\tI-NP\tO' -p364502 -aS'rate\trate\tNN\tI-NP\tO' -p364503 -aS'and\tand\tCC\tI-NP\tO' -p364504 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p364505 -aS'.\t.\t.\tO\tO' -p364506 -asS'4. Hyperbilirubinemia .' -p364507 -(lp364508 -S'4.\t4.\tLS\tB-NP\tO' -p364509 -aS'Hyperbilirubinemia\tHyperbilirubinemia\tNN\tI-NP\tO' -p364510 -aS'.\t.\t.\tO\tO' -p364511 -asS'A FENa was sent , was 0.3% .' -p364512 -(lp364513 -S'A\tA\tDT\tB-NP\tO' -p364514 -aS'FENa\tFENa\tNN\tI-NP\tB-DNA' -p364515 -aS'was\tbe\tVBD\tB-VP\tO' -p364516 -aS'sent\tsend\tVBN\tI-VP\tO' -p364517 -aS',\t,\t,\tO\tO' -p364518 -aS'was\tbe\tVBD\tB-VP\tO' -p364519 -aS'0.3%\t0.3%\tCD\tB-NP\tO' -p364520 -aS'.\t.\t.\tO\tO' -p364521 -asS'Patient passed away accompanied by his significant other .' -p364522 -(lp364523 -S'Patient\tPatient\tNN\tB-NP\tO' -p364524 -aS'passed\tpass\tVBD\tB-VP\tO' -p364525 -aS'away\taway\tRB\tI-VP\tO' -p364526 -aS'accompanied\taccompany\tVBN\tI-VP\tO' -p364527 -aS'by\tby\tIN\tB-PP\tO' -p364528 -aS'his\this\tPRP$\tB-NP\tO' -p364529 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p364530 -aS'other\tother\tJJ\tI-NP\tO' -p364531 -aS'.\t.\t.\tO\tO' -p364532 -asS'There is a contusion over the right eye but no laceration , abrasion of her left shoulder , no flank discoloration , blanching papules over the knees bilaterally without central necrosis .' -p364533 -(lp364534 -S'There\tThere\tEX\tB-NP\tO' -p364535 -aS'is\tbe\tVBZ\tB-VP\tO' -p364536 -aS'a\ta\tDT\tB-NP\tO' -p364537 -aS'contusion\tcontusion\tNN\tI-NP\tO' -p364538 -aS'over\tover\tIN\tB-PP\tO' -p364539 -aS'the\tthe\tDT\tB-NP\tO' -p364540 -aS'right\tright\tJJ\tI-NP\tO' -p364541 -aS'eye\teye\tNN\tI-NP\tO' -p364542 -aS'but\tbut\tCC\tO\tO' -p364543 -aS'no\tno\tDT\tB-NP\tO' -p364544 -aS'laceration\tlaceration\tNN\tI-NP\tO' -p364545 -aS',\t,\t,\tO\tO' -p364546 -aS'abrasion\tabrasion\tNN\tB-NP\tO' -p364547 -aS'of\tof\tIN\tB-PP\tO' -p364548 -aS'her\ther\tPRP$\tB-NP\tO' -p364549 -aS'left\tleft\tJJ\tI-NP\tO' -p364550 -aS'shoulder\tshoulder\tNN\tI-NP\tO' -p364551 -aS',\t,\t,\tO\tO' -p364552 -aS'no\tno\tDT\tB-NP\tO' -p364553 -aS'flank\tflank\tNN\tI-NP\tO' -p364554 -aS'discoloration\tdiscoloration\tNN\tI-NP\tO' -p364555 -aS',\t,\t,\tO\tO' -p364556 -aS'blanching\tblanch\tVBG\tB-VP\tO' -p364557 -aS'papules\tpapule\tNNS\tB-NP\tO' -p364558 -aS'over\tover\tIN\tB-PP\tO' -p364559 -aS'the\tthe\tDT\tB-NP\tO' -p364560 -aS'knees\tknee\tNNS\tI-NP\tO' -p364561 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p364562 -aS'without\twithout\tIN\tB-PP\tO' -p364563 -aS'central\tcentral\tJJ\tB-NP\tO' -p364564 -aS'necrosis\tnecrosis\tNN\tI-NP\tO' -p364565 -aS'.\t.\t.\tO\tO' -p364566 -asS'Hypotension secondary to volume depletion .' -p364567 -(lp364568 -S'Hypotension\tHypotension\tNN\tB-NP\tO' -p364569 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p364570 -aS'to\tto\tTO\tB-PP\tO' -p364571 -aS'volume\tvolume\tNN\tB-NP\tO' -p364572 -aS'depletion\tdepletion\tNN\tI-NP\tO' -p364573 -aS'.\t.\t.\tO\tO' -p364574 -asS'On 2016-04-11 the patient was in good condition and he is being discharged on a regular heart-healthy diet .' -p364575 -(lp364576 -S'On\tOn\tIN\tB-PP\tO' -p364577 -aS'2016-04-11\t2016-04-11\tCD\tB-NP\tO' -p364578 -aS'the\tthe\tDT\tB-NP\tO' -p364579 -aS'patient\tpatient\tNN\tI-NP\tO' -p364580 -aS'was\tbe\tVBD\tB-VP\tO' -p364581 -aS'in\tin\tIN\tB-PP\tO' -p364582 -aS'good\tgood\tJJ\tB-NP\tO' -p364583 -aS'condition\tcondition\tNN\tI-NP\tO' -p364584 -aS'and\tand\tCC\tO\tO' -p364585 -aS'he\the\tPRP\tB-NP\tO' -p364586 -aS'is\tbe\tVBZ\tB-VP\tO' -p364587 -aS'being\tbe\tVBG\tI-VP\tO' -p364588 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p364589 -aS'on\ton\tIN\tB-PP\tO' -p364590 -aS'a\ta\tDT\tB-NP\tO' -p364591 -aS'regular\tregular\tJJ\tI-NP\tO' -p364592 -aS'heart-healthy\theart-healthy\tJJ\tI-NP\tO' -p364593 -aS'diet\tdiet\tNN\tI-NP\tO' -p364594 -aS'.\t.\t.\tO\tO' -p364595 -asS'He remained in sinus bradycardia ( rate 50-60 ) and tolerated low dose beta blockade .' -p364596 -(lp364597 -S'He\tHe\tPRP\tB-NP\tO' -p364598 -aS'remained\tremain\tVBD\tB-VP\tO' -p364599 -aS'in\tin\tIN\tB-PP\tO' -p364600 -aS'sinus\tsinus\tNN\tB-NP\tO' -p364601 -aS'bradycardia\tbradycardia\tNN\tI-NP\tO' -p364602 -aS'(\t(\t(\tO\tO' -p364603 -aS'rate\trate\tNN\tB-NP\tO' -p364604 -aS'50-60\t50-60\tCD\tI-NP\tO' -p364605 -aS')\t)\t)\tO\tO' -p364606 -aS'and\tand\tCC\tO\tO' -p364607 -aS'tolerated\ttolerate\tVBN\tB-NP\tO' -p364608 -aS'low\tlow\tJJ\tI-NP\tO' -p364609 -aS'dose\tdose\tNN\tI-NP\tO' -p364610 -aS'beta\tbeta\tNN\tI-NP\tO' -p364611 -aS'blockade\tblockade\tNN\tI-NP\tO' -p364612 -aS'.\t.\t.\tO\tO' -p364613 -asS'2. Levofloxacin 500 mg p.o. q.d. for another 11 days for a total of a 14 day course .' -p364614 -(lp364615 -S'2.\t2.\tLS\tB-LST\tO' -p364616 -aS'Levofloxacin\tLevofloxacin\tNNP\tB-NP\tO' -p364617 -aS'500\t500\tCD\tI-NP\tO' -p364618 -aS'mg\tmg\tNN\tI-NP\tO' -p364619 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p364620 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p364621 -aS'for\tfor\tIN\tB-PP\tO' -p364622 -aS'another\tanother\tDT\tB-NP\tO' -p364623 -aS'11\t11\tCD\tI-NP\tO' -p364624 -aS'days\tday\tNNS\tI-NP\tO' -p364625 -aS'for\tfor\tIN\tB-PP\tO' -p364626 -aS'a\ta\tDT\tB-NP\tO' -p364627 -aS'total\ttotal\tNN\tI-NP\tO' -p364628 -aS'of\tof\tIN\tB-PP\tO' -p364629 -aS'a\ta\tDT\tB-NP\tO' -p364630 -aS'14\t14\tCD\tI-NP\tO' -p364631 -aS'day\tday\tNN\tI-NP\tO' -p364632 -aS'course\tcourse\tNN\tI-NP\tO' -p364633 -aS'.\t.\t.\tO\tO' -p364634 -asS'With intravenous hydration the BUN and creatinine fell to 12/1.9 which is within normal limits for this patient .' -p364635 -(lp364636 -S'With\tWith\tIN\tB-PP\tO' -p364637 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p364638 -aS'hydration\thydration\tNN\tI-NP\tO' -p364639 -aS'the\tthe\tDT\tB-NP\tO' -p364640 -aS'BUN\tBUN\tNN\tI-NP\tO' -p364641 -aS'and\tand\tCC\tI-NP\tO' -p364642 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p364643 -aS'fell\tfall\tVBD\tB-VP\tO' -p364644 -aS'to\tto\tTO\tB-PP\tO' -p364645 -aS'12/1.9\t12/1.9\tCD\tB-NP\tO' -p364646 -aS'which\twhich\tWDT\tB-NP\tO' -p364647 -aS'is\tbe\tVBZ\tB-VP\tO' -p364648 -aS'within\twithin\tIN\tB-PP\tO' -p364649 -aS'normal\tnormal\tJJ\tB-NP\tO' -p364650 -aS'limits\tlimit\tNNS\tI-NP\tO' -p364651 -aS'for\tfor\tIN\tB-PP\tO' -p364652 -aS'this\tthis\tDT\tB-NP\tO' -p364653 -aS'patient\tpatient\tNN\tI-NP\tO' -p364654 -aS'.\t.\t.\tO\tO' -p364655 -asS'At the time of transfer , he was AV paced at a rate of 88 beats per minute .' -p364656 -(lp364657 -S'At\tAt\tIN\tB-PP\tO' -p364658 -aS'the\tthe\tDT\tB-NP\tO' -p364659 -aS'time\ttime\tNN\tI-NP\tO' -p364660 -aS'of\tof\tIN\tB-PP\tO' -p364661 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p364662 -aS',\t,\t,\tO\tO' -p364663 -aS'he\the\tPRP\tB-NP\tO' -p364664 -aS'was\tbe\tVBD\tB-VP\tO' -p364665 -aS'AV\tAV\tNN\tB-NP\tO' -p364666 -aS'paced\tpace\tVBN\tB-VP\tO' -p364667 -aS'at\tat\tIN\tB-PP\tO' -p364668 -aS'a\ta\tDT\tB-NP\tO' -p364669 -aS'rate\trate\tNN\tI-NP\tO' -p364670 -aS'of\tof\tIN\tB-PP\tO' -p364671 -aS'88\t88\tCD\tB-NP\tO' -p364672 -aS'beats\tbeat\tNNS\tI-NP\tO' -p364673 -aS'per\tper\tIN\tB-PP\tO' -p364674 -aS'minute\tminute\tNN\tB-NP\tO' -p364675 -aS'.\t.\t.\tO\tO' -p364676 -asS'He notes no tenderness , erythema , warmth or exudate from the passport site .' -p364677 -(lp364678 -S'He\tHe\tPRP\tB-NP\tO' -p364679 -aS'notes\tnote\tVBZ\tB-VP\tO' -p364680 -aS'no\tno\tDT\tB-NP\tO' -p364681 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p364682 -aS',\t,\t,\tO\tO' -p364683 -aS'erythema\terythema\tNN\tB-NP\tO' -p364684 -aS',\t,\t,\tO\tO' -p364685 -aS'warmth\twarmth\tNN\tB-NP\tO' -p364686 -aS'or\tor\tCC\tO\tO' -p364687 -aS'exudate\texudate\tVB\tB-VP\tO' -p364688 -aS'from\tfrom\tIN\tB-PP\tO' -p364689 -aS'the\tthe\tDT\tB-NP\tO' -p364690 -aS'passport\tpassport\tNN\tI-NP\tB-DNA' -p364691 -aS'site\tsite\tNN\tI-NP\tI-DNA' -p364692 -aS'.\t.\t.\tO\tO' -p364693 -asS'The patient was therefore intubated for ventilation , and continued to be diuresed .' -p364694 -(lp364695 -S'The\tThe\tDT\tB-NP\tO' -p364696 -aS'patient\tpatient\tNN\tI-NP\tO' -p364697 -aS'was\tbe\tVBD\tB-VP\tO' -p364698 -aS'therefore\ttherefore\tRB\tI-VP\tO' -p364699 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p364700 -aS'for\tfor\tIN\tB-PP\tO' -p364701 -aS'ventilation\tventilation\tNN\tB-NP\tO' -p364702 -aS',\t,\t,\tO\tO' -p364703 -aS'and\tand\tCC\tO\tO' -p364704 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p364705 -aS'to\tto\tTO\tI-VP\tO' -p364706 -aS'be\tbe\tVB\tI-VP\tO' -p364707 -aS'diuresed\tdiurese\tVBN\tI-VP\tO' -p364708 -aS'.\t.\t.\tO\tO' -p364709 -asS'RIGHT THYROID PAPILLARY CARCINOMA .' -p364710 -(lp364711 -S'RIGHT\tRIGHT\tNN\tB-NP\tO' -p364712 -aS'THYROID\tTHYROID\tNN\tI-NP\tO' -p364713 -aS'PAPILLARY\tPAPILLARY\tNN\tI-NP\tO' -p364714 -aS'CARCINOMA\tCARCINOMA\tNN\tI-NP\tO' -p364715 -aS'.\t.\t.\tO\tO' -p364716 -asS'There was also no obstruction .' -p364717 -(lp364718 -S'There\tThere\tEX\tB-NP\tO' -p364719 -aS'was\tbe\tVBD\tB-VP\tO' -p364720 -aS'also\talso\tRB\tB-ADVP\tO' -p364721 -aS'no\tno\tDT\tB-NP\tO' -p364722 -aS'obstruction\tobstruction\tNN\tI-NP\tO' -p364723 -aS'.\t.\t.\tO\tO' -p364724 -asS'No apnea .' -p364725 -(lp364726 -S'No\tNo\tDT\tB-NP\tO' -p364727 -aS'apnea\tapnea\tNN\tI-NP\tO' -p364728 -aS'.\t.\t.\tO\tO' -p364729 -asS'3. Ambien 10 mg orally before bed .' -p364730 -(lp364731 -S'3.\t3.\tLS\tB-LST\tO' -p364732 -aS'Ambien\tAmbien\tNNP\tB-NP\tO' -p364733 -aS'10\t10\tCD\tI-NP\tO' -p364734 -aS'mg\tmg\tNN\tI-NP\tO' -p364735 -aS'orally\torally\tRB\tB-ADVP\tO' -p364736 -aS'before\tbefore\tIN\tB-PP\tO' -p364737 -aS'bed\tbed\tNN\tB-NP\tO' -p364738 -aS'.\t.\t.\tO\tO' -p364739 -asS'All cultures have been unremarkable .' -p364740 -(lp364741 -S'All\tAll\tDT\tB-NP\tO' -p364742 -aS'cultures\tculture\tNNS\tI-NP\tO' -p364743 -aS'have\thave\tVBP\tB-VP\tO' -p364744 -aS'been\tbe\tVBN\tI-VP\tO' -p364745 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p364746 -aS'.\t.\t.\tO\tO' -p364747 -asS'Regional left ventricular wall motion is normal .' -p364748 -(lp364749 -S'Regional\tRegional\tJJ\tB-NP\tO' -p364750 -aS'left\tleft\tJJ\tI-NP\tO' -p364751 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p364752 -aS'wall\twall\tNN\tI-NP\tO' -p364753 -aS'motion\tmotion\tNN\tI-NP\tO' -p364754 -aS'is\tbe\tVBZ\tB-VP\tO' -p364755 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p364756 -aS'.\t.\t.\tO\tO' -p364757 -asS'Multiple conversations were had with the patient as well as an interpreter stating the importance of not smoking and keeping flames away from his oxygen tank .' -p364758 -(lp364759 -S'Multiple\tMultiple\tJJ\tB-NP\tO' -p364760 -aS'conversations\tconversation\tNNS\tI-NP\tO' -p364761 -aS'were\tbe\tVBD\tB-VP\tO' -p364762 -aS'had\thave\tVBN\tI-VP\tO' -p364763 -aS'with\twith\tIN\tB-PP\tO' -p364764 -aS'the\tthe\tDT\tB-NP\tO' -p364765 -aS'patient\tpatient\tNN\tI-NP\tO' -p364766 -aS'as\tas\tRB\tB-CONJP\tO' -p364767 -aS'well\twell\tRB\tI-CONJP\tO' -p364768 -aS'as\tas\tIN\tI-CONJP\tO' -p364769 -aS'an\tan\tDT\tB-NP\tO' -p364770 -aS'interpreter\tinterpreter\tNN\tI-NP\tO' -p364771 -aS'stating\tstate\tVBG\tB-VP\tO' -p364772 -aS'the\tthe\tDT\tB-NP\tO' -p364773 -aS'importance\timportance\tNN\tI-NP\tO' -p364774 -aS'of\tof\tIN\tB-PP\tO' -p364775 -aS'not\tnot\tRB\tO\tO' -p364776 -aS'smoking\tsmoke\tVBG\tB-VP\tO' -p364777 -aS'and\tand\tCC\tI-VP\tO' -p364778 -aS'keeping\tkeep\tVBG\tI-VP\tO' -p364779 -aS'flames\tflame\tNNS\tB-NP\tO' -p364780 -aS'away\taway\tRB\tB-ADVP\tO' -p364781 -aS'from\tfrom\tIN\tB-PP\tO' -p364782 -aS'his\this\tPRP$\tB-NP\tO' -p364783 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p364784 -aS'tank\ttank\tNN\tI-NP\tO' -p364785 -aS'.\t.\t.\tO\tO' -p364786 -asS'After extensive discussion with her family , her care was focused on comfort .' -p364787 -(lp364788 -S'After\tAfter\tIN\tB-PP\tO' -p364789 -aS'extensive\textensive\tJJ\tB-NP\tO' -p364790 -aS'discussion\tdiscussion\tNN\tI-NP\tO' -p364791 -aS'with\twith\tIN\tB-PP\tO' -p364792 -aS'her\ther\tPRP$\tB-NP\tO' -p364793 -aS'family\tfamily\tNN\tI-NP\tO' -p364794 -aS',\t,\t,\tO\tO' -p364795 -aS'her\ther\tPRP$\tB-NP\tO' -p364796 -aS'care\tcare\tNN\tI-NP\tO' -p364797 -aS'was\tbe\tVBD\tB-VP\tO' -p364798 -aS'focused\tfocus\tVBN\tI-VP\tO' -p364799 -aS'on\ton\tIN\tB-PP\tO' -p364800 -aS'comfort\tcomfort\tNN\tB-NP\tO' -p364801 -aS'.\t.\t.\tO\tO' -p364802 -asS'She had cultures drawn , was given tylenol ( tylenol screen prior to this dose was negative , as was a urine tox ) , was started on levofloxacin , metronidazole , and vancomycin to cover emperically for hospital aquired pneumonia , GI sources , and a potential hip infection .' -p364803 -(lp364804 -S'She\tShe\tPRP\tB-NP\tO' -p364805 -aS'had\thave\tVBD\tB-VP\tO' -p364806 -aS'cultures\tculture\tNNS\tB-NP\tO' -p364807 -aS'drawn\tdraw\tVBN\tB-VP\tO' -p364808 -aS',\t,\t,\tO\tO' -p364809 -aS'was\tbe\tVBD\tB-VP\tO' -p364810 -aS'given\tgive\tVBN\tI-VP\tO' -p364811 -aS'tylenol\ttylenol\tNN\tB-NP\tO' -p364812 -aS'(\t(\t(\tO\tO' -p364813 -aS'tylenol\ttylenol\tNN\tB-NP\tO' -p364814 -aS'screen\tscreen\tNN\tI-NP\tO' -p364815 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p364816 -aS'to\tto\tTO\tB-PP\tO' -p364817 -aS'this\tthis\tDT\tB-NP\tO' -p364818 -aS'dose\tdose\tNN\tI-NP\tO' -p364819 -aS'was\tbe\tVBD\tB-VP\tO' -p364820 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p364821 -aS',\t,\t,\tO\tO' -p364822 -aS'as\tas\tIN\tB-SBAR\tO' -p364823 -aS'was\tbe\tVBD\tB-VP\tO' -p364824 -aS'a\ta\tDT\tB-NP\tO' -p364825 -aS'urine\turine\tNN\tI-NP\tO' -p364826 -aS'tox\ttox\tNN\tI-NP\tO' -p364827 -aS')\t)\t)\tO\tO' -p364828 -aS',\t,\t,\tO\tO' -p364829 -aS'was\tbe\tVBD\tB-VP\tO' -p364830 -aS'started\tstart\tVBN\tI-VP\tO' -p364831 -aS'on\ton\tIN\tB-PP\tO' -p364832 -aS'levofloxacin\tlevofloxacin\tNN\tB-NP\tO' -p364833 -aS',\t,\t,\tO\tO' -p364834 -aS'metronidazole\tmetronidazole\tNN\tB-NP\tO' -p364835 -aS',\t,\t,\tO\tO' -p364836 -aS'and\tand\tCC\tO\tO' -p364837 -aS'vancomycin\tvancomycin\tNN\tB-NP\tO' -p364838 -aS'to\tto\tTO\tB-VP\tO' -p364839 -aS'cover\tcover\tVB\tI-VP\tO' -p364840 -aS'emperically\temperically\tRB\tB-ADVP\tO' -p364841 -aS'for\tfor\tIN\tB-PP\tO' -p364842 -aS'hospital\thospital\tNN\tB-NP\tO' -p364843 -aS'aquired\taquire\tVBD\tB-VP\tO' -p364844 -aS'pneumonia\tpneumonia\tNN\tB-NP\tO' -p364845 -aS',\t,\t,\tO\tO' -p364846 -aS'GI\tGI\tNN\tB-NP\tO' -p364847 -aS'sources\tsource\tNNS\tI-NP\tO' -p364848 -aS',\t,\t,\tO\tO' -p364849 -aS'and\tand\tCC\tO\tO' -p364850 -aS'a\ta\tDT\tB-NP\tO' -p364851 -aS'potential\tpotential\tJJ\tI-NP\tO' -p364852 -aS'hip\thip\tNN\tI-NP\tO' -p364853 -aS'infection\tinfection\tNN\tI-NP\tO' -p364854 -aS'.\t.\t.\tO\tO' -p364855 -asS'Her most recent set of electrolytes were on 2015-11-13 with a sodium of 143 , a potassium of 6.3 hemolyzed , a chloride of 113 and a total CO2 of 17 .' -p364856 -(lp364857 -S'Her\tHer\tPRP$\tB-NP\tB-protein' -p364858 -aS'most\tmost\tRBS\tI-NP\tO' -p364859 -aS'recent\trecent\tJJ\tI-NP\tO' -p364860 -aS'set\tset\tNN\tI-NP\tO' -p364861 -aS'of\tof\tIN\tB-PP\tO' -p364862 -aS'electrolytes\telectrolyte\tNNS\tB-NP\tO' -p364863 -aS'were\tbe\tVBD\tB-VP\tO' -p364864 -aS'on\ton\tIN\tB-PP\tO' -p364865 -aS'2015-11-13\t2015-11-13\tCD\tB-NP\tO' -p364866 -aS'with\twith\tIN\tB-PP\tO' -p364867 -aS'a\ta\tDT\tB-NP\tO' -p364868 -aS'sodium\tsodium\tNN\tI-NP\tO' -p364869 -aS'of\tof\tIN\tB-PP\tO' -p364870 -aS'143\t143\tCD\tB-NP\tO' -p364871 -aS',\t,\t,\tO\tO' -p364872 -aS'a\ta\tDT\tB-NP\tO' -p364873 -aS'potassium\tpotassium\tNN\tI-NP\tO' -p364874 -aS'of\tof\tIN\tB-PP\tO' -p364875 -aS'6.3\t6.3\tCD\tB-NP\tO' -p364876 -aS'hemolyzed\themolyze\tVBN\tB-VP\tO' -p364877 -aS',\t,\t,\tO\tO' -p364878 -aS'a\ta\tDT\tB-NP\tO' -p364879 -aS'chloride\tchloride\tNN\tI-NP\tO' -p364880 -aS'of\tof\tIN\tB-PP\tO' -p364881 -aS'113\t113\tCD\tB-NP\tO' -p364882 -aS'and\tand\tCC\tO\tO' -p364883 -aS'a\ta\tDT\tB-NP\tO' -p364884 -aS'total\ttotal\tJJ\tI-NP\tO' -p364885 -aS'CO2\tCO2\tNN\tI-NP\tO' -p364886 -aS'of\tof\tIN\tB-PP\tO' -p364887 -aS'17\t17\tCD\tB-NP\tO' -p364888 -aS'.\t.\t.\tO\tO' -p364889 -asS'During the test the patient experienced no chest pressure or pain or dyspnea and nuclear medical imaging was without evidence of ischemia .' -p364890 -(lp364891 -S'During\tDuring\tIN\tB-PP\tO' -p364892 -aS'the\tthe\tDT\tB-NP\tO' -p364893 -aS'test\ttest\tNN\tI-NP\tO' -p364894 -aS'the\tthe\tDT\tB-NP\tO' -p364895 -aS'patient\tpatient\tNN\tI-NP\tO' -p364896 -aS'experienced\texperience\tVBD\tB-VP\tO' -p364897 -aS'no\tno\tDT\tB-NP\tO' -p364898 -aS'chest\tchest\tNN\tI-NP\tO' -p364899 -aS'pressure\tpressure\tNN\tI-NP\tO' -p364900 -aS'or\tor\tCC\tI-NP\tO' -p364901 -aS'pain\tpain\tNN\tI-NP\tO' -p364902 -aS'or\tor\tCC\tI-NP\tO' -p364903 -aS'dyspnea\tdyspnea\tNN\tI-NP\tO' -p364904 -aS'and\tand\tCC\tO\tO' -p364905 -aS'nuclear\tnuclear\tJJ\tB-NP\tO' -p364906 -aS'medical\tmedical\tJJ\tI-NP\tO' -p364907 -aS'imaging\timaging\tNN\tI-NP\tO' -p364908 -aS'was\tbe\tVBD\tB-VP\tO' -p364909 -aS'without\twithout\tIN\tB-PP\tO' -p364910 -aS'evidence\tevidence\tNN\tB-NP\tO' -p364911 -aS'of\tof\tIN\tB-PP\tO' -p364912 -aS'ischemia\tischemia\tNN\tB-NP\tO' -p364913 -aS'.\t.\t.\tO\tO' -p364914 -asS'Metastatic papillary thyroid carcinoma .' -p364915 -(lp364916 -S'Metastatic\tMetastatic\tJJ\tB-NP\tO' -p364917 -aS'papillary\tpapillary\tJJ\tI-NP\tO' -p364918 -aS'thyroid\tthyroid\tNN\tI-NP\tO' -p364919 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p364920 -aS'.\t.\t.\tO\tO' -p364921 -asS'9. Hydrochlorothiazide 25 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) .' -p364922 -(lp364923 -S'9.\t9.\tCD\tB-NP\tO' -p364924 -aS'Hydrochlorothiazide\tHydrochlorothiazide\tNN\tI-NP\tO' -p364925 -aS'25\t25\tCD\tB-NP\tO' -p364926 -aS'mg\tmg\tNN\tI-NP\tO' -p364927 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p364928 -aS'Sig\tSig\tNNP\tI-NP\tO' -p364929 -aS':\t:\t:\tO\tO' -p364930 -aS'One\tOne\tCD\tB-NP\tO' -p364931 -aS'(\t(\t(\tO\tO' -p364932 -aS'1\t1\tCD\tB-NP\tO' -p364933 -aS')\t)\t)\tO\tO' -p364934 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p364935 -aS'PO\tPO\tNN\tI-NP\tO' -p364936 -aS'DAILY\tDAILY\tNN\tI-NP\tO' -p364937 -aS'(\t(\t(\tO\tO' -p364938 -aS'Daily\tDaily\tRB\tB-ADVP\tO' -p364939 -aS')\t)\t)\tO\tO' -p364940 -aS'.\t.\t.\tO\tO' -p364941 -asS'Cardiac rehabilitation was initiated at that time .' -p364942 -(lp364943 -S'Cardiac\tCardiac\tJJ\tB-NP\tO' -p364944 -aS'rehabilitation\trehabilitation\tNN\tI-NP\tO' -p364945 -aS'was\tbe\tVBD\tB-VP\tO' -p364946 -aS'initiated\tinitiate\tVBN\tI-VP\tO' -p364947 -aS'at\tat\tIN\tB-PP\tO' -p364948 -aS'that\tthat\tDT\tB-NP\tO' -p364949 -aS'time\ttime\tNN\tI-NP\tO' -p364950 -aS'.\t.\t.\tO\tO' -p364951 -asS'Right apical pleural tube in place .' -p364952 -(lp364953 -S'Right\tRight\tRB\tB-NP\tO' -p364954 -aS'apical\tapical\tJJ\tI-NP\tO' -p364955 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p364956 -aS'tube\ttube\tNN\tI-NP\tO' -p364957 -aS'in\tin\tIN\tB-PP\tO' -p364958 -aS'place\tplace\tNN\tB-NP\tO' -p364959 -aS'.\t.\t.\tO\tO' -p364960 -asS'WBC rose to 1.7 on 10/19 .' -p364961 -(lp364962 -S'WBC\tWBC\tNNP\tB-NP\tO' -p364963 -aS'rose\trise\tVBD\tB-VP\tO' -p364964 -aS'to\tto\tTO\tB-PP\tO' -p364965 -aS'1.7\t1.7\tCD\tB-NP\tO' -p364966 -aS'on\ton\tIN\tB-PP\tO' -p364967 -aS'10/19\t10/19\tCD\tB-NP\tO' -p364968 -aS'.\t.\t.\tO\tO' -p364969 -asS'Other findings are unchanged .' -p364970 -(lp364971 -S'Other\tOther\tJJ\tB-NP\tO' -p364972 -aS'findings\tfinding\tNNS\tI-NP\tO' -p364973 -aS'are\tbe\tVBP\tB-VP\tO' -p364974 -aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' -p364975 -aS'.\t.\t.\tO\tO' -p364976 -asS'Discharge Instructions : may shower , no bathing or swimming for 1 month no creams , lotions or powders to any incisions no driving for 1 month no lifting > 10 # for 10 weeks' -p364977 -(lp364978 -S'Discharge\tDischarge\tNNP\tB-NP\tO' -p364979 -aS'Instructions\tInstruction\tNNPS\tI-NP\tO' -p364980 -aS':\t:\t:\tO\tO' -p364981 -aS'may\tmay\tMD\tB-VP\tO' -p364982 -aS'shower\tshower\tVB\tI-VP\tO' -p364983 -aS',\t,\t,\tO\tO' -p364984 -aS'no\tno\tDT\tB-NP\tO' -p364985 -aS'bathing\tbathing\tNN\tI-NP\tO' -p364986 -aS'or\tor\tCC\tI-NP\tO' -p364987 -aS'swimming\tswimming\tNN\tI-NP\tO' -p364988 -aS'for\tfor\tIN\tB-PP\tO' -p364989 -aS'1\t1\tCD\tB-NP\tO' -p364990 -aS'month\tmonth\tNN\tI-NP\tO' -p364991 -aS'no\tno\tDT\tB-NP\tO' -p364992 -aS'creams\tcream\tNNS\tI-NP\tO' -p364993 -aS',\t,\t,\tI-NP\tO' -p364994 -aS'lotions\tlotion\tNNS\tI-NP\tO' -p364995 -aS'or\tor\tCC\tI-NP\tO' -p364996 -aS'powders\tpowder\tNNS\tI-NP\tO' -p364997 -aS'to\tto\tTO\tB-PP\tO' -p364998 -aS'any\tany\tDT\tB-NP\tO' -p364999 -aS'incisions\tincision\tNNS\tI-NP\tO' -p365000 -aS'no\tno\tDT\tB-NP\tO' -p365001 -aS'driving\tdriving\tNN\tI-NP\tO' -p365002 -aS'for\tfor\tIN\tB-PP\tO' -p365003 -aS'1\t1\tCD\tB-NP\tO' -p365004 -aS'month\tmonth\tNN\tI-NP\tO' -p365005 -aS'no\tno\tDT\tB-NP\tO' -p365006 -aS'lifting\tlifting\tNN\tI-NP\tO' -p365007 -aS'>\t>\tJJR\tB-NP\tO' -p365008 -aS'10\t10\tCD\tI-NP\tO' -p365009 -aS'#\t#\t#\tB-ADJP\tO' -p365010 -aS'for\tfor\tIN\tB-PP\tO' -p365011 -aS'10\t10\tCD\tB-NP\tO' -p365012 -aS'weeks\tweek\tNNS\tI-NP\tO' -p365013 -asS'Some interstitial edema still persists , but there is no central pulmonary vascular congestion .' -p365014 -(lp365015 -S'Some\tSome\tDT\tB-NP\tO' -p365016 -aS'interstitial\tinterstitial\tJJ\tI-NP\tO' -p365017 -aS'edema\tedema\tNN\tI-NP\tO' -p365018 -aS'still\tstill\tRB\tB-ADVP\tO' -p365019 -aS'persists\tpersist\tVBZ\tB-VP\tO' -p365020 -aS',\t,\t,\tO\tO' -p365021 -aS'but\tbut\tCC\tO\tO' -p365022 -aS'there\tthere\tEX\tB-NP\tO' -p365023 -aS'is\tbe\tVBZ\tB-VP\tO' -p365024 -aS'no\tno\tDT\tB-NP\tO' -p365025 -aS'central\tcentral\tJJ\tI-NP\tO' -p365026 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p365027 -aS'vascular\tvascular\tJJ\tI-NP\tO' -p365028 -aS'congestion\tcongestion\tNN\tI-NP\tO' -p365029 -aS'.\t.\t.\tO\tO' -p365030 -asS'He denies any other drug or toxin ingestion .' -p365031 -(lp365032 -S'He\tHe\tPRP\tB-NP\tO' -p365033 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p365034 -aS'any\tany\tDT\tB-NP\tO' -p365035 -aS'other\tother\tJJ\tI-NP\tO' -p365036 -aS'drug\tdrug\tNN\tI-NP\tO' -p365037 -aS'or\tor\tCC\tI-NP\tO' -p365038 -aS'toxin\ttoxin\tNN\tI-NP\tO' -p365039 -aS'ingestion\tingestion\tNN\tI-NP\tO' -p365040 -aS'.\t.\t.\tO\tO' -p365041 -asS'2. Metoprolol Tartrate 25 mg Tablet Sig : 0.5 Tablet PO BID ( 2 times a day ) .' -p365042 -(lp365043 -S'2.\t2.\tLS\tB-NP\tO' -p365044 -aS'Metoprolol\tMetoprolol\tNN\tI-NP\tO' -p365045 -aS'Tartrate\tTartrate\tNN\tI-NP\tO' -p365046 -aS'25\t25\tCD\tI-NP\tO' -p365047 -aS'mg\tmg\tNN\tI-NP\tO' -p365048 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p365049 -aS'Sig\tSig\tNNP\tI-NP\tO' -p365050 -aS':\t:\t:\tO\tO' -p365051 -aS'0.5\t0.5\tCD\tB-NP\tO' -p365052 -aS'Tablet\tTablet\tNN\tI-NP\tO' -p365053 -aS'PO\tPO\tNN\tI-NP\tO' -p365054 -aS'BID\tBID\tNN\tI-NP\tO' -p365055 -aS'(\t(\t(\tO\tO' -p365056 -aS'2\t2\tCD\tB-NP\tO' -p365057 -aS'times\ttime\tNNS\tI-NP\tO' -p365058 -aS'a\ta\tDT\tB-NP\tO' -p365059 -aS'day\tday\tNN\tI-NP\tO' -p365060 -aS')\t)\t)\tO\tO' -p365061 -aS'.\t.\t.\tO\tO' -p365062 -asS'Follow up with your PCP within 2 wks ,' -p365063 -(lp365064 -S'Follow\tFollow\tVB\tB-VP\tO' -p365065 -aS'up\tup\tRP\tB-PRT\tO' -p365066 -aS'with\twith\tIN\tB-PP\tO' -p365067 -aS'your\tyour\tPRP$\tB-NP\tO' -p365068 -aS'PCP\tPCP\tNN\tI-NP\tB-protein' -p365069 -aS'within\twithin\tIN\tB-PP\tO' -p365070 -aS'2\t2\tCD\tB-NP\tO' -p365071 -aS'wks\twk\tNNS\tI-NP\tO' -p365072 -aS',\t,\t,\tO\tO' -p365073 -asS'No prior history of intracranial disease .' -p365074 -(lp365075 -S'No\tNo\tDT\tB-NP\tO' -p365076 -aS'prior\tprior\tJJ\tI-NP\tO' -p365077 -aS'history\thistory\tNN\tI-NP\tO' -p365078 -aS'of\tof\tIN\tB-PP\tO' -p365079 -aS'intracranial\tintracranial\tJJ\tB-NP\tO' -p365080 -aS'disease\tdisease\tNN\tI-NP\tO' -p365081 -aS'.\t.\t.\tO\tO' -p365082 -asS'In late 7/22 , sulfasalazine was started at one tab three times a day .' -p365083 -(lp365084 -S'In\tIn\tIN\tB-PP\tO' -p365085 -aS'late\tlate\tJJ\tB-NP\tO' -p365086 -aS'7/22\t7/22\tCD\tI-NP\tO' -p365087 -aS',\t,\t,\tO\tO' -p365088 -aS'sulfasalazine\tsulfasalazine\tNN\tB-NP\tO' -p365089 -aS'was\tbe\tVBD\tB-VP\tO' -p365090 -aS'started\tstart\tVBN\tI-VP\tO' -p365091 -aS'at\tat\tIN\tB-PP\tO' -p365092 -aS'one\tone\tCD\tB-NP\tO' -p365093 -aS'tab\ttab\tNN\tI-NP\tO' -p365094 -aS'three\tthree\tCD\tB-NP\tO' -p365095 -aS'times\ttime\tNNS\tI-NP\tO' -p365096 -aS'a\ta\tDT\tB-NP\tO' -p365097 -aS'day\tday\tNN\tI-NP\tO' -p365098 -aS'.\t.\t.\tO\tO' -p365099 -asS'Schedule outpatient psychiatry appointment Necrestneysagiles Medical Center .' -p365100 -(lp365101 -S'Schedule\tSchedule\tNNP\tB-NP\tO' -p365102 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p365103 -aS'psychiatry\tpsychiatry\tNN\tI-NP\tO' -p365104 -aS'appointment\tappointment\tNN\tI-NP\tO' -p365105 -aS'Necrestneysagiles\tNecrestneysagiles\tNNP\tI-NP\tO' -p365106 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p365107 -aS'Center\tCenter\tNNP\tI-NP\tO' -p365108 -aS'.\t.\t.\tO\tO' -p365109 -asS'The patient will benefit from splinting of his finger while the swelling subsided and subsequent early mobilization to prevent any rigidity in that joint .' -p365110 -(lp365111 -S'The\tThe\tDT\tB-NP\tO' -p365112 -aS'patient\tpatient\tNN\tI-NP\tO' -p365113 -aS'will\twill\tMD\tB-VP\tO' -p365114 -aS'benefit\tbenefit\tVB\tI-VP\tO' -p365115 -aS'from\tfrom\tIN\tB-PP\tO' -p365116 -aS'splinting\tsplinting\tNN\tB-NP\tO' -p365117 -aS'of\tof\tIN\tB-PP\tO' -p365118 -aS'his\this\tPRP$\tB-NP\tO' -p365119 -aS'finger\tfinger\tNN\tI-NP\tO' -p365120 -aS'while\twhile\tIN\tB-SBAR\tO' -p365121 -aS'the\tthe\tDT\tB-NP\tO' -p365122 -aS'swelling\tswell\tVBG\tI-NP\tO' -p365123 -aS'subsided\tsubsided\tJJ\tI-NP\tO' -p365124 -aS'and\tand\tCC\tI-NP\tO' -p365125 -aS'subsequent\tsubsequent\tJJ\tI-NP\tO' -p365126 -aS'early\tearly\tJJ\tI-NP\tO' -p365127 -aS'mobilization\tmobilization\tNN\tI-NP\tO' -p365128 -aS'to\tto\tTO\tB-VP\tO' -p365129 -aS'prevent\tprevent\tVB\tI-VP\tO' -p365130 -aS'any\tany\tDT\tB-NP\tO' -p365131 -aS'rigidity\trigidity\tNN\tI-NP\tO' -p365132 -aS'in\tin\tIN\tB-PP\tO' -p365133 -aS'that\tthat\tDT\tB-NP\tO' -p365134 -aS'joint\tjoint\tNN\tI-NP\tO' -p365135 -aS'.\t.\t.\tO\tO' -p365136 -asS'Insulin-dependent diabetes mellitus , hypertension , depression , back pain , COPD , allergic rhinitis , GERD , obesity , hyperlipidemia .' -p365137 -(lp365138 -S'Insulin-dependent\tInsulin-dependent\tJJ\tB-NP\tO' -p365139 -aS'diabetes\tdiabetes\tNN\tI-NP\tO' -p365140 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p365141 -aS',\t,\t,\tO\tO' -p365142 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p365143 -aS',\t,\t,\tO\tO' -p365144 -aS'depression\tdepression\tNN\tB-NP\tO' -p365145 -aS',\t,\t,\tO\tO' -p365146 -aS'back\tback\tRB\tB-ADVP\tO' -p365147 -aS'pain\tpain\tNN\tB-NP\tO' -p365148 -aS',\t,\t,\tO\tO' -p365149 -aS'COPD\tCOPD\tNN\tB-NP\tO' -p365150 -aS',\t,\t,\tO\tO' -p365151 -aS'allergic\tallergic\tJJ\tB-NP\tO' -p365152 -aS'rhinitis\trhinitis\tNN\tI-NP\tO' -p365153 -aS',\t,\t,\tO\tO' -p365154 -aS'GERD\tGERD\tNN\tB-NP\tO' -p365155 -aS',\t,\t,\tO\tO' -p365156 -aS'obesity\tobesity\tNN\tB-NP\tO' -p365157 -aS',\t,\t,\tO\tO' -p365158 -aS'hyperlipidemia\thyperlipidemia\tNN\tB-NP\tO' -p365159 -aS'.\t.\t.\tO\tO' -p365160 -asS'ALT 14 , AST 31 , alkaline phosphatase 283 , total bilirubin 1.0 , amylase 71 , glucose tolerance test 317 .' -p365161 -(lp365162 -S'ALT\tALT\tNN\tB-NP\tB-protein' -p365163 -aS'14\t14\tCD\tI-NP\tI-protein' -p365164 -aS',\t,\t,\tO\tO' -p365165 -aS'AST\tAST\tNN\tB-NP\tO' -p365166 -aS'31\t31\tCD\tI-NP\tO' -p365167 -aS',\t,\t,\tO\tO' -p365168 -aS'alkaline\talkaline\tNN\tB-NP\tO' -p365169 -aS'phosphatase\tphosphatase\tNN\tI-NP\tO' -p365170 -aS'283\t283\tCD\tI-NP\tO' -p365171 -aS',\t,\t,\tO\tO' -p365172 -aS'total\ttotal\tJJ\tB-NP\tO' -p365173 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p365174 -aS'1.0\t1.0\tCD\tI-NP\tO' -p365175 -aS',\t,\t,\tO\tO' -p365176 -aS'amylase\tamylase\tNN\tB-NP\tB-protein' -p365177 -aS'71\t71\tCD\tI-NP\tI-protein' -p365178 -aS',\t,\t,\tO\tO' -p365179 -aS'glucose\tglucose\tNN\tB-NP\tB-protein' -p365180 -aS'tolerance\ttolerance\tNN\tI-NP\tI-protein' -p365181 -aS'test\ttest\tNN\tI-NP\tI-protein' -p365182 -aS'317\t317\tCD\tI-NP\tI-protein' -p365183 -aS'.\t.\t.\tO\tO' -p365184 -asS'No other medical problems other than stated above .' -p365185 -(lp365186 -S'No\tNo\tDT\tB-NP\tO' -p365187 -aS'other\tother\tJJ\tI-NP\tO' -p365188 -aS'medical\tmedical\tJJ\tI-NP\tO' -p365189 -aS'problems\tproblem\tNNS\tI-NP\tO' -p365190 -aS'other\tother\tJJ\tB-ADJP\tO' -p365191 -aS'than\tthan\tIN\tB-SBAR\tO' -p365192 -aS'stated\tstate\tVBN\tB-VP\tO' -p365193 -aS'above\tabove\tRB\tB-ADVP\tO' -p365194 -aS'.\t.\t.\tO\tO' -p365195 -asS'Trazodone .' -p365196 -(lp365197 -S'Trazodone\tTrazodone\tNN\tB-NP\tO' -p365198 -aS'.\t.\t.\tO\tO' -p365199 -asS'The echocardiogram revealed no pericardial effusion , an ejection fraction of 30% and worsening systolic dysfunction .' -p365200 -(lp365201 -S'The\tThe\tDT\tB-NP\tO' -p365202 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p365203 -aS'revealed\treveal\tVBD\tB-VP\tO' -p365204 -aS'no\tno\tDT\tB-NP\tO' -p365205 -aS'pericardial\tpericardial\tJJ\tI-NP\tO' -p365206 -aS'effusion\teffusion\tNN\tI-NP\tO' -p365207 -aS',\t,\t,\tO\tO' -p365208 -aS'an\tan\tDT\tB-NP\tO' -p365209 -aS'ejection\tejection\tNN\tI-NP\tO' -p365210 -aS'fraction\tfraction\tNN\tI-NP\tO' -p365211 -aS'of\tof\tIN\tB-PP\tO' -p365212 -aS'30%\t30%\tCD\tB-NP\tO' -p365213 -aS'and\tand\tCC\tO\tO' -p365214 -aS'worsening\tworsen\tVBG\tB-VP\tO' -p365215 -aS'systolic\tsystolic\tJJ\tB-NP\tO' -p365216 -aS'dysfunction\tdysfunction\tNN\tI-NP\tO' -p365217 -aS'.\t.\t.\tO\tO' -p365218 -asS'In terms of his mental status , he continued to improve steadily over the last few weeks of his hospital stay .' -p365219 -(lp365220 -S'In\tIn\tIN\tB-PP\tO' -p365221 -aS'terms\tterm\tNNS\tB-NP\tO' -p365222 -aS'of\tof\tIN\tB-PP\tO' -p365223 -aS'his\this\tPRP$\tB-NP\tO' -p365224 -aS'mental\tmental\tJJ\tI-NP\tO' -p365225 -aS'status\tstatus\tNN\tI-NP\tO' -p365226 -aS',\t,\t,\tO\tO' -p365227 -aS'he\the\tPRP\tB-NP\tO' -p365228 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p365229 -aS'to\tto\tTO\tI-VP\tO' -p365230 -aS'improve\timprove\tVB\tI-VP\tO' -p365231 -aS'steadily\tsteadily\tRB\tB-ADVP\tO' -p365232 -aS'over\tover\tIN\tB-PP\tO' -p365233 -aS'the\tthe\tDT\tB-NP\tO' -p365234 -aS'last\tlast\tJJ\tI-NP\tO' -p365235 -aS'few\tfew\tJJ\tI-NP\tO' -p365236 -aS'weeks\tweek\tNNS\tI-NP\tO' -p365237 -aS'of\tof\tIN\tB-PP\tO' -p365238 -aS'his\this\tPRP$\tB-NP\tO' -p365239 -aS'hospital\thospital\tNN\tI-NP\tO' -p365240 -aS'stay\tstay\tNN\tI-NP\tO' -p365241 -aS'.\t.\t.\tO\tO' -p365242 -asS'PRINCIPAL DISCHARGE DIAGNOSIS ; Responsible After Study for Causing Admission ) TCA overdose' -p365243 -(lp365244 -S'PRINCIPAL\tPRINCIPAL\tJJ\tB-NP\tO' -p365245 -aS'DISCHARGE\tDISCHARGE\tNN\tI-NP\tO' -p365246 -aS'DIAGNOSIS\tDIAGNOSIS\tNN\tI-NP\tO' -p365247 -aS';\t;\t:\tO\tO' -p365248 -aS'Responsible\tResponsible\tJJ\tB-ADJP\tO' -p365249 -aS'After\tAfter\tIN\tB-PP\tO' -p365250 -aS'Study\tStudy\tNN\tB-NP\tO' -p365251 -aS'for\tfor\tIN\tB-PP\tO' -p365252 -aS'Causing\tCause\tVBG\tB-VP\tO' -p365253 -aS'Admission\tAdmission\tNN\tB-NP\tO' -p365254 -aS')\t)\t)\tO\tO' -p365255 -aS'TCA\tTCA\tNN\tB-NP\tO' -p365256 -aS'overdose\toverdose\tNN\tI-NP\tO' -p365257 -asS'She made disturbing comments to the hospital personnel .' -p365258 -(lp365259 -S'She\tShe\tPRP\tB-NP\tO' -p365260 -aS'made\tmake\tVBD\tB-VP\tO' -p365261 -aS'disturbing\tdisturb\tVBG\tB-VP\tO' -p365262 -aS'comments\tcomment\tNNS\tB-NP\tO' -p365263 -aS'to\tto\tTO\tB-PP\tO' -p365264 -aS'the\tthe\tDT\tB-NP\tO' -p365265 -aS'hospital\thospital\tNN\tI-NP\tO' -p365266 -aS'personnel\tpersonnel\tNNS\tI-NP\tO' -p365267 -aS'.\t.\t.\tO\tO' -p365268 -asS'Neurologically , the patient was oriented to person , place , and time ; however , she was somewhat drowsy and at times was difficult to keep awake during conversations .' -p365269 -(lp365270 -S'Neurologically\tNeurologically\tRB\tB-ADVP\tO' -p365271 -aS',\t,\t,\tO\tO' -p365272 -aS'the\tthe\tDT\tB-NP\tO' -p365273 -aS'patient\tpatient\tNN\tI-NP\tO' -p365274 -aS'was\tbe\tVBD\tB-VP\tO' -p365275 -aS'oriented\torient\tVBN\tI-VP\tO' -p365276 -aS'to\tto\tTO\tB-PP\tO' -p365277 -aS'person\tperson\tNN\tB-NP\tO' -p365278 -aS',\t,\t,\tO\tO' -p365279 -aS'place\tplace\tNN\tB-NP\tO' -p365280 -aS',\t,\t,\tO\tO' -p365281 -aS'and\tand\tCC\tO\tO' -p365282 -aS'time\ttime\tNN\tB-NP\tO' -p365283 -aS';\t;\t:\tO\tO' -p365284 -aS'however\thowever\tRB\tB-ADVP\tO' -p365285 -aS',\t,\t,\tO\tO' -p365286 -aS'she\tshe\tPRP\tB-NP\tO' -p365287 -aS'was\tbe\tVBD\tB-VP\tO' -p365288 -aS'somewhat\tsomewhat\tRB\tB-ADJP\tO' -p365289 -aS'drowsy\tdrowsy\tJJ\tI-ADJP\tO' -p365290 -aS'and\tand\tCC\tO\tO' -p365291 -aS'at\tat\tIN\tB-PP\tO' -p365292 -aS'times\ttime\tNNS\tB-NP\tO' -p365293 -aS'was\tbe\tVBD\tB-VP\tO' -p365294 -aS'difficult\tdifficult\tJJ\tB-ADJP\tO' -p365295 -aS'to\tto\tTO\tB-VP\tO' -p365296 -aS'keep\tkeep\tVB\tI-VP\tO' -p365297 -aS'awake\tawake\tNN\tB-NP\tO' -p365298 -aS'during\tduring\tIN\tB-PP\tO' -p365299 -aS'conversations\tconversation\tNNS\tB-NP\tO' -p365300 -aS'.\t.\t.\tO\tO' -p365301 -asS'6) paroxysmal atrial fibrillation .' -p365302 -(lp365303 -S'6)\t6)\tLS\tB-NP\tO' -p365304 -aS'paroxysmal\tparoxysmal\tJJ\tI-NP\tO' -p365305 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p365306 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p365307 -aS'.\t.\t.\tO\tO' -p365308 -asS'He was initially treated with antibiotic therapy .' -p365309 -(lp365310 -S'He\tHe\tPRP\tB-NP\tO' -p365311 -aS'was\tbe\tVBD\tB-VP\tO' -p365312 -aS'initially\tinitially\tRB\tI-VP\tO' -p365313 -aS'treated\ttreat\tVBN\tI-VP\tO' -p365314 -aS'with\twith\tIN\tB-PP\tO' -p365315 -aS'antibiotic\tantibiotic\tJJ\tB-NP\tO' -p365316 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p365317 -aS'.\t.\t.\tO\tO' -p365318 -asS'The pulmonary artery systolic pressure could not be determined .' -p365319 -(lp365320 -S'The\tThe\tDT\tB-NP\tO' -p365321 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p365322 -aS'artery\tartery\tNN\tI-NP\tO' -p365323 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p365324 -aS'pressure\tpressure\tNN\tI-NP\tO' -p365325 -aS'could\tcould\tMD\tB-VP\tO' -p365326 -aS'not\tnot\tRB\tI-VP\tO' -p365327 -aS'be\tbe\tVB\tI-VP\tO' -p365328 -aS'determined\tdetermine\tVBN\tI-VP\tO' -p365329 -aS'.\t.\t.\tO\tO' -p365330 -asS'Tone is increased on the right .' -p365331 -(lp365332 -S'Tone\tTone\tNN\tB-NP\tO' -p365333 -aS'is\tbe\tVBZ\tB-VP\tO' -p365334 -aS'increased\tincrease\tVBN\tI-VP\tO' -p365335 -aS'on\ton\tIN\tB-PP\tO' -p365336 -aS'the\tthe\tDT\tB-NP\tO' -p365337 -aS'right\tright\tNN\tI-NP\tO' -p365338 -aS'.\t.\t.\tO\tO' -p365339 -asS'Right lower extremity examination demonstrated mild swelling and ecchymosis of the right posterior thigh and approximately a 3 cm laceration in the lower leg , expressive of moderate amounts of standard sterile' -p365340 -(lp365341 -S'Right\tRight\tRB\tB-NP\tO' -p365342 -aS'lower\tlow\tJJR\tI-NP\tO' -p365343 -aS'extremity\textremity\tNN\tI-NP\tO' -p365344 -aS'examination\texamination\tNN\tI-NP\tO' -p365345 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p365346 -aS'mild\tmild\tJJ\tB-NP\tO' -p365347 -aS'swelling\tswelling\tNN\tI-NP\tO' -p365348 -aS'and\tand\tCC\tI-NP\tO' -p365349 -aS'ecchymosis\tecchymosis\tNN\tI-NP\tO' -p365350 -aS'of\tof\tIN\tB-PP\tO' -p365351 -aS'the\tthe\tDT\tB-NP\tO' -p365352 -aS'right\tright\tJJ\tI-NP\tO' -p365353 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p365354 -aS'thigh\tthigh\tNN\tI-NP\tO' -p365355 -aS'and\tand\tCC\tO\tO' -p365356 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p365357 -aS'a\ta\tDT\tI-NP\tO' -p365358 -aS'3\t3\tCD\tI-NP\tO' -p365359 -aS'cm\tcm\tNN\tI-NP\tO' -p365360 -aS'laceration\tlaceration\tNN\tI-NP\tO' -p365361 -aS'in\tin\tIN\tB-PP\tO' -p365362 -aS'the\tthe\tDT\tB-NP\tO' -p365363 -aS'lower\tlow\tJJR\tI-NP\tO' -p365364 -aS'leg\tleg\tNN\tI-NP\tO' -p365365 -aS',\t,\t,\tO\tO' -p365366 -aS'expressive\texpressive\tJJ\tB-ADJP\tO' -p365367 -aS'of\tof\tIN\tB-PP\tO' -p365368 -aS'moderate\tmoderate\tJJ\tB-NP\tO' -p365369 -aS'amounts\tamount\tNNS\tI-NP\tO' -p365370 -aS'of\tof\tIN\tB-PP\tO' -p365371 -aS'standard\tstandard\tJJ\tB-NP\tO' -p365372 -aS'sterile\tsterile\tJJ\tI-NP\tO' -p365373 -asS'FS 420 .' -p365374 -(lp365375 -S'FS\tFS\tNN\tB-NP\tB-protein' -p365376 -aS'420\t420\tCD\tI-NP\tI-protein' -p365377 -aS'.\t.\t.\tO\tO' -p365378 -asS'2. Hydromorphone 2 mg Tablet Sig : One ( 1 ) Tablet PO Q2H ( every 2 hours ) as needed for Pain for 4 days .' -p365379 -(lp365380 -S'2.\t2.\tLS\tO\tO' -p365381 -aS'Hydromorphone\tHydromorphone\tNN\tB-NP\tO' -p365382 -aS'2\t2\tCD\tI-NP\tO' -p365383 -aS'mg\tmg\tNN\tI-NP\tO' -p365384 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p365385 -aS'Sig\tSig\tNNP\tI-NP\tO' -p365386 -aS':\t:\t:\tO\tO' -p365387 -aS'One\tOne\tCD\tB-NP\tO' -p365388 -aS'(\t(\t(\tO\tO' -p365389 -aS'1\t1\tCD\tB-NP\tO' -p365390 -aS')\t)\t)\tO\tO' -p365391 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p365392 -aS'PO\tPO\tNN\tI-NP\tO' -p365393 -aS'Q2H\tQ2H\tNN\tI-NP\tO' -p365394 -aS'(\t(\t(\tO\tO' -p365395 -aS'every\tevery\tDT\tB-NP\tO' -p365396 -aS'2\t2\tCD\tI-NP\tO' -p365397 -aS'hours\thour\tNNS\tI-NP\tO' -p365398 -aS')\t)\t)\tO\tO' -p365399 -aS'as\tas\tIN\tB-SBAR\tO' -p365400 -aS'needed\tneed\tVBN\tB-VP\tO' -p365401 -aS'for\tfor\tIN\tB-PP\tO' -p365402 -aS'Pain\tPain\tNNP\tB-NP\tO' -p365403 -aS'for\tfor\tIN\tB-PP\tO' -p365404 -aS'4\t4\tCD\tB-NP\tO' -p365405 -aS'days\tday\tNNS\tI-NP\tO' -p365406 -aS'.\t.\t.\tO\tO' -p365407 -asS'This was determined to be within the normal expected changes post surgery .' -p365408 -(lp365409 -S'This\tThis\tDT\tB-NP\tO' -p365410 -aS'was\tbe\tVBD\tB-VP\tO' -p365411 -aS'determined\tdetermine\tVBN\tI-VP\tO' -p365412 -aS'to\tto\tTO\tI-VP\tO' -p365413 -aS'be\tbe\tVB\tI-VP\tO' -p365414 -aS'within\twithin\tIN\tB-PP\tO' -p365415 -aS'the\tthe\tDT\tB-NP\tO' -p365416 -aS'normal\tnormal\tJJ\tI-NP\tO' -p365417 -aS'expected\texpected\tJJ\tI-NP\tO' -p365418 -aS'changes\tchange\tNNS\tI-NP\tO' -p365419 -aS'post\tpost\tIN\tB-PP\tO' -p365420 -aS'surgery\tsurgery\tNN\tB-NP\tO' -p365421 -aS'.\t.\t.\tO\tO' -p365422 -asS'5. Gout .' -p365423 -(lp365424 -S'5.\t5.\tLS\tB-LST\tO' -p365425 -aS'Gout\tGout\tNNP\tB-NP\tO' -p365426 -aS'.\t.\t.\tO\tO' -p365427 -asS'Attending : Kelly L. Bradley , M.D.' -p365428 -(lp365429 -S'Attending\tAttend\tVBG\tB-VP\tO' -p365430 -aS':\t:\t:\tO\tO' -p365431 -aS'Kelly\tKelly\tNNP\tB-NP\tO' -p365432 -aS'L.\tL.\tNNP\tI-NP\tO' -p365433 -aS'Bradley\tBradley\tNNP\tI-NP\tO' -p365434 -aS',\t,\t,\tO\tO' -p365435 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p365436 -asS'No gag was present .' -p365437 -(lp365438 -S'No\tNo\tDT\tB-NP\tO' -p365439 -aS'gag\tgag\tNN\tI-NP\tO' -p365440 -aS'was\tbe\tVBD\tB-VP\tO' -p365441 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p365442 -aS'.\t.\t.\tO\tO' -p365443 -asS'Denies .' -p365444 -(lp365445 -S'Denies\tDeny\tNNS\tB-NP\tO' -p365446 -aS'.\t.\t.\tO\tO' -p365447 -asS'After her 2nd surgery she returned to the ICU and improved steadily .' -p365448 -(lp365449 -S'After\tAfter\tIN\tB-PP\tO' -p365450 -aS'her\ther\tPRP$\tB-NP\tO' -p365451 -aS'2nd\t2nd\tNN\tI-NP\tO' -p365452 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p365453 -aS'she\tshe\tPRP\tB-NP\tO' -p365454 -aS'returned\treturn\tVBD\tB-VP\tO' -p365455 -aS'to\tto\tTO\tB-PP\tO' -p365456 -aS'the\tthe\tDT\tB-NP\tO' -p365457 -aS'ICU\tICU\tNN\tI-NP\tB-DNA' -p365458 -aS'and\tand\tCC\tO\tO' -p365459 -aS'improved\timprove\tVBN\tB-VP\tO' -p365460 -aS'steadily\tsteadily\tRB\tB-ADVP\tO' -p365461 -aS'.\t.\t.\tO\tO' -p365462 -asS'The non-dominant circumflex system had no hemodynamically significant stenoses .' -p365463 -(lp365464 -S'The\tThe\tDT\tB-NP\tO' -p365465 -aS'non-dominant\tnon-dominant\tJJ\tI-NP\tO' -p365466 -aS'circumflex\tcircumflex\tNN\tI-NP\tO' -p365467 -aS'system\tsystem\tNN\tI-NP\tO' -p365468 -aS'had\thave\tVBD\tB-VP\tO' -p365469 -aS'no\tno\tDT\tB-NP\tO' -p365470 -aS'hemodynamically\themodynamically\tRB\tI-NP\tO' -p365471 -aS'significant\tsignificant\tJJ\tI-NP\tO' -p365472 -aS'stenoses\tstenosis\tNNS\tI-NP\tO' -p365473 -aS'.\t.\t.\tO\tO' -p365474 -asS'The patient had a stress echocardiogram with a normal ejection fraction in 2007 .' -p365475 -(lp365476 -S'The\tThe\tDT\tB-NP\tO' -p365477 -aS'patient\tpatient\tNN\tI-NP\tO' -p365478 -aS'had\thave\tVBD\tB-VP\tO' -p365479 -aS'a\ta\tDT\tB-NP\tO' -p365480 -aS'stress\tstress\tNN\tI-NP\tO' -p365481 -aS'echocardiogram\techocardiogram\tNN\tI-NP\tO' -p365482 -aS'with\twith\tIN\tB-PP\tO' -p365483 -aS'a\ta\tDT\tB-NP\tO' -p365484 -aS'normal\tnormal\tJJ\tI-NP\tO' -p365485 -aS'ejection\tejection\tNN\tI-NP\tO' -p365486 -aS'fraction\tfraction\tNN\tI-NP\tO' -p365487 -aS'in\tin\tIN\tB-PP\tO' -p365488 -aS'2007\t2007\tCD\tB-NP\tO' -p365489 -aS'.\t.\t.\tO\tO' -p365490 -asS'In addition , an FSH and LH were obtained on 12-10 and results are pending at time of transfer .' -p365491 -(lp365492 -S'In\tIn\tIN\tB-PP\tO' -p365493 -aS'addition\taddition\tNN\tB-NP\tO' -p365494 -aS',\t,\t,\tO\tO' -p365495 -aS'an\tan\tDT\tB-NP\tO' -p365496 -aS'FSH\tFSH\tNN\tI-NP\tO' -p365497 -aS'and\tand\tCC\tI-NP\tO' -p365498 -aS'LH\tLH\tNN\tI-NP\tO' -p365499 -aS'were\tbe\tVBD\tB-VP\tO' -p365500 -aS'obtained\tobtain\tVBN\tI-VP\tO' -p365501 -aS'on\ton\tIN\tB-PP\tO' -p365502 -aS'12-10\t12-10\tCD\tB-NP\tO' -p365503 -aS'and\tand\tCC\tO\tO' -p365504 -aS'results\tresult\tNNS\tB-NP\tO' -p365505 -aS'are\tbe\tVBP\tB-VP\tO' -p365506 -aS'pending\tpende\tVBG\tI-VP\tO' -p365507 -aS'at\tat\tIN\tB-PP\tO' -p365508 -aS'time\ttime\tNN\tB-NP\tO' -p365509 -aS'of\tof\tIN\tB-PP\tO' -p365510 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p365511 -aS'.\t.\t.\tO\tO' -p365512 -asS'14. Bisacodyl 10 mg per rectum h.s. as needed p.r.n.' -p365513 -(lp365514 -S'14.\t14.\tCD\tB-NP\tO' -p365515 -aS'Bisacodyl\tBisacodyl\tNN\tI-NP\tO' -p365516 -aS'10\t10\tCD\tB-NP\tO' -p365517 -aS'mg\tmg\tNN\tI-NP\tO' -p365518 -aS'per\tper\tIN\tB-PP\tO' -p365519 -aS'rectum\trectum\tNN\tB-NP\tO' -p365520 -aS'h.s.\th.s.\tNN\tI-NP\tO' -p365521 -aS'as\tas\tIN\tB-PP\tO' -p365522 -aS'needed\tneed\tVBN\tB-NP\tO' -p365523 -aS'p.r.n.\tp.r.n.\tNN\tI-NP\tO' -p365524 -asS'Electrocardiogram shows no P-waves .' -p365525 -(lp365526 -S'Electrocardiogram\tElectrocardiogram\tNN\tB-NP\tO' -p365527 -aS'shows\tshow\tVBZ\tB-VP\tO' -p365528 -aS'no\tno\tDT\tB-NP\tO' -p365529 -aS'P-waves\tP-wave\tNNS\tI-NP\tO' -p365530 -aS'.\t.\t.\tO\tO' -p365531 -asS'It was normal and did not increase .' -p365532 -(lp365533 -S'It\tIt\tPRP\tB-NP\tO' -p365534 -aS'was\tbe\tVBD\tB-VP\tO' -p365535 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p365536 -aS'and\tand\tCC\tO\tO' -p365537 -aS'did\tdo\tVBD\tB-VP\tO' -p365538 -aS'not\tnot\tRB\tI-VP\tO' -p365539 -aS'increase\tincrease\tVB\tI-VP\tO' -p365540 -aS'.\t.\t.\tO\tO' -p365541 -asS'Briley von der Ross, M.D. 67-576' -p365542 -(lp365543 -S'Briley\tBriley\tNNP\tB-NP\tO' -p365544 -aS'von\tvon\tNNP\tI-NP\tO' -p365545 -aS'der\tder\tNNP\tI-NP\tO' -p365546 -aS'Ross,\tRoss,\tNNP\tI-NP\tO' -p365547 -aS'M.D.\tM.D.\tNNP\tI-NP\tO' -p365548 -aS'67-576\t67-576\tCD\tB-NP\tO' -p365549 -asS'- metformin 500 mg po bid' -p365550 -(lp365551 -S'-\t-\tHYPH\tB-NP\tO' -p365552 -aS'metformin\tmetformin\tNN\tI-NP\tO' -p365553 -aS'500\t500\tCD\tI-NP\tO' -p365554 -aS'mg\tmg\tNN\tI-NP\tO' -p365555 -aS'po\tpo\tNN\tI-NP\tO' -p365556 -aS'bid\tbid\tNN\tI-NP\tO' -p365557 -asS'If pt received post partum spinal morphine , DO NOT administer Oxycodone for 18 hours after morphine administration .' -p365558 -(lp365559 -S'If\tIf\tIN\tB-SBAR\tO' -p365560 -aS'pt\tpt\tNN\tB-NP\tO' -p365561 -aS'received\treceive\tVBD\tB-VP\tO' -p365562 -aS'post\tpost\tNN\tB-NP\tO' -p365563 -aS'partum\tpartum\tNN\tI-NP\tO' -p365564 -aS'spinal\tspinal\tJJ\tI-NP\tO' -p365565 -aS'morphine\tmorphine\tNN\tI-NP\tO' -p365566 -aS',\t,\t,\tO\tO' -p365567 -aS'DO\tDO\tNN\tB-NP\tO' -p365568 -aS'NOT\tNOT\tNN\tI-NP\tO' -p365569 -aS'administer\tadminister\tNN\tI-NP\tO' -p365570 -aS'Oxycodone\tOxycodone\tNN\tI-NP\tO' -p365571 -aS'for\tfor\tIN\tB-PP\tO' -p365572 -aS'18\t18\tCD\tB-NP\tO' -p365573 -aS'hours\thour\tNNS\tI-NP\tO' -p365574 -aS'after\tafter\tIN\tB-PP\tO' -p365575 -aS'morphine\tmorphine\tNN\tB-NP\tO' -p365576 -aS'administration\tadministration\tNN\tI-NP\tO' -p365577 -aS'.\t.\t.\tO\tO' -p365578 -asS'The patient states that he was willing to speak with someone from addiction services .' -p365579 -(lp365580 -S'The\tThe\tDT\tB-NP\tO' -p365581 -aS'patient\tpatient\tNN\tI-NP\tO' -p365582 -aS'states\tstate\tVBZ\tB-VP\tO' -p365583 -aS'that\tthat\tIN\tB-SBAR\tO' -p365584 -aS'he\the\tPRP\tB-NP\tO' -p365585 -aS'was\tbe\tVBD\tB-VP\tO' -p365586 -aS'willing\twilling\tJJ\tB-ADJP\tO' -p365587 -aS'to\tto\tTO\tB-VP\tO' -p365588 -aS'speak\tspeak\tVB\tI-VP\tO' -p365589 -aS'with\twith\tIN\tB-PP\tO' -p365590 -aS'someone\tsomeone\tNN\tB-NP\tO' -p365591 -aS'from\tfrom\tIN\tB-PP\tO' -p365592 -aS'addiction\taddiction\tNN\tB-NP\tO' -p365593 -aS'services\tservice\tNNS\tI-NP\tO' -p365594 -aS'.\t.\t.\tO\tO' -p365595 -asS'If you need additional information please call 937-599-6520 .' -p365596 -(lp365597 -S'If\tIf\tIN\tB-SBAR\tO' -p365598 -aS'you\tyou\tPRP\tB-NP\tO' -p365599 -aS'need\tneed\tVBP\tB-VP\tO' -p365600 -aS'additional\tadditional\tJJ\tB-NP\tO' -p365601 -aS'information\tinformation\tNN\tI-NP\tO' -p365602 -aS'please\tplease\tNN\tI-NP\tO' -p365603 -aS'call\tcall\tNN\tI-NP\tO' -p365604 -aS'937-599-6520\t937-599-6520\tCD\tI-NP\tO' -p365605 -aS'.\t.\t.\tO\tO' -p365606 -asS'Elavil 50 mg p.o. q.h.s. , coated aspirin 325 mg p.o. p.day , Tegretol 100 mg p.o. b.i.d. , Ancef 1 gm IV q.12h. times seven days , Vasotec 5 mg p.o. q.day , Synthroid 0.025 mg p.o. q.day , Asacol 400 mg q.a.m. and 800 mg q.p.m. , Lopressor 25 mg p.o. b.i.d. , Prilosec 20 mg p.o. q.day , and insulin 70/30 26 units in the morning and 12 units at night .' -p365607 -(lp365608 -S'Elavil\tElavil\tNN\tB-NP\tO' -p365609 -aS'50\t50\tCD\tI-NP\tO' -p365610 -aS'mg\tmg\tNN\tI-NP\tO' -p365611 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p365612 -aS'q.h.s.\tq.h.s.\tNN\tI-NP\tO' -p365613 -aS',\t,\t,\tO\tO' -p365614 -aS'coated\tcoat\tVBD\tB-VP\tO' -p365615 -aS'aspirin\taspirin\tNN\tB-NP\tO' -p365616 -aS'325\t325\tCD\tI-NP\tO' -p365617 -aS'mg\tmg\tNN\tI-NP\tO' -p365618 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p365619 -aS'p.day\tp.day\tNN\tI-NP\tO' -p365620 -aS',\t,\t,\tO\tO' -p365621 -aS'Tegretol\tTegretol\tNN\tB-NP\tO' -p365622 -aS'100\t100\tCD\tI-NP\tO' -p365623 -aS'mg\tmg\tNN\tI-NP\tO' -p365624 -aS'p.o.\tp.o.\tFW\tB-ADVP\tO' -p365625 -aS'b.i.d.\tb.i.d.\tFW\tI-ADVP\tO' -p365626 -aS',\t,\t,\tO\tO' -p365627 -aS'Ancef\tAncef\tNN\tB-NP\tO' -p365628 -aS'1\t1\tCD\tI-NP\tO' -p365629 -aS'gm\tgm\tNN\tI-NP\tO' -p365630 -aS'IV\tIV\tCD\tB-NP\tO' -p365631 -aS'q.12h.\tq.12h.\tNN\tI-NP\tO' -p365632 -aS'times\ttime\tNNS\tI-NP\tO' -p365633 -aS'seven\tseven\tCD\tB-NP\tO' -p365634 -aS'days\tday\tNNS\tI-NP\tO' -p365635 -aS',\t,\t,\tO\tO' -p365636 -aS'Vasotec\tVasotec\tNNP\tB-NP\tO' -p365637 -aS'5\t5\tCD\tI-NP\tO' -p365638 -aS'mg\tmg\tNN\tI-NP\tO' -p365639 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p365640 -aS'q.day\tq.day\tNN\tI-NP\tO' -p365641 -aS',\t,\t,\tO\tO' -p365642 -aS'Synthroid\tSynthroid\tJJ\tB-NP\tO' -p365643 -aS'0.025\t0.025\tCD\tI-NP\tO' -p365644 -aS'mg\tmg\tNN\tI-NP\tO' -p365645 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p365646 -aS'q.day\tq.day\tNN\tI-NP\tO' -p365647 -aS',\t,\t,\tO\tO' -p365648 -aS'Asacol\tAsacol\tNN\tB-NP\tO' -p365649 -aS'400\t400\tCD\tI-NP\tO' -p365650 -aS'mg\tmg\tNN\tI-NP\tO' -p365651 -aS'q.a.m.\tq.a.m.\tNN\tI-NP\tO' -p365652 -aS'and\tand\tCC\tO\tO' -p365653 -aS'800\t800\tCD\tB-NP\tO' -p365654 -aS'mg\tmg\tNN\tI-NP\tO' -p365655 -aS'q.p.m.\tq.p.m.\tNN\tI-NP\tO' -p365656 -aS',\t,\t,\tO\tO' -p365657 -aS'Lopressor\tLopressor\tNN\tB-NP\tO' -p365658 -aS'25\t25\tCD\tI-NP\tO' -p365659 -aS'mg\tmg\tNN\tI-NP\tO' -p365660 -aS'p.o.\tp.o.\tFW\tB-ADVP\tO' -p365661 -aS'b.i.d.\tb.i.d.\tFW\tI-ADVP\tO' -p365662 -aS',\t,\t,\tO\tO' -p365663 -aS'Prilosec\tPrilosec\tNNP\tB-NP\tO' -p365664 -aS'20\t20\tCD\tI-NP\tO' -p365665 -aS'mg\tmg\tNN\tI-NP\tO' -p365666 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p365667 -aS'q.day\tq.day\tNN\tI-NP\tO' -p365668 -aS',\t,\t,\tO\tO' -p365669 -aS'and\tand\tCC\tO\tO' -p365670 -aS'insulin\tinsulin\tNN\tB-NP\tB-protein' -p365671 -aS'70/30\t70/30\tCD\tI-NP\tI-protein' -p365672 -aS'26\t26\tCD\tI-NP\tI-protein' -p365673 -aS'units\tunit\tNNS\tI-NP\tI-protein' -p365674 -aS'in\tin\tIN\tB-PP\tO' -p365675 -aS'the\tthe\tDT\tB-NP\tO' -p365676 -aS'morning\tmorning\tNN\tI-NP\tO' -p365677 -aS'and\tand\tCC\tI-NP\tO' -p365678 -aS'12\t12\tCD\tI-NP\tO' -p365679 -aS'units\tunit\tNNS\tI-NP\tO' -p365680 -aS'at\tat\tIN\tB-PP\tO' -p365681 -aS'night\tnight\tNN\tB-NP\tO' -p365682 -aS'.\t.\t.\tO\tO' -p365683 -asS'If his wound is dry , he may shower .' -p365684 -(lp365685 -S'If\tIf\tIN\tB-SBAR\tO' -p365686 -aS'his\this\tPRP$\tB-NP\tO' -p365687 -aS'wound\twound\tNN\tI-NP\tO' -p365688 -aS'is\tbe\tVBZ\tB-VP\tO' -p365689 -aS'dry\tdry\tJJ\tB-ADJP\tO' -p365690 -aS',\t,\t,\tO\tO' -p365691 -aS'he\the\tPRP\tB-NP\tO' -p365692 -aS'may\tmay\tMD\tB-VP\tO' -p365693 -aS'shower\tshower\tVB\tI-VP\tO' -p365694 -aS'.\t.\t.\tO\tO' -p365695 -asS'Her LFTs trended down during this admission .' -p365696 -(lp365697 -S'Her\tHer\tPRP$\tB-NP\tO' -p365698 -aS'LFTs\tLFT\tNNS\tI-NP\tB-protein' -p365699 -aS'trended\ttrend\tVBD\tB-VP\tO' -p365700 -aS'down\tdown\tRP\tB-PRT\tO' -p365701 -aS'during\tduring\tIN\tB-PP\tO' -p365702 -aS'this\tthis\tDT\tB-NP\tO' -p365703 -aS'admission\tadmission\tNN\tI-NP\tO' -p365704 -aS'.\t.\t.\tO\tO' -p365705 -asS'The cardiac monitor showed occasional irregularities in a PACED rhythm .' -p365706 -(lp365707 -S'The\tThe\tDT\tB-NP\tO' -p365708 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p365709 -aS'monitor\tmonitor\tNN\tI-NP\tO' -p365710 -aS'showed\tshow\tVBD\tB-VP\tO' -p365711 -aS'occasional\toccasional\tJJ\tB-NP\tO' -p365712 -aS'irregularities\tirregularity\tNNS\tI-NP\tO' -p365713 -aS'in\tin\tIN\tB-PP\tO' -p365714 -aS'a\ta\tDT\tB-NP\tO' -p365715 -aS'PACED\tPACED\tJJ\tI-NP\tO' -p365716 -aS'rhythm\trhythm\tNN\tI-NP\tO' -p365717 -aS'.\t.\t.\tO\tO' -p365718 -asS'Chest clear to auscultation bilateral , S1 S2 normal and with no murmors .' -p365719 -(lp365720 -S'Chest\tChest\tRBS\tB-ADJP\tO' -p365721 -aS'clear\tclear\tJJ\tI-ADJP\tO' -p365722 -aS'to\tto\tTO\tB-PP\tO' -p365723 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p365724 -aS'bilateral\tbilateral\tJJ\tI-NP\tO' -p365725 -aS',\t,\t,\tO\tO' -p365726 -aS'S1\tS1\tNN\tB-NP\tO' -p365727 -aS'S2\tS2\tNN\tI-NP\tO' -p365728 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p365729 -aS'and\tand\tCC\tO\tO' -p365730 -aS'with\twith\tIN\tB-PP\tO' -p365731 -aS'no\tno\tDT\tB-NP\tO' -p365732 -aS'murmors\tmurmor\tNNS\tI-NP\tO' -p365733 -aS'.\t.\t.\tO\tO' -p365734 -asS'Abdominal examination revealed that the abdomen was soft , non-tender , non-distended , no organomegaly , no masses , normal active bowel sounds .' -p365735 -(lp365736 -S'Abdominal\tAbdominal\tJJ\tB-NP\tO' -p365737 -aS'examination\texamination\tNN\tI-NP\tO' -p365738 -aS'revealed\treveal\tVBD\tB-VP\tO' -p365739 -aS'that\tthat\tIN\tB-SBAR\tO' -p365740 -aS'the\tthe\tDT\tB-NP\tO' -p365741 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p365742 -aS'was\tbe\tVBD\tB-VP\tO' -p365743 -aS'soft\tsoft\tJJ\tB-NP\tO' -p365744 -aS',\t,\t,\tI-NP\tO' -p365745 -aS'non-tender\tnon-tender\tJJ\tI-NP\tO' -p365746 -aS',\t,\t,\tI-NP\tO' -p365747 -aS'non-distended\tnon-distended\tJJ\tI-NP\tO' -p365748 -aS',\t,\t,\tO\tO' -p365749 -aS'no\tno\tDT\tB-NP\tO' -p365750 -aS'organomegaly\torganomegaly\tNN\tI-NP\tO' -p365751 -aS',\t,\t,\tO\tO' -p365752 -aS'no\tno\tDT\tB-NP\tO' -p365753 -aS'masses\tmass\tNNS\tI-NP\tO' -p365754 -aS',\t,\t,\tO\tO' -p365755 -aS'normal\tnormal\tJJ\tB-NP\tO' -p365756 -aS'active\tactive\tJJ\tI-NP\tO' -p365757 -aS'bowel\tbowel\tNN\tI-NP\tO' -p365758 -aS'sounds\tsound\tNNS\tI-NP\tO' -p365759 -aS'.\t.\t.\tO\tO' -p365760 -asS'At his baseline , he was able to perform limited tasks with his left upper extremity , and was clearly able to move his hand and able to ambulate .' -p365761 -(lp365762 -S'At\tAt\tIN\tB-PP\tO' -p365763 -aS'his\this\tPRP$\tB-NP\tO' -p365764 -aS'baseline\tbaseline\tNN\tI-NP\tO' -p365765 -aS',\t,\t,\tO\tO' -p365766 -aS'he\the\tPRP\tB-NP\tO' -p365767 -aS'was\tbe\tVBD\tB-VP\tO' -p365768 -aS'able\table\tJJ\tB-ADJP\tO' -p365769 -aS'to\tto\tTO\tB-VP\tO' -p365770 -aS'perform\tperform\tVB\tI-VP\tO' -p365771 -aS'limited\tlimited\tJJ\tB-NP\tO' -p365772 -aS'tasks\ttask\tNNS\tI-NP\tO' -p365773 -aS'with\twith\tIN\tB-PP\tO' -p365774 -aS'his\this\tPRP$\tB-NP\tO' -p365775 -aS'left\tleft\tJJ\tI-NP\tO' -p365776 -aS'upper\tupper\tJJ\tI-NP\tO' -p365777 -aS'extremity\textremity\tNN\tI-NP\tO' -p365778 -aS',\t,\t,\tO\tO' -p365779 -aS'and\tand\tCC\tO\tO' -p365780 -aS'was\tbe\tVBD\tB-VP\tO' -p365781 -aS'clearly\tclearly\tRB\tB-ADJP\tO' -p365782 -aS'able\table\tJJ\tI-ADJP\tO' -p365783 -aS'to\tto\tTO\tB-VP\tO' -p365784 -aS'move\tmove\tVB\tI-VP\tO' -p365785 -aS'his\this\tPRP$\tB-NP\tO' -p365786 -aS'hand\thand\tNN\tI-NP\tO' -p365787 -aS'and\tand\tCC\tO\tO' -p365788 -aS'able\table\tJJ\tB-ADJP\tO' -p365789 -aS'to\tto\tTO\tB-VP\tO' -p365790 -aS'ambulate\tambulate\tVB\tI-VP\tO' -p365791 -aS'.\t.\t.\tO\tO' -p365792 -asS'Cardiac arrest - His arrest was of unknown etiology at the time of admission .' -p365793 -(lp365794 -S'Cardiac\tCardiac\tJJ\tB-NP\tO' -p365795 -aS'arrest\tarrest\tNN\tI-NP\tO' -p365796 -aS'-\t-\tHYPH\tO\tO' -p365797 -aS'His\tHis\tPRP$\tB-NP\tO' -p365798 -aS'arrest\tarrest\tNN\tI-NP\tO' -p365799 -aS'was\tbe\tVBD\tB-VP\tO' -p365800 -aS'of\tof\tIN\tB-PP\tO' -p365801 -aS'unknown\tunknown\tJJ\tB-NP\tO' -p365802 -aS'etiology\tetiology\tNN\tI-NP\tO' -p365803 -aS'at\tat\tIN\tB-PP\tO' -p365804 -aS'the\tthe\tDT\tB-NP\tO' -p365805 -aS'time\ttime\tNN\tI-NP\tO' -p365806 -aS'of\tof\tIN\tB-PP\tO' -p365807 -aS'admission\tadmission\tNN\tB-NP\tO' -p365808 -aS'.\t.\t.\tO\tO' -p365809 -asS'She therefore remained on the ventilator throughout the day of postoperative day one .' -p365810 -(lp365811 -S'She\tShe\tPRP\tB-NP\tO' -p365812 -aS'therefore\ttherefore\tRB\tB-ADVP\tO' -p365813 -aS'remained\tremain\tVBD\tB-VP\tO' -p365814 -aS'on\ton\tIN\tB-PP\tO' -p365815 -aS'the\tthe\tDT\tB-NP\tO' -p365816 -aS'ventilator\tventilator\tNN\tI-NP\tO' -p365817 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p365818 -aS'the\tthe\tDT\tB-NP\tO' -p365819 -aS'day\tday\tNN\tI-NP\tO' -p365820 -aS'of\tof\tIN\tB-PP\tO' -p365821 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p365822 -aS'day\tday\tNN\tI-NP\tO' -p365823 -aS'one\tone\tCD\tI-NP\tO' -p365824 -aS'.\t.\t.\tO\tO' -p365825 -asS'Rigors progressed so she was brought to Robert .' -p365826 -(lp365827 -S'Rigors\tRigor\tNNS\tB-NP\tO' -p365828 -aS'progressed\tprogress\tVBD\tB-VP\tO' -p365829 -aS'so\tso\tIN\tB-SBAR\tO' -p365830 -aS'she\tshe\tPRP\tB-NP\tO' -p365831 -aS'was\tbe\tVBD\tB-VP\tO' -p365832 -aS'brought\tbring\tVBN\tI-VP\tO' -p365833 -aS'to\tto\tTO\tB-PP\tO' -p365834 -aS'Robert\tRobert\tNNP\tB-NP\tO' -p365835 -aS'.\t.\t.\tO\tO' -p365836 -asS'He had a CPK of over 5000 with MB fraction of 26.7 .' -p365837 -(lp365838 -S'He\tHe\tPRP\tB-NP\tO' -p365839 -aS'had\thave\tVBD\tB-VP\tO' -p365840 -aS'a\ta\tDT\tB-NP\tO' -p365841 -aS'CPK\tCPK\tNN\tI-NP\tB-protein' -p365842 -aS'of\tof\tIN\tB-PP\tO' -p365843 -aS'over\tover\tIN\tB-NP\tO' -p365844 -aS'5000\t5000\tCD\tI-NP\tO' -p365845 -aS'with\twith\tIN\tB-PP\tO' -p365846 -aS'MB\tMB\tNN\tB-NP\tO' -p365847 -aS'fraction\tfraction\tNN\tI-NP\tO' -p365848 -aS'of\tof\tIN\tB-PP\tO' -p365849 -aS'26.7\t26.7\tCD\tB-NP\tO' -p365850 -aS'.\t.\t.\tO\tO' -p365851 -asS'His serum toxicology screen was negative .' -p365852 -(lp365853 -S'His\tHis\tPRP$\tB-NP\tO' -p365854 -aS'serum\tserum\tNN\tI-NP\tO' -p365855 -aS'toxicology\ttoxicology\tNN\tI-NP\tO' -p365856 -aS'screen\tscreen\tNN\tI-NP\tO' -p365857 -aS'was\tbe\tVBD\tB-VP\tO' -p365858 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p365859 -aS'.\t.\t.\tO\tO' -p365860 -asS'Neuro : MAE , Follows commands , slightly confused' -p365861 -(lp365862 -S'Neuro\tNeuro\tNNP\tB-NP\tO' -p365863 -aS':\t:\t:\tO\tO' -p365864 -aS'MAE\tMAE\tNN\tB-NP\tB-protein' -p365865 -aS',\t,\t,\tO\tO' -p365866 -aS'Follows\tFollow\tVBZ\tB-VP\tO' -p365867 -aS'commands\tcommand\tNNS\tB-NP\tO' -p365868 -aS',\t,\t,\tO\tO' -p365869 -aS'slightly\tslightly\tRB\tB-ADJP\tO' -p365870 -aS'confused\tconfused\tJJ\tI-ADJP\tO' -p365871 -asS'5. Lopressor .' -p365872 -(lp365873 -S'5.\t5.\tLS\tB-NP\tO' -p365874 -aS'Lopressor\tLopressor\tNN\tI-NP\tO' -p365875 -aS'.\t.\t.\tO\tO' -p365876 -asS'NO associated sxs / radiation .' -p365877 -(lp365878 -S'NO\tNO\tNN\tB-NP\tO' -p365879 -aS'associated\tassociate\tVBN\tI-NP\tO' -p365880 -aS'sxs\tsx\tNNS\tI-NP\tO' -p365881 -aS'/\t/\tSYM\tB-NP\tO' -p365882 -aS'radiation\tradiation\tNN\tI-NP\tO' -p365883 -aS'.\t.\t.\tO\tO' -p365884 -asS'5. Aspirin 81 mg po qd' -p365885 -(lp365886 -S'5.\t5.\tLS\tB-LST\tO' -p365887 -aS'Aspirin\tAspirin\tNN\tB-NP\tO' -p365888 -aS'81\t81\tCD\tI-NP\tO' -p365889 -aS'mg\tmg\tNN\tI-NP\tO' -p365890 -aS'po\tpo\tNN\tI-NP\tO' -p365891 -aS'qd\tqd\tNN\tI-NP\tO' -p365892 -asS'Additionally , a side plate is seen medially fixating the fracture .' -p365893 -(lp365894 -S'Additionally\tAdditionally\tRB\tB-ADVP\tO' -p365895 -aS',\t,\t,\tO\tO' -p365896 -aS'a\ta\tDT\tB-NP\tO' -p365897 -aS'side\tside\tNN\tI-NP\tO' -p365898 -aS'plate\tplate\tNN\tI-NP\tO' -p365899 -aS'is\tbe\tVBZ\tB-VP\tO' -p365900 -aS'seen\tsee\tVBN\tI-VP\tO' -p365901 -aS'medially\tmedially\tRB\tI-VP\tO' -p365902 -aS'fixating\tfixate\tVBG\tI-VP\tO' -p365903 -aS'the\tthe\tDT\tB-NP\tO' -p365904 -aS'fracture\tfracture\tNN\tI-NP\tO' -p365905 -aS'.\t.\t.\tO\tO' -p365906 -asS'She has remained unresponsive throughout the hospitalization and currently only withdraws to pain .' -p365907 -(lp365908 -S'She\tShe\tPRP\tB-NP\tO' -p365909 -aS'has\thave\tVBZ\tB-VP\tO' -p365910 -aS'remained\tremain\tVBN\tI-VP\tO' -p365911 -aS'unresponsive\tunresponsive\tJJ\tB-ADJP\tO' -p365912 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p365913 -aS'the\tthe\tDT\tB-NP\tO' -p365914 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p365915 -aS'and\tand\tCC\tO\tO' -p365916 -aS'currently\tcurrently\tRB\tB-VP\tO' -p365917 -aS'only\tonly\tRB\tI-VP\tO' -p365918 -aS'withdraws\twithdraw\tVBZ\tI-VP\tO' -p365919 -aS'to\tto\tTO\tI-VP\tO' -p365920 -aS'pain\tpain\tVB\tI-VP\tO' -p365921 -aS'.\t.\t.\tO\tO' -p365922 -asS'The patient appears to be status post prostatectomy .' -p365923 -(lp365924 -S'The\tThe\tDT\tB-NP\tO' -p365925 -aS'patient\tpatient\tNN\tI-NP\tO' -p365926 -aS'appears\tappear\tVBZ\tB-VP\tO' -p365927 -aS'to\tto\tTO\tI-VP\tO' -p365928 -aS'be\tbe\tVB\tI-VP\tO' -p365929 -aS'status\tstatus\tNN\tB-NP\tO' -p365930 -aS'post\tpost\tNN\tI-NP\tO' -p365931 -aS'prostatectomy\tprostatectomy\tNN\tI-NP\tO' -p365932 -aS'.\t.\t.\tO\tO' -p365933 -asS'If you need additional information please call 187-715-4303.' -p365934 -(lp365935 -S'If\tIf\tIN\tB-SBAR\tO' -p365936 -aS'you\tyou\tPRP\tB-NP\tO' -p365937 -aS'need\tneed\tVBP\tB-VP\tO' -p365938 -aS'additional\tadditional\tJJ\tB-NP\tO' -p365939 -aS'information\tinformation\tNN\tI-NP\tO' -p365940 -aS'please\tplease\tNN\tI-NP\tO' -p365941 -aS'call\tcall\tNN\tI-NP\tO' -p365942 -aS'187-715-4303.\t187-715-4303.\tCD\tI-NP\tO' -p365943 -asS'This is an 83-year-old female with a history of hypertrophic obstructive cardiomyopathy , status post mitral valve replacement in 1988 , chronic atrial fibrillation , hypertension , who presents for parathyroidectomy .' -p365944 -(lp365945 -S'This\tThis\tDT\tB-NP\tO' -p365946 -aS'is\tbe\tVBZ\tB-VP\tO' -p365947 -aS'an\tan\tDT\tB-NP\tO' -p365948 -aS'83-year-old\t83-year-old\tJJ\tI-NP\tO' -p365949 -aS'female\tfemale\tNN\tI-NP\tO' -p365950 -aS'with\twith\tIN\tB-PP\tO' -p365951 -aS'a\ta\tDT\tB-NP\tO' -p365952 -aS'history\thistory\tNN\tI-NP\tO' -p365953 -aS'of\tof\tIN\tB-PP\tO' -p365954 -aS'hypertrophic\thypertrophic\tJJ\tB-NP\tO' -p365955 -aS'obstructive\tobstructive\tJJ\tI-NP\tO' -p365956 -aS'cardiomyopathy\tcardiomyopathy\tNN\tI-NP\tO' -p365957 -aS',\t,\t,\tO\tO' -p365958 -aS'status\tstatus\tNN\tB-NP\tO' -p365959 -aS'post\tpost\tNN\tI-NP\tO' -p365960 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p365961 -aS'valve\tvalve\tNN\tI-NP\tO' -p365962 -aS'replacement\treplacement\tNN\tI-NP\tO' -p365963 -aS'in\tin\tIN\tB-PP\tO' -p365964 -aS'1988\t1988\tCD\tB-NP\tO' -p365965 -aS',\t,\t,\tO\tO' -p365966 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p365967 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p365968 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p365969 -aS',\t,\t,\tO\tO' -p365970 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p365971 -aS',\t,\t,\tO\tO' -p365972 -aS'who\twho\tWP\tB-NP\tO' -p365973 -aS'presents\tpresent\tVBZ\tB-VP\tO' -p365974 -aS'for\tfor\tIN\tB-PP\tO' -p365975 -aS'parathyroidectomy\tparathyroidectomy\tNN\tB-NP\tO' -p365976 -aS'.\t.\t.\tO\tO' -p365977 -asS'The patient on January 13 became hyponatremic .' -p365978 -(lp365979 -S'The\tThe\tDT\tB-NP\tO' -p365980 -aS'patient\tpatient\tNN\tI-NP\tO' -p365981 -aS'on\ton\tIN\tB-PP\tO' -p365982 -aS'January\tJanuary\tNNP\tB-NP\tO' -p365983 -aS'13\t13\tCD\tI-NP\tO' -p365984 -aS'became\tbecome\tVBD\tB-VP\tO' -p365985 -aS'hyponatremic\thyponatremic\tJJ\tB-ADJP\tO' -p365986 -aS'.\t.\t.\tO\tO' -p365987 -asS'The patient had an attempted ERCP on 01-18 , which was unsuccessful due to a long nipple like papilla .' -p365988 -(lp365989 -S'The\tThe\tDT\tB-NP\tO' -p365990 -aS'patient\tpatient\tNN\tI-NP\tO' -p365991 -aS'had\thave\tVBD\tB-VP\tO' -p365992 -aS'an\tan\tDT\tB-NP\tO' -p365993 -aS'attempted\tattempt\tVBN\tI-NP\tO' -p365994 -aS'ERCP\tERCP\tNN\tI-NP\tB-protein' -p365995 -aS'on\ton\tIN\tB-PP\tO' -p365996 -aS'01-18\t01-18\tCD\tB-NP\tO' -p365997 -aS',\t,\t,\tO\tO' -p365998 -aS'which\twhich\tWDT\tB-NP\tO' -p365999 -aS'was\tbe\tVBD\tB-VP\tO' -p366000 -aS'unsuccessful\tunsuccessful\tJJ\tB-ADJP\tO' -p366001 -aS'due\tdue\tJJ\tB-PP\tO' -p366002 -aS'to\tto\tTO\tB-PP\tO' -p366003 -aS'a\ta\tDT\tB-NP\tO' -p366004 -aS'long\tlong\tJJ\tI-NP\tO' -p366005 -aS'nipple\tnipple\tNN\tI-NP\tO' -p366006 -aS'like\tlike\tIN\tB-PP\tO' -p366007 -aS'papilla\tpapilla\tNN\tB-NP\tO' -p366008 -aS'.\t.\t.\tO\tO' -p366009 -asS'In the Rita , the patient was intubated and given activated charcoal .' -p366010 -(lp366011 -S'In\tIn\tIN\tB-PP\tO' -p366012 -aS'the\tthe\tDT\tB-NP\tO' -p366013 -aS'Rita\tRita\tNNP\tI-NP\tO' -p366014 -aS',\t,\t,\tO\tO' -p366015 -aS'the\tthe\tDT\tB-NP\tO' -p366016 -aS'patient\tpatient\tNN\tI-NP\tO' -p366017 -aS'was\tbe\tVBD\tB-VP\tO' -p366018 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p366019 -aS'and\tand\tCC\tO\tO' -p366020 -aS'given\tgive\tVBN\tB-VP\tO' -p366021 -aS'activated\tactivate\tVBN\tB-NP\tO' -p366022 -aS'charcoal\tcharcoal\tNN\tI-NP\tO' -p366023 -aS'.\t.\t.\tO\tO' -p366024 -asS'10. Rosiglitazone 4 mg once daily .' -p366025 -(lp366026 -S'10.\t10.\tLS\tB-NP\tO' -p366027 -aS'Rosiglitazone\tRosiglitazone\tNN\tI-NP\tO' -p366028 -aS'4\t4\tCD\tI-NP\tO' -p366029 -aS'mg\tmg\tNN\tI-NP\tO' -p366030 -aS'once\tonce\tRB\tB-ADVP\tO' -p366031 -aS'daily\tdaily\tRB\tI-ADVP\tO' -p366032 -aS'.\t.\t.\tO\tO' -p366033 -asS'Therefore she had a Stage III-A adenocarcinoma of the breast .' -p366034 -(lp366035 -S'Therefore\tTherefore\tRB\tB-ADVP\tO' -p366036 -aS'she\tshe\tPRP\tB-NP\tO' -p366037 -aS'had\thave\tVBD\tB-VP\tO' -p366038 -aS'a\ta\tDT\tB-NP\tO' -p366039 -aS'Stage\tStage\tNN\tI-NP\tO' -p366040 -aS'III-A\tIII-A\tNN\tI-NP\tO' -p366041 -aS'adenocarcinoma\tadenocarcinoma\tNN\tI-NP\tO' -p366042 -aS'of\tof\tIN\tB-PP\tO' -p366043 -aS'the\tthe\tDT\tB-NP\tO' -p366044 -aS'breast\tbreast\tNN\tI-NP\tO' -p366045 -aS'.\t.\t.\tO\tO' -p366046 -asS'Two branches of an left anterior descending to PA fistula which was successfully coiled .' -p366047 -(lp366048 -S'Two\tTwo\tCD\tB-NP\tO' -p366049 -aS'branches\tbranch\tNNS\tI-NP\tO' -p366050 -aS'of\tof\tIN\tB-PP\tO' -p366051 -aS'an\tan\tDT\tB-NP\tO' -p366052 -aS'left\tleft\tJJ\tI-NP\tO' -p366053 -aS'anterior\tanterior\tNN\tI-NP\tO' -p366054 -aS'descending\tdescend\tVBG\tB-VP\tO' -p366055 -aS'to\tto\tTO\tB-PP\tO' -p366056 -aS'PA\tPA\tNN\tB-NP\tO' -p366057 -aS'fistula\tfistula\tNN\tI-NP\tO' -p366058 -aS'which\twhich\tWDT\tB-NP\tO' -p366059 -aS'was\tbe\tVBD\tB-VP\tO' -p366060 -aS'successfully\tsuccessfully\tRB\tI-VP\tO' -p366061 -aS'coiled\tcoil\tVBN\tI-VP\tO' -p366062 -aS'.\t.\t.\tO\tO' -p366063 -asS'Ground-glass opacity is somewhat more prominent in right upper lobe , and superimposed infection cannot be totally excluded .' -p366064 -(lp366065 -S'Ground-glass\tGround-glass\tJJ\tB-NP\tO' -p366066 -aS'opacity\topacity\tNN\tI-NP\tO' -p366067 -aS'is\tbe\tVBZ\tB-VP\tO' -p366068 -aS'somewhat\tsomewhat\tRB\tB-ADJP\tO' -p366069 -aS'more\tmore\tRBR\tI-ADJP\tO' -p366070 -aS'prominent\tprominent\tJJ\tI-ADJP\tO' -p366071 -aS'in\tin\tIN\tB-PP\tO' -p366072 -aS'right\tright\tJJ\tB-NP\tO' -p366073 -aS'upper\tupper\tJJ\tI-NP\tO' -p366074 -aS'lobe\tlobe\tNN\tI-NP\tO' -p366075 -aS',\t,\t,\tO\tO' -p366076 -aS'and\tand\tCC\tO\tO' -p366077 -aS'superimposed\tsuperimpose\tVBN\tB-NP\tO' -p366078 -aS'infection\tinfection\tNN\tI-NP\tO' -p366079 -aS'cannot\tcannot\tMD\tB-VP\tO' -p366080 -aS'be\tbe\tVB\tI-VP\tO' -p366081 -aS'totally\ttotally\tRB\tI-VP\tO' -p366082 -aS'excluded\texclude\tVBN\tI-VP\tO' -p366083 -aS'.\t.\t.\tO\tO' -p366084 -asS'Chest x-ray revealed clear lung fields .' -p366085 -(lp366086 -S'Chest\tCh\tJJS\tB-NP\tO' -p366087 -aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' -p366088 -aS'revealed\treveal\tVBD\tB-VP\tO' -p366089 -aS'clear\tclear\tJJ\tB-NP\tO' -p366090 -aS'lung\tlung\tNN\tI-NP\tO' -p366091 -aS'fields\tfield\tNNS\tI-NP\tO' -p366092 -aS'.\t.\t.\tO\tO' -p366093 -asS'His lungs were clear to auscultation bilaterally without any evidence for crackles .' -p366094 -(lp366095 -S'His\tHis\tPRP$\tB-NP\tO' -p366096 -aS'lungs\tlung\tNNS\tI-NP\tO' -p366097 -aS'were\tbe\tVBD\tB-VP\tO' -p366098 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p366099 -aS'to\tto\tTO\tB-PP\tO' -p366100 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p366101 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p366102 -aS'without\twithout\tIN\tB-PP\tO' -p366103 -aS'any\tany\tDT\tB-NP\tO' -p366104 -aS'evidence\tevidence\tNN\tI-NP\tO' -p366105 -aS'for\tfor\tIN\tB-PP\tO' -p366106 -aS'crackles\tcrackle\tNNS\tB-NP\tO' -p366107 -aS'.\t.\t.\tO\tO' -p366108 -asS'After reviewing cardiac catheterization data , a consultation was made with Cardiothoracic Surgery who deemed that he was a good candidate for coronary artery bypass grafting .' -p366109 -(lp366110 -S'After\tAfter\tIN\tB-PP\tO' -p366111 -aS'reviewing\treview\tVBG\tB-VP\tO' -p366112 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p366113 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p366114 -aS'data\tdatum\tNNS\tI-NP\tO' -p366115 -aS',\t,\t,\tO\tO' -p366116 -aS'a\ta\tDT\tB-NP\tO' -p366117 -aS'consultation\tconsultation\tNN\tI-NP\tO' -p366118 -aS'was\tbe\tVBD\tB-VP\tO' -p366119 -aS'made\tmake\tVBN\tI-VP\tO' -p366120 -aS'with\twith\tIN\tB-PP\tO' -p366121 -aS'Cardiothoracic\tCardiothoracic\tNNP\tB-NP\tO' -p366122 -aS'Surgery\tSurgery\tNNP\tI-NP\tO' -p366123 -aS'who\twho\tWP\tB-NP\tO' -p366124 -aS'deemed\tdeem\tVBD\tB-VP\tO' -p366125 -aS'that\tthat\tIN\tB-SBAR\tO' -p366126 -aS'he\the\tPRP\tB-NP\tO' -p366127 -aS'was\tbe\tVBD\tB-VP\tO' -p366128 -aS'a\ta\tDT\tB-NP\tO' -p366129 -aS'good\tgood\tJJ\tI-NP\tO' -p366130 -aS'candidate\tcandidate\tNN\tI-NP\tO' -p366131 -aS'for\tfor\tIN\tB-PP\tO' -p366132 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p366133 -aS'artery\tartery\tNN\tI-NP\tO' -p366134 -aS'bypass\tbypass\tIN\tB-PP\tO' -p366135 -aS'grafting\tgrafting\tNN\tB-NP\tO' -p366136 -aS'.\t.\t.\tO\tO' -p366137 -asS'Sister with diabetes .' -p366138 -(lp366139 -S'Sister\tSister\tNN\tB-NP\tO' -p366140 -aS'with\twith\tIN\tB-PP\tO' -p366141 -aS'diabetes\tdiabetes\tNN\tB-NP\tO' -p366142 -aS'.\t.\t.\tO\tO' -p366143 -asS'On 02-02 ERCP demonstrated a large filling defect in the distal duct representing a stone with CBD dilatation .' -p366144 -(lp366145 -S'On\tOn\tIN\tB-PP\tO' -p366146 -aS'02-02\t02-02\tCD\tB-NP\tO' -p366147 -aS'ERCP\tERCP\tNN\tI-NP\tO' -p366148 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p366149 -aS'a\ta\tDT\tB-NP\tO' -p366150 -aS'large\tlarge\tJJ\tI-NP\tO' -p366151 -aS'filling\tfilling\tNN\tI-NP\tO' -p366152 -aS'defect\tdefect\tNN\tI-NP\tO' -p366153 -aS'in\tin\tIN\tB-PP\tO' -p366154 -aS'the\tthe\tDT\tB-NP\tO' -p366155 -aS'distal\tdistal\tJJ\tI-NP\tO' -p366156 -aS'duct\tduct\tNN\tI-NP\tO' -p366157 -aS'representing\trepresent\tVBG\tB-VP\tO' -p366158 -aS'a\ta\tDT\tB-NP\tO' -p366159 -aS'stone\tstone\tNN\tI-NP\tO' -p366160 -aS'with\twith\tIN\tB-PP\tO' -p366161 -aS'CBD\tCBD\tNN\tB-NP\tO' -p366162 -aS'dilatation\tdilatation\tNN\tI-NP\tO' -p366163 -aS'.\t.\t.\tO\tO' -p366164 -asS'This could represent either an atypically located blood clot or an intraventricular mass , and further evaluation with contrast - enhanced MRI of the brain , when clinically feasible , is recommended .' -p366165 -(lp366166 -S'This\tThis\tDT\tB-NP\tO' -p366167 -aS'could\tcould\tMD\tB-VP\tO' -p366168 -aS'represent\trepresent\tVB\tI-VP\tO' -p366169 -aS'either\teither\tCC\tO\tO' -p366170 -aS'an\tan\tDT\tB-NP\tO' -p366171 -aS'atypically\tatypically\tRB\tI-NP\tO' -p366172 -aS'located\tlocated\tJJ\tI-NP\tO' -p366173 -aS'blood\tblood\tNN\tI-NP\tO' -p366174 -aS'clot\tclot\tNN\tI-NP\tO' -p366175 -aS'or\tor\tCC\tO\tO' -p366176 -aS'an\tan\tDT\tB-NP\tO' -p366177 -aS'intraventricular\tintraventricular\tJJ\tI-NP\tO' -p366178 -aS'mass\tmass\tNN\tI-NP\tO' -p366179 -aS',\t,\t,\tO\tO' -p366180 -aS'and\tand\tCC\tO\tO' -p366181 -aS'further\tfurther\tJJ\tB-NP\tO' -p366182 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p366183 -aS'with\twith\tIN\tB-PP\tO' -p366184 -aS'contrast\tcontrast\tNN\tB-NP\tO' -p366185 -aS'-\t-\tHYPH\tB-NP\tO' -p366186 -aS'enhanced\tenhance\tVBN\tI-NP\tO' -p366187 -aS'MRI\tMRI\tNN\tI-NP\tB-protein' -p366188 -aS'of\tof\tIN\tB-PP\tO' -p366189 -aS'the\tthe\tDT\tB-NP\tO' -p366190 -aS'brain\tbrain\tNN\tI-NP\tO' -p366191 -aS',\t,\t,\tO\tO' -p366192 -aS'when\twhen\tWRB\tB-ADVP\tO' -p366193 -aS'clinically\tclinically\tRB\tB-ADJP\tO' -p366194 -aS'feasible\tfeasible\tJJ\tI-ADJP\tO' -p366195 -aS',\t,\t,\tO\tO' -p366196 -aS'is\tbe\tVBZ\tB-VP\tO' -p366197 -aS'recommended\trecommend\tVBN\tI-VP\tO' -p366198 -aS'.\t.\t.\tO\tO' -p366199 -asS'The P wave amplitude was .6 and this could not be totally sensed .' -p366200 -(lp366201 -S'The\tThe\tDT\tB-NP\tO' -p366202 -aS'P\tP\tNN\tI-NP\tO' -p366203 -aS'wave\twave\tNN\tI-NP\tO' -p366204 -aS'amplitude\tamplitude\tNN\tI-NP\tO' -p366205 -aS'was\tbe\tVBD\tB-VP\tO' -p366206 -aS'.6\t.6\tCD\tB-NP\tO' -p366207 -aS'and\tand\tCC\tO\tO' -p366208 -aS'this\tthis\tDT\tB-NP\tO' -p366209 -aS'could\tcould\tMD\tB-VP\tO' -p366210 -aS'not\tnot\tRB\tI-VP\tO' -p366211 -aS'be\tbe\tVB\tI-VP\tO' -p366212 -aS'totally\ttotally\tRB\tI-VP\tO' -p366213 -aS'sensed\tsense\tVBN\tI-VP\tO' -p366214 -aS'.\t.\t.\tO\tO' -p366215 -asS'Given this , it was advised that the patient have a colonoscopy to rule out further bleeding .' -p366216 -(lp366217 -S'Given\tGive\tVBN\tB-PP\tO' -p366218 -aS'this\tthis\tDT\tB-NP\tO' -p366219 -aS',\t,\t,\tO\tO' -p366220 -aS'it\tit\tPRP\tB-NP\tO' -p366221 -aS'was\tbe\tVBD\tB-VP\tO' -p366222 -aS'advised\tadvise\tVBN\tI-VP\tO' -p366223 -aS'that\tthat\tIN\tB-SBAR\tO' -p366224 -aS'the\tthe\tDT\tB-NP\tO' -p366225 -aS'patient\tpatient\tNN\tI-NP\tO' -p366226 -aS'have\thave\tVBP\tB-VP\tO' -p366227 -aS'a\ta\tDT\tB-NP\tO' -p366228 -aS'colonoscopy\tcolonoscopy\tNN\tI-NP\tO' -p366229 -aS'to\tto\tTO\tB-VP\tO' -p366230 -aS'rule\trule\tVB\tI-VP\tO' -p366231 -aS'out\tout\tRP\tB-PRT\tO' -p366232 -aS'further\tfurther\tJJ\tB-NP\tO' -p366233 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p366234 -aS'.\t.\t.\tO\tO' -p366235 -asS'On that day she was feeling well enough , eating well , and voiding without difficulty .' -p366236 -(lp366237 -S'On\tOn\tIN\tB-PP\tO' -p366238 -aS'that\tthat\tDT\tB-NP\tO' -p366239 -aS'day\tday\tNN\tI-NP\tO' -p366240 -aS'she\tshe\tPRP\tB-NP\tO' -p366241 -aS'was\tbe\tVBD\tB-VP\tO' -p366242 -aS'feeling\tfeel\tVBG\tI-VP\tO' -p366243 -aS'well\twell\tRB\tB-ADVP\tO' -p366244 -aS'enough\tenough\tRB\tI-ADVP\tO' -p366245 -aS',\t,\t,\tO\tO' -p366246 -aS'eating\teat\tVBG\tB-VP\tO' -p366247 -aS'well\twell\tRB\tB-ADVP\tO' -p366248 -aS',\t,\t,\tO\tO' -p366249 -aS'and\tand\tCC\tO\tO' -p366250 -aS'voiding\tvoid\tVBG\tB-VP\tO' -p366251 -aS'without\twithout\tIN\tB-PP\tO' -p366252 -aS'difficulty\tdifficulty\tNN\tB-NP\tO' -p366253 -aS'.\t.\t.\tO\tO' -p366254 -asS'1. Respiratory - The infant has remained in room air throughout this hospitalization with respiratory rates 40 s to 50 s, oxygen saturation greater than 94% .' -p366255 -(lp366256 -S'1.\t1.\tLS\tB-NP\tO' -p366257 -aS'Respiratory\tRespiratory\tNN\tI-NP\tO' -p366258 -aS'-\t-\tHYPH\tO\tO' -p366259 -aS'The\tThe\tDT\tB-NP\tO' -p366260 -aS'infant\tinfant\tNN\tI-NP\tO' -p366261 -aS'has\thave\tVBZ\tB-VP\tO' -p366262 -aS'remained\tremain\tVBN\tI-VP\tO' -p366263 -aS'in\tin\tIN\tB-PP\tO' -p366264 -aS'room\troom\tNN\tB-NP\tO' -p366265 -aS'air\tair\tNN\tI-NP\tO' -p366266 -aS'throughout\tthroughout\tIN\tB-PP\tO' -p366267 -aS'this\tthis\tDT\tB-NP\tO' -p366268 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p366269 -aS'with\twith\tIN\tB-PP\tO' -p366270 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p366271 -aS'rates\trate\tNNS\tI-NP\tO' -p366272 -aS'40\t40\tCD\tI-NP\tO' -p366273 -aS's\ts\tNN\tI-NP\tO' -p366274 -aS'to\tto\tTO\tB-PP\tO' -p366275 -aS'50\t50\tCD\tB-NP\tO' -p366276 -aS's,\ts,\tNN\tI-NP\tO' -p366277 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p366278 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p366279 -aS'greater\tgreat\tJJR\tB-ADJP\tO' -p366280 -aS'than\tthan\tIN\tB-PP\tO' -p366281 -aS'94%\t94%\tCD\tB-NP\tO' -p366282 -aS'.\t.\t.\tO\tO' -p366283 -asS'On the evening of postoperative day number four , the patient had a transient episode of disorientation and confusion which subsequently resolved spontaneously .' -p366284 -(lp366285 -S'On\tOn\tIN\tB-PP\tO' -p366286 -aS'the\tthe\tDT\tB-NP\tO' -p366287 -aS'evening\tevening\tNN\tI-NP\tO' -p366288 -aS'of\tof\tIN\tB-PP\tO' -p366289 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p366290 -aS'day\tday\tNN\tI-NP\tO' -p366291 -aS'number\tnumber\tNN\tI-NP\tO' -p366292 -aS'four\tfour\tCD\tB-NP\tO' -p366293 -aS',\t,\t,\tO\tO' -p366294 -aS'the\tthe\tDT\tB-NP\tO' -p366295 -aS'patient\tpatient\tNN\tI-NP\tO' -p366296 -aS'had\thave\tVBD\tB-VP\tO' -p366297 -aS'a\ta\tDT\tB-NP\tO' -p366298 -aS'transient\ttransient\tJJ\tI-NP\tO' -p366299 -aS'episode\tepisode\tNN\tI-NP\tO' -p366300 -aS'of\tof\tIN\tB-PP\tO' -p366301 -aS'disorientation\tdisorientation\tNN\tB-NP\tO' -p366302 -aS'and\tand\tCC\tI-NP\tO' -p366303 -aS'confusion\tconfusion\tNN\tI-NP\tO' -p366304 -aS'which\twhich\tWDT\tB-NP\tO' -p366305 -aS'subsequently\tsubsequently\tRB\tB-ADVP\tO' -p366306 -aS'resolved\tresolve\tVBD\tB-VP\tO' -p366307 -aS'spontaneously\tspontaneously\tRB\tB-ADVP\tO' -p366308 -aS'.\t.\t.\tO\tO' -p366309 -asS'He has mild renal insufficiency in the setting of Sutent .' -p366310 -(lp366311 -S'He\tHe\tPRP\tB-NP\tO' -p366312 -aS'has\thave\tVBZ\tB-VP\tO' -p366313 -aS'mild\tmild\tJJ\tB-NP\tO' -p366314 -aS'renal\trenal\tJJ\tI-NP\tO' -p366315 -aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' -p366316 -aS'in\tin\tIN\tB-PP\tO' -p366317 -aS'the\tthe\tDT\tB-NP\tO' -p366318 -aS'setting\tsetting\tNN\tI-NP\tO' -p366319 -aS'of\tof\tIN\tB-PP\tO' -p366320 -aS'Sutent\tSutent\tNNP\tB-NP\tO' -p366321 -aS'.\t.\t.\tO\tO' -p366322 -asS'Disp :* 30 Tablet (s)* Refills :* 2 *' -p366323 -(lp366324 -S'Disp\tDisp\tNN\tB-NP\tO' -p366325 -aS':*\t:*\tSYM\tI-NP\tO' -p366326 -aS'30\t30\tCD\tI-NP\tO' -p366327 -aS'Tablet\tTablet\tNN\tI-NP\tO' -p366328 -aS'(s)*\t(s)*\tSYM\tB-NP\tO' -p366329 -aS'Refills\tRefill\tNNPS\tI-NP\tO' -p366330 -aS':*\t:*\tSYM\tI-NP\tO' -p366331 -aS'2\t2\tCD\tI-NP\tO' -p366332 -aS'*\t*\tSYM\tB-NP\tO' -p366333 -asS'The patient was then extubated on postoperative day #2 , but remained pressor-dependent .' -p366334 -(lp366335 -S'The\tThe\tDT\tB-NP\tO' -p366336 -aS'patient\tpatient\tNN\tI-NP\tO' -p366337 -aS'was\tbe\tVBD\tB-VP\tO' -p366338 -aS'then\tthen\tRB\tI-VP\tO' -p366339 -aS'extubated\textubate\tVBN\tI-VP\tO' -p366340 -aS'on\ton\tIN\tB-PP\tO' -p366341 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p366342 -aS'day\tday\tNN\tI-NP\tO' -p366343 -aS'#2\t#2\tNN\tI-NP\tO' -p366344 -aS',\t,\t,\tO\tO' -p366345 -aS'but\tbut\tCC\tO\tO' -p366346 -aS'remained\tremain\tVBD\tB-VP\tO' -p366347 -aS'pressor-dependent\tpressor-dependent\tJJ\tB-ADJP\tO' -p366348 -aS'.\t.\t.\tO\tO' -p366349 -asS'There was no evidence of any special neglect .' -p366350 -(lp366351 -S'There\tThere\tEX\tB-NP\tO' -p366352 -aS'was\tbe\tVBD\tB-VP\tO' -p366353 -aS'no\tno\tDT\tB-NP\tO' -p366354 -aS'evidence\tevidence\tNN\tI-NP\tO' -p366355 -aS'of\tof\tIN\tB-PP\tO' -p366356 -aS'any\tany\tDT\tB-NP\tO' -p366357 -aS'special\tspecial\tJJ\tI-NP\tO' -p366358 -aS'neglect\tneglect\tNN\tI-NP\tO' -p366359 -aS'.\t.\t.\tO\tO' -p366360 -asS'He remained pain free on medical therapy .' -p366361 -(lp366362 -S'He\tHe\tPRP\tB-NP\tO' -p366363 -aS'remained\tremain\tVBD\tB-VP\tO' -p366364 -aS'pain\tpain\tNN\tB-NP\tO' -p366365 -aS'free\tfree\tJJ\tB-ADJP\tO' -p366366 -aS'on\ton\tIN\tB-PP\tO' -p366367 -aS'medical\tmedical\tJJ\tB-NP\tO' -p366368 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p366369 -aS'.\t.\t.\tO\tO' -p366370 -asS'Right lung is clear .' -p366371 -(lp366372 -S'Right\tRight\tNN\tB-NP\tO' -p366373 -aS'lung\tlung\tNN\tI-NP\tO' -p366374 -aS'is\tbe\tVBZ\tB-VP\tO' -p366375 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p366376 -aS'.\t.\t.\tO\tO' -p366377 -asS'Well-healed scars over dorsal / lateral distal LUE' -p366378 -(lp366379 -S'Well-healed\tWell-healed\tJJ\tB-NP\tO' -p366380 -aS'scars\tscar\tNNS\tI-NP\tO' -p366381 -aS'over\tover\tIN\tB-PP\tO' -p366382 -aS'dorsal\tdorsal\tJJ\tB-NP\tO' -p366383 -aS'/\t/\tSYM\tI-NP\tO' -p366384 -aS'lateral\tlateral\tJJ\tI-NP\tO' -p366385 -aS'distal\tdistal\tJJ\tI-NP\tO' -p366386 -aS'LUE\tLUE\tNN\tI-NP\tO' -p366387 -asS'Before this age , the family and other caregivers should be considered for immunization against influenza to protect the infant .' -p366388 -(lp366389 -S'Before\tBefore\tIN\tB-SBAR\tO' -p366390 -aS'this\tthis\tDT\tB-NP\tO' -p366391 -aS'age\tage\tNN\tI-NP\tO' -p366392 -aS',\t,\t,\tO\tO' -p366393 -aS'the\tthe\tDT\tB-NP\tO' -p366394 -aS'family\tfamily\tNN\tI-NP\tO' -p366395 -aS'and\tand\tCC\tO\tO' -p366396 -aS'other\tother\tJJ\tB-NP\tO' -p366397 -aS'caregivers\tcaregiver\tNNS\tI-NP\tO' -p366398 -aS'should\tshould\tMD\tB-VP\tO' -p366399 -aS'be\tbe\tVB\tI-VP\tO' -p366400 -aS'considered\tconsider\tVBN\tI-VP\tO' -p366401 -aS'for\tfor\tIN\tB-PP\tO' -p366402 -aS'immunization\timmunization\tNN\tB-NP\tO' -p366403 -aS'against\tagainst\tIN\tB-PP\tO' -p366404 -aS'influenza\tinfluenza\tNN\tB-NP\tO' -p366405 -aS'to\tto\tTO\tB-VP\tO' -p366406 -aS'protect\tprotect\tVB\tI-VP\tO' -p366407 -aS'the\tthe\tDT\tB-NP\tO' -p366408 -aS'infant\tinfant\tNN\tI-NP\tO' -p366409 -aS'.\t.\t.\tO\tO' -p366410 -asS'DIFFERENTIAL Neuts Bands Lymphs Monos Eos Baso Atyps Metas' -p366411 -(lp366412 -S'DIFFERENTIAL\tDIFFERENTIAL\tNNP\tB-NP\tO' -p366413 -aS'Neuts\tNeuts\tNNP\tI-NP\tO' -p366414 -aS'Bands\tBands\tNNP\tI-NP\tO' -p366415 -aS'Lymphs\tLymphs\tNNP\tI-NP\tO' -p366416 -aS'Monos\tMonos\tNNP\tI-NP\tO' -p366417 -aS'Eos\tEos\tNNP\tI-NP\tO' -p366418 -aS'Baso\tBaso\tNNP\tI-NP\tO' -p366419 -aS'Atyps\tAtyps\tNNP\tI-NP\tO' -p366420 -aS'Metas\tMetas\tNNP\tI-NP\tO' -p366421 -asS'At the outside hospital the patient had already seemed some workup for a couple weeks duration of bilateral upper quadrant pain which occasionally radiated to her back .' -p366422 -(lp366423 -S'At\tAt\tIN\tB-PP\tO' -p366424 -aS'the\tthe\tDT\tB-NP\tO' -p366425 -aS'outside\toutside\tJJ\tI-NP\tO' -p366426 -aS'hospital\thospital\tNN\tI-NP\tO' -p366427 -aS'the\tthe\tDT\tB-NP\tO' -p366428 -aS'patient\tpatient\tNN\tI-NP\tO' -p366429 -aS'had\thave\tVBD\tB-VP\tO' -p366430 -aS'already\talready\tRB\tI-VP\tO' -p366431 -aS'seemed\tseem\tVBN\tI-VP\tO' -p366432 -aS'some\tsome\tDT\tB-NP\tO' -p366433 -aS'workup\tworkup\tNN\tI-NP\tO' -p366434 -aS'for\tfor\tIN\tB-PP\tO' -p366435 -aS'a\ta\tDT\tB-NP\tO' -p366436 -aS'couple\tcouple\tNN\tI-NP\tO' -p366437 -aS'weeks\tweek\tVBZ\tB-VP\tO' -p366438 -aS'duration\tduration\tNN\tB-NP\tO' -p366439 -aS'of\tof\tIN\tB-PP\tO' -p366440 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p366441 -aS'upper\tupper\tJJ\tI-NP\tO' -p366442 -aS'quadrant\tquadrant\tJJ\tI-NP\tO' -p366443 -aS'pain\tpain\tNN\tI-NP\tO' -p366444 -aS'which\twhich\tWDT\tB-NP\tO' -p366445 -aS'occasionally\toccasionally\tRB\tB-ADVP\tO' -p366446 -aS'radiated\tradiate\tVBD\tB-VP\tO' -p366447 -aS'to\tto\tTO\tB-PP\tO' -p366448 -aS'her\ther\tPRP$\tB-NP\tO' -p366449 -aS'back\tback\tNN\tI-NP\tO' -p366450 -aS'.\t.\t.\tO\tO' -p366451 -asS'The patient was taken to the operating room by Dr. Suot N. Dragtente on 02-21-91 , where a left radical nephrectomy was performed .' -p366452 -(lp366453 -S'The\tThe\tDT\tB-NP\tO' -p366454 -aS'patient\tpatient\tNN\tI-NP\tO' -p366455 -aS'was\tbe\tVBD\tB-VP\tO' -p366456 -aS'taken\ttake\tVBN\tI-VP\tO' -p366457 -aS'to\tto\tTO\tB-PP\tO' -p366458 -aS'the\tthe\tDT\tB-NP\tO' -p366459 -aS'operating\toperating\tNN\tI-NP\tO' -p366460 -aS'room\troom\tNN\tI-NP\tO' -p366461 -aS'by\tby\tIN\tB-PP\tO' -p366462 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p366463 -aS'Suot\tSuot\tNNP\tI-NP\tO' -p366464 -aS'N.\tN.\tNNP\tI-NP\tO' -p366465 -aS'Dragtente\tDragtente\tNNP\tI-NP\tO' -p366466 -aS'on\ton\tIN\tB-PP\tO' -p366467 -aS'02-21-91\t02-21-91\tCD\tB-NP\tO' -p366468 -aS',\t,\t,\tO\tO' -p366469 -aS'where\twhere\tWRB\tB-ADVP\tO' -p366470 -aS'a\ta\tDT\tB-NP\tO' -p366471 -aS'left\tleft\tJJ\tI-NP\tO' -p366472 -aS'radical\tradical\tNN\tI-NP\tO' -p366473 -aS'nephrectomy\tnephrectomy\tNN\tI-NP\tO' -p366474 -aS'was\tbe\tVBD\tB-VP\tO' -p366475 -aS'performed\tperform\tVBN\tI-VP\tO' -p366476 -aS'.\t.\t.\tO\tO' -p366477 -asS'However by 24 hours he transitioned to low-flow nasal cannula and on day of life five transitioned to room air where he currently remains .' -p366478 -(lp366479 -S'However\tHowever\tRB\tB-ADVP\tO' -p366480 -aS'by\tby\tIN\tB-PP\tO' -p366481 -aS'24\t24\tCD\tB-NP\tO' -p366482 -aS'hours\thour\tNNS\tI-NP\tO' -p366483 -aS'he\the\tPRP\tB-NP\tO' -p366484 -aS'transitioned\ttransitione\tVBD\tB-VP\tO' -p366485 -aS'to\tto\tTO\tB-PP\tO' -p366486 -aS'low-flow\tlow-flow\tJJ\tB-NP\tO' -p366487 -aS'nasal\tnasal\tJJ\tI-NP\tO' -p366488 -aS'cannula\tcannula\tNN\tI-NP\tO' -p366489 -aS'and\tand\tCC\tB-PP\tO' -p366490 -aS'on\ton\tIN\tB-PP\tO' -p366491 -aS'day\tday\tNN\tB-NP\tO' -p366492 -aS'of\tof\tIN\tB-PP\tO' -p366493 -aS'life\tlife\tNN\tB-NP\tO' -p366494 -aS'five\tfive\tCD\tI-NP\tO' -p366495 -aS'transitioned\ttransitione\tVBN\tB-VP\tO' -p366496 -aS'to\tto\tTO\tB-PP\tO' -p366497 -aS'room\troom\tNN\tB-NP\tO' -p366498 -aS'air\tair\tNN\tI-NP\tO' -p366499 -aS'where\twhere\tWRB\tB-ADVP\tO' -p366500 -aS'he\the\tPRP\tB-NP\tO' -p366501 -aS'currently\tcurrently\tRB\tB-ADVP\tO' -p366502 -aS'remains\tremain\tVBZ\tB-VP\tO' -p366503 -aS'.\t.\t.\tO\tO' -p366504 -asS'She underwent her CT scan .' -p366505 -(lp366506 -S'She\tShe\tPRP\tB-NP\tO' -p366507 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p366508 -aS'her\ther\tPRP$\tB-NP\tO' -p366509 -aS'CT\tCT\tNN\tI-NP\tO' -p366510 -aS'scan\tscan\tNN\tI-NP\tO' -p366511 -aS'.\t.\t.\tO\tO' -p366512 -asS'He was reported to have a seizure , although the nature of this was unclear , and received Valium for this .' -p366513 -(lp366514 -S'He\tHe\tPRP\tB-NP\tO' -p366515 -aS'was\tbe\tVBD\tB-VP\tO' -p366516 -aS'reported\treport\tVBN\tI-VP\tO' -p366517 -aS'to\tto\tTO\tI-VP\tO' -p366518 -aS'have\thave\tVB\tI-VP\tO' -p366519 -aS'a\ta\tDT\tB-NP\tO' -p366520 -aS'seizure\tseizure\tNN\tI-NP\tO' -p366521 -aS',\t,\t,\tO\tO' -p366522 -aS'although\talthough\tIN\tB-SBAR\tO' -p366523 -aS'the\tthe\tDT\tB-NP\tO' -p366524 -aS'nature\tnature\tNN\tI-NP\tO' -p366525 -aS'of\tof\tIN\tB-PP\tO' -p366526 -aS'this\tthis\tDT\tB-NP\tO' -p366527 -aS'was\tbe\tVBD\tB-VP\tO' -p366528 -aS'unclear\tunclear\tJJ\tB-ADJP\tO' -p366529 -aS',\t,\t,\tO\tO' -p366530 -aS'and\tand\tCC\tO\tO' -p366531 -aS'received\treceive\tVBD\tB-VP\tO' -p366532 -aS'Valium\tValium\tNNP\tB-NP\tO' -p366533 -aS'for\tfor\tIN\tB-PP\tO' -p366534 -aS'this\tthis\tDT\tB-NP\tO' -p366535 -aS'.\t.\t.\tO\tO' -p366536 -asS'He was also short of breath with ambulation , but he does have baseline shortness of breath with exertion .' -p366537 -(lp366538 -S'He\tHe\tPRP\tB-NP\tO' -p366539 -aS'was\tbe\tVBD\tB-VP\tO' -p366540 -aS'also\talso\tRB\tB-ADVP\tO' -p366541 -aS'short\tshort\tJJ\tB-ADJP\tO' -p366542 -aS'of\tof\tIN\tB-PP\tO' -p366543 -aS'breath\tbreath\tNN\tB-NP\tO' -p366544 -aS'with\twith\tIN\tB-PP\tO' -p366545 -aS'ambulation\tambulation\tNN\tB-NP\tO' -p366546 -aS',\t,\t,\tO\tO' -p366547 -aS'but\tbut\tCC\tO\tO' -p366548 -aS'he\the\tPRP\tB-NP\tO' -p366549 -aS'does\tdo\tVBZ\tB-VP\tO' -p366550 -aS'have\thave\tVB\tI-VP\tO' -p366551 -aS'baseline\tbaseline\tNN\tB-NP\tO' -p366552 -aS'shortness\tshortness\tNN\tI-NP\tO' -p366553 -aS'of\tof\tIN\tB-PP\tO' -p366554 -aS'breath\tbreath\tNN\tB-NP\tO' -p366555 -aS'with\twith\tIN\tB-PP\tO' -p366556 -aS'exertion\texertion\tNN\tB-NP\tO' -p366557 -aS'.\t.\t.\tO\tO' -p366558 -asS'7. Hypertension .' -p366559 -(lp366560 -S'7.\t7.\tCD\tB-NP\tO' -p366561 -aS'Hypertension\tHypertension\tNN\tI-NP\tO' -p366562 -aS'.\t.\t.\tO\tO' -p366563 -asS'Blood pressure in the left arm demonstrated 125/89 , blood pressure in the right arm was 177/119 .' -p366564 -(lp366565 -S'Blood\tBlood\tNN\tB-NP\tO' -p366566 -aS'pressure\tpressure\tNN\tI-NP\tO' -p366567 -aS'in\tin\tIN\tB-PP\tO' -p366568 -aS'the\tthe\tDT\tB-NP\tO' -p366569 -aS'left\tleft\tJJ\tI-NP\tB-DNA' -p366570 -aS'arm\tarm\tNN\tI-NP\tI-DNA' -p366571 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tI-DNA' -p366572 -aS'125/89\t125/89\tCD\tB-NP\tI-DNA' -p366573 -aS',\t,\t,\tO\tO' -p366574 -aS'blood\tblood\tNN\tB-NP\tO' -p366575 -aS'pressure\tpressure\tNN\tI-NP\tO' -p366576 -aS'in\tin\tIN\tB-PP\tO' -p366577 -aS'the\tthe\tDT\tB-NP\tO' -p366578 -aS'right\tright\tJJ\tI-NP\tB-DNA' -p366579 -aS'arm\tarm\tNN\tI-NP\tI-DNA' -p366580 -aS'was\tbe\tVBD\tB-VP\tI-DNA' -p366581 -aS'177/119\t177/119\tCD\tB-NP\tI-DNA' -p366582 -aS'.\t.\t.\tO\tO' -p366583 -asS'No active bleeding was observed .' -p366584 -(lp366585 -S'No\tNo\tDT\tB-NP\tO' -p366586 -aS'active\tactive\tJJ\tI-NP\tO' -p366587 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p366588 -aS'was\tbe\tVBD\tB-VP\tO' -p366589 -aS'observed\tobserve\tVBN\tI-VP\tO' -p366590 -aS'.\t.\t.\tO\tO' -p366591 -asS'Nonetheless , Mr. Less continued to remain critically ill with only very transient mild improvement with drainage of additional retroperitoneal fluid .' -p366592 -(lp366593 -S'Nonetheless\tNonetheless\tRB\tB-ADVP\tO' -p366594 -aS',\t,\t,\tO\tO' -p366595 -aS'Mr.\tMr.\tNNP\tB-NP\tO' -p366596 -aS'Less\tLess\tNNP\tI-NP\tO' -p366597 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p366598 -aS'to\tto\tTO\tI-VP\tO' -p366599 -aS'remain\tremain\tVB\tI-VP\tO' -p366600 -aS'critically\tcritically\tRB\tB-ADVP\tO' -p366601 -aS'ill\till\tRB\tI-ADVP\tO' -p366602 -aS'with\twith\tIN\tB-PP\tO' -p366603 -aS'only\tonly\tRB\tB-NP\tO' -p366604 -aS'very\tvery\tRB\tI-NP\tO' -p366605 -aS'transient\ttransient\tJJ\tI-NP\tO' -p366606 -aS'mild\tmild\tJJ\tI-NP\tO' -p366607 -aS'improvement\timprovement\tNN\tI-NP\tO' -p366608 -aS'with\twith\tIN\tB-PP\tO' -p366609 -aS'drainage\tdrainage\tNN\tB-NP\tO' -p366610 -aS'of\tof\tIN\tB-PP\tO' -p366611 -aS'additional\tadditional\tJJ\tB-NP\tO' -p366612 -aS'retroperitoneal\tretroperitoneal\tJJ\tI-NP\tO' -p366613 -aS'fluid\tfluid\tNN\tI-NP\tO' -p366614 -aS'.\t.\t.\tO\tO' -p366615 -asS'She was raised in multiple foster care homes because her mother could not care for her .' -p366616 -(lp366617 -S'She\tShe\tPRP\tB-NP\tO' -p366618 -aS'was\tbe\tVBD\tB-VP\tO' -p366619 -aS'raised\traise\tVBN\tI-VP\tO' -p366620 -aS'in\tin\tIN\tB-PP\tO' -p366621 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p366622 -aS'foster\tfoster\tJJ\tI-NP\tO' -p366623 -aS'care\tcare\tNN\tI-NP\tO' -p366624 -aS'homes\thome\tNNS\tI-NP\tO' -p366625 -aS'because\tbecause\tIN\tB-SBAR\tO' -p366626 -aS'her\ther\tPRP$\tB-NP\tO' -p366627 -aS'mother\tmother\tNN\tI-NP\tO' -p366628 -aS'could\tcould\tMD\tB-VP\tO' -p366629 -aS'not\tnot\tRB\tI-VP\tO' -p366630 -aS'care\tcare\tVB\tI-VP\tO' -p366631 -aS'for\tfor\tIN\tB-PP\tO' -p366632 -aS'her\ther\tPRP\tB-NP\tO' -p366633 -aS'.\t.\t.\tO\tO' -p366634 -asS'They requested that he follow up in three to five weeks for endurance training , however then physical therapy followed him a number of times afterward and decided that he was in good condition and did not need further physical therapy .' -p366635 -(lp366636 -S'They\tThey\tPRP\tB-NP\tO' -p366637 -aS'requested\trequest\tVBD\tB-VP\tO' -p366638 -aS'that\tthat\tIN\tB-SBAR\tO' -p366639 -aS'he\the\tPRP\tB-NP\tO' -p366640 -aS'follow\tfollow\tVB\tB-VP\tO' -p366641 -aS'up\tup\tRP\tB-PRT\tO' -p366642 -aS'in\tin\tIN\tB-PP\tO' -p366643 -aS'three\tthree\tCD\tB-NP\tO' -p366644 -aS'to\tto\tTO\tI-NP\tO' -p366645 -aS'five\tfive\tCD\tI-NP\tO' -p366646 -aS'weeks\tweek\tNNS\tI-NP\tO' -p366647 -aS'for\tfor\tIN\tB-PP\tO' -p366648 -aS'endurance\tendurance\tNN\tB-NP\tO' -p366649 -aS'training\ttraining\tNN\tI-NP\tO' -p366650 -aS',\t,\t,\tO\tO' -p366651 -aS'however\thowever\tRB\tB-ADVP\tO' -p366652 -aS'then\tthen\tRB\tB-ADVP\tO' -p366653 -aS'physical\tphysical\tJJ\tB-NP\tO' -p366654 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p366655 -aS'followed\tfollow\tVBD\tB-VP\tO' -p366656 -aS'him\thim\tPRP\tB-NP\tO' -p366657 -aS'a\ta\tDT\tB-NP\tO' -p366658 -aS'number\tnumber\tNN\tI-NP\tO' -p366659 -aS'of\tof\tIN\tB-PP\tO' -p366660 -aS'times\ttime\tNNS\tB-NP\tO' -p366661 -aS'afterward\tafterward\tRB\tB-ADVP\tO' -p366662 -aS'and\tand\tCC\tO\tO' -p366663 -aS'decided\tdecide\tVBD\tB-VP\tO' -p366664 -aS'that\tthat\tIN\tB-SBAR\tO' -p366665 -aS'he\the\tPRP\tB-NP\tO' -p366666 -aS'was\tbe\tVBD\tB-VP\tO' -p366667 -aS'in\tin\tIN\tB-PP\tO' -p366668 -aS'good\tgood\tJJ\tB-NP\tO' -p366669 -aS'condition\tcondition\tNN\tI-NP\tO' -p366670 -aS'and\tand\tCC\tO\tO' -p366671 -aS'did\tdo\tVBD\tB-VP\tO' -p366672 -aS'not\tnot\tRB\tI-VP\tO' -p366673 -aS'need\tneed\tVB\tI-VP\tO' -p366674 -aS'further\tfurther\tJJ\tB-NP\tO' -p366675 -aS'physical\tphysical\tJJ\tI-NP\tO' -p366676 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p366677 -aS'.\t.\t.\tO\tO' -p366678 -asS'Your losartan has increased to 50 mg a day .' -p366679 -(lp366680 -S'Your\tYour\tPRP$\tB-NP\tO' -p366681 -aS'losartan\tlosartan\tNN\tI-NP\tO' -p366682 -aS'has\thave\tVBZ\tB-VP\tO' -p366683 -aS'increased\tincrease\tVBN\tI-VP\tO' -p366684 -aS'to\tto\tTO\tB-PP\tO' -p366685 -aS'50\t50\tCD\tB-NP\tO' -p366686 -aS'mg\tmg\tNN\tI-NP\tO' -p366687 -aS'a\ta\tDT\tB-NP\tO' -p366688 -aS'day\tday\tNN\tI-NP\tO' -p366689 -aS'.\t.\t.\tO\tO' -p366690 -asS'The patient was admitted for intravenous antibiotics and a question of evaluation of circulation to the left great toe and also possible debridement and possibly a toe amputation .' -p366691 -(lp366692 -S'The\tThe\tDT\tB-NP\tO' -p366693 -aS'patient\tpatient\tNN\tI-NP\tO' -p366694 -aS'was\tbe\tVBD\tB-VP\tO' -p366695 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p366696 -aS'for\tfor\tIN\tB-PP\tO' -p366697 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p366698 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p366699 -aS'and\tand\tCC\tO\tO' -p366700 -aS'a\ta\tDT\tB-NP\tO' -p366701 -aS'question\tquestion\tNN\tI-NP\tO' -p366702 -aS'of\tof\tIN\tB-PP\tO' -p366703 -aS'evaluation\tevaluation\tNN\tB-NP\tO' -p366704 -aS'of\tof\tIN\tB-PP\tO' -p366705 -aS'circulation\tcirculation\tNN\tB-NP\tO' -p366706 -aS'to\tto\tTO\tB-PP\tO' -p366707 -aS'the\tthe\tDT\tB-NP\tO' -p366708 -aS'left\tleft\tJJ\tI-NP\tO' -p366709 -aS'great\tgreat\tJJ\tI-NP\tO' -p366710 -aS'toe\ttoe\tNN\tI-NP\tO' -p366711 -aS'and\tand\tCC\tO\tO' -p366712 -aS'also\talso\tRB\tB-ADVP\tO' -p366713 -aS'possible\tpossible\tJJ\tB-NP\tO' -p366714 -aS'debridement\tdebridement\tNN\tI-NP\tO' -p366715 -aS'and\tand\tCC\tO\tO' -p366716 -aS'possibly\tpossibly\tRB\tB-ADVP\tO' -p366717 -aS'a\ta\tDT\tB-NP\tO' -p366718 -aS'toe\ttoe\tNN\tI-NP\tO' -p366719 -aS'amputation\tamputation\tNN\tI-NP\tO' -p366720 -aS'.\t.\t.\tO\tO' -p366721 -asS'Compressions were continued and adequate pulse was felt and arterial blood gases demonstrated adequate oxygenation and perfusion .' -p366722 -(lp366723 -S'Compressions\tCompression\tNNS\tB-NP\tO' -p366724 -aS'were\tbe\tVBD\tB-VP\tO' -p366725 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p366726 -aS'and\tand\tCC\tO\tO' -p366727 -aS'adequate\tadequate\tJJ\tB-NP\tO' -p366728 -aS'pulse\tpulse\tNN\tI-NP\tO' -p366729 -aS'was\tbe\tVBD\tB-VP\tO' -p366730 -aS'felt\tfeel\tVBN\tI-VP\tO' -p366731 -aS'and\tand\tCC\tO\tO' -p366732 -aS'arterial\tarterial\tJJ\tB-NP\tB-protein' -p366733 -aS'blood\tblood\tNN\tI-NP\tI-protein' -p366734 -aS'gases\tgas\tNNS\tI-NP\tI-protein' -p366735 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p366736 -aS'adequate\tadequate\tJJ\tB-NP\tO' -p366737 -aS'oxygenation\toxygenation\tNN\tI-NP\tO' -p366738 -aS'and\tand\tCC\tI-NP\tO' -p366739 -aS'perfusion\tperfusion\tNN\tI-NP\tO' -p366740 -aS'.\t.\t.\tO\tO' -p366741 -asS'Because of her ABG , and declining clinical status , the CCU was notified for possible transfer .' -p366742 -(lp366743 -S'Because\tBecause\tIN\tB-PP\tO' -p366744 -aS'of\tof\tIN\tI-PP\tO' -p366745 -aS'her\ther\tPRP$\tB-NP\tO' -p366746 -aS'ABG\tABG\tNN\tI-NP\tO' -p366747 -aS',\t,\t,\tO\tO' -p366748 -aS'and\tand\tCC\tO\tO' -p366749 -aS'declining\tdecline\tVBG\tB-VP\tO' -p366750 -aS'clinical\tclinical\tJJ\tB-NP\tO' -p366751 -aS'status\tstatus\tNN\tI-NP\tO' -p366752 -aS',\t,\t,\tO\tO' -p366753 -aS'the\tthe\tDT\tB-NP\tO' -p366754 -aS'CCU\tCCU\tNN\tI-NP\tB-DNA' -p366755 -aS'was\tbe\tVBD\tB-VP\tO' -p366756 -aS'notified\tnotify\tVBN\tI-VP\tO' -p366757 -aS'for\tfor\tIN\tB-PP\tO' -p366758 -aS'possible\tpossible\tJJ\tB-NP\tO' -p366759 -aS'transfer\ttransfer\tNN\tI-NP\tO' -p366760 -aS'.\t.\t.\tO\tO' -p366761 -asS'Currently pt denies sensory deficits or weakness .' -p366762 -(lp366763 -S'Currently\tCurrently\tRB\tB-NP\tO' -p366764 -aS'pt\tpt\tNN\tI-NP\tO' -p366765 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p366766 -aS'sensory\tsensory\tJJ\tB-NP\tO' -p366767 -aS'deficits\tdeficit\tNNS\tI-NP\tO' -p366768 -aS'or\tor\tCC\tI-NP\tO' -p366769 -aS'weakness\tweakness\tNN\tI-NP\tO' -p366770 -aS'.\t.\t.\tO\tO' -p366771 -asS'Pt denies abuse or loc associated w / fall , but has noticed several recent falls .' -p366772 -(lp366773 -S'Pt\tPt\tNN\tB-NP\tO' -p366774 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p366775 -aS'abuse\tabuse\tNN\tB-NP\tO' -p366776 -aS'or\tor\tCC\tI-NP\tO' -p366777 -aS'loc\tloc\tNN\tI-NP\tO' -p366778 -aS'associated\tassociate\tVBN\tI-NP\tO' -p366779 -aS'w\tw\tNN\tI-NP\tO' -p366780 -aS'/\t/\tSYM\tI-NP\tO' -p366781 -aS'fall\tfall\tNN\tI-NP\tO' -p366782 -aS',\t,\t,\tO\tO' -p366783 -aS'but\tbut\tCC\tO\tO' -p366784 -aS'has\thave\tVBZ\tB-VP\tO' -p366785 -aS'noticed\tnotice\tVBN\tI-VP\tO' -p366786 -aS'several\tseveral\tJJ\tB-NP\tO' -p366787 -aS'recent\trecent\tJJ\tI-NP\tO' -p366788 -aS'falls\tfall\tNNS\tI-NP\tO' -p366789 -aS'.\t.\t.\tO\tO' -p366790 -asS'Gen : WD/WN male , comfortable appearing , intubated , not sedated .' -p366791 -(lp366792 -S'Gen\tGen\tNNP\tB-NP\tO' -p366793 -aS':\t:\t:\tO\tO' -p366794 -aS'WD/WN\tWD/WN\tNN\tB-NP\tO' -p366795 -aS'male\tmale\tJJ\tI-NP\tO' -p366796 -aS',\t,\t,\tI-NP\tO' -p366797 -aS'comfortable\tcomfortable\tJJ\tI-NP\tO' -p366798 -aS'appearing\tappear\tVBG\tI-NP\tO' -p366799 -aS',\t,\t,\tO\tO' -p366800 -aS'intubated\tintubate\tVBN\tB-NP\tO' -p366801 -aS',\t,\t,\tI-NP\tO' -p366802 -aS'not\tnot\tRB\tI-NP\tO' -p366803 -aS'sedated\tsedate\tVBN\tI-NP\tO' -p366804 -aS'.\t.\t.\tO\tO' -p366805 -asS'The patient was admitted on December 5 , 1997 and underwent left lung wedge thoracoscopic resection and bronchoscopy .' -p366806 -(lp366807 -S'The\tThe\tDT\tB-NP\tO' -p366808 -aS'patient\tpatient\tNN\tI-NP\tO' -p366809 -aS'was\tbe\tVBD\tB-VP\tO' -p366810 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p366811 -aS'on\ton\tIN\tB-PP\tO' -p366812 -aS'December\tDecember\tNNP\tB-NP\tO' -p366813 -aS'5\t5\tCD\tI-NP\tO' -p366814 -aS',\t,\t,\tI-NP\tO' -p366815 -aS'1997\t1997\tCD\tI-NP\tO' -p366816 -aS'and\tand\tCC\tO\tO' -p366817 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p366818 -aS'left\tleft\tJJ\tB-NP\tO' -p366819 -aS'lung\tlung\tNN\tI-NP\tO' -p366820 -aS'wedge\twedge\tNN\tI-NP\tO' -p366821 -aS'thoracoscopic\tthoracoscopic\tJJ\tI-NP\tO' -p366822 -aS'resection\tresection\tNN\tI-NP\tO' -p366823 -aS'and\tand\tCC\tI-NP\tO' -p366824 -aS'bronchoscopy\tbronchoscopy\tNN\tI-NP\tO' -p366825 -aS'.\t.\t.\tO\tO' -p366826 -asS'1. Coumadin 5 mg PO q.day , then she will follow up with her primary care physician and decide the dosage thereafter ,' -p366827 -(lp366828 -S'1.\t1.\tLS\tB-LST\tO' -p366829 -aS'Coumadin\tCoumadin\tNN\tB-NP\tO' -p366830 -aS'5\t5\tCD\tI-NP\tO' -p366831 -aS'mg\tmg\tNN\tI-NP\tO' -p366832 -aS'PO\tPO\tNN\tI-NP\tO' -p366833 -aS'q.day\tq.day\tNN\tI-NP\tO' -p366834 -aS',\t,\t,\tO\tO' -p366835 -aS'then\tthen\tRB\tB-ADVP\tO' -p366836 -aS'she\tshe\tPRP\tB-NP\tO' -p366837 -aS'will\twill\tMD\tB-VP\tO' -p366838 -aS'follow\tfollow\tVB\tI-VP\tO' -p366839 -aS'up\tup\tRP\tB-PRT\tO' -p366840 -aS'with\twith\tIN\tB-PP\tO' -p366841 -aS'her\ther\tPRP$\tB-NP\tO' -p366842 -aS'primary\tprimary\tJJ\tI-NP\tO' -p366843 -aS'care\tcare\tNN\tI-NP\tO' -p366844 -aS'physician\tphysician\tNN\tI-NP\tO' -p366845 -aS'and\tand\tCC\tO\tO' -p366846 -aS'decide\tdecide\tVB\tB-VP\tO' -p366847 -aS'the\tthe\tDT\tB-NP\tO' -p366848 -aS'dosage\tdosage\tNN\tI-NP\tO' -p366849 -aS'thereafter\tthereafter\tRB\tB-ADVP\tO' -p366850 -aS',\t,\t,\tO\tO' -p366851 -asS'Three discrete lesions are seen within the left frontal , right occipital , and left parietal lobes with significant surrounding vasogenic edema .' -p366852 -(lp366853 -S'Three\tThree\tCD\tB-NP\tO' -p366854 -aS'discrete\tdiscrete\tJJ\tI-NP\tO' -p366855 -aS'lesions\tlesion\tNNS\tI-NP\tO' -p366856 -aS'are\tbe\tVBP\tB-VP\tO' -p366857 -aS'seen\tsee\tVBN\tI-VP\tO' -p366858 -aS'within\twithin\tIN\tB-PP\tO' -p366859 -aS'the\tthe\tDT\tB-NP\tO' -p366860 -aS'left\tleft\tJJ\tI-NP\tO' -p366861 -aS'frontal\tfrontal\tJJ\tI-NP\tO' -p366862 -aS',\t,\t,\tI-NP\tO' -p366863 -aS'right\tright\tJJ\tI-NP\tO' -p366864 -aS'occipital\toccipital\tNN\tI-NP\tO' -p366865 -aS',\t,\t,\tO\tO' -p366866 -aS'and\tand\tCC\tO\tO' -p366867 -aS'left\tleave\tVBD\tB-VP\tO' -p366868 -aS'parietal\tparietal\tJJ\tB-NP\tO' -p366869 -aS'lobes\tlobe\tNNS\tI-NP\tO' -p366870 -aS'with\twith\tIN\tB-PP\tO' -p366871 -aS'significant\tsignificant\tJJ\tB-NP\tO' -p366872 -aS'surrounding\tsurround\tVBG\tI-NP\tO' -p366873 -aS'vasogenic\tvasogenic\tJJ\tI-NP\tO' -p366874 -aS'edema\tedema\tNN\tI-NP\tO' -p366875 -aS'.\t.\t.\tO\tO' -p366876 -asS'14. Levofloxacin 500 mg p.o. q.d. for 10 more days .' -p366877 -(lp366878 -S'14.\t14.\tCD\tB-NP\tO' -p366879 -aS'Levofloxacin\tLevofloxacin\tNN\tI-NP\tO' -p366880 -aS'500\t500\tCD\tB-NP\tO' -p366881 -aS'mg\tmg\tNN\tI-NP\tO' -p366882 -aS'p.o.\tp.o.\tNN\tI-NP\tO' -p366883 -aS'q.d.\tq.d.\tNN\tI-NP\tO' -p366884 -aS'for\tfor\tIN\tB-PP\tO' -p366885 -aS'10\t10\tCD\tB-NP\tO' -p366886 -aS'more\tmore\tJJR\tI-NP\tO' -p366887 -aS'days\tday\tNNS\tI-NP\tO' -p366888 -aS'.\t.\t.\tO\tO' -p366889 -asS'We recommend that you do NOT resume your lovenox until talking to your PCP , Dr. Jessie .' -p366890 -(lp366891 -S'We\tWe\tPRP\tB-NP\tO' -p366892 -aS'recommend\trecommend\tVBP\tB-VP\tO' -p366893 -aS'that\tthat\tIN\tB-SBAR\tO' -p366894 -aS'you\tyou\tPRP\tB-NP\tO' -p366895 -aS'do\tdo\tVBP\tB-VP\tO' -p366896 -aS'NOT\tNOT\tRB\tI-VP\tO' -p366897 -aS'resume\tresume\tVB\tI-VP\tO' -p366898 -aS'your\tyour\tPRP$\tB-NP\tO' -p366899 -aS'lovenox\tlovenox\tNN\tI-NP\tO' -p366900 -aS'until\tuntil\tIN\tB-SBAR\tO' -p366901 -aS'talking\ttalk\tVBG\tB-VP\tO' -p366902 -aS'to\tto\tTO\tB-PP\tO' -p366903 -aS'your\tyour\tPRP$\tB-NP\tO' -p366904 -aS'PCP\tPCP\tNN\tI-NP\tB-DNA' -p366905 -aS',\t,\t,\tO\tO' -p366906 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p366907 -aS'Jessie\tJessie\tNNP\tI-NP\tO' -p366908 -aS'.\t.\t.\tO\tO' -p366909 -asS'Coumadin 4 mgs po qhs , Vasotec 5 mgs po qd , Lasix prn , Digoxin 0.25 mgs poqd , Proscar and Sinemet .' -p366910 -(lp366911 -S'Coumadin\tCoumadin\tNN\tB-NP\tO' -p366912 -aS'4\t4\tCD\tI-NP\tO' -p366913 -aS'mgs\tmg\tNNS\tI-NP\tO' -p366914 -aS'po\tpo\tNN\tI-NP\tO' -p366915 -aS'qhs\tqh\tNNS\tI-NP\tO' -p366916 -aS',\t,\t,\tO\tO' -p366917 -aS'Vasotec\tVasotec\tNNP\tB-NP\tO' -p366918 -aS'5\t5\tCD\tI-NP\tO' -p366919 -aS'mgs\tmg\tNNS\tI-NP\tO' -p366920 -aS'po\tpo\tNN\tI-NP\tO' -p366921 -aS'qd\tqd\tNN\tI-NP\tO' -p366922 -aS',\t,\t,\tO\tO' -p366923 -aS'Lasix\tLasix\tNNP\tB-NP\tO' -p366924 -aS'prn\tprn\tNN\tI-NP\tO' -p366925 -aS',\t,\t,\tO\tO' -p366926 -aS'Digoxin\tDigoxin\tNN\tB-NP\tO' -p366927 -aS'0.25\t0.25\tCD\tI-NP\tO' -p366928 -aS'mgs\tmg\tNNS\tI-NP\tO' -p366929 -aS'poqd\tpoqd\tNN\tI-NP\tO' -p366930 -aS',\t,\t,\tO\tO' -p366931 -aS'Proscar\tProscar\tNNP\tB-NP\tO' -p366932 -aS'and\tand\tCC\tI-NP\tO' -p366933 -aS'Sinemet\tSinemet\tNNP\tI-NP\tO' -p366934 -aS'.\t.\t.\tO\tO' -p366935 -asS'4. The aortic valve leaflets ( 3 ) are mildly thickened .' -p366936 -(lp366937 -S'4.\t4.\tLS\tB-LST\tO' -p366938 -aS'The\tThe\tDT\tB-NP\tO' -p366939 -aS'aortic\taortic\tJJ\tI-NP\tO' -p366940 -aS'valve\tvalve\tNN\tI-NP\tO' -p366941 -aS'leaflets\tleaflet\tNNS\tI-NP\tO' -p366942 -aS'(\t(\t(\tO\tO' -p366943 -aS'3\t3\tCD\tB-NP\tO' -p366944 -aS')\t)\t)\tO\tO' -p366945 -aS'are\tbe\tVBP\tB-VP\tO' -p366946 -aS'mildly\tmildly\tRB\tI-VP\tO' -p366947 -aS'thickened\tthicken\tVBN\tI-VP\tO' -p366948 -aS'.\t.\t.\tO\tO' -p366949 -asS'She underwent cardiac catheterization on 8-15-93 and was found to have a left ventricular end diastolic pressure of 28 millimeters of mercury .' -p366950 -(lp366951 -S'She\tShe\tPRP\tB-NP\tO' -p366952 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p366953 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p366954 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p366955 -aS'on\ton\tIN\tB-PP\tO' -p366956 -aS'8-15-93\t8-15-93\tCD\tB-NP\tO' -p366957 -aS'and\tand\tCC\tO\tO' -p366958 -aS'was\tbe\tVBD\tB-VP\tO' -p366959 -aS'found\tfind\tVBN\tI-VP\tO' -p366960 -aS'to\tto\tTO\tI-VP\tO' -p366961 -aS'have\thave\tVB\tI-VP\tO' -p366962 -aS'a\ta\tDT\tB-NP\tO' -p366963 -aS'left\tleft\tJJ\tI-NP\tO' -p366964 -aS'ventricular\tventricular\tJJ\tI-NP\tO' -p366965 -aS'end\tend\tNN\tI-NP\tO' -p366966 -aS'diastolic\tdiastolic\tJJ\tI-NP\tO' -p366967 -aS'pressure\tpressure\tNN\tI-NP\tO' -p366968 -aS'of\tof\tIN\tB-PP\tO' -p366969 -aS'28\t28\tCD\tB-NP\tO' -p366970 -aS'millimeters\tmillimeter\tNNS\tI-NP\tO' -p366971 -aS'of\tof\tIN\tB-PP\tO' -p366972 -aS'mercury\tmercury\tNN\tB-NP\tO' -p366973 -aS'.\t.\t.\tO\tO' -p366974 -asS'Mr. Kammerer was a same day admit and on 10-25 was brought to the operating room where he underwent a coronary artery bypass graft x 3 .' -p366975 -(lp366976 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p366977 -aS'Kammerer\tKammerer\tNNP\tI-NP\tO' -p366978 -aS'was\tbe\tVBD\tB-VP\tO' -p366979 -aS'a\ta\tDT\tB-NP\tO' -p366980 -aS'same\tsame\tJJ\tI-NP\tO' -p366981 -aS'day\tday\tNN\tI-NP\tO' -p366982 -aS'admit\tadmit\tNN\tI-NP\tO' -p366983 -aS'and\tand\tCC\tB-PP\tO' -p366984 -aS'on\ton\tIN\tB-PP\tO' -p366985 -aS'10-25\t10-25\tCD\tB-NP\tO' -p366986 -aS'was\tbe\tVBD\tB-VP\tO' -p366987 -aS'brought\tbring\tVBN\tI-VP\tO' -p366988 -aS'to\tto\tTO\tB-PP\tO' -p366989 -aS'the\tthe\tDT\tB-NP\tO' -p366990 -aS'operating\toperating\tNN\tI-NP\tO' -p366991 -aS'room\troom\tNN\tI-NP\tO' -p366992 -aS'where\twhere\tWRB\tB-ADVP\tO' -p366993 -aS'he\the\tPRP\tB-NP\tO' -p366994 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p366995 -aS'a\ta\tDT\tB-NP\tO' -p366996 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p366997 -aS'artery\tartery\tNN\tI-NP\tO' -p366998 -aS'bypass\tbypass\tIN\tB-PP\tO' -p366999 -aS'graft\tgraft\tNN\tB-NP\tB-protein' -p367000 -aS'x\tx\tSYM\tB-NP\tI-protein' -p367001 -aS'3\t3\tCD\tI-NP\tI-protein' -p367002 -aS'.\t.\t.\tO\tO' -p367003 -asS'Ejection fraction was 60% .' -p367004 -(lp367005 -S'Ejection\tEjection\tNN\tB-NP\tO' -p367006 -aS'fraction\tfraction\tNN\tI-NP\tO' -p367007 -aS'was\tbe\tVBD\tB-VP\tO' -p367008 -aS'60%\t60%\tCD\tB-NP\tO' -p367009 -aS'.\t.\t.\tO\tO' -p367010 -asS'HEENT : NC/AT , PERRL , EOMI .' -p367011 -(lp367012 -S'HEENT\tHEENT\tNN\tB-NP\tO' -p367013 -aS':\t:\t:\tO\tO' -p367014 -aS'NC/AT\tNC/AT\tNN\tB-NP\tB-protein' -p367015 -aS',\t,\t,\tO\tO' -p367016 -aS'PERRL\tPERRL\tNN\tB-NP\tB-protein' -p367017 -aS',\t,\t,\tO\tO' -p367018 -aS'EOMI\tEOMI\tNN\tB-NP\tB-protein' -p367019 -aS'.\t.\t.\tO\tO' -p367020 -asS'4. Diskectomy .' -p367021 -(lp367022 -S'4.\t4.\tLS\tB-NP\tO' -p367023 -aS'Diskectomy\tDiskectomy\tNN\tI-NP\tO' -p367024 -aS'.\t.\t.\tO\tO' -p367025 -asS'Chest actually had a 5 x 7 cm necrotic area on the left chest wall with some pus .' -p367026 -(lp367027 -S'Chest\tChest\tNNP\tB-NP\tO' -p367028 -aS'actually\tactually\tRB\tB-ADVP\tO' -p367029 -aS'had\thave\tVBD\tB-VP\tO' -p367030 -aS'a\ta\tDT\tB-NP\tO' -p367031 -aS'5\t5\tCD\tI-NP\tO' -p367032 -aS'x\tx\tSYM\tI-NP\tO' -p367033 -aS'7\t7\tCD\tI-NP\tO' -p367034 -aS'cm\tcm\tNN\tI-NP\tO' -p367035 -aS'necrotic\tnecrotic\tJJ\tI-NP\tO' -p367036 -aS'area\tarea\tNN\tI-NP\tO' -p367037 -aS'on\ton\tIN\tB-PP\tO' -p367038 -aS'the\tthe\tDT\tB-NP\tO' -p367039 -aS'left\tleft\tJJ\tI-NP\tO' -p367040 -aS'chest\tchest\tNN\tI-NP\tO' -p367041 -aS'wall\twall\tNN\tI-NP\tO' -p367042 -aS'with\twith\tIN\tB-PP\tO' -p367043 -aS'some\tsome\tDT\tB-NP\tO' -p367044 -aS'pus\tpus\tNN\tI-NP\tO' -p367045 -aS'.\t.\t.\tO\tO' -p367046 -asS'2. No acute intra-abdominal abnormalities identified .' -p367047 -(lp367048 -S'2.\t2.\tLS\tB-LST\tO' -p367049 -aS'No\tNo\tDT\tB-NP\tO' -p367050 -aS'acute\tacute\tJJ\tI-NP\tO' -p367051 -aS'intra-abdominal\tintra-abdominal\tJJ\tI-NP\tO' -p367052 -aS'abnormalities\tabnormality\tNNS\tI-NP\tO' -p367053 -aS'identified\tidentify\tVBN\tB-VP\tO' -p367054 -aS'.\t.\t.\tO\tO' -p367055 -asS'She is to undergo no strenuous activity until follow-up in 2 weeks .' -p367056 -(lp367057 -S'She\tShe\tPRP\tB-NP\tO' -p367058 -aS'is\tbe\tVBZ\tB-VP\tO' -p367059 -aS'to\tto\tTO\tB-VP\tO' -p367060 -aS'undergo\tundergo\tVB\tI-VP\tO' -p367061 -aS'no\tno\tDT\tB-NP\tO' -p367062 -aS'strenuous\tstrenuous\tJJ\tI-NP\tO' -p367063 -aS'activity\tactivity\tNN\tI-NP\tO' -p367064 -aS'until\tuntil\tIN\tB-PP\tO' -p367065 -aS'follow-up\tfollow-up\tNN\tB-NP\tO' -p367066 -aS'in\tin\tIN\tB-PP\tO' -p367067 -aS'2\t2\tCD\tB-NP\tO' -p367068 -aS'weeks\tweek\tNNS\tI-NP\tO' -p367069 -aS'.\t.\t.\tO\tO' -p367070 -asS'He had bilateral intertrigo in his femoral region as well as his axillae .' -p367071 -(lp367072 -S'He\tHe\tPRP\tB-NP\tO' -p367073 -aS'had\thave\tVBD\tB-VP\tO' -p367074 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p367075 -aS'intertrigo\tintertrigo\tNN\tI-NP\tO' -p367076 -aS'in\tin\tIN\tB-PP\tO' -p367077 -aS'his\this\tPRP$\tB-NP\tB-DNA' -p367078 -aS'femoral\tfemoral\tJJ\tI-NP\tI-DNA' -p367079 -aS'region\tregion\tNN\tI-NP\tI-DNA' -p367080 -aS'as\tas\tRB\tB-CONJP\tO' -p367081 -aS'well\twell\tRB\tI-CONJP\tO' -p367082 -aS'as\tas\tIN\tI-CONJP\tO' -p367083 -aS'his\this\tPRP$\tB-NP\tO' -p367084 -aS'axillae\taxilla\tNNS\tI-NP\tO' -p367085 -aS'.\t.\t.\tO\tO' -p367086 -asS'His initial CBC showed no left shift .' -p367087 -(lp367088 -S'His\tHis\tPRP$\tB-NP\tO' -p367089 -aS'initial\tinitial\tJJ\tI-NP\tO' -p367090 -aS'CBC\tCBC\tNN\tI-NP\tO' -p367091 -aS'showed\tshow\tVBD\tB-VP\tO' -p367092 -aS'no\tno\tDT\tB-NP\tO' -p367093 -aS'left\tleft\tJJ\tI-NP\tO' -p367094 -aS'shift\tshift\tNN\tI-NP\tO' -p367095 -aS'.\t.\t.\tO\tO' -p367096 -asS'Include Cardizem CD 180 mg daily ; Monopril 10 mg daily ; Digoxin .25 mg daily ; and Lasix 40 mg every other day .' -p367097 -(lp367098 -S'Include\tInclude\tNNP\tB-NP\tO' -p367099 -aS'Cardizem\tCardizem\tNNP\tI-NP\tO' -p367100 -aS'CD\tCD\tNNP\tI-NP\tO' -p367101 -aS'180\t180\tCD\tI-NP\tO' -p367102 -aS'mg\tmg\tNN\tI-NP\tO' -p367103 -aS'daily\tdaily\tJJ\tI-NP\tO' -p367104 -aS';\t;\t:\tO\tO' -p367105 -aS'Monopril\tMonopril\tNNP\tB-NP\tO' -p367106 -aS'10\t10\tCD\tI-NP\tO' -p367107 -aS'mg\tmg\tNN\tI-NP\tO' -p367108 -aS'daily\tdaily\tJJ\tI-NP\tO' -p367109 -aS';\t;\t:\tO\tO' -p367110 -aS'Digoxin\tDigoxin\tNN\tB-NP\tO' -p367111 -aS'.25\t.25\tCD\tI-NP\tO' -p367112 -aS'mg\tmg\tNN\tI-NP\tO' -p367113 -aS'daily\tdaily\tJJ\tI-NP\tO' -p367114 -aS';\t;\t:\tO\tO' -p367115 -aS'and\tand\tCC\tO\tO' -p367116 -aS'Lasix\tLasix\tNNP\tB-NP\tO' -p367117 -aS'40\t40\tCD\tI-NP\tO' -p367118 -aS'mg\tmg\tNN\tI-NP\tO' -p367119 -aS'every\tevery\tDT\tB-NP\tO' -p367120 -aS'other\tother\tJJ\tI-NP\tO' -p367121 -aS'day\tday\tNN\tI-NP\tO' -p367122 -aS'.\t.\t.\tO\tO' -p367123 -asS'This 82 year old retired engineer has had multiple admissions to the Ph University Of Medical Center for multiple strokes and a spontaneous subdural hematoma and prostatic hypertrophy .' -p367124 -(lp367125 -S'This\tThis\tDT\tB-NP\tO' -p367126 -aS'82\t82\tCD\tI-NP\tO' -p367127 -aS'year\tyear\tNN\tI-NP\tO' -p367128 -aS'old\told\tJJ\tI-NP\tO' -p367129 -aS'retired\tretired\tJJ\tI-NP\tO' -p367130 -aS'engineer\tengineer\tNN\tI-NP\tO' -p367131 -aS'has\thave\tVBZ\tB-VP\tO' -p367132 -aS'had\thave\tVBN\tI-VP\tO' -p367133 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p367134 -aS'admissions\tadmission\tNNS\tI-NP\tO' -p367135 -aS'to\tto\tTO\tB-PP\tO' -p367136 -aS'the\tthe\tDT\tB-NP\tO' -p367137 -aS'Ph\tPh\tNNP\tI-NP\tO' -p367138 -aS'University\tUniversity\tNNP\tI-NP\tO' -p367139 -aS'Of\tOf\tNNP\tI-NP\tO' -p367140 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p367141 -aS'Center\tCenter\tNNP\tI-NP\tO' -p367142 -aS'for\tfor\tIN\tB-PP\tO' -p367143 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p367144 -aS'strokes\tstroke\tNNS\tI-NP\tO' -p367145 -aS'and\tand\tCC\tO\tO' -p367146 -aS'a\ta\tDT\tB-NP\tO' -p367147 -aS'spontaneous\tspontaneous\tJJ\tI-NP\tO' -p367148 -aS'subdural\tsubdural\tJJ\tI-NP\tO' -p367149 -aS'hematoma\thematoma\tNN\tI-NP\tO' -p367150 -aS'and\tand\tCC\tO\tO' -p367151 -aS'prostatic\tprostatic\tJJ\tB-NP\tO' -p367152 -aS'hypertrophy\thypertrophy\tNN\tI-NP\tO' -p367153 -aS'.\t.\t.\tO\tO' -p367154 -asS'Married with two children .' -p367155 -(lp367156 -S'Married\tMarry\tVBN\tB-VP\tO' -p367157 -aS'with\twith\tIN\tB-PP\tO' -p367158 -aS'two\ttwo\tCD\tB-NP\tO' -p367159 -aS'children\tchild\tNNS\tI-NP\tO' -p367160 -aS'.\t.\t.\tO\tO' -p367161 -asS'15. Insulin NPH Human Recomb 100 unit / mL Suspension Sig : 2 UNITS Subcutaneous twice a day .' -p367162 -(lp367163 -S'15.\t15.\tLS\tB-NP\tO' -p367164 -aS'Insulin\tInsulin\tNN\tI-NP\tB-protein' -p367165 -aS'NPH\tNPH\tNN\tI-NP\tI-protein' -p367166 -aS'Human\tHuman\tJJ\tI-NP\tI-protein' -p367167 -aS'Recomb\tRecomb\tNN\tI-NP\tI-protein' -p367168 -aS'100\t100\tCD\tI-NP\tI-protein' -p367169 -aS'unit\tunit\tNN\tI-NP\tI-protein' -p367170 -aS'/\t/\tSYM\tB-NP\tO' -p367171 -aS'mL\tmL\tNN\tI-NP\tO' -p367172 -aS'Suspension\tSuspension\tNNP\tI-NP\tO' -p367173 -aS'Sig\tSig\tNNP\tI-NP\tO' -p367174 -aS':\t:\t:\tO\tO' -p367175 -aS'2\t2\tCD\tB-NP\tO' -p367176 -aS'UNITS\tUNITS\tNNP\tI-NP\tO' -p367177 -aS'Subcutaneous\tSubcutaneous\tNNP\tI-NP\tO' -p367178 -aS'twice\ttwice\tRB\tB-NP\tO' -p367179 -aS'a\ta\tDT\tI-NP\tO' -p367180 -aS'day\tday\tNN\tI-NP\tO' -p367181 -aS'.\t.\t.\tO\tO' -p367182 -asS"She was ultimately discharged with a heart rate in the 90 's , and with resolving edema and a clear chest ." -p367183 -(lp367184 -S'She\tShe\tPRP\tB-NP\tO' -p367185 -aS'was\tbe\tVBD\tB-VP\tO' -p367186 -aS'ultimately\tultimately\tRB\tI-VP\tO' -p367187 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p367188 -aS'with\twith\tIN\tB-PP\tO' -p367189 -aS'a\ta\tDT\tB-NP\tO' -p367190 -aS'heart\theart\tNN\tI-NP\tO' -p367191 -aS'rate\trate\tNN\tI-NP\tO' -p367192 -aS'in\tin\tIN\tB-PP\tO' -p367193 -aS'the\tthe\tDT\tB-NP\tO' -p367194 -aS'90\t90\tCD\tI-NP\tO' -p367195 -aS"'s\t's\tPOS\tB-NP\tO" -p367196 -aS',\t,\t,\tO\tO' -p367197 -aS'and\tand\tCC\tO\tO' -p367198 -aS'with\twith\tIN\tB-PP\tO' -p367199 -aS'resolving\tresolve\tVBG\tB-VP\tO' -p367200 -aS'edema\tedema\tNN\tB-NP\tO' -p367201 -aS'and\tand\tCC\tO\tO' -p367202 -aS'a\ta\tDT\tB-NP\tO' -p367203 -aS'clear\tclear\tJJ\tI-NP\tO' -p367204 -aS'chest\tchest\tNN\tI-NP\tO' -p367205 -aS'.\t.\t.\tO\tO' -p367206 -asS'He eloped prior to formal discharge when his FS was found to be critically high - recommended to patient that he stay for repeat , but left AMA without signing any forms .' -p367207 -(lp367208 -S'He\tHe\tPRP\tB-NP\tO' -p367209 -aS'eloped\telope\tVBD\tB-VP\tO' -p367210 -aS'prior\tprior\tJJ\tB-ADVP\tO' -p367211 -aS'to\tto\tTO\tB-PP\tO' -p367212 -aS'formal\tformal\tJJ\tB-NP\tO' -p367213 -aS'discharge\tdischarge\tNN\tI-NP\tO' -p367214 -aS'when\twhen\tWRB\tB-ADVP\tO' -p367215 -aS'his\this\tPRP$\tB-NP\tO' -p367216 -aS'FS\tFS\tNN\tI-NP\tB-protein' -p367217 -aS'was\tbe\tVBD\tB-VP\tO' -p367218 -aS'found\tfind\tVBN\tI-VP\tO' -p367219 -aS'to\tto\tTO\tI-VP\tO' -p367220 -aS'be\tbe\tVB\tI-VP\tO' -p367221 -aS'critically\tcritically\tRB\tB-ADJP\tO' -p367222 -aS'high\thigh\tJJ\tI-ADJP\tO' -p367223 -aS'-\t-\tHYPH\tO\tO' -p367224 -aS'recommended\trecommend\tVBN\tB-VP\tO' -p367225 -aS'to\tto\tTO\tB-PP\tO' -p367226 -aS'patient\tpatient\tNN\tB-NP\tO' -p367227 -aS'that\tthat\tIN\tB-SBAR\tO' -p367228 -aS'he\the\tPRP\tB-NP\tO' -p367229 -aS'stay\tstay\tVB\tB-VP\tO' -p367230 -aS'for\tfor\tIN\tB-PP\tO' -p367231 -aS'repeat\trepeat\tNN\tB-NP\tO' -p367232 -aS',\t,\t,\tO\tO' -p367233 -aS'but\tbut\tCC\tO\tO' -p367234 -aS'left\tleave\tVBD\tB-VP\tO' -p367235 -aS'AMA\tAMA\tNN\tB-NP\tO' -p367236 -aS'without\twithout\tIN\tB-PP\tO' -p367237 -aS'signing\tsign\tVBG\tB-VP\tO' -p367238 -aS'any\tany\tDT\tB-NP\tO' -p367239 -aS'forms\tform\tNNS\tI-NP\tO' -p367240 -aS'.\t.\t.\tO\tO' -p367241 -asS'12. Nystatin 100,000 unit / mL Suspension Sig : Five ( 5 ) ML PO QID ( 4 times a day ) .' -p367242 -(lp367243 -S'12.\t12.\tCD\tB-NP\tO' -p367244 -aS'Nystatin\tNystatin\tNN\tI-NP\tO' -p367245 -aS'100,000\t100,000\tCD\tB-NP\tO' -p367246 -aS'unit\tunit\tNN\tI-NP\tO' -p367247 -aS'/\t/\tSYM\tB-NP\tO' -p367248 -aS'mL\tmL\tNN\tI-NP\tO' -p367249 -aS'Suspension\tSuspension\tNNP\tI-NP\tO' -p367250 -aS'Sig\tSig\tNNP\tI-NP\tO' -p367251 -aS':\t:\t:\tO\tO' -p367252 -aS'Five\tFive\tCD\tB-NP\tO' -p367253 -aS'(\t(\t(\tO\tO' -p367254 -aS'5\t5\tCD\tB-NP\tO' -p367255 -aS')\t)\t)\tO\tO' -p367256 -aS'ML\tML\tNN\tB-NP\tO' -p367257 -aS'PO\tPO\tNN\tI-NP\tO' -p367258 -aS'QID\tQID\tNN\tI-NP\tO' -p367259 -aS'(\t(\t(\tO\tO' -p367260 -aS'4\t4\tCD\tB-NP\tO' -p367261 -aS'times\ttime\tNNS\tI-NP\tO' -p367262 -aS'a\ta\tDT\tB-NP\tO' -p367263 -aS'day\tday\tNN\tI-NP\tO' -p367264 -aS')\t)\t)\tO\tO' -p367265 -aS'.\t.\t.\tO\tO' -p367266 -asS'Breast milk Enfamil 20 po adlib as tolerated .' -p367267 -(lp367268 -S'Breast\tBreast\tNN\tB-NP\tO' -p367269 -aS'milk\tmilk\tNN\tI-NP\tO' -p367270 -aS'Enfamil\tEnfamil\tNNP\tB-NP\tO' -p367271 -aS'20\t20\tCD\tI-NP\tO' -p367272 -aS'po\tpo\tNN\tI-NP\tO' -p367273 -aS'adlib\tadlib\tNN\tI-NP\tO' -p367274 -aS'as\tas\tIN\tB-SBAR\tO' -p367275 -aS'tolerated\ttolerate\tVBN\tB-VP\tO' -p367276 -aS'.\t.\t.\tO\tO' -p367277 -asS'She will have a home health aide to visit and help her with meals .' -p367278 -(lp367279 -S'She\tShe\tPRP\tB-NP\tO' -p367280 -aS'will\twill\tMD\tB-VP\tO' -p367281 -aS'have\thave\tVB\tI-VP\tO' -p367282 -aS'a\ta\tDT\tB-NP\tO' -p367283 -aS'home\thome\tNN\tI-NP\tO' -p367284 -aS'health\thealth\tNN\tI-NP\tO' -p367285 -aS'aide\taide\tNN\tI-NP\tO' -p367286 -aS'to\tto\tTO\tB-VP\tO' -p367287 -aS'visit\tvisit\tVB\tI-VP\tO' -p367288 -aS'and\tand\tCC\tO\tO' -p367289 -aS'help\thelp\tVB\tB-VP\tO' -p367290 -aS'her\ther\tPRP\tB-NP\tO' -p367291 -aS'with\twith\tIN\tB-PP\tO' -p367292 -aS'meals\tmeal\tNNS\tB-NP\tO' -p367293 -aS'.\t.\t.\tO\tO' -p367294 -asS'The patient was transferred to the floor on 5/7 .' -p367295 -(lp367296 -S'The\tThe\tDT\tB-NP\tO' -p367297 -aS'patient\tpatient\tNN\tI-NP\tO' -p367298 -aS'was\tbe\tVBD\tB-VP\tO' -p367299 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p367300 -aS'to\tto\tTO\tB-PP\tO' -p367301 -aS'the\tthe\tDT\tB-NP\tO' -p367302 -aS'floor\tfloor\tNN\tI-NP\tO' -p367303 -aS'on\ton\tIN\tB-PP\tO' -p367304 -aS'5/7\t5/7\tCD\tB-NP\tO' -p367305 -aS'.\t.\t.\tO\tO' -p367306 -asS'1. Respiratory .' -p367307 -(lp367308 -S'1.\t1.\tLS\tB-LST\tO' -p367309 -aS'Respiratory\tRespiratory\tNNP\tB-NP\tO' -p367310 -aS'.\t.\t.\tO\tO' -p367311 -asS'The patient was able to exercise for approximately nine minutes on a modified Bruce protocol , however , he did not reach his predicted maximal heart rate while he was on the beta blockade .' -p367312 -(lp367313 -S'The\tThe\tDT\tB-NP\tO' -p367314 -aS'patient\tpatient\tNN\tI-NP\tO' -p367315 -aS'was\tbe\tVBD\tB-VP\tO' -p367316 -aS'able\table\tJJ\tB-ADJP\tO' -p367317 -aS'to\tto\tTO\tB-VP\tO' -p367318 -aS'exercise\texercise\tVB\tI-VP\tO' -p367319 -aS'for\tfor\tIN\tB-PP\tO' -p367320 -aS'approximately\tapproximately\tRB\tB-NP\tO' -p367321 -aS'nine\tnine\tCD\tI-NP\tO' -p367322 -aS'minutes\tminute\tNNS\tI-NP\tO' -p367323 -aS'on\ton\tIN\tB-PP\tO' -p367324 -aS'a\ta\tDT\tB-NP\tO' -p367325 -aS'modified\tmodify\tVBN\tI-NP\tO' -p367326 -aS'Bruce\tBruce\tNNP\tI-NP\tO' -p367327 -aS'protocol\tprotocol\tNN\tI-NP\tO' -p367328 -aS',\t,\t,\tO\tO' -p367329 -aS'however\thowever\tRB\tB-ADVP\tO' -p367330 -aS',\t,\t,\tO\tO' -p367331 -aS'he\the\tPRP\tB-NP\tO' -p367332 -aS'did\tdo\tVBD\tB-VP\tO' -p367333 -aS'not\tnot\tRB\tI-VP\tO' -p367334 -aS'reach\treach\tVB\tI-VP\tO' -p367335 -aS'his\this\tPRP$\tB-NP\tB-DNA' -p367336 -aS'predicted\tpredict\tVBN\tI-NP\tO' -p367337 -aS'maximal\tmaximal\tJJ\tI-NP\tO' -p367338 -aS'heart\theart\tNN\tI-NP\tO' -p367339 -aS'rate\trate\tNN\tI-NP\tO' -p367340 -aS'while\twhile\tIN\tB-SBAR\tO' -p367341 -aS'he\the\tPRP\tB-NP\tO' -p367342 -aS'was\tbe\tVBD\tB-VP\tO' -p367343 -aS'on\ton\tIN\tB-PP\tO' -p367344 -aS'the\tthe\tDT\tB-NP\tO' -p367345 -aS'beta\tbeta\tNN\tI-NP\tO' -p367346 -aS'blockade\tblockade\tNN\tI-NP\tO' -p367347 -aS'.\t.\t.\tO\tO' -p367348 -asS'57 yo right handed male with seizure history since 1988 , s/p craniotomies x 3 ( most recently 05-05 ) for oligodendroglioma .' -p367349 -(lp367350 -S'57\t57\tCD\tB-NP\tO' -p367351 -aS'yo\tyo\tNN\tI-NP\tO' -p367352 -aS'right\tright\tJJ\tI-NP\tO' -p367353 -aS'handed\thand\tVBN\tB-VP\tO' -p367354 -aS'male\tmale\tJJ\tB-ADJP\tO' -p367355 -aS'with\twith\tIN\tB-PP\tO' -p367356 -aS'seizure\tseizure\tNN\tB-NP\tO' -p367357 -aS'history\thistory\tNN\tI-NP\tO' -p367358 -aS'since\tsince\tIN\tB-PP\tO' -p367359 -aS'1988\t1988\tCD\tB-NP\tO' -p367360 -aS',\t,\t,\tO\tO' -p367361 -aS's/p\ts/p\tNN\tB-NP\tB-protein' -p367362 -aS'craniotomies\tcraniotomy\tNNS\tI-NP\tI-protein' -p367363 -aS'x\tx\tSYM\tB-NP\tI-protein' -p367364 -aS'3\t3\tCD\tI-NP\tI-protein' -p367365 -aS'(\t(\t(\tO\tO' -p367366 -aS'most\tmost\tRBS\tB-ADVP\tO' -p367367 -aS'recently\trecently\tRB\tI-ADVP\tO' -p367368 -aS'05-05\t05-05\tCD\tB-NP\tO' -p367369 -aS')\t)\t)\tO\tO' -p367370 -aS'for\tfor\tIN\tB-PP\tO' -p367371 -aS'oligodendroglioma\toligodendroglioma\tNN\tB-NP\tO' -p367372 -aS'.\t.\t.\tO\tO' -p367373 -asS'The procedure was an aortic valve replacement with a tissue valve , a coronary artery bypass graft procedure where five grafts were performed .' -p367374 -(lp367375 -S'The\tThe\tDT\tB-NP\tO' -p367376 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p367377 -aS'was\tbe\tVBD\tB-VP\tO' -p367378 -aS'an\tan\tDT\tB-NP\tO' -p367379 -aS'aortic\taortic\tJJ\tI-NP\tO' -p367380 -aS'valve\tvalve\tNN\tI-NP\tO' -p367381 -aS'replacement\treplacement\tNN\tI-NP\tO' -p367382 -aS'with\twith\tIN\tB-PP\tO' -p367383 -aS'a\ta\tDT\tB-NP\tO' -p367384 -aS'tissue\ttissue\tNN\tI-NP\tO' -p367385 -aS'valve\tvalve\tNN\tI-NP\tO' -p367386 -aS',\t,\t,\tO\tO' -p367387 -aS'a\ta\tDT\tB-NP\tO' -p367388 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p367389 -aS'artery\tartery\tNN\tI-NP\tO' -p367390 -aS'bypass\tbypass\tIN\tB-PP\tO' -p367391 -aS'graft\tgraft\tNN\tB-NP\tO' -p367392 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p367393 -aS'where\twhere\tWRB\tB-ADVP\tO' -p367394 -aS'five\tfive\tCD\tB-NP\tO' -p367395 -aS'grafts\tgraft\tNNS\tI-NP\tO' -p367396 -aS'were\tbe\tVBD\tB-VP\tO' -p367397 -aS'performed\tperform\tVBN\tI-VP\tO' -p367398 -aS'.\t.\t.\tO\tO' -p367399 -asS'He developed renal failure felt to be ATN secondary to ischemia of his kidneys .' -p367400 -(lp367401 -S'He\tHe\tPRP\tB-NP\tO' -p367402 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p367403 -aS'renal\trenal\tJJ\tB-NP\tO' -p367404 -aS'failure\tfailure\tNN\tI-NP\tO' -p367405 -aS'felt\tfeel\tVBD\tB-VP\tO' -p367406 -aS'to\tto\tTO\tI-VP\tO' -p367407 -aS'be\tbe\tVB\tI-VP\tO' -p367408 -aS'ATN\tATN\tNN\tB-NP\tO' -p367409 -aS'secondary\tsecondary\tJJ\tB-ADJP\tO' -p367410 -aS'to\tto\tTO\tB-PP\tO' -p367411 -aS'ischemia\tischemia\tNN\tB-NP\tO' -p367412 -aS'of\tof\tIN\tB-PP\tO' -p367413 -aS'his\this\tPRP$\tB-NP\tO' -p367414 -aS'kidneys\tkidney\tNNS\tI-NP\tO' -p367415 -aS'.\t.\t.\tO\tO' -p367416 -asS'For this documented septicemia , this patient went for a endocarditis work-up .' -p367417 -(lp367418 -S'For\tFor\tIN\tB-PP\tO' -p367419 -aS'this\tthis\tDT\tB-NP\tO' -p367420 -aS'documented\tdocument\tVBN\tI-NP\tO' -p367421 -aS'septicemia\tsepticemia\tNN\tI-NP\tO' -p367422 -aS',\t,\t,\tO\tO' -p367423 -aS'this\tthis\tDT\tB-NP\tO' -p367424 -aS'patient\tpatient\tNN\tI-NP\tO' -p367425 -aS'went\tgo\tVBD\tB-VP\tO' -p367426 -aS'for\tfor\tIN\tB-PP\tO' -p367427 -aS'a\ta\tDT\tB-NP\tO' -p367428 -aS'endocarditis\tendocarditis\tNN\tI-NP\tB-protein' -p367429 -aS'work-up\twork-up\tNN\tI-NP\tI-protein' -p367430 -aS'.\t.\t.\tO\tO' -p367431 -asS'Finger tapping and rapid alternating movements were slow on the left and she had trouble isolating individual finger movements .' -p367432 -(lp367433 -S'Finger\tFinger\tNNP\tB-NP\tO' -p367434 -aS'tapping\ttap\tVBG\tB-VP\tO' -p367435 -aS'and\tand\tCC\tO\tO' -p367436 -aS'rapid\trapid\tJJ\tB-NP\tO' -p367437 -aS'alternating\talternate\tVBG\tI-NP\tO' -p367438 -aS'movements\tmovement\tNNS\tI-NP\tO' -p367439 -aS'were\tbe\tVBD\tB-VP\tO' -p367440 -aS'slow\tslow\tJJ\tB-ADJP\tO' -p367441 -aS'on\ton\tIN\tB-PP\tO' -p367442 -aS'the\tthe\tDT\tB-NP\tO' -p367443 -aS'left\tleft\tNN\tI-NP\tO' -p367444 -aS'and\tand\tCC\tO\tO' -p367445 -aS'she\tshe\tPRP\tB-NP\tO' -p367446 -aS'had\thave\tVBD\tB-VP\tO' -p367447 -aS'trouble\ttrouble\tNN\tB-NP\tO' -p367448 -aS'isolating\tisolate\tVBG\tB-VP\tO' -p367449 -aS'individual\tindividual\tJJ\tB-NP\tO' -p367450 -aS'finger\tfinger\tNN\tI-NP\tO' -p367451 -aS'movements\tmovement\tNNS\tI-NP\tO' -p367452 -aS'.\t.\t.\tO\tO' -p367453 -asS'She has no rebound or guarding .' -p367454 -(lp367455 -S'She\tShe\tPRP\tB-NP\tO' -p367456 -aS'has\thave\tVBZ\tB-VP\tO' -p367457 -aS'no\tno\tDT\tB-NP\tO' -p367458 -aS'rebound\trebound\tNN\tI-NP\tO' -p367459 -aS'or\tor\tCC\tI-NP\tO' -p367460 -aS'guarding\tguarding\tNN\tI-NP\tO' -p367461 -aS'.\t.\t.\tO\tO' -p367462 -asS'The situation was reviewed with Dr. No of the Pacemaker Service .' -p367463 -(lp367464 -S'The\tThe\tDT\tB-NP\tO' -p367465 -aS'situation\tsituation\tNN\tI-NP\tO' -p367466 -aS'was\tbe\tVBD\tB-VP\tO' -p367467 -aS'reviewed\treview\tVBN\tI-VP\tO' -p367468 -aS'with\twith\tIN\tB-PP\tO' -p367469 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p367470 -aS'No\tNo\tNNP\tI-NP\tO' -p367471 -aS'of\tof\tIN\tB-PP\tO' -p367472 -aS'the\tthe\tDT\tB-NP\tO' -p367473 -aS'Pacemaker\tPacemaker\tNNP\tI-NP\tO' -p367474 -aS'Service\tService\tNNP\tI-NP\tO' -p367475 -aS'.\t.\t.\tO\tO' -p367476 -asS'Previously reported interstitial edema has resolved .' -p367477 -(lp367478 -S'Previously\tPreviously\tRB\tB-NP\tO' -p367479 -aS'reported\treport\tVBN\tI-NP\tO' -p367480 -aS'interstitial\tinterstitial\tJJ\tI-NP\tO' -p367481 -aS'edema\tedema\tNN\tI-NP\tO' -p367482 -aS'has\thave\tVBZ\tB-VP\tO' -p367483 -aS'resolved\tresolve\tVBN\tI-VP\tO' -p367484 -aS'.\t.\t.\tO\tO' -p367485 -asS'Of note the patient was seen by cardiology for preoperative assessment .' -p367486 -(lp367487 -S'Of\tOf\tIN\tB-PP\tO' -p367488 -aS'note\tnote\tNN\tB-NP\tO' -p367489 -aS'the\tthe\tDT\tB-NP\tO' -p367490 -aS'patient\tpatient\tNN\tI-NP\tO' -p367491 -aS'was\tbe\tVBD\tB-VP\tO' -p367492 -aS'seen\tsee\tVBN\tI-VP\tO' -p367493 -aS'by\tby\tIN\tB-PP\tO' -p367494 -aS'cardiology\tcardiology\tNN\tB-NP\tO' -p367495 -aS'for\tfor\tIN\tB-PP\tO' -p367496 -aS'preoperative\tpreoperative\tJJ\tB-NP\tO' -p367497 -aS'assessment\tassessment\tNN\tI-NP\tO' -p367498 -aS'.\t.\t.\tO\tO' -p367499 -asS'There is slight worsening of the still mild pulmonary edema .' -p367500 -(lp367501 -S'There\tThere\tEX\tB-NP\tO' -p367502 -aS'is\tbe\tVBZ\tB-VP\tO' -p367503 -aS'slight\tslight\tJJ\tB-NP\tO' -p367504 -aS'worsening\tworsening\tNN\tI-NP\tO' -p367505 -aS'of\tof\tIN\tB-PP\tO' -p367506 -aS'the\tthe\tDT\tB-NP\tO' -p367507 -aS'still\tstill\tRB\tI-NP\tO' -p367508 -aS'mild\tmild\tJJ\tI-NP\tO' -p367509 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p367510 -aS'edema\tedema\tNN\tI-NP\tO' -p367511 -aS'.\t.\t.\tO\tO' -p367512 -asS'He was initially admitted to the Neurological Intensive Care Unit where he was closely monitored during the first two days of his hospitalization .' -p367513 -(lp367514 -S'He\tHe\tPRP\tB-NP\tO' -p367515 -aS'was\tbe\tVBD\tB-VP\tO' -p367516 -aS'initially\tinitially\tRB\tI-VP\tO' -p367517 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p367518 -aS'to\tto\tTO\tB-PP\tO' -p367519 -aS'the\tthe\tDT\tB-NP\tO' -p367520 -aS'Neurological\tNeurological\tNNP\tI-NP\tO' -p367521 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p367522 -aS'Care\tCare\tNNP\tI-NP\tO' -p367523 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p367524 -aS'where\twhere\tWRB\tB-ADVP\tO' -p367525 -aS'he\the\tPRP\tB-NP\tO' -p367526 -aS'was\tbe\tVBD\tB-VP\tO' -p367527 -aS'closely\tclosely\tRB\tI-VP\tO' -p367528 -aS'monitored\tmonitor\tVBN\tI-VP\tO' -p367529 -aS'during\tduring\tIN\tB-PP\tO' -p367530 -aS'the\tthe\tDT\tB-NP\tO' -p367531 -aS'first\tfirst\tJJ\tI-NP\tO' -p367532 -aS'two\ttwo\tCD\tI-NP\tO' -p367533 -aS'days\tday\tNNS\tI-NP\tO' -p367534 -aS'of\tof\tIN\tB-PP\tO' -p367535 -aS'his\this\tPRP$\tB-NP\tO' -p367536 -aS'hospitalization\thospitalization\tNN\tI-NP\tO' -p367537 -aS'.\t.\t.\tO\tO' -p367538 -asS'There has been interval improvement in left basilar atelectasis .' -p367539 -(lp367540 -S'There\tThere\tEX\tB-NP\tO' -p367541 -aS'has\thave\tVBZ\tB-VP\tO' -p367542 -aS'been\tbe\tVBN\tI-VP\tO' -p367543 -aS'interval\tinterval\tJJ\tB-NP\tO' -p367544 -aS'improvement\timprovement\tNN\tI-NP\tO' -p367545 -aS'in\tin\tIN\tB-PP\tO' -p367546 -aS'left\tleft\tJJ\tB-NP\tO' -p367547 -aS'basilar\tbasilar\tJJ\tI-NP\tO' -p367548 -aS'atelectasis\tatelectasis\tNN\tI-NP\tO' -p367549 -aS'.\t.\t.\tO\tO' -p367550 -asS'Postoperatively , the patient did well .' -p367551 -(lp367552 -S'Postoperatively\tPostoperatively\tRB\tB-ADVP\tO' -p367553 -aS',\t,\t,\tO\tO' -p367554 -aS'the\tthe\tDT\tB-NP\tO' -p367555 -aS'patient\tpatient\tNN\tI-NP\tO' -p367556 -aS'did\tdo\tVBD\tB-VP\tO' -p367557 -aS'well\twell\tRB\tB-ADVP\tO' -p367558 -aS'.\t.\t.\tO\tO' -p367559 -asS'Patient did have Woodrow Betty , SPEP , and anticardiolipin antibody sent for further workup of the etiology of her cardiomyopathy .' -p367560 -(lp367561 -S'Patient\tPatient\tNN\tB-NP\tO' -p367562 -aS'did\tdo\tVBD\tB-VP\tO' -p367563 -aS'have\thave\tVB\tI-VP\tO' -p367564 -aS'Woodrow\tWoodrow\tNNP\tB-NP\tO' -p367565 -aS'Betty\tBetty\tNNP\tI-NP\tO' -p367566 -aS',\t,\t,\tO\tO' -p367567 -aS'SPEP\tSPEP\tNNP\tB-NP\tO' -p367568 -aS',\t,\t,\tO\tO' -p367569 -aS'and\tand\tCC\tO\tO' -p367570 -aS'anticardiolipin\tanticardiolipin\tNN\tB-NP\tB-protein' -p367571 -aS'antibody\tantibody\tNN\tI-NP\tI-protein' -p367572 -aS'sent\tsend\tVBN\tB-VP\tO' -p367573 -aS'for\tfor\tIN\tB-PP\tO' -p367574 -aS'further\tfurther\tJJ\tB-NP\tO' -p367575 -aS'workup\tworkup\tNN\tI-NP\tO' -p367576 -aS'of\tof\tIN\tB-PP\tO' -p367577 -aS'the\tthe\tDT\tB-NP\tO' -p367578 -aS'etiology\tetiology\tNN\tI-NP\tO' -p367579 -aS'of\tof\tIN\tB-PP\tO' -p367580 -aS'her\ther\tPRP$\tB-NP\tO' -p367581 -aS'cardiomyopathy\tcardiomyopathy\tNN\tI-NP\tO' -p367582 -aS'.\t.\t.\tO\tO' -p367583 -asS'He had no icterus .' -p367584 -(lp367585 -S'He\tHe\tPRP\tB-NP\tO' -p367586 -aS'had\thave\tVBD\tB-VP\tO' -p367587 -aS'no\tno\tDT\tB-NP\tO' -p367588 -aS'icterus\ticterus\tNN\tI-NP\tO' -p367589 -aS'.\t.\t.\tO\tO' -p367590 -asS'THIS IS VERY IMPORTANT .' -p367591 -(lp367592 -S'THIS\tTHIS\tVBZ\tB-VP\tO' -p367593 -aS'IS\tIS\tNNP\tB-NP\tO' -p367594 -aS'VERY\tVERY\tNNP\tI-NP\tO' -p367595 -aS'IMPORTANT\tIMPORTANT\tNNP\tI-NP\tO' -p367596 -aS'.\t.\t.\tO\tO' -p367597 -asS'You have been started on an oral blood thinner called Coumadin ( Warfarin ).' -p367598 -(lp367599 -S'You\tYou\tPRP\tB-NP\tB-protein' -p367600 -aS'have\thave\tVBP\tB-VP\tO' -p367601 -aS'been\tbe\tVBN\tI-VP\tO' -p367602 -aS'started\tstart\tVBN\tI-VP\tO' -p367603 -aS'on\ton\tIN\tB-PP\tO' -p367604 -aS'an\tan\tDT\tB-NP\tO' -p367605 -aS'oral\toral\tJJ\tI-NP\tO' -p367606 -aS'blood\tblood\tNN\tI-NP\tO' -p367607 -aS'thinner\tthinner\tNN\tI-NP\tO' -p367608 -aS'called\tcall\tVBN\tB-VP\tO' -p367609 -aS'Coumadin\tCoumadin\tNNP\tB-NP\tO' -p367610 -aS'(\t(\t(\tO\tO' -p367611 -aS'Warfarin\tWarfarin\tNNP\tB-NP\tO' -p367612 -aS').\t).\t)\tO\tO' -p367613 -asS'without clubbing , cyanosis or edema or stigmata of subacute bacterial endocarditis .' -p367614 -(lp367615 -S'without\twithout\tIN\tB-PP\tO' -p367616 -aS'clubbing\tclubbing\tNN\tB-NP\tO' -p367617 -aS',\t,\t,\tI-NP\tO' -p367618 -aS'cyanosis\tcyanosis\tNN\tI-NP\tO' -p367619 -aS'or\tor\tCC\tI-NP\tO' -p367620 -aS'edema\tedema\tNN\tI-NP\tO' -p367621 -aS'or\tor\tCC\tI-NP\tO' -p367622 -aS'stigmata\tstigmata\tNN\tI-NP\tO' -p367623 -aS'of\tof\tIN\tB-PP\tO' -p367624 -aS'subacute\tsubacute\tJJ\tB-NP\tO' -p367625 -aS'bacterial\tbacterial\tJJ\tI-NP\tO' -p367626 -aS'endocarditis\tendocarditis\tNN\tI-NP\tO' -p367627 -aS'.\t.\t.\tO\tO' -p367628 -asS'MRI lumbar spine ( Youville Hospital 2020-03-10 ): L3-4 osteomyelitis , discitis , and epidural abscess .' -p367629 -(lp367630 -S'MRI\tMRI\tNN\tB-NP\tO' -p367631 -aS'lumbar\tlumbar\tNN\tI-NP\tO' -p367632 -aS'spine\tspine\tNN\tI-NP\tO' -p367633 -aS'(\t(\t(\tO\tO' -p367634 -aS'Youville\tYouville\tNNP\tB-NP\tO' -p367635 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p367636 -aS'2020-03-10\t2020-03-10\tCD\tI-NP\tO' -p367637 -aS'):\t):\t:\tO\tO' -p367638 -aS'L3-4\tL3-4\tNN\tB-NP\tO' -p367639 -aS'osteomyelitis\tosteomyelitis\tNN\tI-NP\tO' -p367640 -aS',\t,\t,\tO\tO' -p367641 -aS'discitis\tdiscitis\tNN\tB-NP\tO' -p367642 -aS',\t,\t,\tO\tO' -p367643 -aS'and\tand\tCC\tO\tO' -p367644 -aS'epidural\tepidural\tJJ\tB-NP\tO' -p367645 -aS'abscess\tabscess\tNN\tI-NP\tO' -p367646 -aS'.\t.\t.\tO\tO' -p367647 -asS'12. Metoprolol Tartrate 25 mg Tablet Sig : One ( 1 ) Tablet PO BID ( 2 times a day ) .' -p367648 -(lp367649 -S'12.\t12.\tLS\tB-NP\tO' -p367650 -aS'Metoprolol\tMetoprolol\tNN\tI-NP\tO' -p367651 -aS'Tartrate\tTartrate\tNN\tI-NP\tO' -p367652 -aS'25\t25\tCD\tI-NP\tO' -p367653 -aS'mg\tmg\tNN\tI-NP\tO' -p367654 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p367655 -aS'Sig\tSig\tNNP\tI-NP\tO' -p367656 -aS':\t:\t:\tO\tO' -p367657 -aS'One\tOne\tCD\tB-NP\tO' -p367658 -aS'(\t(\t(\tO\tO' -p367659 -aS'1\t1\tCD\tB-NP\tO' -p367660 -aS')\t)\t)\tO\tO' -p367661 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p367662 -aS'PO\tPO\tNN\tI-NP\tO' -p367663 -aS'BID\tBID\tNN\tI-NP\tO' -p367664 -aS'(\t(\t(\tO\tO' -p367665 -aS'2\t2\tCD\tB-NP\tO' -p367666 -aS'times\ttime\tNNS\tI-NP\tO' -p367667 -aS'a\ta\tDT\tB-NP\tO' -p367668 -aS'day\tday\tNN\tI-NP\tO' -p367669 -aS')\t)\t)\tO\tO' -p367670 -aS'.\t.\t.\tO\tO' -p367671 -asS'She was advanced to clear liquids again without nausea or vomiting .' -p367672 -(lp367673 -S'She\tShe\tPRP\tB-NP\tO' -p367674 -aS'was\tbe\tVBD\tB-VP\tO' -p367675 -aS'advanced\tadvance\tVBN\tI-VP\tO' -p367676 -aS'to\tto\tTO\tB-PP\tO' -p367677 -aS'clear\tclear\tJJ\tB-NP\tO' -p367678 -aS'liquids\tliquid\tNNS\tI-NP\tO' -p367679 -aS'again\tagain\tRB\tB-ADVP\tO' -p367680 -aS'without\twithout\tIN\tB-PP\tO' -p367681 -aS'nausea\tnausea\tNN\tB-NP\tO' -p367682 -aS'or\tor\tCC\tI-NP\tO' -p367683 -aS'vomiting\tvomiting\tNN\tI-NP\tO' -p367684 -aS'.\t.\t.\tO\tO' -p367685 -asS'She will follow up with Dr. Crutch in two weeks .' -p367686 -(lp367687 -S'She\tShe\tPRP\tB-NP\tO' -p367688 -aS'will\twill\tMD\tB-VP\tO' -p367689 -aS'follow\tfollow\tVB\tI-VP\tO' -p367690 -aS'up\tup\tRP\tB-PRT\tO' -p367691 -aS'with\twith\tIN\tB-PP\tO' -p367692 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p367693 -aS'Crutch\tCrutch\tNNP\tI-NP\tO' -p367694 -aS'in\tin\tIN\tB-PP\tO' -p367695 -aS'two\ttwo\tCD\tB-NP\tO' -p367696 -aS'weeks\tweek\tNNS\tI-NP\tO' -p367697 -aS'.\t.\t.\tO\tO' -p367698 -asS'Signed electronically by : DR. Jeffrey Collins on : WED 2018-11-21 9:28 AM' -p367699 -(lp367700 -S'Signed\tSign\tVBN\tB-VP\tO' -p367701 -aS'electronically\telectronically\tRB\tB-ADVP\tO' -p367702 -aS'by\tby\tIN\tB-PP\tO' -p367703 -aS':\t:\t:\tO\tO' -p367704 -aS'DR.\tDR.\tNNP\tB-NP\tO' -p367705 -aS'Jeffrey\tJeffrey\tNNP\tI-NP\tO' -p367706 -aS'Collins\tCollins\tNNP\tI-NP\tO' -p367707 -aS'on\ton\tIN\tB-PP\tO' -p367708 -aS':\t:\t:\tO\tO' -p367709 -aS'WED\tWED\tVBD\tB-VP\tO' -p367710 -aS'2018-11-21\t2018-11-21\tCD\tB-NP\tO' -p367711 -aS'9:28\t9:28\tCD\tI-NP\tO' -p367712 -aS'AM\tAM\tNN\tI-NP\tO' -p367713 -asS'There is ecchymosis in mid abdomen , left of midline , likely secondary to Lovenox injections .' -p367714 -(lp367715 -S'There\tThere\tEX\tB-NP\tO' -p367716 -aS'is\tbe\tVBZ\tB-VP\tO' -p367717 -aS'ecchymosis\tecchymosis\tNN\tB-NP\tO' -p367718 -aS'in\tin\tIN\tB-PP\tO' -p367719 -aS'mid\tmid\tJJ\tB-NP\tO' -p367720 -aS'abdomen\tabdoman\tNNS\tI-NP\tO' -p367721 -aS',\t,\t,\tO\tO' -p367722 -aS'left\tleave\tVBN\tB-VP\tO' -p367723 -aS'of\tof\tIN\tB-PP\tO' -p367724 -aS'midline\tmidline\tNN\tB-NP\tO' -p367725 -aS',\t,\t,\tO\tO' -p367726 -aS'likely\tlikely\tRB\tB-ADJP\tO' -p367727 -aS'secondary\tsecondary\tJJ\tI-ADJP\tO' -p367728 -aS'to\tto\tTO\tB-PP\tO' -p367729 -aS'Lovenox\tLovenox\tNN\tB-NP\tO' -p367730 -aS'injections\tinjection\tNNS\tI-NP\tO' -p367731 -aS'.\t.\t.\tO\tO' -p367732 -asS'Potassium 6.6 , creatinine 1.4 , alkaline phosphatase 302 , T bilirubin 0.6 , AST 25 , ALT 84 , CK of 15 , troponin 0.01 .' -p367733 -(lp367734 -S'Potassium\tPotassium\tNN\tB-NP\tO' -p367735 -aS'6.6\t6.6\tCD\tI-NP\tO' -p367736 -aS',\t,\t,\tO\tO' -p367737 -aS'creatinine\tcreatinine\tNN\tB-NP\tB-protein' -p367738 -aS'1.4\t1.4\tCD\tI-NP\tI-protein' -p367739 -aS',\t,\t,\tO\tO' -p367740 -aS'alkaline\talkaline\tNN\tB-NP\tO' -p367741 -aS'phosphatase\tphosphatase\tNN\tI-NP\tO' -p367742 -aS'302\t302\tCD\tI-NP\tO' -p367743 -aS',\t,\t,\tI-NP\tO' -p367744 -aS'T\tT\tNN\tI-NP\tB-protein' -p367745 -aS'bilirubin\tbilirubin\tNN\tI-NP\tI-protein' -p367746 -aS'0.6\t0.6\tCD\tI-NP\tI-protein' -p367747 -aS',\t,\t,\tO\tO' -p367748 -aS'AST\tAST\tNN\tB-NP\tO' -p367749 -aS'25\t25\tCD\tI-NP\tO' -p367750 -aS',\t,\t,\tO\tO' -p367751 -aS'ALT\tALT\tNN\tB-NP\tB-DNA' -p367752 -aS'84\t84\tCD\tI-NP\tI-DNA' -p367753 -aS',\t,\t,\tO\tO' -p367754 -aS'CK\tCK\tNN\tB-NP\tO' -p367755 -aS'of\tof\tIN\tB-PP\tO' -p367756 -aS'15\t15\tCD\tB-NP\tO' -p367757 -aS',\t,\t,\tO\tO' -p367758 -aS'troponin\ttroponin\tNN\tB-NP\tO' -p367759 -aS'0.01\t0.01\tCD\tI-NP\tO' -p367760 -aS'.\t.\t.\tO\tO' -p367761 -asS'4. Received hepatitis B vaccine on 2012-09-30 .' -p367762 -(lp367763 -S'4.\t4.\tLS\tB-LST\tO' -p367764 -aS'Received\tReceive\tVBD\tB-VP\tO' -p367765 -aS'hepatitis\thepatitis\tNN\tB-NP\tO' -p367766 -aS'B\tB\tNN\tI-NP\tO' -p367767 -aS'vaccine\tvaccine\tNN\tI-NP\tO' -p367768 -aS'on\ton\tIN\tB-PP\tO' -p367769 -aS'2012-09-30\t2012-09-30\tCD\tB-NP\tO' -p367770 -aS'.\t.\t.\tO\tO' -p367771 -asS'She was started on a heparin drip at 800 per hour .' -p367772 -(lp367773 -S'She\tShe\tPRP\tB-NP\tO' -p367774 -aS'was\tbe\tVBD\tB-VP\tO' -p367775 -aS'started\tstart\tVBN\tI-VP\tO' -p367776 -aS'on\ton\tIN\tB-PP\tO' -p367777 -aS'a\ta\tDT\tB-NP\tO' -p367778 -aS'heparin\theparin\tNN\tI-NP\tO' -p367779 -aS'drip\tdrip\tNN\tI-NP\tO' -p367780 -aS'at\tat\tIN\tB-PP\tO' -p367781 -aS'800\t800\tCD\tB-NP\tO' -p367782 -aS'per\tper\tIN\tB-PP\tO' -p367783 -aS'hour\thour\tNN\tB-NP\tO' -p367784 -aS'.\t.\t.\tO\tO' -p367785 -asS'Kimberly was born in Great Britain .' -p367786 -(lp367787 -S'Kimberly\tKimberly\tNNP\tB-NP\tO' -p367788 -aS'was\tbe\tVBD\tB-VP\tO' -p367789 -aS'born\tbear\tVBN\tI-VP\tO' -p367790 -aS'in\tin\tIN\tB-PP\tO' -p367791 -aS'Great\tGreat\tNNP\tB-NP\tO' -p367792 -aS'Britain\tBritain\tNNP\tI-NP\tO' -p367793 -aS'.\t.\t.\tO\tO' -p367794 -asS'Follow-up with Dr. Robert in 1-2 weeks .' -p367795 -(lp367796 -S'Follow-up\tFollow-up\tNN\tB-NP\tO' -p367797 -aS'with\twith\tIN\tB-PP\tO' -p367798 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p367799 -aS'Robert\tRobert\tNNP\tI-NP\tO' -p367800 -aS'in\tin\tIN\tB-PP\tO' -p367801 -aS'1-2\t1-2\tCD\tB-NP\tO' -p367802 -aS'weeks\tweek\tNNS\tI-NP\tO' -p367803 -aS'.\t.\t.\tO\tO' -p367804 -asS'She was afebrile without orthostatic vital signs nor hypotension .' -p367805 -(lp367806 -S'She\tShe\tPRP\tB-NP\tO' -p367807 -aS'was\tbe\tVBD\tB-VP\tO' -p367808 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p367809 -aS'without\twithout\tIN\tB-PP\tO' -p367810 -aS'orthostatic\torthostatic\tJJ\tB-NP\tO' -p367811 -aS'vital\tvital\tJJ\tI-NP\tO' -p367812 -aS'signs\tsign\tNNS\tI-NP\tO' -p367813 -aS'nor\tnor\tCC\tO\tO' -p367814 -aS'hypotension\thypotension\tNN\tB-NP\tO' -p367815 -aS'.\t.\t.\tO\tO' -p367816 -asS'Sclera anicteric .' -p367817 -(lp367818 -S'Sclera\tSclera\tNNP\tB-NP\tO' -p367819 -aS'anicteric\tanicteric\tJJ\tI-NP\tO' -p367820 -aS'.\t.\t.\tO\tO' -p367821 -asS'Some shortness of breath with allergies , particularly cats .' -p367822 -(lp367823 -S'Some\tSome\tDT\tB-NP\tO' -p367824 -aS'shortness\tshortness\tNN\tI-NP\tO' -p367825 -aS'of\tof\tIN\tB-PP\tO' -p367826 -aS'breath\tbreath\tNN\tB-NP\tO' -p367827 -aS'with\twith\tIN\tB-PP\tO' -p367828 -aS'allergies\tallergy\tNNS\tB-NP\tO' -p367829 -aS',\t,\t,\tO\tO' -p367830 -aS'particularly\tparticularly\tRB\tB-ADVP\tO' -p367831 -aS'cats\tcat\tNNS\tB-NP\tO' -p367832 -aS'.\t.\t.\tO\tO' -p367833 -asS'We have been transfusing him with platelets to keep his counts above 20,000 to reduce his bleeding risk .' -p367834 -(lp367835 -S'We\tWe\tPRP\tB-NP\tO' -p367836 -aS'have\thave\tVBP\tB-VP\tO' -p367837 -aS'been\tbe\tVBN\tI-VP\tO' -p367838 -aS'transfusing\ttransfuse\tVBG\tI-VP\tO' -p367839 -aS'him\thim\tPRP\tB-NP\tO' -p367840 -aS'with\twith\tIN\tB-PP\tO' -p367841 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p367842 -aS'to\tto\tTO\tB-VP\tO' -p367843 -aS'keep\tkeep\tVB\tI-VP\tO' -p367844 -aS'his\this\tPRP$\tB-NP\tO' -p367845 -aS'counts\tcount\tNNS\tI-NP\tO' -p367846 -aS'above\tabove\tIN\tB-PP\tO' -p367847 -aS'20,000\t20,000\tCD\tB-NP\tO' -p367848 -aS'to\tto\tTO\tB-VP\tO' -p367849 -aS'reduce\treduce\tVB\tI-VP\tO' -p367850 -aS'his\this\tPRP$\tB-NP\tO' -p367851 -aS'bleeding\tbleed\tVBG\tI-NP\tO' -p367852 -aS'risk\trisk\tNN\tI-NP\tO' -p367853 -aS'.\t.\t.\tO\tO' -p367854 -asS'Her 05-27 CXR post procedure w/o PNX , effusion much improved , yet her 05-28 CXR worse than 05-27 with some reaccumulation of right pleural effusion .' -p367855 -(lp367856 -S'Her\tHer\tPRP$\tB-NP\tO' -p367857 -aS'05-27\t05-27\tCD\tI-NP\tO' -p367858 -aS'CXR\tCXR\tNN\tI-NP\tO' -p367859 -aS'post\tpost\tNN\tI-NP\tO' -p367860 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p367861 -aS'w/o\tw/o\tNN\tI-NP\tO' -p367862 -aS'PNX\tPNX\tNN\tI-NP\tO' -p367863 -aS',\t,\t,\tO\tO' -p367864 -aS'effusion\teffusion\tNN\tB-NP\tO' -p367865 -aS'much\tmuch\tRB\tB-VP\tO' -p367866 -aS'improved\timprove\tVBD\tI-VP\tO' -p367867 -aS',\t,\t,\tO\tO' -p367868 -aS'yet\tyet\tRB\tO\tO' -p367869 -aS'her\ther\tPRP$\tB-NP\tO' -p367870 -aS'05-28\t05-28\tCD\tI-NP\tO' -p367871 -aS'CXR\tCXR\tNN\tI-NP\tB-protein' -p367872 -aS'worse\tworse\tJJR\tB-ADJP\tO' -p367873 -aS'than\tthan\tIN\tB-PP\tO' -p367874 -aS'05-27\t05-27\tCD\tB-NP\tO' -p367875 -aS'with\twith\tIN\tB-PP\tO' -p367876 -aS'some\tsome\tDT\tB-NP\tO' -p367877 -aS'reaccumulation\treaccumulation\tNN\tI-NP\tO' -p367878 -aS'of\tof\tIN\tB-PP\tO' -p367879 -aS'right\tright\tJJ\tB-NP\tO' -p367880 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p367881 -aS'effusion\teffusion\tNN\tI-NP\tO' -p367882 -aS'.\t.\t.\tO\tO' -p367883 -asS'The ultrasound showed ascites and question of pelvic mass .' -p367884 -(lp367885 -S'The\tThe\tDT\tB-NP\tO' -p367886 -aS'ultrasound\tultrasound\tNN\tI-NP\tO' -p367887 -aS'showed\tshow\tVBD\tB-VP\tO' -p367888 -aS'ascites\tascite\tNNS\tB-NP\tO' -p367889 -aS'and\tand\tCC\tI-NP\tO' -p367890 -aS'question\tquestion\tNN\tI-NP\tO' -p367891 -aS'of\tof\tIN\tB-PP\tO' -p367892 -aS'pelvic\tpelvic\tJJ\tB-NP\tO' -p367893 -aS'mass\tmass\tNN\tI-NP\tO' -p367894 -aS'.\t.\t.\tO\tO' -p367895 -asS'86 yo male with one day of hematemesis ( history unclear ) .' -p367896 -(lp367897 -S'86\t86\tCD\tB-NP\tO' -p367898 -aS'yo\tyo\tNN\tI-NP\tO' -p367899 -aS'male\tmale\tJJ\tB-ADJP\tO' -p367900 -aS'with\twith\tIN\tB-PP\tO' -p367901 -aS'one\tone\tCD\tB-NP\tO' -p367902 -aS'day\tday\tNN\tI-NP\tO' -p367903 -aS'of\tof\tIN\tB-PP\tO' -p367904 -aS'hematemesis\thematemesis\tNN\tB-NP\tO' -p367905 -aS'(\t(\t(\tO\tO' -p367906 -aS'history\thistory\tNN\tB-NP\tO' -p367907 -aS'unclear\tunclear\tJJ\tB-ADJP\tO' -p367908 -aS')\t)\t)\tO\tO' -p367909 -aS'.\t.\t.\tO\tO' -p367910 -asS'He was then transferred to The Hospital for Orthopedics .' -p367911 -(lp367912 -S'He\tHe\tPRP\tB-NP\tO' -p367913 -aS'was\tbe\tVBD\tB-VP\tO' -p367914 -aS'then\tthen\tRB\tI-VP\tO' -p367915 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p367916 -aS'to\tto\tTO\tB-PP\tO' -p367917 -aS'The\tThe\tDT\tB-NP\tO' -p367918 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p367919 -aS'for\tfor\tIN\tB-PP\tO' -p367920 -aS'Orthopedics\tOrthopedics\tNNP\tB-NP\tO' -p367921 -aS'.\t.\t.\tO\tO' -p367922 -asS'Reflexes : 3+ throughout , both toes upgoing' -p367923 -(lp367924 -S'Reflexes\tReflex\tNNS\tB-NP\tO' -p367925 -aS':\t:\t:\tO\tO' -p367926 -aS'3+\t3+\tJJ\tB-NP\tO' -p367927 -aS'throughout\tthroughout\tNN\tI-NP\tO' -p367928 -aS',\t,\t,\tO\tO' -p367929 -aS'both\tboth\tDT\tB-NP\tO' -p367930 -aS'toes\ttoe\tNNS\tI-NP\tO' -p367931 -aS'upgoing\tupgoe\tVBG\tB-VP\tO' -p367932 -asS'There was no evidence of acute rib factors on her chest x-ray .' -p367933 -(lp367934 -S'There\tThere\tEX\tB-NP\tO' -p367935 -aS'was\tbe\tVBD\tB-VP\tO' -p367936 -aS'no\tno\tDT\tB-NP\tO' -p367937 -aS'evidence\tevidence\tNN\tI-NP\tO' -p367938 -aS'of\tof\tIN\tB-PP\tO' -p367939 -aS'acute\tacute\tJJ\tB-NP\tB-protein' -p367940 -aS'rib\trib\tNN\tI-NP\tI-protein' -p367941 -aS'factors\tfactor\tNNS\tI-NP\tI-protein' -p367942 -aS'on\ton\tIN\tB-PP\tO' -p367943 -aS'her\ther\tPRP$\tB-NP\tO' -p367944 -aS'chest\tchest\tNN\tI-NP\tO' -p367945 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p367946 -aS'.\t.\t.\tO\tO' -p367947 -asS'MCV was 85 .' -p367948 -(lp367949 -S'MCV\tMCV\tNN\tB-NP\tO' -p367950 -aS'was\tbe\tVBD\tB-VP\tO' -p367951 -aS'85\t85\tCD\tB-NP\tO' -p367952 -aS'.\t.\t.\tO\tO' -p367953 -asS'Dialyzed 12-28 with plan to dialyze again 12-31 .' -p367954 -(lp367955 -S'Dialyzed\tDialyze\tVBD\tB-VP\tO' -p367956 -aS'12-28\t12-28\tCD\tB-NP\tO' -p367957 -aS'with\twith\tIN\tB-PP\tO' -p367958 -aS'plan\tplan\tNN\tB-NP\tO' -p367959 -aS'to\tto\tTO\tB-VP\tO' -p367960 -aS'dialyze\tdialyze\tVB\tI-VP\tO' -p367961 -aS'again\tagain\tRB\tB-ADVP\tO' -p367962 -aS'12-31\t12-31\tCD\tB-NP\tO' -p367963 -aS'.\t.\t.\tO\tO' -p367964 -asS'This is to notify you that your patient , CRITCHE , NIFREDEDRHET arrived in the Emergency Department at Ro Woodma Healthcare on 11/04/2006 12:17 PM .' -p367965 -(lp367966 -S'This\tThis\tDT\tB-NP\tO' -p367967 -aS'is\tbe\tVBZ\tB-VP\tO' -p367968 -aS'to\tto\tTO\tB-VP\tO' -p367969 -aS'notify\tnotify\tVB\tI-VP\tO' -p367970 -aS'you\tyou\tPRP\tB-NP\tO' -p367971 -aS'that\tthat\tIN\tB-SBAR\tO' -p367972 -aS'your\tyour\tPRP$\tB-NP\tO' -p367973 -aS'patient\tpatient\tNN\tI-NP\tO' -p367974 -aS',\t,\t,\tO\tO' -p367975 -aS'CRITCHE\tCRITCHE\tNN\tB-NP\tO' -p367976 -aS',\t,\t,\tO\tO' -p367977 -aS'NIFREDEDRHET\tNIFREDEDRHET\tNN\tB-NP\tO' -p367978 -aS'arrived\tarrive\tVBD\tB-VP\tO' -p367979 -aS'in\tin\tIN\tB-PP\tO' -p367980 -aS'the\tthe\tDT\tB-NP\tO' -p367981 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p367982 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p367983 -aS'at\tat\tIN\tB-PP\tO' -p367984 -aS'Ro\tRo\tNNP\tB-NP\tO' -p367985 -aS'Woodma\tWoodma\tNNP\tI-NP\tO' -p367986 -aS'Healthcare\tHealthcare\tNNP\tI-NP\tO' -p367987 -aS'on\ton\tIN\tB-PP\tO' -p367988 -aS'11/04/2006\t11/04/2006\tCD\tB-NP\tO' -p367989 -aS'12:17\t12:17\tCD\tI-NP\tO' -p367990 -aS'PM\tPM\tNN\tI-NP\tO' -p367991 -aS'.\t.\t.\tO\tO' -p367992 -asS'Ronchorous breath sounds left chest .' -p367993 -(lp367994 -S'Ronchorous\tRonchorous\tJJ\tB-NP\tO' -p367995 -aS'breath\tbreath\tNN\tI-NP\tO' -p367996 -aS'sounds\tsound\tVBZ\tB-VP\tO' -p367997 -aS'left\tleft\tJJ\tB-NP\tO' -p367998 -aS'chest\tchest\tNN\tI-NP\tO' -p367999 -aS'.\t.\t.\tO\tO' -p368000 -asS'On POD1 His PA line and chest tubes were removed , he was also started on Beta blockers and diuretics .' -p368001 -(lp368002 -S'On\tOn\tIN\tB-PP\tO' -p368003 -aS'POD1\tPOD1\tNN\tB-NP\tB-protein' -p368004 -aS'His\tHis\tPRP$\tB-NP\tO' -p368005 -aS'PA\tPA\tNN\tI-NP\tB-cell_line' -p368006 -aS'line\tline\tNN\tI-NP\tI-cell_line' -p368007 -aS'and\tand\tCC\tI-NP\tO' -p368008 -aS'chest\tchest\tNN\tI-NP\tO' -p368009 -aS'tubes\ttube\tNNS\tI-NP\tO' -p368010 -aS'were\tbe\tVBD\tB-VP\tO' -p368011 -aS'removed\tremove\tVBN\tI-VP\tO' -p368012 -aS',\t,\t,\tO\tO' -p368013 -aS'he\the\tPRP\tB-NP\tO' -p368014 -aS'was\tbe\tVBD\tB-VP\tO' -p368015 -aS'also\talso\tRB\tI-VP\tO' -p368016 -aS'started\tstart\tVBN\tI-VP\tO' -p368017 -aS'on\ton\tIN\tB-PP\tO' -p368018 -aS'Beta\tBeta\tNNP\tB-NP\tO' -p368019 -aS'blockers\tblocker\tNNS\tI-NP\tO' -p368020 -aS'and\tand\tCC\tI-NP\tO' -p368021 -aS'diuretics\tdiuretic\tNNS\tI-NP\tO' -p368022 -aS'.\t.\t.\tO\tO' -p368023 -asS'When compared with ECG of 11-06-90 , there was borderline criteria for anterior MI although the patient denied any chest pain at any point .' -p368024 -(lp368025 -S'When\tWhen\tWRB\tB-ADVP\tO' -p368026 -aS'compared\tcompare\tVBN\tB-PP\tO' -p368027 -aS'with\twith\tIN\tB-PP\tO' -p368028 -aS'ECG\tECG\tNN\tB-NP\tB-protein' -p368029 -aS'of\tof\tIN\tB-PP\tO' -p368030 -aS'11-06-90\t11-06-90\tCD\tB-NP\tO' -p368031 -aS',\t,\t,\tO\tO' -p368032 -aS'there\tthere\tEX\tB-NP\tO' -p368033 -aS'was\tbe\tVBD\tB-VP\tO' -p368034 -aS'borderline\tborderline\tJJ\tB-NP\tO' -p368035 -aS'criteria\tcriterion\tNNS\tI-NP\tO' -p368036 -aS'for\tfor\tIN\tB-PP\tO' -p368037 -aS'anterior\tanterior\tJJ\tB-NP\tO' -p368038 -aS'MI\tMI\tNN\tI-NP\tO' -p368039 -aS'although\talthough\tIN\tB-SBAR\tO' -p368040 -aS'the\tthe\tDT\tB-NP\tO' -p368041 -aS'patient\tpatient\tNN\tI-NP\tO' -p368042 -aS'denied\tdeny\tVBD\tB-VP\tO' -p368043 -aS'any\tany\tDT\tB-NP\tO' -p368044 -aS'chest\tch\tJJS\tI-NP\tO' -p368045 -aS'pain\tpain\tNN\tI-NP\tO' -p368046 -aS'at\tat\tIN\tB-PP\tO' -p368047 -aS'any\tany\tDT\tB-NP\tO' -p368048 -aS'point\tpoint\tNN\tI-NP\tO' -p368049 -aS'.\t.\t.\tO\tO' -p368050 -asS'Neck - no JVD , no cervical lymphadenopathy' -p368051 -(lp368052 -S'Neck\tNeck\tNN\tB-NP\tO' -p368053 -aS'-\t-\tHYPH\tB-VP\tO' -p368054 -aS'no\tno\tDT\tB-NP\tO' -p368055 -aS'JVD\tJVD\tNN\tI-NP\tB-protein' -p368056 -aS',\t,\t,\tO\tO' -p368057 -aS'no\tno\tDT\tB-NP\tO' -p368058 -aS'cervical\tcervical\tJJ\tI-NP\tO' -p368059 -aS'lymphadenopathy\tlymphadenopathy\tNN\tI-NP\tO' -p368060 -asS'Mr. Eugene is a 67 year old male with a remote history of chronic pancreatitis due to alcohol abuse 30 years ago , who is transferred now from Rehab Hospital of the Cape & Islands Hospital for an ERCP and work-up for a cystic lesion at the head of his pancreas on CT scan shown at the outside hospital .' -p368061 -(lp368062 -S'Mr.\tMr.\tNNP\tB-NP\tB-DNA' -p368063 -aS'Eugene\tEugene\tNNP\tI-NP\tI-DNA' -p368064 -aS'is\tbe\tVBZ\tB-VP\tO' -p368065 -aS'a\ta\tDT\tB-NP\tO' -p368066 -aS'67\t67\tCD\tI-NP\tO' -p368067 -aS'year\tyear\tNN\tI-NP\tO' -p368068 -aS'old\told\tJJ\tI-NP\tO' -p368069 -aS'male\tmale\tNN\tI-NP\tO' -p368070 -aS'with\twith\tIN\tB-PP\tO' -p368071 -aS'a\ta\tDT\tB-NP\tO' -p368072 -aS'remote\tremote\tJJ\tI-NP\tO' -p368073 -aS'history\thistory\tNN\tI-NP\tO' -p368074 -aS'of\tof\tIN\tB-PP\tO' -p368075 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p368076 -aS'pancreatitis\tpancreatitis\tNN\tI-NP\tO' -p368077 -aS'due\tdue\tJJ\tB-ADJP\tO' -p368078 -aS'to\tto\tTO\tB-PP\tO' -p368079 -aS'alcohol\talcohol\tNN\tB-NP\tO' -p368080 -aS'abuse\tabuse\tNN\tI-NP\tO' -p368081 -aS'30\t30\tCD\tB-NP\tO' -p368082 -aS'years\tyear\tNNS\tI-NP\tO' -p368083 -aS'ago\tago\tRB\tB-ADVP\tO' -p368084 -aS',\t,\t,\tO\tO' -p368085 -aS'who\twho\tWP\tB-NP\tO' -p368086 -aS'is\tbe\tVBZ\tB-VP\tO' -p368087 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p368088 -aS'now\tnow\tRB\tB-ADVP\tO' -p368089 -aS'from\tfrom\tIN\tB-PP\tO' -p368090 -aS'Rehab\tRehab\tNNP\tB-NP\tO' -p368091 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p368092 -aS'of\tof\tIN\tB-PP\tO' -p368093 -aS'the\tthe\tDT\tB-NP\tO' -p368094 -aS'Cape\tCape\tNNP\tI-NP\tO' -p368095 -aS'&\t&\tCC\tI-NP\tO' -p368096 -aS'Islands\tIslands\tNNP\tI-NP\tO' -p368097 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p368098 -aS'for\tfor\tIN\tB-PP\tO' -p368099 -aS'an\tan\tDT\tB-NP\tO' -p368100 -aS'ERCP\tERCP\tNN\tI-NP\tB-DNA' -p368101 -aS'and\tand\tCC\tI-NP\tO' -p368102 -aS'work-up\twork-up\tNN\tI-NP\tO' -p368103 -aS'for\tfor\tIN\tB-PP\tO' -p368104 -aS'a\ta\tDT\tB-NP\tO' -p368105 -aS'cystic\tcystic\tJJ\tI-NP\tO' -p368106 -aS'lesion\tlesion\tNN\tI-NP\tO' -p368107 -aS'at\tat\tIN\tB-PP\tO' -p368108 -aS'the\tthe\tDT\tB-NP\tO' -p368109 -aS'head\thead\tNN\tI-NP\tO' -p368110 -aS'of\tof\tIN\tB-PP\tO' -p368111 -aS'his\this\tPRP$\tB-NP\tO' -p368112 -aS'pancreas\tpancreas\tNN\tI-NP\tO' -p368113 -aS'on\ton\tIN\tB-PP\tO' -p368114 -aS'CT\tCT\tNN\tB-NP\tO' -p368115 -aS'scan\tscan\tNN\tI-NP\tO' -p368116 -aS'shown\tshow\tVBN\tB-VP\tO' -p368117 -aS'at\tat\tIN\tB-PP\tO' -p368118 -aS'the\tthe\tDT\tB-NP\tO' -p368119 -aS'outside\toutside\tJJ\tI-NP\tO' -p368120 -aS'hospital\thospital\tNN\tI-NP\tO' -p368121 -aS'.\t.\t.\tO\tO' -p368122 -asS'The patient had an elevated white count upon admission , however , white count came down to 7.1 and prior to discharge , patient was afebrile and no clear etiology for elevated white blood cell on admission , questionably secondary to short gastrointestinal infection , however , patient is completely symptom free upon discharge .' -p368123 -(lp368124 -S'The\tThe\tDT\tB-NP\tO' -p368125 -aS'patient\tpatient\tNN\tI-NP\tO' -p368126 -aS'had\thave\tVBD\tB-VP\tO' -p368127 -aS'an\tan\tDT\tB-NP\tO' -p368128 -aS'elevated\televated\tJJ\tI-NP\tO' -p368129 -aS'white\twhite\tJJ\tI-NP\tO' -p368130 -aS'count\tcount\tNN\tI-NP\tO' -p368131 -aS'upon\tupon\tIN\tB-PP\tO' -p368132 -aS'admission\tadmission\tNN\tB-NP\tO' -p368133 -aS',\t,\t,\tO\tO' -p368134 -aS'however\thowever\tRB\tB-ADVP\tO' -p368135 -aS',\t,\t,\tO\tO' -p368136 -aS'white\twhite\tJJ\tB-NP\tO' -p368137 -aS'count\tcount\tNN\tI-NP\tO' -p368138 -aS'came\tcome\tVBD\tB-VP\tO' -p368139 -aS'down\tdown\tRB\tB-ADVP\tO' -p368140 -aS'to\tto\tTO\tB-PP\tO' -p368141 -aS'7.1\t7.1\tCD\tB-NP\tO' -p368142 -aS'and\tand\tCC\tO\tO' -p368143 -aS'prior\tprior\tJJ\tB-ADJP\tO' -p368144 -aS'to\tto\tTO\tB-VP\tO' -p368145 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p368146 -aS',\t,\t,\tO\tO' -p368147 -aS'patient\tpatient\tNN\tB-NP\tO' -p368148 -aS'was\tbe\tVBD\tB-VP\tO' -p368149 -aS'afebrile\tafebrile\tJJ\tB-ADJP\tO' -p368150 -aS'and\tand\tCC\tO\tO' -p368151 -aS'no\tno\tDT\tB-NP\tO' -p368152 -aS'clear\tclear\tJJ\tI-NP\tO' -p368153 -aS'etiology\tetiology\tNN\tI-NP\tO' -p368154 -aS'for\tfor\tIN\tB-PP\tO' -p368155 -aS'elevated\televated\tJJ\tB-NP\tO' -p368156 -aS'white\twhite\tJJ\tI-NP\tO' -p368157 -aS'blood\tblood\tNN\tI-NP\tO' -p368158 -aS'cell\tcell\tNN\tI-NP\tO' -p368159 -aS'on\ton\tIN\tB-PP\tO' -p368160 -aS'admission\tadmission\tNN\tB-NP\tO' -p368161 -aS',\t,\t,\tO\tO' -p368162 -aS'questionably\tquestionably\tRB\tB-ADJP\tO' -p368163 -aS'secondary\tsecondary\tJJ\tI-ADJP\tO' -p368164 -aS'to\tto\tTO\tB-PP\tO' -p368165 -aS'short\tshort\tJJ\tB-NP\tO' -p368166 -aS'gastrointestinal\tgastrointestinal\tJJ\tI-NP\tO' -p368167 -aS'infection\tinfection\tNN\tI-NP\tO' -p368168 -aS',\t,\t,\tO\tO' -p368169 -aS'however\thowever\tRB\tB-ADVP\tO' -p368170 -aS',\t,\t,\tO\tO' -p368171 -aS'patient\tpatient\tNN\tB-NP\tO' -p368172 -aS'is\tbe\tVBZ\tB-VP\tO' -p368173 -aS'completely\tcompletely\tRB\tB-ADJP\tO' -p368174 -aS'symptom\tsymptom\tNN\tI-ADJP\tO' -p368175 -aS'free\tfree\tJJ\tI-ADJP\tO' -p368176 -aS'upon\tupon\tIN\tB-PP\tO' -p368177 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p368178 -aS'.\t.\t.\tO\tO' -p368179 -asS'The patient was admitted to the floor for observation .' -p368180 -(lp368181 -S'The\tThe\tDT\tB-NP\tO' -p368182 -aS'patient\tpatient\tNN\tI-NP\tO' -p368183 -aS'was\tbe\tVBD\tB-VP\tO' -p368184 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p368185 -aS'to\tto\tTO\tB-PP\tO' -p368186 -aS'the\tthe\tDT\tB-NP\tO' -p368187 -aS'floor\tfloor\tNN\tI-NP\tO' -p368188 -aS'for\tfor\tIN\tB-PP\tO' -p368189 -aS'observation\tobservation\tNN\tB-NP\tO' -p368190 -aS'.\t.\t.\tO\tO' -p368191 -asS'After BiPAP was initiated , the patient became hypotensive down to 75/28 and bradycardiac , responding to 3 fluid boluses over the course of the night .' -p368192 -(lp368193 -S'After\tAfter\tIN\tB-PP\tO' -p368194 -aS'BiPAP\tBiPAP\tNN\tB-NP\tB-protein' -p368195 -aS'was\tbe\tVBD\tB-VP\tO' -p368196 -aS'initiated\tinitiate\tVBN\tI-VP\tO' -p368197 -aS',\t,\t,\tO\tO' -p368198 -aS'the\tthe\tDT\tB-NP\tO' -p368199 -aS'patient\tpatient\tNN\tI-NP\tO' -p368200 -aS'became\tbecome\tVBD\tB-VP\tO' -p368201 -aS'hypotensive\thypotensive\tJJ\tB-ADJP\tO' -p368202 -aS'down\tdown\tRB\tI-ADJP\tO' -p368203 -aS'to\tto\tTO\tB-PP\tO' -p368204 -aS'75/28\t75/28\tCD\tB-NP\tO' -p368205 -aS'and\tand\tCC\tO\tO' -p368206 -aS'bradycardiac\tbradycardiac\tJJ\tB-NP\tO' -p368207 -aS',\t,\t,\tO\tO' -p368208 -aS'responding\trespond\tVBG\tB-VP\tO' -p368209 -aS'to\tto\tTO\tB-PP\tO' -p368210 -aS'3\t3\tCD\tB-NP\tO' -p368211 -aS'fluid\tfluid\tNN\tI-NP\tO' -p368212 -aS'boluses\tbolus\tNNS\tI-NP\tO' -p368213 -aS'over\tover\tIN\tB-PP\tO' -p368214 -aS'the\tthe\tDT\tB-NP\tO' -p368215 -aS'course\tcourse\tNN\tI-NP\tO' -p368216 -aS'of\tof\tIN\tB-PP\tO' -p368217 -aS'the\tthe\tDT\tB-NP\tO' -p368218 -aS'night\tnight\tNN\tI-NP\tO' -p368219 -aS'.\t.\t.\tO\tO' -p368220 -asS'KCl 10 mEq q day .' -p368221 -(lp368222 -S'KCl\tKCl\tNN\tB-NP\tO' -p368223 -aS'10\t10\tCD\tI-NP\tO' -p368224 -aS'mEq\tmEq\tNN\tI-NP\tO' -p368225 -aS'q\tq\tNN\tI-NP\tO' -p368226 -aS'day\tday\tNN\tI-NP\tO' -p368227 -aS'.\t.\t.\tO\tO' -p368228 -asS'His chest x-ray blossomed to demonstrate pulmonary infiltrate and the patient began to produce sputum .' -p368229 -(lp368230 -S'His\tHis\tPRP$\tB-NP\tO' -p368231 -aS'chest\tchest\tNN\tI-NP\tO' -p368232 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p368233 -aS'blossomed\tblossom\tVBD\tB-VP\tO' -p368234 -aS'to\tto\tTO\tI-VP\tO' -p368235 -aS'demonstrate\tdemonstrate\tVB\tI-VP\tO' -p368236 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p368237 -aS'infiltrate\tinfiltrate\tNN\tI-NP\tO' -p368238 -aS'and\tand\tCC\tO\tO' -p368239 -aS'the\tthe\tDT\tB-NP\tO' -p368240 -aS'patient\tpatient\tNN\tI-NP\tO' -p368241 -aS'began\tbegin\tVBD\tB-VP\tO' -p368242 -aS'to\tto\tTO\tI-VP\tO' -p368243 -aS'produce\tproduce\tVB\tI-VP\tO' -p368244 -aS'sputum\tsputum\tNN\tB-NP\tO' -p368245 -aS'.\t.\t.\tO\tO' -p368246 -asS'The patient is to be discharged to home with services and in stable condition .' -p368247 -(lp368248 -S'The\tThe\tDT\tB-NP\tO' -p368249 -aS'patient\tpatient\tNN\tI-NP\tO' -p368250 -aS'is\tbe\tVBZ\tB-VP\tO' -p368251 -aS'to\tto\tTO\tI-VP\tO' -p368252 -aS'be\tbe\tVB\tI-VP\tO' -p368253 -aS'discharged\tdischarge\tVBN\tI-VP\tO' -p368254 -aS'to\tto\tTO\tB-PP\tO' -p368255 -aS'home\thome\tNN\tB-NP\tO' -p368256 -aS'with\twith\tIN\tB-PP\tO' -p368257 -aS'services\tservice\tNNS\tB-NP\tO' -p368258 -aS'and\tand\tCC\tB-PP\tO' -p368259 -aS'in\tin\tIN\tB-PP\tO' -p368260 -aS'stable\tstable\tJJ\tB-NP\tO' -p368261 -aS'condition\tcondition\tNN\tI-NP\tO' -p368262 -aS'.\t.\t.\tO\tO' -p368263 -asS'Faint scattered wheezes bilaterally .' -p368264 -(lp368265 -S'Faint\tFaint\tNNP\tB-NP\tO' -p368266 -aS'scattered\tscatter\tVBD\tB-VP\tO' -p368267 -aS'wheezes\twheeze\tVBZ\tB-VP\tO' -p368268 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p368269 -aS'.\t.\t.\tO\tO' -p368270 -asS'3. Hypotension .' -p368271 -(lp368272 -S'3.\t3.\tLS\tB-NP\tO' -p368273 -aS'Hypotension\tHypotension\tNN\tI-NP\tO' -p368274 -aS'.\t.\t.\tO\tO' -p368275 -asS'coronary artery bypass grafting x 3 .' -p368276 -(lp368277 -S'coronary\tcoronary\tJJ\tB-NP\tO' -p368278 -aS'artery\tartery\tNN\tI-NP\tO' -p368279 -aS'bypass\tbypass\tIN\tB-PP\tO' -p368280 -aS'grafting\tgraft\tVBG\tB-VP\tO' -p368281 -aS'x\tx\tNN\tB-NP\tB-DNA' -p368282 -aS'3\t3\tCD\tI-NP\tI-DNA' -p368283 -aS'.\t.\t.\tO\tO' -p368284 -asS"On room air , the patient 's oxygen saturation was 95% and dropped to 88% following a 6 - minute walk ." -p368285 -(lp368286 -S'On\tOn\tIN\tB-PP\tO' -p368287 -aS'room\troom\tNN\tB-NP\tO' -p368288 -aS'air\tair\tNN\tI-NP\tO' -p368289 -aS',\t,\t,\tO\tO' -p368290 -aS'the\tthe\tDT\tB-NP\tO' -p368291 -aS'patient\tpatient\tNN\tI-NP\tO' -p368292 -aS"'s\t's\tPOS\tB-NP\tO" -p368293 -aS'oxygen\toxygen\tNN\tI-NP\tO' -p368294 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p368295 -aS'was\tbe\tVBD\tB-VP\tO' -p368296 -aS'95%\t95%\tCD\tB-NP\tO' -p368297 -aS'and\tand\tCC\tO\tO' -p368298 -aS'dropped\tdrop\tVBD\tB-VP\tO' -p368299 -aS'to\tto\tTO\tI-VP\tO' -p368300 -aS'88%\t88%\tVB\tI-VP\tO' -p368301 -aS'following\tfollow\tVBG\tB-PP\tO' -p368302 -aS'a\ta\tDT\tB-NP\tO' -p368303 -aS'6\t6\tCD\tI-NP\tO' -p368304 -aS'-\t-\tHYPH\tI-NP\tO' -p368305 -aS'minute\tminute\tNN\tI-NP\tO' -p368306 -aS'walk\twalk\tNN\tI-NP\tO' -p368307 -aS'.\t.\t.\tO\tO' -p368308 -asS'TECHNIQUE : A multidetector scanner was used to obtain contiguous axial images from the lung bases to the pubic symphysis .' -p368309 -(lp368310 -S'TECHNIQUE\tTECHNIQUE\tNN\tB-NP\tO' -p368311 -aS':\t:\t:\tO\tO' -p368312 -aS'A\tA\tDT\tB-NP\tO' -p368313 -aS'multidetector\tmultidetector\tJJ\tI-NP\tO' -p368314 -aS'scanner\tscanner\tNN\tI-NP\tO' -p368315 -aS'was\tbe\tVBD\tB-VP\tO' -p368316 -aS'used\tuse\tVBN\tI-VP\tO' -p368317 -aS'to\tto\tTO\tB-VP\tO' -p368318 -aS'obtain\tobtain\tVB\tI-VP\tO' -p368319 -aS'contiguous\tcontiguous\tJJ\tB-NP\tO' -p368320 -aS'axial\taxial\tJJ\tI-NP\tO' -p368321 -aS'images\timage\tNNS\tI-NP\tO' -p368322 -aS'from\tfrom\tIN\tB-PP\tO' -p368323 -aS'the\tthe\tDT\tB-NP\tO' -p368324 -aS'lung\tlung\tNN\tI-NP\tB-protein' -p368325 -aS'bases\tbase\tNNS\tI-NP\tI-protein' -p368326 -aS'to\tto\tTO\tB-PP\tO' -p368327 -aS'the\tthe\tDT\tB-NP\tO' -p368328 -aS'pubic\tpubic\tJJ\tI-NP\tO' -p368329 -aS'symphysis\tsymphysis\tNN\tI-NP\tO' -p368330 -aS'.\t.\t.\tO\tO' -p368331 -asS'3. A 27 week intrauterine pregnancy .' -p368332 -(lp368333 -S'3.\t3.\tLS\tB-LST\tO' -p368334 -aS'A\tA\tDT\tB-NP\tO' -p368335 -aS'27\t27\tCD\tI-NP\tO' -p368336 -aS'week\tweek\tNN\tI-NP\tO' -p368337 -aS'intrauterine\tintrauterine\tJJ\tI-NP\tO' -p368338 -aS'pregnancy\tpregnancy\tNN\tI-NP\tO' -p368339 -aS'.\t.\t.\tO\tO' -p368340 -asS'He was , however , extubted without difficulty and after that did quite well .' -p368341 -(lp368342 -S'He\tHe\tPRP\tB-NP\tO' -p368343 -aS'was\tbe\tVBD\tB-VP\tO' -p368344 -aS',\t,\t,\tO\tO' -p368345 -aS'however\thowever\tRB\tB-ADVP\tO' -p368346 -aS',\t,\t,\tO\tO' -p368347 -aS'extubted\textubte\tVBN\tB-VP\tO' -p368348 -aS'without\twithout\tIN\tB-PP\tO' -p368349 -aS'difficulty\tdifficulty\tNN\tB-NP\tO' -p368350 -aS'and\tand\tCC\tB-PP\tO' -p368351 -aS'after\tafter\tIN\tB-PP\tO' -p368352 -aS'that\tthat\tDT\tB-NP\tO' -p368353 -aS'did\tdo\tVBD\tB-VP\tO' -p368354 -aS'quite\tquite\tRB\tB-ADVP\tO' -p368355 -aS'well\twell\tRB\tI-ADVP\tO' -p368356 -aS'.\t.\t.\tO\tO' -p368357 -asS'Attending : Robert E Goldschmidt , M.D.' -p368358 -(lp368359 -S'Attending\tAttend\tVBG\tB-VP\tO' -p368360 -aS':\t:\t:\tO\tO' -p368361 -aS'Robert\tRobert\tNNP\tB-NP\tO' -p368362 -aS'E\tE\tNNP\tI-NP\tO' -p368363 -aS'Goldschmidt\tGoldschmidt\tNNP\tI-NP\tO' -p368364 -aS',\t,\t,\tO\tO' -p368365 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p368366 -asS'2. Please keep all follow up appointments .' -p368367 -(lp368368 -S'2.\t2.\tLS\tB-NP\tO' -p368369 -aS'Please\tPlease\tNN\tI-NP\tB-protein' -p368370 -aS'keep\tkeep\tVB\tB-VP\tO' -p368371 -aS'all\tall\tDT\tO\tO' -p368372 -aS'follow\tfollow\tVB\tB-VP\tO' -p368373 -aS'up\tup\tRP\tB-PRT\tO' -p368374 -aS'appointments\tappointment\tNNS\tB-NP\tO' -p368375 -aS'.\t.\t.\tO\tO' -p368376 -asS'He has no known clotting disorder but did have trauma to leg prompting immobility and stasis .' -p368377 -(lp368378 -S'He\tHe\tPRP\tB-NP\tO' -p368379 -aS'has\thave\tVBZ\tB-VP\tO' -p368380 -aS'no\tno\tDT\tB-NP\tO' -p368381 -aS'known\tknow\tVBN\tI-NP\tO' -p368382 -aS'clotting\tclotting\tNN\tI-NP\tO' -p368383 -aS'disorder\tdisorder\tNN\tI-NP\tO' -p368384 -aS'but\tbut\tCC\tO\tO' -p368385 -aS'did\tdo\tVBD\tB-VP\tO' -p368386 -aS'have\thave\tVB\tI-VP\tO' -p368387 -aS'trauma\ttrauma\tNN\tB-NP\tO' -p368388 -aS'to\tto\tTO\tB-PP\tO' -p368389 -aS'leg\tleg\tNN\tB-NP\tO' -p368390 -aS'prompting\tprompt\tVBG\tB-VP\tO' -p368391 -aS'immobility\timmobility\tNN\tB-NP\tO' -p368392 -aS'and\tand\tCC\tI-NP\tO' -p368393 -aS'stasis\tstasis\tNN\tI-NP\tO' -p368394 -aS'.\t.\t.\tO\tO' -p368395 -asS'White count 5.3 , hematocrit 43 , platelets 200 .' -p368396 -(lp368397 -S'White\tWhite\tJJ\tB-NP\tO' -p368398 -aS'count\tcount\tNN\tI-NP\tO' -p368399 -aS'5.3\t5.3\tNN\tI-NP\tO' -p368400 -aS',\t,\t,\tO\tO' -p368401 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p368402 -aS'43\t43\tCD\tI-NP\tI-protein' -p368403 -aS',\t,\t,\tO\tO' -p368404 -aS'platelets\tplatelet\tNNS\tB-NP\tB-cell_type' -p368405 -aS'200\t200\tCD\tB-NP\tO' -p368406 -aS'.\t.\t.\tO\tO' -p368407 -asS"78 M w/ longstanding CAD s / p CABG '97 , had PPM and AICD placed in '02 after admitted for presyncope and found to have inducible VT ." -p368408 -(lp368409 -S'78\t78\tCD\tB-NP\tO' -p368410 -aS'M\tM\tNN\tI-NP\tO' -p368411 -aS'w/\tw/\tNN\tI-NP\tO' -p368412 -aS'longstanding\tlongstanding\tJJ\tI-NP\tO' -p368413 -aS'CAD\tCAD\tNN\tI-NP\tO' -p368414 -aS's\ts\tNN\tI-NP\tO' -p368415 -aS'/\t/\tSYM\tB-NP\tO' -p368416 -aS'p\tp\tNN\tI-NP\tO' -p368417 -aS'CABG\tCABG\tNN\tI-NP\tO' -p368418 -aS"'97\t'97\tCD\tI-NP\tO" -p368419 -aS',\t,\t,\tO\tO' -p368420 -aS'had\thave\tVBD\tB-VP\tO' -p368421 -aS'PPM\tPPM\tNN\tB-NP\tB-protein' -p368422 -aS'and\tand\tCC\tI-NP\tO' -p368423 -aS'AICD\tAICD\tNN\tI-NP\tO' -p368424 -aS'placed\tplace\tVBN\tB-VP\tO' -p368425 -aS'in\tin\tIN\tB-PP\tO' -p368426 -aS"'02\t'02\tCD\tB-NP\tO" -p368427 -aS'after\tafter\tIN\tB-SBAR\tO' -p368428 -aS'admitted\tadmit\tVBN\tB-VP\tO' -p368429 -aS'for\tfor\tIN\tB-PP\tO' -p368430 -aS'presyncope\tpresyncope\tNN\tB-NP\tO' -p368431 -aS'and\tand\tCC\tO\tO' -p368432 -aS'found\tfind\tVBN\tB-VP\tO' -p368433 -aS'to\tto\tTO\tI-VP\tO' -p368434 -aS'have\thave\tVB\tI-VP\tO' -p368435 -aS'inducible\tinducible\tJJ\tB-NP\tO' -p368436 -aS'VT\tVT\tNN\tI-NP\tO' -p368437 -aS'.\t.\t.\tO\tO' -p368438 -asS'1. Aspirin 325 mg po q day .' -p368439 -(lp368440 -S'1.\t1.\tLS\tB-LST\tO' -p368441 -aS'Aspirin\tAspirin\tNN\tB-NP\tO' -p368442 -aS'325\t325\tCD\tI-NP\tO' -p368443 -aS'mg\tmg\tNN\tI-NP\tO' -p368444 -aS'po\tpo\tNN\tI-NP\tO' -p368445 -aS'q\tq\tNN\tI-NP\tO' -p368446 -aS'day\tday\tNN\tI-NP\tO' -p368447 -aS'.\t.\t.\tO\tO' -p368448 -asS'HEENT : Anterior fontanel open and flat .' -p368449 -(lp368450 -S'HEENT\tHEENT\tNN\tB-NP\tO' -p368451 -aS':\t:\t:\tO\tO' -p368452 -aS'Anterior\tAnterior\tJJ\tB-NP\tO' -p368453 -aS'fontanel\tfontanel\tNN\tI-NP\tO' -p368454 -aS'open\topen\tJJ\tB-ADJP\tO' -p368455 -aS'and\tand\tCC\tI-ADJP\tO' -p368456 -aS'flat\tflat\tJJ\tI-ADJP\tO' -p368457 -aS'.\t.\t.\tO\tO' -p368458 -asS'The cesarean section was performed on the West Campus in the Cardiothoracic Surgical Suite .' -p368459 -(lp368460 -S'The\tThe\tDT\tB-NP\tO' -p368461 -aS'cesarean\tcesarean\tJJ\tI-NP\tO' -p368462 -aS'section\tsection\tNN\tI-NP\tO' -p368463 -aS'was\tbe\tVBD\tB-VP\tO' -p368464 -aS'performed\tperform\tVBN\tI-VP\tO' -p368465 -aS'on\ton\tIN\tB-PP\tO' -p368466 -aS'the\tthe\tDT\tB-NP\tO' -p368467 -aS'West\tWest\tNNP\tI-NP\tO' -p368468 -aS'Campus\tCampus\tNNP\tI-NP\tO' -p368469 -aS'in\tin\tIN\tB-PP\tO' -p368470 -aS'the\tthe\tDT\tB-NP\tO' -p368471 -aS'Cardiothoracic\tCardiothoracic\tNNP\tI-NP\tO' -p368472 -aS'Surgical\tSurgical\tNNP\tI-NP\tO' -p368473 -aS'Suite\tSuite\tNNP\tI-NP\tO' -p368474 -aS'.\t.\t.\tO\tO' -p368475 -asS'There is a very small circumferential pericardial effusion .' -p368476 -(lp368477 -S'There\tThere\tEX\tB-NP\tO' -p368478 -aS'is\tbe\tVBZ\tB-VP\tO' -p368479 -aS'a\ta\tDT\tB-NP\tO' -p368480 -aS'very\tvery\tRB\tI-NP\tO' -p368481 -aS'small\tsmall\tJJ\tI-NP\tO' -p368482 -aS'circumferential\tcircumferential\tJJ\tI-NP\tO' -p368483 -aS'pericardial\tpericardial\tJJ\tI-NP\tO' -p368484 -aS'effusion\teffusion\tNN\tI-NP\tO' -p368485 -aS'.\t.\t.\tO\tO' -p368486 -asS'Hips were stable without clunk .' -p368487 -(lp368488 -S'Hips\tHip\tNNS\tB-NP\tO' -p368489 -aS'were\tbe\tVBD\tB-VP\tO' -p368490 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p368491 -aS'without\twithout\tIN\tB-PP\tO' -p368492 -aS'clunk\tclunk\tNN\tB-NP\tO' -p368493 -aS'.\t.\t.\tO\tO' -p368494 -asS'3. Status post rule out sepsis , ruled out .' -p368495 -(lp368496 -S'3.\t3.\tLS\tB-NP\tO' -p368497 -aS'Status\tStatus\tNN\tI-NP\tO' -p368498 -aS'post\tpost\tNN\tI-NP\tO' -p368499 -aS'rule\trule\tNN\tI-NP\tO' -p368500 -aS'out\tout\tIN\tB-PP\tO' -p368501 -aS'sepsis\tsepsis\tNN\tB-NP\tO' -p368502 -aS',\t,\t,\tO\tO' -p368503 -aS'ruled\trule\tVBD\tB-VP\tO' -p368504 -aS'out\tout\tRP\tB-PRT\tO' -p368505 -aS'.\t.\t.\tO\tO' -p368506 -asS'8. Atenolol 25 mg p.o. once per day .' -p368507 -(lp368508 -S'8.\t8.\tCD\tB-NP\tO' -p368509 -aS'Atenolol\tAtenolol\tNN\tI-NP\tO' -p368510 -aS'25\t25\tCD\tB-NP\tO' -p368511 -aS'mg\tmg\tNN\tI-NP\tO' -p368512 -aS'p.o.\tp.o.\tRB\tB-ADVP\tO' -p368513 -aS'once\tonce\tRB\tI-ADVP\tO' -p368514 -aS'per\tper\tIN\tB-PP\tO' -p368515 -aS'day\tday\tNN\tB-NP\tO' -p368516 -aS'.\t.\t.\tO\tO' -p368517 -asS'Completed by : Simon Claudine Audrey MD 82-812 2014-04-28 @ 1227' -p368518 -(lp368519 -S'Completed\tComplete\tVBN\tB-VP\tO' -p368520 -aS'by\tby\tIN\tB-PP\tO' -p368521 -aS':\t:\t:\tO\tO' -p368522 -aS'Simon\tSimon\tNNP\tB-NP\tO' -p368523 -aS'Claudine\tClaudine\tNNP\tI-NP\tO' -p368524 -aS'Audrey\tAudrey\tNNP\tI-NP\tO' -p368525 -aS'MD\tMD\tNNP\tI-NP\tO' -p368526 -aS'82-812\t82-812\tCD\tI-NP\tO' -p368527 -aS'2014-04-28\t2014-04-28\tCD\tI-NP\tO' -p368528 -aS'@\t@\tNN\tI-NP\tO' -p368529 -aS'1227\t1227\tCD\tB-NP\tO' -p368530 -asS'By postoperative day #2 she was eating , ambulating and voiding on her own .' -p368531 -(lp368532 -S'By\tBy\tIN\tB-PP\tO' -p368533 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p368534 -aS'day\tday\tNN\tI-NP\tO' -p368535 -aS'#2\t#2\tCD\tI-NP\tO' -p368536 -aS'she\tshe\tPRP\tB-NP\tO' -p368537 -aS'was\tbe\tVBD\tB-VP\tO' -p368538 -aS'eating\teat\tVBG\tI-VP\tO' -p368539 -aS',\t,\t,\tO\tO' -p368540 -aS'ambulating\tambulate\tVBG\tB-VP\tO' -p368541 -aS'and\tand\tCC\tI-VP\tO' -p368542 -aS'voiding\tvoid\tVBG\tI-VP\tO' -p368543 -aS'on\ton\tIN\tB-PP\tO' -p368544 -aS'her\ther\tPRP$\tB-NP\tO' -p368545 -aS'own\town\tJJ\tI-NP\tO' -p368546 -aS'.\t.\t.\tO\tO' -p368547 -asS'She will be seen by Visiting Nurses Association to help with general aspects of daily living as well as adequate diet planning following her gastric resection .' -p368548 -(lp368549 -S'She\tShe\tPRP\tB-NP\tO' -p368550 -aS'will\twill\tMD\tB-VP\tO' -p368551 -aS'be\tbe\tVB\tI-VP\tO' -p368552 -aS'seen\tsee\tVBN\tI-VP\tO' -p368553 -aS'by\tby\tIN\tB-PP\tO' -p368554 -aS'Visiting\tVisit\tVBG\tB-VP\tO' -p368555 -aS'Nurses\tNurses\tNNP\tB-NP\tO' -p368556 -aS'Association\tAssociation\tNNP\tI-NP\tO' -p368557 -aS'to\tto\tTO\tB-VP\tO' -p368558 -aS'help\thelp\tVB\tI-VP\tO' -p368559 -aS'with\twith\tIN\tB-PP\tO' -p368560 -aS'general\tgeneral\tJJ\tB-NP\tO' -p368561 -aS'aspects\taspect\tNNS\tI-NP\tO' -p368562 -aS'of\tof\tIN\tB-PP\tO' -p368563 -aS'daily\tdaily\tJJ\tB-NP\tO' -p368564 -aS'living\tliving\tNN\tI-NP\tO' -p368565 -aS'as\tas\tRB\tB-CONJP\tO' -p368566 -aS'well\twell\tRB\tI-CONJP\tO' -p368567 -aS'as\tas\tIN\tI-CONJP\tO' -p368568 -aS'adequate\tadequate\tJJ\tB-NP\tO' -p368569 -aS'diet\tdiet\tNN\tI-NP\tO' -p368570 -aS'planning\tplanning\tNN\tI-NP\tO' -p368571 -aS'following\tfollow\tVBG\tB-PP\tO' -p368572 -aS'her\ther\tPRP$\tB-NP\tO' -p368573 -aS'gastric\tgastric\tJJ\tI-NP\tO' -p368574 -aS'resection\tresection\tNN\tI-NP\tO' -p368575 -aS'.\t.\t.\tO\tO' -p368576 -asS'His pelvis fracture are closed treated and he can be weight bearing as tolerated on his right leg and and nonweight bearing on his left leg .' -p368577 -(lp368578 -S'His\tHis\tPRP$\tB-NP\tO' -p368579 -aS'pelvis\tpelvis\tJJ\tI-NP\tO' -p368580 -aS'fracture\tfracture\tNN\tI-NP\tO' -p368581 -aS'are\tbe\tVBP\tB-VP\tO' -p368582 -aS'closed\tclose\tVBN\tI-VP\tO' -p368583 -aS'treated\ttreat\tVBN\tI-VP\tO' -p368584 -aS'and\tand\tCC\tO\tO' -p368585 -aS'he\the\tPRP\tB-NP\tO' -p368586 -aS'can\tcan\tMD\tB-VP\tO' -p368587 -aS'be\tbe\tVB\tI-VP\tO' -p368588 -aS'weight\tweight\tJJ\tB-NP\tO' -p368589 -aS'bearing\tbearing\tNN\tI-NP\tO' -p368590 -aS'as\tas\tIN\tB-SBAR\tO' -p368591 -aS'tolerated\ttolerate\tVBN\tB-VP\tO' -p368592 -aS'on\ton\tIN\tB-PP\tO' -p368593 -aS'his\this\tPRP$\tB-NP\tO' -p368594 -aS'right\tright\tJJ\tI-NP\tO' -p368595 -aS'leg\tleg\tNN\tI-NP\tO' -p368596 -aS'and\tand\tCC\tO\tO' -p368597 -aS'and\tand\tCC\tO\tO' -p368598 -aS'nonweight\tnonweight\tJJ\tB-NP\tO' -p368599 -aS'bearing\tbearing\tNN\tI-NP\tO' -p368600 -aS'on\ton\tIN\tB-PP\tO' -p368601 -aS'his\this\tPRP$\tB-NP\tO' -p368602 -aS'left\tleft\tJJ\tI-NP\tO' -p368603 -aS'leg\tleg\tNN\tI-NP\tO' -p368604 -aS'.\t.\t.\tO\tO' -p368605 -asS'3. Residual of previous right middle cerebral artery stroke .' -p368606 -(lp368607 -S'3.\t3.\tLS\tB-NP\tO' -p368608 -aS'Residual\tResidual\tNN\tI-NP\tO' -p368609 -aS'of\tof\tIN\tB-PP\tO' -p368610 -aS'previous\tprevious\tJJ\tB-NP\tO' -p368611 -aS'right\tright\tJJ\tI-NP\tO' -p368612 -aS'middle\tmiddle\tJJ\tI-NP\tO' -p368613 -aS'cerebral\tcerebral\tJJ\tI-NP\tO' -p368614 -aS'artery\tartery\tNN\tI-NP\tO' -p368615 -aS'stroke\tstroke\tNN\tI-NP\tO' -p368616 -aS'.\t.\t.\tO\tO' -p368617 -asS'Disp :* 90 Tablet (s)* Refills :* 2 *' -p368618 -(lp368619 -S'Disp\tDisp\tNN\tB-NP\tO' -p368620 -aS':*\t:*\tSYM\tI-NP\tO' -p368621 -aS'90\t90\tCD\tI-NP\tO' -p368622 -aS'Tablet\tTablet\tNN\tI-NP\tO' -p368623 -aS'(s)*\t(s)*\tSYM\tB-NP\tO' -p368624 -aS'Refills\tRefill\tNNPS\tI-NP\tO' -p368625 -aS':*\t:*\tSYM\tI-NP\tO' -p368626 -aS'2\t2\tCD\tI-NP\tO' -p368627 -aS'*\t*\tSYM\tB-NP\tO' -p368628 -asS'The patient was transferred to NVH after receiving intravenous fluid with potassium , Demerol for pain control and clindamycin , Valium and droperidol .' -p368629 -(lp368630 -S'The\tThe\tDT\tB-NP\tO' -p368631 -aS'patient\tpatient\tNN\tI-NP\tO' -p368632 -aS'was\tbe\tVBD\tB-VP\tO' -p368633 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p368634 -aS'to\tto\tTO\tB-PP\tO' -p368635 -aS'NVH\tNVH\tNN\tB-NP\tB-protein' -p368636 -aS'after\tafter\tIN\tB-PP\tO' -p368637 -aS'receiving\treceive\tVBG\tB-VP\tO' -p368638 -aS'intravenous\tintravenous\tJJ\tB-NP\tO' -p368639 -aS'fluid\tfluid\tNN\tI-NP\tO' -p368640 -aS'with\twith\tIN\tB-PP\tO' -p368641 -aS'potassium\tpotassium\tNN\tB-NP\tO' -p368642 -aS',\t,\t,\tO\tO' -p368643 -aS'Demerol\tDemerol\tNN\tB-NP\tO' -p368644 -aS'for\tfor\tIN\tB-PP\tO' -p368645 -aS'pain\tpain\tNN\tB-NP\tO' -p368646 -aS'control\tcontrol\tNN\tI-NP\tO' -p368647 -aS'and\tand\tCC\tI-NP\tO' -p368648 -aS'clindamycin\tclindamycin\tNN\tI-NP\tO' -p368649 -aS',\t,\t,\tI-NP\tO' -p368650 -aS'Valium\tValium\tNN\tI-NP\tO' -p368651 -aS'and\tand\tCC\tI-NP\tO' -p368652 -aS'droperidol\tdroperidol\tNN\tI-NP\tO' -p368653 -aS'.\t.\t.\tO\tO' -p368654 -asS'cv - rrr , s1s2 , no m/r/g' -p368655 -(lp368656 -S'cv\tcv\tAFX\tB-NP\tO' -p368657 -aS'-\t-\tHYPH\tI-NP\tO' -p368658 -aS'rrr\trrr\tNN\tB-NP\tB-protein' -p368659 -aS',\t,\t,\tO\tO' -p368660 -aS's1s2\ts1s2\tNN\tB-NP\tB-protein' -p368661 -aS',\t,\t,\tO\tO' -p368662 -aS'no\tno\tDT\tB-NP\tO' -p368663 -aS'm/r/g\tm/r/g\tNN\tI-NP\tO' -p368664 -asS'She has a history of hiatal hernia and umbilical hernia repair .' -p368665 -(lp368666 -S'She\tShe\tPRP\tB-NP\tO' -p368667 -aS'has\thave\tVBZ\tB-VP\tO' -p368668 -aS'a\ta\tDT\tB-NP\tO' -p368669 -aS'history\thistory\tNN\tI-NP\tO' -p368670 -aS'of\tof\tIN\tB-PP\tO' -p368671 -aS'hiatal\thiatal\tJJ\tB-NP\tO' -p368672 -aS'hernia\thernia\tNN\tI-NP\tO' -p368673 -aS'and\tand\tCC\tO\tO' -p368674 -aS'umbilical\tumbilical\tJJ\tB-NP\tO' -p368675 -aS'hernia\thernia\tNN\tI-NP\tO' -p368676 -aS'repair\trepair\tNN\tI-NP\tO' -p368677 -aS'.\t.\t.\tO\tO' -p368678 -asS'On admission included Percocet , Prinovil , Dapsone , Mycelex troches .' -p368679 -(lp368680 -S'On\tOn\tIN\tB-PP\tO' -p368681 -aS'admission\tadmission\tNN\tB-NP\tO' -p368682 -aS'included\tinclude\tVBN\tB-VP\tO' -p368683 -aS'Percocet\tPercocet\tNNP\tB-NP\tO' -p368684 -aS',\t,\t,\tO\tO' -p368685 -aS'Prinovil\tPrinovil\tNNP\tB-NP\tO' -p368686 -aS',\t,\t,\tO\tO' -p368687 -aS'Dapsone\tDapsone\tNNP\tB-NP\tO' -p368688 -aS',\t,\t,\tO\tO' -p368689 -aS'Mycelex\tMycelex\tNNP\tB-NP\tO' -p368690 -aS'troches\ttroche\tNNS\tI-NP\tO' -p368691 -aS'.\t.\t.\tO\tO' -p368692 -asS'Yes - Direct contact with PCP' -p368693 -(lp368694 -S'Yes\tYe\tNNS\tB-NP\tB-protein' -p368695 -aS'-\t-\tHYPH\tB-NP\tO' -p368696 -aS'Direct\tDirect\tJJ\tI-NP\tO' -p368697 -aS'contact\tcontact\tNN\tI-NP\tO' -p368698 -aS'with\twith\tIN\tB-PP\tO' -p368699 -aS'PCP\tPCP\tNN\tB-NP\tO' -p368700 -asS'Subsequently his creatinine rose for three days and then stabilized at 10 .' -p368701 -(lp368702 -S'Subsequently\tSubsequently\tRB\tB-ADVP\tO' -p368703 -aS'his\this\tPRP$\tB-NP\tO' -p368704 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p368705 -aS'rose\trise\tVBD\tB-VP\tO' -p368706 -aS'for\tfor\tIN\tB-PP\tO' -p368707 -aS'three\tthree\tCD\tB-NP\tO' -p368708 -aS'days\tday\tNNS\tI-NP\tO' -p368709 -aS'and\tand\tCC\tO\tO' -p368710 -aS'then\tthen\tRB\tB-ADVP\tO' -p368711 -aS'stabilized\tstabilize\tVBD\tB-VP\tO' -p368712 -aS'at\tat\tIN\tB-PP\tO' -p368713 -aS'10\t10\tCD\tB-NP\tO' -p368714 -aS'.\t.\t.\tO\tO' -p368715 -asS'The patient was given printed instructions for motor vehicle accident - trauma ( English ) .' -p368716 -(lp368717 -S'The\tThe\tDT\tB-NP\tO' -p368718 -aS'patient\tpatient\tNN\tI-NP\tO' -p368719 -aS'was\tbe\tVBD\tB-VP\tO' -p368720 -aS'given\tgive\tVBN\tI-VP\tO' -p368721 -aS'printed\tprint\tVBN\tB-NP\tO' -p368722 -aS'instructions\tinstruction\tNNS\tI-NP\tO' -p368723 -aS'for\tfor\tIN\tB-PP\tO' -p368724 -aS'motor\tmotor\tNN\tB-NP\tO' -p368725 -aS'vehicle\tvehicle\tNN\tI-NP\tO' -p368726 -aS'accident\taccident\tNN\tI-NP\tO' -p368727 -aS'-\t-\tHYPH\tO\tO' -p368728 -aS'trauma\ttrauma\tNN\tB-NP\tO' -p368729 -aS'(\t(\t(\tO\tO' -p368730 -aS'English\tEnglish\tNN\tB-NP\tO' -p368731 -aS')\t)\t)\tO\tO' -p368732 -aS'.\t.\t.\tO\tO' -p368733 -asS'Urinalysis was normal .' -p368734 -(lp368735 -S'Urinalysis\tUrinalysis\tNN\tB-NP\tO' -p368736 -aS'was\tbe\tVBD\tB-VP\tO' -p368737 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p368738 -aS'.\t.\t.\tO\tO' -p368739 -asS'The patient had an elevated bilirubin on admission with decreased output of biliary drain .' -p368740 -(lp368741 -S'The\tThe\tDT\tB-NP\tO' -p368742 -aS'patient\tpatient\tNN\tI-NP\tO' -p368743 -aS'had\thave\tVBD\tB-VP\tO' -p368744 -aS'an\tan\tDT\tB-NP\tO' -p368745 -aS'elevated\televated\tJJ\tI-NP\tO' -p368746 -aS'bilirubin\tbilirubin\tNN\tI-NP\tO' -p368747 -aS'on\ton\tIN\tB-PP\tO' -p368748 -aS'admission\tadmission\tNN\tB-NP\tO' -p368749 -aS'with\twith\tIN\tB-PP\tO' -p368750 -aS'decreased\tdecrease\tVBN\tB-NP\tO' -p368751 -aS'output\toutput\tNN\tI-NP\tO' -p368752 -aS'of\tof\tIN\tB-PP\tO' -p368753 -aS'biliary\tbiliary\tJJ\tB-NP\tO' -p368754 -aS'drain\tdrain\tNN\tI-NP\tO' -p368755 -aS'.\t.\t.\tO\tO' -p368756 -asS'The patient was admitted on the day of her surgery which was 09/20/00 .' -p368757 -(lp368758 -S'The\tThe\tDT\tB-NP\tO' -p368759 -aS'patient\tpatient\tNN\tI-NP\tO' -p368760 -aS'was\tbe\tVBD\tB-VP\tO' -p368761 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p368762 -aS'on\ton\tIN\tB-PP\tO' -p368763 -aS'the\tthe\tDT\tB-NP\tO' -p368764 -aS'day\tday\tNN\tI-NP\tO' -p368765 -aS'of\tof\tIN\tB-PP\tO' -p368766 -aS'her\ther\tPRP$\tB-NP\tO' -p368767 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p368768 -aS'which\twhich\tWDT\tB-NP\tO' -p368769 -aS'was\tbe\tVBD\tB-VP\tO' -p368770 -aS'09/20/00\t09/20/00\tCD\tB-NP\tO' -p368771 -aS'.\t.\t.\tO\tO' -p368772 -asS'The pulses were 1+ bilaterally .' -p368773 -(lp368774 -S'The\tThe\tDT\tB-NP\tO' -p368775 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p368776 -aS'were\tbe\tVBD\tB-VP\tO' -p368777 -aS'1+\t1+\tJJ\tB-ADJP\tO' -p368778 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p368779 -aS'.\t.\t.\tO\tO' -p368780 -asS'10. Ultram 50 mg Tablet Sig : One ( 1 ) Tablet PO Q6 hrs / PRN .' -p368781 -(lp368782 -S'10.\t10.\tCD\tB-NP\tO' -p368783 -aS'Ultram\tUltram\tNNP\tI-NP\tO' -p368784 -aS'50\t50\tCD\tI-NP\tO' -p368785 -aS'mg\tmg\tNN\tI-NP\tO' -p368786 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p368787 -aS'Sig\tSig\tNNP\tI-NP\tO' -p368788 -aS':\t:\t:\tO\tO' -p368789 -aS'One\tOne\tCD\tB-NP\tO' -p368790 -aS'(\t(\t(\tO\tO' -p368791 -aS'1\t1\tCD\tB-NP\tO' -p368792 -aS')\t)\t)\tO\tO' -p368793 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p368794 -aS'PO\tPO\tNN\tI-NP\tO' -p368795 -aS'Q6\tQ6\tNN\tI-NP\tO' -p368796 -aS'hrs\thr\tNNS\tI-NP\tO' -p368797 -aS'/\t/\tSYM\tB-NP\tB-protein' -p368798 -aS'PRN\tPRN\tNN\tI-NP\tI-protein' -p368799 -aS'.\t.\t.\tO\tO' -p368800 -asS'3. Pyelonephritis .' -p368801 -(lp368802 -S'3.\t3.\tLS\tB-NP\tO' -p368803 -aS'Pyelonephritis\tPyelonephritis\tNN\tI-NP\tO' -p368804 -aS'.\t.\t.\tO\tO' -p368805 -asS'Over the last few days , she has been noted to be more short of breath and having sats to 60% on RA .' -p368806 -(lp368807 -S'Over\tOver\tIN\tB-PP\tO' -p368808 -aS'the\tthe\tDT\tB-NP\tO' -p368809 -aS'last\tlast\tJJ\tI-NP\tO' -p368810 -aS'few\tfew\tJJ\tI-NP\tO' -p368811 -aS'days\tday\tNNS\tI-NP\tO' -p368812 -aS',\t,\t,\tO\tO' -p368813 -aS'she\tshe\tPRP\tB-NP\tO' -p368814 -aS'has\thave\tVBZ\tB-VP\tO' -p368815 -aS'been\tbe\tVBN\tI-VP\tO' -p368816 -aS'noted\tnote\tVBN\tI-VP\tO' -p368817 -aS'to\tto\tTO\tI-VP\tO' -p368818 -aS'be\tbe\tVB\tI-VP\tO' -p368819 -aS'more\tmore\tRBR\tB-ADJP\tO' -p368820 -aS'short\tshort\tJJ\tI-ADJP\tO' -p368821 -aS'of\tof\tIN\tB-PP\tO' -p368822 -aS'breath\tbreath\tNN\tB-NP\tO' -p368823 -aS'and\tand\tCC\tO\tO' -p368824 -aS'having\thave\tVBG\tB-VP\tO' -p368825 -aS'sats\tsat\tNNS\tB-NP\tO' -p368826 -aS'to\tto\tTO\tB-VP\tO' -p368827 -aS'60%\t60%\tVB\tI-VP\tO' -p368828 -aS'on\ton\tIN\tB-PP\tO' -p368829 -aS'RA\tRA\tNN\tB-NP\tB-protein' -p368830 -aS'.\t.\t.\tO\tO' -p368831 -asS'Pt admitted 05-24 from ER after positive RUE DVT finding in vascular lab .' -p368832 -(lp368833 -S'Pt\tPt\tNN\tB-NP\tO' -p368834 -aS'admitted\tadmit\tVBD\tB-VP\tO' -p368835 -aS'05-24\t05-24\tCD\tB-NP\tO' -p368836 -aS'from\tfrom\tIN\tB-PP\tO' -p368837 -aS'ER\tER\tNN\tB-NP\tB-protein' -p368838 -aS'after\tafter\tIN\tB-PP\tO' -p368839 -aS'positive\tpositive\tJJ\tB-NP\tO' -p368840 -aS'RUE\tRUE\tNN\tI-NP\tO' -p368841 -aS'DVT\tDVT\tNN\tI-NP\tO' -p368842 -aS'finding\tfinding\tNN\tI-NP\tO' -p368843 -aS'in\tin\tIN\tB-PP\tO' -p368844 -aS'vascular\tvascular\tJJ\tB-NP\tB-protein' -p368845 -aS'lab\tlab\tNN\tI-NP\tI-protein' -p368846 -aS'.\t.\t.\tO\tO' -p368847 -asS'Patient sent to CMED for observation after Hct continued to drop .' -p368848 -(lp368849 -S'Patient\tPatient\tNN\tB-NP\tO' -p368850 -aS'sent\tsend\tVBN\tB-VP\tO' -p368851 -aS'to\tto\tTO\tB-VP\tO' -p368852 -aS'CMED\tCMED\tVBN\tI-VP\tO' -p368853 -aS'for\tfor\tIN\tB-PP\tO' -p368854 -aS'observation\tobservation\tNN\tB-NP\tO' -p368855 -aS'after\tafter\tIN\tB-SBAR\tO' -p368856 -aS'Hct\tHct\tNN\tB-NP\tB-protein' -p368857 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p368858 -aS'to\tto\tTO\tI-VP\tO' -p368859 -aS'drop\tdrop\tVB\tI-VP\tO' -p368860 -aS'.\t.\t.\tO\tO' -p368861 -asS'CBC ( to be checked by Dr Pannell 444-1034 on 2018-08-10 )' -p368862 -(lp368863 -S'CBC\tCBC\tNN\tB-NP\tB-protein' -p368864 -aS'(\t(\t(\tO\tO' -p368865 -aS'to\tto\tTO\tB-VP\tO' -p368866 -aS'be\tbe\tVB\tI-VP\tO' -p368867 -aS'checked\tcheck\tVBN\tI-VP\tO' -p368868 -aS'by\tby\tIN\tB-PP\tO' -p368869 -aS'Dr\tDr\tNNP\tB-NP\tO' -p368870 -aS'Pannell\tPannell\tNNP\tI-NP\tO' -p368871 -aS'444-1034\t444-1034\tCD\tI-NP\tO' -p368872 -aS'on\ton\tIN\tB-PP\tO' -p368873 -aS'2018-08-10\t2018-08-10\tCD\tB-NP\tO' -p368874 -aS')\t)\t)\tO\tO' -p368875 -asS'The patient also reported an 18 lb weight loss over the last 4-5 months .' -p368876 -(lp368877 -S'The\tThe\tDT\tB-NP\tO' -p368878 -aS'patient\tpatient\tNN\tI-NP\tO' -p368879 -aS'also\talso\tRB\tB-ADVP\tO' -p368880 -aS'reported\treport\tVBD\tB-VP\tO' -p368881 -aS'an\tan\tDT\tB-NP\tO' -p368882 -aS'18\t18\tCD\tI-NP\tO' -p368883 -aS'lb\tlb\tNN\tI-NP\tO' -p368884 -aS'weight\tweight\tNN\tI-NP\tO' -p368885 -aS'loss\tloss\tNN\tI-NP\tO' -p368886 -aS'over\tover\tIN\tB-PP\tO' -p368887 -aS'the\tthe\tDT\tB-NP\tO' -p368888 -aS'last\tlast\tJJ\tI-NP\tO' -p368889 -aS'4-5\t4-5\tCD\tI-NP\tO' -p368890 -aS'months\tmonth\tNNS\tI-NP\tO' -p368891 -aS'.\t.\t.\tO\tO' -p368892 -asS'The hospitalisation was also significant for mild DIC for which she received cryoglobulins and UTI (+ Enterococcus and + Klebsiella ).' -p368893 -(lp368894 -S'The\tThe\tDT\tB-NP\tO' -p368895 -aS'hospitalisation\thospitalisation\tNN\tI-NP\tO' -p368896 -aS'was\tbe\tVBD\tB-VP\tO' -p368897 -aS'also\talso\tRB\tB-ADVP\tO' -p368898 -aS'significant\tsignificant\tJJ\tB-ADJP\tO' -p368899 -aS'for\tfor\tIN\tB-PP\tO' -p368900 -aS'mild\tmild\tJJ\tB-NP\tO' -p368901 -aS'DIC\tDIC\tNN\tI-NP\tO' -p368902 -aS'for\tfor\tIN\tB-PP\tO' -p368903 -aS'which\twhich\tWDT\tB-NP\tO' -p368904 -aS'she\tshe\tPRP\tB-NP\tB-protein' -p368905 -aS'received\treceive\tVBD\tB-VP\tI-protein' -p368906 -aS'cryoglobulins\tcryoglobulin\tNNS\tB-NP\tI-protein' -p368907 -aS'and\tand\tCC\tO\tO' -p368908 -aS'UTI\tUTI\tNNP\tB-NP\tO' -p368909 -aS'(+\t(+\tNNP\tI-NP\tO' -p368910 -aS'Enterococcus\tEnterococcus\tNNP\tI-NP\tO' -p368911 -aS'and\tand\tCC\tO\tO' -p368912 -aS'+\t+\tSYM\tB-NP\tO' -p368913 -aS'Klebsiella\tKlebsiella\tNNP\tI-NP\tO' -p368914 -aS').\t).\t)\tO\tO' -p368915 -asS'Patient recorded as having No Known Allergies to Drugs' -p368916 -(lp368917 -S'Patient\tPatient\tNN\tB-NP\tO' -p368918 -aS'recorded\trecord\tVBD\tB-VP\tO' -p368919 -aS'as\tas\tIN\tB-PP\tO' -p368920 -aS'having\thave\tVBG\tB-VP\tO' -p368921 -aS'No\tNo\tDT\tB-NP\tO' -p368922 -aS'Known\tKnown\tNNP\tI-NP\tO' -p368923 -aS'Allergies\tAllergy\tNNPS\tI-NP\tO' -p368924 -aS'to\tto\tTO\tB-PP\tO' -p368925 -aS'Drugs\tDrug\tNNS\tB-NP\tO' -p368926 -asS'Pulses are 2 plus femoral bilaterally , 2 plus dorsalis pedis as well as posterior tibial bilaterally .' -p368927 -(lp368928 -S'Pulses\tPulse\tNNS\tB-NP\tO' -p368929 -aS'are\tbe\tVBP\tB-VP\tO' -p368930 -aS'2\t2\tCD\tB-NP\tO' -p368931 -aS'plus\tplus\tCC\tO\tO' -p368932 -aS'femoral\tfemoral\tJJ\tB-NP\tO' -p368933 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p368934 -aS',\t,\t,\tO\tO' -p368935 -aS'2\t2\tCD\tB-NP\tO' -p368936 -aS'plus\tplus\tCC\tO\tO' -p368937 -aS'dorsalis\tdorsalis\tNN\tB-NP\tO' -p368938 -aS'pedis\tpedis\tNN\tI-NP\tO' -p368939 -aS'as\tas\tRB\tB-CONJP\tO' -p368940 -aS'well\twell\tRB\tI-CONJP\tO' -p368941 -aS'as\tas\tIN\tI-CONJP\tO' -p368942 -aS'posterior\tposterior\tJJ\tB-NP\tO' -p368943 -aS'tibial\ttibial\tNN\tI-NP\tO' -p368944 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p368945 -aS'.\t.\t.\tO\tO' -p368946 -asS'05-11- Stool : negative for Cdiff toxin' -p368947 -(lp368948 -S'05-11-\t05-11-\tCD\tB-NP\tO' -p368949 -aS'Stool\tStool\tNNP\tI-NP\tO' -p368950 -aS':\t:\t:\tO\tO' -p368951 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p368952 -aS'for\tfor\tIN\tB-PP\tO' -p368953 -aS'Cdiff\tCdiff\tNN\tB-NP\tB-protein' -p368954 -aS'toxin\ttoxin\tNN\tI-NP\tI-protein' -p368955 -asS'Please call if you notice redness , swelling , or tenderness of your chest wound , or if it begins to drain pus .' -p368956 -(lp368957 -S'Please\tPlease\tVB\tB-VP\tO' -p368958 -aS'call\tcall\tVB\tI-VP\tO' -p368959 -aS'if\tif\tIN\tB-SBAR\tO' -p368960 -aS'you\tyou\tPRP\tB-NP\tO' -p368961 -aS'notice\tnotice\tVBP\tB-VP\tO' -p368962 -aS'redness\tredness\tNN\tB-NP\tO' -p368963 -aS',\t,\t,\tO\tO' -p368964 -aS'swelling\tswelling\tNN\tB-NP\tO' -p368965 -aS',\t,\t,\tO\tO' -p368966 -aS'or\tor\tCC\tO\tO' -p368967 -aS'tenderness\ttenderness\tNN\tB-NP\tO' -p368968 -aS'of\tof\tIN\tB-PP\tO' -p368969 -aS'your\tyour\tPRP$\tB-NP\tO' -p368970 -aS'chest\tchest\tNN\tI-NP\tO' -p368971 -aS'wound\twound\tNN\tI-NP\tO' -p368972 -aS',\t,\t,\tO\tO' -p368973 -aS'or\tor\tCC\tO\tO' -p368974 -aS'if\tif\tIN\tB-SBAR\tO' -p368975 -aS'it\tit\tPRP\tB-NP\tO' -p368976 -aS'begins\tbegin\tVBZ\tB-VP\tO' -p368977 -aS'to\tto\tTO\tI-VP\tO' -p368978 -aS'drain\tdrain\tVB\tI-VP\tO' -p368979 -aS'pus\tpus\tNN\tB-NP\tO' -p368980 -aS'.\t.\t.\tO\tO' -p368981 -asS'Acute Interstitial Nephritis ( Oxacillin )' -p368982 -(lp368983 -S'Acute\tAcute\tJJ\tB-NP\tO' -p368984 -aS'Interstitial\tInterstitial\tJJ\tI-NP\tO' -p368985 -aS'Nephritis\tNephritis\tNN\tI-NP\tO' -p368986 -aS'(\t(\t(\tO\tO' -p368987 -aS'Oxacillin\tOxacillin\tNN\tB-NP\tO' -p368988 -aS')\t)\t)\tO\tO' -p368989 -asS'She was taken to ERCP where sphincterotomy was performed and biliary stent was placed .' -p368990 -(lp368991 -S'She\tShe\tPRP\tB-NP\tO' -p368992 -aS'was\tbe\tVBD\tB-VP\tO' -p368993 -aS'taken\ttake\tVBN\tI-VP\tO' -p368994 -aS'to\tto\tTO\tB-PP\tO' -p368995 -aS'ERCP\tERCP\tNN\tB-NP\tB-protein' -p368996 -aS'where\twhere\tWRB\tB-ADVP\tO' -p368997 -aS'sphincterotomy\tsphincterotomy\tNN\tB-NP\tO' -p368998 -aS'was\tbe\tVBD\tB-VP\tO' -p368999 -aS'performed\tperform\tVBN\tI-VP\tO' -p369000 -aS'and\tand\tCC\tO\tO' -p369001 -aS'biliary\tbiliary\tJJ\tB-NP\tO' -p369002 -aS'stent\tstent\tNN\tI-NP\tO' -p369003 -aS'was\tbe\tVBD\tB-VP\tO' -p369004 -aS'placed\tplace\tVBN\tI-VP\tO' -p369005 -aS'.\t.\t.\tO\tO' -p369006 -asS'However , with increasing diuresis and improving septic pictures his O2 saturations have improved and he is now on nasal cannula and will be maintained on nasal cannula to keep his sat above 93% .' -p369007 -(lp369008 -S'However\tHowever\tRB\tB-ADVP\tO' -p369009 -aS',\t,\t,\tO\tO' -p369010 -aS'with\twith\tIN\tB-PP\tO' -p369011 -aS'increasing\tincrease\tVBG\tB-NP\tO' -p369012 -aS'diuresis\tdiuresis\tNN\tI-NP\tO' -p369013 -aS'and\tand\tCC\tO\tO' -p369014 -aS'improving\timprove\tVBG\tB-VP\tO' -p369015 -aS'septic\tseptic\tJJ\tB-NP\tO' -p369016 -aS'pictures\tpicture\tNNS\tI-NP\tO' -p369017 -aS'his\this\tPRP$\tB-NP\tO' -p369018 -aS'O2\tO2\tNN\tI-NP\tO' -p369019 -aS'saturations\tsaturation\tNNS\tI-NP\tO' -p369020 -aS'have\thave\tVBP\tB-VP\tO' -p369021 -aS'improved\timprove\tVBN\tI-VP\tO' -p369022 -aS'and\tand\tCC\tO\tO' -p369023 -aS'he\the\tPRP\tB-NP\tO' -p369024 -aS'is\tbe\tVBZ\tB-VP\tO' -p369025 -aS'now\tnow\tRB\tB-ADVP\tO' -p369026 -aS'on\ton\tIN\tB-PP\tO' -p369027 -aS'nasal\tnasal\tJJ\tB-NP\tO' -p369028 -aS'cannula\tcannula\tNN\tI-NP\tO' -p369029 -aS'and\tand\tCC\tO\tO' -p369030 -aS'will\twill\tMD\tB-VP\tO' -p369031 -aS'be\tbe\tVB\tI-VP\tO' -p369032 -aS'maintained\tmaintain\tVBN\tI-VP\tO' -p369033 -aS'on\ton\tIN\tB-PP\tO' -p369034 -aS'nasal\tnasal\tJJ\tB-NP\tO' -p369035 -aS'cannula\tcannula\tNN\tI-NP\tO' -p369036 -aS'to\tto\tTO\tB-VP\tO' -p369037 -aS'keep\tkeep\tVB\tI-VP\tO' -p369038 -aS'his\this\tPRP$\tB-NP\tO' -p369039 -aS'sat\tsat\tNN\tI-NP\tB-protein' -p369040 -aS'above\tabove\tIN\tB-PP\tI-protein' -p369041 -aS'93%\t93%\tCD\tB-NP\tI-protein' -p369042 -aS'.\t.\t.\tO\tO' -p369043 -asS'Cardiology Report ECG Study Date of 2018-08-02 5:40:48 PM' -p369044 -(lp369045 -S'Cardiology\tCardiology\tNNP\tB-NP\tO' -p369046 -aS'Report\tReport\tNNP\tI-NP\tO' -p369047 -aS'ECG\tECG\tNNP\tI-NP\tO' -p369048 -aS'Study\tStudy\tNNP\tI-NP\tO' -p369049 -aS'Date\tDate\tNNP\tI-NP\tO' -p369050 -aS'of\tof\tIN\tB-PP\tO' -p369051 -aS'2018-08-02\t2018-08-02\tCD\tB-NP\tO' -p369052 -aS'5:40:48\t5:40:48\tCD\tI-NP\tO' -p369053 -aS'PM\tPM\tNN\tI-NP\tO' -p369054 -asS'The patient was initially trialed on BiPAP , but the patient was increasingly dyspneic , increased respiratory stress and ultimately needed to be intubated on 06-22 .' -p369055 -(lp369056 -S'The\tThe\tDT\tB-NP\tO' -p369057 -aS'patient\tpatient\tNN\tI-NP\tO' -p369058 -aS'was\tbe\tVBD\tB-VP\tO' -p369059 -aS'initially\tinitially\tRB\tI-VP\tO' -p369060 -aS'trialed\ttriale\tVBN\tI-VP\tO' -p369061 -aS'on\ton\tIN\tB-PP\tO' -p369062 -aS'BiPAP\tBiPAP\tNN\tB-NP\tB-protein' -p369063 -aS',\t,\t,\tO\tO' -p369064 -aS'but\tbut\tCC\tO\tO' -p369065 -aS'the\tthe\tDT\tB-NP\tO' -p369066 -aS'patient\tpatient\tNN\tI-NP\tO' -p369067 -aS'was\tbe\tVBD\tB-VP\tO' -p369068 -aS'increasingly\tincreasingly\tRB\tB-ADJP\tO' -p369069 -aS'dyspneic\tdyspneic\tJJ\tI-ADJP\tO' -p369070 -aS',\t,\t,\tO\tO' -p369071 -aS'increased\tincrease\tVBN\tB-NP\tO' -p369072 -aS'respiratory\trespiratory\tJJ\tI-NP\tO' -p369073 -aS'stress\tstress\tNN\tI-NP\tO' -p369074 -aS'and\tand\tCC\tO\tO' -p369075 -aS'ultimately\tultimately\tRB\tB-VP\tO' -p369076 -aS'needed\tneed\tVBN\tI-VP\tO' -p369077 -aS'to\tto\tTO\tI-VP\tO' -p369078 -aS'be\tbe\tVB\tI-VP\tO' -p369079 -aS'intubated\tintubate\tVBN\tI-VP\tO' -p369080 -aS'on\ton\tIN\tB-PP\tO' -p369081 -aS'06-22\t06-22\tCD\tB-NP\tO' -p369082 -aS'.\t.\t.\tO\tO' -p369083 -asS'Sternal incision staples are intact and open to air .' -p369084 -(lp369085 -S'Sternal\tSternal\tJJ\tB-NP\tO' -p369086 -aS'incision\tincision\tNN\tI-NP\tO' -p369087 -aS'staples\tstaple\tNNS\tI-NP\tO' -p369088 -aS'are\tbe\tVBP\tB-VP\tO' -p369089 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p369090 -aS'and\tand\tCC\tO\tO' -p369091 -aS'open\topen\tJJ\tB-ADJP\tO' -p369092 -aS'to\tto\tTO\tB-PP\tO' -p369093 -aS'air\tair\tNN\tB-NP\tO' -p369094 -aS'.\t.\t.\tO\tO' -p369095 -asS'- Albuterol / Atrovent nebs q4' -p369096 -(lp369097 -S'-\t-\tHYPH\tB-NP\tO' -p369098 -aS'Albuterol\tAlbuterol\tNN\tI-NP\tO' -p369099 -aS'/\t/\tSYM\tB-NP\tO' -p369100 -aS'Atrovent\tAtrovent\tNN\tB-NP\tO' -p369101 -aS'nebs\tneb\tNNS\tI-NP\tO' -p369102 -aS'q4\tq4\tNN\tI-NP\tO' -p369103 -asS'The Levophed had been discontinued as the Neo-Synephrine and the patient was beginning to progress hemodynamically .' -p369104 -(lp369105 -S'The\tThe\tDT\tB-NP\tO' -p369106 -aS'Levophed\tLevophed\tNNP\tI-NP\tO' -p369107 -aS'had\thave\tVBD\tB-VP\tO' -p369108 -aS'been\tbe\tVBN\tI-VP\tO' -p369109 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p369110 -aS'as\tas\tIN\tB-PP\tO' -p369111 -aS'the\tthe\tDT\tB-NP\tO' -p369112 -aS'Neo-Synephrine\tNeo-Synephrine\tNN\tI-NP\tO' -p369113 -aS'and\tand\tCC\tO\tO' -p369114 -aS'the\tthe\tDT\tB-NP\tO' -p369115 -aS'patient\tpatient\tNN\tI-NP\tO' -p369116 -aS'was\tbe\tVBD\tB-VP\tO' -p369117 -aS'beginning\tbegin\tVBG\tI-VP\tO' -p369118 -aS'to\tto\tTO\tI-VP\tO' -p369119 -aS'progress\tprogress\tVB\tI-VP\tO' -p369120 -aS'hemodynamically\themodynamically\tRB\tB-ADVP\tO' -p369121 -aS'.\t.\t.\tO\tO' -p369122 -asS'She was born and raised in Atonlaremont Rockpo .' -p369123 -(lp369124 -S'She\tShe\tPRP\tB-NP\tO' -p369125 -aS'was\tbe\tVBD\tB-VP\tO' -p369126 -aS'born\tbear\tVBN\tI-VP\tO' -p369127 -aS'and\tand\tCC\tI-VP\tO' -p369128 -aS'raised\traise\tVBN\tI-VP\tO' -p369129 -aS'in\tin\tIN\tB-PP\tO' -p369130 -aS'Atonlaremont\tAtonlaremont\tNNP\tB-NP\tO' -p369131 -aS'Rockpo\tRockpo\tNNP\tI-NP\tO' -p369132 -aS'.\t.\t.\tO\tO' -p369133 -asS'This showed continued evolution of the right posterior cerebral artery infarction now extending into the right cerebellar hemisphere .' -p369134 -(lp369135 -S'This\tThis\tDT\tB-NP\tO' -p369136 -aS'showed\tshow\tVBD\tB-VP\tO' -p369137 -aS'continued\tcontinue\tVBN\tB-NP\tO' -p369138 -aS'evolution\tevolution\tNN\tI-NP\tO' -p369139 -aS'of\tof\tIN\tB-PP\tO' -p369140 -aS'the\tthe\tDT\tB-NP\tO' -p369141 -aS'right\tright\tJJ\tI-NP\tO' -p369142 -aS'posterior\tposterior\tJJ\tI-NP\tO' -p369143 -aS'cerebral\tcerebral\tJJ\tI-NP\tO' -p369144 -aS'artery\tartery\tNN\tI-NP\tO' -p369145 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p369146 -aS'now\tnow\tRB\tB-ADVP\tO' -p369147 -aS'extending\textend\tVBG\tB-VP\tO' -p369148 -aS'into\tinto\tIN\tB-PP\tO' -p369149 -aS'the\tthe\tDT\tB-NP\tO' -p369150 -aS'right\tright\tJJ\tI-NP\tO' -p369151 -aS'cerebellar\tcerebellar\tJJ\tI-NP\tO' -p369152 -aS'hemisphere\themisphere\tNN\tI-NP\tO' -p369153 -aS'.\t.\t.\tO\tO' -p369154 -asS'Third degree burn on dorsum of forearm and on dorsum of hand with extensive second degree burn around the remainder of his hand circumferentially and on his forearm .' -p369155 -(lp369156 -S'Third\tThird\tJJ\tB-NP\tO' -p369157 -aS'degree\tdegree\tNN\tI-NP\tO' -p369158 -aS'burn\tburn\tVBP\tB-VP\tO' -p369159 -aS'on\ton\tIN\tB-PP\tO' -p369160 -aS'dorsum\tdorsum\tNN\tB-NP\tO' -p369161 -aS'of\tof\tIN\tB-PP\tO' -p369162 -aS'forearm\tforearm\tNN\tB-NP\tO' -p369163 -aS'and\tand\tCC\tB-PP\tO' -p369164 -aS'on\ton\tIN\tB-PP\tO' -p369165 -aS'dorsum\tdorsum\tNN\tB-NP\tO' -p369166 -aS'of\tof\tIN\tB-PP\tO' -p369167 -aS'hand\thand\tNN\tB-NP\tO' -p369168 -aS'with\twith\tIN\tB-PP\tO' -p369169 -aS'extensive\textensive\tJJ\tB-NP\tO' -p369170 -aS'second\tsecond\tJJ\tI-NP\tO' -p369171 -aS'degree\tdegree\tNN\tI-NP\tO' -p369172 -aS'burn\tburn\tVBP\tB-VP\tO' -p369173 -aS'around\taround\tIN\tB-PP\tO' -p369174 -aS'the\tthe\tDT\tB-NP\tO' -p369175 -aS'remainder\tremainder\tNN\tI-NP\tO' -p369176 -aS'of\tof\tIN\tB-PP\tO' -p369177 -aS'his\this\tPRP$\tB-NP\tO' -p369178 -aS'hand\thand\tNN\tI-NP\tO' -p369179 -aS'circumferentially\tcircumferentially\tRB\tB-ADVP\tO' -p369180 -aS'and\tand\tCC\tO\tO' -p369181 -aS'on\ton\tIN\tB-PP\tO' -p369182 -aS'his\this\tPRP$\tB-NP\tO' -p369183 -aS'forearm\tforearm\tNN\tI-NP\tO' -p369184 -aS'.\t.\t.\tO\tO' -p369185 -asS'B12 , folate , RPR were all sent that were unremarkable as causes for delta MS .' -p369186 -(lp369187 -S'B12\tB12\tNN\tB-NP\tB-protein' -p369188 -aS',\t,\t,\tO\tO' -p369189 -aS'folate\tfolate\tNN\tB-NP\tO' -p369190 -aS',\t,\t,\tO\tO' -p369191 -aS'RPR\tRPR\tNN\tB-NP\tB-protein' -p369192 -aS'were\tbe\tVBD\tB-VP\tO' -p369193 -aS'all\tall\tDT\tB-NP\tO' -p369194 -aS'sent\tsent\tNN\tI-NP\tO' -p369195 -aS'that\tthat\tWDT\tB-NP\tO' -p369196 -aS'were\tbe\tVBD\tB-VP\tO' -p369197 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p369198 -aS'as\tas\tIN\tB-PP\tO' -p369199 -aS'causes\tcause\tNNS\tB-NP\tO' -p369200 -aS'for\tfor\tIN\tB-PP\tO' -p369201 -aS'delta\tdelta\tNN\tB-NP\tO' -p369202 -aS'MS\tMS\tNN\tI-NP\tO' -p369203 -aS'.\t.\t.\tO\tO' -p369204 -asS'The patient was able to be weaned to six liters nasal cannula after extubation , however , it was noted on chest x-ray that he had a small apical pneumothorax .' -p369205 -(lp369206 -S'The\tThe\tDT\tB-NP\tO' -p369207 -aS'patient\tpatient\tNN\tI-NP\tO' -p369208 -aS'was\tbe\tVBD\tB-VP\tO' -p369209 -aS'able\table\tJJ\tB-ADJP\tO' -p369210 -aS'to\tto\tTO\tB-VP\tO' -p369211 -aS'be\tbe\tVB\tI-VP\tO' -p369212 -aS'weaned\twean\tVBN\tI-VP\tO' -p369213 -aS'to\tto\tTO\tB-PP\tO' -p369214 -aS'six\tsix\tCD\tB-NP\tO' -p369215 -aS'liters\tliter\tNNS\tI-NP\tO' -p369216 -aS'nasal\tnasal\tJJ\tI-NP\tO' -p369217 -aS'cannula\tcannula\tNN\tI-NP\tO' -p369218 -aS'after\tafter\tIN\tB-PP\tO' -p369219 -aS'extubation\textubation\tNN\tB-NP\tO' -p369220 -aS',\t,\t,\tO\tO' -p369221 -aS'however\thowever\tRB\tB-ADVP\tO' -p369222 -aS',\t,\t,\tO\tO' -p369223 -aS'it\tit\tPRP\tB-NP\tO' -p369224 -aS'was\tbe\tVBD\tB-VP\tO' -p369225 -aS'noted\tnote\tVBN\tI-VP\tO' -p369226 -aS'on\ton\tIN\tB-PP\tO' -p369227 -aS'chest\tchest\tNN\tB-NP\tO' -p369228 -aS'x-ray\tx-ray\tNN\tI-NP\tO' -p369229 -aS'that\tthat\tIN\tB-NP\tO' -p369230 -aS'he\the\tPRP\tB-NP\tO' -p369231 -aS'had\thave\tVBD\tB-VP\tO' -p369232 -aS'a\ta\tDT\tB-NP\tO' -p369233 -aS'small\tsmall\tJJ\tI-NP\tO' -p369234 -aS'apical\tapical\tJJ\tI-NP\tO' -p369235 -aS'pneumothorax\tpneumothorax\tNN\tI-NP\tO' -p369236 -aS'.\t.\t.\tO\tO' -p369237 -asS'She has recently been on Depo-Provera and has had episodes of break-through bleeding for six weeks at a time .' -p369238 -(lp369239 -S'She\tShe\tPRP\tB-NP\tO' -p369240 -aS'has\thave\tVBZ\tB-VP\tO' -p369241 -aS'recently\trecently\tRB\tI-VP\tO' -p369242 -aS'been\tbe\tVBN\tI-VP\tO' -p369243 -aS'on\ton\tIN\tB-PP\tO' -p369244 -aS'Depo-Provera\tDepo-Provera\tNN\tB-NP\tO' -p369245 -aS'and\tand\tCC\tO\tO' -p369246 -aS'has\thave\tVBZ\tB-VP\tO' -p369247 -aS'had\thave\tVBN\tI-VP\tO' -p369248 -aS'episodes\tepisode\tNNS\tB-NP\tO' -p369249 -aS'of\tof\tIN\tB-PP\tO' -p369250 -aS'break-through\tbreak-through\tNN\tB-NP\tO' -p369251 -aS'bleeding\tbleed\tVBG\tB-VP\tO' -p369252 -aS'for\tfor\tIN\tB-PP\tO' -p369253 -aS'six\tsix\tCD\tB-NP\tO' -p369254 -aS'weeks\tweek\tNNS\tI-NP\tO' -p369255 -aS'at\tat\tIN\tB-PP\tO' -p369256 -aS'a\ta\tDT\tB-NP\tO' -p369257 -aS'time\ttime\tNN\tI-NP\tO' -p369258 -aS'.\t.\t.\tO\tO' -p369259 -asS'The patient did report taking a po antibiotic ( Ciprofloxacin ) for right great toe infection ( question of cellulitis vs. paronychia ) .' -p369260 -(lp369261 -S'The\tThe\tDT\tB-NP\tO' -p369262 -aS'patient\tpatient\tNN\tI-NP\tO' -p369263 -aS'did\tdo\tVBD\tB-VP\tO' -p369264 -aS'report\treport\tNN\tB-NP\tO' -p369265 -aS'taking\ttake\tVBG\tB-VP\tO' -p369266 -aS'a\ta\tDT\tB-NP\tO' -p369267 -aS'po\tpo\tNN\tI-NP\tO' -p369268 -aS'antibiotic\tantibiotic\tNN\tI-NP\tO' -p369269 -aS'(\t(\t(\tO\tO' -p369270 -aS'Ciprofloxacin\tCiprofloxacin\tNN\tB-NP\tO' -p369271 -aS')\t)\t)\tO\tO' -p369272 -aS'for\tfor\tIN\tB-PP\tO' -p369273 -aS'right\tright\tJJ\tB-NP\tO' -p369274 -aS'great\tgreat\tJJ\tI-NP\tO' -p369275 -aS'toe\ttoe\tNN\tI-NP\tO' -p369276 -aS'infection\tinfection\tNN\tI-NP\tO' -p369277 -aS'(\t(\t(\tO\tO' -p369278 -aS'question\tquestion\tNN\tB-NP\tO' -p369279 -aS'of\tof\tIN\tB-PP\tO' -p369280 -aS'cellulitis\tcellulitis\tNN\tB-NP\tO' -p369281 -aS'vs.\tvs.\tCC\tI-NP\tO' -p369282 -aS'paronychia\tparonychia\tNN\tB-NP\tO' -p369283 -aS')\t)\t)\tO\tO' -p369284 -aS'.\t.\t.\tO\tO' -p369285 -asS'2. She will see Dr. Days in his office in two weeks .' -p369286 -(lp369287 -S'2.\t2.\tLS\tB-LST\tO' -p369288 -aS'She\tShe\tPRP\tB-NP\tO' -p369289 -aS'will\twill\tMD\tB-VP\tO' -p369290 -aS'see\tsee\tVB\tI-VP\tO' -p369291 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p369292 -aS'Days\tDay\tNNPS\tI-NP\tO' -p369293 -aS'in\tin\tIN\tB-PP\tO' -p369294 -aS'his\this\tPRP$\tB-NP\tO' -p369295 -aS'office\toffice\tNN\tI-NP\tO' -p369296 -aS'in\tin\tIN\tB-PP\tO' -p369297 -aS'two\ttwo\tCD\tB-NP\tO' -p369298 -aS'weeks\tweek\tNNS\tI-NP\tO' -p369299 -aS'.\t.\t.\tO\tO' -p369300 -asS'This decision was made after an extensive discussion with her husband and family as the likelihood of significant meaningful recovery is extremely low .' -p369301 -(lp369302 -S'This\tThis\tDT\tB-NP\tO' -p369303 -aS'decision\tdecision\tNN\tI-NP\tO' -p369304 -aS'was\tbe\tVBD\tB-VP\tO' -p369305 -aS'made\tmake\tVBN\tI-VP\tO' -p369306 -aS'after\tafter\tIN\tB-PP\tO' -p369307 -aS'an\tan\tDT\tB-NP\tO' -p369308 -aS'extensive\textensive\tJJ\tI-NP\tO' -p369309 -aS'discussion\tdiscussion\tNN\tI-NP\tO' -p369310 -aS'with\twith\tIN\tB-PP\tO' -p369311 -aS'her\ther\tPRP$\tB-NP\tO' -p369312 -aS'husband\thusband\tNN\tI-NP\tO' -p369313 -aS'and\tand\tCC\tI-NP\tO' -p369314 -aS'family\tfamily\tNN\tI-NP\tO' -p369315 -aS'as\tas\tIN\tB-PP\tO' -p369316 -aS'the\tthe\tDT\tB-NP\tO' -p369317 -aS'likelihood\tlikelihood\tNN\tI-NP\tO' -p369318 -aS'of\tof\tIN\tB-PP\tO' -p369319 -aS'significant\tsignificant\tJJ\tB-NP\tO' -p369320 -aS'meaningful\tmeaningful\tJJ\tI-NP\tO' -p369321 -aS'recovery\trecovery\tNN\tI-NP\tO' -p369322 -aS'is\tbe\tVBZ\tB-VP\tO' -p369323 -aS'extremely\textremely\tRB\tB-ADJP\tO' -p369324 -aS'low\tlow\tJJ\tI-ADJP\tO' -p369325 -aS'.\t.\t.\tO\tO' -p369326 -asS'Pred-Forte 1% one drop OS bid .' -p369327 -(lp369328 -S'Pred-Forte\tPred-Forte\tJJ\tB-NP\tO' -p369329 -aS'1%\t1%\tCD\tI-NP\tO' -p369330 -aS'one\tone\tCD\tI-NP\tO' -p369331 -aS'drop\tdrop\tNN\tI-NP\tO' -p369332 -aS'OS\tOS\tNN\tI-NP\tO' -p369333 -aS'bid\tbid\tNN\tI-NP\tO' -p369334 -aS'.\t.\t.\tO\tO' -p369335 -asS'On 02/22 , she underwent angiography , which revealed minimal right internal carotid artery disease , and proximal left internal carotid artery stenosis , 2 cm in length for the 1 mm residual lumen .' -p369336 -(lp369337 -S'On\tOn\tIN\tB-PP\tO' -p369338 -aS'02/22\t02/22\tCD\tB-NP\tO' -p369339 -aS',\t,\t,\tO\tO' -p369340 -aS'she\tshe\tPRP\tB-NP\tO' -p369341 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p369342 -aS'angiography\tangiography\tNN\tB-NP\tO' -p369343 -aS',\t,\t,\tO\tO' -p369344 -aS'which\twhich\tWDT\tB-NP\tO' -p369345 -aS'revealed\treveal\tVBD\tB-VP\tO' -p369346 -aS'minimal\tminimal\tJJ\tB-NP\tO' -p369347 -aS'right\tright\tJJ\tI-NP\tO' -p369348 -aS'internal\tinternal\tJJ\tI-NP\tO' -p369349 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p369350 -aS'artery\tartery\tNN\tI-NP\tO' -p369351 -aS'disease\tdisease\tNN\tI-NP\tO' -p369352 -aS',\t,\t,\tO\tO' -p369353 -aS'and\tand\tCC\tO\tO' -p369354 -aS'proximal\tproximal\tJJ\tB-NP\tO' -p369355 -aS'left\tleft\tJJ\tI-NP\tO' -p369356 -aS'internal\tinternal\tJJ\tI-NP\tO' -p369357 -aS'carotid\tcarotid\tNN\tI-NP\tO' -p369358 -aS'artery\tartery\tNN\tI-NP\tO' -p369359 -aS'stenosis\tstenosis\tNN\tI-NP\tO' -p369360 -aS',\t,\t,\tO\tO' -p369361 -aS'2\t2\tCD\tB-NP\tO' -p369362 -aS'cm\tcm\tNN\tI-NP\tO' -p369363 -aS'in\tin\tIN\tB-PP\tO' -p369364 -aS'length\tlength\tNN\tB-NP\tO' -p369365 -aS'for\tfor\tIN\tB-PP\tO' -p369366 -aS'the\tthe\tDT\tB-NP\tO' -p369367 -aS'1\t1\tCD\tI-NP\tO' -p369368 -aS'mm\tmm\tNN\tI-NP\tO' -p369369 -aS'residual\tresidual\tJJ\tI-NP\tO' -p369370 -aS'lumen\tluman\tNNS\tI-NP\tO' -p369371 -aS'.\t.\t.\tO\tO' -p369372 -asS'The patient on the date of September 5 , 1994 had cardiac catheterization which showed normal resting hemodynamics .' -p369373 -(lp369374 -S'The\tThe\tDT\tB-NP\tO' -p369375 -aS'patient\tpatient\tNN\tI-NP\tO' -p369376 -aS'on\ton\tIN\tB-PP\tO' -p369377 -aS'the\tthe\tDT\tB-NP\tO' -p369378 -aS'date\tdate\tNN\tI-NP\tO' -p369379 -aS'of\tof\tIN\tB-PP\tO' -p369380 -aS'September\tSeptember\tNNP\tB-NP\tO' -p369381 -aS'5\t5\tCD\tI-NP\tO' -p369382 -aS',\t,\t,\tI-NP\tO' -p369383 -aS'1994\t1994\tCD\tI-NP\tO' -p369384 -aS'had\thave\tVBD\tB-VP\tO' -p369385 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p369386 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p369387 -aS'which\twhich\tWDT\tB-NP\tO' -p369388 -aS'showed\tshow\tVBD\tB-VP\tO' -p369389 -aS'normal\tnormal\tJJ\tB-NP\tO' -p369390 -aS'resting\trest\tVBG\tI-NP\tO' -p369391 -aS'hemodynamics\themodynamic\tNNS\tI-NP\tO' -p369392 -aS'.\t.\t.\tO\tO' -p369393 -asS'He also withdrew his left upper extremity to peripheral stimulation but not his right upper extremity .' -p369394 -(lp369395 -S'He\tHe\tPRP\tB-NP\tO' -p369396 -aS'also\talso\tRB\tB-ADVP\tO' -p369397 -aS'withdrew\twithdraw\tVBD\tB-VP\tO' -p369398 -aS'his\this\tPRP$\tB-NP\tO' -p369399 -aS'left\tleft\tJJ\tI-NP\tO' -p369400 -aS'upper\tupper\tJJ\tI-NP\tO' -p369401 -aS'extremity\textremity\tNN\tI-NP\tO' -p369402 -aS'to\tto\tTO\tB-PP\tO' -p369403 -aS'peripheral\tperipheral\tJJ\tB-NP\tO' -p369404 -aS'stimulation\tstimulation\tNN\tI-NP\tO' -p369405 -aS'but\tbut\tCC\tB-CONJP\tO' -p369406 -aS'not\tnot\tRB\tI-CONJP\tO' -p369407 -aS'his\this\tPRP$\tB-NP\tO' -p369408 -aS'right\tright\tJJ\tI-NP\tO' -p369409 -aS'upper\tupper\tJJ\tI-NP\tO' -p369410 -aS'extremity\textremity\tNN\tI-NP\tO' -p369411 -aS'.\t.\t.\tO\tO' -p369412 -asS'On 04-18 , Dr. Oneill performed off pump coronary artery bypass grafting .' -p369413 -(lp369414 -S'On\tOn\tIN\tB-PP\tO' -p369415 -aS'04-18\t04-18\tCD\tB-NP\tO' -p369416 -aS',\t,\t,\tO\tO' -p369417 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p369418 -aS'Oneill\tOneill\tNNP\tI-NP\tO' -p369419 -aS'performed\tperform\tVBD\tB-VP\tO' -p369420 -aS'off\toff\tRP\tB-PRT\tO' -p369421 -aS'pump\tpump\tNN\tB-NP\tO' -p369422 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p369423 -aS'artery\tartery\tNN\tI-NP\tO' -p369424 -aS'bypass\tbypass\tIN\tB-PP\tO' -p369425 -aS'grafting\tgrafting\tNN\tB-NP\tO' -p369426 -aS'.\t.\t.\tO\tO' -p369427 -asS'3. At 29-30 week gestation concern for fetal decelerations of twin A , admitted to Cambridge Health Alliance , completed a course of Betamethasone , discharged to home .' -p369428 -(lp369429 -S'3.\t3.\tLS\tB-LST\tO' -p369430 -aS'At\tAt\tIN\tB-PP\tO' -p369431 -aS'29-30\t29-30\tCD\tB-NP\tO' -p369432 -aS'week\tweek\tNN\tI-NP\tO' -p369433 -aS'gestation\tgestation\tNN\tI-NP\tO' -p369434 -aS'concern\tconcern\tNN\tI-NP\tO' -p369435 -aS'for\tfor\tIN\tB-PP\tO' -p369436 -aS'fetal\tfetal\tJJ\tB-NP\tO' -p369437 -aS'decelerations\tdeceleration\tNNS\tI-NP\tO' -p369438 -aS'of\tof\tIN\tB-PP\tO' -p369439 -aS'twin\ttwin\tNN\tB-NP\tO' -p369440 -aS'A\tA\tNNP\tI-NP\tO' -p369441 -aS',\t,\t,\tO\tO' -p369442 -aS'admitted\tadmit\tVBN\tB-VP\tO' -p369443 -aS'to\tto\tTO\tB-PP\tO' -p369444 -aS'Cambridge\tCambridge\tNNP\tB-NP\tO' -p369445 -aS'Health\tHealth\tNNP\tI-NP\tO' -p369446 -aS'Alliance\tAlliance\tNNP\tI-NP\tO' -p369447 -aS',\t,\t,\tO\tO' -p369448 -aS'completed\tcomplete\tVBD\tB-VP\tO' -p369449 -aS'a\ta\tDT\tB-NP\tO' -p369450 -aS'course\tcourse\tNN\tI-NP\tO' -p369451 -aS'of\tof\tIN\tB-PP\tO' -p369452 -aS'Betamethasone\tBetamethasone\tNN\tB-NP\tO' -p369453 -aS',\t,\t,\tO\tO' -p369454 -aS'discharged\tdischarge\tVBN\tB-VP\tO' -p369455 -aS'to\tto\tTO\tB-PP\tO' -p369456 -aS'home\thome\tNN\tB-NP\tO' -p369457 -aS'.\t.\t.\tO\tO' -p369458 -asS'The patient however complained of a persistent wheeze with beta blocker , therefore it was agreed that we would stop the beta blocker until the patient was followed up as an outpatient .' -p369459 -(lp369460 -S'The\tThe\tDT\tB-NP\tO' -p369461 -aS'patient\tpatient\tNN\tI-NP\tO' -p369462 -aS'however\thowever\tRB\tB-ADVP\tO' -p369463 -aS'complained\tcomplain\tVBD\tB-VP\tO' -p369464 -aS'of\tof\tIN\tB-PP\tO' -p369465 -aS'a\ta\tDT\tB-NP\tO' -p369466 -aS'persistent\tpersistent\tJJ\tI-NP\tO' -p369467 -aS'wheeze\twheeze\tNN\tI-NP\tO' -p369468 -aS'with\twith\tIN\tB-PP\tO' -p369469 -aS'beta\tbeta\tSYM\tB-NP\tO' -p369470 -aS'blocker\tblocker\tNN\tI-NP\tO' -p369471 -aS',\t,\t,\tO\tO' -p369472 -aS'therefore\ttherefore\tRB\tB-ADVP\tO' -p369473 -aS'it\tit\tPRP\tB-NP\tO' -p369474 -aS'was\tbe\tVBD\tB-VP\tO' -p369475 -aS'agreed\tagree\tVBN\tI-VP\tO' -p369476 -aS'that\tthat\tIN\tB-SBAR\tO' -p369477 -aS'we\twe\tPRP\tB-NP\tO' -p369478 -aS'would\twould\tMD\tB-VP\tO' -p369479 -aS'stop\tstop\tVB\tI-VP\tO' -p369480 -aS'the\tthe\tDT\tB-NP\tO' -p369481 -aS'beta\tbeta\tSYM\tI-NP\tO' -p369482 -aS'blocker\tblocker\tNN\tI-NP\tO' -p369483 -aS'until\tuntil\tIN\tB-PP\tO' -p369484 -aS'the\tthe\tDT\tB-NP\tO' -p369485 -aS'patient\tpatient\tNN\tI-NP\tO' -p369486 -aS'was\tbe\tVBD\tB-VP\tO' -p369487 -aS'followed\tfollow\tVBN\tI-VP\tO' -p369488 -aS'up\tup\tRP\tB-PRT\tO' -p369489 -aS'as\tas\tIN\tB-PP\tO' -p369490 -aS'an\tan\tDT\tB-NP\tO' -p369491 -aS'outpatient\toutpatient\tNN\tI-NP\tO' -p369492 -aS'.\t.\t.\tO\tO' -p369493 -asS'The antibiotics were discontinued after 48 hours when the infant was clinically well and the blood cultures remained negative .' -p369494 -(lp369495 -S'The\tThe\tDT\tB-NP\tO' -p369496 -aS'antibiotics\tantibiotic\tNNS\tI-NP\tO' -p369497 -aS'were\tbe\tVBD\tB-VP\tO' -p369498 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p369499 -aS'after\tafter\tIN\tB-PP\tO' -p369500 -aS'48\t48\tCD\tB-NP\tO' -p369501 -aS'hours\thour\tNNS\tI-NP\tO' -p369502 -aS'when\twhen\tWRB\tB-ADVP\tO' -p369503 -aS'the\tthe\tDT\tB-NP\tO' -p369504 -aS'infant\tinfant\tNN\tI-NP\tO' -p369505 -aS'was\tbe\tVBD\tB-VP\tO' -p369506 -aS'clinically\tclinically\tRB\tB-ADVP\tO' -p369507 -aS'well\twell\tRB\tB-ADVP\tO' -p369508 -aS'and\tand\tCC\tO\tO' -p369509 -aS'the\tthe\tDT\tB-NP\tO' -p369510 -aS'blood\tblood\tNN\tI-NP\tO' -p369511 -aS'cultures\tculture\tNNS\tI-NP\tO' -p369512 -aS'remained\tremain\tVBD\tB-VP\tO' -p369513 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p369514 -aS'.\t.\t.\tO\tO' -p369515 -asS'She was continued on her regular Synthroid dose .' -p369516 -(lp369517 -S'She\tShe\tPRP\tB-NP\tO' -p369518 -aS'was\tbe\tVBD\tB-VP\tO' -p369519 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p369520 -aS'on\ton\tIN\tB-PP\tO' -p369521 -aS'her\ther\tPRP\tB-NP\tO' -p369522 -aS'regular\tregular\tJJ\tI-NP\tO' -p369523 -aS'Synthroid\tSynthroid\tJJ\tI-NP\tO' -p369524 -aS'dose\tdose\tNN\tI-NP\tO' -p369525 -aS'.\t.\t.\tO\tO' -p369526 -asS'No C/C/E bilaterally , 2+ radial , DP and PT pulses b/l .' -p369527 -(lp369528 -S'No\tNo\tDT\tB-NP\tO' -p369529 -aS'C/C/E\tC/C/E\tNN\tI-NP\tB-protein' -p369530 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p369531 -aS',\t,\t,\tO\tO' -p369532 -aS'2+\t2+\tJJ\tB-NP\tO' -p369533 -aS'radial\tradial\tNN\tI-NP\tO' -p369534 -aS',\t,\t,\tO\tO' -p369535 -aS'DP\tDP\tNN\tB-NP\tO' -p369536 -aS'and\tand\tCC\tI-NP\tO' -p369537 -aS'PT\tPT\tNN\tI-NP\tO' -p369538 -aS'pulses\tpulse\tNNS\tI-NP\tO' -p369539 -aS'b/l\tb/l\tNN\tI-NP\tO' -p369540 -aS'.\t.\t.\tO\tO' -p369541 -asS'6. Integrelin drip on transfer .' -p369542 -(lp369543 -S'6.\t6.\tLS\tB-NP\tO' -p369544 -aS'Integrelin\tIntegrelin\tNN\tI-NP\tB-protein' -p369545 -aS'drip\tdrip\tNN\tI-NP\tI-protein' -p369546 -aS'on\ton\tIN\tB-PP\tO' -p369547 -aS'transfer\ttransfer\tNN\tB-NP\tO' -p369548 -aS'.\t.\t.\tO\tO' -p369549 -asS'Do not drive if taking flexeril and codeine .' -p369550 -(lp369551 -S'Do\tDo\tVBP\tB-VP\tO' -p369552 -aS'not\tnot\tRB\tI-VP\tO' -p369553 -aS'drive\tdrive\tVB\tI-VP\tO' -p369554 -aS'if\tif\tIN\tB-SBAR\tO' -p369555 -aS'taking\ttake\tVBG\tB-VP\tO' -p369556 -aS'flexeril\tflexeril\tNN\tB-NP\tO' -p369557 -aS'and\tand\tCC\tI-NP\tO' -p369558 -aS'codeine\tcodeine\tNN\tI-NP\tO' -p369559 -aS'.\t.\t.\tO\tO' -p369560 -asS'He was then transfered to the floor in the care of the orthopaedic surgery service .' -p369561 -(lp369562 -S'He\tHe\tPRP\tB-NP\tO' -p369563 -aS'was\tbe\tVBD\tB-VP\tO' -p369564 -aS'then\tthen\tRB\tI-VP\tO' -p369565 -aS'transfered\ttransfer\tVBN\tI-VP\tO' -p369566 -aS'to\tto\tTO\tB-PP\tO' -p369567 -aS'the\tthe\tDT\tB-NP\tO' -p369568 -aS'floor\tfloor\tNN\tI-NP\tO' -p369569 -aS'in\tin\tIN\tB-PP\tO' -p369570 -aS'the\tthe\tDT\tB-NP\tO' -p369571 -aS'care\tcare\tNN\tI-NP\tO' -p369572 -aS'of\tof\tIN\tB-PP\tO' -p369573 -aS'the\tthe\tDT\tB-NP\tO' -p369574 -aS'orthopaedic\torthopaedic\tJJ\tI-NP\tO' -p369575 -aS'surgery\tsurgery\tNN\tI-NP\tO' -p369576 -aS'service\tservice\tNN\tI-NP\tO' -p369577 -aS'.\t.\t.\tO\tO' -p369578 -asS'Patient went to the floor and patient was on the floor on 2014-04-07 .' -p369579 -(lp369580 -S'Patient\tPatient\tNN\tB-NP\tO' -p369581 -aS'went\tgo\tVBD\tB-VP\tO' -p369582 -aS'to\tto\tTO\tB-PP\tO' -p369583 -aS'the\tthe\tDT\tB-NP\tO' -p369584 -aS'floor\tfloor\tNN\tI-NP\tO' -p369585 -aS'and\tand\tCC\tI-NP\tO' -p369586 -aS'patient\tpatient\tNN\tI-NP\tO' -p369587 -aS'was\tbe\tVBD\tB-VP\tO' -p369588 -aS'on\ton\tIN\tB-PP\tO' -p369589 -aS'the\tthe\tDT\tB-NP\tO' -p369590 -aS'floor\tfloor\tNN\tI-NP\tO' -p369591 -aS'on\ton\tIN\tB-PP\tO' -p369592 -aS'2014-04-07\t2014-04-07\tCD\tB-NP\tO' -p369593 -aS'.\t.\t.\tO\tO' -p369594 -asS'LEFT KNEE OSTEOARTHRITIS .' -p369595 -(lp369596 -S'LEFT\tLEFT\tNNP\tB-NP\tO' -p369597 -aS'KNEE\tKNEE\tNNP\tI-NP\tO' -p369598 -aS'OSTEOARTHRITIS\tOSTEOARTHRITIS\tNNP\tI-NP\tO' -p369599 -aS'.\t.\t.\tO\tO' -p369600 -asS'The patient was admitted for complaints of dyspnea on exertion and chest pressure which could be consistent with angina .' -p369601 -(lp369602 -S'The\tThe\tDT\tB-NP\tO' -p369603 -aS'patient\tpatient\tNN\tI-NP\tO' -p369604 -aS'was\tbe\tVBD\tB-VP\tO' -p369605 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p369606 -aS'for\tfor\tIN\tB-PP\tO' -p369607 -aS'complaints\tcomplaint\tNNS\tB-NP\tO' -p369608 -aS'of\tof\tIN\tB-PP\tO' -p369609 -aS'dyspnea\tdyspnea\tNN\tB-NP\tO' -p369610 -aS'on\ton\tIN\tB-PP\tO' -p369611 -aS'exertion\texertion\tNN\tB-NP\tO' -p369612 -aS'and\tand\tCC\tI-NP\tO' -p369613 -aS'chest\tchest\tNN\tI-NP\tO' -p369614 -aS'pressure\tpressure\tNN\tI-NP\tO' -p369615 -aS'which\twhich\tWDT\tB-NP\tO' -p369616 -aS'could\tcould\tMD\tB-VP\tO' -p369617 -aS'be\tbe\tVB\tI-VP\tO' -p369618 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p369619 -aS'with\twith\tIN\tB-PP\tO' -p369620 -aS'angina\tangina\tNN\tB-NP\tO' -p369621 -aS'.\t.\t.\tO\tO' -p369622 -asS'In the past , he had biliary stents placed which clotted off .' -p369623 -(lp369624 -S'In\tIn\tIN\tB-PP\tO' -p369625 -aS'the\tthe\tDT\tB-NP\tO' -p369626 -aS'past\tpast\tNN\tI-NP\tO' -p369627 -aS',\t,\t,\tO\tO' -p369628 -aS'he\the\tPRP\tB-NP\tO' -p369629 -aS'had\thave\tVBD\tB-VP\tO' -p369630 -aS'biliary\tbiliary\tJJ\tB-NP\tO' -p369631 -aS'stents\tstent\tNNS\tI-NP\tO' -p369632 -aS'placed\tplace\tVBN\tB-VP\tO' -p369633 -aS'which\twhich\tWDT\tB-NP\tO' -p369634 -aS'clotted\tclot\tVBD\tB-VP\tO' -p369635 -aS'off\toff\tRP\tB-PRT\tO' -p369636 -aS'.\t.\t.\tO\tO' -p369637 -asS'He had a colostomy and partial colectomy .' -p369638 -(lp369639 -S'He\tHe\tPRP\tB-NP\tO' -p369640 -aS'had\thave\tVBD\tB-VP\tO' -p369641 -aS'a\ta\tDT\tB-NP\tO' -p369642 -aS'colostomy\tcolostomy\tNN\tI-NP\tO' -p369643 -aS'and\tand\tCC\tI-NP\tO' -p369644 -aS'partial\tpartial\tJJ\tI-NP\tO' -p369645 -aS'colectomy\tcolectomy\tNN\tI-NP\tO' -p369646 -aS'.\t.\t.\tO\tO' -p369647 -asS'Lungs were clear to auscultation and equal .' -p369648 -(lp369649 -S'Lungs\tLung\tNNS\tB-NP\tO' -p369650 -aS'were\tbe\tVBD\tB-VP\tO' -p369651 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p369652 -aS'to\tto\tTO\tB-PP\tO' -p369653 -aS'auscultation\tauscultation\tNN\tB-NP\tO' -p369654 -aS'and\tand\tCC\tO\tO' -p369655 -aS'equal\tequal\tJJ\tB-ADJP\tO' -p369656 -aS'.\t.\t.\tO\tO' -p369657 -asS'Motor and sensory intact .' -p369658 -(lp369659 -S'Motor\tMotor\tNN\tB-NP\tO' -p369660 -aS'and\tand\tCC\tI-NP\tO' -p369661 -aS'sensory\tsensory\tNN\tI-NP\tO' -p369662 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p369663 -aS'.\t.\t.\tO\tO' -p369664 -asS'8. Right leg bypass graft in 1999 .' -p369665 -(lp369666 -S'8.\t8.\tCD\tB-NP\tO' -p369667 -aS'Right\tRight\tNNP\tI-NP\tO' -p369668 -aS'leg\tleg\tNN\tI-NP\tO' -p369669 -aS'bypass\tbypass\tIN\tB-PP\tO' -p369670 -aS'graft\tgraft\tNN\tB-NP\tO' -p369671 -aS'in\tin\tIN\tB-PP\tO' -p369672 -aS'1999\t1999\tCD\tB-NP\tO' -p369673 -aS'.\t.\t.\tO\tO' -p369674 -asS'3. a.fib - The patient has a history of atrial fibrillation controlled with beta blockers at home .' -p369675 -(lp369676 -S'3.\t3.\tLS\tB-NP\tO' -p369677 -aS'a.fib\ta.fib\tNN\tI-NP\tO' -p369678 -aS'-\t-\tHYPH\tO\tO' -p369679 -aS'The\tThe\tDT\tB-NP\tO' -p369680 -aS'patient\tpatient\tNN\tI-NP\tO' -p369681 -aS'has\thave\tVBZ\tB-VP\tO' -p369682 -aS'a\ta\tDT\tB-NP\tO' -p369683 -aS'history\thistory\tNN\tI-NP\tO' -p369684 -aS'of\tof\tIN\tB-PP\tO' -p369685 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p369686 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p369687 -aS'controlled\tcontrol\tVBN\tB-VP\tO' -p369688 -aS'with\twith\tIN\tB-PP\tO' -p369689 -aS'beta\tbeta\tNN\tB-NP\tO' -p369690 -aS'blockers\tblocker\tNNS\tI-NP\tO' -p369691 -aS'at\tat\tIN\tB-PP\tO' -p369692 -aS'home\thome\tNN\tB-NP\tO' -p369693 -aS'.\t.\t.\tO\tO' -p369694 -asS'Respiratory failure .' -p369695 -(lp369696 -S'Respiratory\tRespiratory\tJJ\tB-NP\tO' -p369697 -aS'failure\tfailure\tNN\tI-NP\tO' -p369698 -aS'.\t.\t.\tO\tO' -p369699 -asS'Neurologic : Appropriate tone and reflexes .' -p369700 -(lp369701 -S'Neurologic\tNeurologic\tJJ\tB-ADJP\tO' -p369702 -aS':\t:\t:\tO\tO' -p369703 -aS'Appropriate\tAppropriate\tJJ\tB-NP\tO' -p369704 -aS'tone\ttone\tNN\tI-NP\tO' -p369705 -aS'and\tand\tCC\tI-NP\tO' -p369706 -aS'reflexes\treflex\tNNS\tI-NP\tO' -p369707 -aS'.\t.\t.\tO\tO' -p369708 -asS'At one month of age , on 12-03 , she was noted to have an absent septum pellucidum .' -p369709 -(lp369710 -S'At\tAt\tIN\tB-PP\tO' -p369711 -aS'one\tone\tCD\tB-NP\tO' -p369712 -aS'month\tmonth\tNN\tI-NP\tO' -p369713 -aS'of\tof\tIN\tB-PP\tO' -p369714 -aS'age\tage\tNN\tB-NP\tO' -p369715 -aS',\t,\t,\tO\tO' -p369716 -aS'on\ton\tIN\tB-PP\tO' -p369717 -aS'12-03\t12-03\tCD\tB-NP\tO' -p369718 -aS',\t,\t,\tO\tO' -p369719 -aS'she\tshe\tPRP\tB-NP\tO' -p369720 -aS'was\tbe\tVBD\tB-VP\tO' -p369721 -aS'noted\tnote\tVBN\tI-VP\tO' -p369722 -aS'to\tto\tTO\tI-VP\tO' -p369723 -aS'have\thave\tVB\tI-VP\tO' -p369724 -aS'an\tan\tDT\tB-NP\tO' -p369725 -aS'absent\tabsent\tJJ\tI-NP\tO' -p369726 -aS'septum\tseptum\tNN\tI-NP\tO' -p369727 -aS'pellucidum\tpellucidum\tNN\tI-NP\tO' -p369728 -aS'.\t.\t.\tO\tO' -p369729 -asS'# BRBPR -- The patient was in the intensive care unit given his lower GI bleed .' -p369730 -(lp369731 -S'#\t#\t#\tB-NP\tO' -p369732 -aS'BRBPR\tBRBPR\tNN\tI-NP\tB-protein' -p369733 -aS'--\t--\t:\tO\tO' -p369734 -aS'The\tThe\tDT\tB-NP\tO' -p369735 -aS'patient\tpatient\tNN\tI-NP\tO' -p369736 -aS'was\tbe\tVBD\tB-VP\tO' -p369737 -aS'in\tin\tIN\tB-PP\tO' -p369738 -aS'the\tthe\tDT\tB-NP\tO' -p369739 -aS'intensive\tintensive\tJJ\tI-NP\tO' -p369740 -aS'care\tcare\tNN\tI-NP\tO' -p369741 -aS'unit\tunit\tNN\tI-NP\tO' -p369742 -aS'given\tgive\tVBN\tB-VP\tO' -p369743 -aS'his\this\tPRP$\tB-NP\tO' -p369744 -aS'lower\tlow\tJJR\tI-NP\tO' -p369745 -aS'GI\tGI\tNN\tI-NP\tO' -p369746 -aS'bleed\tbleed\tNN\tI-NP\tO' -p369747 -aS'.\t.\t.\tO\tO' -p369748 -asS'The patient had an EP evaluation and will be followed-up by Dr. Welch .' -p369749 -(lp369750 -S'The\tThe\tDT\tB-NP\tO' -p369751 -aS'patient\tpatient\tNN\tI-NP\tO' -p369752 -aS'had\thave\tVBD\tB-VP\tO' -p369753 -aS'an\tan\tDT\tB-NP\tO' -p369754 -aS'EP\tEP\tNN\tI-NP\tO' -p369755 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p369756 -aS'and\tand\tCC\tO\tO' -p369757 -aS'will\twill\tMD\tB-VP\tO' -p369758 -aS'be\tbe\tVB\tI-VP\tO' -p369759 -aS'followed-up\tfollowed-up\tJJ\tB-ADJP\tO' -p369760 -aS'by\tby\tIN\tB-PP\tO' -p369761 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p369762 -aS'Welch\tWelch\tNNP\tI-NP\tO' -p369763 -aS'.\t.\t.\tO\tO' -p369764 -asS'The patient 's strength is 5/5 throughout and the sensorium is intact .' -p369765 -(lp369766 -S'The\tThe\tDT\tB-NP\tO' -p369767 -aS'patient\tpatient\tNN\tI-NP\tO' -p369768 -aS''s\t'\tNNS\tI-NP\tO' -p369769 -aS'strength\tstrength\tNN\tI-NP\tO' -p369770 -aS'is\tbe\tVBZ\tB-VP\tO' -p369771 -aS'5/5\t5/5\tCD\tB-NP\tO' -p369772 -aS'throughout\tthroughout\tIN\tB-ADVP\tO' -p369773 -aS'and\tand\tCC\tO\tO' -p369774 -aS'the\tthe\tDT\tB-NP\tO' -p369775 -aS'sensorium\tsensorium\tNN\tI-NP\tO' -p369776 -aS'is\tbe\tVBZ\tB-VP\tO' -p369777 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p369778 -aS'.\t.\t.\tO\tO' -p369779 -asS'As I mentioned above , her evaluation was limited by her cardiologic status at the time .' -p369780 -(lp369781 -S'As\tAs\tIN\tB-SBAR\tO' -p369782 -aS'I\tI\tPRP\tB-NP\tO' -p369783 -aS'mentioned\tmention\tVBD\tB-VP\tO' -p369784 -aS'above\tabove\tIN\tB-ADVP\tO' -p369785 -aS',\t,\t,\tO\tO' -p369786 -aS'her\ther\tPRP$\tB-NP\tO' -p369787 -aS'evaluation\tevaluation\tNN\tI-NP\tO' -p369788 -aS'was\tbe\tVBD\tB-VP\tO' -p369789 -aS'limited\tlimit\tVBN\tI-VP\tO' -p369790 -aS'by\tby\tIN\tB-PP\tO' -p369791 -aS'her\ther\tPRP$\tB-NP\tO' -p369792 -aS'cardiologic\tcardiologic\tJJ\tI-NP\tO' -p369793 -aS'status\tstatus\tNN\tI-NP\tO' -p369794 -aS'at\tat\tIN\tB-PP\tO' -p369795 -aS'the\tthe\tDT\tB-NP\tO' -p369796 -aS'time\ttime\tNN\tI-NP\tO' -p369797 -aS'.\t.\t.\tO\tO' -p369798 -asS'Apnea and bradycardia of prematurity .' -p369799 -(lp369800 -S'Apnea\tApnea\tNN\tB-NP\tO' -p369801 -aS'and\tand\tCC\tI-NP\tO' -p369802 -aS'bradycardia\tbradycardia\tNN\tI-NP\tO' -p369803 -aS'of\tof\tIN\tB-PP\tO' -p369804 -aS'prematurity\tprematurity\tNN\tB-NP\tO' -p369805 -aS'.\t.\t.\tO\tO' -p369806 -asS'Protonix 40 mg q. 24 .' -p369807 -(lp369808 -S'Protonix\tProtonix\tNNP\tB-NP\tO' -p369809 -aS'40\t40\tCD\tI-NP\tO' -p369810 -aS'mg\tmg\tNN\tI-NP\tO' -p369811 -aS'q.\tq.\tNN\tI-NP\tO' -p369812 -aS'24\t24\tCD\tI-NP\tO' -p369813 -aS'.\t.\t.\tO\tO' -p369814 -asS'Ext - diffuse anasarca x 4 ext' -p369815 -(lp369816 -S'Ext\tExt\tNN\tB-NP\tO' -p369817 -aS'-\t-\tHYPH\tI-NP\tO' -p369818 -aS'diffuse\tdiffuse\tJJ\tI-NP\tO' -p369819 -aS'anasarca\tanasarca\tNN\tI-NP\tO' -p369820 -aS'x\tx\tSYM\tO\tO' -p369821 -aS'4\t4\tCD\tB-NP\tO' -p369822 -aS'ext\text\tNN\tI-NP\tO' -p369823 -asS'On 2016-06-26 , he had a positive exercise tolerance test .' -p369824 -(lp369825 -S'On\tOn\tIN\tB-PP\tO' -p369826 -aS'2016-06-26\t2016-06-26\tCD\tB-NP\tO' -p369827 -aS',\t,\t,\tO\tO' -p369828 -aS'he\the\tPRP\tB-NP\tO' -p369829 -aS'had\thave\tVBD\tB-VP\tO' -p369830 -aS'a\ta\tDT\tB-NP\tO' -p369831 -aS'positive\tpositive\tJJ\tI-NP\tO' -p369832 -aS'exercise\texercise\tNN\tI-NP\tO' -p369833 -aS'tolerance\ttolerance\tNN\tI-NP\tO' -p369834 -aS'test\ttest\tNN\tI-NP\tO' -p369835 -aS'.\t.\t.\tO\tO' -p369836 -asS'No active bleeding noted .' -p369837 -(lp369838 -S'No\tNo\tDT\tB-NP\tO' -p369839 -aS'active\tactive\tJJ\tI-NP\tO' -p369840 -aS'bleeding\tbleeding\tNN\tI-NP\tO' -p369841 -aS'noted\tnote\tVBD\tB-VP\tO' -p369842 -aS'.\t.\t.\tO\tO' -p369843 -asS'Please monitor this ( may need dermatology consult ).' -p369844 -(lp369845 -S'Please\tPlease\tVB\tB-VP\tO' -p369846 -aS'monitor\tmonitor\tVB\tI-VP\tO' -p369847 -aS'this\tthis\tDT\tB-NP\tO' -p369848 -aS'(\t(\t(\tO\tO' -p369849 -aS'may\tmay\tMD\tB-VP\tO' -p369850 -aS'need\tneed\tVB\tI-VP\tO' -p369851 -aS'dermatology\tdermatology\tNN\tB-NP\tO' -p369852 -aS'consult\tconsult\tNN\tI-NP\tO' -p369853 -aS').\t).\t.\tO\tO' -p369854 -asS'Lactulose 30 cc qid titrated to 3-4 BM / day' -p369855 -(lp369856 -S'Lactulose\tLactulose\tRB\tB-NP\tO' -p369857 -aS'30\t30\tCD\tI-NP\tO' -p369858 -aS'cc\tcc\tNN\tI-NP\tO' -p369859 -aS'qid\tqid\tNN\tI-NP\tO' -p369860 -aS'titrated\ttitrate\tVBN\tB-VP\tO' -p369861 -aS'to\tto\tTO\tB-PP\tO' -p369862 -aS'3-4\t3-4\tCD\tB-NP\tO' -p369863 -aS'BM\tBM\tNN\tI-NP\tO' -p369864 -aS'/\t/\tSYM\tB-NP\tO' -p369865 -aS'day\tday\tNN\tI-NP\tO' -p369866 -asS'The patient was previously a heavy alcohol user , but had been sober since 1996 .' -p369867 -(lp369868 -S'The\tThe\tDT\tB-NP\tO' -p369869 -aS'patient\tpatient\tNN\tI-NP\tO' -p369870 -aS'was\tbe\tVBD\tB-VP\tO' -p369871 -aS'previously\tpreviously\tRB\tB-ADVP\tO' -p369872 -aS'a\ta\tDT\tB-NP\tO' -p369873 -aS'heavy\theavy\tJJ\tI-NP\tO' -p369874 -aS'alcohol\talcohol\tNN\tI-NP\tO' -p369875 -aS'user\tuser\tNN\tI-NP\tO' -p369876 -aS',\t,\t,\tO\tO' -p369877 -aS'but\tbut\tCC\tO\tO' -p369878 -aS'had\thave\tVBD\tB-VP\tO' -p369879 -aS'been\tbe\tVBN\tI-VP\tO' -p369880 -aS'sober\tsober\tRB\tB-ADVP\tO' -p369881 -aS'since\tsince\tIN\tB-PP\tO' -p369882 -aS'1996\t1996\tCD\tB-NP\tO' -p369883 -aS'.\t.\t.\tO\tO' -p369884 -asS'5. Multivitamin x1 .' -p369885 -(lp369886 -S'5.\t5.\tLS\tB-NP\tO' -p369887 -aS'Multivitamin\tMultivitamin\tNN\tI-NP\tB-protein' -p369888 -aS'x1\tx1\tNN\tI-NP\tI-protein' -p369889 -aS'.\t.\t.\tO\tO' -p369890 -asS'Cleared for discharge to home with services .' -p369891 -(lp369892 -S'Cleared\tClear\tVBN\tB-VP\tO' -p369893 -aS'for\tfor\tIN\tB-PP\tO' -p369894 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p369895 -aS'to\tto\tTO\tB-PP\tO' -p369896 -aS'home\thome\tNN\tB-NP\tO' -p369897 -aS'with\twith\tIN\tB-PP\tO' -p369898 -aS'services\tservice\tNNS\tB-NP\tO' -p369899 -aS'.\t.\t.\tO\tO' -p369900 -asS'INDICATION : Struck by car .' -p369901 -(lp369902 -S'INDICATION\tINDICATION\tNN\tB-NP\tO' -p369903 -aS':\t:\t:\tO\tO' -p369904 -aS'Struck\tStruck\tNN\tB-NP\tO' -p369905 -aS'by\tby\tIN\tB-PP\tO' -p369906 -aS'car\tcar\tNN\tB-NP\tB-protein' -p369907 -aS'.\t.\t.\tO\tO' -p369908 -asS'Aorta is unchanged .' -p369909 -(lp369910 -S'Aorta\tAorta\tNNP\tB-NP\tO' -p369911 -aS'is\tbe\tVBZ\tB-VP\tO' -p369912 -aS'unchanged\tunchanged\tJJ\tB-ADJP\tO' -p369913 -aS'.\t.\t.\tO\tO' -p369914 -asS'She was since then lost to follow-up with a recently re-establish primary care practitioner contact .' -p369915 -(lp369916 -S'She\tShe\tPRP\tB-NP\tO' -p369917 -aS'was\tbe\tVBD\tB-VP\tO' -p369918 -aS'since\tsince\tIN\tB-PP\tO' -p369919 -aS'then\tthen\tRB\tB-NP\tO' -p369920 -aS'lost\tlose\tVBN\tB-VP\tO' -p369921 -aS'to\tto\tTO\tB-VP\tO' -p369922 -aS'follow-up\tfollow-up\tVB\tI-VP\tO' -p369923 -aS'with\twith\tIN\tB-PP\tO' -p369924 -aS'a\ta\tDT\tB-NP\tO' -p369925 -aS'recently\trecently\tRB\tI-NP\tO' -p369926 -aS're-establish\tre-establish\tJJ\tI-NP\tO' -p369927 -aS'primary\tprimary\tJJ\tI-NP\tO' -p369928 -aS'care\tcare\tNN\tI-NP\tO' -p369929 -aS'practitioner\tpractitioner\tNN\tI-NP\tO' -p369930 -aS'contact\tcontact\tNN\tI-NP\tO' -p369931 -aS'.\t.\t.\tO\tO' -p369932 -asS'She had bilateral upgoing toes .' -p369933 -(lp369934 -S'She\tShe\tPRP\tB-NP\tO' -p369935 -aS'had\thave\tVBD\tB-VP\tO' -p369936 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p369937 -aS'upgoing\tupgoe\tVBG\tI-NP\tO' -p369938 -aS'toes\ttoe\tNNS\tI-NP\tO' -p369939 -aS'.\t.\t.\tO\tO' -p369940 -asS'The nasolabial fold , the wrinkling of forehead and the eye closure were all symmetric and normal .' -p369941 -(lp369942 -S'The\tThe\tDT\tB-NP\tO' -p369943 -aS'nasolabial\tnasolabial\tJJ\tI-NP\tO' -p369944 -aS'fold\tfold\tNN\tI-NP\tO' -p369945 -aS',\t,\t,\tO\tO' -p369946 -aS'the\tthe\tDT\tB-NP\tO' -p369947 -aS'wrinkling\twrinkling\tNN\tI-NP\tO' -p369948 -aS'of\tof\tIN\tB-PP\tO' -p369949 -aS'forehead\tforehead\tNN\tB-NP\tO' -p369950 -aS'and\tand\tCC\tO\tO' -p369951 -aS'the\tthe\tDT\tB-NP\tO' -p369952 -aS'eye\teye\tNN\tI-NP\tO' -p369953 -aS'closure\tclosure\tNN\tI-NP\tO' -p369954 -aS'were\tbe\tVBD\tB-VP\tO' -p369955 -aS'all\tall\tDT\tB-ADJP\tO' -p369956 -aS'symmetric\tsymmetric\tJJ\tI-ADJP\tO' -p369957 -aS'and\tand\tCC\tI-ADJP\tO' -p369958 -aS'normal\tnormal\tJJ\tI-ADJP\tO' -p369959 -aS'.\t.\t.\tO\tO' -p369960 -asS'Went to OSH c further ICD shocks , VT on monitor but stable VS .' -p369961 -(lp369962 -S'Went\tWent\tJJ\tB-ADJP\tO' -p369963 -aS'to\tto\tTO\tB-PP\tO' -p369964 -aS'OSH\tOSH\tNN\tB-NP\tB-protein' -p369965 -aS'c\tc\tNN\tI-NP\tI-protein' -p369966 -aS'further\tfurther\tJJ\tI-NP\tO' -p369967 -aS'ICD\tICD\tNN\tI-NP\tO' -p369968 -aS'shocks\tshock\tNNS\tI-NP\tO' -p369969 -aS',\t,\t,\tO\tO' -p369970 -aS'VT\tVT\tNN\tB-NP\tO' -p369971 -aS'on\ton\tIN\tB-PP\tO' -p369972 -aS'monitor\tmonitor\tNN\tB-NP\tO' -p369973 -aS'but\tbut\tCC\tO\tO' -p369974 -aS'stable\tstable\tJJ\tB-NP\tO' -p369975 -aS'VS\tVS\tNN\tI-NP\tO' -p369976 -aS'.\t.\t.\tO\tO' -p369977 -asS'Please evaluate resolution of cardiac troponin leak and stable EKG .' -p369978 -(lp369979 -S'Please\tPlease\tVB\tB-VP\tO' -p369980 -aS'evaluate\tevaluate\tVB\tI-VP\tO' -p369981 -aS'resolution\tresolution\tNN\tB-NP\tO' -p369982 -aS'of\tof\tIN\tB-PP\tO' -p369983 -aS'cardiac\tcardiac\tJJ\tB-NP\tO' -p369984 -aS'troponin\ttroponin\tNN\tI-NP\tO' -p369985 -aS'leak\tleak\tNN\tI-NP\tO' -p369986 -aS'and\tand\tCC\tO\tO' -p369987 -aS'stable\tstable\tJJ\tB-NP\tO' -p369988 -aS'EKG\tEKG\tNN\tI-NP\tO' -p369989 -aS'.\t.\t.\tO\tO' -p369990 -asS'Immunizations : recommended Synagis RSV prophylaxis should be considered from November through March for infants who meet any of the following 3 criteria , born at less than 32 weeks , born between 32 and 35 weeks with 2 of the following , daycare during RSV season , a smoker in the household , neuromuscular disease and weight abnormalities or school age siblings with chronic lung disease .' -p369991 -(lp369992 -S'Immunizations\tImmunization\tNNS\tB-NP\tO' -p369993 -aS':\t:\t:\tO\tO' -p369994 -aS'recommended\trecommend\tVBD\tB-VP\tO' -p369995 -aS'Synagis\tSynagis\tNNP\tB-NP\tO' -p369996 -aS'RSV\tRSV\tNN\tI-NP\tO' -p369997 -aS'prophylaxis\tprophylaxis\tNN\tI-NP\tO' -p369998 -aS'should\tshould\tMD\tB-VP\tO' -p369999 -aS'be\tbe\tVB\tI-VP\tO' -p370000 -aS'considered\tconsider\tVBN\tI-VP\tO' -p370001 -aS'from\tfrom\tIN\tB-PP\tO' -p370002 -aS'November\tNovember\tNNP\tB-NP\tO' -p370003 -aS'through\tthrough\tIN\tB-PP\tO' -p370004 -aS'March\tMarch\tNNP\tB-NP\tO' -p370005 -aS'for\tfor\tIN\tB-PP\tO' -p370006 -aS'infants\tinfant\tNNS\tB-NP\tO' -p370007 -aS'who\twho\tWP\tB-NP\tO' -p370008 -aS'meet\tmeet\tVBP\tB-VP\tO' -p370009 -aS'any\tany\tDT\tB-NP\tO' -p370010 -aS'of\tof\tIN\tB-PP\tO' -p370011 -aS'the\tthe\tDT\tB-NP\tO' -p370012 -aS'following\tfollow\tVBG\tI-NP\tO' -p370013 -aS'3\t3\tCD\tI-NP\tO' -p370014 -aS'criteria\tcriterion\tNNS\tI-NP\tO' -p370015 -aS',\t,\t,\tO\tO' -p370016 -aS'born\tbear\tVBN\tB-VP\tO' -p370017 -aS'at\tat\tIN\tB-PP\tO' -p370018 -aS'less\tless\tJJR\tB-NP\tO' -p370019 -aS'than\tthan\tIN\tI-NP\tO' -p370020 -aS'32\t32\tCD\tI-NP\tO' -p370021 -aS'weeks\tweek\tNNS\tI-NP\tO' -p370022 -aS',\t,\t,\tO\tO' -p370023 -aS'born\tbear\tVBN\tB-VP\tO' -p370024 -aS'between\tbetween\tIN\tB-PP\tO' -p370025 -aS'32\t32\tCD\tB-NP\tO' -p370026 -aS'and\tand\tCC\tI-NP\tO' -p370027 -aS'35\t35\tCD\tI-NP\tO' -p370028 -aS'weeks\tweek\tNNS\tI-NP\tO' -p370029 -aS'with\twith\tIN\tB-PP\tO' -p370030 -aS'2\t2\tCD\tB-NP\tO' -p370031 -aS'of\tof\tIN\tB-PP\tO' -p370032 -aS'the\tthe\tDT\tB-NP\tO' -p370033 -aS'following\tfollowing\tNN\tI-NP\tO' -p370034 -aS',\t,\t,\tO\tO' -p370035 -aS'daycare\tdaycare\tNN\tB-NP\tO' -p370036 -aS'during\tduring\tIN\tB-PP\tO' -p370037 -aS'RSV\tRSV\tNN\tB-NP\tO' -p370038 -aS'season\tseason\tNN\tI-NP\tO' -p370039 -aS',\t,\t,\tO\tO' -p370040 -aS'a\ta\tDT\tB-NP\tO' -p370041 -aS'smoker\tsmoker\tNN\tI-NP\tO' -p370042 -aS'in\tin\tIN\tB-PP\tO' -p370043 -aS'the\tthe\tDT\tB-NP\tO' -p370044 -aS'household\thousehold\tNN\tI-NP\tO' -p370045 -aS',\t,\t,\tO\tO' -p370046 -aS'neuromuscular\tneuromuscular\tJJ\tB-NP\tO' -p370047 -aS'disease\tdisease\tNN\tI-NP\tO' -p370048 -aS'and\tand\tCC\tO\tO' -p370049 -aS'weight\tweight\tNN\tB-NP\tO' -p370050 -aS'abnormalities\tabnormality\tNNS\tI-NP\tO' -p370051 -aS'or\tor\tCC\tO\tO' -p370052 -aS'school\tschool\tNN\tB-NP\tO' -p370053 -aS'age\tage\tNN\tI-NP\tO' -p370054 -aS'siblings\tsibling\tNNS\tI-NP\tO' -p370055 -aS'with\twith\tIN\tB-PP\tO' -p370056 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p370057 -aS'lung\tlung\tNN\tI-NP\tO' -p370058 -aS'disease\tdisease\tNN\tI-NP\tO' -p370059 -aS'.\t.\t.\tO\tO' -p370060 -asS'Patient experienced acute renal failure on chronic renal insufficiency , with previous baseline creatinine 1.6 , felt to be due to medication toxicity , requiring Kayexalate and Phoslo to manage electrolytes , but never any need for hemodialysis , with mild improvement of creatinine by discharge , with peak creatinine 3.4 , discharge creatinine 2.6 .' -p370061 -(lp370062 -S'Patient\tPatient\tNN\tB-NP\tO' -p370063 -aS'experienced\texperience\tVBD\tB-VP\tO' -p370064 -aS'acute\tacute\tJJ\tB-NP\tO' -p370065 -aS'renal\trenal\tJJ\tI-NP\tO' -p370066 -aS'failure\tfailure\tNN\tI-NP\tO' -p370067 -aS'on\ton\tIN\tB-PP\tO' -p370068 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p370069 -aS'renal\trenal\tJJ\tI-NP\tO' -p370070 -aS'insufficiency\tinsufficiency\tNN\tI-NP\tO' -p370071 -aS',\t,\t,\tO\tO' -p370072 -aS'with\twith\tIN\tB-PP\tO' -p370073 -aS'previous\tprevious\tJJ\tB-NP\tO' -p370074 -aS'baseline\tbaseline\tNN\tI-NP\tO' -p370075 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p370076 -aS'1.6\t1.6\tCD\tI-NP\tO' -p370077 -aS',\t,\t,\tO\tO' -p370078 -aS'felt\tfeel\tVBD\tB-VP\tO' -p370079 -aS'to\tto\tTO\tI-VP\tO' -p370080 -aS'be\tbe\tVB\tI-VP\tO' -p370081 -aS'due\tdue\tIN\tB-PP\tO' -p370082 -aS'to\tto\tTO\tB-PP\tO' -p370083 -aS'medication\tmedication\tNN\tB-NP\tO' -p370084 -aS'toxicity\ttoxicity\tNN\tI-NP\tO' -p370085 -aS',\t,\t,\tO\tO' -p370086 -aS'requiring\trequire\tVBG\tB-VP\tO' -p370087 -aS'Kayexalate\tKayexalate\tNNP\tB-NP\tO' -p370088 -aS'and\tand\tCC\tI-NP\tO' -p370089 -aS'Phoslo\tPhoslo\tNNP\tI-NP\tO' -p370090 -aS'to\tto\tTO\tB-VP\tO' -p370091 -aS'manage\tmanage\tVB\tI-VP\tO' -p370092 -aS'electrolytes\telectrolyte\tNNS\tB-NP\tO' -p370093 -aS',\t,\t,\tO\tO' -p370094 -aS'but\tbut\tCC\tO\tO' -p370095 -aS'never\tnever\tRB\tB-ADVP\tO' -p370096 -aS'any\tany\tDT\tB-NP\tO' -p370097 -aS'need\tneed\tNN\tI-NP\tO' -p370098 -aS'for\tfor\tIN\tB-PP\tO' -p370099 -aS'hemodialysis\themodialysis\tNN\tB-NP\tO' -p370100 -aS',\t,\t,\tO\tO' -p370101 -aS'with\twith\tIN\tB-PP\tO' -p370102 -aS'mild\tmild\tJJ\tB-NP\tO' -p370103 -aS'improvement\timprovement\tNN\tI-NP\tO' -p370104 -aS'of\tof\tIN\tB-PP\tO' -p370105 -aS'creatinine\tcreatinine\tNN\tB-NP\tO' -p370106 -aS'by\tby\tIN\tB-PP\tO' -p370107 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p370108 -aS',\t,\t,\tO\tO' -p370109 -aS'with\twith\tIN\tB-PP\tO' -p370110 -aS'peak\tpeak\tNN\tB-NP\tO' -p370111 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p370112 -aS'3.4\t3.4\tCD\tI-NP\tO' -p370113 -aS',\t,\t,\tO\tO' -p370114 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p370115 -aS'creatinine\tcreatinine\tNN\tI-NP\tO' -p370116 -aS'2.6\t2.6\tCD\tI-NP\tO' -p370117 -aS'.\t.\t.\tO\tO' -p370118 -asS'The exploratory laparotomy was negative .' -p370119 -(lp370120 -S'The\tThe\tDT\tB-NP\tO' -p370121 -aS'exploratory\texploratory\tJJ\tI-NP\tO' -p370122 -aS'laparotomy\tlaparotomy\tNN\tI-NP\tO' -p370123 -aS'was\tbe\tVBD\tB-VP\tO' -p370124 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p370125 -aS'.\t.\t.\tO\tO' -p370126 -asS'They recommended continuing beta-blocker and titarting ace as tolerated .' -p370127 -(lp370128 -S'They\tThey\tPRP\tB-NP\tO' -p370129 -aS'recommended\trecommend\tVBD\tB-VP\tO' -p370130 -aS'continuing\tcontinue\tVBG\tB-NP\tO' -p370131 -aS'beta-blocker\tbeta-blocker\tNN\tI-NP\tO' -p370132 -aS'and\tand\tCC\tO\tO' -p370133 -aS'titarting\ttitarte\tVBG\tB-VP\tO' -p370134 -aS'ace\tace\tNN\tB-NP\tO' -p370135 -aS'as\tas\tIN\tB-SBAR\tO' -p370136 -aS'tolerated\ttolerate\tVBN\tB-VP\tO' -p370137 -aS'.\t.\t.\tO\tO' -p370138 -asS'3) Loculated pleural effusions .' -p370139 -(lp370140 -S'3)\t3)\tLS\tB-LST\tO' -p370141 -aS'Loculated\tLoculate\tVBD\tB-VP\tO' -p370142 -aS'pleural\tpleural\tJJ\tB-NP\tO' -p370143 -aS'effusions\teffusion\tNNS\tI-NP\tO' -p370144 -aS'.\t.\t.\tO\tO' -p370145 -asS'The patient was sent home on proton pump inhibitors .' -p370146 -(lp370147 -S'The\tThe\tDT\tB-NP\tO' -p370148 -aS'patient\tpatient\tNN\tI-NP\tO' -p370149 -aS'was\tbe\tVBD\tB-VP\tO' -p370150 -aS'sent\tsend\tVBN\tI-VP\tO' -p370151 -aS'home\thome\tNN\tB-ADVP\tO' -p370152 -aS'on\ton\tIN\tB-PP\tO' -p370153 -aS'proton\tproton\tNN\tB-NP\tO' -p370154 -aS'pump\tpump\tNN\tI-NP\tO' -p370155 -aS'inhibitors\tinhibitor\tNNS\tI-NP\tO' -p370156 -aS'.\t.\t.\tO\tO' -p370157 -asS'The patient remained afebrile and other vital signs were within normal limits .' -p370158 -(lp370159 -S'The\tThe\tDT\tB-NP\tO' -p370160 -aS'patient\tpatient\tNN\tI-NP\tO' -p370161 -aS'remained\tremain\tVBD\tB-VP\tO' -p370162 -aS'afebrile\tafebrile\tJJ\tB-NP\tO' -p370163 -aS'and\tand\tCC\tI-NP\tO' -p370164 -aS'other\tother\tJJ\tI-NP\tO' -p370165 -aS'vital\tvital\tJJ\tI-NP\tO' -p370166 -aS'signs\tsign\tNNS\tI-NP\tO' -p370167 -aS'were\tbe\tVBD\tB-VP\tO' -p370168 -aS'within\twithin\tIN\tB-PP\tO' -p370169 -aS'normal\tnormal\tJJ\tB-NP\tO' -p370170 -aS'limits\tlimit\tNNS\tI-NP\tO' -p370171 -aS'.\t.\t.\tO\tO' -p370172 -asS'Right hip osteoarthritis .' -p370173 -(lp370174 -S'Right\tRight\tNN\tB-NP\tO' -p370175 -aS'hip\thip\tNN\tI-NP\tO' -p370176 -aS'osteoarthritis\tosteoarthritis\tNN\tI-NP\tO' -p370177 -aS'.\t.\t.\tO\tO' -p370178 -asS'4. Timoptic 0.25 one drop O.U. b.i.d.' -p370179 -(lp370180 -S'4.\t4.\tLS\tB-LST\tO' -p370181 -aS'Timoptic\tTimoptic\tNNP\tB-NP\tO' -p370182 -aS'0.25\t0.25\tCD\tI-NP\tO' -p370183 -aS'one\tone\tCD\tI-NP\tO' -p370184 -aS'drop\tdrop\tNN\tI-NP\tO' -p370185 -aS'O.U.\tO.U.\tNNP\tI-NP\tO' -p370186 -aS'b.i.d.\tb.i.d.\tNNP\tI-NP\tO' -p370187 -asS'New inferior and inferolateral wall motion abnormalities with more severe mitral regurgitation present .' -p370188 -(lp370189 -S'New\tNew\tJJ\tB-NP\tO' -p370190 -aS'inferior\tinferior\tJJ\tI-NP\tO' -p370191 -aS'and\tand\tCC\tI-NP\tO' -p370192 -aS'inferolateral\tinferolateral\tJJ\tI-NP\tO' -p370193 -aS'wall\twall\tNN\tI-NP\tO' -p370194 -aS'motion\tmotion\tNN\tI-NP\tO' -p370195 -aS'abnormalities\tabnormality\tNNS\tI-NP\tO' -p370196 -aS'with\twith\tIN\tB-PP\tO' -p370197 -aS'more\tmore\tRBR\tB-NP\tO' -p370198 -aS'severe\tsevere\tJJ\tI-NP\tO' -p370199 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p370200 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p370201 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p370202 -aS'.\t.\t.\tO\tO' -p370203 -asS'This was especially bad when trying to arise .' -p370204 -(lp370205 -S'This\tThis\tDT\tB-NP\tO' -p370206 -aS'was\tbe\tVBD\tB-VP\tO' -p370207 -aS'especially\tespecially\tRB\tB-ADJP\tO' -p370208 -aS'bad\tbad\tJJ\tI-ADJP\tO' -p370209 -aS'when\twhen\tWRB\tB-ADVP\tO' -p370210 -aS'trying\ttry\tVBG\tB-VP\tO' -p370211 -aS'to\tto\tTO\tI-VP\tO' -p370212 -aS'arise\tarise\tVB\tI-VP\tO' -p370213 -aS'.\t.\t.\tO\tO' -p370214 -asS'bld cx 12-26 , 12-27 , 12-28 , 12-31 - NG .' -p370215 -(lp370216 -S'bld\tbld\tJJ\tB-NP\tO' -p370217 -aS'cx\tcx\tNN\tI-NP\tO' -p370218 -aS'12-26\t12-26\tCD\tI-NP\tO' -p370219 -aS',\t,\t,\tI-NP\tO' -p370220 -aS'12-27\t12-27\tCD\tI-NP\tO' -p370221 -aS',\t,\t,\tI-NP\tO' -p370222 -aS'12-28\t12-28\tCD\tI-NP\tO' -p370223 -aS',\t,\t,\tI-NP\tO' -p370224 -aS'12-31\t12-31\tCD\tI-NP\tO' -p370225 -aS'-\t-\tHYPH\tI-NP\tO' -p370226 -aS'NG\tNG\tNN\tI-NP\tO' -p370227 -aS'.\t.\t.\tO\tO' -p370228 -asS'Odell stated she had been thinking about this all night of 2018-05-30 , and agreed that this is not what the pt would have wanted .' -p370229 -(lp370230 -S'Odell\tOdell\tNNP\tB-NP\tO' -p370231 -aS'stated\tstate\tVBD\tB-VP\tO' -p370232 -aS'she\tshe\tPRP\tB-NP\tO' -p370233 -aS'had\thave\tVBD\tB-VP\tO' -p370234 -aS'been\tbe\tVBN\tI-VP\tO' -p370235 -aS'thinking\tthink\tVBG\tI-VP\tO' -p370236 -aS'about\tabout\tIN\tB-PP\tO' -p370237 -aS'this\tthis\tDT\tB-NP\tO' -p370238 -aS'all\tall\tDT\tB-NP\tO' -p370239 -aS'night\tnight\tNN\tI-NP\tO' -p370240 -aS'of\tof\tIN\tB-PP\tO' -p370241 -aS'2018-05-30\t2018-05-30\tCD\tB-NP\tO' -p370242 -aS',\t,\t,\tO\tO' -p370243 -aS'and\tand\tCC\tO\tO' -p370244 -aS'agreed\tagree\tVBD\tB-VP\tO' -p370245 -aS'that\tthat\tIN\tB-SBAR\tO' -p370246 -aS'this\tthis\tDT\tB-NP\tO' -p370247 -aS'is\tbe\tVBZ\tB-VP\tO' -p370248 -aS'not\tnot\tRB\tO\tO' -p370249 -aS'what\twhat\tWP\tB-NP\tO' -p370250 -aS'the\tthe\tDT\tB-NP\tO' -p370251 -aS'pt\tpt\tNN\tI-NP\tO' -p370252 -aS'would\twould\tMD\tB-VP\tO' -p370253 -aS'have\thave\tVB\tI-VP\tO' -p370254 -aS'wanted\twant\tVBN\tI-VP\tO' -p370255 -aS'.\t.\t.\tO\tO' -p370256 -asS'Extremities - Her left arm was very swollen .' -p370257 -(lp370258 -S'Extremities\tExtremity\tNNS\tB-NP\tO' -p370259 -aS'-\t-\t:\tO\tO' -p370260 -aS'Her\tHer\tPRP$\tB-NP\tO' -p370261 -aS'left\tleft\tJJ\tI-NP\tO' -p370262 -aS'arm\tarm\tNN\tI-NP\tO' -p370263 -aS'was\tbe\tVBD\tB-VP\tO' -p370264 -aS'very\tvery\tRB\tI-VP\tO' -p370265 -aS'swollen\tswell\tVBN\tI-VP\tO' -p370266 -aS'.\t.\t.\tO\tO' -p370267 -asS'On 06-03 he was taken back to the OR for debridement of his head wound with removal of the remaining gliadel waffers .' -p370268 -(lp370269 -S'On\tOn\tIN\tB-PP\tO' -p370270 -aS'06-03\t06-03\tCD\tB-NP\tO' -p370271 -aS'he\the\tPRP\tB-NP\tO' -p370272 -aS'was\tbe\tVBD\tB-VP\tO' -p370273 -aS'taken\ttake\tVBN\tI-VP\tO' -p370274 -aS'back\tback\tRB\tB-ADVP\tO' -p370275 -aS'to\tto\tTO\tB-PP\tO' -p370276 -aS'the\tthe\tDT\tB-NP\tO' -p370277 -aS'OR\tOR\tNN\tI-NP\tO' -p370278 -aS'for\tfor\tIN\tB-PP\tO' -p370279 -aS'debridement\tdebridement\tNN\tB-NP\tO' -p370280 -aS'of\tof\tIN\tB-PP\tO' -p370281 -aS'his\this\tPRP$\tB-NP\tO' -p370282 -aS'head\thead\tNN\tI-NP\tO' -p370283 -aS'wound\twound\tNN\tI-NP\tO' -p370284 -aS'with\twith\tIN\tB-PP\tO' -p370285 -aS'removal\tremoval\tNN\tB-NP\tO' -p370286 -aS'of\tof\tIN\tB-PP\tO' -p370287 -aS'the\tthe\tDT\tB-NP\tO' -p370288 -aS'remaining\tremain\tVBG\tI-NP\tO' -p370289 -aS'gliadel\tgliadel\tNN\tI-NP\tO' -p370290 -aS'waffers\twaffer\tNNS\tI-NP\tO' -p370291 -aS'.\t.\t.\tO\tO' -p370292 -asS'Hematologic .' -p370293 -(lp370294 -S'Hematologic\tHematologic\tJJ\tB-ADJP\tO' -p370295 -aS'.\t.\t.\tO\tO' -p370296 -asS'Echocardiogram in 2016-09-16 , with preserved ejection fraction of 60 percent with trivial mitral regurgitation and mild left atrial enlargement .' -p370297 -(lp370298 -S'Echocardiogram\tEchocardiogram\tNN\tB-NP\tO' -p370299 -aS'in\tin\tIN\tB-PP\tO' -p370300 -aS'2016-09-16\t2016-09-16\tCD\tB-NP\tO' -p370301 -aS',\t,\t,\tO\tO' -p370302 -aS'with\twith\tIN\tB-PP\tO' -p370303 -aS'preserved\tpreserve\tVBN\tB-NP\tO' -p370304 -aS'ejection\tejection\tNN\tI-NP\tO' -p370305 -aS'fraction\tfraction\tNN\tI-NP\tO' -p370306 -aS'of\tof\tIN\tB-PP\tO' -p370307 -aS'60\t60\tCD\tB-NP\tO' -p370308 -aS'percent\tpercent\tNN\tI-NP\tO' -p370309 -aS'with\twith\tIN\tB-PP\tO' -p370310 -aS'trivial\ttrivial\tJJ\tB-NP\tO' -p370311 -aS'mitral\tmitral\tJJ\tI-NP\tO' -p370312 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p370313 -aS'and\tand\tCC\tO\tO' -p370314 -aS'mild\tmild\tJJ\tB-NP\tO' -p370315 -aS'left\tleft\tJJ\tI-NP\tO' -p370316 -aS'atrial\tatrial\tJJ\tI-NP\tO' -p370317 -aS'enlargement\tenlargement\tNN\tI-NP\tO' -p370318 -aS'.\t.\t.\tO\tO' -p370319 -asS'Patient initially p/w c/o sudden onset N/abd pain/chills w/ T 103 at NH .' -p370320 -(lp370321 -S'Patient\tPatient\tNN\tB-NP\tO' -p370322 -aS'initially\tinitially\tRB\tI-NP\tO' -p370323 -aS'p/w\tp/w\tNN\tI-NP\tO' -p370324 -aS'c/o\tc/o\tNN\tI-NP\tO' -p370325 -aS'sudden\tsudden\tJJ\tI-NP\tO' -p370326 -aS'onset\tonset\tNN\tI-NP\tO' -p370327 -aS'N/abd\tN/abd\tNN\tI-NP\tO' -p370328 -aS'pain/chills\tpain/chill\tNNS\tI-NP\tO' -p370329 -aS'w/\tw/\tSYM\tB-VP\tO' -p370330 -aS'T\tT\tNN\tB-NP\tO' -p370331 -aS'103\t103\tCD\tI-NP\tO' -p370332 -aS'at\tat\tIN\tB-PP\tO' -p370333 -aS'NH\tNH\tNN\tB-NP\tO' -p370334 -aS'.\t.\t.\tO\tO' -p370335 -asS'The patient was admitted for rule out myocardial infarction .' -p370336 -(lp370337 -S'The\tThe\tDT\tB-NP\tO' -p370338 -aS'patient\tpatient\tNN\tI-NP\tO' -p370339 -aS'was\tbe\tVBD\tB-VP\tO' -p370340 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p370341 -aS'for\tfor\tIN\tB-PP\tO' -p370342 -aS'rule\trule\tNN\tB-NP\tO' -p370343 -aS'out\tout\tIN\tB-PP\tO' -p370344 -aS'myocardial\tmyocardial\tJJ\tB-NP\tO' -p370345 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p370346 -aS'.\t.\t.\tO\tO' -p370347 -asS'The patient was seen by Physical Therapy .' -p370348 -(lp370349 -S'The\tThe\tDT\tB-NP\tO' -p370350 -aS'patient\tpatient\tNN\tI-NP\tO' -p370351 -aS'was\tbe\tVBD\tB-VP\tO' -p370352 -aS'seen\tsee\tVBN\tI-VP\tO' -p370353 -aS'by\tby\tIN\tB-PP\tO' -p370354 -aS'Physical\tPhysical\tJJ\tB-NP\tO' -p370355 -aS'Therapy\tTherapy\tNN\tI-NP\tO' -p370356 -aS'.\t.\t.\tO\tO' -p370357 -asS'On presentation to Providence Behavioral Health Hospital Amanda , her vitals were HR 68 , BP 142/68 , RR 28 , O2 sat 100% RA .' -p370358 -(lp370359 -S'On\tOn\tIN\tB-PP\tO' -p370360 -aS'presentation\tpresentation\tNN\tB-NP\tO' -p370361 -aS'to\tto\tTO\tB-PP\tO' -p370362 -aS'Providence\tProvidence\tNNP\tB-NP\tO' -p370363 -aS'Behavioral\tBehavioral\tNNP\tI-NP\tO' -p370364 -aS'Health\tHealth\tNNP\tI-NP\tO' -p370365 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p370366 -aS'Amanda\tAmanda\tNNP\tI-NP\tO' -p370367 -aS',\t,\t,\tO\tO' -p370368 -aS'her\ther\tPRP$\tB-NP\tO' -p370369 -aS'vitals\tvital\tNNS\tI-NP\tO' -p370370 -aS'were\tbe\tVBD\tB-VP\tO' -p370371 -aS'HR\tHR\tNN\tB-NP\tB-DNA' -p370372 -aS'68\t68\tCD\tI-NP\tI-DNA' -p370373 -aS',\t,\t,\tO\tO' -p370374 -aS'BP\tBP\tNN\tB-NP\tB-DNA' -p370375 -aS'142/68\t142/68\tCD\tI-NP\tI-DNA' -p370376 -aS',\t,\t,\tO\tO' -p370377 -aS'RR\tRR\tNN\tB-NP\tB-protein' -p370378 -aS'28\t28\tCD\tI-NP\tI-protein' -p370379 -aS',\t,\t,\tO\tO' -p370380 -aS'O2\tO2\tNN\tB-NP\tO' -p370381 -aS'sat\tsit\tVBD\tB-VP\tO' -p370382 -aS'100%\t100%\tCD\tB-NP\tO' -p370383 -aS'RA\tRA\tNN\tI-NP\tO' -p370384 -aS'.\t.\t.\tO\tO' -p370385 -asS'Since that time , she has had very rare spells , with none for over one week by the time of discharge .' -p370386 -(lp370387 -S'Since\tSince\tIN\tB-PP\tO' -p370388 -aS'that\tthat\tDT\tB-NP\tO' -p370389 -aS'time\ttime\tNN\tI-NP\tO' -p370390 -aS',\t,\t,\tO\tO' -p370391 -aS'she\tshe\tPRP\tB-NP\tO' -p370392 -aS'has\thave\tVBZ\tB-VP\tO' -p370393 -aS'had\thave\tVBN\tI-VP\tO' -p370394 -aS'very\tvery\tRB\tB-NP\tO' -p370395 -aS'rare\trare\tJJ\tI-NP\tO' -p370396 -aS'spells\tspell\tNNS\tI-NP\tO' -p370397 -aS',\t,\t,\tO\tO' -p370398 -aS'with\twith\tIN\tB-PP\tO' -p370399 -aS'none\tnone\tNN\tB-NP\tO' -p370400 -aS'for\tfor\tIN\tB-PP\tO' -p370401 -aS'over\tover\tIN\tB-NP\tO' -p370402 -aS'one\tone\tCD\tI-NP\tO' -p370403 -aS'week\tweek\tNN\tI-NP\tO' -p370404 -aS'by\tby\tIN\tB-PP\tO' -p370405 -aS'the\tthe\tDT\tB-NP\tO' -p370406 -aS'time\ttime\tNN\tI-NP\tO' -p370407 -aS'of\tof\tIN\tB-PP\tO' -p370408 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p370409 -aS'.\t.\t.\tO\tO' -p370410 -asS'She may be started on ASA , BB , statin by PCP as Stephen .' -p370411 -(lp370412 -S'She\tShe\tPRP\tB-NP\tO' -p370413 -aS'may\tmay\tMD\tB-VP\tO' -p370414 -aS'be\tbe\tVB\tI-VP\tO' -p370415 -aS'started\tstart\tVBN\tI-VP\tO' -p370416 -aS'on\ton\tIN\tB-PP\tO' -p370417 -aS'ASA\tASA\tNN\tB-NP\tO' -p370418 -aS',\t,\t,\tO\tO' -p370419 -aS'BB\tBB\tNN\tB-NP\tB-protein' -p370420 -aS',\t,\t,\tO\tO' -p370421 -aS'statin\tstatin\tNN\tB-NP\tO' -p370422 -aS'by\tby\tIN\tB-PP\tO' -p370423 -aS'PCP\tPCP\tNN\tB-NP\tB-protein' -p370424 -aS'as\tas\tIN\tB-PP\tO' -p370425 -aS'Stephen\tStephen\tNNP\tB-NP\tO' -p370426 -aS'.\t.\t.\tO\tO' -p370427 -asS'3) Chronic pleural effusions .' -p370428 -(lp370429 -S'3)\t3)\tLS\tB-NP\tO' -p370430 -aS'Chronic\tChronic\tJJ\tI-NP\tO' -p370431 -aS'pleural\tpleural\tJJ\tI-NP\tO' -p370432 -aS'effusions\teffusion\tNNS\tI-NP\tO' -p370433 -aS'.\t.\t.\tO\tO' -p370434 -asS"Before this age and for the first 24 months of the child 's life , immunization against influenza is recommended for household contacts and out of home caregivers ." -p370435 -(lp370436 -S'Before\tBefore\tIN\tB-SBAR\tO' -p370437 -aS'this\tthis\tDT\tB-NP\tO' -p370438 -aS'age\tage\tNN\tI-NP\tO' -p370439 -aS'and\tand\tCC\tB-PP\tO' -p370440 -aS'for\tfor\tIN\tB-PP\tO' -p370441 -aS'the\tthe\tDT\tB-NP\tO' -p370442 -aS'first\tfirst\tJJ\tI-NP\tO' -p370443 -aS'24\t24\tCD\tI-NP\tO' -p370444 -aS'months\tmonth\tNNS\tI-NP\tO' -p370445 -aS'of\tof\tIN\tB-PP\tO' -p370446 -aS'the\tthe\tDT\tB-NP\tO' -p370447 -aS'child\tchild\tNN\tI-NP\tO' -p370448 -aS"'s\t's\tPOS\tB-NP\tO" -p370449 -aS'life\tlife\tNN\tI-NP\tO' -p370450 -aS',\t,\t,\tO\tO' -p370451 -aS'immunization\timmunization\tNN\tB-NP\tO' -p370452 -aS'against\tagainst\tIN\tB-PP\tO' -p370453 -aS'influenza\tinfluenza\tNN\tB-NP\tO' -p370454 -aS'is\tbe\tVBZ\tB-VP\tO' -p370455 -aS'recommended\trecommend\tVBN\tI-VP\tO' -p370456 -aS'for\tfor\tIN\tB-PP\tO' -p370457 -aS'household\thousehold\tNN\tB-NP\tO' -p370458 -aS'contacts\tcontact\tNNS\tI-NP\tO' -p370459 -aS'and\tand\tCC\tB-PP\tO' -p370460 -aS'out\tout\tIN\tB-PP\tO' -p370461 -aS'of\tof\tIN\tB-PP\tO' -p370462 -aS'home\thome\tNN\tB-NP\tO' -p370463 -aS'caregivers\tcaregiver\tNNS\tI-NP\tO' -p370464 -aS'.\t.\t.\tO\tO' -p370465 -asS'8. Sensory - Hearing screening is recommended prior to discharge .' -p370466 -(lp370467 -S'8.\t8.\tCD\tB-NP\tO' -p370468 -aS'Sensory\tSensory\tJJ\tI-NP\tO' -p370469 -aS'-\t-\tHYPH\tI-NP\tO' -p370470 -aS'Hearing\tHearing\tNN\tI-NP\tO' -p370471 -aS'screening\tscreening\tNN\tI-NP\tO' -p370472 -aS'is\tbe\tVBZ\tB-VP\tO' -p370473 -aS'recommended\trecommend\tVBN\tI-VP\tO' -p370474 -aS'prior\tprior\tRB\tB-ADVP\tO' -p370475 -aS'to\tto\tTO\tB-VP\tO' -p370476 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p370477 -aS'.\t.\t.\tO\tO' -p370478 -asS'The patient continued to suffer from edema of the left upper extremity and a Vascular Radiology consult revealed a thrombosis of the left subclavian vein extending into the axillary vein .' -p370479 -(lp370480 -S'The\tThe\tDT\tB-NP\tO' -p370481 -aS'patient\tpatient\tNN\tI-NP\tO' -p370482 -aS'continued\tcontinue\tVBD\tB-VP\tO' -p370483 -aS'to\tto\tTO\tI-VP\tO' -p370484 -aS'suffer\tsuffer\tVB\tI-VP\tO' -p370485 -aS'from\tfrom\tIN\tB-PP\tO' -p370486 -aS'edema\tedema\tNN\tB-NP\tO' -p370487 -aS'of\tof\tIN\tB-PP\tO' -p370488 -aS'the\tthe\tDT\tB-NP\tO' -p370489 -aS'left\tleft\tJJ\tI-NP\tO' -p370490 -aS'upper\tupper\tJJ\tI-NP\tO' -p370491 -aS'extremity\textremity\tNN\tI-NP\tO' -p370492 -aS'and\tand\tCC\tO\tO' -p370493 -aS'a\ta\tDT\tB-NP\tO' -p370494 -aS'Vascular\tVascular\tJJ\tI-NP\tO' -p370495 -aS'Radiology\tRadiology\tNN\tI-NP\tO' -p370496 -aS'consult\tconsult\tNN\tI-NP\tO' -p370497 -aS'revealed\treveal\tVBD\tB-VP\tO' -p370498 -aS'a\ta\tDT\tB-NP\tO' -p370499 -aS'thrombosis\tthrombosis\tNN\tI-NP\tO' -p370500 -aS'of\tof\tIN\tB-PP\tO' -p370501 -aS'the\tthe\tDT\tB-NP\tO' -p370502 -aS'left\tleft\tJJ\tI-NP\tO' -p370503 -aS'subclavian\tsubclavian\tJJ\tI-NP\tO' -p370504 -aS'vein\tvein\tNN\tI-NP\tO' -p370505 -aS'extending\textend\tVBG\tB-VP\tO' -p370506 -aS'into\tinto\tIN\tB-PP\tO' -p370507 -aS'the\tthe\tDT\tB-NP\tO' -p370508 -aS'axillary\taxillary\tJJ\tI-NP\tO' -p370509 -aS'vein\tvein\tNN\tI-NP\tO' -p370510 -aS'.\t.\t.\tO\tO' -p370511 -asS'Alkaline phosphatase 169 .' -p370512 -(lp370513 -S'Alkaline\tAlkaline\tNN\tB-NP\tO' -p370514 -aS'phosphatase\tphosphatase\tNN\tI-NP\tO' -p370515 -aS'169\t169\tCD\tI-NP\tO' -p370516 -aS'.\t.\t.\tO\tO' -p370517 -asS'Electrolytes were 143 , 3.4 , 105 , 28 , 24 , 3 , and 131 .' -p370518 -(lp370519 -S'Electrolytes\tElectrolyte\tNNS\tB-NP\tO' -p370520 -aS'were\tbe\tVBD\tB-VP\tO' -p370521 -aS'143\t143\tCD\tB-NP\tO' -p370522 -aS',\t,\t,\tI-NP\tO' -p370523 -aS'3.4\t3.4\tCD\tI-NP\tO' -p370524 -aS',\t,\t,\tI-NP\tO' -p370525 -aS'105\t105\tCD\tI-NP\tO' -p370526 -aS',\t,\t,\tI-NP\tO' -p370527 -aS'28\t28\tCD\tI-NP\tO' -p370528 -aS',\t,\t,\tI-NP\tO' -p370529 -aS'24\t24\tCD\tI-NP\tO' -p370530 -aS',\t,\t,\tI-NP\tO' -p370531 -aS'3\t3\tCD\tI-NP\tO' -p370532 -aS',\t,\t,\tO\tO' -p370533 -aS'and\tand\tCC\tO\tO' -p370534 -aS'131\t131\tCD\tB-NP\tO' -p370535 -aS'.\t.\t.\tO\tO' -p370536 -asS'Preoperative laboratory values showed white blood cell count 6.8 , hematocrit 33.3 , platelet count' -p370537 -(lp370538 -S'Preoperative\tPreoperative\tJJ\tB-NP\tO' -p370539 -aS'laboratory\tlaboratory\tNN\tI-NP\tO' -p370540 -aS'values\tvalue\tNNS\tI-NP\tO' -p370541 -aS'showed\tshow\tVBD\tB-VP\tO' -p370542 -aS'white\twhite\tJJ\tB-NP\tO' -p370543 -aS'blood\tblood\tNN\tI-NP\tO' -p370544 -aS'cell\tcell\tNN\tI-NP\tO' -p370545 -aS'count\tcount\tNN\tI-NP\tO' -p370546 -aS'6.8\t6.8\tCD\tB-NP\tO' -p370547 -aS',\t,\t,\tO\tO' -p370548 -aS'hematocrit\thematocrit\tNN\tB-NP\tB-protein' -p370549 -aS'33.3\t33.3\tCD\tI-NP\tI-protein' -p370550 -aS',\t,\t,\tO\tO' -p370551 -aS'platelet\tplatelet\tNN\tB-NP\tO' -p370552 -aS'count\tcount\tNN\tI-NP\tO' -p370553 -asS'1) GI - In the Monica pt had Hct of 20 and bloody NG lavage which did not clear .' -p370554 -(lp370555 -S'1)\t1)\tLS\tB-NP\tO' -p370556 -aS'GI\tGI\tNN\tI-NP\tB-protein' -p370557 -aS'-\t-\tHYPH\tB-ADJP\tO' -p370558 -aS'In\tIn\tIN\tB-PP\tO' -p370559 -aS'the\tthe\tDT\tB-NP\tO' -p370560 -aS'Monica\tMonica\tNNP\tI-NP\tO' -p370561 -aS'pt\tpt\tNN\tI-NP\tO' -p370562 -aS'had\thave\tVBD\tB-VP\tO' -p370563 -aS'Hct\tHct\tNN\tB-NP\tO' -p370564 -aS'of\tof\tIN\tB-PP\tO' -p370565 -aS'20\t20\tCD\tB-NP\tO' -p370566 -aS'and\tand\tCC\tO\tO' -p370567 -aS'bloody\tbloody\tJJ\tB-NP\tO' -p370568 -aS'NG\tNG\tNN\tI-NP\tO' -p370569 -aS'lavage\tlavage\tNN\tI-NP\tO' -p370570 -aS'which\twhich\tWDT\tB-NP\tO' -p370571 -aS'did\tdo\tVBD\tB-VP\tO' -p370572 -aS'not\tnot\tRB\tO\tO' -p370573 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p370574 -aS'.\t.\t.\tO\tO' -p370575 -asS'The patient developed the syndrome after her thoracic aortic aneurysm repair .' -p370576 -(lp370577 -S'The\tThe\tDT\tB-NP\tO' -p370578 -aS'patient\tpatient\tNN\tI-NP\tO' -p370579 -aS'developed\tdevelop\tVBD\tB-VP\tO' -p370580 -aS'the\tthe\tDT\tB-NP\tO' -p370581 -aS'syndrome\tsyndrome\tNN\tI-NP\tO' -p370582 -aS'after\tafter\tIN\tB-PP\tO' -p370583 -aS'her\ther\tPRP$\tB-NP\tO' -p370584 -aS'thoracic\tthoracic\tJJ\tI-NP\tO' -p370585 -aS'aortic\taortic\tJJ\tI-NP\tO' -p370586 -aS'aneurysm\taneurysm\tNN\tI-NP\tO' -p370587 -aS'repair\trepair\tNN\tI-NP\tO' -p370588 -aS'.\t.\t.\tO\tO' -p370589 -asS'She was admitted on 1-5-94 for fever , chest wall ulceration , cellulitis and pain control .' -p370590 -(lp370591 -S'She\tShe\tPRP\tB-NP\tO' -p370592 -aS'was\tbe\tVBD\tB-VP\tO' -p370593 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p370594 -aS'on\ton\tIN\tB-PP\tO' -p370595 -aS'1-5-94\t1-5-94\tNN\tB-NP\tO' -p370596 -aS'for\tfor\tIN\tB-PP\tO' -p370597 -aS'fever\tfever\tNN\tB-NP\tO' -p370598 -aS',\t,\t,\tO\tO' -p370599 -aS'chest\tchest\tNN\tB-NP\tO' -p370600 -aS'wall\twall\tNN\tI-NP\tO' -p370601 -aS'ulceration\tulceration\tNN\tI-NP\tO' -p370602 -aS',\t,\t,\tO\tO' -p370603 -aS'cellulitis\tcellulitis\tNN\tB-NP\tO' -p370604 -aS'and\tand\tCC\tO\tO' -p370605 -aS'pain\tpain\tNN\tB-NP\tO' -p370606 -aS'control\tcontrol\tNN\tI-NP\tO' -p370607 -aS'.\t.\t.\tO\tO' -p370608 -asS"The patient 's INR on admission was 2.4 , with his PT level being 18.9 ." -p370609 -(lp370610 -S'The\tThe\tDT\tB-NP\tO' -p370611 -aS'patient\tpatient\tNN\tI-NP\tO' -p370612 -aS"'s\t's\tPOS\tB-NP\tO" -p370613 -aS'INR\tINR\tNN\tI-NP\tB-protein' -p370614 -aS'on\ton\tIN\tB-PP\tO' -p370615 -aS'admission\tadmission\tNN\tB-NP\tO' -p370616 -aS'was\tbe\tVBD\tB-VP\tO' -p370617 -aS'2.4\t2.4\tCD\tB-NP\tO' -p370618 -aS',\t,\t,\tO\tO' -p370619 -aS'with\twith\tIN\tB-PP\tO' -p370620 -aS'his\this\tPRP$\tB-NP\tO' -p370621 -aS'PT\tPT\tNN\tI-NP\tO' -p370622 -aS'level\tlevel\tNN\tI-NP\tO' -p370623 -aS'being\tbe\tVBG\tB-VP\tO' -p370624 -aS'18.9\t18.9\tCD\tB-NP\tO' -p370625 -aS'.\t.\t.\tO\tO' -p370626 -asS'The patient was started on levofloxacin at Newton-Wellesley Hospital for a question of UTI based on U/A positive for WBC .' -p370627 -(lp370628 -S'The\tThe\tDT\tB-NP\tO' -p370629 -aS'patient\tpatient\tNN\tI-NP\tO' -p370630 -aS'was\tbe\tVBD\tB-VP\tO' -p370631 -aS'started\tstart\tVBN\tI-VP\tO' -p370632 -aS'on\ton\tIN\tB-PP\tO' -p370633 -aS'levofloxacin\tlevofloxacin\tNN\tB-NP\tO' -p370634 -aS'at\tat\tIN\tB-PP\tO' -p370635 -aS'Newton-Wellesley\tNewton-Wellesley\tNNP\tB-NP\tO' -p370636 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p370637 -aS'for\tfor\tIN\tB-PP\tO' -p370638 -aS'a\ta\tDT\tB-NP\tO' -p370639 -aS'question\tquestion\tNN\tI-NP\tO' -p370640 -aS'of\tof\tIN\tB-PP\tO' -p370641 -aS'UTI\tUTI\tNN\tB-NP\tB-protein' -p370642 -aS'based\tbase\tVBN\tB-VP\tO' -p370643 -aS'on\ton\tIN\tB-PP\tO' -p370644 -aS'U/A\tU/A\tNN\tB-NP\tO' -p370645 -aS'positive\tpositive\tJJ\tB-ADJP\tO' -p370646 -aS'for\tfor\tIN\tB-PP\tO' -p370647 -aS'WBC\tWBC\tNNP\tB-NP\tB-cell_type' -p370648 -aS'.\t.\t.\tO\tO' -p370649 -asS'Pain was managed with a Fentanyl patch and by mouth Dilaudid with adequate pain control on discharge .' -p370650 -(lp370651 -S'Pain\tPain\tNN\tB-NP\tB-protein' -p370652 -aS'was\tbe\tVBD\tB-VP\tO' -p370653 -aS'managed\tmanage\tVBN\tI-VP\tO' -p370654 -aS'with\twith\tIN\tB-PP\tO' -p370655 -aS'a\ta\tDT\tB-NP\tO' -p370656 -aS'Fentanyl\tFentanyl\tNN\tI-NP\tO' -p370657 -aS'patch\tpatch\tNN\tI-NP\tO' -p370658 -aS'and\tand\tCC\tB-PP\tO' -p370659 -aS'by\tby\tIN\tB-PP\tO' -p370660 -aS'mouth\tmouth\tNN\tB-NP\tO' -p370661 -aS'Dilaudid\tDilaudid\tVBD\tB-VP\tO' -p370662 -aS'with\twith\tIN\tB-PP\tO' -p370663 -aS'adequate\tadequate\tJJ\tB-NP\tO' -p370664 -aS'pain\tpain\tNN\tI-NP\tO' -p370665 -aS'control\tcontrol\tNN\tI-NP\tO' -p370666 -aS'on\ton\tIN\tB-PP\tO' -p370667 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p370668 -aS'.\t.\t.\tO\tO' -p370669 -asS'3 ) The patient will continue to have her CBC , LDH , bilirubin , chem-7 and magnesium and calcium checked with each dialysis and the results will be faxed to Dr. Ian Zineisfreierm , the hematology attending at fax number 751-329-8840 .' -p370670 -(lp370671 -S'3\t3\tLS\tB-LST\tO' -p370672 -aS')\t)\t)\tO\tO' -p370673 -aS'The\tThe\tDT\tB-NP\tO' -p370674 -aS'patient\tpatient\tNN\tI-NP\tO' -p370675 -aS'will\twill\tMD\tB-VP\tO' -p370676 -aS'continue\tcontinue\tVB\tI-VP\tO' -p370677 -aS'to\tto\tTO\tI-VP\tO' -p370678 -aS'have\thave\tVB\tI-VP\tO' -p370679 -aS'her\ther\tPRP$\tB-NP\tO' -p370680 -aS'CBC\tCBC\tNN\tI-NP\tB-protein' -p370681 -aS',\t,\t,\tO\tO' -p370682 -aS'LDH\tLDH\tNN\tB-NP\tB-protein' -p370683 -aS',\t,\t,\tO\tO' -p370684 -aS'bilirubin\tbilirubin\tNN\tB-NP\tO' -p370685 -aS',\t,\t,\tO\tO' -p370686 -aS'chem-7\tchem-7\tNN\tB-NP\tO' -p370687 -aS'and\tand\tCC\tO\tO' -p370688 -aS'magnesium\tmagnesium\tNN\tB-NP\tO' -p370689 -aS'and\tand\tCC\tI-NP\tO' -p370690 -aS'calcium\tcalcium\tNN\tI-NP\tO' -p370691 -aS'checked\tcheck\tVBD\tB-VP\tO' -p370692 -aS'with\twith\tIN\tB-PP\tO' -p370693 -aS'each\teach\tDT\tB-NP\tO' -p370694 -aS'dialysis\tdialysis\tNN\tI-NP\tO' -p370695 -aS'and\tand\tCC\tO\tO' -p370696 -aS'the\tthe\tDT\tB-NP\tO' -p370697 -aS'results\tresult\tNNS\tI-NP\tO' -p370698 -aS'will\twill\tMD\tB-VP\tO' -p370699 -aS'be\tbe\tVB\tI-VP\tO' -p370700 -aS'faxed\tfax\tVBN\tI-VP\tO' -p370701 -aS'to\tto\tTO\tB-PP\tO' -p370702 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p370703 -aS'Ian\tIan\tNNP\tI-NP\tO' -p370704 -aS'Zineisfreierm\tZineisfreierm\tNNP\tI-NP\tO' -p370705 -aS',\t,\t,\tO\tO' -p370706 -aS'the\tthe\tDT\tB-NP\tO' -p370707 -aS'hematology\thematology\tNN\tI-NP\tO' -p370708 -aS'attending\tattend\tVBG\tB-VP\tO' -p370709 -aS'at\tat\tIN\tB-PP\tO' -p370710 -aS'fax\tfax\tNN\tB-NP\tO' -p370711 -aS'number\tnumber\tNN\tI-NP\tO' -p370712 -aS'751-329-8840\t751-329-8840\tCD\tI-NP\tO' -p370713 -aS'.\t.\t.\tO\tO' -p370714 -asS'No pneumothorax .' -p370715 -(lp370716 -S'No\tNo\tDT\tB-NP\tO' -p370717 -aS'pneumothorax\tpneumothorax\tNN\tI-NP\tO' -p370718 -aS'.\t.\t.\tO\tO' -p370719 -asS'The patient is currently on Disability and lives at home with his wife .' -p370720 -(lp370721 -S'The\tThe\tDT\tB-NP\tO' -p370722 -aS'patient\tpatient\tNN\tI-NP\tO' -p370723 -aS'is\tbe\tVBZ\tB-VP\tO' -p370724 -aS'currently\tcurrently\tRB\tB-ADVP\tO' -p370725 -aS'on\ton\tIN\tB-PP\tO' -p370726 -aS'Disability\tDisability\tNN\tB-NP\tO' -p370727 -aS'and\tand\tCC\tO\tO' -p370728 -aS'lives\tlive\tVBZ\tB-VP\tO' -p370729 -aS'at\tat\tIN\tB-PP\tO' -p370730 -aS'home\thome\tNN\tB-NP\tO' -p370731 -aS'with\twith\tIN\tB-PP\tO' -p370732 -aS'his\this\tPRP$\tB-NP\tO' -p370733 -aS'wife\twife\tNN\tI-NP\tO' -p370734 -aS'.\t.\t.\tO\tO' -p370735 -asS'There is no family history of thyroid cancer .' -p370736 -(lp370737 -S'There\tThere\tEX\tB-NP\tO' -p370738 -aS'is\tbe\tVBZ\tB-VP\tO' -p370739 -aS'no\tno\tDT\tB-NP\tO' -p370740 -aS'family\tfamily\tNN\tI-NP\tO' -p370741 -aS'history\thistory\tNN\tI-NP\tO' -p370742 -aS'of\tof\tIN\tB-PP\tO' -p370743 -aS'thyroid\tthyroid\tJJ\tB-NP\tO' -p370744 -aS'cancer\tcancer\tNN\tI-NP\tO' -p370745 -aS'.\t.\t.\tO\tO' -p370746 -asS'We also have been diuresing her with Bumex .' -p370747 -(lp370748 -S'We\tWe\tPRP\tB-NP\tO' -p370749 -aS'also\talso\tRB\tB-ADVP\tO' -p370750 -aS'have\thave\tVBP\tB-VP\tO' -p370751 -aS'been\tbe\tVBN\tI-VP\tO' -p370752 -aS'diuresing\tdiurese\tVBG\tI-VP\tO' -p370753 -aS'her\ther\tPRP\tB-NP\tO' -p370754 -aS'with\twith\tIN\tB-PP\tO' -p370755 -aS'Bumex\tBumex\tNNP\tB-NP\tO' -p370756 -aS'.\t.\t.\tO\tO' -p370757 -asS'Mr. Roach had a spike in white blood cell count and developed fevers .' -p370758 -(lp370759 -S'Mr.\tMr.\tNNP\tB-NP\tO' -p370760 -aS'Roach\tRoach\tNNP\tI-NP\tO' -p370761 -aS'had\thave\tVBD\tB-VP\tO' -p370762 -aS'a\ta\tDT\tB-NP\tO' -p370763 -aS'spike\tspike\tNN\tI-NP\tO' -p370764 -aS'in\tin\tIN\tB-PP\tO' -p370765 -aS'white\twhite\tJJ\tB-NP\tB-cell_type' -p370766 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p370767 -aS'cell\tcell\tNN\tI-NP\tI-cell_type' -p370768 -aS'count\tcount\tNN\tI-NP\tO' -p370769 -aS'and\tand\tCC\tO\tO' -p370770 -aS'developed\tdevelop\tVBN\tB-NP\tO' -p370771 -aS'fevers\tfever\tNNS\tI-NP\tO' -p370772 -aS'.\t.\t.\tO\tO' -p370773 -asS'This is to notify you that your patient , CHAFFBITZ , TESSMONDMARV arrived in the Emergency Department at Ro Woodma Healthcare on 11/26/2000 06:47 PM .' -p370774 -(lp370775 -S'This\tThis\tDT\tB-NP\tO' -p370776 -aS'is\tbe\tVBZ\tB-VP\tO' -p370777 -aS'to\tto\tTO\tB-VP\tO' -p370778 -aS'notify\tnotify\tVB\tI-VP\tO' -p370779 -aS'you\tyou\tPRP\tB-NP\tO' -p370780 -aS'that\tthat\tIN\tB-SBAR\tO' -p370781 -aS'your\tyour\tPRP$\tB-NP\tO' -p370782 -aS'patient\tpatient\tNN\tI-NP\tO' -p370783 -aS',\t,\t,\tO\tO' -p370784 -aS'CHAFFBITZ\tCHAFFBITZ\tNN\tB-NP\tB-protein' -p370785 -aS',\t,\t,\tO\tO' -p370786 -aS'TESSMONDMARV\tTESSMONDMARV\tNN\tB-NP\tO' -p370787 -aS'arrived\tarrive\tVBD\tB-VP\tO' -p370788 -aS'in\tin\tIN\tB-PP\tO' -p370789 -aS'the\tthe\tDT\tB-NP\tO' -p370790 -aS'Emergency\tEmergency\tNNP\tI-NP\tO' -p370791 -aS'Department\tDepartment\tNNP\tI-NP\tO' -p370792 -aS'at\tat\tIN\tB-PP\tO' -p370793 -aS'Ro\tRo\tNNP\tB-NP\tO' -p370794 -aS'Woodma\tWoodma\tNNP\tI-NP\tO' -p370795 -aS'Healthcare\tHealthcare\tNNP\tI-NP\tO' -p370796 -aS'on\ton\tIN\tB-PP\tO' -p370797 -aS'11/26/2000\t11/26/2000\tCD\tB-NP\tO' -p370798 -aS'06:47\t06:47\tCD\tI-NP\tO' -p370799 -aS'PM\tPM\tNN\tI-NP\tO' -p370800 -aS'.\t.\t.\tO\tO' -p370801 -asS'Estimated date of delivery was 2012-05-14 for estimated gestational age of 39-1/7 weeks .' -p370802 -(lp370803 -S'Estimated\tEstimate\tVBN\tB-NP\tO' -p370804 -aS'date\tdate\tNN\tI-NP\tO' -p370805 -aS'of\tof\tIN\tB-PP\tO' -p370806 -aS'delivery\tdelivery\tNN\tB-NP\tO' -p370807 -aS'was\tbe\tVBD\tB-VP\tO' -p370808 -aS'2012-05-14\t2012-05-14\tCD\tB-NP\tO' -p370809 -aS'for\tfor\tIN\tB-PP\tO' -p370810 -aS'estimated\testimate\tVBN\tB-NP\tO' -p370811 -aS'gestational\tgestational\tJJ\tI-NP\tO' -p370812 -aS'age\tage\tNN\tI-NP\tO' -p370813 -aS'of\tof\tIN\tB-PP\tO' -p370814 -aS'39-1/7\t39-1/7\tCD\tB-NP\tO' -p370815 -aS'weeks\tweek\tNNS\tI-NP\tO' -p370816 -aS'.\t.\t.\tO\tO' -p370817 -asS'With the initiation of caffeine therapy the patient has had no more apnea or bradycardic events .' -p370818 -(lp370819 -S'With\tWith\tIN\tB-PP\tO' -p370820 -aS'the\tthe\tDT\tB-NP\tO' -p370821 -aS'initiation\tinitiation\tNN\tI-NP\tO' -p370822 -aS'of\tof\tIN\tB-PP\tO' -p370823 -aS'caffeine\tcaffeine\tNN\tB-NP\tO' -p370824 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p370825 -aS'the\tthe\tDT\tB-NP\tO' -p370826 -aS'patient\tpatient\tNN\tI-NP\tO' -p370827 -aS'has\thave\tVBZ\tB-VP\tO' -p370828 -aS'had\thave\tVBN\tI-VP\tO' -p370829 -aS'no\tno\tDT\tB-NP\tO' -p370830 -aS'more\tmore\tJJR\tI-NP\tO' -p370831 -aS'apnea\tapnea\tNN\tI-NP\tO' -p370832 -aS'or\tor\tCC\tI-NP\tO' -p370833 -aS'bradycardic\tbradycardic\tJJ\tI-NP\tO' -p370834 -aS'events\tevent\tNNS\tI-NP\tO' -p370835 -aS'.\t.\t.\tO\tO' -p370836 -asS'He felt the patient was not a coronary artery bypass graft candidate because of the lack of conduit and because of the presence of a large anterior myocardial infarction .' -p370837 -(lp370838 -S'He\tHe\tPRP\tB-NP\tO' -p370839 -aS'felt\tfeel\tVBD\tB-VP\tO' -p370840 -aS'the\tthe\tDT\tB-NP\tO' -p370841 -aS'patient\tpatient\tNN\tI-NP\tO' -p370842 -aS'was\tbe\tVBD\tB-VP\tO' -p370843 -aS'not\tnot\tRB\tO\tO' -p370844 -aS'a\ta\tDT\tB-NP\tO' -p370845 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p370846 -aS'artery\tartery\tNN\tI-NP\tO' -p370847 -aS'bypass\tbypass\tIN\tB-PP\tO' -p370848 -aS'graft\tgraft\tNN\tB-NP\tO' -p370849 -aS'candidate\tcandidate\tNN\tI-NP\tO' -p370850 -aS'because\tbecause\tIN\tB-PP\tO' -p370851 -aS'of\tof\tIN\tI-PP\tO' -p370852 -aS'the\tthe\tDT\tB-NP\tO' -p370853 -aS'lack\tlack\tNN\tI-NP\tO' -p370854 -aS'of\tof\tIN\tB-PP\tO' -p370855 -aS'conduit\tconduit\tNN\tB-NP\tO' -p370856 -aS'and\tand\tCC\tO\tO' -p370857 -aS'because\tbecause\tIN\tB-PP\tO' -p370858 -aS'of\tof\tIN\tI-PP\tO' -p370859 -aS'the\tthe\tDT\tB-NP\tO' -p370860 -aS'presence\tpresence\tNN\tI-NP\tO' -p370861 -aS'of\tof\tIN\tB-PP\tO' -p370862 -aS'a\ta\tDT\tB-NP\tO' -p370863 -aS'large\tlarge\tJJ\tI-NP\tO' -p370864 -aS'anterior\tanterior\tJJ\tI-NP\tO' -p370865 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p370866 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p370867 -aS'.\t.\t.\tO\tO' -p370868 -asS'Over the first 12 hours the chest tube drained 2,500 cc .' -p370869 -(lp370870 -S'Over\tOver\tIN\tB-PP\tO' -p370871 -aS'the\tthe\tDT\tB-NP\tO' -p370872 -aS'first\tfirst\tJJ\tI-NP\tO' -p370873 -aS'12\t12\tCD\tI-NP\tO' -p370874 -aS'hours\thour\tNNS\tI-NP\tO' -p370875 -aS'the\tthe\tDT\tB-NP\tO' -p370876 -aS'chest\tchest\tNN\tI-NP\tO' -p370877 -aS'tube\ttube\tNN\tI-NP\tO' -p370878 -aS'drained\tdrain\tVBD\tB-VP\tO' -p370879 -aS'2,500\t2,500\tCD\tB-NP\tO' -p370880 -aS'cc\tcc\tNN\tI-NP\tO' -p370881 -aS'.\t.\t.\tO\tO' -p370882 -asS'Telephone number is ( 739 ) 520-0347 .' -p370883 -(lp370884 -S'Telephone\tTelephone\tNN\tB-NP\tO' -p370885 -aS'number\tnumber\tNN\tI-NP\tO' -p370886 -aS'is\tbe\tVBZ\tB-VP\tO' -p370887 -aS'(\t(\t(\tO\tO' -p370888 -aS'739\t739\tCD\tB-NP\tO' -p370889 -aS')\t)\t)\tO\tO' -p370890 -aS'520-0347\t520-0347\tCD\tB-NP\tO' -p370891 -aS'.\t.\t.\tO\tO' -p370892 -asS'08/31/98 ascending aortic root replacement with homograft with omentopexy .' -p370893 -(lp370894 -S'08/31/98\t08/31/98\tCD\tB-NP\tO' -p370895 -aS'ascending\tascend\tVBG\tB-VP\tO' -p370896 -aS'aortic\taortic\tJJ\tB-NP\tO' -p370897 -aS'root\troot\tNN\tI-NP\tO' -p370898 -aS'replacement\treplacement\tNN\tI-NP\tO' -p370899 -aS'with\twith\tIN\tB-PP\tO' -p370900 -aS'homograft\thomograft\tNN\tB-NP\tO' -p370901 -aS'with\twith\tIN\tB-PP\tO' -p370902 -aS'omentopexy\tomentopexy\tNN\tB-NP\tO' -p370903 -aS'.\t.\t.\tO\tO' -p370904 -asS'6. Status post abdominal repair of wound dehiscence of jejunostomy site .' -p370905 -(lp370906 -S'6.\t6.\tLS\tB-LST\tO' -p370907 -aS'Status\tStatus\tNNP\tB-NP\tO' -p370908 -aS'post\tpost\tIN\tB-PP\tO' -p370909 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p370910 -aS'repair\trepair\tNN\tI-NP\tO' -p370911 -aS'of\tof\tIN\tB-PP\tO' -p370912 -aS'wound\twound\tNN\tB-NP\tO' -p370913 -aS'dehiscence\tdehiscence\tNN\tI-NP\tO' -p370914 -aS'of\tof\tIN\tB-PP\tO' -p370915 -aS'jejunostomy\tjejunostomy\tNN\tB-NP\tB-DNA' -p370916 -aS'site\tsite\tNN\tI-NP\tI-DNA' -p370917 -aS'.\t.\t.\tO\tO' -p370918 -asS'Findings consistent with small vessel ischemic changes .' -p370919 -(lp370920 -S'Findings\tFinding\tNNS\tB-NP\tO' -p370921 -aS'consistent\tconsistent\tJJ\tB-ADJP\tO' -p370922 -aS'with\twith\tIN\tB-PP\tO' -p370923 -aS'small\tsmall\tJJ\tB-NP\tO' -p370924 -aS'vessel\tvessel\tNN\tI-NP\tO' -p370925 -aS'ischemic\tischemic\tJJ\tI-NP\tO' -p370926 -aS'changes\tchange\tNNS\tI-NP\tO' -p370927 -aS'.\t.\t.\tO\tO' -p370928 -asS'On day of life 15 for a hematocrit of 29 , she received 20 cc of packed red blood cells .' -p370929 -(lp370930 -S'On\tOn\tIN\tB-PP\tO' -p370931 -aS'day\tday\tNN\tB-NP\tO' -p370932 -aS'of\tof\tIN\tB-PP\tO' -p370933 -aS'life\tlife\tNN\tB-NP\tO' -p370934 -aS'15\t15\tCD\tI-NP\tO' -p370935 -aS'for\tfor\tIN\tB-PP\tO' -p370936 -aS'a\ta\tDT\tB-NP\tO' -p370937 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p370938 -aS'of\tof\tIN\tB-PP\tO' -p370939 -aS'29\t29\tCD\tB-NP\tO' -p370940 -aS',\t,\t,\tO\tO' -p370941 -aS'she\tshe\tPRP\tB-NP\tO' -p370942 -aS'received\treceive\tVBD\tB-VP\tO' -p370943 -aS'20\t20\tCD\tB-NP\tO' -p370944 -aS'cc\tcc\tNN\tI-NP\tO' -p370945 -aS'of\tof\tIN\tB-PP\tO' -p370946 -aS'packed\tpacked\tJJ\tB-NP\tB-cell_type' -p370947 -aS'red\tred\tJJ\tI-NP\tI-cell_type' -p370948 -aS'blood\tblood\tNN\tI-NP\tI-cell_type' -p370949 -aS'cells\tcell\tNNS\tI-NP\tI-cell_type' -p370950 -aS'.\t.\t.\tO\tO' -p370951 -asS'A Persantine Thallium study demonstrated a large infarct , involving the posteroseptal , anteroseptal areas .' -p370952 -(lp370953 -S'A\tA\tDT\tB-NP\tO' -p370954 -aS'Persantine\tPersantine\tJJ\tI-NP\tO' -p370955 -aS'Thallium\tThallium\tNN\tI-NP\tO' -p370956 -aS'study\tstudy\tNN\tI-NP\tO' -p370957 -aS'demonstrated\tdemonstrate\tVBD\tB-VP\tO' -p370958 -aS'a\ta\tDT\tB-NP\tO' -p370959 -aS'large\tlarge\tJJ\tI-NP\tO' -p370960 -aS'infarct\tinfarct\tNN\tI-NP\tO' -p370961 -aS',\t,\t,\tO\tO' -p370962 -aS'involving\tinvolve\tVBG\tB-VP\tO' -p370963 -aS'the\tthe\tDT\tB-NP\tO' -p370964 -aS'posteroseptal\tposteroseptal\tJJ\tI-NP\tO' -p370965 -aS',\t,\t,\tI-NP\tO' -p370966 -aS'anteroseptal\tanteroseptal\tJJ\tI-NP\tO' -p370967 -aS'areas\tarea\tNNS\tI-NP\tO' -p370968 -aS'.\t.\t.\tO\tO' -p370969 -asS'He was admitted to Vassdiysey Medical Center with severe recurrent pancreatitis , nausea , vomiting , and abdominal pain .' -p370970 -(lp370971 -S'He\tHe\tPRP\tB-NP\tO' -p370972 -aS'was\tbe\tVBD\tB-VP\tO' -p370973 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p370974 -aS'to\tto\tTO\tB-PP\tO' -p370975 -aS'Vassdiysey\tVassdiysey\tNNP\tB-NP\tO' -p370976 -aS'Medical\tMedical\tNNP\tI-NP\tO' -p370977 -aS'Center\tCenter\tNNP\tI-NP\tO' -p370978 -aS'with\twith\tIN\tB-PP\tO' -p370979 -aS'severe\tsevere\tJJ\tB-NP\tO' -p370980 -aS'recurrent\trecurrent\tJJ\tI-NP\tO' -p370981 -aS'pancreatitis\tpancreatitis\tNN\tI-NP\tO' -p370982 -aS',\t,\t,\tO\tO' -p370983 -aS'nausea\tnausea\tNN\tB-NP\tO' -p370984 -aS',\t,\t,\tO\tO' -p370985 -aS'vomiting\tvomiting\tNN\tB-NP\tO' -p370986 -aS',\t,\t,\tO\tO' -p370987 -aS'and\tand\tCC\tO\tO' -p370988 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p370989 -aS'pain\tpain\tNN\tI-NP\tO' -p370990 -aS'.\t.\t.\tO\tO' -p370991 -asS'This was postoperative day # 6 , at which time she is ready for discharge .' -p370992 -(lp370993 -S'This\tThis\tDT\tB-NP\tO' -p370994 -aS'was\tbe\tVBD\tB-VP\tO' -p370995 -aS'postoperative\tpostoperative\tJJ\tB-NP\tO' -p370996 -aS'day\tday\tNN\tI-NP\tO' -p370997 -aS'#\t#\t#\tB-NP\tO' -p370998 -aS'6\t6\tCD\tI-NP\tO' -p370999 -aS',\t,\t,\tO\tO' -p371000 -aS'at\tat\tIN\tB-PP\tO' -p371001 -aS'which\twhich\tWDT\tB-NP\tO' -p371002 -aS'time\ttime\tNN\tI-NP\tO' -p371003 -aS'she\tshe\tPRP\tB-NP\tO' -p371004 -aS'is\tbe\tVBZ\tB-VP\tO' -p371005 -aS'ready\tready\tJJ\tB-ADJP\tO' -p371006 -aS'for\tfor\tIN\tB-PP\tO' -p371007 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p371008 -aS'.\t.\t.\tO\tO' -p371009 -asS'8. Warfarin Sodium 3 mg Tablet Sig : One ( 1 ) Tablet PO at bedtime .' -p371010 -(lp371011 -S'8.\t8.\tCD\tB-NP\tO' -p371012 -aS'Warfarin\tWarfarin\tNNP\tI-NP\tO' -p371013 -aS'Sodium\tSodium\tNNP\tI-NP\tO' -p371014 -aS'3\t3\tCD\tI-NP\tO' -p371015 -aS'mg\tmg\tNN\tI-NP\tO' -p371016 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p371017 -aS'Sig\tSig\tNNP\tI-NP\tO' -p371018 -aS':\t:\t:\tO\tO' -p371019 -aS'One\tOne\tCD\tB-NP\tO' -p371020 -aS'(\t(\t(\tO\tO' -p371021 -aS'1\t1\tCD\tB-NP\tO' -p371022 -aS')\t)\t)\tO\tO' -p371023 -aS'Tablet\tTablet\tNN\tB-NP\tB-protein' -p371024 -aS'PO\tPO\tNN\tI-NP\tI-protein' -p371025 -aS'at\tat\tIN\tB-PP\tO' -p371026 -aS'bedtime\tbedtime\tNN\tB-NP\tO' -p371027 -aS'.\t.\t.\tO\tO' -p371028 -asS'history , physical , neuro exam normal' -p371029 -(lp371030 -S'history\thistory\tNN\tB-NP\tO' -p371031 -aS',\t,\t,\tI-NP\tO' -p371032 -aS'physical\tphysical\tJJ\tI-NP\tO' -p371033 -aS',\t,\t,\tI-NP\tO' -p371034 -aS'neuro\tneuro\tJJ\tI-NP\tO' -p371035 -aS'exam\texam\tNN\tI-NP\tO' -p371036 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p371037 -asS'Regular menses , on Ortho-Tri-Cyclen .' -p371038 -(lp371039 -S'Regular\tRegular\tJJ\tB-NP\tO' -p371040 -aS'menses\tmens\tNNS\tI-NP\tO' -p371041 -aS',\t,\t,\tO\tO' -p371042 -aS'on\ton\tIN\tB-PP\tO' -p371043 -aS'Ortho-Tri-Cyclen\tOrtho-Tri-Cyclen\tNNP\tB-NP\tO' -p371044 -aS'.\t.\t.\tO\tO' -p371045 -asS'8. Ramipril 1.25 mg Capsule Sig : Two ( 2 ) Capsule PO DAILY ( Daily ) .' -p371046 -(lp371047 -S'8.\t8.\tCD\tB-NP\tO' -p371048 -aS'Ramipril\tRamipril\tNNP\tI-NP\tO' -p371049 -aS'1.25\t1.25\tCD\tI-NP\tO' -p371050 -aS'mg\tmg\tNN\tI-NP\tO' -p371051 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p371052 -aS'Sig\tSig\tNNP\tI-NP\tO' -p371053 -aS':\t:\t:\tO\tO' -p371054 -aS'Two\tTwo\tCD\tB-NP\tO' -p371055 -aS'(\t(\t(\tO\tO' -p371056 -aS'2\t2\tCD\tB-NP\tO' -p371057 -aS')\t)\t)\tO\tO' -p371058 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p371059 -aS'PO\tPO\tNNP\tI-NP\tO' -p371060 -aS'DAILY\tDAILY\tNNP\tI-NP\tO' -p371061 -aS'(\t(\t(\tO\tO' -p371062 -aS'Daily\tDaily\tNNP\tB-NP\tO' -p371063 -aS')\t)\t)\tO\tO' -p371064 -aS'.\t.\t.\tO\tO' -p371065 -asS'The patient was too large to have a CTA .' -p371066 -(lp371067 -S'The\tThe\tDT\tB-NP\tO' -p371068 -aS'patient\tpatient\tNN\tI-NP\tO' -p371069 -aS'was\tbe\tVBD\tB-VP\tO' -p371070 -aS'too\ttoo\tRB\tB-ADJP\tO' -p371071 -aS'large\tlarge\tJJ\tI-ADJP\tO' -p371072 -aS'to\tto\tTO\tB-VP\tO' -p371073 -aS'have\thave\tVB\tI-VP\tO' -p371074 -aS'a\ta\tDT\tB-NP\tO' -p371075 -aS'CTA\tCTA\tNN\tI-NP\tB-protein' -p371076 -aS'.\t.\t.\tO\tO' -p371077 -asS'fashion .' -p371078 -(lp371079 -S'fashion\tfashion\tNN\tB-NP\tO' -p371080 -aS'.\t.\t.\tO\tO' -p371081 -asS'The abdomen was benign , unremarkable .' -p371082 -(lp371083 -S'The\tThe\tDT\tB-NP\tO' -p371084 -aS'abdomen\tabdomen\tNN\tI-NP\tO' -p371085 -aS'was\tbe\tVBD\tB-VP\tO' -p371086 -aS'benign\tbenign\tJJ\tB-ADJP\tO' -p371087 -aS',\t,\t,\tO\tO' -p371088 -aS'unremarkable\tunremarkable\tJJ\tB-ADJP\tO' -p371089 -aS'.\t.\t.\tO\tO' -p371090 -asS'2. Norvasc 2.5 mg p.o. q day .' -p371091 -(lp371092 -S'2.\t2.\tCD\tB-NP\tO' -p371093 -aS'Norvasc\tNorvasc\tCC\tI-NP\tO' -p371094 -aS'2.5\t2.5\tCD\tI-NP\tO' -p371095 -aS'mg\tmg\tNN\tI-NP\tO' -p371096 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p371097 -aS'q\tq\tNN\tI-NP\tO' -p371098 -aS'day\tday\tNN\tI-NP\tO' -p371099 -aS'.\t.\t.\tO\tO' -p371100 -asS'He was transfered to the floor on 08-09 .' -p371101 -(lp371102 -S'He\tHe\tPRP\tB-NP\tO' -p371103 -aS'was\tbe\tVBD\tB-VP\tO' -p371104 -aS'transfered\ttransfer\tVBN\tI-VP\tO' -p371105 -aS'to\tto\tTO\tB-PP\tO' -p371106 -aS'the\tthe\tDT\tB-NP\tO' -p371107 -aS'floor\tfloor\tNN\tI-NP\tO' -p371108 -aS'on\ton\tIN\tB-PP\tO' -p371109 -aS'08-09\t08-09\tCD\tB-NP\tO' -p371110 -aS'.\t.\t.\tO\tO' -p371111 -asS'if you have recurrent fevers , chills , naseau , vomitting , chest pain , shortness of breath , or other worrisome symptoms , please contact your primary care physician or the emergency department .' -p371112 -(lp371113 -S'if\tif\tIN\tB-SBAR\tO' -p371114 -aS'you\tyou\tPRP\tB-NP\tO' -p371115 -aS'have\thave\tVBP\tB-VP\tO' -p371116 -aS'recurrent\trecurrent\tJJ\tB-NP\tO' -p371117 -aS'fevers\tfever\tNNS\tI-NP\tO' -p371118 -aS',\t,\t,\tO\tO' -p371119 -aS'chills\tchill\tNNS\tB-NP\tO' -p371120 -aS',\t,\t,\tO\tO' -p371121 -aS'naseau\tnaseau\tNN\tB-NP\tO' -p371122 -aS',\t,\t,\tO\tO' -p371123 -aS'vomitting\tvomitting\tNN\tB-NP\tO' -p371124 -aS',\t,\t,\tO\tO' -p371125 -aS'chest\tchest\tNN\tB-NP\tO' -p371126 -aS'pain\tpain\tNN\tI-NP\tO' -p371127 -aS',\t,\t,\tO\tO' -p371128 -aS'shortness\tshortness\tNN\tB-NP\tO' -p371129 -aS'of\tof\tIN\tB-PP\tO' -p371130 -aS'breath\tbreath\tNN\tB-NP\tO' -p371131 -aS',\t,\t,\tO\tO' -p371132 -aS'or\tor\tCC\tO\tO' -p371133 -aS'other\tother\tJJ\tB-NP\tO' -p371134 -aS'worrisome\tworrisome\tJJ\tI-NP\tO' -p371135 -aS'symptoms\tsymptom\tNNS\tI-NP\tO' -p371136 -aS',\t,\t,\tO\tO' -p371137 -aS'please\tplease\tVB\tB-INTJ\tO' -p371138 -aS'contact\tcontact\tVB\tB-VP\tO' -p371139 -aS'your\tyour\tPRP$\tB-NP\tO' -p371140 -aS'primary\tprimary\tJJ\tI-NP\tO' -p371141 -aS'care\tcare\tNN\tI-NP\tO' -p371142 -aS'physician\tphysician\tNN\tI-NP\tO' -p371143 -aS'or\tor\tCC\tO\tO' -p371144 -aS'the\tthe\tDT\tB-NP\tO' -p371145 -aS'emergency\temergency\tNN\tI-NP\tO' -p371146 -aS'department\tdepartment\tNN\tI-NP\tO' -p371147 -aS'.\t.\t.\tO\tO' -p371148 -asS'3. Carotid disease .' -p371149 -(lp371150 -S'3.\t3.\tLS\tB-NP\tO' -p371151 -aS'Carotid\tCarotid\tNN\tI-NP\tO' -p371152 -aS'disease\tdisease\tNN\tI-NP\tO' -p371153 -aS'.\t.\t.\tO\tO' -p371154 -asS"Given the patient 's recent RP bleed , there was concern for a recurrent bleed ." -p371155 -(lp371156 -S'Given\tGive\tVBN\tB-PP\tO' -p371157 -aS'the\tthe\tDT\tB-NP\tO' -p371158 -aS'patient\tpatient\tNN\tI-NP\tO' -p371159 -aS"'s\t's\tPOS\tB-NP\tO" -p371160 -aS'recent\trecent\tJJ\tI-NP\tO' -p371161 -aS'RP\tRP\tNN\tI-NP\tO' -p371162 -aS'bleed\tbleed\tNN\tI-NP\tO' -p371163 -aS',\t,\t,\tO\tO' -p371164 -aS'there\tthere\tEX\tB-NP\tO' -p371165 -aS'was\tbe\tVBD\tB-VP\tO' -p371166 -aS'concern\tconcern\tNN\tB-NP\tO' -p371167 -aS'for\tfor\tIN\tB-PP\tO' -p371168 -aS'a\ta\tDT\tB-NP\tO' -p371169 -aS'recurrent\trecurrent\tJJ\tI-NP\tO' -p371170 -aS'bleed\tbleed\tNN\tI-NP\tO' -p371171 -aS'.\t.\t.\tO\tO' -p371172 -asS'Congestive heart failure , coronary artery disease , mediastinal mass , inferior myocardial infarction , bronchiectasis .' -p371173 -(lp371174 -S'Congestive\tCongestive\tJJ\tB-NP\tO' -p371175 -aS'heart\theart\tNN\tI-NP\tO' -p371176 -aS'failure\tfailure\tNN\tI-NP\tO' -p371177 -aS',\t,\t,\tO\tO' -p371178 -aS'coronary\tcoronary\tJJ\tB-NP\tO' -p371179 -aS'artery\tartery\tNN\tI-NP\tO' -p371180 -aS'disease\tdisease\tNN\tI-NP\tO' -p371181 -aS',\t,\t,\tO\tO' -p371182 -aS'mediastinal\tmediastinal\tJJ\tB-NP\tO' -p371183 -aS'mass\tmass\tNN\tI-NP\tO' -p371184 -aS',\t,\t,\tO\tO' -p371185 -aS'inferior\tinferior\tJJ\tB-NP\tO' -p371186 -aS'myocardial\tmyocardial\tJJ\tI-NP\tO' -p371187 -aS'infarction\tinfarction\tNN\tI-NP\tO' -p371188 -aS',\t,\t,\tO\tO' -p371189 -aS'bronchiectasis\tbronchiectasis\tNN\tB-NP\tO' -p371190 -aS'.\t.\t.\tO\tO' -p371191 -asS'An abdominal ultrasound was performed .' -p371192 -(lp371193 -S'An\tAn\tDT\tB-NP\tO' -p371194 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p371195 -aS'ultrasound\tultrasound\tNN\tI-NP\tO' -p371196 -aS'was\tbe\tVBD\tB-VP\tO' -p371197 -aS'performed\tperform\tVBN\tI-VP\tO' -p371198 -aS'.\t.\t.\tO\tO' -p371199 -asS'Chest was clear .' -p371200 -(lp371201 -S'Chest\tChest\tNNP\tB-NP\tO' -p371202 -aS'was\tbe\tVBD\tB-VP\tO' -p371203 -aS'clear\tclear\tJJ\tB-ADJP\tO' -p371204 -aS'.\t.\t.\tO\tO' -p371205 -asS'There was no jugular venous distension .' -p371206 -(lp371207 -S'There\tThere\tEX\tB-NP\tO' -p371208 -aS'was\tbe\tVBD\tB-VP\tO' -p371209 -aS'no\tno\tDT\tB-NP\tO' -p371210 -aS'jugular\tjugular\tJJ\tI-NP\tO' -p371211 -aS'venous\tvenous\tJJ\tI-NP\tO' -p371212 -aS'distension\tdistension\tNN\tI-NP\tO' -p371213 -aS'.\t.\t.\tO\tO' -p371214 -asS'He also complained of some fecal incontinence the day prior to admission without urinary incontinence .' -p371215 -(lp371216 -S'He\tHe\tPRP\tB-NP\tO' -p371217 -aS'also\talso\tRB\tB-ADVP\tO' -p371218 -aS'complained\tcomplain\tVBD\tB-VP\tO' -p371219 -aS'of\tof\tIN\tB-PP\tO' -p371220 -aS'some\tsome\tDT\tB-NP\tO' -p371221 -aS'fecal\tfecal\tJJ\tI-NP\tO' -p371222 -aS'incontinence\tincontinence\tNN\tI-NP\tO' -p371223 -aS'the\tthe\tDT\tB-NP\tO' -p371224 -aS'day\tday\tNN\tI-NP\tO' -p371225 -aS'prior\tprior\tRB\tB-ADVP\tO' -p371226 -aS'to\tto\tTO\tB-PP\tO' -p371227 -aS'admission\tadmission\tNN\tB-NP\tO' -p371228 -aS'without\twithout\tIN\tB-PP\tO' -p371229 -aS'urinary\turinary\tJJ\tB-NP\tO' -p371230 -aS'incontinence\tincontinence\tNN\tI-NP\tO' -p371231 -aS'.\t.\t.\tO\tO' -p371232 -asS'On stress dose steroids originally given MUST protocol and sepsis , as patient clinically stabilized , she was changed back to home dose of Prednisone 40mg pO qd .' -p371233 -(lp371234 -S'On\tOn\tIN\tB-PP\tO' -p371235 -aS'stress\tstress\tNN\tB-NP\tO' -p371236 -aS'dose\tdose\tNN\tI-NP\tO' -p371237 -aS'steroids\tsteroid\tNNS\tI-NP\tO' -p371238 -aS'originally\toriginally\tRB\tB-VP\tO' -p371239 -aS'given\tgive\tVBN\tI-VP\tO' -p371240 -aS'MUST\tMUST\tNN\tB-NP\tO' -p371241 -aS'protocol\tprotocol\tNN\tI-NP\tO' -p371242 -aS'and\tand\tCC\tI-NP\tO' -p371243 -aS'sepsis\tsepsis\tNN\tI-NP\tO' -p371244 -aS',\t,\t,\tO\tO' -p371245 -aS'as\tas\tIN\tB-SBAR\tO' -p371246 -aS'patient\tpatient\tNN\tB-NP\tO' -p371247 -aS'clinically\tclinically\tRB\tB-ADVP\tO' -p371248 -aS'stabilized\tstabilize\tVBD\tB-VP\tO' -p371249 -aS',\t,\t,\tO\tO' -p371250 -aS'she\tshe\tPRP\tB-NP\tO' -p371251 -aS'was\tbe\tVBD\tB-VP\tO' -p371252 -aS'changed\tchange\tVBN\tI-VP\tO' -p371253 -aS'back\tback\tRB\tB-ADVP\tO' -p371254 -aS'to\tto\tTO\tB-PP\tO' -p371255 -aS'home\thome\tNN\tB-NP\tO' -p371256 -aS'dose\tdose\tNN\tI-NP\tO' -p371257 -aS'of\tof\tIN\tB-PP\tO' -p371258 -aS'Prednisone\tPrednisone\tNN\tB-NP\tO' -p371259 -aS'40mg\t40mg\tCD\tI-NP\tO' -p371260 -aS'pO\tpO\tNN\tI-NP\tO' -p371261 -aS'qd\tqd\tNN\tI-NP\tO' -p371262 -aS'.\t.\t.\tO\tO' -p371263 -asS'3. Propranolol 10 mg three times a day .' -p371264 -(lp371265 -S'3.\t3.\tLS\tB-NP\tO' -p371266 -aS'Propranolol\tPropranolol\tNN\tI-NP\tO' -p371267 -aS'10\t10\tCD\tI-NP\tO' -p371268 -aS'mg\tmg\tNN\tI-NP\tO' -p371269 -aS'three\tthree\tCD\tB-NP\tO' -p371270 -aS'times\ttime\tNNS\tI-NP\tO' -p371271 -aS'a\ta\tDT\tB-NP\tO' -p371272 -aS'day\tday\tNN\tI-NP\tO' -p371273 -aS'.\t.\t.\tO\tO' -p371274 -asS'1. Ad lib PO feedings of Similac 20 cal / oz with iron .' -p371275 -(lp371276 -S'1.\t1.\tLS\tB-NP\tO' -p371277 -aS'Ad\tAd\tNN\tI-NP\tO' -p371278 -aS'lib\tlib\tNN\tI-NP\tO' -p371279 -aS'PO\tPO\tNN\tI-NP\tO' -p371280 -aS'feedings\tfeeding\tNNS\tI-NP\tO' -p371281 -aS'of\tof\tIN\tB-PP\tO' -p371282 -aS'Similac\tSimilac\tNN\tB-NP\tO' -p371283 -aS'20\t20\tCD\tI-NP\tO' -p371284 -aS'cal\tcal\tNN\tI-NP\tO' -p371285 -aS'/\t/\tSYM\tO\tO' -p371286 -aS'oz\toz\tNN\tB-NP\tO' -p371287 -aS'with\twith\tIN\tB-PP\tO' -p371288 -aS'iron\tiron\tNN\tB-NP\tO' -p371289 -aS'.\t.\t.\tO\tO' -p371290 -asS'On admission , temperature was 98.1 , blood pressure was 140/70 , pulse was 95 , respiratory rate was 18 , oxygen saturation was 98% on room air .' -p371291 -(lp371292 -S'On\tOn\tIN\tB-PP\tO' -p371293 -aS'admission\tadmission\tNN\tB-NP\tO' -p371294 -aS',\t,\t,\tO\tO' -p371295 -aS'temperature\ttemperature\tNN\tB-NP\tO' -p371296 -aS'was\tbe\tVBD\tB-VP\tO' -p371297 -aS'98.1\t98.1\tCD\tB-NP\tO' -p371298 -aS',\t,\t,\tO\tO' -p371299 -aS'blood\tblood\tNN\tB-NP\tO' -p371300 -aS'pressure\tpressure\tNN\tI-NP\tO' -p371301 -aS'was\tbe\tVBD\tB-VP\tO' -p371302 -aS'140/70\t140/70\tCD\tB-NP\tO' -p371303 -aS',\t,\t,\tO\tO' -p371304 -aS'pulse\tpulse\tNN\tB-NP\tO' -p371305 -aS'was\tbe\tVBD\tB-VP\tO' -p371306 -aS'95\t95\tCD\tB-NP\tO' -p371307 -aS',\t,\t,\tO\tO' -p371308 -aS'respiratory\trespiratory\tJJ\tB-NP\tO' -p371309 -aS'rate\trate\tNN\tI-NP\tO' -p371310 -aS'was\tbe\tVBD\tB-VP\tO' -p371311 -aS'18\t18\tCD\tB-NP\tO' -p371312 -aS',\t,\t,\tO\tO' -p371313 -aS'oxygen\toxygen\tNN\tB-NP\tO' -p371314 -aS'saturation\tsaturation\tNN\tI-NP\tO' -p371315 -aS'was\tbe\tVBD\tB-VP\tO' -p371316 -aS'98%\t98%\tCD\tB-NP\tO' -p371317 -aS'on\ton\tIN\tB-PP\tO' -p371318 -aS'room\troom\tNN\tB-NP\tO' -p371319 -aS'air\tair\tNN\tI-NP\tO' -p371320 -aS'.\t.\t.\tO\tO' -p371321 -asS'The patient had reflexes of two-plus bilaterally in the radials , the biceps , the triceps and the knee jerk .' -p371322 -(lp371323 -S'The\tThe\tDT\tB-NP\tO' -p371324 -aS'patient\tpatient\tNN\tI-NP\tO' -p371325 -aS'had\thave\tVBD\tB-VP\tO' -p371326 -aS'reflexes\treflex\tNNS\tB-NP\tO' -p371327 -aS'of\tof\tIN\tB-PP\tO' -p371328 -aS'two-plus\ttwo-plus\tJJ\tB-NP\tO' -p371329 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p371330 -aS'in\tin\tIN\tB-PP\tO' -p371331 -aS'the\tthe\tDT\tB-NP\tO' -p371332 -aS'radials\tradial\tNNS\tI-NP\tO' -p371333 -aS',\t,\t,\tO\tO' -p371334 -aS'the\tthe\tDT\tB-NP\tO' -p371335 -aS'biceps\tbicep\tNNS\tI-NP\tO' -p371336 -aS',\t,\t,\tO\tO' -p371337 -aS'the\tthe\tDT\tB-NP\tO' -p371338 -aS'triceps\ttricep\tNNS\tI-NP\tO' -p371339 -aS'and\tand\tCC\tO\tO' -p371340 -aS'the\tthe\tDT\tB-NP\tO' -p371341 -aS'knee\tknee\tNN\tI-NP\tO' -p371342 -aS'jerk\tjerk\tNN\tI-NP\tO' -p371343 -aS'.\t.\t.\tO\tO' -p371344 -asS'He has had no fevers or chills .' -p371345 -(lp371346 -S'He\tHe\tPRP\tB-NP\tO' -p371347 -aS'has\thave\tVBZ\tB-VP\tO' -p371348 -aS'had\thave\tVBN\tI-VP\tO' -p371349 -aS'no\tno\tDT\tB-NP\tO' -p371350 -aS'fevers\tfever\tNNS\tI-NP\tO' -p371351 -aS'or\tor\tCC\tI-NP\tO' -p371352 -aS'chills\tchill\tNNS\tI-NP\tO' -p371353 -aS'.\t.\t.\tO\tO' -p371354 -asS'1. Atonic bladder with a suprapubic tube .' -p371355 -(lp371356 -S'1.\t1.\tLS\tB-NP\tO' -p371357 -aS'Atonic\tAtonic\tJJ\tI-NP\tO' -p371358 -aS'bladder\tbladder\tNN\tI-NP\tO' -p371359 -aS'with\twith\tIN\tB-PP\tO' -p371360 -aS'a\ta\tDT\tB-NP\tO' -p371361 -aS'suprapubic\tsuprapubic\tJJ\tI-NP\tO' -p371362 -aS'tube\ttube\tNN\tI-NP\tO' -p371363 -aS'.\t.\t.\tO\tO' -p371364 -asS'Heparin , consisting of thrombocytopenia ; Pronestyl , consisting of nausea .' -p371365 -(lp371366 -S'Heparin\tHeparin\tNN\tB-NP\tO' -p371367 -aS',\t,\t,\tO\tO' -p371368 -aS'consisting\tconsist\tVBG\tB-VP\tO' -p371369 -aS'of\tof\tIN\tB-PP\tO' -p371370 -aS'thrombocytopenia\tthrombocytopenia\tNN\tB-NP\tO' -p371371 -aS';\t;\t:\tO\tO' -p371372 -aS'Pronestyl\tPronestyl\tNN\tB-NP\tO' -p371373 -aS',\t,\t,\tO\tO' -p371374 -aS'consisting\tconsist\tVBG\tB-VP\tO' -p371375 -aS'of\tof\tIN\tB-PP\tO' -p371376 -aS'nausea\tnausea\tNN\tB-NP\tO' -p371377 -aS'.\t.\t.\tO\tO' -p371378 -asS'Didronel 1 q day which has been on hold .' -p371379 -(lp371380 -S'Didronel\tDidronel\tNN\tB-NP\tO' -p371381 -aS'1\t1\tCD\tI-NP\tO' -p371382 -aS'q\tq\tNN\tI-NP\tO' -p371383 -aS'day\tday\tNN\tI-NP\tO' -p371384 -aS'which\twhich\tWDT\tB-NP\tO' -p371385 -aS'has\thave\tVBZ\tB-VP\tO' -p371386 -aS'been\tbe\tVBN\tI-VP\tO' -p371387 -aS'on\ton\tIN\tB-PP\tO' -p371388 -aS'hold\thold\tNN\tB-NP\tO' -p371389 -aS'.\t.\t.\tO\tO' -p371390 -asS'Possible abnormality on the aortic valve as described above without aortic regurgitation .' -p371391 -(lp371392 -S'Possible\tPossible\tJJ\tB-NP\tO' -p371393 -aS'abnormality\tabnormality\tNN\tI-NP\tO' -p371394 -aS'on\ton\tIN\tB-PP\tO' -p371395 -aS'the\tthe\tDT\tB-NP\tO' -p371396 -aS'aortic\taortic\tJJ\tI-NP\tO' -p371397 -aS'valve\tvalve\tNN\tI-NP\tO' -p371398 -aS'as\tas\tIN\tB-SBAR\tO' -p371399 -aS'described\tdescribe\tVBN\tB-VP\tO' -p371400 -aS'above\tabove\tRB\tB-ADVP\tO' -p371401 -aS'without\twithout\tIN\tB-PP\tO' -p371402 -aS'aortic\taortic\tJJ\tB-NP\tO' -p371403 -aS'regurgitation\tregurgitation\tNN\tI-NP\tO' -p371404 -aS'.\t.\t.\tO\tO' -p371405 -asS'His past medical history included hypertension and non-insulin diabetes mellitus which is diet controlled .' -p371406 -(lp371407 -S'His\tHis\tPRP$\tB-NP\tO' -p371408 -aS'past\tpast\tJJ\tI-NP\tO' -p371409 -aS'medical\tmedical\tJJ\tI-NP\tO' -p371410 -aS'history\thistory\tNN\tI-NP\tO' -p371411 -aS'included\tinclude\tVBD\tB-VP\tO' -p371412 -aS'hypertension\thypertension\tNN\tB-NP\tO' -p371413 -aS'and\tand\tCC\tO\tO' -p371414 -aS'non-insulin\tnon-insulin\tJJ\tB-NP\tO' -p371415 -aS'diabetes\tdiabetes\tNN\tI-NP\tO' -p371416 -aS'mellitus\tmellitus\tNN\tI-NP\tO' -p371417 -aS'which\twhich\tWDT\tB-NP\tO' -p371418 -aS'is\tbe\tVBZ\tB-VP\tO' -p371419 -aS'diet\tdiet\tNN\tB-NP\tO' -p371420 -aS'controlled\tcontrol\tVBN\tB-VP\tO' -p371421 -aS'.\t.\t.\tO\tO' -p371422 -asS'THere was a question of ionfiltrative cardiomyopathy , and the patient underwent abdominal fat pad biopsy to assess for amyloidosis .' -p371423 -(lp371424 -S'THere\tTHere\tNN\tB-NP\tO' -p371425 -aS'was\tbe\tVBD\tB-VP\tO' -p371426 -aS'a\ta\tDT\tB-NP\tO' -p371427 -aS'question\tquestion\tNN\tI-NP\tO' -p371428 -aS'of\tof\tIN\tB-PP\tO' -p371429 -aS'ionfiltrative\tionfiltrative\tJJ\tB-NP\tO' -p371430 -aS'cardiomyopathy\tcardiomyopathy\tNN\tI-NP\tO' -p371431 -aS',\t,\t,\tO\tO' -p371432 -aS'and\tand\tCC\tO\tO' -p371433 -aS'the\tthe\tDT\tB-NP\tO' -p371434 -aS'patient\tpatient\tNN\tI-NP\tO' -p371435 -aS'underwent\tundergo\tVBD\tB-VP\tO' -p371436 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p371437 -aS'fat\tfat\tJJ\tI-NP\tO' -p371438 -aS'pad\tpad\tNN\tI-NP\tO' -p371439 -aS'biopsy\tbiopsy\tNN\tI-NP\tO' -p371440 -aS'to\tto\tTO\tB-VP\tO' -p371441 -aS'assess\tassess\tVB\tI-VP\tO' -p371442 -aS'for\tfor\tIN\tB-PP\tO' -p371443 -aS'amyloidosis\tamyloidosis\tNN\tB-NP\tO' -p371444 -aS'.\t.\t.\tO\tO' -p371445 -asS'3) infants with chronic lung disease .' -p371446 -(lp371447 -S'3)\t3)\tLS\tB-LST\tO' -p371448 -aS'infants\tinfant\tNNS\tB-NP\tO' -p371449 -aS'with\twith\tIN\tB-PP\tO' -p371450 -aS'chronic\tchronic\tJJ\tB-NP\tO' -p371451 -aS'lung\tlung\tNN\tI-NP\tO' -p371452 -aS'disease\tdisease\tNN\tI-NP\tO' -p371453 -aS'.\t.\t.\tO\tO' -p371454 -asS'It was not relieved by 2 sublingual nitroglycerins .' -p371455 -(lp371456 -S'It\tIt\tPRP\tB-NP\tO' -p371457 -aS'was\tbe\tVBD\tB-VP\tO' -p371458 -aS'not\tnot\tRB\tI-VP\tO' -p371459 -aS'relieved\trelieve\tVBN\tI-VP\tO' -p371460 -aS'by\tby\tIN\tB-PP\tO' -p371461 -aS'2\t2\tCD\tB-NP\tO' -p371462 -aS'sublingual\tsublingual\tJJ\tI-NP\tO' -p371463 -aS'nitroglycerins\tnitroglycerin\tNNS\tI-NP\tO' -p371464 -aS'.\t.\t.\tO\tO' -p371465 -asS'The cardiac catheterization revealed a total occlusion of the proximal right coronary artery and diffuse right coronary artery disease .' -p371466 -(lp371467 -S'The\tThe\tDT\tB-NP\tO' -p371468 -aS'cardiac\tcardiac\tJJ\tI-NP\tO' -p371469 -aS'catheterization\tcatheterization\tNN\tI-NP\tO' -p371470 -aS'revealed\treveal\tVBD\tB-VP\tO' -p371471 -aS'a\ta\tDT\tB-NP\tO' -p371472 -aS'total\ttotal\tJJ\tI-NP\tO' -p371473 -aS'occlusion\tocclusion\tNN\tI-NP\tO' -p371474 -aS'of\tof\tIN\tB-PP\tO' -p371475 -aS'the\tthe\tDT\tB-NP\tO' -p371476 -aS'proximal\tproximal\tJJ\tI-NP\tO' -p371477 -aS'right\tright\tJJ\tI-NP\tO' -p371478 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p371479 -aS'artery\tartery\tNN\tI-NP\tO' -p371480 -aS'and\tand\tCC\tO\tO' -p371481 -aS'diffuse\tdiffuse\tJJ\tB-NP\tO' -p371482 -aS'right\tright\tJJ\tI-NP\tO' -p371483 -aS'coronary\tcoronary\tJJ\tI-NP\tO' -p371484 -aS'artery\tartery\tNN\tI-NP\tO' -p371485 -aS'disease\tdisease\tNN\tI-NP\tO' -p371486 -aS'.\t.\t.\tO\tO' -p371487 -asS'4) Bacteroides fragilis and Clostridium perfringens .' -p371488 -(lp371489 -S'4)\t4)\tLS\tB-NP\tO' -p371490 -aS'Bacteroides\tBacteroide\tNNS\tI-NP\tO' -p371491 -aS'fragilis\tfragilis\tNN\tI-NP\tO' -p371492 -aS'and\tand\tCC\tI-NP\tO' -p371493 -aS'Clostridium\tClostridium\tNN\tI-NP\tO' -p371494 -aS'perfringens\tperfringen\tNNS\tI-NP\tO' -p371495 -aS'.\t.\t.\tO\tO' -p371496 -asS'The rectal examination is guaiac negative with a minimal amount of stool .' -p371497 -(lp371498 -S'The\tThe\tDT\tB-NP\tO' -p371499 -aS'rectal\trectal\tJJ\tI-NP\tO' -p371500 -aS'examination\texamination\tNN\tI-NP\tO' -p371501 -aS'is\tbe\tVBZ\tB-VP\tO' -p371502 -aS'guaiac\tguaiac\tJJ\tB-ADJP\tO' -p371503 -aS'negative\tnegative\tJJ\tB-ADJP\tO' -p371504 -aS'with\twith\tIN\tB-PP\tO' -p371505 -aS'a\ta\tDT\tB-NP\tO' -p371506 -aS'minimal\tminimal\tJJ\tI-NP\tO' -p371507 -aS'amount\tamount\tNN\tI-NP\tO' -p371508 -aS'of\tof\tIN\tB-PP\tO' -p371509 -aS'stool\tstool\tNN\tB-NP\tO' -p371510 -aS'.\t.\t.\tO\tO' -p371511 -asS'He is also to have AH for his home stent care .' -p371512 -(lp371513 -S'He\tHe\tPRP\tB-NP\tO' -p371514 -aS'is\tbe\tVBZ\tB-VP\tO' -p371515 -aS'also\talso\tRB\tB-ADVP\tO' -p371516 -aS'to\tto\tTO\tB-VP\tO' -p371517 -aS'have\thave\tVB\tI-VP\tO' -p371518 -aS'AH\tAH\tNN\tB-NP\tO' -p371519 -aS'for\tfor\tIN\tB-PP\tO' -p371520 -aS'his\this\tPRP$\tB-NP\tO' -p371521 -aS'home\thome\tNN\tI-NP\tO' -p371522 -aS'stent\tstent\tJJ\tI-NP\tO' -p371523 -aS'care\tcare\tNN\tI-NP\tO' -p371524 -aS'.\t.\t.\tO\tO' -p371525 -asS'The patient is obese with unremarkable physical examination except for a systolic murmur , I / VI and erythema over the sternal wound and upper third .' -p371526 -(lp371527 -S'The\tThe\tDT\tB-NP\tO' -p371528 -aS'patient\tpatient\tNN\tI-NP\tO' -p371529 -aS'is\tbe\tVBZ\tB-VP\tO' -p371530 -aS'obese\tobese\tJJ\tB-ADJP\tO' -p371531 -aS'with\twith\tIN\tB-PP\tO' -p371532 -aS'unremarkable\tunremarkable\tJJ\tB-NP\tO' -p371533 -aS'physical\tphysical\tJJ\tI-NP\tO' -p371534 -aS'examination\texamination\tNN\tI-NP\tO' -p371535 -aS'except\texcept\tIN\tB-PP\tO' -p371536 -aS'for\tfor\tIN\tB-PP\tO' -p371537 -aS'a\ta\tDT\tB-NP\tO' -p371538 -aS'systolic\tsystolic\tJJ\tI-NP\tO' -p371539 -aS'murmur\tmurmur\tNN\tI-NP\tO' -p371540 -aS',\t,\t,\tO\tO' -p371541 -aS'I\tI\tNN\tB-NP\tO' -p371542 -aS'/\t/\tSYM\tB-NP\tO' -p371543 -aS'VI\tVI\tNN\tI-NP\tO' -p371544 -aS'and\tand\tCC\tI-NP\tO' -p371545 -aS'erythema\terythema\tNN\tI-NP\tO' -p371546 -aS'over\tover\tIN\tB-PP\tO' -p371547 -aS'the\tthe\tDT\tB-NP\tO' -p371548 -aS'sternal\tsternal\tJJ\tI-NP\tO' -p371549 -aS'wound\twound\tNN\tI-NP\tO' -p371550 -aS'and\tand\tCC\tO\tO' -p371551 -aS'upper\tupper\tJJ\tB-NP\tO' -p371552 -aS'third\tthird\tNN\tI-NP\tO' -p371553 -aS'.\t.\t.\tO\tO' -p371554 -asS'There was mild enhancement of the pontine hemorrhagic mass but none elsewhere .' -p371555 -(lp371556 -S'There\tThere\tEX\tB-NP\tO' -p371557 -aS'was\tbe\tVBD\tB-VP\tO' -p371558 -aS'mild\tmild\tJJ\tB-NP\tO' -p371559 -aS'enhancement\tenhancement\tNN\tI-NP\tO' -p371560 -aS'of\tof\tIN\tB-PP\tO' -p371561 -aS'the\tthe\tDT\tB-NP\tO' -p371562 -aS'pontine\tpontine\tJJ\tI-NP\tO' -p371563 -aS'hemorrhagic\themorrhagic\tJJ\tI-NP\tO' -p371564 -aS'mass\tmass\tNN\tI-NP\tO' -p371565 -aS'but\tbut\tCC\tO\tO' -p371566 -aS'none\tnone\tNN\tB-NP\tO' -p371567 -aS'elsewhere\telsewhere\tRB\tB-ADVP\tO' -p371568 -aS'.\t.\t.\tO\tO' -p371569 -asS"At the time of discharge , the patient 's vital signs were stable and he was without complaints ." -p371570 -(lp371571 -S'At\tAt\tIN\tB-PP\tO' -p371572 -aS'the\tthe\tDT\tB-NP\tO' -p371573 -aS'time\ttime\tNN\tI-NP\tO' -p371574 -aS'of\tof\tIN\tB-PP\tO' -p371575 -aS'discharge\tdischarge\tNN\tB-NP\tO' -p371576 -aS',\t,\t,\tO\tO' -p371577 -aS'the\tthe\tDT\tB-NP\tO' -p371578 -aS'patient\tpatient\tNN\tI-NP\tO' -p371579 -aS"'s\t's\tPOS\tB-NP\tO" -p371580 -aS'vital\tvital\tJJ\tI-NP\tO' -p371581 -aS'signs\tsign\tNNS\tI-NP\tO' -p371582 -aS'were\tbe\tVBD\tB-VP\tO' -p371583 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p371584 -aS'and\tand\tCC\tO\tO' -p371585 -aS'he\the\tPRP\tB-NP\tO' -p371586 -aS'was\tbe\tVBD\tB-VP\tO' -p371587 -aS'without\twithout\tIN\tB-PP\tO' -p371588 -aS'complaints\tcomplaint\tNNS\tB-NP\tO' -p371589 -aS'.\t.\t.\tO\tO' -p371590 -asS'Over the next several days , her activity level was increased with the assistance of Physical Therapy and the nursing staff .' -p371591 -(lp371592 -S'Over\tOver\tIN\tB-PP\tO' -p371593 -aS'the\tthe\tDT\tB-NP\tO' -p371594 -aS'next\tnext\tJJ\tI-NP\tO' -p371595 -aS'several\tseveral\tJJ\tI-NP\tO' -p371596 -aS'days\tday\tNNS\tI-NP\tO' -p371597 -aS',\t,\t,\tO\tO' -p371598 -aS'her\ther\tPRP$\tB-NP\tO' -p371599 -aS'activity\tactivity\tNN\tI-NP\tO' -p371600 -aS'level\tlevel\tNN\tI-NP\tO' -p371601 -aS'was\tbe\tVBD\tB-VP\tO' -p371602 -aS'increased\tincrease\tVBN\tI-VP\tO' -p371603 -aS'with\twith\tIN\tB-PP\tO' -p371604 -aS'the\tthe\tDT\tB-NP\tO' -p371605 -aS'assistance\tassistance\tNN\tI-NP\tO' -p371606 -aS'of\tof\tIN\tB-PP\tO' -p371607 -aS'Physical\tPhysical\tJJ\tB-NP\tO' -p371608 -aS'Therapy\tTherapy\tNN\tI-NP\tO' -p371609 -aS'and\tand\tCC\tO\tO' -p371610 -aS'the\tthe\tDT\tB-NP\tO' -p371611 -aS'nursing\tnursing\tNN\tI-NP\tO' -p371612 -aS'staff\tstaff\tNN\tI-NP\tO' -p371613 -aS'.\t.\t.\tO\tO' -p371614 -asS'Total abdominal hysterectomy , bilateral salpingo-oophorectomy , lysis of adhesions , open laparoscopy , Birch procedure , suprapubic bladder catheter placement .' -p371615 -(lp371616 -S'Total\tTotal\tJJ\tB-NP\tO' -p371617 -aS'abdominal\tabdominal\tJJ\tI-NP\tO' -p371618 -aS'hysterectomy\thysterectomy\tNN\tI-NP\tO' -p371619 -aS',\t,\t,\tO\tO' -p371620 -aS'bilateral\tbilateral\tJJ\tB-NP\tO' -p371621 -aS'salpingo-oophorectomy\tsalpingo-oophorectomy\tNN\tI-NP\tO' -p371622 -aS',\t,\t,\tO\tO' -p371623 -aS'lysis\tlysis\tNN\tB-NP\tO' -p371624 -aS'of\tof\tIN\tB-PP\tO' -p371625 -aS'adhesions\tadhesion\tNNS\tB-NP\tO' -p371626 -aS',\t,\t,\tO\tO' -p371627 -aS'open\topen\tJJ\tB-NP\tO' -p371628 -aS'laparoscopy\tlaparoscopy\tNN\tI-NP\tO' -p371629 -aS',\t,\t,\tO\tO' -p371630 -aS'Birch\tBirch\tNNP\tB-NP\tO' -p371631 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p371632 -aS',\t,\t,\tO\tO' -p371633 -aS'suprapubic\tsuprapubic\tJJ\tB-NP\tO' -p371634 -aS'bladder\tbladder\tNN\tI-NP\tO' -p371635 -aS'catheter\tcatheter\tNN\tI-NP\tO' -p371636 -aS'placement\tplacement\tNN\tI-NP\tO' -p371637 -aS'.\t.\t.\tO\tO' -p371638 -asS'3. 7-10-93 , abdominal irrigation and debridement and packing of pancreas ,' -p371639 -(lp371640 -S'3.\t3.\tLS\tB-NP\tO' -p371641 -aS'7-10-93\t7-10-93\tCD\tI-NP\tO' -p371642 -aS',\t,\t,\tO\tO' -p371643 -aS'abdominal\tabdominal\tJJ\tB-NP\tO' -p371644 -aS'irrigation\tirrigation\tNN\tI-NP\tO' -p371645 -aS'and\tand\tCC\tO\tO' -p371646 -aS'debridement\tdebridement\tNN\tB-NP\tO' -p371647 -aS'and\tand\tCC\tI-NP\tO' -p371648 -aS'packing\tpacking\tNN\tI-NP\tO' -p371649 -aS'of\tof\tIN\tB-PP\tO' -p371650 -aS'pancreas\tpancreas\tNN\tB-NP\tO' -p371651 -aS',\t,\t,\tO\tO' -p371652 -asS'4. History of pulmonary embolism likely secondary to frequent flying .' -p371653 -(lp371654 -S'4.\t4.\tLS\tB-NP\tO' -p371655 -aS'History\tHistory\tNN\tI-NP\tO' -p371656 -aS'of\tof\tIN\tB-PP\tO' -p371657 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p371658 -aS'embolism\tembolism\tNN\tI-NP\tO' -p371659 -aS'likely\tlikely\tRB\tB-ADJP\tO' -p371660 -aS'secondary\tsecondary\tJJ\tI-ADJP\tO' -p371661 -aS'to\tto\tTO\tB-PP\tO' -p371662 -aS'frequent\tfrequent\tJJ\tB-NP\tO' -p371663 -aS'flying\tflying\tNN\tI-NP\tO' -p371664 -aS'.\t.\t.\tO\tO' -p371665 -asS'His CA99 was normal .' -p371666 -(lp371667 -S'His\tHis\tPRP$\tB-NP\tO' -p371668 -aS'CA99\tCA99\tNN\tI-NP\tB-protein' -p371669 -aS'was\tbe\tVBD\tB-VP\tO' -p371670 -aS'normal\tnormal\tJJ\tB-ADJP\tO' -p371671 -aS'.\t.\t.\tO\tO' -p371672 -asS'She was sent for a CT scan of her abdomen , which revealed fluid and question of gas in the endometrial cavity , and she was sent to Pinewood , Norfolk for treatment and admission .' -p371673 -(lp371674 -S'She\tShe\tPRP\tB-NP\tO' -p371675 -aS'was\tbe\tVBD\tB-VP\tO' -p371676 -aS'sent\tsend\tVBN\tI-VP\tO' -p371677 -aS'for\tfor\tIN\tB-PP\tO' -p371678 -aS'a\ta\tDT\tB-NP\tO' -p371679 -aS'CT\tCT\tNN\tI-NP\tO' -p371680 -aS'scan\tscan\tNN\tI-NP\tO' -p371681 -aS'of\tof\tIN\tB-PP\tO' -p371682 -aS'her\ther\tPRP$\tB-NP\tO' -p371683 -aS'abdomen\tabdoman\tNNS\tI-NP\tO' -p371684 -aS',\t,\t,\tO\tO' -p371685 -aS'which\twhich\tWDT\tB-NP\tO' -p371686 -aS'revealed\treveal\tVBD\tB-VP\tO' -p371687 -aS'fluid\tfluid\tNN\tB-NP\tO' -p371688 -aS'and\tand\tCC\tI-NP\tO' -p371689 -aS'question\tquestion\tNN\tI-NP\tO' -p371690 -aS'of\tof\tIN\tB-PP\tO' -p371691 -aS'gas\tgas\tNN\tB-NP\tB-DNA' -p371692 -aS'in\tin\tIN\tB-PP\tO' -p371693 -aS'the\tthe\tDT\tB-NP\tO' -p371694 -aS'endometrial\tendometrial\tJJ\tI-NP\tO' -p371695 -aS'cavity\tcavity\tNN\tI-NP\tO' -p371696 -aS',\t,\t,\tO\tO' -p371697 -aS'and\tand\tCC\tO\tO' -p371698 -aS'she\tshe\tPRP\tB-NP\tO' -p371699 -aS'was\tbe\tVBD\tB-VP\tO' -p371700 -aS'sent\tsend\tVBN\tI-VP\tO' -p371701 -aS'to\tto\tTO\tB-PP\tO' -p371702 -aS'Pinewood\tPinewood\tNNP\tB-NP\tO' -p371703 -aS',\t,\t,\tO\tO' -p371704 -aS'Norfolk\tNorfolk\tNNP\tB-NP\tO' -p371705 -aS'for\tfor\tIN\tB-PP\tO' -p371706 -aS'treatment\ttreatment\tNN\tB-NP\tO' -p371707 -aS'and\tand\tCC\tI-NP\tO' -p371708 -aS'admission\tadmission\tNN\tI-NP\tO' -p371709 -aS'.\t.\t.\tO\tO' -p371710 -asS'For further details of this procedure see operative note .' -p371711 -(lp371712 -S'For\tFor\tIN\tB-PP\tO' -p371713 -aS'further\tfurther\tJJ\tB-NP\tO' -p371714 -aS'details\tdetail\tNNS\tI-NP\tO' -p371715 -aS'of\tof\tIN\tB-PP\tO' -p371716 -aS'this\tthis\tDT\tB-NP\tO' -p371717 -aS'procedure\tprocedure\tNN\tI-NP\tO' -p371718 -aS'see\tsee\tVB\tB-VP\tO' -p371719 -aS'operative\toperative\tJJ\tB-NP\tO' -p371720 -aS'note\tnote\tNN\tI-NP\tO' -p371721 -aS'.\t.\t.\tO\tO' -p371722 -asS'Scoliosis .' -p371723 -(lp371724 -S'Scoliosis\tScoliosis\tNN\tB-NP\tO' -p371725 -aS'.\t.\t.\tO\tO' -p371726 -asS'O2Sat. : 100% , ventilated .' -p371727 -(lp371728 -S'O2Sat.\tO2Sat.\tLS\tB-LST\tO' -p371729 -aS':\t:\t:\tO\tO' -p371730 -aS'100%\t100%\tCD\tB-NP\tO' -p371731 -aS',\t,\t,\tO\tO' -p371732 -aS'ventilated\tventilate\tVBN\tB-VP\tO' -p371733 -aS'.\t.\t.\tO\tO' -p371734 -asS'In addition , a CT angiogram of the chest with pulmonary embolism protocol showed no intravascular filling defect but did show a right upper lobe ground-glass and scattered adenopathy .' -p371735 -(lp371736 -S'In\tIn\tIN\tB-PP\tO' -p371737 -aS'addition\taddition\tNN\tB-NP\tO' -p371738 -aS',\t,\t,\tO\tO' -p371739 -aS'a\ta\tDT\tB-NP\tO' -p371740 -aS'CT\tCT\tNN\tI-NP\tO' -p371741 -aS'angiogram\tangiogram\tNN\tI-NP\tO' -p371742 -aS'of\tof\tIN\tB-PP\tO' -p371743 -aS'the\tthe\tDT\tB-NP\tO' -p371744 -aS'chest\tchest\tNN\tI-NP\tO' -p371745 -aS'with\twith\tIN\tB-PP\tO' -p371746 -aS'pulmonary\tpulmonary\tJJ\tB-NP\tO' -p371747 -aS'embolism\tembolism\tNN\tI-NP\tO' -p371748 -aS'protocol\tprotocol\tNN\tI-NP\tO' -p371749 -aS'showed\tshow\tVBD\tB-VP\tO' -p371750 -aS'no\tno\tDT\tB-NP\tO' -p371751 -aS'intravascular\tintravascular\tJJ\tI-NP\tO' -p371752 -aS'filling\tfilling\tNN\tI-NP\tO' -p371753 -aS'defect\tdefect\tNN\tI-NP\tO' -p371754 -aS'but\tbut\tCC\tO\tO' -p371755 -aS'did\tdo\tVBD\tB-VP\tO' -p371756 -aS'show\tshow\tVB\tI-VP\tO' -p371757 -aS'a\ta\tDT\tB-NP\tO' -p371758 -aS'right\tright\tJJ\tI-NP\tO' -p371759 -aS'upper\tupper\tJJ\tI-NP\tO' -p371760 -aS'lobe\tlobe\tNN\tI-NP\tO' -p371761 -aS'ground-glass\tground-glass\tNN\tI-NP\tO' -p371762 -aS'and\tand\tCC\tO\tO' -p371763 -aS'scattered\tscattered\tJJ\tB-NP\tO' -p371764 -aS'adenopathy\tadenopathy\tNN\tI-NP\tO' -p371765 -aS'.\t.\t.\tO\tO' -p371766 -asS'Dictated By : Tammy T.K. Farless , M.D.' -p371767 -(lp371768 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p371769 -aS'By\tBy\tIN\tB-PP\tO' -p371770 -aS':\t:\t:\tO\tO' -p371771 -aS'Tammy\tTammy\tNNP\tB-NP\tO' -p371772 -aS'T.K.\tT.K.\tNNP\tI-NP\tO' -p371773 -aS'Farless\tFarless\tNNP\tI-NP\tO' -p371774 -aS',\t,\t,\tO\tO' -p371775 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p371776 -asS'The patient required multiple blood transfusions for a low hematocrit .' -p371777 -(lp371778 -S'The\tThe\tDT\tB-NP\tO' -p371779 -aS'patient\tpatient\tNN\tI-NP\tO' -p371780 -aS'required\trequire\tVBD\tB-VP\tO' -p371781 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p371782 -aS'blood\tblood\tNN\tI-NP\tO' -p371783 -aS'transfusions\ttransfusion\tNNS\tI-NP\tO' -p371784 -aS'for\tfor\tIN\tB-PP\tO' -p371785 -aS'a\ta\tDT\tB-NP\tO' -p371786 -aS'low\tlow\tJJ\tI-NP\tO' -p371787 -aS'hematocrit\thematocrit\tNN\tI-NP\tO' -p371788 -aS'.\t.\t.\tO\tO' -p371789 -asS'The patient remained to be stable on the floor with subsequent monitoring of hematocrit within a normal stable range .' -p371790 -(lp371791 -S'The\tThe\tDT\tB-NP\tO' -p371792 -aS'patient\tpatient\tNN\tI-NP\tO' -p371793 -aS'remained\tremain\tVBD\tB-VP\tO' -p371794 -aS'to\tto\tTO\tI-VP\tO' -p371795 -aS'be\tbe\tVB\tI-VP\tO' -p371796 -aS'stable\tstable\tJJ\tB-ADJP\tO' -p371797 -aS'on\ton\tIN\tB-PP\tO' -p371798 -aS'the\tthe\tDT\tB-NP\tO' -p371799 -aS'floor\tfloor\tNN\tI-NP\tO' -p371800 -aS'with\twith\tIN\tB-PP\tO' -p371801 -aS'subsequent\tsubsequent\tJJ\tB-NP\tO' -p371802 -aS'monitoring\tmonitoring\tNN\tI-NP\tO' -p371803 -aS'of\tof\tIN\tB-PP\tO' -p371804 -aS'hematocrit\thematocrit\tNN\tB-NP\tO' -p371805 -aS'within\twithin\tIN\tB-PP\tO' -p371806 -aS'a\ta\tDT\tB-NP\tO' -p371807 -aS'normal\tnormal\tJJ\tI-NP\tO' -p371808 -aS'stable\tstable\tJJ\tI-NP\tO' -p371809 -aS'range\trange\tNN\tI-NP\tO' -p371810 -aS'.\t.\t.\tO\tO' -p371811 -asS'This is an 86 year old woman who has a history of atrial fibrillation , peripheral vascular disease , and a history of atrial emboli who was admitted on 2013-09-06 , to the Neurologic Intensive Care Unit service after collapsing at home at 8:30 p.m .' -p371812 -(lp371813 -S'This\tThis\tDT\tB-NP\tO' -p371814 -aS'is\tbe\tVBZ\tB-VP\tO' -p371815 -aS'an\tan\tDT\tB-NP\tO' -p371816 -aS'86\t86\tCD\tI-NP\tO' -p371817 -aS'year\tyear\tNN\tI-NP\tO' -p371818 -aS'old\told\tJJ\tI-NP\tO' -p371819 -aS'woman\twoman\tNN\tI-NP\tO' -p371820 -aS'who\twho\tWP\tB-NP\tO' -p371821 -aS'has\thave\tVBZ\tB-VP\tO' -p371822 -aS'a\ta\tDT\tB-NP\tO' -p371823 -aS'history\thistory\tNN\tI-NP\tO' -p371824 -aS'of\tof\tIN\tB-PP\tO' -p371825 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p371826 -aS'fibrillation\tfibrillation\tNN\tI-NP\tO' -p371827 -aS',\t,\t,\tO\tO' -p371828 -aS'peripheral\tperipheral\tJJ\tB-NP\tO' -p371829 -aS'vascular\tvascular\tJJ\tI-NP\tO' -p371830 -aS'disease\tdisease\tNN\tI-NP\tO' -p371831 -aS',\t,\t,\tO\tO' -p371832 -aS'and\tand\tCC\tO\tO' -p371833 -aS'a\ta\tDT\tB-NP\tO' -p371834 -aS'history\thistory\tNN\tI-NP\tO' -p371835 -aS'of\tof\tIN\tB-PP\tO' -p371836 -aS'atrial\tatrial\tJJ\tB-NP\tO' -p371837 -aS'emboli\tembolus\tNNS\tI-NP\tO' -p371838 -aS'who\twho\tWP\tB-NP\tO' -p371839 -aS'was\tbe\tVBD\tB-VP\tO' -p371840 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p371841 -aS'on\ton\tIN\tB-PP\tO' -p371842 -aS'2013-09-06\t2013-09-06\tCD\tB-NP\tO' -p371843 -aS',\t,\t,\tO\tO' -p371844 -aS'to\tto\tTO\tB-PP\tO' -p371845 -aS'the\tthe\tDT\tB-NP\tO' -p371846 -aS'Neurologic\tNeurologic\tNNP\tI-NP\tO' -p371847 -aS'Intensive\tIntensive\tNNP\tI-NP\tO' -p371848 -aS'Care\tCare\tNNP\tI-NP\tO' -p371849 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p371850 -aS'service\tservice\tNN\tI-NP\tO' -p371851 -aS'after\tafter\tIN\tB-PP\tO' -p371852 -aS'collapsing\tcollapse\tVBG\tB-VP\tO' -p371853 -aS'at\tat\tIN\tB-PP\tO' -p371854 -aS'home\thome\tNN\tB-NP\tO' -p371855 -aS'at\tat\tIN\tB-PP\tO' -p371856 -aS'8:30\t8:30\tCD\tB-NP\tO' -p371857 -aS'p.m\tp.m\tRB\tI-NP\tO' -p371858 -aS'.\t.\t.\tO\tO' -p371859 -asS'He should follow up with Dr. Dushaj in four weeks .' -p371860 -(lp371861 -S'He\tHe\tPRP\tB-NP\tO' -p371862 -aS'should\tshould\tMD\tB-VP\tO' -p371863 -aS'follow\tfollow\tVB\tI-VP\tO' -p371864 -aS'up\tup\tRP\tB-PRT\tO' -p371865 -aS'with\twith\tIN\tB-PP\tO' -p371866 -aS'Dr.\tDr.\tNNP\tB-NP\tO' -p371867 -aS'Dushaj\tDushaj\tNNP\tI-NP\tO' -p371868 -aS'in\tin\tIN\tB-PP\tO' -p371869 -aS'four\tfour\tCD\tB-NP\tO' -p371870 -aS'weeks\tweek\tNNS\tI-NP\tO' -p371871 -aS'.\t.\t.\tO\tO' -p371872 -asS'While in the Intensive Care Unit , his strength deteriorated from being able to hold his left leg off the bed up to several inches to loosing virtually all distal extremity strength , and having a 2-3/5 power in his proximal left leg groups .' -p371873 -(lp371874 -S'While\tWhile\tIN\tB-SBAR\tO' -p371875 -aS'in\tin\tIN\tB-PP\tO' -p371876 -aS'the\tthe\tDT\tB-NP\tO' -p371877 -aS'Intensive\tIntensive\tJJ\tI-NP\tO' -p371878 -aS'Care\tCare\tNNP\tI-NP\tO' -p371879 -aS'Unit\tUnit\tNNP\tI-NP\tO' -p371880 -aS',\t,\t,\tO\tO' -p371881 -aS'his\this\tPRP$\tB-NP\tO' -p371882 -aS'strength\tstrength\tNN\tI-NP\tO' -p371883 -aS'deteriorated\tdeteriorate\tVBN\tB-VP\tO' -p371884 -aS'from\tfrom\tIN\tB-PP\tO' -p371885 -aS'being\tbe\tVBG\tB-VP\tO' -p371886 -aS'able\table\tJJ\tB-ADJP\tO' -p371887 -aS'to\tto\tTO\tB-VP\tO' -p371888 -aS'hold\thold\tVB\tI-VP\tO' -p371889 -aS'his\this\tPRP$\tB-NP\tO' -p371890 -aS'left\tleft\tJJ\tI-NP\tO' -p371891 -aS'leg\tleg\tNN\tI-NP\tO' -p371892 -aS'off\toff\tIN\tB-PP\tO' -p371893 -aS'the\tthe\tDT\tB-NP\tO' -p371894 -aS'bed\tbed\tNN\tI-NP\tO' -p371895 -aS'up\tup\tIN\tB-PP\tO' -p371896 -aS'to\tto\tTO\tB-PP\tO' -p371897 -aS'several\tseveral\tJJ\tB-NP\tO' -p371898 -aS'inches\tinch\tNNS\tI-NP\tO' -p371899 -aS'to\tto\tTO\tB-PP\tO' -p371900 -aS'loosing\tloose\tVBG\tB-VP\tO' -p371901 -aS'virtually\tvirtually\tRB\tB-NP\tO' -p371902 -aS'all\tall\tDT\tI-NP\tO' -p371903 -aS'distal\tdistal\tJJ\tI-NP\tO' -p371904 -aS'extremity\textremity\tNN\tI-NP\tO' -p371905 -aS'strength\tstrength\tNN\tI-NP\tO' -p371906 -aS',\t,\t,\tO\tO' -p371907 -aS'and\tand\tCC\tO\tO' -p371908 -aS'having\thave\tVBG\tB-VP\tO' -p371909 -aS'a\ta\tDT\tB-NP\tO' -p371910 -aS'2-3/5\t2-3/5\tCD\tI-NP\tO' -p371911 -aS'power\tpower\tNN\tI-NP\tO' -p371912 -aS'in\tin\tIN\tB-PP\tO' -p371913 -aS'his\this\tPRP$\tB-NP\tO' -p371914 -aS'proximal\tproximal\tJJ\tI-NP\tO' -p371915 -aS'left\tleft\tJJ\tI-NP\tO' -p371916 -aS'leg\tleg\tNN\tI-NP\tO' -p371917 -aS'groups\tgroup\tNNS\tI-NP\tO' -p371918 -aS'.\t.\t.\tO\tO' -p371919 -asS'Extremities - No calf tenderness , no edema .' -p371920 -(lp371921 -S'Extremities\tExtremity\tNNS\tB-NP\tO' -p371922 -aS'-\t-\tHYPH\tB-NP\tO' -p371923 -aS'No\tNo\tNN\tI-NP\tO' -p371924 -aS'calf\tcalf\tNN\tI-NP\tO' -p371925 -aS'tenderness\ttenderness\tNN\tI-NP\tO' -p371926 -aS',\t,\t,\tO\tO' -p371927 -aS'no\tno\tDT\tB-NP\tO' -p371928 -aS'edema\tedema\tNN\tI-NP\tO' -p371929 -aS'.\t.\t.\tO\tO' -p371930 -asS'The patient is a 63 year old woman with a history of mixed adenocarcinoma and large cell carcinoma of the left upper lobe of the lung who is being admitted for Neoadjuvant chemotherapy with Cisplatinum , 5-FU and Velban .' -p371931 -(lp371932 -S'The\tThe\tDT\tB-NP\tO' -p371933 -aS'patient\tpatient\tNN\tI-NP\tO' -p371934 -aS'is\tbe\tVBZ\tB-VP\tO' -p371935 -aS'a\ta\tDT\tB-NP\tO' -p371936 -aS'63\t63\tCD\tI-NP\tO' -p371937 -aS'year\tyear\tNN\tI-NP\tO' -p371938 -aS'old\told\tJJ\tI-NP\tO' -p371939 -aS'woman\twoman\tNN\tI-NP\tO' -p371940 -aS'with\twith\tIN\tB-PP\tO' -p371941 -aS'a\ta\tDT\tB-NP\tO' -p371942 -aS'history\thistory\tNN\tI-NP\tO' -p371943 -aS'of\tof\tIN\tB-PP\tO' -p371944 -aS'mixed\tmixed\tJJ\tB-NP\tO' -p371945 -aS'adenocarcinoma\tadenocarcinoma\tNN\tI-NP\tO' -p371946 -aS'and\tand\tCC\tO\tO' -p371947 -aS'large\tlarge\tJJ\tB-NP\tO' -p371948 -aS'cell\tcell\tNN\tI-NP\tO' -p371949 -aS'carcinoma\tcarcinoma\tNN\tI-NP\tO' -p371950 -aS'of\tof\tIN\tB-PP\tO' -p371951 -aS'the\tthe\tDT\tB-NP\tO' -p371952 -aS'left\tleft\tJJ\tI-NP\tO' -p371953 -aS'upper\tupper\tJJ\tI-NP\tO' -p371954 -aS'lobe\tlobe\tNN\tI-NP\tO' -p371955 -aS'of\tof\tIN\tB-PP\tO' -p371956 -aS'the\tthe\tDT\tB-NP\tO' -p371957 -aS'lung\tlung\tNN\tI-NP\tO' -p371958 -aS'who\twho\tWP\tB-NP\tO' -p371959 -aS'is\tbe\tVBZ\tB-VP\tO' -p371960 -aS'being\tbe\tVBG\tI-VP\tO' -p371961 -aS'admitted\tadmit\tVBN\tI-VP\tO' -p371962 -aS'for\tfor\tIN\tB-PP\tO' -p371963 -aS'Neoadjuvant\tNeoadjuvant\tJJ\tB-NP\tO' -p371964 -aS'chemotherapy\tchemotherapy\tNN\tI-NP\tO' -p371965 -aS'with\twith\tIN\tB-PP\tO' -p371966 -aS'Cisplatinum\tCisplatinum\tNN\tB-NP\tO' -p371967 -aS',\t,\t,\tI-NP\tO' -p371968 -aS'5-FU\t5-FU\tNN\tI-NP\tO' -p371969 -aS'and\tand\tCC\tI-NP\tO' -p371970 -aS'Velban\tVelban\tNN\tI-NP\tO' -p371971 -aS'.\t.\t.\tO\tO' -p371972 -asS'While using mannitol , his serum osmolalities were followed closely .' -p371973 -(lp371974 -S'While\tWhile\tIN\tB-SBAR\tO' -p371975 -aS'using\tuse\tVBG\tB-VP\tO' -p371976 -aS'mannitol\tmannitol\tNN\tB-NP\tO' -p371977 -aS',\t,\t,\tO\tO' -p371978 -aS'his\this\tPRP$\tB-NP\tO' -p371979 -aS'serum\tserum\tNN\tI-NP\tO' -p371980 -aS'osmolalities\tosmolality\tNNS\tI-NP\tO' -p371981 -aS'were\tbe\tVBD\tB-VP\tO' -p371982 -aS'followed\tfollow\tVBN\tI-VP\tO' -p371983 -aS'closely\tclosely\tRB\tB-ADVP\tO' -p371984 -aS'.\t.\t.\tO\tO' -p371985 -asS'Pulses 2+ bilaterally throughout .' -p371986 -(lp371987 -S'Pulses\tPulse\tNNS\tB-NP\tO' -p371988 -aS'2+\t2+\tJJ\tB-ADJP\tO' -p371989 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p371990 -aS'throughout\tthroughout\tRB\tI-ADVP\tO' -p371991 -aS'.\t.\t.\tO\tO' -p371992 -asS'4. Neurontin 300 mg three times a day .' -p371993 -(lp371994 -S'4.\t4.\tLS\tB-NP\tO' -p371995 -aS'Neurontin\tNeurontin\tNN\tI-NP\tO' -p371996 -aS'300\t300\tCD\tB-NP\tO' -p371997 -aS'mg\tmg\tNN\tI-NP\tO' -p371998 -aS'three\tthree\tCD\tB-NP\tO' -p371999 -aS'times\ttime\tNNS\tI-NP\tO' -p372000 -aS'a\ta\tDT\tB-NP\tO' -p372001 -aS'day\tday\tNN\tI-NP\tO' -p372002 -aS'.\t.\t.\tO\tO' -p372003 -asS'8. Metoprolol Tartrate 25 mg Tablet Sig : 0.5 Tablet PO TID ( 3 times a day ) : Hold for SBP < 100 , HR < 60 .' -p372004 -(lp372005 -S'8.\t8.\tCD\tB-NP\tO' -p372006 -aS'Metoprolol\tMetoprolol\tNNP\tI-NP\tO' -p372007 -aS'Tartrate\tTartrate\tNNP\tI-NP\tO' -p372008 -aS'25\t25\tCD\tI-NP\tO' -p372009 -aS'mg\tmg\tNN\tI-NP\tO' -p372010 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p372011 -aS'Sig\tSig\tNNP\tI-NP\tO' -p372012 -aS':\t:\t:\tO\tO' -p372013 -aS'0.5\t0.5\tCD\tB-NP\tO' -p372014 -aS'Tablet\tTablet\tNN\tI-NP\tO' -p372015 -aS'PO\tPO\tNN\tI-NP\tO' -p372016 -aS'TID\tTID\tNN\tI-NP\tO' -p372017 -aS'(\t(\t(\tO\tO' -p372018 -aS'3\t3\tCD\tB-NP\tO' -p372019 -aS'times\ttime\tNNS\tI-NP\tO' -p372020 -aS'a\ta\tDT\tB-NP\tO' -p372021 -aS'day\tday\tNN\tI-NP\tO' -p372022 -aS')\t)\t)\tO\tO' -p372023 -aS':\t:\t:\tO\tO' -p372024 -aS'Hold\tHold\tNN\tB-NP\tO' -p372025 -aS'for\tfor\tIN\tB-PP\tO' -p372026 -aS'SBP\tSBP\tNN\tB-NP\tB-protein' -p372027 -aS'<\t<\tSYM\tO\tO' -p372028 -aS'100\t100\tCD\tB-NP\tO' -p372029 -aS',\t,\t,\tO\tO' -p372030 -aS'HR\tHR\tNN\tB-NP\tB-protein' -p372031 -aS'<\t<\tSYM\tB-NP\tI-protein' -p372032 -aS'60\t60\tCD\tI-NP\tI-protein' -p372033 -aS'.\t.\t.\tO\tO' -p372034 -asS'Chest x-ray was remarkable for a questionable left lower lobe infiltrate .' -p372035 -(lp372036 -S'Chest\tCh\tJJS\tB-NP\tO' -p372037 -aS'x-ray\tx-ray\tNN\tI-NP\tB-DNA' -p372038 -aS'was\tbe\tVBD\tB-VP\tO' -p372039 -aS'remarkable\tremarkable\tJJ\tB-ADJP\tO' -p372040 -aS'for\tfor\tIN\tB-PP\tO' -p372041 -aS'a\ta\tDT\tB-NP\tO' -p372042 -aS'questionable\tquestionable\tJJ\tI-NP\tO' -p372043 -aS'left\tleave\tVBD\tB-VP\tO' -p372044 -aS'lower\tlow\tJJR\tB-NP\tO' -p372045 -aS'lobe\tlobe\tNN\tI-NP\tO' -p372046 -aS'infiltrate\tinfiltrate\tNN\tI-NP\tO' -p372047 -aS'.\t.\t.\tO\tO' -p372048 -asS'The physical therapy service was consulted for assistance with his postoperative strength and mobility .' -p372049 -(lp372050 -S'The\tThe\tDT\tB-NP\tO' -p372051 -aS'physical\tphysical\tJJ\tI-NP\tO' -p372052 -aS'therapy\ttherapy\tNN\tI-NP\tO' -p372053 -aS'service\tservice\tNN\tI-NP\tO' -p372054 -aS'was\tbe\tVBD\tB-VP\tO' -p372055 -aS'consulted\tconsult\tVBN\tI-VP\tO' -p372056 -aS'for\tfor\tIN\tB-PP\tO' -p372057 -aS'assistance\tassistance\tNN\tB-NP\tO' -p372058 -aS'with\twith\tIN\tB-PP\tO' -p372059 -aS'his\this\tPRP$\tB-NP\tO' -p372060 -aS'postoperative\tpostoperative\tJJ\tI-NP\tO' -p372061 -aS'strength\tstrength\tNN\tI-NP\tO' -p372062 -aS'and\tand\tCC\tI-NP\tO' -p372063 -aS'mobility\tmobility\tNN\tI-NP\tO' -p372064 -aS'.\t.\t.\tO\tO' -p372065 -asS'In consultation with Infectious Disease , it was agreed to discharge the patient on Augmentin for coverage .' -p372066 -(lp372067 -S'In\tIn\tIN\tB-PP\tO' -p372068 -aS'consultation\tconsultation\tNN\tB-NP\tO' -p372069 -aS'with\twith\tIN\tB-PP\tO' -p372070 -aS'Infectious\tInfectious\tJJ\tB-NP\tO' -p372071 -aS'Disease\tDisease\tNN\tI-NP\tO' -p372072 -aS',\t,\t,\tO\tO' -p372073 -aS'it\tit\tPRP\tB-NP\tO' -p372074 -aS'was\tbe\tVBD\tB-VP\tO' -p372075 -aS'agreed\tagree\tVBN\tI-VP\tO' -p372076 -aS'to\tto\tTO\tI-VP\tO' -p372077 -aS'discharge\tdischarge\tVB\tI-VP\tO' -p372078 -aS'the\tthe\tDT\tB-NP\tO' -p372079 -aS'patient\tpatient\tNN\tI-NP\tO' -p372080 -aS'on\ton\tIN\tB-PP\tO' -p372081 -aS'Augmentin\tAugmentin\tNN\tB-NP\tO' -p372082 -aS'for\tfor\tIN\tB-PP\tO' -p372083 -aS'coverage\tcoverage\tNN\tB-NP\tO' -p372084 -aS'.\t.\t.\tO\tO' -p372085 -asS'Femoral 2 + bilaterally , dorsalis pedis 1 + bilaterally , posterior tibial 1 + bilaterally , and radial 2 + bilaterally .' -p372086 -(lp372087 -S'Femoral\tFemoral\tJJ\tB-NP\tO' -p372088 -aS'2\t2\tCD\tI-NP\tO' -p372089 -aS'+\t+\tSYM\tB-VP\tO' -p372090 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p372091 -aS',\t,\t,\tO\tO' -p372092 -aS'dorsalis\tdorsalis\tNN\tB-NP\tB-protein' -p372093 -aS'pedis\tpedis\tNN\tI-NP\tI-protein' -p372094 -aS'1\t1\tCD\tI-NP\tI-protein' -p372095 -aS'+\t+\tSYM\tB-VP\tO' -p372096 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p372097 -aS',\t,\t,\tO\tO' -p372098 -aS'posterior\tposterior\tJJ\tB-NP\tO' -p372099 -aS'tibial\ttibial\tNN\tI-NP\tO' -p372100 -aS'1\t1\tCD\tI-NP\tO' -p372101 -aS'+\t+\tSYM\tB-VP\tO' -p372102 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p372103 -aS',\t,\t,\tO\tO' -p372104 -aS'and\tand\tCC\tO\tO' -p372105 -aS'radial\tradial\tNN\tB-NP\tB-protein' -p372106 -aS'2\t2\tCD\tI-NP\tI-protein' -p372107 -aS'+\t+\tSYM\tB-VP\tO' -p372108 -aS'bilaterally\tbilaterally\tRB\tB-ADVP\tO' -p372109 -aS'.\t.\t.\tO\tO' -p372110 -asS'Levoxyl 150 mcg 1 1 time per day' -p372111 -(lp372112 -S'Levoxyl\tLevoxyl\tNN\tB-NP\tO' -p372113 -aS'150\t150\tCD\tI-NP\tO' -p372114 -aS'mcg\tmcg\tNN\tI-NP\tO' -p372115 -aS'1\t1\tCD\tB-NP\tO' -p372116 -aS'1\t1\tCD\tI-NP\tO' -p372117 -aS'time\ttime\tNN\tI-NP\tO' -p372118 -aS'per\tper\tIN\tB-PP\tO' -p372119 -aS'day\tday\tNN\tB-NP\tO' -p372120 -asS'Ceftriaxone and azithro were discontinued , and Vacomycin was continued .' -p372121 -(lp372122 -S'Ceftriaxone\tCeftriaxone\tNN\tB-NP\tO' -p372123 -aS'and\tand\tCC\tI-NP\tO' -p372124 -aS'azithro\tazithro\tNN\tI-NP\tO' -p372125 -aS'were\tbe\tVBD\tB-VP\tO' -p372126 -aS'discontinued\tdiscontinue\tVBN\tI-VP\tO' -p372127 -aS',\t,\t,\tO\tO' -p372128 -aS'and\tand\tCC\tO\tO' -p372129 -aS'Vacomycin\tVacomycin\tNN\tB-NP\tO' -p372130 -aS'was\tbe\tVBD\tB-VP\tO' -p372131 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p372132 -aS'.\t.\t.\tO\tO' -p372133 -asS'Please see written medical record for complete report .' -p372134 -(lp372135 -S'Please\tPlease\tVB\tB-VP\tO' -p372136 -aS'see\tsee\tVB\tI-VP\tO' -p372137 -aS'written\twrite\tVBN\tI-VP\tO' -p372138 -aS'medical\tmedical\tJJ\tB-NP\tO' -p372139 -aS'record\trecord\tNN\tI-NP\tO' -p372140 -aS'for\tfor\tIN\tB-PP\tO' -p372141 -aS'complete\tcomplete\tJJ\tB-NP\tO' -p372142 -aS'report\treport\tNN\tI-NP\tO' -p372143 -aS'.\t.\t.\tO\tO' -p372144 -asS'Patient has injuries to her shoulder and hip .' -p372145 -(lp372146 -S'Patient\tPatient\tNN\tB-NP\tO' -p372147 -aS'has\thave\tVBZ\tB-VP\tO' -p372148 -aS'injuries\tinjury\tNNS\tB-NP\tO' -p372149 -aS'to\tto\tTO\tB-PP\tO' -p372150 -aS'her\ther\tPRP$\tB-NP\tO' -p372151 -aS'shoulder\tshoulder\tNN\tI-NP\tO' -p372152 -aS'and\tand\tCC\tI-NP\tO' -p372153 -aS'hip\thip\tNN\tI-NP\tO' -p372154 -aS'.\t.\t.\tO\tO' -p372155 -asS'In the setting of her ongoing pericardial effusion , she was transferred for closer observation to the CCU .' -p372156 -(lp372157 -S'In\tIn\tIN\tB-PP\tO' -p372158 -aS'the\tthe\tDT\tB-NP\tO' -p372159 -aS'setting\tsetting\tNN\tI-NP\tO' -p372160 -aS'of\tof\tIN\tB-PP\tO' -p372161 -aS'her\ther\tPRP$\tB-NP\tO' -p372162 -aS'ongoing\tongoing\tJJ\tI-NP\tO' -p372163 -aS'pericardial\tpericardial\tJJ\tI-NP\tO' -p372164 -aS'effusion\teffusion\tNN\tI-NP\tO' -p372165 -aS',\t,\t,\tO\tO' -p372166 -aS'she\tshe\tPRP\tB-NP\tO' -p372167 -aS'was\tbe\tVBD\tB-VP\tO' -p372168 -aS'transferred\ttransfer\tVBN\tI-VP\tO' -p372169 -aS'for\tfor\tIN\tB-PP\tO' -p372170 -aS'closer\tclose\tJJR\tB-NP\tO' -p372171 -aS'observation\tobservation\tNN\tI-NP\tO' -p372172 -aS'to\tto\tTO\tB-PP\tO' -p372173 -aS'the\tthe\tDT\tB-NP\tO' -p372174 -aS'CCU\tCCU\tNN\tI-NP\tB-DNA' -p372175 -aS'.\t.\t.\tO\tO' -p372176 -asS'11 ) Epogen q. two weeks .' -p372177 -(lp372178 -S'11\t11\tCD\tB-NP\tO' -p372179 -aS')\t)\t)\tO\tO' -p372180 -aS'Epogen\tEpogen\tNN\tB-NP\tO' -p372181 -aS'q.\tq.\tNN\tI-NP\tO' -p372182 -aS'two\ttwo\tCD\tB-NP\tO' -p372183 -aS'weeks\tweek\tNNS\tI-NP\tO' -p372184 -aS'.\t.\t.\tO\tO' -p372185 -asS'The patient is retired , lives with his wife and one son , who is 47 years old and had multiple myeloma and renal failure .' -p372186 -(lp372187 -S'The\tThe\tDT\tB-NP\tO' -p372188 -aS'patient\tpatient\tNN\tI-NP\tO' -p372189 -aS'is\tbe\tVBZ\tB-VP\tO' -p372190 -aS'retired\tretire\tVBN\tI-VP\tO' -p372191 -aS',\t,\t,\tO\tO' -p372192 -aS'lives\tlive\tVBZ\tB-VP\tO' -p372193 -aS'with\twith\tIN\tB-PP\tO' -p372194 -aS'his\this\tPRP$\tB-NP\tO' -p372195 -aS'wife\twife\tNN\tI-NP\tO' -p372196 -aS'and\tand\tCC\tO\tO' -p372197 -aS'one\tone\tCD\tB-NP\tO' -p372198 -aS'son\tson\tNN\tI-NP\tO' -p372199 -aS',\t,\t,\tO\tO' -p372200 -aS'who\twho\tWP\tB-NP\tO' -p372201 -aS'is\tbe\tVBZ\tB-VP\tO' -p372202 -aS'47\t47\tCD\tB-NP\tO' -p372203 -aS'years\tyear\tNNS\tI-NP\tO' -p372204 -aS'old\told\tJJ\tB-ADJP\tO' -p372205 -aS'and\tand\tCC\tO\tO' -p372206 -aS'had\thave\tVBD\tB-VP\tO' -p372207 -aS'multiple\tmultiple\tJJ\tB-NP\tO' -p372208 -aS'myeloma\tmyeloma\tNN\tI-NP\tO' -p372209 -aS'and\tand\tCC\tO\tO' -p372210 -aS'renal\trenal\tJJ\tB-NP\tO' -p372211 -aS'failure\tfailure\tNN\tI-NP\tO' -p372212 -aS'.\t.\t.\tO\tO' -p372213 -asS'Neuro A&Ox3 MAE , non focal exam' -p372214 -(lp372215 -S'Neuro\tNeuro\tNN\tB-NP\tO' -p372216 -aS'A&Ox3\tA&Ox3\tNN\tI-NP\tO' -p372217 -aS'MAE\tMAE\tNN\tI-NP\tO' -p372218 -aS',\t,\t,\tO\tO' -p372219 -aS'non\tnon\tJJ\tB-NP\tO' -p372220 -aS'focal\tfocal\tJJ\tI-NP\tO' -p372221 -aS'exam\texam\tNN\tI-NP\tO' -p372222 -asS'Primary doctor - Dr Shirley , James M. 444-1034 - please see your doctor Mary Powell 2018-08-10 for a blood test ( cbc ) .' -p372223 -(lp372224 -S'Primary\tPrimary\tJJ\tB-NP\tO' -p372225 -aS'doctor\tdoctor\tNN\tI-NP\tO' -p372226 -aS'-\t-\tHYPH\tO\tO' -p372227 -aS'Dr\tDr\tNNP\tB-NP\tO' -p372228 -aS'Shirley\tShirley\tNNP\tI-NP\tO' -p372229 -aS',\t,\t,\tO\tO' -p372230 -aS'James\tJames\tNNP\tB-NP\tO' -p372231 -aS'M.\tM.\tNNP\tI-NP\tO' -p372232 -aS'444-1034\t444-1034\tCD\tI-NP\tO' -p372233 -aS'-\t-\tHYPH\tI-NP\tO' -p372234 -aS'please\tplease\tNN\tI-NP\tO' -p372235 -aS'see\tsee\tVB\tB-VP\tO' -p372236 -aS'your\tyour\tPRP$\tB-NP\tO' -p372237 -aS'doctor\tdoctor\tNN\tI-NP\tO' -p372238 -aS'Mary\tMary\tNNP\tI-NP\tO' -p372239 -aS'Powell\tPowell\tNNP\tI-NP\tO' -p372240 -aS'2018-08-10\t2018-08-10\tCD\tI-NP\tO' -p372241 -aS'for\tfor\tIN\tB-PP\tO' -p372242 -aS'a\ta\tDT\tB-NP\tO' -p372243 -aS'blood\tblood\tNN\tI-NP\tO' -p372244 -aS'test\ttest\tNN\tI-NP\tO' -p372245 -aS'(\t(\t(\tO\tO' -p372246 -aS'cbc\tcbc\tNN\tB-NP\tO' -p372247 -aS')\t)\t)\tO\tO' -p372248 -aS'.\t.\t.\tO\tO' -p372249 -asS'Nonspecific ST segment and T wave abnormalities are present as well .' -p372250 -(lp372251 -S'Nonspecific\tNonspecific\tJJ\tB-NP\tO' -p372252 -aS'ST\tST\tNN\tI-NP\tO' -p372253 -aS'segment\tsegment\tNN\tI-NP\tO' -p372254 -aS'and\tand\tCC\tI-NP\tO' -p372255 -aS'T\tT\tNN\tI-NP\tO' -p372256 -aS'wave\twave\tNN\tI-NP\tO' -p372257 -aS'abnormalities\tabnormality\tNNS\tI-NP\tO' -p372258 -aS'are\tbe\tVBP\tB-VP\tO' -p372259 -aS'present\tpresent\tJJ\tB-ADJP\tO' -p372260 -aS'as\tas\tRB\tB-ADVP\tO' -p372261 -aS'well\twell\tRB\tI-ADVP\tO' -p372262 -aS'.\t.\t.\tO\tO' -p372263 -asS'The patient was continued on aspirin , Plavix , and statin .' -p372264 -(lp372265 -S'The\tThe\tDT\tB-NP\tO' -p372266 -aS'patient\tpatient\tNN\tI-NP\tO' -p372267 -aS'was\tbe\tVBD\tB-VP\tO' -p372268 -aS'continued\tcontinue\tVBN\tI-VP\tO' -p372269 -aS'on\ton\tIN\tB-PP\tO' -p372270 -aS'aspirin\taspirin\tNN\tB-NP\tO' -p372271 -aS',\t,\t,\tO\tO' -p372272 -aS'Plavix\tPlavix\tNN\tB-NP\tO' -p372273 -aS',\t,\t,\tO\tO' -p372274 -aS'and\tand\tCC\tO\tO' -p372275 -aS'statin\tstatin\tNN\tB-NP\tO' -p372276 -aS'.\t.\t.\tO\tO' -p372277 -asS'She denies any fevers or chills .' -p372278 -(lp372279 -S'She\tShe\tPRP\tB-NP\tO' -p372280 -aS'denies\tdeny\tVBZ\tB-VP\tO' -p372281 -aS'any\tany\tDT\tB-NP\tO' -p372282 -aS'fevers\tfever\tNNS\tI-NP\tO' -p372283 -aS'or\tor\tCC\tI-NP\tO' -p372284 -aS'chills\tchill\tNNS\tI-NP\tO' -p372285 -aS'.\t.\t.\tO\tO' -p372286 -asS'In addition , he had chest PT performed at very regular intervals by the ICU staff .' -p372287 -(lp372288 -S'In\tIn\tIN\tB-PP\tO' -p372289 -aS'addition\taddition\tNN\tB-NP\tO' -p372290 -aS',\t,\t,\tO\tO' -p372291 -aS'he\the\tPRP\tB-NP\tO' -p372292 -aS'had\thave\tVBD\tB-VP\tO' -p372293 -aS'chest\tchest\tNN\tB-NP\tO' -p372294 -aS'PT\tPT\tNN\tI-NP\tO' -p372295 -aS'performed\tperform\tVBN\tB-VP\tO' -p372296 -aS'at\tat\tIN\tB-PP\tO' -p372297 -aS'very\tvery\tRB\tB-NP\tO' -p372298 -aS'regular\tregular\tJJ\tI-NP\tO' -p372299 -aS'intervals\tinterval\tNNS\tI-NP\tO' -p372300 -aS'by\tby\tIN\tB-PP\tO' -p372301 -aS'the\tthe\tDT\tB-NP\tO' -p372302 -aS'ICU\tICU\tNN\tI-NP\tB-protein' -p372303 -aS'staff\tstaff\tNN\tI-NP\tI-protein' -p372304 -aS'.\t.\t.\tO\tO' -p372305 -asS'respiratory distress , hemoptysis transferred from OSH' -p372306 -(lp372307 -S'respiratory\trespiratory\tJJ\tB-NP\tO' -p372308 -aS'distress\tdistress\tNN\tI-NP\tO' -p372309 -aS',\t,\t,\tO\tO' -p372310 -aS'hemoptysis\themoptysis\tNN\tB-NP\tO' -p372311 -aS'transferred\ttransfer\tVBN\tB-VP\tO' -p372312 -aS'from\tfrom\tIN\tB-PP\tO' -p372313 -aS'OSH\tOSH\tNN\tB-NP\tO' -p372314 -asS'Chest CT was a poor study but did not show a pulmonary embolus .' -p372315 -(lp372316 -S'Chest\tCh\tJJS\tB-NP\tO' -p372317 -aS'CT\tCT\tNN\tI-NP\tB-protein' -p372318 -aS'was\tbe\tVBD\tB-VP\tO' -p372319 -aS'a\ta\tDT\tB-NP\tO' -p372320 -aS'poor\tpoor\tJJ\tI-NP\tO' -p372321 -aS'study\tstudy\tNN\tI-NP\tO' -p372322 -aS'but\tbut\tCC\tO\tO' -p372323 -aS'did\tdo\tVBD\tB-VP\tO' -p372324 -aS'not\tnot\tRB\tI-VP\tO' -p372325 -aS'show\tshow\tVB\tI-VP\tO' -p372326 -aS'a\ta\tDT\tB-NP\tO' -p372327 -aS'pulmonary\tpulmonary\tJJ\tI-NP\tO' -p372328 -aS'embolus\tembolus\tNN\tI-NP\tO' -p372329 -aS'.\t.\t.\tO\tO' -p372330 -asS'12. Potassium Chloride 10 mEq Capsule , Sustained Release Sig : One ( 1 ) Capsule , Sustained Release PO DAILY ( Daily ) for 2 weeks .' -p372331 -(lp372332 -S'12.\t12.\tLS\tB-NP\tO' -p372333 -aS'Potassium\tPotassium\tNNP\tI-NP\tO' -p372334 -aS'Chloride\tChloride\tNNP\tI-NP\tO' -p372335 -aS'10\t10\tCD\tI-NP\tO' -p372336 -aS'mEq\tmEq\tNN\tI-NP\tO' -p372337 -aS'Capsule\tCapsule\tNNP\tI-NP\tO' -p372338 -aS',\t,\t,\tO\tO' -p372339 -aS'Sustained\tSustained\tNNP\tB-NP\tO' -p372340 -aS'Release\tRelease\tNNP\tI-NP\tO' -p372341 -aS'Sig\tSig\tNNP\tI-NP\tB-protein' -p372342 -aS':\t:\t:\tO\tO' -p372343 -aS'One\tOne\tCD\tB-NP\tO' -p372344 -aS'(\t(\t(\tO\tO' -p372345 -aS'1\t1\tCD\tB-NP\tO' -p372346 -aS')\t)\t)\tO\tO' -p372347 -aS'Capsule\tCapsule\tNNP\tB-NP\tO' -p372348 -aS',\t,\t,\tO\tO' -p372349 -aS'Sustained\tSustained\tNNP\tB-NP\tO' -p372350 -aS'Release\tRelease\tNNP\tI-NP\tO' -p372351 -aS'PO\tPO\tNNP\tI-NP\tO' -p372352 -aS'DAILY\tDAILY\tNNP\tI-NP\tO' -p372353 -aS'(\t(\t(\tO\tO' -p372354 -aS'Daily\tDaily\tNNP\tB-NP\tO' -p372355 -aS')\t)\t)\tO\tO' -p372356 -aS'for\tfor\tIN\tB-PP\tO' -p372357 -aS'2\t2\tCD\tB-NP\tO' -p372358 -aS'weeks\tweek\tNNS\tI-NP\tO' -p372359 -aS'.\t.\t.\tO\tO' -p372360 -asS'4. Atenolol 25 mg p.o. q. day .' -p372361 -(lp372362 -S'4.\t4.\tLS\tB-NP\tO' -p372363 -aS'Atenolol\tAtenolol\tNN\tI-NP\tO' -p372364 -aS'25\t25\tCD\tI-NP\tO' -p372365 -aS'mg\tmg\tNN\tI-NP\tO' -p372366 -aS'p.o.\tp.o.\tFW\tI-NP\tO' -p372367 -aS'q.\tq.\tNN\tI-NP\tO' -p372368 -aS'day\tday\tNN\tI-NP\tO' -p372369 -aS'.\t.\t.\tO\tO' -p372370 -asS'Dictated By : William MP Lajoie , M.D.' -p372371 -(lp372372 -S'Dictated\tDictate\tVBN\tB-VP\tO' -p372373 -aS'By\tBy\tIN\tB-PP\tO' -p372374 -aS':\t:\t:\tO\tO' -p372375 -aS'William\tWilliam\tNNP\tB-NP\tO' -p372376 -aS'MP\tMP\tNN\tI-NP\tO' -p372377 -aS'Lajoie\tLajoie\tNNP\tI-NP\tO' -p372378 -aS',\t,\t,\tO\tO' -p372379 -aS'M.D.\tM.D.\tNNP\tB-NP\tO' -p372380 -asS'Endocrine .' -p372381 -(lp372382 -S'Endocrine\tEndocrine\tJJ\tB-ADJP\tO' -p372383 -aS'.\t.\t.\tO\tO' -p372384 -asS'There is akinesis / dyskinesis and thinning of the mid to distal inferior septum and the apex .' -p372385 -(lp372386 -S'There\tThere\tEX\tB-NP\tO' -p372387 -aS'is\tbe\tVBZ\tB-VP\tO' -p372388 -aS'akinesis\takinesis\tNN\tB-NP\tO' -p372389 -aS'/\t/\tSYM\tI-NP\tO' -p372390 -aS'dyskinesis\tdyskinesis\tNN\tI-NP\tO' -p372391 -aS'and\tand\tCC\tI-NP\tO' -p372392 -aS'thinning\tthinning\tNN\tI-NP\tO' -p372393 -aS'of\tof\tIN\tB-PP\tO' -p372394 -aS'the\tthe\tDT\tB-NP\tO' -p372395 -aS'mid\tmid\tNN\tI-NP\tO' -p372396 -aS'to\tto\tTO\tB-PP\tO' -p372397 -aS'distal\tdistal\tJJ\tB-NP\tO' -p372398 -aS'inferior\tinferior\tJJ\tI-NP\tO' -p372399 -aS'septum\tseptum\tNN\tI-NP\tO' -p372400 -aS'and\tand\tCC\tO\tO' -p372401 -aS'the\tthe\tDT\tB-NP\tO' -p372402 -aS'apex\tapex\tNN\tI-NP\tO' -p372403 -aS'.\t.\t.\tO\tO' -p372404 -asS'HEENT - normocephalic / atraumatic , extraocular movements are intact , pupils equal , round and reactive to light and accommodation .' -p372405 -(lp372406 -S'HEENT\tHEENT\tNN\tB-NP\tB-protein' -p372407 -aS'-\t-\tHYPH\tB-NP\tO' -p372408 -aS'normocephalic\tnormocephalic\tJJ\tI-NP\tO' -p372409 -aS'/\t/\tSYM\tI-NP\tO' -p372410 -aS'atraumatic\tatraumatic\tJJ\tI-NP\tO' -p372411 -aS',\t,\t,\tI-NP\tO' -p372412 -aS'extraocular\textraocular\tJJ\tI-NP\tO' -p372413 -aS'movements\tmovement\tNNS\tI-NP\tO' -p372414 -aS'are\tbe\tVBP\tB-VP\tO' -p372415 -aS'intact\tintact\tJJ\tB-ADJP\tO' -p372416 -aS',\t,\t,\tO\tO' -p372417 -aS'pupils\tpupil\tNNS\tB-NP\tO' -p372418 -aS'equal\tequal\tJJ\tB-NP\tO' -p372419 -aS',\t,\t,\tI-NP\tO' -p372420 -aS'round\tround\tJJ\tI-NP\tO' -p372421 -aS'and\tand\tCC\tI-NP\tO' -p372422 -aS'reactive\treactive\tJJ\tI-NP\tO' -p372423 -aS'to\tto\tTO\tB-PP\tO' -p372424 -aS'light\tlight\tNN\tB-NP\tO' -p372425 -aS'and\tand\tCC\tI-NP\tO' -p372426 -aS'accommodation\taccommodation\tNN\tI-NP\tO' -p372427 -aS'.\t.\t.\tO\tO' -p372428 -asS'currently lives at Bridgewater State Hospital Rehab; no tobacco or EtOH use; used to be housewife' -p372429 -(lp372430 -S'currently\tcurrently\tRB\tB-ADVP\tO' -p372431 -aS'lives\tlive\tVBZ\tB-VP\tO' -p372432 -aS'at\tat\tIN\tB-PP\tO' -p372433 -aS'Bridgewater\tBridgewater\tNNP\tB-NP\tO' -p372434 -aS'State\tState\tNNP\tI-NP\tO' -p372435 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p372436 -aS'Rehab;\tRehab;\tNNP\tI-NP\tO' -p372437 -aS'no\tno\tDT\tB-NP\tO' -p372438 -aS'tobacco\ttobacco\tNN\tI-NP\tO' -p372439 -aS'or\tor\tCC\tI-NP\tO' -p372440 -aS'EtOH\tEtOH\tNN\tI-NP\tO' -p372441 -aS'use;\tuse;\tNN\tI-NP\tO' -p372442 -aS'used\tuse\tVBN\tB-VP\tO' -p372443 -aS'to\tto\tTO\tI-VP\tO' -p372444 -aS'be\tbe\tVB\tI-VP\tO' -p372445 -aS'housewife\thousewife\tNN\tB-NP\tO' -p372446 -asS'LV cavity moderately dilated .' -p372447 -(lp372448 -S'LV\tLV\tNN\tB-NP\tO' -p372449 -aS'cavity\tcavity\tNN\tI-NP\tO' -p372450 -aS'moderately\tmoderately\tRB\tB-VP\tO' -p372451 -aS'dilated\tdilate\tVBN\tI-VP\tO' -p372452 -aS'.\t.\t.\tO\tO' -p372453 -asS'1. Ibuprofen 600 mg Tablet Sig : One ( 1 ) Tablet PO Q6H ( every 6 hours ) as needed .' -p372454 -(lp372455 -S'1.\t1.\tLS\tB-NP\tO' -p372456 -aS'Ibuprofen\tIbuprofen\tNN\tI-NP\tO' -p372457 -aS'600\t600\tCD\tI-NP\tO' -p372458 -aS'mg\tmg\tNN\tI-NP\tO' -p372459 -aS'Tablet\tTablet\tNNP\tI-NP\tO' -p372460 -aS'Sig\tSig\tNNP\tI-NP\tO' -p372461 -aS':\t:\t:\tO\tO' -p372462 -aS'One\tOne\tCD\tB-NP\tO' -p372463 -aS'(\t(\t(\tO\tO' -p372464 -aS'1\t1\tCD\tB-NP\tO' -p372465 -aS')\t)\t)\tO\tO' -p372466 -aS'Tablet\tTablet\tNN\tB-NP\tO' -p372467 -aS'PO\tPO\tNN\tI-NP\tO' -p372468 -aS'Q6H\tQ6H\tNN\tI-NP\tO' -p372469 -aS'(\t(\t(\tO\tO' -p372470 -aS'every\tevery\tDT\tB-NP\tO' -p372471 -aS'6\t6\tCD\tI-NP\tO' -p372472 -aS'hours\thour\tNNS\tI-NP\tO' -p372473 -aS')\t)\t)\tO\tO' -p372474 -aS'as\tas\tIN\tB-SBAR\tO' -p372475 -aS'needed\tneed\tVBN\tB-VP\tO' -p372476 -aS'.\t.\t.\tO\tO' -p372477 -asS'Endo - DM on insulin with steroids' -p372478 -(lp372479 -S'Endo\tEndo\tAFX\tB-NP\tB-protein' -p372480 -aS'-\t-\tHYPH\tI-NP\tO' -p372481 -aS'DM\tDM\tNN\tB-NP\tO' -p372482 -aS'on\ton\tIN\tB-PP\tO' -p372483 -aS'insulin\tinsulin\tNN\tB-NP\tB-protein' -p372484 -aS'with\twith\tIN\tB-PP\tO' -p372485 -aS'steroids\tsteroid\tNNS\tB-NP\tO' -p372486 -asS'Arrived at Hahnemann General Hospital at 12:30 .' -p372487 -(lp372488 -S'Arrived\tArrive\tVBN\tB-VP\tO' -p372489 -aS'at\tat\tIN\tB-PP\tO' -p372490 -aS'Hahnemann\tHahnemann\tNNP\tB-NP\tO' -p372491 -aS'General\tGeneral\tNNP\tI-NP\tO' -p372492 -aS'Hospital\tHospital\tNNP\tI-NP\tO' -p372493 -aS'at\tat\tIN\tB-PP\tO' -p372494 -aS'12:30\t12:30\tCD\tB-NP\tO' -p372495 -aS'.\t.\t.\tO\tO' -p372496 -as. \ No newline at end of file From 549c74c096b6f82e2afca663a4f4b5f75165699d Mon Sep 17 00:00:00 2001 From: ktwaco Date: Wed, 28 Jan 2015 16:28:28 -0500 Subject: [PATCH 391/393] fixed issue with note in master --- clicon/cli.py | 3 ++- 1 file changed, 2 insertions(+), 1 deletion(-) diff --git a/clicon/cli.py b/clicon/cli.py index 187b299..94a96e0 100644 --- a/clicon/cli.py +++ b/clicon/cli.py @@ -18,8 +18,9 @@ import subprocess import glob -from note import Note +sys.path.append( os.environ['CLICON_DIR'] + "/clicon/notes" ) +from note import Note @click.group() def clicon(): From f6dc484c0a453be240ce57afd51cd358de0a87de Mon Sep 17 00:00:00 2001 From: Tristan Naumann Date: Fri, 27 Feb 2015 20:48:41 -0500 Subject: [PATCH 392/393] Replacing project with relocation notice. - Removing all project files. - Adding README which will display relocation notice. --- AUTHORS.rst | 16 - CONTRIBUTING.rst | 111 ----- COPYRIGHT | 1 - HISTORY.rst | 9 - LICENSE | 201 -------- MANIFEST.in | 11 - Makefile | 57 --- README | 1 + README.rst | 289 ----------- clicon/__init__.py | 4 - clicon/cli.py | 187 ------- clicon/evaluate.py | 471 ------------------ clicon/features_dir/__init__.py | 0 clicon/features_dir/features.py | 78 --- clicon/features_dir/genia_dir/.gitignore | 2 - clicon/features_dir/genia_dir/__init__.py | 0 clicon/features_dir/genia_dir/genia_cache.py | 24 - .../features_dir/genia_dir/genia_features.py | 69 --- .../features_dir/genia_dir/interface_genia.py | 108 ---- clicon/features_dir/read_config.py | 49 -- clicon/features_dir/sentence_features.py | 376 -------------- clicon/features_dir/umls_dir/__init__.py | 0 .../features_dir/umls_dir/create_sqliteDB.py | 112 ----- clicon/features_dir/umls_dir/create_trie.py | 87 ---- .../features_dir/umls_dir/interface_umls.py | 80 --- .../features_dir/umls_dir/interpret_umls.py | 163 ------ clicon/features_dir/umls_dir/umls_cache.py | 23 - clicon/features_dir/umls_dir/umls_features.py | 184 ------- clicon/features_dir/utilities.py | 72 --- clicon/features_dir/word_features.py | 411 --------------- clicon/features_dir/wordshape.py | 421 ---------------- clicon/format.py | 144 ------ clicon/helper.py | 24 - clicon/is_installed.py | 50 -- clicon/machine_learning/.gitignore | 1 - clicon/machine_learning/__init__.py | 0 clicon/machine_learning/crf.py | 185 ------- clicon/machine_learning/sci.py | 54 -- clicon/model.py | 462 ----------------- clicon/notes/.gitignore | 1 - clicon/notes/__init__.py | 0 clicon/notes/abstract_note.py | 93 ---- clicon/notes/note.py | 376 -------------- clicon/notes/note_i2b2.py | 314 ------------ clicon/notes/note_semeval.py | 286 ----------- clicon/notes/note_xml.py | 296 ----------- clicon/notes/utilities_for_notes.py | 194 -------- clicon/predict.py | 131 ----- clicon/train.py | 139 ------ config.txt | 2 - data/.gitignore | 4 - docs/Makefile | 177 ------- docs/authors.rst | 1 - docs/conf.py | 275 ---------- docs/contributing.rst | 1 - docs/history.rst | 1 - docs/index.rst | 24 - docs/make.bat | 242 --------- docs/readme.rst | 1 - examples/demo.sh | 16 - examples/pretend.con | 6 - examples/pretend.txt | 18 - examples/pretend.xml | 18 - install.sh | 151 ------ models/.gitignore | 4 - requirements.txt | 1 - run.sh | 5 - setup.cfg | 2 - setup.py | 60 --- tox.ini | 9 - 70 files changed, 1 insertion(+), 7384 deletions(-) delete mode 100644 AUTHORS.rst delete mode 100644 CONTRIBUTING.rst delete mode 100644 COPYRIGHT delete mode 100644 HISTORY.rst delete mode 100644 LICENSE delete mode 100644 MANIFEST.in delete mode 100644 Makefile create mode 100644 README delete mode 100644 README.rst delete mode 100644 clicon/__init__.py delete mode 100644 clicon/cli.py delete mode 100644 clicon/evaluate.py delete mode 100644 clicon/features_dir/__init__.py delete mode 100644 clicon/features_dir/features.py delete mode 100644 clicon/features_dir/genia_dir/.gitignore delete mode 100644 clicon/features_dir/genia_dir/__init__.py delete mode 100644 clicon/features_dir/genia_dir/genia_cache.py delete mode 100644 clicon/features_dir/genia_dir/genia_features.py delete mode 100644 clicon/features_dir/genia_dir/interface_genia.py delete mode 100644 clicon/features_dir/read_config.py delete mode 100644 clicon/features_dir/sentence_features.py delete mode 100644 clicon/features_dir/umls_dir/__init__.py delete mode 100644 clicon/features_dir/umls_dir/create_sqliteDB.py delete mode 100644 clicon/features_dir/umls_dir/create_trie.py delete mode 100644 clicon/features_dir/umls_dir/interface_umls.py delete mode 100644 clicon/features_dir/umls_dir/interpret_umls.py delete mode 100644 clicon/features_dir/umls_dir/umls_cache.py delete mode 100644 clicon/features_dir/umls_dir/umls_features.py delete mode 100644 clicon/features_dir/utilities.py delete mode 100644 clicon/features_dir/word_features.py delete mode 100644 clicon/features_dir/wordshape.py delete mode 100644 clicon/format.py delete mode 100644 clicon/helper.py delete mode 100644 clicon/is_installed.py delete mode 100644 clicon/machine_learning/.gitignore delete mode 100644 clicon/machine_learning/__init__.py delete mode 100644 clicon/machine_learning/crf.py delete mode 100644 clicon/machine_learning/sci.py delete mode 100644 clicon/model.py delete mode 100644 clicon/notes/.gitignore delete mode 100644 clicon/notes/__init__.py delete mode 100644 clicon/notes/abstract_note.py delete mode 100644 clicon/notes/note.py delete mode 100644 clicon/notes/note_i2b2.py delete mode 100644 clicon/notes/note_semeval.py delete mode 100644 clicon/notes/note_xml.py delete mode 100644 clicon/notes/utilities_for_notes.py delete mode 100644 clicon/predict.py delete mode 100644 clicon/train.py delete mode 100644 config.txt delete mode 100644 data/.gitignore delete mode 100644 docs/Makefile delete mode 100644 docs/authors.rst delete mode 100755 docs/conf.py delete mode 100644 docs/contributing.rst delete mode 100644 docs/history.rst delete mode 100644 docs/index.rst delete mode 100644 docs/make.bat delete mode 100644 docs/readme.rst delete mode 100644 examples/demo.sh delete mode 100644 examples/pretend.con delete mode 100644 examples/pretend.txt delete mode 100644 examples/pretend.xml delete mode 100755 install.sh delete mode 100644 models/.gitignore delete mode 100644 requirements.txt delete mode 100755 run.sh delete mode 100644 setup.cfg delete mode 100755 setup.py delete mode 100644 tox.ini diff --git a/AUTHORS.rst b/AUTHORS.rst deleted file mode 100644 index 7bbef57..0000000 --- a/AUTHORS.rst +++ /dev/null @@ -1,16 +0,0 @@ -======= -Credits -======= - -Development Team ----------------- - -* William Boag -* Kevin Wacome -* Tristan Naumann -* Anna Rumshisky - -Contributors ------------- - -None yet. Why not be the first? diff --git a/CONTRIBUTING.rst b/CONTRIBUTING.rst deleted file mode 100644 index 64d4416..0000000 --- a/CONTRIBUTING.rst +++ /dev/null @@ -1,111 +0,0 @@ -============ -Contributing -============ - -Contributions are welcome, and they are greatly appreciated! Every -little bit helps, and credit will always be given. - -You can contribute in many ways: - -Types of Contributions ----------------------- - -Report Bugs -~~~~~~~~~~~ - -Report bugs at https://github.com/mitmedg/CliCon/issues. - -If you are reporting a bug, please include: - -* Your operating system name and version. -* Any details about your local setup that might be helpful in troubleshooting. -* Detailed steps to reproduce the bug. - -Fix Bugs -~~~~~~~~ - -Look through the GitHub issues for bugs. Anything tagged with "bug" -is open to whoever wants to implement it. - -Implement Features -~~~~~~~~~~~~~~~~~~ - -Look through the GitHub issues for features. Anything tagged with "feature" -is open to whoever wants to implement it. - -Write Documentation -~~~~~~~~~~~~~~~~~~~ - -CliCon could always use more documentation, whether as part of the -official CliCon docs, in docstrings, or even on the web in blog posts, -articles, and such. - -Submit Feedback -~~~~~~~~~~~~~~~ - -The best way to send feedback is to file an issue at https://github.com/mitmedg/CliCon/issues. - -If you are proposing a feature: - -* Explain in detail how it would work. -* Keep the scope as narrow as possible, to make it easier to implement. -* Remember that this is a volunteer-driven project, and that contributions - are welcome :) - -Get Started! ------------- - -Ready to contribute? Here's how to set up `clicon` for local development. - -1. Fork the `clicon` repo on GitHub. -2. Clone your fork locally:: - - $ git clone git@github.com:your_name_here/clicon.git - -3. Install your local copy into a virtualenv. Assuming you have virtualenvwrapper installed, this is how you set up your fork for local development:: - - $ mkvirtualenv clicon - $ cd clicon/ - $ python setup.py develop - -4. Create a branch for local development:: - - $ git checkout -b name-of-your-bugfix-or-feature - - Now you can make your changes locally. - -5. When you're done making changes, check that your changes pass flake8 and the tests, including testing other Python versions with tox:: - - $ flake8 clicon tests - $ python setup.py test - $ tox - - To get flake8 and tox, just pip install them into your virtualenv. - -6. Commit your changes and push your branch to GitHub:: - - $ git add . - $ git commit -m "Your detailed description of your changes." - $ git push origin name-of-your-bugfix-or-feature - -7. Submit a pull request through the GitHub website. - -Pull Request Guidelines ------------------------ - -Before you submit a pull request, check that it meets these guidelines: - -1. The pull request should include tests. -2. If the pull request adds functionality, the docs should be updated. Put - your new functionality into a function with a docstring, and add the - feature to the list in README.rst. -3. The pull request should work for Python 2.6, 2.7, and 3.3, 3.4, and for PyPy. Check - https://travis-ci.org/tnaumann/clicon/pull_requests - and make sure that the tests pass for all supported Python versions. - -Tips ----- - -To run a subset of tests:: - - $ python -m unittest tests.test_clicon \ No newline at end of file diff --git a/COPYRIGHT b/COPYRIGHT deleted file mode 100644 index f2c1843..0000000 --- a/COPYRIGHT +++ /dev/null @@ -1 +0,0 @@ -Copyright (C) 2014 MEDG at MIT CSAIL & Text Machine Lab for NLP at UMass Lowell diff --git a/HISTORY.rst b/HISTORY.rst deleted file mode 100644 index 2ad74df..0000000 --- a/HISTORY.rst +++ /dev/null @@ -1,9 +0,0 @@ -.. :changelog: - -History -------- - -0.1 (YYYY-MM-DD) --------------------- - -* First release on PyPI. diff --git a/LICENSE b/LICENSE deleted file mode 100644 index 5c304d1..0000000 --- a/LICENSE +++ /dev/null @@ -1,201 +0,0 @@ -Apache License - Version 2.0, January 2004 - http://www.apache.org/licenses/ - - TERMS AND CONDITIONS FOR USE, REPRODUCTION, AND DISTRIBUTION - - 1. Definitions. - - "License" shall mean the terms and conditions for use, reproduction, - and distribution as defined by Sections 1 through 9 of this document. - - "Licensor" shall mean the copyright owner or entity authorized by - the copyright owner that is granting the License. - - "Legal Entity" shall mean the union of the acting entity and all - other entities that control, are controlled by, or are under common - control with that entity. For the purposes of this definition, - "control" means (i) the power, direct or indirect, to cause the - direction or management of such entity, whether by contract or - otherwise, or (ii) ownership of fifty percent (50%) or more of the - outstanding shares, or (iii) beneficial ownership of such entity. - - "You" (or "Your") shall mean an individual or Legal Entity - exercising permissions granted by this License. - - "Source" form shall mean the preferred form for making modifications, - including but not limited to software source code, documentation - source, and configuration files. - - "Object" form shall mean any form resulting from mechanical - transformation or translation of a Source form, including but - not limited to compiled object code, generated documentation, - and conversions to other media types. - - "Work" shall mean the work of authorship, whether in Source or - Object form, made available under the License, as indicated by a - copyright notice that is included in or attached to the work - (an example is provided in the Appendix below). - - "Derivative Works" shall mean any work, whether in Source or Object - form, that is based on (or derived from) the Work and for which the - editorial revisions, annotations, elaborations, or other modifications - represent, as a whole, an original work of authorship. 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We also recommend that a - file or class name and description of purpose be included on the - same "printed page" as the copyright notice for easier - identification within third-party archives. - - Copyright {yyyy} {name of copyright owner} - - Licensed under the Apache License, Version 2.0 (the "License"); - you may not use this file except in compliance with the License. - You may obtain a copy of the License at - - http://www.apache.org/licenses/LICENSE-2.0 - - Unless required by applicable law or agreed to in writing, software - distributed under the License is distributed on an "AS IS" BASIS, - WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. - See the License for the specific language governing permissions and - limitations under the License. diff --git a/MANIFEST.in b/MANIFEST.in deleted file mode 100644 index 6fd9409..0000000 --- a/MANIFEST.in +++ /dev/null @@ -1,11 +0,0 @@ -include AUTHORS.rst -include CONTRIBUTING.rst -include HISTORY.rst -include LICENSE -include README.rst - -recursive-include tests * -recursive-exclude * __pycache__ -recursive-exclude * *.py[co] - -recursive-include docs *.rst conf.py Makefile make.bat \ No newline at end of file diff --git a/Makefile b/Makefile deleted file mode 100644 index ff3aa43..0000000 --- a/Makefile +++ /dev/null @@ -1,57 +0,0 @@ -.PHONY: clean-pyc clean-build docs clean - -help: - @echo "clean-build - remove build artifacts" - @echo "clean-pyc - remove Python file artifacts" - @echo "lint - check style with flake8" - @echo "test - run tests quickly with the default Python" - @echo "test-all - run tests on every Python version with tox" - @echo "coverage - check code coverage quickly with the default Python" - @echo "docs - generate Sphinx HTML documentation, including API docs" - @echo "release - package and upload a release" - @echo "dist - package" - -clean: clean-build clean-pyc - rm -fr htmlcov/ - -clean-build: - rm -fr build/ - rm -fr dist/ - rm -fr *.egg-info - -clean-pyc: - find . -name '*.pyc' -exec rm -f {} + - find . -name '*.pyo' -exec rm -f {} + - find . -name '*~' -exec rm -f {} + - -lint: - flake8 clicon tests - -test: - python setup.py test - -test-all: - tox - -coverage: - coverage run --source clicon setup.py test - coverage report -m - coverage html - open htmlcov/index.html - -docs: - rm -f docs/clicon.rst - rm -f docs/modules.rst - sphinx-apidoc -o docs/ clicon - $(MAKE) -C docs clean - $(MAKE) -C docs html - open docs/_build/html/index.html - -release: clean - python setup.py sdist upload - python setup.py bdist_wheel upload - -dist: clean - python setup.py sdist - python setup.py bdist_wheel - ls -l dist \ No newline at end of file diff --git a/README b/README new file mode 100644 index 0000000..8955644 --- /dev/null +++ b/README @@ -0,0 +1 @@ +This project has relocated to https://github.com/text-machine-lab/CliNER. \ No newline at end of file diff --git a/README.rst b/README.rst deleted file mode 100644 index ab6a85e..0000000 --- a/README.rst +++ /dev/null @@ -1,289 +0,0 @@ -=============================== -CliNER -=============================== - -Clinical Named Entity Recognition system (CliNER) is an open-source natural language processing system for named entity recognition in clinical text of electronic health records. CliNER system is designed to follow best practices in clinical concept extraction, as established in i2b2 2010 shared task. - -CliNER is implemented as a two-pass machine learning system for named entity recognition, currently using a Conditional Random Fields (CRF) classifier to establish concept boundaries and a Support Vector Machine (SVM) classifier to establish the type of concept. - -Please note that for optimal performance, CliNER requires the users to obtain a Unified Medical Language System (UMLS) license, since UMLS Metathesaurus is used as one of the knowledge sources for the above classifiers. - - -* Free software: Apache v2.0 license -* Documentation: http://clicon.readthedocs.org. - - -Installation --------- - -**Cloning the CliCon git repository:** - -:: - - user@your-machine:~$ git clone https://github.com/mitmedg/CliCon.git - Cloning into 'CliCon'... - remote: Counting objects: 1296, done. - remote: Compressing objects: 100% (503/503), done. - remote: Total 1296 (delta 812), reused 1253 (delta 781) - Receiving objects: 100% (1296/1296), 1001.14 KiB | 759 KiB/s, done. - Resolving deltas: 100% (812/812), done. - - -**Using an installation script** - -Linux users can use an installation script to download and install all the components of this project, including third-party dependencies. Note that it can not get tools and data that require special use agreements (including the i2b2 data and the UMLS tables), which have to be obtained separately. - -The following packages need to be on the system for the script to work: - -:: - - python-pip - python-virtualenv - python-dev - - - - -Some of python modules used by CliNER have the following dependencies, which also need to be installed on the system: - -:: - - g++ - gfortran - libopenblas-dev - liblapack-dev - -For Ubuntu users, the above are the names of the packages that need to be installed. A typical command to install a python module on a Debian-flavored Linux is: - -:: - - apt-get install - - -Although the script is able to build python dependencies via pip, this is a slow process. It would be much faster to obtain binaries of certain python modules and then run the script: - -:: - - numpy - scipy - scikit-learn (version 0.14) - - -To invoke the script, ensure you are running a bash shell. Next, ``cd`` into the ``CliCon`` directory: - -:: - - user@your-machine:~$ cd CliCon - user@your-machine:~/CliCon$ source install.sh - - -If the installation script encounters issues, please see the README section corresponding to the failure message. - -If you opt not to use the provided script, you must follow the steps described below, starting with setting up virtual environments and environment variables. Not terribly difficult (we hope!). - -Please email wboag@cs.uml.edu with your installation questions. - - -**Step-by-step installation instructions:** - - -(1) Set up virtualenv - - Setup a virtual environent. You must re-enable the virtual environment every new session. - - :: - - user@your-machine:~$ virtualenv venv_clicon - user@your-machine:~$ source venv_clicon/bin/activate - - - reference - https://virtualenv.pypa.io/en/latest/ - - - -(2) Set the CLICON_DIR environment variable - - In order to run CliNER, you must define the CLICON_DIR environment variable. - - **This variable must be the path of the directory created by git.** - - :: - - user@your-machine:~$ export CLICON_DIR=$(pwd)/CliCon - - - -(3) Install dependencies - - - Ensure the following packages are installed on the system (they are used for building the required Python dependencies): - - Linux: - * python-pip - * python-virtualenv - * python-dev - * g++ - * gfortran - * libopenblas-dev - * liblapack-dev - - - Mac OSX (e.g. using [Homebrew](http://brew.sh/)): - * python - * gfortran - - - Ensure the following python modules are installed: - * nose - * numpy - * scikit-learn (version 0.14) - * scipy - * python-crfsuite - * nltk (AND run the NLTK downloader) - - - :: - - (venv_clicon)user@your-machine:~/CliCon$ sudo apt-get install python-pip python-virtualenv python-dev g++ gfortran libopenblas-dev liblapack-dev -y - (venv_clicon)user@your-machine:~/CliCon$ pip install nose numpy scikit-learn scipy nltk python-crfsuite - (venv_clicon)user@your-machine:~/CliCon$ python -m nltk.downloader maxent_treebank_pos_tagger wordnet - - - - -(4) Get i2b2 2010 shared task data - - The Data Use and Confidentiality Agreement (DUA) with i2b2 forbids us from redistributing the i2b2 data. In order to gain access to the data, you must go to: - - https://www.i2b2.org/NLP/DataSets/AgreementAR.php - - to register and sign the DUA. Then you will be able to request the data through them. - - - Although we cannot provide i2b2 data, there is a sample to demonstrate how the data is formatted (not actual data from i2b2, though). **Here is a very basic description of the data formats.** It is by no means a complete tutorial. - - * $CLICON_DIR/examples/pretend.txt - - This is a text file. Discharge summaries are written out in plaintext, just like this. It is paired with a concept file, which has its annotations. - - * $CLICON_DIR/examples/pretend.con - - This is a concept file. It provides annotations for the concepts (problem, treatment, test) of the text file. The format is as follows - each instance of a concept has one line. The line describes the word span, the line number and token numbers of the span (delimited by white space), and the label of the concept. - - * $CLICON_DIR/examples/pretend.xml - - This is an alternative way to annotate concepts from a discharge summary. Unlike the text/concept files, this format is not in a pair - it provides both the text and annotations for the discharge summary. This format is easier to read. - - - - - -(5) Install GENIA tagger (optional) - - This is an optional part of installation. Adding the GENIA tagger will improve results of the system's predictions, but it could run without it. - - Steps - - 1. First you must download the sources for GENIA. Do that with ``wget http://www.nactem.ac.uk/tsujii/GENIA/tagger/geniatagger-3.0.1.tar.gz`` - - 2. In order to compile the sources, you may need to edit a C++ so that it has an additional include directive. This should be able to be accomplished by enterring the geniatagger-3.0.1/ directory and running ``echo "$(sed '1i#include ' morph.cpp)" > morph.cpp`` - - 3. Compile GENIA. Just run ``make`` - - 4. If you do not have any errors, then the tagger has been built successfully. If there were compile errors, try to resolve them (it'd be one of those "well it works for me" scenarios). - - 5. Set the file "$CLICON_DIR/config.txt" so that the line that has "GENIA None" is replaced with "GENIA '. This file is how CliCon is able to find and run the tagger. - - - -(6) Get UMLS tables (optional) - - This is an optional part of installation. Adding the UMLS tables will improve results of the system's predictions, but it could run without it. - - In order to use the UMLS tables, you must request a license. See: - - http://www.nlm.nih.gov/databases/umls.html - - You will need to get following tables: **MRREL, MRCON, MRSTY** - - **Put these tables in the $CLICON_DIR/umls_tables directory.** - - In order to tell CliNER that the tables are there, you must edit the file "$CLICON_DIR/config.txt" and change the line saying "UMLS None" to "UMLS True". This command will do that ``sed -i "s/UMLS None/UMLS True/g" $CLICON_DIR/config.txt`` - - **The database will be built from the tables when CliNER is run for the first time.** - - - -(7) Create 'clicon' executable script for command-line use - - In order to run CliNER (as done in the usage examples), you must run setup.py. - - As long as the Python dependencies are properly installed, you should be able to run the setup script. - - If it works, you should see a brief help message when invoking clicon with the ``--help`` option: - - :: - - (venv_clicon)user@your-machine:~/CliCon$ python $CLICON_DIR/setup.py install - (venv_clicon)user@your-machine:~/CliCon$ clicon --help - - - -(8) Run unit tests - - [this section is under construction] - - - -Usage Examples --------- - - Demo Script - :: - user@your-machine:~/CliCon$ source install.sh - (venv_clicon)user@your-machine:~/CliCon$ bash examples/demo.sh - - - i2b2 format - - Train model on i2b2-formatted data - :: - (venv_clicon)user@your-machine:~/CliCon$ clicon train $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/examples/pretend.con - - Train model on i2b2-formatted data with SVM grid search (NOTE: Currently does not work with sample data because the sample data is too small for cross validation). - :: - (venv_clicon)user@your-machine:~/CliCon$ clicon train $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/examples/pretend.con --grid-search - - Predict concepts and output in i2b2 format - :: - (venv_clicon)user@your-machine:~/CliCon$ clicon predict $CLICON_DIR/examples/pretend.txt --out $CLICON_DIR/data/test_predictions/ - - Evaluation - :: - (venv_clicon)user@your-machine:~/CliCon$ clicon evaluate $CLICON_DIR/examples/pretend.txt --gold $CLICON_DIR/examples --predictions $CLICON_DIR/data/test_predictions/ --format i2b2 - - Change Format - :: - (venv_clicon)user@your-machine:~/CliCon$ clicon format $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/data/test_predictions/pretend.con --format xml - - - xml format - - Train model on xml-formatted data - :: - (venv_clicon)user@your-machine:~/CliCon$ clicon train $CLICON_DIR/examples/pretend.txt --annotations $CLICON_DIR/examples/pretend.xml --format xml - - Predict concepts and output in xml format - :: - (venv_clicon)user@your-machine:~/CliCon$ clicon predict $CLICON_DIR/examples/pretend.txt --out $CLICON_DIR/data/test_predictions/ --format xml - - Evaluation - :: - (venv_clicon)user@your-machine:~/CliCon$ clicon evaluate $CLICON_DIR/examples/pretend.txt --gold $CLICON_DIR/examples --predictions $CLICON_DIR/data/test_predictions/ --format xml - - Change Format - :: - (venv_clicon)user@your-machine:~/CliCon$ clicon format $CLICON_DIR/data/test_predictions/pretend.xml --format i2b2 - - diff --git a/clicon/__init__.py b/clicon/__init__.py deleted file mode 100644 index 8f4234b..0000000 --- a/clicon/__init__.py +++ /dev/null @@ -1,4 +0,0 @@ -# -*- coding: utf-8 -*- - -__version__= '0.1dev' - diff --git a/clicon/cli.py b/clicon/cli.py deleted file mode 100644 index 94a96e0..0000000 --- a/clicon/cli.py +++ /dev/null @@ -1,187 +0,0 @@ -###################################################################### -# CliNER - cli.py # -# # -# Willie Boag wboag@cs.uml.edu # -# # -# Purpose: Command Line Interface for working with CliNER. # -###################################################################### - - -__author__ = 'Willie Boag' -__date__ = 'Oct. 5, 2014' - - - -import click -import os -import sys -import subprocess -import glob - -sys.path.append( os.environ['CLICON_DIR'] + "/clicon/notes" ) - -from note import Note - -@click.group() -def clicon(): - pass - - -supported_formats_help = "Data format ( " + ' | '.join(Note.supportedFormats()) + " )" - - -# Train -@clicon.command() -@click.option('--annotations' , help='Concept files for training.' ) -@click.option('--model' , help='Model output by train.' ) -@click.option('--format' , help=supported_formats_help ) -@click.option('--grid/--no-grid', help='Flag that enables grid search', - default=False) -@click.option('--crf/--no-crf' , help='Flag that enables crfsuite' , - default=True) -@click.argument('input') -def train(annotations, model, format, grid, crf, input): - - # training data needs concept file annotations - if not annotations: - print >>sys.stderr, '\n\tError: Must provide annotations for text files' - print >>sys.stderr, '' - exit(1) - - # Base directory - BASE_DIR = os.environ.get('CLICON_DIR') - if not BASE_DIR: - raise Exception('Environment variable CLICON_DIR must be defined') - - # Executable - runable = os.path.join(BASE_DIR, 'clicon/train.py') - - # Build command - cmd = ['python', runable, '-t', input] - - # Arguments - if annotations: - cmd += ['-c', annotations] - if model: - cmd += ['-m', model] - if format: - cmd += ['-f', format] - if grid: - cmd += ['-g'] - if not crf: - cmd += ['-no-crf'] - - # Execute train.py - subprocess.call(cmd) - - - - -# Predict -@clicon.command() -@click.option('--out' , help='The directory to write the output') -@click.option('--model' , help='Model used to predict on files' ) -@click.option('--format', help=supported_formats_help ) -@click.argument('input') -def predict(model, out, format, input): - - # Base directory - BASE_DIR = os.environ.get('CLICON_DIR') - if not BASE_DIR: - raise Exception('Environment variable CLICON_DIR must be defined') - - # Executable - runable = os.path.join(BASE_DIR,'clicon/predict.py') - - # Build command - cmd = ['python', runable, '-i', input] - - # Optional arguments - if out: - cmd += ['-o', out] - if model: - cmd += ['-m', model] - if format: - cmd += ['-f', format] - - # Execute train.py - subprocess.call(cmd) - - - - - -# Evaluate -@clicon.command() -@click.option('--predictions', help='Directory where predictions are stored.') -@click.option('--gold' , help='Directory where gold standard is stored.') -@click.option('--out' , help='Output file' ) -@click.option('--format' , help=supported_formats_help ) -@click.argument('input') -def evaluate(predictions, gold, out, format, input): - - # Base directory - BASE_DIR = os.environ.get('CLICON_DIR') - if not BASE_DIR: - raise Exception('Environment variable CLICON_DIR must be defined') - - # Executable - runable = os.path.join(BASE_DIR,'clicon/evaluate.py') - - # Build command - cmd = ['python', runable, '-t', input] - - # Optional arguments - if predictions: - cmd += ['-c', predictions] - if gold: - cmd += ['-r', gold] - if out: - cmd += ['-o', out] - if format: - cmd += ['-f', format] - - # Execute train.py - subprocess.call(cmd) - - - - - -# Format -@clicon.command() -@click.option('--annotations', help='Concept files for training.') -@click.option('--format' , help=supported_formats_help ) -@click.option('--out' , help='File to write the output.' ) -@click.argument('input') -def format(annotations, format, out, input): - - # Base directory - BASE_DIR = os.environ.get('CLICON_DIR') - if not BASE_DIR: - raise Exception('Environment variable CLICON_DIR must be defined') - - # Executable - runable = os.path.join(BASE_DIR,'clicon/format.py') - - # Build command - cmd = ['python', runable, flag, input] - - # Optional arguments - if annotations: - cmd += ['-a', annotations] - if out: - cmd += ['-o', out] - if format: - cmd += ['-f', format] - - # Execute train.py - subprocess.call(cmd) - - - - -if __name__ == '__main__': - clicon() - - diff --git a/clicon/evaluate.py b/clicon/evaluate.py deleted file mode 100644 index 8bf7e91..0000000 --- a/clicon/evaluate.py +++ /dev/null @@ -1,471 +0,0 @@ -###################################################################### -# CliNER - evaluate.py # -# # -# Kevin Wacome kwacome@cs.uml.edu # -# # -# Purpose: Evaluate predictions of concept labels against gold. # -###################################################################### - - -__author__ = 'Kevin Wacome' -__date__ = 'Aug. 20, 2014' - - - -import os -import sys -import argparse -import glob -import helper -from copy import deepcopy - -from notes.note import Note -from notes.note import concept_labels as labels - -def containsSpan(s1, s2): - return (s1[0] <= s2[0]) and (s2[1] <= s1[1]) - -def spanOverlap(s1, s2): - if s2[0] <= s1[0] <= s2[1]: return True - if s2[0] <= s1[1] <= s2[1]: return True - if s1[0] <= s2[0] <= s1[1]: return True - if s1[0] <= s2[1] <= s1[1]: return True - return False - -def getConceptSpans(boundaries, classifications): - - conceptSpans = {} - - for lineIndex, span in enumerate(boundaries): - for boundaryIndex, boundary in enumerate(span): - if boundary == 'B': - - concept = classifications[lineIndex][boundaryIndex] - beginning = boundaryIndex - end = boundaryIndex - - if conceptSpans.has_key(lineIndex) == False: - conceptSpans[lineIndex] = {} - - for possibleEnd in span[boundaryIndex+1:]: - if possibleEnd == 'B' or possibleEnd == 'O': - break - if possibleEnd == 'I': - end += 1 - conceptSpans[lineIndex].update({(beginning,end):concept}) - - return conceptSpans - -def evaluate(referenceSpans, predictedSpans, exactMatch=False, reportSeperately=False): - - #used to generate a dictionary of dictionaries - #of the form measuresForClasses["treatment"]["True Positives"] -> Number of True Positives for treatment classes - classes = [ - "treatment", - "problem", - "test" - ] - - measures = { - "True Positives":0, - "False Negatives":0, - "False Positives":0 - } - - confusion = [[0] * len(labels) for e in labels] - - #TO DO: figure out how to report concepts seperately and have it work with reporting together as well. - - measuresForClasses = {classKey:deepcopy(measures) for classKey in dict.fromkeys(classes)} - - falseNegs = [] - - for line in referenceSpans: - - #if the line does not exist for whatever reason for all spans on that line - #mark them as false negative - if line not in predictedSpans: - for spanNotInPredictedSpan in referenceSpans[line]: - classification = referenceSpans[line][spanNotInPredictedSpan] - measuresForClasses[classification]["False Negatives"] +=1 - confusion[labels[classification]][labels['none']] += 1 - continue - - if exactMatch == True: - - for span in referenceSpans[line]: - - classInRefSpan = referenceSpans[line][span] - - # if the span exists & concept matches, then true positive - if span in predictedSpans[line]: - - classInPredSpan = predictedSpans[line][span] - - if referenceSpans[line][span] == predictedSpans[line][span]: - measuresForClasses[classInRefSpan]["True Positives"] += 1 - else: - measuresForClasses[classInRefSpan]["False Negatives"] += 1 - confusion[labels[classInRefSpan]][labels[classInPredSpan]] += 1 - predictedSpans[line].pop(span) - - else: - - overlap = False - for pSpan,v in predictedSpans[line].items(): - #if containsSpan(span, pSpan): - if spanOverlap(span, pSpan): # or spanOverlap(pSpan,span): - overlap = True - - if not overlap: - measuresForClasses[classInRefSpan]["False Negatives"] += 1 - confusion[labels[classInRefSpan]][labels['none']] += 1 - - else: - - #find true positives for inexact spans - accountedFor = {} - for span in referenceSpans[line]: - - accountedFor[span] = False - classInRefSpan = referenceSpans[line][span] - - longestMatchingSpanWithMatchingClassification = {"Predicted Span":None, "Predicted Span length":None, "Predicted Concept":None} - - - for predictedSpan in predictedSpans[line]: - - classinPredSpan = predictedSpans[line][predictedSpan] - - #FIND LONGEST OVERLAP - if predictedSpan[0] >= span[0] and predictedSpan[0] <= span[1] \ - or predictedSpan[1] >= span[0] and predictedSpan[1] <= span[1]: - - #find longest span with match - if classInRefSpan == classinPredSpan: - - if longestMatchingSpanWithMatchingClassification["Predicted Span length"] <(predictedSpan[1] - predictedSpan[0]): - longestMatchingSpanWithMatchingClassification["Predicted Span length"] = (predictedSpan[1] - predictedSpan[0]) - longestMatchingSpanWithMatchingClassification["Predicted Concept"] = classinPredSpan - longestMatchingSpanWithMatchingClassification["Predicted Span"] = predictedSpan - - #if there is an overlapping concept match report true positive - if longestMatchingSpanWithMatchingClassification['Predicted Span'] != None: - accountedFor[span] = True - measuresForClasses[classInRefSpan]["True Positives"] += 1 - confusion[labels[classInRefSpan]][labels[longestMatchingSpanWithMatchingClassification["Predicted Concept"]]] += 1 - predictedSpans[line].pop(longestMatchingSpanWithMatchingClassification["Predicted Span"]) - - - #find the false negatives for inexact spans - for span in referenceSpans[line]: - #already accounted for - if accountedFor[span] == True: - continue - - classInRefSpan = referenceSpans[line][span] - - longestMatchingSpan = {"Predicted Span":None, "Predicted Span length":None, "Predicted Concept":None} - for predictedSpan in predictedSpans[line]: - classinPredSpan = predictedSpans[line][predictedSpan] - - #FIND LONGEST OVERLAP - if predictedSpan[0] >= span[0] and predictedSpan[0] <= span[1] \ - or predictedSpan[1] >= span[0] and predictedSpan[1] <= span[1]: - - if longestMatchingSpan["Predicted Span length"] <(predictedSpan[1] - predictedSpan[0]): - longestMatchingSpan["Predicted Span length"] = (predictedSpan[1] - predictedSpan[0]) - longestMatchingSpan["Predicted Concept"] = classinPredSpan - longestMatchingSpan["Predicted Span"] = predictedSpan - - if longestMatchingSpan['Predicted Span'] != None: - measuresForClasses[classInRefSpan]["False Negatives"] += 1 - confusion[labels[classInRefSpan]][labels[longestMatchingSpan["Predicted Concept"]]] += 1 - predictedSpans[line].pop(longestMatchingSpan["Predicted Span"]) - else: - measuresForClasses[classInRefSpan]["False Negatives"] += 1 - confusion[labels[classInRefSpan]][labels['none']] += 1 - #predictedSpans[line].pop(span) - - - #for all the spans that are in predicted that are left. these are false positives - #as they do not occur in the reference spans. - leftover = deepcopy(predictedSpans) - for line in predictedSpans: - for span in predictedSpans[line]: - - classInPredSpan = predictedSpans[line][span] - - if True: - measuresForClasses[classInPredSpan]["False Positives"] += 1 - confusion[labels['none']][labels[classInPredSpan]] += 1 - leftover[line].pop(span) - - - #if false then do not report concepts - if reportSeperately == False: - truePositive = 0 - falseNegative = 0 - falsePositive = 0 - for dictKey in measuresForClasses: - truePositive += measuresForClasses[dictKey]["True Positives"] - falseNegative += measuresForClasses[dictKey]["False Negatives"] - falsePositive += measuresForClasses[dictKey]["False Positives"] - - return {"True Positives":truePositive, "False Negatives":falseNegative, "False Positives":falsePositive} - else: - return confusion - -def displayMatrix(out, name, confusion): - # Display the confusion matrix - print >>out, "" - print >>out, "" - print >>out, "" - print >>out, "================" - print >>out, name + " RESULTS" - print >>out, "================" - print >>out, "" - print >>out, "Confusion Matrix" - pad = max(len(l) for l in labels) + 6 - print >>out, "%s %s" % (' ' * pad, "\t".join(labels.keys())) - for act, act_v in labels.items(): - print >>out, "%s %s" % (act.rjust(pad), "\t".join([str(confusion[act_v][pre_v]) for pre, pre_v in labels.items()])) - print >>out, "" - - - # Compute the analysis stuff - precision = [] - recall = [] - specificity = [] - f1 = [] - - tp = 0 - fp = 0 - fn = 0 - tn = 0 - - print >>out, "Analysis" - print >>out, " " * pad, "Precision\tRecall\tF1" - - - for lab, lab_v in labels.items(): - if lab == 'none': continue - - tp = confusion[lab_v][lab_v] - fp = sum(confusion[v][lab_v] for k, v in labels.items() if v != lab_v) - fn = sum(confusion[lab_v][v] for k, v in labels.items() if v != lab_v) - - precision += [float(tp) / (tp + fp + 1e-100)] - recall += [float(tp) / (tp + fn + 1e-100)] - f1 += [float(2 * tp) / (2 * tp + fp + fn + 1e-100)] - print >>out, "%s %.4f\t%.4f\t%.4f" % (lab.rjust(pad), precision[-1], recall[-1], f1[-1]) - - print >>out, "--------" - - precision = sum(precision) / len(precision) - recall = sum(recall) / len(recall) - f1 = sum(f1) / len(f1) - - print >>out, "Average: %.4f\t%.4f\t%.4f" % (precision, recall, f1) - - - -def generateResultsForExactSpans(truePositive, falseNegative, falsePositive): - - #convert to float implicitly incase of any truncation - truePositive = float(truePositive) - flaseNegative = float(falseNegative) - falsePositive = float(falsePositive) - - recall = truePositive / (truePositive + falseNegative) - precision = truePositive / (truePositive + falsePositive) - fScore = (2*truePositive) / (2*truePositive + falseNegative + falsePositive) - - #convert to percent - return {"Recall":(recall * 100), "Precision":(precision * 100), "F Score":(fScore * 100)} - - -def main(): - - parser = argparse.ArgumentParser() - - parser.add_argument("-t", - help = "Text files that were used to generate predictions", - dest = "txt", - default = os.path.join(os.getenv('CLICON_DIR'), 'data/test_data/*') - ) - - parser.add_argument("-c", - help = "The directory that contains predicted concept files organized into subdirectories for svm, lin, srf", - dest = "con", - default = os.path.join(os.getenv('CLICON_DIR'), 'data/test_predictions/') - ) - - parser.add_argument("-r", - help = "The directory that contains reference gold standard concept files", - dest = "ref", - default = os.path.join(os.getenv('CLICON_DIR'), 'data/reference_standard_for_test_data/concepts/') - ) - - parser.add_argument("-f", - dest = "format", - help = "Data format ( " + ' | '.join(Note.supportedFormats()) + " )", - default = 'i2b2' - ) - - parser.add_argument("-o", - help = "Write the evaluation to a file rather than STDOUT", - dest = "output", - default = None - ) - - # Parse command line arguments - args = parser.parse_args() - format = args.format - - - # Is output destination specified? - if args.output: - args.output = open(args.output, "w") - else: - args.output = sys.stdout - - - # Must specify output format - if format not in Note.supportedFormats(): - print >>sys.stderr, '\n\tError: Must specify output format' - print >>sys.stderr, '\tAvailable formats: ', ' | '.join(Note.supportedFormats()) - print >>sys.stderr, '' - exit(1) - - - # List of medical text - txt_files = glob.glob(args.txt) - txt_files_map = helper.map_files(txt_files) - wildcard = '*.' + Note.dictOfFormatToExtensions()[format] - - - # List of gold data - ref_files = glob.glob( os.path.join(args.ref, wildcard) ) - ref_files_map = helper.map_files(ref_files) - - - # List of predictions - pred_files = glob.glob( os.path.join(args.con, wildcard) ) - pred_files_map = helper.map_files(pred_files) - - - # Grouping of text, predictions, gold - files = [] - for k in txt_files_map: - if k in pred_files_map and k in ref_files_map: - files.append((txt_files_map[k], pred_files_map[k], ref_files_map[k])) - - - # txt <- medical text - # annotations <- predictions - # gold <- gold standard - - - truePositivesExactSpan = 0 - falseNegativesExactSpan = 0 - falsePositivesExactSpan = 0 - - truePositivesInexactSpan = 0 - falseNegativesInexactSpan = 0 - falsePositivesInexactSpan = 0 - - confusion = [[0] * len(labels) for e in labels] - - confusionMatrixExactSpan = deepcopy(confusion) - confusionMatrixInexactSpan = deepcopy(confusion) - - - - for txt, annotations, gold in files: - - # Read predictions and gols standard data - cnote = Note(format) - rnote = Note(format) - cnote.read(txt, annotations) - rnote.read(txt, gold) - - referenceSpans = getConceptSpans(rnote.getIOBLabels(), rnote.conlist()) - predictedSpans = getConceptSpans(cnote.getIOBLabels(), cnote.conlist()) - - #TO DO: i need to generate a cumulative total accross all of the files - #modify my functions slightly and have it return the number of true positive and etc... - #then call generate results - - exactResults = evaluate(deepcopy(referenceSpans), deepcopy(predictedSpans), exactMatch=True, reportSeperately=False) - - inexactResults = evaluate(deepcopy(referenceSpans), deepcopy(predictedSpans), exactMatch=False, reportSeperately=False) - - - truePositivesExactSpan += exactResults["True Positives"] - falseNegativesExactSpan += exactResults["False Negatives"] - falsePositivesExactSpan += exactResults["False Positives"] - - - inexactResults = evaluate(deepcopy(referenceSpans), deepcopy(predictedSpans), exactMatch=False, reportSeperately=False) - - truePositivesInexactSpan += inexactResults["True Positives"] - falseNegativesInexactSpan += inexactResults["False Negatives"] - falsePositivesInexactSpan += inexactResults["False Positives"] - - MatrixInexactSpan = evaluate(deepcopy(referenceSpans), deepcopy(predictedSpans), exactMatch=False, reportSeperately=True) - - for sublist1, sublist2 in zip(confusionMatrixInexactSpan, MatrixInexactSpan): - for i,int2 in enumerate(sublist2): - sublist1[i] += int2 - - MatrixExactSpan = evaluate(deepcopy(referenceSpans), deepcopy(predictedSpans), exactMatch=True, reportSeperately=True) - - for sublist1, sublist2 in zip(confusionMatrixExactSpan, MatrixExactSpan): - for i,int2 in enumerate(sublist2): - sublist1[i] += int2 - - print "\nResults for exact span for concepts together.\n" - - print "True Positives: ", truePositivesExactSpan - print "False Negatives: ", falseNegativesExactSpan - print "False Positives: ", falsePositivesExactSpan - - exactSpan = generateResultsForExactSpans(truePositivesExactSpan, - falseNegativesExactSpan, - falsePositivesExactSpan) - - print "Recall: ", exactSpan["Recall"] - print "Precision: ", exactSpan["Precision"] - print "F Measure: ", exactSpan["F Score"] - - inexactSpan = generateResultsForExactSpans(truePositivesInexactSpan, - falseNegativesInexactSpan, - falsePositivesInexactSpan) - - print "\nResults for inexact span for concepts together.\n" - - print "True Positives: ", truePositivesInexactSpan - print "False Negatives: ", falseNegativesInexactSpan - print "False Positives: ", falsePositivesInexactSpan - - print "Recall: ", inexactSpan["Recall"] - print "Precision: ", inexactSpan["Precision"] - print "F Measure: ", inexactSpan["F Score"] - - #TO DO: ENSURE NUMBER OF FP,FN,TP is equal to number of predicted spans - #TO DO: number of FP, FN, TP is not same between exact and inexact. - - #LEFT OFF HERE. FIX DISPLAY FUNCTION - - displayMatrix(args.output, 'Exact' , confusionMatrixExactSpan) - displayMatrix(args.output, 'Inexact', confusionMatrixInexactSpan) - - - #print evaluate(deepcopy(referenceSpans), deepcopy(predictedSpans), exactMatch=False, reportSeperately=True) - - return - -if __name__ == '__main__': - main() - diff --git a/clicon/features_dir/__init__.py b/clicon/features_dir/__init__.py deleted file mode 100644 index e69de29..0000000 diff --git a/clicon/features_dir/features.py b/clicon/features_dir/features.py deleted file mode 100644 index a78834d..0000000 --- a/clicon/features_dir/features.py +++ /dev/null @@ -1,78 +0,0 @@ -###################################################################### -# CliCon - clicon_features.py # -# # -# Willie Boag wboag@cs.uml.edu # -# # -# Purpose: Isolate the model's features from model.py # -###################################################################### - - -__author__ = 'Willie Boag' -__date__ = 'Jan. 27, 2014' - - - -import nltk -import re - -from wordshape import getWordShapes -from utilities import prose_sentence - -from sentence_features import SentenceFeatures - - - -class FeatureWrapper: - - # FIXME - Make three objects - one for each classifier - - - # Instantiate an FeatureWrapper object - def __init__(self, data=None): - - # Sentence-level features - self.feat_sent = SentenceFeatures(data) - - - - # IOB_features() - # - # input: A sentence - # output: A hash table of features - def extract_IOB_features(self, sentence): - - # Different features depending on whether sentence is 'prose' - isProse = prose_sentence(sentence) - - if isProse: - features_list = self.feat_sent.IOB_prose_features(sentence) - else: - features_list = self.feat_sent.IOB_nonprose_features(sentence) - - # Return features as well as indication of whether it is prose or not - return (isProse, features_list) - - - - # concept_features() - # - # input: A sentence/line from a medical text file (list of chunks) - # An list of indices into the sentence for each important chunk - # output: A list of hash tables of features - def concept_features(self, sentence, chunk_inds): - - # FIXME - move all of this work to SentenceFeatures object - - ''' - # VERY basic feature set for sanity check tests during development - features_list = [] - for i,ind in enumerate(chunk_inds): - features = {('phrase',sentence[ind]) : 1} - features_list.append(features) - return features_list - ''' - - # Create a list of feature sets (one per chunk) - features_list = self.feat_sent.concept_features_for_sentence(sentence,chunk_inds) - return features_list - diff --git a/clicon/features_dir/genia_dir/.gitignore b/clicon/features_dir/genia_dir/.gitignore deleted file mode 100644 index bb6a4d3..0000000 --- a/clicon/features_dir/genia_dir/.gitignore +++ /dev/null @@ -1,2 +0,0 @@ -geniatagger-3.0.1* -*pyc diff --git a/clicon/features_dir/genia_dir/__init__.py b/clicon/features_dir/genia_dir/__init__.py deleted file mode 100644 index e69de29..0000000 diff --git a/clicon/features_dir/genia_dir/genia_cache.py b/clicon/features_dir/genia_dir/genia_cache.py deleted file mode 100644 index 128ad87..0000000 --- a/clicon/features_dir/genia_dir/genia_cache.py +++ /dev/null @@ -1,24 +0,0 @@ -import cPickle as pickle -import os - -class GeniaCache: - def __init__(self): - try: - prefix = os.path.dirname(__file__) - self.filename = os.path.join( prefix, 'genia_cache' ) - self.cache = pickle.load( open( self.filename , "rb" ) ) ; - except IOError: - self.cache = {} - - def has_key(self, key): - return self.cache.has_key( str(key) ) - - def add_map(self, key, value): - self.cache[ str(key) ] = value - - def get_map(self, key): - return self.cache[ str(key) ] - - def __del__(self): - pickle.dump( self.cache, open( self.filename, "wb" ) ) - diff --git a/clicon/features_dir/genia_dir/genia_features.py b/clicon/features_dir/genia_dir/genia_features.py deleted file mode 100644 index b9274aa..0000000 --- a/clicon/features_dir/genia_dir/genia_features.py +++ /dev/null @@ -1,69 +0,0 @@ -###################################################################### -# CliCon - genia_features.py # -# # -# Willie Boag wboag@cs.uml.edu # -# # -# Purpose: Independent GENIA module # -###################################################################### - - - -import interface_genia -from features_dir import utilities - - -class GeniaFeatures: - - - def __init__(self, tagger, data): - - """ - Constructor. - - @param data. A list of split sentences - """ - - # Filter out nonprose sentences - prose = [ sent for sent in data if utilities.prose_sentence(sent) ] - - # Process prose sentences with GENIA tagger - self.GENIA_features = iter(interface_genia.genia(tagger, prose)) - - - - - def features(self, sentence, is_prose=True): - - """ - features() - - @param sentence. A list of words to bind features to - @param is_prose. Mechanism for skipping nonprose (for alignment) - @return list of dictionaries (of features) - - Note: All data is tagged upon instantiation of GeniaFeatures object. - This function MUST take each line of the file (in order) as input - """ - - # Return value is a list of dictionaries (of features) - features_list = [ {} for _ in sentence ] - - - # Mechanism to allow for skipping nonprose - if not is_prose: return [] - - - # Get the GENIA features of the current sentence - genia_feats = next( self.GENIA_features ) - - - # Feature: Current word's GENIA features - for i,curr in enumerate(genia_feats): - keys = ['GENIA-stem','GENIA-POS','GENIA-chunktag'] - #keys = ['GENIA-stem','GENIA-POS','GENIA-chunktag', 'GENIA-NEtag'] - output = dict( ((k, curr[k]), 1) for k in keys if k in curr ) - features_list[i].update(output) - - - return features_list - diff --git a/clicon/features_dir/genia_dir/interface_genia.py b/clicon/features_dir/genia_dir/interface_genia.py deleted file mode 100644 index bf402a8..0000000 --- a/clicon/features_dir/genia_dir/interface_genia.py +++ /dev/null @@ -1,108 +0,0 @@ -###################################################################### -# CliCon - clicon_genia_interface.py # -# # -# Willie Boag wboag@cs.uml.edu # -# # -# Purpose: Provide a way for Python to utilize the output of the # -# GENIA Tagger # -# # -# Genia Tagger: http://www.nactem.ac.uk/tsujii/GENIA/tagger/ # -###################################################################### - - - -__author__ = 'Willie Boag' -__date__ = 'Jan. 27, 2014' - -import os -import sys -from commands import getstatusoutput - -from genia_cache import GeniaCache - - - -def genia(geniatagger, data): - - ''' - genia() - - Purpose: Call the genia tagger and return its output in python format - - @param geniatagger. A path to the executable geniatagger - @param data. A list of list of strings (lines of words from a file) - @return A list of dcitionaries of the genia tagger's output. - ''' - - # Lookup cache - cache = GeniaCache() - - # Get uncached lines - uncached = [] - for line in data: - sent = ' '.join(line) - if not cache.has_key(sent): - uncached.append(sent) - - - if uncached: - # write list to file and then feed it to GENIA - genia_dir = os.path.dirname(geniatagger) - out = os.path.join(genia_dir,'clicon_genia_tmp_file.txt') - with open(out, 'w') as f: - for line in uncached: f.write(line + '\n') - - # Run genia tagger - print '\t\tRunning GENIA tagger' - genia_dir = os.path.dirname(geniatagger) - stream = getstatusoutput('cd %s ; ./geniatagger -nt %s' %(genia_dir,out)) - print '\t\tFinished GENIA tagger' - - # Organize tagger output - linetags = [] - tagged = [] - for tag in stream[1].split('\n')[4:]: - if tag.split(): # Part of line - linetags.append(tag) - else: # End of line - tagged.append(linetags) - linetags = [] - - # Add tagger output to cache - for line,tags in zip(uncached,tagged): - cache.add_map(line,tags) - - # Remove temp file - os.remove(out) - - - # Extract features - linefeats = [] - retlist = [] - for line in data: - line = ' '.join(line) - - # Get tagged output from cache - tags = cache.get_map(line) - - for tag in tags: - tag = tag.split() - output = { 'GENIA-word' : tag[0] , - 'GENIA-stem' : tag[1] , - 'GENIA-POS' : tag[2] , - 'GENIA-chunktag': tag[3] , - 'GENIA-NEtag' : tag[4] } - - linefeats.append(output) - - retlist.append(linefeats) - linefeats = [] - - - return retlist - - - - -if __name__ == '__main__': - main() diff --git a/clicon/features_dir/read_config.py b/clicon/features_dir/read_config.py deleted file mode 100644 index 443be12..0000000 --- a/clicon/features_dir/read_config.py +++ /dev/null @@ -1,49 +0,0 @@ -###################################################################### -# CliCon - read_config.py # -# # -# Willie Boag wboag@cs.uml.edu # -# # -# Purpose: Read a configuration file to determine what features # -# are available on the system # -###################################################################### - - - -import os - - - -# -# enabled_modules -# -# @return dictionary of (name,resource path) pairs. -# -# ex. {'UMLS': None, 'GENIA': 'genia/geniatagger-3.0.1/geniatagger'} -# -def enabled_modules(): - - # Open config file - filename = os.path.join( os.getenv('CLICON_DIR'), 'config.txt' ) - f = open(filename, 'r') - - specs = {} - module_list = [ 'GENIA', 'UMLS' ] - - - for line in f.readlines(): - words = line.split() - if words: - - # Modules - if words[0] in module_list: - if words[1] == 'None': - specs[words[0]] = None - else: - specs[words[0]] = words[1] - - return specs - - - -# Read from config file when module is imported -print enabled_modules() diff --git a/clicon/features_dir/sentence_features.py b/clicon/features_dir/sentence_features.py deleted file mode 100644 index 78cc4bd..0000000 --- a/clicon/features_dir/sentence_features.py +++ /dev/null @@ -1,376 +0,0 @@ -###################################################################### -# CliCon - sentence_features.py # -# # -# Willie Boag wboag@cs.uml.edu # -# # -# Purpose: Isolate the model's sentence-level features # -###################################################################### - - -__author__ = 'Willie Boag' -__date__ = 'Apr. 27, 2014' - - - -import nltk -import re -from wordshape import getWordShapes - - - -# What modules are available -from read_config import enabled_modules - - - - -# Import feature modules -enabled = enabled_modules() -if enabled['GENIA']: - from genia_dir.genia_features import GeniaFeatures - -if enabled['UMLS']: - from umls_dir.umls_features import UMLSFeatures - -from word_features import WordFeatures - - - - -class SentenceFeatures: - - - # Feature Enabling - - enabled_concept_features = frozenset( ["UMLS"]) - - - - # Instantiate an Sentence object - def __init__(self, data): - - # Word-level features module - self.feat_word = WordFeatures() - - # Only run GENIA tagger if module is available - if data and enabled['GENIA']: - tagger = enabled['GENIA'] - self.feat_genia = GeniaFeatures(tagger,data) - - # Only create UMLS cache if module is available - if enabled['UMLS']: - self.feat_umls = UMLSFeatures() - - - self.enabled_IOB_nonprose_sentence_features = [] - #self.enabled_IOB_nonprose_sentence_features.append('pos') - #self.enabled_IOB_nonprose_sentence_features.append('pos_context') - self.enabled_IOB_nonprose_sentence_features.append('prev') - self.enabled_IOB_nonprose_sentence_features.append('next') - self.enabled_IOB_nonprose_sentence_features.append('unigram_context') - self.enabled_IOB_nonprose_sentence_features.append('UMLS') - - self.enabled_IOB_prose_sentence_features = [] - self.enabled_IOB_prose_sentence_features.append('unigram_context') - self.enabled_IOB_prose_sentence_features.append('pos') - self.enabled_IOB_prose_sentence_features.append('pos_context') - self.enabled_IOB_prose_sentence_features.append('prev') - self.enabled_IOB_prose_sentence_features.append('prev2') - self.enabled_IOB_prose_sentence_features.append('next') - self.enabled_IOB_prose_sentence_features.append('next2') - self.enabled_IOB_prose_sentence_features.append('GENIA') - self.enabled_IOB_prose_sentence_features.append('UMLS') - - - - - # IOB_prose_features() - # - # input: A sentence - # output: A list of hash tables of features - def IOB_prose_features(self, sentence): - - features_list = [] - - # Get a feature set for each word in the sentence - for i,word in enumerate(sentence): - features_list.append(self.feat_word.IOB_prose_features(sentence[i])) - - - # Feature: Bag of Words unigram conext (window=3) - if 'unigram_context' in self.enabled_IOB_prose_sentence_features: - window = 3 - n = len(sentence) - - # Previous unigrams - for i in range(n): - end = min(i, window) - unigrams = sentence[i-end:i] - for j,u in enumerate(unigrams): - features_list[i][('prev_unigrams-%d'%j,u)] = 1 - - # Next unigrams - for i in range(n): - end = min(i + window, n-1) - unigrams = sentence[i+1:end+1] - for j,u in enumerate(unigrams): - features_list[i][('next_unigrams-%d'%j,u)] = 1 - - - # Only POS tag once - if 'pos' in self.enabled_IOB_prose_sentence_features: - pos_tagged = nltk.pos_tag(sentence) - - - # Allow for particular features to be enabled - for feature in self.enabled_IOB_prose_sentence_features: - - - # Feature: Part of Speech - if feature == 'pos': - for (i,(_,pos)) in enumerate(pos_tagged): - features_list[i].update( { ('pos',pos) : 1} ) - - - # Feature: POS context - if 'pos_context' in self.enabled_IOB_prose_sentence_features: - window = 3 - n = len(sentence) - - # Previous POS - for i in range(n): - end = min(i, window) - for j,p in enumerate(pos_tagged[i-end:i]): - pos = p[1] - features_list[i][('prev_pos_context-%d'%j,pos)] = 1 - - # Next POS - for i in range(n): - end = min(i + window, n-1) - for j,p in enumerate(pos_tagged[i+1:i+end+1]): - pos = p[1] - features_list[i][('prev_pos_context-%d'%j,pos)] = 1 - - - # GENIA features - if (feature == 'GENIA') and enabled['GENIA']: - - # Get GENIA features - genia_feat_list = self.feat_genia.features(sentence) - - ''' - print '\t', sentence - - print '\n\n' - for gf in genia_feat_list: - print '\t', gf - print - print '\n\n' - ''' - - for i,feat_dict in enumerate(genia_feat_list): - features_list[i].update(feat_dict) - - - # Feature: UMLS Word Features (only use prose ones) - if (feature == "UMLS") and enabled['UMLS']: - umls_features = self.feat_umls.IOB_prose_features(sentence) - for i in range(len(sentence)): - features_list[i].update( umls_features[i] ) - - - # Used for 'prev' and 'next' features - ngram_features = [{} for i in range(len(features_list))] - if "prev" in self.enabled_IOB_prose_sentence_features: - prev = lambda f: {("prev_"+k[0], k[1]): v for k,v in f.items()} - prev_list = map(prev, features_list) - for i in range(len(features_list)): - if i == 0: - ngram_features[i][("prev", "*")] = 1 - else: - ngram_features[i].update(prev_list[i-1]) - - if "prev2" in self.enabled_IOB_prose_sentence_features: - prev2 = lambda f: {("prev2_"+k[0], k[1]): v/2.0 for k,v in f.items()} - prev_list = map(prev2, features_list) - for i in range(len(features_list)): - if i == 0: - ngram_features[i][("prev2", "*")] = 1 - elif i == 1: - ngram_features[i][("prev2", "*")] = 1 - else: - ngram_features[i].update(prev_list[i-2]) - - if "next" in self.enabled_IOB_prose_sentence_features: - next = lambda f: {("next_"+k[0], k[1]): v for k,v in f.items()} - next_list = map(next, features_list) - for i in range(len(features_list)): - if i < len(features_list) - 1: - ngram_features[i].update(next_list[i+1]) - else: - ngram_features[i][("next", "*")] = 1 - - if "next2" in self.enabled_IOB_prose_sentence_features: - next2 = lambda f: {("next2_"+k[0], k[1]): v/2.0 for k,v in f.items()} - next_list = map(next2, features_list) - for i in range(len(features_list)): - if i < len(features_list) - 2: - ngram_features[i].update(next_list[i+2]) - elif i == len(features_list) - 2: - ngram_features[i][("next2", "**")] = 1 - else: - ngram_features[i][("next2", "*")] = 1 - - merged = lambda d1, d2: dict(d1.items() + d2.items()) - features_list = [merged(features_list[i], ngram_features[i]) - for i in range(len(features_list))] - - - ''' - for f in features_list: - print sorted(f.items()) - print - print '\n\n\n' - ''' - - return features_list - - - - # IOB_nonprose_features() - # - # input: A sentence - # output: A hash table of features - def IOB_nonprose_features(self, sentence): - - - # Get a feature set for each word in the sentence - features_list = [] - for i,word in enumerate(sentence): - word_feats = self.feat_word.IOB_nonprose_features(sentence[i]) - features_list.append( word_feats ) - - - # Feature: Bag of Words unigram conext (window=3) - if 'unigram_context' in self.enabled_IOB_nonprose_sentence_features: - window = 3 - n = len(sentence) - - # Previous unigrams - for i in range(n): - end = min(i, window) - unigrams = sentence[i-end:i] - for j,u in enumerate(unigrams): - features_list[i][('prev_unigrams-%d'%j,u)] = 1 - - # Next unigrams - for i in range(n): - end = min(i + window, n-1) - unigrams = sentence[i+1:end+1] - for u in unigrams: - features_list[i][('next_unigrams-%d'%j,u)] = 1 - - - # Feature: UMLS Word Features (only use nonprose ones) - if enabled['UMLS'] and 'UMLS' in self.enabled_IOB_nonprose_sentence_features: - umls_features = self.feat_umls.IOB_nonprose_features(sentence) - for i in range(len(sentence)): - features_list[i].update( umls_features[i] ) - - - #return features_list - - if 'pos' in self.enabled_IOB_nonprose_sentence_features: - pos_tagged = nltk.pos_tag(sentence) - - - # Allow for particular features to be enabled - for feature in self.enabled_IOB_nonprose_sentence_features: - - # Feature: Part of Speech - if feature == 'pos': - for (i,(_,pos)) in enumerate(pos_tagged): - features_list[i][ ('pos',pos) ] = 1 - - - # Feature: POS context - if 'pos_context' in self.enabled_IOB_nonprose_sentence_features: - window = 3 - n = len(sentence) - - # Previous POS - for i in range(n): - end = min(i, window) - for j,p in enumerate(pos_tagged[i-end:i]): - pos = p[1] - features_list[i][('prev_pos_context-%d'%j,pos)] = 1 - - # Next POS - for i in range(n): - end = min(i + window, n-1) - for j,p in enumerate(pos_tagged[i+1:i+end+1]): - pos = p[1] - features_list[i][('prev_pos_context-%d'%j,pos)] = 1 - - - - ngram_features = [{} for _ in range(len(features_list))] - if "prev" in self.enabled_IOB_nonprose_sentence_features: - prev = lambda f: {("prev_"+k[0], k[1]): v for k,v in f.items()} - prev_list = map(prev, features_list) - for i in range(len(features_list)): - if i == 0: - ngram_features[i][("prev", "*")] = 1 - else: - ngram_features[i].update(prev_list[i-1]) - - if "next" in self.enabled_IOB_nonprose_sentence_features: - next = lambda f: {("next_"+k[0], k[1]): v for k,v in f.items()} - next_list = map(next, features_list) - for i in range(len(features_list)): - if i == len(features_list) - 1: - ngram_features[i][("next", "*")] = 1 - else: - ngram_features[i].update(next_list[i+1]) - - - merged = lambda d1, d2: dict(d1.items() + d2.items()) - features_list = [merged(features_list[i], ngram_features[i]) - for i in range(len(features_list))] - - - return features_list - - - - - def concept_features_for_sentence(self, sentence, chunk_inds): - - """ - concept_features() - - @param sentence. A sentence in list of chunk format - @param chunk_inds. A list of indices for non-None-labeled chunks - @return A list of feature dictionaries - """ - - - # Get a feature set for each word in the sentence - features_list = [] - for ind in chunk_inds: - features_list.append( self.feat_word.concept_features_for_chunk(sentence,ind) ) - - - # Allow for particular features to be enabled - for feature in self.enabled_concept_features: - - # Features: UMLS features - if (feature == "UMLS") and enabled['UMLS']: - umls_features = self.feat_umls.concept_features_for_chunks(sentence, chunk_inds) - for i in range(len(chunk_inds)): - features_list[i].update( umls_features[i] ) - - - return features_list - - diff --git a/clicon/features_dir/umls_dir/__init__.py b/clicon/features_dir/umls_dir/__init__.py deleted file mode 100644 index e69de29..0000000 diff --git a/clicon/features_dir/umls_dir/create_sqliteDB.py b/clicon/features_dir/umls_dir/create_sqliteDB.py deleted file mode 100644 index 014b91c..0000000 --- a/clicon/features_dir/umls_dir/create_sqliteDB.py +++ /dev/null @@ -1,112 +0,0 @@ -#database.py creates a .db file for performing umls searches. -import sqlite3 -import os -import sys -import os - -def create_db(): - - print "\ncreating umls.db" - #connect to the .db file we are creating. - db_path = os.path.join(os.environ['CLICON_DIR'],'umls_tables/umls.db') - conn = sqlite3.connect( db_path ) - conn.text_factory = str - - print "opening files" - #load data in files. - try: - mrsty_path = os.path.join(os.environ['CLICON_DIR'],'umls_tables/MRSTY') - MRSTY_TABLE = open( mrsty_path, "r" ) - except IOError: - print "\nNo file to use for creating MRSTY table\n" - conn.close() - sys.exit() - - try: - mrcon_path = os.path.join(os.environ['CLICON_DIR'],'umls_tables/MRCON') - MRCON_TABLE = open( mrcon_path , "r" ) - except IOError: - print "\nNo file to use for creating MRCON table\n" - conn.close() - sys.exit() - - try: - mrrel_path = os.path.join(os.environ['CLICON_DIR'],'umls_tables/MRREL') - MRREL_TABLE = open( mrrel_path , "r" ) - except IOError: - print "\nNo file to use for creating MRREL table\n" - conn.close() - sys.exit() - - print "reading files" - - MRSTY_TABLE = MRSTY_TABLE.read() - MRSTY_TABLE = MRSTY_TABLE.split('\n') - - MRCON_TABLE = MRCON_TABLE.read() - MRCON_TABLE = MRCON_TABLE.split( '\n' ) - - MRREL_TABLE = MRREL_TABLE.read() - MRREL_TABLE = MRREL_TABLE.split( '\n' ) - - #data that will be inserted into tables. - MRTSY_DATA = [] - MRCON_DATA = [] - MRREL_DATA = [] - - c = conn.cursor() - - print "parsing files" - - #parse and store the data from the files. - for line in MRSTY_TABLE: - MRTSY_DATA.append( tuple(line.split('|')) ) - for line in MRCON_TABLE: - MRCON_DATA.append( tuple(line.split('|')) ) - for line in MRREL_TABLE: - MRREL_DATA.append( tuple(line.split('|')) ) - - print "creating tables" - - #create tables. - c.execute( "CREATE TABLE MRCON( CUI, LAT, TS, LUI, STT, SUI, STR, LRL, EMPTY ) ;" ) - c.execute( "CREATE TABLE MRSTY( CUI, TUI, STY, EMPTY ) ;" ) - c.execute( "CREATE TABLE MRREL( CUI1, REL, CUI2, RELA, SAB, SL, MG, EMPTY ) ;" ) - - print "inserting data" - - #insert data onto database - for line in MRCON_DATA: - try: - c.execute( "INSERT INTO MRCON( CUI, LAT, TS, LUI, STT, SUI, STR, LRL, EMPTY ) values ( ?, ?, ? ,?, ?,?,?,?,?);", line ) - except sqlite3.ProgrammingError: - continue - for line in MRTSY_DATA: - try: - c.execute( "INSERT INTO MRSTY( CUI, TUI, STY, EMPTY) values( ?, ?, ?, ?)" , line ) - except sqlite3.ProgrammingError: - continue - for line in MRREL_DATA: - try: - c.execute( "INSERT INTO MRREL( CUI1, REL, CUI2, RELA, SAB, SL, MG, EMPTY ) values( ?, ?, ?, ?,?, ? ,? ,? )" , line ) - except sqlite3.ProgrammingError: - continue - - print "creating indices" - - #create indices for faster queries - c.execute( "CREATE INDEX mrsty_cui_map ON MRSTY(CUI)") - c.execute( "CREATE INDEX mrcon_str_map ON MRCON(STR)") - c.execute( "CREATE INDEX mrcon_cui_map ON MRCON(CUI)") - c.execute( "CREATE INDEX mrrel_cui2_map ON MRREL( CUI2 )" ) - c.execute( "CREATE INDEX mrrel_cui1_map on MRREL( CUI1 ) " ) - c.execute( "CREATE INDEX mrrel_rel_map on MRREL( REL )" ) - - #save changes to .db - conn.commit() - - print "\nsqlite database created" - - #close connection - conn.close() - diff --git a/clicon/features_dir/umls_dir/create_trie.py b/clicon/features_dir/umls_dir/create_trie.py deleted file mode 100644 index 51b7ba3..0000000 --- a/clicon/features_dir/umls_dir/create_trie.py +++ /dev/null @@ -1,87 +0,0 @@ -#database.py creates a .db file for performing umls searches. -import marisa_trie -import sys -import os -import cPickle as pickle - - - - -def create_trie(): - - """ - create_trie() - - Purpose: Build a trie of concepts from MRREL - - @return A trie object - """ - - # Is trie already built & pickled? - prefix = os.environ['CLICON_DIR'] - filename = os.path.join( prefix, 'umls_tables/umls-concept.trie' ) - try: - t = pickle.load( open( filename , "rb" ) ) ; - return t - except IOError: - pass - - - print "\ncreating concept-trie" - - #load data in files. - print "opening file" - try: - mrcon_path = os.path.join(os.environ['CLICON_DIR'],'umls_tables/MRCON') - MRCON_TABLE = open( mrcon_path , "r" ) - except IOError: - print "\nNo file to use for creating MRCON table\n" - conn.close() - sys.exit() - - - print "reading file" - MRCON_TABLE = MRCON_TABLE.read() - MRCON_TABLE = MRCON_TABLE.split( '\n' ) - - #data that will be inserted into tables. - MRCON_DATA = [] - - print "parsing file" - - #parse and store the data from the files. - for line in MRCON_TABLE: - MRCON_DATA.append( tuple(line.split('|')) ) - - #insert data onto database - print "inserting data" - concepts = [] - for line in MRCON_DATA: - if len(line) < 6: continue - - concept = line[6] - - # Ignore non-ascii - try: - concept.decode('ascii') - except: - continue - - #print type(concept) - concepts.append(concept) - - - print "creating trie" - t = marisa_trie.Trie(concepts) - - print "concept-trie created" - - - # Pickle trie - pickle.dump( t, open( filename, "wb" ) ) - - return t - - -if __name__ == '__main__': - t = create_trie() diff --git a/clicon/features_dir/umls_dir/interface_umls.py b/clicon/features_dir/umls_dir/interface_umls.py deleted file mode 100644 index 30e000f..0000000 --- a/clicon/features_dir/umls_dir/interface_umls.py +++ /dev/null @@ -1,80 +0,0 @@ -# -# Interface to UMLS Databases and concept trie -# -# -# - - -import copy -import sqlite3 -import create_sqliteDB -import os - -import create_trie - - - - -############################################ -### Setups / Handshakes ### -############################################ - - -#connect to UMLS database -def SQLConnect(): - #try to connect to the sqlite database. - db_path = os.path.join( os.environ['CLICON_DIR'], "umls_tables/umls.db") - if( os.path.isfile( db_path ) ): - print "\ndb exists" - else: - # Database does not exit. Make one. - print "\ndb doesn't exist" - create_sqliteDB.create_db() - - db = sqlite3.connect( db_path ) - return db.cursor() - - - - -############################################ -### Global reource connections ### -############################################ - - -# Global database connection -c = SQLConnect() - -# Global trie -trie = create_trie.create_trie() - - - - -############################################ -### Query Operations ### -############################################ - - -def string_lookup( string ): - """ Get sty for a given string """ - try: - c.execute( "SELECT sty FROM MRCON a, MRSTY b WHERE a.cui = b.cui AND str = ?; " , (string,) ) - return c.fetchall() - except sqlite3.ProgrammingError, e: - return [] - - -def cui_lookup( string ): - """ get cui for a given string """ - try: - # Get cuis - c.execute( "SELECT cui FROM MRCON WHERE str = ?;" , (string,) ) - return c.fetchall() - except sqlite3.ProgrammingError, e: - return [] - - -def concept_exists(string): - """ Fast query for set membership in trie """ - return string in trie diff --git a/clicon/features_dir/umls_dir/interpret_umls.py b/clicon/features_dir/umls_dir/interpret_umls.py deleted file mode 100644 index e120849..0000000 --- a/clicon/features_dir/umls_dir/interpret_umls.py +++ /dev/null @@ -1,163 +0,0 @@ -import cPickle as pickle -import interface_umls - - -def umls_semantic_type_word( umls_string_cache , sentence ): - # Already cached? - if False and umls_string_cache.has_key( sentence ): - mapping = umls_string_cache.get_map( sentence ) - else: - concepts = interface_umls.string_lookup( sentence ) - concepts = [ singleton[0] for singleton in set(concepts) ] - umls_string_cache.add_map(sentence , concepts) - mapping = umls_string_cache.get_map(sentence) - - return mapping - - -def umls_semantic_context_of_words( umls_string_cache, sentence ): - - #Defines the largest string span for the sentence. - WINDOW_SIZE = 7 - - # span of the umls concept of the largest substring - umls_context_list = [] - - # keys: tuple of (start,end) index of a substring - concept_span_dict = {} - - # Each sublist functions as the mappings for each word. - for i in sentence: - umls_context_list.append( [] ) - - # finds the span for each substring of length 1 to currentWindowSize. - for currentWindowSize in range( 1 , WINDOW_SIZE ): - for ti in range( 0 , ( len(sentence) - currentWindowSize ) + 1 ): - rawstring = "" - for tj in range( ti , ti + currentWindowSize): - rawstring += ( sentence[tj] + " " ) - - #Each string is of length 1 to currentWindowSize. - rawstring = rawstring.strip() - - # Not in cache yet? - if not( umls_string_cache.has_key( rawstring ) ): - # returns a tuple if there is a result or None is there is not. - concept = interface_umls.string_lookup( rawstring ) - - if not concept: - umls_string_cache.add_map( rawstring, None ) - else: - umls_string_cache.add_map( rawstring, concept ) ; - - #Store the concept into concept_span_dict with its span as a key. - concept_span_dict[(ti,ti+currentWindowSize-1)] = umls_string_cache.get_map( rawstring ) - - # For each substring if there is a span, then - # assign the concept to every word that is within in the substring - if umls_string_cache.get_map(rawstring): - for i in range( ti , ti + currentWindowSize ): - if len( umls_context_list[i] ) == 0: - umls_context_list[i].append([ti,ti+currentWindowSize-1]) - - else: - updated = 0 - for j in umls_context_list[i]: - if j[0] >= ti and j[1] <= (ti+currentWindowSize-1): - j[0] = ti - j[1] = ( ti + currentWindowSize - 1 ) - updated += 1 - if not(updated): - val = [ti,ti+currentWindowSize-1] - if umls_context_list[i].count(val)== 0: - umls_context_list[i].append(val) - - - - #create a list of sublists - # each sublist represents the contexts for which the word appears - mappings = [] - for i in umls_context_list: - spans = i - if len(spans) == 0: - mappings.append( None ) - else: - sub_mappings = [] - for j in spans: - sub_mappings.append( concept_span_dict[tuple(j)]) - - # FIXME - Decided to concat rather than append (not sure why) - mappings += sub_mappings - - return mappings - - -def umls_semantic_type_sentence( cache , sentence ): - - #Defines the largest string span for the sentence. - WINDOW_SIZE = 7 - - longestSpanLength = 0 - longestSpans = [] # List of (start,end) tokens - - for i in range(len(sentence)): - maxVal = min(i+WINDOW_SIZE, len(sentence)) - for j in range(i,maxVal): - # Lookup key - span = sentence[i:j+1] - rawstring = unicode(' '.join(span)) - - # string does have an associated UMLS concept? - if interface_umls.concept_exists(rawstring): - if len(span) == longestSpanLength: - longestSpans.append( (i,j) ) - # new longest span size - elif len(span) > longestSpanLength: - longestSpans = [ (i,j) ] - longestSpanLength = len(span) - - # lookup UMLS concept for a given (start,end) span - def span2concept(span): - rawstring = ' '.join(sentence[span[0]:span[1]+1]) - - # Already cached? - if cache.has_key( rawstring ): - return cache.get_map( rawstring ) - - else: - concept = interface_umls.string_lookup( rawstring ) - - if concept: - cache.add_map( rawstring , concept ) - else: - cache.add_map( rawstring , [] ) - - return cache.get_map( rawstring ) - - mappings = [ span2concept(span) for span in longestSpans ] - return mappings - - - -# Get the semantic types for a given word -def get_cui( cache , word ): - - # If already in cache - if cache.has_key( word + '--cuis' ): - - cuis = cache.get_map( word + '--cuis' ) - - else: - - # Get cui - cuis = interface_umls.cui_lookup(word) - - # Eliminate duplicates - cuis = list(set(cuis)) - cuis = [c[0] for c in cuis] - - # Store result in cache - cache.add_map( word + '--cuis', cuis ) - - return cuis - diff --git a/clicon/features_dir/umls_dir/umls_cache.py b/clicon/features_dir/umls_dir/umls_cache.py deleted file mode 100644 index e84e253..0000000 --- a/clicon/features_dir/umls_dir/umls_cache.py +++ /dev/null @@ -1,23 +0,0 @@ -import cPickle as pickle -import os - -class UmlsCache: - def __init__(self): - try: - prefix = os.environ['CLICON_DIR'] - self.filename = os.path.join( prefix, 'umls_tables/umls_cache' ) - self.cache = pickle.load( open( self.filename , "rb" ) ) ; - except IOError: - self.cache = {} - - def has_key( self , string ): - return self.cache.has_key( string ) - - def add_map( self , string, mapping ): - self.cache[string] = mapping - - def get_map( self , string ): - return self.cache[string] - - def __del__(self): - pickle.dump( self.cache, open( self.filename, "wb" ) ) diff --git a/clicon/features_dir/umls_dir/umls_features.py b/clicon/features_dir/umls_dir/umls_features.py deleted file mode 100644 index 8166338..0000000 --- a/clicon/features_dir/umls_dir/umls_features.py +++ /dev/null @@ -1,184 +0,0 @@ -###################################################################### -# CliCon - umls_features.py # -# # -# Willie Boag wboag@cs.uml.edu # -# # -# Purpose: Independent UMLS module # -###################################################################### - - - -from umls_cache import UmlsCache -import interpret_umls - - - -class UMLSFeatures: - - - def __init__(self): - - """ - UMLSFeatures::Constructor - """ - - # cache for the mappings of all umls lookups made - self.umls_lookup_cache = UmlsCache() - - - - def IOB_prose_features(self, sentence): - - """ - UMLSFeatures::IOB_prose_features() - - @ param sentence. A list of words - @return dictionary of features - """ - - features_list = [] - - for word in sentence: - features_list.append( self.features_for_word(word) ) - - return features_list - - - - def IOB_nonprose_features(self, sentence): - - """ - UMLSFeatures::IOB_nonprose_features() - - @ param sentence. A list of words - @return dictionary of features - """ - - features_list = [] - - for word in sentence: - features_list.append( self.features_for_word(word) ) - - - # TODO - Add umls.umls_semantic_type_sentence() to first pass feature set - ''' - # Feature: UMLS semantic type for the sentence - # a list of the uml semantic of the largest substring(s). - sentence_mapping = umls.umls_semantic_type_sentence( self.umls_lookup_cache, sentence ) - - # if there are no mappings - if not sentence_mapping: - features[('umls_semantic_type_sentence', None ) ] = 1 - # assign the umls definitions to the vector for each word - else: - for concept in sentence_mapping: - if concept: - for mapping in concept: - features[('umls_semantic_type_sentence' , mapping[0] ) ] = 1 - ''' - - - return features_list - - - - - def features_for_word(self, word): - - """ - UMLSFeatures::features_for_word() - - @ param word. word to lookup in UMLS database - @return dictionary of word-level features - """ - - - # Return value is a list of dictionaries (of features) - features = {} - - #print '\n' - #print word - - # Feature: UMLS Semantic Types - cuis = interpret_umls.get_cui(self.umls_lookup_cache , word) - - # Add each CUI - if cuis: - for cui in cuis: - features[('umls_cui',cui)] = 1 - #print '\tcui: ', cui - #print - - - # Feature: UMLS Semantic Type (for each word) - mapping = interpret_umls.umls_semantic_type_word(self.umls_lookup_cache , word ) - - # Add each semantic type - if mapping: - for concept in mapping: - features[('umls_semantic_type_word', concept )] = 1 - #print '\t', 'semantic_type_word: ', concept - #print - - return features - - - - def concept_features_for_chunk(self, sentence, ind): - - """ - UMLSFeatures::concept_features_for_sentence() - - @ param sentence. list of words from line (after flattening chunks) - @return dictionary of chunk-level features - """ - - #print '\n\n\n' - #print 'concept_features_for_chunk' - #print sentence - #print ind - - # Return value is a list of dictionaries (of features) - features = {} - - # UMLS features for each words - for word in sentence[ind].split(): - word_feats = self.features_for_word(word) - features.update(word_feats) - - - # Feature: UMLS semantic type for the sentence - # a list of the uml semantic of the largest substring(s). - sentence_mapping = interpret_umls.umls_semantic_type_sentence( self.umls_lookup_cache, sentence ) - - # if there are no mappings - if not sentence_mapping: - features[('umls_semantic_type_sentence', None ) ] = 1 - # assign the umls definitions to the vector for each word - else: - for concept in sentence_mapping: - for mapping in concept: - features[('umls_semantic_type_sentence' , mapping[0] ) ] = 1 - - - # Feature: UMLS semantic context - - # the umls definition of the largest string the word is in - umls_semantic_context_mappings = interpret_umls.umls_semantic_context_of_words( self.umls_lookup_cache , sentence ) - - # there could be multiple contexts, iterate through the sublist - for mapping in umls_semantic_context_mappings: - if not mapping: continue - for concept in mapping: - features[('umls_semantic_context',concept)] = 1 - - return features - - - - def concept_features_for_chunks(self, sentence, inds): - retVal = [] - for ind in inds: - retVal.append( self.concept_features_for_chunk(sentence, ind) ) - return retVal - diff --git a/clicon/features_dir/utilities.py b/clicon/features_dir/utilities.py deleted file mode 100644 index 2041f71..0000000 --- a/clicon/features_dir/utilities.py +++ /dev/null @@ -1,72 +0,0 @@ -###################################################################### -# CliCon - utilities.py # -# # -# Willie Boag wboag@cs.uml.edu # -# # -# Purpose: Miscellaneous tools for handling data. # -###################################################################### - - -import re - - -# prose_sentence() -# -# input: A sentence -# output: Boolean yes/no -def prose_sentence(sentence): - - # Empty sentence is not prose - if not sentence: - return False - - if sentence[-1] == '.' or sentence[-1] == '?': - return True - elif sentence[-1] == ':': - return False - elif len(sentence) <= 5: - return False - elif at_least_half_nonprose(sentence): - return True - else: - return False - - - -# at_least_half_nonprose() -# -# input: A sentence -# output: A bollean yes/no -def at_least_half_nonprose(sentence): - - count = len( [ w for w in sentence if prose_word(w) ] ) - - if count >= len(sentence)/2: - return True - else: - return False - - - -# prose_word() -# -# input: A word -# output: Boolean yes/no -def prose_word(word): - - # Punctuation - for punc in ".?,!:\"'": - if punc in word: - return False - - # Digit - if re.match('\d', word): - return False - - # All uppercase - if word == word.upper(): - return False - - # Else - return True - diff --git a/clicon/features_dir/word_features.py b/clicon/features_dir/word_features.py deleted file mode 100644 index 6b2440e..0000000 --- a/clicon/features_dir/word_features.py +++ /dev/null @@ -1,411 +0,0 @@ -###################################################################### -# CliCon - word_features.py # -# # -# Willie Boag wboag@cs.uml.edu # -# # -# Purpose: Isolate all word-level features into a single file # -###################################################################### - - - - -__author__ = 'Willie Boag' -__date__ = 'Apr 27, 2014' - - - -import nltk -import re -from wordshape import getWordShapes - - - - -class WordFeatures: - - enabled_IOB_prose_word_features = frozenset( ['Generic#', 'last_two_letters', 'word', 'length', 'mitre', 'stem_porter', 'stem_lancaster', 'word_shape', 'metric_unit' ] ) - - enabled_IOB_nonprose_word_features = frozenset( ['word', 'word_shape', 'mitre', 'QANN' ] ) - - #enabled_concept_features = frozenset( ['word', 'prefix', 'stem_porter', 'stem_lancaster', 'previous_word_stem', 'next_word_stem'] ) - enabled_concept_features = frozenset( ['word', 'prefix', 'stem_porter', 'stem_lancaster', 'previous_word_stem', 'next_word_stem', 'word_shape', 'metric_unit', 'mitre', 'directive', 'date'] ) - - - def __init__(self): - pass - - - # IOB_prose_features_for_word() - # - # input: A single word - # output: A dictionary of features - def IOB_prose_features(self, word): - - # Feature: - features = {('dummy', None): 1} # always have >0 dimensions - - # Allow for particular features to be enabled - for feature in self.enabled_IOB_prose_word_features: - - if feature == "word": - features[(feature, word.lower())] = 1 - - if feature == "stem_lancaster": - st = nltk.stem.LancasterStemmer() - features[ (feature, st.stem(word.lower())) ] = 1 - - # Feature: Generic# stemmed word - if feature == 'Generic#': - generic = re.sub('[0-9]','0',word) - features[ ('Generic#',generic) ] = 1 - - # Feature: Last two leters of word - if feature == 'last_two_letters': - features[ ('last_two_letters',word[-2:]) ] = 1 - - - if feature == "length": - features[(feature, None)] = len(word) - - if feature == "stem_porter": - st = nltk.stem.PorterStemmer() - features[(feature, st.stem(word))] = 1 - - - if feature == "mitre": - for f in self.mitre_features: - if re.search(self.mitre_features[f], word): - features[(feature, f)] = 1 - - if feature == "word_shape": - wordShapes = getWordShapes(word) - for shape in wordShapes: - features[(feature, shape)] = 1 - - - return features - - - - - - # IOB_nonprose_features_for_word() - # - # input: A single word - # output: A dictionary of features - def IOB_nonprose_features(self, word): - - features = {} - - # Feature: The word, itself - features[('word', word.lower())] = 1 - - # Allow for particular features to be enabled - for feature in self.enabled_IOB_nonprose_word_features: - - # Feature: Mitre - if feature == "mitre": - for f in self.mitre_features: - if re.search(self.mitre_features[f], word): - features[('mitre', f)] = 1 - - # Feature: Word Shape - if feature == "word_shape": - wordShapes = getWordShapes(word) - for shape in wordShapes: - features[('word_shape', shape)] = 1 - - # Feature: QANN features - if feature == 'QANN': - qann_feats = self.QANN_features(word) - features.update(qann_feats) - - return features - - - - - def concept_features_for_word(self, word): - - """ - concept_features_for_word() - - @param word. A word to generate features for - @return A dictionary of features - """ - - features = {} - - # Allow for particular features to be enabled - for feature in self.enabled_concept_features: - - # Feature: Uncased Word - if feature == "word": - features[ ("word",word.lower()) ] = 1 - - - ''' - # Feature: Porter Stem - if feature == "stem_porter": - st = nltk.stem.PorterStemmer() - features[ ("stem_poter", st.stem(word)) ] = 1 - - # Feature: Lancaster Stem - if feature == "stem_lancaster": - st = nltk.stem.LancasterStemmer() - features[ ("stem_lancaster", st.stem(word)) ] = 1 - ''' - - ''' - # Feature: First Four Letters - if feature == "prefix": - prefix = word[:4].lower() - features[ ("prefix",prefix) ] = 1 - ''' - - ''' - # Use: None - # Feature: Length - if feature == "length": - features[ ("length",None) ] = len(word) - ''' - - # Feature: Metric Unit - if feature == "metric_unit": - unit = None - if self.is_weight(word): - unit = 'weight' - elif self.is_size(word): - unit = 'size' - elif self.is_volume(word): - unit = 'volume' - features[('metric_unit',unit)] = 1 - - ''' - # Feature: Date - if feature == 'date': - if self.is_date(word): - features[('date',None)] = 1 - - # Feature: Directive - if feature == 'directive': - if self.is_directive(word): - features[('directive',None)] = 1 - - # Feature: Mitre - if feature == "mitre": - for f in self.mitre_features: - if re.search(self.mitre_features[f], word): - features[('mitre', f)] = 1 - - # Feature: Word Shape - if feature == "word_shape": - wordShapes = getWordShapes(word) - for shape in wordShapes: - features[('word_shape', shape)] = 1 - ''' - - - - return features - - - - - def concept_features_for_chunk(self, sentence, ind): - - """ - concept_features_for_chunk() - - @param word. A chunk from the sentence - @return A dictionary of features - """ - - features = {'dummy':1} - - # Word-level features for each word of the chunk - for w in sentence[ind].split(): - word_features = self.concept_features_for_word(w) - features.update(word_features) - - return features - - # Stemmer - st = nltk.stem.PorterStemmer() - - - # Context windows - for feature in self.enabled_concept_features: - - # Feature: Previous word - if feature == "previous_word_stem": - if ind != 0: - prev_ind = ind - 1 - prev_chunk = sentence[prev_ind].split() - prev_word = st.stem( prev_chunk[-1] ) - features[ ('prev_word_stem',prev_word) ] = 1 - else: - features[ ('prev_word_stem','') ] = 1 - - # Feature: Previous word - if feature == "next_word_stem": - if ind != len(sentence)-1: - next_ind = ind + 1 - next_chunk = sentence[next_ind].split() - next_word = st.stem( next_chunk[0] ) - features[ ('next_word_stem',next_word) ] = 1 - else: - features[ ('next_word_stem','') ] = 1 - - - return features - - - - - mitre_features = { - "INITCAP": r"^[A-Z].*$", - "ALLCAPS": r"^[A-Z]+$", - "CAPSMIX": r"^[A-Za-z]+$", - "HASDIGIT": r"^.*[0-9].*$", - "SINGLEDIGIT": r"^[0-9]$", - "DOUBLEDIGIT": r"^[0-9][0-9]$", - "FOURDIGITS": r"^[0-9][0-9][0-9][0-9]$", - "NATURALNUM": r"^[0-9]+$", - "REALNUM": r"^[0-9]+.[0-9]+$", - "ALPHANUM": r"^[0-9A-Za-z]+$", - "HASDASH": r"^.*-.*$", - "PUNCTUATION": r"^[^A-Za-z0-9]+$", - "PHONE1": r"^[0-9][0-9][0-9]-[0-9][0-9][0-9][0-9]$", - "PHONE2": r"^[0-9][0-9][0-9]-[0-9][0-9][0-9]-[0-9][0-9][0-9][0-9]$", - "FIVEDIGIT": r"^[0-9][0-9][0-9][0-9][0-9]", - "NOVOWELS": r"^[^AaEeIiOoUu]+$", - "HASDASHNUMALPHA": r"^.*[A-z].*-.*[0-9].*$ | *.[0-9].*-.*[0-9].*$", - "DATESEPERATOR": r"^[-/]$", - } - - # Try to get QANN features - def QANN_features(self, word): - features = {} - - # Feature: test result - if self.is_test_result(word): features[('test_result',None)] = 1 - - # Feature: measurements - if self.is_measurement(word): features[('measurement',None)] = 1 - - # Feature: directive - if self.is_directive(word): features[('directive', None)] = 1 - - # Feature: date - if self.is_date(word): features[('date', None)] = 1 - - # Feature: volume - if self.is_volume(word): features[('volume', None)] = 1 - - # Feature: weight - if self.is_weight(word): features[('weight', None)] = 1 - - # Feature: size - if self.is_size(word): features[('size', None)] = 1 - - # Feature: prognosis location - if self.is_prognosis_location: features[('prog_location', None)] = 1 - - # Feature: problem form - if self.has_problem_form(word): features[('problem_form', None)] = 1 - - # Feature: concept class - if self.is_weight(word): features[('weight', None)] = 1 - - return features - - - def is_test_result(self, context): - # note: make spaces optional? - regex = r"^[A-Za-z]+( )*(-|--|:|was|of|\*|>|<|more than|less than)( )*[0-9]+(%)*" - if not re.search(regex, context): - return re.search(r"^[A-Za-z]+ was (positive|negative)", context) - return True - - def is_measurement(self, word): - regex = r"^[0-9]*(unit(s)|cc|L|mL|dL)$" - return re.search(regex, word) - - def is_directive(self, word): - regex = r"^(q\..*|q..|PRM|bid|prm|p\..*)$" - return re.search(regex, word) - - def is_date(self, word): - regex= r'^(\d\d\d\d-\d\d-\d|\d\d?-\d\d?-\d\d\d\d?|\d\d\d\d-\d\d?-\d\d?)$' - return re.search(regex,word) - - def is_volume(self, word): - regex = r"^[0-9]*(ml|mL|dL)$" - return re.search(regex, word) - - def is_weight(self, word): - regex = r"^[0-9]*(mg|g|mcg|milligrams|grams)$" - return re.search(regex, word) - - def is_size(self, word): - regex = r"^[0-9]*(mm|cm|millimeters|centimeters)$" - return re.search(regex, word) - - def is_prognosis_location(self, word): - regex = r"^(c|C)[0-9]+(-(c|C)[0-9]+)*$" - return re.search(regex, word) - - def has_problem_form(self, word): - regex = r".*(ic|is)$" - return re.search(regex, word) - - # checks for a definitive classification at the word level - def get_def_class(self, word): - test_terms = { - "eval", "evaluation", "evaluations", - "sat", "sats", "saturation", - "exam", "exams", - "rate", "rates", - "test", "tests", - "xray", "xrays", - "screen", "screens", - "level", "levels", - "tox" - } - problem_terms = { - "swelling", - "wound", "wounds", - "symptom", "symptoms", - "shifts", "failure", - "insufficiency", "insufficiencies", - "mass", "masses", - "aneurysm", "aneurysms", - "ulcer", "ulcers", - "trama", "cancer", - "disease", "diseased", - "bacterial", "viral", - "syndrome", "syndromes", - "pain", "pains" - "burns", "burned", - "broken", "fractured" - } - treatment_terms = { - "therapy", - "replacement", - "anesthesia", - "supplement", "supplemental", - "vaccine", "vaccines" - "dose", "doses", - "shot", "shots", - "medication", "medicine", - "treament", "treatments" - } - if word.lower() in test_terms: - return 1 - elif word.lower() in problem_terms: - return 2 - elif word.lower() in treatment_terms: - return 3 - return 0 - diff --git a/clicon/features_dir/wordshape.py b/clicon/features_dir/wordshape.py deleted file mode 100644 index 06844bd..0000000 --- a/clicon/features_dir/wordshape.py +++ /dev/null @@ -1,421 +0,0 @@ -import re - -BOUNDARY_SIZE = 2 - -NOWORDSHAPE = -1 -WORDSHAPEDAN1 = 0 -WORDSHAPECHRIS1 = 1 -WORDSHAPEDAN2 = 2 -WORDSHAPEDAN2USELC = 3 -WORDSHAPEDAN2BIO = 4 -WORDSHAPEDAN2BIOUSELC = 5 -WORDSHAPEJENNY1 = 6 -WORDSHAPEJENNY1USELC = 7 -WORDSHAPECHRIS2 = 8 -WORDSHAPECHRIS2USELC = 9 -WORDSHAPECHRIS3 = 10 -WORDSHAPECHRIS3USELC = 11 - -greek = ["alpha", "beta", "gamma", "delta", "epsilon", "zeta", "theta", "iota", "kappa", "lambda", "omicron", "rho", "sigma", "tau", "upsilon", "omega"] -biogreek = r"alpha|beta|gamma|delta|epsilon|zeta|theta|iota|kappa|lambda|omicron|rho|sigma|tau|upsilon|omega" - - -def lookupShaper(name): - if name is None: - return NOWORDSHAPE - elif name.lower() == "dan1": - return WORDSHAPEDAN1 - elif name.lower() == "chris1": - return WORDSHAPECHRIS1 - elif name.lower() == "dan2": - return WORDSHAPEDAN2 - elif name.lower() == "dan2useLC": - return WORDSHAPEDAN2USELC - elif name.lower() == "dan2bio": - return WORDSHAPEDAN2BIO - elif name.lower() == "dan2bioUseLC": - return WORDSHAPEDAN2BIOUSELC - elif name.lower() == "jenny1": - return WORDSHAPEJENNY1 - elif name.lower() == "jenny1useLC": - return WORDSHAPEJENNY1USELC - elif name.lower() == "chris2": - return WORDSHAPECHRIS2 - elif name.lower() == "chris2useLC": - return WORDSHAPECHRIS2USELC - elif name.lower() == "chris3": - return WORDSHAPECHRIS3 - elif name.lower() == "chris3useLC": - return WORDSHAPECHRIS3USELC - else: - return NOWORDSHAPE - - -def dontUseLC(shape): - return shape == WORDSHAPEDAN2 or shape == WORDSHAPEDAN2BIO or shape == WORDSHAPEJENNY1 or shape == WORDSHAPECHRIS2 or shape == WORDSHAPECHRIS3 - - -def wordShape(inStr, wordShaper): - return wordShape(inStr, wordShaper, None) - - -def wordShape(inStr, wordShaper, knownLCWords): - if knownLCWords is not None and dontUseLC(wordShaper): - knownLCWords = None - - if wordShaper == NOWORDSHAPE: - return inStr - elif wordShaper == WORDSHAPEDAN1: - return wordShapeDan1(inStr) - elif wordShaper == WORDSHAPECHRIS1: - return wordShapeChris1(inStr) - elif wordShaper == WORDSHAPEDAN2: - return wordShapeDan2(inStr, knownLCWords) - elif wordShaper == WORDSHAPEDAN2USELC: - return wordShapeDan2(inStr, knownLCWords) - elif wordShaper == WORDSHAPEDAN2BIO: - return wordShapeDan2Bio(inStr, knownLCWords) - elif wordShaper == WORDSHAPEDAN2BIOUSELC: - return wordShapeDan2Bio(inStr, knownLCWords) - elif wordShaper == WORDSHAPEJENNY1: - return wordShapeJenny1(inStr, knownLCWords) - elif wordShaper == WORDSHAPEJENNY1USELC: - return wordShapeJenny1(inStr, knownLCWords) - elif wordShaper == WORDSHAPECHRIS2: - return wordShapeChris2(inStr, False, knownLCWords) - elif wordShaper == WORDSHAPECHRIS2USELC: - return wordShapeChris2(inStr, False, knownLCWords) - elif wordShaper == WORDSHAPECHRIS3: - return wordShapeChris2(inStr, True, knownLCWords) - elif wordShaper == WORDSHAPECHRIS3USELC: - return wordShapeChris2(inStr, True, knownLCWords) - - -def wordShapeDan1(s): - digit = True - upper = True - lower = True - mixed = True - i = 0 - for c in s: - if not c.isdigit(): - digit = False - if not c.islower(): - lower = False - if not c.isupper(): - upper = False - if (i == 0 and not c.isupper()) or (i >= 1 and not c.islower()): - mixed = False - i += 1 - if (digit): - return "ALL-DIGITS" - if (upper): - return "ALL-UPPER" - if (lower): - return "ALL-LOWER" - if (mixed): - return "MIXED-CASE" - return "OTHER" - - -def wordShapeDan2(s, knownLCWords): - sb = "WT-" - lastM = '~' - nonLetters = False - length = len(s) - for c in s: - m = c - if c.isdigit(): - m = 'd' - if c.islower() or c == '_': - m = 'x' - if c.isupper(): - m = 'X' - if m != 'x' and m != 'X': - nonLetters = True - if m != lastM: - sb += m - lastM = m - - if length <= 3: - sb += ':' + str(length) - - if knownLCWords is not None: - if not nonLetters and knownLCWords.contains(s.lower()): - sb += 'k' - return sb - - -def wordShapeJenny1(s): - sb = "WT-" - lastM = '~' - nonLetters = False - length = len(s) - - for i in range (0, length): - c = s[i] - m = c - if c.isdigit(): - m = 'd' - if c.islower(): - m = 'x' - if c.isupper(): - m = 'X' - - for gr in greek: - if s.startswith(gr): - m = 'g' - i = i + len(gr) - 1 - break - - if m != 'x' and m != 'X': - nonLetters = True - - if m != lastM: - sb += m - - lastM = m - - if length <= 3: - sb += ':' + str(length) - - #if knownLCWords is not None: - # if not nonLetters and knownLCWords.contains(s.lower()): - # sb += 'k' - return sb - - -def wordShapeChris2(s, omitIfInBoundary, knownLCWords): - length = len(s) - if length <= BOUNDARY_SIZE * 2: - return wordShapeChris2Short(s, length, knownLCWords) - else: - return wordShapeChris2Long(s, omitIfInBoundary, length, knownLCWords) - - -def wordShapeChris2Short(s, length, knownLCWords): - sblength = length - sb = "" - - if knownLCWords is not None: - sblength = length + 1 - - nonLetters = False - - for i in range (0, length): - c = s[i] - m = c - if c.isdigit(): - m = 'd' - if c.islower(): - m = 'x' - if c.isupper() or c.istitle(): - m = 'X' - - for gr in greek: - if s.startswith(gr): - m = 'g' - i = i + len(gr) - 1 - break - - if m != 'x' and m != 'X': - nonLetters = True - - sb += m - - if knownLCWords is not None: - if not nonLetters and knownLCWords.contains(s.lower()): - sb += 'k' - return sb - - -def wordShapeChris2Long (s, omitIfInBoundary, length, knownLCWords): - beginChars = "" - endChars = "" - beginUpto = 0 - endUpto = 0 - seenSet = set([]) - - nonLetters = False - for i in range (0, len(s)): - iIncr = 0 - c = s[i] - m = c - if c.isdigit(): - m = 'd' - elif c.islower(): - m = 'x' - elif c.isupper() or c.istitle(): - m = 'X' - - for gr in greek: - if s.startswith(gr): - m = 'g' - iIncr = len(gr) - 1 - break - if m != 'x' and m != 'X': - nonLetters = True - - if i < BOUNDARY_SIZE: - beginChars += m - beginUpto += 1 - elif i < length - BOUNDARY_SIZE: - seenSet.add(m) - else: - endChars += m - endUpto += 1 - i += iIncr - - sbSize = beginUpto + endUpto + len(seenSet) - - if knownLCWords is not None: - sbSize += 1 - - sb = "" - sb += beginChars - if omitIfInBoundary: - for ch in seenSet: - insert = True - for i in range (0, beginUpto): - if beginChars[i] == ch: - insert = False - break - - for i in range (0, endUpto): - if endChars[i] == ch: - insert = False - break - if (insert): - sb += ch - else: - for ch in seenSet: - sb += ch - sb += endChars - if knownLCWords is not None: - if not nonLetters and knownLCWords.contains(s.tolower()): - sb += 'k' - return sb - -#def wordShapeDan2Bio( s, knownLCWords): - # if containsGreekLetter(s): - # return wordShapeDan2(s, knownLCWords) + "-GREEK" - # else: - # return wordShapeDan2(s, knownLCWords) - - -def containsGreekLetter (s): - return re.search(biogreek, s) - - -def wordShapeChris1 (s): - length = len(s) - if length == 0: - return "SYMBOL" - - cardinal = False - number = True - seenDigit = False - seenNonDigit = False - - for i in range(0, length): - ch = s[i] - digit = ch.isdigit() - if digit: - seenDigit = True - else: - seenNonDigit = True - digit = digit or ch == '.' or ch == ',' or (i == 0 and (ch == '-' or ch == '+')) - if not digit: - number = False - - if not seenDigit: - number = False - elif not seenNonDigit: - cardinal = True - - if cardinal: - if (length < 4): - return "CARDINAL13" - elif (length == 4): - return "CARDINAL4" - else: - return "CARDINAL5PLUS" - elif number: - return "NUMBER" - - seenLower = False - seenUpper = False - allCaps = True - allLower = True - initCap = False - dash = False - period = False - - for i in range (0, length): - ch = s[i] - up = ch.isupper() - let = re.search(r"^[A-Za-z]+$", ch) - tit = ch.istitle() - if ch == '-': - dash = True - elif ch == '.': - period = True - - if (tit): - seenUpper = True - allLower = False - seenLower = True - allCaps = False - elif (up): - seenUpper = True - allLower = False - elif (let): - seenLower = True - allCaps = False - - if i == 0 and (up or tit): - initCap = True - - if length == 2 and initCap and period: - return "ACRONYM1" - elif seenUpper and allCaps and not seenDigit and period: - return "ACRONYM" - elif seenDigit and dash and not seenUpper and not seenLower: - return "DIGIT-DASH" - elif initCap and seenLower and seenDigit and dash: - return "CAPITALIZED-DIGIT-DASH" - elif initCap and seenLower and seenDigit: - return "CAPITALIZED-DIGIT" - elif initCap and seenLower & dash: - return "CAPITALIZED-DASH" - elif initCap and seenLower: - return "CAPITALIZED" - elif seenUpper and allCaps and seenDigit and dash: - return "ALLCAPS-DIGIT-DASH" - elif seenUpper and allCaps and seenDigit: - return "ALLCAPS-DIGIT" - elif seenUpper and allCaps and dash: - return "ALLCAPS" - elif seenUpper and allCaps: - return "ALLCAPS" - elif seenLower and allLower and seenDigit and dash: - return "LOWERif wordShaper ==-DIGIT-DASH" - elif seenLower and allLower and seenDigit: - return "LOWERif wordShaper ==-DIGIT" - elif seenLower and allLower and dash: - return "LOWERif wordShaper ==-DASH" - elif seenLower and allLower: - return "LOWERif wordShaper ==" - elif seenLower and seenDigit: - return "MIXEDif wordShaper ==-DIGIT" - elif seenLower: - return "MIXEDif wordShaper ==" - elif seenDigit: - return "SYMBOL-DIGIT" - else: - return "SYMBOL" - - -# gets Chris1, Dan1, Jenny1, Chris2 and Dan2 word shapes -def getWordShapes(word): - return [wordShapeChris1(word), wordShapeDan1(word), wordShapeJenny1(word), wordShapeChris2(word, False, None), wordShapeDan2(word, None)] diff --git a/clicon/format.py b/clicon/format.py deleted file mode 100644 index c205e96..0000000 --- a/clicon/format.py +++ /dev/null @@ -1,144 +0,0 @@ -###################################################################### -# CliCon - format.py # -# # -# Willie Boag wboag@cs.uml.edu # -# # -# Purpose: Script to convert among different data formats. # -###################################################################### - - -__author__ = 'Willie Boag' -__date__ = 'Jul. 3, 2014' - - - -import argparse -import sys -import os -import glob - -import helper -from notes.note import Note - - - - -def create_filename(odir, bfile, extension): - fname = os.path.basename(bfile) + extension - return os.path.join(odir,fname) - - - -def main(): - - # Argument Parser - parser = argparse.ArgumentParser() - - parser.add_argument("-t", - dest = "txt", - help = "The files that contain the training examples", - ) - - parser.add_argument("-a", - dest = "annotations", - help = "The files that contain the labels for the training examples", - ) - - parser.add_argument("-o", - dest = "out", - default = None, - help = "Directory to output data", - ) - - parser.add_argument("-f", - dest = "format", - help = "Output format (%s)"%str(' or '.join(Note.supportedFormats())), - ) - - # Parse the command line arguments - args = parser.parse_args() - - - # Parse arguments - txt = args.txt - annotations = args.annotations - out_file = args.out - format = args.format - - - # Ensure annotations are specified - if not txt: - print >>sys.stderr, '\n\tError: Must supply text file' - print >>sys.stderr - exit(1) - elif not os.path.exists(txt): - print >>sys.stderr, '\n\tError: Given text file does not exist' - print >>sys.stderr - exit(1) - - # Ensure annotations are specified - extensions = Note.supportedFormatExtensions() - if not annotations: - print >>sys.stderr, '\n\tError: Must supply annotations' - print >>sys.stderr - exit(2) - elif not os.path.exists(txt): - print >>sys.stderr, '\n\tError: Given annotation file does not exist' - print >>sys.stderr - exit(2) - elif os.path.splitext(annotations)[1][1:] not in extensions: - print >>sys.stderr, '\n\tError: annotation must be a supported format' - print >>sys.stderr, '\t\t(.%s)' %str(' or .'.join(extensions) ) - print >>sys.stderr - exit(2) - - # Ensure output format is specified - if (not format) or (format not in Note.supportedFormats()): - print >>sys.stderr, '\n\tError: Must specify supported output format' - print >>sys.stderr, '\t\t(%s)' %str(' or '.join(Note.supportedFormats())) - print >>sys.stderr - exit(3) - - - # Automatically find the input file format - in_extension = os.path.splitext(annotations)[1][1:] - for f,ext in Note.dictOfFormatToExtensions().items(): - if ext == in_extension: - in_format = f - - # Read input data into note object - in_note = Note(in_format) - in_note.read(txt,annotations) - - - # Convert data to standard format - internal_output = in_note.write_standard() - tmp_file = 'tmp_file.txt' - with open(tmp_file, 'w') as f: - f.write(internal_output) - - #print internal_output - - # Read internal standard data into new file with given output format - out_note = Note(format) - out_note.read_standard(txt,tmp_file) - - - # Output data - out = out_note.write() - if out_file: - with open(out_file, 'w') as out_f: - out_f.write(out) - else: - sys.stdout.write(out) - - - # Clean up - os.remove(tmp_file) - if out_file: - out_f.close() - - - -if __name__ == '__main__': - main() diff --git a/clicon/helper.py b/clicon/helper.py deleted file mode 100644 index a9edb02..0000000 --- a/clicon/helper.py +++ /dev/null @@ -1,24 +0,0 @@ -"""Utility methods.""" -import os -import os.path -import errno - - -def map_files(files): - """Maps a list of files to basename -> path.""" - output = {} - for f in files: #pylint: disable=invalid-name - basename = os.path.splitext(os.path.basename(f))[0] - output[basename] = f - return output - - -def mkpath(path): - """Alias for mkdir -p.""" - try: - os.makedirs(path) - except OSError as exc: - if exc.errno == errno.EEXIST and os.path.isdir(path): - pass - else: - raise diff --git a/clicon/is_installed.py b/clicon/is_installed.py deleted file mode 100644 index 2133e1a..0000000 --- a/clicon/is_installed.py +++ /dev/null @@ -1,50 +0,0 @@ -###################################################################### -# CliCon - is_installed.py # -# # -# Willie Boag wboag@cs.uml.edu # -# # -# Purpose: Determine if a given python module is available. # -###################################################################### - - -import sys - - - -def main(): - - # Ensure proper usage - if len(sys.argv) != 2: - print '\n\tusage: %s module_name\n' % sys.argv[0] - exit(2) - - - # Modules used by clicon (package name -> module name) - module2import = { 'scipy' : 'import scipy' , - 'numpy' : 'import numpy' , - 'nose' : 'import nose' , - 'nltk' : 'import nltk' , - 'python-crfsuite' : 'import pycrfsuite' , - 'scikit-learn' : 'from sklearn.feature_extraction import DictVectorizer' } - - - # Attempt to import module - try: - # Get import statement from module name - if sys.argv[1] not in module2import: exit(3) - attempt = module2import[ sys.argv[1] ] - - # Execute import - exec(attempt) - error = 0 - except ImportError: - error = 1 - - - # Return error code back to shell - exit(error) - - - -if __name__ == '__main__': - main() diff --git a/clicon/machine_learning/.gitignore b/clicon/machine_learning/.gitignore deleted file mode 100644 index 72723e5..0000000 --- a/clicon/machine_learning/.gitignore +++ /dev/null @@ -1 +0,0 @@ -*pyc diff --git a/clicon/machine_learning/__init__.py b/clicon/machine_learning/__init__.py deleted file mode 100644 index e69de29..0000000 diff --git a/clicon/machine_learning/crf.py b/clicon/machine_learning/crf.py deleted file mode 100644 index e978f50..0000000 --- a/clicon/machine_learning/crf.py +++ /dev/null @@ -1,185 +0,0 @@ -###################################################################### -# CliCon - crf.py # -# # -# Willie Boag wboag@cs.uml.edu # -# # -# Purpose: Implement CRF (using python-crfsuite) # -###################################################################### - - -import sys -import os - -import pycrfsuite - - -count = 0 - - - -def format_features(rows, labels=None): - - retVal = [] - - # For each line - for i,line in enumerate(rows): - - # For each word in the line - for j,features in enumerate(line): - - # Nonzero dimensions - inds = features.nonzero()[1] - - # If label exists - values = [] - if labels: - values.append( str(labels[i][j]) ) - - # Value for each dimension - for k in inds: - values.append( '%d=%d' % (k, features[0,k]) ) - - retVal.append("\t".join(values).strip()) - - # Sentence boundary seperator - retVal.append('') - - ''' - # Sanity check - global count - if labels: - out_f = 'a.txt' + str(count) - start = 0 # 2 - else: - out_f = 'b.txt' + str(count) - start = 0 - count += 1 - with open(out_f, 'w') as f: - for line in retVal: - print >>f, line[start:] - ''' - - return retVal - - - - -def pycrf_instances(fi, labeled): - xseq = [] - yseq = [] - - # Skip first element - if labeled: - begin = 1 - else: - begin = 0 - - for line in fi: - line = line.strip('\n') - if not line: - # An empty line presents an end of a sequence. - if labeled: - yield xseq, tuple(yseq) - else: - yield xseq - - xseq = [] - yseq = [] - continue - - # Split the line with TAB characters. - fields = line.split('\t') - - # Append the item to the item sequence. - feats = fields[begin:] - xseq.append(feats) - - # Append the label to the label sequence. - if labeled: - yseq.append(fields[0]) - - - -def train(X, Y, do_grid): - - # Sanity Check detection: features & label - #with open('a','w') as f: - # for xline,yline in zip(X,Y): - # for x,y in zip(xline,yline): - # print >>f, y, '\t', x.nonzero()[1][0] - # print >>f - - - # Format features fot crfsuite - feats = format_features(X,Y) - - - # Create a Trainer object. - trainer = pycrfsuite.Trainer(verbose=False) - for xseq, yseq in pycrf_instances(feats, labeled=True): - trainer.append(xseq, yseq) - - - # Set paramters - if do_grid: - 'Grid Search not implemented yet' - - - # Train the model - tmp_file = 'clicon-crf-tmp.txt' - trainer.train(tmp_file) - - - # Read the trained model into a string - model = '' - with open(tmp_file, 'rb') as f: - model = f.read() - - - # Remove the temporary file - os.remove(tmp_file) - - - return model - - - - -def predict(clf, X): - - # Format features fot crfsuite - feats = format_features(X) - - - # Dump the model into a temp file - tmp_file = 'clicon-crf-tmp.txt' - with open(tmp_file, 'wb') as f: - f.write(clf) - - - # Create the Tagger object - tagger = pycrfsuite.Tagger() - tagger.open(tmp_file) - - - # Remove the temp file - os.remove(tmp_file) - - - # Tag the sequence - retVal = [] - Y = [] - for xseq in pycrf_instances(feats, labeled=False): - yseq = [ int(n) for n in tagger.tag(xseq) ] - retVal += list(yseq) - Y.append(list(yseq)) - - # Sanity Check detection: feature & label predictions - #with open('a','w') as f: - # for x,y in zip(xseq,Y): - # x = x[0] - # print >>f, y, '\t', x[:-2] - # print >>f - - - return retVal diff --git a/clicon/machine_learning/sci.py b/clicon/machine_learning/sci.py deleted file mode 100644 index 13949b9..0000000 --- a/clicon/machine_learning/sci.py +++ /dev/null @@ -1,54 +0,0 @@ -import numpy as np -from sklearn.svm import SVC -from sklearn.svm import LinearSVC -from sklearn.grid_search import GridSearchCV -from multiprocessing import cpu_count -from sklearn.metrics import f1_score - - -# Solution for trying to train with all instances having single label -class TrivialClassifier: - - def __init__(self, label): - self.label = label - - def predict(self, X): - return [ self.label for x in X ] - - - -def train(X, Y, do_grid): - - # scikit-learn requires you train data with more than one label - if len(Y) and all( [ (y==Y[0]) for y in Y ] ): - return TrivialClassifier(Y[0]) - - # Search space - C_range = 10.0 ** np.arange( -5, 9 ) - gamma_range = 10.0 ** np.arange( -5 , 9 ) - - # Grid search? - if do_grid: - print '\t\tperforming grid search' - - estimates = LinearSVC() - parameters = [ {'C':C_range } ] - - # Find best classifier - clf = GridSearchCV(estimates, parameters, score_func = f1_score, - n_jobs = cpu_count() ) - clf.fit(X, Y) - - else: - clf = LinearSVC() - clf.fit(X, Y) - - # Return chosen classifier - return clf - - - -def predict(clf, X): - # Predict - retVal = list(clf.predict(X)) - return retVal diff --git a/clicon/model.py b/clicon/model.py deleted file mode 100644 index 2149f5a..0000000 --- a/clicon/model.py +++ /dev/null @@ -1,462 +0,0 @@ -from __future__ import with_statement - -import os -import cPickle as pickle -import helper -import sys - -from sklearn.feature_extraction import DictVectorizer - -from machine_learning import sci -from machine_learning import crf -from features_dir import features, utilities - -from notes.note import concept_labels, reverse_concept_labels, IOB_labels, reverse_IOB_labels - - - - -class Model: - - @staticmethod - def load(filename='awesome.model'): - with open(filename, 'rb') as model: - model = pickle.load(model) - model.filename = filename - return model - - - def __init__(self, is_crf=True): - - # Use python-crfsuite - self.crf_enabled = is_crf - - # DictVectorizers - self.first_prose_vec = DictVectorizer() - self.first_nonprose_vec = DictVectorizer() - self.second_vec = DictVectorizer() - - # Classifiers - self.first_prose_clf = None - self.first_nonprose_clf = None - self.second_clf = None - - - - def train(self, notes, do_grid=False): - - """ - Model::train() - - Purpose: Train a ML model on annotated data - - @param notes. A list of Note objects (containing text and annotations) - @return None - """ - - - ############## - # First pass # - ############## - - # Get the data and annotations from the Note objects - text = [ note.getTokenizedSentences() for note in notes ] - ioblist = [ note.getIOBLabels() for note in notes ] - - data1 = reduce( concat, text ) - Y1 = reduce( concat, ioblist ) - - - # Train classifier (side effect - saved as object's member variable) - print 'first pass' - self.first_train(data1, Y1, do_grid) - - - - ############### - # Second pass # - ############### - - # Get the data and annotations from the Note objects - chunks = [ note.getChunkedText() for note in notes ] - indices = [ note.getConceptIndices() for note in notes ] - conlist = [ note.getConceptLabels() for note in notes ] - - data2 = reduce( concat, chunks ) - inds = reduce( concat, indices ) - Y2 = reduce( concat, conlist ) - - - # Train classifier (side effect - saved as object's member variable) - print 'second pass' - self.second_train(data2, inds, Y2, do_grid) - - - - - def first_train(self, data, Y, do_grid=False): - - """ - Model::first_train() - - Purpose: Train the first pass classifiers (for IOB chunking) - - @param data A list of split sentences (1 sent = 1 line from file) - @param Y A list of list of IOB labels (1:1 mapping with data) - @param do_grid A boolean indicating whether to perform a grid search - - @return None - """ - - print '\textracting features (pass one)' - - - # Create object that is a wrapper for the features - feat_obj = features.FeatureWrapper(data) - - - # Parition into prose v. nonprose - prose = [] - nonprose = [] - pchunks = [] - nchunks = [] - for line,labels in zip(data,Y): - isProse,feats = feat_obj.extract_IOB_features(line) - if isProse: - prose.append(feats) - pchunks += labels - else: - nonprose.append(feats) - nchunks += labels - - - # Classify both prose & nonprose - flabels = ['prose' , 'nonprose' ] - fsets = [prose , nonprose ] - chunksets = [pchunks , nchunks ] - dvects = [self.first_prose_vec, self.first_nonprose_vec] - clfs = [self.first_prose_clf, self.first_nonprose_clf] - - vectorizers = [] - classifiers = [] - - for flabel,fset,chunks,dvect,clf in zip(flabels, fsets, chunksets, dvects, clfs): - - if len(fset) == 0: - raise Exception('Training data must have %s training examples' % flabel) - - print '\tvectorizing features (pass one) ' + flabel - - # Vectorize IOB labels - Y = [ IOB_labels[y] for y in chunks ] - - # Save list structure to reconstruct after vectorization - offsets = [ len(sublist) for sublist in fset ] - for i in range(1, len(offsets)): - offsets[i] += offsets[i-1] - - # Vectorize features - flattened = [item for sublist in fset for item in sublist] - X = dvect.fit_transform(flattened) - vectorizers.append(dvect) - - - print '\ttraining classifiers (pass one) ' + flabel - - # CRF needs reconstructed lists - if self.crf_enabled: - X = list(X) - X = [ X[i:j] for i, j in zip([0] + offsets, offsets)] - Y = [ Y[i:j] for i, j in zip([0] + offsets, offsets)] - lib = crf - else: - lib = sci - - # Train classifiers - clf = lib.train(X, Y, do_grid) - classifiers.append(clf) - - - # Save vectorizers - self.first_prose_vec = vectorizers[0] - self.first_nonprose_vec = vectorizers[1] - - # Save classifiers - self.first_prose_clf = classifiers[0] - self.first_nonprose_clf = classifiers[1] - - - - - # Model::second_train() - # - # - def second_train(self, data, inds_list, Y, do_grid=False): - - """ - Model::second_train() - - Purpose: Train the first pass classifiers (for IOB chunking) - - @param data A list of list of strings. - - A string is a chunked phrase - - An inner list corresponds to one line from the file - @param inds_list A list of list of integer indices - - assertion: len(data) == len(inds_list) - - one line of 'inds_list' contains a list of indices - into the corresponding line for 'data' - @param Y A list of concept labels - - assertion: there are sum(len(inds_list)) labels - AKA each index from inds_list maps to a label - @param do_grid A boolean indicating whether to perform a grid search - - @return None - """ - - print '\textracting features (pass two)' - - # Create object that is a wrapper for the features - feat_o = features.FeatureWrapper() - - # Extract features - X = [ feat_o.concept_features(s,inds) for s,inds in zip(data,inds_list) ] - X = reduce(concat, X) - - - print '\tvectorizing features (pass two)' - - # Vectorize labels - Y = [ concept_labels[y] for y in Y ] - - # Vectorize features - X = self.second_vec.fit_transform(X) - - - print '\ttraining classifier (pass two)' - - - # Train the model - self.second_clf = sci.train(X, Y, do_grid) - - - - - # Model::predict() - # - # @param note. A Note object that contains the data - def predict(self, note): - - - ############## - # First pass # - ############## - - - print 'first pass' - - # Get the data and annotations from the Note objects - data = note.getTokenizedSentences() - - # Predict IOB labels - iobs,_,__ = self.first_predict(data) - note.setIOBLabels(iobs) - - - - ############### - # Second pass # - ############### - - - print 'second pass' - - # Get the data and annotations from the Note objects - chunks = note.getChunkedText() - inds = note.getConceptIndices() - - # Predict concept labels - retVal = self.second_predict(chunks,inds) - - - return retVal - - - - - def first_predict(self, data): - - """ - Model::first_predict() - - Purpose: Predict IOB chunks on data - - @param data. A list of split sentences (1 sent = 1 line from file) - @return A list of list of IOB labels (1:1 mapping with data) - """ - - print '\textracting features (pass one)' - - - # Create object that is a wrapper for the features - feat_obj = features.FeatureWrapper(data) - - - # separate prose and nonprose data - prose = [] - nonprose = [] - plinenos = [] - nlinenos = [] - for i,line in enumerate(data): - isProse,feats = feat_obj.extract_IOB_features(line) - if isProse: - prose.append(feats) - plinenos.append(i) - else: - nonprose.append(feats) - nlinenos.append(i) - - - # Classify both prose & nonprose - flabels = ['prose' , 'nonprose' ] - fsets = [prose , nonprose ] - dvects = [self.first_prose_vec, self.first_nonprose_vec] - clfs = [self.first_prose_clf, self.first_nonprose_clf] - preds = [] - - for flabel,fset,dvect,clf in zip(flabels, fsets, dvects, clfs): - - # If nothing to predict, skip actual prediction - if len(fset) == 0: - preds.append([]) - continue - - - print '\tvectorizing features (pass one) ' + flabel - - # Save list structure to reconstruct after vectorization - offsets = [ len(sublist) for sublist in fset ] - for i in range(1, len(offsets)): - offsets[i] += offsets[i-1] - - # Vectorize features - flattened = [item for sublist in fset for item in sublist] - X = dvect.transform(flattened) - - - print '\tpredicting labels (pass one) ' + flabel - - # CRF requires reconstruct lists - if self.crf_enabled: - X = list(X) - X = [ X[i:j] for i, j in zip([0] + offsets, offsets)] - lib = crf - else: - lib = sci - - # Predict IOB labels - out = lib.predict(clf, X) - - # Format labels from output - pred = [out[i:j] for i, j in zip([0] + offsets, offsets)] - preds.append(pred) - - - # Recover predictions - plist = preds[0] - nlist = preds[1] - - - # Stitch prose and nonprose data back together - # translate IOB labels into a readable format - prose_iobs = [] - nonprose_iobs = [] - iobs = [] - trans = lambda l: reverse_IOB_labels[int(l)] - for sentence in data: - if utilities.prose_sentence(sentence): - prose_iobs.append( plist.pop(0) ) - prose_iobs[-1] = map(trans, prose_iobs[-1]) - iobs.append( prose_iobs[-1] ) - else: - nonprose_iobs.append( nlist.pop(0) ) - nonprose_iobs[-1] = map(trans, nonprose_iobs[-1]) - iobs.append( nonprose_iobs[-1] ) - - - # list of list of IOB labels - return iobs, prose_iobs, nonprose_iobs - - - - - def second_predict(self, data, inds_list): - - # If first pass predicted no concepts, then skip - # NOTE: Special case because SVM cannot have empty input - if sum([ len(inds) for inds in inds_list ]) == 0: - return [] - - - # Create object that is a wrapper for the features - feat_o = features.FeatureWrapper() - - - print '\textracting features (pass two)' - - - # Extract features - X = [ feat_o.concept_features(s,inds) for s,inds in zip(data,inds_list) ] - X = reduce(concat, X) - - - print '\tvectorizing features (pass two)' - - - # Vectorize features - X = self.second_vec.transform(X) - - - print '\tpredicting labels (pass two)' - - - # Predict concept labels - out = sci.predict(self.second_clf, X) - - - # Line-by-line processing - o = list(out) - classifications = [] - for lineno,inds in enumerate(inds_list): - - # Skip empty line - if not inds: continue - - # For each concept - for ind in inds: - - # Get next concept - concept = reverse_concept_labels[o.pop(0)] - - # Get start position (ex. 7th word of line) - start = 0 - for i in range(ind): - start += len( data[lineno][i].split() ) - - # Length of chunk - length = len(data[lineno][ind].split()) - - # Classification token - classifications.append( (concept,lineno+1,start,start+length-1) ) - - # Return classifications - return classifications - - - - - -def concat(a,b): - """ - list concatenation function (for reduce() purpose) - """ - return a+b diff --git a/clicon/notes/.gitignore b/clicon/notes/.gitignore deleted file mode 100644 index 72723e5..0000000 --- a/clicon/notes/.gitignore +++ /dev/null @@ -1 +0,0 @@ -*pyc diff --git a/clicon/notes/__init__.py b/clicon/notes/__init__.py deleted file mode 100644 index e69de29..0000000 diff --git a/clicon/notes/abstract_note.py b/clicon/notes/abstract_note.py deleted file mode 100644 index 95ccb2b..0000000 --- a/clicon/notes/abstract_note.py +++ /dev/null @@ -1,93 +0,0 @@ -from __future__ import with_statement - - -###################################################################### -# CliNER - abstract_note.py # -# # -# Willie Boag wboag@cs.uml.edu # -# # -# Purpose: Abstract Note representation. # -###################################################################### - - -__author__ = 'Willie Boag' -__date__ = 'Nov. 6, 2014' - - - -import re -import string -from copy import copy -import nltk.data -import os.path - - - - -# Abstract Note (to be inherited from) -class AbstractNote: - - def __init__(self): - raise Exception('Cannot instantiate AbstractNote') - - - ################################################################ - #### Must support this interface ##### - ################################################################ - - def getExtension(self): - """ - Purpose: Get the file extension for a particular format (ex. i2b2->con) - """ - raise Exception('Must define getExtension() for derived class') - - - def read(self, txt_file, con_file=None): - """ - Purpose: Abstract method for reading data from file - """ - raise Exception('Must define read() for derived class') - - - def write(self, labels=None): - """ - Purpose: Abstract method for writing data to file - @param labels. A list of (concept,lineo,start_tok,end_tok) tuples - """ - raise Exception('Must define write() for derived class') - - - def getText(self): - """ - Purpose: Return the verabitm string of text from text file - """ - raise Exception('Must define selector for derived class') - - - def getTokenizedSentences(self): - """ - Purpose: Return a list of list of tokens (list of list of strings) - """ - raise Exception('Must define selector for derived class') - - - def getClassificationTuples(self): - """ - Purpose: Return a list of (concept,line_number,start-ind,end-ind) tuples - """ - raise Exception('Must define selector for derived class') - - - def getLineIndices(self): - """ - Purpose: Return a list of (start,end) char index pairs (one per line) - """ - raise Exception('Must define selector for derived class') - - - def read_standard(self, txt, con=None): - """ - Purpose: Every note must be able to read from standardized forat - """ - raise Exception('Must define read_standard() for derived class') - diff --git a/clicon/notes/note.py b/clicon/notes/note.py deleted file mode 100644 index 38d3077..0000000 --- a/clicon/notes/note.py +++ /dev/null @@ -1,376 +0,0 @@ -from __future__ import with_statement - -###################################################################### -# CliNER - note.py # -# # -# Willie Boag wboag@cs.uml.edu # -# # -# Purpose: Internal representation of data for CliNER. # -###################################################################### - - -__author__ = 'Willie Boag' -__date__ = 'Nov. 6, 2014' - - - -import re -import string -from copy import copy -import nltk.data -import os.path - - -from utilities_for_notes import lineno_and_tokspan - - -# Master Class -class Note: - - # Memoize results from static method calls - supported_formats = [] - dict_of_format_to_extensions = [] - - # Constructor - def __init__(self, format): - - # Error-check input - if format not in Note.supportedFormats(): - raise Exception('Cannot create Note object for format %s' % format) - - # Instantiate the given format derived class - cmd = 'from note_%s import Note_%s as DerivedNote' % (format,format) - exec(cmd) - self.derived_note = DerivedNote() - - # Helpful for debugging - self.format = format - - # Memoizations of selectors - self.data = [] - self.concepts = [] - self.iob_labels = [] - self.text_chunks = [] - - - - @staticmethod - def supportedFormats(): - """ returns a list of data formats supported by CliNER """ - - # Memoized? - if Note.supported_formats: return Note.supported_formats - - # Note files - cands = os.listdir(os.path.join(os.getenv('CLICON_DIR'),'clicon/notes')) - notes = filter(lambda f:f.startswith('note_'), cands) - notes = filter(lambda f: f.endswith('.py' ), notes) - - # Extract format name from all files like 'note_i2b2.py' - formats = [] - for filename in notes: - f = re.search('note_(.*)\\.py', filename).groups(1)[0] - formats.append(f) - - return formats - - - @staticmethod - def supportedFormatExtensions(): - return Note.dictOfFormatToExtensions().values() - - - - @staticmethod - def dictOfFormatToExtensions(): - # Memoized? - if Note.dict_of_format_to_extensions: - return Note.dict_of_format_to_extensions - - # Get each format's extension - extensions = {} - for format in Note.supportedFormats(): - # Import next note format - cmd1 = 'from note_%s import Note_%s' % (format,format) - exec(cmd1) - - # Get extension for note - cmd2 = 'extensions[format] = Note_%s().getExtension()' % format - exec(cmd2) - - Note.dict_of_format_to_extensions = extensions - return extensions - - - - ################################################################## - #### Pass right on to derived format note #### - #### (does not change as new formats are introduced) #### - ################################################################## - - def getExtension(self): - """ - Purpose: returns the filename extension for a given data format - """ - return self.derived_note.getExtension() - - def read(self, txt_file, con_file=None): - """ - Purpose: Call derived object's reader - """ - retVal = self.derived_note.read(txt_file, con_file) - self.getIOBLabels() - return retVal - - def write(self, con_file=None): - """ - Purpose: Call derived object's writer - """ - return self.derived_note.write(con_file) - - def getTokenizedSentences(self): - """ - Purpose: Return list of list of tokens from text file. - """ - if not self.data: - self.data = self.derived_note.getTokenizedSentences() - return self.data - - def read_standard(self, txt, con=None): - """ - Purpose: Every note must be able to read from standard forat - """ - self.derived_note.read_standard(txt,con) - self.getIOBLabels() - - - - ################################################################## - #### Internal Logic #### - #### (does not change as new formats are introduced) #### - ################################################################## - - - def getConceptLabels(self): - """ - Purpose: return a list of concept labels for second pass training - """ - classifications = self.derived_note.getClassificationTuples() - return [ c[0] for c in classifications ] - - - def getIOBLabels(self): - """ - Purpose: return a list of list of IOB labels - """ - - # Only comput if not already memoized - if self.iob_labels: return self.iob_labels - - # Build list of proper dimensions (1:1 with self.data) - self.getTokenizedSentences() - iobs = [ ['O' for tok in sent] for sent in self.data ] - - line_inds = self.derived_note.getLineIndices() - data = self.derived_note.data - text = self.derived_note.text - - # Add 'B's and 'I's from concept spans - for classification in self.derived_note.getClassificationTuples(): - concept,char_spans = classification - - # Each span (could be noncontiguous span) - for span in char_spans: - lineno,tokspan = lineno_and_tokspan(line_inds, data, text, span) - start,end = tokspan - - # Update concept tokens to 'B's and 'I's - iobs[lineno][start] = 'B' - for i in range(start+1,end+1): - iobs[lineno][i] = 'I' - - # Memoize for next call - self.iob_labels = iobs - return iobs - - - - def setIOBLabels(self, iobs): - """ - Purpose: Set the IOB labels for the derived note - """ - # Must be proper form - for iob in iobs: - for label in iob: - assert (label == 'O') or (label == 'B') or (label == 'I'), \ - "All labels must be I, O, or B. Given: " + label - - self.iob_labels = iobs - - - - def getChunkedText(self): - """ - Purpose: List of list of tokens, except combine all 'I's into 'B' chunks - """ - - # Memoized? - if self.text_chunks: return self.text_chunks() - - # Line-by-line chunking - text = self.getTokenizedSentences() - for sent,iobs in zip(text,self.iob_labels): - - # One line of chunked phrases - line = [] - - # Chunk phrase (or single word if 'O' iob tag) - phrase = '' - - # Word-by-word grouping - for word,iob in zip(sent,iobs): - - if iob == 'O': - if phrase: line.append(phrase) - phrase = word - - if iob == 'B': - if phrase: line.append(phrase) - phrase = word - - if iob == 'I': - phrase += ' ' + word - - # Add last phrase - if phrase: line.append(phrase) - - # Add line from file - self.text_chunks.append(line) - - return self.text_chunks - - - - def getConceptIndices(self): - - # Return value - inds_list = [] - - # Line-by-line chunking - for iobs in self.iob_labels: - - # One line of chunked phrases - line = [] - seen_chunks = 0 - - # Word-by-word grouping - for iob in iobs: - - if iob == 'O': - seen_chunks += 1 - - if iob == 'B': - line.append(seen_chunks) - seen_chunks += 1 - - # Add line from file - inds_list.append(line) - - - return inds_list - - - - def write_standard(self, labels=None): - """ - Note::write_standard() - - Purpose: Every note must be able to read from standardized format - - @param labels. A list of classifications - @return A string of starndardized formatted data - """ - - # Standard will have: - # 1. concept type - # 2. concept span inds in character offsets - - # return value - retStr = '' - - # Get data - classifications = self.derived_note.getClassificationTuples() - - # Output classifications into standardized format - for concept,span_inds in classifications: - retStr += concept - for span in span_inds: - retStr += '||%d||%d' % span - retStr += '\n' - - return retStr.strip('\n') - - - - - ################################################################## - #### Only used during developmnt and testing #### - ################################################################## - - - def conlist(self): - """ - Useful during evaluation - """ - - # Cached for later calls - if self.concepts: return self.concepts - - # For each word, store a corresponding concept label - # Initially, all labels will be stored as 'none' - for line in self.data: - tmp = [] - for word in line: - tmp.append('none') - self.concepts.append(tmp) - - # Use the classifications to correct all mislabled 'none's - for classification in self.derived_note.getClassificationTuples(): - concept = classification[0] - char_spans = classification[1] - - # Assumption - assumes no clustering third pass - line_inds = self.derived_note.getLineIndices() - data = self.derived_note.getTokenizedSentences() - text = self.derived_note.getText() - for span in char_spans: - lineno,tokspan = lineno_and_tokspan(line_inds, data, text, span) - start,end = tokspan - - self.concepts[lineno][start] = concept - for i in range(start, end): - self.concepts[lineno][i+1] = concept - - return self.concepts - - - - -# Concept labels -concept_labels = { - "none":0, - "treatment":1, - "problem":2, - "test":3 -} -reverse_concept_labels = {v:k for k, v in concept_labels.items()} - - -# IOB labels -IOB_labels = { - 'O':0, - 'B':1, - 'I':2 -} -reverse_IOB_labels = {v:k for k,v in IOB_labels.items()} - diff --git a/clicon/notes/note_i2b2.py b/clicon/notes/note_i2b2.py deleted file mode 100644 index 0148ec8..0000000 --- a/clicon/notes/note_i2b2.py +++ /dev/null @@ -1,314 +0,0 @@ -from __future__ import with_statement - - -###################################################################### -# CliNER - note_i2b2.py # -# # -# Willie Boag wboag@cs.uml.edu # -# # -# Purpose: Derived note object for reading i2b2 formatted data. # -###################################################################### - - -__author__ = 'Willie Boag' -__date__ = 'Nov. 6, 2014' - - - -import re -import string -from copy import copy -import nltk.data -import os.path - -from abstract_note import AbstractNote -from utilities_for_notes import classification_cmp, lineno_and_tokspan - - -class Note_i2b2(AbstractNote): - - def __init__(self): - # Internal representation natural for i2b2 format - self.data = [] # list of list of tokens - self.classifications = [] # list of concept tuples - self.line_inds = [] # list of (start,end) indices for every line - - - def getExtension(self): - return 'con' - - - def getText(self): - return self.text - - - def getTokenizedSentences(self): - return map(lambda s: (' '.join(s)).split(), self.data) - - - def getClassificationTuples(self): - - # return value - retVal = [] - - # Build list of standardized classification tuples - for classification in self.classifications: - concept,lineno,tok_start,tok_end = classification - - # character offset of beginning of line - begin = self.line_inds[lineno-1][0] - - # Sweep through line to get character offsets from line start - start = 0 - for word in self.data[lineno-1][:tok_start]: - start += len(word) + 1 - - # Length of concept span - end = start - for word in self.data[lineno-1][tok_start:tok_end+1]: - end += len(word) + 1 - end -= 1 - - #print begin - #print begin+start, begin+end - #print '~~' + self.text[begin+start:begin+end] + '~~' - - retVal.append( (concept,[(begin+start,begin+end)]) ) - - return retVal - - - def getLineIndices(self): - return self.line_inds - - - def read_standard(self, txt, con=None): - - start = 0 - end = 0 - - with open(txt) as f: - - # Get entire file - text = f.read().strip('\n') - self.text = text - - # Split into lines - self.data = map(lambda s: s.split(), text.split('\n')) - - # Tokenize each sentence into words (and save line number indices) - toks = [] - gold = [] # Actual lines - - for sent in self.data: - - gold.append(sent) - - # Keep track of which indices each line has - for word in sent: - end += len(word) + 1 - - self.line_inds.append( (start,end-1) ) - start = end - - # Skip ahead to next non-whitespace - while (start < len(text)) and text[start].isspace(): start += 1 - - - # If an accompanying concept file was specified, read it - if con: - classifications = [] - with open(con) as f: - for line in f: - - # Empty line - if line == '\n': continue - - # Parse concept file line - fields = line.strip().split('||') - #print fields - concept = fields[0] - span_inds = [] - for i in range(1,len(fields),2): - span = int(fields[i]), int(fields[i+1]) - span_inds.append( span ) - - # FIXME - For now, treat non-contiguous spans as separate - for span in span_inds: - # Add the classification to the Note object - l,(start,end) = lineno_and_tokspan(span) - #print 'span: ', span - #print 'lineno: ', l - #print 'start: ', start - #print 'end: ', end - #print '\n' - classifications.append((concept,l+1,start,end)) - - # Safe guard against concept file having duplicate entries - classifications = list(set(classifications)) - - # Concept file does not guarantee ordering by line number - self.classifications = sorted(classifications,cmp=classification_cmp) - - - - def read(self, txt, con=None): - """ - Note_i2b2::read() - - @param txt. A file path for the tokenized medical record - @param con. A file path for the i2b2 annotated concepts for txt - """ - - # Character indices of each line - start = 0 - end = 0 - - # Read in the medical text - with open(txt) as f: - - # Original text file - self.text = f.read().strip('\n') - - i = 0 - for line in self.text.split('\n'): - end += len(line) + 1 - self.line_inds.append( (start,end-1) ) - start = end - - # Strip away non-printable characters - line = filter(lambda x: x in string.printable, line) - - # Add sentence to the data list - self.data.append(line.split(' ')) - - # TEST - is line_inds correct? - #print self.line_inds - #i = 0 - #for line,span in zip(self.data,self.line_inds): - # start,end = span - # print '' + self.text[start:end] + '' - # print '' + ' '.join(line) + '' - # print - # i += 1 - # if i == 13: exit() - - # If an accompanying concept file was specified, read it - if con: - classifications = [] - with open(con) as f: - for line in f: - - # Empty line - if line == '\n': continue - - # concept - prefix, suffix = line.split('||') - text = prefix.split() - conc = suffix[3:-2] - - start = text[-2].split(':') - end = text[-1].split(':') - - assert "concept spans one line", start[0] == end[0] - - # lineno - l = int(start[0]) - - # starttok - # endtok - start = int(start[1]) - end = int( end[1]) - - # Add the classification to the Note object - classifications.append( (conc,l,start,end) ) - - #print "txt: ", txt - #print "l: ", l - #print "start: ", start - #print "end: ", end - #print "line: ", self.data[l-1] - - #print "\n" + "-" * 80 - - # Safe guard against concept file having duplicate entries - classifications = list(set(classifications)) - - # Concept file does not guarantee ordering by line number - self.classifications = sorted(classifications, - cmp=classification_cmp) - - - def write(self, labels=None): - - """ - Note_i2b2::write() - - Purpose: Return the given concept label predictions in i2b2 format - - @param labels. A list of classifications - @return A string of i2b2-concept-file-formatted data - """ - - # Return value - retStr = '' - - # List of list of words (line-by-line) - tlist = self.data - - - # If given labels to write, use them. Default to self.classifications - if labels != None: - classifications = labels - elif self.classifications != None: - classifications = self.classifications - else: - raise Exception('Cannot write concept file: must specify labels') - - - # For each classification - for classification in classifications: - - # Ensure 'none' classifications are skipped - if classification[0] == 'none': - raise('Classification label "none" should never happen') - - concept = classification[0] - lineno = classification[1] - start = classification[2] - end = classification[3] - - # A list of words (corresponding line from the text file) - text = tlist[lineno-1] - - #print "\n" + "-" * 80 - #print "classification: ", classification - #print "lineno: ", lineno - #print "start: ", start - #print "end ", end - #print "text: ", text - #print "text[start]: ", text[start] - #print "concept: ", concept - - # The text string of words that has been classified - datum = text[start] - for j in range(start, end): - datum += " " + text[j+1] - - # Line:TokenNumber of where the concept starts and ends - idx1 = "%d:%d" % (lineno, start) - idx2 = "%d:%d" % (lineno, end ) - - # Classification - label = concept - - # Fixing issue involving i2b2 format (remove capitalization) - lowercased = [w.lower() for w in datum.split()] - datum = ' '.join(lowercased) - - # Print format - retStr += "c=\"%s\" %s %s||t=\"%s\"\n" % (datum, idx1, idx2, label) - - # return formatted data - return retStr - diff --git a/clicon/notes/note_semeval.py b/clicon/notes/note_semeval.py deleted file mode 100644 index 0c42ce5..0000000 --- a/clicon/notes/note_semeval.py +++ /dev/null @@ -1,286 +0,0 @@ -from __future__ import with_statement - - -###################################################################### -# CliNER - note_semeval.py # -# # -# Willie Boag wboag@cs.uml.edu # -# # -# Purpose: Derived note object for reading semeval formatted data. # -###################################################################### - - -__author__ = 'Willie Boag' -__date__ = 'Nov. 6, 2014' - - - -import re -import string -from copy import copy -import os.path - - -from utilities_for_notes import concept_cmp, SentenceTokenizer, WordTokenizer, lno_and_tokspan__to__char_span -from abstract_note import AbstractNote - - - -class Note_semeval(AbstractNote): - - def __init__(self): - # For parsing text file - self.sent_tokenizer = SentenceTokenizer() - self.word_tokenizer = WordTokenizer() - - # Internal representation natural for i2b2 format - self.text = '' - self.data = [] # list of list of tokens - self.line_inds = [] - self.classifications = [] - self.fileName = 'no-file' - - - def getExtension(self): - return 'pipe' - - - def getText(self): - return self.text - - - def getTokenizedSentences(self): - return self.data - - - def getClassificationTuples(self): - return self.classifications - - - def getLineIndices(self): - return self.line_inds - - def read_standard(self, txt, con=None): - - start = 0 - end = 0 - - with open(txt) as f: - - # Get entire file - text = f.read() - self.text = text - - # Sentence splitter - sents = self.sent_tokenizer.tokenize(txt) - - # Tokenize each sentence into words (and save line number indices) - toks = [] - gold = [] # Actual lines - - for s in sents: - gold.append(s) - - # Store data - toks = self.word_tokenizer.tokenize(s) - self.data.append(toks) - - # Keep track of which indices each line has - end = start + len(s) - - self.line_inds.append( (start,end) ) - start = end + 1 - - # Skip ahead to next non-whitespace - while (start < len(text)) and text[start].isspace(): start += 1 - - - # If an accompanying concept file was specified, read it - if con: - classifications = [] - with open(con) as f: - for line in f: - - # Empty line - if line == '\n': continue - - # Parse concept file line - fields = line.strip().split('||') - #print fields - concept = fields[0] - span_inds = [] - for i in range(1,len(fields),2): - span = int(fields[i]), int(fields[i+1]) - span_inds.append( span ) - - #print '\t', concept - #print '\t', span_inds - - classifications.append( (concept, span_inds) ) - - # Concept file does not guarantee ordering by line number - self.classifications = sorted(classifications, cmp=concept_cmp) - - - - - def read(self, txt, con=None): - - # Filename - self.filename = os.path.split(txt)[1] - - start = 0 - end = 0 - with open(txt) as f: - - # Get entire file - text = f.read() - #print "\nTEXT:------------------" - #print text - - self.text = text - - # Sentence splitter - sents = self.sent_tokenizer.tokenize(txt) - - #print "\nSENTS:-----------------------------" - #print sents - - # Tokenize each sentence into words (and save line number indices) - toks = [] - gold = [] # Actual lines - - for s in sents: - - gold.append(s) - - #print "\nsentence:-------------------------------" - #print s - - #print s - - # Store data - toks = self.word_tokenizer.tokenize(s) - - #print "\ntokenized sentence:---------------------------------" - #print toks - - self.data.append(toks) - - # Keep track of which indices each line has - end = start + len(s) - - #print "\nindices:--------------------------------------------" - #print (start, end) - - #print "\nusing index on entire txt----------------------------" - #print text[start:end] - - #print "\nEQUAL?" - #print text[start:end] == s - - self.line_inds.append( (start,end) ) - start = end + 1 - - # Skip ahead to next non-whitespace - while (start < len(text)) and text[start].isspace(): start += 1 - - ''' - for line,inds in zip(gold,self.line_inds): - print '!!!' + line + '!!!' - print '\t', 'xx'*10 - print inds - print '\t', 'xx'*10 - print '!!!' + text[inds[0]: inds[1]] + '!!!' - print '---' - print '\n' - print 'Xx' * 20 - ''' - - #lno,span = lineno_and_tokspan((2329, 2351)) - #lno,span = lineno_and_tokspan((1327, 1344)) - #print self.data[lno][span[0]:span[1]+1] - - - # If an accompanying concept file was specified, read it - if con: - offset_classifications = [] - classifications = [] - with open(con) as f: - for line in f: - - # Empty line - if line == '\n': continue - - # Parse concept file line - fields = line.strip().split('||') - #print fields - concept = fields[1] - cui = fields[2] - span_inds = [] - for i in range(3,len(fields),2): - span = int(fields[i]), int(fields[i+1]) - span_inds.append( span ) - - #print '\t', concept - #print '\t', span_inds - - # Everything is a Disease_Disorder - concept = 'problem' - - # FIXME - For now, treat non-contiguous spans as separate - for span in span_inds: - #l,(start,end) = lineno_and_tokspan(span) - # Add the classification to the Note object - offset_classifications.append((concept,span[0],span[1])) - classifications.append( (concept, span_inds) ) - - # Safe guard against concept file having duplicate entries - #classifications = list(set(classifications)) - - # Concept file does not guarantee ordering by line number - self.classifications = sorted(classifications, cmp=concept_cmp) - - - - - def write(self, labels): - - # If given labels to write, use them. Default to self.classifications - if labels != None: - # Translate token-level annotations to character offsets - classifications = [] - for classification in labels: - inds = self.line_inds - data = self.data - text = self.text - - # FIXME - Assumes that token-level does not have noncontig - concept = classification[0] - lno = classification[1] - 1 - start = classification[2] - end = classification[3] - tokspan = start,end - - # Get character offset span - span = lno_and_tokspan__to__char_span(inds,data,text,lno,tokspan) - classifications.append( (concept,span) ) - - elif self.classifications != None: - classifications = self.classifications - else: - raise Exception('Cannot write concept file: must specify labels') - - exit() - - # return value - retStr = '' - - for concept,span_inds in classifications: - retStr += self.fileName + '.text||%s||CUI-less' % concept - for span in span_inds: - retStr += '||' + str(span[0]) + "||" + str(span[1]) - retStr += '\n' - - return retStr - diff --git a/clicon/notes/note_xml.py b/clicon/notes/note_xml.py deleted file mode 100644 index 13dd08b..0000000 --- a/clicon/notes/note_xml.py +++ /dev/null @@ -1,296 +0,0 @@ -from __future__ import with_statement - - -###################################################################### -# CliNER - note_xml.py # -# # -# Willie Boag wboag@cs.uml.edu # -# # -# Purpose: Derived note object for reading xml formatted data. # -###################################################################### - - -__author__ = 'Willie Boag' -__date__ = 'Nov. 6, 2014' - - - -import re -import string -from copy import copy -import nltk.data -import os.path - - -from abstract_note import AbstractNote -from utilities_for_notes import classification_cmp, lineno_and_tokspan - - -class Note_xml(AbstractNote): - - def __init__(self): - # Internal representation natural for i2b2 format - self.data = [] # list of list of tokens - self.classifications = [] # list of concept tuples - self.line_inds = [] # list of (start,end) line character offsets - - - def getExtension(self): - return 'xml' - - - def getText(self): - return self.text - - - def getTokenizedSentences(self): - return self.data - - - def getClassificationTuples(self): - # return value - retVal = [] - - # Indices of each line - line_inds = [] - start = 0 - end = 0 - for sent in self.data: - for word in sent: - end += len(word) + 1 - line_inds.append( (start,end-1) ) - start = end - - # Build list of standardized classification tuples - for classification in self.classifications: - concept,lineno,tok_start,tok_end = classification - - # character offset of beginning of line - begin = line_inds[lineno-1][0] - - # Sweep through line to get character offsets from line start - start = 0 - for word in self.data[lineno-1][:tok_start]: - start += len(word) + 1 - - # Length of concept span - end = start - for word in self.data[lineno-1][tok_start:tok_end+1]: - end += len(word) + 1 - end -= 1 - - #print begin - #print begin+start, begin+end - #print '~~' + self.text[begin+start:begin+end] + '~~' - - retVal.append( (concept,[(begin+start,begin+end)]) ) - - return retVal - - - - def read(self, txt, con=None): - - """ - Note_xml::read() - - @param txt. A file path for the tokenized medical record - @param con. A file path for the xml annotated concepts for txt - """ - - start = 0 - end = 0 - - # Read in the medical text - with open(txt) as f: - for line in f: - - # Keep track of line's character offsets - for word in line.split(): - end += len(word) + 1 - self.line_inds.append( (start,end-1) ) - start = end - - # Strip away non-printable characters - line = filter(lambda x: x in string.printable, line) - - # Add sentence to the data list - self.data.append(line.split()) - - - # Read in the medical text - if con: - with open(con, 'r') as f: - - for lineno,line in enumerate(f.readlines()): - - # Stored data for self.classifications - concept = 'N/A' - start_ind = -1 - i = 0 - - for word in line.split(): - - # Search for xml tag - match = re.search('<(.*)>', word) - if match: - - con = match.group(1) - - # begin tag - if con[0] != '/': - # store data - concept = con - start_ind = i - - # end tag - else: - # store data - tup = (concept,lineno+1,start_ind,i-1) - self.classifications.append(tup) - - # non-tag text - else: - - # Next token - i += 1 - - - - def write(self, labels=None): - - """ - Note_xml::write() - - Purpose: Write the concept predictions in xml format - - @param labels. A list of predictions of labels for the given text. - @return A string for the xml-annotated file - """ - - - # If given labels to write, use them. Default to self.classifications - if labels != None: - classifications = labels - elif self.classifications: - classifications = self.classifications - else: - raise Exception('Cannot write concept file: must specify labels') - - - # Intermediate copy - toks = copy(self.data) - - # Order classification tuples so they are accessed right to left - # Assumption: sorted() is a stable sort - tags = sorted(classifications, key=lambda x:x[2], reverse=True) - tags = sorted(tags , key=lambda x:x[1] ) - - #print toks - #print '' - #print '' - - # Insert each xml tag into its proper location - for tag in tags: - - # Decode classification tuple - con = tag[0] - line = tag[1] - 1 - start = tag[2] - end = tag[3] - - #print tag - #print 'line: ', toks[line] - #print 'phrase: ', toks[line][start:end+1] - - # Insert tags - toks[line].insert(end+1, '') - toks[line].insert(start, '<' + con + '>') - - #print 'line: ', toks[line] - #print '' - - # Stitch text back together - toks = [ ' '.join(s) for s in toks ] - output = '\n'.join(toks) - - return output - - - - def read_standard(self, txt, con=None): - - """ - Note_xml::read_standard() - - @param txt. A file path for the tokenized medical record - @param con. A file path for the standardized annotated concepts for txt - """ - - start = 0 - end = 0 - - with open(txt) as f: - - # Get entire file - text = f.read() - self.text = text - - # Split into lines - self.data = map(lambda s: s.split(), text.split('\n')) - - # Tokenize each sentence into words (and save line number indices) - toks = [] - gold = [] # Actual lines - - for sent in self.data: - - gold.append(sent) - - # Keep track of which indices each line has - for word in sent: - end += len(word) + 1 - - self.line_inds.append( (start,end-1) ) - start = end - - # Skip ahead to next non-whitespace - while (start < len(text)) and text[start].isspace(): start += 1 - - - # If an accompanying concept file was specified, read it - if con: - classifications = [] - with open(con) as f: - for line in f: - - # Empty line - if line == '\n': continue - - # Parse concept file line - fields = line.strip().split('||') - #print fields - concept = fields[0] - span_inds = [] - for i in range(1,len(fields),2): - span = int(fields[i]), int(fields[i+1]) - span_inds.append( span ) - - # FIXME - For now, treat non-contiguous spans as separate - for span in span_inds: - # Add the classification to the Note object - l,(start,end) = lineno_and_tokspan(self.line_inds, self.data, self.text, span) - #print 'span: ', span - #print 'lineno: ', l - #print 'start: ', start - #print 'end: ', end - #print '\n' - classifications.append((concept,l+1,start,end)) - - # Safe guard against concept file having duplicate entries - classifications = list(set(classifications)) - - # Concept file does not guarantee ordering by line number - self.classifications = sorted(classifications,cmp=classification_cmp) - - diff --git a/clicon/notes/utilities_for_notes.py b/clicon/notes/utilities_for_notes.py deleted file mode 100644 index 986246d..0000000 --- a/clicon/notes/utilities_for_notes.py +++ /dev/null @@ -1,194 +0,0 @@ -###################################################################### -# CliNER - utilities.py # -# # -# Willie Boag wboag@cs.uml.edu # -# # -# Purpose: Helper tools for Note objects # -###################################################################### - - -import nltk.data -import re - - -def classification_cmp(a,b): - """ - concept_cmp() - - Purpose: Compare concept classification tokens - """ - a = (int(a[1]), int(a[2])) - b = (int(b[1]), int(b[2])) - - # Sort by line number - if a[0] < b[0]: - return -1 - if a[0] > b[0]: - return 1 - else: - # Resolve lineno ties with indices - if a[1] < b[1]: - return -1 - if a[1] > b[1]: - return 1 - else: - return 0 - - - -def concept_cmp(a,b): - """ - concept_cmp() - - Purpose: Compare concept classification tokens - """ - return a[1][0] < b[1][0] - - - -# Helper function -def lineno_and_tokspan(line_inds, data, text, char_span): - """ File character offsets => line number and index into line """ - for i,span in enumerate(line_inds): - if char_span[1] <= span[1]: - - #print - #print "span: ", span - - # start and end of span relative to sentence - start = char_span[0] - span[0] - end = char_span[1] - span[0] - - #print "START: ", start - #print "END: ", end - - #print "USING span on text: ~" + text[span[0]:span[1]] + '~' - #print "USING start and end: ~" + text[span[0]:span[1]][start:end]+'~' - - #print "data", data[i] - tok_span = [0,len(data[i])-1] - char_count = 0 - - dataWithEmptyChars = re.split(" |\n|\t", text[span[0]:span[1] + 1]) - - index = 0 - for j,tok in enumerate(dataWithEmptyChars): - if char_count > end: - tok_span[1] = index -1 - break - elif char_count == start: - tok_span[0] = index - char_count += len(tok) + 1 - if len(tok) > 0: - index += 1 - #print '\t',j, '\t', tok, '(', char_count, ')' - - #print start, end - #print tok_span - #print text[span[0]:span[1]] - #print data[i][tok_span[0]:tok_span[1]] - #print - - # return line number AND token span - #print "LINE: ", i - #print "TOK SPAN: ", tok_span - #print data[i] - #print tok_span - - #print "USING char_span on text: ", text[char_span[0]:char_span[1]] - #print "USING tok_span on data[i]", data[i][tok_span[0]], data[i][tok_span[1]] - #print "USING char_span on text: ", text[char_span[0]], text[char_span[1]] - - return (i, tuple(tok_span)) - - return None - - - - -# Helper function -def lno_and_tokspan__to__char_span(line_inds, data, text, lineno, tokspan): - """ File character offsets => line number and index into line """ - - start,end = line_inds[lineno] - - dataWithEmpty= text[start:end].replace('\n',' ').replace('\t',' ').split(' ') - - print 'start: ', start - print 'end: ', end - print 'dataWith: ', dataWithEmpty - print - print 'data: ', data[lineno] - print '\n\n\n' - - tokPosRelToSent = [] - count = 0 - for string in dataWithEmptyChars: - if string != '': - tokPosRelToSent.append((count, count + len(string)-1)) - count += len(string) + 1 - else: # empty string - count += 1 - - #print tokPosRelToSent - #print tokPosRelToSent[startTok:endTok+1] - - startOfTokRelToText = tokPosRelToSent[startTok][0] + start - endOfTokRelToText = tokPosRelToSent[ endTok][1] + start - - #print '---' + self.text[endOfTokRelToText-3:endOfTokRelToText+4] + '---' - - #print startOfTokRelToText, ' ', endOfTokRelToText - - # Heuristc / Hack for determining when to include extra space - if ( self.text[endOfTokRelToText ].isalpha()) and \ - (not self.text[endOfTokRelToText+1].isalpha()) : - endOfTokRelToText += 1 - - #print startOfTokRelToText, ' ', endOfTokRelToText - #print '\n' - - if line not in spans: - spans[line] = (self.fileName + ".text||Disease_Disorder||CUI-less||" + str(startOfTokRelToText) + "||" + str(endOfTokRelToText)) - else: - spans[line] += ("\n" + self.fileName + ".text||Disease_Disorder||CUI-less||" + str(startOfTokRelToText) + "||" + str(endOfTokRelToText)) - - - print lineno - print tokspan - - line = data[lineno] - - print line - - print - - return 0,0 - - - - -# Break file into sentences. -class SentenceTokenizer: - - def __init__(self): - self.sent_tokenizer = nltk.data.load('tokenizers/punkt/english.pickle') - - def tokenize(self, text_file): - """ Split the document into sentences """ - text = open(text_file, 'r').read() - return self.sent_tokenizer.tokenize(text) - - - -# Break sentence into words -class WordTokenizer: - - # TODO - PunktWordTokenizer (http://www.nltk.org/api/nltk.tokenize.html) - def __init__(self): - pass - - def tokenize(self, sent): - """ Split the sentence into tokens """ - return sent.split() - diff --git a/clicon/predict.py b/clicon/predict.py deleted file mode 100644 index 9e64fca..0000000 --- a/clicon/predict.py +++ /dev/null @@ -1,131 +0,0 @@ -###################################################################### -# CliNER - predict.py # -# # -# Willie Boag wboag@cs.uml.edu # -# # -# Purpose: Use trained model to predict concept labels for data. # -###################################################################### - - -__author__ = 'Willie Boag' -__date__ = 'Oct. 5, 2014' - - -import os -import sys -import glob -import argparse -import helper - -from model import Model -from notes.note import Note - - -def main(): - - parser = argparse.ArgumentParser() - - parser.add_argument("-i", - dest = "input", - help = "The input files to predict", - default = os.path.join(os.getenv('CLICON_DIR'), 'data/test_data/*') - ) - - parser.add_argument("-o", - dest = "output", - help = "The directory to write the output", - default = os.path.join(os.getenv('CLICON_DIR'), 'data/test_predictions') - ) - - parser.add_argument("-m", - dest = "model", - help = "The model to use for prediction", - default = os.path.join(os.getenv('CLICON_DIR'), 'models/run.model') - ) - - parser.add_argument("-f", - dest = "format", - help = "Data format ( " + ' | '.join(Note.supportedFormats()) + " )", - default = 'i2b2' - ) - - parser.add_argument("-crf", - dest = "with_crf", - help = "Specify where to find crfsuite", - - default = None - ) - - args = parser.parse_args() - - - # Parse arguments - files = glob.glob(args.input) - helper.mkpath(args.output) - format = args.format - - - # Predict - predict(files, args.model, args.output, format=format) - - - -def predict(files, model_path, output_dir, format): - - # Must specify output format - if format not in Note.supportedFormats(): - print >>sys.stderr, '\n\tError: Must specify output format' - print >>sys.stderr, '\tAvailable formats: ', ' | '.join(Note.supportedFormats()) - print >>sys.stderr, '' - exit(1) - - - - # Load model - model = Model.load(model_path) - - - # Tell user if not predicting - if not files: - print >>sys.stderr, "\n\tNote: You did not supply any input files\n" - exit() - - - # For each file, predict concept labels - n = len(files) - for i,txt in enumerate(sorted(files)): - - # Read the data into a Note object - note = Note(format) - note.read(txt) - - - print '-' * 30 - print '\n\t%d of %d' % (i+1,n) - print '\t', txt, '\n' - - - # Predict concept labels - labels = model.predict(note) - - # Get predictions in proper format - extension = note.getExtension() - output = note.write(labels) - - #print output - - # Output file - fname = os.path.splitext(os.path.basename(txt))[0] + '.' + extension - out_path = os.path.join(output_dir, fname) - - # Output the concept predictions - print '\n\nwriting to: ', out_path - with open(out_path, 'w') as f: - print >>f, output - print - - - - -if __name__ == '__main__': - main() diff --git a/clicon/train.py b/clicon/train.py deleted file mode 100644 index 7e9d30c..0000000 --- a/clicon/train.py +++ /dev/null @@ -1,139 +0,0 @@ -###################################################################### -# CliNER - train.py # -# # -# Willie Boag wboag@cs.uml.edu # -# # -# Purpose: Build model for given training data. # -###################################################################### - - -__author__ = 'Willie Boag' -__date__ = 'Oct. 5, 2014' - - -import os -import os.path -import glob -import argparse -import cPickle as pickle - -import helper -from sets import Set -from model import Model -from notes.note import Note - - -def main(): - parser = argparse.ArgumentParser() - - parser.add_argument("-t", - dest = "txt", - help = "The files that contain the training examples", - default = os.path.join(os.getenv('CLICON_DIR'), 'data/train/txt/*') - ) - - parser.add_argument("-c", - dest = "con", - help = "The files that contain the labels for the training examples", - default = os.path.join(os.getenv('CLICON_DIR'), 'data/train/con/*') - ) - - parser.add_argument("-m", - dest = "model", - help = "Path to the model that should be generated", - default = os.path.join(os.getenv('CLICON_DIR'), 'models/run.model') - ) - - parser.add_argument("-f", - dest = "format", - help = "Data format ( " + ' | '.join(Note.supportedFormats()) + " )", - default = 'i2b2' - ) - - parser.add_argument("-g", - dest = "grid", - help = "A flag indicating whether to perform a grid search", - action = "store_true" - ) - - parser.add_argument("-no-crf", - dest = "nocrf", - help = "A flag indicating whether to use crfsuite for pass one.", - action = "store_true" - ) - - # Parse the command line arguments - args = parser.parse_args() - is_crf = not args.nocrf - - - # A list of text file paths - # A list of concept file paths - txt_files = glob.glob(args.txt) - con_files = glob.glob(args.con) - - - # data format - format = args.format - - - # Must specify output format - if format not in Note.supportedFormats(): - print >>sys.stderr, '\n\tError: Must specify output format' - print >>sys.stderr, '\tAvailable formats: ', ' | '.join(Note.supportedFormats()) - print >>sys.stderr, '' - exit(1) - - - # Collect training data file paths - txt_files_map = helper.map_files(txt_files) # ex. {'record-13': 'record-13.con'} - con_files_map = helper.map_files(con_files) - - training_list = [] # ex. training_list = [ ('record-13.txt', 'record-13.con') ] - for k in txt_files_map: - if k in con_files_map: - training_list.append((txt_files_map[k], con_files_map[k])) - - - # display file names (for user to see data was properly located) - print '\n', training_list, '\n' - - - # Train the model - train(training_list, args.model, format, is_crf=is_crf, grid=args.grid) - - - -def train(training_list, model_path, format, is_crf=True, grid=False): - - # Read the data into a Note object - notes = [] - for txt, con in training_list: - note_tmp = Note(format) # Create Note - note_tmp.read(txt, con) # Read data into Note - notes.append(note_tmp) # Add the Note to the list - - - # file names - if not notes: - print 'Error: Cannot train on 0 files. Terminating train.' - return 1 - - - # Create a Machine Learning model - model = Model(is_crf=is_crf) - - - # Train the model using the Note's data - model.train(notes, grid) - - - # Pickle dump - print 'pickle dump' - with open(model_path, "wb") as m_file: - pickle.dump(model, m_file) - - - -if __name__ == '__main__': - main() diff --git a/config.txt b/config.txt deleted file mode 100644 index a50a60b..0000000 --- a/config.txt +++ /dev/null @@ -1,2 +0,0 @@ -GENIA None -UMLS None diff --git a/data/.gitignore b/data/.gitignore deleted file mode 100644 index ef6ccf0..0000000 --- a/data/.gitignore +++ /dev/null @@ -1,4 +0,0 @@ -# Ignore everything per data use and confidentiality agreements -* -# Except this file -!.gitignore diff --git a/docs/Makefile b/docs/Makefile deleted file mode 100644 index 1005e26..0000000 --- a/docs/Makefile +++ /dev/null @@ -1,177 +0,0 @@ -# Makefile for Sphinx documentation -# - -# You can set these variables from the command line. -SPHINXOPTS = -SPHINXBUILD = sphinx-build -PAPER = -BUILDDIR = _build - -# User-friendly check for sphinx-build -ifeq ($(shell which $(SPHINXBUILD) >/dev/null 2>&1; echo $$?), 1) -$(error The '$(SPHINXBUILD)' command was not found. Make sure you have Sphinx installed, then set the SPHINXBUILD environment variable to point to the full path of the '$(SPHINXBUILD)' executable. Alternatively you can add the directory with the executable to your PATH. If you don't have Sphinx installed, grab it from http://sphinx-doc.org/) -endif - -# Internal variables. -PAPEROPT_a4 = -D latex_paper_size=a4 -PAPEROPT_letter = -D latex_paper_size=letter -ALLSPHINXOPTS = -d $(BUILDDIR)/doctrees $(PAPEROPT_$(PAPER)) $(SPHINXOPTS) . -# the i18n builder cannot share the environment and doctrees with the others -I18NSPHINXOPTS = $(PAPEROPT_$(PAPER)) $(SPHINXOPTS) . - -.PHONY: help clean html dirhtml singlehtml pickle json htmlhelp qthelp devhelp epub latex latexpdf text man changes linkcheck doctest gettext - -help: - @echo "Please use \`make ' where is one of" - @echo " html to make standalone HTML files" - @echo " dirhtml to make HTML files named index.html in directories" - @echo " singlehtml to make a single large HTML file" - @echo " pickle to make pickle files" - @echo " json to make JSON files" - @echo " htmlhelp to make HTML files and a HTML help project" - @echo " qthelp to make HTML files and a qthelp project" - @echo " devhelp to make HTML files and a Devhelp project" - @echo " epub to make an epub" - @echo " latex to make LaTeX files, you can set PAPER=a4 or PAPER=letter" - @echo " latexpdf to make LaTeX files and run them through pdflatex" - @echo " latexpdfja to make LaTeX files and run them through platex/dvipdfmx" - @echo " text to make text files" - @echo " man to make manual pages" - @echo " texinfo to make Texinfo files" - @echo " info to make Texinfo files and run them through makeinfo" - @echo " gettext to make PO message catalogs" - @echo " changes to make an overview of all changed/added/deprecated items" - @echo " xml to make Docutils-native XML files" - @echo " pseudoxml to make pseudoxml-XML files for display purposes" - @echo " linkcheck to check all external links for integrity" - @echo " doctest to run all doctests embedded in the documentation (if enabled)" - -clean: - rm -rf $(BUILDDIR)/* - -html: - $(SPHINXBUILD) -b html $(ALLSPHINXOPTS) $(BUILDDIR)/html - @echo - @echo "Build finished. The HTML pages are in $(BUILDDIR)/html." - -dirhtml: - $(SPHINXBUILD) -b dirhtml $(ALLSPHINXOPTS) $(BUILDDIR)/dirhtml - @echo - @echo "Build finished. The HTML pages are in $(BUILDDIR)/dirhtml." - -singlehtml: - $(SPHINXBUILD) -b singlehtml $(ALLSPHINXOPTS) $(BUILDDIR)/singlehtml - @echo - @echo "Build finished. The HTML page is in $(BUILDDIR)/singlehtml." - -pickle: - $(SPHINXBUILD) -b pickle $(ALLSPHINXOPTS) $(BUILDDIR)/pickle - @echo - @echo "Build finished; now you can process the pickle files." - -json: - $(SPHINXBUILD) -b json $(ALLSPHINXOPTS) $(BUILDDIR)/json - @echo - @echo "Build finished; now you can process the JSON files." - -htmlhelp: - $(SPHINXBUILD) -b htmlhelp $(ALLSPHINXOPTS) $(BUILDDIR)/htmlhelp - @echo - @echo "Build finished; now you can run HTML Help Workshop with the" \ - ".hhp project file in $(BUILDDIR)/htmlhelp." - -qthelp: - $(SPHINXBUILD) -b qthelp $(ALLSPHINXOPTS) $(BUILDDIR)/qthelp - @echo - @echo "Build finished; now you can run "qcollectiongenerator" with the" \ - ".qhcp project file in $(BUILDDIR)/qthelp, like this:" - @echo "# qcollectiongenerator $(BUILDDIR)/qthelp/complexity.qhcp" - @echo "To view the help file:" - @echo "# assistant -collectionFile $(BUILDDIR)/qthelp/complexity.qhc" - -devhelp: - $(SPHINXBUILD) -b devhelp $(ALLSPHINXOPTS) $(BUILDDIR)/devhelp - @echo - @echo "Build finished." - @echo "To view the help file:" - @echo "# mkdir -p $$HOME/.local/share/devhelp/complexity" - @echo "# ln -s $(BUILDDIR)/devhelp $$HOME/.local/share/devhelp/complexity" - @echo "# devhelp" - -epub: - $(SPHINXBUILD) -b epub $(ALLSPHINXOPTS) $(BUILDDIR)/epub - @echo - @echo "Build finished. The epub file is in $(BUILDDIR)/epub." - -latex: - $(SPHINXBUILD) -b latex $(ALLSPHINXOPTS) $(BUILDDIR)/latex - @echo - @echo "Build finished; the LaTeX files are in $(BUILDDIR)/latex." - @echo "Run \`make' in that directory to run these through (pdf)latex" \ - "(use \`make latexpdf' here to do that automatically)." - -latexpdf: - $(SPHINXBUILD) -b latex $(ALLSPHINXOPTS) $(BUILDDIR)/latex - @echo "Running LaTeX files through pdflatex..." - $(MAKE) -C $(BUILDDIR)/latex all-pdf - @echo "pdflatex finished; the PDF files are in $(BUILDDIR)/latex." - -latexpdfja: - $(SPHINXBUILD) -b latex $(ALLSPHINXOPTS) $(BUILDDIR)/latex - @echo "Running LaTeX files through platex and dvipdfmx..." - $(MAKE) -C $(BUILDDIR)/latex all-pdf-ja - @echo "pdflatex finished; the PDF files are in $(BUILDDIR)/latex." - -text: - $(SPHINXBUILD) -b text $(ALLSPHINXOPTS) $(BUILDDIR)/text - @echo - @echo "Build finished. The text files are in $(BUILDDIR)/text." - -man: - $(SPHINXBUILD) -b man $(ALLSPHINXOPTS) $(BUILDDIR)/man - @echo - @echo "Build finished. The manual pages are in $(BUILDDIR)/man." - -texinfo: - $(SPHINXBUILD) -b texinfo $(ALLSPHINXOPTS) $(BUILDDIR)/texinfo - @echo - @echo "Build finished. The Texinfo files are in $(BUILDDIR)/texinfo." - @echo "Run \`make' in that directory to run these through makeinfo" \ - "(use \`make info' here to do that automatically)." - -info: - $(SPHINXBUILD) -b texinfo $(ALLSPHINXOPTS) $(BUILDDIR)/texinfo - @echo "Running Texinfo files through makeinfo..." - make -C $(BUILDDIR)/texinfo info - @echo "makeinfo finished; the Info files are in $(BUILDDIR)/texinfo." - -gettext: - $(SPHINXBUILD) -b gettext $(I18NSPHINXOPTS) $(BUILDDIR)/locale - @echo - @echo "Build finished. The message catalogs are in $(BUILDDIR)/locale." - -changes: - $(SPHINXBUILD) -b changes $(ALLSPHINXOPTS) $(BUILDDIR)/changes - @echo - @echo "The overview file is in $(BUILDDIR)/changes." - -linkcheck: - $(SPHINXBUILD) -b linkcheck $(ALLSPHINXOPTS) $(BUILDDIR)/linkcheck - @echo - @echo "Link check complete; look for any errors in the above output " \ - "or in $(BUILDDIR)/linkcheck/output.txt." - -doctest: - $(SPHINXBUILD) -b doctest $(ALLSPHINXOPTS) $(BUILDDIR)/doctest - @echo "Testing of doctests in the sources finished, look at the " \ - "results in $(BUILDDIR)/doctest/output.txt." - -xml: - $(SPHINXBUILD) -b xml $(ALLSPHINXOPTS) $(BUILDDIR)/xml - @echo - @echo "Build finished. The XML files are in $(BUILDDIR)/xml." - -pseudoxml: - $(SPHINXBUILD) -b pseudoxml $(ALLSPHINXOPTS) $(BUILDDIR)/pseudoxml - @echo - @echo "Build finished. The pseudo-XML files are in $(BUILDDIR)/pseudoxml." \ No newline at end of file diff --git a/docs/authors.rst b/docs/authors.rst deleted file mode 100644 index 94292d0..0000000 --- a/docs/authors.rst +++ /dev/null @@ -1 +0,0 @@ -.. include:: ../AUTHORS.rst \ No newline at end of file diff --git a/docs/conf.py b/docs/conf.py deleted file mode 100755 index 9cb4440..0000000 --- a/docs/conf.py +++ /dev/null @@ -1,275 +0,0 @@ -#!/usr/bin/env python -# -*- coding: utf-8 -*- -# -# complexity documentation build configuration file, created by -# sphinx-quickstart on Tue Jul 9 22:26:36 2013. -# -# This file is execfile()d with the current directory set to its -# containing dir. -# -# Note that not all possible configuration values are present in this -# autogenerated file. -# -# All configuration values have a default; values that are commented out -# serve to show the default. - -import sys -import os - -# If extensions (or modules to document with autodoc) are in another -# directory, add these directories to sys.path here. If the directory is -# relative to the documentation root, use os.path.abspath to make it -# absolute, like shown here. -#sys.path.insert(0, os.path.abspath('.')) - -# Get the project root dir, which is the parent dir of this -cwd = os.getcwd() -project_root = os.path.dirname(cwd) - -# Insert the project root dir as the first element in the PYTHONPATH. -# This lets us ensure that the source package is imported, and that its -# version is used. -sys.path.insert(0, project_root) - -import clicon - -# -- General configuration --------------------------------------------- - -# If your documentation needs a minimal Sphinx version, state it here. -#needs_sphinx = '1.0' - -# Add any Sphinx extension module names here, as strings. They can be -# extensions coming with Sphinx (named 'sphinx.ext.*') or your custom ones. -extensions = ['sphinx.ext.autodoc', 'sphinx.ext.viewcode'] - -# Add any paths that contain templates here, relative to this directory. -templates_path = ['_templates'] - -# The suffix of source filenames. -source_suffix = '.rst' - -# The encoding of source files. -#source_encoding = 'utf-8-sig' - -# The master toctree document. -master_doc = 'index' - -# General information about the project. -project = u'CliCon' -copyright = u'2014, Tristan Naumann' - -# The version info for the project you're documenting, acts as replacement -# for |version| and |release|, also used in various other places throughout -# the built documents. -# -# The short X.Y version. -version = clicon.__version__ -# The full version, including alpha/beta/rc tags. -release = clicon.__version__ - -# The language for content autogenerated by Sphinx. Refer to documentation -# for a list of supported languages. -#language = None - -# There are two options for replacing |today|: either, you set today to -# some non-false value, then it is used: -#today = '' -# Else, today_fmt is used as the format for a strftime call. -#today_fmt = '%B %d, %Y' - -# List of patterns, relative to source directory, that match files and -# directories to ignore when looking for source files. -exclude_patterns = ['_build'] - -# The reST default role (used for this markup: `text`) to use for all -# documents. -#default_role = None - -# If true, '()' will be appended to :func: etc. cross-reference text. -#add_function_parentheses = True - -# If true, the current module name will be prepended to all description -# unit titles (such as .. function::). -#add_module_names = True - -# If true, sectionauthor and moduleauthor directives will be shown in the -# output. They are ignored by default. -#show_authors = False - -# The name of the Pygments (syntax highlighting) style to use. -pygments_style = 'sphinx' - -# A list of ignored prefixes for module index sorting. -#modindex_common_prefix = [] - -# If true, keep warnings as "system message" paragraphs in the built -# documents. -#keep_warnings = False - - -# -- Options for HTML output ------------------------------------------- - -# The theme to use for HTML and HTML Help pages. See the documentation for -# a list of builtin themes. -html_theme = 'default' - -# Theme options are theme-specific and customize the look and feel of a -# theme further. For a list of options available for each theme, see the -# documentation. -#html_theme_options = {} - -# Add any paths that contain custom themes here, relative to this directory. -#html_theme_path = [] - -# The name for this set of Sphinx documents. If None, it defaults to -# " v documentation". -#html_title = None - -# A shorter title for the navigation bar. Default is the same as -# html_title. -#html_short_title = None - -# The name of an image file (relative to this directory) to place at the -# top of the sidebar. -#html_logo = None - -# The name of an image file (within the static path) to use as favicon -# of the docs. This file should be a Windows icon file (.ico) being -# 16x16 or 32x32 pixels large. -#html_favicon = None - -# Add any paths that contain custom static files (such as style sheets) -# here, relative to this directory. They are copied after the builtin -# static files, so a file named "default.css" will overwrite the builtin -# "default.css". -html_static_path = ['_static'] - -# If not '', a 'Last updated on:' timestamp is inserted at every page -# bottom, using the given strftime format. -#html_last_updated_fmt = '%b %d, %Y' - -# If true, SmartyPants will be used to convert quotes and dashes to -# typographically correct entities. -#html_use_smartypants = True - -# Custom sidebar templates, maps document names to template names. -#html_sidebars = {} - -# Additional templates that should be rendered to pages, maps page names -# to template names. -#html_additional_pages = {} - -# If false, no module index is generated. -#html_domain_indices = True - -# If false, no index is generated. -#html_use_index = True - -# If true, the index is split into individual pages for each letter. -#html_split_index = False - -# If true, links to the reST sources are added to the pages. -#html_show_sourcelink = True - -# If true, "Created using Sphinx" is shown in the HTML footer. -# Default is True. -#html_show_sphinx = True - -# If true, "(C) Copyright ..." is shown in the HTML footer. -# Default is True. -#html_show_copyright = True - -# If true, an OpenSearch description file will be output, and all pages -# will contain a tag referring to it. The value of this option -# must be the base URL from which the finished HTML is served. -#html_use_opensearch = '' - -# This is the file name suffix for HTML files (e.g. ".xhtml"). -#html_file_suffix = None - -# Output file base name for HTML help builder. -htmlhelp_basename = 'clicondoc' - - -# -- Options for LaTeX output ------------------------------------------ - -latex_elements = { - # The paper size ('letterpaper' or 'a4paper'). - #'papersize': 'letterpaper', - - # The font size ('10pt', '11pt' or '12pt'). - #'pointsize': '10pt', - - # Additional stuff for the LaTeX preamble. - #'preamble': '', -} - -# Grouping the document tree into LaTeX files. List of tuples -# (source start file, target name, title, author, documentclass -# [howto/manual]). -latex_documents = [ - ('index', 'clicon.tex', - u'CliCon Documentation', - u'Tristan Naumann', 'manual'), -] - -# The name of an image file (relative to this directory) to place at -# the top of the title page. -#latex_logo = None - -# For "manual" documents, if this is true, then toplevel headings -# are parts, not chapters. -#latex_use_parts = False - -# If true, show page references after internal links. -#latex_show_pagerefs = False - -# If true, show URL addresses after external links. -#latex_show_urls = False - -# Documents to append as an appendix to all manuals. -#latex_appendices = [] - -# If false, no module index is generated. -#latex_domain_indices = True - - -# -- Options for manual page output ------------------------------------ - -# One entry per manual page. List of tuples -# (source start file, name, description, authors, manual section). -man_pages = [ - ('index', 'clicon', - u'CliCon Documentation', - [u'Tristan Naumann'], 1) -] - -# If true, show URL addresses after external links. -#man_show_urls = False - - -# -- Options for Texinfo output ---------------------------------------- - -# Grouping the document tree into Texinfo files. List of tuples -# (source start file, target name, title, author, -# dir menu entry, description, category) -texinfo_documents = [ - ('index', 'clicon', - u'CliCon Documentation', - u'Tristan Naumann', - 'clicon', - 'One line description of project.', - 'Miscellaneous'), -] - -# Documents to append as an appendix to all manuals. -#texinfo_appendices = [] - -# If false, no module index is generated. -#texinfo_domain_indices = True - -# How to display URL addresses: 'footnote', 'no', or 'inline'. -#texinfo_show_urls = 'footnote' - -# If true, do not generate a @detailmenu in the "Top" node's menu. -#texinfo_no_detailmenu = False \ No newline at end of file diff --git a/docs/contributing.rst b/docs/contributing.rst deleted file mode 100644 index 3bdd7dc..0000000 --- a/docs/contributing.rst +++ /dev/null @@ -1 +0,0 @@ -.. include:: ../CONTRIBUTING.rst \ No newline at end of file diff --git a/docs/history.rst b/docs/history.rst deleted file mode 100644 index bec23d8..0000000 --- a/docs/history.rst +++ /dev/null @@ -1 +0,0 @@ -.. include:: ../HISTORY.rst \ No newline at end of file diff --git a/docs/index.rst b/docs/index.rst deleted file mode 100644 index e9f5fb5..0000000 --- a/docs/index.rst +++ /dev/null @@ -1,24 +0,0 @@ -.. complexity documentation master file, created by - sphinx-quickstart on Tue Jul 9 22:26:36 2013. - You can adapt this file completely to your liking, but it should at least - contain the root `toctree` directive. - -Welcome to CliCon's documentation! -====================================== - -Contents: - -.. toctree:: - :maxdepth: 2 - - readme - contributing - authors - history - -Indices and tables -================== - -* :ref:`genindex` -* :ref:`modindex` -* :ref:`search` diff --git a/docs/make.bat b/docs/make.bat deleted file mode 100644 index 2b44764..0000000 --- a/docs/make.bat +++ /dev/null @@ -1,242 +0,0 @@ -@ECHO OFF - -REM Command file for Sphinx documentation - -if "%SPHINXBUILD%" == "" ( - set SPHINXBUILD=sphinx-build -) -set BUILDDIR=_build -set ALLSPHINXOPTS=-d %BUILDDIR%/doctrees %SPHINXOPTS% . -set I18NSPHINXOPTS=%SPHINXOPTS% . -if NOT "%PAPER%" == "" ( - set ALLSPHINXOPTS=-D latex_paper_size=%PAPER% %ALLSPHINXOPTS% - set I18NSPHINXOPTS=-D latex_paper_size=%PAPER% %I18NSPHINXOPTS% -) - -if "%1" == "" goto help - -if "%1" == "help" ( - :help - echo.Please use `make ^` where ^ is one of - echo. html to make standalone HTML files - echo. dirhtml to make HTML files named index.html in directories - echo. singlehtml to make a single large HTML file - echo. pickle to make pickle files - echo. json to make JSON files - echo. htmlhelp to make HTML files and a HTML help project - echo. qthelp to make HTML files and a qthelp project - echo. devhelp to make HTML files and a Devhelp project - echo. epub to make an epub - echo. latex to make LaTeX files, you can set PAPER=a4 or PAPER=letter - echo. text to make text files - echo. man to make manual pages - echo. texinfo to make Texinfo files - echo. gettext to make PO message catalogs - echo. changes to make an overview over all changed/added/deprecated items - echo. xml to make Docutils-native XML files - echo. pseudoxml to make pseudoxml-XML files for display purposes - echo. linkcheck to check all external links for integrity - echo. doctest to run all doctests embedded in the documentation if enabled - goto end -) - -if "%1" == "clean" ( - for /d %%i in (%BUILDDIR%\*) do rmdir /q /s %%i - del /q /s %BUILDDIR%\* - goto end -) - - -%SPHINXBUILD% 2> nul -if errorlevel 9009 ( - echo. - echo.The 'sphinx-build' command was not found. Make sure you have Sphinx - echo.installed, then set the SPHINXBUILD environment variable to point - echo.to the full path of the 'sphinx-build' executable. Alternatively you - echo.may add the Sphinx directory to PATH. - echo. - echo.If you don't have Sphinx installed, grab it from - echo.http://sphinx-doc.org/ - exit /b 1 -) - -if "%1" == "html" ( - %SPHINXBUILD% -b html %ALLSPHINXOPTS% %BUILDDIR%/html - if errorlevel 1 exit /b 1 - echo. - echo.Build finished. The HTML pages are in %BUILDDIR%/html. - goto end -) - -if "%1" == "dirhtml" ( - %SPHINXBUILD% -b dirhtml %ALLSPHINXOPTS% %BUILDDIR%/dirhtml - if errorlevel 1 exit /b 1 - echo. - echo.Build finished. The HTML pages are in %BUILDDIR%/dirhtml. - goto end -) - -if "%1" == "singlehtml" ( - %SPHINXBUILD% -b singlehtml %ALLSPHINXOPTS% %BUILDDIR%/singlehtml - if errorlevel 1 exit /b 1 - echo. - echo.Build finished. The HTML pages are in %BUILDDIR%/singlehtml. - goto end -) - -if "%1" == "pickle" ( - %SPHINXBUILD% -b pickle %ALLSPHINXOPTS% %BUILDDIR%/pickle - if errorlevel 1 exit /b 1 - echo. - echo.Build finished; now you can process the pickle files. - goto end -) - -if "%1" == "json" ( - %SPHINXBUILD% -b json %ALLSPHINXOPTS% %BUILDDIR%/json - if errorlevel 1 exit /b 1 - echo. - echo.Build finished; now you can process the JSON files. - goto end -) - -if "%1" == "htmlhelp" ( - %SPHINXBUILD% -b htmlhelp %ALLSPHINXOPTS% %BUILDDIR%/htmlhelp - if errorlevel 1 exit /b 1 - echo. - echo.Build finished; now you can run HTML Help Workshop with the ^ -.hhp project file in %BUILDDIR%/htmlhelp. - goto end -) - -if "%1" == "qthelp" ( - %SPHINXBUILD% -b qthelp %ALLSPHINXOPTS% %BUILDDIR%/qthelp - if errorlevel 1 exit /b 1 - echo. - echo.Build finished; now you can run "qcollectiongenerator" with the ^ -.qhcp project file in %BUILDDIR%/qthelp, like this: - echo.^> qcollectiongenerator %BUILDDIR%\qthelp\complexity.qhcp - echo.To view the help file: - echo.^> assistant -collectionFile %BUILDDIR%\qthelp\complexity.ghc - goto end -) - -if "%1" == "devhelp" ( - %SPHINXBUILD% -b devhelp %ALLSPHINXOPTS% %BUILDDIR%/devhelp - if errorlevel 1 exit /b 1 - echo. - echo.Build finished. - goto end -) - -if "%1" == "epub" ( - %SPHINXBUILD% -b epub %ALLSPHINXOPTS% %BUILDDIR%/epub - if errorlevel 1 exit /b 1 - echo. - echo.Build finished. The epub file is in %BUILDDIR%/epub. - goto end -) - -if "%1" == "latex" ( - %SPHINXBUILD% -b latex %ALLSPHINXOPTS% %BUILDDIR%/latex - if errorlevel 1 exit /b 1 - echo. - echo.Build finished; the LaTeX files are in %BUILDDIR%/latex. - goto end -) - -if "%1" == "latexpdf" ( - %SPHINXBUILD% -b latex %ALLSPHINXOPTS% %BUILDDIR%/latex - cd %BUILDDIR%/latex - make all-pdf - cd %BUILDDIR%/.. - echo. - echo.Build finished; the PDF files are in %BUILDDIR%/latex. - goto end -) - -if "%1" == "latexpdfja" ( - %SPHINXBUILD% -b latex %ALLSPHINXOPTS% %BUILDDIR%/latex - cd %BUILDDIR%/latex - make all-pdf-ja - cd %BUILDDIR%/.. - echo. - echo.Build finished; the PDF files are in %BUILDDIR%/latex. - goto end -) - -if "%1" == "text" ( - %SPHINXBUILD% -b text %ALLSPHINXOPTS% %BUILDDIR%/text - if errorlevel 1 exit /b 1 - echo. - echo.Build finished. The text files are in %BUILDDIR%/text. - goto end -) - -if "%1" == "man" ( - %SPHINXBUILD% -b man %ALLSPHINXOPTS% %BUILDDIR%/man - if errorlevel 1 exit /b 1 - echo. - echo.Build finished. The manual pages are in %BUILDDIR%/man. - goto end -) - -if "%1" == "texinfo" ( - %SPHINXBUILD% -b texinfo %ALLSPHINXOPTS% %BUILDDIR%/texinfo - if errorlevel 1 exit /b 1 - echo. - echo.Build finished. The Texinfo files are in %BUILDDIR%/texinfo. - goto end -) - -if "%1" == "gettext" ( - %SPHINXBUILD% -b gettext %I18NSPHINXOPTS% %BUILDDIR%/locale - if errorlevel 1 exit /b 1 - echo. - echo.Build finished. The message catalogs are in %BUILDDIR%/locale. - goto end -) - -if "%1" == "changes" ( - %SPHINXBUILD% -b changes %ALLSPHINXOPTS% %BUILDDIR%/changes - if errorlevel 1 exit /b 1 - echo. - echo.The overview file is in %BUILDDIR%/changes. - goto end -) - -if "%1" == "linkcheck" ( - %SPHINXBUILD% -b linkcheck %ALLSPHINXOPTS% %BUILDDIR%/linkcheck - if errorlevel 1 exit /b 1 - echo. - echo.Link check complete; look for any errors in the above output ^ -or in %BUILDDIR%/linkcheck/output.txt. - goto end -) - -if "%1" == "doctest" ( - %SPHINXBUILD% -b doctest %ALLSPHINXOPTS% %BUILDDIR%/doctest - if errorlevel 1 exit /b 1 - echo. - echo.Testing of doctests in the sources finished, look at the ^ -results in %BUILDDIR%/doctest/output.txt. - goto end -) - -if "%1" == "xml" ( - %SPHINXBUILD% -b xml %ALLSPHINXOPTS% %BUILDDIR%/xml - if errorlevel 1 exit /b 1 - echo. - echo.Build finished. The XML files are in %BUILDDIR%/xml. - goto end -) - -if "%1" == "pseudoxml" ( - %SPHINXBUILD% -b pseudoxml %ALLSPHINXOPTS% %BUILDDIR%/pseudoxml - if errorlevel 1 exit /b 1 - echo. - echo.Build finished. The pseudo-XML files are in %BUILDDIR%/pseudoxml. - goto end -) - -:end \ No newline at end of file diff --git a/docs/readme.rst b/docs/readme.rst deleted file mode 100644 index 6b2b3ec..0000000 --- a/docs/readme.rst +++ /dev/null @@ -1 +0,0 @@ -.. include:: ../README.rst \ No newline at end of file diff --git a/examples/demo.sh b/examples/demo.sh deleted file mode 100644 index a714278..0000000 --- a/examples/demo.sh +++ /dev/null @@ -1,16 +0,0 @@ -#!/bin/sh - - -# Train model on an xml-formatted file -# Note, 'examples' directory only has one xml file (but clicon accepts globs) -clicon train "$CLICON_DIR/examples/*.xml" --format xml - - -# Use trained model to predict concepts for a given txt file -# Note, 'examples' directory only has one txt file (but clicon accepts globs) -clicon predict "$CLICON_DIR/examples/*.txt" --out $CLICON_DIR/data/test_predictions/ --format xml - - -# Evaluate how well the system classified. -# Note, in this case it is 100% because it trained/predicted on the same file. -clicon evaluate "$CLICON_DIR/examples/pretend.txt" --gold $CLICON_DIR/examples --predictions $CLICON_DIR/data/test_predictions/ --format xml diff --git a/examples/pretend.con b/examples/pretend.con deleted file mode 100644 index 40a5cbc..0000000 --- a/examples/pretend.con +++ /dev/null @@ -1,6 +0,0 @@ -c="casey at the bat" 2:0 2:3||t="treatment" -c="the score stood four to two" 8:0 8:5||t="problem" -c="cooney died at first" 9:3 9:6||t="problem" -c="casey at the bat" 14:9 14:12||t="treatment" -c="the former was a lulu" 16:1 16:5||t="problem" -c="the latter was a cake" 16:7 16:11||t="problem" diff --git a/examples/pretend.txt b/examples/pretend.txt deleted file mode 100644 index c96246c..0000000 --- a/examples/pretend.txt +++ /dev/null @@ -1,18 +0,0 @@ -Title : -Casey at the Bat -Author : -Ernest Thayer -Published : -June 3 , 1888 -The outlook wasn't brilliant for the Mudville Nine that day ; -The score stood four to two , with but one inning more to play , -And then when Cooney died at first , and Barrows did the same , -A sickly silence fell upon the patrons of the game . -A straggling few got up to go in deep despair . The rest -Clung to that hope which springs eternal in the human breast ; -They thought , if only Casey could get a whack at that - -They'd put up even money , now , with Casey at the bat . -But Flynn preceded Casey , as did also Jimmy Blake . -And the former was a lulu and the latter was a cake ; -So upon that stricken multitude grim melancholy sat , -For there semmed but little chance of Casey's getting to the bat . diff --git a/examples/pretend.xml b/examples/pretend.xml deleted file mode 100644 index ee2096d..0000000 --- a/examples/pretend.xml +++ /dev/null @@ -1,18 +0,0 @@ -Title : - Casey at the Bat -Author : -Ernest Thayer -Published : -June 3 , 1888 -The outlook wasn't brilliant for the Mudville Nine that day ; - The score stood four to two , with but one inning more to play , -And then when Cooney died at first , and Barrows did the same , -A sickly silence fell upon the patrons of the game . -A straggling few got up to go in deep despair . The rest -Clung to that hope which springs eternal in the human breast ; -They thought , if only Casey could get a whack at that - -They'd put up even money , now , with Casey at the bat . -But Flynn preceded Casey , as did also Jimmy Blake . -And the former was a lulu and the latter was a cake ; -So upon that stricken multitude grim melancholy sat , -For there semmed but little chance of Casey's getting to the bat. diff --git a/install.sh b/install.sh deleted file mode 100755 index 55cfd4a..0000000 --- a/install.sh +++ /dev/null @@ -1,151 +0,0 @@ -# -# install.sh -# -# Purpose: This is a demo that will install CliCon and it's package dependencies -# -# Note: This does not download/install: -# 1) i2b2 data -# 2) UMLS tables -# - - -function install_python_dependencies { - - modules=(nltk python-crfsuite nose numpy scipy scikit-learn) - for m in ${modules[@]} ; do - - #echo -e "\n\nmodule: $m\n\n" - - # Install module if necessary - python $CLICON_DIR/clicon/is_installed.py $m - if [[ $? != 0 ]] ; then - echo "installing $m" - pip install -U $m &>> $log - echo -e "$m installation complete\n" - fi - - done - - # Install nltk data - echo "downloading nltk data" - python -m nltk.downloader maxent_treebank_pos_tagger wordnet punkt &>> $log - echo -e "nltk download complete\n" - -} - - - -function get_genia { - # save current path - old_path=$(pwd) - - # Get sources - cd $CLICON_DIR/clicon/features_dir/genia - wget http://www.nactem.ac.uk/tsujii/GENIA/tagger/geniatagger-3.0.1.tar.gz &>> $log - tar xzvf geniatagger-3.0.1.tar.gz &>> $log - rm geniatagger-3.0.1.tar.gz - - # Build GENIA tagger - cd geniatagger-3.0.1/ - echo "$(sed '1i#include ' morph.cpp)" > morph.cpp # fix build error - echo "building GENIA tagger" - make &>> $log - echo -e "GENIA tagger built\n" - - # Successful build ? - if ! [[ $? -eq 0 ]] ; then - echo "there was a build error in GENIA" - return - fi - - # Set config file location of tagger - if [[ ! -f "$CLICON_DIR/config.txt" ]] ; then - echo -e "\tWarning: Could not update config.txt because CLICON_DIR must be an absolute path\n" - cd $old_path - return - fi - config_file="$CLICON_DIR/config.txt" - out_tmp="out.tmp.txt" - echo "GENIA $(pwd)/geniatagger" > $out_tmp - while read line ; do - if ! [[ $line = GENIA* ]] ; then - echo $line >> $out_tmp - fi - done < "$config_file" - mv $out_tmp $config_file - - # return to original path - cd $old_path -} - - - -# Ensure resources are available -which g++ gfortran virtualenv pip &> /dev/null -resources=$? -if [[ $resources -eq 0 ]] ; then - - - # CLICON_DIR must be defined before proceeding - if [[ "$CLICON_DIR" = "" ]] ; then - - echo -e "\n\tYou must define the CLICON_DIR evironment variable to run this script" - echo -e "\tRecommendation: 'cd' to the directory containing this script and execute 'export CLICON_DIR=\$(pwd)'\n" - - else - - # Installation log - log="$CLICON_DIR/installation_log.txt" - - - # Create virtual environment - echo "creating virtual environment" - virtualenv venv_clicon --system-site-packages &>> $log - source venv_clicon/bin/activate - echo -e "virtual environment enabled\n" - - - # Install python dependencies - install_python_dependencies - - - # Download & install GENIA tagger - get_genia - - - # Install 'clicon' script for command line usage - setup_output="setup_output.txt" - echo "Building executable 'clicon' script" - python setup.py install &> $setup_output - success=$? - echo -e "'clicon' script built\n" - - - # Successful - if [[ $success == 0 ]] ; then - echo "CliCon successfully installed" - else - echo -e "CliCon installation failure\n" - echo "---------------------FAILURE-------------------------" - cat $setup_output - echo "-----------------------------------------------------" - fi - - - cat $setup_output >> $log - rm $setup_output - - fi - -else - - echo -e "\n\tError: Not all resources available on system." - echo -e "\nPlease ensure the following packages are installed:" - - packages=(g++ gfortran python-dev python-pip python-virtualenv libopenblas-dev liblapack-dev) - for p in ${packages[@]} ; do - echo -e "\t$p" - done - echo "" - -fi diff --git a/models/.gitignore b/models/.gitignore deleted file mode 100644 index ef6ccf0..0000000 --- a/models/.gitignore +++ /dev/null @@ -1,4 +0,0 @@ -# Ignore everything per data use and confidentiality agreements -* -# Except this file -!.gitignore diff --git a/requirements.txt b/requirements.txt deleted file mode 100644 index edcc87e..0000000 --- a/requirements.txt +++ /dev/null @@ -1 +0,0 @@ -wheel==0.23.0 \ No newline at end of file diff --git a/run.sh b/run.sh deleted file mode 100755 index b3720f2..0000000 --- a/run.sh +++ /dev/null @@ -1,5 +0,0 @@ -file="00098-016139" - -#python clicon/train.py -t test/text/$file.text -c test/pipe/$file.pipe -f semeval - -python clicon/predict.py -i test/text/$file.text -f semeval diff --git a/setup.cfg b/setup.cfg deleted file mode 100644 index 5e40900..0000000 --- a/setup.cfg +++ /dev/null @@ -1,2 +0,0 @@ -[wheel] -universal = 1 diff --git a/setup.py b/setup.py deleted file mode 100755 index c5e6cbc..0000000 --- a/setup.py +++ /dev/null @@ -1,60 +0,0 @@ -#!/usr/bin/env python -# -*- coding: utf-8 -*- - -import os -import sys - - -try: - from setuptools import setup -except ImportError: - from distutils.core import setup - - -readme = open('README.rst').read() -history = open('HISTORY.rst').read().replace('.. :changelog:', '') - -requirements = [ - # TODO: put package requirements here - 'click', - 'nltk', - 'scikit-learn', -] - -test_requirements = [ - # TODO: put package test requirements here -] - -setup( - name='clicon', - version='0.1dev', - description='A tool for clinical concept extraction.', - long_description=readme + '\n\n' + history, - url='https://github.com/mitmedg/CliCon', - packages=[ - 'clicon', - ], - package_dir={'clicon': - 'clicon'}, - include_package_data=True, - install_requires=requirements, - zip_safe=False, - keywords='clicon', - classifiers=[ - 'Development Status :: 2 - Pre-Alpha', - 'Intended Audience :: Developers', - 'Natural Language :: English', - "Programming Language :: Python :: 2", - 'Programming Language :: Python :: 2.6', - 'Programming Language :: Python :: 2.7', - 'Programming Language :: Python :: 3', - 'Programming Language :: Python :: 3.3', - 'Programming Language :: Python :: 3.4', - ], - test_suite='tests', - tests_require=test_requirements, - entry_points=''' - [console_scripts] - clicon=clicon.cli:clicon - ''', -) \ No newline at end of file diff --git a/tox.ini b/tox.ini deleted file mode 100644 index 3954c7f..0000000 --- a/tox.ini +++ /dev/null @@ -1,9 +0,0 @@ -[tox] -envlist = py26, py27, py33, py34 - -[testenv] -setenv = - PYTHONPATH = {toxinidir}:{toxinidir}/clicon -commands = python setup.py test -deps = - -r{toxinidir}/requirements.txt \ No newline at end of file From d3bf0be526638d06f1067412ebb672c020b04fef Mon Sep 17 00:00:00 2001 From: Tristan Naumann Date: Fri, 27 Feb 2015 20:48:41 -0500 Subject: [PATCH 393/393] Replacing project with relocation notice. - Removing all project files. - Adding README which will display relocation notice. --- .gitattributes | 22 ---------------------- .gitignore | 50 -------------------------------------------------- 2 files changed, 72 deletions(-) delete mode 100644 .gitattributes delete mode 100644 .gitignore diff --git a/.gitattributes b/.gitattributes deleted file mode 100644 index 412eeda..0000000 --- a/.gitattributes +++ /dev/null @@ -1,22 +0,0 @@ -# Auto detect text files and perform LF normalization -* text=auto - -# Custom for Visual Studio -*.cs diff=csharp -*.sln merge=union -*.csproj merge=union -*.vbproj merge=union -*.fsproj merge=union -*.dbproj merge=union - -# Standard to msysgit -*.doc diff=astextplain -*.DOC diff=astextplain -*.docx diff=astextplain -*.DOCX diff=astextplain -*.dot diff=astextplain -*.DOT diff=astextplain -*.pdf diff=astextplain -*.PDF diff=astextplain -*.rtf diff=astextplain -*.RTF diff=astextplain diff --git a/.gitignore b/.gitignore deleted file mode 100644 index abf9825..0000000 --- a/.gitignore +++ /dev/null @@ -1,50 +0,0 @@ - -.DS_Store - -# Our model files -*.model* - -*.py[cod] - -# C extensions -*.so - -# Packages -*.egg -*.egg-info -dist -build -eggs -parts -bin -var -sdist -develop-eggs -.installed.cfg -lib -lib64 - -# Installer logs -pip-log.txt - -# Unit test / coverage reports -.coverage -.tox -nosetests.xml - -# Translations -*.mo - -# Mr Developer -.mr.developer.cfg -.project -.pydevproject - -# Latex stuff -*.bbl -*.blg -*.log -*.aux -*.fdb_latexmk -*.synctex.gz -paper.pdf \ No newline at end of file